凡噎膈反胃，得药而愈者，不可便与粥饭，惟以真人参（五钱）、陈皮（二钱）、老黄米（一两）。
作汤细啜，旬日后方可食粥，仓廪未固，便进米谷，常致不救。又一年之内，切忌房欲，犯之必旧症复发
而死。
紧而滑者吐逆，小弱而涩者反胃。噎膈反胃，脉浮缓者生，沉涩者死。沉涩而小，为血不足；大而弱，
为气不足。
〔调脾〕归脾汤 见二卷劳瘵。
〔养心〕养心汤 见二卷劳瘵。
〔润燥〕猪脂丸 杏仁 松子仁 白蜜 橘饼（各四两） 猪脂（熬净，一杯） 同捣食之。
〔和胃〕异功散 四君子汤加陈皮。
〔益火〕八味丸 见一卷中风。
〔健脾〕四君子汤 参 苓 术 草 加陈、夏，名六君子汤。
〔消痰〕二陈汤 陈 夏 苓 草
〔补血〕四物汤 地 芍 归 芎
〔酒膈〕云岐人参散 人参一两煎成，加麝香、冰片各五厘，治好饮热酒膈痛，血瘀胃口。
〔宽膈〕香砂宽中丸 苓 术 陈 夏 朴 草 木香 砂仁 蔻仁 香附 青皮 槟榔 姜 蜜丸。
〔开郁〕七气汤 见二卷咳嗽。
〔控涎〕来复丹 见本卷呕吐。
〔反胃〕大半夏汤 参 夏 蜜
〔血枯〕滋血润肠丸 地 芍 归 红花 桃仁 枳壳 大黄 韭汁冲服。
〔脾虚〕补气健脾丸 参 苓 术 陈 夏 草 砂仁 姜 枣
〔通润〕韭汁牛乳饮 见一卷燥。
〔开关〕启膈散 沙参 丹参（各三钱） 茯苓（一钱） 川贝（钱半） 郁金（五分） 砂仁壳（四分）
荷叶蒂（两枚） 杵头糠（五分） 水煎，虚加人参。
〔吐虫〕河间雄黄散 雄黄 瓜蒂 赤小豆（各一钱） 为末，每服五分，温水调，滴入狗油数匙，服下吐
虫。
〔化痰〕涤痰丸 南星 半夏 枳壳 橘红 菖蒲 人参 茯苓 竹茹 甘草
〔痰热〕清热二陈汤 二陈汤加 人参 白术 山栀 竹茹 砂仁 麦冬（各一钱） 乌梅（一枚） 姜 枣
〔理气〕乌龙丸 九香虫（半生半焙，一两） 车前子（炒） 陈皮（各四钱） 白术（五钱） 杜仲（酥炙，
八钱） 蜜丸。
〔降痰〕枇杷叶煎 枇杷叶 橘红（各三钱） 生姜（五钱）
〔滑润〕五汁饮 芦芽 荸荠 甘蔗 竹沥 姜汁 温服。又方∶韭汁 梨汁 人乳 姜汁 藕汁
〔通补〕利膈丸 参 归 藿 枳 草 朴 木香 槟榔 大黄
〔止吐〕汞硫散 硫黄 水银 同研细如煤色，用陈酒姜汁调服，次日大便出黑物，即不吐。
〔反胃〕丁香煮散 丁香（三七粒） 莲肉（二七粒，二味另研） 生姜（七片） 黄秫米（半合）
水煮熟，去姜啜粥。
〔通治〕狗宝散 用六君子加狗宝，作散调服。
〔寒呕〕千金五噎丸 干姜 川椒 吴萸 桂心 细辛（各一两） 参 术（各二两） 陈 苓（各两半）
附子（一枚）
〔吐逆〕千金五膈丸 参 草（各二两） 麦冬（三两） 川椒 远志 桂心 细辛 干姜（各一两）
川附（一枚）
〔外治〕啄木鸟膏 啄木鸟去毛，和骨捣烂熬膏，入麝香一钱，蜜收，入瓷罐，不时嗅之。
〔开膈〕雄黄二豆丸 乌梅（二十个） 砂 雄黄（各二钱） 乳香（一钱） 百草霜（五钱） 黑豆
绿豆（各四十九粒） 为末，和乌梅肉杵丸。
〔反胃〕大七香丸 香附 麦芽 砂仁 藿香 甘草 官桂 陈皮 丁香 甘松 乌药 蜜丸。
〔通治〕五膈散 参 术 蔻 夏 桔 草 沉香 枇杷叶 姜
〔润补〕生姜汁煎 姜汁 白蜜 牛酥（各五两） 人参 百合（各二两） 熬膏，人参百合汤下。
〔顺气〕神香散 丁香 蔻仁
〔润燥〕膈噎膏 人参 牛乳 蔗汁 梨汁 芦根汁 龙眼 肉汁 姜汁 人乳 熬膏，蜜收。此
缪仲淳秘方也。
〔豁痰〕七圣汤 半夏 黄连 白蔻 人参 茯苓 竹茹 生姜（二片）
For patients suffering from Yige (dysphagia with chest and diaphragm obstruction) or Fanwei (regurgitation where food is vomited immediately after eating or in the evening after morning consumption), even if the condition improves with medication, porridge and rice should not be administered immediately. Instead, prepare a decoction using Zhenrenshen (Ginseng Radix, 5 qian), Chenpi (Citri Reticulatae Pericarpium, 2 qian), and Lao Huangmi (Old Yellow Millet, 1 liang). Drink this soup slowly and carefully. Only after about ten days can porridge be consumed. If staple foods are introduced before the Spleen and Stomach functions have stabilized, it often leads to untreatable deterioration. Furthermore, sexual activity must be strictly avoided for one year; violating this prohibition will inevitably cause the recurrence of old symptoms and death.
A pulse that is tight and slippery indicates vomiting and rebellious Qi; a pulse that is small, weak, and choppy indicates Fanwei. For Yige and Fanwei, a floating and moderate pulse suggests survival, whereas a deep and choppy pulse indicates death. A deep, choppy, and fine pulse signifies insufficiency of Blood; a large and weak pulse signifies insufficiency of Qi.
[Regulating the Spleen] Guipi Tang (Restore the Spleen Decoction) - See Volume II, Laozhai section.
[Nourishing the Heart] Yangxin Tang (Nourish the Heart Decoction) - See Volume II, Laozhai section.
[Moistening Dryness] Zhizhi Wan (Pig Fat Pill): Xingren (Apricot Seed), Songziren (Pine Kernel), Baimi (White Honey), Jubing (Tangerine Cake) (each 4 liang); Zhizhi (Pig Fat, rendered pure, 1 cup). Pound all ingredients together and consume as pills.
[Harmonizing the Stomach] Yigong San (Extraordinary Efficacy Powder): Si Junzi Tang (Four Gentlemen Decoction) plus Chenpi (Citri Reticulatae Pericarpium).
[Benefiting Fire] Bawei Wan (Eight-Ingredient Pill) - See Volume I, Fengzhong section.
[Strengthening the Spleen] Si Junzi Tang (Four Gentlemen Decoction): Renshen (Ginseng Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root). When combined with Chenpi (Citri Reticulatae Pericarpium) and Banxia (Pinelliae Rhizoma), it is named Liujunzi Tang (Six Gentlemen Decoction).
[Eliminating Phlegm-Dampness] Erchen Tang (Two-Aged Decoction): Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Gancao (Licorice Root).
[Nourishing Blood] Siwu Tang (Four Substances Decoction): Shudi (Prepared Rehmannia Root), Shaoyao (Paeonia Lactiflora Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome).
[Treating Jiuge (Alcohol-induced Dysphagia)] Yunqi Renshen San (Yunqi Ginseng Powder): Boil 1 liang of Renshen (Ginseng Radix) until concentrated, then add Shexiang (Musk) and Bingpian (Borneol), each 5 li. This treats dysphagia pain caused by excessive drinking of hot wine and blood stasis at the stomach entrance.
[Widening the Diaphragm] Xiangsha Kuanzhong Wan (Fragrant Amomum Midsection-Widening Pill): Fulings (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Houpo (Magnolia Bark), Gancao (Licorice Root), Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), Kourén (Cardamomi Fructus), Xiangfu (Cyperus Rhizome), Qingpi (Citri Reticulatae Pericarpium Viride), Binglang (Arecae Semen), Jiang (Zingiberis Rhizoma Fresh), and Mi (Honey) to form pills.
[Opening Depression] Qiqi Tang (Seven-Qi Decoction) - See Volume II, Ke Sou section.
[Controlling Fluid Retention] Laifu Dan (Reviving Return Pellet) - See this volume, Ou Tu section.
[Treating Fanwei] Dabanxia Tang (Major Pinellia Decoction): Renshen (Ginseng Radix), Banxia (Pinelliae Rhizoma), Mi (Honey).
[Treating Blood Depletion] Zixue Runchang Wan (Nourishing Blood Intestine-Moistening Pill): Shudi (Prepared Rehmannia Root), Shaoyao (Paeonia Lactiflora Root), Danggui (Angelica Sinensis Root), Honghua (Carthami Flos), Taoren (Persicae Semen), Zhike (Aurantii Fructus Immaturus), Dahuang (Rhei Radix et Rhizoma). Take with juice from Allium tuberosum (Jiuji).
[Treating Spleen Deficiency] Buqi Jianpi Wan (Tonifying Qi Strengthening Spleen Pill): Renshen (Ginseng Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Gancao (Licorice Root), Sharen (Amomi Fructus), Jiang (Zingiberis Rhizoma Fresh), Zao (Jujubae Fructus).
[Unblocking and Moistening] Jiuji Niurou Yin (Allium Tuberosum Juice and Bovis Lac Decoction) - See Volume I, Zao section.
[Opening Obstruction] Qige San (Opening Diaphragm Powder): Shashen (Glehniae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) (each 3 qian), Fuling (Poria) (1 qian), Chuanbei (Fritillariae Cirrhosae Bulbus) (1.5 qian), Yujin (Curcumae Radix) (0.5 fen), Sharenqiao (Shell of Amomi Fructus) (0.4 fen), Heyeddi (Loti Folii Pedunculus) (2 pieces), Choutoukang (Husk from Pounding Rice) (0.5 fen). Decoct in water; add Renshen (Ginseng Radix) for deficiency cases.
[Treating Worm Vomiting] Hejian Xionghuang San (Hejian Realgar Powder): Xionghuang (Realgar), Goudi (Momordicae Fructus), Chixiaodou (Vigna Angularis Semen) (each 1 qian). Grind into powder. Take 0.5 fen per dose, mixed with warm water, adding several spoons of Gouyou (Dog Oil). It induces vomiting of worms.
[Resolving Phlegm] Ditan Wan (Phlegm-Cleansing Pill): Nanting (Arisaematis Cum Bile Rhizoma), Banxia (Pinelliae Rhizoma), Zhike (Aurantii Fructus Immaturus), Juhong (Citri Reticulatae Pericarpium Rubrum), Changpu (Acori Tatarinowii Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Zhuru (Bambusae Caulis in Taenia), Gancao (Licorice Root).
[Treating Phlegm-Heat] Qingre Erchen Tang (Clearing Heat Two-Aged Decoction): Erchen Tang (Two-Aged Decoction) plus Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhi (Gardeniae Fructus), Zhuru (Bambusae Caulis in Taenia), Sharen (Amomi Fructus), Maidong (Ophiopogonis Radix) (each 1 qian), Wumei (Mume Fructus) (1 piece), Jiang (Zingiberis Rhizoma Fresh), Zao (Jujubae Fructus).
[Regulating Qi] Wulong Wan (Black Dragon Pill): Jiuxiangchong (Aspongopus Chinensis) (half raw, half roasted, 1 liang), Cheqianzi (Plantaginis Semen) (stir-fried), Chenpi (Citri Reticulatae Pericarpium) (each 4 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Duzhong (Eucommiae Cortex) (prepared with vinegar, 8 qian). Form pills with honey.
[Descending Phlegm] Pipaye Jian (Loquat Leaf Decoction): Pipuye (Loquat Leaf), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 3 qian), Shengjiang (Fresh Ginger Rhizome) (5 qian).
[Slippery and Moistening] Wuzhi Yin (Five-Juice Drink): Luya (Reed Shoot), Qibi (Water Chestnut), Ganze (Sugarcane), Zhuli (Bamboo Sap), Jiangzhi (Ginger Juice). Take warm. Another formula: Jiuji (Allium Tuberosum Juice), Lizhi (Pear Juice), Renru (Human Milk), Jiangzhi (Ginger Juice), Ouji (Lotus Root Juice).
[Unblocking and Tonifying] Lige Wan (Diaphragm-Unblocking Pill): Renshen (Ginseng Radix), Danggui (Angelica Sinensis Root), Huoxiang (Agastaches Herba), Zhike (Aurantii Fructus Immaturus), Gancao (Licorice Root), Houpo (Magnolia Bark), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Dahuang (Rhei Radix et Rhizoma).
[Stopping Vomiting] Gongsu San (Mercury-Sulfur Powder): Liu Huang (Sulfur) and Shuiyin (Quicksilver) ground finely until black like coal powder. Mix with aged wine and ginger juice. The next day, black material passes in stool, and vomiting ceases.
[Treating Fanwei] Dingxiang Zhu San (Clove Boiled Powder): Dingxiang (Caryophylli Flos) (21 grains), Lianrou (Nelumbinis Semen) (14 grains, these two separately ground), Shengjiang (Fresh Ginger Rhizome) (7 slices), Huangsumi (Yellow Sorghum) (0.5 he). Boil in water until cooked, remove ginger, and drink the porridge.
[General Treatment] Goubao San (Dog Gallstone Powder): Use Liujunzi Tang (Six Gentlemen Decoction) plus Goubao (Canis Lapides) to make a powder for administration.
[Treating Cold Vomiting] Qianjin Wu Ye Wan (Thousand Gold Five-Choking Pill): Ganjiang (Dried Ginger Rhizome), Chuanjiao (Sichuan Pepper Fruit), Wuyu (Evodiae Fructus), Guixin (Cinnamomi Ramulus), Xixin (Asari Radix et Rhizoma) (each 1 liang), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 liang), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria) (each 1.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (1 piece).
[Treating Rebellious Vomiting] Qianjin Wu Ge Wan (Thousand Gold Five-Diaphragm Pill): Renshen (Ginseng Radix), Gancao (Licorice Root) (each 2 liang), Maidong (Ophiopogonis Radix) (3 liang), Chuanjiao (Sichuan Pepper Fruit), Yuanzhi (Polygalae Radix), Guixin (Cinnamomi Ramulus), Xixin (Asari Radix et Rhizoma), Ganjiang (Dried Ginger Rhizome) (each 1 liang), Chuanfu (Aconiti Radix) (1 piece).
[External Treatment] Zhuomu Niao Gao (Woodpecker Ointment): Remove feathers from Woodpecker, pound flesh and bones together, simmer into ointment. Add 1 qian of Shexiang (Musk), preserve with honey, store in porcelain jar, and inhale intermittently.
[Opening Diaphragm] Xionghuang Er Dou Wan (Realgar Two-Bean Pill): Wumei (Mume Fructus) (20 pieces), Sharen (Amomi Fructus), Xionghuang (Realgar) (each 2 qian), Ruxiang (Olibanum) (1 qian), Baicaoshuang (Soot from Chimney) (5 qian), Heidou (Black Soybean), Lv dou (Green Bean) (each 49 grains). Grind into powder, mix with Wumei pulp, and form pills.
[Treating Fanwei] Da Qixiang Wan (Great Fragrant Pill): Xiangfu (Cyperus Rhizome), Maiya (Hordei Fructus Germinatus), Sharen (Amomi Fructus), Huoxiang (Agastaches Herba), Gancao (Licorice Root), Guangui (Cinnamomi Ramulus), Chenpi (Citri Reticulatae Pericarpium), Dingxiang (Caryophylli Flos), Gansong (Nardostachyos Radix et Rhizoma), Wuyao (Linderae Radix). Form pills with honey.
[General Treatment] Wuge San (Five-Diaphragm Powder): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Kouren (Cardamomi Fructus), Banxia (Pinelliae Rhizoma), Jiegeng (Platycodonis Radix), Gancao (Licorice Root), Chenxiang (Aquilariae Lignum Resinatum), Pipuye (Loquat Leaf), Jiang (Zingiberis Rhizoma Fresh).
[Moistening and Tonifying] Shengjiangzhi Jian (Ginger Juice Decoction): Jiangzhi (Ginger Juice), Baimi (White Honey), Niusu (Bovis Butter) (each 5 liang), Renshen (Ginseng Radix), Baihe (Lilii Bulbus) (each 2 liang). Simmer into ointment. Take with decoction of Renshen (Ginseng Radix) and Baihe (Lilii Bulbus).
[Smoothly Regulating Qi] Shenxiang San (Divine Fragrant Powder): Dingxiang (Caryophylli Flos), Kouren (Cardamomi Fructus).
[Moistening Dryness] Geye Gao (Diaphragm-Choking Ointment): Renshen (Ginseng Radix), Niurou (Bovis Lac), Zheshi (Saccharum Officinarum Juice), Lizhi (Pear Juice), Lugenzhi (Phragmitis Rhizoma Juice), Longyanrou (Longan Arillus), Jiangzhi (Ginger Juice), Renru (Human Milk). Simmer into ointment, preserve with honey. This is a secret recipe by Miao Zhongchun.
[Expelling Phlegm] Qisheng Tang (Seven-Sages Decoction): Banxia (Pinelliae Rhizoma), Huanglian (Coptidis Rhizoma), Baikou (Cardamomi Fructus), Renshen (Ginseng Radix), Fuling (Poria), Zhuru (Bambusae Caulis in Taenia), Jiang (Zingiberis Rhizoma Fresh) (2 slices).