胸痹之病，令人心中坚痞忽痛，肌中苦痹。绞急如刺，不得俯仰，其胸前皮皆痛，不得
手犯，胸满短气，咳嗽引痛，烦闷自汗出，或彻引背膂，不即治之。数日害人，治之方。
用雄黄，巴豆，先捣，雄黄细筛，纳巴豆，务熟捣，相入丸如小豆大，服一丸不效，稍
益之。
又方，取枳实捣，宜服方寸匕，日三，夜一服。
又方，捣栝蒌。大者一枚，切薤白半升，以白酒七升，煮
取二升，分再服，亦可加半夏四两，汤洗去滑，则用之。
又方，橘皮半斤，枳实四枚，生姜半斤，水四升，煮取二升，分再服。
又方，枳实，桂等分，捣末，橘皮汤下方寸匕，日三服。
仲景方神效。
又方，桂，乌喙，干姜各一分，人参，细辛，茱萸各二分，贝母二分，合捣，蜜和丸，
如小豆大，一服三丸，日三服之。
若已瘥复发者。
下韭根五斤，捣，绞取汁，饮之愈。
附方
杜壬治胸膈痛彻背，心腹痞满，气不得通及治疾嗽。
大栝蒌去穣，取子熟炒，别研，和子皮，面糊为丸，如梧桐子大，米饮下十五丸。
葛氏，治卒干呕不息方。
破鸡子去白，吞中黄数枚，即愈也。
又方，捣葛根，绞取汁，服一升许。
又方，一云蔗汁，温令热，服一升，日三，一方生姜汁，服一升。
又方，灸两腕后两筋中一穴，名间使各七壮，灸心主尺泽，亦佳。
又方，甘草，人参各二两，生姜四两，水六升，煮取二升，分为三服。
治卒呕 ，又厥逆方。
用生姜半斤，去皮切之，橘皮四两，擘之，以水七升，煮三升，去滓。适寒温，服一升
，
日三服。
又方， 藤，断之当汁出，器承取饮一升，生葛藤尤佳。
治卒 不止方。
饮新汲井水数升，甚良。
又方，痛爪眉中夹间气也。
又方，以物刺鼻中各一分来许，皂荚纳鼻中，令嚏，瘥。
又方，但闭气仰引之。
又方，好豉二升，煮取汁，服之也。
又方，香苏浓煮汁，头服一二升，良。
又方，粢米三升，为粉，井花水服之，良。
又方，用枇杷叶一斤，拭去毛，炙，水一斗，煮取三升，服芦根，亦佳。
治食后喜呕吐者。
烧鹿角灰二两，人参一两，捣末，方寸匕，日三服，姚同。
治人忽恶心不已方。
薤白半斤，茱萸一两，豉半升，米一合，枣四枚，枳实二枚，盐如弹丸，水三升，煮取
一升半，分为三服。
又方，但多嚼豆蔻子，及咬槟榔，亦佳。
治人胃反不受食，食毕辄吐出方。
大黄四两，甘草二两，水二升，煮取一升半，分为再服之。
治人食毕噫醋，及醋心方。
人参一两，茱萸半斤，生姜六两，大枣十二枚，水六升，煮取二升，分为再服也。
哕不止，半夏洗干，末之，服一匕，则立止。
又方，干姜六分，附子四分，炮，捣，苦酒丸如梧子，服三丸，日三效。
附方
张仲景方，治反胃呕吐，大半夏汤。
半夏三升，人参三两，白蜜一升，以水一斗二升，煎扬之一百二十遍，煮下三升半，
温服一升，日再，亦治膈间痰饮。
又方，主呕哕。谷不得下，眩悸，半夏加茯苓汤，半夏一升，生姜半斤，茯苓三两，切
，以水七升，煎取一升半，分温服之。
《千金方》，治反胃，食即吐。
捣粟米作粉，和水，丸如梧子大，七枚，烂煮纳醋中，细吞之，得下便已，面亦得用之
。
又方，治干哕，若手足厥冷，宜食生姜，此是呕家圣药。
治心下痞坚，不能食，胸中呕哕。
生姜八两，细切，以水三升，煮取一升，半夏五合，洗去滑，以水五升，煮取一升，二
味合煮，取一升半，稍稍服之。
又方，主干呕。
取羊乳一杯，空心饮之。
《斗门方》，治翻胃。
用附子一个，最大者，坐于砖上，四面着火渐逼碎，入生姜自然汁中，又根据前火逼干。
复淬之，约生姜汁尽。尽半碗许，捣罗为末，用粟米饮下一钱，不过三服，瘥。
《经验方》，治呕逆反胃散。
大附子一个，生姜一斤，细锉煮研如面糊，米饮下之。
又方，治丈夫妇人吐逆，连日不止，粥食汤药，不能下者，可以应用，此候效摩丸。
五灵脂不夹土石拣精好者不计多少，捣罗为末，研，狗胆汁和为丸，如鸡头大，每服一
丸，煎热生姜酒摩令极细，更以少生姜酒化以汤，汤药令极热，须是先做下粥，温热得所。
左手与患人药吃，不得漱口，右手急将粥与患人吃，不令太多。
又方，碧霞丹，治吐逆立效。
北来黄丹四两，筛过，用好米醋半升，同药入铫内，煎令干，却用炭火三秤。就铫内
透红，冷取，研细为末，用粟米饭丸。如桐子大，煎酵汤下七丸，不嚼只一服。
孙真人，食忌治呕吐。
以白槟榔一颗，煨，橘皮一分炙，为末，水一盏，煎半盏服。
《广济方》，治呕逆不能食。
诃黎勒皮二两，去核，熬为末，蜜和丸如梧桐子大，空心服二十丸，日二服。
《食医心镜》，主脾胃气弱，食不消化。呕逆反胃，汤饮不下。
粟米半升，杵细，水和丸如梧子大，煮令熟点少盐，空心和汁吞下。
《金匮玉函方》，治五噎心膈气滞。烦闷吐逆，不下食。
芦根五两，锉，以水三大盏，煮取二盏，去滓，不计时，温服。《外台秘要》，治反胃
，昔幼年经患此疾，每服食饼及羹粥等。须臾吐出，贞观许奉御兄弟及柴蒋等家，时称名医
，奉敕令治，罄竭各人所长，竟不能疗。渐羸惫，候绝朝夕，忽有一卫士云。
服驴小便极验，旦服二合，后食，唯吐一半，晡时又服二合，人定时，食粥吐即便定
。迄至今日午时，奏之。大内中，五六人患反胃，同服。一时俱瘥，此药稍有毒，服时不可
过多，承取尿，及热服二合，病深七日以来，服之良，后来疗人，并瘥。
又方，治呕。
麻仁三两，杵，熬，以水研，取汁，着少盐，吃立效，李谏议用极妙。
又方，治久患咳噫，连咳四五十声者。
取生姜汁半合，蜜一匙头，煎令熟。温服，如此三服，立效。
又方，治咳噫。
生姜四两，烂捣，入兰香叶二两，椒末一钱匕，盐和面四两，裹作烧饼熟煨，空心吃，
不过三两度，效。
孙尚药方，治诸吃噫。
橘皮二两，汤浸去瓤，锉，以水一升，煎之五合，通热顿服，更加枳壳一两，去瓤炒，
同煎之，服，效。
《梅师方》，主胃反，朝食暮吐，暮食朝吐，旋旋吐者。
以甘蔗汁七升，生姜汁一升，二味相和分为三服。
又方，治醋心。
槟榔四两，橘皮二两，细捣为散，空心，生蜜汤下方寸匕。
《兵部手集》，治醋心，每醋气上攻如酽醋。
吴茱萸一合。水三盏煎七分，顿服，纵浓，亦须强服。近者人心如蜇破，服此方后二十
年不发。
Background Information
Book: Zhouhou Beiji Fang (Handbook of Prescriptions for Emergencies)
Author: Ge Hong
Dynasty: Eastern Jin
Chapter: Formulas for Treating Sudden Chest Bi Pain No. 29 / Formulas for Treating Sudden Stomach Reversal and Vomiting No. 30
Category: Formulas
Original Text Translation
Chest Bi disease causes a hard, obstructive sensation in the heart region with sudden pain, and severe obstruction in the muscles. The pain is twisting and urgent like stabbing, preventing bending forward or backward. The skin over the chest is painful to touch. There is chest fullness, shortness of breath, coughing that triggers pain, irritability, and spontaneous sweating. Sometimes the pain radiates through to the back and spine. If not treated immediately, it harms the body over several days. Here are formulas for treatment.
Use Xionghuang (Realgar), Badou (Croton Seed). First pound them; sieve the Realgar finely, add the Croton Seed, and ensure thorough pounding. Mix and form pills the size of small beans. Take one pill; if ineffective, gradually increase the dose.
Another formula: Pound Zhishi (Immature Bitter Orange). Take one cun-bi (a measuring spoon) per dose, three times daily and once at night.
Another formula: Pound Gualou (Trichosanthes Fruit). Use one large fruit, cut Xiebai (Shallot Bulb) half sheng (a volume measure), boil in seven sheng of white wine until two sheng remain. Divide into two doses. You may also add Banxia (Pinellia Tuber) four liang, washed with hot water to remove slipperiness, then use it.
Another formula: Jupi (Tangerine Peel) half jin (weight measure), Zhishi (Immature Bitter Orange) four pieces, Shengjiang (Fresh Ginger Root) half jin, water four sheng. Boil until two sheng remain. Divide into two doses.
Another formula: Zhishi (Immature Bitter Orange) and Gui (Cinnamon Twig) in equal parts, pound into powder. Take one cun-bi with Jupi Tang (Tangerine Peel Decoction), three times daily.
The formulas of Zhang Zhongjing are miraculous.
Another formula: Gui (Cinnamon Twig), Wu Hui (Aconite Lateral Root), Ganjiang (Dried Ginger Root) each one fen (part); Renshen (Ginseng Root), Xixin (Asarum Root), Zhuyu (Cornus Fruit) each two fen; Beimü (Fritillaria Bulb) two fen. Pound together, mix with honey to form pills the size of small beans. Take three pills per dose, three times daily.
If the disease has healed but recurs:
Eat five jin of Jiugen (Chinese Chive Roots), pound them, squeeze out the juice, and drink it to cure.
Attached Formula
Du Ren treats chest and diaphragm pain radiating to the back, epigastric and abdominal fullness, qi stagnation, and chronic cough.
Take a large Gualou (Trichosanthes Fruit), remove the pulp, take the seeds, roast thoroughly, grind separately, mix with the seed coat, and form pills with wheat starch paste the size of paulownia seeds. Take fifteen pills with rice water.
Ge Shi's formula for treating sudden persistent dry retching:
Break an egg, remove the white, and swallow several yolks; it will cure immediately.
Another formula: Pound Gegen (Kudzu Root), squeeze out the juice, and take about one sheng.
Another formula: Some say Sugarcane Juice, warm it, take one sheng, three times daily. Another says Fresh Ginger Juice, take one sheng.
Another formula: Moxibustion on one acupoint between the two tendons behind both wrists, named Jianshi (Pericardium 4), seven moxa cones on each side. Moxibustion on Xinbaochi (Confluent Point of Pericardium) and ChiZe (Lung 5) is also good.
Another formula: Gancao (Licorice Root) two liang, Renshen (Ginseng Root) two liang, Shengjiang (Fresh Ginger Root) four liang, water six sheng. Boil until two sheng remain. Divide into three doses.
Formula for treating sudden vomiting and cold extremities:
Use Shengjiang (Fresh Ginger Root) half jin, peel and slice it; Jupi (Tangerine Peel) four liang, tear it. Add water seven sheng, boil until three sheng remain, strain. When temperature is suitable, take one sheng, three times daily.
Another formula: Get Teng (Creeper Vine), break it so juice flows, catch the juice in a vessel, and drink one sheng. Fresh Gegen Teng (Kudzu Creeper Vine) is especially good.
Formula for treating sudden continuous [vomiting]:
Drink several sheng of newly drawn well water; this is very effective.
Another formula: [For] pain, scratch the space between the eyebrows.
Another formula: Stimulate the nose with an object for about one fen duration, insert Zaojiao (Soap Pod) into the nose to induce sneezing; this cures.
Another formula: Simply hold breath and look upward.
Another formula: Take two sheng of good Dou (Fermented Soybean Paste), boil to extract juice, and drink.
Another formula: Boil Xiangsu (Elsholtzia Herb) strongly, take one or two sheng initially; this is good.
Another formula: Make Sanli (Millet) three sheng into powder, take with well water; this is good.
Another formula: Use Pipaye (Loquat Leaf) one jin, wipe off hairs, roast it. Add water one dou (volume measure), boil until three sheng remain. Taking Lugen (Reed Rhizome) is also good.
Formula for treating those who vomit after eating:
Burn Luji Hui (Deer Antler Ash) two liang, Renshen (Ginseng Root) one liang, pound into powder. Take one cun-bi, three times daily. Yao agrees.
Formula for treating sudden persistent nausea:
Xiebai (Shallot Bulb) half jin, Zhuyu (Cornus Fruit) one liang, Dou (Fermented Soybean Paste) half sheng, Rice one ge (measure), Dates four pieces, Zhishi (Immature Bitter Orange) two pieces, Salt the size of a bullet, water three sheng. Boil until one and a half sheng remain. Divide into three doses.
Another formula: Chew many Doukouzi (Cardamom Seeds) and bite Binglang (Areca Nut); this is also good.
Formula for treating stomach reversal where food is rejected and vomited immediately after eating:
Dahuang (Rhubarb Root) four liang, Gancao (Licorice Root) two liang, water two sheng. Boil until one and a half sheng remain. Divide into two doses.
Formula for treating belching acid and sour heart after eating:
Renshen (Ginseng Root) one liang, Zhuyu (Cornus Fruit) half jin, Shengjiang (Fresh Ginger Root) six liang, Dazao (Jujube) twelve pieces, water six sheng. Boil until two sheng remain. Divide into two doses.
For persistent hiccups: Wash Banxia (Pinellia Tuber) until dry, pound into powder, take one bi (spoonful), and it stops immediately.
Another formula: Ganjiang (Dried Ginger Root) six fen, Fuzi (Prepared Aconite Root) four fen, roasted and pounded. Form pills with vinegar the size of paulownia seeds. Take three pills, three times daily; effective.
Attached Formula
Zhang Zhongjing's formula for treating reverse flow vomiting: Da Banxia Tang (Large Pinellia Decoction).
Banxia (Pinellia Tuber) three sheng, Renshen (Ginseng Root) three liang, White Honey one sheng. Add water one dou two sheng, stir and boil one hundred twenty times, cook until three and a half sheng remain. Take one sheng warm, twice daily. It also treats phlegm-fluid retention in the diaphragm.
Another formula: Mainly for vomiting and hiccups. Grain cannot go down, dizziness and palpitations. Banxia Jia Fuling Tang (Pinellia Decoction plus Poria): Banxia (Pinellia Tuber) one sheng, Shengjiang (Fresh Ginger Root) half jin, Fuling (Poria) three liang, sliced. Add water seven sheng, boil until one and a half sheng remain. Divide and take warm.
Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) treats reverse flow vomiting, vomiting immediately after eating.
Pound millet into powder, mix with water, form pills the size of paulownia seeds, seven pills. Cook thoroughly, dip in vinegar, swallow carefully. Once swallowed, it stops. Flour can also be used.
Another formula: Treats dry hiccups. If hands and feet are cold, eat ginger; this is the holy medicine for vomiting cases.
Treats hardness and fullness below the heart, inability to eat, vomiting and hiccups in the chest.
Shengjiang (Fresh Ginger Root) eight liang, finely sliced, add water three sheng, boil until one sheng remains. Banxia (Pinellia Tuber) five he (measure), washed to remove slipperiness, add water five sheng, boil until one sheng remains. Combine the two decoctions, boil until one and a half sheng remain. Take slowly.
Another formula: Mainly for dry retching.
Take one cup of sheep milk, drink on an empty stomach.
Doumen Fang (Doumen Prescriptions) treats fanwei (reverse flow stomach).
Use one Fuzi (Prepared Aconite Root), the largest one. Place it on a brick, apply fire around all sides to gradually crush it. Put it into fresh ginger juice, apply fire again to dry it. Repeat quenching until the ginger juice is consumed, about half a bowl. Pound and sieve into powder. Take one qian (measure) with millet drink. Within three doses, it cures.
Jingyan Fang (Experienced Prescriptions) treats Ouni Fanwei San (Vomiting and Reverse Flow Powder).
One large Fuzi (Prepared Aconite Root), one jin of Shengjiang (Fresh Ginger Root). Finely chop, boil, and grind into a paste consistency. Take with rice water.
Another formula: Treats men and women with persistent vomiting day after day, unable to keep down porridge, food, or medicines. This Hou Xiao Mo Wan (Effective Rubbing Pill) can be applied.
Wulingzhi (Trogopterus Dung), selected pure without soil or stones, amount unspecified. Pound and sieve into powder, grind, mix with dog bile to form pills the size of chicken heads. Take one pill per dose. Heat Shengjiang Jiu (Ginger Wine) and rub until very fine. Dissolve with a little ginger wine and hot water. Make the medicine very hot. Must prepare porridge first, at a warm temperature. Give the medicine to the patient with the left hand; do not rinse mouth. Quickly give porridge with the right hand; do not let them eat too much.
Another formula: Bixia Dan (Green Cloud Pill) treats vomiting immediately.
Huangdan (Lead Oxide) four liang from the north, sifted. Mix with half sheng of good rice vinegar. Put medicine and vinegar into a pot, boil until dry. Then use charcoal fire, three cheng (measure), to heat the pot until red-hot. Cool, take, grind finely into powder. Form pills with cooked millet rice the size of paulownia seeds. Take seven pills with fermented soup, do not chew, only one dose.
Sun Simiao (True Man Sun) dietary taboos treat vomiting.
Take one Bai Binglang (White Areca Nut), bake it. Jupi (Tangerine Peel) one fen, roast it. Pound into powder. Add one cup of water, boil until half a cup remains, and drink.
Guangji Fang (Broad Relief Prescriptions) treats vomiting and inability to eat.
Helile Pi (Terminalia Chebula Peel) two liang, remove pits, roast into powder. Mix with honey to form pills the size of paulownia seeds. Take twenty pills on an empty stomach, twice daily.
Shiyi Xinjing (Mirror of the Food Doctor's Mind) treats weak spleen and stomach qi, indigestion. Vomiting, reverse flow, inability to keep down liquids.
Millet half sheng, pound finely, mix with water to form pills the size of paulownia seeds. Cook until soft, add a little salt. Swallow with the juice on an empty stomach.
Jingui Yufang Fang (Golden Cabinet Jade Box Prescriptions) treats Wuye (Five Obstructions) with qi stagnation in the heart and diaphragm. Irritability, vomiting, inability to eat.
Lugen (Reed Rhizome) five liang, chopped. Add three large cups of water, boil until two cups remain. Strain. Take warm at any time. Waitai Miyao (Secret Essentials of the Outer Palace) treats fanwei (reverse flow stomach). In my youth, I suffered from this disease. After eating cakes, soups, or porridge, I would vomit shortly after. During the Zhenguan era, Xu Fengyu brothers and the families of Chai Jiang etc., known as famous doctors at the time, were ordered by imperial decree to treat me. They exhausted their skills but could not cure it. I gradually became emaciated and weak, expecting death morning and evening. Suddenly, a guard said:
Drinking donkey urine is extremely effective. Drink two he in the morning, then eat; you will only vomit half. Drink another two he in the late afternoon. By bedtime, after eating porridge, vomiting will stop. Report this today at noon. In the Great Inner Palace, five or six people suffer from reverse flow stomach. They took it together and cured simultaneously. This medicine is slightly toxic; do not take too much. Collect urine and take two he warm. For deep-seated illness lasting seven days, taking it is good. Later, when treating others, they all cured.
Another formula: Treats vomiting.
Maren (Hemp Seed) three liang, pound, roast, grind with water, extract juice. Add a little salt. Eat immediately for effect. Advisor Li used it with great success.
Another formula: Treats long-term coughing and belching, coughing forty or fifty times continuously.
Take half he of Shengjiang Juice (Fresh Ginger Juice), one spoonful of honey. Boil until cooked. Take warm. After three doses, it works immediately.
Another formula: Treats coughing and belching.
Shengjiang (Fresh Ginger Root) four liang, mash thoroughly. Add Lanxiang Ye (Litsea Leaf) two liang, Jiao Mo (Pepper Powder) one qian-bi. Mix with salt and four liang of flour, wrap and bake into flatbread. Roast thoroughly. Eat on an empty stomach. Within two or three times, it works.
Sun Shangyao's formula treats various belchings.
Jupi (Tangerine Peel) two liang, soak in hot water, remove pith, chop. Add water one sheng, boil until five he remain. Drink all at once while hot. Add Zhiqiao (Bitter Orange Fruit) one liang, remove pith, roast, boil together. Take; it works.
Meishi Fang (Master Mei's Prescriptions) treats weifan (stomach reversal), morning food vomited in evening, evening food vomited in morning, continuous vomiting.
Mix seven sheng of Sugarcane Juice and one sheng of Shengjiang Juice (Fresh Ginger Juice). Divide into three doses.
Another formula: Treats sour heart.
Binglang (Areca Nut) four liang, Jupi (Tangerine Peel) two liang, finely pound into powder. On an empty stomach, take one cun-bi with raw honey water.
Bingbu Shouji (Ministry of War Hand Collection) treats sour heart, where acid qi attacks upwards like strong vinegar.
Wuzhuyu (Evodia Fruit) one he. Add water three cups, boil until seven parts remain. Take all at once. Even if strong, must force it down. Recently, people felt their hearts stung open. After taking this formula, it did not recur for twenty years.