【脉】 形状如新卧起。脉弱而呕，小便复利，身有微热，见厥者死。趺阳脉浮
，胃气虚，呕而不食，恐怖死，宽缓生。寒气在上，阴气在下，二气并争，但出不入。呕家
有痈脓者，不可治，脓尽自愈。先呕却渴，此为欲解；先渴却呕，为水停心下，属饮。呕本
渴，今反不渴，有支饮。呕多，虽有阳明证，不可下，盖邪气不在胃口。脉数反吐、汗，令
阳微，膈气空虚，数为客热，不能消谷，胃中虚冷，故吐也。阳紧阴数，食已则吐；阳浮而
数亦然，或浮大。皆阳偏盛，阴不能配之也，为格，主吐逆，无阴故呕。寸口脉紧而芤，紧
为寒，芤为虚，虚寒相搏，脉为阴结而迟，其人则噎。关上脉数则吐。脉弦者，虚也。胃气
无余，朝食暮吐，变为胃反。寸紧尺涩，胸满不能食而吐，吐止者为下之，未止者为胃反也
。趺阳脉微而涩，微则下利，涩则吐逆，谷不得入；或浮而涩，浮则虚，虚伤脾，脾伤则不
磨，朝食暮吐，名胃反。寸口脉微而数，微则血虚，血虚则胸中寒。脉紧而涩者，难治；呕
吐思水者，易解。关上脉浮大，风在胃中，心中澹澹，食欲呕。关上脉微浮，积热在胃中，
呕吐蛔虫。关上脉紧而滑者，蛔动。脉紧而滑者，吐逆。脉小弱而涩，胃反。
【证】 呕吐哕各有所辨。
吐属太阳，有物无声，乃血病也。有食入则吐，食已即吐，食久则吐之别。
呕属阳明，有物有声，气血俱病。
哕属少阳，无物有声，乃气病也。
【治】 因胃口有热，膈上有痰，故呕吐。亦有寒气客于肠胃，厥逆上出，故痛
而呕。因胃中虚，膈上热，故哕。亦有痰水满塞而哕。因胃气虚，阳火上冲，故吃逆。亦有
痰热在胃，中气不降而呃。
李论 寒客胃中，物盛上溢，故呕。清厥甚则痹，食而吐。寒气与新谷气俱还于
胃中，新故相乱，真邪相攻，故哕。三者虽殊，皆因脾胃虚弱，亦因寒气客胃，加之饮食所
伤而致。宜以丁、藿二香、半夏、茯苓、陈皮、生姜之类主之。又有痰饮者，必下之。
又论 皆气冲之火，逆胃之脉，反上而作，治宜降火。呃者，气逆也，阴火炎上
也。气自脐
下为火，直冲上出于口而作声也。又火结痰气而上升，冲出于口也。治宜降火行气导痰而自
安。
刘论 吐有三，气、积、寒也。
上焦吐者，皆从于气。气者，天之阳也。脉浮而洪，其证食已暴吐，渴欲饮水，大便燥
结，气上冲胸而发痛。治宜降气和中。
中焦吐者，皆从于积，食与气相假为积而痛。脉浮而匿，其证或先吐而后痛，或先痛而
后吐。治法，以毒药行其积，木香、槟榔去其积。
下焦吐者，从于寒也。脉沉迟，其证朝食暮吐，暮食朝吐，小便清利，大便不通。治法
，毒药通其闭塞，温其寒气也。
《三因》论 有寒呕、热呕、痰呕、食呕、血呕、气呕。
寒，因胃寒伤食，四肢厥冷，脉弱，宜四逆汤。
热，食入即出，烦躁脉数，柴胡汤。
痰，昔肥今瘦，肠间有声，食与饮并出，宜半夏、人参主之。
食呕因胃虚，寒气在上，暖气在下，朝食暮出，不消，养胃汤主之。
血因瘀蓄，冷血聚于胃口，因忧怒气攻，血随食出，宜茯苓汤主之。
气，胃者阳明，合荣于足，今随气上逆，心膈胀，呕却快，宜茱参汤主之。
方论 呃逆切忌热药，丁香类。病皆胃虚，阴火所乘，宜参、术大补之类。如痰
实者，察其
病因，形气俱实，以人参芦吐之。有伤寒差后呕者，当去余热。有酒家呕，解酒治之。有脚
弱脾疼而呕者，此香港脚内攻，根据香港脚门治。有中毒而呕者，解毒治之。有怀孕恶阻者，根据恶
阻治之。有心中风、心中寒、肝中风、中湿脾痹，有漏气，有走哺。女人患呕吐甚者死，其
阴在上故也。
论皆属于火 呕而心下痞，半夏泻心汤。干呕而利者，黄芩半夏汤。呕吐，谷不得入，
小半
夏汤。呕吐，病在膈上，猪苓汤。食已即吐者，大黄甘草汤。胃反，吐而渴，茯苓泽泻汤。
似呕不呕，如哕不哕，无奈，姜汁半夏汤。哕逆上气者，陈皮竹茹汤，陈皮、参、草、竹茹
。
桔梗汤 治上焦气热所冲，食已暴吐，脉浮而洪。已下出刘。
桔梗 白术（各一两五钱） 半夏 神曲（二两） 陈皮 枳实（炒） 茯苓 浓朴（制，一
两）
水煎，下木香、槟榔末各一两。如大腑燥结，加承气汤。
荆黄汤 治前证热气甚者。
荆芥穗（一两） 人参（五钱） 大黄（三钱） 甘草（二钱五分）
调下木香、槟榔末各二钱。
清镇丸 治前证头痛有汗，脉弦。
柴胡（二两） 黄芩（七钱五分） 半夏 甘草（各五钱） 青黛（二钱五分） 人参（五分
）
上姜汁浸炊饼，丸梧子大。食后姜汤下。
紫沉丸 治中焦吐。食积与寒气相假，故吐而痛。
半夏 神曲 乌梅（去核） 代赭石 缩砂（各三钱） 杏仁（去皮尖） 沉香 木香（各一
钱） 陈皮（半两） 槟榔 丁香（各三钱） 白豆蔻（五分） 白术（一钱） 巴霜（五分，另入）
木香白术散 治前证腹中痛，是脾实系强，宜和之。
木香（八两） 白术（半两） 半夏 神曲（一两） 槟榔（二钱五分） 茯苓（半两） 甘草（
四钱）
上浓煎，芍药姜汤下二钱。有积而痛，手不可按，无积者宜之。
附子丸 治下焦，朝食暮吐，暮食朝吐，大便不通。
附子（炮，五钱） 巴豆霜（一钱） 砒（五分，另研）
上黄蜡丸，如梧子大，每二丸，冷水下，利为度。更服紫沉丸，不令再闭。
安胃散（李先生） 治呕吐哕以胃寒所致。
丁香（五分） 茱萸 草蔻 人参（各一钱） 炙甘草（五分） 黄 （一钱） 柴胡（五分）
升麻（七分） 黄柏（三钱） 陈皮（五分） 当归（一钱五分） 苍术（一钱） 半夏 茯苓 陈皮
秘方 治痰呕吐。
二陈汤、山栀（炒）、黄连（姜汁炒）、香附。虚，加苍术。
呃逆因，寒则可用。此世俗之劫亦可戒。
丁香 柿蒂（各一钱） 竹茹
煎，热服。
有恶心，吐虫数条后，乃频作。服杀虫药，则吐虫愈多。六脉皆细，非虫脉也，乃脏寒
而不安矣。
有呕，饮食皆不得进。治呕愈呕，此胃风也。
论吐有三证 冷吐，先觉咽酸呕，然后吐食，脉小滑者是。王叔和云∶关，胃寒
不下食。伤寒汗下过多，胃中虚冷，食久反吐，亦属于寒。
胃热而吐者，闻谷气则呕，药下则吐；或伤寒未解，胸中有热，关脉洪，宜凉之。
胸中有宿食，或痰饮，或停水，关沉而伏者，宜吐之。
《三因》论 呕吐出于胃，故有寒、热、食、痰、血、气，同上条。
论呕逆则咳逆也。大率胃实则噫，胃虚则哕。此因胃中虚，膈上热也。故哕至八九声相
连，收气不回惊人者，若伤寒久病得此，甚恶。《内经》所谓坏腑是也。
亦有哕而心下坚痞、眩悸者，以膈间有痰水，非虚危比也。痰，半夏汤主之；哕虚，橘
皮竹茹汤主之。
论漏气 病者身背皆热，肘臂牵痛，其气不续，膈间厌食，食则先吐而后下，名
曰漏气。此由上焦伤风，开其腠理，经气失道，邪气内着，麦门冬汤主之。
麦门冬 生芦根 竹茹 人参 茯苓 白术 甘草 陈皮 葳蕤 姜亦可。
论走哺 病者上焦实热，大小便不通，气逆不续，呕逆不禁，名曰走哺。人参汤
主之。
前方加黄芩、知母、石膏、山栀，去竹茹、麦冬。
[Pulse]
The pulse shape resembles that of a person who has just woken up and risen. A weak pulse accompanied by vomiting, with urination being clear and frequent, slight fever in the body, and cold extremities indicates a fatal prognosis. A floating Fu Yang pulse indicates deficiency of Stomach Qi; vomiting with inability to eat and a sense of terror indicates a fatal prognosis, while a relaxed and slow pulse indicates a favorable prognosis. Cold Qi is above, Yin Qi is below; the contention between these two energies results in expulsion without intake. If a vomiting patient has abscess pus, it should not be forcibly treated; self-healing occurs when the pus is exhausted. Vomiting followed by thirst indicates impending resolution; thirst followed by vomiting indicates fluid retention under the heart, belonging to Fluid Retention (Yin). Vomiting patients who should be thirsty but are not indicate Branch Fluid (Zhi Yin). Frequent vomiting, even if Yang Ming syndrome signs are present, contraindicates purgation because the pathogen is not at the stomach gate. A rapid pulse with vomiting and sweating leads to weakened Yang Qi and emptiness of the Diaphragm Qi; the rapidity indicates guest heat which cannot digest food, causing vomiting due to cold deficiency in the Stomach. A tight pulse in the Yang position and rapid in the Yin position causes vomiting immediately after eating; a floating and rapid pulse, or even a large floating pulse, similarly indicates excessive Yang Qi unable to match with Yin, termed "Ge" (Gridlock), characterized by regurgitation and vomiting due to lack of Yin. A tight and hollow (Kou) pulse at the Cun Kou position: tight indicates cold, hollow indicates deficiency; the combination of deficiency and cold creates Yin knotting and slowness, leading to dysphagia (Ye). A rapid pulse at the Guan position causes vomiting. A wiry pulse indicates deficiency. Exhaustion of Stomach Qi leads to morning eating and evening vomiting, evolving into Stomach Reversal (Wei Fan). Tight pulse at Cun and choppy pulse at Chi cause chest fullness, inability to eat, and vomiting; cessation of vomiting after purgation indicates iatrogenic injury, while persistent vomiting indicates Stomach Reversal. A faint and choppy Fu Yang pulse: faint indicates diarrhea, choppy indicates vomiting and regurgitation with inability to ingest grain; or a floating and choppy pulse: floating indicates deficiency, damaging the Spleen; Spleen damage impairs grinding, leading to morning eating and evening vomiting, named Stomach Reversal. A faint and rapid Cun Kou pulse: faint indicates blood deficiency, blood deficiency leads to cold in the chest. A tight and choppy pulse is difficult to treat; vomiting with desire for water is easy to resolve. A large and floating Guan pulse indicates Wind in the Stomach, palpitations, loss of appetite, and desire to vomit. A slightly floating Guan pulse indicates accumulated heat in the Stomach, vomiting roundworms. A tight and slippery Guan pulse indicates moving roundworms. A tight and slippery pulse indicates vomiting and regurgitation. A small, weak, and choppy pulse indicates Stomach Reversal.
[Syndromes]
Vomiting and Hiccups have distinct differentiations.
Tu (Spitting/Vomiting without sound) belongs to Tai Yang; it involves ejection of matter without sound, indicating a Blood pathology. It is differentiated into immediate vomiting upon ingestion, vomiting immediately after eating, and delayed vomiting.
Ou (Vomiting with sound) belongs to Yang Ming; it involves ejection of matter with sound, indicating both Qi and Blood pathology.
Yue (Hiccups/Involuntary diaphragmatic spasm) belongs to Shao Yang; it involves sound without matter, indicating a Qi pathology.
[Treatment]
Vomiting occurs due to heat in the Stomach gate and phlegm above the Diaphragm. It can also occur due to Cold invading the intestines and stomach, causing rebellious Qi to rush upward, resulting in pain and vomiting. Yue occurs due to Stomach deficiency and heat above the Diaphragm, or due to obstruction by phlegm and fluids. E Ni (Hiccups) occurs due to Stomach Qi deficiency and upward rushing of Yang Fire, or due to Phlegm-Heat in the Stomach preventing the descent of Middle Qi.
Li's Discussion: Cold invading the Stomach causes food to overflow upwards, leading to vomiting. Severe cold reversal leads to bi-obstruction and vomiting upon eating. When Cold Qi mixes with new grain Qi in the Stomach, the new and old confuse each other, and true and evil Qi attack each other, causing Yue. Although these three differ, they all stem from Spleen and Stomach weakness, Cold invasion, and dietary injury. Treatment should prioritize Ding Xiang (Clove), Huo Xiang (Patchouli), Ban Xia (Pinellia), Fu Ling (Poria), Chen Pi (Tangerine Peel), and Sheng Jiang (Fresh Ginger). For patients with Phlegm-Fluid, purgation is necessary.
Further Discussion: These are fires driven by rebellious Qi, counter-flowing along the Stomach meridian and rising up; treatment should focus on descending fire. E Ni is rebellious Qi caused by Yin Fire flaring upward. Qi transforms into fire below the umbilicus, rushing straight up out of the mouth to make sound. Additionally, fire knots with phlegm-Qi and rises, rushing out of the mouth. Treatment should descend fire, move Qi, and guide out phlegm to restore peace.
Liu's Discussion: There are three types of vomiting: Qi, Accumulation, and Cold.
Upper Jiao vomiting stems from Qi. Qi is Heaven's Yang. The pulse is floating and surging; symptoms include sudden vomiting after eating, thirst with desire for water, dry and constipated stool, Qi rushing to the chest causing pain. Treatment should descend Qi and harmonize the Middle.
Middle Jiao vomiting stems from Accumulation, where food and Qi combine to form accumulation and pain. The pulse is floating and hidden; symptoms may include vomiting before pain or pain before vomiting. Treatment uses toxic drugs to move accumulation, and Mu Xiang (Aucklandia) and Bing Lang (Areca Nut) to remove accumulation.
Lower Jiao vomiting stems from Cold. The pulse is deep and slow; symptoms include morning eating and evening vomiting, evening eating and morning vomiting, clear and frequent urination, and constipation. Treatment uses toxic drugs to open blockages and warm the Cold.
San Yin Fang Discussion: There are Cold, Heat, Phlegm, Food, Blood, and Qi vomiting.
Cold: Due to Stomach Cold and food injury, cold limbs, weak pulse; use Si Ni Tang (Frigid Extremities Decoction).
Heat: Vomiting immediately after eating, irritability, rapid pulse; use Chai Hu Tang (Bupleurum Decoction).
Phlegm: Once fat now thin, sounds in intestines, food and drink expelled together; use Ban Xia (Pinellia) and Ren Shen (Ginseng).
Food: Due to Stomach deficiency, Cold above, Warmth below, morning eating and evening expulsion, indigestion; use Yang Wei Tang (Nourish Stomach Decoction).
Blood: Due to blood stasis, cold blood gathering at the stomach gate, aggravated by worry and anger, blood expelled with food; use Fu Ling Tang (Poria Decoction).
Qi: Stomach is Yang Ming, combining Ying with the foot; now rebellious Qi ascends, causing chest/diaphragm distension, relief after vomiting; use Zhu Yu Shen Tang (Evodia and Ginseng Decoction).
Formula Discussion: E Ni strictly contraindicates hot herbs like Ding Xiang. The disease is due to Stomach deficiency and Yin Fire invasion; use large tonics like Ren Shen and Bai Zhu. For phlegm-excess cases where constitution and Qi are robust, induce vomiting with Ren Shen Lu (Ginseng Rhizome). Post-typhoid vomiting requires clearing residual heat; alcoholic vomiting requires resolving alcohol; leg weakness/spleen pain with vomiting indicates Hong Kong Foot (Gout/Beriberi) attacking internally, treat according to Hong Kong Foot protocols; poisoning vomiting requires detoxification; pregnancy nausea treats according to E Zu protocols. Severe vomiting in women is fatal due to Yin Qi being above.
Discussion on Fire: Vomiting with epigastric fullness uses Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium). Dry vomiting with diarrhea uses Huang Qin Ban Xia Tang (Scutellaria and Pinellia Decoction). Vomiting with inability to ingest food uses Xiao Ban Xia Tang (Minor Pinellia Decoction). Vomiting with pathology above the diaphragm uses Zhu Ling Tang (Polyporus Decoction). Vomiting immediately after eating uses Da Huang Gan Cao Tang (Rhubarb and Licorice Decoction). Stomach Reversal with vomiting and thirst uses Fu Ling Ze Xi Tang (Poria and Silverling Decoction). Indecisive vomiting/hiccups uses Jiang Zhi Ban Xia Tang (Ginger Juice Pinellia Decoction). Hiccups with rebellious Qi uses Chen Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction).
Jie Geng Tang: Treats Upper Jiao Qi-Heat rushing up, sudden vomiting after eating, floating and surging pulse.
Ingredients: Jie Geng (Platycodon), Bai Zhu (Atractylodes Macrocephala) [1.5 liang each], Ban Xia (Pinellia), Shen Qu (Medicated Leaven) [2 liang], Chen Pi (Tangerine Peel), Zhi Shi (Immature Bitter Orange, stir-fried), Fu Ling (Poria), Nong Po (Magnolia Bark, processed) [1 liang].
Preparation: Decoct in water, take with powdered Mu Xiang and Bing Lang [1 liang each]. If severe constipation, add Cheng Qi Tang.
Jing Huang Tang: Treats severe heat in the aforementioned conditions.
Ingredients: Jing Jie Sui (Schizonepeta Spike) [1 liang], Ren Shen (Ginseng) [0.5 liang], Da Huang (Rhubarb) [0.3 liang], Gan Cao (Licorice) [0.25 liang].
Preparation: Take with powdered Mu Xiang and Bing Lang [0.2 liang each].
Qing Zhen Wan: Treats headache with sweating and wiry pulse.
Ingredients: Chai Hu (Bupleurum) [2 liang], Huang Qin (Scutellaria) [0.75 liang], Ban Xia (Pinellia), Gan Cao (Licorice) [0.5 liang each], Qing Dai (Indigo Naturalis) [0.25 liang], Ren Shen (Ginseng) [0.05 liang].
Preparation: Soak ingredients in ginger juice with steamed wheat cake, pill to size of paulownia seeds. Take after meals with ginger water.
Zi Chen Wan: Treats Middle Jiao vomiting. Food accumulation combined with Cold causes vomiting and pain.
Ingredients: Ban Xia (Pinellia), Shen Qu (Medicated Leaven), Wu Mei (Mume Fruit, pitted), Dai Zhe Shi (Hematite), Su Sha (Amomum Villosum) [3 qian each], Xing Ren (Apricot Seed, peeled), Chen Xiang (Aquilaria), Mu Xiang (Aucklandia) [1 qian each], Chen Pi (Tangerine Peel) [0.5 liang], Bing Lang (Areca Nut), Ding Xiang (Clove) [3 qian each], Bai Dou Kou (Cardamom) [0.5 fen], Bai Zhu (Atractylodes Macrocephala) [1 qian], Ba Shuang (Croton Seed Frost) [0.5 fen, added separately].
Mu Xiang Bai Zhu San: Treats abdominal pain from the aforementioned condition, indicating Spleen excess/stiffness, requiring harmonization.
Ingredients: Mu Xiang (Aucklandia) [8 liang], Bai Zhu (Atractylodes Macrocephala) [0.5 liang], Ban Xia (Pinellia), Shen Qu (Medicated Leaven) [1 liang], Bing Lang (Areca Nut) [0.25 liang], Fu Ling (Poria) [0.5 liang], Gan Cao (Licorice) [0.4 liang].
Preparation: Decoct strongly, take 2 qian with Shaoyao (Peony) and ginger water. Suitable for pain without palpable mass; avoid if mass is present.
Fu Zi Wan: Treats Lower Jiao vomiting, morning eating/evening vomiting, evening eating/morning vomiting, constipation.
Ingredients: Fu Zi (Aconite Root, processed) [5 qian], Ba Dou Shuang (Croton Seed Frost) [1 qian], Pi (Arsenic) [0.5 fen, ground separately].
Preparation: Pill with yellow wax to paulownia seed size. Take 2 pills with cold water until diarrhea occurs. Follow with Zi Chen Wan to prevent re-obstruction.
An Wei San (Mr. Li): Treats vomiting/hiccups due to Stomach Cold.
Ingredients: Ding Xiang (Clove) [0.5 fen], Zhu Yu (Evodia), Cao Kou (Black Cardamom), Ren Shen (Ginseng) [1 qian each], Zhi Gan Cao (Honey-fried Licorice) [0.5 fen], Huang Qi (Astragalus) [1 qian], Chai Hu (Bupleurum) [0.5 fen], Sheng Ma (Cimicifuga) [0.7 fen], Huang Bo (Phellodendron) [3 qian], Chen Pi (Tangerine Peel) [0.5 fen], Dang Gui (Angelica Sinensis) [1.5 qian], Cang Zhu (Atractylodes Lancea) [1 qian], Ban Xia (Pinellia), Fu Ling (Poria), Chen Pi (Tangerine Peel).
Secret Formula: Treats Phlegm-induced vomiting.
Ingredients: Er Chen Tang (Two-Cured Decoction), Shan Zhi (Gardenia, fried), Huang Lian (Coptis, ginger-juice fried), Xiang Fu (Cyperus). For deficiency, add Cang Zhu. Note: For hiccups due to Cold. This secular view serves as a warning.
Ingredients: Ding Xiang (Clove), Shi Di (Persimmon Calyx) [1 qian each], Zhu Ru (Bamboo Shavings).
Preparation: Decoct, take hot.
Nausea followed by expelling several worms, then frequent recurrence. Anti-parasitic drugs increase worm expulsion. All six pulses are fine, not a worm pulse, but Cold in the Zang organs causing unrest.
Vomiting where food and drink cannot enter. Treating vomiting worsens it; this is Stomach Wind.
Discussion on Three Types of Vomiting:
Cold Vomiting: Sensation of sourness in throat before vomiting food, small slippery pulse. Wang Shuhe says: Guan pulse indicates Stomach Cold failing to accept food. Excessive sweating/purging in typhoid causes Stomach Cold deficiency, delayed vomiting, also Cold.
Stomach Heat Vomiting: Vomiting at smell of grain, vomiting medicine; or unresolved typhoid with chest heat, surging Guan pulse, treat with cooling.
Epigastric Food Retention, Phlegm-Fluid, or Water Retention: Deep and hidden Guan pulse, induce vomiting.
San Yin Fang Discussion: Vomiting originates in the Stomach, involving Cold, Heat, Food, Phlegm, Blood, Qi, as above.
Discussion on Rebellious Vomiting/Cough: Generally, Stomach excess causes belching, Stomach deficiency causes Yue. This is due to Stomach deficiency and Diaphragm heat. Yue repeating 8-9 times without returning breath is alarming; in chronic typhoid, it is ominous, termed "Ruined Zang" in Nei Jing.
Yue with epigastric hardness/fullness and vertigo/palpitations is due to Phlegm-Fluid in the Diaphragm, not critical deficiency. Phlegm uses Ban Xia Tang; Deficient Yue uses Ju Pi Zhu Ru Tang.
Discussion on Lou Qi (Leaking Qi): Patient has hot back/arms, elbow/arm牵引 pain, discontinuous Qi, anorexia, vomiting then defecating after eating. Named Lou Qi. Caused by Upper Jiao Wind damaging pores, losing meridian pathway, pathogen lodging internally. Use Mai Men Dong Tang (Ophiopogon Decoction).
Ingredients: Mai Men Dong (Ophiopogon), Sheng Lu Gen (Reed Rhizome), Zhu Ru (Bamboo Shavings), Ren Shen (Ginseng), Fu Ling (Poria), Bai Zhu (Atractylodes), Gan Cao (Licorice), Chen Pi (Tangerine Peel), Wei Rui (Polygonatum). Ginger is optional.
Discussion on Zou Bu (Running Feeding): Upper Jiao excess heat, constipation/urinary retention, discontinuous rebellious Qi, uncontrollable vomiting. Named Zou Bu. Use Ren Shen Tang (Ginseng Decoction).
Modification of previous formula: Add Huang Qin (Scutellaria), Zhi Mu (Anemarrhena), Shi Gao (Gypsum), Shan Zhi (Gardenia); remove Zhu Ru (Bamboo Shavings), Mai Men Dong (Ophiopogon).