治胃虚呕哕吐逆，膈咽不通。
干生姜 黄柏（以
上各二分） 丁香 炙甘草 柴胡 橘皮 半夏（以上各五分） 升麻（七分） 吴茱萸 草豆蔻 黄
人参（以上各一钱） 当归身（一钱五分） 苍术（二钱）
上件锉如麻豆大。每服半两，水二盏，煎至一盏，去渣，稍热服，食前。忌冷物。
治脾胃虚而心火乘之，不能滋荣上焦元气，遇冬肾与膀胱之寒水旺时，子能令母实，致
肺金大肠相辅而来克心乘脾胃，此大复其仇也。经云∶大胜必大复。故皮毛血脉分肉之间，
元气已绝于外，又大寒大燥二气并乘之，则苦恶风寒，耳鸣，及腰背相引胸中而痛，鼻息不
通，不闻香臭，额寒脑痛，目时眩，目不欲开。腹中为寒水反乘，痰唾沃沫，食入反出，腹
中常痛，及心胃痛，胁下急缩，有时而痛，腹不能努，大便多泻而少秘，下气不绝，或肠鸣
，此脾胃虚之极也。胸中气乱，心烦不安，而为霍乱之渐。膈咽不通，噎塞，极则有声，喘
喝闭塞。或日阳中，或暖房内稍缓，口吸风寒则复作。四肢厥逆，身体沉重，不能转侧，头
不可以回顾，小便溲而时躁。此药主秋冬寒凉大复气之药也。
泽泻（一分，小便数减半） 柴胡（二分或四分，须详胁痛多少用） 神曲 姜黄（以上各四分）
当归身 生甘草 熟甘草 青皮（以上各六分） 桃仁（汤洗，去皮尖，七分） 白僵蚕 吴茱萸（
汤洗去苦烈味，焙干） 益智仁 黄 陈皮 人参（以上各八分） 半夏（一钱，汤洗七次） 草
豆蔻仁（一钱四分，面裹烧，面熟为度，去皮用仁） 麦 面（炒黄，一钱五分）
上件一十八味，同为细末，桃仁另研如泥，再同细末一处研匀，汤浸蒸饼为丸，如梧桐
子大。每服三五十丸，熟白汤送下，旋斟酌多少。
Treats vomiting, hiccups, and regurgitation caused by Stomach Qi deficiency, as well as obstruction in the diaphragm and pharynx.
Dried Ginger (2 fen each above) Phellodendri Cortex (Huangbai, 黄柏) (2 fen each above) Syzygium aromaticum (Dingxiang, 丁香) Honey-fried Licorice Root (Zhi Gancao, 炙甘草) Bupleuri Radix (Chaihu, 柴胡) Tangerine Peel (Jupi, 橘皮) Pinelliae Rhizoma (Banxia, 半夏) (5 fen each above) Cimicifugae Rhizoma (Shengma, 升麻) (7 fen) Evodiae Fructus (Wuzhuyu, 吴茱萸) Alpiniae Katsumadai Semen (Caodoukou, 草豆蔻) Ginseng Radix et Rhizoma (Renshen, 人参) (1 qian each above) Angelicae Sinensis Radix (Dangguishen, 当归身) (1.5 qian) Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术) (2 qian)
Crush the aforementioned ingredients to the size of hemp seeds. Take 0.5 liang per dose, add two zhan of water, decoct until one zhan remains, strain off the dregs, and take slightly warm before meals. Avoid cold foods.
Treats Heart Fire encroaching upon Spleen-Stomach deficiency, failing to nourish and enrich the Yuan Qi of the Upper Jiao. During winter, when Kidney and Bladder Cold Water is prosperous, following the principle that "the child can make the mother full" (Wood generates Fire, but here referring to the generative cycle influencing pathological excess), Lung Metal and Large Intestine assist in overcoming Heart Fire and encroaching upon Spleen-Stomach. This constitutes a severe retaliatory constraint (Da Fu). The Classics state: "Great excess leads to great restitution." Consequently, between the skin, hair, blood vessels, and muscle layers, Yuan Qi is exhausted externally. When both Great Cold and Great Dryness pathogenic factors simultaneously encroach upon this state, symptoms include aversion to wind and cold, tinnitus, pain radiating from the waist and back to the chest, nasal congestion, loss of smell, cold forehead with brain pain, frequent dizziness of the eyes, and reluctance to open the eyes. Abdominally, Cold Water counter-attacks, leading to profuse salivation and froth, food being vomited after ingestion, constant abdominal pain, Heart and Stomach pain, tightness and contraction under the hypochondrium, intermittent pain, inability to strain during defecation, frequent diarrhea rather than constipation, continuous lower Qi expulsion, or borborygmus. These are extreme manifestations of Spleen-Stomach deficiency. Turbulence of Qi in the chest causes mental restlessness and anxiety, progressing towards Huoluan (Cholera-like syndrome). Obstruction in the diaphragm and pharynx causes dysphagia; in severe cases, there is noise, wheezing, and closure. Symptoms may worsen during the day due to Yang suppression or improve slightly in warm rooms, but recur upon inhaling Wind-Cold. Extremities become cold and reversed, the body feels heavy and immobile, the head cannot turn back, urine is scanty with occasional irritability. This medicine treats the Da Fu Qi (restitutive pathogenic factor) caused by Cold and Coolness in Autumn and Winter.
Alismatis Rhizoma (Zexie, 泽泻) (1 fen, halve if urination is frequent) Bupleuri Radix (Chaihu, 柴胡) (2 or 4 fen, adjust based on severity of hypochondriac pain) Medicated Leaven (Shenqu, 神曲) Curcuma Longa Rhizome (Jianghuang, 姜黄) (4 fen each above) Angelicae Sinensis Radix (Dangguishen, 当归身) Raw Licorice Root (Sheng Gancao, 生甘草) Cooked Licorice Root (Shu Gancao, 熟甘草) Citri Reticulatae Pericarpium Viride (Qingpi, 青皮) (6 fen each above) Persicami Semen (Taoren, 桃仁) (7 fen, washed in hot water, remove skin and tips) Bombyx Batryticatus (Bai Jiangcan, 白僵蚕) Evodiae Fructus (Wuzhuyu, 吴茱萸) (Wash in hot water to remove bitter acrid taste, bake dry) Alpiniae Oxyphyllae Fructus (Yizhiren, 益智仁) Astragali Radix (Huangqi, 黄芪) Tangerine Peel (Chenpi, 陈皮) Ginseng Radix et Rhizoma (Renshen, 人参) (8 fen each above) Pinelliae Rhizoma (Banxia, 半夏) (1 qian, wash seven times in hot water) Alpiniae Katsumadai Semen (Caodoukou Ren, 草豆蔻仁) (1.4 qian, wrap in flour and roast until flour is cooked, remove skin and use only the kernel) Triticum aestivum (Xiaomai mian, 小麦面) (Stir-fry until yellow, 1.5 qian)
Grind the eighteen aforementioned ingredients into a fine powder separately. Grind Persicami Semen (Taoren, 桃仁) into a paste independently, then mix it uniformly with the fine powder. Soak steamed dough balls in hot water to form pills, sized like Sophora japonica seeds. Take 30-50 pills per dose, swallowed with warm white boiled water. Adjust the dosage according to circumstances.