治干呕吐逆。吐涎沫者。此散主之。
半夏 干姜（各等分。）
上二味。杵为散。取方寸匕。浆水一升半。煮取七合。顿服之。
歌曰 吐而干呕沫涎多。（惟不胸满不头痛。与吴茱萸汤证不同。以虚有微甚。邪有高
下之
（小半夏
治病患胸中似喘不喘。似呕不呕。似哕不哕。彻心中愦愦无奈者。此汤主之。
半夏（半升。） 生姜（汁。一升。）
上二味。以水三升。煮半夏。取二升。内生姜汁。煮取一升半。小冷。分四服。日三夜
一。
歌曰 呕哕都非喘又非。（似呕之状不似呕之有物。似哕之有声不似哕之连声。似喘之
气逆
一升
（参） 与吴茱萸之降浊。干姜之温中不同。盖彼乃虚寒上逆。此乃客邪搏饮也。方即
小半夏汤。不用姜而用汁者。以降逆之力少。散结之力多也。
治干呕哕。若手足厥者。此汤主之。
橘皮（四两。） 生姜（半斤。）
上二味。以水七升。煮取三升。温服一升。下咽即愈。
歌曰 哕而干呕厥相随。气逆于胸阻四肢。（干呕非胃反。厥非无阳。乃气逆于胸不行
于四
元犀按。金匮论哕。与方书不同。专指呃逆而言也。
治哕逆者。此汤主之。
橘皮（二斤。） 竹茹（二升。） 大枣（三十枚。） 生姜（半斤。） 甘草（五两。） 人
参（一
上六味。以水一斗。煮取三升。温服一升。日三服。
歌曰 哕逆因虚热气乘。一参五草八姜胜。枣枚三十二斤橘。生竹青皮（即竹茹也。）
刮二升
犀按。浅注已详。方义不再释。金匮以呃为哕。凡呃逆证。皆是寒热错乱。二气相搏使
然。故方中用生姜、竹茹。一寒一热以祛之。人参、橘皮。一开一阖以分之。甘草、大枣。
奠安中土。使中土有权。而哕逆自平矣。此伊芳圣经方。扁鹊丁香柿蒂散。即从此方套出也。
Treats dry retching accompanied by vomiting, where saliva and foam are vomited. This powder is the primary treatment.
Banxia (Pinelliae Rhizoma) and Ganjiang (Zingiberis Rhizoma) in equal parts.
The above two herbs are crushed into a powder. Take one fangcun bi (a square-inch scoop) of the powder, add 1.5 sheng of jiangshui (fermented grain water), and decoct until 0.7 sheng remains. Administer in a single dose.
Verse: Vomiting with dry retching and abundant saliva/foam. (Only when there is no chest fullness or headache, it differs from the Wuzhuyu Tang syndrome; this is because the deficiency varies in severity, and the pathogen differs in location.)
Treats patients who feel as if they are panting but are not, as if they are vomiting but are not, as if they are hiccuping but are not, with a sense of profound discomfort and helplessness in the heart/chest. This decoction is the primary treatment.
Banxia (Pinelliae Rhizoma) (half sheng). Shengjiang (Fresh Zingiberis Rhizoma) (juice, one sheng).
The above two herbs are decocted with three sheng of water. First, decoct Banxia to obtain two sheng of liquid, then add the Shengjiang juice, and decoct again to obtain 1.5 sheng. Allow to cool slightly, then divide into four doses. Take three times during the day and once at night.
Verse: Neither vomiting nor hiccupping, nor panting. (Resembling vomiting but without expelled matter, resembling hiccups but without continuous sound, resembling panting with qi rebellion...)
(Renshen) differs from the descending turbidity action of Wuzhuyu Tang and the warming middle action of Ganjiang. The former addresses upward reversal due to deficiency-cold, whereas this formula addresses external pathogens clashing with retained fluids. The formula is essentially Xiaobanxia Tang; using ginger juice instead of ginger slices is because its power to direct rebellious qi downward is lesser, while its power to dissipate nodules is greater.
Treats dry retching and hiccups, especially when accompanied by cold extremities. This decoction is the primary treatment.
Chenpi (Citri Reticulatae Pericarpium) (four liang). Shengjiang (Fresh Zingiberis Rhizoma) (half jin).
The above two herbs are decocted with seven sheng of water until three sheng remain. Take one sheng warm. Upon swallowing, the condition resolves.
Verse: Hiccups with dry retching are followed by cold extremities. Qi rebels in the chest, obstructing the four limbs. (Dry retching is not stomach reversal; cold extremities do not mean absence of yang, but rather qi rebellion in the chest failing to circulate to the four limbs.)
Yu Xi notes: In *Jin Gui Yao Lue*, "yue" (哕) differs from later medical texts, specifically referring to hiccups.
Treats hiccups. This decoction is the primary treatment.
Chenpi (Citri Reticulatae Pericarpium) (two jin). Zhuru (Bambusae Caulis in Taeniam) (two sheng). Dazao (Jujubae Fructus) (thirty pieces). Shengjiang (Fresh Zingiberis Rhizoma) (half jin). Gancao (Glycyrrhizae Radix et Rhizoma) (five liang). Renshen (Ginseng Radix) (one liang).
The above six herbs are decocted with ten dou of water until three sheng remain. Take one sheng warm, three times daily.
Verse: Hiccups arise from deficiency-heat allowing pathogenic qi to invade. One part Ginseng, five parts Licorice, and eight parts Ginger prevail. Thirty Jujubes, two jin of Tangerine Peel, and two sheng of Bamboo Shavings (Zhuru, scraped of green skin).
Yu Xi notes: The shallow annotation has already explained this in detail; the rationale of the formula will not be re-explained here. In *Jin Gui Yao Lue*, "e" (呃) is referred to as "yue" (哕). All cases of hiccups result from the chaotic interplay of cold and heat, where yin and yang paths clash. Therefore, the formula uses Shengjiang and Zhuru, one cold and one hot, to dispel the pathogen; Renshen and Chenpi, one opening and one closing, to disperse the pathological state; and Gancao and Dazao to stabilize the Middle Jiao (Spleen/Stomach), empowering the central earth so that hiccups naturally subside. This is a classic formula from the *Shang Jing* (Classic of Medical Value); Bian Que's Dingxiang Shidi San (Clove and Persimmon Calyx Powder) was derived from this formula.