(有热、有痰、有虚。)
戴云∶恶心者,无声无物,但心中欲吐不吐,欲呕不呕。虽曰恶心,非心经之病,其病皆在胃口上。
宜用生姜,盖能开胃豁痰也。皆用生姜,随证用药。
(即膈噎。膈噎乃翻胃之渐,发挥备言。)
戴云∶翻胃有四∶血虚、气虚、有热、有痰。血虚者,脉必数而无力;气虚者,脉必缓而无力;气血俱
虚者,则口中多出沫,但见沫大出者,必死;有热者,脉数而有力;有痰者,脉滑数;二者可治。血虚者,四
物为主。气虚者,四君子为主。热以解毒为主。痰以二陈为主。大约有四∶血虚、气虚、有热、有痰兼病,必
用童便、竹沥、姜汁、牛羊乳。
粪如羊屎者,断不可治,大肠无血故也。
痰用二陈汤为主。寸关脉沉,或伏而大。
有气滞结者,通气之药皆可用也。寸关脉沉而涩。
气虚,四君子汤为主。血虚,四物汤为主。左手脉无力,大不可用香燥之药,服之必死。宜薄滋味。
马剥儿烧灰存性一钱重,好枣肉,平胃散二钱,温酒调服,食即可下。然后随病源调理,神效。
陈皮(三斤三两) 浓朴(三斤二两) 甘草(三十两) 苍术(五斤)
戴云∶恶食者,胸中有物。导痰补脾。二陈汤加白术、山楂、川芎、苍术。
(食积兼湿。东垣有法有方。)
又痞满方
吴茱萸(三两) 黄连(八两) 粥为丸。
软石膏碾末,醋丸,如绿豆大,泻胃火、食积、痰。
(Causes include Heat, Phlegm, and Deficiency.)
Dai Yuanli stated: The symptom of nausea is characterized by the absence of sound and vomitus, yet there is a sensation in the heart region of wanting to vomit but being unable to do so. Although termed "nausea," it is not a disease of the Heart Meridian; the pathology resides entirely at the epigastrium (Stomach gate).
Fresh Ginger (Shengjiang) should be used, as it can open the Stomach and resolve Phlegm. Fresh Ginger is employed as a base, with additional herbs prescribed according to the specific syndrome.
(Also known as Ge Ye [Diaphragmatic Obstruction]. Ge Ye is the precursor to Fan Wei [Reverse Stomach], detailed here.)
Dai Yuanli stated: There are four types of Fan Wei [Reverse Stomach]: Blood Deficiency, Qi Deficiency, Heat, and Phlegm. In cases of Blood Deficiency, the pulse is necessarily rapid and forceless; in Qi Deficiency, the pulse is necessarily slow and forceless; in combined Qi and Blood Deficiency, the mouth produces excessive saliva/phlegm; if large amounts of saliva merely flow out, death is certain. In cases of Heat, the pulse is rapid and forceful; in cases of Phlegm, the pulse is slippery and rapid; these two conditions are treatable. For Blood Deficiency, Si Wu Tang (Four Substances Decoction) is the primary formula. For Qi Deficiency, Si Jun Zi Tang (Four Gentlemen Decoction) is the primary formula. For Heat, resolving toxicity is the priority. For Phlegm, Er Chen Tang (Two-Aged Decoction) is the primary formula. Broadly categorized into four: Blood Deficiency, Qi Deficiency, Heat, and combined Phlegm-pathology, Tong Bian (Child's Urine), Zhu Li (Bamboo Sap), Jiang Zhi (Ginger Juice), and Cattle/Sheep Milk must be used.
If feces resemble sheep droppings, it is incurable, due to the lack of Blood in the Large Intestine.
For Phlegm, Er Chen Tang (Two-Aged Decoction) is the primary formula. The Cun and Guan positions of the pulse are deep, or hidden and large.
In cases of Qi Stagnation and knotting, all Qi-moving and unblocking herbs may be used. The Cun and Guan positions of the pulse are deep and choppy.
For Qi Deficiency, Si Jun Zi Tang (Four Gentlemen Decoction) is the primary formula. For Blood Deficiency, Si Wu Tang (Four Substances Decoction) is the primary formula. If the Left-hand pulse is forceless, aromatic and drying herbs must absolutely not be used; administration will lead to death. Diet should be light and bland.
Ma Bo'er (a specific insect/herb name) burned to ash but retaining its nature, one qian; mixed with good Jujube flesh and Ping Wei San (Calm the Stomach Powder), two qian, taken with warm wine to facilitate swallowing. Thereafter, regulate according to the disease source for miraculous efficacy.
Chen Pi (Tangerine Peel, 3 jin 3 liang) Hou Po (Magnolia Bark, 3 jin 2 liang) Gan Cao (Licorice Root, 30 liang) Cang Zhu (Atractylodes Rhizome, 5 jin)
Dai Yuanli stated: The cause of E Shi [aversion to food] is an accumulation in the chest. The treatment method is to guide out Phlegm and tonify the Spleen. Use Er Chen Tang (Two-Aged Decoction) added with Bai Zhu (Atractylodes Macrocephala Rhizome), Shan Zha (Hawthorn Fruit), Chuan Xiong (Ligusticum Rhizome), and Cang Zhu (Atractylodes Rhizome).
(Food Retention combined with Dampness. Li Dongyuan has methods and formulas.)
Another Formula for Pi Man [Fullness and Obstruction]
Wu Zhu Yu (Evodia Fruit, 3 liang) Huang Lian (Coptis Rhizome, 8 liang) Made into pills using rice congee.
Ruan Shi Gao (Soft Gypsum Fibrosum) ground into powder, made into pills with vinegar, size of mung beans, to drain Stomach Fire, Food Retention, and Phlegm.