翻胃大约有四，血虚、气虚、有热、有痰兼病。必用童便、韭汁、竹沥、牛羊乳、生
姜汁。气虚，入四君子汤，右手脉无力；血虚，入四物汤加童便，左手脉无力。切不可用香燥之药
若服之必死，宜薄滋味。治反胃，用黄连三钱，生姜汁浸，炒山楂肉二钱，保和丸二钱，
为末，糊丸如麻子大，胭脂为衣，人参汤入竹沥再煎一沸，下六十丸。有痰，二陈汤为主
寸关脉沉或伏而大；有气结，宜开滞导气之药，寸关脉沉而涩；有内虚阴火上炎而反胃者
作阴火治之。年少者，四物汤清胃脘，血燥不润便故涩，《格致余论》甚详；年老，虽不
用参术，关防气虚胃虚。气虚者，四君子汤加芦根、童便，或参苓白术散，或韭汁、牛羊
驴尿。又有积血停于内而致，当消息逐之，大便涩者难治，常令食兔肉，则便利。
翻胃即膈噎，膈噎乃翻胃之渐。《发挥》备言年高者不治。粪如羊屎者，断不可治，大肠
戴云∶翻胃，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
，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。
又方
用马剥儿烧灰存性一钱，好枣肉平胃散二钱。
上和匀，温酒调服，食即可下，然后随病源调理。
又方
茱萸 黄连 贝母 栝蒌 牛转草
治翻胃
韭菜汁（二两） 牛乳（一盏）
上用生姜汁半两，和匀温服，效。
治翻胃、积饮通用
益元散生姜自然汁澄白脚，丸小丸子。时时服。
附方
烧针丸 此药清镇，专主吐逆。
黄丹（不以多少）
上研细，用去皮小枣肉，丸如鸡头大。每用，针签于灯上，烧灰为末，乳汁下一丸。
枣肉平胃散
浓朴（姜制） 陈皮（去白，各三斤，二两） 甘草（炙） 红枣 生姜（各二斤） 苍术（泔浸一宿
炒，五斤）
上锉，拌匀，以水浸过面上半寸许，煮干，焙燥为末。
每服二钱，盐汤空心点服。
参苓白术散 见脾胃类。
保和丸 见积聚类。
翻胃（反胃）大致有四种证型：血虚、气虚、有热、有痰兼夹病邪。治疗时必须使用童便（儿童尿液）、韭汁（韭菜汁）、竹沥（竹子经火烤流出的汁液）、牛羊乳、生姜汁。若属气虚，加入四君子汤中，且右手脉象无力；若属血虚，加入四物汤并加童便，且左手脉象无力。切不可使用香燥性质的药物，如果服用必然致死，饮食宜清淡薄味。
治疗反胃，用黄连三钱，用生姜汁浸泡后炒制，山楂肉二钱，保和丸二钱，研为细末，用米糊制成如麻子大小的丸药，以胭脂为衣，用人参汤加入竹沥再煮沸一次，送服六十丸。若有痰饮，以二陈汤为主方，寸口、关部脉象沉或伏而大；若有气机郁结，宜用开滞导气的药物，寸口、关部脉象沉而涩；若因内虚阴火上炎而导致反胃者，按阴火证治疗。年少患者，用四物汤清养胃脘，因血燥不润导致大便干涩，《格致余论》中有详细论述；年老患者，虽然不一定用人参、白术，但需防范气虚和胃虚。气虚者，用四君子汤加芦根、童便，或用参苓白术散，或韭汁、牛乳、驴尿。又有因积血停滞于体内所致者，应当斟酌病情逐除瘀血，大便干涩难通者难治，常令食用兔肉，则大便通畅。
翻胃即膈噎，膈噎是翻胃的初期阶段。《发挥》一书中详尽记载了年高者患此病难以治愈的情况。粪便像羊屎一样干结者，断然不可治愈。戴云指出：翻胃，血虚者，脉象必定数而无力；气虚者，脉象必定缓而无力；气血俱虚者，则口中多唾沫，但见唾液大量涌出者必死。有热者，脉象数而有力；有痰者，脉象滑数，这两种情况可以治疗。血虚者，以四物汤为主；气虚者，以四君子汤为主；热证以解毒为主；痰证以二陈汤为主。
又一方：
用马剥儿（一种昆虫或动物名，此处依原文保留）烧灰存性一钱，好枣肉配平胃散二钱。
上药混合均匀，用温酒调服，食物即可下行，然后随病因调理。
又一方：
吴茱萸、黄连、贝母、栝蒌、牛转草。
治疗翻胃：
韭菜汁二两，牛乳一盏。
以上用药，加生姜汁半两，混合均匀温服，有效。
治疗翻胃、积饮通用方：
益元散用生姜自然汁澄清后的白色沉淀物，制成小丸。时时服用。
附方：
烧针丸：此药具有清镇作用，专门主治呕吐逆气。
黄丹（用量不限）。
研细，用去皮的小枣肉，制成如鸡头大小的丸药。每次用时，用针签住放在灯上烧成灰，研末，用乳汁送服一丸。
枣肉平胃散：
浓朴（姜制）、陈皮（去白，各三两）、甘草（炙）、红枣、生姜（各二斤）、苍术（泔水浸泡一夜后炒，五斤）。
切碎拌匀，加水浸过药面半寸许，煮至水干，焙干研为细末。
每次服用二钱，空腹用盐汤点服。
Fanwei (Regurgitation) generally presents in four patterns: Blood Deficiency, Qi Deficiency, Heat, and Phlegm with concurrent pathogenic factors. Treatment must utilize Tongbian (Children's Urine), Jiu Zhi (Leek Juice), Zhu Li (Bamboo Sap), Cow or Sheep Milk, and Sheng Jiang Zhi (Fresh Ginger Juice). If the pattern is Qi Deficiency, add to Sijunzi Tang (Four Gentlemen Decoction), characterized by a weak pulse on the right hand; if Blood Deficiency, add to Siwu Tang (Four Substances Decoction) with Tongbian, characterized by a weak pulse on the left hand. One must strictly avoid using aromatic and drying herbs; ingestion of such will inevitably lead to death. The diet should be light and bland.
To treat Fanwei, use Huanglian (Coptis Rhizome) 3 qian, soaked in Sheng Jiang Zhi and stir-fried, Shan Zha Rou (Hawthorn Flesh) 2 qian, Baohe Wan (Harmonize the Stomach Pill) 2 qian. Grind into fine powder, bind with rice paste into pills the size of hemp seeds, coat with Zhī Yān (Vermilion/Cinnabar coating), and administer sixty pills after boiling Ren Shen Tang (Ginseng Decoction) with Zhu Li once. If Phlegm is present, Er Chen Tang (Two-Cured Decoction) is the primary formula, with deep or hidden yet large pulses at the Cun and Guan positions. If Qi stagnation is present, herbs that open stagnation and guide Qi should be used, with deep and choppy pulses at the Cun and Guan positions. If Fanwei is caused by internal deficiency with Yin Fire flaming upward, treat as Yin Fire syndrome. In young patients, Siwu Tang clears the stomach region; dryness of blood failing to moisten causes constipation, as detailed in *Gezhi Yulun*. In elderly patients, although Renshen (Ginseng) and Baizhu (Atractylodes Macrocephala Rhizome) may not always be used, one must guard against Qi Deficiency and Stomach Deficiency. For Qi Deficiency, use Sijunzi Tang plus Lugen (Reed Rhizome) and Tongbian, or Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), or Jiu Zhi, Cow Milk, or Donkey Urine. Another cause is accumulated blood stagnating internally, which requires careful assessment and expulsion of stasis; cases with dry, difficult stools are hard to treat. Regular consumption of Rabbit Meat promotes bowel movement.
Fanwei is equivalent to Ge Ye (Dysphagia/Obstruction); Ge Ye is the precursor to Fanwei. *Fahui* states extensively that it is incurable in the elderly. Stools resembling sheep droppings indicate an incurable condition. Dai Yun stated: In Fanwei, Blood Deficiency presents with a rapid and weak pulse; Qi Deficiency presents with a slow and weak pulse; combined Qi and Blood Deficiency results in excessive saliva in the mouth, but massive salivation indicates inevitable death. Heat patterns present with a rapid and forceful pulse; Phlegm patterns present with slippery and rapid pulses, both of which are treatable. Blood Deficiency is primarily treated with Siwu Tang; Qi Deficiency with Sijunzi Tang; Heat with detoxification methods; Phlegm with Er Chen Tang.
Another Prescription:
Use Ma Bo'er (a specific insect/animal, retained as per source) burnt to ash but retaining its nature, 1 qian, mixed with good date flesh and Pingwei San (Regulate the Stomach Powder), 2 qian.
Mix evenly, take with warm wine to allow food to descend, then regulate according to the disease origin.
Another Prescription:
Zhu Yu (Evodia Fruit), Huanglian (Coptis Rhizome), Bei Mu (Fritillaria Bulb), Gua Lou (Trichosanthes Fruit), Niu Zhuan Cao (Herba Siegesbeckiae).
For treating Fanwei:
Jiu Cai Zhi (Leek Juice) 2 liang, Niu Ru (Cow Milk) 1 zhan.
Add Sheng Jiang Zhi (Fresh Ginger Juice) 0.5 liang, mix evenly, and take warm. Effective.
General Formula for Fanwei and Accumulated Fluids:
Yiyuan San (Benefit Prime Powder) clarified with natural juice of fresh ginger, taken as small pills frequently.
Attached Formulas:
Shao Zhen Wan (Burned Needle Pill): This medicine has clearing and sedating properties, specifically indicated for vomiting and rebellious Qi.
Huang Dan (Lead Monoxide) (quantity as needed).
Grind finely, bind with peeled small date flesh into pills the size of a chicken head. For each dose, hold with a needle, burn to ash over a lamp, grind to powder, and swallow one pill with milk.
Zao Rou Pingwei San (Date Flesh Regulate the Stomach Powder):
Nan Hou (Magnolia Bark, processed with ginger), Chen Pi (Citrus Peel, pith removed, each 3 liang), Gan Cao (Licorice Root, honey-fried), Hong Zao (Red Dates), Sheng Jiang (Fresh Ginger, each 2 jin), Cang Zhu (Atractylodes Lancea Rhizome, soaked in rice water overnight and stir-fried, 5 jin).
Cut into pieces, mix well, soak in water half a cun above the herb surface, boil until water is dry, dry and grind to powder.
Take 2 qian per dose, administered with salt water on an empty stomach.
Shenling Baizhu San: See Spleen and Stomach category.
Baohe Wan: See Accumulation and Mass category.