〔噎膈提纲〕 胃降能教上脘空，脾升下窍自然通，倘经逆陷真阳败，出纳无灵病在中。
苓桂半夏汤
（证附） 泽夏苓甘合二姜，桂枝芍药佐尤良，如逢噎膈兼他证，细检原书法自详。
〔反胃提纲〕 下窍居然闭不开，朝餐暮吐实堪哀，脾虚莫运非关胃，治法尤当善化裁。
大半夏汤
（证附） 吐属脾虚病势沉，治宜半夏共人参，再加白蜜功能润，去湿和中并益阴。
吴茱萸证
（方见伤寒） 胃反胸间或有寒，朝餐暮吐未能安，温中降逆宜何药，汤用吴萸治不难。
〔不能食提纲〕 燥湿得中脾胃开，一经偏胜便成灾，虚寒虚热还宜辨，调剂阴阳赖妙才。
消食丸
（证附） 胃中虚冷不能餐，治法偏宜消食丸，神曲乌梅兼麦 ，姜苓并用是神丹。
资生丸
（证附） 去热补虚进食频，木苓楂曲合莲陈，再加芡豆兼山药，白蔻人参共薏仁。
〔谷劳提纲〕 不能进食腹空饥，谷气频生饭后时，怠惰情深偏嗜卧，四肢烦重病弥危。
沉香汤
（证附） 谷劳不食用何方，攻补兼施治法良，杏夏姜陈同枳实，参苓术草共沉香。
椒姜大麦汤
（证附） 谷劳不食病堪嗟，汤用椒姜大麦芽，消食温中真入妙，一杯甘露效争夸。
〔呕吐哕呃逆提纲〕 四端病体属阳明，饮食无存证各呈，胃不下行偏上逆，热寒虚实辨宜清。
吴茱萸证
（方见伤寒） 病属胃虚复有寒，旋惊食谷呕难安，四肢逆冷多烦躁，汤用吴萸是妙丹。
茯苓泽泻汤
（证附） 吐后渴生思饮浆，更兼胃实热难当，桂苓术泽姜甘用，水病驱除是妙方。
四逆证
（方见伤寒） 小便能通弱脉呈，更兼呕逆不时生，四肢见厥身微热，寒盛格阳辨要精。
大黄甘草汤
（证附） 食已居然吐不禁，此缘胃湿热邪侵，大黄荡秽甘培土，攻补兼施妙义深。
小半夏汤
（证附）
小半夏加茯苓汤
（证附） 有寒胃实病情真，食谷居然吐欲频，半夏降冲姜止呕，加苓去湿效如神。
小柴胡证
（方见伤寒） 木邪克土赖何驱，寒热兼生实可虞，痞满旋惊胸胁痛，妙方宜用小柴胡。
半夏泻心证
（方见伤寒） 病患作呕腹肠鸣，心下旋惊痞硬生，半实半虚寒复热，法宜温
补又宜清。
橘皮竹茹汤
（证附） 口中哕味吐难禁，宜用生姜橘与参，
大枣竹茹甘草入，半攻半补义弥深。
代赭旋复花证
（方见伤寒） 辨证如逢呃逆时，病分虚实用何医，治宜代赭加旋复，攻补兼施法最奇。
二陈汤加减方
呕吐哕兼呃逆生，二陈加减法弥精，平时勤取原书阅，临证方能记得清。
【噎膈提纲】胃气下降，能使上脘保持空虚；脾气上升，下窍自然通畅。倘若经气逆乱陷入，导致真阳衰败，那么纳食与排泄的功能就会失灵，疾病便产生于中焦。
苓桂半夏汤
（证候附注）泽泻、半夏、茯苓、甘草合用，再加干姜、生姜，配合桂枝、芍药，疗效尤为良好。如果遇到噎膈兼有其他证候，仔细查阅原著方书，法度自然详尽。
〔反胃提纲〕下窍竟然闭塞不通，早晨吃的饭晚上吐出，实在令人悲哀。这是脾虚无法运化，并非单纯胃病所致，治疗方法尤其应当善于灵活变通。
大半夏汤
（证候附注）呕吐属于脾虚，病情深重，治疗适宜用半夏配合人参，再加上白蜜具有润燥功效，能祛湿、和中并滋养阴液。
吴茱萸证
（方剂见《伤寒论》）胃反伴有胸间寒邪，早晨进食晚上呕吐不能安宁，温中降逆适宜用什么药？使用吴茱萸汤治疗并不困难。
〔不能食提纲〕燥湿得宜则脾胃开畅，一经偏胜便成灾祸，虚寒与虚热还应当辨别清楚，调和阴阳依赖医生的高超技艺。
消食丸
（证候附注）胃中虚冷不能进食，治疗方法特别适宜用消食丸，神曲、乌梅兼加麦麸（或麦芽），生姜、茯苓并用是神效之丹。
资生丸
（证候附注）去除热邪、补益虚损、促进进食频繁，木香、茯苓、山楂、神曲合用莲子、陈皮，再加芡实、豆类兼山药，白豆蔻、人参共配薏苡仁。
〔谷劳提纲〕不能进食但腹部空饥，谷气在饭后时常生成，倦怠懒惰情状严重偏向嗜睡，四肢烦扰沉重病情更加危急。
沉香汤
（证候附注）谷劳不食用什么方剂？攻补兼施的治疗方法良好，杏仁、半夏、生姜、陈皮同枳实，人参、茯苓、白术、甘草共配沉香。
椒姜大麦汤
（证候附注）谷劳不食病情值得叹息，汤剂使用花椒、生姜、大麦芽，消食温中真正入妙，一杯甘露般的药效争相夸耀。
〔呕吐哕呃逆提纲〕这四种病体归属于阳明经，饮食无法存留，证候各自呈现，胃气不下行反而偏向上逆，热证、寒证、虚证、实证辨别应当清晰。
吴茱萸证
（方剂见《伤寒论》）病属胃虚又有寒邪，稍受惊吓或进食后呕吐难以安宁，四肢逆冷多烦躁，汤剂使用吴茱萸是神效之丹。
茯苓泽泻汤
（证候附注）呕吐后口渴想喝浆水，更兼胃中有实热难以忍受，桂枝、茯苓、白术、泽泻、生姜、甘草并用，驱除水饮病邪是妙方。
四逆证
（方剂见《伤寒论》）小便能够通畅，脉象微弱呈现，更兼呕吐逆气不时发生，四肢厥冷身体微热，寒盛格阳的辨证要精细。
大黄甘草汤
（证候附注）吃完饭后居然呕吐不止，这是因为胃中有湿热邪气侵袭，大黄荡涤秽浊，甘草培补脾胃，攻补兼施的奥义深远。
小半夏汤
（证候附注）
小半夏加茯苓汤
（证候附注）有寒邪且胃实病情真实，吃谷物居然频繁想吐，半夏降冲逆，生姜止呕吐，加入茯苓去湿气，效果如神。
小柴胡证
（方剂见《伤寒论》）木邪克制土气依靠什么驱除？寒热兼生确实值得忧虑，痞满、旋悸、胸胁痛，妙方适宜用小柴胡汤。
半夏泻心证
（方剂见《伤寒论》）病患作呕腹肠鸣响，心下部位旋悸痞硬产生，半实半虚寒复热，治法适宜温补又适宜清泄。
橘皮竹茹汤
（证候附注）口中哕逆有味呕吐难以禁止，适宜用生姜、橘皮与人参，大枣、竹茹、甘草加入，半攻半补的义理更深。
代赭旋复花证
（方剂见《伤寒论》）辨证如果遇到呃逆时，病分虚实用什么医法？治疗适宜代赭石加上旋覆花，攻补兼施的方法最奇妙。
二陈汤加减方
呕吐、哕逆兼呃逆发生，二陈汤加减法最为精妙，平时勤读原书查阅，临证时才能记得清楚。
[Outline of Ye Ge (Dysphagia and Food Impaction)] When the Stomach Qi descends, it can keep the upper Jiao (Upper Burner) empty; when the Spleen Qi ascends, the lower orifices naturally become unobstructed. If the meridians reverse and sink, leading to the failure of True Yang, then the functions of intake and excretion will lose their efficacy, and the disease arises in the Middle Jiao (Middle Burner).
Ling Gui Ban Xia Tang (Poria, Cinnamon Twig, and Pinellia Decoction)
(Attached Syndrome Note) Ze Xie (Alisma Rhizome), Ban Xia (Pinellia Tuber), Fu Ling (Poria), and Gan Cao (Licorice Root) combined with Gan Jiang (Dried Ginger) and Sheng Jiang (Fresh Ginger), assisted by Gui Zhi (Cinnamon Twig) and Bai Shao (White Peony Root), yield particularly good results. If Ye Ge is accompanied by other syndromes, carefully consulting the original formula texts will provide detailed methods.
[Outline of Fan Wei (Regurgitation/Reverse Flow of Stomach)] The lower orifices are unexpectedly closed and cannot open; morning meals vomited in the evening are truly lamentable. This is due to Spleen deficiency failing to transport, not merely a Stomach issue; treatment methods should especially employ flexible adaptation.
Da Ban Xia Tang (Large Pinellia Decoction)
(Attached Syndrome Note) Vomiting belongs to Spleen deficiency with a deep-seated condition; treatment should utilize Ban Xia (Pinellia Tuber) together with Ren Shen (Ginseng Root). Adding Bai Mi (White Honey) provides moistening functions, dispelling dampness, harmonizing the Middle Jiao, and benefiting Yin.
Wu Zhu Yu Syndrome
(Formula see Shang Han Lun) Gastric regurgitation may have cold in the chest area; morning food vomited in the evening prevents peace. To warm the middle and descend rebellion, what medicine is suitable? Using Wu Zhu Yu Tang (Evodia Decoction) for treatment is not difficult.
[Outline of Bu Neng Shi (Inability to Eat)] When dryness and dampness are balanced, the Spleen and Stomach open; if one prevails excessively, disaster ensues. Deficiency-cold and deficiency-heat must still be distinguished; harmonizing Yin and Yang relies on skilled practitioners.
Xiao Shi Wan (Digestive Pill)
(Attached Syndrome Note) Cold deficiency in the Stomach prevents eating; the treatment method is particularly suitable for Xiao Shi Wan. Shen Qu (Medicated Leaven), Wu Mei (Mume Fruit), and Mai Ya (Barley Sprout) combined, with Sheng Jiang (Fresh Ginger) and Fu Ling (Poria) used together, constitute a miraculous pill.
Zi Sheng Wan (Nourishing Life Pill)
(Attached Syndrome Note) Clearing heat, tonifying deficiency, and frequently promoting appetite: Mu Xiang (Aucklandia Root), Fu Ling (Poria), Shan Zha (Hawthorn Fruit), and Shen Qu (Medicated Leaven) combined with Lian Zi (Lotus Seed) and Chen Pi (Tangerine Peel); adding Qian Shi (Euryale Seed), Dou Lei (Legumes), and Shan Yao (Dioscorea Rhizome), along with Bai Kou Ren (Amomum Cardamomum Seed), Ren Shen (Ginseng Root), and Yi Yi Ren (Coix Seed).
[Outline of Gu Lao (Grain Labor/Fatigue after Eating)] Inability to eat while the abdomen feels empty and hungry; Grain Qi frequently generates after meals. Profound lethargy leads to a preference for lying down; limbs are vexed and heavy, making the condition more critical.
Chen Xiang Tang (Aquilaria Wood Decoction)
(Attached Syndrome Note) For Gu Lao with inability to eat, which formula to use? A method combining attack and tonification is good: Xing Ren (Apricot Seed), Ban Xia (Pinellia Tuber), Sheng Jiang (Fresh Ginger), and Chen Pi (Tangerine Peel) together with Zhi Shi (Immature Bitter Orange), Ren Shen (Ginseng Root), Fu Ling (Poria), Bai Zhu (Atractylodes Rhizome), Gan Cao (Licorice Root), and Chen Xiang (Aquilaria Wood).
Jiao Jiang Da Mai Tang (Pepper, Ginger, and Barley Malt Decoction)
(Attached Syndrome Note) Gu Lao with inability to eat is a pitiable condition; the decoction uses Jiao (Sichuan Pepper), Sheng Jiang (Fresh Ginger), and Da Mai Ya (Barley Malt). Digesting food and warming the middle enters subtlety truly; like a cup of sweet dew, its efficacy is praised.
[Outline of Ou Tu, Yue, E Ni (Vomiting, Hiccups, and Belching)] These four types of bodily diseases belong to the Yangming channel; dietary intake cannot be retained, and syndromes present differently. Stomach Qi does not descend but rebels upward; Heat, Cold, Deficiency, and Excess must be clearly distinguished.
Wu Zhu Yu Syndrome
(Formula see Shang Han Lun) The disease belongs to Stomach deficiency compounded with cold; slight fright or eating grain causes vomiting that is hard to calm. Limbs are cold and reversed with much irritability; using Wu Zhu Yu Tang (Evodia Decoction) is a miraculous pill.
Fu Ling Ze Xie Tang (Poria and Alisma Decoction)
(Attached Syndrome Note) After vomiting, thirst arises desiring drinks; furthermore, Stomach excess-heat is unbearable. Gui Zhi (Cinnamon Twig), Fu Ling (Poria), Bai Zhu (Atractylodes Rhizome), Ze Xie (Alisma Rhizome), Sheng Jiang (Fresh Ginger), and Gan Cao (Licorice Root) are used; this is a miraculous formula for driving out water pathology.
Si Ni Syndrome
(Formula see Shang Han Lun) Urination can flow freely, yet the pulse presents as weak; furthermore, vomiting and rebellion occur intermittently. Limbs show Jue (cold reversal) with slight body heat; distinguishing Cold Excess blocking Yang requires precision.
Da Huang Gan Cao Tang (Rhubarb and Licorice Decoction)
(Attached Syndrome Note) After eating, vomiting occurs uncontrollably; this is due to Damp-Heat pathogenic factors invading the Stomach. Da Huang (Rhubarb Root) sweeps away filth, Gan Cao (Licorice Root) cultivates Earth; the profound meaning lies in combining attack and tonification.
Xiao Ban Xia Tang (Small Pinellia Decoction)
(Attached Syndrome Note)
Xiao Ban Xia Jia Fu Ling Tang (Small Pinellia Decoction plus Poria)
(Attached Syndrome Note) Cold pathogen and Stomach excess make the condition true; eating grain causes frequent desire to vomit. Ban Xia (Pinellia Tuber) descends Chong Qi, Sheng Jiang (Fresh Ginger) stops vomiting; adding Fu Ling (Poria) removes dampness, efficacy is like spirit.
Xiao Chai Hu Syndrome
(Formula see Shang Han Lun) How to drive away Wood pathogen overcoming Earth? Alternating chills and fever are indeed worrisome. Fullness, palpitations, and hypochondriac pain arise; the miraculous formula is suitable to use Xiao Chai Hu Tang (Minor Bupleurum Decoction).
Ban Xia Xie Xin Syndrome
(Formula see Shang Han Lun) The patient vomits with abdominal and intestinal rumbling; epigastric region has palpitations and fullness/stiffness. Half-excess half-deficiency with cold returning to heat; the method should suit both warming-tonification and clearing-draining.
Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction)
(Attached Syndrome Note) Mouth has hiccups with taste, vomiting is hard to control; suitable to use Sheng Jiang (Fresh Ginger), Ju Pi (Tangerine Peel), and Ren Shen (Ginseng Root). Da Zao (Jujube Fruit), Zhu Ru (Bamboo Shavings), and Gan Cao (Licorice Root) are added; half-attack half-tonification principle is deeper.
Dai Zhe Xuan Fu Hua Syndrome
(Formula see Shang Han Lun) When differentiation encounters E Ni (hiccups/belching), how to treat based on deficiency and excess? Treatment should use Dai Zhe Shi (Hematite) plus Xuan Fu Hua (Inula Flower); combining attack and tonification is the most wondrous method.
Er Chen Tang Modified Formula
When Ou Tu (vomiting), Yue (hiccups), and E Ni (belching) occur together, the modification of Er Chen Tang (Two-Aged Decoction) is most refined. Regularly consult the original book during study, so that during clinical practice, one can remember clearly.