〔仲〕干呕哕,若手足厥者,陈皮汤主之。
陈皮(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。
〔《肘》〕主卒干呕不息。取甘蔗汁温服半升,日三。又以生姜汁一升服,并瘥。治卒干呕不息,捣葛
根绞取汁服一升,瘥。(本草云∶生葛根汁大寒。)
〔丹〕恶心有热、有痰,皆用生姜,随证用药。
〔仲〕病患胸中似喘不喘,似呕不呕,似哕不哕,彻心中愤愤然无奈者,生姜半夏汤主之。
半夏(半斤) 生姜(一升)
上二味。以水三升煮半夏,取二升,内生姜汁煮取二升半,少冷,分四服,日三、夜一。服止,停后服。
〔垣〕茯苓半夏汤 治胃气虚弱,身重有痰,恶心欲吐。是邪气羁绊于脾胃之间,当先实其脾胃。
炒曲(三钱) 大麦 (半两,炒黄) 陈皮 天麻(各二钱) 白术 白茯苓 半夏(各一两)
上为粗未。每服五钱,水二盏,生姜五片,煎至一盏,去渣热服。
柴胡半夏汤 治旧有风症,不敢见风,眼涩眼黑,胸中有痰,恶心,兀兀欲吐,但遇风觉皮肉紧,手
足难举,动重如石。若在暖室,少出微汗,其症随减,再遇风,病复如是。
半夏(二钱) 炒曲(一钱) 生姜(三片) 柴胡 升麻(各五分) 苍术(一钱) 本(五分) 白茯苓(七
分)
上为粗末,只作一服,水二盏,煎至五沸,去渣温服。
〔张文仲〕治胃气冷,吃食即欲得吐。以白豆蔻仁三枚捣筛更研细,好酒一盏微温调之,并饮三两盏佳。
〔仲〕病患欲吐者,不可下之。
〔云〕蒲黄散 治产后三四日,恶露不下,呕逆壮热。
芍药(二两五钱) 知母(二两) 生姜 当归 蒲黄(各二两) 红花(五钱) 荷叶心中蒂(一个)
生地汁(一盏)
上 咀,水二升,煎至一升,去渣,下蒲黄,煎数沸,空心分三服。
疗产后呕吐不止。
橘红(一两) 半夏曲 甘草(各五钱) 藿香(一两)
上为细末。每服三钱,姜三片,水煎。
〔《大》〕开胃散 治产后胃气不和,呕吐不止,全不纳饮食。
诃子肉(一两半) 人参(一两) 甘草(半两)
上三味为细末。别以半夏半分,生姜一分,葱白二七茎,水二大盏,煎至六分,去渣,分为二服。
【张仲景】干呕或呃逆,如果伴有手足厥冷,用陈皮汤主治。
陈皮(四两) 生姜(半斤)
以上两味药,用水七升,煮取三升药液,每次温服一升,药液咽下即可痊愈。
【《肘后备急方》】主治突然发生的持续性干呕。取甘蔗汁温服半升,每日三次。又可用生姜汁一升服用,也能治愈。治疗突然发生的持续性干呕,捣碎葛根绞取汁液服用一升,病愈。(本草记载:生葛根汁性大寒。)
【朱丹溪】恶心症状,有因热邪所致、有因痰湿所致,都使用生姜,根据具体证候配合其他药物治疗。
【张仲景】病人感觉胸中似喘又不喘,似呕又不呕,似呃逆又不呃逆,心中烦闷无奈者,用生姜半夏汤主治。
半夏(半斤) 生姜(一升)
以上两味药。用水三升先煮半夏,取二升药液,加入生姜汁再煮取二升半药液,待药液稍凉后,分四次服用,白天服三次,夜间服一次。服药后症状停止,则停服剩余的药液。
【李东垣】茯苓半夏汤,治疗胃气虚弱,身体沉重且有痰湿,恶心欲吐。这是邪气羁绊在脾胃之间,应当先补益充实脾胃。
炒神曲(三钱) 大麦(半两,炒黄) 陈皮 天麻(各二钱) 白术 白茯苓 半夏(各一两)
以上药物研为粗末。每次服用五钱,加水两盏,生姜五片,煎至一盏药液,去渣后热服。
柴胡半夏汤,治疗原本就有风症的患者,不敢见风,眼睛干涩发黑,胸中有痰,恶心,频频欲吐,但只要遇到风就觉得皮肉紧绷,手脚难以抬起,活动沉重如石。如果在温暖的室内,微微出汗,症状随之减轻;再次遇风,病情又如前所述。
半夏(二钱) 炒神曲(一钱) 生姜(三片) 柴胡 升麻(各五分) 苍术(一钱) 藁本(五分) 白茯苓(七分)
以上药物研为粗末,只作一剂服用,加水两盏,煎至沸腾五次,去渣后温服。
【张文仲】治疗胃气寒冷,进食后即想呕吐。用白豆蔻仁三枚捣碎筛过再研细,用好酒一盏微温调服,共饮三两盏为佳。
【张仲景】病人有呕吐倾向的,不可使用攻下法。
【云岐子】蒲黄散,治疗产后三四天,恶露不下,出现呕吐逆气和高热。
芍药(二两五钱) 知母(二两) 生姜 当归 蒲黄(各二两) 红花(五钱) 荷叶心中蒂(一个)
生地汁(一盏)
以上药物切碎,加水二升,煎至一升,去渣,加入蒲黄,再煎数沸,空腹分三次服用。
治疗产后呕吐不止。
橘红(一两) 半夏曲 甘草(各五钱) 藿香(一两)
以上药物研为细末。每次服用三钱,加生姜三片,水煎服。
【《太平惠民和剂局方》】开胃散,治疗产后胃气不和,呕吐不止,完全不能接纳饮食。
诃子肉(一两半) 人参(一两) 甘草(半两)
以上三味药研为细末。另外取半夏半分,生姜一分,葱白十四茎,加水两大盏,煎至六分药液,去渣,分为两次服用。
[Zhang Zhongjing] For dry retching (gan ou) or hiccups (yue) accompanied by cold extremities, Chenpi Tang (Tangerine Peel Decoction) is the primary treatment.
Chenpi (Citri Reticulatae Pericarpium, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 8 liang).
Take the above two ingredients, add seven sheng of water, and decoct to obtain three sheng of liquid. Take one sheng warm; it will cure upon swallowing.
[From *Zhou Hou Bei Ji Fang*] It treats sudden, incessant dry retching. Take sugarcane juice, warm it, and take half a sheng; administer three times daily. Alternatively, take one sheng of ginger juice, which also cures the condition. To treat sudden, incessant dry retching, crush kudzu root (Gegen), wring out the juice, and take one sheng; this cures the disease. (Bencao states: Raw Gegen juice is extremely cold in nature.)
[Zhu Danxi] Nausea (exin) can be caused by heat or phlegm; in both cases, ginger (Shengjiang) is used, with additional herbs prescribed according to the specific syndrome.
[Zhang Zhongjing] When a patient feels as if they are panting but are not, as if they are vomiting but are not, and as if they have hiccups but do not, feeling profound inner distress and helplessness, Shengjiang Banxia Tang (Fresh Ginger and Pinellia Decoction) is the primary treatment.
Banxia (Pinelliae Rhizoma, 8 liang), Shengjiang (Zingiberis Rhizoma Recens, 1 sheng).
Take the above two ingredients. Add three sheng of water, decoct Banxia first to obtain two sheng, then add ginger juice and decoct again to obtain two and a half sheng. Let it cool slightly, divide into four doses: take three times during the day and once at night. If symptoms cease after taking the medicine, stop taking the remaining dose.
[Li Dongyuan] Fuling Banxia Tang (Poria and Pinellia Decoction) treats weak stomach qi, heaviness of the body, presence of phlegm, and nausea with a desire to vomit. This occurs when pathogenic factors are entangled between the spleen and stomach; therefore, the spleen and stomach should first be fortified.
Chao Qu (Fried Medicated Leaven, 3 qian), Damai (Hordei Fructus Germinatus, fried until yellow, 0.5 liang), Chenpi (Citri Reticulatae Pericarpium), Tianma (Gastrodiae Rhizoma, each 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria, Banxia (Pinelliae Rhizoma), each 1 liang).
Grind the above into coarse powder. Each time, take 5 qian, add two zhan of water and five slices of ginger, decoct to one zhan, remove the dregs, and take hot.
Chaihu Banxia Tang (Bupleurum and Pinellia Decoction) treats patients who previously had wind disorders, fear exposure to wind, experience dry and darkened eyes, have phlegm in the chest, feel nauseous, frequently have a desire to vomit, and upon encountering wind, feel tightness in the skin and flesh, difficulty lifting hands and feet, and heaviness in movement as if weighted with stone. If in a warm room and sweating slightly, symptoms decrease; however, re-exposure to wind causes recurrence.
Banxia (Pinelliae Rhizoma, 2 qian), Chao Qu (Fried Medicated Leaven, 1 qian), Shengjiang (Zingiberis Rhizoma Recens, 3 slices), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma, each 5 fen), Cangzhu (Atractylodis Lanceae Rhizoma, 1 qian), Bencao (Ligustici Wallichii Rhizoma, 5 fen), Baifuling (Poria, 7 fen).
Grind the above into coarse powder. Prepare as a single dose, add two zhan of water, boil for five boils, remove dregs, and take warm.
[Zhang Wenzhong] Treats cold stomach qi where eating immediately triggers the urge to vomit. Take three cardamom seeds (Baidoukou Ren), crush, sieve, and grind finely; mix with one zhan of good wine warmed slightly and drink. Consuming two to three zhan is optimal.
[Zhang Zhongjing] In patients who have an urge to vomit, purgative methods (xia zhi) must not be used.
[Yun Qizi] Puhuang San (Polygoni Orientalis Pollen Powder) treats postpartum conditions occurring three to four days after delivery, characterized by lochia stasis, vomiting and regurgitation, and high fever.
Shaoyao (Paeoniae Radix Alba, 2.5 liang), Zhimu (Anemarrhenae Rhizoma, 2 liang), Shengjiang (Zingiberis Rhizoma Recens), Danggui (Angelicae Sinensis Radix), Puhuang (Typhae Pollen, each 2 liang), Honghua (Carthami Flos, 5 qian), Heye Xinzhong Di (Lotus Leaf Midrib, one piece), Shengdi Zhi (Rehmanniae Radix Juice, 1 zhan).
Cut the above ingredients, add two sheng of water, decoct to one sheng, remove dregs, add Puhuang, boil for a few more moments, and take on an empty stomach in three divided doses.
To treat incessant vomiting after childbirth.
Juhong (Citri Reticulatae Pericarpium Rubrum, 1 liang), Banxia Qu (Pinelliae Fermentatum), Gancao (Glycyrrhizae Radix et Rhizoma, each 5 qian), Huoxiang (Agastaches Herba, 1 liang).
Grind the above into fine powder. Each time, take 3 qian, add three slices of ginger, decoct in water, and take.
[From *Tai Ping Hui Min He Ji Ju Fang*] Kaiwei San (Stomach-Opening Powder) treats disharmony of stomach qi after childbirth, incessant vomiting, and complete inability to accept food or drink.
Hezi Rou (Terminalia Chebulae Fructus, 1.5 liang), Renshen (Ginseng Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang).
Grind the above three ingredients into fine powder. Separately, take 0.5 fen of Banxia, 1 fen of Shengjiang, and fourteen stalks of Congbai (Scallion White), add two large zhan of water, decoct to 0.6 portion, remove dregs, and divide into two doses.