〔《素》〕天不足西北，故西北方阴也，而人右耳目不如左明也。此不满东南，故东南方
阳也，而人左手足不如右强也。帝曰∶何以然？岐伯曰∶东方阳也，阳者其精并于上，并于
上则上盛而下虚，故其耳目聪明而手足不便也。西方阴也，阴者其精并于下，并于下则下盛
而上虚，故其耳目不聪明而手足便也。故俱感于邪，其在上则右甚，在下则左甚，此天地阴
阳所不能全也，故邪居之（《阴阳应象篇》）。头痛巅疾，下虚上实，过在足少阴巨阳，甚则
入肾。徇蒙招尤，目冥耳聋，下实上虚，过在足少阳厥阴，甚则入肝，腹满 胀，
肢膈 胁，下厥上冒，过在足太阴阳明。咳嗽上气，厥在胸中，过在手阳明太阴。心烦
头痛，病在膈中，过在手巨阳少阴。（《五脏生成篇》）
〔《灵》〕下虚则厥，下盛则热，上虚则眩，上盛则热。
〔垣〕∶两寸脉实（谓之阳盛阴虚，下之则愈），两寸脉俱虚（谓之阴阳皆虚，补阴则阳竭，
补阳则阴竭，宜调之以甘药），两寸脉不足，求之于地，地者脾胃也（当从阴引阳）。两寸脉
短小。乃阳气不足，病在下也，谓之阴盛阳虚，取之下陵、三里，补泻无形，是谓导气同精
，治在五乱中取法，乃不足病也。当取穴于腹募气海脐下一寸五分，甚者取三里、气冲，以
毫针引之。两关脉俱实（上不至发汗，下不至利大便，宜芍药汤泻其土实），两关脉俱虚（脉
沉细宜服理中汤，脉弦迟宜服建中汤，盛加黄 、附子之类），两尺脉俱实（是阴盛阳虚，汗
之则愈），两尺脉俱虚（宜服姜附汤补阳。问何阴虚而补阳？曰∶阴本根于阳是也。仲景云∶
两尺脉俱虚者，不宜下，下之则为逆，逆者死），两尺脉或不见，或短小，病在天上，求之
于五脏背俞，或血络经隧伏火（是天上有阴火，故阳不收藏也。又《难经》云∶下部无脉，
或两尺竭绝，乃为食塞，当吐）。
〔《素》〕来疾去徐，上实下虚，为厥 疾。来徐去疾，上虚下实，为恶风也（《脉要精
微论》）。补上治上制以缓，补下治下制以急。急则气味浓，缓则气味薄，适其至所，此之
谓也。病所远而中道气味之者，食而过之，无越其制度也。是故平气之道，近而奇耦制小其
服也，远而奇耦制大其服也。大则数少，小则数多，多则九之，少则二之。（《至真要论》
。远近，言脏腑之位也）
〔洁〕病在上为天，煎药宜武，宜清服，宜缓饮，制度宜炒酒（洗浸）。病在下为地，煎药
宜文，宜浓服，宜急饮。
〔垣〕在上不厌频而少，在下不厌顿而多。少服则滋荣于上，多服则峻补于下。病在心上
者，先食而后药。病在心下者，先药而后食。凡用黄芩、黄连、半夏、知母，病在头面及手
皮肤者，须用酒一钟，借酒力以上升也。咽之下，脐之上，须酒洗之，在下生用，大凡生降
熟升。凡诸药根在上者，中半以上者，气脉上行，以生苗者为根。中半以下者，气脉下行，
以入土者为梢。病在中焦、上焦者用根，下焦者用梢，则根升而梢降也。去下部之疾者，其
丸极大而光，治中焦之疾者次之，治上焦者极小。稠面糊取其迟化，直至下焦，稀面糊取其
易化，水浸宿蒸饼为丸及滴水为丸者，又易化也。
〔罗〕东垣先生治消渴，以甘露饮子剂为粗散，时时以舌舐之，取膈上停留，此剂之缓也
。治心烦欲吐，怔忪不安卧，以辰砂安神丸，如米大，津液下十余丸，此近而奇耦，制小其
服也（心肺在上为近。剂小者，不令下行故也）。治臊臭，制泻肝汤，其说云∶《难经》论心
主五臭，入肝为臊臭，此其一也。用柴胡苦平微寒为君，佐以龙胆苦寒以泻心火，泽泻、车
前子甘咸寒平淡渗肝之邪，所谓在下者引而竭之。多用水煮顿服之，此制之急也。以下焦阴
虚制滋肾丸，以黄柏大苦寒为君，知母苦寒为佐使，桂甘辛大热为臣，用丸如鸡头实大，空
心沸汤下百余丸，此远而奇耦，制大其服也。
〔《素》〕高者抑之，下者举之。（《至真要论》。王注云∶高者抑之，制其胜也。下者
举之，济其弱也）
〔海〕热在至高之分，故用轻剂，从高抑之，治从缓也。若急服之，上热未除，中寒生矣
（如治大头痛，用酒煨大黄及黄连、芩、甘草、黍粘子煎汤，细细呷之之类是也）。
〔《局方》〕养正丹（方见眩运门）
（垣）柴胡调经汤 一妇人经候黑血凝结成块，左厢有血瘕，水泻不止，谷有时化，有时
不化。东垣云∶经漏不止，是前阴之气血已下脱矣。水泻数年不愈，是后阴之气血下陷，亦
已脱矣。是病患周身之气，常行秋冬之令，久沉久降，当大举大升，以助春夏。次用四物，
随显证加减。（调经汤方见血崩）
〔丹〕一妇人产后有物如衣裙，半在腹，半在席，医不能晓。先生曰∶此子宫也。气血虚
，随子而下不能入，即与黄 、当归之剂，而加升麻举之，仍以外攻之法，而用五倍子作汤
洗濯，皱其皮使缓敛，顷之子宫上。先生慰之曰∶三年后可再生儿，无忧也。已而果然。
〔《灵》〕陷下则灸之（东垣云∶陷者皮毛不任风寒，知阳下陷也。其脉虽数，中必得细
，强而紧小，或沉涩覆其上，知其热火陷下也。虽脉八九至，甚数疾，而阴脉覆其上者，可
灸。阴脉者细强紧小沉涩是也）。
〔《素》〕气反者，病在上取之下，病在下取之上，病在中傍取之。（《五常政大论》）
〔丹〕∶一男子病小便不通，医以痢药治之加剧。丹溪云∶此积痰病也。积痰在肺，肺为上
焦，而膀胱为下焦，上焦闭则下焦塞，譬如滴水之器，必上窍通，而后下窍之水出焉。乃以
法大吐之，吐已，病如失。又治一老人泄痢，百方不应，膈闷食减，丹溪与吐剂，吐出胶痰
升许，而痢止。（详见久痢。此上二法，亦下者举之之意。夫小便不通，气血壅塞于下
焦也。泄泻日久，气血降沉于下焦也。今大吐之，则一身血气皆升浮而复于上焦，则下之壅
塞者流通，降沉者升举，故皆痊也）
病在上，取之下，如哕逆、喘满、上气者，灸脐下丹田、三里，引气下降，其病立痊之
类是也。
〔王注〕∶上盛不已，吐而脱之。下盛不已，下而夺之。
〔《保》〕仲景云∶伤寒三四日，邪气未传于里，止用瓜蒂散吐而瘥，岂可汗也。又伤寒
六七日，胸中微闷，不欲言，懊恼昏眩，无下证，仲景栀子汤吐之立可。又云∶中风不知人
事，亦不须发汗，喉中呷喝有声，用稀涎散吐之。又云∶风头痛，若不吐涎，久则瞽目而不
治，用瓜蒂散吐之，三吐而瘥。又暴嗽风涎上壅，咽塞不利，茶调散吐之；阳痫久不愈
，未成痴呆，用导涎散吐之；又阴痫，用三圣散吐之。又膏粱之人，多食生 ，化虫伏
于胸中，胸膈不快，噎食不下，用藜芦散吐之。又久患胁痛，诸药不能治，用独圣散加蝎梢
半钱吐之。诸痫不时发作，不知人事，用半生熟汤吐之。暗风病久不瘥，发过如旧，用郁金
散吐之。 疟久不瘥，发寒热无时，用常山散吐之。蛟龙瘕痛，腹胀如鼓，久不愈欲死
，用糖球散吐之，吐出其物形如蜥蜴，长七八寸，亦可。一人初患伤寒，饮冷，心腹闷，身
热，见食则 ，用赤小豆散吐之。妇人筋挛急痛，用神应散吐之。或曰∶筋病吐之何为
？答曰∶木郁达之。所谓达者，令其条达。或又有打扑坠损，先吐之，用金花散；后下之，
用承气汤。盖承者，顺也。偏枯证半身不遂者，用追风散吐之。头风后，有目疾，眼有半明
可救者，用防风散吐之。小儿上喘嘲热，先用郁金散吐之，后用镇涎散下之，立效。治颠狂
病久不已，用三圣散吐之，后大下之。诸风掉摇，目直不知人事，便可用悬头膏吐涎，立效
。胸膈满，背痛，或臂疼，可先用祛风汤吐之，后服乌药散。厉风或疮疡恶疮，便用三
圣散吐之，后服苦参丸。诸厥气，中风不省人事，便用神圣散鼻内灌之，吐出涎立效。破伤
风牙关紧急，角弓反张，亦用神圣散吐之，吐后汗下之，效。三法俱用之者，乃上古高医，
神妙莫测，今庸下之流，止看诸方，不知治法，不识源流，不行圣人法，去圣日浸远矣。可
惜悲哉！
〔丹〕凡吐，取逆流水调药吐之。凡药升动真气者，皆能吐。如防风、桔梗、芽茶、山栀
、川芎、萝卜子，以姜汁、醋少许，瓜蒂散少许，入齑汁温服之，以鹅毛钩探之。
〔子和〕稀涎散
猪牙皂角（不蛀者，去皮弦，一两） 绿矾（五钱） 藜芦（半两）
上为细末。每服半钱，或一二钱，斡开牙关，浆水调灌之。
〔丹〕吐食积痰，用萝卜子五合，油炒擂，入浆水摅汁，入桐油、白蜜少许，旋旋半温，
用帛紧束肚皮，然后用鹅毛搅喉中令吐。又法，用虾带壳半斤，入酱、姜、葱等料物煮汁，
先吃虾，后饮汁，以鹅翎钩引即吐，必须紧勒腹肚。吐肥人湿痰，用益元散齑汁调下，探引吐之。
〔世〕豆参散 吐痰轻剂。
赤小豆 苦参
上为末。酸浆水调服，用鹅翎探之。
〔丹〕吐法单药
桔梗芦 人参芦 艾叶 末茶 瓜蒂 藜芦 附子尖 砒
此数味皆自吐，不用手法探引，但药汤皆可吐，虚病症用人参芦吐之。
〔子和〕三圣散
防风（二两，去芦） 瓜蒂（三两，拣净，炒微黄） 藜芦（《圣惠方》减用之或一两，或半两
，或三钱）
上各为粗末。每服约半两，以齑汁三茶盏，先用二盏煎三五沸，去齑汁，次入水一盏，
煎至三沸，却将先二盏同一处熬二沸，去渣澄清，放温，徐徐服之。以吐为度，不必尽剂。
〔丹〕一方用
郁金（半两） 藜芦（一钱） 苦参（一钱）
上为末。齑汁调吐，如吐不止，丁香一粒止之。又不止，葱白汤呷之。
治风涎用天南星一枚，中开一窍如粟米大，好醋纳于中，焙干，如此三次，藜芦二钱半
，并为末。酒糊丸。每三五丸，空心温酒下，一饭时自吐。如未吐，再三丸。如涎尽呕不止
，冷葱白汤止之。
〔仲〕瓜蒂散（方见“伤寒香港脚上冲”。《活人》服瓜蒂法，附于后）
《衍义》云∶凡用瓜蒂，良久涎未出者，含砂糖一块，下咽即涎吐之。
〔子和〕二仙散
瓜蒂 好茶各等分
为细末。每服二钱，齑汁调下，空心用之。
〔《衍义》〕瓜蒂，此即甜瓜蒂也，去瓜皮，用蒂，约半寸许，暴极干，不限多少，细末
，量疾，每用一二钱，腻粉一钱匕，以水半协议调匀，灌之。治风涎暴作，气塞倒卧，服之
良久，涎自出。或觉有涎，用诸药行化不下，但如此服，涎即出。
〔《和剂》〕碧露丹
石绿（细研，九度飞过，十两） 附子尖 川乌尖 蝎梢（各七十个）
上为末。入石绿令匀，糊丸鸡头大。每服用薄荷汁半盏，化下一丸。更以酒半合温服之
，须臾吐出痰涎。
上吐痰热剂。凡吐痰，用寒剂，累累吐不透者，必用热剂吐之方透。丹溪用瓜蒂、栀子
、苦参、藜芦等剂，累吐许白云先生不透，后以附子尖和浆水与之，始得大吐也。
〔子和〕独圣散
用砒不以多少，为细末。每服一字，以新水调下，斡开牙关灌之，寻常勿用。
〔世〕治痰喘。
砒一钱，面二两，清水捏饼，香油煮黄色为末。每用末子一铜钱面，江茶三铜钱面，调
匀，五更井水调下。如不吐，可添半铜钱面，次日再服。
〔子和〕青黛散 搐鼻取涎，神妙（方见《头痛》。气实痿热结，吐难出者，必先二三次
用苦梗开之）。
〔丹〕吐法 先以布搭膊勒肚腹，于不通风处行之。凡用探吐鹅毛，须浸以桐油，却以皂
荚水洗去油，晒干待用。
〔子和〕疗痰者，以钗股鸡翎探引。不出，以齑投之。不吐，再投之。且投且探，无不出
者。吐至昏眩，慎勿惊疑。书曰∶若药不瞑眩，厥疾不瘳。如发头眩，可饮冰水立解。如无
冰水，新汲水亦可。强者一二吐而安，弱者可作三次吐之，庶无损也。吐之次日，有顿复者
，有转甚者，盖引之而上未平也，数日当再为之。如觉渴者，冰水新水瓜梨凉物皆不禁，惟
禁食过饱，硬物干脯难化之物。一医吐一妇人，半月不止，命悬须臾，予煎麝香汤解之，下
咽立止。或问麝香何能止吐？予谓之曰∶瓜苗闻麝香即死，吐者，瓜蒂也，所以立解。如藜
芦吐者不止，以葱白汤解之。如石药吐者不止，以甘草、贯众解之。诸草木吐者，可以麝香
解之。（丹溪云∶丁香、甘草、白术总解诸药）。吐药之苦寒者，有豆豉、瓜蒂、茶末、栀子、
黄连、苦参、大黄、黄芩。苦辛而寒者，有郁金、常山、藜芦。甘苦而寒者，有地黄汁。辛
而寒者，有轻粉。酸而寒者，有晋矾、绿矾、齑汁。酸辛而寒者，有胆矾。酸咸而寒者，有
青盐、白米饮。甘咸而寒者，有沧盐。甘而寒者，有牙硝。甘而微温且寒者，有人参芦。苦
而温者，有木香、远志、浓朴。辛苦而温者，有薄荷、芫花。辛而温者，有谷精草、葱根须
。甘而温者，有乌头、附子尖。酸而温者，有饭浆。咸而温者，有皂角。辛而热者，有蝎梢
【《黄帝内经·素问》】天的西北方不足，所以西北方属阴，人的右耳目的听力视力不如左耳目的灵敏。地的东南方不满，所以东南方属阳，人的左手足不如右手足强壮。黄帝问：为什么这样呢？岐伯说：东方属阳，阳气的气精汇聚于上部，气精汇聚于上部则上部盛实而下部虚弱，所以人的耳目聪明而手足不便。西方属阴，阴气的气精汇聚于下部，气精汇聚于下部则下部盛实而上部虚弱，所以人的耳目不灵敏而手足便利。因此，如果人体同时感受邪气，病在上部则右侧严重，在下部则左侧严重，这是天地阴阳不能完备的缘故，所以邪气居于这些部位（出自《阴阳应象大论》）。头痛及头顶部的疾病，属于下部虚上部实，病在足少阴肾经和足太阳膀胱经，严重时邪气入肾。头目昏蒙、头晕摇摆、视物不清、耳聋，属于下部实上部虚，病在足少阳胆经和足厥阴肝经，严重时邪气入肝。腹部胀满、肢体隔拒胁肋不适，属于下部厥逆上部被蒙蔽，病在足太阴脾经和足阳明胃经。咳嗽气逆，气机厥逆在胸中，病在手阳明大肠经和手太阴肺经。心烦头痛，病在膈中，病在手太阳小肠经和手少阴心经。（出自《五脏生成篇》）
【《黄帝内经·灵枢》】下部虚则发生厥逆，下部盛实则发热，上部虚则眩晕，上部盛实则发热。
【李杲（东垣）】两手寸脉实（称为阳盛阴虚，用泻下法即可痊愈），两手寸脉都虚（称为阴阳皆虚，补阴则阳气竭绝，补阳则阴液竭绝，适宜用甘味药物调和），两手寸脉不足，应从下部求治，下部指脾胃（应当从阴引阳）。两手寸脉短小，是阳气不足，病在下部，称为阴盛阳虚，取穴下陵（足三里）、三里，通过补泻无形之气来引导气机、固护精气，治疗方法参考《五乱》篇中的取法，这属于不足之证。应当取腹募穴气海，位于脐下一寸五分，严重的取足三里、气冲，用毫针引导。两手关脉都实（上不至发汗，下不至利大便，适宜用芍药汤泻其土实），两手关脉都虚（脉沉细适宜服用理中汤，脉弦迟适宜服用建中汤，若脉盛可加黄芪、附子之类），两手尺脉都实（这是阴盛阳虚，用发汗法即可痊愈），两手尺脉都虚（适宜服用姜附汤补阳。问：为何阴虚而补阳？答：阴本根源于阳。张仲景说：两手尺脉都虚的，不宜用泻下法，用泻下法就是逆治，逆治会致死），两手尺脉或摸不到，或短小，病在天上（上部），应从五脏背俞穴求治，或血络经隧中有伏火（这是天上有阴火，所以阳气不能收藏。又《难经》说：下部无脉，或两尺脉竭绝，乃是食积堵塞，应当用吐法）。
【《黄帝内经·素问》】脉象来势急去势缓，是上实下虚，为厥逆重症。脉象来势缓去势急，是上虚下实，为恶风证（出自《脉要精微论》）。补上治上，制剂宜缓；补下治下，制剂宜急。急则药气味浓厚，缓则药气味淡薄，使药力恰好到达病所，说的就是这个道理。病位深远而中途经过的药力会被消耗，进食可以帮助药力运行，不要超越这个制度。所以平调气机的原则是，病位近且脉象奇偶不分者，制小其服量；病位远且脉象奇偶不分者，制大其服量。大则次数少，小则次数多，多的可达九次，少的仅两次。（出自《至真要大论》。远近，指脏腑的位置）
【罗天益】病在上部属天，煎药宜用武火，宜清淡服用，宜缓慢饮用，炮制宜炒酒（洗浸）。病在下部属地，煎药宜用文火，宜浓服，宜快速饮用。
【李杲（东垣）】病在上部不厌频繁少量，病在下部不厌顿服大量。少量服用则滋养荣气于上部，大量服用则峻补于下部。病在心上的，先吃饭后服药。病在心下的，先服药后吃饭。凡是用黄芩、黄连、半夏、知母，病在头面及手部皮肤的，必须用一钟酒，借酒力以上升。咽之下，脐之上，须用酒洗之，在下部生用，大凡是生用降泄，熟用升提。凡诸药，根部在上半段的，中半以上的，气脉上行，以长苗者为根。中半以下的，气脉下行，以入土者为梢。病在中焦、上焦的用根，下焦的用梢，则根升而梢降。治疗下部疾病的丸药极大且光滑，治疗中焦疾病的次之，治疗上焦的极小。稠面糊取其缓慢消化，直达下焦；稀面糊取其容易消化；用水浸泡隔夜蒸饼做丸及滴水做丸的，又更容易消化。
【罗天益】东垣先生治疗消渴症，将甘露饮子制成粗散，时时用舌舔舐，使其停留在膈上，这是药剂的缓剂。治疗心烦欲吐、怔忡不安卧，用辰砂安神丸，如米粒大，津液送服十余丸，这是病位近且奇偶不分，制小其服量（心肺在上为近。剂小，是为了不让药力下行）。治疗臊臭味，制作泻肝汤，其说法是：《难经》论述心主五臭，入肝为臊臭，这是其中之一。用柴胡苦平微寒为君药，佐以龙胆苦寒以泻心火，泽泻、车前子甘咸寒平淡渗利肝之邪，所谓在下者引而竭之。多用水煮顿服，这是制剂的急剂。以下焦阴虚制作滋肾丸，以黄柏大苦寒为君药，知母苦寒为佐使，桂枝甘草辛大热为臣药，做成如鸡头实大的丸药，空心用沸水送服百余丸，这是病位远且奇偶不分，制大其服量。
【《黄帝内经·素问》】病势高亢的抑制它，病势下陷的提升它。（出自《至真要大论》。王冰注解说：高者抑之，是制约其胜气。下者举之，是救济其虚弱）
【滑寿】热在至高之分，所以用轻剂，从高处以抑制它，治疗从缓。如果急服，上热未除，中寒已生（如治疗大头痛，用酒煨大黄及黄连、黄芩、甘草、粘子煎汤，细细呷之之类就是如此）。
【《太平惠民和剂局方》】养正丹（方见眩运门）
【李杲（东垣）】柴胡调经汤 一位妇人月经黑血凝结成块，左侧有血瘕，水泻不止，谷物有时消化，有时不消化。东垣说：经漏不止，是前阴的气血已经下脱了。水泻数年不愈，是后阴的气血下陷，也已经脱了。这是病患周身之气，常行秋冬之令，久沉久降，应当大举大升，以助春夏之气。其次用四物汤，随显证加减。（调经汤方见血崩）
【朱震亨（丹溪）】一位妇人产后有物如衣裙，一半在腹内，一半在席子上，医生不能理解。先生说：这是子宫。气血虚，随胎儿而下不能收回，即给予黄芪、当归的药剂，并加升麻提升它，仍用外攻之法，用五倍子作汤洗濯，使其皮肤皱缩从而缓慢收敛，一会儿子宫复位。先生安慰她说：三年后可以再生孩子，不用担心。后来果然如此。
【《黄帝内经·灵枢》】脉象陷下的用灸法（东垣说：陷者皮毛不任风寒，知道阳气下陷。其脉虽数，中间必得细强而紧小，或沉涩覆于其上，知道是热火陷下。虽然脉八九至，甚数疾，而阴脉覆于其上的，可灸。阴脉是指细强紧小沉涩的脉）。
【《黄帝内经·素问》】气机反逆的，病在上取之下，病在下取之上，病在中旁取之。（出自《五常政大论》）
【朱震亨（丹溪）】一名男子小便不通，医生用治痢疾的药治疗反而加剧。丹溪说：这是积痰病。积痰在肺，肺为上焦，而膀胱为下焦，上焦闭塞则下焦阻塞，譬如滴水之器，必须上窍通，而后下窍之水出。于是用吐法大吐之，吐完后，病如失。又治一老人泄痢，百方不应，膈闷食减，丹溪给吐剂，吐出胶痰约一升，而痢止。（详见久痢。此上二法，也是下者举之的意思。夫小便不通，气血壅塞于下焦也。泄泻日久，气血降沉于下焦也。今大吐之，则一身血气皆升浮而复于上焦，则下之壅塞者流通，降沉者升举，故皆痊也）
病在上，取之下，如呃逆、喘满、上气的，灸脐下丹田、足三里，引气下降，其病立即痊愈之类就是如此。
【王冰注】上盛不已，用吐法脱之。下盛不已，用下法夺之。
【《保命集》】张仲景说：伤寒三四日，邪气未传于里，只用瓜蒂散吐而痊愈，岂可用发汗法。又伤寒六七日，胸中微闷，不欲言，懊恼昏眩，无下证，张仲景栀子汤吐之立可。又说：中风不知人事，也不须发汗，喉中呷喝有声，用稀涎散吐之。又说：风头痛，若不吐涎，久则瞽目而不治，用瓜蒂散吐之，三吐而痊愈。又暴嗽风涎上壅，咽塞不利，茶调散吐之；阳痫久不愈，未成痴呆，用导涎散吐之；又阴痫，用三圣散吐之。又膏粱之人，多食生冷，化虫伏于胸中，胸膈不快，噎食不下，用藜芦散吐之。又久患胁痛，诸药不能治，用独圣散加蝎梢半钱吐之。诸痫不时发作，不知人事，用半生熟汤吐之。暗风病久不愈，发过如旧，用郁金散吐之。疟疾久不愈，发寒热无时，用常山散吐之。蛟龙瘕痛，腹胀如鼓，久不愈欲死，用糖球散吐之，吐出其物形如蜥蜴，长七八寸，也可以。一人初患伤寒，饮冷，心腹闷，身热，见食则呕吐，用赤小豆散吐之。妇人筋挛急痛，用神应散吐之。有人说：筋病吐之为什么？答曰：木郁达之。所谓达者，令其条达。或者又有打扑坠损，先吐之，用金花散；后下之，用承气汤。盖承者，顺也。偏枯证半身不遂者，用追风散吐之。头风后，有目疾，眼有半明可救者，用防风散吐之。小儿上喘嘲热，先用郁金散吐之，后用镇涎散下之，立效。治颠狂病久不已，用三圣散吐之，后大下之。诸风掉摇，目直不知人事，便可用悬头膏吐涎，立效。胸膈满，背痛，或臂疼，可先用祛风汤吐之，后服乌药散。厉风或疮疡恶疮，便用三圣散吐之，后服苦参丸。诸厥气，中风不省人事，便用神圣散鼻内灌之，吐出涎立效。破伤风牙关紧急，角弓反张，亦用神圣散吐之，吐后汗下之，效。三法俱用之者，乃上古高医，神妙莫测，今庸下之流，止看诸方，不知治法，不识源流，不行圣人法，去圣日浸远矣。可惜悲哉！
【朱震亨（丹溪）】凡吐，取逆流水调药吐之。凡药升动真气者，皆能吐。如防风、桔梗、芽茶、山栀、川芎、萝卜子，以姜汁、醋少许，瓜蒂散少许，入齑汁温服之，以鹅毛钩探之。
【张子和】稀涎散
猪牙皂角（不蛀者，去皮弦，一两） 绿矾（五钱） 藜芦（半两）
上为细末。每服半钱，或一二钱，斡开牙关，浆水调灌之。
【朱震亨（丹溪）】吐食积痰，用萝卜子五合，油炒擂，入浆水摅汁，入桐油、白蜜少许，旋旋半温，用帛紧束肚皮，然后用鹅毛搅喉中令吐。又法，用虾带壳半斤，入酱、姜、葱等料物煮汁，先吃虾，后饮汁，以鹅翎钩引即吐，必须紧勒腹肚。吐肥人湿痰，用益元散齑汁调下，探引吐之。
【世传】豆参散 吐痰轻剂。
赤小豆 苦参
上为末。酸浆水调服，用鹅翎探之。
【朱震亨（丹溪）】吐法单药
桔梗芦 人参芦 艾叶 末茶 瓜蒂 藜芦 附子尖 砒
此数味皆自吐，不用手法探引，但药汤皆可吐，虚病症用人参芦吐之。
【张子和】三圣散
防风（二两，去芦） 瓜蒂（三两，拣净，炒微黄） 藜芦（《圣惠方》减用之或一两，或半两，或三钱）
上各为粗末。每服约半两，以齑汁三茶盏，先用二盏煎三五沸，去齑汁，次入水一盏，煎至三沸，却将先二盏同一处熬二沸，去渣澄清，放温，徐徐服之。以吐为度，不必尽剂。
【朱震亨（丹溪）】一方用
郁金（半两） 藜芦（一钱） 苦参（一钱）
上为末。齑汁调吐，如吐不止，丁香一粒止之。又不止，葱白汤呷之。
治风涎用天南星一枚，中开一窍如粟米大，好醋纳于中，焙干，如此三次，藜芦二钱半，并为末。酒糊丸。每三五丸，空心温酒下，一饭时自吐。如未吐，再三丸。如涎尽呕不止，冷葱白汤止之。
【张仲景】瓜蒂散（方见“伤寒香港脚上冲”。《活人》服瓜蒂法，附于后）
《衍义》云：凡用瓜蒂，良久涎未出者，含砂糖一块，下咽即涎吐之。
【张子和】二仙散
瓜蒂 好茶各等分
为细末。每服二钱，齑汁调下，空心用之。
【《衍义》】瓜蒂，此即甜瓜蒂也，去瓜皮，用蒂，约半寸许，暴极干，不限多少，细末，量疾，每用一二钱，腻粉一钱匕，以水半协议调匀，灌之。治风涎暴作，气塞倒卧，服之良久，涎自出。或觉有涎，用诸药行化不下，但如此服，涎即出。
【《和剂局方》】碧露丹
石绿（细研，九度飞过，十两） 附子尖 川乌尖 蝎梢（各七十个）
上为末。入石绿令匀，糊丸鸡头大。每服用薄荷汁半盏，化下一丸。更以酒半合温服之，须臾吐出痰涎。
上吐痰热剂。凡吐痰，用寒剂，累累吐不透者，必用热剂吐之方透。丹溪用瓜蒂、栀子、苦参、藜芦等剂，累吐许白云先生不透，后以附子尖和浆水与之，始得大吐也。
【张子和】独圣散
用砒不以多少，为细末。每服一字，以新水调下，斡开牙关灌之，寻常勿用。
【世传】治痰喘。
砒一钱，面二两，清水捏饼，香油煮黄色为末。每用末子一铜钱面，江茶三铜钱面，调匀，五更井水调下。如不吐，可添半铜钱面，次日再服。
【张子和】青黛散 搐鼻取涎，神妙（方见《头痛》。气实痿热结，吐难出者，必先二三次用苦梗开之）。
【朱震亨（丹溪）】吐法 先以布搭膊勒肚腹，于不通风处行之。凡用探吐鹅毛，须浸以桐油，却以皂荚水洗去油，晒干待用。
【张子和】疗痰者，以钗股鸡翎探引。不出，以齑投之。不吐，再投之。且投且探，无不出者。吐至昏眩，慎勿惊疑。书曰：若药不瞑眩，厥疾不瘳。如发头眩，可饮冰水立解。如无冰水，新汲水亦可。强者一二吐而安，弱者可作三次吐之，庶无损也。吐之次日，有顿复者，有转甚者，盖引之而上未平也，数日当再为之。如觉渴者，冰水新水瓜梨凉物皆不禁，惟禁食过饱，硬物干脯难化之物。一医吐一妇人，半月不止，命悬须臾，予煎麝香汤解之，下咽立止。或问麝香何能止吐？予谓之曰：瓜苗闻麝香即死，吐者，瓜蒂也，所以立解。如藜芦吐者不止，以葱白汤解之。如石药吐者不止，以甘草、贯众解之。诸草木吐者，可以麝香解之。（丹溪云：丁香、甘草、白术总解诸药）。吐药之苦寒者，有豆豉、瓜蒂、茶末、栀子、黄连、苦参、大黄、黄芩。苦辛而寒者，有郁金、常山、藜芦。甘苦而寒者，有地黄汁。辛而寒者，有轻粉。酸而寒者，有晋矾、绿矾、齑汁。酸辛而寒者，有胆矾。酸咸而寒者，有青盐、白米饮。甘咸而寒者，有沧盐。甘而寒者，有牙硝。甘而微温且寒者，有人参芦。苦而温者，有木香、远志、浓朴。辛苦而温者，有薄荷、芫花。辛而温者，有谷精草、葱根须。甘而温者，有乌头、附子尖。酸而温者，有饭浆。咸而温者，有皂角。辛而热者，有蝎梢
[Suwen] Heaven is deficient in the northwest, therefore the northwest belongs to Yin, and people's right ear and eye are not as acute as the left. Earth is incomplete in the southeast, therefore the southeast belongs to Yang, and people's left hand and foot are not as strong as the right. The Yellow Emperor asked: Why is this? Qibo replied: The East belongs to Yang; the essence of Yang gathers in the upper part. When it gathers in the upper part, the upper becomes excess and the lower deficiency, thus the ears and eyes are acute but the hands and feet are inconvenient. The West belongs to Yin; the essence of Yin gathers in the lower part. When it gathers in the lower part, the lower becomes excess and the upper deficiency, thus the ears and eyes are not acute but the hands and feet are convenient. Therefore, if simultaneously affected by pathogenic factors, those in the upper part will be more severe on the right, and those in the lower part will be more severe on the left. This is because the Yin and Yang of Heaven and Earth cannot be complete, so the pathogens reside there (from *Da Lun on Yin-Yang and Resonance*). Headache and diseases of the vertex belong to lower deficiency and upper excess, affecting the Foot Shaoyin Kidney Meridian and Foot Taiyang Bladder Meridian; in severe cases, the pathogen enters the Kidney. Dizziness, swaying head, blurred vision, and deafness belong to lower excess and upper deficiency, affecting the Foot Shaoyang Gallbladder Meridian and Foot Jueyin Liver Meridian; in severe cases, the pathogen enters the Liver. Abdominal fullness and distension, limb obstruction and hypochondriac discomfort belong to lower Jue and upper covering, affecting the Foot Taiyin Spleen Meridian and Foot Yangming Stomach Meridian. Cough and rebellious Qi with rebellion in the chest affect the Hand Yangming Large Intestine Meridian and Hand Taiyin Lung Meridian. Heart vexation and headache, disease in the diaphragm, affect the Hand Taiyang Small Intestine Meridian and Hand Shaoyin Heart Meridian (from *Da Lun on Generation of Five Zang Organs*).
[Ling shu] Lower deficiency leads to Jue, lower excess leads to heat, upper deficiency leads to dizziness, upper excess leads to heat.
[Li Gao (Dongyuan)] If the pulse at both Cun positions is excess (called Yang excess and Yin deficiency, purgation cures it); if both Cun pulses are deficient (called both Yin and Yang deficiency, tonifying Yin exhausts Yang, tonifying Yang exhausts Yin, suitable to regulate with sweet medicines); if both Cun pulses are insufficient, seek from the Earth, which refers to the Spleen and Stomach (should draw Yang from Yin). If both Cun pulses are short and small, it is Yang Qi insufficiency, disease is in the lower part, called Yin excess and Yang deficiency. Acupoints Xiaguling (Zusanli) and Sanli should be taken. Regulating formless Qi and harmonizing Jing is the method, referring to the methods in *Wu Luan*, treating insufficiency diseases. One should take the Front-Mu point Qihai, located 1.5 cun below the umbilicus. In severe cases, take Zusanli and Qichong, guiding with filiform needles. If both Guan pulses are excess (not inducing sweating above, not promoting urination below, suitable for Shaoyao Tang to drain Earth excess); if both Guan pulses are deficient (pulse deep and fine suitable for Lizhong Tang, pulse wiry and slow suitable for Jianzhong Tang, if excess add Huangqi and Fuzi); if both Chi pulses are excess (Yin excess and Yang deficiency, sweating cures it); if both Chi pulses are deficient (suitable for Jiangfu Tang to tonify Yang. Question: Why tonify Yang for Yin deficiency? Answer: Yin originates from Yang. Zhang Zhongjing said: If both Chi pulses are deficient, do not use purgation; purgation is contrary treatment, leading to death); if both Chi pulses are absent or short/small, the disease is in Heaven (upper), seek from the Back-Shu points of the Five Zang organs, or latent fire in blood collaterals and meridians (this is Yin fire in Heaven, so Yang cannot store. Also, *Nanjing* says: No pulse in the lower part, or exhaustion of both Chi pulses, is due to food stagnation, should use emesis).
[Suwen] Rapid arrival and slow departure of the pulse indicate upper excess and lower deficiency, constituting severe Jue disease. Slow arrival and rapid departure indicate upper deficiency and lower excess, constituting aversion to wind (from *Jingwei Lun on Pulse Essentials*). Tonifying the upper and treating the upper requires a slow preparation; tonifying the lower and treating the lower requires a rapid preparation. Rapid means strong flavor and substance, slow means weak flavor and substance, ensuring the medicine reaches its destination. For distant diseases where the middle path consumes the medicine's energy, eating can assist the medicine's journey without exceeding the system. Thus, the way to balance Qi is: for nearby locations and odd/even pulse patterns, make the dosage small; for distant locations and odd/even pulse patterns, make the dosage large. Large means few doses, small means many doses, up to nine times, down to two times (from *Yaoyao Lun on Supreme Necessity*. Near and far refer to the position of Zang-Fu organs).
[Luo Tianyi] Disease in the upper part belongs to Heaven; decoction should use vigorous fire, be clear/light, drunk slowly, and processed with wine (washing/soaking). Disease in the lower part belongs to Earth; decoction should use gentle fire, be concentrated, drunk quickly.
[Li Gao (Dongyuan)] For disease in the upper part, frequent small doses are not tiresome; for disease in the lower part, single large doses are not tiresome. Small doses nourish Ying Qi in the upper part; large doses strongly tonify the lower part. For disease in the upper Heart, eat first then take medicine. For disease in the lower Heart, take medicine first then eat. When using Huangqin, Huanglian, Banxia, and Zhimu for diseases in the head, face, and skin of the hands, one must use a cup of wine to borrow its ascending power. Below the throat and above the umbilicus, wash with wine; below, use raw herbs. Generally, raw herbs descend and cooked herbs ascend. For herbs, the upper half of the root has ascending Qi and pulse, considered the root; the lower half has descending Qi and pulse, considered the tip. Use roots for Middle and Upper Jiao diseases, tips for Lower Jiao diseases, so roots ascend and tips descend. Pills for下部 diseases are large and smooth; for Middle Jiao diseases, medium; for Upper Jiao diseases, very small. Thick wheat paste allows slow digestion reaching the Lower Jiao; thin wheat paste allows easy digestion; pills made from soaked overnight steamed bread or dripping water also digest easily.
[Luo Tianyi] Master Dongyuan treated Xiao Ke (Wasting-Thirst) with Ganlu Yin Zi made into a coarse powder, licked frequently by the tongue to stay in the Diaphragm, a slow preparation. For heart vexation, desire to vomit, palpitations, and insomnia, he used Chen Sha An Shen Wan, rice-grain sized, swallowed with saliva about ten pills. This is near location and odd/even pattern, making the dosage small (Heart and Lung are upper/near. Small dosage prevents downward movement). For foul odor, he prepared Xie Gan Tang, citing *Nanjing*: Heart governs five odors, entering Liver as foul odor. Chaihu (bitter, neutral, slightly cold) is the Sovereign drug; Longdan (bitter, cold) assists to drain Heart Fire; Zexie and Cheqianzi (sweet, salty, cold, plain, mild)渗利 (percolate/drain) Liver pathogens, "draining what is below". Boiled with much water and taken in one dose, this is a rapid preparation. For Lower Jiao Yin deficiency, he prepared Zishen Wan, Huangbo (very bitter, cold) as Sovereign, Zhimu (bitter, cold) as Assistant, Guizhi and Gancao (pungent, sweet, very hot) as Minister, made into pills the size of corn kernels, taken with boiling water over 100 pills on an empty stomach. This is distant location and odd/even pattern, making the dosage large.
[Suwen] Suppress what is high, lift what is low (from *Yaoyao Lun on Supreme Necessity*. Wang Bing's commentary: Suppressing the high controls its dominance; lifting the low aids its weakness).
[Hua Shou] Heat in the highest division uses light agents to suppress from above, treating slowly. If taken rapidly, upper heat remains while middle cold arises (e.g., treating severe headache with wine-baked Dahuang, Huanglian, Huangqin, Gancao, and Niu Bang Zi decoction, sipped slowly).
*[Taiping Huimin Heji Jufang]* Yangzheng Dan (Formula seen in Xuanyun section).
[Li Gao (Dongyuan)] Chaihu Tiaojing Tang A woman had menstrual black blood coagulated into masses, a blood mass (Xuejia) on the left side, continuous watery diarrhea, grain sometimes digested, sometimes not. Dongyuan said: Continuous menstrual leakage means Qi and Blood of the anterior orifice have descended and escaped. Years of watery diarrhea mean Qi and Blood of the posterior orifice have sunk and escaped. The patient's whole body Qi follows Autumn/Winter commands, sinking and descending for long; it needs great lifting and ascending to aid Spring/Summer. Then use Siwu Tang, modified according to obvious symptoms (Tiaojing Tang formula seen in Bengang section).
[Zhu Zhenheng (Danxi)] A woman postpartum had a thing like a skirt, half in the abdomen, half on the mat, doctors did not understand. Mr. Zhu said: This is the uterus. Qi and Blood are deficient, following the fetus down and unable to return. He gave Huangqi and Danggui formulas, adding Shengma to lift it. Externally, he used Wubeizi decoction to wash, causing the skin to wrinkle and contract slowly, after a while the uterus rose. He comforted her: You can bear another child in three years, do not worry. It happened as predicted.
*Ling shu* When the pulse sinks, use moxibustion (Dongyuan said: Sinking means skin and hair cannot withstand Wind-Cold, knowing Yang Qi has sunk. Although the pulse is rapid, internally it must be fine, strong, tight, small, or deep and choppy covered on top, knowing Fire-Heat has sunk. Even if the pulse is 8-9 beats per breath, very rapid, if the Yin pulse covers it, moxibustion can be used. Yin pulse refers to fine, strong, tight, small, deep, and choppy).
[Suwen] When Qi rebels, treat the lower for disease in the upper, treat the upper for disease in the lower, treat the sides for disease in the middle (from *Wuchang Zheng Da Lun*).
[Zhu Zhenheng (Danxi)] A man suffered from urinary retention; doctors treated with dysentery medicines, worsening the condition. Danxi said: This is accumulated Phlegm-Dampness. Accumulated Phlegm is in the Lung (Upper Jiao), while the Bladder is Lower Jiao. Upper Jiao closure causes Lower Jiao blockage, like a water vessel: only when the upper aperture is open does water flow from the lower. So he used emesis to induce heavy vomiting; after vomiting, the illness disappeared. He also treated an elderly man with chronic diarrhea and dysentery unresponsive to hundred remedies, with chest oppression and reduced appetite. Danxi gave an emetic, expelling a liter of sticky Phlegm, stopping the dysentery (See *Chronic Dysentery*. These two methods also reflect "lifting what is low". Urinary retention is Qi and Blood congestion in Lower Jiao. Chronic diarrhea is Qi and Blood sinking in Lower Jiao. Now, heavy vomiting lifts all Qi and Blood to float back to Upper Jiao, clearing Lower Jiao congestion and lifting sinking Qi, thus curing both).
For disease in the upper, treat the lower: e.g., hiccup, wheezing/fullness, rebellious Qi, moxa Qihai and Zusanli below the umbilicus to guide Qi downward, curing the disease immediately.
[Wang Bing's Commentary] If Upper Excess persists, use emesis to release it. If Lower Excess persists, use purgation to drain it.
*[Baoming Ji]* Zhang Zhongjing said: In Shanghan (Cold Damage) days 3-4, pathogen not yet transmitted to interior, only use Goudi San to vomit and cure, how can sweating be used? Again, Shanghan days 6-7, slight chest stuffiness, unwilling to speak, restlessness, dizziness, no signs for purgation, Zhang Zhongjing's Zhizi Tang induces vomiting for immediate relief. Also: Stroke with loss of consciousness need not sweat; if rattling sound in throat, use Xixian San to vomit. Also: Wind headache, if Phlegm-Saliva not vomited, blindness ensues untreatable; use Goudi San to vomit, three times cures. Also: Sudden cough with Wind-Phlegm blocking upward, throat obstruction, use Chatiao San to vomit; Yang Epilepsy long untreated, not yet dementia, use Daoxian San to vomit; Yin Epilepsy, use Sansheng San to vomit. Also: People rich in rich food, eating too much raw/cold food, parasites hide in chest, chest discomfort, choking food down, use Lilu San to vomit. Also: Long-term hypochondriac pain unresponsive to drugs, use Dusheng San plus Scorpion tail half qian to vomit. Various epilepsies occurring anytime, loss of consciousness, use Banshengshu Tang to vomit. Hidden Wind disease long untreated, returning to normal after attack, use Yujin San to vomit. Malaria long untreated, irregular chills/fever, use Changshan San to vomit. Jiaolong mass pain, abdominal distension like drum, long untreated dying, use Tangqiu San to vomit, expelling object like lizard 7-8 cun long, acceptable. One person initially had Shanghan, drank cold, chest/abdomen stuffy, fever, vomiting upon seeing food, use Chixiaodou San to vomit. Woman with tendon spasm/pain, use Shenyingsan to vomit. Someone asks: Why vomit for tendon disease? Answer: Wood stagnation should be dispersed ("Da"). Dispersing means allowing free growth. Or for trauma/falls, first vomit with Jinhua San; then purge with Chengqi Tang. "Cheng" means following. Hemiplegia, use Zhuifeng San to vomit. After Head Wind, eye disease, half vision recoverable, use Fangfeng San to vomit. Children with upper wheezing/fever, first Yujin San to vomit, then Zhenxian San to purge, immediate effect. Treat Mania long untreated, use Sansheng San to vomit, then heavy purge. All Wind shaking/trembling, eyes straight, loss of consciousness, use Xuantou Gao to vomit Phlegm-Saliva, immediate effect. Chest/Diaphragm fullness, back/arm pain, first Qufeng Tang to vomit, then Wu Yao San. Leprosy or malignant sores, use Sansheng San to vomit, then Kushen Wan. All Jue Qi, stroke unconscious, use Shensheng San nasal instillation, vomiting Phlegm-Saliva immediate effect. Traumatic Wind jaw stiffness/opisthotonos, use Shensheng San to vomit, then sweat/purge after, effective. Using all three methods belongs to ancient high physicians, divine and unfathomable. Modern mediocre doctors only look at formulas, don't know treatment methods, origins, don't follow Sage's laws, drifting further from Sages day by day. Pity! Sad!
[Zhu Zhenheng (Danxi)] For all vomiting, use reverse-flowing water to mix medicine and vomit. Any medicine that raises True Qi can cause vomiting. e.g., Fangfeng, Jiegeng, sprouted tea, Zhizi, Chuanxiong, Luobozhi, with ginger juice/vinegar少许, Goudi San少许, mixed in vegetable juice warm, probe with goose feather.
[Zhang Hezi] Xixian San
Zhuya Zaojiao (uncorroded, remove skin/string, 1 liang) Lvfan (5 qian) Lilu (0.5 liang)
Grind to fine powder. Take 0.5 qian or 1-2 qian, pry open teeth, mix with grain water and pour in.
[Zhu Zhenheng (Danxi)] To vomit food accumulation/phlegm, use 5 he of Luobozhi, stir-fry in oil, pound, extract juice with grain water, add少许 Tongyou and Baimi, warm slightly, bind belly tightly with cloth, then stir throat with goose feather to induce vomiting. Another method: 0.5 jin shrimp with shell, boil with soy sauce/ginger/scallion, eat shrimp first, drink broth, probe with goose feather to vomit, must tighten belly. To vomit damp-phlegm in fat people, use Yiyuan San mixed in vegetable juice, probe to vomit.
[Worldly/Secular] Doucan San Light agent to vomit phlegm.
Chixiaodou Kushen
Grind to powder. Mix with sour grain water, probe with goose feather.
[Zhu Zhenheng (Danxi)] Single herbs for vomiting
Jiegeng Lu Renshen Lu Aiye Mocha Goudi Lilu Fuzui Jiao Pi
These several items vomit themselves, no need for manual probing, any decoction can vomit; for deficiency syndromes use Renshen Lu to vomit.
[Zhang Hezi] Sansheng San
Fangfeng (2 liang, remove radix) Goudi (3 liang, select clean, stir-fry slightly yellow) Lilu (*Shenghui Fang* reduce to 1 liang, 0.5 liang, or 3 qian)
Grind each to coarse powder. Take approx 0.5 liang, with 3 tea cups of vegetable juice. First boil 2 cups 3-5 boils, discard vegetable juice, add 1 cup water, boil 3 boils, then mix previous 2 cups together boil 2 boils, filter clear, warm, drink slowly. Stop when vomiting occurs, no need to finish dose.
[Zhu Zhenheng (Danxi)] Another formula uses:
Yujin (0.5 liang) Lilu (1 qian) Kushen (1 qian)
Grind to powder. Mix with vegetable juice to vomit. If vomiting doesn't stop, one Dingxiang stops it. If still not stopping, drink Scallion White Decoction.
To treat Wind-Phlegm, use one Tian Nanxing, open hole like millet grain in center, fill with good vinegar, bake dry, repeat 3 times. Mix with 2.5 qian Lilu, grind to powder. Wine paste pills. Take 3-5 pills, empty stomach warm wine, vomit after one meal time. If not vomiting, take 3-5 more pills. If Phlegm exhausted but vomiting continues, cold scallion white soup stops it.
[Zhang Zhongjing] Goudi San (Formula seen in "Shanghan Hong Kong Foot Upward Rushing". *Huoren* method of taking Goudi attached below)
*Yanyi* says: Whenever using Goudi, if after long time no Phlegm-Saliva comes out, hold a piece of rock sugar, swallow, and Phlegm-Saliva will vomit out.
[Zhang Hezi] Erxian San
Goudi Good Tea equal parts
Grind to fine powder. Take 2 qian, mix with vegetable juice, use empty stomach.
*[Yanyi]* Goudi is Sweet Melon Pedicel. Remove melon skin, use pedicel approx 0.5 cun, sun-dry extremely dry, unlimited amount, grind fine, measure disease, take 1-2 qian each time, mix with 1 qian Nifen (Calomel), half cup water, mix well, pour in. Treat sudden Wind-Phlegm, Qi blocked falling down, after long time drinking, Phlegm-Saliva comes out. Or feel Phlegm-Saliva, use other medicines to transform but won't come out, just take this way, Phlegm-Saliva comes out.
*[Heji Jufang]* Bilu Dan
Shilu (fine grind, passed through sieve 9 times, 10 liang) Fuzui Jiao Chuanwui Jiao Xieshao (each 70 pieces)
Grind to powder. Mix Shilu evenly, paste pills corn kernel size. Each dose melt one pill in half cup mint juice. Further warm drink half he wine, shortly vomit Phlegm-Saliva.
Above are agents to vomit Phlegm-Heat. Generally to vomit Phlegm, use cold agents; if repeatedly vomiting fails to penetrate, must use hot agents to vomit to penetrate. Danxi used Goudi, Zhizi, Kushen, Lilu etc. repeatedly vomited Master Baiyun but didn't penetrate, later with Fuzui Jiao mixed with grain water, finally got heavy vomiting.
[Zhang Hezi] Dusheng San
Use Pi (Arsenic) any amount, grind fine. Take one zi (measure), mix with new water, pry open teeth and pour in. Usually do not use.
[Worldly/Secular] Treat Phlegm Wheezing.
Pi 1 qian, Flour 2 liang, knead cake with clear water, fry in sesame oil until yellow, grind to powder. Each time take powder size of one copper coin, Jiangcha (river tea) size of three copper coins, mix well, predawn well water mix and take. If not vomiting, add half copper coin powder, take next day again.
[Zhang Hezi] Qingdai San Snuff nose to extract Phlegm-Saliva, divine (Formula seen in *Headache*. Qi excess with Wei-Heat knot, hard to vomit out, must first use Jiegeng 2-3 times to open).
[Zhu Zhenheng (Danxi)] Vomiting Method: First bind abdomen tightly with cloth strap, perform in non-windy place. For goose feather probes, soak in Tongyou, then wash oil off with Zaojiao water, sun dry for use.
[Zhang Hezi] Treating Phlegm, probe with chicken feather on hairpin shaft. If not coming out, throw vegetable juice in. If not vomiting, throw again. Throw and probe, none fail to come out. If vomiting leads to dizziness/fainting, do not panic. Book says: If medicine doesn't cause dizziness/heaviness, severe disease won't heal. If head dizziness occurs, drink ice water to resolve immediately. If no ice water, fresh drawn water is okay. Strong people settle after 1-2 vomits, weak people can do 3 times vomiting, little harm. Next day after vomiting, some relapse instantly, some worsen, because lifting hasn't stabilized, do again in a few days. If thirsty, ice water, fresh water, melon/pear cool foods not prohibited, only prohibit overeating, hard foods/dried meat hard to digest. One doctor vomited a woman, lasted half month, life hanging by thread, I decocted Shexiang Tang to resolve, swallowed stopped immediately. Asked why Shexiang stops vomiting? I said: Melon seedlings die smelling Shexiang. Vomiters use Goudi, so it resolves immediately. If Lilu vomiting doesn't stop, Scallion White Soup resolves it. If Stone Medicine vomiting doesn't stop, Gancao and Guanzhong resolve it. All plant/herb vomiters can be resolved by Shexiang. (Danxi said: Dingxiang, Gancao, Baizhu generally resolve all medicines). Bitter-cold vomiting medicines include: Douchi, Goudi, tea powder, Zhizi, Huanglian, Kushen, Dahuang, Huangqin. Bitter-pungent-cold: Yujin, Changshan, Lilu. Sweet-bitter-cold: Dihuang juice. Pungent-cold: Qingfen. Sour-cold: Jinjian, Lvfan, vegetable juice. Sour-pungent-cold: Danfan. Sour-salty-cold: Qingyan, Baimi Yin. Sweet-salty-cold: Cangyan. Sweet-cold: Yanxiao. Sweet-mild-warm & cold: Renshen Lu. Bitter-warm: Muxiang, Yuanzhi, Houpo. Bitter-pungent-warm: Bohe, Yuanhua. Pungent-warm: Gujingcao, Conggenxu. Sweet-warm: Wutou, Fuzui Jiao. Sour-warm: Fanjiang. Salty-warm: Zaojiao. Pungent-hot: Xieshao.