〔丹〕翻胃即膈噎，大约有四∶血虚、气虚、有热、有痰。治必用童便、竹沥、韭汁、牛羊乳、姜汁。气
虚，入四君子汤；血虚，入四物汤加童便；年少者，四物汤清胃脘血。血燥不润故便涩，年高者不治，治必用
参术辈，关防气虚胃虚。一中年妇人患反胃，以四物汤加和白陈皮、留尖桃仁、生甘草、酒红花浓煎，入驴尿，
以防其或生虫也，与数十帖而安。
台州一木匠，年二十七，勤于任务，而性巧慧，有一艾妻，且喜酒。病反胃者半载，其面白，其脉涩而不
匀，重取则大而弱，大便八九日方通一次，粪皆燥结如羊屎，甚羸乏无力。予谓精血耗竭也。先与甘蔗汁煎六
君子汤，加附子、大黄与之。伺大便稍润，令谢去任务，卧于牛家，取新温牛乳细饮之，每顿尽一杯，一昼夜
可五六次，以渐而至七八次，其余菜果粥饭，皆不入口。半月而大便润，月余而安。然或口干，盖酒毒未解，
间饮甘蔗汁少许，近两月而安矣。（六君子汤谓人参、茯苓、白术、枳壳、陈皮、半夏各等分，姜、枣煎也。）
翻胃用韭汁二盏、牛乳一盏、生姜汁半盏，和匀温服，效。（别有方见前。）
〔梅〕主反胃，朝食暮吐，旋旋吐者。以甘蔗汁七升，生姜汁一升，二味相和，分为三服。
〔丹〕杭州一男子，四十余岁，患反胃两月矣。口干而不喜饮食，有时不吐，或吐则食物里涎沫而出，吐
后胸膈方快。其脉俱涩，重则弦大。盖其壮年多服金石房中之药所致。时正秋初尚热，遂令其多作竹沥煮罂粟
米为粥，代粥饭与之，每啜一二口而止，却带温频频与之，自此不吐。至旬日稍凉，以流水作稀粥入少竹沥与
之，时间以四物汤加陈皮益其血，月余而安。
〔《食》〕主脾胃气弱，食不消化，呕逆反胃，汤饮不下。粟米半升研粉，水和丸，如桐子大，煮令熟，
点少盐，空心和汁吞下。
〔世〕治翻胃吞酸。饧糖查六两、生姜四两，研细和为饼，晒干。每用饼十两，入甘草一两为末，汤调
下。陈彦正服得效。
阳蓄积病菀而阳气当隔，隔者当泻，不亟正治，粗乃败之。（全文见阴阳。）
隔则闭绝，上下不通，则暴忧之病也。（通评虚实论）
〔洁〕治中焦吐食，由食积与寒气相格，故吐而疼，宜服紫沉丸。
半夏曲（三钱） 乌梅（去核，二钱） 沉香（一钱） 杏仁（去皮尖，一钱） 砂仁（三钱） 丁香（二钱）
槟榔（二钱） 木香（一钱） 陈皮（五钱） 白豆蔻（五分） 白术（一钱） 巴豆霜（五分）
上细末，入巴豆霜令匀，醋糊为丸，如黍米大。每服五十丸，食后姜汤下，愈则止。小儿另丸。一法，反
胃吐食，用橘皮一个浸少时，去白，裹生姜一块，面裹纸封，烧令熟，去外面，煎汤下紫沉丸一百丸，一日
二服。后大便通，至不吐则止。此主寒积气。（《病机》有代赭石、肉果，无白术。）
〔垣〕浓朴丸 主翻胃吐逆，饮食噎塞，气上冲心，腹中诸疾。其药味即与万病紫菀丸同。
浓朴 蜀椒（去目，微炒） 川乌头（炮，去皮。各一两半） 紫菀（去上苗） 吴茱萸（汤洗） 菖蒲
柴胡（去苗） 桔梗 茯苓 官桂 皂角（去皮弦，炙） 干姜（炮） 人参（各二两） 黄连（二两半）
巴豆霜（半两）
上为细末，入巴豆霜匀，炼蜜为剂，旋旋丸如桐子大。每服三丸，渐次加至五七丸，以利为度，生姜汤下，
食后而卧。此药治效与《局方》温白丸同。及治处暑以后秋冬间下痢大效。春夏，加黄连二两。秋冬再加浓
朴（二两）。如治风于春秋，所加黄连、浓朴外，更加菖蒲、茯苓各一两半。如治风痛不愈者，根据春秋加药外，
更加人参、菖蒲、茯苓各一两半。如心之积，加菖蒲、白茯苓为辅。如肝之积，加柴胡、蜀椒为辅。如肺
之积，加黄连、人参为辅。如脾之积，加茱萸、干姜为辅。秋冬久泻不止，加黄连、茯苓。
〔《保》〕反胃大便不通者，是肠胜胃也。服《局方》半硫丸三十丸。大府秘，用后药。
附子（五钱） 巴豆（二个） 砒（一豆许）
上末极细，生姜糊丸，绿豆大。每服一丸，白汤下。
治下焦吐食，朝食暮吐，暮食朝吐，大便不通，宜附子丸。
附子（炮，五钱） 砒（研，半钱） 巴豆霜（一钱）
上同研极细，溶黄蜡为丸，如桐子大。每服一二丸，冷水送下，利为度。利后更服紫菀丸，常服一丸，勿
令再闭。
〔洁〕白术木香散 治寒积气呕吐，腹中痛，是无积也。胃强而干呕，有声无物，脾强而吐，食持击强，是以腹
中痛，当以此药和之。
木香（一钱） 白术（半两） 半夏曲（一两） 槟榔（二钱） 茯苓（五钱） 甘草（四钱） 丁香（一钱）
上为细末。每服一二钱，浓煎芍药生姜汤调下。有积者，痛时手按之愈痛；无积者，按之不痛。
白术散 治胃中虚损及痰而吐者。
半夏曲（五分） 白术 木香 甘草（各一两） 槟榔（三钱半） 茯苓
上为细末。每服二钱，食前姜汤下。
〔罗〕十膈气散 专治十般膈气。冷膈、风膈、气膈、伏膈、热膈、悲膈、水膈、食膈、喜膈，皆病源也。并
因
忧惊冷热不调，又乖将息，更于喜怒无时，贪嗜饮食，因而不化，积滞在膈上，肠鸣痰嗽。岁月渐深，心胸
噎塞，渐至羸瘦，久若不除，必成恶候。
人参 白茯苓 官桂 枳壳 炙甘草 神曲（炒） 麦芽（炒） 广术（炮） 白术 陈皮（去白）
干姜（炮） 京三棱（煨） 诃黎勒（煨，去核，各一两） 浓朴（姜制） 槟榔 木香（以上各五钱）
上为极细末。每服一钱，盐汤点服。如觉脾胃不和，腹胀、心胸满闷，用水一盏，生姜七片，枣二枚，盐
少许，同煎至八分，和渣热服，空心食前。
豆蔻散 治五种膈气。
肉豆蔻（去皮，五个） 木香 人参 浓朴（姜制） 赤茯（去皮） 桂（各半两） 甘草（炙，半两）
槟榔（五钱） 诃黎勒 青皮（各半两） 陈皮（去白，半两） 郁李仁（汤泡，去皮尖，炒黄，半两）
半夏（汤洗了，用生姜捣如泥，堆新瓦上，文武火焙黄，五钱）
上为极细末。每服二钱，入盐少许，如茶点服。若入生姜枣同煎亦佳，不拘时候。能治气补劳，通血脉，
补脾胃，去痰实。
〔《本》〕驴尿治反胃。《外台》载∶昔幼年经患此疾，每食饼及羹粥等，须臾吐出。贞观中，许奉御兄弟
及柴蒋等，时称名医，奉敕令治。医竭其术，竟不能疗，渐至羸惫，死在朝夕。忽有卫士云∶服驴小便极验。
旦服二合，后食唯吐一半。晡时又服二合，人定时食粥，吐即便定。后奏知，大内中五六人患反胃，同服，一
时俱瘥。此药稍有毒，服时不可过多，盛取尿，热服二合。病深者，日服之良验。（《本草》云∶驴尿治 瘕
反胃。又云∶驴尿性冷味甘。）
〔世〕又方 驴尿调平胃散。（平胃散见滞泻。）
新瓦散 治反胃。
用多年瓦一片烧红，入驴尿内 二十一次，研为末；仓米饭焦亦为末。二分饭末，一分瓦末，蜡精和饭丸，
以驴尿和平胃散服之吞下。
〔丹〕翻胃方
黄连（细切，姜汁熳炒，三钱） 山楂肉（一钱） 保和末（六钱）
上粥丸，桐子大。人参汤入竹沥再煎沸热下六十丸。
〔罗〕人参利膈丸 治胸中不利，痰嗽喘满，利脾胃壅滞，便秘，推陈致新，治膈气之圣药也。
木香 槟榔（七钱半） 人参 当归 藿香 甘草 枳实 大黄（酒浸） 浓朴（姜制。各一两）
上为细末，滴水为丸，桐子大。如难丸，少加宿蒸饼和丸。每服三五十丸，食后诸饮下。
〔《本》〕大黄汤 治冷涎翻胃。其候欲发时，先流冷涎，次则吐食。此乃劳证，治不早，死在旦夕。
用大黄一两，生姜自然汁半茶盏。炙大黄令燥，又 入姜汁中，如此 汁尽，切焙为末。每服二钱，陈米
一撮、葱白二茎，水一大盏，煎至七分，先食葱白，次服其药，不十日去根。
〔罗〕玄明粉、朴硝不以多少，煎过澄滤五七遍，晚于星月露至明旦，自然结成青白硝。用一瓦罐按实，
炭火内 ，从慢至紧，自然成汁，煎至不响。再加顶火一 ，取出于净地上倒，合盆去火毒，至晚取出为细末。
每二斤入甘草末二两。每用一钱二钱，桃花汤或葱白汤调下。
治膈上气壅滞，五脏秘塞邪热。忌鱼及藕。
〔丹〕翻胃积饮，通用益元散，生姜自然汁澄清白脚，丸小丸子，时时服。（益元散方见泄泻。）翻胃治用
茱萸、贝母、栝蒌、牛膝草。
〔《本》〕治积聚停饮，痰水生虫，久则成反胃，及变为胃痈，其说在《灵枢》及《巢氏病源》。芫花丸。
芫花（醋炒，秤，一两） 牛膝 野狼牙根 桔梗（炒黄） 藜芦（炒） 槟榔（各半两） 巴豆（十粒，炒黑）
上为细末，醋糊为丸，如赤豆大。每服二三丸，加至五七丸，食前生姜汤下。此方常服，化痰、消坚、杀
虫。予患饮癖三十年，暮年常多杂痰饮来潮，迟即吐，有时饮半杯酒即止，盖合此症也。因读《巢氏病源》
论酒瘕云∶饮酒多而食谷少，积久渐瘦，其病常欲思酒，不得酒则吐，多睡，不复能食，是胃中有虫使然，
名为酒瘕，此药治之。要之须禁酒，即易治，不禁无益也。
〔海〕有杨时者，因患风气冲心，饮食吐逆，遍身枯瘦，日服万病紫菀丸五丸。至二十日，泻出肉块虾蟆
五六枚，白脓二升，愈。又赵侍郎先食后吐，目无所见，耳无所闻，服万病紫菀丸五丸。至十日，泻出青蛇五
七条，下恶脓三升，方愈。（紫菀丸即前治反胃浓朴丸加羌活、独活、防风是也，乃磨积之剂。）
〔世〕治翻胃。用蛔虫火煨为末，肉汁调下。
诸逆冲上，皆属于火。（全文见诊。）
〔世〕治翻胃。大田螺不拘多少，用新水养之，待吐出泥，澄去上清水，后用米筛张地上，却将皮纸铺在
灰上，倾此泥于纸上，候干稠丸如桐子大。每服三十丸，藿香汤下，立愈。仍将田螺放水中，如食之，其病不
安。治反胃多年，壁土和香附子末，米饮汤频频服之。
〔《本》〕治反胃吐食。
白矾（二两） 黄丹（一两）
上为末，入瓦罐内 ，令和取出，以净纸盛放地上，盆盖一宿，再为末，蒸饼丸，如桐子。每服五丸至七
丸，空心温酒下，更量老少虚实与之。
〔罗〕红豆丸 治诸呕逆、膈气、反胃。
丁香 胡椒 砂仁 红豆（各二十一个）
上为细末，姜汁糊为丸，如皂角子大。每服一丸，以大枣一枚去核，填药面裹烧熟，去面细嚼，白汤下。
食前进三服，神效。
丁香附子散 治膈气吐食。
丁香（半两） 槟榔（一大个） 黑附（一个，半两重，炮去皮脐） 硫黄（去石） 胡椒（各二钱）
上先将前四味为末，次入硫黄再研匀。每服二钱，用飞硫黄一个，去毛、翅、足、肠肚，填药在内，用湿
纸五七重裹定，置慢火内烧熟，取出嚼吃，后用温酒送下。一日三服，不拘时候。如不吃荤，酒温粟粥饮调
下。（飞硫黄或云蝙蝠，《本草》无考。）
〔世〕六丁丸治翻胃如神。即香灵丸。（方见呕吐。）
〔《本》〕附子散 治反胃。
用附子一枚极大者，坐于砖上四面着火，渐渐逼熟， 入生姜自然汁中，再用火逼，再 ，约尽生姜汁
半碗，焙干，入丁香二钱。每服二钱，水一盏，粟米少许，同煎七分，不过三服瘥。《斗门方》用粟米饮调下一
钱服之。又方，治男妇小儿唇青面黄，肚里冷疼，引牵小腹，以至翻胃换食，呕吐，口苦舌干，少寤多寐，脚
手牵掣，不拘年日远近，一切脾冷病，悉能除愈。有一妇人，年四十余，久患翻胃，面目黄黑，历三十余年，
医不能效，脾 诸穴烧灸交遍，其病愈甚。服此药七日，顿然全愈。服至一月，遂去其根。自是服之不三五
服，些小脾疾，立便瘥平。保全胃气，能生肌肉、进饮食、顺荣卫。常服大有补益，累试累验，幸毋忽焉。
人参（一两） 茯苓（白者，二两） 附子（七钱以上重者，炮去皮脐） 粉草（一两） 黄 （一两，盐炙）
上为细末。每服三大钱，盐汤煎服。忌生冷油面粘腻等毒物，无不效者，甚妙。
〔罗〕桂香散 治膈气反胃，诸药难瘥，朝食暮吐，甚者食已辄出，其效神速。
水银 黑锡（各三钱） 硫黄（五钱）
上三味，铫内用柳木槌熬研，微火上细研为灰。取出后，用丁香末二钱、桂末二钱、生姜末三钱，都一处
研令匀。每服三钱，黄米粥饮调下一服效，甚者再服。
上丁香、附子例，治翻胃灼见脏腑有寒者服之。丹溪云∶治反胃忌甚燥之剂，犯之必死。设用必与润血
药相兼服。又前泻积条亦香燥剂，用者谨之。
〔《本》〕治男妇小儿远年近日翻胃吐食方。用五灵脂一味，不拘多少为细末，用黄犬胆汁为丸，如龙眼
大。每服一丸，好酒半盏温服。不止再服，不过三服即效。（《衍义》云∶五灵脂行经血有效。《本草》云∶味甘温，疗心
腹
冷气，通气脉，女子月闭。）
【背景信息】
书名：医学纲目 作者：楼英 朝代：明 章节：翻胃(1/2) 类别：医论
【原文翻译】
〔朱丹溪〕翻胃（即膈噎，指饮食难下或食入即吐的病证）大致有四种病因：血虚、气虚、有热、有痰。治疗必须使用童便（儿童尿液）、竹沥（竹子经火烤流出的汁液）、韭汁、牛羊乳、姜汁。若是气虚，加入四君子汤（补气基础方）；若是血虚，加入四物汤（补血基础方）并加童便；年轻人，用四物汤清胃脘之血。血燥导致津液不足故大便干涩，年高者难以治愈，治疗必须用人参、白术这类药物，以固护气虚和胃虚。有一位中年妇人患反胃，我用四物汤加和白陈皮、留尖桃仁、生甘草、酒红花浓煎，加入驴尿，以防其可能生虫，服用数十帖后病情安定。
台州一位木匠，年龄二十七岁，工作勤奋且性格巧慧，有一个贤惠的妻子，并且喜欢喝酒。患反胃病半年，面色苍白，脉象涩而不均匀，重按则大而弱，大便八九天才通一次，粪便干燥结硬如羊屎，身体极度消瘦乏力。我认为这是精血耗竭所致。先给予甘蔗汁煎煮六君子汤（益气健脾方），加入附子、大黄给他服用。等待大便稍润，让他辞去工作，住在牛家，饮用新温的牛乳细细啜饮，每顿喝完一杯，一昼夜可喝五六次，逐渐增加到七八次，其余菜果粥饭，都不入口。半个月后大便变润，一个多月后病情安定。然而有时口干，这是因为酒毒未解，偶尔饮用少许甘蔗汁，近两个月后才完全痊愈。（注：六君子汤由人参、茯苓、白术、枳壳、陈皮、半夏各等分组成，加生姜、大枣煎煮。）
翻胃可用韭汁两盏、牛乳一盏、生姜汁半盏，混合均匀温服，有效。（另有方剂见前文。）
〔梅〕主治反胃，表现为早晨吃晚上吐，或者随即呕吐。用甘蔗汁七升，生姜汁一升，两味药混合，分为三次服用。
〔朱丹溪〕杭州一名男子，四十多岁，患反病两个月了。口干但不想进食，有时不吐，若吐则食物中带有涎沫吐出，吐后胸膈才感觉舒畅。他的脉象都涩，重按则弦大。大概是因为他在壮年时多服用了金石类及房中补药所致。当时正值秋初尚热，于是让他多制作竹沥，煮罂粟米为粥，代替粥饭给他吃，每次只喝一两口就停止，却带着温热频频喂他，从此不再呕吐。到了十天左右天气稍凉，用流动的水煮稀粥加入少量竹沥给他吃，偶尔用四物汤加陈皮来益血，一个多月后病情安定。
〔《食疗本草》〕主治脾胃气弱，食物不消化，呕逆反胃，汤水饮料无法咽下。粟米半升研成粉，用水和丸，如梧桐子大小，煮熟，点少许盐，空腹连汁吞下。
〔世传方〕治疗翻胃吞酸。饴糖六两、生姜四两，研细混合做成饼，晒干。每次用饼十两，加入甘草一两研末，开水调服。陈彦正服用此方得效。
阳气蓄积郁结而阳气应当阻隔，阻隔者应当泻除，如果不紧急进行正确治疗，粗疏的医生就会败坏病情。（全文见阴阳篇。）
隔塞则闭绝，上下不通，这是暴忧所致的情志病。（出自《素问·通评虚实论》）
〔李东垣〕治疗中焦吐食，由于食积与寒气相格拒，所以呕吐且疼痛，适宜服用紫沉丸。
半夏曲（三钱） 乌梅（去核，二钱） 沉香（一钱） 杏仁（去皮尖，一钱） 砂仁（三钱） 丁香（二钱）
槟榔（二钱） 木香（一钱） 陈皮（五钱） 白豆蔻（五分） 白术（一钱） 巴豆霜（五分）
以上研为细末，加入巴豆霜令其均匀，醋糊为丸，如黍米大小。每次服用五十丸，饭后姜汤送下，痊愈则停药。小儿另制丸药。另一种方法，反胃吐食，用一个橘皮浸泡片刻，去白，包裹一块生姜，外面用面纸封裹，烧熟，去掉外面，煎汤送下紫沉丸一百丸，一日两次服用。后来大便通畅，到不呕吐为止。此方主治寒积气。（《病机原病式》中有代赭石、肉果，无白术。）
〔张元素〕浓朴丸 主治翻胃吐逆，饮食噎塞，气上冲心，腹中各种疾病。其药味即与万病紫菀丸相同。
浓朴 蜀椒（去目，微炒） 川乌头（炮，去皮。各一两半） 紫菀（去上苗） 吴茱萸（汤洗） 菖蒲
柴胡（去苗） 桔梗 茯苓 官桂 皂角（去皮弦，炙） 干姜（炮） 人参（各二两） 黄连（二两半）
巴豆霜（半两）
以上为细末，加入巴豆霜匀，炼蜜为剂，随时丸如梧桐子大小。每次服用三丸，逐渐增加至五七丸，以利为度，生姜汤送下，饭后躺卧。此药疗效与《局方》温白丸相同。以及治疗处暑以后秋冬间下痢大效。春夏季节，加黄连二两。秋冬再加浓朴（二两）。如治风于春秋季节，所加黄连、浓朴外，更加菖蒲、茯苓各一两半。如治风痛不愈者，根据春秋加药外，更加人参、菖蒲、茯苓各一两半。如心之积，加菖蒲、白茯苓为辅。如肝之积，加柴胡、蜀椒为辅。如肺之积，加黄连、人参为辅。如脾之积，加茱萸、干姜为辅。秋冬久泻不止，加黄连、茯苓。
〔《保命集》〕反胃大便不通者，是肠胜胃也。服用《局方》半硫丸三十丸。大便秘结，用以下药物。
以上研为极细末，生姜糊丸，绿豆大小。每次服用一丸，白开水送下。
治疗下焦吐食，早晨吃晚上吐，晚上吃早晨吐，大便不通，宜用附子丸。
以上同研极细，溶黄蜡为丸，如梧桐子大小。每次服用一二丸，冷水送下，以利为度。利后更服紫菀丸，常服一丸，勿令再次闭塞。
〔李东垣〕白术木香散 治疗寒积气呕吐，腹中痛，是无积滞也。胃强而干呕，有声无物，脾强而吐，食物持击强盛，是以腹中痛，应当以此药调和。
木香（一钱） 白术（半两） 半夏曲（一两） 槟榔（二钱） 茯苓（五钱） 甘草（四钱） 丁香（一钱）
以上为细末。每次服用一二钱，浓煎芍药生姜汤调下。有积滞者，疼痛时手按之更痛；无积滞者，按之不痛。
半夏曲（五分） 白术 木香 甘草（各一两） 槟榔（三钱半） 茯苓
以上为细末。每次服用二钱，饭前姜汤送下。
〔罗天益〕十膈气散 专治十般膈气。冷膈、风膈、气膈、伏膈、热膈、悲膈、水膈、食膈、喜膈，都是病源。皆因忧惊冷热不调，又违背调养，更于喜怒无时，贪嗜饮食，因而不能消化，积滞在膈上，肠鸣痰嗽。岁月渐深，心胸噎塞，逐渐消瘦，久若不除，必成恶候。
人参 白茯苓 官桂 枳壳 炙甘草 神曲（炒） 麦芽（炒） 广术（炮） 白术 陈皮（去白）
干姜（炮） 京三棱（煨） 诃黎勒（煨，去核，各一两） 浓朴（姜制） 槟榔 木香（以上各五钱）
以上为极细末。每次服用一钱，盐汤点服。如果觉得脾胃不和，腹胀、心胸满闷，用水一盏，生姜七片，枣二枚，盐少许，同煎至八分，和渣热服，空心饭前。
豆蔻散 治疗五种膈气。
肉豆蔻（去皮，五个） 木香 人参 浓朴（姜制） 赤茯（去皮） 桂（各半两） 甘草（炙，半两）
槟榔（五钱） 诃黎勒 青皮（各半两） 陈皮（去白，半两） 郁李仁（汤泡，去皮尖，炒黄，半两）
半夏（汤洗了，用生姜捣如泥，堆新瓦上，文武火焙黄，五钱）
以上为极细末。每次服用二钱，入盐少许，如茶点服。如果入生姜枣同煎亦佳，不拘时候。能治气补劳，通血脉，补脾胃，去痰实。
〔《本草》〕驴尿治疗反胃。《外台秘要》记载：昔日幼年曾患此疾，每吃饼及羹粥等，一会儿就吐出。贞观年间，许奉御兄弟及柴蒋等人，当时被称为名医，奉皇帝命令治疗。医生竭尽医术，竟然不能治愈，逐渐消瘦疲惫，死在旦夕。忽然有卫士说：服用驴小便极有效验。早上服用二合，之后吃饭只吐一半。傍晚又服用二合，人定时吃粥，吐了就停止。后来奏知，大内中五六人患反胃，一同服用，一时都痊愈。此药稍有剧毒，服用时不可过多，盛取尿，热服二合。病深者，每日服用良验。（《本草》云：驴尿治疗瘕反胃。又说：驴尿性冷味甘。）
用多年瓦一片烧红，入驴尿内浸二十一次，研为末；仓米饭焦亦为末。二分饭末，一分瓦末，蜡精和饭丸，以驴尿和平胃散服之吞下。
黄连（细切，姜汁熳炒，三钱） 山楂肉（一钱） 保和末（六钱）
〔罗天益〕人参利膈丸 治疗胸中不利，痰嗽喘满，利脾胃壅滞，便秘，推陈致新，治疗膈气的圣药。
木香 槟榔（七钱半） 人参 当归 藿香 甘草 枳实 大黄（酒浸） 浓朴（姜制。各一两）
以上为细末，滴水为丸，梧桐子大小。如果难丸，少加宿蒸饼和丸。每次服用三五十丸，饭后诸饮送下。
〔《本草》〕大黄汤 治疗冷涎翻胃。其症状发作前，先流冷涎，其次则吐食。这是劳证，治疗不早，死在旦夕。
用大黄一两，生姜自然汁半茶盏。炙大黄令燥，又放入姜汁中，如此反复直到姜汁尽，切焙为末。每次服用二钱，陈米一撮、葱白二茎，水一大盏，煎至七分，先吃葱白，次服其药，不超过十天去根。
〔罗天益〕玄明粉、朴硝不以多少，煎过澄滤五七遍，晚于星月露至明旦，自然结成青白硝。用一瓦罐按实，炭火内煅，从慢至紧，自然成汁，煎至不响。再加顶火一煅，取出于净地上倒，合盆去火毒，至晚取出为细末。每二斤入甘草末二两。每次用一钱二钱，桃花汤或葱白汤调下。
治疗膈上气壅滞，五脏秘塞邪热。忌鱼及藕。
〔朱丹溪〕翻胃积饮，通用益元散，生姜自然汁澄清白脚，丸小丸子，时时服。（益元散方见泄泻篇。）翻胃治疗用茱萸、贝母、栝蒌、牛膝草。
〔《本草》〕治疗积聚停饮，痰水生虫，久则成反胃，及变为胃痈，其说在《灵枢》及《巢氏病源》。芫花丸。
芫花（醋炒，秤，一两） 牛膝 野狼牙根 桔梗（炒黄） 藜芦（炒） 槟榔（各半两） 巴豆（十粒，炒黑）
以上为细末，醋糊为丸，如赤豆大小。每次服用二三丸，加至五七丸，饭前生姜汤送下。此方常服，化痰、消坚、杀虫。我患饮癖三十年，暮年常多杂痰饮来潮，迟即吐，有时饮半杯酒即止，大概符合此症。因为读《巢氏病源》论酒瘕云：饮酒多而食谷少，积久渐瘦，其病常欲思酒，不得酒则吐，多睡，不复能食，是胃中有虫使然，名为酒瘕，此药治之。总之须禁酒，即易治，不禁无益也。
〔海藏〕有杨时者，因患风气冲心，饮食吐逆，遍身枯瘦，日服万病紫菀丸五丸。至二十日，泻出肉块虾蟆五六枚，白脓二升，痊愈。又赵侍郎先食后吐，目无所见，耳无所闻，服万病紫菀丸五丸。至十日，泻出青蛇五七条，下恶脓三升，方才痊愈。（紫菀丸即前治反胃浓朴丸加羌活、独活、防风是也，乃磨积之剂。）
诸逆冲上，皆属于火。（全文见诊法篇。）
〔世传方〕治疗翻胃。大田螺不拘多少，用新水养之，待吐出泥，澄去上清水，后用米筛张地上，却将皮纸铺在灰上，倾此泥于纸上，候干稠丸如梧桐子大小。每次服用三十丸，藿香汤送下，立刻痊愈。仍将田螺放水中，如食之，其病不安。治疗反胃多年，壁土和香附子末，米饮汤频频服之。
以上为末，入瓦罐内煅，令和取出，以净纸盛放地上，盆盖一宿，再为末，蒸饼丸，如梧桐子大小。每次服用五丸至七丸，空心温酒送下，更量老少虚实与之。
以上为细末，姜汁糊为丸，如皂角子大小。每次服用一丸，以大枣一枚去核，填药面裹烧熟，去面细嚼，白汤送下。饭前进三服，神效。
丁香（半两） 槟榔（一大个） 黑附（一个，半两重，炮去皮脐） 硫黄（去石） 胡椒（各二钱）
以上先将前四味为末，次入硫黄再研匀。每次服用二钱，用飞硫黄一个，去毛、翅、足、肠肚，填药在内，用湿纸五七重裹定，置慢火内烧熟，取出嚼吃，后用温酒送下。一日三服，不拘时候。如不吃荤，酒温粟粥饮调下。（飞硫黄或云蝙蝠，《本草》无考。）
用附子一枚极大者，坐于砖上四面着火，渐渐逼熟，放入生姜自然汁中，再用火逼，再放，约尽生姜汁半碗，焙干，入丁香二钱。每次服用二钱，水一盏，粟米少许，同煎七分，不过三服痊愈。《斗门方》用粟米饮调下一钱服之。又方，治疗男妇小儿唇青面黄，肚里冷疼，引牵小腹，以至翻胃换食，呕吐，口苦舌干，少寤多寐，脚手牵掣，不拘年日远近，一切脾冷病，悉能除愈。有一妇人，年四十余，久患翻胃，面目黄黑，历三十余年，医不能效，脾俞诸穴烧灸交遍，其病愈甚。服此药七日，顿然全愈。服至一月，遂去其根。自是服之不三五服，些小脾疾，立便瘥平。保全胃气，能生肌肉、进饮食、顺荣卫。常服大有补益，累试累验，幸毋忽焉。
人参（一两） 茯苓（白者，二两） 附子（七钱以上重者，炮去皮脐） 粉草（一两） 黄芪（一两，盐炙）
以上为细末。每次服用三大钱，盐汤煎服。忌生冷油面粘腻等毒物，无不效者，甚妙。
〔罗天益〕桂香散 治疗膈气反胃，诸药难瘥，朝食暮吐，甚者食已辄出，其效神速。
水银 黑锡（各三钱） 硫黄（五钱）
以上三味，铫内用柳木槌熬研，微火上细研为灰。取出后，用丁香末二钱、桂末二钱、生姜末三钱，都一处研令匀。每次服用三钱，黄米粥饮调下一服效，甚者再服。
上述丁香、附子例，治疗翻胃灼见脏腑有寒者服之。丹溪云：治疗反胃忌甚燥之剂，犯之必死。设用必与润血药相兼服。又前泻积条亦香燥剂，用者谨之。
〔《本草》〕治疗男妇小儿远年近日翻胃吐食方。用五灵脂一味，不拘多少为细末，用黄犬胆汁为丸，如龙眼大小。每次服用一丸，好酒半盏温服。不止再服，不过三服即效。（《衍义》云：五灵脂行经血有效。《本草》云：味甘温，疗心腹冷气，通气脉，女子月闭。）
[Background Information]
Book: Medical Outline (Yixue Gangmu)
Author: Lou Ying
Dynasty: Ming
Chapter: Fan Wei (Revolving Stomach) Part 1/2
Category: Medical Discussion
[Translation]
[Zhu Danxi] "Fan Wei" (Revolving Stomach, referring to the condition where food is difficult to swallow or vomited immediately after ingestion) generally has four causes: Blood Deficiency (Xue Xu), Qi Deficiency (Qi Xu), Heat (Re), and Phlegm (Tan). Treatment must utilize Tongbian (Child's Urine), Zhuli (Bamboo Juice), Jiu Zhi (Chive Juice), Niu/Nai Ru (Cow/Sheep Milk), and Jiang Zhi (Ginger Juice). If it is Qi Deficiency, add Si Jun Zi Tang (Four Gentlemen Decoction); if it is Blood Deficiency, add Si Wu Tang (Four Substance Decoction) with Tongbian; for young people, use Si Wu Tang to clear blood in the stomach cavity. Dryness of blood leads to insufficient fluids, causing dry and difficult bowel movements; for the elderly, it is difficult to cure, treatment must use herbs like Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala) to protect against Qi and Stomach Deficiency. A middle-aged woman suffered from Fan Wei; I used Si Wu Tang added with Bai He Chen Pi (White Aged Tangerine Peel), Liu Jian Tao Ren (Peach Kernel with tip retained), Sheng Gan Cao (Raw Licorice), and Jiu Hong Hua (Safflower soaked in wine), decocted strongly, with Donkey Urine added to prevent potential parasitic infection. After taking dozens of doses, her condition stabilized.
A carpenter from Taizhou, aged twenty-seven, was diligent in his work and clever by nature. He had a virtuous wife and liked drinking alcohol. He suffered from Fan Wei for half a year. His face was pale, his pulse was choppy and irregular, heavy pressure revealed a large but weak pulse. Bowel movements occurred only once every eight or nine days, with feces dry and hard like sheep dung. He was extremely emaciated and weak. I considered this to be exhaustion of Essence and Blood. First, I gave him Liu Jun Zi Tang (Six Gentlemen Decoction) decocted with Sugarcane Juice, added with Fu Zi (Aconite) and Da Huang (Rhubarb). Waiting for the stool to soften slightly, I advised him to quit his job and stay at a cowherd's house, sipping fresh warm Cow Milk slowly. Each time he finished one cup, five or six times a day, gradually increasing to seven or eight times. He did not eat any other vegetables, fruits, porridge, or rice. After half a month, his stool softened; after more than a month, he recovered. However, he sometimes felt dry mouth because the Alcohol Toxicity had not been resolved. Occasionally drinking a little Sugarcane Juice, he fully recovered within nearly two months. (Note: Liu Jun Zi Tang consists of Ren Shen, Fu Ling, Bai Zhu, Zhi Qiao, Chen Pi, Ban Xia in equal parts, decocted with Sheng Jiang and Da Zao.)
For Fan Wei, use two cups of Jiu Zhi, one cup of Niu Ru, and half a cup of Sheng Jiang Zhi, mix evenly and take warm. Effective. (Other formulas are seen earlier.)
[Mei] Mainly treats Fan Wei, characterized by eating in the morning and vomiting in the evening, or vomiting immediately after eating. Use seven sheng of Sugarcane Juice and one sheng of Ginger Juice. Mix the two ingredients and divide into three doses.
[Zhu Danxi] A man in Hangzhou, over forty years old, had suffered from Fan Wei for two months. His mouth was dry, and he had no desire to eat. Sometimes he did not vomit; when he did, the vomitus contained saliva and phlegm, and he felt relieved in the chest and diaphragm after vomiting. His pulses were all choppy, and heavy pressure revealed a wiry and large pulse. This was likely caused by his excessive consumption of mineral-based and sexual enhancement medicines during his prime. At that time, it was early autumn and still hot. I instructed him to make much Bamboo Juice, cook Poppy Seeds into porridge to replace regular meals, giving him only one or two mouthfuls at a time, yet offering it frequently while warm. From then on, he stopped vomiting. Ten days later, when the weather cooled slightly, I gave him thin porridge made with flowing water and a little Bamboo Juice. Occasionally, I used Si Wu Tang added with Chen Pi to nourish blood. After more than a month, he recovered.
[Shi Liao Ben Cao] Treats Spleen and Stomach Qi Weakness, indigestion, nausea, reversing stomach, inability to swallow liquids. Take half a sheng of Millet, grind into powder, form pills with water the size of Sophora seeds. Boil until cooked, add a little salt, and swallow with the juice on an empty stomach.
[Worldly Prescriptions] Treats Fan Wei with acid regurgitation. Take six liang of Yi Tang (Maltose) and four liang of Sheng Jiang, grind finely and mix into cakes, then sun-dry. For each use, take ten liang of the cake, add one liang of Gan Cao, grind into powder, and take with boiled water. Chen Yanzheng found this effective.
Yang Qi accumulation and stagnation cause Yang Qi obstruction; obstruction requires purging. If urgent correct treatment is not applied, incompetent doctors will ruin the condition. (Full text see Yin Yang.)
Obstruction leads to closure, upper and lower communication ceases; this is a disease caused by sudden grief. (From Su Wen: Tong Ping Xu Shi Lun)
[Li Dongyuan] Treats mid-jiao vomiting due to Food Stagnation conflicting with Cold Qi, causing vomiting and pain. Suitable to take Zi Chen Wan.
Ban Xia Qu (3 qian), Wu Mei (pitted, 2 qian), Chen Xiang (1 qian), Xing Ren (peeled and tipped, 1 qian), Sha Ren (3 qian), Ding Xiang (2 qian), Bing Lang (2 qian), Mu Xiang (1 qian), Chen Pi (5 qian), Bai Dou Kou (0.5 qian), Bai Zhu (1 qian), Ba Dou Shuang (0.5 qian).
Grind all into fine powder, mix in Ba Dou Shuang evenly, form pills with vinegar paste the size of millet seeds. Take fifty pills per dose, with Ginger Soup after meals. Stop when cured. Children's dosage differs. Another method for Fan Wei vomiting: soak one orange peel briefly, remove white pith, wrap a piece of ginger, seal with flour paper, roast until cooked, remove outer layer, decoct soup, and take one hundred Zi Chen Wan pills with it. Take twice a day. Continue until bowel movement opens and vomiting stops. This formula treats Cold Stagnation Qi. (Ji Yuan Bing Ji includes Dai Zhe Shi and Rou Guo, but no Bai Zhu.)
[Zhang Yuansu] Hou Po Wan mainly treats Fan Wei with vomiting and reverse flow, food dysphagia, Qi rushing to the heart, and various abdominal diseases. Its ingredients are the same as Wan Bing Zi Wan Wan.
Hou Po, Shu Jiao (remove eyes, lightly stir-fried), Chuan Wu Tou (processed, peeled. Each 1.5 liang), Zi Wan (remove upper sprouts), Wu Zhu Yu (rinse with boiling water), Chang Pu, Chai Hu (remove sprouts), Jie Geng, Fu Ling, Guan Gui, Zao Jiao (remove skin and strings, roast), Gan Jiang (processed), Ren Shen (Each 2 liang), Huang Lian (2.5 liang), Ba Dou Shuang (0.5 liang).
Grind into fine powder, mix Ba Dou Shuang evenly, bind with refined honey, form pills the size of Sophora seeds. Take three pills initially, gradually increase to five or seven pills, stopping when loose stools occur. Take with Ginger Soup after meals, then lie down. The efficacy of this medicine is the same as Wen Bai Wan in Ju Fang. It is also highly effective for dysentery between late summer and winter. In spring and summer, add Huang Lian (2 liang). In autumn and winter, add Hou Po (2 liang). For treating Wind in spring and autumn, besides adding Huang Lian and Hou Po, add Chang Pu and Fu Ling (1.5 liang each). For persistent wind-pain, besides spring/autumn additions, add Ren Shen, Chang Pu, and Fu Ling (1.5 liang each). For Heart Accumulation, add Chang Pu and Bai Fu Ling as assistants. For Liver Accumulation, add Chai Hu and Shu Jiao. For Lung Accumulation, add Huang Lian and Ren Shen. For Spleen Accumulation, add Zhu Yu and Gan Jiang. For chronic diarrhea in autumn/winter, add Huang Lian and Fu Ling.
[Bao Ming Ji] Fan Wei with unobstructed bowels indicates Intestines overcoming Stomach. Take thirty pills of Ban Shui Wan from Ju Fang. For severe constipation, use the following medicine.
Fu Zi (5 qian), Ba Dou (2 pieces), Pi (size of a bean).
Grind to extremely fine powder, form pills with Ginger Paste the size of mung beans. Take one pill per dose with plain water.
For lower jiao vomiting, eating in the morning and vomiting in the evening, eating in the evening and vomiting in the morning, with unobstructed bowels, use Fu Zi Wan.
Fu Zi (processed, 5 qian), Pi (ground, 0.5 qian), Ba Dou Shuang (1 qian).
Grind together to extremely fine powder, bind with melted yellow beeswax, form pills the size of Sophora seeds. Take one or two pills per dose with cold water. Stop when loose stools occur. Afterward, take Zi Wan Wan, usually one pill, to prevent re-obstruction.
[Li Dongyuan] Bai Zhu Mu Xiang San treats Cold Stagnation Qi vomiting and abdominal pain, indicating no actual stagnation. Strong Stomach causes dry heaving with sound but no matter; strong Spleen causes vomiting with forceful expulsion, leading to abdominal pain. This medicine should harmonize it.
Mu Xiang (1 qian), Bai Zhu (0.5 liang), Ban Xia Qu (1 liang), Bing Lang (2 qian), Fu Ling (5 qian), Gan Cao (4 qian), Ding Xiang (1 qian).
Grind into fine powder. Take one or two qian per dose, mixed with strongly decocted Shao Yao and Sheng Jiang Soup. If there is stagnation, pressing on the pain makes it worse; if no stagnation, pressing does not hurt.
Bai Zhu San treats vomiting due to Stomach Deficiency and Phlegm.
Ban Xia Qu (0.5 qian), Bai Zhu, Mu Xiang, Gan Cao (Each 1 liang), Bing Lang (3.5 qian), Fu Ling.
Grind into fine powder. Take two qian per dose before meals with Ginger Soup.
[Luo Tianyi] Shi Ge Ge Qi San specializes in treating ten types of Ge Qi. Cold Ge, Wind Ge, Qi Ge, Hidden Ge, Heat Ge, Sadness Ge, Water Ge, Food Ge, Joy Ge are all sources of disease. They arise from worry, fright, imbalance of cold and heat, improper care, untimely emotions, gluttony, leading to indigestion, accumulation in the upper Ge, intestinal rumbling, and coughing with phlegm. As years pass, chest and throat feel blocked, gradually becoming emaciated. If not removed for long, it becomes a malignant condition.
Ren Shen, Bai Fu Ling, Guan Gui, Zhi Qiao, Zhi Gan Cao, Shen Qu (stir-fried), Mai Ya (stir-fried), Guang Zhu (processed), Bai Zhu, Chen Pi (remove white), Gan Jiang (processed), Jing San Leng (roasted), He Li Le (roasted, pitted, Each 1 liang), Hou Po (Ginger processed), Bing Lang, Mu Xiang (Each 5 qian above).
Grind to extremely fine powder. Take one qian per dose with Salt Soup. If feeling Spleen-Stomach disharmony, abdominal distension, chest fullness, decoct one cup of water with seven slices of Sheng Jiang, two dates, and a little salt until reduced to 80%, take hot with dregs before meals on an empty stomach.
Dou Kou San treats five types of Ge Qi.
Rou Dou Kou (peeled, 5 pieces), Mu Xiang, Ren Shen, Hou Po (Ginger processed), Chi Fu (peeled), Gui (Each 0.5 liang), Gan Cao (roasted, 0.5 liang), Bing Lang (5 qian), He Li Le, Qing Pi (Each 0.5 liang), Chen Pi (remove white, 0.5 liang), Yu Li Ren (soaked in water, peeled and tipped, stir-fried yellow, 0.5 liang), Ban Xia (washed in water, mashed with Sheng Jiang into paste, piled on new tile, dried on medium-low fire until yellow, 5 qian).
Grind to extremely fine powder. Take two qian per dose with a little salt, taken like tea. Adding Sheng Jiang and dates for decoction is also good, anytime. It treats Qi deficiency, tonifies labor, unblocks vessels, tonifies Spleen-Stomach, removes phlegm and excess.
[Ben Cao] Donkey Urine treats Fan Wei. Waitai Mi Yao records: In my youth, I suffered from this disease. Whenever I ate cakes, soups, or porridge, I vomited them shortly after. During the Zhenguan era, Xu Fengyu and his brothers, along with Chai Jiang, were renowned physicians. By imperial decree, they treated me. Doctors exhausted their skills but could not cure me. I became increasingly emaciated and weak, death imminent. Suddenly, a guard said: Taking Donkey Urine is very effective. I took two he in the morning, and afterward, only half the food was vomited. In the afternoon, I took another two he. At dusk, I ate porridge, and vomiting stopped. Later reported, five or six people in the palace with Fan Wei took it together and recovered simultaneously. This medicine is slightly toxic; do not take too much. Collect urine, take two he warm. For deep-seated illness, daily administration yields good results. (Ben Cao says: Donkey Urine treats Jia Fan Wei. Also says: Donkey Urine is cold in nature and sweet in taste.)
[Worldly Prescriptions] Another prescription: Donkey Urine mixed with Ping Wei San. (Ping Wei San see Diarrhea section.)
Xin Wa San treats Fan Wei.
Take a piece of old tile, burn red, dip in Donkey Urine twenty-one times, grind into powder. Burn warehouse rice until charred, grind into powder. Mix two parts rice powder with one part tile powder, bind with wax essence and rice paste into pills. Swallow with Donkey Urine and Ping Wei San.
[Zhu Danxi] Fan Wei Formula
Huang Lian (finely cut, stir-fried with Ginger Juice, 3 qian), Shan Zha Rou (1 qian), Bao He Mo (6 qian).
Form pills with porridge, size of Sophora seeds. Take sixty pills with Ren Shen Soup and Zhuli, boiled hot.
[Luo Tianyi] Ren Shen Li Ge Wan treats chest discomfort, phlegm-cough with wheezing and fullness, unblocks Spleen-Stomach stagnation, constipation, pushes out the old and generates the new. It is a sacred medicine for treating Ge Qi.
Mu Xiang, Bing Lang (7.5 qian), Ren Shen, Dang Gui, Huo Xiang, Gan Cao, Zhi Shi, Da Huang (wine-soaked), Hou Po (Ginger processed. Each 1 liang).
Grind into fine powder, form pills with drops of water, size of Sophora seeds. If difficult to pill, add a little leftover steamed dough. Take thirty to fifty pills per dose after meals with various drinks.
[Ben Cao] Da Huang Tang treats Cold Saliva Fan Wei. Symptoms begin with flowing cold saliva, followed by vomiting food. This is a Lao Syndrome (Consumption Syndrome). If not treated early, death is imminent.
Use one liang of Da Huang, half a teacup of fresh Ginger Juice. Roast Da Huang until dry, then soak in Ginger Juice. Repeat until juice is exhausted, slice and dry, grind into powder. Take two qian per dose with a pinch of aged rice, two stalks of scallion white, one cup of water. Decoct to 70%. Eat scallion white first, then take the medicine. Root cause eliminated within ten days.
[Luo Tianyi] Xuan Ming Fen and Po Xiao, regardless of amount, boil, clarify, and filter five to seven times. Leave exposed to stars and moon overnight until naturally forming green-white nitre. Pack tightly in a clay pot, calcine over charcoal fire from slow to tight until it melts and stops sizzling. Add top fire calcination once, pour onto clean ground, cover with basin to remove fire toxicity. Grind into fine powder by evening. Add two liang of Gan Cao powder per two jin. Take one or two qian per dose with Peach Blossom Soup or Scallion White Soup.
Treats Qi stagnation in upper Ge, blockage of Five Zang organs with evil heat. Avoid fish and lotus root.
[Zhu Danxi] For Fan Wei with accumulated fluids, generally use Yi Yuan San. Clarify fresh Ginger Juice, take the clear bottom liquid, form small pills, take occasionally. (Yi Yuan San formula see Diarrhea section.) For Fan Wei treatment, use Zhu Yu, Bei Mu, Gua Lou, and Niu Xi Cao.
[Ben Cao] For accumulation and stagnant fluids, phlegm-water generating worms, which over time become Fan Wei or transform into Stomach Abscess, the theory is in Ling Shu and Chao Shi Bing Yuan. Yuan Hua Wan.
Yuan Hua (vinegar-stir-fried, weighed, 1 liang), Niu Xi, Ye Lang Ya Gen, Jie Geng (stir-fried yellow), Li Lu (stir-fried), Bing Lang (Each 0.5 liang), Ba Dou (10 grains, stir-fried black).
Grind into fine powder, form pills with vinegar paste the size of red beans. Take two or three pills per dose, increase to five or seven pills, take before meals with Ginger Soup. Regular use resolves phlegm, dissipates hardness, and kills parasites. I have suffered from Yin Pi for thirty years. In my later years, I often had mixed phlegm-fluid attacks; if delayed, I vomited. Sometimes drinking half a cup of wine would stop it, fitting this syndrome. Reading Chao Shi Bing Yuan's discussion on Jiu Jia: Drinking much grain but eating little food leads to gradual emaciation. The patient constantly desires wine; without wine, they vomit, sleep much, cannot eat further. This is caused by worms in the Stomach, named Jiu Jia. This medicine treats it. Essentially, one must abstain from alcohol for easy cure; without abstinence, it is useless.
[Hai Zang] There was a person named Yang Shi who suffered from Wind-Qi rushing to the heart, vomiting food, and total body emaciation. He took five pills of Wan Bing Zi Wan Wan daily. After twenty days, he passed five or six meat-like toad masses and two sheng of white pus, and recovered. Also, Vice Minister Zhao vomited after eating, lost sight and hearing. He took five pills of Wan Bing Zi Wan Wan. After ten days, he passed five or seven green snakes and three sheng of foul pus, then recovered. (Zi Wan Wan is the aforementioned Hou Po Wan for Fan Wei plus Qiang Huo, Du Huo, and Fang Feng; it is a formula for grinding accumulations.)
[Worldly Prescriptions] Treats Fan Wei. Roast Ascaris lumbricoides (Huichong) over fire until powdered, mix with meat juice and take.
All rebellious Qi rushing upward belongs to Fire. (Full text see Diagnosis.)
[Worldly Prescriptions] Treats Fan Wei. Take large field snails in any quantity, raise in fresh water until they spit out mud. Clarify and discard clear water. Spread a rice sieve on the ground, place parchment paper on ash, pour the mud onto the paper. When dry and thick, form pills the size of Sophora seeds. Take thirty pills per dose with Huo Xiang Soup, immediate cure. Release the snails back into water; if eaten, the illness returns. For long-standing Fan Wei, mix Wall Earth with Xiang Fu powder, take frequently with Rice Drink.
[Ben Cao] Treats Fan Wei vomiting.
Bai Fan (2 liang), Huang Dan (1 liang).
Grind into powder, put in a clay pot, calcine until mixed and taken out. Place on clean paper on the ground, cover with a basin overnight. Grind again, bind with steamed dough into pills the size of Sophora seeds. Take five to seven pills per dose with warm wine on an empty stomach, adjusting for age and deficiency/excess.
[Luo Tianyi] Hong Dou Wan treats various vomiting, Ge Qi, and Fan Wei.
Ding Xiang, Hu Jiao, Sha Ren, Hong Dou (Each 21 grains).
Grind into fine powder, form pills with Ginger Paste the size of soap pods. Take one pill per dose. Take one date, remove pit, fill with medicine powder, wrap in dough, roast until cooked. Remove dough, chew finely, swallow with plain water. Take three doses before meals for miraculous effect.
Ding Xiang Fu Zi San treats Ge Qi vomiting.
Ding Xiang (0.5 liang), Bing Lang (one large piece), Hei Fu (one piece, 0.5 liang weight, processed, peeled and navel removed), Liu Huang (purified), Hu Jiao (Each 2 qian).
First grind the first four ingredients into powder, then mix in Liu Huang and grind evenly. Take two qian per dose. Use one piece of Fei Liu Huang (sublimed sulfur), remove hair, wings, feet, intestines, fill with medicine inside. Wrap tightly in five to seven layers of wet paper, roast over low fire until cooked. Chew and take, then follow with warm wine. Take three times a day, anytime. If not eating meat, take with warm wine or millet porridge drink. (Fei Liu Huang is sometimes said to be bat, but Ben Cao has no record.)
[Worldly Prescriptions] Liu Ding Wan treats Fan Wei miraculously. It is Xiang Ling Wan. (Formula see Vomiting section.)
[Ben Cao] Fu Zi San treats Fan Wei.
Take one very large Fu Zi, place on a brick, apply fire around four sides, gradually roasting it. Soak in fresh Ginger Juice, apply fire again, repeat until about half a bowl of Ginger Juice is absorbed. Dry, add two qian of Ding Xiang. Take two qian per dose with one cup of water and a little millet. Decoct to 70%. Cure within three doses. Dou Men Fang uses millet drink to take one qian. Another prescription treats men, women, and children with blue lips, yellow face, cold abdominal pain pulling to lower abdomen, leading to Fan Wei, vomiting, bitter mouth, dry tongue, less waking more sleeping, limb spasms. Regardless of duration, it cures all Spleen-Cold diseases. A woman, over forty, suffered Fan Wei for thirty years, yellow-black complexion, doctors failed. She underwent repeated moxibustion on Shu points, worsening the condition. After taking this medicine for seven days, she completely recovered. After one month, the root was gone. Since then, taking three to five doses cured minor Spleen ailments instantly. It preserves Stomach Qi, generates flesh, promotes appetite, and harmonizes Ying and Wei. Regular use greatly benefits. Tested repeatedly, successful. Do not neglect.
Ren Shen (1 liang), Bai Fu Ling (2 liang), Fu Zi (over 7 qian, processed, peeled, navel removed), Fen Cao (1 liang), Huang Qi (1 liang, salt-processed).
Grind into fine powder. Take three large qian per dose, decoct with Salt Soup. Avoid raw, cold, oily, sticky foods. No ineffective cases, very wonderful.
[Luo Tianyi] Gui Xiang San treats Ge Qi Fan Wei, difficult to cure with other medicines, eating in morning vomiting in evening, severe cases vomiting immediately after eating. Effect is miraculous and fast.
Shui Yin, Hei Xi (Each 3 qian), Liu Huang (5 qian).
These three ingredients, grind in a crucible with willow wood pestle, refine over low fire into ash. Take out, mix with two qian Ding Xiang powder, two qian Gui powder, three qian Sheng Jiang powder. Grind evenly. Take three qian per dose with yellow millet porridge drink. One dose effective, severe cases take another.
The above Ding Xiang and Fu Zi examples treat Fan Wei where internal organs have Cold. Danxi said: Treat Fan Wei avoiding very drying agents; violating this causes death. If used, must combine with Blood-moistening medicines. Also, previous formulas for draining accumulation are aromatic-drying agents; users must be cautious.
[Ben Cao] Prescription for men, women, children with long-term or recent Fan Wei vomiting. Use Wu Ling Zhi alone, any quantity, grind into fine powder. Form pills with Yellow Dog Gallbladder Juice the size of longan. Take one pill per dose with half a cup of good wine warm. If not stopped, take again. Cure within three doses. (Yan Yi says: Wu Ling Zhi is effective for moving meridian blood. Ben Cao says: Sweet and warm, treats cold Qi in heart and abdomen, unblocks meridians, treats amenorrhea in women.)