治翻胃吐食
香附 砂仁 木香 白术 人参 神曲 茯苓 甘草 陈皮 半夏
姜三片煎服
治血虚胃燥吐逆
白术 槟榔 陈皮 当归 桃仁 人参 甘草
水二钟姜三片煎八分加韭汁一盏蜜二匙服
用斑蝥九个去足黑枣九个去核入斑蝥仍捏合口用新瓦二片将黑枣入其中以线缚之仍用泥
包固一头留小孔上下用火 令孔中烟尽取出研细再用麝香一分雄黄五分朱砂五分研细和匀仍
用黑枣九个去皮核和丸分作十八丸每日早用一丸午用一丸晚用一丸用小蒜煎汤下以六日服尽
有痰 气虚 阴火
戴云吃逆者因痰与热动胃火者多亦有因寒凝气碍者间而有之
内经云诸逆冲上皆属于火
咳逆者或因水渍于肺而气逆其声连绵不已或喜多而气噎或咽饮错喉而气呛或急食干物而
气塞
皆能作咳逆之声连续不绝俗谓之吃忒是也大抵皆由不顺之义使气逆上至咽而止也
千金云咳逆脉散者不治 脉浮而缓者易治 弦急者难治 又云咳逆脉急代者死
视其有余不足寒热以治之不足者宜补有余者宜吐
一气虚作噎宜用 人参白术汤
一胃气虚寒作噎者宜用 丁香柿蒂汤
一胃气作咳逆者宜用 橘皮竹茹汤 柴胡半夏汤
一痰逆而噎者宜用 生姜半夏汤 二陈汤加竹茹
一病久气虚而作咳者宜用 六君子汤
治疗翻胃吐食（食物反流呕吐）：
香附、砂仁、木香、白术、人参、神曲、茯苓、甘草、陈皮、半夏。
加生姜三片，煎煮后服用。
治疗血虚胃燥引起的吐逆（呕吐气逆）：
白术、槟榔、陈皮、当归、桃仁、人参、甘草。
加水两钟（古代量器），生姜三片，煎至八分，加入韭菜汁一盏、蜂蜜两匙，服用。
使用斑蝥九个，去掉足部；黑枣九个，去核，将斑蝥放入枣中，捏合枣口。用两片新瓦，将黑枣夹在中间，用线捆扎牢固，再用泥土包裹密封，一端留一个小孔。上下用火烘烤，直到小孔中的烟烧尽，取出研成细末。再加入麝香一分、雄黄五分、朱砂五分，研细混合均匀。最后用黑枣九个，去皮去核，与药粉和匀制成丸剂，分为十八丸。每天早晨服一丸，中午服一丸，晚上服一丸，用小蒜煎汤送服，六日内服完。
有痰、气虚、阴火的情况：
戴元礼认为，呃逆（打嗝）多因痰与热扰动胃火所致，也有因寒凝气滞导致的，间或有此情况。
《内经》说：“各种向上冲逆的症状，都归属于火。”
咳逆（此处指严重的呃逆或干呕声连绵不断）：有的因为水饮浸渍肺部导致气逆，声音连绵不断；有的喜欢多言而气机噎塞；有的吞咽时呛入喉咙导致气呛；有的急吃干物导致气塞。
这些都能产生连续不断的咳逆之声，俗称“吃忒”（呃逆）。大抵都是由于气机不顺，使气逆上冲到咽喉而停止。
《千金方》说：咳逆脉象散乱的，难以治愈；脉象浮而缓的，容易治愈；脉象弦急的，难治；又说咳逆脉象急促且代（间歇）的，主死。
观察患者有余还是不足，属寒还是属热，以此进行治疗。不足的适宜用补法，有余的适宜用吐法。
- 气虚导致噎膈的，适宜用人参白术汤。
- 胃气虚寒导致噎膈的，适宜用丁香柿蒂汤。
- 胃气导致咳逆的，适宜用橘皮竹茹汤、柴胡半夏汤。
- 痰逆导致噎膈的，适宜用生姜半夏汤、二陈汤加竹茹。
- 病久气虚导致咳逆的，适宜用六君子汤。
Treatment for Fanwei (Reflux Vomiting):
Xiangfu (Cyperi Rhizoma), Sharen (Amomi Fructus), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Shenqu (Meditationis Mass), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma).
Decoct with three slices of fresh ginger and take orally.
Treatment for Tu Ni (Vomiting and Qi Reversal) due to Blood Deficiency and Stomach Dryness:
Baizhu (Atractylodis Macrocephalae Rhizoma), Binglang (Arecae Semen), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Taoren (Persicae Semen), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct with two zhong (ancient unit of volume) of water and three slices of fresh ginger until reduced to eight-tenths. Add one zhan (ancient unit of volume) of Chinese chive juice and two qian (spoons) of honey, then take.
Use nine Bimao (Mylabris), removing the legs; nine Hei Zao (Black Dates), removing the pits. Insert the Bimao into the dates and pinch the openings closed. Place between two new tiles, bind tightly with thread, and seal completely with mud. Leave a small hole at one end. Apply fire above and below until smoke ceases from the hole. Remove, grind into fine powder. Add Fen Yi (Moschus), five fen of Xionghuang (Realgar), and five fen of Zhusha (Cinnabar), grind finely and mix uniformly. Finally, use nine Hei Zao (Black Dates), peeled and pitted, to bind the powder into pills, divided into eighteen pills. Take one pill in the morning, one at noon, and one in the evening, washed down with decoction of Suansuan (Allium macrostemon). Complete the course within six days.
Regarding Phlegm, Qi Deficiency, and Yin Fire:
Dai Yun stated that Ni (Hiccups/Eristhma) is mostly caused by phlegm and heat stirring up Stomach Fire, though sometimes it is due to cold coagulation obstructing Qi.
The *Neijing* states: "All upward rushing and reversing symptoms belong to Fire."
Ke Ni (Keening/Severe Hiccups): Sometimes caused by water fluid soaking the Lung leading to Qi reversal, with continuous sound; sometimes due to excessive talking causing Qi obstruction; sometimes due to swallowing errors causing choking; or due to eating dry food quickly causing Qi blockage.
All can produce continuous keening sounds, commonly known as "Chi Te" (Hiccups). Generally, this is due to the failure of smooth flow, causing Qi to reverse upwards to the throat and stop.
The *Qianjin Fang* states: If the pulse is scattered, Ke Ni is difficult to treat; if the pulse is floating and moderate, it is easy to treat; if the pulse is wiry and rapid, it is difficult to treat. It also states: If the pulse is rapid and intermittent (Dai), death ensues.
Observe whether there is Excess or Deficiency, Cold or Heat, and treat accordingly. For Deficiency, tonification is suitable; for Excess, emesis is suitable.
- For Ge Jie (Dysphagia) caused by Qi Deficiency, Ren Shen Bai Zhu Tang (Ginseng and Atractylodes Decoction) is suitable.
- For Ge Jie caused by Stomach Qi Deficiency and Cold, Ding Xiang Shi Di Tang (Clove and Persimmon Calyx Decoction) is suitable.
- For Ke Ni caused by Stomach Qi, Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shaving Decoction) and Chai Hu Ban Xia Tang (Bupleurum and Pinellia Decoction) are suitable.
- For Ge Jie caused by Phlegm Reversal, Sheng Jiang Ban Xia Tang (Fresh Ginger and Pinellia Decoction) and Er Chen Tang (Two-Aged Decoction) added with Zhu Ru (Bambusa Shavings) are suitable.
- For Ke Ni caused by prolonged illness and Qi Deficiency, Liu Jun Zi Tang (Six Gentlemen Decoction) is suitable.
Treatment for Ke Ni caused by Qi Deficiency:
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Banxia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix).
Decoct with two zhong of water and three slices of fresh ginger. Take after meals.