夫心胸嘈杂，妇人多有此证。原疾之由，多是痰也。皆血、液、泪、汗变成。或云是血
嘈。今人多用猪余血炒而食之则愈。详其此理，是以血导血归源尔。恰如以盐梅下涎之义，
不若用许学士旋复花汤。治心腹中脘痰水冷气，心下汪洋，嘈杂肠鸣，多唾，口中清水自出
，胁肋急胀满痛，不欲食，此胃气虚冷所致。其脉沉迟弦细，是其证也。
旋复花 北细辛 橘红 桂心 人参 甘草 苦梗 白芍药 半夏（各半两） 赤茯苓
（三分）
上 咀，每服四钱。水盏半，姜七片，煎至八分，去滓温服。
《局方》治恶阻，半夏茯苓汤主亦妙。（见恶阻论中）
夫妇人呕吐者，由脾胃有邪冷，谷气不理所为也。胃为水谷之海，其气不调而有风冷乘
之，冷搏于胃，胃气逆则令呕吐也。愚详曰∶夫呕吐之疾，非特脾胃虚冷而呕吐也。亦有胃
热而呕者；亦有胃中冷、胃口热而吐者；亦有痰盛而呕者；亦有血弱而呕者。经云∶无阴则
呕是也。不可以一概用药。
如胃冷而呕吐，宜用《局方》人参丁香散、理中丸，及许仁则半夏丸、人参七味丸。
如胃热而呕吐者，宜用小柴胡汤、芦根汤、竹茹汤、槐花散。
如胃中冷、胃口热而呕吐者，宜用《局方》藿香正气散，生姜枣子煎，沉冷服即止。
如痰盛呕吐者，宜《局方》半夏茯苓汤、二陈汤。
如恶阻，兼服茯苓丸。（自有专门，见十二卷第二论）
如血不归源而呕吐者，宜用十全大补汤加陈皮、半夏、藿香、姜、枣煎服。
或有香港脚而呕者，自有专门，不敢滥及。
心胸部位嘈杂不适，妇女中多有此证。追溯其病因，大多是由痰邪引起。这些痰邪都是由血液、津液、泪液、汗液转化而成。有人说这是“血嘈”。现在的人多用炒过的猪余血食用，病就能痊愈。仔细推敲其中的道理，是因为用血引导血回归本源。这就像用盐梅来抑制唾液分泌的道理一样。不如使用许学士的旋复花汤。该方治疗心腹及中脘部位的痰冷水气，表现为心下感觉水湿泛滥，心胸嘈杂，肠鸣，多唾沫，口中清水自行流出，胁肋部拘急胀满疼痛，不想进食，这是由胃气虚冷所导致的。其脉象沉迟弦细，就是这种病症的表现。
旋复花、北细辛、橘红、桂心、人参、甘草、苦梗、白芍药、半夏（各半两）、赤茯苓（三分）。
以上药物切碎，每次服用四钱。用水一盏半，生姜七片，煎煮至八分满，滤去药渣，温服。
《太平惠民和剂局方》治疗恶阻，使用半夏茯苓汤主治也很妙。（详见恶阻论中）
至于妇女呕吐，是由于脾胃受邪气寒冷侵袭，导致饮食运化失常所致。胃是容纳水谷的海，如果胃气不调，风冷之邪乘虚而入，寒气搏击于胃，导致胃气上逆，从而引起呕吐。我仔细考察认为：呕吐的疾病，不仅仅是因为脾胃虚冷引起的。也有因胃热而呕吐的；也有因胃中冷、胃口热而呕吐的；也有因痰盛而呕吐的；也有因血弱而呕吐的。医经说：“无阴则呕”正是这个意思。不可以一概而论地用药。
如果是胃冷引起的呕吐，适宜使用《局方》中的人参丁香散、理中丸，以及许仁则的半夏丸、人参七味丸。
如果是胃热引起的呕吐，适宜使用小柴胡汤、芦根汤、竹茹汤、槐花散。
如果是胃中冷、胃口热引起的呕吐，适宜使用《局方》中的藿香正气散，加生姜、大枣煎煮，待药液冷却后服用即可停止呕吐。
如果是痰盛引起的呕吐，适宜使用《局方》中的半夏茯苓汤、二陈汤。
如果是恶阻，兼服茯苓丸。（自有专门论述，见第十二卷第二论）
如果是血不归源引起的呕吐，适宜使用十全大补汤，加入陈皮、半夏、藿香、生姜、大枣煎服。
如果有香港脚（脚气病）并伴有呕吐的，自有专门论述，不敢随意涉及。
Discomfort and a sensation of hunger mixed with pain in the chest and epigastrium (Xiongzhao), are conditions frequently seen in women. Tracing the origin of this disease, it is mostly caused by Phlegm (Tan). These phlegms are transformed from blood, body fluids, tears, and sweat. Some say this is "Blood Zao" (a type of discomfort attributed to blood disorders). Nowadays, people often cure it by eating stir-fried residual pig's blood. Examining the logic behind this, it is because using blood guides the blood back to its source. This is similar to the principle of using salted plum to suppress saliva secretion. It would be better to use Xu Xueshi's Xuanfuhua Decoction (Inula Flower Decoction). This formula treats phlegm-cold-water qi in the heart, abdomen, and Zhongwan (CV12) area, manifesting as a feeling of water accumulation below the heart, chest discomfort, borborygmus, excessive salivation, spontaneous flow of clear fluid from the mouth, and tightness, distension, fullness, and pain in the hypochondrium, along with anorexia. These symptoms are caused by deficiency-cold of Stomach Qi. The pulse is deep, slow, wiry, and thin, which characterizes this condition.
Xuanfuhua (Florentine Iris Flower), Beixixin (Asarum Root), Juhong (Tangerine Peel), Guixin (Cinnamon Twig), Renshen (Ginseng Root), Gancao (Licorice Root), Kugeng (Platycodon Root), Baishao Yao (White Peony Root), Banxia (Pinellia Tuber) (each 0.5 liang), Chifuling (Red Poria) (0.3 liang).
The above herbs are cut into small pieces. For each dose, take 4 qian. Add one and a half cups of water and seven slices of fresh ginger. Decoct until reduced to eight-tenths of the original volume. Strain and take warm.
The *Tai Ping Hui Min He Ji Ju Fang* treats morning sickness (Ezu) using Banxia Fuling Tang (Pinellia and Poria Decoction), which is also excellent. (See the discussion on Ezu).
Regarding vomiting in women, it arises from evil cold pathogens affecting the Spleen and Stomach, leading to dysfunction in the digestion and transportation of food and fluids. The Stomach is the sea of water and grain. If Stomach Qi is disordered, wind-cold pathogens invade. When cold clashes with the Stomach, Stomach Qi rebels upward, causing vomiting. I have carefully considered that vomiting diseases are not solely caused by deficiency-cold of the Spleen and Stomach. There are cases of vomiting due to Stomach Heat; cases where the body of the Stomach is cold but the cardia is hot; cases due to abundant Phlegm; and cases due to Blood deficiency. The Classics state: "Without Yin, there is vomiting." Therefore, one cannot apply a uniform treatment for all cases.
If vomiting is caused by Stomach Cold, it is appropriate to use Ren Shen Ding Xiang San (Ginseng and Clove Powder) or Lizhong Wan (Regulate the Middle Pill) from the *Ju Fang*, as well as Banxia Wan (Pinellia Pill) or Ren Shen Qi Wei Wan (Seven-Ingredient Ginseng Pill) by Xu Renze.
If vomiting is caused by Stomach Heat, it is appropriate to use Xiao Chai Hu Tang (Minor Bupleurum Decoction), Lugen Tang (Phragmites Rhizome Decoction), Zhuru Tang (Bamboo Shavings Decoction), or Huaihua San (Sophora Flower Powder).
If vomiting is caused by cold in the body of the Stomach and heat at the cardia, it is appropriate to use Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) from the *Ju Fang*, decocted with fresh ginger and dates. Taking it cooled stops the vomiting.
If vomiting is caused by abundant Phlegm, it is appropriate to use Banxia Fuling Tang (Pinellia and Poria Decoction) or Er Chen Tang (Two-Aged Decoction) from the *Ju Fang*.
For morning sickness (Ezu), Fuling Wan (Poria Pill) can be taken concurrently. (See Volume 12, Discussion 2 for specific details).
If vomiting is caused by blood failing to return to its source, it is appropriate to use Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) added with Chenpi (Aged Tangerine Peel), Banxia (Pinellia Tuber), Huoxiang (Patchouli Herb), fresh ginger, and dates, decocted and taken orally.
If vomiting occurs alongside Hongjiao (Beriberi/Foot Qi), there are specific discussions elsewhere, so I dare not elaborate here.