（东垣） 治饮食伤胃，劳倦伤脾，火邪乘之，而生大热。右关脉缓弱，（脾虚）或弦，
（木克土）或浮数。（东垣曰∶湿热相合，阳气日虚，不能上升。脾胃之气，下流肝肾，是
有秋冬而无春夏也。惟泻阴火升阳气，用味薄风药升发，则阴不病而阳气生矣。）
黄 苍术（泔浸炒） 甘草（炙） 羌活（一两） 升麻（八钱） 柴胡（两半） 黄
连（酒炒五钱）
柴胡升麻羌活，助阳益胃，以升清气。人参苍术黄 甘草，益气除湿，以补脾胃。黄芩
黄连
（金匮） 治久病虚羸，呕逆不已。（胃寒则呕，胃热亦呕，有停痰，有积饮，皆作呕。
此为久病虚火上逆而干呕者。）亦治吐利后，胃虚哕逆。
橘皮 竹茹（二升） 甘草（五两） 人参（一两） 生姜（半斤） 大枣（三十枚）
徐忠可曰∶此胃虚而冲逆为哕，然非真元衰弱之比。故以参甘培胃中元气，而以橘皮竹
茹，一寒一温，下其上逆之气。以姜枣宣其上焦，使胸中之阳，渐畅而下达。谓上焦固受气
于中焦，而中焦亦禀承于上焦，上焦既宣，则中气自调也。加半夏麦冬赤茯枇杷叶，亦名橘
皮竹茹汤。
（严氏） 治久病呃逆。因于寒者。
丁香 柿蒂（二钱） 人参（一钱） 生姜（五片） 一方加陈皮半夏茯苓甘草良姜。
丁香泄肺温胃而暖肾，生姜去痰开郁而散寒，柿蒂苦涩而降气，人参所以辅真气，使得展布
也。（朱丹溪曰∶人之阴气，因胃为养，土伤则木挟相火，直冲清道而上，作呃逆。古人以
为胃寒，用丁香柿蒂，不能清痰利气，惟助火而已。李时珍曰∶朱氏但执以寒治热，矫枉之
过矣。按古人治阴呃，每用桂附干姜吴萸丁香茴香诸辛热药，多有收效者，治阳呃用橘红竹
茹汤，玉机微义曰∶呃逆本由阴气已虚，阳火暴甚，直冲而上。出于胃，入于肺而作声。东
垣用凉药者，所以泻热降火也。若阴症呃逆，以阴气先消，阳火亦竭，浮于胸中，亦欲散也
。故不用寒药，而反以温药养胃，留其阳气，胃气和则愈，阳生则阴长之说也。）
除人参生姜加竹茹橘红，名丁香柿蒂竹茹汤，又名橘红竹茹汤，治阳呃。（或问治阳呃
者，何以不用知柏。吴鹤皋曰∶此少阳虚邪，非实邪也，故用柿蒂竹茹之味薄者主之。若知
柏味浓，则益戕其中气，痞塞不益甚乎，古人盖深权之矣。）除人参生姜，亦名丁香柿蒂汤。
严
（李东垣）治疗因饮食损伤胃腑，劳累过度损伤脾脏，火热邪气乘虚侵袭，从而产生大热。右关脉象缓弱（提示脾虚），或呈弦象（提示肝木克制脾土），或浮数。李东垣说：“湿热相合，阳气日渐虚弱，不能上升。脾胃之气下流至肝肾，这就好比只有秋冬的肃杀而没有春夏的生发。唯有泻除阴火、升发阳气，使用气味轻薄的风药来升提发散，那么阴火就不会为患，而阳气自然生发。”
黄芩、苍术（用米泔水浸泡后炒制）、甘草（炙烤）、羌活（一两）、升麻（八钱）、柴胡（一两半）、黄连（酒炒五钱）。
柴胡、升麻、羌活，辅助阳气、益养胃气，以升发清阳之气。人参、苍术、黄芩、甘草，益气除湿，以补益脾胃。黄芩、黄连……
（《金匮要略》）治疗久病导致身体虚弱消瘦，呕吐逆气不止。（胃寒会引起呕吐，胃热也会引起呕吐，有停痰、有积饮，都会导致呕吐。此处指的是久病后虚火上逆导致的干呕。）也治疗吐泻之后，胃气虚弱引起的呃逆。
橘皮、竹茹（二升）、甘草（五两）、人参（一两）、生姜（半斤）、大枣（三十枚）。
徐忠可说：这是胃气虚弱且冲逆导致呃逆，但这并非真元极度衰弱的情况。所以用人参、甘草培补胃中的元气，并用橘皮、竹茹，一寒一温，降下其上逆之气。用生姜、大枣宣通上焦，使胸中的阳气逐渐通畅并下达。因为上焦固然接受中焦的气化，但中焦也禀承于上焦，上焦既已宣通，那么中气自然调和。如果加入半夏、麦冬、赤茯苓、枇杷叶，也称为橘皮竹茹汤。
（严氏）治疗久病引起的呃逆，属于寒证。
丁香、柿蒂（二钱）、人参（一钱）、生姜（五片）。另一版本加入陈皮、半夏、茯苓、甘草、良姜。
丁香能泄肺、温胃、暖肾；生姜能去痰、开郁、散寒；柿蒂味苦涩而降气；人参用来辅助真气，使其得以舒展布达。（朱丹溪说：“人的阴气依靠胃来滋养，脾土受伤则肝木挟带相火，直冲清道而上，导致呃逆。古人认为是胃寒，使用丁香、柿蒂，不能清化痰热、利顺气机，只会助长火势罢了。李时珍说：朱氏只执着于用寒凉药治疗热证，是矫枉过正了。按古法治疗阴寒性呃逆，常用桂枝、附子、干姜、吴茱萸、丁香、小茴香等辛热药物，多有疗效；治疗阳热性呃逆用橘红竹茹汤。《玉机微义》说：呃逆本是由阴气已虚，阳火暴盛，直冲而上所致。气出于胃，入于肺而发出声音。李东垣使用凉药，是为了泻热降火。如果是阴证呃逆，是因为阴气先消亡，阳火也随之枯竭，浮游于胸中，也需要疏散。所以不用寒药，反而用温药养胃，留住阳气，胃气调和就能痊愈，这是‘阳生则阴长’的道理。”）
除去人参、生姜，加入竹茹、橘红，名为丁香柿蒂竹茹汤，又名橘红竹茹汤，治疗阳热性呃逆。（有人问治疗阳热性呃逆，为什么不用知母、黄柏？吴鹤皋说：这是少阳经的虚邪，不是实邪，所以用柿蒂、竹茹这些气味轻薄的药物为主治。如果用药味浓烈的知母、黄柏，则会进一步伤害中气，使痞塞更加严重吗？古人对此是经过深思熟虑权衡的。）除去人参、生姜，也叫丁香柿蒂汤。严氏……
(Li Dongyuan) Treats conditions where dietary injury damages the Stomach, and fatigue/overwork injures the Spleen. Fire-pathogens take advantage of this deficiency to invade, generating severe heat. The pulse at the right Guan position is slow and weak (indicating Spleen deficiency), or wiry (indicating Liver Wood overacting on Spleen Earth), or floating and rapid. Li Dongyuan stated: "When damp-heat combine, Yang Qi declines day by day and fails to ascend. The Qi of the Spleen and Stomach flows downward into the Liver and Kidneys; this is like having only Autumn and Winter without Spring and Summer. Only by draining the Yin Fire and raising Yang Qi, using wind herbs with thin flavors to raise and disperse, can the Yin Fire be prevented from causing disease, allowing Yang Qi to generate."
Huangqin (Scutellariae Radix), Cangzhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma - honey-fried), Qianghuo (Notopterygii Rhizoma et Radix) [1 liang], Shengma (Cimicifugae Rhizoma) [8 qian], Chaihu (Bupleuri Radix) [1.5 liang], Huanglian (Coptidis Rhizoma - wine-fried) [5 qian].
Chaihu, Shengma, and Qianghuo assist Yang and benefit the Stomach, thereby ascending the clear Yang Qi. Renshen, Cangzhu, Huangqin, and Gancao tonify Qi and drain dampness, thereby supplementing the Spleen and Stomach. Huangqin and Huanglian...
(The *Jin Gui Yao Lue*) Treats chronic illness leading to emaciation and weakness, with incessant vomiting and regurgitation. (Cold in the Stomach causes vomiting; Heat in the Stomach also causes vomiting; retained phlegm and accumulated fluids all cause vomiting. This refers to dry heaving caused by deficient fire rising upward due to chronic illness.) It also treats hiccups and regurgitation following vomiting and diarrhea, resulting from Stomach Qi deficiency.
Chenpi (Citri Reticulatae Pericarpium), Zhuru (Bambusae Caulis in Taenia) [2 sheng], Gancao (Glycyrrhizae Radix et Rhizoma) [5 liang], Renshen (Ginseng Radix et Rhizoma) [1 liang], Shengjiang (Zingiberis Rhizoma Recens) [0.5 jin], Dazao (Jujubae Fructus) [30 pieces].
Xu Zhongke said: This is hiccups caused by Stomach deficiency and rebellious Qi, but it is not comparable to the depletion of true Yuan Qi. Therefore, Renshen and Gancao are used to cultivate the primordial Qi in the Stomach, while Chenpi and Zhuru, one cold and one warm, descend the rebellious Qi above. Shengjiang and Dazao are used to disseminate the Upper Jiao, allowing the Yang Qi in the chest to gradually become smooth and descend. Since the Upper Jiao receives Qi from the Middle Jiao, and the Middle Jiao also relies on the Upper Jiao, once the Upper Jiao is disseminated, the Middle Qi naturally harmonizes. If Banxia, Maidong, Chifuling, and Pipaye are added, it is also called Chenpi Zhuru Tang.
(Yan Shi) Treats hiccups resulting from chronic illness, specifically those caused by Cold.
Dingxiang (Caryophylli Flos), Shidi (Kaki Calyx) [2 qian], Renshen (Ginseng Radix et Rhizoma) [1 qian], Shengjiang (Zingiberis Rhizoma Recens) [5 slices]. Another formula adds Chenpi, Banxia, Fuling, Gancao, and Liangjiang.
Dingxiang drains the Lung, warms the Stomach, and warms the Kidney; Shengjiang removes phlegm, opens depression, and disperses Cold; Shidi is bitter and astringent, descending Qi; Renshen assists True Qi, allowing it to spread and function. (Zhu Danxi stated: "Human Yin Qi relies on the Stomach for nourishment. When the Earth element is injured, Liver Wood carries Ministerial Fire straight up the clear pathways, causing hiccups. Ancients believed this was Stomach Cold and used Dingxiang and Shidi, which cannot clear phlegm-heat or promote Qi flow, but only aid Fire. Li Shizhen said: Zhu's adherence to treating heat with cold is an overcorrection. According to ancient methods, Yin-type hiccups were often treated with acrid-hot herbs such as Guizhi, Fuzi, Ganjiang, Wuzhuyu, Dingxiang, and Huixiang, with many successes; Yang-type hiccups were treated with Juhong Zhuru Tang. *Yuji Wei Yi* states: Hiccups originate from depleted Yin Qi and sudden excess of Yang Fire rushing upward. Qi emerges from the Stomach, enters the Lung, and produces sound. Li Dongyuan used cooling herbs to drain heat and lower fire. However, in Yin-pattern hiccups, since Yin Qi has first declined and Yang Fire is also exhausted, floating in the chest, it needs to be dispersed. Thus, cold herbs are not used; instead, warm herbs are used to nourish the Stomach and retain Yang Qi. When Stomach Qi harmonizes, recovery occurs, illustrating the principle that 'when Yang generates, Yin grows.'"
Removing Renshen and Shengjiang, and adding Zhuru and Juhong, creates Dingxiang Shidi Zhuru Tang, also known as Juhong Zhuru Tang, treating Yang-type hiccups. (A question arose: Why are Zhiimu and Huangbai not used for Yang-type hiccups? Wu Hegao said: This is a deficient pathogen of the Shaoyang, not an excess pathogen. Therefore, herbs with thin flavors like Shidi and Zhuru are used as the main treatment. If heavy-flavored herbs like Zhiimu and Huangbai were used, they would further damage Middle Qi, worsening stagnation, would they not? The ancients weighed this deeply.) Removing Renshen and Shengjiang, it is also named Dingxiang Shidi Tang. Yan Shi...