（附呃逆 翻胃噎膈）
〔食伤脾胃〕 陈火肉骨。或白酒酒药。（ 存性。）砂糖调服。皆效。
〔胃强脾弱〕 饮食不能运化。胸膈胀闷不舒。白蒺藜。（去刺炒黄取净末十两） 水
法为丸。每服二钱。空心白汤下。如食积重者。加山楂肉。（饭上蒸三次晒干净末四两）如
呕吐作酸。口苦舌烂。有痰加苍术。（去芦米泔水浸洗刮去黑皮切片晒干炒黄磨取头末十两）
川黄连。（酒炒净末二两）蜜丸。白汤下。老年血枯之人。宜酌用之。（恐苍术过于燥血也。）
〔胃脘嘈杂吐清水〕 广橘红为末。五更坐起床上。安末五分于手心男左女右干舐下。
勿卧。服三四次愈。
〔饮食不住口仍易饥饿〕 绿豆。糯米。黄麦。（各一升炒熟）共磨成粉。每服一酒杯。
以滚汤调服。三五日即效。
〔胸膈饱胀虚肿〕 苍术。（制如前末四两） 陈皮。浓朴。（各五分）川椒。（少许）
猪肚一具。去油净。入大蒜装满。线缝口。用冷热水各七碗。先烧滚入肚。煮至水干为度。
取
出捣烂无丝。合前药末为丸。每日空心滚汤下二钱。最速效。
〔呃逆〕 因寒而起者。良姜。（一钱五分）丁香。（一钱）柿蒂。（二钱）甘草。（炙五
分）
水煎服。 柿蒂煎汤饮亦止。 日久不愈。连四五十声者。生姜汁一杯。加蜜一二匙。温热
服之即止。 用纸燃刺鼻中。得嚏即止。 诸药不效。用硫黄。乳香。各等分。以酒煎。令
病患以鼻嗅之即止。（或单用雄黄。酒煎。嗅鼻即止。）
〔呃逆灸法〕 妇人以乳头垂下到处是穴。男子以乳头下一指许为率。骨间动脉处是穴。
男左女右。灸一处。艾炷如小麦大。着火即止。三壮不止者。不可治。此最神效。
〔噎膈翻胃〕 凡人朝食而暮吐。暮食而朝吐。或食罢即吐。谓之翻胃。饮食膈噎。咽
吞不下。谓之膈食。二者名异。而症实同。盖翻胃未有不由于膈噎起。此症年老及血气枯槁
者难治。惟痰火久郁。胃脘壅塞者。可渐次调治。
〔胃热呕噎〕 芦根五两。切碎。水煎空心服即止。 凡噎症。用糯米粉。以牛涎拌作
小丸。煮熟食之即效。或水服牛口。涎二匙。终身不噎。（以水洗净老牛口。用盐涂之。以
荷叶包牛口。使耕力乏即涎出。）
〔气噎不下饮〕 枇杷叶。（去毛净蜜炙五钱）陈皮。（去白一钱半）生姜三片。水煎匀
二次服。并治暴呕吐。
〔翻胃〕 芦根。茅根。（各二两）水煎服。（凡用芦根。取不浮露在外者。） 翻胃吐
食初起。用树上黄香圆。粪内浸七日。再用童便浸七日。水洗风干。煎汤吃。 干柿饼。每
用
三枚。连蒂捣烂。用酒服甚效。 甘蔗汁一碗。入生姜汁半钟匀二次。服三次效。（甘蔗汁
又治中酒毒干呕者） 大鲫鱼。（自死者一个。活者不效。）剖去肠留鳞。用大蒜头去皮切薄。
填
鳞骨俱去。用平胃散。（姜炒浓朴一钱陈皮一钱米泔浸过苍术一钱甘草六分共为末）杵丸桐
子
大。晒干收贮。勿令泄气。空心米汤下三十丸。 日久不效。用韭汁。（二两）牛乳。（一盏）
生姜。（五钱取汁）竹沥。（半盏）童便。（一盏）和匀温服效。 曾治一人。饮食一二日后。
一
齐吐出。气味酸变。病久肌肉尽落。皮枯羊粪。诸药无效。用千金方。猪板油。（十两熬净
去渣）白蜜。（八两炼净）二味再入铜锅内熬数沸。入生姜自然汁三两。和匀。取起成膏。
不
时含服含化。初吃一服。尚吐一次。连吃三服全愈。（原孙真人治关隔不通神方也。） 久吐
枯燥有服人乳多吃燕窝而愈者。
〔冷涎翻胃〕 其形发时先吐冷涎。次则吐食。因劳而起者。多。用大黄。（一两生姜
自然汁半茶杯。炙大黄令燥。浸入姜汁内。再炙再浸。以汁尽为度。）切焙为末。每服二钱。
用
〔膈食〕 马子碱。（火 透四两）研细。蜜水调服。
〔隔气〕 沉香。（一钱磨汁）白汤徐下。 凡噎膈症病久。已经血枯。肠结羊矢。口
吐蟹沫。或年过五十岁者。勿服峻利之药。
【饮食损伤脾胃】食用陈年的火肉骨头，或者用白酒和酒药（保留其本性/存性）。用砂糖调服，都有疗效。
【胃强脾弱】饮食无法运化，胸膈部位胀闷不适。取白蒺藜（去掉刺，炒黄后取纯净粉末十两），用水泛丸法制成丸剂。每次服用二钱，空腹时用白开水送服。如果食积严重，加入山楂肉（在饭上蒸三次，晒干后磨成粉末四两）。如果出现呕吐泛酸、口苦、舌部溃烂且有痰，加入苍术（去掉芦头，用米泔水浸泡清洗，刮去黑皮，切片晒干，炒黄后磨取最细的粉末十两）和川黄连（用酒炒制后取纯净粉末二两），炼蜜为丸，用白开水送服。老年血虚枯竭之人，应酌情使用。（因为担心苍术过于燥烈而伤血。）
【胃脘嘈杂并吐出清水】将广橘红研成粉末。在五更天坐起在床上时，将五分药粉放在手心（男性左手，女性右手），干舔咽下。服药后不要躺卧。服用三四次即可痊愈。
【饮食不停且容易饥饿】绿豆、糯米、黄麦（各一升，炒熟）。共同磨成粉。每次服用一酒杯的量，用滚开的汤水调服。三到五天即见效。
【胸膈饱胀伴虚肿】苍术（炮制方法如前，取粉末四两）、陈皮、厚朴（各五分）、川椒（少许）。取一个猪肚，去除油脂洗净，装入大蒜至满，用线缝合口。用冷水和热水各七碗，先烧开后放入猪肚，煮至水干为止。取出猪肚捣烂至无纤维状，与前面的药末混合制成丸剂。每天空腹时用滚开水送服二钱，效果最快。
【呃逆】因寒邪引起的，用良姜（一钱五分）、丁香（一钱）、柿蒂（二钱）、甘草（炙过，五分），水煎服。单用柿蒂煎汤饮用也能止住呃逆。如果日久不愈，连续打呃四五十声的，取生姜汁一杯，加蜂蜜一二匙，温热服用即可止住。用纸点燃刺激鼻孔，打喷嚏后即可止住。如果各种药物都无效，用硫黄、乳香，各等分，用酒煎煮，让患者闻其气味即可止住。（或者单用雄黄，用酒煎煮，闻鼻即可止住。）
【呃逆灸法】妇女以乳头垂下的位置到处是穴位；男子以乳头下一指宽左右为标准，骨间动脉处是穴位。男左女右，灸一处。艾炷如小麦大小，着火即止。灸三壮如果不愈，则不可治。此法最为神效。
【噎膈翻胃】凡人早上吃晚上吐，晚上吃早上吐，或者吃完就吐，称为翻胃。饮食哽噎，吞咽不下，称为膈食。两者名称不同，但症状实质相同。大概翻胃没有不是从膈噎发展而来的。此症对于年老及气血枯竭者难治，只有因痰火久郁、胃脘壅塞者，可以逐渐调理治疗。
【胃热呕噎】芦根五两，切碎，水煎，空腹服用即可止住。凡是噎症，用糯米粉，用牛涎拌成小丸，煮熟食用即见效。或者用水送服牛口涎二匙，终身不再噎食。（用清水洗净老牛的口，用盐涂抹，用荷叶包裹牛口，使其耕作劳累即流出涎液。）
【气噎不下饮】枇杷叶（去毛，净蜜炙五钱）、陈皮（去白一钱半）、生姜三片，水煎均匀分两次服用。同时治疗突发呕吐。
【翻胃】芦根、茅根（各二两），水煎服。（凡是用芦根，要选取不浮露在外面的部分。）翻胃吐食初起，用树上的黄香圆，在粪便中浸泡七天，再用童便浸泡七天，水洗后风干，煎汤喝。干柿饼，每次用三枚，连蒂捣烂，用酒送服，非常有效。甘蔗汁一碗，加入生姜汁半钟，均匀分两次服用，服三次见效。（甘蔗汁又治疗饮酒中毒引起的干呕。）大鲫鱼（自死的鱼一条，活的无效）。剖开去除内脏保留鳞片，用大蒜头去皮切薄片，填入鳞骨之间（原文此处可能有误或省略，意指填塞处理），去掉鳞骨（此处逻辑稍显混乱，依文意理解为处理后的药材），用平胃散（姜炒厚朴一钱、陈皮一钱、米泔水浸过的苍术一钱、甘草六分，共为粉末）杵制成梧桐子大小的丸剂，晒干收贮，不要让气体泄漏。空腹时用米汤送服三十丸。如果日久无效，用韭汁（二两）、牛乳（一盏）、生姜（五钱取汁）、竹沥（半盏）、童便（一盏），混合均匀温服见效。曾治疗一人，饮食一两天后，全部吐出，气味酸腐，病久肌肉尽落，皮肤干枯如羊粪，各种药物无效。用千金方：猪板油（十两熬净去渣）、白蜜（八两炼净），这两味再放入铜锅内熬煮数沸，加入生姜自然汁三两，混合均匀，取起制成膏状，不时含服含化。刚开始吃一次，还吐了一次，连续吃三次完全痊愈。（原为孙真人治疗关隔不通的神方。）长期呕吐导致枯燥的人，有服用人乳多吃燕窝而痊愈的案例。
【冷涎翻胃】发病时先吐出冷涎，然后吐出食物，多因劳累引起。用大黄（一两，生姜自然汁半茶杯，炙大黄令其干燥，浸入姜汁内，再炙再浸，直到汁液用完为止）。切焙后研为粉末，每次服用二钱，用……（原文此处中断）
【隔气】沉香（一钱磨汁），用白开水徐徐送下。凡是噎膈症病久，已经血枯，大便结如羊矢，口吐蟹沫，或者年龄超过五十岁的人，不要服用峻烈的药物。
(Attached: Hiccups, Fanwei [Reversal Stomach], Yige [Dysphagia])
[Food Injury to Spleen and Stomach] Consuming old roasted meat bones, or using white wine and yeast (preserving their nature). Take with rock sugar; all are effective.
[Strong Stomach and Weak Spleen] Inability to transport and transform food, distension and fullness in the chest and diaphragm. Take Tribulus Terrestris Fructus (Bai Jili, 白蒺藜) (remove spines, stir-fry until yellow, take ten taels of pure powder), make pills using water-pellet method. Take two qian per dose, swallow with plain warm water on an empty stomach. If food stagnation is severe, add Hawthorn Fruit (Shan Zha, 山楂) (steam over rice three times, dry, grind into four taels of powder). If vomiting with acid regurgitation, bitter taste, oral ulcers, and phlegm occur, add Atractylodes Rhizome (Cang Zhu, 苍术) (remove rhizome base, soak and wash in rice bran water, scrape off black skin, slice, dry, stir-fry until yellow, take ten taels of finest powder) and Coptis Rhizome (Chuan Lian Lian, 川黄连) (stir-fry with wine, take two taels of pure powder), make honey pills, swallow with plain warm water. For elderly individuals with blood depletion, use with discretion (as Cang Zhu may be too drying and damage blood).
[Epigastric Discomfort with Clear Saliva Vomiting] Grind Tangerine Peel (Guang Ju Hong, 广橘红) into powder. At the fifth watch (5-7 AM), sit up in bed, place five fen of powder in the palm of the hand (left for men, right for women), lick it dry and swallow. Do not lie down after taking. Three to four doses will cure.
[Constant Eating and Easy Hunger] Mung Bean (Lu Dou, 绿豆), Glutinous Rice (Nuo Mi, 糯米), Yellow Wheat (Huang Mai, 黄麦) (one sheng each, stir-fried until cooked). Grind together into powder. Take one wine cup per dose, mix with boiling water and take. Effective within three to five days.
[Chest and Diaphragm Fullness with Edema] Atractylodes Rhizome (Cang Zhu, 苍术) (processed as above, four taels of powder), Citrus Peel (Chen Pi, 陈皮), Magnolia Bark (Hou Po, 浓朴) (five fen each), Sichuan Pepper (Chuan Jiao, 川椒) (a small amount). Take one pig stomach, remove fat and clean, fill with garlic cloves, sew shut with thread. Use seven bowls of cold water and seven bowls of hot water. Bring to a boil, insert the stomach, and cook until the water is dry. Remove the stomach, mash until no fibers remain, mix with the aforementioned powders to make pills. Take two qian with boiling water on an empty stomach daily; this yields the fastest results.
[Hiccups] Caused by cold: use Galangal Rhizome (Liang Jiang, 良姜) (one qian five fen), Clove (Ding Xiang, 丁香) (one qian), Persimmon Calyx (Shi Di, 柿蒂) (two qian), Licorice Root (Gan Cao, 甘草) (roasted, five fen). Decoct in water and take. Drinking decoction of Shi Di alone also stops hiccups. If chronic and persistent, with forty to fifty consecutive hiccups, take one cup of Ginger Juice (Sheng Jiang Zhi, 生姜汁), add one or two spoons of honey, take warm to stop immediately. Ignite paper to stimulate the nose; sneezing stops it. If all medicines fail, use Sulfur (Liu Huang, 硫黄) and Frankincense (Ru Xiang, 乳香) in equal parts, decoct in wine, and let the patient inhale the vapor to stop it. (Or use only Realgar (Xiong Huang, 雄黄) decocted in wine, inhale to stop.)
[Moxibustion for Hiccups] For women, the points are wherever the nipple hangs down; for men, about one finger's breadth below the nipple. The point is located at the arterial pulse between the ribs. Left side for men, right side for women. Moxa cone size like a wheat grain; stop immediately upon ignition. If three moxa cones do not work, it is incurable. This method is most miraculous.
[Yige and Fanwei] Anyone who eats in the morning and vomits in the evening, or eats in the evening and vomits in the morning, or vomits immediately after eating, is called Fanwei (Reversal Stomach). Food gets stuck in the diaphragm, unable to swallow, is called Yige (Dysphagia). The names differ, but the symptoms are essentially the same. Fanwei invariably originates from Yige. This condition is difficult to treat in the elderly and those with depleted Qi and Blood. Only cases caused by long-standing Phlegm-Fire stagnation and epigastric obstruction can be gradually treated.
[Stomach Heat with Vomiting and Dysphagia] Reeds Rhizome (Lu Gen, 芦根) five taels, cut into pieces, decoct in water and take on an empty stomach to stop. For any dysphagia case, use Glutinous Rice Flour, mix with Ox Saliva to make small pills, cook and eat for effect. Or take two spoons of Ox Saliva mixed with water; lifelong dysphagia will not recur. (Clean an old ox's mouth with water, apply salt, wrap the mouth with Lotus Leaf, causing saliva to flow when the ox is tired from plowing.)
[Qi Obstruction Preventing Drinking] Loquat Leaf (Pi Pa Ye, 枇杷叶) (remove hairs, honey-roasted, five qian), Citrus Peel (Chen Pi, 陈皮) (remove white pith, one qian half), Ginger (three slices). Decoct in water, divide into two doses. Also treats sudden vomiting.
[Fanwei] Reeds Rhizome (Lu Gen, 芦根), Imperata Rhizome (Mao Gen, 茅根) (two taels each). Decoct in water and take. (When using Lu Gen, select those not exposed floating outside.) For early-stage Fanwei vomiting food, use Huang Xiang Yuan (Yellow Fragrant Orange) from trees, soak in manure for seven days, then soak in Child's Urine (Tong Bian, 童便) for seven days, wash with water, air-dry, and drink the decoction. Dried Persimmon Cake (Gan Shi Bing, 干柿饼), three pieces per dose, mash with stem intact, take with wine; very effective. One bowl of Sugarcane Juice (Gan Zhe Zhi, 甘蔗汁), add half a zhong of Ginger Juice, mix well, divide into two doses; three doses show effect. (Sugarcane Juice also treats dry heaving from alcohol toxicity.) Large Crucian Carp (Da Ji Yu, 大鲫鱼) (one dead fish naturally; live ones are ineffective). Gut without removing scales, fill between scales and bones with peeled, thinly sliced Garlic Bulbs (Da Suan Tou, 大蒜头). Use Pingwei San (Stomach-Pacifying Powder) (Magnolia Bark stir-fried with Ginger, one qian; Citrus Peel, one qian; Atractylodes soaked in rice bran water, one qian; Licorice, six fen, all ground to powder). Pound into pills the size of Toona seeds, dry and store, preventing gas leakage. Take thirty pills with rice soup on an empty stomach. If ineffective after a long time, use Leek Juice (Jiu Zhi, 韭汁) (two taels), Cow Milk (Niu Ru, 牛乳) (one zhan), Ginger Juice (five qen taken), Bamboo Sap (Zhu Li, 竹沥) (half a zhan), Child's Urine (one zhan). Mix evenly and take warm for effect. Once treated a patient who vomited everything eaten after one or two days, sour smell, emaciated with muscles gone, skin dry like sheep dung, all medicines failed. Used Qianjin Fang (Prescription from Thousand Gold): Pig Subcutaneous Fat (Zhu Ban You, 猪板油) (ten taels, boiled clean, dregs removed), White Honey (Bai Mi, 白蜜) (eight taels, refined). Boil these two again in a copper pot for several boils, add three liang of fresh Ginger Juice, mix evenly, cool to form ointment. Hold in mouth and dissolve occasionally. Initially, one dose still resulted in one vomit; after three continuous doses, fully cured. (Originally a divine prescription by Sun Simiao for obstruction.) Long-term vomiting leading to dryness has been cured by consuming human milk and bird's nest.
[Cold Saliva Fanwei] Onset begins with vomiting cold saliva, then food. Often caused by labor/fatigue. Use Rhubarb (Da Huang, 大黄) (one tael, half tea cup of fresh Ginger Juice. Roast Rhubarb until dry, soak in Ginger Juice, roast again, soak again, until juice is exhausted). Cut, bake, and grind to powder. Take two qian per dose... [Text cuts off here].
[Yige (Dysphagia)] Ma Zi Jian (Horse Egg Alkali?) (calcined through, four taels). Grind fine, take with honey-water mixture.
[Qi Obstruction] Agarwood (Chen Xiang, 沉香) (one qian, ground to juice). Swallow slowly with plain warm water. For chronic Yige/Fanwei with blood depletion, hard stool like sheep dung, crab-bubble sputum, or age over fifty, do not use harsh purgatives.