（附论）
夫诸病。吐之而愈者。邪在胸中也。伤寒大法。谓四日以上。若入阴经。其传未深。邪
气高
毒痰
部不同者。其证胸中心痞满。郁郁而痛。不能息。多涎唾。饮食入则吐。欲吐复不能出。或
手足厥冷。反心下满而烦。饥不能食。吐下后。心中懊 者是也。内经所谓其高者因而越之
。即其法也。
方
治温病胸中满闷。取吐。（出圣济总录）
猪胆（三枚） 苦酒（二合） 上同搅匀。绵漉过。顿服。未吐。再服。
人参汤（出圣济总录）治伤寒出汗后。心胸烦闷。烦热未通。
人参（半两） 灯心（一小束） 枳壳（去瓤麸炒一分） 大腹皮（一枚锉） 茶末（二
钱） 生
甘草
服。
以纸
治胸心痰盛。伤寒热病瘴疟须吐者。（出肘后方）
以盐末一大匙。或水或暖汤送下。须臾则吐。吐不快。明旦更服。良。肘后。用盐一升。
治伤寒汗出不解。已三四日。胸中闷吐。（出肘后方）
以豉并盐一合。水四升。煎取一升半。分服。当吐。一方无盐。用蜜一两。煮三沸。顿
服。
又方（出肘后方）
以生地黄三斤。细切。水一斗。煮取三升。分三服。亦可服藜芦吐散。及苦参龙胆散。
治伤寒心胸中满闷。取吐。
上以猪胆一枚。取汁。醋一小盏。酒一小盏。纳猪胆汁相和。温过。分为二服。当吐。
立瘥
（附论）
各种疾病，通过催吐而痊愈的，是因为病邪位于胸中。治疗伤寒的大法认为，发病四日以上，如果病邪传入阴经，但传变尚未深入，且病邪部位较高、毒痰积聚不同的情况，其症状表现为胸中心部痞塞胀满，情绪抑郁且疼痛，呼吸不畅，唾液增多，饮食进入即呕吐，想吐却吐不出来，或者手足冰冷，反而心下胀满且烦躁，饥饿却无法进食，在误用吐法或下法之后，心中感到烦闷懊恼，就是这种情况。《内经》所说的“病位高的，就因势利导使其从上而出”，指的就是这种治疗方法。
方剂：
治疗温病导致胸中胀闷，采用催吐法。（出自《圣济总录》）
猪胆（三枚），苦酒（二合）。将两者混合搅匀，用丝绵过滤，一次性服用。如果没有引起呕吐，再服用一次。
人参汤（出自《圣济总录》），治疗伤寒发汗后，心胸烦闷，烦热未通。
人参（半两），灯心草（一小束），枳壳（去瓤麸炒一分），大腹皮（一枚切碎），茶末（二钱），生甘草（适量）。[原文此处有缺漏，依文意补全为煎服]。以纸... [原文此处语句不通顺或有脱简，依上下文理解为煎煮服用]。
治疗胸心痰湿盛多，伤寒热病及瘴疟需要催吐的情况。（出自《肘后方》）
用一大匙盐末，用水或温水送服。不久就会呕吐。如果吐得不畅快，第二天早晨再服用，效果很好。《肘后方》记载，用盐一升。
治疗伤寒发汗后病不解，已经三四天，胸中闷痛欲吐的情况。（出自《肘后方》）
用豆豉和盐一合，水四升，煎取一升半，分次服用。应当会引起呕吐。另一方法不用盐，用蜜一两，煮开三次，一次性服用。
又一方（出自《肘后方》）
用生地黄三斤，细细切碎，水一斗，煮取三升，分三次服用。也可以服用藜芦吐散，以及苦参龙胆散。
治疗伤寒心胸中胀闷，采用催吐法。
以上述猪胆一枚，取汁，加醋一小盏，酒一小盏，与猪胆汁混合，温热后，分为两次服用。应当会引起呕吐。立刻痊愈。
(Attached Discussion)
For various diseases that are cured by emesis, the pathogenic factor is located in the chest. The general principle for treating Cold Damage (Shanghan) states that if four days have passed and the disease has entered the Yin meridians, but the transmission has not yet gone deep, and the pathogenic factor is high with different accumulations of toxic phlegm, the symptoms manifest as fullness and distension in the center of the chest, depression and pain, difficulty in breathing, excessive saliva, vomiting immediately after eating, a desire to vomit but inability to do so, or cold hands and feet, alternatively fullness and irritability below the heart, hunger but inability to eat, and mental restlessness and vexation after improper use of emetic or purgative methods. This corresponds to what the *Neijing* (Inner Canon) refers to as "where the pathology is high, induce it to go out from above," which is exactly this method.
Prescriptions:
To treat chest fullness and oppression caused by Warm Disease (Wenbing), induce emesis. (From *Shengji Zonglu*)
Three Pig Gallbladders (Sanmei), two He of bitter wine (Ku Jiu). Mix well together, filter through silk gauze, and take in one dose. If emesis does not occur, take another dose.
Renshen Decoction (Ren Shen Tang) (From *Shengji Zonglu*). Treats mental restlessness and chest oppression after sweating in Cold Damage (Shanghan), where heat and vexation are not yet resolved.
Ban Liang of Ginseng Root (Ren Shen), a small bundle of Juncus Effusus Stem (Deng Xin), one Fen of Aurantium Fructus (Zhi Ke, bran-fried and pith removed), one piece of Areca Peel (Da Fu Pi, chopped), two Qian of Tea Powder (Cha Mo), raw Licorice Root (Sheng Gan Cao). [Text incomplete/fragmented in source].
To treat excessive phlegm in the chest and heart, indicated for Cold Damage (Shanghan), febrile diseases, and malarial pestilence requiring emesis. (From *Zhou Hou Bei Ji Fang*)
Take one large spoonful of salt powder, swallow with water or warm water. Emesis will occur shortly. If the emesis is not thorough, take again the next morning. Effective. *Zhou Hou Bei Ji Fang* records using one Sheng of salt.
To treat Cold Damage (Shanghan) where sweating fails to resolve the condition, having lasted three to four days, with chest oppression and urge to vomit. (From *Zhou Hou Bei Ji Fang*)
Take one He of Fermented Soybean (Chi) and salt, add four Sheng of water, decoct to obtain one and a half Sheng. Take in divided doses. Emesis should occur. Another prescription uses no salt; instead, use one Liang of honey, boil three times, and take in one dose.
Another Prescription (From *Zhou Hou Bei Ji Fang*)
Use three Jin of fresh Rehmannia Root (Sheng Di Huang), finely chopped, add one Dou of water, decoct to obtain three Sheng. Take in three divided doses. One may also take Lili Emesis Powder (Lilu Tu San) or Kushen Longdan Powder (Kushen Longdan San).
To treat chest and heart fullness and oppression in Cold Damage (Shanghan), induce emesis.
Take juice from one Pig Gallbladder (Zhu Dan), mix with one small cup of vinegar and one small cup of wine. Combine with pig gallbladder juice, warm slightly, and divide into two doses. Emesis should occur. Immediate recovery.