大全云∶夫胃为水谷之海，水谷之精以为血气，荣润脏腑，因产则脏腑伤动，有时而气
独盛者，则气乘肠胃，肠胃燥涩，其气则逆，故呕逆不下食也。（吐属阳明，故以胃字为主尽之）
薛氏曰∶前证若因饮食过时，用四君子汤；饮食过多，用六君子汤；饮食过时而兼劳
役，用补中益气；若因饮食停滞，用人参养胃汤；脾胃气虚，用六君子汤；胃气虚寒，加炮姜
木香；寒水侮土，用益黄散；肝木侮脾土，用六君升麻柴胡；命门火衰，不能生土，用八味丸
（呕吐专主脾胃，乃理之常，八味丸恐非救急
之务）；呕吐泄泻，手足俱冷，或肚腹作痛，乃阳气虚寒，急用附子理中汤，多有生者。
一产妇朝吐痰，夜发热，昼夜无寐，或用清痰降火，肌体日瘦，饮食日少，前症愈甚。余
曰∶早间吐痰，脾气虚也；夜间发热，肝血虚也；昼夜无寐，脾血耗也。遂用六君子汤（此病
脾虚生痰，故以六君子为先，是总诀）、加味逍遥散、加味归脾汤，以次调理而痊。
香灵丸 治产后呕不止者。
丁香 辰砂（另研，各六分） 五灵脂（一钱）
上香脂先研，后入砂再研匀，用狗胆或猪胆丸如鸡头大，每服一丸，生姜陈皮汤磨下。
（此方不独产后可用，于杂症之有呕吐者亦效，妙在狗胆灵脂）
蒲黄散 治产后三四日恶露不下，呕逆壮热。
芍药（二两半） 当归 知母 生姜 蒲黄（各二两） 红花（半两） 荷叶心中蒂（一个） 生地黄
汁（一盏）
上 咀，水二升煎至一升，去渣，下蒲黄煎数沸，空心分三帖。（以恶露发为呕吐，人尝
失之。此方用荷蒂红花蒲黄当归治恶露不下，生姜止呕安胃是矣，若生地知母芍药能不寒
胃乎，要知此三味又为壮热者设，苟无壮热，其敢用乎，况在三四日之间，芍药尤为所忌，
读方者当知其源）
橘红半夏汤 治产后胃虚呕逆。
橘皮（一两） 半夏 甘草（炙，各半两） 藿香（三两）
上锉，每服五钱，加生姜五片，水煎服。（此方治痰理气，为治呕正方，前方一寒一热
之治瘀血者不同，当知此窍）
开胃散 治产后胃虚呕吐，胸满不食。
人参（一两） 诃子（一两半） 甘草（炙，半两）
上锉，每服五钱，加生姜五片，水煎服。（人参益胃气，诃子治胸满，一益气，一镇气，
自与前后诸方不同，别是一种见解，人所未知）
姜术散 治产后更无他疾，但多呕逆，不能食。
白术（一两二钱半） 生姜（一两半）
上锉作一服，酒水各二升煎取一升，分三服。（更无他疾，专主胃气虚寒也，故惟以温补
为主，既用生姜以佐术，复加酒以为煎，又法之妙也）
石莲散 治产后胃寒咳逆，呕吐不食，或腹作胀。
石莲肉（一两半） 白茯苓（一两） 丁香（半两）
上为细末，每服三钱，用姜汤或米饮调下，日三服。（本草∶石莲即莲实之沉水中千年
者也，其味甘，其性降，故能益胃清水而治呕，况加茯苓以下气，丁香以温寒，生姜佐之，其
中品味大非前方比矣。奈何今之所贸市中石莲，味极苦而内无心，形似莲实而实非莲实。
考之市人，乃云皆是山中木实。本体既殊，性味亦异，又岂有清胃和中之理，求治者宜审择
之，毋为市人之所误）
钱氏益黄散 治脾胃虚寒，水反来侮，以致呕吐不食，或肚腹作痛，或大便不实，手足
逆冷等症。（治脾虚有痰呕逆之正方也）
陈皮（一两） 青皮 诃子肉 甘草（炙） 丁香（各二钱）
上为粗末，每服四钱，水煎服。
加味四君子汤 治产后呕逆不已。
人参 白术 茯苓 甘草（炙） 半夏 陈皮 藿香 砂仁（各等分）
上锉，每服四钱，加生姜三片，枣一枚，水煎，温服。（以上八方各有见解，宜一一考证施
治，勿妄投也）
《医宗必读》中说：胃是受纳水谷的器官，水谷中的精微物质转化为血气，以滋养润泽脏腑。因为分娩会导致脏腑受损扰动，有时会出现某一种气机独盛的情况，这种气就会侵犯肠胃，导致肠胃干燥涩滞，气机上逆，所以出现呕吐、呃逆且无法进食的症状。（呕吐归属于阳明经病证，因此以胃的功能失调来概括这一现象）
薛己（薛氏）说：上述症状如果是因为饮食不按时引起，使用四君子汤；如果是因为饮食过量，使用六君子汤；如果是因为饮食不按时且兼有劳累过度，使用补中益气汤；如果是因为饮食停滞，使用人参养胃汤；如果是脾胃气虚，使用六君子汤；如果是胃气虚寒，加用炮姜和木香；如果是寒水之气反侮脾土（肾寒犯脾），使用益黄散；如果是肝木之气反侮脾土（肝气乘脾），使用六君子汤加升麻、柴胡；如果是命门火衰，不能温煦脾土，使用八味丸（虽然呕吐主要责之于脾胃，这是常理，但八味丸恐怕不是急救的首选）；如果出现呕吐泄泻、手足冰冷，或者腹部疼痛，这是阳气虚寒的表现，急需使用附子理中汤，往往能治愈。
有一位产妇早晨呕吐痰涎，夜间发热，昼夜无法入睡，有人使用清热化痰降火的药物，导致身体日渐消瘦，饮食减少，前面的症状更加严重。我说：早晨吐痰，是脾气虚弱所致；夜间发热，是肝血不足所致；昼夜失眠，是脾血耗损所致。于是使用六君子汤（此病因脾虚生痰，故以六君子汤为先导，这是治疗的总原则）、加味逍遥散、加味归脾汤，依次调理而痊愈。
香灵丸：治疗产后呕吐不止。
丁香、辰砂（单独研磨，各六分）、五灵脂（一钱）。
将丁香和五灵脂先研磨，再加入辰砂一起研磨均匀，用狗胆或猪胆汁制成如鸡头大小的药丸。每次服用一丸，用生姜和陈皮煎汤磨化送服。
（此方不仅产后可以使用，对于其他杂病引起的呕吐也有效，妙处在于使用了狗胆和五灵脂）
蒲黄散：治疗产后三四天恶露不下，伴有呕吐、呃逆和高热。
芍药（二两半）、当归、知母、生姜、蒲黄（各二两）、红花（半两）、荷叶心中蒂（一个）、生地黄汁（一盏）。
将药材切碎，用水二升煎煮至一升，去渣，加入蒲黄再煎煮几沸，空腹分三次服用。
（因为恶露排出障碍引发呕吐，人们常常忽视这一点。此方用荷蒂、红花、蒲黄、当归治疗恶露不下，用生姜止呕安胃是正确的，但是生地黄、知母、芍药难道不会损伤胃阳吗？要知道这三味药是为高热症状设置的，如果没有高热，敢用这些药吗？况且在产后三四天之间，芍药尤其应当禁忌，读方的人应当了解其中的渊源）
橘红半夏汤：治疗产后胃虚引起的呕吐、呃逆。
橘皮（一两）、半夏、甘草（炙，各半两）、藿香（三两）。
将药材切碎，每次服用五钱，加生姜五片，水煎服。
（此方治疗痰湿、理气，是治疗呕吐的正方。前一方是针对瘀血的一寒一热的治法，与此不同，应当明白其中的窍诀）
开胃散：治疗产后胃虚呕吐，胸膈满闷，不想吃东西。
人参（一两）、诃子（一两半）、甘草（炙，半两）。
将药材切碎，每次服用五钱，加生姜五片，水煎服。
（人参补益胃气，诃子治疗胸膈满闷，一个是益气，一个是镇气，自然与前后诸方不同，这是一种独特的见解，一般人并不知晓）
姜术散：治疗产后没有其他疾病，只是频繁呕吐、呃逆，不能进食。
白术（一两二钱半）、生姜（一两半）。
将药材切碎作为一剂，用水和二升酒共同煎煮取一升，分三次服用。
（既然没有其他疾病，专门针对胃气虚寒，所以只以温补为主，既用生姜辅助白术，又加酒来煎煮，这也是用药方法的妙处）
石莲散：治疗产后胃寒引起的咳嗽、呃逆，呕吐不能进食，或者腹部胀气。
石莲肉（一两半）、白茯苓（一两）、丁香（半两）。
研成细末，每次服用三钱，用姜汤或米饮调服，每日三次。
（《本草》记载：石莲就是沉在水底千年的莲子，它的味道甘甜，性质沉降，所以能清胃生津并治疗呕吐，再加上茯苓以降气，丁香以温寒，生姜作为辅助，其中的品味大大不同于前面的方子。奈何现在市场上买卖的石莲，味道极苦而且内部没有心，形状像莲子但实际上不是莲子。询问市场卖药的人，他们说这些都是山中的木果实。本体既然不同，性味也就各异，又怎么会有清胃和中的作用呢？求治的人应该仔细选择，不要被市井之人误导）
钱氏益黄散：治疗脾胃虚寒，水气反来侮土，以致呕吐不能进食，或者腹部疼痛，或者大便不成形，手足逆冷等症状。（这是治疗脾虚有痰、呕吐呃逆的正方）
陈皮（一两）、青皮、诃子肉、甘草（炙）、丁香（各二钱）。
研成粗末，每次服用四钱，水煎服。
加味四君子汤：治疗产后呕吐、呃逆不止。
人参、白术、茯苓、甘草（炙）、半夏、陈皮、藿香、砂仁（各等分）。
将药材切碎，每次服用四钱，加生姜三片、大枣一枚，水煎，温服。（以上八个方子各有见解，应当一一考证后施用，不要随意投药）
The *Yizong Bidu* states: The Stomach is the sea of water and grain. The essence from water and grain transforms into blood and qi, nourishing and moistening the zang-fu organs. Because childbirth causes injury and disturbance to the zang-fu organs, sometimes one type of qi becomes excessively dominant. This qi invades the intestines and stomach, causing dryness and stagnation within them, leading to rebellious qi. Consequently, vomiting, hiccups, and inability to eat occur. (Vomiting belongs to the Yangming channel syndrome; therefore, this phenomenon is primarily attributed to Stomach dysfunction.)
Xue Ji (Xue Shi) said: If the aforementioned symptoms are caused by irregular meal times, use Sijunzi Tang (Four Gentlemen Decoction). If caused by overeating, use Liujunzi Tang (Six Gentlemen Decoction). If caused by irregular meals combined with physical overexertion, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If caused by food stagnation, use Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach). If due to Spleen-Stomach qi deficiency, use Liujunzi Tang. If due to Stomach qi deficiency and cold, add Paoyijiang (Prepared Ginger) and Muxiang (Aucklandia Root). If Cold Water rebels against Earth (Kidney cold invading the Spleen), use Yihuang San (Benefit the Yellow Powder). If Liver Wood rebels against Spleen Earth (Liver qi attacking the Spleen), use Liujunzi Tang plus Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix). If Mingmen Fire declines and fails to warm Spleen Earth, use Bawei Wan (Eight-Ingredient Pill). (Although vomiting primarily concerns the Spleen and Stomach, which is the general principle, Bawei Wan may not be the immediate remedy for emergency situations.) If accompanied by vomiting, diarrhea, cold limbs, or abdominal pain, this indicates yang qi deficiency and cold; urgently use Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle), which often results in recovery.
A postpartum patient vomited phlegm in the morning, had fever at night, and could not sleep day or night. Someone used herbs to clear heat, resolve phlegm, and descend fire, resulting in daily emaciation, reduced food intake, and worsening of the previous symptoms. I said: Vomiting phlegm in the morning indicates Spleen qi deficiency; fever at night indicates Liver blood deficiency; insomnia day and night indicates consumption of Spleen blood. Thus, I prescribed Liujunzi Tang (This condition involves phlegm generated by Spleen deficiency, so Liujunzi Tang is the primary prescription, serving as the general principle), JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder), and JiaWei Guipi Tang (Modified Restore the Spleen Decoction), administered sequentially for regulation until recovery.
Xiangling Wan: Treats persistent vomiting after childbirth.
Dingxiang (Clove), Chen Sha (Cinnabar, separately ground, each 6 fen), Wulingzhi (Trogopterus Dung, 1 qian).
Grind Dingxiang and Wulingzhi first, then mix with Chen Sha and grind evenly. Form pills the size of a chicken head using Gallus gallus domesticus var. domestica bile (Gou Dan) or Sus scrofa domesticus bile (Zhu Dan). Take one pill per dose, grinding it down with a decoction of Shengjiang (Fresh Ginger) and Chenpi (Tangerine Peel).
(This formula is not only suitable for postpartum cases but also effective for vomiting in miscellaneous diseases. Its efficacy lies in the use of Gou Dan and Wulingzhi.)
Puhuang San: Treats lochia retention three to four days after childbirth, accompanied by vomiting, hiccups, and high fever.
Shaoyao (White Peony Root, 2 liang 5 qian), Danggui (Angelica Sinensis), Zhimu (Anemarrhenae Rhizoma), Shengjiang (Fresh Ginger), Puhuang (Typhae Pollen, each 2 liang), Honghua (Carthami Flos, 0.5 liang), Hetiao Xinzhongdi (Lotus Leaf Midrib, 1 piece), Shengdihuang Zhi (Rehmanniae Radix Juice, 1 zhan).
Cut the herbs, decoct in 2 sheng of water until 1 sheng remains, strain, add Puhuang, boil briefly, and divide into three doses to take on an empty stomach.
(Vomiting caused by lochia retention is often overlooked. This formula uses Hetiao, Honghua, Puhuang, and Danggui to treat lochia retention, and Shengjiang to stop vomiting and calm the Stomach, which is correct. However, do Shengdihuang, Zhimu, and Shaoyao not damage the Stomach Yang? Know that these three herbs are intended for high fever. Would they be used if there were no high fever? Moreover, in the first few days postpartum, Shaoyao is particularly contraindicated. Readers should understand the origin of this prescription.)
Juhong Banxia Tang: Treats vomiting and hiccups due to Stomach deficiency after childbirth.
Jupi (Tangerine Peel, 1 liang), Banxia (Pinelliae Rhizoma), Gancao (Licorice Root, honey-fried, each 0.5 liang), Huoxiang (Agastaches Herba, 3 liang).
Cut the herbs. Take 5 qian per dose, add 5 slices of Shengjiang (Fresh Ginger), decoct in water, and take orally.
(This formula resolves phlegm and regulates qi; it is a standard formula for treating vomiting. It differs from the previous formula, which treated blood stasis with cold and hot properties. One must understand this distinction.)
Kaiwei San: Treats postpartum vomiting due to Stomach deficiency, chest fullness, and anorexia.
Renshen (Ginseng Radix et Rhizoma, 1 liang), Hezi (Chebulae Fructus, 1.5 liang), Gancao (Licorice Root, honey-fried, 0.5 liang).
Cut the herbs. Take 5 qian per dose, add 5 slices of Shengjiang (Fresh Ginger), decoct in water, and take orally.
(Renshen tonifies Stomach qi, while Hezi treats chest fullness. One tonifies qi, the other stabilizes qi. This naturally differs from the preceding formulas, representing a unique perspective unknown to many.)
Jiangshu San: Treats postpartum patients with no other ailments who suffer from frequent vomiting, hiccups, and inability to eat.
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 2 qian 5 fen), Shengjiang (Fresh Ginger, 1.5 liang).
Cut the herbs as one dose. Decoct in 2 sheng of water and 2 sheng of wine until 1 sheng remains. Divide into three doses.
(With no other ailments, this specifically targets Stomach qi deficiency and cold, focusing solely on warming and tonifying. Using Shengjiang to assist Baizhu and adding wine for decoction demonstrates the subtlety of this method.)
Shilian San: Treats postpartum Stomach cold causing coughing, hiccups, vomiting, anorexia, or abdominal distension.
Shilian Rou (Nelumbinis Semen, 1.5 liang), Baifuling (Poria, 1 liang), Dingxiang (Clove, 0.5 liang).
Grind into fine powder. Take 3 qian per dose, mixed with Jiangtang (Ginger Tea) or Miyin (Rice Drink). Take three times daily.
(*Bencao* records: Shilian refers to lotus seeds that have sunk in water for a thousand years. They are sweet in taste and descending in nature, thus benefiting the Stomach, clearing heat, generating fluids, and treating vomiting. Combined with Fuling to direct qi downward and Dingxiang to warm cold, assisted by Shengjiang, its composition is vastly different from previous formulas. Alas, the 'Shilian' sold in markets today is extremely bitter, lacks a heart, resembles lotus seeds but is not them. Sellers claim they are fruits from trees in the mountains. Since the substance is different, its nature and taste differ, and it cannot possibly benefit the Stomach and harmonize the middle. Seekers should choose carefully and not be misled by merchants.)
Qian Shi Yihuang San: Treats Spleen-Stomach deficiency-cold where Water rebels against Earth, causing vomiting, anorexia, abdominal pain, loose stools, or cold extremities. (This is a standard formula for vomiting and hiccups due to Spleen deficiency with phlegm.)
Chenpi (Tangerine Peel, 1 liang), Qingpi (Green Tangerine Peel), Hezi Rou (Chebulae Mesocarp), Gancao (Licorice Root, honey-fried), Dingxiang (Clove, each 2 qian).
Grind into coarse powder. Take 4 qian per dose, decoct in water, and take orally.
JiaWei Sijunzi Tang: Treats persistent vomiting and hiccups after childbirth.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Licorice Root, honey-fried), Banxia (Pinelliae Rhizoma), Chenpi (Tangerine Peel), Huoxiang (Agastaches Herba), Sharen (Amomi Fructus, equal parts).
Cut the herbs. Take 4 qian per dose, add 3 slices of Shengjiang (Fresh Ginger) and one Jujube, decoct in water, and take warm. (Each of the above eight formulas has its own rationale. Verify and apply them individually; do not administer arbitrarily.)