〔大〕夫肺主气，五脏六腑俱禀于气，产后则气血伤，脏腑皆损，而风冷搏于气，气
则逆上，而又脾虚聚冷，胃中伏寒，因食热物，冷热气相冲击，使气厥而不顺，则吃逆
也。脾者主中焦，为三焦之关，五脏之仓廪，贮积水谷，若阴阳气虚，使荣卫气厥逆，则
致生斯病也。经云∶吃噫者，胃寒所生，服药无效者，灸期门三壮必愈。期门穴乃胃之
大络。
〔薛〕前证属胃气虚寒之恶候，如用后方未应，急投参附汤，亦有复生者。
参附汤（见前自汗。）
丁香散 治产后心烦，咳噫不止。
丁香 白豆蔻仁（各半两） 伏龙肝（一两）
上为细末，煎桃仁、吴茱萸汤调下一钱，如人行五里再服。
石莲散（见呕吐。）
《产宝》疗产后吃逆，三日不止，欲死方。
桂心（半两） 姜汁（三合）
上同煎取二合，以大火炙手摩背，热时涂药汁尽，妙。
治产后吃逆方 用干柿一枚切碎，以水一盏，煎至六分，热呷之。
又方 古壁镜窠三四个，水一小盏，煎至半小盏，热服。
羌活散 （《灵苑》）治吃逆。
羌活 附子（炮） 香（炒，各半两） 木香 白姜（炮，各二钱半）
上五味为未，每服二钱，水一盏，盐一捻，煎十数沸，热服一服止。
《补遗》治产后吃逆。橘皮汤及大小橘皮汤皆效。
上诸方当审寒热虚实用之，如寒者宜丁香、姜、桂，热者宜干柿、竹茹，实者宜香
附、橘皮，虚者宜人参，甚则附子佐之。误施则有噬脐之悔，慎之。
〔大〕肺主司气机，五脏六腑的气血运行都依赖于气。产后气血受损，脏腑功能皆受损伤，此时若风冷之邪与气相搏结，导致气机上逆；加之脾虚生内寒，胃中潜伏寒气，又因食用热性食物，使得冷热之气在体内相互冲击，致使气机厥逆而不顺畅，从而产生呃逆（打嗝）。脾脏位于中焦，是三焦的关隘，也是五脏储藏水谷精微的仓库。如果阴阳之气虚弱，导致营卫之气厥逆，就会引发这种病症。医经记载：呃逆和嗳气，是由胃寒引起的；若服药无效，艾灸期门穴三壮必定痊愈。期门穴是胃的大络脉所在之处。
〔薛〕上述证候属于胃气虚寒的危重表现。如果使用后面的方剂没有效果，应立即投用参附汤，也有起死回生的案例。
参附汤（见前文自汗章节。）
丁香散：治疗产后心烦、咳嗽及呃逆不止。
配方：丁香、白豆蔻仁（各半两）、伏龙肝（一两）。
制法用法：将上述药物研成细末，用桃仁、吴茱萸煎煮的汤药调服一钱，约人行走五里的时间后再服用一次。
石莲散（见呕吐章节。）
《产宝》治疗产后呃逆，持续三天不止，有生命危险的方法：
配方：桂心（半两）、姜汁（三合）。
制法用法：两者同煎，取药液二合。同时用大火加热手掌，按摩背部，待手热时涂抹药汁直至涂完，效果奇妙。
治疗产后呃逆的另一个方子：
取干柿子一枚切碎，用水一盏，煎至六分，趁热小口饮用。
又一个方子：
取古壁镜框上的铜锈三四个，加水一小盏，煎至半小盏，趁热服用。
羌活散（出自《灵苑》）：治疗呃逆。
配方：羌活、附子（炮制）、香附（炒制，各半两）、木香、白姜（炮制，各二钱半）。
制法用法：将以上五味药研为粉末，每次服用二钱，用水一盏，加入少许盐，煎煮十余沸，趁热服用，一次即可止住。
以上各方应当根据寒热虚实的具体情况辨证使用。如属寒证，适宜使用丁香、生姜、肉桂；属热证，适宜使用干柿、竹茹；属实证，适宜使用香附、橘皮；属虚证，适宜使用人参，严重时可用附子辅助。若误用则会有噬脐莫及的悔恨，务必谨慎。
[Da] The Lung governs Qi, and the Qi of the five Zang organs and six Fu organs all derives from it. After childbirth, Qi and Blood are damaged, and the functions of the Zang and Fu organs are impaired. If Wind-Cold combats with Qi, causing Qi to reverse upward, and combined with Spleen deficiency leading to accumulated Cold and latent Cold in the Stomach, eating hot foods causes Cold and Heat energies to clash. This results in Qi Jue (Qi reversal) and obstruction, leading to hiccup (e-ni). The Spleen governs the Middle Jiao, serves as the gate of the Three Jiao, and is the granary of the five Zang organs, storing water and grain. If Yin and Yang Qi are deficient, causing Ying-Wei Qi (Nutritive and Defensive Qi) to reverse, this disease arises. The Classics state: "Hiccup and belching are generated by Stomach Cold." If medication is ineffective, moxibustion on Qimen (LR14) for three moxa cones will surely cure it. Qimen is the major collateral point of the Stomach.
[Xue] The aforementioned syndrome belongs to the ominous presentation of Stomach Qi deficiency and Cold. If the following prescription yields no response, urgently administer Shenfu Decoction (Ginseng and Aconite Decoction), and there have been cases of recovery from near-death states.
Shenfu Decoction (See Self-Sweating section above.)
Dingxiang San (Clove Powder): Treats postpartum mental restlessness and incessant coughing and hiccupping.
Ingredients: Dingxiang (Clove), Baidoukou Ren (Cardamomi Fructus Rotundus), Fulonggan (Terra Fusca) [each half tael], Fulonggan (one tael).
Preparation and Administration: Grind into fine powder. Mix one qian with decoction of Tao Ren (Persicae Semen) and Wuzhuyu (Evodiae Fructus) and take orally. Repeat administration after walking for a distance equivalent to five li.
Shilian San (Lotus Seed Powder) (See Vomiting section.)
"Chanbao" (Treasures of Childbirth) prescription for postpartum hiccup persisting for three days, approaching death:
Ingredients: Guixin (Cinnamomi Cortex), Jiangzhi (Zingiberis Juice) [three he].
Preparation and Administration: Decoct together to obtain two he. Simultaneously heat hands over high fire and massage the back. Apply the medicinal juice while hot until exhausted. This is excellent.
Another prescription for postpartum hiccup:
Take one dried persimmon, chop finely. Decoct with one zhan of water until reduced to six fen. Drink while hot in small sips.
Another prescription:
Take three or four pieces of verdigris from ancient wall mirrors. Decoct with a small zhan of water until reduced to half a small zhan. Take while hot.
Qianghuo San (Notopterygii Rhizoma et Radix Powder) (from "Lingyuan"): Treats hiccup.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Xiangfu (Cyperi Rhizoma, stir-fried) [each half tael], Muxiang (Aucklandiae Radix), Baijiang (Zingiberis Rhizoma Recens, processed) [each two qian and half].
Preparation and Administration: Grind the five herbs into powder. Take two qian per dose with one zhan of water and a pinch of salt. Decoct for more than ten boils. Take hot; one dose stops the hiccup.
"Buyi" (Supplemental Remedies) treats postpartum hiccup: Chupi Tang (Tangerine Peel Decoction), Da Chupi Tang (Greater Tangerine Peel Decoction), and Xiao Chupi Tang (Lesser Tangerine Peel Decoction) are all effective.
The above prescriptions should be used according to the differentiation of Cold, Heat, Deficiency, and Excess. For Cold patterns, Dingxiang (Clove), Shengjiang (Fresh Ginger), and Rougui (Cinnamon Bark) are suitable. For Heat patterns, Ganshi (Dried Persimmon) and Zhuru (Bambusae Caulis in Taeniam) are suitable. For Excess patterns, Xiangfu (Cyperi Rhizoma) and Chupi (Tangerine Peel) are suitable. For Deficiency patterns, Renshen (Ginseng Radix) is suitable, and Fuzi (Prepared Aconite Root) may be added for severe cases. Misapplication leads to regret too late to remedy; exercise caution.