〔大〕夫妇人心胸嘈杂，此脾胃郁火，滞痰血液泪汗而成，用猪血炒食之，乃以血
导而使之归源尔。旋复花汤尤善。
〔薛〕前证若因食郁，用六君、山楂、山栀。若因胃热，用二陈、姜炒芩、连。若
因六郁，用越鞠丸。（杂病郁。）若因气滞，用四七汤。（杂病气。）桔梗、枳壳。大抵此证属病气。
元气俱不足，须用六君为主，少佐以治痰之药。若以火治之，必变吞酸中满。 一妇人
饮食少思，胸中嘈杂，头晕吐痰，此中气虚而有热。用六君子汤加炒黑山栀、桔梗而愈。
后因劳碌，头晕发热吐痰，用补中益气汤加半夏、茯苓、天麻而痊。 一妇人中脘嘈杂，
口中辛辣，或咳嗽吐痰发喘，面色或白或赤，此脾气虚而肺中伏火也。用六君子加山栀、桔
梗、柴胡及炒黑片芩治之，寻愈。 一妇人嘈杂吞酸，饮食少思，大便不实，此脾气虚
寒而下陷。用补中益气汤加茯苓、半夏、炮姜，渐愈。又常服人参理中丸即安。 一妇
人饮食后嘈杂吞酸，此食郁为痰。用六君子汤送越鞠丸渐愈，又用加味归脾汤而痊。后
因怒，两胁胀痛，中脘作酸，用四君子汤送左金丸渐安，仍用六君子汤送越鞠丸而痊。
旋复花汤 治妇人心胸嘈杂，中脘痰饮冷气，心下汪洋，口中清水自出，腹胁急胀
满痛，不欲饮食。
旋复花 人参 桔梗 白芍药（各一钱） 橘皮（去白，一钱半） 赤茯苓 半夏（各二钱）
官桂（去粗皮） 细辛 甘草（各半钱）
上作一服，水二盅，生姜五片，煎至一盅，食前服。
〔补遗〕予尝以参苏饮二分，四物汤一分交和，每四钱，生姜七片煎服，治一妇人心
胸嘈杂而愈。亦名茯苓补心汤。
【大论】妇女出现心胸嘈杂的症状，这是由于脾胃郁结之火，与滞涩的痰湿、血液、泪液和汗液相互搏结而形成的。治疗时可用猪血炒熟食用，这是利用“以血导血”的原理，引导气血回归本源。旋复花汤对此症尤为有效。
【薛己按语】上述症状如果是因为食积郁滞引起的，可使用六君子汤配合山楂、山栀。如果是因为胃热引起的，使用二陈汤配合姜汁炒制的黄芩、黄连。如果是因为六郁（气、血、痰、火、湿、食六种郁滞）引起的，使用越鞠丸。（参见杂病郁证章节）。如果是因为气机阻滞引起的，使用四七汤。（参见杂病气滞章节），可加桔梗、枳壳。大体上，此证属于气病范畴。元气均显不足，必须以六君子汤为主方，少量佐以治痰的药物。如果用寒凉泻火的方法治疗，必然会导致吞酸、中满等变证。
有一位妇人饮食减少、思食无力，胸中嘈杂，头晕并吐痰，这是中气虚弱而有内热所致。使用六君子汤加入炒黑山栀、桔梗而痊愈。后来因劳累过度，出现头晕、发热、吐痰，使用补中益气汤加入半夏、茯苓、天麻而康复。
又一位妇人中脘部嘈杂，口中感觉辛辣，有时咳嗽吐痰甚至气喘，面色或白或红，这是脾气虚弱而肺中有伏火所致。使用六君子汤加入山栀、桔梗、柴胡以及炒黑的黄芩片进行治疗，不久即愈。
又一位妇人出现嘈杂、吞酸、饮食减少、大便不成形，这是脾气虚寒且气机下陷所致。使用补中益气汤加入茯苓、半夏、炮姜，逐渐好转。平时常服人参理中丸即可安稳。
又一位妇人在进食后出现嘈杂、吞酸，这是食积郁滞化为痰浊所致。使用六君子汤送服越鞠丸，逐渐好转，后又用加味归脾汤而痊愈。后来因为发怒，出现两胁胀痛、中脘作酸，使用四君子汤送服左金丸，逐渐安宁，仍继续用六君子汤送服越鞠丸而痊愈。
旋复花汤：治疗妇人心胸嘈杂，中脘有痰饮冷气，心下部感觉水声漉漉（汪洋），口中清水自出，腹部和胁肋部急胀满痛，不想饮食。
处方组成：旋复花、人参、桔梗、白芍药（各一钱），橘皮（去白，一钱半），赤茯苓、半夏（各二钱），官桂（去粗皮）、细辛、甘草（各半钱）。
制法用法：以上药材为一剂用量，加水两盅，生姜五片，煎煮至一盅，饭前服用。
【补遗】我曾将参苏饮与四物汤按二分比一分的比例调和，每次取四钱，加生姜七片煎服，治愈了一位心胸嘈杂的妇人。此方又名茯苓补心汤。
[Da] Women experiencing a sensation of discomfort and hunger mixed with nausea in the chest and heart region (xin xiong za chao) is caused by stagnant fire in the Spleen and Stomach, which combines with stagnant phlegm, blood, tears, and sweat. Treatment involves eating stir-fried pig's blood; this utilizes the principle of "using blood to guide blood," directing the Qi and Blood back to their source. Xuanfu Hua Tang (Inula Flower Decoction) is particularly effective for this condition.
[Xue Ji's Commentary] If the aforementioned symptoms are due to food stagnation and depression, use Liu Jun Zi Tang (Six Gentlemen Decoction) combined with Shan Zha (Crataegi Fructus) and Shan Zhi (Gardeniae Fructus). If due to Stomach Heat, use Er Chen Tang (Two Aged Ingredients Decoction) combined with Huang Qin (Scutellariae Radix) fried with ginger juice and Lian (Coptidis Rhizoma). If due to the Six Depressions (Qi, Blood, Phlegm, Fire, Dampness, Food), use Yue Ju Wan (Yueju Pill). (Refer to Miscellaneous Diseases: Depression chapter). If due to Qi stagnation, use Si Qi Tang (Four Seven Decoction). (Refer to Miscellaneous Diseases: Qi chapter), adding Jie Geng (Platycodonis Radix) and Zhi Ke (Aurantii Fructus Immaturus). Generally, this syndrome belongs to Qi disorders. Both Yuan Qi (Primal Qi) and healthy Qi are insufficient; therefore, Liu Jun Zi Tang should be the primary formula, with a small amount of phlegm-resolving herbs added as adjuvants. If treated with cold-natured clearing-heat methods, it will inevitably lead to complications such as acid regurgitation and epigastric fullness.
One woman had reduced appetite, lack of desire to eat, chest discomfort, dizziness, and expectoration of phlegm. This was due to deficiency of Middle Qi with internal heat. She recovered after taking Liu Jun Zi Tang (Six Gentlemen Decoction) with added charred Shan Zhi (Gardeniae Fructus) and Jie Geng (Platycodonis Radix). Later, due to overwork, she experienced dizziness, fever, and expectoration of phlegm. She recovered after taking Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with added Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), and Tian Ma (Gastrodiae Rhizoma).
Another woman had epigastric discomfort, a spicy sensation in the mouth, occasional coughing with expectoration and wheezing, and a complexion that alternated between pale and red. This was due to Spleen Qi deficiency with latent fire in the Lung. She recovered after treatment with Liu Jun Zi Tang (Six Gentlemen Decoction) added with Shan Zhi (Gardeniae Fructus), Jie Geng (Platycodonis Radix), Chai Hu (Bupleuri Radix), and charred Pian Qin (Scutellariae Radix slice).
Another woman presented with discomfort, acid regurgitation, reduced appetite, and loose stools. This was due to Spleen Qi deficiency and Cold with sinking of Qi. She gradually improved after taking Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with added Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), and Pao Jiang (Zingiberis Rhizoma Preparatum). She remained stable by regularly taking Ren Shen Li Zhong Wan (Ginseng Regulate the Middle Pill).
Another woman experienced discomfort and acid regurgitation after meals, caused by food stagnation transforming into phlegm. She gradually improved after taking Liu Jun Zi Tang (Six Gentlemen Decoction) to deliver Yue Ju Wan (Yueju Pill), and subsequently recovered after using Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction). Later, due to anger, she experienced distending pain in both hypochondria and sourness in the epigastrium. She gradually stabilized after taking Si Jun Zi Tang (Four Gentlemen Decoction) to deliver Zuo Jin Wan (Left Metal Pill), and finally recovered by continuing to take Liu Jun Zi Tang (Six Gentlemen Decoction) to deliver Yue Ju Wan (Yueju Pill).
Xuanfu Hua Tang (Inula Flower Decoction): Treats women with chest discomfort, cold fluid retention in the epigastrium, a sensation of water sloshing in the lower chest (xin xia wang yang), spontaneous flow of clear saliva from the mouth, acute distension and pain in the abdomen and hypochondria, and loss of appetite.
Ingredients: Xuan Fu Hua (Inulae Flos), Ren Shen (Ginseng Radix et Rhizoma), Jie Geng (Platycodonis Radix), Bai Shao Yao (Paeoniae Radix Alba) (each 1 qian); Ju Pi (Citri Reticulatae Pericarpium, white part removed) (1.5 qian); Chi Fu Ling (Poria cum Rubo), Ban Xia (Pinelliae Rhizoma) (each 2 qian); Guan Gui (Laurae Cassiae Cortex, outer bark removed), Xi Xin (Asari Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian).
Preparation and Administration: These ingredients constitute one dose. Add two cups of water and five slices of fresh Ginger (Sheng Jiang), decoct until one cup remains. Take before meals.
[Supplement] I once treated a woman with chest discomfort by mixing Can Su Yin (Ginseng and Perilla Decoction) and Si Wu Tang (Four Substances Decoction) in a ratio of 2:1. Each dose consisted of 4 qian, decocted with seven slices of fresh Ginger. The patient recovered. This formula is also known as Fu Ling Bu Xin Tang (Poria Tonifying the Heart Decoction).