大意
呕吐哕俱属脾胃虚弱。或寒热所侵。或饮食所伤。致气上逆而食不得下也。（东垣）
内因
有内伤饮食。填塞太阴。新谷入胃。气不宣通而吐者。有久病气虚。胃气衰微。闻食则呕者。有胃中有热。食
入即吐者。有胃中有寒。食久方吐者。有风邪在胃。翻翻不定。郁成酸水。全不入食者。有暑邪犯胃。心烦口
渴。腹痛泄泻而呕者。有胃中有脓。腥臊熏臭而呕者。有胃中有虫。作痛吐水。得食暂止者。有胃中停水。心
下怔忡。口渴欲饮。水入即吐者。有胃中有痰。恶心头眩。中脘躁扰。食入即吐者。（汇补）
外候
挟寒。则喜热恶寒。肢冷脉小。挟热。则喜冷恶热。躁渴脉洪。气滞者。胀满不通。痰饮者。遇冷即发。呕苦。知
邪在胆。吐酸。识火入肝。呕涎水。虽属痰饮。尚疑虫症。吐酸腐。无非食滞。更防火患。吐清水。是土之卑监。吐绿
水。是木之发生。黑水从胃底翻出。臭水是肠中逆来。（汇补）
吐分三焦
上焦吐者。从于气。气者。天之阳也。脉浮而洪。头晕不已。气上冲胸。食已即吐。渴欲饮水。当降气和中。中焦
吐者。从于积。有阴有阳。气食相假。脉浮而弦。胸中痞闷。或先痛后吐。或先吐后痛。当祛积和气。下焦吐者。
从于寒。地道也。脉大而迟。四肢清冷。朝食暮吐。暮食朝吐。小便清利。大便不通。当通其闭塞。温其寒气。（洁古）
呕吐哕辨
呕属阳明。气血居多之乡。故有声有物。气血俱病也。吐属太阴多血少气之所。故有物无声。血病也。哕属
少阳。多气少血之部。故有声有物。气病也。（东垣）
呕哕微甚
干呕即哕之微。哕即干呕之甚。呕声轻小而短。哕声重大而长。呕为轻。哕为重。（溯洄）故曰。木陈者其叶落。
病深者其声哕。（经文）
死症
吐如青菜汁者死。船晕大吐不止。渴欲饮水者危。惟童便饮之最效。女子肝气大实。久吐不已者死。呕而
脉弱。小便复利。身有微热。见厥者死。
脉法
寸口脉微者。胃寒。趺阳脉浮者。胃虚。阳紧阴数为吐。阳浮而数亦为吐。寸紧尺涩。胸满而吐。紧而滑者吐
逆。紧而涩者难治。寸口脉紧而芤为噎。关上脉数为吐。寸口脉微数则血不足。胸中冷故吐。又有呕吐太
甚。胸气不能降。而尺脉不至者。（汇补）
治法
古方以半夏、生姜、橘皮为呕家圣药。独东垣云。生姜止呕。但治表实气壅。若胃虚谷气不行。惟当补胃调
中。推扬谷气而已。若吐而诸药不效。必加镇重以坠之。吐而中气久虚。必借谷食以和之。（必读）
呕吐忌下
凡呕吐者。切不可下。逆之故也。（丹溪）惟兼胸满腹胀者。视其何部不利。然后利之。（大全）
阴虚成呕
诸阳气浮。无所根据纵。呕咳上气。此阴虚成呕。不独胃家为病。所谓无阴则呕也。地黄汤加石斛、沉香治之。（汇
补）
【附漏气走哺】
先吐后泻。身热腹闷。名曰漏气。漏气者。上焦伤风也。二便不通。气逆不续。名曰走哺。走哺者。下焦实热也。
（准绳）
【附食痹】
食痹者。食已则心下痛。吐出乃止。此因胃脘痰饮恶血留滞于中所致。薤白半夏汤治之。（汇补）
用药
主以二陈汤。加藿香、浓朴。因食者。必嗳气吞酸。加枳实、山楂、麦芽。因气者。必痞满不舒。加枳壳、苏梗、
浓朴。胃热者。必呕苦吐酸。加黄连、姜炒山栀。胃寒者。必呕冷不食。加炮姜、益智。湿痰者。必呕绿水痰涎。加苍
术、香附。虫痛者。必吐清水。能食加楝根、使君。气虚挟热合四君子。气虚挟寒合理中汤。或入糯米共煎。或用
伏龙肝水煎。或煎好调代赭石末服。
呕吐选方
二陈汤 治呕吐诸症。为能安胃气降逆气也。（方见痰症）
六君子汤 治胃气衰微呕吐。（方见中风）
理中汤 治胃气虚寒呕吐。（方见中寒）
竹茹汤 治胃热火炎呕吐。
橘皮 半夏（各三钱） 甘草 竹茹（各一钱） 山栀（七分） 枇杷叶（二片） 姜 枣
左金丸 治肝火上逆呕吐。
黄连 吴茱萸（各等分）
末之。粥丸。煎白术陈皮汤下。
小半夏汤 治胃实呕吐。
半夏 生姜（各三钱）
加橘皮。名橘皮半夏汤。
大半夏汤 治胃虚呕吐。
半夏（五钱） 人参（三钱） 白蜜（三钱）
水扬二百四十遍煎。
半夏生姜大黄汤 治邪实呕吐。便闭可下者。
半夏（二两） 生姜（两半） 大黄（二两）
水煎。分三服。
红豆丸 治胃气久虚。大寒呕吐。
丁香 胡椒 砂仁 红豆（各二十粒）
姜汁糊丸。以大枣去核填药。面裹煨熟。细嚼白滚汤下。
麦冬汤 治漏气。因上焦伤风。邪着不舒。闷而呕吐。
麦冬 芦根 竹茹 白术（各五两） 甘草（三两） 茯苓（三两）
人参 陈皮 葳蕤（各三两） 生姜（五片） 陈皮（一撮）
水煎。分服。
人参汤 治走哺。由大小便不通。下焦实热。
人参 黄芩 知母 萎蕤（各三两） 芦根 竹茹 白术 山栀 陈皮（各半两） 石膏（一两）
每服四钱。水煎。
旋复代赭汤 治呕吐不已。真气逆而不降。用此镇坠。
旋复花（三钱） 代赭石（一钱研）
用旋复花煎。调赭石末服。
大意
呕吐和呃逆都归属于脾胃虚弱。可能是受到寒邪或热邪的侵袭，或者是饮食不当造成的损伤，导致气机上逆，食物无法下行。（李东垣）
内因
有因为内伤饮食，导致太阴脾经壅塞，新进入胃中的谷物，气机不能宣通而引发呕吐的；有因为久病导致气虚，胃气衰微，闻到食物的气味就想呕吐的；有因为胃中有热，食物吃下去立刻呕吐的；有因为胃中有寒，食物停留很久才呕吐的；有因为风邪在胃，翻腾不定，郁结形成酸水，完全无法进食的；有因为暑邪侵犯胃腑，心烦口渴，腹痛泄泻并伴有呕吐的；有因为胃中有脓液，散发腥臊恶臭而引发呕吐的；有因为胃中有寄生虫，引起疼痛并吐出水液，进食后暂时停止的；有因为胃中停聚水饮，心下悸动不安，口渴想喝水，但水喝进去立刻呕吐的；有因为胃中有痰湿，恶心头晕，中脘部躁动不安，食物吃下去立刻呕吐的。（《证治汇补》）
外候
兼夹寒邪的，喜欢热食厌恶寒冷，四肢冰冷，脉象细小；兼夹热邪的，喜欢冷食厌恶炎热，烦躁口渴，脉象洪大。气机阻滞的，表现为胀满不通；痰饮为患的，遇到寒冷就会发作。呕吐苦味液体，可知邪气在胆经；呕吐酸水，识别为火邪侵入肝经；呕吐涎水，虽然属于痰饮，但仍需怀疑是虫症；呕吐酸腐食物，无非是食积停滞，更要警惕火热之邪；呕吐清水，这是脾土卑监（运化失职）的表现；呕吐绿水，这是肝木发生（疏泄太过）的表现；黑水从胃底翻出，臭水是从肠道逆反上来的。（《证治汇补》）
呕吐分三焦
上焦呕吐，源于气机失调。气属于天之阳，脉象浮而洪大，头晕不止，气向上冲撞胸部，吃完即吐，口渴想喝水，治疗应当降气和胃。中焦呕吐，源于积滞，有阴积也有阳积，气与食相互搏结，脉象浮而弦，胸中痞闷，或者先痛后吐，或者先吐后痛，治疗应当祛除积滞、调和气机。下焦呕吐，源于寒邪，属于地道，脉象大而迟，四肢清冷，早晨吃的晚上吐，晚上吃的早晨吐，小便清长通畅，大便不通，治疗应当通其闭塞，温散寒气。（张洁古）
呕吐哕辨
呕吐属于阳明经，这里是气血聚集较多的地方，所以既有声音又有实物吐出，是气血俱病的表现。吐（指只吐物无声）属于太阴经，这里是多血少气的地方，所以只有实物吐出而没有声音，是血病的表现。呃逆属于少阳经，这里是多气少血的地方，所以既有声音又有实物（逆气），是气病的表现。（李东垣）
呕哕微甚
干呕就是轻微的呃逆，呃逆就是严重的干呕。呕吐的声音轻小且短促，呃逆的声音沉重且悠长。呕吐病情较轻，呃逆病情较重。（朱丹溪）所以说：树木枯朽叶子就会脱落，病深入里声音就会变成呃逆。（出自经文）
死症
呕吐物像青菜汁一样的会死亡；晕船般剧烈呕吐不止，且口渴想喝水的危重，只有饮用童便效果最好；女子肝气极度亢盛，长期呕吐不止的会死亡；呕吐且脉象微弱，小便反而通利，身体有轻微发热，出现四肢厥冷的会死亡。
脉法
寸口脉微弱的，是胃寒；趺阳脉浮大的，是胃虚；阳气紧、阴数是为呕吐；阳脉浮而数也是呕吐；寸脉紧尺脉涩，胸满而呕吐；脉紧而滑的是吐逆；脉紧而涩的难治。寸口脉紧而芤是噎膈；关上脉数是呕吐；寸口脉微数则是血不足，胸中寒冷所以呕吐。又有因为呕吐过于剧烈，胸中气机不能下降，导致尺脉摸不到的情况。（《证治汇补》）
治法
古方以半夏、生姜、橘皮作为治疗呕吐的圣药。唯独李东垣说，生姜止呕，只能治疗表实气壅的情况。如果胃虚谷气不行，只应当补益胃气、调理中焦，推扬谷气罢了。如果呕吐服用各种药物无效，必须加入镇重的药物以降逆。如果呕吐且中气长期虚弱，必须借助谷食来调和。（《医学入门》）
呕吐忌下
凡是呕吐，切不可使用攻下法，因为这样会违背病势。（朱丹溪）只有兼有胸满腹胀的，观察是哪一部分不利，然后才予以通利。（《医宗必读》）
阴虚成呕
诸阳气浮越，无所依附，出现呕吐咳嗽、气逆上冲，这是阴虚导致的呕吐，不仅仅是胃家生病，所谓“无阴则呕”。用六味地黄汤加石斛、沉香治疗。（《证治汇补》）
【附漏气走哺】
先呕吐后腹泻，身体发热腹部闷胀，名叫漏气。漏气，是上焦感受风邪所致。大小便不通，气逆接续不上，名叫走哺。走哺，是下焦实热所致。（《医学准绳六要》）
【附食痹】
食痹，是吃完饭后心下疼痛，吐出后才停止。这是因为胃脘部有痰饮和恶血留滞在中焦所致。用薤白半夏汤治疗。（《证治汇补》）
用药
主要使用二陈汤，加藿香、厚朴。如果是因饮食停滞，必定嗳气吞酸，加枳实、山楂、麦芽。如果是因气机阻滞，必定痞满不舒，加枳壳、苏梗、厚朴。胃热的，必定呕吐苦味、吐出酸水，加黄连、姜炒山栀。胃寒的，必定呕吐冷物、不想进食，加炮姜、益智仁。湿痰的，必定呕吐绿水、痰涎，加苍术、香附。虫痛的，必定吐清水，如果能进食，加楝根、使君子。气虚兼热的合用四君子汤，气虚兼寒的合用理中汤。或者加入糯米共同煎煮。或者用伏龙肝水煎药。或者煎好后调入代赭石末服用。
呕吐选方
二陈汤 治疗呕吐各种症状，因为它能安胃气、降逆气。（方剂见痰症章节）
六君子汤 治疗胃气衰微引起的呕吐。（方剂见中风章节）
理中汤 治疗胃气虚寒引起的呕吐。（方剂见中寒章节）
竹茹汤 治疗胃热火炎引起的呕吐。
橘皮 半夏（各三钱） 甘草 竹茹（各一钱） 山栀（七分） 枇杷叶（二片） 姜 枣
左金丸 治疗肝火上逆引起的呕吐。
黄连 吴茱萸（各等分）
研末，用米粥做成丸剂，用白术陈皮汤送服。
小半夏汤 治疗胃实引起的呕吐。
半夏 生姜（各三钱）
加上橘皮，名叫橘皮半夏汤。
大半夏汤 治疗胃虚引起的呕吐。
半夏（五钱） 人参（三钱） 白蜜（三钱）
将水扬起二百四十遍后煎煮。
半夏生姜大黄汤 治疗邪实引起的呕吐，大便闭结可以攻下的。
半夏（二两） 生姜（一两半） 大黄（二两）
水煎，分三次服用。
红豆丸 治疗胃气长期虚弱，大寒引起的呕吐。
丁香 胡椒 砂仁 红豆（各二十粒）
用姜汁糊制作丸剂，将去核的大枣填入药物，外面裹上面粉煨熟，细嚼后用白开水送服。
麦冬汤 治疗漏气。因上焦伤风，邪气附着不舒，胸闷而呕吐。
麦冬 芦根 竹茹 白术（各五两） 甘草（三两） 茯苓（三两）
人参 陈皮 葳蕤（各三两） 生姜（五片） 陈皮（一撮）
水煎，分次服用。
人参汤 治疗走哺。由大小便不通，下焦实热所致。
人参 黄芩 知母 萎蕤（各三两） 芦根 竹茹 白术 山栀 陈皮（各半两） 石膏（一两）
每次服用四钱，水煎。
旋复代赭汤 治疗呕吐不止，真气逆乱不能下降，用此方镇坠逆气。
旋复花（三钱） 代赭石（一钱研末）
用旋复花煎汤，调入赭石末服用。
General Principles
Vomiting and hiccups both belong to the category of Spleen-Stomach deficiency. They may be caused by invasion of cold or heat pathogens, or by dietary injury, leading to rebellious Qi ascent and the inability of food to descend. (Li Dongyuan)
Internal Causes
There are cases where internal dietary injury causes congestion in the Taiyin Spleen meridian; when new grain enters the Stomach, Qi fails to circulate freely, resulting in vomiting. There are cases where chronic illness leads to Qi deficiency and decline of Stomach Qi, causing nausea upon smelling food. There are cases where heat exists in the Stomach, causing immediate vomiting after eating. There are cases where cold exists in the Stomach, causing vomiting only after food has remained for a long time. There are cases where wind pathogen resides in the Stomach, causing restless retching, stagnation into sour fluid, and complete inability to eat. There are cases where summerheat pathogen invades the Stomach, causing irritability, thirst, abdominal pain, diarrhea, and vomiting. There are cases where pus exists in the Stomach, emitting a fishy, foul odor, causing vomiting. There are cases where parasites exist in the Stomach, causing pain and vomiting of water, which temporarily stops after eating. There are cases where fluid retention exists in the Stomach, causing palpitations below the heart, thirst with desire to drink, but immediate vomiting upon swallowing water. There are cases where phlegm-dampness exists in the Stomach, causing nausea, dizziness, restlessness in the Zhongwan area, and immediate vomiting after eating. (Zhengzhi Huibu)
External Manifestations
When accompanied by cold, there is preference for warmth and aversion to cold, cold limbs, and a thin pulse. When accompanied by heat, there is preference for coolness and aversion to heat, irritability, thirst, and a surging pulse. Qi stagnation presents as distension and obstruction. Phlegm-fluids manifest upon exposure to cold. Vomiting bitter fluid indicates pathogen in the Gallbladder meridian. Vomiting sour fluid identifies fire entering the Liver meridian. Vomiting saliva, although belonging to phlegm-fluids, still requires suspicion of parasitic disease. Vomiting sour-rotten food indicates food stagnation, while also guarding against fire disasters. Vomiting clear water signifies the inferior monitoring of Earth (Spleen dysfunction). Vomiting green water signifies the excessive generation of Wood (Liver hyperactivity). Black water turning over from the bottom of the Stomach, and foul water coming reversely from the intestines. (Zhengzhi Huibu)
Differentiation of Vomiting by Triple Burner
Upper Jiao vomiting stems from Qi. Qi belongs to Heaven's Yang. The pulse is floating and surging, with incessant dizziness, Qi rushing up to the chest, vomiting immediately after eating, and thirst with desire to drink. Treatment should focus on descending Qi and harmonizing the Middle. Middle Jiao vomiting stems from accumulation, involving both Yin and Yang accumulations, where Qi and food interact. The pulse is floating and wiry, with chest stuffiness, either pain preceding vomiting or vomiting preceding pain. Treatment should focus on removing accumulation and harmonizing Qi. Lower Jiao vomiting stems from cold, belonging to the Earthly Way. The pulse is large and slow, with cold limbs, morning food vomited in the evening, evening food vomited in the morning, clear and profuse urination, and constipation. Treatment should focus on unblocking obstruction and warming cold. (Zhang Jiegou)
Differentiation of Vomiting, Spitting, and Hiccups
Vomiting belongs to the Yangming channel, a place abundant in Qi and Blood. Thus, it produces sound and material discharge, indicating disease in both Qi and Blood. Spitting (vomiting without sound) belongs to the Taiyin channel, a place abundant in Blood but deficient in Qi. Thus, it discharges material without sound, indicating Blood disease. Hiccups belong to the Shaoyang channel, a place abundant in Qi but deficient in Blood. Thus, it produces sound and material (rebellious Qi), indicating Qi disease. (Li Dongyuan)
Severity of Vomiting and Hiccups
Dry heaving is mild hiccup; hiccup is severe dry heaving. The sound of vomiting is light, small, and short; the sound of hiccup is heavy and long. Vomiting is mild; hiccup is severe. (Zhu Danxi) Therefore, it is said: When wood is old, its leaves fall; when disease is deep, the voice becomes hiccup. (Classic Text)
Fatal Signs
Vomiting like vegetable juice indicates death. Unstoppable vomiting like seasickness with thirst and desire to drink is critical; drinking child's urine is most effective. Women with excessive Liver Qi stagnation and chronic vomiting will die. Vomiting with a weak pulse, free urination, slight fever, and appearance of cold extremities indicates death.
Pulse Diagnosis
A faint pulse at the Cun position indicates Stomach cold. A floating pulse at the Yuyang position indicates Stomach deficiency. Tight Yang and rapid Yin indicate vomiting. Floating and rapid Yang pulse also indicates vomiting. Tight Cun and choppy Chi indicate chest fullness and vomiting. Tight and slippery pulse indicates vomiting and rebellion. Tight and choppy pulse is difficult to treat. Tight and knotted pulse at Cun indicates dysphagia. Rapid pulse at Guan indicates vomiting. Faint and rapid pulse at Cun indicates insufficient Blood and cold in the chest causing vomiting. Also, excessive vomiting may prevent Chest Qi from descending, resulting in an imperceptible Chi pulse. (Zhengzhi Huibu)
Treatment Methods
Ancient formulas regard Banxia (Pinellia Rhizome), Shengjiang (Fresh Ginger), and JuPi (Tangerine Peel) as holy medicines for vomiting. However, Li Dongyuan stated that Shengjiang stops vomiting only for exterior excess and Qi congestion. If Stomach deficiency prevents Grain Qi from moving, one must only tonify Stomach Qi, regulate the Middle, and promote Grain Qi. If vomiting persists despite various medications, heavy-settling agents must be added to sink the rebellion. If vomiting occurs with long-term Middle Qi deficiency, grain food must be borrowed to harmonize. (Yixue Rumen)
Contraindication of Purging in Vomiting
In all cases of vomiting, purgatives must absolutely not be used, as this opposes the pathological trend. (Zhu Danxi) Only when accompanied by chest fullness and abdominal distension should one observe which part is obstructed and then apply draining methods. (Yizong Bidu)
Vomiting Caused by Yin Deficiency
When all Yang Qi floats without foundation, causing vomiting, coughing, and rebellious Qi, this is vomiting due to Yin deficiency. It is not merely a Stomach disease; it is what is called "no Yin leads to vomiting." Treat with Dihuang Tang (Rehmannia Decoction) plus Shihu (Dendrobium Stem) and Chenxiang (Aquilaria Wood). (Zhengzhi Huibu)
[Appendix: Leaking Qi and Zoubu]
Vomiting followed by diarrhea, with body heat and abdominal stuffiness, is named Leaking Qi. Leaking Qi is wind injury to the Upper Jiao. Obstruction of both urination and defecation with rebellious Qi unable to continue is named Zoubu. Zoubu is excess heat in the Lower Jiao. (Yixue Zhunsheng)
[Appendix: Shi Bi]
Shi Bi (Food Impediment) is pain below the heart after eating, which stops only after vomiting. This is caused by phlegm-fluids and evil blood stagnating in the Stomach region. Treat with Xiebai Banxia Tang (Allium Macrostemon and Pinellia Decoction). (Zhengzhi Huibu)
Medication
The primary formula is Erchen Tang (Two-Cured Decoction), added with Huoxiang (Patchouli Herb) and Houpo (Magnolia Bark). For food stagnation, characterized by belching and acid regurgitation, add Zhishi (Immature Bitter Orange), Shanzha (Hawthorn Fruit), and Maiya (Germinated Hordeum). For Qi stagnation, characterized by stuffiness and discomfort, add Zhike (Bitter Orange Peel), Sugeng (Perilla Stem), and Houpo. For Stomach heat, characterized by bitter vomiting and sour regurgitation, add Huanglian (Coptis Rhizome) and Jiang Chao Shanzhi (Gardenia Fruit stir-fried with ginger). For Stomach cold, characterized by vomiting cold substances and anorexia, add Paojiang (Prepared Ginger) and Yizhi (Alpinia Oxyphylla Fruit). For damp-phlegm, characterized by vomiting green water and sputum, add Cangzhu (Atractylodes Rhizome) and Xiangfu (Cyperus Rhizome). For parasitic pain, characterized by vomiting clear water, if appetite remains, add Lian Gen (Melia Root Bark) and Shijunzi (Quisqualis Fruit). For Qi deficiency with heat, combine with Sijunzi Tang (Four Gentlemen Decoction); for Qi deficiency with cold, combine with Lizhong Tang (Regulate the Middle Decoction). Alternatively, decoct together with Nuomi (Glutinous Rice). Or decoct using Fulonggan Water (Dried Mud from Cooking Pot Bottom). Or decoct well and mix with Daizheshi Powder (Hematitum) before taking.
Selected Formulas for Vomiting
Erchen Tang: Treats various symptoms of vomiting, as it can calm Stomach Qi and descend rebellious Qi. (Formula seen in Phlegm Disease chapter)
Liu Junzi Tang: Treats vomiting due to decline of Stomach Qi. (Formula seen in Stroke chapter)
Lizhong Tang: Treats vomiting due to Stomach Qi deficiency and cold. (Formula seen in Cold Damage chapter)
Zhuru Tang: Treats vomiting due to Stomach fire and blazing heat.
JuPi (Tangerine Peel), Banxia (Pinellia Rhizome) (3 qian each), Gancao (Licorice Root), Zhuru (Bamboo Shavings) (1 qian each), Shanzhi (Gardenia Fruit) (7 fen), Pipaye (Loquat Leaf) (2 pieces), Jiang (Ginger), Zao (Jujube).
Zuojin Wan: Treats vomiting due to Liver Fire rebelling upward.
Huanglian (Coptis Rhizome), Wuzhuyu (Evodia Fruit) (equal parts).
Grind into powder, make pills with congee, and take with Baizhu Chenpi Tang (Atractylodes Macrocephala and Tangerine Peel Decoction).
Xiao Banxia Tang: Treats vomiting due to Stomach excess.
Banxia (Pinellia Rhizome), Shengjiang (Fresh Ginger) (3 qian each).
Add JuPi to name Jupi Banxia Tang.
Da Banxia Tang: Treats vomiting due to Stomach deficiency.
Banxia (Pinellia Rhizome) (5 qian), Ren Shen (Ginseng Radix et Rhizoma) (3 qian), Baimi (White Honey) (3 qian).
Decoct water that has been tossed 240 times.
Banxia Shengjiang Dahuang Tang: Treats vomiting due to pathogenic excess, applicable when constipation allows purging.
Banxia (Pinellia Rhizome) (2 liang), Shengjiang (Fresh Ginger) (1.5 liang), Dahuang (Rhubarb Radix et Rhizoma) (2 liang).
Decoct in water, divide into three doses.
Hongdou Wan: Treats vomiting due to long-term Stomach Qi deficiency and extreme cold.
Dingxiang (Caryophylli Flos), Hujiao (Piperis Longi Fructus), Sharen (Amomi Fructus), Hongdou (Adzuki Bean) (20 grains each).
Make pills with Ginger Juice paste. Fill dates (pitted) with medicine, wrap in flour, roast until cooked, chew finely, and swallow with plain boiled water.
Maidong Tang: Treats Leaking Qi. Due to Upper Jiao wind injury, pathogen adheres causing discomfort, stuffiness, and vomiting.
Maidong (Ophiopogonis Radix), Lugen (Phragmitis Rhizoma), Zhuru (Bamboo Shavings), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 liang each), Gancao (Licorice Root) (3 liang), Fuling (Poria) (3 liang).
Renshen (Ginseng Radix et Rhizoma), Chenpi (Tangerine Peel), Weirui (Polygonati Odorati Rhizoma) (3 liang each), Shengjiang (Fresh Ginger) (5 slices), Chenpi (Tangerine Peel) (a pinch).
Decoct in water, divide into doses.
Renshen Tang: Treats Zoubu. Caused by obstruction of urination and defecation, excess heat in Lower Jiao.
Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Weirui (Polygonati Odorati Rhizoma) (3 liang each), Lugen (Phragmitis Rhizoma), Zhuru (Bamboo Shavings), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhi (Gardenia Fruit), Chenpi (Tangerine Peel) (0.5 liang each), Shigao (Gypsum Fibrosum) (1 liang).
Take 4 qian per dose, decoct in water.
Xuanfu Daizhe Tang: Treats persistent vomiting where True Qi rebels and fails to descend, using this formula to settle and sink.
Xuanfuhua (Inulae Flos) (3 qian), Daizheshi (Hematitum) (1 qian, ground).
Decoct Xuanfuhua, mix with Daizheshi powder, and take.