1．夫呕家有痈脓，不可治呕，脓尽自愈。
2．先呕却渴者，此为欲解；先渴却呕者，为水停心下，此属饮家。
呕家本渴，今反不渴者，以心下有支饮故也，
此属支饮。
3．问曰∶病患脉数，数为热，当消谷引食，而反吐者，何也？师曰∶以发其汗，令阳气微，膈气虚，脉乃
数，数为客热，不能消谷，胃中虚冷故也。
脉弦者，虚也。胃气无余，朝食暮吐，变为胃反。寒在于上，医反下之，今脉反弦，故名曰虚。
4．寸口脉微而数，微则无气，无气则荣虚，荣虚则血不足，血不足则胸中冷。
5．趺阳脉浮而涩，浮则为虚，涩则伤脾。脾伤则不磨，朝食暮吐，暮食朝吐，宿谷不化，名曰胃反。脉紧
而涩，其病难治。
6．病患欲吐者，不可下之。
7．哕而腹满，视其前后，如何部不利，利之即愈。
8．呕而胸满者，茱萸汤主之。
茱萸汤方
吴茱萸（一升） 人参（三两） 生姜（六两） 大枣（十二枚）
上四味，以水五升，煮取三升，温服七合，日三服。
9．干呕，吐涎沫，头痛者，茱萸汤主之。（方见上。）
10．呕而肠鸣，心下痞者，半夏泻心汤主之。
半夏泻心汤方
半夏（半升，洗） 黄芩 干姜 人参（各三两） 黄连（一两） 大枣（十二枚） 甘草（三两，炙）
上七味，以水一斗，煮取六升，去滓，再煮取三升，温服一升，日三服。
11．干呕而利者，黄芩加半夏生姜汤主之。
黄芩加半夏生姜汤方
黄芩（三两） 甘草（二两，炙） 芍药（一两） 半夏（半升） 生姜（三两） 大枣（十二枚）
上六味，以水一斗，煮取三升，去滓，温服一升，日再夜一服。
12．诸呕吐，谷不得下者，小半夏汤主之。方见痰饮中。
13．呕吐而病在膈上，后思水者，解，急与之；
思水者，猪苓散主之。
猪苓散方
猪苓 茯苓 白术（各等分）
上三味，杵为散，饮服方寸匕，日三服。
14．呕而脉弱，小便复利，身有微热，见厥者，难治，四逆汤主之。
四逆汤方
附子（一枚，生用） 干姜（一两半） 甘草（二两，炙）
上三味，以水三升，煮取一升二合，去滓，分温再服。强人可大附子（一枚），干姜（三两）。
15．呕而发热者，小柴胡汤主之。
小柴胡汤方
柴胡（半斤） 黄芩（三两） 人参（三两） 甘草（三两） 半夏（半升） 生姜（三两） 大枣（十二
枚）
上七味，以水一斗二升，煮取六升，去滓，再煎取三升，温服一升，日三服。
16．胃反呕吐者，大半夏汤主之。（《千金》云∶治胃反不受食，食入即吐。《外台》云∶治呕、心下痞硬
者。）
大半夏汤方
半夏（二升，洗完用） 人参（三两） 白蜜（一升）
上三味，以水一斗二升，和蜜扬之二百四十遍，煮药取二升半，温服一升，余分再服。
17．食已即吐者，大黄甘草汤主之。（《外台》方又治吐水。）
大黄甘草汤方
大黄（四两） 甘草（一两）
上二味，以水三升，煮取一升，分温再服。
18．胃反，吐而渴欲饮水者，茯苓泽泻汤主之。
茯苓泽泻汤方 （《外台》治消渴脉绝，胃反吐食之者，有小麦一升。）
茯苓（半升） 泽泻（四两） 甘草（二两） 桂枝（二两） 白术（三两） 生姜（四两）
上六味，以水一斗，煮取三升，纳泽泻，再煮取二升半，温服八合，日三服。
19．吐后，渴欲得水而贪饮者，文蛤汤主之。兼主微风，脉紧，头痛。
文蛤汤方
文蛤（五两） 麻黄 甘草 生姜（各三两） 石膏（五两） 杏仁（五十个） 大枣（十二枚）
上七味，以水六升，煮取二升，温服一升，汗出即愈。
20．干呕吐逆，吐涎沫，半夏干姜散主之。
半夏干姜散方
半夏 干姜（各等分）
上二味，杵为散，取方寸匕，浆水一升半，煎取七合，顿服之。
21．病患胸中似喘不喘，似呕不呕，似哕不哕，彻心中愦愦然无奈者，生姜半夏汤主之。
生姜半夏汤方
半夏（半升） 生姜汁（一升）
上二味，以水三升，煮半夏取二升，纳生姜汁，煮取一升半，小冷分四服，日三夜一服。止，停后服。
22．干呕，哕，若手足厥者，桔皮汤主之。
桔皮汤方
桔皮（四两） 生姜（半斤）
上二味，以水七升，煮取三升，温服一升，下咽即愈。
23．哕逆者，桔皮竹茹汤主之。
桔皮竹茹汤方
桔皮（二斤） 竹茹（二升） 大枣（三十枚） 生姜（半斤） 甘草（五两） 人参（一两）
上六味，以水一斗，煮取三升，温服一升，日三服。
24．夫六腑气绝于外者，手足寒，上气脚缩；五脏气绝于内者，利不禁；下甚者，手足不仁。
25．下利脉沉弦者，下重，脉大者为未止；脉微弱数者为欲自止，虽发热不死。
26．下利，手足厥冷，无脉者，灸之不温；若脉不还反微喘者，死。少阴负趺阳者，为顺也。
27．下利，有微热而渴，脉弱者，今自愈。
28．下利脉数，有微热汗出，今自愈；设脉紧，为未解。
29．下利，脉数而渴者，今自愈；设不瘥，必清脓血，以有热故也。
30．下利，脉反弦，发热身汗者，自愈。
31．下利气者，当利其小便。
32．下利，寸脉反浮数，尺中自涩者，必清脓血。
33．下利清谷，不可攻其表，汗出必胀满。
34．下利脉沉而迟，其人面少赤，身有微热，下利清谷者，必郁冒，汗出而解，病患必微厥，所以然者，其
面戴阳，下虚故也。
35．下利后脉绝，手足厥冷， 时脉还，手足温者生，脉不还者死。
36．下利腹胀满，身体疼痛者，先温其里，乃攻其表。温里宜四逆汤，攻表宜桂枝汤。
四逆汤方 （方见上）
桂枝汤方
桂枝（三两，去皮） 芍药（三两） 甘草（三两，炙） 生姜（三两） 大枣（十二枚）
上五味， 咀，以水七升，微火煮取三升，去滓，适寒温，服一升。服已须臾，啜热稀粥一升，以助药力，
温复令一时许，遍身 微似有汗者益佳，不可令如水淋漓。若一服汗出，病瘥，停后服。
37．下利，三部脉皆平，按之心下坚者，急下之，宜大承气汤。
38．下利脉迟而滑者，实也，利未欲止，急下之，宜大承气汤。
39．下利，脉反滑者，当有所去，下乃愈，宜大承气汤。
40．下利已瘥，至其年月日时复发者，以病不尽故也，当下之，宜大承气汤。
大承气汤方 （见痉病中）
41．下利谵语者，有燥屎也，小承气汤主之。
小承气汤方
大黄（四两） 浓朴（三两，炙） 枳实（大者三枚炙）
上三味，以水四升，煮取一升二合，去滓，分温二服，得利则止。
42．下利，便脓血者，桃花汤主之。
桃花汤方
赤石脂（一斤，一半 ，一半筛末） 干姜（一两）
粳米（一升）
上三味，以水七升，煮米令熟，去滓，温七合，纳赤石脂末方寸匕，日三服，若一服愈，余勿服。
43．热利下重者，白头翁汤主之。
白头翁汤方
白头翁（二两） 黄连 黄柏 秦皮（各三两）
上四味，以水七升，煮取二升，去滓，温服一升，不愈更服。
44．下利后更烦，按之心下濡者，为虚烦也，栀子豉汤主之。
栀子豉汤方
栀子（十四枚） 香豉（四合，绵裹）
上二味，以水四升，先煮栀子，得二升半，纳豉煮取一升半，去滓，分二服，温进一服，得吐则止。
45．下利清谷，里寒外热，汗出而厥者，通脉四逆汤主之。
通脉四逆汤方
附子（大者一枚，生用） 干姜（三两，强人可四两） 甘草（二两，炙）
上三味，以水三升，煮取一升二合，去滓，分温再服。
46．下利，肺痛，紫参汤主之。
紫参汤方
紫参（半斤） 甘草（三两）
上二味，以水五升，先煮紫参取二升，纳甘草煮取一升半，分温三服。（疑非仲景方。）
47．气利，诃黎勒散主之。
诃黎勒散方
诃黎勒（十枚，煨）
上一味，为散，粥饮和，顿服。（疑非仲景方。）
附方
《千金翼》小承气汤 治大便不通，哕，数谵语。（方见上。）
《外台》黄芩汤 治干呕下利。
黄芩 人参 干姜（各二两） 桂枝（一两） 大枣（十二枚） 半夏（半升）
上六味，以水七升，煮取三升，温分三服。
1．凡是呕吐患者体内有痈疽化脓的情况，不可强行止呕，待脓液排尽后，呕吐自然停止。
2．先发生呕吐随后感到口渴的，这是病情即将解除的表现；先感到口渴随后发生呕吐的，这是因为水饮停滞在心下（胃脘部），这属于饮证患者。
呕吐的患者本来应该口渴，现在反而不渴，是因为心下有支饮（支撑于胸膈间的痰饮）的缘故，这属于支饮证。
3．问：病人脉象数，数脉主热，应当消谷善饥、食欲旺盛，却反而呕吐，这是什么原因？老师说：因为之前发汗过度，导致阳气微弱，膈间气虚，脉象才表现为数，这种数是客热（虚阳浮越之热），不能消化食物，原因是胃中虚冷。
脉象弦的，表示正气虚弱。胃气已无余存，早晨吃晚上吐，转变为胃反病。寒邪在上焦，医生反而使用攻下法，现在脉象反而变弦，所以称为虚证。
4．寸口脉微而数，微脉表示元气不足，元气不足则营气虚弱，营气虚弱则血液不足，血液不足则胸中寒冷。
5．趺阳脉（足背动脉）浮而涩，浮脉表示气虚，涩脉表示脾伤。脾受伤则无法磨化水谷，早晨吃的食物晚上吐出，晚上吃的食物早上吐出，宿食不消化，称为胃反病。脉象紧而涩，这种病难治。
6．病人想要呕吐的，不可使用攻下法。
7．呃逆且腹部胀满，观察其前阴（小便）和后阴（大便），看哪一部分不通利，通利它即可痊愈。
8．呕吐且胸部胀满的，用茱萸汤主治。
茱萸汤方
吴茱萸（一升） 人参（三两） 生姜（六两） 大枣（十二枚）
以上四味药，用水五升，煮取三升药液，温服七合，每日三次服用。
9．干呕，吐出涎沫，头痛的，用茱萸汤主治。（方剂见上文。）
10．呕吐且肠鸣，心下痞塞的，用半夏泻心汤主治。
半夏泻心汤方
半夏（半升，洗净） 黄芩 干姜 人参（各三两） 黄连（一两） 大枣（十二枚） 甘草（三两，炙）
以上七味药，用水一斗，煮取六升药液，去渣，再煎煮取三升药液，温服一升，每日三次服用。
11．干呕且伴有腹泻的，用黄芩加半夏生姜汤主治。
黄芩加半夏生姜汤方
黄芩（三两） 甘草（二两，炙） 芍药（一两） 半夏（半升） 生姜（三两） 大枣（十二枚）
以上六味药，用水一斗，煮取三升药液，去渣，温服一升，白天两次夜间一次服用。
12．各种呕吐，食物无法咽下的，用小半夏汤主治。方剂见痰饮篇中。
13．呕吐且病变部位在膈上，之后想喝水的，说明病将解，应立即给予饮水；
如果思水（想喝水），用猪苓散主治。
猪苓散方
猪苓 茯苓 白术（各等分）
以上三味药，捣碎为散剂，用米汤送服一方寸匕，每日三次服用。
14．呕吐且脉象弱，小便清长，身体有轻微发热，出现四肢厥冷的，难治，用四逆汤主治。
四逆汤方
附子（一枚，生用） 干姜（一两半） 甘草（二两，炙）
以上三味药，用水三升，煮取一升二合药液，去渣，分两次温服。体质强壮的人可用大附子一枚，干姜三两。
15．呕吐且发热的，用小柴胡汤主治。
小柴胡汤方
柴胡（半斤） 黄芩（三两） 人参（三两） 甘草（三两） 半夏（半升） 生姜（三两） 大枣（十二枚）
以上七味药，用水一斗二升，煮取六升药液，去渣，再煎煮取三升药液，温服一升，每日三次服用。
16．胃反呕吐的，用大半夏汤主治。（《千金方》说：治疗胃反不受食，食入即吐。《外台秘要》说：治疗呕吐、心下痞硬。）
大半夏汤方
半夏（二升，洗完用） 人参（三两） 白蜜（一升）
以上三味药，用水一斗二升，与蜜混合扬动二百四十遍，煮药取二升半药液，温服一升，剩余的药液分两次服用。
17．吃完就吐的，用大黄甘草汤主治。（《外台秘要》方又治疗吐清水。）
大黄甘草汤方
大黄（四两） 甘草（一两）
以上两味药，用水三升，煮取一升药液，分两次温服。
18．胃反，呕吐且口渴想喝水的，用茯苓泽泻汤主治。
茯苓泽泻汤方 （《外台秘要》治疗消渴脉绝，胃反吐食的，加小麦一升。）
茯苓（半升） 泽泻（四两） 甘草（二两） 桂枝（二两） 白术（三两） 生姜（四两）
以上六味药，用水一斗，煮取三升药液，加入泽泻，再煎煮取二升半药液，温服八合，每日三次服用。
19．呕吐后，口渴想喝水且贪饮的，用文蛤汤主治。兼治微风，脉紧，头痛。
文蛤汤方
文蛤（五两） 麻黄 甘草 生姜（各三两） 石膏（五两） 杏仁（五十个） 大枣（十二枚）
以上七味药，用水六升，煮取二升药液，温服一升，出汗即愈。
20．干呕吐逆，吐出涎沫的，用半夏干姜散主治。
半夏干姜散方
半夏 干姜（各等分）
以上两味药，捣碎为散剂，取一方寸匕，用浆水一升半，煎取七合，一次性服用。
21．病人胸中似喘非喘，似呕非呕，似呃逆非呃逆，心中烦乱无可奈何的，用生姜半夏汤主治。
生姜半夏汤方
半夏（半升） 生姜汁（一升）
以上两味药，用水三升，煮半夏取二升药液，加入生姜汁，煮取一升半药液，稍冷后分四次服用，白天三次夜间一次服用。症状停止后，停服后续药物。
22．干呕，呃逆，若伴有手足厥冷的，用桔皮汤主治。
桔皮汤方
桔皮（四两） 生姜（半斤）
以上两味药，用水七升，煮取三升药液，温服一升，咽下即愈。
23．呃逆的，用桔皮竹茹汤主治。
桔皮竹茹汤方
桔皮（二斤） 竹茹（二升） 大枣（三十枚） 生姜（半斤） 甘草（五两） 人参（一两）
以上六味药，用水一斗，煮取三升药液，温服一升，每日三次服用。
24．六腑之气衰竭于外的，手足寒冷，气逆脚缩；五脏之气衰竭于内的，泄泻不止；下利严重的，手足麻木不仁。
25．下利（腹泻）脉象沉弦的，有里急后重感，脉象大的表示病未停止；脉象微弱数的表示将要自行停止，虽然发热也不会死。
26．下利，手足厥冷，无脉的，施灸后仍不回暖；如果脉象不还反而轻微喘息的，死亡。少阴脉弱于趺阳脉的，为顺证。
27．下利，有轻微发热且口渴，脉象弱的，将会自愈。
28．下利脉数，有轻微发热出汗的，将会自愈；如果脉紧，表示病未解。
29．下利，脉数且口渴的，将会自愈；如果不痊愈，必然排出脓血，因为有热的缘故。
30．下利，脉象反弦，发热身出汗的，将会自愈。
31．下利伴肛门排气失禁的，应当通利小便。
32．下利，寸脉反浮数，尺中自涩的，必然排出脓血。
33．下利完谷不化的，不可攻表，发汗必然导致腹胀满。
34．下利脉沉而迟，其人面部微红，身体有轻微发热，下利完谷不化的，必然会出现郁冒（头晕目眩如物蒙蔽），出汗后病解，病人必然轻微厥冷，之所以这样，是因为面戴阳（虚阳上浮），下焦虚寒的缘故。
35．下利后脉绝，手足厥冷，片刻后脉象恢复，手足转温的生存，脉象不恢复的死亡。
36．下利腹胀满，身体疼痛的，先温补其里，再攻解其表。温里宜用四逆汤，攻表宜用桂枝汤。
四逆汤方 （方剂见上文）
桂枝汤方
桂枝（三两，去皮） 芍药（三两） 甘草（三两，炙） 生姜（三两） 大枣（十二枚）
以上五味药，切碎，用水七升，微火煮取三升药液，去渣，适寒温，服一升。服药不久，喝热稀粥一升，以助药力，覆盖衣被约一顿饭时间，全身微微似有汗出的最好，不可令汗出如水淋漓。如果一次服药汗出，病愈，停服后续药物。
37．下利，三部脉皆平，按压心下坚硬的，急下之，宜用大承气汤。
38．下利脉迟而滑的，是实证，下利未欲停止，急下之，宜用大承气汤。
39．下利，脉象反滑的，应当有所去除，下之乃愈，宜用大承气汤。
40．下利已愈，到了原来的年月日时复发的，因为病根未尽的缘故，当下之，宜用大承气汤。
大承气汤方 （见痉病篇中）
41．下利谵语的，有燥屎，用小承气汤主治。
小承气汤方
大黄（四两） 浓朴（三两，炙） 枳实（大者三枚，炙）
以上三味药，用水四升，煮取一升二合药液，去渣，分两次温服，得利则止。
42．下利，便脓血的，用桃花汤主治。
桃花汤方
赤石脂（一斤，一半整块，一半研末） 干姜（一两）
粳米（一升）
以上三味药，用水七升，煮米令熟，去渣，温服七合，加入赤石脂末一方寸匕，每日三次服用，如果一次服药痊愈，剩余勿服。
43．热利伴有里急后重的，用白头翁汤主治。
白头翁汤方
白头翁（二两） 黄连 黄柏 秦皮（各三两）
以上四味药，用水七升，煮取二升药液，去渣，温服一升，不愈更服。
44．下利后更加烦躁，按压心下柔软的，为虚烦，用栀子豉汤主治。
栀子豉汤方
栀子（十四枚） 香豉（四合，绵裹）
以上两味药，用水四升，先煮栀子，得二升半药液，加入豉煮取一升半药液，去渣，分两次服用，温进一服，得吐则止。
45．下利完谷不化，里寒外热，出汗且厥冷的，用通脉四逆汤主治。
通脉四逆汤方
附子（大者一枚，生用） 干姜（三两，体质强壮者可四两） 甘草（二两，炙）
以上三味药，用水三升，煮取一升二合药液，去渣，分两次温服。
46．下利，肺痛（疑为肠痛或腹痛之误），用紫参汤主治。
紫参汤方
紫参（半斤） 甘草（三两）
以上两味药，用水五升，先煮紫参取二升药液，加入甘草煮取一升半药液，分三次温服。（怀疑非张仲景方。）
47．气利（矢气伴随大便失禁），用诃黎勒散主治。
诃黎勒散方
诃黎勒（十枚，煨）
以上一味药，为散剂，用粥饮调和，一次性服用。（怀疑非张仲景方。）
附方
《千金翼方》小承气汤 治疗大便不通，呃逆，频繁谵语。（方剂见上文。）
《外台秘要》黄芩汤 治疗干呕下利。
黄芩 人参 干姜（各二两） 桂枝（一两） 大枣（十二枚） 半夏（半升）
以上六味药，用水七升，煮取三升药液，温分三次服用。
1. In cases where a patient with vomiting has an abscess and pus, do not treat the vomiting directly; once the pus is discharged, the condition will resolve spontaneously.
2. Vomiting followed by thirst indicates that the disease is about to resolve; thirst followed by vomiting indicates water retention in the epigastrium (stomach region), which belongs to the category of fluid retention disorders (Yin Jia).
Patients who vomit should normally feel thirsty; if they do not feel thirsty now, it is due to Zhi Yin (fluid retention supporting in the chest/diaphragm) in the epigastrium, which belongs to Zhi Yin disorder.
3. Question: A patient has a rapid pulse (Shu Mai). Rapid pulse indicates heat, which should lead to digestion of food and increased appetite, yet the patient vomits instead. Why? The Master said: This is because sweating was induced previously, causing Yang Qi to become weak and Diaphragm Qi to be deficient, resulting in a rapid pulse. This rapidness represents guest heat (Ke Re, floating empty heat), which cannot digest food; the cause is deficiency-cold in the Stomach.
A wiry pulse (Xian Mai) indicates deficiency. With no surplus Stomach Qi, morning intake leads to evening vomiting, transforming into Wei Fan (Stomach Reversal). Cold is located in the upper jiao, but the physician incorrectly used purgatives. Now the pulse is wiry, hence it is named deficiency.
4. At the Cun Kou (radial artery) position, the pulse is faint (Wei) and rapid (Shu). Faint indicates lack of Qi; lack of Qi leads to Ying (Nutritive) deficiency; Ying deficiency leads to blood insufficiency; blood insufficiency leads to cold in the chest.
5. At the Zu Yang (dorsalis pedis artery) position, the pulse is floating (Fu) and choppy (Se). Floating indicates deficiency; choppy indicates Spleen injury. When the Spleen is injured, it fails to grind food. Morning food is vomited in the evening, and evening food is vomited in the morning; undigested food remains, termed Wei Fan. If the pulse is tight (Jin) and choppy, the disease is difficult to treat.
6. If a patient desires to vomit, do not use purgation.
7. For hiccups accompanied by abdominal fullness, observe the anterior (urination) and posterior (defecation) orifices. Whichever pathway is obstructed, unblock it, and the patient will recover.
8. For vomiting accompanied by chest fullness, Zhu Yu Tang (Evodia Decoction) is the primary formula.
Zhu Yu Tang Formula
Wu Zhu Yu (Evodiae Fructus, 1 sheng) Ren Shen (Ginseng Radix, 3 liang) Sheng Jiang (Fresh Ginger Rhizome, 6 liang) Da Zao (Jujubae Fructus, 12 pieces)
The above four ingredients are decocted in 5 sheng of water to obtain 3 sheng of liquid. Take 7 ge warm, three times daily.
9. For dry heaving, spitting of saliva/foam, and headache, Zhu Yu Tang (Evodia Decoction) is the primary formula. (Formula see above.)
10. For vomiting accompanied by borborygmus and epigastric stuffiness (Pi), Ban Xia Xie Xin Tang (Pinellia Decoction to Drain the Epigastrium) is the primary formula.
Ban Xia Xie Xin Tang Formula
Ban Xia (Pinelliae Rhizoma Preparatum, half sheng, washed) Huang Qin (Scutellariae Radix) Gan Jiang (Zingiberis Rhizoma) Ren Shen (Ginseng Radix) (each 3 liang) Huang Lian (Coptidis Rhizoma, 1 liang) Da Zao (Jujubae Fructus, 12 pieces) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried)
The above seven ingredients are decocted in 1 dou of water to obtain 6 sheng of liquid. Strain, then re-decoct to obtain 3 sheng. Take 1 sheng warm, three times daily.
11. For dry heaving accompanied by diarrhea, Huang Qin Jia Ban Xia Sheng Jiang Tang (Scutellaria Decoction with Added Pinellia and Fresh Ginger) is the primary formula.
Huang Qin Jia Ban Xia Sheng Jiang Tang Formula
Huang Qin (Scutellariae Radix, 3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried) Shao Yao (Paeoniae Radix Alba, 1 liang) Ban Xia (Pinelliae Rhizoma Preparatum, half sheng) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang) Da Zao (Jujubae Fructus, 12 pieces)
The above six ingredients are decocted in 1 dou of water to obtain 3 sheng of liquid. Strain. Take 1 sheng warm, twice during the day and once at night.
12. For various types of vomiting where food cannot go down, Xiao Ban Xia Tang (Minor Pinellia Decoction) is the primary formula. (See Phlegm-Fluids chapter for formula.)
13. For vomiting with pathology above the diaphragm, if the patient subsequently desires water, it indicates resolution; give water immediately.
If the patient desires water, Zhu Ling San (Polyporus Powder) is the primary formula.
Zhu Ling San Formula
Zhu Ling (Polypori Sclerotium) Fu Ling (Poria) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (equal parts)
The above three ingredients are pounded into powder. Take one fang cun bi (square-inch scoopful) with water, three times daily.
14. For vomiting with a weak pulse, frequent urination, slight fever, and cold extremities (Jue), the prognosis is poor; Si Ni Tang (Frigid Extremities Decoction) is the primary formula.
Si Ni Tang Formula
Fu Zi (Aconiti Lateralis Radix Preparata, one piece, raw) Gan Jiang (Zingiberis Rhizoma, 1.5 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried)
The above three ingredients are decocted in 3 sheng of water to obtain 1.2 sheng of liquid. Strain. Divide into two warm doses. Strong individuals may use one large Fu Zi and 3 liang of Gan Jiang.
15. For vomiting accompanied by fever, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary formula.
Xiao Chai Hu Tang Formula
Chai Hu (Bupleuri Radix, half jin) Huang Qin (Scutellariae Radix, 3 liang) Ren Shen (Ginseng Radix, 3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang) Ban Xia (Pinelliae Rhizoma Preparatum, half sheng) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang) Da Zao (Jujubae Fructus, 12 pieces)
The above seven ingredients are decocted in 1.2 dou of water to obtain 6 sheng of liquid. Strain, then simmer again to obtain 3 sheng. Take 1 sheng warm, three times daily.
16. For Wei Fan (Stomach Reversal) with vomiting, Da Ban Xia Tang (Major Pinellia Decoction) is the primary formula. (Qian Jin Fang says: Treats Wei Fan unable to retain food, vomiting immediately after ingestion. Wai Tai Mi Yao says: Treats vomiting and epigastric hardness.)
Da Ban Xia Tang Formula
Ban Xia (Pinelliae Rhizoma Preparatum, 2 sheng, washed) Ren Shen (Ginseng Radix, 3 liang) Bai Mi (White Honey, 1 sheng)
The above three ingredients are mixed with 1.2 dou of water and honey, stirred/sprinkled 240 times, then decocted to obtain 2.5 sheng of liquid. Take 1 sheng warm, divide the remainder into two doses.
17. For vomiting immediately after eating, Da Huang Gan Cao Tang (Rhubarb and Licorice Decoction) is the primary formula. (Wai Tai Mi Yao formula also treats vomiting clear fluid.)
Da Huang Gan Cao Tang Formula
Da Huang (Rhei Radix et Rhizoma, 4 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang)
The above two ingredients are decocted in 3 sheng of water to obtain 1 sheng of liquid. Divide into two warm doses.
18. For Wei Fan with vomiting and thirst desiring water, Fu Ling Ze Xie Tang (Poria and Alisma Decoction) is the primary formula. (Wai Tai Mi Yao adds Xiao Mai [Tritici Semen] 1 sheng for treating Xiao Ke with absent pulse and Wei Fan vomiting food.)
Fu Ling Ze Xie Tang Formula
Fu Ling (Poria, half sheng) Ze Xie (Alismatis Rhizoma, 4 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang) Gui Zhi (Cinnamomi Ramulus, 2 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 4 liang)
The above six ingredients are decocted in 1 dou of water to obtain 3 sheng of liquid. Add Ze Xie, re-decoct to obtain 2.5 sheng. Take 8 ge warm, three times daily.
19. After vomiting, if the patient is thirsty and drinks greedily, Wen Sha Tang (Clam Shell Decoction) is the primary formula. It also treats mild wind, tight pulse, and headache.
Wen Sha Tang Formula
Wen Sha (Arcae Concha, 5 liang) Ma Huang (Ephedrae Herba) Gan Cao (Glycyrrhizae Radix et Rhizoma) Sheng Jiang (Zingiberis Rhizoma Recens) (each 3 liang) Shi Gao (Gypsib Fibrosum, 5 liang) Xing Ren (Pruni Semen, 50 pieces) Da Zao (Jujubae Fructus, 12 pieces)
The above seven ingredients are decocted in 6 sheng of water to obtain 2 sheng of liquid. Take 1 sheng warm; recovery occurs with sweating.
20. For dry heaving, retching, and spitting of saliva/foam, Ban Xia Gan Jiang San (Pinellia and Dried Ginger Powder) is the primary formula.
Ban Xia Gan Jiang San Formula
Ban Xia (Pinelliae Rhizoma Preparatum) Gan Jiang (Zingiberis Rhizoma) (equal parts)
The above two ingredients are pounded into powder. Take one fang cun bi, decoct in 1.5 sheng of Jiang Shui (fermented grain water) to obtain 7 ge. Take in one dose.
21. For patients feeling as if panting but not panting, as if vomiting but not vomiting, as if hiccuping but not hiccuping, with a sense of profound discomfort and helplessness throughout the heart/chest, Sheng Jiang Ban Xia Tang (Fresh Ginger and Pinellia Decoction) is the primary formula.
Sheng Jiang Ban Xia Tang Formula
Ban Xia (Pinelliae Rhizoma Preparatum, half sheng) Sheng Jiang Zhi (Fresh Ginger Juice, 1 sheng)
The above two ingredients are decocted in 3 sheng of water, boiling Ban Xia to obtain 2 sheng. Add Sheng Jiang Zhi, boil to obtain 1.5 sheng. Take slightly cool, divided into four doses. Three times during the day, once at night. Stop subsequent doses when symptoms cease.
22. For dry heaving, hiccups, and cold extremities, Ju Pi Tang (Tangerine Peel Decoction) is the primary formula.
Ju Pi Tang Formula
Ju Pi (Citri Reticulatae Pericarpium, 4 liang) Sheng Jiang (Zingiberis Rhizoma Recens, half jin)
The above two ingredients are decocted in 7 sheng of water to obtain 3 sheng of liquid. Take 1 sheng warm; recovery occurs upon swallowing.
23. For hiccups (Ni), Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) is the primary formula.
Ju Pi Zhu Ru Tang Formula
Ju Pi (Citri Reticulatae Pericarpium, 2 jin) Zhu Ru (Bambusae Caulis in Taenia, 2 sheng) Da Zao (Jujubae Fructus, 30 pieces) Sheng Jiang (Zingiberis Rhizoma Recens, half jin) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 liang) Ren Shen (Ginseng Radix, 1 liang)
The above six ingredients are decocted in 1 dou of water to obtain 3 sheng of liquid. Take 1 sheng warm, three times daily.
24. When the Qi of the Six Fu organs fails externally, there is cold in the hands and feet, upward rushing of Qi, and curling up of the legs. When the Qi of the Five Zang organs fails internally, there is uncontrollable diarrhea. In severe lower cases, there is numbness in the hands and feet.
25. In diarrhea, a deep-wiry pulse indicates heaviness in the rectum (tenesmus); a large pulse indicates the disease has not stopped; a weak-rapid pulse indicates it will stop spontaneously. Even with fever, death will not occur.
26. In diarrhea with cold extremities and absent pulse, if moxibustion does not warm the body, and if the pulse does not return but instead slight wheezing occurs, death ensues. If the Shao Yin pulse is weaker than the Zu Yang pulse, it is a favorable sign.
27. In diarrhea with slight fever and thirst, and a weak pulse, spontaneous recovery is expected.
28. In diarrhea with a rapid pulse, slight fever, and sweating, spontaneous recovery is expected; if the pulse is tight, the disease is unresolved.
29. In diarrhea with a rapid pulse and thirst, spontaneous recovery is expected; if it does not improve, pus and blood will appear in the stool due to heat.
30. In diarrhea, if the pulse becomes wiry, accompanied by fever and sweating, spontaneous recovery is expected.
31. In diarrhea with flatus incontinence, promote urination.
32. In diarrhea, if the Cun (inch) pulse is floating and rapid while the Chi (cubit) pulse is choppy, pus and blood will appear in the stool.
33. In diarrhea with undigested food, do not attack the exterior; sweating will inevitably cause abdominal fullness.
34. In diarrhea with a deep-slow pulse, slight facial redness, slight body fever, and undigested food, there will likely be vertigo/dizziness (Yu Mao). Recovery occurs with sweating. The patient will likely have slight cold extremities. This is because of "Face Dai Yang" (floating Yang on the face) due to lower deficiency.
35. After diarrhea, if the pulse ceases and extremities are cold, but the pulse returns and extremities become warm, life is preserved; if the pulse does not return, death ensues.
36. In diarrhea with abdominal fullness and body pain, first warm the interior, then attack the exterior. Warm the interior with Si Ni Tang (Frigid Extremities Decoction); attack the exterior with Gui Zhi Tang (Cinnamon Twig Decoction).
Gui Zhi Tang Formula
Gui Zhi (Cinnamomi Ramulus, 3 liang, bark removed) Shao Yao (Paeoniae Radix Alba, 3 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang, honey-fried) Sheng Jiang (Zingiberis Rhizoma Recens, 3 liang) Da Zao (Jujubae Fructus, 12 pieces)
The above five ingredients are chopped, decocted in 7 sheng of water over low heat to obtain 3 sheng. Strain. Take 1 sheng at a comfortable temperature. Shortly after taking, drink 1 sheng of hot thin porridge to assist the medicinal power. Cover with clothing for about an hour until slight general sweating occurs; this is optimal. Do not allow profuse sweating. If one dose produces sweating and the disease resolves, stop subsequent doses.
37. In diarrhea, if all three pulse positions (Cun, Guan, Chi) are level, but pressure on the epigastrium reveals hardness, urgently purge with Da Cheng Qi Tang (Major Order the Qi Decoction).
38. In diarrhea with a slow-slippery pulse, it is excess; diarrhea has not ceased, urgently purge with Da Cheng Qi Tang (Major Order the Qi Decoction).
39. In diarrhea, if the pulse is slippery, there is something to be expelled; purging will lead to recovery. Use Da Cheng Qi Tang (Major Order the Qi Decoction).
40. If diarrhea has resolved but recurs at the same time of year/month/day/hour, it is because the pathogen was not fully eliminated. Purge with Da Cheng Qi Tang (Major Order the Qi Decoction).
41. In diarrhea with delirium, there is dry feces; Xiao Cheng Qi Tang (Minor Order the Qi Decoction) is the primary formula.
Xiao Cheng Qi Tang Formula
Da Huang (Rhei Radix et Rhizoma, 4 liang) Hou Po (Magnoliae Officinalis Cortex, 3 liang, honey-fried) Zhi Shi (Aurantii Fructus Immaturus, 3 large pieces, honey-fried)
The above three ingredients are decocted in 4 sheng of water to obtain 1.2 sheng. Strain. Divide into two warm doses. Stop when bowel movement occurs.
42. In diarrhea with pus and blood in the stool, Tao Hua Tang (Peach Blossom Decoction) is the primary formula.
Tao Hua Tang Formula
Chi Shi Zhi (Halloysit Rubrum, 1 jin, half whole, half powdered) Gan Jiang (Zingiberis Rhizoma, 1 liang) Jing Mi (Oryza Sativa Germen, 1 sheng)
The above three ingredients are decocted in 7 sheng of water until the rice is cooked. Strain. Take 7 ge warm, adding one fang cun bi of Chi Shi Zhi powder. Take three times daily. If cured after one dose, do not take the rest.
43. In heat-type diarrhea with tenesmus (heavy sensation in the rectum), Bai Tou Weng Tang (Pulsatillae Decoction) is the primary formula.
Bai Tou Weng Tang Formula
Bai Tou Weng (Pulsatillae Radix, 2 liang) Huang Lian (Coptidis Rhizoma) Huang Bo (Phellodendri Cortex) Qin Pi (Fraxini Cortex) (each 3 liang)
The above four ingredients are decocted in 7 sheng of water to obtain 2 sheng. Strain. Take 1 sheng warm. If not cured, take again.
44. After diarrhea, if irritability increases, and pressure on the epigastrium feels soft, it is deficiency irritability (Xu Fan); Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction) is the primary formula.
Zhi Zi Chi Tang Formula
Zhi Zi (Geniposide/Gardeniae Fructus, 14 pieces) Chi Xiao Dou/Fermented Soybean (Sojae Semen Praeparatum, 4 he, wrapped in silk)
The above two ingredients are decocted in 4 sheng of water. First boil Zhi Zi to obtain 2.5 sheng, add Chi Dou, boil to obtain 1.5 sheng. Strain. Divide into two doses. Take one warm dose; stop if vomiting occurs.
45. In diarrhea with undigested food, interior cold with exterior heat, sweating, and cold extremities, Tong Mai Si Ni Tang (Decoction to Unblock the Pulse and Restore Frigid Extremities) is the primary formula.
Tong Mai Si Ni Tang Formula
Fu Zi (Aconiti Lateralis Radix Preparata, one large piece, raw) Gan Jiang (Zingiberis Rhizoma, 3 liang, 4 liang for strong individuals) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried)
The above three ingredients are decocted in 3 sheng of water to obtain 1.2 sheng. Strain. Divide into two warm doses.
46. In diarrhea with lung pain (likely intestinal/abdominal pain), Zi Shen Tang (Perilae Root Decoction) is the primary formula.
Zi Shen Tang Formula
Zi Shen (Scrophulariae Radix/Pseudostellariae Radix?, 0.5 jin) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang)
The above two ingredients are decocted in 5 sheng of water. First boil Zi Shen to obtain 2 sheng, add Gan Cao, boil to obtain 1.5 sheng. Divide into three warm doses. (Suspected non-Zhang Zhongjing formula.)
47. For Qi Li (diarrhea with flatus incontinence), He Li Le San (Chebula Powder) is the primary formula.
He Li Le San Formula
He Li Le (Terminaliae Chebulae Fructus, 10 pieces, roasted)
The above single ingredient is powdered. Mix with congee water and take in one dose. (Suspected non-Zhang Zhongjing formula.)
Attached Formulas
Qian Jin Yi Fang Xiao Cheng Qi Tang: Treats constipation, hiccups, and frequent delirium. (Formula see above.)
Wai Tai Mi Yao Huang Qin Tang: Treats dry heaving and diarrhea.
Huang Qin (Scutellariae Radix) Ren Shen (Ginseng Radix) Gan Jiang (Zingiberis Rhizoma) (each 2 liang) Gui Zhi (Cinnamomi Ramulus, 1 liang) Da Zao (Jujubae Fructus, 12 pieces) Ban Xia (Pinelliae Rhizoma Preparatum, half sheng)
The above six ingredients are decocted in 7 sheng of water to obtain 3 sheng. Divide into three warm doses.