嘈杂者，俗谓之心嘈也。有胃中痰因火动而嘈者，用二陈汤加减；有心血少而嘈者，用当归补血汤加减；有因
食郁而嘈者，用香砂平胃散治之。
嘈杂有痰因火动者多也。
化痰清火汤
南星（姜汁炒） 半夏（姜汁炒） 陈皮 黄连 黄芩 栀子 知母 石膏 苍术（米泔浸） 白术（去芦）
白芍（各等分） 甘草（一钱半）
上锉一剂，生姜三片，水煎服。
二陈汤 治痰火而嘈。（方见痰症。）一根据本方加炒山栀、黄
连、竹茹、人参、当归、白术、酸枣仁、辰砂、乌梅、大枣、生姜一片，水煎，竹沥调辰砂末同服。
心血虚而嘈杂者，宜养血以清火也。
当归补血汤 治心血少而嘈，兼治惊悸怔忡。
当归 芍药 生地黄 熟地黄（各三钱） 人参（五分） 白术（去芦） 茯苓（去皮） 麦门冬（去心）
山栀仁（炒） 陈皮（各八分） 甘草（三分） 辰砂（研末，临服入二分） 乌梅（一个，去核） 炒米
（百粒）
上锉一剂，枣二枚，水煎温服。
食郁而作嘈者，宜消食以开郁也。香砂平胃散治食郁而嘈。（方见伤食。）根据本方加炒黄连、山栀、川芎、
白芍、辰砂，去枳壳、藿香。
交泰丸 治胸中痞闷嘈杂，大便稀则胸中颇快，大便坚则胸中痞闷难当，不思饮食。
黄连（一两，姜汁浸，黄土炒） 枳实（一两，麸炒） 白术（去芦，土炒，一两） 吴茱萸（汤泡微炒，二两）
归尾（酒洗，一两三钱） 大黄（用当归、红花、吴茱萸、干膝各一两煎水，洗大黄一昼夜，切碎晒干，仍以
酒拌晒之，九蒸九晒，用四两。）
上为细末，姜汁打神曲糊为丸，如绿豆大。每服七八十丸，不拘时，白滚水送下。
消食清郁汤 治嘈杂闷乱、恶心、发热头痛。
陈皮 半夏（姜汁炒） 白茯苓（去皮） 神曲（炒） 山楂（去核） 香附米 川芎 麦芽（炒） 枳壳
（麸炒） 栀子（炒） 黄连（姜汁炒） 苍术（米泔浸） 藿香 甘草
上锉生姜三片，水煎服。
嘈杂，俗称心嘈。有的是因胃中痰饮受火热扰动而引发嘈杂的，使用二陈汤加减治疗；有的是因心血不足而引发嘈杂的，使用当归补血汤加减治疗；有的是因饮食积滞郁结而引发嘈杂的，使用香砂平胃散治疗。
化痰清火汤
制南星（用姜汁炒） 制半夏（用姜汁炒） 陈皮 黄连 黄芩 栀子 知母 石膏 苍术（用米泔水浸泡） 白术（去芦头）
白芍（以上药材各等分） 甘草（一钱半）
以上药物锉碎为一剂，加生姜三片，用水煎煮后服用。
二陈汤 治疗痰火引起的嘈杂。（方剂见“痰症”章节。）根据本方加入炒山栀、黄连、竹茹、人参、当归、白术、酸枣仁、辰砂、乌梅、大枣、一片生姜，用水煎煮，用竹沥调服辰砂末。
当归补血汤 治疗心血不足引起的嘈杂，兼治惊悸怔忡。
当归 芍药 生地黄 熟地黄（各三钱） 人参（五分） 白术（去芦头） 茯苓（去皮） 麦门冬（去心）
山栀仁（炒） 陈皮（以上药材各八分） 甘草（三分） 辰砂（研成细末，临服用时加入二分） 乌梅（一个，去核） 炒米
（一百粒）
以上药物锉碎为一剂，加红枣两枚，用水煎煮后温服。
因饮食积滞郁结而引发嘈杂的，应当消食导滞以开解郁结。香砂平胃散治疗饮食积滞引起的嘈杂。（方剂见“伤食”章节。）根据本方加入炒黄连、山栀、川芎、白芍、辰砂，去掉枳壳、藿香。
交泰丸 治疗胸中痞闷嘈杂，大便稀溏时胸中感觉稍快，大便干结时胸中痞闷难以忍受，不想进食。
黄连（一两，用姜汁浸泡，黄土炒） 枳实（一两，用麸皮炒） 白术（去芦头，土炒，一两） 吴茱萸（汤泡微炒，二两）
归尾（酒洗，一两三钱） 大黄（用当归、红花、吴茱萸、干膝各一两煎水，浸泡大黄一昼夜，切碎晒干，仍用酒拌晒，经过九蒸九晒，用量四两。）
以上药物研成细末，用姜汁打神曲糊作为粘合剂制成丸药，大小如绿豆。每次服用七八十丸，不限时间，用白开水送服。
消食清郁汤 治疗嘈杂烦闷、恶心、发热头痛。
陈皮 制半夏（用姜汁炒） 白茯苓（去皮） 神曲（炒） 山楂（去核） 香附米 川芎 麦芽（炒） 枳壳
（麸炒） 栀子（炒） 黄连（姜汁炒） 苍术（米泔水浸泡） 藿香 甘草
以上药物锉碎，加生姜三片，用水煎煮后服用。
Chaoza (Gastric discomfort with a sensation of emptiness and hunger, commonly known as "heart clamor"). Some cases are caused by phlegm in the stomach being stirred up by fire-heat; these should be treated with Erchen Tang (Two-Cured Decoction) with modifications. Some cases are caused by deficiency of Heart Blood; these should be treated with Danggui Buxue Tang (Dongquui Tonifies the Blood Decoction) with modifications. Some cases are caused by food stagnation and constraint; these should be treated with Xiangsha Pingwei San (Aucklandia and Amomum Powder to Calm the Stomach).
Most cases of Chaoza are due to phlegm being stirred up by fire-heat.
Huatan Qinghuo Tang (Phlegm-Resolving and Fire-Clearing Decoction)
Fuzi Tianxing (Prepared Arisaema Rhizome, stir-fried with ginger juice) Banxia (Prepared Pinellia Tuber, stir-fried with ginger juice) Chenpi (Dried Tangerine Peel) Huanglian (Coptis Rhizome) Huangqin (Scutellaria Root) Zhizi (Gardenia Fruit) Zhimu (Anemarrhena Rhizome) Shigao (Gypsum Fibrosum) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water) Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome base) Baishao (White Peony Root) (All in equal parts) Gancao (Licorice Root) (1 qian 5 fen)
Crush all ingredients into one dose. Add three slices of fresh ginger. Decoct in water and take orally.
Erchen Tang (Two-Cured Decoction) Treats Chaoza caused by phlegm-fire. (Formula see under Phlegm Syndrome.) Based on this formula, add stir-fried Zhizi (Gardenia Fruit), Huanglian (Coptis Rhizome), Zhuru (Bamboo Sap), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Suanzaoren (Ziziphi Spinosae Semen), Chen Sha (Cinnabar), Wumei (Mume Fructus), Dazao (Jujubae Fructus), and one slice of fresh ginger. Decoct in water. Take orally with Chen Sha powder mixed in Zhuli (Bamboo Sap).
When Chaoza is caused by Heart Blood deficiency, it is appropriate to nourish the blood to clear heat.
Danggui Buxue Tang (Dongquui Tonifies the Blood Decoction) Treats Chaoza caused by insufficient Heart Blood, and also treats Jingji Zhengchong (Palpitations and fright).
Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix) Shengdihuang (Rehmanniae Radix Recens) Shudihuang (Rehmanniae Radix Preparata) (Each 3 qian) Renshen (Ginseng Radix et Rhizoma) (5 fen) Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome base) Fuling (Poria) (remove bark) Maidong (Ophiopogonis Radix) (remove heart) Zhiren (Gardeniae Semen, stir-fried) Chenpi (Dried Tangerine Peel) (Each 8 fen) Gancao (Licorice Root) (3 fen) Chen Sha (Cinnabar, grind into fine powder, add 2 fen just before taking) Wumei (Mume Fructus) (one fruit, remove pit) Chaomi (Stir-fried Rice) (100 grains)
Crush all ingredients into one dose. Add two Jujubae Fructus (Red Dates). Decoct in water and take warm.
When Chaoza is caused by food stagnation and constraint, it is appropriate to digest food to resolve constraint. Xiangsha Pingwei San (Aucklandia and Amomum Powder to Calm the Stomach) treats Chaoza caused by food stagnation. (Formula see under Food Injury.) Based on this formula, add stir-fried Huanglian (Coptis Rhizome), Zhizi (Gardenia Fruit), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (White Peony Root), and Chen Sha (Cinnabar). Remove Zhike (Aurantii Fructus Immaturus) and Huoxiang (Agastaches Herba).
Jiaotai Wan (Mutual Interaction Pill) Treats chest fullness, oppression, and Chaoza. When stool is loose, the chest feels relatively comfortable; when stool is hard, the chest feels severely oppressed and unbearable, accompanied by loss of appetite.
Huanglian (Coptis Rhizome) (1 liang, soak in ginger juice, stir-fry with yellow earth) Zhishi (Immature Bitter Orange, stir-fry with bran) Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome base, stir-fry with soil, 1 liang) Wuzhuyu (Evodiae Fructus, soak in water, slightly stir-fry, 2 liang) Guiwei (Angelicae Sinensis Radix Tail) (wash with wine, 1 liang 3 qian) Dahuang (Rhei Radix et Rhizoma) (Use Danggui, Honghua, Wuzhuyu, and Ganxi each 1 liang to decoct water. Soak Dahuang for one day and night. Cut into pieces, dry in sun. Still mix with wine and dry. Repeat nine steaming and nine drying processes. Use 4 liang.)
Grind all ingredients into fine powder. Make pills using Shenqu paste prepared with ginger juice, size of mung beans. Take 70–80 pills per dose at any time, washed down with plain boiled water.
Xiaoshi Qingyu Tang (Food-Digesting and Constraint-Resolving Decoction) Treats Chaoza with mental restlessness, nausea, fever, and headache.
Chenpi (Dried Tangerine Peel) Banxia (Prepared Pinellia Tuber, stir-fried with ginger juice) Fuling (Poria) (remove bark) Shenqu (Massa Medicata Fermentata, stir-fry) Shanzha (Crataegi Fructus) (remove pit) Xiangfumi (Cyperi Rhizoma) Chuanxiong (Ligusticum Chuanxiong Rhizoma) Maiya (Hordei Fructus Germinatus, stir-fry) Zhike (Aurantii Fructus Immaturus) (stir-fry with bran) Zhizi (Gardenia Fruit, stir-fry) Huanglian (Coptis Rhizome, stir-fried with ginger juice) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water) Huoxiang (Agastaches Herba) Gancao (Licorice Root)
Crush all ingredients. Add three slices of fresh ginger. Decoct in water and take orally.