王（二二） 初用辛通见效。多服不应。想雨湿泛潮。都是浊阴上加。致胃阳更困。仿仲景胃中虚。客气
上逆。噫气不除例。（胃虚客气上逆）
人参 旋复花 代赭石 半夏 茯苓 干姜
某 味淡。呕恶嗳气。胃虚浊逆。
白旋复花 钉头代赭 炒黄半夏 姜汁 人参 茯苓
汪（三十） 壮年饮酒聚湿。脾阳受伤已久。积劳饥饱。亦令伤阳。遂食入反出。噫气不爽。格拒在乎中
焦。总以温通镇逆为例。
白旋复花 钉头代赭 茯苓 半夏 淡附子 淡干姜
徐 噫气不爽。食后甚。（脾肺郁）
杏仁 半夏曲 橘红 浓朴 郁金 桔梗
陈（二十） 多噎。胸膈不爽。胃阳弱。宜薄味。（胃阳虚）
生白术 茯苓 新会皮 半夏曲 益智仁 浓朴 生姜
某 嗳气。腹微痛。脾胃未和。（脾胃不和）
人参 焦白芍 茯苓 炙甘草
内经止有噫字。而无嗳字。故经云。五气所病。心为噫。又云。寒气客于胃。厥逆从下上散。复
出于胃。故为噫。夫噫嗳一症。或伤寒病后。及大病后。多有此症。盖以汗吐下后。大邪虽解。
胃气弱而不和。三焦因以失职。故清无所归而不升。浊无所纳而不降。是以邪气留连。嗳
酸作饱。胸膈不爽。而为心下痞硬。噫气不除。乃胃阳虚而为阴所格阻。阳足则充周流动。
不足则胶固格阻矣。仲景立旋复代赭汤。用人参甘草养正补虚。姜枣以和脾养胃。所以
安定中州者至矣。更以旋复花之力。旋转于上。使阴中格阻之阳。升而上达。又用代赭石
之重镇坠于下。使恋阳留滞之阴。降而下达。然后参甘大枣。可施其补虚之功。而生姜半
夏。可奏其开痞之效。而前贤治噫嗳一症。无出仲景右矣。故先生于胃虚客气上逆。及胃
阳虚。脾胃不和。肺气不降而为噫嗳者。每宗仲景法加减出入。或加杏仁桔梗以开肺。智
仁朴术以散满。甘草白芍以和胃。靡不应手取愈。可谓得仲景心法矣。（邹时乘）
王某，二十二岁。起初使用辛温通阳的方法见效，但多服后不再有效。推测是因为雨湿之气泛潮，导致浊阴之邪上犯，致使胃阳更加困顿。仿照张仲景治疗胃中虚寒、客气上逆，导致噫气不止的例方。（病机为胃虚，客气上逆）
人参 旋复花 代赭石 半夏 茯苓 干姜
某患者。口味清淡（或指饮食无味），呕吐恶心，嗳气。这是胃虚导致浊阴之气上逆。
白旋复花 钉头代赭石 炒黄的半夏 姜汁 人参 茯苓
汪某，三十岁。壮年时饮酒导致湿气积聚，脾阳受伤已久。加上积劳和饥饱失常，也损伤了阳气。于是出现食物吃进去又吐出来，嗳气不畅。格拒的病位在中焦。总体以温通和镇逆为原则。
白旋复花 钉头代赭石 茯苓 半夏 淡附子 淡干姜
徐某。嗳气不畅，饭后加重。（病机为脾肺郁滞）
杏仁 半夏曲 橘红 厚朴 郁金 桔梗
陈某，二十岁。经常感到吞咽梗阻，胸膈不舒畅。这是胃阳虚弱，宜用味道清淡的饮食调理。（病机为胃阳虚）
生白术 茯苓 新会皮（陈皮） 半夏曲 益智仁 厚朴 生姜
某患者。嗳气，腹部轻微疼痛。这是脾胃功能未调和。（病机为脾胃不和）
人参 焦白芍 茯苓 炙甘草
《内经》中只有“噫”字，而没有“嗳”字。所以经文说：“五气所病，心为噫。”又说：“寒气客于胃，厥逆从下上散，复出于胃，故为噫。”大凡噫嗳这一症状，多在伤寒病后，以及大病之后出现。这是因为经过发汗、催吐、泻下之后，大的邪气虽然已解，但胃气虚弱而不调和，三焦因此失职。所以清气没有归宿而不能上升，浊气没有接纳而不能下降。因此邪气留连不去，嗳气带酸，感觉饱胀，胸膈不舒畅，从而形成心下痞硬，噫气不止。这是胃阳虚衰而被阴邪格拒阻滞。阳气充足则充周流动，阳气不足则胶固格阻。张仲景创立旋复代赭汤，用人参、甘草来扶正补虚，用生姜、大枣来调和脾胃。用来安定中焦的作用可谓到了极点。再加上旋复花的药力，旋转于上，使被阴邪格拒的阳气，升而上达；又用代赭石的沉重之性，镇坠于下，使留恋停滞的阴气，降而下达。然后人参、甘草、大枣才能发挥其补虚的功效，而生姜、半夏才能奏效消除痞满。前贤治疗噫嗳这一症状，没有超过张仲景的了。所以先生对于胃虚客气上逆，以及胃阳虚、脾胃不和、肺气不降导致的噫嗳，每每遵循张仲景的法度进行加减出入。或者加杏仁、桔梗以开宣肺气，加益智仁、厚朴、白术以消散胀满，加甘草、白芍以调和胃气，没有不随手治愈的。这可以说是得到了张仲景的心法。（邹时乘评注）
Patient Wang, aged 22. Initially, pungent and unblocking methods showed efficacy. However, prolonged administration yielded no further effect. It is presumed that dampness from rainy weather has risen, causing turbid Yin pathogens to ascend, thereby further trapping the Stomach Yang. Following Zhang Zhongjing's example for deficiency in the Stomach with rebellious Qi ascending, leading to persistent belching (Pathogenesis: Stomach deficiency with rebellious Qi).
Ren Shen (Ginseng Radix), Xuan Fu Hua (Inulae Flos), Dai Zhe Shi (Hematitum), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Gan Jiang (Zingiberis Rhizoma)
Another patient. Taste is bland, vomiting, nausea, and belching. This indicates Stomach deficiency with rebellious turbid Qi.
Bai Xuan Fu Hua (Inulae Flos), Ding Tou Dai Zhe Shi (Hematitum prepared with nail-like texture), Chao Huang Ban Xia (Pinelliae Rhizoma stir-fried until yellow), Jiang Zhi (Zingiberis Juice), Ren Shen (Ginseng Radix), Fu Ling (Poria)
Patient Wang, aged 30. In his prime, alcohol consumption accumulated dampness, injuring Spleen Yang for a long time. Chronic fatigue and irregular eating habits also damaged Yang. Consequently, food is regurgitated after ingestion, and belching is unsatisfactory. The obstruction lies in the Middle Jiao. The general principle is warming, unblocking, and suppressing rebellion.
Bai Xuan Fu Hua (Inulae Flos), Ding Tou Dai Zhe Shi (Hematitum), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Dan Fu Zi (Aconiti Lateralis Radix Praeparata), Gan Jiang (Zingiberis Rhizoma)
Patient Xu. Belching is unsatisfactory, worsening after meals. (Pathogenesis: Spleen and Lung stagnation)
Xing Ren (Armeniacae Semen Amarum), Ban Xia Qu (Pinelliae Fermented Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Yu Jin (Curcumae Radix), Jie Geng (Platycodonis Radix)
Patient Chen, aged 20. Frequent dysphagia, chest and diaphragm discomfort. Weak Stomach Yang. Diet should be light. (Pathogenesis: Stomach Yang deficiency)
Sheng Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Xin Hui Pi (Citri Reticulatae Pericarpium), Ban Xia Qu (Pinelliae Fermented Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Hou Po (Magnoliae Officinalis Cortex), Sheng Jiang (Zingiberis Rhizoma Recens)
Another patient. Belching, slight abdominal pain. Spleen and Stomach are not harmonized. (Pathogenesis: Disharmony of Spleen and Stomach)
Ren Shen (Ginseng Radix), Jiao Bai Shao (Paeoniae Radix Alba stir-fried), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata cum Melle)
The *Neijing* (*Inner Canon*) contains only the character "Yi" (belch) but not "Ai". Thus, the scripture states: "Among the diseases caused by the five Qi, the Heart manifests as Yi." It also says: "When cold pathogen lodges in the Stomach, rebellious Qi rises from below, scatters upward, and re-emerges from the Stomach, thus becoming Yi." Generally, the symptom of Yi and Ai often occurs after Taiyang disease or severe illness. This is because after sweating, vomiting, or purging, although major pathogens are resolved, the Stomach Qi becomes weak and disharmonious, causing the San Jiao (Triple Burner) to fail in its duties. Consequently, clear Qi has no destination and cannot ascend; turbid Qi has no reception and cannot descend. Therefore, pathogenic factors linger, belching carries an acidic taste, a sensation of fullness arises, chest and diaphragm discomfort ensues, leading to epigastric hardness and persistent belching. This results from Stomach Yang deficiency being obstructed by Yin pathogens. When Yang is sufficient, it circulates freely; when insufficient, it becomes stagnant and obstructed. Zhang Zhongjing established the Xuan Fu Dai Zhe Tang (Inula and Hematite Decoction), using Ren Shen and Gan Cao to support righteousness and tonify deficiency, and Sheng Jiang and Da Zao to harmonize the Spleen and nourish the Stomach. Its role in stabilizing the Middle Jiao is profound. Furthermore, the power of Xuan Fu Hua rotates upward, allowing Yang trapped by Yin to ascend and reach above. Meanwhile, the heavy nature of Dai Zhe Shi suppresses downward, causing lingering Yin to descend. Thereafter, Ren Shen, Gan Cao, and Da Zao can exert their tonifying effects, while Sheng Jiang and Ban Xia can achieve their action of dissipating nodulation. Among former experts treating Yi and Ai, none surpassed Zhang Zhongjing. Therefore, for cases of Stomach deficiency with rebellious Qi, Stomach Yang deficiency, Spleen-Stomach disharmony, or Lung Qi failing to descend causing belching, Master Ye consistently followed Zhang Zhongjing’s methods with modifications. He might add Xing Ren and Jie Geng to open the Lungs, Yi Zhi Ren, Hou Po, and Bai Zhu to disperse fullness, or Gan Cao and Bai Shao to harmonize the Stomach, achieving cures readily. This can be said to have grasped the essence of Zhang Zhongjing’s methodology. (Commentary by Zou Shicheng)