嘈杂，是痰因火动，治痰为先，姜炒黄连，入痰药。用炒山栀子、黄芩为君，南星
、半夏、陈皮为佐，热多加青黛。
嘈杂，此乃食郁有热，炒栀子、姜炒、黄连不可无。肥人嘈杂，二陈汤少加抚芎、苍术、
、炒山栀子。嘈杂，若湿痰气郁，不喜食，三补丸加苍术，倍香附子。医按∶蒋氏子条云
∶心嘈索食，以白术、黄连、陈皮作丸，白汤下，七八十丸，数服而止。又云∶眩运嘈杂，
是火动其痰，二陈汤加栀子、芩、连之类。
戴云∶此则俗谓之心嘈也。
三补丸 见补损。
伤食，恶食者，胸中有物，宜导痰补脾，用二陈汤加白术、山楂、川芎、苍术服
之。忧抑伤脾，不思饮食，炒黄连、酒芍药、香附，同清六丸末，用姜汁浸蒸饼丸服。
入方
治气抑痰，倦不思食。
白术（二两） 苍术 陈皮 黄连 黄柏 半夏（各二两） 扁柏（七钱半） 香附（一两半） 白芍（一
两半）
上为末，姜汁面糊丸。
治心腹膨肉多食积所致。
南星（一两半，姜制） 半夏 栝蒌仁（研和润，一两半） 香附（一两，童便浸） 黄连（三两，姜
炒） 礞石（硝 ） 萝卜子 连翘（半两） 麝（少许） 又方加陈皮半两
上为末，曲糊丸。
一人因吃面内伤，肚热头痛。
白术（一钱半） 白芍 陈皮 苍术（各一钱） 茯苓 黄连 人参 甘草（各五分）
上作一服，姜三片煎。如口渴，加干葛二钱，再调理。
补脾丸
白术（半斤） 苍术 茯苓 陈皮（各三两）
粥为丸。
清六丸 见泄泻。
〔附录〕伤食之证，右手气口必紧盛，胸膈痞塞，噫气如败卵臭，亦有头痛发热，但身不
痛为异耳，用治中汤加砂仁一钱，或用红丸子。
附方
加味二陈汤 治中脘闻食气则呕。
本方加砂仁一钱，青皮半钱。
红丸子 治伤食。
京三棱 蓬术（煨） 青皮 陈皮（五两） 干姜（炮） 胡椒（三两）
上为末，用醋糊丸如梧子大，矾红为衣。服三十丸，食后姜汤下。
治中汤 见脾胃。
嘈杂，是由于痰因火邪扰动所致，治疗应以化痰为先，使用姜汁炒黄连，配合化痰药物。以炒山栀子、黄芩为君药，南星、半夏、陈皮为佐药，若热象加重则加入青黛。
嘈杂，这是由于饮食停滞郁而化热所致，炒山栀子和姜汁炒黄连不可缺少。体型肥胖者出现嘈杂症状，可用二陈汤（燥湿化痰、理气和中的基础方）少量加入抚芎（川芎的一种）、苍术、炒山栀子。若嘈杂由湿痰气机郁滞引起，表现为不喜欢进食，可用三补丸加入苍术，并加倍使用香附子。医案按语：蒋氏之子条记载：心中嘈杂索求食物，用白术、黄连、陈皮制成丸剂，用白开水送服，每次七八十丸，服用数次后症状停止。又记载：眩晕且伴有嘈杂，是火邪扰动痰浊所致，可用二陈汤加入栀子、黄芩、黄连之类药物。
伤食，表现为厌恶食物，感觉胸中有异物感，适宜导痰并补益脾气，使用二陈汤加入白术、山楂、川芎、苍术服用。忧思抑郁损伤脾气，导致不想饮食，可用炒黄连、酒芍药、香附，同清六丸的粉末混合，用姜汁浸泡蒸饼制作成丸剂服用。
入方（进入方剂部分）
治疗气机郁滞导致痰阻，疲倦不想进食。
白术（二两） 苍术 陈皮 黄连 黄柏 半夏（各二两） 扁柏（七钱半） 香附（一两半） 白芍（一两半）
以上药物研为细末，用姜汁和面糊制作成丸剂。
治疗心腹胀满，因肉食过多、饮食积滞所致。
南星（一两半，姜制） 半夏 栝蒌仁（研磨调和滋润，一两半） 香附（一两，童便浸渍） 黄连（三两，姜炒） 礞石（硝煅） 萝卜子 连翘（半两） 麝香（少许） 另一方法加陈皮半两
以上药物研为细末，用神曲糊制作成丸剂。
有一人因为吃面食导致内伤，腹部发热、头痛。
白术（一钱半） 白芍 陈皮 苍术（各一钱） 茯苓 黄连 人参 甘草（各五分）
以上作为一服药量，加生姜三片煎煮。如果口渴，加入干葛二钱，再行调理。
补脾丸
白术（半斤） 苍术 茯苓 陈皮（各三两）
用米粥制作成丸剂。
清六丸 参见泄泻章节。
〔附录〕伤食的证候，右手气口脉必然紧盛，胸膈部痞塞胀满，打嗝有腐败鸡蛋的气味，也有头痛发热的情况，只是身体不痛作为其特异之处，使用治中汤加入砂仁一钱，或者使用红丸子。
附方
加味二陈汤 治疗中脘部位闻到食物气味就呕吐。
本方加入砂仁一钱，青皮半钱。
红丸子 治疗伤食。
京三棱 蓬术（煨制） 青皮 陈皮（五两） 干姜（炮制） 胡椒（三两）
以上药物研为细末，用醋糊制作成梧桐子大小的丸剂，用矾红作为包衣。每次服用三十丸，饭后用姜汤送服。
治中汤 参见脾胃章节。
Chaoza (Rumbling sensation in the stomach) is caused by phlegm stirred up by fire; treatment should prioritize resolving phlegm, using Coptidis Rhizoma (Huanglian, 黄连) stir-fried with ginger juice, incorporated into phlegm-resolving formulas. Gardeniae Fructus (Shanzhizi, 山栀子) and Scutellariae Radix (Huangqin, 黄芩), both stir-fried, serve as the sovereign drugs; Arisaematis Rhizoma Preparatum (Nanxing, 南星), Pinelliae Rhizoma (Banxia, 半夏), and Citri Reticulatae Pericarpium (Chenpi, 陈皮) act as assistant drugs; if heat signs are pronounced, Indigo Naturalis (Qingdai, 青黛) is added.
Chaoza results from food stagnation generating internal heat; stir-fried Gardeniae Fructus (Shanzhizi, 山栀子) and Ginger-processed Coptidis Rhizoma (Huanglian, 黄连) are indispensable. For obese individuals presenting with Chaoza, Erchen Tang (Two-Cured Decoction) is used with small additions of Chuanxiong Rhizoma (Fuxiong, 抚芎), Atractylodis Rhizoma (Cangzhu, 苍术), and stir-fried Gardeniae Fructus (Shanzhizi, 山栀子). If Chaoza arises from damp-phlegm and qi stagnation, accompanied by anorexia, Sanbu Wan (Three-Supplement Pill) is administered with added Atractylodis Rhizoma (Cangzhu, 苍zhu), doubling the dosage of Cyperi Rhizoma (Xiangfuzi, 香附子). Medical Note: Jiang’s son’s case states that for a rumbling sensation in the heart seeking food, pills made of Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Coptidis Rhizoma (Huanglian, 黄连), and Citri Reticulatae Pericarpium (Chenpi, 陈皮) are taken with warm water, 70–80 pills per dose, stopping after several doses. Another record states that dizziness accompanied by Chaoza is due to fire stirring phlegm; Erchen Tang (Two-Cured Decoction) is modified with Gardeniae Fructus (Zhizi, 栀子), Scutellariae Radix (Qin, 芩), and Coptidis Rhizoma (Lian, 连).
Dai Yuanli stated: This is what common people call "Heart Chao" (Xincao, 心嘈).
Sanbu Wan (Three-Supplement Pill) See the chapter on Tonifying Deficiency.
Shangshi (Food Injury) presents with aversion to food and a sensation of obstruction in the chest; treatment should guide out phlegm and tonify the spleen, using Erchen Tang (Two-Cured Decoction) with added Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Crataegi Fructus (Shanzha, 山楂), Chuanxiong Rhizoma (Chuanxiong, 川芎), and Atractylodis Rhizoma (Cangzhu, 苍术). Sorrow and depression injure the spleen, leading to loss of appetite; processed Coptidis Rhizoma (Huanglian, 黄连), Wine-processed Paeoniae Radix Alba (Shaoyao, 芍药), and Cyperi Rhizoma (Xiangfu, 香附) are combined with Qingliu Wan (Six-Clearing Pill) powder, formed into pills with steamed wheat cake soaked in ginger juice.
Prescription Entry
For treating qi stagnation causing phlegm obstruction, fatigue, and anorexia.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (2 liang), Atractylodis Rhizoma (Cangzhu, 苍术), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Coptidis Rhizoma (Huanglian, 黄连), Phellodendri Cortex (Huangbai, 黄柏), Pinelliae Rhizoma (Banxia, 半夏) (each 2 liang), Platycladi Semen (Bianbo, 扁柏) (7 qian half), Cyperi Rhizoma (Xiangfu, 香附) (1 liang half), Paeoniae Radix Alba (Baishao, 白芍) (1 liang half).
Grind into powder, form pills with ginger juice and wheat paste.
For treating abdominal distension and flesh accumulation caused by excessive meat consumption and food stagnation.
Arisaematis Rhizoma Preparatum (Nanxing, 南星) (1 liang half, ginger-processed), Pinelliae Rhizoma (Banxia, 半夏), Benincasae Semen (Gualouren, 栝蒌仁) (ground and moistened, 1 liang half), Cyperi Rhizoma (Xiangfu, 香附) (1 liang, soaked in child's urine), Coptidis Rhizoma (Huanglian, 黄连) (3 liang, ginger-stir-fried), Melanis Lapis (Mengshi, 礞石) (calcined with saltpeter), Raphani Semen (Luobozzi, 萝卜子), Forsythiae Fructus (Lianqiao, 连翘) (0.5 liang), Moschus (She, 麝) (a small amount). Alternative prescription adds Citri Reticulatae Pericarpium (Chenpi, 陈皮) 0.5 liang.
Grind into powder, form pills with fermentum medicatum paste.
One patient suffered internal injury from eating noodles, resulting in abdominal heat and headache.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (1.5 qian), Paeoniae Radix Alba (Baishao, 白芍), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Atractylodis Rhizoma (Cangzhu, 苍术) (each 1 qian), Poria (Fuling, 茯苓), Coptidis Rhizoma (Huanglian, 黄连), Ginseng Radix et Rhizoma (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 0.5 qian).
Take as one dose, decoct with three slices of ginger. If thirsty, add Kudzu Root (Ge, 干葛) 2 qian, then adjust treatment.
Pipi Wan (Spleen-Tonifying Pill)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (0.5 jin), Atractylodis Rhizoma (Cangzhu, 苍术), Poria (Fuling, 茯苓), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (each 3 liang).
Form pills with congee.
Qingliu Wan (Six-Clearing Pill) See the chapter on Diarrhea.
[Appendix] In cases of Shangshi (Food Injury), the pulse at the Qi Kou point on the right hand is necessarily tight and vigorous; there is chest and diaphragm stuffiness, belching smelling like rotten eggs. There may also be headache and fever, but the body does not ache, which is distinctive. Use Zhizhong Tang (Regulate the Middle Decoction) with added Amomi Fructus Rotundus (Sharen, 砂仁) 1 qian, or use Hongwanzi (Red Pills).
Attached Prescriptions
Jiawei Erchen Tang (Modified Two-Cured Decoction) Treats vomiting upon smelling food in the Zhongwan area.
This formula adds Amomi Fructus Rotundus (Sharen, 砂仁) 1 qian, and Tangerine Peel (Qingpi, 青皮) 0.5 qian.
Hongwanzi (Red Pills) Treats Food Injury.
Burrellia Rhizome (Jingsanleng, 京三棱), Curcuma Zedoaria Rhizome (Pengzhu, 蓬术) (roasted), Tangerine Peel (Qingpi, 青皮), Citri Reticulatae Pericarpium (Chenpi, 陈皮) (5 liang), Dried Ginger (Ganjiang, 干姜) (pao-processed), Piper Longum Fruit (Hujiao, 胡椒) (3 liang).
Grind into powder, form pills the size of mulberry seeds using vinegar paste, coated with alum-red. Take 30 pills, washed down with ginger soup after meals.
Zhizhong Tang (Regulate the Middle Decoction) See the chapter on Spleen and Stomach.