春温吐泻已多，舌光干赤，呃逆不食，脉软神疲，
此胃阴大伤。宜用橘皮竹茹汤(2)， 和胃养津，呃不
(1)机实，张仲景诸泻心汤原方均无此药。
(2)橘皮竹茹汤：下文注解所列诸药，系本方之加藏，非（金柜要略）橘皮
竹茹汤原方。
止，用代赭旋覆花汤(1)，通胃镇逆也。
吐泻既多，胃气大伤，所谓大吐伤阳，大泻伤阴也。若
舌既干红而无苔腻，镜面之象已成，胃津消耗已竭矣。加之
呃逆不食，胃失冲和，肝邪横逆，侮其所胜，故用橘皮、半
夏、党参、甘草和胃气通阳明，麦冬、竹茹、梗米、白芍养
胃阴制厥阴;若呃再不止，更加代赭石、旋复花以镇其逆;
倘胃津消乏，舌不生苔，加乌梅、木爪、蔗汁、芦根汁，姜
汁，俾胃中之阴阳两协其和，则呃无不止也。此皆所论热劫
胃阴之症。更有舌淡无热，肢冷脉软，乃胃中阳虚，阴浊上
泛，后天坤阳大败，古称土败则其声哕。哕即呃也。胃阳既
困，气失宣化，若非辛通，阳何由复。即以代赭旋复花汤加
淡附、吴萸、姜汁，少入川连二三分，俾苦寒之味，引阳入
阴，不致为阴所拒;而辛热药性得以斩关直入，犹仲景白通
汤中，加入尿、猪胆汁之意也。然呃逆之症，阳虚者多，治
呃之法，用凉者少。更有肝火上冲，胃气失降，而致呃逆
者，其气必从少腹上冲咽喉，而轧轧连声，势甚雄壮，脉弦
目赤，消渴易饥，又宜当归龙荟丸，大苦大寒之直泄厥阴
也。
春温病中，若呕吐和腹泻症状严重，导致舌面光滑、干燥且呈赤红色，出现呃逆、无法进食，脉象软弱、精神疲惫，这是胃阴受到严重损伤的表现。适宜使用橘皮竹茹汤（Chenpi Zhuru Tang, Tangerine Peel and Bamboo Shavings Decoction），以调和胃气、滋养津液。如果呃逆不止，应使用代赭旋覆花汤（Daizhe Xuanfuhua Tang, Hematite and Inula Flower Decoction），以通降胃气、镇逆止呃。
呕吐和腹泻过多，会导致胃气大伤，这就是所谓的“剧烈呕吐损伤阳气，剧烈腹泻损伤阴液”。如果舌质既干红又没有腻苔，呈现出像镜面一样的光亮状态，说明胃津已经消耗殆尽。加上呃逆不止、不能进食，表明胃失冲和之气，肝邪横逆侵犯，克制其所胜之脏（脾土）。因此，使用橘皮、半夏、党参、甘草来调和胃气、疏通阳明经；使用麦冬、竹茹、粳米、白芍来滋养胃阴、制约厥阴肝木。如果呃逆仍然不止，再加代赭石、旋覆花以镇压上逆之气。倘若胃津枯竭，舌面不生苔，可加乌梅、木瓜、蔗汁、芦根汁、姜汁，使胃中的阴阳两相协调和谐，那么呃逆就没有不制止的。这些都是关于热邪劫夺胃阴病症的论述。
还有舌色淡白、没有发热、四肢冰冷、脉象软弱的情况，这是胃中阳虚，阴寒浊气上泛，后天脾胃之阳气严重衰败，古人称为“土败则其声哕”（土指脾胃，哕即呃逆）。既然胃阳被困，气机失去宣发运化功能，如果不是用辛味药物开通，阳气如何能恢复？此时可用代赭旋覆花汤加入淡附子、吴茱萸、姜汁，少量加入川黄连二三分，利用苦寒药性引导阳气入阴，避免被阴寒所排斥；而辛热药性得以直入病所，这类似于张仲景在白通汤中加入人尿、猪胆汁的用意。然而，呃逆这一病症，属阳虚者居多，治疗呃逆的方法中，使用凉药的情况较少。
此外，还有因肝火上冲、胃气失于下降而导致呃逆的情况，这种气必定从少腹向上冲至咽喉，发出轧轧连续的声音，气势雄壮，脉象弦急、眼睛发红、口渴多饮、容易饥饿，此时适宜使用当归龙荟丸（Danggui Longhui Wan, Angelica Sinensis and Picrorhiza Pill），这是一种大苦大寒的药物，直接清泄厥阴肝火。
In the context of Spring-Warmth disease (Chunwen), if vomiting and diarrhea are severe, resulting in a smooth, dry, and crimson tongue, hiccups (e-ni), inability to eat, a soft pulse, and mental fatigue, this indicates severe injury to Stomach Yin. It is appropriate to use Chenpi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction) to harmonize the Stomach and nourish body fluids. If hiccups persist, Daizhe Xuanfuhua Tang (Hematite and Inula Flower Decoction) should be used to descend Stomach Qi and suppress rebellious Qi.
Excessive vomiting and diarrhea severely damage Stomach Qi; this is referred to as "severe vomiting injures Yang, severe diarrhea injures Yin." If the tongue is dry and red without greasy coating, presenting a mirror-like appearance, it signifies that Stomach fluids have been exhausted. Coupled with persistent hiccups and anorexia, it indicates the loss of the Stomach's harmonious state, with Liver pathogenic factors invading horizontally and overacting on its conquered element (Spleen/Earth). Therefore, Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Dang Shen (Codonopsis Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) are used to harmonize Stomach Qi and unblock the Yangming channel; Mai Dong (Ophiopogonis Radix), Zhu Ru (Bambusae Caulis in Taeniam), Jing Mi (Oryzae Sativa Semen), and Bai Shao (Paeoniae Radix Alba) are used to nourish Stomach Yin and restrain Jueyin Wood. If hiccups remain uncontrolled, Daizhe Shi (Hematitum) and Xuan Fu Hua (Inulae Flos) are added to suppress rebellious Qi. Should Stomach fluids be depleted and the tongue fail to generate coating, Wu Mei (Mume Fructus), Mu Gua (Chaenomelis Fructus), Zhe Zhi (Saccharum Japonicum Juice), Lu Gen (Phragmitis Rhizoma Juice), and Jiang Zhi (Zingiberis Recens Juice) are added to coordinate Yin and Yang within the Stomach, thereby stopping hiccups. These discuss conditions where heat pathogens rob Stomach Yin.
Furthermore, there are cases with a pale tongue, absence of fever, cold limbs, and a soft pulse, indicating Stomach Yang deficiency with upward flooding of Yin turbidity, representing a severe defeat of Post-Heaven Kun Yang. Ancient texts state, "When Earth fails, the sound is yue" (Yue refers to hiccups/belching). Since Stomach Yang is constrained and Qi loses its ability to circulate and transform, unless acrid-opening herbs are used, how can Yang recover? One may use Daizhe Xuanfuhua Tang plus Dan Fu Zi (Aconiti Lateralis Radix Praeparata), Wu Zhu Yu (Evodiae Fructus), and Jiang Zhi, with a small amount of Chuan Lian (Coptidis Rhizoma) added. The bitter-cold nature guides Yang into Yin, preventing rejection by Yin pathogens, while the acrid-hot properties penetrate directly. This resembles Zhang Zhongjing's intention in using human urine and pig bile in Baitong Tang. However, among hiccups cases, Yang deficiency is more common, and cooling methods are less frequently used.
Additionally, hiccups caused by Liver Fire rushing upward and failure of Stomach Qi to descend involve Qi rushing from the lower abdomen to the throat, producing continuous rattling sounds with vigorous momentum. Symptoms include a wiry pulse, red eyes, thirst with polydipsia, and easy hunger. In such cases, Danggui Longhui Wan (Angelica Sinensis and Picrorhiza Pill) is suitable, utilizing great bitter and cold herbs to directly drain Jueyin Liver Fire.