〔洁〕治上焦气热上冲，食已暴吐，脉浮而洪，宜先降气和中，桔梗汤。
桔梗（一两半） 白术（一两半） 半夏曲（二两） 陈皮（去白） 枳实（炒） 茯苓 浓朴（各一两）
上粗末。每服一两，水一盏，煎至七分，取清，温调木香散二钱，隔夜空腹服之。三服后气渐下，吐渐去。
然后去木香散，加芍药二两、黄 一两半，同煎服之，病愈则止。如大腑燥结，食不尽下，以大承气汤去硝
微下之。少利为度，再服前药补之。如大便复结，又根据前微下之。
木香散
木香 槟榔（等分）
上为细末，同前药调下。
〔《保》〕治暴吐，上焦气热所冲也。经曰∶诸呕吐酸，暴注下迫，皆属于火。脉洪而浮者，荆黄汤主之。
荆芥（一两） 人参（五钱） 甘草（二钱半） 大黄（二钱）
上粗末作一服，水二盏，煎至一盏，去渣，调槟榔散二钱，空心服之。
槟榔散
槟榔（二钱） 木香（一钱半） 轻粉（少许）
上为细末，同煎药下。如丸，亦用水浸蒸饼为丸，如小豆大。每服二十丸，食后服。
李绛独参汤 治呕吐胃弱欲死。（方见呕胃虚条。）
〔仲〕大黄甘草汤 治食已即吐，又治吐水。
大黄（四两） 甘草（一两）
上二味，以水三升，煮取一升，分温再服。
〔洁〕金花丸 治吐食而脉弦者，由肝胜于脾而吐，乃由脾胃之虚，宜治风安胃。
半夏（汤洗，一两） 槟榔（二钱） 雄黄（钱半）
上细末，姜汁浸，蒸饼为丸，如桐子大。小儿另丸姜汤下，从少至多，渐次服之，以吐止为度。
风痰羁绊于脾，故饮食不下。
治吐，头痛有汗，脉弦，青镇丸主之。
柴胡（一两） 黄芩（七钱半） 甘草 半夏（三钱） 青黛（二钱半） 人参（五钱）
上细末，姜汁浸，蒸饼丸，桐子大。每服五十丸，姜汤食后下。
〔仲〕胃反，吐而渴欲饮水者，茯苓泽泻汤主之。
茯苓（半斤） 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，内泽泻，再煮，取二升半，温服八合，一日三服。
〔《本》〕食即吐，欲作反胃，白术散。
泽泻 白术 茯苓（各等分）
上为末，每服一钱，汤调温服。
〔《经》〕治丈夫妇人吐逆，连日不止，粥食汤药不能下者，可以五灵脂不夹土石拣精好者，不计多少，
捣细末研，狗胆汁和为丸，如鸡头大。每服一丸，煎热生姜酒磨细，更以少生姜酒化下。凡汤药令极热，须是
先做下粥，温热得所，左手与患人药吃，不得漱口，右手急将粥与患人吃，不令太多。
碧霞丸 治吐逆立效。
黄丹四两，筛过，用好米醋半升，同药入铫内煎干，却用炭火三称，就铫内 透红，冷取研细为末，
用粟米饭丸，如桐子大。煎酵汤下七丸，不嚼，只一服。
运气 吐皆属风木。经云∶厥阴之复，甚则入脾，食痹而吐。又云∶岁木太过，风气流行，民病胁痛吐食，
治以酸清之类是也。
灸刺，见前灸刺呕吐条。
〔《脉》〕阳紧阴数，其人食已即吐；阳浮而数亦为吐。寸紧尺涩，其人胸满，不能食而吐。寸口脉数，
其人则吐。寸口脉细而数，数则为热，细则为寒，数为呕吐。
〔仲〕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，令阳微，膈气虚，脉
乃数，数为客热，不能消谷，胃中虚冷故吐也。
【李东垣】治疗上焦气热上冲，进食后立即剧烈呕吐，脉象浮而洪大，适宜先降气和中，使用桔梗汤。
桔梗（一两半） 白术（一两半） 半夏曲（二两） 陈皮（去白） 枳实（炒） 茯苓 浓朴（各一两）
将上述药物捣成粗末。每次服用一两，加水一盏，煎煮至七分，取清液，温服时调入木香散二钱，隔夜空腹服用。服用三次后，气机逐渐下行，呕吐逐渐停止。
然后去掉木香散，加入芍药二两、黄芩一两半，一同煎煮服用，病愈则停药。如果大便燥结，食物不能顺利下行，用大承气汤去掉芒硝，轻微通下。以轻微腹泻为度，再服用前面的药物进行补益。如果大便再次结滞，又按照前面的方法轻微通下。
木香散
木香 槟榔（等分）
将上述药物研为细末，同前药一起调服。
【《保命集》】治疗暴发性呕吐，这是由上焦气热冲击所致。经书说：各种呕吐酸水，急骤泄泻且里急后重，都归属于火证。脉象洪大而浮的，用荆黄汤主治。
荆芥（一两） 人参（五钱） 甘草（二钱半） 大黄（二钱）
将上述药物捣成粗末作为一剂，加水二盏，煎煮至一盏，去渣，调入槟榔散二钱，空腹服用。
槟榔散
槟榔（二钱） 木香（一钱半） 轻粉（少许）
将上述药物研为细末，同煎好的药液一起服用。如果做成丸剂，也用水浸泡蒸饼做丸，如小豆大小。每次服用二十丸，饭后服用。
李绛独参汤 治疗呕吐导致胃气虚弱欲死。（方剂见呕逆胃虚条。）
【张仲景】大黄甘草汤 治疗进食后立即呕吐，又治疗吐清水。
大黄（四两） 甘草（一两）
将这两味药，用水三升，煮取一升，分两次温服。
【李东垣】金花丸 治疗呕吐食物且脉象弦的，这是由于肝气胜于脾土而导致的呕吐，乃因脾胃虚弱，适宜治风安胃。
半夏（汤洗，一两） 槟榔（二钱） 雄黄（钱半）
将上述药物研为细末，用姜汁浸泡，蒸饼做丸，如梧桐子大小。小儿另外用姜汤送服，从少量开始逐渐增加，依次服用，以呕吐停止为限度。
风痰羁绊于脾，所以饮食不下。
治疗呕吐，头痛有汗，脉象弦，用青镇丸主治。
柴胡（一两） 黄芩（七钱半） 甘草 半夏（三钱） 青黛（二钱半） 人参（五钱）
将上述药物研为细末，用姜汁浸泡，蒸饼做丸，如梧桐子大小。每次服用五十丸，姜汤在饭后送服。
【张仲景】胃反病，呕吐且口渴想喝水的，用茯苓泽泻汤主治。
茯苓（半斤） 泽泻（四两） 甘草（二两） 桂枝（二两） 白术（三两） 生姜（四两）
将以上六味药，用水一斗，煮取三升，放入泽泻，再煮，取二升半，温服八合，一天服用三次。
【《本草》】进食即吐，想要发展为反胃病，用白术散。
泽泻 白术 茯苓（各等分）
将上述药物研为末，每次服用一钱，用汤药调匀温服。
【《内经》】治疗男女吐逆，连续多日不止，粥食汤药无法咽下的，可以用五灵脂不夹杂土石挑选精好的，不计数量，
捣碎研细，用狗胆汁和成药丸，如鸡头大小。每次服用一丸，煎热生姜酒磨开，再加少许生姜酒化开送服。凡是汤药都要极热，必须先做好粥，温热适中，左手给病人吃药，不得漱口，右手急忙将粥给病人吃，不要吃得太多。
碧霞丸 治疗吐逆立即见效。
黄丹四两，筛过，用好米醋半升，同药放入铫内煎干，然后用炭火煅烧至通红，冷却后取出研细为末，
用粟米饭做丸，如梧桐子大小。煎酵汤送服七丸，不咀嚼，只服一次。
运气学说 呕吐都属于风木。经书说：厥阴之气复旺，严重时侵入脾脏，出现食痹而呕吐。又说：岁运木气太过，风气流行，百姓生病胁痛吐食，
治疗用酸味清热之类的药物。
灸法刺法，见前面灸刺呕吐条。
【《脉经》】阳脉紧阴脉数，其人进食后立即呕吐；阳脉浮而数也是呕吐。寸脉紧尺脉涩，其人胸满，不能进食而呕吐。寸口脉数，
其人就会呕吐。寸口脉细而数，数为热，细为寒，数是呕吐。
【张仲景】问：病人脉数，数为热，应当消化谷物吸引食物，反而呕吐的，为什么呢？老师说：因为发汗，使阳气微弱，膈气虚弱，脉
象才数，数是客热，不能消化谷物，胃中虚冷所以呕吐。
[Li Dongyuan] Treating upward rushing of Qi-heat in the Upper Jiao (Upper Burner), with sudden vomiting immediately after eating, and a floating and surging pulse. It is appropriate to first descend Qi and harmonize the middle, using Jiegeng Tang (Platycodon Decoction).
Jiegeng (Platycodonis Radix) [1.5 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [1.5 liang], Banxia Qu (Prepared Pinellia Fermented Pill) [2 liang], Chenpi (Citri Reticulatae Pericarpium) [peeled], Zhishi (Immature Bitter Orange Fruit) [stir-fried], Fuling (Poria) [unspecified amount], Houpo (Magnolia Bark) [1 liang each].
Crush the above herbs into coarse powder. Take 1 liang per dose, add 1 cup of water, decoct until 0.7 cup remains, strain for clear liquid, and take warm mixed with 2 qian of Muxiang San (Costus Powder). Take on an empty stomach overnight. After three doses, Qi gradually descends, and vomiting gradually ceases.
Then remove Muxiang San, add Shaoyao (Peony Root) [2 liang] and Huangqin (Scutellaria Root) [1.5 liang], decoct together and take. Stop when the disease is cured. If there is dry constipation in the large intestine and food does not pass down smoothly, use Dachengqi Tang (Major Order the Qi Decoction) without Mangxiao (Mirabilite), to mildly purge. The degree should be mild diarrhea, then take the previous medicine to tonify. If stool becomes constipated again, mildly purge according to the previous method.
Muxiang San (Costus Powder)
Muxiang (Costi Radix) and Binglang (Arecae Semen) in equal parts.
Grind the above herbs into fine powder, and take mixed with the previous decoction.
[Baoming Ji] Treating sudden vomiting, which is caused by the rush of Qi-heat in the Upper Jiao. The Classics state: All vomiting of sour fluid, sudden diarrhea with tenesmus, belong to Fire. For a surging and floating pulse, Jinghuang Tang (Schizonepeta and Rhubarb Decoction) is the main treatment.
Jingjie (Schizonepeta Spike) [1 liang], Renshen (Ginseng Radix) [5 qian], Gancao (Licorice Root) [2.5 qian], Dahuang (Rhubarb Root and Rhizome) [2 qian].
Crush the above herbs into coarse powder as one dose, add 2 cups of water, decoct until 1 cup remains, strain dregs, mix with 2 qian of Binglang San (Areca Nut Powder), and take on an empty stomach.
Binglang San (Areca Nut Powder)
Binglang (Arecae Semen) [2 qian], Muxiang (Costi Radix) [1.5 qian], Qingfen (Calomelas) [a small amount].
Grind the above herbs into fine powder, and take mixed with the decoction. If made into pills, soak steamed wheat dough in water to make pills the size of adzuki beans. Take 20 pills per dose after meals.
Li Jiang's Dushen Tang (Single Ginseng Decoction) treats vomiting leading to extreme weakness of the Stomach Qi. (Formula see section on Vomiting due to Stomach Deficiency.)
[Zhang Zhongjing] Da Huang Gan Cao Tang (Rhubarb and Licorice Decoction) treats vomiting immediately after eating, and also treats vomiting of water.
Dahuang (Rhubarb Root and Rhizome) [4 liang], Gancao (Licorice Root) [1 liang].
Take these two ingredients, boil in 3 sheng of water to obtain 1 sheng, divide into two warm doses.
[Li Dongyuan] Jinhua Wan (Golden Flower Pill) treats vomiting of food with a wiry pulse. This is due to Liver Qi overacting on Spleen causing vomiting, resulting from deficiency of Spleen and Stomach. It is appropriate to treat Wind and calm the Stomach.
Banxia (Pinellia Tuber) [washed in hot water, 1 liang], Binglang (Arecae Semen) [2 qian], Xionghuang (Realgar) [1.5 qian].
Grind the above herbs into fine powder, soak in Ginger Juice, and make pills with steamed wheat dough the size of paulownia seeds. For children, administer separately with Ginger Decoction, starting from a small amount and gradually increasing, taking sequentially until vomiting stops.
Wind-Phlegm binding the Spleen causes inability to ingest food.
For treating vomiting with headache, sweating, and a wiry pulse, Qingzhen Wan (Green Calming Pill) is the main treatment.
Chaihu (Bupleurum Root) [1 liang], Huangqin (Scutellaria Root) [7.5 qian], Gancao (Licorice Root), Banxia (Pinellia Tuber) [3 qian], Qingdai (Indigo Naturalis) [2.5 qian], Renshen (Ginseng Radix) [5 qian].
Grind the above herbs into fine powder, soak in Ginger Juice, make pills with steamed wheat dough the size of paulownia seeds. Take 50 pills per dose with Ginger Decoction after meals.
[Zhang Zhongjing] In Wei Fan (Stomantic Regurgitation), if there is vomiting and thirst desiring to drink water, Fu Ling Ze Xie Tang (Poria and Alisma Decoction) is the main treatment.
Fuling (Poria) [half jin], Zexie (Alisma Rhizome) [4 liang], Gancao (Licorice Root) [2 liang], Guizhi (Cinnamon Twig) [2 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [3 liang], Shengjiang (Fresh Ginger Rhizome) [4 liang].
Take the above six ingredients, boil in 1 dou of water to obtain 3 sheng, add Zexie, boil again to obtain 2.5 sheng, take 8 ge warm, three times a day.
[Ben Cao] Vomiting immediately after eating, wanting to develop into Fan Wei (Stomantic Regurgitation), use Baizhu San (Atractylodes Powder).
Zexie (Alisma Rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) in equal parts.
Grind the above herbs into powder, take 1 qian per dose, mix with decoction and take warm.
[Jing (Neijing)] Treat men and women with Ni Ni (Rebellious Qi/Vomiting) lasting for days, where porridge, food, and medicines cannot go down. Use high-quality Wu Ling Zhi (Trogopterus Dung) free of stones and earth, in any quantity,
grind finely, mix with Dog Gallbladder Juice to make pills the size of a chicken head. Take one pill per dose, grind with hot Ginger Wine, dissolve with a little more Ginger Wine, and swallow. All medicinal liquids must be extremely hot. First prepare porridge, ensure it is warm and suitable. With the left hand give the medicine to the patient, do not rinse the mouth. With the right hand quickly give the porridge to the patient, do not let them eat too much.
Bixia Wan (Green Cloud Pill) treats rebellious Qi/vomiting with immediate effect.
Huang Dan (Red Lead Oxide) 4 liang, sifted, mix with half sheng of good rice vinegar, put into a pot and decoct until dry. Then calcine over charcoal fire until red-hot, cool, take out and grind into fine powder.
Make pills with millet rice the size of paulownia seeds. Take 7 pills with fermented decoction, do not chew, only one dose.
Yun Qi (Climate/Periodic Influences) theory: Vomiting all belongs to Wind-Wood. The Classics say: When Jueyin (Liver) Qi rebounds, it severely enters the Spleen, causing Shi Bi (Food Obstruction) and vomiting. It also says: When the annual Wood Qi is excessive, Wind Qi spreads, people suffer from hypochondriac pain and vomiting of food.
Treatment uses sour and clearing agents.
Moxibustion and Acupuncture, see previous section on Moxibustion and Acupuncture for Vomiting.
[Mai Jing] Yang pulse tight and Yin pulse rapid, the person vomits immediately after eating; Yang pulse floating and rapid also indicates vomiting. Cun (Inch) pulse tight and Chi (Cubit) pulse choppy, the person has chest fullness, cannot eat and vomits. Cun Kou (Radial Artery) pulse rapid,
the person will vomit. Cun Kou pulse thin and rapid, rapid indicates Heat, thin indicates Cold, rapid indicates vomiting.
[Zhang Zhongjing] Question: The patient has a rapid pulse. Rapid indicates Heat, so one should digest grain and seek food, yet instead vomits. Why? Master says: Because sweating was induced, causing Yang to become weak, Ge Qi (Diaphragm Qi) to become deficient, thus the pulse is rapid. Rapid here indicates Guest Heat, which cannot digest grain. The Stomach is cold and deficient, hence vomiting.