〔丹〕郑宅如夫人,清早呕苦水,脉涩而微,起转如常,此胃弱而上脘有湿也。
黄芩(七钱) 滑石(一两半) 苍术(一两炒) 飞矾(二两) 陈皮(一两) 山楂(一两) 半夏(一两)
桔梗(五钱) 炒芩(五钱) 姜水煎服。
刺灸呕苦,独取胆与胃。《经》云∶善呕,呕有苦,长太息,邪在胆,逆在胃,胆液泄则口苦,胃气逆则
呕苦。故曰呕取胆三里,以下胃气;逆则刺少阳血络,以开胆逆,却调虚实,以去其邪。又云∶口苦呕宿汁,
取阳陵泉是也。
运气 呕苦皆属燥。《经》云∶阳明在泉,燥淫所胜,病善呕,呕有苦。又云∶阳明之胜,呕苦,治以苦温、
辛温是也。
〔丹〕或曰∶吞酸,《素问》明以为热;东垣又以为寒,何也?予曰∶吐酸与吞酸不同,吐酸,是吐出酸水
如醋,平时津液随上升之气郁积而成积,成积既久,湿中生热,故从木化,遂作酸味,非热而何。其有郁积之
久,不能自涌而出,伏于肺胃之间,咯不得上,咽不得下,肌表得风寒则内热愈郁,而酸味刺心,肌表温暖,
腠理开发,或得香热汤丸,津液得行,亦可暂解,非寒而何。《素问》言热者,言其本也;东垣言寒者,言其末
也。但东垣不言外得风寒而作收气立说,欲泻肺金之实,又谓寒药不可治酸,而用安胃汤、加减二陈汤,俱犯
丁香,且无治热湿郁积之法,为末合经意。予尝治吞酸,用黄连、茱萸各制炒,随时令迭为佐使,苍术、茯苓
为辅,汤浸蒸饼为小丸吞之。仍教以 食蔬果自养,则病易安。吞酸用吴茱萸顺其性而折之,此反佐之法也,
必须以炒黄连为君。
咽醋丸
茱萸(去枝梗,半两,煮,晒干) 陈皮(去白,五钱) 黄芩(炒,五钱) 苍术(七钱半)
黄连(一两,细切,用陈壁泥同炒)
上为细末,曲糊丸,桐子大。
参萸丸 可治吞酸,不可治自利。(方见泄泻。)
〔《兵部手集》〕治酸心,每醋气上攻如酸醋。茱萸一合,水三盏,煎七分,顿服,纵浓亦强服。
〔梅〕治酸心。槟榔四两,陈皮二两,细捣为末,空心生蜜汤下方寸匕。
〔丹〕丈夫因外感凉气,与宿饮相搏,心下酸戚,呕清水,后有红。
青皮(三钱) 黄芩(钱半) 人参(二钱) 紫苏 木通 甘草 枳壳(二钱) 桔梗(钱半) 麻黄(五分)
〔垣〕病机云∶诸呕吐酸,皆属于热。辨云∶此上焦受外来客邪也,胃气不受外邪故呕。《伤寒论》云∶呕
家虽有阳明证,不可攻之。是未传入里,三阴不受邪也。亦可见此证在外也,仲景以生姜、半夏治之。孙真人
云∶呕家多用生姜,是呕家圣药。以杂病论之,呕吐酸水者,甚则酸水浸其心,不任其苦;其次则吐出酸水,
令上下牙酸涩不能相对,以大辛热剂疗之必减。吐酸,呕出酸水也。酸味者,收气也,西方肺金旺也。寒水乃
金之子,子能令母实,故用大咸热之剂泻其子,以辛热为之佐,以泻肺之实。以病机之法作热攻之者,误矣。
盖杂病醋心,浊气不降,欲为中满,寒药岂能治之乎。
加减二陈汤 藿香安胃散(二方并见前呕吐、痰饮门。)
〔《本》〕予平生有二疾,一则下血,二则膈中停饮。下血有时而止,停饮则无时。始因年少时夜坐为文,
左向伏几案,是以饮食多坠向左边。中夜以后稍困乏,必饮酒二三盏,既卧就枕,又向左边侧睡。气壮盛时殊
不觉,三五年后,觉酒止从左边下漉漉有声,胁痛,饮食外减,十数日必呕数升酸水。暑月止是右边身有汗,
常润,左边病处绝燥。遍访名医及海上方服之,少有验者,间或中病,止得月余复作。其补如天雄、附子、
矾石,其利如牵牛、甘遂、大戟,备尝之矣。予后揣度之,已成癖囊,如潦水之有科臼,不盈科不行,水必盈
科而行也。清者可行,浊者根据前停蓄,盖下无路以出之也。是以积之五七日必呕而去,稍宽,数日复作。脾土
恶湿,而水则流湿,莫若燥脾以胜湿,崇土以堆科臼,则疾当去矣。于是悉屏诸药,一味服苍术,三月而除。
自此后一向数年,不吐不呕,胸膈宽,饮啖如故,暑月汗周体而身凉,饮亦从中下。前此饮渍其肝,目亦多昏
眩,其后灯下能书细字,皆苍术之力也。其法∶苍术一斤,去皮切末之,用白芝麻半两,水二盏,研摅取汁;
大枣十五枚,烂煮去皮、核研,以麻汁匀研成稀膏,搜和入臼熟杵,丸如桐子大,干之。每日空腹温汤吞下五
十丸,加至一百丸、二百丸。忌桃、李、雀鸽。初服时,必膈微燥,且以茅术制之。觉燥甚,再进山栀子散一
服,久之不燥也。予服半年以后,止用燥烈味极辛者,削去皮,不浸,极有力,亦自然不燥。山栀散用山栀一
味,干之为末,沸汤点服。故知久坐不可伏向一边,时或运动,亦调息之法。
治酒癖停饮,吐酸水,干姜丸(《圣惠方》)
干姜 葛根 枳壳 橘红 前胡(各五钱) 白术 半夏曲(各一两) 茱萸 甘草(各一分)
上细末,炼蜜丸,如桐子大。每服三十丸,用米饮服有效。
治中风痰涎饮眩瞑,呕吐酸水,头痛恶心。
半夏(二两) 南星 白附(各一两)
上并生为末,滴水丸,如桐子大,以生面裹衣,阴干。每服十丸至二十丸,生姜汤下。
〔子和〕棠溪张凤村,一田叟姓杨,其病呕酸水十余年。本留饮,诸医皆以燥剂治之。中脘脐 ,以火艾
燔针刺之,疮未尝合。戴人以苦剂越之,其涎如胶,乃出二三升,谈笑而愈。
运气 吐酸,皆属于热。经云∶诸呕吐酸,皆属于热。又云∶少阳之胜,欲呕。呕酸,治以辛寒是也。
〔东〕吐宿汁,吞酸∶章门 神光
【丹溪】郑宅如夫人,清晨呕吐苦水,脉象涩而微弱,起身活动后如常人一般。这是胃气虚弱且上脘部位有湿邪所致。
黄芩(七钱) 滑石(一两半) 苍术(一两,炒) 飞矾(二两) 陈皮(一两) 山楂(一两) 半夏(一两)
桔梗(五钱) 炒黄芩(五钱) 用姜水煎服。
针刺治疗呕吐苦水,专门选取胆经和胃经的穴位。《黄帝内经》说:容易呕吐,呕吐物带苦味,经常长叹气,是邪气在胆,逆乱之气在胃。胆液外泄则口苦,胃气上逆则呕吐苦水。所以说,呕吐取胆经的下三里穴,以通降胃气;气逆则刺足少阳胆经的血络,以疏通胆气的逆乱,进而调理虚实,祛除邪气。又说:口苦、呕吐隔夜汁液,取阳陵泉穴即是此理。
运气学说认为,呕吐苦水皆属于燥证。《黄帝内经》说:阳明司天或在泉时,燥气过胜,病症为容易呕吐,呕吐物带苦味。又说:阳明之气偏胜,出现呕吐苦水,治疗应用苦温、辛温之法。
【丹溪】有人问:吞酸,《素问》明确认为是热证;李东垣又认为是寒证,为什么呢?我说:吐酸与吞酸不同。吐酸,是指吐出像醋一样的酸水,平时津液随着上升的气机郁积而成积,积久之后,湿中生热,所以从木化火,遂产生酸味,这难道不是热证吗?那些郁积日久,不能自行涌出,潜伏在肺胃之间,咳不上来,咽不下去,肌表受风寒侵袭则内热更加郁闭,酸味刺痛心脏,若肌表温暖,腠理开泄,或者喝下香热的汤药丸剂,津液得以运行,也可以暂时缓解,这难道不是寒证吗?《素问》说热,是说其根本;李东垣说寒,是说其表象。只是李东垣没有考虑到外感风寒而作收气立论,想要泻肺金之实,又说寒药不可治酸,而使用安胃汤、加减二陈汤,都含有丁香,且没有治疗湿热郁积的方法,违背了经典原意。我曾治疗吞酸,用黄连、吴茱萸各制炒,根据时令交替作为佐使药,苍术、茯苓为辅佐,用汤浸蒸饼制成小丸吞服。仍教导患者食用蔬果自我调养,则病易愈。吞酸用吴茱萸顺其性而折之,这是反佐法,必须以炒黄连为君药。
咽醋丸
吴茱萸(去枝梗,半两,煮,晒干) 陈皮(去白,五钱) 黄芩(炒,五钱) 苍术(七钱半)
黄连(一两,细切,用陈壁泥同炒)
以上研为细末,用曲糊制作丸剂,如梧桐子大。
【《兵部手集》】治疗酸心症,每有醋气上攻,感觉如酸醋冲头。吴茱萸一合,水三盏,煎至七分,一次性服用,即使药浓也强行服下。
【梅】治疗酸心症。槟榔四两,陈皮二两,细捣为末,空腹时用蜜汤送下方寸匕。
【丹溪】丈夫因外感凉气,与体内宿饮相搏结,心下感到酸楚,呕吐清水,后来吐出红色液体。
青皮(三钱) 黄芩(一钱半) 人参(二钱) 紫苏 木通 甘草 枳壳(二钱) 桔梗(一钱半) 麻黄(五分)
【李东垣】《病机十九条》说:各种呕吐酸水,都属于热。辨析说:这是上焦感受外来客邪,胃气不能承受外邪所以呕吐。《伤寒论》说:呕吐病人虽然有阳明证,也不可攻下。这说明病邪未传入里,三阴经未受邪,也可看出此证在外。张仲景用生姜、半夏治疗。孙思邈说:呕吐病人多用生姜,是治疗呕吐的圣药。从杂病角度论述,呕吐酸水者,严重时酸水浸泡心脏,难以忍受其苦;其次则是吐出酸水,令上下牙齿酸涩无法相对闭合,用大辛热剂治疗必然减轻。吐酸,即呕出酸水。酸味,属收敛之气,对应西方肺金旺盛。寒水是金之子,子能令母实,所以用大咸热之剂泻其子,以辛热为之佐,以泻肺之实。按照《病机》之法将其作为热证攻治,是错误的。大概杂病中的醋心症,是浊气不降,欲形成中满,寒药怎么能治疗呢?
【《本草衍义》作者自述】我平生有两种疾病,一是便血,二是膈中停饮。便血有时停止,停饮则无时休止。起初因为年轻时夜间坐着写文章,向左伏在案几上,所以饮食多坠向左边。半夜以后稍感困乏,必饮酒二三盏,既卧就枕,又向左侧睡。气血壮盛时并不觉得,三五年后,感觉酒只从左边下漉漉有声,胁痛,饮食减少,十几天必呕吐数升酸水。暑月只有右边身体出汗,常湿润,左边病处绝对干燥。遍访名医及海上方服用,少有见效的,偶尔中病,也只维持月余复发。其补益药如天雄、附子、矾石,其利水药如牵牛、甘遂、大戟,我都尝试过了。我后来揣度病情,已成癖囊,如同积水洼地有坑臼,不满坑臼水流不走,水必满坑臼才流走。清者可流动,浊者依前停蓄,盖因下面无路排出。因此积聚五七日必呕吐而去,稍宽舒,数日又发作。脾土恶湿,而水则流湿,不如燥脾以胜湿,培土以填平坑臼,则疾病当去。于是摒弃所有药物,一味服用苍术,三月而除根。此后数年,不吐不呕,胸膈宽舒,饮食如故,暑月汗周体而身凉,饮水亦从中焦下行。此前饮邪浸渍肝脏,眼睛也多昏眩,其后灯下能书细字,都是苍术的功效。其方法:苍术一斤,去皮切末,用白芝麻半两,水二盏,研磨取汁;大枣十五枚,烂煮去皮、核研,以麻汁均匀研磨成稀膏,搜和入臼熟杵,丸如梧桐子大,晾干。每日空腹温汤吞下五十丸,加至一百丸、二百丸。忌食桃、李、雀鸽。初服时,必膈微燥,暂用茅术制约。觉燥甚,再进山栀子散一服,久之不燥。我服药半年以后,只用燥烈味极辛者,削去皮,不浸水,极有力,亦自然不燥。山栀散用山栀一味,干之为末,沸汤点服。故知久坐不可伏向一边,时而运动,也是调息之法。
治疗酒癖停饮,吐酸水,干姜丸(出自《圣惠方》)
干姜 葛根 枳壳 橘红 前胡(各五钱) 白术 半夏曲(各一两) 吴茱萸 甘草(各一分)
以上研为细末,炼蜜丸,如梧桐子大。每服三十丸,用米饮送服有效。
治疗中风痰涎饮眩瞑,呕吐酸水,头痛恶心。
半夏(二两) 南星 白附子(各一两)
以上均生用为末,滴水丸,如梧桐子大,以生面裹衣,阴干。每服十丸至二十丸,生姜汤送下。
【张子和】棠溪张凤村,一位姓杨的老农,患呕吐酸水病十余年。本是留饮,众医皆以燥剂治疗。在中脘穴、脐部,用火艾燔针烧刺,疮口未曾愈合。戴人用苦剂催吐,其涎液如胶状,乃吐出二三升,谈笑间痊愈。
[Danxi] Madam Zheng of the Zheng residence vomited bitter fluid early in the morning. Her pulse was choppy and faint, but she moved about as usual after rising. This indicates weak Stomach Qi and dampness in the upper Jiao (upper burner).
Huangqin (Radix Scutellariae, 7 qian) Huashi (Talcum, 1.5 liang) Cangzhu (Rhizoma Atractylodis Lanceae, 1 liang, stir-fried) Feifan (Alumen Exsiccatum, 2 liang) Chenpi (Pericarpium Citri Reticulatae, 1 liang) Shanzha (Fructus Crataegi, 1 liang) Banxia (Rhizoma Pinelliae, 1 liang)
Jiegeng (Radix Platycodonis, 5 qian) Stir-fried Huangqin (Radix Scutellariae, 5 qian) Decoct with ginger water and take orally.
For acupuncture and moxibustion treatment of vomiting bitter fluid, specifically select points from the Gallbladder and Stomach meridians. The *Classic* states: "Prone to vomiting, vomiting bitter fluid, frequent sighing; the pathogen is in the Gallbladder, and rebellious Qi is in the Stomach." When Gallbladder fluid leaks, there is a bitter taste in the mouth; when Stomach Qi rebels upward, there is vomiting of bitter fluid. Therefore, it is said that for vomiting, one should select Xiazansanli (Lower Three-Li, likely referring to Zusanli ST36 or similar lower leg points on the Stomach meridian contextually linked to Gallbladder/Stomach regulation) to descend Stomach Qi; for rebellion, prick the blood collaterals of the Shaoyang (Lesser Yang) meridian to open up Gallbladder rebellion, then regulate deficiency and excess to eliminate the pathogen. It also states: "Bitter taste in the mouth and vomiting of overnight fluid, select Yanglingquan (GB34)."
In the theory of Six Qi (Yunqi), vomiting bitter fluid all belongs to Dryness. The *Classic* states: "When Yangming is in authority, excessive Dryness causes disease characterized by prone vomiting and vomiting bitter fluid." It also states: "When Yangming Qi prevails, vomiting bitter fluid occurs; treat with Bitter-Warm and Acrid-Warm methods."
[Danxi] Someone asked: "Swallowing acid (Tunsuan): *Suwen* clearly identifies it as Heat; Dongyuan (Li Dongyuan) identifies it as Cold. Why?" I say: Vomiting acid (Tuansuan) and swallowing acid are different. Vomiting acid refers to spitting out sour fluid like vinegar. Normally, body fluids accumulate due to ascending Qi stagnation, forming a mass. After long-standing accumulation, dampness generates heat within, transforming according to Wood, thus producing an acid taste. Is this not Heat? However, if the stagnation has lasted long and cannot surge out spontaneously, it lies hidden between the Lungs and Stomach, unable to be coughed up or swallowed down. When the skin surface is exposed to wind-cold, internal heat becomes more constrained, and the acid taste pierces the heart. When the skin surface is warm and pores open, or after taking fragrant hot decoctions/pills, body fluids flow, providing temporary relief. Is this not Cold? *Suwen* speaks of Heat regarding its root; Dongyuan speaks of Cold regarding its branch/symptom. However, Dongyuan did not consider the external acquisition of wind-cold leading to contraction Qi when establishing his theory. He wished to drain the excess of Lung Metal and stated that cold herbs cannot treat acid, using Angwei Tang and Jiawei Erchen Tang, both containing Dingxiang (Caryophylli Flos), lacking methods to treat damp-heat stagnation, which contradicts the classic intent. I once treated swallowing acid using Huanglian (Coptidis Rhizoma) and Zhuyu (Evodiae Fructus), each prepared and stir-fried, alternating as assistant guides according to seasons, with Cangzhu (Rhizoma Atractylodis Lanceae) and Fuling (Poria) as assistants. Made into small pills with steamed dough soaked in water and taken orally. I also instructed patients to nourish themselves with vegetables and fruits, so the disease would heal easily. For swallowing acid, Evodiae Fructus is used to follow its nature and counteract it; this is the method of reverse adjuvant therapy, and it must have stir-fried Coptidis Rhizoma as the sovereign herb.
Yancu Wan (Vinegar-Swallowing Pill)
Zhuyu (Evodiae Fructus, remove stems/branches, 0.5 liang, boiled, dried) Chenpi (Pericarpium Citri Reticulatae, remove white pith, 5 qian) Huangqin (Radix Scutellariae, stir-fried, 5 qian) Cangzhu (Rhizoma Atractylodis Lanceae, 7.5 qian)
Huanglian (Coptidis Rhizoma, 1 liang, finely cut, stir-fried with mud from old walls)
Grind all into fine powder, make pills with yeast paste, size of paulownia seeds.
Shenyu Wan Can treat swallowing acid, but cannot treat spontaneous diarrhea. (Formula seen in Diarrhea section.)
*[Bingbu Shouji]* Treats "Acid Heart," where every time vinegar-like Qi attacks upward, feeling like sour vinegar attacking. Zhuyu (Evodiae Fructus) 1 he, water 3 zhan, decoct to 0.7 portion, take in one dose. Even if strong, force it down.
[Mei] Treats Acid Heart. Binglang (Arecae Semen, 4 liang), Chenpi (Pericarpium Citri Reticulatae, 2 liang), finely ground into powder. Take one fangcun bi (measure) with honey water on an empty stomach.
[Danxi] A husband, due to external contraction of cool Qi, fought with retained fluid in the body, causing sour discomfort below the heart, vomiting clear fluid, later vomiting red fluid.
Qingpi (Exocarpium Citri Grandis, 3 qian) Huangqin (Radix Scutellariae, 1.5 qian) Renshen (Radix Ginseng, 2 qian) Zisu (Perillae Folium) Mutong (Akebiae Caulis) Gancao (Radix Glycyrrhizae) Zhike (Fructus Aurantii, 2 qian) Jiegeng (Radix Platycodonis, 1.5 qian) Mahuang (Ephedrae Herba, 0.5 fen)
[Dongyuan/Li Gao] *Jingyuan Fangfa* says: All vomiting and acid regurgitation belong to Heat. Differentiation says: This is external pathogenic factors affecting the Upper Jiao; Stomach Qi cannot accept external pathogens, hence vomiting. *Shanghan Lun* says: For vomiting patients, even if there are Yangming symptoms, do not purge. This shows the pathogen has not entered the interior, and the Three Yin meridians are not affected. It can also be seen that this syndrome is exterior. Zhang Zhongjing treats it with Shengjiang (Zingiberis Rhizoma Recens) and Banxia (Rhizoma Pinelliae). Sun Simiao says: Vomiting patients often use Shengjiang; it is the holy medicine for vomiting. Discussing miscellaneous diseases, those vomiting sour fluid, if severe, the sour fluid soaks the heart, unbearable bitterness; if less severe, they spit out sour fluid, making upper and lower teeth feel sour and astringent, unable to close against each other. Treating with major Acrid-Hot agents will surely reduce symptoms. Vomiting acid means vomiting sour fluid. The acid taste corresponds to Contraction Qi, representing the prosperity of Western Lung Metal. Cold Water is the son of Metal; the son can make the mother full/excess. Therefore, use major Salty-Hot agents to drain the son, with Acrid-Hot as assistants, to drain Lung excess. To treat according to *Jingyuan Fangfa* as Heat and attack it is erroneous. Generally, miscellaneous disease 'Acid Heart' involves turbid Qi failing to descend, desiring to form Middle Fullness; how can Cold herbs treat this?
Jiawei Erchen Tang Huoxiang Anwei San (Both formulas seen in previous Vomiting and Phlegm-Fluid sections.)
*[Bencao Yan yi / Author's Narrative]* In my life, I had two ailments: one was hematochezia (blood in stool), the other was retained fluid in the chest/diaphragm. Hematochezia stopped at times, but retained fluid never ceased. Initially, because when young I sat writing at night, leaning left on the desk, food and drink mostly settled on the left side. After midnight, feeling slightly tired, I drank 2-3 cups of wine. Then lying down, I slept on my left side. When Qi and Blood were vigorous, I felt nothing. After 3-5 years, I felt the wine draining down the left side with a gurgling sound, rib pain, decreased appetite, and every ten-plus days vomiting several sheng of sour fluid. In summer months, only the right side of the body sweated and remained moist; the left diseased side was absolutely dry. I visited famous doctors and tried sea prescriptions, rarely effective. Occasionally effective, it relapsed after a month. Tonic herbs like Tianxiong, Fuzi, Fanshi; purgative herbs like Qianniu, Gansui, Daji—I tried them all. Later, I reasoned that it had become a 'Pi Nang' (mass/cyst), like puddles having depressions; water does not flow until the depression is filled. Clear fluids could flow, but turbid fluids remained stagnant because there was no exit below. Thus, accumulating for 5-7 days, it would vomit out and relieve slightly, then relapse after a few days. Spleen Earth dislikes dampness, and water flows dampness. Better to dry the Spleen to overcome dampness, and build up Earth to fill the depressions, then the disease would go. So I discarded all medicines and took only Cangzhu (Rhizoma Atractylodis Lanceae). After three months, it was cured. Since then, for several years, no vomiting, chest/diaphragm wide, eating/drinking normal, sweating all over in summer keeping body cool, drinking flowing down from the middle. Previously, fluid soaked the Liver, eyes were often dim/dizzy; afterwards, could read small print under lamplight, all due to Cangzhu. Method: Cangzhu 1 jin, peel and grind to powder. White sesame seeds 0.5 liang, water 2 zhan, grind and extract juice. Dates 15 pieces, boil until soft, peel, remove pits, grind. Mix evenly with sesame juice into a thin paste, knead in mortar until cooked, make pills size of paulownia seeds, dry. Take 50 pills with warm water on empty stomach daily, increase to 100, then 200. Avoid peaches, plums, sparrows, pigeons. At first, chest feels slightly dry; control with Maoshu (wild Cangzhu). If very dry, take Shanzhizi San (Gardeniae Fructus Powder) once, eventually no dryness. After half a year of taking it, I only used extremely pungent, drying, strong herbs, peeled, unsoaked, very potent, naturally no dryness. Shanzhizi San uses only Gardeniae Fructus, dried and powdered, taken with boiling water. Thus, knowing that sitting for long periods leaning to one side is bad; moving occasionally is also a method of regulating breath.
Ganjiang Wan (Dried Ginger Pill) [from *Shenghui Fang*] Treats alcohol-related masses, retained fluid, vomiting sour fluid.
Ganjiang (Zingiberis Rhizoma) Gegen (Puerariae Lobatae Radix) Zhike (Fructus Aurantii) Juhong (Exocarpium Citri Reticulatae Rubrum) Qianhu (Peucedani Radix) (each 5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Banxiaqu (Pinelliae Fermentatum, each 1 liang) Zhuyu (Evodiae Fructus) Gancao (Radix Glycyrrhizae) (each 1 fen)
Grind into fine powder, make pills with refined honey, size of paulownia seeds. Take 30 pills per dose with rice water; effective.
Treats stroke with phlegm-fluid dizziness, vomiting sour fluid, headache, nausea.
Banxia (Rhizoma Pinelliae, 2 liang) Nanxing (Arisaematis Cum Bile Rhizoma) Baifu (Typhonii Rhizoma) (each 1 liang)
All raw, grind to powder, make pills with drops of water, size of paulownia seeds, wrap in raw flour dough, dry in shade. Take 10-20 pills per dose with ginger water.
[Zihe Zhang] Zhang Fengcun of Tangxi, an old farmer surnamed Yang, suffered from vomiting sour fluid for over ten years. It was originally retained fluid. All doctors treated it with drying agents. Moxibustion and burning needles were applied to Zhongwan (CV12) and navel area, but wounds did not heal. Dai Ren (Zhang Congzheng) used bitter emetics to induce vomiting. His phlegm came out like glue, totaling 2-3 sheng. He recovered while chatting and laughing.
In the theory of Six Qi, vomiting acid all belongs to Heat. The Classic states: All vomiting and acid regurgitation belong to Heat. It also states: When Shaoyang Qi prevails, there is desire to vomit. Vomiting acid is treated with Acrid-Cold methods.
[Dongyuan/Li Gao] Vomiting overnight fluid, swallowing acid: Zhangmen (LR13) Shenguang (Extra point)