《病源论》云∶胃反者，营卫俱虚，其血气不足，停水积饮在胃脘，则脏冷而脾不磨，
脾不
甚
《医门方》云∶食已吐其食者，胃中虚冷所致。
《效验方》干姜丸，治胃反大吐逆，胸痛，羸瘦，不得食饮，温中下气、使人进食方∶
吴茱萸（二两） 小麦（二两，熬） 杏仁（二两，去皮，熬） 干姜（二两） 好豉
（二两，熬）
凡六物，捣下筛，和蜜丸如梧子，服七丸，日三。
《葛氏方》治胃反不受食，食毕辄吐出方∶
大黄（四两） 甘草（二两）
水三升，煮取一升半，分再服之。
《僧深方》治胃反吐逆不安谷，枳子汤方∶
陈枳子（一枚） 美豉（一升） 茱萸（五合，去目，末）
三物，枳、茱萸合冶为散，以水二升半，煮豉三四沸，漉去滓，汁着铜器中，乃纳散如
鸡子
《经心方》茯苓汤治胃反而渴方∶
茯苓（四两） 泽泻（四两） 桂心（二两） 半夏（四两） 甘草（二两）
五味，以水一升，煮取二升半，服八合，日三。
又云∶治胃反食辄吐方∶KT （徒党反，舂也）粟米，令极白，捣筛，下，作丸楮子
大，熟煮，
《范汪方》治胃反不受食、食已呕吐，四物当归汤方∶
白蜜（一升） 当归（二两） 人参（二两） 半夏（一升）
凡四物， 咀，以水二斗，合蜜，扬百四十过，纳药铜器中，煎得六升，分再服，加至
一时
又云∶橘皮汤，治呕吐反逆、食饮不下方∶
人参（一两） 橘皮（二两） 白术（一两） 生姜（三两） 甘草（二两，炙）
凡五物，切，以水一斗，煎取三升，先食，服一升，日三。
《千金方》治大虚胃反，食下喉便吐方∶
人参（一两） 泽泻（二两） 甘草（二两） 茯苓（四两） 橘皮（三两） 桂心（三
两） 干姜（三
九味，水八升，煮取三升，服七合，日三夜一，已利者去大黄。
又方∶芦根、茅根，以水四升，煮取二升，顿服，下得食。（今按∶《新录方》∶切，各
一
又云∶灸胃反食吐方∶灸两乳下各一寸，以瘥为度。
又云∶灸脐上一寸，二十壮。
又方∶灸胃脘穴千壮，在鸠尾，脐中央。
《极要方》疗吐不得食，并胃反呕逆，食即吐方∶
甘草（一两） 橘皮（一两） 生姜（八两） 葱白（干，四枚）
上，以水六升，煮取二升半，分三服，不止更作。（今按《广济方》∶葱白十茎，橘皮八
分
《医门方》疗胃反不受食，食讫呕吐方∶
半夏 人参 生姜（各三两） 橘皮（二两） 大枣（十二枚） 白蜜（五合）
以东流水七升，煮取二升半，去滓，纳蜜，更烊三百下，煎三五沸，分温三服，服相去
八九
《救急单验方》疗反胃方∶捣生葛根，绞汁二升，服验。（今按《新录方》∶取六七合，
日
又方∶灸两乳下三寸，扁鹊云随年壮，华佗云三十壮，神验。
《诸病源候论》说：所谓胃反，是由于营气和卫气都虚弱，导致血气不足，水液停滞积聚在胃脘部位，致使脏腑寒冷而脾脏无法运化食物。
《医门方》说：进食后立即呕吐出所吃食物的情况，是由胃中虚寒引起的。
《效验方》中的干姜丸，用于治疗严重的胃反呕吐、胸痛、身体消瘦、无法进食饮水等症状，具有温中散寒、降逆下气的功效，能促使患者恢复食欲。处方如下：吴茱萸（二两）、小麦（二两，炒制）、杏仁（二两，去皮后炒制）、干姜（二两）、优质豆豉（二两，炒制）。以上六味药，捣碎并过筛，与蜂蜜混合制成梧桐子大小的药丸，每次服用七丸，每日三次。
《葛氏方》治疗胃反不能受纳食物，吃完即吐的处方如下：大黄（四两）、甘草（二两）。加水三升，煎煮至剩余一升半，分两次服用。
《僧深方》治疗胃反呕吐、心中不安、无法进食谷物的枳子汤处方如下：陈枳子（一枚）、优质豆豉（一升）、吴茱萸（五合，去目后研末）。将枳子和吴茮萸混合研磨成散剂；另取水二升半，煮沸豆豉三四次，滤去渣滓，将药汁倒入铜器中，然后加入药散，如鸡蛋黄大小。
《经心方》中的茯苓汤，治疗因胃反而口渴的情况。处方如下：茯苓（四两）、泽泻（四两）、桂心（二两）、半夏（四两）、甘草（二两）。以上五味药，加水一升，煎煮至剩余二升半，每次服用八合，每日三次。
又说：治疗胃反进食即吐的处方：粟米（徒党反，意为舂捣），使其极白，捣碎过筛，制成楮树子大小的药丸，煮熟后食用。
《范汪方》治疗胃反不能受纳食物、进食后呕吐的四物当归汤处方如下：白蜜（一升）、当归（二两）、人参（二两）、半夏（一升）。以上四味药，切碎，加入水二斗和蜂蜜，搅拌一百四十次，放入铜器中煎煮至剩余六升，分两次服用，剂量可逐渐增加至一个时辰内服完。
又说：橘皮汤，治疗呕吐反逆、饮食无法下行。处方如下：人参（一两）、橘皮（二两）、白术（一两）、生姜（三两）、甘草（二两，炙烤）。以上五味药，切碎，加水一斗，煎煮至剩余三升，饭前服用一升，每日三次。
《千金方》治疗极度虚弱的胃反，食物咽下喉咙立即吐出。处方如下：人参（一两）、泽泻（二两）、甘草（二两）、茯苓（四两）、橘皮（三两）、桂心（三两）、干姜（三两）、大黄（三两）、生姜（三两）。以上九味药，加水八升，煎煮至剩余三升，每次服用七合，每日三次，夜间一次，如果已经腹泻则去掉大黄。
又一方：芦根、茅根，加水四升，煎煮至剩余二升，一次性服用，服药后可进食。（按语：《新录方》记载：切碎，各用……）
又说：灸法治疗胃反食入即吐。灸两侧乳头下方各一寸处，以痊愈为度。
《极要方》治疗呕吐无法进食，以及胃反呕逆，进食即吐。处方如下：甘草（一两）、橘皮（一两）、生姜（八两）、葱白（干燥，四枚）。以上药物，加水六升，煎煮至剩余二升半，分三次服用，若症状不止再制作服用。（按语：《广济方》记载：葱白十茎，橘皮八分……）
《医门方》治疗胃反不能受纳食物，吃完后呕吐。处方如下：半夏、人参、生姜（各三两）、橘皮（二两）、大枣（十二枚）、白蜜（五合）。以东流水七升，煎煮至剩余二升半，滤去渣滓，加入蜂蜜，再加热搅拌三百次，煎煮三五沸，分三次温服，每次服用间隔八九……
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Regarding "Wei Fan" (Gastric Reversal), it is caused by the deficiency of both Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi), leading to insufficient blood and qi. When water fluid stagnates and accumulates in the epigastrium, the internal organs become cold, and the Spleen fails to transform and transport food.
The *Yi Men Fang* (Medical Gate Formulas) states: Vomiting out food immediately after eating is caused by deficiency-cold in the Stomach.
The Ganjiang Wan (Dried Ginger Pill) from the *Xiao Yan Fang* (Effective Formulas) treats severe gastric reversal with vomiting, chest pain, emaciation, and inability to eat or drink. It warms the middle Jiao, directs rebellious Qi downward, and promotes appetite. The prescription consists of: Evodiae Fructus (Wuzhuyu, 2 liang), Triticum Aestivum (Xiaomai, 2 liang, stir-fried), Armeniacae Semen Amarum (Xingren, 2 liang, skin removed, stir-fried), Zingiberis Rhizoma Recens (Ganjiang, 2 liang), and Fermented Soybean (Hao Chi, 2 liang, stir-fried). These six ingredients are crushed, sifted, and mixed with honey to form pills the size of a Chinese quince seed. Take 7 pills per dose, three times daily.
The *Ge Shi Fang* (Ge's Formulas) for treating gastric reversal where food is not retained and vomited immediately after ingestion prescribes: Rheumii Radix et Rhizoma (Dahuang, 4 liang) and Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang). Add 3 sheng of water, decoct to obtain 1.5 sheng, and divide into two doses.
The *Seng Shen Fang* (Monk Shen's Formulas) for treating gastric reversal with vomiting, restlessness, and inability to consume grain prescribes the Zhizi Tang (Citrus Decoction): Chen Zhizi (Aged Aurantii Fructus, 1 piece), Mei Chi (High-quality Fermented Soybean, 1 sheng), and Zhuyu (Evodiae Fructus, 5 he, eyes removed, powdered). Grind the Citrus and Evodia together into a powder. Boil the Fermented Soybean in 2.5 sheng of water for three to four boils, strain off the dregs, pour the liquid into a copper vessel, and then add the powder in amounts the size of a chicken egg yolk.
The Fuling Tang (Poria Decoction) from the *Jing Xin Fang* treats gastric reversal accompanied by thirst. The prescription consists of: Poria (Fuling, 4 liang), Alismatis Rhizoma (Zexie, 4 liang), Cinnamomi Ramulus (Guixin, 2 liang), Pinelliae Rhizoma Preparatum (Banxia, 4 liang), and Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang). Decoct these five ingredients in 1 sheng of water to obtain 2.5 sheng. Take 8 ge per dose, three times daily.
It also states: For treating gastric reversal where food is vomited immediately after eating: Sorghum Bicolor (Sumi), processed until very white, crushed, sifted, and formed into pills the size of a paper mulberry fruit, which are boiled and eaten.
The *Fan Wang Fang* (Fan Wang's Formulas) for treating gastric reversal where food is not retained and vomited after eating prescribes the Siwu Danggui Tang (Four-Ingredient Angelica Decoction): Apium graveolens var. dulce? No, White Honey (Baimi, 1 sheng), Angelicae Sinensis Radix (Danggui, 2 liang), Ginseng Radix (Renshen, 2 liang), and Pinelliae Rhizoma Preparatum (Banxia, 1 sheng). These four ingredients are cut, added to 2 dou of water along with honey, stirred one hundred and forty times, placed in a copper vessel, and decocted to obtain 6 sheng. Divide into two doses; the dosage may be increased to be taken within one shichen (two hours).
It also states: Jupi Tang (Tangerine Peel Decoction) treats vomiting, reflux, and inability of food and drink to descend. The prescription consists of: Ginseng Radix (Renshen, 1 liang), Citri Reticulatae Pericarpium (Jupi, 2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang), Zingiberis Rhizoma Recens (Shengjiang, 3 liang), and Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang, honey-fried). Cut these five ingredients, add 1 dou of water, and decoct to obtain 3 sheng. Take 1 sheng before meals, three times daily.
The *Qian Jin Fang* (Thousand Gold Formulas) for treating severe deficiency-type gastric reversal where food is vomited immediately upon reaching the throat prescribes: Ginseng Radix (Renshen, 1 liang), Alismatis Rhizoma (Zexie, 2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang), Poria (Fuling, 4 liang), Citri Reticulatae Pericarpium (Jupi, 3 liang), Cinnamomi Ramulus (Guixin, 3 liang), Zingiberis Rhizoma Recens (Ganjiang, 3 liang), Rheumii Radix et Rhizoma (Dahuang, 3 liang), and Zingiberis Rhizoma Recens (Shengjiang, 3 liang). Decoct these nine ingredients in 8 sheng of water to obtain 3 sheng. Take 7 ge per dose, three times daily and once at night. If diarrhea has occurred, remove the Rheumii Radix et Rhizoma.
Another formula: Phragmitis Rhizoma (Lugen) and Imperatae Rhizoma (Maogen), decocted in 4 sheng of water to obtain 2 sheng, taken in one dose, allowing food intake afterward. (Note: The *Xinlu Fang* records: Cut, use equal parts...)
It also states: Moxibustion for treating gastric reversal with vomiting after eating. Moxa is applied one cun below each nipple, continuing until recovery.
It also states: Apply twenty moxa cones one cun above the umbilicus.
Another method: Apply one thousand moxa cones to the Weiwuan acupoint, located at the Jiwei point, central line between the umbilicus and sternum.
The *Ji Yao Fang* (Essential Formulas) for treating vomiting with inability to eat, as well as gastric reversal with retching and immediate vomiting after eating, prescribes: Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang), Citri Reticulatae Pericarpium (Jupi, 1 liang), Zingiberis Rhizoma Recens (Shengjiang, 8 liang), and Allii Fistulosi Bulbus (Congbai, dried, 4 pieces). Decoct these in 6 sheng of water to obtain 2.5 sheng, divided into three doses. If symptoms persist, prepare another dose. (Note: The *Guangji Fang* records: Ten stems of Allii Fistulosi Bulbus, eight fen of Citri Reticulatae Pericarpium...)
The *Yi Men Fang* for treating gastric reversal where food is not retained and vomited after eating prescribes: Pinelliae Rhizoma Preparatum (Banxia), Ginseng Radix (Renshen), Zingiberis Rhizoma Recens (Shengjiang, 3 liang each), Citri Reticulatae Pericarpium (Jupi, 2 liang), Ziziphi Jujubae Fructus (Dazao, 12 pieces), and Apium graveolens? No, White Honey (Baimi, 5 he). Decoct in seven sheng of flowing water from the east to obtain 2.5 sheng. Strain off the dregs, add honey, heat and stir three hundred times, boil for three to five boils, and divide into three warm doses. The interval between doses is eight to nine...
The *Jiuji Danyan Fang* (Emergency Single-Test Formulas) for treating fan wei (reverse stomach): Crush fresh Polygoni Cuspidati Rhizoma et Radix (Shengegen), squeeze out two sheng of juice, and take it for effective results. (Note: The *Xinlu Fang* records: Take six to seven he, daily...)
Another method: Moxibustion three cun below each nipple. Bian Que advocated using the number of moxa cones corresponding to the patient's age, while Hua Tuo advocated thirty cones; this is highly effective.