取田中大螺，不拘多少，用新水养之，取其吐出之泥，阴干为丸。每服三十丸，藿香汤
下。积热翻胃，此方亦良。
螺性至凉，泥性至冷，故可用之清胃。吞以藿香汤，假其辛芳开胃而已。
诸逆冲上，皆属于火，故用大黄酒润九蒸晒之，取其无伤胃气而能去火。此久练之将军
也。
附子（一枚）
干姜煎汤润七次为末，每服三钱。
寒痰翻胃者，此方主之。
膈上有寒痰，壅塞中、下二焦之气，阴遏其阳，蓄极而通，则令翻胃。附子辛热，能解
寒痰，寒痰既解，则气道疏通，而无蓄极之阳矣，故翻胃顿除。
甘遂 芫花 大戟（拌温炒，各半两） 黑丑（二两取头末） 大黄（一两） 轻粉（一
钱）
共为末，水丸。每服五丸，渐加五丸，以快利为度。
积痰满胃，食下即吐，宜主此方。
胃中纯是痰，则遏下焦少阳之火。蓄极而通，必作翻胃者，势也。以平剂治之，则经年
不效，故聚甘遂、芫花、大戟、黑丑、大黄峻厉之品以下之。方内有轻粉，一可以逐风涎，
一可以解遂、芫、戟、丑之辛烈。此大毒类聚为丸，瞑眩之剂也。惟声重、脉来有力者能行
之。若言微，脉来无力者，勿轻与也。
叙曰∶近代医籍，翻胃、噎膈，混作一证。今考于汉、唐之上，有翻胃，有噎，有膈。
要之，翻胃自是不同，而噎，而膈，则可混一而治也。考方八首，明者辨之。
选取池塘中的大田螺，数量不限，用新水饲养它，收集它吐出的泥，在阴凉处晾干后制成丸剂。每次服用三十丸，用藿香汤送服。对于积热导致的翻胃，此方效果也很好。
螺的性味极凉，螺泥的性味极冷，因此可以用它们来清胃热。用藿香汤吞服，是借助其辛香之气来开胃。
各种气逆冲上的症状，都归属于火邪，所以使用大黄，用酒润湿后经过九次蒸晒处理，取其不损伤胃气而能清除火邪的特性。这是经过久炼的“将军”（指大黄）。
附子（一枚）
用干姜煎成的汤液润透七次，研成粉末。每次服用三钱。
对于寒痰引起的翻胃，此方为主治方。
膈上有寒痰，壅塞中焦和下焦的气机，阴寒遏制阳气，蓄积到极点而突然通达，就会导致翻胃。附子性味辛热，能够化解寒痰；寒痰既已化解，气道自然疏通，也就没有蓄极而通的阳气上逆了，因此翻胃得以立刻消除。
甘遂、芫花、大戟（拌温炒，各半两）、黑丑（二两，取头末）、大黄（一两）、轻粉（一钱）
共同研成粉末，用水泛为丸。每次服用五丸，逐渐增加至每次五丸，以大便通畅利下为度。
对于积痰充满胃部，食物吃下去立即呕吐的情况，适宜主治此方。
胃中全是痰浊，就会遏制下焦少阳相火。蓄积到极点而突然通达，必然导致翻胃，这是病势发展的结果。如果用平和的药剂治疗，往往经年无效，因此聚集甘遂、芫花、大戟、黑丑、大黄这些峻烈猛烈的药物来攻下痰积。方中含有轻粉，一方面可以驱逐风涎，另一方面可以缓解甘遂、芫花、大戟、黑丑的辛烈毒性。这是大毒类药物聚集制成的丸剂，属于服药后产生剧烈反应以治愈疾病的“瞑眩”之剂。只有声音沉重、脉象有力的患者才能服用。如果声音微弱、脉象无力的患者，不要轻易给予此药。
序言说：近代的医籍中，将翻胃和噎膈混为一谈作为同一个证候。现在考证汉代、唐代的古籍，发现有翻胃、有噎、有膈三种不同的病症。总的来说，翻胃自然是不同的，而噎和膈，则可以混合在一起治疗。考订方剂八首，明眼人自会辨别。
Select large river snails from the fields, in any quantity. Raise them in fresh water, collect the mud they excrete, dry it in the shade, and process it into pills. Take 30 pills per dose, administered with Huoxiang Decoction (Agastache Decoction). This formula is also effective for Fanwei (Reversal Vomiting) caused by accumulated heat.
Snails possess a very cold nature, and snail mud possesses an extremely cold nature; thus, they can be used to clear Stomach heat. Swallowing them with Huoxiang Decoction utilizes its acrid and aromatic properties to open the stomach appetite.
All conditions involving rebellious Qi rushing upward belong to Fire. Therefore, Dahuang (Rhei Radix et Rhizoma) is used, moistened with wine and subjected to nine cycles of steaming and sun-drying, to obtain its property of clearing Fire without damaging Stomach Qi. This is the "General" (a nickname for Dahuang) that has undergone prolonged processing.
Fuzi (Aconiti Lateralis Radix Praeparata, one piece)
Moisten seven times with decoction made from Ganjiang (Zingiberis Rhizoma), then grind into powder. Take 3 qian per dose.
This formula is indicated for Fanwei (Reversal Vomiting) caused by Cold Phlegm.
Cold Phlegm above the diaphragm obstructs the Qi mechanism of the Middle and Lower Jiao. Yin-Cold suppresses Yang; when accumulation reaches its extreme and suddenly unblocks, it causes Fanwei (Reversal Vomiting). Fuzi is acrid and hot, capable of resolving Cold Phlegm. Once Cold Phlegm is resolved, the Qi pathways become unobstructed, eliminating the rebellious Yang resulting from extreme accumulation; thus, Fanwei is instantly cured.
Gansui (Kansui Radix), Yuanhua (Genkwa Flos), Daji (Euphorbiae Pekinensis Radix) (stir-fried with warm medium, each 0.5 liang), Heiqiu (Strychni Semen, 2 liang, using only the finest powder), Dahuang (Rhei Radix et Rhizoma, 1 liang), Qingfen (Calomelas, 1 qian)
Grind all into powder and make water-habituated pills. Start with 5 pills per dose, gradually increasing by 5 pills, until free and rapid bowel movement is achieved.
This formula is indicated for cases where accumulated Phlegm fills the Stomach, causing immediate vomiting after eating.
If the Stomach contains pure Phlegm turbidity, it obstructs the Shaoyang Minister Fire of the Lower Jiao. When accumulation reaches its extreme and suddenly unblocks, Fanwei (Reversal Vomiting) inevitably occurs due to the disease progression. Treating this with mild agents yields no effect over years. Therefore, potent and harsh substances such as Gansui, Yuanhua, Daji, Heiqiu, and Dahuang are gathered to purge the Phlegm accumulation. The formula contains Qingfen, which serves two purposes: expelling Wind-Phlegm and mitigating the acrid and harsh toxicity of Gansui, Yuanhua, Daji, and Heiqiu. This is a pill composed of highly toxic substances, classified as a Mingxuan agent (a remedy that induces severe reactions to cure disease). It can only be administered to patients with a heavy voice and a forceful pulse. Do not administer lightly to those with a faint voice and a weak pulse.
Preface states: In recent medical texts, Fanwei (Reversal Vomiting) and Yige (Dysphagia and Obstruction) are conflated into a single syndrome. However, examination of Han and Tang era texts reveals distinct entities: Fanwei, Ye (Ye), and Ge (Ge). Fundamentally, Fanwei is distinct, whereas Ye and Ge may be treated together. Eight formulas are examined here for discerning physicians to differentiate.