人参芦（研为末）
水调下一、二钱。或加竹沥和服。
化痰清火，颇为平稳，但用以涌吐，恐力尚不逮也。
栀子十四枚 淡豉四合
服令微吐。
注中治伤寒汗吐下后，虚烦不眠，懊 身热等症。“汗吐下后”一语，宜善体会，盖言
或汗后，肌表虽解而里热未除；或吐后，痰气虽平，而阳邪未去；或下后，里滞虽退而表邪
未清。乃指一节而言，并非谓三法并用之后也。今人死煞句下，往往误认三法并施，虽有壮
夫，岂能堪此？且三法并用之后，岂尚有余邪未清者乎？不参活句，谬以千里矣！仲景用栀
子，令上焦之热邪委宛而下；用豆豉以开解肌理。真超凡入圣之方，其各种加减之法，亦俱
有精义，不得草草读过。
皂角四挺（去皮弦炙） 白矾一两
共为末，温水调下五分，或加藜芦。
治上焦用涌吐之法，此义本之《内经》，而方则出于仲景。古人体气壮实，不妨用之，
后世机心日开，嗜欲日甚，元气大伤，禀受甚薄，一经涌吐，汗而且喘，百变丛生。后人不
敢轻用，盖亦慎重之道。即如稀涎散，性最猛烈，用以救猝急痰症，方足以斩关夺门，然尚
有醒后缓投药饵，痰不可尽攻之戒！可知虚人及寻常之症不可轻用吐法也。
烧盐 热童便
三饮而三吐之。
痧症至元而始着。元以前，但有霍乱之名，无所谓“痧症”也。欲吐不得，欲泻不得，
阴阳颠倒，气闭血凝，症极危险，故不可进药饵谷食。烧盐、童便以吐之是也。然必须外用
针刺人中、少商、委中、舌尖等处，再用手揉其穴，令血能多出，则毛窍方开，而气始得渐
达。
人参芦（研成粉末）
用水调服一钱或二钱。或者加入竹沥一起服用。
具有化痰清火的功效，药性颇为平稳，但用来作为涌吐药，恐怕力量还不够。
栀子十四枚 淡豆豉四合
服用后促使轻微呕吐。
注释中提到治疗伤寒经过发汗、涌吐、攻下之后，出现虚烦不眠、心中懊恼、身体发热等症状。“汗吐下后”这句话，应当仔细体会，意思是说：或者是发汗后，肌表虽然解除了，但里热尚未清除；或者是涌吐后，痰气虽然平息，但阳邪尚未去除；或者是攻下后，里滞虽然退去，但表邪尚未清除。这是指其中一种情况而言，并不是说三种方法同时使用之后。现在的人死抠字眼，往往错误地认为三种方法并用，即使是壮汉，怎么能承受得住呢？况且在三种方法并用之后，哪里还会有残留的邪气未清除呢？如果不参悟活句的含义，就会谬以千里！张仲景使用栀子，是为了让上焦的热邪委婉地向下疏散；使用豆豉来开解肌理。这真是超凡入圣的方剂，其各种加减之法，也都含有精义，不能草率读过。
皂角四挺（去皮弦并炙烤） 白矾一两
共同研成粉末，用温水调服五分，或者加入藜芦。
治疗上焦疾病采用涌吐的方法，这一理论本源于《内经》，而方剂则出自张仲景。古人体质强壮结实，不妨使用这种方法，后世人心机日益开启，嗜欲日益深重，元气大伤，禀赋很薄弱，一旦使用涌吐法，就会出汗且气喘，各种病变丛生。后人不敢轻易使用，这也是慎重之道。就像稀涎散，药性最猛烈，用来救治猝急的痰症，才足以斩关夺门，然而还有苏醒后缓投药物、痰不可尽攻的告诫！可知虚弱之人及寻常病症不可轻易使用吐法。
烧盐 热童便
喝三次，随之呕吐三次。
痧症到了“元”这个阶段才开始显现。在“元”以前，只有霍乱的名目，没有所谓的“痧症”。想吐吐不出来，想拉拉不出来，阴阳颠倒，气闭血凝，症状极其危险，所以不能进食药物和食物。用烧盐、热童便来催吐是正确的。然而必须配合外用针刺人中、少商、委中、舌尖等部位，再用手揉按这些穴位，使血液能多流出一些，这样毛孔才能打开，气机才能逐渐通达。
Ren Shen Lu (Ginseng Rhizome, ground into powder)
Mix with water and take one or two qian. Alternatively, mix with Zhu Li (Bamboo Sap) and take orally.
It has the effect of resolving phlegm and clearing fire, and its nature is quite mild. However, when used for inducing vomiting, it may lack sufficient strength.
Zhi Zi (Gardenia Fruit) fourteen pieces; Dan Chi (Light Fermented Soybean) four he
Take to induce slight vomiting.
The annotation mentions treating conditions after sweating, vomiting, or purging in Shang Han (Cold Damage), such as deficiency vexation, insomnia, inner restlessness, and body heat. The phrase "after sweating, vomiting, or purging" should be carefully understood: it means either after sweating, where the exterior is resolved but interior heat remains; or after vomiting, where phlegm-qi is calmed but yang pathogenic factors remain; or after purging, where interior stagnation recedes but exterior pathogenic factors are not yet cleared. This refers to a single scenario, not necessarily implying that all three methods were used simultaneously. Modern readers often interpret this literally, mistakenly assuming all three methods were applied together. Even a strong man could hardly endure such treatment. Moreover, if all three methods had been used, would there still be residual pathogens? Failing to understand this dynamic context leads to grave errors! Zhang Zhongjing uses Zhi Zi to gently direct heat from the Upper Jiao downward; and uses Dou Chi to open and resolve the muscle layer. This is truly an extraordinary prescription. Its various modifications also contain profound principles and should not be read hastily.
Zao Jiao (Gleditsia Sinensis Fruit) four stalks (skin and strings removed, roasted); Bai Fan (Alumen) one liang
Grind together into powder, mix with warm water, and take five fen. Alternatively, add Li Lu (Veratrum Rhizome).
Using emesis to treat diseases of the Upper Jiao originates from the Nei Jing (Inner Canon), while the prescription itself comes from Zhang Zhongjing. Ancient people had robust constitutions and could tolerate such methods. In later generations, however, cunning thoughts increased, desires deepened, vital Qi was severely damaged, and innate endowment became thin. Once emesis is induced, sweating and panting occur, leading to myriad complications. Later physicians dare not use it lightly, which reflects a prudent approach. For instance, Xi Xian San (Thin Saliva Powder) is extremely potent and can break through barriers to save patients with sudden phlegm emergencies. Yet, even then, there is a warning to administer medication slowly after awakening, as phlegm cannot be entirely eradicated at once! Thus, it is known that weak individuals and ordinary conditions should not lightly undergo emesis therapy.
Shao Yan (Burnt Salt); Re Tong Bian (Hot Child's Urine)
Drink three times, inducing vomiting each time.
Sha Zheng (Sand Disease) only manifests at the stage of "Yuan". Before "Yuan", there was only the name of Huo Luan (Cholera-like disorder), without the concept of "Sha Zheng". When one wishes to vomit but cannot, and wishes to defecate but cannot, Yin and Yang are inverted, Qi is closed, and Blood coagulates. The condition is extremely dangerous, so administering medicine or food is contraindicated. Using Shao Yan and Re Tong Bian to induce vomiting is appropriate. However, external acupuncture at Ren Zhong, Shao Shang, Wei Zhong, and the tip of the tongue must be performed, followed by manual massage of these acupoints to promote bloodletting. Only then will the hair follicles open, allowing Qi to gradually circulate.