子和吐武篇云∶凡病在上者，皆宜吐。然自胸以上，大满大实，病如胶漆，微汤微散皆
儿戏也。若非吐法，病安能除？曾见病之在上者，诸医用药尽其技而不效，余以涌剂少少
用之，辄获微效。可见吐法必可用于上，宜乎其效之速也。
治一妇人，头重壮热面红，寒热往来，干呕咳逆，胸胁痛不能转侧，耳鸣食不下。先
以涌泻，复服益元散，加青黛、薄荷末调二三服，前证俱减。戴人诊之曰∶此病常欲痛哭为快，
妇曰∶然，常有此，不知何谓。戴人曰∶少阳相火凌烁肺金，金受火制，屈无所告。肺主悲，
故欲痛哭而为快也。再加归、芍、黄连解毒汤数剂
全瘥。
丹溪治一女子，性躁味浓，暑月因大怒而咳逆发，举身跳动神昏。视其形气俱实，曰∶
膈上有痰，怒气连郁，痰热相搏，气不得降，非吐不可，以人参芦煎饮，大吐顽痰数碗，昏
睡一日而安。人参入手太阴，补阳中之阴，芦则反是，大泻太阴之阳。女子暴怒气上，
肝主怒，肺主气，怒则气逆、肝木乘火侮肺，故咳逆而神昏。今痰尽气降火息，金气复位，
胃气得和而解。
橘皮竹茹汤 治吐利后胃虚咳逆膈热者。
橘皮（去白） 竹茹 人参（各钱半） 甘草（炙，六分）
水盏半、姜五片、枣一枚，煎八分服。
小半夏茯苓汤 治气逆而呃。
大承气汤 治便秘呃逆。
小柴胡汤加柿蒂治伤寒发热呃逆。（以上方并见是寒门。）
麦门冬竹茹汤 治胃热多渴，咳逆呕哕不进食。
麦门冬 竹茹 陈皮 半夏 人参 白茯苓（各一钱） 枇杷叶（四个，去毛，炙） 甘草（五分）
水盏半、姜五片，煎八分，食远服。
正泻心汤 治咳逆大便软。黄连解毒汤、益元散加青黛、薄荷治咳逆作渴，小便
不利。（方并见积热门。）
《子和吐武篇》中说：凡是病位在上部的，都适宜用涌吐法。然而，从胸部以上，如果病情表现为极度胀满和结实，病邪像胶漆一样黏着难解，轻微的汤剂或散剂就像儿戏一样无效。如果不是用涌吐法，病怎么能去除呢？我曾经见到病位在上部的患者，各位医生用药用尽了技巧却不见效，我少量使用涌吐剂，立刻获得了微小的疗效。由此可见，涌吐法必定适用于上部病症，其见效迅速也是理所当然的。
治疗一位妇人，头部沉重，高热面红，寒热往来，干呕且气逆咳嗽，胸胁疼痛不能翻身侧卧，耳鸣，饮食不下。先用涌泻法，随后服用益元散，加入青黛、薄荷末调服二三剂，前面的症状全部减轻。戴人（张从正）诊察后说：这个病人常常想痛哭才觉得痛快，妇人说：是的，常有这种情况，不知道是什么意思。戴人说：这是少阳相火灼烧肺金，肺金受到火的制约，委屈无处诉说。肺主悲，所以想要痛哭来感到痛快。再加用当归、白芍以及黄连解毒汤数剂，完全痊愈。
丹溪治疗一位女子，性情急躁，口味浓重，在暑月因大怒而引发咳嗽气逆，全身跳动，神志昏迷。观察她的形体和气机都充实旺盛，说：膈上有痰，怒气连累郁结，痰与热相互搏结，气机不能下降，非用涌吐法不可，于是用人参芦头煎水饮用，大吐顽痰数碗，昏睡一天后安定下来。人参进入手太阴肺经，补益阳中之阴，而芦头则相反，大泻太阴之阳。女子暴怒导致气机上逆，肝主怒，肺主气，怒则气逆，肝木乘虚侵袭并侮害肺金，所以咳嗽气逆且神志昏迷。现在痰尽气降火息，金气复位，胃气得和而病解。
橘皮竹茹汤：治疗呕吐腹泻后胃虚、咳嗽气逆、膈部有热的情况。
橘皮（去白） 竹茹 人参（各一钱半） 甘草（炙，六分）
用水一盏半、生姜五片、大枣一枚，煎至八分，服用。
小柴胡汤加柿蒂：治疗伤寒发热引起的呃逆。（以上方剂均见“伤寒”门。）
麦门冬竹茹汤：治疗胃热多渴，咳嗽气逆、呕吐哕逆、不能进食的情况。
麦门冬 竹茹 陈皮 半夏 人参 白茯苓（各一钱） 枇杷叶（四个，去毛，炙） 甘草（五分）
用水一盏半、生姜五片，煎至八分，在饭后远时服用。
正泻心汤：治疗咳嗽气逆且大便软溏。黄连解毒汤、益元散加青黛、薄荷：治疗咳嗽气逆伴口渴，小便不利。（方剂均见“积热”门。）
The "Zihe's Chapter on Vomiting" states: For all diseases located in the upper part of the body, the method of inducing vomiting (Yong Fa) is appropriate. However, from the chest upwards, if the condition presents with severe fullness and excess, where the pathogenic factor adheres like glue or lacquer, mild decoctions or powders are as ineffective as child's play. Without the method of inducing vomiting, how can the disease be eliminated? I have seen cases of diseases in the upper part where various physicians exhausted their skills with medication without effect; when I used emetics in small amounts, slight efficacy was immediately obtained. This shows that the method of inducing vomiting must be applicable to upper disorders, and its rapid effect is indeed reasonable.
I treated a woman who suffered from heavy head, high fever with red face, alternating chills and fever, dry retching and coughing with rebellious Qi, pain in the chest and hypochondrium preventing turning or side-lying, tinnitus, and inability to eat. Initially, I employed purgation/vomiting methods, followed by administering Yi Yuan San (Benefit Prime Powder), mixed with Qing Dai (Indigo Naturalis) and Bo He (Mint) powder, taken for two or three doses, after which all previous symptoms decreased. Dai Ren (Zhang Congzheng) diagnosed and said: "This patient often feels relief only after weeping bitterly." The woman replied: "Yes, this happens often, but I do not know why." Dai Ren said: "This is Shaoyang Ministerial Fire scorching Lung Metal. Lung Metal is constrained by Fire, feeling wronged with nowhere to complain. Since the Lung governs sorrow, she desires to weep bitterly to feel relieved." Subsequently, Gui (Danggui, Radix Angelicae Sinensis), Shao (Baishao, Radix Paeoniae Alba), and Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) were administered for several doses, resulting in complete recovery.
Danxi treated a young woman with an irritable temperament and preference for rich flavors. In summer, due to great anger, she developed coughing with rebellious Qi, whole-body tremors, and unconsciousness. Observing that her physical form and Qi were both substantial, he said: "There is phlegm above the diaphragm, compounded by anger and stagnation. Phlegm and Heat struggle together, preventing Qi from descending. Inducing vomiting is indispensable." He prepared a decoction of Renshen Lu (Ginseng Rhizome Stalk) for drinking, which induced massive vomiting of stubborn phlegm (several bowls). After sleeping for one day, she became stable. Renshen (Ginseng) enters the Hand-Taiyin Lung Meridian, tonifying Yin within Yang; conversely, the stalk (Lu) strongly drains Yang within Taiyin. The woman's sudden anger caused Qi to rebel upward. The Liver governs anger, and the Lung governs Qi. Anger causes Qi rebellion; Liver Wood overacts upon and insults Lung Metal, causing coughing with rebellious Qi and unconsciousness. Now that the phlegm is exhausted, Qi descends, Fire subsides, Metal Qi returns to its proper position, and Stomach Qi harmonizes, leading to resolution.
Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction): Treats stomach deficiency, coughing with rebellious Qi, and heat in the diaphragm following vomiting and diarrhea.
Jupi (Tangerine Peel, peeled) [1.5 qian], Zhuru (Bamboo Shavings) [1.5 qian], Renshen (Ginseng) [1.5 qian], Gancao (Licorice Root, honey-fried) [0.6 qian].
Decoct with 1.5 cups of water, five slices of Shengjiang (Fresh Ginger), and one Zao (Jujube), until reduced to 0.8 cup, then take orally.
Xiao Banxia Fuling Tang (Minor Pinellia and Poria Decoction): Treats rebellious Qi causing hiccup.
Da Chengqi Tang (Major Order the Qi Decoction): Treats constipation-induced hiccup.
Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Shidi (Persimmon Calyx): Treats hiccup accompanied by fever due to Cold Damage (Shanghan). (These formulas are listed under the "Cold Damage" section.)
Maimen Dong Zhuru Tang (Ophiopogon and Bamboo Shavings Decoction): Treats stomach heat with excessive thirst, coughing with rebellious Qi, vomiting/hiccup, and inability to eat.
Maimendong (Ophiopogon Tuber) [1 qian], Zhuru (Bamboo Shavings) [1 qian], Chenpi (Aged Tangerine Peel) [1 qian], Banxia (Pinellia Tuber) [1 qian], Renshen (Ginseng) [1 qian], Baifuling (White Poria) [1 qian], Pipaye (Loquat Leaf, four pieces, de-hairy, fried) [4 leaves], Gancao (Licorice Root) [0.5 qian].
Decoct with 1.5 cups of water and five slices of Shengjiang (Fresh Ginger), until reduced to 0.8 cup, take orally long after meals.
Zheng Xiexin Tang (Correct Heart-Purging Decoction): Treats coughing with rebellious Qi and soft stools. Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) and Yi Yuan San (Benefit Prime Powder) added with Qing Dai (Indigo Naturalis) and Bo He (Mint): Treats coughing with rebellious Qi accompanied by thirst and difficult urination. (These formulas are listed under the "Accumulated Heat" section.)