丹溪云∶有食郁，有热郁，久热甚而致于嘈杂，乃火动其痰也。用二陈汤加姜汁炒
黄连、炒栀子为必用之药，多加青黛。
两寸脉弦滑，胸中有留饮。寸脉横者，膈上有横积。右关弦急甚者，木乘土位，将
成反胃。关脉浮涩者为郁。
总是痰因火动，令人心嘈如病饥，实非饥也。肥人痰多，宜多加半夏、苍术；瘦人热多，
宜多加姜炒黄连、栀子。
湿痰气滞不喜食，用三补丸加苍术、香附、半夏之类。
有食郁而热，二陈汤加神曲、香附、炒黄连。
治嘈杂用痰火药过多不动者，须从治之，痰火药中加红豆蔻、黄连，多加姜汁炒。
三圣丸 治嘈杂神效。
白术（炒，四两） 黄连（炒，五钱） 橘红（一两）
上为细末，神曲糊丸，绿豆大。每服五十丸，姜汤下。
二陈汤（方见痰门。）
三神丸（方见虚损门。）
曲末丸 治痰饮嘈杂吞酸。（方见吐酸门。）
香连丸 治嘈杂火郁，瘦人尤宜服。（方见痢门。）
术连丸 治嘈杂。
白术（四两，土炒） 黄连（一两，姜炒）
上为末，神曲糊丸，黍米大。每服五七十丸，姜汤下。
软石膏丸 治嘈杂嗳气。
软石膏（ ） 半夏（制） 南星（制） 香附子（炒） 栀子仁（炒。各等分）
上为细末，粥丸，梧桐子大。每服五十丸，姜汤下。
和中汤 治虚火嘈杂。
人参 白术 陈皮 半夏 茯苓（各一钱） 甘草（五分） 黄连（钱半，姜炒） 大枣（二枚）
水盏半，加粳米一撮，煎八分，温服。
丹溪说：有食郁（饮食停滞导致的郁结），有热郁（热邪内蕴导致的郁结），长期发热严重而导致嘈杂（胃中似饥非饥、似痛非痛、懊恼不安的感觉），这是火邪扰动痰湿所致。使用二陈汤加姜汁炒黄连、炒栀子作为必用药物，并多加青黛。
两手寸脉呈现弦滑象，说明胸中有留饮（水液停聚）。寸脉横行的，是膈上有横向积聚。右关脉弦急严重的，是肝木乘克脾土，将要形成反胃（食入即吐或朝食暮吐的病证）。关脉浮涩的，属于郁结。
总之是痰因火动，让人心中嘈杂如同生病时的饥饿感，但实际上并不是真的饥饿。肥胖的人痰多，应当多加半夏、苍术；瘦人热多，应当多加姜炒黄连、栀子。
治疗嘈杂如果使用化痰清火的药物过多而无效的，必须采用从治法（顺从病性假象而治的方法），在化痰清火的药物中加入红豆蔻、黄连，并多加姜汁炒制。
三圣丸 治疗嘈杂效果显著。
白术（炒，四两） 黄连（炒，五钱） 橘红（一两）
以上研为细末，用神曲糊制作成丸，大小如绿豆。每次服用五十丸，用姜汤送服。
二陈汤（方剂见痰门章节。）
三神丸（方剂见虚损门章节。）
曲末丸 治疗痰饮引起的嘈杂吞酸。（方剂见吐酸门章节。）
香连丸 治疗嘈杂火郁，瘦人尤其适宜服用。（方剂见痢疾门章节。）
术连丸 治疗嘈杂。
白术（四两，土炒） 黄连（一两，姜炒）
以上研为末，用神曲糊制作成丸，大小如黍米。每次服用五七十丸，用姜汤送服。
软石膏丸 治疗嘈杂嗳气。
软石膏（ ） 半夏（制） 南星（制） 香附子（炒） 栀子仁（炒。各等分）
以上研为细末，用米粥制作成丸，大小如梧桐子。每次服用五十丸，用姜汤送服。
和中汤 治疗虚火引起的嘈杂。
人参 白术 陈皮 半夏 茯苓（各一钱） 甘草（五分） 黄连（钱半，姜炒） 大枣（二枚）
用水一盏半，加入粳米一撮，煎至八分，温服。
Danxi stated: There is food stagnation (stagnation caused by dietary retention), and heat stagnation (stagnation caused by internal accumulation of heat). When prolonged fever becomes severe, it leads to *zaochao* (a sensation of hunger mixed with discomfort in the stomach, neither true hunger nor pain), which is caused by fire disturbing phlegm. Erchen Tang (Two-Cured Decoction) combined with Coptidis Rhizoma (Huanglian, 黄连) stir-fried with ginger juice and Gardeniae Fructus (Zhizi, 栀子) stir-fried are essential medicines, with additional Qingdai (Indigo Naturalis).
If the pulse at both cun positions is wiry and slippery, there is retained fluid in the chest. If the cun pulse extends horizontally, there is horizontal accumulation above the diaphragm. If the right guan pulse is severely wiry and rapid, liver wood is overacting on spleen earth, which may develop into fanwei (regurgitation or vomiting of undigested food). If the guan pulse is floating and choppy, it indicates stagnation.
In summary, phlegm is stirred by fire, causing a sensation of heartburn resembling hunger during illness, but it is not actual hunger. Obese individuals have more phlegm and should take increased amounts of Pinelliae Rhizoma (Banxia, 半夏) and Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术); thin individuals have more heat and should take increased amounts of Coptidis Rhizoma (Huanglian, 黄连) stir-fried with ginger and Gardeniae Fructus (Zhizi, 栀子).
For damp-phlegm and qi stagnation leading to loss of appetite, Sanbu Wan (Three-Tonifying Pill) combined with Cangzhu (Atractylodis Macrocephalae Rhizoma), Xiangfu (Cyperi Rhizoma), Banxia (Pinelliae Rhizoma), etc., is used.
For food stagnation accompanied by heat, Erchen Tang (Two-Cured Decoction) combined with Shenqu (Massa Medicata Fermentata, 神曲), Xiangfu (Cyperi Rhizoma), and Huanglian (Coptidis Rhizoma) stir-fried is used.
When treating zaochao (*zaochao*) with excessive phlegm-resolving and fire-clearing medicines yields no effect, one must employ the method of following the disease's false nature (treating according to the apparent nature of the pathology). Add Hongdoukou (Alpiniae Katsumadai Semen, 红豆蔻) and Huanglian (Coptidis Rhizoma) to the phlegm-resolving and fire-clearing formula, stir-frying them with extra ginger juice.
Sansheng Wan (Three-Saints Pill) is highly effective for treating zaochao (*zaochao*).
Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (stir-fried, 4 liang), Huanglian (Coptidis Rhizoma, 黄连) (stir-fried, 5 qian), Juhong (Citri Reticulatae Pericarpium Rubrum, 橘红) (1 liang).
Grind into fine powder, make pills with Massa Medicata Fermentata paste, size of mung beans. Take 50 pills per dose, washed down with ginger soup.
Erchen Tang (Two-Cured Decoction) (Formula seen in Phlegm section.)
Sanshen Wan (Three-Gods Pill) (Formula seen in Deficiency Damage section.)
Qumo Wan (Qu-Powder Pill) treats zaochao (*zaochao*) and acid regurgitation caused by phlegm-fluid retention. (Formula seen in Acid Regurgitation section.)
Xianglian Wan (Cyperi-Rhizoma-Coptis Pill) treats zaochao (*zaochao*) due to fire stagnation, especially suitable for thin individuals. (Formula seen in Dysentery section.)
Shulian Wan (Atractylodes-Coptis Pill) treats zaochao (*zaochao*).
Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (4 liang, soil-stir-fried), Huanglian (Coptidis Rhizoma, 黄连) (1 liang, ginger-stir-fried).
Grind into powder, make pills with Massa Medicata Fermentata paste, size of millet seeds. Take 50-70 pills per dose, washed down with ginger soup.
Ruan Shigao Wan (Soft Gypsum Pill) treats zaochao (*zaochao*) and belching.
Ruan Shigao (Soft Gypsum, 软石膏) [amount unspecified], Banxia (Pinelliae Rhizoma, 半夏) (processed), Nanxing (Arisaematis Rhizoma, 南星) (processed), Xiangfuzi (Cyperi Rhizoma, 香附子) (stir-fried), Zhiziren (Gardeniae Semen, 栀子仁) (stir-fried. Equal parts).
Grind into fine powder, make pills with rice gruel, size of Chinese honeylocust seeds. Take 50 pills per dose, washed down with ginger soup.
Hezhong Tang (Middle-Harmonizing Decoction) treats zaochao (*zaochao*) caused by deficient fire.
Renshen (Ginseng Radix et Rhizoma, 人参), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Chenpi (Citri Reticulatae Pericarpium, 陈皮), Banxia (Pinelliae Rhizoma, 半夏), Fuling (Poria, 茯苓) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (0.5 qian), Huanglian (Coptidis Rhizoma, 黄连) (1.5 qian, ginger-stir-fried), Dazao (Jujubae Fructus, 大枣) (2 pieces).
Add 1.5 cups of water and a pinch of Jingmi (Oryza Sativa Germen, 粳米), decoct until 0.8 cup remains, take warm.