论曰人之阴阳升降。三焦调顺，脾胃和匀。乃能腐熟水谷。变化糟粕，传泻行导，下走
肠间，若脾胃虚冷。水谷不化，则阴阳痞隔，三焦不调，浊阴之气，不能下行。奔冲于上。
故发为呕吐。然吐逆之病，有得之于隔实者，有生于中满者，有发于下焦者，种种虽不同，
悉本胃气逆则呕吐，盖胃者、水谷之海。三焦者、水谷之道路，胃气宣通。则上焦如雾，中
焦如沤，下焦如渎。命曰平人。胃既虚弱。水谷停滞。致三焦格拒。升降不匀。其气虚满。
得食则呕。而又有朝食暮吐。暮食朝吐者；有食已即吐者；有呕吐谷不得前者；有但呕而无
所出者；有先呕却渴者；有先渴却呕者；有呕家本渴而反不渴者。其本其治。各各不同，假
令内格呕逆。食不得入。是有火也，病呕而吐。食久反出，是无火也。举此二者。乃知呕吐
之名则一。治疗之法各异、虽治法有冷热虚实之别。要当以安其胃气为本。使阴阳升降平均。
呕逆之病顺而愈矣。
论曰呕吐者、胃气上而不下也。譬之通瓶小口。顿溉不入。乃升气所碍。人病呕吐。其
理如此。盖脾胃气弱。风冷干动。使留饮停积。饮食不化。胃气虚胀。心下澹澹。其气上逆。
故令呕吐也。
治呕吐，除中满。痞气、痰逆恶心。宿昔成积，面黄腹胀，脏腑不调，水谷不化，调顺
脾胃，沉香煎丸方
沉香（锉） 丁香 木香 胡椒 没药（研） 丹砂（别研水飞） 高良姜 槟榔（面
裹煨熟去面） 砂（明净者别研水飞用石器慢火熬干） 青橘皮（去白焙） 硫黄（别研
水飞各一两） 阿魏（醋浸开白面同作饼子炙令焦熟） 缩砂（去皮） 吴茱萸（取陈久者
汤浸取沉者炒各半两） 巴豆（去皮心膜研细新
上一十五味。除研药外。捣罗为末，再入研药研匀，炼蜜丸如绿豆大，瓷盒贮封。每服
二丸，食前临卧、温生姜橘皮汤下。更量虚实大小加减。
治脾胃虚寒，痰饮停滞，呕吐不止，豆蔻汤方
肉豆蔻（三枚去壳） 桂（去粗皮） 零陵香 芎 （各一两） 莎草根（二十一枚炮）
陈橘皮（去白炒
上七味。粗捣筛。每服二钱匕，水一盏，入生姜三片，枣二枚劈，煎至六分，去滓温服
治脾胃虚寒。痰盛呕吐。浓朴丸方
浓朴（去粗皮姜汁炙一斤） 半夏（洗去滑焙切半斤） 枣（生绢袋盛三斤） 生姜
（三斤研取汁尽
上四味，银器内用文武火。煮尽姜汁，取浓朴半夏焙干。捣罗为末。枣去皮核，入前药
于臼中，再捣为末，如梧桐子大，每服空心临卧，温酒下二十丸。
治脾胃虚寒痰盛，呕吐不止。饮食不化，藿香饮方
藿香叶 浓朴（去粗皮姜汁炙令熟各一两） 青橘皮（汤浸去白切麸炒三分） 甘草（炙
三分） 桂（去粗皮半两） 干姜（炮一分半） 枇杷叶（拭去毛炙一分）
上七味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，煎至七分，去滓温服，
不计时候。
治脾胃虚冷，呕吐痰涎。胸膈痞闷。不思饮食。七宝汤方
人参 白茯苓（去黑皮） 甘草（微炙） 连皮大腹（各一两） 诃黎勒（五枚煨去核）
草豆蔻（四枚面
上七味。粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，同煎至六分，食前去
滓温服。
治脾胃虚寒痰盛，呕吐不定。藿香半夏丸方
藿香叶（半两） 半夏（一两捣碎炒） 丁香皮（舶上者） 丁香（各半两） 水银沙
子（一分研）
上五味。捣罗为末，同水银研匀。酒煮面糊和丸，如梧桐子大，每服七丸至十丸，生姜
人参汤下，不拘时候。
治脾胃虚寒。呕吐不止。桂心汤方
桂（去粗皮） 干姜（炮） 半夏汤（洗去滑炒各一分）
上三味。粗捣筛。每服三钱匕，水一盏，入生姜三片，煎至六分，去滓空心温服。
治脾胃虚寒。痰饮留滞，呕吐不止，济急散方
附子（一枚切下盖取出肉内丁香在内） 丁香（四十九枚）
上二味。用生姜自然汁略浸、附子于瓷瓶中。重汤煮之令干，捣罗为细散。每服一钱匕，
含化咽津。
治脾胃虚寒。痰涎壅滞，呕吐不止，半夏饮方
半夏（三分姜汁浸炒） 白术（一两） 槟榔（五枚生锉） 甘草（生锉半两）
上四味。粗捣筛，每服五钱匕，水一盏，煎至八分，去滓热服，不计时候。
治脾胃虚寒痰盛，呕吐不食。半夏橘皮饮方
半夏（洗去滑焙） 陈橘皮（去白焙） 甘草（炙） 桂（去粗皮各三分） 人参（一
两一分） 大腹（一枚锉
上六味，粗捣筛，每服五钱匕，水二盏，入生姜三片，煎至一盏，去滓温服，不拘时候
治呕吐不止，消痰下气，浓朴散方
浓朴（去粗皮锉姜汁浸一宿炒四两） 生姜（二斤净洗切片熬干炒令紫色） 甘草（锉
炒二两） 陈橘皮（汤去白炒六两） 草豆蔻（去皮锉细炒二两）
上五味。捣罗为散，每服二钱匕，沸汤入盐点服，脾气等疾，每服三钱匕，水一盏，姜
二片，枣二枚劈破，煎至六分、温服。
治呕吐。软红丸方
丹砂（研） 砒霜（研各半钱） 胭脂（一钱） 巴豆（七粒取霜）
上四味，研细，熔蜡少许，入油三两滴，和药为剂，以油单裹之，大人旋丸如绿豆大。
小儿如芥子，浓煎槐花甘草汤放温。下一丸。勿热食。半时久。
治食饮不下。呕逆清水。面目虚肿。和胃汤方
人参（二两） 赤茯苓（去黑皮一两半） 茅根（一两） 甘草（炙半两） 竹茹（三
分） 半夏（汤洗七遍焙
上七味。粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，煎至七分，去滓温服
治呕吐不下食。前胡汤方
汤（洗七遍焙
上七味。锉如麻豆大拌匀，每服三钱匕，水一盏，生姜三片，煎至七分，去滓食前温服
治呕吐不下食，头痛身热。柴胡知母饮方
柴胡（去苗一两） 知母（焙半两） 芦根（锉三分） 槟榔（一两） 人参（半两） 陈
橘皮（半两）
上六味。捣筛为散，每服三钱匕，水一盏，生姜五片，同煎至六分，去滓热服。
治膈气脾胃虚冷。多呕吐酸水。人参散方
人参（一两去芦头） 槟榔（一两） 高良姜（半两锉） 陈橘皮（一两汤浸去白瓤焙）
荜茇（一两） 白
上六味。粗捣为散，每服三钱匕，水一盏，生姜五片，同煎至六分，去滓热服。
治胸满气逆。食不消化、呕吐。陈橘皮散方
陈橘皮（一两汤浸去白瓤焙） 白术（二两） 人参（一两去芦头） 胡椒（半两） 肉
豆蔻（一两） 甘草
上六味。捣罗为散，每服四钱匕，水一盏，生姜五片，同煎至六分，去滓稍热服。
治脾胃虚弱，不思饮食、呕吐。茯苓汤方
茯苓（去粗皮） 知母 白术 枳壳（麸炒去瓤） 人参（去芦头） 甘草（微炙赤锉）
芦根（切） 半夏
上八味，粗捣筛，每服三钱匕，水一盏半，入生姜七片，薤白二寸切，同煎至七分，去
滓不拘时温服。
治呕吐厥逆，不思饮食。白术汤方
白术 丁香 甘草（炙锉） 陈橘皮（去白焙） 木香（各半两） 大腹（锉） 枳壳
（去瓤麸炒） 诃黎勒
上九味，粗捣筛，每服三钱匕，水一盏，入生姜五片，同煎至七分，去滓空心温服。
治上焦壅热，食饮不下。呕吐、两胁痛。半夏汤方
半夏（汤洗七遍焙） 人参 柴胡（去苗） 麦门冬（去心焙各三分） 赤茯苓（去黑
皮） 竹茹 桂（去
上九味。粗捣筛，每服五钱匕，水一盏半，入生姜五片，同煎至八分，去滓温服。
治上焦壅热。见食呕吐。头痛目赤。石膏竹茹汤方
石膏（二两） 竹茹（焙） 人参 白茅根 半夏汤（洗七遍炒各一两） 玄明粉 桔
梗（炒） 甘草（炙
上九味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，同煎至八分，去滓温服。
治胸满气逆。呕吐不思食，白术散方
白术（锉炒） 人参（各二两） 丁香 甘草（炙锉各三分） 白茯苓（去黑皮一两半）
草豆蔻（去皮） 陈橘皮（去白焙） 干姜（炮裂各一两） 桔梗（炒半两）
上九味。捣罗为散研匀。每服二钱匕，生姜枣汤调下。
治脾胃气虚弱，呕吐不食，腹中虚鸣。陈橘皮丸方
陈橘皮（去白焙四两） 浓朴（去粗皮生姜汁炙锉一两） 肉豆蔻（去壳） 干姜（炮
裂） 木香 吴茱萸（醋炒焙） 白术（锉炒） 诃黎勒皮 桂（去粗皮各三分） 甘草（炙
锉一分） 枳壳（去瓤麸炒） 沉香（锉） 芍药（炒） 丁香 阿魏（各半两酒煮后细研
更用酒煎入少陈曲末同煎成膏丸诸药末）
上一十五味。捣罗十四味为末。用阿魏煎和丸。梧桐子大，每服二十丸。空心米饮下。
治冷气呕吐。及吐食。附子散方
附子（生去皮脐一枚）
上一味。切作四片，用生姜汁五合，浸一宿取出，火上炙干，入生姜汁浸良久，又蘸姜
汁炙，直候姜汁尽，捣罗为散，每服二钱匕，米饮调下。
治呕吐不下食。紫粉丸方
针沙
上以醋浸一夜。去醋、便带醋炒。直候铫子红色无烟乃止。放冷细研，更用醋团，火烧
通赤。取候冷，再研极细，面糊丸。如梧桐子大。每服四十丸，粥饮下，服讫、便啜一盏粥
已，不吐，如未定，再服决定，小儿小丸之，随儿大小与之。
治呕吐不下食。头痛，人参丸方
人参（三两） 半夏（汤洗七遍焙二两） 前胡（去芦头一两） 铅丹（研半两）
上四味。捣罗为细末，煮枣肉、丸如梧桐子大。每服二十丸，生姜汤下，食后。
论述说：人的阴阳之气升降有序，三焦通畅调和，脾胃功能平和均匀，这样才能腐熟消化水谷，将糟粕变化并传导排泄，向下运行至肠道。如果脾胃虚寒，水谷无法消化，就会导致阴阳气机痞塞阻隔，三焦不调畅，浊阴之气不能下行，反而向上冲逆，因此引发呕吐。
然而，吐逆这种病证，有的是因为膈间实邪所致，有的是因为中焦胀满引起，有的发于下焦。虽然表现种种不同，但根本原因都是胃气上逆导致呕吐。因为胃是水谷汇聚的大海，三焦是水谷运行的道路。胃气宣通顺畅，则上焦如雾（形容精气弥漫），中焦如沤（形容发酵腐熟），下焦如渎（形容疏通排泄），这称为健康人。如果胃气虚弱，水谷停滞，导致三焦格拒不通，升降失调，气机虚滞胀满，进食就会呕吐；还有的是早晨吃的食物晚上吐出，晚上吃的食物早晨吐出；有的是吃完立刻呕吐；有的是呕吐出谷物且无法再进食；有的是只有呕吐动作而无物可吐；有的是先呕吐后感到口渴；有的是先口渴后呕吐；有的是呕吐病人本该口渴却反而不渴。这些情况的本源和治疗方法各不相同。例如，内格呕逆，食物无法入口，这是有火邪；呕吐且食物停留很久才反出来，这是无火（虚寒）。列举这两种情况，就知道虽然都叫呕吐，但治疗方法各异。虽然治法有冷、热、虚、实的区别，但关键在于以安和胃气为根本，使阴阳升降平衡，呕吐之病就能顺遂而愈。
论述说：呕吐，是胃气上升而不下降的缘故。就像瓶口细小的瓶子，倾倒时水流不进，是被上升的气所阻碍。人患呕吐，道理也是如此。大概是因为脾胃气弱，风冷干扰触动，导致留饮停积，饮食不化，胃气虚胀，心下悸动不安，气机上逆，所以导致呕吐。
治疗呕吐，消除中满、痞气、痰逆恶心、宿食成积、面色黄、腹胀、脏腑不调、水谷不化等症状，调顺脾胃，用沉香煎丸方：
沉香（锉碎）、丁香、木香、胡椒、没药（研细）、丹砂（另研，水飞法）、高良姜、槟榔（面粉包裹煨熟，去面）、硇砂（明净者另研，水飞，用石器慢火熬干）、青橘皮（去白焙干）、硫黄（另研，水飞，各一两）、阿魏（醋浸开白面同作饼子炙令焦熟）、缩砂（去皮）、吴茱萸（取陈久者，汤浸取沉者炒，各半两）、巴豆（去皮心膜，研细）。
以上十五味药，除需研细的药外，捣筛成末，再加入已研好的药研匀，用炼蜜制成如绿豆大的丸药，装在瓷盒中密封保存。每次服用二丸，饭前临睡前，用温生姜橘皮汤送服。更根据虚实大小加减用量。
治疗脾胃虚寒，痰饮停滞，呕吐不止，用豆蔻汤方：
肉豆蔻（三枚，去壳）、桂（去粗皮）、零陵香、川芎（各一两）、莎草根（二十一枚，炮制）、陈橘皮（去白炒）。
以上七味药，粗捣筛过。每次服用二钱匕，用水一盏，加入生姜三片，枣二枚劈开，煎至六分，去渣温服。
治疗脾胃虚寒，痰盛呕吐，用浓朴丸方：
浓朴（去粗皮，姜汁炙，一斤）、半夏（洗去滑腻，焙干切，半斤）、枣（生绢袋盛，三斤）、生姜（三斤，研取汁尽）。
以上四味药，在银器内用文武火煮，直到姜汁被吸尽，取出浓朴和半夏焙干，捣筛成末。枣去皮核，与前药一起放入臼中，再捣为末，制成如梧桐子大的丸药。每次空腹及临睡前，用温酒送服二十丸。
治疗脾胃虚寒痰盛，呕吐不止，饮食不化，用藿香饮方：
藿香叶、浓朴（去粗皮，姜汁炙令熟，各一两）、青橘皮（汤浸去白，切，麸炒，三分）、甘草（炙，三分）、桂（去粗皮，半两）、干姜（炮，一分半）、枇杷叶（拭去毛，炙，一分）。
以上七味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，枣二枚劈破，煎至七分，去渣温服，不限时候。
治疗脾胃虚冷，呕吐痰涎，胸膈痞闷，不思饮食，用七宝汤方：
人参、白茯苓（去黑皮）、甘草（微炙）、连皮大腹皮（各一两）、诃黎勒（五枚，煨去核）、草豆蔻（四枚，面裹煨）。
以上七味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，枣二枚劈破，同煎至六分，饭前去渣温服。
治疗脾胃虚寒痰盛，呕吐不定，用藿香半夏丸方：
藿香叶（半两）、半夏（一两，捣碎炒）、丁香皮（舶上者）、丁香（各半两）、水银沙子（一分，研）。
以上五味药，捣筛成末，与水银同研均匀。用酒煮面糊和丸，制成如梧桐子大的丸药。每次服用七丸至十丸，用生姜人参汤送服，不拘时候。
治疗脾胃虚寒，呕吐不止，用桂心汤方：
桂（去粗皮）、干姜（炮）、半夏（汤洗去滑，炒，各一分）。
以上三味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，煎至六分，去渣空腹温服。
治疗脾胃虚寒，痰饮留滞，呕吐不止，用济急散方：
附子（一枚，切下盖取出肉内丁香在内）、丁香（四十九枚）。
以上二味药，用生姜自然汁略浸，将附子放入瓷瓶中，隔水炖煮令干，捣筛为细散。每次服用一钱匕，含化咽津。
治疗脾胃虚寒，痰涎壅滞，呕吐不止，用半夏饮方：
半夏（三分，姜汁浸炒）、白术（一两）、槟榔（五枚，生锉）、甘草（生锉，半两）。
以上四味药，粗捣筛过。每次服用五钱匕，用水一盏，煎至八分，去渣热服，不拘时候。
治疗脾胃虚寒痰盛，呕吐不食，用半夏橘皮饮方：
半夏（洗去滑，焙）、陈橘皮（去白焙）、甘草（炙）、桂（去粗皮，各三分）、人参（一两一分）、大腹皮（一枚，锉）。
以上六味药，粗捣筛过。每次服用五钱匕，用水二盏，加入生姜三片，煎至一盏，去渣温服，不拘时候。
治疗呕吐不止，消痰下气，用浓朴散方：
浓朴（去粗皮，锉，姜汁浸一宿，炒，四两）、生姜（二斤，净洗切片，熬干炒令紫色）、甘草（锉炒，二两）、陈橘皮（汤去白炒，六两）、草豆蔻（去皮锉细炒，二两）。
以上五味药，捣筛为散。每次服用二钱匕，沸汤加盐点服。脾气等疾，每次服用三钱匕，用水一盏，姜二片，枣二枚劈破，煎至六分，温服。
治疗呕吐，用软红丸方：
丹砂（研）、砒霜（研，各半钱）、胭脂（一钱）、巴豆（七粒，取霜）。
以上四味药，研细，熔蜡少许，入油三两滴，和药为剂，用油纸包裹。成人现做丸如绿豆大，小儿如芥子大。用浓煎槐花甘草汤放温，送下一丸。勿吃热食。半小时后。
治疗食饮不下，呕逆清水，面目虚肿，用和胃汤方：
人参（二两）、赤茯苓（去黑皮，一两半）、茅根（一两）、甘草（炙，半两）、竹茹（三分）、半夏（汤洗七遍，焙）。
以上七味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，枣二枚劈破，煎至七分，去渣温服。
治疗呕吐不下食，用前胡汤方：
前胡（去芦头，洗七遍，焙）。
以上七味药（注：原文此处似缺列其他药物，仅列出前胡及后续描述，依原文翻译），锉如麻豆大拌匀。每次服用三钱匕，用水一盏，加入生姜三片，煎至七分，去渣食前温服。
治疗呕吐不下食，头痛身热，用柴胡知母饮方：
柴胡（去苗，一两）、知母（焙，半两）、芦根（锉，三分）、槟榔（一两）、人参（半两）、陈橘皮（半两）。
以上六味药，捣筛为散。每次服用三钱匕，用水一盏，加入生姜五片，同煎至六分，去渣热服。
治疗膈气脾胃虚冷，多呕吐酸水，用人参散方：
人参（一两，去芦头）、槟榔（一两）、高良姜（半两，锉）、陈橘皮（一两，汤浸去白瓤焙）、荜茇（一两）、白（原文此处似缺字，依原文保留）。
以上六味药，粗捣为散。每次服用三钱匕，用水一盏，加入生姜五片，同煎至六分，去渣热服。
治疗胸满气逆，食不消化、呕吐，用陈橘皮散方：
陈橘皮（一两，汤浸去白瓤焙）、白术（二两）、人参（一两，去芦头）、胡椒（半两）、肉豆蔻（一两）、甘草（炙）。
以上六味药，捣筛为散。每次服用四钱匕，用水一盏，加入生姜五片，同煎至六分，去渣稍热服。
治疗脾胃虚弱，不思饮食、呕吐，用茯苓汤方：
茯苓（去粗皮）、知母、白术、枳壳（麸炒去瓤）、人参（去芦头）、甘草（微炙赤，锉）、芦根（切）、半夏。
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏半，加入生姜七片，薤白二寸切，同煎至七分，去渣不拘时温服。
治疗呕吐厥逆，不思饮食，用白术汤方：
白术、丁香、甘草（炙，锉）、陈橘皮（去白焙）、木香（各半两）、大腹皮（锉）、枳壳（去瓤，麸炒）、诃黎勒。
以上九味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜五片，同煎至七分，去渣空腹温服。
治疗上焦壅热，食饮不下，呕吐、两胁痛，用半夏汤方：
半夏（汤洗七遍，焙）、人参、柴胡（去苗）、麦门冬（去心，焙，各三分）、赤茯苓（去黑皮）、竹茹、桂（去粗皮）。
以上九味药（注：原文此处似缺列部分药物，仅列出上述及后续描述，依原文翻译），粗捣筛过。每次服用五钱匕，用水一盏半，加入生姜五片，同煎至八分，去渣温服。
治疗上焦壅热，见食呕吐，头痛目赤，用石膏竹茹汤方：
石膏（二两）、竹茹（焙）、人参、白茅根、半夏（汤洗七遍，炒，各一两）、玄明粉、桔梗（炒）、甘草（炙）。
以上九味药，粗捣筛过。每次服用五钱匕，用水一盏半，加入生姜五片，同煎至八分，去渣温服。
治疗胸满气逆，呕吐不思食，用白术散方：
白术（锉炒）、人参（各二两）、丁香、甘草（炙，锉，各三分）、白茯苓（去黑皮，一两半）、草豆蔻（去皮）、陈橘皮（去白焙）、干姜（炮裂，各一两）、桔梗（炒，半两）。
以上九味药，捣筛为散研匀。每次服用二钱匕，用生姜枣汤调下。
治疗脾胃气虚弱，呕吐不食，腹中虚鸣，用陈橘皮丸方：
陈橘皮（去白焙，四两）、浓朴（去粗皮，生姜汁炙，锉，一两）、肉豆蔻（去壳）、干姜（炮裂）、木香、吴茱萸（醋炒，焙）、白术（锉炒）、诃黎勒皮、桂（去粗皮，各三分）、甘草（炙，锉，一分）、枳壳（去瓤，麸炒）、沉香（锉）、芍药（炒）、丁香、阿魏（各半两，酒煮后细研，更用酒煎入少陈曲末同煎成膏，丸诸药末）。
以上十五味药，捣筛十四味为末。用阿魏煎液和丸，如梧桐子大。每次服用二十丸，空腹米饮送下。
治疗冷气呕吐，及吐食，用附子散方：
附子（生，去皮脐，一枚）。
以上一味药，切作四片，用生姜汁五合，浸一宿取出，火上炙干，入生姜汁浸良久，又蘸姜汁炙，直候姜汁尽，捣筛为散。每次服用二钱匕，米饮调下。
治疗呕吐不下食，用紫粉丸方：
针砂。
以上一味药，以醋浸一夜，去醋，便带醋炒，直候铫子红色无烟乃止。放冷细研，更用醋团，火烧通赤。取候冷，再研极细，面糊丸，如梧桐子大。每次服用四十丸，粥饮送下。服讫，便啜一盏粥。已，不吐，如未定，再服决定。小儿小丸之，随儿大小与之。
治疗呕吐不下食，头痛，用人参丸方：
人参（三两）、半夏（汤洗七遍，焙，二两）、前胡（去芦头，一两）、铅丹（研，半两）。
以上四味药，捣筛为细末，煮枣肉，丸如梧桐子大。每次服用二十丸，生姜汤送下，食后。
Commentary states: When the Yin and Yang qi of the human body ascend and descend in order, the Sanjiao (Triple Burner) is smooth and harmonious, and the Spleen and Stomach functions are balanced and even, then it is possible to rot and ripen water and grain, transform dregs and refuse, conduct and drain them, and guide them downward into the intestines. If the Spleen and Stomach are deficient and cold, water and grain cannot be digested, leading to obstruction and blockage of Yin and Yang qi, disharmony of the Sanjiao, and failure of turbid Yin qi to descend. Instead, it rushes upward, thus causing vomiting.
However, the disease of regurgitation and vomiting arises from various causes: some result from excess in the diaphragm, some from fullness in the middle jiao, and some originate from the lower jiao. Although the manifestations vary, they all stem from the reversal of Stomach qi leading to vomiting. The Stomach is the sea of water and grain, and the Sanjiao is the pathway for water and grain. When Stomach qi is unimpeded and smooth, the Upper Jiao is like mist (describing the diffusion of essence), the Middle Jiao is like fermentation (describing decomposition and ripening), and the Lower Jiao is like a ditch (describing drainage). This state is called a healthy person. If Stomach qi is weak, water and grain stagnate, causing rejection in the Sanjiao and uneven ascending and descending of qi, resulting in deficiency and fullness. Eating leads to vomiting; there are cases where food eaten in the morning is vomited in the evening, or food eaten in the evening is vomited in the morning; there are cases where vomiting occurs immediately after eating; there are cases where grain is vomited and no further food can be taken; there are cases of retching without anything coming out; there are cases where thirst follows vomiting; there are cases where vomiting follows thirst; and there are cases where those who vomit should naturally be thirsty but are not. The root causes and treatments differ for each. For example, internal obstruction with regurgitation, where food cannot enter, indicates Fire pathogen; vomiting with food remaining for a long time before being expelled indicates absence of Fire (deficiency-cold). From these two examples, we know that although the name "vomiting" is the same, the treatment methods differ. Although treatment methods vary according to Cold, Heat, Deficiency, and Excess, the key is to stabilize Stomach qi as the foundation, balancing the ascent and descent of Yin and Yang, so that the disease of vomiting will resolve smoothly.
Commentary states: Vomiting is due to Stomach qi ascending instead of descending. It is like pouring water into a bottle with a small neck; the flow does not enter because it is obstructed by rising qi. The principle in human vomiting is the same. Generally, when Spleen and Stomach qi are weak, Wind-Cold interferes and agitates, causing retained fluid accumulation and undigested food. Stomach qi becomes deficient and distended, causing palpitations in the heart region, and qi rebels upward, thus causing vomiting.
To treat vomiting, eliminate middle fullness, Qi stagnation (Pi Qi), phlegm-rebellion with nausea, accumulated old food, yellow complexion, abdominal distension, disharmony of Zang-Fu organs, and undigested water and grain, and to regulate the Spleen and Stomach, use Chenxiang Decoction Pills Formula:
Chen Xiang (Cortex Aquilariae, sliced), Ding Xiang (Flos Caryophylli), Mu Xiang (Radix Aucklandiae), Hu Jiao (Fructus Piperis Longi), Mo Yao (Resina Myrrhae, powdered), Dan Sha (Cinnabaris, separately powdered and processed by water flotation), Gao Liang Jiang (Rhizoma Alpiniae Officinarum), Bing Lang (Arecae Semen, wrapped in flour, baked, flour removed), Nao Sha (Natrii Chloridum et Nitratis, pure ones separately powdered, processed by water flotation, dried slowly over low fire in stone vessel), Qing Ju Pi (Pericarpium Citri Reticulatae Viride, pith removed, baked), Liu Huang (Sulfur, separately powdered and processed by water flotation, one liang each), A Wei (Resina Asafoetidae, soaked in vinegar until white parts open, made into cakes with flour, baked until scorched), Suo Sha (Fructus Amomi Rotundus, skin removed), Wu Zhu Yu (Fructus Evodiae, aged ones soaked in decoction, sunk ones selected and stir-fried, half liang each), Ba Dou (Semen Crotonis, skin, core, and membrane removed, finely ground).
The above fifteen ingredients, except those requiring powdering, are pounded and sifted into fine powder. Then add the powdered medicines and mix evenly. Use refined honey to make pills the size of mung beans. Store in porcelain jars and seal tightly. Take two pills per dose, before meals and before bed, washed down with warm Sheng Jiang (Zingiberis Rhizoma) and Ju Pi (Pericarpium Citri Reticulatae) decoction. Adjust dosage according to deficiency/excess and patient size.
To treat Spleen-Stomach deficiency-cold, retention of phlegm-fluids, and incessant vomiting, use Doukou Tang Formula:
Rou Dou Kou (Semen Myristicae, three fruits, shell removed), Gui (Cortex Cinnamomi, coarse bark removed), Ling Ling Xiang (Herba Ligustici Chuanxiong), Xiong Duan (Radix Chuanxiong, one liang each), Sha Cao Gen (Radix Cyperi Rotundi, twenty-one roots, roasted), Chen Ju Pi (Pericarpium Citri Reticulatae, pith removed, stir-fried).
The above seven ingredients are coarsely pounded and sieved. Take two qian bi per dose, with one sheng of water, three slices of Sheng Jiang (Zingiberis Rhizoma), and two dates split open. Decoct until six fen remains, remove dregs, and take warm.
To treat Spleen-Stomach deficiency-cold, abundant phlegm, and vomiting, use Houpo Wan Formula:
Hou Po (Cortex Magnoliae Officinalis, coarse bark removed, stir-fried with Ginger juice, one jin), Ban Xia (Rhizoma Pinelliae, washed to remove slipperiness, baked and sliced, half jin), Zao (Fructus Jujubae, held in raw silk bag, three jin), Sheng Jiang (Rhizoma Zingiberis Recens, three jin, crushed to extract juice).
The above four ingredients are cooked in a silver vessel using moderate heat until the Ginger juice is completely absorbed. Remove Hou Po and Ban Xia, bake dry, and pound into fine powder. Remove skin and pits from Zao, add to the previous powder, and pound again in a mortar. Make pills the size of Sophora seeds. Take twenty pills per dose, empty stomach and before bed, washed down with warm wine.
To treat Spleen-Stomach deficiency-cold with abundant phlegm, incessant vomiting, and inability to digest food, use Huoxiang Yin Formula:
Huo Xiang Ye (Herba Agastaches), Hou Po (Cortex Magnoliae Officinalis, coarse bark removed, stir-fried with Ginger juice until cooked, one liang each), Qing Ju Pi (Pericarpium Citri Reticulatae Viride, soaked in water, pith removed, cut, stir-baked with bran, three qian), Gan Cao (Radix Glycyrrhizae, stir-baked, three qian), Gui (Cortex Cinnamomi, coarse bark removed, half liang), Gan Jiang (Rhizoma Zingiberis Secatum, roasted, one qian half), Pi Pa Ye (Folium Eriobotryae, wiped clean of hairs, baked, one qian).
The above seven ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one sheng of water, three slices of Sheng Jiang (Zingiberis Rhizoma), and two dates split open. Decoct until seven fen remains, remove dregs, and take warm. No specific timing required.
To treat Spleen-Stomach deficiency-cold, vomiting of phlegm-saliva, chest and diaphragm oppression, and loss of appetite, use Qibao Tang Formula:
Ren Shen (Radix Ginseng), Bai Fu Ling (Poria, black skin removed), Gan Cao (Radix Glycyrrhizae, slightly baked), Lian Pi Da Fu Pi (Pericarpium Arecae Cum Cortice, one liang each), He Le Le (Fructus Chebulae, five fruits, baked, pits removed), Cao Dou Kou (Semen Cardamomi, four fruits, wrapped in flour).
The above seven ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one sheng of water, three slices of Sheng Jiang (Zingiberis Rhizoma), and two dates split open. Decoct together until six fen remains, remove dregs before meals, and take warm.
To treat Spleen-Stomach deficiency-cold with abundant phlegm and irregular vomiting, use Huoxiang Banxia Wan Formula:
Huo Xiang Ye (Herba Agastaches, half liang), Ban Xia (Rhizoma Pinelliae, one liang, crushed and stir-fried), Ding Xiang Pi (Flos Caryophylli, bark from overseas), Ding Xiang (Flos Caryophylli, half liang each), Shui Yin Sha Zi (Hydrargyrum, one qian, powdered).
The above five ingredients are pounded and sieved into powder. Mix evenly with Hydrargyrum. Use wine-boiled wheat paste to form pills the size of Sophora seeds. Take seven to ten pills per dose, washed down with Sheng Jiang (Zingiberis Rhizoma) and Ren Shen (Radix Ginseng) decoction. No specific timing required.
To treat Spleen-Stomach deficiency-cold and incessant vomiting, use Guixin Tang Formula:
Gui (Cortex Cinnamomi, coarse bark removed), Gan Jiang (Rhizoma Zingiberis Secatum, roasted), Ban Xia (Rhizoma Pinelliae, washed in water to remove slipperiness, stir-fried, one qian each).
The above three ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until six fen remains, remove dregs, and take warm on an empty stomach.
To treat Spleen-Stomach deficiency-cold, retention of phlegm-fluids, and incessant vomiting, use Jiji San Formula:
Fu Zi (Radix Aconiti Lateralis Preparata, one piece, cut cap off, insert Ding Xiang inside), Ding Xiang (Flos Caryophylli, forty-nine flowers).
The above two ingredients are briefly soaked in fresh juice of Sheng Jiang (Zingiberis Rhizoma). Place Fu Zi in a porcelain jar, cook in a double boiler until dry. Pound and sieve into fine powder. Take one qian bi per dose, hold in mouth to dissolve and swallow saliva.
To treat Spleen-Stomach deficiency-cold, congestion of phlegm-saliva, and incessant vomiting, use Banxia Yin Formula:
Ban Xia (Rhizoma Pinelliae, three qian, soaked in Ginger juice and stir-fried), Bai Zhu (Radix Atractylodis Macrocephalae, one liang), Bing Lang (Arecae Semen, five fruits, raw and sliced), Gan Cao (Radix Glycyrrhizae, raw and sliced, half liang).
The above four ingredients are coarsely pounded and sieved. Take five qian bi per dose, with one sheng of water. Decoct until eight fen remains, remove dregs, and take hot. No specific timing required.
To treat Spleen-Stomach deficiency-cold with abundant phlegm, vomiting, and refusal to eat, use Banxia Ju Pi Yin Formula:
Ban Xia (Rhizoma Pinelliae, washed to remove slipperiness, baked), Chen Ju Pi (Pericarpium Citri Reticulatae, pith removed, baked), Gan Cao (Radix Glycyrrhizae, stir-baked), Gui (Cortex Cinnamomi, coarse bark removed, three qian each), Ren Shen (Radix Ginseng, one liang one fen), Da Fu Pi (Pericarpium Arecae, one fruit, sliced).
The above six ingredients are coarsely pounded and sieved. Take five qian bi per dose, with two sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until one sheng remains, remove dregs, and take warm. No specific timing required.
To treat incessant vomiting, dissipate phlegm, and direct qi downward, use Houpo San Formula:
Hou Po (Cortex Magnoliae Officinalis, coarse bark removed, sliced, soaked in Ginger juice overnight, stir-fried, four liang), Sheng Jiang (Rhizoma Zingiberis Recens, two jin, washed clean, sliced, boiled dry, stir-fried until purple), Gan Cao (Radix Glycyrrhizae, sliced and stir-fried, two liang), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, pith removed, stir-fried, six liang), Cao Dou Kou (Semen Cardamomi, skin removed, finely sliced, stir-fried, two liang).
The above five ingredients are pounded and sieved into powder. Take two qian bi per dose, mixed with boiling water and salt. For Pi Qi disorders, take three qian bi per dose, with one sheng of water, two slices of Ginger, and two dates split open. Decoct until six fen remains, and take warm.
To treat vomiting, use Ruan Hong Wan Formula:
Dan Sha (Cinnabaris, powdered), Pi Shuang (Arsenic Trioxidum, powdered, half qian each), Yan Zhi (Lac Carminae, one qian), Ba Dou (Semen Crotonis, seven grains, oil pressed).
The above four ingredients are finely powdered. Melt a small amount of beeswax, add three drops of oil, mix with medicine to form a base, wrap in oiled paper. Adults make pills the size of mung beans; children make pills the size of mustard seeds. Wash down with one pill using warm concentrated decoction of Huai Hua (Flos Sophorae) and Gan Cao (Radix Glycyrrhizae). Do not eat hot food. Wait half an hour.
To treat inability to ingest food and drink, regurgitation of clear fluid, and puffiness of face and eyes, use Hewei Tang Formula:
Ren Shen (Radix Ginseng, two liang), Chi Fu Ling (Poria, black skin removed, one liang half), Mao Gen (Radix Imperatae, one liang), Gan Cao (Radix Glycyrrhizae, stir-baked, half liang), Zhu Ru (Caulis Bambusae in Taeniam, three qian), Ban Xia (Rhizoma Pinelliae, washed seven times in water, baked).
The above seven ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one sheng of water, three slices of Sheng Jiang (Zingiberis Rhizoma), and two dates split open. Decoct until seven fen remains, remove dregs, and take warm.
To treat vomiting with inability to keep food down, use Qianhu Tang Formula:
Qian Hu (Radium Peucedani, remove rhizome, wash seven times, bake).
(Note: Original text lists only Qian Hu here, implying other ingredients may be missing or implied from context, but translating strictly based on provided text structure which lists "Seven ingredients" but details seem truncated or merged. Based on standard format, assuming list continues or refers to previous context, but strictly following text: "Seven ingredients, cut like hemp beans, mix well...") Cut into pieces the size of hemp beans, mix well. Take three qian bi per dose, with one sheng of water and three slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until seven fen remains, remove dregs, and take warm before meals.
To treat vomiting with inability to keep food down, headache, and body heat, use Chaihu Zhimu Yin Formula:
Chai Hu (Radix Bupleuri, remove seedlings, one liang), Zhi Mu (Rhizoma Anemarrhenae, baked, half liang), Lu Gen (Radix Imperatae, sliced, three qian), Bing Lang (Arecae Semen, one liang), Ren Shen (Radix Ginseng, half liang), Chen Ju Pi (Pericarpium Citri Reticulatae, half liang).
The above six ingredients are pounded and sieved into powder. Take three qian bi per dose, with one sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct together until six fen remains, remove dregs, and take hot.
To treat Ge Qi (Diaphragmatic Qi stagnation) with Spleen-Stomach deficiency-cold, frequent vomiting of sour fluid, use Renshen San Formula:
Ren Shen (Radix Ginseng, one liang, remove rhizome head), Bing Lang (Arecae Semen, one liang), Gao Liang Jiang (Rhizoma Alpiniae Officinarum, half liang, sliced), Chen Ju Pi (Pericarpium Citri Reticulatae, one liang, soaked in water, pith removed, baked), Bi Bo (Fructus Piperis Kadsurae, one liang), Bai (Text incomplete in original, likely Bai Zhu or similar, kept as 'Bai').
The above six ingredients are coarsely pounded into powder. Take three qian bi per dose, with one sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct together until six fen remains, remove dregs, and take hot.
To treat chest fullness, rebellious qi, indigestion, and vomiting, use Chen Ju Pi San Formula:
Chen Ju Pi (Pericarpium Citri Reticulatae, one liang, soaked in water, pith removed, baked), Bai Zhu (Radix Atractylodis Macrocephalae, two liang), Ren Shen (Radix Ginseng, one liang, remove rhizome head), Hu Jiao (Fructus Piperis Longi, half liang), Rou Dou Kou (Semen Myristicae, one liang), Gan Cao (Radix Glycyrrhizae, stir-baked).
The above six ingredients are pounded and sieved into powder. Take four qian bi per dose, with one sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until six fen remains, remove dregs, and take slightly hot.
To treat Spleen-Stomach weakness, loss of appetite, and vomiting, use Fuling Tang Formula:
Fu Ling (Poria, coarse bark removed), Zhi Mu (Rhizoma Anemarrhenae), Bai Zhu (Radix Atractylodis Macrocephalae), Zhi Ke (Fructus Aurantii, bran-roasted, pith removed), Ren Shen (Radix Ginseng, remove rhizome head), Gan Cao (Radix Glycyrrhizae, slightly baked red, sliced), Lu Gen (Radix Imperatae, cut), Ban Xia (Rhizoma Pinelliae).
The above eight ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one and a half sheng of water, seven slices of Sheng Jiang (Zingiberis Rhizoma), and two cun of Xie Bai (Bulbus Allii Macrostemonis, cut). Decoct together until seven fen remains, remove dregs, and take warm at any time.
To treat vomiting with cold extremities and loss of appetite, use Baizhu Tang Formula:
Bai Zhu (Radix Atractylodis Macrocephalae), Ding Xiang (Flos Caryophylli), Gan Cao (Radix Glycyrrhizae, stir-baked and sliced), Chen Ju Pi (Pericarpium Citri Reticulatae, pith removed, baked), Mu Xiang (Radix Aucklandiae, half liang each), Da Fu Pi (Pericarpium Arecae, sliced), Zhi Ke (Fructus Aurantii, pith removed, bran-roasted), He Le Le (Fructus Chebulae).
The above nine ingredients are coarsely pounded and sieved. Take three qian bi per dose, with one sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until seven fen remains, remove dregs, and take warm on an empty stomach.
To treat Upper Jiao congestion-heat, inability to ingest food and drink, vomiting, and pain in both hypochondria, use Banxia Tang Formula:
Ban Xia (Rhizoma Pinelliae, washed seven times in water, baked), Ren Shen (Radix Ginseng), Chai Hu (Radix Bupleuri, remove seedlings), Mai Men Dong (Radix Ophiopogonis, remove heart, baked, three qian each), Chi Fu Ling (Poria, black skin removed), Zhu Ru (Caulis Bambusae in Taeniam), Gui (Cortex Cinnamomi, coarse bark removed).
(Note: Text lists "Nine ingredients" but details seem truncated. Translating listed items.) Coarsely pound and sieve. Take five qian bi per dose, with one and a half sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until eight fen remains, remove dregs, and take warm.
To treat Upper Jiao congestion-heat, vomiting upon seeing food, headache, and red eyes, use Shigao Zhuru Tang Formula:
Shi Gao (Gypsum Fibrosum, two liang), Zhu Ru (Caulis Bambusae in Taeniam, baked), Ren Shen (Radix Ginseng), Bai Mao Gen (Radix Imperatae, three qian each), Ban Xia (Rhizoma Pinelliae, washed seven times, stir-fried, one liang), Xuan Ming Fen (Natrii Sulfas), Jie Geng (Radix Platycodonis, stir-fried), Gan Cao (Radix Glycyrrhizae, stir-baked).
(Note: Text lists "Nine ingredients" but details seem truncated. Translating listed items.) Coarsely pound and sieve. Take five qian bi per dose, with one and a half sheng of water and five slices of Sheng Jiang (Zingiberis Rhizoma). Decoct until eight fen remains, remove dregs, and take warm.
To treat chest fullness, rebellious qi, vomiting, and refusal to eat, use Baizhu San Formula:
Bai Zhu (Radix Atractylodis Macrocephalae, sliced and stir-fried), Ren Shen (Radix Ginseng, two liang each), Ding Xiang (Flos Caryophylli), Gan Cao (Radix Glycyrrhizae, stir-baked and sliced, three qian each), Bai Fu Ling (Poria, black skin removed, one liang half), Cao Dou Kou (Semen Cardamomi, skin removed), Chen Ju Pi (Pericarpium Citri Reticulatae, pith removed, baked), Gan Jiang (Rhizoma Zingiberis Secatum, roasted, one liang each), Jie Geng (Radix Platycodonis, stir-fried, half liang).
The above nine ingredients are pounded and sieved into powder and mixed evenly. Take two qian bi per dose, mixed with Sheng Jiang (Zingiberis Rhizoma) and Zao (Fructus Jujubae) decoction.
To treat Spleen-Stomach qi deficiency, vomiting, refusal to eat, and borborygmus in abdomen, use Chen Ju Pi Wan Formula:
Chen Ju Pi (Pericarpium Citri Reticulatae, pith removed, baked, four liang), Hou Po (Cortex Magnoliae Officinalis, coarse bark removed, stir-fried with Ginger juice, sliced, one liang), Rou Dou Kou (Semen Myristicae, shell removed), Gan Jiang (Rhizoma Zingiberis Secatum, roasted), Mu Xiang (Radix Aucklandiae), Wu Zhu Yu (Fructus Evodiae, vinegar-stir-fried, baked), Bai Zhu (Radix Atractylodis Macrocephalae, sliced and stir-fried), He Le Le Pi (Cortex Chebulae), Gui (Cortex Cinnamomi, coarse bark removed, three qian each), Gan Cao (Radix Glycyrrhizae, stir-baked and sliced, one qian), Zhi Ke (Fructus Aurantii, pith removed, bran-roasted), Chen Xiang (Cortex Aquilariae, sliced), Shao Yao (Radix Paeoniae Alba, stir-fried), Ding Xiang (Flos Caryophylli), A Wei (Resina Asafoetidae, half liang each, boiled in wine, finely ground, then boiled in wine with a little aged Qu powder to form paste, used to coat pills).
The above fifteen ingredients. Pound fourteen ingredients into powder. Use A Wei paste to form pills the size of Sophora seeds. Take twenty pills per dose, with rice drink on an empty stomach.
To treat Cold Qi vomiting and vomiting of food, use Fuzi San Formula:
Fu Zi (Radix Aconiti Lateralis Preparata, raw, remove skin and umbilicus, one piece).
The above single ingredient is cut into four pieces. Soak in five he of Ginger juice overnight. Remove and dry over fire. Soak again in Ginger juice for a long time, dip in Ginger juice and dry repeatedly until Ginger juice is exhausted. Pound and sieve into powder. Take two qian bi per dose, mixed with rice drink.
To treat vomiting with inability to keep food down, use Zifen Wan Formula:
Zhen Sha (Magnetitum).
The above single ingredient is soaked in vinegar overnight. Remove vinegar, then stir-fry with residual vinegar until the crucible turns red and smoke ceases. Cool, grind finely. Form balls with vinegar, burn until red-hot. Cool, grind extremely fine. Use wheat paste to form pills the size of Sophora seeds. Take forty pills per dose, washed down with porridge drink. After taking, drink a bowl of porridge. If vomiting stops, good. If not settled, take again to decide. For children, make smaller pills, adjust according to child's size.
To treat vomiting with inability to keep food down and headache, use Renshen Wan Formula:
Ren Shen (Radix Ginseng, three liang), Ban Xia (Rhizoma Pinelliae, washed seven times in water, baked, two liang), Qian Hu (Radix Peucedani, remove rhizome head, one liang), Qian Dan (Minium, powdered, half liang).
The above four ingredients are pounded and sieved into fine powder. Cook Jujube flesh, form pills the size of Sophora seeds. Take twenty pills per dose, washed down with Ginger decoction, after meals.