论曰已食如饥者，胃疸也。夫胃热则能消谷，今已食如饥者。以胃气但热而无阴也，然
胃为足阳明，阳明之脉。络属于心。阳明得热。则心火上行，阳火过矣。故已食如饥心 烦
而身面黄小便赤色也。
治胃中有热，食已如饥。不生肌肉，面色萎黄。泻热汤方
大黄（生锉） 麻黄（去根节） 黄芩（去黑心各四两） 杏仁（去皮尖双仁） 赤茯
苓（去黑皮） 甘草（锉）
上九味，粗捣筛。每服三钱匕，水一盏。煎至八分，去滓食后温服。
治胃中热，食已即饥。舌强腹胀。身重节痛。大黄泻热汤方
大黄（细锉水一升半别渍一宿） 甘草（锉各三两） 泽泻 赤茯苓（去黑皮） 黄芩
（去黑心） 细辛
上八味，粗捣筛。每服三钱匕。水一盏，煎至八分。去滓食后温服。
治胃中积热，食已辄饥。面黄肌瘦。胸满胁胀。茯苓汤方
赤茯苓（去黑皮） 陈橘皮（去白焙） 泽泻 桑根白皮（锉各三两） 芍药 白术（各
四两） 人参
上一十味，粗捣筛。每服四钱匕。水一盏半，入生姜少许。同煎至一盏，去滓不计时
候温服。
治胃中热盛，食已复饥。面黄肌瘦。唇燥口干，泻热。栀子汤方
栀子仁 赤芍药 犀角屑 赤茯苓（去黑皮） 黄芩（去黑心） 射干 大黄（锉微炒
各一两）
上七味，粗捣筛。每服四钱匕，水一盏半。煎至八分。去滓入生地黄汁一合。蜜一大匙
搅匀。再煎一两沸，食后分温二服。
治胃中热盛。食已如饥。唇燥口干。黄芩汤方
黄芩 石膏（各三分） 赤茯苓（去黑皮） 甘草（锉） 葛根（锉） 五加皮（锉） 麻
黄（去根节各半两） 柴
上八味。粗捣筛。每服三钱匕。水一盏。入生姜半分切。煎至八分。去滓。食后温服。
治胃中热盛。食已如饥。常渴引饮。涤热。芦根汤方
芦根（锉） 栝蒌根 麦门冬（去心各一两） 知母 甘草（锉各半两） 赤茯苓（去
黑皮三分）
上六味。粗捣筛。每服三钱匕。水一盏。入小麦五十粒。竹叶二七片。生地黄一分。生
姜半分切。煎至八分。去滓食后温服。
治胃中热盛。食已如饥。多渴心烦。肌肉羸瘦。黄连丸方
黄连（去须） 栝蒌根（各一两） 麦门冬（去心焙一两半） 知母（焙） 茯神（去
木各三分）
上五味。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。食后粥饮下三十丸。或牛乳汁下
亦得。
治胃实热。呕逆不下食。犀角汤方
犀角屑 葛根（锉各三分） 枇杷叶（拭去毛炙黄） 麦门冬（去心各一两）
上四味。粗捣筛。每服三钱匕。水一盏。入生姜半分切。煎至八分。去滓。不计时候温
服。
治诸黄病。眼目已黄。丁香散方
丁香 赤小豆 瓜蒂（各七枚） 秫米（一分）
上四味。捣罗为散。只作一服。温水调顿服、令尽。当吐利黄水。两服永除。
论述说：进食后却感觉像饥饿一样，这是胃疸病。胃中有热就能消化食物，现在进食后仍感饥饿，是因为胃气只有热邪而缺乏阴液。然而，胃属于足阳明经，阳明的经脉联络并归属于心脏。阳明经受热邪侵袭，就会导致心火向上逆行，阳气之火过盛。因此会出现进食后如饥、心烦以及身体和面部发黄、小便颜色深赤等症状。
治疗胃中有热，进食后感觉饥饿，不长肌肉，面色萎黄，用泻热汤方：
大黄（生切） 麻黄（去根节） 黄芩（去黑心，各四两） 杏仁（去皮尖，双仁者） 赤茯苓（去黑皮） 甘草（切碎）
以上九味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至八分满，去渣滓，饭后温服。
治疗胃中热，进食后立即感到饥饿，舌体僵硬腹胀，身体沉重关节疼痛，用大黄泻热汤方：
大黄（细切，用水一升半另外浸泡一夜） 甘草（切碎，各三两） 泽泻 赤茯苓（去黑皮） 黄芩（去黑心） 细辛
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至八分满，去渣滓，饭后温服。
治疗胃中积热，进食后就感到饥饿，面色黄肌肉消瘦，胸满胁胀，用茯苓汤方：
赤茯苓（去黑皮） 陈橘皮（去白焙干） 泽泻 桑根白皮（切碎，各三两） 芍药 白术（各四两） 人参
以上十味药，粗捣筛过。每次服用四钱匕，用水一盏半，加入少许生姜，一同煎至一盏满，去渣滓，不拘时候温服。
治疗胃中热盛，进食后又感饥饿，面色黄肌肉消瘦，嘴唇干燥口干，用泻热栀子汤方：
栀子仁 赤芍药 犀角屑 赤茯苓（去黑皮） 黄芩（去黑心） 射干 大黄（切碎微炒，各一两）
以上七味药，粗捣筛过。每次服用四钱匕，用水一盏半，煎至八分满，去渣滓，加入生地黄汁一合，蜂蜜一大匙，搅匀，再煎一两沸，饭后分两次温服。
治疗胃中热盛，进食后如饥，嘴唇干燥口干，用黄芩汤方：
黄芩 石膏（各三分） 赤茯苓（去黑皮） 甘草（切碎） 葛根（切碎） 五加皮（切碎） 麻黄（去根节，各半两） 柴胡
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜半分切，煎至八分满，去渣滓，饭后温服。
治疗胃中热盛，进食后如饥，经常口渴想喝水，用涤热芦根汤方：
芦根（切碎） 栝蒌根 麦门冬（去心，各一两） 知母 甘草（切碎，各半两） 赤茯苓（去黑皮，三分）
以上六味药，粗捣筛过。每次服用三钱匕，用水一盏，加入小麦五十粒，竹叶十四片，生地黄一分，生姜半分切，煎至八分满，去渣滓，饭后温服。
治疗胃中热盛，进食后如饥，多渴心烦，肌肉羸瘦，用黄连丸方：
黄连（去须） 栝蒌根（各一两） 麦门冬（去心焙干一两半） 知母（焙干） 茯神（去木，各三分）
以上五味药，捣碎罗筛成粉末，炼蜜调和捣百余杵，制成梧桐子大小的丸药。饭后用粥饮送下三十丸，或者用牛乳汁送下也可以。
治疗胃实热，呕吐逆气不能进食，用犀角汤方：
犀角屑 葛根（切碎，各三分） 枇杷叶（拭去毛炙黄） 麦门冬（去心，各一两）
以上四味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜半分切，煎至八分满，去渣滓，不拘时候温服。
治疗各种黄疸病，眼睛已经发黄，用丁香散方：
丁香 赤小豆 瓜蒂（各七枚） 秫米（一分）
以上四味药，捣碎罗筛成散剂。只作一次服用，用温水调匀顿服，令其服尽。应当吐出和拉出黄水，服用两次可彻底治愈。
It is stated that feeling hungry shortly after eating is known as Wei Dan (Stomach Jaundice). When the stomach is hot, it can digest food. The fact that one feels hungry immediately after eating indicates that the stomach qi possesses only heat pathogen and lacks yin fluids. However, the stomach belongs to the Foot-Yangming channel, whose meridians connect and attach to the heart. When the Yangming channel receives heat, heart fire ascends, causing an excess of yang fire. Consequently, symptoms such as hunger sensation after eating, mental restlessness (xin fan), yellowing of the body and face, and dark red urine occur.
For treating heat in the stomach with hunger sensation after eating, failure to gain muscle mass, and sallow complexion, use Xiere Tang (Heat-Draining Decoction):
Da Huang (Rhei Radix et Rhizoma, raw and cut) Mahuang (Ephedrae Herba, roots and joints removed) Huang Qin (Scutellariae Radix, black centers removed, each 4 liang) Xingren (Pruni Semen, skin and tips removed, those with two kernels) Chi Fuling (Poria cum Ramo Quercus, black skin removed) Gancao (Glycyrrhizae Radix et Rhizoma, cut)
The above nine ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled in 1 zhan of water until reduced to 0.8 zhan. Strain and take warm after meals.
For treating heat in the stomach with immediate hunger after eating, stiff tongue and abdominal distension, heavy body and joint pain, use Dahuang Xiere Tang (Rhubarb Heat-Draining Decoction):
Da Huang (Rhei Radix et Rhizoma, finely cut, soaked overnight in 1.5 sheng of water separately) Gancao (Glycyrrhizae Radix et Rhizoma, cut, each 3 liang) Zexie (Alismatis Rhizoma) Chi Fuling (Poria cum Ramo Quercus, black skin removed) Huang Qin (Scutellariae Radix, black centers removed) Xixin (Asari Radix et Rhizoma)
The above eight ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled in 1 zhan of water until reduced to 0.8 zhan. Strain and take warm after meals.
For treating accumulated heat in the stomach with hunger after eating, sallow complexion and emaciation, chest fullness and hypochondriac distension, use Fuling Tang (Poria Decoction):
Chi Fuling (Poria cum Ramo Quercus, black skin removed) Chenjupi (Citri Reticulatae Pericarpium, white pith removed and dried) Zexie (Alismatis Rhizoma) Sangbaipipi (Morus Albae Cortex Radicis, cut, each 3 liang) Shaoyao (Paeoniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, each 4 liang) Renshen (Ginseng Radix)
The above ten ingredients are coarsely pounded and sieved. Each dose consists of 4 qianbi, boiled in 1.5 zhan of water with a small amount of fresh ginger until reduced to 1 zhan. Strain and take warm at any time.
For treating excessive heat in the stomach with hunger recurring after eating, sallow complexion and emaciation, dry lips and mouth, use Xiere Zhizi Tang (Heat-Draining Gardenia Decoction):
Zhizi Ren (Gardeniae Fructus) Chishaoyao (Paeoniae Radix Rubra) Xijiao (Rhinocerotis Cornu, shaved) Chi Fuling (Poria cum Ramo Quercus, black skin removed) Huang Qin (Scutellariae Radix, black centers removed) Shegan (Belamcandae Rhizoma) Da Huang (Rhei Radix et Rhizoma, cut and slightly stir-fried, each 1 liang)
The above seven ingredients are coarsely pounded and sieved. Each dose consists of 4 qianbi, boiled in 1.5 zhan of water until reduced to 0.8 zhan. Strain, add 1 he of Shengdihuang juice (Rehmanniae Radix Recens Juice) and 1 large spoonful of honey, mix well, boil for one or two boils more, and divide into two warm doses taken after meals.
For treating excessive heat in the stomach with hunger sensation after eating, dry lips and mouth, use Huangqin Tang (Scutellaria Decoction):
Huang Qin (Scutellariae Radix) Shigao (Gypsum Fibrosum, each 3 fen) Chi Fuling (Poria cum Ramo Quercus, black skin removed) Gancao (Glycyrrhizae Radix et Rhizoma, cut) Gegen (Puerariae Lobatae Radix, cut) Wujia pi (Acanthopanacis Cortex, cut) Mahuang (Ephedrae Herba, roots and joints removed, each 0.5 liang) Chaihu (Bupleuri Radix)
The above eight ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled in 1 zhan of water with 0.5 fen cut of fresh ginger until reduced to 0.8 zhan. Strain and take warm after meals.
For treating excessive heat in the stomach with hunger sensation after eating and frequent thirst desiring drink, use Dihuang Lugen Tang (Thirst-Clearing Reed Rhizome Decoction):
Lugen (Phragmitis Rhizoma, cut) Gualougen (Trichosanthis Radix) Maimendong (Ophiopogonis Radix, heart removed, each 1 liang) Zhimu (Anemarrhenae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, cut, each 0.5 liang) Chi Fuling (Poria cum Ramo Quercus, black skin removed, 3 fen)
The above six ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled in 1 zhan of water with 50 grains of Xiaomai (Tritici Fructus), 14 leaves of Zhuye (Bambusae Folium), 1 fen of Shengdihuang (Rehmanniae Radix Recens), and 0.5 fen cut of fresh ginger until reduced to 0.8 zhan. Strain and take warm after meals.
For treating excessive heat in the stomach with hunger sensation after eating, excessive thirst, mental restlessness, and emaciation, use Huanglian Wan (Coptis Pill):
Huanglian (Coptidis Rhizoma, whiskers removed) Gualougen (Trichosanthis Radix, each 1 liang) Maimendong (Ophiopogonis Radix, heart removed and dried, 1.5 liang) Zhimu (Anemarrhenae Rhizoma, dried) Fushen (Poria cum Radice Pinelliae, wood removed, each 3 fen)
The above five ingredients are pounded, sifted into powder, mixed with refined honey, and pounded over a hundred times. Form pills the size of Sophora seeds. Take 30 pills with gruel drink after meals, or alternatively with cow's milk.
For treating excess heat in the stomach with vomiting, regurgitation, and inability to eat, use Xijiao Tang (Rhino Horn Decoction):
Xijiao (Rhinocerotis Cornu, shaved) Gegen (Puerariae Lobatae Radix, cut, each 3 fen) Pipaye (Eriobotryae Folium, brushed clean of hairs and stir-fried until yellow) Maimendong (Ophiopogonis Radix, heart removed, each 1 liang)
The above four ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled in 1 zhan of water with 0.5 fen cut of fresh ginger until reduced to 0.8 zhan. Strain and take warm at any time.
For treating various jaundice diseases where the eyes have turned yellow, use Dingxiang San (Clove Powder):
Dingxiang (Caryophylli Flos) Chixiaodou (Phaseoli Radiatus Semen) Guiti (Momordicae Fructus) (each 7 pieces) Shumi (Sorgi Fructus Glutinosis, 1 fen)
The above four ingredients are pounded and sifted into powder. Prepare as a single dose, mix with warm water and take all at once. It should induce vomiting and diarrhea of yellow fluid. Two doses will permanently cure the condition.