（脉二首 方十三首 灸法三首）
寸紧尺涩，其人胸满不能食而吐。吐止者为下之，故不能食。设言未止者，此为胃反，
故尺为之微涩。
趺阳脉浮而涩，浮即为虚，涩即伤脾，脾伤即不磨。朝食暮吐，暮食朝吐，宿谷不化，
名为胃反。趺阳脉紧而涩，其病难治。
治胃虚反食下喉便吐方∶
人参（一两） 泽泻 甘草 桂心（各二两） 橘皮 干姜（各三两） 茯苓（四两） 竹
茹
（五两）
上九味 咀，以水八升，煮取三升，一服七合。日三夜一，已利者去大黄。
治胃反吐逆不消，食吐不止方∶
人参 桂心 泽泻（各二两） 茯苓（四两） 橘皮 甘草 黄 （各三两） 大黄（一
两半）
生姜（八两） 半夏（一升） 麦冬（三升）
上十一味 咀，以水一斗二升，煮取三升二合，一服八合，日三夜一。羸人六合。已利
去大黄。
治反胃而渴方∶
茯苓 泽泻 半夏（各四两） 桂心 甘草（各二两）
上五味 咀，以水五升，煮取二升，分三服。（一方入生姜四两。
治胃反朝食暮吐，食讫腹中刺痛，此由久冷方∶
橘皮（三两） 甘草 浓朴 茯苓 桂心 细辛 杏仁 竹皮（各二两） 槟榔（十枚）
前胡（八两） 人参（一两） 生姜（五两）
上十二味 咀，以水一斗三升，煮取三升，分为三服。（一方有甘皮二两。
又方 橘皮（三两） 人参 白术（各二两） 桂心（一两） 川椒（一百二十枚） 薤
白（一
握
上六味 咀，以水二升渍一宿，纳羊肚中缝合，以三升水煮，水尽出之，决破去滓，分
三服。
又反胃大验方∶
前胡 生姜（各四两） 橘皮（三两） 阿胶（一两） 大麻仁（五合） 桂心（三寸）
甘草
（五寸） 吴茱萸（四合） 大枣（十枚）
上九味 咀，以水三升，酒二升，煮取一升七合，分三服。
华佗治胃反为病，朝食暮吐，心下坚如杯升，往来寒热，吐逆不下食，此为关上寒
所作，将成肺痿，治之之方∶
真珠 丹砂 雄黄（各三两） 朴硝（五两） 干姜（十累）
上五味为末，蜜和丸如梧子大。先食服三丸。若小烦者，饮水自解，然无所忌。神良无
比。（一方用桂心一两。
治胃反食即吐方∶
捣粟米作面，水和作丸楮子大七枚，烂煮，纳醋中，细细吞之，即下便已。面亦得用之
（脉诊两篇，方剂十三首，灸法三首）
寸脉紧而尺脉涩，患者胸部胀满，无法进食并伴有呕吐。若呕吐停止，是因为误用泻下法所致，因此导致不能进食。如果呕吐未停止，这称为“胃反”，所以尺脉表现为微涩。
趺阳脉浮而涩，浮脉主虚证，涩脉主脾脏受损，脾脏受损则运化无力（无法磨碎食物）。早晨吃下的食物晚上吐出，晚上吃下的食物早晨吐出，宿食不消化，这种病症称为“胃反”。趺阳脉紧而涩，病情难以治愈。
治疗胃气虚弱、食物反逆入喉即吐的方剂：
人参（一两）、泽泻、甘草、桂心（各二两）、橘皮、干姜（各三两）、茯苓（四两）、竹茹（五两）。
以上九味药，切碎，用水八升，煎煮至三升，每次服用七合。每日三次，夜间一次。若已出现腹泻症状，去掉大黄。（注：原文此处列药中无大黄，但医嘱提及去大黄，疑原文脱漏或指代前文隐含药物，此处依原文直译）
治疗胃反呕吐不止、食物无法消化的方剂：
人参、桂心、泽泻（各二两）、茯苓（四两）、橘皮、甘草、黄芩（各三两）、大黄（一两半）、生姜（八两）、半夏（一升）、麦冬（三升）。
以上十一味药，切碎，用水一斗二升，煎煮至三升二合，每次服用八合，每日三次，夜间一次。身体瘦弱的人服用六合。若已出现腹泻症状，去掉大黄。
治疗反胃且口渴的方剂：
茯苓、泽泻、半夏（各四两）、桂心、甘草（各二两）。
以上五味药，切碎，用水五升，煎煮至二升，分三次服用。（另一版本加入生姜四两。）
治疗胃反，早晨吃晚上吐，吃完后腹中刺痛，这是由于久患寒症所致：
橘皮（三两）、甘草、厚朴、茯苓、桂心、细辛、杏仁、竹皮（各二两）、槟榔（十枚）、前胡（八两）、人参（一两）、生姜（五两）。
以上十二味药，切碎，用水一斗三升，煎煮至三升，分三次服用。（另一版本有甘皮二两。）
又一方：
橘皮（三两）、人参、白术（各二两）、桂心（一两）、川椒（一百二十枚）、薤白（一握）。
以上六味药，切碎，用水二升浸泡一夜，放入羊肚中缝合，用三升水煮，水尽后取出，剖开去除杂质，分三次服用。
又治反胃非常有效的方剂：
前胡、生姜（各四两）、橘皮（三两）、阿胶（一两）、大麻仁（五合）、桂心（三寸）、甘草（五寸）、吴茱萸（四合）、大枣（十枚）。
以上九味药，切碎，用水三升、酒二升，煎煮至一升七合，分三次服用。
华佗治疗胃反病，早晨吃晚上吐，心下部坚硬如杯升大小，忽冷忽热，呕吐逆气不能进食，这是由关脉部位寒邪所致，即将发展为肺痿，治疗此病的方剂：
真珠、丹砂、雄黄（各三两）、朴硝（五两）、干姜（十累，量词，指堆叠的量）。
以上五味药研成粉末，用蜂蜜调和制成梧桐子大小的丸药。饭前服用三丸。如果出现轻微烦闷，喝水即可缓解，没有饮食禁忌。疗效神奇无比。（另一版本用桂心一两。）
治疗胃反，进食后立即呕吐的方剂：
将粟米捣碎做成面粉，用水和成楮树种子大小的丸药七枚，煮熟后，放入醋中，细细吞服，随即下行即愈。面粉也可以这样使用。
(Two chapters on pulse diagnosis, thirteen prescriptions, three moxibustion methods)
The Cun (inch) pulse is tight and the Chi (cubit) pulse is choppy. The patient experiences chest fullness, inability to eat, and vomiting. If the vomiting stops, it is due to previous purgation, resulting in an inability to eat. If the vomiting does not stop, this is called "Wei Fan" (Gastric Reversal), hence the Chi pulse appears slightly choppy.
The Fuyang pulse is floating and choppy. Floating indicates deficiency; choppy indicates injury to the Spleen. When the Spleen is injured, it fails to grind food. Food eaten in the morning is vomited in the evening, and food eaten in the evening is vomited in the morning. Undigested food remains, a condition named "Wei Fan" (Gastric Reversal). If the Fuyang pulse is both tight and choppy, the disease is difficult to treat.
Prescription for treating Wei Fan (Gastric Reversal) caused by Stomach Qi deficiency, where food is vomited immediately upon entering the throat:
Ren Shen (Ginseng Radix) (1 liang), Ze Xie (Alisma Rhizome), Gan Cao (Licorice Root), Gui Xin (Cinnamon Twig Heart) (each 2 liang), Ju Pi (Citrus Reticulatae Pericarpium), Gan Jiang (Dried Ginger) (each 3 liang), Fu Ling (Poria), Zhu Ru (Bamboo Shavings) (4 liang and 5 liang respectively).
The above nine ingredients are cut into small pieces. Boil with 8 sheng of water until reduced to 3 sheng. Take 7 he as a single dose. Administer three times daily and once at night. If diarrhea occurs, remove Da Huang (Rhubarb Rhizome).
Prescription for treating Wei Fan (Gastric Reversal) with persistent vomiting and indigestion:
Ren Shen (Ginseng Radix), Gui Xin (Cinnamon Twig Heart), Ze Xie (Alisma Rhizome) (each 2 liang), Fu Ling (Poria) (4 liang), Ju Pi (Citrus Reticulatae Pericarpium), Gan Cao (Licorice Root), Huang Qin (Scutellaria Root) (each 3 liang), Da Huang (Rhubarb Rhizome) (1.5 liang), Sheng Jiang (Fresh Ginger) (8 liang), Ban Xia (Pinellia Tuber) (1 sheng), Mai Dong (Ophiopogon Tuber) (3 sheng).
The above eleven ingredients are cut into small pieces. Boil with 12 dou of water until reduced to 3 sheng and 2 he. Take 8 he as a single dose. Administer three times daily and once at night. For emaciated patients, take 6 he. If diarrhea occurs, remove Da Huang (Rhubarb Rhizome).
Prescription for treating Wei Fan (Gastric Reversal) accompanied by thirst:
Fu Ling (Poria), Ze Xie (Alisma Rhizome), Ban Xia (Pinellia Tuber) (each 4 liang), Gui Xin (Cinnamon Twig Heart), Gan Cao (Licorice Root) (each 2 liang).
The above five ingredients are cut into small pieces. Boil with 5 sheng of water until reduced to 2 sheng. Divide into three doses. (Another version adds 4 liang of Sheng Jiang (Fresh Ginger)).
Prescription for treating Wei Fan (Gastric Reversal) with morning eating and evening vomiting, stabbing pain in the abdomen after eating, caused by long-standing cold:
Ju Pi (Citrus Reticulatae Pericarpium) (3 liang), Gan Cao (Licorice Root), Hou Po (Magnolia Bark), Fu Ling (Poria), Gui Xin (Cinnamon Twig Heart), Xi Xin (Asarum Root), Xing Ren (Apricot Seed), Zhu Pi (Bamboo Shavings) (each 2 liang), Bing Lang (Areca Seed) (10 pieces), Qian Hu (Peucedani Radix) (8 liang), Ren Shen (Ginseng Radix) (1 liang), Sheng Jiang (Fresh Ginger) (5 liang).
The above twelve ingredients are cut into small pieces. Boil with 13 dou of water until reduced to 3 sheng. Divide into three doses. (Another version includes 2 liang of Gan Pi (Citrus Peel)).
Another prescription:
Ju Pi (Citrus Reticulatae Pericarpium) (3 liang), Ren Shen (Ginseng Radix), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 2 liang), Gui Xin (Cinnamon Twig Heart) (1 liang), Chuan Jiao (Sichuan Pepper) (120 pieces), Xie Bai (Allium Macrostemon Bulb) (one handful).
The above six ingredients are cut into small pieces. Soak in 2 sheng of water overnight. Place inside a sheep's stomach, sew it shut, and boil with 3 sheng of water until the water is exhausted. Remove the stomach, open it, filter out the dregs, and divide into three doses.
Another highly effective prescription for Wei Fan (Gastric Reversal):
Qian Hu (Peucedani Radix), Sheng Jiang (Fresh Ginger) (each 4 liang), Ju Pi (Citrus Reticulatae Pericarpium) (3 liang), E Jiao (Donkey-hide Gelatin) (1 liang), Da Ma Ren (Hemp Seed) (5 he), Gui Xin (Cinnamon Twig Heart) (3 cun), Gan Cao (Licorice Root) (5 cun), Wu Zhu Yu (Evodia Fruit) (4 he), Da Zao (Jujube) (10 pieces).
The above nine ingredients are cut into small pieces. Boil with 3 sheng of water and 2 sheng of wine until reduced to 1 sheng and 7 he. Divide into three doses.
Hua Tuo treated Wei Fan (Gastric Reversal) characterized by morning eating and evening vomiting, hardness under the heart like a cup or measuring vessel, alternating chills and fever, vomiting and inability to retain food. This is caused by Cold at the Guan (bar) pulse position and may develop into Fei Wei (Lung Withering). The prescription for treatment is:
Zhen Zhu (Pearl), Dan Sha (Cinnabar), Xiong Huang (Realgar) (each 3 liang), Pu Xiao (Natrii Sulfas), Gan Jiang (Dried Ginger) (10 lei).
Grind the above five ingredients into powder. Mix with honey to form pills the size of wu zi (Chinese apricot seeds). Take three pills before meals. If slight restlessness occurs, drinking water will resolve it. There are no dietary restrictions. The efficacy is unparalleled. (Another version uses 1 liang of Gui Xin (Cinnamon Twig Heart)).
Prescription for treating Wei Fan (Gastric Reversal) where food is vomited immediately after eating:
Grind millet into flour. Mix with water to form pills the size of zhu zi (torreya nut seeds), seven pills per dose. Cook thoroughly, dip in vinegar, and swallow slowly. The food will descend and the condition will resolve. The flour can also be used in this manner.