治胃反不受食,食已即呕吐方。
半夏(三升) 白术 白蜜(各一升) 人参(二两) 生姜(三两)
上五味 咀,用水五升,和蜜扬之二三百下,煮取一升半,分三服。
治胃反食即吐出,上气方∶
芦根 茅根(各二两,切细)
上二味以水四升,煮取二升,顿服之。得下,良。
又方 饮白马尿即止。
又方 烧鸡 灰,酒服。男雄女雌。
又方 淘小芥子曝干为末,酒服方寸匕,日三。
灸两乳下各一寸,以瘥为度。
又脐上一寸,灸二十壮。
又灸内踝下三趾稍斜向前有穴三壮(《外台秘要》云∶三趾作一趾也)。
治醋咽方∶
曲末(一斤) 地黄(三斤)
上二味合捣日干,酒服三方寸匕,日三。
治噫醋咽方∶
吴茱萸(半斤) 生姜(三两) 人参(二两) 大枣(十二枚)
上四味 咀,以水六升,煮取二升,先食服一升,日再。
食后吐酸水方。
干姜 食茱萸(各二两)
上二味治,下筛,酒服方寸匕,日二。胃冷服之验。
(论一首 脉一首 方二十四首)
(灸法十五首)
夫吐家,脉来形状如新卧起,阳紧阴数。其人食已即吐,阳浮而数亦为吐。寸口脉紧而
芤,紧即为寒,芤即为虚,寒虚相搏,脉为阴结而迟,其人即噎。关上数,其人则吐。趺阳
脉微而涩,微即下利,涩即吐逆,谷不得入。趺阳脉浮者,胃气虚也。寒气在上,忧气在下,
二气并争,但出不入,其人即呕而不能食,恐怖如死,宽缓即瘥。呕而脉弱,小便复利,身
有微热,见厥难治。
论曰∶凡服汤呕逆不入腹者,先以甘草三两,水三升煮取二升,服之,得吐。但服之不
吐,益佳。消息定,然后服余汤,即流利更不吐也。凡呕者多食生姜,此是呕家圣药。
治疗胃反证,饮食无法受纳,进食后立即呕吐的方剂。
半夏(三升) 白术 白蜜(各一升) 人参(二两) 生姜(三两)
以上五味药,切碎,用五升水,加入蜂蜜搅拌二三百次,煎煮取汁一升半,分三次服用。
治疗胃反证,进食后即吐出,伴有气逆上冲的方剂:
芦根 茅根(各二两,切碎)
以上两味药,用四升水,煎煮取汁二升,一次性服下。若大便通畅,效果良好。
又一方:饮用白马尿即可停止呕吐。
又一方:将公鸡或母鸡烧成灰,用酒送服。公鸡用于男性患者,母鸡用于女性患者。
又一方:淘洗小芥菜籽,晒干后研为粉末,每次用酒送服一方寸匕(约2-3克),每日三次。
在两乳头下方各一寸处施灸,以病愈为度。
又在内踝下、第三趾稍斜向前方的穴位处施灸,灸三壮(《外台秘要》记载:第三趾视为一个整体)。
治疗醋心(吞酸)的方剂:
神曲末(一斤) 地黄(三斤)
以上两味药混合捣碎,日晒干燥,每次用酒送服三方寸匕,每日三次。
治疗嗳气伴吞酸的方剂:
吴茱萸(半斤) 生姜(三两) 人参(二两) 大枣(十二枚)
以上四味药,切碎,用六升水,煎煮取汁二升,饭前服用一升,每日两次。
食后呕吐酸水的方剂。
干姜 食茱萸(各二两)
以上两味药处理干净,过筛,每次用酒送服一方寸匕,每日两次。胃寒者服用此方有效。
(论述一首 脉象一首 方剂二十四首)
(灸法十五首)
凡是呕吐的患者,脉象形状如同刚起床时那样,阳脉紧而阴脉数。其人进食后立即呕吐,若阳脉浮而数,也属于呕吐之脉。寸口脉紧而芤,紧脉主寒,芤脉主虚,寒与虚相互搏结,脉象表现为阴结且迟,其人即会出现噎膈。关部脉数,其人则会呕吐。趺阳脉微而涩,微脉主下利,涩脉主吐逆,谷物无法进入体内。趺阳脉浮,说明胃气虚弱。寒气在上,忧气在下,二气相互争斗,只有气出没有气入,其人就会呕吐而不能进食,恐惧感如同濒死一般,心情宽缓则病情好转。呕吐而脉弱,小便反而通利,身体有轻微发热,出现四肢厥冷,属于难治之症。
论述说:凡是服用汤药后发生呕逆,药液无法进入腹中的情况,先以甘草三两,用水三升,煎煮取汁二升,让患者服用,促使患者呕吐。如果服药后不呕吐,那就更好了。待病情稳定后,再服用剩余的汤药,药液就能顺利流通,不再呕吐。凡是呕吐的患者,应多吃生姜,这是治疗呕吐的要药。
Formula for treating gastric reflux where food is not retained, resulting in immediate vomiting after eating.
Banxia (Pinelliae Rhizoma) (three sheng) Baizhu (Atractylodis Macrocephalae Rhizoma) Baimi (Mel) (each one sheng) Renshen (Ginseng Radix et Rhizoma) (two liang) Shengjiang (Zingiberis Rhizoma Recens) (three liang).
The above five herbs are cut into small pieces. Using five sheng of water and honey, stir the mixture two or three hundred times. Decoct to obtain one and a half sheng of liquid. Divide into three doses.
Formula for treating gastric reflux with immediate vomiting after eating and upward rushing of qi:
Lugen (Phragmitis Rhizoma) Maogen (Imperatae Rhizoma) (each two liang, cut finely).
The above two herbs are decocted in four sheng of water to obtain two sheng of liquid. Take in one dose. If bowel movement becomes smooth, it is effective.
Another formula: Drink white horse urine to stop vomiting immediately.
Another formula: Burn a male rooster or female hen to ash, take with wine. Use male rooster for male patients and female hen for female patients.
Another formula: Wash small mustard seeds, dry them in the sun, and grind into powder. Take one fangcun bi (approx. 2-3 grams) with wine, three times daily.
Moxibustion on each point one cun below the nipples until recovery.
Also, moxibustion on the point one cun above the umbilicus, twenty moxa cones.
Also, moxibustion on the acupoint located slightly diagonally forward from the third toe under the medial malleolus, three moxa cones (Waitai Miyao states: treat the third toe as a single unit).
Formula for treating acid regurgitation (vinegar throat):
Qumo (Medicated Leaven Powder) (one jin) Dihuang (Rehmanniae Radix Preparata) (three jin).
The above two herbs are mixed, pounded, dried in the sun, and taken with wine, three fangcun bi per dose, three times daily.
Formula for treating belching with acid regurgitation:
Wuzhuyu (Evodiae Fructus) (half jin) Shengjiang (Zingiberis Rhizoma Recens) (three liang) Renshen (Ginseng Radix et Rhizoma) (two liang) Dazao (Jujubae Fructus) (twelve pieces).
The above four herbs are cut into small pieces. Decoct in six sheng of water to obtain two sheng of liquid. Take one sheng before meals, twice daily.
Formula for vomiting sour water after eating.
Ganjiang (Zingiberis Rhizoma) Shizhuyu (Zanthoxyli Fructus edulis) (each two liang).
Process the above two herbs, sift them, and take one fangcun bi with wine, twice daily. Effective for cold stomach.
(One discussion, one pulse diagnosis, twenty-four formulas)
(Fifteen moxibustion methods)
In cases of vomiting, the pulse shape resembles that of someone who has just woken up: the yang pulse is tight and the yin pulse is rapid. The patient vomits immediately after eating. A floating and rapid yang pulse also indicates vomiting. If the cunkou pulse is tight and hollow (kou), tightness indicates cold, and hollowness indicates deficiency. Cold and deficiency interacting result in a yin knotting and slow pulse, leading to dysphagia (ye). A rapid pulse at the guan position indicates vomiting. A weak and choppy foot-yang (fuyang) pulse indicates diarrhea (weak pulse) and vomiting/reversal flow (choppy pulse), preventing food intake. A floating fuyang pulse indicates deficiency of stomach qi. Cold qi is above, and worry qi is below; these two energies contend, allowing only exhalation but no inhalation, causing vomiting and inability to eat. The patient feels terrified as if facing death, but recovers when relaxed. Vomiting with a weak pulse, free urination, slight body heat, and cold extremities indicate a difficult-to-treat condition.
Discussion states: For those who experience vomiting and reversal flow preventing herbal decoctions from entering the abdomen, first administer Gancao (Licorice Root) three liang, decocted in three sheng of water to obtain two sheng of liquid. Have the patient drink it to induce vomiting. If it does not induce vomiting, that is even better. Once the condition stabilizes, then administer the remaining decoction, which will flow smoothly without inducing further vomiting. Ginger (Shengjiang) should be consumed in large amounts by those who vomit; this is the sacred herb for treating vomiting.