干呕不止,粥食汤药皆吐,灸手间使三十壮。若四厥,脉沉绝不至者,灸之便通
病患干呕,灸心主尺泽佳。
又法,灸乳下一寸,三十壮。
治哕,灸承浆七壮,炷如麦大。
又灸脐下四指七壮。
吐逆呕不得食,灸心俞百壮。
吐呕逆不得下食,今日食明日吐者,灸膈俞百壮。
吐变不得下食,灸胸堂百壮。
吐逆不得食,灸巨阙五十壮。
吐逆食不止,灸胃脘百壮,三报。
吐逆饮食却出,灸脾募百壮,三报(章门穴也)。吐呕宿汁吞酸,灸神光一名胆募百壮,
三
吐逆霍乱吐血,灸心主五十壮。噫哕膈中气闭塞,灸腋下,聚毛下,附肋宛,宛中五十
壮。
噫哕呕逆,灸石关百壮。
(论一首 方三十五首)
治胸中久寒呕逆逆气,饮食不下,结气不消方(《古今录验》云∶五噎者,气噎、忧噎、
劳噎、食噎、思噎。气噎者,心悸,上下不通,噫哕不彻,胸胁苦痛。忧噎者,天阴苦厥逆,
心下悸动,手足逆冷。劳噎者,苦气膈,胁下支满,胸中填塞,手足逆冷,不能自温。食噎
者
恚嗔怒,寒气上入胸胁所致也。)
干姜 川椒 食茱萸 桂心 人参(各五分) 细辛 白术 茯苓 附子(各四分) 橘
皮
(六
上十味为末,蜜丸如梧子大,酒服三丸,日三。不止,稍加至十丸。
又方 治五种之气皆令人噎方。
人参 半夏 桂心 防风(一作防葵) 小草 附子 细辛 甘草(各二两) 紫菀 干
姜
食茱萸 芍药 乌头(各六分) 枳实(三两)
上十四味为末,蜜丸如梧子大,酒服五丸,日三。不止,加至十五丸。乌头与半夏相反
,但去一味合之。
干呕不止,喝粥、吃饭、喝汤药全都吐出来,艾灸手厥阴心包经的间使穴三十壮。如果出现四肢厥冷,脉搏沉伏摸不到或完全摸不到的情况,施灸后脉搏就会恢复通畅。
另一种方法,艾灸乳头下一寸处,三十壮。
另外,艾灸脐下四横指处,七壮。
呕吐逆气,食物无法咽下,今天吃的食物明天吐出来的,艾灸膈俞穴一百壮。
呕吐逆气且食物不停吐出,艾灸胃脘穴一百壮,连续施灸三次(三报)。
呕吐逆气,饮食吐出,艾灸脾募穴一百壮,连续施灸三次(即章门穴)。呕吐并伴有隔夜宿汁和吞酸水,艾灸神光穴(又名胆募穴)一百壮,连续施灸三次。
呕吐逆气、霍乱、吐血,艾灸手厥阴心包经穴位五十壮。嗳气、呃逆、胸膈中气机闭塞,艾灸腋下、聚毛之下、肋骨弯曲凹陷处,凹陷正中五十壮。
(论述一首,方剂三十五首)
治疗胸中久寒引起的呕吐逆气、气机上逆,饮食难以下咽,气结不散的方剂(《古今录验》记载:五噎,包括气噎、忧噎、劳噎、食噎、思噎。气噎的症状是心悸,上下气机不通畅,嗳气和呃逆不彻底,胸胁部痛苦疼痛。忧噎的症状是阴天时苦于四肢厥逆,心下悸动,手足逆冷。劳噎的症状是苦于气滞胸膈,胁下胀满支撑感,胸中填塞感,手足逆冷,不能自我温暖。食噎是由愤怒怨恨导致寒气上入胸胁所引起。)
干姜、川椒、食茱萸、桂心、人参(各五分)、细辛、白术、茯苓、附子(各四分)、橘皮(六分)。
以上十味药研成末,用蜂蜜制成梧桐子大小的丸剂,酒送服三丸,每日三次。如果症状未止,逐渐增加至十丸。
又一方,治疗五种气机导致的噎证方。
人参、半夏、桂心、防风(一作防葵)、小草、附子、细辛、甘草(各二两)、紫菀、干姜、食茱萸、芍药、乌头(各六分)、枳实(三两)。
以上十四味药研成末,用蜂蜜制成梧桐子大小的丸剂,酒送服五丸,每日三次。如果症状未止,增加至十五丸。乌头与半夏相反,但去掉一味即可合用。
Persistent dry heaving, vomiting all congee, solid food, soups, and medicinal decoctions; moxibustion on Jianshi (PC5) of the Hand-Shaoyin Pericardium Meridian for thirty moxa cones. If there is cold extremities (Si Jue) and the pulse is deep, faint, or imperceptible, moxibustion will restore the pulse flow.
For patients with dry heaving, moxibustion on Chize (LU5) of the Hand-Shaoyin Pericardium Meridian is beneficial.
Another method: moxibustion one cun below the nipple, thirty moxa cones.
To treat hiccups (Yue), moxibustion on Chengjiang (CV24) for seven moxa cones, with cone size like a wheat grain.
Additionally, moxibustion four finger-widths below the umbilicus, seven moxa cones.
For vomiting and regurgitation where food cannot be retained, moxibustion on Xinshu (BL15) for one hundred moxa cones.
For vomiting and regurgitation where food cannot go down, eating today and vomiting tomorrow, moxibustion on Geshu (BL17) for one hundred moxa cones.
For variable vomiting where food cannot be retained, moxibustion on Xiong tang (EX-CE3) for one hundred moxa cones.
For vomiting and regurgitation where food cannot be retained, moxibustion on Juque (CV14) for fifty moxa cones.
For persistent vomiting and regurgitation of food, moxibustion on Weiwuan (EX-CN8) for one hundred moxa cones, repeated three times (San Bao).
For vomiting and regurgitation where food is expelled, moxibustion on the Spleen Mu-Alarm point (Zhangmen, LR13) for one hundred moxa cones, repeated three times (San Bao). For vomiting accompanied by old fluid retention and acid regurgitation, moxibustion on Shenguang (also known as the Gallbladder Mu-Alarm point) for one hundred moxa cones, repeated three times.
For vomiting, regurgitation, Huoluan (Cholera-like syndrome), and hematemesis, moxibustion on the Hand-Shaoyin Pericardium Meridian points for fifty moxa cones. For belching, hiccups, and Qi blockage in the chest and diaphragm, moxibustion under the armpit, below the hair cluster, at the rib curvature depression, fifty moxa cones in the center of the depression.
For belching, hiccups, and vomiting/regurgitation, moxibustion on Shiguan (KI18) for one hundred moxa cones.
(One Treatise, Thirty-Five Formulas)
Formula to treat long-standing cold in the chest causing vomiting, regurgitation, upward counterflow of Qi, inability to swallow food, and stagnation of Qi (According to *Gujin Luyan*: The Five Types of Ye [Dysphagia] are Qi Ye, You Ye, Lao Ye, Shi Ye, and Si Ye. Qi Ye is characterized by palpitations, obstruction of Qi flow above and below, incomplete belching and hiccups, and severe pain in the chest and hypochondrium. You Ye is characterized by suffering from cold extremities during cloudy weather, palpitations in the epigastrium, and cold extremities. Lao Ye is characterized by suffering from Qi stagnation in the diaphragm, fullness and distension in the hypochondrium, sensation of filling in the chest, cold extremities, and inability to warm oneself. Shi Ye is caused by anger and resentment leading to cold Qi entering the chest and hypochondrium.)
Shengjiang (Dried Ginger), Chuanjiao (Sichuan Pepper), Shizhuyu (Edible Dogwood Fruit), Guixin (Cinnamon Twig), Renshen (Ginseng Root) (each 5 fen); Xixin (Asarum Root), Baizhu (Atractylodes Rhizome), Fuling (Poria), Fuzi (Prepared Aconite Root) (each 4 fen); Juapi (Tangerine Peel) (6 fen).
The above ten herbs are ground into powder, mixed with honey to form pills the size of mulberry seeds. Take three pills with wine, three times daily. If symptoms persist, gradually increase to ten pills.
Another formula to treat the five types of Qi causing Ye (Dysphagia).
Renshen (Ginseng Root), Banxia (Pinellia Tuber), Guixin (Cinnamon Twig), Fangfeng (Saposhnikovia Root) (alternatively Fangkui), Xiaocao (Scrophularia Root), Fuzi (Prepared Aconite Root), Xixin (Asarum Root), Gancao (Licorice Root) (each 2 liang); Ziwan (Aster Root), Ganjiang (Dried Ginger), Shizhuyu (Edible Dogwood Fruit), Shaoyao (Peony Root), Wutou (Aconite Root) (each 6 fen); Zhishi (Immature Bitter Orange) (3 liang).
The above fourteen herbs are ground into powder, mixed with honey to form pills the size of mulberry seeds. Take five pills with wine, three times daily. If symptoms persist, increase to fifteen pills. Note: Wutou and Banxia are incompatible; however, if used together, remove one ingredient.