大吐之症，舌有芒刺，双目红肿，人以为热也，不知此乃肾水之亏也。（《傅青主男科》
作
以
活
先以手擦其足心，使滚（极）热〔时〕，然后〔用〕附子一枚煎汤，用鹅翎扫之，随干
随扫
立止也。无如世医以杂药妄投而成噎隔矣，方用∶
熟地（二两） 山萸（一两） 北五味（二钱） 元参（一两） 当归（五钱） 牛膝
（三
盖肾水不足，则大肠必干而细，饮食入胃，不能下行，故反而上吐也。
反胃有食入而即吐出者，肾水虚不能润喉，故喉燥而即出也。方用∶
熟地（二两） 山茱萸（五钱） 山药（一两） 泽泻（三钱） 丹皮（三钱） 茯苓
（五
反胃有食久而反出者，肾火虚不能温脾，故脾寒而反出也。方用∶
熟地（二两） 山茱萸（一两） 山药（六钱） 附子（三钱） 茯苓（三钱） 泽泻
（三钱
寒邪入肾宫，将脾胃之水，挟之尽出，手足厥逆，少腹或痛而不可忍，以火热之物，熨
之少
方 用
附子（一个） 白术（四两） 肉桂（一钱） 干姜（三钱） 人参（三两） 水煎服
下喉便觉吐定，煎渣服之，则安然如故矣。
人以呕吐为胃虚，谁知由于肾虚〔乎〕？故治吐不效，未见病之根也。方用∶
人参（三钱） 白术（五钱） 薏仁（五钱） 芡实（五钱） 砂仁（五个） 吴茱萸
（五
大吐的症状，舌头上出现芒刺，双眼红肿，人们以为是热证，却不知道这其实是肾水亏损所致。（《傅青主男科》记载）
先用手指摩擦足心，使其滚烫发热，然后用一枚附子煎煮汤药，用鹅毛蘸取药液涂抹患处，随着药液变干就随时涂抹，呕吐立刻就会停止。无奈世俗医生胡乱投以杂药，反而导致了噎隔病。方剂如下：
熟地（二两） 山萸肉（一两） 北五味子（二钱） 玄参（一两） 当归（五钱） 牛膝（三钱）
盖因肾水不足，大肠必然干枯狭窄，饮食进入胃中，无法下行，所以反而向上吐出。
反胃症中有食物吃下后立即吐出的，是因为肾水虚弱不能滋润咽喉，导致咽喉干燥而食物随即吐出。方剂如下：
熟地（二两） 山茱萸（五钱） 山药（一两） 泽泻（三钱） 丹皮（三钱） 茯苓（五钱）
反胃症中有食物停留很久才吐出的，是因为肾火虚弱不能温煦脾土，导致脾寒而食物反出。方剂如下：
熟地（二两） 山茱萸（一两） 山药（六钱） 附子（三钱） 茯苓（三钱） 泽泻（三钱）
寒邪侵入肾宫，将脾胃的水湿挟带全部排出，手足冰冷厥逆，小腹部有时疼痛难忍，用火热之物熨烫小腹……
方剂如下：
附子（一个） 白术（四两） 肉桂（一钱） 干姜（三钱） 人参（三两） 加水煎服
药物入口便觉得呕吐停止，煎煮药渣服用，则安然无恙。
人们认为呕吐是胃虚，谁知道其实是由于肾虚呢？所以治疗呕吐无效，是没有看到病的根源。方剂如下：
人参（三钱） 白术（五钱） 薏苡仁（五钱） 芡实（五钱） 砂仁（五个） 吴茱萸（五钱）
The symptom of severe vomiting, characterized by prickles on the tongue and redness and swelling of both eyes, is often mistaken by people as a heat syndrome; however, it is actually caused by a deficiency of Kidney Water (Shen Shui). (Recorded in *Fu Qingzhu's Andrology*)
First, rub the sole of the foot with your hand until it becomes extremely hot. Then, decoct one piece of Fuzi (Aconite Lateralis Radix Preparata) in water, dip a goose feather into the decoction, and apply it to the area. Apply continuously as it dries, and the vomiting will stop immediately. Regrettably, contemporary physicians have mistakenly administered miscellaneous medicines, resulting in dysphagia and food impaction (Ye Ge). The prescription is as follows:
Prepared Rehmannia Root (Shu Di Huang) – 2 liang
Cornus Fruit (Shan Yu Rou) – 1 liang
Schisandra Berry (Bei Wu Wei Zi) – 2 qian
Scrophularia Root (Xuan Shen) – 1 liang
Angelica Sinensis Root (Dang Gui) – 5 qian
Achyranthes Bidentata Root (Niu Xi) – 3 qian
This is because when Kidney Water is insufficient, the Large Intestine inevitably becomes dry and narrow. When food enters the Stomach, it cannot descend, thus causing regurgitation upwards.
In cases of retroflexion vomiting (Fan Wei) where food is vomited immediately after ingestion, it is due to Kidney Water deficiency failing to moisten the throat, leading to dryness of the throat and immediate expulsion of food. The prescription is as follows:
Prepared Rehmannia Root (Shu Di Huang) – 2 liang
Cornus Fruit (Shan Zhu Yu) – 5 qian
Chinese Yam (Shan Yao) – 1 liang
Alisma Rhizome (Ze Xie) – 3 qian
Moutan Cortex (Dan Pi) – 3 qian
Poria (Fu Ling) – 5 qian
In cases of retroflexion vomiting (Fan Wei) where food is vomited after a long period, it is due to Kidney Fire deficiency failing to warm the Spleen, resulting in Spleen Cold and subsequent regurgitation. The prescription is as follows:
Prepared Rehmannia Root (Shu Di Huang) – 2 liang
Cornus Fruit (Shan Zhu Yu) – 1 liang
Chinese Yam (Shan Yao) – 6 qian
Aconite Lateralis Radix Preparata (Fu Zi) – 3 qian
Poria (Fu Ling) – 3 qian
Alisma Rhizome (Ze Xie) – 3 qian
When Cold Evil invades the Kidney Palace, it carries away all the fluids of the Spleen and Stomach, causing them to be expelled entirely. This results in cold limbs and reversal cold (Jue Ni), and sometimes unbearable pain in the lower abdomen. Applying hot objects to warm the lower abdomen...
The prescription is as follows:
Aconite Lateralis Radix Preparata (Fu Zi) – 1 piece
Atractylodes Macrocephala Rhizome (Bai Zhu) – 4 liang
Cinnamon Twig (Rou Gui) – 1 qian
Dried Ginger (Gan Jiang) – 3 qian
Ginseng Radix et Rhizoma (Ren Shen) – 3 liang
Decoct in water and take orally.
Upon swallowing, the vomiting ceases immediately. Decocting and taking the dregs ensures complete recovery.
People assume that vomiting is due to Stomach Deficiency, unaware that it may stem from Kidney Deficiency. Therefore, if treatment for vomiting fails, it is because the root cause of the disease has not been identified. The prescription is as follows:
Ginseng Radix et Rhizoma (Ren Shen) – 3 qian
Atractylodes Macrocephala Rhizome (Bai Zhu) – 5 qian
Coix Seed (Yi Yi Ren) – 5 qian
Euryale Seed (Qian Shi) – 5 qian
Amomum Fruit (Sha Ren) – 5 pieces
Evodia Fruit (Wu Zhu Yu) – 5 qian