火吐若降火，则火由脾而入于大肠，必变为便血之症，方宜清水（火）止吐汤∶
茯苓（一两） 人参（二钱） 砂仁（三粒） 黄连（三钱） 水煎服
寒吐若降寒，则寒又引入肾而流于膀胱，必变为遗尿之症，方宜止呕散寒汤∶
白术（二两） 人参（五钱） 附子（一钱） 干姜（一钱） 丁香（五分） 水煎服
此方散寒而用补脾之品，则寒不能上越，而亦不得下行，势不得不从脐而出。
肾寒吐泻由心寒胃弱，呕吐不已，食久而出是也。下痢不已，五更时痛泻三、五次者是
也。
不补
以化糟
熟地（三两） 山萸（二两） 茯苓（三两） 人参（三两） 北五味（一两） 山药
（四
凡人能食而食不化者，乃胃不病而脾病也，当以补脾，而补脾尤宜于补肾中之火，盖肾
火
凡人不能食，食之而安然者，乃胃病而非脾病也，不可补肾中之火，当补心中之火，盖
心
世人一见不饮食，动曰脾胃病，而不分胃之虚寒责之心，不分脾之虚寒责之肾也。
心肾兼补，治脾胃两虚者固效矣。若单是胃之虚寒者，自宜独治心之为妙。方用∶
人参（一两） 白术（三两） 茯神（三两） 菖蒲（五钱） 良姜（五钱） 白芥子
（三
子（三两） 白芍（二两） 上为末，蜜丸，每日滚水送下三钱。
胃土由于脾虚，脾气不下行，必自上反而吐，补脾则胃安。方用∶
人参（三钱） 茯苓（三钱） 白术（五钱） 甘草（一钱） 肉桂（一钱） 神曲
（一
此方治胃病以补脾土者，何也？盖胃为脾之关，关门之沸腾，由于关中之溃乱。然则欲
使关
奏功
火吐（因火热引起的呕吐）如果采用降火的方法治疗，那么火邪就会由脾脏进入大肠，必然转变为便血的症状，此时适宜使用清水止吐汤：
茯苓（一两） 人参（二钱） 砂仁（三粒） 黄连（三钱） 水煎服
寒吐（因寒邪引起的呕吐）如果采用降寒的方法治疗，那么寒邪又会引入肾脏并流注于膀胱，必然转变为遗尿的症状，此时适宜使用止呕散寒汤：
白术（二两） 人参（五钱） 附子（一钱） 干姜（一钱） 丁香（五分） 水煎服
这个方剂在散寒的同时使用补益脾脏的药物，这样寒邪就不能向上冲逆，也不能向下运行，形势上不得不从脐部排出。
肾寒导致的呕吐和腹泻，是由于心寒胃弱，导致呕吐不止，食物停留久了才吐出；以及下痢不止，在五更天时分疼痛并腹泻三、五次。
熟地（三两） 山萸肉（二两） 茯苓（三两） 人参（三两） 北五味子（一两） 山药（四两） [原文此处有残缺]
凡是能够进食但食物不消化的，是胃没有病而脾有病，应当补脾，而补脾尤其适合补肾中的命门之火。
凡是不能进食，吃了之后安然无恙的，是胃病而不是脾病，不可补肾中的命门之火，应当补心中的心火。
世人一见不想饮食，就动辄说是脾胃病，而不区分胃的虚寒责之于心，不区分脾的虚寒责之于肾。
心肾同时进补，治疗脾胃两虚确实有效。如果是单纯的胃虚寒，自然适宜单独治心为妙。方剂用：
人参（一两） 白术（三两） 茯神（三两） 石菖蒲（五钱） 高良姜（五钱） 白芥子（三两） 白芍（二两） 上药研为末，蜜丸，每日用滚开水送服三钱。
胃土由于脾虚，脾气不能下行，必然向上反逆而呕吐，补脾则胃气安宁。方剂用：
人参（三钱） 茯苓（三钱） 白术（五钱） 甘草（一钱） 肉桂（一钱） 神曲（一两） [原文此处有残缺]
此方治疗胃病却通过补脾土来奏效，为什么呢？因为胃是脾的关隘，关隘处的沸腾紊乱，是由于关隘内部的溃乱。然而想要使关隘... [原文此处有残缺]
If Fire-induced vomiting (vomiting caused by fire pathogen) is treated with methods to descend fire, the fire pathogen will enter the Large Intestine from the Spleen, inevitably transforming into hematochezia (blood in stool). In this case, Qing Shui Zhi Tu Tang (Clear Water Vomiting-Stopping Decoction) is appropriate:
Fuling (Poria, 1 liang), Renshen (Ginseng, 2 qian), Sharen (Amomum fruit, 3 grains), Huanglian (Coptis rhizome, 3 qian). Decoct in water and take orally.
If Cold-induced vomiting (vomiting caused by cold pathogen) is treated with methods to descend cold, the cold pathogen will be introduced into the Kidney and flow into the Bladder, inevitably transforming into enuresis (involuntary urination). In this case, Zhi Ou San Han Tang (Vomiting-Stopping and Cold-Dispersing Decoction) is appropriate:
Baizhu (Atractylodes macrocephala rhizome, 2 liang), Renshen (Ginseng, 5 qian), Fuzi (Prepared aconite root, 1 qian), Ganjiang (Dried ginger, 1 qian), Dingxiang (Clove, 5 fen). Decoct in water and take orally.
This formula disperses cold while using herbs that tonify the Spleen; thus, the cold cannot surge upward nor descend downward, and consequently must exit through the umbilicus.
Vomiting and diarrhea due to Kidney cold result from Heart cold and weak Stomach, characterized by incessant vomiting where food is expelled after remaining for a long time; and persistent dysentery, characterized by pain and defecation three to five times during the third watch of the night (Wu Geng Shi).
Shudi (Rehmannia glutinosa root, 3 liang), Shanyurou (Cornus officinalis fruit, 2 liang), Fuling (Poria, 3 liang), Renshen (Ginseng, 3 liang), Bei Wuweizi (Schisandra chinensis fruit, 1 liang), Shanyao (Dioscorea opposita rhizome, 4 liang)... [Text fragment missing]
Those who can eat but fail to digest their food have a diseased Spleen rather than a diseased Stomach. Treatment should focus on tonifying the Spleen, which particularly benefits from tonifying the Mingmen Fire (Gate of Life fire) within the Kidney.
Those who cannot eat, yet feel fine after eating, have a diseased Stomach rather than a diseased Spleen. One should not tonify the Mingmen Fire within the Kidney, but rather tonify the Heart Fire.
People often see a lack of appetite and immediately attribute it to Spleen and Stomach disease, without distinguishing that Stomach deficiency-cold is attributed to the Heart, and Spleen deficiency-cold is attributed to the Kidney.
Simultaneous tonification of the Heart and Kidney is indeed effective for treating dual deficiency of the Spleen and Stomach. However, if it is merely Stomach deficiency-cold, it is best to treat the Heart alone. The formula uses:
Renshen (Ginseng, 1 liang), Baizhu (Atractylodes macrocephala rhizome, 3 liang), Fushen (Poria with hostwood, 3 liang), Changpu (Acorus tatarinowii rhizome, 5 qian), Liangjiang (Galangal rhizome, 5 qian), Baijiezi (White mustard seed, 3 liang), Baishao (White peony root, 2 liang). Grind these into powder, form pills with honey, and take 3 qian daily with boiling water.
Stomach Earth suffers from Spleen deficiency; when Spleen Qi fails to descend, it necessarily rebels upward causing vomiting. Tonifying the Spleen stabilizes the Stomach. The formula uses:
Renshen (Ginseng, 3 qian), Fuling (Poria, 3 qian), Baizhu (Atractylodes macrocephala rhizome, 5 qian), Gancao (Licorice root, 1 qian), Rougui (Cinnamon bark, 1 qian), Shenqu (Medicated leaven, 1 liang)... [Text fragment missing]
Why does this formula treat Stomach disease by tonifying Spleen Earth? Because the Stomach serves as the gate for the Spleen. The turbulence at the gate results from chaos within the pass. Therefore, to achieve efficacy... [Text fragment missing]