夫脾气壅实。胃中有热。则阳气盛。阳气盛则胸膈烦满。痰饮积聚。则成呕哕。此皆体
力强盛之人。肌肤充满。脾胃之中。久多积热。致上焦不利。故令呕哕也。
治脾胃气壅痰滞。呕哕。见食即吐。宜服枇杷叶散方。
枇杷叶（一两拭去毛炙微黄） 木通（半两锉） 前胡（半两去芦头） 人参（一两去
芦头）
麦
苓（三分）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治脾胃壅热。呕哕烦渴。不下食。宜服陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 羚羊角屑（半两） 麦门冬（二两去心） 人参（一两
去芦头）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
又方。
陈橘皮（一两汤浸去白瓤焙） 人参（一两去芦头） 葛根〔二（一）两〕 芦根（一
两锉）
麦门冬（一两去心） 枇杷叶（半两拭去毛微炙）
上件药。细锉和匀。每服半两。以水一大盏。入生姜半分。煎至六分。去滓。不计时候
。分温二服。
治脾胃积热。胸膈烦壅。呕哕不下食。宜服芦根饮子方。
芦根（二两锉） 麦门冬（三两去心） 人参（一两去芦根） 黄 （一两） 陈橘皮
（一两汤
浸去白瓤焙） 淡竹茹（一两）
上件药。细锉和匀。每服一两。以水一中盏半。入生姜半两。煎至一盏。去滓。入蜜一
茶匙。生地黄汁半合。更煎一两沸。不计时候。分温二服。
治脾胃壅热。呕哕不下食。纵食。良久即吐。宜服麦门冬散方。
麦门冬〔三（二）两去心〕 赤茯苓（一两） 半夏〔一两汤浸（洗）七遍去滑〕 人
参（一
两去芦头
杷叶（一
两拭去毛
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治脾胃壅热呕哕。烦渴不止。宜服茅香散方。
茅香花（一分） 芦根（一两） 麦门冬（三分去心） 赤茯苓（三分） 甘草（半两
炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。竹茹一分。粳米五十粒。煎
至六分。去滓。不计时候温服。
治脾胃壅热。呕哕不能下食。心神烦乱。宜服芦根散方。
芦根（一两锉） 人参（一两去芦头） 甘草（半两炙微赤锉） 麦门冬（一两去心） 茯
神（一
两）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。入生地黄
汁半合。更煎一两沸。不计时候温服。
治脾胃壅热。气满不能食。纵食呕哕。宜服人参散方。
人参（一两去芦头） 前胡（一两去芦头） 生姜（半两） 粟米（半合） 薤白（七
茎） 豉（
半合）
上件药。细锉和匀。都以水二大盏。煎至一盏一分。去滓。不计时候。分温三服。
治脾胃壅热。呕哕不下食。心膈烦躁。宜服此方。
糯米（半合水淘生研） 绿豆（半合水淘生研） 生姜（三分研取汁） 蜜（一合）新
汲水（三
合）
上件药相和。研滤取汁。入蜜调令匀。不计时候。分为三服。
脾脏之气壅滞充实，胃中有热邪，导致阳气亢盛。阳气亢盛则胸膈部烦闷胀满，痰饮积聚，从而形成呕吐和呃逆（干呕）。这些情况多见于体质强壮、肌肉丰满之人，因为他们的脾胃中长久积存热邪，致使上焦气机不利，所以出现呕吐和呃逆的症状。
治疗脾胃气机壅滞、痰湿停滞引起的呕吐、呃逆，以及进食后立即呕吐的症状，适宜服用枇杷叶散方。
药材：枇杷叶（一两，刷去绒毛，微炙至黄色）、木通（半两，锉碎）、前胡（半两，去芦头）、人参（一两，去芦头）、茯苓（三分）。
以上药材，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，不分时候温服。
治疗脾胃壅热引起的呕吐、呃逆、心烦口渴、无法进食的症状，适宜服用陈橘皮散方。
药材：陈橘皮（一两，用汤浸泡后去掉白色瓤，焙干）、羚羊角屑（半两）、麦门冬（二两，去心）、人参（一两，去芦头）。
以上药材，捣碎粗罗制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，不分时候温服。
又一方。
药材：陈橘皮（一两，用汤浸泡后去掉白色瓤，焙干）、人参（一两，去芦头）、葛根（二两）、芦根（一两，锉碎）、麦门冬（一两，去心）、枇杷叶（半两，刷去绒毛，微炙）。
以上药材，细锉并混合均匀。每次服用半两，用水一大盏，加入生姜半分，煎煮至六分，滤去药渣，不分时候，分两次温服。
治疗脾胃积热，胸膈烦闷壅滞，呕吐、呃逆且无法进食的症状，适宜服用芦根饮子方。
药材：芦根（二两，锉碎）、麦门冬（三两，去心）、人参（一两，去芦头）、黄芩（一两）、陈橘皮（一两，用汤浸泡后去掉白色瓤，焙干）、淡竹茹（一两）。
以上药材，细锉并混合均匀。每次服用一两，用水一中盏半，加入生姜半两，煎煮至一盏，滤去药渣，加入蜂蜜一茶匙、生地黄汁半合，再煎煮一两沸，不分时候，分两次温服。
治疗脾胃壅热，呕吐、呃逆且无法进食，即使进食，良久之后也会呕吐的症状，适宜服用麦门冬散方。
药材：麦门冬（三两，去心）、赤茯苓（一两）、半夏（一两，用汤浸泡洗七遍以去除滑腻）、人参（一两，去芦头）、枇杷叶（一两，刷去绒毛）。
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，不分时候温服。
治疗脾胃壅热引起的呕吐、呃逆，心烦口渴不止的症状，适宜服用茅香散方。
药材：茅香花（一分）、芦根（一两）、麦门冬（三分，去心）、赤茯苓（三分）、甘草（半两，炙至微红并锉碎）。
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分、竹茹一分、粳米五十粒，煎煮至六分，滤去药渣，不分时候温服。
治疗脾胃壅热，呕吐、呃逆不能进食，心神烦乱的症状，适宜服用芦根散方。
药材：芦根（一两，锉碎）、人参（一两，去芦头）、甘草（半两，炙至微红并锉碎）、麦门冬（一两，去心）、茯神（一两）。
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，加入生地黄汁半合，再煎煮一两沸，不分时候温服。
治疗脾胃壅热，气满无法进食，即使进食也会呕吐、呃逆的症状，适宜服用人参散方。
药材：人参（一两，去芦头）、前胡（一两，去芦头）、生姜（半两）、粟米（半合）、薤白（七茎）、豆豉（半合）。
以上药材，细锉并混合均匀。总共用水两大盏，煎煮至一盏一分，滤去药渣，不分时候，分三次温服。
治疗脾胃壅热，呕吐、呃逆无法进食，心膈部烦躁的症状，适宜服用此方。
药材：糯米（半合，用水淘洗后生研）、绿豆（半合，用水淘洗后生研）、生姜（三分，研取汁液）、蜂蜜（一合）、新汲水（三合）。
以上药材混合，研磨过滤取汁液，加入蜂蜜调匀，不分时候，分为三次服用。
The Qi of the Spleen is stagnant and full, and there is heat in the Stomach, causing Yang Qi to flourish. When Yang Qi flourishes, there is vexation and fullness in the chest and diaphragm; phlegm-fluids accumulate, leading to vomiting and hiccups (dry heaving). These conditions mostly occur in individuals with strong constitutions and plump muscles, whose Spleen and Stomach have long accumulated heat, obstructing the upper Jiao (Upper Burner) and thus causing vomiting and hiccups.
For treating vomiting and hiccups caused by stagnant Qi and retained phlegm in the Spleen and Stomach, as well as vomiting immediately after eating, the Pi Pa Ye San Formula (Loquat Leaf Powder) is suitable.
Ingredients: Loquat Leaf (Pi Pa Ye, 1 liang, brushed to remove hairs, lightly roasted until yellow), Akebia Caulis (Mu Tong, 0.5 liang, chopped), Peucedani Radix (Qian Hu, 0.5 liang, radix removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Poria (Fu Ling, 3 qian).
Crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
For treating vomiting, hiccups, vexation, thirst, and inability to eat due to stagnant heat in the Spleen and Stomach, the Chen Ju Pi San Formula (Aged Tangerine Peel Powder) is suitable.
Ingredients: Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Cornu Saigae Tataricae (Ling Yang Jiao, 0.5 liang), Ophiopogonis Radix (Mai Men Dong, 2 liang, heart removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed).
Coarsely crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
Another formula.
Ingredients: Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Puerariae Radix (Ge Gen, 2 liang), Phragmitis Rhizoma (Lu Gen, 1 liang, chopped), Ophiopogonis Radix (Mai Men Dong, 1 liang, heart removed), Loquat Leaf (Pi Pa Ye, 0.5 liang, brushed to remove hairs, lightly roasted).
Finely chop and mix evenly. Take 0.5 liang per dose, decoct with one da zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and divide into two doses to take warm at any time.
For treating accumulated heat in the Spleen and Stomach, vexation and stagnation in the chest and diaphragm, vomiting, hiccups, and inability to eat, the Lu Gen Yin Zi Formula (Reed Root Decoction) is suitable.
Ingredients: Phragmitis Rhizoma (Lu Gen, 2 liang, chopped), Ophiopogonis Radix (Mai Men Dong, 3 liang, heart removed), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Scutellariae Radix (Huang Qin, 1 liang), Exocarpium Citri Reticulatae (Chen Ju Pi, 1 liang, soaked in hot water, white pith removed, dried), Bambusae Folium (Dan Zhu Ru, 1 liang).
Finely chop and mix evenly. Take 1 liang per dose, decoct with one and a half zhongs of water and half a liang of fresh ginger until reduced to one zhong, strain, add one tea spoon of honey and half a he of juice from Rehmanniae Radix (Sheng Di Huang), boil for one or two boils, and divide into two doses to take warm at any time.
For treating vomiting and hiccups due to stagnant heat in the Spleen and Stomach, inability to eat, and vomiting after a long time even if food is consumed, the Mai Men Dong San Formula (Ophiopogon Powder) is suitable.
Ingredients: Ophiopogonis Radix (Mai Men Dong, 3 liang, heart removed), Polyporus (Chi Fu Ling, 1 liang), Pinelliae Rhizoma (Ban Xia, 1 liang, soaked in hot water and washed seven times to remove slipperiness), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Loquat Leaf (Pi Pa Ye, 1 liang, brushed to remove hairs).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, and take warm at any time.
For treating vomiting and hiccups due to stagnant heat in the Spleen and Stomach, with incessant vexation and thirst, the Mao Xiang San Formula (Mao Xiang Powder) is suitable.
Ingredients: Flos Agapanthi (Mao Xiang Hua, 1 fen), Phragmitis Rhizoma (Lu Gen, 1 liang), Ophiopogonis Radix (Mai Men Dong, 3 qian, heart removed), Polyporus (Chi Fu Ling, 3 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 0.5 liang, roasted until slightly red and chopped).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water, half a fen of fresh ginger, 1 fen of bamboo shavings (Zhu Ru), and 50 grains of Japonica Oryza Sativa (Jing Mi) until reduced to six parts, strain, and take warm at any time.
For treating stagnant heat in the Spleen and Stomach, vomiting and hiccups preventing food intake, and mental restlessness, the Lu Gen San Formula (Reed Root Powder) is suitable.
Ingredients: Phragmitis Rhizoma (Lu Gen, 1 liang, chopped), Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Glycyrrhizae Radix et Rhizoma (Gan Cao, 0.5 liang, roasted until slightly red and chopped), Ophiopogonis Radix (Mai Men Dong, 1 liang, heart removed), Poria cum Radice (Fu Shen, 1 liang).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water and half a fen of fresh ginger until reduced to six parts, strain, add half a he of juice from Rehmanniae Radix (Sheng Di Huang), boil for one or two boils, and take warm at any time.
For treating stagnant heat in the Spleen and Stomach, abdominal fullness preventing food intake, and vomiting/hiccups after eating, the Ren Shen San Formula (Ginseng Powder) is suitable.
Ingredients: Ginseng Radix et Rhizoma (Ren Shen, 1 liang, radix removed), Peucedani Radix (Qian Hu, 1 liang, radix removed), Zingiberis Rhizoma Recens (Sheng Jiang, 0.5 liang), Panicum miliaceum (Su Mi, 0.5 he), Allii Macrostemonis Bulbus (Xie Bai, 7 stems), Sojae Semen Preparatum (Chi Dou, 0.5 he).
Finely chop and mix evenly. Decoct all in two da zhongs of water until reduced to one and one-tenth zhong, strain, and divide into three doses to take warm at any time.
For treating stagnant heat in the Spleen and Stomach, vomiting and hiccups preventing food intake, and vexation in the heart and diaphragm, this formula is suitable.
Ingredients: Oryza Sativa Glutinosa (Nuo Mi, 0.5 he, washed and ground raw), Phaseoli Radiati Semen (Lu Dou, 0.5 he, washed and ground raw), Zingiberis Rhizoma Recens (Sheng Jiang, 3 qian, pressed for juice), Mel (Mi, 1 he), Aqua Nova (Xin Ji Shui, 3 he).
Mix the above ingredients, grind and filter to obtain the juice, blend with honey until uniform, and divide into three doses to take at any time.