夫伤寒呕哕者。病在足阳明胃之经也。足阳明之脉厥而上行。即令人气逆。气逆则呕哕。
仲景云。呕多。虽有阳明证。慎不可下。盖为此也。又伤寒呕哕。热在内。及饮水停积所致
者。证既不同。治亦随异。不可不察。又伤寒病后。胃气不和。此由初受病时。毒热气盛。
多服冷药泻下。及饮冷水。病折以后。热势既退。冷气乃动。故使心下坚牢。噫哕食臭。腹
内雷鸣。而泻利。此由脾胃气虚冷故也。又云。伏热在胃。令人胸满。胸满则气逆而哕。若
大下后。胃中虚冷。亦令致哕也。伤寒哕者。俗谓之咳逆者是也。KT 近于哕。KT 者。
但胸喉间气KT 。寒不得下通。然而无声也。若哕则吃吃然有声者是也。声者金也。胃受
疾故呕哕也。皆谓之疾。但轻重有差尔。虚寒相搏。反饮水。令汗大出。水得寒气。冷必相
搏。其人即KT 。言胃气虚竭。伤寒大吐之后。极虚。极汗出者。其人外气怫郁。复与之
水。以发其汗。因得哕。所以然者。胃中寒冷故也。胃中虚冷。不能食者。饮水则哕。即是
观之。哕KT 皆胃疾可知矣。经曰。趺阳脉浮。则为气KT 。脉滑为哕。此为医咎。责虚
取实之过也。大抵妄下之后。胃虚气逆。则成哕也。经曰。温家若下之太早。则哕。本虚。
攻其热则哕。而阳明病。不能食。攻其热必哕。诸如此者。皆下之后。胃虚而哕者也。然KT
者。正为水寒相搏。必曰小青龙汤去麻黄。加附子而可矣。至于哕者。则又热气拥郁。气
不得通而成者也。轻者有和解之证。重者有攻下之候。经曰。有潮热。时时哕。与小柴胡者。
即是和解之证也。哕复满。视其前后。知何部不利。利之则愈。即可攻之候也。伤寒至于哕。
则病以极也。非若渴烦等轻缓之候。如太阳中风。以火劫发汗。阴阳俱虚竭。身体枯燥。但
头汗出。剂颈而还。腹满微喘。口干咽烂。或不大便。久则谵语。甚者至哕。是言其极也。
又不尿。腹满加哕者。不治。是为真病。其若是者。虽有神医术。当斯脱绝之候。又何以措
其手足哉。伤寒热毒瓦斯盛。多服凉药。及饮冷水。病折以后。热势既退。胃气乃虚。故使胸
满气逆。心腹坚痞。必呕哕也。
方
白术散 治伤寒后。胃虚逆。呕哕。不纳饮食。
白术（二分） 诃黎勒（一两用皮） 高良姜（半两锉） 丁香（半两） 肉桂（半两
去粗皮）
甘草（一分炙微赤锉） 桔梗（半两去芦头） 人参（半两去芦头） 陈橘皮（半两汤浸去
白瓤焙）
浓
煎
至六分。去滓。不计时候。稍热服。
茯苓散（出圣惠方一名赤茯苓汤）治伤寒呕哕。心下痞满。胸膈间宿有停水。
头眩心悸。
赤茯苓（一两） 半夏（半两汤洗七遍去滑） 陈橘皮（一两汤洗去白瓤焙） 芎 （半
两）
白术（半两） 人参（一两去芦头） 上捣筛为散。每服三钱。水一盏。入生姜半分。煎至
六分。
去
半夏散（出圣惠方）治伤寒后呕哕。心胸不利。头目昏重。不下饮食。
半夏（一两汤浸七遍去滑） 甘草（半两炙微赤锉） 人参（三分去芦头） 枳实（半
两麸炒
令黄） 前胡（半两去芦头） 诃黎勒（一两用皮） 上捣筛为散。每服三钱。水一中盏。
入生
姜半分。煎至六分。去滓。不计时候。稍热服。
白豆蔻散（出圣惠方）治伤寒服冷药过多。寒气伤胃。呕哕不止。
白豆蔻（一两去皮） 白术（一两） 陈橘皮（三分汤浸去白瓤焙） 高良姜（半两锉）
浓朴
（一两去粗皮涂生姜汁炙令香熟） 甘草（一分炙微赤锉） 上捣筛为散。每服四钱。水一
中盏。
入生姜半分。煎至六分。去滓。不计时候。温服。
陈橘皮散（出圣惠方）治伤寒后。胃虚气逆。呕哕不止。
陈橘皮（一两汤浸去白瓤焙） 草豆蔻（半两去皮） 甘草（一两炙微赤锉） 干姜（半
两炮
制） 浓朴（一两去粗皮涂生姜汁炙令香熟） 上捣筛为散。每服三钱。水一中盏。入生姜
半
分。煎至五分。去滓。不时热服。
治伤寒后胃虚。呕哕不止方。（出圣惠方）
陈橘皮（半两汤浸去白瓤焙） 人参（半两去芦头） 生姜（一分） 上细锉。水一大
盏。煎
至五分。去滓。不计时候。稍热服。
丁香散（出圣惠方）治伤寒后。胃虚呕哕。不下食。
丁香 人参（去芦头） 陈橘皮（汤浸去白瓤焙） 诃黎勒（各三分用皮） 藿香（半
两） 上
为细末。每服二钱。水一中盏。煎至六分。和滓。不计时候。稍热服。
治伤寒后。呕哕不止。心腹痞满。不下饮食。（出圣惠方）
陈橘皮（汤浸二两去白瓤焙） 诃黎勒（一两用皮） 白术（三分） 上捣罗为散。每
服四
钱。水一中盏。入生姜半分。煎至六分。去滓。不计时候。稍热服。
治伤寒后呕哕。不下饮食。（出圣惠方）
半夏（一两汤洗七次去滑） 草豆蔻（一两去皮） 丁香（半两） 上为细末。每服不
计时
候。以浓生姜汤。调下一钱。
治伤寒后呕哕。胸满。不下食方。（出圣惠方）
人参（二两去芦头） 陈橘皮（一两汤浸去白瓤焙） 甘草（半两炙微赤锉） 上捣罗
为散。
每服四钱。水一中盏。煎至六分。去滓。不计时候。温服。
半夏汤（出圣济总录）治伤寒后。胃气逆冷。食已。呕哕即欲吐。
半夏（一两汤洗七次炒干） 白茯苓（去黑皮一两） 枳壳（去瓤麸炒） 人参（各半
两） 白
术（一两半） 上捣筛。每服三钱。水一盏。生姜一分。拍碎。煎七分。去滓。温服。日二。
橘皮汤（出圣济总录）治伤寒呕哕不止。
陈橘皮（汤浸去白炒） 前胡（去芦头） 甘草（炙锉各一两） 白术（半两） 上粗
捣筛。每
服三钱。水一盏。姜半分。拍碎。煎至七分。去滓。温服。日二。
茯苓汤（出圣济总录）治伤寒后。胸膈气满。呕哕。不纳饮食。
白茯苓（去黑皮一两） 陈橘皮（汤浸去白炒半两） 人参 白术 五味子（各三分） 枳
实
（去瓤炒半两） 半夏（汤浸七次一分） 上粗捣筛。每服五钱。水一盏。生姜半分。拍碎。
枣
三枚。煎至一盏。去滓。温服。
人参汤（出圣济总录）治伤寒后。服冷药过多。胃寒呕哕。不下饮食。
人参 白术 白茯苓（去黑皮各一两） 丁香（一分） 附子（炮裂去皮脐） 陈橘皮
（汤浸
去白炒各一两） 桂（去粗皮） 干姜（炮各半两） 上粗捣筛。每服五钱。水一盏半。生
姜半
分。拍碎。粳米半匙。煎至一盏。去滓。温服。不拘时。
藿香汤（出圣济总录）治伤寒呕哕不定。饮食不下。
藿香叶（一两） 丁香 白豆蔻（去皮各一两） 高良姜（炒） 陈橘皮（汤浸去白焙
各半两）
上粗捣筛。水一盏。每服三钱。煎至七分。去滓。食前热呷服。
浓朴汤 治伤寒胃虚脾冷。呕哕。不思饮食。
浓朴（去粗皮生姜汁炙） 人参（各一两） 枇杷叶（炙拭去毛） 肉豆蔻（去壳各半
两） 白
茯苓（去黑皮一两半） 上粗捣筛。每服三钱。水一盏。生姜三片。煎至七分。去滓。温服。
空心食前。
人参汤（出圣济总录）治伤寒呕哕不定。胸满烦躁。
藿香叶（三分） 人参（一两） 陈橘皮（汤浸去白焙） 甘草（炙锉各一两） 上粗
捣筛。每
服三钱。水一盏。入生姜三片。同煎至六分。去滓。温服。不拘时。
人参丸（出圣济总录）治伤寒四五日。呕哕有痰。胸膈不利。
人参 浓朴（去粗皮生姜汁炙） 白茯苓（去黑皮各一两） 半夏（汤洗七次二两） 上
捣罗
为末。用姜汁作面糊。丸如桐子大。每服三十丸。生姜汤送下。
定气散（出圣济总录）治伤寒时多呕哕不止。
高良姜（半两） 草豆蔻（去皮一枚） 甘草（炙） 木香（炮各一分） 上用酒浸。
裹煨令香
热。焙干。捣罗为散。每服二钱。醋汤调下。
通正散（出圣济总录）治伤寒哕逆。呕吐不止诸虚气妄行。
丁香 干柿蒂（各一两） 莲子肉（五十枚去心） 上捣罗为细末。每服二钱。温酒调
下。
饭饮亦得。
丁香汤（出圣济总录）治伤寒呕哕不止。或吐酸水。
丁香（三分） 浓朴（去粗皮生姜汁炙） 干姜（炮各一两） 高良姜（一分） 上粗
捣筛。每
服三钱。水一盏。煎至五分。去滓。热服。不拘时。治一切冷气吐逆。
柿蒂汤（出圣济总录）治伤寒呕哕不止。
干柿蒂（七枚） 白梅（三枚） 上粗捣筛。只作一服。用水一盏。煎至半盏。去滓。
温服。
不拘时。
荜澄茄汤（出圣济总录）治伤寒呕哕。日夜不定。
荜澄茄 高良姜（各三分） 上粗捣筛。每服三钱。水一盏。煎十余沸。入醋少许。搅
匀。
去滓。热服。不拘时。
高良姜汤（出圣济总录）治伤寒呕哕。心腹冷疼。痰逆不消。
高良姜 甘草（炙锉各半两） 半夏（汤洗遍炒黄） 桂（去粗皮各一两） 上粗捣筛。
每服
三钱。水一盏。入生姜三片。同煎至五分。去滓。食前温服。兼治一切冷气。心腹疼痛。
愈哕汤 治伤寒下后哕者。
香附子（三两炒） 橘皮 生姜（切各一两） 上以水二升。煮取一升。温服五合。
三和汤 治病患脾胀。善哕。四肢满。
橘皮 浓朴 槟榔 白术 甘草（炙） 紫苏 海金沙（各二两） 木通（三两） 上
以水一
斗。煮取六升。去滓。再煮取三升。温服一升。
芦根饮子（出千金方）治伤寒后。呕哕反胃。及干呕不下食。
生芦根（切） 青竹茹（各一升） 粳米（三合） 生姜（三两） 上以水七升。先煮
千里鞋底
一只。取五升。澄清。下药。煮取二升米。随便饮。不瘥重作。取瘥。
治伤寒后呕哕方（出千金方）
通草（三两） 生芦根（切一升） 橘皮（一两） 粳米（三合） 上 咀。以水五升。
煮取二
升。随便稍饮。不瘥更作。瘥止。
治伤寒病 不止（出肘后方）
以半夏熟洗。干末之。生姜汤。服一钱匕。
小半夏汤（出活人书）治伤寒呕哕。心下悸。痞硬。不能食（即后生姜汁半
夏汤）。
半夏加茯苓汤（一名小茯苓半夏汤）治呕哕。心下痞硬者。以膈间有水。头眩
悸。
半夏（一升洗） 生姜（八两去皮） 茯苓（三两） 上切。以水七升。煮取一升半。
去滓。
温分再服。忌羊肉、饧、酢等物。
生姜汁半夏汤（出活人书）治胸内似喘不喘。似呕不呕。似哕不哕。彻心中愦
愦然无赖者。
生姜（汁一升） 半夏（半升洗） 上以水三升。煎半夏。取一升。纳姜汁。取一升半。
绵
漉。少冷。分二服。一日一夜服令尽。呕哕亦得止者。停后服。忌羊肉、饧。
甘草汤（出肘后方）治伤寒病 不止。兼主天行。
甘草（三两炙） 橘皮（三两） 上以水五升。煮取一升。去滓。顿服之。日三四服。
取瘥。
忌海藻、菘菜。
又赤苏汤（出肘后方）
赤苏（一把） 上一味。水三升。煮取一升。去滓。稍稍饮之。
又干姜丸（出肘后方）
干姜（六分） 附子（七分炮） 上捣筛。以苦酒。丸如梧桐子大。每服三丸。日三服。
酒
饮下。皆得。忌食猪肉。
甘竹茹汤 治伤寒哕。
甘竹茹（四两） 生白米（一升） 上以水八升。煮之。取米熟汤成。去滓。分服。徐
徐服。
疗
短剧茅根陈皮汤 治春夏天行。伤寒胃冷变 方。
白茅根（切一升） 橘皮（三两） 桂心（二两切） 上切。以水六升。煮取三升。去
滓。分
三服。数数服之。尽服合之。 止乃停。取微汗。有热。减桂心一两。忌生葱。一方有葛根
二两。
肘后橘皮甘草汤 治呕 不止。病源。伏热在胃。令人胸满则气逆。气闻则哕。若
大下后。
甘草（一两炙） 橘皮（三两） 升麻（半两） 生姜（三两） 上以水三升。煮取一
升。尽服
之。日三四作。当止。忌海藻、菘菜。
麦门冬饮子 治呕逆。
麦门冬（去心） 芦根 人参（各一两） 上以水六升。煮取二升七合。去滓。分温五
服。
徐徐服。常用有验。
又方
饮生姜汁三二合。大良。
又方
枇杷叶去毛。煮饮之。作粥亦佳。
又方
研油麻。煮绿豆令烂。取半升许。以手掌大 皮。烧作灰。筛之。纳豆中。和食。
芦根饮 治伤寒后。呕哕反胃。干呕不下食。
生茅竹根 竹茹（各三两） 生姜（四两） 大枣（十二枚） 上 咀。先将旧草鞋一
只。净
洗。以水煮汁。澄清。每服三大钱药。水一盏半。煎至七分。去滓服。
人参诃子（出王氏博济方）治伤寒气不顺。食呕。胸不和。有时泄泻。
人参 干葛 地黄 浓朴（各二分去皮） 丁香（一分） 诃子（七枚） 豆蔻（一个
去壳皮）
上为细末。以水一盏。末二钱。入生姜、枣。同煎至五分。热服。
橘皮竹茹汤（出活人书）治呕逆。
伤寒引起的呕吐和呃逆，病位在足阳明胃经。足阳明胃经的经脉气机厥逆上行，就会导致人体气机上逆；气机上逆就会引发呕吐和呃逆。
张仲景说：“如果呕吐频繁，即使有阳明病的证候，也千万不要使用攻下法。”大概就是因为这个原因。另外，伤寒引起的呕吐和呃逆，有的是因为体内有热，有的是因为饮水后水液停积所致。既然证候不同，治疗方法也随之各异，不能不仔细辨别。
还有，伤寒病愈之后，出现胃气不和的情况，这是由于起初患病时，毒热之气旺盛，患者多服用了寒凉药物进行泻下，或者饮用了冷水。病情虽然暂时缓解，热势已经消退，但寒气随之发动，从而导致心下部坚硬牢固，嗳气带有食物腐臭气味，肠鸣音亢进并伴有腹泻。这是由脾胃气虚且受寒所致。
又说，伏热蕴结在胃中，会导致胸膈满闷；胸膈满闷则气机上逆而发为呃逆。如果在峻下之后，导致胃中虚冷，也会引起呃逆。
伤寒中的“哕”（呃逆），俗称“咳逆”。还有一种情况叫“KT”（注：原文此处疑为“噫”或特定古字，指气郁不畅），它接近于哕。“KT”的表现仅仅是胸喉间气机郁滞不通，寒冷之气无法下行，但是没有声音。如果是哕，则会发出吃吃有声的声音。声音属金，对应肺与大肠，但胃受疾病影响故产生呕哕。这些都称为疾，只是轻重程度有所不同。
如果是虚寒之邪相互搏结，反而让人饮水，导致大汗淋漓。水遇到寒气，寒冷必然相互搏结，这个人就会出现“KT”，这是因为胃气虚竭的缘故。伤寒经过剧烈吐法之后，人体极度虚弱，又大量出汗，此时体表气机怫郁，如果再给他喝水以发汗，因此导致哕。之所以这样，是因为胃中寒冷的缘故。胃中虚冷，不能进食的人，如果饮水就会引发哕。由此看来，哕和KT都是胃部的疾病，这是显而易见的。
《内经》说：“趺阳脉浮，则为气KT；脉滑则为哕。”这是医生的过错，在于对虚证误用实证治法（责虚取实）的错误。大抵是错误地使用了攻下法之后，导致胃虚气逆，从而形成哕。
《内经》还说：“温病如果过早使用攻下法，就会发生哕；本身体质虚弱，攻伐其热邪就会发生哕；以及阳明病患者不能进食，攻伐其热邪必定发生哕。”诸如此类情况，都是在攻下之后，因胃虚而导致哕的。
然而，“KT”这种情况，正是因为水寒相互搏结，治疗必须用小青龙汤去掉麻黄，加入附子才可以。至于哕，则是热气壅遏郁结，气机不得通畅而形成的。轻症的有和解的证候，重症的有攻下的指征。
《内经》说：“如果有潮热，时时发生哕，给予小柴胡汤。”这就是和解的证候。如果哕的同时伴有腹部胀满，观察前后二便，知道哪一部分不利，通利它就能痊愈，这就是可以攻下的指征。
伤寒发展到哕的阶段，病情就已经到了极点。不像口渴、烦躁等较轻缓的症状。例如太阳中风证，用火劫法强行发汗，导致阴阳气血俱虚竭，身体干枯枯燥，只有头部出汗，仅到颈部为止，腹部胀满微喘，口干咽烂，或者大便不通，时间久了会出现谵语，严重的甚至出现哕。这是说病情已经到了极点。
如果不排尿，腹部胀满加上哕，属于不治之症。这是真正的危重病症。像这样的情况，即使是神医，面对这种脱绝的危候，又能如何施展手脚呢？
伤寒热毒炽盛，多服用凉药及饮用冷水，病情暂时折服后，热势虽退，但胃气已虚，从而导致胸膈满闷、气机上逆、心腹坚痞，必然出现呕吐和呃逆。
方剂：
白术散：治疗伤寒后，胃虚气逆，呕吐呃逆，不能纳食。
配方：白术（二分）、诃黎勒（一两，用皮）、高良姜（半两，锉碎）、丁香（半两）、肉桂（半两，去粗皮）、甘草（一分，炙至微红，锉碎）、桔梗（半两，去芦头）、人参（半两，去芦头）、陈橘皮（半两，汤浸去白瓤，焙干）。
煎服法：浓煎至六分，去渣滓。不限时候，稍热服用。
茯苓散（出自《圣惠方》，又名赤茯苓汤）：治疗伤寒呕吐呃逆，心下痞满，胸膈间素有停水，头晕目眩，心悸。
配方：赤茯苓（一两）、半夏（半两，汤洗七遍去滑腻）、陈橘皮（一两，汤洗去白瓤，焙干）、川芎（半两）、白术（半两）、人参（一两，去芦头）。
制法：捣筛为散剂。每服三钱，用水一盏，加入生姜半分，煎至六分，去渣滓。
半夏散（出自《圣惠方》）：治疗伤寒后呕吐呃逆，心胸不畅，头目昏重，不能进食。
配方：半夏（一两，汤浸七遍去滑腻）、甘草（半两，炙至微红，锉碎）、人参（三分，去芦头）、枳实（半两，麸炒至黄色）、前胡（半两，去芦头）、诃黎勒（一两，用皮）。
制法：捣筛为散剂。每服三钱，用水一中盏，加入生姜半分，煎至六分，去渣滓。不限时候，稍热服用。
白豆蔻散（出自《圣惠方》）：治疗伤寒服用冷药过多，寒气伤胃，呕吐呃逆不止。
配方：白豆蔻（一两，去皮）、白术（一两）、陈橘皮（三分，汤浸去白瓤，焙干）、高良姜（半两，锉碎）、浓朴（一两，去粗皮，涂生姜汁炙至香熟）、甘草（一分，炙至微红，锉碎）。
制法：捣筛为散剂。每服四钱，水中一盏，加入生姜半分，煎至六分，去渣滓。不限时候，温服。
陈橘皮散（出自《圣惠方》）：治疗伤寒后，胃虚气逆，呕吐呃逆不止。
配方：陈橘皮（一两，汤浸去白瓤，焙干）、草豆蔻（半两，去皮）、甘草（一两，炙至微红，锉碎）、干姜（半两，炮制）、浓朴（一两，去粗皮，涂生姜汁炙至香熟）。
制法：捣筛为散剂。每服三钱，水中一盏，加入生姜半分，煎至五分，去渣滓。不时热服。
治疗伤寒后胃虚，呕吐呃逆不止的方子（出自《圣惠方》）：
配方：陈橘皮（半两，汤浸去白瓤，焙干）、人参（半两，去芦头）、生姜（一分）。
制法：细锉。用水一大盏，煎至五分，去渣滓。不限时候，稍热服用。
丁香散（出自《圣惠方》）：治疗伤寒后，胃虚呕吐呃逆，不能进食。
配方：丁香、人参（去芦头）、陈橘皮（汤浸去白瓤，焙干）、诃黎勒（各三分，用皮）、藿香（半两）。
制法：为细末。每服二钱，水中一盏，煎至六分，连同药渣一起服用。不限时候，稍热服用。
治疗伤寒后，呕吐呃逆不止，心腹痞满，不能进食（出自《圣惠方》）：
配方：陈橘皮（汤浸二两，去白瓤，焙干）、诃黎勒（一两，用皮）、白术（三分）。
制法：捣罗为散剂。每服四钱，水中一盏，加入生姜半分，煎至六分，去渣滓。不限时候，稍热服用。
治疗伤寒后呕吐呃逆，不能进食（出自《圣惠方》）：
配方：半夏（一两，汤洗七次去滑腻）、草豆蔻（一两，去皮）、丁香（半两）。
制法：为细末。每服不限时候，用浓生姜汤调下一钱。
治疗伤寒后呕吐呃逆，胸满，不能进食的方子（出自《圣惠方》）：
配方：人参（二两，去芦头）、陈橘皮（一两，汤浸去白瓤，焙干）、甘草（半两，炙至微红，锉碎）。
制法：捣罗为散剂。每服四钱，水中一盏，煎至六分，去渣滓。不限时候，温服。
半夏汤（出自《济生方》/《圣济总录》）：治疗伤寒后，胃气逆冷，进食后呕吐呃逆即欲吐。
配方：半夏（一两，汤洗七次炒干）、白茯苓（去黑皮一两）、枳壳（去瓤，麸炒）、人参（各半两）、白术（一两半）。
制法：捣筛。每服三钱，用水一盏，生姜一分，拍碎，煎至七分，去渣滓，温服。每日两次。
橘皮汤（出自《圣济总录》）：治疗伤寒呕吐呃逆不止。
配方：陈橘皮（汤浸去白，炒）、前胡（去芦头）、甘草（炙，锉，各一两）、白术（半两）。
制法：粗捣筛。每服三钱，用水一盏，姜半分，拍碎，煎至七分，去渣滓，温服。每日两次。
茯苓汤（出自《圣济总录》）：治疗伤寒后，胸膈气满，呕吐呃逆，不能纳食。
配方：白茯苓（去黑皮一两）、陈橘皮（汤浸去白，炒半两）、人参、白术、五味子（各三分）、枳实（去瓤，炒半两）、半夏（汤浸七次一分）。
制法：粗捣筛。每服五钱，用水一盏，生姜半分，拍碎，大枣三枚，煎至一盏，去渣滓，温服。
人参汤（出自《圣济总录》）：治疗伤寒后，服用冷药过多，胃寒呕吐呃逆，不能进食。
配方：人参、白术、白茯苓（去黑皮，各一两）、丁香（一分）、附子（炮裂，去皮脐）、陈橘皮（汤浸去白，炒，各一两）、桂（去粗皮）、干姜（炮，各半两）。
制法：粗捣筛。每服五钱，用水一盏半，生姜半分，拍碎，粳米半匙，煎至一盏，去渣滓，温服。不拘时候。
藿香汤（出自《圣济总录》）：治疗伤寒呕吐呃逆不定，饮食不下。
配方：藿香叶（一两）、丁香、白豆蔻（去皮，各一两）、高良姜（炒）、陈橘皮（汤浸去白，焙，各半两）。
制法：粗捣筛。用水一盏，每服三钱，煎至七分，去渣滓。饭前热服。
浓朴汤：治疗伤寒胃虚脾冷，呕吐呃逆，不思饮食。
配方：浓朴（去粗皮，生姜汁炙）、人参（各一两）、枇杷叶（炙，拭去毛）、肉豆蔻（去壳，各半两）、白茯苓（去黑皮一两半）。
制法：粗捣筛。每服三钱，用水一盏，生姜三片，煎至七分，去渣滓，温服。空腹及饭前服用。
人参汤（出自《圣济总录》）：治疗伤寒呕吐呃逆不定，胸满烦躁。
配方：藿香叶（三分）、人参（一两）、陈橘皮（汤浸去白，焙）、甘草（炙，锉，各一两）。
制法：粗捣筛。每服三钱，用水一盏，加入生姜三片，同煎至六分，去渣滓，温服。不拘时候。
人参丸（出自《圣济总录》）：治疗伤寒四五日，呕吐呃逆有痰，胸膈不畅。
配方：人参、浓朴（去粗皮，生姜汁炙）、白茯苓（去黑皮，各一两）、半夏（汤洗七次，二两）。
制法：捣罗为末，用姜汁作面糊，制成梧桐子大小的丸剂。每服三十丸，生姜汤送下。
定气散（出自《圣济总录》）：治疗伤寒时常呕吐呃逆不止。
配方：高良姜（半两）、草豆蔻（去皮一枚）、甘草（炙）、木香（炮，各一分）。
制法：用酒浸泡，包裹煨至香热，焙干，捣罗为散剂。每服二钱，醋汤调下。
通正散（出自《圣济总录》）：治疗伤寒哕逆，呕吐不止，诸虚气妄行。
配方：丁香、干柿蒂（各一两）、莲子肉（五十枚，去心）。
制法：捣罗为细末。每服二钱，温酒调下。喝米饭汤也可以。
丁香汤（出自《圣济总录》）：治疗伤寒呕吐呃逆不止，或吐酸水。
配方：丁香（三分）、浓朴（去粗皮，生姜汁炙）、干姜（炮，各一两）、高良姜（一分）。
制法：粗捣筛。每服三钱，用水一盏，煎至五分，去渣滓，热服。不拘时候。治疗一切冷气吐逆。
柿蒂汤（出自《圣济总录》）：治疗伤寒呕吐呃逆不止。
配方：干柿蒂（七枚）、白梅（三枚）。
制法：粗捣筛，只作一服。用水一盏，煎至半盏，去渣滓，温服。不拘时候。
荜澄茄汤（出自《圣济总录》）：治疗伤寒呕吐呃逆，日夜不定。
配方：荜澄茄、高良姜（各三分）。
制法：粗捣筛。每服三钱，用水一盏，煎十余沸，加入少许醋，搅匀，去渣滓，热服。不拘时候。
高良姜汤（出自《圣济总录》）：治疗伤寒呕吐呃逆，心腹冷痛，痰逆不消。
配方：高良姜、甘草（炙，锉，各半两）、半夏（汤洗遍，炒黄）、桂（去粗皮，各一两）。
制法：粗捣筛。每服三钱，用水一盏，加入生姜三片，同煎至五分，去渣滓。饭前温服。兼治一切冷气，心腹疼痛。
愈哕汤：治疗伤寒攻下后出现哕者。
配方：香附子（三两，炒）、橘皮、生姜（切，各一两）。
制法：用水二升，煮取一升，温服五合。
三和汤：治疗病患脾胀，善哕，四肢胀满。
配方：橘皮、浓朴、槟榔、白术、甘草（炙）、紫苏、海金沙（各二两）、木通（三两）。
制法：用水一斗，煮取六升，去渣滓，再煮取三升，温服一升。
芦根饮子（出自《千金方》）：治疗伤寒后，呕吐呃逆反胃，以及干呕不能进食。
配方：生芦根（切）、青竹茹（各一升）、粳米（三合）、生姜（三两）。
制法：用水七升，先煮千里鞋底一只，取五升，澄清，下药，煮取二升米量，随意饮用。不好转再制作，直到痊愈。
治疗伤寒后呕吐呃逆的方子（出自《千金方》）：
配方：通草（三两）、生芦根（切一升）、橘皮（一两）、粳米（三合）。
制法：咀（切碎），用水五升，煮取二升，随意稍饮。不好转再制作，痊愈即止。
治疗伤寒病呃逆不止（出自《肘后方》）：
用法：将半夏煮熟洗净，研成干粉末，用生姜汤送服一钱匕。
小半夏汤（出自《活人书》）：治疗伤寒呕吐呃逆，心下悸动，痞硬，不能进食（即后面的生姜汁半夏汤）。
半夏加茯苓汤（一名小茯苓半夏汤）：治疗呕吐呃逆，心下痞硬者，因膈间有水，头晕目眩，心悸。
配方：半夏（一升，洗）、生姜（八两，去皮）、茯苓（三两）。
制法：切碎。用水七升，煮取一升半，去渣滓，分两次温服。忌食羊肉、饴糖、醋等物。
生姜汁半夏汤（出自《活人书》）：治疗胸内似喘非喘，似呕非呕，似哕非哕，心中烦乱无奈者。
配方：生姜（汁一升）、半夏（半升，洗）。
制法：用水三升，煎半夏，取一升，纳入姜汁，取一升半，用绵过滤，稍冷却，分两次服用。一日一夜服完。呕吐呃逆也能停止，若停止则停后服。忌食羊肉、饴糖。
甘草汤（出自《肘后方》）：治疗伤寒病呃逆不止。兼主天行疫病。
配方：甘草（三两，炙）、橘皮（三两）。
制法：用水五升，煮取一升，去渣滓，顿服。每日三四次，直到痊愈。
忌海藻、菘菜。
又方 赤苏汤（出自《肘后方》）：
配方：赤苏（一把）。
制法：一味药，用水三升，煮取一升，去渣滓，稍稍饮之。
又方 干姜丸（出自《肘后方》）：
配方：干姜（六分）、附子（七分，炮）。
制法：捣筛，用苦酒（醋），制成梧桐子大小的丸剂。每服三丸，每日三次，酒饮送下均可。忌食猪肉。
甘竹茹汤：治疗伤寒哕。
配方：甘竹茹（四两）、生白米（一升）。
制法：用水八升，煮之，取米熟汤成，去渣滓，分服，徐徐服用。
疗短剧茅根陈皮汤：治疗春夏季天行疫病，伤寒胃冷变证。
配方：白茅根（切一升）、橘皮（三两）、桂心（二两，切）。
制法：切碎，用水六升，煮取三升，去渣滓，分三次服，多次服用。全部服完才停止。取微汗。如果有热，减少桂心一两。忌生葱。一方中有葛根二两。
肘后橘皮甘草汤：治疗呕吐呃逆不止。病源：伏热在胃，令人胸满则气逆，气闻则哕。若大下后……
配方：甘草（一两，炙）、橘皮（三两）、升麻（半两）、生姜（三两）。
制法：用水三升，煮取一升，尽服之。每日三四次，应当停止。忌海藻、菘菜。
麦门冬饮子：治疗呕逆。
配方：麦门冬（去心）、芦根、人参（各一两）。
制法：用水六升，煮取二升七合，去渣滓，分五次温服，徐徐服用。常用有效。
又方：
饮生姜汁二三合，很好。
又方：
枇杷叶去毛，煮水饮用。做粥也很好。
又方：
研油麻，煮绿豆令烂，取半升许，以手掌大的橘皮，烧作灰，筛之，纳入豆中，和食。
芦根饮：治疗伤寒后，呕吐呃逆反胃，干呕不能进食。
配方：生茅竹根、竹茹（各三两）、生姜（四两）、大枣（十二枚）。
制法：切碎，先将旧草鞋一只，净洗，以水煮汁，澄清。每服三大钱药，用水一盏半，煎至七分，去渣服。
人参诃子（出自《王氏博济方》）：治疗伤寒气不顺，食呕，胸不和，有时泄泻。
配方：人参、干葛、地黄、浓朴（各二分，去皮）、丁香（一分）、诃子（七枚）、豆蔻（一个，去壳皮）。
制法：为细末。用水一盏，末二钱，加入生姜、枣，同煎至五分，热服。
For vomiting and hiccups caused by Shanghan (Cold Damage), the pathology lies in the Foot-Yangming Stomach meridian. The meridians of the Foot-Yangming ascend reversely, causing Qi rebellion; Qi rebellion leads to vomiting and hiccups.
Zhang Zhongjing stated: "If there is frequent vomiting, even if Yangming syndrome patterns are present, one must be cautious and absolutely avoid purgation." This is precisely for this reason. Furthermore, vomiting and hiccups in Shanghan may result from internal heat or from water retention after drinking. Since the syndromes differ, the treatments must vary accordingly; careful differentiation is essential.
Additionally, after the resolution of a Shanghan disease, disharmony of Stomach Qi may occur. This arises because during the initial infection, toxic heat was abundant, leading patients to take excessive cold medicines for purgation or drink cold water. Although the illness was temporarily suppressed and the heat subsided, cold pathogens subsequently activated. This results in hardness and firmness below the heart, belching with a smell of rotting food, borborygmus (rumbling in the abdomen), and diarrhea. This is due to deficiency-cold of the Spleen and Stomach.
It is also said that latent heat lodged in the Stomach causes chest fullness; chest fullness leads to Qi rebellion and hiccups. If severe purgation has been performed, resulting in deficiency-cold in the Stomach, hiccups will also occur.
Hiccups (Yue) in Shanghan are commonly known as ke-ni (convulsive hiccup). There is a condition similar to Yue called "KT" (likely referring to Yi or a specific ancient character denoting qi stagnation). KT manifests merely as qi stagnation between the chest and throat, with cold unable to descend, but without sound. In contrast, Yue produces audible "chi-chi" sounds. Sound corresponds to Metal; however, since the Stomach is afflicted, vomiting and hiccups arise. These are all considered diseases, differing only in severity.
When deficiency-cold interacts, forcing the patient to drink water which induces profuse sweating, the water encounters cold qi, and the cold mutually combats, causing the person to experience KT. This indicates exhaustion of Stomach Qi. After severe emesis in Shanghan, when the body is extremely deficient and sweating profusely, exterior Qi becomes constrained. If water is then given to induce sweating, hiccups ensue. This occurs because of cold in the Stomach. When the Stomach is deficient and cold, preventing food intake, drinking water triggers hiccups. Thus, it is evident that both Yue and KT are disorders of the Stomach.
The Classics state: "A floating pulse at the Fuyang point indicates Qi stagnation (KT); a slippery pulse indicates hiccups (Yue). This is the physician's fault, resulting from treating deficiency as excess." Generally, erroneous purgation leads to Stomach deficiency and Qi rebellion, forming hiccups.
The Classics further state: "In warm diseases, premature purgation causes hiccups; attacking heat in a constitutionally weak person causes hiccups; in Yangming disease, if the patient cannot eat and heat is attacked, hiccups inevitably occur." All such cases involve hiccups arising from Stomach deficiency following purgation.
However, KT is specifically caused by the interaction of water and cold; treatment requires Xiao Qing Long Tang (Minor Blue Dragon Decoction) with Mahuang removed and Fuzi added. Hiccups (Yue), on the other hand, are formed by heat oppression and stagnation, preventing Qi circulation. Mild cases have indications for harmonization; severe cases have indications for purgation.
The Classics state: "If there is tidal fever and occasional hiccups, administer Xiao Chai Hu Tang (Minor Bupleurum Decoction)." This represents a harmonizing indication. If hiccups accompany abdominal fullness, observe the anterior and posterior orifices; knowing which part is obstructed, unblocking it leads to cure. This represents a purgative indication.
When Shanghan progresses to hiccups, the disease has reached its extremity. It is not like mild symptoms such as thirst or irritability. For instance, in Taiyang Wind Strike, if fire therapy is used to force sweating, both Yin and Yang become exhausted and depleted. The body becomes dry and withered, sweat appears only on the head up to the neck, the abdomen is full with slight wheezing, the mouth and throat are dry and ulcerated, constipation may occur, and prolonged delirium may develop. Severe cases progress to hiccups, indicating the extremity of the disease.
If urination ceases, abdominal fullness increases, and hiccups appear, it is incurable. This is a true critical condition. Even with divine medical skill, facing such collapse, what can be done?
When Shanghan heat-toxins are vigorous, excessive use of cooling medicines and cold water causes the heat to subside temporarily, but the Stomach Qi becomes deficient. This leads to chest fullness, Qi rebellion, hardness and痞 (mass) in the heart and abdomen, inevitably causing vomiting and hiccups.
Formulas:
Baizhu San (Atractylodes Macrocephala Powder): Treats post-Shanghan Stomach deficiency with rebellious Qi, vomiting, hiccups, and inability to retain food.
Ingredients: Baizhu (2 fen), Helile (1 liang, peel), Gaoliangjiang (0.5 liang, sliced), Dingxiang (0.5 liang), Rougui (0.5 liang, bark removed), Gancao (1 fen, honey-fried until slightly red, sliced), Jiegeng (0.5 liang, radix removed), Renshen (0.5 liang, radix removed), Chenjupi (0.5 liang, soaked in hot water, white pith removed, dried).
Preparation: Decoct strongly to reduce to 60%. Strain. Take slightly warm at any time.
Fuling San (Poria Cocos Powder, from Shenghui Fang, also named Chi Fuling Tang): Treats Shanghan vomiting and hiccups, epigastric fullness, retained fluid in the chest and diaphragm, dizziness, and palpitations.
Ingredients: Chi Fuling (1 liang), Banxia (0.5 liang, washed seven times in hot water to remove slipperiness), Chenjupi (1 liang, washed in hot water, white pith removed, dried), Xiong (0.5 liang), Baizhu (0.5 liang), Renshen (1 liang, radix removed).
Preparation: Pound and sieve into powder. Take 3 qian per dose with one cup of water, add 0.5 fen of Shengjiang, decoct to 60%, strain.
Banxia San (Pinellia Ternata Powder, from Shenghui Fang): Treats post-Shanghan vomiting and hiccups, chest discomfort, heavy head and eyes, and inability to eat.
Ingredients: Banxia (1 liang, soaked in hot water seven times to remove slipperiness), Gancao (0.5 liang, honey-fried until slightly red, sliced), Renshen (3 fen, radix removed), Zhishi (0.5 liang, bran-fried until yellow), Qianhu (0.5 liang, radix removed), Helile (1 liang, peel).
Preparation: Pound and sieve into powder. Take 3 qian per dose with one cup of water, add 0.5 fen of Shengjiang, decoct to 60%, strain. Take slightly warm at any time.
Baidoukou San (White Cardamom Powder, from Shenghui Fang): Treats vomiting and hiccups persisting due to excessive intake of cold medicines damaging the Stomach with cold.
Ingredients: Baidoukou (1 liang, peeled), Baizhu (1 liang), Chenjupi (3 fen, soaked in hot water, white pith removed, dried), Gaoliangjiang (0.5 liang, sliced), Nongpu (1 liang, bark removed, roasted with ginger juice until fragrant), Gancao (1 fen, honey-fried until slightly red, sliced).
Preparation: Pound and sieve into powder. Take 4 qian per dose with one cup of water, add 0.5 fen of Shengjiang, decoct to 60%, strain. Take warm at any time.
Chenjupi San (Tangerine Peel Powder, from Shenghui Fang): Treats post-Shanghan Stomach deficiency with rebellious Qi and persistent vomiting and hiccups.
Ingredients: Chenjupi (1 liang, soaked in hot water, white pith removed, dried), Caodoukou (0.5 liang, peeled), Gancao (1 liang, honey-fried until slightly red, sliced), Ganjiang (0.5 liang, processed), Nongpu (1 liang, bark removed, roasted with ginger juice until fragrant).
Preparation: Pound and sieve into powder. Take 3 qian per dose with one cup of water, add 0.5 fen of Shengjiang, decoct to 50%, strain. Take warm at irregular intervals.
Formula for Post-Shanghan Stomach Deficiency with Persistent Vomiting and Hiccups (from Shenghui Fang):
Ingredients: Chenjupi (0.5 liang, soaked in hot water, white pith removed, dried), Renshen (0.5 liang, radix removed), Shengjiang (1 fen).
Preparation: Finely slice. Decoct one large cup of water to 50%, strain. Take slightly warm at any time.
Dingxiang San (Clove Powder, from Shenghui Fang): Treats post-Shanghan Stomach deficiency with vomiting, hiccups, and inability to eat.
Ingredients: Dingxiang, Renshen (radix removed), Chenjupi (soaked in hot water, white pith removed, dried), Helile (each 3 fen, peel), Huoxiang (0.5 liang).
Preparation: Make into fine powder. Take 2 qian per dose with one cup of water, decoct to 60%, consume with dregs. Take slightly warm at any time.
Formula for Post-Shanghan Persistent Vomiting and Hiccups with Epigastric Fullness and Inability to Eat (from Shenghui Fang):
Ingredients: Chenjupi (2 liang, soaked in hot water, white pith removed, dried), Helile (1 liang, peel), Baizhu (3 fen).
Preparation: Pound and sieve into powder. Take 4 qian per dose with one cup of water, add 0.5 fen of Shengjiang, decoct to 60%, strain. Take slightly warm at any time.
Formula for Post-Shanghan Vomiting and Hiccups with Inability to Eat (from Shenghui Fang):
Ingredients: Banxia (1 liang, washed seven times in hot water to remove slipperiness), Caodoukou (1 liang, peeled), Dingxiang (0.5 liang).
Preparation: Make into fine powder. Take 1 qian per dose at any time, mixed with strong ginger soup.
Formula for Post-Shanghan Vomiting, Hiccups, Chest Fullness, and Inability to Eat (from Shenghui Fang):
Ingredients: Renshen (2 liang, radix removed), Chenjupi (1 liang, soaked in hot water, white pith removed, dried), Gancao (0.5 liang, honey-fried until slightly red, sliced).
Preparation: Pound and sieve into powder. Take 4 qian per dose with one cup of water, decoct to 60%, strain. Take warm at any time.
Banxia Tang (Pinellia Decoction, from Shengji Zonglu): Treats post-Shanghan Stomach Qi rebellion and cold, where vomiting and hiccups occur immediately after eating.
Ingredients: Banxia (1 liang, washed seven times in hot water and stir-fried dry), Bai Fuling (black skin removed, 1 liang), Zhike (pulp removed, bran-fried), Renshen (each 0.5 liang), Baizhu (1.5 liang).
Preparation: Pound and sieve. Take 3 qian per dose with one cup of water, add 1 fen of Shengjiang (smashed), decoct to 70%, strain. Take warm. Twice daily.
Jupi Tang (Tangerine Peel Decoction, from Shengji Zonglu): Treats persistent Shanghan vomiting and hiccups.
Ingredients: Chenjupi (soaked in hot water, white pith removed, fried), Qianhu (radix removed), Gancao (honey-fried, sliced, each 1 liang), Baizhu (0.5 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, add 0.5 fen of ginger (smashed), decoct to 70%, strain. Take warm. Twice daily.
Fuling Tang (Poria Cocos Decoction, from Shengji Zonglu): Treats post-Shanghan chest and diaphragm Qi fullness, vomiting, hiccups, and inability to eat.
Ingredients: Bai Fuling (black skin removed, 1 liang), Chenjupi (soaked in hot water, white pith removed, fried, 0.5 liang), Renshen, Baizhu, Wuweizi (each 3 fen), Zhishi (pulp removed, fried, 0.5 liang), Banxia (soaked in hot water seven times, 1 fen).
Preparation: Coarsely pound and sieve. Take 5 qian per dose with one cup of water, add 0.5 fen of Shengjiang (smashed) and three dates, decoct to one cup, strain. Take warm.
Renshen Tang (Ginseng Decoction, from Shengji Zonglu): Treats post-Shanghan Stomach cold and vomiting/hiccups due to excessive cold medicine intake, with inability to eat.
Ingredients: Renshen, Baizhu, Bai Fuling (black skin removed, each 1 liang), Dingxiang (1 fen), Fuzi (cracked by processing, skin and navel removed), Chenjupi (soaked in hot water, white pith removed, fried, each 1 liang), Gui (bark removed), Ganjiang (processed, each 0.5 liang).
Preparation: Coarsely pound and sieve. Take 5 qian per dose with one and a half cups of water, add 0.5 fen of Shengjiang (smashed) and half a spoonful of Jingmi, decoct to one cup, strain. Take warm at any time.
Huoxiang Tang (Agastache Decoction, from Shengji Zonglu): Treats irregular Shanghan vomiting and hiccups with inability to eat.
Ingredients: Huoxiangye (1 liang), Dingxiang, Baidoukou (peeled, each 1 liang), Gaoliangjiang (fried), Chenjupi (soaked in hot water, white pith removed, dried, each 0.5 liang).
Preparation: Coarsely pound and sieve. Use one cup of water, take 3 qian per dose, decoct to 70%, strain. Take hot before meals.
Nongpu Tang (Magnolia Bark Decoction): Treats post-Shanghan Stomach deficiency and Spleen cold, vomiting, hiccups, and loss of appetite.
Ingredients: Nongpu (bark removed, roasted with ginger juice), Renshen (each 1 liang), Pipaye (fried, hairs wiped off), Roudoukou (shelled, each 0.5 liang), Bai Fuling (black skin removed, 1.5 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, add three slices of Shengjiang, decoct to 70%, strain. Take warm. On an empty stomach and before meals.
Renshen Tang (Ginseng Decoction, from Shengji Zonglu): Treats irregular Shanghan vomiting and hiccups with chest fullness and irritability.
Ingredients: Huoxiangye (3 fen), Renshen (1 liang), Chenjupi (soaked in hot water, white pith removed, dried), Gancao (honey-fried, sliced, each 1 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, add three slices of Shengjiang, decoct together to 60%, strain. Take warm at any time.
Renshen Wan (Ginseng Pill, from Shengji Zonglu): Treats Shanghan after four to five days with phlegm in vomiting/hiccups and chest diaphragm discomfort.
Ingredients: Renshen, Nongpu (bark removed, roasted with ginger juice), Bai Fuling (black skin removed, each 1 liang), Banxia (washed seven times in hot water, 2 liang).
Preparation: Pound and sieve into fine powder. Use ginger juice and flour paste to make pills the size of paulownia seeds. Take 30 pills per dose, delivered with ginger soup.
Dingqi San (Calming Qi Powder, from Shengji Zonglu): Treats frequent persistent vomiting and hiccups in Shanghan.
Ingredients: Gaoliangjiang (0.5 liang), Caodoukou (one fruit, peeled), Gancao (honey-fried), Muxiang (processed, each 1 fen).
Preparation: Soak in wine, wrap and roast until fragrant and hot, dry, pound and sieve into powder. Take 2 qian per dose, mixed with vinegar water.
Tongzheng San (Restoring Upright Qi Powder, from Shengji Zonglu): Treats Shanghan hiccups, persistent vomiting, and erratic Qi flow due to various deficiencies.
Ingredients: Dingxiang, Ganshidi (dried persimmon calyx, each 1 liang), Lianzirou (lotus seed flesh, 50 pieces, hearts removed).
Preparation: Pound and sieve into fine powder. Take 2 qian per dose, mixed with warm wine. Rice water is also acceptable.
Dingxiang Tang (Clove Decoction, from Shengji Zonglu): Treats persistent Shanghan vomiting and hiccups, or sour regurgitation.
Ingredients: Dingxiang (3 fen), Nongpu (bark removed, roasted with ginger juice), Ganjiang (processed, each 1 liang), Gaoliangjiang (1 fen).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, decoct to 50%, strain. Take hot at any time. Treats all cold Qi retching.
Shidi Tang (Persimmon Calyx Decoction, from Shengji Zonglu): Treats persistent Shanghan vomiting and hiccups.
Ingredients: Ganshidi (seven pieces), Bai Mei (three pieces).
Preparation: Coarsely pound and sieve. Prepare as a single dose. Use one cup of water, decoct to half a cup, strain. Take warm at any time.
Bichengqie Tang (Blue Citron Decoction, from Shengji Zonglu): Treats irregular day-and-night Shanghan vomiting and hiccups.
Ingredients: Bichengqie, Gaoliangjiang (each 3 fen).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, boil ten to twelve times, add a little vinegar, mix well, strain. Take hot at any time.
Gaoliangjiang Tang (Galangal Decoction, from Shengji Zonglu): Treats Shanghan vomiting and hiccups with cold pain in the heart and abdomen, and undigested phlegm.
Ingredients: Gaoliangjiang, Gancao (honey-fried, sliced, each 0.5 liang), Banxia (washed thoroughly, stir-fried until yellow), Gui (bark removed, each 1 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose with one cup of water, add three slices of Shengjiang, decoct together to 50%, strain. Take warm before meals. Also treats all cold Qi and heart/abdominal pain.
Yu Yue Tang (Cure Hiccups Decoction): Treats hiccups occurring after purgation in Shanghan.
Ingredients: Xiangfuzi (3 liang, fried), Jupi, Shengjiang (sliced, each 1 liang).
Preparation: Use two sheng of water, boil to obtain one sheng. Take 5 he of warm liquid.
Sanhe Tang (Three Harmonies Decoction): Treats Spleen distension with frequent hiccups and full limbs.
Ingredients: Jupi, Nongpu, Binglang, Baizhu, Gancao (honey-fried), Zisu, Haijinsha (each 2 liang), Mutong (3 liang).
Preparation: Use one dou of water, boil to obtain six sheng, strain, boil again to obtain three sheng. Take one sheng warm.
Lugen Yinzi (Reed Rhizome Drink, from Qianjin Fang): Treats post-Shanghan vomiting, hiccups, reverse regurgitation, and dry retching with inability to eat.
Ingredients: Sheng Lugen (sliced), Qing Zhuru (each 1 sheng), Jingmi (3 he), Shengjiang (3 liang).
Preparation: Use seven sheng of water, first boil one old straw shoe, obtain five sheng, clarify, add herbs, boil until rice is cooked yielding two sheng. Drink as desired. Repeat if not cured until healed.
Formula for Post-Shanghan Vomiting and Hiccups (from Qianjin Fang):
Ingredients: Tongcao (3 liang), Sheng Lugen (sliced, 1 sheng), Jupi (1 liang), Jingmi (3 he).
Preparation: Chop. Use five sheng of water, boil to obtain two sheng. Drink slightly as desired. Repeat if not cured. Stop when healed.
Formula for Persistent Shanghan Hiccups (from Zhouhou Fang):
Usage: Wash ripe Banxia thoroughly, dry and powder it. Take one qian bi with Shengjiang soup.
Xiao Banxia Tang (Minor Pinellia Decoction, from Ren Shu): Treats Shanghan vomiting and hiccups with epigastric palpitations, stiffness, and inability to eat (also known as later Shengjiang Zhi Banxia Tang).
Banxia Jia Fuling Tang (Pinellia plus Poria Decoction, also named Xiao Fuling Banxia Tang): Treats vomiting and hiccups with epigastric stiffness due to fluid between the diaphragm, causing dizziness and palpitations.
Ingredients: Banxia (1 sheng, washed), Shengjiang (8 liang, peeled), Fuling (3 liang).
Preparation: Slice. Use seven sheng of water, boil to obtain one and a half sheng, strain. Divide into two warm doses. Avoid mutton, maltose, and vinegar.
Shengjiang Zhi Banxia Tang (Ginger Juice Pinellia Decoction, from Ren Shu): Treats sensations resembling panting but not panting, vomiting but not vomiting, hiccups but not hiccups, with profound mental distress and helplessness.
Ingredients: Shengjiang (juice 1 sheng), Banxia (0.5 sheng, washed).
Preparation: Use three sheng of water, decoct Banxia to obtain one sheng, add ginger juice to obtain one and a half sheng, filter through silk, cool slightly, divide into two doses. Finish within one day and night. Vomiting and hiccups will stop; discontinue subsequent doses. Avoid mutton and maltose.
Gancao Tang (Licorice Decoction, from Zhouhou Fang): Treats persistent Shanghan hiccups. Also treats epidemic febrile diseases.
Ingredients: Gancao (3 liang, honey-fried), Jupi (3 liang).
Preparation: Use five sheng of water, boil to obtain one sheng, strain. Take in one dose. Three to four times daily until cured.
Avoid seaweed and Chinese cabbage.
Another Formula: Chisu Tang (Red Perilla Decoction, from Zhouhou Fang):
Ingredients: Chisu (one handful).
Preparation: One herb, use three sheng of water, boil to obtain one sheng, strain. Sip slowly.
Another Formula: Ganjiang Wan (Dried Ginger Pill, from Zhouhou Fang):
Ingredients: Ganjiang (6 fen), Fuzi (7 fen, processed).
Preparation: Pound and sieve. Use Kujiu (vinegar) to make pills the size of paulownia seeds. Take three pills per dose, three times daily, delivered with wine. Avoid pork.
Ganzhuru Tang (Sweet Bamboo Shavings Decoction): Treats Shanghan hiccups.
Ingredients: Ganzhuru (4 liang), Sheng Baimi (raw white rice, 1 sheng).
Preparation: Use eight sheng of water, boil until rice is cooked and broth is ready, strain. Divide doses, take slowly.
Liao Duanju Maogen Chenpi Tang (Short Drama Reed Root Tangerine Peel Decoction): Treats seasonal epidemics in spring and summer where Shanghan Stomach cold transforms.
Ingredients: Baimaogen (sliced, 1 sheng), Jupi (3 liang), Guixin (cinnamon heart, sliced, 2 liang).
Preparation: Slice. Use six sheng of water, boil to obtain three sheng, strain. Divide into three doses, take frequently. Finish all doses. Stop when cured. Induce slight sweating. If heat is present, reduce Guixin by one liang. Avoid raw scallions. Another version includes Gegen (2 liang).
Zhouhou Jupi Gancao Tang (Epistyle Tangerine Peel Licorice Decoction): Treats persistent vomiting and hiccups. Pathogenesis: Latent heat in the Stomach causes chest fullness and Qi rebellion; Qi闻 (sound/movement) causes hiccups. After severe purgation...
Ingredients: Gancao (1 liang, honey-fried), Jupi (3 liang), Shengma (0.5 liang), Shengjiang (3 liang).
Preparation: Use three sheng of water, boil to obtain one sheng. Take all at once. Three to four times daily, should stop. Avoid seaweed and Chinese cabbage.
Maimendong Yinzi (Ophiopogon Decoction): Treats vomiting and reverse Qi.
Ingredients: Maimendong (heart removed), Lugen, Renshen (each 1 liang).
Preparation: Use six sheng of water, boil to obtain two sheng and seven he, strain. Divide into five warm doses, take slowly. Commonly effective.
Another Formula:
Drink 2-3 he of Shengjiang juice. Very good.
Another Formula:
Remove hairs from Pipaye, decoct and drink. Making porridge is also good.
Another Formula:
Grind sesame seeds, boil mung beans until soft, take about half a sheng. Take palm-sized Jupi, burn to ash, sift, mix into beans, and eat.
Lugen Yin (Reed Rhizome Drink): Treats post-Shanghan vomiting, hiccups, reverse regurgitation, and dry retching with inability to eat.
Ingredients: Sheng Maozhugen, Zhuru (each 3 liang), Shengjiang (4 liang), Dazao (12 pieces).
Preparation: Chop. First wash one old straw shoe cleanly, boil in water to extract juice, clarify. Take three large qian of medicine with one and a half cups of water, decoct to 70%, strain and take.
Renshen Hezi (Ginseng and Chebula, from Wangshi Boji Fang): Treats Shanghan with adverse Qi flow, food-induced vomiting, chest discomfort, and occasional diarrhea.
Ingredients: Renshen, Gan Ge, Dihuang, Nongpu (each 2 fen, peeled), Dingxiang (1 fen), Hezi (7 pieces), Doukou (one piece, shelled and peeled).
Preparation: Make into fine powder. Use one cup of water, two qian of powder, add Shengjiang and dates, decoct together to 50%, take hot.
Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction, from Ren Shu): Treats vomiting and reverse Qi.