夫痰逆不下食者。由胸膈壅滞。津液不通。痰水结聚。不能消散。流行于脾。脾性恶湿。
得
方
黄 散（出圣惠方）治痰止逆。和胃思食。调利五脏。
黄 （一两锉） 半夏（半两汤浸七次去滑） 人参（三分去芦头） 桂心（半两） 陈
橘皮
（三分
微黄去瓤
）芎
三枚。
煎至
枇杷叶散（出圣惠方）治痰逆。温胃口。思饮食。
青橘皮（半两汤浸去白瓤焙） 草豆蔻（半两去皮） 前胡（一两去芦头） 枇杷叶（一
两微
黄拭
皮（半两
锉）
中盏。
入
丁香散（出圣惠方）治痰积心胸。气噎呕逆。饮不下。
丁香（一两） 陈橘皮（一两汤浸去白瓤焙） 赤茯苓（一两） 半夏（半两汤洗七次
去滑）
人
散。每服
四钱。以水一中盏。入生姜半
木瓜散（出圣惠方）治痰逆。不思饮食。化涎益脾胃。
干木瓜（一两） 高良姜（半两锉） 陈橘皮（半两汤浸去白瓤焙） 桂心（半两） 诃
黎勒皮
（半
夏
（半两
不计时
疗心胸中痰积。气噎呕逆。食不下。
柴胡 橘皮（各六分） 茯苓（十分） 人参 麦门冬（去心） 鸡苏（各八分） 生
姜槟榔
（各
八里。
槟榔散（出圣惠方）治胸中痰壅呕逆。不纳饮食。四肢少力。腹内小鸣。
槟榔（三分） 半夏（一两汤洗七次去滑） 赤茯苓（一两） 白术（二两） 青橘皮
（半两去
白瓤
炒微
黄）
治痰逆不能下食。调和胸膈。宜服此方。（出圣惠方）
前胡（一两去芦头） 半夏（半两汤洗七次去滑） 木香（三分） 赤茯苓（三分） 白
术（一
两）
服四
钱。水
治痰逆。暖胃口。思饮食。宜服此方。（出圣惠方）
白矾（一两烧灰） 半夏（半两汤洗七次去滑） 干姜（半两炮制锉） 上为末。以生
姜汁炙
面糊
木香丸（一名消痰丸出圣惠方）治痰逆。暖脾胃。不思饮食。（方见消痰丸）
三圣散（出儒门事亲）
防风（三两去芦） 藜芦（去苗心加减用之或一两或半两或八分） 瓜蒂（三两拣净研
碎以
纸卷
约半
熬沸
半夏棋子（出十便良方）治久病湿冷。不下食。呕吐不止。停饮在胃中。
上以半夏五两洗。捣罗为末。取二钱。以白面一两。水和搜。切棋子。水煮面熟为度。
生姜
稀涎散（出儒门事亲）
猪牙皂角（不虫蛀者去皮弦秤一两炙黄用） 绿矾（二两） 晋矾 藜芦（各半两） 上
为
末。每
治痰壅。呕吐逆。心胸满闷。不下饮食。（出本草）
用浓朴一两。涂生姜汁。炙令黄为末。非时。粥饮调下二钱匕。
疗胸中多痰。头痛不饮食。（出本草）
用矾石一两。以水二升。煮取一升。纳蜜半合。顿服。须臾时出涎痰。如未吐。当饮少
热汤
【背景信息】
书名：普济方 作者：朱梓 朝代：明·永乐四年 章节：痰逆不下食（附论） 类别：方剂
【原文翻译】
所谓痰逆导致无法进食，是由于胸膈部位气机壅滞，津液运行不通畅，痰饮与水湿凝结聚积，不能消散，流注于脾脏。脾脏的特性是厌恶湿气。
得到以下方剂：
黄散（出自《太平圣惠方》），治疗痰饮上逆，止住气逆，调和胃气，增进食欲，调理五脏功能。
药材：黄（一两，锉碎）、半夏（半两，用汤浸泡七次以去除滑腻黏液）、人参（三分，去掉芦头）、桂心（半两）、陈皮（三分，微黄色，去掉瓤）、川芎（三枚）。
煎服方法：加水一中盏，煎至...（原文此处有缺漏，通常煎至剩余一定量，去滓温服）。
枇杷叶散（出自《太平圣惠方》），治疗痰逆，温暖胃口，促进饮食欲望。
药材：青橘皮（半两，汤浸去白瓤后焙干）、草豆蔻（半两，去皮）、前胡（一两，去芦头）、枇杷叶（一两，微黄色，拭去绒毛）、[原文此处可能有脱字，推测为其他药材或剂量]、陈皮（半两，锉碎）。
煎服方法：加水一中盏，加入生姜...（原文此处有缺漏），煎煮...
丁香散（出自《太平圣惠方》），治疗痰积在心胸，气噎呕逆，饮水难下。
药材：丁香（一两）、陈皮（一两，汤浸去白瓤后焙干）、赤茯苓（一两）、半夏（半两，汤洗七次去滑）、人参...
服用方法：每次服用四钱，加水一中盏，加入生姜半片...（原文此处有缺漏），煎煮...
木瓜散（出自《太平圣惠方》），治疗痰逆，不思饮食，化除涎沫，有益脾胃。
药材：干木瓜（一两）、高良姜（半两，锉碎）、陈皮（半两，汤浸去白瓤后焙干）、桂心（半两）、诃黎勒皮（半两）、半夏（半两，汤洗七次去滑）。
服用方法：不计时服...（原文此处有缺漏）。
[某方，原文缺失方名]，治疗心胸中痰积，气噎呕逆，食物难下。
药材：柴胡、陈皮（各六分）、茯苓（十分）、人参、麦门冬（去心）、鸡苏（各八分）、生姜、槟榔（各...）。
煎服方法：...（原文此处有缺漏）。
槟榔散（出自《太平圣惠方》），治疗胸中痰壅呕逆，不能纳受饮食，四肢乏力，腹内肠鸣。
药材：槟榔（三分）、半夏（一两，汤洗七次去滑）、赤茯苓（一两）、白术（二两）、青橘皮（半两，去白瓤，炒微黄）。
功效：治疗痰逆不能下食，调和胸膈，适宜服用此方。（出自《太平圣惠方》）
[某方，原文缺失方名]，治疗痰逆，温暖胃口，促进饮食欲望，适宜服用此方。（出自《太平圣惠方》）
药材：前胡（一两，去芦头）、半夏（半两，汤洗七次去滑）、木香（三分）、赤茯苓（三分）、白术（一两）。
服用方法：每次服用四钱，加水...（原文此处有缺漏）。
[某方，原文缺失方名]，治疗痰逆，温暖胃口，促进饮食欲望，适宜服用此方。（出自《太平圣惠方》）
药材：白矾（一两，烧成灰）、半夏（半两，汤洗七次去滑）、干姜（半两，炮制后锉碎）。
制作与服用方法：以上药物研为细末，用生姜汁和面糊制成...（原文此处有缺漏）。
木香丸（又名消痰丸，出自《太平圣惠方》），治疗痰逆，温暖脾胃，改善不思饮食的症状。（方剂内容见“消痰丸”条下）
三圣散（出自《儒门事亲》）
药材：防风（三两，去芦）、藜芦（去苗心，根据病情加减使用，可用一两、半两或八分）、瓜蒂（三两，拣选干净，研碎，用纸卷...）。
制作与服用方法：约半...（原文此处有缺漏），熬沸...
半夏棋子（出自《十便良方》），治疗久病湿冷，无法进食，呕吐不止，停饮在胃中。
制作方法：取半夏五两洗净，捣罗成细末，取二钱半夏末，加白面一两，用水调和揉捏，切成棋子形状，用水煮至面熟为止。
服用方法：配生姜...（原文此处有缺漏）。
稀涎散（出自《儒门事亲》）
药材：猪牙皂角（无虫蛀者，去皮弦，秤取一两，炙黄备用）、绿矾（二两）、晋矾（即白矾）、藜芦（各半两）。
制作与服用方法：以上药物研为细末。每次服用...（原文此处有缺漏）。
[某法，出自《本草》]，治疗痰壅，呕吐气逆，心胸满闷，不能进食。（出自《本草》）
用法：用浓朴一两，涂生姜汁，炙令黄色，研为细末。不拘时候，用粥饮调下二钱匕。
[某法，出自《本草》]，治疗胸中多痰，头痛，不能进食。（出自《本草》）
用法：用矾石一两，加水二升，煮取一升，加入蜂蜜半合，一次性服用。须臾之间会吐出涎痰。如果未吐，应当饮用少量热汤。
Background Information:
Book Title: Puji Fang (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Phlegm Reversal with Inability to Eat (With Discussion)
Category: Formulas
Original Text Translation:
Regarding "phlegm reversal leading to inability to eat," this condition arises from stagnation and obstruction in the chest and diaphragm, where body fluids fail to circulate smoothly. Phlegm-fluids condense and accumulate, unable to dissipate, and flow into the Spleen. The Spleen's nature dislikes dampness.
The following formulas are obtained:
Huang San (Cinnamon Twig Powder, sourced from *Taiping Shenghui Fang*), treats phlegm reversal, stops qi rebellion, harmonizes the Stomach, stimulates appetite, and regulates the Five Zang Organs.
Ingredients: Huang [likely Guizhi/Cinnamomi Ramulus or similar, text says 'Huang'] (1 liang, crushed), Banxia (Pinelliae Rhizoma, 0.5 liang, soaked in hot water seven times to remove slipperiness), Renshen (Ginseng Radix, 3 fen, removed rhizome), Guixin (Cinnamomi Cortex, 0.5 liang), Chenpi (Citri Reticulatae Pericarpium, 3 fen, slightly yellow, pith removed), Xiongqiong [Likely Xiongsu or Chuanxiong, text implies a root/rhizome, likely Chuanxiong/Rhizoma Chuanxiong based on context of phlegm/qi] (3 pieces).
Decoction method: Add one zhan of water, decoct until... [text missing].
Pipaye San (Loquat Leaf Powder, sourced from *Taiping Shenghui Fang*), treats phlegm reversal, warms the stomach appetite, and promotes desire for food.
Ingredients: Qingjupi (Aurantii Fructus Viridis, 0.5 liang, soaked in water, white pith removed, dried), Caodoukou (Cardamomi Fructus, 0.5 liang, peeled), Qianhu (Peucedani Radix, 1 liang, rhizome removed), Pipaye (Eriobotryae Folium, 1 liang, slightly yellow, hairs wiped off), [Text missing], Chenpi (Citri Reticulatae Pericarpium, 0.5 liang, crushed).
Decoction method: Add one zhan of water, add fresh ginger... [text missing], decoct...
Dingxiang San (Clove Powder, sourced from *Taiping Shenghui Fang*), treats phlegm accumulation in the chest and heart, qi blockage with vomiting and reversal, and difficulty swallowing liquids.
Ingredients: Dingxiang (Caryophylli Flos, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried), Chifuling (Polyporus, 1 liang), Banxia (Pinelliae Rhizoma, 0.5 liang, washed in water seven times to remove slipperiness), Renshen [Ginseng Radix]...
Administration: Take 4 qian per dose, add one zhan of water, add half a slice of fresh ginger... [text missing], decoct...
Mugua San (Papaya Powder, sourced from *Taiping Shenghui Fang*), treats phlegm reversal, lack of appetite, resolves saliva/phlegm, and benefits the Spleen and Stomach.
Ingredients: Gan Mugua (Chaenomelis Fructum, 1 liang), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 0.5 liang, crushed), Chenpi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in water, white pith removed, dried), Guixin (Cinnamomi Cortex, 0.5 liang), Helilepi (Terminaliae Chebulae Pericarpium, 0.5 liang), Banxia (Pinelliae Rhizoma, 0.5 liang, washed in water seven times to remove slipperiness).
Administration: Take at any time... [text missing].
[Formula Name Missing], treats phlegm accumulation in the chest and heart, qi blockage with vomiting and reversal, and inability to eat.
Ingredients: Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium) (each 6 fen), Fuling (Poria, 10 fen), Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix, heart removed), Jisu (Elsholtziae Herba) (each 8 fen), Shengjiang (Zingiberis Rhizoma Recens), Binglang (Arecae Semen) (each...).
Decoction method: ... [text missing].
Binglang San (Areca Seed Powder, sourced from *Taiping Shenghui Fang*), treats phlegm congestion in the chest with vomiting and reversal, inability to accept food, weakness in the four limbs, and minor rumbling in the abdomen.
Ingredients: Binglang (Arecae Semen, 3 fen), Banxia (Pinelliae Rhizoma, 1 liang, washed in water seven times to remove slipperiness), Chifuling (Polyporus, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Qingjupi (Aurantii Fructus Viridis, 0.5 liang, white pith removed, stir-fried until slightly yellow).
Efficacy: Treats phlegm reversal preventing food intake, harmonizes the chest and diaphragm. This formula is suitable for use. (Sourced from *Taiping Shenghui Fang*)
[Formula Name Missing], treats phlegm reversal, warms the stomach appetite, and promotes desire for food. This formula is suitable for use. (Sourced from *Taiping Shenghui Fang*)
Ingredients: Qianhu (Peucedani Radix, 1 liang, rhizome removed), Banxia (Pinelliae Rhizoma, 0.5 liang, washed in water seven times to remove slipperiness), Muxiang (Aucklandiae Radix, 3 fen), Chifuling (Polyporus, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang).
Administration: Take 4 qian per dose, add water... [text missing].
[Formula Name Missing], treats phlegm reversal, warms the stomach appetite, and promotes desire for food. This formula is suitable for use. (Sourced from *Taiping Shenghui Fang*)
Ingredients: Baijian (Alumen, 1 liang, calcined to ash), Banxia (Pinelliae Rhizoma, 0.5 liang, washed in water seven times to remove slipperiness), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed and crushed).
Preparation and Administration: Grind the above ingredients into fine powder. Use fresh ginger juice and wheat paste to form... [text missing].
Muxiang Wan (Aucklandia Pill, also known as Xiaotan Wan/Phlegm-Resolving Pill, sourced from *Taiping Shenghui Fang*), treats phlegm reversal, warms the Spleen and Stomach, and addresses lack of appetite. (See formula under "Xiaotan Wan")
Sansheng San (Three Holy Powders, sourced from *Rumen Shiqin*)
Ingredients: Fangfeng (Saposhnikoviae Radix, 3 liang, rhizome removed), Lilu (Veratri Rhizoma, remove seedlings and heart, adjust dosage according to condition: 1 liang, 0.5 liang, or 8 fen), Gudi (Cucumeris Fructus, 3 liang, selected clean, ground into powder, rolled in paper...).
Preparation and Administration: Approximately half... [text missing], boil...
Banxia Qizi (Pinellia Chess Pieces, sourced from *Shibian Liangfang*), treats chronic illness with damp-cold, inability to eat, incessant vomiting, and retained fluid in the Stomach.
Preparation: Take 5 liang of Banxia (Pinelliae Rhizoma), wash it, pound and sieve into powder. Take 2 qian of the powder, mix with 1 liang of white flour, knead with water, cut into chess-piece shapes, and boil in water until the dough is cooked.
Administration: With fresh ginger... [text missing].
Xixian San (Thin Saliva Powder, sourced from *Rumen Shiqin*)
Ingredients: Zhuya Zaojiao (Gleditsiae Sinensis Spina, non-worm-eaten, remove skin and strings, weigh 1 liang, roast until yellow for use), Lvfan (Chalcanthitum, 2 liang), Jin Fan (Alumen), Lilu (Veratri Rhizoma) (each 0.5 liang).
Preparation and Administration: Grind the above ingredients into fine powder. Take... [text missing] per dose.
[Method, sourced from *Bencao*], treats phlegm congestion, vomiting and qi reversal, fullness and oppression in the chest and heart, and inability to eat. (Sourced from *Bencao*)
Usage: Use Nongpo (Magnoliae Officinalis Cortex, 1 liang), coat with fresh ginger juice, roast until yellow, grind into powder. At any time, take 2 qian bi mixed with rice gruel.
[Method, sourced from *Bencao*], treats excessive phlegm in the chest, headache, and inability to eat. (Sourced from *Bencao*)
Usage: Use Fanshi (Alumen, 1 liang), add 2 sheng of water, boil to obtain 1 sheng. Add half he of honey. Take all at once. After a short while, saliva and phlegm will be expelled. If not vomited, drink a small amount of hot soup.