治酒癖停饮吐酸水。（《圣惠方》）
干姜（炮） 葛根 枳壳（去穣，锉，麸炒） 橘红 前胡（去苗，净洗，各半两） 白
术
半夏曲（各一两） 甘草（炙） 吴茱萸（汤泡七次，焙，各一分）
上为细末，炼蜜丸如梧子大。每服三十丸，用饮下。甲寅年服上二方有验。
治积聚停饮，痰水生虫，久则成反胃，及变为胃痈，其说在《灵枢》及《巢氏病源》。
芫花（醋制干，秤，一两） 干漆（炒令烟尽） 野狼牙根 桔梗（炒黄） 藜芦（炒） 槟
榔（
各半两） 巴豆（十个，炒微黑黄）
上为细末，醋糊丸如赤豆大。每服二三丸，加至五七丸，食前姜汤下。
第六卷《病能论》云∶黄帝问曰∶人病胃脘痈者，诊当何如？岐伯对曰∶诊此者当得
胃脉，其脉当沉细。沉细气逆，逆者人迎甚盛，甚盛则热。人迎者，胃脉也。逆而盛则热聚
于胃口而不行，故胃脘为痈也。
此方常服化痰消坚杀虫。予患饮癖三十年，暮年多嘈杂，痰饮来潮即吐，有时急饮半杯
即止，盖合此证也。因读《巢氏病源论》酒瘕云∶饮酒多而食谷少，积久渐瘦，其病常思酒
，不得酒则吐，多睡不复能食。是胃中有虫使然，名为酒瘕。此药治之，要之须禁酒即易治
，不禁无益也。
《巢氏病源论》第十九卷论积聚 瘕中载∶人之积聚 瘕，皆由饮食不节，脏腑虚弱而
生，久则成形云。
昔曾有人共奴俱患鳖瘕，奴死后腹中得一白鳖，有人乘白马来看此鳖，白马遗尿，随
鳖上，鳖即缩头及脚，寻以马尿灌之，即化为水。其主曰∶吾将瘥矣。即服之，果得瘥。
予生平有二疾，一则脏腑下血，二则膈中停饮，下血有时而止，停饮则无时。始因年少
时夜坐为文，左向伏几案，是以饮食多坠向左边，中夜以后稍困乏，必饮两三杯，既卧就枕
，又向左边侧睡，气壮盛时，殊不觉。三五年后，觉酒止从左边下，漉漉有声，胁痛，饮食
殊减，十数日必呕数升酸苦水，暑月只是右边身有汗， 常润，左边病处绝燥，遍访名医
及海上方服之，少有验。间或中病，只得月余复作，其补则如天雄附子矾石，其利则如牵牛
甘遂大戟，备尝之矣。予后揣度之，已成癖囊，如潦水之有科臼，不盈科不行，水盈科而行
也，清者可行，浊者依然停 ，盖下无路以决之也，是以积之五七日必呕而去，稍宽数日复
作。脾，土也，恶湿，而水则流湿，莫若燥脾以胜湿，崇土以填科臼，则疾当去矣。于是悉
屏诸药，一味服苍术，三月而疾除。自此一向服数年，不吐不呕，胸膈宽，饮啖如故，暑月
汗周身而身凉，饮亦当中下，前此饮渍其肝，目亦多昏眩，其后灯下能书细字，皆苍术之力
也。其法苍术一斤，去皮切末之，用生油麻半两，水二盏，研滤取汁，大枣十五枚，烂煮去
皮核研，以麻汁匀研成稀膏，搜和入臼熟杵，丸梧子大，干之。每日空腹用盐汤吞下五十丸
，增至一百丸，二百丸，忌桃李雀鸽。初服时必膈微燥，且以茅术制之，觉燥甚，进山栀散
一服，久之不燥矣。予服半年以后，只用燥烈味极辛者，削去皮不浸极有力，亦自然不燥也
。山栀散用山栀子一味，干之为末，沸汤点服。故知久坐不可伏向一边，时或运动，亦消息
之法。
治疗酒癖、停饮导致的吐酸水。（出自《圣惠方》）
干姜（炮制） 葛根 枳壳（去除瓤，锉碎，麸皮炒） 橘红 前胡（去苗，洗净，各半两） 白术
半夏曲（各一两） 甘草（炙） 吴茱萸（汤泡七次，焙干，各一分）
以上药物研为细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸，用温水送服。甲寅年服用上述两个方子有效验。
治疗积聚、停饮，痰湿滋生虫体，日久形成反胃，以及变为胃痈，其理论依据在《灵枢》及《巢氏病源》中已有记载。
芫花（醋制后晒干，称取，一两） 干漆（炒至烟尽） 野狼牙根 桔梗（炒黄） 藜芦（炒） 槟榔（各半两） 巴豆（十个，炒至微黑黄色）
以上药物研为细末，用醋糊制成如赤豆大小的丸剂。每次服用二至三丸，逐渐增加至五至七丸，饭前用姜汤送服。
第六卷《病能论》记载：黄帝问道：人患胃脘痈的病，诊察应当如何？岐伯回答说：诊察此病应当得到胃脉，其脉象应当沉细。沉细而气逆，气逆则人迎脉非常盛大，盛大则发热。人迎脉，就是胃的经脉。气逆且盛大，则热邪聚集于胃口而不能运行，所以胃脘部形成痈肿。
这个方子常服可以化痰、消坚积、杀虫。我患有饮癖三十年，晚年时常感到嘈杂，痰饮发作时就会呕吐，有时急饮半杯水就能止住，这大概符合这种病症。因为读《巢氏病源论》关于酒瘕的记载说：饮酒多而进食少，积久身体逐渐消瘦，病人常常想喝酒，喝不到酒就会呕吐，嗜睡且不能再进食。这是胃中有虫造成的，称为酒瘕。此药可以治疗它，关键在于必须戒酒才能容易治愈，不戒酒则无益。
《巢氏病源论》第十九卷论积聚和瘕症中记载：人的积聚和瘕症，都是由饮食不节制，脏腑虚弱而产生的，时间久了就会成形。
曾经有人与他的奴仆都患有鳖瘕，奴仆死后腹中得到一只白鳖，有人骑着白马来看这只白鳖，白马撒尿，尿液随着流到白鳖身上，白鳖就缩头缩脚，随即用马尿灌下去，白鳖就化为水了。那个主人说：“我的病快要好了。”于是服用了马尿，果然痊愈了。
我生平有两种疾病，一种是脏腑下血，另一种是膈中停饮。下血有时能停止，但停饮则没有休止的时候。起初是因为年轻时夜里坐着写文章，向左伏在案几上，所以饮食大多坠向左边，半夜以后稍微困乏，一定要喝两三杯酒，躺下睡觉时，又向左侧卧，气血旺盛时，并不觉得有什么异常。三五年后，感觉酒只从左边下行，漉漉有声，胁肋疼痛，饮食大大减少，十几天必呕吐数升酸苦水，夏天只是右边身体出汗，经常湿润，左边的病处绝对干燥，遍访名医及海上方服用，很少有见效的。偶尔病情缓解，也只能维持一个多月又复发，我用补法如同天雄、附子、矾石，用泻法如同牵牛、甘遂、大戟，全都尝试过了。后来我揣摩病情，认为已成癖囊，就像积水洼地有坑穴一样，不填满坑穴水流不过去，水填满坑穴才流动。清稀的水可以流动，浑浊的水依然停滞，因为没有出路来排泄它，所以积累五七天必然呕吐出去，稍宽舒几天又发作。脾属土，厌恶湿气，而水会流向潮湿之处，不如燥脾以胜湿，培土以填平坑穴，那么疾病应当去除。于是全部停用其他药物，只一味服用苍术，三个月疾病消除。从此一直服用数年，不吐不呕，胸膈宽舒，饮食如常，夏天全身出汗且身体凉爽，饮水也能正常下行，此前饮水浸渍肝脏，眼睛也多昏眩，后来能在灯下书写小字，都是苍术的功效。其方法是：苍术一斤，去皮切末，用生油麻半两，水两盏，研磨过滤取汁，大枣十五枚，煮烂去皮核研磨，用麻汁均匀研磨成稀膏，调和入臼中捣熟，制成梧桐子大小的丸剂，晾干。每天空腹用盐汤吞服五十丸，增加到一百丸，二百丸，忌食桃李雀鸽。初服时必然胸膈微燥，暂且用茅术来制约它，如果觉得燥得很厉害，进服山栀散一剂，久而久之就不燥了。我服用半年以后，只用燥烈味极辛的药材，削去皮不浸泡，极有力道，也自然不燥了。山栀散只用山栀子一味，晒干研为末，用沸水冲服。所以知道久坐不可偏向一边，偶尔运动，也是调养的方法。
Treats alcohol-induced phlegm-fluid retention (Jiu Xi) and fluid accumulation leading to vomiting of sour water. (From *Shenghui Fang*)
Pao Zhi Gan Jiang (Prepared Rhizoma Zingiberis), Gegen (Radix Puerariae), Zhike (Fructus Aurantii, pulp removed, sliced, bran-fried), Juhong (Pericarpium Citri Reticulatae Qianhu (Radix Peucedani, radix removed, cleaned), each half tael; Baizhu (Rhizoma Atractylodis Macrocephalae); Banxiaqu (Massa Medicata Fermentata, one tael); Zhi Gancao (Prepared Radix Glycyrrhizae); Wuzhuyu (Evodiae Fructus, soaked in hot water seven times, dried, one fen).
Grind the above into a fine powder, mix with refined honey, and form pills the size of wutong seeds. Take thirty pills per dose, swallowed with warm water. In the Jiayin year, these two formulas proved effective.
Treats accumulations (Ji Ju) and fluid retention where phlegm-dampness generates parasites; if prolonged, this may transform into regurgitation (Fanwei) or stomach abscess (Weiyong). The theory is discussed in *Lingshu* and *Chaoshi Bingyuan*.
Yuanhua (Radix Genkwa, vinegar-processed and dried, weighed, one tael); Ganxi (Resina Taxodi); Yelangyagen (Radix Siegesbeckiae); Jiegeng (Radix Platycodonis, fried until yellow); Lilu (Radix Veratri, fried); Binglang (Semen Arecae), each half tael; Badou (Semen Crotonis, ten seeds, fried until slightly blackish-yellow).
Grind the above into a fine powder, bind with vinegar paste, and form pills the size of red beans. Take two to three pills per dose initially, gradually increasing to five to seven pills, taken before meals with ginger decoction.
Volume 6, *Bingneng Lun*, states: The Yellow Emperor asked, "How should one diagnose a patient suffering from stomach abscess?" Qibo replied, "Diagnosis requires examining the Stomach pulse; it should be deep and fine. If deep and fine but with rebellious Qi, the Renying pulse will be extremely full. Fullness indicates heat. The Renying pulse corresponds to the Stomach meridian. Rebellious and full Qi causes heat to gather at the gastric opening without circulating, thus forming an abscess in the epigastrium."
This formula, when taken regularly, resolves phlegm, dissipates hardness, and eliminates parasites. I suffered from fluid-phlegm retention for thirty years. In my later years, I often experienced heartburn. When phlegm-fluid surged, I would vomit; sometimes drinking half a cup of water quickly would stop it. This likely matches this syndrome. Reading *Chaoshi Bingyuan Lun* on alcohol-induced mass (Jiu Xia): "Drinking excessively while eating little leads to gradual emaciation over time. The patient constantly desires alcohol; without it, they vomit, sleep excessively, and lose appetite. This is caused by worms in the stomach, named 'Alcohol Xia'. This medicine treats it, provided alcohol is strictly prohibited for easier cure; otherwise, it is useless."
Volume 19 of *Chaoshi Bingyuan Lun* on Accumulations and Masses states: "Accumulations and masses in humans arise from irregular diet and weak Zang-Fu organs; after a long time, they take physical form."
Once, a man and his slave both suffered from turtle-mass (Bie Xia). After the slave died, a white turtle was found in his abdomen. Someone riding a white horse came to see it; the horse urinated, and the urine flowed onto the turtle. The turtle retracted its head and legs. Immediately, the horse urine was poured down its throat, and the turtle dissolved into water. The master said, "My illness will heal." He drank it and indeed recovered.
I have had two chronic conditions throughout my life: bleeding from the lower Zang-Fu organs, and fluid retention in the diaphragm. The bleeding stopped intermittently, but the fluid retention never ceased. Initially, because I used to sit up late writing essays, leaning to the left on the desk, food tended to settle on the left side. After midnight, feeling tired, I would drink two or three cups of wine. When lying down to sleep, I slept on my left side. When my Qi and blood were vigorous, I felt no discomfort. After three to five years, I noticed the wine only flowed down the left side, making a gurgling sound, accompanied by hypochondriac pain and significantly reduced appetite. Every ten days or so, I would vomit several sheng of sour, bitter water. In summer, only the right side of my body sweated and remained moist, while the diseased left side remained completely dry. I visited many famous doctors and tried various prescriptions, with little effect. Occasionally, symptoms relieved, but only lasted a month before recurring. I tried tonifying methods like Tianxiong, Fuzi, and Fanshi, and purging methods like Qianniu, Gansui, and Daji, trying them all. Later, I reasoned that a phlegm-nodule had formed, like a puddle with depressions; water does not flow until the depressions are filled. Clear fluids could flow, but turbid fluids remained stagnant because there was no outlet to drain them. Thus, every five to seven days, I would vomit them out, and after a few days of relief, the condition would return. The Spleen belongs to Earth and dislikes dampness, while water flows toward damp areas. Therefore, drying the Spleen to overcome dampness and strengthening Earth to fill the depressions should eliminate the disease. Consequently, I discontinued all other medicines and took only Cangzhu (Rhizoma Atractylodis). After three months, the disease vanished. For several years thereafter, I did not vomit or regurgitate, my chest and diaphragm felt open, and my appetite returned. In summer, I sweated evenly over my whole body and felt cool, and water drank normally descended. Previously, fluid retention had soaked the Liver, causing frequent dizziness and blurred vision; afterward, I could read small print under lamplight, all due to the power of Cangzhu.
The method is as follows: Take one jin of Cangzhu, remove the skin and grind into powder. Use half a liang of raw Sesame (Sesamum indicum L.), add two zhan of water, grind and filter to extract juice. Cook fifteen large dates (Ziziphus jujuba Mill.) until soft, remove skin and pits, and mash. Mix the sesame juice evenly with the date paste to form a thin paste. Combine with the Cangzhu powder, pound thoroughly in a mortar, and form pills the size of wutong seeds. Dry them. Swallow fifty pills daily on an empty stomach with salted water, increasing to one hundred, then two hundred pills. Avoid peaches, plums, sparrows, and pigeons. Initially, taking the pills may cause slight dryness in the chest/diaphragm; temporarily use Maoshu (Rhizoma Atractylodis Lanceae) to counteract it. If dryness becomes severe, take one dose of Shanzhi San (Gardenia Powder). Over time, the dryness subsides. After taking it for half a year, I used only highly pungent and drying herbs, peeled and unsoaked, which were potent yet naturally non-drying. Shanzhi San consists solely of dried Gardenia fruit (Gardeniae Fructus), ground into powder, and taken with boiling water. Thus, one must know that sitting for long periods without changing posture is harmful; occasional movement is also a method of regulation.