金匮大半夏汤治胃反呕吐者千金云治反胃不受食食入即吐
半夏(二升) 人参(三两) 白蜜(一升)
千金有白术生姜
上以水一斗二升和蜜扬之二百四十遍煮药取一升半温服一升后再服
茯苓泽泻汤治胃反吐而渴欲饮水者
茯苓(半斤) 泽泻(四两) 甘草 桂枝(各二两) 白术(三两) 生姜(四两)
上水一斗煮取三升内泽泻再煮取二升半温服八合日三外台有小麦一升
按以上二方兼出太阴呕吐哕例药也
病机和中桔梗汤治上焦气热上冲食已暴吐脉浮而洪
桔梗(一两半) 半夏曲(二两) 陈皮(去白) 枳实(炒) 白茯苓(各一两) 白术(一两
半) 浓朴(一两姜制) 煮法如前
上 咀每服一两取清温调木香散二钱隔夜空服三服之后气渐下吐渐止然后去木香等末每
料中
加芍药二两黄 一两半服之病愈即已如大便燥硬食不尽下以大承气汤去硝微下之少利为度再
服前药补之
木香散方槟榔木香各等分为末
按此太阴阳明经药也
病机青镇丸治上焦吐头发痛有汗脉弦
柴胡(二两) 黄芩(七钱半) 甘草(半两) 青黛(二钱半) 人参(半钱)
上为细末姜汁浸蒸饼为丸如桐子大每服五十丸生姜汤下食后服
按此少阳经药也
金花丸治吐食而脉弦者由肝乘于脾而吐宜治风安脾
半夏(一两) 槟榔(二钱) 雄黄(二钱半)
上细末如上法丸姜汤下从少至多渐次服之
按此厥阴例药也青镇丸治肝火之药金花丸治风痰乘于脾胃之药故总入风木之剂
《金匮要略》中的大半夏汤，用于治疗胃反呕吐的症状。《千金方》记载其可治疗反胃、不能进食、食物入口即吐的情况。
半夏（二升），人参（三两），白蜜（一升）。
《千金方》中还有白术、生姜。
以上药物，用水一斗二升，与蜂蜜混合，扬动二百四十次，煎煮药物，取汁一升半，温服一升，之后再服用剩余的药汁。
茯苓泽泻汤，用于治疗胃反呕吐且口渴想喝水的症状。
茯苓（半斤），泽泻（四两），甘草，桂枝（各二两），白术（三两），生姜（四两）。
以上药物，用水一斗，煎煮取汁三升，加入泽泻再煎煮，取汁二升半，温服八合，每日三次。《外台秘要》中有一升小麦。
按：以上两个方剂兼出太阴病呕吐哕的病例用药。
《病机》中的和中桔梗汤，用于治疗上焦气热上冲，食后突然呕吐，脉象浮而洪大。
桔梗（一两半），半夏曲（二两），陈皮（去白），枳实（炒），白茯苓（各一两），白术（一两半），浓朴（一两，姜制）。
煎煮方法如前所述。
以上药物切碎，每次服用一两，取清液调服木香散二钱，空腹隔夜服用。服用三次之后，气机逐渐下行，呕吐逐渐停止，然后去掉木香等药末，每料药中加入芍药二两、黄芪一两半继续服用，病愈即止。如果大便干燥坚硬，食物不尽下，则用大承气汤去掉芒硝，轻微通下，以微微通畅为度，然后再服用前面的药物进行补益。
木香散方：槟榔、木香各等分，研为细末。
按：这是太阴、阳明经的药物。
《病机》中的青镇丸，用于治疗上焦呕吐，伴有头发痛、有汗、脉弦的症状。
柴胡（二两），黄芩（七钱半），甘草（半两），青黛（二钱半），人参（半钱）。
以上药物研为细末，用姜汁浸湿蒸饼，制成梧桐子大小的丸剂。每次服用五十丸，生姜汤送服，饭后服用。
按：这是少阳经的药物。
金花丸，用于治疗呕吐食物且脉象弦的症状，这是由于肝木乘脾土导致的呕吐，适宜采用治风安脾的方法。
半夏（一两），槟榔（二钱），雄黄（二钱半）。
以上药物研为细末，按照上述方法制丸，姜汤送服，从少量开始逐渐增加剂量服用。
按：这是厥阴例的药物。青镇丸是治疗肝火的药物，金花丸是治疗风痰乘于脾胃的药物，因此总归入风木之剂类。
Da Banxia Tang (Great Pinellia Decoction) from *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) treats stomach reversal with vomiting. *Qian Jin Fang* (Thousand Gold Formulas) states it treats fan wei (reverse regurgitation), inability to accept food, and immediate vomiting after ingestion.
Banxia (Pinelliae Rhizoma, two sheng), Renshen (Ginseng Radix et Rhizoma, three liang), Baimi (White Honey, one sheng).
*Qian Jin Fang* also includes Baizhu (Atractylodis Macrocephalae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens).
Take the above ingredients, add twelve dou of water and honey, stir vigorously two hundred and forty times, decoct the herbs, and obtain one and a half sheng of liquid. Take one sheng warm, then take the remainder.
Fuling Zexie Tang (Poria and Alisma Decoction) treats stomach reversal with vomiting accompanied by thirst and desire to drink water.
Fuling (Poria, half jin), Zexie (Alismatis Rhizoma, four liang), Gancao (Glycyrrhizae Radix et Rhizoma), Guizhi (Cinnamomi Ramulus, each two liang), Baizhu (Atractylodis Macrocephalae Rhizoma, three liang), Shengjiang (Zingiberis Rhizoma Recens, four liang).
Take ten dou of water, decoct to obtain three sheng, add Zexie, and decoct again to obtain two and a half sheng. Take eight ge warm, three times daily. *Wai Tai Mi Yao* (Prescriptions from the Imperial Library of the External Storehouse) adds Xiaomai (Tritici Fructus, one sheng).
Note: The above two formulas are also applicable to cases of vomiting and hiccups in the Taiyin syndrome.
Hezhong Jiegeng Tang (Middle-Harmonizing Platycodon Decoction) from *Bing Ji* (Pathogenesis) treats heat in the upper jiao rushing upward, causing sudden vomiting after eating, with a floating and surging pulse.
Jiegeng (Platycodonis Radix, one and a half liang), Banxia Qu (Prepared Pinelliae Rhizoma, two liang), Chenpi (Citri Reticulatae Pericarpium, white part removed), Zhishi (Aurantii Fructus Immaturus, stir-fried), Bai Fuling (Poria, each one liang), Baizhu (Atractylodis Macrocephalae Rhizoma, one and a half liang), Houpo (Magnoliae Officinalis Cortex, one liang, processed with ginger juice).
Decoction method as described previously.
Chop the above herbs. For each dose, take one liang, mix with clear liquid and two qian of Muxiang San (Costus Powder), taken on an empty stomach overnight. After three doses, qi gradually descends and vomiting gradually stops. Then remove Muxiang and other powdered herbs. Add Shaoyao (Paeoniae Radix Alba, two liang) and Huangqi (Astragali Radix, one and a half liang) to each prescription. Continue until the disease is cured. If stool is dry and hard and food does not pass completely, use Dachengqi Tang (Major Order the Qi Decoction) without Mangxiao (Natrii Sulfas) to gently purge, stopping when slight laxation occurs, then resume the previous medication to tonify.
Muxiang San Formula: Binglang (Arecae Semen) and Muxiang (Aucklandiae Radix) in equal parts, ground into powder.
Note: These are medicines for the Taiyin and Yangming meridians.
Qingzhen Wan (Green Sedative Pill) from *Bing Ji* treats upper jiao vomiting accompanied by headache, sweating, and a wiry pulse.
Chaihu (Bupleuri Radix, two liang), Huangqin (Scutellariae Radix, seven qian and half), Gancao (Glycyrrhizae Radix et Rhizoma, half liang), Qingdai (Indigo Naturalis, two qian and half), Renshen (Ginseng Radix et Rhizoma, half qian).
Grind the above into fine powder. Soak steamed leavened cake in ginger juice and form pills the size of paulownia seeds. Take fifty pills per dose, washed down with ginger soup, after meals.
Note: This is a medicine for the Shaoyang meridian.
Jinhua Wan (Golden Flower Pill) treats vomiting of food with a wiry pulse. This is caused by Liver wood overacting on Spleen earth leading to vomiting; treatment should focus on dispelling wind and calming the Spleen.
Banxia (Pinelliae Rhizoma, one liang), Binglang (Arecae Semen, two qian), Xionghuang (Realgar, two qian and half).
Grind the above into fine powder. Form pills as described above. Take with ginger tea, starting with a small amount and gradually increasing.
Note: This belongs to the Jueyin category. Qingzhen Wan is a medicine for treating Liver fire; Jinhua Wan is a medicine for treating wind-phlegm attacking the Spleen and Stomach. Therefore, they are collectively classified under agents for Wind-Wood.