金匮大黄甘草汤治食已即吐者
大黄(四两) 甘草(一两)
上水三升煮取一升分温再服
按此出太阴呕吐哕例药也
病机荆黄汤治暴吐者上焦热气所冲也脉浮而洪
荆芥穗(一两) 人参(五钱) 甘草(二钱半) 大黄(三钱)
上粗末都作一服水煎去滓调槟榔散二钱空心服槟榔散方槟榔二钱木香一钱半轻粉少许为
丸亦可
按此厥阴阳明太阳经药也
发明人参利膈丸治胸中不利痰嗽喘满利脾胃壅滞治膈气圣药
木香 槟榔(七钱半) 人参 当归 藿香(一两) 甘草 枳实(各一两) 大黄(酒浸)
浓朴(制二两)
上为末滴水丸桐子大温水送下
按此太阴阳明经药也
病机紫沉丸治中焦吐食由食积与寒气相假故吐而痛
半夏曲 代赭石 砂仁(各五钱) 杏仁 沉香 木香 白术(各一钱) 乌梅肉 丁香
槟榔(各二钱) 橘皮(二钱) 肉果 巴豆霜(各半钱另研)
上为末入巴豆霜令匀醋糊为丸如黍米大每服五十丸食后柿霜汤下吐愈则止
按此太阴阳明经药也
浓朴丸主翻胃吐逆饮食噎塞气上冲心腹中结疾
浓朴 黄连(二两半) 吴茱萸(汤洗七次) 紫菀 菖蒲 柴胡 桔梗 茯苓 皂角(炙)
桂
(刮) 干姜(炮) 巴豆霜(另研) 蜀椒(炒出汗) 人参(各半两) 川乌头(炮去皮脐二两半)
上为细末入巴豆霜匀炼蜜为剂旋丸桐子大每服三丸渐次加之以利为度姜汤下春夏加黄连
二两秋冬加浓朴二两
按此太阴阳明厥阴经药也
《金匮要略》中的大黄甘草汤,用于治疗进食后立即呕吐的症状。
方药组成:大黄(四两),甘草(一两)。
煎服方法:用水三升,煎煮至一升,分两次温服。
按语:此方出自太阴病呕吐哕的条目中。
《病机》记载的荆黄汤,用于治疗突发呕吐,其病机为上焦热气上冲所致,脉象浮而洪大。
方药组成:荆芥穗(一两),人参(五钱),甘草(二钱半),大黄(三钱)。
煎服方法:将药物捣成粗末,一次性煎煮,去渣后调入槟榔散二钱,空腹服用。
槟榔散的配方为:槟榔(二钱),木香(一钱半),轻粉少许,制成丸剂亦可。
按语:此方涉及厥阴经、阳明经和太阳经的药物。
《发明》记载的人参利膈丸,用于治疗胸中痞塞不利、痰嗽、气喘胀满,以及调理脾胃壅滞,是治疗膈气的圣药。
方药组成:木香,槟榔(七钱半),人参,当归,藿香(一两),甘草,枳实(各一两),大黄(酒浸),浓朴(制,二两)。
煎服方法:将药物研为细末,滴水泛丸,如梧桐子大小,用温水送服。
按语:此方涉及太阴经和阳明经的药物。
《病机》记载的紫沉丸,用于治疗中焦吐食,病因是食积与寒气相互搏结,导致呕吐且伴有疼痛。
方药组成:半夏曲,代赭石,砂仁(各五钱),杏仁,沉香,木香,白术(各一钱),乌梅肉,丁香,槟榔(各二钱),橘皮(二钱),肉果,巴豆霜(各半钱,另研)。
煎服方法:将药物研为细末,加入巴豆霜混合均匀,用醋糊制作丸剂,如黍米大小。每次服用五十丸,饭后用柿霜汤送服,呕吐停止即停药。
按语:此方涉及太阴经和阳明经的药物。
浓朴丸,主治翻胃吐逆、饮食噎塞、气上冲心、腹中结聚疼痛等症状。
方药组成:浓朴,黄连(二两半),吴茱萸(汤洗七次),紫菀,菖蒲,柴胡,桔梗,茯苓,皂角(炙),桂(刮皮),干姜(炮制),巴豆霜(另研),蜀椒(炒出汗),人参(各半两),川乌头(炮制,去皮脐,二两半)。
煎服方法:将药物研为细末,加入巴豆霜混合均匀,用炼蜜为粘合剂,随时制成梧桐子大小的丸剂。每次服用三丸,逐渐加量,以通利大便为度,用姜汤送服。春夏季节加黄连二两,秋冬季节加浓朴二两。
按语:此方涉及太阴经、阳明经和厥阴经的药物。
The Dahuang Gancao Tang (Rhubarb and Licorice Decoction) from *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) is indicated for vomiting immediately after eating.
Ingredients: Dahuang (Rhei Radix et Rhizoma, 4 liang), Gancao (Glycyrrhizae Radix, 1 liang).
Preparation and Administration: Decoct with 3 sheng of water until 1 sheng remains; divide into two doses and take warm.
Commentary: This prescription is cited under the category of Taiyin syndrome involving vomiting, belching, and hiccups.
According to *Bing Ji* (Pathogenesis), Jinghuang Tang (Schizonepeta and Rhubarb Decoction) is used for sudden vomiting caused by heat qi rushing upward in the Upper Jiao (Upper Burner), presenting with a floating and surging pulse.
Ingredients: Jingjie Sui (Schizonepetae Spica, 1 liang), Renshen (Ginseng Radix, 5 qian), Gancao (Glycyrrhizae Radix, 2.5 qian), Dahuang (Rhei Radix et Rhizoma, 3 qian).
Preparation and Administration: Coarsely crush the herbs, decoct as a single dose, strain, and mix with 2 qian of Binglang San (Areca Seed Powder). Take on an empty stomach.
Formula for Binglang San: Binglang (Arecae Semen, 2 qian), Muxiang (Aucklandiae Radix, 1.5 qian), Qingfen (Calamina, a small amount); can also be made into pills.
Commentary: This prescription involves herbs belonging to the Jueyin, Yangming, and Taiyang meridians.
According to *Fa Ming* (Elucidation), Renshen Lige Wan (Ginseng Diaphragm-Relieving Pill) is indicated for chest oppression, phlegm-cough, asthma, and distension; it regulates spleen and stomach stagnation and is considered a supreme remedy for Ge Qi (Diaphragmatic Qi Stagnation).
Ingredients: Muxiang (Aucklandiae Radix), Binglang (Arecae Semen, 7.5 qian), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Huoxiang (Pogostemonis Herba, 1 liang), Gancao (Glycyrrhizae Radix), Zhishi (Aurantii Fructus Immaturus, each 1 liang), Dahuang (Rhei Radix et Rhizoma, wine-soaked), Nongpo (Moutan Cortex? Note: Text says Nongpo, likely Houpo/Magnoliae Officinalis Cortex, processed, 2 liang).
Preparation and Administration: Grind into powder, add water dropwise to make pills the size of paulownia seeds. Take with warm water.
Commentary: This prescription involves herbs belonging to the Taiyin and Yangming meridians.
According to *Bing Ji* (Pathogenesis), Zichen Wan (Aquilaria and Purple Stone Pill) is indicated for vomiting food from the Middle Jiao, caused by the interaction of food retention and cold pathogen, resulting in vomiting accompanied by pain.
Ingredients: Banxia Qu (Pinelliae Fermentum), Daizheshi (Haematitum, each 5 qian), Xingren (Armeniacae Semen Amarum), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 qian), Wumei Rou (Mume Semen Endocarpium), Dingxiang (Caryophylli Flos), Binglang (Arecae Semen, each 2 qian), Ju Pi (Citri Reticulatae Pericarpium, 2 qian), Rouguo (Myristicae Semen), Badou Shuang (Crotonis Fructus Frost, each half qian, separately ground).
Preparation and Administration: Grind into powder, mix evenly with Badou Shuang, bind with vinegar paste to make pills the size of millet seeds. Take 50 pills after meals with Shishuang Tang (Persimmon Frost Decoction). Stop when vomiting ceases.
Commentary: This prescription involves herbs belonging to the Taiyin and Yangming meridians.
Nongpo Wan (Magnolia Bark Pill) primarily treats Fan Wei (Reversal Stomach/Inverted Stomach) with vomiting and regurgitation, dysphagia, sensation of qi rushing to the heart, and abdominal binding pain.
Ingredients: Nongpo (Magnoliae Officinalis Cortex, likely text error for Houpo), Huanglian (Coptidis Rhizoma, 2.5 liang), Wuzhuyu (Evodiae Fructus, washed seven times with hot water), Ziwan (Adenophorae Radix), Changpu (Acori Tatarinowii Rhizoma), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Fuling (Poria), Zaojiao (Gleditsiae Spina, roasted), Gui (Cinnamomi Cortex, scraped), Ganjiang (Zingiberis Rhizoma, processed), Badou Shuang (Crotonis Fructus Frost, separately ground), Shujiao (Zanthoxyli Pericarpium, stir-fried to release moisture), Renshen (Ginseng Radix, each half liang), Chuan Wutou (Aconiti Radix Preparata, processed, peeled, core removed, 2.5 liang).
Preparation and Administration: Grind into fine powder, mix evenly with Badou Shuang, bind with refined honey to make pills the size of paulownia seeds. Take 3 pills initially, gradually increasing the dose until bowel movement occurs. Take with Ginger Decoction. In spring and summer, add 2 liang of Huanglian; in autumn and winter, add 2 liang of Nongpo (Houpo).
Commentary: This prescription involves herbs belonging to the Taiyin, Yangming, and Jueyin meridians.