伤酒。恶心呕逆。吐出宿酒。昏冒眩晕。头痛如破。宜冲和汤。半夏茯苓汤。或理中汤
加
干葛七分。或用末子理中汤。和缩脾饮。酒渴缩脾汤。或煎干葛汤。调五苓散。久困于酒。
遂成酒积。腹痛泄泻。或暴饮有灰酒。亦能致然。并宜酒煮黄连丸。多饮结成酒癖。腹中有
块。随气上下。冲和汤。加蓬术半钱。酒停胸膈。为痰饮者。枳实半夏汤。加神麦 各半钱
冲和汤。加半夏一钱。茯苓七分。
多饮酒积入脾。遂成酒黄。详见拾遗门疸证。
伤食之证。胸膈痞塞。吐逆咽酸。噫败卵臭。畏食。头痛。发热恶寒。病似伤寒。但身
不痛耳。治中汤。加砂仁一钱。或红丸子。小七香丸。和服。
食过多而伤。停留中脘。闻食气则呕。二陈汤加砂仁一钱。未愈。更加丁香半钱。或治
中汤
加砂仁一钱。丁香十粒。大呕不止者。大便去之。枳实半夏汤。加砂仁一钱。白豆蔻仁半钱
咽感应丸。
初因食一物过伤。得病后再食之。旧病复作。一味红丸子常服。
伤食腹痛胀满。大便不通。遂成食积。小七香丸一帖。用水一盏。姜三片。煎八分。去
姜。吞感应丸。
（见大小腑门泄泻证）
伤于生冷油腻。停滞膈间。脾气不温。食难消化。或多餐糯食。及一切非时难化之物。
并宜红丸子。金上牢内消丸。
伤食兼感风寒。其证与前同。但添身疼一证。俗谓之夹食伤寒。宜生料五积散、或养胃
汤。
香苏饮。和解散。选用。若不瘥。而病入里者。用泻。少见诸伤门。伤寒证。食蟹。太过致
伤。一味丁香足以治之。有饮食不节。伤食。以致半身不遂。状如中风。不可作风。治盖人
之饮食。下咽而入肝。由肝而入脾。由脾而入胃。因食所伤肝食不理。故痰涎壅塞。若中风
然。亦有半身不遂者。肝主筋故也。治以风药则误矣。宜用消食之剂。其中当木瓜散。却不
可妄下之食毒物。非时物、多病。此不伤脾。不伤胃。而伤肝。病不在下故不可妄下。（饮
食下咽直入于胃。此云。由肝入脾。由脾入胃必自有说。）
伤酒。恶心呕吐，吐出未消化的酒液。头昏目眩，头痛剧烈如破裂感。适宜使用冲和汤、半夏茯苓汤，或者理中汤加干葛七分。也可以使用粉末状的理中汤，配合缩脾饮、酒渴缩脾汤服用，或者煎煮干葛汤，调服五苓散。长期饮酒困扰，最终形成酒积。出现腹痛、泄泻，或者是暴饮含有沉淀物的“灰酒”，也能导致这种情况。都适宜使用酒煮黄连丸。如果饮酒过多结成酒癖，腹中有肿块，随着气机上下移动，可用冲和汤加蓬术半钱。若酒停聚在胸膈，化为痰饮者，用枳实半夏汤加神曲、麦芽各半钱；或用冲和汤加半夏一钱、茯苓七分。
饮酒过多，酒湿积入脾脏，最终形成酒黄（因饮酒导致的黄疸），详见《拾遗门》中的疸证章节。
伤食的病证。胸膈部痞闷堵塞，呕吐反酸，打嗝有臭鸡蛋味，厌恶进食，头痛，发热恶寒，病症类似伤寒，只是身体不痛罢了。治疗可用治中汤加砂仁一钱，或者红丸子、小七香丸，混合服用。
饮食过量而受伤，食物停滞在中脘部位，闻到食物的气味就会呕吐。可用二陈汤加砂仁一钱。如果未痊愈，再加丁香半钱。或者用治中汤加砂仁一钱、丁香十粒。对于剧烈呕吐不止的患者，通过大便排出积滞。可用枳实半夏汤加砂仁一钱、白豆蔻仁半钱，吞服感应丸。
起初因为吃某一种食物过度受伤，患病后再次食用该食物，旧病复发。常服一味红丸子即可。
伤食导致腹痛胀满，大便不通，最终形成食积。服用小七香丸一帖，用水一盏，生姜三片，煎至八分，去掉姜渣，吞服感应丸。
（参见大小腑门泄泻证）
损伤于生冷油腻的食物，停滞在膈间，脾气不能温煦，食物难以消化。或者多餐食用糯米食品，以及一切不合时令、难以消化的食物。都适宜使用红丸子、金上牢内消丸。
伤食兼感风寒，其症状与前述相同，只是增加了身体疼痛这一症状。俗称为夹食伤寒。适宜选用生料五积散，或者养胃汤、香苏饮、和解散。如果病情没有好转，且病邪入里，则使用泻下法。此类情况在诸伤门中较少见。
有因饮食不节制，伤食，导致半身不遂，症状像中风，但不能当作中风来治。这是因为人的饮食，咽下后进入肝脏，由肝进入脾脏，由脾脏进入胃脏。因为饮食所伤，肝失疏泄调理，所以痰涎壅塞，看起来像中风一样。也有半身不遂的情况，这是因为肝主筋的缘故。如果用治风药治疗就错了。适宜使用消食的药物，其中应当包含木瓜散。不可以妄用泻下法去处理食毒之物、非时之物，这些通常多致病。这里不是伤脾、伤胃，而是伤肝，病位不在下部，所以不可妄用泻下法。（注：饮食咽下直入于胃，此处说由肝入脾、由脾入胃，必定另有说法。）
Injury from Alcohol. Nausea and vomiting, expelling undigested wine. Dizziness and vertigo, severe headache as if the head were bursting. It is appropriate to use Chonghe Tang (Harmonizing Decoction), Banxia Fuling Tang (Pinellia and Poria Decoction), or Lizhong Tang (Regulate the Middle Decoction) with added Ge Gen (Puerariae Radix) 7 fen. Alternatively, powdered Lizhong Tang can be taken mixed with Suopi Yin (Spleen-Contracting Infusion) or Jiu Ke Suopi Tang (Wine-Thirst Spleen-Contracting Decoction). Or, Ge Gen Tang (Pueraria Decoction) can be decocted to mix with Wuling San (Five-Ingredient Powder with Poria). Long-term alcohol consumption eventually leads to Jiu Ji (Alcohol Accumulation), presenting with abdominal pain and diarrhea. This can also result from binge drinking "Hui Jiu" (Gray Wine containing sediment). In all these cases, Jiu Zhu Huanglian Wan (Alcohol-Boiled Coptis Pill) is appropriate. If excessive drinking forms Jiu Pi (Alcohol Mass), characterized by a lump in the abdomen that moves up and down with Qi, Chonghe Tang (Harmonizing Decoction) with added Peng Zao (Curcumae Rhizoma) 0.5 qian is indicated. If alcohol stagnates in the chest and diaphragm, transforming into Phlegm-Fluids, Zhishi Banxia Tang (Immature Bitter Orange and Pinellia Decoction) with added Shen Qu (Massa Medicata Fermentata) and Mai Ya (Hordei Fructus Germinatus) 0.5 qian each should be used; or Chonghe Tang (Harmonizing Decoction) with added Banxia (Pinelliae Rhizoma) 1 qian and Fuling (Poria) 0.7 fen.
Excessive alcohol intake causes dampness to accumulate in the Spleen, eventually forming Jiu Huang (Alcohol Jaundice); see the Dan Zheng (Jaundice Syndrome) section in the Shiyi Men (Supplementary Chapter).
Syndrome of Injury from Food. Stifling sensation and obstruction in the chest and diaphragm, vomiting and acid regurgitation, belching with a smell of rotten eggs, aversion to food, headache, fever, and aversion to cold. The condition resembles Shang Han (Cold Damage), except for the absence of body pain. Treatment involves Zhizhong Tang (Regulate the Middle Decoction) with added Sha Ren (Amomi Fructus) 1 qian, or Hong Wanzi (Red Pills) and Xiao Qixiang Wan (Small Fragrant Pills) taken together.
Overeating causes injury, with food stagnating in the Zhongwan (Conception Vessel 12) area, leading to vomiting upon smelling food. Erchen Tang (Two-Aged Decoction) with added Sha Ren (Amomi Fructus) 1 qian is suitable. If not cured, add Dingxiang (Caryophylli Flos) 0.5 qian. Alternatively, Zhizhong Tang (Regulate the Middle Decoction) with added Sha Ren (Amomi Fructus) 1 qian and Dingxiang (Caryophylli Flos) 10 grains. For patients with incessant severe vomiting, inducing defecation to expel the accumulation is necessary. Zhishi Banxia Tang (Immature Bitter Orange and Pinellia Decoction) with added Sha Ren (Amomi Fructus) 1 qian and Ba Dou Kou Ren (Cardamomi Semen) 0.5 qian, followed by swallowing Yinggan Wan (Responsive Pill), is indicated.
Initially injured by overconsumption of a specific food, re-consuming it after illness causes the old disease to recur. Regularly taking Yiwu Hong Wanzi (Single-Ingredient Red Pills) is effective.
Food injury causing abdominal pain and distension, with constipation, eventually forms Shi Ji (Food Accumulation). Take one dose of Xiao Qixiang Wan (Small Fragrant Pills), decocted with one cup of water and three slices of fresh ginger until reduced to 0.8 cup. Remove the ginger residue and swallow Yinggan Wan (Responsive Pill).
(See Diarrhea Syndrome in the Large and Small Intestine Chapters)
Injury from raw, cold, or greasy foods stagnating between the diaphragm, where Spleen Qi fails to warm and digest food properly. Or, frequent consumption of glutinous rice foods and other out-of-season, hard-to-digest items. All such cases are suitable for Hong Wanzi (Red Pills) or Jin Shanglao Neixiao Wan (Golden Upper Firm Internal-Dissolving Pill).
Food injury combined with Wind-Cold invasion presents similarly to the above, but adds body pain. This is commonly called Jia Shi Shang Han (Food-Stagnation Cold Damage). Suitable formulas include Shengliao Wuji San (Unprocessed Five-Accumulations Powder), Yangwei Tang (Stomach-Nourishing Decoction), Xiangsu Yin (Aucklandia and Perilla Infusion), or Hejie San (Harmonizing and Resolving Powder), selected according to the case. If the condition does not improve and pathogens enter the interior, purgative methods should be used. Such cases are rare in the Various Injuries Chapter.
Regarding Shang Han (Cold Damage), excessive consumption of crabs causes injury; a single herb, Dingxiang (Caryophylli Flos), is sufficient for treatment.
There are cases where irregular diet and food injury lead to hemiplegia, resembling Zhong Feng (Wind Stroke), but this must not be treated as Wind Stroke. This occurs because food, upon swallowing, enters the Liver, then the Spleen, and finally the Stomach. Due to food injury, the Liver loses its regulatory function, causing Phlegm-Saliva to obstruct, mimicking Zhong Feng (Wind Stroke). Hemiplegia may occur because the Liver governs the sinews. Using Wind-expelling herbs would be a mistake. It is appropriate to use food-resolving agents, including Mugua San (Papaya Powder). One must not recklessly use purgatives on food toxins or out-of-season foods, which typically cause disease. Here, the Spleen and Stomach are not injured, but the Liver is; since the pathology is not in the lower jiao, purgatives should not be used recklessly. (Note: Food swallowed goes directly into the Stomach; the statement that it enters the Liver, then Spleen, then Stomach implies a specific theoretical explanation.)