潘 呃逆连声，日夜不止。医用丁香柿蒂散加白蔻、木香、刀豆荚之属，随止随发，闷绝而苏，坐不能卧。
诊其脉虚浮而疾，逆气自丹田上升，直犯清道，此肝邪犯胃也。丁、蒂、蔻、香，辛温助火，何济于事。用重
以镇逆法，旋复代赭汤去人参，加石决明（醋 ）、刺蒺藜（醋炒）以泻肝，半夏（青盐制）以降痰，
沉香（磨汁）以下气，一啜逆气镇定，神安熟寐。梦一老妪，引小儿以手捋其左胁曰∶愈矣。醒而呃逆大减，
再剂若失。问所梦何人，予曰此镇肝而心脾之神得安也。盖脾之神黄婆，心之神婴儿云。
薛 痰火呃逆，身热咳嗽，脉浮数。此肺受火灼，膈上痰结，遂失整肃下降之权。治用苦辛降逆。橘皮竹
茹汤去参、草，加山栀、杏仁、前胡、贝母、栝蒌、豆豉、郁金汁，再剂悉平。
潘 冬初寒热自利，烦渴不寐，呕吐浊痰，右脉小数模糊，左关弦而微劲。是协热下利，胃虚木欲乘土，
必作哕逆。治先表里清解，仿景岳柴陈煎。柴胡、黄芩、半夏曲、茯苓、陈皮、栝蒌、枳壳、姜，寒热退，
烦渴解，而呃果作。此系浊痰不降，木气上升，宜降痰兼镇逆。用苏子、杏仁（俱炒研）、橘红、竹茹、茯苓、
赭石、石决明（醋 研）、姜汁。一服左关脉平，再服呃逆亦定。惟右关虚，乃商镇补中宫法，所谓胃虚
则呃也。用山药、扁豆、薏仁（俱炒）、炙草、半夏、陈皮、茯苓、沉香汁，呃平。但宵分少寐，上脘略闷，
则痰沫随气上泛，呃仍间作。治用通摄，佐以运脾，
所谓脾能为胃行其津液也。蒌仁、煨姜、薏米（生）、茯神、橘白、砂仁、半夏、莲子。气平呃止思食，
前方去蒌仁，加潞参、山药、枣仁，健饭如初。
包 呃逆呕沫，食后为剧，是肝胃病。据述阴疟愈后，夏秋浴池，兼啖生冷，遂致呕呃，不时寒懔。
夫肺主皮毛，水寒外袭，感病在经，胃主通纳，生冷伤阳，气随浊逆，怯寒乃肺卫虚，非在经客邪。仲景以呕
涎沫为肝病，肝病必犯阳明胃腑。先用温通泄浊，吴茱萸汤加半夏、椒目，呕逆止。再用旋复代赭汤而呃平。
桂 病后脉虚疾，左关尺尤 ，胃虚呃逆，必肝肾之气上奔，而阳明当其冲，因作呃也。化痰利气，
是开其道矣。有年体虚，法当镇摄。牡蛎（醋 ，三钱）、石决明（ 研，二钱）、赭石（钱半）、竹茹（二钱）、
潞参、降香末（各三钱）。一服呃止。再剂去决明、赭石，加茯神、枣仁、远志、山药。服，脉亦和。
潘某，呃逆连声，日夜不停。医生使用丁香柿蒂散加白豆蔻、木香、刀豆荚等药物，症状随止随发，患者因气闷窒息而苏醒，坐立不安无法平卧。
诊察其脉象虚浮且快速，逆气从丹田上升，直冲清窍之道，这是肝邪侵犯胃腑所致。丁香、柿蒂、白豆蔻、木香均为辛温之品，助长火热，何能奏效？采用重镇降逆法，选用旋复代赭汤（旋覆花、代赭石、人参、生姜、半夏、甘草、大枣）去人参，加石决明（醋制）、刺蒺藜（醋炒）以泻肝火，半夏（青盐制）以降痰浊，沉香（磨汁）以下气机，服药一次后逆气镇定，神志安宁熟睡。梦见一位老妇人，领着小孩用手抚摸其左胁部说：“病愈了。”醒来后呃逆大减，再服两剂药后呃逆消失。询问梦中是何人，我说这是镇肝之后心脾之神得以安定的表现。因为脾的神名为黄婆，心的神名为婴儿。
薛某，痰火引起的呃逆，身体发热咳嗽，脉象浮数。这是肺受火邪灼伤，膈上痰结，导致肃降功能失职。治疗采用苦辛降逆法。选用橘皮竹茹汤（陈皮、竹茹、人参、生姜、甘草、大枣）去人参、甘草，加栀子、杏仁、前胡、贝母、瓜蒌、豆豉、郁金汁，服用两剂后症状完全平息。
潘某，冬初出现寒热往来及自发性腹泻，心烦口渴失眠，呕吐浊痰，右脉小数且模糊不清，左关脉弦而微劲。这是协热下利，胃虚导致肝木欲乘脾土，必然发生哕逆（呃逆）。治疗先表里清解，仿照张景岳的柴陈煎方。用柴胡、黄芩、半夏曲、茯苓、陈皮、瓜蒌、枳壳、生姜，寒热退去，烦渴解除，但呃逆果然发作。这是因为浊痰不降，肝木之气上升，宜降痰兼镇逆。用苏子、杏仁（均炒研）、橘红、竹茹、茯苓、赭石、石决明（醋研）、姜汁。服用一剂后左关脉平和，再服呃逆也定住。只是右关脉虚，于是商议采用镇补中焦脾胃的方法，即所谓“胃虚则呃”。用山药、扁豆、薏苡仁（均炒）、炙甘草、半夏、陈皮、茯苓、沉香汁，呃逆平息。但夜间稍感失眠，上脘略感闷胀，则痰沫随气上泛，呃逆仍间或发作。治疗采用通摄法，佐以运脾，即所谓“脾能为胃行其津液”。用瓜蒌仁、煨姜、薏米（生）、茯神、橘白、砂仁、半夏、莲子。气平呃止思食，前方去掉瓜蒌仁，加党参、山药、酸枣仁，饮食恢复如初。
包某，呃逆呕出涎沫，食后加重，这是肝胃病。据述阴疟痊愈后，夏秋季节在浴池洗澡，又吃生冷食物，导致呕吐呃逆，不时感到寒冷战栗。肺主皮毛，水寒外袭，病邪在经络；胃主通纳，生冷损伤阳气，气随浊气上逆，怯寒乃是肺卫虚弱，并非经络中的客邪。张仲景认为呕涎沫是肝病，肝病必侵犯阳明胃腑。先用温通泄浊法，吴茱萸汤加半夏、椒目，呕吐呃逆停止。再用旋复代赭汤使呃逆平息。
桂某，病后脉象虚疾，左关尺部尤其微弱，胃虚呃逆，必然是肝肾之气上奔，而阳明胃经当其冲要，因而发生呃逆。化痰利气，是开通其道。年高体虚，法当镇摄。用牡蛎（醋淬，三钱）、石决明（研细，二钱）、赭石（一钱半）、竹茹（二钱）、党参、降香末（各三钱）。服用一剂后呃逆停止。再服两剂去掉石决明、赭石，加茯神、酸枣仁、远志、山药。服药后，脉象也和缓了。
Pan: Hiccups occurred continuously without cessation day and night. The physician used Dingxiang Shidi San (Clove and Persimmon Calyx Powder) with added Baikou (White Cardamom), Muxiang (Aucklandia Root), and Dao Dou Jia (Knife Bean Pod). Symptoms would cease temporarily only to recur, leading to suffocation and fainting; the patient could sit but not lie down.
Pulse examination revealed a deficient, floating, and rapid pulse. Rebellious Qi ascended from the Dantian (Lower Abdomen), directly invading the clear orifices' pathway. This is Liver pathogenic factors invading the Stomach. Ding (Clove), Di (Persimmon Calyx), Kou (Cardamom), and Xiang (Aucklandia) are acrid-warm substances that assist fire; how could they be effective? A heavy sedation method for rebellious Qi was employed: Xuanfu Daizhe Tang (Inula and Hematite Decoction) with Ginseng removed, plus Shijueming (Aragonite, vinegar-processed) and Cijili (Tribulus Fruit, vinegar-fried) to drain the Liver, Banxia (Pinellia Rhizome, prepared with green salt) to descend phlegm, Chenxiang (Aquilaria Wood, ground into juice) to direct Qi downward. After one dose, rebellious Qi was settled, spirit calmed, and deep sleep ensued. He dreamed of an old woman leading a child who stroked his left hypochondrium saying, "Healed." Upon waking, hiccups significantly decreased; after two more doses, they disappeared entirely. When asked about the person in the dream, I said this indicates that after subduing the Liver, the spirits of the Heart and Spleen found peace. For the spirit of the Spleen is named Huangpo (Yellow Matron), and the spirit of the Heart is named Ying'er (Infant).
Xue: Hiccups due to Phlegm-Fire, accompanied by fever and cough, with a floating and rapid pulse. This is Lung affected by Fire scorching, with Phlegm knotting above the diaphragm, resulting in the loss of its normal descending authority. Treatment utilized bitter-acidic methods to direct Qi downward. Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction) with Ginseng and Licorice removed, plus Zhizi (Gardenia Fruit), Xingren (Apricot Seed), Qianhu (Peucedanum Root), Beimu (Fritillaria Bulb), Gualou (Trichosanthes Fruit), Douchi (Fermented Soybean), and Yujin Zhi (Curcuma Juice). After two doses, symptoms completely subsided.
Pan: In early winter, alternating chills and fever with spontaneous diarrhea occurred, along with irritability, thirst, and insomnia. Vomiting of turbid phlegm was present. The right pulse was slightly small, rapid, and indistinct; the left Guan position was wiry and slightly tense. This is diarrhea with coordinated heat, where Stomach deficiency allows Liver Wood to invade Spleen Earth, inevitably leading to yue ni (hiccups). Initial treatment focused on resolving both exterior and interior using a formula modeled after Zhang Jingyue's Chai Chen Jian (Bupleurum and Tangerine Peel Decoction): Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Banxia Qu (Pinellia Fermented Paste), Fuling (Poria), Chenpi (Tangerine Peel), Gualou (Trichosanthes Fruit), Zhike (Aurantium Fructus Immaturus), and Shengjiang (Fresh Ginger). Chills and fever receded, irritability and thirst resolved, yet hiccups indeed appeared. This was due to turbid phlegm failing to descend and Liver Qi rising. The approach should be to descend phlegm and subdue rebellion simultaneously. Su Zi (Perilla Fruit), Xingren (Apricot Seed, both stir-fried and crushed), Juhong (Red Tangerine Peel), Zhuru (Bamboo Shavings), Fuling (Poria), Daizhe Shi (Hematite), Shijueming (Aragonite, vinegar-ground), and Jiangzhi (Ginger Juice) were used. After one dose, the left Guan pulse normalized; after another dose, hiccups ceased. However, the right Guan position remained deficient, prompting a strategy to subdue and tonify the Middle Jiao (Spleen/Stomach), as stated, "Stomach deficiency leads to hiccups." Shanyao (Dioscorea Rhizome), Bian Dou (Lablab Bean), Yiren (Coix Seed, all stir-fried), Zhi Gancao (Prepared Licorice Root), Banxia (Pinellia Rhizome), Chenpi (Tangerine Peel), Fuling (Poria), and Chenxiang Zhi (Aquilaria Juice) were administered, stopping the hiccups. Yet, slight insomnia at night and mild fullness in the upper epigastrium caused phlegm foam to rise with Qi, resulting in intermittent hiccups. Treatment employed dredging and securing methods, assisted by promoting Spleen function, i.e., "The Spleen can transport fluids for the Stomach." Louren (Trichosanthes Seed), Weijiang (Roasted Ginger), Yimi (Coix Seed, raw), Fushen (Poria with Hostwood), Jubai (Tangerine Pith), Sharen (Amomum Fruit), Banxia (Pinellia Rhizome), and Lianzi (Lotus Seed) were used. Qi leveled, hiccups stopped, and appetite returned. Louren was removed from the previous formula, and Lushen (Codonopsis Root), Shanyao (Dioscorea Rhizome), and Zaoren (Ziziphus Seed) were added, restoring normal eating habits.
Bao: Hiccups and vomiting of saliva, worsening after meals, indicate Liver and Stomach disease. It was reported that after recovery from Yin malaria, bathing in pools during summer and autumn, combined with consuming raw and cold foods, led to vomiting and hiccups, accompanied by occasional chills. The Lung governs skin and hair; external water-cold invades, affecting the meridians. The Stomach governs reception and passage; raw/cold foods damage Yang, causing Qi to rebel with turbidity. Fear of cold stems from Lung-Wei (Defensive) deficiency, not exogenous pathogens in the meridians. Zhang Zhongjing considered vomiting saliva as a Liver disease; Liver pathology must invade the Yangming Stomach Fu organ. Initially, warm unblocking and turbid-draining methods were used: Wuzhuyu Tang (Evodia Decoction) with Banxia (Pinellia Rhizome) and Jiaomu (Zanthoxylum Seed). Vomiting and hiccups ceased. Subsequently, Xuanfu Daizhe Tang (Inula and Hematite Decoction) was used to settle hiccups.
Gui: Post-illness pulse was deficient and rapid, particularly weak at the left Guan and Chi positions. Stomach deficiency caused hiccups; inevitably, Liver-Kidney Qi surged upward, meeting the opposition of the Yangming Stomach, thus producing hiccups. Resolving phlegm and benefiting Qi opens the pathways. For an elderly person with constitutional deficiency, sedation and securing are indicated. Musli (Oyster Shell, vinegar-quenched, 3 qian), Shijueming (Aragonite, ground, 2 qian), Daizhe Shi (Hematite, 1.5 qian), Zhuru (Bamboo Shavings, 2 qian), Lushen (Codonopsis Root), and Jiangxiang Mo (Dalbergia Odorifera Endodermis powder, each 3 qian) were prescribed. After one dose, hiccups stopped. After two more doses, Shijueming and Daizhe Shi were removed, and Fushen (Poria with Hostwood), Zaoren (Ziziphus Seed), Yuanzhi (Polygala Root), and Shanyao (Dioscorea Rhizome) were added. After administration, the pulse also became harmonious.