常熟一富人病反胃，往京口甘露寺设水陆，泊舟岸下。梦一僧持汤一杯与之，饮罢便觉胸快。次早入寺，
乃梦中所见僧，常以此汤待宾，故易名曰∶甘露饮。用干饧糖六两，生姜四两，二味合捣作饼，或焙或晒，入
炙甘草末二两，盐少许，点汤服之。予在临汀疗一小吏，旋愈，切勿忽之。（继洪《澹疗方》、《本草纲目》。）
金山周禅师，得正胃散方于异人，用白水牛喉一条，去两头节并筋膜脂肉，煎如阿胶黑片收之。临时旋炙，
用米醋一盏浸之，微火炙干，淬之，再炙再淬。醋尽为度，研末浓纸包收。或遇阴湿时，微火烘之再收。遇此
疾，每服一钱，食前陈米饮调下，轻者一服立效。凡反胃吐食，药物不下，结肠三五日，至七八日大便不通，
如此者必死。用此方十痊八九。君子收之，可济人命也。（《普济方》、《本草纲目》。）
天顺间，有周岐凤者，身兼百技，溺意方术，既死。友人偶召乩，周至，运乩如飞。顷刻数百言，乃长诗
也。后一段云∶朗吟堂前夜欲阑，丹方写与期平安，菊庄老人此老病，翻胃病实由胃寒。枇杷叶兮白豆蔻，紫
苏子兮用莫谬，良姜官桂用些须，浓朴陈皮看功奏。半夏槟榔赤茯苓，沉香丁香皆用轻，白芥藿香吐圣药，杵
头糠兮寻至诚。三片生姜两枚枣，切切分明向君道，人参乃是佐使者，食前一服沉 好。盖菊庄患此病，用示
以方也。第菊庄未知何许人，余诗不录。（《祝子志怪》。）
薛立斋治一妇人患反胃，胸胁胀闷，或小便不利，或时作痛，小便涩滞。曰∶此肝火血虚也，当清肝火，
生肝血，养脾土，生肺金。以薛言为迂，别服利气化痰等剂，前证益剧，虚证蜂起。乃用加味逍遥散、加味归
脾汤，一服寻愈。
一妇人患反胃，吐痰甚多，手足常冷，饮食少思。曰∶此肝脾郁怒，兼命门火衰。不信，另服化痰利气之
剂，胸腹愈胀。又服峻利疏导之剂。薛曰∶非其治也，必变脾虚发肿之证。急服《金匮》加减肾气，庶有可救。
仍不信，反服沉香化气等丸，果发肿而故。
汪石山治李一之，年近四十，病反食，与近邻二人脉病颇同。汪曰∶二人者皆急于名利，唯一之心宽可治。
遂以八珍汤减地黄，加藿香为末，用蜜韭汁调服而愈。其二人，逾年果殁。
张路玉治汤伯干子，年及三旬，患呕吐经年，每食后半日许吐出原物，全不秽腐，大便二三日一行，仍不
燥结，渴不喜饮，小便时白时黄。屡用六君子、附子理中、六味丸，皆罔效，日濒于危。诊之，两尺弦细而沉，
两寸皆涩而大，此肾脏真阳大亏，不能温养脾土之故，遂以崔氏八味丸与之。或谓附子已服过二枚，六味亦曾
服过，恐八味未能奏效也。张曰∶不然。此证本属肾虚，反以姜、附、白术伐其肾水，转耗真阴。至于六味，
虽曰补肾，而阴药性滞，无阳则阴无以生，必于水中补火，斯为合法。服之不终剂而愈。
张三锡曰∶治反胃，用新水一大碗，留半碗，将半碗水内细细浇香油，铺满水面，然后将益元散一帖，轻
轻铺满香油面上，须臾，自然沉水底，此即阴阳升降之道也。（方即灵活可法，用治实症当有效。）但香油却
最容易引吐，用者审之。用匙扰匀服，却将所留水半碗荡药碗，漱口令净。吐既止，却进丹溪凉膈散，通
其二便。未效再进一帖益元及凉膈即效也。此方极验。
王叔权曰∶有人久患反胃，予与震灵丹服，更令服七气汤，遂立能食。若加以炷艾尤佳。有老妇患反胃，
饮食至晚即吐出，见其气绕脐而转，予为点水分、气海，并夹脐边两穴。他医只灸水分、气海即愈，神效。
（《资生经》。）
浙省平章南征阅越还，病反胃，医以为可治。朱先生诊其脉，告曰∶公之病不可言也。即出，独告其左右
曰∶此病得之惊后而使内，火木之邪相挟，气伤液亡，肠胃枯损，食虽入而不化。食既不化，五脏皆无所禀，
去此十日当死。果如其言。（《越游集》、《医说续编》。）
薛立斋治一妇人患反胃，胸膈痞闷，得去后或泄气稍宽。此属脾气郁结而虚弱也，当调补为善。不信，乃
别用二陈、枳实、黄连之类，不应。又用香燥破气，（时师类多出此。）前证益甚，形气愈虚。用归脾汤治半载而痊。
许学士治一妇人，年四十余，久患翻胃，面目黄黑，历三十余年，医不能效。脾 诸穴，烧灸交遍，其病
愈甚。服此药，顿然全愈。服至一月，遂去其根。方名附子散，用附子一枚极大者，坐于砖上，四面煮火，渐
渐逼熟，淬入生姜自然汁中，再用火逼，再 ，约尽生姜汁半碗，焙干，入丁香二钱。每服二钱，水一盏，粟
米少许同煎七分，不过三服瘥。
王海藏云∶赵侍郎先食后吐，目无所见，耳无所闻，服紫菀丸五十日，泻出青蛇五七条，四寸许，恶脓三
升愈。（方见疠风门。）
萧万与曰∶崇祯戊寅岁，余客汴梁，为一郡王宫人治产后发呃证。因言及先王壮龄时，患疟痢反胃，遍治
不瘥，自料无生理。一草医亦精于脉者，连投五剂，用大黄七两始能食。此亦常有之症。吾乡有患痢者，医以
大黄四两下之，见者皆惊愣。然服之痢反减，数服而愈。使此等证，遇读立斋、景岳书者，讵有生理乎？再投
十余剂，计服大黄斤许，前证渐愈。后日服痰药，滚痰丸两旬方得全痊。越年余，连生五子，寿至九十三岁而
薨。如此禀赋，亦所不概见者。
常熟有一位富人患反胃病，前往京口甘露寺举行水陆法会，将船停泊在岸边。梦中一位僧人手持一杯汤药给他，喝完后便觉得胸口舒畅。第二天早上进入寺庙，发现正是梦中见到的那位僧人，这位僧人常用这种汤药招待宾客，因此将此方易名为“甘露饮”。该方用干饴糖六两，生姜四两，两味药合在一起捣碎做成饼状，可以烘焙或晒干，加入炙甘草末二两和少许盐，用开水冲服。我在临汀治疗一名小吏，服用后很快痊愈，切勿轻视此方。（出自继洪《澹疗方》、《本草纲目》。）
金山周禅师从异人处得到正胃散方，使用白水牛的一条喉管，去掉两端的节以及筋膜脂肪肌肉，煎煮至像阿胶黑片那样收存。使用时现烤，用一盏米醋浸泡，微火烤干，再浸入醋中，反复烤炙和浸淬，直到醋用完为止，研成粉末，用厚纸包裹收藏。如果遇到阴湿天气，用微火烘干后再收藏。遇到此病，每次服用一钱，饭前用陈年米汤调服，轻症者一服立即见效。凡是反胃吐食，药物无法下咽，结肠堵塞三到五天，甚至七八天大便不通，这种情况必定死亡。使用此方十人能治愈八九人。君子收藏此方，可以救济人命。（出自《普济方》、《本草纲目》。）
天顺年间，有个叫周岐凤的人，身兼百种技艺，沉迷于方术，死后去世。朋友偶然请乩童降神，周岐凤的灵魂来到，运笔如飞。顷刻间写下数百字，是一首长诗。后半段写道：“朗吟堂前夜欲阑，丹方写与期平安，菊庄老人此老病，翻胃病实由胃寒。枇杷叶兮白豆蔻，紫苏子兮用莫谬，良姜官桂用些须，浓朴陈皮看功奏。半夏槟榔赤茯苓，沉香丁香皆用轻，白芥藿香吐圣药，杵头糠兮寻至诚。三片生姜两枚枣，切切分明向君道，人参乃是佐使者，食前一服沉 好。”大概是因为菊庄患有此病，以此方示人。只是不知道菊庄是何许人也，我的诗中未收录。（出自《祝子志怪》。）
薛立斋治疗一位患反胃的妇人，胸胁胀闷，有时小便不利，有时作痛，小便涩滞。他说：“这是肝火旺且血虚，应当清肝火，生肝血，养脾土，生肺金。”旁人认为薛医生的话迂腐，另服利气化痰等药剂，前面的症状更加严重，虚证蜂拥而起。于是改用加味逍遥散、加味归脾汤，一服后很快痊愈。
另一位妇人患反胃，呕吐痰液非常多，手足常冷，饮食减少思虑。薛医生说：“这是肝脾郁怒，兼命门火衰。”病人不信，另服化痰利气的药剂，胸腹更加胀满。又服峻烈疏导的药剂。薛医生说：“这不是正确的治法，一定会变成脾虚发肿的证候。”急忙服用《金匮要略》中的加减肾气丸，或许还有救。病人仍不信，反而服用沉香化气等丸药，果然发生水肿而死亡。
汪石山治疗李一之，年龄近四十岁，患反食病，与他邻居两人的脉象病情颇为相同。汪医生说：“这两个人都急于追求名利，只有心胸宽广才能治愈。”于是用八珍汤减去地黄，加入藿香研为末，用蜂蜜和韭菜汁调服而痊愈。那两个人，过了一年果然去世。
张路玉治疗汤伯干的儿子，年龄三十岁，患呕吐经年，每顿饭吃后半日左右吐出原物，完全不腐败，大便二三天一次，仍然不干燥结块，口渴但不喜欢喝水，小便时而白时而黄。屡次使用六君子汤、附子理中汤、六味丸，都没有效果，每天接近危险境地。诊脉，两尺脉弦细而沉，两寸脉皆涩而大，这是肾脏真阳大亏，不能温养脾土的缘故，于是给予崔氏八味丸。有人谓说附子已经吃过两枚，六味丸也曾吃过，恐怕八味丸也不能奏效。张医生说：“不对。此证本属肾虚，反而用姜、附、白术伐其肾水，转而耗伤真阴。至于六味丸，虽然说是补肾，但阴药性质凝滞，没有阳气则阴无法生成，必须在水中补火，这才是合法的治疗。服药不到一个疗程就痊愈了。”
张三锡说：“治疗反胃，用新水一大碗，留半碗，将半碗水内细细浇上香油，铺满水面，然后将益元散一帖，轻轻铺满香油面上，一会儿，自然沉入水底，这就是阴阳升降的道理。（方剂灵活可取，用于治疗实证应当有效。）但是香油却最容易引起呕吐，使用者需谨慎。用勺子搅匀服用，却将所留的半碗水荡涤药碗，漱口令净。呕吐停止后，却进服丹溪凉膈散，通利其二便。无效再进一帖益元散及凉膈散即见效。此方极验。”
王叔权说：“有人久患反胃，我给予震灵丹服用，更令他服用七气汤，于是立刻能进食。如果加上艾灸尤佳。有一位老妇患反胃，饮食到晚上就吐出，见她气绕脐而转，我为她点刺水分、气海穴，以及夹脐边两穴。其他医生只灸水分、气海穴就痊愈了，神效。（出自《资生经》。）”
浙江省平章南征阅越回来，患反胃病，医生认为可以治疗。朱先生诊其脉，告诉他说：“您的病不可言说啊。”随即出来，独自告诉他的左右侍从说：“此病得之于受惊后行房事，火木之邪相挟，气伤液亡，肠胃枯损，食物虽然进入但不能消化。食物既不消化，五脏都无所禀受，离开这十天就会死。”果然如其所言。（出自《越游集》、《医说续编》。）
薛立斋治疗一位患反胃的妇人，胸膈痞闷，排便后或排气稍觉宽舒。这属于脾气郁结而虚弱，应当调补为好。病人不信，乃另外使用二陈汤、枳实、黄连之类，不应验。又用香燥破气的药，（当时医生多出此法），前面的症状更加严重，形体气息更加虚弱。用归脾汤治疗半年而痊愈。
许学士治疗一位妇人，年龄四十多岁，久患翻胃，面目黄黑，历经三十余年，医生不能见效。对脾俞诸穴，烧灸交错遍数，其病反而加重。服用此药，顿然全愈。服用至一个月，遂去其根。方名附子散，用一枚极大的附子，坐在砖上，四面煮火，渐渐逼熟，淬入生姜自然汁中，再用火逼，再淬，约尽生姜汁半碗，焙干，加入丁香二钱。每次服用二钱，水一盏，粟米少许同煎七分，不超过三服痊愈。
王海藏说：“赵侍郎先食后吐，目无所见，耳无所闻，服用紫菀丸五十日，泻出青蛇五七条，长约四寸，恶脓三升而愈。（方剂见疠风门。）”
萧万与说：“崇祯戊寅年，我客居汴梁，为一郡王府宫人治疗产后发呃逆证。因谈及先王壮年时，患疟痢反胃，遍治不愈，自料无生理。一位草医也精通脉学，连投五剂，用大黄七两始能进食。这也是常有之症。我家乡有患痢疾者，医生用大黄四两攻下，见者皆惊愣。然而服用后痢疾反而减轻，数服而愈。假如这些证候，遇到读薛立斋、张景岳书的人，岂有生机乎？再投十余剂，共计服用大黄一斤左右，前面的症状逐渐痊愈。后来每日服痰药，滚痰丸二十天方得全痊。过了一年多，连生五个儿子，寿至九十三岁而薨。如此禀赋，也是不常见的。”
A wealthy man in Changshu suffered from fanwei (regurgitation/vomiting of undigested food). He went to Ganlu Temple in Jingkou to hold a Shuilu Dharma Assembly and moored his boat at the shore. In a dream, a monk handed him a cup of decoction; after drinking it, he felt relieved in his chest. The next morning, upon entering the temple, he found that the monk in his dream was indeed there, and this monk often used this decoction to treat guests, hence naming it "Ganlu Yin" (Sweet Dew Decoction). The prescription uses 6 liang of dried malt sugar (Gan Tang) and 4 liang of fresh ginger. These two ingredients are pounded together into cakes, which can be baked or sun-dried. Add 2 liang of powdered roasted licorice root (Zhi Gan Cao) and a little salt, then take with hot water. I treated a minor official in Linting who recovered quickly after taking this; do not underestimate it. (From Ji Hong's *Danliao Fang* and *Bencao Gangmu*.)
Chan Master Zhou of Jinshan obtained the Zhengwei San (Stomach-Correcting Powder) from an extraordinary person. It uses one throat of a white water buffalo: remove the joints at both ends along with fascia, fat, and meat, then decoct until it resembles black donkey-hide gelatin (Ejiao) for storage. When needed, roast it freshly, soak it in one cup of rice vinegar, dry it over low fire, quench it in vinegar, and repeat roasting and quenching until the vinegar is exhausted. Grind into powder, store in thick paper. If stored during damp weather, dry it slightly over low fire before storing again. For this disease, take 1 qian each time, mixed with aged rice gruel before meals. Mild cases show immediate effect after one dose. Whenever fanwei occurs with vomiting of food, inability to keep down medicines, intestinal obstruction lasting three to five days, or even seven to eight days without bowel movement, death is inevitable. Using this formula cures eight or nine out of ten. Gentlemen should preserve this formula to save lives. (From *Puji Fang* and *Bencao Gangmu*.)
During the Tianshun reign, there was a man named Zhou Qifeng who mastered hundreds of skills and was obsessed with alchemical arts. After his death, a friend accidentally summoned a spirit medium (ji tong), and Zhou's spirit arrived, moving the writing tool rapidly. Within moments, hundreds of words were written, forming a long poem. The latter part reads: "Night wanes before Langyin Hall, I write the elixir formula hoping for peace. Old Man Juzhuang suffers from this ailment, his regurgitation disease stems from stomach cold. Loquat leaf and white cardamom, purple perilla seed used correctly; Lesser galangal and cassia twig in small amounts, magnolia bark and tangerine peel show their merit. Pinellia, betel nut, and red poria cocos, agarwood and cloves used lightly; white mustard seed and patchouli are holy remedies for vomiting, pestle-head rice bran sought with sincerity. Three slices of ginger and two dates, clearly stated to you; Ginseng acts as the envoy, take one dose before meals and sink [illness]." It seems Juzhuang suffered from this disease, and the formula was shown to him. However, since Juzhuang's identity is unknown, I did not record the poem in my writings. (From *Zhuzi Zhiguai*.)
Xue Lizhai treated a woman suffering from fanwei, with distension and fullness in the chest and hypochondrium, occasional difficulty in urination, intermittent pain, and astringent urine. He said, "This is liver fire hyperactivity combined with blood deficiency. One must clear liver fire, nourish liver blood, support spleen earth, and generate lung metal." Others considered Xue's advice pedantic and administered qi-regulating and phlegm-resolving agents instead. Consequently, previous symptoms worsened, and deficiency syndromes emerged. Then, modified Xiaoyao San (Modified Free and Easy Wanderer Powder) and modified Guipi Tang (Modified Spleen-Restoring Decoction) were used, resulting in recovery after one dose.
Another woman suffered from fanwei, vomiting large amounts of phlegm, cold hands and feet, and poor appetite. Xue said, "This is liver-spleen depression and anger, combined with decline of Mingmen fire." The patient did not believe this, took other phlegm-resolving and qi-regulating agents, leading to increased abdominal distension. She then took harsh purgatives. Xue said, "This is not the correct treatment; she will surely develop edema due to spleen deficiency." Urgently administer Modified Shenqi Wan from *Jinkui Yaolue*, and there may be hope. Still disbelieving, she took Chenxiang Huqi pills instead, and indeed developed edema and died.
Wang Shishan treated Li Yizhi, nearly forty years old, suffering from reverse eating (fan shi). His pulse and condition were similar to two neighbors. Wang said, "These two are overly eager for fame and profit; only those with broad minds can be cured." Thus, Bazhen Tang (Eight-Treasure Decoction) minus rehmannia root (Di Huang), plus patchouli herb (Huo Xiang) ground into powder, taken with honey and Chinese chive juice, resulted in recovery. The two neighbors died a year later.
Zhang Luyu treated the son of Tang Bogan, thirty years old, suffering from vomiting for years. About half an hour after each meal, he vomited the original food, completely unfermented. Bowel movements occurred every two to three days, remaining unhardened. Thirsty but without desire to drink, urine varied between white and yellow. Repeated use of Liujunzi Tang (Six-Gentlemen Decoction), Fuzi Lizhong Tang (Aconite Middle-Warming Decoction), and Liuwei Wan (Six-Ingredient Pill with Rehmannia) had no effect, and his condition became critical daily. Pulse diagnosis revealed string-taut, fine, and deep pulses at both chi positions, and choppy, large pulses at both cun positions. This indicated severe deficiency of true yang in the kidney, failing to warm and nourish spleen earth. Therefore, Cui Shi Bawei Wan (Cui Shi Eight-Ingredient Pill) was given. Some argued that since he had already taken aconite and six-ingredient pill, the eight-ingredient pill might also fail. Zhang said, "Incorrect. This syndrome belongs to kidney deficiency. Previously using ginger, aconite, and atrylactylates attacked kidney water, consuming true yin. Although Liuwei Wan is said to tonify the kidney, its yin-nourishing herbs are stagnant; without yang, yin cannot be generated. One must supplement fire within water, which is the proper method." He recovered before finishing one course.
Zhang Sanxi said: "To treat fanwei, take a large bowl of fresh water, reserve half. Slowly drizzle sesame oil into the remaining half bowl, spreading it over the surface. Then gently place one packet of Yi Yuan San (Benefit Origin Powder) on top of the oil layer. Soon, it will naturally sink to the bottom, demonstrating the principle of yin-yang ascent and descent. (The formula is flexible and effective for excess syndromes.) However, sesame oil easily induces vomiting, so users must be cautious. Stir evenly with a spoon and ingest. Use the reserved half bowl of water to rinse the medicine bowl and mouth thoroughly. Once vomiting stops, administer Danxi Liangge San (Danxi Cooling Chest Powder) to unblock bowel and urinary passages. If ineffective, administer another dose of Yi Yuan San and Liangge San, which will be effective. This formula is highly verified."
Wang Shuquan said: "Someone suffered from chronic fanwei. I gave them Zhenling Dan (Vibrating Spirit Pill) and instructed them to also take Qi Qi Tang (Seven-Qi Decoction), after which they could eat immediately. Adding moxibustion would be even better. An old woman suffered from fanwei, vomiting food eaten in the evening. Her qi rotated around the navel. I needled Shuifen (Water Division, CV9) and Qihai (Sea of Qi, CV6), along with two points flanking the navel. Another physician only moxa-ed Shuifen and Qihai, resulting in a miraculous cure. (From *Zisheng Jing*.)"
The Pingzhang of Zhejiang returned from a southern campaign, suffering from fanwei. Physicians thought it curable. Mr. Zhu diagnosed his pulse and told him, "Your illness cannot be discussed." He left and privately told his attendants, "This illness resulted from sexual activity after fright. Fire and wood pathogens combine, damaging qi and exhausting fluids, causing withering and damage to intestines and stomach. Food enters but does not digest. Since food does not digest, the five zang organs receive no nourishment. You will die in ten days." Indeed, he died as predicted. (From *Yueyou Ji* and *Yishuo Xubian*.)
Xue Lizhai treated a woman with fanwei, feeling stuffiness in the chest and diaphragm, slightly relieved after defecation or passing gas. This belongs to spleen qi depression and weakness; regulation and tonification are best. Disbelieving, she used Erchen Tang (Two-Aged Decoction), atractylodes macrocephala (Zhi Shi), and coptis chinensis (Huanglian) without success. Then she used aromatic, drying, qi-breaking drugs (common among contemporary physicians), worsening her condition and increasing physical depletion. She was treated with Guipi Tang (Spleen-Restoring Decoction) for half a year and recovered.
Scholar Xu treated a woman in her forties, suffering from inverted stomach for decades, with yellow-black complexion, lasting over thirty years, unresponsive to doctors. Moxa was applied repeatedly to various spleen acupoints, yet the disease worsened. Taking this medicine, she recovered instantly. After one month of usage, the root cause was eliminated. The formula is named Fuzi San (Aconite Powder): take one very large aconite root, place it on a brick, apply fire around it to slowly cook it through, then quench it in fresh ginger juice. Apply fire again, quench again, until about half a bowl of ginger juice is absorbed. Dry it, add 2 qian of cloves. Take 2 qian each time, decoct with one cup of water and a little millet for seven-tenths completion. Recovery usually occurs within three doses.
Wang Haicang said: "Viceroy Zhao vomited food shortly after eating, lost sight and hearing. After taking Ziwan Wan (Aster Pill) for fifty days, he expelled five or seven green snakes, each about four cun long, and three sheng of foul pus, then recovered. (Formula seen in Leprosy section.)"
Xiao Wanyu said: "In the Wuyin year of Chongzhen, I stayed in Bianliang and treated a palace maid of a Prince for postpartum hiccups. Speaking of the late Prince's youth, he suffered from malaria, dysentery, and fanwei. Treatments failed, and he despaired. A herbalist skilled in pulse diagnosis administered five doses containing seven liang of rhubarb (Dahuang), after which he could eat. This is a common occurrence. In my hometown, a dysentery patient was purged with four liang of rhubarb by a doctor, shocking onlookers. Yet, the dysentery decreased, and he recovered after several doses. If such cases were treated by those reading Xue Lizhai or Zhang Jingyue, would there be any hope? He took more than ten additional doses, totaling about one jin of rhubarb, and symptoms gradually improved. Later, he took phlegm-resolving pills, specifically Gutan Wan (Phlegm-Rolling Pill), for twenty days to fully recover. Over a year later, he fathered five sons and lived to ninety-three years. Such constitution is rare."