（附 气）
【因】 胃中有火，有痰。
《三因》论醋咽。夫中脘有饮则嘈，有宿食则酸。食后噫酸、吞酸者，皆食证（俗名咽
酸）
【治方】 食郁有痰，吞酸。
南星 半夏（五钱） 黄芩（一两） 陈皮
燥饮丸 治痰饮心痛。
干螺壳（墙上者） 苍术 神曲为丸。
曲术丸 治吞酸。中脘有饮则嘈，宿食则酸。
缩砂 陈皮 苍术 神曲（炒）
曲丸，姜汤送下。
又方 治酸，皆湿热郁。
黄连（姜汁炒） 苍术 茯苓
汤浸，饼丸。吐清水
苍术（陈壁土炒） 茯苓（一钱） 滑石（煨） 术（一钱五分） 陈皮（五分）
水煎。
论 气
证 夫 饪之邪从口入者，宿食也。其病烦痛，畏风憎寒，心腹胀满，下利不欲
食，吞酸噫宿腐气。或腹胀泻泄，及四肢浮肿。若胃实热，食反留滞，其脉滑而数，宜下之
愈。
若脾虚，其脉浮大，按之反涩，尺中亦微涩，宜温消之。
木香丸 木香 砂 蓬术 胡椒 半夏 干漆（炒令烟尽，各五钱） 桂心 缩
砂青皮（各三钱） 附子（炮，去皮脐） 三棱（醋炙） 干姜（各一两）
上末，蜜丸，梧子大。每服五十丸，姜汤下。
感应丸 肉豆蔻 川芎 百草霜（各二两） 木香（一两五钱） 荜澄茄 丁香 三
棱（各一两） 巴豆（百粒，去皮） 蜡（四两） 杏仁（百粒，去皮）
上除巴豆外，为末。以下别研。巴豆、杏仁和匀。先将油煎蜡溶化，倾出药末，内和成
剂，入臼内杵千余下，丸绿豆大。每服三五丸白汤下。
又外有醋咽、 气、思膈皆同。
（附 气）
【病因】胃中有火邪，有痰饮。
《三因方》论述醋咽（吞酸）。中脘部位有停饮则出现嘈杂感，有宿食则出现吞酸。进食后嗳出酸腐之气、吞酸的，都属于食积证（俗称咽酸）。
【治疗方剂】针对食积郁滞伴有痰饮、吞酸的情况。
南星、半夏（各五钱）、黄芩（一两）、陈皮。
燥饮丸：治疗痰饮引起的心痛。
干螺壳（取自墙上的）、苍术、神曲，制成丸药。
曲术丸：治疗吞酸。中脘有停饮则嘈杂，有宿食则吞酸。
缩砂仁、陈皮、苍术、神曲（炒），制成丸药，用姜汤送服。
又一方：治疗酸症，皆因湿热郁结所致。
黄连（用姜汁炒）、苍术、茯苓。
用水浸泡后，制成饼状丸药。若呕吐清水，可用以下方剂：
苍术（用陈壁土炒）、茯苓（一钱）、滑石（煨制）、白术（一钱五分）、陈皮（五分），水煎服用。
论气
证候：饮食之邪从口进入人体，即为宿食。其病症表现为烦闷疼痛，怕风恶寒，心腹胀满，腹泻且不想吃东西，吞酸并嗳出宿食腐败之气。或者出现腹胀腹泻，以及四肢浮肿。如果胃中实热，食物反而留滞不化，脉象滑而数，适宜用攻下法治疗即可痊愈。
如果是脾虚，脉象浮大，重按反而涩滞，尺部脉也微涩，适宜用温补消导法治疗。
木香丸：木香、砂仁、蓬术、胡椒、半夏、干漆（炒至烟尽，各五钱）、桂心、缩砂仁、青皮（各三钱）、附子（炮制，去皮脐）、三棱（醋炙）、干姜（各一两）。
以上药物研为细末，蜂蜜和丸，如梧桐子大小。每次服用五十丸，姜汤送服。
感应丸：肉豆蔻、川芎、百草霜（各二两）、木香（一两五钱）、荜澄茄、丁香、三棱（各一两）、巴豆（一百粒，去皮）、蜡（四两）、杏仁（一百粒，去皮）。
除巴豆外，其余药物研为细末。将巴豆单独研磨。巴豆与杏仁混合均匀。先将油煎化蜡，倒出药末，混合成剂，放入臼中杵捣一千多下，制成绿豆大小的丸药。每次服用三五丸，白开水送服。
另外，还有醋咽（吞酸）、嗳气、思膈（胸膈不适）等症，治疗方法都相同。
(Attached: Qi)
[Causes] There is fire in the stomach, and there is phlegm-fluid.
The *San Yin Fang* discusses "vinegar swallowing" (acid regurgitation). When there is fluid retention in the Zhongwan (CV12) area, there is a sensation of heartburn; when there is retained food, there is acid regurgitation. Acid belching and acid regurgitation after eating all belong to food stagnation syndrome (commonly known as acid regurgitation).
[Treatment Formulas] For cases of food stagnation with phlegm-fluid and acid regurgitation.
Tian Nan Xing (Arisaema Rhizoma), Ban Xia (Pinelliae Rhizoma) (each 5 qian), Huang Qin (Scutellariae Radix) (1 liang), Chen Pi (Citri Reticulatae Pericarpium).
Zao Yin Wan (Drying Fluid Pill): Treats heart pain caused by phlegm-fluid.
Gan Luo Ke (Shell of Dry Snail) (from walls), Cang Zhu (Atractylodis Rhizoma), Shen Qu (Massa Medicata Fermentata), made into pills.
Qu Zhu Wan (Curry and Atractylodes Pill): Treats acid regurgitation. Fluid retention in Zhongwan causes heartburn; retained food causes acid regurgitation.
Suo Sha Ren (Amomi Fructus), Chen Pi, Cang Zhu, Shen Qu (stir-fried), made into pills, taken with ginger decoction.
Another prescription: Treats acid regurgitation, all due to damp-heat stagnation.
Huang Lian (Coptidis Rhizoma) (stir-fried with ginger juice), Cang Zhu, Fu Ling (Poria).
Soaked in water, made into pill cakes. If vomiting clear fluid, use the following formula:
Cang Zhu (stir-fried with soil from old walls), Fu Ling (1 qian), Hua Shi (Talcum) (roasted), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian), Chen Pi (0.5 qian), decocted in water.
Discussion on Qi
Syndrome: Pathogenic factors from food and drink entering through the mouth constitute retained food. The disease presents with vexation and pain, aversion to wind and cold, abdominal distension and fullness, diarrhea with loss of appetite, acid regurgitation, and belching of putrid food qi. Or it may present with abdominal distension and diarrhea, and edema of the four limbs. If there is excess heat in the stomach causing food to remain stagnant, the pulse is slippery and rapid; purgation is indicated for recovery.
If there is Spleen deficiency, the pulse is floating and large, but feels choppy upon deep pressure, and the Chi position is also slightly choppy; warming and resolving methods are indicated.
Mu Xiang Wan (Costi Pill): Mu Xiang (Aucklandiae Radix), Sha Ren (Amomi Fructus), Peng Zhu (Curcumae Phaeocaulis Rhizoma), Hu Jiao (Piperis Longi Fructus), Ban Xia, Gan Qi (Drynariae Rhizoma or Myrobalan? Context suggests a drying agent, likely Gan Qi as in some texts, but literally "Dry Lacquer" - note: In TCM formulas like this, Gan Qi often refers to Dried Lacquer or similar, but here likely implies a specific processed herb. Given "Chao ling yan jin", it might be a typo for another herb or specific preparation. However, strictly translating the text provided: Gan Qi (Dry Lacquer) (stir-fried until smoke ceases, each 5 qian), Gui Xin (Cinnamomi Cortex), Suo Sha Ren, Qing Pi (Citri Reticulatae Pericarpium Viride) (each 3 qian), Fu Zi (Aconiti Lateralis Radix Praeparata) (processed, skin and umbilicus removed), San Leng (Sparganii Rhizoma) (vinegar-processed), Gan Jiang (Zingiberis Rhizoma) (each 1 liang).
Grind the above into powder, mix with honey to make pills the size of wu zi (Cocculus Indicus seeds). Take 50 pills per dose, with ginger decoction.
Gan Ying Wan (Miraculous Response Pill): Rou Dou Kou (Myristicae Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Cao Shuang (Fuligo Silicea) (each 2 liang), Mu Xiang (1.5 liang), Bi Cheng Qie (Piperis Kadsurae Fructus), Ding Xiang (Caryophylli Flos), San Leng (each 1 liang), Ba Dou (Crotonis Fructus) (100 grains, peeled), La (Beeswax) (4 liang), Xing Ren (Armeniacae Semen Amarum) (100 grains, peeled).
Except for Ba Dou, grind the rest into powder. Grind Ba Dou separately. Mix Ba Dou and Xing Ren evenly. First, melt the beeswax in oil, pour out the powder, mix into a paste, pound in a mortar over a thousand times, and make pills the size of mung beans. Take 3-5 pills per dose with warm water.
Additionally, vinegar swallowing (acid regurgitation), belching, and chest diaphragm discomfort have similar treatments.