治心气不足。吐血衄血者。此汤主之。
大黄（二两。） 黄连 黄芩（各一两。）
上三味。以水三升。煮取一升。顿服之。
歌曰 火热上攻心气伤。（即心气不足。）清浊二道血洋洋。（火逼血从浊道出则为吐。
血从
蔚按。火邪盛而迫血。则错经妄行。血为心液。血伤无以养心。致心阴之气不足也。故
曰心
此一
（歌见长沙方歌括。） 治呕而胸满者。 又主干呕。吐涎沫。头痛者。
吴茱萸 人参 生姜 大枣
受业林礼丰按。胸为阳位。旷若太空。呕而胸满者。阴邪占居阳位也。故重用生姜、吴
萸之
以
（歌见长沙方歌括。） 治呕而肠鸣。心下痞者。此汤主之。
半夏 黄芩 干姜 人参 甘草 黄连
长男蔚按。呕而肠鸣并无下利。心下痞不因误下。何以上下之阻隔若是。盖因饮停心下。
上
半
其轻清上浮。以成化痞降逆之用耳。
（歌见长沙方歌括。） 治干呕而利者。此汤主之。
黄芩 甘草 芍药 大枣 生姜 半夏
男元犀按。太阳主开。少阳主枢。干呕者。少阳之邪欲从太阳之开而外出也。下利者。
太阳
交
恐
（见痰饮。） 治诸呕吐。谷不得下者。此汤主之。
犀按。胃主纳谷。谷不得下者。胃气虚寒也。呕吐者。饮随寒气上逆也。胃虚饮逆。非
温不
平。
治疗心气不足，出现吐血、鼻出血症状的患者，用此方主治。
大黄（二两） 黄连 黄芩（各一两）
以上三味药，用水三升，煎煮至一升，一次性服用。
歌诀曰：火热上攻损伤心气。（即心气不足。）清浊二道血液涌溢。（火邪逼迫血液从浊道排出则为吐血，血液从清道排出则为衄血。）
蔚按：火邪旺盛而迫血妄行，则血液错乱妄行。血为心之液，血液受损无法滋养心脏，导致心阴之气不足。所以说这是“心气不足”。
（歌诀见《长沙方歌括》。）
治疗呕吐且胸中胀满的患者。
又主治干呕，吐出涎沫，伴有头痛的患者。
吴茱萸 人参 生姜 大枣
受业林礼丰按：胸部为阳位，空旷如同太空。呕吐且胸中胀满，是阴邪占据了阳位。所以重用生姜、吴茱萸的……（原文此处有缺漏，依语境补全意译：辛温散寒降逆）。
（歌诀见《长沙方歌括》。）
治疗呕吐且肠鸣，胃脘部痞塞不通的患者，用此方主治。
半夏 黄芩 干姜 人参 甘草 黄连
长男蔚按：呕吐且肠鸣却没有下利，胃脘痞塞并非因误治下法所致，为何上下阻隔如此严重？大概是因为水饮停滞在心下，阻碍了气机升降。
半……（原文此处有缺漏，依语境补全意译：半夏等药辛开苦降，以成化痞降逆之用耳。）
（歌诀见《长沙方歌括》。）
治疗干呕且伴有下利的患者，用此方主治。
黄芩 甘草 芍药 大枣 生姜 半夏
男元犀按：太阳主司开启，少阳主司枢转。干呕，是少阳邪气欲从太阳的开启之机向外发散。下利，是……（原文此处有缺漏，依语境补全意译：太阳之气不固或邪气内陷）。
交……恐……（原文此处有缺漏，依语境补全意译：阴阳气机交接失常，恐致病情加重）。
（见《痰饮》篇。）
治疗各种呕吐，食物无法咽下的患者，用此方主治。
犀按：胃主受纳食物，食物无法咽下，是胃气虚寒所致。呕吐，是水饮随着寒气上逆。胃虚且饮邪上逆，非温补不能平复。
Treats patients with insufficient Heart Qi (insufficiency of the Qi of the Heart) presenting with hematemesis (vomiting blood) or epistaxis (nosebleed); this decoction is indicated.
Rhubarb Radix et Rhizoma (Dahuang, 大黄) (two liang), Coptis Rhizome (Huanglian), Scutellaria Root (Huangqin) (each one liang).
Take these three ingredients, add three sheng of water, and boil to obtain one sheng. Take in a single dose.
The song states: "Fire-heat attacks upward, damaging Heart Qi." (This refers to insufficient Heart Qi.) "Blood overflows in both the clear and turbid pathways." (When fire forces blood out through the turbid pathway, it results in vomiting blood; when blood exits through the clear pathway, it results in epistaxis.)
Wei's commentary: When pathogenic fire is excessive and forces blood to move recklessly, blood flows erratically. Blood is the fluid of the Heart; when blood is damaged, it fails to nourish the Heart, leading to insufficiency of Heart Yin-Qi. Therefore, it is termed "Heart Qi insufficiency."
(The song can be found in *Changsha Fang Ge Kuo*.)
Treats patients presenting with vomiting and chest fullness.
It also treats dry heaving, vomiting of saliva and froth, accompanied by headache.
Evodia Fruit (Wuzhuyu), Ginseng Radix et Rhizoma (Renshen), Fresh Ginger Rhizome (Shengjiang), Jujube Fruit (Dazao).
Commentary by disciple Lin Lifeng: The chest is the region of Yang, vast and empty like the sky. Vomiting with chest fullness indicates that Yin pathogens occupy the Yang region. Therefore, heavy doses of Shengjiang and Wuzhuyu are used... [text incomplete] to disperse cold and direct rebellious Qi downward.
(The song can be found in *Changsha Fang Ge Kuo*.)
Treats patients presenting with vomiting, borborygmus (intestinal rumbling), and epigastric stuffiness (plugged sensation in the lower chest/epigastrium); this decoction is indicated.
Pinellia Tuber (Banxia), Scutellaria Root (Huangqin), Dried Ginger Rhizome (Ganjiang), Ginseng Radix et Rhizoma (Renshen), Licorice Root (Gancao), Coptis Rhizome (Huanglian).
Eldest son Wei's commentary: Vomiting with borborygmus but without diarrhea, and epigastric stuffiness not caused by erroneous purgation, why is there such obstruction between the upper and lower? It is likely due to fluid retention in the epigastrium, obstructing the ascending and descending of Qi.
[Text incomplete] Banxia... etc., utilizing their light and clear ascending properties to achieve the effect of resolving stuffiness and directing rebellious Qi downward.
(The song can be found in *Changsha Fang Ge Kuo*.)
Treats patients presenting with dry heaving and diarrhea; this decoction is indicated.
Scutellaria Root (Huangqin), Licorice Root (Gancao), Peony Root (Shaoyao), Jujube Fruit (Dazao), Fresh Ginger Rhizome (Shengjiang), Pinellia Tuber (Banxia).
Son Yuanxi's commentary: Taiyang governs opening, Shaoyang governs pivoting. Dry heaving indicates that Shaoyang pathogens desire to exit outward via the opening mechanism of Taiyang. Diarrhea indicates... [text incomplete] Taiyang...
[Text incomplete] Interaction... fear... [text incomplete]
(See *Phlegm-Fluids* chapter.)
Treats various types of vomiting where food cannot go down; this decoction is indicated.
Yuanxi's commentary: The Stomach governs receiving food. If food cannot go down, it is due to deficiency-cold of Stomach Qi. Vomiting occurs because fluids follow the cold Qi and rebel upward. Deficiency of the Stomach with rebellious fluid invasion cannot be pacified without warming.