治呕吐而病在膈上。后思水者解。急与之。思水者。此散主之。
猪苓 茯苓 白术（各等分。）
上三味。杵为散。饮服方寸匕。日三服。
歌曰 呕余思水与之佳。（少与之余。以救其液。）过与须防饮气乖。（恐旧饮方去新饮
复来
（歌见长沙方歌括。） 治呕而脉弱。小便复利。身有微热。见厥者难治。此汤主之。
附子 干姜 甘草
男元犀按。呕与热为阴邪所迫。小便利与见厥。证属无阳。脉弱者。真脏虚寒也。用四
逆汤
（歌见长沙方歌括。） 治呕而发热者。此汤主之。
柴胡 半夏 黄芩 人参 甘草 生姜 大枣
男蔚按。呕而发热者。少阳表症也。表未解则内不和。故作呕也。阳明主肌肉。木邪忤
土。
治胃反呕吐者。此汤主之。
半夏（二升。） 人参（三两。） 白蜜（一升。）
上三味。水一斗二升。和蜜扬之二百四十遍。煮药。取二升半。温服一升。余分再服。
歌曰 从来胃反责（之）冲（脉上）乘。半夏二升蜜一升。三两人参劳水煮。（水扬二
百四十遍
元犀按。此方用水之多。取其多煮白蜜。去其寒而用其润。俾粘腻之性。流连于胃。不
速下
谈及于此。不能再三问难。便知其庸陋欺人。则不复与谈矣。 膈咽之间。交通之气不得降
者。
亡之
治疗呕吐且病位在膈上。之后想喝水的，说明病情即将缓解。应迅速给予饮水。如果患者想喝水，用猪苓散主治。
将以上三味药捣碎研成散剂。每次服用一方寸匕，用温水送服，每日三次。
歌诀说：呕吐后思水宜给佳。（少量给予，以救津液。）过量则恐防饮气乖违。（担心旧有的停饮刚去，新的停饮又至。）
（歌诀见《长沙方歌括》。）治疗呕吐且脉象弱，小便反而通利，身体有微热，出现四肢厥冷的，属于难治之证。用四逆汤主治。
男元犀按语：呕吐与发热为阴邪所迫，小便利且见四肢厥冷，证候属阳气亡失。脉象弱，是真脏虚寒的表现。使用四逆汤。
男蔚按语：呕吐且发热的，是少阳表证。表证未解则体内不和，所以发生呕吐。阳明经主肌肉，木邪侵犯土脏。
治疗胃反呕吐的，用此汤主治。
将以上三味药，用水一斗二升，和入蜂蜜搅拌扬动二百四十遍，煎煮药物，取药汁二升半。温服一升，剩余的药汁分两次服用。
歌诀说：历来胃反责之于冲脉上乘，半夏二升配蜜一升，三两人参劳神水煮。（水与蜜扬动二百四十遍）
Treats vomiting with the pathology located above the diaphragm. If the patient subsequently desires water, it indicates resolution. Provide water promptly. For those desiring water, this powder (Zhuling San) is the primary treatment.
Zhu Ling (Polyporus), Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma) (in equal parts).
Crush the above three herbs into a powder. Take one fangcun bi (a square-inch measure) with warm water, administered three times daily.
The verse states: It is auspicious to give water when thirst arises after vomiting. (Give in small amounts to replenish fluids.) Excessive intake risks disrupting the qi of retained fluid. (Fearing that as old retention clears, new retention may arise.)
(The verse is found in *Changsha Fang Ge Kuo*.) Treats vomiting with a weak pulse, free urination, slight fever in the body, and cold extremities; this is difficult to treat. This decoction (Sini Tang) is the primary treatment.
Fu Zi (Prepared Aconiti Lateralis Radix), Gan Jiang (Dried Zingiberis Rhizoma), Gan Cao (Licorice Root).
Mr. Yuanxi notes: Vomiting and heat are forced by yin pathogens. Free urination and cold extremities indicate the absence of yang. A weak pulse signifies deficiency-cold of the true zang organs. Use Sini Tang.
(The verse is found in *Changsha Fang Ge Kuo*.) Treats vomiting accompanied by fever; this decoction is the primary treatment.
Chai Hu (Bupleuri Radix), Ban Xia (Pinelliae Tuber), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix), Gan Cao (Licorice Root), Sheng Jiang (Fresh Zingiberis Rhizoma), Da Zao (Jujubae Fructus).
Mr. Wei notes: Vomiting with fever is a Shaoyang exterior syndrome. If the exterior is not resolved, internal harmony is disrupted, leading to vomiting. The Yangming channel governs the muscles; wood pathogen invades the earth organ.
Treats gastric reversal vomiting; this decoction is the primary treatment.
Ban Xia (Pinelliae Tuber) (two sheng), Ren Shen (Ginseng Radix) (three liang), Bai Mi (White Honey) (one sheng).
Take the above three ingredients, add twelve dou of water, mix with honey, stir and lift two hundred and forty times, then decoct the medicine. Obtain two and a half sheng of liquid. Take one sheng warm, and administer the remainder in two doses.
The verse states: Gastric reversal has long been attributed to Chong vessel overacting upward; Ban Xia two sheng mixed with one sheng of honey, three liang of Ren Shen laboriously boiled. (Water and honey stirred and lifted two hundred and forty times).
Yuanxi notes: The large amount of water used in this formula aims to boil the white honey extensively, removing its cold nature while utilizing its moistening property. This allows its sticky nature to linger in the stomach, preventing rapid downward movement.
Having discussed this, further questioning is unnecessary. If one recognizes such mediocrity and deception, there is no need to continue discussing. Between the diaphragm and pharynx, the qi of communication fails to descend... (Text ends abruptly)