生姜的镇呕吐作用在《伤寒论》《金匮要略》中大致已有认识,仲景每将生姜或干姜用于治疗呕吐,但实际上干姜与生姜在使用上是有区别的。村井琴山在《药征续编》中说:“孙思邈曾谓无生姜可以干姜代替,然细考仲景用方,生姜主呕,干姜主治结滞之水,两者不可混用”。他还援引成无己《伤寒明理论》“呕者,有声者也,俗谓之晼;吐者,出其物者,故有干呕而无干吐”之说作解释。村井氏的本意是想纠正生姜干姜混同之误,然仅从呕与吐的字义辨正上入手似乎不能令人满意。其 The vomiting effect of ginger in the town has been generally recognized in the “Treatise on Febrile Diseases” and “Golden Chamber Outline”. Zhongjing used ginger or ginger to treat vomiting. However, ginger and ginger are actually different in use. In the “Continuation of Drugs and Drugs Continues,” Murai Kenzai said: “Sun Siqi once said that no ginger can be used as a substitute for dried ginger, but he carefully examines Zhongjing’s prescription, ginger vomiting, and ginger’s administration of stagnant water, which cannot be used together.” He also quoted him as an explanation of his theory of “deliberated typhoid fever,” “vomiting, voicing, and verbally saying; vomiting, ridiculing, and retching and not vomiting.” The intention of Mr. Murais is to correct the mistake of mixing ginger ginger and ginger, but it seems unsatisfactory to start with justifying the meaning of vomit and spit. its