Powerful sonorous hiccup associated with a large slippery pulse. Repletion hiccup is usually attributable to stomach repletion with fire, or phlegm-damp obstruction. The root cause may be damage to the stomach by voracious eating causing food to stagnate in the stomach duct.
Biomedical correspondence: observed in gastric neurosis and acute gastritis.
Medicinal therapy: Treat by harmonizing the stomach and downbearing qì, and by clearing stomach fire or transforming phlegm-damp. For stomach fire, use variations of Lophatherum and Gypsum Decoction (竹叶石膏汤zhú yè shí gāo tāng) or Minor Qì-Coordinating Decoction (小承气汤xiǎo chéng qì tāng), adding persimmon calyx (Kaki Calyx, 柿蒂shì dì) to downbear qì. For phlegm-damp, use Inula and Hematite Decoction (旋覆花代赭石汤xuán fù huā dài zhě shí tāng) minus ginseng (Ginseng Radix, 人参rén shēn), raw licorice (Glycyrrhizae Radix Cruda, 生甘草shēng gān cǎo), and jujube (Jujubae Fructus, 大枣dà zǎo), plus poria (Poria, 茯苓fú líng) and tangerine peel (Citri Reticulatae Pericarpium, 陈皮chén pí). If the root cause is food damage, add stir-fried barley sprout (Hordei Fructus Germinatus, 麦芽mài yá), stir-fried millet sprout (Setariae Fructus Germinatus, 谷芽gǔ yá), crataegus (Crataegi Fructus, 山楂shān zhā), and medicated leaven (Massa Medicata Fermentata, 神曲shén qū) to rectify qì and disperse food.
Acumoxatherapy: Base treatment mainly on ST, LR, and PC. Main points: BL-17 (Diaphragm Transport, 膈俞 gé shù), PC-6 (Inner Pass, 内关 nèi guān), CV-17 (Chest Center, 膻中 shān zhōng), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), CV-14 (Great Tower Gate, 巨阙 jù què), ST-25 (Celestial Pivot, 天枢 tiān shū), and LR-3 (Supreme Surge, 太冲 tài chōng).
Point selection according to cause: For stomach fire, add LI-4 (Union Valley, 合谷 hé gǔ) and ST-44 (Inner Court, 内庭 nèi tíng). For phlegm-damp, add ST-40 (Bountiful Bulge, 丰隆 fēng lóng) and SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán). For food damage, add CV-10 (Lower Stomach Duct, 下脘 xià wǎn), Lǐ Inner Court (里内庭lǐ nèi tíng), and CV-21 (Jade Swivel, 璇玑 xuán jī); Drain all points.