脉∶下手脉沉，便知是气。沉极则伏，涩弱难治；其或
沉滑，气兼痰饮。
人身之气，一身之主也，要在周流顺行而无病矣；逆则诸病生焉。男子宜养其气，以全其神，妇人宜平气，
以调其经。若内伤七情者喜怒忧思悲恐惊是也。喜则气散，怒则气逆，忧则气陷，思则气结，悲则气消，恐则气
怯，惊则气耗也。外感六淫者，风寒暑湿燥火也。风伤气者为疼痛，寒伤气者为战栗，暑伤气者为热闷，湿伤气
者为肿满，燥伤气者为闭结。有虚气、有实气。虚者，正气虚，用四君子汤；实者，邪气实，用分心气饮。丹溪
有云∶气实不宜补，气虚宜补之。虽云气无补法，若痞满壅塞实胀，似难于补；若正气虚而不补则气何由而行。
故经云∶壮者气行而愈，怯者着而成病。此气之确论也。
一切七情之气为病者，宜顺气饮。
分心气饮 治男子妇人诸气不和，多因忧愁思虑，忿怒伤神，或临食忧戚，或事不遂意，使抑郁之气
留滞不散，停于胸膈之间，不能流畅，致心胸痞闷，胁肋虚胀，噎塞不通，吞酸嗳气，呕哕恶心，头目昏眩，四肢
倦怠，面色痿黄，口苦舌干，饮食减少，日见羸瘦，或大肠虚闭，或因病之后胸中虚痞，不思饮食，并皆治之。
木通 官桂 茯苓（去皮） 半夏（姜制，各三钱） 桑白皮 大腹皮（水洗） 青皮（去穣） 陈皮
（各五钱） 紫苏（二两） 羌活（五钱） 甘草（二钱半） 赤芍（三钱）
上锉一剂，生姜三片、枣一枚、灯芯一团，水煎温服。
又方 加枳壳、槟榔、香附，治气百病，最能升降阴阳，调顺三焦，屡用屡验，其功难以尽述。又随
症加减法于后。一方治忧思郁闷、怒气痞满，去芍药、羌活，加枳壳、桔梗、木香、槟榔、香附、藿香、莪术；
水气面目浮肿加猪苓、泽
泻、车前、木瓜、葶苈、麦门冬；气块加莪术；性急加柴胡；多怒加黄芩；食少加砂仁、神曲；咳嗽加桔梗、
半夏，胸膈紧加枳实、香附；三焦不和加乌药；气闭加萝卜子、枳壳；气滞腰疼加木瓜、枳壳；上焦热盛加黄
芩；下焦热甚加山栀；翻胃加沉香磨服。
上下分消导气汤 功胜分心气饮，常患气恼之人，可用此作丸，常服甚妙。
黄连（姜汁炒，二两） 半夏（水泡，姜汁浸炒） 栝蒌（去壳。各一两） 枳壳（麸炒） 桔梗（各二两）
桑白皮（蜜炙） 川芎 茯苓（去皮） 浓朴（姜汁炒） 青皮（去穣） 香附（童便浸炒。各二两） 泽泻
木通 槟榔 麦芽（炒。各一两）、甘草（三钱）。
上锉作剂，生姜三片，水煎服。或作丸，以神曲糊为丸，每服七八十丸，空心，白汤送下，淡姜汤亦可，名分消丸。
一切气滞食积腹胀痛者，宜消导也。
利气丸 治一切滞气，心腹胀闷疼痛、胁肋胀满难消、呕吐酸水痰涎、头目眩晕，并食积酒毒及米谷不化，
或下利脓血、大小便结滞不快，气壅积热、口苦咽干，烦躁、涕唾稠粘。此药最能流湿润燥，推陈致新，滋阴抑阳，
败郁破结，活血通经，治气分之圣药也。
大黄（生，四两） 黑牵牛（头末，四两） 香附米（炒） 木香 槟榔 枳壳（麸炒） 青皮（去穣）
陈皮 莪术（煨） 黄连（各二两） 黄柏（三两）
上为细末，水丸如梧桐子大。每服五十丸，或一百丸，临卧时淡姜汤送下，以利为度；如不利，再加丸数。
一方加黄芩，当归各一两尤妙。
神仙一块气 治诸气食积及噎塞痞满、胸胁刺痛、 瘕疝气，并皆治之。
青皮 陈皮 三棱（炒） 莪术 香附（童便炒。各一两） 神曲
麦芽（炒） 萝卜子（炒） 白丑（头末） 槟榔 郁金 黄连（各五钱） 枳实（三钱） 皂角 百草霜（各二钱半）
上为细末，面糊为丸，如绿豆大。每服三十丸，视疾之上下为食之先后，热酒姜汤送下。
一切气虚为病者，宜补气也。
四君子汤 治气虚症。
人参（去芦） 白术（去芦） 砂仁 茯苓（去皮） 陈皮 浓朴（姜汁炒） 当归 甘草（各等分）
上锉一剂，生姜一片、枣二枚，水煎，不拘时服。气虚甚加黄 。
调理气郁之病者，此药虽平易而有殊效也。
交感丹 治一切诸气，公私拂情，名利失志，抑郁烦恼，七情所伤，不思饮食、面黄形羸，胸膈诸症极
有神效。
香附米（一斤，长流水浸三日，捞起炒干，忌铁器） 白茯苓（去皮木，为净末，四两）
上二味为末搅匀，炼蜜为丸，如弹子大。每清晨细嚼一丸，白滚汤送下，或陈皮汤亦可，抑气汤尤妙。
补遗秘方
一粒金丹
鸦片（二钱半，即哑芙蓉） 阿魏（一钱） 木香（九分） 沉香（五分） 牛黄（二分半）
上将沉香、木香、牛黄为末，以鸦片放碗内滴水溶化、阿魏溶化，和蜜为丸，如绿豆大，金箔为衣。每一粒，
热气痛，凉水下；冷气痛，滚水下。忌酒醋青菜，一旦夕神效。
管藩相夫人，患因气郁生火，每至夜半不睡，口干烦渴吐粘痰，必欲茶水漱口，舌上赤黑皮浓，胸闷嘈杂，
饮食少思。余诊两寸脉洪数，两尺脉代虚，右气口盛，此上盛下虚、
血虚气郁有火也。以四物汤加生地黄、黄连、麦门冬、知母、贝母、天花粉、玄参、栀子、桔梗、枳实、青皮、
甘草，数剂奏效。又以六味地黄丸加生地黄、麦门冬、知母、玄参、天花粉、贝母、五味子、黄连，一料全安。
周宾崇亲家，患因气恼得咽喉噎塞如有所碍，胸膈痞闷，时吐痰唾，耳若蝉鸣，头目不清。予诊六脉沉数。
丹溪云∶下手脉沉，便知是气。以清火豁痰丸服之而安。
Pulse: If the pulse is deep upon palpation, it indicates a Qi disorder. If the pulse is extremely deep (Fu), and accompanied by choppy and weak qualities, it is difficult to treat; if the pulse is deep and slippery, it indicates Qi disorder complicated by Phlegm-Fluid retention.
The Qi of the human body is the master of the whole body; its key lies in smooth circulation and orderly movement without disease. If Qi moves counter to its normal course, various diseases arise. For men, it is appropriate to nourish their Qi to preserve their Shen (Spirit); for women, it is appropriate to regulate their Qi to harmonize their menses. Internal injuries caused by the Seven Emotions (Joy, Anger, Worry, Pensive thought, Sorrow, Fear, Fright) manifest as follows: Joy scatters Qi, Anger causes Qi to rebel, Worry causes Qi to sink, Pensive thought causes Qi to knot, Sorrow consumes Qi, Fear makes Qi timid, and Fright exhausts Qi. Regarding external invasions by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire): Wind injuring Qi manifests as pain; Cold injuring Qi manifests as shivering; Summerheat injuring Qi manifests as heat and stifling; Dampness injuring Qi manifests as swelling and fullness; Dryness injuring Qi manifests as constipation and obstruction. There are Deficiency-type and Excess-type Qi disorders. Deficiency type involves deficiency of Healthy Qi (Zheng Qi), treated with Sijunzi Tang (Four Gentlemen Decoction); Excess type involves excess of Pathogenic Qi, treated with Fenxin Qi Yin (Divided Heart Qi Decoction). Zhu Danxi stated: "When Qi is Excess, tonification is not suitable; when Qi is Deficient, it should be tonified." Although it is often said that there is no method for tonifying Qi, if symptoms such as stuffiness, fullness, blockage, and distension occur, tonification seems difficult; however, if Healthy Qi is deficient and not tonified, how can Qi move? Thus, the Classics state: "Those who are robust recover as Qi moves; those who are frail develop disease as Qi stagnates." This is a definitive discussion on Qi.
For all diseases caused by the Qi of the Seven Emotions, Shunqi Yin (Smooth Qi Decoction) is appropriate.
Fenxin Qi Yin (Divided Heart Qi Decoction) treats Qi disharmony in both men and women, often due to worry, pensive thought, anger injuring the Shen, or feeling distressed while eating, or matters not going as desired, causing depressed Qi to stagnate and fail to disperse, stopping between the chest and diaphragm, unable to flow smoothly, resulting in chest stuffiness, hypochondriac distension, dysphagia, acid regurgitation, belching, vomiting, nausea, dizziness, limb fatigue, sallow complexion, bitter taste in the mouth, dry tongue, reduced appetite, progressive emaciation, or empty closure of the large intestine, or post-illness chest emptiness and stuffiness with loss of appetite. All these conditions are treated by this formula.
Ingredients: Tongcao (Akebiae Caulis), Rougui (Cinnamomi Cortex), Fuling (Poria), Banxia (Pinelliae Rhizoma prepared with ginger, each 3 qian), Sangbaipi (Morus Albae Cortex), Dafupi (Arecae Pericarpium washed), Qingpi (Citri Reticulatae Pericarpium viride, de-albumed), Chenpi (Citri Reticulatae Pericarpium, each 5 qian), Zisu (Perillae Folium, 2 liang), Qianghuo (Notopterygii Rhizoma et Radix, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2.5 qian), Chishao (Paeoniae Radix Rubra, 3 qian).
Preparation: The above herbs are coarsely crushed for one dose, added with three slices of Shengjiang (Zingiberis Rhizoma), one Jujube (Zizyphi Fructus), and a bundle of Dengxincai (Junci Medullia), decocted in water and taken warm.
Another prescription: Add Zhike (Aurantii Fructus), Binglang (Arecae Semen), and Xiangfu (Cyperi Rhizoma). It treats hundreds of Qi diseases, effectively ascending and descending Yin and Yang, and regulating the Sanjiao (Triple Burner). It has proven effective repeatedly, and its merits are hard to fully describe. The following methods for modification according to symptoms are provided: For depression and anger causing stuffiness, remove Shaoyao (Paeoniae Radix) and Qianghuo, add Zhike, Jiegeng (Platycodonis Radix), Muxiang (Aucklandiae Radix), Binglang, Xiangfu, Huoxiang (Agastaches Herba), and Ezhu (Curcumae Rhizoma); for edema of face and eyes due to Water-Qi, add Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Cheqian (Plantaginis Semen), Mugua (Chaenomelis Fructus), Tinglizi (Lepidii Semen), and Maidong (Ophiopogonis Radix); for Qi masses, add Ezhu; for irritability, add Chaihu (Bupleuri Radix); for frequent anger, add Huangqin (Scutellariae Radix); for poor appetite, add Sharen (Amomi Fructus) and Shenqu (Massa Medicata Fermentata); for cough, add Jiegeng and Banxia; for tightness in chest and diaphragm, add Zhishi (Aurantii Fructus immaturus) and Xiangfu; for Sanjiao disharmony, add Wuyao (Linderae Radix); for Qi closure, add Luobozhi (Brassicae Semen) and Zhike; for Qi stagnation causing lower back pain, add Mugua and Zhike; for excessive Heat in Upper Jiao, add Huangqin; for severe Heat in Lower Jiao, add Shanzhi (Gardeniae Fructus); for retching/vomiting, add Chenxiang (Aquilariae Lignum) ground and taken.
Shangxia Fenxiao Daoqi Tang (Upper and Lower Dividing and Guiding Qi Decoction) is more effective than Fenxin Qi Yin. For those frequently suffering from Qi-related anger, this can be made into pills for regular use, which is very beneficial.
Ingredients: Huanglian (Coptidis Rhizoma stir-fried with ginger juice, 2 liang), Banxia (Pinelliae Rhizoma soaked in water, stir-fried with ginger juice), Gualou (Trichosanthis Fructus, de-shelled, each 1 liang), Zhike (Aurantii Fructus stir-fried with bran), Jiegeng (Platycodonis Radix, each 2 liang), Sangbaipi (Morus Albae Cortex honey-roasted), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuling (Poria peeled), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger juice), Qingpi (Citri Reticulatae Pericarpium viride de-albumed), Xiangfu (Cyperi Rhizoma stir-fried with child's urine, each 2 liang), Zexie (Alismatis Rhizoma), Tongcao (Akebiae Caulis), Binglang (Arecae Semen), Maiya (Hordei Fructus germinatus stir-fried, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian).
Preparation: The above herbs are coarsely crushed for one dose, added with three slices of Shengjiang (Zingiberis Rhizoma), decocted in water and taken. Alternatively, made into pills using Shenqu (Massa Medicata Fermentata) paste as binder. Take 70-80 pills per dose, on an empty stomach with plain boiled water; light ginger soup is also acceptable. Named Fenxiao Wan (Dividing Pill).
For all abdominal distension and pain caused by Qi stagnation and Food Stagnation, a resolving and guiding method is appropriate.
Li Qi Wan (Benefit Qi Pill) treats all stagnant Qi, heart and abdominal distension and pain, hypochondriac fullness difficult to resolve, vomiting of sour fluid and phlegm-saliva, dizziness, as well as Food Stagnation, Wine Toxicity, and undigested grains. It also treats bloody diarrhea, constipation or difficult urination/defecation, Qi congestion with accumulated Heat, bitter taste in mouth, dry throat, restlessness, and thick sticky nasal discharge/saliva. This medicine is best at moistening dryness through flow, eliminating the old and generating the new, nourishing Yin and suppressing Yang, breaking depression and knots, invigorating Blood and unblocking meridians. It is a sacred medicine for treating Qi-level disorders.
Ingredients: Dahuang (Rhei Radix et Rhizoma raw, 4 liang), Heiqianniu (Pharbitidis Semen head powder, 4 liang), Xiangfumii (Cyperi Rhizoma stir-fried), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Zhike (Aurantii Fructus stir-fried with bran), Qingpi (Citri Reticulatae Pericarpium viride de-albumed), Chenpi (Citri Reticulatae Pericarpium), Ezhu (Curcumae Rhizoma baked), Huanglian (Coptidis Rhizoma, each 2 liang), Huangbai (Phellodendri Cortex, 3 liang).
Preparation: The above herbs are ground into fine powder, formed into pills with water like Sophora seeds. Take 50 or 100 pills before sleep with light ginger soup, aiming for purgation; if no purgation occurs, increase the number of pills.
Another prescription: Adding Huangqin (Scutellariae Radix) and Danggui (Angelicae Sinensis Radix), each 1 liang, is even better.
Shenxian Yikuai Qi (Immortal One-Piece Qi) treats various Qi disorders, Food Stagnation, dysphagia, stuffiness, stabbing pain in chest and hypochondrium, and Jian-Hernia (masses/hernias). All are treated.
Ingredients: Qingpi (Citri Reticulatae Pericarpium viride), Chenpi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma stir-fried), Ezhu (Curcumae Rhizoma), Xiangfu (Cyperi Rhizoma stir-fried with child's urine, each 1 liang), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus germinatus stir-fried), Luobozhi (Brassicae Semen stir-fried), BaiChou (Pharbitidis Semen head powder), Binglang (Arecae Semen), Yujin (Curcumae Radix), Huanglian (Coptidis Rhizoma, each 5 qian), Zhishi (Aurantii Fructus immaturus, 3 qian), Zaojiao (Gleditsiae Sinensis Spina), Baicaoshuang (Soot from burning hundred herbs, each 2.5 qian).
Preparation: The above herbs are ground into fine powder, formed into pills with flour paste like mung beans. Take 30 pills per dose, timing intake relative to meals based on the location of the disease (upper or lower), taken with hot wine and ginger soup.
For all diseases caused by Qi Deficiency, tonification of Qi is appropriate.
Sijunzi Tang (Four Gentlemen Decoction) treats Qi Deficiency syndromes.
Ingredients: Renshen (Ginseng Radix et Rhizoma, de-rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome), Sharen (Amomi Fructus), Fuling (Poria peeled), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger juice), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation: The above herbs are coarsely crushed for one dose, added with one slice of Shengjiang (Zingiberis Rhizoma) and two Jujubes (Zizyphi Fructus), decocted in water, and taken at any time. For severe Qi Deficiency, add Huangqi (Astragali Radix).
To regulate Qi Depression disorders, although this medicine is simple, it has remarkable effects.
Jiaogan Dan (Interacting Elixir) treats all types of Qi disorders, frustration in public and private life, loss of ambition regarding fame and profit, depression, vexation, injury by the Seven Emotions, loss of appetite, sallow complexion, emaciation. It is extremely effective for various chest and diaphragm symptoms.
Ingredients: Xiangfumii (Cyperi Rhizoma, 1 jin, soaked in running water for three days, removed and stir-fried dry, avoid iron vessels), Baifuling (Poria peeled and de-woody, pure powder, 4 liang).
Preparation: The above two ingredients are ground into powder and mixed evenly, formed into pills with refined honey like marbles. Chew one pill finely every morning, swallow with plain boiled water; Chenpi (Citri Reticulatae Pericarpium) soup is also acceptable. Yi Qi Tang (Suppress Qi Decoction) is particularly excellent.
Supplementary Secret Recipe
Yili Jin Dan (One Grain Golden Pill)
Ingredients: Yapians (Opium, 2.5 qian, also known as Ya Furong), Aw ei (Ferulae Resina, 1 qian), Muxiang (Aucklandiae Radix, 9 fen), Chenxiang (Aquilariae Lignum, 5 fen), Niuhuang (Bovis Calculus, 2.5 fen).
Preparation: Grind Chenxiang, Muxiang, and Niuhuang into powder. Place Opium in a bowl, dissolve with a few drops of water, dissolve Ferulae Resina, mix with honey, and form pills like mung beans, coated with Gold Leaf. For one pill: take with cool water for Heat-pain; take with boiling water for Cold-pain. Avoid alcohol, vinegar, and green vegetables. Divine efficacy will be seen within one day and night.
Madam Guan, wife of Minister Guan Fan, suffered from Fire generated by Qi Depression. She could not sleep past midnight, had dry mouth, vexation, thirst, vomited sticky phlegm, always wanted to rinse her mouth with tea/water, had thick red-black coating on her tongue, chest stuffiness and discomfort, and little desire for food. I diagnosed her pulses: Cun (Inch) positions were flooding and rapid, Chi (Cubit) positions were intermittent and deficient, and the Qi Kou (Radial artery at the wrist) on the right was vigorous. This indicated Upper Excess and Lower Deficiency, Blood Deficiency with Qi Depression and Fire. Prescribed Siwu Tang (Four Substances Decoction) plus Shengdihuang (Rehmanniae Radix), Huanglian (Coptidis Rhizoma), Maidong (Ophiopogonis Radix), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), Tianhuafen (Trichosanthis Radix), Xuanshen (Scrophulariae Radix), Zhizi (Gardeniae Fructus), Jiegeng (Platycodonis Radix), Zhishi (Aurantii Fructus immaturus), Qingpi (Citri Reticulatae Pericarpium viride), Gancao (Glycyrrhizae Radix et Rhizoma). After several doses, effectiveness was achieved. Then prescribed Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) plus Shengdihuang (Rehmanniae Radix), Maidong (Ophiopogonis Radix), Zhimu (Anemarrhenae Rhizoma), Xuanshen (Scrophulariae Radix), Tianhuafen (Trichosanthis Radix), Beimu (Fritillariae Thunbergii Bulbus), Wuweizi (Schisandrae Fructus), Huanglian (Coptidis Rhizoma). After one course, she was completely cured.
Mr. Zhou Bin, my relative by marriage, suffered from throat obstruction as if something were stuck, chest and diaphragm stuffiness, occasional expectoration of phlegm-saliva, tinnitus like cicadas, and unclear head and eyes due to Qi anger. I diagnosed his six pulses as deep and rapid. Zhu Danxi said: "If the pulse is deep upon palpation, it indicates a Qi disorder." Prescribed Qinghuo Huotan Wan (Clear Fire and Expel Phlegm Pill), and he recovered.