治脏腑神气不守正位,为喜怒忧思悲恐惊忤郁不行,遂聚涎饮,结积坚牢,有
如坯块,心腹绞痛,不能饮食,时发时止,发则欲死。
半夏(汤洗去滑,五两) 人参 桂心 甘草(炙,各一两)
上锉散。每服四钱,水盏半,姜七片,枣一枚,煎七分,去滓,食前服。
治喜怒不节,忧思兼并,多生悲恐,或时振惊,致脏气不平,憎寒发热,心
腹胀满,傍冲两胁,上塞咽喉,有如炙脔,吐咽不下,皆七气所生。
半夏(汤洗七次,五两) 白茯苓(四两) 浓朴(姜制炒,三两) 紫苏(二两)
上锉散。每服四钱,水盏半,姜七片,煎七分,去滓,食前服。
夫五噎者,即气噎、忧噎、劳噎、思噎、食噎。虽五种不同,皆以气为主。所谓气噎者
,心悸,上下不通,噫哕不彻,胸背痛。忧噎者,遇天阴寒,手足厥冷,不能自温。劳噎者
,气上鬲,胁下支满,胸中填塞,攻背疼痛。思噎者,心怔悸,喜忘,目视KT KT
。食噎者,食无多少,胸中苦寒疼痛,不得喘息。皆由喜怒不常,忧思过度,恐虑无时,郁
而生涎,涎与气搏,升而不降,逆害饮食,与五膈同,但此在咽嗌,故名五噎。
治五种噎,食饮不下,胸背痛,呕哕不彻,攻刺疼痛,泪与涎俱出。
人参 茯苓 浓朴(去粗皮锉,姜汁制炒) 枳壳(麸炒去瓤) 桂心 甘草(炙) 诃子(
炮去核) 白术 橘皮 白姜(炮) 三棱(炮) 神曲(炒) 麦 (炒,各二两) 木香(炮)
槟榔 蓬术(炮,各半两)
上为末。每服二钱,水一盏,生姜三片,枣子一枚,煎七分,空心温服;盐汤点亦得。
Treating the condition where the divine qi of the zang-fu organs fails to maintain its proper position, leading to stagnation due to emotions such as joy, anger, worry, thought, sorrow, fear, and fright. This causes phlegm-fluids to accumulate and form hard, firm masses, resulting in severe colicky pain in the heart and abdomen, inability to eat, intermittent onset, and extreme suffering during attacks.
Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness, 5 liang) Renshen (Ginseng Radix et Rhizoma) Guixin (Cinnamomi Cortex) Gancao (Licorice Radix et Rhizoma, honey-fried, each 1 liang)
The above ingredients are crushed into a powder. Each dose consists of 4 qian, boiled with 1.5 cups of water, 7 slices of fresh ginger, and 1 jujube, until reduced to 70% volume. Strain the dregs and take before meals.
Treating conditions caused by unregulated joy and anger, combined with worry and thought, often generating sorrow and fear, or occasional tremors and fright, leading to imbalance of visceral qi. Symptoms include aversion to cold and fever, abdominal distension and fullness, qi rushing laterally to both hypochondria, upward obstruction of the throat feeling like a roasted meat lump that cannot be vomited or swallowed. All these arise from the "Seven Qi" (seven emotional factors).
Banxia (Pinelliae Rhizoma, washed seven times with hot water, 5 liang) Baifuling (Poria, 4 liang) Houpo (Magnoliae Officinalis Cortex, processed with ginger juice and fried, 3 liang) Zisu (Perillae Folium, 2 liang)
The above ingredients are crushed into a powder. Each dose consists of 4 qian, boiled with 1.5 cups of water and 7 slices of fresh ginger, until reduced to 70% volume. Strain the dregs and take before meals.
The term "Five Yi" refers to Qi Yi, You Yi, Lao Yi, Si Yi, and Shi Yi. Although these five types differ, they are all primarily governed by qi stagnation. Qi Yi is characterized by palpitations, blockage of qi flow up and down, incomplete belching or hiccups, and chest and back pain. You Yi occurs when encountering cloudy or cold weather, resulting in cold extremities that cannot warm themselves. Lao Yi involves qi rising against the diaphragm, distension and fullness under the hypochondria, a sense of filling in the chest, and radiating back pain. Si Yi presents with palpitations, forgetfulness, and blurred vision. Shi Yi manifests as cold pain in the chest regardless of food intake, and inability to breathe normally. All result from irregular emotions, excessive worry and thought, constant fear and anxiety, leading to qi stagnation and generation of saliva/phlegm. The phlegm and qi contend, ascending but not descending, obstructing diet. This is similar to the Five Ge (epigastric fullness) syndromes, but located in the throat, hence named Five Yi.
Treating the five types of Yi, where food and drink cannot pass down, accompanied by chest and back pain, incomplete vomiting and hiccups, stabbing pain, and simultaneous tearing and salivation.
Renshen (Ginseng Radix et Rhizoma) Fuling (Poria) Houpo (Magnoliae Officinalis Cortex, coarse skin removed, cut, processed with ginger juice and fried) Zhike (Aurantii Fructus Immaturus, bran-fried, pith removed) Guixin (Cinnamomi Cortex) Gancao (Licorice Radix et Rhizoma, honey-fried) Hezi (Terminalia Chebulae Fructus, roasted, pit removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Chuanpi (Citri Reticulatae Pericarpium) Baijiang (Zingiberis Rhizoma, roasted) Sanleng (Sparganii Rhizoma, roasted) Shenqu (Massa Medicata Fermentata, fried) Maidong (Ophiopogonis Radix, fried, each 2 liang) Muxiang (Aucklandiae Radix, roasted) Binglang (Arecae Semen) Zhuansu (Curcumae Radix, roasted, each 0.5 liang)
The above ingredients are ground into powder. Each dose consists of 2 qian, boiled with 1 cup of water, 3 slices of fresh ginger, and 1 jujube, until reduced to 70% volume. Take warm on an empty stomach; alternatively, it can be taken with salted water.