《病源论》云∶气噎由阴阳不和,脏气不理,寒气填于胸膈,故气有咽塞不通,而谓之
气噎
又云∶噎者,一曰气噎,二曰忧噎,三曰食噎,四曰劳噎,五曰思噎。虽有五名,皆由
阴阳
《新录方》治气噎胸塞不达方∶水服盐末一大匙。
又方∶含咽美酒,取瘥止,酢亦得。
又方∶苏蜜合煎,令相得,细细含咽之。
又方∶捣韭取汁,服五合。
又方∶灸膻中穴。
又方∶灸第五椎。又灸内踝上三寸。
《集验方》通气噎汤方∶
半夏(八两,洗) 桂心(三两) 生姜(八两)
凡三物,以水八升,煮取三升,服半升,日二。
《千金方》治噎气不通、永不得食方∶
杏仁(三两) 桂心(三两)
二味,丸如枣核,稍咽之,临食先含,弥佳。(《极要方》同之。)
《病源论》云∶夫奔豚气者,肾之积气也,起于惊恐忧思所生也。若惊恐则伤神,心藏
神也
其
妄言妄见,此惊恐奔豚之状也。若气满支心,心下烦乱,不欲闻人声,休作有时,乍瘥乍剧
,吸吸短气,手足厥逆,内烦结痛,温温欲呕,此忧思奔豚之状也。
《医门方》云∶论曰,奔豚病者,从少腹起上冲喉咽,发作时欲死,皆从惊得之。
疗奔豚气方∶生葛根二十分,甘李根白皮切小一升,水九升,煮三升,分温三服,服相
去八
疗奔豚气在心胸中不下支满者方∶
生姜(五两) 半夏(四两,洗) 桂心 人参 吴茱萸 甘草(炙) 茯苓(各二两)
水七升,煮取二升半,分温三服,服相去八九里。
又云∶灸奔豚法∶恒灸气海、丹田、关元,皆当其穴灸之,穴在脐下一寸、二寸、三寸
是也
《短剧方》云∶师曰,病有奔豚,有吐脓,有惊怖,有火灸耶,此四部病皆从惊得之,
所言如奔豚之状者,是病患气如豚奔走,气息喘迫,上逆之状也。汤方用KT 猪者,谓雄
豚、KT 斗子是,先逐之,使奔之,然后杀取血及脏合药也。
葛根奔豚汤方∶
葛根(八两,干者) 生李根(一升,去皮) 人参(三两) 术肉(二两) 半夏(一
升,洗,炙)
凡十物,以豚汁二斗,煮得五升,温服八合,日三。
牡蛎奔豚汤方∶
牡蛎(三两) 桂肉(八两) 李根(一斤) 甘草(三两)
凡四物,煮豚令熟,取汁一斗七升,煮李根得七升汁,纳药,取三升,分服五合,日三,
夜再。
《广济方》疗贲气在胸、心迫满支寄方∶
生姜(一斤) 半夏(四两,洗) 桂心(三两) 人参(二两) 吴茱萸(一两) 甘
草(二两,炙)
上,以水一斗,煮取三升,绞去滓,分温三服,忌生菜、面、粘食。
《集验方》奔豚茯苓汤,治虚气五脏不足、寒气厥逆、腹满、气奔冲胸膈、发作气欲绝
不识
生葛(八两) 甘李根白皮(切,一升) 生姜(五两) 茯苓(四两) 半夏(一升,
洗) 人参(
肥豚一头三十斤者,逐走令口中沫出,刺取血,冶豚如食法,以水足淹豚,豚熟出之,
澄取清
《千金方》治气上下痞塞不能休息破气丸方∶
桔梗(三分) 胡椒(七分) 荜茇(十卜) 橘皮(三卜) 干姜(三卜) 椒(六
分) 乌头(
(五分) 甘草(八分) 细辛(
苓(四分) 前胡(四分) 术(六分)
茱萸(六分)
二十四味,丸如梧子,酒服十丸,日二。有热者空腹服之。
又云∶治气上不得卧神秘方∶
橘皮 生姜 紫苏 人参 五味子
五味,各等分五两,水七升半,煮取三升,分三服。
又云∶治气满腹胀下气汤方∶
半夏(一升) 生姜(一升) 人参(一两半) 橘皮(三两)
四味,切之,以水七升,煮取三升,分三服,一日令尽。
According to the *Bing Yuan Lun* (Treatise on the Causes and Manifestations of Diseases), Qi Ye (Qi Obstruction) is caused by disharmony between Yin and Yang, and disordered Qi movement in the Zang-Fu organs. Cold pathogen fills the chest and diaphragm, causing Qi obstruction in the throat, hence it is called Qi Ye.
It is further stated that there are five types of Ye: one is Qi Ye (Qi Obstruction), two is You Ye (Worry Obstruction), three is Shi Ye (Food Obstruction), four is Lao Ye (Fatigue Obstruction), and five is Si Ye (Pensiveness Obstruction). Although they have five names, all arise from Yin-Yang disharmony.
The *Xin Lu Fang* (Newly Recorded Formulas) provides a formula for treating Qi Ye with chest fullness and blockage: Take one large spoonful of salt powder, swallowed with water.
Another formula: Gargle and swallow fine wine until cured; vinegar is also acceptable.
Another formula: Decoct Perilla Honey together until blended, then hold in the mouth and swallow slowly.
Another formula: Crush fresh Chinese Chive to extract juice, take five he.
Another formula: Moxibustion at Danzhong (CV-17).
Another formula: Moxibustion at the fifth thoracic vertebra. Also moxibustion at three cun above the medial malleolus.
The *Ji Yan Fang* (Collected Proven Formulas) provides Tong Qi Ye Tang (Ventilate Qi Obstruction Decoction):
Ban Xia (Pinelliae Rhizoma, 8 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 8 liang)
These three ingredients are decocted in eight sheng of water to obtain three sheng of liquid. Take half sheng per dose, twice daily.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a formula for treating Ye Qi blockage where food cannot be taken at all:
Xing Ren (Armeniacae Semen Amarum, 3 liang) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang)
These two ingredients are made into pills the size of jujube pits. Swallow them gradually; it is better to hold them in the mouth before meals. (This is identical to the *Ji Yao Fang*).
The *Bing Yuan Lun* states: Ben Tun Qi (Running Piglet Qi) is an accumulation of Qi in the Kidney, arising from fright, fear, worry, and overthinking. Fright injures the Shen (Spirit), as the Heart houses the Shen.
Manifestations include delirious speech and visual hallucinations, which characterize the Fright-type Ben Tun. If Qi feels full and distending in the heart/chest, accompanied by mental restlessness, aversion to human voices, periodic exacerbation and remission, shortness of breath, cold extremities, internal irritability and pain, and nausea, this characterizes the Worry/Thinking-type Ben Tun.
The *Yi Men Fang* (Medical Gate Formulas) states: Ben Tun disease involves Qi rushing from the lower abdomen up to the throat. During attacks, the patient feels as if dying. All cases originate from fright.
Formula for treating Ben Tun Qi:
Sheng Ge Gen (Puerariae Radix, 20 fen) Gan Li Gen Bai Pi (Pruni Spinosae Cortex Albus, 1 sheng, chopped)
Decoct in nine sheng of water to obtain three sheng. Divide into three warm doses. [Text implies standard dosing interval].
Formula for treating Ben Tun Qi stuck in the chest and upper abdomen causing distension:
Sheng Jiang (Zingiberis Rhizoma Recens, 5 liang) Ban Xia (Pinelliae Rhizoma, 4 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex) Ren Shen (Ginseng Radix) Wu Zhu Yu (Evodiae Fructus) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared) Fu Ling (Poria, each 2 liang)
Decoct in seven sheng of water to obtain two and a half sheng. Divide into three warm doses. [Interval described as walking distance/time].
It is also stated: Moxibustion method for Ben Tun: Frequently moxa Qihai (CV-6), Tiantui (CV-12/Dantian), and Guanyuan (CV-4). These points are located one, two, and three cun below the umbilicus, respectively.
The *Duan Ju Fang* (Short Drama Formulas) states: The Master said, among diseases are Ben Tun, vomiting of pus, fright/terror, and injuries from fire-moxa. These four categories all stem from fright. The term "Ben Tun" describes the patient's Qi moving like a running piglet, with panting and urgent upward counterflow. The use of pig in the decoction refers to using male pigs or young pigs; they are driven to run until exhausted, then slaughtered to collect blood and viscera for the medicine.
Ge Gen Ben Tun Tang (Kudzu Root Running Piglet Decoction):
Ge Gen (Puerariae Radix, dried, 8 liang) Sheng Li Gen (Pruni Spinosae Cortex, 1 sheng, peeled) Ren Shen (Ginseng Radix, 3 liang) Zhu Rou (Atractylodis Macrocephalae Rhizoma, 2 liang) Ban Xia (Pinelliae Rhizoma, 1 sheng, washed and processed)
These ten ingredients are decocted in two dou of pig juice to obtain five sheng. Take eight he warm, three times daily.
Mu Li Ben Tun Tang (Oyster Shell Running Piglet Decoction):
Mu Li (Ostreae Concha, 3 liang) Gui Rou (Cinnamomi Cortex, 8 liang) Li Gen (Pruni Spinosae Cortex, 1 jin) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang)
These four ingredients are boiled in pig juice (obtained by boiling a pig until cooked, taking 1.7 dou of juice). Boil the Li Gen in this juice to obtain seven sheng. Add the other herbs and boil down to three sheng. Take five he per dose, three times daily and twice at night.
The *Guang Ji Fang* (Broad Salvation Formulas) provides a formula for Fen Qi (Rebellious Qi) in the chest, causing heart oppression and fullness:
Sheng Jiang (Zingiberis Rhizoma Recens, 1 jin) Ban Xia (Pinelliae Rhizoma, 4 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang) Ren Shen (Ginseng Radix, 2 liang) Wu Zhu Yu (Evodiae Fructus, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang, prepared)
Decoct in one dou of water to obtain three sheng. Strain and remove dregs. Divide into three warm doses. Avoid raw vegetables, wheat products, and sticky foods.
The *Ji Yan Fang* Ben Tun Fu Ling Tang (Running Piglet Poria Decoction) treats deficiency Qi leading to insufficiency of the Five Zang organs, cold pathogen causing cold limbs, abdominal fullness, Qi rushing to the chest/diaphragm, and attacks where Qi seems to cease and consciousness is lost...
Sheng Ge (Puerariae Radix, 8 liang) Gan Li Gen Bai Pi (Pruni Spinosae Cortex Albus, 1 sheng, chopped) Sheng Jiang (Zingiberis Rhizoma Recens, 5 liang) Fu Ling (Poria, 4 liang) Ban Xia (Pinelliae Rhizoma, 1 sheng, washed) Ren Shen (Ginseng Radix...)
Take a fat pig weighing thirty jin. Drive it until it foams at the mouth. Pierce to collect blood. Process the pork meat according to culinary methods. Submerge in sufficient water, boil until cooked, remove, and clarify to obtain clear juice...
The *Qian Jin Fang* Po Qi Wan (Break Qi Pill) for treating Qi blockage above and below with no relief:
Jie Geng (Platycodonis Radix, 3 fen) Hu Jiao (Piperis Longi Fructus, 7 fen) Bi Bo (Piperis Kadsurae Fructus, 10 fen) Ju Pi (Citri Reticulatae Pericarpium, 3 fen) Gan Jiang (Zingiberis Rhizoma, 3 fen) Jiao (Zanthoxyli Fructus, 6 fen) Wu Tou (Aconiti Lateralis Radix Praeparata...)
(5 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 8 fen) Xi Xin (Asari Radix et Rhizoma...)
Fu Ling (Poria, 4 fen) Qian Hu (Peucedani Radix, 4 fen) Zhu (Atractylodis Rhizoma, 6 fen)
Zhu Yu (Evodiae Fructus, 6 fen)
Twenty-four ingredients are made into pills the size of wetland pea seeds. Take ten pills with wine, twice daily. Those with heat signs should take on an empty stomach.
It is also stated: A secret formula for treating Qi rebelling upwards preventing lying down:
Ju Pi (Citri Reticulatae Pericarpium) Sheng Jiang (Zingiberis Rhizoma Recens) Zi Su (Perillae Folium) Ren Shen (Ginseng Radix) Wu Wei Zi (Schisandrae Chinensis Fructus)
Five ingredients, equal parts of five liang each. Decoct in seven and a half sheng of water to obtain three sheng. Divide into three doses.
It is also stated: Xia Qi Tang (Descend Qi Decoction) for treating Qi fullness and abdominal distension:
Ban Xia (Pinelliae Rhizoma, 1 sheng) Sheng Jiang (Zingiberis Rhizoma Recens, 1 sheng) Ren Shen (Ginseng Radix, 1.5 liang) Ju Pi (Citri Reticulatae Pericarpium, 3 liang)
Four ingredients, chopped. Decoct in seven sheng of water to obtain three sheng. Divide into three doses, consumed within one day.