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[Shen Shi] Qi Qi Decoction (Seven-Qi Decoction): Rhizoma Zingiberis Preparatum (Ganjiang), Fructus Scutellariae (Huangqin), Cortex Cinnamomi (Guixin), Rhizoma Pinelliae Preparatum (Banxia), Radix Glycyrrhizae (Gancao), Pericarpium Citri Reticulatae (Jupi), Radix Rehmanniae Preparata (Gandi Huangdi), Radix Paeoniae Alba (Shaoyao), each 2 liang; Radix Platycodonis (Jiegeng) 3 liang; Fructus Aurantii Immaturus (Zhishi) 5 pieces; Radix Ginseng (Renshen) 1 liang; Fructus Evodiae (Wuzhuyu) 5 he.

This decoction is the primary treatment for Qi-type Yige (Qi-type Dysphagia and Regurgitation).

Yige refers to a condition characterized by obstruction in the throat and chest, hindering the swallowing of food and drink. In modern times, people often confuse "Ye" (dysphagia with sensation of obstruction) and "Ge" (regurgitation/obstruction), failing to distinguish them, which contradicts ancient understanding. This classification originates from the transmission of *Shen Shi Fang* and Sun Simiao (Zhenren). The so-called "Seven Qi" refers to Cold Qi, Heat Qi, Anger Qi, Resentment Qi, Joy Qi, Sorrow Qi, and Worry Qi. Qi is the substance that circulates incessantly within the body; thus, when Qi flows smoothly, health prevails, but when Qi stagnates, disease arises. When Qi is harmonious and balanced, recovery occurs; when it is discordant and violent, illness manifests. In this formula, pungent herbs can promote Qi circulation, hence Pungent herbs such as Ganjiang, Rougui, Wuzhuyu, Banxia, and Chenpi are used. Bitter herbs can descend Qi, hence Bitter herbs such as Huangqin, Zhishi, and Jiegeng are employed. Spleen deficiency fails to transform and transport Qi, hence Renshen and Gancao are used to tonify the Spleen. Liver and Kidney weakness fail to grasp Qi, hence Dihuang is used to nourish the Kidney, and Shaoyao is used to harmonize the Liver.

Jiu Zhi Yin (Leek Juice Drink): Fresh Leek Juice (Shengjiuzhi) and Chunjiu (Mellow Wine), in equal proportions.

Take 2 he per dose, twice daily.

This drink is the primary treatment for Blood-type Yige.

Han dynasty physicians referred only to Ye or Ge. Later medical texts classified them into Five Ye and Five Ge. The Five Ye include: Qi Ye, You Ye, Lao Ye, Shi Ye, and Si Ye. The Five Ge include: You Ge, Hui Ge, Qi Ge, Han Ge, and Re Ge. Although the theory posits five categories, the description of symptoms is actually incomplete. Currently, disregarding these rigid classifications, we formulate prescriptions based on the actual symptoms presented by patients. Blood-type Yige may result from trauma/falls or severe anger, causing blood to accumulate in the chest and diaphragm. Over time, this coagulates, obstructing diet. Symptoms ease with heat and worsen with cold. Fresh leek juice can resolve the stasis of accumulated blood, assisted by mellow wine to enhance its blood-moving action.

Gualou Shi Wan (Trichosanthes Fruit Pill): Semen Trichosanthis (Gualouren), Exocarpium Aurantii (Zhike), Rhizoma Pinelliae Preparatum (Banxia).

Form pills using Ginger Juice (Jiangzhi) and Rice Paste (Mihu).

This pill is the primary treatment for Phlegm-type Yige.

Phlegm ascends with rebellious Qi and descends with descending Qi; therefore, Gualou, Zhike, and Jiegeng are all herbs that descend Qi. Phlegm is generated from Dampness and must be eliminated by drying methods; thus, Banxia is a herb that dries Dampness. One might ask: Since Jiegeng acts as a carrier for other herbs and has a floating nature, how can it descend Qi? I reply: Sweet flavors tend to linger in the diaphragm, while bitter flavors descend Qi; light/clear substances float upward, while heavy/bitter substances sink downward. This is the inherent nature of herbs. Jiegeng is sweet and bitter, belonging to "Minor Yin within Yang." Initially, it lingers in the diaphragm due to its sweetness, but prolonged use allows its bitter property to descend Qi. For cases with abundant phlegm, one should consult various formulas in the Phlegm category for appropriate selection.