论曰上气胸胁支满者。肺脏虚寒，邪气实也，肺为寒所客，则气收聚，故肺叶举而上焦
不通。令上气奔迫痞满支乘于胸胁也。
治上气胸满，喘息气绝，痰水盛溢，浓朴枳壳汤方
浓朴（去粗皮涂生姜汁炙） 枳壳（去瓤麸炒） 甘草（炙锉各三分） 秦艽（去苗土
一两半） 陈橘皮（汤浸去白焙三分） 半夏（汤洗去滑生姜汁制一两半） 桂（去粗皮） 麻
黄（去根节） 杏仁（汤去皮尖双仁炒） 黄芩（去黑心） 石膏（碎） 赤茯苓（去黑皮）
细辛（去苗叶各半两） 大戟（去苗锉一分）
上一十四味。粗捣筛，每服三钱匕。生姜三钱，大枣二枚劈破，水一盏，煎至七分，去
滓温服、日三。
治上气两胁满急，杏仁丸方
杏仁（汤浸去皮尖双仁炒） 赤茯苓（去黑皮） 防葵（各二两） 吴茱萸（汤洗焙干
炒） 陈橘皮（汤去白焙） 桂（去粗皮） 防风（去叉） 泽泻（各一两一分） 白术 射
干芍药 紫苏子（微炒） 桔梗（生芦
上一十四味，捣罗为细末，炼蜜和丸，如梧桐子大，温酒服十丸、日二。加至三十丸。
治上气胸满，昼夜不得卧，半夏丸方
半夏（汤洗去滑生姜汁制焙干） 芎 （各半两） 蜀椒（去目及闭口者炒出汗一分） 附
子（炮裂半皮脐） 贝母（去心微炒） 桑根白皮（锉碎炒） 款冬花（去枝梗焙） 细辛
（去苗叶各半两） 紫菀（去苗土焙一两） 干姜（炮裂半两） 钟乳（研一两） 杏仁（汤
浸去皮尖双仁研细半两）
上一十二味，先将前十味，捣罗为细末，与钟乳杏仁同研令匀，炼蜜丸如梧桐子大，每
服三丸至五丸，粥饮下日三服。不拘时候。
治上气五脏闭塞。不得饮食。胸胁支胀，乍来乍去。虚气在心，滞气在胃。唇干口燥，
肢体动摇，手足冷疼，梦寐恐怖，此五脏虚乏不足所致。柴胡当归汤方
柴胡（去苗四两） 当归（切焙一两） 细辛（去苗叶半两） 防风（去叉一两） 麻
黄（去根节三两） 桂（去粗皮一两） 半夏（汤洗去滑生姜汁制焙干二两半） 人参（半
两） 黄 （锉一两） 黄芩（去黑
上一十一味。粗捣筛，每服三钱匕，生姜一枣大拍碎，枣二枚劈，水一盏，煎至七分，
去滓温服、日三。
治上气胸膈噎塞。两胁痞满，利痛消积气，止吐逆，定咳嗽，进饮食。丁香丸方
丁香（五十枚） 芫花（醋拌炒令紫色） 甘遂（炒） 大戟（去苗） 紫菀（去苗土
各一分） 白牵牛子（微炒取粉半两） 附子（炮裂去皮脐一分） 巴豆（五十枚去皮心膜
醋煮黄色研） 砂 腻粉（各一钱研
上一十味，捣研为细末，拌和匀，煮枣肉和丸。加鸡头大。每服一丸，嚼枣一枚。同药
干咽。
调顺正气，消腹胁胀满。利胸膈。木香丸方
木香 槟榔（锉） 肉豆蔻仁 大黄（煨锉） 牵牛子（生捣取粉用） 郁李仁（汤去
皮各一两） 续随
上九味，捣罗为细末，炼蜜和丸，如豌豆大，食后生姜汤下五丸至七丸。
利胸膈。行滞气。消胀满。疗腹胁痛。降气丸方
香子（微炒） 木香 桂（去粗皮） 槟榔（锉） 桃仁（汤去皮尖双仁研各一两） 莱
菔子 京三棱（煨锉） 青橘皮（汤去白焙各三分） 浓朴（去粗皮生姜汁炙香熟一两）
上九味，捣罗为细末拌匀。酒煮面糊和丸，如梧桐子大，空心温酒下二十丸。至三十丸。
生姜汤下亦得。
治胸满上气，昆布丸方
昆布（洗炙干一两） 大黄（锉炒半两） 苦瓠子（炒二十枚） 葶苈子（炒令紫色一
两） 海藻（洗去咸炒干半两） 木通（锉碎一分） 硝石（研） 水银（研各半两） 桃
仁（汤退皮尖双仁研半两）
上九味。先将前六味，捣罗为末，后与硝石水银桃仁拌和令匀，炼蜜丸梧桐子大，食后
良久、粥饮下三丸，日再服。
治上气。利胸膈，消胀满，槟榔汤方
槟榔（二两锉） 木香（一两） 陈橘皮（汤浸去白焙） 青橘皮（汤浸去白焙） 白
术（各三两） 京三棱
上八味，粗捣筛，每服五钱匕，水二盏，生姜三片。盐少许，煎至一盏，去滓稍热服，
不计时。
治上气腹胁胀满。利胸膈。顺三焦。乌药煮散方
乌药（锉一两） 沉香（锉） 陈橘皮（汤去白焙） 甘草（炙锉各一分） 干姜（炮
裂一分） 槟榔（锉一分
上六味，捣罗为细散，每服三钱匕，水一盏。入生姜一小块拍破，同煎至六分，和滓热
服。或入盐少许，沸汤点服、亦得。
治上气胸胁满，不下食，呕逆胸中冷，栝蒌汤方
栝蒌 陈橘皮（汤去白焙各四两） 当归（锉焙三两） 半夏（汤洗七遍生姜制焙一两
半）
上四味。锉如麻豆大，每服五钱匕，生姜一枣大拍碎，水一盏煎至六分，去滓温服。日
二。
治上气胸胁支满，麻黄石膏汤方
麻黄（去根节四两） 石膏（莹净者别捣碎二两） 浓朴（去粗皮涂生姜汁炙熟五两半）
杏仁（汤
上四味粗捣筛，每服五钱匕，入小麦半合。水二盏，煎至一盏，去滓温服、日三。
治胸胁逆满胀渴，茯苓汤方
赤茯苓（去黑皮一两） 人参（三两）
上二味粗捣筛，以水三盏，煎取一盏半，去滓分温三服。
治肺气喘息不安，胸满上气。人参散方
人参（一两） 葶苈子（隔纸炒） 麻黄（去节） 木通（锉） 桑根白皮（锉） 桔
梗（炒） 紫菀（去苗七） 款冬花 甘草（炙锉各三分） 赤茯苓（去黑皮半两） 乌梅
（七枚取肉）
上一十一味。粗捣筛，每服五钱匕，以水一盏半，煎取八分，去滓空心顿服。要转下痰
并煎服之。
治久患上气。胸胁支满，浓朴温肺散方
浓朴（去粗皮用糯米粥浸一次饭久曝干为末一两半） 葶苈子（微炒捣为细末一两） 皂
荚子（一
上五味，同研为散，每日空心，以生姜蜜汤调下两钱匕，晚饭后再服，若远行炼蜜为丸。
如弹子大，含化一丸。
[Discussion] The condition characterized by ascending Qi (Shang Qi) and a sensation of fullness and distension in the chest and hypochondrium is caused by deficiency-cold of the Lung organ combined with excess pathogenic factors. When the Lung is invaded by cold, Lung Qi contracts and gathers, causing the lung lobes to elevate and obstructing the circulation of Qi in the Upper Jiao (Upper Burner). This results in the forceful rushing of ascending Qi, leading to a feeling of stuffiness and fullness that extends to the chest and hypochondrium.
**Nanpu Zhike Tang (Magnolia Bark and Aurantium Decoction)** for treating ascending Qi, chest fullness, severe panting where breath seems to cease, and excessive overflow of phlegm-fluids:
* Houpo (Cortex Magnoliae Officinalis), bark removed, coated with fresh ginger juice and roasted, 3 fen
* Zhike (Fructus Aurantii), pith removed, stir-fried with bran, 3 fen
* Gancao (Radix Glycyrrhizae Uralensis), roasted and crushed, 3 fen
* Qinjiao (Radix Gentianae Macrophyllae), roots and soil removed, 1 liang 5 qian
* Chenpi (Pericarpium Citri Reticulatae), soaked in hot water, white inner layer removed, dried, 3 fen
* Banxia (Rhizoma Pinelliae Ternatae), washed in hot water to remove slipperiness, processed with fresh ginger juice, 1 liang 5 qian
* Guizhi (Ramulus Cinnamomi Cassiae), bark removed
* Mahuang (Herba Ephedrae), roots and nodes removed
* Xingren (Semen Pruni Armeniacae), skin and tips removed, double-kernel ones stir-fried
* Huangqin (Radix Scutellariae Baicalensis), black heart removed
* Shigao (Gypsum Fibrosum), crushed
* Chifuling (Poria Cocos with Red Cortex), black skin removed
* Xixin (Herba Asari), roots and leaves removed, each 0.5 liang
* Daji (Radix Euphorbiae Pekinensis), roots removed, crushed, 1 qian
The above fourteen ingredients are coarsely crushed and sifted. For each dose, take 3 qianbi (approx. 4-5 grams). Add 3 qian of fresh ginger and 2 dates split open. Add one sheng (approx. 200ml) of water, decoct until 7/10 remains, strain, and take warm. Administer three times daily.
**Xingren Wan (Apricot Seed Pill)** for treating ascending Qi and urgent fullness in both hypochondria:
* Xingren (Semen Pruni Armeniacae), soaked in hot water, skin and tips removed, double-kernel ones stir-fried, 2 liang
* Chifuling (Poria Cocos with Red Cortex), black skin removed, 2 liang
* Fangkui (Radix Adenophorae seu Saposhnikoviae), 2 liang
* Wuzhuyu (Fructus Evodiae Routeae), washed in hot water, dried, and stir-fried
* Chenpi (Pericarpium Citri Reticulatae), white inner layer removed in hot water, dried
* Guizhi (Ramulus Cinnamomi Cassiae), bark removed
* Fangfeng (Radix Saposhnikoviae), forked branches removed
* Zexie (Rhizoma Alismatis Orientale), 1 liang 1 qian
* Baizhu (Rhizoma Atractylodis Macrocephalae)
* Shegan (Rhizoma Belamcandae)
* Shaoyao (Radix Paeoniae Alba seu Rubra)
* Zisuzi (Fructus Perillae Frutescentis), lightly stir-fried
* Jiegeng (Radix Platycodon Grandiflori), raw
The above fourteen ingredients are pounded into a fine powder, mixed with refined honey to form pills the size of *Koelreuteria paniculata* seeds. Take ten pills with warm wine, twice daily. Dosage may be increased to thirty pills.
**Banxia Wan (Pinellia Pill)** for treating ascending Qi, chest fullness, and inability to lie down day or night:
* Banxia (Rhizoma Pinelliae Ternatae), washed in hot water, processed with fresh ginger juice, dried, 0.5 liang
* Xiong (Rhizoma Chuanxiong), 0.5 liang
* Shujiao (Fructus Schisandrae Chinensis - *Note: Text says Shujiao, usually Sichuan Pepper*, Fructus Zanthoxyli), remove eyes and closed-mouth ones, stir-fry until oil appears, 1 qian
* Fuzi (Radix Aconiti Lateralis Preparata), cracked by processing, skin and umbilicus removed
* Beimu (Bulbus Fritillariae Cirrhosae), heart removed, lightly stir-fried
* Sangbaip (Cortex Mor Radicis), crushed and stir-fried
* Kuandonghua (Flos Farfarae), stems and pedicels removed, dried
* Xixin (Herba Asari), roots and leaves removed, each 0.5 liang
* Ziwan (Herba Asteris Tatarici), roots and soil removed, dried, 1 liang
* Jiangjiang (Rhizoma Zingiberis Recens - *Note: Text says Ganjiang*, Rhizoma Zingiberis Secati), cracked by processing, 0.5 liang
* Zhongru (Concha Stalagmitis), ground, 1 liang
* Xingren (Semen Pruni Armeniacae), soaked in hot water, skin and tips removed, double-kernel ones finely ground, 0.5 liang
The above twelve ingredients: First, pound the first ten ingredients into a fine powder. Mix evenly with Zhongru and Xingren. Form pills with refined honey, size of *Koelreuteria paniculata* seeds. Take 3-5 pills per dose with millet gruel drink, three times daily. Time is not restricted.
**Chaihu Danggui Tang (Bupleurum and Angelica Decoction)** for treating ascending Qi causing obstruction of the five zang organs, inability to eat, intermittent fullness and distension in the chest and hypochondrium. This is due to deficient Qi in the Heart and stagnant Qi in the Stomach, manifesting as dry lips and mouth, trembling limbs, cold and painful hands and feet, fear in dreams, all resulting from deficiency of the five zang organs.
* Chaihu (Radix Bupleuri), roots removed, 4 liang
* Danggui (Radix Angelicae Sinensis), sliced and dried, 1 liang
* Xixin (Herba Asari), roots and leaves removed, 0.5 liang
* Fangfeng (Radix Saposhnikoviae), forked branches removed, 1 liang
* Mahuang (Herba Ephedrae), roots and nodes removed, 3 liang
* Guizhi (Ramulus Cinnamomi Cassiae), bark removed, 1 liang
* Banxia (Rhizoma Pinelliae Ternatae), washed, processed with ginger juice, dried, 2.5 liang
* Renshen (Radix Ginseng), 0.5 liang
* Huangqi (Radix Astragali Membranacei), crushed, 1 liang
* Huangqin (Radix Scutellariae Baicalensis), black heart removed
The above eleven ingredients are coarsely crushed and sifted. Take 3 qianbi per dose. Add ginger the size of a date (crushed) and two split dates. Add one sheng of water, decoct until 7/10 remains, strain, and take warm. Three times daily.
**Dingxiang Wan (Clove Pill)** for treating ascending Qi, throat obstruction in the chest and diaphragm, fullness in both hypochondria, relieving pain, eliminating accumulated Qi, stopping vomiting and nausea, calming cough, and promoting appetite.
* Dingxiang (Flos Caryophylli), 50 pieces
* Yuanhua (Flos Genkwa), mixed with vinegar and stir-fried until purple
* Gansui (Radix Kansui), stir-fried
* Daji (Radix Euphorbiae Pekinensis), roots removed
* Ziwan (Herba Asteris Tatarici), roots and soil removed, each 1 qian
* Baiqianniu (Semen Phytolaccae Acinosae), lightly stir-fried, powder taken, 0.5 liang
* Fuzi (Radix Aconiti Lateralis Preparata), cracked, skin and umbilicus removed, 1 qian
* Badou (Semen Crotonis Tiglii), 50 pieces, skin, heart, and membrane removed, boiled in vinegar until yellow, then ground
* Sharen (Fructus Amomi Rotundus)
* Nifen (Calomelas), each 1 qian, ground
The above ten ingredients are pounded and ground into a fine powder, mixed evenly, and bound with paste from boiled dates to form pills the size of a cock's head. Take one pill per dose, chew one date, and swallow the medicine dry.
**Muxiang Wan (Costus Root Pill)** to regulate and smooth Zheng Qi (Upright Qi), eliminate abdominal and hypochondrial distension, and benefit the chest and diaphragm.
* Muxiang (Radix Aucklandiae)
* Binglang (Semen Arecae), crushed
* Roudoukou (Arillus Myristicae)
* Dahuang (Radix et Rhizoma Rhei Palmati), baked and crushed
* Qianniu (Semen Phytolaccae Acinosae), raw, pounded for powder use
* Yuliren (Semen Pruni Persicae), skin removed in hot water, each 1 liang
* Xuisuijing (Herba Euphorbiae Lathyridis)
The above nine ingredients are pounded into a fine powder, mixed with refined honey to form pills the size of pea seeds. Take 5-7 pills after meals with ginger soup.
**Jiangqi Wan (Descending Qi Pill)** to benefit the chest and diaphragm, move stagnant Qi, eliminate distension, and treat abdominal and hypochondrial pain.
* Xiangzi (Semen Carvi)
* Muxiang (Radix Aucklandiae)
* Guizhi (Ramulus Cinnamomi Cassiae), bark removed
* Binglang (Semen Arecae), crushed
* Taoren (Semen Persicae), skin and tips removed, double-kernel ones ground, each 1 liang
* Laifuzi (Semen Raphani Sativi)
* Jingsanleng (Rhizoma Sparganii Stoloniferi), baked and crushed
* Qingju pi (Pericarpium Citri Reticulatae Viride), white inner layer removed in hot water, dried, each 3 fen
* Nanpu (Cortex Magnoliae Officinalis), bark removed, roasted with ginger juice until fragrant and cooked, 1 liang
The above nine ingredients are pounded into a fine powder and mixed evenly. Bind with flour paste cooked in wine to form pills the size of *Koelreuteria paniculata* seeds. Take 20 pills on an empty stomach with warm wine; dosage may increase to 30 pills. Ginger soup is also acceptable.
**Kunbu Wan (Laminaria Pill)** for treating chest fullness and ascending Qi.
* Kunbu (Thallus Laminariae seu Eckloniae), washed, roasted, and dried, 1 liang
* Dahuang (Radix et Rhizoma Rhei Palmati), crushed and stir-fried, 0.5 liang
* Kuhu zi (Fructus Cucumeris Anguri), stir-fried, 20 pieces
* Tinglizi (Semen Lepidii seu Descurainiae), stir-fried until purple, 1 liang
* Haizao (Thallus Sargassii), washed to remove salt, dried, 0.5 liang
* Mutong (Caulis Akebiae Trifolatae), crushed, 1 qian
* Xiaoshi (Natrii Nitras), ground
* Shuiyin (Hydrargyrum), ground, each 0.5 liang
* Taoren (Semen Persicae), skin and tips removed, double-kernel ones ground, 0.5 liang
The above nine ingredients: First, pound the first six ingredients into a powder. Mix evenly with Xiaoshi, Shuiyin, and Taoren. Form pills with refined honey, size of *Koelreuteria paniculata* seeds. Take three pills with millet gruel drink long after meals, twice daily.
**Binglang Tang (Areca Nut Decoction)** for treating ascending Qi, benefiting the chest and diaphragm, and eliminating distension.
* Binglang (Semen Arecae), 2 liang, crushed
* Muxiang (Radix Aucklandiae), 1 liang
* Chenpi (Pericarpium Citri Reticulatae), soaked in hot water, white inner layer removed, dried
* Qingju pi (Pericarpium Citri Reticulatae Viride), soaked in hot water, white inner layer removed, dried
* Baizhu (Rhizoma Atractylodis Macrocephalae), each 3 liang
* Jingsanleng (Rhizoma Sparganii Stoloniferi)
The above eight ingredients are coarsely crushed and sifted. Take 5 qianbi per dose. Add two sheng of water, three slices of fresh ginger, and a little salt. Decoct until one sheng remains, strain, and take slightly warm. Time is not restricted.
**Wuyao Zhusan (Aucklandia Boiled Powder)** for treating ascending Qi, abdominal and hypochondrial distension, benefiting the chest and diaphragm, and regulating the San Jiao (Triple Burner).
* Wuyao (Radix Linderae Aggregate), crushed, 1 liang
* Chenxiang (Lignum Aquilariae Resinatum), crushed
* Chenpi (Pericarpium Citri Reticulatae), white inner layer removed in hot water, dried
* Gancao (Radix Glycyrrhizae Uralensis), roasted and crushed, each 1 qian
* Jiangjiang (Rhizoma Zingiberis Secati), cracked by processing, 1 qian
* Binglang (Semen Arecae), crushed, 1 qian
The above six ingredients are pounded into a fine powder. Take 3 qianbi per dose. Add one sheng of water and a small piece of crushed fresh ginger. Decoct until 6/10 remains, and take hot including the dregs. Alternatively, add a little salt and take with boiling water.
**Gualou Tang (Trichosanthes Decoction)** for treating ascending Qi, chest and hypochondrial fullness, inability to eat, vomiting, and coldness in the chest.
* Gualou (Fructus Trichosanthis)
* Chenpi (Pericarpium Citri Reticulatae), white inner layer removed in hot water, dried, each 4 liang
* Danggui (Radix Angelicae Sinensis), crushed and dried, 3 liang
* Banxia (Rhizoma Pinelliae Ternatae), washed seven times in hot water, processed with ginger juice, dried, 1.5 liang
The above four ingredients are crushed to the size of hemp seeds. Take 5 qianbi per dose. Add ginger the size of a date (crushed). Add one sheng of water, decoct until 6/10 remains, strain, and take warm. Twice daily.
**Mahuang Shigao Tang (Ephedra and Gypsum Decoction)** for treating ascending Qi and chest/hypochondrial fullness/distension.
* Mahuang (Herba Ephedrae), roots and nodes removed, 4 liang
* Shigao (Gypsum Fibrosum), pure and clean ones separately crushed, 2 liang
* Nanpu (Cortex Magnoliae Officinalis), bark removed, coated with ginger juice, roasted until cooked, 5.5 liang
* Xingren (Semen Pruni Armeniacae), soaked in hot water
The above four ingredients are coarsely crushed and sifted. Take 5 qianbi per dose. Add half he of wheat. Add two sheng of water, decoct until one sheng remains, strain, and take warm. Three times daily.
**Fuling Tang (Poria Decoction)** for treating reverse fullness and distension in the chest and hypochondrium with thirst.
* Chifuling (Poria Cocos with Red Cortex), black skin removed, 1 liang
* Renshen (Radix Ginseng), 3 liang
The above two ingredients are coarsely crushed and sifted. Add three sheng of water, decoct until 1.5 sheng remains, strain, and divide into three warm doses.
**Renshen San (Ginseng Powder)** for treating Lung Qi deficiency with restless panting, chest fullness, and ascending Qi.
* Renshen (Radix Ginseng), 1 liang
* Tinglizi (Semen Lepidii seu Descurainiae), stir-fried between papers
* Mahuang (Herba Ephedrae), nodes removed
* Mutong (Caulis Akebiae Trifolatae), crushed
* Sangbaip (Cortex Mor Radicis), crushed
* Jiegeng (Radix Platycodon Grandiflori), stir-fried
* Ziwan (Herba Asteris Tatarici), roots removed
* Kuandonghua (Flos Farfarae)
* Gancao (Radix Glycyrrhizae Uralensis), roasted and crushed, each 3 fen
* Chifuling (Poria Cocos with Red Cortex), black skin removed, 0.5 liang
* Wumei (Fructus Mume), seven pieces, flesh taken
The above eleven ingredients are coarsely crushed and sifted. Take 5 qianbi per dose. Add 1.5 sheng of water, decoct until 8/10 remains, strain, and take on an empty stomach in one dose. To expel phlegm, it can also be taken as a decoction.
**Nanpu Wenfei San (Magnolia Bark Warming Lung Powder)** for treating chronic ascending Qi and chest/hypochondrial fullness/distension.
* Nanpu (Cortex Magnoliae Officinalis), bark removed, soaked once in glutinous rice porridge, dried thoroughly in sun, ground into powder, 1.5 liang
* Tinglizi (Semen Lepidii seu Descurainiae), lightly stir-fried, ground into fine powder, 1 liang
* Zhaojiazi (Fructus Gleditsiae Sinensis)
The above five ingredients are ground together into a powder. On an empty stomach daily, take 2 qianbi mixed with ginger-honey water. Take again after dinner. If traveling far, mix with refined honey to form pills the size of a bullet, and dissolve one pill in the mouth.