论曰上焦如雾，其气起于胃上口，并咽以上贯膈，其气虚寒，则令人精神不守，引气于
肺，咳嗽、语声不出、膈寒之病生焉。
治上焦虚寒，一切气逆，胸膈噎闷，心腹刺痛，胁肋胀满，饮食不消，呕逆欲吐。及治
肺胃伤冷，咳嗽痞满，或上气奔急，不得安卧。紫苏子丸方
紫苏子（拣净微炒） 陈橘皮（汤浸去白焙各二两） 高良姜（炮） 桂（去粗皮） 人
参（各
一两）
上五味，捣罗为末，炼蜜和丸。弹子大，每服一丸细嚼，温酒下，米饮亦得，不计时候
，若食瓜脍生冷，觉有所伤，噫气生熟，欲成霍乱者，含化一丸，细细咽汁服尽，应时立愈
治上焦有寒。心胸冷气攻刺疼痛。七香丸方
丁香（二分） 桂（去粗皮一分） 青橘皮（汤浸去白焙半两） 缩砂（去皮半两） 木
香（一
分） 槟榔（锉三枚） 巴豆（二十粒去皮膜以纸裹压去油）
上七味，捣罗为末，醋糊丸如绿豆大，每服十丸至十五丸，生姜汤茶酒任下，不拘时候
治上焦有寒，胸膈满闷，背膂引疼，心腹膨胀，胁肋刺痛，食饮不下噎塞不通。呕吐痰
逆。口苦吞酸。羸瘦少力，短气烦闷，常服顺气宽中，消 癖积聚，散惊忧恚气。枳壳汤方
枳壳（去瓤麸炒一两） 京三棱（炮锉一两） 干姜（炮半两） 浓朴（去粗皮生姜汁
炙半两）
（去壳各半两）
蓬莪术（锉） 槟榔（锉） 桂（去粗皮各二两） 青橘皮（汤浸去白焙半两）
上一十三味，粗捣筛，每服三钱匕，水一盏半，生姜三片，枣一枚劈，煎至八分。去滓
热服，不拘时候。
治上焦虚寒，干呕无度。通神汤方
干姜（炮去皮五两） 蜀椒（去目及闭口者炒出汗三两） 菖蒲 桂（去粗皮） 白术
（各二
两） 半夏（汤洗去滑七遍生姜制） 人参 五味子（炒） 甘草（炙各一两）
上九味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓温服。食后良久，稍增至四钱
匕，以知为度。
治上焦虚寒，气不宣通，咳嗽喘急，逆气虚痞，胸膈噎闷，腹胁满痛，迫塞短气，不能
饮食，呕吐痰水。胡椒理中丸方
胡椒 荜茇 干姜（炮） 款冬花（去梗） 甘草（炙锉） 陈橘皮（汤浸去白焙） 高
良姜
细辛（去苗叶各四两） 白术（五两）
上九味，捣罗为末，炼蜜丸如梧桐子大，每服五七丸，温汤下，米饮亦得，不拘时候，
日再。
治上焦闭塞，干呕不出，吐涎沫吞酸。浓朴汤方
浓朴（去粗皮生姜汁炙二两） 吴茱萸（水洗焙干炒） 人参 白茯苓（去黑皮） 桔
梗（炒） 玄参（各一两半） 芎 白术（各二两） 附子（炮裂去皮脐一两） 陈橘皮
（汤浸去白焙一两
半）
上一十味，锉如麻豆，每服三钱匕，生姜一小块拍碎，水一盏，煎至七分，去滓温服，
不拘时候。
治上焦虚寒气短，语声不出。黄 汤方
黄 （锉一两） 桂（去粗皮） 丹参（各二两） 枳壳（去瓤麸炒） 干姜（炮） 五
味子（炒） 白茯苓（去黑皮各一两半） 杏仁（汤浸去皮尖双仁炒一两） 甘草（炙锉一
两半） 芎 （一
上一十味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治上焦寒气短，语声不出。干姜丸方
干姜（炮） 白术 附子（炮裂去皮脐） 桂（去粗皮） 五味子（各三分） 甘草（炙
锉半两）
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸至三十丸。温酒下。
Commentary states: The Upper Jiao (Upper Burner) is like a mist; its Qi originates from the upper orifice of the Stomach, ascends along the Pharynx, and pierces through the Diaphragm. If the Qi of the Upper Jiao is deficient and cold, it causes the Spirit to fail to remain in residence, draws Qi into the Lungs, and generates diseases such as coughing, loss of voice, and coldness in the Diaphragm.
To treat deficiency-cold of the Upper Jiao, all types of rebellious Qi, chest and diaphragm obstruction with stuffiness, stabbing pain in the heart and abdomen, distension and fullness in the hypochondrium, indigestion, vomiting, and nausea. It also treats Cold injury to the Lungs and Stomach, coughing with痞满 (fullness and obstruction), or sudden rushing of Qi causing urgency, preventing peaceful lying down. Zisuzi Wan (Perilla Seed Pill) Formula:
Zisuzi (Perillae Fructus, 紫苏子) (selected clean and slightly stir-fried) 2 liang, Chenjupi (Citri Reticulatae Pericarpium, 陈皮) (soaked in water, white pith removed, dried) 2 liang, Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜) (processed), Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed), Renshen (Ginseng Radix et Rhizoma, 人参) (each 1 liang).
The above five herbs are crushed, sifted into powder, and mixed with refined honey to form pills. Size of a bullet; take one pill per dose, chew thoroughly, and swallow with warm wine, or rice drink is also acceptable, at any time. If after eating melons, raw meat, or cold foods, one feels injured, experiences belching, and symptoms resembling Huoluan (Cholera-like syndrome) are developing, hold one pill in the mouth to dissolve, swallow the juice slowly until finished, and recovery will be immediate.
To treat Cold in the Upper Jiao. Cold Qi in the chest and heart attacking with stabbing pain. Qixiang Wan (Seven Fragrances Pill) Formula:
Dingxiang (Caryophylli Flos, 丁香) 2 fen, Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed) 1 fen, Qingjupi (Citri Reticulatae Pericarpium Viride, 青皮) (soaked in water, white pith removed, dried) 0.5 liang, Suosha (Amomi Fructus Rotundus, 缩砂) (peeled) 0.5 liang, Muxiang (Aucklandiae Radix, 木香) 1 fen, Binglang (Arecae Semen, 槟榔) (crushed) 3 pieces, Badou (Crotonis Fructus, 巴豆) (20 grains, peeled and membrane removed, pressed between paper to remove oil).
The above seven herbs are crushed, sifted into powder, and bound with vinegar paste into pills the size of mung beans. Take 10 to 15 pills per dose, swallowed with ginger soup, tea, or wine, at any time.
To treat Cold in the Upper Jiao, chest and diaphragm fullness and oppression, pulling pain in the back and spine, abdominal distension and swelling, stabbing pain in the hypochondrium, inability to swallow food and drink, choking and blockage. Vomiting of phlegm and rebellious Qi. Bitter taste in the mouth and acid regurgitation. Emaciation and weakness, shortness of breath and irritability. Regular use can regulate Qi and broaden the middle, eliminate Pi Ji (masses) and accumulation, and dissipate Qi of fright, worry, and resentment. Zhike Tang (Bitter Orange Decoction) Formula:
Zhike (Aurantii Fructus, 枳壳) (pulp removed, bran-fried) 1 liang, Jingsanleng (Sparganii Rhizoma, 京三棱) (processed and crushed) 1 liang, Ganjiang (Zingiberis Rhizoma Recens, 干姜) (processed) 0.5 liang, Houpo (Magnoliae Officinalis Cortex, 厚朴) (coarse bark removed, stir-fried with ginger juice) 0.5 liang, Ezhu (Curcumae Longae Rhizoma, 莪术) (peeled, each 0.5 liang), Peng'ezhu (Curcumae Phaeocaulis Rhizoma, 蓬莪术) (crushed), Binglang (Arecae Semen, 槟榔) (crushed), Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed, each 2 liang), Qingjupi (Citri Reticulatae Pericarpium Viride, 青皮) (soaked in water, white pith removed, dried) 0.5 liang.
The above thirteen herbs are coarsely crushed and sieved. Take 3 qianbi per dose, with 1.5 sheng of water, 3 slices of fresh ginger, and one jujube split open. Decoct until 0.8 sheng remains, strain, and take hot, at any time.
To treat deficiency-cold of the Upper Jiao with incessant dry retching. Tongshen Tang (Spirit-Connecting Decoction) Formula:
Ganjiang (Zingiberis Rhizoma Recens, 干姜) (processed, peeled) 5 liang, Shujiao (Zanthoxyli Fructus, 蜀椒) (eyes and closed-mouth ones removed, stir-fried until moisture evaporates) 3 liang, Shichangpu (Acori Tatarinowii Rhizoma, 石菖蒲), Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (each 2 liang), Banxia (Pinelliae Rhizoma, 半夏) (washed in water seven times to remove slipperiness, processed with ginger), Renshen (Ginseng Radix et Rhizoma, 人参), Wuweizi (Schisandrae Chinensis Fructus, 五味子) (stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted, each 1 liang).
The above nine herbs are coarsely crushed and sieved. Take 3 qianbi per dose, with 1 sheng of water. Decoct until 0.6 sheng remains, strain, and take warm. After a long time post-meal, slightly increase to 4 qianbi, stopping when effective.
To treat deficiency-cold of the Upper Jiao with non-circulating Qi, coughing and wheezing, rebellious Qi and deficiency-type fullness, chest and diaphragm obstruction, abdominal and hypochondriac fullness and pain, oppressive sensation with shortness of breath, inability to eat, vomiting of phlegm and water. Hujiao Lizhong Wan (Pepper Regulating the Middle Pill) Formula:
Hujiao (Piperis Fructus, 胡椒), Biba (Longani Fructus? No, Biba is Long Pepper: Piperis Longi Fructus, 荜茇), Ganjiang (Zingiberis Rhizoma Recens, 干姜) (processed), Kuandonghua (Farfarae Flos, 款冬花) (stalks removed), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted and crushed), Chenjupi (Citri Reticulatae Pericarpium, 陈皮) (soaked in water, white pith removed, dried), Gaoliangjiang (Alpiniae Officinarum Rhizoma, 高良姜), Xixin (Asari Radix et Rhizoma, 细辛) (seedlings and leaves removed, each 4 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (5 liang).
The above nine herbs are crushed, sifted into powder, and mixed with refined honey into pills the size of paulownia seeds. Take 5 to 7 pills per dose, swallowed with warm water, or rice drink is also acceptable, at any time, twice daily.
To treat blockage of the Upper Jiao, dry retching without emission, spitting of saliva and acid regurgitation. Houpo Tang (Magnolia Bark Decoction) Formula:
Houpo (Magnoliae Officinalis Cortex, 厚朴) (coarse bark removed, stir-fried with ginger juice) 2 liang, Wuzhuyu (Evodiae Fructus, 吴茱萸) (washed, dried, stir-fried), Renshen (Ginseng Radix et Rhizoma, 人参), Baifuling (Poria, 白茯苓) (black skin removed), Jiegeng (Platycodonis Radix, 桔梗) (stir-fried), Xuanshen (Scrophulariae Radix, 玄参) (each 1.5 liang), Xiong (Ligustici Chuanxiong Rhizoma, 川芎), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (each 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (processed, cracked, skin and navel removed) 1 liang, Chenjupi (Citri Reticulatae Pericarpium, 陈皮) (soaked in water, white pith removed, dried) 1.5 liang.
The above ten herbs are crushed like hemp seeds. Take 3 qianbi per dose, with a small piece of smashed fresh ginger and 1 sheng of water. Decoct until 0.7 sheng remains, strain, and take warm, at any time.
To treat deficiency-cold of the Upper Jiao with shortness of breath and inability to speak. Huangqi Tang (Astragalus Decoction) Formula:
Huangqi (Astragali Radix, 黄芪) (crushed) 1 liang, Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 丹参) (each 2 liang), Zhike (Aurantii Fructus, 枳壳) (pulp removed, bran-fried), Ganjiang (Zingiberis Rhizoma Recens, 干姜) (processed), Wuweizi (Schisandrae Chinensis Fructus, 五味子) (stir-fried), Baifuling (Poria, 白茯苓) (black skin removed, each 1.5 liang), Xingren (Armeniacae Semen Amarum, 杏仁) (soaked in water, skin and tips removed, double-kernel, stir-fried) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted and crushed) 1.5 liang, Xiong (Ligustici Chuanxiong Rhizoma, 川芎) 1 liang.
The above ten herbs are coarsely crushed and sieved. Take 3 qianbi per dose, with 1 sheng of water. Decoct until 0.7 sheng remains, strain, and take warm, at any time.
To treat cold of the Upper Jiao with shortness of breath and inability to speak. Ganjiang Wan (Ginger Pill) Formula:
Ganjiang (Zingiberis Rhizoma Recens, 干姜) (processed), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Fuzi (Aconiti Lateralis Radix Praeparata, 附子) (processed, cracked, skin and navel removed), Guizhi (Cinnamomi Ramulus, 桂枝) (coarse bark removed), Wuweizi (Schisandrae Chinensis Fructus, 五味子) (each 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted and crushed) 0.5 liang.
The above eight herbs are crushed, sifted into powder, and mixed with refined honey into pills the size of paulownia seeds. Take 20 to 30 pills per dose, swallowed with warm wine.