论曰内经曰。有病膺肿颈痛，胸满腹胀，病名厥逆，夫阴阳升降，则气流而顺，若上实
下虚，则气厥而逆，今阳气有余于上，抑郁于胸腹间，故膺肿颈痛，胸满腹胀，而为气逆之
证也，治法不可灸 ，亦不可针石，惟调顺阴阳，使升降无碍，则病自愈。
治厥逆病，三焦不调，升降痞隔，颈痛膺肿，胸满腹胀。调中丸方
人参（一两） 赤茯苓（去黑皮） 桔梗（锉炒） 橘皮（去白焙） 白术 半夏（姜
汁同捣作饼
曝干） 沉香 槟榔（锉） 藿香叶（各一两）
上九味，捣罗为细末，炼蜜和丸，梧桐子大，每服三十丸，温生姜汤下，不拘时候。
治厥逆三焦不调，及脾骨气攻头面虚肿，气喘心急胀满。人参汤方
人参 赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙透） 紫苏子（炒） 大腹皮 桑根
白皮（
锉） 槟榔（锉各一两） 陈橘皮（去白焙） 防己（各一两半）
上九味，粗捣筛，每服五钱匕，水一盏，生姜一块拍破，葱白三茎切，煎至八分。去滓
空心温服。
治厥逆及冷气逆满。不能食。紫苏子汤方
紫苏子（炒） 陈橘皮（去白焙） 人参 赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙
透） 生
上八味，粗捣筛，每服三钱匕，水一盏半，煎至一盏，去滓温服日三。
治厥逆腹满妨痛，或上冲心。高良姜汤方
高良姜 槟榔（锉） 木香 当归（切焙各一两半） 吴茱萸（汤浸焙干炒一两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空腹温服。
治厥逆满急，饮食妨闷。茯苓汤方
赤茯苓（去黑皮三两） 桔梗（锉炒二两） 浓朴（去粗皮生姜汁炙透） 白术 人参
（各二
上六味，粗捣筛，每服三钱匕，水一盏，姜一小块拍破，煎至六分，去滓温服，日三。
治厥逆冷气，冲注刺痛胀满。茯苓汤方
赤茯苓（去黑皮三两） 人参 陈橘皮（去白焙） 桔梗（锉炒各二两）
上四味，粗捣筛，每服三钱匕，水一盏，生姜一小块，煎至七分，去滓温服、日三。
Discourse states: The *Neijing* (Classic of Internal Medicine) mentions that there is a condition presenting with swelling in the chest and neck, chest fullness, and abdominal distension, named Jue Ni (Jue-Ni, reversal cold or qi rebellion). When Yin and Yang ascend and descend in harmony, Qi flows smoothly; however, if the upper part is excess and the lower part is deficient, Qi becomes rebellious and adverse. Currently, Yang Qi is excessive in the upper body and depressed between the chest and abdomen, resulting in swelling of the chest and neck, chest fullness, and abdominal distension, thereby forming a syndrome of Qi rebellion. The treatment method should not employ moxibustion, nor needle-stone therapy; only by harmonizing and smoothing Yin and Yang, so that ascent and descent are unobstructed, will the disease heal itself.
To treat Jue-Ni disease where the Sanjiao (Triple Burner) is disharmonious, with obstruction of ascent and descent, manifesting as neck pain, chest swelling, chest fullness, and abdominal distension. Tiao Zhong Wan (Regulating the Middle Pill) Formula:
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Jie Geng (Platycodonis Radix, chopped and stir-fried), Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ban Xia (Pinelliae Rhizoma, pounded with ginger juice into cakes and dried), Chen Xiang (Aquilariae Lignum Resinatum), Bing Lang (Arecae Semen, chopped), Huo Xiang Ye (Agastachis Folium) (each 1 liang).
The above nine ingredients are crushed, sifted into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose, administered with warm ginger decoction, at any time.
To treat Jue-Ni causing Sanjiao disharmony, and Spleen bone Qi attacking the head and face causing flaccid edema, panting, anxiety, and abdominal fullness. Ren Shen Tang (Ginseng Decoction) Formula:
Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Zi Su Zi (Perillae Fructus, stir-fried), Da Fu Pi (Arecae Pericarpium), Sang Bai Pi (Mori Cortex, chopped), Bing Lang (Arecae Semen, chopped) (each 1 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Fang Ji (Stephaniae Tetrandrae Radix) (each 1.5 liang).
The above nine ingredients are coarsely crushed and sieved. Take 5 qian bi (approx. 5-7g) per dose, with one sheng (approx. 200ml) of water, one piece of smashed ginger, and three stalks of cut scallion white. Decoct until reduced to 8/10. Strain and take warm on an empty stomach.
To treat Jue-Ni and reverse cold causing fullness and inability to eat. Zi Su Zi Tang (Perilla Fruit Decoction) Formula:
Zi Su Zi (Perillae Fructus, stir-fried), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Sheng [Jiang] (Fresh Ginger, text implies missing ingredient or formatting error, listed as part of 8 ingredients).
The above eight ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with 1.5 sheng of water. Decoct until reduced to 1 sheng. Strain and take warm, three times daily.
To treat Jue-Ni with abdominal fullness and painful obstruction, or Qi rushing upward to the heart. Gao Liang Jiang Tang (Galangal Decoction) Formula:
Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Bing Lang (Arecae Semen, chopped), Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix, sliced and baked) (each 1.5 liang), Wu Zhu Yu (Evodiae Fructus, soaked in water, baked dry, and stir-fried, 1 liang).
The above five ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water. Decoct until reduced to 7/10. Strain and take warm on an empty stomach.
To treat Jue-Ni with abdominal fullness and urgency, causing food stagnation and stifling sensation. Fu Ling Tang (Poria Decoction) Formula:
Chi Fu Ling (Poria Cocos with Red Skin, black skin removed, 3 liang), Jie Geng (Platycodonis Radix, chopped and stir-fried, 2 liang), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma) (each 2 liang, text truncated but implied by "upper six flavors").
The above six ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water and one small piece of smashed ginger. Decoct until reduced to 6/10. Strain and take warm, three times daily.
To treat Jue-Ni with cold Qi rushing and injecting, causing stabbing pain and distension. Fu Ling Tang (Poria Decoction) Formula:
Chi Fu Ling (Poria Cocos with Red Skin, black skin removed, 3 liang), Ren Shen (Ginseng Radix et Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Jie Geng (Platycodonis Radix, chopped and stir-fried) (each 2 liang).
The above four ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water and one small piece of ginger. Decoct until reduced to 7/10. Strain and take warm, three times daily.