论曰字书谓上实下虚，外实内虚，气欠而逆者，厥也，所谓厥逆气者，以阴气盛实。上
乘于阳，阳虚于下，卫气厥逆，不能周流和顺，故其证在内，则气逆上行，在外，则背寒肢
冷，阴盛于上故也。
治气逆攻冲，肩 拘急，或胁肋胀满，大便秘涩，手臂头面浮肿，款气丸方
木香 陈橘皮（汤浸去白切焙） 枳壳（去瓤麸炒） 郁李仁（麸炒去皮各三分） 吴
茱萸（汤洗七遍炒半两） 桃仁（去皮尖双仁麸炒一两） 京三棱（煨锉一两半） 桂（去
粗皮半两） 槟榔（锉一两半） 赤芍药 赤茯苓（去黑皮各一两） 黑牵牛（五两拣净捣
罗取末二两半）
上一十二味，为细末，炼蜜丸梧桐子大，每服二十丸，空心温酒下，生姜汤亦得。
治气虚手足厥逆，三焦不顺，泽泻汤方
泽泻 细辛（去苗叶） 续断 秦艽（去苗土） 山芋 黄 （锉各一两） 防风（去
叉） 五味子 生
上九味。粗捣筛，每服三钱匕，水一盏，枣一枚去核，同煎至七分，去滓空心临卧各一
服。
治气逆不调。不思饮食，宽胸膈，消胀满。丁香散方
丁香 白术 藿香叶 丁香皮（各一两） 京三棱（煨二两） 白檀香（锉） 乌药（锉
各一两） 甘草
上八味，为细散，每服二钱匕，食前沸汤点服。
治气逆往来，喘急噎闷。沉香枳壳散方
沉香（一两） 枳壳（去瓤面炒） 前胡（去芦头各三分） 乌药（锉半两） 木香 槟
榔（锉） 人参 甘
上八味。为细散，每服二钱匕，入生姜二片，盐少许，沸汤点服，不拘时
治气逆上盛。头目昏眩，不思饮食，时发恶心，或作中满，调中顺气，消痰利膈。霍香
汤方
藿香叶 白术（各二两） 人参 白茯苓（去黑皮各一两） 丁香 甘草（炙各半两）
上六味，粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至七分，去滓温服，不计时
治气逆上冲，吐逆不止，冷痰壅滞，开胃进食，豆蔻丸方
肉豆蔻（大者去壳二枚） 桂（去粗皮） 青橘皮（汤浸去白焙） 附子（炮裂去皮脐
各半两） 半夏（汤
上六味。为细末，生姜自然汁，煮面糊丸，梧桐子大，每服十丸，空心食前生姜汤下。
治气逆膈气，胸中痰结，饮食不下。木香散方
木香（一两） 青橘皮（汤浸去白焙二两） 白豆蔻（去皮三分） 郁李仁（汤浸去皮
微炒别研成膏
上四味，除郁李仁外，三味为细末，和研令匀，每服二钱匕，煎椒汤调下，空心食前服
治气逆心腹膨胀，干呕不止，手足厥冷，橘皮汤方
陈橘皮（汤浸去白炮四两） 生姜（切焙六两） 缩沙仁 甘草（炙） 白芷（各一两）
上五味，粗捣筛，每服五钱匕，水一盏半。煎至一盏，去滓温服，口干加牛乳少许同煎
治胸中气逆。时复疼痛，枳实散方
枳实（去瓤麸炒） 桂（去粗皮各一两）
上二味。为细散，每服二钱匕，不计时，热酒调下。
治心胸气逆刺痛，不可俯仰，气促咳唾，不下食，陈橘汤方
陈橘皮（汤浸去白焙） 木香 芍药 当归（切焙） 槟榔（各半两） 桔梗（炒三分）
上六味，锉如麻豆大，每服五钱匕，水一盏半，入生姜三片，煎取八分，去滓温服。
Commentary states: Dictionaries define "Jue" (reversal/cold extremities) as a condition of excess above and deficiency below, excess outside and deficiency inside, where Qi is deficient and rebellious. The so-called "Rebellious Qi due to Jue" arises because Yin Qi is excessive and solid, ascending to attack the Yang position, causing Yang Qi to be deficient below. The Defensive Qi suffers from reversal, failing to circulate smoothly throughout the body. Therefore, internally, the manifestation is rebellious Qi moving upward; externally, it manifests as coldness in the back and cold limbs, which is due to Yin excess at the upper level.
Formula for Kuanqi Pills (Expanding Qi Pills) to treat rebellious Qi attacking and rushing, shoulder stiffness and spasm, or distension and fullness in the hypochondrium, constipation with dryness and difficulty, and edema of the arms, head, and face:
Muxiang (Aucklandiae Radix), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, sliced, and roasted), Zhike (Aurantii Fructus Immaturus, pith removed, stir-fried with bran), Yuliren (Prunus Semen, stir-fried with bran, peeled), Wuzhuyu (Evodiae Fructus, washed seven times with water, roasted), Taoren (Persicae Semen, peeled, tips removed, double-kernel ones preferred, stir-fried with bran), Jingsanleng (Sparganii Rhizoma, roasted and crushed), Guizhi (Cinnamomi Ramulus, outer bark removed), Binglang (Arecae Semen, crushed), Chishao Yao (Paeoniae Radix Rubra), Chifuling (Poria Cocos, black skin removed), Hei Qianniu (Semen Pharbitidis, five liang, selected clean, pounded and sifted to take two and a half liang of powder).
The above twelve ingredients are ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take twenty pills per dose, swallowed with warm wine on an empty stomach; ginger soup may also be used.
Formula for Zexie Decoction (Alisma Decoction) to treat cold extremities due to Qi deficiency and disharmony of the Triple Burner:
Zexie (Alismatis Rhizoma), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Xuduan (Dipsaci Radix), Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed), Shanyu (Dioscoreae Rhizoma), Huangqi (Astragali Radix, crushed), Fangfeng (Saposhnikoviae Radix, forked roots removed), Wuweizi (Schisandrae Chinensis Fructus), Shengjiang (Zingiberis Rhizoma Recens, sliced).
The above nine ingredients are coarsely pounded and sieved. Take three qianbi (approx. 3-5 grams) per dose, with one cup of water and one jujube (pitted). Decoct until 70% remains, remove dregs, and take one dose each on an empty stomach and before bedtime.
Formula for Dingxiang Powder (Clove Powder) to treat rebellious Qi and disharmony, loss of appetite, expanding the chest and diaphragm, and reducing distension and fullness:
Dingxiang (Caryophylli Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), Huoxiang Ye (Agastachis Folium), Dingxiang Pi (Caryophylli Cortex, one liang each), Jingsanleng (Sparganii Rhizoma, roasted, two liang), Baitanxiang (Santalum Album Lignum, crushed), Wuyao (Linderae Radix, crushed, one liang each), Gancao (Glycyrrhizae Radix et Rhizoma).
The above eight ingredients are ground into fine powder. Take two qianbi per dose, taken with boiling water before meals.
Formula for Chenxiang Zhike Powder (Agarwood and Aurantium Powder) to treat wandering rebellious Qi, panting and urgency, and choking sensation:
Chenxiang (Aquilariae Lignum Resinatum, one liang), Zhike (Aurantii Fructus Immaturus, pith removed, stir-fried with flour), Qianhu (Peucedani Radix, rhizome removed, three qian each), Wuyao (Linderae Radix, crushed, half liang), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen, crushed), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
The above eight ingredients are ground into fine powder. Take two qianbi per dose, add two slices of fresh ginger and a little salt, mix with boiling water. Take at any time.
Formula for Huoxiang Decoction (Patchouli Decoction) to treat excessive rebellious Qi rising, dizziness and vertigo of the head and eyes, loss of appetite, frequent nausea, or epigastric fullness. It regulates the middle, smooths Qi, resolves phlegm, and benefits the diaphragm:
Huoxiang Ye (Agastachis Folium), Baizhu (Atractylodis Macrocephalae Rhizoma, two liang each), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria Cocos, black skin removed, one liang each), Dingxiang (Caryophylli Flos), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, half liang each).
The above six ingredients are coarsely pounded and sieved. Take three qianbi per dose, with one cup of water and three slices of fresh ginger. Decoct until 70% remains, remove dregs, and take warm. Time is not restricted.
Formula for Doukou Pills (Nutmeg Pills) to treat rebellious Qi rushing upward, incessant vomiting, accumulation of cold phlegm, opening the stomach, and promoting food intake:
Roudoukou (Myristicae Semen, large ones, shell removed, two pieces), Guizhi (Cinnamomi Ramulus, outer bark removed), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, roasted), Fuzi (Aconiti Lateralis Radix Praeparata, cracked by frying, outer skin and navel removed, half liang each), Banxia (Pinelliae Rhizoma, washed with water).
The above six ingredients are ground into fine powder. Use natural juice of fresh ginger to boil wheat paste to form pills the size of paulownia seeds. Take ten pills per dose, swallowed with ginger soup on an empty stomach before meals.
Formula for Muxiang Powder (Aucklandia Powder) to treat rebellious Qi and diaphragmatic Qi, phlegm knotting in the chest, and inability to swallow food:
Muxiang (Aucklandiae Radix, one liang), Qingjupi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, roasted, two liang), Baidoukou (Cardamomi Rotundus Fructus, peeled, three qian), Yuliren (Prunus Semen, soaked in water, peeled, slightly roasted and separately ground into paste).
For the above four ingredients, except for Yuliren, grind the other three into fine powder, mix evenly with the Yuliren paste. Take two qianbi per dose,调和 with pepper soup. Take on an empty stomach before meals.
Formula for Jupi Decoction (Tangerine Peel Decoction) to treat rebellious Qi causing abdominal distension, incessant dry heaving, and cold extremities:
Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, processed, four liang), Shengjiang (Zingiberis Rhizoma Recens, sliced and roasted, six liang), Suosharen (Amomi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted), Baizhi (Angelicae Dahuricae Radix, one liang each).
The above five ingredients are coarsely pounded and sieved. Take five qianbi per dose, with one and a half cups of water. Decoct until one cup remains, remove dregs, and take warm. If thirsty, add a little cow's milk and decoct together.
Formula for Zhishi Powder (Immature Bitter Orange Powder) to treat rebellious Qi in the chest, accompanied by recurrent pain:
Zhishi (Aurantii Fructus Immaturus, pith removed, stir-fried with bran), Guizhi (Cinnamomi Ramulus, outer bark removed, one liang each).
The above two ingredients are ground into fine powder. Take two qianbi per dose, at any time, mixed with hot wine.
Formula for Chenju Decoction (Aged Tangerine Peel Decoction) to treat stabbing pain in the heart and chest due to rebellious Qi, inability to bend or stretch, shortness of breath, coughing up saliva, and inability to eat:
Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, roasted), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix, sliced and roasted), Binglang (Arecae Semen, half liang each), Jiegeng (Platycodonis Radix, stir-fried, three qian).
The above six ingredients are cut like hemp seeds. Take five qianbi per dose, with one and a half cups of water and three slices of fresh ginger. Decoct until 80% remains, remove dregs, and take warm.