论曰内经谓病胁下满气逆，二三岁不已，病名曰息积，夫消息者，阴阳之更事也。今气
聚胁下，息而不消，积而不散，故满逆而为病，然气客于外，不在于胃，故不妨食，特害于
气息也，其法不可灸刺，宜为导引服药，药不能独治者，盖导引能行积气，药力亦借导引而
行故也。
治息积，胁下气逆妨闷，喘息不便，呼吸引痛。沉香丸方
沉香（锉） 桂（去粗皮） 槟榔（煨锉各二两） 人参 青橘皮（汤浸去白焙） 诃
黎勒皮
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，橘皮汤下，渐加至三十丸，
日二服。
治息积，胁下气逆妨闷，岁久不已。桔梗丸方
桔梗（锉炒） 枳实（麸炒） 鳖甲（去裙 醋炙） 人参 当归（切焙） 白术 干
姜（炮各
一两） 桂（去粗皮） 吴茱萸（汤洗焙干炒） 甘草（炙各三分） 大麦 （炒一两半）
上一十一味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒下，日再服，渐加至
三十丸。
治息积，胁下气逆，满闷妨胀。赤茯苓汤方
赤茯苓（去黑皮一两半） 大腹（锉半两） 高良姜（一两） 吴茱萸（汤洗七遍焙干
炒三分）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空腹温服，日晚再服。
治息积，胁下妨闷，喘息气逆。白术丸方
白术 枳实（麸炒） 桂（去粗皮各一两半） 人参（二两） 陈橘皮（汤浸去白焙） 桔
梗（
上七味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒下，不拘时候，日二服。
治息积，胁下气逆满闷。槟榔汤方
槟榔（锉） 诃黎勒（煨去核各二两） 吴茱萸（陈者淘七遍焙干炒一两半） 陈橘皮
（汤浸
上四味，粗捣罗，每服五钱匕，水一盏半，煎至八分，去滓温服，空腹日二服。
治息积，胁下气逆满闷。陈橘皮汤方
陈橘皮（汤浸去白焙干） 吴茱萸（陈者水淘七遍炒干各一两半）
上二味，粗捣筛，每服三钱匕，水一盏，入盐少许，煎至七分，不计时候，去滓温服。
Commentary states: The *Neijing* (Inner Canon) records that when there is fullness under the hypochondrium and rebellious Qi, persisting for two or three years without resolution, the disease is named Xi Ji (Accumulation of Breath). "Xiao" (decrease) and "Xi" (increase) refer to the alternating processes of Yin and Yang. Currently, Qi gathers under the hypochondrium, remaining stagnant without dissipating, accumulating without dispersing; thus, it causes fullness and rebellion, leading to pathology. However, since the pathogenic Qi resides externally and does not affect the Stomach, digestion is not impaired, but rather the flow of breath is hindered. The treatment method should not involve moxibustion or acupuncture; instead, Daoyin (qigong exercises) combined with herbal medicine is appropriate. This is because herbs alone cannot cure the condition independently; Daoyin can move the accumulated Qi, and the efficacy of the medicine also relies on the movement facilitated by Daoyin.
For treating Xi Ji (Accumulation of Breath), characterized by rebellious Qi under the hypochondrium causing chest oppression and stuffiness, difficult breathing, and pain upon respiration: Chenxiang Wan (Agarwood Pill) Formula.
Chenxiang (Agarwood) [Aquilariae Lignum Resinatum], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Binglang (Areca Seed) [Arecae Semen], Renshen (Ginseng) [Panacis Ginseng Radix], Qingjupi (Green Tangerine Peel) [Citri Reticulatae Pericarpium Viride], Helilepi (Pericarpium of Terminalia Chebula) [Terminaliae Chebulae Pericarpium]. Each ingredient is processed as specified (e.g., crushed, roasted, peeled). Total nine ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with tangerine peel decoction. Gradually increase to 30 pills, taken twice daily.
For treating Xi Ji (Accumulation of Breath), where rebellious Qi under the hypochondrium causes chest oppression and stuffiness, persisting for a long time: Jiegeng Wan (Platycodon Pill) Formula.
Jiegeng (Balloon Flower Root) [Platycodonis Radix], Zhishi (Immature Bitter Orange) [Aurantii Fructus Immaturus], Biejia (Turtle Shell) [Testudinis Carapax et Plastrum], Renshen (Ginseng) [Panacis Ginseng Radix], Danggui (Angelica Sinensis) [Angelicae Sinensis Radix], Baizhu (Atractylodes Macrocephala) [Atractylodis Macrocephalae Rhizoma], Ganjiang (Dried Ginger) [Zingiberis Rhizoma], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Wuzhuyu (Evodia Fruit) [Evodiae Fructus], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma], Damai (Barley) [Hordei Fructus Germinatus]. Total eleven ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with warm wine. Taken twice daily, gradually increasing to 30 pills.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness, oppression, and distension: Chifuling Tang (Red Poria Decoction) Formula.
Chifuling (Red Poria) [Poria cum Ligno Rubrum], Dafupifu (Areca Stem Bark) [Arecae Caulis Cortex], Gaoliangjiang (Galangal Rhizome) [Alpiniae Officinarum Rhizoma], Wuzhuyu (Evodia Fruit) [Evodiae Fructus]. Total six ingredients.
Coarsely crush and sieve. Take 3 qianbi (approx. 9-15g) per dose, add one sheng (approx. 200ml) of water, decoct until reduced to 70%, remove dregs, and take warm on an empty stomach. Take again in the evening.
For treating Xi Ji (Accumulation of Breath), with chest oppression under the hypochondrium, panting, and rebellious Qi: Baizhu Wan (Atractylodes Pill) Formula.
Baizhu (Atractylodes Macrocephala) [Atractylodis Macrocephalae Rhizoma], Zhishi (Immature Bitter Orange) [Aurantii Fructus Immaturus], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Renshen (Ginseng) [Panacis Ginseng Radix], Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium], Jiegeng (Balloon Flower Root) [Platycodonis Radix]. Total seven ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with warm wine. No specific timing restrictions, taken twice daily.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness and oppression: Binglang Tang (Areca Seed Decoction) Formula.
Binglang (Areca Seed) [Arecae Semen], Helile (Chebula Terminalia Fruit) [Terminaliae Chebulae Fructus], Wuzhuyu (Evodia Fruit) [Evodiae Fructus], Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium]. Total four ingredients.
Coarsely crush and sieve. Take 5 qianbi per dose, add one and a half sheng of water, decoct until reduced to 80%, remove dregs, and take warm. Take on an empty stomach, twice daily.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness and oppression: Chenjupi Tang (Aged Tangerine Peel Decoction) Formula.
Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium], Wuzhuyu (Evodia Fruit) [Evodiae Fructus]. Total two ingredients.
Coarsely crush and sieve. Take 3 qianbi per dose, add one sheng of water, add a small amount of salt, decoct until reduced to 70%. Take warm at any time, after removing dregs.