论曰膈气呕逆不下饮食者。由胃气不足，风冷乘之。或忧恚气结，不得宣通。故令膈脘
痞满。气塞胸中，纵能食而卒不下。或入胃中，多致不消。与留饮相击，则变为呕逆也。
治膈气呕逆不下食。恶心心腹疼痛。及脾积气饮食进退。面黄腹胀怠惰。藏府不调。水
谷不化，磨症瘕积聚。沉香煎丸方
沉香（锉） 丁香（各一两） 阿魏（醋化开入面和作饼子慢火炙半两） 木香 胡椒 没
药（研） 丹砂（水飞研各一两） 高良姜（锉） 缩砂仁（去皮各半两） 槟榔（面裹慢
火煨锉） 砂（水飞研瓷器中火上熬干各一两） 吴茱萸（汤浸洗焙干炒半两） 巴豆（去
皮心膜研新瓦上摊出油一分） 青橘皮（汤浸
上一十五味。捣研为末。炼蜜丸如绿豆大。每服三丸至五丸。食前临卧。温生姜橘皮汤
下。如暴伤生冷。呕逆恶心。心腹疼痛。量加丸数
治膈气呕逆不下食，壅闷恶心。丁香丸方
丁香（二七粒） 木瓜（切） 木香（炮各一分） 肉豆蔻（去壳炮一枚） 槟榔（锉
一枚） 半夏（一分姜制
上七味。捣罗为末。炼蜜丸如梧桐子大。每服十五丸。生姜汤下。
治膈气。呕逆不下食。无比丸方
干姜（炮） 附子（炮裂去皮脐） 泽泻（锉） 桂（去粗皮各一两） 巴豆（二七粒
去皮醋煮研）
上五味。捣罗为末、和匀。炼蜜丸如梧桐子大。每服三丸至五丸。温酒下。早晚各一服
治膈气吐逆不下食。槟榔散方
槟榔（生锉） 京三棱（煨） 蓬莪术（煨） 甘草（炙） 香子（炒） 益智子（去
皮炒） 青橘皮（去白焙） 干姜（炮各一两）
上八味。捣罗为散。每服二钱匕。沸汤调下日二。
治膈气痞闷。痰饮恶心。呕逆不下饮食。木香丸方
木香（炮半两） 莎草根（炒） 京三棱（煨锉） 白术（各一两） 沉香（锉）
砂（别研） 好茶末 益智子（去皮炒各半两） 桂（去粗皮） 丁香（炒各一分） 乌梅
肉（炒一两） 巴豆（二七粒去皮研出油） 肉豆
上一十三味。除巴豆外。捣罗为末。醋煮面糊。丸如绿豆大。每服三丸至五丸。食后生
姜汤下。
治膈气痞闷。呕逆恶心。不下饮食。腊茶丸方
腊茶末 丁香（炒） 槟榔（锉） 青橘皮（去白切炒） 木香（炮） 缩砂（去皮炒
各半两） 巴豆（去皮心
上八味。除巴豆外。捣罗为末。再同研匀。醋煮面糊。丸如绿豆大。每服三丸至五丸。
温生姜汤下。早晚食后服。治膈气呕逆不下食。心胸痞闷。噎塞不通。化气丸方
木香（炮） 槟榔（生锉各二两） 砂（别研一两） 大黄（炮三分） 丹砂（别研
半两）
上五味。捣研为末。酒煮面糊和丸。如梧桐子大。每服十丸至二十丸。不拘时候。生姜
汤下。
治膈气呕逆、不下食。分气丸方
白术（锉麸炒） 木香（炮） 蓬莪术（煨） 干姜（炮） 陈橘皮（汤浸去白切炒） 桂
（去粗皮） 甘草（炙） 缩砂仁（去皮炒） 香子（炒） 干木瓜（切） 益智子（炒
各二两） 胡椒（半两） 阿魏（醋化白面和作饼炙一分）
上一十三味。捣罗为末。浸蒸饼。丸如鸡头实大。每服一丸。盐汤嚼下。不计时候。
治膈气呕逆。不下食。噎塞。腹肚膨胀。安息香丸方
安息香（酒化研） 赤茯苓（去黑皮） 桂（去粗皮） 槟榔生（锉） 白术（锉麸炒）
甘草（炙） 诃黎勒皮 浓朴（去粗皮生姜汁炙） 陈橘皮（汤浸去白炒各一两） 干姜（炮
半两）
上一十味。捣罗为末。炼蜜丸如梧桐子大。每服二十丸。生姜汤下。不计时候。
治膈气呕逆。饮食不下。心胸痞满。沉香煮散方
沉香（锉） 香子（炒） 青橘皮（汤浸去白焙炒） 胡椒 荜澄茄 楝实（锉） 陈
橘皮（汤浸去白焙炒各一两）
上七味。捣罗为散。每服二钱匕。葱白五寸拍破。酒并童子小便各半盏。同煎至六分。
放温和滓服。重者不过三服。患者但心头气未断。皆可服之。
治胸膈气痛。不思食。食即呕逆。木香散方
木香 丁香 槟榔（锉） 诃黎勒皮 桂（去粗皮） 苑香（锉各一两） 枳壳（去瓤
麸炒） 大黄（锉炒各半两） 干木瓜（切碎三分）
上九味。捣罗为散。再同研匀。每服二钱匕。炒生姜盐汤调下。
治膈气呕逆。不下饮食。或忧恚气结。不得宣通。参苓丸方
人参 赤茯苓（去黑皮） 干姜（炮） 桂（去粗皮） 甘草（炙） 细辛（去苗叶） 芍
药枳壳（去瓤麸炒
上一十味。捣罗为末。炼蜜和丸。如梧桐子大。空心温酒下二十丸。如觉有物在喉中。
即丸三五丸。如弹子大。每一丸含化咽津。
治膈气呕逆。心胸痞满。食饮不下。气宝丸方
香子（拣净银石器内纸衬炒二两） 陈橘皮（汤浸去白焙） 槟榔（锉各一两） 木
香（一分四味同杵罗为末） 黑牵牛（拣净秤四两用吴茱萸二两慢火同炒茱萸焦只取牵牛子
一向杵取末二两）
上五味。同拌匀。炼蜜和剂为丸。如梧桐子大。每服十丸至十五丸。米饮或木香汤下。
有痰、即用槟榔末半钱。水半盏。煎数沸、放温下。欲微疏利。加至三十丸至四十丸。看虚
实、腹稍空服之。
治胃气素弱。因于忧恚。膈气呕逆。不思饮食。五膈丸方
人参（一两） 附子（炮裂去皮脐） 远志（去心） 蜀椒 干姜（炮） 细辛（去苗
叶各半两） 桂（去粗皮
上九味。捣罗为末。炼蜜和丸。如弹子大。食后含化。胸中热、即三服。
Discussion: The condition of Ge Qi (Diaphragmatic Qi Stagnation), vomiting, regurgitation, and inability to eat or drink is caused by deficiency of Stomach Qi and invasion of Wind-Cold. Alternatively, it may result from emotional distress and anger leading to Qi stagnation that fails to diffuse and circulate freely. Consequently, this causes fullness and obstruction in the chest diaphragm and epigastrium, with Qi blockage in the chest. Even if food is taken, it cannot be swallowed; or once it enters the Stomach, it often fails to digest. If it clashes with retained fluid retention (Liu Yin), it transforms into vomiting and regurgitation.
Treatment for Ge Qi, vomiting, regurgitation, inability to eat, accompanied by nausea and pain in the heart and abdomen, as well as Spleen accumulation affecting food intake, sallow complexion, abdominal distension, and lethargy, disharmony of Zang-Fu organs, failure to transform water and grain, and grinding away of masses and accumulations. Chenxiang Jian Wan Formula:
Chen Xiang (Cortex Aquilariae) [1 liang], Ding Xiang (Flos Caryophylli) [1 liang], A Wei (Resina Ferulae) [dissolved in vinegar, mixed with flour to make cakes, slow-roasted to 0.5 liang], Mu Xiang (Radix Aucklandiae) [unspecified amount], Hu Jiao (Fructus Piperis Nigris) [unspecified amount], Mo Yao (Myrrha) [ground] [1 liang], Dan Sha (Cinnabaris) [water-floated and ground] [1 liang], Gao Liang Jiang (Rhizoma Alpiniae Officinarum) [cut] [unspecified amount], Suo Sha Ren (Fructus Amomi Rotundus) [peeled] [0.5 liang], Bing Lang (Semen Arecae) [wrapped in flour, slow-roasted and cut] [unspecified amount], Sha [water-floated, ground, dried over fire in porcelain] [1 liang], Wu Zhu Yu (Fructus Evodiae) [soaked in decoction, washed, dried, stir-fried] [0.5 liang], Ba Dou (Semen Crotonis Tiglii) [peeled, core and membrane removed, ground on new tile until oil is extracted, 1 fen], Qing Ju Pi (Pericarpium Citri Reticulatae Viride) [soaked in decoction].
The above fifteen ingredients are pounded and ground into powder. Honey pills are made the size of mung beans. Take 3 to 5 pills before meals and before bed, washed down with warm Ginger and Tangerine Peel Decoction. In cases of sudden injury from raw/cold foods, with vomiting, regurgitation, nausea, and abdominal pain, increase the number of pills accordingly.
Treatment for Ge Qi, vomiting, regurgitation, inability to eat, with oppression and nausea. Ding Xiang Wan Formula:
Ding Xiang (Flos Caryophylli) [14 grains], Mu Gua (Fructus Chaenomelis) [sliced], Mu Xiang (Radix Aucklandiae) [processed] [1 fen], Rou Dou Kou (Semen Myristicae) [shelled, processed] [1 piece], Bing Lang (Semen Arecae) [cut] [1 piece], Ban Xia (Rhizoma Pinelliae) [1 fen, prepared with ginger juice].
The above seven ingredients are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Take 15 pills, washed down with Ginger Decoction.
Treatment for Ge Qi, vomiting, regurgitation, inability to eat. Wubi Wan Formula:
Gan Jiang (Rhizoma Zingiberis Recens) [processed], Fu Zi (Radix Aconiti Lateralis Preparata) [processed until cracked, peeled, navel removed], Ze Xie (Rhizoma Alismatis) [cut], Gui Zhi (Ramulus Cinnamomi) [bark removed] [1 liang each], Ba Dou (Semen Crotonis Tiglii) [14 grains, peeled, boiled in vinegar, ground].
The above five ingredients are pounded and sifted into powder, mixed evenly. Honey pills are made the size of paulownia seeds. Take 3 to 5 pills, washed down with warm wine, morning and evening.
Treatment for Ge Qi, vomiting, regurgitation, inability to eat. Bing Lang San Formula:
Bing Lang (Semen Arecae) [raw, cut], Jing San Leng (Rhizoma Sparganii) [roasted], Peng E Zhu (Rhizoma Curcumae Longae) [roasted], Gan Cao (Radix Glycyrrhizae) [roasted], Xiang Zi (Fructus Psoraleae) [stir-fried], Yi Zhi Zi (Fructus Alpiniae Oxyphyllae) [peeled, stir-fried], Qing Ju Pi (Pericarpium Citri Reticulatae Viride) [albedo removed, baked], Gan Jiang (Rhizoma Zingiberis Recens) [processed] [1 liang each].
The above eight ingredients are pounded and sifted into powder. Take 2 qian bi per dose, mixed with boiling water, twice daily.
Treatment for Ge Qi oppression, phlegm-fluid causing nausea, vomiting, regurgitation, inability to eat or drink. Mu Xiang Wan Formula:
Mu Xiang (Radix Aucklandiae) [processed] [0.5 liang], Sha Cao Gen (Radix Cyperi Rotundi) [stir-fried], Jing San Leng (Rhizoma Sparganii) [roasted, cut], Bai Zhu (Rhizoma Atractylodis Macrocephalae) [1 liang each], Chen Xiang (Cortex Aquilariae) [cut], Sha [separately ground], Hao Cha Mo (Good Tea Powder), Yi Zhi Zi (Fructus Alpiniae Oxyphyllae) [peeled, stir-fried] [0.5 liang each], Gui Zhi (Ramulus Cinnamomi) [bark removed], Ding Xiang (Flos Caryophylli) [stir-fried] [1 fen each], Wu Mei Rou (Sarcocarpus Mume) [stir-fried] [1 liang], Ba Dou (Semen Crotonis Tiglii) [14 grains, peeled, ground to extract oil], Rou Dou Kou (Semen Myristicae).
The above thirteen ingredients, except Ba Dou, are pounded and sifted into powder. Vinegar-boiled wheat paste is used as binder to make pills the size of mung beans. Take 3 to 5 pills after meals, washed down with fresh Ginger Decoction.
Treatment for Ge Qi oppression, vomiting, regurgitation, nausea, inability to eat or drink. La Cha Wan Formula:
La Cha Mo (Winter Tea Powder), Ding Xiang (Flos Caryophylli) [stir-fried], Bing Lang (Semen Arecae) [cut], Qing Ju Pi (Pericarpium Citri Reticulatae Viride) [albedo removed, sliced, stir-fried], Mu Xiang (Radix Aucklandiae) [processed], Suo Sha (Fructus Amomi Rotundus) [peeled, stir-fried] [0.5 liang each], Ba Dou (Semen Crotonis Tiglii) [peeled, core removed].
The above eight ingredients, except Ba Dou, are pounded and sifted into powder, then ground together uniformly. Vinegar-boiled wheat paste is used as binder to make pills the size of mung beans. Take 3 to 5 pills, washed down with warm Ginger Decoction, morning and evening after meals.
Treatment for Ge Qi vomiting, regurgitation, inability to eat, chest/heart oppression, choking sensation with blockage. Hua Qi Wan Formula:
Mu Xiang (Radix Aucklandiae) [processed], Bing Lang (Semen Arecae) [raw, cut] [2 liang each], Sha [separately ground] [1 liang], Da Huang (Radix et Rhizoma Rhei) [processed] [3 fen], Dan Sha (Cinnabaris) [separately ground] [0.5 liang].
The above five ingredients are pounded and ground into powder. Wine-boiled wheat paste is used to form pills the size of paulownia seeds. Take 10 to 20 pills at any time, washed down with Ginger Decoction.
Treatment for Ge Qi vomiting, regurgitation, inability to eat. Fen Qi Wan Formula:
Bai Zhu (Rhizoma Atractylodis Macrocephalae) [cut, stir-fried with bran], Mu Xiang (Radix Aucklandiae) [processed], Peng E Zhu (Rhizoma Curcumae Longae) [roasted], Gan Jiang (Rhizoma Zingiberis Recens) [processed], Chen Ju Pi (Pericarpium Citri Reticulatae) [soaked, albedo removed, sliced, stir-fried], Gui Zhi (Ramulus Cinnamomi) [bark removed], Gan Cao (Radix Glycyrrhizae) [roasted], Suo Sha Ren (Fructus Amomi Rotundus) [peeled, stir-fried], Xiang Zi (Fructus Psoraleae) [stir-fried], Gan Mu Gua (Fructus Chaenomelis) [sliced], Yi Zhi Zi (Fructus Alpiniae Oxyphyllae) [stir-fried] [2 liang each], Hu Jiao (Fructus Piperis Nigris) [0.5 liang], A Wei (Resina Ferulae) [dissolved in vinegar, mixed with white flour to make cakes, roasted] [1 fen].
The above thirteen ingredients are pounded and sifted into powder. Steamed dough cake is used as binder to make pills the size of cocklebur fruits. Take 1 pill, chewed with salt water, at any time.
Treatment for Ge Qi vomiting, regurgitation, inability to eat, choking, abdominal distension. An Xi Xiang Wan Formula:
An Xi Xiang (Resina Benzoini) [dissolved in wine, ground], Chi Fu Ling (Poria Cum Radice) [black skin removed], Gui Zhi (Ramulus Cinnamomi) [bark removed], Bing Lang (Semen Arecae) [raw, cut], Bai Zhu (Rhizoma Atractylodis Macrocephalae) [cut, stir-fried with bran], Gan Cao (Radix Glycyrrhizae) [roasted], He Li Le Pi (Endocarpus Chebulae), Hou Po (Cortex Magnoliae Officinalis) [bark removed, processed with ginger juice], Chen Ju Pi (Pericarpium Citri Reticulatae) [soaked, albedo removed, stir-fried] [1 liang each], Gan Jiang (Rhizoma Zingiberis Recens) [processed] [0.5 liang].
The above ten ingredients are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Take 20 pills, washed down with Ginger Decoction, at any time.
Treatment for Ge Qi vomiting, regurgitation, inability to eat, chest/heart oppression. Chen Xiang Zhu San Formula:
Chen Xiang (Cortex Aquilariae) [cut], Xiang Zi (Fructus Psoraleae) [stir-fried], Qing Ju Pi (Pericarpium Citri Reticulatae Viride) [soaked, albedo removed, baked, stir-fried], Hu Jiao (Fructus Piperis Nigris), Bi Cheng Qie (Fructus Tetradii), Lian Shi (Fructus Meliae Toosendan) [cut], Chen Ju Pi (Pericarpium Citri Reticulatae) [soaked, albedo removed, baked, stir-fried] [1 liang each].
The above seven ingredients are pounded and sifted into powder. Take 2 qian bi per dose. Break 5 cun of green onion white, add half a cup of wine and half a cup of child's urine. Decoct to 60% volume. Cool to warm temperature and consume with dregs. For severe cases, no more than three doses are needed. As long as the patient's Heart Qi has not ceased, this formula can be administered.
Treatment for chest/diaphragm Qi pain, loss of appetite, vomiting/regurgitation after eating. Mu Xiang San Formula:
Mu Xiang (Radix Aucklandiae), Ding Xiang (Flos Caryophylli), Bing Lang (Semen Arecae) [cut], He Li Le Pi (Endocarpus Chebulae), Gui Zhi (Ramulus Cinnamomi) [bark removed], Yuan Xiang (Radix Bupleuri? Note: Text says Yuan Xiang, likely referring to specific aromatic herb or typo for another, kept as Yuan Xiang) [cut] [1 liang each], Zhi Ke (Fructus Aurantii) [pith removed, stir-fried with bran], Da Huang (Radix et Rhizoma Rhei) [cut, stir-fried] [0.5 liang each], Gan Mu Gua (Fructus Chaenomelis) [chopped] [3 fen].
The above nine ingredients are pounded and sifted into powder, then ground together uniformly. Take 2 qian bi per dose, mixed with stir-fried ginger salt water.
Treatment for Ge Qi vomiting, regurgitation, inability to eat or drink, or due to emotional distress causing Qi stagnation failing to diffuse. Shen Ling Wan Formula:
Ren Shen (Radix Ginseng), Chi Fu Ling (Poria Cum Radice) [black skin removed], Gan Jiang (Rhizoma Zingiberis Recens) [processed], Gui Zhi (Ramulus Cinnamomi) [bark removed], Gan Cao (Radix Glycyrrhizae) [roasted], Xi Xin (Herba Asari) [seedlings and leaves removed], Shao Yao (Radix Paeoniae Alba), Zhi Ke (Fructus Aurantii) [pith removed, stir-fried with bran].
The above ten ingredients are pounded and sifted into powder. Honey pills are made the size of paulownia seeds. Take 20 pills on an empty stomach with warm wine. If a foreign body sensation is felt in the throat, take 3-5 pills the size of a marble, holding one pill in the mouth to dissolve and swallow saliva.
Treatment for Ge Qi vomiting, regurgitation, chest/heart oppression, inability to eat or drink. Qi Bao Wan Formula:
Xiang Zi (Fructus Psoraleae) [cleaned, stir-fried in silver/gold vessel lined with paper, 2 liang], Chen Ju Pi (Pericarpium Citri Reticulatae) [soaked, albedo removed, baked], Bing Lang (Semen Arecae) [cut] [1 liang each], Mu Xiang (Radix Aucklandiae) [1 fen, these four ingredients pounded and sifted together into powder], Hei Qian Niu (Semen Pharbitidis) [cleaned, weighed 4 liang, stir-fried slowly with 2 liang Wu Zhu Yu until Wu Zhu Yu is scorched, only Qian Niu Zi is taken, pounded to obtain 2 liang of powder].
The above five ingredients are mixed evenly. Honey pills are made the size of paulownia seeds. Take 10 to 15 pills, washed down with rice water or Mu Xiang Decoction. If there is phlegm, use 0.5 qian of Bing Lang powder, half a cup of water, boil briefly, cool to warm, and take. To induce mild purgation, increase to 30-40 pills. Take when the abdomen is slightly empty, depending on deficiency or excess.
Treatment for weak Stomach Qi constitution, due to emotional distress, causing Ge Qi vomiting, regurgitation, loss of appetite. Wu Ge Wan Formula:
Ren Shen (Radix Ginseng) [1 liang], Fu Zi (Radix Aconiti Lateralis Preparata) [processed until cracked, peeled, navel removed], Yuan Zhi (Radix Polygalae), Shu Jiao (Pericarpium Zanthoxyli), Gan Jiang (Rhizoma Zingiberis Recens) [processed], Xi Xin (Herba Asari) [seedlings and leaves removed] [0.5 liang each], Gui Zhi (Ramulus Cinnamomi) [bark removed].
The above nine ingredients are pounded and sifted into powder. Honey pills are made the size of marbles. Hold in mouth to dissolve after meals. If heat is felt in the chest, take 3 pills.