论曰膈气噎塞者。由忧思过甚。气结不通。肺胃虚弱。气留肓膜。则结滞于胸膈。故升
降痞塞。盖喉咙者、气之所以上下。若气塞不通。则咽喉噎闷。状若梅核。咽纳有妨。故谓
之膈气咽喉噎塞也。况肺气上通于喉咙。胃脉外连于咽嗌。若使上下升降。肺胃和平。则阴
阳调顺。膈气自散矣。
治诸膈气，心胸烦结。噎塞不通。饮食日减。槟榔汤方
槟榔（锉） 诃黎勒皮（炒） 荜澄茄 赤茯苓（去黑皮） 人参 青橘皮（汤浸去白
焙） 甘草（炙锉） 沉香（锉） 麦 （炒） 浓朴（去粗皮生姜汁炙） 京三棱（炮锉）
白术（等分）
上一十二味，粗捣筛。每服三钱匕。水一盏。生姜二片。大枣二枚劈。煎取七分。去滓
温服。日三夜一。
治膈气，咽喉噎塞，咳嗽上气。痰盛喘满，气道痞滞，不得升降。干咽妙功丸方
硼砂（研抄末二钱匕） 丹砂（研抄末四钱） 砂（飞研抄末一钱） 巴豆霜（抄末
三钱匕） 桂末
上六味，拌和令匀。用糯米粥和丸。如麻子大。每服一丸。或两粒。食后临寝干咽。
治膈气咽塞。忧结不散。人参汤方
人参 赤茯苓（去黑皮） 白术 桂（去粗皮） 诃黎勒皮（炒-） 京三棱（炮锉） 陈
橘皮（汤浸去白焙） 枳壳（去瓤麸炒） 甘草（炙锉） 槟榔（锉各一两） 木香（半
两） 草豆蔻（去皮半两）
上一十二味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓温服。日二夜一。
治诸膈气。冷热不调。喜怒无度。胸中咽塞。不思饮食。或忧思过甚。不足之气。蕴积
心臆。日渐消瘦。大腹汤方
大腹皮（切） 槟榔（锉） 木通（锉） 防己 青橘皮（汤浸去白焙） 紫苏茎叶 桑
根白皮
（锉） 甘草（炙锉） 枳壳（去瓤麸炒各一两） 草豆蔻（去皮） 丁香皮（锉） 大黄
（锉炒各半
两） 木香（一分）
上一十三味。粗捣筛。每服三钱匕。水一盏。生姜二片。大枣一枚劈。同煎七分。去滓
温服。日三夜一。
治膈气。咽喉噎塞。万灵木香丸方
木香（一分） 附子（炮裂去皮脐一枚） 槟榔（锉一两） 缩砂（去皮） 干姜（炮）
桂（去
粗皮） 陈橘（皮汤浸去白焙） 肉豆蔻（去壳） 香子（炒各半两）
上九味捣罗为末。醋煮面糊。丸如梧桐子大。丹砂为衣。每服二十丸。生姜汤下。茶酒
亦得。不计时候。
治膈气。咽喉噎塞。不下饮食。丁香丸方
丁香 木香（各一钱） 槟榔（锉） 青橘皮（去白醋浸半日控干炒令黄色各一分） 京
三棱（炮锉） 芫花（醋浸一宿控干炒令黄色各半两） 五灵脂（一两） 香墨（烧令烟尽
候通赤放冷秤一钱）
上八味。同捣罗为末。再罗过。肥巴豆七粒。去皮心膜。细研如膏。涂于新瓦上。出油
令尽、细研。与前药末同研。拌令极匀。用水煮白面糊和剂。硬软得所。丸如大麻子大。令
干。每服五丸至七丸。生姜汤下。不计时候。
治膈气咽喉噎塞。心烦呕逆。不进饮食。人参丸方
人参 浓朴（去粗皮生姜汁炙） 枇杷叶（去毛炙） 槟榔（锉各一两） 半夏（淡浆
水煮三二十沸切
上五味。捣罗为末。面糊为丸。如梧桐子大。每服二十丸。生姜汤下。不拘时服。
治膈气。咽喉噎塞。烦闷呕吐。心胸痞满。腹胁膨胀。不思饮食。安息香煎丸方
安息香（别研半两） 木香 沉香（各一两） 诃黎勒皮（炮二两） 桂去（粗皮） 白
茯苓（去黑皮） 肉豆蔻仁 缩砂仁 芍药 荜澄茄 香子（微炒） 益智（去皮炒） 五
味子（微炒） 白豆蔻仁 芎 当归（切焙） 丁香皮（锉） 蓬莪术（炮锉） 京三棱
（炮锉） 莎草根（去毛） 槟榔（锉各一两半） 砂（别研半两） 阿魏（一分细研用
白面少许和作饼子炙令香熟）
上二十三味。除别研外。捣罗为末。再同研匀。用蜜三十两 。炼熟和为丸。如鸡头大。
每服一丸细嚼。温酒或生姜盐汤下。不拘时。
治膈气噎塞。不入饮食。导气散方
虎头王字骨（酥炙） 荜茇（微焙） 人参 浓朴（去粗皮生姜汁炙锉） 羚羊角屑
上五味等分。捣罗为散。每服二钱匕。温水调。临卧食后服。
治膈气噎塞。脾胃虚冷。瘦劣。不下食。京三棱丸方
京三棱（炮锉） 诃黎勒（煨去核） 木瓜（焙） 鳖甲（醋炙去裙 ） 玳瑁（镑各
三分） 桃仁（汤浸去皮尖双仁炒） 枳实（去瓤麸炒） 干姜（炮） 白术 昆布（汤浸
去咸焙） 赤茯苓（去黑皮） 木香（各半两）
上一十二味。捣罗为末。陈曲糊和丸。如梧桐子大。每服二十丸。煨生姜木瓜盐汤下。
治膈气咽喉噎塞。胸膈填满，不思饮食，通气汤方
半夏（汤洗七遍去滑为末） 生姜（细研和半夏作饼曝干各一两半） 陈橘皮（汤浸去
白焙） 桂（去
上四味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，煎至八分，去滓温服。
治膈气噎塞。不下饮食。撞气丸方
雌黄（研） 附子（炮裂去皮脐） 丹砂（研） 木香 寒水石（研） 人中白（研各
半两） 麝香（研一钱）
上七味。先以雌黄入铫子。却将寒水石盖雌黄。用油纸烛十二个。烧尽为度。次将众药
为末。和令匀。以粟米饭和丸。如鸡头大。每服一丸。用生葱一二寸同嚼。温酒下。妇人以
当归绿豆酒下。
治膈气噎塞。不思饮食。附子丸方
附子（大者生去皮脐切破生姜汁煮透焙一两） 丁香（半两）
上二味。捣罗为末。细研 砂少许。渗枣内。蒸熟去皮核和药。丸如梧桐子大。每服十
五丸。温米饮下。食前服。
治膈气噎塞。食物不下。昆布丸方
昆布（洗去咸焙末一两） 舂杵头细糠（一合）
上二味。用老牛涎一合。生百合汁一合。二味慢火煎。入蜜搅成膏。搜前药和丸。如鸡
头大。含化咽津。
Discourse states: The condition of Ge Qi (Diaphragmatic Qi) with obstruction and choking is caused by excessive worry and overthinking, leading to the stagnation and blockage of Qi mechanism. When the Lung and Stomach are weak, Qi remains in the Huangmo (the area between the heart and diaphragm), forming stagnation in the chest and diaphragm. Consequently, the ascending and descending movements of Qi become obstructed. The throat is the passage for Qi to ascend and descend; if Qi is blocked and cannot flow freely, it results in a sensation of choking and fullness in the throat, resembling a plum pit stuck there, hindering swallowing. Hence, this is termed "Ge Qi with Throat Obstruction." Furthermore, Lung Qi connects upward to the throat, and the Stomach meridian connects outward to the pharynx. If the ascending and descending Qi mechanisms are orderly, and the Lung and Stomach remain in harmony, Yin and Yang will be balanced, and Ge Qi will naturally dissipate.
Binglang Tang Decoction (Areca Nut Decoction) for treating various forms of Ge Qi, characterized by mental restlessness and constriction in the chest and heart, obstruction and choking, and decreasing food intake:
Binglang (Arecae Semen, crushed) Helilepi (Pericarpium Chebulae, stir-fried) Bichengqie (Fructus Corni, wait, actually Fructus Galangae? No, Bichengqie is Fructus Galangae or similar spice, WHO term: Fructus Galangae / Alpiniae Fructus? Actually Bichengqie is often identified as Fructus Galangae or Piper longum relative. Let's use standard pinyin/English: Bichengqie (Galangal Fruit)) Chifuling (Poria Cocos with Black Skin Removed, wait, Chi Fuling is Poria Cocos with red skin? No, usually just Poria. Let's stick to WHO: Poria) Renshen (Radix Ginseng) Qingjupi (Exocarpium Citri Reticulatae Viride, soaked in hot water, white pith removed, dried) Gancao (Radix Glycyrrhizae Uralensis, honey-fried, crushed) Chenxiang (Lignum Aquilariae Resinatum, crushed) Mai (Triticum aestivum, stir-fried) Nongpo (Cortex Magnoliae Officinalis, bark removed, stir-fried with ginger juice) Jingsanleng (Rhizoma Sparganii, processed, crushed) Baizhu (Rhizoma Atractylodis Macrocephalae, equal parts).
Twelve ingredients above, coarsely pounded and sifted. Take three qianbi per dose. Add one zhan of water, two slices of Shengjiang (Rhizoma Zingiberis Recens), two Dazao (Fructus Jujubae, split). Decoct until seven-tenths remain, remove dregs, and take warm. Three times daily, once at night.
Miaogong Wan Pill (Wonderful Merit Pill) for treating Ge Qi with throat obstruction, coughing with rebellious Qi, profuse phlegm, wheezing and chest fullness, stagnant airways, inability of Qi to ascend and descend, and difficulty swallowing:
Pengsha (Borax, ground and sifted, 2 qianbi) Dansha (Cinnabar, ground and sifted, 4 qian) Sha (Realgar, flown, ground and sifted, 1 qian) Badoushuang (Paste of Crotonis Fructus, sifted, 3 qianbi) Guimo (Powder of Ramuli Cinnamomi).
Six ingredients above, mixed evenly. Use glutinous rice porridge to bind into pills the size of hemp seeds. Take one pill, or two, dry-swallowed after meals and before sleep.
Renshen Tang Decoction (Ginseng Decoction) for treating Ge Qi with throat obstruction and unresolved emotional stagnation:
Renshen (Radix Ginseng) Chifuling (Poria, black skin removed) Baizhu (Rhizoma Atractylodis Macrocephalae) Gui (Ramulus Cinnamomi, bark removed) Helilepi (Pericarpium Chebulae, stir-fried) Jingsanleng (Rhizoma Sparganii, processed, crushed) Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed, dried) Zhike (Fructus Aurantii, pulp removed, bran-fried) Gancao (Radix Glycyrrhizae Uralensis, honey-fried, crushed) Binglang (Arecae Semen, crushed, each 1 liang) Muxiang (Radix Aucklandiae, 0.5 liang) Caodoukou (Fructus Cardamomi Rotundus, peeled, 0.5 liang).
Twelve ingredients above, coarsely pounded and sifted. Take three qianbi per dose. Add one zhan of water. Decoct until seven-tenths remain, remove dregs, and take warm. Twice daily, once at night.
Dafu Tang Decoction (Greater Abdomen Decoction) for treating various Ge Qi, imbalance of cold and heat, uncontrolled anger and joy, chest and throat obstruction, loss of appetite, excessive worry and thinking, deficiency of Qi accumulating in the chest, and gradual emaciation:
Dafupi (Pericarpium Arecae Integrum, cut) Binglang (Arecae Semen, crushed) Mutong (Caulis Akebiae, crushed) Fangji (Radix Stephaniae Tetrandrae) Qingjupi (Exocarpium Citri Reticulatae Viride, soaked, white pith removed, dried) Zisujingye (Herba Perillae Caulis et Folium) Sangbaip (Cortex Mor radicis, crushed) Gancao (Radix Glycyrrhizae Uralensis, honey-fried, crushed) Zhike (Fructus Aurantii, pulp removed, bran-fried, each 1 liang) Caodoukou (Fructus Cardamomi Rotundus, peeled) Dingxiang (Flos Caryophylli, peel, crushed) Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, each 0.5 liang) Muxiang (Radix Aucklandiae, 1 fen).
Thirteen ingredients above, coarsely pounded and sifted. Take three qianbi per dose. Add one zhan of water, two slices of Shengjiang (Rhizoma Zingiberis Recens), one Dazao (Fructus Jujubae, split). Decoct together until seven-tenths remain, remove dregs, and take warm. Three times daily, once at night.
Wanling Muxiang Wan Pill (Ten Thousand Spirit Aucklandia Pill) for treating Ge Qi with throat obstruction:
Muxiang (Radix Aucklandiae, 1 fen) Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed, one piece) Binglang (Arecae Semen, crushed, 1 liang) Suosha (Fructus Amomi Rotundus, peeled) Ganjiang (Rhizoma Zingiberis Secunda Preparata, processed) Gui (Ramulus Cinnamomi, bark removed) Chenju (Exocarpium Citri Reticulatae, soaked, white pith removed, dried) Roudoukou (Semen Myristicae, shell removed) Xiangzi (Fructus Myristicae, stir-fried, each 0.5 liang).
Nine ingredients above, pounded and sifted into powder. Use vinegar-boiled wheat paste to form pills the size of Sophora seeds. Coat with Dansha (Cinnabar). Take twenty pills per dose, washed down with Shengjiang (Rhizoma Zingiberis Recens) decoction. Tea or wine may also be used. Time is not restricted.
Dingxiang Wan Pill (Clove Pill) for treating Ge Qi with throat obstruction and inability to eat:
Dingxiang (Flos Caryophylli) Muxiang (Radix Aucklandiae, each 1 qian) Binglang (Arecae Semen, crushed) Qingjupi (Exocarpium Citri Reticulatae Viride, white pith removed, soaked in vinegar for half a day, drained, stir-fried to yellow, each 1 fen) Jingsanleng (Rhizoma Sparganii, processed, crushed) Yuanhua (Flos Genkwa, soaked in vinegar overnight, drained, stir-fried to yellow, each 0.5 liang) Wulingzhi (Faeces Trogopterori, 1 liang) Xiangmo (Incense Ink, burned until smoke ceases, cooled, weighed 1 qian).
Eight ingredients above, pounded and sifted together, then re-sifted. Take seven fat Badou (Crotonis Fructus), remove skin, heart, and membrane, grind finely into a paste, spread on a new tile to drain oil completely, then grind finely again. Mix thoroughly with the previous powders. Use boiled wheat flour paste to adjust consistency, firm yet soft enough. Form pills the size of large hemp seeds. Dry them. Take five to seven pills per dose, washed down with Shengjiang (Rhizoma Zingiberis Recens) decoction. Time is not restricted.
Renshen Wan Pill (Ginseng Pill) for treating Ge Qi with throat obstruction, mental restlessness, nausea and vomiting, and inability to eat:
Renshen (Radix Ginseng) Nongpo (Cortex Magnoliae Officinalis, bark removed, stir-fried with ginger juice) Pipaye (Folium Eriobotryae, hair removed, stir-fried) Binglang (Arecae Semen, crushed, each 1 liang) Banxia (Rhizoma Pinelliae, boiled in dilute starch water for 20-30 boils, sliced).
Five ingredients above, pounded and sifted into powder. Use wheat paste to form pills the size of Sophora seeds. Take twenty pills per dose, washed down with Shengjiang (Rhizoma Zingiberis Recens) decoction. Take without time restriction.
Anshixiang Jian Wan Pill (Amber Decoction Pill) for treating Ge Qi with throat obstruction, mental distress and vomiting, chest and heart fullness, abdominal and hypochondriac distension, and loss of appetite:
Anshixiang (Resina Amber, separately ground, 0.5 liang) Muxiang (Radix Aucklandiae) Chenxiang (Lignum Aquilariae Resinatum, each 1 liang) Helilepi (Pericarpium Chebulae, processed, 2 liang) Gui (Ramulus Cinnamomi, bark removed) Baifuling (Poria, black skin removed) Roudoukouren (Semen Myristicae) Suosharen (Fructus Amomi Rotundus) Shaoyao (Radix Paeoniae Alba) Bichengqie (Fructus Galangae) Xiangzi (Fructus Myristicae, lightly stir-fried) Yizhi (Fructus Alpiniae Oxyphyllae, peeled and stir-fried) Wuweizi (Fructus Schisandrae Chinensis, lightly stir-fried) Baidoukouren (Semen Cardamomi Albiflora) Xiong (Rhizoma Chuanxiong) Danggui (Radix Angelicae Sinensis, sliced and dried) Dingxiangpi (Flos Caryophylli, peel, crushed) Pengelzhu (Rhizoma Curcumae Phaeocaulis, processed, crushed) Jingsanleng (Rhizoma Sparganii, processed, crushed) Shacaogen (Rhizoma Cyperi Rotundi, hair removed) Binglang (Arecae Semen, crushed, each 1.5 liang) Sha (Realgar, separately ground, 0.5 liang) Awei (Resina Asafoetidae, 1 fen, finely ground, made into a small cake with a little wheat flour, roasted until fragrant).
Twenty-three ingredients above. Except for those requiring separate grinding, pound and sift the rest into powder, then mix evenly. Use 30 liang of refined honey to bind into pills the size of a chicken head. Chew one pill slowly per dose, wash down with warm wine or Shengjiang (Rhizoma Zingiberis Recens) salt water. Time is not restricted.
Daoqi San Powder (Guiding Qi Powder) for treating Ge Qi with obstruction and inability to eat:
Hutouwangzigu (Bone from Tiger Head with 'Wang' character, prepared with su/lard) Biba (Fructus Piperis Longi, lightly baked) Renshen (Radix Ginseng) Nongpo (Cortex Magnoliae Officinalis, bark removed, stir-fried with ginger juice, crushed) Lingyangjiaoxie (Cornu Saigae Tataricae, shaved).
Five ingredients above in equal parts, pounded and sifted into powder. Take two qianbi per dose, mix with warm water. Take before sleep and after meals.
Jingsanleng Wan Pill (Sparganium Pill) for treating Ge Qi with obstruction, deficiency-cold of Spleen and Stomach, emaciation, and inability to eat:
Jingsanleng (Rhizoma Sparganii, processed, crushed) Helile (Fructus Chebulae, baked, pitted) Mugua (Fructus Chaenomelis, baked) Biejia (Carapax et Plastrum Testudinis, vinegar-processed, skirt removed) Daimei (Testudo Carapax et Plastrum, shaved, each 3 fen) Taoren (Semen Persicae, soaked in hot water, skin and tip removed, double-kernel removed, stir-fried) Zhishi (Fructus Aurantii Immaturus, pulp removed, bran-fried) Ganjiang (Rhizoma Zingiberis Secunda Preparata, processed) Baizhu (Rhizoma Atractylodis Macrocephalae) Kunbu (Thallus Laminariae Japonicae, soaked in hot water to remove salt, baked) Chifuling (Poria, black skin removed) Muxiang (Radix Aucklandiae, each 0.5 liang).
Twelve ingredients above, pounded and sifted into powder. Use aged Qu (fermented grain) paste to bind into pills the size of Sophora seeds. Take twenty pills per dose, washed down with baked Shengjiang (Rhizoma Zingiberis Recens), Mugua (Fructus Chaenomelis), and salt water.
Tongqi Tang Decoction (Unblocking Qi Decoction) for treating Ge Qi with throat obstruction, chest and diaphragm fullness, and loss of appetite:
Banxia (Rhizoma Pinelliae, washed seven times in hot water to remove slipperiness, ground into powder) Shengjiang (Rhizoma Zingiberis Recens, finely ground, mixed with Banxia to form cakes, sun-dried, each 1.5 liang) Chenjupi (Exocarpium Citri Reticulatae, soaked, white pith removed, dried) Gui (Ramulus Cinnamomi, bark removed).
Four ingredients above, coarsely pounded and sifted. Take five qianbi per dose. Add one and a half zhan of water and five slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct until eight-tenths remain, remove dregs, and take warm.
Zhuangqi Wan Pill (Striking Qi Pill) for treating Ge Qi with obstruction and inability to eat:
Cihuang (Orpiment, ground) Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed) Dansha (Cinnabar, ground) Muxiang (Radix Aucklandiae) Hanshuishi (Aragonitum, ground) Renzhongbai (Urinae Humanae Depuratum, ground, each 0.5 liang) Shexiang (Moschus, ground, 1 qian).
Seven ingredients above. First, place Cihuang (Orpiment) in a ding (cauldron), cover with Hanshuishi (Aragonitum), and burn using twelve oil-paper candles until consumed. Then, grind all other medicines into powder, mix evenly, and bind with millet rice paste into pills the size of a chicken head. Take one pill per dose, chew together with 1-2 cun of raw Congbai (Scallion White), wash down with warm wine. For women, wash down with Danggui (Radix Angelicae Sinensis) and Moutong (Phaseoli Volubilis) wine.
Fuzi Wan Pill (Aconite Pill) for treating Ge Qi with obstruction and loss of appetite:
Fuzi (Radix Aconiti Lateralis Preparata, large ones, raw, skin and navel removed, cut open, boiled through in Shengjiang (Rhizoma Zingiberis Recens) juice, then baked, 1 liang) Dingxiang (Flos Caryophylli, 0.5 liang).
Two ingredients above, pounded and sifted into powder. Take a small amount of Sha (Realgar), grind finely, infiltrate into dates, steam until cooked, remove skin and pits, and mix with the medicine powder. Form pills the size of Sophora seeds. Take fifteen pills per dose, washed down with warm rice drink. Take before meals.
Kunbu Wan Pill (Laminaria Pill) for treating Ge Qi with obstruction and inability to swallow food:
Kunbu (Thallus Laminariae Japonicae, washed to remove salt, baked and ground, 1 liang) Chongchutouxixiang (Fine bran from pestle head, 1 he).
Two ingredients above. Use 1 he of old ox saliva and 1 he of fresh Baihe (Bulbus Lilii) juice. Slowly boil these two liquids, add honey, stir into a paste. Use this paste to knead the previous medicine powder into pills the size of a chicken head. Hold in mouth to dissolve and swallow saliva.