夫上气咳逆者。由肺脏虚弱。感于风寒。而成咳逆也。咳则气聚于肺。则令肺胀。心胸
烦闷
则气
治上气咳逆。支满喘嗽。气结胸中。心烦不利。宜服芫花散方。
芫花（半两醋拌炒令干） 桂心（三分） 干姜（半两炮裂锉） 陈橘皮（三分汤浸去
白瓤焙）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。温服。日
三四
治上气咳逆。喉中不利。人参散方。
人参（一两去芦头） 陈橘皮（三分汤浸去白瓤焙） 紫菀（一两洗去苗土） 赤茯苓
（一两）
款
蒲（三
分）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候。
温
治上气咳逆。胸满多唾。宜服川椒丸方。
川椒（一两去目及闭口者微炒去汗） 人参（一两去芦头） 款冬花（三分） 赤茯苓
（一两）
干
味子
（三
分）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服。以温生姜汤下三十丸。
日三
治上气咳逆。心胸烦闷。小便不利。宜服麦门冬散方。
麦门冬（一两半去心焙） 昆布（三分洗去咸味） 干姜（半两炮裂锉） 细辛（半两）
川椒
（半
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温生姜汤下三十
丸。
治上气咳逆。腹中坚痞。往来寒热。令人羸瘦。不能饮食。或时下痢。腹中疼痛
。桂心丸方
桂心（一两） 川椒（三两去目及闭口者微炒去汗） 甘草（三分炙微赤锉） 当归（三
分）
半夏
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以生姜橘皮汤下三
十丸
治上气咳逆。多唾食少。宜服干姜丸方。\x
干姜（半两炮裂锉） 桂心（半两） 柑子皮（三分汤浸去白瓤） 细辛（半两） 甘
草（半两
炙微
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。不计时候。以姜枣汤下
三十
Shangqi ke ni (Upper Qi with Cough and Reverse Flow) refers to coughing and wheezing caused by the rebellious flow of Lung Qi. This condition arises from the deficiency of the Lung organ, which becomes affected by Wind-Cold pathogens, resulting in cough and reverse flow. During coughing, Qi accumulates in the Lungs, causing Lung distension, restlessness and oppression in the chest and heart, and obstructed breathing.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) accompanied by fullness and distension in the chest and hypochondrium, wheezing and cough, Qi knotting in the chest, mental restlessness, and difficult breathing, the Yuanhua San (Spurge Root Powder) formula is suitable.
Yuan Hua (Radix Daphnes Genkwa, half liang, mixed with vinegar and stir-fried until dry)
Guixin (Cortex Cinnamomi Cassiae, three qian)
Gan Jiang (Rhizoma Zingiberis Recens Preparatum, half liang, processed until cracked and chopped)
Chen Ju Pi (Pericarpium Citri Reticulatae Aged, three qian, soaked in water, white pith removed, dried)
The above herbs are crushed, sifted, and made into a powder. Each dose is three qian. Add one zhong zhan (approx. 200ml) of water and half fen of fresh ginger, decoct until reduced to six parts. Strain and take warm. Take three to four times daily.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) with discomfort in the throat, the Renshen San (Ginseng Powder) formula is suitable.
Renshen (Radix Ginseng, one liang, rhizome removed)
Chen Ju Pi (Pericarpium Citri Reticulatae Aged, three qian, soaked in water, white pith removed, dried)
Zi Wan (Herba Asteris Tatarici, one liang, washed to remove seedlings and soil)
Chi Fu Ling (Poria with Red Wood, one liang)
Kuan Dong Hua (Flos Farfarae, three qian)
The above herbs are crushed, sifted, and made into a powder. Each dose is five qian. Add one da zhan (approx. 300ml) of water and half fen of fresh ginger, decoct until reduced to five parts. Strain and take warm at any time.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) with chest fullness and excessive salivation, the Chuanjiao Wan (Sichuan Pepper Pill) formula is suitable.
Chuan Jiao (Fructus Zanthoxyli, one liang, remove seeds and closed-mouth peppers, lightly stir-fry to remove moisture)
Renshen (Radix Ginseng, one liang, rhizome removed)
Kuan Dong Hua (Flos Farfarae, three qian)
Chi Fu Ling (Poria with Red Wood, one liang)
Wu Wei Zi (Fructus Schisandrae Chinensis, three qian)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to five hundred strokes to form pills the size of Sophora japonica seeds. Each dose is thirty pills, taken with warm ginger-infused water, three times daily.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) with mental restlessness and oppression in the chest and heart, and difficult urination, the Maimendong San (Ophiopogon Powder) formula is suitable.
Maimendong (Radix Ophiopogonis, one and a half liang, core removed, dried)
Kun Bu (Thallus Laminariae/Japonicae/Sargassii, three qian, washed to remove salty taste)
Gan Jiang (Rhizoma Zingiberis Recens Preparatum, half liang, processed until cracked and chopped)
Xi Xin (Herba Asari, half liang)
Chuan Jiao (Fructus Zanthoxyli, half liang)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to five hundred strokes to form pills the size of Sophora japonica seeds. Each dose is thirty pills, taken before meals with warm ginger-infused water.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) with hard masses in the abdomen, alternating chills and fever, emaciation, inability to eat, occasional dysentery, and abdominal pain, the Guixin Wan (Cinnamon Twig Pill) formula is suitable.
Guixin (Cortex Cinnamomi Cassiae, one liang)
Chuan Jiao (Fructus Zanthoxyli, three liang, remove seeds and closed-mouth peppers, lightly stir-fry to remove moisture)
Gan Cao (Radix Glycyrrhizae Uralensis Preparated, three qian, roasted until slightly red and chopped)
Dang Gui (Radix Angelicae Sinensis, three qian)
Ban Xia (Rhizoma Pinelliae Preparatum, three qian)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for two to three hundred strokes to form pills the size of Sophora japonica seeds. Take at any time, thirty pills per dose, with ginger and tangerine peel-infused water.
For treating Shangqi ke ni (Upper Qi with Cough and Reverse Flow) with excessive salivation and poor appetite, the Ganjiang Wan (Dried Ginger Pill) formula is suitable.
Gan Jiang (Rhizoma Zingiberis Recens Preparatum, half liang, processed until cracked and chopped)
Guixin (Cortex Cinnamomi Cassiae, half liang)
Gan Zi Pi (Pericarpium Citri, three qian, soaked in water, white pith removed)
Xi Xin (Herba Asari, half liang)
Gan Cao (Radix Glycyrrhizae Uralensis Preparated, half liang, roasted until slightly red)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to five hundred strokes to form pills the size of Sophora japonica seeds. Each dose is thirty pills, taken at any time with ginger and jujube-infused water.