夫五膈气呕吐酸水者。胸中气滞。胃有宿冷。饮水停积。乘于脾胃。脾得水湿。则不能
消水
治五膈气呕吐酸水。寒气上攻。胸中刺痛。腹胁胀满。饮食不下。白术散方。
白术（一两） 木香〔一（半）两〕 吴茱萸（半两汤浸七遍焙干微炒） 桂心（一两）
陈橘
皮（
两锉碎
微炒）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治五膈气。脾胃寒。不能下食。呕吐酸水。时时胸膈刺痛。槟榔散方。
槟榔〔一（二）两〕 人参（一两半去芦头） 肉豆蔻（一两去壳） 白术（一两） 陈
橘皮（一
两
（二两去
粗皮涂生姜汁炙令香熟）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治五膈气。心胸久冷结滞。时多呕吐酸水。不思饮食。浓朴散方。
浓朴（一两半去粗皮涂生姜汁炙令香熟） 吴茱萸（半两汤浸七遍焙干微炒） 人参（一
两
去芦
（半两锉）
桂心
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治五膈气。脾胃冷滞。每欲食则多呕吐酸水。宜服人参散方。
人参（一两去芦头） 槟榔（一两） 高良姜（半两锉） 陈橘皮〔二（一）两汤浸去
白瓤焙〕
荜
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治五膈气。脾胃虚冷。呕吐酸水。不能下食。四肢乏力。丁香散方。
丁香（半两） 白术（三分） 桂心（一两） 陈橘皮（一两汤浸去白瓤焙） 半夏（半
两汤洗
七遍
分）
干姜
粗皮涂
生姜
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。不计时候。
稍
治五膈气。胃中宿冷。食不消化。呕吐酸水。陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 白术（一两） 人参（一两去芦头） 胡椒（半两） 肉
豆蔻
（一两
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
稍
治五膈气。呕吐酸水。脾胃虚寒。不能下食。半夏散方。
半夏〔半两汤（洗）七遍去滑〕 槟榔（半两） 红豆蔻（半两去皮） 桂心（三分） 木
香（半
两）
高良姜
（
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。不计时候。
稍
治五膈气。脾胃虚冷。食不消化。呕吐酸水。四肢不和。面色青黄。渐加羸弱。
木香散方。
木香（半两） 陈橘皮（一两汤浸去白瓤焙） 荜茇（半两） 干姜（半两炮裂锉） 诃
黎勒皮
（一
炙微赤锉〕
上件药。捣细罗为散。每服不计时候。以热酒下一钱。
治五膈气。胸中噎塞。呕吐酸水。不能下食。诃黎勒散方。
诃黎勒皮（一两） 龙脑香（半两） 陈橘皮（一两汤浸去白瓤焙） 白豆蔻（半两去
皮） 人
参（
草（一
分炙
上件药。捣细罗为散。每服不计时候。以陈米粥饮下二钱。
治五膈气。及胃口不和。多吐酸水。不思饮食。木香散方。
木香（半两） 附子（三分炮裂去皮脐） 人参（三分去芦头） 丁香（半两） 干姜
（半两炮
裂锉）
两）
上件药。捣细罗为散。每服不计时候。煎生姜枣汤调下二钱。
治五膈气。脾胃久冷。呕吐酸水。脾腹 痛。不思饮食。草豆蔻丸方。
草豆蔻（一两去皮） 附子（一两炮裂去皮脐） 缩砂（一两去皮） 陈橘皮（一两汤
浸去白
瓤焙）
心
〔半（
上件药。捣罗为末。以水浸蒸饼。和捣三二百杵。丸如梧桐子大。每服不计时候。以热
酒下
治五膈气滞。宿食不消。呕吐酸水。腹胀不能下食。赤茯苓丸方。
赤茯苓（一两） 陈橘皮（三两汤浸去白瓤炒） 大麦 （一两炒微黄） 桂心（二两）
干姜
（一
两） 甘
草
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以生姜汤下三
十丸
治五膈气。脾胃久冷。呕吐酸水。不能下食。木香丸方。
木香（一两） 青橘皮（一两汤浸去白瓤焙） 桂心（一两） 白术（一两） 益智子
（一两去
皮）
两炮裂
锉）
上件药。捣罗为末。酒煮饭烂研。和丸如梧桐子大。不计时候。以生姜汤嚼下十丸。
For those suffering from Five Ge Qi (Five Obstruction Qi) accompanied by vomiting of sour fluid, the condition arises from stagnation of Qi in the chest, residual cold in the Stomach, and accumulation of retained water that affects the Spleen and Stomach. When the Spleen is affected by dampness and water, it loses its ability to transform fluids.
To treat Five Ge Qi with vomiting of sour fluid, characterized by attacking cold Qi causing stabbing pain in the chest, distension and fullness in the abdomen and hypochondrium, and inability to take food, use Baizhu San (Atractylodes Macrocephala Powder).
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Muxiang (Aucklandiae Radix) (0.5 liang), Wuzhuyu (Evodiae Fructus) (0.5 liang, soaked in hot water seven times, dried, slightly stir-fried), Guixin (Cinnamomi Cortex) (1 liang), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, crushed, slightly stir-fried).
The above ingredients are coarsely ground into a powder. Each dose consists of 4 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens) and three Zao (Jujubae Fructus), until reduced to 0.6 portion. Strain and discard the dregs.
To treat Five Ge Qi due to Cold-Deficiency of the Spleen and Stomach, inability to eat, vomiting of sour fluid, and frequent stabbing pain in the chest and diaphragm, use Binglang San (Arecae Semen Powder).
Binglang (Arecae Semen) (2 liang), Renshen (Ginseng Radix et Rhizoma) (1.5 liang, remove radicle), Roudoukou (Myristicae Semen) (1 liang, remove shell), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, remove coarse peel, coat with Shengjiang juice, roast until fragrant).
The above ingredients are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with long-standing cold stagnation in the heart and chest, frequent vomiting of sour fluid, and loss of appetite, use Houpo San (Magnoliae Officinalis Cortex Powder).
Houpo (Magnoliae Officinalis Cortex) (1.5 liang, remove coarse peel, coat with Shengjiang juice, roast until fragrant), Wuzhuyu (Evodiae Fructus) (0.5 liang, soaked in hot water seven times, dried, slightly stir-fried), Renshen (Ginseng Radix et Rhizoma) (1 liang, remove radicle), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, crushed), Guixin (Cinnamomi Cortex) (1 liang).
The above ingredients are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with Cold-Stagnation of the Spleen and Stomach, where vomiting of sour fluid occurs frequently when attempting to eat, Ren Shen San (Ginseng Powder) is suitable.
Renshen (Ginseng Radix et Rhizoma) (1 liang, remove radicle), Binglang (Arecae Semen) (1 liang), Gaoliangjiang (Alpiniae Officinarum Rhizoma) (0.5 liang, crushed), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Bibo (Piperis Kadsurae Fructus) (0.5 liang).
The above ingredients are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with Cold-Deficiency of the Spleen and Stomach, vomiting of sour fluid, inability to eat, and weakness in the four limbs, use Dingxiang San (Caryophylli Flos Powder).
Dingxiang (Caryophylli Flos) (0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 fen), Guixin (Cinnamomi Cortex) (1 liang), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Banxia (Pinelliae Rhizoma) (0.5 liang, washed in hot water seven times to remove slipperiness), Ganjiang (Zingiberis Rhizoma) (1 fen, processed, crushed), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, roasted, crushed, coarse peel coated with Shengjiang juice and roasted until fragrant).
The above ingredients are finely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with residual cold in the Stomach, indigestion, and vomiting of sour fluid, use Chenjupi San (Citri Reticulatae Pericarpium Powder).
Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Renshen (Ginseng Radix et Rhizoma) (1 liang, remove radicle), Hujiao (Piperis Nigris Fructus) (0.5 liang), Roudoukou (Myristicae Semen) (1 liang, remove shell).
The above ingredients are finely ground into a powder. Each dose consists of 4 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with vomiting of sour fluid, Cold-Deficiency of the Spleen and Stomach, and inability to eat, use Banxia San (Pinelliae Rhizoma Powder).
Banxia (Pinelliae Rhizoma) (0.5 liang, washed in hot water seven times to remove slipperiness), Binglang (Arecae Semen) (0.5 liang), Hong Doukou (Myristicae Arillatae Semen) (0.5 liang, remove skin), Guixin (Cinnamomi Cortex) (3 fen), Muxiang (Aucklandiae Radix) (0.5 liang), Gaoliangjiang (Alpiniae Officinarum Rhizoma) (0.5 liang).
The above ingredients are finely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water, adding 0.5 fen of Shengjiang, until reduced to 0.6 portion. Strain and discard the dregs. Take at any time.
To treat Five Ge Qi with Cold-Deficiency of the Spleen and Stomach, indigestion, vomiting of sour fluid, discomfort in the four limbs, greenish-yellow complexion, and gradual emaciation, use Muxiang San (Aucklandiae Radix Powder).
Muxiang (Aucklandiae Radix) (0.5 liang), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Bibo (Piperis Kadsurae Fructus) (0.5 liang), Ganjiang (Zingiberis Rhizoma) (0.5 liang, processed, crushed), Helilepi (Terminaliae Chebulae Pericarpium) (1 liang, roasted slightly red, crushed).
The above ingredients are finely ground through a fine sieve into a powder. At any time, take 1 qian with warm wine.
To treat Five Ge Qi with obstruction in the chest, vomiting of sour fluid, and inability to eat, use Helile San (Terminaliae Chebulae Fructus Powder).
Helilepi (Terminaliae Chebulae Pericarpium) (1 liang), Longnao Xiang (Borneolum Syntheticum), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Baidoukou (Amomi Fructus Rotundus) (0.5 liang, remove skin), Renshen (Ginseng Radix et Rhizoma) (1 liang, remove radicle), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, roasted, crushed).
The above ingredients are finely ground through a fine sieve into a powder. At any time, take 2 qian with aged rice gruel drink.
To treat Five Ge Qi and disharmony of the stomach opening, frequent vomiting of sour fluid, and loss of appetite, use Muxiang San (Aucklandiae Radix Powder).
Muxiang (Aucklandiae Radix) (0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (3 fen, processed, remove skin and hilum), Renshen (Ginseng Radix et Rhizoma) (3 fen, remove radicle), Dingxiang (Caryophylli Flos) (0.5 liang), Ganjiang (Zingiberis Rhizoma) (0.5 liang, processed, crushed), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, roasted, crushed).
The above ingredients are finely ground through a fine sieve into a powder. At any time, take 2 qian mixed with decoction of Shengjiang and Zao.
To treat Five Ge Qi with long-standing Cold of the Spleen and Stomach, vomiting of sour fluid, abdominal pain, and loss of appetite, use Caodoukou Wan (Cardamomi Fructus Pilulae).
Caodoukou (Cardamomi Fructus) (1 liang, remove skin), Fuzi (Aconiti Lateralis Radix Praeparata) (1 liang, processed, remove skin and hilum), Suosha (Amomi Fructus) (1 liang, remove skin), Chenjupi (Citri Reticulatae Pericarpium) (1 liang, soaked in hot water, remove white pith, dry), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, roasted, crushed).
The above ingredients are ground into powder. Mix with steamed dough soaked in water, pound for 300-200 strikes, and form pills the size of Sophora seeds. At any time, take with warm wine.
To treat Qi stagnation of Five Ge Qi, retention of undigested food, vomiting of sour fluid, abdominal distension, and inability to eat, use Chifuling Wan (Polypori Uviferae Pilulae).
Chifuling (Polypori Uviferae Sclerotium) (1 liang), Chenjupi (Citri Reticulatae Pericarpium) (3 liang, soaked in hot water, remove white pith, stir-fried), Damai (Hordei Fructus Germinatus) (1 liang, stir-fried until slightly yellow), Guixin (Cinnamomi Cortex) (2 liang), Ganjiang (Zingiberis Rhizoma) (1 liang, processed, crushed), Gancao (Glycyrrhizae Radix et Rhizoma) (1 fen, roasted, crushed).
The above ingredients are ground into powder. Mix with refined honey and pound for 300-200 strikes, forming pills the size of Sophora seeds. At any time, take 30 pills with Shengjiang decoction.
To treat Five Ge Qi with long-standing Cold of the Spleen and Stomach, vomiting of sour fluid, and inability to eat, use Muxiang Wan (Aucklandiae Radix Pilulae).
Muxiang (Aucklandiae Radix) (1 liang), Qingjupi (Citri Reticulatae Pericarpium Viride) (1 liang, soaked in hot water, remove white pith, dry), Guixin (Cinnamomi Cortex) (1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Yizhiren (Alpiniae Oxyphyllae Fructus) (1 liang, remove skin), Ganjiang (Zingiberis Rhizoma) (1 liang, processed, crushed).
The above ingredients are ground into powder. Cook rice in wine until soft, grind, mix with the powder, and form pills the size of Sophora seeds. At any time, chew and swallow 10 pills with Shengjiang decoction.