治因忧恚、寒热，动气伤神，致阴阳不和，腑脏生病，结于胸膈之间，遂
一曰忧膈，胸中气结，津液不通，饮食不下，羸瘦短气；二曰恚膈，心下实满
饮食不消，大小便不利；三曰气膈，胸胁逆满，噎塞不通，噫闻食臭；四曰寒膈
咳嗽气逆，腹上苦冷雷鸣，绕脐痛，不能食肥；五曰热膈，五心中热，口中烂
重，唇口干燥，身体或热，腰背疼痛，胸痹引背，不能多食，及一切气疾，并
白豆蔻（去皮，二两） 甘草（炙，五两） 木香（三两） 浓朴（去皮，生姜汁炙熟，
一斤）
上为细末。每服二钱，入生姜二片，盐少许，沸汤点服，不计时。
治五种膈气，三焦痞寒，胸膈满闷，背膂引疼，心腹膨胀，胁肋刺痛，食饮不
不通，呕吐痰逆，口苦吞酸，羸瘦少力，短气烦闷。常服顺气宽中，消 癖积聚，
气。
肉豆蔻仁 木香 干姜 浓朴（去粗皮，生姜汁制，炒） 青皮（去白） 甘草（ ，
各五
壳（去瓤，麸炒
上为细末。每服二钱，水一盏，入生姜二片，枣半个，同煎七分，和滓热服。如不及煎
，入盐少许，沸汤点服亦得，不拘时候。
治脾胃不和，中脘气滞，宿寒留饮，停积不消，心腹刺痛，胁肋膨胀，呕吐痰
吞酸，肠鸣泄利，水谷不化，肢体倦怠，不思饮食。
青州枣 浓朴（姜汁制，各一斤） 干姜（炮） 半夏（汤洗去滑） 甘草（各五两） 陈
皮（
以上六味，用水三斗，煮令水尽，焙干。
草豆蔻（去皮） 人参 藿香 诃子（炮，取皮） 白茯苓（去皮） 白术（各一两）
上粗末。每服二钱，水一盏，生姜三片，煎六分，去滓，温服，食前。
[Wuge Kuangzhong San (Five Obstructions Widening the Middle Powder)]
Indicated for conditions caused by sorrow and indignation, or invasion of cold and heat pathogens, leading to disordered Qi, damage to the Spirit, disharmony of Yin and Yang, dysfunction of the Zang-Fu organs, and pathogenic factors knotting in the chest and diaphragm. It is classified into five types:
First, You Ge (Sorrow Obstruction), characterized by Qi knotting in the chest, unsmooth flow of body fluids, difficulty in swallowing food and drink, emaciation, and shortness of breath;
Second, Hui Ge (Indignation Obstruction), characterized by fullness and hardness below the heart, indigestion, and difficulty in urination and defecation;
Third, Qi Ge (Qi Obstruction), characterized by rebellious Qi causing distension in the chest and hypochondrium, choking and blockage, and belching with a smell of food;
Fourth, Han Ge (Cold Obstruction), characterized by coughing and rebellious Qi, cold sensation in the abdomen with borborygmus, pain around the umbilicus, and inability to consume fatty foods;
Fifth, Re Ge (Heat Obstruction), characterized by heat in the "five centers" (palms, soles, and chest), oral ulceration, thick coating, dry lips and mouth, occasional fever in the body, pain in the waist and back, chest bi syndrome radiating to the back, inability to eat much, and all kinds of Qi disorders. This formula applies to these conditions.
Ingredients: Bai Dou Kou (Cardamomi Fructus Rotundus, peeled, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 liang), Mu Xiang (Aucklandiae Radix, 3 liang), Hou Po (Magnoliae Officinalis Cortex, peeled, stir-fried with ginger juice until cooked, 1 jin).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 2 slices of fresh ginger and a little salt, and administer with boiling water. Time is not restricted.
[Geqi San (Obstruction-Qi Powder)]
Indicated for five types of obstruction-Qi, pi-cold in the San Jiao (Triple Burner), fullness and oppression in the chest and diaphragm, pain in the back spine radiating from the chest, abdominal distension, stabbing pain in the hypochondrium, indigestion of food and drink, constipation, vomiting of phlegm and rebellious Qi, bitter taste in the mouth, acid regurgitation, emaciation, weakness, shortness of breath, and irritability. Regular use can regulate Qi, widen the middle, eliminate accumulations and masses, and harmonize Qi.
Ingredients: Rou Dou Kou (Myristicae Semen, kernel), Mu Xiang, Gan Jiang (Zingiberis Rhizoma Recens, dried), Hou Po (stir-fried after processing with ginger juice), Qing Pi (Citri Reticulatae Pericarpium Viride, pith removed), Gan Cao (fried), He Zi (Terminalia Chebulae Fructus, shell, pulp removed, stir-baked with bran). Each ingredient is 5 liang.
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian per dose, add 1 zhan of water, 2 slices of fresh ginger, and half a jujube. Decoct together until about 70% remains, and take hot with the dregs. If decoction is not feasible, add a little salt and administer with boiling water. Time is not restricted.
[Jianzhong San (Middle-Building Powder)]
Indicated for disharmony of the Spleen and Stomach, stagnation of Qi in the Zhongwan (Middle Jiao), retention of old cold and fluid, undigested accumulation, stabbing pain in the heart and abdomen, distension in the hypochondrium, vomiting of phlegm, acid regurgitation, borborygmus and diarrhea, failure to digest water and grain, limb fatigue, and anorexia.
Ingredients: Qingzhou Zao (Jujubae Fructus from Qingzhou), Hou Po (processed with ginger juice, each 1 jin), Gan Jiang (roasted), Ban Xia (Pinelliae Rhizoma, washed with decoction to remove slipperiness), Gan Cao (fried, each 5 liang), Chen Pi (Citri Reticulatae Pericarpium, pith removed).
Method 1: For the above six herbs, use 3 dou of water, boil until the water is exhausted, then dry-roast.
Ingredients 2: Cao Dou Kou (Alpiniae Katsumadai Fructus, peeled), Ren Shen (Ginseng Radix), Huo Xiang (Agastaches Herba), He Zi (pulp removed, roasted), Bai Fu Ling (Poria, peeled), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 1 liang).
Preparation and Administration: Coarsely grind the above ingredients. Take 2 qian per dose, add 1 zhan of water and 3 slices of fresh ginger. Decoct until about 60% remains, strain, and take warm before meals.