下手脉沉。便知是气。沉极则伏。涩弱难愈。其或沉滑。气兼痰饮病也。
人禀天地阴阳之气以生。藉血肉以成其形。一气周流于中。以成其象。形神俱备。乃为
之全
人。故气阳而血阴。能溉周身。而无一毫之间断也。血则随气而行。气载乎血者也。有是气
必有是血。有是血必乘乎是气。二者行则俱行。一息有间。则病矣。今之人不知忿怒惊恐悲
哀而
损其身。忧愁思虑以伤其气。故人之病。多从气而生。致有中满腹胀。积聚喘急。五膈五噎
皆由于气也。
一论男子妇人一切气不和。多因忧愁思虑忿怒伤神。或临食忧戚。或事不
随意。使抑郁之气。留滞不散。停于胸膈之间。不能流畅。致心胸痞闷。胁肋虚胀。噎塞不
通。嗳气吞酸。呕哕恶心。头目昏眩。四肢倦怠。面色痿黄。口舌干枯。饮食减少。日渐消
瘦。或大肠虚闭。或内病之后。胸中虚痞。不思饮食。并皆治之。
分心气饮
青皮（去穣二钱） 陈皮（二钱） 半夏（二钱姜炒） 白茯苓（去皮二钱） 木通（二钱） 官
桂（
五分） 赤芍（二钱） 桑白皮（三钱） 大腹皮（三钱） 紫苏（一钱） 羌活（二钱） 甘草（八分
）
上锉作剂。生姜三片。枣一枚。灯心十茎。水煎。温服。性急。加柴胡。多怒。加黄芩
食少。加砂仁、神曲。咳嗽。加桔梗、半夏。胸膈痞闷。加枳实、香附。三焦不和
加乌药。气闭加萝卜子、枳壳。气滞腰疼。加木瓜、枳壳。上焦热。加黄芩。下
焦热。加栀子。翻胃。加沉香磨服。水气面目浮肿。加猪苓、泽泻、车前、木瓜、葶苈
、麦门冬。气块。加三棱、莪术。一方。去赤芍、羌活。加枳壳、桔梗、木香、槟榔、
香附、莪术、藿香。治忧思郁怒诸气。
一论七情之气。结成痰涎。状如破絮。或如梅核。在咽喉之间。咯不出。咽不下。或中
脘痞闷。气不舒快。或痰涎壅盛。上气喘急。或因痰饮。恶心呕吐等症。
加味四七汤
半夏（汤泡五两） 白茯苓（去皮四两） 川浓朴（姜炒三两） 紫苏（二两） 桔梗（二两）
枳实（麸炒二两） 甘草（一两）
上锉作十剂。生姜七片。枣一枚。水煎。热服。一方。治梅核气。加槟榔。
一论一切气滞。心腹饱闷疼痛。胁肋胀满难消。呕吐酸水。痰涎不利。头目昏眩。并食
积酒
毒。及米谷不化。或下痢脓血。大小便结滞不快。风壅积热。口苦烦躁。涕唾稠粘。此药最
能流湿润燥。推陈致新。滋阴抑阳。破结散郁。活血通经。治气分之圣药也。宜此
利气丸
大黄（生用六两） 黑丑（头末六两） 木香（一两） 槟榔（一两） 枳壳（麸炒一两） 香附
（末
炒四两） 青皮（去穣一两） 陈皮（去白一两） 莪术（煨一两） 黄连（一两） 黄柏（三两）
上为细末。水丸梧子大。每服六七十丸。或百丸。临卧。淡姜汤送下。以利为度。如不
利。加丸数。通利则愈。
瑞竹堂加黄芩、当归各一两。
一论脾胃不和。过食生冷油腻。面粉湿面。停滞不化。胸膈满闷。呕逆恶心。腹胁膨胀
心
脾疼痛。憎寒壮热。或面目四肢浮肿。甚至脏腑闷涩。上气喘息。卧睡不安。俱是因气所伤
寒气、咽气、膈气、滞气、气痞、气癖、气块、一切气并治。用此
沉香化气丹
香附子（一斤炒内四两生用） 黑牵牛（头末八两） 苍术（米泔浸炒四两） 青皮（去穣炒
五两
）陈皮（五两） 山药（二两） 枳壳（麸炒二两） 枳实（麸炒二两） 川浓朴（
姜汁炒一两） 三棱（煨二两） 莪术（煨二两） 紫苏（煨二两） 木香（一两） 沉香（七钱半）
丁香（三两） 丁皮（二钱二分） 官桂（五钱） 干姜（一两） 砂仁（一两） 良姜（一两） 白
豆蔻（去壳一两） 南星（泡一两） 半夏（泡一两） 人参（五钱） 草果（去壳一两五钱） 槟榔
（一两） 白茯苓（去皮一两） 石菖蒲（二两） 萝卜子（炒一两） 神曲（炒二两） 山楂（去子
二两）
上为细末。醋糊为丸。如桐子大。每服五十丸。临卧。淡姜汤送下。膀胱疝气。空心。
盐汤
下。如要大便通利。渐加至百丸。仍看老幼盛衰。增减丸数。此药蠲积聚。化滞气。逐利病
原。立见神效。药性温平。不损元气。常服三五丸。疏风顺气。和胃健脾。消酒化食。宽中
快膈。消磨痞块。孕妇不宜服。
一论男妇中风中气。牙关紧闭。口眼 斜。不省人事。并传尸骨蒸劳瘵。卒暴心疼。毒
厉
瘴疟。小儿急慢惊搐。妇人产后中风。赤白痢疾。一切急暴之症。最能顺气化痰。神效。
苏合香丸
沉香 木香 丁香 白檀香 安息香（酒熬膏各一两） 麝香（三钱） 香附末 白术（去
芦）
诃子肉 荜茇（各一两） 犀角（锉屑二钱） 朱砂（一两） 片脑 苏合油（入安息香膏内各五
钱）
上将各味切片。研为细末。入脑麝、安息香、苏合油。同药拌匀。炼蜜为丸。每丸秤过
一钱
用蜡包裹。每用大人一丸。小儿半丸。去蜡皮。以生姜自然汁化开。擦牙关。另用姜汤少
许调药。灌下。
一人饮酒大醉后。气往外。仰头出不尽。有出气无收气。此乃气不归元。死在须臾。诸
药不效。余以韭菜根捶烂。入陈酽醋炒热。绢包熨脐下。此一包冷了。又另换一包。熨至
脐下温暖。气渐降而归元矣。妙不可言。
The pulse is deep and sunken; this indicates a Qi disorder. If the deepness is extreme, the pulse becomes hidden (Fu), and if it is choppy (Se) and weak, it is difficult to cure. If the pulse is deep and slippery (Hua), it indicates Qi stagnation complicated by Phlegm-Fluids (Tan Yin).
Humans are endowed with the Yin and Yang Qi of Heaven and Earth to generate life, relying on flesh and blood to form their physical body. Yuan Qi circulates throughout the middle jiao, thereby forming the manifestation of life. Only when both Form (Xing) and Spirit (Shen) are complete is one considered a whole person. Therefore, Qi belongs to Yang, and Blood belongs to Yin. Qi irrigates the entire body without the slightest interruption. Blood follows Qi in its movement, as Qi carries Blood. Where there is this Qi, there must be this Blood; where there is this Blood, it must rely on this Qi. When moving, Qi and Blood move together. If there is even a slight interval between breaths, disease arises. Nowadays, people do not realize that anger, fright, sorrow, and grief damage the body, and that worry and overthinking injure Qi. Thus, human diseases often arise from Qi disorders, leading to fullness and abdominal distension, accumulations (Ji Ju), wheezing, and urgency. The Five Obstructions (Wu Ge) and Five Dysphagias (Wu Ye) all result from Qi dysfunction.
Regarding all Qi disharmonies in men and women, these are mostly caused by worry, overthinking, and anger injuring the Shen (Spirit). Or, feeling sorrowful while eating, or having matters go against one's wishes, causes depressed Qi to remain stagnant and not disperse. It stops between the chest and diaphragm, failing to flow smoothly, resulting in chest oppression, false distension of the hypochondrium, choking and blockage, belching with acid regurgitation, vomiting and nausea, dizziness of the head and eyes, fatigue of the four limbs, sallow complexion, dry mouth and tongue, reduced appetite, and gradual emaciation. Or there may be deficiency constipation of the large intestine, or after internal diseases, empty oppression in the chest and lack of desire for food. All these conditions are treated with the following formula.
Fen Xin Qi Yin (Dividing Heart Qi Decoction): Qing Pi (Citri Reticulatae Pericarpium Viride, removed pith, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 2 qian), Ban Xia (Pinelliae Rhizoma, stir-fried with ginger, 2 qian), Bai Fu Ling (Poria Cocos, peeled, 2 qian), Mu Tong (Akebiae Caulis, 2 qian), Guan Gui (Cinnamomi Cortex, 5 fen), Chi Shao (Paeoniae Radix Rubra, 2 qian), Sang Bai Pi (Mori Cortex, 3 qian), Da Fu Pi (Arecae Pericarpium, 3 qian), Zi Su (Perillae Folium, 1 qian), Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 8 fen). These are chopped into one dose. Add three slices of fresh ginger, one date, and ten stalks of Jixin (Centipeda minima). Decoct in water and take warm. For those with an irritable temperament, add Chai Hu (Bupleuri Radix). For those prone to anger, add Huang Qin (Scutellariae Radix). For poor appetite, add Sha Ren (Amomi Fructus) and Shen Qu (Massa Medicata Fermentata). For cough, add Jie Geng (Platycodonis Radix) and Ban Xia. For chest and diaphragm oppression, add Zhi Shi (Aurantii Fructus Immaturus) and Xiang Fu (Cyperi Rhizoma). For disharmony of the San Jiao (Triple Burner), add Wu Yao (Linderae Radix). For Qi closure, add Luo Bo Zi (Raphani Semen) and Zhi Ke (Aurantii Fructus). For Qi stagnation causing lower back pain, add Mu Gua (Chaenomelis Fructus) and Zhi Ke. For heat in the Upper Jiao, add Huang Qin. For heat in the Lower Jiao, add Zhi Zi (Gardeniae Fructus). For fan wei (regurgitation/vomiting), add Chen Xiang (Aquilariae Lignum Resinatum) ground and taken as a decoction. For water qi causing edema of the face and eyes, add Zhu Ling (Polyporus Umbellatus), Ze Xie (Alismatis Rhizoma), Che Qian (Plantaginis Semen), Mu Gua, Ting Li Zi (Lepidii Semen), and Mai Men Dong (Ophiopogonis Tuber). For Qi masses, add San Leng (Sparganii Rhizoma) and E Zhu (Curcumae Rhizoma). Another prescription: remove Chi Shao and Qiang Huo; add Zhi Ke, Jie Geng, Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Xiang Fu, E Zhu, and Huo Xiang (Pogostemonis Herba). This treats Qi disorders due to worry, thought, depression, and anger.
Regarding Qi disorders from the Seven Emotions (Qi Qing) condensing into Phlegm-Saliva, resembling broken cotton wadding or a plum pit, stuck in the throat, unable to be expectorated or swallowed. Or there is oppression in the Zhong Wan (Middle Epigastrium), Qi feels unrelieved, or Phlegm-Saliva is abundant causing upper wheezing and urgency. Or due to Phlegm-Fluids, symptoms such as nausea and vomiting occur.
Jia Wei Si Qi Tang (Modified Four Qi Decoction): Ban Xia (Pinelliae Rhizoma, soaked in hot water, 5 liang), Bai Fu Ling (Poria Cocos, peeled, 4 liang), Chuan Nong Po (Magnoliae Officinalis Cortex, stir-fried with ginger, 3 liang), Zi Su (Perillae Folium, 2 liang), Jie Geng (Platycodonis Radix, 2 liang), Zhi Shi (Aurantii Fructus Immaturus, bran-fried, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang). These are chopped into ten doses. Add seven slices of fresh ginger and one date. Decoct in water and take hot. Another version: for Mei He Qi (Plum-Pit Qi), add Bing Lang (Arecae Semen).
Regarding all Qi stagnations, fullness, oppression, and pain in the heart and abdomen, unbearable distension of the hypochondrium, vomiting of sour water, difficulty in expelling Phlegm-Saliva, dizziness of the head and eyes, as well as Food Stagnation (Shi Ji) and Alcohol Toxins, undigested rice and grain, or dysentery with pus and blood, constipation or difficult urination and defecation, Wind Obstruction with accumulated heat, bitter taste in the mouth, irritability, and thick sticky nasal discharge and saliva. This medicine is best at moistening dryness, pushing out the old and generating the new, nourishing Yin and suppressing Yang, breaking knots and dispersing depression, invigorating Blood and unblocking collaterals. It is a sacred medicine for treating Qi branch disorders. Use this Li Qi Wan (Promoting Qi Pill): Da Huang (Rhei Radix et Rhizoma, raw, 6 liang), Hei Chou (Cameliorae Semen, first powder, 6 liang), Mu Xiang (Aucklandiae Radix, 1 liang), Bing Lang (Arecae Semen, 1 liang), Zhi Ke (Aurantii Fructus, bran-fried, 1 liang), Xiang Fu (Cyperi Rhizoma, powdered and stir-fried, 4 liang), Qing Pi (Citri Reticulatae Pericarpium Viride, removed pith, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, white part removed, 1 liang), E Zhu (Curcumae Rhizoma, baked, 1 liang), Huang Lian (Coptidis Rhizoma, 1 liang), Huang Bo (Phellodendri Cortex, 3 liang). Grind into fine powder, make pills with water, size of Wuzi (Cocculus trilobus seed). Take 60-70 pills or 100 pills each time. Before sleep, send down with light Ginger Soup. Stop when bowel movements become free. If not free, increase the number of pills until free, then the illness will heal. Rui Zhu Tang version: add Huang Qin and Dang Gui (Angelicae Sinensis Radix), 1 liang each.
Regarding Spleen and Stomach disharmony, excessive consumption of cold, raw, greasy foods, flour, or wet dough, leading to stagnation and indigestion. Symptoms include chest and diaphragm fullness and oppression, vomiting and nausea, abdominal and hypochondrial distension, pain in the heart and spleen, aversion to cold with high fever, or edema of the face and four limbs. Even severe cases involve internal organ obstruction, upper wheezing, and restless sleep. All these are injuries caused by Qi. Cold Qi, Swallowing Qi, Diaphragmatic Qi, Stagnant Qi, Qi Pi (Qi Polyp/Mass), Qi Pi (Qi Parasite/Mass), Qi Kuai (Qi Lump), and all Qi disorders are treated with this formula.
Chen Xiang Hua Qi Dan (Agarwood Transforming Qi Pill): Xiang Fu Zi (Cyperi Rhizoma, 1 jin; 4 liang stir-fried, rest raw), Hei Qian Niu (Morning Glory Seed, first powder, 8 liang), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water and stir-fried, 4 liang), Qing Pi (Citri Reticulatae Pericarpium Viride, removed pith and stir-fried, 5 liang), Chen Pi (Citri Reticulatae Pericarpium, 5 liang), Shan Yao (Dioscoreae Rhizoma, 2 liang), Zhi Ke (Aurantii Fructus, bran-fried, 2 liang), Zhi Shi (Aurantii Fructus Immaturus, bran-fried, 2 liang), Chuan Nong Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice, 1 liang), San Leng (Sparganii Rhizoma, baked, 2 liang), E Zhu (Curcumae Rhizoma, baked, 2 liang), Zi Su (Perillae Folium, baked, 2 liang), Mu Xiang (Aucklandiae Radix, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum, 7.5 qian), Ding Xiang (Syzygii Flos, 3 liang), Ding Pi (Syzygii Calyx, 2.2 qian), Guan Gui (Cinnamomi Cortex, 5 qian), Gan Jiang (Zingiberis Rhizoma, 1 liang), Sha Ren (Amomi Fructus, 1 liang), Liang Jiang (Alpiniae Officinarum Rhizoma, 1 liang), Bai Dou Kou (Amomi Fructus Rotundus, shelled, 1 liang), Nan Xing (Arisaematis Rhizoma, soaked, 1 liang), Ban Xia (Pinelliae Rhizoma, soaked, 1 liang), Ren Shen (Ginseng Radix et Rhizoma, 5 qian), Cao Guo (Tsaoko Fructus, shelled, 1.5 liang), Bing Lang (Arecae Semen, 1 liang), Bai Fu Ling (Poria Cocos, peeled, 1 liang), Shi Chang Pu (Acori Tatarinowii Rhizoma, 2 liang), Luo Bo Zi (Raphani Semen, stir-fried, 1 liang), Shen Qu (Massa Medicata Fermentata, stir-fried, 2 liang), Shan Zha (Crataegi Fructus, seeds removed, 2 liang). Grind into fine powder. Make pills with vinegar paste, size of Tungzi (Verniciae Fructus). Take 50 pills each time. Before sleep, send down with light Ginger Soup. For Bladder Hernia Qi (Dan Qi), take on an empty stomach with Salt Water. To promote bowel movement, gradually increase to 100 pills. Adjust the number of pills according to age and constitution strength. This medicine eliminates accumulations, transforms stagnant Qi, drives away the root cause of disease, and shows miraculous effects immediately. Its nature is warm and neutral, damaging no Original Qi. Regularly taking 3-5 pills can vent wind and smooth Qi, harmonize the Stomach and strengthen the Spleen, resolve alcohol and digest food, broaden the middle and relieve diaphragm, and dissolve masses. Pregnant women should not take it.
Regarding stroke and Qi obstruction in men and women, locked jaw, deviation of the mouth and eyes, unconsciousness, as well as Transmitted Corpse Bone Steaming Consumption (Chuan Shi Gu Zheng Lao Zhai - chronic consumptive disease), sudden severe heart pain, toxic malarial fevers, pediatric acute and chronic convulsions, postpartum stroke in women, bloody and non-bloody dysentery, and all acute and violent conditions. This medicine is most effective at smoothing Qi and resolving Phlegm, showing miraculous results.
Su He Xiang Wan (Styrax Pill): Chen Xiang (Aquilariae Lignum Resinatum), Mu Xiang (Aucklandiae Radix), Ding Xiang (Syzygii Flos), Bai Tan Xiang (Santalum Album Lignum), An Xi Xiang (Benzoin Resin, boiled into paste with wine, 1 liang each), She Xiang (Moschus, 3 qian), Xiang Fu Mo (Cyperi Rhizoma Powder), Bai Zhu (Atractylodis Macrocephalae Rhizoma, de-rhizome), He Zi Rou (Terminalia Chebulae Fructus Flesh), Bi Bo (Piperis Longi Fructus, 1 liang each), Xi Jiao (Rhinocerotis Cornu, shaved flakes, 2 qian), Zhu Sha (Cinnabaris, 1 liang), Pian Nao (Borneolum Syntheticum), Su He You (Styrax Liquidum, added to An Xi Xiang paste, 5 qian each). Slice each ingredient, grind into fine powder. Add Borneol, Moschus, An Xi Xiang, and Su He You. Mix evenly with the drugs. Make pills with refined honey. Each pill weighs 1 qian, wrapped in wax. For adults, use one pill; for children, half a pill. Remove the wax skin. Dissolve in natural Ginger Juice and rub on the jaw joints. Alternatively, mix a small amount of Ginger Soup with the medicine and administer orally.
One person, after drinking heavily and getting drunk, had Qi leaking outward. Tilting his head back, he could not finish exhaling; there was exhalation but no inhalation. This was Qi failing to return to its origin (Yuan), and death was imminent. Various medicines were ineffective. I used fresh Chinese Leek Roots (Jiu Cai Gen), pounded into a paste, stir-fried with aged strong vinegar until hot, wrapped in silk cloth, and applied as a compress to the area below the umbilicus. When one pack cooled, replace it with another. Continue compressing until the area below the umbilicus becomes warm. The Qi gradually descended and returned to its origin. This is wonderful beyond words.