（附论）
方书谓上实下虚。外实内虚。因而气逆者厥也。所谓气逆者。以阴气盛实。上乘于阳。
阳虚
上故
夫怒则气逆。甚则呕血。又有因食而气逆者。凡人有气逆不得卧而息无声音者。有起居
如故
不得
脉也
此之
此
而
寸口脉伏。胸中有逆气。关上脉细。其气逆腹中疼满也。
方
款气丸 治气攻两肩膊拘急。或胁肋胀满。大便秘涩。手背头面浮肿。
木香 陈橘皮（汤浸去白焙切） 郁李仁（麸炒去皮） 枳壳（去瓤麸炒各三两） 吴
茱萸（汤洗
粗皮五钱） 槟榔（
为末二两半） 上为细末
如圣饼子 治男子妇人气逆。上实下虚。风寒痰饮伏留阳经。偏正头疼。痛连脑巅
。吐逆恶
防风 天麻 半夏（生各五钱） 天南星（洗） 干姜 川芎 甘草（炙各二两） 上
为细末。汤
任下。熟水
三香正气散 治阴多阳少。手足厥冷。气刺壅滞。胸膈噎塞。心下坚痞。呕哕酸水
。胁肋膨
木香 丁香（各半两） 陈皮（去白） 益智仁 缩砂仁 浓朴（去皮姜制） 甘草（各
半两） 香
为末。每服三钱。
泽泻汤 治气虚手足厥逆。三焦不顺。
泽泻 细辛（去苗叶） 续断 秦艽（去苗土） 山芋 黄 （锉各一两） 防风（去
杈） 五味子
七分。去滓空心
丁香散 治气逆不调。不思饮食。宽胸膈。消胀满。
丁香 白术 藿香叶 丁香皮（各两） 荆三棱（煨二两） 白檀香（锉） 乌药（锉
一两） 甘草（
沉香枳壳散 治气逆往来。喘急噎闷。
沉香（一两） 枳壳（去瓤麸炒） 前胡（去芦头各三两） 乌药（锉半两） 木香 槟
榔（锉） 人
不拘时。
藿香汤 治气逆上升。头目昏眩。不思饮食。时发恶心。或作中满。调中顺气。消
痰利膈。
藿香叶 白术（各二两） 人参 白茯苓（去黑皮各二两） 丁香 甘草（各半两） 上
粗捣筛。
豆蔻丸 治气逆上冲。吐逆不止。冷痰壅滞。开胃进食。
肉豆蔻（去壳二枚） 桂（去粗皮） 青橘皮（汤浸去白焙） 附子（泡制去皮脐各半
两） 半夏（
梧桐子大。每
木香汤 治气逆膈闷。胸中痰结。饮食不下。
木香（一两） 青橘皮（汤浸去白焙二两） 白豆蔻（去皮三分） 郁李仁（汤浸去皮
微炒白研成
空心食前服
橘皮汤（出圣济总录）治气逆心腹膨胀。干呕不止。手足厥冷。
陈橘皮（汤浸去白焙四两） 生姜（切焙六两） 缩砂仁 甘草（炙） 白芷（各一两）
上粗捣筛
陈橘皮汤（出圣济总录）治气刺心胸痛。不可俯仰。息促咳唾。不下食。
陈橘皮（汤浸去白） 木香 芍药 当归（焙） 槟榔（各五钱） 桔梗（炒三分） 上
锉如麻豆大
木香饼子丸 治气不顺。
广木香（二两） 沉香（二两） 白豆蔻（二两） 藿香（五分） 檀香（一两） 丁
香（一两） 蓬莪
每服三饼。生姜汤下。
治气逆
丁香 藿香 人参（各二两半） 陈皮（半两） 上为细末。水一盏。生姜同煎服。
枳实散（出圣济方）治胸中气逆。时腹疼痛。
枳实（去瓤麸炒） 桂（去粗皮各一两） 上为散。每服二钱。不计时。热酒调下。
治气厥气闭。
用皂角末或半夏。吹入鼻孔。好酒送下二三钱。或煎服撬开口灌下即愈。
诃黎勒散（出圣惠方）治脏腑虚寒。逆气上攻。胸膈痞塞吐逆。腹胁胀满
。气不得息。四肢
诃黎勒皮（一两） 木香（半两） 陈橘皮（一两汤浸去白瓤焙干） 槟榔（半两） 附
子（半两炮
炙微赤锉） 干姜（半
参（三分去芦头） 赤茯苓（
上捣粗罗为散。每服五钱。以
日三四服。
槟榔散（出圣惠方）治气逆胸中逆满痞塞。不能食。呼吸短气。
槟榔（一两） 半夏（汤洗七次去滑） 青橘（半两汤浸去白瓤焙） 前胡（一两去芦
头） 附子（
叶（一两） 川大黄（一
以水一中盏。入生姜半分。
枳实散（出圣惠方）治气逆心腹满急。呕吐不下食。腹胁疼痛。皆因脏腑久
冷。或下焦结聚
枳实（一两麸炒微黄） 半夏（一两洗七次去滑） 桂心（一两） 木香（三分） 当
归（三分） 青
（三分） 甘草（半两炙
至六分。去滓不时温服。
半夏散（出圣惠方）治气上奔。胸中逆满。喘息短气。不得安卧。腹中冷气
。肠鸣相逐。
半夏（三两汤洗七次去滑） 吴茱萸（半两汤浸七次焙干微炒） 桂心（一两） 人参
（去芦
头）
炒微
黄） 上捣
诃黎勒丸 治气逆胸中痞塞。呼吸短气。腹内虚冷。食即呕逆。羸瘦不足。
诃黎勒皮（一两） 沉香（一两） 附子（一两炮制去皮脐） 桂心（一两） 五味子
（一两）
白术
炒微黄）
干姜
桐子
大。
桔梗丸（出圣惠方）治气逆胸中痞满。不能喘息。脏腑虚寒。心腹坚痞。痰
饮
留滞。宿食不
桔梗（一两去芦头） 胡椒（三分） 荜茇（三分） 青橘皮（半两汤浸去白瓤焙） 川
椒（半
两去
泡制锉） 桂
炒微黄） 附子（炮
三分） 槟榔（一两） 川
汤浸七次焙干微炒） 上捣罗为末
日三服。
参橘丸（出圣惠方）心下似硬。按之则无。常觉澎满。多食则吐。气引前后
。噫气不除。由
留而不行。其脉涩滞
橘皮（去白四两） 人参 上为末。炼蜜为丸。如梧桐子大。米饮下三十丸。食前服。
治心腹中结伏气。
用杏仁橘皮桂心诃黎勒皮为丸。空心服三十丸。无忌。
治一切气结实。心胸壅膈。冷热气。
用生姜汁和杏仁作丸服。
代赭石汤（出御药方）治逆气上冲。鼻息滞塞不通。
代赭石（打碎三两） 陈皮（一两） 桃仁（炒） 桂 吴茱萸（盐炒各半两） 上各
锉碎。每服称
独桂汤（出直指方）治风冷入脾。逆气上攻作痛。
用辣桂去粗皮细锉。每服二钱。食前服。或为末。紫苏煎汤。乘热调下。腹痛通用。
治猝厥逆上气。及两胁下痛满。淹淹欲绝者。
用温汤令灼灼。以渍两足及两手。数易之。
通气汤（出卫生宝鉴方）治胸满气逆。
半夏（汤洗八钱） 生姜（六钱） 桂（三钱去皮） 枣（四枚） 吴茱萸（四钱炒黄）
上咀。
搜症丸（出王氏博济方）治结气。
砂 川乌头 官桂 干漆（各半两） 上四味捣罗为末。用青州枣煨熟。取肉为丸。
如绿豆
(Attached Discussion)
Medical texts describe the condition as "excess above and deficiency below," and "excess on the exterior and deficiency within." Consequently, when Qi rebellion occurs, it manifests as Jue syndrome (cold extremities due to Qi stagnation). The so-called Qi rebellion refers to an abundance of pathogenic Yin Qi ascending to overwhelm the Yang, leading to Yang deficiency in the upper body.
Extreme anger causes Qi to rebel upwards; in severe cases, it may result in vomiting blood. There are also cases where improper diet leads to Qi rebellion. For individuals who cannot lie flat due to Qi rebellion and have silent respiration, yet their daily activities remain normal and their pulse is regular, this falls into the category described above.
If the Cun Kou pulse (pulse at the radial artery near the wrist crease) is deep and hidden (Fu), it indicates rebellious Qi in the chest. If the Guan pulse (pulse at the middle position of the radial artery) is fine and thin (Xi), it indicates abdominal pain and fullness caused by rebellious Qi.
Kuanqi Wan (Qi-Relieving Pill): Treats Qi attacking the shoulders and arms causing stiffness and tension, or distension and fullness in the hypochondrium, constipation with difficult defecation, and edema of the dorsum of hands and face.
Ingredients: Muxiang (Costus Root), Chenjupi (Aged Tangerine Peel, soaked in water, peeled, dried, and sliced), Yuliren (Prunus Armeniaca Seed, bran-fried and peeled), Zhike (Bitter Orange Fruit, placenta removed, bran-fried, 3 liang each), Wuzhuyu (Evodia Fruit, washed in water, coarse skin removed, 5 qian), Binglang (Areca Seed, pounded into powder, 2.5 liang). Process all ingredients into a fine powder.
Rusheng Bingzi (Like-Sage Cake): Treats Qi rebellion in men and women, excess above and deficiency below, wind-cold and phlegm-fluid retention lingering in the Yang meridians, lateral or frontal headache radiating to the vertex, vomiting, and nausea.
Ingredients: Fangfeng (Saposhnikovia Root), Tianma (Gastrodia Rhizome), Banxia (Pinellia Tuber, raw, 5 qian each), Tiannanxing (Arisaema Rhizome, washed), Ganjiang (Dried Ginger), Chuanxiong (Ligusticum Rhizome), Gancao (Licorice Root, honey-fried, 2 liang each). Process all ingredients into a fine powder. Take with decoction, administered with warm water.
Sanxiang Zhengqi San (Three-Aromatics Regulating-Qi Powder): Treats excessive Yin and deficient Yang, cold extremities, stabbing Qi obstruction, chest and diaphragm blockage, hardness and mass in the epigastrium, belching with sour fluid, and distension of the hypochondrium.
Ingredients: Muxiang (Costus Root), Dingxiang (Clove, 0.5 liang each), Chenpi (Tangerine Peel, peeled), Yizhiren (Alpinia Oxyphylla Fruit), Suosharen (Amomum Fructus, crushed), Houpo (Magnolia Bark, peeled and ginger-processed), Gancao (Licorice Root, 0.5 liang each), Xiang [Text incomplete, likely another aromatic herb]. Process into powder. Take 3 qian per dose.
Zexie Tang (Alisma Decoction): Treats Qi deficiency causing cold extremities and Jue syndrome, and dysfunction of the Sanjiao (Triple Burner).
Ingredients: Zexie (Alisma Rhizome), Xixin (Asarum Root, seedlings and leaves removed), Xuduan (Dipsacus Root), Qinjiao (Gentiana Macrophylla Root, seedlings and soil removed), Shanyu (Dioscorea Rhizome), Huang [Text incomplete, likely Huangqi/Astragalus] (chopped, 1 liang each), Fangfeng (Saposhnikovia Root, side roots removed), Wuweizi (Schisandra Berry) [Dosage text incomplete]. Strain the decoction and take on an empty stomach.
Dingxiang San (Clove Powder): Treats irregular Qi rebellion, loss of appetite, opens the chest and diaphragm, and reduces distension and fullness.
Ingredients: Dingxiang (Clove), Baizhu (Atractylodes Rhizome), Huoxiangye (Pogostemon Leaf), Dingxiangpi (Clove Skin, 1 liang each), Jingsanleng (Curcuma Zedoaria Rhizome, baked, 2 liang), Baitanxiang (White Sandalwood, chopped), Wuyao (Litsea Cubeba Fruit, chopped, 1 liang), Gancao (Licorice Root) [Dosage/Processing text incomplete].
Chenxiang Zhike San (Agarwood and Bitter Orange Powder): Treats fluctuating Qi rebellion, rapid panting, and throat obstruction.
Ingredients: Chenxiang (Agarwood, 1 liang), Zhike (Bitter Orange Fruit, placenta removed, bran-fried), Qianhu (Peucedanum Root, rhizome removed, 3 liang each), Wuyao (Litsea Cubeba Fruit, chopped, 0.5 liang), Muxiang (Costus Root), Binglang (Areca Seed, chopped), Ren [Text incomplete, likely Renshen/Ginseng]. Take at any time.
Huoxiang Tang (Pogostemon Decoction): Treats upward-rising Qi rebellion, dizziness of the head and eyes, loss of appetite, occasional nausea, or epigastric fullness. It regulates the middle, smooths Qi, resolves phlegm, and benefits the diaphragm.
Ingredients: Huoxiangye (Pogostemon Leaf), Baizhu (Atractylodes Rhizome, 2 liang each), Renshen (Ginseng Root), Baifuling (Poria, black skin removed, 2 liang each), Dingxiang (Clove), Gancao (Licorice Root, 0.5 liang each). Coarsely crush and sieve the ingredients.
Doukou Wan (Cardamom Pill): Treats upward-rushing Qi rebellion, continuous vomiting, accumulation of cold phlegm, opens the stomach, and promotes digestion.
Ingredients: Roudoukou (Nutmeg, shelled, 2 pieces), Gui (Cinnamon Bark, coarse skin removed), Qingjupi (Green Tangerine Peel, soaked in water, peeled, dried), Fuzi (Aconite Lateral Root, processed, coarse skin and umbilicus removed, 0.5 liang each), Banxia (Pinellia Tuber) [Text incomplete]. Make pills the size of mulberry seeds. Take [Dosage text incomplete].
Muxiang Tang (Costus Decoction): Treats Qi rebellion with chest oppression, phlegm knotting in the chest, and inability to eat.
Ingredients: Muxiang (Costus Root, 1 liang), Qingjupi (Green Tangerine Peel, soaked in water, peeled, dried, 2 liang), Baidoukou (White Cardamom, peeled, 3 fen), Yuliren (Prunus Armeniaca Seed, soaked in water, peeled, lightly fried, white, and ground) [Text incomplete]. Take before meals on an empty stomach.
Jupi Tang (from *Shengji Zonglu*): Treats Qi rebellion causing abdominal distension, persistent dry heaving, and cold extremities.
Ingredients: Chenjupi (Aged Tangerine Peel, soaked in water, peeled, dried, 4 liang), Shengjiang (Fresh Ginger, sliced and dried, 6 liang), Suosharen (Amomum Fructus, crushed), Gancao (Licorice Root, honey-fried), Baizhi (Angelica Dahurica Root, 1 liang each). Coarsely crush and sieve the ingredients.
Chen Jupi Tang (from *Shengji Zonglu*): Treats stabbing pain in the heart and chest due to Qi stagnation, inability to bend or stretch, shortness of breath with coughing up sputum, and inability to eat.
Ingredients: Chenjupi (Aged Tangerine Peel, soaked in water and peeled), Muxiang (Costus Root), Shaoyao (Peony Root), Danggui (Angelica Sinensis Root, baked), Binglang (Areca Seed, 5 qian each), Jiegeng (Platycodon Root, fried, 3 fen). Chop into sizes similar to hemp seeds.
Muxiang Bingzi Wan (Costus Cake Pill): Treats irregular Qi flow.
Ingredients: Guangmuxiang (Guang Costus Root, 2 liang), Chenxiang (Agarwood, 2 liang), Baidoukou (White Cardamom, 2 liang), Huoxiang (Pogostemon, 5 fen), Tanxiang (Sandalwood, 1 liang), Dingxiang (Clove, 1 liang), Peng'e [Text incomplete, likely Peng'ershu/Zedoary Rhizome]. Take three cakes per dose, washed down with ginger decoction.
Treating Qi Rebellion:
Ingredients: Dingxiang (Clove), Huoxiang (Pogostemon), Renshen (Ginseng Root, 2.5 liang each), Chenpi (Tangerine Peel, 0.5 liang). Process into a fine powder. Use one cup of water, decoct with fresh ginger, and take orally.
Zhishi San (from *Shengji Fang*): Treats Qi rebellion in the chest and intermittent abdominal pain.
Ingredients: Zhishi (Immature Bitter Orange Fruit, placenta removed, bran-fried), Gui (Cinnamon Bark, coarse skin removed, 1 liang each). Process into a powder. Take 2 qian per dose at any time, mixed with hot wine.
Treating Qi Jue and Qi Obstruction:
Blow powder of Zhaojiao (Gleditsia Spine) or Banxia (Pinellia Tuber) into the nostrils. Administer 2-3 qian with good wine, or decoct and administer via forced opening of the mouth. Recovery follows.
Helile San (from *Shenghui Fang*): Treats deficiency-cold of the Zang-Fu organs, upward-attacking rebellious Qi, chest and diaphragm blockage with vomiting, abdominal and hypochondriac distension, difficulty breathing, and [limbs text incomplete].
Ingredients: Helilepi (Terminalia Chebula Pericarpium, 1 liang), Muxiang (Costus Root, 0.5 liang), Chenjupi (Aged Tangerine Peel, soaked in water, pulp removed, dried, 1 liang), Binglang (Areca Seed, 0.5 liang), Fuzi (Aconite Lateral Root, processed, 0.5 liang) [Processing text incomplete], Ganjiang (Dried Ginger) [Dosage text incomplete], Renshen (Ginseng Root, 3 fen, rhizome removed), Chifuling (Red Poria) [Dosage text incomplete]. Pound into a coarse powder. Take 5 qian per dose, with [vehicle text incomplete], 3-4 times daily.
Binglang San (from *Shenghui Fang*): Treats Qi rebellion causing chest fullness and blockage, inability to eat, and shortness of breath.
Ingredients: Binglang (Areca Seed, 1 liang), Banxia (Pinellia Tuber, washed seven times in water to remove slipperiness), Qingju (Green Tangerine, soaked in water, pulp removed, dried, 0.5 liang), Qianhu (Peucedanum Root, rhizome removed, 1 liang), Fuzi (Aconite Lateral Root) [Text incomplete], Ye [Leaf, text incomplete], Chuan Dahuang (Rhubarb Root, 1...) [Text incomplete]. Use one cup of water, add half a piece of fresh ginger, [cooking instructions incomplete].
Zhishi San (from *Shenghui Fang*): Treats Qi rebellion causing acute abdominal fullness, vomiting with inability to eat, and abdominal/hypochondriac pain, all due to long-standing cold in the Zang-Fu organs or aggregation in the lower jiao [text incomplete].
Ingredients: Zhishi (Immature Bitter Orange Fruit, bran-fried until slightly yellow, 1 liang), Banxia (Pinellia Tuber, washed seven times, 1 liang), Guixin (Cinnamon Heart, 1 liang), Muxiang (Costus Root, 3 fen), Danggui (Angelica Sinensis Root, 3 fen), Qing [Incomplete, likely Qingpi/Bitter Orange Peel] [Text incomplete], (3 fen), Gancao (Licorice Root, honey-fried, 0.5 liang) [Processing text incomplete]. Decoct to yield 60% of the liquid volume, strain, and take warm at any time.
Banxia San (from *Shenghui Fang*): Treats rushing Qi, chest fullness and rebellion, panting and shortness of breath, inability to sleep, cold Qi in the abdomen, and borborygmus.
Ingredients: Banxia (Pinellia Tuber, washed seven times in water, 3 liang), Wuzhuyu (Evodia Fruit, soaked in water seven times, dried, lightly fried, 0.5 liang), Guixin (Cinnamon Heart, 1 liang), Renshen (Ginseng Root, rhizome removed) [Text incomplete], [Processing text incomplete], Huang [Yellow, text incomplete]. Pound [ingredients] [Instructions incomplete].
Helile Wan (Terminalia Pill): Treats Qi rebellion causing chest blockage, shortness of breath, internal cold in the abdomen, vomiting after eating, emaciation, and insufficiency.
Ingredients: Helilepi (Terminalia Chebula Pericarpium, 1 liang), Chenxiang (Agarwood, 1 liang), Fuzi (Aconite Lateral Root, processed, coarse skin and umbilicus removed, 1 liang), Guixin (Cinnamon Heart, 1 liang), Wuweizi (Schisandra Berry, 1 liang) [Text incomplete], Baizhu (Atractylodes Rhizome) [Text incomplete], lightly fried yellow), Ganjiang (Dried Ginger) [Text incomplete], size of tung tree seeds.
Jiegeng Wan (from *Shenghui Fang*): Treats Qi rebellion causing chest fullness, inability to breathe, deficiency-cold of Zang-Fu organs, hardness and masses in the heart and abdomen, retention of phlegm-fluid [text incomplete], and undigested food [text incomplete].
Ingredients: Jiegeng (Platocodon Root, rhizome removed, 1 liang), Hujiao (Black Pepper, 3 fen), Biba (Long Pepper Fruit, 3 fen), Qingjupi (Green Tangerine Peel, soaked in water, pulp removed, dried, 0.5 liang), Chuanjiao (Sichuan Pepper, half...) [Text incomplete], two, remove...) [Text incomplete], processed and chopped), Gui [Cinnamon, text incomplete], lightly fried yellow), Fuzi (Aconite Lateral Root, processed...) [Text incomplete], 3 fen), Binglang (Areca Seed, 1 liang), Chuan [Rhizome, text incomplete], soaked in water seven times, dried, lightly fried). Pound and sift into powder [Instructions incomplete], take three times daily.
Shanju Wan (from *Shenghui Fang*): Sensation of hardness in the epigastrium, but soft upon pressure; constant feeling of bloating; vomiting after overeating; Qi pulling forward and backward; persistent belching. Caused by [stagnation text incomplete], not flowing, with a choppy pulse [text incomplete].
Ingredients: Jupi (Tangerine Peel, peeled, 4 liang), Renshen (Ginseng Root). Process into powder, mix with refined honey to make pills the size of mulberry seeds. Take 30 pills with rice drink before meals.
Treating latent Qi knotting in the heart and abdomen:
Make pills from Xingren (Apricot Seed), Jupi (Tangerine Peel), Guixin (Cinnamon Heart), and Helilepi (Terminalia Chebula Pericarpium). Take 30 pills on an empty stomach. No dietary restrictions.
Treating all types of solid Qi accumulation, chest and diaphragm blockage, and cold-heat Qi:
Mix Xingren (Apricot Seed) with fresh ginger juice to make pills and take orally.
Daizhe Shi Tang (Hematite Decoction, from *Yuyao Fang*): Treats upward-rushing rebellious Qi and nasal congestion/blockage.
Ingredients: Daizhe Shi (Hematite, crushed, 3 liang), Chenpi (Tangerine Peel, 1 liang), Taoren (Peach Seed, fried), Gui (Cinnamon), Wuzhuyu (Evodia Fruit, salt-fried, 0.5 liang each). Chop all ingredients finely. Weigh [dose text incomplete] per serving.
Du Gui Tang (Single Cinnamon Decoction, from *Zhizhi Fang*): Treats wind-cold entering the Spleen, causing painful upward-attacking rebellious Qi.
Use spicy Gui (Cinnamon), remove coarse skin, chop finely. Take 2 qian per dose before meals. Alternatively, process into powder, decoct Perilla Leaf (Zisu) in water, and take while hot. Universal for abdominal pain.
Treating sudden Jue with upward-rushing Qi, and pain/fullness under both hypochondria, feeling faint:
Use warm water that is hot to the touch. Soak both feet and hands repeatedly, changing the water several times.
Tongqi Tang (Regulating-Qi Decoction, from *Weisheng Baojian Fang*): Treats chest fullness and Qi rebellion.
Ingredients: Banxia (Pinellia Tuber, washed in water, 8 qian), Shengjiang (Fresh Ginger, 6 qian), Gui (Cinnamon, peeled, 3 qian), Zao (Jujube, 4 pieces), Wuzhuyu (Evodia Fruit, fried until yellow, 4 qian). Chew/crush [ingredients] [Instruction incomplete].
Souzheng Wan (Symptom-Searching Pill, from *Wangshi Boji Fang*): Treats knotted Qi.
Ingredients: Sha [Incomplete, likely Sha Ren/Cardamom or similar], Chuan Wutou (Aconitum Carmichaelii Lateral Root), Guanzi Gui (Official Cinnamon), Ganqi (Drylac Resin, 0.5 liang each). Pound the four ingredients into powder. Roast Qingzhou dates until cooked, take the flesh, and make pills the size of mung beans [Instruction incomplete].