（附论）
夫膈气噎塞。原由忧思过甚。气结不通。肺胃虚弱。气留肓膜。则结滞于胸膈。故升降
痞塞
膈气
阳调
方
安息香煎丸（出圣济总录）治膈气。咽喉噎塞。烦闷呕吐。胸下痞满。腹胁
膨
胀。不思饮食
安息香（别研半两） 木香 沉香（各一钱） 诃黎勒（炮二两） 桂（去粗皮） 白
茯苓（去黑皮）
味子（微炒） 白豆蔻 芎 当归（切焙） 丁香（锉皮） 蓬莪术（炮锉） 京三棱（炮
锉）
少许） 上件
末。再同研匀。用蜜炼熟为丸。如鸡头子大。每服一丸。细嚼。温酒或生姜
候。
人参汤（出御药院方）治膈气咽塞。忧结不散。
人参 赤茯苓（去黑皮） 白术 桂（去粗皮） 诃黎勒皮（炒） 京三棱（炮锉） 枳
壳（去瓤麸
草豆蔻（去皮半两
京三棱丸（出圣济总录）治膈气噎塞。脾胃虚冷。瘦劣。不下饮食。
京三棱（炮） 诃黎勒皮（炮去核） 木瓜（焙去瓤） 鳖甲（醋炙去裙 ） 玳瑁（镑
各三分） 枳
浸去咸焙） 赤茯苓（
服二十丸。煨生姜盐汤下
昆布丸（出圣惠方）治膈气。咽喉噎塞。全不思食。肩背气壅。四肢烦疼无
力。
昆布（三两洗去咸味） 羚羊角屑（一两） 木香（一两） 前胡（二两去芦头） 川
升麻（一两）
皮汤浸微炒） 桔梗（三
炼蜜和捣二三百杵。丸如梧
陈橘皮散（出圣惠方）治膈气。因食即噎塞。如有肉脔。在咽中不下。
陈橘皮（一两汤浸去白瓤焙） 槟榔（一两） 桔梗（一两去芦头） 木通（三分锉） 赤
茯苓（一
苗土） 射干（三分
服三钱。水一钟。入生姜
万灵木香丸（出圣济总录）治膈气。咽喉噎塞。
木香（一分） 槟榔（一两锉） 缩砂（去皮） 干姜（炮） 桂（去粗皮） 陈橘皮
（汤浸去白焙）
末。醋煮面糊。丸如梧桐
羚羊角散（出圣惠方）治膈气不顺。上攻咽喉噎塞。或加烦热。四肢疼痛。
羚羊角屑（一两） 柴胡（一两去芦头） 赤芍药（一两） 诃黎勒皮（一两） 桑白
皮（一两锉）
大黄（一两锉碎微炒）
候。稍热服之。
射干散（出圣惠方）治膈气。咽喉噎塞。全不思食。
射干（一两） 半夏（三分汤洗七次去滑） 甘草（半两炙微赤锉） 诃黎勒皮（三分）
木通（三
上为散。每服
赤茯苓散（出圣惠方）治膈气。咽喉噎塞。心胸满闷。不下饮食。
赤茯苓（一两半） 桑根白皮（一两半） 枳实（一两麸炒微黄） 陈橘皮（一两汤浸
去白瓤炒） 大腹皮（一两锉） 人参（一两去芦头） 甘草（三分炙微赤锉） 木通（三
分） 射干（三分） 上为散。每服三钱。水一钟。入生姜半分。煎六分。去滓。不计时候。
稍热服之。
丁香丸（出圣济总录）治膈气。咽喉噎塞。不下饮食。
丁香 木香（各一钱） 槟榔（锉） 京三棱（炮锉） 青橘皮（去瓤醋浸半日晒干炒
令黄色
各一
冷秤一
两）
味药
七丸
人参散 治膈气。咽喉噎塞。心神虚烦。难下饮食。
人参（三分去芦头） 陈橘皮（三分汤浸去白） 甘草（半两炙微赤锉） 射干（一两）
桂心
（半
钱。水
一钟
柴胡散（出圣惠方）治膈气。全不思食。或食即欲呕。咽中噎塞。食难稍
下。
宜服。
紫胡（一两半去芦） 桔梗（三分去芦头） 槟榔（三分） 半夏（三分汤浸七次去滑）
桂心
（半
为
散。
撞气丸（出圣济总录）治膈气噎塞。不下饮食。
雄黄（研） 附子（炮裂去皮脐） 丹砂（研） 木香（各半两） 寒水石（研） 人
中白（研各
半两）
为
度。次
酒下。
干咽妙功丸（出圣济总录）治膈气。咽喉噎塞。咳嗽上气。痰盛喘满。气道
滞。不得升降。
硼砂（研炒末三钱） 丹砂（研炒末四钱） 砂（研炒末飞一钱） 巴豆霜（炒末三
钱） 桂
末
后。
临寝干咽。
人参丸 治膈气。咽喉噎塞。心烦呕逆。不进饮食。
人参 浓朴（去粗皮生姜汁炙） 枇杷叶（去毛炙） 槟榔（锉各一两） 半夏（淡姜
汁煮三
四沸
导气散（一名荜茇散出圣济总录）治膈气噎塞。不入饮食。
虎头王字骨（醋炙额骨是也） 荜茇（微炒） 人参 羚羊角屑 浓朴（去粗皮生姜汁
炙锉
各等
通气汤 治膈气。咽喉噎塞。胸膈填满。不思饮食。
半夏散（出圣惠方）治膈气。咽喉噎塞。饮食不下。
半夏（一两汤洗七次去滑） 干姜（一两炮制锉） 昆布（二两洗去咸味） 上为散。
每服三
钱。
附子丸（出圣济总录）治膈气噎塞。不思饮食。
附子（大者生去皮脐切破姜汁煮透焙一两） 丁香（半两） 上为末。细末。研 砂少
许。
掺枣
昆布丸（出圣济总录）治膈气噎塞。食物不下。
昆布（洗去咸焙末一两） 舂杵头细糠（一合） 上用老牛涎一合。生百合汁一合。二
味慢
火煎
治膈气。咽喉噎塞。饮食不下。
上用舂杵头。并 嘴上细糠。蜜丸如弹子大。不时含一丸。咽津。或牛涎和丸。如弹子
大。
木香利膈丸（出试效方）治寒在膈上。噎塞。咽喉不通。
吴茱萸（一钱二分） 草豆蔻（一钱二分） 益智（八分） 橘皮（八分） 人参（八
分） 白僵蚕（
夏（一钱） 木香（二分）
姜黄（四分） 上为细末。汤浸。
汤速下。细嚼亦可。
(Attached Discussion)
Ge Qi (Diaphragmatic Qi stagnation) and Ye Sai (Choking sensation in the throat) originate from excessive worry and overthinking, leading to Qi knotting and obstruction. Due to the deficiency of the Lung and Stomach, Qi remains stagnant in the Huangmo (the area between the heart and diaphragm), resulting in accumulation and stagnation in the chest and diaphragm. Consequently, the ascending and descending functions of Qi are blocked, causing a sensation of fullness and obstruction.
Anxi Xiang Jian Wan (安息香煎丸 - Benzoin Decoction Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation). Symptoms include choking sensation in the throat, irritability and vomiting, fullness and oppression below the chest, abdominal and hypochondriac distension, and loss of appetite.
Ingredients: Anxi Xiang (Benzoin, half tael, separately ground), Muxiang (Aucklandiae Radix, one qian), Chenxiang (Aquilariae Lignum Resinatum, one qian), Helile (Terminalia chebula Retzii Fructus, two taels, processed), Gui (Cinnamomi Cortex, coarse bark removed), Bai Fuling (Poria with Hostwood, black skin removed), Wuweizi (Schisandrae Chinensis Fructus, lightly stir-fried), Baidoukou (Amomi Fructus Rotundus, peeled), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and baked), Dingxiang (Caryophylli Flos, skin removed and crushed), Peng Ezhu (Curcumae Phaeocaulis Rhizoma, processed and crushed), Jingsanleng (Sparganii Rhizoma, processed and crushed).
Preparation and Administration: The above ingredients are ground into fine powder, mixed evenly, and formed into pills the size of chicken eggs using refined honey. Take one pill per dose, chew thoroughly, and swallow with warm wine or ginger decoction.
Renshen Tang (人参汤 - Ginseng Decoction) [Source: *Yuyao Yuan Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction caused by unresolved emotional depression.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Chi Fuling (Poria with Hostwood, black skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Gui (Cinnamomi Cortex, coarse bark removed), Helile Pi (Terminalia chebulae Pericarpium, stir-fried), Jingsanleng (Sparganii Rhizoma, processed and crushed), Zhike (Aurantii Fructus, pith and bran removed), Caodoukou (Amomi Fructus, peeled, half tael).
Jingsanleng Wan (京三棱丸 - Sparganium Rhizoma Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction, cold deficiency of the Spleen and Stomach, emaciation, and inability to eat.
Ingredients: Jingsanleng (Sparganii Rhizoma, processed), Helile Pi (Terminalia chebulae Pericarpium, processed and pitted), Mugua (Chaenomelis Fructus, baked and pith removed), Biejia (Testudinis Carapax et Plastrum, vinegar-processed and skirt removed), Daimao (Erycinae Carapax, shaved), Zhishi (Aurantii Fructus Immaturus, bran-fried until slightly yellow), Kunbu (Laminariae Thallus, soaked in water to remove saltiness and baked), Chi Fuling (Poria with Hostwood, three qian each).
Administration: Take 20 pills per dose, swallowed with decoction of baked ginger and salt.
Kunbu Wan (昆布丸 - Laminaria Thallus Pills) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation). Symptoms include choking sensation in the throat, complete loss of appetite, Qi congestion in the shoulders and back, and painful weakness in the four limbs.
Ingredients: Kunbu (Laminariae Thallus, three taels, washed to remove saltiness), Lingyangjiao Xie (Saigae Tataricae Cornu, one tael), Muxiang (Aucklandiae Radix, one tael), Qianhu (Peucedani Radix, two taels, radix head removed), Chuanshengma ( Cimicifugae Rhizoma, one tael), Sanggenbaipi (Mori Cortex, soaked in water and lightly stir-fried), Jiegeng (Platycodonis Radix, three taels, radix head removed).
Preparation and Administration: Mix with refined honey, pound and knead 200-300 times, and form into pills the size of sophora seeds.
Chen Ju Pi San (陈橘皮散 - Aged Tangerine Peel Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) where eating immediately causes choking sensation, as if a piece of meat is stuck in the throat and cannot go down.
Ingredients: Chen Ju Pi (Aurantii Pericarpium Vetus, one tael, soaked in water, white pith removed, baked), Binglang (Arecae Semen, one tael), Jiegeng (Platycodonis Radix, one tael, radix head removed), Mutong (Akebiae Caulis, three fen, crushed), Chi Fuling (Poria with Hostwood, one tael), Shegan (Belamcandae Rhizoma, three fen).
Administration: Take three qian per dose, with one zhong of water, add half a fen of fresh ginger, decoct to six parts, strain, and take when slightly warm at any time.
Wanling Muxiang Wan (万灵木香丸 - Wanling Aucklandia Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat.
Ingredients: Muxiang (Aucklandiae Radix, one fen), Binglang (Arecae Semen, one tael, crushed), Suosha (Amomi Fructus, peeled), Ganjiang (Zingiberis Rhizoma, processed), Gui (Cinnamomi Cortex, coarse bark removed), Chen Ju Pi (Aurantii Pericarpium Vetus, soaked in water, white pith removed, baked).
Preparation and Administration: Grind into fine powder, use vinegar-boiled wheat paste to form pills the size of sophora seeds.
Lingyangjiao San (羚羊角散 - Saiga Horn Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with irregular Qi flow attacking the throat causing choking, or accompanied by irritability, heat, and pain in the four limbs.
Ingredients: Lingyangjiao Xie (Saigae Tataricae Cornu, one tael), Chaihu (Bupleuri Radix, one tael, radix head removed), Chi Shaoyao (Paeoniae Radix Rubra, one tael), Helile Pi (Terminalia chebulae Pericarpium, one tael), Sangbaipi (Mori Cortex, one tael, crushed), Dahuang (Rhei Radix et Rhizoma, one tael, crushed and lightly stir-fried).
Administration: Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Shegan San (射干散 - Belamcanda Rhizome Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat and complete loss of appetite.
Ingredients: Shegan (Belamcandae Rhizoma, one tael), Banxia (Pinelliae Rhizoma, three fen, washed seven times in water to remove slipperiness), Gancao (Glycyrrhizae Radix et Rhizoma, half tael, stir-fried until slightly red and crushed), Helile Pi (Terminalia chebulae Pericarpium, three fen), Mutong (Akebiae Caulis, three fen).
Preparation and Administration: Grind into powder. Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Chi Fuling San (赤茯苓散 - Red Poria Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat, fullness and oppression in the chest and heart, and inability to eat.
Ingredients: Chi Fuling (Poria with Hostwood, one tael and half), Sanggenbaipi (Mori Cortex, one tael and half), Zhishi (Aurantii Fructus Immaturus, one tael, bran-fried until slightly yellow), Chen Ju Pi (Aurantii Pericarpium Vetus, one tael, soaked in water, white pith removed, stir-fried), Dafupi (Arecae Pericarpium, one tael, crushed), Renshen (Ginseng Radix et Rhizoma, one tael, radix head removed), Gancao (Glycyrrhizae Radix et Rhizoma, three fen, stir-fried until slightly red and crushed), Mutong (Akebiae Caulis, three fen), Shegan (Belamcandae Rhizoma, three fen).
Preparation and Administration: Grind into powder. Take three qian per dose, with one zhong of water, add half a fen of fresh ginger, decoct to six parts, strain, and take when slightly warm at any time.
Dingxiang Wan (丁香丸 - Clove Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat and inability to eat.
Ingredients: Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix, one qian each), Binglang (Arecae Semen, crushed), Jingsanleng (Sparganii Rhizoma, processed and crushed), Qing Ju Pi (Aurantii Pericarpium, pith removed, soaked in vinegar for half a day, dried, and stir-fried until yellow).
Preparation and Administration: Grind into fine powder, use vinegar-boiled wheat paste to form pills the size of sophora seeds.
Renshen San (人参散 - Ginseng Powder) treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat, mental restlessness due to deficiency, and difficulty eating.
Ingredients: Renshen (Ginseng Radix et Rhizoma, three fen, radix head removed), Chen Ju Pi (Aurantii Pericarpium Vetus, three fen, soaked in water, white pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, half tael, stir-fried until slightly red and crushed), Shegan (Belamcandae Rhizoma, one tael), Guixin (Cinnamomi Ramulus, half tael).
Preparation and Administration: Grind into powder. Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Chaihu San (柴胡散 - Bupleurum Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with complete loss of appetite, or nausea after eating, choking sensation in the throat, and difficulty swallowing food.
Ingredients: Chaihu (Bupleuri Radix, one tael and half, radix head removed), Jiegeng (Platycodonis Radix, three fen, radix head removed), Binglang (Arecae Semen, three fen), Banxia (Pinelliae Rhizoma, three fen, soaked in water seven times to remove slipperiness), Guixin (Cinnamomi Ramulus, half tael).
Preparation and Administration: Grind into powder. Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Zhuangqi Wan (撞气丸 - Colliding Qi Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction and inability to eat.
Ingredients: Xionghuang (Realgar, ground), Fuzi (Aconiti Lateralis Radix Praeparata, processed, split, skin and navel removed), Dansha (Cinnabaris, ground), Muxiang (Aucklandiae Radix, half tael each), Hanshuishi (Hydrocalcitis, ground), Renzhongbai (Urinae Humanis Deposition, ground, half tael each).
Preparation and Administration: Grind into fine powder, use vinegar-boiled wheat paste to form pills the size of sophora seeds. Take 5-7 pills per dose, swallowed with wine.
Ganyan Miaogong Wan (干咽妙功丸 - Dry Swallowing Wonderful Efficacy Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat, coughing with rebellious Qi, profuse phlegm, wheezing and fullness, Qi pathway obstruction, and inability of Qi to ascend and descend.
Ingredients: Pengsha (Borax, ground, fried, and powdered, three qian), Dansha (Cinnabaris, ground, fried, and powdered, four qian), Naosha (Sal Ammoniac, ground, fried, flown, one qian), Badoushuang (Crotonis Seminis Exsiccatus Pulvis, fried and powdered, three qian), Guimo (Cinnamomi Ramulus powder).
Preparation and Administration: Mix evenly. Swallow dry before going to bed.
Renshen Wan (人参丸 - Ginseng Pills) treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat, irritability, vomiting, and refusal to eat.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Nongpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice), Pipaye (Loquat Leaf, hair removed, stir-fried), Binglang (Arecae Semen, crushed, one tael each), Banxia (Pinelliae Rhizoma, boiled three to four times in dilute ginger juice).
Preparation and Administration: Grind into fine powder, mix with refined honey, pound and knead, and form into pills the size of sophora seeds.
Daoqi San (导气散 - Guiding Qi Powder, also known as Bibie San) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction and inability to eat.
Ingredients: Hutouwangzigu (Tiger Head Character Bone, vinegar-processed frontal bone), Bibie (Long Pepper Fruit, lightly stir-fried), Renshen (Ginseng Radix et Rhizoma), Lingyangjiao Xie (Saigae Tataricae Cornu), Nongpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice and crushed, equal parts).
Preparation and Administration: Grind into fine powder. Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Tongqi Tang (通气汤 - Unblocking Qi Decoction) treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat, fullness in the chest and diaphragm, and loss of appetite.
Banxia San (半夏散 - Pinellia Powder) [Source: *Shenghui Fang*] treats Ge Qi (Diaphragmatic Qi stagnation) with choking sensation in the throat and inability to swallow food.
Ingredients: Banxia (Pinelliae Rhizoma, one tael, washed seven times in water to remove slipperiness), Ganjiang (Zingiberis Rhizoma, one tael, processed and crushed), Kunbu (Laminariae Thallus, two taels, washed to remove saltiness).
Preparation and Administration: Grind into powder. Take three qian per dose, with one zhong of water, decoct to six parts, strain, and take when slightly warm.
Fuzi Wan (附子丸 - Prepared Aconite Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction and loss of appetite.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, large ones, raw, skin and navel removed, cut open, boiled thoroughly in ginger juice, and baked, one tael), Dingxiang (Caryophylli Flos, half tael).
Preparation and Administration: Grind into fine powder. Take a small amount of Naosha (Sal Ammoniac), mix with jujube flesh, and form into pills the size of sophora seeds. Take 5-7 pills per dose, swallowed with rice drink.
Kunbu Wan (昆布丸 - Laminaria Thallus Pills) [Source: *Shengji Zonglu*] treats Ge Qi (Diaphragmatic Qi stagnation) with throat obstruction and inability to swallow food.
Ingredients: Kunbu (Laminariae Thallus, washed to remove saltiness, baked, and powdered, one tael), Chongchutouxixiang (Fine bran from pestle head, one he).
Preparation and Administration: Use one he of old ox saliva and one he of fresh lily bulb juice. Slowly boil the above two ingredients into a paste. Then mix with the fine bran from the pestle head and jujube mouth scrapings, form into pills the size of bullet seeds using honey. Contain one pill occasionally, swallow the saliva; or mix with ox saliva to form pills the size of bullet seeds, and contain to dissolve.
Muxiang Lige Wan (木香利膈丸 - Aucklandia Benefit Diaphragm Pills) [Source: *Shixiao Fang*] treats Cold in the upper diaphragm, causing choking, and blockage of the throat.
Ingredients: Wuzhuyu (Evodiae Fructus, one qian and two fen), Caodoukou (Amomi Fructus Rotundus, one qian and two fen), Yizhi (Alpiniae Oxyphyllae Fructus, eight fen), Jupi (Citri Reticulatae Pericarpium, eight fen), Renshen (Ginseng Radix et Rhizoma, eight fen), Bai Jiangcan (Bombyx Batryticatus, stir-fried), Banxia (Pinelliae Rhizoma, one qian), Muxiang (Aucklandiae Radix, two fen), Jianghuang (Curcumae Longae Rhizoma, four fen).
Preparation and Administration: Grind into fine powder, soak in water, and form into pills the size of sophora seeds. Swallow with decoction, or chew thoroughly.