(附论)
夫膈气,心胸中痛者。由宿食寒气,在于脏腑之间,因其经络痞塞,不得宣通,脏腑虚,
邪
方
木香丸(出圣惠方)
治膈气,心胸气滞疼痛,连于腹胁,饮食不下。
木香(一两) 青橘皮(一两去白瓤焙) 槟榔(一两) 桂心(一两) 干姜(半两
炮制锉)
人参
母(三
分去
常含
赤茯苓散(出圣惠方)
治膈气,壅滞攻心,胸中连肩背痛,日夜不止。
赤茯苓(一两) 桂心(一两) 人参(一两去芦头) 陈橘皮(二两汤浸去白瓤焙) 白
术(一两)
两去粗皮
涂姜汁
候,稍
丁香散(出圣惠方)
治膈气,心胸冷气疼痛,不食少力。
丁香(半两) 浓朴(一两去粗皮姜汁炙) 桂心(三分) 白术(一两) 甘草(半
两炙微赤
锉)
去滓,
入酒
槟榔散(出圣惠方)
治膈气,心胸冷硬,气结疼痛。
槟榔(二两) 木香(一两) 陈橘皮(一两半汤浸去白焙) 枳实(一两麸炒微黄) 前
胡(一两
煎至
六分,
桂心散(出圣惠方)
治膈气,心胸伏滞,冷气疼痛,饮食不下。
桂心(一两) 前胡(一两去芦头) 人参(一两去芦头) 牛李根(一两锉) 诃黎
勒皮(二
两)
计
时候稍
柴胡散(出圣惠方)
治膈气,心胸烦满疼痛,及走疰,气欲绝。
柴胡(一两去芦头) 甘草(半两炙微赤锉) 当归(三分锉微炒) 木香(一两) 槟
榔(一
两)
至六
分,去
小草丸(出圣惠方)
治膈气,心胸间痛,气逆,饮食不下。
小草(三分) 桂心(三分) 细辛(三分) 附子(半两炮裂去皮脐) 川椒(三分
去目闭口
者微
饮
下三
半夏散(出圣惠方)
治膈气,积冷气痛,心中满闷,不能下食,或呕或吐。
半夏(一两汤浸七次去滑) 吴茱萸(半两汤浸七次焙干微炒) 桂心(一两) 人参
(一两
去芦
同
煎六
浓朴散(出圣惠方)
治膈气,心胸虚寒疼痛。
浓朴(二两去粗皮涂姜汁炙) 吴茱萸(一两汤浸七次焙干炒) 桂心(一两) 白术
(一两)
陈
木香散(出圣惠方)
治膈气,心胸气痛,不可忍。
木香(半两) 吴茱萸(一两汤浸七次焙干微炒) 桂心(三分) 上为细散,每服二
钱,以
水一
白术散(出圣惠方)
治膈气,心膈间痛宜服。
白术(一两) 枳实(一两麸炒微黄) 神曲(一两炒微黄) 上为细散,每服不计时
候,以
热酒
干姜散(出圣惠方)
治膈气,食后呕逆,心胸疼痛。
干姜(半两炮) 吴茱萸(半两汤浸七次焙干) 白术(二两) 上为细散,每服不计
时候,
以热
枳实散(出圣惠方)
治膈气,心胸气逆,时腹疼痛。
枳实(一两麸炒微黄) 桂心(一两) 上为细散,每服不计时候,以热酒调下一钱。
前胡汤(出千金方)
治胸中久寒,癖实膈塞,胸痛,气不通利,三焦冷热不调,饮食减少无味,或寒热
身重,卧不欲起。
前胡 人参 甘草 当归 半夏(各二两) 大黄 防风 麦门冬 吴茱萸 黄芩(各
一
两)
师方
云,若
(Attached Discussion)
Regarding "Ge Qi" (Diaphragmatic Qi Disorder), characterized by pain in the chest and heart region. This condition arises from retained food stagnation and cold pathogenic factors residing between the Zang-Fu organs, causing obstruction and blockage of the meridians, preventing the free flow and diffusion of Qi and Blood, compounded by deficiency of the Zang-Fu organs allowing pathogenic factors to linger.
Muxiang Wan (Cinnamon Twig and Costus Root Pill) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with Qi stagnation and pain in the chest and heart, radiating to the abdomen and hypochondrium, accompanied by inability to swallow food.
Costi Radix (Mu Xiang, 木香) (1 liang) Green Tangerine Peel (Qing Ju Pi, 青橘皮) (1 liang, remove white pith and roast) Areca Seed (Bing Lang, 槟榔) (1 liang) Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang) Dried Ginger (Gan Jiang, 干姜) (0.5 liang, processed and crushed) Ginseng Radix et Rhizoma (Ren Shen, 人参) (1 liang, remove rhizome) Mother Clove Bud (Mu Ding Xiang, 母丁香) (3 pieces, often held in mouth or used in decoction).
Chifuling San (Red Poria Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with Qi congestion attacking the heart, pain in the chest radiating to the shoulder and back, persisting day and night.
Poria (Chi Fu Ling, 赤茯苓) (1 liang) Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang) Ginseng Radix et Rhizoma (Ren Shen, 人参) (1 liang, remove rhizome) Aged Tangerine Peel (Chen Pi, 陈橘皮) (2 liang, soak in water, remove white pith and roast) Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (1 liang, remove coarse skin) Smear with ginger juice and prepare.
Dingxiang San (Clove Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with cold Qi pain in the chest and heart, loss of appetite, and weakness.
Clove (Ding Xiang, 丁香) (0.5 liang) Magnolia Bark (Hou Po, 厚朴) (1 liang, remove coarse skin and process with ginger juice) Cinnamon Twig Heart (Gui Xin, 桂心) (3 fen) Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (1 liang) Licorice Root (Gan Cao, 甘草) (0.5 liang, roasted until slightly red and crushed) Strain the decoction, add wine, and boil.
Binglang San (Areca Seed Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with cold hardness in the chest and heart, Qi knotting and pain.
Areca Seed (Bing Lang, 槟榔) (2 liang) Costi Radix (Mu Xiang, 木香) (1 liang) Aged Tangerine Peel (Chen Pi, 陈橘皮) (1.5 liang, soak in water, remove white pith and roast) Immature Bitter Orange (Zhi Shi, 枳实) (1 liang, bran-fried until slightly yellow) Peucedani Radix (Qian Hu, 前胡) (1 liang, boil down to one-sixth concentration).
Guixin San (Cinnamon Twig Heart Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with latent Qi stagnation in the chest and heart, cold Qi pain, and inability to swallow food.
Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang) Peucedani Radix (Qian Hu, 前胡) (1 liang, remove rhizome) Ginseng Radix et Rhizoma (Ren Shen, 人参) (1 liang, remove rhizome) Cudrania Tricuspida Root Bark (Niu Li Gen, 牛李根) (1 liang, crushed) Chebula Fruit Skin (He Li Le Pi, 诃黎勒皮) (2 liang), calculate time and wait slightly.
Chaihu San (Bupleurum Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with vexation, fullness, and pain in the chest and heart, as well as wandering pain (Zou Zhu), with Qi nearly exhausted.
Bupleuri Radix (Chai Hu, 柴胡) (1 liang, remove rhizome) Licorice Root (Gan Cao, 甘草) (0.5 liang, roasted until slightly red and crushed) Angelica Sinensis Radix (Dang Gui, 当归) (3 fen, crushed and lightly fried) Costi Radix (Mu Xiang, 木香) (1 liang) Areca Seed (Bing Lang, 1 liang, boil down to one-sixth concentration, strain).
Xiaocao Wan (Herba Siegesbeckiae Pill) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with pain in the chest and heart, rebellious Qi, and inability to swallow food.
Herba Siegesbeckiae (Xiao Cao, 小草) (3 fen) Cinnamon Twig Heart (Gui Xin, 桂心) (3 fen) Asarum Root (Xi Xin, 细辛) (3 fen) Prepared Aconite Root (Fu Zi, 附子) (0.5 liang, processed until cracked, remove skin and umbilicus) Sichuan Pepper (Chuan Jiao, 川椒) (3 fen, remove eyes and closed-mouth ones, lightly fried), take with three he of liquid.
Banxia San (Pinellia Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with pain caused by accumulated cold Qi, fullness and oppression in the heart, inability to eat, or vomiting.
Prepared Pinellia Tuber (Ban Xia, 半夏) (1 liang, soaked in water seven times to remove slipperiness) Evodia Fruit (Wu Zhu Yu, 吴茱萸) (0.5 liang, soaked in water seven times, dried, and lightly fried) Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang) Ginseng Radix et Rhizoma (Ren Shen, 人参) (1 liang, remove rhizome), cook together to one-sixth concentration.
Houpo San (Magnolia Bark Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with deficiency-cold pain in the chest and heart.
Magnolia Bark (Hou Po, 厚朴) (2 liang, remove coarse skin, smear with ginger juice and roast) Evodia Fruit (Wu Zhu Yu, 吴茱萸) (1 liang, soaked in water seven times, dried and fried) Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang) Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (1 liang), aged material is preferred.
Muxiang San (Costi Radix Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with Qi pain in the chest and heart, unbearable.
Costi Radix (Mu Xiang, 木香) (0.5 liang) Evodia Fruit (Wu Zhu Yu, 吴茱萸) (1 liang, soaked in water seven times, dried and lightly fried) Cinnamon Twig Heart (Gui Xin, 桂心) (3 fen), grind all into fine powder. Take 2 qian per dose, decoct with one sheng of water.
Baizhu San (Atractylodes Macrocephala Powder) [Source: *Shenghui Fang*]
Suitable for treating pain in the heart and diaphragm due to Ge Qi (Diaphragmatic Qi Disorder).
Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (1 liang) Immature Bitter Orange (Zhi Shi, 枳实) (1 liang, bran-fried until slightly yellow) Medicated Leaven (Shen Qu, 神曲) (1 liang, fried until slightly yellow), grind all into fine powder. Take at any time without restriction, mix with hot wine.
Ganjiang San (Dried Ginger Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with postprandial vomiting and regurgitation, and pain in the chest and heart.
Dried Ginger (Gan Jiang, 干姜) (0.5 liang, processed) Evodia Fruit (Wu Zhu Yu, 吴茱萸) (0.5 liang, soaked in water seven times, dried) Atractylodes Macrocephala Rhizome (Bai Zhu, 白术) (2 liang), grind all into fine powder. Take at any time without restriction, mix with hot wine.
Zhishi San (Immature Bitter Orange Powder) [Source: *Shenghui Fang*]
Treats Ge Qi (Diaphragmatic Qi Disorder) with rebellious Qi in the chest and heart, and intermittent abdominal pain.
Immature Bitter Orange (Zhi Shi, 枳实) (1 liang, bran-fried until slightly yellow) Cinnamon Twig Heart (Gui Xin, 桂心) (1 liang), grind all into fine powder. Take at any time without restriction, mix with hot wine and take 1 qian.
Qianhu Tang (Peucedani Decoction) [Source: *Qianjin Fang*]
Treats long-standing cold in the chest, firm masses causing diaphragmatic obstruction, chest pain, blocked Qi flow, disharmony of cold and heat in the Triple Burner, reduced appetite with tastelessness, or alternating chills and fever, heavy body, and reluctance to rise from bed.
Peucedani Radix (Qian Hu, 前胡), Ginseng Radix et Rhizoma (Ren Shen, 人参), Licorice Root (Gan Cao, 甘草), Angelica Sinensis Radix (Dang Gui, 当归), Prepared Pinellia Tuber (Ban Xia, 半夏) (each 2 liang) Rhubarb (Da Huang, 大黄), Saposhnikoviae Radix (Fang Feng, 防风), Ophiopogon Tuber (Mai Men Dong, 麦门冬), Evodia Fruit (Wu Zhu Yu, 吴茱萸), Scutellaria Root (Huang Qin, 黄芩) (each 1 liang).
The master's formula states that if...