（附论）
夫膈气痰结者。谓结痰在胸膈之上。喉间噎塞。咳唾稠浊。气满胸中。有碍饮食。盖缘
脾肺
方
丁香匀气丸（出圣济总录）治气膈痰结。呕逆减食。（方见丁香丸）
白术丸 治膈气痰结。脾冷不能下食。胸中刺痛。
白术（一两） 人参（一两去芦头） 桂心（一两） 干姜（半两炮） 浓朴（二两去
粗皮涂姜
汁炙
黄） 附
子（一
两） 泽
泻（一
赤茯苓散（出圣惠方）治膈气。痰结气滞。不思饮食。肩背壅闷。四肢烦
痛。
赤茯苓（一两） 半夏（半两汤浸七次去滑） 桂心（一两） 大腹皮（一两锉） 枳
壳（一两
麸炒
前胡
（一两
分。
煎至六
旋复花散（出圣惠方）治膈气。胸中痰结。痞塞不通，不能饮食。
旋复花（半两） 赤茯苓（半两） 人参（一两去芦头） 木香（半两） 白术（一两）
前胡
（一两
（一两）
拘
时候。稍热
大腹皮散（出圣惠方）治膈气。胸中痰结。食不消化。腹中胀满雷鸣。
大腹皮（一两锉） 吴茱萸（一两汤浸七次焙干炒） 白术（一两） 旋复花（一两） 木
香
（三分）
桂
心（一两）
半分。
煎六分
前胡汤（出圣济总录）治膈气痰逆。胸中刺痛。不思饮食。
前胡（去芦头） 芍药（炒） 半夏（汤洗七次去滑） 人参 百合（各三分） 赤茯
苓（去黑
皮）
捣
筛。每服
半夏五香丸（出圣济总录）治膈气痰结。和胃气。进饮食。
半夏（汤洗七次去滑捣罗为末） 丁香 沉香（锉各半两） 麝香（研） 龙脑（研各
一钱）
藿香
蜜丸。弹
子大
藿香汤（出圣济总录）治膈气。痰结不止。
藿香（去梗二钱） 草豆蔻（去皮一分） 阿魏（一钱用作面饼焙干） 木香（一分） 人
参
陈橘
草（炙各
一分）
木香丸（出圣济总录）治膈气痰结。酸水。脾胃久冷。不能下饮食。
木香 青橘皮（汤浸去白焙） 桂（去粗皮） 益智子（去皮） 白术 肉豆蔻（去皮
各一两）
细
如绿豆
大
肉豆蔻丸（出圣济总录）治膈气痰结。不入饮食。
肉豆蔻（去壳） 木香 桂（去粗皮） 益智子（去皮） 沉香（镑） 荜澄茄 胡椒 青
橘皮
（汤
两。
飞
丸
茯苓汤（出圣济总录）治膈气痰结。通中消饮。去积冷。止腹疼。
赤茯苓 麦 （炒） 陈橘皮（汤浸去白焙干） 半夏（姜汁浸一宿焙干） 人参 神
曲（炒
各一
五膈丸（出圣济总录）治膈气痰结。胸中不利。
桑根白皮（锉焙） 紫苏叶（微炒） 赤茯苓（去黑皮） 陈橘皮（汤浸各一两） 槟
榔（八枚
锉）
炼蜜
丸如梧
槟榔丸（出圣惠方）治膈气。痰结脾冷。饮食不下。胸中刺痛。
槟榔（一两） 白术（二两） 陈橘皮（一两汤浸去白焙） 浓朴（一两去粗皮涂姜汁
炙令香
熟）
夏（一两
汤浸
丸。
前胡丸（出圣惠方）治膈气。心胸痰结积滞。气不宣散。饮食不下。
前胡（一两去芦头） 川大黄（三分锉碎微炒） 白术（三分） 旋复花（半两） 人
参（二分
去芦
为末。
炼蜜
黎勒汤（出圣济总录）
诃黎勒（煨去核一两） 草豆蔻（去皮） 槟榔（锉） 青橘皮（汤浸去白各一两） 甘
草（炙
一两
一盏，
入
半夏丸（出圣惠方）
治膈气，痰结气逆，不能下食。
半夏（一两汤洗七次去滑） 陈橘皮（三分去白瓤焙） 薯蓣（一两） 干姜（半两炮
制锉）
甘草
桐子
大，
铁刷汤
治益脾胃，化痰涎，胸膈滞气，咽喉不利，不能下食。
半夏（四两） 生姜（四两与半夏同捣饼） 诃子（炮去复选肉半两） 草豆蔻（去皮
取仁半
两）
妙红散
治膈气痰结，呕逆吐食。
红曲（炒） 丁香 藿香叶 白茯苓（去黑皮） 人参 上为散，每服二钱，米饮调下，
食
前服
芫花散
治膈气，痰结痞塞，心胸壅闷。
芫花（四两醋拌炒令干） 巴豆（半两去皮心研纸去油） 桂心（一两） 杏仁（一两
汤浸去
皮尖
食
前温
木香散
治膈气，胸中痰结，气逆不下饮食。
木香（一两） 青橘皮（二两汤浸去白瓤焙） 白豆蔻（三分去皮） 郁李仁（二两汤
浸去皮
微炒
干姜丸
治膈气痰结，上焦冷气，吞酸吐沫，呕逆不食。
干姜（炮一分） 丁香（半两） 半夏（汤浸去滑焙二两） 上为末。以生姜自然汁，
煮面糊
为丸
(Attached Discussion)
The condition of Ge Qi (Diaphragmatic Qi Stagnation) with Phlegm Knotting refers to the accumulation and knotting of turbid phlegm in the upper chest and diaphragm region. It manifests as a sensation of obstruction in the throat, coughing up thick and turbid sputum, fullness in the chest, and interference with food intake. This is primarily due to the Spleen and Lung...
Dingxiang Yunqi Wan (Clove Equalizing Qi Pill), sourced from *Shengji Zonglu* (General Repository of the Sacred Treasury), treats Qi Ge (Diaphragmatic Qi Disorder) with Phlegm Knotting, vomiting and regurgitation, and reduced appetite. (Formula see entry for Dingxiang Wan).
Baizhu Wan (Atractylodes Macrocephala Pill), treats Ge Qi with Phlegm Knotting, coldness in the Spleen preventing food intake, and stabbing pain in the chest.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Renshen (Ginseng Radix, 1 liang, remove radicle), Guixin (Cinnamomi Cortex, 1 liang), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed), Houpo (Magnoliae Officinalis Cortex, 2 liang, remove cork, stir-fry with ginger juice until yellow), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang), Zexie (Alismatis Rhizoma, 1 liang), Chifuping San (Red Poria Powder, sourced from *Shenghui Fang*).
Chifuping San (Red Poria Powder), sourced from *Shenghui Fang*, treats Ge Qi, Phlegm Knotting with Qi Stagnation, loss of appetite, heaviness and oppression in the shoulders and back, and painful discomfort in the four limbs.
Ingredients: Chifuling (Poria Cum Radice Xyli, 1 liang), Banxia (Pinelliae Rhizoma, 0.5 liang, soak in water seven times to remove acridity), Guixin (Cinnamomi Cortex, 1 liang), Dafupi (Arecae Pericarpium, 1 liang, sliced), Zhike (Aurantii Fructus Immaturus, 1 liang, stir-baked with bran), Qianhu (Peucedani Radix, 1 liang).
Xuanfuhua San (Inula Flower Powder), sourced from *Shenghui Fang*, treats Ge Qi, Phlegm Knotting in the chest, stuffiness and blockage preventing food intake.
Ingredients: Xuanfuhua (Inulae Flos, 0.5 liang), Chifuling (Poria Cum Radice Xyli, 0.5 liang), Renshen (Ginseng Radix, 1 liang, remove radicle), Muxiang (Aucklandiae Radix, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Qianhu (Peucedani Radix, 1 liang), Dafupi (Arecae Pericarpium, 1 liang). Decoct until six parts remain, take warm.
Dafupi San (Arecae Pericarpium Powder), sourced from *Shenghui Fang*, treats Ge Qi, Phlegm Knotting in the chest, indigestion, abdominal distension with borborygmus (rumbling sounds).
Ingredients: Dafupi (Arecae Pericarpium, 1 liang, sliced), Wuzhuyu (Evodiae Fructus, 1 liang, soak in water seven times, dry and stir-fry), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Xuanfuhua (Inulae Flos, 1 liang), Muxiang (Aucklandiae Radix, 3 fen), Guixin (Cinnamomi Cortex, 1 liang), Qianhu (Peucedani Radix, 1 liang). Decoct until six parts remain, take warm.
Qianhu Tang (Peucedani Decoction), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Reversal, stabbing pain in the chest, and loss of appetite.
Ingredients: Qianhu (Peucedani Radix, remove radicle), Shaoyao (Paeoniae Radix, stir-fried), Banxia (Pinelliae Rhizoma, wash in water seven times to remove acridity), Renshen (Ginseng Radix), Baihe (Lilii Bulbus, each 3 fen), Chifuling (Poria Cum Radice Xyli, remove black skin). Pound and sieve into powder; take specific dosage per serving.
Banxia Wuxiang Wan (Pinellia Five-Aromatic Pills), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Knotting, harmonizes Stomach Qi, and promotes appetite.
Ingredients: Banxia (Pinelliae Rhizoma, wash in water seven times to remove acridity, pound and sieve into powder), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum, sliced, each 0.5 liang), Shexiang (Moschus, ground), Longnao (Borneolum Syntheticum, ground, each 1 qian), Huoxiang (Agastaches Herba). Mix with refined honey to form pills the size of a bullet.
Huoxiang Tang (Agastache Decoction), sourced from *Shengji Zonglu*, treats Ge Qi with persistent Phlegm Knotting.
Ingredients: Huoxiang (Agastaches Herba, remove stem, 2 qian), Caodoukou (Cardamomi Fructus, remove shell, 1 fen), Awei (Asafoetida, 1 qian, wrap in dough and bake dry), Muxiang (Aucklandiae Radix, 1 fen), Renshen (Ginseng Radix), Chenjupi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, stir-baked, each 1 fen).
Muxiang Wan (Aucklandiae Pill), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Knotting, acid regurgitation, chronic cold in the Spleen and Stomach, and inability to eat.
Ingredients: Muxiang (Aucklandiae Radix), Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water, remove white pith and dry), Gui (Cinnamomi Cortex, remove cork), Yizhiren (Alpiniae Oxyphyllae Semen, remove shell), Baizhu (Atractylodis Macrocephalae Rhizoma), Roudoukou (Myristicae Semen, remove shell, each 1 liang). Grind finely to the size of mung beans.
Roudoukou Wan (Myristica Pill), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Knotting and inability to eat.
Ingredients: Roudoukou (Myristicae Semen, remove shell), Muxiang (Aucklandiae Radix), Gui (Cinnamomi Cortex, remove cork), Yizhiren (Alpiniae Oxyphyllae Semen, remove shell), Chenxiang (Aquilariae Lignum Resinatum, shaved), Bichengqie (Piperis Kadsurae Fructus), Hujiao (Piperis Longi Fructus), Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water).
Fuling Tang (Poria Decoction), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Knotting, unblocks the middle jiao, eliminates fluid retention, removes accumulated cold, and stops abdominal pain.
Ingredients: Chifuling (Poria Cum Radice Xyli), Maidong (Ophiopogonis Radix, stir-fried), Chenjupi (Citri Reticulatae Pericarpium, soak in water, remove white pith and dry), Banxia (Pinelliae Rhizoma, soak in ginger juice overnight and dry), Renshen (Ginseng Radix), Shenqu (Massa Medicata Fermentata, stir-fried, each 1 liang).
Wuge Wan (Five Diaphragms Pill), sourced from *Shengji Zonglu*, treats Ge Qi with Phlegm Knotting and discomfort in the chest.
Ingredients: Sangbaipipi (Mori Cortex, sliced and baked), Zisuye (Perillae Folium, lightly stir-fried), Chifuling (Poria Cum Radice Xyli, remove black skin), Chenjupi (Citri Reticulatae Pericarpium, soak in water, each 1 liang), Binglang (Arecae Semen, 8 pieces, sliced). Mix with refined honey to form pills the size of wu-tong seeds.
Binglang Wan (Arecae Pill), sourced from *Shenghui Fang*, treats Ge Qi, Phlegm Knotting with Spleen Cold, inability to swallow food, and stabbing pain in the chest.
Ingredients: Binglang (Arecae Semen, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soak in water, remove white pith and dry), Houpo (Magnoliae Officinalis Cortex, 1 liang, remove cork, stir-fry with ginger juice until fragrant and cooked), Banxia (Pinelliae Rhizoma, 1 liang, soak in water).
Qianhu Wan (Peucedani Pill), sourced from *Shenghui Fang*, treats Ge Qi, accumulation and stagnation of Phlegm Knotting in the heart and chest, failure of Qi to disperse, and inability to eat.
Ingredients: Qianhu (Peucedani Radix, 1 liang, remove radicle), Chuan Dahuang (Rhei Radix et Rhizoma, 3 fen, sliced, crushed, lightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Xuanfuhua (Inulae Flos, 0.5 liang), Renshen (Ginseng Radix, 2 fen, remove radicle). Grind into powder, mix with refined honey to form pills.
Helie Tang (Terminalia Decoction), sourced from *Shengji Zonglu*.
Ingredients: Heliele (Terminaliae Fructus, baked, remove kernel, 1 liang), Caodoukou (Cardamomi Fructus, remove shell), Binglang (Arecae Semen, sliced), Qingjupi (Citri Reticulatae Pericarpium Viride, soak in water, remove white pith, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, stir-baked, 1 liang). Decoct one cup, take warm.
Banxia Wan (Pinellia Pill), sourced from *Shenghui Fang*, treats Ge Qi, Phlegm Knotting with Qi Reversal, and inability to eat.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, wash in water seven times to remove acridity), Chenjupi (Citri Reticulatae Pericarpium, 3 fen, remove white pith and dry), Shuyu (Dioscoreae Rhizoma, 1 liang), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed and sliced), Gancao (Glycyrrhizae Radix et Rhizoma). Form pills the size of tung tree seeds.
Tieshua Tang (Iron Brush Decoction), treats benefiting the Spleen and Stomach, resolving Phlegm-Saliva, eliminating stagnation of Qi in the chest and diaphragm, relieving throat discomfort, and restoring ability to eat.
Ingredients: Banxia (Pinelliae Rhizoma, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang, pound together with Banxia into a cake), Hezi (Terminaliae Fructus, processed, remove kernel and take flesh, 0.5 liang), Caodoukou (Cardamomi Fructus, remove shell and take kernel, 0.5 liang).
Miaohong San (Wonderful Red Powder), treats Ge Qi with Phlegm Knotting, vomiting and regurgitation of food.
Ingredients: Hongqu (Monascus Ruber, stir-fried), Dingxiang (Caryophylli Flos), Huoxiangye (Agastaches Folium), Baifuling (Poria, remove black skin), Renshen (Ginseng Radix). Pound all ingredients into powder. Take 2 qian per dose, mixed with rice drink, taken before meals.
Yuanhua San (Kansui Powder), treats Ge Qi, Phlegm Knotting causing stuffiness and blockage, and oppression in the heart and chest.
Ingredients: Yuanhua (Kansui Radix, 4 liang, mix with vinegar and stir-fry until dry), Badou (Crotonis Fructus, 0.5 liang, remove shell and heart, grind on paper to remove oil), Guixin (Cinnamomi Cortex, 1 liang), Xingren (Armeniacae Semen Amarum, 1 liang, soak in water, remove skin and tip). Take warm before meals.
Muxiang San (Aucklandiae Powder), treats Ge Qi, Phlegm Knotting in the chest, Qi Reversal preventing food intake.
Ingredients: Muxiang (Aucklandiae Radix, 1 liang), Qingjupi (Citri Reticulatae Pericarpium Viride, 2 liang, soak in water, remove white pith and dry), Baidoukou (Amomi Fructus Rotundus, 3 fen, remove shell), Yuliren (Prunus Semen, 2 liang, soak in water, remove skin and lightly stir-fry).
Ganjiang Wan (Zingiber Pill), treats Ge Qi with Phlegm Knotting, Cold Qi in the Upper Jiao, acid regurgitation with frothy saliva, vomiting and refusal to eat.
Ingredients: Ganjiang (Zingiberis Rhizoma, processed, 1 fen), Dingxiang (Caryophylli Flos, 0.5 liang), Banxia (Pinelliae Rhizoma, soak in water to remove acridity and dry, 2 liang). Pound into powder, use natural juice of fresh ginger to cook wheat paste to form pills.