治气不升降，胸膈结痞。
木香 京三棱(炮) 青皮（各半两） 半夏（三两，汤洗七次) 大腹子（一分）
上为细末，姜汁糊为丸，梧子大。食后米汤下二三十丸。
嘉禾散、沉香散 并治五膈。(方见前五噎门)
病者心下坚，满痞急痛，肌中苦痹，缓急如刺，不得俯仰，其胸前皮皆痛，手不得犯，
胸中 中而满，短气，咳唾引痛，咽塞不利，习习如痒，喉中干燥，时欲吐呕，烦
闷，白汗时出，痛引彻背；不治，则数日杀人，病名胸痞。由下虚极，气上控膈使然，其脉阳微阴结。
治胸痞，胸中痛彻背，气塞，喘息咳喘，心腹痞闷。
栝蒌(去瓤取子，炒香熟，留皮与瓤别用) 枳壳(麸炒去瓤，各等分)
上二味，为细末，先取栝蒌皮瓤研末，水熬成膏，和二物末为丸，如梧子大。热熟水下
二十五丸，日二，食后服。
治胸痞，胸中噫塞， 如满，习习如痒，喉中涩，咳唾燥沫。
橘皮（一两） 枳实(麸炒去瓤，二钱） 生姜（半两)
上为锉散。分二服，水二盏，煎七分，为一服，去滓，食前服。
治胸痞切痛方。(此方与仓卒散煮制不同，故别出之)
栀子（二两，烧存性) 附子(炮，三两)
上为锉散。每服三钱，水一大盏，薤白三寸，同煎至五分，食前温服。
脾主意与思，意者记所往事，思则兼心之所为也。故论云，言心未必是思，言思则必是
心，破外人议思心同时，理甚明也。今脾受病，则意舍不清，心神不宁，使人健忘，尽心力
思量不来者是也。或曰∶常常喜忘，故谓之健忘，二者通治。
治疗气机升降失常，胸膈部结聚痞塞。
木香、京三棱（炮制）、青皮（各半两），半夏（三两，用开水清洗七次），大腹子（一分）。
以上药物研为细末，用姜汁调糊制成丸药，大小如梧桐子。饭后用米汤送服二三十丸。
嘉禾散、沉香散 均治疗五膈病。（方剂见前五噎门章节）
患者心下部坚硬，胀满痞塞且急痛，肌肉中感觉严重痹阻，疼痛急缓不定如针刺般，不能俯仰身体，胸前皮肤皆痛，手不能触碰，
胸中闷塞而胀满，呼吸短促，咳嗽吐痰时牵引疼痛，咽喉堵塞不利，时有瘙痒感，喉中干燥，时常想要呕吐，
烦闷，白汗不时渗出，疼痛放射至背部；若不治疗，则数日内可致人死亡，此病名为胸痞。由于下焦极度虚弱，气机上逆冲击膈膜所致，其脉象表现为阳微阴结。
治疗胸痞，胸中疼痛放射至背部，气机阻塞，喘息咳嗽，心腹部痞闷。
栝蒌（去除瓤取籽，炒香熟，保留皮与瓤分别使用），枳壳（麸炒去瓤，两者等分）。
以上两味药，研为细末，先取栝蒌皮和瓤研成粉末，用水熬制成膏，再与上述两味药粉混合制成丸药，大小如梧桐子。用温热水送服二十五丸，每日两次，饭后服用。
治疗胸痞，胸中噫气堵塞，感觉像胀满一样，时有瘙痒感，喉中涩滞，咳嗽吐出的痰液干燥呈泡沫状。
橘皮（一两），枳实（麸炒去瓤，二钱），生姜（半两）。
以上药物切碎成散剂。分为两次服用，每次用水两盏，煎煮至七分，滤去药渣，饭前服用。
治疗胸痞剧烈疼痛的方剂。（此方与仓卒散的煮制方法不同，故单独列出）
栀子（二两，烧至存性），附子（炮制，三两）。
以上药物切碎成散剂。每次服用三钱，用水一大盏，加入薤白三寸，共同煎煮至五分，饭前温服。
脾主司意念与思考，意是指记忆过去的事情，思则是兼用心神的功能。所以论述中说，说“言”未必是“思”，但说“思”则必定涉及“心”，这清楚地驳斥了外人关于思与心同时发生的议论。如今脾受疾病影响，则意舍不清净，心神不安宁，使人健忘，即尽心竭力思量却想不起来的情况。或者说：常常喜欢遗忘，所以称为健忘，这两种情况通治。
Treats dysfunction of Qi ascending and descending, with knotting and stuffiness in the chest and diaphragm.
Muxiang (Costi Rhizoma), Jingsanleng (Rhizoma Sparganii, prepared), Qingpi (Pericarpium Citri Reticulatae Viride) (each half liang), Banxia (Rhizoma Pinelliae, three liang, washed seven times with boiling water), Dafuzi (Fructus Arecae, one fen).
Grind the above into a fine powder, use Ginger Juice (Zijiang) to make a paste for pills, size of Wutong seeds (Cibotii Semen). Take 20-30 pills after meals with rice soup.
Jiahe San (Rice Flower Powder) and Chenxiang San (Aucklandiae Powder) both treat Wu Ge (Five Obstructions). (Formulas see previous section on Five Ye [Five Dysphagia]).
The patient has hardness under the heart, fullness, stuffiness, and urgent pain; the muscles suffer from severe Bi syndrome (obstruction), with pain varying between acute and chronic like needle pricks, making flexion and extension impossible; the skin over the chest is painful to touch;
the chest feels stuffed and full, with shortness of breath; coughing and spitting induce pain; the throat is blocked and uncomfortable, with a tickling sensation like itching; the throat is dry; there is frequent desire to vomit;
restlessness and oppression occur; white sweat appears intermittently; the pain radiates through to the back; if untreated, death may occur within a few days. This disease is named Xiong Pi (Chest Stuffiness). It arises from extreme deficiency in the lower jiao, causing Qi to rush upward and control the diaphragm. The pulse is characterized by Yang Wei (weak) and Yin Jie (knotted).
Treats Xiong Pi (Chest Stuffiness), pain in the chest radiating to the back, Qi obstruction, panting, coughing, and stuffiness in the heart and abdomen.
Gualou (Trichosanthis Fructus, remove pulp, take seeds, stir-fry until fragrant and cooked, keep peel and pulp separate), Zhike (Aurantii Fructus, bran-stir-fried, remove pulp, equal parts).
Grind the two ingredients into a fine powder. First, grind the Gualou peel and pulp into powder, decoct with water to form a paste, then mix with the two powders to make pills, size of Wutong seeds. Take 25 pills with warm boiled water, twice daily, after meals.
Treats Xiong Pi (Chest Stuffiness), chest feeling blocked with eructation, sensation of fullness, tickling itch, throat涩 (astringent/dry), and coughing up dry frothy saliva.
Jupi (Citri Reticulatae Pericarpium, one liang), Zhishi (Aurantii Fructus Immaturus, bran-stir-fried, remove pulp, two qian), Shengjiang (Zingiberis Rhizoma Recens, half liang).
Chop the above into a coarse powder. Divide into two doses. For each dose, decoct with two zhan of water until reduced to seven-tenths. Strain and take before meals.
Formula for treating sharp pain in Xiong Pi (Chest Stuffiness). (This formula differs in preparation from Cangcu San, hence listed separately.)
Zhizi (Gardeniae Fructus, two liang, burned to retain its nature/charred), Fuzi (Aconiti Lateralis Radix Praeparata, prepared, three liang).
Chop the above into a coarse powder. Each dose is three qian. Decoct with one da zhan of water and three cun of Xiebai (Allii Macrostemonis Bulbus) until reduced to five-tenths. Take warm before meals.
Spleen governs Yi (Intent/Memory) and Si (Deliberation/Thought). Yi refers to remembering past events; Si involves the function of the Heart-Mind. Thus, it is stated that "Yan" (Speech) is not necessarily "Si", but "Si" must involve the Heart. This clearly refutes the external argument that Yi and Heart function simultaneously. When the Spleen is diseased, the Yi She (Residence of Intent) becomes unclear, and the Shen (Spirit) becomes restless, causing Ji Wang (Impaired Memory), where one exerts great effort to think but cannot recall. Alternatively, it is said: frequently forgetting things is called Ji Wang. Both conditions are treated together.