人以气为主，一息不运则机缄穷，一毫不续则穹 判。阴阳之所以升降者，气也；血脉
之所以流行者，亦气也。营卫之所以运转者，气也；五脏六腑之所以相养相生者，亦此气也。
盛则盈，衰则虚，顺则平，逆则病。气也者，独非人身之根本乎？人有七情，病生七气。七
气者，寒、热、怒、恚、喜、忧、愁，或以为喜、怒、忧、思、悲、惊、恐，皆通也。然则
均调是气将何先焉？曰∶气结则生痰，痰盛则气愈结，故调气必先豁痰，如七气汤以半夏主
治，而官桂佐之，盖良法也。况夫冷则生气，调气虽用豁痰，亦不可无温中之剂，其间用桂，
又所以温其中也，不然七气相干，痰涎凝结，如絮如膜，甚如梅核窒碍于咽喉之间，咯不出
咽不下，或中满艰食，或上气喘急，曰气隔、曰气滞、曰气秘、曰气中，以至五积六聚，疝
癖瘕症，心腹块痛，发即欲绝，殆无往而不至矣。
冷气者，生冷伤脾，风冷入胃，或血海虚冷，冷则生气，用和剂七气汤、治中汤、沉香
降气汤、大沉香丸。
痰结者，三因七气汤、指迷七气汤、易简二陈汤。
中满者，痞满不食，水气肿胀，面目俱浮，枳壳散加南木香、大流气饮、指迷七气汤、
顺气木香散、三和散、五皮散加半夏、茯苓。
上气者，气逆而上，呼吸喘促，分气紫苏汤、苏子降气汤，或嚼苏合香丸以秘传降气汤
送下。
气隔者，阴阳不和，中脘窒塞，五膈吐噫，食不能下，五膈宽中散、和剂七气东加木香、
缩
气滞者，滞于胸膈则胀满，滞于手足则浮肿，滞于腰间则坠痛。胀满用异香散、调气散、
沉香降气汤，仍与神保丸，或少蓬煎丸利之；浮肿用三和散夹生料五苓散，或五皮散加桂吞
青木香丸，局方流气饮加赤茯苓、枳壳；腰痛，俞山人降气汤、局方七气东加橘核或辣桂煎
汤，点调气散，吞青娥丸。
气秘者，停宿不消，肠胃留滞，大便不通，苏合香丸夹和感应丸，或杨氏麝香丸，局方
麻仁丸，并用枳壳散送下。
气疾之人，多因气不归元，遂成气中。状如中风，仆倒昏迷，牙关紧急，只是无痰。此
为气中，不得误用风药及通关利腠等辈。先以姜汁泡汤，调苏合香丸，次用七气汤、大流气
饮加石菖蒲，继之气顺而苏，即以治中东加木香，以和其中，使气归常道。若更不能调，则
气逆而厥，又有变证。
五积者，五脏之所积，其病难医；六聚者，六腑之所聚，其病易治。挟水为癖，挟血为
症，气血水饮皆能结块。轻者神保丸以麝香汤送下，或少与蓬煎丸、撞气阿魏丸、三棱煎丸；
重者如意丸、顶珠丸酌量用。
又一证漉漉作声，腹中缠滞，他无所苦。此为水饮，消饮丸、倍术丸、（方并见水饮类。）
二姜丸夹和用之。
人有血气心知之性，而无哀乐喜怒之常。一种妇人，平时任气，易为七情所伤，适月事
经季不行，一身百病，胸臆气填，呕恶全不入食，入食则吐痰涎。或一块如核，窒塞胸喉而
痛；或一块如卵，筑触心下而疼；或腹中块物，动而作痛，攻刺腰背，时发哄热，四肢乏力，
脚不能行，小便白浊浮油，带下淋沥，日就瘦弱，全似虚劳。然而谷虽不入，果子杂物常喜
食
枣、乌梅同煎。半夏理气消痰，缩砂安胎顺气，北梗以开胸喉之隔，服之自然安平。若妄以
刚剂温胃，胎气必烦，病无由愈。白浊一节，谨勿燥涩，二陈东加白茯苓以下白丸子（方并
见痰涎类）可也。若夫七情所发，逆气填胸，不惟核膜上塞咽喉，甚者攻击满闷欲绝，产后
尤多有之。故曰产前安胎，产后调气。（男女或有胸喉间梅核作恙者，触事勿怒，饮食勿冷
。）
人以气为主宰，一口气不运行则生命机能停滞，一丝一毫不能延续则天地（身体）判然分离。阴阳之所以能够升降，靠的是气；血脉之所以能够流行，也是靠气。营气和卫气之所以能够运转，靠的是气；五脏六腑之所以能够相互滋养、相生相克，也是靠这气。气盛则充盈，气衰则虚弱，气顺则平和，气逆则生病。气，难道不是人身体的根本吗？人有七种情志，由此产生七种气病。所谓七气，有的指寒、热、怒、恚（怨恨）、喜、忧、愁；有的指喜、怒、忧、思、悲、惊、恐，这两种说法都是通用的。那么要调理这些气，应该先从何处入手呢？回答说：气结滞就会生痰，痰多则气更加结滞，所以调理气必须先豁除痰浊，比如七气汤以半夏为主要药物来主治，并用官桂作为辅助，这是很好的方法。况且寒冷会产生寒气，调理气虽然用了豁痰的方法，也不可没有温中的药剂，其中使用桂枝，正是为了温暖中焦。如果不这样，七种气相互干扰，痰涎凝结，像棉絮一样，像薄膜一样，甚至像梅核一样阻塞在咽喉之间，咳不出来也咽不下去，或者胸腹胀满进食困难，或者上气喘急，称为气隔、气滞、气秘、气中，以至于五积、六聚、疝气、癖块、瘕症，心腹肿块疼痛，发作时痛苦欲绝，几乎无处不到。
冷气证，是由于生冷食物损伤脾脏，风冷之邪侵入胃腑，或者是血海虚冷，寒冷则产生寒气，可用和剂局七气汤、治中汤、沉香降气汤、大沉香丸。
中满证，表现为痞闷胀满不想吃东西，水气导致肿胀，面目都浮肿，可用枳壳散加南木香、大流气饮、指迷七气汤、顺气木香散、三和散、五皮散加半夏、茯苓。
上气证，表现为气逆向上，呼吸喘促，可用分气紫苏汤、苏子降气汤，或者嚼服苏合香丸，用秘传降气汤送下。
气隔证，表现为阴阳不和，中脘部位窒塞不通，出现五膈症状及吐噫，食物不能下行，可用五膈宽中散、和剂局七气汤加木香。
气滞证，气滞于胸膈则胀满，滞于手足则浮肿，滞于腰间则坠痛。胀满可用异香散、调气散、沉香降气汤，同时配合神保丸，或少量服用蓬煎丸以利气；浮肿可用三和散夹带生料五苓散，或五皮散加桂枝吞服青木香丸，局方流气饮加赤茯苓、枳壳；腰痛可用俞山人降气汤、局方七气汤加橘核或辣桂煎汤，点调气散，吞服青娥丸。
气秘证，表现为宿食停积不消化，肠胃留滞，大便不通，可用苏合香丸夹带感应丸，或杨氏麝香丸，局方麻仁丸，均用枳壳散送下。
患气疾的人，多因为气不归元，遂成气中。症状像中风，突然仆倒昏迷，牙关紧闭，只是体内没有痰。这称为气中，不得误用祛风药及通关利腠理的药物。先用姜汁泡汤，调服苏合香丸，接着用七气汤、大流气饮加石菖蒲，继之气顺而苏醒，随即用治中汤加木香，以调和其中焦，使气回归常道。如果还不能调理，则气逆而厥冷，又有变证发生。
五积，是五脏所积，病情难治；六聚，是六腑所聚，病情易治。挟水成为癖，挟血成为症，气血水饮都能结块。轻者用神保丸以麝香汤送下，或少量服用蓬煎丸、撞气阿魏丸、三棱煎丸；重者酌情使用如意丸、顶珠丸。
又一种证候，腹中漉漉有声，腹部缠滞不适，没有其他痛苦。这是水饮为患，可用消饮丸、倍术丸（方剂均见水饮类），二姜丸夹带服用。
人具有血气心知的本性，但没有恒定不变的哀乐喜怒情绪。有一种妇人，平时任性，容易受到七情的伤害，恰逢月经经期不行，全身百病丛生，胸臆气机填塞，恶心呕吐完全不能进食，即使进食也会吐出痰涎。或者有一块如核状物，阻塞胸喉而疼痛；或者有一块如卵状物，撞击心下而疼痛；或者腹中有块物，移动并引起疼痛，攻刺腰背，时常发作烘热感，四肢乏力，脚不能行走，小便白浊浮油，白带淋沥不尽，日渐瘦弱，全似虚劳。然而谷物虽不能进入，却常喜欢吃枣、乌梅同煎。半夏能理气消痰，缩砂仁能安胎顺气，北桔梗能开通胸喉之阻隔，服用后自然平安。如果妄用刚燥之剂温胃，胎气必受烦扰，疾病无法痊愈。关于白浊一节，千万不要用燥涩之药，可在二陈汤基础上加白茯苓以下白丸子（方剂均见痰涎类）。至于七情引发的疾病，逆气填塞胸中，不仅核膜堵塞咽喉，严重时攻击导致满闷欲绝，产后尤其多见。所以说产前要安胎，产后要调气。（男女如果在胸喉间有梅核作怪的感觉，遇事不要发怒，饮食不要过冷。）
The human body is governed by Qi. If the movement of a single breath ceases, the mechanisms of life stagnate; if continuity is interrupted even slightly, the distinction between heaven and earth (or the separation of life from death) becomes apparent. The reason Yin and Yang ascend and descend is Qi; the reason blood and vessels flow smoothly is also Qi. The reason Ying (Nutritive Qi) and Wei (Defensive Qi) circulate is Qi; the reason the Five Zang and Six Fu organs nourish and generate each other is also this Qi. When abundant, it fills; when deficient, it empties; when smooth, there is peace; when rebellious, disease arises. Is not Qi the very root of the human body? Humans have seven emotions, which give rise to seven types of Qi disorders. The "Seven Qi" refers either to Cold, Heat, Anger, Resentment, Joy, Worry, and Sorrow, or alternatively to Joy, Anger, Worry, Thought, Grief, Fright, and Fear; both interpretations are generally accepted. So, how should one begin to regulate these Qi? It is said: When Qi knots, Phlegm is produced; when Phlegm is excessive, Qi becomes more knotted. Therefore, regulating Qi must first involve resolving Phlegm. For example, in Qiqi Tang (Seven Qi Decoction), Banxia (Pinelliae Rhizoma) is used as the principal herb, assisted by Guizhi (Cinnamomi Ramulus), which is an excellent method. Moreover, cold generates cold Qi. Although regulating Qi involves resolving Phlegm, one cannot dispense with formulas that warm the Middle Jiao. The use of Cinnamon Twig within such formulas serves precisely to warm the Middle. Otherwise, if the Seven Qi interfere with each other, saliva and Phlegm condense like cotton wadding or membranes, or even obstruct the throat like a plum pit—unable to be coughed out or swallowed down. One may experience abdominal fullness and difficulty eating, or upper-body asthma and急促 breathing. These conditions are termed Ge Qi (Qi Obstruction), Qi Zhi (Qi Stagnation), Qi Mi (Qi Constipation), and Qi Zhong (Qi Stroke). They can lead to Wu Ji (Five Accumulations), Liu Ju (Six Gatherings), Hernia, Pi Masses, Jia Masses, heart and abdominal masses with pain, and attacks so severe they feel like impending death, affecting virtually every part of the body.
Cold Qi Syndrome results from raw and cold foods injuring the Spleen, wind-cold invading the Stomach, or deficiency-cold in the Blood Sea. Since cold generates cold Qi, one may use Heji Ju Qiqi Tang (Seven Qi Decoction from the Imperial Pharmacy), Zhizhong Tang (Regulate the Middle Decoction), Chenxiang Jiangqi Tang (Aucklandiae Descending Qi Decoction), or Dachencheng Wan (Great Aucklandia Pill).
Phlegm Knotting Syndrome can be treated with Sanyin Qiqi Tang (Three Causes Seven Qi Decoction), Zhimi Qiqi Tang (Pointing to the Maze Seven Qi Decoction), or Yijian Erchen Tang (Simplified Two-Chen Decoction).
Middle Fullness Syndrome, characterized by epigastric distension and loss of appetite, water retention causing edema, and swelling of the face and eyes, can be treated with Zhike San (Immature Bitter Orange Powder) added with Nanmuxiang (Aquilariae Lignum Resinatum), Daliuqi Yin (Great Flowing Qi Drink), Zhimi Qiqi Tang, Shunqi Muxiang San (Regulating Qi Aquilariae Powder), Sanhe San (Three Harmonizing Powder), or Wupi San (Five-Bark Powder) added with Banxia and Fuling (Poria).
Upper Qi Syndrome, characterized by rebellious Qi moving upward and rapid breathing, can be treated with Fenqi Zisu Tang (Separating Qi Perilla Leaf Decoction) or Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction). Alternatively, Suhexiang Wan (Styrax Pill) can be chewed and taken with Michuan Jiangqi Tang (Secret Transmission Descending Qi Decoction).
Qi Obstruction Syndrome, characterized by disharmony of Yin and Yang, obstruction in the Zhongwan region, symptoms of the Five Ge (Obstructions) including belching, and inability to swallow food, can be treated with Wuge Kuanzhong San (Five Ge Widening the Middle Powder) or Heji Ju Qiqi Tang added with Muxiang (Aucklandiae Radix).
Qi Stagnation Syndrome manifests as distension if stagnant in the chest and diaphragm, edema if stagnant in the hands and feet, and dragging pain if stagnant in the waist. For distension, use Yixiang San (Fragrant Powder), Tiaoqi San (Regulating Qi Powder), or Chenxiang Jiangqi Tang, combined with Shenbao Wan (Divine Preservation Pill) or Pengjian Wan (Pengju Decoction Pill) to promote flow. For edema, use Sanhe San combined with Shengliao Wuling San (Raw Material Five-Ling Powder), or Wupi San added with Guizhi and swallowed with Qingmuxiang Wan (Green Aquilariae Pill), or Jufang Liuqi Yin (Bureau Formula Flowing Qi Drink) added with Chifuling (Red Poria) and Zhike. For lower back pain, use Yushanren Jiangqi Tang (Dr. Yu's Descending Qi Decoction), Jufang Qiqi Tang added with Juhe (Tangerine Seed) or La Gui (Spicy Cinnamon) decocted to moisten Tiaoqi San, followed by swallowing Qing'e Wan (Blue Jade Pill).
Qi Constipation Syndrome, characterized by retained food failing to digest, stagnation in the intestines and stomach, and constipation, can be treated with Suhexiang Wan combined with Yinggan Wan (Responsive Pill), or Yangshi Shexiang Wan (Yang's Camphor Pill), or Jufang Mahuan Wan (Bureau Formula Hemp Seed Pill), all taken with Zhike San.
Patients with Qi disorders often suffer from Qi failing to return to its origin, resulting in Qi Zhong (Qi Stroke). The presentation resembles Wind-Stroke: sudden collapse, coma, and locked jaw, but without Phlegm. This is called Qi Zhong and must not be mistakenly treated with wind-dispelling drugs or agents that open the collaterals and pores. First, prepare a soup with Ginger Juice and take Suhexiang Wan. Next, use Qiqi Tang or Daliuqi Yin added with Shichangpu (Acori Tatarinowii Rhizoma). Once the Qi flows and consciousness returns, use Zhizhong Tang added with Muxiang to harmonize the Middle and guide the Qi back to its normal pathway. If regulation fails further, Qi rebels leading to syncope, and complications may arise.
Wu Ji (Five Accumulations) are accumulations in the Five Zang organs and are difficult to treat; Liu Ju (Six Gatherings) are gatherings in the Six Fu organs and are easier to treat. Water accumulation forms Pi (masses); blood accumulation forms Zheng (fixed masses). Qi, blood, and fluid retention can all form lumps. In mild cases, Shenbao Wan is taken with Shexiang Tang (Camphor Decoction), or small doses of Pengjian Wan, Zhuangqi Awai Wan (Colliding Qi Asafoetida Pill), or Sanleng Jian Wan (Burreed Decoction Pill) are used. In severe cases, Ruyi Wan (Ruyi Pill) or Dingzhu Wan (Top Pearl Pill) are used according to judgment.
Another syndrome involves gurgling sounds in the abdomen and internal stagnation, without other discomfort. This is caused by Fluid Retention. Treatments include Xiaoyin Wan (Eliminating Fluids Pill), Beishu Wan (Double Curcuma Pill) [formulas see Fluid Retention category], or Erjiang Wan (Two Gingers Pill) taken in combination.
Humans possess the nature of blood, Qi, and mental awareness, but do not have constant sorrow, joy, anger, or happiness. Some women, who are typically willful, are easily injured by the Seven Emotions. If menstruation is delayed or absent, myriad diseases may arise. Qi fills the chest and diaphragm; nausea prevents eating; if food is ingested, Phlegm and saliva are vomited. There may be a mass like a nut obstructing the chest and throat causing pain; or a mass like an egg striking the epigastrium causing pain; or abdominal masses that move and cause pain, radiating to the lower back. Paroxysmal heat sensations, limb weakness, inability to walk, turbid white urine with floating oil, and continuous leukorrhea occur. The patient wastes away daily, resembling Deficiency Consumption. However, although solid food is rejected, the patient often desires boiled dates and dark plums. Banxia regulates Qi and resolves Phlegm; Sha Ren (Amomi Fructus) calms the fetus and regulates Qi; Jiegeng (Platycodonis Radix) opens obstructions in the chest and throat. Taking these will naturally bring peace. If harsh, warming agents are wrongly used to warm the Stomach, the fetal Qi will become disturbed, and the illness will not heal. Regarding turbid urine, avoid drying and astringent herbs; instead, modify Erchen Tang with Baifuling (White Poria) to administer Baixia Wan (White Turbidity Pill) [formula see Phlegm-Saliva category]. As for illnesses triggered by the Seven Emotions, rebellious Qi fills the chest. Not only does the "plum-pit" sensation block the throat, but severe cases attack with fullness and stifling distress, especially common postpartum. Hence, it is said: During pregnancy, calm the fetus; after delivery, regulate the Qi. (Men and women experiencing a "plum-pit" sensation in the chest or throat should avoid anger and consume cold-free diets.)