《病源论》云∶气噎由阴阳不和，脏气不理，寒气填于胸膈，故气有咽塞不通，而谓之
气噎
又云∶噎者，一曰气噎，二曰忧噎，三曰食噎，四曰劳噎，五曰思噎。虽有五名，皆由
阴阳
《新录方》治气噎胸塞不达方∶水服盐末一大匙。
又方∶含咽美酒，取瘥止，酢亦得。
又方∶苏蜜合煎，令相得，细细含咽之。
又方∶捣韭取汁，服五合。
又方∶灸膻中穴。
又方∶灸第五椎。又灸内踝上三寸。
《集验方》通气噎汤方∶
半夏（八两，洗） 桂心（三两） 生姜（八两）
凡三物，以水八升，煮取三升，服半升，日二。
《千金方》治噎气不通、永不得食方∶
杏仁（三两） 桂心（三两）
二味，丸如枣核，稍咽之，临食先含，弥佳。（《极要方》同之。）
《病源论》云∶夫奔豚气者，肾之积气也，起于惊恐忧思所生也。若惊恐则伤神，心藏
神也
其
妄言妄见，此惊恐奔豚之状也。若气满支心，心下烦乱，不欲闻人声，休作有时，乍瘥乍剧
，吸吸短气，手足厥逆，内烦结痛，温温欲呕，此忧思奔豚之状也。
《医门方》云∶论曰，奔豚病者，从少腹起上冲喉咽，发作时欲死，皆从惊得之。
疗奔豚气方∶生葛根二十分，甘李根白皮切小一升，水九升，煮三升，分温三服，服相
去八
疗奔豚气在心胸中不下支满者方∶
生姜（五两） 半夏（四两，洗） 桂心 人参 吴茱萸 甘草（炙） 茯苓（各二两）
水七升，煮取二升半，分温三服，服相去八九里。
又云∶灸奔豚法∶恒灸气海、丹田、关元，皆当其穴灸之，穴在脐下一寸、二寸、三寸
是也
《短剧方》云∶师曰，病有奔豚，有吐脓，有惊怖，有火灸耶，此四部病皆从惊得之，
所言如奔豚之状者，是病患气如豚奔走，气息喘迫，上逆之状也。汤方用KT 猪者，谓雄
豚、KT 斗子是，先逐之，使奔之，然后杀取血及脏合药也。
葛根奔豚汤方∶
葛根（八两，干者） 生李根（一升，去皮） 人参（三两） 术肉（二两） 半夏（一
升，洗，炙）
凡十物，以豚汁二斗，煮得五升，温服八合，日三。
牡蛎奔豚汤方∶
牡蛎（三两） 桂肉（八两） 李根（一斤） 甘草（三两）
凡四物，煮豚令熟，取汁一斗七升，煮李根得七升汁，纳药，取三升，分服五合，日三，
夜再。
《广济方》疗贲气在胸、心迫满支寄方∶
生姜（一斤） 半夏（四两，洗） 桂心（三两） 人参（二两） 吴茱萸（一两） 甘
草（二两，炙）
上，以水一斗，煮取三升，绞去滓，分温三服，忌生菜、面、粘食。
《集验方》奔豚茯苓汤，治虚气五脏不足、寒气厥逆、腹满、气奔冲胸膈、发作气欲绝
不识
生葛（八两） 甘李根白皮（切，一升） 生姜（五两） 茯苓（四两） 半夏（一升，
洗） 人参（
肥豚一头三十斤者，逐走令口中沫出，刺取血，冶豚如食法，以水足淹豚，豚熟出之，
澄取清
《千金方》治气上下痞塞不能休息破气丸方∶
桔梗（三分） 胡椒（七分） 荜茇（十卜） 橘皮（三卜） 干姜（三卜） 椒（六
分） 乌头（
（五分） 甘草（八分） 细辛（
苓（四分） 前胡（四分） 术（六分）
茱萸（六分）
二十四味，丸如梧子，酒服十丸，日二。有热者空腹服之。
又云∶治气上不得卧神秘方∶
橘皮 生姜 紫苏 人参 五味子
五味，各等分五两，水七升半，煮取三升，分三服。
又云∶治气满腹胀下气汤方∶
半夏（一升） 生姜（一升） 人参（一两半） 橘皮（三两）
四味，切之，以水七升，煮取三升，分三服，一日令尽。
《诸病源候论》说：气噎是由于阴阳失调，脏腑之气运行不畅，寒气充斥于胸膈部位，导致气机在咽喉处堵塞不通，所以称为气噎。
又说：噎证，一种叫气噎，二种叫忧噎，三种叫食噎，四种叫劳噎，五种叫思噎。虽然有五种名称，但都是由阴阳失调（所致）。
《新录方》治疗气噎、胸中痞塞不通的方子：用水送服盐末一大匙。
另一个方子：含咽美酒，直到病愈为止，醋也可以。
又一个方子：紫苏和蜂蜜一起煎煮，使其融合，细细含咽。
又一个方子：捣取韭菜汁，服用五合。
又一个方子：灸膻中穴。
又一个方子：灸第五椎（背部第五胸椎棘突下）。又灸内踝上三寸（复溜穴附近或泛指小腿内侧穴位）。
《集验方》通气噎汤方：
半夏（八两，洗净） 桂心（三两） 生姜（八两）
以上三味药，用水八升，煮取三升药液，每次服用半升，每日两次。
《千金方》治疗噎气不通、完全无法进食的方子：
杏仁（三两） 桂心（三两）
这两味药，制成如枣核大小的丸剂，慢慢咽下，吃饭前先含在口中更好。（《极要方》与此相同。）
《诸病源候论》说：奔豚气，是肾脏的积气，起于惊恐、忧愁、思虑所产生。如果受到惊恐则损伤心神，因为心藏神。
患者出现胡言乱语、幻觉妄见，这是惊恐型奔豚的症状。如果感觉气满支撑心胸，心下烦乱，不想听到人声，发作与休止有定时，时而好转时而加重，呼吸短促，手足逆冷，心中烦闷结痛，恶心欲呕，这是忧思型奔豚的症状。
《医门方》说：论述道，奔豚病，从少腹向上冲至喉咽，发作时痛苦欲死，都是从惊吓引起的。
治疗奔豚气的方子：生葛根二十分，甘李根白皮切碎一升，用水九升，煮取三升，分三次温服，服药间隔时间……（原文此处似有缺漏，依文意理解为常规分服）。
治疗奔豚气停留在心胸中不下、支撑胀满的方子：
生姜（五两） 半夏（四两，洗净） 桂心 人参 吴茱萸 甘草（炙） 茯苓（各二两）
用水七升，煮取二升半，分三次温服，服药间隔约八九里路的时间（指步行一段时间）。
又说：治疗奔豚的灸法：经常灸气海、丹田、关元穴，都要在这些穴位上进行艾灸，这些穴位分别在脐下一寸、二寸、三寸处。
《短剧方》说：老师说，疾病中有奔豚，有吐脓，有惊怖，有火灸造成的损伤，这四种病都是从惊吓引起的。所说的像奔豚一样的症状，是指病人的气息像小猪奔跑一样，气息喘急紧迫，向上逆冲的状态。汤方中使用猪的原因，是指雄猪和小猪，先驱赶它们奔跑，使它们气喘吁吁，然后宰杀取血及内脏来合药。
葛根奔豚汤方：
葛根（八两，干品） 生李根（一升，去皮） 人参（三两） 术肉（白术，二两） 半夏（一升，洗净，炙过）
以上十味药，用猪汁二斗，煮取五升，温服八合，每日三次。
牡蛎奔豚汤方：
牡蛎（三两） 桂肉（桂枝，八两） 李根（一斤） 甘草（三两）
以上四味药，煮猪令熟，取汁一斗七升，再煮李根得七升汁，纳入药物，煮取三升，分次服用五合，每日三次，夜间两次。
《广济方》治疗贲气在胸中、心脏逼迫胀满支撑的方子：
生姜（一斤） 半夏（四两，洗净） 桂心（三两） 人参（二两） 吴茱萸（一两） 甘草（二两，炙）
以上药物，用水一斗，煮取三升，过滤去渣，分三次温服，忌食生菜、面食、粘性食物。
《集验方》奔豚茯苓汤，治疗虚气导致五脏不足、寒气厥逆、腹部胀满、气奔冲胸膈、发作时气绝不知人事……
生葛（八两） 甘李根白皮（切碎，一升） 生姜（五两） 茯苓（四两） 半夏（一升，洗净） 人参（……）
肥猪一头三十斤重的，驱赶奔跑直至口出白沫，刺取血液，将猪肉按食用方法处理，用水足够淹没猪肉，煮熟后取出，澄清取清汁……
《千金方》治疗气上下痞塞不能休息的破气丸方：
桔梗（三分） 胡椒（七分） 荜茇（十卜/十分） 橘皮（三卜/三分） 干姜（三卜/三分） 椒（花椒，六分） 乌头（……）
（五分） 甘草（八分） 细辛（……）
苓（茯苓，四分） 前胡（四分） 术（白术，六分）
茱萸（吴茱萸，六分）
以上二十四味药，制成梧桐子大小的丸剂，酒送服十丸，每日两次。有热者空腹服用。
又说：治疗气上逆不得卧的神秘方：
橘皮 生姜 紫苏 人参 五味子
五味药，各等分五两，用水七升半，煮取三升，分三次服用。
又说：治疗气满腹胀的下气汤方：
半夏（一升） 生姜（一升） 人参（一两半） 橘皮（三两）
以上四味药，切碎，用水七升，煮取三升，分三次服用，一天内服完。
According to the *Bing Yuan Lun* (Treatise on the Causes and Manifestations of Diseases), Qi Ye (Qi Obstruction) is caused by disharmony between Yin and Yang, and disordered Qi movement in the Zang-Fu organs. Cold pathogen fills the chest and diaphragm, causing Qi obstruction in the throat, hence it is called Qi Ye.
It is further stated that there are five types of Ye: one is Qi Ye (Qi Obstruction), two is You Ye (Worry Obstruction), three is Shi Ye (Food Obstruction), four is Lao Ye (Fatigue Obstruction), and five is Si Ye (Pensiveness Obstruction). Although they have five names, all arise from Yin-Yang disharmony.
The *Xin Lu Fang* (Newly Recorded Formulas) provides a formula for treating Qi Ye with chest fullness and blockage: Take one large spoonful of salt powder, swallowed with water.
Another formula: Gargle and swallow fine wine until cured; vinegar is also acceptable.
Another formula: Decoct Perilla Honey together until blended, then hold in the mouth and swallow slowly.
Another formula: Crush fresh Chinese Chive to extract juice, take five he.
Another formula: Moxibustion at Danzhong (CV-17).
Another formula: Moxibustion at the fifth thoracic vertebra. Also moxibustion at three cun above the medial malleolus.
The *Ji Yan Fang* (Collected Proven Formulas) provides Tong Qi Ye Tang (Ventilate Qi Obstruction Decoction):
Ban Xia (Pinelliae Rhizoma, 8 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang) Sheng Jiang (Zingiberis Rhizoma Recens, 8 liang)
These three ingredients are decocted in eight sheng of water to obtain three sheng of liquid. Take half sheng per dose, twice daily.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) provides a formula for treating Ye Qi blockage where food cannot be taken at all:
Xing Ren (Armeniacae Semen Amarum, 3 liang) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang)
These two ingredients are made into pills the size of jujube pits. Swallow them gradually; it is better to hold them in the mouth before meals. (This is identical to the *Ji Yao Fang*).
The *Bing Yuan Lun* states: Ben Tun Qi (Running Piglet Qi) is an accumulation of Qi in the Kidney, arising from fright, fear, worry, and overthinking. Fright injures the Shen (Spirit), as the Heart houses the Shen.
Manifestations include delirious speech and visual hallucinations, which characterize the Fright-type Ben Tun. If Qi feels full and distending in the heart/chest, accompanied by mental restlessness, aversion to human voices, periodic exacerbation and remission, shortness of breath, cold extremities, internal irritability and pain, and nausea, this characterizes the Worry/Thinking-type Ben Tun.
The *Yi Men Fang* (Medical Gate Formulas) states: Ben Tun disease involves Qi rushing from the lower abdomen up to the throat. During attacks, the patient feels as if dying. All cases originate from fright.
Formula for treating Ben Tun Qi:
Sheng Ge Gen (Puerariae Radix, 20 fen) Gan Li Gen Bai Pi (Pruni Spinosae Cortex Albus, 1 sheng, chopped)
Decoct in nine sheng of water to obtain three sheng. Divide into three warm doses. [Text implies standard dosing interval].
Formula for treating Ben Tun Qi stuck in the chest and upper abdomen causing distension:
Sheng Jiang (Zingiberis Rhizoma Recens, 5 liang) Ban Xia (Pinelliae Rhizoma, 4 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex) Ren Shen (Ginseng Radix) Wu Zhu Yu (Evodiae Fructus) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared) Fu Ling (Poria, each 2 liang)
Decoct in seven sheng of water to obtain two and a half sheng. Divide into three warm doses. [Interval described as walking distance/time].
It is also stated: Moxibustion method for Ben Tun: Frequently moxa Qihai (CV-6), Tiantui (CV-12/Dantian), and Guanyuan (CV-4). These points are located one, two, and three cun below the umbilicus, respectively.
The *Duan Ju Fang* (Short Drama Formulas) states: The Master said, among diseases are Ben Tun, vomiting of pus, fright/terror, and injuries from fire-moxa. These four categories all stem from fright. The term "Ben Tun" describes the patient's Qi moving like a running piglet, with panting and urgent upward counterflow. The use of pig in the decoction refers to using male pigs or young pigs; they are driven to run until exhausted, then slaughtered to collect blood and viscera for the medicine.
Ge Gen Ben Tun Tang (Kudzu Root Running Piglet Decoction):
Ge Gen (Puerariae Radix, dried, 8 liang) Sheng Li Gen (Pruni Spinosae Cortex, 1 sheng, peeled) Ren Shen (Ginseng Radix, 3 liang) Zhu Rou (Atractylodis Macrocephalae Rhizoma, 2 liang) Ban Xia (Pinelliae Rhizoma, 1 sheng, washed and processed)
These ten ingredients are decocted in two dou of pig juice to obtain five sheng. Take eight he warm, three times daily.
Mu Li Ben Tun Tang (Oyster Shell Running Piglet Decoction):
Mu Li (Ostreae Concha, 3 liang) Gui Rou (Cinnamomi Cortex, 8 liang) Li Gen (Pruni Spinosae Cortex, 1 jin) Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang)
These four ingredients are boiled in pig juice (obtained by boiling a pig until cooked, taking 1.7 dou of juice). Boil the Li Gen in this juice to obtain seven sheng. Add the other herbs and boil down to three sheng. Take five he per dose, three times daily and twice at night.
The *Guang Ji Fang* (Broad Salvation Formulas) provides a formula for Fen Qi (Rebellious Qi) in the chest, causing heart oppression and fullness:
Sheng Jiang (Zingiberis Rhizoma Recens, 1 jin) Ban Xia (Pinelliae Rhizoma, 4 liang, washed) Gui Xin (Cinnamomi Ramulus Cortex, 3 liang) Ren Shen (Ginseng Radix, 2 liang) Wu Zhu Yu (Evodiae Fructus, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang, prepared)
Decoct in one dou of water to obtain three sheng. Strain and remove dregs. Divide into three warm doses. Avoid raw vegetables, wheat products, and sticky foods.
The *Ji Yan Fang* Ben Tun Fu Ling Tang (Running Piglet Poria Decoction) treats deficiency Qi leading to insufficiency of the Five Zang organs, cold pathogen causing cold limbs, abdominal fullness, Qi rushing to the chest/diaphragm, and attacks where Qi seems to cease and consciousness is lost...
Sheng Ge (Puerariae Radix, 8 liang) Gan Li Gen Bai Pi (Pruni Spinosae Cortex Albus, 1 sheng, chopped) Sheng Jiang (Zingiberis Rhizoma Recens, 5 liang) Fu Ling (Poria, 4 liang) Ban Xia (Pinelliae Rhizoma, 1 sheng, washed) Ren Shen (Ginseng Radix...)
Take a fat pig weighing thirty jin. Drive it until it foams at the mouth. Pierce to collect blood. Process the pork meat according to culinary methods. Submerge in sufficient water, boil until cooked, remove, and clarify to obtain clear juice...
The *Qian Jin Fang* Po Qi Wan (Break Qi Pill) for treating Qi blockage above and below with no relief:
Jie Geng (Platycodonis Radix, 3 fen) Hu Jiao (Piperis Longi Fructus, 7 fen) Bi Bo (Piperis Kadsurae Fructus, 10 fen) Ju Pi (Citri Reticulatae Pericarpium, 3 fen) Gan Jiang (Zingiberis Rhizoma, 3 fen) Jiao (Zanthoxyli Fructus, 6 fen) Wu Tou (Aconiti Lateralis Radix Praeparata...)
(5 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 8 fen) Xi Xin (Asari Radix et Rhizoma...)
Fu Ling (Poria, 4 fen) Qian Hu (Peucedani Radix, 4 fen) Zhu (Atractylodis Rhizoma, 6 fen)
Zhu Yu (Evodiae Fructus, 6 fen)
Twenty-four ingredients are made into pills the size of wetland pea seeds. Take ten pills with wine, twice daily. Those with heat signs should take on an empty stomach.
It is also stated: A secret formula for treating Qi rebelling upwards preventing lying down:
Ju Pi (Citri Reticulatae Pericarpium) Sheng Jiang (Zingiberis Rhizoma Recens) Zi Su (Perillae Folium) Ren Shen (Ginseng Radix) Wu Wei Zi (Schisandrae Chinensis Fructus)
Five ingredients, equal parts of five liang each. Decoct in seven and a half sheng of water to obtain three sheng. Divide into three doses.
It is also stated: Xia Qi Tang (Descend Qi Decoction) for treating Qi fullness and abdominal distension:
Ban Xia (Pinelliae Rhizoma, 1 sheng) Sheng Jiang (Zingiberis Rhizoma Recens, 1 sheng) Ren Shen (Ginseng Radix, 1.5 liang) Ju Pi (Citri Reticulatae Pericarpium, 3 liang)
Four ingredients, chopped. Decoct in seven sheng of water to obtain three sheng. Divide into three doses, consumed within one day.