干姜 黄芩 桂心 半夏 甘草 橘皮 干地黄 芍药（各二两） 桔梗（三两） 枳
实（
五枚） 人参（一两） 吴茱萸（五合）
气噎膈者，此方主之。
噎膈者，有物噎塞，防碍饮食之名。今人与翻胃浑然无辨，非古也，深师、孙真人之传
也。七气者，寒气、热气、怒气、恚气、喜气、忧气、愁气也。气者，营运不息之物，故气
行则治，气郁则病。冲和则治，乖戾则病。是方也，辛可以行气，故用干姜、肉桂、吴萸、
半夏、陈皮之辛。苦可以降气，故用黄芩、枳实、桔梗之苦。脾虚则不能运气，故用人参、
甘草以益脾。肝肾弱则不能吸气，故用地黄以滋肾，芍药以和肝。
生韭汁 醇酒（等分）
每服二合，日二。
血噎膈者，此方主之。
汉医但称噎、称膈而已，后之方书称五噎、五膈。五噎者，气噎、忧噎、劳噎、食噎、
思噎也。五膈者，忧膈、恚膈、气膈、寒膈、热膈也。立言虽曰有五，说证其实未周。今不
拘其说，只据世人所有之证而订其方焉。血噎膈者，或因跌扑，或因大怒，血积胸膈，久久
凝结，令人妨碍饮食，得热则宽，得寒则痛是也。生韭汁，能解蓄血之瘀结，佐以醇酒，行
其势也。
栝蒌仁 枳壳 制半夏 桔梗
姜汁米糊为丸。
痰噎膈者，此方主之。
痰随气上，亦随气下，故栝蒌、枳壳、桔梗，皆下气药也。痰以湿生，必以燥去，故半
夏者，燥湿之品也。或问∶桔梗为诸药之舟楫，浮而不沉者也。何以下气？余曰∶甘者恋膈，
苦者下气，轻者上浮，苦者下降，此药之性也。桔梗甘而苦，为阳中之少阴，故初则恋膈，
久则下气矣。痰盛者，宜于痰门诸方消息之。
【深师】七气汤：干姜、黄芩、桂心（肉桂的心材）、半夏、甘草、橘皮（陈皮）、干地黄、芍药，各二两；桔梗三两；枳实五枚；人参一两；吴茱萸五合。
此方主治气噎膈证。
所谓噎膈，是指有物阻塞咽喉胸膈，妨碍饮食吞咽的病名。如今人们将噎与膈混为一谈，不加区分，这不符合古义，而是源自《深师方》和孙思邈（真人）的传承。所谓的“七气”，指的是寒气、热气、怒气、恚气（愤懑之气）、喜气、忧气、愁气。气是体内运行不息的物质，所以气行通畅则健康，气机郁滞则生病。气机冲和调顺则病愈，气机乖张暴戾则致病。本方中，辛味药物可以行气，所以选用干姜、肉桂、吴茱萸、半夏、陈皮的辛味；苦味药物可以降气，所以选用黄芩、枳实、桔梗的苦味。脾虚则不能运化气机，所以用人参、甘草来补益脾气。肝肾虚弱则不能纳气，所以用地黄来滋补肾阴，用芍药来调和肝血。
韭汁饮：生韭菜汁、醇酒（度数较高的酒），两者等分。
每次服用二合，每日两次。
此方主治血噎膈证。
汉代医生只称噎或称膈，后世的医方书籍称为五噎、五膈。五噎包括：气噎、忧噎、劳噎、食噎、思噎。五膈包括：忧膈、恚膈、气膈、寒膈、热膈。虽然立论说有五种，但论述症状其实并不周全。现在我不拘泥于这些说法，只是根据世人实际出现的症状来制定相应的方剂。血噎膈证，可能是因为跌打损伤，也可能是因为大怒，导致血液积聚在胸膈部位，久而久之凝结不散，使人妨碍饮食，遇热则舒缓，遇寒则疼痛。生韭菜汁能化解蓄积之血的瘀结，佐以醇酒，以增强其行血之势。
用姜汁和米糊制作成丸剂。
此方主治痰噎膈证。
痰随气上逆，也随气下行，所以栝蒌、枳壳、桔梗，都是下气（降气）的药物。痰由湿邪产生，必须用燥湿的方法去除，所以半夏是燥湿的药物。有人问：桔梗作为诸药的舟楫（引经药），性质浮而不沉，怎么能降气呢？我说：甘味药留恋胸膈，苦味药降气，轻清药上浮，苦重药下降，这是药物的本性。桔梗味甘而兼苦，属于阳中之少阴，所以起初留恋胸膈，久服则能降气。痰盛者，适宜在治痰门的各方剂中斟酌选用。
[Shen Shi] Qi Qi Decoction (Seven-Qi Decoction): Rhizoma Zingiberis Preparatum (Ganjiang), Fructus Scutellariae (Huangqin), Cortex Cinnamomi (Guixin), Rhizoma Pinelliae Preparatum (Banxia), Radix Glycyrrhizae (Gancao), Pericarpium Citri Reticulatae (Jupi), Radix Rehmanniae Preparata (Gandi Huangdi), Radix Paeoniae Alba (Shaoyao), each 2 liang; Radix Platycodonis (Jiegeng) 3 liang; Fructus Aurantii Immaturus (Zhishi) 5 pieces; Radix Ginseng (Renshen) 1 liang; Fructus Evodiae (Wuzhuyu) 5 he.
This decoction is the primary treatment for Qi-type Yige (Qi-type Dysphagia and Regurgitation).
Yige refers to a condition characterized by obstruction in the throat and chest, hindering the swallowing of food and drink. In modern times, people often confuse "Ye" (dysphagia with sensation of obstruction) and "Ge" (regurgitation/obstruction), failing to distinguish them, which contradicts ancient understanding. This classification originates from the transmission of *Shen Shi Fang* and Sun Simiao (Zhenren). The so-called "Seven Qi" refers to Cold Qi, Heat Qi, Anger Qi, Resentment Qi, Joy Qi, Sorrow Qi, and Worry Qi. Qi is the substance that circulates incessantly within the body; thus, when Qi flows smoothly, health prevails, but when Qi stagnates, disease arises. When Qi is harmonious and balanced, recovery occurs; when it is discordant and violent, illness manifests. In this formula, pungent herbs can promote Qi circulation, hence Pungent herbs such as Ganjiang, Rougui, Wuzhuyu, Banxia, and Chenpi are used. Bitter herbs can descend Qi, hence Bitter herbs such as Huangqin, Zhishi, and Jiegeng are employed. Spleen deficiency fails to transform and transport Qi, hence Renshen and Gancao are used to tonify the Spleen. Liver and Kidney weakness fail to grasp Qi, hence Dihuang is used to nourish the Kidney, and Shaoyao is used to harmonize the Liver.
Jiu Zhi Yin (Leek Juice Drink): Fresh Leek Juice (Shengjiuzhi) and Chunjiu (Mellow Wine), in equal proportions.
Take 2 he per dose, twice daily.
This drink is the primary treatment for Blood-type Yige.
Han dynasty physicians referred only to Ye or Ge. Later medical texts classified them into Five Ye and Five Ge. The Five Ye include: Qi Ye, You Ye, Lao Ye, Shi Ye, and Si Ye. The Five Ge include: You Ge, Hui Ge, Qi Ge, Han Ge, and Re Ge. Although the theory posits five categories, the description of symptoms is actually incomplete. Currently, disregarding these rigid classifications, we formulate prescriptions based on the actual symptoms presented by patients. Blood-type Yige may result from trauma/falls or severe anger, causing blood to accumulate in the chest and diaphragm. Over time, this coagulates, obstructing diet. Symptoms ease with heat and worsen with cold. Fresh leek juice can resolve the stasis of accumulated blood, assisted by mellow wine to enhance its blood-moving action.
Gualou Shi Wan (Trichosanthes Fruit Pill): Semen Trichosanthis (Gualouren), Exocarpium Aurantii (Zhike), Rhizoma Pinelliae Preparatum (Banxia).
Form pills using Ginger Juice (Jiangzhi) and Rice Paste (Mihu).
This pill is the primary treatment for Phlegm-type Yige.
Phlegm ascends with rebellious Qi and descends with descending Qi; therefore, Gualou, Zhike, and Jiegeng are all herbs that descend Qi. Phlegm is generated from Dampness and must be eliminated by drying methods; thus, Banxia is a herb that dries Dampness. One might ask: Since Jiegeng acts as a carrier for other herbs and has a floating nature, how can it descend Qi? I reply: Sweet flavors tend to linger in the diaphragm, while bitter flavors descend Qi; light/clear substances float upward, while heavy/bitter substances sink downward. This is the inherent nature of herbs. Jiegeng is sweet and bitter, belonging to "Minor Yin within Yang." Initially, it lingers in the diaphragm due to its sweetness, but prolonged use allows its bitter property to descend Qi. For cases with abundant phlegm, one should consult various formulas in the Phlegm category for appropriate selection.