齐王中子诸婴儿小子病召臣意诊切其脉告曰气鬲病病使人烦懑食不下时呕沫病得之少忧
食饮意即为之作下气汤以饮之一日气下二日能食三日即病愈所以知小子之病者诊其脉心气也
浊躁而经也此络阳病也脉法曰脉来数疾去难而不一者病主在心周身热脉盛者为重阳重阳也逖
(音唐)心主故烦懑食不下则络脉有过络脉有过则血上出血上出死此悲心所生也病得之忧也(
史记)
古今论鬲气乃有五种谓忧鬲恚鬲气鬲寒鬲热鬲也夫胸中气结烦闷饮食不下羸瘦无力此乃
忧鬲
心下实满食不消化噫辄醋心大小便不利此名恚鬲胸胁逆满咽喉闭塞噫闻食臭此名气鬲心腹胀
满咳逆肠鸣食不生肌此名寒鬲五心中热口舌生疮骨烦体重唇干口燥背痛胸痹此名热鬲
此病不在外不在内不属冷不属热不是实不是虚所以药难取效此病缘忧思恚怒动气伤神气
积于
内气动则诸证悉见气静疾候稍平扪之而不得疾之所在目视之而不知色之所因耳听之而不知音
之所发故针灸服药皆不获效此乃神意间病也顷京师一士人家有此证劝令净观内外将一切用心
力事委之他人服药方得见效若不如此恐卒不能安但根据此戒兼之灼艾膏肓与四花穴及服此三药
可以必瘥孙真人云妇人嗜欲多于丈夫感病倍于男子加以慈恋爱憎疾妒忧恚染着坚牢情不自抑
所以为病根深疗之难瘥(鸡峰方同上)
齐王的次子，那些年幼的孩童生病，召请臣意（淳于意）诊脉。他告知说：这是气鬲病。此病使人烦闷、饮食不下，时常呕吐涎沫。此病得之于年少时忧愁。
对于饮食方面，我随即为他配制下气汤，让他服用。一日后气机下行，二日后能进食，三日后病即痊愈。之所以知道是这个小孩子的病，是因为诊察其脉象为心气浊躁而经气紊乱。这是络脉阳分有病。脉法说：脉来数疾而去时艰难且不统一者，病主在心。周身发热、脉盛者为重阳。重阳则扰动心主，所以烦闷、饮食不下。若络脉有过失，络脉有过失则血上溢；血上溢则死。此乃悲忧之心所生之病，病因在于忧愁。（出自《史记》）
古今论述鬲气，共有五种：谓忧鬲、恚鬲、气鬲、寒鬲、热鬲。所谓忧鬲，是胸中气结、烦闷、饮食不下、身体羸瘦无力。所谓恚鬲，是心下实满、食物不消化、嗳气且反酸、大小便不利。所谓气鬲，是胸胁逆满、咽喉闭塞、闻食臭则嗳气。所谓寒鬲，是心腹胀满、咳逆、肠鸣、食物不能滋养肌肉。所谓热鬲，是五心中热、口舌生疮、骨节烦痛、身体沉重、唇干口燥、背痛、胸痹。
此病不在外，不在内，不属冷，不属热，不是实证，不是虚证，所以药物难以取效。此病缘于忧思、恚怒导致气机紊乱、损伤神志。气积于内，气动则诸证悉现，气静则疾候稍平。触摸它却找不到病的所在，观看它却不知色的成因，倾听它却不知音的发源。因此针灸和服药都难以奏效。这乃是神意之间的病。不久前京师一位士人家里有此证，劝他清净观照内外，将一切用心力的事情委托给他人，服药才见效。若不如此，恐怕最终也不能安宁。只要遵循此戒，兼之灼艾膏肓穴与四花穴，并服用这三种药，可以必定痊愈。孙真人说：妇人的嗜欲多于丈夫，感病倍于男子，再加上慈爱、爱憎、嫉妒、忧恚，染着坚牢，情不自抑，所以为病根深，治疗难愈。（出自《鸡峰方》，同上）
The son of King Qi, those young children fell ill. He summoned Chen Yi (Chunyu Yi) to palpate their pulses and informed him: This is Qi Ge disease (Qi Obstruction Disease). This disease causes restlessness and fullness, inability to eat, and frequent vomiting of saliva. It arises from sorrow in youth.
Regarding diet, I immediately prepared for him Xiaqi Tang (Descending Qi Decoction) and had him drink it. After one day, the qi descended; after two days, he could eat; after three days, the illness was cured. The reason I knew it was this child's illness was that upon palpation, the heart qi was turbid and restless, with meridians disrupted. This is a disease of the yang aspect of the collaterals. Pulse methodology states: When the pulse comes rapid and hurried but departs with difficulty and lacks unity, the disease resides in the heart. General body heat and a flourishing pulse indicate Double Yang (Chong Yang). Double Yang disturbs the Heart Master, hence restlessness and inability to eat. If the collateral vessels have excess, blood will flow upward; if blood flows upward excessively, death ensues. This disease is born from the sorrowful heart, caused by worry. (From *Records of the Grand Historian*)
Ancient and modern discussions on Ge Qi (Obstruction Qi) identify five types: You Ge (Sorrow Obstruction), Hui Ge (Anger Obstruction), Qi Ge (Qi Obstruction), Han Ge (Cold Obstruction), and Re Ge (Heat Obstruction). You Ge (Sorrow Obstruction) is characterized by knotting of qi in the chest, restlessness, inability to eat, emaciation, and weakness. Hui Ge (Anger Obstruction) is characterized by fullness and hardness below the heart, indigestion, belching with acid reflux, and difficulty in urination and defecation. Qi Ge (Qi Obstruction) is characterized by rebellious fullness in the chest and hypochondrium, blockage of the throat, and belching upon smelling food. Han Ge (Cold Obstruction) is characterized abdominal distension and fullness, coughing and reverse qi, borborygmus, and food failing to nourish muscles. Re Ge (Heat Obstruction) is characterized by heat in the five centers, sores on the mouth and tongue, bone irritability, heavy body, dry lips and mouth, back pain, and Xiong Bi (Chest Bi Syndrome).
This disease is neither external nor internal, neither cold nor hot, neither excess nor deficiency; therefore, medicinal drugs are difficult to achieve efficacy. This disease originates from worry, thought, anger, and resentment disturbing the qi and damaging the spirit. Qi accumulates internally; when qi moves, all symptoms appear; when qi is still, the disease manifestations subside slightly. Palpating it reveals no location of the disease; observing it reveals no cause of the complexion; listening to it reveals no source of the voice. Thus, acupuncture and medication both fail to be effective. This is a disease within the realm of spirit and intention. Recently, a scholar's family in the capital presented with these symptoms. They were advised to maintain inner purity and observe externally, entrusting all mentally taxing matters to others. Only then did medication take effect. Without doing so, peace would likely never be attained. By adhering to this precept, combined with moxibustion on the Gaohuang acupoint and Sihua acupoints, and taking these three medicines, recovery can be assured. Sun Simiao said: Women have more desires than men, and contract diseases twice as often as men. Furthermore, due to maternal love, love and hate, jealousy, worry, and resentment, which adhere firmly and cannot be controlled by emotion, the disease roots become deep and difficult to cure. (From *Jifang Fang*, same as above)