论曰胸中者气之府，呼吸升降之道也。阴阳升降顺理。则气道通调。胸中乃治，喜怒寒
热不调。则气聚于胸而为膈气，夫膈气有五。忧膈恚膈气膈寒膈热膈是也。忧膈之病。胸中
气结烦闷。津液不通。饮食不下。羸瘦无力，恚膈之病。心下苦实满。噎辄醋心，食不消。
心下痞涩。积结在于胃中。大小便不利。气膈之病。胸胁逆满。咽塞不通。噫闻食臭。寒膈
之病，心腹胀满。咳逆。膈上苦冷。脐腹雷鸣，食不生饥。热膈之病。脏有热气。五心中热。
口烂生疮。骨烦四肢重。唇口干燥。身体头面手足或热。腰背疼痛。胸痹引背，水谷不消。
不能多食，羸瘦少气。此五膈为病之证也。盖人之和气。忧思恚怒寒热食饮。悉能伤之。致
阴阳不和。腑脏生病。气痞于胸府之间，故曰膈气。诸方之论不一。又有十膈。证各不同。
大抵其发之源，不越于此也。
论曰人之胸膈。升降出入。无所滞碍。命曰平人。若寒温失节。忧恚不时。饮食乖宜。
思虑不已。则阴阳拒隔。胸脘痞塞。故名膈气。曰忧曰恚曰气曰寒曰热。五种虽殊。其为膈
病则一。
治阴阳气不升降。痞气膈气。心痛腹痛。咽喉噎闷。气道不匀。呕吐痰沫。饮食不下。
大便秘利不定。或里急后重。腹痛不可忍。此药养气消痰。温中散滞。缓气丸
木香（半两） 桂（去粗皮半两） 人参（二两） 白术（二两） 吴茱萸（二两炒） 浓
朴（去粗皮姜汁炙二两） 诃黎勒皮（二两） 附子（炮裂去皮脐一两半） 阿魏（半两和
面煨熟）
上九味。捣罗为末。炼蜜为丸。如梧桐子大。每服三十丸。温熟水下。不计时候。
治五膈气。胸中烦满。痞塞不通。心腹虚胀。心下结实。饮食不下。诃黎勒汤方
诃黎勒（煨去核） 木香（各一两） 人参 青橘皮（汤浸去白焙各半两） 浓朴（去
粗皮生姜汁炙一两） 沉香（锉） 益智（去皮） 桂（去粗皮） 槟榔（锉） 枇杷叶（炙
去毛） 荜澄茄 赤茯苓（去黑皮） 高良姜 白豆蔻（去皮） 白术（各半两） 前胡（去
芦一两） 甘草（炙锉半两）
上一十七味。粗捣筛。每服三钱匕。水一盏。入生姜三片。同煎至七分。去滓热服。不
以时候。
治男子妇人。五种膈气。及一切气。不思饮食。建中丸方
白豆蔻（去皮一两） 胡椒（一分） 香子（炒） 高良姜（各三分） 甘草（炙锉）
陈橘皮（汤浸去白焙各一两） 酱 人参 红豆蔻（去皮） 干姜（炮） 芎 藿香叶
（各半两）
上一十二味。捣罗为末。炼蜜和丸。如鸡头大。每服二丸。温酒或生姜汤嚼下。不计时
候。
治五种膈气。豆蔻散方
肉豆蔻（去皮三个） 木香 浓朴（去粗皮姜汁炙） 人参 赤茯苓（去黑皮） 桂（去
粗皮各半两） 甘草（炙锉） 青橘皮（汤浸去白焙各一两） 诃黎勒（三枚炮去核） 槟
榔（二枚锉）
上一十味、捣罗为散。每服二钱匕。如茶点服。若入姜枣同煎。亦佳。能治气补劳。通
血脉。益脾胃。
治五种膈气。通膈散方
枳壳（去瓤麸炒） 桂（去粗皮） 甘草（炙锉） 陈曲（炒） 诃黎勒皮 白术 陈
橘皮（汤浸去白焙） 赤茯苓（去黑皮） 人参 干姜（炮） 京三棱（煨锉） 草豆蔻（去
皮） 槟榔（半生半熟） 五味子（炒） 浓朴（去粗皮生姜汁炙） 半夏（汤洗了用生姜
同捣如泥却摊在新瓦上用文武火爆令黄色） 木香 郁李
上一十八味。捣罗为散。每服二钱匕。入盐少许。如茶点服。不计时候。
治霍乱吐泻，气逆结胸。膈气刺痛。不思饮食。备急沉香散方
沉香 丁香（半生半炒） 干姜（炮） 京三棱（煨锉） 蓬莪术（煨锉各半两） 藿
香（用叶） 木香 肉豆蔻（去皮） 桂（去粗皮） 人参 赤茯苓（去黑皮各一两） 高
良姜 胡椒 甘草（炮各一分）
上一十四味，捣罗为散。瓷合盛。每服二钱匕。入盐少许。如茶点服。不计时候。
治五膈气痞。心胸噎塞，渐致羸瘦。五膈散方
人参 赤茯苓（去黑皮） 浓朴（去粗皮姜汁炙） 枳壳（去瓤麸炒） 桂（去粗皮） 甘
草（炙锉） 陈曲（炒） 诃黎勒皮 白术 陈橘皮（汤浸去白焙） 干姜（炮） 京三棱
（煨锉各一两） 槟榔（锉） 木香（各一
上一十四味。捣罗为散。每服二钱匕。入盐点服。如脾气腹胀心胸满闷。每服三钱。用
水一盏。入生姜一块切。枣二枚劈破。盐少许。同煎至八分。不计时候。和滓热服。
治五膈气痞闷。腹胁胀满。豆蔻丸方
肉豆蔻仁 京三棱（炮） 蓬莪术（炮） 青橘皮（汤浸去白焙） 陈橘皮（汤浸去白
焙） 桂（去粗皮各一两） 槟榔（锉） 木香（各半两） 牵牛子（四两半生半熟取末二
两）
上九味。捣罗为末。以枣肉和丸。如梧桐子大。每服二十丸。食后生姜汤下。
治五膈气喘促。腹胁胀满。胸膈不快。痰逆恶心。不思饮食。莱菔木香散方
莱菔子（二两） 粟米（一两半） 陈橘皮（汤浸去白焙一两） 巴豆（肥大者三十枚
去皮于瓦石器内
上五味。捣罗为散。用煮莱菔汤。调下二钱匕。或以生姜汁煮面糊和丸。如梧桐子大。
莱菔汤下十五丸、亦得。
治五种膈气利胸膈。散积滞。消腹胀。进饮食。京三棱丸方
京三棱（湿纸裹煨碎锉） 沉香（各半两） 青橘皮（汤浸去白焙） 鳖甲（去裙 醋
炙） 槟榔（锉各一
上六味。捣罗为末。水煮白面糊和丸。如绿豆大。每服五丸。食后温熟水下。
治五种膈气。胸腹胀闷。不能饮食。 砂枳壳煎丸方
砂（无石者别研三分） 枳壳（汤浸去瓤切作片子焙干取末四两） 乌头（炮裂去皮
尖为末） 大黄（生为末各一两同三味末一处拌匀用醋四升银器内慢火熬成膏入后药末） 桂
（去粗皮） 五灵脂 干漆（炒烟出） 蓬莪术（煨锉） 当归（切焙） 芍药（各一两） 牵
牛子（炒取末三分）
上一十一味。除前膏外。捣罗为末。入 砂等膏中。于臼内捣一千下。和丸如梧桐子大。
每服二十丸。生姜汤下。妇人血气醋汤下。不嚼。不计时候。
治一切膈气。妨闷、不下食。木香诃黎勒汤方
木香 诃黎勒（去核） 陈橘皮（汤浸去白焙各一两） 五味子 半夏（汤洗七遍去滑）
人参 桂（
上一十味。锉如麻豆。每服五钱匕。水一盏半。入生姜一枣大切。煎取八分。去滓温服
治膈气心腹痞满。全不思食。荜茇饮方
荜茇 沉香（锉） 草豆蔻（去皮） 青橘皮（去白焙） 丁香 桃仁（炒去皮尖） 大
腹（锉） 生姜（切炒各一两） 诃黎勒皮（二两） 甘草（炙锉） 枳壳（去瓤麸炒各半
两）
上一十一味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓温服。不拘时。
治五膈。气噎满闷。不下食。五膈丸方
白术（炒） 木香（炮） 诃黎勒（炮去核） 陈橘皮（去白焙） 昆布（洗去咸水） 桃
仁（去皮尖双仁炒各三分） 大黄（锉） 桂（去粗皮） 半夏（汤洗去滑七遍） 槟榔（锉）
枳实（去瓤麸炒） 五味子（各半两） 琥
上一十三味。捣罗为末。炼蜜和丸。如梧桐子大。每服三十丸。空心生姜枣汤下。
治膈气。紫金丹方
桂（去粗皮） 诃黎勒（煨去核各一两） 昆布（洗去咸焙） 桃仁汤（浸去皮尖双仁
炒各一两半） 木香 琥珀研 陈橘皮（去白焙各三分） 白术 沉香 鸡舌香（各半两） 丹
砂（别研一分） 木瓜根（锉
上一十二味。捣研为末。再同研匀。炼蜜和丸。如樱桃大。每服一丸。含化咽津。或欲
作小丸。如梧桐子大。每服二十丸。温酒下。
论述说：胸中是气汇聚的府库，也是呼吸升降的通道。如果阴阳升降顺应常理，气道就会通畅调和，胸中就能保持安宁；如果喜怒情绪失调，寒热邪气干扰，气就会郁结在胸中而成为膈气（以胸膈痞塞、饮食难下为主要表现的病证）。膈气共有五种，即忧膈、恚膈、气膈、寒膈、热膈。
忧膈的病证：胸中气机郁结，烦闷不安，津液运行不畅，饮食难以下咽，身体消瘦无力。
恚膈的病证：心下部感觉苦于胀满坚实，经常噎塞反酸，食物不消化，心下部痞塞涩滞，积结停留在胃中，大小便不通利。
气膈的病证：胸胁部逆气胀满，咽喉堵塞不通，打嗝带有食物的臭味。
寒膈的病证：心腹胀满，咳嗽气逆，膈上部感觉寒冷，脐腹部肠鸣如雷，进食后不知饥饿。
热膈的病证：脏腑内有热气，五心（两手心、两足心及心胸）发热，口腔溃烂生疮，骨节烦扰，四肢沉重，嘴唇和口舌干燥，身体、头部、面部、手足有时发热，腰背疼痛，胸痹牵引背部疼痛，水谷不能消化，不能多吃，身体消瘦，气息短少。这五种膈气的病证就是这样的。大概人的平和之气，因忧愁思虑、愤怒、寒热失调、饮食不当等因素，都能损伤它，导致阴阳不和，脏腑生病，气痞塞在胸府之间，所以称为膈气。各种医方中的论述不尽相同，又有十膈的说法，证候各不相同，但大体上其发病根源，都不超出上述范围。
论述说：人的胸膈部位，气机的升降出入如果没有阻滞障碍，就称为健康人（平人）。如果寒温调节失当，忧怒情绪不时发作，饮食不合宜，思虑没有止境，就会导致阴阳格拒阻隔，胸脘部痞塞不通，所以命名为膈气。所谓忧、恚、气、寒、热，虽然五种情况不同，但它们属于膈病的本质是一致的。
治疗阴阳之气不升降，痞气、膈气，心痛腹痛，咽喉噎闷，气道不调匀，呕吐痰沫，饮食不下，大便秘结或泄泻不定，或者里有急迫感且排便不爽（里急后重），腹痛难以忍受的药物：缓气丸。
木香（半两）、桂枝（去除粗皮半两）、人参（二两）、白术（二两）、吴茱萸（二两，炒制）、厚朴（去除粗皮，用姜汁炙制二两）、诃黎勒皮（二两）、附子（炮裂，去皮脐一两半）、阿魏（半两，与面混合煨熟）。
以上九味药，捣碎过筛成粉末，用炼蜜制成丸药，大小如梧桐子。每次服用三十丸，用温热的熟水送服，不限定时间。
治疗五种膈气，胸中烦闷胀满，痞塞不通，心腹虚胀，心下部结实，饮食不下：诃黎勒汤方。
诃黎勒（煨去核）、木香（各一两）、人参、青橘皮（热水浸泡去除白色部分焙干各半两）、厚朴（去除粗皮，生姜汁炙制一两）、沉香（锉碎）、益智仁（去皮）、桂枝（去除粗皮）、槟榔（锉碎）、枇杷叶（炙制去除绒毛）、荜澄茄、赤茯苓（去除黑皮）、高良姜、白豆蔻（去皮）、白术（各半两）、前胡（去除芦头一两）、甘草（炙制锉碎半两）。
以上十七味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，共同煎煮至七分，去渣热服，不限定时间。
治疗男子妇人五种膈气，以及一切气滞导致的食欲不振：建中丸方。
白豆蔻（去皮一两）、胡椒（一分）、香子（炒制）、高良姜（各三分）、甘草（炙制锉碎）、陈橘皮（热水浸泡去除白色部分焙干各一两）、酱、人参、红豆蔻（去皮）、干姜（炮制）、川芎、藿香叶（各半两）。
以上十二味药，捣碎过筛成粉末，用炼蜜调和制成丸药，大小如鸡头米。每次服用两丸，用温酒或生姜汤嚼服，不限定时间。
治疗五种膈气：豆蔻散方。
肉豆蔻（去皮三个）、木香、厚朴（去除粗皮，姜汁炙制）、人参、赤茯苓（去除黑皮）、桂枝（去除粗皮各半两）、甘草（炙制锉碎）、青橘皮（热水浸泡去除白色部分焙干各一两）、诃黎勒（三枚，炮制去核）、槟榔（二枚，锉碎）。
以上十味药，捣碎过筛成散剂。每次服用二钱匕，像喝茶一样点服。如果加入姜枣共同煎煮，也很好。能治疗气滞补益虚劳，通血脉，益脾胃。
治疗五种膈气：通膈散方。
枳壳（去除瓤，麸炒）、桂枝（去除粗皮）、甘草（炙制锉碎）、神曲（炒制）、诃黎勒皮、白术、陈橘皮（热水浸泡去除白色部分焙干）、赤茯苓（去除黑皮）、人参、干姜（炮制）、京三棱（煨制锉碎）、草豆蔻（去皮）、槟榔（一半生用一半熟用）、五味子（炒制）、厚朴（去除粗皮，生姜汁炙制）、半夏（热水洗后用生姜同捣如泥，摊在新瓦上用文火武火交替爆令黄色）、木香、郁李仁。
以上十八味药，捣碎过筛成散剂。每次服用二钱匕，加入少许盐，像喝茶一样点服，不限定时间。
治疗霍乱吐泻，气逆结胸，膈气刺痛，不思饮食：备急沉香散方。
沉香、丁香（一半生用一半炒制）、干姜（炮制）、京三棱（煨制锉碎）、蓬莪术（煨制锉碎各半两）、藿香（用叶）、木香、肉豆蔻（去皮）、桂枝（去除粗皮）、人参、赤茯苓（去除黑皮各一两）、高良姜、胡椒、甘草（炮制各一分）。
以上十四味药，捣碎过筛成散剂，用瓷盒盛装。每次服用二钱匕，加入少许盐，像喝茶一样点服，不限定时间。
治疗五膈气痞，心胸噎塞，逐渐导致消瘦：五膈散方。
人参、赤茯苓（去除黑皮）、厚朴（去除粗皮，姜汁炙制）、枳壳（去除瓤，麸炒）、桂枝（去除粗皮）、甘草（炙制锉碎）、神曲（炒制）、诃黎勒皮、白术、陈橘皮（热水浸泡去除白色部分焙干）、干姜（炮制）、京三棱（煨制锉碎各一两）、槟榔（锉碎）、木香（各一... [原文此处似有缺漏，依上下文推断为剂量描述]）。
以上十四味药，捣碎过筛成散剂。每次服用二钱匕，加盐点服。如果脾气腹胀心胸满闷，每次服用三钱，用水一盏，加入切块的生姜一块，劈破的枣二枚，少许盐，共同煎煮至八分，不限定时间，连渣一起热服。
治疗五膈气痞闷，腹胁胀满：豆蔻丸方。
肉豆蔻仁、京三棱（炮制）、蓬莪术（炮制）、青橘皮（热水浸泡去除白色部分焙干）、陈橘皮（热水浸泡去除白色部分焙干）、桂枝（去除粗皮各一两）、槟榔（锉碎）、木香（各半两）、牵牛子（四两，一半生用一半熟用，取末二两）。
以上九味药，捣碎过筛成粉末，用枣肉调和制成丸药，大小如梧桐子。每次服用二十丸，饭后用生姜汤送服。
治疗五膈气喘促，腹胁胀满，胸膈不快，痰逆恶心，不思饮食：莱菔木香散方。
莱菔子（二两）、粟米（一两半）、陈橘皮（热水浸泡去除白色部分焙干一两）、巴豆（肥大者三十枚，去皮，在瓦石器内... [原文此处似有缺漏，通常为捣碎或处理]）。
以上五味药，捣碎过筛成散剂。用煮萝卜的水调下二钱匕。或者用生姜汁煮面糊调和制成丸药，大小如梧桐子。用萝卜汤送服十五丸也可以。
治疗五种膈气，利胸膈，散积滞，消腹胀，进饮食：京三棱丸方。
京三棱（湿纸包裹煨碎锉碎）、沉香（各半两）、青橘皮（热水浸泡去除白色部分焙干）、鳖甲（去除裙边，醋炙制）、槟榔（锉碎各一... [原文此处似有缺漏]）。
以上六味药，捣碎过筛成粉末，用水煮白面糊调和制成丸药，大小如绿豆。每次服用五丸，饭后用温热的熟水送服。
治疗五种膈气，胸腹胀闷，不能饮食：砂枳壳煎丸方。
硇砂（无石者另研三分）、枳壳（热水浸泡去除瓤切片焙干取末四两）、乌头（炮裂去皮尖为末）、大黄（生为末各一两，同前三味末一处拌匀，用醋四升在银器内慢火熬成膏，入后药末）、桂枝（去除粗皮）、五灵脂、干漆（炒至烟出）、蓬莪术（煨制锉碎）、当归（切焙）、芍药（各一两）、牵牛子（炒取末三分）。
以上十一味药，除前面的膏外，其余捣碎过筛成粉末，混入硇砂等膏中，在臼内捣一千下，调和制成丸药，大小如梧桐子。每次服用二十丸，生姜汤送服。妇人血气病用醋汤送服，不要咀嚼，不限定时间。
治疗一切膈气，妨闷，不下食：木香诃黎勒汤方。
木香、诃黎勒（去核）、陈橘皮（热水浸泡去除白色部分焙干各一两）、五味子、半夏（热水洗七遍去除滑腻）、人参、桂枝（... [原文此处似有缺漏]）。
以上十味药，锉碎如麻豆大小。每次服用五钱匕，用水一盏半，加入切大的生姜一枚枣块，煎取八分，去渣温服。
治疗膈气心腹痞满，全不思食：荜茇饮方。
荜茇、沉香（锉碎）、草豆蔻（去皮）、青橘皮（去白焙干）、丁香、桃仁（炒制去皮尖）、大腹皮（锉碎）、生姜（切炒各一两）、诃黎勒皮（二两）、甘草（炙制锉碎）、枳壳（去除瓤麸炒各半两）。
以上十一味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣温服，不拘时间。
治疗五膈，气噎满闷，不下食：五膈丸方。
白术（炒制）、木香（炮制）、诃黎勒（炮制去核）、陈橘皮（去白焙干）、昆布（洗去咸水）、桃仁（去皮尖双仁炒各三分）、大黄（锉碎）、桂枝（去除粗皮）、半夏（热水洗去滑腻七遍）、槟榔（锉碎）、枳实（去除瓤麸炒）、五味子（各半两）、琥珀（... [原文此处似有缺漏]）。
以上十三味药，捣碎过筛成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用三十丸，空腹时用生姜枣汤送服。
治疗膈气：紫金丹方。
桂枝（去除粗皮）、诃黎勒（煨去核各一两）、昆布（洗去咸水焙干）、桃仁（热水浸泡去皮尖双仁炒各一两半）、木香、琥珀（研细）、陈橘皮（去白焙干各三分）、白术、沉香、鸡舌香（各半两）、丹砂（另研一分）、木瓜根（锉碎... [原文此处似有缺漏]）。
以上十二味药，捣研成粉末，再共同研磨均匀，用炼蜜调和制成丸药，大小如樱桃。每次服用一丸，含化咽津。或者想做成小丸，大小如梧桐子，每次服用二十丸，用温酒送服。
Discourse states: The chest is the mansion of Qi, and it is the pathway for respiration and the ascending and descending movements. If the ascending and descending of Yin and Yang follow the proper order, the Qi pathway will be smooth and regulated, and the chest will be in a state of harmony. However, if emotions such as joy and anger are unregulated, or cold and heat pathogens interfere, Qi will accumulate in the chest, resulting in Ge Qi (a syndrome characterized by obstruction in the chest and diaphragm). There are five types of Ge Qi: You Ge (Worry Ge), Hui Ge (Resentment Ge), Qi Ge (Qi Stagnation Ge), Han Ge (Cold Ge), and Re Ge (Heat Ge).
The symptoms of You Ge include: Qi knotting in the chest, causing vexation and oppression; unsmooth flow of body fluids; difficulty in swallowing food; emaciation and weakness.
The symptoms of Hui Ge include: a bitter sensation of fullness and solidity in the epigastrium; frequent dysphagia and acid regurgitation; indigestion; a stifling and rough sensation in the epigastrium; accumulation and knotting in the stomach; and difficulty in urination and defecation.
The symptoms of Qi Ge include: rebellious Qi causing fullness in the chest and hypochondrium; blockage in the throat; belching with a smell of food.
The symptoms of Han Ge include: abdominal distension and fullness; coughing and rebellious Qi; a bitter cold sensation above the diaphragm; borborygmus around the umbilicus and abdomen; and lack of hunger after eating.
The symptoms of Re Ge include: Heat Qi in the viscera; heat in the five centers (both palms, both soles, and the chest); oral ulcers; bone烦 (bone distress); heaviness in the four limbs; dry lips and mouth; occasional heat in the body, head, face, hands, and feet; pain in the lower back and back; Xiong Bi (chest bi) radiating to the back; inability to digest water and grain; inability to eat much; emaciation and shortness of breath. These are the manifestations of the five types of Ge Qi. Generally, the harmonious Qi of the human body can be damaged by worry, thought, resentment, anger, cold, heat, and improper diet, leading to disharmony of Yin and Yang and disease in the Zang-Fu organs. Qi becomes stagnant between the chest mansion, hence it is called Ge Qi. Various medical texts offer different discussions, and there is also the concept of Ten Ges with distinct symptoms. However, broadly speaking, their origins do not exceed the scope described above.
Discourse states: When the ascending, descending, exiting, and entering of Qi in the human chest and diaphragm encounter no obstruction, the person is called a "Ping Ren" (healthy person). If temperature regulation is inappropriate, resentment and anger occur irregularly, diet is unsuitable, or thoughts are endless, Yin and Yang will reject and isolate each other, causing stagnation and blockage in the chest and epigastrium. This is named Ge Qi. Although Worry, Resentment, Qi, Cold, and Heat are five different conditions, they are essentially the same type of Ge disease.
For treating the non-ascending and non-descending of Yin and Yang Qi, Pi Qi (stagnant Qi), Ge Qi, heart pain, abdominal pain, throat blockage, uneven Qi pathway, vomiting of phlegm and saliva, inability to swallow food, irregular bowel movements (constipation or diarrhea), tenesmus, and unbearable abdominal pain: use Huan Qi Wan (Soothing Qi Pill).
Ingredients: Mu Xiang (Costus Root, 0.5 liang), Gui Zhi (Cinnamon Twig, peeled, 0.5 liang), Ren Shen (Ginseng, 2 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 2 liang), Wu Zhu Yu (Evodia Fruit, stir-fried, 2 liang), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice, 2 liang), He Li Le Pi (Chebula Pericarpium, 2 liang), Fu Zi (Aconite Lateralis Radix Praeparata, cracked, peeled, and navel removed, 1.5 liang), A Wei (Asafoetida, 0.5 liang, baked熟 with flour).
Process these nine ingredients into powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose with warm boiled water, at any time.
For treating the five types of Ge Qi, chest vexation and fullness, blockage, empty distension of the heart and abdomen, solidity in the epigastrium, and inability to swallow food: use He Li Le Tang (Chebula Decoction).
Ingredients: He Li Le (Chebula Fructus, baked and pitted), Mu Xiang (Costus Root, 1 liang each), Ren Shen (Ginseng), Qing Ju Pi (Green Tangerina Peel, soaked in hot water, white part removed, dried, 0.5 liang each), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice, 1 liang), Chen Xiang (Aquilaria Wood, crushed), Yi Zhi Ren (Alpinia Oxyphylla Fruit, peeled), Gui Zhi (Cinnamon Twig, peeled), Bing Lang (Areca Seed, crushed), Pi Pa Ye (Loquat Leaf, baked and hairs removed), Bi Cheng Qie (Dotchee Pepper), Chi Fu Ling (Red Poria, black skin removed), Gao Liang Jiang (Galangal Rhizome), Bai Dou Kou (Amomum Villosum Fruit, peeled), Bai Zhu (Atractylodes Macrocephala Rhizome, 0.5 liang each), Qian Hu (Peucedani Radix, radicle removed, 1 liang), Gan Cao (Licorice Root, stir-baked and crushed, 0.5 liang).
Process these seventeen ingredients by coarse crushing and sieving. Take 3 qian bi per dose with one cup of water, add three slices of fresh ginger, decoct until 70% remains, remove dregs, and take hot, at any time.
For treating men and women with the five types of Ge Qi and all Qi stagnations causing loss of appetite: use Jian Zhong Wan (Strengthen the Middle Pill).
Ingredients: Bai Dou Kou (Amomum Villosum Fruit, peeled, 1 liang), Hu Jiao (Black Pepper, 1 fen), Xiang Zi (Nigella Sativa Seed, stir-fried), Gao Liang Jiang (Galangal Rhizome, 3 fen each), Gan Cao (Licorice Root, stir-baked and crushed), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried, 1 liang each), Jiang (Sauce), Ren Shen (Ginseng), Hong Dou Kou (Red Cardamom, peeled), Gan Jiang (Dried Ginger, prepared), Xiong (Chuanxiong Rhizome), Huo Xiang Ye (Agastache Leaf, 0.5 liang each).
Process these twelve ingredients into powder, mix with refined honey to form pills the size of a cock's head. Take 2 pills per dose, chewing with warm wine or ginger soup, at any time.
For treating the five types of Ge Qi: use Dou Kou San (Cardamom Powder).
Ingredients: Rou Dou Kou (Nutmeg, peeled, 3 fruits), Mu Xiang (Costus Root), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice), Ren Shen (Ginseng), Chi Fu Ling (Red Poria, black skin removed), Gui Zhi (Cinnamon Twig, peeled, 0.5 liang each), Gan Cao (Licorice Root, stir-baked and crushed), Qing Ju Pi (Green Tangerina Peel, soaked in hot water, white part removed, dried, 1 liang each), He Li Le (Chebula Fructus, 3 fruits, prepared and pitted), Bing Lang (Areca Seed, 2 fruits, crushed).
Process these ten ingredients into powder. Take 2 qian bi per dose, taken like tea. Adding ginger and jujube for decoction is also good. It treats Qi stagnation, tonifies deficiency, unblocks blood vessels, and benefits the spleen and stomach.
For treating the five types of Ge Qi: use Tong Ge San (Unblocking Ge Powder).
Ingredients: Zhi Ke (Bitter Orange Fruit, pulp removed, bran-fried), Gui Zhi (Cinnamon Twig, peeled), Gan Cao (Licorice Root, stir-baked and crushed), Chen Qu (Medicated Leaven, stir-fried), He Li Le Pi (Chebula Pericarpium), Bai Zhu (Atractylodes Macrocephala Rhizome), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried), Chi Fu Ling (Red Poria, black skin removed), Ren Shen (Ginseng), Gan Jiang (Dried Ginger, prepared), Jing San Leng (Curcuma Zedoaria Rhizome, baked and crushed), Cao Dou Kou (Grass Cardamom, peeled), Bing Lang (Areca Seed, half raw half cooked), Wu Wei Zi (Schisandra Berry, stir-fried), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice), Ban Xia (Pinellia Tuber, washed in hot water, pounded with fresh ginger into paste, spread on new tile, baked yellow with alternating mild and strong fire), Mu Xiang (Costus Root), Yu Li Ren (Bush Cherry Seed).
Process these eighteen ingredients into powder. Take 2 qian bi per dose, adding a little salt, taken like tea, at any time.
For treating Huoluan (cholera-like disorder) with vomiting and diarrhea, rebellious Qi knotting in the chest, stabbing pain from Ge Qi, and loss of appetite: use Bei Ji Chen Xiang San (Emergency Agarwood Powder).
Ingredients: Chen Xiang (Agarwood), Ding Xiang (Clove, half raw half stir-fried), Gan Jiang (Dried Ginger, prepared), Jing San Leng (Curcuma Zedoaria Rhizome, baked and crushed), Peng E Zhu (Curcuma Phaeocaulis Rhizome, baked and crushed, 0.5 liang each), Huo Xiang (Patchouli Leaf), Mu Xiang (Costus Root), Rou Dou Kou (Nutmeg, peeled), Gui Zhi (Cinnamon Twig, peeled), Ren Shen (Ginseng), Chi Fu Ling (Red Poria, black skin removed, 1 liang each), Gao Liang Jiang (Galangal Rhizome), Hu Jiao (Black Pepper), Gan Cao (Licorice Root, prepared, 1 fen each).
Process these fourteen ingredients into powder, store in a porcelain container. Take 2 qian bi per dose, adding a little salt, taken like tea, at any time.
For treating Five Ge Qi Pi (stagnation), chest and heart blockage, gradually leading to emaciation: use Wu Ge San (Five Ge Powder).
Ingredients: Ren Shen (Ginseng), Chi Fu Ling (Red Poria, black skin removed), Hou Po (Magnolia Bark, peeled, stir-fried with ginger juice), Zhi Ke (Bitter Orange Fruit, pulp removed, bran-fried), Gui Zhi (Cinnamon Twig, peeled), Gan Cao (Licorice Root, stir-baked and crushed), Chen Qu (Medicated Leaven, stir-fried), He Li Le Pi (Chebula Pericarpium), Bai Zhu (Atractylodes Macrocephala Rhizome), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried), Gan Jiang (Dried Ginger, prepared), Jing San Leng (Curcuma Zedoaria Rhizome, baked and crushed, 1 liang each), Bing Lang (Areca Seed, crushed), Mu Xiang (Costus Root, ... [text incomplete]).
Process these fourteen ingredients into powder. Take 2 qian bi per dose, taken with salt. For Spleen Qi abdominal distension and chest fullness/oppression, take 3 qian bi per dose with one cup of water, add one piece of sliced fresh ginger, two split jujubes, and a little salt. Decoct until 80% remains, take hot with dregs, at any time.
For treating Five Ge Qi Pi and oppression, abdominal and hypochondriac distension: use Dou Kou Wan (Cardamom Pill).
Ingredients: Rou Dou Kou Ren (Nutmeg Kernel), Jing San Leng (Curcuma Zedoaria Rhizome, prepared), Peng E Zhu (Curcuma Phaeocaulis Rhizome, prepared), Qing Ju Pi (Green Tangerina Peel, soaked in hot water, white part removed, dried), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried), Gui Zhi (Cinnamon Twig, peeled, 1 liang each), Bing Lang (Areca Seed, crushed), Mu Xiang (Costus Root, 0.5 liang each), Qian Niu Zi (Balloon Flower Seed, 4 liang, half raw half cooked, take powder 2 liang).
Process these nine ingredients into powder, mix with jujube flesh to form pills the size of Sophora japonica seeds. Take 20 pills per dose after meals with ginger soup.
For treating Five Ge Qi with panting, abdominal and hypochondriac distension, chest discomfort, rebellious phlegm and nausea, and loss of appetite: use Lai Fu Mu Xiang San (Radish and Costus Powder).
Ingredients: Lai Fu Zi (Radish Seed, 2 liang), Su Mi (Millet, 1.5 liang), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried, 1 liang), Ba Dou (Croton Seed, 30 large ones, peeled, ... [text incomplete]).
Process these five ingredients into powder. Take 2 qian bi per dose mixed with water boiled from radish. Alternatively, mix with wheat paste boiled in ginger juice to form pills the size of Sophora japonica seeds. Taking 15 pills with radish soup is also acceptable.
For treating the five types of Ge Qi, benefiting the chest and diaphragm, dissipating stagnation, reducing abdominal distension, and promoting appetite: use Jing San Leng Wan (Curcuma Zedoaria Pill).
Ingredients: Jing San Leng (Curcuma Zedoaria Rhizome, wrapped in wet paper, baked, crushed), Chen Xiang (Agarwood, 0.5 liang each), Qing Ju Pi (Green Tangerina Peel, soaked in hot water, white part removed, dried), Bie Jia (Tartar Testudinis, skirt removed, vinegar-fried), Bing Lang (Areca Seed, crushed, ... [text incomplete]).
Process these six ingredients into powder, mix with white wheat paste boiled in water to form pills the size of mung beans. Take 5 pills per dose after meals with warm boiled water.
For treating the five types of Ge Qi, chest and abdominal distension and oppression, inability to eat: use Sha Zhi Ke Jian Wan (Sal Ammoniac and Bitter Orange Decoction Pill).
Ingredients: Na Sha (Sal Ammoniac, stone-free ones separately ground, 3 fen), Zhi Ke (Bitter Orange Fruit, soaked in hot water, pulp removed, sliced, dried, powder 4 liang), Wu Tou (Aconitum Carmerichaelii Lateralis Radix, cracked, peeled, tip removed, powder), Da Huang (Rhei Radix et Rhizoma, raw powder, 1 liang each). Mix the first three powders, add 4 sheng of vinegar, slow-fire boil in a silver vessel into a paste, then add subsequent powders: Gui Zhi (Cinnamon Twig, peeled), Wu Ling Zhi (Trogopterus Dung), Gan Qi (Drylac Resin, stir-fried until smoke appears), Peng E Zhu (Curcuma Phaeocaulis Rhizome, baked and crushed), Dang Gui (Angelica Sinensis Radix, sliced and dried), Shao Yao (Paeonia Lactiflora Radix, 1 liang each), Qian Niu Zi (Balloon Flower Seed, stir-fried, powder 3 fen).
Process these eleven ingredients. Except for the paste, grind the rest into powder, mix into the Na Sha paste, pound in a mortar 1000 times, and form pills the size of Sophora japonica seeds. Take 20 pills per dose with ginger soup. For women's Blood Qi disorders, take with vinegar soup. Do not chew, at any time.
For treating all Ge Qi, oppression, and inability to eat: use Mu Xiang He Li Le Tang (Costus and Chebula Decoction).
Ingredients: Mu Xiang (Costus Root), He Li Le (Chebula Fructus, pitted), Chen Ju Pi (Dried Tangerina Peel, soaked in hot water, white part removed, dried, 1 liang each), Wu Wei Zi (Schisandra Berry), Ban Xia (Pinellia Tuber, washed seven times in hot water to remove slipperiness), Ren Shen (Ginseng), Gui Zhi (Cinnamon Twig, ... [text incomplete]).
Process these ten ingredients, cutting them like hemp seeds. Take 5 qian bi per dose with 1.5 cups of water, add one large slice of ginger (size of a date), decoct until 80% remains, remove dregs, and take warm.
For treating Ge Qi with epigastric and abdominal fullness and complete loss of appetite: use Bi Bo Yin (Long Pepper Drink).
Ingredients: Bi Bo (Long Pepper), Chen Xiang (Agarwood, crushed), Cao Dou Kou (Grass Cardamom, peeled), Qing Ju Pi (Green Tangerina Peel, white part removed, dried), Ding Xiang (Clove), Tao Ren (Peach Seed, stir-fried, peeled, tip removed), Da Fu Pi (Areca Peel, crushed), Sheng Jiang (Fresh Ginger, sliced and stir-fried, 1 liang each), He Li Le Pi (Chebula Pericarpium, 2 liang), Gan Cao (Licorice Root, stir-baked and crushed), Zhi Ke (Bitter Orange Fruit, pulp removed, bran-fried, 0.5 liang each).
Process these eleven ingredients by coarse crushing and sieving. Take 3 qian bi per dose with one cup of water, decoct until 70% remains, remove dregs, and take warm, without restriction on time.
For treating Five Ge Qi with Qi dysphagia, fullness, oppression, and inability to eat: use Wu Ge Wan (Five Ge Pill).
Ingredients: Bai Zhu (Atractylodes Macrocephala Rhizome, stir-fried), Mu Xiang (Costus Root, prepared), He Li Le (Chebula Fructus, prepared and pitted), Chen Ju Pi (Dried Tangerina Peel, white part removed, dried), Kun Bu (Laminaria Thallus, washed to remove saltiness), Tao Ren (Peach Seed, peeled, tip removed, double-kernel, stir-fried, 3 fen each), Da Huang (Rhei Radix et Rhizoma, crushed), Gui Zhi (Cinnamon Twig, peeled), Ban Xia (Pinellia Tuber, washed in hot water seven times to remove slipperiness), Bing Lang (Areca Seed, crushed), Zhi Shi (Immature Bitter Orange Fruit, pulp removed, bran-fried), Wu Wei Zi (Schisandra Berry, 0.5 liang each), Hu Po (Amber, ... [text incomplete]).
Process these thirteen ingredients into powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose on an empty stomach with ginger and jujube soup.
For treating Ge Qi: use Zi Jin Dan (Purple Gold Pill).
Ingredients: Gui Zhi (Cinnamon Twig, peeled), He Li Le (Chebula Fructus, baked and pitted, 1 liang each), Kun Bu (Laminaria Thallus, washed to remove saltiness and dried), Tao Ren (Peach Seed, soaked in hot water, peeled, tip removed, double-kernel, stir-fried, 1.5 liang each), Mu Xiang (Costus Root), Hu Po (Amber, ground), Chen Ju Pi (Dried Tangerina Peel, white part removed, dried, 3 fen each), Bai Zhu (Atractylodes Macrocephala Rhizome), Chen Xiang (Agarwood), Ji She Xiang (Styrax Tonkinensis, 0.5 liang each), Dan Sha (Cinnabar, separately ground, 1 fen), Mu Gua Gen (Chaenomeles Root, crushed, ... [text incomplete]).
Process these twelve ingredients into powder, grind together evenly, mix with refined honey to form pills the size of a cherry. Take one pill per dose, holding it in the mouth to dissolve and swallow the saliva. Or make smaller pills the size of Sophora japonica seeds, taking 20 pills per dose with warm wine.