夫膈气者。由胸中气结烦闷。津液不通。饮食不下是也。凡阴注于内。阳结于外。谓之
膈也
结滞
治膈气不顺。上攻咽喉。噎塞。或加烦热。四肢疼痛。羚羊角散方。
羚羊角屑（一两） 柴胡（一两半去苗） 赤芍药（一两） 诃黎勒皮（一两） 桑根
白皮（一
两锉）
（一两锉
碎微
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治膈气。咽喉噎塞。全不下食。射干散方。
射干（一两） 半夏（三分汤洗七遍去滑） 甘草（半两炙微赤锉） 诃黎勒皮（三分）
木通
（三
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治膈气。咽喉噎塞。心神虚烦。难下饮食。人参散方。
人参（三分去芦头） 甘草（半两炙微赤锉） 射干（一两） 陈橘皮（三分汤浸去白
瓤焙）
羚羊
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治膈气。咽喉噎塞。心胸满闷。不下饮食。赤茯苓散方。
赤茯苓（一两半） 桑根白皮（一两半锉） 枳实（一两麸炒微黄） 陈橘皮（一两汤
浸去白
瓤焙）
腹皮（一两
锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
稍热服。
治膈气。因食即噎塞。如有肉脔在咽中不下。陈橘皮散方。
陈橘皮（一两汤浸去白瓤焙） 槟榔（一两） 桔梗（一两去芦头） 木通（三分锉） 赤
茯苓
（一
射干
（三分
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治膈气。全不思食。或食即欲呕。咽中噎塞。食难稍下。宜服此柴胡散方。
柴胡（一两半去苗） 桔梗（三分去芦头） 槟榔（三分） 半夏（三分汤洗七遍去滑）
诃黎
勒皮
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
稍
治膈气。咽喉噎塞。全不思食。肩背气壅。四肢烦疼。昆布丸方。
昆布（二两洗去咸味） 羚羊角屑（一两） 陈橘皮（一两汤浸去白瓤焙） 赤茯苓（二
两）
木香
李仁（二
两汤
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下二十
丸
治膈气。咽喉噎塞。食饮不下方。
半夏（一两汤洗七遍去滑） 干姜（一两炮裂锉） 昆布（二两洗去咸味）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
又方。
上以碓觜上细糠。蜜丸如弹子大。不计时候。含一丸。细细咽津。
膈气病，是由于胸中气机郁结、烦闷不安，导致津液运行不畅，饮食难以咽下所致。凡是阴气内注，阳气外结，就称为膈证。
治疗膈气不顺，气机上攻咽喉，造成噎塞感，或者伴有烦热、四肢疼痛的症状，使用羚羊角散方。
羚羊角屑（一两） 柴胡（一两半，去苗） 赤芍药（一两） 诃黎勒皮（一两） 桑根白皮（一两，锉碎）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候温服。
治疗膈气，咽喉噎塞，完全无法进食，使用射干散方。
射干（一两） 半夏（三分，汤洗七遍以去除滑腻） 甘草（半两，炙至微红并锉碎） 诃黎勒皮（三分） 木通（三分）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候温服。
治疗膈气，咽喉噎塞，心神虚烦，饮食难以下咽，使用人参散方。
人参（三分，去芦头） 甘草（半两，炙至微红并锉碎） 射干（一两） 陈橘皮（三分，汤浸后去白瓤焙干） 羚羊角屑（一两）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候温服。
治疗膈气，咽喉噎塞，心胸满闷，饮食不下，使用赤茯苓散方。
赤茯苓（一两半） 桑根白皮（一两半，锉碎） 枳实（一两，麸炒至微黄） 陈橘皮（一两，汤浸去白瓤焙干） 大腹皮（一两，锉碎）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候，稍热时服用。
治疗膈气，因进食即发生噎塞，感觉有肉块卡在咽中无法下行，使用陈橘皮散方。
陈橘皮（一两，汤浸去白瓤焙干） 槟榔（一两） 桔梗（一两，去芦头） 木通（三分，锉碎） 赤茯苓（一两） 射干（三分）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候温服。
治疗膈气，完全不想吃东西，或者一吃就想呕吐，咽中噎塞，食物难以稍微下行，适宜服用此柴胡散方。
柴胡（一两半，去苗） 桔梗（三分，去芦头） 槟榔（三分） 半夏（三分，汤洗七遍去滑） 诃黎勒皮（三分）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候，稍热时服用。
治疗膈气，咽喉噎塞，完全不想吃东西，肩背部气机壅滞，四肢烦痛，使用昆布丸方。
昆布（二两，洗去咸味） 羚羊角屑（一两） 陈橘皮（一两，汤浸去白瓤焙干） 赤茯苓（二两） 木香（一两） 李仁（二两，汤浸去皮尖双仁，炒微黄）
以上药物，捣罗成细末，用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。每次不拘时候，用温酒送服二十丸。
治疗膈气，咽喉噎塞，饮食难以下咽。
半夏（一两，汤洗七遍去滑） 干姜（一两，炮裂锉碎） 昆布（二两，洗去咸味）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候温服。
又一方。
取碓嘴上的细糠，用蜜做成如弹子大小的丸剂。不拘时候，含服一丸，细细吞咽津液。
Pi Ge Qi (Obstruction Qi) is caused by the knotting of Qi in the chest, leading to irritability and stuffiness, obstructing the flow of body fluids, and resulting in the inability to swallow food. When Yin descends internally and Yang knots externally, it is referred to as Pi Ge (Obstruction).
For treating Pi Ge Qi with unsmooth Qi flow, where Qi attacks upward causing throat obstruction (Yi Se), possibly accompanied by irritability and heat, and pain in the four limbs, use Lingyang Jiao San (Antelope Horn Powder).
Lingyang Jiao (Antelope Horn) (1 liang) Chai Hu (Bupleuri Radix) (1.5 liang, remove seedlings) Chi Shao Yao (Red Peony Root) (1 liang) He Li Le Pi (Pericarpium Chebulae) (1 liang) Sang Gen Bai Pi (Cortex Mori Radicis) (1 liang, sliced)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
For treating Pi Ge Qi with throat obstruction (Yi Se) and complete inability to eat, use She Gan San (Belamcanda Powder).
She Gan (Belamcandae Rhizoma) (1 liang) Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (3 fen, washed seven times with boiling water to remove slipperiness) Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and sliced) He Li Le Pi (Pericarpium Chebulae) (3 fen) Mu Tong (Akebiae Caulis) (3 fen)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
For treating Pi Ge Qi with throat obstruction (Yi Se), deficiency-heat vexation of the heart-mind, and difficulty swallowing food, use Ren Shen San (Ginseng Powder).
Ren Shen (Ginseng Radix) (3 fen, remove radicle) Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and sliced) She Gan (Belamcandae Rhizoma) (1 liang) Chen Pi (Citri Reticulatae Pericarpium) (3 fen, soaked in water, white pith removed, dried) Lingyang Jiao (Antelope Horn) (1 liang)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
For treating Pi Ge Qi with throat obstruction (Yi Se), fullness and stuffiness in the chest and heart, and inability to eat, use Chi Fu Ling San (Red Poria Powder).
Chi Fu Ling (Poria Cum Lignum Pinelliae) (1.5 liang) Sang Gen Bai Pi (Cortex Mori Radicis) (1.5 liang, sliced) Zhi Shi (Immature Bitter Orange) (1 liang, bran-fried until slightly yellow) Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Da Fu Pi (Arecae Pericarpium) (1 liang, sliced)
The above herbs are ground and sifted into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take while slightly warm at any time.
For treating Pi Ge Qi where eating immediately causes obstruction (Yi Se), feeling as if a piece of meat is stuck in the throat and cannot go down, use Chen Pi San (Tangerine Peel Powder).
Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Bing Lang (Areca Seed) (1 liang) Jie Geng (Platycodonis Radix) (1 liang, remove radicle) Mu Tong (Akebiae Caulis) (3 fen, sliced) Chi Fu Ling (Poria Cum Lignum Pinelliae) (1 liang) She Gan (Belamcandae Rhizoma) (3 fen)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
For treating Pi Ge Qi with complete loss of appetite, or vomiting after eating, throat obstruction (Yi Se), and difficulty in swallowing even slightly, use this Chai Hu San (Bupleurum Powder).
Chai Hu (Bupleuri Radix) (1.5 liang, remove seedlings) Jie Geng (Platycodonis Radix) (3 fen, remove radicle) Bing Lang (Areca Seed) (3 fen) Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (3 fen, washed seven times with boiling water to remove slipperiness) He Li Le Pi (Pericarpium Chebulae) (3 fen)
The above herbs are ground and sifted into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take while slightly warm at any time.
For treating Pi Ge Qi with throat obstruction (Yi Se), complete loss of appetite, Qi stagnation in the shoulders and back, and vexing pain in the four limbs, use Kun Bu Wan (Kelp Pill).
Kun Bu (Laminariae Thallus) (2 liang, washed to remove saltiness) Lingyang Jiao (Antelope Horn) (1 liang) Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Chi Fu Ling (Poria Cum Lignum Pinelliae) (2 liang) Mu Xiang (Aucklandiae Radix) (1 liang) Li Ren (Pruni Semen) (2 liang, soaked in water, skin and pointed kernels removed, fried until slightly yellow)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of sophora seeds. Take 20 pills with warm wine at any time.
For treating Pi Ge Qi with throat obstruction (Yi Se) and inability to swallow food and drink.
Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (1 liang, washed seven times with boiling water to remove slipperiness) Gan Jiang (Zingiberis Rhizoma) (1 liang, roasted, cracked, and sliced) Kun Bu (Laminariae Thallus) (2 liang, washed to remove saltiness)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.
Another prescription.
Take the fine chaff from the pestle head of a mortar, mix with honey to form pills the size of a marble. At any time, hold one pill in the mouth and slowly swallow the saliva.