夫膈气妨闷者。由忧恚思虑。冷热不调。气结胸中。上下痞隔。饮食噎塞。津液不通。
虚冷
治膈气妨闷。不能下食。吐逆烦喘。诃黎勒散方。
诃黎勒皮（一两） 木香（三分） 陈橘皮（一两汤浸去白瓤焙） 五味子（三分） 半
夏（三
分汤
枳壳
（三分麸炒微黄去瓤）
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。
治膈气不散。胸中噎塞。不下食。时时妨闷。白术散方。
白术（半两） 半夏（一两汤洗七遍去滑） 青橘皮（三分汤浸去白瓤焙） 赤茯苓（一
两）
大腹
胡（二
两去
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。心胸妨闷。不能下食。槟榔散方。
槟榔（三分） 前胡（一两去芦头） 桂心（半两） 郁李仁（二分汤浸去皮微炒） 草
豆蔻
（半两
木香
（三分
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。心胸壅滞。妨闷。大腹皮散方。
大腹皮（锉） 赤茯苓 木香 丁香 芎 白术 沉香 陈橘皮（汤浸去白瓤焙） 人
参
（去
草（一
分炙
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。胸中妨闷。痰壅不下食。紫苏散方。
紫苏茎叶〔一（二）两〕 陈橘皮（一两汤浸去白瓤焙） 半夏（一两汤洗七遍去滑） 枳
壳
（三
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。心胸妨闷。常欲呕吐。汤水不下方。
桑根白皮（一两锉） 桃仁（一两汤浸去皮尖双仁麸炒微黄） 木香（半两）
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
治膈气胀满。吃食妨闷。脚手烦疼。渐加羸瘦。四肢无力。枳壳丸方。
枳壳（一两麸炒微黄去瓤） 木香（一两） 槟榔（一两） 麦门冬（一两半去心焙） 羚
羊
角屑
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。以粥饮下三十
丸。
治膈气。心腹妨闷。不能下食。诃黎勒丸方。
诃黎勒皮（二两） 槟榔（一两） 木香（一两） 陈橘皮（一两汤浸去白瓤焙） 五
味子（一
两）
上件药。捣罗为末。以酒煮面糊和丸。如梧桐子大。不计时候。煎生姜枣汤下二十丸。
膈气妨闷这种病证，是由于忧愁愤怒、思虑过度，加上冷热失调，导致气机郁结于胸中，上下痞塞阻隔，饮食吞咽困难甚至噎塞，津液运行不畅。
虚冷型：
治疗膈气妨闷，无法进食，呕吐逆气，烦躁气喘的诃黎勒散方。
药材包括：诃黎勒皮（一两）、木香（三分）、陈橘皮（一两，用热水浸泡后去除白色瓤部，焙干）、五味子（三分）、半夏（三分，用水洗净）、枳壳（三分，用麸皮炒至微黄，去除瓤部）。
以上药物，捣碎并筛成粗末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用。
治疗膈气不散，胸中噎塞感，不能进食，时常感到窒闷不适的白术散方。
药材包括：白术（半两）、半夏（一两，用水清洗七遍以去除滑腻感）、青橘皮（三分，用水浸泡后去除白色瓤部，焙干）、赤茯苓（一两）、大腹皮（二两，去除外皮）。
以上药物，捣碎并筛成细末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用，稍热时服下。
治疗膈气，心胸部位窒闷不适，无法进食的槟榔散方。
药材包括：槟榔（三分）、前胡（一两，去除芦头）、桂心（半两）、郁李仁（二分，用水浸泡后去皮，微炒）、草豆蔻（半两）、木香（三分）。
以上药物，捣碎并筛成细末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用，稍热时服下。
治疗膈气，心胸部位壅滞不通，窒闷不适的大腹皮散方。
药材包括：大腹皮（锉碎）、赤茯苓、木香、丁香、川芎、白术、沉香、陈橘皮（用水浸泡后去除白色瓤部，焙干）、人参（去芦头）、甘草（一分，炙烤）。
以上药物，捣碎并筛成细末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用，稍热时服下。
治疗膈气，心胸部位窒闷不适，痰湿壅盛，无法进食的紫苏散方。
药材包括：紫苏茎叶（二两）、陈橘皮（一两，用水浸泡后去除白色瓤部，焙干）、半夏（一两，用水清洗七遍以去除滑腻感）、枳壳（三分，用麸皮炒至微黄，去除瓤部）。
以上药物，捣碎并筛成细末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用，稍热时服下。
治疗膈气，心胸部位窒闷不适，经常想呕吐，连汤水都无法咽下的方剂。
药材包括：桑根白皮（一两，锉碎）、桃仁（一两，用水浸泡后去皮尖及双仁部分，用麸皮炒至微黄）、木香（半两）。
以上药物，捣碎并筛成细末。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不限时间服用，稍热时服下。
治疗膈气引起的胀满，进食后窒闷不适，手脚烦痛，逐渐消瘦，四肢无力的枳壳丸方。
药材包括：枳壳（一两，用麸皮炒至微黄，去除瓤部）、木香（一两）、槟榔（一两）、麦门冬（一两半，去心，焙干）、羚羊角屑。
以上药物，捣碎过筛成粉末，用炼蜜调和，捣杵三二百次，制成如梧桐子大小的丸药。每次不限时间，用米粥汁送服三十丸。
治疗膈气，心腹部窒闷不适，无法进食的诃黎勒丸方。
药材包括：诃黎勒皮（二两）、槟榔（一两）、木香（一两）、陈橘皮（一两，用水浸泡后去除白色瓤部，焙干）、五味子（一两）。
以上药物，捣碎过筛成粉末，用酒煮面糊调和，制成如梧桐子大小的丸药。不限时间，用生姜大枣汤送服二十丸。
The condition of Ge Qi (膈气, obstruction qi) with chest oppression and stuffiness arises from sorrow, indignation, and excessive thinking, combined with disharmony between cold and heat. This leads to the knotting of Qi in the chest, causing blockage and separation between the upper and lower jiao, dysphagia or choking sensation during swallowing, and impaired flow of body fluids.
Deficiency-Cold Type:
Formula for treating Ge Qi with chest oppression, inability to eat, vomiting with reflux, irritability, and panting: Helile San (Chestnut Shell Powder).
Ingredients: Helile Pi (Pericarpium Chebulae, 1 liang), Muxiang (Radix Aucklandiae, 3 fen), Chen Jupi (Pericarpium Citri Reticulatae, 1 liang, soaked in hot water, white pith removed, dried), Wuweizi (Fructus Schisandrae Chinensis, 3 fen), Banxia (Rhizoma Pinelliae Ternatae, 3 fen, washed in water), Zhike (Fructus Aurantii, 3 fen, stir-fried with bran until slightly yellow, pith removed).
Process these ingredients by crushing them into a coarse powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time.
Formula for treating persistent Ge Qi, chest choking sensation, inability to eat, and frequent oppression/stuffiness: Baizhu San (Atractylodes Macrocephala Powder).
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang), Banxia (Rhizoma Pinelliae Ternatae, 1 liang, washed seven times in water to remove slipperiness), Qing Jupi (Pericarpium Citri Reticulatae Viride, 3 fen, soaked in water, white pith removed, dried), Chi Fuling (Poria Cocos with Red Cortex, 1 liang), Dafupi (Pericarpium Arecae, 2 liang, outer skin removed).
Process these ingredients by crushing and sifting them into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time, preferably when slightly warm.
Formula for treating Ge Qi with chest and heart oppression/inability to eat: Binglang San (Areca Seed Powder).
Ingredients: Binglang (Semen Arecae, 3 fen), Qianhu (Radix Peucedani, 1 liang, radicle removed), Guixin (Cortex Cinnamomi, 0.5 liang), Yuliren (Semen Pruni Armeniacae, 2 fen, soaked in water, skin removed, lightly stir-fried), Caodoukou (Fructus Cardamomi, 0.5 liang), Muxiang (Radix Aucklandiae, 3 fen).
Process these ingredients by crushing and sifting them into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time, preferably when slightly warm.
Formula for treating Ge Qi with chest and heart stagnation and oppression: Dafupi San (Areca Peel Powder).
Ingredients: Dafupi (Pericarpium Arecae, chopped), Chi Fuling (Poria Cocos with Red Cortex), Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli), Xiong (Radix Ligustici Chuanxiong), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenxiang (Lignum Aquilariae Resinatum), Chen Jupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried), Renshen (Radix Ginseng, radicle removed), Gancao (Radix Glycyrrhizae Uralensis, 1 fen, honey-roasted).
Process these ingredients by crushing and sifting them into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time, preferably when slightly warm.
Formula for treating Ge Qi with chest/heart oppression, phlegm accumulation, and inability to eat: Zisu San (Perilla Leaf Powder).
Ingredients: Zisu Jingye (Herba et Folium Perillae, 2 liang), Chen Jupi (Pericarpium Citri Reticulatae, 1 liang, soaked in water, white pith removed, dried), Banxia (Rhizoma Pinelliae Ternatae, 1 liang, washed seven times in water to remove slipperiness), Zhike (Fructus Aurantii, 3 fen, stir-fried with bran until slightly yellow, pith removed).
Process these ingredients by crushing and sifting them into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time, preferably when slightly warm.
Formula for treating Ge Qi with chest/heart oppression, frequent desire to vomit, and inability to swallow even liquids.
Ingredients: Sanggen Baidi (Cortex Morus Radicis, 1 liang, chopped), Taoren (Semen Persicae, 1 liang, soaked in water, skin and pointed ends removed, double-kernel ones discarded, stir-fried with bran until slightly yellow), Muxiang (Radix Aucklandiae, 0.5 liang).
Process these ingredients by crushing and sifting them into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain off the dregs. Take at any time, preferably when slightly warm.
Formula for treating Ge Qi with distension and fullness, postprandial oppression, painful restlessness in hands and feet, progressive emaciation, and limb weakness: Zhike Wan (Aurantii Fructus Pill).
Ingredients: Zhike (Fructus Aurantii, 1 liang, stir-fried with bran until slightly yellow, pith removed), Muxiang (Radix Aucklandiae, 1 liang), Binglang (Semen Arecae, 1 liang), Maimendong (Radix Ophiopogonis Japonici, 1.5 liang, core removed, dried), Lingyangjiaoxie (Cornu Saigae Tataricae, shaved).
Process these ingredients by crushing and sifting them into a powder. Mix with refined honey and pound/knead for three to two hundred strokes. Shape into pills the size of paulownia seeds. Take 30 pills at any time, swallowed with rice gruel broth.
Formula for treating Ge Qi with heart/abdominal oppression and inability to eat: Helile Wan (Chestnut Shell Pill).
Ingredients: Helile Pi (Pericarpium Chebulae, 2 liang), Binglang (Semen Arecae, 1 liang), Muxiang (Radix Aucklandiae, 1 liang), Chen Jupi (Pericarpium Citri Reticulatae, 1 liang, soaked in water, white pith removed, dried), Wuweizi (Fructus Schisandrae Chinensis, 1 liang).
Process these ingredients by crushing and sifting them into a powder. Mix with a paste made from flour boiled in wine. Shape into pills the size of paulownia seeds. Take 20 pills at any time, swallowed with decoction of fresh ginger and Chinese dates.