夫膈气宿食不消者。由寒气在于脾胃之间。使谷不化也。此皆脾脏虚弱。不能磨之。则
经宿
治膈气。脾胃久冷。宿食不消。心腹虚胀。四肢瘦弱。宜服浓朴散方。
浓朴（一两去粗皮涂生姜汁炙令香熟） 沉香（三分） 青橘皮（半两汤浸去白瓤焙） 槟
榔
（半
分锉） 草
豆
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计
治膈气。胸中不利。宿食不化。木香散方。
木香（一两） 桃仁（半两汤浸去皮尖双仁麸炒微黄） 草豆蔻（一两去皮） 诃黎勒
皮（二
两）
分炙微赤
锉〕
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
稍
治膈气壅滞。不下饮食。或宿食不消。草豆蔻散方。
草豆蔻（三分去皮） 青橘皮（三分汤浸去白瓤焙） 诃黎勒皮（一两） 益智子（半
两去皮）
人
熟） 半
夏（半两汤洗
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
治膈气壅滞。脾胃虚弱。宿食不消。四肢虚乏。荜澄茄散方。
荜澄茄（一两） 人参（半两去芦头） 草豆蔻（半两去皮） 细辛（一两） 木香（半
两） 白
术（
洗七遍去
滑） 高良姜（半两
去白瓤
焙）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计
治膈气壅滞。不下饮食。或宿食不消。人参散方。
人参（一两去芦头） 木香（半两） 槟榔（半两） 干姜（三分炮裂锉） 白术（一
两） 枳壳
（半
锉） 甘
草〔半分（两）炙微赤锉〕 赤茯苓（一两） 诃黎勒皮（一两） 浓朴（二两去粗皮涂
姜汁炙
令香熟）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治膈气。脾胃积冷。宿食不消。心胸不利。诃黎勒散方。
诃黎勒皮（一两） 人参（三分去芦头） 白术（三分） 黄 （三分锉） 神曲（一
两炒微黄）
木
皮） 陈橘
皮（半两汤浸
上件药。捣细罗为末。不计时候。以生姜汤调下一钱。
治胸膈气滞。脾胃虚冷。饮食不消。面无颜色。人参散方。
人参（一两去芦头） 赤茯苓（一两） 木香（半两） 白术（一两） 麦 （三分炒
微黄） 附
子（
干微炒）
上件药。捣细罗为散。每服不计时候。以粥饮调下一钱。
治膈气。心胸妨闷。不能下食。食不消化。诃黎勒丸方。
诃黎勒皮（一两半） 槟榔（二两） 桂心（一两） 甘草（半两炙微赤锉） 木香（一
两） 陈
橘皮
上件药。捣罗为末。以枣瓤和捣三二百杵。丸如梧桐子大。每服不计时候。以姜枣汤下
三十
治膈气不下食。纵食不能消化。神曲丸方。
神曲（四两炒微黄） 麦 〔半（四）两炒微黄〕 浓朴〔二（一）两去粗皮涂生姜汁
炙令香
熟〕
槟
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。以生姜汤下二
十丸
膈气与宿食不消的病证，是由于寒气停留在脾胃之间，导致谷物无法消化。这主要是因为脾脏虚弱，不能运化食物，因此经过一夜后食物仍停滞不化。
治疗膈气：若脾胃长期寒冷，宿食不消，出现心腹部虚胀、四肢瘦弱等症状，适宜服用浓朴散方。
药材组成：浓朴（一两，去除粗皮，涂生姜汁炙烤至香气熟透）、沉香（三分）、青橘皮（半两，用汤水浸泡后去除白色内瓤，焙干）、槟榔（半分，锉碎）、草豆蔻（一两，去皮）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至剩余六分药液，滤去药渣。不分时候温服。
治疗膈气：若胸中气机不畅，宿食不化，适宜服用木香散方。
药材组成：木香（一两）、桃仁（半两，用汤水浸泡后去除皮尖及双仁部分，用麸皮炒至微黄）、草豆蔻（一两，去皮）、诃黎勒皮（二两）、肉豆蔻（一分，炙烤至微红，锉碎）。
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候温服。
治疗膈气壅滞：若饮食难下，或宿食不消，适宜服用草豆蔻散方。
药材组成：草豆蔻（三分，去皮）、青橘皮（三分，用汤水浸泡后去除白色内瓤，焙干）、诃黎勒皮（一两）、益智子（半两，去皮）、半夏（半两，用汤水洗净）。
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至剩余六分药液，滤去药渣。不分时候温服。
治疗膈气壅滞：若脾胃虚弱，宿食不消，四肢倦怠乏力，适宜服用荜澄茄散方。
药材组成：荜澄茄（一两）、人参（半两，去除芦头）、草豆蔻（半两，去皮）、细辛（一两）、木香（半两）、白术（一两，用温水洗七遍去除滑腻物）、高良姜（半两，去除白色内瓤，焙干）。
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至剩余六分药液，滤去药渣。不分时候温服。
治疗膈气壅滞：若饮食难下，或宿食不消，适宜服用人参散方。
药材组成：人参（一两，去除芦头）、木香（半两）、槟榔（半两）、干姜（三分，炮裂后锉碎）、白术（一两）、枳壳（半两，麸炒微黄，锉碎）、甘草（半分，炙烤至微红，锉碎）、赤茯苓（一两）、诃黎勒皮（一两）、浓朴（二两，去除粗皮，涂姜汁炙烤至香气熟透）。
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，煎煮至剩余六分药液，滤去药渣。不分时候，稍热时服用。
治疗膈气：若脾胃积冷，宿食不消，心胸气机不畅，适宜服用诃黎勒散方。
药材组成：诃黎勒皮（一两）、人参（三分，去除芦头）、白术（三分）、黄芩（三分，锉碎）、神曲（一两，炒至微黄）、陈皮（半两，用汤水浸泡后去除白色内瓤，焙干）。
以上药物，捣碎过细罗制成粉末。不分时候，用生姜汤调服一钱。
治疗胸膈气滞：若脾胃虚冷，饮食不消，面色无华，适宜服用人参散方。
药材组成：人参（一两，去除芦头）、赤茯苓（一两）、木香（半两）、白术（一两）、麦芽（三分，炒至微黄）、附子（一枚，炮制后干微炒）。
以上药物，捣碎过细罗制成散剂。每次服用，不分时候，用米粥饮调服一钱。
治疗膈气：若心胸烦闷，不能进食，食物不消化，适宜服用诃黎勒丸方。
药材组成：诃黎勒皮（一两半）、槟榔（二两）、桂心（一两）、甘草（半两，炙烤至微红，锉碎）、木香（一两）、陈皮（一两，用汤水浸泡后去除白色内瓤，焙干）。
以上药物，捣碎过罗制成粉末，用枣肉调和，捣杵三二百下，制成梧桐子大小的丸剂。每次服用，不分时候，用姜枣汤送服三十丸。
治疗膈气不下食：即使进食也不能消化，适宜服用神曲丸方。
药材组成：神曲（四两，炒至微黄）、麦芽（四两，炒至微黄）、浓朴（一两，去除粗皮，涂生姜汁炙烤至香气熟透）、槟榔（一两）。
以上药物，捣碎过罗制成粉末，用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。每次服用，不分时候，用生姜汤送服二十丸。
Conditions of Ge Qi (obstruction in the chest/diaphragm area) and undigested food retention are caused by cold pathogenic factors lingering between the Spleen and Stomach, preventing the digestion of grains. This is primarily due to the weakness of the Spleen organ, which fails to transform and transport food; consequently, food remains stagnant after overnight.
For treating Ge Qi: If there is long-standing cold in the Spleen and Stomach, undigested food retention, with symptoms of empty distension in the heart and abdomen, and emaciation/weakness of the four limbs, it is appropriate to take Nongpo San (Magnolia Bark Powder).
Ingredients: Houpu (Cortex Magnoliae Officinalis, 1 liang, remove coarse bark, apply fresh ginger juice, roast until fragrant and cooked); Chenxiang (Lignum Aquilariae Resinatum, 3 fen); Qingjupi (Pericarpium Citri Reticulatae Viride, 0.5 liang, soak in hot water, remove white pith, dry-roast); Binglang (Semen Arecae, 0.5 fen, crush); Caodoukou (Fructus Cardamomi Rotundus, 1 liang, remove seed coat).
Process these ingredients by crushing and sieving into a powder. Take 4 qian per dose. Add 1 zhong zhan (approx. 200-300ml) of water, 0.5 fen of fresh ginger, and 3 dates. Decoct until 6 fen of liquid remains. Strain the dregs. Take at any time.
For treating Ge Qi: If there is discomfort in the chest, and undigested food retention, it is appropriate to take Muxiang San (Aucklandia Powder).
Ingredients: Muxiang (Radix Aucklandiae, 1 liang); Taoren (Semen Persicae, 0.5 liang, soak in hot water, remove skin and pointed ends, discard twin kernels, stir-fry with bran until slightly yellow); Caodoukou (Fructus Cardamomi Rotundus, 1 liang, remove seed coat); Helilepi (Pericarpium Chebulae, 2 liang); Roudoukou (Semen Myristicae, 1 fen, roast until slightly red, crush).
Process these ingredients by crushing and sieving into a powder. Take 4 qian per dose. Add 1 zhong zhan of water and 0.5 fen of fresh ginger. Decoct until 6 fen of liquid remains. Strain the dregs. Take at any time.
For treating Ge Qi with stagnation: If there is difficulty swallowing food or undigested food retention, it is appropriate to take Caodoukou San (Cardamom Powder).
Ingredients: Caodoukou (Fructus Cardamomi Rotundus, 3 fen, remove seed coat); Qingjupi (Pericarpium Citri Reticulatae Viride, 3 fen, soak in hot water, remove white pith, dry-roast); Helilepi (Pericarpium Chebulae, 1 liang); Yizhiren (Semen Alpiniae Oxyphyllae, 0.5 liang, remove seed coat); Banxia (Rhizoma Pinelliae, 0.5 liang, wash with hot water).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water and 0.5 fen of fresh ginger. Decoct until 6 fen of liquid remains. Strain the dregs. Take at any time.
For treating Ge Qi with stagnation: If the Spleen and Stomach are weak, undigested food retention occurs, and the four limbs feel fatigued and weak, it is appropriate to take Bichengqie San (Bergamot Powder).
Ingredients: Bichengqie (Fructus Citri Bergamia, 1 liang); Renshen (Radix Ginseng, 0.5 liang, remove rhizome head); Caodoukou (Fructus Cardamomi Rotundus, 0.5 liang, remove seed coat); Xixin (Herba Asari, 1 liang); Muxiang (Radix Aucklandiae, 0.5 liang); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang, wash seven times with warm water to remove slippery substances); Gaoliangjiang (Rhizoma Zingiberis, 0.5 liang, remove white pith, dry-roast).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 dates. Decoct until 6 fen of liquid remains. Strain the dregs. Take at any time.
For treating Ge Qi with stagnation: If there is difficulty swallowing food or undigested food retention, it is appropriate to take Renshen San (Ginseng Powder).
Ingredients: Renshen (Radix Ginseng, 1 liang, remove rhizome head); Muxiang (Radix Aucklandiae, 0.5 liang); Binglang (Semen Arecae, 0.5 liang); Ganjiang (Rhizoma Zingiberis Recens, 3 fen, process until cracked, then crush); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Zhike (Fructus Aurantii, 0.5 liang, stir-fry with bran until slightly yellow, crush); Gancao (Radix Glycyrrhizae Uralensis, 0.5 fen, roast until slightly red, crush); Chifuling (Poria cum Radice Pini, 1 liang); Helilepi (Pericarpium Chebulae, 1 liang); Houpu (Cortex Magnoliae Officinalis, 2 liang, remove coarse bark, apply ginger juice, roast until fragrant and cooked).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until 6 fen of liquid remains. Strain the dregs. Take at any time, while slightly warm.
For treating Ge Qi: If there is accumulated cold in the Spleen and Stomach, undigested food retention, and discomfort in the heart and chest, it is appropriate to take Helile San (Chebula Powder).
Ingredients: Helilepi (Pericarpium Chebulae, 1 liang); Renshen (Radix Ginseng, 3 fen, remove rhizome head); Baizhu (Rhizoma Atractylodis Macrocephalae, 3 fen); Huangqin (Radix Scutellariae, 3 fen, crush); Shenqu (Massa Medicata Fermentata, 1 liang, stir-fry until slightly yellow); Chenpi (Pericarpium Citri Reticulatae, 0.5 liang, soak in hot water, remove white pith, dry-roast).
Process these ingredients by grinding through a fine sieve into powder. Take 1 qian per dose, mixed with ginger decoction, at any time.
For treating Qi stagnation in the chest and diaphragm: If the Spleen and Stomach are deficient and cold, food does not digest, and the complexion lacks luster, it is appropriate to take Renshen San (Ginseng Powder).
Ingredients: Renshen (Radix Ginseng, 1 liang, remove rhizome head); Chifuling (Poria cum Radice Pini, 1 liang); Muxiang (Radix Aucklandiae, 0.5 liang); Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Mairen (Fructus Hordei Germinatus, 3 fen, stir-fry until slightly yellow); Fuzi (Radix Aconiti Lateralis Preparata, 1 piece, processed, stir-fried until dry and slightly warm).
Process these ingredients by grinding through a fine sieve into powder. Take 1 qian per dose, mixed with rice broth, at any time.
For treating Ge Qi: If there is oppression and stuffiness in the heart and chest, inability to eat, and indigestion, it is appropriate to take Helile Wan (Chebula Pill).
Ingredients: Helilepi (Pericarpium Chebulae, 1.5 liang); Binglang (Semen Arecae, 2 liang); Guixin (Ramulus Cinnamomi, 1 liang); Gancao (Radix Glycyrrhizae Uralensis, 0.5 liang, roast until slightly red, crush); Muxiang (Radix Aucklandiae, 1 liang); Chenpi (Pericarpium Citri Reticulatae, 1 liang, soak in hot water, remove white pith, dry-roast).
Process these ingredients by grinding through a sieve into powder. Mix with date pulp and pound for 300-200 strikes. Form pills the size of Sophora japonica seeds. Take 30 pills per dose, washed down with ginger and date decoction, at any time.
For treating Ge Qi where food cannot go down: Even if food is eaten, it cannot be digested. It is appropriate to take Shenqu Wan (Medicated Leaven Pill).
Ingredients: Shenqu (Massa Medicata Fermentata, 4 liang, stir-fry until slightly yellow); Maiya (Fructus Hordei Germinatus, 4 liang, stir-fry until slightly yellow); Houpu (Cortex Magnoliae Officinalis, 1 liang, remove coarse bark, apply fresh ginger juice, roast until fragrant and cooked); Binglang (Semen Arecae, 1 liang).
Process these ingredients by grinding through a sieve into powder. Mix with refined honey and pound for 300-200 strikes. Form pills the size of Sophora japonica seeds. Take 20 pills per dose, washed down with ginger decoction, at any time.