逆气，五脏皆有。一曰心、小肠。经云∶诸逆冲上，皆属于火。又云∶少腹控
睾，引腰脊，上冲心，邪在小肠，取之肓原以散之，刺太阳以予之，取厥阴以下之，
取巨虚、下廉以去之，按其所过之经以调之是也。二曰胃。经云∶胃为气逆是也。
胃逆有呕有吐有哕，故刺呕吐取中脘、三里也。刺哕取乳下黑根尽处，及脐下三寸，
皆大验也。治各见本门。三曰肺、大肠。经云∶肺苦气上逆，急食苦以泄之。又云∶
腹中常鸣，气上冲胸，喘不能久立，邪在大肠，刺肓之原，巨虚、下廉是也。其肺
逆曰咳喘，取天突、人迎泄之也。治亦各有门。四曰肝。经云∶肝气逆则耳聋不聪，
肿，取血是也。五曰肾。即奔豚气逆、香港脚冲心之类是也。治亦各有门。六曰肾。
经云∶督脉别络生病，从少腹上冲心而痛，不得前后，为冲疝是也。
运气厥逆有三∶一曰风火。经云∶少阳司天，火气下临，风行于地，厥逆，膈
不通是也。二曰寒。经云∶水郁之发，善厥逆是也。三曰湿。经云∶太阴司天，湿
气下临，厥逆是也。
经云∶逆气象阳。凡气逆必见象阳证，面赤脉洪，当以法降其逆乃愈。若以气
象阳盛而用寒药攻之，则不救矣。气上冲心咽不得息，治法见伤寒厥阴病条。东
垣云∶如秋冬之月，胃脉四道，为冲脉所逆，并胁下少阳脉二道而反上行，病名曰
厥逆。经曰∶逆气上行，满脉去形，七神昏绝，离去其形而死矣。其症气上冲咽不
得息，喘息有声不得卧，于调中益气加吴茱萸半钱或一钱，观厥气多少用之。如夏
月有此症，为大热也。盖此症随四时为寒热温凉，宜以酒黄连、酒黄柏、酒知母各
等分，为细末，熟汤为丸，如桐子大。每服二百丸，空心白汤下，仍多饮汤，服毕
少时，便以美饮食压之，使不得胃中停留，直至下焦，以泻冲脉之邪也。戴复庵云∶
虚炎之证，阴阳不升降，下虚上盛，气促喘息，宜苏子降气汤去前胡，下黑锡丹或
养正丹，气急甚而不能眠卧者，沉附汤或正元散，或四柱散去木香用沉香，并以盐
煎，下黑锡丹，或灵砂丹、三炒丹，不效则以前药下朱砂丹。（此多用香燥刚热之剂，若阴虚内热
者，误用立殆，医者审之。）
逆气，五脏均可能出现。第一种情况涉及心与小肠。《内经》记载：各种向上冲逆的症状，都归属于火邪。又说：少腹牵引睾丸，牵连腰脊，气向上冲至心胸，这是邪气在小肠，治疗应取肓原穴以消散邪气，针刺太阳经以补益正气，取厥阴经穴位以降逆气，取上巨虚、下巨虚以祛除病邪，并按循病变所经过的经络进行调理，这就是正确的治法。第二种情况涉及胃。《内经》说：胃气上逆即是此证。胃气上逆表现为呕、吐、哕（干呕），所以治疗呕吐应取中脘穴、足三里穴。治疗哕应取乳头下方黑色边缘尽头处（指不容穴或附近区域）以及脐下三寸（指关元穴），这些方法都非常有效。具体治疗详见各相关章节。第三种情况涉及肺与大肠。《内经》说：肺脏厌恶气机上逆，应迅速食用苦味食物以泄降肺气。又说：腹部常鸣响，气向上冲至胸部，气喘不能久立，这是邪气在大肠，应刺肓之原穴（即神阙穴或相关募穴，此处指代特定部位），取巨虚、下巨虚穴。至于肺气上逆引起的咳嗽气喘，应取天突穴、人迎穴进行泻法治疗。治疗也各有专门章节。第四种情况涉及肝。《内经》说：肝气上逆会导致耳聋不聪、肿胀，治疗应取血分穴位（如太冲等）。第五种情况涉及肾。即奔豚气上逆、脚气冲心等情况。治疗也各有专门章节。第六种情况再次提及肾（实指督脉/肾系病变）。《内经》说：督脉的别络发生病变，气从少腹向上冲至心胸并疼痛，大小便不通，这称为冲疝。
运气厥逆有三种：第一种是风火。《内经》说：少阳司天之年，火气下行临照，风气行于地面，导致厥逆，膈部气机不通。第二种是寒。《内经》说：水气郁结发作时，容易发生厥逆。第三种是湿。《内经》说：太阴司天之年，湿气下行临照，导致厥逆。
《内经》说：逆气的征象类似阳证。凡是气机上逆，必然出现类似阳证的征象，如面红、脉洪大，应当用适当的方法降其逆气才能痊愈。如果因为看到类似阳盛的气象而使用寒凉药物攻伐，那就无法救治了。气向上冲至心胸咽喉，呼吸不畅，治疗方法见《伤寒论》厥阴病条。李东垣说：在秋冬季节，胃脉的四道循行路线，被冲脉所逆乱，并与胁下的少阳脉两道一起反而上行，这种病名为厥逆。《内经》说：逆气上行，充满经脉，耗损形体，七神昏绝，离开形体而死。其症状为气向上冲至咽喉，呼吸不畅，喘息有声，不能平卧。可在调中益气汤中加入吴茱萸半钱或一钱，根据厥气的多少酌情使用。如果在夏季出现此症，属于大热证。因为这个病症随四季变化而有寒热温凉的不同，适宜用酒黄连、酒黄柏、酒知母各等分，研为细末，用熟水泛丸，如梧桐子大。每次服用二百丸，空腹时用白开水送服，服药后仍要多喝水，服完药稍后，立即用美味饮食压住药力，使药液不在胃中停留，直达下焦，以泻除冲脉的邪气。戴复庵说：虚火上升的证候，阴阳升降失常，下虚上盛，气促喘息，适宜用苏子降气汤去掉前胡，送服黑锡丹或养正丹；气急严重而不能卧床者，用沉附汤或正元散，或者四柱散去木香改用沉香，并用盐煎汤送服黑锡丹，或灵砂丹、三炒丹，如果无效，则以前述药物送服朱砂丹。（此处多用香燥刚热的药物，如果是阴虚内热的患者，误用会立刻导致危险，医生务必审慎。）
Qi rebellion occurs in all five zang organs. The first case involves the Heart and Small Intestine. The Classics state: "All rebellious qi rushing upward belongs to Fire." It also states: "When the lower abdomen pulls into the testicles, draws upon the lumbar spine, and qi rushes upward to the heart, the pathogen is in the Small Intestine. Treat by selecting the Yuan-Source point of the Sanjiao (Huangyuan) to disperse it, needle the Taiyang channel to supplement it, select Jueyin points to descend it, select Shangjuxu and Xiajuxu to remove it, and regulate according to the channels traversed." This is the correct method. The second case involves the Stomach. The Classics state: "Stomach qi rebellion is this condition." Stomach qi rebellion manifests as retching, vomiting, or hiccups; thus, for treating vomiting, one selects Zhongwan (CV12) and Zusanli (ST36). For treating hiccups, one selects the end of the black root under the nipple (referring to Ronggu ST17 area) and Guanyuan (CV4), which are highly effective. Specific treatments are found in their respective sections. The third case involves the Lung and Large Intestine. The Classics state: "The Lung dislikes qi rebelling upward; quickly consume bitter foods to drain it." It also states: "Frequent borborygmus in the abdomen, qi rushing upward to the chest, wheezing inability to stand long, the pathogen is in the Large Intestine. Needle the Yuan-Source of the Sanjiao (Shenque/CV8 contextually implied or specific back-shu/front-mu relation), select Juxu and Xiajuxu." For lung qi rebellion causing cough and wheezing, select Tiantu (CV22) and Renying (ST9) for draining treatment. Treatments are also in their respective sections. The fourth case involves the Liver. The Classics state: "Liver qi rebellion causes deafness and lack of clarity, swelling; treat by selecting blood points." The fifth case involves the Kidney. This refers to conditions like Ben Tun (Running Piglet) qi rebellion and Jiaoqi (Beriberi) rushing to the heart. Treatments are in their respective sections. The sixth case again mentions the Kidney (actually referring to the Du Mai/Kidney system). The Classics state: "Disease from the collateral branch of the Du Mai arises, with qi rushing from the lower abdomen to the heart and pain, inability to pass stool or urine, this is called Chong Hernia."
There are three types of Yunqi (Five Movements and Six Qi) Jue Ni (Rebellious Qi): First is Wind-Fire. The Classics state: "When Shaoyang governs the Heaven, Fire qi descends and overlooks, Wind moves on the Earth, causing Jue Ni and obstruction at the Diaphragm." Second is Cold. The Classics state: "When Water depression erupts, frequent Jue Ni occurs." Third is Dampness. The Classics state: "When Taiyin governs the Heaven, Damp qi descends and overlooks, causing Jue Ni."
The Classics state: "The manifestation of rebellious qi resembles Yang patterns." Whenever qi rebels upward, Yang-like symptoms must appear, such as a red face and surging pulse. One must use appropriate methods to descend the rebellious qi for recovery. If one uses cold-natured herbs to attack based on the appearance of Yang excess, it will be incurable. When qi rushes upward to the heart and throat, obstructing respiration, the treatment method is seen in the Shaoyin/Jueyin disease sections of Shanghan Lun. Li Dongyuan stated: "In autumn and winter months, the four pathways of the Stomach pulse are rebelled against by the Chong Mai, merging with the two pathways of the Shaoyang pulse under the hypochondrium and reversing upward. This disease is named Jue Ni." The Classics say: "Rebellious qi moves upward, filling the pulses, wasting the form, causing the Seven Spirits to become confused and severed, leaving the form and dying." Symptoms include qi rushing to the throat, obstructing breath, audible wheezing, and inability to lie down. Add Wu Zhu Yu (Evodiae Fructus) half to one qian to Tiao Zhong Yi Qi Tang, adjusting dosage based on the degree of rebellious qi. If this symptom occurs in summer, it indicates severe Heat. Since this condition varies in cold, heat, warmth, and coolness with the seasons, it is suitable to use equal parts of Wine-processed Huang Lian (Coptidis Rhizoma), Wine-processed Huang Bai (Phellodendri Cortex), and Wine-processed Zhi Mu (Anemarrhenae Rhizoma), grind into fine powder, make pills with warm water, size of Sophora seeds. Take 200 pills each time, swallowed with plain warm water on an empty stomach. Drink plenty of water afterward. Shortly after taking the medicine, consume delicious food to suppress the medication, preventing it from lingering in the Stomach, ensuring it reaches the Lower Jiao to drain the pathogen from the Chong Mai. Dai Fu'an stated: "For deficiency fire syndromes, where Yin and Yang ascending/descending are dysfunctional, with deficiency below and excess above, causing shortness of breath and wheezing, Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction) without Qian Hu (Peucedani Radix) is suitable, taken with Hei Xi Dan (Black Tin Pill) or Yang Zheng Dan (Nourish Righteousness Pill). For severe急促 (rapid) breathing unable to lie down, Chen Fu Tang (Aucklandiae and Aconite Decoction) or Zheng Yuan San (Correct Origin Powder), or Si Zhu San (Four Pillar Powder) replacing Mu Xiang (Aucklandiae Radix) with Chen Xiang (Aquilariae Lignum), decocted with salt, followed by Hei Xi Dan, Ling Sha Dan (Spirit Sand Pill), or San Chao Dan (Triple-Fried Pill). If ineffective, use previous medicines to deliver Zhu Sha Dan (Cinnabar Pill)." (Note: These formulas mostly use aromatic, drying, rigid, and hot agents. If used mistakenly for patients with Yin deficiency and internal heat, danger will ensue immediately. Physicians must exercise caution.)