治心脾气痛，凡人胸膛软处痛者，由于气与寒结，或致终身子母相传，俗名心气痛，其
实非也。乃胃脘有滞，以此治之立愈。
香附（米醋浸略炒为末）、高良姜（酒洗七次略炒），俱各封收。因寒者，姜二钱，附一
钱；因气者，附二钱，姜一钱；因气与寒者，各等分，和匀，熟米汤入姜汁一匙，盐一捻，
调服立止。不过七八次，可除根矣。
荔枝一个（去核），将蜒蚰一条，放在荔枝肉内，加冰片三、四厘掺在蜒蚰上，即将荔
枝肉裹好，仍放在壳内扎紧，令病患含在口内。有冷涎水渗出，可徐徐咽下，俟一时许蜒蚰
已化，无水渗出，令病患连壳吐出。只服一次可以立进饮食，但不可令病患知之，恐有嫌秽，
不肯下咽也。
庚生按∶膈症乃情志之病，治疗甚难。予尝以启膈散治愈数人，因录方于下∶北沙参、
南沙参各三钱，川贝母二钱，茯苓一钱五分，砂仁壳、广郁金各五分，荷叶蒂二枚，杵头糠
一钱，水煎频服甚效，或加丹参一钱五分亦可。
又方∶用陈年竹蒸架劈炙为末，加金针菜十条，煎服，治酒膈尤验。
又方∶初生小鼠新瓦上焙干，为末，陈酒冲服。
治痿症久不效者服之。
麦冬半斤，熟地一斤，元参七两，五味子一两，水二十碗，煎成六碗，早晨服三碗，下
午服二碗，夜半服一碗，一连二日必能起坐。后改用∶熟地八两，元参三两，五味子三钱，
山茱萸四钱，牛膝一两，水十碗，煎二碗，早晨服一碗，晚服一碗，十日即能行步，一月之
后，平复如旧矣。
治疗心脾部位的疼痛。凡是患者感到胸部柔软处疼痛的，多是由于气机郁结与寒邪凝结所致，甚至可能导致终身通过母子相传（指遗传或家族聚集性），民间俗称“心气痛”，这其实是不正确的认识。真正的病因在于胃脘部有积滞，用此方治疗可以立即痊愈。
香附（用米醋浸泡后略炒研成粉末）、高良姜（用酒清洗七次后略炒），分别密封保存。如果是因寒邪引起的，取高良姜二钱、香附一钱；如果是因气滞引起的，取香附二钱、高良姜一钱；如果是因气滞与寒邪共同引起的，两者等量混合均匀。服用时，用熟米汤加入一匙姜汁、一捻盐调匀送服，疼痛可立即停止。连续服用不过七八次，即可根治。
取一个荔枝（去核），将一条蜒蚰（蜗牛）放入荔枝肉内，撒上三到四厘冰片在蜒蚰上，然后用荔枝肉将其包裹好，放回壳内并扎紧，让患者含在口中。如果有冷涎水渗出，可以慢慢咽下。等待大约一小时，待蜒蚰已化开，没有水渗出时，让患者连同壳一起吐出。只需服用一次，就可以立即进食，但不要让患者知道真相，恐怕他们嫌弃污秽而不肯吞咽。
庚生按语：膈症（指噎膈，饮食吞咽困难之病）属于情志疾病，治疗非常困难。我曾使用启膈散治愈了数人，因此将方剂记录如下：北沙参、南沙参各三钱，川贝母二钱，茯苓一钱五分，砂仁壳、广郁金各五分，荷叶蒂两枚，杵头糠（稻米加工时脱落的硬皮）一钱，加水煎煮，频繁服用效果很好，也可以加丹参一钱五分。
另一个方子：使用陈年的竹制蒸架劈碎炙烤后研成粉末，加入金针菜（黄花菜）十条，煎汤服用，治疗酒膈（因饮酒过度导致的噎膈）尤其有效。
又一个方子：取初生的小鼠，在新瓦上焙干，研成粉末，用陈年黄酒冲服。
治疗痿症（肢体筋脉弛缓，软弱无力，日久肌肉萎缩）长期治疗无效的，服用此方。
麦冬半斤，熟地黄一斤，玄参七两，五味子一两，加水二十碗，煎至六碗药液。早晨服用三碗，下午服用二碗，半夜服用一碗，连续两天必定能够坐起。之后改用以下方剂：熟地黄八两，玄参三两，五味子三钱，山茱萸四钱，牛膝一两，加水十碗，煎至两碗药液。早晨服用一碗，晚上服用一碗，十日即可行走，一个月之后，身体恢复如常。
To treat pain in the heart and spleen regions. When patients experience pain in the soft areas of the chest, it is often due to the binding of Qi stagnation and Cold pathogen. This may lead to transmission through maternal lines (referring to genetic or familial aggregation) throughout life. The folk name "Heart Qi Pain" is actually incorrect. The true etiology lies in stagnation in the epigastrium; treating with this formula brings immediate relief.
Xiangfu (Cyperus Rhizoma, soaked in rice vinegar, slightly stir-fried, and powdered) and Gaoliangjiang (Alpinia Officinarum Rhizome, washed seven times with wine, then slightly stir-fried) should be stored separately in sealed containers. If caused by Cold, use 2 qian of Gaoliangjiang and 1 qian of Xiangfu; if caused by Qi stagnation, use 2 qian of Xiangfu and 1 qian of Gaoliangjiang; if caused by both Qi stagnation and Cold, mix equal parts. To administer, blend evenly with warm rice gruel, add one spoonful of ginger juice and a pinch of salt, and take orally. The pain will stop immediately. Continuous administration for no more than seven or eight doses can eradicate the root cause.
Take one lychee (pitted), place one slug (Yanyou) inside the lychee flesh, sprinkle 3-4 li of Bingpian (Borneolum Syntheticum) onto the slug, wrap the lychee flesh around it securely, return it to the shell, and tie tightly. Instruct the patient to hold it in their mouth. As cold saliva exudes, swallow it slowly. Wait for about an hour until the slug has dissolved and no fluid exudes, then instruct the patient to spit out the shell. A single dose allows immediate resumption of diet. However, do not inform the patient of the ingredients, as they may refuse to swallow due to disgust.
Note by Gengsheng: Ge syndrome (dysphagia/obstruction in the esophagus) is a disease of emotional origin and is difficult to treat. I have successfully treated several cases using Qige San (Opening the Diaphragm Powder). The prescription is recorded below: Beishashen (Glehniae Radix) and Nanshashen (Adenophorae Radix) each 3 qian, Chuanbeimu (Fritillariae Cirrhosae Bulbus) 2 qian, Fuling (Poria) 1.5 qian, Sharenqiao (Amomi Fructus Pericarpium) and Guangyujin (Curcumae Arthrodicae Rhizoma) each 0.5 qian, Hetid (Nelumbinis Petiolus) 2 pieces, Choutoukuang (Rice Hulls from pounding) 1 qian. Decoct in water and take frequently for good effect. Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 1.5 qian may also be added.
Another formula: Use old bamboo steaming racks, split, roasted, and powdered. Add 10 Jinzhencai (Hemerocallis Citrina Baroni) and decoct in water. This is particularly effective for Jiuge (alcohol-induced dysphagia).
Yet another formula: Take newborn mice, roast dry on new tiles, powder them, and wash down with aged yellow wine.
For Wei syndrome (flaccidity syndrome characterized by muscle weakness and atrophy) that has not responded to long-term treatment, take this formula.
Maidong (Ophiopogonis Tuber) 0.5 jin, Shudi (Rehmanniae Radix Praeparata) 1 jin, Yuanshen (Scrophulariae Radix) 7 liang, Wuweizi (Schisandrae Chinensis Fructus) 1 liang. Add 20 bowls of water, decoct until 6 bowls remain. Take 3 bowls in the morning, 2 bowls in the afternoon, and 1 bowl at midnight. Continuous administration for two days will enable the patient to sit up. Subsequently, switch to the following formula: Shudi (Rehmanniae Radix Praeparata) 8 liang, Yuanshen (Scrophulariae Radix) 3 liang, Wuweizi (Schisandrae Chinensis Fructus) 3 qian, Shanzhuyu (Corni Fructus) 4 qian, Niuxi (Achyranthis Bidentatae Radix) 1 liang. Add 10 bowls of water, decoct until 2 bowls remain. Take 1 bowl in the morning and 1 bowl in the evening. Walking ability will be restored within ten days, and full recovery will occur after one month.