肾虚不能纳气归，元气逆而上奔，故胸膈满痛，以手摩挲，痛走背上，又从背摩挲，则
其气循胁泄于后，分而痛不作矣。此气之为病固也。奈何肾虚又不能行水，故水随气奔，上
乘于肺，头面两手浮肿，气短而喘。由是血化为水，与之俱滞。况其人旧来有风。曰风、曰
水、曰血、曰气，四者合而为病，其痛非常。如沉香、木香、乌药、槟榔之类，不能施其巧
治，法将何如？曰∶先以二十四味流气饮加独活、枳壳、五灵脂、炒牵牛，入姜、蜜、乌梅
同煎，咽下养正丹二十粒、雄黄丸十粒，升降水火，引导大便。次用桑叶、紫苏、木通、阿
胶、当归、桃仁、青皮、桔梗、炒芫花、生大黄作剂，依前煎以姜、蜜、乌梅，取尽大便黑
物，即收全功。
肾虚不能行水，加之酒面无度，醉后辄睡，酒与水交聚于腹中，而面毒复缠滞其气，是
以水渗于肚皮而作痛矣。治法钱氏宣风散用蜜水煎，咽下神保丸，俟其大便流利，然后以青
木香丸一分，安肾丸倍之，用二陈汤入少盐并生姜同煎，空心咽下。脾肾气复，自然向安。
有肺经伏热而气隔者，有痰水在上而气隔者，大概以茯苓、半夏、枳壳、桔梗为治法。
其肺热者，如圣东加桑白皮佐之；心下水气者，小半夏茯苓汤效；胸烦，《活人书》用山栀
子。
肾虚导致无法摄纳气机归元，元气逆乱向上冲奔，因此胸膈部位胀满疼痛。用手抚摸按摩时，疼痛会放射至背部；若再从背部进行抚摸按摩，则气机沿着胁肋部消散至后方，分散后疼痛便不再发作。这是气机失调所致病症的常理。然而，肾虚同时也无法运化水液，因此水液随着逆乱之气上冲侵犯肺脏，导致头面部和双手浮肿，气息短促且伴有喘息。由此导致血液化为水湿，与水湿一同停滞。况且患者既往有风邪病史。风、水、血、气四者合而致病，其疼痛程度非常剧烈。像沉香、木香、乌药、槟榔这类药物，已无法施展巧妙的治疗手段，此时应当采用什么方法呢？回答说：先用二十四味流气饮（一种行气止痛的方剂）加入独活、枳壳、五灵脂、炒牵牛子，配合生姜、蜂蜜、乌梅共同煎煮，服用后接着吞服养正丹二十粒、雄黄丸十粒，以调节水火升降，引导大便排出。其次使用桑叶、紫苏、木通、阿胶、当归、桃仁、青皮、桔梗、炒芫花、生大黄制成药剂，依照之前的方法用生姜、蜂蜜、乌梅煎煮，直到排出黑色的粪便，即可取得痊愈的效果。
肾虚不能运化水液，加上饮酒无度，醉酒后随即入睡，酒与水在腹中交结聚集，而面部的毒邪又缠滞气机，因此水湿渗入肚皮引起疼痛。治疗方法：使用钱氏宣风散（儿科名方），用蜜水煎服，随后吞服神保丸，等待大便通畅后，再用青木香丸一份、安肾丸两份，配合二陈汤（燥湿化痰基础方）加入少量盐和生姜共同煎煮，空腹时吞服。待脾肾之气恢复，自然就会安宁康复。
患有肺经伏热而导致气机阻隔的，有痰水停聚在上焦而导致气机阻隔的，大体上以茯苓、半夏、枳壳、桔梗作为主要治法。如果是肺热引起的，如圣散中加入桑白皮辅助治疗；心下有水气停留的，小半夏茯苓汤疗效显著；胸部烦闷的，《活人书》主张使用山栀子。
Kidney deficiency fails to grasp Qi and return it to its root, causing Yuan Qi (Original Qi) to rebel and rush upward, resulting in fullness and pain in the chest and diaphragm. When massaged by hand, the pain radiates to the back; if massage is then applied to the back, the Qi dissipates along the hypochondrium to the posterior, dispersing and ceasing the pain. This is the normal pattern of disease caused by Qi dysfunction. However, kidney deficiency also fails to transport fluids, so water follows the rebelling Qi upward to invade the Lung, causing edema of the head, face, and both hands, shortness of breath, and wheezing. Consequently, blood transforms into water and stagnates together with it. Moreover, the patient has a history of Wind pathogen. Wind, Water, Blood, and Qi combine to cause disease, making the pain extremely severe. Herbs such as Chenxiang (Aquilaria Wood), Muxiang (Vladimiria Root), Wuyao (Litsea Cubeba Fruit), and Binglang (Areca Seed) cannot exert their skilled therapeutic effects. What method should be adopted? The answer is: First, administer Ershisiwei Liuqi Yin (Twenty-Four-Ingredient Qi-Flowing Decoction) added with Duhuo (Angelica Pubescens Root), Zhike (Aurantium Fructus), Wulingzhi (Trogopterus Dung), and fried Qianniu (Pharbitis Seed), decocted together with Shengjiang (Zingiberis Rhizoma), Fentang (Honey), and Wumei (Mume Fructus). After swallowing, take Yangzheng Dan (Nourishing Righteousness Pill) twenty pills and Xionghuang Wan (Realgar Pill) ten pills to regulate the ascending and descending of Water and Fire, and guide the discharge of stool. Next, prepare a dose consisting of Sangye (Mori Folium), Zisu (Perilla Leaf), Mutong (Akebia Caulis), Ejiao (Donkey-Hide Gelatin), Danggui (Angelica Sinensis Radix), Taoren (Persicae Semen), Qingpi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), fried Yuanhua (Kadupul Flower), and raw Dahuang (Rhei Radix et Rhizoma). Decoct according to the previous method with Shengjiang, Fentang, and Wumei, until black feces are completely discharged, thereby achieving complete recovery.
Kidney deficiency fails to transport fluids, compounded by immoderate consumption of alcohol. Falling asleep immediately after intoxication causes wine and water to accumulate and interact in the abdomen, while facial toxins further obstruct Qi flow. Thus, water infiltrates the abdominal wall causing pain. Treatment method: Use Qian Shi Xuanfeng San (Qian’s Dispersing Wind Powder), decocted with honey water, followed by swallowing Shenbao Wan (Divine Preservation Pill). Wait for smooth bowel movements, then administer one part Qingmuxiang Wan (Green Sandalwood Pill) and two parts Anshen Wan (Kidney-Anchoring Pill), decocted together with Erchen Tang (Two-Cured Decoction) with a small amount of salt and Shengjiang. Swallow on an empty stomach. Once Spleen and Kidney Qi recover, peace will naturally return.
Cases of Qi obstruction due to latent heat in the Lung Meridian, or due to Phlegm-Water accumulation in the Upper Jiao, are generally treated with Fuling (Poria), Banxia (Pinelliae Rhizoma), Zhike, and Jiegeng. For those with Lung Heat, Rusheng San (Like-Sage Powder) is used with the addition of Sangbaipi (Mori Cortex) as an adjuvant; for Water-Qi retention below the Heart, Xiaobanxia Fuling Tang (Minor Pinellia and Poria Decoction) proves effective; for chest irritability, Huoren Shu (Book of Living Persons) recommends using Shanzhizi (Gardeniae Fructus).