冲气上冲之病甚多，而医者识其病者甚少。即或能识此病，亦多不能洞悉其病因，而施以相当之治法。
冲者，奇经八脉之一，其脉在胞室之两旁，与任脉相连，为肾脏之辅弼，气化相通。是以肾虚之人，冲气多
不能收敛，而有上冲之弊。况冲脉之上系原隶阳明胃府，因冲气上冲，胃府之气亦失其息息下行之常
（胃气以息息下行为常），或亦转而上逆，阻塞饮食，不能下行，多化痰涎，因腹中膨闷、哕气、呃逆连连
不止，甚则两肋疼胀、头目眩晕。其脉则弦硬而长，乃肝脉之现象也。盖冲气上冲之证，固由于肾
脏之虚，亦多由肝气恣横，素性多怒之人，其肝气之暴发，更助
冲胃之气上逆，故脉之现象如此。治此证者，宜以敛冲、镇冲为主，而以降胃、平肝之药佐之。其脉象数
而觉热者，宜再辅以滋阴退热之品。愚生平治愈此证已不胜纪，近在沧州连治愈数人，爰将治愈之案详列
于下，以备参观。
沧州安××，年十八九，胸胁满闷，饮食减少，时作哕逆，腹中漉漉有声，盖气冲痰涎作响也，大
便干燥，脉象弦长有力。为疏方，用生龙骨、牡蛎、代赭石各八钱，生山药、生芡实各六钱，半夏、生杭芍
各四钱，芒硝、苏子各二钱，浓朴、甘草各钱半。一剂后，脉即柔和。按方略有加减，数剂全愈。
陈修园谓龙骨、牡蛎为治痰之神品，然泛用之多不见效，惟以治此证之痰，则效验非常。因此等痰涎，
原因冲气上冲而生，龙骨、牡蛎能镇敛冲气，自能引导痰涎下行也。盖修园原谓其能导引逆上之火、泛滥之
水，下归其宅，故能治痰。夫火逆上，水泛滥，其中原有冲气上冲也。
赵××，因有冲气上冲病，自言患此病已三年，百方调治，毫无效验。其病，脉情状大略与前案同，
惟无痰声漉漉，而尺脉稍弱。遂于前方去芒硝，加柏子仁、枸杞子各五钱。连服数剂全愈。
沧州一叟，年七十四岁，性浮躁，因常常忿怒，致冲气上冲，剧时觉有气自下上冲，杜塞咽喉，有危在
顷刻之势，其脉左右皆弦硬异常。为其年高，遂于前第二方中加野台参三钱，一剂见轻。又服一剂，冲
气遂不上冲。又服数剂以善其后。为治此证多用第二方加减，因名为降胃镇冲汤。
冲气上冲的病证非常多，但能识别出这种病的医生很少。即使有的医生能识别此病，也大多不能透彻了解其病因，从而施以恰当的治疗方法。
冲脉是奇经八脉之一，其脉位于胞室（子宫）的两侧，与任脉相连，作为肾脏的辅助，气化相通。因此，肾虚的人，冲气多不能收敛，而出现上冲的弊病。况且冲脉的上部原本隶属于阳明胃腑，因为冲气上冲，胃腑之气也失去了每日每时向下运行的常态（胃气以每日每时向下运行为常），或者也会转而向上逆行，阻塞饮食，使其不能下行，容易生成痰涎，导致腹部胀满憋闷、打嗝、呃逆连连不止，严重时甚至出现两胁疼痛胀满、头目眩晕。其脉象表现为弦硬而长，这是肝脉的现象。大概冲气上冲的证候，固然由于肾脏虚弱，也多由肝气恣意横逆所致，平素易怒的人，其肝气的暴发，更助长冲气和胃气上逆，所以脉象呈现这样的现象。治疗此证，应当以收敛冲气、镇摄冲气为主，辅以降胃、平肝的药物。如果脉象数且感觉发热，适宜再辅以滋阴退热的药物。我生平治愈此证已不胜枚举，最近在沧州连续治愈了几人，于是将治愈的医案详细列在下面，以备参考。
沧州安某某，年龄十八九岁，胸胁满闷，饮食减少，时常发生哕逆（干呕或呃逆），腹中漉漉有声，这是气冲带动痰涎作响的缘故，大便干燥，脉象弦长有力。为其开方，使用生龙骨、牡蛎、代赭石各八钱，生山药、生芡实各六钱，半夏、生杭芍（白芍）各四钱，芒硝、苏子各二钱，浓朴、甘草各一钱半。服用一剂后，脉象即变得柔和。按照原方略有加减，服用数剂后完全痊愈。
陈修园说龙骨、牡蛎是治疗痰证的特效药，然而广泛使用往往不见效，只有用来治疗此证产生的痰，则疗效非凡。因为这些痰涎，原因是冲气上冲而生成的，龙骨、牡蛎能镇敛冲气，自然能引导痰涎下行。大概陈修园原认为它们能引导逆上的火、泛滥的水，使其下归本宅，所以能治痰。所谓火逆上、水泛滥，其中原有冲气上冲的情况。
赵某某，患有冲气上冲病，自称患此病已三年，多方调治，毫无效果。他的病情脉象状况大致与前一案相同，只是没有痰声漉漉，而尺脉稍弱。于是在前一方中去掉芒硝，加入柏子仁、枸杞子各五钱。连续服用数剂后完全痊愈。
沧州一位老人，年龄七十四岁，性情浮躁，因为常常忿怒，导致冲气上冲，剧烈时觉得有气从下往上冲，堵塞咽喉，有危在顷刻之势，其左右脉皆弦硬异常。因为他年事已高，所以在前第二方中加入野台参三钱，服用一剂后症状减轻。又服一剂，冲气便不再上冲。又服用数剂以善后调理。治疗此证多用第二方的加减法，因此命名为降胃镇冲汤。
There are many diseases characterized by the upward rushing of Chong Qi (Chong vessel qi), yet few physicians can recognize them. Even if they can identify this disease, most fail to thoroughly understand its etiology and thus apply appropriate treatment methods.
The Chong vessel is one of the Eight Extraordinary Vessels. Its pathway lies on both sides of the Bao Shi (uterus/womb), connects with the Ren vessel, and serves as an assistant to the Kidney, with their Qi transformation being interconnected. Therefore, in individuals with Kidney deficiency, Chong Qi often fails to consolidate, leading to the pathology of upward rushing. Moreover, the upper part of the Chong vessel originally belongs to the Yangming Stomach organ. Due to the upward rushing of Chong Qi, the Qi of the Stomach organ also loses its normal state of descending continuously (Stomach Qi normally descends continuously). It may reverse and ascend, obstructing food and drink so that they cannot descend, easily generating Phlegm-Saliva. This results in abdominal distension and fullness, belching, and incessant hiccups. In severe cases, it causes pain and distension in the hypochondrium, dizziness, and vertigo. The pulse presents as wiry, hard, and long, which is a manifestation of the Liver pulse. Generally, the syndrome of upward rushing of Chong Qi arises not only from Kidney deficiency but also frequently from the reckless horizontal movement of Liver Qi. Individuals prone to anger have explosive Liver Qi, which further assists the upward reversal of Chong and Stomach Qi; hence, the pulse manifests in this manner. To treat this syndrome, the primary approach should be to consolidate and subdue Chong Qi, assisted by herbs that direct Stomach Qi downward and calm the Liver. If the pulse is rapid and accompanied by a sensation of heat, it is appropriate to additionally use substances that nourish Yin and reduce fever. Throughout my career, I have cured countless cases of this syndrome. Recently, in Cangzhou, I successfully treated several patients consecutively. I hereby detail these cured cases for reference.
An XX from Cangzhou, aged eighteen or nineteen, suffered from chest and hypochondriac fullness and oppression, reduced appetite, occasional hiccups/retches, and gurgling sounds in the abdomen, indicating that Qi rushing was agitating Phlegm-Saliva. His stool was dry, and his pulse was wiry, long, and forceful. I prescribed a formula containing Sheng Long Gu (Raw Dragon Bone), Sheng Mu Li (Raw Oyster Shell), and Dai Zhe Shi (Hematite) each at 8 qian; Sheng Shan Yao (Raw Dioscorea Rhizome) and Sheng Qian Shi (Raw Euryale Seed) each at 6 qian; Ban Xia (Pinellia Tuber) and Sheng Hang Shao (Raw White Peony Root) each at 4 qian; Mang Xiao (Mirabilite) and Su Zi (Perilla Fruit) each at 2 qian; Hou Po (Magnolia Bark) and Gan Cao (Licorice Root) each at 1.5 qian. After one dose, the pulse became soft. With slight modifications to this formula over several doses, he was completely cured.
Chen Xiuyuan stated that Long Gu and Mu Li are divine substances for treating Phlegm. However, their general use often yields no effect. They are exceptionally effective only when used to treat the Phlegm generated by this specific syndrome. Since this Phlegm-Saliva arises from the upward rushing of Chong Qi, Long Gu and Mu Li can subdue and consolidate Chong Qi, thereby naturally guiding the Phlegm-Saliva downward. Chen Xiuyuan originally believed that these substances could guide rebellious Fire and overflowing Water back to their original residence, thus treating Phlegm. Indeed, where Fire rebels upward and Water overflows, there is inherently an upward rushing of Chong Qi.
Zhao XX suffered from the disease of upward rushing of Chong Qi. He claimed to have had this condition for three years, undergoing various treatments without any effect. His clinical presentation and pulse condition were roughly similar to the previous case, except for the absence of gurgling Phlegm sounds and a slightly weak Chi pulse (Kidney pulse position). Therefore, Mang Xiao was removed from the previous formula, and Bai Zi Ren (Biota Seed) and Gou Qi Zi (Goji Berry) were added, each at 5 qian. After taking several doses consecutively, he was completely cured.
An elderly man from Cangzhou, aged seventy-four, had a restless temperament. Due to frequent anger, he developed upward rushing of Chong Qi. During severe episodes, he felt Qi rushing upward from below, blocking the throat, creating a sense of imminent danger. His pulses on both left and right sides were extremely wiry and hard. Given his advanced age, I added Ye Tai Shen (Wild Ginseng) at 3 qian to the second formula mentioned above. After one dose, symptoms alleviated. After another dose, the Chong Qi ceased to rush upward. Several more doses were taken for convalescence. This syndrome is often treated using modifications of the second formula; therefore, it is named Jiang Wei Zhen Chong Tang (Stomach-Descending and Chong-Subduing Decoction).