一七情伤气郁结不舒痞闷壅塞发为诸病当详所起之因滞于何经上下部分宜随经用药
一局方多用辛香燥热之药以治气果因冷气滞不散香燥可也若脉受火邪必加苦寒之药以佐
之
一利肺气须用枳壳多服则损胸中至高之气
一泻肝气须用青皮多服亦损真气
一云气无补过法世俗之论也若病痞满壅塞似难于补不思正气虚而不能营运邪气不用补法
气何
一忧思过度五脏不和三焦气滞胸膈气满疼痛喘息宜用 流气饮 分气紫苏饮 分心气饮
一气不升降肺气喘促胸膈胀满宜用 苏子降气汤
一气不调顺胸膈膨胀喘嗽面浮宜用 木香流气饮
一七情郁结心腹绞痛宜用 七气汤 指迷七气汤
治五脏不和三焦气壅肿满喘嗽面浮便秘
紫苏 青皮 当归 芍药 乌药 茯苓 桔梗 半夏 川芎 黄 枳壳 防风 陈皮
甘草 木香 槟榔 枳实 大腹皮
水二钟姜三片红枣一枚煎八分食远服
分气紫苏饮
五味子 桑白皮 茯苓 炙甘草 草果 大腹皮 陈皮 桔梗(各等分) 紫苏(减半)
苏子降气汤(方见喘门)
治一切气滞胸膈疼痛痞塞不消
木香 丁香 人参 麦门冬 大腹皮 大腹子 桑皮 草果 桔梗 浓朴 白术 香附
藿香 紫苏 陈皮 甘草
水二钟姜三片枣一枚煎服
《脉诀》要点指出:诊脉时若按之脉象沉,可知是气病;若脉象沉极、伏匿、涩滞或微弱,则属难治之证;若脉象沉而兼见滑象,则为痰饮内停之脉。
一、七情(喜、怒、忧、思、悲、恐、惊)损伤气机,导致气郁结而不舒畅,出现痞闷、壅塞等症状,进而引发各种疾病。诊治时应详细查明起因,判断病邪滞留于哪一经络,根据病变在上部还是下部,遵循经络辨证原则用药。
一、《局方》(《太平惠民和剂局方》)多用辛香燥热性质的药物来治疗气病。如果确实是因为冷气停滞不散,使用香燥药物是可以的;但如果脉象显示受火邪侵袭,必须加入苦寒性质的药物以辅助制约。
一、有人说“气病没有补法”,这是世俗的错误言论。如果病症表现为痞满壅塞,似乎难以进补,但不思考正气虚弱导致无法营运气血,邪气才停留体内,若不采用补法,气如何能恢复?
一、因忧思过度导致五脏不和、三焦气滞、胸膈气满疼痛、喘息,宜使用流气饮、分气紫苏饮、分心气饮。
一、气不调顺,导致胸膈膨胀、喘咳、面部浮肿,宜使用木香流气饮。
治疗五脏不和、三焦气壅、肿胀满闷、喘咳、面部浮肿、便秘:
紫苏、青皮、当归、芍药、乌药、茯苓、桔梗、半夏、川芎、黄芩、枳壳、防风、陈皮、甘草、木香、槟榔、枳实、大腹皮。
用水两钟,生姜三片,红枣一枚,煎至八分,饭后服用。
分气紫苏饮:
五味子、桑白皮、茯苓、炙甘草、草果、大腹皮、陈皮、桔梗(各等分),紫苏(减半)。
苏子降气汤(方剂见喘证门)。
治疗一切气滞引起的胸膈疼痛、痞塞不消:
木香、丁香、人参、麦门冬、大腹皮、大腹子、桑皮、草果、桔梗、浓朴、白术、香附、藿香、紫苏、陈皮、甘草。
用水两钟,生姜三片,枣一枚,煎服。
The *Mai Jue* (Pulse Resolution) states: When taking the pulse, if it is deep (*Chen*), it indicates Qi disorder; if the pulse is extremely deep, hidden (*Fu*), choppy (*Se*), or weak (*Ruo*), it is difficult to treat; if the pulse is deep and slippery (*Hua*), it indicates Phlegm-Fluid retention.
1. The Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright) damage Qi, leading to Qi stagnation and discomfort, resulting in epigastric fullness, obstruction, and various diseases. One must carefully investigate the cause and determine which meridian is affected. Treatment should follow the meridian principles according to whether the pathology is located superiorly or inferiorly.
2. The *Ju Fang* (Formulas of the Bureau of People's Welfare) often uses acrid, aromatic, dry, and hot herbs to treat Qi disorders. If the condition is indeed caused by cold Qi stagnation that does not dissipate, using aromatic and dry herbs is appropriate. However, if the pulse indicates Fire pathogen invasion, bitter-cold herbs must be added to assist in counteracting it.
3. To regulate Lung Qi, Zhi Qiao (Aurantii Fructus) must be used, but excessive consumption will damage the supreme Qi in the chest.
4. To drain Liver Qi, Qing Pi (Citri Reticulatae Pericarpium Viride) must be used, but excessive consumption will also damage True Qi.
5. Some say "there is no method for tonifying Qi," which is a secular fallacy. If the disease presents with epigastric fullness and obstruction, it may seem difficult to tonify. However, one must consider that deficiency of Righteous Qi leads to an inability to circulate and transport, allowing Pathogenic Qi to remain. Without using tonification methods, how can Qi recover?
6. Due to excessive worry and pensiveness causing disharmony among the Five Viscera, Qi stagnation in the Sanjiao (Triple Burner), chest and diaphragmatic fullness, pain, and panting, Liu Qi Yin (Flowing Qi Decoction), Fen Qi Zi Su Yin (Separating Qi Perilla Decoction), and Fen Xin Qi Yin (Separating Heart Qi Decoction) are indicated.
7. For failure of Qi ascending and descending, resulting in Lung Qi rebellious panting and chest/diaphragmatic distension, Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) is indicated.
8. For irregular Qi flow, resulting in chest/diaphragmatic distension, panting and cough, and facial edema, Mu Xiang Liu Qi Yin (Costus Flowing Qi Decoction) is indicated.
9. For Qi stagnation due to the Seven Emotions causing severe colic in the heart and abdomen, Qi Qi Tang (Seven Qi Decoction) and Zhi Mi Qi Qi Tang (Pointing to Confusion Seven Qi Decoction) are indicated.
To treat disharmony among the Five Viscera, Qi obstruction in the Sanjiao, swelling and fullness, panting and cough, facial edema, and constipation:
Zi Su (Perillae Folium), Qing Pi (Citri Reticulatae Pericarpium Viride), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Wu Yao (Linderae Radix), Fu Ling (Poria), Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix), Zhi Qiao (Aurantii Fructus), Fang Feng (Saposhnikoviae Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Zhi Shi (Aurantii Fructus Immaturus), Da Fu Pi (Arecae Pericarpium).
Decoct two zhong of water with three slices of fresh ginger and one red date until reduced to eight-tenths. Take after meals.
Fen Qi Zi Su Yin (Separating Qi Perilla Decoction):
Wu Wei Zi (Schisandrae Chinensis Fructus), Sang Bai Pi (Mori Cortex), Fu Ling (Poria), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Cao Guo (Tsaoko Fructus), Da Fu Pi (Arecae Pericarpium), Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix) (all in equal proportions); Zi Su (Perillae Folium) (half dose).
Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) (See formula in Panting Section).
To treat all cases of Qi stagnation causing chest/diaphragmatic pain and persistent epigastric fullness/obstruction:
Mu Xiang (Aucklandiae Radix), Ding Xiang (Caryophylli Flos), Ren Shen (Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Tuber), Da Fu Pi (Arecae Pericarpium), Da Fu Zi (Arecae Semen), Sang Pi (Mori Cortex), Cao Guo (Tsaoko Fructus), Jie Geng (Platycodonis Radix), Hou Po (Magnoliae Officinalis Cortex), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xiang Fu (Cyperi Rhizoma), Huo Xiang (Agastaches Herba), Zi Su (Perillae Folium), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Decoct two zhong of water with three slices of fresh ginger and one date. Take orally.