论曰内经曰。有病膺肿颈痛，胸满腹胀，病名厥逆，夫阴阳升降，则气流而顺，若上实
下虚，则气厥而逆，今阳气有余于上，抑郁于胸腹间，故膺肿颈痛，胸满腹胀，而为气逆之
证也，治法不可灸 ，亦不可针石，惟调顺阴阳，使升降无碍，则病自愈。
治厥逆病，三焦不调，升降痞隔，颈痛膺肿，胸满腹胀。调中丸方
人参（一两） 赤茯苓（去黑皮） 桔梗（锉炒） 橘皮（去白焙） 白术 半夏（姜
汁同捣作饼
曝干） 沉香 槟榔（锉） 藿香叶（各一两）
上九味，捣罗为细末，炼蜜和丸，梧桐子大，每服三十丸，温生姜汤下，不拘时候。
治厥逆三焦不调，及脾骨气攻头面虚肿，气喘心急胀满。人参汤方
人参 赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙透） 紫苏子（炒） 大腹皮 桑根
白皮（
锉） 槟榔（锉各一两） 陈橘皮（去白焙） 防己（各一两半）
上九味，粗捣筛，每服五钱匕，水一盏，生姜一块拍破，葱白三茎切，煎至八分。去滓
空心温服。
治厥逆及冷气逆满。不能食。紫苏子汤方
紫苏子（炒） 陈橘皮（去白焙） 人参 赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙
透） 生
上八味，粗捣筛，每服三钱匕，水一盏半，煎至一盏，去滓温服日三。
治厥逆腹满妨痛，或上冲心。高良姜汤方
高良姜 槟榔（锉） 木香 当归（切焙各一两半） 吴茱萸（汤浸焙干炒一两）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空腹温服。
治厥逆满急，饮食妨闷。茯苓汤方
赤茯苓（去黑皮三两） 桔梗（锉炒二两） 浓朴（去粗皮生姜汁炙透） 白术 人参
（各二
上六味，粗捣筛，每服三钱匕，水一盏，姜一小块拍破，煎至六分，去滓温服，日三。
治厥逆冷气，冲注刺痛胀满。茯苓汤方
赤茯苓（去黑皮三两） 人参 陈橘皮（去白焙） 桔梗（锉炒各二两）
上四味，粗捣筛，每服三钱匕，水一盏，生姜一小块，煎至七分，去滓温服、日三。
论述说：《内经》提到，有出现胸部肿胀、颈部疼痛，胸部胀满、腹部膨隆的疾病，病名叫做厥逆。阴阳之气应当升降有序，这样气机才能流通顺畅；如果上部实而下部虚，就会导致气机厥逆而不顺。如今阳气有余于上部，郁结在胸腹之间，所以出现胸部肿胀、颈部疼痛，胸部胀满、腹部膨隆，从而形成气逆的证候。治疗方法不可使用灸法，也不可用针石，只有调和顺达阴阳，使升降没有阻碍，疾病自然痊愈。
治疗厥逆病，三焦气机不调，升降受阻痞塞，出现颈部疼痛、胸部肿胀，胸部胀满、腹部膨隆。调中丸方：
人参（一两） 赤茯苓（去掉黑色外皮） 桔梗（切碎炒制） 橘皮（去掉白色内皮焙干） 白术 半夏（用姜汁同捣成饼状晒干） 沉香 槟榔（切碎） 藿香叶（以上各一两）
以上九味药，捣碎过筛成为细末，用炼蜜调和制成丸药，大小如梧桐子，每次服用三十丸，用温热的生姜汤送服，不限定时间。
治疗厥逆导致三焦不调，以及脾骨之气攻冲头面引起虚肿，气喘、心急、腹部胀满。人参汤方：
人参 赤茯苓（去掉黑色外皮） 浓朴（去掉粗皮，用姜汁炙透） 紫苏子（炒制） 大腹皮 桑根白皮（切碎） 槟榔（切碎，以上各一两） 陈橘皮（去掉白色内皮焙干） 防己（以上各一两半）
以上九味药，粗捣筛过，每次取五钱匕的药量，用水一盏，生姜一块拍破，葱白三茎切段，煎煮至八分满。滤去药渣，空腹时温服。
治疗厥逆及冷气上逆导致的胀满，不能进食。紫苏子汤方：
紫苏子（炒制） 陈橘皮（去掉白色内皮焙干） 人参 赤茯苓（去掉黑色外皮） 浓朴（去掉粗皮，用姜汁炙透） 生[姜]（原文此处似缺字或断句，结合上下文推测为生姜或其他辅料，但依原文仅列前六味后接“上八味”，故保留原文结构，通常此类方剂含生姜等，此处依原文列出可见药材）
*注：原文此处列举药材后直接接“上八味”，但前面只列出了明确名称的几味，可能存在脱文或排版问题，此处按原文呈现。根据常规中医方剂逻辑，可能包含生姜等，但严格遵循原文提取。*
以上八味药，粗捣筛过，每次取三钱匕的药量，用水一盏半，煎煮至一盏满，滤去药渣温服，每日三次。
治疗厥逆引起的腹部胀满且疼痛，或者气向上冲撞心脏。高良姜汤方：
高良姜 槟榔（切碎） 木香 当归（切片焙干，以上各一两半） 吴茱萸（用水浸泡后焙干炒制，一两）
以上五味药，粗捣筛过，每次取三钱匕的药量，用水一盏，煎煮至七分满，滤去药渣空腹时温服。
治疗厥逆引起的腹部胀满急迫，饮食感到妨碍和闷滞。茯苓汤方：
赤茯苓（去掉黑色外皮三两） 桔梗（切碎炒制二两） 浓朴（去掉粗皮，用姜汁炙透） 白术 人参（以上各二两，原文此处截断，推测为人参二两）
*注：原文在此处中断，未列出完整剂量及后续步骤，但根据“上六味”推断应有六味药。*
以上六味药，粗捣筛过，每次取三钱匕的药量，用水一盏，生姜一小块拍破，煎煮至六分满，滤去药渣温服，每日三次。
治疗厥逆引起的冷气，冲注导致刺痛和胀满。茯苓汤方：
赤茯苓（去掉黑色外皮三两） 人参 陈橘皮（去掉白色内皮焙干） 桔梗（切碎炒制，以上各二两）
以上四味药，粗捣筛过，每次取三钱匕的药量，用水一盏，生姜一小块，煎煮至七分满，滤去药渣温服，每日三次。
Discourse states: The *Neijing* (Classic of Internal Medicine) mentions that there is a condition presenting with swelling in the chest and neck, chest fullness, and abdominal distension, named Jue Ni (Jue-Ni, reversal cold or qi rebellion). When Yin and Yang ascend and descend in harmony, Qi flows smoothly; however, if the upper part is excess and the lower part is deficient, Qi becomes rebellious and adverse. Currently, Yang Qi is excessive in the upper body and depressed between the chest and abdomen, resulting in swelling of the chest and neck, chest fullness, and abdominal distension, thereby forming a syndrome of Qi rebellion. The treatment method should not employ moxibustion, nor needle-stone therapy; only by harmonizing and smoothing Yin and Yang, so that ascent and descent are unobstructed, will the disease heal itself.
To treat Jue-Ni disease where the Sanjiao (Triple Burner) is disharmonious, with obstruction of ascent and descent, manifesting as neck pain, chest swelling, chest fullness, and abdominal distension. Tiao Zhong Wan (Regulating the Middle Pill) Formula:
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Jie Geng (Platycodonis Radix, chopped and stir-fried), Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ban Xia (Pinelliae Rhizoma, pounded with ginger juice into cakes and dried), Chen Xiang (Aquilariae Lignum Resinatum), Bing Lang (Arecae Semen, chopped), Huo Xiang Ye (Agastachis Folium) (each 1 liang).
The above nine ingredients are crushed, sifted into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose, administered with warm ginger decoction, at any time.
To treat Jue-Ni causing Sanjiao disharmony, and Spleen bone Qi attacking the head and face causing flaccid edema, panting, anxiety, and abdominal fullness. Ren Shen Tang (Ginseng Decoction) Formula:
Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Zi Su Zi (Perillae Fructus, stir-fried), Da Fu Pi (Arecae Pericarpium), Sang Bai Pi (Mori Cortex, chopped), Bing Lang (Arecae Semen, chopped) (each 1 liang), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Fang Ji (Stephaniae Tetrandrae Radix) (each 1.5 liang).
The above nine ingredients are coarsely crushed and sieved. Take 5 qian bi (approx. 5-7g) per dose, with one sheng (approx. 200ml) of water, one piece of smashed ginger, and three stalks of cut scallion white. Decoct until reduced to 8/10. Strain and take warm on an empty stomach.
To treat Jue-Ni and reverse cold causing fullness and inability to eat. Zi Su Zi Tang (Perilla Fruit Decoction) Formula:
Zi Su Zi (Perillae Fructus, stir-fried), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Poria Cocos with Red Skin, black skin removed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Sheng [Jiang] (Fresh Ginger, text implies missing ingredient or formatting error, listed as part of 8 ingredients).
The above eight ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with 1.5 sheng of water. Decoct until reduced to 1 sheng. Strain and take warm, three times daily.
To treat Jue-Ni with abdominal fullness and painful obstruction, or Qi rushing upward to the heart. Gao Liang Jiang Tang (Galangal Decoction) Formula:
Gao Liang Jiang (Alpiniae Officinarum Rhizoma), Bing Lang (Arecae Semen, chopped), Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix, sliced and baked) (each 1.5 liang), Wu Zhu Yu (Evodiae Fructus, soaked in water, baked dry, and stir-fried, 1 liang).
The above five ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water. Decoct until reduced to 7/10. Strain and take warm on an empty stomach.
To treat Jue-Ni with abdominal fullness and urgency, causing food stagnation and stifling sensation. Fu Ling Tang (Poria Decoction) Formula:
Chi Fu Ling (Poria Cocos with Red Skin, black skin removed, 3 liang), Jie Geng (Platycodonis Radix, chopped and stir-fried, 2 liang), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried through with ginger juice), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma) (each 2 liang, text truncated but implied by "upper six flavors").
The above six ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water and one small piece of smashed ginger. Decoct until reduced to 6/10. Strain and take warm, three times daily.
To treat Jue-Ni with cold Qi rushing and injecting, causing stabbing pain and distension. Fu Ling Tang (Poria Decoction) Formula:
Chi Fu Ling (Poria Cocos with Red Skin, black skin removed, 3 liang), Ren Shen (Ginseng Radix et Rhizoma), Chen Ju Pi (Citri Reticulatae Pericarpium, white pith removed and baked), Jie Geng (Platycodonis Radix, chopped and stir-fried) (each 2 liang).
The above four ingredients are coarsely crushed and sieved. Take 3 qian bi per dose, with one sheng of water and one small piece of ginger. Decoct until reduced to 7/10. Strain and take warm, three times daily.