论曰内经谓病胁下满气逆，二三岁不已，病名曰息积，夫消息者，阴阳之更事也。今气
聚胁下，息而不消，积而不散，故满逆而为病，然气客于外，不在于胃，故不妨食，特害于
气息也，其法不可灸刺，宜为导引服药，药不能独治者，盖导引能行积气，药力亦借导引而
行故也。
治息积，胁下气逆妨闷，喘息不便，呼吸引痛。沉香丸方
沉香（锉） 桂（去粗皮） 槟榔（煨锉各二两） 人参 青橘皮（汤浸去白焙） 诃
黎勒皮
上九味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，橘皮汤下，渐加至三十丸，
日二服。
治息积，胁下气逆妨闷，岁久不已。桔梗丸方
桔梗（锉炒） 枳实（麸炒） 鳖甲（去裙 醋炙） 人参 当归（切焙） 白术 干
姜（炮各
一两） 桂（去粗皮） 吴茱萸（汤洗焙干炒） 甘草（炙各三分） 大麦 （炒一两半）
上一十一味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒下，日再服，渐加至
三十丸。
治息积，胁下气逆，满闷妨胀。赤茯苓汤方
赤茯苓（去黑皮一两半） 大腹（锉半两） 高良姜（一两） 吴茱萸（汤洗七遍焙干
炒三分）
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空腹温服，日晚再服。
治息积，胁下妨闷，喘息气逆。白术丸方
白术 枳实（麸炒） 桂（去粗皮各一两半） 人参（二两） 陈橘皮（汤浸去白焙） 桔
梗（
上七味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒下，不拘时候，日二服。
治息积，胁下气逆满闷。槟榔汤方
槟榔（锉） 诃黎勒（煨去核各二两） 吴茱萸（陈者淘七遍焙干炒一两半） 陈橘皮
（汤浸
上四味，粗捣罗，每服五钱匕，水一盏半，煎至八分，去滓温服，空腹日二服。
治息积，胁下气逆满闷。陈橘皮汤方
陈橘皮（汤浸去白焙干） 吴茱萸（陈者水淘七遍炒干各一两半）
上二味，粗捣筛，每服三钱匕，水一盏，入盐少许，煎至七分，不计时候，去滓温服。
论述说：《内经》记载，胁下胀满、气机上逆，经过两三年仍不痊愈的病，名叫息积。所谓“消息”，是指阴阳之气的消长变化。如今气聚结在胁下，只呼吸而不消散，积聚而不疏散，所以导致胀满和气逆而发病。然而，邪气客居在体表之外，并不在胃中，因此不影响饮食，只是妨害气息的通畅。对此病的治疗，不可采用灸法和针刺，适宜采用导引术配合服药治疗。因为单靠药物不能独自治愈，大概是因为导引术能够运行积聚之气，而药力也需要借助导引术的作用才能发挥效力。
治疗息积，胁下气机上逆导致胸闷憋闷，喘息不畅，呼吸时牵引疼痛。沉香丸方：
沉香（锉碎）二两，桂枝（去除粗皮）二两，槟榔（煨后锉碎）二两，人参二两，青橘皮（用热水浸泡后去除白色内层并焙干）二两，诃黎勒皮二两。
以上九味药，捣碎过筛成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，用橘皮汤送服，逐渐增加至三十丸，每日服用两次。
治疗息积，胁下气机上逆导致胸闷憋闷，病程长久不愈。桔梗丸方：
桔梗（锉碎后炒制）一两，枳实（麸皮炒制）一两，鳖甲（去除裙边后用醋炙烤）一两，人参一两，当归（切片焙干）一两，白术一两，干姜（炮制）一两，桂枝（去除粗皮）一两，吴茱萸（用热水洗涤后焙干炒制）三分，甘草（炙制）三分，大麦（炒制）一两半。
以上十一味药，捣碎过筛成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，用温酒送服，每日服用两次，逐渐增加至三十丸。
治疗息积，胁下气机上逆，胀满憋闷不适。赤茯苓汤方：
赤茯苓（去除黑皮）一两半，大腹皮（锉碎）半两，高良姜一两，吴茱萸（用热水洗涤七遍后焙干炒制）三分。
以上六味药，粗捣后过筛，每次服用三钱匕，加水一盏，煎煮至七分水量，去渣后空腹温服，傍晚再服一次。
治疗息积，胁下憋闷，喘息气逆。白术丸方：
白术一两半，枳实（麸皮炒制）一两半，桂枝（去除粗皮）一两半，人参二两，陈橘皮（用热水浸泡后去除白色内层并焙干）一两半，桔梗一两半。
以上七味药，捣碎过筛成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，用温酒送服，不限时候，每日服用两次。
治疗息积，胁下气机上逆胀满憋闷。槟榔汤方：
槟榔（锉碎）二两，诃黎勒（煨后去核）二两，吴茱萸（陈年的淘洗七遍后焙干炒制）一两半，陈橘皮（用热水浸泡）一两半。
以上四味药，粗捣过筛，每次服用五钱匕，加水一盏半，煎煮至八分水量，去渣后温服，空腹时每日服用两次。
治疗息积，胁下气机上逆胀满憋闷。陈橘皮汤方：
陈橘皮（用热水浸泡后去除白色内层焙干）一两半，吴茱萸（陈年的用水淘洗七遍后炒干）一两半。
以上两味药，粗捣过筛，每次服用三钱匕，加水一盏，放入少许盐，煎煮至七分水量，不限时候，去渣后温服。
Commentary states: The *Neijing* (Inner Canon) records that when there is fullness under the hypochondrium and rebellious Qi, persisting for two or three years without resolution, the disease is named Xi Ji (Accumulation of Breath). "Xiao" (decrease) and "Xi" (increase) refer to the alternating processes of Yin and Yang. Currently, Qi gathers under the hypochondrium, remaining stagnant without dissipating, accumulating without dispersing; thus, it causes fullness and rebellion, leading to pathology. However, since the pathogenic Qi resides externally and does not affect the Stomach, digestion is not impaired, but rather the flow of breath is hindered. The treatment method should not involve moxibustion or acupuncture; instead, Daoyin (qigong exercises) combined with herbal medicine is appropriate. This is because herbs alone cannot cure the condition independently; Daoyin can move the accumulated Qi, and the efficacy of the medicine also relies on the movement facilitated by Daoyin.
For treating Xi Ji (Accumulation of Breath), characterized by rebellious Qi under the hypochondrium causing chest oppression and stuffiness, difficult breathing, and pain upon respiration: Chenxiang Wan (Agarwood Pill) Formula.
Chenxiang (Agarwood) [Aquilariae Lignum Resinatum], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Binglang (Areca Seed) [Arecae Semen], Renshen (Ginseng) [Panacis Ginseng Radix], Qingjupi (Green Tangerine Peel) [Citri Reticulatae Pericarpium Viride], Helilepi (Pericarpium of Terminalia Chebula) [Terminaliae Chebulae Pericarpium]. Each ingredient is processed as specified (e.g., crushed, roasted, peeled). Total nine ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with tangerine peel decoction. Gradually increase to 30 pills, taken twice daily.
For treating Xi Ji (Accumulation of Breath), where rebellious Qi under the hypochondrium causes chest oppression and stuffiness, persisting for a long time: Jiegeng Wan (Platycodon Pill) Formula.
Jiegeng (Balloon Flower Root) [Platycodonis Radix], Zhishi (Immature Bitter Orange) [Aurantii Fructus Immaturus], Biejia (Turtle Shell) [Testudinis Carapax et Plastrum], Renshen (Ginseng) [Panacis Ginseng Radix], Danggui (Angelica Sinensis) [Angelicae Sinensis Radix], Baizhu (Atractylodes Macrocephala) [Atractylodis Macrocephalae Rhizoma], Ganjiang (Dried Ginger) [Zingiberis Rhizoma], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Wuzhuyu (Evodia Fruit) [Evodiae Fructus], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma], Damai (Barley) [Hordei Fructus Germinatus]. Total eleven ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with warm wine. Taken twice daily, gradually increasing to 30 pills.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness, oppression, and distension: Chifuling Tang (Red Poria Decoction) Formula.
Chifuling (Red Poria) [Poria cum Ligno Rubrum], Dafupifu (Areca Stem Bark) [Arecae Caulis Cortex], Gaoliangjiang (Galangal Rhizome) [Alpiniae Officinarum Rhizoma], Wuzhuyu (Evodia Fruit) [Evodiae Fructus]. Total six ingredients.
Coarsely crush and sieve. Take 3 qianbi (approx. 9-15g) per dose, add one sheng (approx. 200ml) of water, decoct until reduced to 70%, remove dregs, and take warm on an empty stomach. Take again in the evening.
For treating Xi Ji (Accumulation of Breath), with chest oppression under the hypochondrium, panting, and rebellious Qi: Baizhu Wan (Atractylodes Pill) Formula.
Baizhu (Atractylodes Macrocephala) [Atractylodis Macrocephalae Rhizoma], Zhishi (Immature Bitter Orange) [Aurantii Fructus Immaturus], Guizhi (Cinnamon Twig) [Cinnamomi Ramulus], Renshen (Ginseng) [Panacis Ginseng Radix], Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium], Jiegeng (Balloon Flower Root) [Platycodonis Radix]. Total seven ingredients.
Crush and sieve into powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, administered with warm wine. No specific timing restrictions, taken twice daily.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness and oppression: Binglang Tang (Areca Seed Decoction) Formula.
Binglang (Areca Seed) [Arecae Semen], Helile (Chebula Terminalia Fruit) [Terminaliae Chebulae Fructus], Wuzhuyu (Evodia Fruit) [Evodiae Fructus], Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium]. Total four ingredients.
Coarsely crush and sieve. Take 5 qianbi per dose, add one and a half sheng of water, decoct until reduced to 80%, remove dregs, and take warm. Take on an empty stomach, twice daily.
For treating Xi Ji (Accumulation of Breath), with rebellious Qi under the hypochondrium causing fullness and oppression: Chenjupi Tang (Aged Tangerine Peel Decoction) Formula.
Chenjupi (Aged Tangerine Peel) [Citri Reticulatae Pericarpium], Wuzhuyu (Evodia Fruit) [Evodiae Fructus]. Total two ingredients.
Coarsely crush and sieve. Take 3 qianbi per dose, add one sheng of water, add a small amount of salt, decoct until reduced to 70%. Take warm at any time, after removing dregs.