论曰膈气痰结者。谓结痰在胸膈之上。喉间噎塞。咳唾稠浊。气满胸中。妨害饮食。盖
缘脾肺久虚。气道痞涩。不能升降。水饮停结。聚而为痰。久不瘥。则变虚劳上喘之病。
治膈气痰结。不思饮食。诃黎勒汤方
诃黎勒（煨去核一两） 半夏（二两汤洗七遍姜汁煮令黄色） 甘草（炙各一两半） 草
豆蔻（去皮）
上七味。粗捣筛。每服三钱匕。水一盏。入生姜三片。煎至七分。去滓热服。不拘时候
治膈气痰结。不入饮食。肉豆蔻丸方
肉豆蔻（去壳） 木香 桂（去粗皮） 沉香（镑） 益智子（去皮） 荜澄茄 胡椒 青
橘皮（汤浸去白
上九味。捣罗为末。用木瓜一枚。切盖去子。纳 砂一两飞过者。饭上蒸熟。研如
膏。后拌诸药。如干更入炼蜜和丸。如梧桐子大。空心临卧、温酒下十五丸。
治膈气痰结。呕吐酸水。木香丸方
木香 青橘皮（汤浸去白焙） 桂（去粗皮） 白术 益智子（去皮） 肉豆蔻（去壳
各一两） 细辛（去苗叶） 吴茱萸汤（洗焙干炒） 干姜（炮裂各半两）
上九味。捣罗为末。以酒煮面糊。丸如绿豆大。每服十五丸。食后生姜汤下。
治膈气痰结。和胃气。进饮食。半夏五香丸方
半夏（汤洗七遍去滑捣罗为末姜汁和作饼曝干三两） 丁香 沉香（锉各半两） 麝香
（研） 龙脑（研） 丹砂（研各一钱） 藿香叶（半两） 槟榔（尖者二颗锉） 木香 甘
草（炙各一分）
上一十味。捣研为末。炼蜜和丸。如弹子大。每服一丸。空心食前。生姜盐酒嚼下。
治膈气痰结。呕逆减食。丁香匀气丸方
丁香 木香 沉香（锉） 肉豆蔻（去壳） 桂（去粗皮） 京三棱（煨先捣取末） 当
归（洗切焙） 陈橘皮（汤浸去白焙） 槟榔（锉） 荜澄茄 附子（炮裂去皮脐） 安息
香（酒化去滓） 乳香（绢包汤内摆过候干研） 砂（飞） 丹砂（研各一分） 巴豆（二
十一粒去皮热灰内炮令紫色研）
上一十六味。捣罗为末。与安息香等。一处拌和研匀。酒煮面糊和。再捣三二百下。丸
如麻子大。每服五七丸。温生姜汤下。
治膈气痰结不止。藿香汤方
藿香（去梗二钱） 草豆蔻（去皮一分） 阿魏（一钱用作面饼焙干） 木香（一分） 人
参陈橘皮（汤浸去白焙各半两） 桔梗（炒一分） 干姜（炮裂一钱） 甘草（炙） 诃
黎勒（炮去核各一分）
上一十味。粗捣筛。每服三钱匕。水一盏。入生姜三片。同煎至八分。去滓空心服。
治膈气痰结。上焦冷气。吞酸吐沫。呕逆不食。干姜丸方
干姜（炮一分） 半夏（汤浸去滑焙二两） 丁香（半两）
上三味，捣罗为末。以生姜自然汁。煮面糊为丸。如梧桐子大。每服十五丸。煎木瓜盐
汤下。不计时候。
治膈气痰结。呕逆吐食。妙红散方
红曲（炒） 丁香 藿香（叶） 人参 白茯苓（去黑皮各半两）
上五味。捣罗为散。每服二钱匕。米饮调下。食前服。
治膈气痰结。通中消饮。去积冷。止腹痛。茯苓汤方
赤茯苓（去黑皮） 人参 麦 （炒） 陈橘皮（汤浸去白炒） 陈曲（炒） 半夏（姜
汁浸二宿切焙干各
上八味。粗捣筛。每服三钱匕。水一盏。入生姜三片。同煎至六分。去滓食前温服。
治膈气痰逆。胸中痛、不思食。前胡汤方
前胡（去芦头） 芍药（炒） 半夏（汤洗去滑七遍） 人参 百合（各三分） 赤茯
苓（去黑皮） 枳壳（去瓤麸炒） 枇杷叶（炙刷去毛） 木香 槟榔（煨锉） 白茅根（各
半两）
上一十一味。粗捣筛。每服五钱匕。水一盏半。煎至八分。去滓不拘时温服。
治膈气痰结。胸中不利。五膈丸方
桑根白皮（锉焙） 紫苏叶（微焙） 赤茯苓（去黑皮） 陈橘皮（汤浸去白焙各一两）
槟榔（八枚锉） 生姜（切焙二两） 浓朴（去粗皮生姜汁炙一两三分） 旋复花（一两半）
上八味。捣罗为末。炼蜜和丸。如梧桐子大。空心米饮下二十丸。渐加至三十丸。
论述说：膈气痰结，是指凝结的痰浊停留在胸膈部位。患者感觉喉间噎塞不通，咳嗽吐出的痰液稠厚浑浊，胸中气机壅满，妨碍饮食摄入。这大概是因为脾肺长期虚弱，气道痞塞涩滞，不能正常升降，导致水饮停留凝结，聚集成痰。如果久治不愈，就会演变为虚劳伴上喘的病证。
治疗膈气痰结、不思饮食的诃黎勒汤方：
诃黎勒（煨制去核一两）、半夏（二两，用汤水洗七遍，姜汁煮至黄色）、甘草（炙，各一两半）、草豆蔻（去皮）。
以上四味药（注：原文称“上七味”，但列药仅四味，此处依原文记录），粗捣筛碎。每次服用三钱匕，加水一盏，放入生姜三片，煎至七分满，滤去药渣，热服。不限定时间。
治疗膈气痰结、无法进食的肉豆蔻丸方：
肉豆蔻（去壳）、木香、桂（去粗皮）、沉香（镑片）、益智子（去皮）、荜澄茄、胡椒、青橘皮（汤浸去白）。
以上八味药（注：原文称“上九味”，但列药仅八味，此处依原文记录），捣碎过罗成粉末。取一个木瓜，切开盖去掉籽，纳入砂一两（经飞制者），放在饭上蒸熟，研成膏状。然后拌入上述药粉。如果太干，再加入炼蜜调和制成丸剂，大小如梧桐子。空腹及睡前，用温酒送服十五丸。
治疗膈气痰结、呕吐酸水的木香丸方：
木香、青橘皮（汤浸去白焙干）、桂（去粗皮）、白术、益智子（去皮）、肉豆蔻（去壳，各一两）、细辛（去苗叶）、吴茱萸（汤洗焙干炒）、干姜（炮裂，各半两）。
以上九味药，捣碎过罗成粉末。用酒煮面糊，制成如绿豆大小的丸剂。每次服用十五丸，饭后用生姜汤送服。
治疗膈气痰结、和胃气、增进饮食的半夏五香丸方：
半夏（汤洗七遍去滑，捣罗成末，姜汁和作饼晒干，三两）、丁香、沉香（锉碎，各半两）、麝香（研）、龙脑（研）、丹砂（研，各一钱）、藿香叶（半两）、槟榔（尖者两颗，锉碎）、木香、甘草（炙，各一分）。
以上十味药，捣研成粉末，用炼蜜和丸，大小如弹子。每次服用一丸，空腹食前，用生姜、盐、酒嚼服。
治疗膈气痰结、呕逆减食的丁香匀气丸方：
丁香、木香、沉香（锉碎）、肉豆蔻（去壳）、桂（去粗皮）、京三棱（煨后先捣取末）、当归（洗切焙干）、陈橘皮（汤浸去白焙）、槟榔（锉碎）、荜澄茄、附子（炮裂去皮脐）、安息香（酒化去滓）、乳香（绢包在汤内摆过候干研）、砂（飞制）、丹砂（研，各一分）、巴豆（二十一粒，去皮，在热灰内炮令紫色，研）。
以上十六味药，捣罗成粉末，与安息香等量混合拌匀研匀。用酒煮面糊调和，再捣三二百下，制成如麻子大小的丸剂。每次服用五到七丸，用温生姜汤送服。
治疗膈气痰结不止的藿香汤方：
藿香（去梗二钱）、草豆蔻（去皮一分）、阿魏（一钱，做成面饼焙干）、木香（一分）、人参、陈橘皮（汤浸去白焙，各半两）、桔梗（炒一分）、干姜（炮裂一钱）、甘草（炙）、诃黎勒（炮去核，各一分）。
以上十味药，粗捣筛碎。每次服用三钱匕，加水一盏，放入生姜三片，同煎至八分满，滤去药渣，空腹服用。
治疗膈气痰结、上焦冷气、吞酸吐沫、呕逆不食的干姜丸方：
干姜（炮一分）、半夏（汤浸去滑焙二两）、丁香（半两）。
以上三味药，捣罗成粉末。用生姜自然汁煮面糊为丸，大小如梧桐子。每次服用十五丸，用煎好的木瓜盐汤送服。不限定时间。
治疗膈气痰结、呕逆吐食的妙红散方：
红曲（炒）、丁香、藿香（叶）、人参、白茯苓（去黑皮，各半两）。
以上五味药，捣罗成散剂。每次服用二钱匕，用米饮调下。饭前服用。
治疗膈气痰结、通中消饮、去积冷、止腹痛的茯苓汤方：
赤茯苓（去黑皮）、人参、麦 （炒）、陈橘皮（汤浸去白炒）、陈曲（炒）、半夏（姜汁浸二宿切焙干，各... [原文此处缺失具体剂量，依原文记录]）。
以上八味药，粗捣筛碎。每次服用三钱匕，加水一盏，放入生姜三片，同煎至六分满，滤去药渣，饭前温服。
治疗膈气痰逆、胸中痛、不思食的前胡汤方：
前胡（去芦头）、芍药（炒）、半夏（汤洗去滑七遍）、人参、百合（各三分）、赤茯苓（去黑皮）、枳壳（去瓤麸炒）、枇杷叶（炙刷去毛）、木香、槟榔（煨锉）、白茅根（各半两）。
以上十一味药，粗捣筛碎。每次服用五钱匕，加水一盏半，煎至八分满，滤去药渣，不拘时温服。
治疗膈气痰结、胸中不利的五膈丸方：
桑根白皮（锉碎焙干）、紫苏叶（微焙）、赤茯苓（去黑皮）、陈橘皮（汤浸去白焙，各一两）、槟榔（八枚，锉碎）、生姜（切焙二两）、浓朴（去粗皮，生姜汁炙，一两三分）、旋复花（一两半）。
以上八味药，捣罗成粉末，用炼蜜和丸，大小如梧桐子。空腹用米饮送服二十丸，逐渐增加至三十丸。
Commentary states: Ge Qi Tan Jie (Diaphragmatic Qi and Phlegm Knotting) refers to condensed phlegm stagnating in the upper chest and diaphragm. Patients experience a sensation of choking or obstruction in the throat, cough up thick and turbid sputum, feel qi fullness in the chest, and have difficulty eating due to obstruction. This is generally caused by long-term deficiency of the Spleen and Lung, leading to blockage and stagnation of the qi mechanism, preventing normal ascending and descending functions. Consequently, fluid retention accumulates and condenses into phlegm. If not cured for a long time, it may transform into a disease of Xu Lao (Consumptive Disease) accompanied by asthma.
Heqile Tang (Terminalia Decoction) for treating Diaphragmatic Qi and Phlegm Knotting with loss of appetite:
Heqile (Terminalia chebula, roasted, pitted, 1 liang), Banxia (Pinelliae Rhizoma, 2 liang, washed seven times in decoction, boiled in ginger juice until yellow), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1.5 liang), Caodoukou (Alpiniae Katsumadai Semen, peeled).
The above four herbs (Note: Text says "seven", but lists four), coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger, decoct until 70% remains, remove dregs, and take hot. No specific time restriction.
Roudoukou Wan (Myristica Pill) for treating Diaphragmatic Qi and Phlegm Knotting with inability to eat:
Roudoukou (Myristicae Semen, shelled), Muxiang (Aucklandiae Radix), Gui (Cinnamomi Ramulus, bark removed), Chenxiang (Aquilariae Lignum Resinatum, shaved), Yizhiren (Alpiniae Oxyphyllae Semen, peeled), Bichengqie (Piperis Chaliigranis Fructus), Hujiao (Piperis Longi Fructus), Qingju pi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed).
The above eight herbs (Note: Text says "nine"), pounded and sieved into powder. Take one papaya, cut off the lid, remove seeds, insert 1 liang of refined Sha (Sal), steam over rice until cooked, and grind into a paste. Mix with the herb powders. If too dry, add refined honey to form pills, size of Wutongzi (Chinese honeylocust seed). Take fifteen pills with warm wine on an empty stomach and before bed.
Muxiang Wan (Aucklandia Pill) for treating Diaphragmatic Qi and Phlegm Knotting with vomiting of sour fluid:
Muxiang (Aucklandiae Radix), Qingju pi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, dried), Gui (Cinnamomi Ramulus, bark removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Yizhiren (Alpiniae Oxyphyllae Semen, peeled), Roudoukou (Myristicae Semen, shelled, each 1 liang), Xixin (Asari Radix et Rhizoma, weeds and leaves removed), Wuzhuyu (Evodiae Fructus, washed in water, dried, stir-fried), Ganjiang (Zingiberis Rhizoma, roasted, each 0.5 liang).
The above nine herbs, pounded and sieved into powder. Use wine-boiled wheat paste to form pills the size of mung beans. Take fifteen pills per dose, administered after meals with ginger decoction.
Banxia Wuxiang Wan (Pinellia Five-Aromatics Pill) for treating Diaphragmatic Qi and Phlegm Knotting, harmonizing Stomach Qi, and promoting appetite:
Banxia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness, pounded and sieved, mixed with ginger juice to make cakes, sun-dried, 3 liang), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum, crushed, each 0.5 liang), Shexiang (Moschus, ground), Longnao (Borneolum Syntheticum, ground), Dansha (Cinnabaris, ground, each 1 qian), Huoxiangye (Agastaches Herba, 0.5 liang), Binglang (Arecae Semen, pointed ones, two pieces, crushed), Muxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen).
The above ten herbs, pounded and ground into powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose, before meals on an empty stomach, chewed with fresh ginger, salt, and wine.
Dingxiang Yunqi Wan (Clove Qi-Regulating Pill) for treating Diaphragmatic Qi and Phlegm Knotting with regurgitation and reduced food intake:
Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, crushed), Roudoukou (Myristicae Semen, shelled), Gui (Cinnamomi Ramulus, bark removed), Jingsanleng (Curcumae Zedoariae Rhizoma, roasted, pounded first to take powder), Danggui (Angelicae Sinensis Radix, washed, sliced, dried), Chenju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Binglang (Arecae Semen, crushed), Bichengqie (Piperis Chaliigranis Fructus), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peel and navel removed), Anshixiang (Styrax, dissolved in wine, dregs removed), Ruxiang (Olibanum, wrapped in silk, swirled in hot water, dried, ground), Sha (Sal, refined), Dansha (Cinnabaris, ground, each 1 fen), Badou (Crotonis Fructus, 21 grains, peeled, roasted in hot ashes until purple, ground).
The above sixteen herbs, pounded and sieved into powder. Mix equally with Anshixiang, blend and grind uniformly. Use wine-boiled wheat paste to bind, pound another 300-200 times, form pills the size of hemp seeds. Take five to seven pills per dose with warm ginger decoction.
Huoxiang Tang (Patchouli Decoction) for persistent Diaphragmatic Qi and Phlegm Knotting:
Huoxiang (Agastaches Herba, stems removed, 2 qian), Caodoukou (Alpiniae Katsumadai Semen, peeled, 1 fen), Awei (Ferulae Resina, 1 qian, made into flour cake and roasted), Muxiang (Aucklandiae Radix, 1 fen), Renshen (Ginseng Radix), Chenju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each 0.5 liang), Jiegeng (Platycodonis Radix, stir-fried, 1 fen), Ganjiang (Zingiberis Rhizoma, roasted, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Heqile (Terminaliae Fructus, roasted, pitted, each 1 fen).
The above ten herbs, coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger, decoct together until 80% remains, remove dregs, and take on an empty stomach.
Ganjiang Wan (Zingiber Pill) for treating Diaphragmatic Qi and Phlegm Knotting, cold qi in the Upper Jiao, acid regurgitation, spitting foam, regurgitation, and anorexia:
Ganjiang (Zingiberis Rhizoma, roasted, 1 fen), Banxia (Pinelliae Rhizoma, soaked in water, slipperiness removed, dried, 2 liang), Dingxiang (Caryophylli Flos, 0.5 liang).
The above three herbs, pounded and sieved into powder. Use natural juice of fresh ginger to cook wheat paste for binding, form pills the size of Wutongzi. Take fifteen pills per dose with decocted papaya salt water. No specific time restriction.
Miaohong San (Wonderful Red Powder) for treating Diaphragmatic Qi and Phlegm Knotting with regurgitation and vomiting of food:
Hongqu (Monascus Ruber, stir-fried), Dingxiang (Caryophylli Flos), Huoxiang (Agastaches Herba, leaf), Renshen (Ginseng Radix), Bai Fuling (Poria, black skin removed, each 0.5 liang).
The above five herbs, pounded and sieved into powder. Take two qianbi per dose, mixed with rice drink. Take before meals.
Fuling Tang (Poria Decoction) for treating Diaphragmatic Qi and Phlegm Knotting, clearing the middle to eliminate fluids, removing accumulated cold, and stopping abdominal pain:
Chi Fuling (Poria, black skin removed), Renshen (Ginseng Radix), Mai (Triticum aestivum, stir-fried), Chenju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, stir-fried), Chenqu (Massa Medicata Fermentata, stir-fried), Banxia (Pinelliae Rhizoma, soaked in ginger juice for two nights, sliced, dried, each [dose missing in text]).
The above eight herbs, coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, three slices of fresh ginger, decoct together until 60% remains, remove dregs, and take warm before meals.
Qianhu Tang (Peucedani Decoction) for treating Diaphragmatic Qi reversal, chest pain, and loss of appetite:
Qianhu (Peucedani Radix, rhizome head removed), Shaoyao (Paeoniae Radix, stir-fried), Banxia (Pinelliae Rhizoma, washed in water, slipperiness removed, seven times), Renshen (Ginseng Radix), Baihe (Lilii Bulbus, each 3 fen), Chi Fuling (Poria, black skin removed), Zhike (Aurantii Fructus Immaturus, pulp removed, bran-stir-fried), Pipaye (Eriobotryae Folium, honey-fried, brushed to remove hairs), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen, roasted, crushed), Baimaogen (Imperatae Rhizoma, each 0.5 liang).
The above eleven herbs, coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct until 80% remains, remove dregs, and take warm at any time.
Wuge Wan (Five Diaphragms Pill) for treating Diaphragmatic Qi and Phlegm Knotting causing discomfort in the chest:
Sangbaipipi (Mori Cortex, crushed and dried), Zisu ye (Perillae Folium, lightly roasted), Chi Fuling (Poria, black skin removed), Chenju pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, each 1 liang), Binglang (Arecae Semen, eight pieces, crushed), Shengjiang (Zingiberis Rhizoma Recens, sliced and dried, 2 liang), Houpo (Magnoliae Officinalis Cortex, bark removed, stir-fried with ginger juice, 1 liang 3 fen), Xuanjinhua (Inulae Flos, 1.5 liang).
The above eight herbs, pounded and sieved into powder. Mix with refined honey to form pills the size of Wutongzi. Take twenty pills on an empty stomach with rice drink, gradually increasing to thirty pills.