治上气呕吐，不能下食。
半夏（汤洗，焙，三分） 陈皮（去白焙） 白术 甘草（锉炙） 桂心（各半两） 人
参（一
上 咀，每服五钱，水一盏，生姜五片，枣三枚，煎至七分，去滓温服。日三。
治上气呕逆，及疏利过多，虚气上攻，及短气少气噎闷，宜服。
木香 人参 白茯苓（去皮） 藿香叶 陈皮（去白焙） 枳壳（麸炒） 甘草（炙，
各一两）
上为细末，每服二钱，煎紫苏木瓜生姜汤调，再入银盏重汤煎五七沸，温服。
治男子妇人诸物所伤，遍身走注，疼痛多年，沉积不散，呕吐恶心，胸膈
痛，久痢不止，肋胁胀满，一切冷气不和，妇人胎前产后诸疾，并皆治之。
沉香 檀香 木香 乳香 没药（各半两） 丁香 香附（炒，去毛） 八角茴香 莪
术（
乌（炮） 草乌（
上为细末，用醋煮面糊为丸，如樱桃大，每服一丸，用枣一枚，烧熟去核，同药细嚼，
用冷米饮送下。心腹急痛，用冷水送下。伤损肠内痛，煎乳香汤下。积聚亦如前法。服后以
干物压之，忌热物，大有神效，食后临卧时服。
膈噎为病，巢氏以忧思劳食气五者为五噎，以忧恚寒热气为五膈。然膈噎虽分之为二，
不云治疗之法，《内经》言三阳结谓之膈，三阳者大肠小肠膀胱是也，结者热结也。小肠热
则血脉燥，大肠热则后不圊，膀胱热则津液涸。三阳结热，则前后闭涩不通，气反上行，食
噎不下，此皆热证。《内经》又云∶诸气为阳也，气结则脉结，脉结于阳部，必寸关缓涩而
沉伏，此谓之阳结也，结者乃结聚之义也。膈者谓膈在心脾之间，上下不通，若格拒之状也
，或结于咽喉，时觉有所碍，吐之不出，咽之不下，由气郁痰搏而然，久则渐妨饮食而为膈
也。噎者饮食之际，气卒阻滞，饮食不下而为噎也。大凡忧愁愤怒，盖出于思，思则伤神，
气不舒，气聚结不散，为结为痞，为膈为噎，乃正气虚，使气道嗌塞，大便自结。结则气上
不下，食不得入，入则反出，俾肠涸胃空，上吐下结，遂成结肠反胃。盖气膈之病，胸中气
痞烦闷，饮食不下，或心下苦满，噫气吞酸，时闻食臭，大小便闭涩，不时吐逆，皆由忧思
伤气，故阳脉结而谓之膈气也。夫喜则气散，怒则气逆，忧则气聚，思则气结，悲则气急，
恐则气怯，惊则气乱，此七气不和则百病生。膈噎之证，得气愈盛，气噎其脉缓涩，食噎其
脉短涩，治法透膈疏气，化痰和胃。后之学人，幸而辨之，治证药类，开列于后。
治疗上逆之气引起的呕吐，无法进食。
半夏（用汤水洗净，焙干，三分） 陈皮（去除白色部分后焙干） 白术 甘草（锉碎并炙烤） 桂心（以上各半两） 人参（一两）
将上述药材切碎，每次服用五钱，加水一盏，生姜五片，大枣三枚，煎煮至七分满，滤去药渣，温服。每日三次。
治疗上逆之气引起的呕逆，以及因过度疏利（如泻下过多）导致的虚气上攻，还有短气、少气、噎闷等症状，适宜服用。
木香 人参 白茯苓（去除外皮） 藿香叶 陈皮（去除白色部分后焙干） 枳壳（麸皮炒制） 甘草（炙烤，以上各一两）
将上述药材研成细末，每次服用二钱，用紫苏、木瓜、生姜煎成的汤调服，再放入银盏中隔水加热煮沸五六次，温服。
治疗男子妇人被各种邪气所伤，全身游走性疼痛，多年沉积不散，伴有呕吐恶心，胸膈疼痛，久痢不止，肋胁胀满，一切冷气不和，以及妇女产前产后各种疾病，都能治疗。
沉香 檀香 木香 乳香 没药（以上各半两） 丁香 香附（炒制，去除绒毛） 八角茴香 莪术（炮制） 乌头（炮制） 草乌（炮制）
将上述药材研成细末，用醋煮面糊制作成丸剂，大小如樱桃，每次服用一丸，用一枚大枣，烧熟后去核，与药丸一同细细咀嚼，用冷米饮送下。如果是心腹急痛，用冷水送下。如果是损伤导致肠内疼痛，用乳香汤送下。积聚病症也按此法服用。服药后用干食物压住胃部，忌食热物，效果显著，应在饭后和睡前服用。
膈噎这种病，巢元方认为忧思劳食气五种情况为五噎，忧恚寒热气为五膈。然而膈噎虽然分为两类，但未说明治疗方法。《内经》说“三阳结谓之膈”，三阳指的是大肠、小肠、膀胱，结是指热结。小肠有热则血脉干燥，大肠有热则排便不畅，膀胱有热则津液枯竭。三阳热结，导致前后二便闭塞不通，气反而上行，食物噎阻不下，这都属于热证。《内经》又说：“诸气属阳，气结则脉结，脉结于阳部，必然寸关脉缓涩而沉伏，这叫做阳结。”结的意思是结聚。膈是指膈位于心脾之间，上下不通，像格拒一样；或者结于咽喉，时常感觉有阻碍，吐不出来，咽不下去，这是由于气郁痰搏所致，时间久了逐渐妨碍饮食而形成膈症。噎是指在饮食之际，气突然阻滞，饮食不下而形成噎症。大凡忧愁愤怒，都出于思虑，思虑伤神，气不舒展，气聚结不散，形成结、痞、膈、噎，这是因为正气虚弱，使气道咽喉阻塞，大便自然结滞。结则气上不下，食物不能进入，进入则反出，使得肠道干枯、胃中空虚，上吐下结，最终形成结肠反胃。气膎的病，胸中气痞烦闷，饮食不下，或者心下苦满，嗳气吞酸，时常闻到食物臭味，大小便闭涩，不时吐逆，都是由忧思伤气，导致阳脉结聚而称为膈气。喜则气散，怒则气逆，忧则气聚，思则气结，悲则气急，恐则气怯，惊则气乱，这七种气机不和则百病生。膈噎的证候，得气愈盛，气噎其脉缓涩，食噎其脉短涩，治疗方法是透膈疏气，化痰和胃。后来的学者，希望能辨别清楚，治疗证候的药物类别，开列在后面。
To treat upward-rebellious Qi causing vomiting and inability to take food.
Banxia (Pinelliae Rhizoma, washed with decoction, dried, 3 fen) Chenshi (Citri Reticulatae Pericarpium, white pith removed, dried) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, cut and roasted) Guixin (Cinnamomi Cortex, each 0.5 liang) Renshen (Panacis Ginseng Radix, 1 liang)
Crush the above herbs. For each dose, use 5 qian, add 1 zhan of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 3 dates. Decoct until 7/10 remains, strain, and take warm. Three times a day.
To treat upward-rebellious Qi causing retching, as well as deficiency Qi attacking upward due to excessive purgation, shortness of breath, scanty Qi, and dysphagia/stuffiness. This is suitable for consumption.
Muxiang (Aucklandiae Radix) Renshen (Panacis Ginseng Radix) Baifuling (Poria, pelt removed) Huoxiangye (Agastachis Herba) Chenshi (Citri Reticulatae Pericarpium, white pith removed, dried) Zhike (Aurantii Fructus Immaturus, bran-fried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 liang)
Grind the above herbs into fine powder. For each dose, use 2 qian, mix with decoction made from Zisu (Perillae Folium), Mugua (Chaenomelis Fructus), and Shengjiang (Zingiberis Rhizoma Recens). Place in a silver cup and heat over boiling water for five or seven boils. Take warm.
To treat men and women injured by various pathogens, wandering pain throughout the body persisting for years without dissipating, accompanied by vomiting, nausea, chest and diaphragm pain, chronic dysentery, hypochondriac distension and fullness, all types of cold Qi disharmony, and various diseases before and after childbirth in women. All are treated.
Chenxiang (Aquilariae Lignum Resinatum) Tanxiang (Santalum Album Lignum) Muxiang (Aucklandiae Radix) Ruxiang (Olibanum) Moyao (Myrrha) (each 0.5 liang) Dingxiang (Caryophylli Flos) Xiangfu (Cyperi Rhizoma, fried, trichomes removed) Bajiaohuixiang (Illicii Fructus) Ezhu (Curcumae Rhizoma, processed) Wutou (Aconiti Lateralis Radix Praeparata, processed) Caowu (Aconiti Kusnezoffii Radix, processed)
Grind the above herbs into fine powder. Use vinegar-boiled wheat paste to make pills the size of cherries. For each dose, take one pill. Roast one date until cooked, remove the pit, chew together with the pill finely, and swallow with cold rice drink. For acute heart and abdominal pain, swallow with cold water. For internal intestinal pain due to injury, swallow with Ruxiang (Olibanum) decoction. For accumulations, follow the same method. After taking the medicine, press the stomach with dry food; avoid hot food. It has great miraculous effect. Take after meals and before bedtime.
The disease of Ge-Ye (dysphagia and obstruction), according to Chao Yuanfang, consists of five types of Ye (choking) caused by worry, thought, labor, diet, and Qi stagnation, and five types of Ge (obstruction) caused by anger, fear, cold, and heat. Although Ge and Ye are divided into two categories, their treatment methods were not described. The *Neijing* states: "Obstruction of the three Yang meridians is called Ge." The three Yang refer to the Large Intestine, Small Intestine, and Bladder. "Jie" refers to heat accumulation. Heat in the Small Intestine causes blood vessels to become dry; heat in the Large Intestine causes difficulty in defecation; heat in the Bladder causes depletion of body fluids. When the three Yang suffer from heat accumulation, the anterior and posterior orifices become blocked and unpatent, Qi rebels upward, food is obstructed and cannot go down. These are all heat syndromes. The *Neijing* also says: "All Qi belongs to Yang. Qi stagnation leads to pulse stagnation. If the pulse is stagnant in the Yang portion, it will be slow, choppy, deep, and hidden at the Cun and Guan positions. This is called Yang Jie." Jie means aggregation. Ge refers to the area between the Heart and Spleen, where upper and lower passages are blocked, resembling rejection. Or it may aggregate at the throat, causing a sensation of obstruction, unable to vomit out or swallow down. This results from Qi depression and phlegm binding. Over time, it gradually hinders eating and becomes Ge syndrome. Ye refers to sudden Qi blockage during eating, preventing food from going down, resulting in Ye syndrome. Generally, worry and anger stem from thought. Thought injures the Spirit, causing Qi to fail to circulate freely. Qi aggregates and does not disperse, forming stagnation, fullness, Ge, and Ye. This is due to deficiency of righteous Qi, causing blockage of the Qi pathway and throat, and natural constipation of stool. Stagnation causes Qi to rise but not descend, food cannot enter, and if it enters, it comes back up. This dries the intestines and empties the stomach, leading to upper vomiting and lower stagnation, eventually forming Colon Obstruction and Regurgitation. The disease of Qi Ge involves chest Qi stagnation, fullness, and irritability, inability to eat, or bitter fullness below the heart, belching with acid regurgitation, frequent smell of food, blockage of urination and defecation, and frequent vomiting and reflux. All are caused by worry and thought injuring Qi, leading to Yang pulse stagnation, hence called Qi Ge. Joy disperses Qi, anger causes Qi to rebel, worry causes Qi to aggregate, thought causes Qi to knot, grief causes Qi to rush, fear causes Qi to sink, shock causes Qi to scatter. Disharmony of these seven Qi leads to hundreds of diseases. In Ge-Ye syndromes, the more abundant the pathogenic Qi, the slower and choppier the pulse in Qi Ye, and the shorter and choppier the pulse in Food Ye. The treatment method is to penetrate the diaphragm, soothe Qi, resolve phlegm, and harmonize the Stomach. Future scholars should strive to distinguish them. The medicinal categories for treating these syndromes are listed below.