（附论）
夫肺主于气。若肺气虚。或为风邪所乘。则脏腑不利。经络痞塞。不能宣通。则猝上
气
也。
方
麻黄散 治猝上气。喘急气奔欲绝。
麻黄（二两去根节） 甘草（一两炙微赤色） 桂心（一两） 马兜铃（一两） 杏仁
（一两汤
浸去
至五分
五味子散 治猝上气奔喘。
五味子（一两） 麻黄（二两去根节） 甘草（一两炙微黄锉） 细辛（一两） 贝母
（一两煨微黄）
青橘皮散 治猝上气。胸中不利痰逆。
青橘皮（一两汤浸去白瓤） 甘草（半两炙微赤锉） 诃黎勒皮（一两） 紫苏茎叶
（二两）
枇
拘时
细辛散 治猝上气。心胸壅闷头痛。
细辛（半两） 甘草（半两炙微赤锉） 人参（一两去芦） 桂心（三分） 半夏（一
两汤洗七次去
分去芦） 五
味子（一
温服。
治猝上气喘急方。
杏仁（一两汤浸去皮尖双麸炒微黄） 人参（二两去芦头） 陈橘皮（二两汤浸去白瓤
焙） 甘草
水一大盏。入生
治猝上气喘急腹痛。
干姜（一两炮） 五味子（一两） 木香（一两） 上为细散。不计时候。以暖酒送下
二钱。
又方
灯心 木通（一两） 陈橘皮（一两汤浸去白瓤焙） 上细锉。以水二盏。煎至一盏。
去滓下牛
半夏苏子汤 治猝上气胸中满塞。
半夏（五两洗） 苏子（一升） 生姜（五两） 大枣（四十枚劈） 橘皮 桂心（各
二两） 甘草（
菘菜、羊肉汤、
竹筱下气汤 疗猝上气胸心满。
生甘竹筱（一虎口） 石膏（一两碎） 生姜 橘皮（各三两） 甘草（三两炙） 上
切。以水七
两三剂瘥。
疗猝上气息鸣便欲绝方。
桑根白皮（切三升） 生姜（切半升） 吴茱萸（半升） 上切。以酒五升。煮三升去
滓。令
服之
又方
麻黄（去节） 甘草（炙各三两） 上切。以水三升。煮取一升半。分三服。一方用水
八升。
煮
服
又疗猝上气不降。抬肩息鸣。用干姜三两。以酒一斗。渍取一升。日三服。
又方 疗猝上气不降。抬肩息鸣。
麻黄（三两去节） 桂心 甘草（炙各一两） 杏仁（四十枚去皮尖双仁者） 上切。
以水六
升
有痰唾者。加半夏三两洗之。忌海藻、菘菜、生葱。
投杯汤 疗疾病后。暴上气困笃。
石膏（四两碎） 甘草（二两炙） 五味子（三两） 大枣（二十枚擘） 人参 桂心 半
夏
（洗）
煮取三
升。一服
香苏汤 治下后烦。气暴上。
生苏（一把各用苏子三两） 香豉（五两） 上以水五升。煮取二升顿服。
治猝上气息鸣便欲绝方。
茱萸（二升） 生姜（三两） 上以水七升。煮取二升。分为三服。
治猝上气。喘急息鸣便欲绝。（本草）
上用人参末。开水调服方寸匕。日五六服。
治猝上气息鸣便欲绝。（出本草）（方见韭汁饮）
治猝患食后气不通。（出本草方）
以柰生捣汁服之。
（附论）
肺主司气。如果肺气虚弱，或者被风邪侵袭，就会导致脏腑功能失调，经络阻滞不通，无法宣发疏通，从而引发突然的气逆上冲。
方剂：麻黄散。治疗突然气逆上冲，喘息急促，气息奔涌似将断绝。
组成：麻黄（二两，去除根和节）、甘草（一两，炙至微赤色）、桂心（一两）、马兜铃（一两）、杏仁（一两，用汤浸泡后去皮尖及双仁者）。
用法：上药捣筛为散。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，温服。
五味子散。治疗突然气逆上冲，喘息奔迫。
组成：五味子（一两）、麻黄（二两，去除根和节）、甘草（一两，炙至微黄并锉碎）、细辛（一两）、贝母（一两，煨至微黄）。
用法：上药捣筛为散。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，温服。
青橘皮散。治疗突然气逆上冲，胸中不畅，痰气上逆。
组成：青橘皮（一两，用汤浸泡后去除白瓤）、甘草（半两，炙至微赤并锉碎）、诃黎勒皮（一两）、紫苏茎叶（二两）。
用法：上药粗捣筛。每次服用三钱，用水一中盏，煎煮至五分，去渣，温服。
细辛散。治疗突然气逆上冲，心胸壅闷，头痛。
组成：细辛（半两）、甘草（半两，炙至微赤并锉碎）、人参（一两，去除芦头）、桂心（三分）、半夏（一两，用汤洗七次以去滑）、五味子（一两，去芦）。
用法：上药捣筛为散。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，温服。
治疗突然气逆上喘的方剂。
组成：杏仁（一两，用汤浸泡后去皮尖及双仁者，炒至微黄）、人参（二两，去除芦头）、陈橘皮（二两，用汤浸泡后去除白瓤并焙干）、甘草（半两，炙微赤）。
用法：上药粗捣筛。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，温服。
治疗突然气逆上喘且腹痛的方剂。
组成：干姜（一两，炮制）、五味子（一两）、木香（一两）。
用法：上药研为细散。不拘时候，用暖酒送下二钱。
又一方。
组成：灯心草、木通（一两）、陈橘皮（一两，用汤浸泡后去除白瓤并焙干）。
用法：上药细锉。用水二盏，煎煮至一盏，去渣，加入牛乳少许，温服。
半夏苏子汤。治疗突然气逆上冲，胸中满塞。
组成：半夏（五两，洗）、苏子（一升）、生姜（五两）、大枣（四十枚，劈开）、橘皮、桂心（各二两）、甘草（一两，炙）。
用法：上药粗捣筛。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分，去渣，温服。忌食菘菜、羊肉汤。
竹筱下气汤。治疗突然气逆上冲，胸心满闷。
组成：生甘竹筱（一虎口量）、石膏（一两，捣碎）、生姜、橘皮（各三两）、甘草（三两，炙）。
用法：上药切碎。用水七盏，煎煮至三盏，去渣，分三次服，服三剂病愈。
治疗突然气逆上冲，呼吸有声，气息欲绝的方剂。
组成：桑根白皮（切，三升）、生姜（切，半升）、吴茱萸（半升）。
用法：上药切碎。用酒五升，煮取三升，去渣。令患者分次服用。
又一方。
组成：麻黄（去节）、甘草（炙，各三两）。
用法：上药切碎。用水三升，煮取一升半，分三次服用。另一方用水八升，煮取二升，分三次服用。
又治疗突然气逆上冲不降，抬肩呼吸有声。用干姜三两，用酒一斗，浸泡取汁一升，每日分三次服用。
又一方。治疗突然气逆上冲不降，抬肩呼吸有声。
组成：麻黄（三两，去节）、桂心、甘草（炙，各一两）、杏仁（四十枚，去皮尖且为双仁者）。
用法：上药切碎。用水六升，煮取二升，分三次服用。若有痰唾者，加半夏三两（洗）。忌食海藻、菘菜、生葱。
投杯汤。治疗疾病之后，突发气逆上冲，病情危重。
组成：石膏（四两，捣碎）、甘草（二两，炙）、五味子（三两）、大枣（二十枚，掰开）、人参、桂心、半夏（洗）。
用法：上药粗捣筛。用水五升，煮取三升，分三次服用，一次服用一升。
香苏汤。治疗攻下后心烦，气暴逆上冲。
组成：生苏（一把，另用苏子三两）、香豉（五两）。
用法：用水五升，煮取二升，一次性服用。
治疗突然气逆上冲，呼吸有声，气息欲绝的方剂。
组成：吴茱萸（二升）、生姜（三两）。
用法：用水七升，煮取二升，分为三次服用。
治疗突然气逆上冲，喘息急促，呼吸有声，气息欲绝。（出自《本草》）
用法：用人参末，开水调服方寸匕，每日五六次。
(Attached Discussion)
The Lung governs Qi. If Lung Qi is deficient, or if it is invaded by Wind pathogenic factors, the functions of the Zang-Fu organs will be impaired, and the meridians and collaterals will become obstructed and blocked, failing to diffuse and unblock smoothly. This results in sudden upward reversal of Qi (Su Shang Qi).
Formula: Mahuang San (Ephedra Powder). Treats sudden upward reversal of Qi, with panting and urgency, where Qi rushes as if about to cease.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (2 liang, remove roots and nodes), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, stir-baked until slightly reddish), Cinnamomi Cortex (Guixin, 桂心) (1 liang), Aristolochiae Fructus (Madouling, 马兜铃) (1 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (1 liang, soak in hot water, remove skin and tips, and double kernels).
Usage: The above ingredients are pounded and sifted into a powder. Take 3 qian each time, add 1 zhong zhan of water and half a cun of fresh Ginger (Shengjiang, 生姜), decoct until 5 fen remains, strain, and take warm.
Wuweizi San (Schisandra Powder). Treats sudden upward reversal of Qi with rushing panting.
Ingredients: Schisandrae Fructus (Wuweizi, 五味子) (1 liang), Ephedrae Herba (Mahuang, 麻黄) (2 liang, remove roots and nodes), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, stir-baked until slightly yellow and chopped), Asari Radix et Rhizoma (Xixin, 细辛) (1 liang), Fritillariae Bulbus (Beimu, 贝母) (1 liang, baked until slightly yellow).
Usage: The above ingredients are pounded and sifted into a powder. Take 3 qian each time, add 1 zhong zhan of water and half a cun of fresh Ginger (Shengjiang, 生姜), decoct until 5 fen remains, strain, and take warm.
Qingjupi San (Green Tangerine Peel Powder). Treats sudden upward reversal of Qi, discomfort in the chest, and rebellious Phlegm-Qi.
Ingredients: Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) (1 liang, soak in hot water, remove white pith), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang, stir-baked until slightly reddish and chopped), Terminalia Chebulae Pericarpium (Helilepi, 诃黎勒皮) (1 liang), Perilla Caulis et Folium (Zisu Jingye, 紫苏茎叶) (2 liang).
Usage: The above ingredients are coarsely pounded and sifted. Take 3 qian each time, add 1 zhong zhan of water, decoct until 5 fen remains, strain, and take warm.
Xixin San (Asari Powder). Treats sudden upward reversal of Qi, oppression and stuffiness in the heart and chest, and headache.
Ingredients: Asari Radix et Rhizoma (Xixin, 细辛) (0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang, stir-baked until slightly reddish and chopped), Ginseng Radix (Renshen, 人参) (1 liang, remove rhizome), Cinnamomi Cortex (Guixin, 桂心) (3 fen), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (1 liang, wash seven times in hot water to remove slipperiness), Schisandrae Fructus (Wuweizi, 五味子) (1 liang, remove rhizome).
Usage: The above ingredients are pounded and sifted into a powder. Take 3 qian each time, add 1 zhong zhan of water and half a cun of fresh Ginger (Shengjiang, 生姜), decoct until 5 fen remains, strain, and take warm.
Formula for treating sudden upward reversal of Qi with panting and urgency.
Ingredients: Armeniacae Semen Amarum (Xingren, 杏仁) (1 liang, soak in hot water, remove skin and tips, and double kernels, stir-fry until slightly yellow), Ginseng Radix (Renshen, 人参) (2 liang, remove rhizome), Citri Reticulatae Pericarpium (Chen Jupi, 陈橘皮) (2 liang, soak in hot water, remove white pith and bake), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang, stir-bake until slightly reddish).
Usage: The above ingredients are coarsely pounded and sifted. Take 3 qian each time, add 1 zhong zhan of water and half a cun of fresh Ginger (Shengjiang, 生姜), decoct until 5 fen remains, strain, and take warm.
Formula for treating sudden upward reversal of Qi with panting and abdominal pain.
Ingredients: Zingiberis Rhizoma Preparatum (Ganjiang, 干姜) (1 liang, processed), Schisandrae Fructus (Wuweizi, 五味子) (1 liang), Aquilariae Lignum Resinatum (Muxiang, 木香) (1 liang).
Usage: The above ingredients are ground into a fine powder. Take 2 qian at any time, delivered with warm wine.
Another Formula.
Ingredients: Junci Medulla (Dengxin, 灯心), Akebiae Caulis (Mutong, 木通) (1 liang), Citri Reticulatae Pericarpium (Chen Jupi, 陈橘皮) (1 liang, soak in hot water, remove white pith and bake).
Usage: The above ingredients are finely chopped. Add 2 zhong zhan of water, decoct until 1 zhong zhan remains, strain, add a little Bovis Lac (Niurou, 牛乳), and take warm.
Banxia Suzi Tang (Pinellia and Perilla Seed Decoction). Treats sudden upward reversal of Qi with fullness and obstruction in the chest.
Ingredients: Pinelliae Rhizoma Preparatum (Banxia, 半夏) (5 liang, washed), Perillae Fructus (Suzi, 苏子) (1 sheng), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (5 liang), Jujubae Fructus (Dazao, 大枣) (40 pieces, split), Citri Reticulatae Pericarpium (Jupi, 橘皮), Cinnamomi Cortex (Guixin, 桂心) (each 2 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, stir-baked).
Usage: The above ingredients are coarsely pounded and sifted. Take 3 qian each time, add 1 zhong zhan of water and half a cun of fresh Ginger (Shengjiang, 生姜), decoct until 5 fen remains, strain, and take warm. Avoid eating Brassica rapa Pekinensis (Songcai, 菘菜) and Mutton Soup (Yangrou Tang, 羊肉汤).
Zhuxiao Xiaqi Tang (Bamboo Shoot Descending Qi Decoction). Treats sudden upward reversal of Qi with fullness in the chest and heart.
Ingredients: Fresh Sweet Bamboo Shoots (Sheng Gan Zhuxiao, 生甘竹筱) (one tiger-mouthful amount), Gypsum Fibrosum (Shigao, 石膏) (1 liang, crushed), Zingiberis Rhizoma Recens (Shengjiang, 生姜), Citri Reticulatae Pericarpium (Jupi, 橘皮) (each 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (3 liang, stir-baked).
Usage: The above ingredients are cut. Add 7 zhong zhan of water, decoct until 3 zhong zhan remains, strain, and divide into three doses. Three courses of treatment result in recovery.
Formula for treating sudden upward reversal of Qi with respiratory sounds and Qi about to cease.
Ingredients: Morus Albae Cortex Radicis (Sanggen Baipi, 桑根白皮) (cut, 3 sheng), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (cut, 0.5 sheng), Evodiae Fructus (Wuzhuyu, 吴茱萸) (0.5 sheng).
Usage: The above ingredients are cut. Add 5 sheng of wine, boil until 3 sheng remains, strain. Let the patient take it in divided doses.
Another Formula.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (remove nodes), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-baked, each 3 liang).
Usage: The above ingredients are cut. Add 3 sheng of water, boil until 1.5 sheng remains, divide into three doses. Another method uses 8 sheng of water, boils until 2 sheng remains, divides into three doses.
Another treatment for sudden upward reversal of Qi that does not descend, with shoulder lifting and respiratory sounds. Use 3 liang of Dried Ginger (Ganjiang, 干姜), soak in 1 dou of wine to extract 1 sheng of liquid, take three times a day.
Another Formula. Treats sudden upward reversal of Qi that does not descend, with shoulder lifting and respiratory sounds.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove nodes), Cinnamomi Cortex (Guixin, 桂心), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (stir-baked, each 1 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (40 kernels, remove skin and tips, double kernels preferred).
Usage: The above ingredients are cut. Add 6 sheng of water, boil until 2 sheng remains, divide into three doses. If there is Phlegm-saliva, add 3 liang of Pinelliae Rhizoma Preparatum (Banxia, 半夏) (washed). Avoid consuming Sargassum (Haizao, 海藻), Brassica rapa Pekinensis (Songcai, 菘菜), and raw Scallion (Shengcong, 生葱).
Toubai Tang (Cup Pouring Decoction). Treats sudden upward reversal of Qi after illness, with severe distress.
Ingredients: Gypsum Fibrosum (Shigao, 石膏) (4 liang, crushed), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang, stir-baked), Schisandrae Fructus (Wuweizi, 五味子) (3 liang), Jujubae Fructus (Dazao, 大枣) (20 pieces, broken), Ginseng Radix (Renshen, 人参), Cinnamomi Cortex (Guixin, 桂心), Pinelliae Rhizoma Preparatum (Banxia, 半夏) (washed).
Usage: The above ingredients are coarsely pounded and sifted. Add 5 sheng of water, boil until 3 sheng remains, divide into three doses, taking one sheng per dose.
Xiangsu Tang (Fragrant Perilla Decoction). Treats irritability after purgation, with sudden upward reversal of Qi.
Ingredients: Fresh Perilla Leaf (Sheng Su, 生苏) (one handful, separately use Perillae Fructus Suzi, 苏子 3 liang), Fermented Soybean (Xiangchi, 香豉) (5 liang).
Usage: Add 5 sheng of water, boil until 2 sheng remains, take in one dose.
Formula for treating sudden upward reversal of Qi with respiratory sounds and Qi about to cease.
Ingredients: Evodiae Fructus (Wuzhuyu, 吴茱萸) (2 sheng), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (3 liang).
Usage: Add 7 sheng of water, boil until 2 sheng remains, divide into three doses.
For sudden upward reversal of Qi, panting and urgency, respiratory sounds, and Qi about to cease. (From Bencao)
Usage: Use Ginseng Radix (Renshen, 人参) powder, mix with boiling water, take one fangcun bi (square-inch spoonful) per dose, five to six times a day.
For sudden upward reversal of Qi with respiratory sounds and Qi about to cease. (From Bencao, see formula Jiu Zhi Yin)
For sudden onset of post-prandial Qi blockage. (From Bencao Fang)
Usage: Crush fresh Nectarine (Nai, 柰) fruit and take the juice.