（附论）
夫五膈气，呕吐酸水者，胸中气滞，胃有宿饮，冷水停积，乘于脾胃，脾得水湿，则不
能消
方
丁香散（出圣惠方）
治五膈气。脾胃虚冷。呕吐酸水。不能下食。四肢乏力。
丁香（半两） 白术（三分） 桂心（一两） 陈橘皮（一两汤浸去白瓤焙） 半夏（半
两汤洗
七次
干姜（半两
去粗皮）
上为散
诃黎勒皮散（出圣惠方）
治五膈气，胸中噎塞，呕吐酸水，不能下食。
诃黎勒皮（一两） 鸡舌香（半两） 陈橘皮（一两汤浸去白瓤焙） 白豆蔻（半两去
皮） 人
参（
草（一
分炙
计时
候，
草豆蔻丸（出圣惠方）
治五膈气，脾胃久冷，呕吐酸水，脐腹 痛，不思饮食。
草豆蔻（一两去皮） 附子（一两炮裂去皮脐） 缩砂（一两去皮） 陈橘皮（一两汤
浸去白
瓤焙）
分）
鸡舌香
饼，和捣
三二百
白术散（出圣惠方）
治五膈气，呕吐酸水，寒气上攻于胸中刺痛，腹胁胀满，饮食不下。
白术（一两） 木香（半两） 吴茱萸（半两汤浸七次焙干） 桂心（一两） 陈橘皮
（一两去
白瓤
朴（一
两半
六分
半夏散（出圣惠方）
治五膈气，呕吐酸水，脾胃虚寒，不能下食。
半夏（半两汤洗七次去滑） 槟榔（半两） 红豆蔻（半两去皮） 桂心（三分） 木
香（半两）
白
良姜
（半
稍热
赤茯苓丸（出圣惠方）
治五膈气滞，宿食不消，呕吐酸水，腹胀不能下食。
赤茯苓（一两） 陈橘皮（二两汤浸去白） 大麦 （一两炒微黄） 桂心（一两） 干
姜（一
两炮
甘草
（半两
十丸。
木香散（出圣惠方）
治五膈气，脾胃虚冷，食不消化，呕吐酸水，四肢不和，面色青黄，渐
木香（半两） 陈橘皮（一两汤浸去白焙） 荜茇（半两） 干姜（半两炮） 诃黎勒
皮（一两）
大
细散，每
服
槟榔散（出圣惠方）
治膈气，脾胃虚寒，不能下食，呕吐酸水，时腹胸膈刺痛。
槟榔（一两） 人参（一两去芦） 白术（一两） 白豆蔻（一两去壳） 陈橘皮（一
两汤浸去
白）
上
为粗散
木香散
治五膈气，及胃口不和，多吐酸水，不思饮食。
木香（半两） 人参（三分去芦） 附子（三分炮制去皮脐） 丁香（半两） 干姜（半
两炮制
锉）
两） 上
为散，
浓朴散（出圣惠方）
治五膈气，心胸久冷，结滞，时多呕吐酸水，水谷不消。\x
浓朴（一两半去粗皮姜汁炙令香） 吴茱萸（半两汤浸七次焙干炒） 人参（一两去芦）
陈
橘皮
心（半
两）
（附论）
所谓五膈气，出现呕吐酸水的症状，是因为胸中气机阻滞，胃中有停留的饮邪，冷水停积在体内，侵犯脾胃。脾脏受到水湿的影响，就不能运化消化食物。
方剂
丁香散（出自《圣惠方》）
治疗五膈气。脾胃虚寒冷痛。呕吐酸水。无法进食。四肢乏力。
丁香（半两） 白术（三分） 桂心（一两） 陈橘皮（一两，用汤浸泡后去除白色瓤部，焙干） 半夏（半两，用汤清洗七次）
干姜（半两，去除粗皮）
以上药物研为散剂。
诃黎勒皮散（出自《圣惠方》）
治疗五膈气，胸中噎塞感，呕吐酸水，无法进食。
诃黎勒皮（一两） 鸡舌香（半两） 陈橘皮（一两，用汤浸泡后去除白色瓤部，焙干） 白豆蔻（半两，去皮） 人参（一两） 甘草（一分，炙过）
以上药物研为细散，每次服用二钱匕，温酒调下，不拘时候。
草豆蔻丸（出自《圣惠方》）
治疗五膈气，脾胃久冷，呕吐酸水，脐腹部疼痛，不想饮食。
草豆蔻（一两，去皮） 附子（一两，炮裂后去除外皮和脐部） 缩砂（一两，去皮） 陈橘皮（一两，用汤浸泡后去除白色瓤部，焙干）
以上药物研为细末，煮面糊为丸，如梧桐子大，每次服用三十丸，米汤送下。
白术散（出自《圣惠方》）
治疗五膈气，呕吐酸水，寒气上攻于胸中引起刺痛，腹部和胁肋胀满，饮食不下。
白术（一两） 木香（半两） 吴茱萸（半两，用汤浸泡七次后焙干） 桂心（一两） 陈橘皮（一两，去除白色瓤部） 厚朴（一两半，去粗皮，姜汁炙） 半夏（六分，汤洗七次）
以上药物研为细散，每次服用二钱匕，温酒调下，不拘时候。
半夏散（出自《圣惠方》）
治疗五膈气，呕吐酸水，脾胃虚寒，无法进食。
半夏（半两，用汤洗七次去除滑腻） 槟榔（半两） 红豆蔻（半两，去皮） 桂心（三分） 木香（半两） 白茯苓（半两） 良姜（半两）
以上药物研为细散，每次服用二钱匕，温酒调下，稍热时服用，不拘时候。
赤茯苓丸（出自《圣惠方》）
治疗五膈气滞，宿食不消，呕吐酸水，腹胀无法进食。
赤茯苓（一两） 陈橘皮（二两，用汤浸泡后去除白色部分） 大麦（一两，炒至微黄） 桂心（一两） 干姜（一两，炮制） 甘草（半两，炙过）
以上药物研为细末，煮面糊为丸，如梧桐子大，每次服用二十丸，米汤送下，不拘时候。
木香散（出自《圣惠方》）
治疗五膈气，脾胃虚寒，食物不消化，呕吐酸水，四肢不适，面色青黄，逐渐消瘦。
木香（半两） 陈橘皮（一两，用汤浸泡后去除白色部分并焙干） 荜茇（半两） 干姜（半两，炮制） 诃黎勒皮（一两）
以上药物研为细散，每次服用二钱匕，温酒调下，不拘时候。
槟榔散（出自《圣惠方》）
治疗膈气，脾胃虚寒，无法进食，呕吐酸水，时常腹、胸、膈部刺痛。
槟榔（一两） 人参（一两，去除芦头） 白术（一两） 白豆蔻（一两，去壳） 陈橘皮（一两，用汤浸泡后去除白色部分）
以上药物研为粗散，每次服用三钱匕，水一盏，煎至七分，去渣，温服，不拘时候。
木香散
治疗五膈气，以及胃口不和，多吐酸水，不想饮食。
木香（半两） 人参（三分，去除芦头） 附子（三分，炮制后去除外皮和脐部） 丁香（半两） 干姜（半两，炮制后锉碎）
以上药物研为细散，每次服用二钱匕，温酒调下，不拘时候。
浓朴散（出自《圣惠方》）
治疗五膈气，心胸久冷，气结停滞，时常多吐酸水，水谷不消化。
浓朴（一两半，去除粗皮，用姜汁炙至香气溢出） 吴茱萸（半两，用汤浸泡七次后焙干并炒） 人参（一两，去除芦头） 陈橘皮（一两，去除白色瓤部） 桂心（半两）
以上药物研为细散，每次服用二钱匕，温酒调下，不拘时候。
(Attached Discussion)
Regarding the five types of Ge Qi (Obstruction Syndrome) manifesting with vomiting of sour fluid, the pathology involves stagnation of Qi in the chest, retention of fluid-dampness in the Stomach, and accumulation of cold water invading the Spleen and Stomach. When the Spleen is affected by water-dampness, it loses its ability to transform and transport nutrients.
Formulas
Dingxiang San (Clove Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes). It treats deficiency-cold of the Spleen and Stomach, vomiting of sour fluid, inability to ingest food, and weakness of the four limbs.
Ingredients: Dingxiang (Flos Caryophylli, half liang), Baizhu (Rhizoma Atractylodis Macrocephalae, three qian), Guixin (Cortex Cinnamomi, one liang), Chenjupi (Pericarpium Citri Reticulatae, one liang, soaked in hot water, white pith removed, dried), Banxia (Rhizoma Pinelliae, half liang, washed seven times in hot water), Ganjiang (Radix Zingiberis, half liang, coarse skin removed).
Preparation: Grind all ingredients into a powder.
Helile Pi San (Pericarpium Terminaliae Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), sensation of obstruction in the chest, vomiting of sour fluid, and inability to ingest food.
Ingredients: Helile Pi (Pericarpium Terminaliae Chebulae, one liang), Jitingxiang (Lignum Santali Albi, half liang), Chenjupi (Pericarpium Citri Reticulatae, one liang, soaked in hot water, white pith removed, dried), Baidoukou (Fructus Cardamomi Albii, half liang, peeled), Renshen (Radix Ginseng, one liang), Gancao (Radix Glycyrrhizae, one fen, honey-fried).
Preparation: Grind into a fine powder. Take two qian-bi (approx. 2-3 grams) each time, mixed with warm wine, at any time.
Caodoukou Wan (Cardamomi Fructus Pill)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), chronic cold of the Spleen and Stomach, vomiting of sour fluid, pain in the umbilical and abdominal regions, and anorexia.
Ingredients: Caodoukou (Fructus Alpiniae Katsumadai, one liang, peeled), Fuzi (Radix Aconiti Lateralis Preparata, one liang, processed until cracked, skin and hilum removed), Suosha (Fructus Amomi Rotundus, one liang, peeled), Chenjupi (Pericarpium Citri Reticulatae, one liang, soaked in hot water, white pith removed, dried).
Preparation: Grind into a fine powder, mix with flour paste to form pills the size of tung tree seeds. Take thirty pills each time, washed down with rice broth.
Baizhu San (Atractylodis Macrocephalae Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), vomiting of sour fluid, stabbing pain in the chest due to attacking cold qi, distension and fullness in the abdomen and hypochondrium, and inability to ingest food.
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae, one liang), Muxiang (Radix Aucklandiae, half liang), Wuzhuyu (Fructus Evodiae, half liang, soaked in hot water seven times, dried), Guixin (Cortex Cinnamomi, one liang), Chenjupi (Pericarpium Citri Reticulatae, one liang, white pith removed), Houpo (Cortex Magnoliae Officinalis, one and a half liang, coarse skin removed, fried with ginger juice), Banxia (Rhizoma Pinelliae, six qian, washed seven times in hot water).
Preparation: Grind into a fine powder. Take two qian-bi each time, mixed with warm wine, at any time.
Banxia San (Pinelliae Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), vomiting of sour fluid, deficiency-cold of the Spleen and Stomach, and inability to ingest food.
Ingredients: Banxia (Rhizoma Pinelliae, half liang, washed seven times in hot water to remove slipperiness), Binglang (Semen Arecae, half liang), Hong Doukou (Fructus Galangal, half liang, peeled), Guixin (Cortex Cinnamomi, three qian), Muxiang (Radix Aucklandiae, half liang), Baifuling (Poria, half liang), Liangjiang (Rhizoma Alpiniae Officinarum, half liang).
Preparation: Grind into a fine powder. Take two qian-bi each time, mixed with warm wine, taken while slightly hot, at any time.
Chifuling Wan (Red Poria Pill)
[Source: *Shenghui Fang*]
Indicated for stagnation of Ge Qi (Obstruction Syndrome), indigestion of retained food, vomiting of sour fluid, abdominal distension, and inability to ingest food.
Ingredients: Chifuling (Poria with Red Hosta Root, one liang), Chenjupi (Pericarpium Citri Reticulatae, two liang, soaked in hot water, white part removed), Damai (Frumentum Hordei, one liang, stir-fried until slightly yellow), Guixin (Cortex Cinnamomi, one liang), Ganjiang (Radix Zingiberis, one liang, processed), Gancao (Radix Glycyrrhizae, half liang, honey-fried).
Preparation: Grind into a fine powder, mix with flour paste to form pills the size of tung tree seeds. Take twenty pills each time, washed down with rice broth, at any time.
Muxiang San (Aucklandiae Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), deficiency-cold of the Spleen and Stomach, indigestion, vomiting of sour fluid, discomfort of the four limbs, greenish-yellow complexion, and gradual emaciation.
Ingredients: Muxiang (Radix Aucklandiae, half liang), Chenjupi (Pericarpium Citri Reticulatae, one liang, soaked in hot water, white part removed and dried), Bibo (Fructus Piperis Longi, half liang), Ganjiang (Radix Zingiberis, half liang, processed), Helile Pi (Pericarpium Terminaliae Chebulae, one liang).
Preparation: Grind into a fine powder. Take two qian-bi each time, mixed with warm wine, at any time.
Binglang San (Areca Seed Powder)
[Source: *Shenghui Fang*]
Indicated for Ge Qi (Obstruction Syndrome), deficiency-cold of the Spleen and Stomach, inability to ingest food, vomiting of sour fluid, and frequent stabbing pain in the abdomen, chest, and diaphragm.
Ingredients: Binglang (Semen Arecae, one liang), Renshen (Radix Ginseng, one liang, radix removed), Baizhu (Rhizoma Atractylodis Macrocephalae, one liang), Baidoukou (Fructus Cardamomi Albii, one liang, husk removed), Chenjupi (Pericarpium Citri Reticulatae, one liang, soaked in hot water, white part removed).
Preparation: Grind into a coarse powder. Take three qian-bi each time, decocted in one sheng (approx. 200ml) of water until reduced to seven fen (approx. 140ml), strain, and take warm, at any time.
Muxiang San (Aucklandiae Powder)
Indicated for Five Ge Qi (Obstruction Syndromes), disharmony of the stomach opening, excessive vomiting of sour fluid, and anorexia.
Ingredients: Muxiang (Radix Aucklandiae, half liang), Renshen (Radix Ginseng, three qian, radix removed), Fuzi (Radix Aconiti Lateralis Preparata, three qian, processed, skin and hilum removed), Dingxiang (Flos Caryophylli, half liang), Ganjiang (Radix Zingiberis, half liang, processed and chopped).
Preparation: Grind into a fine powder. Take two qian-bi each time, mixed with warm wine, at any time.
Nongpo San (Magnolia Bark Powder)
[Source: *Shenghui Fang*]
Indicated for Five Ge Qi (Obstruction Syndromes), chronic cold in the heart and chest, qi knot and stagnation, frequent vomiting of sour fluid, and indigestion of water and grain.
Ingredients: Nongpo (Cortex Magnoliae Officinalis, one and a half liang, coarse skin removed, fried with ginger juice until fragrant), Wuzhuyu (Fructus Evodiae, half liang, soaked in hot water seven times, dried and stir-fried), Renshen (Radix Ginseng, one liang, radix removed), Chenjupi (Pericarpium Citri Reticulatae, one liang, white pith removed), Guixin (Cortex Cinnamomi, half liang).
Preparation: Grind into a fine powder. Take two qian-bi each time, mixed with warm wine, at any time.