七气致病。虽本一气。而所以为气者。随证而变、三因方论最详。喜怒忧思悲恐惊。谓
之七
气。所伤。有小疾在咽喉间。如绵絮相似。咯不出咽不下。并宜四七汤未效。进丁沉透膈汤
审知是思虑过度。宜四七汤。去茯苓。加半夏如数。仍加石菖蒲人参各半钱。审知盛怒成
疾。面色青黄。或两胁胀满。宜调气散。或四七汤。加枳壳木香各半钱。因惊恐得疾。心下
怔忡者。见惊悸门外有七气眩晕者。当于诸中门、中气证取药。
（附噎膈）
诸痞塞。及噎膈。乃是痰为气所激而上。气又为痰所膈而滞。痰与气搏。不能流通。并
宜用
二陈汤。加枳实缩砂仁各半钱。木香一钱。或五膈宽中散。应诸痞塞胀满。胸膈不利。或气
上逆。或腹疼痛。并宜木香流气饮。应膈上诸般冷气。不问痞塞。及疼痛。且与姜汁一二盏
痰饮尤宜。
邪气作痞。宜用疏剂。若气不顺。逆上为痞。此乃虚痞。愈疏而痞愈作。宜于收补中。
微有
疏通之意。不可十分用香剂。古方载泻后膈痞。用理中。即此意也。因七气所伤。结滞成疾
痞塞满闷。宜四七汤。或导痰汤。加木香半钱。或下来复丹。因冷气滞停中脘。痞塞。并
可用挝脾汤。加丁香。或丁沉透膈汤。因伤食痞塞。见诸伤门。伤食证。气虚上逆。遂成痞
塞而疼者。六磨饮。吞黑锡丹。
若痞塞服诸药不效。大便不甚通者。宜感应丸。加巴豆或半硫丸。备急丸。木香槟榔丸
通之。
因怒痞塞。见本门七气证。诸五噎五膈。并宜五膈宽中散。不效。谷神加禾散。前痞塞
诸药
皆可选用。噎膈甚而水浆不入。药食皆不下。食入口即吐者。当镇坠之。宜盐汤下灵砂丹
仍以嘉禾散作末。干点服。
七种气机失调致病。虽然根本都源于气，但气的病理变化随证候不同而各异，《三因方》中的论述最为详尽。喜、怒、忧、思、悲、恐、惊，被称为七气。若气滞损伤，出现咽喉间如有棉絮般的异物感，咳不出也咽不下，均适宜使用四七汤（Seven-Emotion Decoction）；若无效，则进阶使用丁沉透膈汤（Dingchen Touge Decoction）。
若确知是因过度思虑致病，适宜用四七汤，去掉茯苓，加入与半夏等量的半夏（此处原文似有重复或笔误，通常指加重半夏用量或保留原意），并额外加入石菖蒲（Acori Tatarinowii Rhizoma）、人参（Ginseng Radix）各半钱。若确知是因盛怒致病，面色青黄，或两胁胀满，适宜用调气散（Tiaoqi Powder）或四七汤，加入枳壳（Aurantii Fructus）、木香（Aucklandiae Radix）各半钱。因惊恐致病，导致心下悸动不安者，可参考“惊悸门”；伴有眩晕者，应参考“诸中风门”、“中气证”选取药物。
（附噎膈篇）
各种痞塞及噎膈（吞咽困难），乃是痰浊被气机激荡而上逆，气机又被痰浊阻隔而停滞。痰与气相互搏结，不能流通，均适宜使用二陈汤（Erchen Decoction），加入枳实（Aurantii Fructus Immaturus）、缩砂仁（Amomi Fructus）各半钱，木香一钱。或者使用五膈宽中散（Wuge Kuanzhong San）。适用于各种痞塞胀满、胸膈不利，或气机上逆，或腹部疼痛的情况，均适宜使用木香流气饮（Muxiang Liuqi Yin）。适用于膈上各种冷气，不论是否有痞塞及疼痛，且给予姜汁一二盏，对于痰饮尤为适宜。
邪气导致的痞塞，适宜使用疏泄剂。如果气机不顺，逆上形成痞塞，这属于虚痞，越疏泄痞塞反而越严重。应当在收敛补益之中，微寓疏通之意，不可过分使用香燥理气之剂。古方记载泻下后出现的膈痞，使用理中汤（ Lizhong Decoction），就是这个道理。因七气所伤，结滞成疾，导致痞塞满闷，适宜用四七汤，或导痰汤（Daotan Decoction），加入木香半钱，或者服用下来复丹（Xialaifu Dan）。因冷气停滞于中脘，导致痞塞，均可使用挝脾汤（Zhuapi Decoction），加入丁香，或者丁沉透膈汤。因伤食导致的痞塞，见“伤食证”门。气虚导致气机上逆，遂成痞塞而疼痛的，用六磨饮（Lumo Yin），吞服黑锡丹（Heixin Dan）。
如果痞塞服用各种药物无效，大便不甚通畅的，适宜用感应丸（Ganying Wan），加入巴豆，或者半硫丸（Banshou Wan）、备急丸（Beiji Wan）、木香槟榔丸（Muxiang Binglang Wan）来通下。
因愤怒导致的痞塞，见本门“七气证”。各种五噎五膈，均适宜用五膈宽中散，若无效，可用谷神加禾散。前述治疗痞塞的各种药物皆可酌情选用。若噎膈严重，水浆不入，药食皆不下，食物入口即吐的，应当用镇坠之法，适宜用盐汤送服灵砂丹（Lingsha Dan），仍以嘉禾散（Jiahe San）研末，干服。
Pathogenesis of Qi Disorders. Although the root lies in Qi, the pathological manifestations of Qi vary according to the syndrome; the discussion in *San Yin Fang* (Formulas of Three Causes) is the most detailed. Joy, anger, worry, thought, grief, fear, and fright are referred to as the Seven Emotions (Qi). If Qi stagnation causes injury, resulting in a sensation of a foreign body like cotton wadding in the throat, which cannot be coughed out or swallowed, Siqi Tang (Seven-Emotion Decoction) is suitable; if ineffective, Dingchen Touge Tang (Clove and Amber Cardamom Diaphragm-Penetrating Decoction) should be advanced.
If it is confirmed that the disease arises from excessive rumination, Siqi Tang is suitable. Remove Fuling (Poria), add Banxia (Pinelliae Rhizoma) in an amount equal to the original dosage, and additionally add Shichangpu (Acori Tatarinowii Rhizoma) and Renshen (Ginseng Radix), each half qian. If it is confirmed that the disease arises from extreme anger, presenting with a bluish-yellow complexion or distension and fullness in both hypochondria, Tiaoqi San (Regulating Qi Powder) or Siqi Tang is suitable, with Zhike (Aurantii Fructus) and Muxiang (Aucklandiae Radix) added, each half qian. For diseases caused by fright and alarm, leading to palpitations under the heart, refer to the "Palpitations" section; for those accompanied by dizziness, select herbs from the "Various Wind-Stroke" and "Middle Qi Syndrome" sections.
(Attached: Yige [Dysphagia])
Various types of Pi-syndrome (obstruction/fullness) and Yige (dysphagia) occur when Phlegm is agitated upward by Qi, while Qi is obstructed and stagnant by Phlegm. Phlegm and Qi contend with each other, preventing free circulation. Erchen Tang (Two-Aged Decoction) is suitable for all such cases, with Zhishi (Aurantii Fructus Immaturus) and Suosharen (Amomi Fructus) added, each half qian, and Muxiang (Aucklandiae Radix) one qian. Alternatively, Wuge Kuanchong San (Five Obstructions Mid-Jiao Widening Powder) may be used. It applies to various obstructions, distensions, chest and diaphragmatic discomfort, Qi rebelling upward, or abdominal pain. Muxiang Liuqi Yin (Aucklandia Flowing Qi Decoction) is suitable for all these conditions. For various cold evils in the upper diaphragm, regardless of obstruction or pain, give 1-2 cups of Ginger Juice, which is particularly suitable for Phlegm-Fluids.
For Pi-syndrome caused by pathogenic evils, dispersing agents are suitable. If Qi fails to flow smoothly and rebels upward causing Pi-syndrome, this is Deficient Pi-syndrome; further dispersing will exacerbate the obstruction. One should employ astringent and tonifying methods, incorporating mild dispersing intent within them, and must not excessively use aromatic Qi-regulating agents. Ancient formulas record the use of Lizhong Tang (Mid-Jiao Regulating Decoction) for post-purging diaphragmatic obstruction, illustrating this principle. For Pi-syndrome and fullness caused by Seven Emotions damaging the body and forming stagnation, Siqi Tang or Daotan Tang (Phlegm-Guiding Decoction) with half qian of Muxiang is suitable, or Xialaifu Dan (Descending Revival Pill). For cold Qi stagnating in the Zhongwan point causing obstruction, Zhuapi Tang (Splee-Scratching Decoction) with Dingxiang (Caryophylli Flos) or Dingchen Touge Tang is applicable. For food-stagnation-induced obstruction, see the "Food Injury" section. For Qi deficiency leading to rebellious Qi, resulting in obstructive pain, Liumo Yin (Six-Mortar Infusion) taken with Heixin Dan (Black Tin Pill) is indicated.
If Pi-syndrome proves unresponsive to various medications and bowel movements are not significantly blocked, Ganying Wan (Responsive Pill) with Baiduo (Crotonis Semen), Banshou Wan (Half-Sulfur Pill), Beiji Wan (Emergency Aid Pill), or Muxiang Binglang Wan (Aucklandia and Areca Nut Pill) should be used to promote purgation.
For anger-induced Pi-syndrome, refer to the "Seven Emotions Syndrome" section of this chapter. For all forms of Five Chokes and Five Obstructions, Wuge Kuanchong San is suitable; if ineffective, Gujia Jiahe San may be used. The aforementioned medications for Pi-syndrome can be selected as appropriate. In severe Yige where fluids cannot enter, and food/medicine are rejected, vomiting immediately upon ingestion, sedative and downward-draining methods are required. Lingsha Dan (Spirit Sand Pill) administered with salt water is suitable, followed by dry administration of Jiahe San powder.