是证因七情之气，郁结不舒；或因饮食之时，触犯恼怒，妇人患此最多。总由痰与气结，状
如梅核，或如破絮，停于咽嗌之间，咯之不出，咽之不下。或中脘痞满，气不舒快；或痰壅热盛
，上气喘急；或留饮恶心，呕吐涎沫。久久不已，则为噎膈、关格之渐。治宜开郁顺气，利膈化
痰、清肺为主。
主方 陈皮 半夏（姜制） 白茯苓（各一钱） 枳实 青皮 南星（姜制） 萝卜子
苏子 神曲（炒） 砂仁（炒，研） 白豆蔻（研） 益智仁 槟榔（各五分） 上姜五片，水煎
成，调砂、蔻末，卧床慢服。
气郁加香附、抚芎、浓朴；胀加青皮、腹皮；火加栀子、黄芩。
七气汤（一名四七汤） 治七情九气结滞成痰，状如破絮，或如梅核在咽喉之间，咯不
出，咽不下，中脘痞满，气不舒快；或痰饮呕逆等证，并皆治之神效。
半夏 茯苓（各三钱） 紫苏叶 浓朴（姜炒。各二钱）
上水二盏，姜三片，煎一盏，食远服。
简便方 用腊糟不下水者一斤，朴硝净者半斤，和匀。新瓷坛收贮、封，置净处，每取三
匙，煎汤一盏，卧床慢饮。
经曰∶阴阳不相应，病名曰关格。《难经》曰∶五脏不和，则九窍不通；六腑不和，则留结
为痈。邪在六腑，则阳脉不和；阳脉不和，则气留之；气留之，则阳脉盛矣。邪在五脏，则阴脉
不和，阴脉不和，则血留之；血留之，则阴脉盛矣。阴气太盛，则阳气不得相荣也，故曰格。阳
气太盛，则阴气不得相荣也，故曰关。阴阳俱盛，不得相荣也，故曰关格。关格者，不得尽其正
命而死。是证膈中觉有所碍，欲升而不升，欲降而不降，欲食不能食，此谓气之横格也。关者，
则不得大小便，甚热之气，在于下焦，填塞不通，无出之由，故曰关也。格者，则吐逆不能食，
甚寒之气，在于胸中，遏绝不纳，无入之理，故曰格也。胸中有寒者，当以热药治之；丹田有热
者，当以寒药治之。胸中之寒，丹田之热，上下治法，主当缓治，客当急治。经曰∶阳盛阴不得
荣，故人迎大三倍于寸口，曰关；阴盛阳不得荣，故气口大四倍于人迎，曰格。
主方 陈皮 白茯苓 贝母 枳实（麸炒，一钱） 苏子（炒，研） 栝蒌仁 香附（
童便炒） 抚芎 浓朴（各七分） 木香 沉香（各五分，俱另磨） 甘草（三分）上生姜三片水
煎，加灯心，竹沥，磨沉香、木香调服。
利格汤 治关格。
陈皮 滑石 木通（各一钱） 半夏 茯苓（各八分） 人参芦（钱半） 甘草（四分）
上姜、枣煎服，再煎探吐。如气虚脾弱，治宜吐法，以提其气之横格，不在痰也。有痰者，二陈
汤吐之。如中气不运者，利格汤去滑石、
木通、参芦，加人参、白术、升麻、枳实、栝蒌。如胃寒不纳，以沉木香、砂仁、白蔻为末，不
时舐咽。下焦大便不通，以承气汤为末，糊丸晒燥，汤下。或以大黄末布条圈脐中作窝，朴硝汤
逐匙渍之，大便通。痰多，二陈汤加木通之类。
这种病症是由于七情（喜、怒、忧、思、悲、恐、惊）之气郁结不畅；或者在饮食时触犯恼怒，妇女患此病最多。总归是痰与气互结，形状像梅核，或者像破旧的棉絮，停滞在咽喉之间，咳不出来，咽不下去。或者中脘部痞塞胀满，气机不舒畅；或者痰壅热盛，上气喘急；或者留饮导致恶心，呕吐涎沫。时间久了不愈，就会发展为噎膈（吞咽困难）、关格（大小便不通与呕吐并见）的征兆。治疗应当以开郁顺气、利膈化痰、清肺为主。
主方：陈皮、半夏（姜制）、白茯苓（各一钱）、枳实、青皮、南星（姜制）、萝卜子、苏子、神曲（炒）、砂仁（炒，研碎）、白豆蔻（研碎）、益智仁、槟榔（各五分）。以上药物加生姜五片，水煎成汤，调入砂仁、白豆蔻的粉末，卧床慢慢服用。
气郁加重者，加香附、抚芎、浓朴；腹胀加重者，加青皮、腹皮；火邪加重者，加栀子、黄芩。
七气汤（又名四七汤）：治疗七情九气结滞成痰，形状像破絮，或者像梅核卡在咽喉之间，咳不出，咽不下，中脘痞塞胀满，气机不舒畅；或者痰饮呕逆等证候，都治疗得非常有效。
半夏、茯苓（各三钱）、紫苏叶、浓朴（姜炒，各二钱）。以上药物加水两盏，生姜三片，煎至一盏，饭后远时服用。
简便方：用腊糟（酿酒后的渣滓）中不含水分的一斤，净朴硝半斤，混合均匀。装入新瓷坛中收藏、密封，放置在干净处。每次取三匙，煎汤一盏，卧床慢慢饮用。
经典记载说：阴阳不能相互协调，病名叫做关格。《难经》说：五脏不和，则九窍不通；六腑不和，则停留凝结成为痈肿。邪气在六腑，则阳脉不和；阳脉不和，则气停留；气停留，则阳脉盛大。邪气在五脏，则阴脉不和；阴脉不和，则血停留；血停留，则阴脉盛大。阴气太盛，则阳气不能与之相荣养，所以叫“格”。阳气太盛，则阴气不能与之相荣养，所以叫“关”。阴阳都盛大，不能相互荣养，所以叫“关格”。关格病，会导致人不能享尽天年而死。这种病症表现为胸膈中觉得有阻碍，想升发而不能升发，想下降而不能下降，想吃东西却吃不下，这叫做气的横格。关，则是大小便不通，极热之气在下焦，填塞不通，没有排出的途径，所以叫“关”。格，则是呕吐逆乱不能吃食物，极寒之气在胸中，遏制拒绝纳受，没有进入的道理，所以叫“格”。胸中有寒气的，应当用热药治疗；丹田有热的，应当用寒药治疗。胸中的寒和丹田的热，上下治疗方法，主治应当缓治，客邪应当急治。经典说：阳盛阴不得荣养，所以人迎脉大三倍于寸口脉，叫做“关”；阴盛阳不得荣养，所以气口脉大四倍于人迎脉，叫做“格”。
主方：陈皮、白茯苓、贝母、枳实（麸炒，一钱）、苏子（炒，研碎）、栝蒌仁、香附（童便炒）、抚芎、浓朴（各七分）、木香、沉香（各五分，都另外磨粉）、甘草（三分）。以上药物加生姜三片水煎，加入灯心草、竹沥，磨入沉香、木香的粉末调服。
陈皮、滑石、木通（各一钱）、半夏、茯苓（各八分）、人参芦（一钱半）、甘草（四分）。以上药物加生姜、大枣煎服，再煎后探吐。如果气虚脾弱，治疗应当用吐法，以提举横格之气，不在于化痰。有痰的，用二陈汤催吐。如果中气不运转的，利格汤去掉滑石、木通、参芦，加入人参、白术、升麻、枳实、栝蒌。如果胃寒不能纳食，将沉香、木香、砂仁、白蔻研为粉末，不时含咽。下焦大便不通，用承气汤研为粉末，糊丸晒干，汤送下。或者用大黄末布条圈在脐中作窝，用朴硝汤逐匙浸润，大便即通。痰多的，用二陈汤加木通之类。
This syndrome is caused by the stagnation of the seven emotions (joy, anger, worry, thought, sorrow, fear, fright) qi; or by encountering anger during meals. It is most common in women. It is generally due to the knotting of phlegm and qi, resembling a plum pit or broken cotton wadding, lodged between the throat and epiglottis, unable to be coughed out or swallowed down. It may present with fullness and distension in the Zhongwan region, with uncomfortable qi flow; or with excessive phlegm and heat, leading to upper asthma and rapid breathing; or with retained fluid causing nausea and vomiting of saliva and foam. If left untreated for a long time, it will gradually develop into Yige (dysphagia) and Guange (simultaneous vomiting and constipation). The treatment should focus on resolving stagnation and smoothing qi, benefiting the diaphragm and transforming phlegm, and clearing the lungs.
Main Formula: Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma processed with ginger), Baifuling (Poria, each 1 qian), Zhishi (Aurantii Fructus Immaturus), Qingpi (Citri Reticulatae Pericarpium Viride), Nanting (Arisaematis Rhizoma processed with ginger), Luobozij (Brassicae Semen), Suzi (Perillae Fructus), Shenqu (Massa Medicata Fermentata stir-fried), Sharen (Amomi Fructus stir-fried and crushed), Baidoukou (Cardamomi Albi Fructus crushed), Yizhiren (Alpiniae Oxyphyllae Fructus), Binglang (Arecae Semen, each 5 fen). Add five slices of fresh ginger, decoct in water. After decoction, mix in the powders of Sharen and Baidoukou. Take slowly while lying in bed.
For aggravated qi stagnation, add Xiangfu (Cyperi Rhizoma), Fuxiong (Ligustici Chuanxiong Rhizoma), and Nongpo (Magnoliae Officinalis Cortex). For aggravated distension, add Qingpi and Fupi (Tangerine Peel). For aggravated fire, add Zhizi (Gardeniae Fructus) and Huangqin (Scutellariae Radix).
Qi Qi Tang (also known as Si Qi Tang): Treats phlegm formed by the stagnation of qi due to the seven emotions and nine types of qi. Symptoms include sensations like broken cotton wadding or a plum pit stuck in the throat, unable to be coughed out or swallowed down, fullness and distension in the Zhongwan region, and uncomfortable qi flow; or symptoms such as phlegm-fluid retching and counterflow. It treats these conditions with great efficacy.
Banxia (Pinelliae Rhizoma), Fuling (Poria, each 3 qian), Zisuye (Perillae Folium), Nongpo (Magnoliae Officinalis Cortex stir-fried with ginger, each 2 qian). Add two cups of water and three slices of ginger. Decoct until one cup remains. Take well after meals.
Simple Prescription: Use one jin of dry La Zao (distiller's grains from cured wine residue) that contains no water, and half a jin of purified Puxiao (Natrii Sulfas). Mix evenly. Store in a new porcelain jar, seal it, and place it in a clean area. Each time, take three spoons, decoct in one cup of water, and drink slowly while lying in bed.
The Classics state: When yin and yang do not correspond with each other, the disease is named Guange. The Nan Jing states: When the five zang organs are not in harmony, the nine orifices become blocked; when the six fu organs are not in harmony, stagnation and knotting occur, forming abscesses. Pathogenic factors in the six fu organs cause disharmony of the yang pulses; disharmony of the yang pulses causes qi stagnation; qi stagnation leads to an excess of yang pulses. Pathogenic factors in the five zang organs cause disharmony of the yin pulses; disharmony of the yin pulses causes blood stagnation; blood stagnation leads to an excess of yin pulses. When yin qi is too excessive, yang qi cannot nourish it, hence it is called "Ge" (blocking/rejection). When yang qi is too excessive, yin qi cannot nourish it, hence it is called "Guan" (closing/obstruction). When both yin and yang are excessive and cannot nourish each other, it is called "Guange". Guange results in death before the natural lifespan is exhausted. This syndrome presents as a sensation of obstruction in the chest and diaphragm, where rising is attempted but fails, descending is attempted but fails, eating is desired but impossible. This is referred to as horizontal blocking by qi. "Guan" refers to the inability to pass urine and feces. Extreme heat qi in the lower jiao fills and blocks without exit, hence it is called "Guan". "Ge" refers to vomiting and counterflow preventing food intake. Extreme cold qi in the chest blocks rejection and prevents entry, hence it is called "Ge". For cold in the chest, hot herbs should be used for treatment; for heat in the Dantian, cold herbs should be used. For the cold in the chest and heat in the Dantian, treatments for the upper and lower should prioritize treating the root (chronic condition) slowly and the branch (acute pathogen) urgently. The Classics state: When yang is excessive and yin cannot be nourished, the Renying pulse is three times larger than the Cunkou pulse, which is called "Guan"; when yin is excessive and yang cannot be nourished, the Qikou pulse is four times larger than the Renying pulse, which is called "Ge".
Main Formula: Chenpi (Citri Reticulatae Pericarpium), Baifuling (Poria), Beimu (Fritillariae Bulbus), Zhishi (Aurantii Fructus Immaturus stir-fried with bran, 1 qian), Suzi (Perillae Fructus stir-fried and crushed), Gualouren (Trichosanthis Semen), Xiangfu (Cyperi Rhizoma stir-fried with child's urine), Fuxiong (Ligustici Chuanxiong Rhizoma), Nongpo (Magnoliae Officinalis Cortex, each 7 fen), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, each 5 fen, both ground separately), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen). Add three slices of fresh ginger and decoct in water. Add Dengxincao (Junci Medullia) and Zhuli (Bambusae Sap), and mix in the ground powders of Chenxiang and Muxiang before taking.
Li Ge Tang: Treats Guange.
Chenpi (Citri Reticulatae Pericarpium), Huashi (Talcum), Mutong (Akebiae Caulis, each 1 qian), Banxia (Pinelliae Rhizoma), Fuling (Poria, each 8 fen), Renshenlu (Ginseng Radicula, 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen). Decoct with ginger and jujube. Take the decoction and induce vomiting. If there is qi deficiency and spleen weakness, the treatment should employ emesis to lift the horizontally blocked qi, rather than focusing on phlegm. If there is phlegm, use Erchen Tang to induce vomiting. If middle qi does not circulate, remove Huashi, Mutong, and Renshenlu from Li Ge Tang, and add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengma (Cimicifugae Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Gualou (Trichosanthis Fructus). If stomach cold prevents intake, grind Chenxiang, Muxiang, Sharen, and Baikou into powder and lick/swallow occasionally. For lower jiao constipation, grind Chengqi Tang into powder, make pills with paste, dry them, and take with water. Alternatively, make a ring with Dahuang (Rhei Radix et Rhizoma) powder around the umbilicus, and drip Puxiao solution spoon by spoon into the ring until bowel movement occurs. For excessive phlegm, use Erchen Tang with added Mutong.