《病源论》云∶食噎,此由脏气冷而不理,津液涩少不能传行,饮食入则噎寒(塞)不
通,故谓之食噎。胸内痛,不得喘息,食不下是也。
《葛氏方》治食猝噎方∶
以针二(三,或本)七过,刺水中,东向饮其水,良。
又方∶衔鸬 喙即下。
又方∶以羚羊角摩噎上。
又方∶生姜五两,橘皮三两,水六升,煮取二升,再服。
《僧深方》治食噎不下方。
旁人缓解衣带,勿合(令)噎者知,即下。
又方∶水一杯,以刀横书,水已复纵尽饮即下。
《救急单验方》∶
取鸡尾(若)雉尾,深纳喉中即通。
《枕中方》治人噎欲死方。
使人吹耳中,女则男,男则女,吹便出,良。
《耆婆方》治食噎方∶
取盘中酢,三咽,良。
《如意方》治噎术∶
舂杵头糠,置手巾角以拭齿,立下。(陶公云∶刮取糠含之。)
《千金方》治猝噎方∶
取饭留边零饭一粒吞之。
《广利方》理猝食噎不下方∶
蜜一匙含细细燕(咽)则下。
《医门方》疗饮食噎不下或呕逆延沫、胸膈不理、脏腑气所致方∶
半夏(三两,洗) 生姜(五两) 橘皮(三两) 桂心(二两)
水七升,煮取二升半,分三服,气下瘥。
《养生要集》云∶凡治一切果物食不消化方。甘草,贝齿,粉,凡三物,分等作末,以
水服,良。
又方∶以小儿乳汁二升服之,良。
又方∶含白蜜嚼之,立愈。
《诸病源候论》说:食噎,这是由于脏腑之气寒冷而不通畅,津液涩滞量少不能传输运行,饮食进入后发生阻塞不通,所以称为食噎。其症状表现为胸中疼痛,无法喘息,食物无法咽下。
《葛氏方》治疗突然食噎的方子:
用针在二十三次(或本作七次)刺入水中,面向东方饮用这些水,效果很好。
另一个方子:衔住鸬鹚的嘴,食物就会下行。
又一个方子:用羚羊角摩擦噎塞的部位。
又一个方子:生姜五两,橘皮三两,水六升,煮取二升,分两次服用。
《僧深方》治疗食噎不下的方子。
让旁人解开衣带,不要告诉噎者,食物就会下行。
又一个方子:一杯水,用刀在水面上横写一个字,水干了再纵写直到写完,全部喝下,食物就会下行。
《救急单验方》:
取鸡尾(或者野鸡尾),深深地插入喉中,立刻通畅。
《枕中方》治疗人噎得快要死去的方子。
让人吹耳朵,如果是女性患者则由男性吹,如果是男性患者则由女性吹,一吹气食物就会出来,效果很好。
《耆婆方》治疗食噎的方子:
取盘中的醋,分三次咽下,效果很好。
《如意方》治疗噎症的方法:
舂米用的杵头上的糠,放在手巾角上擦拭牙齿,立刻见效。(陶弘景说:刮取糠含在口中。)
《千金方》治疗突然食噎的方子:
取米饭,留下边缘的一粒零碎米饭吞下去。
《广利方》调理突然食噎不下的方子:
一匙蜂蜜含着,细细地咽下,食物就会下行。
《医门方》治疗饮食噎不下,或者呕吐逆气、流涎沫、胸膈不适、由脏腑之气引起的方子:
半夏(三两,洗净) 生姜(五两) 橘皮(三两) 桂心(二两)
水七升,煮取二升半,分三次服用,气顺则病愈。
《养生要集》说:凡是治疗各种水果食物不消化的方子。甘草,贝齿,粉(可能指米粉或药粉),这三种物品,等量研成末,用水送服,效果很好。
又一个方子:用小儿乳汁二升服用,效果很好。
又一个方子:含着白蜜咀嚼它,立刻痊愈。
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Food dysphagia (Shi Ye, obstruction of food due to coldness and stagnation) arises from the coldness and dysfunction of the Zang-Fu Qi, leading to scanty and astringent body fluids that fail to transport. When food enters, it causes obstruction and blockage; hence, it is called food dysphagia. The symptoms include pain in the chest, inability to breathe easily, and inability to swallow food.
The *Ge Shi Fang* (Prescriptions by Ge Hong) for treating sudden food dysphagia:
Insert a needle into water twenty-three times (or seven times in some editions), face east, and drink this water; it is effective.
Another prescription: Hold an cormorant's beak in the mouth, and the food will descend.
Yet another prescription: Rub the site of obstruction with horn of Antelope subgennus Tetracerus (Lingyang Jiao).
Yet another prescription: Radix Zingiberis Recens (Shengjiang) five liang, Pericarpium Citri Reticulatae (Jupi) three liang, water six sheng, decoct to obtain two sheng, take in two doses.
The *Seng Shen Fang* (Prescriptions by Seng Shen) for treating food dysphagia:
Have an assistant loosen the patient's clothing and belt without letting the patient know; the food will then descend.
Another prescription: Take one cup of water, write horizontally across the surface with a knife, wait until the water evaporates, then write vertically until finished, and drink it all at once; the food will descend.
The *Jiuji Danyan Fang* (Emergency Single-Effect Prescriptions):
Take a chicken tail feather (or pheasant tail feather), insert it deeply into the throat, and patency will be restored immediately.
The *Zhenzhong Fang* (Prescriptions from the Pillow) for treating severe dysphagia approaching death:
Have someone blow into the ear; if the patient is female, have a male blow; if male, have a female blow. Upon blowing, the obstruction will clear; this is effective.
The *Qipo Fang* (Prescriptions by Qibo) for treating food dysphagia:
Take vinegar from a plate, swallow it in three gulps; this is effective.
The *Ruyi Fang* (Prescriptions Meeting One's Desires) for treating dysphagia:
Pound the husk from the head of the pestle, place it on the corner of a handkerchief, and use it to wipe the teeth; relief comes immediately. (Tao Hongjing says: Scrape the husk and hold it in the mouth.)
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating sudden food dysphagia:
Take cooked rice, leave behind a single grain of leftover rice from the edge, and swallow it.
The *Guangli Fang* (Broad-Benefit Prescriptions) for regulating sudden food dysphagia:
Hold one spoonful of honey in the mouth and swallow it slowly; the food will descend.
The *Yimen Fang* (Prescriptions of the Medical Gate) for treating food dysphagia, vomiting with frothy saliva, discomfort in the chest and diaphragm, caused by dysfunction of the Zang-Fu Qi:
Rhizoma Pinelliae Preparatum (Banxia) three liang, washed; Radix Zingiberis Recens (Shengjiang) five liang; Pericarpium Citri Reticulatae (Jupi) three liang; Cinnamomi Cortex (Guixin) two liang.
Water seven sheng, decoct to obtain two and a half sheng, divide into three doses. When the Qi descends, the condition improves.
The *Yangsheng Yaoji* (Essentials for Nourishing Life) states: For any prescription treating indigestion of various fruits: Radix Glycyrrhizae Preparata (Gancao), dental shell (Beichi), and powder (Fen), these three substances in equal parts, ground into powder, taken with water; this is effective.
Another prescription: Drink two sheng of human breast milk; this is effective.
Another prescription: Hold white honey in the mouth and chew it; recovery is immediate.