夫五噎者。一曰气噎。二曰忧恚噎。三曰食噎。四曰劳噎。五曰思噎。虽有五名。皆由
阴阳
治五噎。胃管气滞。心胸满闷。咽中噎塞。不能下食。人参散方。
人参（半两去芦头） 半夏（半两汤洗七遍去滑） 桂心（半两） 干姜（半两炮裂锉）
白术
（半
杷叶
（半两
两） 浓朴
（一两
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治五噎。心胸不利。痰壅食少。半夏散方。
半夏（一两汤洗七遍去滑） 槟榔〔一（二）两〕 前胡（一两去芦头） 枳壳（一两
麸炒微
黄去
桔
梗（一两
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。小麦小豆各五十粒。煎至六
分。
治五噎。食少。四肢乏力。木香散方。
木香（半两） 人参（半两去芦头） 赤茯苓（三分） 神曲（三分炒微黄） 桃仁（半
两汤浸
去皮
白瓤焙）
上件药。捣细罗为散。每服一钱。以水一中盏。煎至五分。和滓。不计时候。稍热服。
治五噎。胸心气塞。三焦隔绝。咽喉不利。食饮难下。人参丸方。
人参（一两去芦头） 半夏（一两汤洗七遍去滑） 桂心（一两） 防葵（一两） 小
草（一两）
附
（三分去
苗
裂去皮脐）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以生姜汤下二
十丸。
治五噎。胸中寒。呕逆气隔。饮食不下。茱萸丸方。
吴茱萸（三分） 干姜（二分炮裂锉） 川椒（三分去目及闭口者微炒去汗） 桂心（三
分）
人参
皮脐） 陈
橘皮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以温酒下三（二）
十
丸。
治五噎。喉咽壅塞不通。胸膈忧恚气滞。胃寒食少。干姜丸方。
干姜（半两炮裂锉） 川椒（半两去目及闭口者微炒去汗） 吴茱萸（半两） 羚羊角
屑〔半
（一）
辛（一两）
白
黎勒
皮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以生姜汤下三十丸。
治五噎。喉咽妨塞。食饮不下。宜服昆布丸方。
昆布（一两半洗去咸味） 羚羊角屑（半两） 柴胡（三分去苗） 麦门冬（一两半去
心焙）
杏仁
（三分）
诃
两） 川
朴
白瓤焙）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以热酒下三十丸。
夜
治五噎。心胸咽喉迫塞。痰毒壅滞。涕唾稠粘。不能下食。宜用此吐方。
硫黄（一分细研） 阿魏〔二（一）分面裹煨令面熟为度〕 密陀僧（一分细研） 安
息香（一
分）
上件药。同研令细。熔乳香安息香。及炼了蜜少许。和丸如绿豆大。每服不计时候。以
冷茶
治五噎立效方。
枇杷叶（一两拭去毛炙微黄） 陈橘皮（一两汤浸去白瓤焙） 生姜（半两）
上件药。都以水二大盏半。煎至一盏半。去滓。不计时候。分温三服瘥。
又方。
半夏（半两汤洗七遍去滑） 芦根（一两锉） 甜葶苈（半两隔纸炒令紫色）
上件药。捣筛。都以水二大盏半。入生姜半两。同煎至一盏半。去滓。不计时候。分温
三服
又方。
杏仁（三两汤浸去皮尖双仁麸炒微黄） 桂心（二两）
上件药。捣罗为末。炼蜜和丸。如酸枣大。不计时候。含一丸咽津。
治五噎。心膈气滞烦满。吐逆不下食方。
芦根五两细锉。以水三大盏煮取二盏。去滓。不计时候。稍热服二合。
治五噎。胸膈咽喉不利。痰逆食少。宜服此方。
半夏（七枚小者汤洗去滑）
上件药。捣细罗为散。都为一服。以浓生姜汤调服之。患年多者。不过三服瘥。
五噎，是指五种类型的噎证。第一种叫气噎，第二种叫忧恚噎，第三种叫食噎，第四种叫劳噎，第五种叫思噎。虽然名称有五种，但病因都在于阴阳失调，导致胃管气机阻滞，心胸部位满闷不舒，咽喉中有噎塞感，无法进食。
人参散方：
人参（半两，去芦头） 半夏（半两，用汤洗七遍，去滑腻） 桂心（半两） 干姜（半两，炮裂后锉碎） 白术（半两） 枇杷叶（半两，拭去毛，炙微黄） 浓朴（一两，去皮，姜汁炙）
以上药物，捣碎过粗罗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎至六分，滤去药渣。不分时候温服。
治疗五噎，心胸不利，痰多壅盛，食欲减少的半夏散方：
半夏（一两，用汤洗七遍，去滑腻） 槟榔（一两） 前胡（一两，去芦头） 枳壳（一两，麸炒至微黄，去瓤） 桔梗（一两，去芦头）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，小麦和小豆各五十粒，煎至六分，滤去药渣。不分时候温服。
治疗五噎，食欲减少，四肢乏力的木香散方：
木香（半两） 人参（半两，去芦头） 赤茯苓（三分） 神曲（三分，炒至微黄） 桃仁（半两，汤浸去皮尖双仁，焙干）
以上药物，捣碎过细罗筛成散剂。每次服用一钱，用水一中盏，煎至五分，连同药渣一起服用。不分时候，稍热时服用。
治疗五噎，胸心气机闭塞，三焦隔绝不通，咽喉不利，饮食难下的参人丸方：
人参（一两，去芦头） 半夏（一两，用汤洗七遍，去滑腻） 桂心（一两） 防葵（一两） 小草（一两） 附子（三分，去苗尖，炮裂去皮脐）
以上药物，捣碎过罗筛成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸药。每次不分时候，用生姜汤送下二十丸。
治疗五噎，胸中寒冷，呕吐逆气阻隔，饮食不能下咽的茱萸丸方：
吴茱萸（三分） 干姜（二分，炮裂锉碎） 川椒（三分，去目及闭口者，微炒去汗） 桂心（三分） 人参（三分，去芦头） 附子（三分，炮裂去皮脐） 陈橘皮（三分，汤浸去白瓤，焙）
以上药物，捣碎过罗筛成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸药。不分时候，用温酒送下二三十丸。
治疗五噎，喉咽壅塞不通，胸膈忧恚气滞，胃寒食欲减少的干姜丸方：
干姜（半两，炮裂锉碎） 川椒（半两，去目及闭口者，微炒去汗） 吴茱萸（半两） 羚羊角屑（半两） 辛夷（一两，去毛） 白蒺藜（一两，炒去刺） 诃黎勒（一两，煨熟去皮核）
以上药物，捣碎过罗筛成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸药。不分时候，用生姜汤送下三十丸。
治疗五噎，喉咽妨塞，饮食不能下咽，宜服用的昆布丸方：
昆布（一两半，洗去咸味） 羚羊角屑（半两） 柴胡（三分，去苗） 麦门冬（一两半，去心焙） 杏仁（三分，汤浸去皮尖双仁，麸炒微黄） 诃黎勒（一两，煨熟去皮核） 浓朴（一两，去皮，姜汁炙） 白术（一两）
以上药物，捣碎过罗筛成末，炼蜜调和，捣三二百杵，制成梧桐子大小的丸药。不分时候，用热酒送下三十丸。
治疗五噎，心胸咽喉迫塞，痰毒壅滞，涕唾稠粘，不能进食，宜用此催吐方：
硫黄（一分，细研） 阿魏（一分，面裹煨至面熟为度） 密陀僧（一分，细研） 安息香（一分）
以上药物，共同研细，熔化乳香和安息香，以及少许炼过的蜜，调和制成绿豆大小的丸药。每次不分时候，用冷茶送下一丸，以吐出痰涎为效。
治疗五噎立效方：
枇杷叶（一两，拭去毛，炙微黄） 陈橘皮（一两，汤浸去白瓤焙） 生姜（半两）
以上药物，用水二大盏半，煎至一盏半，滤去药渣。不分时候，分三次温服，病愈为止。
又一方：
半夏（半两，用汤洗七遍，去滑腻） 芦根（一两，锉碎） 甜葶苈（半两，隔纸炒至紫色）
以上药物，捣碎过筛，用水二大盏半，加入生姜半两，同煎至一盏半，滤去药渣。不分时候，分三次温服。
又一方：
杏仁（三两，汤浸去皮尖双仁，麸炒微黄） 桂心（二两）
以上药物，捣碎过罗筛成末，炼蜜和丸，如酸枣大小。不分时候，含一丸在口中，咽下津液。
治疗五噎，心膈气滞烦满，呕吐逆气不能进食的方子：
芦根五两，细锉，用水三大盏煮取二盏，滤去药渣。不分时候，稍热时服用二合。
治疗五噎，胸膈咽喉不利，痰逆食欲减少，宜服用的方子：
半夏（七枚小者，用汤洗去滑腻）
以上药物，捣碎过细罗筛成散剂，作为一服量，用浓生姜汤调服。患病年久者，不过三服即可痊愈。
Wu Ye (Five Types of Dysphagia) refers to five categories of dysphagia. The first is Qi Ye (Dysphagia due to Qi stagnation), the second is Youhui Ye (Dysphagia due to sorrow and indignation), the third is Shi Ye (Dysphagia due to food retention), the fourth is Lao Ye (Dysphagia due to overexertion), and the fifth is Si Ye (Dysphagia due to excessive thinking). Although there are five names, all arise from the imbalance of Yin and Yang (Yin-Yang Imbalance), leading to Qi stagnation in the stomach tube, fullness and oppression in the chest and heart, a sensation of obstruction in the throat, and an inability to swallow food.
Ren Shen San (Ginseng Powder):
Ren Shen (Panax ginseng Radix et Rhizoma, half liang, remove radicle) Ban Xia (Pinelliae Tuber, half liang, wash seven times with decoction to remove slipperiness) Gui Xin (Cinnamomi Ramulus Cortex, half liang) Gan Jiang (Zingiberis Rhizoma, half liang, processed until cracked and chopped) Bai Zhu (Atractylodis Macrocephalae Rhizoma, half liang) Pi Pa Ye (Eriobotryae Folium, half liang, wipe off hairs, roast until slightly yellow) Hou Po (Magnoliae Officinalis Cortex, one liang, remove bark, process with ginger juice)
The above medicines are coarsely ground and sieved into a powder. Take three qian per dose. Add one zhong of water and half ban of fresh ginger, decoct until six fen remains. Strain the dregs. Take at any time.
Ban Xia San (Pinellia Powder) for treating Wu Ye with chest and heart discomfort, phlegm congestion, and reduced appetite:
Ban Xia (Pinelliae Tuber, one liang, wash seven times with decoction to remove slipperiness) Bing Lang (Arecae Semen, one liang) Qian Hu (Peucedani Radix, one liang, remove radicle) Zhi Ke (Aurantii Fructus Pericarpium, one liang, stir-fry with bran until slightly yellow, remove pith) Jie Geng (Platycodonis Radix, one liang, remove radicle)
The above medicines are ground and sieved into a powder. Take three qian per dose. Add one zhong of water, half ban of fresh ginger, fifty grains of wheat, and fifty grains of mung bean. Decoct until six fen remains. Strain the dregs. Take at any time.
Mu Xiang San (Costus Powder) for treating Wu Ye with reduced appetite and weakness in the four limbs:
Mu Xiang (Aucklandiae Radix, half liang) Ren Shen (Panax ginseng Radix et Rhizoma, half liang, remove radicle) Chi Fu Ling (Poria with Red Heart, three qian) Shen Qu (Massa Medicata Fermentata, three qian, stir-fry until slightly yellow) Tao Ren (Persicae Semen, half liang, soak in hot water, remove skin and twin kernels, dry by baking)
The above medicines are finely ground and sieved into a powder. Take one qian per dose. Add one zhong of water, decoct until five fen remains. Take together with the dregs. Take at any time, preferably when slightly warm.
Ren Shen Wan (Ginseng Pill) for treating Wu Ye with chest and heart Qi blockage, separation of the Triple Burner (San Jiao, the functional system of fluid metabolism and transportation), throat discomfort, and difficulty swallowing food and drink:
Ren Shen (Panax ginseng Radix et Rhizoma, one liang, remove radicle) Ban Xia (Pinelliae Tuber, one liang, wash seven times with decoction to remove slipperiness) Gui Xin (Cinnamomi Ramulus Cortex, one liang) Fang Kui (Adenophorae Radix, one liang) Xiao Cao (Scrophulariae Radix, one liang) Fu Zi (Aconiti Lateralis Radix Praeparata, three qian, remove sprout tip, process until cracked, remove skin and umbilicus)
The above medicines are ground into fine powder. Mix with refined honey and pound three to two hundred times. Form pills the size of paulownia seeds. Take twenty pills at any time, washed down with ginger decoction.
Zhu Yu Wan (Evodia Pill) for treating Wu Ye with cold in the chest, vomiting and reverse flow of Qi causing blockage, and inability to ingest food:
Wu Zhu Yu (Evodiae Fructus, three qian) Gan Jiang (Zingiberis Rhizoma, two qian, process until cracked and chopped) Chuan Jiao (Sichuan Zanthoxypi Pericarpium, three qian, remove eyes and closed-mouth ones, stir-fry lightly to remove oil/sweat) Gui Xin (Cinnamomi Ramulus Cortex, three qian) Ren Shen (Panax ginseng Radix et Rhizoma, three qian, remove radicle) Fu Zi (Aconiti Lateralis Radix Praeparata, three qian, process until cracked, remove skin and umbilicus) Chen Pi (Citri Reticulatae Pericarpium, three qian, soak in water, remove white pith, dry by baking)
The above medicines are ground into fine powder. Mix with refined honey and pound three to two hundred times. Form pills the size of paulownia seeds. Take at any time, washed down with warm wine, two or three ten pills (20-30 pills).
Gan Jiang Wan (Dried Ginger Pill) for treating Wu Ye with blockage in the throat and pharynx, Qi stagnation due to sorrow and indignation in the chest and diaphragm, stomach cold, and reduced appetite:
Gan Jiang (Zingiberis Rhizoma, half liang, process until cracked and chopped) Chuan Jiao (Sichuan Zanthoxypi Pericarpium, half liang, remove eyes and closed-mouth ones, stir-fry lightly to remove oil/sweat) Wu Zhu Yu (Evodiae Fructus, half liang) Ling Yang Jiao (Saigae Tataricae Cornu, half liang) Xin Yi (Magnoliae Flos, one liang, remove hairs) Bai Ji Li (Tribuli Fructus, one liang, stir-fry to remove spines) He Le Li (Terminalia Chebulae Fructus, one liang, bake熟, remove skin and seed)
The above medicines are ground into fine powder. Mix with refined honey and pound three to two hundred times. Form pills the size of paulownia seeds. Take thirty pills at any time, washed down with ginger decoction.
Kun Bu Wan (Laminaria Pill) for treating Wu Ye with blockage in the throat and pharynx, inability to swallow food and drink:
Kun Bu (Laminariae Thallus, one and a half liang, wash to remove saltiness) Ling Yang Jiao (Saigae Tataricae Cornu, half liang) Chai Hu (Bupleuri Radix, three qian, remove radicle) Mai Men Dong (Ophiopogonis Radix, one and a half liang, remove heart, dry by baking) Xing Ren (Armeniacae Semen Amarum, three qian, soak in hot water, remove skin and twin kernels, stir-fry with bran until slightly yellow) He Le Li (Terminalia Chebulae Fructus, one liang, bake熟, remove skin and seed) Hou Po (Magnoliae Officinalis Cortex, one liang, remove bark, process with ginger juice) Bai Zhu (Atractylodis Macrocephalae Rhizoma, one liang)
The above medicines are ground into fine powder. Mix with refined honey and pound three to two hundred times. Form pills the size of paulownia seeds. Take thirty pills at any time, washed down with hot wine.
This expectorant formula is suitable for treating Wu Ye with oppression and blockage in the chest, heart, and throat; congestion and stagnation of phlegm toxins; thick and sticky sputum and nasal discharge; and inability to eat:
Liu Huang (Sulfur, one fen, finely ground) A Wei (Ferulae Resina, one fen, wrapped in dough and baked until the dough is cooked) Mi Duo Seng (Lithargyrum, one fen, finely ground) An Xi Xiang (Styrax, one fen)
The above medicines are ground together until fine. Melt Ru Xiang (Boswelliae Resina) and An Xi Xiang, along with a small amount of refined honey. Mix and form pills the size of mung beans. Take one pill at any time, washed down with cold tea, aiming to induce vomiting of phlegm.
Li Xiao Fang (Immediate Effect Formula) for treating Wu Ye:
Pi Pa Ye (Eriobotryae Folium, one liang, wipe off hairs, roast until slightly yellow) Chen Pi (Citri Reticulatae Pericarpium, one liang, soak in water, remove white pith, dry by baking) Sheng Jiang (Zingiberis Rhizoma Recens, half liang)
The above medicines are decocted in two and a half da zhang of water until one and a half zhang remains. Strain the dregs. Divide into three warm doses and take at any time until cured.
Another Formula:
Ban Xia (Pinelliae Tuber, half liang, wash seven times with decoction to remove slipperiness) Lu Gen (Phragmitis Rhizoma, one liang, chopped) Ting Li Zi (Descurainiae Semen, half liang, stir-fry between papers until purple)
The above medicines are ground and sieved. Decoct in two and a half da zhang of water with half liang of fresh ginger until one and a half zhang remains. Strain the dregs. Divide into three warm doses and take at any time.
Another Formula:
Xing Ren (Armeniacae Semen Amarum, three liang, soak in hot water, remove skin and twin kernels, stir-fry with bran until slightly yellow) Gui Xin (Cinnamomi Ramulus Cortex, two liang)
The above medicines are ground into fine powder. Mix with refined honey and form pills the size of sour jujube seeds. At any time, hold one pill in the mouth and swallow the saliva.
Formula for treating Wu Ye with Qi stagnation, irritability, and fullness in the heart and diaphragm, vomiting, reverse flow of Qi, and inability to eat:
Lu Gen (Phragmitis Rhizoma, five liang, finely chopped). Decoct in three da zhang of water until two zhang remains. Strain the dregs. Take two he when slightly warm, at any time.
Formula for treating Wu Ye with discomfort in the chest, diaphragm, and throat, phlegm with reverse flow, and reduced appetite:
Ban Xia (Pinelliae Tuber, seven small tubers, wash with decoction to remove slipperiness)
The above medicine is finely ground and sieved into a powder as a single dose. Mix with strong ginger decoction and take. For chronic cases lasting many years, no more than three doses are needed for cure.