夫阴阳不和。则三焦隔绝。致津液不利。故令气塞不调。是以成噎也。此由忧恚所致。
忧恚
治心胸噎塞烦闷。食饮不下。木香散方。
木香(半两) 赤茯苓(半两) 昆布(三分洗去咸味) 桔梗(三分去芦头) 木通
(三分锉)
桑
微黄)
枳
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。
治噎不下食。心胸烦闷。不得眠卧。芦根散方。
芦根(一两锉) 木通(半两锉) 射干(三分) 半夏(三分汤洗七遍去滑) 赤茯
苓(半两)
人
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治噎。心胸烦满。食饮不下。腹胁妨闷。诃黎勒散方。
诃黎勒皮(一两半) 桂心(三分) 枳壳(三分麸炒微黄去瓤) 陈橘皮(一两汤浸
去白瓤
焙)
角屑(三
分)
上件药。捣细罗为散。不计时候。煎木瓜汤调下一钱。
治噎。心胸短气。烦闷不能下食。半夏丸方。
半夏(一两汤洗七遍去滑) 木香(一两) 枳壳(二两麸炒微黄去瓤) 羚羊角屑(一
两)
桂心
上件药。捣罗为末。以生姜自然汁煮面糊。和丸如梧桐子大。每服不计时候。煎木瓜汤
下二
治噎。不能下食。咽喉壅塞。心胸烦闷。生姜汁煎方。
生姜汁(五合) 白蜜(五两) 人参(二两去芦头捣罗为末) 百合(二两捣罗为末)
牛酥
(五
上件药。纳铜锅中。以慢火煎如膏。不计时候。含一丸如半枣大。咽津。或煎人参汤调
下一
又方。
上取舂杵头糠。细罗。以老牛涎和丸。如弹子大。不计时候。含一丸咽津。
阴阳失调,导致三焦气机阻隔,致使津液运行不畅,因此出现气机壅塞、不调和的情况,从而形成噎证。这主要是由于忧思恼怒所致。
治疗心胸部位噎塞感、烦闷不适,饮食难以下咽的木香散方:
木香(半两)、赤茯苓(半两)、昆布(三分,洗净去除咸味)、桔梗(三分,去除芦头)、木通(三分,锉碎)、桑白皮(三分,微黄色)、枳壳(三分,麸炒至微黄,去除瓤)。
以上药物,捣碎并过粗筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余六分药液,滤去药渣。不拘时间服用。
治疗噎证,饮食难下,心胸烦闷,无法安睡卧躺的芦根散方:
芦根(一两,锉碎)、木通(半两,锉碎)、射干(三分)、半夏(三分,汤洗七遍以去除滑腻之性)、赤茯苓(半两)、人参(一两,去芦头)。
以上药物,捣碎并过细筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余六分药液,滤去药渣。不拘时间温服。
治疗噎证,心胸烦满,饮食难下,腹部及胁肋部胀闷不适的诃黎勒散方:
诃黎勒皮(一两半)、桂心(三分)、枳壳(三分,麸炒至微黄,去除瓤)、陈橘皮(一两,汤浸后去除白色瓤络,焙干)、羚羊角屑(三分)。
以上药物,捣碎并过细筛制成散剂。不拘时间,用木瓜汤调服一钱。
治疗噎证,心胸短气,烦闷不能进食的半夏丸方:
半夏(一两,汤洗七遍以去除滑腻之性)、木香(一两)、枳壳(二两,麸炒至微黄,去除瓤)、羚羊角屑(一两)、桂心(一两)。
以上药物,捣碎过筛制成粉末,用生姜自然汁煮面糊,调和药末制成梧桐子大小的丸剂。每次不拘时间,用木瓜汤送服二丸。
治疗噎证,不能进食,咽喉壅塞,心胸烦闷的生姜汁煎方:
生姜汁(五合)、白蜜(五两)、人参(二两,去芦头,捣碎过筛成末)、百合(二两,捣碎过筛成末)、牛酥(五两)。
以上药物,放入铜锅中,用慢火煎煮成膏状。不拘时间,含服如半枣大的一丸,吞咽津液;或者用人参汤调服一丸。
又一方:
取舂米杵头的糠,细细过筛,用老牛的唾液调和制成弹子大小的丸剂。不拘时间,含服一丸,吞咽津液。
When Yin and Yang are in disharmony, the Sanjiao (Triple Burner) becomes obstructed, leading to impaired fluid metabolism. This results in Qi stagnation and imbalance, thereby forming "Ye" (dysphagia/choking sensation). This condition is primarily caused by sorrow and resentment.
**Muxiang Powder (Cinnamon Twig and Costus Root Powder)** for treating chest and heart dysphagia, fullness, and restlessness, with difficulty in swallowing food and drink:
* Muxiang (Costi Radix, 0.5 liang)
* Chifuling (Poria Cocos with Red Bark, 0.5 liang)
* Kunbu (Laminariae Thallus, 0.3 fen, washed to remove saltiness)
* Jiegeng (Platycodonis Radix, 0.3 fen, removed of rhizome)
* Mutong (Akebiae Caulis, 0.3 fen, sliced)
* Sangbaipi (Mori Cortex, 0.3 fen, slightly yellow)
* Zhike (Aurantii Fructus Immaturus, 0.3 fen, stir-baked with bran until slightly yellow, placenta removed)
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhuan remains. Strain. Take at any time.
**Lugen Powder (Phragmitis Rhizoma Powder)** for treating dysphagia with inability to swallow food, chest and heart restlessness, and inability to lie down or sleep:
* Lugen (Phragmitis Rhizoma, 1 liang, sliced)
* Mutong (Akebiae Caulis, 0.5 liang, sliced)
* Shegan (Belamcandae Rhizoma, 0.3 fen)
* Banxia (Pinelliae Rhizoma Praeparatum, 0.3 fen, washed seven times with decoction to remove acridity)
* Chifuling (Poria Cocos with Red Bark, 0.5 liang)
* Renshen (Ginseng Radix et Rhizoma, 1 liang, rhizome removed)
Sift the above ingredients into a fine powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhuan remains. Strain. Take warm at any time.
**Helile Powder (Terminalia Chebula Pericarpium Powder)** for treating dysphagia, chest and heart fullness and restlessness, inability to swallow food and drink, and abdominal and hypochondriac oppression:
* Helilepi (Terminaliae Chebulae Pericarpium, 1.5 liang)
* Guixin (Cinnamomi Ramulus, 0.3 fen)
* Zhike (Aurantii Fructus Immaturus, 0.3 fen, stir-baked with bran until slightly yellow, placenta removed)
* Chenju pi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white placenta removed, dried)
* Lingyangjiao xie (Saigae Tataricae Cornu, 0.3 fen)
Sift the above ingredients into a fine powder. Take 1 qian per dose mixed with Chaenomelis Fructus decoction at any time.
**Banxia Pills (Pinellia Pills)** for treating dysphagia, shortness of breath in the chest and heart, restlessness, and inability to eat:
* Banxia (Pinelliae Rhizoma Praeparatum, 1 liang, washed seven times with decoction to remove acridity)
* Muxiang (Costi Radix, 1 liang)
* Zhike (Aurantii Fructus Immaturus, 2 liang, stir-baked with bran until slightly yellow, placenta removed)
* Lingyangjiao xie (Saigae Tataricae Cornu, 1 liang)
* Guixin (Cinnamomi Ramulus, 1 liang)
Grind the above ingredients into powder. Use natural juice of Zingiberis Rhizoma Recens to cook wheat paste, mix with the powder to form pills the size of Sophora japonica seeds. Take 2 pills per dose with Chaenomelis Fructus decoction at any time.
**Shengjiangzhi Jian (Fresh Ginger Juice Electuary)** for treating dysphagia, inability to eat, pharyngeal obstruction, and chest/heart restlessness:
* Shengjiangzhi (Zingiberis Rhizoma Recens Juice, 5 he)
* Baimi (Apis Mellifera Melle, 5 liang)
* Renshen (Ginseng Radix et Rhizoma, 2 liang, rhizome removed, ground to powder)
* Baihe (Lilii Bulbus, 2 liang, ground to powder)
* Niusu (Bubali Corneum, 5 liang)
Place all ingredients in a copper pot. Simmer over low heat until it forms an electuary. At any time, hold one pill the size of half a jujube in the mouth and swallow saliva; alternatively, take one pill mixed with Ginseng decoction.
**Another Prescription:**
Take bran from the head of a rice pestle, sift finely. Mix with saliva from an old ox to form pills the size of a marble. At any time, hold one pill in the mouth and swallow saliva.