《金匮》曰∶妇人咽中，有如炙脔，半夏浓朴汤主之，炙脔干肉也。咽中贴贴，如有炙肉，吐之不出，吞之不下，
此病不因肠胃，故不碍饮食；二便不因表邪，故无骨痛寒热，乃气为积寒所伤，不与血和，血中之气，溢而浮于咽中，
得水湿之气，凝结难移，男子亦间有之。药用半夏浓朴汤，乃二陈去陈皮、甘草，加浓朴、紫苏、生姜也。专治妇人
七情之气，郁滞不散，结成痰涎，或如梅核，在咽咯咽不下，或中脘痞满，气不舒畅，或痰饮中滞，呕逆恶上，并可
取效。盖半夏降逆，浓朴散结，生姜、茯苓宜至高之滞，而下其湿，苏叶味辛气香，色紫性温，能入阴和血，则气与
血和，即不复上浮也。
者，近脐左右，各有一条，筋脉急痛，大者如臂，次者如拳，因气而成，如弦之状，故名曰 。癖者，僻在两肋
之间，有时而痛，故名曰 。癖者，僻在两肋之间，有时而痛，故名曰癖。疝者，痛也。瘕者，假也，假物成形，推
移乃动也。若伤食成块坚而不移，名曰食 。瘀血成块，坚牢不移，名曰血 。积在肠胃之间与脏气结搏坚牢，虽推之
不移，名曰 ，言其病形可征验也。气壅塞而为痞，言其气痞塞不宣畅也。大抵推之不动为 ，推之动为瘕也。
至疝与 癖则与痛俱，痛即现，不痛即隐，在脐左右为 ，在两肋间为癖，在小腹牵引腰胁为疝，总因妇人脏腑虚弱，
经行不忌生冷，痰血饮食，结聚成块，与脏气相持，日渐生长，牢固不安，得冷则发，大痛欲死，然有异于丈夫者，
非因产后血虚受寒，或因经来取冷过度，不独饮食失节，多挟血气所成。其脉弦急者生，虚弱微细者危。善治者，
调补脾胃为主，佐以消导。若形气充实者，调其气而破其血，消其食而豁其痰，衰其大半而止，不可猛攻，以伤
元气，病重则病受之，病轻则胃气受伤矣。或云，待块消尽而后补养，则胃气之存也。几希不惟不胜治。终亦不可治也。
《金匮要略》中说：妇女咽喉中感觉像有一块烤熟的肉团堵着，用半夏厚朴汤治疗。“炙脔”就是烤干的肉片。咽喉中黏滞不适，好像有烤肉堵在那里，吐不出来，也咽不下去。这个病不是由肠胃引起的，所以不影响饮食；二便也没有受到表邪侵袭，所以没有骨节疼痛、恶寒发热等症状。这是由于气被积寒所伤，不能与血调和，血中的气溢出并浮聚于咽喉部位，遇到水湿之气，凝结而难以移动，男子偶尔也有这种情况。药用半夏厚朴汤，即二陈汤去掉陈皮、甘草，加入厚朴、紫苏、生姜而成。专门治疗妇女因七情（喜、怒、忧、思、悲、恐、惊）导致的气机郁滞不散，凝结成痰涎，感觉像梅核卡在咽喉，咯之不出，咽之不下；或者中脘部痞闷胀满，气机不舒畅；或者痰饮停滞在中焦，引起呕吐逆气、厌恶进食等症，都可以取得疗效。因为半夏能降逆气，厚朴能散结气，生姜和茯苓能宣通高位的气滞并下行湿气，紫苏叶味辛气香，色紫性温，能入阴分调和血液，使气与血调和，气就不再上浮了。
“瘕”是指靠近肚脐左右两侧，各有一条筋脉拘急疼痛，大的如手臂粗，小的如拳头大，因气机阻滞而成，形状像琴弦一样，所以叫作“瘕”。“癖”是指偏居在两肋之间，有时疼痛，所以叫作“癖”。疝，意思是疼痛。瘕，意思是假借，指假借有形之物形成肿块，推之可以移动。如果是伤食形成的坚硬肿块且推之不移，名叫“食瘕”；瘀血形成的肿块，坚硬牢固且推之不移，名叫“血瘕”；积聚在肠胃之间，与脏腑之气结搏在一起，坚硬牢固，虽然推之不动，名叫“积”，是说它的病形可以征验证实。气机壅塞不通叫做“痞”，是说气机痞塞不宣畅。大体上，推之不动的是“积”，推之能动的是“瘕”。至于疝和癖则伴随疼痛出现，痛的时候症状显现，不痛的时候就隐没。位于肚脐左右的是“瘕”，位于两肋间的是“癖”，从小腹牵引至腰胁的是“疝”。这总归是因为妇人脏腑虚弱，月经期间不注意忌口生冷食物，导致痰、血、饮食相互结聚成块，与脏腑之气相持不下，日渐生长，牢固不安，遇到寒冷就会发作，剧烈疼痛甚至让人想死。然而这与男子有所不同，女子多不是因为产后血虚受寒，而是因为经期贪凉过度，加上饮食不节制，大多夹杂血气共同形成。如果脉象弦急的预后良好，脉象虚弱微细的则病情危重。善于治疗的人，以调补脾胃为主，辅以消导之法。如果形体和气机都充实的患者，可以调理气机并破血，消食豁痰，但要在病势衰退大半时就停止，不可猛烈攻伐，以免损伤元气，否则病重的患者承受不住，病轻的患者也会损伤胃气。有人说，等到肿块完全消除后再进行补养，这样胃气才能保存。其实不然，不仅无法胜任治疗，最终也无法治愈。
The *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) states: "In women, there is a sensation in the throat as if a piece of roasted meat were stuck; Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) is indicated." 'Zhilian' refers to dried, roasted meat. The throat feels sticky and obstructed, as if a piece of roasted meat were lodged there; it cannot be spat out, nor can it be swallowed. This condition does not originate from the stomach or intestines, so it does not hinder eating and drinking; the urination and defecation are not affected by exterior pathogens, so there are no symptoms such as bone pain, aversion to cold, or fever. It arises because Qi is injured by accumulated cold and fails to harmonize with Blood. The Qi within the Blood overflows and floats upward to the throat. Upon encountering dampness and water fluids, it coagulates and becomes difficult to move. Men occasionally suffer from this as well. The prescribed medicine is Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction), which is Erchen Tang (Two-Aged Phlegm Decoction) minus Chenpi (Dried Tangerine Peel) and Gancao (Licorice Root), plus Houpo (Magnolia Bark), Zisu (Perilla Leaf), and Shengjiang (Fresh Ginger). It specifically treats Qi stagnation in women caused by the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) that fails to disperse, condensing into phlegm-fluids. Patients may feel as if a plum pit is stuck in the throat, impossible to cough up or swallow down; or experience epigastric fullness and distension with unsmooth Qi flow; or have phlegm-fluids stagnating in the middle jiao causing vomiting, regurgitation, and anorexia. All these conditions can be effectively treated. This is because Banxia (Pinelliae Rhizoma) descends rebellious Qi, Houpo (Magnoliae Officinalis Cortex) dissipates nodulation, Shengjiang (Zingiberis Rhizoma Recens) and Fuling (Poria) promote the dispersion of stagnation at the upper levels and drain downward dampness, while Zisu Ye (Perillae Folium), being pungent in flavor and aromatic in qi, purple in color and warm in nature, enters the Yin to harmonize Blood. When Qi and Blood harmonize, the Qi ceases to float upward.
"Jia" (False mass) refers to tendons and vessels on either side of the navel that are tight and painful. The larger masses are as thick as an arm, and the smaller ones as large as a fist. They form due to Qi stagnation and resemble the shape of a string, hence the name "Jia". "Pi" (Hidden mass) refers to masses located obliquely between the two hypochondria, which cause intermittent pain, hence the name "Pi". "Shan" (Hernia/Colic) means pain. "Jia" (False mass) implies something false or temporary taking shape; it moves when pushed. If a hard mass formed by food injury does not move when pushed, it is called "Shi Jia" (Food Mass); if a mass formed by static Blood is hard, firm, and immovable, it is called "Xue Jia" (Blood Mass); if accumulation occurs between the stomach and intestines, knotting firmly with the Qi of the zang-organs, remaining immovable even when pushed, it is called "Ji" (Fixed Accumulation), indicating that its pathological form can be verified. Obstruction of Qi leading to blockage is called "Pi" (Stagnant Fullness), signifying that Qi is stagnant and not flowing smoothly. Generally, masses that do not move when pushed are "Ji", while those that move are "Jia". As for Shan and Pi, they present with pain; symptoms appear when painful and hide when painless. Located on the left and right of the navel is "Jia"; located between the hypochondria is "Pi"; radiating from the lower abdomen to the waist and flanks is "Shan". These generally result from weakness of the zang-organs and bowels in women, failure to avoid raw and cold foods during menstruation, leading to the aggregation of phlegm, blood, and food residues into masses. These masses contend with the Qi of the zang-organs, growing day by day, becoming firm and unstable. They flare up upon exposure to cold, causing severe pain nearly unto death. However, this differs from men; women's conditions are rarely due to cold invasion following postpartum blood deficiency, but rather often stem from excessive exposure to cold during menstruation combined with irregular diet, mostly involving both blood and Qi. If the pulse is wiry and rapid, the prognosis is good; if the pulse is weak, thready, and fine, the condition is critical. Skilled practitioners prioritize tonifying and regulating the Spleen and Stomach, assisting with methods to resolve stagnation. For patients with robust constitution and abundant Qi, one may regulate Qi and break Blood, resolve Food, and clear Phlegm, but treatment should cease when the pathogen has diminished by more than half. One must not use harsh attacking methods to damage Yuan Qi (Primal Qi); otherwise, severely ill patients will not withstand it, and mildly ill patients will suffer damage to Stomach Qi. Some argue that one should wait until the masses are completely eliminated before beginning tonic nourishment to preserve Stomach Qi. This is incorrect; not only will it fail to achieve therapeutic success, but ultimately, the disease will remain incurable.