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，不计时候稍热服。（同上）
治膈气呕逆，不能下食，脾胃气弱，四肢乏力，丁香散方。
丁香（半两） 青橘皮（一两） 白茯苓（一两） 人参（一两） 枇杷
叶（半两拭去毛炙微黄） 桂心（一两） 半夏（一两汤洗七遍去滑）
上件药捣筛为散，每服三钱，以水一中盏，入生姜半分，枣三枚，煎至六分去滓，不计时候稍热服。
（同上）
五噎散，治五噎，食不下，呕 痰多，咽喉噎塞，胸背满庸。
人参 半夏（汤泡七次） 桔梗（去芦锉炒） 白豆蔻仁 木香（不见火） 杵头糠 白术 荜澄茄
沉香（不见火） 枇杷叶（拭去毛） 干生姜（各一两） 甘草（炙半两）
上为细末，每服二钱，水一中盏，生姜七片，煎至六分，食后温服。（《济生》）
五膈散，治五膈，胸膈痞闷，诸气结聚，胁肋胀满，痰逆恶心，不进饮食。
枳壳（去瓤麸炒） 木香（不见火） 青皮（去白） 大腹子 白术 半夏曲（锉） 丁香（不见火）
天南星（汤泡去皮） 干姜（炮） 麦 （炒） 草果仁（各一两） 甘草（炙半两）
上为细末，每服二钱，水一中盏，生姜五片，煎至六分，温服不拘时候。（同上）
紫苏子饮，治呕噎，上气咳逆，因怒未定，便夹气饮食，或食饮毕便怒，以致食与气相逆，遂成膈噎之候。
真苏子（炒） 诃子（煨） 萝卜子（微炒） 杏仁（泡去皮尖麸炒） 木香（五分） 人参（各一钱）
青皮 甘草（炙各二钱）
上 咀，分二服，每服水二盏，姜三片，煎七分服。（医统）
治噎。
苏子（研细二钱） 广橘红（二钱五分） 麦门冬（去心五钱） 白芍药（酒炒四钱） 枇杷叶（去毛刷净
蜜炙三大片） 山楂肉（三钱） 白豆蔻仁（四分先嚼下） 人参（三钱）
逆水芦根汁一大盏，河水一钟半，同芦根汁，煎至八分，加姜汁三匙，竹沥一杯，饥时服。（《广笔记》）
治噎膈将成，能下气开郁，用孩儿菊叶（即兰草）、白豆蔻、真郁金、真苏子、芦根，共煮汁，磨沉香
数分，每日饮之，愈。（《汇言》）
破郁通滞诸方 治五膈气，食饮不下，渐将羸瘦，桃花散方。
桃花（三两当年者） 槟榔（三两） 缩砂（二两去皮） 马牙硝（二两） 吴茱萸（一两汤浸七遍焙干微炒）
上件药捣，细罗为散，每日不计时候，以热酒调下一钱。（《圣惠》）
治五种膈气，壅滞气逆，心腹胀痛，宿食不消，宜服 砂丸方。
砂（一两细研） 沉香（一两） 木香（一两） 诃黎勒皮（一两） 附子（一两） 槟榔（一两半）
干姜（一两） 桃仁（一百二十粒）
上件药捣罗为末，入 砂同研令匀，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。（同上）
治五膈气噎闷，或吐逆不下食， 砂丸方。
大附子（一个剜去中心肉别和后药研） 砂（水飞过） 丁香（以上各半两） 青橘皮（去白瓤）
木香 肉豆蔻（各一分） 槟榔（三分生用）
上以净 砂，内入剜了附子中，和不尽，都将熟面和馒头裹，入灰中 令焦，却和丁香等都杵为末，滴水
和，再杵，丸如梧桐子大，每服二十丸，生姜汤下。（《神巧》）
治膈气噎塞，不思饮食，附子丸方。
附子（大者生去皮脐切破生姜汁煮透焙一两） 丁香（半两）
上二味捣罗为末，细研 砂少许，渗枣内蒸熟，去皮核
和药，丸如梧桐子大，每服十五丸，温米饮下，食前服。（《圣济》）（按∶又《呕吐》济急丸，《和剂·脾
胃》煨姜丸，并此类方。）
治膈气，呕逆不下食，心胸痞闷，噎塞不通，化气丸方。
木香（炮） 槟榔（生锉各二两） 砂（别研一两） 大黄（炮三分） 丹砂（别研半两）
上五味捣研为末，酒煮面糊和丸，如梧桐子大，每服十丸至二十丸，不拘时候，生姜汤下。（同上）
噎膈反胃，《邓才清兴》用北庭砂二钱，水和荞麦面包之， 焦待冷，取中间湿者焙干一钱，入槟榔二钱，
丁香二个研匀，每服七厘，烧酒送下，日三服，愈即止，后吃白粥半月，仍服助胃丸药。（《本草纲目》）
治气膈，脾胃久冷，心腹痞满，吃食无味，面色萎黄，沉香丸方。
沉香（半两） 丁香（半两） 木香（半两） 槟榔（半两） 桂心（一两） 诃黎勒皮（一两）
川大黄（半两锉碎微炒） 肉豆蔻（半两去壳） 麝香（一分细研）
上件药捣罗为末，入麝香研匀，炼蜜和捣三二百杵，丸如梧桐子大，不计时候，以姜枣汤嚼下十丸。
（《圣惠》）
治五膈气，大黄丸方。
川大黄（锉碎微炒） 诃黎勒（煨用皮以上各半两）
上件药捣罗为末，炼蜜和丸，如梧桐子大，每服以温水下二十丸，以微利为度。（同上）
人参利膈丸，治胸中不利，痰嗽喘满，利脾胃壅滞，调大便秘利，推陈致新，消饮进食。
藿香（一钱半） 当归（三钱） 木香 槟榔（各二钱半） 人参（三钱）
甘草（炙五钱） 浓朴（姜制二两） 枳实（五钱） 大黄（酒浸焙一两）
上为末，滴水丸如桐子大，每服三十丸，食后温汤送下，此治膈气之圣药也。一方，汤浸 饼丸，亦可。
（《宝鉴》）
治膈弟（此讹字），男妇五膈十噎，酒肉气积等症，并心气疼痛。一服见效，服久饮食如旧，后服十四味
建中汤，勿服别药。
木香 砂仁（各五分） 甘草（三分） 三棱 蓬术 槟榔 大黄（各二两） 俱生用
上为细末，人实者服二钱五分，虚小者服二钱，空心无根井水调下，行三四次，痰气即自下之，忌生冷酒食面食硬
物之类。（《万应集》）
治五膈气，喘促，腹胁胀满，胸膈不快，痰逆恶心，不思饮食，莱菔木香散方。
莱菔子（二两） 粟米（一两半） 陈橘皮（汤浸去白焙一两） 巴豆（肥大者三十枚，去皮，于瓦石器内，
与上三味同炒，候药焦黑色，拣去巴豆不用。） 木香（一分）
上五味捣罗为散，用煮莱菔汤调下二钱匕。或以生姜汁煮面糊和丸，如梧桐子大，莱菔汤下十五丸，亦得。
（《圣济》）
八厘散（秘传），治膈噎神方，不问老幼，并皆治之，其效如响。但病患神昏气短体弱临危者，亦当慎之。
当归（头身尾俱用） 大黄 硼砂（透明者用） 沉香 广木香 丁香（小者佳。以上诸药，日中曝干，
如无日色，以微火烘干。） 巴豆（连大壳微炒焦色，去壳，将米子再炒黄色，用纸研去油，各五分。）
上共为末，各净称五分和匀，贮瓷罐内，每服八厘，用米烧酒热服。行二三次，用冷粥补住。必须察秽物
净否，方可用补。如补早恐秽物不净，难取捷效。如补迟恐便数太多，有伤元气。此在用药者，合宜消息。服此之后，
宜健脾养胃，如八物养荣丸、参苓白术散俱效。（《医汇》）
治噎食方。
皮硝（三钱飞过） 孩儿茶（一钱） 麝香（五分）
上为细末，作三服，黄酒送下，永除根不发。（《回春》）
治噎膈方。
新锻石（三钱） 大黄（一钱）
黄酒一钟，煎去渣，服酒。（同上）
神仙夺命丹，专治噎食。
乌梅（十三个水浸去核） 砂（二钱） 雄黄（二钱） 乳香（一钱） 百草霜（五钱） 绿豆 黑豆
（各四十九粒）
上将乌梅杵烂，前药并豆为末，入梅再捣和匀，丸如弹子大，以乳香少加朱砂为衣，阴干，每服一丸，空心含
化，待药尽，烙热饼一个，劈破，入热茶泡食之，无碍为验。过三、五日，根据法再服一丸，即愈。极有神效。
（《心法附余》）《普济良方》不用 砂，用硼砂，名二豆回生丹，日此古今第一回春。
治气膈痹症。
阿魏 木香 沉香（各一分） 五灵脂（五分）
共为末，黄狗贴（当胆）一个，入药阴七日，取出研细末，每服五分，姜汁送下。（《万应》）（按∶《和
剂》有撞气阿魏丸，其方稍涉繁杂，仍不录。）
神效噎食方。
紫金丹（杵烂，按∶此盖治黄肿方） 核桃 杏仁（麸炒） 穿山甲（土炒各一分）
上为细末，炼蜜为丸，如枣子大，口含化约分七分，三分米汤化下，病从大便而下，如硬即以手取下，次服
温粥半碗，忌一切荤腥发物。（同上）
行血诸方 凡噎膈有积血者，用桃仁承气汤为丸，食后酒送下五十丸，隔一日服一次，十次，其药韭汁
糊丸。（《捷法》）
滋血润肠汤，治血枯及死血在膈，饮食不下，大便结燥。
当归（酒洗三钱） 芍药（煨） 生地黄（各一钱半） 红花（酒洗） 桃仁（去皮尖炒各一钱）
大黄（酒煨二钱） 枳壳（麸炒一钱）
水一钟半，煎七分，入韭菜汁半酒盏，食前服。（《统旨》）（宜与后润血汤参。）
牡丹煎，治妇人血膈。
牡丹皮 苦参 贝母（去心） 玄胡索 白芍药
上等分为细末，炼蜜丸如梧桐子大，每服十五、二十丸，米饮吞下，无时候。（《妇人良方》）
韭汁饮。
生韭汁 醇酒（等分） 每服二合，日二。
血噎膈者，此方主之。血噎膈者，或因跌扑，或因大怒，血积胸膈，久久凝结，令人妨碍饮食，得热则宽，
得寒则痛是也。生韭汁能解蓄血之瘀结，佐以醇酒，行其势也。（《方考》）
《方脉正宗》治膈噎不通，饮食不下，用韭菜汁一碗，和茯苓末四两，作细丸，绿豆大，每服一钱，白汤
吞下。（《汇言》）
草灵丹。
五灵脂（姜汁煮透） 甘草（烧酒煮透）
焙干为末，每服五分，置掌中，用舌舐下，此方治膈气、
反胃、呕吐、梅核气及胃脘疼痛，效。（《赤水》）
夫病有不现经论之异证，则其治亦必有不由绳墨之异法。如王御九仲君，因惊恐受病，时方晚膳，即兀兀欲
吐而不得出，遂绝粒不食而起居自如。半月以来，医祷不灵，举家无措。向后醇酒膏粱。略无阻碍，惟是谷气毫
不可犯，犯之辄呕。吴中名师，从未有一识其为何病者。然各逞臆见，补泻杂陈，丹方迭进，牛黄狗宝，虎猪
猫胞，总无交涉。两三月来，湿面亦得相安，但完谷一试，虽极糜烂，立时返出。延及八月，莫可谁何。偶遇一
人谓言此疾非药可除，合用生鹅血乘热饮之，一服便安。此虽未见于方书，揆之于理，谅无妨碍。一阳之夜，遂
宰一鹅，取血热饮，下咽 有声，忍之再三，少顷呕出瘀血升许，中有血块数枚。是夜小试稀糜，竟不吐出。
其后渐能用饭，从少至多，无借汤药而安云云。远近相传，凡噎膈呕逆，用之辄效。当知噎膈呕逆，虽属胃中血
枯，若中无瘀结，何致捍格不入。故取同气相感之力，一涌而荡散无余，真补中寓泻之良法。详鹅血可以激发胃中
宿滞，则生鸭血未为不可，生黄牛血亦未为不可，总取以血攻血而无峻攻伤胃之虞。（《医通》）（按∶原文稍
繁，兹摘其要。又先教谕《医剩》有鹅血治噎条，宜参。）
滋阴诸方 参茯膏，治五膈五噎，呕逆食不下。
人参 陈皮 白茯苓 生地黄 麦门冬
五味，以水一斗煎成膏，入丁香、沉香末各二钱，蜜半碗，姜汁一杯，和匀，每服二匙，粟米饮下，有痰
加竹沥。（《医统》）（按∶此琼玉膏变方。）
噎而食物必屈曲，及水饮难下，以润血汤主之（按∶此系前款所引丹溪四物汤加陈皮、桃仁、甘草、红花
方，更加麻仁、黄芩者）。如大便结秘，加酒蒸大黄（按∶《钤方》更加玄明粉）少许。（《原病集》）
滋阴清膈饮，治阴火上冲，或胃火太盛，食不入，脉洪数者（按∶此系黄连解毒合四物汤，去川芎，加甘
草方），水二钟，煎七分，入童便、竹沥各半酒盏，食前服。（《统旨》）
橘杏麻仁丸，治噎膈，大便燥结。
橘皮（炒末三两） 杏仁（去皮尖） 麻仁（去壳各三两） 郁李仁（去核五钱）
上除陈皮，以三物俱捣成膏，用枣仁去核，于石臼内同捣和，丸如梧桐子大，每服五、六十丸，煎枳实汤
送下，食前服。（《辨疑》）
消饮方法 邑宰张孟端夫人，忧怒之余，得食辄噎，胸中隐隐痛。余诊之曰∶脉紧且滑，痰在上脘，
用二陈加姜汁、竹沥。长公伯元曰∶半夏燥乎？余曰∶湿痰满中，非此不治。遂用四剂病尚不减，改大半夏汤，
服四帖胸痛乃止，又四帖而噎亦减，服二十剂而安。若泥半夏为燥而以他药代之，岂能愈乎。（《必读》）
七圣汤。
半夏 黄连 白蔻 人参 茯苓 竹茹（各等分）
生姜水煎。（《汇补》）
利膈豁痰汤（秘方），治气结痰壅，膈噎，饮食不下。
半夏 橘红 枳实 槟榔 沉香 桔梗 栝蒌 黄连（炒） 栀子（炒） 香附（制） 细茶 白芥子 石膏
初服二、三帖，加苏叶、麻黄。（《大还》）（按∶此本《统旨》开膈利痰汤，今去茯苓、甘草，加槟榔、
沉香、栀子、细茶、白芥、石膏。彼方水二钟，煎八分，加竹沥半盏，姜汁二、三匙，食前服。）
治气膈鼓胀，名五子散，用白芥子、山楂子、香附子、紫苏子、白萝卜子各五钱，微炒，共研为细末，每早
将上述药物捣碎，过粗筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣，不分时候，稍热时服用。（同上）
丁香散方：治疗膈气引起的呕吐逆气，无法进食，脾胃气虚，四肢乏力。
丁香（半两） 青橘皮（一两） 白茯苓（一两） 人参（一两） 枇杷叶（半两，拭去毛后微炙至黄） 桂心（一两） 半夏（一两，用汤洗七遍以去除滑腻感）
将上述药物捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分、大枣三枚，煎煮至六分，滤去药渣，不分时候，稍热时服用。
（同上）
五噎散：治疗五种噎证，食物难以下咽，呕吐痰多，咽喉阻塞感，胸背部胀满不适。
人参 半夏（汤泡七次） 桔梗（去芦头锉碎炒制） 白豆蔻仁 木香（避免火烤） 杵头糠 白术 荜澄茄
沉香（避免火烤） 枇杷叶（拭去毛） 干生姜（各一两） 甘草（炙制半两）
将上述药物研为细末。每次服用二钱，用水一中盏，生姜七片，煎煮至六分，饭后温服。（《济生方》）
五膈散：治疗五种膈证，胸膈痞闷，各种气机结聚，胁肋胀满，痰气上逆恶心，不能进食。
枳壳（去瓤麸炒） 木香（避免火烤） 青皮（去白） 大腹子 白术 半夏曲（锉碎） 丁香（避免火烤）
天南星（汤泡去皮） 干姜（炮制） 麦 （炒制） 草果仁（各一两） 甘草（炙制半两）
将上述药物研为细末。每次服用二钱，用水一中盏，生姜五片，煎煮至六分，温服，不分时候。（同上）
紫苏子饮：治疗呕吐噎塞，气逆咳嗽，因愤怒未平复时便夹杂气机进食，或食毕即怒，导致食物与气机相逆，从而形成膈噎的症状。
真苏子（炒制） 诃子（煨制） 萝卜子（微炒） 杏仁（浸泡去皮尖麸炒） 木香（五分） 人参（各一钱）
青皮 甘草（炙制各二钱）
将上述药物切碎，分为两份服用。每份用水二盏，生姜三片，煎煮至七分服用。（《医统正脉全书》）
治疗噎证。
苏子（研细二钱） 广橘红（二钱五分） 麦门冬（去心五钱） 白芍药（酒炒四钱） 枇杷叶（去毛刷净蜜炙三大片） 山楂肉（三钱） 白豆蔻仁（四分，先嚼服） 人参（三钱）
取逆水芦根汁一大盏，河水一钟半，同芦根汁一起煎煮至八分，加入姜汁三匙、竹沥一杯，饥饿时服用。（《广笔记》）
治疗噎膈即将形成，能下气开郁，使用孩儿菊叶（即兰草）、白豆蔻、真郁金、真苏子、芦根，共同煮汁，磨入沉香数分，每日饮用，可愈。（《汇言》）
破郁通滞诸方：治疗五种膈气，饮食不下，逐渐消瘦，桃花散方。
桃花（三两，当年者） 槟榔（三两） 缩砂（二两去皮） 马牙硝（二两） 吴茱萸（一两，汤浸七遍焙干微炒）
将上述药物捣碎，过细罗制成散剂。每日不分时候，用热酒调服一钱。（《太平圣惠方》）
治疗五种膈气，气机壅滞上逆，心腹胀痛，宿食不消，宜服 砂丸方。
砂（一两细研） 沉香（一两） 木香（一两） 诃黎勒皮（一两） 附子（一两） 槟榔（一两半）
干姜（一两） 桃仁（一百二十粒）
将上述药物捣碎过筛成末，加入 砂一同研磨均匀，用炼蜜调和捣三、二百杵，制成梧桐子大小的丸剂。每次不分时候，用生姜汤送下二十丸。（同上）
治疗五膈气噎闷，或呕吐逆气无法进食， 砂丸方。
大附子（一个，剜去中心肉，另外处理后与其他药研合） 砂（水飞法处理） 丁香（以上各半两） 青橘皮（去白瓤）
木香 肉豆蔻（各一分） 槟榔（三分，生用）
将净 砂放入剜空的附子中，若有剩余，都用熟面和馒头包裹，放入灰中烧令焦黑，然后取出与丁香等药一起杵为末，滴水泛丸，再杵，制成梧桐子大小的丸剂。每次服用二十丸，生姜汤送下。（《神巧万全方》）
治疗膈气噎塞，不思饮食，附子丸方。
附子（大的生品，去皮脐切破，用生姜汁煮透焙干一两） 丁香（半两）
将这两味药捣碎过筛成末，细研少许 砂，渗入枣内蒸熟，去皮核
和药粉，制成梧桐子大小的丸剂。每次服用十五丸，温米饮送下，饭前服用。（《圣济总录》）（按：又《呕吐》篇的济急丸，《和剂局方·脾胃》篇的煨姜丸，都是此类方剂。）
治疗膈气，呕吐逆气无法进食，心胸痞闷，噎塞不通，化气丸方。
木香（炮制） 槟榔（生锉各二两） 砂（另研一两） 大黄（炮制三分） 丹砂（另研半两）
将上述五味药捣研成末，用酒煮面糊和丸，制成梧桐子大小。每次服用十丸至二十丸，不分时候，生姜汤送下。（同上）
噎膈反胃，《邓才清兴》记载：用北庭砂二钱，水和荞麦面包裹，烧焦待冷，取中间湿润部分焙干一钱，加入槟榔二钱、丁香二个研匀。每次服用七厘，烧酒送下，每日三次，痊愈即止，之后吃白粥半月，仍服用助胃丸药。（《本草纲目》）
治疗气膈，脾胃久寒，心腹痞满，吃东西无味，面色萎黄，沉香丸方。
沉香（半两） 丁香（半两） 木香（半两） 槟榔（半两） 桂心（一两） 诃黎勒皮（一两）
川大黄（半两锉碎微炒） 肉豆蔻（半两去壳） 麝香（一分细研）
将上述药物捣罗成末，加入麝香研匀，用炼蜜调和捣三二百杵，制成梧桐子大小的丸剂。不分时候，用姜枣汤嚼服十丸。
（《太平圣惠方》）
治疗五膈气，大黄丸方。
川大黄（锉碎微炒） 诃黎勒（煨用皮以上各半两）
将上述药物捣罗成末，炼蜜和丸，如梧桐子大小。每次用温水送下二十丸，以轻微腹泻为度。（同上）
人参利膈丸：治疗胸中不利，痰嗽喘满，疏通脾胃壅滞，调理大便秘结，推陈致新，消除饮水停滞，促进进食。
藿香（一钱半） 当归（三钱） 木香 槟榔（各二钱半） 人参（三钱）
甘草（炙制五钱） 浓朴（姜制二两） 枳实（五钱） 大黄（酒浸焙干一两）
将上述药物研为末，滴水泛丸如桐子大小。每次服用三十丸，饭后温汤送下。这是治疗膈气的圣药。另一方法，用汤浸 饼泛丸也可以。
（《卫生宝鉴》）
治疗膈病（此字为讹误），男女五种膈证、十种噎证、酒肉气积等症状，以及心气疼痛。一服见效，久服后饮食恢复正常，之后服用十四味建中汤，不要服用其他药物。
木香 砂仁（各五分） 甘草（三分） 三棱 蓬术 槟榔 大黄（各二两） 均生用
将上述药物研为细末。体质充实者服用二钱五分，体虚瘦小者服用二钱，空腹时用无根井水调下。排便三四次后，痰气自然下行。忌食生冷、酒、面食及硬物之类。（《万应集》）
治疗五膈气，气喘急促，腹部胁肋胀满，胸膈不快，痰气上逆恶心，不思饮食，莱菔木香散方。
莱菔子（二两） 粟米（一两半） 陈橘皮（汤浸去白焙干一两） 巴豆（肥大者三十枚，去皮，在瓦石器内，与上述三味药同炒，待药呈焦黑色，拣去巴豆不用。） 木香（一分）
将上述五味药捣罗成散剂，用煮莱菔汤调下二钱匕。或者用生姜汁煮面糊和丸，如梧桐子大小，莱菔汤送下十五丸，也可以。
（《圣济总录》）
八厘散（秘传）：治疗膈噎的神方，不问老幼，均可治疗，效果立竿见影。但病患若神昏气短体弱临危者，也应当谨慎使用。
当归（头身尾全部使用） 大黄 硼砂（透明者使用） 沉香 广木香 丁香（小的为佳。以上诸药，在阳光下晒干，如无日光，用微火烘干。） 巴豆（连大壳微炒焦色，去壳，将米子再炒黄色，用纸研去油，各五分。）
将上述药物共为末，分别净称五分混合均匀，贮存在瓷罐内。每次服用八厘，用米烧酒热服。排便二三次后，用冷粥补住肠胃。必须观察秽物是否排净，方可用补。如果补得太早，恐怕秽物未净，难以取得迅速疗效。如果补得太迟，恐怕排便次数太多，损伤元气。这在于用药者根据情况适当斟酌。服用此药之后，宜健脾养胃，如八物养荣丸、参苓白术散都有效。（《医汇》）
治疗噎食方。
皮硝（三钱水飞） 孩儿茶（一钱） 麝香（五分）
将上述药物研为细末，分成三份服用，黄酒送下，永除病根不再发作。（《回春》）
治疗噎膈方。
新锻石（三钱） 大黄（一钱）
黄酒一钟，煎煮去渣，服用酒液。（同上）
神仙夺命丹：专治噎食。
乌梅（十三个水浸去核） 砂（二钱） 雄黄（二钱） 乳香（一钱） 百草霜（五钱） 绿豆 黑豆
（各四十九粒）
先将乌梅杵烂，将上述药物及豆子研为末，加入梅肉再捣和均匀，制成弹子大小的丸剂，以乳香少加朱砂为衣，阴干。每次服用一丸，空腹含化，待药尽，烙热饼一个，劈开，用热茶泡食之，若无阻碍即为验证。过三、五日，根据方法再服一丸，即可痊愈。极有神效。
（《景岳全书·类经附翼》）《普济良方》不用 砂，用硼砂，名为二豆回生丹，号称古今第一回春。
治疗气膈痹症。
阿魏 木香 沉香（各一分） 五灵脂（五分）
共为末，取黄狗贴（当胆）一个，纳入药粉阴干七日，取出研细末。每次服用五分，姜汁送下。（《万应》）（按：《和剂局方》有撞气阿魏丸，其方稍涉繁杂，此处不录。）
神效噎食方。
紫金丹（杵烂，按：这大概是治疗黄肿的方子） 核桃 杏仁（麸炒） 穿山甲（土炒各一分）
将上述药物研为细末，炼蜜为丸，如枣子大小。口含化约七分，三分用米汤化下。病邪从大便而下，如大便硬即以手取下，随后服用温粥半碗，忌一切荤腥发物。（同上）
行血诸方：凡是噎膈有积血者，用桃仁承气汤制成丸剂，饭后酒送下五十丸，隔一日服一次，十次为一个疗程，药丸用韭汁糊丸。（《捷法》）
滋血润肠汤：治疗血枯及死血在膈，饮食不下，大便结燥。
当归（酒洗三钱） 芍药（煨） 生地黄（各一钱半） 红花（酒洗） 桃仁（去皮尖炒各一钱）
大黄（酒煨二钱） 枳壳（麸炒一钱）
水一钟半，煎煮至七分，加入韭菜汁半酒盏，饭前服用。（《医学统旨》）（宜与后面的润血汤参考对照。）
牡丹煎：治疗妇人血膈。
牡丹皮 苦参 贝母（去心） 玄胡索 白芍药
上等分为细末，炼蜜丸如梧桐子大小。每次服用十五、二十丸，米饮吞下，不分时候。（《妇人大全良方》）
韭汁饮。
生韭汁 醇酒（等分） 每次服用二合，每日两次。
血噎膈者，以此方为主治。所谓血噎膈，或因跌扑受伤，或因大怒，导致血液积聚胸膈，久久凝结，使人妨碍饮食，得热则舒缓，得寒则疼痛。生韭汁能解蓄血之瘀结，佐以醇酒，以行其势。（《方考》）
《方脉正宗》治疗膈噎不通，饮食不下，用韭菜汁一碗，和茯苓末四两，做成细丸，绿豆大小。每次服用一钱，白汤吞下。（《汇言》）
草灵丹。
五灵脂（姜汁煮透） 甘草（烧酒煮透）
焙干为末，每次服用五分，置于掌中，用舌舔服。此方治疗膈气、
反胃、呕吐、梅核气及胃脘疼痛，有效。（《赤水玄珠》）
疾病有不现于经典论述的异证，那么治疗也必然有不同于常规法则的异法。例如王御九仲君，因惊恐致病，当时正值晚膳，突然感到恶心欲吐却吐不出，于是绝食不食但起居如常。半个月以来，医药祈祷均无效，全家束手无策。后来他喝烈酒、吃油腻食物，毫无阻碍，只是谷物气息完全不能触犯，触犯就呕吐。吴中的名医，从未有人识别出这是什么病。然而各自逞臆见，补泻杂陈，丹方迭进，牛黄狗宝，虎猪猫胞，总之都不对症。两三个月来，湿面也能相安无事，但只要一试完整谷粒，即使极度糜烂，也会立即吐出。拖延到八月，无可奈何。偶然遇到一人说此疾非药可除，合适用生鹅血趁热饮用，一服便安。这虽然未见于方书，但揆之于理，谅无妨碍。一月之夜，于是宰杀一只鹅，取血趁热饮用，下咽时有声，忍耐再三，片刻后呕出瘀血许升，中有血块数枚。当晚小试稀糜，竟不吐出。其后渐渐能用饭，从少至多，无需汤药而安宁云云。远近相传，凡噎膈呕逆，用之辄效。应当知道噎膈呕逆，虽属胃中血枯，若中没有瘀结，为何会导致格拒不入。所以取同气相感之力，一涌而荡散无余，真是补中寓泻的良法。详察鹅血可以激发胃中宿滞，则生鸭血也未尝不可，生黄牛血也未尝不可，总之以血攻血而无峻猛攻伐伤胃的忧虑。（《医宗必读》）（按：原文稍繁，兹摘其要。又先教谕《医剩》有鹅血治噎条，宜参考。）
滋阴诸方：参茯膏：治疗五膈五噎，呕吐逆气食物不下。
人参 陈皮 白茯苓 生地黄 麦门冬
五味药，用水一斗煎成膏，加入丁香、沉香末各二钱，蜜半碗，姜汁一杯，和匀。每次服用二匙，粟米饮送下，有痰加竹沥。（《医统正脉全书》）（按：此为琼玉膏的变方。）
噎而食物必屈曲，及水饮难下，以润血汤主治（按：此系前款所引丹溪四物汤加陈皮、桃仁、甘草、红花方，更加麻仁、黄芩者）。如大便结秘，加酒蒸大黄（按：《钤方》更加玄明粉）少许。（《原病集》）
滋阴清膈饮：治疗阴火上冲，或胃火太盛，食物不入，脉洪数者（按：此系黄连解毒合四物汤，去川芎，加甘草方），水二钟，煎七分，加入童便、竹沥各半酒盏，饭前服用。（《医学统旨》）
橘杏麻仁丸：治疗噎膈，大便燥结。
橘皮（炒末三两） 杏仁（去皮尖） 麻仁（去壳各三两） 郁李仁（去核五钱）
将除陈皮外的三味药俱捣成膏，用枣仁去核，在石臼内同捣和，制成梧桐子大小的丸剂。每次服用五、六十丸，煎枳实汤送下，饭前服用。（《辨疑录》）
消饮方法：邑宰张孟端夫人，忧怒之余，得食辄噎，胸中隐隐痛。我诊察她说：脉紧且滑，痰在上脘，用二陈汤加姜汁、竹沥。长子伯元问：半夏燥乎？我说：湿痰满中，非此不治。于是用四剂病尚不减，改用小半夏汤，服用四帖胸痛乃止，又四帖而噎亦减，服用二十剂而安。如果拘泥于半夏为燥而以他药替代，怎么能治愈呢。（《医学必读》）
七圣汤。
半夏 黄连 白蔻 人参 茯苓 竹茹（各等分）
生姜水煎。（《汇补》）
利膈豁痰汤（秘方）：治疗气结痰壅，膈噎，饮食不下。
半夏 橘红 枳实 槟榔 沉香 桔梗 栝蒌 黄连（炒） 栀子（炒） 香附（制） 细茶 白芥子 石膏
初服二、三帖，加苏叶、麻黄。（《大还指南》）（按：此本《医学统旨》开膈利痰汤，今去茯苓、甘草，加槟榔、沉香、栀子、细茶、白芥、石膏。彼方水二钟，煎八分，加竹沥半盏，姜汁二、三匙，饭前服用。）
Crush the aforementioned herbs, sift through a coarse sieve to make a powder. Take 3 qian per dose, with one zhong of water, add half a fen of fresh ginger, decoct until reduced to six parts, remove the dregs, and take it slightly warm at any time. (Ibid.)
Dingxiang San Formula: Treats ge qi (diaphragmatic qi stagnation) causing vomiting and regurgitation, inability to eat, weak spleen and stomach qi, and fatigue in the four limbs.
Dingxiang (Clove) (ban liang), Qingju Pi (Green Tangerine Peel) (yi liang), Baifuling (Poria) (yi liang), Renshen (Ginseng) (yi liang), Pipaye (Loquat Leaf) (ban liang, wipe off hairs and roast until slightly yellow), Guixin (Cinnamon Twig) (yi liang), Banxia (Pinellia Tuber) (yi liang, wash seven times with decoction to remove slipperiness).
Crush and sift the aforementioned herbs to make a powder. Take 3 qian per dose, with one zhong of water, add half a fen of fresh ginger and three jujubes, decoct until reduced to six parts, remove the dregs, and take it slightly warm at any time.
(Ibid.)
Wuye San: Treats wu ye (five types of dysphagia), inability to swallow food, excessive vomiting of phlegm, sensation of obstruction in the throat, and fullness/distension in the chest and back.
Renshen (Ginseng), Banxia (Pinellia Tuber) (soak in decoction seven times), Jiegeng (Platycodon Root) (remove rhizome, cut, stir-fry), Baidoukou Ren (White Cardamom Seed), Muxiang (Aucklandia Root) (avoid roasting), Chutou Kang (Chaff from Mortar), Baizhu (Atractylodes Rhizome), Bidengqie (Long Pepper Fruit), Chenxiang (Agarwood) (avoid roasting), Pipaye (Loquat Leaf) (wipe off hairs), Ganshengjiang (Dried Ginger) (each yi liang), Gancao (Licorice Root) (honey-roasted, ban liang).
Grind the aforementioned herbs into a fine powder. Take 2 qian per dose, with one zhong of water and seven slices of fresh ginger, decoct until reduced to six parts, and take warm after meals. (*Jisheng Fang*)
Wuge San: Treats wu ge (five types of diaphragmatic obstruction), stifling sensation in the chest and diaphragm, accumulation of various qi, distension in the hypochondrium, rebellious phlegm with nausea, and inability to eat.
Zhiqiao (Bitter Orange Fruit) (remove pulp, stir-fry with bran), Muxiang (Aucklandia Root) (avoid roasting), Qingpi (Green Tangerine Peel) (remove white pith), Dafuzi (Areca Seed), Baizhu (Atractylodes Rhizome), Banxiaqu (Pinellia Fermented Dough) (cut), Dingxiang (Clove) (avoid roasting), Tiannanxing (Arisaema Tuber) (soak in decoction, peel), Ganjiang (Dried Ginger) (pao-processed), Mai (Wheat) (stir-fried), Caoguoren (Tsaoko Cardamom Seed) (each yi liang), Gancao (Licorice Root) (honey-roasted, ban liang).
Grind the aforementioned herbs into a fine powder. Take 2 qian per dose, with one zhong of water and five slices of fresh ginger, decoct until reduced to six parts, and take warm at any time. (Ibid.)
Zisuzi Yin: Treats vomiting and dysphagia, rebellious qi with coughing and wheezing. It addresses conditions where eating is mixed with qi due to unresolved anger, or anger erupts immediately after eating/drinking, causing food and qi to clash, resulting in symptoms of ge ye (diaphragmatic dysphagia).
Zhen Zisuzi (Perilla Seed) (stir-fried), Hezi (Chebula Fruit) (roasted in ashes), Luoboziren (Radish Seed) (lightly stir-fried), Xingren (Apricot Kernel) (soak, peel, remove tips, stir-fry with bran), Muxiang (Aucklandia Root) (5 fen), Renshen (Ginseng) (each 1 qian), Qingpi (Green Tangerine Peel), Gancao (Licorice Root) (honey-roasted, each 2 qian).
Cut the herbs into small pieces, divide into two doses. For each dose, use two zhongs of water and three slices of fresh ginger, decoct until reduced to seven parts, and take. (*Yitong Zhengmai Quanshu*)
Treatment for Ye (dysphagia).
Suzi (Perilla Seed) (finely ground, 2 qian), Guangjuhong (Broad Tangerine Red Peel) (2.5 qian), Maidong (Ophiopogon Tuber) (remove heart, 5 qian), Baishaoyao (White Peony Root) (wine-fried, 4 qian), Pipaye (Loquat Leaf) (remove hairs, brush clean, honey-roasted, three large slices), Shanzha Rou (Hawthorn Flesh) (3 qian), Baidoukou Ren (White Cardamom Seed) (4 fen, chew first), Renshen (Ginseng) (3 qian).
Take one zhong of juice from reed roots growing against the current, and one zhong and a half of river water. Decoct together with the reed root juice until reduced to eight parts. Add three spoons of ginger juice and one cup of bamboo sap. Take when hungry. (*Guang Biji*)
To treat impending ge ge (diaphragmatic dysphagia), which can descend qi and open depression, use Haier Ju Ye (Orchid Grass Leaf, i.e., Lan Cao), Baidoukou (White Cardamom), Zhen Yujin (Curcuma Aromatica Rhizome), Zhen Suzi (Perilla Seed), and Lugen (Reed Root). Boil them together to make a juice, grind in a few fen of Chenxiang (Agarwood), and drink daily until cured. (*Huiyan*)
Formulas to Break Stagnation and Unblock Obstruction: Treats wu ge qi (qi of five diaphragmatic obstructions), inability to eat or drink, gradual emaciation. Taohua San Formula.
Taohua (Peach Blossom) (3 liang, from the current year), Binglang (Areca Nut) (3 liang), Suosha (Amomum Fruit) (2 liang, peeled), Mayaxiao (Mirabilite) (2 liang), Wuzhuyu (Evodia Fruit) (1 liang, soak in water seven times, dry, lightly stir-fry).
Crush the aforementioned herbs, sift through a fine sieve to make a powder. At any time each day, mix one qian with hot wine and take. (*Taiping Shenghui Fang*)
Treats five types of ge qi (diaphragmatic qi), stagnation and rebellious qi, abdominal distension and pain, and indigestion. Yi Fu Sha Wan Formula.
Sha (Borax) (1 liang, finely ground), Chenxiang (Agarwood) (1 liang), Muxiang (Aucklandia Root) (1 liang), Helile Pi (Terminalia Chebula Peel) (1 liang), Fuzi (Aconite Lateral Root) (1 liang), Binglang (Areca Nut) (1.5 liang), Ganjiang (Dried Ginger) (1 liang), Taoren (Peach Kernel) (120 grains).
Crush and sieve the aforementioned herbs into powder. Mix thoroughly with Sha (Borax). Combine with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 20 pills at any time with ginger decoction. (Ibid.)
Treats wu ge qi (qi of five diaphragmatic obstructions) with stifling sensation, or vomiting and inability to eat. Sha Wan Formula.
Large Fuzi (Aconite Lateral Root) (one piece, hollow out the center meat, process separately and mix with other herbs), Sha (Borax) (water-flowered), Dingxiang (Clove) (each ban liang above), Qingju Pi (Green Tangerine Peel) (remove white pith), Muxiang (Aucklandia Root), Roudoukou (Nutmeg) (each 1 fen), Binglang (Areca Nut) (3 fen, raw).
Place the purified Sha (Borax) inside the hollowed-out Fuzi (Aconite Lateral Root). If there is excess, wrap the whole thing in cooked flour dough. Place in ashes and roast until charred. Then crush together with Dingxiang (Clove) etc. into powder. Add water drop by drop to form pills, pound again, and shape into paulownia seed-sized pills. Take 20 pills per dose with ginger decoction. (*Shenqiao Wanquan Fang*)
Treats ge qi (diaphragmatic qi) with obstruction, lack of appetite. Fuzi Wan Formula.
Fuzi (Aconite Lateral Root) (large, raw, peel and remove navel, cut open, boil thoroughly in ginger juice, dry-roast, 1 liang), Dingxiang (Clove) (ban liang).
Crush these two herbs into powder. Finely grind a small amount of Sha (Borax),渗 (seep/infuse) it into dates, steam until cooked, remove skin and pits. Mix with the herb powder and form pills the size of paulownia seeds. Take 15 pills per dose with warm rice drink, before meals. (*Shengji Zonglu*) (Note: Also see Ji Ji Wan in *Ou Tu* chapter, and Wei Jiang Wan in *Heji Jufang · Piwei* chapter, which are similar formulas.)
Treats ge qi (diaphragmatic qi), vomiting and inability to eat, chest stifling, and complete obstruction. Huaqi Wan Formula.
Muxiang (Aucklandia Root) (pao-processed), Binglang (Areca Nut) (raw, cut, each 2 liang), Sha (Borax) (separately ground, 1 liang), Dahuang (Rhubarb Root) (pao-processed, 3 fen), Dansha (Cinnabar) (separately ground, ban liang).
Crush and grind the above five herbs into powder. Use wine-boiled wheat paste to form pills the size of paulownia seeds. Take 10-20 pills per dose at any time with ginger decoction. (Ibid.)
For ge ye (diaphragmatic dysphagia) and fan wei (regurgitation), *Deng Caiqing Xing* records: Use 2 qian of Beitingsha (Northern Borax), mix with water and wrap in buckwheat dough. Roast until charred, let cool, take the moist center part, dry-roast to 1 qian. Add 2 qian of Binglang (Areca Nut) and 2 Dingxiang (Cloves), grind uniformly. Take 7 li per dose with burning wine. Three times a day. Stop when cured. Then eat plain white porridge for half a month, and continue taking Zhugui Wan (Stomach-Assisting Pills). (*Bencao Gangmu*)
Treats qi ge (qi-type diaphragmatic obstruction), long-standing cold in spleen and stomach, abdominal fullness, loss of taste, sallow complexion. Chenxiang Wan Formula.
Chenxiang (Agarwood) (ban liang), Dingxiang (Clove) (ban liang), Muxiang (Aucklandia Root) (ban liang), Binglang (Areca Nut) (ban liang), Guixin (Cinnamon Twig) (yi liang), Helile Pi (Terminalia Chebula Peel) (yi liang), Chuan Dahuang (Sichuan Rhubarb Root) (ban liang, cut, lightly stir-fry), Roudoukou (Nutmeg) (ban liang, peeled), Shexiang (Musk) (1 fen, finely ground).
Crush the aforementioned herbs into powder. Mix thoroughly with Shexiang (Musk). Combine with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 10 pills, chewed with ginger-jujube decoction, at any time.
(*Taiping Shenghui Fang*)
Treats wu ge qi (qi of five diaphragmatic obstructions). Dahuang Wan Formula.
Chuan Dahuang (Sichuan Rhubarb Root) (cut, lightly stir-fried), Helile (Terminalia Chebula) (roasted, use peel, each ban liang above).
Crush and sieve the aforementioned herbs into powder. Combine with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with warm water. The degree of mild diarrhea is the limit. (Ibid.)
Renshen Lige Wan: Treats discomfort in the chest, phlegm-cough with wheezing and fullness, unblocks spleen and stomach stagnation, regulates constipation, eliminates old to generate new, resolves fluid retention, and promotes intake of food.
Huoxiang (Patchouli Herb) (1.5 qian), Danggui (Angelica Sinensis Root) (3 qian), Muxiang (Aucklandia Root), Binglang (Areca Nut) (each 2.5 qian), Renshen (Ginseng) (3 qian), Gancao (Licorice Root) (honey-roasted, 5 qian), Houpo (Magnolia Bark) (ginger-processed, 2 liang), Zhishi (Immature Bitter Orange) (5 qian), Dahuang (Rhubarb Root) (wine-soaked, dried, 1 liang).
Grind into powder. Add water drop by drop to form pills the size of paulownia seeds. Take 30 pills per dose with warm water after meals. This is a sacred medicine for treating ge qi (diaphragmatic qi). Another method uses tang-implemented bing (cake) to form pills, which is also acceptable.
(*Weisheng Baojian*)
Treats ge disease (this character is an error), covering five ge (diaphragmatic obstructions) and ten ye (dysphagias) in men and women, symptoms of alcohol/meat qi accumulation, and heart qi pain. Effective after one dose; long-term use restores normal diet. Afterwards, take Shisiwei Jianzhong Tang, do not take other medicines.
Muxiang (Aucklandia Root), Sharen (Amomum Fruit) (each 5 fen), Gancao (Licorice Root) (3 fen), Sanleng (Sparganium Rhizome), Pengzhu (Curcuma Zedoaria Rhizome), Binglang (Areca Nut), Dahuang (Rhubarb Root) (each 2 liang). All used raw.
Grind into fine powder. Those with strong constitution take 2.5 qian; those with weak/small constitution take 2 qian. Take on an empty stomach mixed with unrooted well water. After 3-4 bowel movements, phlegm and qi will naturally descend. Avoid raw/cold foods, alcohol, wheat products, and hard foods. (*Wanying Ji*)
Treats wu ge qi (qi of five diaphragmatic obstructions) with panting, abdominal/hypochondriac distension, chest discomfort, rebellious phlegm with nausea, and lack of appetite. Laifu Muxiang San Formula.
Laifuzi (Radish Seed) (2 liang), Sumi (Millet) (1.5 liang), Chenjupi (Aged Tangerine Peel) (soak in water, remove white pith, dry-roast, 1 liang), Badou (Croton Seed) (30 large seeds, peel, stir-fry in earthenware/stone vessel with the above three herbs until blackened, remove Badou), Muxiang (Aucklandia Root) (1 fen).
Crush the above five herbs into powder. Take 2 qian mixed with soup boiled from radish. Alternatively, mix with noodle paste boiled in ginger juice to form pills the size of paulownia seeds. Take 15 pills with radish soup.
(*Shengji Zonglu*)
Bali San (Secret Transmission): A divine formula for ge ye (diaphragmatic dysphagia), effective for all ages. Effects are immediate. However, be cautious if the patient is comatose, short of breath, weak, or near death.
Danggui (Angelica Sinensis Root) (use head, body, and tail), Dahuang (Rhubarb Root), Pengsha (Borax) (use transparent variety), Chenxiang (Agarwood), Guangmuxiang (Aucklandia Root), Dingxiang (Clove) (small ones are better. Dry the above herbs in the sun; if no sun, dry with low heat.), Badou (Croton Seed) (lightly stir-fry shells until scorched, remove shell, stir-fry kernels until yellow, grind on paper to remove oil, each 5 fen).
Grind all into powder. Weigh 5 fen of each cleanly and mix uniformly. Store in a porcelain jar. Take 8 li per dose with hot rice-burning wine. After 2-3 bowel movements, stop purgation with cold congee. Must observe if feces are clean before stopping. If stopped too early, impurities may remain, hindering quick effect. If stopped too late, excessive bowel movements may damage yuan qi. Dosage adjustment depends on the practitioner. After taking this, strengthen spleen and nourish stomach; Babao Yangrong Wan and Shenling Baizhu San are effective. (*Yihui*)
Treatment for Ye Shi (dysphagia with food impaction).
Pixiao (Niter) (3 qian, water-flowered), Haiercha (Child's Tea) (1 qian), Shexiang (Musk) (5 fen).
Grind into fine powder. Divide into three doses. Take with yellow wine. Permanently cures the root cause. (*Huichun*)
Treatment for Ge Ge (diaphragmatic dysphagia).
Xin Duanshi (New Burnt Lime) (3 qian), Dahuang (Rhubarb Root) (1 qian).
Decoct one zhong of yellow wine, remove dregs, and drink the wine. (Ibid.)
Shenxian Duoming Dan: Specifically treats Ye Shi (dysphagia with food impaction).
Wumei (Dark Plum) (13 pieces, soak in water, remove pits), Pengsha (Borax) (2 qian), Xionghuang (Realgar) (2 qian), Ruxiang (Frankincense) (1 qian), Baicaoshuang (Burnt Hair Ash) (5 qian), Lvdou (Mung Bean), Heidou (Black Soybean) (each 49 grains).
First, pound Wumei (Dark Plum) until mushy. Grind the other herbs and beans into powder. Mix with plum flesh and pound evenly. Form pills the size of quail eggs. Coat with a little Ruxiang (Frankincense) and Zhusha (Cinnabar). Dry in shade. Take one pill per dose on an empty stomach, dissolve in mouth. After the pill dissolves, eat a hot roasted pancake, split open, soaked in hot tea. No obstruction indicates efficacy. After 3-5 days, repeat one pill according to method, and it will cure. Extremely effective.
(*Jingyue Quanshu · Leijing Fuyu*) *Puji Liangfang* does not use Pengsha (Borax) but uses Borax, naming it Erdou Huisheng Dan, claiming it as the number one spring-restoring formula ancient and modern.
Treats Qi Ge Bi Syndrome (Qi-type diaphragmatic obstruction).
awei (Ferula Resin), Muxiang (Aucklandia Root), Chenxiang (Agarwood) (each 1 fen), Wulingzhi (Trogopterus Dung) (5 fen).
Grind into powder. Take one gallbladder from a yellow dog, insert the powder, dry in shade for seven days. Remove, grind finely. Take 5 fen per dose with ginger juice. (*Wanying*) (Note: *Heji Jufang* has Zhuangqiawei Wan, which is slightly complex, so not recorded here.)
Divine Effectiveness Formula for Dysphagia.
Zijin Dan (Pound until mushy, Note: This is likely a formula for jaundice/swelling), Hetao (Walnut), Xingren (Apricot Kernel) (stir-fry with bran), Chuanshanjia (Pangolin Scale) (earth-stir-fried, each 1 fen).
Grind into fine powder. Form pills with refined honey, size of dates. Dissolve about 7 fen in mouth, take remaining 3 fen with rice soup. Pathogenic factors exit via stool; if hard, remove manually. Then drink half a bowl of warm congee. Avoid all meat, fish, and stimulating foods. (Ibid.)
Formulas to Move Blood: For ge ge (diaphragmatic dysphagia) with accumulated blood, use Tao Ren Cheng Qi Tang formed into pills. Take 50 pills with wine after meals, once every other day. Ten doses constitute a course. Pills are made with jiuzhi (leek juice) paste. (*Jiefā*)
Zixue Runchang Tang: Treats blood depletion and dead blood in the diaphragm, inability to eat, and dry constipation.
Danggui (Angelica Sinensis Root) (wine-washed, 3 qian), Shaoyao (Peony Root) (roasted), Sheng Dihuang (Rehmannia Root) (each 1.5 qian), Honghua (Safflower) (wine-washed), Taoren (Peach Kernel) (peel, remove tips, stir-fry, each 1 qian), Dahuang (Rhubarb Root) (wine-roasted, 2 qian), Zhiqiao (Bitter Orange Fruit) (bran-stir-fried, 1 qian).
Use one zhong and a half of water, decoct until reduced to seven parts. Add half a wine cup of leek juice. Take before meals. (*Yixue Tongzhi*) (Refer to the following Runxue Tang.)
Mudan Jian: Treats women's xue ge (blood-type diaphragmatic obstruction).
Mudanpi (Tree Peony Bark), Kushen (Sophora Root), Beimu (Fritillaria Bulb) (remove heart), Yuanhusuo (Corydalis Rhizome), Baishaoyao (White Peony Root).
Grind into fine powder. Form pills with refined honey, size of paulownia seeds. Take 15-20 pills per dose with rice drink, at any time. (*Funu Daquan Liangfang*)
Jiu Zhi Yin (Leek Juice Drink).
Raw Leek Juice, Chunjiu (Pure Wine) (equal parts). Take 2 he per dose, twice daily.
This formula is primary for Xue Ye Ge (Blood-type Diaphragmatic Dysphagia). Xue Ye Ge arises from falls/blows or severe anger, causing blood to accumulate in the chest/diaphragm, coagulating over time, obstructing eating. Heat brings relief; cold causes pain. Raw leek juice resolves blood stasis; pure wine assists its movement. (*Fangkao*)
*Fangmai Zhengzong* treats ge ye (diaphragmatic dysphagia) with obstruction and inability to eat: Use one bowl of leek juice mixed with 4 liang of Pofu (Poria Powder). Make fine pills, size of mung beans. Take 1 qian per dose swallowed with white water. (*Huiyan*)
Caoling Dan.
Wulingzhi (Trogopterus Dung) (boil thoroughly in ginger juice), Gancao (Licorice Root) (boil thoroughly in burning wine).
Dry-roast and grind into powder. Take 5 fen per dose, place in palm, lick with tongue. This formula treats ge qi (diaphragmatic qi), fan wei (regurgitation), vomiting, meihe qi (plum-pit qi), and epigastric pain. Effective. (*Chuishui Xuanshu*)
When diseases present atypical symptoms not found in classics, treatments must employ unconventional methods. For example, Wang Yujiuzhong contracted illness from fright. During dinner, he felt nauseous and wanted to vomit but couldn't, leading to fasting while maintaining normal activity. For half a month, medical prayers failed, and the family was helpless. Later, he consumed strong wine and rich foods without obstruction, but could not tolerate grain qi; touching it caused vomiting. Famous doctors in Wuzhong could not identify the disease. They tried various tonics and purgatives, and diverse elixirs including Niuhuang (Calculus Bovis), Goubao (Dog Gallstone), Huzhu Maobao (Tiger/Pig/Cat Bladder), all ineffective. For two to three months, wet noodles were tolerated, but whole grains, even if extremely soft, were immediately vomited up. By the eighth month, helplessness prevailed. An偶然 person suggested this disease cannot be cured by medicine, but requires drinking fresh goose blood while hot. One dose brought relief. Though not in medical texts, reasoning suggests no harm. On a night in the first lunar month, a goose was slaughtered, blood taken and drunk hot. Swallowing produced sound; after enduring it several times, a sheng of bloody clot was vomited shortly after, containing several blood clots. That night, a small test of thin porridge was not vomited. Gradually, he could eat rice, increasing from little to much, recovering without herbal medicine. This story spread far and wide; for ge ye (diaphragmatic dysphagia) and vomiting, it is effective. One should know that although ge ye/vomiting belongs to stomach blood depletion, if there were no internal stasis, why would rejection occur? Thus, using the power of similar qi resonance, one surge disperses everything. This is truly a good method of tonifying while purging. Observing that goose blood can stimulate gastric stagnation, fresh duck blood or fresh yellow cattle blood might also work. The principle is always "using blood to attack blood" without harsh purgation damaging the stomach. (*Yixue Bidu*) (Note: Original text is lengthy, excerpted here. Also refer to *Yisheng* by former Instructor regarding goose blood for dysphagia.)
Yin-Nourishing Formulas: Canfu Gao: Treats wu ge (five diaphragmatic obstructions) and wu ye (five dysphagias), vomiting and inability to eat.
Renshen (Ginseng), Chenpi (Aged Tangerine Peel), Baifuling (Poria), Sheng Dihuang (Rehmannia Root), Maidong (Ophiopogon Tuber).
Decoct these five herbs in one dou of water until reduced to paste. Add 2 qian each of Dingxiang (Clove) and Chenxiang (Agarwood) powders, half a bowl of honey, and one cup of ginger juice. Mix uniformly. Take two teaspoons per dose with millet drink. Add Zhuli (Bamboo Sap) if phlegm is present. (*Yitong Zhengmai Quanshu*) (Note: This is a variation of Qiongyu Gao.)
If dysphagia involves food needing to pass through a curved path and difficulty swallowing liquids, use Runxue Tang (Note: This refers to Danxi's Siwu Tang plus Chenpi, Taoren, Gancao, Honghua, further adding Mahuang and Huangqin). If constipation is severe, add a small amount of wine-steamed Dahuang (Note: *Yinfu Juece Tongzhi* adds Xuanmingfen). (*Yuanbing Ji*)
Ziyin Qingge Yin: Treats yin fire rushing upward, or excessive stomach fire, inability to eat, with surging-rapid pulse. (Note: This is Huanglian Jiedu Tang combined with Siwu Tang, removing Chuanxiong, adding Gancao.) Use two zhongs of water, decoct until reduced to seven parts. Add half a wine cup of tongbian (child's urine) and Zhuli (Bamboo Sap). Take before meals. (*Yixue Tongzhi*)
Ju Xing Maren Wan: Treats ge ge (diaphragmatic dysphagia) with dry constipation.
Jupi (Tangerine Peel) (stir-fried powder, 3 liang), Xingren (Apricot Kernel) (peeled, removed tips), Maren (Hemp Seed) (shelled, each 3 liang), Yuliren (Bush Cherry Seed) (pitted, 5 qian).
Except for Jupi, grind the other three items into a paste. Remove pits from Zaoren (Sour Jujube Seed), pound together in a stone mortar. Form pills the size of paulownia seeds. Take 50-60 pills per dose with Zhi Shi (Immature Bitter Orange) decoction, before meals. (*Bi Yi Lu*)
Method for Resolving Fluid Retention: The wife of Magistrate Zhang Mengduan developed dysphagia upon eating and hidden chest pain after worry and anger. I diagnosed her pulse as tight and slippery, indicating phlegm in the upper jiao. I used Erchen Tang plus Jiangzhi (Ginger Juice) and Zhuli (Bamboo Sap). Eldest son Boyuan asked: "Is Banxia (Pinellia) drying?" I replied: "With damp-phlegm filling the middle, only this can treat it." After four doses, symptoms persisted. Changed to Xiaobanxia Tang. After four more doses, chest pain stopped; after another four, dysphagia decreased; after twenty doses, she recovered. If one rigidly considers Banxia as drying and substitutes it, how could it cure? (*Yixue Bidu*)
Qisheng Tang.
Banxia (Pinellia Tuber), Huanglian (Coptis Rhizome), Baiko (White Cardamom), Renshen (Ginseng), Fuling (Poria), Zhuru (Bamboo Shavings) (equal parts).
Decoct with ginger water. (*Huibǔ*)
Lige Huotan Tang (Secret Formula): Treats qi knot and phlegm turbidity, ge ye (diaphragmatic dysphagia), inability to eat.
Banxia (Pinellia Tuber), Juhong (Tangerine Red Peel), Zhishi (Immature Bitter Orange), Binglang (Areca Nut), Chenxiang (Agarwood), Jiegeng (Platycodon Root), Gualou (Trichosanthes Fruit), Huanglian (Coptis Rhizome) (stir-fried), Zhizi (Gardenia Fruit) (stir-fried), Xiangfu (Cyperus Rhizome) (processed), Xiacha (Fine Tea), Baijiezi (White Mustard Seed), Shigao (Gypsum).
Initial doses: 2-3 packets. Add Ziye (Perilla Leaf) and Mahuang (Ephedra Stem). (*Dahai Zhinan*) (Note: This originates from Kaige Litang in *Yixue Tongzhi*, now removing Fuling and Gancao, adding Binglang, Chenxiang, Zhizi, Xiacha, Baijiezi, Shigao. The original formula uses two zhongs of water, decocts to eight parts, adds half a cup of Zhuli (Bamboo Sap) and 2-3 spoons of Jiangzhi (Ginger Juice), taken before meals.)
Treats qi ge (qi-type diaphragmatic obstruction) with鼓胀 (drum-like distension), named Wuzi San. Use Baijiezi (White Mustard Seed), Shanzhazhi (Hawthorn Seed), Xiangfuzi (Cyperus Seed), Zisuzi (Perilla Seed), and Bailuobozi (White Radish Seed), each 5 qian. Lightly stir-fry, grind into fine powder. Every morning