晚各食前，服三钱，白汤调下。（《汇言》）
滚痰丸，一切噎气吞酸，至于嗳逆膈气及胸闭，或从腹中气块冲上，呕吐涎饮，状如翻胃者，每服七、八十
丸，未效再服。（《养生主论》）
开关诸方 舂杵头细糠，主卒噎。陶隐居云∶食卒噎不下，刮取含之即去（《千金》即下）。日华子云∶
平，治噎，煎汤呷。（《本草》）治膈气，咽喉噎塞，食饮不下方。上以碓嘴上细糠，蜜丸如弹子大，不计时候
含一丸，细细咽津。（《圣惠》）
治胸中气噎，不下食，喉中如有肉块方。
昆布（二两洗去咸味） 小麦（二合）
上件药，以水三大盏煎，候小麦烂熟去滓，每服不计时候，吃一小盏，仍拣取昆布不住含两三片子，咽津极
妙。（《圣惠》）（按∶又有治胸膈气滞，食噎不下，用舂杵头细糠、昆布末、老牛涎、百合汁煎，入蜜搅成膏。）
治五膈五噎，饮食不下，肌肤羸瘦，橘皮丸。
橘皮（不以多少，只拣陈久者，不去白。）
上为细末，研大蒜和为膏，如樱桃大，每服一、二粒，白汤嚼下，不以时。（《鸡峰》）
噎膈甚而水浆不入，药食皆不下，食入口即吐者，当镇坠之。宜盐汤下灵砂丹，仍以嘉禾散作末，干点服。
（《要诀》）
治膈气经验神效方。
上用大鲫鱼一尾（用自死者，活鱼不效），剖腹去尽肠物，留鳞，用大蒜去皮切碎，填入鱼腹内，合为一尾，
用湿纸包定数层，次用麻皮缠之，又用熟黄泥浓固，日晒微干，再以碎炭火慢慢煨熟，取出去鳞刺骨，用局方平胃
散捣细，丸如梧桐子大，日晒干，收瓷罐内，勿泄气，每服三十丸，空心米饮送下，其效如神。（《万应》）
噎膈仙方。
白硼砂钱半，真青黛一钱，乌角沉香二钱，共为细末听用。再用白马尿一升，白萝卜一斤取汁，生姜半斤取
汁，共于铜锅内熬成膏，每服用膏三茶匙，加前末药七厘，白汤调下，一日三服，当日可以通关能食，诚神验
仙方也。（《汇补》）
启膈散，通噎膈，开关之剂，屡效。
沙参（三钱） 丹参（三钱） 茯苓（一钱） 川贝母（去心一钱五分） 郁金（五分） 砂仁壳（四分）
荷叶蒂（二个） 杵头糠（五分）
水煎服。（《心悟》）
六君子汤，下一味狗宝，作散调服，治噎膈不能安谷。（《医通》）（原出治验中，今节录。）
蒲公英，郑公升曰∶一茎两花，高尺许者，掘下数尺，根大如拳，旁有人形拱抱，捣汁酒服，治膈噎如神。
（《本草备要》）（按∶此说稍似荒诞，然蒲公英治膈噎，理或有之，姑存之。）
灸法 五膈，愚尝疗二三贵人有此疾者，或用嘉禾散、五膈散，或更灸中脘并气海穴，继之以下气化
痰之剂，悉有效而不能速安，须静自将理而后可矣。（《澹寮》）（按∶《鸡峰方》有说，见病由气结条。）
调摄法 大抵此疾，起于忧郁喜怒不常者多，更宜戒性少思寡欲，消遣则可。（《阶梯》按∶此本
于《鸡峰》，亦见上。）
脾胃稍开，止可米饮、牛乳、韭菜清虚之物，切不可骤食糕点粘腻，恐复伤胃也。或少用鲞汤、牛鸭清汤，
以助胃气。（《六要》）
晚上和白天各在饭前服用三钱，用白开水调服。（《汇言》）
滚痰丸，适用于一切噎气吞酸，以及嗳逆、膈气、胸中闭塞，或者腹中气块冲上导致呕吐涎液饮食物，症状类似翻胃的情况。每次服用七、八十丸，如果无效可再次服用。（《养生主论》）
开通关窍的各种方剂：舂米杵头的细糠，主治突然发生的噎食。陶隐居说：遇到突然噎食不下时，刮取细糠含在口中随即咽下（《千金方》即指此法）。日华子说：性平，治疗噎食，煎汤小口慢饮。（《本草》）治疗膈气，咽喉噎塞，饮食无法下咽。以上述碓嘴上的细糠为主药，加蜂蜜制成如弹子大小的蜜丸，不限时候含服一丸，细细吞咽津液。（《圣惠方》）
治疗胸中气噎，饮食不下，喉中感觉如有肉块阻塞的方剂。
昆布（二两，洗净去除咸味） 小麦（二合）
以上药物，用水三大盏煎煮，待小麦烂熟后去渣，每次不限时候，饮用一小盏，同时拣取昆布不断含服两三片，吞咽津液极佳。（《圣惠方》）（按：另有治疗胸膈气滞、食噎不下的方子，使用舂杵头细糠、昆布末、老牛涎、百合汁煎煮，加入蜂蜜搅拌成膏。）
治疗五膈五噎，饮食不下，肌肉消瘦的橘皮丸。
橘皮（用量不限，只选陈久的，不去白瓤。）
以上研为细末，加入大蒜研磨成膏，做成如樱桃大小的丸剂，每次服用一至二粒，用白开水送服，不限时间。（《鸡峰山志》）
噎膈严重到水浆不能入口，药食皆不下，食物入口即吐的情况，应当采用镇坠之法。适宜用盐汤送服灵砂丹，同时将嘉禾散研成粉末，干服。（《要诀》）
治疗膈气的经验神效方。
取大鲫鱼一条（必须用自然死亡的鱼，活鱼无效），剖开腹部去尽肠脏，保留鱼鳞，将去皮切碎的大蒜填入鱼腹内，合拢为一尾。用湿纸包裹数层，再用麻皮缠绕，然后用熟黄泥浓固包裹，在阳光下晒至微干，再用碎炭火慢慢煨熟。取出后去掉鳞、刺、骨，加入局方平胃散捣细，制成如梧桐子大小的丸剂，日晒干燥，收于瓷罐内，注意不要漏气。每次服用三十丸，空腹时用米饮送下，效果如神。（《万应方》）
噎膈仙方。
白硼砂一两半，真青黛一钱，乌角沉香二钱，共研为细末备用。另取白马尿一升，白萝卜一斤榨汁，生姜半斤榨汁，共同在铜锅内熬成膏状。每次服用膏剂三茶匙，加入前述药末七厘，用白开水调服，一日三次，当天即可通关能食，诚为神验仙方。（《汇补》）
启膈散，是通治噎膈、开通关窍的药剂，屡获奇效。
沙参（三钱） 丹参（三钱） 茯苓（一钱） 川贝母（去心一钱五分） 郁金（五分） 砂仁壳（四分）
荷叶蒂（二个） 杵头糠（五分）
水煎服。（《医门棒喝·心悟》）
六君子汤，加入一味狗宝，研成散剂调服，治疗噎膈不能安谷。（《医宗必读》）（原出自治验记录，此处节录。）
蒲公英，郑公升说：一株两花，高约一尺的蒲公英，向下挖掘数尺，根部大如拳头，旁边有人形拱抱状，捣汁后用酒送服，治疗膈噎效果如神。（《本草备要》）（按：此说法稍显荒诞，但蒲公英治疗膈噎，道理上或许存在，姑且保存此说。）
灸法：五膈病，我曾治疗过几位患有此病的贵人，有的使用嘉禾散、五膈散，有的加灸中脘穴和气海穴，随后服用下气化除痰浊的药剂，都有效但不能迅速痊愈，需要静心调养方可。（《澹寮方》）（按：《鸡峰方》中有相关论述，见“病由气结”条。）
调摄方法：大抵此病多起于忧郁、喜怒无常者，更宜戒除急躁性情，减少思虑和欲望，通过消遣来调节则可。（《阶梯》按：此观点本于《鸡峰方》，亦见于上文。）
脾胃功能稍恢复时，只能食用米饮、牛乳、韭菜等清淡虚软之物，切不可骤然进食糕点粘腻食物，恐怕再次损伤胃气。也可以少量使用鲞汤、牛鸭清汤，以助胃气。（《六要》）
Take three qian before meals in the evening and morning, mixed with plain boiled water for administration. (*Huiyan*)
Guntan Wan (Rolling Phlegm Pill) is indicated for all conditions of dysphagia with acid regurgitation, belching, chest qi stagnation, chest oppression, or abdominal gas masses rushing upward causing vomiting of saliva and fluids, resembling Fanwei (Reversal Stomach). Take seventy to eighty pills per dose; if ineffective, repeat administration. (*Yangsheng Zhulun*)
Various formulas to open blockages: The fine bran from the head of a rice pounder treats sudden dysphagia. Tao Hongjing stated: In cases of sudden food impaction where swallowing is impossible, scrape off the fine bran, hold it in the mouth, and swallow it immediately (this refers to the method in *Qianjin Fang*). Ri Huazi stated: It is neutral in nature and treats dysphagia by decocting into a soup to be sipped slowly. (*Bencao*) To treat Geqi (Chest Qi Stagnation), characterized by throat obstruction and inability to swallow food or drink, take the fine bran from the top of the mortar, mix with honey to form pills the size of a bullet. At any time, hold one pill in the mouth and slowly swallow the saliva. (*Shenghui Fang*)
Formula for treating chest qi obstruction, inability to eat, and sensation of a meat-like mass in the throat.
Kunbu (Laminaria/Kelp, 2 liang, washed to remove saltiness) Xiaomai (Wheat, 2 he)
Decoct the above ingredients in three large bowls of water until the wheat is thoroughly cooked. Strain the dregs. Drink one small bowl at any time without restriction. Simultaneously, keep two or three slices of Kelp in the mouth continuously and swallow the saliva, which is extremely beneficial. (*Shenghui Fang*) (Note: Another formula for chest-diaphragm qi stagnation and food impaction uses fine bran from the pounder head, Kunbu powder, old ox saliva, and Lily bulb juice, decocted and mixed with honey to form a paste.)
Jupi Wan (Tangerine Peel Pill) for treating Wu Ge (Five Chest Obstructions) and Wu Ye (Five Dysphagias), characterized by inability to eat and emaciation.
Jupi (Aged Tangerine Peel, quantity as needed, select aged pieces, do not remove the white pith)
Grind into a fine powder, mix with crushed garlic to form a paste, and shape into pills the size of a cherry. Take one or two pills per dose, chewed and swallowed with plain boiled water, at any time. (*Jifeng*)
In severe cases of Yige (Dysphagia/Regurgitation) where even liquids cannot enter, and both medicine and food are rejected, vomiting immediately upon ingestion, sedative and descending methods should be employed. It is appropriate to administer Lingsha Dan (Cinnabar Elixir) with salt water, and simultaneously take Jiahe San (Harmony Powder) as a dry powder. (*Yaojue*)
Empirical and miraculous formula for treating Geqi.
Take one large crucian carp (must be naturally dead; live fish is ineffective). Gut the fish but retain the scales. Fill the abdominal cavity with peeled and chopped garlic. Wrap the fish tightly with several layers of wet paper, then bind with hemp rope. Coat thickly with prepared yellow clay. Sun-dry until slightly dry, then slowly roast over charcoal fire. Remove scales, bones, and spines. Mix with Pingwei San (Peaceful Stomach Powder from the Bureau Formulas) ground into fine powder, and shape into pills the size of wutong seeds. Sun-dry and store in a porcelain jar, ensuring it is airtight. Take thirty pills per dose with millet drink on an empty stomach. The effect is miraculous. (*Wanying Fang*)
Immortal Formula for Dysphagia.
Baiborsuo (White Borax, 1.5 qian), Zhen Qingdai (True Indigo Naturalis, 1 qian), Wu Jiao Chenxiang (Black Horn Agarwood, 2 qian). Grind all into a fine powder and set aside. Separately, take one sheng of white horse urine, juice from one jin of white radish, and juice from half a jin of fresh ginger. Boil these together in a copper pot until reduced to a paste. For each dose, take three tea spoons of this paste, add seven li of the aforementioned powder, and mix with plain boiled water. Take three times daily. Food passage can be cleared and eating resumed on the same day. This is truly a miraculous immortal formula. (*Huibu*)
Qige San (Open the Diaphragm Powder) is a formula that unblocks dysphagia and opens orifices, having achieved frequent success.
Shashen (Adenophora Root, 3 qian) Danshen (Salvia Miltiorrhiza Root, 3 qian) Fuling (Poria, 1 qian) Chuan Beimu (Fritillaria Cirrhosa Bulb, heart removed, 1.5 qian) Yujin (Curcuma Longa Rhizome, 0.5 qian) Sharen Qiao (Amomum Villosum Shell, 0.4 qian)
Hetidi (Lotus Leaf Stem Base, 2 pieces) Chutou Kang (Bran from Rice Pounder Head, 0.5 qian)
Decoct in water and take orally. (*Xinwu*)
Liujunzi Tang (Six Gentlemen Decoction) with one piece of Goubao (Dog Gallstone), ground into powder and taken with liquid, treats dysphagia where grains cannot be retained. (*Yitong*) (Originally from clinical records, excerpted here.)
Pugongying (Dandelion): Mr. Zheng Sheng said: Dandelions with one stem and two flowers, about one chi tall, have roots dug up to several chi deep, which are fist-sized and sometimes resemble human figures embracing. Crush and extract juice, administer with wine. It treats diaphragmatic dysphagia miraculously. (*Bencao Bei Yao*) (Note: This claim seems somewhat absurd, yet P. may theoretically help with dysphagia; thus, it is preserved for reference.)
Moxibustion Method: Regarding Wu Ge (Five Chest Obstructions), I have treated several nobles with this disease using either Jiahe San or Wuge San, or additionally moxibusting Zhongwan (CV12) and Qihai (CV6) acupoints, followed by formulas that descend qi and resolve phlegm. All were effective but did not bring rapid relief; quiet self-nourishment is required for recovery. (*Danliao*) (Note: *Jifeng Fang* has discussions on this, see the section on "Disease Caused by Qi Knotting".)
Regulation and Care Methods: Generally, this disease often arises from melancholy and irregular emotions like anger and joy. One must also guard against irritability, reduce excessive thinking and desires, and engage in diversionary activities. (*Jieti*) (Note: This originates from *Jifeng Fang*, also mentioned above.)
When spleen and stomach function slightly recover, only consume light and non-sticky foods such as millet drink, cow's milk, and chives. Do not suddenly eat pastries or sticky/greasy foods, lest they damage the stomach again. Small amounts of dried fish soup or clear beef/duck soup may be used to support stomach qi. (*Liuyao*)