神仙夺命丹 专治噎食。
乌梅十三个（水浸去核杵烂） 砂 雄黄各二钱 百草霜五钱 绿豆 黑豆各四十九
粒
共为末，和梅再捣为丸，如弹子大。以乳香一钱，少加朱砂为衣，阴干。空心噙化一丸，
待药化尽，即以热饼一个，茶泡食之，无碍已验过三五日，再服一丸，即愈。
治噎单方 细糠（用碓嘴上者）蜜丸如弹子大，每服一丸，噙化津咽下。
又方
蓝靛汁治噎如神。
又方
白面二斤半，蒸一大馒头，顶上开口挖空，将皂矾装满，用新瓦四围遮护，盐泥封固
挖土窑置之，文武火烧一昼夜，候红取出研细，枣肉丸如桐子大，空心服二十丸。忌酒色
余论
噎气、膈气皆气也。膈气失治则痰结而为翻胃，至危也。古人谓∶风劳、臌膈，实病难
医者，所以儆世也。今人膈有痰火，识者谓其至危，而彼全然不以为意，及至翻胃既成，乃
云恐成隔症，是误以膈为隔也。不知翻胃为极危笃之症，若翻胃后已膈死矣，又何言哉。故
详论于翻胃篇中，临症用药，俱当合看。
又方
治五噎、心膈、气滞。用香附子，炒，去毛为末，酒煎，陈皮汤调一二钱服，每日三
服，亦治心痛。
附治噎方 白术槿花一两，用水二碗，煎一碗，空心午间晚上三时服。
又方
将隔年广陈皮（刮去垢），以生姜三片捣汁，片伴之于饭上蒸熟，晒干磨为细末，滴水
为丸，每服三钱，白滚汤下，已验。用大柳树上生楮树，或桑树连根取下，切碎，煎汤服三
五日，其病自除。
治饮食不住口，仍易饥饿 用绿豆、黄麦、糯米各一升，炒熟，共磨成粉，每服一酒杯，
以
治受山岚瘴气 用生熟大蒜各七片，共细嚼食之，少顷腹中鸣或口吐血，或大便泄气即
愈。
治心气及胃脘诸痛 肥栀子十枚（去壳，姜汁浸炒，连壳用） 川芎一钱 香附（童便
制）一钱
又方
用生明矾末一钱，川椒末二分，白滚汤调服。忌腥物、面食、荞麦。
又方
用生矾二钱，石榴皮二钱，用酒一碗煎服，效。
又方
治心气痛不可忍及小肠气痛。蒲黄（炒）、五灵脂（酒炒淘去沙），各等分。先以醋调二
钱，煎成膏，入水一盏煎，食前服。
又方
乌梅一个（去核） 杏仁七粒（去尖） 红枣二个（去核）
共捣作一服，男用好酒，女用好醋，不拘时服。
又方
雄黄二钱（为末），乌梅肉二钱，合匀研烂为丸，每服五十丸，姜汤米饮送下。
又盏落汤 治急心疼。
陈皮 香附子 良姜 吴茱萸 石菖蒲各等分切，咀片，用水一碗，煎至七分，先将碗
用香油三五滴在内，水盏盖之，将药淋下热服。
治冷心气疼 乳香三分（火炼去油），明矾一钱（炼过），为末，好酒送下。
治热心气疼 取锅底黑末，以童子热小便调服三钱，即愈。
治膈噎方 枇杷叶（拭去毛，炙） 陈皮（炮去白，焙）一两 生姜五钱
又方
以水二碗，一碗分温，二次服。
用蓝靛食之。
神仙夺命丹 专门治疗噎食（吞咽困难、食物难下）。
乌梅十三个（用水浸泡后去核，捣烂） 砂（此处疑为“砂仁”或“硼砂”，原文仅一字，保留原词） 雄黄各二钱 百草霜五钱 绿豆 黑豆各四十九粒
共同研磨成粉末，与梅肉混合再次捣匀制成丸药，大小如弹子。用乳香一钱，少许朱砂作为包衣，阴干。空腹时含化一丸，待药完全化尽后，立即吃一个热饼，用茶泡着吃，此法已验证有效。若三五日后无碍，再服一丸，即可痊愈。
治噎单方 细糠（使用碓嘴上的那种）蜜丸如弹子大，每次服用一丸，含化后随津液咽下。
又一方
白面二斤半，蒸一个大馒头，在顶部开口挖空，将皂矾装满，用新瓦片在四周遮盖保护，用盐泥封固，放入挖好的土窑中，用文火和武火烧一昼夜，等到变红取出研细，用枣肉制成如梧桐子大小的丸药，空腹服用二十丸。忌酒色。
余论
噎气、膈气都是气机阻滞所致。膈气如果失治，则痰结聚而成翻胃（呕吐反出），这是非常危险的病症。古人说：风、劳、鼓胀、膈证，是实在难以治愈的疾病，所以用来警示世人。现在的人膈部有痰火，懂行的人认为这极其危险，而他们全然不在意，等到翻胃已经形成，才说恐怕变成膈症，这是错误地把“膈”当作“隔”了。不知道翻胃是极危重的病症，如果翻胃之后已经导致膈死（指病情恶化至死），那还有什么可说的呢。所以在翻胃篇中详细论述，临症用药时，应当结合参考。
又一方
治疗五噎（气、忧、思、食、劳五种噎证）、心膈、气滞。使用香附子，炒制，去毛研成粉末，用酒煎煮，用陈皮汤调服一二钱，每日三次服用，也能治疗心痛。
附治噎方 白术槿花一两，用水两碗，煎成一碗，空腹、中午、晚上三个时间服用。
又一方
将隔年的广陈皮（刮去污垢），用生姜三片捣取汁，拌入陈皮中放在饭上蒸熟，晒干磨成细末，滴水制成丸药，每次服用三钱，用白开水送下，已验证有效。使用大柳树上生长的楮树，或者桑树连根取下，切碎，煎汤服用三到五日，病自然消除。
治疗饮食不停口，仍然容易饥饿 使用绿豆、黄麦、糯米各一升，炒熟，共同磨成粉，每次服用一杯，以……（原文此处中断，推测为“水调服”之类，但依规则不增添内容，故译为“每次服用一杯，以”）
治疗受山岚瘴气 使用生蒜和熟蒜各七片，共同细细咀嚼食用，过了一会儿腹中鸣响或口中吐血，或大便排气即愈。
治疗心气及胃脘诸痛 肥栀子十枚（去壳，姜汁浸炒，连壳使用） 川芎一钱 香附（童便制）一钱
又一方
使用生明矾末一钱，川椒末二分，白开水调服。忌腥物、面食、荞麦。
又一方
治疗心气痛不可忍受及小肠气痛。蒲黄（炒）、五灵脂（酒炒淘去沙），各等分。先用醋调二钱，煎成膏状，加入一盏水煎煮，饭前服用。
又一方
乌梅一个（去核） 杏仁七粒（去尖） 红枣二个（去核）
共同捣碎作为一剂，男性用好酒，女性用好醋，不拘时候服用。
又一方
雄黄二钱（研成粉末），乌梅肉二钱，混合均匀研烂制成丸药，每次服用五十丸，姜汤米饮送下。
又盏落汤 治疗急心疼。
陈皮 香附子 良姜 吴茱萸 石菖蒲各等分切，咀片（切成小片），用水一碗，煎至七分，先将碗用香油三五滴在内，用水盏盖之，将药淋下热服。
治疗冷心气疼 乳香三分（火炼去油），明矾一钱（炼过），研成粉末，好酒送下。
治疗热心气疼 取锅底黑末，以童子热小便调服三钱，即愈。
Shenxian Duoming Dan (Immortal Life-Rescuing Pill) is specifically used to treat Yishi (dysphagia, difficulty in swallowing food).
Thirteen Wumei (Mume Fruit, *Prunus mume*) (soaked in water, pitted, and pounded into a paste), Er Qian of Sha (Sand/Mineral, likely referring to Boshan or Sharen based on context, kept as original term), Xionghuang (Realgar, *Realgar*), and Wu Qian of Baicaoshuang (Soot from burning straw) together with Sizi Jiu Li of Ludou (Mung Bean, *Vigna radiata*) and Sizi Jiu Li of Heidou (Black Soybean, *Glycine max*).
Grind all ingredients into powder, mix with the Mume paste, and pound again to form pills the size of a bullet. Coat with Yi Qian of Ruxiang (Frankincense, *Boswellia carterii*) and a small amount of Zhusha (Cinnabar, *Cinnabaris*), then dry in the shade. Take one pill by holding it in the mouth to dissolve on an empty stomach. After the medicine has completely dissolved, immediately eat one hot biscuit soaked in tea. This method has been verified as effective. If there are no adverse effects after three to five days, take another pill, and the disease will be cured.
Single prescription for treating dysphagia: Xifang (Fine Bran, specifically from the pestle head), formed into pills the size of a bullet with honey. Take one pill each time, hold in the mouth to dissolve, and swallow with saliva.
Another prescription:
Lanjie Zhi (Indigo Naturalis Juice) treats dysphagia with miraculous effect.
Another prescription:
Er Jin Ban of Baifeng (Wheat Flour), steamed into a large mantou (steamed bun). Make an opening at the top and hollow it out. Fill it completely with Zaofan (Alum, *Alumen*). Cover the sides with four new tiles, seal tightly with salt mud, place it in a dug-out earth kiln, and burn with gentle and strong fire for a day and night. When it turns red, take it out, grind it into fine powder, and form pills the size of tung seeds using jujube flesh. Take twenty pills on an empty stomach. Avoid alcohol and sexual activity.
Additional Remarks:
Yeqi (Qi stagnation causing dysphagia) and Geqi (Qi stagnation causing chest obstruction) are both caused by Qi disorders. If Geqi is not treated properly, phlegm accumulates and transforms into Fanwei (vomiting and regurgitation), which is extremely critical. The ancients stated that Feng (Wind), Lao (Consumption), Gubuzhang (Abdominal Distension), and Gezhen (Obstruction Syndrome) are diseases that are truly difficult to cure, so as to warn the world. Nowadays, people suffering from Phlegm-Fire in the chest region are considered by experts to be in extreme danger, yet they pay no attention to it. Only when Fanwei has already formed do they say they fear it might become Gezhen; this is a mistake of confusing "Ge" (obstruction) with "Ge" (diaphragm/chest). One must not know that Fanwei is an extremely critical condition; if Fanwei leads to death due to obstruction, what more is there to say? Therefore, detailed discussions are provided in the Fanwei chapter. In clinical practice, prescriptions should be consulted comprehensively.
Another prescription:
Treats Wuye (Five Types of Dysphagia: Qi, Worry, Thought, Food, Labor), Xin Ge (Heart Obstruction), and Qi Stagnation. Use Xiangfu Zi (Cyperi Rhizoma, *Cyperus rotundus*), stir-fry, remove hairs, and grind into powder. Decoct with wine, and take one to two qian mixed with Chenpi Tang (Tangerine Peel Decoction). Take three times daily. It also treats Heart Pain.
Attached Prescription for Dysphagia: Yi Liang of Baizhu Jinhua (White Atractylodes Flower, *Atractylodes macrocephala* flower), decoct with two bowls of water until one bowl remains. Take at three times: on an empty stomach, noon, and evening.
Another prescription:
Take aged Guang Chenpi (Aged Tangerine Peel, *Citrus reticulata*) scraped clean of dirt. Mix with juice extracted from three slices of Shengjiang (Fresh Ginger, *Zingiber officinale*), steam over rice until cooked, dry, and grind into fine powder. Form pills with water drops. Take three qian each time, washed down with plain boiled water. Verified effective. Also, take roots of Chu Shu (Paper Mulberry, *Broussonetia papyrifera*) growing on large willow trees, or Sang Shu (Mulberry, *Morus alba*) including roots, chop them up, decoct in water, and drink for three to five days; the disease will naturally disappear.
Treating constant eating and easy hunger: Use Yi Sheng of Ludou (Mung Bean, *Vigna radiata*), Huangmai (Yellow Wheat/Buckwheat?), and Nuomi (Glutinous Rice, *Oryza sativa var. glutinosa*), stir-fry until cooked, grind together into powder. Take one wine glass each time... [Text cuts off here].
Treating exposure to mountain miasma: Chew and eat seven slices of raw Da Suan (Garlic, *Allium sativum*) and seven slices of cooked Da Suan together. After a short while, abdominal borborygmus, hematemesis, or passage of flatus indicates recovery.
Treating Xin Qi (Heart Qi) and various pains in the epigastrium: Shi Mei of Fei Zhizi (Large Gardenia Fruit, *Gardenia jasminoides*) (remove shell, soak in ginger juice and stir-fry, use with shell), Yi Qian of Chuanxiong (Sichuan Lovage Rhizome, *Ligusticum chuanxiong*), Yi Qian of Xiangfu (prepared with child's urine, *Cyperus rotundus*).
Another prescription:
Take Yi Qian of Sheng Mingfan (Raw Alum, *Alumen*), and Er Fen of Chuanjiao (Sichuan Pepper, *Zanthoxylum bungeanum*) powder. Mix with plain boiled water and take. Avoid fishy foods, wheat products, and buckwheat.
Another prescription:
Take Er Qian of Shengfan (Raw Alum, *Alumen*) and Er Qian of Shiliupi (Pomegranate Peel, *Punica granatum* rind). Decoct in one bowl of wine and take. Effective.
Another prescription:
Treating unbearable Heart Qi pain and Xiao Chang Qi pain (Hernia pain). Pu Huang (Lygodii Spora, *Lygodium japonicum*, stir-fried) and Wulingzhi (Trogopterori Faeces, *Trogopterus dung*, stir-fried with wine and washed to remove sand), in equal parts. First, mix two qian with vinegar, decoct into a paste, add one bowl of water, decoct further, and take before meals.
Another prescription:
One Wumei (Mume Fruit, *Prunus mume*) (pitted), Seven Xingren (Apricot Seed, *Armeniacae Semen Amarum*) (remove tips), Two Hongzao (Jujube, *Ziziphus jujuba*) (pitted).
Pound together as one dose. Men take with good wine, women take with good vinegar. Take at any time.
Another prescription:
Er Qian of Xionghuang (Realgar, *Realgar*) (powdered), Er Qian of Wumei Rou (Mume Flesh, *Prunus mume*). Mix evenly, pound into a paste, and form pills. Take fifty pills each time, washed down with ginger soup or rice drink.
Zhanluo Tang (Lamp Residue Decoction) treats acute Heart Pain.
Chenpi (Tangerine Peel, *Citrus reticulata*), Xiangfu Zi (Cyperi Rhizoma, *Cyperus rotundus*), Liangjiang (Galangal Rhizome, *Alpiniae oxyphyllae Rhizoma*), Wuzhuyu (Evodia Fruit, *Evodiae Fructus*), Shichangpu (Acori Tatarinowii Rhizoma, *Acorus tatarinowii*) in equal parts. Cut into pieces. Decoct one bowl of water until reduced to seventy percent. Put three to five drops of sesame oil in a bowl first, cover with a water cup, pour the hot medicine under the cup, and drink hot.
Treating Cold Heart Qi Pain: San Fen of Ruxiang (Frankincense, *Boswellia carterii*) (refined by fire to remove oil), Yi Qian of Mingfan (Refined Alum, *Alumen*). Grind into powder and take with good wine.
Treating Hot Heart Qi Pain: Take the black soot from the bottom of a cooking pot, mix with hot urine from a healthy boy, take three qian, and recover immediately.
Prescription for Ge Ye (Obstruction and Dysphagia): Piye (Loquat Leaf, *Eriobotryae Japonicae Folium*) (wipe off hairs, roast), Yi Liang of Chenpi (Tangerine Peel, *Citrus reticulata*) (roasted, white pith removed, dried), Wu Qian of Shengjiang (Fresh Ginger, *Zingiber officinale*).
Another prescription:
Decoct with two bowls of water, divide into two warm doses, and take twice.
Eat Lanjie (Indigo Naturalis, *Indigofera tinctoria* leaf processing residue).