大意
三阳结谓之膈。（内经） 三阳者。大小肠膀胱也。小肠热结则血脉燥。大肠热结则便闭。膀胱热结则津液涸。
三阳既结。便闭不通。火反上行。所以噎食不下。（子和）
内因
膈有拒格意。因忧郁失志。及膏粱浓味。醇酒淫欲而动脾胃肝肾之火。致令血液衰耗。胃脘枯槁。气郁成
火。液凝为痰。痰火固结。妨碍道路。饮食难进。噎膈所由成也。（汇补）
外候
噎枯在上。咽喉壅塞。饮虽可入。食不能下。膈枯在下。胸臆否闷。食虽可入。至胃复出。或食下而眼白口开。
气不能顺。或食入而当心刺痛。须臾吐出。食出痛止。（绳墨）
噎分五种
有气滞者。有血瘀者。有火炎者。有痰凝者。有食积者，虽分五种。总归七情之变。由气郁为火。火旺血枯。津
液成痰。痰壅而食不化也。若咽下塞住不宽。项背转侧欠伸不得。似乎膈噎之症。饮食不下，心胃作疼。此
痰凝血瘀。更有痰气结核在咽臆间。咯吐不出。饮食不下。此七情所致。不可用润剂。以二陈加香附、砂仁、
栝蒌、苏子、枳壳、浓朴、黄连、生姜开之。有因色欲过度。阴火上炎。遂成膈气。宜作死血治。二陈加当归、桃仁、
香附、砂仁、白术、沉香、韭汁、姜汁治之。（汇补）
噎属七情
怒气所致。食则气逆不下。劳气所致。为咽噎喘促。思气所致。为中痞。三焦闭塞。咽噎不利。（针经）大抵此症
乃神思间病。惟内观静养。庶几得之。（鸡峰）
噎与膈分
噎乃阴气不得下降。六腑之所生。属阳与气。膈为阳气不能上出。五脏之所生。属阴与血。然皆由阴中伏
阳而作也。（东垣）
脉法
数而无力为血虚。缓而无力为气虚。弦滑有力为痰。数实有力为热。又血虚者。左脉无力。气虚者。右脉无
力。痰凝者。寸关沉滑而大。气滞者。寸关沉伏而涩。火气冲逆者。脉来数大。瘀血积滞者。脉来芤涩。小弱而
涩者。反胃。紧滑而革者。噎膈。
治法
治宜养血生津。清痰降火。顺气调脾。抑肝开郁。
治养虚实
若健脾理痰。恐燥剂妨于津液。用养血生津。恐润剂碍于中州。审其阴伤火旺。以养血为亟。脾伤阴盛。以
温补为先。更有忧恚盘礴。火郁闭结。神不大衰。脉犹有力。当以仓公河间法下之。关扃自通。若膈间痰盛
者。先微微涌出。然后治下。药势易行。或蜜盐下导亦可。（必读）
治在肺肾
夫阴血根于肾。阳气运于肺。胃中之气血。皆藉此滋生也。故有气衰不能运化生痰者。亦有血衰不能滋
肾生火者。当养金水二脏。使阴血滋润。津液生而噎膈渐开也。（汇补）
治宜调补
咽噎闭塞。胸膈满闷。似属气滞。然有服耗气药过多。中气不运而致者。当补气大便燥热。结如羊屎。似属
血热。然有服利药过多。血液衰耗而致者。当补血。（玉机）
治禁香燥
治宜益阴养胃为主。辛香开导为暂。若概以辛散燥热之药。以火济火。重耗津液。久则大便闭结。幽门不
通。上冲吸门。而噎膈转甚矣。（汇补）
治禁泥滞
尝见多郁之人。气结胸臆。聚而成痰。胶固上焦。道路窄狭。不能宽转。又或好酒之徒。湿中生火。火复生痰。
痰火交煎。胶结不开。阻塞清道。渐觉涩痛。若以血槁治。投以滋润之品。血未必润。反助其痰。病何由愈。惟
黑瘦之人。真阴素虚。常觉内热。又不嗜酒。或过服香燥热药。当以血槁治之。（汇补）
死症
年满六旬者难治。粪如羊屎者不治。大吐白沫者不治。胸腹嘈痛如刀割者死。不绝酒色及忧恚者危。
用药
主以二陈汤。加白术、枳壳。清痰。加竹沥、姜汁。降火。加竹茹、山栀。开郁。加香附、抚芎。抑肝。加青皮、
白芍。如咽嗌阻格。此为血少。加当归、韭汁。如胸臆满闷。此为气逆。加诃子、昆布。食下心痛。吐出乃止。
此胃中血瘀也。加韭汁、姜汁以润之。腹硬而大便闭结。食反上奔。此下焦实热也，加大黄、桃仁以下之。
有虫。加驴尿。有火。加童便。如血少瘦弱。本方合四物汤。气虚倦怠。本方合四君子。加竹沥、姜汁、童便。
乳酪之类。凡膈病初起。郁结太过。血液未枯者。当以沉香、木香、豆蔻等开提之。不可徒用滋补。及久病胃伤。
津液已涸者。当以白蜜、芦根、当归、白芍养之。不可徒事香燥。此先后之序也。
【附梅核气】
梅核气者。痰气窒塞于咽喉之间。咯之不出。咽之不下。状如梅核。此因湿热内郁。痰气凝结。治宜开郁顺
气消痰。加味二陈主之。一方。用韭汁一杯、姜汁半杯、牛乳半杯。和匀。细细温服。得下咽。渐加之。
噎膈选方
五汁饮
芦根汁 生姜汁 韭汁 沉香汁 竹沥 和匀。重汤煮服。
七圣汤
半夏 黄连 白蔻 人参 茯苓 竹茹（各等分） 生姜水煎。
涌痰汤
甘草 桔梗 瓜蒂（各一钱） 枳壳 陈皮（各五分）
水煎。饮尽探吐。
滋阴清膈散 滋血润肠汤（二方见反胃）
噎膈仙方
白硼砂一钱半、真青黛一钱、乌角沉香二钱。共为细末。听用。再用白马尿一斤、（如反胃者用黑驴尿）
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。
【大意】
三阳经气机郁结称为“膈”。（出自《内经》）所谓三阳，是指小肠、大肠和膀胱。小肠热邪郁结则血脉干枯；大肠热邪郁结则大便闭结；膀胱热邪郁结则津液枯竭。
三阳经气既已郁结，导致大便不通，火热之邪反而向上逆行，因此出现吞咽困难、食物无法下咽的症状。（出自刘完素/子和）
【内因】
“膈”有格拒之意。多因忧郁失志，以及过食肥甘厚味、饮酒过度、房事不节等因素，引动脾胃肝肾之火，致使血液衰少耗损，胃脘部枯槁干涩，气机郁滞化为火邪，津液凝结成为痰浊。痰火固结，阻碍食道道路，导致饮食难进，这就是噎膈形成的原因。（出自《证治汇补》）
【外候】
“噎”病位在上，咽喉壅塞，虽然饮水可以进入，但进食不能下行。“膈”病位在下，胸膈痞闷堵塞，虽然食物可以勉强进入，但到了胃部又会吐出。或者食物咽下后，患者眼白显露、口角张开，气息不顺；或者食物入口时心窝处刺痛，片刻之后吐出，食物吐出后疼痛停止。（出自《医宗金鉴·外科心法要诀》即《绳墨》）
【噎分五种】
有气滞型的，有血瘀型的，有火炎型的，有痰凝型的，有食积型的。虽然分为五种类型，但总归是由于七情变化所致。由气郁化火，火旺导致血液干枯，津液变成痰浊，痰浊壅盛而食物无法消化。如果感觉咽下时堵塞不畅，项背转动伸展受限，似乎像膈噈的症状，饮食不下，心胃作痛，这是痰凝血瘀所致。更有甚者，在咽喉与胸膈之间形成痰气结核，咯吐不出，饮食不下，这也是七情所致，此时不可使用滋润的药物，应用二陈汤加入香附、砂仁、栝蒌、苏子、枳壳、浓朴、黄连、生姜来开郁化痰。如果是因色欲过度，阴火上炎，遂成膈气，应当按死血（瘀血）治疗，用二陈汤加入当归、桃仁、香附、砂仁、白术、沉香、韭汁、姜汁来治疗。（出自《证治汇补》）
【噎属七情】
由怒气所致，进食时气逆不下；由劳倦之气所致，表现为咽喉噎塞、气喘急促；由思虑之气所致，表现为中焦痞满，三焦闭塞，咽喉噎塞不利。（出自《灵枢·针经》）大抵这类疾病是神志方面的病，只有内观静养，才有望痊愈。（出自《鸡峰普济方》）
【噎与膈分】
“噎”是阴气不得下降，由六腑所生，属于阳和气；“膈”是阳气不能上出，由五脏所生，属于阴和血。然而两者都是由阴中伏阳而发作的。（出自李东垣）
【脉法】
脉数而无力为血虚；脉缓而无力为气虚；脉弦滑有力为痰；脉数实有力为热。另外，血虚者，左脉无力；气虚者，右脉无力；痰凝者，寸关脉沉滑而大；气滞者，寸关脉沉伏而涩；火气冲逆者，脉来数大；瘀血积滞者，脉来芤涩；脉小弱而涩者为反胃；脉紧滑而革者为噎膈。
【治养虚实】
如果健脾理痰，恐怕燥湿药会妨碍津液；用养血生津药，恐怕滋润药会碍滞中焦脾胃。应审察是否阴伤火旺，若是则以养血为急务；若脾伤阴盛，则以温补为先。更有忧愤郁结，火郁闭结，神气尚未大衰，脉象仍有力量者，应当采用仓公（淳于意）和刘河间的方法攻下，关窍自然通畅。如果膈间痰盛者，先微微催吐涌出痰涎，然后治疗下部，药势容易运行。或者用蜜盐导下也可以。（出自《景岳全书·必读》）
【治在肺肾】
阴血根源于肾，阳气运化于肺，胃中的气血，都依赖这两脏滋生。所以有气衰不能运化而生痰的，也有血衰不能滋肾生火的。应当滋养肺肾两脏，使阴血滋润，津液生成，噎膈逐渐缓解。（出自《证治汇补》）
【治宜调补】
咽喉噎塞闭塞，胸膈满闷，看似气滞，但有服用耗气药过多，导致中气不运而致病的，应当补气。大便燥热，结如羊屎，看似血热，但有服用泻利药过多，导致血液衰耗而致病的，应当补血。（出自《医门法律·玉机微义》）
【治禁香燥】
治疗应以益阴养胃为主，辛香开导仅为暂时之法。如果一概使用辛散燥热的药物，以火助火，严重耗伤津液，久而久之会导致大便闭结，幽门不通，气机上冲吸门，从而使噎膈病情加重。（出自《证治汇补》）
【治禁泥滞】
曾见多郁之人，气结胸膈，聚而成痰，胶固于上焦，道路窄狭，不能宽转。又或有喜好饮酒的人，湿中生火，火复生痰，痰火交煎，胶结不开，阻塞清道，渐渐觉得涩痛。如果用血枯干燥来治疗，投以滋润之品，血液未必能润，反而助长痰湿，病怎么能好？只有那些黑瘦之人，真阴素虚，常觉内热，又不嗜酒，或过服香燥热药，才应当按血枯干燥来治疗。（出自《证治汇补》）
【死症】
年满六十岁者难治；大便如羊屎者不治；大吐白沫者不治；胸腹嘈杂疼痛如刀割者死；不断绝酒色及忧愤者危重。
【用药】
主方用二陈汤，加白术、枳壳以清痰；加竹沥、姜汁以降火；加竹茹、山栀以开郁；加香附、抚芎（川芎）以抑肝；加青皮、白芍。如果咽喉阻格，此为血少，加当归、韭汁。如果胸膈满闷，此为气逆，加诃子、昆布。食入心痛，吐出后才止，这是胃中血瘀，加韭汁、姜汁以润之。腹部硬而大便闭结，食物反向上奔，这是下焦实热，加大黄、桃仁以下之。如果有虫，加驴尿。有火，加童便。如果血少瘦弱，本方合四物汤。气虚倦怠，本方合四君子汤，加竹沥、姜汁、童便。乳酪之类。凡是膈病初起，郁结太过，血液未枯者，当以沉香、木香、豆蔻等开提之，不可徒用滋补。及久病胃伤，津液已涸者，当以白蜜、芦根、当归、白芍养之，不可徒事香燥。这是治疗的先后次序。
【附梅核气】
梅核气，是痰气窒塞于咽喉之间，咯之不出，咽之不下，状如梅核。这是因为湿热内郁，痰气凝结所致。治疗宜开郁顺气消痰，用加味二陈汤主治。另一方：用韭汁一杯、姜汁半杯、牛乳半杯，和匀，细细温服，得以下咽后，逐渐增加剂量。
【噎膈选方】
五汁饮
芦根汁、生姜汁、韭汁、沉香汁、竹沥，和匀，隔水炖煮后服用。
七圣汤
半夏、黄连、白蔻、人参、茯苓、竹茹（各等分），生姜水煎服。
涌痰汤
甘草、桔梗、瓜蒂（各一钱），枳壳、陈皮（各五分），水煎，饮尽后探喉催吐。
噎膈仙方
白硼砂一钱半、真青黛一钱、乌角沉香二钱，共研为细末，备用。再用白马尿一斤（如果是反胃者用黑驴尿）、白萝卜一斤取汁、生姜半斤取汁，共同在铜锅内熬成膏。每服用膏三茶匙，加入前述药末七厘，用白开水调下，一日三次，当日即可通关能食，确实是神验仙方。
[General Principle]
The stagnation of the San Yang (Triple Burner/Yang channels) is termed "Ge" (Diaphragm obstruction). (From *Nei Jing* / *Inner Canon*) The so-called San Yang refers to the Small Intestine, Large Intestine, and Bladder. Heat stagnation in the Small Intestine leads to dryness of the blood vessels; heat stagnation in the Large Intestine leads to constipation; heat stagnation in the Bladder leads to depletion of body fluids.
Once the San Yang channels are stagnant, causing constipation and blockage, fire pathogens ascend counterflow, resulting in difficulty swallowing and inability to ingest food. (From Liu Wansu/Zihe)
[Etiology: Internal Factors]
"Ge" implies a sense of rejection or blockage. It arises from emotional depression and frustration, as well as excessive consumption of rich and greasy foods, strong alcohol, and sexual indulgence, which stir up fire in the Spleen, Stomach, Liver, and Kidney. This causes depletion and consumption of blood, leading to withering and dryness of the Stomach cavity. Qi stagnation transforms into fire, and body fluids condense into phlegm. Phlegm and fire become firmly knotted, obstructing the pathway, making it difficult to ingest food. This is how Ye Ge (Dysphagia and Food Regurgitation) forms. (From *Zhengzhi Huibu* / *Compendium of Syndrome Differentiation and Treatment*)
[External Manifestations]
"Ye" (Dysphagia) is located above, with congestion and blockage in the throat; although drinking water may enter, solid food cannot go down. "Ge" (Food Regurgitation) is located below, with stifling distension in the chest and diaphragm; although food can enter, it is vomited back up once it reaches the Stomach. Or, after swallowing food, the patient's whites of the eyes appear and the mouth opens, with qi failing to flow smoothly; or upon entering food, there is stabbing pain in the heart region, followed by vomiting after a short while, with pain ceasing after the food is expelled. (From *Shengmo* / *Standard Rules*, likely referring to *Yizong Jinjian*)
[Five Types of Ye]
There are types due to Qi stagnation, Blood stasis, Fire flaming upward, Phlegm coagulation, and Food retention. Although divided into five types, they all ultimately return to changes caused by the Seven Emotions. Qi stagnation transforms into fire; flourishing fire dries up blood; body fluids become phlegm; phlegm becomes abundant and food fails to digest. If one feels blocked and uncomfortable upon swallowing, with restricted movement and stretching of the neck and back, resembling symptoms of Ge Ye, where food cannot go down and the heart and stomach hurt, this is due to phlegm coagulation and Blood stasis. Furthermore, if there is a phlegm-Qi nodule in the throat and chest that cannot be coughed up or swallowed, and food cannot go down, this is also caused by the Seven Emotions. In such cases, moistening agents should not be used. Instead, use Er Chen Tang (Two-Aged Decoction) added with Xiangfu (Cyperus Rhizome), Sharen (Amomum Fruit), Gualou (Trichosanthes Fruit), Suzi (Perilla Seed), Zhike (Aurantium Fruit), Houpo (Magnolia Bark), Huanglian (Coptis Rhizome), and Shengjiang (Fresh Ginger) to open the stagnation. If it is caused by excessive sexual activity, with Yin fire flaming upward, forming Ge Qi, it should be treated as fixed Blood stasis. Use Er Chen Tang added with Danggui (Angelica Sinensis), Taoren (Peach Kernel), Xiangfu, Sharen, Baizhu (Atractylodes Macrocephala Rhizome), Chenxiang (Aquilaria Wood), Jiu Zhi (Chinese Chive Juice), and Jiang Zhi (Ginger Juice). (From *Zhengzhi Huibu*)
[Ye Related to Seven Emotions]
Caused by anger, food intake leads to counterflow of Qi downwards; caused by labor/Qi exhaustion, it manifests as throat dysphagia and panting; caused by overthinking, it results in middle jiao fullness, blockage of the San Jiao (Triple Burner), and throat dysphagia with discomfort. (From *Zhen Jing* / *Needle Classic*, i.e., *Ling Shu*) Generally, this condition is a disorder of the spirit/mind. Only through introspection and quiet nourishment can recovery be expected. (From *Jifeng Pujifang* / *Jifeng General Relief Formulas*)
[Differentiation between Ye and Ge]
"Ye" is when Yin Qi fails to descend, generated from the Six Fu organs, belonging to Yang and Qi. "Ge" is when Yang Qi fails to ascend, generated from the Five Zang organs, belonging to Yin and Blood. However, both arise from hidden Yang within Yin. (From Li Dongyuan)
[Pulse Diagnosis]
Rapid and forceless pulse indicates Blood deficiency; slow and forceless pulse indicates Qi deficiency; wiry, slippery, and forceful pulse indicates Phlegm; rapid, excess, and forceful pulse indicates Heat. Additionally, for Blood deficiency, the left pulse is forceless; for Qi deficiency, the right pulse is forceless; for Phlegm coagulation, the Cun and Guan positions are deep, slippery, and large; for Qi stagnation, the Cun and Guan positions are deep, hidden, and choppy; for flaming Qi counterflow, the pulse comes rapid and large; for Blood stasis accumulation, the pulse comes hollow and choppy; small, weak, and choppy pulse indicates Fan Wei (Regurgitation); tight, slippery, and革 (Leather-like) pulse indicates Ye Ge.
[Treatment Principles]
Treatment should focus on nourishing Blood and generating fluids, clearing Phlegm and descending Fire, smoothing Qi and regulating the Spleen, suppressing the Liver and opening depression.
[Nourishing and Treating Deficiency vs. Excess]
If strengthening the Spleen and resolving Phlegm, one must fear that drying agents will hinder body fluids. If using Blood-nourishing and fluid-generating agents, one must fear that moistening agents will obstruct the Middle Jiao (Spleen/Stomach). Assess whether Yin injury and Fire flourishing exist; if so, prioritizing Blood nourishment is urgent. If Spleen injury and Yin abundance exist, prioritizing warm tonification is first. Furthermore, if there is pent-up grief and indignation, with Fire stagnation and closure, but the Spirit is not greatly depleted and the pulse still has strength, one should employ the purgative methods of Cang Gong (Chunyu Yi) and He Jian (Liu Wansu) to purge downward, allowing the blockages to open naturally. If there is abundant Phlegm in the Diaphragm, first induce slight vomiting to expel the Phlegm, then treat the lower aspect, making the medicinal action easier to proceed. Alternatively, using honey and salt to guide downward is also acceptable. (From *Bixu* / *Must Read*, i.e., *Jingyue Quanshu*)
[Treatment Focusing on Lung and Kidney]
Yin Blood roots in the Kidney, and Yang Qi operates via the Lung. The Qi and Blood in the Stomach rely on these two organs for generation. Thus, there are cases where Qi deficiency fails to transform and generate Phlegm, and cases where Blood deficiency fails to nourish the Kidney and generate Fire. One should nourish the Metal (Lung) and Water (Kidney) organs, ensuring Yin Blood is moistened and fluids are generated, so that Ye Ge gradually opens. (From *Zhengzhi Huibu*)
[Treatment Suitable for Regulation and Tonification]
Throat dysphagia and blockage, with chest and diaphragm fullness, seem like Qi stagnation, but may be caused by excessive use of Qi-consuming drugs leading to failure of Middle Qi transport; in such cases, tonify Qi. Dry and hot stool, hard like sheep dung, seems like Blood Heat, but may be caused by excessive use of purgative drugs leading to Blood depletion; in such cases, tonify Blood. (From *Yuji* / *Jade Machine*, i.e., *Yimen Falv*)
[Contraindication: Aromatic and Drying Agents]
Treatment should primarily benefit Yin and nourish the Stomach; aromatic opening and guiding is only temporary. If generally using acrid, dispersing, and drying-hot drugs, adding fire to fire severely consumes body fluids. Over time, this leads to constipation, blockage of the幽门 (Pylorus), counterflow of Qi to the吸门 (Glottis), and worsening of Ye Ge. (From *Zhengzhi Huibu*)
[Contraindication: Clinging and Stagnant Treatments]
I have seen many depressed individuals where Qi knots in the chest, gathering into Phlegm, becoming sticky in the Upper Jiao, narrowing the pathways and preventing expansion. Others who love wine develop Fire from Dampness, and Fire generates Phlegm; Phlegm and Fire scorch each other, becoming stuck and unable to separate, blocking the clear pathways, gradually causing涩痛 (astringent pain). If treating this as dried Blood and administering moistening products, the Blood may not be moistened, but rather the Phlegm is assisted, and how can the disease heal? Only in black, thin individuals whose True Yin is inherently deficient, who often feel internal heat, do not love wine, or have taken excessive aromatic-drying-hot drugs, should one treat them as dried Blood. (From *Zhengzhi Huibu*)
[Prognosis: Fatal Signs]
Difficult to treat if aged sixty or above; untreatable if stool is like sheep dung; untreatable if vomiting large amounts of white foam; fatal if chest and abdomen ache painfully like knife cuts; critical if one does not abstain from wine, sex, and grief/indignation.
[Medication Usage]
Main formula: Er Chen Tang (Two-Aged Decoction), add Baizhu and Zhike to clear Phlegm; add Zhuli (Bamboo Sap) and Jiang Zhi to descend Fire; add Zhuru (Bamboo Shavings) and Shanzhi (Gardenia Fruit) to open depression; add Xiangfu and Fuxiong (Chuanxiong Rhizome) to suppress the Liver; add Qingpi (Green Tangerina Peel) and Baishao (White Peony Root). If there is blockage in the throat, this is due to Blood deficiency; add Danggui and Jiu Zhi. If there is chest fullness, this is due to counterflow of Qi; add Hezi (Chebula Fruit) and Kunbu (Kelp). Pain in the heart after eating, stopping only after vomiting, indicates Blood stasis in the Stomach; add Jiu Zhi and Jiang Zhi to moisten. Hard abdomen with constipation and food rushing upward indicates Excess Heat in the Lower Jiao; add Dahuang (Rhubarb Root) and Taoren to purge downward. If there are parasites, add Donkey Urine. If there is Fire, add Child Urine. If Blood is deficient and the person is thin and weak, combine this formula with Siwu Tang (Four Substance Decoction). If Qi is deficient and fatigue is present, combine with Sijunzi Tang (Four Gentlemen Decoction), adding Zhuli, Jiang Zhi, and Child Urine. For dairy products: For early-stage Ge disease with excessive depression but undried Blood, use Chenxiang, Muxiang, and Doukou to lift and open; do not merely use tonics. For long-term illness damaging the Stomach and depleting fluids, use White Honey, Lugen (Reed Rhizome), Danggui, and Baishao to nourish; do not merely use aromatic-drying agents. This is the sequence of treatment.
[Appendix: Plum Pit Qi]
Plum Pit Qi (Meiheqi) is Phlegm-Qi obstructing the throat, impossible to cough out or swallow, feeling like a plum pit. This is caused by internal stagnation of Damp-Heat and condensation of Phlegm-Qi. Treatment should focus on opening depression, smoothing Qi, and resolving Phlegm. Use Modified Er Chen Tang as the main prescription. Another formula: Mix 1 cup of Jiu Zhi, half a cup of Jiang Zhi, and half a cup of Cow Milk evenly. Take slowly and warm. Once swallowed, gradually increase the dose.
[Selected Formulas for Ye Ge]
Wuzhi Yin (Five Juices Drink)
Lugen Zhi (Reed Rhizome Juice), Jiang Zhi, Jiu Zhi, Chenxiang Zhi (Aquilaria Juice), Zhuli. Mix evenly, cook in a double boiler, and take.
Qisheng Tang (Seven Sages Decoction)
Banxia (Pinellia Tuber), Huanglian, Baikou (White Cardamom), Renshen (Ginseng Root), Fuling (Poria), Zhuru (Equal parts). Decoct with Fresh Ginger water.
Yongtan Tang (Phlegm-Vomiting Decoction)
Gancao (Licorice Root), Jiegeng (Platycodon Root), Goudi (Melon Tip) (1 qian each), Zhike, Chenpi (Tangerina Peel) (0.5 qian each). Decoct in water, drink completely, then stimulate gagging to vomit.
Ziyin Qingge San (Nourish Yin Clear Diaphragm Powder) and Zixue Runchang Tang (Nourish Blood Moisten Intestines Decoction) (See "Fan Wei" section for these two formulas)
Ye Ge Xianfang (Immortal Formula for Ye Ge)
Baipengsha (Borax) 1.5 qian, Zhen Qingdai (Indigo Naturalis) 1 qian, Wu Jiao Chenxiang (Dark-horn Aquilaria) 2 qian. Grind into fine powder for later use. Then, take 1 jin (500g) of White Horse Urine (use Black Donkey Urine if Fan Wei), juice from 1 jin of White Radish, and juice from half a jin of Fresh Ginger. Boil together in a copper pot until a paste forms. Take three tea spoons of the paste per dose, mixed with seven li of the aforementioned powder, dissolved in warm water. Take three times a day. Patency and ability to eat can be achieved on the same day. Truly a miraculous immortal formula.