凡忧膈、气隔、食膈、寒膈、饮膈，五病同药，常以忧愁思虑食饮而得之。若寒食、食
生菜便发。其病苦心满不得气息，引脊痛如刺之状，食则心下坚，大如粉絮，大痛欲吐，吐
则瘥。饮食不得下，甚者乃手足冷，上气咳逆，喘息气短，治以九物五膈丸方。
麦门冬（志心） 蜀椒（汗各三两） 远志（三两去心） 甘草（五两炙） 附子（一
两炮） 干姜（
上药捣筛，蜜和，微使淖，置有盖器中，先食服大如弹子丸一丸，置喉中稍咽之，喉中、
胸中当热，药力稍尽，复含一丸，日三、四，夜一、二服，服药七日愈，二十日平复。若不
能含者，可一大丸作二小丸尽服之。唯夏月合乃益麦门冬、甘草、人参耳，其余不异，神良。
椒当以铜器熬于火上，使极热，下置地，内椒器中熟搅之，须臾汗出，便捣协议处，椒力有
热，亦去其毒，非令有热也。忌海藻、菘菜、猪肉、冷水、生葱、生菜。（《外台》卷八）
治噎塞不通方。
营实根（十二分）
上一味，捣为散，酒下方寸匕，日三服。（《外台》卷八）
治诸噎方。
炭末细罗，蜜丸如弹子大，含少细细咽津即下。（《外台》卷八）
治噎方
取头垢如枣大，以粥若浆水和服之。（《外台》卷八）
治气噎煎方。
蜜 酥 姜汁（各一升）
上三味，合和，微火煎五、六大沸，取如大枣二枚，内酒中饮之，直炒服之亦好。（《外
台
通气噎汤方。
半夏（三两洗） 桂心（三两） 生姜（八两） 羚羊角（三两）
上四味，切，以水八升，煮取三升，分服半升，日再服，忌羊肉、生葱、饧。（《外台》
卷
治气噎不下食，兼呕吐方。
半夏（四两洗） 生姜（三两切）
上二味，以东流水二大升，煎取一升，去滓，温服三合，日三服。忌羊肉、饧。（《外台》
卷八）
治卒食噎方。
舂杵头糠置手巾角以拭齿，立下。（《外台》卷八）
治卒食噎不下方。
取蜜含之则下。（《外台》卷八）
半夏汤，主饮食辄噎方。
干姜 石膏（各四两） 桔梗 人参 桂心（各二两） 半夏（一升） 吴茱萸（二升）
小麦（一
上十味， 咀，以酒五升，水一斗，煮枣二十枚，去滓，合煮取三升，分三服。（《千金
方
治醋噎方。
羌活五两，捣，用水一升，浸三宿，每日温服五合，瘥。（《外台》卷八）
凡是忧膈、气隔、食膈、寒膈、饮膈这五种病证，用药相同，通常是因为忧愁思虑以及饮食不当而引发的。如果是吃了冷食或生蔬菜就会发作。这种病症表现为心中烦闷胀满，呼吸困难，牵引脊柱疼痛，感觉像被针刺一样；进食后心下（胃脘部）坚硬，大小如粉絮状，剧烈疼痛想要呕吐，呕吐后病情就会缓解。饮食无法下行，严重的甚至出现手足冰冷，气逆咳嗽，喘息气短，治疗使用九物五膈丸方。
麦门冬（去心）三两，蜀椒（出汗）三两，远志（去心）三两，甘草（炙）五两，附子（炮制）一两，干姜一两。
以上药物捣碎过筛，用蜂蜜调和，制成稍微湿润的糊状，放入有盖的容器中。饭前服用如弹子大的一丸药丸，含在喉中慢慢咽下，喉中和胸中应当感到发热，待药力稍尽，再含服一丸，每天白天服用三到四次，夜间服用一到两次，服药七日后痊愈，二十日后完全恢复健康。如果不能含服的，可以将一大丸分成两个小丸全部吞服。只有在夏季制作时，才额外增加麦门冬、甘草和人参的量，其余配方不变，效果神奇良好。
花椒应当用铜器在火上炒至极热，然后放置在地上，将花椒倒入器中熟搅，片刻后花椒出汗，便捣碎混合均匀。花椒具有热力，也能去除其毒性，并非为了使其产生热量。忌食海藻、白菜、猪肉、冷水、生葱、生菜。（出自《外台秘要》卷八）
治疗噎塞不通的方剂。
营实根十二分。
以上一味药，捣成散剂，用酒送下方寸匕大小的药量，每天服用三次。（出自《外台秘要》卷八）
治疗各种噎证的方剂。
取炭末细筛，用蜜做成如弹子大的丸药，含在口中细细吞咽津液即可下行。（出自《外台秘要》卷八）
治疗噎证的方剂。
取头垢如枣大，用米粥或米浆水调和服用。（出自《外台秘要》卷八）
蜜、酥、姜汁（各一升）。
以上三味药，混合在一起，用微火煎煮五六次沸腾，取如大枣二枚大小的药团，放入酒中饮用，直接炒服也可以。（出自《外台秘要》）
以上四味药，切碎，用水八升，煎煮取三升，分次服用半升，每天服用两次，忌食羊肉、生葱、饴糖。（出自《外台秘要》卷）
以上两味药，用东流水两大升，煎煮取一升，去渣，温服三合，每天服用三次。忌食羊肉、饴糖。（出自《外台秘要》卷八）
治疗突然发生的食噎方。
用舂米的杵头糠放在手巾角擦拭牙齿，立刻就能下行。（出自《外台秘要》卷八）
治疗突然发生的食噎不下行方。
取蜜含在口中则能下行。（出自《外台秘要》卷八）
半夏汤，主治饮食即噎的方剂。
干姜、石膏（各四两），桔梗、人参、桂心（各二两），半夏一升，吴茱萸二升，小麦一升。
以上十味药，切碎，用酒五升，水一斗，加入红枣二十枚一起煎煮，去渣，混合再煎取三升，分三次服用。（出自《千金方》）
治疗醋噎的方剂。
For the five conditions of You Ge (Worry Obstruction), Qi Ge (Qi Obstruction), Shi Ge (Food Obstruction), Han Ge (Cold Obstruction), and Yin Ge (Drink Obstruction), the treatment is identical. These are typically caused by sorrow, worry, overthinking, and improper diet. Symptoms may be triggered by consuming cold food or raw vegetables. The condition manifests as distressing fullness in the heart region with difficulty breathing, pain radiating to the spine resembling needle pricks, hardness below the heart (epigastrium) after eating, roughly the size of cotton wool, severe pain inducing vomiting, which brings relief. Food fails to descend; in severe cases, there is coldness in the hands and feet, rebellious Qi causing cough, wheezing, and shortness of breath. Treat with Jiu Wu Wu Ge Wan (Nine-Ingredient Five-Obstruction Pill).
Mai Men Dong (Ophiopogonis Radix, remove heart) 3 liang, Shu Jiao (Zanthoxyli Pericarpium, sweat out moisture) 3 liang, Yuan Zhi (Polygalae Radix, remove heart) 3 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 5 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, processed) 1 liang, Gan Jiang (Zingiberis Rhizoma) 1 liang.
Pulverize and sieve the above herbs, mix with honey to form a slightly moist paste, and store in a covered container. Before meals, take one pill the size of a bullet, hold it in the throat and swallow slowly. Heat should be felt in the throat and chest. When the medicinal effect subsides, take another pill. Administer three to four times during the day and one to two times at night. Recovery occurs after seven days of medication, and full health returns within twenty days. If holding in the throat is not feasible, divide one large pill into two smaller ones and swallow completely. Only during summer preparation should Mai Men Dong, Gan Cao, and Ren Shen (Ginseng Radix) be added in increased amounts; the rest remains unchanged. This formula is miraculous and excellent.
Shu Jiao (Zanthoxyli Pericarpium) should be roasted in a copper vessel over fire until extremely hot, then placed on the ground. Put the pepper back into the vessel and stir thoroughly. After a moment, moisture will appear (sweat out). Then grind and mix uniformly. The heat of the pepper helps remove its toxicity, not to induce heat itself. Avoid consuming Hai Zao (Sargassum Herba), Song Cai (Chinese Cabbage), Zhu Rou (Pork), cold water, Sheng Cong (Raw Scallion), and Sheng Cai (Raw Vegetables). (From *Waitai Miyao*, Vol. 8)
Formula for treating obstruction and blockage.
Ying Shi Gen (Rubiae Radix) 12 fen.
Pulverize this single herb into powder. Take one fang cun bi (approx. 2-3 grams) with wine, three times daily. (From *Waitai Miyao*, Vol. 8)
Formula for treating various types of obstruction.
Take fine-sifted charcoal powder, mix with honey to form pills the size of bullets. Hold in the mouth and swallow saliva slowly to facilitate descent. (From *Waitai Miyao*, Vol. 8)
Formula for treating obstruction.
Take head scurf (Tou Gou) the size of a jujube, mix with rice gruel or rice water, and ingest. (From *Waitai Miyao*, Vol. 8)
Formula for Qi Obstruction Decoction.
Mi (Honey), Su (Butter/Ghee), Jiang Zhi (Zingiberis Recens Juice) (each 1 sheng).
Mix the above three ingredients. Simmer over low heat until boiling five or six times. Take an amount equivalent to two large jujubes, dissolve in wine, and drink. Directly fried consumption is also acceptable. (From *Waitai Miyao*)
Formula for Unblocking Qi Obstruction Decoction.
Ban Xia (Pinelliae Rhizoma, washed) 3 liang, Gui Xin (Cinnamomi Ramulus) 3 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 8 liang, Ling Yang Jiao (Saiga Tataricae Cornu) 3 liang.
Cut the above four herbs. Add 8 sheng of water, decoct to obtain 3 sheng. Divide into doses of 0.5 sheng, taken twice daily. Avoid mutton, raw scallions, and Yi Tang (Maltose). (From *Waitai Miyao*, Vol.)
Formula for Qi Obstruction with inability to eat and vomiting.
Ban Xia (Pinelliae Rhizoma, washed) 4 liang, Sheng Jiang (Zingiberis Rhizoma Recens, cut) 3 liang.
Add 2 da sheng of flowing water from the east, decoct to obtain 1 sheng. Remove dregs. Take 3 he warm, three times daily. Avoid mutton and maltose. (From *Waitai Miyao*, Vol. 8)
Formula for sudden food obstruction.
Place bran from the pestle of a mortar on the corner of a handkerchief to wipe the teeth. The obstruction will immediately resolve. (From *Waitai Miyao*, Vol. 8)
Formula for sudden food obstruction where food does not descend.
Hold honey in the mouth, and the food will descend. (From *Waitai Miyao*, Vol. 8)
Ban Xia Tang (Pinellia Decoction), primarily for food obstruction occurring immediately upon swallowing.
Gan Jiang (Zingiberis Rhizoma), Shi Gao (Gypsum Fibrosum) (each 4 liang), Jie Geng (Platycodonis Radix), Ren Shen (Panacis Ginseng Radix), Gui Xin (Cinnamomi Ramulus) (each 2 liang), Ban Xia (Pinelliae Rhizoma) 1 sheng, Wu Zhu Yu (Evodiae Fructus) 2 sheng, Xiao Mai (Tritici Vulgaris Fructus) 1 sheng.
Chop the above ten herbs. Add 5 sheng of wine and 1 dou of water, along with 20 jujubes. Decoct, remove dregs, and decoct again to obtain 3 sheng. Divide into three doses. (From *Qianjin Fang*)
Formula for Vinegar Obstruction.
Qiang Huo (Notopterygii Rhizoma et Radix) 5 liang, pulverize. Soak in 1 sheng of water for three nights. Warm and take 5 he daily until cured. (From *Waitai Miyao*, Vol. 8)