《金匮》曰∶妇人咽中，有如炙脔，半夏浓朴汤主之，炙脔干肉也。咽中贴贴，如有炙肉，吐之不出，吞之不下，
此病不因肠胃，故不碍饮食；二便不因表邪，故无骨痛寒热，乃气为积寒所伤，不与血和，血中之气，溢而浮于咽中，
得水湿之气，凝结难移，男子亦间有之。药用半夏浓朴汤，乃二陈去陈皮、甘草，加浓朴、紫苏、生姜也。专治妇人
七情之气，郁滞不散，结成痰涎，或如梅核，在咽咯咽不下，或中脘痞满，气不舒畅，或痰饮中滞，呕逆恶上，并可
取效。盖半夏降逆，浓朴散结，生姜、茯苓宜至高之滞，而下其湿，苏叶味辛气香，色紫性温，能入阴和血，则气与
血和，即不复上浮也。
者，近脐左右，各有一条，筋脉急痛，大者如臂，次者如拳，因气而成，如弦之状，故名曰 。癖者，僻在两肋
之间，有时而痛，故名曰 。癖者，僻在两肋之间，有时而痛，故名曰癖。疝者，痛也。瘕者，假也，假物成形，推
移乃动也。若伤食成块坚而不移，名曰食 。瘀血成块，坚牢不移，名曰血 。积在肠胃之间与脏气结搏坚牢，虽推之
不移，名曰 ，言其病形可征验也。气壅塞而为痞，言其气痞塞不宣畅也。大抵推之不动为 ，推之动为瘕也。
至疝与 癖则与痛俱，痛即现，不痛即隐，在脐左右为 ，在两肋间为癖，在小腹牵引腰胁为疝，总因妇人脏腑虚弱，
经行不忌生冷，痰血饮食，结聚成块，与脏气相持，日渐生长，牢固不安，得冷则发，大痛欲死，然有异于丈夫者，
非因产后血虚受寒，或因经来取冷过度，不独饮食失节，多挟血气所成。其脉弦急者生，虚弱微细者危。善治者，
调补脾胃为主，佐以消导。若形气充实者，调其气而破其血，消其食而豁其痰，衰其大半而止，不可猛攻，以伤
元气，病重则病受之，病轻则胃气受伤矣。或云，待块消尽而后补养，则胃气之存也。几希不惟不胜治。终亦不可治也。
According to the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet): "In women, there is a sensation in the throat as if there were a piece of roasted meat clod (*Zhi Luan*), which should be treated with Banxia Houpo Tang. 'Zhi Luan' refers to dried meat." The throat feels sticky and obstructed, as if there were roasted meat blocking it; it cannot be spat out nor swallowed down. This disease does not originate from the intestines and stomach, thus it does not hinder eating and drinking; the urination and defecation are not affected by exterior pathogens, so there are no symptoms of bone pain, aversion to cold, or fever. It arises because Qi is injured by accumulated cold, failing to harmonize with Blood. The Qi within the Blood overflows and floats upward into the throat. Upon encountering dampness and water-qi, it coagulates and becomes difficult to move. Men occasionally suffer from this condition as well. The prescribed medicine is Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction), which consists of Erchen Tang (Two-Aged Phlegm Resolving Decoction) minus Chenpi (Aged Tangerine Peel) and Gancao (Licorice Root), plus Houpo (Magnolia Bark), Zisu (Perilla Leaf), and Shengjiang (Fresh Ginger). It specifically treats Qi stagnation caused by the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) in women, which fails to disperse and condenses into phlegm-saliva. Patients may feel like a plum pit is stuck in the throat, impossible to cough up or swallow; or experience fullness and distension in the epigastrium with unsmooth Qi flow; or have phlegm-fluids stagnating in the middle jiao causing vomiting, regurgitation, and aversion to food. All these can be effectively treated. This is because Banxia (Pinellia Rhizome) descends rebellious Qi, Houpo (Magnolia Bark) dissipates nodulation, Shengjiang (Fresh Ginger) and Fuling (Poria) clear stagnation at the high position and drain downward the dampness, while Zisu Ye (Perilla Leaf), being pungent in flavor and fragrant in aroma, purple in color and warm in nature, can enter the Yin to harmonize Blood. Thus, Qi and Blood harmonize, and the Qi no longer floats upward.
"Jia" (Mass) refers to tendons and vessels on either side near the umbilicus that are tense and painful. The larger ones are as thick as an arm, the smaller ones as large as a fist. Formed by Qi and resembling the shape of a bowstring, it is named "Jia". "Pi" (Hidden Mass) refers to masses located obliquely between the two hypochondria, causing intermittent pain, hence named "Pi". "Shan" (Hernia/Colic) means pain. "Jia" implies falsehood, meaning a mass formed by borrowing material, which moves when pushed. If a hard mass formed by food injury is firm and immovable, it is called "Shi Jia" (Food Mass); if a hard mass formed by stagnant Blood is firm and immovable, it is called "Xue Jia" (Blood Mass); if accumulation occurs between the intestines and stomach, knotting with Zang-Fu Qi to become firm and immovable, though pushing does not move it, it is called "Ji" (Fixed Accumulation), indicating its pathological form can be verified. When Qi is obstructed leading to "Pi" (Stagnant Fullness), it signifies Qi stagnation without smooth circulation. Generally, masses that do not move upon pushing are "Ji", while those that move are "Jia". As for Shan and Pi, they present with pain; symptoms appear when painful and hide when painless. Located on the left and right of the umbilicus is "Jia"; between the hypochondria is "Pi"; radiating from the lower abdomen to the waist and flanks is "Shan". The root cause is generally weak Zang-Fu organs in women, failure to avoid raw and cold foods during menstruation, leading to the aggregation of phlegm, blood, and dietary residues into masses. These masses contend with Zang-Fu Qi, growing day by day, becoming firm and unstable. Exposure to cold triggers attacks, causing severe pain almost unto death. However, this differs from men; women's conditions often arise from postpartum blood deficiency with cold invasion, or excessive exposure to cold during menstruation, not merely dietary irregularity, but often involving both blood and Qi. A wiry and rapid pulse indicates a favorable prognosis, while a weak and thready pulse indicates critical danger. Skilled practitioners prioritize regulating and tonifying the Spleen and Stomach, assisting with resolving and guiding out methods. If the patient's constitution is robust, one regulates Qi, breaks Blood stasis, eliminates food retention, and clears phlegm, stopping treatment once the pathogenic factor has diminished by more than half. One must not use harsh purgatives to damage Yuan Qi; otherwise, if the disease is severe, the body cannot withstand it, and if mild, the Stomach Qi will be injured. Some say, wait until the mass is completely eliminated before tonifying, to preserve Stomach Qi. This is incorrect; not only will it fail to cure, but ultimately it will become incurable.