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Danyu stated: Ge syndrome (obstruction syndrome) occurs between the heart and spleen, where the upward and downward flow of qi is blocked, presenting a sensation of rejection or obstruction. It arises from qi stagnation and phlegm accumulation. Over time, it gradually hinders food intake, resulting in Ge syndrome.

Ye syndrome (choking syndrome) refers to the sudden obstruction of qi during eating, causing food and drink to fail to go down.

Fanwei syndrome (regurgitation syndrome) is characterized by vomiting food eaten in the morning in the evening, or food eaten in the evening in the morning, or vomiting immediately after eating.

Dai Yun stated: Fanwei syndrome in elderly patients is difficult to cure; if the stool resembles sheep dung, it is also difficult to cure, as this indicates a lack of blood in the large intestine.

A rapid but forceless pulse at the Cun (inch) and Guan (middle) positions indicates Blood Deficiency. A slow but forceless pulse indicates Qi Deficiency.

A rapid and forceful pulse indicates Heat. A rapid and slippery pulse indicates the presence of Phlegm.

The Mai Jue (Pulse Classic) states: For Fanwei syndrome, a floating and moderate pulse suggests survival, while a deep and choppy pulse indicates death.

Danyu stated: This condition must absolutely not be treated with aromatic and drying herbs; doing so will inevitably lead to death. A light and bland diet is advisable. This disease belongs to Heat patterns; aromatic herbs disperse Qi, drying herbs consume Blood, and rich flavors aid Fire and generate Phlegm.

He further stated that elderly patients are difficult to cure. Young people have not yet experienced deficiency in Qi and Blood; when medication clears Phlegm and Fire, the disease does not recur. In the elderly, Qi and Blood are already deficient. Although the condition may gradually improve, it tends to relapse. The reason is that Qi deficiency fails to transform fluids, generating Phlegm, while Blood deficiency fails to moisten, generating internal Heat. Although the pathogenic factors seem to have been eliminated, the Spleen and Stomach remain weak. Consequently, any consumption of rich and sweet foods leads to indigestion, causing the disease to recur.

For Qi Deficiency, Si Jun Zi Tang (Four Gentlemen Decoction) with ginger juice is appropriate.

For Blood Deficiency, Si Wu Tang (Four Substance Decoction) with sheep milk and Chinese chive is appropriate.

For Heat patterns, cooling and detoxifying medications, or Yi Qing Wan (Suppress Blue Pill), are appropriate.

For regurgitation caused by Phlegm, Er Chen Tang (Two-Cured Decoction) with bamboo sap, or Tou Ge Tang (Penetrating Obstruction Decoction), is appropriate.

For regurgitation caused by Yin Deficiency with Hyperactive Fire, treat according to Yin Deficiency principles.

For conditions involving Phlegm cough, wheezing, fullness, and Spleen-Stomach congestion, Ren Shen Li Ge Wan (Ginseng Obstruction-Relieving Pill) is appropriate.

For Qi blockage accompanied by Phlegm, Mu Xiang Tong Qi Yin (Costus Qi-Circulating Drink) is appropriate.

For Spleen-Stomach weakness leading to Fanwei and anorexia, Tai Cang Wan (Grand Granary Pill) is appropriate.

(See Zhong Feng Men for formulas treating Qi Deficiency)
(See Zhong Feng Men for formulas treating Blood Deficiency)
(See Huo Men for formulas treating Heat)
(See Tan Men for formulas treating Phlegm-induced Regurgitation)

These formulas are used to treat Spleen-Stomach disharmony, Qi stagnation in the middle jiao, chest and diaphragm fullness and oppression, obstruction and choking, belching with acid reflux, stabbing pain in the hypochondrium, vomiting of sour saliva, and inability to eat.
Ingredients: Aucklandiae Radix (Muxiang), Amomi Fructus Rotundus (Baidoukou), Amomi Fructus (Sharen), Arecae Semen (Binglang), Aurantii Fructus Immaturus (Zhiqiao), Magnoliae Officinalis Cortex (Noupu), Pinelliae Rhizoma Preparatum (Banxia), Citri Reticulatae Pericarpium Viride (Qingpi), Citri Reticulatae Pericarpium (Chenpi), Rheum Palmatum Radix et Rhizoma (Dahuang), Natrii Sulfas (Pu Xiao), Glycyrrhizae Radix et Rhizoma (Gancao), Zingiberis Recens Rhizoma (Shengjiang) three slices, Jujubae Fructus (Hongzao) one piece. Take after meals.