病源此由脏气冷而不理，津液涩少而不能传行饮食，故食入则噎塞不通，故谓之食噎，
胸内痛，不得喘息，食不下，是故噎也。（出第二十卷中）
肘后疗卒食噎方。
橘皮（三两）
上一味切，以水三升，煮取一升，顿服之。
又方
春杵头糠置手巾角以拭齿，立下。（集验深师千金同并出第五卷中）
深师疗卒噎法。
旁人可缓解衣带，勿令噎者知，则愈。
又疗卒噎方。
与共食人当以手捉噎人筋，问曰，此等何物，噎人当答言箸，共食人云，噎下去，则立
愈。
又疗卒噎不下方。
水一杯 刀一口
上二物，先以刀横画水，已后尽饮之，则下。（出第二十二卷中）
集验疗醋噎方。
羌活（五两）
捣用水一升，浸三宿，每日温服五合瘥。
又疗气噎不下，食兼呕吐方
半夏（四两洗） 生姜（三两各切）
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。（并出第
五卷中）
备急疗卒食噎不下方。
取蜜含之则下。（千金集验肘后同）
又方
取老牛涎沫如枣核大，置水中饮之，终身不有噎。（必效肘后深师千金同并出第三卷中）
病源夫五噎谓一曰气噎，二曰忧噎，三曰食噎，四曰劳噎，五曰思噎，虽有五名，皆由
阴阳不和，三焦隔绝，津液不行，忧恚嗔怒所生，谓之五噎，噎者，噎塞不通也。（出第二
十卷中）
古今录验五噎丸，疗胸中久寒呕逆，逆气膈，饮食不下，结气不消，气噎忧噎劳噎食噎
思噎，气噎者，心悸，上下不通，噫哕不彻，胸胁苦痛，忧噎者，天阴苦厥逆，心下悸动，
手足逆冷，劳噎者，苦气隔，胁下支满，胸中填塞，令手足逆冷，不能自温，食噎者，食无
多少，唯胸中苦塞常痛，不得喘息，思噎者，心悸动喜忘，目视 ，此皆忧恚嗔怒，寒气
上逆胸胁所致，疗之方。
干姜 蜀椒（汗） 食茱萸 人参 桂心（各五分） 细辛 白术 茯苓 附子（炮
各
四分） 橘皮（六分）
上十味捣筛，以蜜和为丸，如梧子。酒服三丸，日再，不知渐增。忌桃李雀肉大酢猪肉
冷水生葱生菜酢物。（出第二十七卷中）
经心录五噎丸，主五种之气，皆令人噎方。
人参 半夏 桂心 防葵（一方用防风小草各二两） 附子（炮） 细辛 甘草（炙各
二两） 食茱萸（三合） 紫菀 干姜 芍药 枳实（炙） 乌头（各六分炮）
上十三味捣筛，以蜜和为丸如梧子大。服五丸，日三，不知，加至十五丸。忌羊肉饧海
藻菘菜猪肉生葱生菜。（千金同出第二卷中）
集验噎塞不通方。
营实根（十二分）
上一味捣为散，酒下方寸匕，日三服。（出第五卷中）
The etiology stems from cold qi in the zang organs leading to dysfunction, where body fluids are astringent and scanty, failing to transport food and drink. Consequently, upon ingestion, food becomes impacted and blocked, hence termed Shi Ye (Food Impaction). Symptoms include pain within the chest, inability to breathe normally, and difficulty swallowing food; this is what is called Ye Syndrome (Impaction Syndrome). (From Volume 20)
Zhou Hou treats sudden food impaction with the following prescription.
Ju Pi (Tangerine Peel, 3 liang)
Cut the single herb, decoct in 3 sheng of water until reduced to 1 sheng, and take in one dose.
Another prescription
Place the bran from the first pounding of spring rice in the corner of a handkerchief to wipe the teeth; the impaction will immediately resolve. (Ji Yan Shen Shi Qian Jin agree, all from Volume 5)
Shen Shi treats sudden impaction.
An assistant should loosen the patient's clothing and belt without the patient knowing; then it will heal.
Another prescription for sudden impaction.
When eating with the impaction patient, the companion should grasp the tendons of the patient and ask, "What is this?" The patient should answer "chopsticks." The companion then says, "Swallow down," and the impaction immediately resolves.
Another prescription for sudden food impaction unable to go down.
Water: 1 cup; Knife: 1
Take these two items. First, draw the knife horizontally across the surface of the water. Then drink it all; the food will descend. (From Volume 22)
Ji Yan treats Vinegar Impaction with the following prescription.
Qiang Huo (Notopterygium Root, 5 liang)
Pound and soak in 1 sheng of water for three nights. Take 5 he warm daily until cured.
Another prescription for Qi Impaction unable to descend, accompanied by vomiting after eating.
Ban Xia (Pinellia Tuber, 4 liang, washed); Sheng Jiang (Fresh Ginger, 3 liang, sliced)
Decoct these two herbs in 2 large sheng of running water from the east until reduced to 1 sheng. Strain and take 3 he warm, three times daily. Avoid mutton, malt sugar. (All from Volume 5)
Bei Ji treats sudden food impaction unable to descend with the following prescription.
Take honey and hold it in the mouth; the food will descend. (Qian Ji Ji Yan Zhou Hou agree)
Another prescription
Take saliva foam from an old cow, size of a jujube pit, place in water and drink it; one will never suffer from impaction again. (Bi Xiao Zhou Hou Shen Shi Qian Jin agree, all from Volume 3)
Etiology: The term Wu Ye (Five Impactions) refers to: 1. Qi Impaction, 2. You Impaction (Worry Impaction), 3. Shi Impaction (Food Impaction), 4. Lao Impaction (Fatigue Impaction), 5. Si Impaction (Thought Impaction). Although there are five names, they all arise from disharmony of Yin and Yang, separation of the San Jiao (Triple Burner), failure of body fluids to circulate, and are generated by worry, resentment, and anger. This is called Wu Ye. Ye means blockage and obstruction. (From Volume 20)
Gu Jin Lu Yan Wu Ye Wan (Five Impactions Pill) treats chronic cold in the chest causing vomiting and regurgitation, rebellious Qi obstructing the diaphragm, inability to eat, stagnation of Qi not dissipating, and covers Qi, You, Lao, Shi, and Si Impactions.
Qi Impaction symptoms: palpitations, blockage above and below, incomplete belching or hiccups, severe pain in the chest and hypochondrium.
You Impaction symptoms: suffering from reversal cold on cloudy days, palpitations in the epigastrium, cold extremities.
Lao Impaction symptoms: suffering from Qi separation, fullness under the ribs, sensation of filling in the chest, leading to cold extremities that cannot warm themselves.
Shi Impaction symptoms: regardless of amount eaten, only bitter feeling of blockage in the chest with constant pain, inability to breathe normally.
Si Impaction symptoms: palpitations, frequent forgetfulness, blurred vision.
These are all caused by worry and anger, with cold Qi reversing upward to the chest and hypochondrium. This is the prescription for treatment.
Gan Jiang (Dried Ginger); Shu Jiao (Sichuan Pepper, processed to release moisture); Shi Zhu Yu (Edible Evodia Fruit); Ren Shen (Ginseng); Gui Xin (Cinnamon Twig Heart, each 5 fen); Xi Xin (Asarum); Bai Zhu (Atractylodes Macrocephala Rhizome); Fu Ling (Poria); Fu Zi (Prepared Aconite Lateral Root, each 4 fen); Ju Pi (Tangerine Peel, 6 fen)
Pound and sieve these ten herbs. Mix with honey to form pills the size of wutong seeds. Take 3 pills with wine, twice daily. If ineffective, gradually increase the dose. Avoid peaches, plums, sparrow meat, strong vinegar, pork, cold water, raw green onions, raw vegetables, and vinegar substances. (From Volume 27)
Jing Xin Lu Wu Ye Wan (Five Impactions Pill) primarily treats the five types of Qi causing impaction.
Ren Shen (Ginseng); Ban Xia (Pinellia Tuber); Gui Xin (Cinnamon Twig Heart); Fang Kui (Adenophora Root, alternative formula uses Fang Feng and Xiao Cao, each 2 liang); Fu Zi (Prepared Aconite Lateral Root); Xi Xin (Asarum); Gan Cao (Licorice Root, roasted, each 2 liang); Shi Zhu Yu (Edible Evodia Fruit, 3 he); Zi Wan (Aster Root); Gan Jiang (Dried Ginger); Shao Yao (Peony Root); Zhi Shi (Immature Bitter Orange, roasted); Wu Tou (Aconite Root, each 6 fen, prepared)
Pound and sieve these thirteen herbs. Mix with honey to form pills the size of wutong seeds. Take 5 pills, three times daily. If ineffective, increase to 15 pills. Avoid mutton, malt sugar, Sargassum, Chinese cabbage, pork, raw green onions, raw vegetables. (Qian Jin agrees, from Volume 2)
Ji Yan treats blockage and obstruction of impaction with the following prescription.
Ying Shi Gen (Root of Rosa Laevigata, 12 fen)
Pound the single herb into powder. Take one cun bi (square-inch scoop) with wine, three times daily. (From Volume 5)