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Pi Ge Qi (Obstruction Qi) is caused by the knotting of Qi in the chest, leading to irritability and stuffiness, obstructing the flow of body fluids, and resulting in the inability to swallow food. When Yin descends internally and Yang knots externally, it is referred to as Pi Ge (Obstruction).

For treating Pi Ge Qi with unsmooth Qi flow, where Qi attacks upward causing throat obstruction (Yi Se), possibly accompanied by irritability and heat, and pain in the four limbs, use Lingyang Jiao San (Antelope Horn Powder).
Lingyang Jiao (Antelope Horn) (1 liang) Chai Hu (Bupleuri Radix) (1.5 liang, remove seedlings) Chi Shao Yao (Red Peony Root) (1 liang) He Li Le Pi (Pericarpium Chebulae) (1 liang) Sang Gen Bai Pi (Cortex Mori Radicis) (1 liang, sliced)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.

For treating Pi Ge Qi with throat obstruction (Yi Se) and complete inability to eat, use She Gan San (Belamcanda Powder).
She Gan (Belamcandae Rhizoma) (1 liang) Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (3 fen, washed seven times with boiling water to remove slipperiness) Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and sliced) He Li Le Pi (Pericarpium Chebulae) (3 fen) Mu Tong (Akebiae Caulis) (3 fen)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.

For treating Pi Ge Qi with throat obstruction (Yi Se), deficiency-heat vexation of the heart-mind, and difficulty swallowing food, use Ren Shen San (Ginseng Powder).
Ren Shen (Ginseng Radix) (3 fen, remove radicle) Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, honey-fried until slightly red and sliced) She Gan (Belamcandae Rhizoma) (1 liang) Chen Pi (Citri Reticulatae Pericarpium) (3 fen, soaked in water, white pith removed, dried) Lingyang Jiao (Antelope Horn) (1 liang)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.

For treating Pi Ge Qi with throat obstruction (Yi Se), fullness and stuffiness in the chest and heart, and inability to eat, use Chi Fu Ling San (Red Poria Powder).
Chi Fu Ling (Poria Cum Lignum Pinelliae) (1.5 liang) Sang Gen Bai Pi (Cortex Mori Radicis) (1.5 liang, sliced) Zhi Shi (Immature Bitter Orange) (1 liang, bran-fried until slightly yellow) Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Da Fu Pi (Arecae Pericarpium) (1 liang, sliced)
The above herbs are ground and sifted into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take while slightly warm at any time.

For treating Pi Ge Qi where eating immediately causes obstruction (Yi Se), feeling as if a piece of meat is stuck in the throat and cannot go down, use Chen Pi San (Tangerine Peel Powder).
Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Bing Lang (Areca Seed) (1 liang) Jie Geng (Platycodonis Radix) (1 liang, remove radicle) Mu Tong (Akebiae Caulis) (3 fen, sliced) Chi Fu Ling (Poria Cum Lignum Pinelliae) (1 liang) She Gan (Belamcandae Rhizoma) (3 fen)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.

For treating Pi Ge Qi with complete loss of appetite, or vomiting after eating, throat obstruction (Yi Se), and difficulty in swallowing even slightly, use this Chai Hu San (Bupleurum Powder).
Chai Hu (Bupleuri Radix) (1.5 liang, remove seedlings) Jie Geng (Platycodonis Radix) (3 fen, remove radicle) Bing Lang (Areca Seed) (3 fen) Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (3 fen, washed seven times with boiling water to remove slipperiness) He Li Le Pi (Pericarpium Chebulae) (3 fen)
The above herbs are ground and sifted into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take while slightly warm at any time.

For treating Pi Ge Qi with throat obstruction (Yi Se), complete loss of appetite, Qi stagnation in the shoulders and back, and vexing pain in the four limbs, use Kun Bu Wan (Kelp Pill).
Kun Bu (Laminariae Thallus) (2 liang, washed to remove saltiness) Lingyang Jiao (Antelope Horn) (1 liang) Chen Pi (Citri Reticulatae Pericarpium) (1 liang, soaked in water, white pith removed, dried) Chi Fu Ling (Poria Cum Lignum Pinelliae) (2 liang) Mu Xiang (Aucklandiae Radix) (1 liang) Li Ren (Pruni Semen) (2 liang, soaked in water, skin and pointed kernels removed, fried until slightly yellow)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of sophora seeds. Take 20 pills with warm wine at any time.

For treating Pi Ge Qi with throat obstruction (Yi Se) and inability to swallow food and drink.
Ban Xia (Pinelliae Rhizoma Praeparatum cum Ginger et Alumine) (1 liang, washed seven times with boiling water to remove slipperiness) Gan Jiang (Zingiberis Rhizoma) (1 liang, roasted, cracked, and sliced) Kun Bu (Laminariae Thallus) (2 liang, washed to remove saltiness)
The above herbs are coarsely ground into powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until reduced to 0.6 zhong, strain, and take at any time.

Another prescription.
Take the fine chaff from the pestle head of a mortar, mix with honey to form pills the size of a marble. At any time, hold one pill in the mouth and slowly swallow the saliva.