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(For this syndrome, it is difficult to treat if the patient is over sixty years old; it is difficult to treat if the stool resembles sheep dung; it is difficult to treat if white froth is vomited; if there is a burning sensation and pain in the chest and diaphragm as if cut by a knife, the prognosis is poor and considered fatal.)

Fanwei (Regurgitation) and Yige (Dysphagia with obstruction) are fundamentally caused by the depletion of blood, leading to dryness and withering of the stomach cavity. If the withering is located in the upper jiao, water and drinks can pass down, but food is difficult to enter; this is called Yige (Dysphagia). If the withering is located in the lower jiao, food may enter but is regurgitated after a long time; this is called Fanwei (Regurgitation). Both syndromes involve pathology in the region of the diaphragm, hence they are collectively referred to as "Ge" (Obstruction) syndromes. Generally, these conditions arise from a deficiency of Qi and Blood, compounded by emotional factors such as grief, excessive thinking, and worry, which injure the Spleen and Stomach and gradually deplete the blood. Qi stagnation generates Phlegm; the Phlegm obstructs and blocks the pathways, causing Qi to rebel upward instead of descending normally. This hinders the passage for food and drink, making ingestion difficult, which leads to the formation of Yige. If the Spleen and Stomach are deficient and injured, their transportive and transformative functions fail, unable to properly digest grains and transform them into essence. This results in morning food being vomited in the evening, or evening food vomited in the morning. Although food enters the Stomach, it is subsequently regurgitated, which leads to the formation of Fanwei. Both syndromes originate from pathology in the diaphragmatic region, thus they are collectively named Ge. The difficulty in treating this condition lies in the therapeutic dilemma: if one attempts to strengthen the Spleen and resolve Phlegm, drying agents may damage the Body Fluids; if one attempts to nourish Blood and generate fluids, moistening agents may hinder the transportation function of the Middle Jiao. Therefore, if Yin deficiency with Fire hyperactivity is identified, nourishing Blood should be prioritized urgently; if Spleen injury with Yin abundance (Cold-Damp) is identified, warming and tonifying should be the primary approach.

Xionghuang Erdou Wan (Cinnabar and Two-Bean Pill, highly effective for dysphagia and food impaction)
Large Smoked Plum Flesh (Da Wumei Rou), 20 pieces (washed); Cinnabar (Sha) and Realgar (Xionghuang), each 2 qian; Frankincense (Ruxiang), 1 qian; Baicaoshuang (Soot from burning straw), Black Soybean (Heidou), and Mung Bean (Lvdou), each 49 grains.
Grind into fine powder, mix with plum flesh, and form pills the size of a bullet. Hold one pill in the mouth until dissolved; after the time it takes to burn one incense stick, the medicinal energy will circulate through the meridians. Eat one wheat cake soaked in hot water.

Yige (Dysphagia)
First dose: Niter (Pixiao), Child's Teeth (Ercha), and Mineral Ash (Kanghui), each a pinch; Musk (Shexiang), 1 fen. Grind into powder, mix with distilled liquor, and take orally.
Second dose: Agarwood (Chenxiang), 2 qian; Tsaoko Cardamom (Caoguo), 7 qian; Amomum Villosum (Sharen), Costus Root (Muxiang), and Trogopterus Dung (Wulingzhi), each 5 qian; Nutmeg (Doukou), 1 liang; Long Pepper (Bichengqie), 2 qian; Atractylodes Macrocephala (Baizhu), 2 qian (prepared with Ginger Juice). Grind into powder, mix with good wine, and take 1 qian orally.
Third dose: Long Pepper (Bichengqie), 3 qian; Seven Sparrows (Macque'er), boiled thoroughly, eaten dipped in eggplant powder.
Fourth dose: Pig Tooth Gleditsia Sinensis (Zhuyazaojiao), half jin; Dates (Zaozi), one jin. Boil together, remove the Gleditsia Sinensis, and eat the dates.
Fifth dose: Black Soybean (Heidou), one sheng; Phellodendron Bark (Huangbai), Scutellaria Root (Huangqin), and Coptis Rhizome (Huanglian), each one liang. Boil the beans and eat them. Effective. (Transmitted by Elder Yang from Jiangxi)

Alternative Formula 1: Asafoetida (Awei), 1 qian; Dried Feces (Gan Shi), 3 qian. Grind into powder. At dawn (fifth watch), dip a slice of ginger in the powder and eat it. Immediate cure. (Formula of Prince Zhao)

Alternative Formula 2: Throat of a White Water Buffalo (Baishui Niu Hou). Remove the joints at both ends and the fascia. Extract one bowl of rice vinegar from each joint. Roast until the vinegar is exhausted, then grind into powder. Take 1 qian each time, washed down with rice water. Cure. (Fa Tian Sheng Yi)

Alternative Formula 2: Sugarcane Juice (Ganzhe Zhi), two bowls; Ginger Juice (Jiang Zhi), one bowl. Take one bowl per dose, three times daily. Vomiting will cease immediately. (from *Yi Zong Bi Du*)

Early Stage of Yige (Dysphagia)
Old Ginger (Lao Jiang), one jin (soaked in child's urine for seven days, buried in soil for seven days, washed, and ground into one liang of powder); Atractylodes Macrocephala (Baizhu), one liang (stir-fried with earth and ground). Form pills the size of wu zi (small seeds) using rice paste. Take 1 qian every morning on an empty stomach, washed down with rice water. Effective. (from *Huai De Tang Lu*)

Yige and Fanwei (Also treats Guzhang / Distension)
Agarwood (Chenxiang), Perilla Seed (Suzi), and Tangerine Peel (Guangpi), each 2 qian; Cassia Twig (Guangui), 1 qian; Costus Root (Muxiang), 3 fen; Radish Seed (Luobozǐ), 3 qian.
All ground into powder. Take 3 fen each time, mixed with 1 fen of Dog Gallstone (Goubao). Must decoct Pangolin Scale (Tongcao - *Note: Tongcao usually refers to Tetrapanax papyrifer stem, but context implies a vehicle*) with good spring water. Take orally on an empty stomach. (From Cai Yi Shu)

Fanwei with Vomiting of Food
Yellow Clam Shell (Huanxian Qiao) and Field Snail Shell (Tianluo Qiao) (preferably those from mud for a long time), equal parts. Stir-fry until they turn into white ash. For every two liang of ash, add four liang of White Plum Flesh (Baimei Rou). Pound and mix into pills. Place in a clay pot, seal tightly with mud, calcine until the original nature remains (burnt but not charred), and grind extremely fine. Take 2 qian each time, washed down with Ginseng and Amomum decoction. Chenmi Tang (Old Rice Decoction) is also acceptable.

Alternative Formula 1: Earthworm Excrement (Dilong Fen), 1 qian; Rhubarb (Dahuang), 7 qian; Costus Root (Muxiang), 3 qian. Grind into powder. Take 5 qian each time, mixed with unrooted water. Improvement seen after three doses. Avoid fried, roasted, and vinegary foods. (from *Chishui Xuanzhu*)

Alternative Formula 2: Three dried persimmon cakes (Gan Shibing), pounded into a paste with the stems attached. Take with wine. Highly effective. (from *Yi Zong Bi Du*)

Chronic Cough and Dysphagia (Continuous coughing for forty to fifty sounds)
Ginger Juice (Jiang Zhi) and Honey (Mi). Decoct together three times. Immediate effect. (Copied manuscript)

Whenever a Fanwei syndrome is cured by medicine, do not immediately give porridge or rice. Instead, use five qian of Ginseng (Renshen), two qian of Tangerine Peel (Chenpi), and one liang of old yellow rice (Laohuangmi). Make a decoction and sip it slowly. Only after ten days should porridge be introduced. If the Granary (Spleen/Stomach storage function) is not yet solid, introducing grains too early often leads to untreatable conditions. (from *Yi Zong Bi Du*)

Post-Illness Weak Stomach (Inability to eat)
Lotus Seed Meat (Lianzi Rou) and Stir-fried Rice (Chaomi), each four liang; Poria (Fuling), two liang (ground into powder); White Sugar (Shatang), two liang.
Mix well. Take five or six tea spoons each time. Take at any time, washed down with plain warm water. (from *Mifang Jiyan*)

Obstruction of Food and Qi (Geshe Geqi)
Leek Juice (Jiu Zhi), Pear Juice (Li Zhi), Ginger Juice (Jiang Zhi), and Human Milk (Renru), each two zhan. Steam over rice until cooked. Take orally. Repeat after three days. Like divine efficacy. (Copied manuscript)