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This condition arises from the coldness and dysfunction of the Zang organs' Qi, causing body fluids to become astringent and scarce, thereby failing to transport and transform food and drink. Consequently, upon ingestion, food becomes obstructed and cannot pass through, hence it is termed "Shi Ye" (Food Dysphagia). There is pain within the chest, inability to breathe smoothly, and inability to swallow food; this constitutes the syndrome of dysphagia.

This illness results from the decline of Blood and Qi, and the weakness of the Fu and Zang organs, allowing Wind-Cold pathogenic factors to flourish exclusively within the interior. The Cold Qi accumulates over time without dissipating, thus it is referred to as "Jiu Han Ji Leng" (Long-standing Cold Accumulation). This disease causes emaciation and an inability to eat. If it persists for a long time without healing, and is further aggravated by exposure to Cold, it may transform into "Ji Ju" (Masses and Accumulations), presenting with vomiting, diarrhea, and regurgitation.

This is due to the weakness of Ying and Wei (Nutritive and Defensive) Qi, and the disharmony of the San Jiao (Triple Burner), leading to the retention of Deficient-Cold within the interior, which accumulates and does not dissipate. Furthermore, the Qi of ingested food combats with the Cold Qi, knotting together to form masses. These masses may be located superiorly or inferiorly, sinking or floating, having roots or lacking them, situated on the left or right. Hence, it is called "Fu Nei Jie Qiang" (Internal Abdominal Knotting and Stiffness). If it remains unhealed for a long time, accumulating over years, the masses gradually enlarge, eventually transforming into "Jia Bing" (Jia Disease, characterized by movable abdominal masses).

The Spleen is a Zang organ; the Stomach is a Fu organ. The Qi of the Spleen and Stomach are exterior-interior partners. The Stomach is the Sea of Water and Grain, primarily responsible for receiving and holding food and drink; the Spleen grinds and digests it, enabling one to eat. Now, since both the Spleen and Stomach Qi are weak, one is unable to eat.
A Chi pulse that is Floating and Slippery indicates an inability to eat; a Rapid pulse indicates undigested food, signifying that the Spleen's grinding function is impaired.

The Spleen is a Zang organ; the Stomach is a Fu organ. The Qi of the Spleen and Stomach are exterior-interior partners. The Stomach receives grain, and the Spleen grinds it; when their Qi is balanced and harmonious, grain is transformed and digestion proceeds normally. If there is an imbalance between Deficiency and Excess, water and grain fail to digest, leading to abdominal distension with emptiness, or diarrhea, and an inability to eat. Thus, it is termed "Pi Wei Qi Bu He Bu Neng Yin Shi" (Spleen-Stomach Qi Disharmony Leading to Inability to Eat). Regarding treatments involving decoctions, moxibustion/warming compresses, acupuncture, and stone therapy, there are separate specific formulas. Methods of nourishment and Daoyin (guiding and pulling exercises) are attached hereafter.
The *Yang Sheng Fang* (Prescriptions for Health Preservation) · *Daoyin Fa* (Guiding and Pulling Method) states: Lean the body sideways, extend both hands to one side, forcefully stretch the body and head, and pull forward with the hands, gradually exerting full effort. The breath and strength should be harmonious; perform similar movements moving left and right, each for thirty-seven repetitions. Slowly stretch the arms at the front, back, and two corners of the neck, as if pulling outward, relax the mind and body, shake the body thirty-seven times, and alternate similarly. This can alleviate disharmony of the Tai Cang (Stomach) and deficiency/stuffiness in the arms and waist.