气膈病使人烦懑食不下，时呕沫。淳于意作下气汤治此疾，一日气下，二日能食，三日
一村夫因食新笋羹，咽纳间忽为一噎，延及一年，百药不效。王中阳乃以荜茇、麦芽
皮去穣、人参、苦桔梗、柴胡、白蔻、楠木香、高良姜、半夏曲共为末，每服一钱，水煎热
服。次日病家报云∶病者昨已痛极，自己津唾亦咽不下，服药幸纳之，胸中沸然作声，觉有
生意，敢求前剂。况数日不食，特游气未尽，拟待就木，今得此药，可谓还魂散也。王遂令
其捣碎米煮粥，将熟，即入药再煎一沸，令啜之，一吸而尽，连服数剂，得回生。因名曰
魂散。食之以治七情致病，吐逆不定，面黑目黄，日渐瘦损，传为噎证者多验，但忌油腻、
《永类钤方》治噎膈不食，黄犬干饿数日，用生粟或米干饲之，俟其下粪，淘洗米粟令
净，煮粥入薤白一握，泡熟去薤，入沉香末二钱，食之。
救急疗气噎方
半夏 柴胡（各三两） 生姜（三两） 羚羊角 犀角 桔梗 昆布 通草
水八升，煮三升，分三服。
疗因食即噎塞，如炙脔在膈不下方
射干（六分） 升麻（四分） 桔梗（四分） 木通（一钱） 赤苓（八分） 百合（八分）
紫菀头（二十一枚）
水二大升，煎九合，去渣，分温三服，食远。
Qi Obstruction (Qi Ge) causes vexation and fullness, difficulty in eating, and frequent vomiting of saliva. Chunyu Yi formulated Xiaqi Tang (Descending Qi Decoction) to treat this condition; after one day of taking the medicine, the qi descended, after two days the patient could eat, and after three days he recovered.
A farmer suddenly experienced dysphagia while swallowing a soup made of fresh bamboo shoots, which persisted for a year despite various treatments. Wang Zhongyang then prepared a powder using Bi Bo (Long Pepper Fruit), Mai Ya (Sprouted Hordeum Grain, degermed), Ren Shen (Ginseng Root), Ku Jie Geng (Bitter Platycodon Root), Chai Hu (Bupleurum Root), Bai Kou (White Cardamom Seed), Nan Mu Xiang (Aquilaria Wood), Gao Liang Jiang (Galangal Rhizome), and Ban Xia Qu (Pinellia Fermented Powder). Each dose was one qian, decocted in water and taken hot. The next day, the patient's family reported: "Yesterday, the patient suffered extreme pain and could not even swallow his own saliva. Fortunately, he took the medicine, and now there is a boiling sensation and sound in his chest, indicating signs of life. We beg you for the previous prescription. Although he has not eaten for several days, it is merely that wandering qi remains unresolved; he had resigned himself to death, but with this medicine, it can truly be called 'Hun San' (Soul-Returning Powder)." Wang then instructed them to grind rice and cook porridge. When nearly cooked, the medicine powder was added and boiled once more, then given to the patient to drink in one gulp. After taking several doses continuously, the patient recovered. Thus, the formula was named "Hun San" (Soul-Returning Powder). This formula is effective for treating vomiting and regurgitation caused by emotional disorders, dark complexion, yellow eyes, progressive emaciation, and conditions progressing to dysphagia, provided greasy foods are avoided.
*Yong Lei Qian Fang* treats inability to eat due to dysphagia and obstruction as follows: Starve a yellow dog for several days, then feed it raw millet or dry rice. Wait for it to defecate, wash the millet/rice thoroughly, cook into porridge, add a handful of Xie Bai (Allium Macrostemon Bulb), soak until cooked, remove the Allium, add 2 qian of Chen Xiang (Agarwood), and have the patient consume it.
Emergency Formula for Treating Qi Dysphagia
Ban Xia (Pinellia Tuber), Chai Hu (Bupleurum Root) (each 3 liang), Sheng Jiang (Fresh Ginger Rhizome) (3 liang), Ling Yang Jiao (Saiga Antelope Horn), Xi Jiao (Rhinoceros Horn), Jie Geng (Platycodon Root), Kun Bu (Laminaria Thallus), Tong Cao (Tetrapanax Medulla).
Decoct in 8 sheng of water to obtain 3 sheng, divide into three doses.
Formula for Dysphagia Occurring Immediately Upon Eating, Feeling Like Roasted Meat Trapped in the Chest and Unable to Descend
She Gan (Belamcanda Rhizome) (6 fen), Sheng Ma (Cimicifuga Rhizome) (4 fen), Jie Geng (Platycodon Root) (4 fen), Mu Tong (Akebia Caulis) (1 qian), Chi Ling (Poria Cocos with Red Bark) (8 fen), Bai He (Lilium Bulb) (8 fen), Zi Wan Tou (Adenophora Root Head) (21 pieces).
Decoct in 2 large sheng of water to obtain 9 he, strain, divide into three warm doses, taken well after meals.