凡忧膈、气隔、食膈、寒膈、饮膈，五病同药，常以忧愁思虑食饮而得之。若寒食、食
生菜便发。其病苦心满不得气息，引脊痛如刺之状，食则心下坚，大如粉絮，大痛欲吐，吐
则瘥。饮食不得下，甚者乃手足冷，上气咳逆，喘息气短，治以九物五膈丸方。
麦门冬（志心） 蜀椒（汗各三两） 远志（三两去心） 甘草（五两炙） 附子（一
两炮） 干姜（
上药捣筛，蜜和，微使淖，置有盖器中，先食服大如弹子丸一丸，置喉中稍咽之，喉中、
胸中当热，药力稍尽，复含一丸，日三、四，夜一、二服，服药七日愈，二十日平复。若不
能含者，可一大丸作二小丸尽服之。唯夏月合乃益麦门冬、甘草、人参耳，其余不异，神良。
椒当以铜器熬于火上，使极热，下置地，内椒器中熟搅之，须臾汗出，便捣协议处，椒力有
热，亦去其毒，非令有热也。忌海藻、菘菜、猪肉、冷水、生葱、生菜。（《外台》卷八）
治噎塞不通方。
营实根（十二分）
上一味，捣为散，酒下方寸匕，日三服。（《外台》卷八）
治诸噎方。
炭末细罗，蜜丸如弹子大，含少细细咽津即下。（《外台》卷八）
治噎方
取头垢如枣大，以粥若浆水和服之。（《外台》卷八）
治气噎煎方。
蜜 酥 姜汁（各一升）
上三味，合和，微火煎五、六大沸，取如大枣二枚，内酒中饮之，直炒服之亦好。（《外
台
通气噎汤方。
半夏（三两洗） 桂心（三两） 生姜（八两） 羚羊角（三两）
上四味，切，以水八升，煮取三升，分服半升，日再服，忌羊肉、生葱、饧。（《外台》
卷
治气噎不下食，兼呕吐方。
半夏（四两洗） 生姜（三两切）
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。（《外台》
卷八）
治卒食噎方。
舂杵头糠置手巾角以拭齿，立下。（《外台》卷八）
治卒食噎不下方。
取蜜含之则下。（《外台》卷八）
半夏汤，主饮食辄噎方。
干姜 石膏（各四两） 桔梗 人参 桂心（各二两） 半夏（一升） 吴茱萸（二升）
小麦（一
上十味， 咀，以酒五升，水一斗，煮枣二十枚，去滓，合煮取三升，分三服。（《千金
方
治醋噎方。
羌活五两，捣，用水一升，浸三宿，每日温服五合，瘥。（《外台》卷八）
For the five conditions of You Ge (Worry Obstruction), Qi Ge (Qi Obstruction), Shi Ge (Food Obstruction), Han Ge (Cold Obstruction), and Yin Ge (Drink Obstruction), the treatment is identical. These are typically caused by sorrow, worry, overthinking, and improper diet. Symptoms may be triggered by consuming cold food or raw vegetables. The condition manifests as distressing fullness in the heart region with difficulty breathing, pain radiating to the spine resembling needle pricks, hardness below the heart (epigastrium) after eating, roughly the size of cotton wool, severe pain inducing vomiting, which brings relief. Food fails to descend; in severe cases, there is coldness in the hands and feet, rebellious Qi causing cough, wheezing, and shortness of breath. Treat with Jiu Wu Wu Ge Wan (Nine-Ingredient Five-Obstruction Pill).
Mai Men Dong (Ophiopogonis Radix, remove heart) 3 liang, Shu Jiao (Zanthoxyli Pericarpium, sweat out moisture) 3 liang, Yuan Zhi (Polygalae Radix, remove heart) 3 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) 5 liang, Fu Zi (Aconiti Lateralis Radix Praeparata, processed) 1 liang, Gan Jiang (Zingiberis Rhizoma) 1 liang.
Pulverize and sieve the above herbs, mix with honey to form a slightly moist paste, and store in a covered container. Before meals, take one pill the size of a bullet, hold it in the throat and swallow slowly. Heat should be felt in the throat and chest. When the medicinal effect subsides, take another pill. Administer three to four times during the day and one to two times at night. Recovery occurs after seven days of medication, and full health returns within twenty days. If holding in the throat is not feasible, divide one large pill into two smaller ones and swallow completely. Only during summer preparation should Mai Men Dong, Gan Cao, and Ren Shen (Ginseng Radix) be added in increased amounts; the rest remains unchanged. This formula is miraculous and excellent.
Shu Jiao (Zanthoxyli Pericarpium) should be roasted in a copper vessel over fire until extremely hot, then placed on the ground. Put the pepper back into the vessel and stir thoroughly. After a moment, moisture will appear (sweat out). Then grind and mix uniformly. The heat of the pepper helps remove its toxicity, not to induce heat itself. Avoid consuming Hai Zao (Sargassum Herba), Song Cai (Chinese Cabbage), Zhu Rou (Pork), cold water, Sheng Cong (Raw Scallion), and Sheng Cai (Raw Vegetables). (From *Waitai Miyao*, Vol. 8)
Formula for treating obstruction and blockage.
Ying Shi Gen (Rubiae Radix) 12 fen.
Pulverize this single herb into powder. Take one fang cun bi (approx. 2-3 grams) with wine, three times daily. (From *Waitai Miyao*, Vol. 8)
Formula for treating various types of obstruction.
Take fine-sifted charcoal powder, mix with honey to form pills the size of bullets. Hold in the mouth and swallow saliva slowly to facilitate descent. (From *Waitai Miyao*, Vol. 8)
Formula for treating obstruction.
Take head scurf (Tou Gou) the size of a jujube, mix with rice gruel or rice water, and ingest. (From *Waitai Miyao*, Vol. 8)
Formula for Qi Obstruction Decoction.
Mi (Honey), Su (Butter/Ghee), Jiang Zhi (Zingiberis Recens Juice) (each 1 sheng).
Mix the above three ingredients. Simmer over low heat until boiling five or six times. Take an amount equivalent to two large jujubes, dissolve in wine, and drink. Directly fried consumption is also acceptable. (From *Waitai Miyao*)
Formula for Unblocking Qi Obstruction Decoction.
Ban Xia (Pinelliae Rhizoma, washed) 3 liang, Gui Xin (Cinnamomi Ramulus) 3 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 8 liang, Ling Yang Jiao (Saiga Tataricae Cornu) 3 liang.
Cut the above four herbs. Add 8 sheng of water, decoct to obtain 3 sheng. Divide into doses of 0.5 sheng, taken twice daily. Avoid mutton, raw scallions, and Yi Tang (Maltose). (From *Waitai Miyao*, Vol.)
Formula for Qi Obstruction with inability to eat and vomiting.
Ban Xia (Pinelliae Rhizoma, washed) 4 liang, Sheng Jiang (Zingiberis Rhizoma Recens, cut) 3 liang.
Add 2 da sheng of flowing water from the east, decoct to obtain 1 sheng. Remove dregs. Take 3 he warm, three times daily. Avoid mutton and maltose. (From *Waitai Miyao*, Vol. 8)
Formula for sudden food obstruction.
Place bran from the pestle of a mortar on the corner of a handkerchief to wipe the teeth. The obstruction will immediately resolve. (From *Waitai Miyao*, Vol. 8)
Formula for sudden food obstruction where food does not descend.
Hold honey in the mouth, and the food will descend. (From *Waitai Miyao*, Vol. 8)
Ban Xia Tang (Pinellia Decoction), primarily for food obstruction occurring immediately upon swallowing.
Gan Jiang (Zingiberis Rhizoma), Shi Gao (Gypsum Fibrosum) (each 4 liang), Jie Geng (Platycodonis Radix), Ren Shen (Panacis Ginseng Radix), Gui Xin (Cinnamomi Ramulus) (each 2 liang), Ban Xia (Pinelliae Rhizoma) 1 sheng, Wu Zhu Yu (Evodiae Fructus) 2 sheng, Xiao Mai (Tritici Vulgaris Fructus) 1 sheng.
Chop the above ten herbs. Add 5 sheng of wine and 1 dou of water, along with 20 jujubes. Decoct, remove dregs, and decoct again to obtain 3 sheng. Divide into three doses. (From *Qianjin Fang*)
Formula for Vinegar Obstruction.
Qiang Huo (Notopterygii Rhizoma et Radix) 5 liang, pulverize. Soak in 1 sheng of water for three nights. Warm and take 5 he daily until cured. (From *Waitai Miyao*, Vol. 8)