（附梅 气）
噎者咽喉噎塞而不通。饮或可下。食则难食也。膈者。胃口隔截而不受。虽饮食暂下。
少顷
复吐。而不能容也。求其所以致病之由。要皆忧郁不开。思虑太过。忿怨不伸。或惊恐时值
。变故屡遭。汲汲遑遑。无安宁之日。以致内气并结于上焦。而噎膈之症斯成矣。此皆处于
逆境者然耳。至于素享富贵之人。亦有是症者何哉。必因浓味所伤。酒色过度。虚火用事。
真阴消铄。以至血液干枯。顽痰胶固。结于咽喉之处。则成噎结。于胃口之处。则成膈。又
有不因酒色而得者。亦当以血枯痰腻。及气郁治之。但审其所得之由。及观其所
禀之浓薄。方可用药。如瘦人多火。其血亦干。亦有因火而生痰者。肥人多湿。其痰易结。
亦有因湿而生滞者。穷困之人多忧郁。经营之人多思虑。不得志之人多慎怨。遭变故之人多
惊恐。好酒之人多痰火。好色之人多积血。嗜味之人多宿食。使气之人多恼怒。当细审而治
之。不可以一端求也。又有所谓鼠噎者。见人即不食。背人即私食之。乃食鼠残中毒所致。
又岂可用一例治之乎。凡治此症。以开郁消痰。顺气润血为主斯。得窍妙矣。
（附：梅核气）
噎，是指咽喉部堵塞感而食物不通。喝水有时可以咽下，但吃东西则难以吞咽。膈，是指胃脘部位阻隔截断而不能受纳饮食。虽然饮食暂时能下去，但过一会儿又会吐出来，无法容纳。探究其致病的原因，大都是因为忧郁不舒、思虑过度、愤懑怨恨无处发泄，或者惊恐时常遭遇变故、屡遭不幸，心神惶惶不安，没有安宁的日子，导致体内气机郁结于上焦，从而形成噎膈病症。这些都是处于逆境中的人才会这样。至于那些一向享受富贵生活的人，为什么也有这种病呢？一定是因为被浓烈厚味的食物所损伤，酒色过度，导致虚火妄动，真阴被消耗枯竭，以至于血液干枯，顽痰胶固凝结，结在咽喉处就形成噎结，结在胃口处就形成膈。还有不是因酒色而得病的，也应当从血枯、痰腻以及气郁来治疗。但是必须仔细审查其得病的原因，并观察其体质的禀赋是偏胖还是偏瘦，然后才可以用药。例如，瘦人多火，其血液也容易干枯，也有因火而生痰的；肥人多湿，其痰容易凝结，也有因湿而生滞的。穷困的人多忧郁，经营谋利的人多思虑，不得志的人多愤恨，遭遇变故的人多惊恐，好酒的人多痰火，好色的人多瘀血，嗜食厚味的人多宿食，使气任性的人多恼怒。应当仔细审察后进行治疗，不可以用一种固定的方法去求治。又有所谓的“鼠噎”，就是看见人就不吃饭，背过人时就偷偷吃，这是吃了老鼠残食中毒所致。这又怎么能用常规的方法一概而论地治疗呢？凡是治疗这种病症，以开郁结、消痰涎、顺气机、润血脉为主，这样就得到治疗的精妙之处了。
(Attached: Plum Pit Qi)
Yi (choking sensation) refers to a feeling of blockage in the throat where food cannot pass. Drinking may sometimes go down, but eating is difficult. Ge (diaphragmatic obstruction) refers to the stomach area being blocked and unable to receive food. Although food may temporarily go down, it is vomited up after a short while and cannot be retained. To investigate the cause of this disease, it is generally due to unresolved depression, excessive worry, unexpressed resentment, or frequent encounters with frightening changes and misfortunes, leading to a state of constant anxiety without peace. This causes internal Qi to knot together in the Upper Jiao (Upper Burner), resulting in Yi-Ge syndrome. This typically occurs in those living in adverse circumstances. But why do people who have always enjoyed wealth and nobility also suffer from this? It must be due to injury from rich and heavy flavors, excess in alcohol and sexual activity, causing deficient fire to flare up, consuming and depleting True Yin, leading to dryness of blood and stubborn phlegm solidifying. When this knots in the throat, it becomes Yi-jie (choking knot); when it knots in the stomach opening, it becomes Ge (obstruction). Even for those not caused by alcohol or lust, treatment should still focus on dry blood, sticky phlegm, and Qi stagnation. However, one must carefully examine the cause of the illness and observe whether the patient's constitution is lean or plump before prescribing medication. For instance, lean people tend to have more fire, and their blood is also dry; there are cases where phlegm is generated by fire. Plump people tend to have more dampness, and their phlegm easily knots; there are cases where stagnation is generated by dampness. Poor people often suffer from depression, business-oriented people from excessive thinking, frustrated people from resentment, those encountering changes from fright, wine lovers from phlegm-fire, lustful people from accumulated blood, flavor-lovers from retained food, and irritable people from anger. Treatment must be carefully assessed based on these factors and cannot rely on a single approach. There is also what is called "Rat Yi," where the patient refuses to eat in front of others but eats secretly when alone, caused by poisoning from eating rat leftovers. How can such cases be treated with a uniform method? In treating this syndrome, the main principles are to relieve depression, resolve phlegm, regulate Qi, and nourish blood. Only then can the essence of treatment be achieved.
In cases of Qi deficiency, the pulse is necessarily slow and weak. In cases of Blood deficiency, the pulse is necessarily rapid and weak. In cases of Phlegm, the Cun and Guan positions are deep and slippery. In cases of Qi stagnation, the Cun and Guan positions are deep and choppy/stagnant.