《金匮》曰∶妇人咽中，有如炙脔，半夏浓朴汤主之，炙脔干肉也。咽中贴贴，如有炙肉，吐之不出，吞之不下，
此病不因肠胃，故不碍饮食；二便不因表邪，故无骨痛寒热，乃气为积寒所伤，不与血和，血中之气，溢而浮于咽中，
得水湿之气，凝结难移，男子亦间有之。药用半夏浓朴汤，乃二陈去陈皮、甘草，加浓朴、紫苏、生姜也。专治妇人
七情之气，郁滞不散，结成痰涎，或如梅核，在咽咯咽不下，或中脘痞满，气不舒畅，或痰饮中滞，呕逆恶上，并可
取效。盖半夏降逆，浓朴散结，生姜、茯苓宜至高之滞，而下其湿，苏叶味辛气香，色紫性温，能入阴和血，则气与
血和，即不复上浮也。
者，近脐左右，各有一条，筋脉急痛，大者如臂，次者如拳，因气而成，如弦之状，故名曰 。癖者，僻在两肋
之间，有时而痛，故名曰 。癖者，僻在两肋之间，有时而痛，故名曰癖。疝者，痛也。瘕者，假也，假物成形，推
移乃动也。若伤食成块坚而不移，名曰食 。瘀血成块，坚牢不移，名曰血 。积在肠胃之间与脏气结搏坚牢，虽推之
不移，名曰 ，言其病形可征验也。气壅塞而为痞，言其气痞塞不宣畅也。大抵推之不动为 ，推之动为瘕也。
至疝与 癖则与痛俱，痛即现，不痛即隐，在脐左右为 ，在两肋间为癖，在小腹牵引腰胁为疝，总因妇人脏腑虚弱，
经行不忌生冷，痰血饮食，结聚成块，与脏气相持，日渐生长，牢固不安，得冷则发，大痛欲死，然有异于丈夫者，
非因产后血虚受寒，或因经来取冷过度，不独饮食失节，多挟血气所成。其脉弦急者生，虚弱微细者危。善治者，
调补脾胃为主，佐以消导。若形气充实者，调其气而破其血，消其食而豁其痰，衰其大半而止，不可猛攻，以伤
元气，病重则病受之，病轻则胃气受伤矣。或云，待块消尽而后补养，则胃气之存也。几希不惟不胜治。终亦不可治也。
《金匮要略》中说：妇女咽喉中感觉像有一块烤干的肉团，用半夏厚朴汤主治。“炙脔”即干肉。咽喉中黏滞不适，好像有烤肉堵在那里，吐不出来，也咽不下去。这种病不源于肠胃，所以不影响饮食；二便没有受到表邪侵袭，所以没有骨节疼痛、恶寒发热等症状。这是由于气被积寒所伤，不能与血调和，血中的气溢出并浮聚于咽喉部位，遇到水湿之气，凝结而难以移动，男子偶尔也有此病。药用半夏厚朴汤，即由二陈汤去掉陈皮、甘草，加入厚朴、紫苏、生姜组成。专门治疗妇女因七情（喜、怒、忧、思、悲、恐、惊）导致的气机郁滞不散，结成痰涎，感觉像梅核卡在咽喉，咯之不出、咽之不下；或者中脘部痞塞胀满，气机不畅；或者痰饮停滞在中焦，引起呕吐逆气、厌恶进食等症，都可以取得疗效。因为半夏能降逆气，厚朴能散结气，生姜和茯苓能宣通高位的气滞并下行湿气，紫苏叶味辛气香，色紫性温，能入阴分调和血液，从而使气与血调和，气就不再上浮了。
“瘕”是指靠近肚脐左右两侧，各有一条筋脉拘急疼痛，大的像手臂粗，小的像拳头大，因气而成形，形状像弓弦一样，所以名叫“瘕”。“癖”是指偏居在两肋之间，有时疼痛，所以名叫“癖”。疝，就是痛的意思。瘕，是假的意思，指假借某种物质形成肿块，推之可以移动。如果是伤食形成的硬块坚硬且推不动，名叫“食瘕”；瘀血形成的硬块，坚牢不移，名叫“血瘕”；积聚在肠胃之间，与脏腑之气结聚搏结而坚牢，虽然推之也不动，名叫“积”，是说它的病形可以征验证实。气壅塞不通而形成痞证，是说气机痞塞不宣畅。大体上，推之不动的是“积”，推之能动的是“瘕”。至于疝与癖则伴随疼痛出现，痛的时候症状显现，不痛的时候就隐没。位于肚脐左右的是“瘕”，位于两肋间的是“癖”，从小腹牵引至腰胁的是“疝”。总的原因是妇人脏腑虚弱，月经期间不注意忌口生冷食物，导致痰、血、饮食结聚成块，与脏腑之气相持不下，日渐生长，牢固不安，遇冷则发作，剧烈疼痛甚至欲死。然而这与男子有所不同，女子多是因为产后血虚受寒，或者经期贪凉过度，不仅饮食失节，而且多夹杂血气共同形成。脉象弦急的预后良好，脉象虚弱微细的病情危重。善于治疗的人，以调补脾胃为主，辅以消导之法。如果形体正气充实者，调理其气机并破其瘀血，消除食积并豁除痰饮，待病势衰减大半后即停止攻伐，不可猛烈攻下，以免损伤元气，否则病重时身体承受不住，病轻时也会损伤胃气。有人说，等到肿块完全消除后再进行补养，这样胃气才能保存。其实不然，不仅无法胜任治疗，最终也无法治愈。
According to the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet): "In women, there is a sensation in the throat as if there were a piece of roasted meat clod (*Zhi Luan*), which should be treated with Banxia Houpo Tang. 'Zhi Luan' refers to dried meat." The throat feels sticky and obstructed, as if there were roasted meat blocking it; it cannot be spat out nor swallowed down. This disease does not originate from the intestines and stomach, thus it does not hinder eating and drinking; the urination and defecation are not affected by exterior pathogens, so there are no symptoms of bone pain, aversion to cold, or fever. It arises because Qi is injured by accumulated cold, failing to harmonize with Blood. The Qi within the Blood overflows and floats upward into the throat. Upon encountering dampness and water-qi, it coagulates and becomes difficult to move. Men occasionally suffer from this condition as well. The prescribed medicine is Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction), which consists of Erchen Tang (Two-Aged Phlegm Resolving Decoction) minus Chenpi (Aged Tangerine Peel) and Gancao (Licorice Root), plus Houpo (Magnolia Bark), Zisu (Perilla Leaf), and Shengjiang (Fresh Ginger). It specifically treats Qi stagnation caused by the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) in women, which fails to disperse and condenses into phlegm-saliva. Patients may feel like a plum pit is stuck in the throat, impossible to cough up or swallow; or experience fullness and distension in the epigastrium with unsmooth Qi flow; or have phlegm-fluids stagnating in the middle jiao causing vomiting, regurgitation, and aversion to food. All these can be effectively treated. This is because Banxia (Pinellia Rhizome) descends rebellious Qi, Houpo (Magnolia Bark) dissipates nodulation, Shengjiang (Fresh Ginger) and Fuling (Poria) clear stagnation at the high position and drain downward the dampness, while Zisu Ye (Perilla Leaf), being pungent in flavor and fragrant in aroma, purple in color and warm in nature, can enter the Yin to harmonize Blood. Thus, Qi and Blood harmonize, and the Qi no longer floats upward.
"Jia" (Mass) refers to tendons and vessels on either side near the umbilicus that are tense and painful. The larger ones are as thick as an arm, the smaller ones as large as a fist. Formed by Qi and resembling the shape of a bowstring, it is named "Jia". "Pi" (Hidden Mass) refers to masses located obliquely between the two hypochondria, causing intermittent pain, hence named "Pi". "Shan" (Hernia/Colic) means pain. "Jia" implies falsehood, meaning a mass formed by borrowing material, which moves when pushed. If a hard mass formed by food injury is firm and immovable, it is called "Shi Jia" (Food Mass); if a hard mass formed by stagnant Blood is firm and immovable, it is called "Xue Jia" (Blood Mass); if accumulation occurs between the intestines and stomach, knotting with Zang-Fu Qi to become firm and immovable, though pushing does not move it, it is called "Ji" (Fixed Accumulation), indicating its pathological form can be verified. When Qi is obstructed leading to "Pi" (Stagnant Fullness), it signifies Qi stagnation without smooth circulation. Generally, masses that do not move upon pushing are "Ji", while those that move are "Jia". As for Shan and Pi, they present with pain; symptoms appear when painful and hide when painless. Located on the left and right of the umbilicus is "Jia"; between the hypochondria is "Pi"; radiating from the lower abdomen to the waist and flanks is "Shan". The root cause is generally weak Zang-Fu organs in women, failure to avoid raw and cold foods during menstruation, leading to the aggregation of phlegm, blood, and dietary residues into masses. These masses contend with Zang-Fu Qi, growing day by day, becoming firm and unstable. Exposure to cold triggers attacks, causing severe pain almost unto death. However, this differs from men; women's conditions often arise from postpartum blood deficiency with cold invasion, or excessive exposure to cold during menstruation, not merely dietary irregularity, but often involving both blood and Qi. A wiry and rapid pulse indicates a favorable prognosis, while a weak and thready pulse indicates critical danger. Skilled practitioners prioritize regulating and tonifying the Spleen and Stomach, assisting with resolving and guiding out methods. If the patient's constitution is robust, one regulates Qi, breaks Blood stasis, eliminates food retention, and clears phlegm, stopping treatment once the pathogenic factor has diminished by more than half. One must not use harsh purgatives to damage Yuan Qi; otherwise, if the disease is severe, the body cannot withstand it, and if mild, the Stomach Qi will be injured. Some say, wait until the mass is completely eliminated before tonifying, to preserve Stomach Qi. This is incorrect; not only will it fail to cure, but ultimately it will become incurable.