头风脑中空痛，用川芎、当归各三钱，共研末，黄牛脑一个和匀。分三次，热酒送下。
尽醉卧，醒即愈。
头风诸药不效，用大附子一只切片，同绿豆一升。（今用二盏。）煮熟，去附子，但服绿豆及汁，即愈。
生姜贴法（《种福堂》）
治太阳风寒头痛，及半边头痛。
生姜三片，将桑皮纸包好，水湿，入灰中煨热，乘热将印堂、两太阳各贴一片，以带缠之，立愈。
桂麝太阳膏（《种福堂》）
治风寒半边头痛。
肉桂心（一分） 麝香（二厘） 人言（一厘） 细辛 辛夷（各五厘） 胡椒（十粒）
共为末，用枣肉捣丸，如豌豆大一粒，放膏中心，贴准太阳穴内，一日见效。如壮年火
盛者，愈后服黄芩、大黄泻火，则痛自愈。
白芷细辛吹鼻散（《种福堂》）
治半边头痛。
白芷 细辛 石膏 乳香（去油） 没药（去油）
上各味等，为研细末。吹入鼻中，左痛吹右，右痛吹左。
膈者，阻隔不通，不能纳谷之谓也。又谓之隔言，病在胸膈之间也。上焦出胃上口主纳
，中焦并胃中主腐化，下焦别回肠主济泌。此症三焦失职，百无一生。丹溪指为胃脘干枯
，以四物汤入牛羊乳、竹沥、韭汁之类主之；薛氏指为怫郁伤肝，肝木克土，以左金丸、逍遥
散、六君子汤、归脾汤、六味丸、八味丸之类，随症间服；易思兰本此法以治气膈，晨吞八
味丸百粒，暮服畅卫汤，开导其上，滋补其下，多效；赵氏以此病多得之五旬以上，肾水既
干，阳火偏盛，煎熬津液，三阳热结，则前后闭涩，下既不通，必反于上，直犯清道，上冲
吸门，须以六味丸料大剂煎饮，久服可挽十中之一二。然以余观之，膈症既成，终无治法。
问曰∶既无治法，岂真坐视其亡耶？
修圆曰∶即欲服药，亦不过尽人事而已。吾乡老医某，只守程氏启膈饮一汤，始服颇效
，久亦增病。然而痰火郁气阻逆于上者，亦借为引导也。《已任篇》专取阳明，以左归饮加生地
、当归，亦所以开贲门、（此门开则能纳食）幽门、（此门开则小便利。）阑门、（此门开则大便润。）之
法也。此数方之意，皆仿于仲景大半夏汤用甘澜蜜水之法，而不知仲景取半夏以升降阴阳，
借人参以重生津液，复得蜜之滋润，灌溉流通，而阻隔之患乃免。程氏以半夏耗液为禁，岂
知仲景麦门冬汤及此方之微旨哉！
张石顽云∶古人指噎膈为津液干枯，故水液可行，干物梗塞，为枯在上焦。余窃疑之，
若果津液枯槁，何以食才下咽，涎随上涌乎？故知膈咽之间，交通之气不得降者，皆冲脉上
行逆气所作也。惟气逆，故水液不得居润下之常，随气逆涌耳。若以津枯而用润下之剂，岂
不反益其邪乎？宜六君子汤加减，挟寒，脉迟细者，加肉桂、附子；挟热脉数滑者，加枳实、
黄连；若噎而声不出者，加五味子、竹茹；喉中有一块，食物不下者，痰气也，加海石、诃
子；膈间作痛，多是瘀血，加归尾、桃仁、韭汁、童便，甚者加大黄微利之。《千金》五噎丸、五膈丸，亦可择用。
按∶张石顽主于冲脉上逆，诚千古灼见。亦从仲景大半夏汤悟出。然必谓润下之剂反益
其邪，是因其涎沫之多，而狃于见症之陋习也。冲脉不治，取之阳明。故仲景以半夏降冲脉
之逆，即以白蜜润阳明之燥，加人参以生既亡之津液。石顽此论，得其半而遗其半也。盖人
之胃中，叠积如膏脂者，谓之胃阴。今因冲气上逆，日呕出粘涎，即日亡其胃阴，尚得谓滋
润之剂宜屏绝乎！余所以不敢阿好也。
《人镜经》曰∶《内经》云∶三阳结谓之膈。盖足太阳膀胱经水道不行，手太阳小肠经
津液枯涸，足阳明胃经燥粪结聚，所以饮食拒而不入，纵入太仓，还出喉咙，人之肠胃一日
一便，乃常度也。今膈食之人，五七日不便，陈物不去，新物不纳，俗医强分为五膈十噎，
支派既多，并丧其实，标本不明，是以火里煨姜，汤中煮桂。胡椒未已，荜拔继之；丁香未
已，豆蔻继之。虽曰和胃，胃本不虚；虽曰温脾，脾本不寒。此病之所以日盛也。法当用三
一承气汤节次微下之，后用芝麻饮啜之，陈腐去而肠胃洁， 瘕尽而荣卫昌，饮食自进矣。
按∶此法虽偏，而百无一生之症，急用之尚有余望，否则逡巡观望，何济于事。
反胃症，朝食暮吐，暮食朝吐。初患者尚可治。王太仆云∶食不得入，是有火也；食入
反出，是无火也。遵赵氏法，以六味丸治膈症，是壮水之主，以制阳光；以八味丸治反胃，
是益火之源，以消阴翳。而自愚论之，食入反出，脾失其消谷之能，胃失其容受之能，宜理
中汤温脾，加麦芽以畅达一阳之气。与参术消补同行，土木不害，而脾得尽其所能。或吴茱
萸汤温胃，借吴萸以镇纳厥阴之逆气，合参枣甘温相济，震坤合德，而胃得尽其所能。而犹
恐中土大寒，温补太缓，以干姜、吴萸、附子、荜拔，蜜丸，俾火化之速；复恐燥热上僭，
伤上焦 之气，以沙参、白术、茯苓、麦芽、五谷虫、甘草、白蔻仁为末，浓裹于外
，又以朱砂六一散为衣，使温和之药，在外先行于土，而辛热之药，由中焦以直达命门，熟腐水
谷。续以八味丸收其全功。若病热之甚，第以八味丸缓服，未免迂阔矣。（张石顽云∶有阳
虚不能统运呕逆便秘，用人参大黄附子攻之即通；瘀血在膈，阻滞气道而成者，用抵当丸作
芥子大，吞二钱。但饮热汤及食椒姜，辄呃者，有瘀血也。）
头风引起的脑部中空样疼痛，使用川芎、当归各三钱（约9克），共同研磨成粉末，与一个黄牛脑混合均匀。分三次服用，用热酒送服。
服药后尽量饮酒至醉并卧床休息，醒来时病即痊愈。
若治疗头风的多种药物无效，使用大附子一枚切片，与一升绿豆同煮。（现代临床可用两盏量。）煮熟后，去掉附子，仅服用绿豆及其汤汁，病即可愈。
生姜贴敷法（出自《种福堂》）
治疗太阳经风寒引起的头痛，以及偏侧头痛。
取生姜三片，用桑皮纸包好，用水湿润，放入火灰中煨热，趁热将一片贴在印堂穴，另一片贴在双侧太阳穴，用带子缠绕固定，可立即痊愈。
桂麝太阳膏（出自《种福堂》）
治疗风寒引起的偏侧头痛。
肉桂心（一分）、麝香（二厘）、人言（一厘，即砒霜，剧毒，慎用）、细辛、辛夷（各五厘）、胡椒（十粒）。
共同研磨成粉末，用枣肉捣烂制成丸药，大小如豌豆一粒，放置在膏药中心，准确贴在太阳穴内，一天可见效。如果是壮年且体内火气旺盛者，痊愈后服用黄芩、大黄以泻火，则疼痛不再复发。
白芷细辛吹鼻散（出自《种福堂》）
治疗偏侧头痛。
白芷、细辛、石膏、乳香（去油）、没药（去油）。
以上各味药材等量，研磨成细末。吹入鼻中，左侧头痛吹右侧鼻孔，右侧头痛吹左侧鼻孔。
膈症，是指阻隔不通，无法进食的意思。又被称为“隔”，指病位在胸膈之间。上焦主管胃的上口以受纳食物，中焦合并胃的中部以腐熟消化食物，下焦分别回肠以泌别清浊。此症导致三焦功能失职，百无一生。朱丹溪将其归因为胃脘干枯，主张用四物汤加入牛羊乳、竹沥、韭菜汁等为主方；薛己将其归因为郁结伤肝，肝木克制脾土，主张根据症状间歇服用左金丸、逍遥散、六君子汤、归脾汤、六味丸、八味丸等；易思兰基于此法治疗气膈，早晨吞服八味丸一百粒，晚上服用畅卫汤，以开通上部，滋补下部，多有效验；赵献可认为此病多见于五十岁以上之人，肾水已干，阳火偏盛，煎熬津液，导致三阳热结，前后闭塞，下部不通则必然反逆于上，直犯清道，上冲吸门，需用大剂量的六味丸料煎饮，久服可挽救十分之一二。然而依我观察，膈症一旦形成，终究没有治疗方法。
有人问：既然没有治疗方法，难道真的坐视其死亡吗？
陈修园回答：即使想要服药，也不过是尽人事罢了。我家乡的一位老医生，只坚守程氏的启膈饮这一方剂，起初服用颇为有效，但久了反而加重病情。然而对于痰火郁结、气机阻逆于上的情况，也可以借它作为引导。《已任篇》专门针对阳明经，采用左归饮加生地、当归，这也是为了开启贲门（此门开启则能进食）、幽门（此门开启则小便通利）、阑门（此门开启则大便滋润）的方法。这几首方剂的用意，都仿效张仲景大半夏汤中使用甘澜蜜水的方法，而不知道张仲景取半夏是为了升降阴阳，借人参以重生津液，再加上蜂蜜的滋润，灌溉流通，从而免除阻隔的祸患。程氏因半夏耗损津液而将其列为禁忌，哪里知道张仲景麦门冬汤及此方的微奥旨意呢！
张石顽说：古人将噎膈归因为津液干枯，所以水液可以通行，干硬食物梗塞，这是枯在上焦。我私下对此表示怀疑，如果真的是津液枯槁，为什么食物刚咽下，涎沫就随之涌上呢？因此知道膈咽之间，交通之气不能下降，都是冲脉上行逆气所作所为。正因为气逆，所以水液不能安居于润下的常态，随气逆而上涌。如果用润下的药物治疗津枯，岂不是反而助长邪气吗？适宜用六君子汤加减，兼有寒象、脉迟细者，加肉桂、附子；兼有热象、脉数滑者，加枳实、黄连；如果吞咽困难且声音出不来者，加五味子、竹茹；喉中感觉有一块异物，食物不下者，是痰气所致，加海浮石、诃子；膈间作痛，多是瘀血，加当归尾、桃仁、韭汁、童便，严重的加大黄轻微通便。《千金方》的五噎丸、五膈丸，也可以酌情选用。
按语：张石顽主张从冲脉上逆论治，确实是千古以来的真知灼见。也是从张仲景大半夏汤悟出的道理。但是他认为润下的药物反而会助长邪气，这是因为他看到患者涎沫较多，而拘泥于表面症状的陋习。冲脉的病，要从阳明经治疗。所以张仲景用半夏降冲脉之逆气，用白蜜润阳明之燥，加人参以生已经亡失的津液。张石顽的论述，得其一半而遗落了一半。大概人的胃中，堆积如膏脂般的物质，称为胃阴。如今因为冲气上逆，每天呕吐出粘涎，就是每天都在亡失胃阴，怎么能说滋润的药物应该摒弃呢！所以我不敢阿谀附和。
《人镜经》说：《内经》云：三阳结谓之膈。意思是足太阳膀胱经水道不行，手太阳小肠经津液枯涸，足阳明胃经燥粪结聚，所以饮食拒绝不入，即使进入太仓（胃），也会从喉咙吐出。人的肠胃一日一次排便，这是常度。现在膈食的人，五七日不便，陈旧之物不去，新物不纳，庸医强行分为五膈十噎，支派繁多，丧失了其实质，标本不明，因此用火里煨姜，汤中煮桂。胡椒未停，荜茇继之；丁香未停，豆蔻继之。虽然说是和胃，但胃本不虚；虽然说是温脾，但脾本不寒。这就是此病日益加重的原因。治法应当用三一承气汤分次轻微攻下，之后用芝麻饮饮用，陈腐去除而肠胃洁净，积块消散而营卫昌盛，饮食自然进补了。
按语：此法虽然偏颇，但对于百无一生的重症，急用时尚存希望，否则犹豫观望，有何益处。
反胃症，表现为早上吃的晚上吐，晚上吃的早上吐。初发患者尚可治疗。王冰说：食物不能入口，是有火；食物吃进去反而吐出来，是无火。遵循赵献可的法度，用六味丸治疗膈症，是壮水之主，以制阳光；用八味丸治疗反胃，是益火之源，以消阴翳。而依我个人的见解，食物吃进去反而吐出来，是脾失去了消化谷物能力，胃失去了容纳受纳能力，适宜用理中汤温脾，加麦芽以畅达一阳之气。与人参、白术消补并行，土木不相害，而脾能尽其所能。或者用吴茱萸汤温胃，借吴茱萸以镇纳厥阴之逆气，合人参、大枣、甘草甘温相济，震坤合德，而胃能尽其所能。如果还担心中土大寒，温补太慢，就用干姜、吴茱萸、附子、荜茇，制成蜜丸，使火力转化迅速；又担心燥热上僭，损伤上焦之气，就用沙参、白术、茯苓、麦芽、五谷虫、甘草、白蔻仁研为粉末，浓裹于外，又以朱砂六一散为衣，使温和的药物在外先行作用于脾胃，而辛热的药物由中焦直达命门，熟腐水谷。随后用八味丸收全功。如果病势热甚，仅仅缓服八味丸，未免过于迂阔了。（张石顽说：有阳虚不能统运导致呕逆便秘，用人参、大黄、附子攻之即通；瘀血在膈，阻滞气道而成者，用抵当丸做成芥子大小，吞服二钱。只要喝热汤及吃椒姜就打嗝的，是有瘀血。）
Headache with a hollow pain in the brain can be treated by using 3 qian (approx. 9g) of Chuanxiong Rhizoma (Chuanxiong) and Angelicae Sinensis Radix (Danggui), grinding them into powder together, and mixing evenly with one cow brain. Divide into three doses, taken with hot wine.
Drink until intoxicated and lie down; upon waking, the condition will resolve.
If various medicines for headache are ineffective, use one large Fuzii Preparata (Prepared Aconite Root) sliced, boiled with one sheng of Mung Bean (Ludou). (Modern usage: two bowls.) After boiling thoroughly, remove the Aconite, and consume only the mung beans and their juice; the condition will resolve.
Ginger Application Method (from *Zhongfutang*)
Treats headache caused by Wind-Cold invading the Taiyang channel, as well as unilateral headache.
Take three slices of Ginger Rhizome (Shengjiang), wrap them well in mulberry bark paper, moisten with water, and roast in hot ashes until warm. While still hot, apply one piece to Yintang (Ex-HN3) and one piece to each Taiyang (Ex-HN5) acupoint, securing them with a bandage. Immediate relief is expected.
Guizhi Shexiang Taiyang Plaster (from *Zhongfutang*)
Treats unilateral headache caused by Wind-Cold.
Cinnamon Twig Heart (Rouguixin, 1 fen), Moschus (Shexiang, 2 li), Realgar or Arsenic Trioxide (Renyan, 1 li, highly toxic, use with caution), Asarum Root (Xixin), Magnolia Flower (Xinyi, 5 li each), Pepper Fruit (Hujiao, 10 grains).
Grind all into powder, mix with jujube flesh to form pills the size of a pea. Place one pill in the center of the plaster and apply accurately to the Taiyang acupoint. Effect visible within one day. For young adults with excessive internal heat, after recovery, take Scutellaria Root (Huangqin) and Rhubarb (Dahuang) to purge fire, preventing recurrence.
Baizhi Xixin Nasal Snuff (from *Zhongfutang*)
Treats unilateral headache.
Angelica Dahurica Root (Baizhi), Asarum Root (Xixin), Gypsum Fibrosum (Shigao), Frankincense (Ruxiang, oil removed), Myrrh (Moyao, oil removed).
Grind equal amounts of these herbs into fine powder. Snuff into the nose: if left-sided pain, snuff into the right nostril; if right-sided pain, snuff into the left nostril.
Ge Syndrome refers to obstruction and blockage, inability to accept food. It is also called "Ge," indicating the disease location is between the chest and diaphragm. The Upper Jiao governs the upper opening of the stomach for reception; the Middle Jiao combines with the middle stomach for digestion and transformation; the Lower Jiao separates the small intestine for separating clear from turbid. This syndrome causes dysfunction of the Three Jiao, leading to a fatal prognosis. Zhu Danxi attributed it to dryness of the stomach wall, prescribing Siwu Tang (Four Substances Decoction) added with cattle/sheep milk, Bamboo Sap (Zhuli), and leek juice. Xue Ji attributed it to depression injuring the Liver, where Liver Wood overacts on Spleen Earth, prescribing Zuo Jin Wan, Xiaoyao San, Liujunzi Tang, Guipi Tang, Liuwei Wan, and Bawei Wan, administered intermittently based on symptoms. Yi Silan applied this method to treat Qi Ge, having patients swallow 100 Bawei Wan pills in the morning and Changwei Tang in the evening, to open the upper and nourish the lower, showing much efficacy. Zhao Xianke believed this disease mostly occurs in people over fifty, where Kidney Water is depleted, Yang Fire is excessive, scorching body fluids, causing Heat accumulation in the Three Yang channels, leading to constipation and urinary retention. Since the lower is blocked, Qi rebels upward, attacking the clear pathways and rushing to the Xi Men (Admission Gate). Large doses of Liuwei Wan decoction should be taken long-term to save one or two out of ten cases. However, in my observation, once Ge Syndrome is established, there is ultimately no cure.
Question: If there is no cure, must we simply watch them die?
Chen Xiuyuan replies: Even if medication is attempted, it is merely doing one's utmost. An old doctor in my hometown strictly used Cheng Shi's Qige Yin (Open the Diaphragm Decoction). Initially effective, it worsened the condition over time. However, for cases of Phlegm-Fire stagnation and Qi rebellion obstructing the upper burner, it can serve as a guide. *Yiren Pian* focuses on the Yangming channel, using Zuogui Yin added with Rehmannia Root (Shengdi) and Angelicae Sinensis Radix (Danggui), aiming to open the Ben Men (贲门, Cardia - allows food intake), You Men (幽门, Pylorus - allows urination), and Lan Men (阑门, Ileocecal valve - allows moist stool). The intent of these formulas imitates Zhang Zhongjing's Banxia Xiarou Tang (Pinellia Half-Sharing Decoction) using Ganlan Honey Water. They fail to realize that Zhang Zhongjing used Pinellia Tuber (Banxia) to regulate Yin and Yang, Ginseng Radix et Rhizoma (Renshen) to regenerate fluids, and Honey for moisture and circulation, thereby avoiding obstruction. Cheng Shi forbade Banxia due to its fluid-consuming nature, ignoring the subtle principles of Zhang Zhongjing's Maidong Tang and this formula!
Zhang Shiwang stated: Ancients attributed Yige (dysphagia/ge) to fluid dryness, so liquids pass but solids obstruct, indicating dryness in the Upper Jiao. I suspect this. If fluids were truly exhausted, why would saliva surge immediately after swallowing food? Thus, the failure of Qi communication between the esophagus and throat is due to rebellious Qi ascending from the Chong Mai (Penetrating Vessel). Because of Qi rebellion, fluids cannot stay in their normal descending position and surge upwards. Using descending/moistening agents for fluid dryness would only exacerbate the pathogen. One should modify Liujunzi Tang (Six Gentlemen Decoction): add Cinnamon Twig (Rougui) and Prepared Aconite Root (Fuzi) for Cold with slow/thready pulse; add Immature Bitter Orange (Zhishi) and Coptis Rhizome (Huanglian) for Heat with rapid/slippery pulse; add Schisandra Berry (Wuweizi) and Bamboo Leaf (Zhuru) if choking prevents voice production; add Floating Limestone (Haishi) and Chebula Fruit (Hezi) if a lump sensation blocks food (Phlegm-Qi); add Angelicae Sinensis Radix Tail (Guiwei), Peach Kernel (Taoren), Leek Juice, and Child's Urine (Tongbian) for stasis-related pain; add Rhubarb (Dahuang) mildly for severe cases. *Qianjin Fang*'s Wuye Wan and Wuge Wan may also be selected.
Commentary: Zhang Shiwang’s focus on Chong Mai rebellion is indeed profound insight, derived from Zhang Zhongjing’s Banxia Xiarou Tang. However, claiming moistening agents exacerbate the pathogen stems from observing excessive saliva and sticking to superficial symptoms. Treating Chong Mai issues involves the Yangming channel. Zhang Zhongjing used Pinellia to descend Chong Qi, White Honey to moisten Yangming Dryness, and Ginseng to regenerate lost fluids. Zhang Shiwang grasped half but missed half. The substance accumulating like fat in the stomach is called Stomach Yin. Due to Chong Qi rebellion, daily vomiting of sticky saliva means daily loss of Stomach Yin. How can one say moistening agents should be rejected? I dare not flatter others.
*Renjing Jing* states: *Neijing* says: "Three Yang knotting is called Ge." This means the Foot-Taiyang Bladder channel fails to move water passages, the Hand-Taiyang Small Intestine channel fluids are exhausted, and the Foot-Yangming Stomach channel has dry feces accumulation. Thus, food/drink is rejected; even if entering the Tai Cang (Stomach), it returns up the throat. Normal bowel movement is once daily. Now, Ge patients go 5-7 days without stool; old matter stays, new matter cannot enter. Quack doctors arbitrarily divide this into Five Ges and Ten Yes, creating branches and losing the essence, confusing root and branch. Therefore, they use ginger roasted in fire, cinnamon boiled in soup. Piper Longum Fruit (Bibo) follows Pepper; Amomum Fructus (Doukou) follows Clove; Clove follows Amomum. Though claiming to harmonize the Stomach, the Stomach is not deficient; though claiming to warm the Spleen, the Spleen is not cold. This is why the disease worsens. The method should use Sanyi Chengqi Tang (Three-One Purging Decoction) to gently purge in stages, followed by Sesame Drink. Once rotten matter is cleared and intestines purified, masses dissipate, and Ying-Wei flourish, diet naturally improves.
Commentary: Although this method is biased, for a fatal case, urgent use offers hope; otherwise, hesitation is useless.
Fanwei (Reverse Regurgitation) syndrome presents as eating in the morning and vomiting in the evening, or eating in the evening and vomiting in the morning. Early-stage patients are treatable. Wang Bing said: Food cannot enter indicates Fire; food enters and comes back out indicates lack of Fire. Following Zhao Xianke’s method, Liuwei Wan (Six-Ingredient Pill with Rehmannia) treats Ge syndrome by strengthening Water to control Fire; Bawei Wan (Eight-Ingredient Pill with Rehmannia) treats Fanwei by benefiting Fire source to eliminate Yin shadow. In my opinion, food entering and vomiting out indicates the Spleen has lost its ability to digest grain, and the Stomach has lost its capacity to receive. Use Lizhong Tang (Regulate the Middle Decoction) to warm the Spleen, adding Malta (Malt) to promote the rise of Yang Qi. Combined with Ginseng and Atractylodes Macrocephala Rhizome (Baizhu) for tonifying and draining, Wood and Earth do not harm each other, allowing the Spleen to function. Alternatively, use Wujiuyu Tang (Evodia Decoction) to warm the Stomach, using Evodia Fruit (Wuzhuyu) to anchor Jueyin rebellious Qi. Combined with Ginseng, Jujube, and Licorice for sweet-warm synergy, Zhen and Kun harmonize, allowing the Stomach to function. If concerned about extreme Cold in the Middle Burner and slow warming, make pills of Dried Ginger (Ganjiang), Evodia Fruit, Prepared Aconite Root, and Piper Longum Fruit with honey for rapid fire transformation. To prevent dry-heat from harassing the Upper Burner, coat these with powder of Glehnia Root (Shashen), Atractylodes Macrocephala Rhizome, Poria (Fuling), Malt, Silkworm (Wuguchong), Licorice, and White Cardamom Seed (Baokouren), using Cinnabar Liuyi San (Six-to-One Powder) as an outer coating. This allows mild medicine to act on the Earth element externally first, while pungent-hot medicine reaches the Mingmen (Gate of Life) via the Middle Burner to cook food. Finally, use Bawei Wan to complete the treatment. If the disease is very hot, merely taking Bawei Wan slowly is too sluggish. (Zhang Shiwang noted: Yang deficiency failing to control transport causing vomiting/constipation can be treated with Ginseng, Rhubarb, and Aconite to unblock; Blood stasis blocking airways in the diaphragm can be treated with Didang Wan pills the size of mustard seeds, 2 qian swallowed. Hiccups triggered by hot water or spicy foods indicate blood stasis.)