〔丹〕一男子年六十二岁，平居不能顿食，常喜频食。一日忽觉咽膈壅塞，大便结粪如羊矢，三四日一见，
走动倦乏，与补气药则作痛。医见食少，则与快肠胃消导之药。予脉之，两手俱见涩脉似真脏，喜其人形瘦而
色紫黑，病见乎冬，却有生意。遂于四物汤加白术、陈皮煎取浓汤，研桃仁十二粒，再煎沸饮之。多食诸般血
以助药力。三十帖而知，至五十帖而大便润，七十帖而食进，百帖而愈。
浦江男子年六十，自来好色虚甚，去秋患吐病，或有作时，或有止时，腹结微渴。
地黄（一钱） 人参（半钱） 白术（一钱） 黄芩（三分） 川芎（三分） 芍药（一钱） 当归 陈皮（各五
分）
枳壳（半分） 甘草（炙，二分） 木通（三分）
杨淳三哥，大便秘涩，咽塞不通，人参散主之。（方见大便秘门。）
〔洁〕浓朴丸治饮食噎塞。（方见翻胃。）
〔丹〕东阳王仲延，咽膈间常觉有物闷闷，每食物必屈曲自膈而下，且梗涩作微痛，食亦减，他无所苦。
予脉之，右甚涩而关甚沉，左却和。予曰∶污血在胃脘之口，气因而郁为痰，此必食物所致，明以告我。彼不
自觉。予又曰∶汝去冬好食何物为多？曰∶我每日必单饮点剁酒三两杯逼寒气。为制一方，用生韭汁半盏，令
细呷之，每服半盏，一日三次，尽韭二斤而安。
治膈噎。马剥儿，即王瓜，烧存性。每一钱，用枣肉平胃散二钱，温酒调服，食即可下。然后随病源调理，
神效。（枣肉平胃散方见《局方》。）
〔世〕治噎。鸡谷袋不问多少，不可失包内物一粒，用泥固济，火 存性。用姜汁炒香附每个入半两，香
附末神曲为丸，姜汤送下。
治气噎，不下饮食。
枇杷叶（去毛，炙） 青皮（去穣） 陈皮（去白）
上等分为末。每服二钱，水一盏，生姜五片．同煎至六七分，温服，不计时候。
治膈气噎不下饮食。用陈皮去白，不拘多少，用大蒜研细和丸，如绿豆大。每服二十丸至三十丸，温米饮
下，食后，日三服。
〔《金匮玉函》〕五噎心膈，气滞烦闷，吐逆，不下食，芦根五两锉，水三大盏，煮二盏，去渣温服。
〔罗〕汉防已散 治五噎。
汉防己（五钱） 官桂（一两） 细辛（七钱半） 陈皮（去白，一两） 羚羊角（末） 紫苏（各七钱半） 杏
仁（汤洗，去皮尖，一两）
上为细末。每服三钱，生姜三片，水煎，日二。
〔《本》〕治五种积气及五噎，胸膈不快，停痰宿饮，缠金丹。
丁香 木香 沉香 槟榔 官桂 胡椒 砂（研） 白丁香（各一钱） 白豆蔻 飞矾（各一钱，
研） 马兜铃 南星 五灵脂 栝蒌根 半夏（各半两） 朱砂（三钱，留半为衣）
上为细末，入二味研药和勺，生姜汁煮糊丸，如桐子大。每服三丸，生姜汤下，或干嚼萝卜汤下。
治气食忧劳思虑，五噎膈气丸。
麦门冬 甘草（各五钱） 人参（四钱） 桂心 细辛 川椒 远志（去心，炒。各三钱） 附子 干姜（各二钱）
上为末，炼蜜丸，如鸡豆大。绵裹二丸含化，食后日三、夜三服。胸中当热，七日愈。
治气食忧劳思虑，五噎膈气丸。
半夏 桔梗（各一两） 肉桂 枳壳（各两半）
上细末，姜汁面糊丸，如桐子大。姜汤下三十丸，食后临卧服。
〔无择〕《广五行记》永徽中有僧惟则，病噎不能食，谓诸弟子曰∶吾死后便可开吾胸喉，视有何物。自
经而卒。弟子果开视胸中，得一物形似鱼而有两头，遍体皆肉鳞。弟子置碗中，跳跃不止，戏以诸味，皆随化
尽。时夏中盛蓝作淀，适有一僧，以淀置器中，此虫遂绕器中走，须臾化为水。此乃虫瘕，非五噎比。后人因
以蓝治噎，误矣。
〔子和〕沈丘王宰妻，病胸膈不利，口流涎沫，自言咽下胃中常有雷声，心间时作微痛，又复发昏。胸乳
之间，灸瘢如棋。化痰利膈等药，服之三载，病亦依然。其家知戴人痰药不损，来求之。一涌而出雪白虫一条，
长五六寸，有口鼻牙齿，走于涎中。病者恶而断之，中有白发一茎。此正与徐文伯所吐宫人发瘕一同，虫
出立安。
运气 噎皆属燥。经云∶阳明司天之政，民病咳嗌塞。又云∶阳明之胜，内余嗌塞，胸中不便，嗌塞而咳。
又云∶阳明司天清复，内余噎塞者是也。
上按运气，皆以嗌塞生于燥。嗌塞者，噎病也。丹溪皆以噎病生于血槁，血槁则燥矣。得病情合经旨者，
丹溪一人也。
〔禹锡〕头垢治噎，酸浆水煎膏用之，立愈。
〔《圣》〕治膈气，咽喉噎塞，饮食不下。用碓觜上细糠，蜜丸如弹子大。不时含一丸，咽津下。
〔孙〕治噎欲发时，衔鸬 鸟嘴遂下。《外台秘要》同。
〔《圣》〕治噎病。用野狼结喉骨曝干，杵末，入半钱于饭、饮内食之，妙。
〔《摘》〕五噎。吞酸多唾，呕吐不止∶天突（五分，留三呼，得气即泻三吸）。通关（在中脘旁各五分，
针入八分，左捻能进饮食，右捻能和脾胃。许氏云∶此穴一针四效，凡下针后，良久觉脾磨食、觉针动为一效。
次针破病根，腹中作声为二效。次觉流入膀胱为三效。又次觉气流行腰后骨空间为四效。）
〔《撮》〕治五噎∶ 中 中魁（中指大三节尖灸之，以口吹火灭。）
〔甄权〕噎塞膈气∶通谷
〔《明堂》〕五噎分治∶气噎， 中。忧噎，心 （灸。）食噎，乳根（乳左下一寸八分，灸。）劳噎，鬲 （灸）。
思噎，天府（灸）。
〔《集》〕五噎∶劳宫、中魁、中脘、三里、太阴、支沟、上脘（不已，再取后穴∶） 中、太白、下脘、右关、
脾、胃 。
〔仲〕寸口脉浮大，医反下之，此为大逆。浮即无血，大即为寒，寒气相搏，即为肠鸣。医不知，而反与
饮水，令汗大出，水得寒气，冷必相搏，其人即 。
〔《脉》〕寸口脉紧而芤 紧则为寒，芤则为虚，虚寒相搏，脉为阴结而迟，其人则噎。
【朱丹溪医案】一位六十二岁的男子，平时不能一次性吃饱，经常喜欢少食多餐。一天突然觉得咽喉和胸膈部壅塞不通，大便干结如羊屎状，三四天排便一次，走动时感到疲倦乏力，服用补气药则会引起疼痛。医生见其进食少，便给予促进肠胃消化、消导积滞的药物。我诊察其脉象，两手均出现涩脉，类似真脏脉（无胃气的脉象），但喜欢他形体消瘦而面色紫黑，病症在冬季显现，却仍有生机。于是用四物汤（补血调血的基础方）加入白术、陈皮煎取浓汤，将十二粒桃仁研碎，再次煮沸后饮用。多吃各种血类食物以辅助药力。服用三十剂后病情好转，五十剂后大便变润，七十剂后食欲增加，一百剂后痊愈。
浦江有一位六十岁的男子，向来好色导致身体极度虚弱，去年秋天患呕吐病，有时发作，有时停止，腹部有结滞感且轻微口渴。
处方：地黄（一钱）、人参（半钱）、白术（一钱）、黄芩（三分）、川芎（三分）、芍药（一钱）、当归、陈皮（各五分）、枳壳（半分）、甘草（炙，二分）、木通（三分）。
杨淳的三哥，大便秘结涩滞，咽喉堵塞不通，用人参散主治。（方剂详见“大便秘”章节。）
【朱丹溪医案】东阳人王仲延，常觉得咽喉和胸膈间有物体闷堵，每次进食必须经过曲折才能从膈下进入，且梗涩伴有轻微疼痛，食量减少，没有其他不适。我诊察其脉象，右脉甚涩且关脉甚沉，左脉却平和。我说：“这是瘀血停留在胃脘入口处，气机因此郁结化为痰，这一定是由食物引起的，请明确告诉我。”他自己并未察觉。我又问：“你去年冬天最喜欢吃什么？”他说：“我每天必喝三两杯剁酒以驱寒气。”于是为他配制一方，使用生韭菜汁半盏，让他细细呷服，每服半盏，一日三次，吃完两斤韭菜后病愈。
治疗膈噎。马剥儿（即王瓜），烧至存性。每一钱，配合枣肉平胃散二钱，用温酒调服，食物即可咽下。然后根据病因调理，效果神奇。（枣肉平胃散方见《太平惠民和剂局方》。）
【世传方】治疗噎。鸡内金（鸡胗内膜）不论多少，不可丢失包裹内的任何一粒，用泥封固，火煅存性。用姜汁炒香附每个入半两，将香附末与神曲混合制成丸剂，姜汤送服。
治疗气噎，无法进食饮水。
处方：枇杷叶（去毛，炙）、青皮（去瓤）、陈皮（去白）。
上等分研为细末。每服二钱，水一盏，生姜五片，同煎至六七分，温服，不限时候。
治疗膈气噎，无法进食饮水。用陈皮去白，不拘多少，用大蒜研细和丸，如绿豆大小。每服二十至三十丸，温米饮送下，饭后服用，每日三次。
【《金匮玉函经》】治疗五噎心膈，气滞烦闷，吐逆，不下食。芦根五两锉碎，水三大盏，煮取二盏，去渣温服。
【罗天益】汉防己散治疗五噎。
处方：汉防己（五钱）、官桂（一两）、细辛（七钱半）、陈皮（去白，一两）、羚羊角（末）、紫苏（各七钱半）、杏仁（汤洗，去皮尖，一两）。
上为细末。每服三钱，生姜三片，水煎，每日两次。
【《本草》】治疗五种积气及五噎，胸膈不快，停痰宿饮，缠金丹。
处方：丁香、木香、沉香、槟榔、官桂、胡椒、砂（研）、白丁香（各一钱）、白豆蔻、飞矾（各一钱，研）、马兜铃、南星、五灵脂、栝蒌根、半夏（各半两）、朱砂（三钱，留半为衣）。
上为细末，将两种研药混合，用生姜汁煮糊丸，如梧桐子大。每服三丸，生姜汤送下，或干嚼萝卜汤送下。
治疗因气、食、忧、劳、思虑导致的五噎膈气丸。
处方：麦门冬、甘草（各五钱）、人参（四钱）、桂心、细辛、川椒、远志（去心，炒，各三钱）、附子、干姜（各二钱）。
上为末，炼蜜丸，如鸡豆大。绵裹二丸含化，食后每日三次，睡前三次服用。胸中应感到发热，七日痊愈。
治疗因气、食、忧、劳、思虑导致的五噎膈气丸。
处方：半夏、桔梗（各一两）、肉桂、枳壳（各两半）。
上细末，姜汁面糊丸，如梧桐子大。姜汤送下三十丸，食后临卧服用。
【无择】《广五行记》记载，永徽年间有位僧人惟则，患噎病不能进食，对弟子们说：“我死后可以打开我的胸喉，看看里面有什么东西。”随后自缢而死。弟子果然打开查看胸中，得到一个形状像鱼而有双头的物体，全身都是肉鳞。弟子将其放在碗中，它不停跳跃，戏弄它以各种味道，都随之化解消失。当时盛夏盛产蓝草制作靛蓝，恰好有一位僧人将靛蓝放入容器中，这只虫子便在容器周围游走，片刻后化为水。这是虫瘕（寄生虫积聚成的块状物），不是五噎可比拟的。后人因此用蓝草治疗噎病，是错误的。
【张子和医案】沈丘县令王宰的妻子，患胸膈不利，口流涎沫，自称咽下胃中常有雷声，心间时常微痛，又复发昏。胸乳之间，灸疮疤痕如棋子般密集。服用化痰利膈等药物，三年之久，病情依旧。其家人知道戴人（张子和号）的化痰药不伤正气，便来求治。一涌吐而出一条雪白的虫子，长五六寸，有口鼻牙齿，在涎液中爬行。病人厌恶并切断它，中间有一根白发。这与徐文伯所吐出的宫女发瘕完全相同，虫出后立即安宁。
运气学说 噎病皆属于燥。经文说：“阳明司天之政，百姓病咳嗌塞。”又说：“阳明之胜，体内有余嗌塞，胸中不便，嗌塞而咳。”又说：“阳明司天清复，体内有余噎塞的情况就是如此。”
以上根据运气学说分析，都认为嗌塞生于燥。嗌塞，就是噎病。丹溪都认为噎病生于血枯，血枯则燥。符合经旨且契合病情的，只有丹溪一人。
【《圣济总录》】治疗膈气，咽喉噎塞，饮食不下。用碓嘴上的细糠，蜜丸如弹子大。不时含服一丸，咽津送下。
【孙思邈】治疗噎病欲发时，衔鸬鹚鸟嘴随即咽下。《外台秘要》观点相同。
【《圣济总录》】治疗噎病。用野狼结喉骨晒干，杵成粉末，取半钱混入饭、饮中食用，效果奇妙。
【《针灸资生经》】五噎。吞酸多唾，呕吐不止：天突穴（五分，留针三呼，得气即泻三吸）。通关穴（在中脘旁各五分，针入八分，向左捻转能促进饮食，向右捻转能调和脾胃。许氏说：此穴一针四效，凡下针后，良久感觉脾磨食、感觉针动为一效。其次针破病根，腹中作声为二效。其次感觉流入膀胱为三效。又次感觉气流行于腰后骨空间为四效。）
【《医学入门》】治疗五噎：中魁穴（中指第三关节尖端灸之，用口吹灭火焰。）
【《明堂》】五噎分治：气噎，中脘穴。忧噎，心俞穴（灸。）食噎，乳根穴（乳头下一寸八分，灸。）劳噎，膈俞穴（灸）。思噎，天府穴（灸）。
【《针灸聚英》】五噎：劳宫、中魁、中脘、三里、太阴、支沟、上脘（如果不愈，再取后穴：）中、太白、下脘、右关、脾俞、胃俞。
【张仲景】寸口脉浮大，医生反而用下法，这是大逆。浮即无血，大即为寒，寒气相搏，即为肠鸣。医生不知道，反而给饮水，令汗大出，水得寒气，冷必相搏，其人即产生痞证（此处原文可能有缺字，通常指痞或结胸等，依语境推测为寒水互结之证）。
[Case by Zhu Danxi] A sixty-two-year-old man, who usually could not eat a full meal at once, often preferred frequent small meals. One day, he suddenly felt a blockage in the throat and chest diaphragm, with dry stools resembling sheep dung, defecating only once every three to four days. He felt fatigued when walking, and taking Qi-tonifying herbs caused pain. Seeing his poor appetite, the physician prescribed herbs to promote gastrointestinal digestion and resolve stagnation. Upon palpating his pulse, I found both hands exhibiting a choppy pulse (Se Mai), resembling a true organ pulse (Zhen Zang Mai - a pulse indicating loss of stomach Qi). However, I noted that he was thin with a purplish-black complexion, the disease manifested in winter yet showed signs of vitality. Thus, I used Siwu Tang (Four Substances Decoction) added with Baizhu (Atractylodis Rhizoma) and Chenpi (Citri Reticulatae Pericarpium), decocted to obtain a concentrated liquid. Twelve Tao Ren (Persicae Semen) kernels were ground and added back to boil before drinking. He was advised to consume various blood-based foods to assist the medicinal power. After thirty doses, symptoms improved; after fifty doses, bowel movements became moist; after seventy doses, appetite increased; and after one hundred doses, he recovered.
A sixty-year-old man from Pujiang, who had always indulged in sexual activity leading to extreme deficiency, suffered from vomiting last autumn. The condition came and went intermittently, accompanied by abdominal stagnation and slight thirst.
Prescription: Dihuang (Rehmanniae Radix, 1 qian), Renshen (Ginseng Radix, 0.5 qian), Baizhu (Atractylodis Rhizoma, 1 qian), Huangqin (Scutellariae Radix, 0.3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.3 qian), Shaoyao (Paeoniae Radix, 1 qian), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium, each 0.5 fen), Zhike (Aurantii Fructus Immaturus, 0.5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.2 fen), Mutong (Akebiae Caulis, 0.3 fen).
Yang Chun's third brother suffered from constipation and dryness, with a blocked throat. He was treated with Renshen San (Ginseng Powder). (Formula see section on Constipation.)
[Li Dongyuan] Nongpo Wan (Magnolia Bark Pill) treats food dysphagia. (Formula see section on Fanwei/Regurgitation.)
[Case by Zhu Danxi] Wang Zhongyan from Dongyang often felt a sense of oppression in the throat and diaphragm. Every time he ate, food had to pass through a tortuous path below the diaphragm, causing slight pain and reduced intake, with no other discomfort. Palpating his pulse, I found the right hand very choppy and the Guan position very deep, while the left hand was harmonious. I said, "This is stagnant blood lodged at the entrance of the stomach, causing Qi stagnation and transformation into phlegm. This must be caused by food. Please tell me clearly." He was unaware. I asked again, "What did you eat most of last winter?" He replied, "I drank three or two cups of chopped wine daily to drive out cold qi." So I formulated a prescription using half a zhan of fresh Chinese chive juice, instructing him to sip it slowly, half a zhan per dose, three times a day. After consuming two jin of chives, he recovered.
Treatment for Ge Ye (Diaphragmatic Dysphagia). Ma Bo Er (Guarea thompsonii fruit, also known as Wang Gua), calcined until carbonized. One qian mixed with Er Rou Pingwei San (Jujube Flesh and Stomach-Ping Powder, 2 qian), taken with warm wine, allowing food to go down easily. Then regulate according to the disease source for miraculous effect. (Er Rou Pingwei San formula see *Ju Fang*).
[Popular Prescription] Treatment for Ye. Ji Nei Jin (Galli Gigerii Endothelium Corneum), regardless of quantity, ensuring no particle is lost inside the wrapping. Seal with mud and calcine. Stir-fry Xiangfu (Cyperi Rhizoma) with ginger juice, adding half a liang per piece. Mix Xiangfu powder with Shenqu (Medicated Leaven) to make pills, taken with ginger soup.
Treatment for Qi Ye (Qi-type Dysphagia), inability to eat or drink.
Prescription: Pipa Ye (Loquat Leaf, de-haired, roasted), Qingpi (Tangerine Peel, pith removed), Chenpi (Tangerine Peel, white part removed).
Grind equal parts into fine powder. Take 2 qian per dose with one cup of water and five slices of ginger, decoct to 60-70%, take warm, anytime.
Treatment for Ge Qi Ye (Diaphragmatic Qi Dysphagia), inability to eat or drink. Use Chenpi (white part removed), any amount, mix with finely crushed garlic to make pills the size of mung beans. Take 20-30 pills per dose with warm rice wash, after meals, three times daily.
[*Jin Gui Yu Han Jing*] Treats Wu Ye (Five Types of Dysphagia) with chest/diaphragm Qi stagnation, irritability, retching, and inability to eat. Lu Gen (Imperatae Rhizoma, 5 liang) cut up, decocted in three large cups of water to two cups, strain and take warm.
[Luo Tianyi] Han Fang Ji San (Stephania Tetrandra Powder) treats Wu Ye.
Prescription: Han Fangji (Stephaniae Tetrandrae Radix, 5 qian), Guanzi Gui (Cinnamomi Cortex, 1 liang), Xixin (Asari Radix et Rhizoma, 7.5 qian), Chenpi (Citri Reticulatae Pericarpium, white part removed, 1 liang), Lingyang Jiao (Saigae Tataricae Cornu, powdered), Zisu (Perillae Folium, each 7.5 qian), Xingren (Armeniacae Semen Amarum, washed in hot water, skin and tip removed, 1 liang).
Grind into fine powder. Take 3 qian per dose with three slices of ginger, decocted in water, twice daily.
[*Ben Cao*] Treats five types of accumulated Qi and Wu Ye, chest/diaphragm discomfort, retained phlegm and old fluid retention. Chan Jin Dan (Entangled Golden Pill).
Prescription: Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), Binglang (Arecae Semen), Guanzi Gui (Cinnamomi Cortex), Hujiao (Piperis Longi Fructus), Sha (Borneolum Syntheticum, ground), Baidingxiang (Vermisapis Faeces, each 1 qian), Bairdoukou (Cardamomi Fructus), Feifan (Alumen, each 1 qian, ground), Madouling (Aristolochiae Radix), Nanxing (Arisaematis Rhizoma), Wulingzhi (Trogopterori Faeces), Gualougen (Trichosanthis Radix), Banxia (Pinelliae Rhizoma, each half liang), Zhusha (Cinnabaris, 3 qian, half reserved for coating).
Grind into fine powder, mix the two ground ingredients, use ginger juice to make paste pills the size of paulownia seeds. Take 3 pills per dose with ginger soup, or chew dry with radish soup.
Treatment for Wu Ye Ge Qi (Five Types of Dysphagia and Diaphragmatic Qi) caused by Qi, Food, Worry, Labor, and Overthinking.
Prescription: Maimendong (Ophiopogonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 5 qian), Renshen (Ginseng Radix, 4 qian), Guixin (Cinnamomi Ramulus), Xixin (Asari Radix et Rhizoma), Chuanjiao (Zanthoxyli Pericarpium), Yuanzhi (Polygalae Radix, heart removed, roasted, each 3 qian), Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma, each 2 qian).
Grind into powder, refine honey to make pills the size of chicken beans. Wrap two pills in silk and let dissolve in mouth. Take three times after meals and three times before bed. Chest should feel warm; cured in seven days.
Treatment for Wu Ye Ge Qi (Five Types of Dysphagia and Diaphragmatic Qi) caused by Qi, Food, Worry, Labor, and Overthinking.
Prescription: Banxia (Pinelliae Rhizoma), Jiegeng (Platycodonis Radix, each 1 liang), Rougui (Cinnamomi Cortex), Zhike (Aurantii Fructus Immaturus, each half liang).
Grind into fine powder, use ginger juice and flour paste to make pills the size of paulownia seeds. Take 30 pills with ginger soup, after meals and before bed.
[Wuze] *Guang Wu Xing Ji* records that during the Yonghui era, a monk named Weize suffered from dysphagia and could not eat. He told his disciples, "After my death, open my chest and throat to see what is there." He then hanged himself. The disciples indeed opened his chest and found an object resembling a fish with two heads, covered entirely in fleshy scales. Placed in a bowl, it jumped incessantly. When offered various flavors, it dissolved. In midsummer, when indigo was being made, a monk placed indigo dye in a vessel. The worm ran around the vessel and soon turned into water. This was a Chong Xia (Parasitic Mass), not comparable to Wu Ye. Later people mistakenly used indigo to treat dysphagia based on this.
[Case by Zhang Hezi] The wife of Wang Zai, magistrate of Shenqiu, suffered from chest/diaphragm obstruction, salivation, claiming thunderous sounds in the stomach upon swallowing, occasional mild heart pain, and fainting. Her chest and breasts were marked with moxibustion scars like chess pieces. She took phlegm-resolving and diaphragm-clearing medicines for three years with no improvement. Her family knew that Dai Ren's (Zhang Hezi's courtesy name) phlegm medicines did not harm the healthy Qi, so they sought his help. He induced vomiting, expelling a snow-white worm, five to six cun long, with mouth, nose, and teeth, crawling in the saliva. The patient disgustedly cut it, finding a single white hair inside. This was exactly like the Hair Xia (Hair Mass) vomited by Xu Wenbo from a palace maid. Once the worm was expelled, she was immediately at peace.
Physiological Factors (Yunqi) All cases of Ye belong to Dryness. The classics state: "When Yangming governs the heaven, the people suffer from cough and throat obstruction." Again: "When Yangming prevails, there is excess internal throat obstruction, chest discomfort, throat obstruction with cough." Again: "When Yangming governs the heaven and clarity returns, internal excess causes throat obstruction."
Based on the above analysis of physiological factors, all throat obstructions arise from Dryness. Throat obstruction is Ye disease. Danxi believed all Ye diseases arose from Blood Desiccation; desiccated blood leads to dryness. Among them, only Danxi matched the classic principles with the actual condition.
[Yuxi] Head scurf treats Ye disease. Decoct in sour spring water to make a paste, apply/use for immediate cure.
[*Sheng Ji Zong Lu*] Treats Ge Qi, throat obstruction, inability to eat or drink. Use fine bran from the pestle head, make honey pills the size of bullet shots. Hold one pill in mouth occasionally, swallow saliva to guide it down.
[Sun Simiao] When Ye disease is about to onset, hold an cormorant's beak in the mouth, then swallow. Same view in *Waitai Miyao*.
[*Sheng Ji Zong Lu*] Treats Ye disease. Sun-dry the laryngeal bone of a wild wolf, grind to powder. Take half a qian mixed with rice or drink, excellent effect.
[*Zisheng Jing*] Wu Ye. Acid regurgitation with excessive saliva, continuous vomiting: Tiantu (ST22, insert 0.5 cun, retain needle for three breaths, upon obtaining De Qi, reduce needle for three breaths). Tongguan (0.5 cun lateral to Zhongwan, insert 0.8 cun. Twisting left promotes eating; twisting right harmonizes spleen and stomach. Xu says: This point has four effects from one insertion. First, after some time, feeling the spleen grinding food and feeling the needle move. Second, piercing the root of the disease, hearing sounds in the abdomen. Third, feeling flow into the bladder. Fourth, feeling Qi circulate in the space behind the lumbar bones.)
[*Yixue Rumeng*] Treats Wu Ye: Zhongkui (Moxibustion on the tip of the third joint of the middle finger, extinguish fire by blowing.)
[Zhen Quan] Ye Se Ge Qi: Tonggu (KI10).
[*Mingtang*] Differentiated treatment for Wu Ye: Qi Ye, Zhongwan (CV12). You Ye, Xinshu (BL15, moxa). Shi Ye, Rugen (ST18, 1.8 cun below nipple, moxa). Lao Ye, Ge Shu (BL17, moxa). Si Ye, Tianfu (LU3, moxa).
[*Zhenjiu Ju Ying*] Wu Ye: Laogong (PC8), Zhongkui, Zhongwan (CV12), Sanli (ST36), Taiyin (SP6?), Zhigou (SJ6), Shangwan (CV13). If not cured, take subsequent points: Zhong, Taibai (SP3), Xiawan (CV10), Youguan, Pishu (BL20), Weishu (BL21).
[Zhang Zhongjing] Cun Kou pulse floating and large. If the physician incorrectly uses purgation, this is a great error. Floating indicates lack of blood; large indicates cold. Cold Qi combats, resulting in borborygmus. The physician, unaware, gives water, causing profuse sweating. Water meets cold Qi, cold combats, resulting in Pi syndrome (fullness/stagnation).
[*Mai Jing*] Cun Kou pulse tight and hollow. Tight indicates cold; hollow indicates deficiency. Deficiency and cold combat, the pulse becomes Yin knot and slow, the person suffers from Ye.