（附翻胃）
噎膈症其因有三∶一曰忧思气结，二曰含怒不舒，三曰好酒伤胃。夫忧思不解，则心气
结，
心系通咽，结则郁火上凌清道，痰涎缠扰。初则咽物不利，久则噎症成矣，即张鸡峰所谓神
思间病也。治法先宜开解病患，后用舒心气，清郁火，消痰涎，利咽喉之药，早治多愈，重
则粪如羊矢，则无救矣。凡人怒必有火，喧嚷呵 ，怒火即泄，当时平复，亦无所伤。其有
含怒不发，肝气久郁成火，轻则胃痛，肝火凌胃；重则胃伤，失通降之权。阳明以通为补，
以降为顺，病则不通不降，食物入胃，逗留不化膈病成矣。治法亦先宜开解病患，后用舒肝
通腑消痰利气之药，轻则易治，重则难愈。好酒之人，日事沉湎，谷食少而胃失养；胃虚欠
运，渐生湿热，上蒸会厌，中滞胃脘，多成噎膈。盖噎在上而膈在中，噎未必即膈，膈则必
并噎，噎轻而膈重也。治法先宜劝其节饮，即以扶胃利湿，清火消痰之药治之，早治十愈八
九。翻胃者，朝食暮吐，暮食朝吐，多有劳心劳力，忧愁不解，饥饱不调，日久胃伤而成。
治法补胃为君，并通腑降气之药，亦可十愈八九。噎膈症至后食物下幽门，谓之下口，入大
肠无几，并有燥火 炼，故大便每如羊粪者，病已八九分，治疗为难。更有肾病阻隔幽门，
（肾为胃之关。）纳食不下者，用六味八味等汤治之，不可不知。
（附翻胃）
噎膈病的成因主要有三种：一是忧思导致气机郁结，二是愤怒情绪无法舒展，三是嗜酒损伤胃腑。如果忧思不能化解，心气就会郁结；因为心系连接咽喉，气结则郁火向上侵犯清窍，痰涎随之缠扰。起初表现为吞咽食物不顺畅，时间久了就形成了噎症，这就是张鸡峰所说的“神思间病”（精神情志方面的疾病）。治疗方法应先开导解开心结，然后再使用疏舒心气、清除郁火、消除痰涎、利咽的药物，早期治疗大多能痊愈；如果病情严重到粪便像羊屎一样干硬，就无法救治了。凡是人生气必然产生火气，大声喧哗呵斥时，怒火随之发泄出来，当时就能平复，身体也不会受到损伤。那些含怒不发的人，肝气长期郁结化火，轻则引起胃痛，是肝火侵犯胃腑；重则损伤胃腑，失去通降的功能。阳明胃经以通畅为补益，以下降为顺遂，生病时就不通不降，食物进入胃中，停留不消化，膈病就形成了。治疗方法也是先要开导解开心结，然后再使用疏肝、通腑、消痰、理气的药物，轻症容易治疗，重症难以痊愈。喜欢喝酒的人，每天沉溺其中，谷物饮食摄入少而胃失滋养；胃虚运化无力，逐渐产生湿热，向上蒸腾至会厌，中部阻滞于胃脘，多形成噎膈。大概噎症部位在上，膈症部位在中，噎症不一定就是膈症，但膈症必定兼有噎症，噎症较轻而膈症较重。治疗方法应先劝其节制饮酒，再用扶助胃气、利湿、清火、消痰的药物进行治疗，早期治疗十人可愈八九人。翻胃病，早上吃的晚上吐出来，晚上吃的早上吐出来，多因劳心劳力、忧愁不解、饥饱不调，日久损伤胃腑而形成。治疗方法以补胃为主，配合通腑降气的药物，也可以十愈八九。噎膈病到了后期，食物下到幽门（称为下口），进入大肠无几，并有燥火煎熬，所以大便常常像羊粪一样，说明病已到了八九分严重程度，治疗非常困难。更有肾病阻隔幽门的情况（肾是胃的关隘），导致进食不下，用六味地黄汤、八味丸等方剂治疗，这一点不可不知道。
(Attached: Fanwei / Regurgitation)
The etiology of Yige (Dysphagia and Food Impaction) involves three main factors: one is Qi stagnation due to worry and overthinking; two is the inability to vent anger; three is damage to the Stomach from excessive alcohol consumption. If worry and overthinking remain unresolved, Heart Qi becomes knotted. Since the Heart System connects to the pharynx, knotting leads to stagnant fire harassing the clear orifices and phlegm-fluids entangling them. Initially, there is difficulty swallowing food; after a long time, Yige syndrome develops. This is what Zhang Jifeng referred to as a "disease between spirit and thought" (a disorder related to mental and emotional states). The treatment method should first focus on counseling and resolving the patient's psychological burden, followed by using herbs to soothe Heart Qi, clear stagnant fire, eliminate phlegm-fluids, and benefit the throat. Early treatment often results in recovery; if the condition progresses to the point where feces resemble sheep droppings, it is incurable. Generally, anger generates Fire. When one shouts or scolds loudly, the angry Fire is vented out, allowing the body to return to equilibrium without injury. However, those who suppress their anger experience Liver Qi stagnating for a long time, transforming into Fire. Mildly, this causes Stomach pain due to Liver Fire invading the Stomach; severely, it damages the Stomach, causing a loss of its descending function. The Yangming Stomach channel regards unobstructed flow as tonification and descending movement as smoothness. When diseased, it fails to be unobstructed or descend; food entering the Stomach remains stagnant and undigested, leading to Ge disease. The treatment method similarly requires first resolving the patient's psychological burden, followed by using herbs to soothe the Liver, unblock the Fu organs, eliminate phlegm, and regulate Qi. Mild cases are easy to treat, while severe cases are difficult to cure. People fond of wine indulge daily, consuming little grain food, leading to a lack of nourishment for the Stomach. With Stomach deficiency and poor transport, damp-heat gradually arises, steaming upward to the epiglottis and stagnating in the middle Jiao (Stomach region), often resulting in Yige. Generally, Yige is located superiorly, while Ge is located centrally. Yige does not necessarily imply Ge, but Ge always accompanies Yige; Yige is mild, whereas Ge is severe. The treatment method should first advise moderation in drinking, then use herbs to support the Stomach, promote diuresis to remove dampness, clear Fire, and eliminate phlegm. Early treatment yields cures in eight or nine out of ten cases. Fanwei (Regurgitation) is characterized by eating in the morning and vomiting in the evening, or eating in the evening and vomiting in the morning. It often results from mental and physical exhaustion, unresolved sorrow, irregular meals, and long-term damage to the Stomach. The treatment principle prioritizes tonifying the Stomach, combined with herbs that unblock the Fu organs and direct Qi downward, also achieving cures in eight or nine out of ten cases. In advanced stages of Yige, when food reaches the pylorus (referred to as the lower opening) and enters the Large Intestine only slightly, and is subjected to dry-Fire cauterization, the stool often resembles sheep droppings. This indicates the disease has reached 80-90% severity, making treatment difficult. Furthermore, Kidney disease may obstruct the pylorus (as the Kidney serves as the gate of the Stomach), preventing food intake. In such cases, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) or Bawei Wan (Eight-Ingredient Pill) decoctions should be used; this knowledge is indispensable.