一方∶治嗝气,用大鲫鱼一尾,自死者可用,活者不用。割腹去肠杂留鳞,用大蒜去净
皮薄切片,填入鱼腹中,仍合定为一尾。用湿纸包定,以麻皮缚之,却用熟黄泥浓固干,以糠
火煨熟,取出去鳞刺骨,将肉入《局方》平胃散末,捣和为丸,梧桐子大,晒干收贮,勿今
泄气。每服三十丸,空心米饮下。
一方∶治胸中气噎,食不得下,喉中如有肉块。用昆布一两,洗去咸水,小麦二合、
水三盏煎熟,小麦烂去渣。不拘时每服一小盏,仍取净昆布不住口含之二三片,津咽下,有效。
一方∶治胸膈气滞,食噎不下,以手中布包杵头糠,时时拭齿,刮舂米杵头细糠煎汤呷
之亦可。
一方∶治男妇嗝噎极效。用鸡嗉子两个,带宿食,用纸裹,外用黄泥固济,炭火烧烟尽
为度,取出去泥,嗉子内宿食不可动。木香、丁香、沉香各一钱,共为细末,用大枣煮熟,
去皮核研和丸,梧桐子大。每服三十丸,米饮下。
一方∶用马瓠儿烧存性,陈米汤送下。(即野田瓜子,北方多有之。)
一方∶用吴茱萸、黄连、贝母、栝蒌子、牛转草作丸服。
一方∶黄连(三钱,姜汁炒)、山楂肉(二钱)、保和丸(二钱),同为末糊丸,麻
子大,胭脂胚为衣,人参汤入竹沥下五十丸。
一方∶用隔年炊饭干,不拘多少,以急流顺水煎煮,糜烂取浓汁,时时饮之。待能食后,
复用调脾胃之药。
《金匮玉函》方∶治噎心膈气滞,烦闷吐逆不下。芦根五两锉,水三盏煎二盏,不拘
时温服,时时服之尤效。
《外台秘要》方∶用羚羊角屑一味,不拘多少,为末,米饮调服方寸匕,以角磨水亦佳。
一方∶用白猪肚连食烘干为末,每服二三钱,酒调下。
一方∶治噎食,用丁香一钱,炼卤梅取肉,以下香末为膏,噙化愈。
一方∶治嗝气噎食服药无效,巧妇窠烧灰为末,每服三钱,酒调下。一窠可治一人,
甚验。
槿花散∶用千叶白槿花阴干为末,老米汤调送一钱,三五口不转,再将饮调药送之。
一方:治疗噎膈气逆,用大鲫鱼一条,可以是自然死亡的鱼,活鱼不用。剖开鱼腹,去除内脏和肠杂,保留鱼鳞,将大蒜去皮切成薄片,填入鱼腹中,再将鱼腹合拢固定成一条完整的鱼。用湿纸包裹严实,以麻绳捆绑牢固,再用熟黄泥厚厚地涂抹加固并晾干,用糠火煨烤至熟透,取出后去掉鱼鳞、刺和骨头,将鱼肉放入《局方》平胃散的药末中,捣碎混合制成丸剂,大小如梧桐子,晒干后收藏保存,不要让它漏气。每次服用三十丸,空腹时用米汤送服。
一方:治疗胸中气机阻塞,食物无法咽下,喉咙中感觉如有肉块堵塞。用昆布一两,洗净去除咸味,加小麦二合、水三盏煎煮至熟,待小麦煮烂后滤去药渣。不拘时间,每次服用一小盏,同时取干净的昆布两三片含在口中不停咀嚼,让津液慢慢咽下,此法有效。
一方:治疗胸膈气机阻滞,食物噎塞不下,用手中布包着舂米的杵头糠,时时擦拭牙齿,刮取舂米杵头上的细糠煎汤小口啜饮也可以。
一方:治疗男女噎膈极有效。用鸡嗉子两个,带有隔夜宿食,用纸包裹,外面用黄泥密封加固,用炭火烧至烟尽为止,取出后去掉泥土,嗉子内的宿食不可移动。木香、丁香、沉香各一钱,共同研成细末,用大枣煮熟,去皮核后研磨混合制成丸剂,大小如梧桐子。每次服用三十丸,米汤送服。
一方:用马瓠儿(即野田瓜子,北方多有生长)烧至存性,用陈米汤送服。
一方:黄连(三钱,姜汁炒制)、山楂肉(二钱)、保和丸(二钱),共同研成细末,用糊剂制成丸剂,大小如麻子,用胭脂胚做外衣,用人参汤加入竹沥送服五十丸。
一方:用隔年的干米饭,数量不限,用急流顺水煎煮,煮至糜烂后取浓汁,时时饮用。等到能够进食后,再使用调理脾胃的药物。
《金匮玉函》方:治疗噎膈心膈气机阻滞,烦闷呕吐逆气不下。芦根五两锉碎,加水三盏煎煮至二盏,不拘时间温服,时时服用尤其有效。
《外台秘要》方:用羚羊角屑一味,数量不限,研成细末,用米汤调服一方寸匕,用角磨成的水送服也很好。
一方:用白猪肚连同内容物烘干后研成细末,每次服用二三钱,酒调服。
一方:治疗噎食,用丁香一钱,炼卤梅取肉,以下香末制成膏状,噙化即可痊愈。
一方:治疗噎膈食积服药无效,用巧妇窠(一种昆虫巢穴)烧灰研成细末,每次服用三钱,酒调服。一个巢穴可治一人,非常灵验。
槿花散:用千叶白槿花阴干后研成细末,老米汤调送一钱,三五口不吞咽,再将饮品调药送服。
One prescription: For treating dysphagia and regurgitation (Ge Qi), use one large crucian carp; naturally dead fish may be used, but live fish are not. Cut open the abdomen, remove internal organs and entrails, retaining the scales. Peel garlic, slice it thinly, and stuff it into the fish's abdomen. Seal the fish back into its original shape. Wrap tightly in wet paper, bind securely with hemp rope, then coat thickly with cooked yellow mud to seal and dry. Roast slowly using bran fire until cooked. Remove scales, spines, and bones. Mix the meat with powder from Pingwei San (Calm the Stomach Powder) from *Ju Fang*, pound and mix to form pills the size of *Celastrus orbiculatus* seeds (Wutongzi). Dry in the sun for storage, ensuring no air leakage. Take 30 pills per dose, swallowed with rice water on an empty stomach.
One prescription: For treating chest qi obstruction (Xiong Zhige), where food cannot go down and a sensation of a meat block exists in the throat. Use 1 liang of Kelp (Kunbu), wash away the salty water. Add 2 he of wheat and 3 cups of water, decoct until cooked. When the wheat is soft, strain out the residue. At any time, take one small cup. Simultaneously, hold 2-3 pieces of clean Kelp in the mouth, chew continuously, and swallow with saliva. This method is effective.
One prescription: For treating chest and diaphragm qi stagnation (Xiong Ge Qi Zhi) with food sticking and inability to swallow. Wrap pestle-head bran (Chu Tou Kang) in cloth held in hand, wipe teeth frequently. Scrape fine bran from the rice pestle head, decoct in water, and sip slowly. This is also effective.
One prescription: Highly effective for both men and women suffering from severe dysphagia. Use two chicken gizzards containing overnight retained food. Wrap in paper, seal externally with yellow mud, and burn with charcoal until smoke ceases. Remove mud, do not disturb the retained food inside the gizzard. Mix 1 qian each of Aucklandia Root (Muxiang), Clove (Dingxiang), and Agarwood (Chenxiang) into fine powder. Cook large jujubes until soft, remove skin and pits, grind, and mix with the powder to form pills the size of *Celastrus orbiculatus* seeds. Take 30 pills per dose, swallowed with rice water.
One prescription: Burn *Lagenaria siceraria* var. *hispida* (Ma Hu'er / Wild Field Melon Seeds) until carbonized but retaining efficacy (Cun Xing). Send down with aged rice soup. (These are wild melon seeds, common in the North.)
One prescription: Form pills using Evodia Fruit (Wuzhuyu), Coptis Rhizome (Huanglian), Fritillaria Bulb (Beimu), Trichosanthes Seed (Gualouzi), and *Leonurus japonicus* (Niuzhuangcao). Take orally.
One prescription: Coptis Rhizome (Huanglian, 3 qian, stir-fried with ginger juice), Hawthorn Flesh (Shanzha Rou, 2 qian), and Baohe Wan (Harmonize the Stomach Pill, 2 qian). Grind together into fine powder, make pills with paste, size of sesame seeds. Coat with Carmine embryo (Yanzhi Pei). Take 50 pills, sent down with Ginseng Decoction added with Bamboo Sap (Zhuli).
One prescription: Use dried rice from the previous year, quantity unspecified. Decoct in rapid flowing water until mushy. Extract thick juice. Drink frequently. After appetite returns, use herbs to regulate the Spleen and Stomach.
Formula from *Jin Gui Yu Han*: For treating dysphagia, chest/diaphragm qi stagnation, irritability, fullness, vomiting, and inability to keep food down. Slice 5 liang of Reed Rhizome (Lugen). Add 3 cups of water, decoct to 2 cups. Take warm at any time. Frequent administration is especially effective.
Formula from *Wai Tai Mi Yao*: Use Antelope Horn Shavings (Lingyang Jiao Xie), quantity unspecified. Grind into powder. Mix with rice water and take one cun bi (a square-inch measure). Using water ground from the horn itself is also good.
One prescription: Dry a white pig's stomach with contents until dry, grind into powder. Take 2-3 qian per dose, mixed with wine.
One prescription: For treating dysphagia and food retention. Use 1 qian of Clove (Dingxiang). Take flesh from preserved plum (Lian Lu Mei). Mix with powder of "Xia Xiang" (likely a specific incense or herb, contextually unclear but kept as name) to form a paste. Hold in mouth to dissolve (Qin Hua) for cure.
One prescription: For dysphagia and food retention unresponsive to medication. Burn Qiaofu Ke (Nest of a specific insect/wasp) to ash, grind into powder. Take 3 qian per dose, mixed with wine. One nest treats one person; highly effective.
Jin Hua San (Hibiscus Flower Powder): Dry thousand-petaled white Hibiscus mutabilis flowers (Qian Ye Bai Jin Hua) in shade, grind into powder. Mix with old rice soup, take 1 qian. Swallow 3-5 mouthfuls without turning/swallowing immediately, then follow with drink to send down the medicine.