治喉痹，就令患人将手大拇指第二节屈蜷，急令张口，勤勤坚咬，其气通畅，血丝自
散，肿亦消矣。
陈无择云∶治哽之法，皆以类从，如颅 豺獭治鱼骨哽，磁石治针铁哽，发灰治发
哽，狸虎治诸骨哽，亦各从其类也。
凡物哽者，盖以食入喉而物不顺，致物刺住而不能下，推之以理，反而上出则为顺
焉。为治者，即当涌吐，乘其饮食之出而上送，此其顺而易为，如拔刺之法也。若刺之
深者，必欲推下，非惟理势不能延迟，日久则咽
喉渐肿，其刺愈深，腹中饮食消尽，虽欲涌吐而无推送之物矣，欲食而不能下。如此因
循，多致不救。
一方∶治骨哽不得出，砂仁、甘草为末，绵裹含，徐徐咽津，久随痰出。
《古今秘验》方∶治骨哽横喉中六七日不出，取鲤鱼鳞皮烧为末，以水调之，即
出。末出，再服。
一方∶治鱼骨哽，小嚼韭白令柔，以细绳系，口中吞韭到哽处，引之，哽骨即
随出，验。
一方∶治鱼骨哽，用水一盏，自默从左眼睛于水中书龙字服之，不过二盏，则下。
小儿遇哽，大人如前书水中服之妙。
一方∶用山栗红果，独根向下者取来，与玉簪花根同捣自然汁，用竹管灌入喉中，
不可着牙，着牙则牙化。
（山栗果则山楂是也。）
一方∶误食鱼骨，久而不出，以皂角末吹入鼻中，得嚏而哽出。
陈氏方∶治鸡骨哽，以鸡汁化哽药下，或食饧糖一大块，满吞下。
又方∶用狸骨烧灰，调下少许，效。
一方∶治鱼刺哽，用獭爪爬喉咙下，其骨自下。或用獭骨含口中即下。有用金凤
花子嚼烂噙下，无子用根，捣烂绞汁下。
一法∶用鱼骨顶在头上，咳声则出。又法，用本鱼骨，左右手反复掷背后，立出。
《外台秘要》∶治鱼骨哽，口念鸬 七遍，用水嗌下。
又方∶用萱草根捣取汁吞之，立下。
又方∶用蔷薇根为末，水调方寸匕。
又方∶治诸骨哽，以野苎根捣烂如泥，用龙眼肉大化下。如被鸡骨哽者，以鸡羹
化下，如鱼骨哽者，以鱼羹
化下。
又方∶用楮实子捣汁服。
《衍义》方∶治鱼骨哽，用橄榄，味涩，食久味甘，嚼汁咽下。
《斗门方》∶治骨哽，用鹿角为末，含咽津下。
又方∶治发哽，用旧木梳烧灰，酒调下。
丹溪方∶食鱼骨下肚内刺痛，煎吴茱萸汤一盏饮之，骨软而出。或用好米醋饮
半盏，亦软而痛止。
一方∶治误食麦芒刺入喉中，将鹅倒提，口流涎，以碗盛之，饮少许，即随涎而下。
一方∶治蔑刺入喉，用多年竹篱棍，急流水煎汤服。
治疗喉痹，让患者将手大拇指的第二节弯曲蜷缩，迅速令其张口，用力且持续地咬紧，这样气息就会通畅，血丝自然消散，肿胀也会消退。
陈无择说：治疗异物卡喉的方法，都遵循“以类治类”的原则，例如用豺和獭的骨头治疗鱼骨卡喉，用磁石治疗针铁卡喉，用头发灰治疗头发卡喉，用狸虎治疗各种骨头卡喉，也都是各自依据同类相从的道理。
凡是异物卡喉，大概是因为食物进入咽喉时不顺，导致异物刺住无法下行。推究其中的道理，如果能使其反向向上排出，就是顺应生理的。因此治疗方法应当采用涌吐法，趁着饮食随呕吐上出的时候顺势送出，这是顺应病势且容易奏效的方法，就像拔刺一样。如果刺入较深，一定要将其推下去，不仅情理和形势上难以拖延，时间久了会导致咽喉逐渐肿胀，刺入更深，腹中的饮食消化殆尽，即使想涌吐也没有东西可以推送了，想吃却吃不下。像这样拖延不治，大多会导致无法挽救的后果。
一方：治疗骨头卡喉无法取出，将砂仁、甘草研成粉末，用棉布包裹含在口中，慢慢吞咽津液，久而久之会随痰液一起吐出。
《古今秘验》方：治疗骨头卡在喉咙中六七天取不出，取鲤鱼鳞皮烧成粉末，用水调服，骨头即可排出。若未排出，再服用一次。
一方：治疗鱼骨卡喉，少量咀嚼韭菜白部分使其变软，用细绳系住，吞入韭叶至卡喉处，牵拉引出，鱼骨随即随之而出，效果显著。
一方：治疗鱼骨卡喉，取水一盏，在心中默念并从左眼向水中写“龙”字，然后服下，不超过两盏，骨头就会下行。小儿遇到卡喉，大人按上述方法在水中写字后服下，效果奇妙。
一方：使用山栗红果（即山楂），选取独根向下生长的果实，与玉簪花根一同捣烂取自然汁，用竹管灌入喉中，注意不要碰到牙齿，碰到牙齿则牙齿会软化脱落。
一方：误食鱼骨，长时间无法取出，将皂角末吹入鼻中，引起喷嚏，异物即可排出。
陈氏方：治疗鸡骨卡喉，用鸡汁送服化哽药，或者吃一大块饴糖，大口吞下。
又一方：用狸骨烧成灰，调服少许，有效。
一方：治疗鱼刺卡喉，用獭爪抓挠喉咙下方，骨头自然下行。或者将獭骨含在口中，骨头即下行。也有用金凤花子嚼烂含咽，没有种子就用根，捣烂绞汁服下。
一法：用鱼骨顶在头上，咳嗽一声即可排出。又一种方法，用同种鱼的骨头，左右手反复掷于背后，骨头立即排出。
《外台秘要》：治疗鱼骨卡喉，口念鸬鹚名字七遍，用水送下。
又一方：用萱草根捣取汁液吞服，立即见效。
又一方：用蔷薇根研成粉末，用水调服一方寸匕。
又一方：治疗各种骨头卡喉，将野苎根捣烂如泥，用龙眼肉大小的一块化开吞下。如果被鸡骨卡喉，用鸡肉羹化开吞下；被鱼骨卡喉，用鱼肉羹化开吞下。
又一方：用楮实子捣汁服下。
《衍义》方：治疗鱼骨卡喉，用橄榄，味道先涩后甘，咀嚼汁液咽下。
又一方：治疗头发卡喉，用旧木梳烧成灰，酒调服下。
丹溪方：食用鱼骨导致肚内刺痛，煎煮吴茱萸汤一盏饮下，骨头变软排出。或者用好米醋饮半盏，也能使骨头变软并止痛。
一方：治疗误食麦芒刺入喉中，将鹅倒提，收集其流出的涎液，用碗盛接，饮用少许，麦芒即随涎液下行。
一方：治疗蔑刺（竹蔑刺）入喉，用多年的竹篱棍，急流水煎汤服下。
To treat throat obstruction (hou bi), have the patient flex and curl the second joint of their thumb, quickly open their mouth, and bite down firmly and persistently. This will facilitate the smooth flow of Qi, disperse any bleeding, and reduce swelling.
Chen Wuyue stated: The methods for treating foreign bodies stuck in the throat all follow the principle of "treating like with like." For instance, using bones from jackals or otters to treat fish bone impaction, magnetite (Ci Shi) to treat needle or iron impaction, hair ash to treat hair impaction, and civet or tiger to treat various bone impactions; each follows its respective category.
In cases of general foreign body impaction, it is generally because food enters the throat irregularly, causing an object to get stuck and unable to descend. Analyzing this rationally, reversing the direction to expel it upwards aligns with physiological順 (shun, smoothness/compliance). Therefore, the treatment should employ emesis (yong tu), taking advantage of the upward movement of food during vomiting to push the object out. This is compliant with the disease process and easy to achieve, similar to removing a thorn. However, if the thorn is deeply embedded and one insists on pushing it down, not only is it contrary to reason and circumstances, but prolonged delay will cause gradual swelling of the pharynx and larynx, embedding the object deeper. Once the food in the abdomen is digested, even if emesis is attempted, there is no substance left to push the object down, leading to an inability to eat. Such procrastination often leads to untreatable conditions.
One prescription: For bone impaction that cannot be expelled, grind Amomum villosum (Sha Ren) and Glycyrrhiza uralensis (Gan Cao) into powder, wrap in cotton, hold in the mouth, and slowly swallow saliva. Over time, it will be expelled with phlegm.
*Gu Jin Mi Yan* formula: For bones stuck in the throat for six to seven days, burn carp scales to ash, mix with water, and ingest. The bone will be expelled. If not expelled, take another dose.
One prescription: For fish bone impaction, chew a small amount of white leek until soft, tie it with a thin string, swallow the leaf into the throat until it reaches the obstruction, and pull it out. The fish bone will come out with it; this is verified effective.
One prescription: For fish bone impaction, take one cup of water, silently write the character "Dragon" (Long) over the water while looking at your left eye, then drink it. Within two cups, the bone will descend. For children with impaction, adults can perform the above method of writing in water and drinking it, which is miraculous.
One prescription: Use red fruit of *Castanea mollissima* (Shan Li Guo, i.e., Chinese chestnut/hawthorn-like fruit), specifically those with a single root growing downward. Crush together with the root of *Hemerocallis citrina* (Yu Zan Hua) to extract natural juice. Pour into the throat using a bamboo tube. Do not let it touch the teeth, as it will dissolve them.
One prescription: For accidentally ingested fish bones that remain long-term, blow powder of *Gleditsia sinensis* (Zao Jiao) into the nose to induce sneezing, which expels the impaction.
Chen's formula: For chicken bone impaction, use chicken broth to administer throat-clearing medicine, or swallow a large piece of maltose (Yi Tang) whole.
Another prescription: Burn civet bone to ash, take a small amount mixed with liquid; effective.
One prescription: For fish splinter impaction, scratch the lower throat with otter claws so the bone descends naturally. Alternatively, hold otter bone in the mouth, and the bone will descend. Another method involves chewing *Impatiens balsamina* (Jin Feng Hua) seeds and holding them in the mouth; if seeds are unavailable, use the root, crush and squeeze juice to ingest.
One method: Place a fish bone on top of the head; upon coughing, the object will be expelled. Another method: Take the bone from the same type of fish, toss it repeatedly behind the back with both hands, and the object will immediately be expelled.
*Waitai Miyao*: For fish bone impaction, recite the name of the cormorant (Lu Chi) seven times, then swallow with water.
Another prescription: Crush *Hemerocallis citrea* (Xuan Cao) root to extract juice and swallow; immediate effect.
Another prescription: Grind *Rosa multiflora* (Qiang Wei) root into powder, mix with water, and take one cubic inch measure (Fang Cun Bi).
Another prescription: For various bone impactions, crush wild ramie root (*Boehmeria nivea*, Ye Zhu Gen) into a paste, form a pill the size of a longan flesh, and swallow. If choked by a chicken bone, swallow with chicken soup; if by a fish bone, swallow with fish soup.
Another prescription: Crush *Broussonetia papyrifera* (Chu Shi Zi) fruits to extract juice and ingest.
*Yan Yi* formula: For fish bone impaction, use olive (Gan Lan). It tastes astringent initially but becomes sweet after chewing; swallow the juice.
*Dou Men Fang*: For bone impaction, grind deer horn (Lu Jiao) into powder, hold in the mouth, and swallow with saliva.
Another prescription: For hair impaction, burn an old wooden comb to ash, mix with wine, and ingest.
Danzhu's formula: For sharp pain in the abdomen caused by swallowed fish bones, decoct *Evodia rutaecarpa* (Wu Zhu Yu) soup, drink one cup, and the bone will soften and pass. Alternatively, drink half a cup of good rice vinegar to soften the bone and stop pain.
One prescription: For wheat awn penetrating the throat, hang a goose upside down, collect the saliva flowing from its mouth into a bowl, and drink a small amount; the awn will descend with the saliva.
One prescription: For bamboo sliver penetrating the throat, use a pole from an old bamboo fence, decoct in fast-flowing water, and drink the soup.