向来翻胃。原可撑持。秋季骤加惊扰。厥阳陡升莫制。遂废食不便。消渴不
已。如心热呕吐涎沫。五味中喜食酸甘。肝阴胃汁。枯槁殆尽。难任燥药通关。胃
属阳土。宜凉宜润。肝为刚脏。宜柔宜和。酸甘两济其阴。
乌梅肉 人参 鲜生地 阿胶 麦冬汁 生白芍
老年血气渐衰。必得数日大便通爽。然后脘中纳食无阻。此胃汁渐枯。已
少胃气下行之旨。噎症萌矣。病乃操持太过。身中三阳。燔燥烁津所致。故饵药
未能全功。议用丹溪法。
麦冬汁 鲜生地汁 柏子仁汁 甜杏仁汁 黑芝麻汁 杜苏子汁 松子仁浆
劳心劳力经营。向老自衰。平日服饵桂附生姜三十年。病噎不食。下膈吐
出。此在上焦之气不化。津液不注于下。初病大便艰涩。按经云。味过辛热。肝阳
有余。肺津胃液皆夺。为上燥。仿嘉言清燥法。
麦冬 麻仁 鲜生地 甜水梨 桑叶 石膏 生甘草
脉弦而小涩。食入脘痛格拒。必吐清涎。然后再纳。视色苍。眼筋红黄。昔肥
今瘦。云是郁怒之伤。少火皆变壮火。气滞痰聚日拥。清阳莫展。脘管窄隘。不能
食物。噎膈渐至矣。法当苦以降之。辛以通之。佐以利痰清膈。莫以豆蔻沉香劫津可也。
川黄连 杏仁 桔梗 土栝蒌皮 半夏 橘红 竹沥 姜汁
患者向来有翻胃（即呕吐反胃）的症状，原本尚可勉强支撑。但在秋季突然受到惊恐刺激，导致厥阳之气（指下焦肝肾之阳气逆上）陡然升发且无法制约，于是出现废绝饮食、大便不通的情况，并伴有持续不断的消渴（多饮多尿或口渴消瘦）。如果伴随心热、呕吐涎沫，且在五味中偏好酸甘口味，说明肝阴与胃汁已枯槁耗尽，难以耐受燥烈药物来开通关隘。胃属阳土，适宜用凉润之法；肝为刚脏，适宜用柔润调和之法。因此采用酸味与甘味药物共同滋养其阴液。
乌梅肉 人参 鲜生地 阿胶 麦冬汁 生白芍
老年人血气逐渐衰退，必须依靠数日大便通畅顺畅，然后脘部进食才无阻碍。这是胃汁逐渐枯竭，已经缺少胃气下行的机理，噎症（吞咽困难）的征兆已显现。此病乃因操劳过度，导致身中三阳经火热燔灼，耗伤津液所致。所以服药未能取得完全疗效。建议采用朱丹溪的方法治疗。
麦冬汁 鲜生地汁 柏子仁汁 甜杏仁汁 黑芝麻汁 杜苏子汁 松子仁浆
因劳心劳力经营事务，年老自然衰弱。平日服用桂枝、附子、生姜等温热药物长达三十年，导致患噎症不能进食，食物从膈间吐出。这是因为上焦之气不能化行，津液不能下行灌注。初起时大便艰涩难解。根据经典记载，滋味过于辛热，导致肝阳有余，肺津和胃液都被剥夺，形成上焦燥热。仿照喻嘉言的清燥法治疗。
麦冬 麻仁 鲜生地 甜水梨 桑叶 石膏 生甘草
脉象弦而细小涩滞，食物入口后脘部疼痛且有格拒感，必定呕吐出清稀涎沫，然后才能再次进食。观察面色苍老，眼白筋络红黄，过去肥胖现在消瘦，说是由于郁怒所伤。体内的少火（生理之火）都变成了壮火（病理之火），气机阻滞、痰浊聚集日益壅塞，清阳之气无法舒展，食管管腔狭窄隘阻，不能容纳食物，噎膈（吞咽困难，食入即吐）渐成。治法应当用苦味药以降逆，用辛味药以通散，佐以利痰清膈的药物。切勿使用豆蔻、沉香等劫伤津液的药物。
川黄连 杏仁 桔梗 土栝蒌皮 半夏 橘红 竹沥 姜汁
The patient has historically suffered from Fanwei (regurgitation and vomiting of undigested food), which was originally manageable. However, in autumn, a sudden disturbance caused Jueyang (rebellious Yang qi from the lower jiao) to surge uncontrollably. Consequently, the patient ceased eating and had bowel obstruction, accompanied by persistent Xiaoke (wasting-thirst syndrome). If there is heart heat with vomiting of saliva, and a preference for sour and sweet flavors among the five tastes, it indicates that Liver Yin and Stomach fluids have been exhausted. It is difficult to tolerate drying herbs to open the orifices. The Stomach belongs to Yang Earth and should be treated with cooling and moistening methods; the Liver is a rigid organ and should be treated with softening and harmonizing methods. Therefore, sour and sweet flavors are used together to nourish Yin.
Wumei Meat (Fructus Mume), Renshen (Radix Ginseng), Xian Shengdi (Radix Rehmanniae Recens), Ejiao (Colla Corii Asini), Maidong Juice (Jus Radicis Ophiopogonis), Sheng Baishao (Radix Paeoniae Alba Cruda).
In the elderly, Blood and Qi gradually decline. They must rely on smooth bowel movements every few days so that food can enter the epigastrium without obstruction. This indicates that Stomach fluids are gradually drying up, and the mechanism of Stomach Qi descending is diminished; signs of Ye disease (dysphagia) are emerging. The illness results from excessive overwork, causing the Three Yang meridians to burn dry and scorch the body's fluids. Thus, medication has not achieved complete efficacy. It is proposed to use the method of Danxi.
Maidong Juice (Jus Radicis Ophiopogonis), Xian Shengdi Juice (Jus Radicis Rehmanniae Recens), Baiziren Juice (Jus Semen Platycladi), Tian Xingren Juice (Jus Semen Armeniacae Amarum), Hei Zhima Juice (Jus Sesami Nigris), Tusuzi Juice (Jus Fructus Lepidii et Descurainiae), Songziren Paste (Pasta Seminis Platycladi).
Due to mental and physical exertion, one naturally declines with age. For thirty years, the patient has taken Guizhi (Ramulus Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), and Shengjiang (Rhizoma Zingiberis Recens). Now suffering from Ye disease where food cannot be swallowed and is vomited out from the diaphragm. This is because Qi in the Upper Jiao fails to transform, and body fluids fail to descend and irrigate downwards. Initially, bowel movements were hard and dry. According to the classics, excessive consumption of pungent and hot flavors leads to excess Liver Yang, depriving Lung Jin and Stomach Ye, resulting in Upper Jiao Dryness. Following Jiayan’s Qingzao (Clearing Dryness) method:
Maidong (Herba Ophiopogonis), Mahuang (not applicable here, likely Hemp Seed context implies Huren/Maren - text says Ma Ren, so Hemp Seed), Xian Shengdi (Radix Rehmanniae Recens), Tianshui Li (Sweet Pear), Sangye (Folium Mori), Shigao (Gypsum Fibrosum), Sheng Gancao (Radix Glycyrrhizae Preparata). *Correction: Text says Ma Ren (Hemp Seed).* -> Maidong (Herba Ophiopogonis), Huren (Semen Cannabis), Xian Shengdi (Radix Rehmanniae Recens), Tianshui Li (Pyrus bretschneideri var. culta), Sangye (Folium Mori), Shigao (Gypsum Fibrosum), Sheng Gancao (Radix Glycyrrhizae Preparata).
The pulse is wiry, small, and choppy. Food causes pain and rejection in the epigastrium upon entry, followed by vomiting of clear saliva before food can be taken again. The complexion is sallow, sclera veins are red and yellow; the patient was formerly fat but is now thin, attributed to injury from depression and anger. The Shenhuo (mineral fire/physiological fire) has transformed into Zhuanghuo (excessive pathological fire). Qi stagnation and phlegm accumulation increase daily, preventing the ascent of Clear Yang. The esophageal passage becomes narrow and constricted, unable to accept food, leading to Yige (dysphagia and regurgitation). The treatment method should employ bitter herbs to descend rebellious Qi and pungent herbs to unblock stagnation, assisted by herbs that benefit phlegm and clear the diaphragm. Do not use Doukou (Fructus Cardamomi) and Chenxiang (Lignum Aquilariae Resinatum) which deplete fluids.
Chuan Huanglian (Rhizoma Coptidis), Xingren (Semen Armeniacae Amarum), Jiegeng (Radix Platycodonis), Tu Gualou Pi (Pericarpium Trichosanthis), Banxia (Rhizoma Pinelliae Praeparatum), Juhong (Exocarpium Citri Reticulatae Rubrum), Zhuli (Nodus Bambusae in Taedia), Jiangzhi (Jus Zingiberis Recens).