治噎声不出方。
竹皮（一用竹叶） 细辛（各二两） 甘草 生姜 通草 人参 茯苓 桂心 麻黄 五
味
子（各一两）
上十味 咀，以水一斗，煮竹皮减二升，去竹皮下药，煮取三升，分三服。
治饮食辄噎方（《集验》名半夏汤）。
干姜 石膏（各四两） 人参 桂心 栝蒌根（《集验》作桔梗各二两） 甘草（一两）
半
夏小麦（各一升） 吴茱萸（二升） 赤小豆（三十粒）
上十味 咀，以酒五升，水一斗，煮枣二十枚，去滓合煮，取三升，分三服。
治胸满气噎方。
半夏（八两） 生姜（六两） 桂心（三两） 大枣（三十枚）
上四味 咀，以水八升，煮取三升，分五服，日三，夜二。
治气噎不通，不得食方。
羚羊角 通草 橘皮（各二两） 吴茱萸 浓朴 干姜（各三两） 乌头（五枚）
上七味 咀，以水九升，煮取三升，分三服，日三。
又方 杏仁 桂心（各三两）
上二味为末，蜜丸如枣大，稍稍咽之。临食先含弥佳。
治卒噎方∶
满口着蜜食之即下。
又方 刮舂杵头细糠，含之即下，神验。
治诸噎方∶
常食干粳米饭即不噎。
又方 末火炭蜜丸如弹子大，含，少少咽即下。
又方 老牛涎如枣核大，纳水中饮之，终身不复噎。
论曰∶凡疗病者，皆以其类。至如治 之法，岂宜以鸬 治骨 ，狸虎治鱼 ？至于竹
篾
治诸 方∶
以鹿筋渍令濡，合而索之，大如弹丸，以线系，持筋端吞之入喉，推至 处，徐徐引之，
着筋出。
又方 以竹篾刮令滑净绵裹，纳咽中，令至 处，可进退引之， 即随出。
又方 用绵二两，以蜜煎使热，外敷 所在处，灼瓠以熨绵上。若故未出，复煮一段绵
代用，并以皂荚屑少少吹鼻中，使得嚏 出。
又方 薤白，煮令半熟，小嚼之。以线系薤中央，捉线吞薤下喉至 处牵引， 即出矣
治 咽方∶
虎骨末或狸骨，服方寸匕
又方 服瞿麦末方寸匕。
治鱼骨 方∶
鸬 屎，服方寸匕。
又方 服橘皮汤。
又方 服沙糖水。
又方 鱼网烧灰，服方寸匕。（《必效方》云∶取鱼网覆头，立下）。
治骨鲠在喉，众治不出方∶
取饴糖，丸如鸡子黄大，吞之，不去更吞。渐大作丸，可至十丸。
又方 烧虎野狼屎服之。
又方 吞猪膏如鸡子，不瘥更吞。
治食中吞发，咽不去绕喉方∶
取乱发烧灰，酒服一钱匕。
治吞钱方∶
艾蒿五两，以水五升，煮取一升，顿服即下。
又方 服蜜二升即出。
又方 末火炭，酒服方寸匕，水服亦得。
治吞金银钗环方∶
白糖二斤，一顿渐渐食之，多食亦佳。
误吞环及指 方∶
烧雁毛二七枚末，服之。鹅羽亦得。
误吞钗方∶
曝韭令萎，蒸熟勿切，食一束即出。或生麦叶筋缕如韭法，皆可用，但力意多食自消。
误吞铜铁方∶
烧铜弩牙令赤，纳酒中，饮之立愈。
误吞钉针及箭镞方∶
但多食猪脂肥肉令饱，自裹出。
误吞针方∶
取悬针磁石末，饮服方寸匕即下（《古今录验》云∶吞针在喉中，而服磁末入腹。若含
磁石于口中，吸针而出）。
治疗咽喉异物感导致声音发不出来的方剂。
竹皮（有的版本用竹叶）二两，细辛二两，甘草、生姜、通草、人参、茯苓、桂心、麻黄、五味子各一两。
以上十味药，切碎，用水一斗，先煮竹皮至减少二升时，去掉竹皮及药渣，再煎煮取汁三升，分三次服用。
治疗进食即发生噎塞的方剂（《集验方》中名为半夏汤）。
干姜四两，石膏四两，人参二两，桂心二两，栝蒌根（《集验方》作桔梗）二两，甘草一两，半夏一升，小麦一升，吴茱萸二升，赤小豆三十粒。
以上十味药，切碎，用酒五升、水一斗，先煮大枣二十枚，去渣后加入其他药物共同煎煮，取汁三升，分三次服用。
治疗胸中胀满、气机噎塞的方剂。
半夏八两，生姜六两，桂心三两，大枣三十枚。
以上四味药，切碎，用水八升，煎煮取汁三升，分五次服用，白天服三次，夜间服两次。
治疗气机噎塞不通，无法进食的方剂。
羚羊角二两，通草二两，橘皮二两，吴茱萸三两，厚朴三两，干姜三两，乌头五枚。
以上七味药，切碎，用水九升，煎煮取汁三升，分三次服用，每天三次。
另一个方子：杏仁三两，桂心三两。
将这两味药研成粉末，用蜂蜜制成如枣核大小的丸药，慢慢含咽。在吃饭前含服效果更好。
治疗突然发生的噎塞方：
满口含着蜜糖吞食，异物即可下行。
另一个方子：刮取捣米杵头上的细糠，含在口中，异物即可下行，效果神奇。
治疗各种噎塞方：
经常食用干粳米饭，就不会发生噎塞。
另一个方子：将火炭研末，用蜂蜜制成如弹子大小的丸药，含在口中，少量吞咽即可下行。
另一个方子：老牛的唾液如枣核大小，放入水中饮用，终身不再噎塞。
论述说：凡是治病，都要采用同类相治的方法。至于治疗骨鲠的方法，难道应该用鸬鹚来治骨头刺入，用狸虎来治鱼刺卡喉吗？以下是用竹篾治疗各种骨鲠的方子：
用鹿筋浸泡使其湿润，搓合在一起，粗细如弹丸，用线系住，手持筋的一端吞入喉咙，推至骨鲠处，慢慢牵引，使骨鲠随筋带出。
另一个方子：用竹篾刮得光滑洁净，用绵裹住，纳入咽喉中，令其到达骨鲠处，可以进退牵引，骨鲠就会随之出来。
另一个方子：用绵二两，用蜂蜜煎热，外敷在骨鲠所在之处，用烧热的瓠瓜熨烫棉上。如果仍未取出，再煮一段绵替换使用，并配合皂荚屑少量吹入鼻中，使其打喷嚏排出。
另一个方子：薤白，煮至半熟，稍微咀嚼。用线系住薤白的中央，抓着线将薤白吞下喉咙至骨鲠处进行牵引，骨鲠即可出来。
治疗鱼骨卡喉方：
服用虎骨粉或狸骨粉，每次一方寸匕。
另一个方子：服用瞿麦粉，每次一方寸匕。
治疗鱼骨卡喉方：
服用鸬鹚粪便，每次一方寸匕。
另一个方子：服用橘皮汤。
另一个方子：服用沙糖水。
另一个方子：服用鱼网烧成的灰，每次一方寸匕。（《必效方》说：取鱼网覆盖在头上，异物立刻落下）。
治疗骨头卡在喉咙，多种方法无效方：
取饴糖，做成如鸡蛋黄大小的丸药，吞服，如果不下来就继续吞。逐渐加大丸药大小，最多可吞十丸。
另一个方子：烧虎和野狼的粪便服用。
另一个方子：吞服猪油如鸡蛋大小，不好转再吞。
治疗食物中混有头发，咽不下去缠绕喉咙方：
取乱发烧成的灰，用酒送服一方寸匕。
治疗吞食铜钱方：
艾蒿五两，用水五升，煎煮取汁一升，一次性服用，铜钱即可下行。
另一个方子：服用蜂蜜二升，铜钱即可排出。
另一个方子：将火炭研末，用酒送服一方寸匕，用水送服也可以。
治疗吞食金银钗环方：
白糖二斤，一顿饭内逐渐吃完，多吃也很好。
误吞戒指及指环方：
烧雁毛十四枚研末，服用。鹅毛也可以。
误吞发簪方：
将韭菜晒蔫，蒸熟不要切，吃一束即可排出。或者生麦叶的筋缕像韭菜那样处理，都可以使用，只要有意多吃自然能消化。
误吞钉针及箭头方：
只要多吃猪脂肥肉直到饱腹，异物自然会包裹排出。
误吞针方：
取悬针石磁石粉末，用水送服一方寸匕即可下行（《古今录验》说：针吞在喉咙中，而服药后磁石进入腹部。如果将磁石含在口中，会吸附针将其吸出）。
Formula for treating aphonia due to foreign body sensation in the throat.
Zhu Pi (Bamboo Sheath) or Ye Zhu (Bamboo Leaf), 2 liang; Xi Xin (Asarum), 2 liang; Gan Cao (Licorice Root), Sheng Jiang (Fresh Ginger), Tong Cao (Tetrapanax Pith), Ren Shen (Ginseng), Fu Ling (Poria), Gui Xin (Cinnamon Twig Heart), Ma Huang (Ephedra Herb), Wu Wei Zi (Schisandra Fruit), each 1 liang.
The above ten ingredients are coarsely crushed. Boil with one dou of water, first boiling Zhu Pi until the volume reduces by two sheng. Remove Zhu Pi and dregs, then continue boiling to obtain three sheng of decoction. Divide into three doses.
Formula for treating dysphagia occurring immediately after eating (named Ban Xia Tang in *Ji Yan Fang*).
Gan Jiang (Dried Ginger), Shi Gao (Gypsum Fibrosum), each 4 liang; Ren Shen (Ginseng), Gui Xin (Cinnamon Twig Heart), Gua Lou Gen (Trichosanthes Root) [Note: *Ji Yan Fang* uses Jie Geng (Platycodon Root)], each 2 liang; Gan Cao (Licorice Root), 1 liang; Ban Xia (Pinellia Rhizome), Xiao Mai (Wheat), each 1 sheng; Wu Zhu Yu (Evodia Fruit), 2 sheng; Chi Xiao Dou (Adzuki Bean), 30 grains.
The above ten ingredients are coarsely crushed. Boil with five sheng of wine and one dou of water, first boiling twenty Zao (Jujube Dates). Remove dregs, add other ingredients, and boil to obtain three sheng of liquid. Divide into three doses.
Formula for treating chest fullness and qi stagnation/dysphagia.
Ban Xia (Pinellia Rhizome), 8 liang; Sheng Jiang (Fresh Ginger), 6 liang; Gui Xin (Cinnamon Twig Heart), 3 liang; Da Zao (Jujube Date), 30 pieces.
The above four ingredients are coarsely crushed. Boil with eight sheng of water to obtain three sheng of decoction. Divide into five doses: three during the day and two at night.
Formula for treating qi stagnation causing obstruction and inability to eat.
Ling Yang Jiao (Antelope Horn), Tong Cao (Tetrapanax Pith), Ju Pi (Citrus Reticulata Peel), each 2 liang; Wu Zhu Yu (Evodia Fruit), Hou Po (Magnolia Bark), Gan Jiang (Dried Ginger), each 3 liang; Wu Tou (Aconite Lateralis Radix Preparata), 5 pieces.
The above seven ingredients are coarsously crushed. Boil with nine sheng of water to obtain three sheng of decoction. Divide into three doses, taken three times daily.
Another formula: Xing Ren (Apricot Seed), Gui Xin (Cinnamon Twig Heart), each 3 liang.
Grind these two ingredients into powder, mix with honey to form pills the size of a jujube date. Swallow slowly. It is better to hold them in the mouth before meals.
Formula for sudden dysphagia:
Fill the mouth with Mi (Honey) and swallow; the foreign body will descend.
Another formula: Scrape fine bran from the head of a rice pestle, hold it in the mouth; the foreign body will descend. This is highly effective.
Formula for various types of dysphagia:
Frequently eating dry Jing Mi Fan (Sticky Rice) prevents dysphagia.
Another formula: Grind Huo Tan (Charcoal) into powder, mix with honey to form pills the size of a marble. Hold in the mouth and swallow small amounts; the object will descend.
Another formula: Take saliva from an old cow, the size of a jujube pit, dissolve in water and drink. One will never suffer from dysphagia again.
Discussion: In treating diseases, one should use methods analogous to the pathology. For instance, when treating bone splinters stuck in the throat, why would one use Lu E (Cormorant) to treat bone injuries or Li Hu (Wild Cat/Tiger) to treat fish bones? The following formulas use bamboo strips to treat various foreign bodies stuck in the throat:
Soak Lu Jin (Deer Tendon) until soft, twist it together to the size of a marble, tie it with a thread, hold one end, and swallow it down the throat. Push it to the site of the foreign body and gently pull back to extract it.
Another formula: Scrape a bamboo strip until smooth and clean, wrap it in cotton, insert it into the throat to reach the foreign body. Move it back and forth to extract the object.
Another formula: Use two liang of cotton, heat it with honey, and apply externally to the area where the foreign body is lodged. Heat a gourd and use it to warm the cotton on the skin. If the object is not expelled, boil another piece of cotton and replace it. Additionally, blow a small amount of Zao Jiao Xie (Gleditsia Sinensis Powder) into the nose to induce sneezing, which helps expel the object.
Another formula: Cook Xie Bai (Allium Macrostemon Bulb) until half-cooked, chew slightly. Tie a thread around the center of the Xie Bai, grasp the thread, and swallow the Xie Bai down to the site of the obstruction. Pull the thread to extract the object.
Formula for treating fish bones stuck in the throat:
Take Hu Gu Mo (Tiger Bone Powder) or Li Gu (Wild Cat Bone), administer one fang cun bi (a square inch measure) orally.
Another formula: Take Qu Mai (Herba Siegesbeckiae) powder, administer one fang cun bi orally.
Formula for treating fish bones stuck in the throat:
Take Lu E Shi (Cormorant Feces), administer one fang cun bi orally.
Another formula: Drink Ju Pi Tang (Citrus Peel Decoction).
Another formula: Drink Sha Tang Shui (Sugar Water).
Another formula: Take Yun Hui (Ash from Fish Nets), administer one fang cun bi orally. (*Bi Xiao Fang* states: Place a fish net over the head, and the object will drop out immediately).
Formula for bone splinters stuck in the throat when conventional treatments fail:
Take Yi Tang (Maltose), form pills the size of a chicken egg yolk, and swallow. If it does not pass, continue swallowing. Gradually increase the size of the pills, up to ten pills.
Another formula: Burn the feces of tigers and wild wolves and consume them.
Another formula: Swallow Zhu Gao (Pork Fat) the size of a chicken egg. If ineffective, swallow more.
Formula for hair swallowed with food that cannot be swallowed and wraps around the throat:
Take Luan Fa (Scattered Hair), burn it to ash, and take one fang cun bi with wine.
Formula for swallowing coins:
Take Ai Hao (Artemisia Annua Herba), five liang. Boil with five sheng of water to obtain one sheng of decoction. Take all at once; the coin will pass.
Another formula: Consume two sheng of Mi (Honey); the coin will be expelled.
Another formula: Grind Huo Tan (Charcoal) into powder, take one fang cun bi with wine or water.
Formula for swallowing gold or silver hairpins/rings:
Consume two jin of Bai Tang (White Sugar) gradually in one meal. Consuming more is also beneficial.
Formula for accidentally swallowing rings:
Burn Er Mao (Goose Feathers), fourteen feathers, grind into powder, and consume. E Yu (Goose Feathers) can also be used.
Formula for accidentally swallowing hairpins:
Wither Jiu Cai (Chinese Chives) by sun-drying, steam until cooked without cutting. Eat one bundle to expel the object. Alternatively, use raw Mai Ye Jin (Wheat Leaf Veins) processed similarly to chives. These work, but consuming larger quantities ensures self-digestion/expulsion.
Formula for accidentally swallowing copper or iron:
Heat Tong Nu Ya (Copper Crossbow Trigger) until red hot, immerse in wine, and drink. Recovery is immediate.
Formula for accidentally swallowing nails, needles, or arrowheads:
Eat large amounts of Zhu Zhi Fei Rou (Pork Fat) until full; the object will be naturally wrapped and expelled.
Formula for accidentally swallowing needles:
Take Xuan Zhen Ci Shi Mo (Magnetite Powder), take one fang cun bi with water to expel the needle. (*Gu Jin Lu Yan* states: If the needle is stuck in the throat, taking magnetite powder causes it to enter the stomach. If the magnetite is held in the mouth, it attracts the needle and pulls it out).