《产宝百问》曰∶喉咙有咽门，二者各有所司。喉咙者，空虚也。肺之系，气之道，络肺应天，故属天气
所生。有九节，以通九脏之气，所以谓之嗌。或阴阳之气，痰结咽喉，膈塞噎状若梅核，妨碍饮食，久而不愈，
即成翻胃，或胸膈痰结，与气相抟，上逆咽喉之间作聚，状如炙肉之证也。以半夏浓朴汤，治妇人喜怒悲思、
忧恐惊怖之气，结成痰涎，状如破絮，或如梅核，在咽喉，咯不出，咽不下，此七情所为。或中脘痞满，气不
舒快。或痰涎壅盛，上气喘急。或因痰饮中滞，呕逆恶心。
慎斋按∶以上二条，序妇人有咽中炙脔梅核之证也。徐注主寒冷气，《产宝》主七情痰结。一属外感，一
属内伤，当兼参之。
《证治准绳》曰∶《大全良方》分 癖、诸气、疝瘕、腹中瘀血 、痞食 ，凡七门。 者，在腹内，近
脐左右，各有一条，筋脉急痛，大者如臂，次者如指，因气而成，如弦之状，故名曰 。癖者，僻在两肋之间，有
时而痛，故名曰癖。疝者，痛也。瘕者，假也。其结聚浮假而痛，推移乃动也。八瘕者，黄瘕、青瘕、燥瘕、血
瘕、脂瘕、狐瘕、蛇瘕、鳖瘕。积在腹内，或肠胃之间，与脏气结抟坚牢，虽推之不移，名曰 ，言其病形可征
验也。气壅塞为痞，言其气痞塞不宣畅也。饮食成块，坚而不移，名曰食 。瘀血成块，坚而不移，名曰血 。
若腹中瘀血，则积而未坚，未至于成块者也。大抵推之不动为 ，推之动为瘕也。至疝与 癖，则与痛俱，痛即
现，不痛即隐。在脐左右为 ，在两肋间为癖。在小腹，牵引腰胁为疝。恐学人一时难了，未免淆乱，故总叙
条析之。
《产宝百问》说：喉咙有咽门，两者各有其职能。喉咙是空虚的通道，是肺系的连接处，是气息通行的道路，联络肺部并对应天道，因此属于天气所生。它有九节，用来贯通九脏之气，所以称为“嗌”。如果阴阳之气失调，痰浊凝结在咽喉，导致胸膈堵塞、吞咽困难像梅核卡住一样，妨碍饮食，时间久了不愈，就会形成翻胃；或者是胸膈间痰浊凝结，与气相互搏结，向上逆冲至咽喉之间形成积聚，症状如同烤肉块（即中医所说的“梅核气”）。使用半夏厚朴汤，可以治疗妇人因喜怒悲思、忧恐惊怖等情绪，导致气机郁结生成痰涎，痰涎形状像破旧的棉絮，或者像梅核一样卡在咽喉，咳不出来也咽不下去，这是由七情内伤引起的。有的伴有中脘部痞满胀闷，气机不畅快。有的痰涎壅盛，上逆导致气喘急促。有的因为痰饮停滞在中焦，引起呕吐恶心。
慎斋按语：以上两条，叙述了妇女患有咽中如有炙脔（感觉咽喉中有烤肉块）、梅核气的病症。徐注主张是寒冷之气所致，《产宝》主张是七情导致的痰结。前者属于外感病，后者属于内伤病，应当参考结合来看。
《证治准绳》说：《大全良方》将癖、诸气、疝瘕、腹中瘀血、痞食分为七个门类。“肥气”，位于腹部内，靠近肚脐左右，各有一条筋脉拘急疼痛，大的像手臂，小的像手指，因气滞而成，形状像琴弦，所以名叫“肥气”。“癖”，位于两肋之间，有时疼痛，所以名叫“癖”。“疝”，意思是痛。“瘕”，意思是假。它的结聚浮泛虚假而疼痛，推动时可以移动。八种瘕包括：黄瘕、青瘕、燥瘕、血瘕、脂瘕、狐瘕、蛇瘕、鳖瘕。积块在腹部内，或在肠胃之间，与脏腑之气结聚搏结变得坚牢，虽然推动也不移动，名叫“积”，是说它的病形可以验证。气机壅塞不通叫做“痞”，是说气机痞塞不宣畅。饮食结成块状，坚硬而不移动，名叫“食积”。瘀血结成块状，坚硬而不移动，名叫“血积”。如果是腹中瘀血，则是积聚但未变坚硬，尚未到结成块的程度。大抵来说，推动不动的是“积”，推动能动的是“瘕”。至于疝和癖，则伴随疼痛出现，痛时就显现，不痛时就隐没。在肚脐左右的是“肥气”，在两肋间的是“癖”。在小腹，牵引腰胁疼痛的是“疝”。恐怕学习者一时难以理解，难免混淆，所以总括叙述并条理分析。
According to *Chanbao Baiwen* (Hundred Questions on Childbirth Treasures): The throat has the pharyngeal gate (Yanmen), and the two have their respective functions. The larynx/throat is an empty passage, the connection of the Lung system, and the pathway for Qi. It connects to the Lungs and corresponds to Heaven, thus belonging to what is generated by Heavenly Qi. It has nine segments to communicate with the Qi of the Nine Zang organs, hence it is called "Ai" (Pharynx). If Yin and Yang Qi are imbalanced, and Phlegm-Dampness knots in the throat, causing blockage in the chest and diaphragm with a sensation of dysphagia as if a plum pit were stuck, hindering food intake, prolonged non-healing may lead to Fanwei (Regurgitation/Vomiting). Alternatively, Phlegm knots in the chest and diaphragm, struggling with Qi, reversing upward between the throat and pharynx to form a mass, presenting symptoms similar to a piece of roasted meat (known in TCM as Plum-Pit Qi). Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) treats women whose joy, anger, sorrow, thought, worry, fear, or fright cause Qi stagnation to generate Phlegm-Fluids. These Phlegm-Fluids resemble torn cotton wadding or a plum pit stuck in the throat, unable to be coughed out or swallowed down; this is caused by the Seven Emotions. Some cases present with fullness and distension in the Zhongwan region (CV12), with uncomfortable Qi flow. Some present with excessive Phlegm-Fluids, leading to rebellious Qi and rapid breathing. Some occur due to Phlegm-Fluid retention in the Middle Jiao, causing vomiting and nausea.
Shenzhen's Commentary: The above two passages describe conditions in women where there is a sensation of a piece of roasted meat or a plum pit in the throat. Xu's annotation attributes it to Cold-Qi, while *Chanbao* attributes it to Phlegm-knotting caused by the Seven Emotions. One belongs to External Contraction, the other to Internal Injury; they should be considered together.
According to *Zhengzhi Zhunsheng* (Standardized Treatment Guidelines): *Daquan Liangfang* (Excellent Prescriptions from the Great Collection) divides Pi, Various Qi Disorders, Shan-Jia, Abdominal Blood Stasis, and Food Stagnation into seven categories. "Feiqi" (Fat Qi) is located inside the abdomen, near the left and right sides of the umbilicus, involving tendons and vessels that are tense and painful. The larger ones are like an arm, the smaller ones like a finger. Formed due to Qi stagnation and resembling a bowstring, it is named "Feiqi". "Pi" (Favoritism/Partiality) is located between the two hypochondria, causing intermittent pain, hence named "Pi". "Shan" means pain. "Jia" means false. Its accumulation is floating and false, causing pain, and moves when pushed. The Eight Jias include: Huangjia (Yellow Jia), Qingjia (Green Jia), Zaojia (Dry Jia), Xuejia (Blood Jia), Zhijia (Fat Jia), Hujia (Fox Jia), Shejia (Snake Jia), and Biejia (Turtle Jia). Accumulations within the abdomen, or between the intestines and stomach, knot and struggle with Zang-Fu Qi to become firm and solid. Although they do not move when pushed, they are named "Ji" (Accumulation), indicating that the disease form can be verified. Qi obstruction and blockage is called "Pi" (Stagnation), meaning Qi is stagnant and not free-flowing. Food forming a lump, hard and immobile, is named "Shiji" (Food Accumulation). Blood stasis forming a lump, hard and immobile, is named "Xueji" (Blood Accumulation). If it is abdominal blood stasis, it is accumulated but not yet hard, and has not formed a distinct lump. Generally speaking, what cannot be moved by pushing is "Ji", and what moves when pushed is "Jia". As for Shan and Pi, they appear with pain; they manifest when painful and hide when painless. Located at the left and right of the umbilicus is Feiqi; located between the two hypochondria is Pi. Located in the lower abdomen, radiating to the waist and hypochondria, is Shan. Fearing that students might find it difficult to understand at once and prone to confusion, I summarize and analyze them systematically.