此由脏气冷而不理，津液涩少而不能传行饮食，故饮食入则噎塞不通，故谓之食噎。胸
内痛，不得喘息，食不下，是故噎也。
此患由血气衰少，腑脏虚弱，故令风冷之气独盛于内，其冷气久积不散，所以谓之久寒
积冷也。其病，令人羸瘦，不能饮食，久久不瘥，更触犯寒气，乃变成积聚，吐利而呕逆也
此由荣卫虚弱，三焦不调，则令虚冷在内，蓄积而不散也。又饮食气与冷气相搏，结强
而成块，有上有下，或沉或浮，亦有根亦无根，或左或右也，故谓之腹内结强。久而不瘥，
积于年岁，转转长大，乃变成 瘕病也。
脾者，脏也；胃者，腑也。脾胃二气，相为表里。胃为水谷之海，主受盛饮食者也；脾
气磨而消之，则能食。今脾胃二气俱虚弱，故不能饮食也。
尺脉浮滑，不能饮食；速疾者，食不消，脾不磨也。
脾者，脏也。胃者，腑也。脾胃二气，相为表里。胃受谷而脾磨之，二气平调，则谷化
而能食。若虚实不等，水谷不消，故令腹内虚胀，或泄，不能饮食，所以谓之脾胃气不和不
能饮食也。其汤熨针石，别有正方，补养宣导，今附于后。
《养生方·导引法》云∶欹身，两手一向偏侧，急努身舒头，共手竞扒相牵，渐渐一时
尽势。气共力皆和，来去左右亦然，各三七。项前后两角缓舒手，如是似向外扒，放纵身心
，摇三七，递互亦然。去太仓不和、臂腰虚闷也。
这是因为脏腑之气寒冷而不通畅，津液涩滞且量少，无法传输和运化饮食，所以饮食入口就会噎塞不通，因此称为“食噎”。胸部内部疼痛，无法顺畅呼吸，食物无法咽下，这就是噎证的表现。
这种病症是由于气血衰少，腑脏虚弱，导致风冷之气独自盛发于体内。冷气长期积聚不散，所以被称为“久寒积冷”。该病使人身体消瘦，不能进食，长久不愈，如果再触犯寒气，就会演变成积聚病，出现呕吐、腹泻及呃逆等症状。
这是由于营卫（荣卫）虚弱，三焦气机不调，导致虚冷之气滞留体内，蓄积而不散。加之饮食之气与冷气相互搏结，凝聚成块，位置或上或下，形态或沉或浮，有的有根蒂，有的无根蒂，部位或在左或在右，因此称为“腹内结强”。若长久不愈，经年累月，肿块逐渐增大，最终演变为瘕病（腹中结块病）。
脾属于脏；胃属于腑。脾胃二气，互为表里关系。胃是水谷汇聚的海港，主要负责接受和容纳饮食；脾气负责研磨并消化食物，人才能正常进食。如今脾胃二气都虚弱，所以导致不能进食。
尺脉呈现浮滑之象，主不能进食；脉象急促疾速者，食物不消化，是脾气研磨功能失职所致。
脾属于脏；胃属于腑。脾胃二气，互为表里关系。胃受纳谷物而由脾进行研磨消化，二气平和协调，则谷物得以消化并能进食。如果虚实不平衡，水谷无法消化，就会导致腹部虚胀，或者腹泻，不能进食，因此称为“脾胃气不和不能饮食”。关于汤药熨贴、针刺砭石等治疗方法，另有专门的方剂，补养宣导之法，现附在后面。
《养生方·导引法》说：侧身，双手向一侧偏斜，用力伸展身体并舒展头部，双手尽力向前牵引，逐渐用尽全身力气。气息与力量都要调和，左右往返动作也是如此，各做七次（三七即二十一，此处指次数或组数，依古法通常指重复次数，原文“各三七”可能指每侧动作重复多次，此处直译为各做相应的次数）。颈部前后及两角舒缓地伸展手臂，动作类似向外牵引，放松身心，摇动身体七次，交替进行也是如此。这样可以去除太仓（胃）不和、手臂腰部虚闷的症状。
This condition arises from the coldness and dysfunction of the Zang organs' Qi, causing body fluids to become astringent and scarce, thereby failing to transport and transform food and drink. Consequently, upon ingestion, food becomes obstructed and cannot pass through, hence it is termed "Shi Ye" (Food Dysphagia). There is pain within the chest, inability to breathe smoothly, and inability to swallow food; this constitutes the syndrome of dysphagia.
This illness results from the decline of Blood and Qi, and the weakness of the Fu and Zang organs, allowing Wind-Cold pathogenic factors to flourish exclusively within the interior. The Cold Qi accumulates over time without dissipating, thus it is referred to as "Jiu Han Ji Leng" (Long-standing Cold Accumulation). This disease causes emaciation and an inability to eat. If it persists for a long time without healing, and is further aggravated by exposure to Cold, it may transform into "Ji Ju" (Masses and Accumulations), presenting with vomiting, diarrhea, and regurgitation.
This is due to the weakness of Ying and Wei (Nutritive and Defensive) Qi, and the disharmony of the San Jiao (Triple Burner), leading to the retention of Deficient-Cold within the interior, which accumulates and does not dissipate. Furthermore, the Qi of ingested food combats with the Cold Qi, knotting together to form masses. These masses may be located superiorly or inferiorly, sinking or floating, having roots or lacking them, situated on the left or right. Hence, it is called "Fu Nei Jie Qiang" (Internal Abdominal Knotting and Stiffness). If it remains unhealed for a long time, accumulating over years, the masses gradually enlarge, eventually transforming into "Jia Bing" (Jia Disease, characterized by movable abdominal masses).
The Spleen is a Zang organ; the Stomach is a Fu organ. The Qi of the Spleen and Stomach are exterior-interior partners. The Stomach is the Sea of Water and Grain, primarily responsible for receiving and holding food and drink; the Spleen grinds and digests it, enabling one to eat. Now, since both the Spleen and Stomach Qi are weak, one is unable to eat.
A Chi pulse that is Floating and Slippery indicates an inability to eat; a Rapid pulse indicates undigested food, signifying that the Spleen's grinding function is impaired.
The Spleen is a Zang organ; the Stomach is a Fu organ. The Qi of the Spleen and Stomach are exterior-interior partners. The Stomach receives grain, and the Spleen grinds it; when their Qi is balanced and harmonious, grain is transformed and digestion proceeds normally. If there is an imbalance between Deficiency and Excess, water and grain fail to digest, leading to abdominal distension with emptiness, or diarrhea, and an inability to eat. Thus, it is termed "Pi Wei Qi Bu He Bu Neng Yin Shi" (Spleen-Stomach Qi Disharmony Leading to Inability to Eat). Regarding treatments involving decoctions, moxibustion/warming compresses, acupuncture, and stone therapy, there are separate specific formulas. Methods of nourishment and Daoyin (guiding and pulling exercises) are attached hereafter.
The *Yang Sheng Fang* (Prescriptions for Health Preservation) · *Daoyin Fa* (Guiding and Pulling Method) states: Lean the body sideways, extend both hands to one side, forcefully stretch the body and head, and pull forward with the hands, gradually exerting full effort. The breath and strength should be harmonious; perform similar movements moving left and right, each for thirty-seven repetitions. Slowly stretch the arms at the front, back, and two corners of the neck, as if pulling outward, relax the mind and body, shake the body thirty-seven times, and alternate similarly. This can alleviate disharmony of the Tai Cang (Stomach) and deficiency/stuffiness in the arms and waist.