少阳胆经循胁过。邪入此证痛无那。（那音糯。仲景云。少阳经络。循胁贯耳。因邪在此。则胁痛而耳聋。）心下坚
满引胁痛。十枣医治定须可。（仲景云。太阳中风。吐下呕。头痛。心下痞。坚、满、引胁下痛。表解里未和者。十枣汤
主之。）阳明坚满大便结。项强不食并潮热。因而转入少阳经。唯小柴胡汤紧切。（仲景云。阳明病。不大便。胁下坚满。
舌上有苔者。可与小柴胡汤。又云。项强胁下满者。可与小柴胡汤。又云。伤寒五六日。中风。往来寒热。胸胁苦满。
默默不欲食。小柴胡汤主之。又云。阳明病不解。转入少阳。胁下坚满。干呕者。小柴胡汤主之。）病患痞积贯脐旁。痛
引阴筋名脏结。（仲景云。病者。胁下痛。素有痞积。在脐旁痛。引小腹入阴筋者。名脏结。）
腹痛有实亦有虚。要观证与脉何如。尺脉带弦并泄利。阳明虚痛建中须。（仲景云。伤寒。阳脉涩。阴脉弦。法当腹
中急痛。先与小建中汤。）关脉若实大便秘。更加腹满实中居。（仲景云。病患不大便。绕脐腹痛。烦躁。发作有时。为
有燥屎。）阴证腹痛四逆散。（仲景云。少阴病。四逆。其人或咳或悸。小便不利。或腹中痛。泄利下重者。四逆散主之。
又云。少阴病。下利清谷。里寒外热。脉微欲绝。脉不出。或腹痛。通脉四逆汤主之。又云。少阴病。二三日不已。至
四五日。腹痛。小便不利。真武汤主之。）下之腹痛桂枝祛。太阳病。医反下之。因腹满时痛。属太阴。桂枝加芍药汤
主之。大实痛者。加大黄汤也。胃中有邪胸中热。呕吐黄连汤可除。（仲景云。伤寒。胸中有热。胃中有邪气。腹中痛。
欲呕吐者。黄连汤主之。）
少阳胆经的循行路线经过胁肋部位。邪气侵入这一经络所主的病证，会导致胁部疼痛且难以忍受。（《伤寒论》中说：少阳经络，循行于胁肋并贯穿耳部。因为邪气停留在此处，所以出现胁痛和耳聋。）心下（胃脘部）坚硬胀满，牵引胁肋作痛，使用十枣汤治疗必定有效。（《伤寒论》中说：太阳中风证，经过吐法或下法治疗后出现呕吐、头痛，心下痞塞，坚硬、胀满，牵引胁下疼痛，表证已解但里气未调和的，用十枣汤主治。）阳明病表现为心下坚硬胀满、大便干结，伴有颈项强直、不能进食以及潮热。如果病邪因而转入少阳经，只有小柴胡汤是紧扣病机的方剂。（《伤寒论》中说：阳明病，大便不通，胁下坚硬胀满，舌面上有苔的，可以给予小柴胡汤。又说：颈项强直、胁下胀满的，可以给予小柴胡汤。又说：伤寒五六天，中风，出现往来寒热、胸胁苦满、神情沉默不想吃东西的，用小柴胡汤主治。又说：阳明病不解，转入少阳，胁下坚硬胀满，干呕的，用小柴胡汤主治。）患者如果有痞块积聚贯穿脐旁，疼痛牵引至阴筋，这种病症名叫脏结。（《伤寒论》中说：患者胁下疼痛，素有痞块积聚，在脐旁疼痛，牵引小腹进入阴筋的，名叫脏结。）
腹痛有实证也有虚证，必须观察症状与脉象如何。尺脉带弦象并伴有泄泻痢疾，这是阳明虚痛，需用建中汤治疗。（《伤寒论》中说：伤寒，阳脉涩，阴脉弦，按照法度应当腹中急痛，先给予小建中汤。）关脉若实大且大便秘结，再加上腹部胀满，属于里实证的范畴。（《伤寒论》中说：患者不大便，绕脐腹痛，烦躁，发作有定时，这是有燥屎内结。）阴证腹痛可用四逆散治疗。（《伤寒论》中说：少阴病，四肢厥逆，或者咳嗽，或者心悸，小便不利，或者腹中痛，泄利下重的，用四逆散主治。又说：少阴病，下利清谷，里寒外热，脉微欲绝，脉搏摸不到，或者腹痛的，用通脉四逆汤主治。又说：少阴病，两三天不见好，到四五天，出现腹痛，小便不利的，用真武汤主治。）误用攻下法导致腹痛，可用桂枝汤类方祛除（太阳病，医生反而用了下法，因此出现腹部胀满、时时作痛，这属于太阴病，用桂枝加芍药汤主治；如果是大实痛的，用桂枝加大黄汤）。胃中有邪气导致胸中烦热，呕吐可以用黄连汤来消除。（《伤寒论》中说：伤寒，胸中有热，胃中有邪气，腹中痛，想呕吐的，用黄连汤主治。）
The Shaoyang Gallbladder Meridian (Shaoyang Dan Jing) courses through the hypochondriac region. When pathogenic factors invade this syndrome, pain in the hypochondrium becomes unbearable. (Zhongjing stated: The Shaoyall meridians course through the hypochondrium and pass through the ears. Because pathogens reside here, hypochondriac pain and deafness occur.) If there is hardness and fullness below the heart (Xin Xia), radiating to the hypochondrium, Shizao Tang (Ten Date Decoction) is definitely indicated. (Zhongjing stated: In Taiyang Wind Strike, following emesis or purgation, vomiting, headache, epigastric stuffiness, hardness, fullness, and pain radiating from the lower hypochondrium occur. If the exterior is resolved but the interior is not harmonized, Shizao Tang governs it.) Yangming presents with hardness and fullness, constipation, neck stiffness, anorexia, and tidal fever. If the disease transitions into the Shaoyang meridian, Xiaochaihu Tang (Minor Bupleurum Decoction) is strictly applicable. (Zhongjing stated: In Yangming disease, with constipation, hardness and fullness in the hypochondrium, and coating on the tongue, Xiaochaihu Tang may be given. Also stated: With neck stiffness and hypochondriac fullness, Xiaochaihu Tang may be given. Also stated: After five or six days of Shanghan, with Fengzhong, alternating chills and fever, bitter distension in the chest and hypochondrium, silent desire not to eat, Xiaochaihu Tang governs it. Also stated: When Yangming disease does not resolve and transitions to Shaoyang, with hardness and fullness in the hypochondrium and dry retching, Xiaochaihu Tang governs it.) If a patient has accumulations (Pi Ji) penetrating beside the umbilicus, with pain radiating to the genital tendons, this condition is named Zang Jie (Visceral Knotting). (Zhongjing stated: When the patient has hypochondriac pain, pre-existing accumulations, pain beside the umbilicus, and pain radiating from the lower abdomen into the genital tendons, it is named Zang Jie.)
Abdominal pain can be excess or deficiency; one must observe the symptoms and pulse. If the Chi pulse is wiry accompanied by diarrhea or dysentery, this is Yangming deficiency pain, requiring Jianzhong Tang (Establish the Middle Decoction). (Zhongjing stated: In Shanghan, if the Yang pulse is choppy and the Yin pulse is wiry, according to the method, urgent abdominal pain should occur; first give Jianzhong Tang.) If the Guan pulse is excess and large, with constipation, plus abdominal fullness, it resides within the Interior Excess category. (Zhongjing stated: When the patient has no bowel movement, periumbilical abdominal pain, irritability, and periodic exacerbations, this indicates dry feces.) For Yin syndrome abdominal pain, Sini San (Frigid Extremities Powder) is used. (Zhongjing stated: In Shaoyin disease, with cold extremities, or cough, or palpitations, or difficult urination, or abdominal pain, or heavy sensation during diarrhea/dysentery, Sini San governs it. Also stated: In Shaoyin disease, with clear undigested stool in diarrhea, interior cold and exterior heat, faint pulse nearly absent, pulse unobtainable, or abdominal pain, Tongmai Sini Tang (Pulse-Reviving Frigid Extremities Decoction) governs it. Also stated: In Shaoyin disease, if two or three days pass without improvement, reaching four or five days, with abdominal pain and difficult urination, Zhenwu Tang (True Warrior Decoction) governs it.) Abdominal pain resulting from erroneous purgation is treated with Guizhi Tang (Cinnamon Twig Decoction) variants. (In Taiyang disease, if the physician erroneously applies purgation, leading to abdominal fullness and intermittent pain, it belongs to Taiyin; Guizhi Jia Shaoyao Tang (Cinnamon Twig Decoction Augmented with Paeonia) governs it. For severe excess pain, Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction Augmented with Rhubarb) is used.) If pathogens in the stomach cause heat in the chest and vomiting, Huanglian Tang (Coptis Decoction) can eliminate it. (Zhongjing stated: In Shanghan, with heat in the chest and pathogens in the stomach, abdominal pain, and desire to vomit, Huanglian Tang governs it.)