栝蒌薤白白酒汤（方见《金匮》）
胸痹喘息咳唾，胸背痛，短气，寸脉沉而迟，关上小紧。
方中加半夏二钱。名栝蒌薤白半夏汤。治胸痹不得卧，心痛彻背。
小建中汤
大建中汤（各见《伤寒》）
治心胸大寒痛，呕不能饮食，腹中寒，上冲皮起，出见有头足，上下痛不可触近。
长孙心典按∶上中二焦为寒邪所痹，故以参姜启上焦之阳，合饴糖以创建中气。而又以
椒性下行，降逆上之气，复下焦之阳，为温补主方。
附子粳米汤
腹中寒气，雷鸣切痛，胸胁逆满、呕吐。
徐忠可曰∶此方妙在粳米。鸣而且痛，腹中有寒气也。乃满不在腹而在胸胁，是邪高痛
下。寒邪实从下而上，所谓肾虚则寒动于中也。故兼呕逆而不发热，以附子温肾散寒，半夏
去呕逆，只用粳米合甘枣调胃，创建中气，不用术，恐壅气也。
大黄附子汤
胁下偏痛发热。（钱院使云偏当作满。）其脉紧弦，此寒也。
按痛而满，满连胁下，而六脉弦紧、非附子不能温其寒，非大黄不能攻其实，非细辛不
能散其结聚。三药实并行不倍也。
浓朴三物汤
痛而闭者，此汤主之。
当归生姜羊肉汤（各见《金匮》）
寒疝腹中痛，及胁痛里急者，亦治产后腹中疠痛。
寒多者加生姜二两五钱，痛多而呕者，加陈皮五钱，白术二钱五分。
暖肝煎（《景岳》）
治肝肾虚寒，小腹疼痛疝气等症。
当归（二、三钱） 枸杞（三钱） 茯苓 乌药 小茴（各二钱） 肉桂（一二钱） 沉香（一钱，或木
香亦可） 生姜（三五片）
水煎服。
按此方加防风、细辛、桃仁、山萸肉。治肝虚胁痛，有奇效。
枳芎散
治右胁刺痛。
枳实 川芎（各五钱） 炙甘草（三钱）
为末，每服三钱，姜汤下。
推气散
治左胁疼痛，胀满不食。
姜黄 枳壳（面炒） 桂心（各五钱） 炙甘草（三钱）
为末，每服三钱，姜汤下。
栝蒌薤白白酒汤（方剂见《金匮要略》）
主治胸痹（胸部闷痛为主的病证），伴有喘息、咳嗽吐痰，胸背疼痛，呼吸短促，寸口脉沉而迟，关脉小紧。
在方中加入半夏二钱，名为栝蒌薤白半夏汤。治疗胸痹导致无法平卧，心痛放射至背部。
小建中汤
大建中汤（各方见《伤寒论》）
治疗心胸部位剧烈寒冷疼痛，呕吐不能进食，腹部寒冷，寒气上冲皮肤隆起，出现像头足一样的包块，上下疼痛剧烈，不可触碰靠近。
长孙心典按语：上焦和中焦被寒邪闭阻，因此用人参、生姜振奋上焦阳气，配合饴糖以建立中气。又因花椒性味下行，能降逆上之气，恢复下焦阳气，这是温补的主方。
附子粳米汤
治疗腹中寒气，肠鸣如雷，剧烈疼痛，胸胁部气逆胀满，呕吐。
徐忠可说：此方的妙处在于粳米。既鸣叫又疼痛，说明腹中有寒气。然而胀满不在腹部而在胸胁，这是邪气位置高而疼痛位置低。寒邪实际上是从下向上侵犯，这就是所谓肾虚则寒动于中。所以兼有呕逆但不发热，用附子温肾散寒，半夏去除呕逆，只用粳米配合甘草、大枣调理胃气，建立中气，不用白术，是担心其壅滞气机。
大黄附子汤
胁下偏侧疼痛伴发热。（钱院使说“偏”应当作“满”。）脉象紧弦，这是寒证。
按压时感觉胀满，胀满连及胁下，六脉弦紧，非附子不能温散其寒，非大黄不能攻逐其实邪，非细辛不能解散其结聚。这三味药确实并行不悖。
浓朴三物汤
疼痛且大便闭塞者，此汤主治。
当归生姜羊肉汤（各方见《金匮要略》）
治疗寒疝（因寒邪引起的腹痛病证）腹中疼痛，以及胁痛伴有里急感者，也治疗产后腹中疠痛（一种剧烈的腹痛）。
寒邪重者加生姜二两五钱，疼痛重且呕吐者，加陈皮五钱，白术二钱五分。
暖肝煎（出自《景岳全书》）
治疗肝肾虚寒，小腹疼痛、疝气等症状。
当归（二至三钱） 枸杞（三钱） 茯苓 乌药 小茴香（各二钱） 肉桂（一至二钱） 沉香（一钱，或用木香也可以） 生姜（三至五片）
水煎服。
按语：此方加入防风、细辛、桃仁、山萸肉。治疗肝虚导致的胁痛，有奇效。
枳芎散
治疗右胁刺痛。
枳实 川芎（各五钱） 炙甘草（三钱）
研为末，每次服用三钱，姜汤送服。
推气散
治疗左胁疼痛，胀满不想吃东西。
姜黄 枳壳（面粉炒） 桂心（各五钱） 炙甘草（三钱）
研为末，每次服用三钱，姜汤送服。
Guilou Xiebai Baijiu Decoction (Formula seen in *Jingui Yaolue*)
Indicated for Chest Bi (a syndrome characterized by chest stuffiness and pain), accompanied by wheezing, coughing with expectoration, chest and back pain, shortness of breath, a deep and slow pulse at the Cun position, and a slightly tight pulse at the Guan position.
Add Banxia (Pinellia Rhizome) two qian to the formula, named Guilou Xiebai Banxia Decoction. It treats Chest Bi where the patient cannot lie flat, and heart pain radiating to the back.
Xiao Jianzhong Decoction
Da Jianzhong Decoction (Formulas seen in *Shanghan Lun*)
Treats severe cold pain in the heart and chest, vomiting with inability to eat, abdominal coldness, qi rushing upward causing skin protrusions resembling heads and feet, and severe pain throughout that is intolerant to touch or pressure.
Changsun Xin Dian commented: The upper and middle Jiao are obstructed by Cold Evil. Therefore, Renshen (Ginseng Root) and Shengjiang (Fresh Ginger Rhizome) are used to raise the Yang Qi of the upper Jiao, combined with Yitang (Maltose) to establish Middle Qi. Furthermore, since Huajiao (Sichuan Pepper Fruit) has a descending nature, it directs rebellious Qi downward and restores the Yang Qi of the lower Jiao; this serves as the primary formula for warming and tonifying.
Fuzi Jingmi Decoction
Treats Cold Qi in the abdomen, borborygmus like thunder, cutting pain, rebellious fullness in the chest and hypochondrium, and vomiting.
Xu Zhongke said: The brilliance of this formula lies in the use of Jingmi (Rice). The presence of both sound and pain indicates Cold Qi in the abdomen. However, the fullness is located in the chest and hypochondrium rather than the abdomen, indicating that the pathogen is high while the pain is low. The Cold Evil actually ascends from below, which corresponds to the concept that Kidney Deficiency causes Cold to move within the center. Thus, there is rebellious vomiting without fever. Fuzi (Aconite Lateral Root) warms the Kidney and disperses Cold; Banxia (Pinellia Rhizome) stops vomiting. Only Jingmi (Rice) is used together with Gancao (Licorice Root) and Dazao (Jujube Fruit) to harmonize the Stomach and establish Middle Qi. Baizhu (Atractylodes Macrocephala Rhizome) is avoided to prevent stagnation of Qi.
Dahuang Fuzi Decoction
Pain on one side of the hypochondrium accompanied by fever. (Qian Yuan Shi stated that "pian" [one-sided] should be read as "man" [fullness].) The pulse is tight and wiry, indicating Cold.
Upon palpation, there is fullness extending to the hypochondrium, and all six pulses are wiry and tight. Without Fuzi (Aconite Lateral Root), the Cold cannot be warmed; without Dahuang (Rhubarb Root and Rhizome), the Excess cannot be purged; without Xixin (Asarum Root), the accumulation cannot be dispersed. These three herbs indeed work in concert without contradiction.
Nongpu Sanwu Decoction
For cases involving pain and constipation, this decoction is indicated.
Danggui Shengjiang Yangrou Tang (Formulas seen in *Jingui Yaolue*)
Treats Hanhan (Cold Hernia) with abdominal pain, as well as hypochondriac pain with a sensation of urgency inside. It also treats postpartum abdominal Li pain (severe abdominal pain).
If Cold is predominant, add Shengjiang (Fresh Ginger Rhizome) two liang five qian. If Pain is predominant with vomiting, add Chenpi (Citrus Reticulata Peel) five qian and Baizhu (Atractylodes Macrocephala Rhizome) two qian five fen.
Nuangan Decoction (From *Jingyue Quanshu*)
Treats Liver and Kidney Deficient-Cold, presenting with lower abdominal pain, hernia, and other symptoms.
Danggui (Angelica Sinensis Root) (2-3 qian) Gouqi (Lycium Fruit) (3 qian) Fuling (Poria) Wuyao (Lindera Root) Xiaohui (Litsea Fruit) (each 2 qian) Rougui (Cinnamon Bark) (1-2 qian) Chenxiang (Aquilaria Wood) (1 qian, or Muxiang is acceptable) Shengjiang (Fresh Ginger Rhizome) (3-5 slices)
Decoct in water and take orally.
Note: Adding Fangfeng (Saposhnikovia Root), Xixin (Asarum Root), Taoren (Peach Seed), and Shanzhuyu (Cornus Fruit) to this formula yields miraculous effects in treating hypochondriac pain due to Liver Deficiency.
Zhi Xiong San
Treats stabbing pain in the right hypochondrium.
Zhishi (Immature Bitter Orange) Chuanxiong (Ligusticum Rhizome) (each 5 qian) Zhi Gancao (Honey-fried Licorice Root) (3 qian)
Grind into powder. Take 3 qian per dose, washed down with Ginger Decoction.
Tuiqi San
Treats pain in the left hypochondrium, distension, fullness, and anorexia.
Jianghuang (Curcuma Longa Rhizome) Zhike (Bitter Orange Fruit, stir-fried with flour) Guixin (Cinnamon Twig) (each 5 qian) Zhi Gancao (Honey-fried Licorice Root) (3 qian)
Grind into powder. Take 3 qian per dose, washed down with Ginger Decoction.