经云∶南风生于夏，病在心，俞在胸胁。又云∶仲夏善病胸胁，此则胸胁痛属心，故入心部。
肝虚则胸痛引背胁，肝实则胸痛不转侧，喜太息，肝着则常欲蹈压其胸。经云∶春脉如弦，其
气不实而微，此谓不及，令人胸痛引背，下则两胁胀满。此肝虚而其脉症见于春如此也。
〔仲〕肝中寒者，两臂不举，舌本燥，喜太息，胸中痛，不得转侧，食则吐而出汗也。肝着，
其人常欲踏其胸上，先未苦时但欲饮热，旋复花汤主之。（方未考。《金匮》妇人门有旋复花
汤方或云是此。）
〔《素》〕阳明所谓胸痛短气者，水气在脏腑也，水者，阴气也，阴气在中，故胸痛少气也。
〔《仲》〕胸痹之病，喘息咳唾，胸背痛，短气，寸口脉沉而迟，关上小紧数者，宜以栝蒌薤白白酒汤
主之。
栝蒌实（一个，捣） 薤白（半升） 白酒（七升）
上三味同煮，取二升，分温再服。
栝蒌薤白半夏汤 治胸痹不得卧，心痛彻背。（方见心痛门。）
胸痹，心中痞，留气结在胸，胸满胁下逆抢心，枳实薤白桂枝汤主之，人参汤亦主之。
枳实薤白桂枝汤
枳实（四枚） 浓朴（四两） 薤白（半升） 桂枝（一两） 栝蒌实（一个，捣）
上五味，以水五升，先煮浓朴、枳实取二升，去渣，纳诸药煮数沸，分温作三服。
人参汤
白术 人参 甘草 干姜（各二两）
上四味，以水八升，煮取三升，温服一升，日三服。
孙主簿季述之母患胸中痞急，不得喘息，按之则痛，脉数且涩，曰胸痹也。因与仲景三物
小陷胸汤，一剂
知，二剂愈。（方见伤寒。）
〔仲〕支饮胸满者，枳朴大黄汤主之。
浓朴（一两） 大黄（六两） 枳实（四枚）
上三味，水五升，煮取二升，分温再服。
〔《脉》〕寸口脉沉，胸中引胁痛，胸中有水气，宜泽漆汤，及刺巨阙泻之。（泽漆汤，仲景方
也，见咳门。）
〔杜壬〕治胸胁痛彻背，心腹痞满，气不得通，及治痰咳。大栝蒌去穣取子，熟炒连皮研，和
面糊为丸，如桐子大，米饮下五十丸。
〔《斗》〕治胸腹壅滞，去痰开胃。用半夏洗净焙干，捣罗为末，生姜自然汁，和为饼子，用湿
纸裹，于慢火中煨令香熟，水一盏，用饼子一块如弹丸大，入盐半钱，煎取一盏温服，能去胸膈
壅逆，大压痰毒，及治酒食所伤，其功效大矣。
〔丹〕郑仲游年二十有三，鬲有一点相引痛，吸气皮觉急。
滑石（一两） 桃仁（半两） 枳壳（一两，炒） 黄连（半两，炒） 甘草（炙，二钱）
上为细末，每钱半，以萝卜根自然汁研，煎熟饮之，一日五六次。
仲本年二十七，因吃热补药，又妄自学吐纳，以致气乱血热，嗽血消瘦，遂与行倒仓法。
今嗽血消瘦已除，因吃炒豆米，膈间有一点气梗痛，似有一条丝垂映在腰，与小腹亦痛，大率偏在
左边，此肝部有恶血行未尽也。
滑石（一两） 黄丹（三钱，炒） 枳壳（一两，炒） 黄连（五钱） 生甘草（二钱） 红花（一钱）
柴胡（五钱） 桃仁（二两）
上为细末，每服一钱半，以萝卜自然汁，煎沸服之。
〔垣〕上清散清利头目，宽快胸中，不利者悉利于表。
黄 （三钱） 甘草（二钱） 人参（三钱） 葛根（一钱半） 防风根（一钱） 蔓荆子（半钱）
上 咀，分作二服，每服水一盏半，煎至一盏去渣，临卧温服，以夹衣盖覆面首不语，须臾汗出
为效。未
服药，预一日不语，如服药毕，亦一日不语。
运气 胸痛有二∶
其一，火邪助心。经云∶岁火太过，甚则胸中痛，胁支满，胁痛，膺背肩胛两臂内痛是也。
其二，金邪伤肝。经云∶岁金太过，民病胸痛引背，两胁满，且痛引少腹。又云∶岁土不及，
风乃大行，民病体重腹痛，金复则胸胁暴痛，引少腹者是也。
《内经》灸刺胸痛有四∶
其一，取心。经云∶心痛者胸中痛，胁支满，胁下痛，膺臂肩胛间痛，两肩臂内痛，实
则胸腹大，胁下腰子相引而痛，取其经少阴太阳舌下血者。其变病，刺 中血者是也。
其二，取肾。经云∶肾虚则胸中痛，大腹小腹痛，取其经少阴太阳血者，按刺法不分补泻，
但言取血。王注谓先去血脉，后调虚实也。
其三，取胆。经云∶胆足少阳脉，所生病者，胸胁肋髁膝外皆痛，详盛虚热寒陷下取之也。
其四，取筋。经云∶手心主之筋，其病当取过者。又转筋前及胸痛息贲，治在燔针劫刺以
知为数，以痛为输。又足太阳之筋，足少阳之筋，痛皆引胸痛。治在燔针劫刺，以知为数，以
痛为输也。
灸刺胸满有三法∶
其一，取气海。经云∶膻中者，气之海，其输上在手柱骨之上下，前在于人迎。气海有余者，
气满，胸中 息，面赤，审守其输，而调其虚实，无犯其害是也。（手柱骨，滑伯仁谓肩胛上际
会处是穴也。）
其二，取肝。经云∶肝足厥阴脉，所生病者，胸满，呕逆，飧泄，狐疝，遗溺，闭癃，
详盛虚热寒陷下取之也。
其三，取胃。经云∶厥逆腹满，面肿唇漯漯然，暴言难，甚则不能言，取足阳明是也。
〔《集》〕胸胁痛不堪∶期门（四分） 章门（六分，灸七壮至七七壮） 行间 丘墟 涌泉
〔东〕又法∶期门（沿皮二寸） 支沟 胆俞（沿皮一寸五分）
〔《甲》〕胸满痛，璇玑主之。胸胁 满，痛引胸中，华盖主之。胸胁 满，痹痛骨疼，饮
食不下，呕逆上气烦心，紫宫主之。胸中满，不得息，胁痛骨疼，喘逆上气，呕吐烦心，玉堂
主之。胸胁背相引痛，心下胸中，呕吐，多睡，饮食不下，幽门主之。胸胁 满，痛引膺，不得息，
闷乱烦满，不得饮食，灵墟主之。胸胁 满，劫引背痛，卧不得转侧，胸乡主之。大气不得息，
息即胸胁中痛，实则其身尽寒，虚则百节尽纵，大包主之。胸满善太息，胸中膨膨然，丘墟主之。
（《千金》云∶胸背急。）胸中痛，天容主之。胸胁 满，劳宫主之。胸痹引背，时寒，间使主之。
胸满不得息，颈颔肿，阳谷主之。（《千金》云阳溪。）胸胁 满，膈塞，饮食不下，呕吐食后还
出，中庭主之。胸胁 满，螈 ，引脐腹痛，短气烦满，巨阙主之。胸胁 满，不得息，咳逆，
乳痈，洒淅恶寒，神封主之。胸胁 满，膈逆不通，呼吸少气，喘息不得举臂，步廊主之。胸
胁满，恶闻人声与木音，巨虚上廉主之。胸下满痛，膺肿，乳根主之。胸胁 满，喘逆上气，
呼吸喘息，不知食味，气户主之。胸胁胀，肠鸣切痛，太白主之。
〔《撮》〕胸满血膨∶期门（一分，沿皮向外一寸五分，泻。）
〔《甲》〕伤食，胁下满，不能展转反侧，目青而呕，期门主之。暴胀胸胁 满，足寒大便难，
面唇白，时时呕血，太冲主之。胸中暴满，不得眠，辄筋主之。胸胁 满，寒如风吹状，侠溪主
之。胸胁 满，头痛，项内寒热，外丘主之。多卧善唾，胸满肠鸣，三间主之。
〔仲〕脉当取太过不及，阳微阴弦，即胸痹而痛。所以然者，极虚也。今阳虚知在上焦，所
以胸痹心痛者，以其阴弦故也。
白色粗理者肺大，肺大则多饮，善病胸痹。（全文见诊，下同。）
胁偏疏者肺偏倾，肺偏倾则胸偏痛。
《黄帝内经》说：南风产生于夏季，疾病发生在心脏，背俞穴位于胸胁部位。又说：仲夏时节容易患胸胁部的疾病，这说明胸胁痛归属于心，因此归入心部论述。
肝虚时会出现胸痛牵引至背部和胁肋，肝实时则出现胸痛且身体不能转动侧身，喜欢长叹气；肝着病则患者常常想要让人踩踏或按压胸部。《黄帝内经》说：春季的脉象像琴弦一样，如果脉气不实而微弱，这叫做“不及”，会导致人胸痛牵引背部，下部则两胁胀满。这就是肝虚在春季出现的脉象和症状如此。
〔张仲景〕肝脏受寒的人，双臂不能举起，舌根干燥，喜欢长叹气，胸中疼痛，身体不能转动侧身，进食后会呕吐并出汗。肝着病，患者常常想要踩踏胸部，在未感到痛苦之前只想喝热饮，用旋复花汤主治。（方剂未考证。《金匮要略》妇人门中有旋复花汤方，有人说就是此方。）
〔《素问》〕阳明经所说的胸痛、短气，是水气停留在脏腑所致。水属于阴气，阴气在中焦，所以导致胸痛、少气。
〔张仲景〕胸痹病，表现为喘息、咳嗽吐痰，胸背疼痛，短气，寸口脉沉而迟，关上脉小紧数，适宜用栝蒌薤白白酒汤主治。
栝蒌实（一个，捣碎） 薤白（半升） 白酒（七升）
以上三味药同煮，取药液二升，分两次温服。
栝蒌薤白半夏汤 治疗胸痹不能平卧，心痛放射至背部。（方剂见心痛门。）
胸痹，心中痞塞，气结留在胸中，胸满胁下之气上逆冲心，用枳实薤白桂枝汤主治，人参汤也可主治。
枳实薤白桂枝汤
枳实（四枚） 浓朴（四两） 薤白（半升） 桂枝（一两） 栝蒌实（一个，捣碎）
以上五味药，用水五升，先煮浓朴、枳实取二升，去渣，加入其他药物煮几沸，分三次温服。
人参汤
白术 人参 甘草 干姜（各二两）
以上四味药，用水八升，煮取三升，温服一升，每日三次。
孙主簿季述的母亲患有胸中痞塞急迫，不能喘息，按压则疼痛，脉数且涩，诊断为胸痹。于是给予张仲景的三物小陷胸汤，服用一剂见效，两剂痊愈。（方剂见伤寒门。）
〔张仲景〕支饮导致胸满的，用枳朴大黄汤主治。
浓朴（一两） 大黄（六两） 枳实（四枚）
以上三味药，用水五升，煮取二升，分两次温服。
〔《脉经》〕寸口脉沉，胸中牵引胁肋疼痛，胸中有水气，适宜用泽漆汤，并针刺巨阙穴泻之。（泽漆汤是张仲景的方子，见咳门。）
〔杜壬〕治疗胸胁痛放射至背部，心腹痞满，气机不通，以及治疗痰咳。用大栝蒌去掉瓤只取种子，炒熟连皮研磨，和面糊做成丸药，如梧桐子大，米汤送服五十丸。
〔《斗门方》〕治疗胸腹壅滞，祛痰开胃。用半夏洗净焙干，捣碎过筛成粉末，用生姜自然汁调和做成饼子，用湿纸包裹，在慢火中煨烤至香熟，取水一盏，放入一块如弹丸大的饼子，加盐半钱，煎取一盏，温服，能去除胸膈壅逆，压制痰毒，以及治疗酒食所伤，功效很大。
〔朱丹溪〕郑仲游二十三岁时，膈间有一点相互牵引疼痛，吸气时皮肤感觉紧绷。
滑石（一两） 桃仁（半两） 枳壳（一两，炒） 黄连（半两，炒） 甘草（炙，二钱）
以上研为细末，每次服一钱半，用萝卜根自然汁研磨调匀，煎熟饮用，一日五六次。
同年他二十七岁时，因为吃热补药，又错误地自学吐纳功法，导致气乱血热，咳嗽吐血、身体消瘦，于是采用倒仓法治疗。
现在咳嗽吐血、身体消瘦的症状已消除，因为吃了炒豆米，膈间有一点气梗疼痛，好像有一条丝垂映在腰部，小腹也痛，大体偏向左边，这是肝部有恶血未尽。
滑石（一两） 黄丹（三钱，炒） 枳壳（一两，炒） 黄连（五钱） 生甘草（二钱） 红花（一钱） 柴胡（五钱） 桃仁（二两）
以上研为细末，每次服一钱半，用萝卜自然汁，煎沸后服用。
〔李东垣〕上清散能清利头目，使胸中宽快，不利者都能从表解利。
黄芪（三钱） 甘草（二钱） 人参（三钱） 葛根（一钱半） 防风根（一钱） 蔓荆子（半钱）
以上切碎，分作两服，每服用水一盏半，煎至一盏，去渣，临睡前温服，用夹衣盖住面部头部不说话，片刻后出汗为有效。服药前一天开始不说话，如服药完毕，也保持一天不说话。
运气学说中胸痛有两种情况：
其一，火邪助长心火。《内经》说：岁火太过，严重时胸中痛，胁肋支撑满闷，胁痛，膺部背部肩胛及两臂内侧疼痛即是。
其二，金邪损伤肝脏。《内经》说：岁金太过，民众患病胸痛牵引背部，两胁满且痛牵引少腹。又说：岁土不及，风气大行，民众患病体重腹痛，金气来复则胸胁突然剧痛，牵引少腹即是。
《内经》关于灸刺治疗胸痛有四种方法：
其一，取用心经。《内经》说：心痛表现为胸中痛，胁肋支撑满闷，胁下痛，膺部手臂肩胛间痛，两肩臂内侧痛，实证则胸腹大，胁下腰肾相互牵引而痛，取手少阴、手太阳经及舌下血脉放血。其变病，刺郄中出血即是。
其二，取用肾经。《内经》说：肾虚则胸中痛，大腹小腹痛，取手少阴、手太阳经的血脉放血。按刺法不分补泻，只说取血。王冰注解说先去血脉，后调理虚实。
其三，取用胆经。《内经》说：足少阳胆经所生的病，胸胁肋髁膝外侧都痛，详细根据盛虚热寒陷下来选取治疗。
其四，取用筋。《内经》说：手厥阴心包络之筋，其病应当取病变过的部位。又有转筋前及胸痛息贲，治疗在于燔针劫刺，以见效为次数，以痛点为腧穴。还有足太阳之筋，足少阳之筋，疼痛都牵引胸痛。治疗在于燔针劫刺，以见效为次数，以痛点为腧穴。
灸刺治疗胸满有三种方法：
其一，取气海穴。《内经》说：膻中是气之海，其输穴在上在手柱骨上下，前面在人迎处。气海有余，则气满，胸中短气，面赤，审慎守住其输穴，调理其虚实，不犯其危害即是。（手柱骨，滑伯仁说是肩胛上际会合处的穴位。）
其二，取用肝经。《内经》说：足厥阴肝经所生的病，胸满，呕逆，飧泄，狐疝，遗尿，闭癃，详细根据盛虚热寒陷下来选取治疗。
其三，取用胃经。《内经》说：厥逆腹满，面肿唇漯漯然，突然说话困难，严重则不能说话，取足阳明经即是。
〔《针灸集成》〕胸胁痛不堪忍受：期门（四分） 章门（六分，灸七壮至七七壮） 行间 丘墟 涌泉
〔杨继洲〕又一种方法：期门（沿皮二寸） 支沟 胆俞（沿皮一寸五分）
〔《甲乙经》〕胸满痛，璇玑主治。胸胁满，痛引胸中，华盖主治。胸胁满，痹痛骨疼，饮食不下，呕逆上气烦心，紫宫主治。胸中满，不得呼吸，胁痛骨疼，喘逆上气，呕吐烦心，玉堂主治。胸胁背相互牵引疼痛，心下胸中，呕吐，多睡，饮食不下，幽门主治。胸胁满，痛引膺部，不能呼吸，闷乱烦满，不能饮食，灵墟主治。胸胁满，牵引背痛，卧位不能转动侧身，胸乡主治。大气不能呼吸，呼吸即胸胁中痛，实证则全身寒冷，虚证则百节松弛，大包主治。胸满喜欢长叹气，胸中膨膨胀满，丘墟主治。（《千金方》说：胸背急。）胸中痛，天容主治。胸胁满，劳宫主治。胸痹引背，时而发冷，间使主治。胸满不能呼吸，颈颔肿，阳谷主治。（《千金方》说阳溪。）胸胁满，膈塞，饮食不下，呕吐食后复出，中庭主治。胸胁满，抽搐，牵引脐腹痛，短气烦满，巨阙主治。胸胁满，不能呼吸，咳逆，乳痈，洒淅恶寒，神封主治。胸胁满，膈逆不通，呼吸少气，喘息不能举臂，步廊主治。胸胁满，厌恶听到人声和木音，巨虚上廉主治。胸下满痛，膺肿，乳根主治。胸胁满，喘逆上气，呼吸喘息，不知食味，气户主治。胸胁胀，肠鸣切痛，太白主治。
〔《针灸撮要》〕胸满血膨：期门（一分，沿皮向外一寸五分，泻法。）
〔《甲乙经》〕伤食，胁下满，不能展转反侧，目青而呕，期门主治。暴胀胸胁满，足寒大便难，面唇白，时时呕血，太冲主治。胸中暴满，不能睡眠，辄筋主治。胸胁满，寒如风吹状，侠溪主治。胸胁满，头痛，项内寒热，外丘主治。多卧善唾，胸满肠鸣，三间主治。
〔张仲景〕脉象应当取太过与不及，阳微阴弦，就是胸痹而痛。之所以这样，是因为极度虚弱。现在知道阳虚在上焦，所以胸痹心痛，是因为阴弦的缘故。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The south wind arises in summer, diseases occur in the Heart, and the Shu points are located in the chest and hypochondrium. It also states: In midsummer, diseases of the chest and hypochondrium are common; this indicates that pain in the chest and hypochondrium belongs to the Heart, thus it is classified under the Heart section.
When the Liver is deficient, there is pain in the chest radiating to the back and hypochondrium; when the Liver is excess, there is pain in the chest with an inability to turn or lie on one side, and a preference for sighing; in Gan Zhuo (Liver Fixation), the patient often desires someone to tread upon or press their chest. The *Neijing* states: The spring pulse resembles a string; if the Qi is not solid but slightly weak, this is called "not reaching" (Bu Ji), causing pain in the chest radiating to the back, and fullness and distension in the lower two hypochondria. This is how the pulse and symptoms of Liver deficiency appear in spring.
[Zhang Zhongjing] Those with Cold in the Liver cannot raise both arms, have a dry root of the tongue, prefer sighing, experience pain in the chest, an inability to turn or lie on one side, and vomiting with sweating after eating. For Gan Zhuo (Liver Fixation), where the patient constantly desires to tread on their chest, and before suffering desires only hot drinks, Xuan Fu Hua Tang (Inula Flower Decoction) is the primary treatment. (Formula not verified. There is a Xuan Fu Hua Tang formula in the Women's Diseases section of *Jin Gui Yao Lue*; some say this is that formula.)
[*Suwen*] What the Yangming channel describes as pain in the chest and shortness of breath is due to Water Qi residing in the Zang-Fu organs. Water is Yin Qi; since Yin Qi is in the interior, it causes pain in the chest and scanty Qi.
[Zhang Zhongjing] In Xiong Bi (Chest Bi Syndrome), symptoms include wheezing, coughing and spitting, pain in the chest and back, and shortness of breath. The Cun Kou pulse is deep and slow, while the Guan position pulse is small, tight, and rapid. Gualou Xiebai Baijiu Tang (Trichosanthes Fruit, Allium Macrostemon, and White Wine Decoction) is appropriate.
Gualou Shi (Trichosanthis Fructus, one fruit, crushed) Xiebai (Allii Macrostemonis Bulbus, half sheng) Baijiu (White Wine, seven sheng)
Boil these three ingredients together until two sheng remain, divide into two doses, and take warm.
Gualou Xiebai Banxia Tang (Trichosanthes Fruit, Allium Macrostemon, and Pinellia Decoction) treats Xiong Bi where the patient cannot lie down, and heart pain radiates to the back. (Formula seen in Heart Pain section.)
For Xiong Bi with epigastric stuffiness, Qi stagnation remaining in the chest, chest fullness, and rebellious Qi from the hypochondrium rushing up to the Heart, Zhishi Xiebai Guizhi Tang (Immature Bitter Orange, Allium Macrostemon, and Cinnamon Twig Decoction) is the primary treatment; Renshen Tang (Ginseng Decoction) can also be used.
Zhishi Xiebai Guizhi Tang
Zhishi (Immature Bitter Orange, four pieces) Nongpo (Magnolia Bark, four liang) Xiebai (Allium Macrostemon, half sheng) Guizhi (Cinnamon Twig, one liang) Gualou Shi (Trichosanthis Fructus, one fruit, crushed)
Take the above five ingredients, add five sheng of water, first boil Nongpo and Zhishi until two sheng remain, remove the dregs, add the other herbs, boil for a few boils, divide into three warm doses.
Renshen Tang
Baizhu (Atractylodes Rhizome) Renshen (Ginseng Root) Gancao (Licorice Root) Ganjiang (Dried Ginger) (each two liang)
Take the above four ingredients, add eight sheng of water, boil until three sheng remain, take one sheng warm, three times a day.
The mother of Sun Zhuzhu Ji Shu suffered from epigastric stuffiness and urgency, inability to breathe, and pain upon pressure. Her pulse was rapid and choppy. She was diagnosed with Xiong Bi. She was given Zhang Zhongjing's Sanwu Xiaoxianxiong Tang (Three-Ingredient Small Trap Chest Decoction). One dose showed improvement, and two doses cured her. (Formula seen in Cold Damage section.)
[Zhang Zhongjing] For Zhi Yin (Branching Fluid Retention) causing chest fullness, Zhipo Dahuang Tang (Magnolia Bark, Rhubarb, and Immature Bitter Orange Decoction) is the primary treatment.
Nongpo (Magnolia Bark, one liang) Dahuang (Rhubarb Root and Rhizome, six liang) Zhishi (Immature Bitter Orange, four pieces)
Take the above three ingredients, add five sheng of water, boil until two sheng remain, divide into two warm doses.
[*Maiching*] If the Cun Kou pulse is deep, and there is pain in the chest radiating to the hypochondrium, indicating Water Qi in the chest, Zeqi Tang (Phytolacca Decoction) is appropriate, along with needling Jueque to drain. (Zeqi Tang is a formula by Zhang Zhongjing, seen in the Cough section.)
[Du Ren] Treats pain in the chest and hypochondrium radiating to the back, epigastric and abdominal stuffiness, blocked Qi, and phlegm-cough. Use large Gualou, remove the pulp, take only the seeds, stir-fry thoroughly, grind with the skin, mix with flour paste to make pills the size of paulownia seeds. Take fifty pills with rice drink.
[*Doumen Fang*] Treats chest and abdominal stagnation, removes phlegm, and opens the stomach. Wash Banxia (Pinellia Tuber), bake until dry, grind and sieve into powder. Mix with fresh ginger juice to form cakes. Wrap in wet paper, roast slowly over low heat until fragrant and cooked. Take one cup of water, add one cake the size of a bullet, add half a qian of salt, decoct until one cup remains, take warm. It effectively removes chest diaphragm obstruction, suppresses severe phlegm toxicity, and treats damage from alcohol and food. Its efficacy is great.
[Zhu Danxi] Zheng Zhongyou, aged twenty-three, had a point of pulling pain in the diaphragm, with a sensation of tightness in the skin upon inhalation.
Huashi (Talcum) (one liang) Taoren (Peach Seed, half liang) Zhike (Bitter Orange Peel, one liang, stir-fried) Huanglian (Coptis Rhizome, half liang, stir-fried) Gancao (Licorice Root, honey-fried, two qian)
Grind into fine powder. Take one and a half qian per dose, grind with natural juice of radish roots, decoct until cooked, and drink. Take five to six times a day.
That same year, at age twenty-seven, because he took hot tonic medicines and erroneously practiced self-taught Tu Na (breathing exercises), his Qi became chaotic and Blood became hot, leading to hemoptysis and emaciation. He was then treated with Dao Cang Fa (Stomach Purging Method).
Now that the hemoptysis and emaciation have been eliminated, because he ate fried beans and rice, there is a point of Qi blockage and pain in the diaphragm, as if a thread hangs down to the waist, and the lower abdomen also hurts, mostly biased to the left. This indicates that evil Blood in the Liver region has not yet fully cleared.
Huashi (Talcum) (one liang) Huangdan (Lead Oxide, three qian, stir-fried) Zhike (Bitter Orange Peel, one liang, stir-fried) Huanglian (Coptis Rhizome, five qian) Sheng Gancao (Raw Licorice Root, two qian) Honghua (Carthamus Flower, one qian) Chaihu (Bupleurum Root, five qian) Taoren (Peach Seed, two liang)
Grind into fine powder. Take one and a half qian per dose, decoct with natural radish juice until boiling, and take.
[Li Dongyuan] Shangqing San (Upper Clearing Powder) clears and benefits the head and eyes, relaxes the chest, and resolves obstruction by releasing through the exterior.
Huangqi (Astragalus Root, three qian) Gancao (Licorice Root, two qian) Renshen (Ginseng Root, three qian) Gegen (Pueraria Root, one and a half qian) Fangfenggen (Saposhnikovia Root, one qian) Manjingzi (Vijaya Fruit, half qian)
Chop the ingredients, divide into two doses. For each dose, add one and a half cups of water, decoct until one cup remains, remove dregs, and take warm before sleep. Cover the face and head with a jacket and remain silent. Sweating after a moment indicates effectiveness. Do not speak the day before taking the medicine, and do not speak for one day after finishing the medicine.
Regarding Yunqi (Six Qi Movement) theory, there are two types of chest pain:
First, Fire Evil assists the Heart. The *Neijing* states: When Year Fire is excessive, severe cases involve pain in the chest, fullness and support in the hypochondrium, hypochondriac pain, and pain in the anterior chest, back, shoulder blades, and inner aspects of both arms.
Second, Metal Evil injures the Liver. The *Neijing* states: When Year Metal is excessive, people suffer from pain in the chest radiating to the back, fullness and pain in the two hypochondria radiating to the lower abdomen. It also states: When Year Earth is insufficient, Wind prevails greatly, people suffer from heavy body and abdominal pain; when Metal returns to compensate, there is sudden severe pain in the chest and hypochondrium radiating to the lower abdomen.
The *Neijing* describes four acupuncture and moxibustion methods for treating chest pain:
First, select the Heart channel. The *Neijing* states: Heart pain manifests as pain in the chest, fullness and support in the hypochondrium, pain below the hypochondrium, pain between the anterior chest, arm, and shoulder blade, and pain in the inner aspects of both shoulders and arms. In excess cases, the chest and abdomen are distended, and pain is mutually radiating between the hypochondrium, waist, and kidneys. Select the Shaoyin and Taiyang channels and bleed the blood under the tongue. For transformed diseases, bleed from Xi Zhong.
Second, select the Kidney channel. The *Neijing* states: When Kidney is deficient, there is pain in the chest, pain in the large and small abdomen. Select the blood vessels of the Shaoyin and Taiyang channels. The needling method does not distinguish between tonification and sedation, only stating to take blood. Wang Bing's commentary says to first remove the blood vessels, then regulate deficiency and excess.
Third, select the Gallbladder channel. The *Neijing* states: Diseases generated by the Foot Shaoyang Gallbladder channel include pain in the chest, hypochondrium, ribs, lateral malleolus, and lateral knee. Detailed selection depends on excess/deficiency, heat/cold, and sinking.
Fourth, select the Sinew. The *Neijing* states: The sinews of the Hand Jueyin Pericardium should be treated by selecting affected areas. Also, for pre-spasm and chest pain with Xifen (Lung Accumulation), treatment involves burning needle and urgent puncture, using the number of times until effect is felt, and using the painful point as the Shu point. Similarly, for the sinews of the Foot Taiyang and Foot Shaoyang, pain radiating to the chest is treated with burning needle and urgent puncture, using the number of times until effect is felt, and using the painful point as the Shu point.
There are three methods for acupuncture and moxibustion to treat chest fullness:
First, select Qihai (Sea of Qi). The *Neijing* states: Danzhong is the Sea of Qi. Its Shu points are above and below the hand pillar bone, and anteriorly at Renying. When Qihai is in excess, there is Qi fullness, shortness of breath in the chest, and red face. Carefully observe its Shu points and regulate deficiency and excess without causing harm. (Hand pillar bone refers to the intersection at the upper edge of the scapula, according to Hua Borren.)
Second, select the Liver channel. The *Neijing* states: Diseases generated by the Foot Jueyin Liver channel include chest fullness, vomiting and rebellion, undigested food diarrhea, fox hernia, enuresis, and strangury. Detailed selection depends on excess/deficiency, heat/cold, and sinking.
Third, select the Stomach channel. The *Neijing* states: For Jueni (Rebellious Qi) with abdominal fullness, facial swelling, dripping lips, difficulty speaking suddenly, or inability to speak when severe, select the Foot Yangming channel.
[*Zhenjiu Jicheng*] For unbearable pain in the chest and hypochondrium: Qimen (4 fen), Zhangmen (6 fen, moxa 7 to 49 cones), Xingjian, Qiuxu, Yongquan.
[Yang Jizhou] Another method: Qimen (2 cun along the skin), Zhigou, Danshu (1.5 cun along the skin).
[*Jiaying Jing*] For chest fullness and pain, Xuanji is indicated. For chest and hypochondrium fullness with pain radiating to the chest, Huagai is indicated. For chest and hypochondrium fullness, Bi pain and bone pain, inability to eat, vomiting and rebellious Qi, irritability, Zigong is indicated. For chest fullness, inability to breathe, hypochondriac pain and bone pain, wheezing and rebellious Qi, vomiting, irritability, Yutang is indicated. For mutual radiating pain in the chest, hypochondrium, and back, epigastric and chest area, vomiting, hypersomnia, inability to eat, Youmen is indicated. For chest and hypochondrium fullness with pain radiating to the anterior chest, inability to breathe, confusion, irritability, fullness, inability to eat, Lingxu is indicated. For chest and hypochondrium fullness with pulling pain to the back, inability to turn in bed, Xiangxiang is indicated. When Da Qi cannot breathe, breathing causes pain in the chest and hypochondrium; in excess, the whole body feels cold; in deficiency, all joints become lax, Dabao is indicated. For chest fullness with frequent sighing and a distending sensation in the chest, Qiuxu is indicated. (*Qianjin Fang* says: chest and back tension). For pain in the chest, Tianrong is indicated. For chest and hypochondrium fullness, Laogong is indicated. For Xiong Bi radiating to the back with intermittent chills, Jianshi is indicated. For chest fullness with inability to breathe, neck and jaw swelling, Yanggu is indicated. (*Qianjin Fang* says Yangxi). For chest and hypochondrium fullness, diaphragmatic obstruction, inability to eat, vomiting with food regurgitation, Zhongting is indicated. For chest and hypochondrium fullness, convulsions, pulling pain to the umbilicus and lower abdomen, shortness of breath, irritability, Juque is indicated. For chest and hypochondrium fullness, inability to breathe, coughing and rebellion, breast abscess, aversion to cold with shivering, Shenfeng is indicated. For chest and hypochondrium fullness, diaphragmatic rebellion and blockage, shortness of breath, inability to lift arms due to wheezing, Bulang is indicated. For chest and hypochondrium fullness, aversion to human voices and wood sounds, Jubshanglian is indicated. For fullness and pain below the chest, anterior chest swelling, Rugen is indicated. For chest and hypochondrium fullness, wheezing and rebellious Qi, panting, loss of taste, Qihu is indicated. For chest and hypochondrium distension, borborygmus and cutting pain, Taibai is indicated.
[*Zhenjiu Cuoyao*] For chest fullness and blood distension: Qimen (1 fen, 1.5 cun outward along the skin, sedation method).
[*Jiaying Jing*] For food retention, fullness below the hypochondrium, inability to turn or lie on one side, blue-green eyes, and vomiting, Qimen is indicated. For sudden distension with chest and hypochondrium fullness, cold feet, difficult defecation, white face and lips, occasional hematemesis, Taichong is indicated. For sudden chest fullness and insomnia, Zhejin is indicated. For chest and hypochondrium fullness with a sensation of cold like wind blowing, Xiaxi is indicated. For chest and hypochondrium fullness, headache, and alternating cold and heat in the neck, Waiqiu is indicated. For hypersomnia and frequent spitting, chest fullness, and borborygmus, Sanjian is indicated.
[Zhang Zhongjing] Pulse diagnosis should assess excess and deficiency. Yang Wei (superficial weakness) and Yin Xian (deep tension) indicate Xiong Bi with pain. The reason is extreme deficiency. Now, knowing Yang deficiency is in the Upper Jiao, the cause of Xiong Bi and heart pain is the Yin Xian.
People with coarse white lung texture have large lungs; large lungs lead to excessive drinking and susceptibility to Xiong Bi. (Full text seen in Diagnosis section, same below.)
People with sparse costal margins have tilted lungs; tilted lungs lead to unilateral chest pain.