《医门方》疗咽中如肉脔咽不入吐不出方∶
半夏 生姜 茯苓(各四两) 浓朴(三两,炙) 橘皮(二两)
水七升,煮取二升半,去滓,分温三服,服相去八九里,不过两剂必瘥。
《病源论》云∶胸胁痛者,由胆(都敢反)与肝及肾(时忍反)之支脉虚,为寒气所乘
故也。此
胸胁相引
《葛氏方》∶治胸痹之病,令人心中坚痞急痛,肌中苦痹,绞急如刺,不得俯仰。其胸
前皮
杀人
橘皮(一升) 枳实(四枚) 生姜(半斤)
水四升,煮取二升,分为再服。(今按∶《短剧方》∶枳实三两,水五升。)
又云∶若已瘥复更发者∶取韭根五斤,捣绞取汁,饮之立愈。
《千金方》云∶胸痹之病,令人心中坚满痞急痛,肌中苦痹,绞急如刺,不得俯仰,其
胸中
短气
枳实(四枚) 浓朴(三两) 薤白(一斤) 栝蒌子(一枚) 桂心(一两)
五味,水七升,煮取二升半,分再服。
《录验方》治胸痛达背不得卧方∶
大栝蒌实(一枚,捣) 薤白(三斤,切) 半夏(半升,洗) 生姜(六两,)切
凡四物,切,以清白浆一斗,煮取四升,一服一升。
《极要方》疗胸满气筑心腹中冷方∶
半夏〔一升(洗)〕 桂心(八两) 生姜(一斤)
上,以水七升,煮取二升七合,日三服。
《医门方》疗冷气胸中妨(害也)满或痛方∶
半夏(四两) 生姜(五两) 浓朴(四两,炙)
水六升,煮取二升,去滓,分温二服,服相去八九里,顿服二三剂。
《医门方》治疗咽喉中有异物感,如肉块堵塞,吞不下也吐不出的方剂:
半夏、生姜、茯苓(各四两),厚朴(三两,炙烤),橘皮(二两)。
用水七升,煎煮至剩余二升半,滤去药渣,分三次温服,每次服药间隔约八到九里路的时间,不超过两剂病必痊愈。
《诸病源候论》说:胸胁疼痛,是由于胆经与肝经及肾经的支脉虚弱,被寒气侵袭所致。这是指胸部与胁肋部相互牵引疼痛。
《葛氏方》:治疗胸痹病,使人心中坚硬痞塞、急痛,肌肉中感觉严重痹阻,绞痛剧烈如针刺,不能俯身或仰身。其胸前皮肤……(原文此处有缺漏)……致人死亡。
橘皮(一升),枳实(四枚),生姜(半斤)。
用水四升,煎煮至剩余二升,分为两次服用。(今按:《短剧方》记载:枳实用三两,水五升。)
又说:如果病愈后又复发者:取韭根五斤,捣碎绞取汁液,饮用后立刻痊愈。
《千金方》说:胸痹病,使人心中坚硬胀满、痞塞急痛,肌肉中感觉严重痹阻,绞痛剧烈如针刺,不能俯身或仰身,其胸部……(原文此处有缺漏)……气短。
枳实(四枚),厚朴(三两),薤白(一斤),瓜蒌子(一枚),桂心(一两)。
以上五味药,用水七升,煎煮至剩余二升半,分两次服用。
《录验方》治疗胸痛放射至背部,无法躺卧的方剂:
大瓜蒌实(一枚,捣碎),薤白(三斤,切段),半夏(半升,洗净),生姜(六两,切段)。
以上四味药,切碎,用清浆水一斗,煎煮至剩余四升,每次服用一升。
《极要方》治疗胸满、气冲撞心腹、腹部发冷的方剂:
半夏(一升,洗净),桂心(八两),生姜(一斤)。
以上药物,用水七升,煎煮至剩余二升七合,每日服用三次。
《医门方》治疗冷气阻滞胸中导致痞满或疼痛的方剂:
半夏(四两),生姜(五两),厚朴(四两,炙烤)。
用水六升,煎煮至剩余二升,滤去药渣,分两次温服,每次服药间隔约八到九里路的时间,一次性服用二三剂。
The *Yimen Fang* (Medical Gate Formulas) treats the sensation of a lump in the throat, as if a piece of meat were lodged there, which cannot be swallowed nor vomited out:
Banxia (Pinelliae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Fuling (Poria), each four liang; Houpo (Magnoliae Officinalis Cortex), three liang, prepared by stir-frying with bran; JuPi (Citri Reticulatae Pericarpium), two liang.
Add seven sheng of water, decoct to obtain two and a half sheng, strain off the dregs, and divide into three warm doses. The interval between doses should be equivalent to walking eight or nine li. No more than two doses are needed for recovery.
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states that pain in the chest and hypochondrium arises from the deficiency of the branch meridians of the Gallbladder (Dan Jing), Liver (Gan Jing), and Kidney (Shen Jing), allowing cold pathogenic factors to invade. This refers to radiating pain connecting the chest and hypochondrium.
The *Ge Shi Fang* (Formulas of Master Ge) treats Bi syndrome of the chest (Xiong Bi), causing hardness, fullness, and urgent pain in the heart region, severe obstruction in the muscles, and twisting pain like stabbing, making flexion and extension impossible. The skin of the anterior chest... [text missing] ...leading to death.
JuPi (Citri Reticulatae Pericarpium), one sheng; Zhishi (Aurantii Fructus Immaturus), four pieces; Shengjiang (Zingiberis Rhizoma Recens), half a jin.
Add four sheng of water, decoct to obtain two sheng, and divide into two doses. (Note: The *Duanju Fang* (Short Episode Formulas) records: Zhishi (Aurantii Fructus Immaturus), three liang, with five sheng of water.)
It further states: If the disease recurs after remission: Take five jin of Jiugen (Allii Tuberosi Radix), crush and squeeze to extract the juice, and drink it for immediate cure.
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) states that Bi syndrome of the chest causes hardness, fullness, and urgent pain in the heart region, severe obstruction in the muscles, and twisting pain like stabbing, making flexion and extension impossible, along with... [text missing] ...shortness of breath (Duan Qi).
Zhishi (Aurantii Fructus Immaturus), four pieces; Houpo (Magnoliae Officinalis Cortex), three liang; Xiebai (Allii Macrostemonis Bulbus), one jin; Gualouzi (Trichosanthis Semen), one piece; Guixin (Cinnamomi Ramulus), one liang.
These five ingredients, add seven sheng of water, decoct to obtain two and a half sheng, and divide into two doses.
The *Luyan Fang* (Recorded Verified Formulas) treats chest pain radiating to the back, preventing lying down:
Da Gualoushi (Trichosanthis Fructus), one piece, crushed; Xiebai (Allii Macrostemonis Bulbus), three jin, cut; Banxia (Pinelliae Rhizoma), half a sheng, washed; Shengjiang (Zingiberis Rhizoma Recens), six liang, cut.
These four ingredients, cut them, and use ten dou of clear fermented rice water (Qingbai Jiangshui), decoct to obtain four sheng. Take one sheng per dose.
The *Jiyao Fang* (Essential Formulas) treats chest fullness, qi rushing against the heart and abdomen, and abdominal coldness:
Banxia (Pinelliae Rhizoma), one sheng (washed); Guixin (Cinnamomi Ramulus), eight liang; Shengjiang (Zingiberis Rhizoma Recens), one jin.
Take these ingredients, add seven sheng of water, decoct to obtain two and seven-tenths sheng, and take three times daily.
The *Yimen Fang* (Medical Gate Formulas) treats cold qi obstructing the chest, causing distension or pain:
Banxia (Pinelliae Rhizoma), four liang; Shengjiang (Zingiberis Rhizoma Recens), five liang; Houpo (Magnoliae Officinalis Cortex), four liang, prepared by stir-frying with bran.
Add six sheng of water, decoct to obtain two sheng, strain off the dregs, and divide into two warm doses. The interval between doses should be equivalent to walking eight or nine li. Take two or three doses at once.