论曰肝着之状，千金谓病患常欲蹈其胸上，先未苦时，但欲饮热者是也。夫食气入胃，
散精于肝，淫气于筋。今风寒客于肝经，不能散精，气血凝留，故着于胸上，其未苦时，但
欲饮热者，盖血得温则行，遇寒则涩也。
治肝气虚寒，邪着胸中，实塞不快，气血留滞，胸上欲人蹈之者。桂附汤方
桂（去粗皮） 附子（炮裂去皮脐各半两） 当归（切炒） 槟榔（各半两） 赤茯苓
（去黑皮） 防风（去叉） 柏子仁（研） 细辛（去苗叶） 白术 芎 枳壳（去瓤麸
炒各三分）
上一十一味。除柏子仁，锉如麻豆拌匀，每服三钱匕，水一盏，入生姜三片，大枣二枚，
同煎至七分，去滓温服，空心食前。
治肝经不足，风寒乘之，气留胸中，筑塞不通，胁满筋急，不得太息。细辛桃仁汤方
细辛（去苗叶） 桃仁（汤浸去皮尖双仁各二两） 山茱萸（一两） 柏子仁（二两） 桂
（去粗皮） 甘草（炙各一两） 防风（去叉） 白茯苓（去黑皮各二两）
上八味。粗捣筛，每服三钱匕，水一盏半，入大枣三枚劈破，同煎至一盏，去滓温服，
空心食前日三。
治肝气为寒邪所着，胸中痞塞，气血凝留，其人常欲蹈其胸上。陈橘皮汤方
陈橘皮（汤浸去白炒半两） 青木香（一分） 桔梗（炒三分） 芍药（锉炒） 当归
（切焙各半两）
上五味。粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至七分，去滓温服，不计时
候。
治风寒客于肝经，着于胸上，膈脘痞闷。枳实汤方
枳实（陈者去瓤麸炒四枚） 桂（去粗皮一两） 浓朴（去粗皮涂生姜汁炙令烟出四两）
栝蒌（去皮一枚）
上四味。粗捣筛，每服五钱匕，水二盏，入薤白一握，同煎至一盏，去滓温服，空心日
午临卧，各一服。
治风寒客于肝经，膈脘痞塞，胁下拘痛，常欲蹈其胸上，名肝着。蹈胸汤方
枳实（去瓤麸炒） 陈橘皮（汤浸去白焙） 桔梗（炒各半两） 甘草（炙一分）
上四味。粗捣筛，每服五钱匕，水二盏，入生姜半分，薤白少许，同煎至一盏，去滓温
服，不计时候。
论述说：肝着病的症状，千金方记载患者常常想要让人踩踏他的胸部，在尚未感到痛苦时，只喜欢喝热饮，指的就是这种情况。饮食之气进入胃中，将精微物质散布到肝脏，并滋养筋脉。如今风寒邪气客居于肝经，导致无法散精，气血凝结停滞，因此附着于胸部上方。在尚未感到痛苦时，只喜欢喝热饮的原因，是因为血液遇到温热则运行通畅，遇到寒冷则凝涩不畅。
治疗肝气虚寒，邪气附着于胸中，造成实性堵塞感而不快，气血留滞，胸部上方想要让人踩踏的症状。桂附汤方：
桂枝（去除粗皮） 附子（炮制裂开，去除外皮和脐部，各半两） 当归（切片炒制） 槟榔（各半两） 赤茯苓（去除黑皮） 防风（去除叉状分枝） 柏子仁（研磨） 细辛（去除苗叶） 白术 川芎 枳壳（去除瓤和麸皮，炒制，各三分）
以上十一味药。除去柏子仁，切碎如麻豆大小拌匀，每次服用三钱匕，用水一盏，加入生姜三片，大枣二枚，一同煎煮至七分满，去渣后温服，空腹或在进食前服用。
治疗肝经不足，风寒乘虚而入，气机留滞于胸中，造成阻塞不通，胁肋胀满，筋脉拘急，不能深长呼吸。细辛桃仁汤方：
细辛（去除苗叶） 桃仁（热水浸泡，去皮尖及双仁，各二两） 山茱萸（一两） 柏子仁（二两） 桂枝（去除粗皮） 甘草（炙制，各一两） 防风（去除叉状分枝） 白茯苓（去除黑皮，各二两）
以上八味药。粗捣筛过，每次服用三钱匕，用水一盏半，加入三枚劈破的大枣，一同煎煮至一盏，去渣后温服，空腹或在进食前服用，每日三次。
治疗肝气被寒邪所附着，胸中痞塞，气血凝结停滞，患者常常想要踩踏他的胸部。陈橘皮汤方：
陈皮（热水浸泡，去除白色内皮，炒制，半两） 青木香（一分） 桔梗（炒制，三分） 芍药（锉碎炒制） 当归（切片焙干，各半两）
以上五味药。粗捣筛过，每次服用三钱匕，用水一盏，加入生姜三片，一同煎煮至七分满，去渣后温服，不拘泥于具体时间。
治疗风寒邪气客居于肝经，附着于胸部上方，膈部和脘部痞闷。枳实汤方：
枳实（陈年的，去除瓤和麸皮，炒制，四枚） 桂枝（去除粗皮，一两） 厚朴（去除粗皮，涂生姜汁炙制至烟出，四两） 瓜蒌（去皮，一枚）
以上四味药。粗捣筛过，每次服用五钱匕，用水二盏，加入薤白一握，一同煎煮至一盏，去渣后温服，空腹、中午、临睡前各服一次。
治疗风寒邪气客居于肝经，附着于胸部上方，膈部和脘部痞塞，胁下拘挛疼痛，常常想要踩踏胸部上方，称为肝着。蹈胸汤方：
枳实（去除瓤，麸皮炒制） 陈皮（热水浸泡，去除白色内皮，焙干） 桔梗（炒制，各半两） 甘草（炙制，一分）
以上四味药。粗捣筛过，每次服用五钱匕，用水二盏，加入生姜半分，薤白少许，一同煎煮至一盏，去渣后温服，不拘泥于具体时间。
Commentary states: The manifestation of Liver Stagnation (Ganzhe) is described in the *Qianjin Fang* as patients constantly desiring someone to tread upon their chest. When not yet suffering, they only desire to drink hot liquids; this refers to that condition. Dietary Qi enters the stomach, disperses essence to the Liver, and nourishes the sinews. Now, when Wind-Cold pathogenic factors lodge in the Liver Meridian, they fail to disperse essence, causing Qi and Blood to coagulate and stagnate, thus adhering to the upper chest. The reason for desiring hot drinks when not yet suffering is that Blood flows freely when warmed but becomes sluggish when cold.
To treat Liver Qi deficiency and cold, with pathogenic factors adhering to the chest causing a sensation of solid obstruction and discomfort, Qi and Blood stagnation, and the desire to have the upper chest trodden upon. Guifu Decoction Formula:
Guizhi (Cinnamon Twig, remove coarse bark) Fuzi (Prepared Aconite Root, processed until cracked, remove outer skin and umbilical scar, each half tael) Danggui (Angelicae Sinensis Radix, sliced and stir-fried) Binglang (Arecae Semen, each half tael) Chifuling (Red Poria, remove black skin) Fangfeng (Saposhnikoviae Radix, remove forked branches) Baiziren (Biota Seed, ground) Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) Baizhu (Atractylodis Macrocephalae Rhizoma) Xiong (Ligustici Chuanxiong Rhizoma) Zhike (Immature Bitter Orange, remove pulp and bran, stir-fried, each three qian)
The above eleven ingredients. Excluding Baiziren, chop into sizes resembling hemp or soybeans, mix evenly. Take three qianbi per dose, with one sheng of water, add three slices of Shengjiang (Fresh Ginger), two dates (Dazao), decoct together until reduced to seven-tenths, strain and take warm, on an empty stomach or before meals.
To treat Liver Meridian insufficiency, where Wind-Cold takes advantage of the deficiency, causing Qi to stagnate in the chest, resulting in blockage and obstruction, hypochondriac fullness, tendon tension, and inability to take deep sighs. Xixin Taoren Decoction Formula:
Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) Taoren (Persicae Semen, soaked in hot water, remove skin and pointed ends, double kernels, each two liang) Shanzhuyu (Corni Fructus, one liang) Baiziren (Biota Seed, two liang) Guizhi (Cinnamon Twig, remove coarse bark) Gancao (Licorice Root, honey-fried, each one liang) Fangfeng (Saposhnikoviae Radix, remove forked branches) Baifuling (White Poria, remove black skin, each two liang)
The above eight ingredients. Coarsely crush and sieve. Take three qianbi per dose, with one and a half sheng of water, add three crushed dates (Dazao), decoct together until reduced to one sheng, strain and take warm, on an empty stomach or before meals, three times daily.
To treat Liver Qi adhering due to Cold-Pathogenic factors, causing chest痞塞 (stifling oppression), Qi and Blood coagulation and stagnation, where the patient constantly desires to tread upon their chest. Chenjupi Decoction Formula:
Chenpi (Aged Tangerine Peel, soaked in hot water, remove white pith, stir-fried, half tael) Qingmuxiang (Vladimiria Root, one fen) Jiegeng (Platycodon Root, stir-fried, three qian) Shaoyao (Peony Root, chopped and stir-fried) Danggui (Angelicae Sinensis Radix, sliced and baked, each half tael)
The above five ingredients. Coarsely crush and sieve. Take three qianbi per dose, with one sheng of water, add three slices of Shengjiang (Fresh Ginger), decoct together until reduced to seven-tenths, strain and take warm, at any time.
To treat Wind-Cold pathogenic factors lodging in the Liver Meridian, adhering to the upper chest, causing stifling oppression in the diaphragm and epigastrium. Zhishi Decoction Formula:
Zhishi (Immature Bitter Fruit, aged ones, remove pulp and bran, stir-fried, four pieces) Guizhi (Cinnamon Twig, remove coarse bark, one liang) Houpo (Magnolia Bark, remove coarse bark, coat with fresh ginger juice, process until smoke appears, four liang) Gualou (Trichosanthes Fruit, remove skin, one piece)
The above four ingredients. Coarsely crush and sieve. Take five qianbi per dose, with two sheng of water, add a handful of Xiebai (Allium Macrostemon Bulb), decoct together until reduced to one sheng, strain and take warm, on an empty stomach, at noon, and before bed, one dose each time.
To treat Wind-Cold pathogenic factors lodging in the Liver Meridian, adhering to the upper chest, causing stifling obstruction in the diaphragm and epigastrium, spasm and pain under the hypochondrium, and constant desire to tread upon the upper chest, named Liver Stagnation (Ganzhe). Daoxiong Decoction Formula:
Zhishi (Immature Bitter Fruit, remove pulp, stir-fried with bran) Chenpi (Aged Tangerine Peel, soaked in hot water, remove white pith, baked) Jiegeng (Platycodon Root, stir-fried, each half tael) Gancao (Licorice Root, honey-fried, one fen)
The above four ingredients. Coarsely crush and sieve. Take five qianbi per dose, with two sheng of water, add half a qian of Shengjiang (Fresh Ginger), a small amount of Xiebai (Allium Macrostemon Bulb), decoct together until reduced to one sheng, strain and take warm, at any time.