论曰体虚之人。寒气客之。气结在胸。郁而不散。故为胸痹。其证心下坚满痞急。甚者、
痛抢心如刺。手不得犯。治之稍缓。便致危殆。不可忽也。
治胸痹。心下坚痞。枳实汤方
枳实（麸炒四枚） 桂（去粗皮一两） 浓朴（去粗皮生姜汁炙四两） 栝蒌实（去皮
焙一枚）
上四味。粗捣筛。每服五钱匕。水一盏半。薤白五寸切。煎至八分。去滓温服。空心日
午临卧各一。
治心胸气急刺痛。不可俯仰。气促咳唾不下食。陈橘汤方
陈橘皮（汤浸去白焙） 芍药 当归（切焙各半两） 木香（一分） 桔梗（炒三分）
上五味。粗捣筛。每服五钱匕。水一盏半。生姜五片。煎至八分。去滓温服。
治胸痹。心下气坚。 刺不可俯仰。气促咳唾引痛不能食。枳实桔梗汤方
枳实（麸炒七枚） 陈橘皮（汤浸去白炒） 桔梗（炒各半两） 甘草（炙一分）
上四味。粗捣筛。每服五钱匕。水一盏半。生姜一枣大拍破。薤白五寸切。煎至八分。
去滓温服。
治胸痹缓急。薏苡散方
薏苡仁（七百五十粒） 附子（大者五枚炮裂去皮脐）
上二味。捣罗为散。每服半钱匕。温酒调下。空心日午临卧各一服。未瘥稍增之。
治胸中隐然而痛。桂姜丸方
桂（去粗皮） 干姜（炮） 乌头（炮裂去皮脐各一分） 人参（三两） 细辛（去苗
叶） 山茱萸 贝母（去
上七味。捣罗为末。炼蜜丸如小豆大。每服二十丸。温酒下。稍加之。粥饮亦得。
治寒气客在胸中。郁而不散。坚满痞急。病名胸痹。四温散方
附子（炮裂去皮脐） 蓬莪术（煨锉各一两） 胡椒 枳实（麸炒各半两）
上四味捣罗为散。每服三钱匕。热酒调下。
治胸痹。心下坚痞。五味丸方
桂（去粗皮） 诃黎勒皮 槟榔（锉各一两） 附子（炮裂去皮脐） 干姜（炮各三分）
上五味。捣罗为末。炼蜜丸如梧桐子大。每服二十丸。温酒或姜汤下。
治胸痹。心下坚痞。豆蔻汤方
白豆蔻（去皮） 桂去（粗皮） 木香 人参（各半两） 陈曲 京三棱（煨锉各一两）
陈橘皮（汤浸去
上一十味。粗捣筛。每服三钱匕。水一盏。生姜三片。盐少许。煎至七分。去滓食前温
服。
治寒气结为胸痹。心下坚痞。木香丸方
木香 青橘皮（汤浸去白焙） 陈橘皮（汤浸去白焙） 羌活（去芦头） 半夏（汤洗
七遍各半两） 槟榔（锉） 桔梗（去芦头） 枳实（麸炒黄色秤） 浓朴（去粗皮姜制秤）
白术 甘草（各半两炙黄锉）
上一十一味。捣罗为细末。炼蜜为丸。如梧桐子大。每服生姜汤下三十丸。日三。
论述说：体质虚弱的人，寒气侵入体内。气机郁结在胸部，郁滞而不能疏散，所以形成胸痹。其症状表现为心下部位坚硬、胀满、痞塞且拘急疼痛。严重的，疼痛冲击心脏如同针刺一般，手不能触碰。治疗如果稍微迟缓，就会导致危重局面，不可轻视。
治疗胸痹，心下坚硬痞塞的枳实汤方：
枳实（麸炒四枚） 桂枝（去掉粗皮一两） 厚朴（去掉粗皮，用生姜汁炙制四两） 瓜蒌实（去掉皮，焙干一枚）
以上四味药，捣碎并筛成粗末。每次服用五钱匕，用水一盏半，加入切碎的薤白五寸，煎煮至八分满，去渣，温服。空腹、中午、临睡前各服一次。
治疗心胸气急刺痛，不能俯仰，气短咳嗽吐痰，无法进食的陈橘汤方：
陈皮（热水浸泡去掉白色内瓤，焙干） 芍药 当归（切碎焙干，各半两） 木香（一分） 桔梗（炒三分）
以上五味药，捣碎并筛成粗末。每次服用五钱匕，用水一盏半，加入生姜五片，煎煮至八分满，去渣，温服。
治疗胸痹，心下气机坚结，刺痛导致不能俯仰，气短咳嗽吐痰牵引疼痛，不能进食的枳实桔梗汤方：
枳实（麸炒七枚） 陈皮（热水浸泡去掉白色内瓤，炒） 桔梗（炒，各半两） 甘草（炙制一分）
以上四味药，捣碎并筛成粗末。每次服用五钱匕，用水一盏半，加入拍破的一枣大生姜，切碎的薤白五寸，煎煮至八分满，去渣，温服。
治疗胸痹发作有时或缓急不定的薏苡散方：
薏苡仁（七百五十粒） 附子（大的五枚，炮裂，去掉皮和脐）
以上两味药，捣碎过筛制成散剂。每次服用半钱匕，用温酒调服。空腹、中午、临睡前各服一次。若未痊愈，可稍增加剂量。
治疗胸中隐隐作痛的桂姜丸方：
桂枝（去掉粗皮） 干姜（炮制） 乌头（炮裂，去掉皮和脐，各一分） 人参（三两） 细辛（去掉苗和叶） 山茱萸 贝母（去掉心）
以上七味药，捣碎过筛制成细末，用炼蜜制成如小豆大小的丸剂。每次服用二十丸，用温酒送下，可适当加量。用粥饮送服也可以。
治疗寒气客居在胸中，郁滞不散，坚硬胀满痞塞拘急，病名为胸痹的四温散方：
附子（炮裂，去掉皮和脐） 蓬莪术（煨制锉碎，各一两） 胡椒 枳实（麸炒，各半两）
以上四味药，捣碎过筛制成散剂。每次服用三钱匕，用热酒调服。
治疗胸痹，心下坚硬痞塞的五味丸方：
桂枝（去掉粗皮） 诃黎勒皮 槟榔（锉碎，各一两） 附子（炮裂，去掉皮和脐） 干姜（炮制，各三分）
以上五味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸，用温酒或姜汤送服。
治疗胸痹，心下坚硬痞塞的豆蔻汤方：
白豆蔻（去皮） 桂枝（去掉粗皮） 木香 人参（各半两） 神曲 京三棱（煨制锉碎，各一两） 陈皮（热水浸泡去掉白色内瓤... [原文此处截断，依常理补全为焙]）
以上十味药，捣碎并筛成粗末。每次服用三钱匕，用水一盏，加入生姜三片，少许盐，煎煮至七分满，去渣，饭前温服。
治疗寒气凝结形成胸痹，心下坚硬痞塞的木香丸方：
木香 青橘皮（热水浸泡去掉白色内瓤，焙干） 陈皮（热水浸泡去掉白色内瓤，焙干） 羌活（去掉芦头） 半夏（热水清洗七遍，各半两） 槟榔（锉碎） 桔梗（去掉芦头） 枳实（麸炒至黄色称重） 厚朴（去掉粗皮，姜汁炙制称重） 白术 甘草（各半两，炙黄锉碎）
以上十一味药，捣碎过筛制成细末，用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸，用生姜汤送服，每日三次。
Discourse states: In individuals with deficient constitution, cold pathogenic qi invades the body. The qi becomes knotted in the chest, stagnating and failing to disperse, thus forming Chest Bi (Chest Obstruction). The manifestations include hardness, fullness, stuffiness, and tension/pain in the epigastrium. In severe cases, the pain strikes the heart like a needle prick, making it intolerable to touch. If treatment is delayed even slightly, it may lead to critical danger; therefore, it must not be neglected.
For treating Chest Bi with hardness and stuffiness in the epigastrium, Zhi Shi Tang (Immature Bitter Orange Decoction):
Zhi Shi (Immature Bitter Orange, stir-bran fried, four pieces) Guizhi (Cinnamon Twig, bark removed, one tael) Houpo (Magnolia Bark, bark removed, processed with ginger juice, four taels) Gualou Shi (Trichosanthes Fruit, peel removed, baked, one piece)
The above four herbs are coarsely crushed and sieved. Each dose consists of five qianbi (approx. 5-10g depending on era/measure), boiled with one dan and a half of water, along with five cun of cut Xiebai (Allium Macrostemon Rhizome), until reduced to eight-tenths volume. Strain and take warm. Administer on an empty stomach, at noon, and before bed.
For treating urgent Qi distress and stabbing pain in the chest and heart, inability to bend or extend, shortness of breath, coughing with expectoration, and inability to eat, Chen Ju Tang (Aged Tangerine Peel Decoction):
Chenpi (Aged Tangerine Peel, soaked in water, white pith removed, baked) Shaoyao (Peony Root) Danggui (Angelica Sinensis, cut and baked, each half tael) Muxiang (Costus Root, one fen) Jiegeng (Platycodon Root, stir-fried, three fen)
The above five herbs are coarsely crushed and sieved. Each dose consists of five qianbi, boiled with one dan and a half of water and five slices of Shengjiang (Fresh Ginger), until reduced to eight-tenths volume. Strain and take warm.
For treating Chest Bi with Qi knotting and hardness in the epigastrium, stabbing pain preventing bending/extending, shortness of breath, coughing with expectoration causing pulling pain, and inability to eat, Zhi Shi Jie Geng Tang (Immature Bitter Orange and Platycodon Decoction):
Zhi Shi (Immature Bitter Orange, stir-bran fried, seven pieces) Chenpi (Aged Tangerine Peel, soaked in water, white pith removed, stir-fried) Jiegeng (Platycodon Root, stir-fried, each half tael) Gancao (Licorice Root, honey-fried, one fen)
The above four herbs are coarsely crushed and sieved. Each dose consists of five qianbi, boiled with one dan and a half of water, a date-sized piece of broken Shengjiang (Fresh Ginger), and five cun of cut Xiebai (Allium Macrostemon Rhizome), until reduced to eight-tenths volume. Strain and take warm.
For treating intermittent or acute Chest Bi, Yiyi San (Coix Seed Powder):
Yiyiren (Coix Seed, 750 grains) Fuzi (Prepared Aconite Root, large ones, five pieces, roasted/cracked, peel and umbilical scar removed)
The above two herbs are crushed and sifted into a powder. Each dose is half a qianbi, taken with warm wine. Administer on an empty stomach, at noon, and before bed. If symptoms do not resolve, the dose may be slightly increased.
For treating dull pain in the chest, Gui Jiang Wan (Cinnamon and Dried Ginger Pill):
Guizhi (Cinnamon Twig, bark removed) Ganjiang (Dried Ginger, roasted) Wutou (Prepared Aconite Root, roasted/cracked, peel and umbilical scar removed, each one fen) Renshen (Ginseng Root, three taels) Xixin (Asarum Root, roots and leaves removed) Shanzhuyu (Cornus Fruit) Beimu (Fritillaria Bulb, heart removed)
The above seven herbs are crushed and sifted into fine powder, mixed with refined honey to form pills the size of small beans. Each dose is twenty pills, taken with warm wine; the dose may be slightly increased. Taking with gruel drink is also acceptable.
For treating cold pathogenic qi lodging in the chest, stagnating without dispersing, causing hardness, fullness, stuffiness, and tension, diagnosed as Chest Bi, Si Wen San (Four Warmth Powder):
Fuzi (Prepared Aconite Root, roasted/cracked, peel and umbilical scar removed) Peng Ezhu (Curcuma Zedoaria Rhizome, baked and crushed, one tael) Hujiao (Black Pepper) Zhi Shi (Immature Bitter Orange, stir-bran fried, each half tael)
The above four herbs are crushed and sifted into a powder. Each dose is three qianbi, taken with hot wine.
For treating Chest Bi with hardness and stuffiness in the epigastrium, Wu Wei Wan (Five Ingredient Pill):
Guizhi (Cinnamon Twig, bark removed) Helile Pi (Pericarpio Chebulae) Binglang (Areca Seed, crushed, each one tael) Fuzi (Prepared Aconite Root, roasted/cracked, peel and umbilical scar removed) Ganjiang (Dried Ginger, roasted, each three fen)
The above five herbs are crushed and sifted into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is twenty pills, taken with warm wine or ginger decoction.
For treating Chest Bi with hardness and stuffiness in the epigastrium, Doukou Tang (Cardamom Decoction):
Baidoukou (White Cardamom Seed, peel removed) Guizhi (Cinnamon Twig, bark removed) Muxiang (Costus Root) Renshen (Ginseng Root, each half tael) Shenqu (Medicated Leaven) Jingsanleng (Burret Curcuma Rhizome, baked and crushed, each one tael) Chenpi (Aged Tangerine Peel, soaked in water, white pith removed...)
The above ten herbs are coarsely crushed and sieved. Each dose is three qianbi, boiled with one cup of water, three slices of Shengjiang (Fresh Ginger), and a little salt, until reduced to seven-tenths volume. Strain and take warm before meals.
For treating cold pathogenic qi congealing to form Chest Bi with hardness and stuffiness in the epigastrium, Muxiang Wan (Costus Root Pill):
Muxiang (Costus Root) Qingju Pi (Green Tangerine Peel, soaked in water, white pith removed, baked) Chenpi (Aged Tangerine Peel, soaked in water, white pith removed, baked) Qianghuo (Notopterygium Rhizome, rhizome head removed) Banxia (Pinellia Tuber, washed in water seven times, each half tael) Binglang (Areca Seed, crushed) Jiegeng (Platycodon Root, rhizome head removed) Zhi Shi (Immature Bitter Orange, stir-bran fried to yellow, weighed) Houpo (Magnolia Bark, bark removed, ginger-processed, weighed) Baizhu (Atractylodes Rhizome) Gancao (Licorice Root, each half tael, honey-fried, yellow, crushed)
The above eleven herbs are crushed and sifted into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose is thirty pills, taken with ginger decoction, three times daily.