（论二首 方十二首 灸法五首）
论曰∶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，其胸前皮皆痛
，手不得犯，胸中 而满，短气咳唾引痛，咽塞不利，习习如痒，喉中干燥，时欲呕吐，
烦闷，自汗出，或彻引背痛，不治之，数日杀人。
论曰∶夫脉当取太过与不及，阳微阴弦即胸痹而痛，所以然者，责其极虚故也。今阳虚
知在上焦，所以胸痹心痛者，以其人脉阴弦故也。
平人无寒热，短气不足以息者实也。
治胸痹病喘息咳唾，胸背痛短气，寸脉沉而迟关上小紧数方。
栝蒌实（一枚） 半夏（半斤） 薤白（半斤） 枳实（二两） 生姜（四两）
上五味 咀，以白 浆一斗煮取四升，服一升，日三。（仲景、《肘后》不用生姜，枳
实，半夏）
治胸痹心中痞气，气结在胸，胸满胁下逆抢心方。
枳实（四枚） 薤白（一斤） 桂枝（一两） 浓朴（三两） 栝蒌实（一枚）
上五味 咀，以水七升煮取二升，半分再服，仲景方用浓朴四两，薤白半斤，水五升煮
取二升，分三服。
治胸中气塞短气方。
茯苓（三两） 甘草（一两） 杏仁（五十枚）
上三味 咀，以水一斗三升煮取六升，去滓，为六服，日三，未瘥更合服。
治胸痹候胸中 如满噎塞习习如痒，喉中涩燥唾沫，宜此方∶
橘皮（一斤） 枳实（五枚） 生姜（半斤）
上三味 咀，以水五升煮取二升，去滓，分再服。（《金匮》名橘皮枳实生姜汤。）
（论述两篇，方剂十二首，灸法五首）
论述说：胸痹这种病，使人心中感觉坚硬胀满、痞塞急痛，肌肉中痛苦地出现痹阻、绞紧急迫如针刺感，不能俯身或仰起，其胸前皮肤全部疼痛，手不能触碰，胸中气逆而胀满，呼吸短促、咳嗽吐痰牵引作痛，咽喉堵塞不利，时常感到像瘙痒一样，喉咙中干燥，时不时想要呕吐，心烦闷乱，自汗出，或者疼痛放射至背部，如果不治疗，几天内即可致死。
论述说：诊脉应当取太过与不及的脉象，阳脉微细、阴脉弦紧即是胸痹且疼痛的原因，之所以这样，是因为正气极度虚弱所致。如今知道阳气虚损位于上焦，所以出现胸痹心痛，是因为病人的脉象呈现阴弦之故。
普通人没有恶寒发热的症状，但呼吸短促、气息不足以接续的，属于实证。
治疗胸痹病伴有喘息、咳嗽吐痰、胸背疼痛、呼吸短促，寸口脉沉而迟，关脉小紧数的方剂。
栝蒌实（一枚） 半夏（半斤） 薤白（半斤） 枳实（二两） 生姜（四两）
以上五味药切碎，用白米泔水一斗煮取四升，每次服用一升，每日三次。（张仲景、《肘后备急方》不用生姜、枳实、半夏）
治疗胸痹心中痞塞之气，气结聚在胸中，胸部胀满，胁下之气上逆冲击心脏的方剂。
枳实（四枚） 薤白（一斤） 桂枝（一两） 浓朴（三两） 栝蒌实（一枚）
以上五味药切碎，用水七升煮取二升，分两次服用。张仲景的方子用浓朴四两，薤白半斤，用水五升煮取二升，分三次服用。
治疗胸中气机阻滞、呼吸短促的方剂。
茯苓（三两） 甘草（一两） 杏仁（五十枚）
以上三味药切碎，用水一斗三升煮取六升，去渣，分为六次服用，每日三次，如果未痊愈，再配制服用。
治疗胸痹证见胸中痞闷如胀满、噎塞感、时常像瘙痒、喉咙中涩燥、吐唾沫的情况，适宜使用此方：
橘皮（一斤） 枳实（五枚） 生姜（半斤）
以上三味药切碎，用水五升煮取二升，去渣，分两次服用。（《金匮要略》中名为橘皮枳实生姜汤。）
(Two treatises, twelve prescriptions, five moxibustion methods)
The treatise states: The disease of Chest Bi (Chest Obstruction Syndrome) causes a sensation of hardness, fullness, and stifling pain in the heart region. There is painful obstruction in the muscles, with a twisting, urgent, needle-like stabbing pain, making it impossible to bend forward or extend backward. The skin over the chest is entirely painful and cannot be touched by hand. There is rebellious Qi causing fullness in the chest, shortness of breath, coughing and expectoration that triggers pain, a feeling of blockage and difficulty in the throat, frequent sensations resembling itching, dryness in the throat, occasional desire to vomit, mental restlessness and oppression, spontaneous sweating, or pain radiating through to the back. If left untreated, it can be fatal within a few days.
Another treatise states: Pulse diagnosis should assess both excessive and deficient conditions. A superficial pulse that is faint (Yang Wei) combined with a deep, string-taut pulse (Yin Xian) indicates Chest Bi accompanied by pain. This occurs because of extreme deficiency. Since we know Yang Qi deficiency resides in the Upper Jiao (Upper Burner), the reason for Chest Bi and Heart Pain is precisely due to the patient's string-taut pulse.
In a healthy person without aversion to cold or fever, shortness of breath where respiration is insufficient constitutes an Excess syndrome.
Prescription for treating Chest Bi with wheezing, coughing, and expectoration, chest and back pain, and shortness of breath, characterized by a deep and slow pulse at the Cun position and a slightly tight and rapid pulse at the Guan position.
Gualou Fruit (Trichosanthis Fructus) (one fruit) Banxia (Pinelliae Rhizoma Preparatum) (half jin) Xiebai (Allii Macrostemonis Bulbus) (half jin) Zhishi (Aurantii Fructus Immaturus) (two liang) Shengjiang (Zingiberis Rhizoma Recens) (four liang)
Chop the above five ingredients. Boil in ten dou of rice washing water until four sheng remain. Take one sheng per dose, three times daily. (Zhang Zhongjing and *Zhouhou Beiji Fang* do not use Shengjiang, Zhishi, or Banxia.)
Prescription for treating Chest Bi with stifling Qi in the heart region, Qi knotting in the chest, chest fullness, and rebellious Qi from the hypochondrium rushing upward to strike the heart.
Zhishi (Aurantii Fructus Immaturus) (four pieces) Xiebai (Allii Macrostemonis Bulbus) (one jin) Guizhi (Cinnamomi Ramulus) (one liang) Houpo (Magnoliae Officinalis Cortex) (three liang) Gualou Fruit (Trichosanthis Fructus) (one fruit)
Chop the above five ingredients. Boil in seven sheng of water until two sheng remain. Divide into two doses. Zhang Zhongjing’s prescription uses four liang of Houpo and half a jin of Xiebai, boiled in five sheng of water until two sheng remain, divided into three doses.
Prescription for treating Qi stagnation in the chest and shortness of breath.
Fuling (Poria) (three liang) Gancao (Glycyrrhizae Radix et Rhizoma) (one liang) Xingren (Armeniacae Semen Amarum) (fifty seeds)
Chop the above three ingredients. Boil in thirteen dou of water until six sheng remain. Strain. Divide into six doses, taken three times daily. If not cured, prepare another batch to take.
For Chest Bi presenting with a sensation of fullness and stifling in the chest, a choking feeling, frequent itching sensations, dryness and roughness in the throat, and spitting of saliva, this prescription is suitable:
Chenpi (Citri Reticulatae Pericarpium) (one jin) Zhishi (Aurantii Fructus Immaturus) (five pieces) Shengjiang (Zingiberis Rhizoma Recens) (half jin)
Chop the above three ingredients. Boil in five sheng of water until two sheng remain. Strain. Divide into two doses. (Named *Jupi Zhishi Shengjiang Tang* in *Jingui Yaolue*.)