夫胸胁痛者。由胆与肝。及肾之支脉虚。为寒气所乘故也。足少阳胆之经也。其支脉从
目
阴肾之
相引而急
治寒气伤于胸膈。引腹胁。疼痛拘急。桂心散方。
桂心（一两） 诃黎勒（一两半煨用皮） 附子（炮裂去皮脐） 白术 枳壳（麸炒微
黄去瓤）
桔
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温服。
急胸胁虚气所致。胀闷疼痛。宜服桔梗散方。
桔梗（一两半去芦头） 鬼箭羽 槟榔 木香 川大黄（锉碎微炒） 赤芍药（以上各
一两）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治胸胁气不利。腹胀急痛。半夏散方。
半夏（一两半汤洗七遍去滑） 桂心（一两） 槟榔（一两）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治胸胁气连心。疼痛不可忍。桃仁丸方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 当归（一两锉微炒） 赤芍药（一两煨用皮） 诃
黎
勒（
（二两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以温酒下二十丸。
治胸胁气妨闷。胃中壅滞。大便难。腹中痛。木香丸方。
木香（一两） 川大黄（二两锉碎微炒） 枳壳（三分麸炒微黄去瓤） 浓朴（一两去
粗皮涂
生姜
微炒）
上件药。捣罗为末。炼蜜和捣一二百杵。丸如梧桐子大。不计时候。以生姜汤下二十丸。
治胸胁气妨闷疼痛方。
吴茱萸（一两汤浸七遍焙干微炒） 麝香（一两细研） 当归（半两锉微炒）
上件药。捣罗为末。入麝香。研令匀。炼蜜和丸。如小豆大。不计时候。以热酒下二十
丸。
胸胁痛，是由于胆、肝以及肾的支脉虚弱，被寒气侵袭所致。足少阳胆经的支脉从目内眦下行，与足少阴肾经的支脉相互牵引而拘急。
治疗寒气损伤胸膈，牵引腹胁，导致疼痛且拘急不舒的方剂：桂心散方。
桂心（一两） 诃黎勒（一两半，煨后使用外皮） 附子（炮制裂开，去皮和脐） 白术 枳壳（麸炒至微黄，去瓤）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不限时候，温服。
因胸胁虚气引起的急症，表现为胀闷疼痛，适宜服用桔梗散方。
桔梗（一两半，去芦头） 鬼箭羽 槟榔 木香 川大黄（锉碎，微炒） 赤芍药（以上各一两）
以上药物，捣粗罗制成散剂。每次服用三钱，用水一中盏，煎煮至六分，滤去药渣。不限时候，稍热时服用。
治疗胸胁气机不利，腹胀急痛的方剂：半夏散方。
半夏（一两半，用汤洗七遍以去除滑腻） 桂心（一两） 槟榔（一两）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不限时候，温服。
治疗胸胁气滞牵连心脏，疼痛难以忍受的方剂：桃仁丸方。
桃仁（一两，汤浸去皮尖及双仁者，麸炒微黄） 当归（一两，锉碎微炒） 赤芍药（一两，煨后使用外皮） 诃黎勒（二两）
以上药物，捣罗成细末，用炼蜜调和，捣一二百杵，制成如梧桐子大小的丸剂。不限时候，用温酒送服二十丸。
治疗胸胁气滞妨闷，胃中壅滞，大便困难，腹部疼痛的方剂：木香丸方。
木香（一两） 川大黄（二两，锉碎微炒） 枳壳（三分，麸炒微黄去瓤） 浓朴（一两，去粗皮涂姜汁微炒）
以上药物，捣罗成细末，用炼蜜调和，捣一二百杵，制成如梧桐子大小的丸剂。不限时候，用生姜汤送服二十丸。
治疗胸胁气滞妨闷疼痛的方剂。
吴茱萸（一两，汤浸七遍，焙干微炒） 麝香（一两，细研） 当归（半两，锉碎微炒）
以上药物，捣罗成细末，加入麝香，研磨均匀。用炼蜜和丸，制成如小豆大小的丸剂。不限时候，用热酒送服二十丸。
Pain in the chest and hypochondrium arises from deficiency of the Gallbladder, Liver, and the branch vessels of the Kidney, which are invaded by cold pathogenic factors. The branch vessel of the Foot-Shaoyang Gallbladder Meridian descends from the inner canthus and is drawn tightly due to its connection with the branch vessel of the Foot-Shaoyin Kidney Meridian.
For treating cold pathogenic factors injuring the chest and diaphragm, causing pain and spasm radiating to the abdomen and hypochondrium: Guixin San (Cinnamon Heart Powder).
Guixin (Cinnamomi Cortex, 1 liang) Helile (Terminalia chebula Retz., 1.5 liang, roasted, using the peel) Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and umbilicus removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhike (Aurantii Fructus Immaturus, stir-fried with bran until slightly yellow, pith removed)
The above herbs are crushed, sifted into a powder. Each dose consists of 3 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm at any time.
For acute conditions caused by deficient qi in the chest and hypochondrium, manifesting as distension, stifling sensation, and pain: Jiegeng San (Platycodon Powder).
Jiegeng (Platycodonis Radix, 1.5 liang, radix stem removed) Guijianyu (Corni Cornus Officinalis Ramulus) Binglang (Arecae Semen) Muxiang (Aucklandiae Radix) Chuan Dahuang (Rhei Radix et Rhizoma, cut into pieces and slightly stir-fried) Chishao Yao (Paeoniae Radix Rubra, each 1 liang)
The above herbs are coarsely ground into a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to six-tenths. Strain the dregs. Take slightly warm at any time.
For treating unfavorable qi in the chest and hypochondrium, abdominal distension, and acute pain: Banxia San (Pinellia Powder).
Banxia (Pinelliae Rhizoma, washed seven times with hot water to remove slipperiness) Guixin (Cinnamomi Cortex, 1 liang) Binglang (Arecae Semen, 1 liang)
The above herbs are crushed, sifted into a powder. Each dose consists of 3 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths. Strain the dregs. Take warm at any time.
For treating qi stagnation in the chest and hypochondrium radiating to the heart, with unbearable pain: Taoren Wan (Persicae Semen Pill).
Taoren (Persicae Semen, soaked in water, skin and tip removed, double-kernel ones discarded, stir-fried with bran until slightly yellow) Danggui (Angelicae Sinensis Radix, 1 liang, cut and slightly stir-fried) Chishao Yao (Paeoniae Radix Rubra, 1 liang, roasted, using the peel) Helile (Terminalia chebula Retz., 2 liang)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for 100-200 strokes to form pills the size of sophora seeds. Take 20 pills with warm wine at any time.
For treating stifling sensation in the chest and hypochondrium due to qi stagnation, gastric obstruction, difficult defecation, and abdominal pain: Muxiang Wan (Aucklandia Pill).
Muxiang (Aucklandiae Radix, 1 liang) Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, cut and slightly stir-fried) Zhike (Aurantii Fructus Immaturus, 3 fen, stir-fried with bran until slightly yellow, pith removed) Nongpo (Magnoliae Officinalis Cortex, 1 liang, coarse bark removed, coated with ginger juice and stir-fried)
The above herbs are ground into fine powder, mixed with refined honey, and pounded for 100-200 strokes to form pills the size of sophora seeds. Take 20 pills with ginger decoction at any time.
For treating stifling sensation and pain in the chest and hypochondrium due to qi stagnation.
Wuzhuyu (Evodiae Fructus, 1 liang, soaked in water seven times, dried and slightly stir-fried) Shexiang (Moschus, 1 liang, finely ground) Danggui (Angelicae Sinensis Radix, 0.5 liang, cut and slightly stir-fried)
The above herbs are ground into fine powder, mixed with Shexiang, and ground evenly. Form pills with refined honey the size of mung beans. Take 20 pills with hot wine at any time.