肝郁胁痛者，悲哀恼怒，郁伤肝气，两胁骨疼痛，筋脉拘急，腰脚重滞者是也。
枳壳煮散
枳壳（四两，先煮） 细辛 桔梗 防风 川芎（各二两） 葛根（一两半） 甘草（一两）
上为粗末，每服四钱，水一盏半，姜、枣同煎至七分，去滓，空心食前温服。
悲哀烦恼，肝气致郁，枳壳能通三焦之气，故以为君；肝欲散，故细辛、川芎、桔梗之
辛以散之；肝苦急，故用甘草之甘以缓之。其用防、葛者，悲则气敛，借风药以张之也。
戴云∶胁痛，身体带微热者，《本事》枳壳煮散良。若只是胁痛，别无他症，其痛在左
，为
肝经受邪，宜川芎、枳壳、甘草；其痛在右，为肝移病于肺，宜片姜黄、枳壳、桂心、甘草
。此二方出严氏《济生续集》。
柴胡疏肝散
柴胡 陈皮（醋炒，各二钱） 川芎 芍药 枳壳 香附（各一钱半） 炙草（五分）
水煎食前服。
调肝散 治郁怒伤肝，发为腰痛。
半夏（制，三分） 辣桂 宣木瓜 当归 川芎 牛膝 北细辛（各二分） 石菖蒲 酸枣
仁（去皮，炒） 甘草（炙，各一分）
上锉细，每服三钱，姜五片，枣二枚，煎服。（《仁斋直指》）
《良方》香橘汤 治七情所伤，中脘不快，腹胁胀满。
香附 橘红 半夏（姜制，各三钱） 炙草（一钱）
上作一服，水二盅，生姜五片，红枣二枚，煎至一盅，食远服。
肝郁胁痛，是指因悲哀恼怒等情志刺激，导致肝气郁结受损，出现两侧肋骨下疼痛、筋脉拘挛紧急、腰部和脚部沉重滞涩的症状。
枳壳煮散方
组成：枳壳（四两，先煎）、细辛、桔梗、防风、川芎（各二两）、葛根（一两半）、甘草（一两）。
制法与用法：将上述药材捣成粗末，每次服用四钱，加水一盏半，加入生姜、大枣同煎至七分水量，滤去药渣，空腹或饭前温服。
方解：悲哀烦恼导致肝气郁结，枳壳能疏通三焦之气，故作为君药；肝喜条达疏散，故用细辛、川芎、桔梗的辛味来发散郁结；肝苦于拘急，故用甘草的甘味来缓和急迫。使用防风、葛根的原因在于，悲伤会导致气机收敛，借用风药来升张气机。
戴云指出：胁痛且身体伴有轻微发热的，使用《本事方》中的枳壳煮散疗效良好。如果仅仅是胁痛，没有其他症状，疼痛在左侧的，属于肝经受邪，适宜使用川芎、枳壳、甘草；疼痛在右侧的，属于肝病传变至肺，适宜使用片姜黄、枳壳、桂心、甘草。这两个方子出自严氏的《济生续集》。
柴胡疏肝散
组成：柴胡、陈皮（醋炒，各二钱）、川芎、芍药、枳壳、香附（各一钱半）、炙甘草（五分）。
用法：水煎，饭前服用。
调肝散
主治：治疗因郁怒伤肝引发的腰痛。
组成：半夏（制，三分）、辣桂、宣木瓜、当归、川芎、牛膝、北细辛（各二分）、石菖蒲、酸枣仁（去皮，炒）、甘草（炙，各一分）。
制法与用法：将药材切碎，每次服用三钱，加生姜五片、大枣二枚，煎汤服用。（出自《仁斋直指》）
《良方》香橘汤
主治：治疗七情所伤导致的中脘部不适、腹部和胁肋部胀满。
组成：香附、橘红、半夏（姜制，各三钱）、炙甘草（一钱）。
制法与用法：作一剂服用，加水两盅，生姜五片、红枣二枚，煎至一盅，饭后较远时间服用。
Liver Qi Stagnation Hypochondriac Pain refers to the condition caused by emotional stimuli such as grief and anger, which leads to the stagnation and injury of Liver Qi. Symptoms include pain in both hypochondriac regions, spasm and tension of sinews and vessels, and heaviness and stagnation in the lower back and legs.
Zhike Decoction (Bitter Orange Decoction)
Ingredients: Zhike (Fructus Aurantii, 4 liang, decocted first), Xixin (Asari Radix et Rhizoma), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Chuanxiong Rhizome, each 2 liang), Gegen (Puerariae Lobatae Radix, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang).
Preparation and Administration: Grind the above herbs into coarse powder. For each dose, take 4 qian, add 1.5 sheng of water, boil with fresh ginger and jujube until reduced to 0.7 sheng. Strain and take warm on an empty stomach or before meals.
Analysis: Grief and distress cause Liver Qi stagnation; Zhike can unblock the Qi of the Triple Burner, thus serving as the Sovereign herb. The Liver desires dispersal, so the acrid nature of Xixin, Chuanxiong, and Jiegeng is used to disperse it. The Liver suffers from urgency, so the sweet nature of Gancao is used to relieve it. The use of Fangfeng and Gegen is because grief causes Qi to contract; wind herbs are borrowed to expand and lift the Qi.
Dai Yun stated: For hypochondriac pain accompanied by slight fever, Zhike Decoction from *Beishi Fang* is effective. If there is only hypochondriac pain without other symptoms, pain on the left indicates pathogenic invasion of the Liver Meridian, suitable for Chuanxiong, Zhike, and Gancao; pain on the right indicates Liver disease transferring to the Lung, suitable for Pian Jianghuang (Curcumae Longae Rhizoma), Zhike, Guixin (Cinnamomi Cortex), and Gancao. These two formulas are from Yan Shi's *Jisheng Xuji*.
Chaihu Shugan San (Bupleurum Powder to Soothe the Liver)
Ingredients: Chaihu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium, stir-fried with vinegar, each 2 qian), Chuanxiong, Shaoyao (Paeoniae Radix), Zhike, Xiangfu (Cyperi Rhizoma, each 1.5 qian), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Administration: Decoct in water and take before meals.
Tiao Gan San (Regulate Liver Powder)
Indications: Treats lumbar pain caused by Liver injury due to depression and anger.
Ingredients: Banxia (Pinelliae Rhizoma, processed, 3 fen), Lagui (Cinnamomi Cortex), Xuan Mugua (Chaenomelis Fructus), Danggui (Angelicae Sinensis Radix), Chuanxiong, Niuxi (Achyranthis Bidentatae Radix), Bei Xixin (Asari Radix et Rhizoma, each 2 fen), Shichangpu (Acori Tatarinowii Rhizoma), Suanzaoren (Ziziphi Spinosae Semen, peeled and stir-fried), Gancao (Honey-fried, each 1 fen).
Preparation and Administration: Cut the herbs finely. For each dose, take 3 qian, add 5 slices of fresh ginger and 2 jujubes, decoct and drink. (From *Ren Zhai Zhi Zhi*)
*Liangfang* Xiangju Tang (Fragrant Mandarin Decoction)
Indications: Treats discomfort in the epigastrium and distension/fullness in the abdomen and hypochondrium caused by injury from the Seven Emotions.
Ingredients: Xiangfu, Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma, ginger-processed, each 3 qian), Zhi Gancao (1 qian).
Preparation and Administration: Prepare as one dose. Add 2 zhong of water, 5 slices of fresh ginger, and 2 red jujubes. Decoct until reduced to 1 zhong and take long after meals.