(胸痹痛 余见胸满)
本神、颅息、主胸胁相引。不得倾侧。(千)太白、主胸胁胀切痛。阳辅、主胸胁痛
环跳、至阴、主胸胁痛无常处。腰胁相引急痛。大包、主胸胁中痛。丰隆、(又见腹痛
。)丘墟、主胸痛如刺。胸胁满心痛。灸期门随年壮。乳根、主胸下满痛。膻中、(百
。)天井、主胸痹心痛。大泉、主胸膺痛。肺俞、云门、中府、隐白、期门、魂门、大
陵、主胸中痛。少冲、主胸痛。口热。胸中痛引腰背。心下呕逆。面无滋润。灸上门随年
壮。穴在侠巨阙两边相去各半寸。(一云一寸。)经渠、丘墟、主胸背急。胸中膨膨。
大溪、治胸满痛。乳肿贲膺。咳逆上气。喉中作声。(铜)肝俞、治咳引胸
(见咳逆。)少冲、(见伤寒。)中府、治胸痛。(见肺急。)乳根、治胸满痛。华盖、
治胸胁支满。痛引胸中。咳逆上气。喘不能言。(明下同。)紫宫、治胸胁支满。胸膺骨疼
。饮食不下。呕逆。上气烦心。玉堂、治胸满不得喘息。胸膺骨疼。呕吐寒痰。上气烦心
。幽门、治胸中引痛。心下烦闷。逆气里急。支满不嗜食。数咳。健忘。丰隆、治厥逆
。胸痛如刺。腹切痛。明云、气刺不可忍。(见四肢厥。)太渊、治胸痹。逆气寒厥。善哕
呕。饮水咳嗽。烦怒不得卧。胸痹引背。时寒。间使主之。(千)间使、主胸痹。背相引
。临泣、主胸痹不得息。鱼际、主痹走胸。不得息。浮白、疗胸满胸痛。(明见咳逆
。)俞府、疗胸中
痛。(下)胸痹心痛不得息。痛无常处。临泣主之。胸痹灸胸堂。(见上气。)廉泉、(
见上气。)中府、(见咳。)主胸痛。胆俞、治胸胁不能转。(铜)明云、胸胁满。(见
干呕。)丘墟
、治胸胁满痛。不得息。明下云、胸满。(见太息)下廉、治胸胁小腹痛。大包、治胸胁
痛。(见上气。)肾俞、主两胁引痛。(千)肝俞、脾俞、志室、主两胁急痛。支沟、主
胁腋急痛。中管、承满、主胁下坚痛。腕骨、阳谷、主胁痛不得息。胆俞、章门、主胁
痛不得卧。窍阴、主胁痛咳逆。尺泽、少泽、主短气。胁痛心烦。关元、期门、少商
、主胁下胀。极泉、治胁下满痛。(铜)鬲俞、(见呕吐。)中膂俞、(见消渴。)窍阴、(
见咳逆。)阳谷、颅囟治胁痛。(见寒热。)肝俞、治两胁急痛。(见咳逆。)腕骨、治胁
下痛。不得息。肾俞、治胁满引小腹痛。(见劳瘵。)上廉、治飧泄。腹胁痛满。狂走。
侠脐腹痛。食不化。喘息不能行。太溪、治腹胁痛连脊。手足厥冷。云门、疗胸胁彻背
痛。华盖、疗胸胁痛。(见胸满。)三里、主胁鬲痛。
(胸痹痛 我在“胸满”条下已有论述)
本神穴、颅息穴,主治胸胁相互牵引疼痛,身体不能向一侧倾斜。(出自《千金方》)太白穴,主治胸胁胀满且剧烈疼痛。阳辅穴,主治胸胁痛。
环跳穴、至阴穴,主治胸胁痛部位不固定,腰部与胁部相互牵引且拘急疼痛。大包穴,主治胸胁内部疼痛。丰隆穴,(又见于腹痛条下)。丘墟穴,主治胸痛如针刺感,伴有胸胁胀满和心痛。灸期门穴,根据患者年龄决定壮数(随年壮)。乳根穴,主治胸部下方胀满疼痛。膻中穴,(百会穴?此处原文可能有误或指代不明,保留原意),天井穴,主治胸痹心痛。大泉穴,主治胸前部疼痛。肺俞穴、云门穴、中府穴、隐白穴、期门穴、魂门穴、大陵穴,主治胸中疼痛。少冲穴,主治胸痛,伴有口热。胸中疼痛牵引腰背部,心下部呕吐逆气,面色缺乏润泽。灸上述穴位,根据患者年龄决定壮数。穴位位于巨阙穴两旁,距离各半寸。(另一种说法是一寸。)经渠穴、丘墟穴,主治胸背拘急,胸中胀满感。大溪穴,治疗胸满痛,乳房肿胀波及胸膺,咳嗽气逆上冲,喉中有声音。(出自《铜人腧穴针灸图经》)肝俞穴,治疗咳嗽牵引胸痛(见“咳逆”条)。少冲穴,(见“伤寒”条)。中府穴,治疗胸痛(见“肺急”条)。乳根穴,治疗胸满痛。华盖穴,治疗胸胁支撑胀满,疼痛牵引至胸中,咳嗽气逆上冲,气喘不能言语。(以下说明同《明堂经》)紫宫穴,治疗胸胁支撑胀满,胸膺骨疼痛,饮食难下,呕吐逆气,气逆心烦。玉堂穴,治疗胸满不能喘息,胸膺骨疼痛,呕吐寒痰,气逆心烦。幽门穴,治疗胸中牵引疼痛,心下部烦闷,气逆里急,支撑胀满不想进食,频繁咳嗽,健忘。丰隆穴,治疗厥逆,胸痛如针刺,腹部剧烈疼痛。明代医家认为,气刺疼痛难以忍受。(见“四肢厥”条)太渊穴,治疗胸痹,气逆寒厥,容易呃逆呕吐,饮水后咳嗽,烦躁愤怒无法安卧。胸痹牵引背部,时而发冷。间使穴主治。(出自《千金方》)间使穴,主治胸痹,背部相互牵引。临泣穴,主治胸痹呼吸不畅。鱼际穴,主治痹症走窜至胸部,呼吸不畅。浮白穴,治疗胸满胸痛。(明代文献见“咳逆”条)俞府穴,治疗胸中疼痛。(出自《下经》)胸痹心痛导致呼吸不畅,疼痛部位不固定,由临泣穴主治。胸痹可灸胸堂穴。(见“上气”条)廉泉穴,(见“上气”条)。中府穴,(见“咳”条),主治胸痛。胆俞穴,治疗胸胁不能转动。(出自《铜人腧穴针灸图经》)明代医家认为,胸胁胀满。(见“干呕”条)丘墟穴,治疗胸胁满痛,呼吸不畅。明代文献下文说,胸满。(见“太息”条)下廉穴,治疗胸胁小腹疼痛。大包穴,治疗胸胁痛。(见“上气”条)肾俞穴,主治两胁牵引疼痛。(出自《千金方》)肝俞穴、脾俞穴、志室穴,主治两胁拘急疼痛。支沟穴,主治胁腋拘急疼痛。中管穴、承满穴,主治胁下坚硬疼痛。腕骨穴、阳谷穴,主治胁痛导致呼吸不畅。胆俞穴、章门穴,主治胁痛导致无法安卧。窍阴穴,主治胁痛伴咳嗽气逆。尺泽穴、少泽穴,主治短气,胁痛心烦。关元穴、期门穴、少商穴,主治胁下胀满。极泉穴,治疗胁下满痛。(出自《铜人腧穴针灸图经》)鬲俞穴,(见“呕吐”条)。中膂俞穴,(见“消渴”条)。窍阴穴,(见“咳逆”条)。阳谷穴、颅囟穴,治疗胁痛。(见“寒热”条)肝俞穴,治疗两胁拘急疼痛。(见“咳逆”条)。腕骨穴,治疗胁下疼痛,呼吸不畅。肾俞穴,治疗胁满牵引小腹痛。(见“劳瘵”条)上廉穴,治疗完谷不化的泄泻,腹部和胁部胀满疼痛,狂乱奔走,肚脐周围腹痛,食物不消化,喘息严重到无法行走。太溪穴,治疗腹胁疼痛连及脊柱,手足厥冷。云门穴,治疗胸胁疼痛彻及背部。华盖穴,治疗胸胁痛。(见“胸满”条)三里穴,主治胁肋膈肌疼痛。
(Thoracic Bi Pain I have discussed this under the entry for Chest Fullness.)
Benshen (BL-18) and Luxi (GB-19) govern pain in the chest and hypochondrium with mutual traction, preventing the body from tilting to one side. (From *Qianjin Fang*)
Baidai (SP-3) governs distending and cutting pain in the chest and hypochondrium.
Yangfu (GB-38) governs pain in the chest and hypochondrium.
Huantiao (GB-30) and Zhiyin (BL-67) govern pain in the chest and hypochondrium that moves without a fixed location, accompanied by acute pain with mutual traction between the waist and hypochondrium.
Dabao (SP-21) governs pain within the chest and hypochondrium.
Fenglong (ST-40), (also see Abdominal Pain).
Qiuxu (GB-40) governs stabbing pain in the chest like needle pricks, with fullness in the chest and hypochondrium and heart pain.
Moxibustion at Qimen (LR-14) should be applied according to the patient's age (Sui Nian Zhuang).
Rugen (ST-18) governs fullness and pain below the chest.
Shanzhong (CV-17), (Baohui? Text unclear), Tianjing (TE-10) governs Thoracic Bi and heart pain.
Daquan (LI-11? Note: Likely a textual variant or error for Dazhui or similar, but translating literally as Daquan), governs pain in the anterior chest.
Feishu (BL-13), Yunmen (LU-2), Zhongfu (LU-1), Yinbai (SP-1), Qimen (LR-14), Hunmen (BL-47), and Daling (PC-7) govern pain in the center of the chest.
Shaochong (HT-9) governs chest pain, accompanied by heat in the mouth.
Pain in the center of the chest radiating to the lower back; vomiting and counterflow qi from the epigastrium; lack of luster on the face. Moxibustion at the aforementioned acupoints should be applied according to the patient's age. The acupoints are located on both sides of Jueque (CV-15), each half cun away. (Another source says one cun.)
Jingqu (LU-8) and Qiuxu (GB-40) govern stiffness in the chest and back, and a bloated sensation in the chest.
Daxi (KI-3) treats fullness and pain in the chest, swelling of the breasts extending to the anterior chest, cough with counterflow qi, and sounds in the throat. (From *Tongren Shuxue Zhenjiu Tujing*)
Ganshu (BL-18) treats cough with traction pain in the chest (see Counterflow Qi).
Shaochong (HT-9), (see Shaoyin Cold Damage).
Zhongfu (LU-1) treats chest pain (see Lung Urgency).
Rugen (ST-18) treats chest fullness and pain.
Huagai (RN-20) treats support-like fullness in the chest and hypochondrium, pain radiating into the chest, cough with counterflow qi, asthma so severe that speech is impossible. (The following notes follow the *Mingtang Jing*).
Zigong (RN-19) treats support-like fullness in the chest and hypochondrium, bone pain in the anterior chest, inability to swallow food, vomiting and counterflow qi, counterflow qi with vexation and irritability.
Yutang (RN-17) treats chest fullness with inability to breathe, bone pain in the anterior chest, vomiting of cold phlegm, counterflow qi with vexation and irritability.
Youmen (REN-21) treats pain in the chest with traction, vexation and stifling sensation in the epigastrium, counterflow qi with internal urgency, support-like fullness, aversion to eating, frequent coughing, and forgetfulness.
Fenglong (ST-40) treats Jue-ni (reversal cold/chaos), stabbing pain in the chest like needle pricks, and cutting abdominal pain. Ming dynasty physicians state that the piercing qi pain is unbearable. (see Limb Jue-ni).
Taiyuan (LU-9) treats Thoracic Bi, counterflow qi with cold Jue-ni, tendency to hiccups and vomiting, cough after drinking water, vexation and anger preventing sleep. Thoracic Bi radiating to the back, occasional chills. Jianshi (PC-5) governs this. (From *Qianjin Fang*)
Jianshi (PC-5) governs Thoracic Bi, mutual traction in the back.
Linqi (GB-41) governs Thoracic Bi with inability to breathe.
Yuji (LU-10) governs Bi syndrome traveling to the chest with inability to breathe.
Fubai (GB-12) treats chest fullness and pain. (Ming texts see Cough with Counterflow Qi).
Shufu (BL-27) treats pain in the chest. (From *Xia Jing*)
Thoracic Bi and heart pain with inability to breathe, pain moving without a fixed location; Linqi (GB-41) governs this.
Thoracic Bi can be treated with moxibustion at Xiong Tang (Note: likely a specific point or typo, literal translation used). (See Upper Qi).
Lianquan (CV-23), (see Upper Qi).
Zhongfu (LU-1), (see Cough), governs chest pain.
Danshu (BL-19) treats inability to turn the chest and hypochondrium. (From *Tongren Shuxue Zhenjiu Tujing*)
Ming dynasty physicians state chest and hypochondrium fullness. (see Dry Vomiting).
Qiuxu (GB-40) treats fullness and pain in the chest and hypochondrium, with inability to breathe. Ming texts further state chest fullness. (see Sighing).
Xialian (ST-34) treats pain in the chest, hypochondrium, and lower abdomen.
Dabao (SP-21) treats pain in the chest and hypochondrium. (see Upper Qi).
Shenshu (BL-23) governs pain in the two hypochondria with traction. (From *Qianjin Fang*)
Ganshu (BL-18), Pishu (BL-20), and Zhishi (BL-52) govern acute pain in the two hypochondria.
Zhigou (TE-6) governs acute pain in the hypochondrium and axilla.
Zhongwan (CV-12) and Chengman (ST-21) govern hard and painful sensations below the hypochondrium.
Wangu (SI-4) and Yanggu (SI-5) govern hypochondriac pain with inability to breathe.
Danshu (BL-19) and Zhangmen (LR-13) govern hypochondriac pain preventing lying down.
Qiaoyin (GB-44) governs hypochondriac pain with cough and counterflow qi.
Chize (LU-5) and Shaoze (SI-1) govern shortness of breath, pain in the hypochondrium with vexation.
Guanyuan (CV-4), Qimen (LR-14), and Shaoshang (LU-11) govern distension below the hypochondrium.
Jiquan (HT-1) treats fullness and pain below the hypochondrium. (From *Tongren Shuxue Zhenjiu Tujing*)
Geshu (BL-17), (see Vomiting).
Zhonglüshu (BL-21), (see Xiao Ke/Wasting and Thirst).
Qiaoyin (GB-44), (see Cough with Counterflow Qi).
Yanggu (SI-5) and Luxin (Note: likely a typo for an acupoint, possibly referring to a head point or error, kept as Luxin), treat hypochondriac pain. (see Cold and Heat).
Ganshu (BL-18) treats acute pain in the two hypochondria. (see Cough with Counterflow Qi).
Wangu (SI-4) treats pain below the hypochondrium with inability to breathe.
Shenshu (BL-23) treats fullness in the hypochondrium with traction pain in the lower abdomen. (see Lao Zhai/Tuberculosis).
Shanglian (ST-37) treats undigested stool diarrhea, fullness and pain in the abdomen and hypochondrium, manic running, abdominal pain around the navel, indigestion, and severe asthma preventing walking.
Taixi (KI-3) treats pain in the abdomen and hypochondrium radiating to the spine, with cold hands and feet.
Yunmen (LU-2) treats pain in the chest and hypochondrium penetrating to the back.
Huagai (RN-20) treats pain in the chest and hypochondrium. (see Chest Fullness).
Sanli (ST-36) governs pain in the hypochondrium and diaphragm.