治妇人血刺心痛。
玄胡索（不拘多少，去皮，炒令转色，不可焦）
上为细末，每服二钱，酒一盏，煎至七分服，不拘时候。不能饮者，以陈米饮调下，酒
调
夫胁痛之病，医经曰∶两胁者，肝之候。又云∶肝病者，两胁下痛。多因疲极嗔怒，悲
哀烦恼，谋虑惊忧，致伤肝脏。肝脏既伤，积气攻注，攻于左，则左胁痛；攻于右，则右胁
痛；移逆两胁，则两胁俱痛。久而不愈，流注筋脉，或腰脚重坠，或两股筋急，或四肢不举。
渐
大抵诸气，惟膀胱气胁下痛最难治，神保丸能治之。更有肝之积，名曰肥气，在左胁下，大
如覆杯，其病左胁下痛，连引小腹，足寒转筋；肺之积，名曰息贲，在右胁下，覆大如杯，
其病喘息奔溢。肝积肥气丸主气，肺积息贲汤主之，方载后。
治左胁刺痛，不可忍者。
枳实（炒） 川芎（各半两） 粉草（炙，二钱半）
上为细末，每服二钱，姜枣煎汤调服，酒调亦可，不拘时候。
枳壳（去瓤，麸炒） 桂心（去粗皮，不见火） 片子姜黄（洗。各半两） 甘草（炙，
三钱）
上为细末，每服二钱，姜枣煎汤调服，热酒调服亦可，不拘时候。
治膀胱气，胁下痛，或病项筋痛，久而不愈，流入背膂，并皆治之。
木香 胡椒（各一分） 全蝎（七枚） 巴豆（十枚，去皮心，研）
上为细末，入巴豆令均，汤浸蒸饼为丸，如绿豆大，朱砂为衣，每服七粒，用茴香酒送
下，
Treats blood-stabbing heart pain in women.
*Curcumae Longae Rhizoma* (Nanyao, 延胡索) (Any amount, remove the skin, stir-fry until the color changes, do not burn).
Grind the above into a fine powder. Take two qian per dose, decoct with one cup of wine until reduced to seventy percent, and take it. It can be taken at any time. For those who cannot drink alcohol, mix with aged rice water or take with wine.
Regarding the disease of hypochondriac pain, medical classics state: The bilateral hypochondrium is the manifestation of the Liver. It also says: Patients with Liver disease suffer from pain under the bilateral hypochondrium. This is often caused by extreme fatigue, anger, sorrow, worry, overthinking, or fright, which injure the Liver. Once the Liver is injured, accumulated Qi attacks and infiltrates; if it attacks the left side, there is pain in the left hypochondrium; if it attacks the right side, there is pain in the right hypochondrium; if rebellious Qi shifts to both hypochondria, both sides hurt. If it persists for a long time without healing, the pathogen flows into the sinews, potentially causing heaviness and dragging sensation in the waist and legs, cramping of the tendons in both thighs, or inability to move the four limbs.
Generally speaking, among all Qi stagnation disorders, hypochondriac pain caused by Bladder Qi is the most difficult to treat. *Shenbao Wan* (Divine Preservation Pill) can treat it. There is also a Liver accumulation named *Feiqi* (Fat Qi), located under the left hypochondrium, as large as an inverted cup. Its symptoms include pain under the left hypochondrium radiating to the lower abdomen, cold feet, and tendon spasms. There is also a Lung accumulation named *Xiben* (Panting Accumulation), located under the right hypochondrium, as large as an inverted cup. Its symptoms include panting and surging breath. *Feiqi Wan* (Fat Qi Pill) treats the Liver accumulation, and *Xiben Tang* (Panting Decoction) treats the Lung accumulation. These formulas are recorded later.
Treats stabbing pain in the left hypochondrium that is unbearable.
*Aurantii Fructus Immaturus* (Zhishi, 枳实) (Stir-fried) *Ligusticum Chuanxiong Rhizoma* (Chuanxiong, 川芎) (Each half liang) *Glycyrrhizae Radix et Rhizoma Praeparatum cum Melle* (Fengcao, 粉草/炙甘草) (Honey-fried, two qian and half).
Grind the above into a fine powder. Take two qian per dose, mix with decoction of ginger and jujube, or take with wine. It can be taken at any time.
*Aurantii Fructus* (Zhike, 枳壳) (Remove pith, stir-fry with bran) *Cinnamomi Ramulus* (Guixin, 桂心) (Remove rough bark, avoid direct fire) *Curcumae Phaeocaulis Rhizoma* (Pianjianghuang, 片子姜黄) (Washed. Each half liang) *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草) (Honey-fried, three qian).
Grind the above into a fine powder. Take two qian per dose, mix with decoction of ginger and jujube, or take with hot wine. It can be taken at any time.
Treats hypochondriac pain caused by Bladder Qi, or neck tendon pain that persists for a long time and spreads to the back spine.
*Aucklandiae Radix* (Muxiang, 木香) *Piperis Fructus* (Hujiao, 胡椒) (Each one fen) *Scorpio* (Quanxie, 全蝎) (Seven specimens) *Crotonis Fructus* (Badou, 巴豆) (Ten specimens, remove skin and core, grind).
Grind the above into a fine powder, mix evenly with Badou. Form pills using steamed dough soaked in hot water, sized like mung beans, coated with Cinnabar. Take seven pills per dose, send down with Fennel wine.