治胸痹喘息,咳唾短气。
大栝蒌一个(捣碎) 薤白(半斤) 白酒(七升) 三味同煎,温服。
治胸中嘈杂汪洋,冷涎泛上,兀兀欲吐。
旋复花 橘红 半夏 茯苓 甘草 浓朴 芍药 细辛 姜水煎服。
右胁痛。
片姜黄 枳壳(麸炒) 桂心(各五钱) 甘草(炙,二钱) 为末,每服二钱,姜汤调下。
郁怒伤肝,左胁痛。
柴胡(一钱二分) 甘草(五分) 青皮 芍药(各一钱) 黄连(炒) 山栀(炒) 龙胆草
(各八分) 当归(一钱二分) 水煎服。
去瘀血,治胁痛。
桃仁(九个) 红花 川芎 柴胡 青皮(各八分) 芍药(一钱) 归尾(一钱五分) 水煎服。
治肝经火实,左胁满痛。夫肝木居于左,肺金处于右,左金者,谓金令行于左,
而平肝木也。盖黄连泻心火而不使乘金,则肺得清肃,而肝木有所制矣。
黄连(六两,炒) 吴茱萸(一两,盐汤泡) 为末,水发为丸,如椒目大,白滚汤下。
肝木实火。两胁痛之要药。
当归 龙胆草(各酒洗) 山栀 黄连 黄芩(各一两五钱) 芦荟 大黄(酒煨,各
五钱) 木香(一钱五分) 黄柏(一两) 青皮(一两) 柴胡(五钱) 麝香(少许) 为末,神曲糊丸,
桐子大,姜汤下三五十丸。
治一切气不升降,胁肋刺痛,胸膈痞塞。
沉香 槟榔(各二钱五分) 人参 诃子(煨,去核) 大腹皮(炒,各五钱) 白术
紫苏叶 香附子(炒) 神曲(炒) 麦 乌药(各一两) 陈皮 甘草(炒) 姜黄
(各四两) 京三棱(煨) 蓬莪术(煨) 益智(炒,去壳) 浓朴(去皮,姜炙,各二
两) 每服三钱,白汤送下。
Treats chest bi (obstruction in the chest) with wheezing, coughing and expectoration, and shortness of breath.
One large Trichosanthis Fructus (Gualou), crushed; half a jin of Allii Macrostemonis Bulbus (Xiebai); seven sheng of white wine. Decoct these three ingredients together and take warm.
Treats epigastric discomfort with gurgling fluid retention, rising of cold saliva, and nausea with desire to vomit.
Inulae Flos (Xuanfuhua), Citri Reticulatae Pericarpium Rubrum (Juhong), Pinelliae Rhizoma Preparatum (Banxia), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Magnoliae Officinalis Cortex (Noupu), Paeoniae Radix Alba (Shaoyao), Asari Radix et Rhizoma (Xixin). Decoct with ginger water and take.
Treats pain in the right hypochondrium.
Curcumae Longae Rhizoma (Pianjianghuang), Aurantii Fructus Immaturus (Zhike), stir-fried with bran; Cinnamomi Ramulus (Guixin) (each 5 qian); Glycyrrhizae Radix et Rhizoma (Gancao), honey-fried (2 qian). Grind into powder, take 2 qian each time, mixed with ginger decoction.
Treats left-sided hypochondriac pain caused by liver injury due to depression and anger.
Bupleuri Radix (Chaihu) (1.2 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 qian); Citri Reticulatae Pericarpium (Qingpi), Paeoniae Radix Alba (Shaoyao) (each 1 qian); Coptidis Rhizoma (Huanglian), stir-fried; Gardeniae Fructus (Shanzhi), stir-fried; Gentianae Radix (Longdancao) (each 0.8 qian); Angelicae Sinensis Radix (Danggui) (1.2 qian). Decoct with water and take.
Expels blood stasis and treats hypochondriac pain.
Persicae Semen (Taoren) (9 seeds); Carthami Flos (Honghua); Chuanxiong Rhizoma (Chuanxiong); Bupleuri Radix (Chaihu); Citri Reticulatae Pericarpium (Qingpi) (each 0.8 qian); Paeoniae Radix Alba (Shaoyao) (1 qian); Angelicae Sinensis Radix Cauda (Guiwei) (1.5 qian). Decoct with water and take.
Treats excess fire in the Liver channel causing fullness and pain in the left hypochondrium. The concept of "Left Metal" refers to the Lung metal qi operating on the left side to restrain Liver wood. Huanglian clears Heart fire, preventing it from invading Lung metal, thereby allowing the Lung to maintain its descending and purifying function, which in turn restrains Liver wood.
Coptidis Rhizoma (Huanglian) (6 liang, stir-fried); Evodiae Fructus (Wuzhuyu) (1 liang, soaked in salt water). Grind into powder, make pills with water, sized like pepper seeds, take with plain boiled water.
Treats excess fire of Liver wood. This is a key remedy for pain in both hypochondria.
Angelicae Sinensis Radix (Danggui), Gentianae Radix (Longdancao) (each washed with wine); Gardeniae Fructus (Shanzhi); Coptidis Rhizoma (Huanglian); Scutellariae Radix (Huangqin) (each 1.5 liang); Aloe (Lvhui); Rheum Palmatum Radix et Rhizoma (Dahuang), baked with wine (each 5 qian); Aucklandiae Radix (Muxiang) (1.5 qian); Phellodendri Cortex (Huangbai) (1 liang); Citri Reticulatae Pericarpium (Qingpi) (1 liang); Bupleuri Radix (Chaihu) (5 qian); Moschus (Shexiang) (a small amount). Grind into powder, make pills with dough made from Saccharomyces (Shenqu), sized like paulownia seeds, take 30-50 pills with ginger decoction.
Treats all conditions of impaired ascending and descending of Qi, causing stabbing pain in the hypochondria and chest/epigastric stuffiness.
Aquilariae Lignum Resinatum (Chenxiang), Arecae Semen (Binglang) (each 2.5 qian); Ginseng Radix et Rhizoma (Renshen); Terminalia Chebulae Fructus (Hezi), baked, pitted; Arecae Pericarpium (Dafupi), stir-fried (each 5 qian); Atractylodis Macrocephalae Rhizoma (Baizhu); Perillae Folium (Zisuye); Cyperi Rhizoma (Xiangfu), stir-fried; Malt (Shenqu), stir-fried; Triticum aestivum (Mai); Linderae Radix (Wuyao) (each 1 liang); Citri Reticulatae Pericarpium (Chenpi); Glycyrrhizae Radix et Rhizoma (Gancao), stir-fried; Curcumae Longae Rhizoma (Jianghuang) (each 4 liang); Bupleuri Radix? No, Bupleuri is Chaihu. Here: Bupleuri? No, Jing Sanleng is Bistortae Rhizoma (Jingsanleng), baked; Curcumae Zedoariae Rhizoma (Peng'ezhu), baked; Alpiniae Oxyphyllae Fructus (Yizhi), baked, husked; Magnoliae Officinalis Cortex (Noupu), peeled, ginger-fried (each 2 liang). Take 3 qian each time, with plain boiled water.