结胸证，服前药不效，须用此方。
大黄（去皮生用，六钱） 芒硝（四钱） 甘遂（为末，二分五厘）
上三味，以水六钟，先煮大黄，减半，去渣，纳芒硝，煮二三沸，和甘遂末，温服，得
快利，止后服。
伤寒传入三阴，而未结聚成实，医早下之以致胸中痞闷不舒者，为痞气。
半夏（洗） 黄芩 干姜（各一钱五分） 人参 甘草（炙，各五分） 黄连（一钱） 大枣（去核，二个）
水煎服。本方加枳实五、七分为妙。
治寒实结胸，无热证者。此寒痰积食结于胸中，故用此方，亦救急之良法。
桔梗 贝母（各三钱） 巴豆（去皮、心，熬黑，研如脂，一分）
上三味为末，纳巴豆、更于臼中杵之，以白饮和匀，分二服，病在膈上必吐，在膈下必
利。如不利，进热粥一杯。若利不止，进冷粥一杯，即止。
枳实（面炒，一两五钱） 茯苓 白术（陈土炒，各二两） 甘草（炙，七钱五分） 人参（五钱） 干
姜（炮，四钱）
上为末，米饮糊丸，如绿豆大。每服三钱，开水下，日二、三服，以瘥为度。
Jie Xiong Syndrome (Chest Binding Syndrome), when previous medications prove ineffective, requires the use of this formula.
Da Huang (Rhubarb Root and Rhizome, peeled and raw, 6 qian) Mang Xiao (Mirabilite, 4 qian) Gan Sui (Kansui Root, ground into powder, 2.5 li)
Take the above three ingredients, add six zhong of water, first decoct Da Huang until the volume is reduced by half, strain to remove dregs, add Mang Xiao, boil for two or three boils, mix with Gan Sui powder, take warm. If rapid purgation occurs, stop taking the remaining medicine.
When Tai Yang Cold Damage (Exogenous Cold Pathogen) transmits to the Three Yin meridians but has not yet condensed into excess pathogenic factors, if the physician prematurely uses purgative methods, resulting in a sensation of fullness and discomfort in the chest, it is called Pi Qi (Stagnant Qi).
Ban Xia (Pinellia Tuber, washed) Huang Qin (Scutellaria Root) Gan Jiang (Dried Ginger, each 1.5 qian) Ren Shen (Ginseng Root) Zhi Gan Cao (Honey-fried Licorice Root, each 0.5 qian) Huang Lian (Coptis Rhizome, 1 qian) Da Zao (Jujube Fruit, pitted, 2 pieces)
Decoct in water and take orally. It is advisable to add Zhi Shi (Immature Bitter Orange, 5-7 fen) to this formula.
Treats Han Shi Jie Xiong (Cold Excess Chest Binding Syndrome) without heat signs. This condition arises from cold phlegm and food stagnation binding in the chest; thus, this formula is used as an excellent emergency rescue method.
Jie Geng (Platycodon Root) Bei Mu (Fritillaria Bulb, each 3 qian) Ba Dou (Croton Seed, peeled, core removed, stir-fried until black, ground into a paste, 1 fen)
Grind the above three ingredients into powder, mix with Ba Dou, and pound further in a mortar. Mix evenly with rice water (Bai Yin), divide into two doses. If the pathology is above the diaphragm, vomiting will likely occur; if below the diaphragm, diarrhea will likely occur. If there is no diarrhea, drink one cup of hot porridge. If diarrhea persists, drink one cup of cold porridge to stop it.
Zhi Shi (Immature Bitter Orange, stir-fried with flour, 1.5 liang) Fu Ling (Poria) Bai Zhu (Atractylodes Macrocephala Rhizome, stir-fried with aged soil, each 2 liang) Zhi Gan Cao (Honey-fried Licorice Root, 7.5 qian) Ren Shen (Ginseng Root, 5 qian) Gan Jiang (Dried Ginger, processed, 4 qian)
Grind the above ingredients into powder, form pills using rice water as a binder, sized like mung beans. Take 3 qian per dose, with warm water. Take two to three times daily, until recovery.
The patient habitually suffers from chronic food stagnation connected to the sides of the umbilicus, compounded by new exogenous pathogens, causing pain that radiates to the yin sinews. This indicates a condition of solidified pathogenic excess, which is difficult to treat.
Zhen refers to trembling or shaking movements; Zhan refers to shivering or quaking; Li refers to palpitations or heart fluttering. These symptoms are common in deficiency syndromes, but can also occur during the struggle between pathogenic factors and healthy qi. Treatment must be based on accompanying symptoms.