治胁下掀疼。
川楝子（五钱，捣） 生明乳香（四钱） 生明没药（四钱） 三棱（三钱） 莪术（三钱） 甘草（一钱）
刘河间有金铃子散（即楝子之核）与玄胡索等分，为末服之，以治心腹胁下作疼。其病因，由于热者甚效。
诚以金铃子能引心包之火及肝胆所寄之相火下行，又佐以玄胡索以开通气血，故其疼自止也。而愚用其方，效
者固多，而间有不效者。后拟得此方，莫不随手奏效。盖金铃子佐以玄胡索，虽能开气分之郁，而实不能化气。
所谓化气者，无事开破，能使气之郁者，融化于无形，方中之乳香、没药是也。去玄胡索，加三棱、莪术者，
因玄胡索性过猛烈，且其开破之力，多趋下焦，不如三棱、莪术性较和平，且善于理肝也。用甘草者，所以防
金铃子有小毒也。此方不但治胁疼甚效，凡心腹作疼，而非寒凉者，用之皆甚效验。
附录∶
直隶盐山李××来函∶
仲冬，刘××兄，病左胁掀疼，诸治无效，询方于弟。授以活络效灵丹方，服之不应，因延为诊视。脉象他
部皆微弱，惟左关沉而有力。治以金铃泻肝汤，加当归数钱。服一剂，翌日降下若干绿色粘滞之物，遂豁然而
愈。盖此汤原注明治胁下掀疼，由此知兄所拟方各有主治，方病相投，莫不神效也。
Treats swelling and pain in the hypochondrium.
*Toosendan Fructus* (Chuanlianzi) (5 qian, crushed), *Resina Draconis* (Ruxiang) raw and clarified (4 qian), *Resina Myrrhae* (Moyao) raw and clarified (4 qian), *Rhizoma Sparganii* (Sanleng) (3 qian), *Rhizoma Curcumae Zedoariae* (Ezhu) (3 qian), *Radix Glycyrrhizae Uralensis* (Gancao) (1 qian).
Liu Hejian created Jinlingzi San (Jinlingzi Powder, made from the seeds of *Toosendan Fructus*), mixing equal parts of Jinlingzi and *Rhizoma Corydalis* (Yanhusuo), grinding them into powder for oral administration to treat pain in the heart, abdomen, and hypochondrium. It is particularly effective when the etiology is due to heat.
Indeed, *Toosendan Fructus* can guide the fire of the Pericardium and the Ministerial Fire residing in the Liver and Gallbladder downward, assisted by *Rhizoma Corydalis* to unblock Qi and Blood, thus stopping the pain naturally. When I used this formula, although many cases were effective, there were occasional failures. Later, I devised this new formula, which proved effective immediately in every case. This is because while Jinlingzi combined with Yanhusuo can open stagnation in the Qi aspect, it essentially cannot transform Qi. The term "transforming Qi" refers to resolving Qi stagnation without destructive breaking or purging, allowing it to dissolve invisibly; Resina Draconis and Resina Myrrhae in the formula serve this purpose. Yanhusuo was removed and replaced with Sanleng and Ezhu because Yanhusuo's nature is too harsh, and its breaking force tends to target the Lower Jiao, whereas Sanleng and Ezhu have a milder nature and are better at regulating the Liver. Gancao is used to prevent the slight toxicity of Toosendan Fructus. This formula is not only highly effective for hypochondriac pain but also very effective for any pain in the heart and abdomen that is not caused by cold.
Appendix:
A letter from Li XX of Yanshan, Zhili:
In mid-winter, my brother Liu XX suffered from swelling and pain in the left hypochondrium. Various treatments failed. He consulted me for a prescription. I prescribed Huoluo Xiaoling Dan (Living Network Efficacy Lingering Pill Decoction), but it yielded no response. Therefore, he invited me to examine him. The pulse was weak and faint in other positions, but deep and forceful at the Left Guan position. I treated him with Jinling Xiegan Tang (Jinling Draining Liver Decoction), adding several qian of *Radix Angelicae Sinensis* (Danggui). After one dose, on the next day, he passed down some green, sticky matter, and he recovered instantly. Since this decoction is originally noted for treating swelling and pain in the hypochondrium, this confirms that each physician's prescribed formulas have their specific indications; when the formula matches the disease, the efficacy is miraculous.