[总诀]侧边肝胆所分司，和畅阴阳两得宜。若绑定疼宜破利，非痰即血莫迟疑。
两胁下痛，难于俯仰屈伸者，少阳气不和也。宜加减柴胡汤。
党参（三钱） 柴胡（二钱） 黄芩（二钱） 半夏（二钱） 归尾（三钱） 青皮（一钱） 牡蛎（三
钱） 生姜（三片） 甘草（一钱） 竹茹（三钱）
歌曰∶胁下疼时碍屈伸，参柴芩草用通神。
竹茹牡蛎姜归入，半夏青皮总要陈。
（伯未按∶两胁不时作痛者，枳壳二钱为末，盐酒调服。）
两胁下痛，穿透游走有声者，肝脾之痰饮也。宜加味二陈汤。
陈皮（二钱） 半夏（二钱） 云苓（三钱） 甘草（一钱） 白术（二钱） 前胡（二钱） 紫苏
枝（三钱）
歌曰∶胁疼串走有声音，陈夏云苓甘草斟。
白芥前胡痰饮涤，苏枝通络免寒侵。
两软胁痛，以及小腹俱痛者，厥阴血不和也。宜血府逐瘀汤。
当归（三钱） 生地（二钱） 桃仁（三钱） 红花（一钱） 枳壳（一钱） 赤芍（二钱） 柴胡（一
钱） 川芎（一钱） 桔梗（二钱） 牛膝（三钱） 甘草（一钱）
歌曰∶胁同小腹痛牵连，四物归芎地芍全。
桃核红花牛膝共，枳柴桔草逐瘀先。
胁下偏痛，痞结硬满不去者，血、气、痰三积也。宜三消去痞汤。
附子（二钱） 细辛（五分） 大黄（一钱） 白芥子（三钱） 灵脂（三钱） 香附（三钱）
歌曰∶胁下缘何痛一偏，气痰与血积经年。
辛军附芥同香附，灵脂加来喜破坚。
[General Principle] The lateral sides of the body are governed by the Liver and Gallbladder; it is most appropriate for Yin and Yang Qi to be harmonious and unobstructed. If pain is fixed with hardness, methods that break stagnation and promote drainage should be used; the etiology is either Phlegm or Blood Stasis, so do not hesitate.
Pain in both hypochondriac regions, accompanied by difficulty in bending, extending, flexing, and stretching, indicates disharmony of Shaoyang (Lesser Yang) Qi. Jia Jian Chai Hu Tang (Modified Bupleurum Decoction) is indicated.
Dang Shen (Codonopsis Radix, 3 qian) Chai Hu (Bupleuri Radix, 2 qian) Huang Qin (Scutellariae Radix, 2 qian) Ban Xia (Pinelliae Rhizoma Preparatum, 2 qian) Gui Wei (Cauda Angelicae Sinensis, 3 qian) Qing Pi (Aurantii Fructus Immaturus Pericarpium, 1 qian) Mu Li (Ostreae Concha, 3 qian) Sheng Jiang (Zingiberis Rhizoma Recens, 3 slices) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Zhu Ru (Bambusae Caulis in Taenia, 3 qian)
The verse states: When pain occurs in the hypochondrium hindering flexion and extension, the combination of Ren Shen (Ginseng Radix), Chai Hu, Huang Qin, and Gan Cao works miraculously.
Zhu Ru, Mu Li, Sheng Jiang, and Gui are added; Ban Xia and Qing Pi must be aged Chen Pi (Citri Reticulatae Pericarpium).
(Botan's Note: For intermittent pain in both hypochondriac regions, Zhi Ke (Aurantii Fructus, 2 qian) should be powdered and taken with salt wine.)
Pain in both hypochondriac regions that penetrates, wanders, and produces sounds indicates Phlegm-Fluid retention in the Liver and Spleen. Jia Wei Er Chen Tang (Modified Two-Aged-Chen Decoction) is indicated.
Chen Pi (Citri Reticulatae Pericarpium, 2 qian) Ban Xia (Pinelliae Rhizoma Preparatum, 2 qian) Yun Ling (Poria, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian) Qian Hu (Peucedani Radix, 2 qian) Zi Su Zhi (Perillae Caulis, 3 qian)
The verse states: Hypochondriac pain wandering with sound requires careful measurement of Chen Pi, Ban Xia, Yun Ling, and Gan Cao.
Bai Jie Zi (Sinapis Semen) and Qian Hu eliminate Phlegm-Fluid; Zi Zhi unblocks collaterals to prevent Cold invasion.
Pain in both soft hypochondriac regions, along with pain in the lower abdomen, indicates disharmony of Jueyin (Terminal Yin) Blood. Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood Decoction) is indicated.
Dang Gui (Angelicae Sinensis Radix, 3 qian) Sheng Di (Rehmanniae Radix, 2 qian) Tao Ren (Persicae Semen, 3 qian) Hong Hua (Carthami Flos, 1 qian) Zhi Ke (Aurantii Fructus, 1 qian) Chi Shao (Paeoniae Radix Rubra, 2 qian) Chai Hu (Bupleuri Radix, 1 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian) Jie Geng (Platycodonis Radix, 2 qian) Niu Xi (Achyranthis Bidentatae Radix, 3 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian)
The verse states: Hypochondriac and lower abdominal pain are connected; Si Wu Tang (Four Substances Decoction) components Dang Gui, Chuan Xiong, Sheng Di, and Chi Shao are complete.
Tao Ren, Hong Hua, and Niu Xi are combined; Zhi Ke, Chai Hu, Jie Geng, and Gan Cao first drive out stasis.
Unilateral pain in the hypochondrium, with a palpable mass that is hard, full, and persistent, indicates accumulation of Blood, Qi, and Phlegm. San Xiao Qu Pi Tang (Three Eliminations Decoction for Removing Epigastric Fullness) is indicated.
Fu Zi (Aconiti Lateralis Radix Praeparata, 2 qian) Xi Xin (Asari Radix et Rhizoma, 5 fen) Da Huang (Rhei Radix et Rhizoma, 1 qian) Bai Jie Zi (Sinapis Semen, 3 qian) Ling Zhi (Trogopterori Faeces, 3 qian) Xiang Fu (Cyperi Rhizoma, 3 qian)
The verse states: Why is there unilateral pain in the hypochondrium? Qi, Phlegm, and Blood accumulations have persisted for years.
Xi Xin, Da Huang, Fu Zi, and Bai Jie Zi together with Xiang Fu, plus Ling Zhi, joyfully break down the hardness.