破血散滞汤 治伤损血滞，胁下痛。
防风 羌活 中雄（各一钱） 苏木（钱半） 连翘 归尾 柴胡（各二钱） 水蛭（三钱，炒
烟尽） 麝香（少许，二味另研）
上作二服，每服水一盏、酒二盏，煎一盏，调水蛭、麝香末空心服。
芍药散 治妇人血积胁痛。
白芍药 玄胡索（炒） 肉桂（各一两） 香附子（二两半） 醋（一升） 盐（半两，同煮干）
上为极细末，每服二钱，不拘时白汤调服。
（《局方》）加味二陈汤 治右胁痰积痛。导痰汤 治痰积流注。（二方并见痰门。）
香橘汤 治七情所伤，中脘不快，痰气。
香附子（炒） 橘红 半夏（制。各二三钱） 甘草（各一钱）
上作一服，水盏半、姜五片、枣一枚，煎八分食远服。
化气汤 治诸胁痛皆生于气，又治息积癖于胁下，偏胀，不思饮食，痰因气滞，及治心
脾痛，呕吐酸水，丈夫小肠气，妇人脾血气。
砂仁 桂心 木香（各二两） 茴香 丁香 青皮 陈皮 白姜（炮） 莪术（煨。各四两）
胡椒 沉香（各一两） 甘草（三两）
上为细末，每服二钱，姜苏盐汤空心调服。
贴胁痛 用芥菜子水研服。或琥珀、或吴茱萸醋研敷。
治卒胁痛不可忍者，以蜡绳横度两乳中间，屈绳从乳横，以趋痛胁下，灸绳尽处三
十壮，更章门（二穴，在大横
骨外直季胁端，侧卧，屈上足，伸下足，举臂取之，各七壮。） 丘墟（二穴，在外踝下如
前陷中，去临泣三寸，灸三壮，针入五分。）
Po Xue San Zhi Tang (Blood-Breaking and Stasis-Dispersing Decoction): Treats blood stasis caused by trauma, with pain in the hypochondrium.
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Zhongxiong (Asari Radix et Rhizoma) (each 1 qian); Sumu (Lignum Dalbergiae Odoriferae) (1.5 qian); Lianqiao (Forsythiae Fructus), Guiwei (Angelicae Sinensis Radix caulis), Chaihu (Bupleuri Radix) (each 2 qian); Shuizhi (Hirudo) (3 qian, stir-fried until smoke disappears); Shexiang (Moschus) (a small amount, these two ingredients separately ground into powder).
The above ingredients are divided into two doses. For each dose, decoct with one zhan of water and two zhan of wine until one zhan remains. Take on an empty stomach, mixing in the powders of Shuizhi and Shexiang.
Shaoyao San (Peony Powder): Treats hypochondriac pain due to blood accumulation in women.
Baishaoyao (Paeoniae Radix Alba), Yanhusuo (Corydalis Rhizoma, stir-fried), Rougui (Cinnamomi Cortex) (each 1 liang); Xiangfuzi (Cyperi Rhizoma) (2.5 liang); Cu (Vinegar) (1 sheng); Yan (Sal) (0.5 liang, boiled together with herbs until dry).
Grind the above ingredients into an extremely fine powder. Take 2 qian per dose at any time, mixed with plain warm water.
(Jia Wei Er Chen Tang (Modified Two-Chen Decoction) from *Ju Fang*: Treats pain in the right hypochondrium due to phlegm accumulation. Dao Tan Tang (Phlegm-Guiding Decoction): Treats flowing phlegm accumulation. (Both formulas are found in the "Phlegm" section.)
Xiang Ju Tang (Cyperus and Tangerine Peel Decoction): Treats discomfort in the epigastrium and phlegm-q stagnation caused by emotional injury.
Xiangfuzi (Cyperi Rhizoma, stir-fried), Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma Praeparatum) (each 2-3 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Make one dose. Decoct with 1.5 zhan of water, five slices of Shengjiang (Zingiberis Rhizoma Recens), and one Zao (Jujubae Fructus) until 0.8 zhan remains. Take long after meals.
Hua Qi Tang (Qi-Transforming Decoction): Treats all types of hypochondriac pain arising from qi stagnation; also treats Xi Ji Pi Ku (accumulated masses under the hypochondrium), unilateral distension, loss of appetite, phlegm due to qi stagnation; as well as Heart-Spleen pain, vomiting of sour fluid, Xiao Chang Qi (intestinal hernia in men), and Pi Xue Qi (spleen-blood qi disorder in women).
Sharen (Amomi Fructus), Guixin (Cinnamomi Ramulus), Muxiang (Aucklandiae Radix) (each 2 liang); Huixiang (Foeniculi Fructus), Dingxiang (Caryophylli Flos), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Baijiang (Zingiberis Rhizoma Praeparatum), Ezhu (Curcumae Rhizoma, baked) (each 4 liang); Hujiao (Piperis Longi Fructus), Chenxiang (Aquilariae Lignum Resinatum) (each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (3 liang).
Grind the above into a fine powder. Take 2 qian per dose on an empty stomach, mixed with a decoction of Jiang (Zingiberis Rhizoma Recens), Zisu (Perillae Folium), and Yan (Sal).
Tie Xie Tong (Application for Hypochondriac Pain): Take Mustard Seed (Baijiezi) ground with water and taken internally. Alternatively, use Hupo (Electrum) or Wuzhuyu (Evodiae Fructus) ground with vinegar for external application.
Heat Ash Vinegar (Hui Cu) and apply hot compresses (Wen Re Fu Tie). Onions (Cong), Mugwort (Ai Ye), or Leeks (Jiucai) can also be used for hot compresses.
For sudden, unbearable hypochondriac pain: Measure a wax cord across the midpoint between both breasts. Bend the cord horizontally from the breast towards the painful hypochondrium. Moxibustion is applied at the end of the cord for thirty Zhu (units of moxa cone size/burns). Additionally, treat Zhangmen (LR13, two points, located lateral to the greater transverse process, directly at the tip of the costal arch; patient lies on side, flexes upper leg, extends lower leg, raises arm to locate; seven Zhu per point.) and Qiuxu (GB40, two points, located in the depression below the lateral malleolus as described previously, three Cun distant from Linqi (GB41); three Zhu of moxibustion, needle insertion depth 5 Fen.)