论曰伤寒病发于阳。下之早，邪毒之气，结聚于胸膈，故名结胸，其证心下坚硬。按之
则痛，项强如柔 状，或从心下至少腹。坚满而痛，其痛不可近，其脉寸口浮，关上自沉，
是其候也。若正在心下，按之即痛。而脉浮滑，亦名结胸，凡此本太阳病，脉浮而动数，医
反下之，胃中空虚。客气动膈，令人短气躁烦，心中懊 。阳气内陷，心下坚满，则为
结
胸。又或因得病二三日，不能卧但欲起者，心下必结。若脉微弱者，此素有积寒，而反下之。
利止必作结胸，但下之而脉浮者必结胸，皆当下之，脉促者不为结胸也，脉若浮，即不可下，
下
似结胸状，饮食如故，时下利，阳脉浮，关上沉细而紧者，为脏结。舌上白胎滑者，为难治
，若心下痞坚，按之不痛者，非结胸乃痞也。宜审察而各根据其法治之。
治伤寒结胸，心下坚实，大便不利。陷胸丸方
大黄（细锉醋炒） 葶苈子（隔纸炒） 杏仁（汤浸去皮尖双仁炒研各二两） 朴硝（一
两研细与杏仁再同研令如脂）
上四味，除杏仁朴硝外，捣罗为末，再同研匀。入少炼蜜和，更杵三五百下，如弹丸大，
每服一丸，别入甘遂末半钱匕。蜜一合，用水一中盏。煎至四合，温顿服之，一宿乃下，如
不
治伤寒结胸，头项强，心下痛，按之实硬。大陷胸汤方
大黄（细锉醋炒二两） 甘遂（湿纸裹煨一钱） 朴硝（别研二两）
上三味，各捣研为末，每服用水一中盏，入大黄末二钱匕，煎五七沸。去滓次下朴硝末
一钱匕，再煎一两沸，次下甘遂末一字匕，搅匀温服，取快利为度。
治伤寒小结胸病，正在心下，按之则痛，脉浮滑者。小陷胸汤方
黄连（去须一两） 半夏（汤洗七遍焙二两半） 栝蒌实（大者一枚）
上三味，各细锉，先以水五盏。煎栝蒌实，取三盏，去滓入黄连半夏各一分，煎取一盏
半，去滓分温三服。
治伤寒结胸心闷汗出。葶苈散方
葶苈子（隔纸炒三分） 大黄（锉醋炒半两） 槟榔（锉） 桂（去粗皮） 陈橘皮（汤
浸去白焙） 赤茯苓（去黑皮） 甘草（炙锉各一分）
上七味，捣罗为散，每服二钱匕，空心温熟水调服。
治伤寒寒实结胸，无热证者，与三物小陷胸汤，用前方，白散亦可服。方
桔梗（微炒三分） 巴豆（去皮心熬黑研如脂一分） 贝母（去心三分）
上三味，除巴豆外，捣罗为散，入巴豆合研匀，每服强人半钱匕，羸人减之。并温熟水
调
欲引衣自覆。若以水 之洗之。益令热却不得出，当汗而不汗则烦，假令汗出已腹中痛，与
芍药三两，如上法。
治伤寒结胸，心下痛，如石坚硬，小便不利。葶苈汤方
葶苈子（隔纸炒三分） 槟榔（锉半两） 桑根白皮（炙锉三分） 杏仁（汤浸去尖皮
双仁炒） 大黄（锉醋炒各半两） 朴硝（三分）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食前温服。
治伤寒下后，虚气不理，毒复上攻，毒瓦斯相搏，结于胸中，纵不下者，毒已入胃。胃中
不通，毒还攻上，心中结满。厥逆欲绝。心胸高起，手不可近，当先理其气，增损理中丸方
人参 白术 甘草（炙锉） 栝蒌根（锉） 枳实（麸炒去瓤） 赤茯苓（去黑皮） 牡
蛎（熬各二两） 干姜（炮一两半）
上八味，捣罗为末，炼蜜丸如弹丸大。每服一丸，熟水化下，不歇再服。不过五六丸，
胸中豁然。
治伤寒结胸，毒瓦斯内盛，手足逆冷，腹胀喘息急，大便不通。陷胸青龙汤方
牵牛子（微炒一两半） 人参（三分） 陈橘皮（汤浸去白焙半两） 桂（去粗皮） 槟
榔（锉各一分） 大黄（锉醋炒半两） 朴硝（一两）
上七味，粗捣筛，每服五钱匕，水一盏半，入生姜半分拍碎。同煎至七分，去滓食前温
服。
治伤寒热病饮水，结胸硬满。大黄桔梗汤方
大黄（锉醋炒二两） 桔梗（炒一两） 甘草（炙锉） 朴硝（各半两）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至七分，去滓食前温服。
治伤寒结胸气逆，手足厥冷，呕逆不定，大金针丸方
阳起石（研） 不灰木 阿魏（研各半两） 巴豆（二十五枚去皮心膜不出油研） 杏
仁（二十五枚去皮尖双仁研）
上五味，捣研为细末，用软粟米饭为丸，如小弹丸大。每服一丸，用针穿灯焰上烧，烟
绝为末。生姜米饭调服，以利为效。
治结胸伤寒心下痛，按之实硬。泥金丸方
木香 丁香 大戟 甘遂（麸炒各一分） 附子（炮裂去皮脐一枚） 紫菀（去土三钱）
黑牵牛（三钱半生半炒） 腻粉（三钱） 硫黄（两皂子大） 槟榔（大者一枚锉） 水银
沙子（三钱） 巴豆（二十粒去皮心膜用胡饼面裹慢火烧熟去面不用）
上一十二味，各捣研为末，再和令匀，炼蜜为丸。如小鸡头大，看虚实，每服一丸，烂
嚼烧生姜一块子，同咽下，药不得嚼。
治伤寒结胸，已转下不除者。大戟散方
大戟（炒） 甘遂（炒各一两） 腻粉（半两） 硫黄（研一分） 水银（盏子内与硫
黄同研作沙子半两）
上五味，捣研为散，再同研匀，每服二钱匕，温浆水调下。
治伤寒结胸，逐利热毒。越桃丸方
越桃 桃花（曝干各一分） 大黄（生锉半两） 郁金（二钱） 白牵牛（取末五两） 郁
李仁（去皮研一两）
上八味，捣研为末，滴水丸如小豆大，每服一丸，蜜水下。
治伤寒结胸，伏阳在里，心下坚硬，按之则痛。陷胸散方
前胡（去芦头） 甘遂（麸炒） 甜葶苈（隔纸炒） 大黄（锉微炒） 杏仁（汤浸去
皮尖双仁麸炒） 马牙硝（研各一两）
上六味，捣研为末，每服一钱匕，生姜蜜水调下，更看虚实加减。
治伤寒结胸，心下坚硬。宣毒丸方
大黄（锉） 白牵牛（炒各一两） 滑石 朴硝 甘遂（麸炒） 郁李仁（去皮炒研各
半两） 大戟（麸炒一分） 续随子（去皮煮研半两）
上八味，捣研为末，炼蜜和丸，如弹丸大，看虚实，以龙脑蜜水化下一丸。
治伤寒结胸，及疮疹后，毒瓦斯攻心，咳嗽喘急。大通散方
甘遂（麸炒一分） 生干地黄（一两与甘遂一处同捣焙干） 槟榔（锉二枚） 麦 （微
炒半两） 铅白霜（研一分）
上五味，捣研为末，看虚实，用龙脑浆水，调下半钱匕。
治伤寒阴气，结伏在胸膈，虚痞或痛不可忍者。金针丸方
不灰木（二钱） 阳起石 阿魏（各一钱） 白丁香 丹砂研 乳香 腻粉（各一钱半）
硫黄（一分） 巴豆（去皮心膜出油二七粒）
上九味，同研匀细，糯米粽子和丸，如梧桐子大，每服五丸至七丸，丁香汤下，不拘时
候。
治伤寒结胸，心下坚痛。膈毒丸方
郁李仁（去皮） 黑牵牛（炒） 大戟 甘遂（各一分） 牛黄（研） 乳香（研各一
钱） 麝香（研） 龙脑（研各半钱）
上八味，捣研为末，再同研匀，用白面糊和丸，如梧桐子大，每服七丸，煎灯心小麦汤
下，临卧服。
治伤寒结胸。圣饼子方
甘遂 大戟（去皮各半两） 黑牵牛（生用一两半） 轻粉（一钱匕） 粉霜（一钱） 巴
豆（去皮醋煮黄十四枚） 水银（一钱入锡一钱结砂子）
上七味，先将前三味为末，入白面五钱，水和作饼子，文武火煨焦黄，再为末，入后四
味拌匀，水和为丸，如绿豆大，捏作饼子，每服三饼，茶清下。
治伤寒结胸，热气蕴蓄，宣风丸方
大黄（末） 牵牛子（末） 郁李仁（去皮研各半两） 巴豆（一分去心皮膜油炸研）
上四味，再同研匀，炼蜜为丸，小豆大，看虚实，生姜蜜水下一丸至二丸。
治伤寒结胸，心下坚满，金黄散方
黑牵牛（末） 大黄（末各一钱匕） 郁金（末） 胡黄连（末各半钱匕）
上四味，作一服，入腻粉一钱匕，新水调下，伤寒四日五日后结胸可服，或吐或泻或汗
出即愈，小儿量大小加减。
Discussion states: When a cold damage disease originates from a yang syndrome, premature purgation causes the pathogenic toxic qi to accumulate in the chest and diaphragm, hence it is named "Jie Xiong" (Chest Binding). Its manifestations include hardness below the heart. Pressing upon it causes pain, stiffness of the neck resembling Rou Ji (a condition characterized by rigidity of the neck and back), or pain extending from below the heart down to the lower abdomen, which is hard, full, and painful, so severe that the patient cannot bear pressure on the area. The pulse at the cun position is floating, while the pulse at the guan position is sunken; this is its characteristic sign. If the pathology is precisely at the epigastrium, pressing induces pain, and the pulse is floating and slippery, it is also called Jie Xiong. Generally, these conditions originate from Tai Yang disease (diseases of the Tai Yang channel/meridian). The pulse is floating, moving, and rapid. If the physician erroneously applies purgation, the stomach becomes empty and deficient. External pathogenic factors disturb the diaphragm, causing shortness of breath, irritability, and mental restlessness (Ao Nan). Internal sinking of yang qi leads to hardness and fullness below the heart, forming Jie Xiong.
Furthermore, if two or three days after contracting the disease, the patient cannot lie flat but desires to sit up, there must be binding in the epigastrium. If the pulse is weak and faint, this indicates pre-existing accumulated cold in the body; applying purgation erroneously will result in Jie Xiong once diarrhea stops. If purgation is applied and the pulse remains floating, Jie Xiong will definitely form. In such cases, purgation should be used. However, if the pulse is rapid/crisp (Cu), it is not Jie Xiong. If the pulse is floating, purgation is contraindicated. Symptoms resembling Jie Xiong may occur, with normal diet but frequent diarrhea; if the yang pulse is floating and the guan pulse is sunken, fine, and tight, it is classified as Zang Jie (Organ Binding). If the tongue has a white, slippery coating, it is difficult to treat. If the epigastrium is痞 (Pi - stuffiness/blockage) and hard but painless upon pressure, it is not Jie Xiong but Pi Syndrome. Careful examination is required to apply the appropriate treatment methods.
Treatment for Cold Damage Jie Xiong with hardness below the heart and constipation: Xian Xiong Wan (Trap Chest Pill) Formula.
Da Huang (Rhubarb Radix et Rhizoma, finely cut, stir-fried with vinegar) Ting Li Zi (Descurainiae Semen Lepidii Semen, stir-fried between papers) Xing Ren (Apricot Seed, soaked in water, skin and tips removed, twin kernels avoided, stir-fried and crushed, each 2 liang) Po Xiao (Natrii Sulfas, 1 liang, finely crushed and mixed with Xing Ren until paste-like).
The above four ingredients, excluding Xing Ren and Po Xiao, are crushed and sieved into powder, then uniformly mixed with Xing Ren and Po Xiao. A small amount of refined honey is added and kneaded, pounded 300-500 times to form pills the size of bullet seeds. Take one pill per dose, separately adding Gan Sui (Kansui Root) powder half a qian bi. Mix with one he of honey and one zhong zhan of water, decoct until four he remain, and take warm in one dose. Bowel movement occurs after one night.
Treatment for Cold Damage Jie Xiong with neck stiffness, pain below the heart, and hardness upon pressure: Da Xian Xiong Tang (Great Trap Chest Decoction) Formula.
Da Huang (Rhubarb Radix et Rhizoma, finely cut, stir-fried with vinegar, 2 liang) Gan Sui (Kansui Root, wrapped in wet paper and roasted, 1 qian) Po Xiao (Natrii Sulfas, separately crushed, 2 liang).
The above three ingredients are each crushed and ground into powder. For each dose, use one zhong zhan of water, add two qian bi of Da Huang powder, boil for five to seven boils. Strain the dregs, then add one qian bi of Po Xiao powder, boil for one or two more boils, then add one zi bi of Gan Sui powder, mix well, and take warm. The goal is effective bowel evacuation.
Treatment for Cold Damage Small Jie Xiong Disease, located precisely at the epigastrium, painful upon pressure, with a floating and slippery pulse: Xiao Xian Xiong Tang (Small Trap Chest Decoction) Formula.
Huang Lian (Coptidis Rhizoma, remove roots, 1 liang) Ban Xia (Pinelliae Tuber, washed seven times in hot water, dried, 2.5 liang) Gua Lou Shi (Trichosanthis Fructus, one large fruit).
The above three ingredients are finely cut. First, decoct Gua Lou Shi in five zhong zhan of water until three zhong zhan remain. Strain the dregs, add Huang Lian and Ban Xia (each one fen), decoct until one and a half zhong zhan remain. Strain and divide into three warm doses.
Treatment for Cold Damage Jie Xiong with chest oppression and sweating: Ting Li San (Descurainiae Powder) Formula.
Ting Li Zi (Descurainiae Semen Lepidii Semen, stir-fried between papers, 3 fen) Da Huang (Rhubarb Radix et Rhizoma, cut, stir-fried with vinegar, half liang) Bing Lang (Arecae Semen, cut) Gui (Cinnamomi Ramulus, remove rough bark) Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Chi Fu Ling (Poria with Red Wood, remove black skin) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, each 1 fen).
The above seven ingredients are crushed and sieved into powder. Take two qian bi per dose, mixed with warm boiled water on an empty stomach.
Treatment for Cold Damage Cold-Excess Jie Xiong without heat signs: One may use San Wu Xiao Xian Xiong Tang (Three-Ingredient Small Trap Chest Decoction) or the preceding formula; Bai San (White Powder) is also acceptable. Formula:
Jie Geng (Platycodonis Radix, slightly stir-fried, 3 fen) Ba Dou (Crotonis Fructus, remove skin and heart, roasted black until paste-like, 1 fen) Bei Mu (Fritillariae Bulbus, remove heart, 3 fen).
The above three ingredients, excluding Ba Dou, are crushed and sieved into powder. Add Ba Dou and grind uniformly. Strong individuals take half a qian bi; frail individuals reduce the dose. Take mixed with warm boiled water.
[Text fragment regarding symptoms]: Desire to cover oneself with clothes. If washed with cold water, heat is retained and cannot escape. Sweating should occur; if not, irritability ensues. If sweating has occurred but abdominal pain persists, administer Shao Yao (Paeoniae Radix Alba) 3 liang, following the above method.
Treatment for Cold Damage Jie Xiong with pain below the heart, hardness like stone, and difficulty urinating: Ting Li Tang (Descurainiae Decoction) Formula.
Ting Li Zi (Descurainiae Semen Lepidii Semen, stir-fried between papers, 3 fen) Bing Lang (Arecae Semen, cut, half liang) Sang Bai Pi (Mori Cortex, roasted, cut, 3 fen) Xing Ren (Apricot Seed, soaked in water, tips and skins removed, twin kernels avoided, stir-fried) Da Huang (Rhubarb Radix et Rhizoma, cut, stir-fried with vinegar, each half liang) Po Xiao (Natrii Sulfas, 3 fen).
The above six ingredients are coarsely crushed and sifted. Take five qian bi per dose, with one and a half zhong zhan of water, decoct until eight parts remain. Strain and take warm before meals.
Treatment for post-purgation Cold Damage where deficient qi fails to regulate, toxins attack upward again, toxic vapors clash and bind in the chest. Even if not purged, toxins have entered the stomach. Stomach obstruction causes toxins to attack upward, resulting in chest fullness and binding. Cold limbs approaching extinction, chest protrusion, tenderness to touch. First regulate qi: Zeng Sun Li Zhong Wan (Modified Regulate Middle Pill) Formula.
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut) Gua Lou Gen (Trichosanthis Radix, cut) Zhi Shi (Aurantii Fructus Immaturus, bran-fried, pith removed) Chi Fu Ling (Poria with Red Wood, remove black skin) Mu Li (Ostreae Concha, roasted, each 2 liang) Gan Jiang (Zingiberis Rhizoma, processed, 1.5 liang).
The above eight ingredients are crushed and sieved into powder. Refined honey is used to make pills the size of bullet seeds. Take one pill per dose, dissolved in warm water. Repeat doses without pause. Within five to six pills, the chest feels clear and open.
Treatment for Cold Damage Jie Xiong with excessive internal toxins, cold extremities, abdominal distension, rapid breathing, and constipation: Xian Xiong Qing Long Tang (Trap Chest Green Dragon Decoction) Formula.
Qian Niu Zi (Pharbitidis Semen, slightly stir-fried, 1.5 liang) Ren Shen (Ginseng Radix et Rhizoma, 3 fen) Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, half liang) Gui (Cinnamomi Ramulus, remove rough bark) Bing Lang (Arecae Semen, cut, each 1 fen) Da Huang (Rhubarb Radix et Rhizoma, cut, stir-fried with vinegar, half liang) Po Xiao (Natrii Sulfas, 1 liang).
The above seven ingredients are coarsely crushed and sifted. Take five qian bi per dose, with one and a half zhong zhan of water, add half a fen of smashed fresh ginger. Decoct together until seven parts remain. Strain and take warm before meals.
Treatment for Cold Damage Heat Disease involving drinking water, leading to Jie Xiong hardness and fullness: Da Huang Jie Geng Tang (Rhubarb and Platycodon Decoction) Formula.
Da Huang (Rhubarb Radix et Rhizoma, cut, stir-fried with vinegar, 2 liang) Jie Geng (Platycodonis Radix, stir-fried, 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut) Po Xiao (Natrii Sulfas, each half liang).
The above four ingredients are coarsely crushed and sifted. Take five qian bi per dose, with one and a half zhong zhan of water, decoct until seven parts remain. Strain and take warm before meals.
Treatment for Cold Damage Jie Xiong with rebellious qi, cold extremities, and irregular vomiting: Da Jin Zhen Wan (Great Golden Needle Pill) Formula.
Yang Qi Shi (Actinolite, crushed) Bu Hui Mu (Asbestus) A Wei (Ferulae Resina, crushed, each half liang) Ba Dou (Crotonis Fructus, 25 seeds, remove skin, heart, and membrane, do not release oil, crush) Xing Ren (Apricot Seed, 25 seeds, remove skin, tips, and twin kernels, crush).
The above five ingredients are crushed and ground into fine powder. Use soft millet rice to form pills the size of small bullet seeds. Take one pill per dose, pierce with a needle, burn over a lamp flame until smoke ceases, then grind to powder. Take mixed with ginger and rice paste. Effectiveness is indicated by bowel evacuation.
Treatment for Jie Xiong Cold Damage with pain below the heart and hardness upon pressure: Ni Jin Wan (Mud Gold Pill) Formula.
Mu Xiang (Aucklandiae Radix) Ding Xiang (Caryophylli Flos) Da Ji (Euphorbiae Pekinensis Radix) Gan Sui (Kansui Root, bran-fried, each 1 fen) Fu Zi (Aconiti Lateralis Radix Praeparata, roasted, split, remove skin and navel, one seed) Zi Wan (Adenophorae Radix, remove soil, 3 qian) Hei Qian Niu (Black Pharbitidis Semen, 3.5 qian, half raw, half stir-fried) Ni Fen (Calomelas, 3 qian) Liu Huang (Sulfur, size of two soap beans) Bing Lang (Arecae Semen, one large, cut) Shui Yin Sha (Mercury Sand, 3 qian) Ba Dou (Crotonis Fructus, 20 seeds, remove skin, heart, and membrane, wrap in Hu Bing dough, roast slowly over fire, remove dough).
The above twelve ingredients are each crushed and ground into powder, then mixed uniformly. Refined honey is used to form pills the size of a chicken head. Depending on deficiency or excess, take one pill per dose. Chew thoroughly a piece of roasted ginger and swallow together with the pill. Do not chew the pill itself.
Treatment for Cold Damage Jie Xiong not resolved after purgation: Da Ji San (Euphorbia Powder) Formula.
Da Ji (Euphorbiae Pekinensis Radix, stir-fried) Gan Sui (Kansui Root, stir-fried, each 1 liang) Ni Fen (Calomelas, half liang) Liu Huang (Sulfur, crushed, 1 fen) Shui Yin (Mercury, ground with sulfur in a cup to form sand, half liang).
The above five ingredients are crushed and ground into powder, then mixed uniformly. Take two qian bi per dose, taken with warm grain water.
Treatment for Cold Damage Jie Xiong to purge heat toxins: Yue Tao Wan (Prunus Mume Pill) Formula.
Yue Tao (Prunus mume fruit) Tao Hua (Prunus Persica Flower, dried in shade, each 1 fen) Da Huang (Rhubarb Radix et Rhizoma, raw cut, half liang) Yu Jin (Curcumae Radix, 2 qian) Bai Qian Niu (White Pharbitidis Semen, take powder, 5 liang) Yu Li Ren (Pruni Semen, remove skin, crush, 1 liang).
The above eight ingredients are crushed and ground into powder. Add drops of water to form pills the size of small soybeans. Take one pill per dose with honey water.
Treatment for Cold Damage Jie Xiong with latent yang inside, hardness below the heart, and pain upon pressure: Xian Xiong San (Trap Chest Powder) Formula.
Qian Hu (Peucedani Radix, remove rhizome head) Gan Sui (Kansui Root, bran-fried) Tian Ting Li (Sweet Descurainiae Semen, stir-fried between papers) Da Huang (Rhubarb Radix et Rhizoma, cut, slightly stir-fried) Xing Ren (Apricot Seed, soaked in water, skin and tips removed, twin kernels avoided, bran-fried) Ma Ya Xiao (Marine Sodium Sulfate, crushed, each 1 liang).
The above six ingredients are crushed and ground into powder. Take one qian bi per dose, taken with ginger honey water. Adjust dosage according to deficiency or excess.
Treatment for Cold Damage Jie Xiong with hardness below the heart: Xuan Du Wan (Disperse Toxin Pill) Formula.
Da Huang (Rhubarb Radix et Rhizoma, cut) Bai Qian Niu (White Pharbitidis Semen, stir-fried, each 1 liang) Hua Shi (Talcum) Po Xiao (Natrii Sulfas) Gan Sui (Kansui Root, bran-fried) Yu Li Ren (Pruni Semen, remove skin, stir-fry and crush, each half liang) Da Ji (Euphorbiae Pekinensis Radix, bran-fried, 1 fen) Xu Sui Zi (Euphorbiae Lathyridis Semen, remove skin, boil and crush, half liang).
The above eight ingredients are crushed and ground into powder. Refined honey is used to form pills the size of bullet seeds. Depending on deficiency or excess, dissolve one pill in dragon brain (Borneolum Syntheticum) honey water.
Treatment for Cold Damage Jie Xiong, and after rash diseases where toxins attack the heart, causing cough and rapid breathing: Da Tong San (Great Unblocking Powder) Formula.
Gan Sui (Kansui Root, bran-fried, 1 fen) Sheng Gan Di Huang (Rehmanniae Radix, 1 liang, processed together with Gan Sui by crushing and drying) Bing Lang (Arecae Semen, cut, two seeds) Mai Fu (Wheat Bran, slightly stir-fried, half liang) Qian Bai Shuang (Lead White Frost, crushed, 1 fen).
The above five ingredients are crushed and ground into powder. Depending on deficiency or excess, take half a qian bi mixed with dragon brain grain water.
Treatment for Cold Damage yin qi binding and stagnating in the chest and diaphragm, causing deficiency blockage or unbearable pain: Jin Zhen Wan (Golden Needle Pill) Formula.
Bu Hui Mu (Asbestus, 2 qian) Yang Qi Shi (Actinolite) A Wei (Ferulae Resina, each 1 qian) Bai Ding Xiang (Vermis Silvae Dryofobai Excrement) Dan Sha (Cinnabaris, crushed) Ru Xiang (Olibanum) Ni Fen (Calomelas, each 1.5 qian) Liu Huang (Sulfur, 1 fen) Ba Dou (Crotonis Fructus, remove skin, heart, membrane, release oil, 14 seeds).
The above nine ingredients are ground uniformly fine. Mix with glutinous rice dumpling dough to form pills the size of sophora seeds. Take five to seven pills per dose with Ding Xiang (Caryophylli Flos) decoction, at any time.
Treatment for Cold Damage Jie Xiong with hardness and pain below the heart: Ge Du Wan (Diaphragm Toxin Pill) Formula.
Yu Li Ren (Pruni Semen, remove skin) Hei Qian Niu (Black Pharbitidis Semen, stir-fried) Da Ji (Euphorbiae Pekinensis Radix) Gan Sui (Kansui Root, each 1 fen) Niu Huang (Bovis Calculus, crushed) Ru Xiang (Olibanum, crushed, each 1 qian) She Xiang (Moschus, crushed) Long Nao (Borneolum Syntheticum, crushed, each half qian).
The above eight ingredients are crushed and ground into powder, then mixed uniformly. Use white flour paste to form pills the size of sophora seeds. Take seven pills per dose with decoction of Jia Xin (Arundo Radix) and Xiao Mai (Triticum Semen), taken before bed.
Treatment for Cold Damage Jie Xiong: Sheng Bing Zi (Holy Cake) Formula.
Gan Sui (Kansui Root) Da Ji (Euphorbiae Pekinensis Radix, remove skin, each half liang) Hei Qian Niu (Black Pharbitidis Semen, raw use, 1.5 liang) Qing Fen (Calomelas, one qian bi) Fen Shuang (Lead White Frost, one qian) Ba Dou (Crotonis Fructus, remove skin, boil in vinegar until yellow, 14 seeds) Shui Yin (Mercury, one qian, combined with one qian Tin to form sand).
The above seven ingredients: First, powder the first three ingredients. Mix with five qian of white flour, add water to form cakes. Roast over mild to strong fire until golden brown. Grind into powder. Mix with the last four ingredients. Add water to form pills the size of mung beans, shaped into cakes. Take three cakes per dose with tea infusion.
Treatment for Cold Damage Jie Xiong with accumulated heat: Xuan Feng Wan (Disperse Wind Pill) Formula.
Da Huang (Powder) Qian Niu Zi (Powder) Yu Li Ren (Pruni Semen, remove skin and crush, each half liang) Ba Dou (Crotonis Fructus, one fen, remove heart, skin, membrane, deep-fry and crush).
The above four ingredients are mixed and ground uniformly. Refined honey is used to form pills the size of small soybeans. Depending on deficiency or excess, take one to two pills with ginger honey water.
Treatment for Cold Damage Jie Xiong with hardness and fullness below the heart: Jin Huang San (Golden Yellow Powder) Formula.
Hei Qian Niu (Black Pharbitidis Semen, powder) Da Huang (Rhubarb Radix et Rhizoma, powder, each one qian bi) Yu Jin (Curcumae Radix, powder) Hu Huang Lian (Picrorhizae Rhizoma, powder, each half qian bi).
The above four ingredients constitute one dose. Add one qian bi of Ni Fen (Calomelas). Take mixed with fresh water. This may be taken for Jie Xiong occurring four to five days after Cold Damage. Recovery occurs through vomiting, purging, or sweating. Dosage for children should be adjusted according to age and size.