论曰胸痛者胸痹痛之类也。此由体虚挟风。又遇寒气加之。则胸膺两乳间刺痛。甚则引
背胛。或彻背膂。咳唾引痛是也。
治胸膺痛。桔梗黄 汤方
桔梗（炒二两） 黄 （细锉） 沉香（锉） 当归（切焙各一两） 芎 人参 甘
草（炙） 紫苏叶（各
上八味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓温服。不计时。
治两肋连心及肩痛。乍发乍止。紫菀丸方
紫菀（去土二两） 桔梗（炒一两半） 木香（二两） 当归（焙干一两） 郁李仁（汤
浸去皮尖双仁炒）
上七味。捣罗为细末。炼蜜和丸。梧桐子大。每服空心、槟榔汤下二十丸。日晚再服。
老幼临时加减。
治胸痛。枳实散方
枳实（去瓤麸炒二两） 桂（去粗皮一两一分）
上二味。捣罗为细散。每服二钱匕。温酒调下。空心日午临卧各一服。
治胸痛。白术枳实散方
枳实（去瓤麸炒） 陈曲（微炒） 白术（各一两）
上三味。捣罗为细散。每服二钱匕。温酒调下。空心日午临卧各一服。
治胸痛。柏实散方
柏实 桂（去粗皮锉等分）
上二味。捣罗为细散。每服二钱匕。米饮调下。日三服。
治卒苦烦攻胸痛。薏苡根饮方
薏苡根
上一味。 咀如麻豆大。每服五钱匕。水一盏半。煎至一盏。去滓温服。
It is stated that chest pain belongs to the category of chest bi pain (chest obstruction and pain). This condition arises from a weak constitution combined with wind pathogen, further aggravated by cold qi. Consequently, stabbing pain occurs between the chest and the sternum as well as between the two breasts. In severe cases, the pain radiates to the shoulder blades or penetrates through the entire back and spine. Coughing and expectoration may also induce pain.
Formula for treating pain in the chest and sternum: Jiegeng Huang Decoction (Platycodon and Scutellaria Decoction)
Jiegeng (Radix Platycodonis, stir-fried, 2 liang), Huang (Scutellariae Radix, finely cut), Chenxiang (Lignum Aquilariae Resinatum, cut), Danggui (Radix Angelicae Sinensis, sliced and roasted, each 1 liang), Xiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae Preparata, honey-fried), Zisuye (Folium Perillae, each appropriate amount).
The above eight herbs are coarsely crushed and sifted. Each dose consists of three qianbi (approx. 3-5 grams), boiled in one zhan (approx. 200 ml) of water until reduced to seven-tenths. Strain and take warm. No specific timing is required.
Pill Formula for treating pain connecting the hypochondrium to the heart and shoulder, which comes and goes intermittently: Ziwan Pill (Aster Root Pill)
Ziwan (Herba Asteris Tatarici, cleaned of soil, 2 liang), Jiegeng (Radix Platycodonis, stir-fried, 1.5 liang), Muxiang (Radix Aucklandiae, 2 liang), Danggui (Radix Angelicae Sinensis, roasted dry, 1 liang), Yuliren (Semen Pruni Armeniacae, soaked in hot water, skin and tip removed, double-kernel removed, stir-fried).
The above seven herbs are ground into fine powder, mixed with refined honey, and formed into pills the size of wutong seeds. Take twenty pills on an empty stomach with Betel Nut Decoction (Bolang Tang), and repeat in the evening. Dosage for the elderly and children should be adjusted according to circumstances.
Powder Formula for treating chest pain: Zhishi Powder (Immature Bitter Orange Powder)
Zhishi (Fructus Aurantii Immaturus, pulp removed, bran-stir-fried, 2 liang), Gui (Cortex Cinnamomi, outer bark removed, 1 liang 1 fen).
The above two herbs are ground into fine powder. Take two qianbi per dose, mixed with warm wine. Take once on an empty stomach, once at noon, and once before bed.
Baizhu Zhishi Powder (Atractylodes Macrocephala and Immature Bitter Orange Powder) for treating chest pain:
Zhishi (Fructus Aurantii Immaturus, pulp removed, bran-stir-fried), Chenqu (Medicated Leaven, lightly stir-fried), Baizhu (Rhizoma Atractylodis Macrocephalae, each 1 liang).
The above three herbs are ground into fine powder. Take two qianbi per dose, mixed with warm wine. Take once on an empty stomach, once at noon, and once before bed.
Baishi Powder (Cupressus Fruit Powder) for treating chest pain:
Baishi (Semen Cupressi, equal parts), Gui (Cortex Cinnamomi, outer bark removed and cut, equal parts).
The above two herbs are ground into fine powder. Take two qianbi per dose, mixed with rice drink. Take three times daily.
Yiyigen Drink (Coix Root Drink) for treating sudden severe irritability attacking the chest causing pain:
Yiyigen (Radix Coicis).
The above single herb is cut into pieces the size of hemp or beans. Take five qianbi per dose, boiled in one and a half zhan of water until reduced to one zhan. Strain and take warm.