论曰胸痹之病，以胸中痞结不通。故有噎塞之证。盖寒气客于五脏六腑。因虚而发。上
冲胸间，则气痹而不通。甚则为噎塞也。
治心胸气闷。喉中噎塞。昆布丸方
昆布（洗去咸焙三分） 赤茯苓（去黑皮） 枳实（麸炒去瓤） 木香（半生半熟） 诃
黎勒（
上八味。捣罗为末。炼蜜和丸。如梧桐子大。每服二十丸。温酒下。
治胸痹连心气闷。喉中塞满。赤茯苓汤方
赤茯苓（去黑皮一两） 细辛（去苗叶一两） 橘皮（汤浸去白焙三分） 枳壳（去瓤
麸炒一两） 栝蒌
上六味。粗捣筛，每服三钱匕。水一盏半，生姜一分拍破。同煎至七分，去滓空心服，
如人行五六里再服。
治胸痹连心气闷。喉中塞不通。陈橘皮汤方
陈橘皮（汤浸去白焙一分） 赤茯苓（去黑皮） 枳壳（去瓤麸炒各半两） 栝蒌实（一
枚去皮瓤用子
上六味。粗捣筛，每服五钱匕。水二盏，煎至一盏。去滓空心温服，日午临卧各一。
治胸满气噎。通气汤方
半夏（汤洗去滑七遍焙四两） 桂（去粗皮一两半） 吴茱萸（汤洗去涎焙干炒半两）
上三味，粗捣筛。每服五钱匕，水二盏。入生姜一分拍破，同煎至七分。去滓温服，空
心临卧各一。
治胸中 如满，噎塞唾沫。橘皮枳实汤方
陈橘皮（汤浸去白焙半两） 枳实（麸炒一两半。）
上二味，粗捣筛，每服五钱匕，水二盏，入生姜一分拍破，同煎至一盏，去滓温服日三。
空心日午临卧各一。
治胸中气塞。茯苓汤方
赤茯苓（去黑皮三两） 甘草（炙锉一两） 杏仁（五十枚汤浸去皮尖双仁炒）
上三味。粗捣筛，每服三钱匕。水一盏。煎至六分，去滓温服。空心日午临卧各一。
治心胸噎塞壅闷。食不下。半夏丸方
半夏（汤洗七遍去滑） 桔梗（各二两） 桂（去粗皮一两半） 木香 枳壳（去瓤麸
炒各一两）
上五味，捣罗为末。生姜汁煮糊和丸，如梧桐子大。每服二十丸。木瓜汤下。
治心胸噎塞壅闷。食不下。昆布汤方
昆布（汤洗去咸焙） 桔梗（锉） 半夏（汤洗七遍去滑） 枇杷叶（炙去毛） 枳壳
（去瓤麸炒） 桂（去粗
上一十味。粗捣筛。每服三钱匕。水一盏。生姜五片。煎取七分。去滓温服。不拘时候
Commentary states: The disease of chest bi (Chest Bi, a condition characterized by chest pain and obstruction) arises from stagnation and blockage in the chest. Thus, symptoms of dysphagia (difficulty swallowing) or throat obstruction occur. Generally, cold pathogen invades the five zang organs and six fu organs. It manifests due to deficiency, rushing upward into the chest region, causing qi stagnation and obstruction. In severe cases, it leads to throat obstruction.
Formula for Kunbu Wan (Kelp Pill) to treat chest and heart qi oppression and throat obstruction:
Kunbu (Laminariae Thallus, washed to remove saltiness and dried, 3 fen) Chifuling (Poria cum Radix Pini Nigra, black skin removed) Zhishi (Immature Bitter Orange Fruit, stir-fried with bran, placenta removed) Muxiang (Costi Radix, half raw, half processed) Helile (Chebulae Fructus, roasted, pit removed)
The above eight herbs are crushed, sieved into fine powder, mixed with refined honey to form pills the size of sophora seeds. Take 20 pills per dose, swallowed with warm wine.
Formula for Chifuling Tang (Red Poria Decoction) to treat chest bi affecting the heart, chest oppression, and severe throat blockage:
Chifuling (Poria cum Radix Pini Nigra, black skin removed, 1 liang) Xixin (Asari Radix et Rhizoma, roots and leaves removed, 1 liang) Jupi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 3 fen) Zhiqiao (Aurantii Fructus, placenta removed, stir-fried with bran, 1 liang) Gualou (Trichosanthis Fructus, 1 fruit, peel and pulp removed, use seeds)
The above six herbs are coarsely crushed and sieved. Take 3 qianbi per dose. Add 1.5 zhan of water and 1 fen of ginger, smashed. Decoct together until 0.7 zhan remains, strain, and take on an empty stomach. If symptoms persist after walking for 5-6 li, take another dose.
Formula for Chenjupi Tang (Aged Tangerine Peel Decoction) to treat chest bi affecting the heart, chest oppression, and complete throat obstruction:
Chenjupi (Aged Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 1 fen) Chifuling (Poria cum Radix Pini Nigra, black skin removed) Zhiqiao (Aurantii Fructus, placenta removed, stir-fried with bran, 0.5 liang each) Gualoushi (Trichosanthis Semen, 1 fruit, peel and pulp removed, use seeds)
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose. Add 2 zhan of water. Decoct until 1 zhan remains, strain, and take warm on an empty stomach. Take once at noon and once before bed.
Formula for Tongqi Tang (Unblocking Qi Decoction) to treat chest fullness and qi obstruction:
Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness, dried, 4 liang) Gui (Cinnamomi Ramulus, outer bark removed, 1.5 liang) Wuzhuyu (Evodiae Fructus, washed in hot water to remove saliva, dried and stir-fried, 0.5 liang)
The above three herbs are coarsely crushed and sieved. Take 5 qianbi per dose. Add 2 zhan of water and 1 fen of ginger, smashed. Decoct together until 0.7 zhan remains, strain, and take warm. Take once on an empty stomach and once before bed.
Formula for Jupi Zhishi Tang (Tangerine Peel and Immature Bitter Orange Decoction) to treat chest fullness as if blocked, throat obstruction with salivation:
Chenjupi (Aged Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, 0.5 liang) Zhishi (Immature Bitter Orange Fruit, stir-fried with bran, 1.5 liang)
The above two herbs are coarsely crushed and sieved. Take 5 qianbi per dose. Add 2 zhan of water and 1 fen of ginger, smashed. Decoct together until 1 zhan remains, strain, and take warm. Take three times daily. Take once on an empty stomach, once at noon, and once before bed.
Formula for Fuling Tang (Poria Decoction) to treat qi obstruction in the chest:
Chifuling (Poria cum Radix Pini Nigra, black skin removed, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, 1 liang) Xingren (Pruni Armeniaci Semen, 50 seeds, soaked in hot water, peel and sharp end removed, double kernels avoided, stir-fried)
The above three herbs are coarsely crushed and sieved. Take 3 qianbi per dose. Add 1 zhan of water. Decoct until 0.6 zhan remains, strain, and take warm. Take once on an empty stomach, once at noon, and once before bed.
Formula for Banxia Wan (Pinellia Pill) to treat chest and heart throat obstruction, stuffiness, and inability to eat:
Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness) Jiegeng (Platycodonis Radix, 2 liang each) Gui (Cinnamomi Ramulus, outer bark removed, 1.5 liang) Muxiang (Costi Radix) Zhiqiao (Aurantii Fructus, placenta removed, stir-fried with bran, 1 liang each)
The above five herbs are crushed, sieved into fine powder. Mix with paste made from ginger juice and flour to form pills the size of sophora seeds. Take 20 pills per dose, swallowed with Qu木瓜 Tang (Papaya Decoction).
Formula for Kunbu Tang (Kelp Decoction) to treat chest and heart throat obstruction, stuffiness, and inability to eat:
Kunbu (Laminariae Thallus, washed in hot water to remove saltiness and dried) Jiegeng (Platycodonis Radix, cut) Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness) Pipaye (Eriobotryae Folium, roasted, hairs removed) Zhiqiao (Aurantii Fructus, placenta removed, stir-fried with bran) Gui (Cinnamomi Ramulus, outer bark removed)
The above ten herbs are coarsely crushed and sieved. Take 3 qianbi per dose. Add 1 zhan of water and 5 slices of ginger. Decoct until 0.7 zhan remains, strain, and take warm. Take at any time without restriction.