仲景伤寒论∶胸痹不得卧心痛彻背者。栝蒌薤白半夏白 浆汤主之方。
大栝蒌（一枚） 薤白（切三两） 半夏（半升洗）
上三味。以白 浆一斗。煮取四升。去滓。温服一升。日三。忌羊肉饧。（古今录验同
范汪同出第十五卷中）
千金疗胸痹心痛方。
灸膻中百壮。穴在鸠尾上一寸。（一云膺 中行直两乳内间是忌针）
又疗胸胁满心痛方。
灸期门。随年壮。穴在第二肋端乳直下。不容旁一寸半是。（并出第十三卷中）
古今录验小草丸。疗胸痹心痛逆气。膈中饮不下方。
小草（三分） 桂心（三分） 蜀椒（三分汗） 干姜（二分） 细辛（三分） 附子
（二分炮）
上六味捣合下筛。和以蜜丸如梧子大。先食米汁服三丸日三。不知稍增。以知为度。忌
猪肉冷水生葱生菜。（范汪同出第八卷中）
范汪疗胸痛。枳实散方。
枳实（八分炙） 桂心（五分）
上二味捣下筛。酒服方寸匕。日三。忌生葱。（深师同）
深师疗胸痛。枳实散方。
枳实（四枚炙） 神曲（一两熬） 白术（一两）
上三味捣筛。酒服方寸匕。日三。忌桃李雀肉等。（出第十六卷中）
病源夫贲豚者。肾之积气也。起于惊恐忧思所生也。若惊恐则伤神心脏神也。忧思则伤
志。肾脏志也。神志伤动。气积于肾而气下上游走。如豚之贲。故曰贲豚。其气乘心。若心
中踊踊。如车所惊如人所恐。五脏不定。食饮辄呕。气满胸中。狂痴不定。妄言妄见。此惊
恐奔豚之状也。若气满支心。心下烦乱。不欲闻人声。休作有时。乍瘥乍剧。吸吸短气。手
足厥逆。内烦结痛。温温欲呕。此忧思贲豚之状也。诊其脉来祝祝（一云触祝）者。病贲豚
也。
肾
短剧黄帝问金冶子曰∶惊为病如奔豚。其病奈何。金冶子对曰∶惊为奔豚。心中踊踊。
如事
或张面目。不相取与。众师不知。呼有所负。贲豚汤主之。黄帝曰∶善。黄帝问金冶子曰∶
忧思贲豚。何以别之。金冶子对曰∶忧思贲豚者。气满支心。心下烦乱。不欲闻人之声。发
作有时。乍瘥乍剧。吸吸短气。手足厥逆。内烦结痛。温温欲呕。众师不知。呼有触忤。奔
豚汤主之。黄帝曰善。
师曰∶病如奔豚者。气从少腹起。上冲喉咽。发作欲死。复还生。皆从惊恐得之。肾间
有脓故也。（范汪同）
师曰∶病有奔豚。有吐脓。有惊怖。有火邪。此四部病者。皆从惊发。得之火邪者。桂
枝加龙骨牡蛎汤主之。若新亡财。为县官所捕迫。从惊恐者。疗用鸱头铅KT 。（千金翼有
飞鸿铅丹丸主癫痫螈 此意相近铅KT 一云角为马桃末即羚羊角）复余物未定。（未定者上
作方未成）
又疗卒伤损。食下则觉胸中偏痛栗栗然。水浆下亦尔。问病与相应。急作此方。
生李根（一斤细锉之） 麦门冬（一升去心） 人参（二两） 桂心（二两） 甘草（一
两炙）
上五味 咀。以水一斗。煮取三升。分三服。（范汪同）
又奔豚汤。疗虚劳五脏气乏损。游气
梦。精光竭不泽。阴痿。上引少腹急痛。面乍热赤色。喜怒无常。耳聋目视无精光方。
葛根（八两干者） 生李根（切一升） 人参（三两） 半夏（一升洗） 芍药（三两）
当归（
二两） 桂心（五两） 生姜（二斤） 甘草（炙二两）
上九味切。以水二斗。煮得五升。温服八合。日三。不知稍增至一升。日三。忌羊肉饧
生葱海藻菘菜等。（出第十一卷中）
肘后疗卒厥逆上气。气支两胁。心下痛满。淹淹欲绝。此谓
奔豚。病从卒惊怖忧迫得之。气从下上。上冲心胸。脐间筑筑发动有时。不疗杀人方。
甘草（二两炙） 人参（二两） 吴茱萸（一升） 生姜（一斤） 半夏（一升） 桂
心（三两）
上六味切。以水一斗。煮取三升。分三服。此药须预蓄。得病便急合服之。（千金方桂
五两甘草三两张文仲同）
贲豚气冲心胸方四首
广济贲豚气在心。吸吸短气。不欲闻人语声。心下烦乱不安。发作有时。四肢烦疼。手
足逆冷方。
李根白皮（八两） 半夏（七两洗） 干姜（四两） 茯苓（三两） 人参（二两） 甘
草（二两
炙） 附子（一两炮） 桂心（四两）
上八味切。以水一斗。煮取三升。绞去滓。分三服。别相去如人行六七里。忌生冷羊肉
饧海藻菘菜油腻醋物生葱粘食。（范汪同）
又疗贲豚气在胸心。迫满支胁方。
生姜（一斤） 半夏（四两汤） 桂心（三两） 人参（二两） 甘草（二两炙） 吴
茱萸（一两）
上六味切。以水一斗。煮取三升。绞去滓。分温三服。服别相去如人行六七里。忌生葱
热面羊肉饧粘食海藻菘菜。（范汪同并出第四卷中）
集验贲豚茯苓汤。疗短气。五脏不足。寒气厥逆。腹胀满。气贲走冲胸膈。发作气欲绝
。不识
冷。或烦热者方。
茯苓（四两） 生葛（八两） 甘草（二两炙） 生姜（五两） 半夏（一升汤洗） 人
参（三两） 当归（二两） 芎 （二两） 李根白皮（切升）
上九味切。以水一斗二升。煮取五升。服一升。日三夜二服。忌羊肉饧海藻菘菜酢物等
又疗贲豚气上冲胸腹痛。往来寒热。贲豚汤方。
甘草（二两炙） 芎 （二两） 当归（二两） 半夏（四两汤洗） 黄芩（三两） 生
葛（五两）
上九味切。以水二斗。煮取五升。去滓。温服一升。日三夜二服。忌海藻菘菜羊肉饧等
。（并出第四卷中）
Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage) records: For chest bi syndrome where the patient cannot lie flat and heart pain radiates to the back, Gualou Xiebai Banxia Baijiu Tang (Trichosanthes Fruit, Macrostemon Rhizome, Pinellia Tuber, and White Wine Decoction) is the primary treatment. Formula composition: Large Gualou fruit (one piece), Xiebai (cut, 3 liang), Banxia (half sheng, washed). The above three ingredients are boiled in one dou of white wine until four sheng remain. Strain the dregs. Take one sheng warm each time, three times a day. Avoid mutton and malt sugar. (This formula is identical to that in *Gujin Luyan*, cited from Fan Wang's book, Volume 15).
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats chest bi with heart pain.
Moxibustion at Danzhong (CV 17), 100 moxa cones. The acupoint is located one cun above Jiwei (CV 15). (Another view states it is on the midline of the sternum, between the two breasts; this point is contraindicated for needling).
Also treats chest and hypochondriac fullness with heart pain.
Moxibustion at Qimen (LR 14). The number of cones corresponds to the patient's age. The acupoint is at the end of the second rib, directly below the nipple, one and a half cun lateral to Burong (ST 19). (Both cited from Volume 13).
*Gujin Luyan* Xiaocao Wan (Small Herb Pill) treats chest bi, heart pain, rebellious qi, and fluid retention in the diaphragm that fails to descend.
Herbs: Xiaocao (3 fen), Guixin (Cinnamon Heart, 3 fen), Shujiao (Sichuan Pepper, 3 fen, perspired), Ganjiang (Dried Ginger, 2 fen), Xixin (Asarum, 3 fen), Fuzi (Prepared Aconite Root, 2 fen, processed).
The above six herbs are crushed, mixed, and sieved. They are combined with honey to form pills the size of wutong seeds. Take three pills before meals with rice juice, three times a day. If ineffective, gradually increase the dose until therapeutic effect is achieved. Avoid pork, cold water, raw scallions, and raw vegetables. (Identical to Fan Wang's text, cited from Volume 8).
Fan Wang treats chest pain with Zhishi San (Immature Bitter Orange Powder).
Herbs: Zhishi (Immature Bitter Orange, 8 fen, roasted), Guixin (Cinnamon Heart, 5 fen).
The above two herbs are crushed and sieved. Take one fangcunbi (a square-inch measure) with wine, three times a day. Avoid raw scallions. (Identical to *Shenshi Fang*).
*Shenshi Fang* treats chest pain with Zhishi San (Immature Bitter Orange Powder).
Herbs: Zhishi (Immature Bitter Orange, 4 pieces, roasted), Shenqu (Medicated Leaven, 1 liang, fried), Baizhu (Atractylodes Macrocephala Rhizome, 1 liang).
The above three herbs are crushed and sieved. Take one fangcunbi with wine, three times a day. Avoid plums, peaches, and sparrow meat. (Cited from Volume 16).
*Bingyuan* (Source of Diseases) discusses: Ben Tun (Running Piglet) is an accumulation of qi in the Kidney. It arises from fright, anxiety, and overthinking. Fright injures the Heart Spirit (Shen); anxiety and overthinking injure the Kidney Will (Zhi). When Spirit and Will are injured and disturbed, qi accumulates in the Kidneys and moves up and down like a running piglet, hence the name Ben Tun. When the qi invades the Heart, the heart palpitates restlessly, as if startled by a carriage or threatened by a person. The five Zang organs become unstable, food and drink cause vomiting, qi fills the chest, madness and dementia occur without stability, delusions and hallucinations arise. This is the presentation of Ben Tun caused by fright. If qi fills and supports the chest and heart, causing mental restlessness below the heart, aversion to hearing voices, with episodes occurring at intervals, alternating between remission and exacerbation, shortness of breath, cold hands and feet, internal vexation and painful knotting, and nausea, this is the presentation of Ben Tun caused by anxiety and overthinking. Palpating the pulse reveals a rapid and irregular rhythm (or "chu zhu"), indicating Ben Tun disease.
*Duanju*: The Yellow Emperor asked Jin Yezhi: "Fright causes illness resembling Ben Tun. What is this disease?" Jin Yezhi replied: "Fright causing Ben Tun presents with heart palpitations and restlessness. Sometimes the eyes widen, refusing interaction. Physicians do not understand. The patient cries out as if burdened. Bentun Tang (Running Piglet Decoction) is the primary treatment." The Yellow Emperor said: "Good." The Yellow Emperor asked Jin Yezhi: "How to distinguish Ben Tun caused by anxiety and overthinking?" Jin Yezhi replied: "Ben Tun from anxiety and overthinking presents with qi filling and supporting the chest and heart, mental restlessness below the heart, aversion to hearing voices, episodic occurrence, alternating remission and exacerbation, shortness of breath, cold extremities, internal vexation and painful knotting, and nausea. Physicians do not understand. The patient cries out as if offended. Bentun Tang is the primary treatment." The Yellow Emperor said: "Good."
The Master said: In cases resembling Ben Tun, qi rises from the lower abdomen, rushing up to the throat. During attacks, the patient feels as if dying, then recovers. All such cases originate from fright. This is due to pus accumulating in the Kidney region. (Identical to Fan Wang).
The Master said: There are four types of diseases: Ben Tun, vomiting of pus, fright/trepidation, and Fire Evil. All these arise from fright. For those classified as Fire Evil, Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell) is the primary treatment. For those caused by recent loss of wealth or persecution by officials leading to fright, treat with Chitou Qiandan Wan (Owl Head and Lead Carbonate Pill). (*Qianjin Yifang* has Feihong Qiandan Wan for epilepsy and convulsions, which is similar in intent. Qiandan refers to Lead Carbonate; some say it refers to Antelope Horn powder). Other substances remain undetermined. (Undetermined means the formula is incomplete).
Also treats sudden traumatic injury. After eating, there is pain and trembling in one side of the chest; drinking fluids causes the same. Upon confirming the condition matches, prepare this formula urgently.
Herbs: Sheng Ligeng (Fresh Plum Root, 1 jin, finely cut), Maidong (Ophiopogon Tuber, 1 sheng, heart removed), Renshen (Ginseng Root, 2 liang), Guixin (Cinnamon Heart, 2 liang), Gancao (Licorice Root, 1 liang, roasted).
The above five herbs are chopped. Boil in one dou of water until three sheng remain. Divide into three doses. (Identical to Fan Wang).
Also Bentun Tang. Treats deficiency exhaustion with damage to the qi of the five Zang organs, wandering qi disturbing dreams, depletion of essence and luster, impotence, upward pulling of the lower abdomen with acute pain, sudden facial flushing, mood swings, deafness, and dull vision.
Herbs: Gegen (Kudzu Root, 8 liang, dried), Sheng Ligeng (Fresh Plum Root, cut 1 sheng), Renshen (Ginseng Root, 3 liang), Banxia (Pinellia Tuber, 1 sheng, washed), Shaoyao (Peony Root, 3 liang), Danggui (Angelica Sinensis Root, 2 liang), Guixin (Cinnamon Heart, 5 liang), Shengjiang (Fresh Ginger, 2 jin), Gancao (Licorice Root, 2 liang, roasted).
The above nine herbs are chopped. Boil in two dou of water until five sheng remain. Take 8 ge warm, three times a day. If ineffective, gradually increase to one sheng, three times a day. Avoid mutton, malt sugar, raw scallions, seaweed, Brassica vegetables, etc. (Cited from Volume 11).
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept Up My Sleeve) treats sudden syncope with rebellious qi, qi supporting both hypochondria, pain and fullness below the heart, feeling as if about to die. This is called Ben Tun. The disease arises from sudden fright, terror, and anxiety. Qi rises from below, rushing up to the chest and heart. Pulsations around the umbilicus occur episodically. Without treatment, it is fatal.
Herbs: Gancao (Licorice Root, 2 liang, roasted), Renshen (Ginseng Root, 2 liang), Wuzhuyu (Evodia Fruit, 1 sheng), Shengjiang (Fresh Ginger, 1 jin), Banxia (Pinellia Tuber, 1 sheng), Guixin (Cinnamon Heart, 3 liang).
The above six herbs are chopped. Boil in one dou of water until three sheng remain. Divide into three doses. This medicine must be prepared in advance and taken immediately upon onset. (*Qianjin Fang* uses Guixin 5 liang, Gancao 3 liang; Zhang Wenzhong's formula is identical).
Four Formulas for Bentun Qi Rushing to Chest and Heart
*Guangji Fang* treats Bentun Qi in the heart, shortness of breath, aversion to hearing voices, mental restlessness and unease below the heart, episodic occurrence, limb vexation and pain, and cold extremities.
Herbs: Ligeng Baidi (White Bark of Plum Root, 8 liang), Banxia (Pinellia Tuber, 7 liang, washed), Ganjiang (Dried Ginger, 4 liang), Fuling (Poria, 3 liang), Renshen (Ginseng Root, 2 liang), Gancao (Licorice Root, 2 liang, roasted), Fuzi (Prepared Aconite Root, 1 liang, processed), Guixin (Cinnamon Heart, 4 liang).
The above eight herbs are chopped. Boil in one dou of water until three sheng remain. Strain. Divide into three doses. Space each dose by the time it takes a person to walk six or seven li. Avoid cold/raw foods, mutton, malt sugar, seaweed, Brassica vegetables, greasy/vinegar foods, raw scallions, and sticky foods. (Identical to Fan Wang).
Also treats Bentun Qi in the chest and heart, pressing and fullness supporting the hypochondria.
Herbs: Shengjiang (Fresh Ginger, 1 jin), Banxia (Pinellia Tuber, 4 liang, washed with decoction), Guixin (Cinnamon Heart, 3 liang), Renshen (Ginseng Root, 2 liang), Gancao (Licorice Root, 2 liang, roasted), Wuzhuyu (Evodia Fruit, 1 liang).
The above six herbs are chopped. Boil in one dou of water until three sheng remain. Strain. Divide into three warm doses. Space each dose by the time it takes a person to walk six or seven li. Avoid raw scallions, hot noodles, mutton, malt sugar, sticky foods, seaweed, and Brassica vegetables. (Identical to Fan Wang, both cited from Volume 4).
*Jiyan Fang* Bentun Fuling Tang (Running Piglet Poria Decoction) treats shortness of breath, insufficiency of the five Zang organs, cold qi causing cold limbs, abdominal distension and fullness, qi rushing up to the chest and diaphragm, episodes where qi feels as if it will cease, aversion to cold, or vexation and heat.
Herbs: Fuling (Poria, 4 liang), Sheng Ge (Fresh Kudzu Root, 8 liang), Gancao (Licorice Root, 2 liang, roasted), Shengjiang (Fresh Ginger, 5 liang), Banxia (Pinellia Tuber, 1 sheng, washed with decoction), Renshen (Ginseng Root, 3 liang), Danggui (Angelica Sinensis Root, 2 liang), Xiongqiong (Ligusticum Chuanxiong Rhizome, 2 liang), Ligeng Baidi (White Bark of Plum Root, cut 1 sheng).
The above nine herbs are chopped. Boil in one dou and two sheng of water until five sheng remain. Take one sheng, three times a day and two times at night. Avoid mutton, malt sugar, seaweed, Brassica vegetables, and vinegar products.
Also treats Bentun Qi rushing to the chest with abdominal pain, alternating chills and fever. Bentun Tang (Running Piglet Decoction).
Herbs: Gancao (Licorice Root, 2 liang, roasted), Xiongqiong (Ligusticum Chuanxiong Rhizome, 2 liang), Danggui (Angelica Sinensis Root, 2 liang), Banxia (Pinellia Tuber, 4 liang, washed with decoction), Huangqin (Scutellaria Root, 3 liang), Sheng Ge (Fresh Kudzu Root, 5 liang).
The above six herbs are chopped. Boil in two dou of water until five sheng remain. Strain. Take one sheng warm, three times a day and two times at night. Avoid seaweed, Brassica vegetables, mutton, and malt sugar. (Both cited from Volume 4).