夫寒气客于五脏六腑。因虚而发。上冲于胸间。则为胸痹。胸痹之候者。胸中 如满。
噎
仰
而
治胸痹喘急不通。利膈散方。
人参（一两去芦头） 前胡（一两去芦头） 甘草（半两炙微赤锉） 诃黎勒皮（三分）
陈
橘皮（
（一两）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。温温频服。
治胸痹疼痛痰逆。心膈不利方。
栝蒌（一枚） 枳实（一两麸炒微黄） 半夏（一两汤洗七遍去滑）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。薤白五茎。煎至五分。去滓。
温
又方。
枳实（一两麸炒微黄） 浓朴（一两去粗皮涂生姜汁炙令香熟） 桂心（三分） 栝蒌
（一枚）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。薤白五茎。煎至五分。去滓。
温
治胸痹壅闷。麝香丸方。
麝香（一分细研） 牛膝（一两去苗） 犀角屑（半两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以橘皮汤下二十丸。日三四服。
治胸痹。胸中 如满。噎塞如痹。咽喉中涩。唾沫方。
陈橘皮（二两汤浸去白瓤焙） 枳壳（二两麸炒微黄去瓤）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。温温频
服。
治胸痹。强急疼痛方。
雄黄（半两细研） 巴豆（一分去皮心研纸裹压去油）
上件药。同研令细。用软饭和丸。如绿豆大。每服。以生姜橘皮汤下五丸。
治胸痹。气壅满闷。心膈不利方。
枳实（二两麸炒微黄）
上件药。捣细罗为散。不计时候。以清粥饮调下二钱。
治胸痹已瘥。复更发者。宜服此方。
薤根（二斤净洗去土）
上捣绞取汁。温服一小盏。立愈。
Cold pathogenic factors invade the five zang organs and six fu organs. Due to deficiency, the condition manifests as upward rushing to the chest region, resulting in Chest Bi (Chest Obstruction). The manifestations of Chest Bi include a sensation of fullness in the chest, dysphagia (difficulty swallowing), and仰ine posture with wheezing and urgent breathing obstruction.
Li Ge San (Diaphragm-Opening Powder) for treating Chest Bi with urgent breathing obstruction:
Ren Shen (Ginseng Radix, 1 liang, remove rhizome head), Qian Hu (Peucedani Radix, 1 liang, remove rhizome head), Gan Cao (Licorice Root, 0.5 liang, honey-fried until slightly red and chopped), He Li Le Pi (Pericarpium Chebulae, 3 fen), Chen Ju Pi (Aged Tangerine Peel, 1 liang).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water and 0.5 fen of fresh ginger, decoct until 0.5 zhan remains, filter out the dregs, and take warm frequently.
Formula for treating Chest Bi with pain, rebellious phlegm qi, and discomfort in the heart and diaphragm:
Gua Lou (Trichosanthes Fruit, 1 piece), Zhi Shi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Ban Xia (Pinellia Tuber, 1 liang, washed seven times with water to remove slipperiness).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water, 0.5 fen of fresh ginger, and 5 stalks of Xie Bai (Allium Macrostemon Bulb), decoct until 0.5 zhan remains, filter out the dregs, and take warm.
Another formula:
Zhi Shi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Hou Po (Magnolia Bark, 1 liang, remove coarse bark, coat with fresh ginger juice, fry until fragrant and cooked), Gui Xin (Cinnamon Twig Heart, 3 fen), Gua Lou (Trichosanthes Fruit, 1 piece).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water, 0.5 fen of fresh ginger, and 5 stalks of Xie Bai (Allium Macrostemon Bulb), decoct until 0.5 zhan remains, filter out the dregs, and take warm.
She Xiang Wan (Musk Pill) for treating Chest Bi with stagnation and oppression:
She Xiang (Musk, 1 fen, finely ground), Niu Xi (Achyranthes Root, 1 liang, remove seedlings), Xi Jiao Xie (Rhinoceros Horn Shavings, 0.5 liang).
The above herbs are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, administered with Chen Pi Decoction (Tangerine Peel Decoction), three to four times daily.
Formula for treating Chest Bi with chest fullness like blockage, throat obstruction resembling Bi syndrome, dry and astringent throat, and excessive saliva:
Chen Ju Pi (Aged Tangerine Peel, 2 liang, soaked in hot water, remove white pith, bake), Zhi Ke (Bitter Orange, 2 liang, bran-fried until slightly yellow, remove pith).
The above herbs are crushed, sifted, and made into a powder. Take 3 qian per dose, add 1 zhong zhan of water and 0.5 fen of fresh ginger, decoct together until 0.6 zhan remains, filter out the dregs, and take warm frequently.
Formula for treating Chest Bi with stiffness, urgency, and pain:
Xiong Huang (Realgar, 0.5 liang, finely ground), Ba Dou (Croton Seed, 1 fen, remove skin and heart, grind, wrap in paper, press to remove oil).
The above herbs are ground together until fine, mixed with soft rice to form pills the size of mung beans. Take 5 pills per dose, administered with Fresh Ginger and Tangerine Peel Decoction.
Formula for treating Chest Bi with qi stagnation, fullness, oppression, and discomfort in the heart and diaphragm:
Zhi Shi (Immature Bitter Orange, 2 liang, bran-fried until slightly yellow).
The above herb is crushed, finely sieved, and made into a powder. Take 2 qian at any time, mixed with clear porridge drink.
For cases where Chest Bi symptoms have subsided but recur, this formula is suitable:
Xie Gen (Allium Macrostemon Root, 2 jin, clean and wash to remove soil).
Crush and squeeze to extract juice. Take 1 small zhan warm, and recovery will be immediate.