夫膈气心胸中痛者。由宿有寒气在于脏腑之间。因其经络痞涩。不得宣通。脏虚邪盛。
上攻
治膈气壅滞攻心。胸中连肩背痛。日夜不止。赤茯苓散方。
赤茯苓（一两） 桂心（一两） 人参（一两去芦头） 陈橘皮（二两汤浸去白瓤焙） 白
术
（一两）
朴（二
两去粗
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜五（半）分。煎至六分。去滓。
不
计时
治膈气。心胸冷硬结痛。下气槟榔散方。
槟榔〔一（二）两〕 木香（一两） 陈橘皮（一两半汤浸去白瓤焙） 枳实（一两麸
炒微黄）
前
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治膈气。心胸冷气。疼痛。不食少力。丁香散方。
丁香（半两） 浓朴（一两半去粗皮涂生姜汁炙令香熟） 桂心（三分） 白术（一两）
甘草
（半
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至五分。去滓。入酒半小盏。更煎三
两沸
治膈气。心胸中伏滞冷气。疼痛。饮食不下。桂心散方。
桂心（一两） 前胡（一两去芦头） 人参（一两去芦头） 牛李根（一两锉） 诃黎
勒皮（一
两）
上件药。捣罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治膈气。心胸中烦满疼痛。及走疰。气欲绝。柴胡散方。
柴胡〔二（一）两去苗〕 甘草（半两炙微赤锉） 当归（三分锉微炒） 木香（一两）
槟榔
〔半
上件药。捣筛为散。入麝香研匀。每服三钱。以水一中盏。煎至六分。去滓。不计时候。
稍
治膈气。心胸中积冷气痛。心中满闷。不能下食。或时呕吐。半夏散方。
半夏（一两汤洗七遍去滑） 吴茱萸（半两汤浸七遍焙干微炒） 桂心（一两） 人参
（一两
去芦
上件药。捣筛为散。每服二（三）钱。以水一中盏。入生姜半分。枣三枚。煎至六分。
去
滓。
治膈气。心胸中气痛不可忍方。
木香（半两） 吴茱萸（半两汤浸七遍焙干微炒） 桂心（三分）
上件药。捣细罗为散。每服三（一）钱。以水一中盏。煎至六分。和滓。不计时候。
稍热
服。
治膈气。心胸间痛。宜服此方。
白术（一两） 枳实（一两麸炒微黄） 神曲（一两炒微黄）
上件药。捣细罗为散。每服不计时候。以热酒调下一钱。
治膈气。心胸中虚寒疼痛。浓朴散方。
浓朴（二两去粗皮涂生姜汁炙令香熟） 吴茱萸（半两汤浸七遍焙干微炒） 桂心（一
两）
白术
上件药。捣细罗为散。每服不计时候。以热酒调下二（一）钱。
治膈气。食后呕逆。心胸中 痛方。
干姜（半两炮裂锉） 吴茱萸（半两汤浸七遍焙干微炒） 白术（二两）
上件药。捣细罗为散。每服不计时候。以热酒调下一钱。
治膈气。心胸中气逆。时复疼痛。枳实散方。
枳实（一两麸炒微黄） 桂心（一两）
上件药。捣细罗为散。每服不计时候。以热酒调下一钱。
治膈气。心胸气滞疼痛。连于腹胁。饮食不下。木香丸方。
木香（一两） 青橘皮（一两汤浸去白瓤焙） 槟榔（一两） 桂心（一两） 干姜（半
两炮裂
锉）
两炮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以粥饮下二十
丸。
治膈气。心胸间痛。气逆。饮食不下。小草丸方。
小草（三分） 桂心（三分） 川椒（三分去目及闭口者微炒去汗） 干姜（三分炮裂
锉） 细
辛（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以粥饮下三十
丸。
For chest and heart pain caused by Ge Qi (Diaphragmatic Qi Stagnation), it stems from pre-existing cold pathogenic factors residing between the Zang-Fu organs. Due to obstruction and stagnation in the meridians, circulation cannot be unblocked; with deficient organ qi and flourishing pathogenic factors, the cold attacks upward.
Formula for treating Ge Qi stagnation attacking the heart, with chest pain radiating to the shoulders and back, persisting day and night: Chifuling San (Red Poria Powder).
Chifuling (Poria, 1 liang) Guixin (Cinnamon Twig Heart, 1 liang) Renshen (Ginseng Root, 1 liang, remove rhizome) Chenjupi (Aged Tangerine Peel, 2 liang, soak in hot water, remove white pith, dry-bake) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Houpo (Magnolia Bark, 2 liang, remove rough bark)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add one zhong of water and half a fen of fresh ginger. Decoct until reduced to six-tenths of the original volume. Strain out the dregs. Take at any time.
Formula for treating Ge Qi, cold hardness and knotting pain in the chest and heart, promoting the downward movement of Qi: Binglang San (Areca Seed Powder).
Binglang (Areca Seed, 1 or 2 liang) Muxiang (Costus Root, 1 liang) Chenjupi (Aged Tangerine Peel, 1.5 liang, soak in hot water, remove white pith, dry-bake) Zhishi (Immature Bitter Orange Fruit, 1 liang, stir-fry with bran until slightly yellow) Qianhu (Peucedani Radix, 1 liang, remove rhizome)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add one zhong of water and half a fen of fresh ginger. Decoct until reduced to six-tenths of the original volume. Strain out the dregs. Take at any time.
Formula for treating Ge Qi, cold Qi in the chest and heart, pain, anorexia, and weakness: Dingxiang San (Clove Powder).
Dingxiang (Clove, 0.5 liang) Houpo (Magnolia Bark, 1.5 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked) Guixin (Cinnamon Twig Heart, 3 fen) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Gancao (Licorice Root, 0.5 liang, stir-fry until slightly red, chop)
Crush the above herbs into a coarse powder. Take 4 qian per dose. Add one zhong of water. Decoct until reduced to five-tenths of the original volume. Strain out the dregs. Add half a small zhong of wine. Boil for two or three boils.
Formula for treating Ge Qi, latent stagnant cold Qi in the chest and heart, pain, and inability to swallow food: Guixin San (Cinnamon Twig Heart Powder).
Guixin (Cinnamon Twig Heart, 1 liang) Qianhu (Peucedani Radix, 1 liang, remove rhizome) Renshen (Ginseng Root, 1 liang, remove rhizome) Niuligen (Root of Prunus triloba or similar, 1 liang, chop) Helilepi (Pericarpium Chebulae, 1 liang)
Sift the above herbs into a fine powder. Take 4 qian per dose. Add one zhong of water. Decoct until reduced to six-tenths of the original volume. Strain out the dregs. Take at any time, while slightly warm.
Formula for treating Ge Qi, vexation and fullness in the chest and heart, pain, wandering bi-syndrome-like pain, and impending exhaustion of Qi: Chaihu San (Bupleurum Root Powder).
Chaihu (Bupleurum Root, 1 or 2 liang, remove seedlings) Gancao (Licorice Root, 0.5 liang, stir-fry until slightly red, chop) Danggui (Angelica Sinensis Root, 3 fen, chop, stir-fry slightly) Muxiang (Costus Root, 1 liang) Binglang (Areca Seed, 0.5 liang)
Sieve the above herbs into a powder. Add Shexiang (Musk) and grind evenly. Take 3 qian per dose. Add one zhong of water. Decoct until reduced to six-tenths of the original volume. Strain out the dregs. Take at any time, while slightly warm.
Formula for treating Ge Qi, accumulated cold Qi pain in the chest and heart, mental fullness, inability to eat, and occasional vomiting: Banxia San (Pinellia Tuber Powder).
Banxia (Pinellia Tuber, 1 liang, wash seven times with hot water to remove slipperiness) Wuzhuyu (Evodia Fruit, 0.5 liang, soak in hot water seven times, dry-bake, stir-fry slightly) Guixin (Cinnamon Twig Heart, 1 liang) Renshen (Ginseng Root, 1 liang, remove rhizome)
Sieve the above herbs into a powder. Take 2 or 3 qian per dose. Add one zhong of water, half a fen of fresh ginger, and three jujubes. Decoct until reduced to six-tenths of the original volume. Strain out the dregs.
Formula for treating Ge Qi, unbearable Qi pain in the chest and heart:
Muxiang (Costus Root, 0.5 liang) Wuzhuyu (Evodia Fruit, 0.5 liang, soak in hot water seven times, dry-bake, stir-fry slightly) Guixin (Cinnamon Twig Heart, 3 fen)
Sift the above herbs into a fine powder. Take 1 or 3 qian per dose. Add one zhong of water. Decoct until reduced to six-tenths of the original volume. Consume together with the dregs. Take at any time, while slightly warm.
For treating Ge Qi, pain in the chest and heart, this formula is suitable:
Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Zhishi (Immature Bitter Orange Fruit, 1 liang, stir-fry with bran until slightly yellow) Shenqu (Medicated Leaven, 1 liang, stir-fry until slightly yellow)
Sift the above herbs into a fine powder. Take at any time, mix with one qian using hot wine.
Formula for treating Ge Qi, deficiency-cold pain in the chest and heart: Houpo San (Magnolia Bark Powder).
Houpo (Magnolia Bark, 2 liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked) Wuzhuyu (Evodia Fruit, 0.5 liang, soak in hot water seven times, dry-bake, stir-fry slightly) Guixin (Cinnamon Twig Heart, 1 liang) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang)
Sift the above herbs into a fine powder. Take at any time, mix with 1 or 2 qian using hot wine.
Formula for treating Ge Qi, postprandial regurgitation, and pain in the chest and heart:
Ganjiang (Dried Ginger, 0.5 liang, roasted and cracked, chopped) Wuzhuyu (Evodia Fruit, 0.5 liang, soak in hot water seven times, dry-bake, stir-fry slightly) Baizhu (Atractylodes Macrocephala Rhizome, 2 liang)
Sift the above herbs into a fine powder. Take at any time, mix with one qian using hot wine.
Formula for treating Ge Qi, rebellious Qi in the chest and heart, intermittent pain: Zhishi San (Immature Bitter Orange Fruit Powder).
Zhishi (Immature Bitter Orange Fruit, 1 liang, stir-fry with bran until slightly yellow) Guixin (Cinnamon Twig Heart, 1 liang)
Sift the above herbs into a fine powder. Take at any time, mix with one qian using hot wine.
Formula for treating Ge Qi, Qi stagnation pain in the chest and heart extending to the abdomen and hypochondrium, inability to swallow food: Muxiang Wan (Costus Root Pill).
Muxiang (Costus Root, 1 liang) Qingjupi (Green Tangerine Peel, 1 liang, soak in hot water, remove white pith, dry-bake) Binglang (Areca Seed, 1 liang) Guixin (Cinnamon Twig Heart, 1 liang) Ganjiang (Dried Ginger, 0.5 liang, roasted and cracked, chopped)
Grind the above herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take at any time, swallow 20 pills with rice broth.
Formula for treating Ge Qi, pain in the chest and heart, rebellious Qi, and inability to swallow food: Xiaocao Wan (Herba Siegesbeckiae Pill).
Xiaocao (Herba Siegesbeckiae, 3 fen) Guixin (Cinnamon Twig Heart, 3 fen) Chuanjiao (Sichuan Pepper, 3 fen, remove eyes and closed ones, stir-fry slightly to remove moisture) Ganjiang (Dried Ginger, 3 fen, roasted and cracked, chopped) Xixin (Asarum Root, 3 fen)
Grind the above herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take at any time, swallow 30 pills with rice broth.