夫胸痛者，胸痹之类也，此由体虚挟风，又遇寒气加之。则胸膺两乳间刺痛，甚则引背，
或
方
桔梗黄 汤 治胸痹。
桔梗（炒二两） 黄 沉香 当归（切焙各二两） 芎 人参 甘草 紫苏叶（各
半两）上
熨背散（出《千金方》）治胸痹，心背疼痛气闷。
乌头 细辛 附子 羌活 蜀椒 桂心（各五分） 芎 （一两六铢） 上治下筛，以
少醋拌，
紫菀丸 治两胁连心及肩痛，乍发乍止。
紫菀（去土） 木香（各二两） 当归（焙干） 白术（各一两） 桔梗（炒） 郁李
仁（汤去皮尖双
心槟榔汤下二十丸
吴茱萸散（出《圣惠方》）治胸痹，心背痛，腹胀气满，不下食。
吴茱萸（汤浸七次焙切细炒） 桂心 高良姜（各半两） 赤茯苓 陈橘皮（汤浸去白
瓤焙） 当
白术枳实散 治胸痛。
枳实（去瓤麸炒） 陈橘（微炒） 白术（各一两） 上为细末，每服二钱，温酒调下，
日三服。
栝蒌散（出《圣惠方》）治心痹不得卧，心痛彻背。
栝蒌（一枚） 桂心（一两去粗皮） 上为散，每服二钱，温酒橘皮调下汤，亦可，空
心，卧时
枳实散 治胸痛。
枳实 桂（去粗皮各等分） 上为细散，每服二钱，米饮调下，日三服。
槟榔散（出《圣惠方》）治胸痹心背痛，恶气所攻，音声闭塞。
槟榔（一两） 桂心（半两） 上为细散，不计时候，煎生姜童子小便，调下一钱。
薏苡根饮 治卒苦烦胸痛。
上以薏苡根 咀，如麻豆大，每服五钱，水一盏半，煎至一盏，去滓温服。
栝蒌丸（出《肘后方》）治胸膈痛彻背，心腹痞满，气不得通，治痰嗽。
上以栝蒌去瓤取子，熟炒别研，和子瓤面糊为丸，如梧桐子大，米饮下十五丸。
Chest pain belongs to the category of chest bi (obstruction syndrome in the chest). This condition arises from a deficiency of the body's healthy qi combined with wind pathogens, further aggravated by cold pathogenic factors. It manifests as stabbing pain between the chest and the area between the two breasts, which may radiate to the back in severe cases.
Jiegeng Huang Tang (Platycodon and Scutellaria Decoction): Treats chest bi.
Ingredients: Jie Geng (Radix Platycodonis, stir-fried, 2 liang), Huang Qin (Radix Scutellariae), Chen Xiang (Lignum Aquilariae Resin), Dang Gui (Radix Angelicae Sinensis, sliced and roasted, 2 liang each), Chuan Xiong (Rhizoma Chuanxiong), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae), Zi Su Ye (Folium Perillae, 0.5 liang each). The above herbs are processed into powder, mixed with a small amount of vinegar, decocted, and taken orally.
Yi Bei San (Back-Irrigating Powder) (from *Qianjin Fang*): Treats chest bi characterized by pain in the heart and back accompanied by Qi stagnation.
Ingredients: Wu Tou (Radix Aconiti Lateralis Preparata), Xi Xin (Herba Asari), Fu Zi (Radix Aconiti Lateralis Preparata), Qiang Huo (Rhizoma Notopterygii), Shu Jiao (Pericarpium Zanthoxyli), Gui Xin (Cortex Cinnamomi, 0.5 fen each), Chuan Xiong (1 liang 6 zhu). The above herbs are crushed, sifted, mixed with a little vinegar, heated, and applied to the back for irrigation therapy.
Zi Wan Wan (Aster Pill): Treats pain connecting the costal regions to the heart and shoulders, occurring intermittently.
Ingredients: Zi Wan (Radix Asteris, cleaned of soil), Mu Xiang (Radix Aucklandiae, 2 liang each), Dang Gui (Radix Angelicae Sinensis, roasted dry), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang each), Jie Geng (Radix Platycodonis, stir-fried), Yu Li Ren (Semen Pruni, peeled and pitted in hot water, halved if double-embryoned). Process into powder, take 20 pills with Xin Bing Lang Tang (Areca Seed Decoction).
Wu Zhu Yu San (Evodia Powder) (from *Sheng Hui Fang*): Treats chest bi with heart and back pain, abdominal distension and Qi fullness, and inability to eat.
Ingredients: Wu Zhu Yu (Fructus Evodiae, soaked seven times in boiling water, roasted, sliced finely), Gui Xin (Cortex Cinnamomi), Gao Liang Jiang (Rhizoma Alpiniae Officinarum, 0.5 liang each), Chi Fu Ling (Poria Cocos with Red Skin), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted), Dang Gui (Radix Angelicae Sinensis). Process into powder, take 2 qian each time, mixed with warm wine, three times daily.
Bai Zhu Zhi Shi San (Atractylodes Magna and Immature Bitter Orange Powder): Treats chest pain.
Ingredients: Zhi Shi (Fructus Aurantii Immaturus, pith removed, stir-fried with bran), Chen Ju (Pericarpium Citri Reticulatae, lightly stir-fried), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang each). Process into fine powder, take 2 qian each time, mixed with warm wine, three times daily.
Gua Lou San (Trichosanthes Powder) (from *Sheng Hui Fang*): Treats xin bi (heart obstruction) preventing lying down, with heart pain radiating to the back.
Ingredients: Gua Lou (Fructus Trichosanthis, one fruit), Gui Xin (Cortex Cinnamomi, 1 liang, coarse bark removed). Process into powder, take 2 qian each time, mixed with warm wine or orange peel decoction, taken on an empty stomach or before bed.
Zhi Shi San (Immature Bitter Orange Powder): Treats chest pain.
Ingredients: Zhi Shi (Fructus Aurantii Immaturus), Gui (Ramulus Cinnamomi, coarse bark removed, equal parts). Process into fine powder, take 2 qian each time, mixed with rice drink, three times daily.
Bing Lang San (Areca Seed Powder) (from *Sheng Hui Fang*): Treats chest bi with heart and back pain, attacked by evil Qi, resulting in blocked voice.
Ingredients: Bing Lang (Semen Arecae, 1 liang), Gui Xin (Cortex Cinnamomi, 0.5 liang). Process into fine powder, at any time, decoct fresh ginger and urine of a young boy, mix with 1 qian of powder and take.
Yi Yi Gen Yin (Coix Root Drink): Treats sudden severe distress and chest pain.
Usage: Cut Yi Yi Gen (Radix Coicis) into pieces the size of hemp seeds. Take 5 qian each time, add 1.5 sheng of water, decoct until 1 sheng remains, remove dregs, and take warm.
Gua Lou Wan (Trichosanthes Pill) (from *Zhou Hou Fang*): Treats chest and diaphragm pain radiating to the back, epigastric and abdominal fullness, Qi obstruction, and phlegm cough.
Usage: Remove the pith from Gua Lou (Fructus Trichosanthis) and extract the seeds. Roast thoroughly and grind separately. Mix with the seed pulp and use wheat starch paste to form pills the size of paulownia seeds. Take 15 pills with rice drink.