夫体虚之人，寒气客之，结在胸，郁而不散，故为胸痹。其证心下坚满痞急，甚者疼痛
抢心
《儒门事亲书》云∶有人患心胸痞闷，不欲饮食，身体壮热，口燥舌干，大小便不利。
有一
其证转加
色。便言是
大小便转过
木香丸 治寒风结为胸痹，心下坚痞。
木香 青橘皮（汤去白焙） 陈橘皮（汤去白焙） 羌活（去芦） 槟榔 半夏（汤洗
七次） 桔梗
炙黄） 上为细末，炼
豆蔻汤 治胸痹，心下坚痞。
白豆蔻（去皮） 桂（去粗皮） 木香 人参（各半两） 陈橘 京三棱 陈橘皮（汤
去瓤焙） 大
二盏，姜三片，盐少
半夏散（出《圣惠方》）治胸痹、心下坚痞，胸背缓急疼痛，不能下食。
半夏（汤浸七次去滑） 桂心（各一两） 赤茯苓 白术 枳实（麸炒黄） 木香 陈
橘皮（各三
服之。
桂姜丸（出《肘后方》）治胸中隐然而痛，亦治胸中痹，心膈痞满，肩背缓
急痛。
桂（去粗皮） 干姜（炮） 乌头（炮去皮脐各一分） 人参（三两） 上为细末，炼
蜜和丸，如小
陈橘皮汤 治心胸气急刺痛，不可俯仰，气促咳唾，不下食。
陈橘皮（汤去白焙） 当归（切焙各半两） 桔梗（炒三两） 木香（一分） 芍药（半
两） 上捣筛
五味丸 治胸痹，心下坚痞。
桂（去粗皮） 诃黎勒皮 槟榔（各一两） 附子（炮去皮脐） 干姜（炮各三分） 上
为细末，炼
枳实薤白桂枝汤（出《金匮方》）治胸痹心中痞，气结在胸，胸满胁下逆抢
心。
枳实（四枚） 薤白（一片） 桂枝（一两一方用心） 浓朴（三两） 栝蒌实（一枚）
上咀，以
方有生姜半
枳实散（出《圣惠方》）治胸痹，心胸背缓急，心腹不利，宜服。
枳实（麸炒微黄） 前胡（去芦） 陈橘皮（汤去白焙） 赤茯苓（各一两） 木香（半
两） 上为散
枳实散 治胸痹，心下坚痞缓急，气结不通。
枳实（麸炒微黄去瓤） 浓朴（各三两去皮，炙香姜汁制） 桂心 半夏（各一两汤洗
七次去滑）
稍热服之。
枳实桔梗汤 治胸痹心下气坚，痛刺不可俯仰，气促咳唾引痛，不下食。
枳实（麸炒七枚） 陈橘皮（汤去白焙） 桔梗（炒各半两） 甘草（炙各一分） 上
捣筛，每服五
四温汤 治寒气客在胸中，郁结不散，坚满痞急，病名胸痹。
附子（炮去皮脐） 蓬术（煨各一两） 胡椒 枳实（麸炒各半两） 上为散，每服三
钱，热酒调
薏苡仁散（出《金匮方》）治胸痹痞急。
薏苡仁（七百五十粒） 附子（大者五片炮去皮脐） 上为散，每服半钱，温酒调下，
空心、日
雄黄丸（出《肘后方》）治胸痹病，令人心中坚痞急痛，肌中苦痹缓急，扪
其胸前及背，
疗，数日杀人，疗卒患胸
雄黄 巴豆（去皮心熬等分） 上捣雄黄筛，内巴豆，务熟捣之。和丸小豆大，服一丸，
不觉
治心下痞坚，不能食，胸中呕哕方。（出《肘后方》）
上以生姜八两细切，以水三升，煮取一升，半夏五合洗去滑，以水五升，煮取一升，二
味合
薤汁饮（出《肘后方》）治胸痹已瘥，复更发者。（方见薤汁散）
In individuals with a deficient constitution, cold pathogenic qi invades and lodges in the chest, stagnating without dispersing, thereby forming Chest Bi (Chest Obstruction). The manifestations include hardness, fullness, stifling sensation, and urgency in the epigastrium; in severe cases, pain radiates to the heart region.
The *Shu of Popular Medical Practices* records: A patient suffered from stifling discomfort in the chest and heart, loss of appetite, high fever, dry mouth and tongue, and obstruction of urination and defecation. As the condition worsened, the complexion changed. The patient stated that... (text incomplete here). After the unblocking of urination and defecation...
Muxiang Wan (Costus Pill): Treats Chest Bi caused by the knotting of cold-wind, characterized by hardness and stifling in the epigastrium.
Ingredients: Muxiang (Costi Radix), Qingjupi (Green Tangerine Peel, blanched and dried after removing the white pith), Chenjupi (Aged Tangerine Peel, blanched and dried after removing the white pith), Qianghuo (Notopterygii Rhizoma et Radix), Binglang (Arecae Semen), Banxia (Pinelliae Rhizoma, washed seven times in hot water), Jiegeng (Platycodonis Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried). These are ground into fine powder and formed into pills with refined honey.
Doukou Tang (Cardamom Decoction): Treats Chest Bi with hardness and stifling in the epigastrium.
Ingredients: Baidoukou (White Cardamomi Fructus, peeled), Guizhi (Cinnamomi Ramulus, bark removed), Muxiang (Costi Radix), Renshen (Ginseng Radix) (each 0.5 liang), Chenjupi (Aged Tangerine Peel, blanched and dried after removing the pith), Jingsanleng (Curcumae Radix), Dazao (Jujubae Fructus - *Note: Text says "Da", likely referring to Dazao or similar, but strictly translated as present*), Shengjiang (Zingiberis Rhizoma Recens, 3 slices), Yan (Sal). Decoct with two zhan of water, add three slices of ginger and a little salt, take warm.
Banxia San (Pinellia Powder) (from *Shenghui Fang*): Treats Chest Bi, hardness and stifling in the epigastrium, tension and pain in the chest and back, and inability to eat.
Ingredients: Banxia (Pinelliae Rhizoma, soaked in hot water seven times to remove slipperiness), Guixin (Cinnamomi Cortex), Chifuling (Poria cum Risus), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhishi (Aurantii Fructus Immaturus, bran-fried until slightly yellow), Muxiang (Costi Radix), Chenjupi (Aged Tangerine Peel) (each 1 liang, except where specified). Ground into powder, taken warm.
Guijiang Wan (Cinnamon and Ginger Pill) (from *Zhouhou Fang*): Treats dull pain in the chest, also treats Chest Bi, stifling fullness in the heart and diaphragm, and tension/pain in the shoulders and back.
Ingredients: Guizhi (Cinnamomi Ramulus, bark removed), Ganjiang (Zingiberis Rhizoma, processed), Wutou (Aconiti Radix Praeparata, processed, peeled, navel removed, each 1 fen), Renshen (Ginseng Radix) (3 liang). Ground into fine powder, mixed with refined honey to form pills the size of small beans.
Chenjupi Tang (Aged Tangerine Peel Decoction): Treats urgent Qi pain and stabbing pain in the chest and heart, inability to bend or twist, shortness of breath, coughing with sputum, and inability to eat.
Ingredients: Chenjupi (Aged Tangerine Peel, blanched and dried after removing the white pith), Danggui (Angelicae Sinensis Radix, sliced and dried, each 0.5 liang), Jiegeng (Platycodonis Radix, fried, 3 liang), Muxiang (Costi Radix, 1 fen), Shaoyao (Paeoniae Radix, 0.5 liang). Crushed and sifted, taken with water.
Wuwei Wan (Five-Ingredient Pill): Treats Chest Bi with hardness and stifling in the epigastrium.
Ingredients: Guizhi (Cinnamomi Ramulus, bark removed), Helilepi (Pericarpium Terminaliae Chebulae), Binglang (Arecae Semen) (each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, navel removed), Ganjiang (Zingiberis Rhizoma, processed, each 3 fen). Ground into fine powder, mixed with refined honey to form pills.
Zhishi Xiebai Guizhi Tang (Immature Bitter Orange, Macrostemon, and Cinnamon Twig Decoction) (from *Jinkui Fang*): Treats Chest Bi with stifling in the heart, Qi knotting in the chest, chest fullness, and rebellious Qi rushing up from the hypochondrium to the heart.
Ingredients: Zhishi (Aurantii Fructus Immaturus, 4 pieces), Xiebai (Allii Macrostemonis Bulbus, 1 piece), Guizhi (Cinnamomi Ramulus, 1 liang, some versions use Guixin), Houpo (Magnoliae Officinalis Cortex, 3 liang), Gualoushi (Trichosanthis Fructus, 1 piece). Cut into pieces, decocted with water. The formula includes Banxia Jiang (Pinellia and Ginger)... (text truncated).
Zhishi San (Immature Bitter Orange Powder) (from *Shenghui Fang*): Treats Chest Bi, tension in the chest, heart, and back, and obstruction of Qi in the heart and abdomen.
Ingredients: Zhishi (Aurantii Fructus Immaturus, bran-fried until slightly yellow), Qianhu (Peucedani Radix, rhizome removed), Chenjupi (Aged Tangerine Peel, blanched and dried after removing the white pith), Chifuling (Poria cum Risus) (each 1 liang), Muxiang (Costi Radix, 0.5 liang). Made into powder, taken with warm wine.
Zhishi San (Immature Bitter Orange Powder): Treats Chest Bi with hardness, stifling, and tension in the epigastrium, and obstruction of Qi knotting.
Ingredients: Zhishi (Aurantii Fructus Immaturus, bran-fried until slightly yellow, pith removed), Houpo (Magnoliae Officinalis Cortex) (each 3 liang, peeled, honey-fried until fragrant, prepared with ginger juice), Guixin (Cinnamomi Cortex), Banxia (Pinelliae Rhizoma) (each 1 liang, washed seven times in hot water to remove slipperiness). Take while slightly warm.
Zhishi Jiegeng Tang (Immature Bitter Orange and Platycodon Decoction): Treats Chest Bi with hard Qi in the epigastrium, stabbing pain preventing bending or twisting, shortness of breath, coughing with sputum causing pulling pain, and inability to eat.
Ingredients: Zhishi (Aurantii Fructus Immaturus, bran-fried, 7 pieces), Chenjupi (Aged Tangerine Peel, blanched and dried after removing the white pith), Jiegeng (Platycodonis Radix, fried, each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 fen). Crushed and sifted, taken with water.
Siwen Tang (Four-Warm Decoction): Treats cold pathogenic qi lodging in the chest, stagnating without dispersing, causing hardness, fullness, stifling, and urgency, known as Chest Bi.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, navel removed), Pengzhu (Curcumae Phaeocaulis Rhizoma, baked, each 1 liang), Hujiao (Piperis Longi Fructus), Zhishi (Aurantii Fructus Immaturus, bran-fried, each 0.5 liang). Made into powder, taken with warm wine.
Yiyiren San (Coix Seed Powder) (from *Jinkui Fang*): Treats Chest Bi with stifling and urgency.
Ingredients: Yiyiren (Coicis Semen, 750 grains), Fuzi (Aconiti Lateralis Radix Praeparata, 5 large pieces, processed, peeled, navel removed). Made into powder, taken with warm wine on an empty stomach... (text truncated).
Xionghuang Wan (Realgar Pill) (from *Zhouhou Fang*): Treats Chest Bi disease, causing hardness, stifling, urgent pain in the heart, and bitter suffering from Bi obstruction and tension in the muscles. Touching the chest and back... (text describes severity, noting it can be fatal within days if untreated, treating sudden onset Chest Bi).
Ingredients: Xionghuang (Realgar), Badou (Crotonis Fructus, peeled, heart removed, roasted, equal parts). Grind Realgar finely, mix with Badou, pounding thoroughly. Form pills the size of small beans, take one pill... (text truncated).
Formula for treating hardness and stifling in the epigastrium, inability to eat, and vomiting/hiccups in the chest (from *Zhouhou Fang*):
Take 8 liang of Shengjiang (Zingiberis Rhizoma Recens), finely cut, decoct in 3 sheng of water to obtain 1 sheng. Take 5 he of Banxia (Pinelliae Rhizoma), wash to remove slipperiness, decoct in 5 sheng of water to obtain 1 sheng. Combine the two liquids... (text truncated).
Xiezhi Yin (Macrostemon Juice Drink) (from *Zhouhou Fang*): Treats recurrent Chest Bi after initial recovery. (See formula under Xiezhi San entry).