夫胸痹短气者,由脏腑虚弱,阴阳不和,风冷邪气,攻注胸中。其脉阳微阴弦,即胸痹
而痛
人无
小紧
草豆蔻散(出《圣惠方》)治胸痹短气,脏腑久寒,脐腹疼痛,两胁胀满,
心膈不利。
草豆蔻(一两去皮) 当归(微炒) 白术 附子(各一两炮去皮脐) 桂心(一两半)
高良姜
皮涂姜汁炙令
服。
细辛散(出《千金方》)治胸痹连背痛,短气。
细辛 甘草(各三两) 枳实 生姜(一方用干姜) 栝蒌实 干地黄 白术(各二
两) 桂心
细辛散(出《圣惠方》)治胸痹短气,喘息不利,心膈壅闷。
细辛 生干地黄 赤茯苓 五味子(各一两) 甘草(半两炙赤) 桂心(一两半) 枳
实(半两
盏,煎至六分
桑白皮散 治上气心胸满,不下食。
桑根白皮 陈皮(各一两汤浸去白瓤焙) 大腹皮(一两) 甘草(三分炙微赤) 桂
心(五分)
五钱,水三盏,生姜
生姜汤 治胸痹短气。
半夏(汤七次焙半两) 人参 前胡(去苗芦) 桂(去粗皮) 赤茯苓(去黑皮各三
两) 甘草(
三枚擘开,同煎
木香丸 治胸痹,胸胁短气妨闷,不下食。
木香(半两) 芜荑(三分) 青橘皮(汤去白焙半两) 吴茱萸(炒一分) 曲(炒
三两) 大麦
二十丸,生姜汤下
杏仁散(出《圣惠方》)治胸痹短气,心中烦闷,宜服。
杏仁(汤去皮尖双仁炒黄) 赤茯苓 槟榔 青橘皮(各一两汤浸去白瓤焙) 甘草(半
两炙微
栝蒌汤(出《千金方》)治胸痹病,喘咳自汗,口出涎唾短气,寸脉沉而
迟,关上小紧数。
栝蒌实(一枚) 半夏(半升) 薤白(一斤) 枳实(二两) 甘草(炙一两) 上
咀,以白米浆
前胡汤 治胸中气满塞短气。
前胡(去苗一两半) 赤茯苓(去黑皮二两) 甘草(炙一两) 杏仁(七枚汤浸去皮
尖双仁炒)
栝蒌汤(出《圣惠方》)治胸痹短气。
栝蒌(一枚) 陈橘皮(一两汤浸去白稍焙) 半夏(一两汤洗七次去滑) 枳实(二
两麸炒微黄)
计时候稍热服
赤茯苓汤(出《圣惠方》)治胸痹闷塞多痰涎,短气。
赤茯苓(一两) 甘草(半两炙赤) 陈橘皮(三分汤去白焙) 杏仁(三分汤去皮及
尖双仁炒黄)
服。
栝蒌薤白白酒汤 治胸痹之病,喘息咳唾,胸背痛,短气,寸脉沉而关脉小紧数
者,(出《
栝蒌实(一枚) 薤白(切半斤) 《肘后方》加半夏(四两洗去滑用之) 上以白酒
浆七升,煮
橘皮汤(一名橘皮枳实汤)治胸痹短气。\x
Chest Bi (Thoracic Obstruction) with Shortness of Breath is caused by the deficiency of Zang-Fu organs, disharmony of Yin and Yang, and the invasion of Wind-Cold pathogenic factors into the chest. The pulse presents as faint in the Yang position and wiry in the Yin position, which indicates Chest Bi accompanied by pain. If the pulse is not tight... [Note: Original text contains gaps/typos here].
Caodoukou San (Cardamom Seed Powder) (from *Huimin Heji Jufang*): Treats Chest Bi with shortness of breath, chronic cold in the Zang-Fu organs, pain in the umbilical and abdominal regions, distension and fullness in both hypochondria, and discomfort in the heart and diaphragm.
Ingredients: Caodoukou (Grass Cardamom Seed, 1 liang, peeled), Danggui (Angelicae Sinensis Radix, lightly stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi (Prepared Aconiti Lateralis Radix, each 1 liang, processed, peeled, and navel removed), Guixin (Cinnamomi Cortex, 1.5 liang), Gaoliangjiang (Galangal Rhizome).
Usage: Process the Galangal Rhizome by coating it with ginger juice and roasting until dry. Crush the ingredients into coarse powder. Take 5 qian per dose, add 3 zhan of water, 3 pieces of fresh ginger (broken open), decoct until reduced to 6 fen, and take warm.
Xixin San (Asari Root Powder) (from *Qianjin Fang*): Treats Chest Bi radiating to the back with pain, and shortness of breath.
Ingredients: Xixin (Asari Root), Gancao (Licorice Root, each 3 liang), Zhishi (Immature Bitter Orange), Shengjiang (Fresh Ginger; another version uses Ganjiang/Dried Ginger), Gualou Shi (Trichosanthis Fructus), Gan Dihuang (Rehmanniae Radix Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma, each 2 liang), Guixin (Cinnamomi Cortex).
Xixin San (Asari Root Powder) (from *Huimin Heji Jufang*): Treats Chest Bi with shortness of breath, difficult breathing, and stuffiness/oppression in the heart and diaphragm.
Ingredients: Xixin (Asari Root), Sheng Dihuang (Rehmanniae Radix), Chifuling (Polyporus with Red Mycelium), Wuweizi (Schisandrae Chinensis Fructus, each 1 liang), Gancao (Licorice Root, 0.5 liang, honey-roasted until reddish), Guixin (Cinnamomi Cortex, 1.5 liang), Zhishi (Immature Bitter Orange, 0.5 liang).
Sangbaipi San (Mulberry Root Bark Powder): Treats rebellious Qi causing fullness in the chest and heart, and inability to eat.
Ingredients: Sanggen Baipi (Mori Cortex), Chenpi (Citri Reticulatae Pericarpium, each 1 liang, soaked in boiling water, white pith removed, dried), Dafupi (Arecae Pericarpium, 1 liang), Gancao (Licorice Root, 3 qian, roasted until slightly reddish), Guixin (Cinnamomi Cortex, 5 qian).
Shengjiang Tang (Fresh Ginger Decoction): Treats Chest Bi with shortness of breath.
Ingredients: Banxia (Pinelliae Tuber, washed seven times in water, dried, 0.5 liang), Renshen (Ginseng Radix et Rhizoma), Qianhu (Peucedani Radix, prepared stem and rootlets removed), Gui (Cinnamomi Ramulus, outer bark removed), Chifuling (Polyporus with Red Mycelium, black skin removed, each 3 liang), Gancao (Licorice Root).
Muxiang Wan (Costus Pill): Treats Chest Bi, shortness of breath and oppression in the chest and hypochondria, and inability to eat.
Ingredients: Muxiang (Costi Radix, 0.5 liang), Wuyi (Chloranthi Fructus, 3 qian), Qingjupi (Green Citrus Peel, white pith removed after soaking, dried, 0.5 liang), Wuzhuyu (Evodiae Fructus, stir-fried, 1 qian), Qu (Medicated Leaven, stir-fried, 3 liang), Damai (Hordei Fructus Germinatus).
Usage: Form into pills size of 20 per qian, take with Fresh Ginger Decoction.
Xingren San (Apricot Kernel Powder) (from *Huimin Heji Jufang*): Treats Chest Bi with shortness of breath and mental restlessness; suitable for consumption.
Ingredients: Xingren (Armeniacae Semen Amarum, soaked in water, peel and pointed end removed, double-kernel selected, stir-fried until yellow), Chifuling (Polyporus with Red Mycelium), Binglang (Areca Seed), Qingjupi (Green Citrus Peel, each 1 liang, soaked in water, white pith removed, dried), Gancao (Licorice Root, 0.5 liang, roasted until slightly reddish).
Gualou Tang (Trichosanthes Decoction) (from *Qianjin Fang*): Treats Chest Bi disease characterized by wheezing, coughing, spontaneous sweating, salivation, shortness of breath, deep and slow pulse at the Cun position, and slightly tight and rapid pulse at the Guan position.
Ingredients: Gualou Shi (Trichosanthis Fructus, 1 piece), Banxia (Pinelliae Tuber, 0.5 sheng), Xiebai (Allii Macrostemonis Bulbus, 1 jin), Zhishi (Immature Bitter Orange, 2 liang), Gancao (Licorice Root, honey-roasted, 1 liang).
Usage: Coarsely crush the ingredients, add 7 sheng of rice water, and decoct.
Qianhu Tang (Peucedanum Decoction): Treats fullness and obstruction in the chest with shortness of breath.
Ingredients: Qianhu (Peucedani Radix, prepared stem and rootlets removed, 1.5 liang), Chifuling (Polyporus with Red Mycelium, black skin removed, 2 liang), Gancao (Licorice Root, honey-roasted, 1 liang), Xingren (Armeniacae Semen Amarum, 7 pieces, soaked in water, peel and pointed end removed, double-kernel selected, stir-fried).
Gualou Tang (Trichosanthes Decoction) (from *Huimin Heji Jufang*): Treats Chest Bi with shortness of breath.
Ingredients: Gualou (Trichosanthes Fruit, 1 piece), Chenjupi (Aged Tangerine Peel, 1 liang, soaked in water, white pith removed, dried), Banxia (Pinelliae Tuber, 1 liang, washed seven times in water to remove slipperiness), Zhishi (Immature Bitter Orange, 2 liang, bran-fried until slightly yellow).
Usage: Decoct according to time, take when slightly warm.
Chifuling Tang (Polyporus with Red Mycelium Decoction) (from *Huimin Heji Jufang*): Treats Chest Bi with stuffiness, excessive phlegm-saliva, and shortness of breath.
Ingredients: Chifuling (Polyporus with Red Mycelium, 1 liang), Gancao (Licorice Root, 0.5 liang, honey-roasted until reddish), Chenjupi (Aged Tangerine Peel, 3 qian, soaked in water, white pith removed, dried), Xingren (Armeniacae Semen Amarum, 3 qian, soaked in water, peel and pointed end removed, double-kernel selected, stir-fried until yellow).
Usage: Decoct and take.
Gualou Xiebai Baijiu Tang (Trichosanthes and Allii Macrostemonis White Wine Decoction): Treats Chest Bi disease characterized by wheezing, coughing up sputum, chest and back pain, shortness of breath, deep pulse at the Cun position, and slightly tight and rapid pulse at the Guan position. (Source: *Jin Gui Yao Lue*, with addition from *Zhou Hou Bei Ji Fang*)
Ingredients: Gualou Shi (Trichosanthis Fructus, 1 piece), Xiebai (Allii Macrostemonis Bulbus, cut, 0.5 jin). Addition from *Zhou Hou Bei Ji Fang*: Add Banxia (Pinelliae Tuber, 4 liang, washed to remove slipperiness).
Usage: Use 7 sheng of white wine mash, and decoct.
Jupi Tang (Tangerine Peel Decoction) (also known as Jupi Zhishi Tang): Treats Chest Bi with shortness of breath.