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Shen Douyuan stated: Xueyin Chuang (Blood Line Cramp) arises from the Foot-Shaoyang Gallbladder Meridian, which is characterized by abundant Qi and scarce Blood. It occurs beside the Yuanye (GB21) acupoint and the hypochondrium. The lesion is red in color; if it has a head, it resembles a soap kernel without a head. It feels like needle-pricking pain within the flesh and suddenly enlarges to spread to the chest. Simultaneously involving the Foot-Jueyin Liver Meridian, which is characterized by abundant Blood and scarce Qi, it erupts at the Qimen (LR14) acupoint and is named Ye Yong (Axillary Abscess). In women, this disease may wander throughout the body. After two or three years, it changes its name to Jie Yong (Knotting Abscess). After three to five years, if black fluid discharges, the patient will die. (From *Qixuan*)

Shen Douyuan stated: Chuanxin Ju (Transmitting Heart Carbuncle) arises between the Jingmen (GB25) and Daimai (GB26) acupoints below the hypochondrium. It belongs to the Foot-Shaoyang Gallbladder Meridian, which is abundant in Qi and scarce in Blood. The pain and itching penetrate to the heart, feeling like needle pricks. If the pain gradually ulcerates and spreads to the umbilicus, the prognosis is fatal. (From *Qixuan*)

Zhu Danxi stated: Wandering pain in both hypochondria indicates Phlegm-Excess, for which Kongyan Dan (Control Saliva Pill) can be used. Left-sided hypochondriac pain indicates pathogenic invasion of the Liver Meridian, suitable for Chaihu Shugan Tang (Bupleurum Powder to Soothe the Liver). Right-sided hypochondriac pain indicates Liver pathology transferring to the Lung, suitable for Tuiqi San (Pushing Away Qi Powder). Pain caused by food stagnation is characterized by a raised line of pain; treatment should focus on resolving stagnation. For individuals with weak Qi and Blood experiencing hypochondriac pain with a fine, tight, and wiry pulse—often due to overwork or anger—Bayi Tang (Eight Substance Decoction) added with Muxiang (Aucklandiae Radix) and Qingpi (Tangerine Peel) is indicated. For obese, pale-complexioned individuals with deficient Qi, presenting with chills, fever, and hypochondriac pain, Renshen (Ginseng Radix) for tonifying Qi, added with Chaihu (Bupleuri Radix), Muxiang, and Qingpi to regulate Qi is appropriate. For thin individuals with chills, fever, hypochondriac pain, and irritability, blood stasis is likely present; Tao Ren (Persicae Semen), Honghua (Carthami Flos), Chaihu, Qingpi, Dahuang (Rhei Radix et Rhizoma), and Huashi (Talcum) are suitable. To remove Qi stagnation, Qingpi must be used as it acts on the Liver and Gallbladder meridians; however, if Blood deficiency exists in these meridians, Blood should be tonified first, with only a small amount of Qingpi added. For hypochondriac pain caused by retained Phlegm-Fluid, Daotan Tang (Great Phlegm Resolving Decoction) is indicated. For hypochondriac pain accompanied by constipation, Muxiang Binglang Wan (Aucklandia and Areca Nut Pill) is used. For deficiency-cold type hypochondriac pain, pungent-warm tonifying agents must be used, combined with Qi-regulating herbs. To relieve pain, Hupo Gao (Amber Plaster) can be applied, or Baijiezi (Brassicae Semis Albus) powder can be applied externally, or Wuzhuyu (Evodiae Fructus) ground with vinegar can be applied. Stir-fried Chinese Chive (Allii Tuberosi Herba) applied hot is also effective.

Gu Shicheng stated: When internal injury results from sexual exhaustion, causing a localized point of pain in the hypochondrium, it is called Gan Xiethong (Dry Hypochondriac Pain), which is difficult to cure. One must greatly tonify Qi and Blood to nourish the Liver, and greatly moisten Kidney Water to tonify the Mother organ (Kidney is the mother of Liver).

He further stated: Left-sided hypochondriac pain and epigastric pain are common in women. This is because their Qi of worry, thought, and anger is usually accumulated internally. Upon eruption, it rushes upward but is blocked by damp-phlegm and dead blood, preventing the smooth flow of Qi. Consequently, Clear Yang fails to ascend, and Turbid Yin fails to descend. The pathogen of Liver Wood takes the opportunity to invade and oppress, causing disease. Therefore, when treating various pains and diseases in women, the primary method must be moving Qi and opening depression, supplemented by breaking blood and dispersing fire. As the proverb says: Xiangfu (Cyperi Rhizoma) and Suosha (Amomi Fructus Rotundus) are the supreme treasures for women; Shanyao (Dioscoreae Rhizoma) and Congrong (Cynomorii Herba) are the fine gems for men. This refers to the aforementioned principle.