加味小柴胡汤(《良方》) 治伤寒胁痛。
柴胡 黄芩(各二钱) 人参(去芦) 半夏(各一钱半) 牡蛎粉 枳壳(麸炒) 甘草(各一钱)
上作一服,水二盅,姜三片,红枣二枚,煎一盅,食远服。
枳壳煮散(《本事》) 治悲哀烦恼伤肝气,至两胁骨疼,筋脉紧,腰脚重滞,两股筋急,
两胁牵痛,四肢不能举,渐至脊肉挛急,此药大治胁痛。
枳壳(麸炒,四两,先煎) 细辛 川芎 桔梗 防风(各二两) 葛根(一两半) 甘草(一两)
上为粗末,每服四钱,水一盏半,姜枣同煎至七分,去渣,空心食前温服。
导痰汤(见痰饮。) 半硫丸(见大便不通。)
芎葛汤(《本事》) 治胁下痛不可忍者。
川芎 干葛 桂枝 枳壳(麸炒) 细辛 芍药 麻黄 人参(去芦) 防风(各半两) 甘草(炙,二钱)
上作粗末,每服五钱,水二盅,生姜三片,煎至七分,去渣温服,日三。有汗避风。
香橘汤(《良方》) 治七情所伤,中脘不快,腹胁胀满。
香附子(炒) 橘红 半夏(姜制。各三钱) 甘草(炙,一钱)
上作一服,水二盅,生姜五片,红枣二枚,煎至一盅,食远服。
分气紫苏饮(《良方》)
紫苏叶 桑白皮 五味子(去梗) 桔梗(去芦) 草果仁 大腹皮 白茯苓 陈皮 甘草
(炙。各一钱半)
上作一服,水二盅,生姜三片,入盐少许,煎至一盅,空心服。
推气散(《济生》) 治右胁疼痛,胀满不食。
片姜黄 枳壳(麸炒) 桂心(不见火。各五钱) 甘草(炙,二钱)
上为细末,每服二钱,姜、枣汤调下,食远服。
枳芎散(《济生》) 治左胁刺痛,不可忍者。
枳实 川芎(各半两) 粉草(炙,二钱)
上引同上,酒调亦可。
柴胡疏肝散(《统旨》)
柴胡 陈皮(醋炒者二钱) 川芎 芍药 枳壳(麸炒,各一钱半) 甘草(炙,五分) 香附(一钱半)
上作一服,水二盅,煎八分,食前服。
桃仁承气汤(见伤寒蓄血。)
复元活血汤(《发明》) 治从高坠下,恶血流于胁下,及疼痛不可忍者。
柴胡(半两) 栝蒌根 当归(各三钱) 红花 甘草 穿山甲(炮。各二钱) 大黄(酒浸,一两)
桃仁(酒浸,去皮尖。研如泥,五十枚)
《黄帝针经》云∶有所堕坠,恶血留内。若有所大怒,气上而不行,下干胁则伤肝。肝
胆之经俱行于胁下,经属厥阴、少阳,宜以柴胡为引,用为君。以当归和血脉,又急者
痛也,甘草缓其急,亦能生新血,(甘生血)阳生阴长故也,为臣。穿山甲、栝蒌根、桃仁、红
花破血润血,为之佐。大黄酒制,以洗涤败血,为之使。气味和合,气血各有所归,痛
自去矣。
上件除桃仁外,锉如麻豆大,每服一两,水一盏半,酒半盏,同煮至七分,去滓,大
温服之,食前,以利为度。得利痛或不尽,服乳香神应散。
破血散疼汤(东垣) 治乘马跌伤,损其脊骨,恶血流于胁下,其痛苦楚,不能转侧,妨于饮食。
羌活 防风 中桂(各一钱) 苏木(一钱五分) 连翘 当归尾 柴胡(各二钱) 水蛭(三钱,炒
烟尽,别研) 麝香(少许,别研)
分作二服,每服水一大盏,酒二大盏,除水蛭、麝香别研如泥,煎余药作一大盏,去
渣,上火令稍热,二味调入,空心服。
导痰汤(见痰饮。) 保和丸(见伤食。)
当归龙荟丸(钱氏)
当归(焙) 草龙胆 山栀 黄连 黄柏 黄芩(各一两) 大黄 芦荟 青黛(各半两) 木
香(二钱半) 麝香(半钱,别研)
上为细末,炼蜜丸,如小豆大,小儿如麻子大。生姜汤下二三十丸。忌发热诸物。兼
服防风通圣散。
桂枝散(《本事》) 治因惊伤肝,胁骨里疼痛不已。
枳壳(一两,小者) 桂枝(半两)
上为细末,每服二钱,姜、枣汤调下。
大黄附子汤(《金匮》)
大黄(三两) 附子(三枚,炮) 细辛(二两)
上三味,用水五升,煮取二升,分温三服;若强人,煮取二升半,分温三服,服后
如人行四五里,更进一服。
煮黄丸(见心痛。) 控涎丹(见行痹。)
枳实散(《本事》) 治男子两胁疼痛。
枳实(一两) 白芍药(炒) 雀脑芎 人参(各半两)
上细末,姜、枣汤调二钱,酒亦得,食前,日三服。
黑锡丹(见头痛。)
补肝散(滑氏)
山茱萸 柏心 薯蓣 天雄 茯苓 人参(各五分) 川芎 白术 独活 五加皮 大
黄(各七分) 橘皮(三分) 防风 干姜 丹参 浓朴 细辛 桔梗(各一两半) 甘草 菊花(各
一两) 贯众(半两) 陈麦曲 大麦 (各一升)
上为末,酒服方寸匕,日二。若食不消,食后服。若止痛,食前服。
补肝汤(滑氏)
山茱萸 甘草 桂心(各三两) 桃仁 细辛 柏子仁 茯苓 防风(各三两) 大枣(二十四枚)
上 咀,以水九升,煮五升,去渣,分三服。
补肝散(滑氏) 治肝肾二经气血亏损,胁胀作痛,或胁胀头眩,寒热发热,或身痛经不调。
山茱萸肉 当归 五味子(炒杵) 山药 黄 (炒) 川芎 木瓜(各半两) 熟地黄(自制)
白术(炒。各一钱) 独活 酸枣仁(炒。各四钱)
上为末,每服五钱,枣水煎服。
槟榔汤(滑氏)
槟榔(二十四个) 附子(七枚) 母姜(七两) 茯苓 橘皮 桂心(各三两) 桔梗 白术(各四两)
上 咀,以水九升,煮三升,去渣温服,每服一升。
若气喘者,加芎 (三两),半夏(四两),甘草(二两)。
神保丸(见伤食。) 神芎丸(见头痛。)
治胁下风气作块,寒疝发则连小腹痛揍心,其积属肝,在右胁下,故病发则右胁手
足头面昏痛,不思饮食。
干葛(一两) 麻黄(五钱) 附子(一个) 川芎 防风 当归 枳实 芍药 桂枝 羌活
甘草(各四钱)
上为粗末,每服四钱,水一盏半,生姜三片,同煎至七分,去渣服,日三。有汗避风。
薏苡仁丸 治胁痛如前,兼去手足枯悴。
薏苡仁(一两) 石斛(用细者,二钱) 附子(半
两) 牛膝 生地黄(各三钱) 细辛 人参 枳壳 柏子仁 川芎 当归(各半两) 甘草 桃仁(各一两)
上为细末,蜜丸,如桐子大。每服三四十丸,酒吞下,食前,日三服。丸子食前,煮
散食后,相兼服为佳。
沉香寻气散 治一切气不升降,胁肋痞塞。
沉香(二钱半) 人参(五钱) 槟榔(二钱半) 白术 乌药 麦 (炒) 神曲(炒) 紫苏叶 大腹
皮(炒) 浓朴(制,各一两) 诃子皮(炮,半两) 香附(炮,一两半) 姜黄 橘红 甘草(各四两) 京三
棱(二两) 广术(炮,四两) 益智(二两) 红花(四两)
上为细末,每服二钱,食前沸汤点服。
气针丸(《奇效》,下同) 治久积风壅,心胸筑痛,两胁心胸似有针刺,六脉沉伏,按之
手不可近。此药屡试神验,常服疏滞气,止刺痛。
木香 槟榔 青皮 陈皮 大黄(以上各四两) 牵牛(取头末半斤,半生半炒)
上为细末,炼蜜和丸,如梧桐子大。每服三十丸,姜汤送下,食前服。量虚实加减。
治胁痛如打
芫花 菊花 踯躅花(各等分)
上用布囊贮,蒸热以熨痛上,冷复易之。
木通散 治男子妇人胁肋苦痛。
木通(去节) 青皮(去白) 萝卜子(炒) 茴香(炒) 川楝子(取肉,用巴豆半两,同炒黄,去巴豆。
各一两) 滑石(另研) 莪术 木香(以上各半两)
上为细末,每服三钱,不拘时,用葱白汤调服,甚者不过三服。
芍药散 治妇人胁痛
白芍药 玄胡索(炒) 肉桂(以上各一两) 香附子(二两,醋一升,盐半两,同煮干)
上为细末,每服二钱,不拘时,白汤调下。
白术丸 治息积病,胁下满逆妨闷,喘息不便,呼吸引痛。不可针灸,宜导引服药。
白术 枳实 官桂(以上各一两半) 人参(二两) 陈皮 桔梗(醋炒) 甘草(炙,以上各一两)
上为细末,炼蜜和丸,如桐子大。每服五十丸,不拘时,温酒送下,日三服。
芎归芍药汤 治肝积,气滞左胁下,遇发作手足头面昏痛。
川芎 当归 芍药 桂枝 防风 枳实 羌活 甘草(各一钱六分) 干葛(四分) 麻黄侧子(二分)
上 咀,分作二帖,每帖用水二盅,生姜五片,煎至七分,去滓,不拘时服。有汗避风。
乳香神应散(附) 治从高坠下,疼痛不可忍,及腹中疼痛。
乳香 没药 雄黑豆 桑白皮 独科栗子(各一两) 破故纸(二两,炒香)
上为细末,每服半两,醋一盏,于砂石器内煎至六分,入麝香少许,去滓温服。
Jiawei Xiaochaihu Decoction (from *Liangfang*): Treats hypochondriac pain caused by Shanghan (Cold Damage).
Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix) (each 2 qian); Ren Shen (Ginseng Radix, de-gubbed), Ban Xia (Pinelliae Rhizoma) (each 1.5 qian); Mu Li Fen (Ostreae Concha Pulvis), Zhi Qiao (Aurantii Fructus, bran-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Combine the above as one dose, add two zhong of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), and two Hong Zao (Jujubae Fructus), decoct to one zhong, take after meals.
Zhi Qiao Zhu San (from *Baoshan Fang*): Treats liver qi injury due to sorrow and distress, leading to pain in both hypochondriac bones, tightness of sinews and vessels, heaviness and stagnation in waist and legs, urgency of sinews in both thighs, pulling pain in both hypochondria, inability to lift limbs, gradually progressing to spasms and cramps of spinal muscles; this medicine greatly treats hypochondriac pain.
Zhi Qiao (Aurantii Fructus, bran-fried, 4 liang, decoct first), Xi Xin (Asari Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Jie Geng (Platycodonis Radix), Fang Feng (Saposhnikoviae Radix) (each 2 liang); Ge Gen (Puerariae Lobatae Radix) (1.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang).
Grind the above into coarse powder, each dose 4 qian, add one and a half zhen of water, decoct with Sheng Jiang (Zingiberis Rhizoma Recens) and Hong Zao (Jujubae Fructus) to seven parts, remove dregs, take warm on an empty stomach or before meals.
Daotan Tang (see Phlegm-Fluids section). Banshu Wan (see Constipation section).
Xiongge Tang (from *Baoshan Fang*): Treats unbearable pain under the hypochondrium.
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Ge (Puerariae Lobatae Radix), Gui Zhi (Cinnamomi Ramulus), Zhi Qiao (Aurantii Fructus, bran-fried), Xi Xin (Asari Radix et Rhizoma), Shao Yao (Paeoniae Radix Alba), Ma Huang (Ephedrae Herba), Ren Shen (Ginseng Radix, de-gubbed), Fang Feng (Saposhnikoviae Radix) (each ban liang); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian).
Grind the above into coarse powder, each dose 5 qian, add two zhong of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct to seven parts, remove dregs and take warm, three times daily. Avoid wind if sweating occurs.
Xiangju Tang (from *Liangfang*): Treats emotional injuries causing discomfort in the middle jiao, abdominal and hypochondriac distension and fullness.
Xiang Fu Zi (Cyperi Rhizoma, fried), Ju Hong (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, ginger-processed) (each 3 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian).
Combine the above as one dose, add two zhong of water, five slices of Sheng Jiang (Zingiberis Rhizoma Recens), and two Hong Zao (Jujubae Fructus), decoct to one zhong, take after meals.
Fenqi Zisu Yin (from *Liangfang*):
Zi Su Ye (Perillae Folium), Sang Bai Pi (Mori Cortex), Wu Wei Zi (Schisandrae Fructus, de-stemmed), Jie Geng (Platycodonis Radix, de-gubbed), Cao Guo Ren (Tsaoko Fructus Seed), Da Fu Pi (Arecae Catechu Pericarpium), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1.5 qian).
Combine the above as one dose, add two zhong of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), add a little salt, decoct to one zhong, take on an empty stomach.
Tuiqi San (from *Jisheng Fang*): Treats right-sided hypochondriac pain, distension, fullness, and loss of appetite.
Pian Jiang Huang (Curcumae Longae Rhizoma), Zhi Qiao (Aurantii Fructus, bran-fried), Gui Xin (Cinnamomi Ramulus, not exposed to fire) (each 5 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian).
Grind the above into fine powder, each dose 2 qian, take mixed with Ginger and Jujube decoction, take after meals.
Zhi Xiong San (from *Jisheng Fang*): Treats stabbing pain in the left hypochondrium, unbearable.
Zhi Shi (Aurantii Fructus Immaturus), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each ban liang); Fen Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 qian).
Decocting method is the same as above; can also be taken mixed with wine.
Chaihu Shugan San (from *Tongzhi Fang*):
Chai Hu (Bupleuri Radix), Chen Pi (Citri Reticulatae Pericarpium, vinegar-fried, 2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shao Yao (Paeoniae Radix Alba), Zhi Qiao (Aurantii Fructus, bran-fried) (each 1.5 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 fen), Xiang Fu (Cyperi Rhizoma, 1.5 qian).
Combine the above as one dose, add two zhong of water, decoct to eight parts, take before meals.
Taoren Chengqi Tang (see Blood Stasis in Shanghan section).
Fuyuan Huoxue Tang (from *Yixue Faming*): Treats blood stasis accumulating under the hypochondrium after falling from a height, and unbearable pain.
Chai Hu (Bupleuri Radix, ban liang), Gua Lou Gen (Trichosanthis Radix), Dang Gui (Angelicae Sinensis Radix) (each 3 qian); Hong Hua (Carthami Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Shan Jia (Manis Squama, processed) (each 2 qian); Da Huang (Rhei Radix et Rhizoma, wine-soaked, 1 liang); Tao Ren (Persicae Semen, wine-soaked, skin and tips removed, ground into paste, 50 seeds).
The *Huangdi Zhenjing* states: "Trauma causes evil blood to remain inside. If accompanied by great anger, qi rises but fails to circulate, descending to affect the hypochondrium injures the Liver." The meridians of the Liver and Gallbladder run through the hypochondrium, belonging to the Jueyin and Shaoyang channels. It is appropriate to use Chai Hu (Bupleuri Radix) as a guiding herb, serving as the Sovereign herb. Dang Gui (Angelicae Sinensis Radix) harmonizes the blood vessels; since "urgency causes pain," Gan Cao (Glycyrrhizae Radix et Rhizoma) relieves urgency and generates new blood (Sweet generates blood), following the principle that Yang growth promotes Yin growth, serving as the Minister herb. Chuan Shan Jia (Manis Squama), Gua Lou Gen (Trichosanthis Radix), Tao Ren (Persicae Semen), and Hong Hua (Carthami Flos) break blood stasis and moisten blood, serving as the Assistant herbs. Da Huang (Rhei Radix et Rhizoma) processed with wine washes away敗血 (defective blood), serving as the Envoy herb. The flavors and properties harmonize, allowing Qi and Blood to return to their proper places, and pain naturally ceases.
Except for Tao Ren (Persicae Semen), chop the above ingredients to the size of hemp seeds. Each dose 1 liang, add one and a half zhen of water and half a zhen of wine, boil to seven parts, remove dregs, take large warm dose before meals, stopping when bowel movement occurs. If pain persists after bowel movement, take Ruxiang Shenyingsan.
Poxue Santeng Tang (Li Dongyuan's formula): Treats spinal bone injury from horse riding falls, with evil blood flowing to the hypochondrium, causing severe pain, inability to turn over, and interference with eating.
Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Zhong Gui (Cinnamomi Ramulus) (each 1 qian); Su Mu (Sappan Lignum, 1.5 qian); Lian Qiao (Forsythiae Fructus), Dang Gui Wei (Angelicae Sinensis Radix Tail), Chai Hu (Bupleuri Radix) (each 2 qian); Shui Zhi (Hirudo, stir-fried until smoke disappears, separately ground), She Xiang (Moschus, a little, separately ground).
Divide into two doses. For each dose, add one large zhen of water and two large zhen of wine. Stir-fry Shui Zhi (Hirudo) and She Xiang (Moschus) separately into paste. Decoct the remaining herbs to one large zhen, remove dregs, heat slightly on fire, mix in the two prepared powders, take on an empty stomach.
Daotan Tang (see Phlegm-Fluids section). Baohe Wan (see Food Retention section).
Danggui Longhui Wan (Qian Yi's formula):
Dang Gui (Angelicae Sinensis Radix, baked), Cao Long Dan (Gentianae Macrophyllae Radix), Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Huang Qin (Scutellariae Radix) (each 1 liang); Da Huang (Rhei Radix et Rhizoma), Lu Hui (Aloe), Qing Dai (Indigo Naturalis) (each ban liang); Mu Xiang (Aucklandiae Radix, 2.5 qian); She Xiang (Moschus, 0.5 qian, separately ground).
Grind the above into fine powder, mix with refined honey to form pills the size of small beans (children: size of sesame seeds). Take 20-30 pills with Ginger decoction. Avoid heating foods. Also take Fangfeng Tongsheng San.
Guizhi San (from *Baoshan Fang*): Treats continuous internal pain in hypochondriac bones due to fright injuring the Liver.
Zhi Qiao (Aurantii Fructus, 1 liang, select small ones), Gui Zhi (Cinnamomi Ramulus, ban liang).
Grind the above into fine powder, each dose 2 qian, take mixed with Ginger and Jujube decoction.
Dahuang Fuzi Tang (from *Jinkui Yaolue*):
Da Huang (Rhei Radix et Rhizoma, 3 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, 3 pieces, processed), Xi Xin (Asari Radix et Rhizoma, 2 liang).
Take the above three ingredients, add five sheng of water, boil to obtain two sheng, divide into three warm doses. For strong individuals, boil to obtain two and a half sheng, divide into three warm doses. After taking, wait the time it takes for a person to walk four or five li, then take another dose.
Zhuhuang Wan (see Heartache section). Kongyan Dan (see Bi Syndrome with Wind-Dampness section).
Zhishi San (from *Baoshan Fang*): Treats bilateral hypochondriac pain in men.
Zhi Shi (Aurantii Fructus Immaturus, 1 liang), Bai Shao Yao (Paeoniae Radix Alba, fried), Que Nao Xiong (Ligustici Chuanxiong Rhizoma), Ren Shen (Ginseng Radix) (each ban liang).
Grind the above into fine powder, take 2 qian mixed with Ginger and Jujube decoction, or wine, before meals, three times daily.
Heixi Dan (see Headache section).
Bugan San (Hua Shou's formula):
Shan Zhu Yu (Corni Fructus), Bai Xin (Thuja Occidentalis Semen), Shu Yu (Dioscoreae Rhizoma), Tian Xiong (Aconiti Kusnezoffii Radix), Fu Ling (Poria), Ren Shen (Ginseng Radix) (each 5 fen); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Du Huo (Angelicae Pubescentis Radix), Wu Jia Pi (Acanthopanacis Cortex), Da Huang (Rhei Radix et Rhizoma) (each 7 fen); Ju Pi (Citri Reticulatae Pericarpium, 3 fen); Fang Feng (Saposhnikoviae Radix), Gan Jiang (Zingiberis Rhizoma), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Xi Xin (Asari Radix et Rhizoma), Jie Geng (Platycodonis Radix) (each 1.5 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma), Ju Hua (Chrysanthemi Flos) (each 1 liang); Guan Zhong (Dryopteridis Crassirhizoma Rhizome, ban liang); Chen Mai Qu (Hordei Fructus Fermentatus), Da Mai (Hordei Fructus) (each 1 sheng).
Grind the above into powder, take with wine using a square-inch spoon measure, twice daily. If food is not digested, take after meals. To relieve pain, take before meals.
Bugan Tang (Hua Shou's formula):
Shan Zhu Yu (Corni Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gui Xin (Cinnamomi Ramulus) (each 3 liang); Tao Ren (Persicae Semen), Xi Xin (Asari Radix et Rhizoma), Bai Zi Ren (Platycladi Semen), Fu Ling (Poria), Fang Feng (Saposhnikoviae Radix) (each 3 liang); Da Zao (Jujubae Fructus, 24 pieces).
Cut the above ingredients, add nine sheng of water, boil to five sheng, remove dregs, divide into three doses.
Bugan San (Hua Shou's formula): Treats Qi and Blood deficiency in the Liver and Kidney meridians, causing hypochondriac distension and pain, or hypochondriac distension with dizziness, alternating chills and fever, or dysmenorrhea and irregular menstruation.
Shan Zhu Yu Rou (Corni Fructus Flesh), Dang Gui (Angelicae Sinensis Radix), Wu Wei Zi (Schisandrae Fructus, fried and pounded), Shan Yao (Dioscoreae Rhizoma), Huang Qi (Astragali Radix, fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Gua (Chaenomelis Fructus) (each ban liang); Shu Di Huang (Rehmanniae Radix Praeparata, homemade), Bai Zhu (Atractylodis Macrocephalae Rhizoma, fried) (each 1 qian); Du Huo (Angelicae Pubescentis Radix), Suan Zao Ren (Ziziphi Spinosae Semen, fried) (each 4 qian).
Grind the above into powder, each dose 5 qian, decoct with Jujube water and take.
Binglang Tang (Hua Shou's formula):
Bing Lang (Arecae Semen, 24 pieces), Fu Zi (Aconiti Lateralis Radix Praeparata, 7 pieces), Mu Jiang (Zingiberis Rhizoma Recens, 7 liang), Fu Ling (Poria), Ju Pi (Citri Reticulatae Pericarpium), Gui Xin (Cinnamomi Ramulus) (each 3 liang); Jie Geng (Platycodonis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 4 liang).
Cut the above ingredients, add nine sheng of water, boil to three sheng, remove dregs and take warm, one sheng per dose.
If there is asthma/wheezing, add Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 liang), Ban Xia (Pinelliae Rhizoma, 4 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang).
Shenbao Wan (see Food Retention section). Shenxiong Wan (see Headache section).
Treats wind accumulation forming masses under the hypochondrium; Cold Hernia attacks radiating to the lower abdomen and striking the heart. This accumulation belongs to the Liver, located in the right hypochondrium. Thus, upon attack, there is dull pain in the right hypochondrium, limbs, head, and face, and loss of appetite.
Gan Ge (Puerariae Lobatae Radix, 1 liang), Ma Huang (Ephedrae Herba, 5 qian), Fu Zi (Aconiti Lateralis Radix Praeparata, 1 piece), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Dang Gui (Angelicae Sinensis Radix), Zhi Shi (Aurantii Fructus Immaturus), Shao Yao (Paeoniae Radix Alba), Gui Zhi (Cinnamomi Ramulus), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 4 qian).
Grind the above into coarse powder, each dose 4 qian, add one and a half zhen of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct to seven parts, remove dregs and take, three times daily. Avoid wind if sweating occurs.
Yiyiren Wan: Treats hypochondriac pain as described above, and additionally treats withered and emaciated limbs.
Yi Yi Ren (Coicis Semen, 1 liang), Shi Hu (Dendrobii Caulis, select thin ones, 2 qian), Fu Zi (Aconiti Lateralis Radix Praeparata, ban liang), Niu Xi (Achyranthis Bidentatae Radix), Sheng Di Huang (Rehmanniae Radix) (each 3 qian); Xi Xin (Asari Radix et Rhizoma), Ren Shen (Ginseng Radix), Zhi Qiao (Aurantii Fructus), Bai Zi Ren (Platycladi Semen), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix) (each ban liang); Gan Cao (Glycyrrhizae Radix et Rhizoma), Tao Ren (Persicae Semen) (each 1 liang).
Grind the above into fine powder, mix with honey to form pills the size of paulownia seeds. Take 30-40 pills swallowed with wine, before meals, three times daily. Taking pills before meals and decoctions after meals together is best.
Chenxiang Xunqi San: Treats all disorders of Qi ascending and descending, with stuffiness and obstruction in the hypochondrium and ribs.
Chen Xiang (Aquilariae Lignum Resinatum, 2.5 qian), Ren Shen (Ginseng Radix, 5 qian), Bing Lang (Arecae Semen, 2.5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Wu Yao (Tsaoko Fructus), Mai Ya (Hordei Fructus Germinatus, fried), Shen Qu (Massa Medicata Fermentata, fried), Zi Su Ye (Perillae Folium), Da Fu Pi (Arecae Catechu Pericarpium, fried), Hou Po (Magnoliae Officinalis Cortex, processed) (each 1 liang); He Zi Pi (Terminaliae Chebulae Pericarpium, roasted, ban liang), Xiang Fu (Cyperi Rhizoma, roasted, 1.5 liang), Jiang Huang (Curcumae Longae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 4 liang); Jing San Leng (Sparganii Rhizoma, 2 liang), Guang Zhu (Curcumae Radix, roasted, 4 liang), Yi Zhi (Alpiniae Oxyphyllae Fructus, 2 liang), Hong Hua (Carthami Flos, 4 liang).
Grind the above into fine powder, each dose 2 qian, take before meals with boiling water.
Qizhen Wan (from *Qixiao*, same below): Treats long-standing wind congestion, chest and heart pounding pain, needle-like stabbing pain in both hypochondria and chest, deep and hidden pulse in six positions, tenderness to touch. This medicine has proven miraculous repeatedly; regular use disperses stagnant Qi and stops stabbing pain.
Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Da Huang (Rhei Radix et Rhizoma) (each 4 liang above); Qian Niu (Pharbitidis Semen, take top powder, ban jin, half raw half fried).
Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills, send down with Ginger decoction, before meals. Adjust dosage according to deficiency or excess.
Treats hypochondriac pain as if beaten:
Yuan Hua (Genkwa Flos), Ju Hua (Chrysanthemi Flos), Zhi Zhu Hua (Daphnes Genkwa Flower) (equal parts).
Store the above in a cloth bag, steam until hot, and apply as a compress to the painful area; replace when cool.
Mutong San: Treats bitter pain in the hypochondrium and ribs in men and women.
Mu Tong (Akebiae Caulis, remove nodes), Qing Pi (Citri Reticulatae Pericarpium Viride, remove white pith), Luo Bo Zi (Brassicae Napus Semen, fried), Hui Xiang (Foeniculi Fructus, fried), Chuan Lian Zi (Meliae Fructus, take flesh, stir-fry with ban liang of Ba Dou until yellow, remove Ba Dou, each 1 liang); Hua Shi (Talcum, grind separately), E Zhu (Curcumae Rhizoma), Mu Xiang (Aucklandiae Radix) (each ban liang above).
Grind the above into fine powder, each dose 3 qian, take at any time mixed with Scallion White decoction; severe cases require no more than three doses.
Shaoyao San: Treats hypochondriac pain in women.
Bai Shao Yao (Paeoniae Radix Alba), Yan Hu Suo (Corydalis Rhizoma, fried), Rou Gui (Cinnamomi Cortex) (each 1 liang above); Xiang Fu Zi (Cyperi Rhizoma, 2 liang, boil dry with one sheng of vinegar and ban liang of salt).
Grind the above into fine powder, each dose 2 qian, take at any time mixed with plain boiled water.
Baizhu Wan: Treats Ji Accumulation disease, with fullness and rebellion under the hypochondrium interfering with breathing, difficult panting, pain induced by respiration. Acupuncture and moxibustion are contraindicated; Dao Yin exercises and medication are suitable.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Guan Gui (Cinnamomi Cortex) (each 1.5 liang above); Ren Shen (Ginseng Radix, 2 liang); Chen Pi (Citri Reticulatae Pericarpium), Jie Geng (Platycodonis Radix, vinegar-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 1 liang above).
Grind the above into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 50 pills at any time, send down with warm wine, three times daily.
Xiongguishaoyao Tang: Treats Liver Accumulation, Qi stagnation under the left hypochondrium, causing dull pain in limbs, head, and face upon attack.
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba), Gui Zhi (Cinnamomi Ramulus), Fang Feng (Saposhnikoviae Radix), Zhi Shi (Aurantii Fructus Immaturus), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 1.6 qian); Gan Ge (Puerariae Lobatae Radix, 0.4 qian), Ma Huang (Ephedrae Herba), Ce Zi (Evodiae Fructus, 0.2 qian).
Cut the above ingredients, divide into two packets. For each packet, add two zhong of water and five slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct to seven parts, remove dregs, take at any time. Avoid wind if sweating occurs.
Ruxiang Shenyingsan (Appendix): Treats unbearable pain after falling from a height, and abdominal pain.
Ru Xiang (Olibanum), Mo Yao (Myrrha), Xiong Hei Dou (Sojae Semen Nigrum cum Corte), Sang Bai Pi (Mori Cortex), Du Ke Li Zi (Castaneae Chinensis Fructus) (each 1 liang); Po Gu Zhi (Psoraleae Fructus, 2 liang, fried fragrant).
Grind the above into fine powder, each dose ban liang, add one zhen of vinegar, decoct in a stone or pottery vessel to six parts, add a little She Xiang (Moschus), remove dregs and take warm.