治病发于阳，而反下之，热入，因作结胸，以下之太早故也，其病项强如柔
状，下之则和。
大黄（二两） 葶苈(炒) 杏仁(去皮尖炒) 芒硝（各三分）
上前二味为末，将杏仁、芒硝合研为脂，和药，取如弹子大一枚，别杵甘遂末一钱匕、
白蜜一大匕，水二盏，煎至七分，顿服之，一宿乃下；如不下更服，取下为效。甘遂性猛，
宜斟酌虚实入之。
胸痞证者，胃中不和，心下坚硬，干呕，恶寒汗出，噫气不除；亦有因伤寒身冷，医反
下之，遂成胸痞。
治伤寒及诸吐利后，胸痞欲绝，膈高起急痛，手不得近。
枳实(去瓤面炒) 茯苓 人参 白术 干姜(炮) 甘草(炙，各等分)
上为末，蜜和，一两作四丸。热汤化下。渴，加栝蒌根；下利，加牡蛎粉各等分。
治中寒气痞，胸满欲死。
桔梗 枳壳(麸炒去瓤，各一分)
上为锉散。每服五钱匕，水一盏半，煎七分，去滓，食前服。
治伤寒阴证，下之太早，致心下痞，按之软，其脉关上浮者主之；若表未解，
未可攻，宜先随风寒二证投桂枝麻黄汤，表解已，即服此方。
大黄(蒸) 黄连 黄芩
上为锉散。每服五钱，沸汤二盏，热渍之一时久，去滓分二服暖服。或汗出恶寒，加附
子，别煎汁入一协议服。
治心下痞满而不痛者。
半夏(汤洗七次，一两一钱） 黄芩 人参 甘草(炙) 干姜(炮，各两半) 黄连（半两）
上锉散。每服五钱，水盏半，姜五片，枣一个，煎七分，去滓温服。或伤寒中风，医反
下之，下利日数十行，谷不化，腹中鸣，心下痞硬，干呕心烦者，加甘草半两、人参一两，
名甘草泻心汤。或汗出解后，胃中不和，心下痞硬，干噎食臭，胁下水鸣，下利者，加生
姜一两，减干姜一两，余如正方，名生姜泻心汤。
治疗因感受阳证（指表热证），误用攻下法，导致邪热内陷，从而形成结胸病，这是因为攻下过早的缘故。其病症表现为颈部僵硬，类似柔痉（以项背强直、汗出为特征的痉病）的状态，使用本方攻下后病情即可缓解。
大黄（二两） 葶苈子（炒制） 杏仁（去皮尖后炒制） 芒硝（各三分）
将前两种药（大黄、葶苈子）研成粉末，把杏仁和芒硝一起研磨成脂状，再与药粉混合，取如弹子大小的一枚，另取甘遂末一钱匕、白蜜一大匙，加水两盏，煎煮至七分满，一次性服用；如果一夜之后大便未通，可再服一次，以下通大便为见效。甘遂药性猛烈，应根据患者虚实情况斟酌加入。
胸痞证的成因是胃气不和，心窝部坚硬，伴有干呕、怕冷、出汗、嗳气不止；也有因为伤寒身体发冷，医生反而误用攻下法，从而形成胸痞证。
治疗伤寒以及各种呕吐腹泻之后，出现胸中痞塞感极度严重，膈肌高起且急痛，手不能触碰。
枳实（去除瓤后麸炒） 茯苓 人参 白术 干姜（炮制） 甘草（炙制，各等分）
以上药物研成细末，用蜂蜜调和，制成每丸一两重的四丸。用热水化开服用。如果口渴，加栝蒌根；如果腹泻，加牡蛎粉，各等分。
治疗中寒导致的寒气痞块，胸部胀满令人欲死。
以上药物锉碎成散剂。每次服用五钱匕，加水一盏半，煎煮至七分，去渣，饭前服用。
治疗伤寒阴证，因攻下过早，导致心下部痞塞，按之柔软，脉象关部浮起的，主治此方；如果表证未解，不可攻里，应先根据风寒两种证候投予桂枝汤或麻黄汤，待表证解除后，再服用此方。
以上药物锉碎成散剂。每次服用五钱，用沸水两盏，浸泡一个时辰（约两小时），去渣，分两次温服。如果出现汗出、恶寒，加附子，单独煎汁混入一同服用。
治疗心下部痞塞胀满但不疼痛的病症。
半夏（用汤水洗七次，一两一钱） 黄芩 人参 甘草（炙制） 干姜（炮制，各两半） 黄连（半两）
以上药物锉碎成散剂。每次服用五钱，加水一盏半，生姜五片，大枣一个，煎煮至七分，去渣温服。如果是伤寒或中风，医生误用攻下法，导致每天腹泻数十次，完谷不化，肠鸣，心下部痞硬，干呕心烦的，加甘草半两、人参一两，名为甘草泻心汤。如果是发汗解表后，胃气不和，心下部痞硬，干噎伴有食物腐臭味，胁下水声辘辘，腹泻的，加生姜一两，减去干姜一两，其余照原方，名为生姜泻心汤。
When a disease originates from Yang (referring to exterior heat syndrome) and is incorrectly treated with purgation, heat enters the interior, resulting in Jie Xiong (Chest Binding), due to premature purgation. The condition presents with neck stiffness, resembling Rou Ji (a type of spasm characterized by rigidity of the neck and back with sweating); administration of this formula will harmonize the condition.
Dahuang (Rhubarb Radix et Rhizoma, 2 liang) Tingli (Descurainiae Semen, stir-fried) Xingren (Apricot Seed, skin and tip removed, stir-fried) Mangxiao (Natrii Sulfas, each 3 fen)
Grind the first two herbs (Dahuang and Tingli) into powder. Grind Xingren and Mangxiao together until they form a paste-like consistency, then mix with the powder. Take one pill-sized piece (size of a bullet). Separately, prepare Gansui (Kansui Root) powder (1 qianbi) and Baimi (White Honey, 1 large spoon). Add 2 zhan of water, decoct until reduced to 7/10 volume, and take in one dose. If stool is not passed after one night, administer another dose; passage of stool indicates efficacy. Gansui has a potent nature; its inclusion should be carefully weighed according to the patient's deficiency or excess condition.
Xiong Pi (Chest Stagnation) syndrome arises from disharmony of the Stomach, hardness below the heart, dry retching, aversion to cold, sweating, and persistent belching. It may also result from Cold Damage where the body becomes cold, and the physician erroneously applies purgation, thereby causing Chest Stagnation.
For treating post-Cold Damage and various vomiting and diarrhea conditions, where chest stagnation feels extreme, the diaphragm rises and is acutely painful, and cannot be touched by hand.
Zhishi (Immature Bitter Orange Fruit, pith removed, stir-fried with bran) Fuling (Poria) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Ganjiang (Dried Ginger, processed) Gancao (Licorice Root, honey-fried, equal parts)
Grind all ingredients into fine powder. Mix with honey to form four pills, each weighing 1 liang. Dissolve in hot water before ingestion. If thirsty, add Gualougen (Trichosanthis Radix); if diarrhea occurs, add Muli Fen (Oyster Shell Powder), both in equal parts.
To treat Qi stagnation caused by internal Cold, presenting with chest fullness so severe it feels like death.
Jiegeng (Platycodon Root) Zhike (Bitter Orange Fruit, stir-fried with bran, pith removed, each 1 fen)
Grind the above into a coarse powder. Each dose consists of 5 qianbi, decocted in 1.5 zhan of water until reduced to 7/10 volume. Strain and take before meals.
For Yin syndrome of Cold Damage, where premature purgation leads to epigastric stagnation that is soft upon palpation, and the pulse is floating at the Guan position. This formula governs such cases. If the exterior syndrome is unresolved, do not attack the interior; instead, initially administer Guizhi Tang (Cinnamon Twig Decoction) or Mahuang Tang (Ephedra Decoction) according to Wind-Cold patterns. Once the exterior is resolved, administer this formula.
Dahuang (Rhubarb Radix et Rhizoma, steamed) Huanglian (Coptidis Rhizoma) Huangqin (Scutellariae Radix)
Grind the above into a coarse powder. Each dose is 5 qian, soaked in 2 zhan of boiling water for one shichen (approx. 2 hours). Strain and divide into two warm doses. If sweating and aversion to cold occur, add Fuzi (Prepared Aconite Root), decoct separately, and mix the juice with the main decoction for combined administration.
For treating epigastric fullness and stagnation without pain.
Banxia (Pinellia Tuber, washed seven times with hot water, 1 liang 1 qian) Huangqin (Scutellariae Radix) Renshen (Ginseng Radix et Rhizoma) Gancao (Licorice Root, honey-fried) Ganjiang (Dried Ginger, processed, each 2.5 liang) Huanglian (Coptidis Rhizoma, 0.5 liang)
Grind the above into a coarse powder. Each dose is 5 qian, decocted with 1.5 zhan of water, 5 slices of fresh ginger, and one jujube, until reduced to 7/10 volume. Strain and take warm. If, following Cold Damage or Wind Strike, erroneous purgation leads to frequent diarrhea (dozens of times daily), undigested food, abdominal borborygmus, epigastric hardness, dry retching, and irritability, add Gancao (Licorice Root) 0.5 liang and Renshen (Ginseng Radix et Rhizoma) 1 liang; this is named Gancao Xiexin Tang (Licorice Decoction for Draining the Epigastrium). If, after sweating resolves the exterior, stomach disharmony persists with epigastric hardness, dry heaving with foul breath, fluid rumbling in the hypochondrium, and diarrhea, add Shengjiang (Fresh Ginger) 1 liang and reduce Ganjiang (Dried Ginger) by 1 liang; the rest remains as in the standard formula; this is named Shengjiang Xiexin Tang (Fresh Ginger Decoction for Draining the Epigastrium).