《伤寒论》胸满条，有烦热胸中窒，用栀子豉汤。又有胸中痞硬，气冲咽喉不得息，当吐之。
此二条，言胸前胃家满闷，一以清胃热，一以吐胃痰主治也。至心之下腹之中硬满，则曰
脉浮而大，心下反硬，有热属脏者攻之。又云从心下至小腹硬满而痛，大陷胸汤主之。此二
条，一言心腹硬满，用承气下肠胃燥屎。一言心下至小腹硬痛，用陷胸汤下胸腹痰饮。至论
病后新瘥，强与谷食，故令微烦，当捐谷则愈。此言病后食复之症也。舍此别无食滞中焦，胸
膈饱闷，而用消导之法。不知今之患伤寒热病， 痧疫毒，因食滞中焦，凝结胃阳，不能敷
布作汗，内外结纽，互相蒸酿，久热不解，至死者比比，良由世有夹食伤寒之名，前贤未有
夹食治法。余今参悟方法主治。夫食滞中焦，外冒表邪，病因不一。有先因感冒，而食滞不
消者，此因感冒停食，外感为本，食滞为标。有先因食滞，感冒风寒，食滞为本，外感为
标。二者虽有标本之分，然当择其急者先治。二者皆急，当以二者并治。古人云急则治标，
人多错解。此言重在急字，言治病当先治本。若标病急，当舍本先治标矣；若不急，仍先治
本。进而详之，更有说焉。例如表热食滞，必得表汗外出，表热外解，则食始消。不知欲发
表邪，必得胃阳敷布，方能作汗，故以一半消食，一半发表治之。若胃气冲和者，则能作汗
外解。若痰涎食重，胶固胃中，而以表里和平治之，则不应矣。于是家秘立保和散细研为
末，以散胸前凝结，又以升阳解表汤煎汤调服，蒸助胃汁，则作汗外解。若表邪未解，表
热方盛，食滞不消，而里已热结，且唇焦口燥，用不得快膈末药者，则以前方同煎，以汤润
燥。夫胸前食滞，胶固不开，不用消化，则热久神昏，必至于死。消化之药太燥，则热得
燥而燥愈甚，亦必至死。用润不及，则偏于燥而热不减。用润太过，则偏于润而结愈固。
仲景用山栀豆豉汤，治里有烦热，不能作汗外解。河间又发豆豉、石膏、滑石，同葱白能
发里热无汗之症，均有至理。家秘用保和散以消胸膈痰食，多冲竹沥、萝卜汁，以其润而
不燥，寒而不凝，不独能消痰食。且燥火闭郁，非此不清，燥热无汗，非此不润，平淡切
病，常能起回生。惟荤腥食重，抑遏表邪者，多有不应。若 痧疫毒得荤腥者，百无一生，
以疫毒得荤腥浓味，则凝伏不出，肠胃必腐，后下血水，更重于他病耳。故治夹食，必互参
毒及唇焦胸满，方能得手。
家秘保和散
半夏 浓朴 枳壳 香附 楂肉 莱菔子 麦芽 川连 豆蔻 石菖蒲
上为细末，白汤炮服。有燥热，冲竹沥、萝卜汁，或煎汤以服。
此方消痰化滞，家秘治胸满寒热，夹食夹痰，先服此方，随服后方升阳解表汤。
若表里并急，前后二方合用，古名保和丸。然胸前凝结，必须散以散之，汤以荡之。若丸
以缓之，则胸前愈加填满。
升阳解表汤
升麻 葛根 羌活 防风 柴胡 枳壳 浓朴 广皮 甘草 半夏
此方升发胃气，敷布胃阳，作汗散表，家秘治发热胸满，表邪不解之症。若表症重者，先
服此方散表。若表里皆重，前后二方合服。五味以散表，五味以宣散。胃阳，敷布作汗。
古人以一味表药，一味凉药，和解表里。又以一半散表，一半清理，双解表里。今家秘化
立此方，和解夹食外感，以开化方比例之妙法。
《伤寒论》中关于“胸满”的条文提到，出现烦热、胸中窒塞感时，使用栀子豉汤。又有条文指出，若胸中痞塞坚硬，气逆冲撞咽喉导致呼吸不畅，应当采用吐法治疗。
这两条条文，阐述的是胸前及胃脘部满闷的症状：一条以清泻胃热为主治，另一条以涌吐胃中痰涎为主治。至于心下（胃脘）至腹部硬满的情况，则说：“脉象浮而大，心下反而坚硬，有热邪归属于脏者，应用攻下法。”又说：“从心下延伸至小腹硬满且疼痛，用大陷胸汤主治。”这两条条文，一条讲述心腹硬满，使用承气汤类方剂攻下肠胃中的燥屎；另一条讲述从心下至小腹硬痛，使用陷胸汤类方剂攻下胸腹间的痰饮。至于论述病后刚痊愈，强行进食谷物，因而导致轻微烦闷，应当停止进食谷物即可痊愈。这是指病后因饮食不当导致的复发症状。除此之外，并没有针对食滞在中焦、胸膈饱闷而使用消导法的记载。
不知道如今患伤寒热病、痧疫毒的人，因食滞在中焦，凝结胃阳，不能敷布运行以作汗出，内外结纽，互相蒸酿，导致久热不解，至死的人比比皆是，这确实是由于世间有“夹食伤寒”这一名称，但前贤没有提出夹食的治法。我如今参悟并确立方法主治。
食滞在中焦，外受表邪侵袭，病因不一。有的先因感冒，导致食滞不消，这是因感冒停食，外感为本，食滞为标。有的先因食滞，后感冒风寒，这是食滞为本，外感为标。二者虽有标本之分，但应当选择紧急的一方先治。若二者都急，应当同时治疗二者。古人说“急则治标”，人们大多误解了这句话。这里重在“急”字，意思是治病应当先治本。如果标病紧急，就应舍弃本病先治标；如果不紧急，仍应先治本。进而详细探讨，还有说法。例如表热兼食滞，必须使表邪通过发汗外出，表热外解，然后食滞才能消除。不知道想要发散表邪，必须依赖胃阳的敷布运行，才能产生汗液，所以用一半药物消食，一半药物发表来治疗。如果胃气冲和调和，就能产生汗液外解。如果痰涎食积厚重，胶固在胃中，却用表里和平的方法治疗，就不会见效。于是家传秘方创立保和散，研成细末，用以消散胸前的凝结；又用升阳解表汤煎汤调服，蒸助胃汁，从而产生汗液外解。如果表邪未解，表热正盛，食滞不消，而体内已经热结，且嘴唇焦裂、口舌干燥，此时不能用快膈末药（保和散），就用前方（升阳解表汤）同煎，以汤剂润燥。
如果胸前食滞胶固不开，不使用消化之法，则热邪日久会导致神志昏蒙，必至于死。消化类药物过于燥烈，则热邪得燥性而燥热更甚，也必至于死。使用润燥药不足，则偏于燥性而热势不减。使用润燥药太过，则偏于润性而使结聚更加牢固。张仲景用山栀豆豉汤，治疗里有烦热，不能作汗外解的情况。刘河间又发挥运用豆豉、石膏、滑石，配合葱白能发越里热无汗的症状，均有至理。家传秘方用保和散以消胸膈痰食，多冲入竹沥、萝卜汁，因为药性润而不燥，寒而不凝，不仅能消除痰食。而且燥火闭郁，非此不能清解；燥热无汗，非此不能润通。药性平淡切中病情，常能起死回生。只有荤腥食物厚重，压抑遏阻表邪的情况，多有不应验。如果是痧疫毒因食用荤腥所致，百无一活，因为疫毒遇到荤腥浓味，就会凝伏不出，肠胃必然腐败，随后下血水，比其它疾病更为严重。所以治疗夹食，必须互参毒邪及唇焦胸满等症状，方能得心应手。
家传秘方 保和散
半夏、厚朴、枳壳、香附、山楂肉、莱菔子、麦芽、川黄连、豆蔻、石菖蒲。
以上药材研为细末，用开水泡服。如果有燥热，冲入竹沥、萝卜汁，或者煎汤服用。
此方能消痰化滞，家传秘方治疗胸满寒热、夹食夹痰，先服用此方，随即服用后方升阳解表汤。
如果表里证候都急，前后两方合用，古名保和丸。然而胸前凝结，必须用散剂来消散，用汤剂来荡涤。如果用丸剂缓图，则胸前会更加填满。
升阳解表汤
升麻、葛根、羌活、防风、柴胡、枳壳、厚朴、广陈皮、甘草、半夏。
此方能升发胃气，敷布胃阳，作汗解散表邪，家传秘方治疗发热胸满、表邪不解的症状。如果表证重，先服用此方解散表邪。如果表里证候都重，前后两方合服。五味药以解散表邪，五味药以宣散。胃阳敷布以作汗。古人用一味表药、一味凉药，和解表里。又以一半药物散表，一半药物清理，双解表里。如今家传秘方化裁创立此方，和解夹食外感，以开化方比例之妙法。
In the *Shanghan Lun* (Treatise on Cold Damage), under the section regarding "Chest Fullness" (Xiong Man), it is stated that when there is vexing heat and a sensation of obstruction in the chest, Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) should be used. There is also a clause stating that if there is a sensation of fullness and hardness in the chest, with Qi rushing to the throat causing difficulty in breathing, emesis (vomiting) should be induced.
These two clauses describe fullness and stuffiness in the chest and stomach area: one focuses on clearing Stomach Heat as the primary treatment, while the other focuses on expelling Phlegm from the Stomach via emesis. Regarding hardness and fullness extending from the epigastrium (Xin Xia) to the abdomen, it states: "If the pulse is floating and large, and the epigastrium feels hard contrary to expectation, indicating Heat belonging to the Zang organs, purgation should be applied." It also says: "From the epigastrium down to the lower abdomen, if there is hardness, fullness, and pain, Da Xianxiong Tang (Major Chest-Infiltrating Decoction) is indicated." These two clauses discuss hardness and fullness of the heart and abdomen: one uses Chengqi Tang formulas to purge dry feces in the intestines and stomach; the other uses Xianxiong Tang formulas to purge Phlegm-Fluids in the chest and abdomen. Regarding post-illness recovery, if grains are forced upon the patient after they have just recovered, causing slight vexation, stopping grain intake will lead to recovery. This refers to symptoms of recurrence due to dietary indiscretion after illness. Apart from this, there is no record of using digestive methods for food stagnation in the middle Jiao causing chest and diaphragmatic fullness.
It is unknown that nowadays, patients suffering from Shanghan febrile diseases or Sha Yi Du (Sha epidemic toxins), due to food stagnation in the middle Jiao, cause the Wei Yang (Stomach Yang) to congeal and fail to distribute and generate sweat. The interior and exterior become knotted, steaming and fermenting each other, leading to prolonged unresolved fever, with deaths occurring frequently. This is indeed because the term "Jia Shi Shanghan" (Cold Damage complicated by Food Stagnation) exists in the world, but earlier sages did not provide treatments for food stagnation. I have now pondered and established methods for treatment.
Food stagnation in the middle Jiao combined with external exposure to pathogenic factors presents various etiologies. Some cases begin with a cold invasion, leading to undigested food; here, the external contraction is the root (Ben), and food stagnation is the branch (Biao). Other cases begin with food stagnation, followed by exposure to wind-cold; here, food stagnation is the root, and external contraction is the branch. Although there is a distinction between root and branch, the urgent condition should be treated first. If both are urgent, both should be treated simultaneously. The ancients said, "In emergencies, treat the branch," but many people misunderstood this. The emphasis is on the word "urgent"; it means that generally, one should treat the root first. However, if the branch condition is urgent, one should set aside the root and treat the branch first; if not urgent, the root should still be treated first. Furthermore, detailed analysis reveals more nuances. For example, in cases of exterior Heat combined with food stagnation, the exterior pathogens must be released through sweating, and the exterior Heat resolved externally before the food stagnation can be eliminated. One must realize that to release exterior pathogens, Wei Yang distribution is required to generate sweat. Therefore, treatment involves half medication to digest food and half to release the exterior. If the Stomach Qi is harmonious, sweat can be generated for external resolution. However, if Phlegm-fluids and heavy food accumulation are firmly stuck in the Stomach, treating with mild exterior-interior harmonizing methods will be ineffective. Thus, a family secret formula, Baohe San (Harmony-Preserving Powder), was created, ground into fine powder, to dissipate congealment in the chest. It is taken with decoctions of Shengyang Jiubiao Tang (Yang-Raising Exterior-Resolving Decoction) to steam and assist Stomach fluids, thereby generating sweat for external resolution. If exterior pathogens remain unresolved, exterior Heat is intense, food stagnation persists, and interior Heat has formed, accompanied by cracked lips and dry mouth, the Kuai Ge Mo (Fast-Clearing Powder) cannot be used. Instead, the previous formula (Shengyang Jiubiao Tang) is decocted together to moisten dryness with the liquid.
If food stagnation in the chest is firmly stuck and unopened, without using digestive methods, prolonged Heat will lead to mental confusion and death. Digestive medicines that are too drying will intensify the Heat due to dryness, also leading to death. Insufficient use of moistening agents results in bias toward dryness, failing to reduce Heat. Excessive use of moistening agents results in bias toward moisture, making the congealment even more solid. Zhang Zhongjing used Zhizi Chi Tang to treat interior vexing Heat where sweat cannot be generated for external resolution. Liu Hejian further developed the use of Dou Chi (Fermented Soybean), Shi Gao (Gypsum), Hua Shi (Talcum), combined with Cong Bai (Scallion White) to resolve interior Heat without sweat, which contains profound truth. The family secret uses Baohe San to eliminate chest and diaphragm Phlegm and food, often mixed with Zhu Li (Bamboo Sap) and Luo Bo Zhi (Radish Juice), because they are moistening rather than drying, and cold rather than coagulating. They not only eliminate Phlegm and food but also clear closed-up Dry Fire; without them, Dry Heat without sweat cannot be moistened. Their mild nature precisely targets the disease, often achieving miraculous recoveries. However, in cases where rich meat/fish foods heavily suppress exterior pathogens, these methods often fail. In cases of Sha Yi Du caused by consuming such foods, survival rates are extremely low, because epidemic toxins encountering rich flavors become trapped and unable to emerge, leading to intestinal corruption and subsequent bloody diarrhea, which is more severe than other diseases. Therefore, treating Jia Shi requires cross-referencing toxin signs and symptoms like cracked lips and chest fullness to succeed.
Family Secret Formula: Baohe San
Banxia (Pinelliae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Zhike (Aurantii Fructus Immaturus), Xiangfu (Cyperi Rhizoma), Zharon (Crataegi Fructus), Laifuzi (Raphani Semen), Maiya (Hordei Fructus Germinatus), Chuanlian (Coptidis Rhizoma), Doukou (Amomi Fructus Rotundus), Shichangpu (Acori Tatarinowii Rhizoma).
Grind the above into fine powder and take with hot water. If there is Dry Heat, mix with Zhu Li or Luo Bo Zhi, or decoct and take as soup.
This formula eliminates Phlegm and transforms stagnation. The family secret treats chest fullness with alternating chills and fever, complicated by food and Phlegm, by administering this formula first, followed by Shengyang Jiubiao Tang.
If both exterior and interior conditions are urgent, the two formulas are used together, known in ancient times as Baohe Wan (Harmony-Preserving Pill). However, congealment in the chest must be dissipated by powder and washed away by decoction. Using pills would act too slowly, causing further filling of the chest.
Shengyang Jiubiao Tang
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Zhike, Houpo, Guangpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia.
This formula raises Stomach Qi, distributes Wei Yang, generates sweat to scatter exterior pathogens. The family secret treats fever with chest fullness and unresolved exterior pathogens. If exterior symptoms are heavy, administer this formula first to scatter the exterior. If both exterior and interior are heavy, administer both formulas together. Five ingredients scatter the exterior; five ingredients promote dispersion. Wei Yang distributes to generate sweat. The ancients used one exterior-dispersing herb and one cooling herb to harmonize the exterior and interior. Or used half the dosage to scatter the exterior and half to clear internally, doubly resolving the exterior and interior. Now, the family secret has transformed and established this formula to harmonize exterior contraction complicated by food stagnation, utilizing the subtle method of proportional opening and transforming formulas.