治斑出已盛，心烦大热，错语呻吟，不得眠，或咽痛不利。
犀角屑 大青 元参 甘草 升麻 黄连 黄芩 黄柏 黑山栀（各一钱五分）
水煎服。口大渴，加石膏；虚者，加人参。
经云∶病发于阳而反下之，热入，因作结胸；病发于阴而反下之，因作痞。阳、三阳也
阴、三阴也。伤寒邪在三阳，固不可下，下之则为结胸之恶候。即邪已入三阴，而未结聚
成实，犹宜清解之，若下之太早，尚不免于痞气。结胸证重，痞气较轻也。大抵从胸至腹，
硬满而痛，手不可近者，为结胸；胸前痞满不舒者，为痞气。结胸证，先用小陷胸汤，如或
结实难解，更用大陷胸汤攻之。痞气证，半夏泻心汤主之。又有水结胸证，水饮停蓄也，小
半夏加茯苓汤主之。复有寒实结胸证，乃寒气结聚不应误下而成，须用白散主之。凡一切结
胸、痞气等证，服药不效者，乃浊气结而未散，《活人》俱用枳实理中丸，应手而愈。
本太阳证，为医误下，从心下至少腹硬满而痛，手不可近者，为结胸，应服
大陷胸汤。若不按不痛者，为小结胸，应服本方。然用药之道，宜先缓后急，有如探试之法
上三味，以水六钟，先煮栝蒌，减半、去渣，纳诸药煮取二钟，温服。
按此方，加枳实一钱五分，更效。
黄连（二钱） 黄芩 黄柏 黑山栀（各一钱五分）
用水煎煮后服用。
治疗斑疹已经发出且盛大，心中烦乱、高热，胡言乱语、呻吟不止，无法入睡，或者咽喉疼痛不利索。
犀角屑 大青 元参 甘草 升麻 黄连 黄芩 黄柏 黑山栀（各一钱五分）
用水煎煮后服用。如果口大渴，加入石膏；如果是虚证，加入人参。
经书说：疾病发于阳经却反而使用下法，热邪内陷，因此形成结胸；疾病发于阴经却反而使用下法，因此形成痞气。阳指三阳经，阴指三阴经。伤寒邪气在三阳经，本来就不可以使用下法，误用下法就会造成结胸这种严重的病候。即使邪气已经进入三阴经，但尚未凝结聚集成实证，仍然适宜用清热解郁的方法，如果下法用得过早，仍不免导致痞气。结胸证病情较重，痞气证病情较轻。大致来说，从胸部到腹部，坚硬胀满且疼痛，手不能触碰的，称为结胸；胸前部位痞塞胀满而不舒服的，称为痞气。对于结胸证，先用小陷胸汤（Scutellaria and Trichosanthes Decoction），如果病情结实难以化解，再用大陷胸汤（Major Scrofula-Resolving Decoction）攻逐。对于痞气证，以半夏泻心汤（Pinellia Heart-Mending Decoction）为主治方。又有水结胸证，是水饮停蓄所致，以小半夏加茯苓汤（Pinellia with Poria Decoction）为主治方。还有寒实结胸证，是寒气凝结聚积，并非因误用下法而成，须用白散（White Powder）为主治方。凡是一切结胸、痞气等证候，服药无效的，是因为浊气凝结而未消散，《活人书》都使用枳实理中丸（Atractylodes Macrocephala and Immature Bitter Orange Pill to Regulate the Middle），应手而愈。
原本的太阳病（Taiyang Disease），被医生误用下法，从心窝下直到小腹坚硬胀满且疼痛，手不能触碰的，为结胸，应当服用大陷胸汤。如果不按压就不痛的，为小结胸（Minor Scrofula-Resolving Syndrome），应当服用本方（指小陷胸汤）。然而用药的原则，宜先缓和后急猛，如同试探的方法一样。上三味药（栝蒌实、黄连、半夏），用水六钟，先煮栝蒌实，煮至水量减半，去渣，加入其他药物，煮取二钟，温服。
按照此方，加入枳实一钱五分，效果更好。
Coptidis Rhizoma (2 qian), Scutellariae Radix, Phellodendri Cortex, Gardeniae Fructus nigra (each 1.5 qian).
Decoct in water and take orally.
Treats cases where macules have erupted abundantly, accompanied by mental restlessness, high fever, delirious speech, groaning, insomnia, or sore throat with difficulty in swallowing.
Rhinocerotis Cornu tritum, Isatidis Folium, Scrophulariae Radix, Glycyrrhizae Radix et Rhizoma, Cimicifugae Rhizoma, Coptidis Rhizoma, Scutellariae Radix, Phellodendri Cortex, Gardeniae Fructus nigra (each 1.5 qian).
Decoct in water and take orally. If there is excessive thirst, add Gypsum Fibrosum; if it is a deficiency pattern, add Ginseng Radix et Rhizoma.
The Classics state: "When a disease originates from Yang and purgation is wrongly applied, heat enters inward, resulting in Jie Xiong (chest binding); when a disease originates from Yin and purgation is wrongly applied, Pi Qi (epigastric fullness) results." Yang refers to the Three Yang meridians, and Yin refers to the Three Yin meridians. When pathogenic cold factors are in the Three Yang meridians, purgation is contraindicated; applying purgation leads to the severe condition of Jie Xiong. Even if pathogens have entered the Three Yin meridians but have not yet condensed into excess patterns, clearing and resolving methods should still be preferred. If purgation is applied too early, Pi Qi may still result. Jie Xiong is a heavier syndrome, while Pi Qi is lighter. Generally speaking, hardness, fullness, and pain extending from the chest to the abdomen, which cannot be touched by hand, is called Jie Xiong; epigastric fullness and discomfort without severe pain is called Pi Qi. For Jie Xiong syndrome, Xiaoxin Xiongtang (Scutellaria and Trichosanthes Decoction) is used first; if the condition is solid and difficult to resolve, Daxin Xiongtang (Major Scrofula-Resolving Decoction) is used for attack. For Pi Qi syndrome, Banxia Xiexintang (Pinellia Heart-Mending Decoction) is the primary formula. There is also Shui Jie Xiong (Water-binding Chest) syndrome, caused by fluid retention, treated with Xiaobanxia Jia Fulingtang (Pinellia with Poria Decoction). Furthermore, Han Shi Jie Xiong (Cold-excess Binding Chest) syndrome is caused by condensation of cold qi, not resulting from erroneous purgation, and requires Baisan (White Powder) as the treatment. In all cases of Jie Xiong, Pi Qi, etc., if medication fails, it is due to turbid qi condensing and not dispersing; *Huo Ren* recommends Zhishi Lizhong Wan (Atractylodes Macrocephala and Immature Bitter Orange Pill to Regulate the Middle), which yields immediate recovery.
Originally a Taiyang Disease (Taiyang Disease), wrongly purged by the physician, resulting in hardness, fullness, and pain from the epigastrium down to the lower abdomen, which cannot be touched by hand, this is Jie Xiong, and Daxin Xiongtang (Major Scrofula-Resolving Decoction) should be taken. If there is no pain upon pressing, it is Xiaojie Xiong (Minor Scrofula-Resolving Syndrome), and Ben Fang (this formula, referring to Xiaoxin Xiongtang) should be taken. However, the principle of medication should proceed from mild to severe, akin to a probing method. The upper three ingredients (Trichosanthis Fructus, Coptidis Rhizoma, Pinelliae Tuber): use six zhong of water, first decoct Trichosanthis Fructus until the volume is halved, remove the dregs, add the other medicines, decoct to obtain two zhong, and take warm.
According to this formula, adding Zhi Shi (Immature Bitter Orange) 1.5 qian yields better effects.