结胸证，服前药不效，须用此方。
大黄（去皮生用，六钱） 芒硝（四钱） 甘遂（为末，二分五厘）
上三味，以水六钟，先煮大黄，减半，去渣，纳芒硝，煮二三沸，和甘遂末，温服，得
快利，止后服。
伤寒传入三阴，而未结聚成实，医早下之以致胸中痞闷不舒者，为痞气。
半夏（洗） 黄芩 干姜（各一钱五分） 人参 甘草（炙，各五分） 黄连（一钱） 大枣（去核，二个）
水煎服。本方加枳实五、七分为妙。
治寒实结胸，无热证者。此寒痰积食结于胸中，故用此方，亦救急之良法。
桔梗 贝母（各三钱） 巴豆（去皮、心，熬黑，研如脂，一分）
上三味为末，纳巴豆、更于臼中杵之，以白饮和匀，分二服，病在膈上必吐，在膈下必
利。如不利，进热粥一杯。若利不止，进冷粥一杯，即止。
枳实（面炒，一两五钱） 茯苓 白术（陈土炒，各二两） 甘草（炙，七钱五分） 人参（五钱） 干
姜（炮，四钱）
上为末，米饮糊丸，如绿豆大。每服三钱，开水下，日二、三服，以瘥为度。
结胸证，服用之前的药物无效时，必须使用此方。
大黄（去皮生用，六钱） 芒硝（四钱） 甘遂（研为粉末，二分五厘）
以上三味药，用水六钟，先煮大黄，煮至水量减半，滤去药渣，加入芒硝，再煮沸二三滚，调和甘遂末，温服，若得到快速通利，则停止后续服药。
伤寒邪气传入三阴经，但尚未凝结聚集成实邪，医生过早使用泻下法导致胸中痞塞闷胀不适的，称为痞气。
半夏（洗净） 黄芩 干姜（各一钱五分） 人参 甘草（炙，各五分） 黄连（一钱） 大枣（去核，二个）
用水煎服。本方加入枳实五到七分效果更佳。
治疗寒实结胸，没有热象症状的。这是寒痰和积食凝结在胸中，所以使用此方，也是急救的好方法。
桔梗 贝母（各三钱） 巴豆（去皮、心，炒黑，研如脂状，一分）
以上三味药研为粉末，加入巴豆，再次在臼中捣碎，用米汤调和均匀，分两次服用，病位在膈上者必然呕吐，病位在膈下者必然腹泻。如果未腹泻，喝一杯热粥。如果腹泻不止，喝一杯冷粥，即可停止。
枳实（面粉炒，一两五钱） 茯苓 白术（陈土炒，各二两） 甘草（炙，七钱五分） 人参（五钱） 干姜（炮制，四钱）
以上药物研为粉末，用米饮制成糊状丸剂，如绿豆大小。每次服用三钱，开水送服，每日二至三次，以病愈为度。
患者平素有宿食积滞，连接于脐旁，又加上新的外邪侵袭，疼痛牵引至阴筋。这是邪气结实的情况，属于难治之症。
振，是指身体耸动；战，是指身体战摇；栗，是指心跳悸动。虚证患者多有此表现，而邪正相争时，也会发生战栗。需要根据兼夹症状进行治疗。
Jie Xiong Syndrome (Chest Binding Syndrome), when previous medications prove ineffective, requires the use of this formula.
Da Huang (Rhubarb Root and Rhizome, peeled and raw, 6 qian) Mang Xiao (Mirabilite, 4 qian) Gan Sui (Kansui Root, ground into powder, 2.5 li)
Take the above three ingredients, add six zhong of water, first decoct Da Huang until the volume is reduced by half, strain to remove dregs, add Mang Xiao, boil for two or three boils, mix with Gan Sui powder, take warm. If rapid purgation occurs, stop taking the remaining medicine.
When Tai Yang Cold Damage (Exogenous Cold Pathogen) transmits to the Three Yin meridians but has not yet condensed into excess pathogenic factors, if the physician prematurely uses purgative methods, resulting in a sensation of fullness and discomfort in the chest, it is called Pi Qi (Stagnant Qi).
Ban Xia (Pinellia Tuber, washed) Huang Qin (Scutellaria Root) Gan Jiang (Dried Ginger, each 1.5 qian) Ren Shen (Ginseng Root) Zhi Gan Cao (Honey-fried Licorice Root, each 0.5 qian) Huang Lian (Coptis Rhizome, 1 qian) Da Zao (Jujube Fruit, pitted, 2 pieces)
Decoct in water and take orally. It is advisable to add Zhi Shi (Immature Bitter Orange, 5-7 fen) to this formula.
Treats Han Shi Jie Xiong (Cold Excess Chest Binding Syndrome) without heat signs. This condition arises from cold phlegm and food stagnation binding in the chest; thus, this formula is used as an excellent emergency rescue method.
Jie Geng (Platycodon Root) Bei Mu (Fritillaria Bulb, each 3 qian) Ba Dou (Croton Seed, peeled, core removed, stir-fried until black, ground into a paste, 1 fen)
Grind the above three ingredients into powder, mix with Ba Dou, and pound further in a mortar. Mix evenly with rice water (Bai Yin), divide into two doses. If the pathology is above the diaphragm, vomiting will likely occur; if below the diaphragm, diarrhea will likely occur. If there is no diarrhea, drink one cup of hot porridge. If diarrhea persists, drink one cup of cold porridge to stop it.
Zhi Shi (Immature Bitter Orange, stir-fried with flour, 1.5 liang) Fu Ling (Poria) Bai Zhu (Atractylodes Macrocephala Rhizome, stir-fried with aged soil, each 2 liang) Zhi Gan Cao (Honey-fried Licorice Root, 7.5 qian) Ren Shen (Ginseng Root, 5 qian) Gan Jiang (Dried Ginger, processed, 4 qian)
Grind the above ingredients into powder, form pills using rice water as a binder, sized like mung beans. Take 3 qian per dose, with warm water. Take two to three times daily, until recovery.
The patient habitually suffers from chronic food stagnation connected to the sides of the umbilicus, compounded by new exogenous pathogens, causing pain that radiates to the yin sinews. This indicates a condition of solidified pathogenic excess, which is difficult to treat.
Zhen refers to trembling or shaking movements; Zhan refers to shivering or quaking; Li refers to palpitations or heart fluttering. These symptoms are common in deficiency syndromes, but can also occur during the struggle between pathogenic factors and healthy qi. Treatment must be based on accompanying symptoms.