仲景伤寒论。胸痹之病。胸中 如满。噎塞习习如痒。喉中涩唾燥沫是也。橘皮枳实
汤主之方。
橘皮（半斤） 枳实（四枚炙） 生姜（半斤）
上三味切。以水五升。煮取二升。分再服。（肘后短剧文仲深师范汪古今录验经心录千
金同出第十五卷中）
千金通气汤。疗胸满短气噎塞方。
半夏（八两洗） 生姜（六两） 桂心（三两） 吴茱萸（四十枚）
上四味切。以水八升。煮取三升。去滓。分温三服。忌羊肉饧生葱。（一方无桂心用橘
皮出第十三卷中）
仲景伤寒论。胸痹之病。喘息咳唾。胸背痛。短气。寸脉沉而起。关脉小紧数者。栝蒌
薤白白酒汤主之方。
栝蒌实（一枚） 薤白（切半升）
上二味。以白 酒七升。煮取二升。去滓。温分再服。（深师范汪同出第十五卷中）
肘后论∶胸痹之病。令人心中坚痞急痛。肌中苦痹。绞急如刺。不得俯仰。其胸前及背
皆痛。手不得犯胸满短气。咳唾引痛。烦闷自汁出。或彻引背膂。不即疗。数日杀人。疗卒
患胸痹方。
雄黄 巴豆（去皮心熬）
上二味。先捣雄黄细筛。纳巴豆。务熟捣之相和。丸如小豆。服一丸。不觉稍益。忌野
猪肉芦笋。
又方
枳实（炙）
上一味捣筛。以米汁先食服方寸匕。日三夜一。
又或已瘥复更发方。
取薤根（五斤）
上一味捣绞取汁。饮之立愈。（并出第一卷中）
《伤寒论》中关于胸痹病的论述：胸痹病，表现为胸部胀满感，咽喉部有阻塞感且伴有阵发性瘙痒，喉咙干燥、唾液粘稠呈泡沫状。治疗此证的主方为橘皮枳实汤。
以上三味药切碎，用水五升，煎煮至二升，分两次服用。（《肘后备急方》《短剧方》《文仲深方》《范汪方》《古今录验方》《经心录》《千金方》均收录于此方，出自第十五卷）
半夏（八两，洗） 生姜（六两） 桂心（三两） 吴茱萸（四十枚）
以上四味药切碎，用水八升，煎煮至三升，去渣，分三次温服。忌食羊肉、饴糖、生葱。（另一版本无桂心，用橘皮，出自第十三卷）
《伤寒论》中关于胸痹病的另一种论述：胸痹病，表现为喘息、咳嗽吐痰，胸背疼痛，短气。脉象表现为寸脉沉而有力，关脉小且紧数。治疗此证的主方为栝蒌薤白白酒汤。
以上两味药，用白酒七升，煎煮至二升，去渣，分两次温服。（《深方》《范汪方》均收录于此方，出自第十五卷）
《肘后备急方》论述：胸痹病，使人心中坚硬痞块，急痛，肌肉中感觉严重痹阻，绞痛如针刺，不能俯仰。其胸前及背部皆痛，手不可触碰，胸满短气，咳嗽吐痰牵引作痛，烦闷出汗。或者疼痛放射至背部脊柱。若不立即治疗，数日内可致死。治疗突发胸痹的方剂：
以上两味药，先将雄黄捣碎细筛，加入巴豆，务必熟捣均匀混合，制成如小豆大小的丸药。每次服用一丸，若不觉效，稍增加剂量。忌食野猪肉、芦笋。
又一方：
枳实（炙）
以上一味药捣碎过筛，用米汁在饭前送服一方寸匕，每日三次，夜间一次。
又一法，用于病情已愈但复发者：
取薤根（五斤）
以上一味药捣烂绞取汁液，饮用后立即痊愈。（均出自第一卷）
In the *Shanghan Lun* (Treatise on Cold Damage Diseases) by Zhang Zhongjing, the description of Chest Bi syndrome (Chest Obstruction Syndrome): Chest Bi is characterized by a sensation of fullness in the chest, a feeling of obstruction in the throat accompanied by paroxysmal itching, dryness of the throat, and sticky, foamy saliva. The primary formula for treating this condition is Jupi Zhishi Tang (Tangerine Peel and Immature Bitter Orange Decoction).
Jupi (Citri Reticulatae Pericarpium, half jin) Zhishi (Aurantii Fructus Immaturus, four pieces, roasted) Shengjiang (Zingiberis Rhizoma Recens, half jin)
The above three herbs are cut into pieces. Boil with five sheng of water until two sheng remain. Divide into two doses for administration. (This formula is also recorded in *Zhouhou Beiji Fang* (Prescriptions Kept at the Ready Hand), *Duanju Fang*, *Wenzhong Shen Fang*, *Fan Wang Fang*, *Gujin Luyan Fang*, *Jingxin Lu*, and *Qianjin Fang*, appearing in Volume 15.)
Qitong Tang (Unblocking Qi Decoction) from *Qianjin Fang*: A formula for treating chest fullness, shortness of breath, and dysphagia/obstruction.
Banxia (Pinelliae Rhizoma, eight liang, washed) Shengjiang (Zingiberis Rhizoma Recens, six liang) Guixin (Cinnamomi Cortex, three liang) Wuzhuyu (Evodiae Fructus, forty pieces)
The above four herbs are cut into pieces. Boil with eight sheng of water until three sheng remain. Strain the dregs. Divide into three warm doses. Avoid mutton, maltose, and raw green onions. (Another version excludes Guixin and uses Jupi instead, appearing in Volume 13.)
In the *Shanghan Lun*, another description of Chest Bi syndrome: Chest Bi presents with wheezing, coughing up phlegm, pain in the chest and back, and shortness of breath. The pulse is described as sunken and rising at the Cun position, and small, tight, and rapid at the Guan position. The primary formula for treating this condition is Gualou Xiebai Baijiu Tang (Trichosanthes Fruit, Allium Macrostemon, and White Wine Decoction).
Gualoushi (Trichosanthis Fructus, one piece) Xiebai (Allii Macrostemonis Bulbus, cut, half sheng)
The above two herbs are boiled with seven sheng of white wine until two sheng remain. Strain the dregs. Divide into two warm doses for administration. (Recorded in *Shen Fang* and *Fan Wang Fang*, appearing in Volume 15.)
The *Zhouhou Beiji Fang* states: Chest Bi causes a hard, obstructive mass in the heart region, urgent pain, severe bi-sensation in the muscles, cramping pain like stabbing, making it impossible to bend forward or backward. Both the anterior chest and the back are painful, and the area cannot be touched. There is chest fullness, shortness of breath, coughing up phlegm that triggers pain, restlessness, and spontaneous sweating. The pain may radiate through to the back and spine. If not treated immediately, it can be fatal within a few days. Formula for sudden onset of Chest Bi:
Xionghuang (Realgar) Badou (Crotonis Fructus, skin and heart removed, roasted)
The above two herbs: First, grind Xionghuang finely and sieve it. Add Badou. Thoroughly pound them together until well mixed. Form pills the size of small beans. Take one pill per dose. If no effect is felt, slightly increase the dosage. Avoid wild boar meat and Asparagus cochinchinensis shoots.
Another formula:
Zhishi (Aurantii Fructus Immaturus, roasted)
The above single herb is pounded and sieved. Administer one fangcun bi (a measure approx. 2-3 cm square) with rice juice before meals. Three times daily, once at night.
Another method for cases where the disease has subsided but recurs:
Take Xiegen (Allii Macrostemonis Radix, five jin)
The above single herb is pounded and squeezed to extract the juice. Drink it; recovery will be immediate. (All extracted from Volume 1.)