夫胸痹心下坚痞者。由脏腑不调。风冷之气。攻注于胸膈。经络壅涩。气不宣通。则令
心中
治胸痹。心下坚痞。胸背缓急。心腹不利。宜服此方。
枳实（一两麸炒微黄） 木香（半两） 前胡（一两去芦头） 陈橘皮（一两汤浸去白
瓤焙）
赤茯
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。温温频服
之。
治胸痹。心下坚痞。胸背缓急疼痛。不能下食。宜服此方。
半夏（一两汤浸七遍去滑） 赤茯苓（三分） 白术（三分） 枳实（三分麸炒微黄） 木
香
（三分）
炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。温温频服
之。
治胸痹。心下坚痞缓急。薏苡仁散方。
薏苡仁（二两） 附子（二两炮裂去皮脐） 甘草（一两炙微赤锉）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热频服
之。
治胸痹。心下坚痞缓急。气结不通方。
枳壳（二两麸炒微黄去瓤） 桂心（一两） 前胡（一两去芦头） 半夏（一两汤浸七
遍去滑）
浓朴（二两去粗皮涂生姜汁炙令香熟）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。稍热频服
之。
治胸痹。心膈痞满。肩背缓急痛方。
桂心（半两） 干姜（半两炮裂锉） 人参（三分去芦头） 细辛（三分） 吴茱萸（三
分汤浸
七遍
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。以温酒下十丸。日三四
服。
胸痹且心下部位坚硬痞塞的症状，是由于脏腑功能失调，风冷邪气侵袭并注入手足三阴经的胸膈部位，导致经络气血壅滞涩阻，气机不能宣通所致，从而引起心中疼痛。
治疗胸痹，症见心下坚硬痞塞、胸背部拘急不适、心腹部气机不畅者，适宜服用此方。
药材：枳实（一两，用麦麸炒至微黄）、木香（半两）、前胡（一两，去除芦头）、陈橘皮（一两，用热水浸泡后去除白色瓤络，焙干）。
上列药物，捣碎过筛制成散剂。每次服用五钱，加水一大盏，放入生姜半分，煎煮至剩余五分药液，滤去药渣，温热后频繁服用。
治疗胸痹，症见心下坚硬痞塞、胸背部拘急疼痛、无法进食者，适宜服用此方。
药材：半夏（一两，用热水浸泡七遍以去除滑腻之性）、赤茯苓（三分）、白术（三分）、枳实（三分，用麦麸炒至微黄）、木香（三分）。
上列药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣，温热后频繁服用。
治疗胸痹，症见心下坚硬痞塞且拘急不舒的薏苡仁散方。
药材：薏苡仁（二两）、附子（二两，炮制裂开，去皮和脐部）、甘草（一两，炙至微红并锉碎）。
上列药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣，稍热时频繁服用。
治疗胸痹，症见心下坚硬痞塞、拘急不舒，气机结滞不通的方剂。
药材：枳壳（二两，用麦麸炒至微黄并去除瓤部）、桂心（一两）、前胡（一两，去除芦头）、半夏（一两，用热水浸泡七遍以去除滑腻之性）、浓朴（二两，去除粗皮，涂生姜汁炙烤至香气熟透）。
上列药物，捣碎过筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣，稍热时频繁服用。
治疗胸痹，症见心膈部位痞满胀闷、肩背部拘急疼痛的方剂。
药材：桂心（半两）、干姜（半两，炮制裂开并锉碎）、人参（三分，去除芦头）、细辛（三分）、吴茱萸（三分，用热水浸泡七遍）。
上列药物，捣碎研磨成粉末，用炼蜜调和，捣杵三五百次，制成如梧桐子大小的丸剂。每次服用，用温酒送服十丸，每日服用三到四次。
Chest bi (chest obstruction) accompanied by hardness and stuffiness in the epigastrium is caused by dysfunction of the zang-fu organs, where wind-cold pathogenic factors invade and accumulate in the chest and diaphragm. This leads to congestion and stagnation in the meridians and collaterals, obstructing the smooth flow of qi, resulting in pain in the heart region.
For treating chest bi with symptoms of hardness and stuffiness in the epigastrium, tension and discomfort in the chest and back, and stagnation in the heart and abdomen, this formula is indicated.
Ingredients: Zhi Shi (Immature Bitter Orange Fruit, 1 liang, stir-baked with bran until slightly yellow), Mu Xiang (Costus Root, 0.5 liang), Qian Hu (Peucedani Radix, 1 liang, radix removed), Chen Pi (Dried Tangerine Peel, 1 liang, soaked in hot water, white pith removed, dried).
The above ingredients are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 large cup of water and 0.5 fen of fresh ginger, decoct until 0.5 cup remains, strain, and take frequently while warm.
For treating chest bi with symptoms of hardness and stuffiness in the epigastrium, painful tension in the chest and back, and inability to eat, this formula is indicated.
Ingredients: Ban Xia (Pinellia Tuber, 1 liang, soaked in hot water seven times to remove slipperiness), Chi Fu Ling (Red Poria, 3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Zhi Shi (Immature Bitter Orange Fruit, 3 qian, stir-baked with bran until slightly yellow), Mu Xiang (Costus Root, 3 qian).
The above ingredients are crushed, sifted, and made into a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 fen of fresh ginger, decoct until 0.6 cup remains, strain, and take frequently while warm.
Yiyi Ren San (Coix Seed Powder) for treating chest bi with hardness and stuffiness in the epigastrium and tension.
Ingredients: Yi Yi Ren (Coicis Semen, 2 liang), Fu Zi (Prepared Aconite Lateralis Radix, 2 liang, processed until cracked, peel and umbilicus removed), Gan Cao (Licorice Root, 1 liang, honey-fried until slightly red and chopped).
The above ingredients are crushed, sifted, and made into a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 fen of fresh ginger, decoct until 0.6 cup remains, strain, and take frequently while slightly warm.
Formula for treating chest bi with hardness and stuffiness in the epigastrium, tension, and stagnant qi blockage.
Ingredients: Zhi Ke (Immature Bitter Orange Fruit, 2 liang, stir-baked with bran until slightly yellow, pith removed), Gui Xin (Cinnamon Twig Heart, 1 liang), Qian Hu (Peucedani Radix, 1 liang, radix removed), Ban Xia (Pinellia Tuber, 1 liang, soaked in hot water seven times to remove slipperiness), Hou Po (Magnolia Bark, 2 liang, coarse bark removed, coated with fresh ginger juice, fried until fragrant).
The above ingredients are crushed, sifted, and made into a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 fen of fresh ginger, decoct until 0.6 cup remains, strain, and take frequently while slightly warm.
Formula for treating chest bi with fullness and oppression in the chest and diaphragm, and painful tension in the shoulders and back.
Ingredients: Gui Xin (Cinnamon Twig Heart, 0.5 liang), Gan Jiang (Dried Ginger, 0.5 liang, processed until cracked and chopped), Ren Shen (Ginseng Radix, 3 qian, radix removed), Xi Xin (Asari Radix et Rhizoma, 3 qian), Wu Zhu Yu (Evodiae Fructus, 3 qian, soaked in hot water seven times).
The above ingredients are crushed, ground into fine powder, mixed with refined honey, and pounded three or five hundred times until uniform. Form pills the size of sophora seeds. Take 10 pills per dose with warm wine, three to four times daily.