夫胸痹心背痛者。由脏腑虚寒。风冷邪气。积聚在内。上攻胸中。而乘于心。正气与邪
气交
治胸痹。心痛背痛腹胀。气满不下食饮。吴茱萸散方。
吴茱萸（半两汤浸七遍焙干微炒） 桂心（半两） 高良姜（半两锉） 赤茯苓（一两）
当归
（一
上件药。捣细罗为散。每服。以热酒调下二钱。日三四服。
治胸痹。不得卧。心痛彻背方。
栝蒌（一枚） 桂心（三分） 半夏（一两汤洗七遍去滑）
上件药。捣筛为散。每服三钱。以浆水一中盏。入薤白七茎。生姜半分。煎至六分。去
滓。
治胸痹。心背痛。短气方。
细辛（半两） 甘草（半两炙微赤锉） 桂心（一两） 赤茯苓（一两） 熟干地黄（三
分） 枳
实（
上件药。捣细罗为散。每服。以热酒调下三（二）钱。日三四服。
治胸痹。心背痛。恶气所攻。音声闭塞方。
槟榔（一两） 桂心（半两）
上件药。捣细罗为散。不计时候。煎生姜童子小便。调下一钱。
又方。
川椒（三分去目及闭口者微炒去汗） 吴茱萸（一两） 桂心（一两） 桔梗（三分去
芦头）
豉（
上件药。捣细罗为散。不计时候。以温酒下一钱。
治胸痹。心背痛。气逆。胸膈不利。饮食难下。宜服此方。
甘草（三分） 桂心（三分） 川椒（三分去目及闭口者微炒去汗） 干姜（三分炮裂
锉） 细
辛（
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。以粥饮下三十丸。日三
四服
治胸痹。心背疼痛。气闷熨背散方。
细辛（二两） 附子（一两） 羌活（二两） 川椒（二两去目） 桂心（二两） 川
乌头（二两）
芎（二两）
上件药。捣筛为散。入少醋。拌炒令极热。分二处。用熟帛裹熨背。冷即换之。
胸痹伴随心痛、背痛的症状，是由于脏腑虚寒，风冷邪气积聚在体内，向上攻冲至胸中，并侵犯心脏所致。正气与邪气相互交争。
治疗胸痹，出现心痛、背痛、腹胀，气息壅满无法进食饮水的方剂：吴茱萸散方。
药材：吴茱萸（半两，用热水浸泡七遍，焙干后微炒）、桂心（半两）、高良姜（半两，锉碎）、赤茯苓（一两）、当归（一两）。
以上药材，捣碎过细罗成为散剂。每次服用二钱，用热酒调服，每日三到四次。
治疗胸痹，不能平卧，心痛放射至背部的方剂：
药材：栝蒌（一枚）、桂心（三分）、半夏（一两，用水清洗七遍以去除滑腻感）。
以上药材，捣碎筛成散剂。每次服用三钱，用浆水一中盏，加入薤白七茎、生姜半分，煎煮至剩余六分药液，滤去药渣。
治疗胸痹，心背痛，呼吸短促的方剂：
药材：细辛（半两）、甘草（半两，炙至微红并锉碎）、桂心（一两）、赤茯苓（一两）、熟干地黄（三分）、枳实（一两，麸炒至微黄）。
以上药材，捣碎过细罗成为散剂。每次服用三（或二）钱，用热酒调服，每日三到四次。
治疗胸痹，心背痛，被恶气攻冲，声音闭塞的方剂：
药材：槟榔（一两）、桂心（半两）。
以上药材，捣碎过细罗成为散剂。不拘时候，用生姜和童子小便煎汤，调服一钱。
又一方：
药材：川椒（三分，去掉目及闭口者，微炒去汗）、吴茱萸（一两）、桂心（一两）、桔梗（三分，去掉芦头）、豆豉（一两）。
以上药材，捣碎过细罗成为散剂。不拘时候，用温酒调服一钱。
治疗胸痹，心背痛，气逆，胸膈不畅，饮食难以下咽，适宜服用此方：
药材：甘草（三分）、桂心（三分）、川椒（三分，去掉目及闭口者，微炒去汗）、干姜（三分，炮裂并锉碎）、细辛（三分）。
以上药材，捣罗成为末，用炼蜜调和，捣击三五百下，制成如梧桐子大小的丸剂。每次服用三十丸，用米粥饮送服，每日三到四次。
治疗胸痹，心背疼痛，气闷，使用熨背散外敷的方剂：
药材：细辛（二两）、附子（一两）、羌活（二两）、川椒（二两，去掉目）、桂心（二两）、川乌头（二两）、川芎（二两）。
以上药材，捣碎筛成散剂，加入少量醋，拌炒至极热，分成两份，用熟绢包裹熨烫背部，变冷即更换。
Chest bi (obstruction of the chest) accompanied by heart pain and back pain is caused by deficiency-cold of the zang-fu organs, with wind-cold pathogenic factors accumulating internally. These pathogens attack upward to the chest and invade the Heart. The righteous qi (vital energy) and pathogenic qi interact and contend with each other.
Formula for treating chest bi, presenting with heart pain, back pain, abdominal distension, fullness of qi, and inability to eat or drink: Wuzhuyu San (Evodia Powder).
Herbs: Evodiae Fructus (Wuzhuyu, 吴茱萸) (ban liang, soaked in hot water seven times, dried by baking, and lightly stir-fried); Cinnamomi Cortex (Guixin, 桂心) (ban liang); Alpiniae Officinarum Rhizoma (Gaoliangjiang, 高良姜) (ban liang, chopped); Poria Cocos (Chifuling, 赤茯苓) (yi liang); Angelicae Sinensis Radix (Danggui, 当归) (yi liang).
The above herbs are finely ground into a powder. Each dose consists of two qian, taken with warm wine, three to four times daily.
Formula for treating chest bi, where the patient cannot lie down, and heart pain radiates to the back:
Herbs: Trichosanthis Fructus (Gualou, 栝蒌) (one fruit); Cinnamomi Cortex (Guixin, 桂心) (san fen); Pinelliae Rhizoma Preparatum (Banxia, 半夏) (yi liang, washed seven times in water to remove slipperiness).
The above herbs are ground and sifted into a powder. Each dose consists of three qian, decocted with one zhong of jiangshui (fermented grain liquid), adding seven stems of Allii Macrostemonis Bulbus (Xiebai, 薤白) and half a fen of Zingiberis Recens Rhizoma (Shengjiang, 生姜), until six parts remain. Strain and discard the dregs.
Formula for treating chest bi, presenting with heart and back pain, and shortness of breath:
Herbs: Asari Radix et Rhizoma (Xixin, 细辛) (ban liang); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (ban liang, honey-fried until slightly red and chopped); Cinnamomi Cortex (Guixin, 桂心) (yi liang); Poria Cocos (Chifuling, 赤茯苓) (yi liang); Rehmanniae Radix Praeparata (Shudihuang, 熟干地黄) (san fen); Aurantii Fructus Immaturus (Zhishi, 枳实) (yi liang, bran-fried until slightly yellow).
The above herbs are finely ground into a powder. Each dose consists of three (or two) qian, taken with warm wine, three to four times daily.
Formula for treating chest bi, presenting with heart and back pain, attacked by malignant qi, and blocked voice:
Herbs: Arecae Semen (Binglang, 槟榔) (yi liang); Cinnamomi Cortex (Guixin, 桂心) (ban liang).
The above herbs are finely ground into a powder. Take at any time, mixed with decoction of Zingiberis Recens Rhizoma (Shengjiang, 生姜) and infant urine, one qian per dose.
Another formula:
Herbs: Zanthoxyli Fructus (Chuanjiao, 川椒) (san fen, remove eyes and closed-mouth ones, lightly stir-fry to remove moisture); Evodiae Fructus (Wuzhuyu, 吴茱萸) (yi liang); Cinnamomi Cortex (Guixin, 桂心) (yi liang); Platycodonis Radix (Jiegeng, 桔梗) (san fen, remove rhizome head); Sojae Semen Preparatum (Chidou, 豉) (yi liang).
The above herbs are finely ground into a powder. Take at any time, mixed with warm wine, one qian per dose.
Formula suitable for treating chest bi, presenting with heart and back pain, rebellious qi, discomfort in the chest and diaphragm, and difficulty swallowing food:
Herbs: Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (san fen); Cinnamomi Cortex (Guixin, 桂心) (san fen); Zanthoxyli Fructus (Chuanjiao, 川椒) (san fen, remove eyes and closed-mouth ones, lightly stir-fry to remove moisture); Zingiberis Rhizoma Recens (Ganjiang, 干姜) (san fen, processed until cracked and chopped); Asari Radix et Rhizoma (Xixin, 细辛) (san fen).
The above herbs are ground into powder, mixed with refined honey, and pounded three to five hundred times until pills the size of Sophora japonica seeds are formed. Each dose consists of thirty pills, taken with rice gruel, three to four times daily.
Formula for treating chest bi, presenting with heart and back pain, stifling sensation of qi, using external application powder for back moxibustion/ironing:
Herbs: Asari Radix et Rhizoma (Xixin, 细辛) (er liang); Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (yi liang); Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (er liang); Zanthoxyli Fructus (Chuanjiao, 川椒) (er liang, remove eyes); Cinnamomi Cortex (Guixin, 桂心) (er liang); Aconiti Radix (Chuanwutou, 川乌头) (er liang); Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) (er liang).
The above herbs are ground and sifted into a powder, mixed with a small amount of vinegar, and stir-fried until extremely hot. Divide into two portions, wrap in cooked silk, and apply to the back as a hot compress. Replace when cold.