夫寒气客于五脏六腑。因虚而发。上冲于胸间。则为胸痹。胸痹之候者。胸中 如满。
噎
仰
而
治胸痹喘急不通。利膈散方。
人参（一两去芦头） 前胡（一两去芦头） 甘草（半两炙微赤锉） 诃黎勒皮（三分）
陈
橘皮（
（一两）
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。
治胸痹疼痛痰逆。心膈不利方。
栝蒌（一枚） 枳实（一两麸炒微黄） 半夏（一两汤洗七遍去滑）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。薤白五茎。煎至五分。去滓。
温
又方。
枳实（一两麸炒微黄） 浓朴（一两去粗皮涂生姜汁炙令香熟） 桂心（三分） 栝蒌
（一枚）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。薤白五茎。煎至五分。去滓。
温
治胸痹壅闷。麝香丸方。
麝香（一分细研） 牛膝（一两去苗） 犀角屑（半两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每服。以橘皮汤下二十丸。日三四服。
治胸痹。胸中 如满。噎塞如痹。咽喉中涩。唾沫方。
陈橘皮（二两汤浸去白瓤焙） 枳壳（二两麸炒微黄去瓤）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。温温频
服。
治胸痹。强急疼痛方。
雄黄（半两细研） 巴豆（一分去皮心研纸裹压去油）
上件药。同研令细。用软饭和丸。如绿豆大。每服。以生姜橘皮汤下五丸。
治胸痹。气壅满闷。心膈不利方。
枳实（二两麸炒微黄）
上件药。捣细罗为散。不计时候。以清粥饮调下二钱。
治胸痹已瘥。复更发者。宜服此方。
薤根（二斤净洗去土）
上捣绞取汁。温服一小盏。立愈。
寒气侵入五脏六腑，因正气虚弱而发作，向上冲逆至胸间，便形成胸痹。胸痹的症状表现为：胸部胀满感，咽喉噎塞，仰面喘息且呼吸急促不通畅。
治疗胸痹喘急不通的利膈散方：
人参（一两，去芦头）、前胡（一两，去芦头）、甘草（半两，炙至微红并锉碎）、诃黎勒皮（三分）、陈橘皮（一两）。
以上药材，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，温服，频频饮用。
治疗胸痹疼痛、痰气上逆、心膈部不适的方剂：
栝蒌（一枚）、枳实（一两，麸炒至微黄）、半夏（一两，用水洗净七遍以去除滑腻感）。
以上药材，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、薤白五茎，煎煮至剩余五分药液，滤去药渣，温服。
又一方：
枳实（一两，麸炒至微黄）、浓朴（一两，去粗皮，涂生姜汁炙至香气透熟）、桂心（三分）、栝蒌（一枚）。
以上药材，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、薤白五茎，煎煮至剩余五分药液，滤去药渣，温服。
治疗胸痹壅闷感的麝香丸方：
麝香（一分，细研）、牛膝（一两，去苗）、犀角屑（半两）。
以上药材，捣碎研磨成粉末，用炼蜜调和制成丸剂，大小如梧桐子。每次服用二十丸，用橘皮汤送服，每日三至四次。
治疗胸痹，胸部胀满如堵，咽喉噎塞似痹阻，咽喉干燥涩痛，多唾沫的方剂：
陈橘皮（二两，热水浸泡后去掉白色瓤部焙干）、枳壳（二两，麸炒至微黄并去掉瓤部）。
以上药材，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，共同煎煮至剩余六分药液，滤去药渣，温服，频频饮用。
治疗胸痹，身体强直拘急疼痛的方剂：
雄黄（半两，细研）、巴豆（一分，去皮去心，研烂后用纸包裹压去油质）。
以上药材，共同研磨极细，用软米饭调和制成丸剂，大小如绿豆。每次服用五丸，用生姜橘皮汤送服。
治疗胸痹，气机壅滞胀闷，心膈部不适的方剂：
枳实（二两，麸炒至微黄）。
以上药材，捣碎细罗制成散剂。不拘时候，用清粥饮调下二钱。
Cold pathogenic factors invade the five zang organs and six fu organs. Due to deficiency, the condition manifests as upward rushing to the chest region, resulting in Chest Bi (Chest Obstruction). The manifestations of Chest Bi include a sensation of fullness in the chest, dysphagia (difficulty swallowing), and仰ine posture with wheezing and urgent breathing obstruction.
Li Ge San (Diaphragm-Opening Powder) for treating Chest Bi with urgent breathing obstruction:
Ren Shen (Ginseng Radix, 1 liang, remove rhizome head), Qian Hu (Peucedani Radix, 1 liang, remove rhizome head), Gan Cao (Licorice Root, 0.5 liang, honey-fried until slightly red and chopped), He Li Le Pi (Pericarpium Chebulae, 3 fen), Chen Ju Pi (Aged Tangerine Peel, 1 liang).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water and 0.5 fen of fresh ginger, decoct until 0.5 zhan remains, filter out the dregs, and take warm frequently.
Formula for treating Chest Bi with pain, rebellious phlegm qi, and discomfort in the heart and diaphragm:
Gua Lou (Trichosanthes Fruit, 1 piece), Zhi Shi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Ban Xia (Pinellia Tuber, 1 liang, washed seven times with water to remove slipperiness).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water, 0.5 fen of fresh ginger, and 5 stalks of Xie Bai (Allium Macrostemon Bulb), decoct until 0.5 zhan remains, filter out the dregs, and take warm.
Another formula:
Zhi Shi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Hou Po (Magnolia Bark, 1 liang, remove coarse bark, coat with fresh ginger juice, fry until fragrant and cooked), Gui Xin (Cinnamon Twig Heart, 3 fen), Gua Lou (Trichosanthes Fruit, 1 piece).
The above herbs are crushed, sifted, and made into a powder. Take 5 qian per dose, add 1 da zhan of water, 0.5 fen of fresh ginger, and 5 stalks of Xie Bai (Allium Macrostemon Bulb), decoct until 0.5 zhan remains, filter out the dregs, and take warm.
She Xiang Wan (Musk Pill) for treating Chest Bi with stagnation and oppression:
She Xiang (Musk, 1 fen, finely ground), Niu Xi (Achyranthes Root, 1 liang, remove seedlings), Xi Jiao Xie (Rhinoceros Horn Shavings, 0.5 liang).
The above herbs are crushed, sieved into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, administered with Chen Pi Decoction (Tangerine Peel Decoction), three to four times daily.
Formula for treating Chest Bi with chest fullness like blockage, throat obstruction resembling Bi syndrome, dry and astringent throat, and excessive saliva:
Chen Ju Pi (Aged Tangerine Peel, 2 liang, soaked in hot water, remove white pith, bake), Zhi Ke (Bitter Orange, 2 liang, bran-fried until slightly yellow, remove pith).
The above herbs are crushed, sifted, and made into a powder. Take 3 qian per dose, add 1 zhong zhan of water and 0.5 fen of fresh ginger, decoct together until 0.6 zhan remains, filter out the dregs, and take warm frequently.
Formula for treating Chest Bi with stiffness, urgency, and pain:
Xiong Huang (Realgar, 0.5 liang, finely ground), Ba Dou (Croton Seed, 1 fen, remove skin and heart, grind, wrap in paper, press to remove oil).
The above herbs are ground together until fine, mixed with soft rice to form pills the size of mung beans. Take 5 pills per dose, administered with Fresh Ginger and Tangerine Peel Decoction.
Formula for treating Chest Bi with qi stagnation, fullness, oppression, and discomfort in the heart and diaphragm:
Zhi Shi (Immature Bitter Orange, 2 liang, bran-fried until slightly yellow).
The above herb is crushed, finely sieved, and made into a powder. Take 2 qian at any time, mixed with clear porridge drink.
For cases where Chest Bi symptoms have subsided but recur, this formula is suitable:
Xie Gen (Allium Macrostemon Root, 2 jin, clean and wash to remove soil).
Crush and squeeze to extract juice. Take 1 small zhan warm, and recovery will be immediate.