栝蒌薤白白酒汤(金匮) 治胸痹喘息。咳唾胸背痛。
栝蒌实(一枚。捣) 薤白(三两) 白酒(七升)
上三味。合煮取二升。分温再服。
栝蒌薤白半夏汤(金匮) 治胸痹不得卧。心痛彻背。
栝蒌实(一枚。捣) 薤白(一两) 半夏(二两) 白酒(一斗。)
上四味。合煮取四升。温服一升。日三服。(千金。无白酒。多枳实生姜)
枳实薤白桂枝汤(金匮) 治胸痹心中痞结。胁下逆抢心。
枳实(四枚) 浓朴(一两二钱) 薤白(三两) 桂枝(三钱) 栝蒌实(一枚。捣)
上五味。以水五升。先煮枳实、浓朴取二升。去滓。纳诸药。煮数沸。分温三服。
茯苓杏仁甘草汤(金匮) 治胸痹窒塞短气。
茯苓(一两) 杏仁(五十个。研) 甘草(炙。三钱)
上三味。以水一斗。煮取五升。温服一升。日三服。
橘皮枳实生姜汤(金匮) 治胸痹胸中 如满。噎塞习习如痒。喉中涩燥吐沫。
橘皮(一两) 枳实(二枚) 生姜(一两)
上三味。以水五升。煮取二升。分温再服。
薏苡附子散(金匮) 治胸痹缓急。
薏苡仁(五两) 大附子(一枚。炮)
上二味。杵为散。服方寸匕。日三服。
桂枝生姜枳实汤(金匮) 治心中痞逆心悬痛。
桂枝 生姜(各一两) 枳实(五枚。切)
上三味。以水六升。煮取三升。分温。日三服。
乌头赤石脂丸(金匮) 治心痛彻背。背痛彻心。
蜀椒(熬。去汗。) 赤石脂(各二两) 乌头(一枚。炮) 附子(一枚。炮) 干姜(
一两。炮)
上五味。为末。蜜丸梧子大。先食服十丸。日三服。不知。稍加服。
千金细辛散 治胸痹达背痛。
细辛 甘草(各六钱) 枳实 生姜 栝蒌实 干地黄 白术(各一两)
桂心 茯苓(各两半)
上九味。为散。酒服方寸匕。
前胡汤(千金) 治胸中逆气。心痛彻背。少气不食。
前胡 桂心 半夏 芍药(各二钱) 黄芩 当归 人参
甘草(各一钱) 生姜(三片) 大枣(三枚) 竹叶(一握)
上十一味。水煎。去滓。日三服。(一方。无竹叶。多茯苓麦门冬胶饴) 方以前胡取名。取
其下气。气下则寒热诸邪。解散无余。并开通经络。使气从外分解。心手之灵若此。非拘于绳墨者
之可测识也。
下气汤(千金) 治胸腹闭满。上气喘息。
杏仁 大腹槟榔
上二味。 咀。以童子小便煎。日再服。
熨背法(千金) 治胸背疼痛而闷。
乌头 细辛 附子 羌活 蜀椒 桂心(各钱半) 芎 (一钱)
上七味。为末。帛裹。微火炙令暖以熨背上。取瘥止。慎生冷物。
治中汤(理中汤下) 人参汤(即理中汤方祖) 生姜半夏汤(二陈汤下)
栝蒌薤白白酒汤(出自《金匮要略》):治疗胸痹(胸部闷痛为主的病证)伴有喘息、咳嗽吐痰、胸背疼痛。
配方:栝蒌实(一枚,捣碎),薤白(三两),白酒(七升)。
以上三味药,混合煎煮,取药液二升,分两次温服。
栝蒌薤白半夏汤(出自《金匮要略》):治疗胸痹导致无法平卧,心痛放射至背部。
配方:栝蒌实(一枚,捣碎),薤白(一两),半夏(二两),白酒(一斗)。
以上四味药,混合煎煮,取药液四升,每次温服一升,每日服用三次。(《千金方》中无白酒,多加枳实和生姜。)
枳实薤白桂枝汤(出自《金匮要略》):治疗胸痹伴有心下痞塞结聚感,胁下气逆冲心。
配方:枳实(四枚),浓朴(一两二钱),薤白(三两),桂枝(三钱),栝蒌实(一枚,捣碎)。
以上五味药,用水五升,先煎煮枳实和浓朴,取药液二升,去渣,加入其余药物,煮沸数沸,分三次温服。
茯苓杏仁甘草汤(出自《金匮要略》):治疗胸痹导致的胸中窒塞感、呼吸短促。
配方:茯苓(一两),杏仁(五十个,研碎),甘草(炙过,三钱)。
以上三味药,用水一斗,煎煮取药液五升,每次温服一升,每日服用三次。
橘皮枳实生姜汤(出自《金匮要略》):治疗胸痹导致胸中胀满如堵,咽喉噎塞不适,喉咙干燥涩痛并吐唾沫。
配方:橘皮(一两),枳实(二枚),生姜(一两)。
以上三味药,用水五升,煎煮取药液二升,分两次温服。
薏苡附子散(出自《金匮要略》):治疗胸痹病情时缓时急。
配方:薏苡仁(五两),大附子(一枚,炮制)。
以上两味药,捣碎成散剂,每次服用一方寸匕,每日服用三次。
桂枝生姜枳实汤(出自《金匮要略》):治疗心下痞塞、气逆上冲及悬吊样疼痛。
配方:桂枝、生姜(各一两),枳实(五枚,切片)。
以上三味药,用水六升,煎煮取药液三升,分次温服,每日服用三次。
乌头赤石脂丸(出自《金匮要略》):治疗心痛放射至背部,背痛放射至心脏。
配方:蜀椒(炒去汗)、赤石脂(各二两),乌头(一枚,炮制),附子(一枚,炮制),干姜(一两,炮制)。
以上五味药,研为细末,用蜂蜜制成梧桐子大小的丸剂,饭前服用十丸,每日三次。若无效,可稍增加剂量。
千金细辛散:治疗胸痹疼痛放射至背部。
配方:细辛、甘草(各六钱),枳实、生姜、栝蒌实、干地黄、白术(各一两),桂心、茯苓(各一两半)。
以上九味药,研为散剂,用酒送服一方寸匕。
前胡汤(出自《千金方》):治疗胸中气逆,心痛放射至背部,气短食欲不振。
配方:前胡、桂心、半夏、芍药(各二钱),黄芩、当归、人参、甘草(各一钱),生姜(三片),大枣(三枚),竹叶(一把)。
以上十一味药,水煎,去渣,每日服用三次。(另一版本无竹叶,多加茯苓、麦门冬和胶饴。)此方以前胡命名,取其降气之功,气降则寒热等邪气解散无余,并开通经络,使气从外部分解消散,心与手少阴经的灵妙作用如此,非拘泥于常规法度者所能测度。
下气汤(出自《千金方》):治疗胸腹闭塞胀满,气逆喘息。
配方:杏仁、大腹槟榔。
以上两味药,切碎,用童子小便煎煮,每日服用两次。
熨背法(出自《千金方》):治疗胸背疼痛且伴有闷感。
配方:乌头、细辛、附子、羌活、蜀椒、桂心(各一钱半),川芎(一钱)。
以上七味药,研为细末,用丝绸包裹,在微火上加热至温暖后熨烫背部,症状缓解即止。忌食生冷食物。
Guilou Xiebai Baijiu Decoction (from *Jin Gui Yao Lue*): Treats chest bi syndrome (a disease characterized by chest stuffiness and pain) with wheezing, coughing and expectoration, and chest and back pain.
Ingredients: Fructus Trichosanthis (one piece, crushed), Rhizoma Allii Macrostemonis (three liang), White wine (seven sheng).
Take the above three ingredients, decoct together to obtain two sheng of liquid, divide into two doses, and take warm.
Guilou Xiebai Banxia Decoction (from *Jin Gui Yao Lue*): Treats chest bi syndrome where the patient cannot lie flat, and heart pain radiating to the back.
Ingredients: Fructus Trichosanthis (one piece, crushed), Rhizoma Allii Macrostemonis (one liang), Rhizoma Pinelliae Preparatum (two liang), White wine (one dou).
Take the above four ingredients, decoct together to obtain four sheng of liquid, take one sheng warm each time, three times a day. (*Qian Jin Fang* omits white wine and adds Zhi Shi and Sheng Jiang.)
Zhishi Xiebai Guizhi Decoction (from *Jin Gui Yao Lue*): Treats chest bi syndrome with epigastric fullness and stagnation, and qi counterflow from the hypochondrium rushing to the heart.
Ingredients: Fructus Aurantii Immaturus (four pieces), Cortex Magnoliae Officinalis (one liang two qian), Rhizoma Allii Macrostemonis (three liang), Ramulus Cinnamomi (three qian), Fructus Trichosanthis (one piece, crushed).
Take the above five ingredients, add five sheng of water, first decoct Zhishi and Houpo to obtain two sheng, remove dregs, add remaining herbs, boil for a few more boils, divide into three doses, and take warm.
Fuling Xingren Gancao Decoction (from *Jin Gui Yao Lue*): Treats chest bi syndrome causing chest obstruction and shortness of breath.
Ingredients: Poria (one liang), Semen Armeniacae Amarum (fifty pieces, ground), Radix Glycyrrhizae Praeparata cum Melle (three qian, honey-fried).
Take the above three ingredients, add one dou of water, decoct to obtain five sheng, take one sheng warm each time, three times a day.
Jupi Zhishi Shengjiang Decoction (from *Jin Gui Yao Lue*): Treats chest bi syndrome causing chest fullness as if blocked, throat obstruction with itching sensation, dryness and astringency in the throat with salivation.
Ingredients: Pericarpium Citri Reticulatae (one liang), Fructus Aurantii Immaturus (two pieces), Rhizoma Zingiberis Recens (one liang).
Take the above three ingredients, add five sheng of water, decoct to obtain two sheng, divide into two doses, and take warm.
Yiyi Fuzi San (from *Jin Gui Yao Lue*): Treats chest bi syndrome with alternating severity.
Ingredients: Semen Coicis (five liang), Radix Aconiti Lateralis Preparata (one large piece, processed).
Take the above two ingredients, pound into powder, take one fangcun bi per dose, three times a day.
Guizhi Shengjiang Zhishi Decoction (from *Jin Gui Yao Lue*): Treats epigastric fullness, rebellious qi, and hanging pain.
Ingredients: Ramulus Cinnamomi, Rhizoma Zingiberis Recens (each one liang), Fructus Aurantii Immaturus (five pieces, sliced).
Take the above three ingredients, add six sheng of water, decoct to obtain three sheng, divide into doses, take warm, three times a day.
Wutou Chishizhi Wan (from *Jin Gui Yao Lue*): Treats heart pain radiating to the back, and back pain radiating to the heart.
Ingredients: Fructus Schisandrae (stir-fried to remove moisture), Lapis Kaolinii (each two liang), Radix Aconiti (one piece, processed), Radix Aconiti Lateralis Preparata (one piece, processed), Rhizoma Zingiberis Secatus (one liang, processed).
Take the above five ingredients, grind into fine powder, make pills the size of wutong seeds, take ten pills before meals, three times a day. If ineffective, slightly increase the dosage.
Qianjin Xixin San: Treats chest bi syndrome with pain radiating to the back.
Ingredients: Radix Bupleuri (Liqian), Radix Glycyrrhizae (Liqian), Fructus Aurantii Immaturus, Rhizoma Zingiberis Recens, Fructus Trichosanthis, Radix Rehmanniae Preparata, Rhizoma Atractylodis Macrocephalae (each one liang), Cortex Cinnamomi, Poria (each one liang half).
Take the above nine ingredients, grind into powder, take one fangcun bi with wine.
Qianhu Tang (from *Qian Jin Fang*): Treats rebellious qi in the chest, heart pain radiating to the back, shortness of breath, and loss of appetite.
Ingredients: Radix Peucedani, Cortex Cinnamomi, Rhizoma Pinelliae Preparatum, Radix Paeoniae Alba (each two qian), Radix Scutellariae, Radix Angelicae Sinensis, Radix Ginseng, Radix Glycyrrhizae (each one qian), Rhizoma Zingiberis Recens (three slices), Fructus Jujubae (three pieces), Folium Bambusae (one handful).
Take the above eleven ingredients, decoct in water, remove dregs, take three times a day. (Another version omits Zhuye and adds Poria, Radix Ophiopogonis, and Yi Tang.) This formula is named after Qianhu for its ability to direct qi downward; when qi descends, cold-heat pathogens are dispersed completely, meridians are opened, allowing qi to dissipate externally. The spiritual efficacy of the Heart and Hand-Shaoyin meridians is thus manifested, which cannot be measured by those confined to rigid rules.
Xiaqi Tang (from *Qian Jin Fang*): Treats chest and abdominal closure and fullness, with rebellious qi and wheezing.
Ingredients: Semen Armeniacae Amarum, Fructus Arecae Cum Caulice.
Take the above two ingredients, chop, decoct in urine of a young boy, take twice a day.
Wibeiping Method (from *Qian Jin Fang*): Treats chest and back pain with stifling sensation.
Ingredients: Radix Aconiti, Radix Bupleuri (Liqian), Radix Aconiti Lateralis Preparata, Radix Notopterygii, Fructus Schisandrae, Cortex Cinnamomi (each one qian half), Radix Ligustici Chuanxiong (one qian).
Take the above seven ingredients, grind into powder, wrap in silk, heat gently over a low fire until warm, and apply as a hot compress to the back. Stop when healed. Avoid raw and cold foods.
Zhizhong Tang (listed under Lizhong Tang), Ren Shen Tang (the ancestral formula of Lizhong Tang), Shengjiang Banxia Tang (listed under Erchen Tang).