夫胸痛者，胸痹之类也，此由体虚挟风，又遇寒气加之。则胸膺两乳间刺痛，甚则引背，
或
方
桔梗黄 汤 治胸痹。
桔梗（炒二两） 黄 沉香 当归（切焙各二两） 芎 人参 甘草 紫苏叶（各
半两）上
熨背散（出《千金方》）治胸痹，心背疼痛气闷。
乌头 细辛 附子 羌活 蜀椒 桂心（各五分） 芎 （一两六铢） 上治下筛，以
少醋拌，
紫菀丸 治两胁连心及肩痛，乍发乍止。
紫菀（去土） 木香（各二两） 当归（焙干） 白术（各一两） 桔梗（炒） 郁李
仁（汤去皮尖双
心槟榔汤下二十丸
吴茱萸散（出《圣惠方》）治胸痹，心背痛，腹胀气满，不下食。
吴茱萸（汤浸七次焙切细炒） 桂心 高良姜（各半两） 赤茯苓 陈橘皮（汤浸去白
瓤焙） 当
白术枳实散 治胸痛。
枳实（去瓤麸炒） 陈橘（微炒） 白术（各一两） 上为细末，每服二钱，温酒调下，
日三服。
栝蒌散（出《圣惠方》）治心痹不得卧，心痛彻背。
栝蒌（一枚） 桂心（一两去粗皮） 上为散，每服二钱，温酒橘皮调下汤，亦可，空
心，卧时
枳实散 治胸痛。
枳实 桂（去粗皮各等分） 上为细散，每服二钱，米饮调下，日三服。
槟榔散（出《圣惠方》）治胸痹心背痛，恶气所攻，音声闭塞。
槟榔（一两） 桂心（半两） 上为细散，不计时候，煎生姜童子小便，调下一钱。
薏苡根饮 治卒苦烦胸痛。
上以薏苡根 咀，如麻豆大，每服五钱，水一盏半，煎至一盏，去滓温服。
栝蒌丸（出《肘后方》）治胸膈痛彻背，心腹痞满，气不得通，治痰嗽。
上以栝蒌去瓤取子，熟炒别研，和子瓤面糊为丸，如梧桐子大，米饮下十五丸。
胸痛，属于胸痹这一类病证。这是由于人体正气虚弱兼夹风邪，又遭遇寒气侵袭所致。表现为胸膺部及两乳之间出现刺痛，严重时疼痛会牵引至背部。
桔梗黄汤：治疗胸痹。
处方组成：桔梗（炒制二两）、黄芩、沉香、当归（切段焙干各二两）、川芎、人参、甘草、紫苏叶（各半两）。上药捣筛为散，用醋拌和，煎煮后服用。
熨背散（出自《千金方》）：治疗胸痹，心背部疼痛且气机闷塞。
处方组成：乌头、细辛、附子、羌活、蜀椒、桂心（各五分）、川芎（一两六铢）。上药研碎过筛，用少量醋拌匀，加热后熨烫背部。
紫菀丸：治疗两侧胁肋部牵连心脏及肩部疼痛，疼痛时发时止。
处方组成：紫菀（去土）、木香（各二两）、当归（焙干）、白术（各一两）、桔梗（炒制）、郁李仁（热水去皮尖，双仁者减半）。上药研末，以心槟榔汤送服二十丸。
吴茱萸散（出自《圣惠方》）：治疗胸痹，心背部疼痛，腹部胀满气滞，无法进食。
处方组成：吴茱萸（用汤水浸泡七次，焙干切细炒制）、桂心、高良姜（各半两）、赤茯苓、陈橘皮（汤水浸泡去白瓤焙干）、当归。上药研末，每次服用二钱，温酒调下，每日三次。
白术枳实散：治疗胸痛。
处方组成：枳实（去瓤麸炒）、陈橘（微炒）、白术（各一两）。上药研为细末，每次服用二钱，用温酒调服，每日三次。
栝蒌散（出自《圣惠方》）：治疗心痹导致不能平卧，心痛放射至背部。
处方组成：栝蒌（一枚）、桂心（一两，去粗皮）。上药研为散剂，每次服用二钱，用温酒或橘皮汤调服，空腹或睡前服用。
枳实散：治疗胸痛。
处方组成：枳实、桂枝（去粗皮，各等分）。上药研为细散，每次服用二钱，用米饮调服，每日三次。
槟榔散（出自《圣惠方》）：治疗胸痹伴心背部疼痛，受恶气攻冲，声音闭塞。
处方组成：槟榔（一两）、桂心（半两）。上药研为细散，不拘时候，煎生姜童子小便，调服一钱。
薏苡根饮：治疗突然发生的剧烈烦闷胸痛。
用法：取薏苡根切碎如麻豆大小，每次服用五钱，加水一盏半，煎至一盏，去渣温服。
栝蒌丸（出自《肘后方》）：治疗胸膈疼痛放射至背部，心腹痞满，气机不通，治疗痰嗽。
用法：取栝蒌去瓤取子，熟炒后单独研磨，与子瓤混合，用面糊制成梧桐子大小的丸剂，米饮送服十五丸。
Chest pain belongs to the category of chest bi (obstruction syndrome in the chest). This condition arises from a deficiency of the body's healthy qi combined with wind pathogens, further aggravated by cold pathogenic factors. It manifests as stabbing pain between the chest and the area between the two breasts, which may radiate to the back in severe cases.
Jiegeng Huang Tang (Platycodon and Scutellaria Decoction): Treats chest bi.
Ingredients: Jie Geng (Radix Platycodonis, stir-fried, 2 liang), Huang Qin (Radix Scutellariae), Chen Xiang (Lignum Aquilariae Resin), Dang Gui (Radix Angelicae Sinensis, sliced and roasted, 2 liang each), Chuan Xiong (Rhizoma Chuanxiong), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae), Zi Su Ye (Folium Perillae, 0.5 liang each). The above herbs are processed into powder, mixed with a small amount of vinegar, decocted, and taken orally.
Yi Bei San (Back-Irrigating Powder) (from *Qianjin Fang*): Treats chest bi characterized by pain in the heart and back accompanied by Qi stagnation.
Ingredients: Wu Tou (Radix Aconiti Lateralis Preparata), Xi Xin (Herba Asari), Fu Zi (Radix Aconiti Lateralis Preparata), Qiang Huo (Rhizoma Notopterygii), Shu Jiao (Pericarpium Zanthoxyli), Gui Xin (Cortex Cinnamomi, 0.5 fen each), Chuan Xiong (1 liang 6 zhu). The above herbs are crushed, sifted, mixed with a little vinegar, heated, and applied to the back for irrigation therapy.
Zi Wan Wan (Aster Pill): Treats pain connecting the costal regions to the heart and shoulders, occurring intermittently.
Ingredients: Zi Wan (Radix Asteris, cleaned of soil), Mu Xiang (Radix Aucklandiae, 2 liang each), Dang Gui (Radix Angelicae Sinensis, roasted dry), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang each), Jie Geng (Radix Platycodonis, stir-fried), Yu Li Ren (Semen Pruni, peeled and pitted in hot water, halved if double-embryoned). Process into powder, take 20 pills with Xin Bing Lang Tang (Areca Seed Decoction).
Wu Zhu Yu San (Evodia Powder) (from *Sheng Hui Fang*): Treats chest bi with heart and back pain, abdominal distension and Qi fullness, and inability to eat.
Ingredients: Wu Zhu Yu (Fructus Evodiae, soaked seven times in boiling water, roasted, sliced finely), Gui Xin (Cortex Cinnamomi), Gao Liang Jiang (Rhizoma Alpiniae Officinarum, 0.5 liang each), Chi Fu Ling (Poria Cocos with Red Skin), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, roasted), Dang Gui (Radix Angelicae Sinensis). Process into powder, take 2 qian each time, mixed with warm wine, three times daily.
Bai Zhu Zhi Shi San (Atractylodes Magna and Immature Bitter Orange Powder): Treats chest pain.
Ingredients: Zhi Shi (Fructus Aurantii Immaturus, pith removed, stir-fried with bran), Chen Ju (Pericarpium Citri Reticulatae, lightly stir-fried), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang each). Process into fine powder, take 2 qian each time, mixed with warm wine, three times daily.
Gua Lou San (Trichosanthes Powder) (from *Sheng Hui Fang*): Treats xin bi (heart obstruction) preventing lying down, with heart pain radiating to the back.
Ingredients: Gua Lou (Fructus Trichosanthis, one fruit), Gui Xin (Cortex Cinnamomi, 1 liang, coarse bark removed). Process into powder, take 2 qian each time, mixed with warm wine or orange peel decoction, taken on an empty stomach or before bed.
Zhi Shi San (Immature Bitter Orange Powder): Treats chest pain.
Ingredients: Zhi Shi (Fructus Aurantii Immaturus), Gui (Ramulus Cinnamomi, coarse bark removed, equal parts). Process into fine powder, take 2 qian each time, mixed with rice drink, three times daily.
Bing Lang San (Areca Seed Powder) (from *Sheng Hui Fang*): Treats chest bi with heart and back pain, attacked by evil Qi, resulting in blocked voice.
Ingredients: Bing Lang (Semen Arecae, 1 liang), Gui Xin (Cortex Cinnamomi, 0.5 liang). Process into fine powder, at any time, decoct fresh ginger and urine of a young boy, mix with 1 qian of powder and take.
Yi Yi Gen Yin (Coix Root Drink): Treats sudden severe distress and chest pain.
Usage: Cut Yi Yi Gen (Radix Coicis) into pieces the size of hemp seeds. Take 5 qian each time, add 1.5 sheng of water, decoct until 1 sheng remains, remove dregs, and take warm.
Gua Lou Wan (Trichosanthes Pill) (from *Zhou Hou Fang*): Treats chest and diaphragm pain radiating to the back, epigastric and abdominal fullness, Qi obstruction, and phlegm cough.
Usage: Remove the pith from Gua Lou (Fructus Trichosanthis) and extract the seeds. Roast thoroughly and grind separately. Mix with the seed pulp and use wheat starch paste to form pills the size of paulownia seeds. Take 15 pills with rice drink.