治悲哀烦恼伤肝气，至两胁骨疼，筋脉紧急，腰脚重滞，两股筋急，两胁牵痛，四肢不
能举，渐至脊膂挛急。此药大治胁痛。
枳壳（去穣，麸炒黄） 细辛（去叶） 桔梗（炒） 防风（去钗股） 川芎（各四两）
葛根（
一两半） 甘草（二两，炙）
上粗末，每服四钱，水一盏半，姜三片，煎至七分，去滓，空心食前温服。
治胁痛如前，兼去手足枯悴。
薏苡仁（一两） 石斛（用细者，去根，净洗，细锉，三分） 附子（半两，炮，去皮
脐）
牛膝（酒浸，水洗，焙
穣，麸
炒黄） 细辛（去叶）
上细末，炼蜜丸如梧子大，每服三四十丸，酒吞下，空心食前，日三服。丸子可食前，
煮散可食后，相兼服为佳。
治因惊伤肝，胁骨里疼痛不已。
枳壳（一两，小者，去穣，麸炒黄） 桂枝（去皮，半两，不见火）
上细末，每服二钱，姜枣汤调下。
治胁下疼痛不可忍，兼治脚弱。
川芎（洗） 干葛 桂枝（去皮，不见火） 细辛（去叶） 枳壳（去穣，麸炒黄） 人
参（去
芦） 芍药 麻黄（去节） 防风（去钗股，各半两） 甘草（一分，炙）
上粗末，每服五钱，水二盏，生姜三片，同煎至七分，去滓，温服，日三服。有汗避风
《沈存中良方》载∶顷在建康。医者王琪言∶诸气唯膀胱气胁下痛最难治，谓神保丸能
治之。熙宁中病项筋痛，诸医皆作风治之，数月不瘥，乃流入背膂，久之又注右臂，挛痛甚
苦。忆琪
治疗因悲哀烦恼损伤肝气，导致两胁骨骼疼痛，筋脉拘急紧张，腰脚沉重滞涩，大腿两侧筋脉拘急，两胁牵引作痛，四肢无法抬起，逐渐发展到脊背肌肉痉挛拘急。此药对治疗胁痛有显著疗效。
枳壳（去除瓤，用麦麸炒至黄色） 细辛（去除叶片） 桔梗（炒制） 防风（去除类似钗股的硬梗） 川芎（各四两）
葛根（一两半） 甘草（二两，蜜炙）
将上述药材捣成粗末，每次服用四钱，加水一盏半，生姜三片，煎煮至七分水量，滤去药渣，空腹、饭前温服。
治疗胁痛如前述症状，兼治手足干枯憔悴。
薏苡仁（一两） 石斛（选用细长的，去除根部，洗净，切碎，三分） 附子（半两，炮制，去皮和脐）
牛膝（酒浸，水洗，焙干，去除瓤，用麦麸炒黄） 细辛（去除叶片）
将上述药材研成细末，用炼蜜制成梧桐子大小的丸剂，每次服用三四十丸，用酒送下，空腹、饭前服用，每日三次。丸剂适合饭前服用，煮散（粗末煎剂）适合饭后服用，配合服用效果更佳。
治疗因受惊伤及肝气，胁骨内部疼痛不止。
枳壳（一两，选小的，去除瓤，用麦麸炒黄） 桂枝（去除外皮，半两，不经过火烤）
将上述药材研成细末，每次服用二钱，用姜枣汤调服。
治疗胁下疼痛难以忍受，兼治下肢软弱无力。
川芎（清洗） 干葛（葛根） 桂枝（去除外皮，不经过火烤） 细辛（去除叶片） 枳壳（去除瓤，用麦麸炒黄） 人参（去除芦头） 芍药 麻黄（去除节） 防风（去除类似钗股的硬梗，各半两） 甘草（一分，蜜炙）
将上述药材捣成粗末，每次服用五钱，加水二盏，生姜三片，一同煎煮至七分水量，滤去药渣，温服，每日三次。服药后若有汗出，应注意避风。
《沈存中良方》记载：先前在建康时，医生王琪说：各种气病中，膀胱气引起的胁下痛最难治疗，据说神保丸能治愈它。熙宁年间，我患项部筋脉疼痛，众医生都按风邪治疗，几个月不见好转，于是疼痛流入背部脊柱，久而久之又注入右臂，痉挛疼痛非常痛苦。回忆起王琪……
Treats liver qi injury caused by sorrow and distress, leading to pain in the bones of both hypochondria, tightness and tension of tendons and vessels, heaviness and stagnation of the waist and feet, tightness of the tendons in both thighs, pulling pain in both hypochondria, inability to raise the four limbs, and gradually progressing to spasms and tightness of the back muscles. This medicine is highly effective for treating hypochondriac pain.
Zhiqiao (Bitter Orange Fruit, removed pith, stir-fried with bran until yellow) Xixin (Asari Root, leaves removed) Jiegeng (Platycodon Root, stir-fried) Fangfeng (Saposhnikovia Root, rigid stalks removed) Chuanxiong (Ligusticum Rhizome, each 4 liang)
Gegen (Pueraria Root, 1.5 liang) Gancao (Licorice Root, 2 liang, honey-fried)
Crush the above herbs into coarse powder. Take 4 qian per dose, add 1.5 zhan of water and 3 slices of fresh ginger, decoct until the volume reduces to 0.7 zhan, filter out the dregs, and take warm on an empty stomach before meals.
Treats hypochondriac pain as described above, and also treats dryness and emaciation of the hands and feet.
Yiyiren (Coix Seed, 1 liang) Shihu (Dendrobium Stem, select fine ones, remove roots, wash clean, cut finely, 3 fen) Fuzi (Prepared Aconite Root, 0.5 liang, processed, remove skin and navel)
Niuxi (Achyranthes Root, soaked in wine, washed, dried, remove pith, stir-fried with bran until yellow) Xixin (Asari Root, leaves removed)
Grind the above herbs into a fine powder, mix with refined honey to make pills the size of sophora seeds. Take 30-40 pills per dose, swallow with wine, on an empty stomach before meals, three times a day. Pills are best taken before meals, while decoctions (coarse powder preparations) are best taken after meals; taking them together is recommended for optimal effect.
Treats internal pain in the hypochondriac bones that does not cease, caused by liver injury due to fright.
Zhiqiao (Bitter Orange Fruit, 1 liang, select small ones, remove pith, stir-fried with bran until yellow) Guizhi (Cinnamon Twig, remove bark, 0.5 liang, do not expose to direct fire)
Grind the above herbs into a fine powder. Take 2 qian per dose, mix with ginger and jujube decoction to swallow.
Treats unbearable pain under the hypochondrium, and also treats weakness of the legs.
Chuanxiong (Ligusticum Rhizome, washed) Gange (Pueraria Root, dried) Guizhi (Cinnamon Twig, remove bark, do not expose to direct fire) Xixin (Asari Root, leaves removed) Zhiqiao (Bitter Orange Fruit, remove pith, stir-fried with bran until yellow) Renshen (Ginseng Root, remove rhizome) Shaoyao (Peony Root) Mahuang (Ephedra Herb, remove joints) Fangfeng (Saposhnikovia Root, rigid stalks removed, each 0.5 liang) Gancao (Licorice Root, 1 fen, honey-fried)
Crush the above herbs into coarse powder. Take 5 qian per dose, add 2 zhan of water and 3 slices of fresh ginger, decoct together until the volume reduces to 0.7 zhan, filter out the dregs, take warm, three times a day. Avoid wind if sweating occurs.
"Shen Cunzhong's Good Prescriptions" records: Previously in Jiankang, Doctor Wang Qi said: Among all qi disorders, hypochondriac pain caused by Bladder Qi is the most difficult to treat; it is said that Shenbao Wan can cure it. During the Xining era, I suffered from neck tendon pain. All physicians treated it as a wind disorder, but after several months there was no improvement. The pain then spread to the dorsal spine, and after a long time, injected into the right arm, causing severe spasmodic pain. Recalling Wang Qi...