申斗垣曰∶血胤疮，乃足少阳胆经多气少血，生于渊腋胁肋旁，赤色或有头，无
头如肥皂核大，在肉中如针刺痛，忽长大至胸，兼足厥阴肝经多血少气，发于期门，
名曰腋 。女人患此走诸处，二三年变名结 。三五年出黑水死。（《启玄》）
\r血胤疮\p04-a41a141.bmp\r
申斗垣曰∶传心疽，生于胁下京门、带脉二穴之次，乃足少阳胆经多气少血，痛
痒彻心，如针刺之，痛渐溃至脐者死。（《启玄》）
\r传心疽\p04-a41a142.bmp\r
朱丹溪曰∶两胁走痛，是痰实者，可用控涎丹。左胁痛为肝经受邪，宜柴胡疏
肝汤。右胁痛为肝经移病于肺，宜推气散。食积痛，凡痛有一条扛起者是也，宜消积。
气弱人胁痛，脉细紧而弦，多从劳役怒气得者，八物汤加木香、青皮。肥白人气虚，
发寒热而胁下痛，用参 补气加柴胡、木香、青皮调气。瘦人发寒热，胁痛多怒者，
必有瘀血，宜桃仁、红花、柴胡、青皮、大黄、滑石。去滞气必用青皮，乃肝胆二经
之药，若二经血不足者，先当补血，少加青皮。痰饮停伏胁痛，宜导痰汤。胁下痛
而大便秘结者，木香槟榔丸。虚寒胁痛者，必用辛温补剂，加调气药。解痛以琥珀膏
贴之，或白芥子研敷之，或吴茱萸醋研敷之，韭菜炒熨亦可。
澄曰∶人有房劳内伤，胁下有一点痛者，名干胁痛，难愈。当大补气血以养肝，大滋肾水以补母。
又曰∶左胁痛、胃脘痛二证，妇人多
有之。以其忧思忿怒之气，素蓄于中，发则上冲，被湿痰死血阻滞其气，而不得条
达，但清阳不升，浊阴不降，肝木之邪，得以乘机侵侮，而为病也。故治妇人诸痛诸
疾，必以行气开郁为主，破血散火兼之。谚云∶香附、缩砂、妇人之至宝，山药、苁蓉，男子之佳珍，此之谓也。
申斗垣说：血胤疮，是由于足少阳胆经多气少血，生长在渊腋穴和胁肋旁边，颜色发红，有的有脓头，没有脓头的像肥皂核那么大，在肌肉中感觉像针扎一样刺痛，突然长大蔓延到胸部。同时涉及足厥阴肝经多血少气，发作于期门穴，名叫腋痈。女人患此病会游走全身各处，两三年后变名为结痈。三五年后流出黑水就会死亡。（出自《启玄》）
申斗垣说：传心疽，生长在胁下京门穴、带脉穴这两个穴位之间，属于足少阳胆经多气少血，疼痛和瘙痒直达心脏，像针刺一样，如果疼痛逐渐溃烂蔓延至肚脐则预后不良（致死）。（出自《启玄》）
朱丹溪说：两侧胁肋部游走性疼痛，如果是痰湿实证，可以使用控涎丹。左侧胁痛是肝经受邪，适宜用柴胡疏肝汤。右侧胁痛是肝病转移影响到肺，适宜用推气散。食积引起的疼痛，凡是疼痛有一条线隆起的是这类情况，适宜消食导滞。气血虚弱的人出现胁痛，脉象细紧而弦，多因劳累过度或生气引起，用八物汤加木香、青皮。体型肥胖面白人气虚，发寒热且胁下痛，用人参补气药加上柴胡、木香、青皮来调理气机。瘦人发寒热，胁痛且容易发怒的，必然有瘀血，适宜用桃仁、红花、柴胡、青皮、大黄、滑石。去除滞气必须用青皮，这是肝胆二经的药物，如果这两经血不足，应当先补血，少量加入青皮。痰饮停滞伏留引起的胁痛，适宜用导痰汤。胁下痛且大便秘结的，用木香槟榔丸。虚寒型胁痛，必须用辛温补益剂，加上调理气机的药物。缓解疼痛可以用琥珀膏贴敷，或者将白芥子研碎外敷，或者用吴茱萸醋研后外敷，韭菜炒热熨烫也可以。
顾世澄说：有人因房劳导致内伤，胁下有一点疼痛的，名叫干胁痛，难以治愈。应当大补气血以滋养肝脏，大滋肾水以补益母脏（肾为肝之母）。
又说：左胁痛、胃脘痛这两种病症，妇女多有发生。因为她们忧思愤怒之气，平时蓄积在体内，发作时向上冲逆，被湿痰和死血阻滞气机，使得气机不能条达舒畅，只是清阳不升，浊阴不降，肝木之邪得以趁机侵犯克制，从而致病。所以治疗妇女各种疼痛和各种疾病，必须以行气开郁为主，兼以破血散火。谚语说：香附、缩砂仁是妇女的至宝，山药、肉苁蓉是男子的佳珍，说的就是这个道理。
Shen Douyuan stated: Xueyin Chuang (Blood Line Cramp) arises from the Foot-Shaoyang Gallbladder Meridian, which is characterized by abundant Qi and scarce Blood. It occurs beside the Yuanye (GB21) acupoint and the hypochondrium. The lesion is red in color; if it has a head, it resembles a soap kernel without a head. It feels like needle-pricking pain within the flesh and suddenly enlarges to spread to the chest. Simultaneously involving the Foot-Jueyin Liver Meridian, which is characterized by abundant Blood and scarce Qi, it erupts at the Qimen (LR14) acupoint and is named Ye Yong (Axillary Abscess). In women, this disease may wander throughout the body. After two or three years, it changes its name to Jie Yong (Knotting Abscess). After three to five years, if black fluid discharges, the patient will die. (From *Qixuan*)
Shen Douyuan stated: Chuanxin Ju (Transmitting Heart Carbuncle) arises between the Jingmen (GB25) and Daimai (GB26) acupoints below the hypochondrium. It belongs to the Foot-Shaoyang Gallbladder Meridian, which is abundant in Qi and scarce in Blood. The pain and itching penetrate to the heart, feeling like needle pricks. If the pain gradually ulcerates and spreads to the umbilicus, the prognosis is fatal. (From *Qixuan*)
Zhu Danxi stated: Wandering pain in both hypochondria indicates Phlegm-Excess, for which Kongyan Dan (Control Saliva Pill) can be used. Left-sided hypochondriac pain indicates pathogenic invasion of the Liver Meridian, suitable for Chaihu Shugan Tang (Bupleurum Powder to Soothe the Liver). Right-sided hypochondriac pain indicates Liver pathology transferring to the Lung, suitable for Tuiqi San (Pushing Away Qi Powder). Pain caused by food stagnation is characterized by a raised line of pain; treatment should focus on resolving stagnation. For individuals with weak Qi and Blood experiencing hypochondriac pain with a fine, tight, and wiry pulse—often due to overwork or anger—Bayi Tang (Eight Substance Decoction) added with Muxiang (Aucklandiae Radix) and Qingpi (Tangerine Peel) is indicated. For obese, pale-complexioned individuals with deficient Qi, presenting with chills, fever, and hypochondriac pain, Renshen (Ginseng Radix) for tonifying Qi, added with Chaihu (Bupleuri Radix), Muxiang, and Qingpi to regulate Qi is appropriate. For thin individuals with chills, fever, hypochondriac pain, and irritability, blood stasis is likely present; Tao Ren (Persicae Semen), Honghua (Carthami Flos), Chaihu, Qingpi, Dahuang (Rhei Radix et Rhizoma), and Huashi (Talcum) are suitable. To remove Qi stagnation, Qingpi must be used as it acts on the Liver and Gallbladder meridians; however, if Blood deficiency exists in these meridians, Blood should be tonified first, with only a small amount of Qingpi added. For hypochondriac pain caused by retained Phlegm-Fluid, Daotan Tang (Great Phlegm Resolving Decoction) is indicated. For hypochondriac pain accompanied by constipation, Muxiang Binglang Wan (Aucklandia and Areca Nut Pill) is used. For deficiency-cold type hypochondriac pain, pungent-warm tonifying agents must be used, combined with Qi-regulating herbs. To relieve pain, Hupo Gao (Amber Plaster) can be applied, or Baijiezi (Brassicae Semis Albus) powder can be applied externally, or Wuzhuyu (Evodiae Fructus) ground with vinegar can be applied. Stir-fried Chinese Chive (Allii Tuberosi Herba) applied hot is also effective.
Gu Shicheng stated: When internal injury results from sexual exhaustion, causing a localized point of pain in the hypochondrium, it is called Gan Xiethong (Dry Hypochondriac Pain), which is difficult to cure. One must greatly tonify Qi and Blood to nourish the Liver, and greatly moisten Kidney Water to tonify the Mother organ (Kidney is the mother of Liver).
He further stated: Left-sided hypochondriac pain and epigastric pain are common in women. This is because their Qi of worry, thought, and anger is usually accumulated internally. Upon eruption, it rushes upward but is blocked by damp-phlegm and dead blood, preventing the smooth flow of Qi. Consequently, Clear Yang fails to ascend, and Turbid Yin fails to descend. The pathogen of Liver Wood takes the opportunity to invade and oppress, causing disease. Therefore, when treating various pains and diseases in women, the primary method must be moving Qi and opening depression, supplemented by breaking blood and dispersing fire. As the proverb says: Xiangfu (Cyperi Rhizoma) and Suosha (Amomi Fructus Rotundus) are the supreme treasures for women; Shanyao (Dioscoreae Rhizoma) and Congrong (Cynomorii Herba) are the fine gems for men. This refers to the aforementioned principle.