当归 龙胆草 大栀子（童便炒） 黄连（炒） 黄芩（各一两） 大黄（九蒸） 芦荟（各半
两） 木香（一钱五分） 黄柏（二两） 麝香（五分）
上为末，面糊为丸。一方性暴者，加柴胡、川芎、青黛，蜜丸。
一香散 治右胁痛神效。
小茴香（一两，炒） 枳壳（五钱，面炒）
为末，以盐酒调服二钱。
加味二陈汤 治咳嗽胁痛。
陈皮（去白） 半夏（姜泡） 茯苓（去皮） 南星（牛胆制者佳） 香附（去毛，童便炒） 青
皮（去白） 青黛 姜汁（各等分）
各等分煎服。
抑青丸 治右胁痛神效。
黄连半斤，为末，蒸饼糊为丸服。
大端痰火之症，多患左胁痛，痛甚至卧不可转侧者，乃肝经无叶，其叶已焦，多死不救
一人右胁痛盛，余诊其脉，六部带滑，此痰流注作痛也。遂用
陈皮（一钱） 半夏（制，七分） 香附（童便炒，五分） 大腹皮（洗，五分） 苍术（浸，
五分） 浓朴（姜炒，五分） 枳壳（三分半） 片子姜黄（四分） 神曲（炒，五分） 麦芽（炒，
五分） 服数剂而愈。
惊者，心卒动而不宁也。悸者，心跳动而怕惊也。怔忡者，心中躁动不安，惕惕然如
人将捕是也。多因富贵而戚戚，贫穷而不遂所愿，而成健忘者，陡然而忘其事，尽心竭力，
思忖不来，为事有始无终，言谈不知首尾，其三症病同而名异，其原皆由心血虚，盖心无
血养，如鱼失水，惕然而跳跃也。时作时止者，以痰因火动，瘦人多是血虚，肥人多是痰饮
，法宜先养心血，理其脾土，亦当幽闲安乐，制其忧虑，远其七情六淫则自安矣。《素问
》云∶东方青色，入通于肝，其病发惊骇。又云∶脾移热于肝，则为惊衄。仲景云∶食少饮
多，水停不下，甚者则悸，微者短气。又云∶五饮停蓄，闭于中脘，最使人惊悸。又云∶因
有大事所惊而成者，名曰心惊胆寒。病在心胆经，其脉大动，其动也如豆，动摇无头尾是也
。丹溪云∶病自惊而得者，则神出其舍，舍得液则成痰也，血气入舍，则痰拒其神，不得归
黄帝问曰∶胃足阳明之脉病，恶人与火，闻木音则惕然而惊，若闻钟鼓而不为动，何也
？岐伯曰∶阳明者，胃脉也，胃者土也，故闻木音而惊，土畏木也。又曰∶痰饮惊悸属脾
土。凡火病吐血盗汗后，多见此症，故并附之。
当归、龙胆草、大栀子（用童便炒制）、黄连（炒制）、黄芩（各一两）、大黄（经过九次蒸制）、芦荟（各半两）、木香（一钱五分）、黄柏（二两）、麝香（五分）。
以上药物研为细末，用面糊制作成丸剂。另一种方子针对性情急躁者，加入柴胡、川芎、青黛，用蜂蜜制作成丸剂。
一香散：治疗右胁痛有显著疗效。
小茴香（一两，炒制）、枳壳（五钱，用面粉炒制）。
研为细末，用盐和酒调服二钱。
加味二陈汤：治疗咳嗽伴胁痛。
陈皮（去除白色部分）、半夏（用生姜炮制）、茯苓（去除外皮）、南星（以牛胆汁制作为佳）、香附（去除毛，用童便炒制）、青皮（去除白色部分）、青黛、姜汁（各等分）。
各等分煎煮后服用。
抑青丸：治疗右胁痛有显著疗效。
黄连半斤，研为细末，用蒸饼糊制作成丸剂服用。
大体上，痰火病症多表现为左胁痛，疼痛剧烈到无法翻身侧卧的，这是肝经枯竭，其“叶”已经焦枯，大多难以救治。
有一人右胁痛剧烈，我诊察其脉象，六部脉都带有滑象，这是痰湿流注引起的疼痛。于是使用
陈皮（一钱）、半夏（制过，七分）、香附（用童便炒制，五分）、大腹皮（洗净，五分）、苍术（浸泡，五分）、浓朴（用生姜炒制，五分）、枳壳（三分半）、片子姜黄（四分）、神曲（炒制，五分）、麦芽（炒制，五分）。
服用数剂后痊愈。
惊，是指心脏突然跳动而不安宁。悸，是指心跳动且害怕惊吓。怔忡，是指心中躁动不安，惊恐的样子好像有人要捕捉自己一样。这些症状多因富贵之人忧愁思虑，或贫穷之人愿望不得实现，从而形成健忘。表现为突然忘记事情，尽心竭力思考却想不起来，做事有始无终，说话不知首尾。这三种病症病机相同但名称不同，其根源都在于心血虚亏。因为心没有血液滋养，就像鱼失去了水，惊恐地跳跃一样。症状时发时止，是因为痰随火动。瘦人多属血虚，肥人多属痰饮。治疗方法应当先滋养心血，调理脾土，同时也应保持幽静闲适、安乐的心态，克制忧虑，远离七情六淫的干扰，身体自然就会安康。《素问》说：“东方青色，入通于肝，其病发作惊骇。”又说：“脾将热邪转移给肝，就会发生惊骇和鼻出血。”张仲景说：“饮食少而饮水多，水液停聚不下，严重的会出现心悸，轻微的会气短。”又说：“五种饮邪停蓄，闭阻于中脘，最容易使人产生惊悸。”又说：“因遇到大事受惊而形成的，名叫心惊胆寒。”病位在心经和胆经，其脉象大而动摇，跳动像豆子一样，动摇不定没有头尾。朱丹溪说：“因病从惊而得的，则神气外越离开舍宅，舍宅失去津液则形成痰；血气进入舍宅，则痰阻碍神气，使其不能回归。”
黄帝问道：“足阳明胃经发病，厌恶人和火光，听到木头敲击的声音就惊恐，但听到钟鼓声却不为所动，为什么呢？”岐伯回答说：“阳明经是胃脉，胃属土，所以听到木音而惊恐，这是因为土畏惧木。”又说：“痰饮惊悸属于脾土病变。”凡是火病导致吐血、盗汗之后，多见此症，因此一并附录于此。
Angelicae Sinensis Radix (Danggui), Genti Scabrae Radix (Longdancao), Gardeniae Fructus (Dazhizi, stir-fried with child's urine), Coptidis Rhizoma (Huanglian, stir-fried), Scutellariae Radix (Huangqin) (each 1 liang), Rhei Radix et Rhizoma (Dahuang, steamed nine times), Aloe (Luhui) (each half liang), Aucklandiae Radix (Muxiang) (1 qian 5 fen), Phellodendri Cortex (Huangbai) (2 liang), Moschus (Shexiang) (5 fen).
The above ingredients are ground into powder and formed into pills using wheat paste. For another prescription targeting individuals with an irritable temperament, add Bupleuri Radix (Chaihu), Ligusticum Chuanxiong Rhizoma (Chuanxiong), and Indigo Naturalis (Qingdai), formed into honeyed pills.
Yi Xiang San: Highly effective for treating right hypochondriac pain.
Foeniculi Fructus (Xiaohuixiang) (1 liang, stir-fried), Aurantii Fructus Immaturus (Zhiqiao) (5 qian, stir-fried with wheat flour).
Ground into powder, taken with a mixture of salt and wine, 2 qian per dose.
Jiawei Erchen Tang: Treats cough accompanied by hypochondriac pain.
Citri Reticulatae Pericarpium (Chenpi, white pith removed), Pinelliae Rhizoma Preparatum (Banxia, prepared with fresh ginger), Poria (Fuling, outer skin removed), Arisaemae Rhizoma (Nanxing, preferably processed with bovine gallbladder juice), Cyperi Rhizoma (Xiangfu, hairs removed, stir-fried with child's urine), Citri Reticulatae Pericarpium Viride (Qingpi, white pith removed), Indigo Naturalis (Qingdai), Zingiberis Rhizoma Recens (Jiangzhi) (all in equal proportions).
Decoct all ingredients in equal proportions and take orally.
Yiqing Wan: Highly effective for treating right hypochondriac pain.
Coptidis Rhizoma (Huanglian) 8 liang, ground into powder, formed into pills using steamed bread paste.
Generally, phlegm-fire syndromes often manifest as left hypochondriac pain. If the pain is so severe that one cannot turn over in bed, it indicates exhaustion of the Liver channel, where its "leaves" have scorched; this condition is mostly incurable.
A patient suffered from severe right hypochondriac pain. Upon pulse diagnosis, the pulses in all six positions were slippery, indicating pain caused by phlegm flowing and obstructing. I prescribed:
Citri Reticulatae Pericarpium (Chenpi) (1 qian), Pinelliae Rhizoma Preparatum (Banxia, prepared) (7 fen), Cyperi Rhizoma (Xiangfu, stir-fried with child's urine) (5 fen), Arecae Pericarpium (Dafupi, washed) (5 fen), Atractylodis Rhizoma (Cangzhu, soaked) (5 fen), Magnoliae Officinalis Cortex (Noupu, stir-fried with ginger), Aurantii Fructus Immaturus (Zhiqiao) (3.5 fen), Curcumae Longae Rhizoma (Pianzi Jianghuang) (4 fen), Maltum (Shenqu, stir-fried) (5 fen), Hordeum Fructus Germinatus (Maiya, stir-fried) (5 fen).
After several doses, the patient recovered.
Jing (Startle) refers to the sudden palpitation and restlessness of the Heart. Ji (Palpitation) refers to heart palpitations accompanied by fear of being startled. Zhengchong (Severe Palpitation) refers to inner restlessness and anxiety, feeling terrified as if someone were about to capture them. These conditions often arise from excessive worry among the wealthy or unfulfilled desires among the poor, leading to Jianwang (Forgetfulness). This manifests as suddenly forgetting matters, striving hard to recall but failing, starting tasks without finishing them, and speaking without coherence. Although these three syndromes have different names, their pathology is identical, rooted in Blood deficiency of the Heart. Since the Heart lacks blood nourishment, it is like a fish out of water, jumping in terror. The symptoms come and go because phlegm moves with fire. Thin individuals are mostly deficient in Blood, while obese individuals mostly have Phlegm-fluid retention. The treatment method should first nourish Heart Blood and regulate Spleen Earth. One should also maintain a tranquil and joyful state of mind, restrain worries, and avoid the Seven Emotions and Six Exogenous Pathogens to ensure health. *Suwen* states: "The color of the East is green, entering through the Liver; its disease manifests as startle and horror." It also states: "When Heat transfers from the Spleen to the Liver, it causes startle and epistaxis." Zhang Zhongjing stated: "When food intake is low but fluid intake is high, water stagnates and fails to descend; severely, it causes palpitations; mildly, it causes shortness of breath." He also stated: "When five types of fluid retention accumulate and block the Middle Jiao, it most easily causes palpitations." He further stated: "When caused by shock from major events, it is called 'Heart Startle and Gallbladder Cold.' The disease location is in the Heart and Gallbladder channels; the pulse is large and trembling, beating like a bean, shaking without head or tail." Zhu Danxi stated: "When a disease originates from startle, the Spirit leaves its residence; when the residence loses fluids, phlegm forms; when Qi and Blood enter the residence, phlegm repels the Spirit, preventing it from returning."
The Yellow Emperor asked: "When the Foot-Yangming Stomach Channel is diseased, the patient dislikes people and fire, and is startled by the sound of wood, yet unmoved by bells and drums. Why?" Qibo replied: "The Yangming channel is the Stomach channel; the Stomach belongs to Earth. Therefore, hearing the sound of Wood causes startle, because Earth fears Wood." He also said: "Phlegm-fluid and startle-palpitations belong to Spleen-Earth pathology." After hemorrhage or night sweats caused by Fire diseases, this syndrome is frequently seen; therefore, it is appended here.