治胸痹病喘息咳唾。胸背痛。短气。寸口脉沉而迟。关上小紧数者。此汤主
之。
栝蒌实（一枚。捣。） 薤白（半升。） 白酒（七升。）
上三味。同煮。取二升。分温再服。
歌曰 胸为阳位似天空。阴气弥沦痹不通。薤白半升（栝）蒌一个。七升白酒奏奇功。
孙男心典禀按。胸为气息之路。若阴邪占居其间。则阻其阳气不通。故生喘息咳唾胸背
痛诸证。寸口者。脉之大会。阳之位也。内经诊脉篇云。上竟上者。胸喉中事也。上附上。
右外
即内
为
栝
则
治胸痹不得卧。心痛彻背者主之。
括蒌实（一枚。捣。） 薤白（三两。） 半夏（半升。） 白酒（一斗。）
上四味。同煮。取三升。温服一升。日三服。
歌曰 胸背牵疼不卧时。（上言胸背痛。兹又加以不得卧。其痛甚矣。所以然者。有痰
饮以
增
元犀按。加半夏一味。不只涤饮。且能和胃而通阴阳。
治胸痹。心中痞气留结在胸。胸满。胁下逆抢心者。此汤主之。人参汤
枳实（四枚。） 薤白（半升。） 桂枝（一两。） 浓朴（四两。） 栝蒌实（一枚。
捣。）
上五味。以水五升。先煮枳、朴。取二升。去滓。入诸药。再煮数沸。分温再服。
歌曰 痞连胸胁逆攻心。（尤云。心下痞气是气痹而成痞也。按胁下逆抢心者。气不由
中上而从胁逆。是中痹而阻诸气之往来也。）薤白半升四朴寻。一个栝蒌一两桂。四枚枳实
撒浮阴。（尤云。宜急通其痞结之气。）
元犀按。枳实、浓朴泄其痞满。行其留结。降其抢逆。得桂枝化太阳之气。而胸中之滞
塞自开。以此三药与薤白、栝蒌之专疗胸痹者而同用之。亦去疾莫如尽之旨也。
治疗胸痹病，出现喘息、咳嗽吐痰，胸背疼痛，短气。寸口脉沉而迟，关上脉小紧且数，此方主治。
栝蒌实（一枚，捣碎。） 薤白（半升。） 白酒（七升。）
以上三味药，一同煎煮，取药液二升，分两次温服。
歌诀曰：胸部为阳气所居之位，犹如天空般广阔。阴邪之气弥漫，导致痹阻不通。薤白半升配合一个栝蒌，加上七升白酒，能奏奇效。
孙思邈之孙孙心典在禀注中说：胸部是气息通行的道路，如果阴邪占据其间，就会阻碍阳气运行不通畅，因此产生喘息、咳嗽吐痰、胸背疼痛等症状。寸口部位，是脉象的汇聚之处，属阳位。《内经·诊脉篇》说：“上竟上者”，指胸喉中的病变。上附上……
治疗胸痹不能平卧，心痛放射至背部者，此方主治。
栝蒌实（一枚，捣碎。） 薤白（三两。） 半夏（半升。） 白酒（一斗。）
以上四味药，一同煎煮，取药液三升，每次温服一升，每日三次服用。
歌诀曰：胸背牵引疼痛，无法安卧。（前文说胸背痛，此处又加上不能平卧，说明疼痛更严重了。之所以这样，是因为有痰饮……）
元犀按语：加入半夏一味药，不仅涤除饮邪，而且能和胃并通达阴阳。
治疗胸痹，心中痞塞感，气结留在胸部，胸中胀满，胁下之气逆冲心胸者，此方主治。人参汤
枳实（四枚。） 薤白（半升。） 桂枝（一两。） 厚朴（四两。） 栝蒌实（一枚，捣碎。）
以上五味药，用水五升，先煎煮枳实和厚朴，取药液二升，去渣滓，加入其他药物，再煮沸数次，分两次温服。
歌诀曰：痞塞连及胸胁，气逆攻冲心脏。（尤在泾说：心下痞气是因气痹而成痞。按胁下逆抢心，是指气不从中焦上行，而是从胁部逆上，这是中焦痹阻阻碍了诸气的往来。）薤白半升配四两厚朴，一个栝蒌一两桂枝，四枚枳实散浮阴。（尤在泾说：应当急通其痞结之气。）
元犀按语：枳实、厚朴泄除痞满，行散留结之气，降逆气；得到桂枝化太阳之气，则胸中的滞塞自然开通。将这三味药与专门治疗胸痹的薤白、栝蒌同用，也体现了去除疾病务求彻底的原则。
Treats chest bi syndrome (Chest Obstruction Syndrome) manifesting with wheezing, coughing and expectoration, pain in the chest and back, and shortness of breath. The pulse at the cunkou (Radial artery at the wrist) is deep and slow, while the pulse at the guan position (middle position of the radial pulse) is slightly tight and rapid. This decoction is indicated.
Gualou Fruit (Trichosanthis Fructus), one piece, crushed. Xiebai (Allii Macrostemonis Bulbus), half sheng. Baijiu (White wine), seven sheng.
Take the above three ingredients, boil together, obtain two sheng of liquid, divide into two doses, take warm.
Song says: The chest is the residence of Yang qi, vast like the sky. When Yin pathogenic factors fill and obstruct, bi syndrome occurs without unblocking. Half a sheng of Xiebai paired with one Gualou, combined with seven sheng of white wine, achieves miraculous efficacy.
Sun Xin Dian, grandson of Sun Simiao, notes: The chest is the pathway for Qi respiration. If Yin evil occupies this space, it blocks the smooth flow of Yang qi, thus generating symptoms such as wheezing, coughing with expectoration, and chest-back pain. The cunkou position is the convergence of pulses and belongs to the Yang aspect. The "Chapter on Pulse Diagnosis" in the Neijing states: "Upper reaching upper" refers to matters concerning the chest and throat...
For chest bi syndrome where the patient cannot lie flat, and heart pain radiates to the back, this decoction is indicated.
Gualou Fruit (Trichosanthis Fructus), one piece, crushed. Xiebai (Allii Macrostemonis Bulbus), three liang. Banxia (Pinelliae Rhizoma Preparatum), half sheng. Baijiu (White wine), one dou.
Take the above four ingredients, boil together, obtain three sheng of liquid, take one sheng warm per dose, three times daily.
Song says: Chest and back pulling pain prevents lying down. (The previous text mentioned chest-back pain; adding inability to lie down indicates severe pain. The reason is the presence of phlegm-fluid...)
Yuan Xi comments: Adding Banxia not only clears fluid retention but also harmonizes the Stomach and facilitates the communication between Yin and Yang.
For chest bi syndrome characterized by a feeling of fullness and stagnation in the heart region, Qi blockage remaining in the chest, chest distension, and rebellious Qi rushing from the hypochondrium towards the heart, this decoction is indicated. Renshen Tang (Ginseng Decoction).
Zhishi (Immature Bitter Orange Fruit), four pieces. Xiebai (Allii Macrostemonis Bulbus), half sheng. Guizhi (Cinnamon Twig), one liang. Houpo (Magnolia Bark), four liang. Gualou Fruit (Trichosanthis Fructus), one piece, crushed.
Take the above five ingredients, add five sheng of water, first boil Zhishi and Houpo to obtain two sheng of liquid, remove dregs, add the remaining herbs, boil for a few more boils, divide into two doses, take warm.
Song says: Fullness extends to the chest and hypochondrium, rebellious Qi attacks the heart. (You Zaijing says: Subcardiac fullness is formed by Qi obstruction leading to fullness. Regarding rebellious Qi from the hypochondrium attacking the heart, it means Qi does not ascend from the middle but rebels upward from the hypochondrium, indicating middle jiao obstruction hindering the free flow of all Qi.) Half a sheng of Xiebai with four liang of Houpo, one Gualou with one liang of Guizhi, four pieces of Zhishi disperse floating Yin. (You Zaijing says: One should urgently unblock the Qi stagnation and knot.)
Yuan Xi comments: Zhishi and Houpo drain fullness and move stagnant accumulation, descending rebellious Qi. With Guizhi transforming Taiyang Qi, the stagnation in the chest naturally opens. Using these three herbs together with Xiebai and Gualou, which specifically treat chest bi, embodies the principle that eliminating disease must be thorough.