1．师曰∶病有奔豚，有吐脓，有惊怖，有火邪，此四部病，皆从惊发得之。
师曰∶奔豚病从少腹起，上冲咽喉，发作欲死，复还止，皆从惊恐得之。
2．奔豚气上冲胸，腹痛，往来寒热，奔豚汤主之。
奔豚汤方
甘草 川芎 当归（各二两） 半夏（四两） 黄芩（二两） 生葛（五两） 芍药（二两） 生姜（四两）
甘李根白皮（一升）
上九味，以水二斗，煮取五升，温服一升，日三夜一服。
3．发汗后，烧针令其汗，针处被寒，核起而赤者，必发奔豚，气从少腹上至心，灸其核上各一壮，与桂枝
加桂汤主之。
桂枝加桂汤方
桂枝（五两） 芍药（三两） 甘草（二两，炙） 生姜（三两） 大枣（十二枚）
上五味，以水七升，微火煮取三升，去滓，温服─升。
4．发汗后，脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。
茯苓桂枝甘草大枣汤方
茯苓（半斤） 甘草（二两，炙） 大枣（十五枚） 桂枝（四两）
上四味，以甘澜水一斗，先煮茯苓，减二升，纳诸药，煮取三升，去滓，温服一升，日三服。（甘澜水法，
取水二斗置大盆内，以杓扬之，水上有珠子五六千颗相逐，取用之。）
1．师曰∶夫脉当取太过不及，阳微阴弦，
即胸痹而痛，所以然者，责其极虚也。今阳虚知在上焦，所以胸痹心痛者，以其阴弦故也。
2．平人无寒热，短气不足以息者，实也。
3．胸痹之病，喘息咳唾，胸背痛，短气，寸口脉沉而迟，关上小紧数，栝蒌薤白白酒汤主之。
栝蒌薤白白酒汤方
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。
4．胸痹不得卧，心痛彻背者，栝蒌薤白半夏汤
主之。
栝蒌薤白半夏汤方
栝蒌实（一枚，捣） 薤白（三两） 半夏（半斤） 白酒（一斗）
上四味，同煮取四升，温服一升，日三服。
5．胸痹心中痞气，气结在胸，胸满，胁下逆抢心，枳实薤白桂枝汤主之。人参汤亦主之。
枳实薤白桂枝汤方
枳实（四枚） 浓朴（四两） 薤白（半斤） 桂枝（一两） 栝蒌实（一枚，捣）
上五味，以水五升，先煮枳实、浓朴，取二升，去滓，纳诸药，煮数沸，分温三服。
人参汤方
人参 甘草 干姜 白术（各三两）
上四味，以水八升，煮取三升，温服一升，日三服。
6．胸痹，胸中气塞、短气，茯苓杏仁甘草汤主之。桔枳姜汤亦主之。
茯苓杏仁甘草汤方
茯苓（三两） 杏仁（五十个） 甘草（一两）
上三味，以水一斗，煮取五升，温服一升，日三服，不瘥更服。
桔皮枳实生姜汤方
桔皮（一斤） 枳实（三两） 生姜（半斤）
上三味，以水五升，煮取二升，分温再服。（《肘后》、《千金》云∶治胸痹，胸中 如满，噎塞习习如
痒，喉中涩燥唾沫。）
7．胸痹，缓急者，薏苡附子散主之。
薏苡附子散方
薏苡仁（十五两） 大附子（十枚，炮）
上二味，杵为散，服方寸匕，日三服。
8．心中痞，诸逆，心悬痛，桂枝生姜枳实汤主之。
桂枝生姜枳实汤方
桂枝 生姜（各三两） 枳实（五枚）
上三味，以水六升，煮取三升，分温三服。
9．心痛彻背，背痛彻心，乌头赤石脂丸主之。
赤石脂丸方
蜀椒（一两，一法二分） 乌头（一分，炮） 附子（半两，炮，一法一分） 干姜（一两，一法一分）
赤石脂（一两，一法二分）
上五味，末之，蜜丸如梧子大，先食服一丸，日三服，不知，稍加服。
九痛丸 治九种心痛。
附子（三两，炮） 生野狼牙（一两，炙香） 巴豆（一两，去皮心，熬研如脂） 人参 干姜 吴茱萸（各
一两）
上六味，末之，炼蜜丸如梧子大，酒下，强人初服三丸，日三服；弱者二丸。兼治卒中恶，腹胀痛，口不能
言。又治连年积冷，流注心胸痛，并冷冲上气，落马坠车血疾等，皆主之。忌口如常法。
1. 老师说：疾病中有奔豚病，有吐脓血病，有惊怖病，有火邪病，这四种病，都是从惊恐受惊引发的。
老师说：奔豚病是从少腹（下腹部）发起，向上冲至咽喉，发作时痛苦欲死，过后又停止缓解，这都是从惊恐情绪中获得的。
2. 奔豚气上冲胸部，腹痛，忽冷忽热，用奔豚汤主治。
奔豚汤方
甘草、川芎、当归（各二两）、半夏（四两）、黄芩（二两）、生葛（五两）、芍药（二两）、生姜（四两）
甘李根白皮（一升）
以上九味药，用水二斗，煮取五升，温服一升，白天服三次，晚上服一次。
3. 发汗后，用烧针强迫出汗，针刺部位受寒，出现红肿硬结如核状且发红，必然引发奔豚病，气从少腹上冲至心口，应在红肿硬结处各灸一壮，并用桂枝加桂汤主治。
桂枝加桂汤方
桂枝（五两）、芍药（三两）、甘草（二两，炙烤）、生姜（三两）、大枣（十二枚）
以上五味药，用水七升，用微火煮取三升，去渣，温服一升。
4. 发汗后，脐下跳动不安的，是即将发生奔豚病的征兆，用茯苓桂枝甘草大枣汤主治。
茯苓桂枝甘草大枣汤方
茯苓（半斤）、甘草（二两，炙烤）、大枣（十五枚）、桂枝（四两）
以上四味药，用甘澜水一斗，先煮茯苓，水量减少二升后，加入其他药物，煮取三升，去渣，温服一升，每天服三次。（甘澜水的制法：取水二斗放入大盆中，用勺子反复扬水，直到水面上出现五六千颗相互追逐的小水泡，取这种水使用。）
1. 老师说：脉象应当区分太过与不及，阳脉微弱而阴脉弦紧，
这就是胸痹并伴有疼痛的原因，之所以这样，是因为正气极度虚弱所致。现在知道阳气虚损位于上焦，所以出现胸痹心痛，是因为阴脉弦紧的缘故。
2. 普通人没有恶寒发热的表证，但感到短气、呼吸急促不足以息，这是实证。
3. 胸痹病，表现为喘息咳嗽吐痰，胸背疼痛，短气，寸口脉沉而迟，关上脉小紧数，用栝蒌薤白白酒汤主治。
栝蒌薤白白酒汤方
栝蒌实（一枚，捣碎）、薤白（半升）、白酒（七升）
以上三味药，同煮取二升，分两次温服。
4. 胸痹病，不能平卧，心痛放射至背部的，用栝蒌薤白半夏汤主治。
栝蒌薤白半夏汤方
栝蒌实（一枚，捣碎）、薤白（三两）、半夏（半斤）、白酒（一斗）
以上四味药，同煮取四升，温服一升，每天服三次。
5. 胸痹病，心中痞塞不通，气结聚在胸部，胸满闷，胁下有气逆抢心，用枳实薤白桂枝汤主治。人参汤也可以主治。
枳实薤白桂枝汤方
枳实（四枚）、浓朴（四两）、薤白（半斤）、桂枝（一两）、栝蒌实（一枚，捣碎）
以上五味药，用水五升，先煮枳实、浓朴，取二升，去渣，加入其他药物，煮沸几滚，分三次温服。
人参汤方
人参、甘草、干姜、白术（各三两）
以上四味药，用水八升，煮取三升，温服一升，每天服三次。
6. 胸痹病，胸中气塞、短气，用茯苓杏仁甘草汤主治。桔皮枳实生姜汤也可以主治。
茯苓杏仁甘草汤方
茯苓（三两）、杏仁（五十个）、甘草（一两）
以上三味药，用水一斗，煮取五升，温服一升，每天服三次，若未痊愈可继续服用。
桔皮枳实生姜汤方
桔皮（一斤）、枳实（三两）、生姜（半斤）
以上三味药，用水五升，煮取二升，分两次温服。（《肘后备急方》、《千金方》记载：治疗胸痹，胸中胀满，噎塞感，皮肤瘙痒般不适，喉中涩燥多唾沫。）
7. 胸痹病，发作有时缓急不定的，用薏苡附子散主治。
薏苡附子散方
薏苡仁（十五两）、大附子（十枚，炮制）
以上两味药，捣碎为散，每次服一方寸匕，每天服三次。
8. 心中痞塞，各种气逆，心部悬痛，用桂枝生姜枳实汤主治。
桂枝生姜枳实汤方
桂枝、生姜（各三两）、枳实（五枚）
以上三味药，用水六升，煮取三升，分三次温服。
9. 心痛放射至背部，背痛放射至心前区，用乌头赤石脂丸主治。
赤石脂丸方
蜀椒（一两，另一种说法是二分）、乌头（一分，炮制）、附子（半两，炮制，另一种说法是一分）、干姜（一两，另一种说法是一分）
赤石脂（一两，另一种说法是二分）
以上五味药，研成细末，用蜂蜜制成梧桐子大小的丸剂，饭前服一丸，每天服三次，若无效，稍增加剂量服用。
九痛丸 治疗九种心痛。
附子（三两，炮制）、生野狼牙（一两，炙香）、巴豆（一两，去皮心，熬研如脂状）、人参、干姜、吴茱萸（各一两）
以上六味药，研成细末，炼蜜制成梧桐子大小的丸剂，酒送服，体质强者初服三丸，每天服三次；体质弱者服二丸。兼治突然中恶，腹胀痛，口不能言。又治连年积冷，流注心胸痛，以及冷邪冲上气，落马坠车导致的血瘀等症，都主治。忌口遵循常规方法。
1. The Master said: Among diseases, there are Ben Tun (Rushing Pig) disease, vomiting of pus and blood, Jing Bu (Fright and Terror) disease, and Huo Xie (Fire Evil) disease. These four categories of diseases all originate from fright and sudden shock.
The Master said: Ben Tun disease arises from the lower abdomen (Shaofu), rushing upward to the throat. During an attack, the patient suffers intensely as if dying, but it subsides and stops afterward. All such cases stem from fright and fear.
2. When Ben Tun Qi rushes upward to the chest, accompanied by abdominal pain and alternating chills and fever, Ben Tun Tang (Rushing Pig Decoction) is the primary formula.
Ben Tun Tang Formula
Gancao (Licorice Root), Chuanxiong (Sichuan Lovage Rhizome), Danggui (Angelica Sinensis Root) [each 2 liang], Banxia (Pinellia Tuber) [4 liang], Huangqin (Scutellaria Root) [2 liang], Shengge (Kudzu Root) [5 liang], Shaoyao (Peony Root) [2 liang], Shengjiang (Fresh Ginger) [4 liang]
Ganli Gen Baipi (White Bark of Prunus salicina Root) [1 sheng]
Take the above nine ingredients, add two dou of water, decoct to obtain five sheng. Take one sheng warm, three times during the day and once at night.
3. After sweating therapy, if burning needles were used to induce sweat, and the needle sites became cold, presenting with nodular redness, Ben Tun disease will inevitably occur, with Qi rushing from the lower abdomen to the heart. Moxibustion should be applied to each nodule (one moxa cone per site), and Guizhi Jia Gui Tang (Cinnamon Twig Decoction with Additional Cinnamon Twig) is the primary formula.
Guizhi Jia Gui Tang Formula
Guizhi (Cinnamon Twig) [5 liang], Shaoyao (Peony Root) [3 liang], Gancao (Licorice Root, honey-fried) [2 liang], Shengjiang (Fresh Ginger) [3 liang], Dazao (Jujube Fruit) [12 pieces]
Take the above five ingredients, add seven sheng of water, decoct over low heat to obtain three sheng. Remove the dregs, take one sheng warm.
4. After sweating therapy, if palpitations occur below the umbilicus, indicating impending Ben Tun disease, Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is the primary formula.
Fuling Guizhi Gancao Dazao Tang Formula
Fuling (Poria Sclerotium) [half jin], Gancao (Licorice Root, honey-fried) [2 liang], Dazao (Jujube Fruit) [15 pieces], Guizhi (Cinnamon Twig) [4 liang]
Take the above four ingredients, add ten dou of Ganlan Shui (Ganlan Water). First decoct Fuling until the volume reduces by two sheng, then add the remaining herbs. Decoct to obtain three sheng. Remove the dregs, take one sheng warm, three times daily. (Method for preparing Ganlan Water: Place two dou of water in a large basin, scoop and pour it repeatedly with a ladle until thousands of small bubbles form on the surface chasing each other; use this water.)
1. The Master said: Pulse diagnosis should assess excess (Tai Guo) and deficiency (Bu Ji). If the Yang pulse is faint and the Yin pulse is wiry (Xian), this indicates Xiong Bi (Chest Bi Syndrome) with pain. This occurs because of extreme deficiency. Now, knowing that Yang deficiency is located in the Upper Jiao (Upper Burner), the reason for Xiong Bi and heart pain is due to the wiry Yin pulse.
2. In a healthy person without exterior symptoms of chills or fever, shortness of breath and inability to take a full breath indicate an Excess syndrome.
3. For Xiong Bi disease manifesting as wheezing, coughing up saliva and phlegm, chest and back pain, and shortness of breath, with a Cun Kou (Radial artery at the wrist) pulse that is deep and slow, and a Guan position pulse that is small, tight, and rapid, Gualou Xiebai Baijiu Tang (Trichosanthes Fruit, Macrostemon Stem, and White Wine Decoction) is the primary formula.
Gualou Xiebai Baijiu Tang Formula
Gualou Shi (Trichosanthes Fruit, crushed) [one piece], Xiebai (Macrostemon Stem) [half sheng], Baijiu (White Wine) [seven sheng]
Decoct the above three ingredients together to obtain two sheng. Divide into two warm doses.
4. For Xiong Bi disease where the patient cannot lie flat, and heart pain radiates to the back, Gualou Xiebai Banxia Tang (Trichosanthes Fruit, Macrostemon Stem, and Pinellia Decoction) is the primary formula.
Gualou Xiebai Banxia Tang Formula
Gualou Shi (Trichosanthes Fruit, crushed) [one piece], Xiebai (Macrostemon Stem) [3 liang], Banxia (Pinellia Tuber) [half jin], Baijiu (White Wine) [one dou]
Decoct the above four ingredients together to obtain four sheng. Take one sheng warm, three times daily.
5. For Xiong Bi disease with epigastric fullness/stagnation, Qi knotting in the chest, chest distension, and rebellious Qi seizing from the hypochondrium toward the heart, Zhishi Xiebai Guizhi Tang (Immature Bitter Orange, Macrostemon Stem, and Cinnamon Twig Decoction) is the primary formula. Renshen Tang (Ginseng Decoction) may also be used.
Zhishi Xiebai Guizhi Tang Formula
Zhishi (Immature Bitter Orange) [four pieces], Nongpu (Magnolia Bark) [4 liang], Xiebai (Macrostemon Stem) [half jin], Guizhi (Cinnamon Twig) [1 liang], Gualou Shi (Trichosanthes Fruit, crushed) [one piece]
Add five sheng of water to the above five ingredients. First decoct Zhishi and Nongpu to obtain two sheng, remove dregs, then add the remaining herbs. Boil briefly, divide into three warm doses.
Renshen Tang Formula
Renshen (Ginseng Root), Gancao (Licorice Root), Ganjiang (Dried Ginger), Baizhu (Atractylodes Macrocephala Rhizome) [each 3 liang]
Add eight sheng of water to the above four ingredients, decoct to obtain three sheng. Take one sheng warm, three times daily.
6. For Xiong Bi disease with sensation of Qi obstruction in the chest and shortness of breath, Fuling Xingren Gancao Tang (Poria, Apricot Seed, and Licorice Decoction) is the primary formula. Juezhi Jiang Tang (Tangerine Peel, Immature Bitter Orange, and Fresh Ginger Decoction) may also be used.
Fuling Xingren Gancao Tang Formula
Fuling (Poria Sclerotium) [3 liang], Xingren (Apricot Seed) [50 pieces], Gancao (Licorice Root) [1 liang]
Add one dou of water to the above three ingredients, decoct to obtain five sheng. Take one sheng warm, three times daily. If not cured, continue taking.
Juezhi Jiang Tang Formula (Note: Text says Jupi Zhishi Shengjiang Tang)
Jupi (Tangerine Peel) [one jin], Zhishi (Immature Bitter Orange) [3 liang], Shengjiang (Fresh Ginger) [half jin]
Add five sheng of water to the above three ingredients, decoct to obtain two sheng. Divide into two warm doses. (Zhou Hou Bei Ji Fang and Qian Jin Fang record: Treats Xiong Bi, feeling of fullness in the chest, choking sensation, itching-like discomfort, dryness in the throat, and excessive saliva.)
7. For Xiong Bi disease with intermittent severity, Yiyi Fuzi San (Coix Seed and Aconite Powder) is the primary formula.
Yiyi Fuzi San Formula
Yiyiren (Coix Seed) [15 liang], Dafuzi (Large Prepared Aconite Child Root) [ten pieces, processed]
Grind the above two ingredients into powder. Take one fangcun bi (square-inch spoonful) per dose, three times daily.
8. For epigastric stagnation, various rebellious Qi patterns, and hanging pain in the heart region, Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Fresh Ginger, and Immature Bitter Orange Decoction) is the primary formula.
Guizhi Shengjiang Zhishi Tang Formula
Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger) [each 3 liang], Zhishi (Immature Bitter Orange) [five pieces]
Add six sheng of water to the above three ingredients, decoct to obtain three sheng. Divide into three warm doses.
9. For heart pain radiating to the back, and back pain radiating to the heart region, Wutou Chishizhi Wan (Aconite and Halloysit Rubrum Pill) is the primary formula.
Chishizhi Wan Formula
Shujiao (Sichuan Pepper) [1 liang, alternative method 2 fen], Wutou (Prepared Aconite Main Root) [1 fen, processed], Fuzi (Prepared Aconite Child Root) [half liang, processed, alternative method 1 fen], Ganjiang (Dried Ginger) [1 liang, alternative method 1 fen]
Chishizhi (Halloysit Rubrum) [1 liang, alternative method 2 fen]
Grind the above five ingredients into powder, mix with honey to make pills the size of wu zi (wu berry). Take one pill before meals, three times daily. If ineffective, slightly increase the dosage.
Jiu Tong Wan (Nine Pain Pill) treats nine types of heart pain.
Fuzi (Prepared Aconite Child Root) [3 liang, processed], Sheng Ye Langya (Raw Wild Wolf Tooth Herb, likely referring to a specific herb, processed and fragrant) [1 liang, roasted until fragrant], Badou (Croton Seed) [1 liang, skin and heart removed, cooked and ground into paste], Renshen (Ginseng Root), Ganjiang (Dried Ginger), Wuzhuyu (Evodia Fruit) [each 1 liang]
Grind the above six ingredients into powder, refine honey to make pills the size of wu zi. Take with wine. Strong individuals take three pills initially, three times daily; weak individuals take two pills. Also treats sudden evil invasion, abdominal distension and pain, inability to speak. Treats chronic accumulated cold flowing into the chest and heart causing pain, cold rebellious Qi, blood stasis from falling from horses or vehicles, etc. Dietary restrictions follow standard methods.