邪在肝，则病两胁中痛，寒中，恶血在内， 节时肿，善 。取行间以引胁下，补
三里以温胃中，取血脉以散恶血，取耳间青脉以去其 。
黄帝问曰∶卫气留于脉（《太素》作腹）中，蓄积不行，菀蕴不得常所（《灵枢》下
有使人二字）， 胁中满，喘呼逆息者，何以去之？伯高对曰∶其气积于胸中者上取
之，积于腹中者下取之，上下皆满者傍取之，积于上者泻人迎、天突、喉中，积于下
者泻三里与气街，上下皆满者上下皆取之，与季胁之下深一寸，重者鸡足取之。诊视
其脉大而强急，及绝不至者，腹皮绞甚者，不可刺也。气逆上，刺膺中陷者与胁下动脉
。
胸满呕无所出，口苦舌干，饮食不下，胆俞主之。胸满呼吸喝穷 窘不得息，刺
人迎，入四分，不幸杀人。胸满痛，璇玑主之。胸胁 满，痛引胸中，华盖主之。胸胁
满，痹痛骨疼，饮食不下，呕（《千金》作咳）逆气上烦心，紫宫主之。胸中满，
不得息，胁痛骨疼，喘逆上气，呕吐烦心，玉堂主之。胸胁 满，鬲塞饮食不下，
呕吐食复出，中庭主之。胸中 满，痛引膺，不得息，闷乱烦满，不得饮食，灵墟主
之。胸胁 满不得息，咳逆，乳痈，洒淅恶寒，神封主之。胸胁 满，鬲逆不
通，呼吸少气，喘息不得举臂，步廊主之。胸胁 满，喘满上气，呼吸肩息，不知食
味，气户主之。喉痹，胸中暴逆，先取冲脉，后取三里、云门，皆泻之。胸胁 满，
却引背痛，卧不得转侧，胸乡主之。伤忧 思气积，中脘主之。胸满马刀，臂不得举
，渊腋主之。大气不得息，息即胸胁中痛，实则其身尽寒，虚则百节尽纵，大包主之。胸中
暴满，不得眠（一云不得喘息），辄筋主之。胸胁 满，螈 引脐腹痛，短气烦满，
巨阙主之。腹中积气结痛，梁门主之。伤食胁下满，不能转展反侧，目青而呕，期门主之。
胸胁 满，劳宫主之。多卧善唾，胸满肠鸣，三间主之。胸满不得息，头颔肿，阳谷
主之。胸胁胀，肠鸣切痛（一云胸胁支满，腹中切痛），太白主之。暴胀，胸胁 满，
足寒，大便难，面唇白，时呕血，太冲主之。胸胁 满，恶闻人声与木音，巨虚上廉主
之。胸胁 满，寒如风吹状，侠溪主之。胸满善太息（《千金》作胸膂急）
，胸中膨膨然
陵泉主之。
邪气侵犯肝脏，则出现两侧胁肋部疼痛，寒气内侵，恶血停滞在体内，关节时常肿胀，容易惊骇。取行间穴以疏导胁下气机，补三里穴以温养胃中，刺破血脉以消散恶血，取耳后青色脉络以去除其郁滞之气。
黄帝问道：卫气停留在脉（《太素》作腹）中，蓄积而不运行，郁结蕴阻不能正常分布，导致胁肋部胀满，喘息呼叫、呼吸逆乱的情况，用什么方法去除它？伯高回答说：气积聚在胸中的，从上部取穴治疗；积聚在腹中的，从下部取穴治疗；上下都胀满的，从侧面取穴治疗。积聚在上部的，泻人迎、天突、喉中穴位；积聚在下部的，泻足三里和气街穴；上下都胀满的，上下同时取穴，并取季胁之下深一寸处，病情重的用“鸡足”手法针刺。诊察如果脉象大而强急，或者脉搏断绝不至，腹部皮肤绞紧严重的，不可针刺。气逆向上，针刺膺中凹陷处和胁下的动脉。
胸部胀满，呕吐无物吐出，口苦舌干，饮食难以下咽，由胆俞穴主治。胸部胀满，呼吸急促窘迫，气息不通，针刺人迎穴，进针四分，如果不慎会致死。胸部胀满疼痛，由璇玑穴主治。胸胁胀满，疼痛牵引至胸中，由华盖穴主治。胸胁胀满，痹痛骨节疼痛，饮食不下，咳嗽（《千金方》作咳）逆气上冲心烦，由紫宫穴主治。胸部胀满，呼吸不畅，胁痛骨节疼痛，气喘逆气上冲，呕吐心烦，由玉堂穴主治。胸胁胀满，膈塞饮食不下，呕吐且食物复出，由中庭穴主治。胸中胀满，疼痛牵引至胸前，呼吸不畅，烦闷混乱，烦躁胀满，无法进食，由灵墟穴主治。胸胁胀满，呼吸不畅，咳嗽，乳痈，寒战恶寒，由神封穴主治。胸胁胀满，膈气逆乱不通，呼吸短促，喘息不能抬臂，由步廊穴主治。胸胁胀满，气喘胀满，气逆上冲，呼吸时需用肩助息，不知食物味道，由气户穴主治。喉痹，胸中突然气逆，先取冲脉穴，后取足三里、云门穴，均用泻法。胸胁胀满，向后牵引背痛，卧床不能翻身侧卧，由胸乡穴主治。因忧伤思虑导致气机积聚，由中脘穴主治。胸部胀满如马刀瘰疬状，手臂不能举起，由渊腋穴主治。大气不能顺畅呼吸，呼吸即胸胁中痛，实证则全身寒冷，虚证则百节松弛无力，由大包穴主治。胸中突然胀满，不能安睡（一说不能喘息），由辄筋穴主治。胸胁胀满，抽搐牵引脐腹疼痛，短气烦躁胀满，由巨阙穴主治。腹中积气结聚疼痛，由梁门穴主治。伤食导致胁下胀满，不能转身反侧，面色发青且呕吐，为期门穴主治。胸胁胀满，由劳宫穴主治。嗜睡多唾，胸满肠鸣，由三间穴主治。胸满呼吸不畅，头颈肿胀，由阳谷穴主治。胸胁胀满，肠鸣剧烈疼痛（一说胸胁支撑胀满，腹中剧烈疼痛），由太白穴主治。突然胀满，胸胁胀满，足部寒冷，大便困难，面色嘴唇苍白，时常呕血，由太冲穴主治。胸胁胀满，厌恶听到人声和木器敲击的声音，由巨虚上廉穴主治。胸胁胀满，感觉像风吹一样的寒冷，由侠溪穴主治。胸满喜欢长叹气（《千金方》作胸背拘急），胸中膨膨胀满，由陵泉穴主治。
When pathogenic factors invade the Liver, pain occurs in both hypochondriac regions, cold invades the interior, and evil blood stagnates within. The joints swell intermittently, and there is a tendency to startle easily. Take Xingjian (LR2) to guide qi from the hypochondrium; tonify Zusanli (ST36) to warm the Stomach interior; puncture the collateral vessels to disperse evil blood; and take the blue veins behind the ear to remove its stagnation.
The Yellow Emperor asked: When Wei Qi (Defensive Qi) remains in the vessels (in *Tai Su*, it reads "abdomen"), accumulates without moving, becomes entangled and obstructed so it cannot distribute normally, causing fullness in the hypochondrium, panting, shouting, and reversed breathing, how can this be removed? Bo Gao replied: When qi accumulates in the chest, treat from above; when it accumulates in the abdomen, treat from below; when both upper and lower are full, treat from the sides. For accumulation in the upper part, reduce Renying (ST9), Tiantu (CV22), and Houzhong; for accumulation in the lower part, reduce Zusanli (ST36) and Qijie; when both upper and lower are full, treat both upper and lower simultaneously, and also treat one cun deep below the costal margin. For severe cases, use the "chicken-foot" needle technique. If the pulse is large, strong, and tense, or if the pulse is absent, or if the abdominal skin is tightly knotted, acupuncture is contraindicated. For rebellious qi ascending, puncture the depressions in the Yingzhong area and the arteries in the hypochondrium.
For chest fullness, vomiting with nothing expelled, bitter taste in the mouth, dry tongue, and inability to swallow food, Dan Shu (BL18) governs. For chest fullness, rapid and labored breathing, distress, and inability to breathe freely, puncture Renying (ST9); insert four fen. If mishandled, it may cause death. For chest fullness and pain, Xuanji (CV17) governs. For chest and hypochondriac fullness, with pain radiating to the chest, Huagai (CV20) governs. For chest and hypochondriac fullness, bi-syndrome pain in bones, inability to eat, coughing, rebellious qi ascending, and vexation of heart, Zi Gong (CV19) governs. For chest fullness, inability to breathe, hypochondriac pain, bone pain, panting, rebellious qi, vomiting, and vexation of heart, Yu Tang (CV18) governs. For chest and hypochondriac fullness, diaphragmatic obstruction, inability to eat, vomiting with regurgitation of food, Zhong Ting (CV17) governs. For chest fullness, pain radiating to the anterior chest, inability to breathe, confusion, vexation, fullness, and inability to eat, Ling Xu (BL17) governs. For chest and hypochondriac fullness, inability to breathe, cough, breast abscess, and chills with aversion to wind, Shen Feng (BL16) governs. For chest and hypochondriac fullness, diaphragmatic rebellion and obstruction, shortness of breath, panting with inability to raise arms, Bu Lang (BL15) governs. For chest and hypochondriac fullness, panting, fullness, rebellious qi, breathing with shoulder movement, and loss of taste, Qi Hu (ST14) governs. For throat obstruction (Hou Bi) and sudden rebellious qi in the chest, first take Chong Mai (CV4/related points), then take Zusanli (ST36) and Yunmen (LU2), all using reducing methods. For chest and hypochondriac fullness, pain radiating backward to the back, inability to turn over in bed, Xiong Xiang (GB23) governs. For qi accumulation due to injury from worry and thought, Zhong Wan (CV12) governs. For chest fullness resembling "horse-knife" scrofula, and inability to raise arms, Yuan Ye (GB24) governs. For atmospheric qi failing to breathe freely, where breathing causes chest and hypochondriac pain; in excess patterns, the whole body feels cold; in deficiency patterns, all joints become flaccid, Da Bao (SP21) governs. For sudden chest fullness and inability to sleep (or in another version, inability to breathe), Zhe Jin (ST25) governs. For chest and hypochondriac fullness, convulsions radiating to umbilical and abdominal pain, shortness of breath, and vexation/fullness, Ju Que (CV14) governs. For accumulated qi and knotting pain in the abdomen, Liang Men (ST21) governs. For food injury causing hypochondriac fullness, inability to turn the body, greenish complexion, and vomiting, Qi Men (LR14) governs. For chest and hypochondriac fullness, Lao Gong (PC8) governs. For excessive sleeping and frequent spitting, chest fullness, and borborygmus, San Jian (LI3) governs. For chest fullness, inability to breathe, and swelling of the head and chin, Yang Gu (SI5) governs. For chest and hypochondriac distension, intense borborygmus and cutting pain (or in another version, chest and hypochondriac support-fullness and intense abdominal pain), Tai Bai (SP3) governs. For sudden distension, chest and hypochondriac fullness, cold feet, difficulty defecating, pale face and lips, and occasional hematemesis, Tai Chong (LR3) governs. For chest and hypochondriac fullness, aversion to human voices and wooden sounds, Ju Xu Shang Lian (ST37) governs. For chest and hypochondriac fullness, feeling as if blown by wind, Xia Xi (GB43) governs. For chest fullness with frequent sighing (in *Qian Jin Fang*, it reads "stiffness of chest and back"), and a sensation of bloating in the chest, Ling Quan (ST34) governs.