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Jingui Yaolue · Essentials from the Golden Cabinet
9. Chest Impediment, Heart Pain and Short Qi · Pulses, Signs and Treatment
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The Master says: In the pulse, examine excess and insufficiency. Faint yang and wiry yin mean chest impediment with pain, caused by extreme deficiency. Yang deficiency is known to lie in Upper Burner; chest impediment and Heart pain occur because yin is wiry.
An otherwise ordinary person without cold or heat but with short qi insufficient for breathing has repletion.
Chest impediment with panting, cough and sputum, chest and back pain, short qi, deep and slow cunkou pulse and small, tight, rapid guan is governed by Gualou Xiebai Baijiu Tang.
Chest impediment with inability to lie and Heart pain reaching the back is governed by Gualou Xiebai Banxia Tang.
The supplied sentence first reads chest impediment with focal blockage in Heart and retained qi bound in the chest. An embedded textbook note says it should read: 'Chest impediment with focal-blocking qi in Heart, qi bound in the chest.' Chest fullness and counterflow beneath the ribs rushing at Heart are governed by Zhishi Xiebai Guizhi Tang; Renshen Tang also governs.
Note: Both the initial wording and its explicit editorial correction are preserved in translation.
Chest impediment with blocked qi in the chest and short qi is governed by Fuling Xingren Gancao Tang; Ju Zhi Jiang Tang also governs.
Chest impediment with alternations of relaxation and urgency is governed by Yiyi Fuzi San.
Heart-region focal blockage, various counterflows and suspended Heart pain are governed by Guizhi Shengjiang Zhishi Tang.
Heart pain reaching the back and back pain reaching Heart are governed by Wutou Chishizhi Wan.
Chishizhi Wan Formula
Shujiao 1 liang, another method 2 fen; Wutou 1 fen, heat-processed; Fuzi half a liang, heat-processed, another method 1 fen; Ganjiang 1 liang, another method 1 fen; Chishizhi 1 liang, another method 2 fen.
Powder the five and form with honey into wutong-seed-sized pills. Take one before food, three times daily.
Jiutong Wan: for nine kinds of Heart pain.
Fuzi 3 liang, heat-processed; fresh Langya 1 liang, roasted until fragrant; Badou 1 liang, peel and core removed, roasted and ground to fat-like consistency; Renshen, Ganjiang and Wuzhuyu 1 liang each.
Powder the six and form with refined honey into wutong-seed-sized pills. Take with wine. A strong person begins with three pills three times daily, a weak person two. It also treats sudden malign strike, abdominal distention and pain, inability to speak; longstanding accumulated cold flowing into chest and Heart pain, cold swelling with upward qi, and blood illness from falling from a horse or vehicle. Dietary prohibitions follow the usual method.
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