辨证要点:本病辨证首先当辨气滞、水饮及瘀血的偏重。气滞为主者,胸胁满闷疼痛,气急。水饮停聚者,胸廓胀满,咳逆倚息不得卧,咳唾引痛。血瘀停滞者,胸痛如刺,经久不愈,天阴更为明显。如伴外邪者,多为邪阻少阳,枢机不利,出现寒热往来,口苦,干呕。饮邪化热者,兼有喘满,心下痞硬,面色黧黑,口干潮热。实证多为新病,因邪犯胸肺,或水停胸胁,或络气不和,邪盛而正气不衰。虚证多为久病,气阴耗伤,正虚邪恋。证候:寒热往来,身热弛张起伏,汗少,发热不恶寒,或有汗而热不解,咳嗽,痰少气急,胸胁刺痛,呼吸、转侧疼痛加重,口苦,咽干 ......