手拈散
主心脾痛。
草果仁 延胡索 五灵脂 没药
上等分为末。每服二三钱，温酒调下，米饮亦可。
香附散
治心脾疼，不可忍者。
高良姜（去芦，炒） 香附子（去毛，炒。各一两）
上为末。每服三钱，入盐，米饮调下。
诃子散
治心脾疼，冷痛不可忍，一服见效。及老幼霍乱吐泻，其效如神。
诃子（炮，去核） 甘草（炙） 浓朴（姜汁炒） 干姜（炮） 草果（去皮） 陈皮 良
姜（炒）
茯
上为末。每服二钱，候发刺不可忍时，用水一盏，煎七分，入盐服。
九痛丸
治九种心痛∶虫痛、疰痛、风痛、悸痛、食痛、饮痛、冷痛、热痛、往来痛。兼治
卒中恶，腹胀痛，口不能言。又治连年积冷，流在心胸，并冷肿痛，上气。落马，坠车
等疾
附子（三两，炮，去皮脐） 野狼毒（炙香） 巴豆（去皮、心、膜炒，称） 人参 干
姜（炮） 吴
茱萸（浸洗，炒。各一两）
上为末，炼蜜丸如梧桐子大，每服空腹温下三丸。卒中恶，心痛，不能言，服三丸。
撞气阿魏丸
治九种心痛，五种噎疾， 癖，气块，冷气攻刺。及脾胃停塞，胸满膨胀，腹
呕吐酸水。丈夫小肠气，妇人血气、血刺等。
阿魏（酒浸一宿，面为糊） 胡椒（各二钱半） 甘草 茴香（炒） 川芎 青皮 陈
皮丁
香皮
片，用
盐一
上为末，阿魏糊丸如鸡头大，每药一斤，用朱砂七钱为衣。丈夫气痛，炒姜、盐汤下二
粒至
失笑散
治败血冷气心痛。（方见疝气类。）
浮椒丸
治脾痛不可忍，及疗冷气疼。
陈茱萸（二两） 浮椒（即胡椒） 蚌粉（炒赤色。各一两）
上为末，醋糊丸如梧子大。每服二十丸，用温酒或盐汤下。遇发时服，甚者不过二三服，
立
附术汤
治脾积气，妇人诸般气痛。
香附子（五两，炒去毛，赤色止） 莪术（醋煮） 甘草（各二两）
上为末。每服二钱，入盐少许，百沸汤空心点服。
九气汤
治心脾疼不可忍，下九痛丸，一服而止。（与诸气类神仙九气汤同，九痛丸方见前
三和散
治腹胀脾疼，中满痞闷不食，大小便或涩，加生姜、灯心、缩砂仁煎服。仍服理中
贴，立效。或加白茯苓、浓朴各二钱。（方见诸气及泄泻类。）
神保丸
治心气筑刺痛甚，柿蒂、灯心汤下。（方见诸气类。）
夺命抽刀散
治男子妇人脾胃积冷，中焦不和，心下虚痞，腹中痛，胸胁逆满，噎塞不通，
饮食不下，噫醋吞酸，口苦无味，不思饮食。及妇人久患冷气刺痛，男子或当空
风露之邪，得心痛积年，服之大效。
干姜（锉，入巴豆半钱，同炒至黑色，去巴豆不用） 良姜（入斑蝥一百个，同炒。去
斑蝥。
上为末。每服二钱，盐少许，沸汤点服，不拘时。或温酒调尤佳。一方，以去壳巴豆炒
蚌粉
而心
参术散
治虚弱人脾疼。
人参 白术（去芦，炒） 干姜（炮） 白豆蔻仁 缩砂仁 丁香 橘皮 甘草（略炒）
上等分，锉散。每服三钱，姜三片，煎取药汁，调炒过真蚌粉一大钱，并服。
加味乌沉汤
生气补血。心肾虚损之人服此，胜大建中汤。
人参 当归（大者，去芦） 白术（炒。各一两） 沉香（半两） 天台乌药 白茯苓
（去皮） 附
上锉散。每服三钱，水一盏，姜五片，枣一枚煎，空心服。
单方
治苦热食冰雪过多，又频饮冷浆，积冷于中，脾疼半岁不愈。
汉椒二十粒，浸于浆水盆中一宿漉出，还以水吞之，其病即脱，更不复作。
大理中丸
治因食水太过，脾疼久不愈，以水煎一二丸服，立效。又方，治心脾气痛，加泡
三十粒，入丸末皆可。（方见泄泻类。）
神效散
治远年近日，一切脾疼，遇食冷物，或天气寒，阴冷便作，胸间一点痛起，或引入
痛不可忍。服之即绝根。
南木香 青皮 陈皮 麦 （炒） 大枳壳（炮） 京三棱 蓬莪术 神曲（炒） 甘
草（炙。各
澄茄 丁香（各
上锉散。每服三钱，水一盏半，生姜三片，枣子一枚，煎至七分，空心服。临睡加盐一
捻，
茴姜汤
治男子妇人一切心腹胀满，气滞走痛，神效。
茴香（二两半） 青皮（一两，去白） 良姜（一两，酒浸炒） 天台乌药（泔浸一日
夜，炒黄为
上锉散。每服三钱，水一盏，姜五片，枣一枚煎，空心服。
单方
治一切心痛，无问久新，服之良久当利，即愈。生地黄一味，随人所食多少，取汁搜
作 ，或作冷淘，但忌用盐。
灸法∶心痛有三虫，多涎，不得反侧，上脘穴主之。若心痛身寒，难以俯仰，心疝，冲
冒不
Shou Nian San (Hand-Picking Powder)
Indicated for Heart-Spleen pain.
Tsaoko Fruit Kernel (Amomi Fructus Rotundus), Corydalis Rhizome (Yanhusuo, 延胡索), Trogopterus Dung (Wulingzhi, 五灵脂), Myrrh (Moyao, 没药)
Grind the above herbs into fine powder in equal parts. Take 2-3 qian each time, mixed with warm wine; rice water is also acceptable.
Xiang Fu San (Cyperi Powder)
Treats Heart-Spleen pain that is unbearable.
Galangal Rhizome (Gaoliangjiang, 高良姜) [remove rhizome, stir-fry], Cyperi Rhizome (Xiangfu, 香附子) [remove hairs, stir-fry]. Each 1 liang.
Grind the above herbs into powder. Take 3 qian each time, add salt, and mix with rice water.
He Zi San (Terminalia Powder)
Treats Heart-Spleen pain, cold pain that is unbearable, effective after one dose. Also treats cholera with vomiting and diarrhea in the elderly and children, with miraculous efficacy.
Terminalia Chebula Fruit (Hezi, 诃子) [parched, remove seeds], Licorice Root (Gancao, 甘草) [honey-fried], Magnolia Bark (Houpo, 厚朴) [stir-fry with ginger juice], Dried Ginger (Ganjiang, 干姜) [parched], Tsaoko Fruit (Caoguo, 草果) [remove peel], Tangerine Peel (Chenpi, 陈皮), Galangal Rhizome (Liangjiang, 良姜) [stir-fry]
Grind the above herbs into powder. Take 2 qian each time. When stabbing pain becomes unbearable, decoct in one sheng of water until reduced to 0.7 sheng, add salt, and take.
Jiu Tong Wan (Nine Pain Pill)
Treats nine types of Heart pain: Worm pain, Pestilence pain, Wind pain, Palpitation pain, Food stagnation pain, Drink stagnation pain, Cold pain, Heat pain, and Alternating pain. Also treats sudden attack by evil qi, abdominal distension and pain, inability to speak. Treats chronic accumulation of cold flowing into the heart and chest, cold swelling and pain, and rising qi. Also treats injuries from falling off horses or carts.
Aconite Root (Fuzi, 附子) [3 liang, parched, remove skin and umbilical scar], Daphne Genkwa Stem Bark (Langdu, 狼毒) [roasted until fragrant], Croton Seed (Badou, 巴豆) [remove skin, heart, and membrane, stir-fry, weighed], Ginseng Root (Renshen, 人参), Dried Ginger (Ganjiang, 干姜) [parched], Evodia Fruit (Wuzhuyu, 吴茱萸) [soak and wash, stir-fry]. Each 1 liang.
Grind the above herbs into powder, refine honey to make pills the size of Sophora seeds. Take 3 pills on an empty stomach with warm water. For sudden attack by evil qi, heart pain, and inability to speak, take 3 pills.
Zhuang Qi A Wei Wan (Striking Qi Asafoetida Pill)
Treats nine types of Heart pain, five types of dysphagia, fixed masses, Qi masses, and piercing cold qi. Also treats stagnation and blockage in the Spleen and Stomach, chest fullness and distension, abdominal vomiting of sour fluid. Men's Small Intestine Qi, Women's Blood Qi, Blood stabbing, etc.
Asafoetida Resin (Awei, 阿魏) [soak in wine overnight, paste made from flour], Black Pepper (Hu Jiao, 胡椒). Each 2.5 qian, Licorice Root (Gancao, 甘草), Fennel Seed (Hui Xiang, 茴香) [stir-fry], Ligusticum Rhizome (Chuanxiong, 川芎), Green Tangerine Peel (Qingpi, 青皮), Tangerine Peel (Chenpi, 陈皮), Clove Bud (Dingxiang, 丁香) [skin]
Grind the above herbs into powder, use Asafoetida paste to make pills the size of a lotus root head. For every 1 jin of medicine, coat with 7 qian of Cinnabar. For men's Qi pain, take 2 pills with stir-fried ginger and salt water... (text incomplete)
Shi Xiao San (Pain-Stopping Powder)
Treats Heart pain caused by stagnant blood and cold qi. (Formula see Hernia category.)
Fu Jiao Wan (Floating Pepper Pill)
Treats unbearable Spleen pain, and treats cold Qi pain.
Old Evodia Fruit (Chen Wuzhuyu, 陈茱萸) [2 liang], Floating Pepper (Fu Jiao, i.e., Black Pepper, 胡椒), Clam Shell Ash (Bang Fen, 蚌粉) [stir-fry until red]. Each 1 liang.
Grind the above herbs into powder, use vinegar paste to make pills the size of Sophora seeds. Take 20 pills each time with warm wine or salt water. Take when attacks occur; for severe cases, no more than 2-3 doses are needed to immediately... (text incomplete)
Fu Zhu Tang (Curcuma and Atractylodes Decoction)
Treats Spleen Qi accumulation, and various Qi pains in women.
Cyperi Rhizome (Xiangfu, 香附子) [5 liang, stir-fry to remove hairs, until reddish], Curcuma Zedoaria Rhizome (Ezhu, 莪术) [decoct in vinegar], Licorice Root (Gancao, 甘草). Each 2 liang.
Grind the above herbs into powder. Take 2 qian each time, add a little salt, and take on an empty stomach with boiling water.
Jiu Qi Tang (Nine Qi Decoction)
Treats unbearable Heart-Spleen pain. Combine with Jiu Tong Wan; stops pain after one dose. (Same as Shen Xian Jiu Qi Tang in the Qi category. Jiu Tong Wan formula see previous section.)
He San San (Harmonizing Three Powder)
Treats abdominal distension and Spleen pain, middle jiao fullness and stuffiness, loss of appetite, or constipation/difficulty in urination and defecation. Add Fresh Ginger, Centum Segments, and Amomum Fruit to decoct and take. Continue taking Li Zhong Tie; effect is immediate. Or add White Poria and Magnolia Bark, 2 qian each. (Formula see Qi and Diarrhea categories.)
Shen Bao Wan (Divine Protection Pill)
Treats severe stabbing pain of Heart Qi. Take with Persimmon Calyx and Centum Segments decoction. (Formula see Qi category.)
Ming Chou Chou Dao San (Life-Taking Knife-Drawing Powder)
Treats accumulated cold in the Spleen and Stomach of men and women, disharmony of the middle jiao, deficiency-fullness below the heart, abdominal pain, reverse fullness of chest and hypochondrium, choking and blockage, inability to eat and drink, belching with acid regurgitation, bitter taste and loss of flavor, lack of appetite. Also treats women with long-term cold Qi stabbing pain, and men who have suffered from chronic Heart pain due to exposure to wind and dew for years; this formula is highly effective.
Dried Ginger (Ganjiang, 干姜) [chopped, add half a qian of Croton Seed, stir-fry together until black, discard Croton Seed], Galangal Rhizome (Liangjiang, 良姜) [add 100 Mylabris Beetles, stir-fry together, discard Mylabris Beetles]
Grind the above herbs into powder. Take 2 qian each time, add a little salt, and take with boiling water, at any time. Mixing with warm wine is even better. Another method uses peeled Croton Seed stir-fried with Clam Shell Ash... (text incomplete)
Shen Zhu San (Ginseng and Atractylodes Powder)
Treats Spleen pain in weak individuals.
Ginseng Root (Renshen, 人参), Atractylodes Macrocephala Rhizome (Baizhu, 白术) [remove rhizome, stir-fry], Dried Ginger (Ganjiang, 干姜) [parched], Cardamom Seed (Baidoukou, 白豆蔻), Amomum Fruit (Suansha, 缩砂仁), Clove Bud (Dingxiang, 丁香), Tangerine Peel (Jupi, 橘皮), Licorice Root (Gancao, 甘草) [slightly stir-fry]
Grind the above herbs into powder in equal parts. Take 3 qian each time, add 3 slices of ginger, decoct to extract juice, mix with 1 large qian of stir-fried real Clam Shell Ash, and take together.
Jia Wei Wu Chen Tang (Modified Wu-Chen Decoction)
Generates Qi and nourishes Blood. For those with Heart-Kidney deficiency, this is superior to Da Jian Zhong Tang.
Ginseng Root (Renshen, 人参), Angelica Sinensis Root (Danggui, 当归) [large ones, remove rhizome], Atractylodes Macrocephala Rhizome (Baizhu, 白术) [stir-fry]. Each 1 liang, Agarwood (Chenxiang, 沉香) [half liang], Tiantai Aristolochia Root (Tiantai Weyao, 天台乌药), White Poria (Baifuling, 白茯苓) [remove skin], Aconite Root... (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with one sheng of water, 5 slices of ginger, and one date, decoct and take on an empty stomach.
Single Prescription
Treats Spleen pain lasting half a year due to excessive consumption of ice and snow, and frequent drinking of cold liquids, causing accumulated cold in the center.
Take 20 Sichuan Peppercorns, soak them in a basin of fermented grain water overnight, strain them out, and swallow them with water. The disease will disappear and not recur.
Da Li Zhong Wan (Great Harmonizing Middle Pill)
Treats Spleen pain that persists for a long time due to excessive water intake. Decoct 1-2 pills in water and take; effect is immediate. Another prescription for Heart-Spleen Qi pain: add... (text incomplete) 30 grains, can be added to pill powder. (Formula see Diarrhea category.)
Shen Xiao San (Miraculous Efficacy Powder)
Treats all Spleen pain, whether recent or chronic. Triggered by eating cold food or cold weather, Yin-Cold arises, starting as a point of pain in the chest, or radiating... (text incomplete) making pain unbearable. Taking this eliminates the root cause.
Southern Costus Root (Nanmuxiang, 南木香), Green Tangerine Peel (Qingpi, 青皮), Tangerine Peel (Chenpi, 陈皮), Wheat... (text incomplete) [stir-fry], Large Bitter Orange (Da Zhike, 大枳壳) [parched], Sparganium Rhizome (Jingsanleng, 京三棱), Curcuma Zedoaria Rhizome (Peng Ezhu, 蓬莪术), Medicated Leaven (Shenqu, 神曲) [stir-fry], Licorice Root (Gancao, 甘草) [honey-fried]. Each... (text incomplete)
Cubeb Fruit (Chengqie, 澄茄), Clove Bud (Dingxiang, 丁香). Each... (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with 1.5 sheng of water, 3 slices of ginger, and one date, decoct until reduced to 0.7 sheng, and take on an empty stomach. Before sleep, add a pinch of salt... (text incomplete)
Hui Jiang Tang (Fennel and Ginger Decoction)
Treats all Heart and abdominal distension and fullness, Qi stagnation and wandering pain in men and women; miraculous efficacy.
Fennel Seed (Hui Xiang, 茴香) [2.5 liang], Green Tangerine Peel (Qingpi, 青皮) [1 liang, remove white pith], Galangal Rhizome (Liangjiang, 良姜) [1 liang, soak in wine and stir-fry], Tiantai Aristolochia Root (Tiantai Weyao, 天台乌药) [soak in rice water for one day and night, stir-fry until yellow...] (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with one sheng of water, 5 slices of ginger, and one date, decoct and take on an empty stomach.
Single Prescription
Treats all Heart pain, regardless of duration. After taking for a while, there should be purging, leading to cure. Use only Raw Rehmannia Root (Sheng Dihuang, 生地黄). Extract juice according to the amount eaten, knead into dough... (text incomplete) to make cold noodles, but avoid using salt.
Moxibustion Method: Heart pain involves three worms, with excessive saliva, inability to turn over. Shangwan (CV13) is indicated. If Heart pain is accompanied by body coldness, difficulty in bending and stretching, Heart hernia, and rushing upward... (text incomplete)