《病源论》云∶心腹痛者，由腑脏虚弱，风寒客于其间故也。邪气发作，与正气相击。
上冲于心则心痛，下攻于腹则腹痛，上下相攻。故心腹绞痛，气不得息。
《葛氏方》云∶凡心腹痛，若非中恶霍乱，则皆是宿结冷热所为也。治心腹俱胀痛，短
气欲
桂（三两，）切
以水一升八合，煮得八合，去滓，顿服。无桂者，干姜亦佳。
又云∶若心腹痛急似中恶者方∶
捣生菖蒲根汁，少少令下咽，即瘥。
《千金方》治心腹卒绞痛如刺，两胁支满，烦闷不可堪忍高良姜汤方∶
高良姜（五两） 原朴（二两，炙） 当归（三两） 桂心（二两）
四味，切，以水八升八合，煮取一升八合，分为三服，一服六合，日二。若一服痛止，
便停
《短剧方》治寒疝心腹痛方∶
夫寒疝腹中痛，逆冷，手足不仁，若一身疼痛，灸刺诸药所不治者，桂枝汤加乌头汤主
之∶
桂肉（三两） 生姜（三两） 甘草（二两） 夕药（三两） 大枣（十二枚） 乌头
（五枚，破之，
凡五物，以水七升，煮取二升半，纳蜜煎，分服五合，日三。
《极要方》疗心腹久寒，卒发，绞如鬼刺，欲死。汤方∶
吴茱萸（二升） 香豉（三合） 生姜（四两）
上，以好酒五升，煮取二升，分服。服下喉，杯未去口，病便止。勿令咽水。
又云∶疗在心腹病不可忍方∶
上，取桃东引枝，削去苍皮，取白皮一握，以水二升，煮取半升服之。
《医门方》疗卒心腹痛方∶
浓朴（三两） 桂心（二两）
以水三升，煮取一升服之。若卒痛如刺者，但煮桂汁饮之佳。
《僧深方》治恶气心腹痛欲死方∶
夕药（一两） 甘草（二两） 桂心（一两） 当归（二两）
凡四物，水五升，煮取二升，分再服。
《耆婆方》治人心腹绞痛不止方∶
生姜（十两） 桂心（三两） 甘草（三两） 人参（二两）
四味，切，以水一斗，煮取二升，分三服。
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases) states: Heart and abdominal pain arises from the weakness of the fu and zang organs, allowing wind-cold pathogenic factors to lodge within. When the pathogenic factor erupts, it clashes with the healthy qi.
If the pathogen rushes upward to the heart, it causes heart pain; if it attacks downward to the abdomen, it causes abdominal pain, with mutual attack between the upper and lower regions. Consequently, there is severe cramping pain in the heart and abdomen, and the breath cannot be regulated.
The *Ge Shi Fang* (Formulas by Master Ge) states: For all cases of heart and abdominal pain, if they are not due to sudden evil or huoluan (cholera-like syndrome), they are caused by accumulated cold or heat pathogens. To treat simultaneous distending pain in the heart and abdomen, shortness of breath, and a desire for... [text missing]:
Guizhi (Cinnamon Twig, 3 liang), sliced.
Boil in 1 sheng 8 he of water until 8 he remains, remove the dregs, and take in one dose. If Guizhi is unavailable, Ganjiang (Dried Ginger) is also good.
It further states: For cases where heart and abdominal pain is sudden and severe, resembling sudden evil:
Crush fresh Changpu root (Acori Tatarinowii Rhizoma) to extract juice, and have the patient swallow it in small amounts gradually; the disease will then heal.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats sudden severe cramping pain in the heart and abdomen like needle pricks, fullness and distension in both hypochondria, and unbearable restlessness and stifling sensation, using Gaoliangjiang Tang (Galangal Decoction):
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 5 liang) Houpo (Magnoliae Officinalis Cortex, 2 liang, stir-fried) Danggui (Angelicae Sinensis Radix, 3 liang) Guixin (Cinnamomi Ramulus Cortex, 2 liang).
Cut these four ingredients, boil in 8 sheng 8 he of water until 1 sheng 8 he remains, divide into three doses. Each dose is 6 he, taken twice daily. If the pain stops after one dose, discontinue use.
The *Duanju Fang* (Short Drama Formulas) treats heart and abdominal pain due to hanhan (cold hernia):
When hanhan causes abdominal pain, cold limbs, numbness in hands and feet, or body-wide pain that does not respond to moxibustion, acupuncture, or other medicines, Guizhi Jia Wutou Tang (Cinnamon Twig Decoction plus Aconite Root) is the primary treatment:
Guirou (Cinnamon Bark, 3 liang) Shengjiang (Fresh Zingiberis Rhizoma, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang) Shaoyao (Paeoniae Radix Alba, 3 liang) Dazao (Ziziphi Jujubae Fructus, 12 pieces) Wutou (Aconiti Lateralis Radix Praeparata, 5 pieces, broken).
Boil these five items in 7 sheng of water until 2 sheng 5 he remains, add honey and simmer, divide into five doses of 5 he each, taken three times daily.
The *Jiyao Fang* (Extremely Important Formulas) treats chronic cold in the heart and abdomen that suddenly erupts, causing cramping pain like ghost stabs, leading to a feeling of impending death, using this decoction:
Wuzhuyu (Evodiae Fructus, 2 sheng) Xiangchi (Fermented Soybean, 3 he) Shengjiang (Fresh Zingiberis Rhizoma, 4 liang).
Boil these in 5 sheng of good wine until 2 sheng remains, divide and take. As soon as the medicine enters the throat, before the cup leaves the mouth, the illness ceases. Do not allow the patient to drink water.
It further states: To treat unbearable pain in the heart and abdomen:
Take peach branches growing toward the east, scrape off the green bark, take a handful of the white inner bark, boil in 2 sheng of water until 0.5 sheng remains, and take orally.
The *Yimen Fang* (Medical Gate Formulas) treats sudden heart and abdominal pain:
Houpo (Magnoliae Officinalis Cortex, 3 liang) Guixin (Cinnamomi Ramulus Cortex, 2 liang).
Boil in 3 sheng of water until 1 sheng remains, and take. If the pain is sudden and stabbing like needles, boiling only Guizhi (Cinnamon Twig) juice to drink is better.
The *Seng Shen Fang* (Monk Shen's Formulas) treats heart and abdominal pain caused by evil qi, leading to a feeling of impending death:
Shaoyao (Paeoniae Radix Alba, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang) Guixin (Cinnamomi Ramulus Cortex, 1 liang) Danggui (Angelicae Sinensis Radix, 2 liang).
Boil these four items in 5 sheng of water until 2 sheng remains, divide into two doses.
The *Qipo Fang* (Qibo's Formulas) treats continuous severe cramping pain in the heart and abdomen:
Shengjiang (Fresh Zingiberis Rhizoma, 10 liang) Guixin (Cinnamomi Ramulus Cortex, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang) Renshen (Ginseng Radix, 2 liang).
Cut these four ingredients, boil in 1 dou of water until 2 sheng remains, divide into three doses.