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*Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: When cold qi is excessive compared to heat, Ying and Wei Qi (Nutritive and Defensive Qi) become stagnant and obstructed, preventing smooth circulation. Cold qi internally knots in the Heart, resulting in pain in the heart and abdomen accompanied by a sensation of coldness and lockjaw (Jin Han).

The manifestations include pain in the heart and abdomen with a feeling of cold, lockjaw, and an inability to speak.

*Seng Shen Fang* (Prescriptions from Monk Shen) records: Jie San Ren Shen Tang (Ginseng Decoction for Dissipating Stagnation) is commonly used to treat persistent Xin Jin (Heart Lockjaw) or Han Jin (Cold Lockjaw). The prescription is as follows:
Ren Shen (Radix Ginseng, 2 liang), Gan Jiang (Rhizoma Zingiberis Recens, 1 liang), Gan Cao (Radix Glycyrrhizae, 3 liang), Fu Ling (Poria, 1 liang), Gua Lou (Fructus Trichosanthis, 2 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Zhi Shi (Fructus Aurantii Immaturus, 1 liang).
These seven ingredients are decocted in six sheng of water until two sheng five he remain. Divide into three doses.

Qin Chengzu states: Liao San Chi Jiu Fang (Vinegar Wine Prescription for Treating Dispersed Fever): This is suitable for cases where fever does not resolve, or there is cold lockjaw, heart pain, or Xin Jin. Usage:
Mei Chi (Fermented Soybean Paste, 2 sheng, must be salt-free).
This single ingredient is roasted until fragrant, then added to three sheng of clear wine and boiled once. Strain and take one sheng warm. It should make the body slightly warm and induce sweating. If the patient has a heat condition where sweating is contraindicated, simply take the medicine; do not force sweating.

*Zhubing Yuanhou Lun* states: Exposure to warm environments causes Stone Poison (Shi Du) to fail to disperse. Internally, it obstructs the Zang-Fu organs and contends with Qi, resulting in fullness and distension in the heart and abdomen.

Huangfu Mi states: Some experience abdominal distension so severe it feels like bursting, and in extreme cases, even break their sash. Sitting or lying down for long periods generates heat below. Other factors include wearing clothes that are too warm, improper diet, improper bathing, lack of movement, forced exertion, drinking hot wine, eating cold food, washing with cold water, combing hair while standing in the wind.

*Seng Shen Fang* records: Jie San San Huang Tang (Three Yellows Decoction for Dissipating Stagnation) treats heart and abdominal pain and sudden urgent distension caused by dispersed pathogenic factors. The prescription is as follows:
Da Huang (Radix et Rhizoma Rhei, Huang Lian (Rhizoma Coptidis, Huang Qin (Radix Scutellariae) (each 3 liang).
These three ingredients are decocted in seven sheng of water until three sheng remain. Divide into three doses. Stop taking when bowel movements occur.
Current commentary: San Huang Tang also appears in *Duan Ju Fang*, in the chapter on eliminating heat.

*Duan Ju Fang* states: San Huang Tang treats persistent excess heat from dispersed pathogens, causing fullness in the heart and abdomen, red urine, difficult or incomplete defecation, rebellious Qi rushing to the chest, dry and scorched mouth, and red, burning eyes. The prescription is as follows:
Huang Lian (Rhizoma Coptidis, 2 liang), Huang Qin (Radix Scutellariae, 2 liang), Da Xun Huang (Radix et Rhizoma Rhei, 2 liang), Gan Cao (Radix Glycyrrhizae, 2 liang), Mang Xiao (Natrii Sulfas, 2 liang).
These five ingredients are decocted in five sheng of water until two sheng half remain. Add Mang Xiao and stir until dissolved. Divide into three doses.