论曰心者君主之官，神明出焉，心神安静，则邪无得而干，若心气不足。精神衰弱，邪
恶之气，因得干止，连滞心络，令人气不升降，卒然心痛如刺，闷乱欲绝者，中恶心痛也。
治中恶卒暴心痛，不可忍。升麻汤方
升麻（一两半） 芍药（锉炒半两） 大黄（锉醋炒二两） 鬼箭羽（一两） 鬼臼（切
炒一两）
一两） 朴硝（半两
上一十味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，以利为度，若痛不止，
服后芍药汤。
治中恶心痛。赤芍药汤方
赤芍药（锉炒二两） 桔梗（炒一两半） 杏仁（汤浸去皮尖双仁炒二两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治中恶心痛，绕脐 刺白汗出。芎 汤方
芎 （半两） 桃仁（汤浸去皮尖双仁麸炒一两） 鬼箭羽（一两） 干姜（炮裂一分）
浓朴（去粗皮生姜汁炙） 甘草（炙锉） 当归（切焙） 桂（去粗皮各半两）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治中恶心痛。丁香汤方
丁香 芍药（锉炒） 槟榔（湿纸裹煨锉） 吴茱萸（汤浸焙炒各一两） 白术（三分）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治中恶心痛，两胁胀满。犀角汤方
犀角（镑一两） 桃仁（汤浸去皮尖双仁麸炒四十九枚） 赤茯苓（去黑皮一两半） 甘
草（
（别研一分）
上八味，粗捣筛，每服五钱匕，水一盏，童子小便半盏，前取一盏，去滓空心日午夜卧
温服。
治卒中恶，心腹刺痛，去恶气。犀角散方
犀角（镑） 木香（各半两） 麝香（细研一分）
上三味，捣研为散，每服二钱匕，空腹以熟水调下，未止再服。
治中恶心痛，腹胀闷。大黄散方
川大黄（锉碎微炒） 赤芍药 川升麻 鬼箭羽 鬼臼（去须） 桂心 桔梗（去芦头）
柴
上九味，捣筛为散，每服三钱匕，以水一中盏，煎至六分，去滓不计时候温服。
治中恶心痛不可忍。沉香散方
沉香（半两） 赤芍药（半两） 醋石榴皮（半两锉微炒） 桔梗（半两去芦头） 槟
榔（一两）
上六味，捣筛为散，每服三钱匕，以水一中盏，入葱白五寸，煎至六分，去滓不拘时候
温服。
It is stated: The Heart is the official of the sovereign, from which spirit and consciousness emerge. When the Heart spirit is tranquil, pathogenic factors cannot interfere; however, if Heart Qi is deficient and spirit and vitality are weak, evil Qi may invade, stagnating in the Heart collaterals. This causes dysfunction of ascending and descending of Qi, leading to sudden stabbing pain in the Heart, severe distress, and a sensation of impending collapse, known as Zhong E (Sudden Evil) Heart Pain.
For treating sudden and violent Heart Pain caused by Zhong E, where the pain is unbearable: Shengma Tang (Cimicifugae Decoction).
Shengma (Rhizoma Cimicifugae, 1 liang 5 qian), Shaoyao (Radix Paeoniae Rubra or Radix Paeoniae Alba, processed with stir-frying, 0.5 liang), Dahuang (Radix et Rhizoma Rhei, stir-fried with vinegar, 2 liang), Guijianyu (Ramulus Corni Swinhoei, 1 liang), Jiubai (Rhizoma Typhonii, stir-fried, 1 liang), Pomiao (Natrii Sulfas, 0.5 liang).
The above ten ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi (approx. 9-10g), decocted in 1 zhan (approx. 200ml) of water until reduced to 0.7 zhan. Strain and take warm. The treatment should be discontinued when bowel movement occurs. If pain persists, administer the subsequent Shaoyao Tang.
For treating Zhong E Heart Pain: Chishao Yao Tang (Red Peony Root Decoction).
Chishao Yao (Radix Paeoniae Rubra, stir-fried, 2 liang), Jiegeng (Radix Platycodonis, stir-fried, 1.5 liang), Xingren (Semen Armeniacae Amarum, soaked in hot water, skin and pointed ends removed, double-kernel, stir-fried, 2 liang).
The above three ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm.
For treating Zhong E Heart Pain with stabbing pain around the umbilicus and cold sweat: Xiong Tang (Ligusticum Decoction).
Xiongnu (Radix Ligustici Chuanxiong, 0.5 liang), Taoren (Semen Persicae, soaked in hot water, skin and pointed ends removed, double-kernel, stir-fried with bran, 1 liang), Guijianyu (Ramulus Corni Swinhoei, 1 liang), Ganjiang (Rhizoma Zingiberis Secatum, processed until cracked, 1 fen), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, stir-fried with ginger juice), Gancao (Radix Glycyrrhizae, stir-fried and crushed), Danggui (Radix Angelicae Sinensis, sliced and dried), Gui (Ramulus Cinnamomi, coarse bark removed, each 0.5 liang).
The above eight ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm.
For treating Zhong E Heart Pain: Dingxiang Tang (Caryophylli Decoction).
Dingxiang (Flos Caryophylli), Shaoyao (Radix Paeoniae, stir-fried), Binglang (Semen Arecae, baked in wet paper and crushed), Wuzhuyu (Fructus Evodiae, soaked in hot water, dried and stir-fried, each 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 3 qian).
The above five ingredients are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm.
For treating Zhong E Heart Pain with distension and fullness in both hypochondria: Xijiao Tang (Rhinocerotis Cornu Decoction).
Xijiao (Cornu Rhinocerotis, shaved, 1 liang), Taoren (Semen Persicae, soaked in hot water, skin and pointed ends removed, double-kernel, stir-fried with bran, 49 kernels), Chifuling (Poria with Red Skin, black skin removed, 1.5 liang), Gancao (Radix Glycyrrhizae, separately ground into fine powder, 1 fen).
The above eight ingredients are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1 zhan of water and half a zhan of urine from an unblemished young boy, combined to yield one zhan. Strain and take warm on an empty stomach, at noon, midnight, and before sleep.
For treating sudden invasion of evil Qi causing stabbing pain in the Heart and abdomen, and expelling evil Qi: Xijiao San (Rhinocerotis Cornu Powder).
Xijiao (Cornu Rhinocerotis, shaved), Muxiang (Radix Aucklandiae, each 0.5 liang), Shexiang (Moschus, finely ground, 1 fen).
The above three ingredients are crushed and ground into a powder. Each dose consists of 2 qian bi, taken with boiled water on an empty stomach. Repeat if necessary.
For treating Zhong E Heart Pain with abdominal distension and stuffiness: Dahuang San (Rhei Radix et Rhizoma Powder).
Chuan Dahuang (Radix et Rhizoma Rhei, crushed and slightly stir-fried), Chishao Yao (Radix Paeoniae Rubra), Chuan Shengma (Rhizoma Cimicifugae), Guijianyu (Ramulus Corni Swinhoei), Jiubai (Rhizoma Typhonii, roots removed), Guixin (Ramulus Cinnamomi Cortex), Jiegeng (Radix Platycodonis, radix removed), Chaihu (Radix Bupleuri).
The above nine ingredients are crushed and sieved into a powder. Each dose consists of 3 qian bi, decocted in one zhan of water until reduced to 0.6 zhan. Strain and take warm at any time.
For treating unbearable Zhong E Heart Pain: Chenxiang San (Aquilariae Lignum Resinatum Powder).
Chenxiang (Lignum Aquilariae Resinatum, 0.5 liang), Chishao Yao (Radix Paeoniae Rubra, 0.5 liang), Cu Shiliupi (Pericarpium Granati, crushed with vinegar, slightly stir-fried, 0.5 liang), Jiegeng (Radix Platycodonis, radix removed, 0.5 liang), Binglang (Semen Arecae, 1 liang).
The above six ingredients are crushed and sieved into a powder. Each dose consists of 3 qian bi, decocted with one zhan of water and five cun of Congbai (Scallion White) until reduced to 0.6 zhan. Strain and take warm at any time.