论曰心为诸脏之长，神之所舍也，其正经不可伤，伤之则旦发夕死。夕发旦死，是为真
心痛，不可复治，其久成痛者，由风冷邪气，乘于心之支别络，停滞不去，发作有时，故经
久不瘥也。
治久心痛。桂心丸方
桂（去粗皮一两） 赤石脂（半两） 干姜（炮半两） 蜀椒（去目及闭口者炒出汗三
分） 乌
上五味，捣罗为末，炼蜜和丸，如小豆大，每服五丸，醋汤下，空心日午夜卧各一。
治久患心痛不止，及气冷，木香丸方
木香（炮） 鹤虱（微炒） 槟榔（锉） 诃黎勒（煨去核） 芜荑（炒） 附子（炮
裂去皮脐）
上八味，捣罗为末，炼蜜和丸，如小豆大，每服三十丸，食前生姜橘皮汤下。
治久心痛，经年不止。鹤虱丸方
鹤虱（炒） 木香 槟榔（锉） 陈橘皮（汤浸去白焙） 芜荑（炒） 附子（炮裂去
皮脐） 干
上七味 捣罗为末，炼蜜和丸，如小豆大，每服三十丸，食前橘皮汤下。
治久心痛不可忍。姜黄散方
姜黄（炒） 当归（切焙各一两） 木香 乌药（锉各半两）
上四味，捣罗为散，每服二钱匕，煎吴茱萸醋汤调下。
治心痛久不瘥。木香散方
木香（一半生一半炒） 吴茱萸（汤浸焙干炒） 当归（切焙） 甘草（炙锉） 芍药
（炒） 细
上九味，捣罗为散，每服二钱匕，炒生姜盐汤调下。
治心脏积冷。疼痛久不瘥。吴茱萸丸方
吴茱萸（炒一两半） 附子（炮裂去皮脐） 草豆蔻（去皮各二两） 桂（去粗皮一两）
桃仁（汤浸去皮尖双仁炒四两） 丁香（三分） 木香（半两）
上七味，捣罗为末，用煮陈曲糊和丸，如梧桐子大，每服二十丸，米饮或煨生姜橘皮煎
汤下。
治久心痛。沉香汤方
沉香（锉） 鸡舌香（各一两） 薰陆香（半两研） 麝香（一分研去筋膜）
上四味，捣为细末，每服三钱匕，水一中盏，煎至七分，去滓食后温服。
治久患心痛不止。丁香汤方
丁香 胡椒（炒各一分） 陈橘皮（汤浸去白焙） 桂（去粗皮） 香子（炒） 甘
草（炙锉
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治久心痛。桂椒丸方
桂（去粗皮一分） 胡椒（炒四十九粒） 巴豆（七粒去皮膜研出油尽） 斑蝥（七枚
去头足翅炒）
上四味，捣罗为细末，醋煮面糊和丸，如麻子大，阴干每服三丸，温酒下，妇人醋汤下，
早晚食后临卧，有孕者不可服。
治久心痛。二圣汤方
浓朴（去粗皮生姜汁炙） 大黄（锉炒各一两）
上二味，粗捣筛，每服二钱匕，酒一盏，煎至七分，去滓温服。
治久心痛。远志汤方
远志（去心） 菖蒲（细切各一两）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓不拘时温服。
治久心痛。桃仁煎方
桃仁（四十九枚去双仁皮尖炒）
上一味，细研如膏。分作三服，熟汤化下，空心日午夜卧，未瘥再作。
治久心痛。吴茱萸汤方
吴茱萸（汤洗七遍半两）
上一味，以浆水一碗半，煎至一碗，去滓频频温服。
Discourse states: The Heart is the chief of all viscera and the residence of the Spirit (Shen). Its main meridians must not be injured; if injured, death may occur in the evening if onset is in the morning, or in the morning if onset is in the evening. This is called True Heart Pain (a critical syndrome characterized by severe cardiac pain), which is incurable. Long-standing heart pain arises from wind-cold pathogenic factors invading the branch collaterals of the Heart, where they stagnate and fail to disperse, causing periodic attacks, thus persisting for a long time without recovery.
To treat long-standing heart pain. Guixin Wan Formula
Guixin (Cinnamomi Cortex, peeled, 1 liang) Chishizhi (Halloysitum Rubrum, 0.5 liang) Ganjiang (Zingiberis Rhizoma, processed, 0.5 liang) Shujiao (Sichuan Pepper, de-seeded and closed-mouth ones removed, stir-fried until moisture evaporates, 3 fen) Wutou (Aconiti Lateralis Radix Praeparata, processed)
The above five herbs are crushed, sifted into powder, mixed with refined honey to form pills the size of small beans. Take 5 pills per dose, administered with vinegar water on an empty stomach, at midnight, and before sleep.
To treat persistent long-standing heart pain and Qi-cold syndrome. Muxiang Wan Formula
Muxiang (Costi Radix, processed) Heshi (Chrysanthemi Indici Fructus, lightly stir-fried) Binglang (Arecae Semen, sliced) Helile (Terminaliae Chebulae Fructus, baked, pitted) Wuyi (Myristicae Malabaricae Semen, stir-fried) Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed)
The above eight herbs are crushed, sifted into powder, mixed with refined honey to form pills the size of small beans. Take 30 pills per dose, administered with ginger and tangerine peel decoction before meals.
To treat long-standing heart pain persisting for years. Heshi Wan Formula
Heshi (Chrysanthemi Indici Fructus, stir-fried) Muxiang (Costi Radix) Binglang (Arecae Semen, sliced) Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Wuyi (Myristicae Malabaricae Semen, stir-fried) Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed) Ganjiang (Zingiberis Rhizoma)
The above seven herbs are crushed, sifted into powder, mixed with refined honey to form pills the size of small beans. Take 30 pills per dose, administered with tangerine peel decoction before meals.
To treat unbearable long-standing heart pain. Jianghuang San Formula
Jianghuang (Curcumae Longae Rhizoma, stir-fried) Danggui (Angelicae Sinensis Radix, sliced and dried, 1 liang each) Muxiang (Costi Radix) Wuyao (Linderae Radix, sliced, 0.5 liang each)
The above four herbs are crushed, sifted into powder. Take 2 qianbi per dose, mixed with Evodiae Fructus vinegar water and taken orally.
To treat heart pain that has persisted for a long time without recovery. Muxiang San Formula
Muxiang (Costi Radix, half raw, half processed) Wuzhuyu (Evodiae Fructus, soaked in water, dried, stir-fried) Danggui (Angelicae Sinensis Radix, sliced and dried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, sliced) Shaoyao (Paeoniae Radix, stir-fried) Xixin (Asari Radix et Rhizoma)
The above nine herbs are crushed, sifted into powder. Take 2 qianbi per dose, mixed with stir-fried ginger salt water and taken orally.
To treat cold accumulation in the Heart. Persistent pain without recovery. Wuzhuyu Wan Formula
Wuzhuyu (Evodiae Fructus, stir-fried, 1.5 liang) Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and umbilicus removed) Caodoukou (Cardamomi Rotundi Fructus, peeled, 2 liang each) Gui (Cinnamomi Ramulus, peeled, 1 liang) Taoren (Persicae Semen, soaked in water, skin and tips removed, non-double kernels, stir-fried, 4 liang) Dingxiang (Caryophylli Flos, 3 fen) Muxiang (Costi Radix, 0.5 liang)
The above seven herbs are crushed, sifted into powder, mixed with paste made from fermented grain to form pills the size of paulownia seeds. Take 20 pills per dose, administered with rice drink or decoction of baked ginger and tangerine peel.
To treat long-standing heart pain. Chenxiang Tang Formula
Chenxiang (Aquilariae Lignum Resinatum, sliced) Jitingxiang (Caryophylli Flos, 1 liang each) Xunluxiang (Olibanum, 0.5 liang, ground) Shexiang (Moschus, 1 fen, ground, fascia removed)
The above four herbs are crushed into fine powder. Take 3 qianbi per dose, decocted with one zhong of water until reduced to 0.7 zhong, strain, and take warm after meals.
To treat persistent long-standing heart pain. Dingxiang Tang Formula
Dingxiang (Caryophylli Flos) Hujiao (Piperis Nigris Fructus, stir-fried, 1 fen each) Chenjupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Gui (Cinnamomi Ramulus, peeled) Xiangzi (Amomi Fructus, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted, sliced)
The above six herbs are coarsely crushed and sieved. Take 3 qianbi per dose, decocted with one zhan of water until reduced to 0.7 zhan, strain, and take warm.
To treat long-standing heart pain. Guijiao Wan Formula
Gui (Cinnamomi Ramulus, peeled, 1 fen) Hujiao (Piperis Nigris Fructus, stir-fried, 49 grains) Badou (Crotonis Fructus, 7 grains, skin and membrane removed, ground until oil is exhausted) Banmao (Mylabris, 7 pieces, head, feet, and wings removed, stir-fried)
The above four herbs are crushed, sifted into fine powder, mixed with flour paste boiled in vinegar to form pills the size of sesame seeds. Dry in shade. Take 3 pills per dose, administered with warm wine; women should use vinegar water. Take after meals in the morning and evening, and before sleep. Pregnant women must not take this formula.
To treat long-standing heart pain. Ersheng Tang Formula
Noupu (Magnoliae Officinalis Cortex, peeled, processed with ginger juice) Dahuang (Rhei Radix et Rhizoma, sliced, stir-fried, 1 liang each)
The above two herbs are coarsely crushed and sieved. Take 2 qianbi per dose, decocted with one zhan of wine until reduced to 0.7 zhan, strain, and take warm.
To treat long-standing heart pain. Yuanzhi Tang Formula
Yuanzhi (Polygalae Radix, core removed) Changpu (Acori Tatarinowii Rhizoma, finely sliced, 1 liang each)
The above two herbs are coarsely crushed and sieved. Take 3 qianbi per dose, decocted with one zhan of water until reduced to 0.7 zhan, strain, and take warm at any time.
To treat long-standing heart pain. Tao Ren Jian Formula
Tao Ren (Persicae Semen, 49 pieces, non-double kernels, skin and tips removed, stir-fried)
The above single herb is finely ground into a paste. Divide into three doses, dissolve in cooked water, and take. Take on an empty stomach, at midnight, and before sleep. If not recovered, prepare again.
To treat long-standing heart pain. Wuzhuyu Tang Formula
Wuzhuyu (Evodiae Fructus, washed seven times with water, 0.5 liang)
The above single herb is decocted with one and a half bowls of sour water until reduced to one bowl, strain, and take warm frequently.