论曰风邪冷气，伤于心之络脉，皆能致痛，若阳气偏虚，宿挟冷滞，又因饮食伤动。而
致心痛。则其病喜温而恶寒。其气惨而不舒。甚者四肢厥冷，气攻心而发痛也。
治冷气心痛，肋下鸣转，食不能消。豆蔻汤方
肉豆蔻（去壳炮四枚） 赤茯苓（去黑皮一两半） 当归（切焙一两） 陈橘皮（汤浸
去白焙）
术（一两半）
上一十二味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大切，枣二枚劈破，同煎至
八分。去滓空心日午夜卧温服。
治冷气冲心痛。浓朴汤方
浓朴（去粗皮生姜汁炙三分） 人参 当归（切焙） 陈橘皮（汤浸去白焙各半两） 麦
（
微炒一分） 白槟榔（微煨锉一枚）
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大拍破，同煎至八分，去滓温服
治寒气客于心，心中妨痛，脉来沉紧。槟榔汤方
槟榔（微煨锉五枚） 桂（去粗皮） 当归（切焙） 木香（各一两） 陈橘皮（汤浸
去白焙三
分） 附子（炮裂去皮脐一两）
上六味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大拍破，同煎至七分，去滓空
心日晚温服。
治冷气心痛不能食。八味桂心丸方
桂（去粗皮一两半） 桔梗（锉炒） 吴茱萸（汤浸焙炒） 人参 白术 高良姜（各
三分）
陈橘皮（汤浸去白焙半两） 当归（切焙一两）
上八味，捣罗为末，炼蜜丸如小豆大，每服十丸。温酒下，日午夜卧各一。稍加至十五
二十丸。
治宿患冷气心痛。时时发动。芎 丸方
芎 （一两） 桂（去粗皮） 当归（切焙） 干姜（炮） 浓朴（去粗皮生姜汁炙） 枳
壳（去
瓤炒各三分） 槟榔（微煨锉六枚）
上七味，捣罗为末，炼蜜丸如小豆大，每服二十丸，温酒下，加至三十丸，如腹有结块，
加附子鳖甲，妇人加桃仁各一两。
治冷气心肋结痛。食不下。高良姜汤方
高良姜 当归（切焙各二两） 陈橘皮（汤浸去白焙一两半） 浓朴（去粗皮生姜汁炙
二两）
干微炒一两
半） 诃黎勒皮（微煨五枚）
上八味，粗捣筛，每服三钱匕，水一盏，生姜一枣大拍破，同煎至六分，去滓温服、日
三。
治虚冷胸满短气，心痛呕吐，防风茯苓汤方
防风（去叉） 赤茯苓（去黑皮各一两） 桂（去粗皮三两） 甘草（炙锉一两） 干
姜（炮二
两） 人参（一两半） 半夏（汤洗去滑二两）
上七味，粗捣筛，每服五钱匕，水一盏半，入生姜一片，枣二枚劈破，同煎至八分。去
滓温服，空心日午夜卧各一。
治冷气冲心痛。三味桂心丸方
桂（去粗皮半两） 当归（切焙三分） 吴茱萸（汤浸一宿焙炒干一两）
上三味，捣罗为末，炼蜜丸如小豆大，每服二十丸，空心炒盐酒下，日晚再服。
治冷气心痛。干枣汤方
干枣（二七枚去核） 生姜（切一两） 白蜜（一匙头）
上三味，以水二盏，煎五六沸，去滓热服，未瘥再作服。
治冷气心痛。芜荑汤方
芜荑 陈橘皮（汤浸去白焙各一分）
上二味，粗捣筛，用水二盏，煎取一盏，去滓入炒盐一字顿服，未瘥再作服。
治心疼冷气 刺，痛不可忍。桂姜散方
桂（去粗皮一两） 生姜（片切焙干二两）
上二味，捣罗为散，每服二钱匕，温酒调下。
Commentary states: Wind pathogenic factors and cold qi, damaging the collateral vessels of the Heart, can all cause pain. If Yang Qi is deficient, with pre-existing cold stagnation, further triggered by dietary injury, Heart pain results. This condition favors warmth and dislikes cold; the qi feels miserable and unrelaxed. In severe cases, there is coldness in the four extremities, with qi attacking the Heart causing pain.
For treating Cold Qi Heart Pain accompanied by borborygmus under the ribs and inability to digest food, use Cardamomum Decoction (Doukou Tang).
Nux Moschata (Shell removed, roasted, four pieces) [Myristicae Semen]
Polyporus (Black skin removed, one tael and a half) [Poria]
Angelicae Sinensis Radix (Cut and roasted, one tael) [Donggui]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted) [Chenpi]
Atractylodis Macrocephalae Rhizoma (one tael and a half) [Baizhu]
The above twelve ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding ginger slice as large as a date cut into large pieces, and two dates split open. Simmer until reduced to eight-tenths. Strain and take warm on an empty stomach, during the day and before night sleep.
For treating Heart pain caused by Cold Qi rushing upward, use Magnoliae Officinalis Cortex Decoction (Nongpu Tang).
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice, three fen) [Houpo]
Ginseng Radix
Angelicae Sinensis Radix (Cut and roasted)
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, each half tael)
Ophiopogonis Radix (Lightly roasted, one fen) [Maidong]
Arecae Semen (Lightly roasted and crushed, one piece) [Binglang]
The above six ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to eight-tenths. Strain and take warm.
For treating Cold Pathogen lodging in the Heart, causing stifling pain in the heart region with a deep and tight pulse, use Arecae Semen Decoction (Binglang Tang).
Arecae Semen (Lightly roasted and crushed, five pieces) [Binglang]
Cinnamomi Ramulus (Rough bark removed) [Guizhi]
Angelicae Sinensis Radix (Cut and roasted)
Costi Radix (each one tael) [Muxiang]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, three fen)
Aconiti Lateralis Radix Praeparata (Roasted until cracked, skin and navel removed, one tael) [Fuzi]
The above six ingredients are crushed like hemp seeds. Each dose consists of three qianbi, boiled with one zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to seven-tenths. Strain and take warm on an empty stomach and before night sleep.
For treating Cold Qi Heart Pain resulting in inability to eat, use Eight-Ingredient Cinnamon Heart Pill (Bawei Guixin Wan).
Cinnamomi Ramulus (Rough bark removed, one tael and a half) [Guizhi]
Platycodonis Radix (Crushed and roasted) [Jiegeng]
Evodiae Fructus (Soaked in water, roasted after drying) [Wuzhuyu]
Ginseng Radix
Atractylodis Macrocephalae Rhizoma
Alpiniae Officinarum Rhizoma (each three fen) [Gaoliangjiang]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, half tael)
Angelicae Sinensis Radix (Cut and roasted, one tael)
The above eight ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is ten pills, taken with warm wine, once during the day and once before night sleep. Gradually increase to fifteen or twenty pills.
For treating chronic Cold Qi Heart Pain that flares up occasionally, use Xiong Pill (Xion Wan).
Saposhnikoviae Radix (one tael) [Qiongyao]
Cinnamomi Ramulus (Rough bark removed)
Angelicae Sinensis Radix (Cut and roasted)
Zingiberis Rhizoma Recens (Roasted) [Ganjiang]
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice)
Aurantii Fructus (Pulp removed, roasted, each three fen) [Zhike]
Arecae Semen (Lightly roasted and crushed, six pieces)
The above seven ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is twenty pills, taken with warm wine, increasing to thirty pills. If there are abdominal masses, add Aconiti Lateralis Radix Praeparata and Triosteae Rhizoma (or Turtle Shell), each one tael. For women, add Persicae Semen, one tael.
For treating Cold Qi causing knotted pain in the Heart and hypochondrium with difficulty eating, use Alpiniae Officinarum Rhizoma Decoction (Gaoliangjiang Tang).
Alpiniae Officinarum Rhizoma
Angelicae Sinensis Radix (Cut and roasted, each two taels)
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, one tael and a half)
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice, two taels)
Zingiberis Rhizoma Recens (Lightly roasted, one tael and a half)
Terminalia Chebulae Fructus (Lightly roasted, five pieces) [Helile]
The above eight ingredients are coarsely pounded and sieved. Each dose consists of three qianbi, boiled with one zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to six-tenths. Strain and take warm, three times daily.
For treating deficiency-cold causing chest fullness, shortness of breath, Heart pain, and vomiting, use Saposhnikoviae Radix and Polyporus Decoction (Fangfeng Fuling Tang).
Saposhnikoviae Radix (Branches removed)
Polyporus (Black skin removed, each one tael)
Cinnamomi Ramulus (Rough bark removed, three taels)
Glycyrrhizae Radix et Rhizoma (Roasted and crushed, one tael)
Zingiberis Rhizoma Recens (Roasted, two taels)
Ginseng Radix (one tael and a half)
Pinelliae Tuber (Washed in water to remove slipperiness, two taels)
The above seven ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding one slice of ginger and two split dates. Simmer until reduced to eight-tenths. Strain and take warm, once on an empty stomach, once during the day, and once before night sleep.
For treating Heart pain caused by Cold Qi rushing upward, use Three-Ingredient Cinnamon Heart Pill (Sanwei Guixin Wan).
Cinnamomi Ramulus (Rough bark removed, half tael)
Angelicae Sinensis Radix (Cut and roasted, three fen)
Evodiae Fructus (Soaked in water overnight, roasted until dry, one tael)
The above three ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is twenty pills, taken on an empty stomach with roasted salt wine, and again in the evening.
For treating Cold Qi Heart Pain, use Dried Jujube Decoction (Ganzao Tang).
Ziziphi Jujubae Fructus (Fourteen pieces, pits removed)
Zingiberis Rhizoma Recens (Cut, one tael)
Mel (One spoonful)
The above three ingredients are boiled in two zhan of water for five or six boils. Strain and take hot. If not cured, prepare and take again.
For treating Cold Qi Heart Pain, use Archidocarpae Fructus Decoction (Wuyi Tang).
Archidocarpae Fructus
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, each one fen)
The above two ingredients are coarsely pounded and sieved. Boil in two zhan of water to obtain one zhan. Strain, add a pinch of roasted salt, and take at once. If not cured, prepare and take again.
For treating Heart pain from Cold Qi stinging, unbearable pain, use Cinnamon and Ginger Powder (Guijiang San).
Cinnamomi Ramulus (Rough bark removed, one tael)
Zingiberis Rhizoma Recens (Sliced and roasted until dry, two taels)
The above two ingredients are pounded, sifted into powder. Each dose is two qianbi, mixed with warm wine and taken.