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Discourse states: Shan disease (abdominal pain syndrome) refers to pain, which fundamentally arises from the internal accumulation of cold pathogen. When yang qi is deficient and yin qi is excessive, it fails to dissipate, allowing the cold pathogen to attack. It may rush upward to affect the heart or cause stabbing pain within the abdomen. Upon onset, pain occurs throughout, hence it is named Cold Shan Heart and Abdominal Pain.

For treating Cold Shan Heart and Abdominal Pain accompanied by distending fullness in the chest and hypochondrium, inability to eat, sweating, and vomiting with rebellious qi, use Ren Shen Tang (Ginseng Decoction):
Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Bin Lang (Areca Seed), Mu Xiang (Aucklandiae Radix), Shao Yao (Paeoniae Radix), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Gui Zhi (Cinnamomi Ramulus, bark removed), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, and dried). Each weighs one liang.
The above nine ingredients are coarsely pounded and sifted. For each dose, take three qian bi, add one zhan of water, and decoct until seven-tenths remains. Strain and take warm, at any time.

For treating Cold Shan, Heart and Abdominal Pain, use Chai Hu Tang (Bupleuri Decoction):
Chai Hu (Bupleuri Radix, stems removed, four liang), Da Zao (Jujubae Fructus, pits removed and dried, six fruits), Huang Qin (Scutellariae Radix, core removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and crushed), Ban Xia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, processed with fresh ginger juice), Gui Zhi (Cinnamomi Ramulus, bark removed), Shao Yao (Paeoniae Radix). Each weighs one and a half liang.
The above eight ingredients are coarsely pounded and sifted. For each dose, take three qian bi, add one zhan of water and one piece of fresh ginger cut as large as a jujube. Decoct until seven-tenths remains. Strain and take warm, at any time.

For treating Cold Shan Heart and Abdominal Pain, where qi rebels upward causing mental restlessness and fullness, inability to lie down, aversion to wind, fright, anorexia, and subsequent alternating chills and fever, use Wu Zhu Yu Wan (Evodiae Pilula):
Wu Zhu Yu (Evodiae Fructus, washed in hot water, dried, and stir-fried, one liang), Xi Xin (Asari Radix et Rhizoma, stems and leaves removed), Shao Yao (Paeoniae Radix), Chai Hu (Bupleuri Radix, stems removed), Xuan Fu Hua (Inulae Flos), Huang Qin (Scutellariae Radix, black core removed), Zi Wan (Adenophorae Radix, stems and soil removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Gan Jiang (Zingiberis Rhizoma, processed), Gui Zhi (Cinnamomi Ramulus, bark removed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed).
The above sixteen ingredients are pounded and sieved into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty to thirty pills per dose with warm wine, at any time.

For treating severe, unbearable Cold Shan Heart and Abdominal Pain with sweating and syncope, use Jiao Fu Tang (Sichuan Pepper and Aconite Decoction):
Shu Jiao (Sichuan Peppercorn, eyes and closed-mouth ones removed, stir-fried until oil appears, two hundred grains), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, one root), Jing Mi (Oryza Sativa Germen, half a zhan), Gan Jiang (Zingiberis Rhizoma, processed, half a liang).
The above six ingredients are chopped like hemp or bean seeds. For each dose, take five qian bi, add one and a half zhan of water, half a fen of chopped fresh ginger, and two jujubes split open. Decoct until one zhan remains. Strain and take warm on an empty stomach before meals.

For treating Cold Shan Heart and Abdominal Pain, use Fu Zi Wan (Aconite Pilula):
Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, two liang), Tao Ren (Persicae Semen, skin and tips removed, double-kernel ones separately ground into paste, three liang), Ji Li Zi (Tribuli Fructus, stir-fried and thorns removed, one sheng).
The above three ingredients are pounded and ground into powder. Mix with refined honey to form pills the size of sophora seeds. Take twenty pills per dose with warm wine, at any time.

For treating Cold Shan Heart and Abdominal Pain with sweating and cold extremities, use Di Huang Tang (Rehmanniae Decoction):
Sheng Gan Di Huang (Rehmanniae Radix Preparata, dried, three liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Bai Fu Ling (Poria, black skin removed), Ren Shen (Panax Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried, each two liang), Yang Rou (Mutton, fat removed, cut into pieces, three jin).
The above six ingredients: finely chop the first five. Boil the mutton in two dou of water to extract one dou of broth. Remove the mutton and add the herbs. Decoct until seven sheng remain. Add one bunch of chopped scallion whites and fourteen split jujubes. Decoct again until six sheng remain. Strain. Take one zhan warm per dose, at any time.

For treating Cold Shan Heart and Abdominal Pain with abdominal urgency and tension, use Dang Gui Tang (Angelicae Sinensis Decoction):
Dang Gui (Angelicae Sinensis Radix, sliced, three liang), Sheng Jiang (Zingiberis Rhizoma Recens, sliced, five liang), Yang Rou (Mutton, membrane removed, sliced, one jin).
The above three ingredients are boiled in one dou of water to extract five sheng. Strain. Take one zhan warm per dose, at any time. Three times during the day and twice at night.