论曰经言心无正痛，真心痛即难治。小儿心痛者，心包络脉受邪也。包络者，心之别脉
，邪气客之，则厥气上逆，痞而不散，故发为心痛。
治小儿冷邪气攻心痛，不欲饮食。桃仁汤方
桃仁（三七枚汤浸去皮尖双仁炒黄） 浓朴（去粗皮生姜汁炙一两） 人参（半两） 陈
橘皮
（汤浸去白焙一分） 麦 （微炒半两） 槟榔（锉半两） 附子（炮裂去皮脐） 桂（去
粗皮） 当
归（切焙各一两）
上九味，粗捣筛。一二岁儿每服半钱匕，水半盏，煎至三分，去滓不计时候温服。更量
大小加减。
治小儿冷气心痛，不思饮食。槟榔散方
槟榔（锉三分） 当归（切焙一两） 莪术（煨锉三分） 吴茱萸（汤洗焙干微炒一分）
阿
魏（一分面裹煨令面熟为度去面） 木香（三分）
上六味，捣罗为细散。一二岁儿每服半钱匕，温酒调下，不计时候。
治小儿心疼不可忍。荜茇散方
荜茇（一分） 胡椒（一分） 桂（去粗皮一分） 桃仁（汤浸去皮尖双仁炒黄半两） 木
香（
半两） 当归（切焙三分）
上六味，捣罗为细散。一二岁儿，每服半钱匕，温酒调下，不计时候。
治小儿心痛，面色青黄，不欲饮食。麝香丸方
麝香（细研一分） 槟榔（锉） 陈橘皮（汤浸去白皮） 肉豆蔻（去壳） 吴茱萸（汤
洗焙干
炒） 木香（各一两）
上六味，先将茱萸，以米醋煮一二十沸后，掘一地坑子，可安得茱萸。以炭火半秤，烧
坑子令通赤，以米醋半盏，及茱萸，入在坑内，用瓷碗盖之，四面以灰拥定，勿令泄气，候
冷取出，与前药一处捣罗为末。入麝香和匀，醋煮面糊和丸，如黄米大，一二岁儿每服五丸
，三四岁七丸，温酒下，不拘时候。
治小儿心痛不可忍。桃仁汤方
桃仁（去皮尖双仁麸炒研） 赤芍药 桔梗（炒） 桂（去粗皮） 甘草（炙各半两）
上五味，捣罗四味为末。与桃仁同研匀，每服一钱匕，水一盏，煎至半盏，去滓温服，
量儿大小加减，不拘时候。
治小儿心痛。木香汤方
木香 高良姜（炒各一分） 白术 桔梗（炒） 白茯苓（去黑皮各半两）
上五味，粗捣筛。一二岁儿每服一钱匕，水一盏，煎至五分，去滓分温二服，发时并吃
，更量儿大小加减。
治小儿心痛。紫沉消积丸方
沉香（锉） 砂（各四两） 阿魏 巴豆霜（各一两以上各研别为末用蜜一斤酒化熬
成膏） 丹砂（研） 丁香 干姜（炮各二两） 硫黄（研） 青橘皮（汤浸去白焙） 高
良姜 槟榔（锉）
木香 人参 胡椒 桂（去粗皮各四两）
上一十五味，除前膏外，一十一味，捣研为细末，入前膏和捣，丸如绿豆大，以瓷合收
密封，每服二丸，食前橘皮汤下，更量度加减。
治小儿积气冷气心痛。 砂丸方
砂（二钱） 干漆（微炒） 五灵脂 胡椒 桂（去粗皮） 京三棱（炮锉） 莪术
（炮各一
分） 巴豆（二十一枚去皮心膜醋煮令出油研） 斑蝥（二十一枚去翅足炒）
上九味，捣罗为末。研令匀，醋煮面糊和丸，如黄米大。一二岁儿每服五丸，三四岁儿
每服七丸，橘皮汤下，余以意加减。
治小儿呕逆，心腹疼痛，化水谷，消积聚。沉香煎丸方
沉香（锉） 丁香 木香 胡椒 没药（研） 丹砂（研水飞） 高良姜 槟榔（面裹
煨熟去
面锉） 砂（拣净水飞慢火熬干） 青橘皮（汤浸去白焙） 硫黄（研水飞各一两） 缩
砂（去
皮）吴茱萸（汤浸焙干） 阿魏（醋浸研澄去沙和面作饼子炙焦各半两） 巴豆（去皮心膜
研出油
尽一分）
上一十五味，各捣研为末和匀。炼蜜丸如绿豆大，以瓷合收密封。每服二丸，食前临卧
生姜橘皮汤下，量虚实大小加减。
治小儿心痛。胡椒丸方
胡椒（四十九粒） 槟榔（一枚锉） 斑蝥（七枚去翅足）
上三味，捣罗为细末，烧粟米饭为丸。黄米大，一二岁儿每服三丸，三岁以上五丸，煎
菖蒲汤下。
治小儿心痛。姜黄散方
姜黄 槟榔（锉）
上二味等分，捣罗为散，温酒调下，一二岁儿每服半钱匕以下，余以意加减。
治小儿蛔虫攻心腹痛。楝根汤方
楝根皮（有子者） 酸石榴根 槐根（各一握切碎用东引者）
上三味，以水三盏，煎取一盏，去滓空心顿服。以药盏合之，即泻虫出，仰之即吐虫出
，神验，儿小分减服。
治小儿疳虫不时咬心痛，日夜不睡。人参汤方
人参 桂（去粗皮） 桃柳枝（锉焙） 野狼牙 乳香（研） 青橘皮（去白焙炒） 吴
茱萸（汤
浸焙炒各一分） 古老钱（四文火烧醋淬）
上八味，粗捣筛。每服一钱匕，水六分。煎至四分，去滓温服，量儿大小加减。
Commentary states: Medical classics mention that the Heart itself does not have true pain; "Zhenxin Tong" (True Heart Pain) is difficult to treat. Pediatric Xin Tong (Heart Pain) results from pathogenic factors invading the Pericardium Collateral (Pericardium Meridian of Hand-Jueyin). The Pericardium is an alternate meridian of the Heart. When pathogenic factors lodge therein, it causes rebellious Qi to ascend, leading to stagnation and obstruction that cannot dissipate, thus manifesting as Xin Tong (Heart Pain).
Treatment for pediatric Xin Tong (Heart Pain) caused by cold pathogenic factors attacking the heart, accompanied by loss of appetite. Tao Ren Tang (Peach Kernel Decoction):
Tao Ren (Peach Seed, Semen Persicae) - 37 seeds, soaked in hot water, skin and pointed end removed, double kernels discarded, stir-fried until yellow. Houpo (Magnolia Bark, Cortex Magnoliae Officinalis) - coarse skin removed, processed with ginger juice, 1 liang. Renshen (Ginseng Root, Radix Ginseng) - 0.5 liang. Chenjupi (Aged Tangerine Peel, Pericarpium Citri Reticulatae) - soaked in hot water, white pith removed, dried, 1 qian. Maiya (Sprouted Hordeum, Fructus Hordei Germinatus) - lightly stir-fried, 0.5 liang. Binglang (Areca Nut, Semen Arecae) - crushed, 0.5 liang. Fuzi (Prepared Aconite Root, Radix Aconiti Lateralis Preparata) - processed until cracked, skin and navel removed. Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed. Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) - sliced and dried, each 1 liang.
The above nine herbs are coarsely crushed and sifted. For infants aged one to two years, administer half a qianbi (measure) per dose. Add half a zhan (measure) of water, decoct until one-third remains, filter dregs, and take warm at any time. Adjust dosage according to the child's condition.
Treatment for pediatric Xin Tong (Heart Pain) due to cold qi, with no desire to eat. Binglang San (Areca Nut Powder):
Binglang (Areca Nut, Semen Arecae) - crushed, 3 qian. Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) - sliced and dried, 1 liang. Ezhu (Curcuma Rhizome, Rhizoma Curcumae) - baked and crushed, 3 qian. Wuzhuyu (Evodia Fruit, Fructus Evodiae) - washed with hot water, dried, lightly stir-fried, 1 qian. Aswei (Asafoetida, Resina Ferulae) - 1 qian, wrapped in flour and baked until flour is cooked, remove flour. Muxiang (Costus Root, Radix Aucklandiae) - 3 qian.
The above six herbs are pounded into a fine powder. For infants aged one to two years, administer half a qianbi per dose, mixed with warm wine, at any time.
Treatment for unbearable pediatric Xin Tong (Heart Pain). Bibai San (Long Pepper Powder):
Bibai (Long Pepper Fruit, Fructus Piperis Longi) - 1 qian. Hujiao (Pepper Fruit, Fructus Piperis Nigris) - 1 qian. Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed, 1 qian. Tao Ren (Peach Seed, Semen Persicae) - soaked in hot water, skin and pointed end removed, double kernels discarded, stir-fried until yellow, 0.5 liang. Muxiang (Costus Root, Radix Aucklandiae) - 0.5 liang. Danggui (Angelica Sinensis Root, Radix Angelicae Sinensis) - sliced and dried, 3 qian.
The above six herbs are pounded into a fine powder. For infants aged one to two years, administer half a qianbi per dose, mixed with warm wine, at any time.
Treatment for pediatric Xin Tong (Heart Pain) with cyan-yellow complexion and loss of appetite. Shexiang Wan (Musk Pill):
Shexiang (Musk, Moschus) - finely ground, 1 qian. Binglang (Areca Nut, Semen Arecae) - crushed. Chenjupi (Aged Tangerine Peel, Pericarpium Citri Reticulatae) - soaked in hot water, white skin removed. Roudoukou (Nutmeg, Semen Myristicae) - shell removed. Wuzhuyu (Evodia Fruit, Fructus Evodiae) - washed with hot water, dried, stir-fried. Muxiang (Costus Root, Radix Aucklandiae) - each 1 liang.
For the above six herbs, first boil Wuzhuyu (Evodia Fruit, Fructus Evodiae) in rice vinegar for twenty boils. Dig a pit, place the Wuzhuyu inside. Heat half a sheng of charcoal until red-hot, add half a zhan of rice vinegar and the Wuzhuyu into the pit. Cover with a porcelain bowl, seal around with ash to prevent gas leakage, wait until cool, then remove. Mix with the other herbs, pound into powder. Add Shexiang (Musk, Moschus), mix evenly, bind with vinegar-cooked paste into pills the size of millet grains. Infants aged one to two years take five pills; children aged three to four years take seven pills, taken with warm wine, at any time.
Treatment for unbearable pediatric Xin Tong (Heart Pain). Tao Ren Tang (Peach Kernel Decoction):
Tao Ren (Peach Seed, Semen Persicae) - skin and pointed end removed, double kernels discarded, stir-fried with bran and ground. Chishao (Red Peony Root, Radix Paeoniae Rubra). Jiegeng (Platycodon Root, Radix Platycodonis). Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed. Gancao (Licorice Root, Radix Glycyrrhizae) - honey-processed, each 0.5 liang.
The above five herbs: pound the four herbs (excluding Tao Ren) into powder. Grind together with Tao Ren (Peach Seed, Semen Persicae) until uniform. Take one qianbi per dose, add one zhan of water, decoct until half a zhan remains, filter dregs, and take warm. Adjust according to the child's size, at any time.
Treatment for pediatric Xin Tong (Heart Pain). Muxiang Tang (Costus Root Decoction):
Muxiang (Costus Root, Radix Aucklandiae). Gaoliangjiang (Galangal Rhizome, Rhizoma Alpiniae Officinarum) - stir-fried, each 1 qian. Baizhu (Atractylodes Macrocephala Rhizome, Rhizoma Atractylodis Macrocephalae). Jiegeng (Platycodon Root, Radix Platycodonis) - stir-fried. Baifuling (Poria Sclerotium, Polyporus) - black skin removed, each 0.5 liang.
The above five herbs are coarsely crushed and sifted. For infants aged one to two years, take one qianbi per dose, add one zhan of water, decoct until one-fifth remains, filter dregs, divide into two warm doses. Take during attacks, adjust according to the child's size.
Treatment for pediatric Xin Tong (Heart Pain). Zichen Xiaoji Wan (Purple Agarwood Accumulation-Dissolving Pill):
Chenxiang (Agarwood Wood, Lignum Aquilariae Resinatum) - crushed. Zhusha (Cinnabar, Mineralis Cinnabaris) - 4 liang each. Aswei (Asafoetida, Resina Ferulae). Badoushuang (Barium Bean Frost, Semen Crotonis Preparatum) - 1 liang each. Above ingredients are separately ground into fine powders. Use 1 jin of honey and dissolve in wine, simmer into a paste. Dansha (Cinnabar, Mineralis Cinnabaris) - ground. Dingxiang (Clove, Flos Caryophylli). Ganjiang (Dried Ginger, Rhizoma Zingiberis Preparatum) - processed, 2 liang each. Liuhuang (Sulfur, Sulfur). Qingjupi (Green Tangerine Peel, Pericarpium Citri Reticulatae Viride) - soaked in hot water, white pith removed, dried. Gaoliangjiang (Galangal Rhizome, Rhizoma Alpiniae Officinarum). Binglang (Areca Nut, Semen Arecae) - crushed. Muxiang (Costus Root, Radix Aucklandiae). Renshen (Ginseng Root, Radix Ginseng). Hujiao (Pepper Fruit, Fructus Piperis Nigris). Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed, 4 liang each.
Of the fifteen herbs, excluding the paste, grind the remaining eleven herbs into fine powder. Mix with the paste and knead into pills the size of mung beans. Store in a sealed porcelain container. Take two pills per dose before meals with tangerine peel decoction, adjust as needed.
Treatment for pediatric Xin Tong (Heart Pain) caused by accumulated qi and cold qi. Zhusha Wan (Cinnabar Pill):
Zhusha (Cinnabar, Mineralis Cinnabaris) - 2 qian. Ganqi (Dry Lacquer, Resina Rhus Verniciferae) - lightly stir-fried. Wulingzhi (Trogopterus Dung, Faeces Trogopterori). Hujiao (Pepper Fruit, Fructus Piperis Nigris). Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed. Jingsanleng (Burreed Tuber, Rhizoma Sparganii). Ezhu (Curcuma Rhizome, Rhizoma Curcumae) - processed, each 1 qian. Badou (Croton Seed, Semen Crotonis) - 21 seeds, skin, heart, and membrane removed, boiled in vinegar to extract oil, then ground. Banmao (Mylabris, Mylabris) - 21 insects, wings and feet removed, stir-fried.
The above nine herbs are pounded into powder. Grind uniformly, bind with vinegar-cooked paste into pills the size of millet grains. Infants aged one to two years take five pills; children aged three to four years take seven pills, taken with tangerine peel decoction, adjust rest as appropriate.
Treatment for pediatric vomiting and reflux, heart and abdominal pain, aiding digestion of food and fluids, and resolving accumulations. Chenxiang Jianwan (Agarwood Simmered Pill):
Chenxiang (Agarwood Wood, Lignum Aquilariae Resinatum) - crushed. Dingxiang (Clove, Flos Caryophylli). Muxiang (Costus Root, Radix Aucklandiae). Hujiao (Pepper Fruit, Fructus Piperis Nigris). Moyao (Myrrh, Resina Myrrhae) - ground. Zhusha (Cinnabar, Mineralis Cinnabaris) - ground, water-insoluble sediment used. Gaoliangjiang (Galangal Rhizome, Rhizoma Alpiniae Officinarum). Binglang (Areca Nut, Semen Arecae) - wrapped in flour, baked until cooked, remove flour, crush. Zhusha (Cinnabar, Mineralis Cinnabaris) - selected clean, water-insoluble sediment, slow-fire dried. Qingjupi (Green Tangerine Peel, Pericarpium Citri Reticulatae Viride) - soaked in hot water, white pith removed, dried. Liuhuang (Sulfur, Sulfur) - ground, water-insoluble sediment used, each 1 liang. Suansha (Amomum Fruit, Fructus Amomi Rotundus) - skin removed. Wuzhuyu (Evodia Fruit, Fructus Evodiae) - soaked in hot water, dried. Aswei (Asafoetida, Resina Ferulae) - soaked in vinegar, ground, clarified to remove sand, mixed with flour to make cakes, roasted until scorched, each 0.5 liang. Badou (Croton Seed, Semen Crotonis) - skin, heart, and membrane removed, ground until oil is fully extracted, 1 qian.
The above fifteen herbs are each pounded and ground into powder, then mixed. Bind with refined honey into pills the size of mung beans. Store in a sealed porcelain container. Take two pills per dose before meals and before sleep with ginger and tangerine peel decoction, adjust according to deficiency/excess and age.
Treatment for pediatric Xin Tong (Heart Pain). Hujiao Wan (Pepper Pill):
Hujiao (Pepper Fruit, Fructus Piperis Nigris) - 49 grains. Binglang (Areca Nut, Semen Arecae) - 1 piece, crushed. Banmao (Mylabris, Mylabris) - 7 insects, wings and feet removed.
The above three herbs are pounded into fine powder. Bind with scorched millet rice into pills the size of millet grains. Infants aged one to two years take three pills; children over three years take five pills, taken with decocted Changpu (Acorus Root, Rhizoma Acori Tatarinowii) soup.
Treatment for pediatric Xin Tong (Heart Pain). Jianghuang San (Turmeric Powder):
Jianghuang (Turmeric Rhizome, Rhizoma Curcumae Longae). Binglang (Areca Nut, Semen Arecae) - crushed.
The above two herbs in equal parts are pounded into powder. Take with warm wine. Infants aged one to two years take less than half a qianbi per dose, adjust rest as appropriate.
Treatment for pediatric abdominal pain caused by roundworms attacking the heart. Lian Gen Tang (Toona Root Decoction):
Lian Genpi (Toona Root Bark, Cortex Toosendan) - from trees bearing fruit. Suan Shiliu Gen (Pomegranate Root, Cortex Granati). Huai Gen (Chinese Turpentine Tree Root, Cortex Meliae Azedarach) - each one handful, chopped, use roots growing eastward.
The above three herbs are decocted in three zhan of water until one zhan remains. Filter dregs and take on an empty stomach in one dose. Place the medicine cup upside down over the vessel; worms will be expelled via stool. If placed right-side up, worms will be vomited out. This is highly effective. Reduce dose for small children.
Treatment for pediatric gan disease (malnutrition) where parasites bite causing heart pain, preventing sleep day and night. Renshen Tang (Ginseng Decoction):
Renshen (Ginseng Root, Radix Ginseng). Guizhi (Cinnamon Twig, Ramulus Cinnamomi) - coarse skin removed. Taoliuzhi (Peach and Willow Branches, Ramulus Pruni Persicae et Salicis) - crushed and dried. Yelangya (Wild Wolf's Tooth Herb, Herba Siegesbeckiae). Ruxiang (Olibanum, Resina Boswelliae) - ground. Qingjupi (Green Tangerine Peel, Pericarpium Citri Reticulatae Viride) - white pith removed, dried and stir-fried. Wuzhuyu (Evodia Fruit, Fructus Evodiae) - soaked in hot water, dried and stir-fried, each 1 qian. Gulaoqian (Ancient Coins, Moneta Antiqua) - four coins, heated in fire and quenched in vinegar.
The above eight herbs are coarsely crushed and sifted. Take one qianbi per dose, add 0.6 zhan of water, decoct until 0.4 zhan remains, filter dregs, and take warm. Adjust according to the child's size.