论曰心为阳中之阳,足阳明之络属心,冷积于胃而干于心,则心痛不能饮食也。
治冷气攻心,及两胁结痛,不能食。高良姜汤方
高良姜 当归(切焙) 浓朴(去粗皮生姜汁炙各一两) 桔梗(去芦头切炒) 吴茱
萸(汤
浸焙干炒) 陈橘皮(汤浸去白焙各三分) 桃仁(汤浸去皮尖双仁炒五十枚) 诃黎勒(煨
去核
五枚)
上八味,粗捣筛,每服三钱匕,水一盏,生姜半钱拍碎,煎至七分,去滓食前温服。日
再夜一。
治心痛如刺,不能食。木香汤方
木香 干姜(炮各半两) 桂(去粗皮) 芍药 白术 枳壳(去瓤麸炒) 陈橘皮(汤
浸去
白焙各三分) 甘草(炙锉一分)
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食前温服,日再。
治心痛不能食,两胁如刺壅闷。荜茇散方
荜茇 木香 芎 桂(去粗皮) 高良姜 青橘皮(汤浸去白焙) 丁香(各半两) 半
夏(汤洗七遍去滑焙干) 芍药 人参(各三分) 大腹(三枚)
上一十一味,为细散,每服二钱匕,炒生姜盐汤调下。
治心痛不欲饮食。胁痛如刺壅闷。草豆蔻散方
草豆蔻(去皮半两) 甘草(炙锉一分)
上二味,为细散,每服二钱匕,白汤调下。
治心痛如刺,不能饮食。浓朴丸方
浓朴(去粗皮生姜汁炙) 当归(切焙) 陈橘皮(汤浸去白焙) 附子(炮裂去皮脐
各三分)
豆蔻(去皮各
上八味,为细末,陈曲作糊,丸如小豆大,每服二十丸,炒生姜盐汤下。
治常患心痛,不能食兼头痛。乌头丸方
乌头(炮裂去皮脐一两) 蜀椒(去目并闭口炒出汗三分) 干姜(炮) 桂(去粗皮
各半两)
上四味,为细末,炼蜜丸小豆大,每服十五丸,温酒下,稍稍增之。
治心痛不能饮食,两胁刺痛。丁香丸方
丁香 木香(各半两) 当归(切焙) 龙脑(研各一分) 白豆蔻(去皮三分)
上五味,为细末,米醋煮蒸饼和丸,如绿豆大,每服十丸,炒姜盐汤嚼下。
Commentary states: The Heart belongs to Yang within Yang. The collateral vessels of the Foot-Yangming Stomach Meridian connect to the Heart. If cold accumulation occurs in the Stomach and disturbs the Heart, it results in heart pain and an inability to eat.
Gao Liang Jiang Tang (Galangal Decoction) for treating cold qi attacking the Heart, as well as knotted pain in both hypochondriac regions and inability to eat:
Alpiniae Officinarum Rhizoma (Gaoliangjiang), Angelicae Sinensis Radix (Danggui, cut and roasted), Magnoliae Officinalis Cortex (Noupu, coarse bark removed, stir-fried with ginger juice, each 1 liang), Platycodonis Radix (Jiegeng, radix end removed, sliced and stir-fried), Evodiae Fructus (Wuzhuyu, soaked in water, dried and stir-fried), Citri Reticulatae Pericarpium (Chenju pi, soaked in water, white pith removed, dried, each 3 fen), Persicae Semen (Taoren, soaked in water, skin and pointed ends removed, double-kernelled ones stir-fried, 50 seeds), Terminalia Chebulae Fructus (Helilei, baked, core removed, 5 fruits).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with one zhan of water and half a qian of smashed fresh ginger until reduced to seven-tenths. Strain and take warm before meals. Twice daily and once at night.
Mu Xiang Tang (Costus Decoction) for treating heart pain like stabbing and inability to eat:
Aucklandiae Radix (Muxiang), Zingiberis Rhizoma Recens (Ganjiang, processed, each half liang), Cinnamomi Ramulus (Gui, coarse bark removed), Paeoniae Radix Alba (Shaoyao), Atractodis Macrocephalae Rhizoma (Baizhu), Aurantii Fructus Immaturus (Zhike, pulp removed, stir-fried with bran), Citri Reticulatae Pericarpium (Chenju pi, soaked in water, white pith removed, dried, each 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and chopped, 1 fen).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled with one zhan of water until reduced to seven-tenths. Strain and take warm before meals. Twice daily.
Bi Bo San (Long Pepper Powder) for treating heart pain with inability to eat, stabbing pain in both hypochondriac regions, and distending oppression:
Long Pepper Fruit (Bibo), Aucklandiae Radix (Muxiang), Ligustici Chuanxiong Rhizoma (Xiong), Cinnamomi Ramulus (Gui, coarse bark removed), Alpiniae Officinarum Rhizoma (Gaoliangjiang), Citri Reticulatae Pericarpium Viride (Qingju pi, soaked in water, white pith removed, dried), Caryophylli Flos (Dingxiang, each half liang), Pinelliae Tuber (Banxia, washed seven times in water to remove slipperiness, dried), Paeoniae Radix Alba (Shaoyao), Ginseng Radix (Renshen, each 3 fen), Arecae Pericarpium (Dafu, 3 pieces).
The above eleven herbs are ground into a fine powder. Each dose consists of 2 qianbi, taken with salted decoction of stir-fried fresh ginger.
Cao Dou Kou San (Cardamom Powder) for treating heart pain with loss of appetite, stabbing pain in the hypochondrium, and distending oppression:
Cardamom Seed (Caodoukou, peeled, half liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted and chopped, 1 fen).
The above two herbs are ground into a fine powder. Each dose consists of 2 qianbi, taken with warm water.
Noupu Wan (Magnolia Pill) for treating heart pain like stabbing and inability to eat:
Magnoliae Officinalis Cortex (Noupu, coarse bark removed, stir-fried with ginger juice), Angelicae Sinensis Radix (Danggui, cut and roasted), Citri Reticulatae Pericarpium (Chenju pi, soaked in water, white pith removed, dried), Aconiti Lateralis Radix Praeparata (Fuzi, processed until cracked, skin and navel removed, each 3 fen), Cardamom Seed (Doukou, peeled, dosage implied missing in source but listed as part of eight ingredients).
The above eight herbs are ground into a fine powder. Paste made from aged yeast is used to form pills the size of small beans. Each dose consists of 20 pills, taken with salted decoction of stir-fried fresh ginger.
Wutou Wan (Aconite Pill) for treating recurrent heart pain, inability to eat, accompanied by headache:
Aconiti Radix (Wutou, processed until cracked, skin and navel removed, 1 liang), Zanthoxyli Fructus (Shujiao, eyes and closed-mouth ones removed, stir-fried until sweat appears, 3 fen), Zingiberis Rhizoma Recens (Ganjiang, processed), Cinnamomi Ramulus (Gui, coarse bark removed, each half liang).
The above four herbs are ground into a fine powder. Honey is refined to form pills the size of small beans. Each dose consists of 15 pills, taken with warm wine, gradually increasing the dose.
Dingxiang Wan (Clove Pill) for treating heart pain with inability to eat and stabbing pain in both hypochondriac regions:
Caryophylli Flos (Dingxiang), Aucklandiae Radix (Muxiang, each half liang), Angelicae Sinensis Radix (Danggui, cut and roasted), Borneolum Syntheticum (Longnao, ground, each 1 fen), Amomi Fructus Rotundus (Baidoukou, peeled, 3 fen).
The above five herbs are ground into a fine powder. Steamed bread dough boiled in rice vinegar is used to form pills the size of mung beans. Each dose consists of 10 pills, chewed and taken with stir-fried ginger salted decoction.