论曰胃为水谷之海，足阳明之脉也。阳明之脉络属心，心胃不和，寒气乘之，则气聚于
胃中，令水谷不化，胃满连心，故心腹卒胀痛也。
治心腹卒痛如刺。两胁胀满。高良姜汤方
高良姜（二两） 当归（切焙） 桂（去粗皮各一两半） 浓朴（去粗皮生姜汁炙一两）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服、日三。
治心腹卒胀痛，吐痰不止。半夏汤方
半夏（汤洗去滑焙） 甘草（炙锉） 陈橘皮（汤浸去白焙） 桂（去粗皮各半两） 人
参白
上七味，锉如麻豆大，每服三钱匕，水一盏半，入生姜三片，煎至七分，去滓空心温
服、日再。
治冷热相击，心腹卒痛不可忍。当归汤方
当归（切焙） 高良姜 浓朴（去粗皮生姜汁炙各一两半） 桃仁（六十粒去皮尖双仁
麸炒
上五味，粗捣筛，每服三钱匕，水一盏，入生姜三片，煎至七分，去滓温服日三。
治心腹卒 痛如刺，胸胁胀痛。浓朴汤方
浓朴（去粗皮生姜汁炙） 当归（切焙） 桂（去粗皮） 高良姜 芎 （各一两）
上五味，粗捣筛，每服三钱匕 水一盏，煎至七分，去滓温服，日三。
治心腹受冷，卒胀满，短气 痛。吴茱萸丸方
吴茱萸（汤洗焙干炒） 干姜（炮） 附子（炮裂去皮脐各一两） 青橘皮（汤浸焙干
炒） 细
上六味，捣罗为细末，炼蜜和丸，如梧桐子大，每服二十丸。温酒下不拘时候。
治心腹卒胀痛，胸胁支满欲死。枳实散方
枳实（去瓤麸炒） 桂（去粗皮各一两）
上二味，捣罗为细散，每服二钱匕，米饮调下。
治心腹卒胀痛，桂心丸方
桂（去粗皮二两） 乌头（炮裂去皮脐一两）
上二味，捣罗为细末，炼蜜和丸，如梧桐子大，每服五丸，米饮下，渐增至七丸。
治心腹卒胀痛。桃白皮汤方
桃白皮（锉一两）
上一味，以水三盏，煎取一盏，去滓顿服，根皮亦佳。
治心腹气滞，卒胀满闷。柴胡汤方
柴胡（去苗二两半） 赤茯苓（去黑皮） 陈橘皮（去白焙各二两） 浓朴（去粗皮涂
生姜汁
炙香熟一两半） 紫苏茎叶 槟榔（各三两锉） 生姜（去皮薄切焙干五两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，如人行五里再服。利
动即效。
治心腹卒胀痛。槟榔汤方
槟榔（锉碎十枚） 生姜（去皮薄切焙干） 陈橘皮（汤浸去白焙） 枳壳（去瓤麸炒）
甘草
（炙锉各三两） 大黄（锉炒） 木香（各二两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分。去滓温服，微利即效。
治心腹卒胀痛，膈气噎塞。宿食不消，大便秘涩。神保丸方
木香 胡椒（各一分） 巴豆（十枚去皮心研） 干蝎（七枚炒）
上四味，捣研为末，汤化蒸饼，丸如麻子大。丹砂为衣。每服三丸，心膈痛、柿蒂灯心
汤下，腹痛、柿蒂煨姜煎汤下。血气痛、炒生姜醋小便下，小便不通、灯心汤下。血痢脏毒
、楮叶汤下。肺气甚者、白矾蚌粉各三分，铅丹一分，同研为散，煎桑根白皮糯米饮，调下
二钱，肾气胁下痛， 香子酒下，大便不通，蜜汤调槟榔末一钱下，气噎、木香汤下，宿食
不消，茶酒浆饮下。
Commentary states: The Stomach is the sea of water and grain, belonging to the Foot-Yangming Meridian. The Yangming Meridian connects with and attaches to the Heart. If the Heart and Stomach are disharmonious, and Cold pathogen takes advantage of this, Qi will accumulate in the Stomach, causing food and fluids to fail to transform. The fullness of the Stomach extends to the Heart, resulting in sudden distending pain in the heart and abdomen.
Gao Liang Jiang Tang (Galangal Decoction) for treating sudden stabbing pain in the heart and abdomen, with distension and fullness in both hypochondria:
Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜, two liang), Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each one and a half liang), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice, one liang).
The above four herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Ban Xia Tang (Pinellia Decoction) for treating sudden distending pain in the heart and abdomen, with incessant vomiting of phlegm:
Pinelliae Tuber (Banxia, 半夏, wash with hot water to remove slipperiness, then roast), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, roast and crush), Citri Reticulatae Pericarpium (Chenpi, 陈皮, soak in hot water, remove white pith, then roast), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each half liang), Ginseng Radix (Renshen, 人参, sliced).
The above seven herbs are crushed to the size of hemp seeds. Take three qianbi per dose, add one and a half zhan of water, put in three slices of fresh ginger, decoct until seven-tenths remain, remove dregs, and take warm on an empty stomach. Twice daily.
Dang Gui Tang (Angelica Decoction) for treating clashing of cold and heat, with unbearable sudden pain in the heart and abdomen:
Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice, each one and a half liang), Prunus Persica Semen (Taoren, 桃仁, sixty grains, remove skin and sharp ends, double-kernel ones removed, stir-fry with bran).
The above five herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, put in three slices of fresh ginger, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Hou Po Tang (Magnolia Bark Decoction) for treating sudden stabbing pain in the heart and abdomen, with distending pain in the chest and hypochondria:
Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice), Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark), Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜), Ligustici Chuanxiong Rhizoma (Xiong, 川芎, each one liang).
The above five herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Wu Zhu Yu Wan (Evodia Pill) for treating cold invasion of the heart and abdomen, with sudden distension and fullness, shortness of breath, and pain:
Evodiae Fructus (Wuzhuyu, 吴茱萸, wash with hot water, roast dry), Zingiberis Rhizoma Recens (Shengjiang, 干姜 - note: text says Ganjiang, dried ginger, processed), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed until cracked, remove skin and navel, each one liang), Citri Reticulatae Pericarpium Viride (Qingju pi, 青橘皮, soak in water, roast dry), Asari Radix et Rhizoma (Xi Xin, 细辛 - inferred from context "fine", though text cuts off).
The above six herbs are pounded and sieved into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take twenty pills per dose, swallow with warm wine at any time.
Zhi Shi San (Immature Bitter Orange Powder) for treating sudden distending pain in the heart and abdomen, with support-like fullness in the chest and hypochondria feeling fatal:
Citri Aurantii Fructus Immaturus (Zhishi, 枳实, remove pulp, stir-fry with bran), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each one liang).
The above two herbs are pounded and sieved into fine powder. Take two qianbi per dose, mix with rice drink and swallow.
Gui Xin Wan (Cinnamon Heart Pill) for treating sudden distending pain in the heart and abdomen:
Cinnamomi Ramulus (Guixin, 桂, remove coarse bark, two liang), Aconiti Radix (Wutou, 乌头, processed until cracked, remove skin and navel, one liang).
The above two herbs are pounded and sieved into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take five pills per dose, swallow with rice drink, gradually increase to seven pills.
Tao Bai Pi Tang (Peach White Bark Decoction) for treating sudden distending pain in the heart and abdomen:
Pruni Persicae Cortex (Tao baipi, 桃白皮, crushed, one liang).
The above single herb is decocted in three zhan of water until one zhan remains. Remove dregs and take in one dose. Root bark is also suitable.
Chai Hu Tang (Bupleurum Decoction) for treating qi stagnation in the heart and abdomen, with sudden distension, fullness, and oppression:
Bupleuri Radix (Chaihu, 柴胡, remove seedlings, two and a half liang), Poria Cum Radice Xyli (Chifuling, 赤茯苓, remove black skin), Citri Reticulatae Pericarpium (Chenpi, 陈皮, remove white pith, roast, each two liang), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, coat with ginger juice, roast until fragrant, one and a half liang), Perillae Caulis et Folium (Zisu jingye, 紫苏茎叶), Arecae Semen (Binglang, 槟榔, each three liang, crushed), Zingiberis Rhizoma Recens (Shengjiang, 生姜, peel, slice thinly, roast dry, five liang).
The above seven herbs are coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remain, remove dregs, and take warm. Repeat the dose after walking five li. Effect is seen when bowel movement occurs.
Bing Lang Tang (Areca Seed Decoction) for treating sudden distending pain in the heart and abdomen:
Arecae Semen (Binglang, 槟榔, crushed, ten pieces), Zingiberis Rhizoma Recens (Shengjiang, 生姜, peel, slice thinly, roast dry), Citri Reticulatae Pericarpium (Chenpi, 陈皮, soak in hot water, remove white pith, roast), Aurantii Fructus (Zhike, 枳壳, remove pulp, stir-fry with bran), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, roast and crush, each three liang), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄, crush and roast), Costi Radix (Muxiang, 木香, each two liang).
The above seven herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain. Remove dregs, take warm. Effect is seen with mild diarrhea.
Shen Bao Wan (Divine Preservation Pill) for treating sudden distending pain in the heart and abdomen, diaphragmatic qi obstruction and choking. Indigestion of retained food, constipation with dry stool:
Costi Radix (Muxiang, 木香), Piperis Longi Fructus (Hujiao, 胡椒, each one fen), Crotonis Fructus (Badou, 巴豆, ten pieces, remove skin and heart, grind), Scorpio (Quanxie, 全蝎, seven pieces, roast).
The above four herbs are pounded and ground into powder. Dissolve steamed cake in hot water, mix with powder to make pills the size of sesame seeds. Coat with Cinnabar (Dansha, 丹砂). Take three pills per dose. For heart and diaphragm pain, swallow with persimmon stalk and centipede grass decoction; for abdominal pain, swallow with persimmon stalk and roasted ginger decoction; for blood and qi pain, swallow with stir-fried fresh ginger vinegar urine; for urinary obstruction, swallow with centipede grass decoction; for bloody dysentery and internal toxin, swallow with catalpa leaf decoction; for severe lung qi, mix alum and clam powder (each three fen) with lead monoxide (one fen), grind into powder, decoct mulberry root bark and glutinous rice water, mix with two qian of powder and swallow; for kidney qi pain under hypochondria, swallow with fennel seed wine; for constipation, mix one qian of Areca Seed powder with honey water and swallow; for qi choking, swallow with costus root decoction; for indigestion of retained food, swallow with tea, wine, or malt beverage.