论曰脏腑气虚，风寒客之，邪正相搏，故上冲于心络而为心痛。下攻于腹膜而为腹痛，
上下攻击，则心腹 痛。其或阴气凝结，久而不散，内攻肠胃，则变为寒中胀满泄利之证。
治心腹彻痛。诸虚冷气胀满。黄 汤方
黄 （锉一两） 当归（切焙） 人参 甘草（炙锉各一两） 干姜（炮二两） 芍药 浓
朴（去粗皮生姜汁炙） 半夏（汤洗去滑） 桂（去粗皮各一两半） 蜀椒（去目及闭口者
炒出汗半两
上一十味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，冷气多者，加附子
一枚，炮裂去皮脐。
治心腹冷痛。独活汤方
独活（去芦头） 人参 白茯苓（去黑皮） 吴茱萸（水浸一宿炒） 甘草（炙锉） 干
姜（炮
叉各一两） 当
上一十三味，粗捣筛，每服水二盏，用羊肉二两，先煮至一盏，去肉下药末三钱匕。生
姜一分切，枣二枚劈破，煎至七分，去滓温服，日三。
治心腹刺痛。五辛汤方
蜀椒（去目及闭口者炒出汗） 干姜（炮） 细辛（去苗叶） 桂（去粗皮） 熟干地
黄（炮）
各一两） 栀子（去
上一十三味，粗捣筛，每服三钱匕，水一盏，枣二枚劈破，煎至七分，去滓温服、日二
治暴冷心腹痛，头面冷汗出，霍乱吐下，脉沉细及伤寒冷毒、下清水，及赤白带下，当
归汤方
当归（切焙） 人参 干姜（炮） 白茯苓（去黑皮） 浓朴（去粗皮生姜汁涂炙） 木
香桂（
上一十味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。日三。
治心腹痛，食冷物即发，及吐恶水。桔梗散方
桔梗（炒） 麦门冬（去心焙） 白茯苓（去黑皮） 槟榔（煨锉各一两半） 枳壳（去
瓤麸炒） 人参 浓朴（去粗皮生姜汁涂炙） 芍药 陈橘皮（汤浸去白焙各一两） 桂（去
粗皮三分）
上一十味，捣罗为散，空心煎姜枣汤调下二钱匕，加至三钱匕。
治心腹冷痛。丁香汤方
丁香（半两） 甘草（炙锉） 桂（去粗皮） 干姜（炮各三分） 浓朴（去粗皮生姜
汁涂炙）
上八味，粗捣筛，每服五钱匕，水一盏，酒半盏，同煎至八分，去滓空心温服。良久再
服。
治心腹卒痛。浓朴汤方
浓朴（去粗皮生姜汁炙二两） 吴茱萸（水浸一分炒干一两半）
上二味，粗捣筛，每服三钱匕，水一盏，煎至七分。去滓温服、日三。
治心腹疼痛，每发时连脐腹刺痛。多吐涎沫。桑白皮散方
桑根白皮 酸石榴皮 芜荑（各半两） 浓朴（一两去粗皮涂生姜汁炙令香熟） 生姜
（一分） 槟榔末（二钱）
上六味，捣筛为粗散，水二大盏，煎至一盏，去滓下槟榔末，搅令匀稍热。分为三服。
又方
桂心（一两） 干姜（一两炮裂锉）
上二味，捣筛为细散，每服一钱匕，温酒调下，不计时候。
治心虚寒，心中胀满，悲忧不乐，或梦山丘平泽。半夏补心汤方
半夏（六两） 宿姜（五两） 茯苓 桂心 橘皮（各三两） 白术四两 防风 远志
（各二
上九味，锉如麻豆，拌匀，每服三钱匕，水一盏，煎取七分，去滓温服，不拘时候。
治一切心腹痛不可忍。沉麝丸方
沉香（锉） 麝香（研） 没药（研） 丹砂（研） 血竭（研各一两） 木香（半两）
上六味，捣研为末，银石器熬生甘草膏，丸皂荚子大，生姜盐汤嚼下一丸。端午日午时
合。
治心腹冷气痛。调中丸方
干姜（炮四两） 人参 白茯苓（去黑皮） 甘草（炙锉） 白术（各五两）
上五味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，空心温枣汤下。
治冷气攻冲，心腹 痛，短气汗出。芎 散方
芎 莎草根（炒） 青橘皮（去白焙） 蓬莪术（炒各一两） 乌药（二两）
上五味，捣罗为散，温酒调下二钱匕，甚者三钱匕，更饮五合暖酒、得吐瘥，未退更
服，只三服止。
治腹中虚寒，心腹切痛补血。小建中汤方
桂（去粗皮三分） 甘草（炙半两） 白芍药（一两半）
上三味， 咀如麻豆，每服五钱匕，水二盏，入生姜一分切碎，大枣四枚劈破，同煎
至一盏，去滓更入胶饴半两许。再煎令胶饴化、温服。甚者日三服，此药偏能治腹中虚寒
补血。尤止腹痛。常人见其药性温平未必用。然腹痛按之便痛。重按却不甚痛者。此止是气
痛，重按愈痛而坚者，当有积也，气痛不可下，下之愈痛，此虚寒证也，尤宜服此药。外
台，治虚劳腹中痛。梦失精，四肢酸痛，手足烦热，咽干口燥，妇人小腹痛，亦用此。张仲
景伤寒论。阳脉涩，阴脉弦。法当腹中急痛，先与此，不瘥者小柴胡汤主之，此二药皆主腹
痛。
治卒心腹痛。桂朴散方
桂（去粗皮） 浓朴（去粗皮生姜汁炙各三分） 吴茱萸（汤洗焙干醋炒半两）
上三味，捣罗为散，每服二钱匕，温酒调下。
Commentary states: When the Qi of the Zang-Fu organs is deficient, Wind-Cold pathogens invade. The pathogenic factors and healthy Qi struggle against each other, causing upward rushing to the Heart collaterals resulting in Heart pain. Downward attacking the abdominal membrane causes Abdominal pain; simultaneous attack above and below results in both Heart and Abdominal pain. If Yin Cold Qi coagulates and does not dissipate over time, attacking internally into the Stomach and Intestines, it transforms into syndromes of Cold in the Middle with distension, fullness, diarrhea, and dysentery.
Treats penetrating pain in the Heart and Abdomen. Various deficiencies and Cold Qi causing distension and fullness. Huang Tang (Yellow Decoction) Formula:
Huangqi (Astragali Radix, sliced 1 liang), Danggui (Angelicae Sinensis Radix, sliced and dried), Renshen (Ginseng Radix), Gancao (Licorice Radix, honey-fried and sliced, each 1 liang), Ganjiang (Zingiberis Rhizoma, processed 2 liang), Shaoyao (Paeoniae Radix), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with fresh ginger juice), Banxia (Pinelliae Tuber, washed in hot water to remove slipperiness), Guizhi (Cinnamomi Ramulus, coarse skin removed, each 1.5 liang), Shujiao (Sichuan Pepper Fruit, removing eyes and closed ones, stir-fried until oil exudes 0.5 liang).
The above ten herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi (approx. 7-10g), boiled in 1.5 zhan (approx. 300ml) of water until reduced to 0.8 zhan. Strain and take warm. For severe Cold Qi, add one Fuzi (Aconiti Lateralis Radix Praeparata), processed, cracked, skin and umbilicus removed.
Treats Cold pain in the Heart and Abdomen. Duhuo Tang (Angelicae Pubescentis Radix Decoction) Formula:
Duhuo (Angelicae Pubescentis Radix, removing rhizome head), Renshen (Ginseng Radix), Baifuling (Poria, removing black skin), Wuzhuyu (Evodiae Fructus, soaked in water overnight then stir-fried), Gancao (Licorice Radix, honey-fried and sliced), Ganjiang (Zingiberis Rhizoma, processed, split, each 1 liang), Danggui (Angelicae Sinensis Radix)... [Text incomplete in source].
The above thirteen herbs are coarsely crushed and sifted. Each dose uses 2 zhan of water. First boil 2 liang of mutton meat until reduced to 1 zhan, remove the meat, then add 3 qianbi of the herbal powder. Add 1 fen of sliced fresh ginger and 2 dates split open. Boil until reduced to 0.7 zhan, strain, and take warm. Three times daily.
Treats stabbing pain in the Heart and Abdomen. Wuxin Tang (Five Acrid Decoction) Formula:
Shujiao (Sichuan Pepper Fruit, removing eyes and closed ones, stir-fried until oil exudes), Ganjiang (Zingiberis Rhizoma, processed), Xixin (Asari Radix et Rhizoma, removing seedlings and leaves), Guizhi (Cinnamomi Ramulus, coarse skin removed), Shudihuang (Rehmanniae Radix Praeparata, processed, each 1 liang), Zhizi (Gardeniae Fructus, removing...) [Text incomplete in source].
The above thirteen herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhan of water with 2 split dates. Boil until reduced to 0.7 zhan, strain, and take warm. Twice daily.
Treats sudden Cold invading the Heart and Abdomen, cold sweat on the head and face, Cholera with vomiting and diarrhea, deep and fine pulse, as well as injury from Cold toxins, passing clear watery stools, and red-and-white leukorrhea. Danggui Tang (Angelicae Sinensis Radix Decoction) Formula:
Danggui (Angelicae Sinensis Radix, sliced and dried), Renshen (Ginseng Radix), Ganjiang (Zingiberis Rhizoma, processed), Baifuling (Poria, removing black skin), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, coated with fresh ginger juice and stir-fried), Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, coarse skin removed)... [Text incomplete in source].
The above ten herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm. Three times daily.
Treats Heart and Abdominal pain triggered by consuming cold food, and vomiting of foul-smelling fluids. Jiegeng San (Platycodon Powder) Formula:
Jiegeng (Platycodonis Radix, stir-fried), Maidong (Ophiopogonis Tuber, removing heart and dried), Baifuling (Poria, removing black skin), Binglang (Arecae Semen, baked and sliced, each 1.5 liang), Zhike (Aurantii Fructus, removing pith and stir-fried with bran), Renshen (Ginseng Radix), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, coated with fresh ginger juice and stir-fried), Shaoyao (Paeoniae Radix), Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, each 1 liang), Guizhi (Cinnamomi Ramulus, coarse skin removed, 3 fen).
The above ten herbs are pounded and sieved into a powder. Take 2 qianbi mixed with Ginger-Jujube decoction on an empty stomach, increasing to 3 qianbi if necessary.
Treats Cold pain in the Heart and Abdomen. Dingxiang Tang (Caryophylli Flos Decoction) Formula:
Dingxiang (Caryophylli Flos, 0.5 liang), Gancao (Licorice Radix, honey-fried and sliced), Guizhi (Cinnamomi Ramulus, coarse skin removed), Ganjiang (Zingiberis Rhizoma, processed, each 3 fen), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, coated with fresh ginger juice and stir-fried).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1 zhan of water and 0.5 zhan of wine until reduced to 0.8 zhan. Strain and take warm on an empty stomach. Take again after some time.
Treats sudden pain in the Heart and Abdomen. Houpo Tang (Magnoliae Officinalis Cortex Decoction) Formula:
Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with fresh ginger juice, 2 liang), Wuzhuyu (Evodiae Fructus, soaked in water for a portion, dried by stir-frying, 1.5 liang).
The above two herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm. Three times daily.
Treats Heart and Abdominal pain where each episode involves stabbing pain connecting to the navel and abdomen. Excessive spitting of saliva and foam. Sangbaipi San (Morus Alba Root Bark Powder) Formula:
Sanggennbaidi (Mori Cortex Radicis), Suan Shiliuti (Punica Granati Pericarpium), Wuyi (Chloranthi Fructus, each 0.5 liang), Houpo (Magnoliae Officinalis Cortex, 1 liang, coarse skin removed, coated with fresh ginger juice and stir-fried until fragrant), Shengjiang (Fresh Ginger, 1 fen), Binglangmo (Arecae Semen Powder, 2 qian).
The above six herbs are pounded and sieved into a coarse powder. Boil in 2 large zhan of water until reduced to 1 zhan. Strain, add Arecae Semen Powder, stir evenly until slightly warm. Divide into three doses.
Another Formula:
Guixin (Cinnamomi Cortex, 1 liang), Ganjiang (Zingiberis Rhizoma, 1 liang, processed, cracked, and sliced).
The above two herbs are pounded and sieved into a fine powder. Take 1 qianbi each time, mixed with warm wine. No specific timing required.
Treats Heart Deficiency Cold, distension and fullness in the chest, sadness and sorrow, or dreaming of hills and flatlands. Banxia Buxin Tang (Pinellia Tonifying Heart Decoction) Formula:
Banxia (Pinelliae Tuber, 6 liang), Sujiang (Old Ginger, 5 liang), Fuling (Poria), Guixin (Cinnamomi Cortex), Ju pi (Citri Reticulatae Pericarpium, each 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Fangfeng (Saposhnikoviae Radix), Yuanzhi (Polygalae Radix, each 2...) [Text incomplete in source].
The above nine herbs are sliced like hemp seeds, mixed well. Each dose consists of 3 qianbi, boiled in 1 zhan of water until 0.7 zhan remains. Strain and take warm. No specific timing required.
Treats all unbearable Heart and Abdominal pain. Chen She Wan (Agarwood and Musk Pill) Formula:
Chenxiang (Aquilariae Lignum Resinatum, sliced), Shexiang (Moschi Fermentum, ground), Moyao (Myrrhae Resina, ground), Dansha (Cinnabaris, ground), Xuexie (Dracaenae Sangue, ground, each 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang).
The above six herbs are pounded and ground into powder. Use silver or ceramic vessel to boil raw Licorice paste. Form pills the size of soap pod seeds. Chew one pill with Fresh Ginger Salt Water. Prepare at noon on Dragon Boat Festival.
Treats Cold Qi pain in the Heart and Abdomen. Tiaozhong Wan (Regulating Middle Pill) Formula:
Ganjiang (Zingiberis Rhizoma, processed, 4 liang), Renshen (Ginseng Radix), Baifuling (Poria, removing black skin), Gancao (Licorice Radix, honey-fried and sliced), Baizhu (Atractylodis Macrocephalae Rhizoma, each 5 liang).
The above five herbs are pounded and sieved into powder. Mix with refined honey to form pills the size of phoenix tree seeds. Take 30 pills each time with warm Jujube decoction on an empty stomach.
Treats Cold Qi attacking and rushing, Heart and Abdominal pain, shortness of breath, and sweating. Xiong Sa San (Ligusticum and Cyperi Powder) Formula:
Xiongnu (Ligustici Chuanxiong Rhizoma), Suocaogen (Cyperi Rhizoma, stir-fried), Qingju pi (Citri Reticulatae Pericarpium, white pith removed and dried), Peng'ezhu (Curcumae Phaeocaulis Rhizoma, stir-fried, each 1 liang), Wuyao (Litseae Fructus, 2 liang).
The above five herbs are pounded and sieved into powder. Take 2 qianbi mixed with warm wine. For severe cases, 3 qianbi. Drink another 5 he of warm wine afterwards. If vomiting occurs, the illness resolves. If symptoms persist, take again. Stop after three doses maximum.
Treats Deficiency Cold in the Abdomen, severe Heart and Abdominal pain, and blood tonification. Xiao Jianzhong Tang (Minor Construct the Middle Decoction) Formula:
Guizhi (Cinnamomi Ramulus, coarse skin removed, 3 fen), Gancao (Licorice Radix, honey-fried, 0.5 liang), Baishaoyao (Paeoniae Radix Alba, 1.5 liang).
The above three herbs are sliced like hemp seeds. Each dose consists of 5 qianbi, boiled in 2 zhan of water with 1 fen of chopped fresh ginger and 4 split jujubes. Boil until reduced to 1 zhan. Strain, then add approx. 0.5 liang of Yi (Malt Sugar). Re-boil until the sugar melts. Take warm. For severe cases, take three times daily. This formula is particularly effective for treating Deficiency Cold in the Abdomen and tonifying blood. It especially stops Abdominal pain. Ordinary people may not use it due to its mild nature. However, if pressing on the abdomen causes pain that lessens upon heavy pressure, this is merely Qi pain. If heavy pressure increases pain and hardness, there is likely accumulation. Qi pain should not be purged, as purging worsens the pain. This is a Deficiency Cold syndrome, making this formula highly suitable. The *Waitai Miyao* treats deficiency exhaustion with Abdominal pain, nocturnal emission, soreness and pain in the four limbs, heat in hands and feet, dry throat and mouth, and lower Abdominal pain in women, also using this formula. Zhang Zhongjing's *Shanghan Lun* states: "Yang pulse is choppy, Yin pulse is string-taut. The method dictates urgent pain in the Abdomen. First give this formula. If not resolved, treat with Xiao Chaihu Tang." Both formulas treat Abdominal pain.
Treats sudden Heart and Abdominal pain. Gui Po San (Cinnamon and Magnolia Powder) Formula:
Guizhi (Cinnamomi Ramulus, coarse skin removed), Houpo (Magnoliae Officinalis Cortex, coarse skin removed, stir-fried with fresh ginger juice, each 3 fen), Wuzhuyu (Evodiae Fructus, washed in hot water, dried, vinegar-fried, 0.5 liang).
The above three herbs are pounded and sieved into powder. Take 2 qianbi mixed with warm wine.