论曰凡人将理失度，阴阳俱虚，血气不足，复因风寒暑湿客忤邪恶之气，乘虚入于肌体，
流注经络，伏留脏腑，毒击心包，时发疼痛，积滞日久，转相注易，故曰恶注心痛也。
治心腹 痛，或暴得恶注 刺欲死者。鬼箭羽汤方
鬼箭羽（一两） 桃仁（汤浸去皮尖双仁六十枚炒） 芍药（二两） 鬼臼（削去皮微
炒一两）
大黄（锉碎醋
炒一两半）
上九味，粗捣筛，每服五钱匕，水一盏半，入生姜一分拍破，同煎至一盏，去滓入麝香
末一字匕，丹砂末朴硝末各半钱匕，再煎一沸，温服日再，以快利为度。
治恶注两胁连心痛。当归汤方
当归（切焙一两） 木香（三分） 槟榔（五枚微煨） 麝香（研旋入）
上四味，除麝香外，粗捣筛，每服五钱匕，童子小便一盏，水半盏，同煎至八分。去滓
入麝香末一字，再煎一沸、温服，空心日午夜卧各一，微利为度。
治恶注，心痛不可忍，气走连胸背，如刀刺者，及蛔咬心。十注丸方
麝香（研一两半） 犀角（镑二两） 雄黄（研一两半） 甘遂（微炒一两） 丹砂（研
一分）
上六味，捣研为末，炼蜜为丸，如小豆大，每服三丸，空心米饮下，如不吐利，渐加至
五丸。
治心腹注痛不可忍。桃枝汤方
桃枝（一握东引者削去皮）
上一味，锉碎，水二盏，煎至七分，去滓作一服，如未瘥再服。
治恶性心痛，五脏气壅，胸膈两胁拘急，发则呕吐清水，食饮不下。鳖甲丸方
鳖甲（去裙 醋浸炙） 人参 木香 白槟榔（锉） 枳壳（去瓤麸炒） 桂（去粗皮）
赤芍
药桔梗（锉炒）防葵 牡丹皮 京三棱（煨锉） 诃黎勒皮 陈橘皮（汤浸去白焙） 独
行根
当行（切焙） 大黄（锉炒） 郁李仁（去皮研各一两）
上一十七味，捣研为末，炼蜜为丸，如梧桐子大，每服三十丸，温汤或酒下。
治恶注心痛闷绝。鬼督邮丸方
鬼督邮末 安息香（各一两酒浸细研滤去滓慢火煎令成膏）
上二味，先将安息香煎成膏，拌前药为丸，如梧桐子大，每服十五丸。空心煎吴茱萸醋
汤下。
Commentary states: Generally, when people's regulation and care are improper, both Yin and Yang become deficient, and Blood and Qi are insufficient. Subsequently, due to pathogenic factors such as Wind-Cold, Summer-Heat, Dampness, and malicious or intrusive evil Qi, these pathogens enter the body through the deficiency, flow into the meridians, and lie latent in the Zang-Fu organs. The toxicity strikes the Pericardium, causing intermittent pain. If stagnation persists for a long time, the pathogenic factors transfer and change places with one another; thus, it is called "Malignant Transmission Heartache" (Ezhu Xin Tong).
Treatment for heart and abdominal pain, or sudden onset of Malignant Transmission causing stabbing pain nearly fatal. Guijianyu Decoction (Arrowwood Twig Decoction):
Guijianyu (Cacumen Spatholobi, 1 liang), Taoren (Semen Persicae, soaked in hot water, skin and pointed ends removed, retaining those with two kernels, 60 pieces, stir-fried), Shaoyao (Radix Paeoniae Alba, 2 liang), Jiubai (Rhizoma Daisumi, skin peeled off, slightly stir-fried, 1 liang), Dahuang (Radix et Rhizoma Rhei, crushed, stir-fried with vinegar, 1.5 liang).
The above nine ingredients are coarsely pounded and sieved. Each dose consists of 5 qianbi (approx. 5 grams), boiled with 1.5 sheng of water and 1 fen of smashed fresh ginger until reduced to 1 sheng. Strain the decoction, add 1 zibi of powder of Moschus (She Xiang), 0.5 qianbi of powder of Cinnabar (Dan Sha), and 0.5 qianbi of powder of Natrii Sulfas (Piao Xiao). Boil once more, take warm, twice daily, stopping when bowel movement becomes unobstructed.
Treatment for Malignant Transmission causing pain connecting from the hypochondrium to the heart. Danggui Decoction:
Danggui (Radix Angelicae Sinensis, cut and dried, 1 liang), Muxiang (Radix Aucklandiae, 3 fen), Binglang (Semen Arecae, 5 pieces, slightly roasted), She Xiang (Moschus, ground and added freshly).
The above four ingredients, excluding Moschus, are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1 sheng of urine from an uncircumcised boy and 0.5 sheng of water until reduced to 0.8 sheng. Strain the decoction, add 1 zibi of ground Moschus, boil once more, take warm. Take on an empty stomach at midnight and before sleep, each time, stopping when mild diarrhea occurs.
Treatment for Malignant Transmission, unbearable heartache, Qi rushing to connect with the chest and back like knife stabbing, and roundworm biting the heart. Shizhu Wan (Ten Transmissions Pill):
She Xiang (Moschus, ground, 1.5 liang), Xijiao (Cornu Rhinocerotis, sliced, 2 liang), Xionghuang (Realgar, ground, 1.5 liang), Gansui (Radix Euphorbiae Kansui, slightly stir-fried, 1 liang), Dan Sha (Cinnabar, ground, 1 fen).
The above six ingredients are pounded and ground into powder. Mix with refined honey to make pills the size of small beans. Take 3 pills per dose on an empty stomach with rice water. If no vomiting or diarrhea occurs, gradually increase to 5 pills.
Treatment for unbearable heart and abdominal transmission pain. Taozhi Decoction (Peach Twig Decoction):
Taozhi (Ramulus Persicae, one handful, specifically branches growing eastward, skin peeled off).
The above single ingredient is crushed, boiled with 2 sheng of water until reduced to 0.7 sheng. Strain and take as one dose. If not cured, take again.
Treatment for malignant heartache, stagnation of Qi in the five Zang organs, stiffness and tension in the chest, diaphragm, and hypochondrium, vomiting clear fluid upon attack, and inability to eat or drink. Biejia Wan (Softshell Turtle Shell Pill):
Biejia (Carapax et Plastrum Testudinis, remove skirt edge, soak in vinegar and roast), Renshen (Radix Ginseng), Muxiang (Radix Aucklandiae), Bai Binglang (Semen Arecae, crushed), Zhike (Fructus Aurantii, remove pith, stir-fried with bran), Gui (Cortex Cinnamomi, remove rough bark), Chishao (Radix Paeoniae Rubra), Jiegeng (Radix Platycodonis, crushed and stir-fried), Fangkui (Radix Securigerae), Mudanpi (Cortex Moutan), Jingsanleng (Rhizoma Sparganii, roasted and crushed), Helilepi (Pericarpium Terminaliae, dried tangerine peel soaked in hot water, white part removed, dried), Duxinggen (Radix Solani Tuberosi), Dangxing (Radix Salviae Miltiorrhizae, cut and dried), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried), Yuliren (Semen Pruni Armeniacae, skin removed and ground, each 1 liang).
The above seventeen ingredients are pounded and ground into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose with warm water or wine.
Treatment for Malignant Transmission heartache leading to fainting and coma. Guiduyou Wan (Guiduyou Pill):
Guiduyou powder, Anshixiang (Styrax, each 1 liang, soaked in wine, finely ground, strained, and slowly boiled into a paste).
The above two ingredients: first boil Anshixiang into a paste, mix with the Guiduyou powder to make pills the size of paulownia seeds. Take 15 pills per dose on an empty stomach, administered with a decoction of Evodiae Fructus and vinegar.