《广济》疗卒中恶，心腹绞刺痛，气急胀，奄奄欲绝。瓜蒂散方。
雄黄（四两研） 赤小豆（四分熬） 瓜蒂（三分）
上三味，捣筛为散。空肚温浆水服一钱匕半，当吐止。不吐，加至两钱匕。忌生冷、油
腻、粘食、陈臭等。
又疗卒中恶，心腹刺痛，去恶气。麝香散方。
麝香（一分研） 生犀角（二分屑） 青木香（二分）
上三味，捣筛为散。空肚以熟水服方寸匕，立愈。未止更服之，不利。忌五辛。（并出
第四卷中）
《集验》疗卒暴心痛，或中恶气，毒痛不可忍方。
大黄（四两） 芍药（四两） 升麻（三两） 黄芩（三两） 鬼箭（三两） 鬼臼（二
两） 桂心
（二两） 桔梗（三两） 柴胡（四两） 朱砂（二两别研） 朴硝（二两）
上十一味，切，以水九升，煮取二升七合，分三服，先分朱砂作三分，一服纳一分，搅
朱砂调服之。此汤快利，若痛不止，宜服后方。忌猪肉、生葱、生血物。（《千金》云寒气
卒客于五脏六腑中则发心痛方，《千金》同）
又方
赤芍药（六两） 桔梗（五两） 杏仁（五两去尖、皮）
上三味，切，以水六升，煮取二升半，分三服，日三。忌猪肉。（《千金》同，出第一
卷中）
《千金》疗卒中恶心痛方。
苦参（三两切） 好醋（一升半）
上二味，以醋煮苦参取八合。强人顿服，老小二服。（出第十三卷中）
The *Guangji Fang* treats sudden attack by evil pathogenic factors, characterized by severe cramping and stabbing pain in the heart and abdomen, urgent breathing and distension, with a faint pulse and near-death state. Guadi San (Melon Seed Powder) Formula.
Xionghuang (Realgar, 4 liang, ground) Chixiaodou (Vigna angularis, 4 fen, roasted) Gudi (Momordicae Fructus, 3 fen)
The above three ingredients are pounded and sifted into a powder. Take 1.5 qianbi of the powder with warm Jiangshui (fermented rice water) on an empty stomach; stop when vomiting occurs. If no vomiting occurs, increase the dose to 2 qianbi. Avoid cold, raw, greasy, sticky foods, and stale or foul-smelling items.
Another formula treats sudden attack by evil pathogenic factors, causing stabbing pain in the heart and abdomen, and expelling evil qi. Shexiang San (Musk Powder) Formula.
Shexiang (Moschus, 1 fen, ground) Sheng Xijiao (Rhinocerotis Cornu, 2 fen, shaved) Qingmuxiang (Aucklandiae Radix, 2 fen)
The above three ingredients are pounded and sifted into a powder. Take one fangcunbi of the powder with boiled water on an empty stomach for immediate relief. If symptoms persist, take again; this formula does not cause purgation. Avoid the Five Pungent Spices (Wuxin). (Both from Volume 4)
The *Jiyan Fang* treats sudden violent heart pain, or pain unbearable due to attack by evil qi.
Dahuang (Rhei Radix et Rhizoma, 4 liang) Shaoyao (Paeoniae Radix, 4 liang) Shengma (Cimicifugae Rhizoma, 3 liang) Huangqin (Scutellariae Radix, 3 liang) Guijian (Arctostaphylos Uva-Ursi Ramulus, 3 liang) Guijiu (Podophylli Fructus, 2 liang) Guixin (Cinnamomi Cortex, 2 liang) Jiegeng (Platycodonis Radix, 3 liang) Chaihu (Bupleuri Radix, 4 liang) Zhusha (Cinnabaris, 2 liang, separately ground) Pu Xiao (Natrii Sulfas, 2 liang)
The above eleven ingredients are cut, decocted in 9 sheng of water until reduced to 2.7 sheng, and divided into three doses. First, divide the Zhusha into three parts; add one part to each dose, stir well, and take. This decoction has a purgative effect. If pain persists, it is advisable to take the following formula. Avoid pork, raw green onions, and raw blood products. (The *Qianjin Fang* states that if cold qi suddenly lodges in the five zang and six fu organs, heart pain occurs; the *Qianjin Fang* agrees.)
Another Formula
Chishao Yao (Paeoniae Radix Rubra, 6 liang) Jiegeng (Platycodonis Radix, 5 liang) Xingren (Armeniacae Semen Amarum, 5 liang, remove tips and skins)
The above three ingredients are cut, decocted in 6 sheng of water until reduced to 2.5 sheng, and divided into three doses, taken three times daily. Avoid pork. (Same as *Qianjin Fang*, from Volume 1)
The *Qianjin Fang* treats sudden onset of heart and abdominal pain.
Kushen (Sophorae Flavescentis Radix, 3 liang, cut) Hao Cu (Good Vinegar, 1.5 sheng)
The above two ingredients are decocted in vinegar until 0.8 sheng remains. Strong individuals take it all at once; the elderly and children take it in two doses. (From Volume 13)