《广济》疗九种心痛，蛔虫冷气，先从两肋，胸背撮痛，欲变吐。当归鹤虱散方。
当归（八分） 鹤虱（八分） 橘皮（六分） 人参（六分） 槟榔（十二分） 枳实
（六分炙）
上八味，捣筛为散。空腹煮姜枣饮服方寸匕，日二服，渐渐加至一匕半，不利。忌生葱
、生冷物、油腻、粘食。（出第四卷中）
《千金》疗九种心痛，一虫心痛，二注心痛，三气心痛，四悸心痛，五食心痛，六饮心
痛，七冷心痛，八热心痛，九去来心痛，悉主之。并疗冷冲上气，落马堕车。附子丸方。
附子（一两炮） 巴豆仁（一两去心、皮，熬） 人参（一两） 生野狼毒（一两炙令极
香）
食茱萸（一两） 干姜（一两）
上六味，捣末，蜜和。空腹服如梧子三丸，一日一服，弱者二丸。卒中恶心痛，口不能
言，连年积冷，流注心胸痛者，亦服之，好好将息，神效。忌野猪肉、芦笋。（《必效》、《
经心录》同）
又疗九种心痛方
取当太岁上新生槐枝一握，去两头。水三升，煮一升，顿服之。（并出第十三卷中）
《广济》疗诸虫心痛，无问冷热蛔虫心痛。槟榔鹤虱散方。
当归 桔梗 芍药 橘皮 鹤虱（各八分） 人参（六分） 桂心（六分） 槟榔（十
分）
上八味，捣筛为散。空服煮姜枣汤服方寸匕，渐渐加至二匕，不利。忌猪肉、生葱、油
腻、小豆、粘食等。
又疗蛔虫心痛，积年久不瘥方。
取苦酒五合，烧青钱二文令赤，安酒中，则取鸡子白一颗，去却钱，泻着酒中，顿服之
瘥。无所忌。
又主心腹搅结痛不止，仍似有蛔虫者。当归汤方。
当归 橘皮 细辛 甘草（炙） 生姜（各四分） 大黄（八分别渍） 鹤虱（二分）
上七味，切，以水六升，煮取二升，分温三服，如人行四五里进一服，不利。未瘥，三
日更作服之。忌海藻、菘菜、生菜。（《救急》同，出第四卷中）
《短剧》温中当归汤。疗暴冷心腹刺痛，面目青，肉冷汗出，欲霍乱吐下，脉沉细者，
及伤寒毒冷下清水，变作青白滞下，及白滞后，还复下清水者，悉主之，此方可以调诸冷痛
也。
当归 人参 干姜 茯苓 浓朴（炙） 青木香 桂心 桔梗 芍药 甘草（炙各二两）
上十味，切，以水八升，煮取三升，分温三服，日三服。不耐青木香者，以犀角一两代
之。忌海藻、菘菜、猪肉、醋物、生葱等。
又凡厥心痛与背相引，喜螈 ，如物从后触其心，身伛偻者，肾心痛也。
厥心痛，腹胀满不欲食，食则不消，心痛尤甚者，胃心痛也。
厥心痛，痛如锥针刺其心，心痛甚者，脾心痛也。
厥心痛，色苍如死灰状，不得太息者，肝心痛也。（《千金》同）
厥心痛，卧若徒居，痛间动作，痛益甚，色不变，肺心痛也。
真心痛，手足清至节，心痛甚，旦发夕死，夕发旦死。
心腹中痛，发作肿聚，往来上下，痛有休止，腹中热，喜涎出，是蛔虫咬也。（出《甲
乙经》第一卷中）
《千金》疗心腹中痛，发作肿聚，往来上下，痛有休止，多热喜涎出，是蛔虫咬也，并
宜温中当归汤，服两三剂后，若不效有异，宜改方增损汤，其温中当归汤在前《短剧方》中
，此是增损汤方。
芍药（六两） 黄芩（四两） 浓朴（四两） 桔梗（四两） 柴胡（四两） 当归（三
两） 升麻
（三两）
上七味，切，以水八升，煮取二升半，分三服。忌猪肉。（出第十三卷中）
张文仲疗蛔虫心痛。鹤虱散方。
鹤虱二分末。温酢一盏和服之，虫当出。（《备急》、《千金》同）
又干漆丸方
干漆熬，捣，蜜和丸。服十五丸，日再。（《备急》同）
又方
取槐上木耳烧灰，末如枣大。正发，和水服。若不止，饮热水一升，蛔虫立出。《必效
方》云，酒下。（《备急》同）
又方
发时取盐一匙，纳口中，水下立定，虫即出。（《备急》同，出第一卷中）
《延年》疗蛔虫恶吐水，心痛。鹤虱丸方。
鹤虱三两捣筛，蜜和为丸。用蜜浆水准旦服二十丸，日只一服。（《古今录验》用十两
。云韦云患心痛，十年不瘥，令服此便愈）
又鹤虱丸 疗蛔虫心痛方。
鹤虱（六两） 吴茱萸（五两） 橘皮（四两） 桂心（三两） 槟榔（四两）
上五味，捣筛，蜜和为丸如梧子大。一服二十丸，蜜汤下，日二服，加至三十丸，以虫
出为度。忌生葱。（出第十五卷中）
《救急》疗心痛不可忍似蛔者。胡粉丸方。
生真胡麻（一合） 胡粉（半合熬，捣）
上二味，先以猪肉脯一片，空腹啖，咽汁勿咽肉，后取胡粉和胡麻搜作丸，以少清酒使
成。顿服尽。十岁以上，斟酌增减。忌生冷、猪肉、鱼、鸡、蒜、酢、滑等七日。若是蛔，
吐水者是也。（出第八卷中）
《必效》疗 心痛方（士弱氏曰∶ ，井中小虫，盖痛一处若小虫咬也）
取KT 鲡鱼淡炙令熟，与患人吃一二枚，永瘥，饱食弥佳。
又方
熊胆如大豆和水服，大效。
又茱萸丸方
吴茱萸（一升） 桂心（二两） 当归（二两）
上三味捣筛，蜜和丸如梧子。酒服三十丸，日再服，渐加至四十丸，以知为度。忌生葱
又丁香散方
丁香（七枚） 头发灰（一枣许）
上二味并末，和酒服之。
又鹤虱槟榔汤方
鹤虱（二两小儿用一两） 槟榔（二七枚）
上二味，以猪肉汁六升，煮槟榔，取三升，去滓，纳鹤虱末。先夜不食，明旦空腹顿服
之。须臾病下及吐水，永瘥，神效。七日禁生冷、酢。（并出第五卷中）
*Guangji Fang* treats nine types of heartache (Jiuzhong Xintong), as well as cold qi pain caused by roundworms (Hui Chong). The pain starts from both hypochondriac regions, radiating to the chest and back with severe cramping pain, accompanied by a sensation of wanting to vomit. Danggui Heshi San Formula.
Danggui (Radix Angelicae Sinensis) (8 fen), Heshi (Fructus Carpesii) (8 fen), Jupi (Pericarpium Citri Reticulatae) (6 fen), Renshen (Radix Ginseng) (6 fen), Binglang (Arecae Semen) (12 fen), Zhishi (Fructus Aurantii Immaturus) (6 fen, processed with bran/stir-fried).
The above eight herbs are crushed, sifted into a fine powder. Taken on an empty stomach with ginger and jujube decoction, one fangcunbi (a measure for powder) at a time, twice daily. Gradually increase to one and a half fangcunbi if there is no diarrhea. Avoid raw green onions, raw/cold foods, greasy foods, and sticky foods. (From Volume 4)
*Qianjin Fang* treats nine types of heartache: 1. Worm heartache (Chong Xintong), 2. Transmission/Flowing heartache (Zhu Xintong - pain caused by pathogenic factors flowing through meridians), 3. Qi heartache (Qi Xintong), 4. Palpitation heartache (Ji Xintong), 5. Food heartache (Shi Xintong), 6. Drink/Water heartache (Yin Xintong), 7. Cold heartache (Leng Xintong), 8. Heat heartache (Re Xintong), 9. Wandering/Intermittent heartache (Qulai Xintong - pain that comes and goes). This formula treats all of the above. It also treats rebellious cold qi rushing upward, and injuries from falling off horses or vehicles. Fuzi Wan Formula.
Fuzi (Radix Aconiti Lateralis Preparata) (1 liang, processed), Badouren (Semen Crotonis Tiglii, kernel removed, skin removed, stir-fried) (1 liang), Renshen (Radix Ginseng) (1 liang), Sheng Yelangdu (Radix Euphorbiae Humifusae, stir-fried until very fragrant) (1 liang), Shizhuyu (Fructus Zanthoxyli Bungeani) (1 liang), Ganjiang (Rhizoma Zingiberis Secati) (1 liang).
The above six herbs are ground into powder and mixed with honey to form pills. Taken on an empty stomach, three pills the size of a loquat seed at a time, once daily. Those with weak constitutions take two pills. For sudden onset of nausea and heartache where one cannot speak, or for chronic accumulated cold causing pain in the chest and heart due to flowing cold qi, this formula is also effective. Pay attention to recuperation; it is miraculous. Avoid wild boar meat and reeds. (*Bixiao Fang* and *Jingxin Lu* are consistent with this.)
Another formula for treating nine types of heartache:
Take a handful of fresh new branches from locust trees (Huai Shu) growing in the direction of the Tai Sui (Grand Duke Jupiter) for that year, removing the top and bottom ends. Boil in three sheng of water until reduced to one sheng. Take in one dose. (All from Volume 13)
*Guangji Fang* treats various worm-induced heartaches, regardless of whether they are cold or heat types involving roundworms. Binglang Heshi San Formula.
Danggui (Radix Angelicae Sinensis), Jiegeng (Radix Platycodonis), Shaoyao (Radix Paeoniae Alba/Rubra), Jupi (Pericarpium Citri Reticulatae), Heshi (Fructus Carpesii) (each 8 fen), Renshen (Radix Ginseng) (6 fen), Guixin (Cortex Cinnamomi) (6 fen), Binglang (Arecae Semen) (10 fen).
The above eight herbs are crushed, sifted into a fine powder. Taken on an empty stomach with ginger and jujube decoction, one fangcunbi at a time. Gradually increase to two fangcunbi if there is no diarrhea. Avoid pork, raw green onions, greasy foods, adzuki beans, and sticky foods.
Another formula for treating roundworm heartache that has persisted for years without healing:
Take five ge of vinegar. Red-hot copper coins (two wen) are quenched in the vinegar. Then, take one egg white, remove the coins, and pour the egg white into the vinegar. Take in one dose. There are no dietary restrictions.
Another formula mainly for unceasing twisting pain in the heart and abdomen, feeling as if there are roundworms: Danggui Tang Formula.
Danggui (Radix Angelicae Sinensis), Jupi (Pericarpium Citri Reticulatae), Xixin (Herba Asari), Gancao (Radix Glycyrrhizae Preparata), Shengjiang (Rhizoma Zingiberis Recens) (each 4 fen), Dahuang (Radix et Rhizoma Rhei, soaked separately) (8 fen), Heshi (Fructus Carpesii) (2 fen).
The above seven herbs are cut, boiled in six sheng of water until reduced to two sheng. Divide into three warm doses. Take one dose every four to five li of walking distance. Stop if diarrhea occurs. If not healed, prepare and take again after three days. Avoid seaweed, Chinese cabbage (Songcai), and raw vegetables. (*Jiuji Fang* is consistent with this, from Volume 4)
Wenzhong Danggui Tang from *Duanju Fang*. Treats sudden cold-induced stabbing pain in the heart and abdomen, cyanotic complexion, cold sweat from muscles, impending Huoluan (cholera-like vomiting and diarrhea), and a deep, fine pulse. It also treats clear watery stools resulting from cold toxicity in Shanghan (Cold Damage), which turns into cyan-white dysentery (sticky pus and blood), or clear watery stools returning after Bai Li (white dysentery). This formula treats all these conditions and can regulate various cold pains.
Danggui (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Ganjiang (Rhizoma Zingiberis Secati), Fuling (Poria), Houpo (Cortex Magnoliae Officinalis, processed), Qingmuxiang (Radix Aucklandiae), Guixin (Cortex Cinnamomi), Jiegeng (Radix Platycodonis), Shaoyao (Radix Paeoniae Alba/Rubra), Gancao (Radix Glycyrrhizae Preparata) (each 2 liang).
The above ten herbs are cut, boiled in eight sheng of water until reduced to three sheng. Divide into three warm doses, taken three times a day. If unable to tolerate Qingmuxiang, substitute with 1 liang of Xijiao (Cornu Rhinocerotis). Avoid seaweed, Chinese cabbage, pork, vinegar products, and raw green onions.
Furthermore, any Jue Xintong (Revulsion Heartache) that radiates to the back, accompanied by spasms, feeling like something touching the heart from behind, and a stooped posture, is Kidney Heartache (Shen Xintong).
Jue Xintong with abdominal fullness, loss of appetite, indigestion after eating, and severe heart pain is Stomach Heartache (Wei Xintong).
Jue Xintong with pain like needle pricking the heart, extremely severe, is Spleen Heartache (Pi Xintong).
Jue Xintong with a pale/greyish complexion like dead ash, and inability to sigh deeply, is Liver Heartache (Gan Xintong). (*Qianjin Fang* is consistent with this.)
Jue Xintong where pain is intermittent when lying down or sitting still, but worsens with movement, with unchanged complexion, is Lung Heartache (Fei Xintong).
Zhen Xintong (True Heartache) presents with cold limbs extending to the joints, extreme heart pain, death if onset is in the morning and recovery in the evening, or death if onset is in the evening and recovery in the morning.
Pain in the heart and abdomen, presenting as migratory masses moving up and down, with intervals of pain relief, abdominal heat, and excessive salivation, indicates biting by roundworms. (From *Jia Yi Jing*, Volume 1)
*Qianjin Fang* treats pain in the heart and abdomen, presenting as migratory masses moving up and down, with intervals of pain relief, excessive heat, and salivation, indicating biting by roundworms. Wenzhong Danggui Tang is suitable. After taking two or three doses, if ineffective or symptoms change, switch to Zengsun Tang. Wenzhong Danggui Tang is in *Duanju Fang* previously; here is the Zengsun Tang formula.
Shaoyao (Radix Paeoniae Alba/Rubra) (6 liang), Huangqin (Radix Scutellariae) (4 liang), Houpo (Cortex Magnoliae Officinalis) (4 liang), Jiegeng (Radix Platycodonis) (4 liang), Chaihu (Radix Bupleuri) (4 liang), Danggui (Radix Angelicae Sinensis) (3 liang), Shengma (Rhizoma Cimicifugae) (3 liang).
The above seven herbs are cut, boiled in eight sheng of water until reduced to two and a half sheng. Divide into three doses. Avoid pork. (From Volume 13)
Zhang Wenzhong treats roundworm heartache. Heshi San Formula.
Heshi (Fructus Carpesii) 2 fen, ground to powder. Mix with one cup of warm vinegar and take. The worms should be expelled. (*Beiji Fang*, *Qianjin Fang* are consistent with this.)
Another Ganqi Wan Formula:
Ganqi (Resina Taxodi) is roasted, crushed, and mixed with honey to form pills. Take 15 pills, twice daily. (*Beiji Fang* is consistent with this.)
Another formula:
Take wood ear mushrooms growing on locust trees, burn them to ash, and grind into powder the size of a jujube seed. Take with water at the onset of pain. If it does not stop, drink one sheng of hot water, and the roundworms will be expelled immediately. *Bixiao Fang* states to take with wine. (*Beiji Fang* is consistent with this.)
Another formula:
At the onset of pain, take one spoonful of salt, place it in the mouth, and swallow with water. The condition stabilizes immediately, and the worms are expelled. (*Beiji Fang* is consistent with this, from Volume 1)
*Nianyuan Fang* treats roundworm-induced aversion to vomiting water and heartache. Heshi Wan Formula.
Heshi (Fructus Carpesii) 3 liang, crushed and sifted, mixed with honey to form pills. Take 20 pills with honey-water on an empty stomach in the morning, once daily. (*Gujin Luyian* uses 10 liang. It records Wei Yun suffering from heartache for ten years without cure; taking this formula cured him.)
Another Heshi Wan Formula for treating roundworm heartache:
Heshi (Fructus Carpesii) (6 liang), Wuzhuyu (Fructus Evodiae) (5 liang), Jupi (Pericarpium Citri Reticulatae) (4 liang), Guixin (Cortex Cinnamomi) (3 liang), Binglang (Arecae Semen) (4 liang).
The above five herbs are crushed, sifted, and mixed with honey to form pills the size of loquat seeds. Take 20 pills with honey-sweetened water, twice daily. Increase to 30 pills if necessary. Stop when worms are expelled. Avoid raw green onions. (From Volume 15)
*Jiuji Fang* treats unbearable heartache suspected to be caused by roundworms. Hufen Wan Formula.
Sheng Zhen Huma (Sesamum indicum, raw) (1 he), Hufen (Cerussa/Lead Carbonate, roasted, crushed) (0.5 he).
The above two ingredients: First, eat one slice of dried pork on an empty stomach, swallowing only the juice, not the meat. Then, mix Hufen and Huma to form pills, binding them with a small amount of clear wine. Take all at once. For children over ten years old, adjust the dosage accordingly. Avoid raw/cold foods, pork, fish, chicken, garlic, vinegar, and slippery/greasy foods for seven days. If it is roundworms, the symptom is vomiting water. (From Volume 8)
*Bixiao Fang* treats [missing character] heartache formula (Shi Ruoshi says: [missing character] refers to small insects in wells; the pain feels as if bitten by a small insect).
Take lightly grilled Li Yu (Catfish), give one or two pieces to the patient to eat. It cures permanently; eating until full is better.
Another formula:
Bear gallbladder bile (Xiong Dan), the size of a soybean, taken with water. Highly effective.
Another Zhuyu Wan Formula:
Wuzhuyu (Fructus Evodiae) (1 sheng), Guixin (Cortex Cinnamomi) (2 liang), Danggui (Radix Angelicae Sinensis) (2 liang).
The above three herbs are crushed, sifted, and mixed with honey to form pills the size of loquat seeds. Take 30 pills with wine, twice daily. Gradually increase to 40 pills until therapeutic effect is achieved. Avoid raw green onions.
Another Dingxiang San Formula:
Dingxiang (Flos Caryophylli) (7 pieces), Toufa Hui (Ash of human hair, approx. size of a jujube seed).
The above two ingredients are ground to powder and taken with wine.
Another Heshi Binglang Tang Formula:
Heshi (Fructus Carpesii) (2 liang, 1 liang for children), Binglang (Arecae Semen) (14 pieces).
The above two ingredients are boiled in six sheng of pork broth until reduced to three sheng. Remove dregs, add Heshi powder. Fast the night before, and take on an empty stomach the next morning in one dose. Soon, the disease moves downward and water is vomited. It cures permanently and is miraculous. Avoid raw/cold foods and vinegar for seven days. (All from Volume 5)