《肘后》疗卒腹痛方
粳米（二升）
上一味，以水六升，煮取六七沸，饮之。
又方
掘土作小坎，以水满坎中，熟搅取汁，饮之瘥。（并出第一卷中）
张文仲疗卒腹痛方
令病患卧高枕一尺许，柱膝，使腹皮 气入胸，令人爪其脐上三寸，便愈。能干咽吞气
数十过者弥佳。亦疗心痛。（《肘后》、《备急》同）
又方
灸两足指头各十四壮，使火俱下，良。（《备急》、《肘后》同，并出第一卷中）
《千金》疗胸腹中卒痛。生姜汤方。
生姜（一斤捣取汁） 食蜜（八两） 醍醐（四两）
上三味，微火上熬令相得，适寒温。服三合，日三。（出第十六卷中）
《集验》疗卒腹痛，葛氏方。
桂末三匕，酒服。人参、上好干姜亦佳。忌生葱。（《肘后》、文仲同）
又方
食盐一大把，多饮水送，取吐。（《肘后》、张文仲同，并出第一卷中）
《病源》心腹痛者，由腑脏虚弱，风寒客于其间故也。邪气发作，与正气相击，上冲于
心，则心痛，下攻于腹，则腹痛，上下相攻，故心腹绞痛，气不得息。诊其脉，左手寸口人
迎以前，脉手少阴经也，沉者为阴，阴虚者病苦心腹痛，难以言，心如寒状，心腹痛，痛不
得息，脉细小者生，大坚疾者死。心腹痛脉沉细小者生，浮大而疾者死。其汤、熨、针石，
别有正方补养宣导，今附于后。《养生方·导引法》云，行大道常度日月星辰，清静以鸡鸣
，安身卧，漱口三咽之，调五脏，杀蛊虫，令人长生，疗心腹痛。（出第十六卷中）
《广济》疗心腹中气时时痛，食冷物则不安稳，及恶水。桔梗散方。
桔梗 茯苓（各八分） 枳实（炙） 人参 浓朴（炙） 芍药 橘皮（各六分） 桂
心（五分）
上十味，捣筛为散。空肚煮姜枣饮服方寸匕，日三服，渐加至一匕半，热以茶饮下，不
利。忌猪肉、酢物、生葱、生冷、油腻、小豆、粘食、热面、炙肉等物。
又疗卒心腹痛，气胀满，不下食，欲得泻三两行佳。当归汤方。
当归 茯苓 桔梗 橘皮 高良姜 槟榔（各八分） 生姜（八分）
上七味，细切，以水七升，煮取二升三合，绞去滓，分温三服，服别相去如人行六七里
，服讫，利三两行，宜停后服。忌猪肉、酢物、生冷、油腻、鱼、蒜、粘食、小豆。（并出
第十五卷中）
《肘后》疗心腹俱胀痛烦满，短气欲死，或已绝方。
栀子（十四枚） 豉（七合）
上二味，以水二升，先煮豉，取一升二合，去滓，纳栀子，更煎取八合，绞去滓，服半
升，不愈者，尽服之。（《备急》、文仲同）
又方
乌梅二七枚，水五升，煮一沸，纳青大钱二七文，煮取一升半，强人可顿服，羸人分再
服，当下愈。（文仲同）
又方
茱萸（二两） 生姜（四两切） 豉（三合）
上三味，酒四升，煮取二升，分三服，即瘥。
又疗心腹相连常胀痛。野狼毒丸方。
野狼毒（二两炙） 附子（半两炮）
上二味捣筛，蜜和丸，服如梧子。一日服一丸，二日二丸，三日三丸，自一至三，以为
常服，即瘥。忌猪肉、冷水。
又方
吴茱萸（一合） 干姜（四分） 附子（二分炮） 细辛（二分） 人参（二分）
上五味，捣末，蜜和丸如梧子。服五丸，酒饮并得，日三。忌猪肉、生菜等。（并出第
一卷中）
《深师》疗久寒冷，胸膈满，心腹绞痛，不能食，忽气吸吸不足。前胡汤方。
前胡（一两） 羊脂（二两） 大枣（二十枚） 当归（一两） 茯苓（一两） 白术
（一两） 芍
药（六分） 桂心（一两） 半夏（二两） 干姜（一两） 麦门冬（六分去心） 吴茱萸
（三百粒）
上十二味，切，以水八升，煮取三升，分三服，相去如人行十里进一服。忌酢物、生葱
、羊肉、饧、桃、李、雀肉等。（出第十六卷中）
《短剧》当归汤 疗心腹绞痛，诸虚冷气满方。
当归（三两） 干姜（四两） 甘草（三两炙） 芍药（二两） 浓朴（三两炙） 黄
（二两）
蜀椒（一两汗） 半夏（三两洗） 肉桂（三两） 人参（三两）
上十味，切，以水一斗，煮取三升二合，强人可一升，羸人服八合。大冷者，加附子一
枚炮。忌海藻、菘菜、羊肉、饧、生葱。（《古今录验》、《千金》同）
《古今录验》通命丸疗心腹积聚，寒中绞痛，又心迫满，胁下胀痛方。
大黄 远志（去心） 黄芩 麻黄（去节） 甘草（炙以上各四两） 芒硝（三两） 杏
仁（六
十枚去皮、尖） 豉（二合） 巴豆（五十枚去心、皮，熬，别为脂）
上九味，捣，合下筛，蜜和丸如梧子大。先食饮服三丸，日三。忌野猪肉、芦笋、海藻
、菘菜。（出第八卷中）
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) prescriptions for sudden abdominal pain:
Jingmi (Glutinous Rice, 2 sheng)
Take the above single herb, add six sheng of water, boil until it boils six or seven times, and drink.
Another prescription:
Dig a small pit in the soil, fill the pit with water, stir vigorously to extract the juice, and drink it to cure the condition. (Both from Volume I)
Zhang Wenzhong's prescription for sudden abdominal pain:
Have the patient lie supine with a pillow about one chi high under their head, prop up their knees, causing the abdominal skin to retract and qi to enter the chest. Have someone press with fingernails on the point three cun above the umbilicus; the pain will resolve. Those who can swallow air dryly dozens of times will have even better results. This also treats heart pain. (Same as *Zhouhou Beiji Fang* and *Beiji Qianjin Yaofang*)
Another prescription:
Moxibustion on the tips of both big toes, fourteen moxa cones each, ensuring the heat penetrates evenly is effective. (Same as *Beiji Qianjin Yaofang* and *Zhouhou Beiji Fang*, both from Volume I)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) Shengjiang Tang (Ginger Decoction) for sudden pain in the chest and abdomen:
Shengjiang (Fresh Ginger, one jin, crushed to extract juice) Femi (Honey, eight liang) Tihu (Clarified Butter/Su You, four liang)
Simmer the above three ingredients over low heat until they blend well. Take Sanhe (approx. 60ml) when warm, three times a day. (From Volume XVI)
*Jiyan Fang* (Collected Proven Prescriptions) Ge Shi's prescription for sudden abdominal pain:
Guimo (Cinnamon Bark Powder), three bi (spoonfuls), taken with wine. Renshen (Ginseng) or high-quality Ganjiang (Dried Ginger) are also good. Avoid raw green onions. (Same as *Zhouhou Beiji Fang* and Zhang Wenzhong's prescription)
Another prescription:
A large handful of Yanshi (Salt), taken with plenty of water to induce vomiting. (Same as *Zhouhou Beiji Fang* and Zhang Wenzhong's prescription, both from Volume I)
*Bingyuan* (Source of Diseases) states that Heart-Abdominal Pain arises from the weakness of the fu and zang organs, allowing wind-cold pathogens to lodge within. When the pathogenic qi erupts and clashes with healthy qi, rushing upward to the heart, it causes heart pain; attacking downward to the abdomen, it causes abdominal pain; attacking both up and down, it results in severe cramping pain in the heart and abdomen, with inability to breathe smoothly. Upon pulse diagnosis, the area before the Renying point at the Cunkou position on the left hand corresponds to the Hand-Shaoyin Heart Meridian. A deep pulse indicates Yin; Yin deficiency leads to bitter heart-abdominal pain, difficulty speaking, a sensation of cold in the heart, heart-abdominal pain, and pain preventing normal breathing. A fine and small pulse indicates survival, while a large, firm, and rapid pulse indicates death. For heart-abdominal pain, a deep, fine, and small pulse suggests survival, whereas a floating, large, and rapid pulse suggests death. Their decoctions, hot compresses, and needle-stone therapies, along with specific regimens for tonification and guidance exercises, are attached separately below. The *Yangsheng Fang · Daoyin Fa* (Guidance and Pulling Method) states: Walking the Great Way often following the movements of the sun, moon, and stars; maintaining purity and stillness until the rooster crows; resting safely, rinsing the mouth and swallowing saliva three times; regulating the five zang organs; killing gu parasites; enabling longevity; and treating heart-abdominal pain. (From Volume XVI)
*Guangji Fang* (Broad Rescue Prescriptions) Jiegeng San (Platycodon Powder) for intermittent pain in the heart and abdomen due to qi stagnation, discomfort after eating cold foods, and aversion to drinking water:
Jiegeng (Platycodon Root) Fuling (Poria, each 8 fen) Zhishi (Immature Bitter Orange, processed with fire) Renshen (Ginseng) Houpo (Magnolia Bark, processed with fire) Shaoyao (Peony Root) Ju pi (Tangerine Peel, each 6 fen) Guixin (Cinnamon Twig Heart, 5 fen)
Sift the above ten herbs into powder. Take one fangcunbi (square-inch spoonful) with ginger and jujube decoction on an empty stomach, three times a day. Gradually increase to one and a half fangcunbi. If feeling excessive heat, take with tea beverage; if no adverse effects occur, continue. Avoid pork, vinegar products, raw green onions, cold/raw foods, greasy foods, adzuki beans, sticky foods, hot noodles, and roasted meats.
Another prescription, Danggui Tang (Angelica Decoction), for sudden heart-abdominal pain, qi distension and fullness, inability to eat, where inducing three liang of bowel movement is desirable:
Danggui (Angelica Sinensis) Fuling (Poria) Jiegeng (Platycodon Root) Ju pi (Tangerine Peel) Gaoliangjiang (Galangal) Binglang (Areca Seed, each 8 fen) Shengjiang (Fresh Ginger, 8 fen)
Finely cut the above seven herbs, add seven sheng of water, boil down to two sheng and Sanhe (approx. 420ml). Strain and discard the dregs. Divide into three warm doses. The interval between doses should be equivalent to walking six or seven li. After finishing the dose, if three liang of stool is passed, stop subsequent doses. Avoid pork, vinegar products, cold/raw foods, greasy foods, fish, garlic, sticky foods, and adzuki beans. (All from Volume XV)
*Zhouhou Beiji Fang* prescription for simultaneous bloating and pain in the heart and abdomen, shortness of breath nearing death, or apparent cessation of breath:
Zhizi (Gardenia Fruit, 14 pieces) Chi (Fermented Soybean, 7 he)
Add two sheng of water to the above two ingredients. First boil Chi until one sheng and Erhe (approx. 240ml) remains. Strain and discard dregs, add Zhizi, and boil again to obtain Bahe (approx. 160ml). Strain and discard dregs. Take Banliang (approx. 100ml); if not cured, take the remainder. (Same as *Beiji Qianjin Yaofang* and Zhang Wenzhong's prescription)
Another prescription:
Wumei (Dark Plum, 14 pieces), boil in five sheng of water for one boil. Add fourteen green copper coins (Daqian), boil until one sheng and Banliang (approx. 350ml) remains. Strong individuals may take this all at once; weak individuals should divide it into two doses. Bowel movement will ensue, leading to recovery. (Same as Zhang Wenzhong's prescription)
Another prescription:
Zuyu (Evodia Fruit, 2 liang) Shengjiang (Fresh Ginger, 4 liang, sliced) Chi (Fermented Soybean, 3 he)
Boil the above three ingredients in four sheng of wine until two sheng remains. Divide into three doses; the condition will resolve.
Another prescription for constant connected pain and distension in the heart and abdomen: Yelangdu Wan (Wild Wolf Poison Pill):
Yelangdu (Stellera Chamaejasme, 2 liang, processed with fire) Fuzi (Prepared Aconite Lateral Root, 0.5 liang, prepared)
Grind the above two ingredients into powder, mix with honey to form pills the size of wutong seeds. Take one pill on the first day, two on the second, and three on the third. Continue this regimen (one to three pills daily) as maintenance; the condition will resolve. Avoid pork and cold water.
Another prescription:
Wuzhuyu (Evodia Fruit, 1 he) Ganjiang (Dried Ginger, 4 fen) Fuzi (Prepared Aconite Lateral Root, 2 fen, prepared) Xixin (Asarum, 2 fen) Renshen (Ginseng, 2 fen)
Grind the above five herbs into powder, mix with honey to form pills the size of wutong seeds. Take five pills per dose, with wine being acceptable. Three times a day. Avoid pork and raw vegetables. (All from Volume I)
*Shenshi Fang* (Deep Master Prescriptions) Qianhu Tang (Peucedanum Decoction) for long-standing cold affecting the chest and diaphragm, causing fullness, severe cramping pain in the heart and abdomen, inability to eat, and sudden insufficiency of breath (Qi sucking in insufficiently):
Qianhu (Peucedanum Root, 1 liang) Yangzhi (Sheep Fat, 2 liang) Dazao (Jujube, 20 pieces) Danggui (Angelica Sinensis, 1 liang) Fuling (Poria, 1 liang) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Shaoyao (Peony Root, 6 fen) Guixin (Cinnamon Twig Heart, 1 liang) Banxia (Pinellia Tuber, 2 liang) Ganjiang (Dried Ginger, 1 liang) Maimendong (Ophiopogon Tuber, 6 fen, heart removed) Wuzhuyu (Evodia Fruit, 300 grains)
Cut the above twelve herbs. Add eight sheng of water, boil down to three sheng. Divide into three doses. Administer one dose every interval equivalent to walking ten li. Avoid vinegar products, raw green onions, mutton, maltose (Xing), peaches, plums, and sparrow meat. (From Volume XVI)
*Duanju Fang* (Short Drama Prescriptions) Danggui Tang (Angelica Decoction) for severe cramping pain in the heart and abdomen, and fullness caused by various deficiencies and cold qi:
Danggui (Angelica Sinensis, 3 liang) Ganjiang (Dried Ginger, 4 liang) Gancao (Licorice Root, 3 liang, processed with fire) Shaoyao (Peony Root, 2 liang) Houpo (Magnolia Bark, 3 liang, processed with fire) Huangqi (Astragalus Root, 2 liang)
Shujiao (Sichuan Pepper, 1 liang, sweat-treated) Banxia (Pinellia Tuber, 3 liang, washed) Rougui (Cinnamon Bark, 3 liang) Renshen (Ginseng, 3 liang)
Cut the above ten herbs. Add one dou of water, boil down to three sheng and Erhe (approx. 420ml). Strong individuals may take one sheng; weak individuals take Banliang (approx. 100ml). For severe cold, add one prepared Fuzi (Prepared Aconite Lateral Root). Avoid seaweed, Chinese cabbage (Songcai), mutton, maltose (Xing), and raw green onions. (Same as *Gujin Luyan* and *Qianjin Fang*)
*Gujin Luyan* (Records of Past and Present) Tongming Wan (Life-Passing Pill) for accumulations and masses in the heart and abdomen, cold-induced cramping pain, oppression and fullness in the heart, and distending pain in the hypochondrium:
Dahuang (Rhubarb Root) Yuanzhi (Polygala Root, heart removed) Huangqin (Scutellaria Root) Mahuang (Ephedra Stem, nodes removed) Gancao (Licorice Root, processed with fire, each 4 liang above) Mangxiao (Mirabilite, 3 liang) Xingren (Apricot Seed, 60 pieces, skin and tip removed) Chi (Fermented Soybean, 2 he) Badou (Croton Seed, 50 pieces, heart and skin removed, fried, fat extracted separately)
Grind the above nine ingredients, mix and sieve. Form pills with honey the size of wutong seeds. Take three pills before meals with water, three times a day. Avoid wild boar meat, reeds, seaweed, and Chinese cabbage (Songcai). (From Volume VIII)