夫卒心痛者。由脏腑虚弱。风邪冷热之气。客于手少阴之络。正气不足。邪气胜盛。邪
正相
治卒心痛。腹胁气胀。不欲饮食。宜服高良姜散方。
高良姜（一两半锉） 浓朴（二两去粗皮涂生姜汁炙令香熟） 桂心（一两） 当归（一
两锉
碎微
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。热服。
治卒心痛。腹胀。去恶气麝香散方。
麝香（一两细研） 犀角屑（半两） 木香（半两）
上件药。捣细罗为散。入麝香研令匀。不计时候。以热酒调下一钱。
治卒心痛。腹胁气滞方。
桂心（一两） 当归（一两锉微炒） 蓬莪术（一两）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
又方。
桂心（一两） 干姜（一两炮裂锉）
上件药。捣细罗为散。不计时候。以酒调下二（一）钱。
治卒心痛。气闷欲绝。面色青。四肢逆冷。吴茱萸丸方。
吴茱萸（一两汤浸七遍焙干微炒） 干姜（一两炮裂锉） 桂心（一两） 干漆（一两
捣碎炒
令烟
归（一两
锉微
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。不计时候。以热酒下二十丸。
又方。
桂心（二两） 川乌头（一两炮裂去皮脐）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以醋汤下十丸。
又方。
生姜（半两） 熟干地黄（半两）
上件药。细锉。用水一大盏。煎至五分。去滓。不计时候。热服。
又方。
酽醋（一合） 鸡子（一枚打破）
上件药相和。搅令匀。暖过顿饮之。
又方。
白艾（二两熟者）
上以水二大盏。煎至一盏。去滓。分为三服。稍热服之。
又方。
用青布裹盐如弹子大。烧令赤。都研为末。以热酒调。顿服之。
又方。
灶突中墨（半两） 盐（半两）
上件药。以水一大盏。煎五六沸。令盐消。去滓。分温二服。当吐之愈。未吐更服。
又方。
上用铛底墨。以热小便。调下二钱。
又方。
上用蒸大豆。或煮豆。以囊盛。更番熨痛处。冷复易之。
Sudden onset of heart pain is caused by the deficiency of the Zang-Fu organs, where Wind pathogenic factors and Cold-Heat Qi invade the collaterals of the Hand-Shaoyin (Heart) meridian. When the Righteous Qi is insufficient and the Pathogenic Qi is excessive, they contend with each other.
For sudden onset of heart pain accompanied by abdominal and hypochondriac Qi distension and loss of appetite, it is suitable to take Gaoliangjiang San (Galangal Powder).
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 1.5 liang, crushed) Nongpo (Magnoliae Officinalis Cortex, 2 liang, coarse bark removed, coated with fresh ginger juice, roasted until fragrant and cooked) Guixin (Cinnamomi Ramulus, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang, crushed)
The above herbs are pounded, sifted into a powder. Each dose is 3 qian, decocted in one zhongzhan of water until reduced to six-tenths, strained. Taken hot at any time.
For sudden onset of heart pain with abdominal distension and expulsion of evil Qi, use Shexiang San (Musk Powder).
Shexiang (Moschus, 1 liang, finely ground) Xijiaoxie (Rhinocerotis Cornu, 0.5 liang, sliced) Muxiang (Aucklandiae Radix, 0.5 liang)
The above herbs are pounded, sifted through a fine sieve into a powder, mixed evenly with Shexiang. Taken at any time, stirred with hot wine, dose of 1 qian.
For sudden onset of heart pain with Qi stagnation in the abdomen and hypochondrium.
Guixin (Cinnamomi Ramulus, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried) Peng'ezhu (Curcumae Phaeocaulis Rhizoma, 1 liang)
The above herbs are pounded, sifted through a fine sieve into a powder. Taken at any time, stirred with hot wine, dose of 1 qian.
Another prescription.
Guixin (Cinnamomi Ramulus, 1 liang) Ganjiang (Zingiberis Rhizoma, 1 liang, processed until cracked and crushed)
The above herbs are pounded, sifted through a fine sieve into a powder. Taken at any time, stirred with wine, dose of 2 qian.
For sudden onset of heart pain with suffocating Qi feeling as if dying, bluish complexion, and cold limbs, use Wuzhuyu Wan (Evodia Pills).
Wuzhuyu (Evodiae Fructus, 1 liang, soaked in boiling water seven times, dried and lightly stir-fried) Ganjiang (Zingiberis Rhizoma, 1 liang, processed until cracked and crushed) Guixin (Cinnamomi Ramulus, 1 liang) Ganqi (Resina Draconis, 1 liang, crushed and stir-fried until smoke emerges) Danggui (Angelicae Sinensis Radix, 1 liang, crushed and lightly stir-fried)
The above herbs are pounded, sifted into powder, mixed with refined honey, pounded three or five hundred times, formed into pills the size of paulownia seeds. Taken at any time, taken down with twenty pills using hot wine.
Another prescription.
Guixin (Cinnamomi Ramulus, 2 liang) Chuanwutou (Aconiti Radix Lateralis Preparata, 1 liang, processed until cracked, skin and navel removed)
The above herbs are pounded, sifted into powder, mixed with refined honey and formed into pills the size of paulownia seeds. Taken at any time, taken down with ten pills using vinegar soup.
Another prescription.
Shengjiang (Zingiberis Rhizoma Recens, 0.5 liang) Shudihuang (Rehmanniae Radix Preparata, 0.5 liang)
The above herbs are finely crushed. Decocted in one dazhan of water until reduced to five-tenths, strained. Taken hot at any time.
Another prescription.
Yan cu (Strong vinegar, 1 he) Jizi (Galli Ovum, 1 egg, broken)
Mix the above ingredients, stir until uniform, warm and drink in one go.
Another prescription.
Bai'ai (Artemisiae Argyi Folium, 2 liang, aged)
Decoct the above in two dazhan of water until reduced to one zhan, strain. Divide into three doses, taken slightly warm.
Another prescription.
Wrap salt the size of a bullet in blue cloth, burn until red-hot, grind all into powder. Stir with hot wine and take in one go.
Another prescription.
Zaotu zhong mo (Soot from chimney flue, 0.5 liang) Yan (Sal, 0.5 liang)
Decoct the above in one dazhan of water for five or six boils until the salt dissolves, strain. Divide into two warm doses. Vomiting should occur for cure; if not, take again.
Another prescription.
Use soot from the bottom of a wok, stir with hot urine, take down 2 qian.
Another prescription.
Use steamed soybeans or boiled beans, hold in a bag, alternate applying heat to the painful area. Replace when cold.