夫寒疝心腹痛者。此由腑脏虚弱。风邪客于其间。与真气相击。故痛。其痛随气上下。
或冲
治寒疝心腹痛。四肢不和。面色青冷。不欲饮食。气渐羸弱。宜服白术丸方。
白术（一两） 干姜（半两炮裂锉） 青橘皮（一两汤浸去白瓤焙） 当归（半两锉碎
微炒）
芎
心（一
两）
上件药。捣为末。炼蜜捣三二百杵。丸如梧桐子大。每服。不计时候。以热酒下三十丸
治寒疝。心腹痛。不下饮食。痛甚引胁肋间。及腹里急者。宜服当归散方。
当归（一两锉微炒） 干姜（半两炮裂锉） 羊肉（半斤细切） 陈橘皮（一两汤浸去
白瓤焙）
白
上件药。除羊肉外。捣筛为散。以水五大盏。合煮取两大盏半。去滓。不计时候。稍热
服一
治寒疝。心腹痛。胸胁支满。不能下食。木香散方。
木香（三分） 槟榔（一两） 赤茯苓（一两） 人参（一两去芦头） 当归（一两锉
碎微炒）
桂心
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计
治寒疝。心腹痛如刺。不下饮食。白汗出。气欲绝。椒附散方。
川椒（半两去目及闭口者微炒去汗） 附子（一两炮裂去皮脐） 槟榔（一两） 干姜
（半两
炮裂
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计
治寒疝。心腹痛。及胁肋里急。不下饮食。宜服高良姜羊肉汤方。
高良姜（一两锉） 赤芍药（一两锉） 当归（一两锉微炒） 羊肉（一斤半细切） 桂
心（一
两）
上件药。除羊肉外。捣碎。以水五大盏。都煮取两盏半。去滓。不计时候。稍热服一小
盏。
治寒疝。心腹痛。胸胁支满。饮食不下。宜服芎 丸方。
芎 （一两） 防葵（一两） 白蔹（一两） 桂心（一两） 川椒（一两半去皮及闭
口者微炒
去汗）
汤浸七遍
焙干
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。生姜橘皮汤下三十丸。
日四
治寒疝。心腹痛。面目青黄。不下饮食。纵食呕逆。肌体羸瘦。宜服吴茱萸丸方。
吴茱萸（半两汤浸七遍焙干微炒） 赤茯苓（半两） 干姜（半两炮裂锉） 白术（二
两） 甘
草（半两炙微赤锉） 桂心（一两） 半夏（一两汤浸七遍去滑） 赤芍药（一两） 前胡
（一两去
芦头） 川椒（一两去目及闭口者微炒去汗） 当归（一两锉微炒） 陈橘皮（一两汤浸去
白瓤
焙） 附子（一两炮裂去皮脐） 人参（一两去芦头） 木香（一两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以生姜汤下二十丸。日
四五
治寒疝。胸胁支满。食饮不下。寒中心腹。痛及吐利。背项强急。不得俯仰。甜
瓜子散方。
甜瓜子（一两微炒） 桂心（一两） 白芷（一两） 白薇（半两） 芎 （一两） 干
姜（半两
炮裂
头（一
两炮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以生姜汤下二十丸。日
四五
Heart and abdominal pain caused by cold hernia (Han Shan) results from the weakness of the fu and zang organs, where wind pathogenic factors invade and interact with the true qi, causing pain. This pain moves up and down following the movement of qi.
For treating heart and abdominal pain due to cold hernia, accompanied by discomfort in the four limbs, a bluish-cold complexion, loss of appetite, and gradual emaciation and weakness, it is advisable to take Baizhu Wan (Atractylodes Macrocephala Pill).
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Ganjiang (Zingiberis Rhizoma Recens Preparatum, half liang, prepared until cracked and chopped) Qingjupi (Citri Reticulatae Pericarpium Viride, 1 liang, soaked in hot water, white pith removed, dried) Danggui (Angelicae Sinensis Radix, half liang, chopped, slightly stir-fried)
Xiong (Ligustici Chuanxiong Rhizoma, 1 liang)
The above herbs are pounded into powder, mixed with refined honey, and beaten three or two hundred times until firm. Form pills the size of paulownia seeds. Take thirty pills each time, at any time, washed down with hot wine.
For treating cold hernia with heart and abdominal pain, inability to eat, severe pain radiating to the hypochondrium and costal regions, and abdominal tension, it is advisable to take Danggui San (Angelica Powder).
Danggui (Angelicae Sinensis Radix, 1 liang, chopped, slightly stir-fried) Ganjiang (Zingiberis Rhizoma Recens Preparatum, half liang, prepared until cracked and chopped) Yangrou (Mutton, half jin, finely sliced) Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in hot water, white pith removed, dried)
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang)
Except for the mutton, the remaining herbs are pounded and sifted into a powder. Add five large bowls of water, boil together to obtain two and a half large bowls. Strain off the dregs. Take one sheng (approx. 200ml) when slightly warm, at any time.
For treating cold hernia with heart and abdominal pain, chest and hypochondriac fullness and distension, and inability to eat, it is advisable to take Muxiang San (Costus Powder).
Muxiang (Aucklandiae Radix, 3 qian) Binglang (Arecae Semen, 1 liang) Chifuling (Poria with Red Hosta Root, 1 liang) Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed) Danggui (Angelicae Sinensis Radix, 1 liang, chopped, slightly stir-fried)
Guixin (Cinnamomi Ramulus, 1 liang)
The above herbs are pounded and sifted into a powder. Take 4 qian each time. Add one medium bowl of water, half a qian of Shengjiang (Zingiberis Rhizoma Recens), and three dates. Decoct until six parts remain. Strain off the dregs. Take when slightly warm, at any time.
For treating cold hernia with stabbing heart and abdominal pain, inability to eat, cold sweat, and faint breath approaching extinction, it is advisable to take Jiaofu San (Sichuan Pepper and Prepared Aconite Powder).
Chuanjiao (Zanthoxyli Pericarpium, half liang, remove eyes and closed-mouth ones, slightly stir-fry to remove oil/sweat) Fuzi (Aconiti Lateralis Radix Preparata, 1 liang, prepared until cracked, skin and navel removed) Binglang (Arecae Semen, 1 liang) Ganjiang (Zingiberis Rhizoma Recens Preparatum, half liang, prepared until cracked)
The above herbs are pounded and sifted into a powder. Take 3 qian each time. Add one medium bowl of water, half a qian of Shengjiang (Zingiberis Rhizoma Recens), and three dates. Decoct until six parts remain. Strain off the dregs. Take when slightly warm, at any time.
For treating cold hernia with heart and abdominal pain, tension inside the hypochondrium and costal regions, and inability to eat, it is advisable to take Gaoliangjiang Yangrou Tang (Galangal and Mutton Decoction).
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 1 liang, chopped) Chishaoyao (Paeoniae Radix Rubra, 1 liang, chopped) Danggui (Angelicae Sinensis Radix, 1 liang, chopped, slightly stir-fried) Yangrou (Mutton, 1.5 jin, finely sliced) Guixin (Cinnamomi Ramulus, 1 liang)
Except for the mutton, pound the herbs until crushed. Add five large bowls of water, boil together to obtain two and a half bowls. Strain off the dregs. Take one small bowl when slightly warm, at any time.
For treating cold hernia with heart and abdominal pain, chest and hypochondriac fullness and distension, and inability to eat, it is advisable to take Xiongwang Wan (Ligusticum Pill).
Xiong (Ligustici Chuanxiong Rhizoma, 1 liang) Fangkui (Bupleuri Radix? Note: Text says Fangkui, likely Bupleuri or similar root, 1 liang) Bailian (Tinosporae Cordifoliae Caulis, 1 liang) Guixin (Cinnamomi Ramulus, 1 liang) Chuanjiao (Zanthoxyli Pericarpium, 1.5 liang, remove eyes and closed-mouth ones, slightly stir-fry to remove oil/sweat)
The above herbs are pounded through a fine sieve into powder, mixed with refined honey, and beaten three or two hundred times. Form pills the size of paulownia seeds. Take thirty pills each time, washed down with ginger and tangerine peel decoction. Four times daily.
For treating cold hernia with heart and abdominal pain, bluish-yellow complexion, inability to eat, vomiting even after eating, and emaciation of muscles and body, it is advisable to take Wuzhuyu Wan (Evodia Pill).
Wuzhuyu (Evodiae Fructus, half liang, soaked in hot water seven times, dried, slightly stir-fried) Chifuling (Poria with Red Hosta Root, half liang) Ganjiang (Zingiberis Rhizoma Recens Preparatum, half liang, prepared until cracked and chopped) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, half liang, roasted until slightly red and chopped) Guixin (Cinnamomi Ramulus, 1 liang) Banxia (Pinelliae Tuber, 1 liang, soaked in hot water seven times to remove slipperiness) Chishaoyao (Paeoniae Radix Rubra, 1 liang) Qianhu (Peucedani Radix, 1 liang, radix removed) Chuanjiao (Zanthoxyli Pericarpium, 1 liang, remove eyes and closed-mouth ones, slightly stir-fry to remove oil/sweat) Danggui (Angelicae Sinensis Radix, 1 liang, chopped, slightly stir-fried) Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in hot water, white pith removed, dried) Fuzi (Aconiti Lateralis Radix Preparata, 1 liang, prepared until cracked, skin and navel removed) Renshen (Ginseng Radix et Rhizoma, 1 liang, radix removed) Muxiang (Aucklandiae Radix, 1 liang)
The above herbs are pounded through a fine sieve into powder, mixed with refined honey, and beaten three or two hundred times. Form pills the size of paulownia seeds. Take twenty pills each time, washed down with ginger decoction. Four to five times daily.
For treating cold hernia with chest and hypochondriac fullness and distension, inability to eat, cold invading the heart and abdomen, pain leading to vomiting and diarrhea, stiffness and urgency in the back and neck, and inability to bend or look up, it is advisable to take Tianguazi San (Sweet Melon Seed Powder).
Tianguazi (Citrulli Semen, 1 liang, slightly stir-fried) Guixin (Cinnamomi Ramulus, 1 liang) Baizhi (Angelicae Dahuricae Radix, 1 liang) Baiwei (Cleomidis Herba, half liang) Xiong (Ligustici Chuanxiong Rhizoma, 1 liang) Ganjiang (Zingiberis Rhizoma Recens Preparatum, half liang, prepared until cracked)
The above herbs are pounded through a fine sieve into powder, mixed with refined honey, and beaten three or two hundred times. Form pills the size of paulownia seeds. Take twenty pills each time, washed down with ginger decoction. Four to five times daily.