夫疝者痛也。由阴气积于内。寒气不散。上冲心。故使心痛。谓之心疝也。其痛也。或
如锥
治心疝。心腹痛如锥刀所刺。宜服木香丸方。
木香（一两） 羌活（一两） 槟榔（一两） 桂心（一两） 青橘皮（一两汤浸去白
瓤焙） 蓬
莪术（一两）
上件药。捣细罗为散。不计时候。以热酒下二钱。
治心疝。心腹 刺疼痛。胁下满胀。宜服赤芍药丸方。
赤芍药（一两） 桔梗（一两去芦头） 细辛（一两） 桂心（一两） 木香（一两） 干
姜（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。以热酒下三十丸。日四
五服
治三二十年心疝神验方。
射干（半两） 吴茱萸〔三（二）两汤浸七遍焙干微炒〕
上件药。捣罗为末。炼蜜和丸。如绿豆大。每服。以粥饮下五丸。日二服。药势欲尽。
乃可
治心疝。心腹痛。宜服牡丹丸方。
牡丹（一两） 桂心（一两） 川乌头（一两炮裂去皮脐） 木香（一两） 吴茱萸（一
两汤浸
七遍
上件药。捣罗为末。炼蜜和捣三二百杵。丸如绿豆大。每服。以温酒服十丸。日四五服。
治心疝。心腹中 刺。疼痛不可忍。朱砂丸方。
朱砂（半两细研） 桂心（半两） 附子（一两炮裂去皮脐） 麝香（半钱细研） 桃
仁（半两
汤浸
上件药。捣罗为末。以面糊和丸。如梧桐子大。每服。以醋汤下二丸。
治心疝。心腹痛。四肢逆冷。面色青黑。宜服桃仁丸方。
桃仁（汤浸去皮尖双仁麸炒微黄） 没药 安息香 乳香 麝香（细研） 木香 吴茱
萸
〔汤
上件药。捣罗为末。都研令匀。用蒸饼和丸。如小豆大。不计时候。以暖酒嚼下二十丸。
治心疝。心腹中如锥刀所刺疼痛方。
巴豆（半两） 附子（一两去皮脐生用） 川乌头（一两去皮脐生用） 干漆（三分捣
碎炒令
烟出）
分）
上件药。先以巴豆附子乌头等三味。以水煮一日久。取出。各去皮巴豆去心膜。一处捣
如泥
丸。
治心疝。心腹内攻刺疼痛。腹胁虚胀。宿食不消。或时吐逆。少思饮食方。
朱砂（一两细研水飞过） 半夏（一两汤洗七遍去滑） 川乌头（半两去皮脐生用）
上件药。捣罗为末。醋煮面糊和丸。如小豆大。不计时候。以生姜橘皮汤下五丸。
Shan disease refers to pain. It arises from the accumulation of Yin-cold qi within the body, where cold qi fails to dissipate and rushes upward to the Heart, thereby causing Heart pain. This condition is termed Xin Shan (Heart Shan). The pain may feel as if pierced by an awn or needle.
For treating Xin Shan (Heart Shan) with Heart and abdominal pain resembling stabbing by awns or knives, it is appropriate to take Muxiang Wan (Musk Root Pill).
Muxiang (Radix Aucklandiae), one tael; Qianghuo (Rhizoma et Radix Notopterygii), one tael; Binglang (Semen Arecae), one tael; Guixin (Cortex Cinnamomi), one tael; Qingjupi (Pericarpium Citri Reticulatae Viride), one tael (soaked in hot water, white pith removed, dried); Peng'ezhu (Rhizoma Curcumae Phaeocaulis), one tael.
The above herbs are finely ground and passed through a fine sieve to make a powder. Take two qian with warm wine at any time.
For treating Xin Shan (Heart Shan) with stabbing pain in the Heart and abdomen, and fullness and distension in the hypochondrium, it is appropriate to take Chishao Yao Wan (Red Peony Root Pill).
Chishao Yao (Radix Paeoniae Rubra), one tael; Jiegeng (Radix Platycodonis), one tael (radicle removed); Xixin (Herba Asari), one tael; Guixin (Cortex Cinnamomi), one tael; Muxiang (Radix Aucklandiae), one tael; Ganjiang (Rhizoma Zingiberis Recens), one tael (processed).
The above herbs are ground into powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of paulownia seeds. Each dose consists of thirty pills taken with warm wine, four to five times daily.
A miraculous formula for treating Xin Shan (Heart Shan) persisting for twenty to thirty years.
Shegan (Rhizoma Belamcandae), half tael; Wuzhuyu (Fructus Evodiae), three taels (soaked in hot water seven times, dried, slightly stir-fried).
The above herbs are ground into powder, mixed with refined honey, and formed into pills the size of mung beans. Each dose consists of five pills taken with rice broth, twice daily. Re-dose only when the therapeutic effect has subsided.
For treating Xin Shan (Heart Shan) with Heart and abdominal pain, it is appropriate to take Mudan Wan (Tree Peony Bark Pill).
Mudan (Cortex Moutan), one tael; Guixin (Cortex Cinnamomi), one tael; Chuan Wutou (Radix Aconiti Kusnezoffii), one tael (processed until cracked, skin and umbilicus removed); Muxiang (Radix Aucklandiae), one tael; Wuzhuyu (Fructus Evodiae), one tael (soaked in hot water seven times).
The above herbs are ground into powder, mixed with refined honey, and pounded for three to two hundred strokes to form pills the size of mung beans. Each dose consists of ten pills taken with warm wine, four to five times daily.
For treating Xin Shan (Heart Shan) with Heart and abdominal pain described as stabbing by awns or knives, unbearable in intensity, use Zhusha Wan (Cinnabar Pill).
Zhusha (Cinnabaris), half tael (finely ground); Guixin (Cortex Cinnamomi), half tael; Fuzi (Radix Aconiti Lateralis Preparata), one tael (processed until cracked, skin and umbilicus removed); Shexiang (Moschus), half qian (finely ground); Taoren (Semen Persicae), half tael (soaked in hot water, skin and pointed end removed, twin kernels discarded).
The above herbs are ground into powder, mixed with wheat paste, and formed into pills the size of paulownia seeds. Each dose consists of two pills taken with vinegar-infused water.
For treating Xin Shan (Heart Shan) with Heart and abdominal pain, cold limbs, and cyanotic-black complexion, it is appropriate to take Tao Ren Wan (Peach Kernel Pill).
Tao Ren (Semen Persicae) (soaked in hot water, skin and pointed end removed, twin kernels discarded, stir-fried with bran until slightly yellow); Moyao (Olibanum); Anshixiang (Benzoin); Ruxiang (Myrrha); Shexiang (Moschus) (finely ground); Muxiang (Radix Aucklandiae); Wuzhuyu (Fructus Evodiae) (soaked in hot water).
The above herbs are ground into powder, thoroughly mixed, and combined with steamed dough to form pills the size of small beans. Take twenty pills, chewed with warm wine, at any time.
Formula for treating Xin Shan (Heart Shan) with Heart and abdominal pain resembling stabbing by awns or knives.
Badou (Semen Crotonis), half tael; Fuzi (Radix Aconiti Lateralis Preparata), one tael (skin and umbilicus removed, used raw); Chuan Wutou (Radix Aconiti Kusnezoffii), one tael (skin and umbilicus removed, used raw); Ganqi (Resina Quebrachit), three fen (crushed, stir-fried until smoke appears).
First, boil Badou, Fuzi, and Wutou together in water for a long duration. Remove them. Discard the heart membrane of Badou. Grind all ingredients together into a paste and form pills.
Formula for treating Xin Shan (Heart Shan) with internal stabbing pain in the Heart and abdomen, empty distension of the abdomen and hypochondrium, retention of undigested food, occasional vomiting and regurgitation, and poor appetite.
Zhusha (Cinnabaris), one tael (finely ground, washed with water); Banxia (Rhizoma Pinelliae Preparata), one tael (washed seven times in hot water to remove acridity); Chuan Wutou (Radix Aconiti Kusnezoffii), half tael (skin and umbilicus removed, used raw).
The above herbs are ground into powder, mixed with wheat paste boiled in vinegar, and formed into pills the size of small beans. Take five pills with ginger and tangerine peel decoction at any time.