夫心背彻痛者。由人脏腑虚弱。肾气不足。积冷之气。上攻于心。心气既虚。为邪所乘。
则
治冷气攻心背彻痛。吴茱萸散方。
吴茱萸（半两汤浸七遍焙干微炒） 槟榔（一两） 人参（一两去芦头） 半夏（半两
汤洗七
遍去
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
稍
治心背彻痛。发歇不定。木香丸方。
木香（半两） 附子（半两炮裂去皮脐） 巴豆（一分去皮心膜纸裹压去油） 槟榔（半
两）
吴茱
上件药。捣罗为末。入麝香巴豆令匀。醋煮面糊和丸。如绿豆大。不计时候。以温酒下
三丸。
治心背彻疼不可忍。乌头丸方。
川乌头（半两炮裂去皮脐） 附子（半两炮裂去皮脐） 赤石脂（一两） 干姜（一两
炮裂锉）
川
上件药。捣罗为末。炼蜜和捣百余杵。丸如梧桐子大。不计时候。以醋汤下一（十）丸。
治胃中气满。引心背彻痛。川椒丸方。
川椒（一两去目及闭口者微炒去汗） 半夏（一两汤洗七遍去滑） 附子（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。
治心背彻痛不可忍。连腹胁 刺。宜服此方。
芫花（半两醋拌炒令干） 川大黄（半两锉碎微炒）
上件药。捣细罗为散。每服一钱。以水醋各半小盏。煎五七沸。温温顿服。须臾当吐。
便愈
治心背彻痛。宜用此方。
川椒 乌头 桂心 芎 细辛 附子 羌活（以上各一两） 芫花（三两）
上件药。并细锉。用醋拌炒令热。以故帛裹熨痛处。冷即易之。
The condition of penetrating pain in the heart and back arises from the weakness of the internal organs and insufficiency of Kidney Qi, causing accumulated cold pathogenic factors to attack the Heart. Once Heart Qi is deficient, it becomes susceptible to invasion by evil pathogens.
For treating penetrating pain in the heart and back caused by attacking cold qi, Wu Zhu Yu San (Evodia Powder):
Wu Zhu Yu (Fructus Evodiae, half liang, soaked in boiling water seven times, dried, and lightly stir-fried) Bing Lang (Arecae Semen, one liang) Ren Shen (Radix Ginseng, one liang, rhizome removed) Ban Xia (Rhizoma Pinelliae, half liang, washed in boiling water seven times to remove slipperiness).
Crush and sieve the above ingredients into a powder. Take three qian per dose. Add one zhong of water and half a fen of fresh ginger, decoct until six fen remains, filter out the dregs. Take at any time.
For treating penetrating pain in the heart and back with irregular paroxysms, Mu Xiang Wan (Costus Pill):
Mu Xiang (Radix Aucklandiae, half liang) Fu Zi (Radix Aconiti Lateralis Preparata, half liang, processed until cracked, skin and umbilicus removed) Ba Dou (Semini Crotonis, one fen, skin, core, and membrane removed, pressed on paper to remove oil) Bing Lang (Arecae Semen, half liang) Wu Zhu Yu (Fructus Evodiae, half liang, pedicels removed, lightly stir-fried).
Pulverize the above ingredients into fine powder, add Moschus and Ba Dou, mix evenly. Boil wheat paste in vinegar and combine to form pills the size of mung beans. Take three pills with warm wine at any time.
For treating unbearable penetrating pain in the heart and back, Wu Tou Wan (Aconite Pill):
Chuan Wu Tou (Radix Aconiti Kusnezoffii Preparata, half liang, processed until cracked, skin and umbilicus removed) Fu Zi (Radix Aconiti Lateralis Preparata, half liang, processed until cracked, skin and umbilicus removed) Chi Shi Zhi (Halloysit Rubrum, one liang) Gan Jiang (Rhizoma Zingiberis Preparatum, one liang, processed until cracked and cut) Chuan Jiao (Pericarpium Zanthoxyli, one liang, eyes and closed-mouth ones removed, lightly stir-fried to release moisture) Gui Xin (Cortex Cinnamomi, one liang) Gan Cao (Radix Glycyrrhizae Preparata, one liang, honey-roasted until slightly yellow and cut).
Pulverize the above ingredients into fine powder. Combine with refined honey, pound for over a hundred strokes, and form pills the size of sophora seeds. Take ten pills with vinegar-infused water at any time.
For treating fullness of qi in the stomach leading to penetrating pain in the heart and back, Chuan Jiao Wan (Zanthoxylum Pill):
Chuan Jiao (Pericarpium Zanthoxyli, one liang, eyes and closed-mouth ones removed, lightly stir-fried to release moisture) Ban Xia (Rhizoma Pinelliae, one liang, washed in boiling water seven times to remove slipperiness) Fu Zi (Radix Aconiti Lateralis Preparata, one liang, processed until cracked, skin and umbilicus removed) Gan Jiang (Rhizoma Zingiberis Preparatum, one liang, processed until cracked and cut) Gui Xin (Cortex Cinnamomi, one liang) Ren Shen (Radix Ginseng, one liang, rhizome removed) Wu Zhu Yu (Fructus Evodiae, one liang, pedicels removed, lightly stir-fried).
Pulverize the above ingredients into fine powder. Combine with refined honey to form pills the size of sophora seeds. Take ten pills with vinegar-infused water at any time.
For treating unbearable penetrating pain in the heart and back extending to the abdomen and hypochondrium with stabbing sensations, this formula is suitable:
Yuan Hua (Flos Genkwa, half liang, mixed with vinegar and stir-fried until dry) Chuan Da Huang (Radix et Rhizoma Rhei, half liang, cut into pieces and lightly stir-fried).
Pulverize the above ingredients into fine powder. Take one qian per dose. Decoct with half a small cup of water and half a small cup of vinegar for five to seven boils. Drink warm in one go. Vomiting should occur shortly after, leading to recovery.
For treating penetrating pain in the heart and back, use this formula:
Chuan Jiao (Pericarpium Zanthoxyli), Wu Tou (Radix Aconiti Lateralis Preparata), Gui Xin (Cortex Cinnamomi), Xiong Qiong (Radix Chuanxiong), Xi Xin (Herba Asari), Fu Zi (Radix Aconiti Lateralis Preparata), Qiang Huo (Rhizoma et Radix Notopterygii) (each one liang); Yuan Hua (Flos Genkwa, three liang).
Cut all ingredients finely. Mix with vinegar and stir-fry until hot. Wrap in an old cloth and apply as a hot compress to the painful area. Replace when cool.