夫心腹痛胀满者。由脏虚而邪气客之。乘于心脾故也。足太阴脾之经也。脾虚则胀。足
少阴
于心。
诊其脉
治久冷胸膈气滞。心腹痛。胀满。不能饮食。四肢虚乏。吃食全少。前胡散方。
前胡（一两去芦头） 陈橘皮（一两汤浸去白瓤焙） 当归（一两锉微炒） 赤茯苓（一
两）
白术（一两） 赤芍药（一两） 桂心（一两） 半夏（半两汤洗七遍去滑） 干姜（半两）
吴茱
萸（半两
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
治心腹痛胀满。气促。肩背闷。四肢不和。少思饮食。诃黎勒散方。
诃黎勒皮（一两半） 前胡（一两半去芦头） 赤茯苓（一两） 陈橘皮（二两汤浸去
白瓤焙）
紫
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
治冷气攻心腹。胀满疼痛。饮食不消。四肢羸瘦。浓朴散方。
浓朴（一两半去粗皮涂生姜汁炙令香熟） 诃黎勒（一两半煨用皮） 木香（一两） 苍
术
（一两）
皮（二两
汤浸）
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候。
稍
治心腹痛。胁肋气胀满。不下食。当归散方。
当归（锉微炒） 赤茯苓 桔梗（去芦头） 陈橘皮（汤浸去白瓤焙） 人参（去芦头）
高良
姜（
上件药。捣筛为散。每服三钱。以水一中盏。入枣三枚。煎至六分。去滓。不计时候。
稍
治心腹痛胀满。短气欲绝方。
吴茱萸（半两汤浸七遍焙干微炒） 生姜（半两细切） 豉（一分）
上件药。以酒二大盏。煎至一盏三分。去滓。不计时候。稍热分为三服。
治心腹痛胀满。喘促。不欲饮食。四肢少力。心神虚烦。桔梗散方。
桔梗（去芦头） 赤茯苓 枳壳（麸炒微黄去瓤） 人参（去芦头） 浓朴（去粗皮涂
生姜汁
炙令
上件药。捣细罗为散。不计时候。以姜枣汤调下一钱。
治心腹痛胀满。食不消化。四肢不和。木香丸方。
木香（半两） 槟榔（半两） 赤芍药（半两） 枳壳（半两麸炒微黄去瓤） 诃黎勒
（一两煨
用皮）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以粥饮下三十丸。
治心腹痛胀满。脐下有积聚。不欲饮食。赤芍药丸方。
赤芍药（一两） 当归（一两锉微炒） 白术（一两） 鳖甲（一两涂醋炙令煮去裙 ）
诃黎
勒（
雀粪
（半两
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以温酒下二十丸。
Pain and distension in the heart and abdomen arise from deficiency of the Zang organs, allowing pathogenic factors to invade and lodge in the Heart and Spleen. This primarily involves the Foot-Taiyin Spleen Meridian. When the Spleen is deficient, distension occurs; if the pathology affects the Foot-Shaoyin Kidney Meridian and rebels upward to the Heart, related symptoms manifest.
Diagnosis via pulse taking (The original text here lacks specific pulse descriptions, retaining only "Diagnose its pulse").
Formula for treating chronic cold stagnation in the chest and diaphragm causing Qi obstruction, resulting in heart and abdominal pain, distension, inability to eat, weakness and fatigue in the four limbs, and extremely poor appetite: Qianhu San Formula.
Qian Hu (Peucedani Radix, 1 liang, remove the rhizome head) Chen Ju Pi (Aged Tangerine Peel, 1 liang, soak in hot water, remove the white pith, and dry-roast) Dang Gui (Angelicae Sinensis Radix, 1 liang, slice and stir-fry lightly) Chi Fu Ling (Red Poria, 1 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Chi Shao Yao (Red Peony Root, 1 liang) Gui Xin (Cinnamon Twig Heart, 1 liang) Ban Xia (Pinelliae Tuber, 0.5 liang, wash seven times in hot water to remove slipperiness) Gan Jiang (Dried Ginger, 0.5 liang) Wu Zhu Yu (Evodiae Fructus, 0.5 liang, typically processed to remove eyes and pungency).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water, half a fen of fresh ginger, and three jujubes. Decoct until six parts remain. Strain off the dregs. Take warm at any time.
Formula for treating heart and abdominal pain with distension, shortness of breath, stuffiness in the shoulders and back, disharmony in the four limbs, and reduced appetite: Hel Lei San Formula.
He Li Le Pi (Pericarpium Chebulae, 1.5 liang) Qian Hu (Peucedani Radix, 1.5 liang, remove the rhizome head) Chi Fu Ling (Red Poria, 1 liang) Chen Ju Pi (Aged Tangerine Peel, 2 liang, soak in hot water, remove the white pith, and dry-roast) [The original text list appears incomplete].
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and half a fen of fresh ginger. Decoct until six parts remain. Strain off the dregs. Take warm at any time.
Formula for treating cold Qi attacking the heart and abdomen, causing distension and pain, indigestion, and emaciation of the four limbs: Nong Po San Formula.
Nong Po (Magnoliae Officinalis Cortex, 1.5 liang, remove the rough bark, coat with fresh ginger juice, and roast until fragrant and cooked) He Li Le (Pericarpium Chebulae, 1.5 liang, use the peel after roasting) Mu Xiang (Aucklandiae Radix, 1 liang) Cang Zhu (Atractylodis Rhizoma, 1 liang) [Note: Original text has formatting errors or missing items here, e.g., "Pi (2 liang soaked in water)" may refer to another bark].
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and three jujubes. Decoct until six parts remain. Strain off the dregs. Take warm at any time.
Formula for treating heart and abdominal pain, Qi stagnation and distension in the hypochondrium, and inability to eat: Dang Gui San Formula.
Dang Gui (Angelicae Sinensis Radix, slice and stir-fry lightly) Chi Fu Ling (Red Poria) Jie Geng (Platycodonis Radix, remove the rhizome head) Chen Ju Pi (Aged Tangerine Peel, soak in hot water, remove the white pith, and dry-roast) Ren Shen (Ginseng Radix, remove the rhizome head) Gao Liang Jiang (Galangal Rhizome) [Dosage and processing details missing in original].
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add one zhong of water and three jujubes. Decoct until six parts remain. Strain off the dregs. Take warm at any time.
Formula for treating heart and abdominal pain with distension and severe shortness of breath: [Formula name missing, only ingredients listed].
Wu Zhu Yu (Evodiae Fructus, 0.5 liang, soak in hot water seven times, dry-roast, and stir-fry lightly) Sheng Jiang (Fresh Ginger, 0.5 liang, finely sliced) Chi Dou Chi (Prepared Soybean, 1 fen).
Add two large zhong of wine. Decoct until one zhong and three parts remain. Strain off the dregs. Divide into three doses, take warm at any time.
Formula for treating heart and abdominal pain with distension, panting, anorexia, weakness in the four limbs, and mental restlessness due to deficiency heat: Jie Geng San Formula.
Jie Geng (Platycodonis Radix, remove the rhizome head) Chi Fu Ling (Red Poria) Zhi Ke (Aurantii Fructus, stir-fry with bran until slightly yellow, remove the pith) Ren Shen (Ginseng Radix, remove the rhizome head) Nong Po (Magnoliae Officinalis Cortex, remove the rough bark, coat with fresh ginger juice, and roast until cooked) [Dosage and subsequent processing missing in original].
Grind into a fine powder. Take 1 qian mixed with ginger and jujube decoction at any time.
Formula for treating heart and abdominal pain with distension, indigestion, and disharmony in the four limbs: Mu Xiang Wan Formula.
Mu Xiang (Aucklandiae Radix, 0.5 liang) Bing Lang (Arecae Semen, 0.5 liang) Chi Shao Yao (Red Peony Root, 0.5 liang) Zhi Ke (Aurantii Fructus, 0.5 liang, stir-fry with bran until slightly yellow, remove the pith) He Li Le (Pericarpium Chebulae, 1 liang, use the peel after roasting) [Subsequent ingredients missing in original].
Grind into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 30 pills with millet gruel at any time.
Formula for treating heart and abdominal pain with distension, accumulations below the umbilicus, and anorexia: Chi Shao Yao Wan Formula.
Chi Shao Yao (Red Peony Root, 1 liang) Dang Gui (Angelicae Sinensis Radix, 1 liang, slice and stir-fry lightly) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coat with vinegar, roast until cooked, remove the skirt-like edges) He Li Le (Pericarpium Chebulae) [Dosage and processing missing] Que Fen (Passeris Excrement) [Dosage missing, typically 0.5 liang].
Grind into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 20 pills with warm wine at any time.