夫恶疰心痛者。由人阴阳俱虚。气血不足。风寒暑湿不正之气。乘虚而入人肌体。流注
经络
治恶疰心痛。或 刺腹胁或肩背。痛无常处。鬼箭羽散方。
鬼箭羽 桃仁（汤浸去皮尖双仁麸炒微黄） 赤芍药 鬼臼（去须） 陈橘皮（汤浸去
白瓤
焙） 当归（锉微炒） 桂心 柴胡（去苗） 朱砂（细研以上各一两） 川大黄（二两锉
碎微炒）
上件药。捣细罗为散。入朱砂。研令匀。每服。不计时候。以温酒调下一钱。
治恶疰心痛。发歇不定。木香散方。
木香（半两） 犀角屑（三分） 槟榔（一两） 麝香（一分细研） 白术（半两） 当
归（半两
锉微
上件药。捣细罗为散。入麝香。研令匀。每服。不计时候。以热酒调下五（一）钱。
治恶疰心痛。烦乱不可忍。犀角散方。
犀角屑（一两） 安息香（半两） 槟榔〔二（一）两〕 没药（半两） 肉桂（一两
去皴皮） 麝
香
上件药。捣罗为散。入麝香。研令匀。每服。不计时候。以热酒调下一钱。
治恶疰心痛。手足逆冷。槟榔散方。
槟榔（一两） 木香（三分） 高良姜（半两锉） 青橘皮（半两汤浸去白瓤焙） 桃
仁（半两
汤浸
治恶疰。胁肋连心刺痛。当归散方。
当归（锉碎微炒） 木香 槟榔 麝香（细研以上各一两）
上件药。捣细罗为散。入麝香。研令匀。每服二钱。以童子小便一中盏。煎至五分。不
计时
治恶疰。心腹痛如锥刀所刺。胀满欲死者。硝石丸方。
硝石（一两） 川大黄（一两半锉碎微炒） 巴豆（三七枚去皮心研纸裹压去油） 附
子（三
分炮
上件药。捣罗为末。炼蜜和捣一二百杵。丸如麻子大。不计时候。以粥饮下五丸。
Malignant Zhuxin (malignant pestilential heartache) is caused by the deficiency of both Yin and Yang in the human body, insufficient Qi and Blood, allowing pathogenic factors such as Wind, Cold, Summer-heat, and Dampness to enter the body through the deficiency and flow into the meridians. Treatment of Malignant Zhuxin may involve acupuncture at the abdomen, hypochondrium, or shoulder and back, where pain occurs without a fixed location.
Guijianyu San (Arrowwood Powder):
Spatholobi Caulis (Guijianyu), Persicae Semen (Taoren, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow), Paeviae Radix Rubra (Chishao), Podophylli Fructus (Guijiu, mustaches removed), Citri Reticulatae Pericarpium (Chenjuapi, soaked in hot water, white pith removed, dried), Angelicae Sinensis Radix (Danggui, chopped and slightly fried), Cinnamomi Cortex (Guixin), Bupleuri Radix (Chaihu, radix removed), Cinnabar (Zhusha, finely ground; above ingredients each 1 liang), Rheum Palmatum et Tanguticum Radix et Rhizoma (Chuan Dahuang, 2 liang, chopped and slightly fried).
The above medicines are pounded into a fine powder, passed through a fine sieve, mixed with Cinnabar, and ground evenly. Each dose: take 1 qian, at any time, mixed with warm wine.
Treatment for Malignant Zhuxin Heartache, with irregular onset and remission. Muxiang San (Costus Root Powder):
Costi Radix (Muxiang, 0.5 liang), Cornu Bubali (Xijiao, cut into pieces, 3 fen), Arecae Semen (Binglang, 1 liang), Moschus (Shexiang, 1 fen, finely ground), Atractylodis Macrocephalae Rhizoma (Baizhu, 0.5 liang), Angelicae Sinensis Radix (Danggui, 0.5 liang, chopped and slightly fried).
The above medicines are pounded into a fine powder, passed through a fine sieve, mixed with Moschus, and ground evenly. Each dose: take 5 (or 1) qian, at any time, mixed with hot wine.
Treatment for Malignant Zhuxin Heartache, with unbearable restlessness and confusion. Xijiao San (Water Buffalo Horn Powder):
Cornu Bubali (Xijiao, cut into pieces, 1 liang), Benzoin Resina (Anxi Xiang, 0.5 liang), Arecae Semen (Binglang, 2 or 1 liang), Myrrha Resina (Moyao, 0.5 liang), Cinnamomi Cortex (Rougui, 1 liang, rough bark removed), Moschus (Shexiang).
The above medicines are pounded into a powder, passed through a sieve, mixed with Moschus, and ground evenly. Each dose: take 1 qian, at any time, mixed with hot wine.
Treatment for Malignant Zhuxin Heartache, with cold extremities. Binglang San (Areca Seed Powder):
Arecae Semen (Binglang, 1 liang), Costi Radix (Muxiang, 3 fen), Zingiberis Officinalis Rhizoma (Gaoliangjiang, 0.5 liang, chopped), Citri Reticulatae Pericarpium Viride (Qingjuapi, 0.5 liang, soaked in hot water, white pith removed, dried), Persicae Semen (Taoren, 0.5 liang, soaked in hot water, skin and pointed ends removed, double kernels discarded, bran-fried until slightly yellow).
The above medicines are pounded into a fine powder, passed through a fine sieve. Each dose: take 2 qian, at any time, mixed with warm wine.
Treatment for Zhuxin, with stabbing pain in the hypochondrium radiating to the heart. Danggui San (Angelica Sinensis Powder):
Angelicae Sinensis Radix (Danggui, chopped and slightly fried), Costi Radix (Muxiang), Arecae Semen (Binglang), Moschus (Shexiang, finely ground; above ingredients each 1 liang).
The above medicines are pounded into a fine powder, passed through a fine sieve, mixed with Moschus, and ground evenly. Each dose: take 2 qian, decocted in one cup of urine from an uncircumcised boy until reduced to half a cup, taken at any time.
Treatment for Zhuxin, with heart and abdominal pain like stabbing with awls or knives, distension and fullness causing a sensation of impending death. Xiaoshi Wan (Niter Pill):
Natrii Sulfas (Xiaoshi, 1 liang), Rheum Palmatum et Tanguticum Radix et Rhizoma (Chuan Dahuang, 1.5 liang, chopped and slightly fried), Crotonis Fructus (Badou, 37 seeds, skin and heart removed, pounded and pressed between paper to remove oil), Aconiti Lateralis Radix Praeparata (Fuzi, 3 fen, processed, skin and umbilicus removed).
The above medicines are pounded into a powder, passed through a sieve, mixed with refined honey, and pounded for 100-200 strokes. Form pills the size of hemp seeds. Take 5 pills, at any time, with millet drink.