（金匮） 治心痛彻背，背痛彻心。
赤石脂（ 淬） 蜀椒（一两） 乌头（炮） 附子（炮） 干姜（炮半两） 蜜丸，
日三服。不知，
此乃阴寒之气，厥逆而上干，横格于胸背经脉之间，牵连痛楚，乱其气血，搅其疆界。
此而
恐胸
新隧
今人
哉。
治脾胃虚寒，呕吐泄泻，而兼湿者。
人参（二三钱） 干姜（炒黄一二钱） 白术 茯苓（二钱） 甘草（炙一钱） 加陈
皮一钱，名六
按此即四君子汤五味异功散之变方也。
治新旧冷积泻痢等证。
木香 肉豆蔻 丁香（两半） 干姜（炮） 百草霜（一两） 杏仁（一百四十粒去皮
尖） 巴豆（
两，溶化，重
取蜡四两，
肉蔻逐冷消食，下气和中。丁香暖胃助阳，宣壅除癖。木香升降诸气，和脾疏肝。杏仁
降气
非
不令人泻，其积自然消化。李时珍曰∶一妇年六十余，溏泻五载，犯生冷油腻肉食即作痛。
服升涩药，泻反甚，脉沉而滑。此乃脾胃久伤，积冷凝滞，法当以热下之。用腊匮巴豆丸五
十
（金匮） 治久寒心痛，兼治卒中恶，腹胀痛，口不能言。又治连年积冷，流注心胸痛
，并冷肿上气，落马坠车血疾等。
附子（三两） 生野狼牙（炙香） 巴豆（去皮心膜研） 人参 干姜 吴茱萸（一两） 炼
蜜丸，桐
仲景于胸痹证后，附九痛丸，治久寒心痛。以其久着之邪，不同暴病，故药则加峻。而
汤改
也。
胸中
(From *Jin Gui Yao Lue*) Treats heart pain radiating to the back, and back pain radiating to the heart region.
Chishizhi (Calcined Red Clay), Shujiao (Sichuan Pepper), Wutou (Prepared Aconite Root), Fuzi (Prepared Aconite Lateral Root), Ganjiang (Prepared Dried Ginger, half tael). Make into honey pills. Take three times a day. If ineffective, increase the dosage appropriately.
This is due to Yin-cold Qi reversing and rushing upward, obstructing horizontally between the meridians of the chest and back, causing牵连 (referred) pain, disturbing the circulation of Qi and Blood, and blocking the flow of vital energy.
If this condition is not treated promptly, it may lead to severe obstruction in the chest.
Treats deficiency-cold of the Spleen and Stomach, accompanied by vomiting, diarrhea, and dampness.
Renshen (Ginseng Root), Ganjiang (Dried Ginger, stir-fried until yellow), Baizhu (Atractylodes Rhizome), Fuling (Poria), Gancao (Licorice Root, honey-fried). Add Chenpi (Tangerine Peel), named Liujunzi Tang (Six Gentlemen Decoction).
Note: This formula is a variation of Sijunzi Tang (Four Gentlemen Decoction) and Wuwei Yigong San (Five-Ingredient Efficacy-Promoting Powder).
Treats diarrhea and dysentery caused by old or new cold accumulations.
Muxiang (Costus Root), Roudoukou (Nutmeg), Dingxiang (Clove), Ganjiang (Dried Ginger, prepared), Baixiaoshuang (Soot from Burning Straw), Xingren (Apricot Seed, peeled and tip removed), Badou (Croton Seed, shelled, melted...).
Roudoukou dispels cold, aids digestion, descends Qi, and harmonizes the middle; Dingxiang warms the Stomach, assists Yang, unblocks stagnation, and eliminates masses; Muxiang regulates the ascending and descending of Qi, harmonizes the Spleen, and soothes the Liver; Xingren descends Qi...
It does not merely cause diarrhea but facilitates the natural digestion of accumulations. Li Shizhen stated: A woman over sixty years old suffered from loose stools for five years; pain would occur immediately upon consuming raw, cold, greasy, or meaty foods. After taking ascending and astringent medicines, her diarrhea worsened, and her pulse was deep and slippery. This was due to long-term injury to the Spleen and Stomach, with cold accumulation and stagnation. The treatment method should be to purge using hot-natured drugs. Use fifty pills of Badou made in the twelfth lunar month...
(From *Jin Gui Yao Lue*) Treats heart pain caused by chronic cold, and also sudden onset of evil pathogens, abdominal distension and pain, inability to speak. It also treats chronic cold accumulation flowing into the chest and heart causing pain, as well as cold swelling, rebellious Qi, and blood disorders resulting from falls from horses or carts.
Fuzi (Prepared Aconite Lateral Root), Shengye Langya (Raw Wild Wolf's Tooth Herb, roasted until fragrant), Badou (Croton Seed, peeled, heart and membrane removed, ground), Renshen (Ginseng Root), Ganjiang (Dried Ginger), Wuzhuyu (Evodia Fruit). Refine honey to make pills, size of tung tree seeds...
Zhang Zhongjing, after discussing the syndrome of Chest Bi (Thoracic Obstruction), appended Jiutong Wan (Nine Pain Pill) to treat heart pain caused by chronic cold. Because this pathogen has lingered for a long time, it differs from acute diseases; therefore, the medication is more potent. Changing from decoction to pill form...
In the chest...