（附胁痛闪痛）
〔总论〕 心痛即胃脘痛。有寒有热。或气逆。或痰饮。或虫。或死血。皆能致痛。如
真心痛。大寒直中中宫。手足青冷过节，随发随死。非药可治。（白杨花煎汤服。或可救治。
又
〔胃脘食滞气逆胀痛〕 凡宿食停滞上焦者。心与腹相连皆痛。兀兀欲吐。欲其速效。
用伤寒门吐法即止。陈皮。藿香。（各一钱半）香附。乌药。泽泻。（各二钱）木香。（七分）
浓朴。枳壳。（各一钱）水煎服。如食重者。加山楂。麦芽。（各二钱）如寒滞者。加焦干姜。
（一二钱） 如气逆之甚者。加沉香。青皮。之属。 如呕而兼痛者。加制半夏。丁香。之
属。 如兼疝者。加荔枝核。（煨熟二三钱）
〔寒滞痰饮痛〕 胸腹胀满。呕哕。痛时手足厥冷。遍身冷汗。便清不渴。丁香。白豆
蔻。等分。为末。姜汤调下五七分。日二三服。即愈。 良姜。香附。（炒各等分）为末。
白汤调下二钱。即效。（因寒而起者。良姜多一倍。因气而起者。香附多一倍。）
〔通治心痛〕 即胃脘痛初起。用淡豆豉五钱。煎汤半钟。服下即止。 久痛屡发者。
荔枝核。（煨焦研碎一钱。）木香。（七分）为末。白汤调服。或酒神效。 二蚕沙。（不拘多
少）为末。滚水泡过。滤净晒燥。每服一二钱。白汤下。 万灵膏贴当痛处。三五十日除根。
檀香孔内泥。冲酒服效。 瓦棱子。（即蚶子壳。醋 七次。）为末。每服三钱。白汤下。 诸
药不效者。用玄胡索三钱。酒煎服即止。 牙皂角。（不拘多少。微火烧烟。甫尽取起。）为
末。以烧酒调服五七分。即效。 年久心痛。不可忍。醋煮小蒜头食饱。勿着盐。不拘十年
五年。随手见效。
〔腹痛〕 有寒、热、食、痰、死血、肠痈、虫、疝之不同。大要以甘温为主。惟夏秋
卒然痛不可忍。照暑症治之。如热则大便燥闭。如阴症痛。四肢逆冷或冷汗。（如热宜凉散。
佐以甘温。如阴症宜服理中汤治之。方见黄胆症。） 或巴豆。（三粒） 红枣。（一枚） 同
捣烂。裹缚脐上立止。
〔一切男妇心腹痛不可忍〕 葱头去根二斤。炒热，布裹作二包。脐上熨之。如冷则易
次包。如无葱则韭菜。（或食盐俱可。） 脐下忽大痛。人中黑色者。不治之症。
〔心腹虫痛〕 恶心吐水。痛极如咬。面清白少光彩。时痛时止。四肢微冷。痛定便能
饮食者。是虫。干漆四两。慢火 烟尽。醋糊为丸。绿豆大。食后。或酒或醋下十五丸。日
进二服。 草捣汁。醋调和服。即效。 锻石二三钱。和鸡蛋煎饼。食前服之。少顷虫
从大便出。 虫咬如刺。生艾汁。（如无生艾。用熟艾二两。水三碗。煎汁一碗。）隔宿勿食。
早晨空心先食香味之物少许。咀嚼勿吞下。令虫闻香。然后饮艾汁。虫自出。（并治鬼击猝
死。及中恶腹痛。）如痛时自上而下。自闻唧唧有声。搔抓无措。眠坐不稳。心下如刮。上
连胸臆。乃积血不消。因火而动。不可认以为虫。而投以虫剂也。
〔心腹痰饮痛〕 痛时嘈杂不宁。如饥如饱。怏怏欲吐。吐即稍宽。姜半夏。猪芩。（各
二两）白芥子。干姜。（炒黄各一两）陈皮。（四两切碎入盐水中拌浸晒干）炙甘草。（五钱）
俱为末。水法为丸。每服一钱。淡姜汤下。
〔蛔厥心腹痛〕 乌梅二个。川椒十四粒。煎汤服。即止。
〔瘀血心腹痛〕 平日好食热物。致死血留于胃腕。山羊血。（一分）烧酒化下。即散。
胸
〔郁火心腹痛〕 有因病久。郁热生火。温散不效者。用山栀。（一两姜汁炒黑）木香。
（三分）水煎服。 初起即觉热者。用锅脐煤三钱。热童便调服即愈。
〔气滞腹痛〕 乌药。（水磨浓汁半钟）加陈皮。苏叶。（各一钱半）同煎服。
〔九种心痛〕 千年锻石研。端午午时独蒜捣丸。如桐子大。每服十三丸。烧酒下。
〔胁痛〕 芥菜子研末。水调敷。 韭菜炒热熨之。即止。 有因肝火胁痛。或胁下如
食积一条梗起者。黄连。（六两炒）吴茱萸。（一两汤泡四五次炒） 俱为末。蒸饼。丸如绿
豆大。每服三十丸。淡醋汤下。肝气平和。痛即止。
〔心气痛〕 生芝麻半升。候痛时。不必看。随手取来。不拘多少。放铜锅内炒黑为末。
好
〔七情交感丹〕 治一切公私拂情。名利失志。抑郁烦恼。七情所伤。不思饮食。面黄
形瘦。胸膈痞闷疼痛。香附米。（一斤长流水浸三日砂锅炒干为末） 白茯神。（四两）俱研
细。炼
〔闪痛〕 凡闪挫打伤腰胁痛。或不出血。皮肉青紫色者。先用葱白炒热。捣烂罨伤处
擦遍。再用生大黄。（研末）以生姜汁调敷。内服陈酒。以醉为度。即半年不愈者。立验。
(Attached: Hypochondriac Pain and Sprain Pain)
[General Discussion] Heart pain is equivalent to epigastric pain. It may be caused by cold, heat, rebellious Qi, phlegm-fluid retention, parasites, or fixed blood stasis, all of which can induce pain. For instance, in true heart pain (Zhen Xin Tong), severe cold directly strikes the central palace (Middle Jiao/Spleen-Stomach). The hands and feet turn blue and cold beyond the elbows and knees; death follows immediately upon onset. This condition cannot be treated with medicine. (Decocting white poplar flowers [Bai Yang Hua] for oral administration might offer a chance of rescue.)
[Epigastric Distension and Pain due to Food Stagnation and Rebellious Qi] When old food stagnates in the upper Jiao, both the heart region and abdomen are connected and painful. There is a persistent urge to vomit. To achieve rapid effect, employ the vomiting method from the Treatise on Cold Damage [Shang Han Lun], which will stop it. Use Chen Pi (Tangerine Peel) and Huo Xiang (Patchouli Herb), each 1.5 qian; Xiang Fu (Cyperus Rhizome), Wu Yao (Lindera Root), and Ze Xie (Alisma Rhizome), each 2 qian; Mu Xiang (Aucklandiae Radix), 0.7 fen; Nong Po (Magnolia Bark) and Zhi Qiao (Immature Bitter Orange Fruit), each 1 qian. Decoct in water and take orally. If the food burden is heavy, add Shan Zha (Hawthorn Fruit) and Mai Ya (Germinated Hordeum Fructus), each 2 qian. If there is cold stagnation, add Jiao Gan Jiang (Charred Dried Ginger), 1-2 qian. If rebellious Qi is severe, add Chen Xiang (Aquilaria Wood) and Qing Pi (Green Tangerine Peel), etc. If vomiting accompanies pain, add Zhi Ban Xia (Prepared Pinellia Tuber) and Ding Xiang (Caryophylli Flos), etc. If hernia is also present, add Li Zhi He (Lychee Seed), roasted until cooked, 2-3 qian.
[Pain due to Cold Stagnation and Phlegm-Fluid Retention] Chest and abdominal fullness and distension, retching. During pain, the hands and feet are cold, and the whole body sweats cold sweat. Bowel movements are clear, and there is no thirst. Use Ding Xiang (Caryophylli Flos) and Bai Dou Kou (Amomi Fructus Rotundus) in equal parts, grind into powder, and take with ginger decoction, 0.5-0.7 qian per dose. Take two to three times daily for recovery. Use Liang Jiang (Alpiniae Officinarum Rhizoma) and Xiang Fu (Cyperus Rhizome), stir-fried in equal parts, grind into powder, and take with plain hot water, 2 qian per dose for efficacy. (If caused by cold, double the amount of Liang Jiang; if caused by Qi stagnation, double the amount of Xiang Fu.)
[Universal Treatment for Heart Pain] For early-stage epigastric pain, use Dan Dou Chi (Fermented Soybean), 5 qian, decoct in water to make half a zhong of liquid, take orally to stop pain. For chronic, recurrent pain, use Li Zhi He (Lychee Seed), roasted until charred and crushed, 1 qian, and Mu Xiang (Aucklandiae Radix), 0.7 fen, grind into powder, and take with plain hot water or wine for miraculous effect. Use Er Can Sha (Mulberry Mouldy Sand), any amount, grind into powder, soak in boiling water, filter cleanly, dry in the sun, take 1-2 qian per dose with plain hot water. Apply Wan Ling Gao (Ten Thousand Spirits Ointment) to the painful area; after 30-50 days, the root cause is eliminated. Mud from within sandalwood holes, mixed with wine, taken orally is effective. Wa Leng Zi (Arcae Shell, i.e., Ark Shell), soaked in vinegar seven times, ground into powder, take 3 qian per dose with plain hot water. If all other medicines fail, use Yan Hu Suo (Corydalis Rhizoma), 3 qian, decoct in wine and take to stop pain. Ya Zao Jiao (Gleditsiae Sinensis Spina), any amount, burn slightly until smoke just ceases, collect the residue, grind into powder, mix with distilled liquor, take 0.5-0.7 qian for efficacy. For long-standing, unbearable heart pain, boil small garlic heads in vinegar, eat until full without adding salt. Whether the condition has lasted ten or five years, relief comes immediately.
[Abdominal Pain] It differs in causes such as cold, heat, food, phlegm, fixed blood stasis, intestinal abscess, parasites, and hernia. Generally, sweet and warm methods are primary. However, in summer and autumn, sudden unbearable pain should be treated according to summerheat patterns. If heat, there is dry fecal impaction. If yin pattern pain, there is cold limbs or cold sweat. (If heat, cool and disperse, assisted by sweet and warm; if yin pattern, treat with Lizhong Tang [Regulate the Middle Decoction], formula see Jaundice section.) Alternatively, Ba Dou (Crotonis Fructus), three grains, and Hong Zao (Jujubae Fructus), one piece, pound together into a paste, wrap and bind on the navel to stop pain immediately.
[Unbearable Heart and Abdominal Pain in All Men and Women] Remove roots from two jin of scallion bulbs, stir-fry until hot, wrap in cloth to make two packs. Iron them on the navel. Replace with the next pack when cold. If no scallions, leeks (or table salt) can be used. Sudden severe pain below the navel with black coloration in the philtrum indicates an untreatable condition.
[Heart and Abdominal Parasite Pain] Nausea, vomiting water, extreme biting pain, pale face lacking luster, pain that comes and goes, slight coldness in limbs. Ability to eat and drink once pain subsides indicates parasites. Use Gan Qi (Dry Resin of Toxicodendron Vernicifluum), four liang, slow fire until smoke ceases, make pills with vinegar paste, size of mung beans. Take fifteen pills after meals with wine or vinegar, twice daily. Crush grass, extract juice, mix with vinegar and take for efficacy. Use Duan Shi (Calcined Pyrite), 2-3 qian, mix with egg to make pancakes, take before meals. Soon after, parasites exit via stool. Parasite bites feel like刺 (stinging). Use Sheng Ai Zhi (Fresh Mugwort Juice) (if none available, use Shu Ai Ye [Dried Mugwort Leaf], two liang, three bowls of water, decoct to one bowl). Fast overnight. In the morning, on an empty stomach, first chew a small amount of fragrant food without swallowing, letting the smell attract parasites, then drink mugwort juice. Parasites will naturally exit. (Also treats sudden death from ghost strike and acute evil abdominal pain.) If pain moves from top to bottom, accompanied by gurgling sounds, scratching in desperation, restlessness in sleep and sitting, scraping sensation below the heart extending to the chest, this is accumulated blood stasis not resolved, stirred by fire. Do not mistake it for parasites and administer anthelmintics.
[Heart and Abdominal Phlegm-Fluid Pain] During pain, there is a sense of discomfort and restlessness, feeling both hungry and full, lingering desire to vomit. Vomiting brings slight relief. Use Jiang Ban Xia (Prepared Pinellia Tuber) and Zhu Ling (Poria), each two liang; Bai Jie Zi (Sinapis Semen) and Gan Jiang (Zingiberis Rhizoma), stir-fried yellow, each one liang; Chen Pi (Tangerine Peel), four liang, chopped, soaked in salt water, mixed, dried, and sun-dried; Zhi Gan Cao (Prepared Licorice Root), five qian. Grind all into powder, make pills using water method. Take 1 qian per dose with light ginger decoction.
[Ascariasis Colic Heart and Abdominal Pain] Use two Wumei (Mume Fructus) and fourteen Chuan Jiao (Sichuan Pepper), decoct in water and take to stop pain.
[Blood Stasis Heart and Abdominal Pain] Habitual preference for hot foods leads to fixed blood stasis remaining in the stomach. Use Shan Yang Xue (Capra Hircus Blood), one fen, dissolve in distilled liquor and take to dissipate stasis. Chest...
[Stagnant Fire Heart and Abdominal Pain] In cases of long-standing illness, stagnant heat generates fire. If warm dispersal fails, use Shan Zhi (Gardeniae Fructus), one liang stir-fried with ginger juice until black, and Mu Xiang (Aucklandiae Radix), three fen, decoct in water and take. If heat is felt at onset, use Guo Qi Mei (Pot Bottom Coal), three qian, mix with warm child's urine and take for cure.
[Qi Stagnation Abdominal Pain] Wu Yao (Lindera Root), water-ground to make strong juice, half a zhong, add Chen Pi (Tangerine Peel) and Su Ye (Perillae Folium), each 1.5 qian, decoct together and take.
[Nine Types of Heart Pain] Grind thousand-year-old Duan Shi (Calcined Pyrite). At noon on Dragon Boat Festival, pound single garlic cloves into pills, size of paulownia seeds. Take thirteen pills with distilled liquor.
[Hypochondriac Pain] Grind Jie Cai Zi (Mustard Seed) into powder, mix with water and apply externally. Stir-fry leeks until hot and iron the area to stop pain. For hypochondriac pain due to liver fire, or a hard mass like food accumulation under the ribs, use Huang Lian (Coptidis Rhizoma), six liang stir-fried, and Wu Zhu Yu (Evodiae Fructus), one liang, soaked in hot water four to five times then stir-fried. Grind all into powder, make pills with steamed bread dough, size of mung beans. Take thirty pills with light vinegar decoction. When liver Qi becomes peaceful, pain stops.
[Heart Qi Pain] Use half a sheng of Sheng Zhi Ma (Raw Sesame Seed). When pain occurs, do not look, just grab as needed, any amount. Stir-fry until black in a copper pot, grind into powder. Good...
[Seven Emotions Mutual Influence Pill] Treats all frustrations in public and private life, loss of ambition regarding fame and profit, depression, worry, damage from seven emotions, lack of appetite, sallow complexion, emaciation, chest and diaphragm stuffiness and pain. Use Xiang Fu Mi (Cyperus Rhizome Kernel), one jin, soaked in running water for three days, stir-fried dry in clay pot until powder. Bai Fu Shen (Poria with Hostwood), four liang. Grind both finely. Refine...
[Sprain Pain] For sprains, contusions causing waist and hypochondriac pain, whether bleeding or not, with bluish-purple skin and flesh. First, stir-fry Cong Bai (Scallion White) until hot, pound into paste, apply to injury site and rub thoroughly. Then, use Sheng Da Huang (Rhubarb Radix et Rhizoma), ground into powder, mix with fresh ginger juice and apply. Internally, drink aged wine until drunk. Even if not healed for half a year, immediate verification is seen.