（附论）
夫疝者痛也。本由寒气内积。阳衰阴盛。寒邪不散。因而攻击。或冷气抢心。或腹内
刺。
气盛
方
吴茱萸丸 治寒疝心腹痛。或逆抢心。烦满不得卧。恶风惊惕不食。亦发寒热。
吴茱萸（汤洗焙炒一两） 细辛（去苗叶） 芍药 柴胡（去苗） 旋复花 黄芩（去
黑心） 紫菀
子（炮制去皮脐） 甘
炼蜜丸梧桐子大。每服二十
吴茱萸丸 治寒疝心腹痛。面目青黄。不下饮食。纵食呕逆。
吴茱萸（汤浸七次焙干微炒） 赤茯苓 干姜（炮裂锉） 甘草（炙微赤锉各半两） 白
术前胡
目及闭口微炒出
香（各一两） 上为细
五服。
当归汤 治寒疝心痛。及诸虚冷气满闷。
当归（锉微炒） 干姜（炮裂炒） 甘草（炙微赤锉各半两） 黄 （锉） 人参（去
芦头） 川椒（
子（炮制去皮脐各
每服三钱。水一中盏。
瓜子散（出圣惠方）治寒疝胸胁支满。饮食不下。寒中心腹痛。及吐利背项强
急。不得俯仰
甜瓜子（微炒） 桂心 白芷 芎 川乌头 木香 当归（锉碎微炒各一两） 白薇 川
椒（
两） 上为
七熬饮后丸 疗手足热。腹中寒疝。不能食饮。心腹数痛。
茯苓（五两） 干姜（六两令焙共十二两） 大黄（二斤） 柴胡（十两） 芎 （七
两） 葶苈子（
皮尖双仁熬） 加桂心（
丸梧桐子大。每服七丸。日
木香散（出圣惠方）治寒疝心痛闷绝。
木香（一两） 高良姜（锉） 赤芍药 赤茯苓 干姜（炮锉） 陈橘皮（汤浸去白瓤
焙） 诃黎勒
（微炒各三两） 上为
白术丸（出圣惠方）治寒疝心腹痛。四肢不和。面色青冷。不欲饮食。气渐
羸弱。
白术（一两） 青橘皮（汤浸去白瓤焙） 浓朴（去粗皮涂生姜汁炙令香热） 桂心 附
子（炮裂
山姜子（三分
吴茱萸丸 治虚冷痰癖疝。食不消。心腹痛。气弱不欲食。虚 羸瘦。
吴茱萸 乌头（炮共十两） 紫菀 白薇（各三分） 桂心（六两） 前胡 芍药 细
辛芎
冷水桃李生葱
人参汤 治寒疝。心腹痛。胸胁支满。不下食。汗出呕逆。
人参 白茯苓（去黑皮） 槟榔（锉） 木香 芍药 芎 当归（切焙） 桂（去粗
皮） 青橘皮
拘时。
芎 丸（出圣惠方）治寒疝。心腹疼痛。胸胁支满。饮食不下。
芎 （一两） 川椒（一两半去目及闭口者微炒出汗） 防葵 白薇 桂心 白术 吴
茱萸（汤
和捣三二百杵
柴胡汤 治寒疝心腹痛。
柴胡（去苗四两） 大枣（去核焙六枚） 黄芩（去心） 人参 甘草（炙锉） 半夏
（汤浸去滑生
姜一枣大。煎至七
木香散（出圣惠方）治寒疝心腹胸胁支满。不能下食。
木香（三分） 槟榔 赤茯苓 人参（去芦头） 当归（锉碎微炒） 桂心 前胡（去
芦头） 青橘
煎六分去滓。不
蜀椒汤 治寒疝气。心痛如刺。绕脐腹中尽痛。自汗出欲绝。夫疝者痛也。阴气积
结所生也。阴气不散。则寒气盛。寒气盛则痛。上下无常。言冷气上冲于心。故令心痛
也。
蜀椒（二百枚炒出汗） 附子（一枚炮） 干姜（半两） 半夏（十二枚洗） 大枣（二
十枚擘） 粳
瘥更服一升。忌猪
地黄汤 治寒疝。心腹痛。汗出厥冷。
生地黄（焙三两） 甘草（炙） 白茯苓（去黑心） 人参 当归（切焙二两） 羊肉
（去脂切三斤）
入葱白一把切。
蜀椒散 治寒疝。心痛如刺绞。脐腹尽痛。自汗出。气欲绝方。
川椒（一分去目及闭口者微炒出汗） 附子（一个炮裂去皮脐） 干姜（炮裂锉） 桂
心（各半两）
盏。入粳米半合。
惠方）
治寒疝心痛。四肢逆冷。不欲食。（出圣惠方）
蓬莪术 附子（炮裂去皮脐） 桂心（各一两） 胡椒（半两） 芎 白术（各二分）
上为散。
当归散（出圣惠方）治寒疝心腹痛。不下饮食。痛甚引胁肋间及腹里急者。
当归（锉碎炒） 干姜（炮裂锉） 白术 陈橘皮（汤浸去白瓤焙） 羊肉（半斤细切）
荜茇（半
一小盏。
椒附散（出圣惠方）治寒疝。心腹痛如刺。不下饮食。自汗出。气欲绝。
川椒（去目及闭口者微炒出汗） 干姜（炮裂锉共半两） 附子（炮制去皮脐） 槟榔 白
术青
煎六分去
高良姜羊肉汤（出圣惠方）治寒疝心腹痛。及胁肋里急。不下饮食。
高良姜（锉） 赤芍药（锉） 当归（锉微炒） 桂心（各一两） 羊肉（一斤半细切）
上件除羊肉
附子丸 疗寒疝。下牵小腹。心腹痛。
附子（二两炮去皮） 桃仁（三两去皮尖微焙） 蒺藜子（一升去角尖熬） 上为末。
蜜和丸如
猪鱼。
治寒疝心腹痛。四肢逆冷。不欲食。（出圣惠方）
高良姜（锉） 当归（锉微炒） 桂心（各一两） 上为细末。不拘时。热酒送下一钱。
当归汤（出金匮方）治寒疝、心腹痛里急。
当归（切三两） 生姜（切五两） 羊肉（去脂膜切作片一斤） 上以水一斗。煮取五
升。去滓。
二两。白术
治寒疝、心腹胁引痛。诸药不可近者。（出本草）
以乌头五枚大者。去芒角及皮。四破。以白蜜一升。煎令透润。取出焙干捣筛。又以热
蜜丸
合。
(Attached Discussion)
The term "Shan" (Hernia/Cold Pain Syndrome) refers to pain. Its root cause lies in the internal accumulation of Cold Qi. When Yang Qi is deficient and Yin Qi is excessive, pathogenic Cold fails to dissipate and subsequently attacks the body. Sometimes, Cold Qi rushes to the heart; at other times, stabbing pain occurs within the abdomen.
Wuzhuyu Wan (Evodia Pill): Treats Heart-Abdominal Pain caused by Cold Shan. Symptoms include Qi rebellion rushing to the heart, irritability and fullness preventing sleep, aversion to wind, palpitations, loss of appetite, and possibly alternating chills and fever.
Ingredients: Wuzhuyu (Evodiae Fructus, washed with decoction, baked and stir-fried, 1 liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix, remove seedlings), Xuanjufuhua (Inulae Flos), Huangqin (Scutellariae Radix, remove black center), Ziwanzi (Asteris Radix, processed, peel and navel removed), Gancao (Glycyrrhizae Radix et Rhizoma). Honey-pelleted pills the size of wutong seeds. Take 20 pills per dose.
Wuzhuyu Wan (Evodia Pill): Treats Heart-Abdominal Pain caused by Cold Shan, with a bluish-yellow complexion, inability to eat, and vomiting/regurgitation even after eating.
Ingredients: Wuzhuyu (Evodiae Fructus, soaked in decoction seven times, baked dry and slightly stir-fried), Chifuling (Polyporus), Ganjiang (Zingiberis Rhizoma, processed, cracked), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and cracked, each 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Qianhu (Peucedani Radix, remove rhizome head and closed-mouth varieties, slightly stir-fried to release oil), Muxiang (Aucklandiae Radix, each 1 liang). Grind into fine powder, mix with honey to form pills. Take 5 pills per dose.
Danggui Tang (Angelica Decoction): Treats Heart Pain caused by Cold Shan, as well as fullness and oppression caused by various deficiencies and Cold Qi.
Ingredients: Danggui (Angelicae Sinensis Radix, cracked and slightly stir-fried), Ganjiang (Zingiberis Rhizoma, processed and stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red and cracked, each 0.5 liang), Huangqi (Astragali Radix, cracked), Renshen (Ginseng Radix, remove rhizome head), Chuanjiao (Sichuan Pepper, remove eyes and closed-mouth varieties), Tinglizi (Descurainiae Semen Lepidii Semen, processed, remove skin and pointed ends). Take 3 qian per dose, decoct with one zhong of water.
Guazi San (Melon Seed Powder) (from *Shenghui Fang*): Treats Chest-Hypochondriac Distension and Fullness caused by Cold Shan, inability to eat, Cold attacking the Heart-Abdomen causing pain, vomiting and diarrhea leading to stiffness and urgency in the back and neck, making flexion and extension impossible.
Ingredients: Tianguazi (Sweet Melon Seed, slightly stir-fried), Guixin (Cinnamon Twig), Baizhi (Angelicae Dahuricae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Chuanwutou (Aconiti Kusnezoffii Radix), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix, cracked and slightly stir-fried, each 1 liang), Baiwei (Cynanchi Atrati Radix), Chuanjiao (Sichuan Pepper, remove eyes and closed-mouth varieties). Grind into fine powder, decoct and take with pill medicine.
Qi'ao Yinhou Wan (Seven-Decoction Post-Pill): Treats Heat in hands and feet, Cold Shan in the abdomen, inability to eat or drink, and frequent Heart-Abdominal pain.
Ingredients: Fuling (Poria, 5 liang), Ganjiang (Zingiberis Rhizoma, 6 liang, baked to total 12 liang), Dahuang (Rhei Radix et Rhizoma, 2 jin), Chaihu (Bupleuri Radix, 10 liang), Xiong (Ligustici Chuanxiong Rhizoma, 7 liang), Tinglizi (Descurainiae Semen Lepidii Semen, remove skin, pointed ends, double kernels, process), add Guixin (Cinnamon Twig). Honey-pelleted pills the size of wutong seeds. Take 7 pills per dose, several times daily.
Muxiang San (Aucklandia Powder) (from *Shenghui Fang*): Treats Heart Pain and suffocation caused by Cold Shan.
Ingredients: Muxiang (Aucklandiae Radix, 1 liang), Gaoliangjiang (Galangal Rhizome, cracked), Chishaoyao (Red Paeonia Root), Chifuling (Polyporus), Ganjiang (Zingiberis Rhizoma, processed and cracked), Chenju pi (Tangerine Peel, soaked in water, white pith removed, baked), Helile (Chebulae Fructus, slightly stir-fried, each 3 liang). Grind into fine powder.
Baizhu Wan (Atractylodes Pill) (from *Shenghui Fang*): Treats Heart-Abdominal Pain caused by Cold Shan, discomfort in four limbs, bluish-cold complexion, lack of appetite, gradual emaciation and weakness.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Qingju pi (Green Tangerine Peel, soaked in water, white pith removed, baked), Nongpo (Magnoliae Officinalis Cortex, remove rough bark, coat with ginger juice, fry until fragrant and hot), Guixin (Cinnamon Twig), Fuzi (Aconiti Lateralis Radix Praeparata, processed, crack and remove skin and navel), Shanjiangzi (Alpiniae Katsumadai Semen, 3 fen).
Wuzhuyu Wan (Evodia Pill): Treats Deficient-Cold Phlegm-Stasis Shan, indigestion, Heart-Abdominal Pain, weak Qi, lack of desire to eat, and deficiency-induced emaciation.
Ingredients: Wuzhuyu (Evodiae Fructus), Wutou (Aconiti Radix, processed, total 10 liang), Ziwan (Asteris Radix), Baiwei (Cynanchi Atrati Radix, each 3 fen), Guixin (Cinnamon Twig, 6 liang), Qianhu (Peucedani Radix), Shaoyao (Paeoniae Radix), Xixin (Asari Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma).
Renshen Tang (Ginseng Decoction): Treats Cold Shan, Heart-Abdominal Pain, Chest-Hypochondriac Distension and Fullness, inability to eat, sweating, vomiting and regurgitation.
Ingredients: Renshen (Ginseng Radix), Baifuling (White Polyporus, remove black skin), Binglang (Arecae Semen, cracked), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, sliced and baked), Gui (Cinnamomi Ramulus, remove rough bark), Qingju pi (Green Tangerine Peel).
Xiong Lao Wan (Ligusticum Pill) (from *Shenghui Fang*): Treats Cold Shan, Heart-Abdominal Pain, Chest-Hypochondriac Distension and Fullness, inability to eat.
Ingredients: Xiong (Ligustici Chuanxiong Rhizoma, 1 liang), Chuanjiao (Sichuan Pepper, 1.5 liang, remove eyes and closed-mouth varieties, slightly stir-fried to sweat), Fangkui (Adenophorae Radix), Baiwei (Cynanchi Atrati Radix), Guixin (Cinnamon Twig), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuzhuyu (Evodiae Fructus, soaked in water). Mix and pound 300-200 times.
Chaihu Tang (Bupleurum Decoction): Treats Heart-Abdominal Pain caused by Cold Shan.
Ingredients: Chaihu (Bupleuri Radix, remove seedlings, 4 liang), Dazao (Jujubae Fructus, remove pits, bake, 6 pieces), Huangqin (Scutellariae Radix, remove heart), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cracked), Banxia (Pinelliae Rhizoma, soak in water to remove slipperiness), Shengjiang (Zingiberis Rhizome Freshum, size of a jujube). Decoct to 7 parts, remove dregs.
Muxiang San (Aucklandia Powder) (from *Shenghui Fang*): Treats Heart-Abdomen and Hypochondriac Distension and Fullness caused by Cold Shan, inability to eat.
Ingredients: Muxiang (Aucklandiae Radix, 3 fen), Binglang (Arecae Semen), Chifuling (Polyporus), Renshen (Ginseng Radix, remove rhizome head), Danggui (Angelicae Sinensis Radix, cracked and slightly stir-fried), Guixin (Cinnamon Twig), Qianhu (Peucedani Radix, remove rhizome head), Qingju pi (Green Tangerine Peel). Decoct to 6 parts, remove dregs.
Shujiao Tang (Zanthoxylum Decoction): Treats Cold Shan Qi, Heart Pain like stabbing, pain surrounding the umbilicus throughout the abdomen, spontaneous sweating approaching collapse. The term "Shan" means pain, generated by the accumulation of Yin Qi. If Yin Qi does not dissipate, Cold becomes excessive; if Cold is excessive, pain occurs. The pain moves up and down unpredictably; it is said that Cold Qi rushes upward to the Heart, thus causing Heart Pain.
Ingredients: Shujiao (Zanthoxyli Fructus, 200 pieces, stir-fried to sweat), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed), Ganjiang (Zingiberis Rhizoma, 0.5 liang), Banxia (Pinelliae Rhizoma, 12 pieces, washed), Dazao (Jujubae Fructus, 20 pieces, split), Jingmi (Oryza Sativa Glutinosa). Take one sheng when recovered. Avoid pork.
Dihuang Tang (Rehmannia Decoction): Treats Cold Shan, Heart-Abdominal Pain, sweating, cold extremities.
Ingredients: Shengdihuang (Rehmanniae Radix, baked, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Baifuling (White Polyporus, remove black heart), Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix, sliced and baked, 2 liang), Yangrou (Mutton, remove fat membrane, cut, 3 jin). Add one bunch of chopped Congbai (Allium fistulosum White Part).
Shujiao San (Zanthoxylum Powder): Treats Cold Shan, Heart Pain like stabbing and twisting, pain throughout the umbilical-abdomen, spontaneous sweating, Qi nearing exhaustion.
Ingredients: Chuanjiao (Sichuan Pepper, 1 fen, remove eyes and closed-mouth varieties, slightly stir-fried to sweat), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed, crack, remove skin and navel), Ganjiang (Zingiberis Rhizoma, processed, crack), Guixin (Cinnamon Twig, each 0.5 liang). One zhan of water, add half he of Jingmi (Glutinous Rice).
Treats Cold Shan Heart Pain, cold extremities, lack of appetite. (From *Shenghui Fang*)
Ingredients: Peng'e zhu (Curcumae Longae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed, crack, remove skin and navel), Guixin (Cinnamon Twig, each 1 liang), Hujiao (Piperis Fructus, 0.5 liang), Xiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, each 2 fen). Grind into powder.
Danggui San (Angelica Powder) (from *Shenghui Fang*): Treats Heart-Abdominal Pain caused by Cold Shan, inability to eat, severe pain radiating to hypochondriac regions and abdominal interior urgency.
Ingredients: Danggui (Angelicae Sinensis Radix, cracked and stir-fried), Ganjiang (Zingiberis Rhizoma, processed, cracked), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenju pi (Tangerine Peel, soaked in water, white pith removed, baked), Yangrou (Mutton, half jin, finely cut), Bibo (Long Pepper Fruit, half liang). One small zhan of water.
Jiaofu San (Zanthoxylum-Aconite Powder) (from *Shenghui Fang*): Treats Cold Shan, Heart-Abdominal Pain like stabbing, inability to eat, spontaneous sweating, Qi nearing exhaustion.
Ingredients: Chuanjiao (Sichuan Pepper, remove eyes and closed-mouth varieties, slightly stir-fried to sweat), Ganjiang (Zingiberis Rhizoma, processed, crack, total 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed, remove skin and navel), Binglang (Arecae Semen), Baizhu (Atractylodis Macrocephalae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride). Decoct to 6 parts, remove dregs.
Gaoliangjiang Yangrou Tang (Galangal Mutton Decoction) (from *Shenghui Fang*): Treats Heart-Abdominal Pain caused by Cold Shan, and interior urgency in hypochondriac regions, inability to eat.
Ingredients: Gaoliangjiang (Galangal Rhizome, cracked), Chishaoyao (Red Paeonia Root, cracked), Danggui (Angelicae Sinensis Radix, cracked and slightly stir-fried), Guixin (Cinnamon Twig, each 1 liang), Yangrou (Mutton, 1.5 jin, finely cut). Ingredients except mutton.
Fuzi Wan (Aconite Pill): Treats Cold Shan, pulling pain downward to the lower abdomen, Heart-Abdominal Pain.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, 2 liang, processed, remove skin), Taoren (Persicae Semen, 3 liang, remove skin and pointed ends, slightly baked), Jili zi (Tribuli Fructus, 1 sheng, remove horned tips, process). Grind into powder, mix with honey to form pills the size of pig fish.
Treats Cold Shan Heart-Abdominal Pain, cold extremities, lack of appetite. (From *Shenghui Fang*)
Ingredients: Gaoliangjiang (Galangal Rhizome, cracked), Danggui (Angelicae Sinensis Radix, cracked and slightly stir-fried), Guixin (Cinnamon Twig, each 1 liang). Grind into fine powder. Take 1 qian with hot wine at any time.
Danggui Tang (Angelica Decoction) (from *Jinkui Fang*): Treats Cold Shan, Heart-Abdominal Pain with interior urgency.
Ingredients: Danggui (Angelicae Sinensis Radix, sliced, 3 liang), Shengjiang (Zingiberis Rhizome Freshum, sliced, 5 liang), Yangrou (Mutton, remove fat membrane, slice, 1 jin). Use one dou of water, boil to obtain five sheng, remove dregs.
Two liang, Baizhu (Atractylodis Macrocephalae Rhizoma).
Treats Cold Shan, Heart-Abdomen and Hypochondriac Radiating Pain, where other medicines are ineffective. (From *Bencao*)
Take five large Wutou (Aconiti Radix), remove awns, angles, and skin. Split into four. Use one sheng of white honey, decoct until penetrating and moist. Remove, bake dry, grind and sieve. Then use hot honey to form pills.