（附论）
夫疝者痛也。由阴气积于内。寒气不散。上冲心。故使作痛。谓之心疝也。其痛也。或
如锥
内经谓诊得心脉而急。病名心疝。小腹当有形也。心为牡脏。小肠为之使。故曰小腹当
有形
之医
方
牡丹丸 治心疝。心痛如锥所刺。
牡丹皮 桂（去皮） 芍药 乌头（炮去皮） 细辛 甘草（炙） 木香 吴茱萸（汤
浸焙炒） 槟
赤芍药丸（出圣惠方）治心疝心腹病刺疼痛。胁下胀满。
赤芍药（去芦） 桔梗（去芦头） 细辛 桂心 川椒（去目及闭口微炒出汗） 干姜
（炮制） 附
梧桐子大。每服以
木香散 治心疝。心痛不可忍。
木香 羌活（去芦头） 槟榔（生锉） 牡丹皮 当归（切炒） 桂（去皮） 青橘皮
（汤浸去白皮
蓬莪术散 治心疝痛。肢体虚冷。
蓬莪术（煨） 槟榔（生锉） 附子（炮裂去皮脐） 甘草（锉） 桂（去粗皮） 胡
椒（半两） 芎
桃仁丸（出圣惠方）治心疝心痛。四肢逆冷。面色青黑。
桃仁（汤浸去皮尖双仁麸炒微黄） 没药 安息香 乳香 麝香（细研） 桂心 木香 吴
茱萸
以烧酒
治心疝心腹中如锥刀所刺。疼痛。（出圣惠方）
巴豆 木香 槟榔（各半两） 附子（去皮脐生用） 川乌头（去皮脐生用各一两） 干
漆（捣碎
豆附子乌头等
末相和。入醋
芍药丸 治心疝心胁痛。及绕脐痛。
芍药 桔梗（去芦炒） 细辛（去苗叶） 蜀椒（去目闭口炒去汗） 桂心（去皮） 干
姜（炮各三
温酒或盐饮下
木香散 治心疝心胁痛。及绕脐痛。
芍药 桔梗（去芦头） 细辛（去苗叶） 蜀椒（去目合口炒去汗） 桂（去皮） 干
姜（各五分） 附子（炮去皮脐一两）
（案∶原缺制法及服法）
牡丹丸 治疝气心腹痛。
牡丹 桂心 川乌头（炮裂去皮脐） 木香 吴茱萸（汤浸七次） 槟榔（各一两） 上
为末。炼
朱砂丸 治心疝。心腹中 刺疼痛。不可忍。
朱砂（细研半两） 桂心（半两） 桃仁（汤浸去皮尖双仁麸炒黄半两） 附子（炮制
去皮脐一两）
丸。如梧桐子大。
治心疝。发作有时。激痛难忍者。
以射罔吴茱萸等分。捣末蜜丸。如麻子大。服二丸。日三服。勿热食。一方以茱萸一升。
射罔如弹子大、一丸合捣。以鸡子白和丸。如小豆大。服二丸。即止。
紫桂丸 治阴寒交攻。心疝疼痛。
桂（去粗皮半两） 当归（焙三分） 吴茱萸（汤洗焙一两） 上为末。醋煮面糊。丸
如梧桐子大
治心疝。攻刺心腹疼痛。腹胁虚胀。宿食不消。或时吐逆。少思饮食。
朱砂（细研水飞过） 半夏（汤洗七次去渣共一两） 川乌头（半两去皮脐生用） 上
为细末。醋
二温散 治心疝。冷痛不可忍。
附子（炮裂去皮脐） 蓬莪术（煨锉各一两） 上为散。每服一钱。用热酒调下。不拘
时。妇人
治三十年心疝神效方
射干（半两） 吴茱萸（二两汤浸七次焙干微炒） 上为末。炼蜜和丸。如绿豆大。每
服五丸。
木香散 治心疝。小腹痛。闷欲绝者。
木香 陈皮（各一两） 良姜 干姜 诃子皮 赤芍药 枳实（各半两） 草豆蔻 川
芎黑牵
(Attached Discussion)
The term "Shan" (Hernia/Colic) refers to pain. It arises from the accumulation of Yin Qi within, where Cold Qi fails to dissipate and rushes upward to the Heart, thereby causing pain. This is termed "Xin Shan" (Heart Hernia). The pain may feel as if being pierced by an awl.
The *Neijing* (Inner Canon) states: When the Heart pulse is diagnosed as rapid and urgent, the disease is named Xin Shan, and there should be palpable masses in the lower abdomen. Since the Heart is a Yang organ (Mu Zang), and the Small Intestine serves as its paired Fu organ, it is said that there should be palpable masses in the lower abdomen.
Mudan Wan (Peony Pill): Treats Xin Shan. Heart pain feels as if being pierced by an awl.
Ingredients: Cortex Moutan (Mudan Pi), Cinnamomi Ramulus (Guizhi, peeled), Paeoniae Radix (Shaoyao), Aconiti Lateralis Radix Preparata (Wutou, processed and peeled), Asari Radix (Xixin), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Costi Rhizoma (Muxiang), Evodiae Fructus (Wuzhuyu, soaked in decoction, baked and fried), Arecae Semen (Binglang)...
Chishao Yao Wan (Red Peony Root Pill) (from *Shenghui Fang*): Treats Xin Shan and heart/abdominal stabbing pain, with distension under the hypochondrium.
Ingredients: Radix Paeoniae Rubra (Chishao, remove rhizome), Platycodonis Radix (Jiegeng, remove rhizome), Asari Radix (Xixin), Cinnamomi Cortex (Guixin), Zanthoxyli Fructus (Chuanjiao, remove eyes and closed-mouth ones, lightly stir-fried until sweat appears), Zingiberis Rhizoma Praeparatum (Ganjiang, processed), Aconiti Radix (Fuzi)... Size of Sophora japonica seeds. Dosage... (Text truncated).
Muxiang San (Costus Powder): Treats Xin Shan. Unbearable heart pain.
Ingredients: Costi Rhizoma (Muxiang), Notopterygii Radix et Rhizoma (Qianghuo, remove rhizome), Arecae Semen (Binglang, raw and crushed), Cortex Moutan (Mudanpi), Angelicae Sinensis Radix (Danggui, sliced and fried), Cinnamomi Ramulus (Guizhi, peeled), Citri Reticulatae Pericarpium Viride (Qingjupi, soaked in decoction, remove white pith...) (Text truncated).
Peng'ezhu San (Curcuma Longa Powder): Treats Xin Shan pain, with deficiency-cold of limbs.
Ingredients: Curcumae Longae Rhizoma (Peng'ezhu, baked), Arecae Semen (Binglang, raw and crushed), Aconiti Radix (Fuzi, processed until cracked, remove skin and umbilicus), Glycyrrhizae Radix et Rhizoma (Gancao, crushed), Cinnamomi Ramulus (Guizhi, remove coarse bark), Piperis Fructus (Hujiao, half liang), Ligustici Chuanxiong Rhizoma (Xiong...) (Text truncated).
Taoren Wan (Peach Kernel Pill) (from *Shenghui Fang*): Treats Xin Shan heart pain, cold extremities, and cyanotic-black complexion.
Ingredients: Persicae Semen (Taoren, soaked in hot water, remove skin and tips, double-kernel wheat bran-fried until slightly yellow), Myrrha (Moyao), Benzoinum (Anshixiang), Olibanum (Ruxiang), Moschus (Shexiang, finely ground), Cinnamomi Cortex (Guixin), Costi Rhizoma (Muxiang), Evodiae Fructus (Wuzhuyu)... (Text truncated). Use roasted wine... (Text truncated).
Treats Xin Shan, where the heart and abdomen feel as if pierced by awls or knives, causing pain. (From *Shenghui Fang*)
Ingredients: Crotonis Fructus (Badou), Costi Rhizoma (Muxiang), Arecae Semen (Binglang, each half liang), Aconiti Radix (Fuzi, remove skin and umbilicus, use raw), Aconiti Kusnezoffii Radix (Chuanwutou, remove skin and umbilicus, use raw, each one liang), Drynariae Rhizoma? No, Gossypii Seminis Folium? No, Resina Dammaris? Text says Ganqi (Dry Lacquer, crushed)... Mix Badou, Fuzi, Wutou... (Text truncated). Grind into powder, mix, add vinegar... (Text truncated).
Shaoyao Wan: Treats Xin Shan heart/hypochondriac pain, and periumbilical pain.
Ingredients: Paeoniae Radix (Shaoyao), Platycodonis Radix (Jiegeng, remove rhizome and fry), Asari Radix (Xixin, remove seedlings and leaves), Zanthoxyli Fructus (Shujiao, remove eyes and closed-mouth ones, fry to remove moisture), Cinnamomi Cortex (Guixin, remove bark), Zingiberis Rhizoma Praeparatum (Ganjiang, processed, each three...) (Text truncated). Take with warm wine or salted water... (Text truncated).
Muxiang San: Treats Xin Shan heart/hypochondriac pain, and periumbilical pain.
Ingredients: Paeoniae Radix (Shaoyao), Platycodonis Radix (Jiegeng, remove rhizome), Asari Radix (Xixin, remove seedlings and leaves), Zanthoxyli Fructus (Shujiao, remove eyes and closed-mouth ones, fry to remove moisture), Cinnamomi Ramulus (Guizhi, remove bark), Zingiberis Rhizoma Praeparatum (Ganjiang, each five fen), Aconiti Radix (Fuzi, processed, remove skin and umbilicus, one liang)... (Note: Original text lacks preparation and administration methods).
Mudan Wan: Treats Shan Qi causing heart and abdominal pain.
Ingredients: Cortex Moutan (Mudan), Cinnamomi Cortex (Guixin), Aconiti Kusnezoffii Radix (Chuanwutou, processed until cracked, remove skin and umbilicus), Costi Rhizoma (Muxiang), Evodiae Fructus (Wuzhuyu, soaked in decoction seven times), Arecae Semen (Binglang, each one liang). Grind all into powder, refine honey... (Text truncated).
Zhusha Wan: Treats Xin Shan. Stabbing pain in the heart and abdomen, unbearable.
Ingredients: Cinnabar (Zhusha, finely ground, half liang), Cinnamomi Cortex (Guixin, half liang), Persicae Semen (Taoren, soaked in hot water, remove skin and tips, double-kernel wheat bran-fried until yellow, half liang), Aconiti Radix (Fuzi, processed, remove skin and umbilicus, one liang)... Make into pills, size of Sophora japonica seeds.
Treats Xin Shan, which occurs at specific times, with severe pain difficult to endure.
Use She Wang (Aconite root extract/toxic herb) and Evodiae Fructus (Wuzhuyu) in equal proportions, grind into powder, make into honey pills, size of sesame seeds. Take two pills, three times a day. Do not take with hot food. Another method: Use one sheng of Wuzhuyu and one pill-sized piece of She Wang, pound together, mix with egg white to make pills, size of adzuki beans. Take two pills, then stop.
Zigui Wan: Treats mutual attack of Yin-Cold, causing Xin Shan pain.
Ingredients: Cinnamomi Ramulus (Guizhi, remove coarse bark, half liang), Angelicae Sinensis Radix (Danggui, baked, three fen), Evodiae Fructus (Wuzhuyu, washed in decoction and baked, one liang). Grind all into powder, boil wheat paste in vinegar, make pills size of Sophora japonica seeds... (Text truncated).
Treats Xin Shan, with stabbing pain in the heart and abdomen, deficiency-distension in the abdomen and hypochondrium, retention of undigested food, occasional vomiting and regurgitation, and poor appetite.
Ingredients: Cinnabar (Zhusha, finely ground and washed with water), Pinelliae Tuber (Banxia, washed in decoction seven times, remove residue, total one liang), Aconiti Kusnezoffii Radix (Chuanwutou, half liang, remove skin and umbilicus, use raw). Grind all into fine powder, mix with vinegar... (Text truncated).
Erwen San (Two-Warm Powder): Treats Xin Shan, unbearable cold pain.
Ingredients: Aconiti Radix (Fuzi, processed until cracked, remove skin and umbilicus), Curcumae Longae Rhizoma (Peng'ezhu, baked and crushed, each one liang). Make into a powder. Take one qian each time, mixed with hot wine, anytime. For women... (Text truncated).
Divine Efficacy Formula for Treating 30-Year Xin Shan
Ingredients: Belamcandae Rhizoma (Shegan, half liang), Evodiae Fructus (Wuzhuyu, two liang, soaked in decoction seven times, baked dry and lightly fried). Grind all into powder, mix with refined honey to make pills, size of mung beans. Take five pills each time... (Text truncated).
Muxiang San: Treats Xin Shan, lower abdominal pain, suffocating sensation nearing death.
Ingredients: Costi Rhizoma (Muxiang), Citri Reticulatae Pericarpium (Chenpi, each one liang), Alpiniae Officinarum Rhizoma (Liangjiang), Zingiberis Rhizoma Praeparatum (Ganjiang), Terminalia Chebulae Retibulum (Hezipi), Radix Paeoniae Rubra (Chishaoyao), Aurantii Fructus Immaturus (Zhishi, each half liang), Cardamomi Fructus (Caodoukou), Ligustici Chuanxiong Rhizoma (Chuanxiong), Melongenae Semen Nigrum (Qianhua...) (Text truncated).