姜黄（微炒） 当归（切焙各一两） 木香 乌药（微炒各半两）
上四味捣罗为散，每服二钱匕，煎茱萸醋汤调下。（同上）
拈痛丸，治九种心痛。
五灵脂 木香 当归 良姜 蓬莪术
上等分为细末，炼蜜为丸，如梧桐子大，每服五、七丸至十丸，空心木香汤下。（《鸡峰》）《济生》愈
痛散，治急心痛、胃痛，于本方去木香，加玄胡索，为末，每一钱，热醋汤调服。
香附散，治心脾痛不可忍。
高良姜（一两去芦炒） 香附子（一两去毛炒）
上为末，每服二钱，入盐，米饮调服。（《是斋》）
沉香降气汤，治阴阳不和，心腹刺痛，加些乳香为佐。
（《直指》）《心悟》沉香降气散，治气滞心痛，于本方加玄胡索、苦楝子。
正气天香散，治心痛，但忍气则发者。（《纲目》引河间）
一壮盛之人，胸膈痞塞，气不升降，百药不效，用《局方》五香连翘汤服之效。（《经验良方》）
和中蠲痛汤，治一切胃脘暴痛。
草豆蔻（须用建宁者，无则用白豆蔻） 山楂 香附 川芎 半夏 苍术 浓朴 宿砂 枳实 炮姜
生姜煎服。（《六要》）
家秘祛痛散，治诸般心气痛，或气滞不行，攻刺心腹，痛连胸胁，小肠吊疝，及妇人血气刺痛，立有神效。
青皮 五灵脂（去石） 川楝子 穿山甲（各二钱） 良姜 玄胡索 没药（各一钱半） 沉
香（一钱） 大茴香（二钱） 槟榔（钱半） 木香（一钱五分） 砂仁（少许）
上 咀，用木鳖子去壳一钱二分，同前药炒令香焦燥，去木鳖不用，共为细末，每服一钱，加盐一星，
用酒或滚水送下。此方屡用，无不应验。（《医统》）
余家有治心胃痛丸。
白胡椒 枳壳 白檀香 红花 五灵脂（去砂） 广木香
各为末，于六月六日修合，水泛为丸，每用七丸噙化，少顷痛即止。余因名之曰灵香丸。（药共六味，
五味各一两，五灵用五两。）（《金匮翼》）
行血诸方（宜参死血作痛条） 加味七气汤，治喜怒忧思悲恐惊七气为病，发则心腹刺痛不可忍
，时发时止，发则欲死，及外感风寒湿气作痛，亦宜服之。
半夏（汤泡七次三两） 桂心（不见火） 玄胡索（炒去皮各一两） 人参 甘草（炙各半两） 乳香（三钱）
上 咀，每服四钱，水一盏半，生姜七片，枣一枚，煎
至七分，去滓食前温服。妇人血痛，加当归煎。（《济生》）吕尚清《经验良方》加枳壳、芍药、香附子。
治血刺心痛，妇人之疾，玄胡索不以多少，新瓦上炒微
黄，不可焦，碾为细末，每服三钱，酒一盏，煎至七分服。
不能饮，以陈米饮调下，不拘时候，以酒调亦得，二者不若酒煎快。此药屡验。（《是斋》）《济生续》名立
应散。（按∶《本草拾遗》序云∶延胡索止心痛，酒服。）
治男子妇人心痛有验。
玄胡索 姜黄（各一钱半）
上作一服，水一盏半，煎至一盏，去滓，加入热醋半杓，徐徐热服，其效如神。（《经验秘方》）
失笑散，治急心痛，并男子小肠气。（《神效名方》）（方见《寒疝》中。）
古有患胸痹者，心中急痛如锥刺，不得俯仰。蜀医谓胸府有恶血故也，遂取生韭数斤捣汁令服之，即
果吐出胸中恶血遂瘥。又肖炳谓小儿初生，宜与韭根汁灌之，吐出恶血，长则无病。验韭能归心气，而
去包中恶气，治胸中也。（《医说》引《名医录》）
涌吐方法 心膈大痛，攻走腰背，发厥呕吐，药食不纳者，就吐中以鹅翎探之，吐出瘀积碗许而自
止。（《丹溪》）
食治老人冷气，卒心痛闷涩，气不来，手足冷，盐汤方。
盐末（一合） 沸汤（一升）
上以盐末内汤中调，顿令服尽，须臾当吐，吐即瘥。（《寿亲养老书》）（按∶此方本于《肘后》。）
收涩诸方 急痛欲死求鸦鸣。鸦鸣谓以真鸦片末，或加麝香少许，饭丸如桐子大，每服三、五丸。
引在《本草》名一粒金丹。（《金鉴》）
一粒金丹，治一切气攻心腹，上下刺痛，不可忍者。
鸦片（即哑芙蓉二钱半） 阿魏（一钱） 木香末（五分） 沉香末（五分） 牛黄（二分半）
上将木香、沉香、牛黄为末，以鸦片放锅内，滴水溶化。
下阿魏溶化，和末为丸，如绿豆大，金箔为衣，每一粒，热气痛凉水化下，冷气痛滚水下，忌酒、醋、青菜一
夕，神效。《慈航》）
治急心痛，醋一盏，加生白矾一小块，如皂子大，同煎至七分，温服立愈。（《神效名方》）治心疼痛，
白矾一钱，为细末，用热末茶半盏调服。（《经验秘方》）（按∶刘长春方，绛雪散，治诸心气痛，用朱砂、明
矾、金箔。《本草纲目》引邵真人亦同。）
熨法 主心痛方。
上以醋入乱腻发中，布热灰碗上，重布裹熨。（《千金月令》）
调摄法 如胃脘当心而痛云云，若痛频作，胃中元气虚甚，则将理二、三日，不得食热，当食温烂，
细咽，痛必不作，一二日自和矣。若食热稠粥，其痛必几死，言毕不得食，食后不得言（按∶此不审何理）。
欲食时，口鼻不得当风，食罢亦然。忌生冷、硬物、果木之类及麸粉、曲食，须忌长远，免致后患。（《试效》）
Jianghuang (Curcumae Longae Rhizoma, lightly stir-fried) Danggui (Angelicae Sinensis Radix, sliced and baked, each 1 liang) Muxiang (Aucklandiae Radix) Wuyao (Linderae Radix, lightly stir-fried, each 0.5 liang)
The above four herbs are crushed and sieved into a powder. Each dose is 2 qianbi (approximately 6-9 grams), taken with a decoction of Evodia vinegar. (Ibid.)
Niantong Wan (Pain-Relieving Pill), treating the nine types of heart pain.
Wulingzhi (Trogopteri Dung) Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix) Liangjiang (Alpiniae Officinarum Rhizoma) Peng'ezhu (Curcumae Phaeocaulis Rhizoma)
The above herbs are divided equally, ground into fine powder, and made into pills with refined honey, sized like wutong seeds. Each dose is 5 to 10 pills, taken on an empty stomach with Muxiang decoction. (Jifeng Qianjin Fang) Jisheng Yutong San (Pain-Relieving Powder from Jisheng), treating acute heart pain and stomach pain. Remove Muxiang from the above formula, add Yanshusuo (Corydalis Rhizoma), grind into powder. Each dose is 1 qian, taken with hot vinegar water.
Xiangfu San (Cyperi Powder), treating unbearable heart-spleen pain.
Gao Liangjiang (Alpiniae Officinarum Rhizoma, 1 liang, remove rhizome base and stir-fry) Xiangfu (Cyperi Rhizoma, 1 liang, remove hairs and stir-fry)
The above herbs are ground into powder. Each dose is 2 qian, mixed with salt, and taken with rice drink. (Shizhai Fang)
Chenxiang Jiangqi Tang (Aquilaria Qi-Descending Decoction), treating disharmony of Yin and Yang, stabbing pain in the heart and abdomen. Add a small amount of Ruxiang (Olibanum) as an assistant herb. (Zhizhi Fang) Xinwu Chenxiang Jiangqi San (Aquilaria Qi-Descending Powder from Xinwu), treating Qi stagnation heart pain. Add Yanshusuo (Corydalis Rhizoma) and Chuanlianzi (Meliae Fructus) to the above formula.
Zhengqi Tianxiang San (Righteous Qi Heavenly Fragrance Powder), treating heart pain that occurs when suppressing anger. (Bencao Gangmu quoting Hejian)
A robust person suffered from chest and diaphragm stuffiness and obstruction, with impaired ascending and descending of Qi, unresponsive to various medicines. Taking Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) from Ju Fang resulted in efficacy. (Jingyan Liangfang)
Hezhong Juan Tong Tang (Middle-Harmonizing Pain-Dispelling Decoction), treating all sudden epigastric pain.
Caodoukou (Cardamomi Fructus, preferably Jianning origin; if unavailable, use Baidoukou Tsaoko Fructus) Shanzha (Crataegi Fructus) Xiangfu (Cyperi Rhizoma) Chuanxiong (Ligustici Chuanxiong Rhizoma) Banxia (Pinelliae Rhizoma) Cangzhu (Atractylodis Rhizoma) Houpo (Magnoliae Officinalis Cortex) Susha (Amomi Fructus Rotundus) Zhishi (Aurantii Fructus Immaturus) Paojiang (Zingiberis Rhizoma Praeparatum)
Decoct with fresh ginger and take. (Liuyao)
Jiami Qutong San (Secret Family Pain-Dispelling Powder), treating various types of Heart-Qi pain, or Qi stagnation causing stabbing pain in the heart and abdomen, radiating to the chest and hypochondrium, hernia of the small intestine, and stabbing blood-Qi pain in women, with immediate miraculous effect.
Qingpi (Citri Reticulatae Pericarpium Viride) Wulingzhi (Trogopteri Dung, remove stones) Chuanlianzi (Meliae Fructus) Chuanshanjia (Manis Squama, each 2 qian) Liangjiang (Alpiniae Officinarum Rhizoma) Yanshusuo (Corydalis Rhizoma) Moyao (Myrrha, each 1.5 qian) Chenxiang (Aquilariae Lignum Resinatum, 1 qian) Da Huixiang (Foeniculi Fructus, 2 qian) Binglang (Arecae Semen, 1.5 qian) Muxiang (Aucklandiae Radix, 1.5 qian) Sharen (Amomi Fructus, a little)
The above herbs are chopped. Use 1.2 qian of Mubiezi (Euphorbiae Semens) shelled, stir-fry together with the above herbs until fragrant and dry, then discard Mubiezi. Grind all into fine powder. Each dose is 1 qian, add a pinch of salt, and take with wine or boiling water. This formula has been used repeatedly with consistent success. (Yitong)
My family has a pill for treating heart and stomach pain.
Baihujiao (Piperis Nigris Fructus) Zhiqiao (Aurantii Fructus Immaturus) Baitanxiang (Santalum Album Lignum) Honghua (Carthami Flos) Wulingzhi (Trogopteri Dung, remove sand) Guangmuxiang (Aucklandiae Radix)
Each is ground into powder. Prepare on the sixth day of the sixth lunar month. Form pills with water. Each time, hold 7 pills in the mouth to dissolve; pain stops shortly after. I named it Lingxiang Wan. (Six ingredients total: five herbs at 1 liang each, Wulingzhi at 5 liang.) (Jinkui Yi)
Formulas for Moving Blood (Refer to the section on Stasis Blood Causing Pain) Jiawei Qiqi Tang (Modified Seven-Qi Decoction), treating diseases caused by the seven emotions: joy, anger, worry, thought, sadness, fear, and fright. Upon onset, there is unbearable stabbing pain in the heart and abdomen, intermittent attacks, extreme suffering during attacks, and also suitable for pain caused by external contraction of Wind-Cold-Dampness.
Banxia (Pinelliae Rhizoma, soaked in water seven times, 3 liang) Guixin (Cinnamomi Ramulus, avoid direct fire) Yanshusuo (Corydalis Rhizoma, stir-fried and peeled, 1 liang) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 liang) Ruxiang (Olibanum, 3 qian)
The above herbs are chopped. Each dose is 4 qian, with 1.5 cups of water, 7 slices of fresh ginger, and one jujube. Decoct until reduced to 0.7 cup, strain, and take warm before meals. For women's blood pain, add Danggui (Angelicae Sinensis Radix). (Jisheng) Lv Shangqing's Jingyan Liangfang adds Zhike (Aurantii Fructus Immaturus), Shaoyao (Paeoniae Radix Alba), and Xiangfu Zi (Cyperi Rhizoma).
Treating stabbing heart pain due to blood stasis, gynecological disorders: Yanshusuo (Corydalis Rhizoma), quantity unspecified. Stir-fry on a new tile until slightly yellow, not burnt. Grind into fine powder. Each dose is 3 qian, taken with 1 cup of wine, decocted until reduced to 0.7 cup.
If unable to drink alcohol, mix with aged rice drink, at any time. Mixing with wine is also acceptable, but neither is as effective as wine decoction. This medicine has proven effective repeatedly. (Shizhai) Jisheng Xu names it Liying San. (Note: Bencao Shiyi preface states: Yanhusuo stops heart pain, taken with wine.)
Effective formula for heart pain in men and women.
Yanshusuo (Corydalis Rhizoma) Jianghuang (Curcumae Longae Rhizoma, each 1.5 qian)
Take as one dose. With 1.5 cups of water, decoct until 1 cup remains. Strain, add half ladle of hot vinegar, and slowly drink while hot. The effect is miraculous. (Jingyan Mifang)
Shixiao San (Laughing Discarded Powder), treating acute heart pain and male hernia qi. (Shenxiao Mingfang) (See formula in Hanhan chapter.)
In ancient times, a patient with Xiongbi (Chest Bi) suffered from urgent heart pain like needle pricks, unable to bend or straighten. A physician from Shu attributed this to evil blood in the chest cavity. He prescribed juice from several jin of raw leeks (Allium tuberosum). The patient vomited evil blood from the chest and recovered. Xiao Bing stated that newborns should be given leek root juice to induce vomiting of evil blood, ensuring they grow up without disease. This verifies that leeks can guide Heart Qi and remove evil Qi from the pericardium, treating chest conditions. (Yishuo quoting Mingyi Lu)
Vomiting Method: For severe pain in the heart and diaphragm radiating to the back, accompanied by syncope, vomiting, and inability to retain medicine or food, stimulate the throat with a goose feather to induce vomiting. Vomiting approximately one bowl of accumulated blood stasis will stop spontaneously. (Danxi)
Dietary Therapy for Elderly Cold Qi: Sudden heart pain with stifling sensation, Qi blockage, cold hands and feet. Salt Soup Formula.
Salt powder (1 he) Boiling water (1 sheng)
Mix salt powder into the water and drink all at once. Vomiting should occur shortly after, leading to recovery. (Shouqin Yaolao Shu) (Note: This formula originates from Zhouhou Fang.)
Astringent Formulas: For unbearable acute pain, seek Yamiming. Yamiming refers to real opium powder, possibly with a little Shexiang (Moschus), formed into pills like wutong seeds with rice paste. Each dose is 3 to 5 pills.
Referred to in Bencao as Yili Jin Dan. (Jinjian)
Yili Jin Dan (One-Pill Golden Elixir), treating all Qi attacking the heart and abdomen, upper and lower stabbing pain, unbearable.
Yapian (Opium, i.e., Yadafurong, 2.5 qian) Awei (Ferulae Resina, 1 qian) Muxiang powder (Aucklandiae Radix, 0.5 qian) Chenxiang powder (Aquilariae Lignum Resinatum, 0.5 qian) Niuhuang (Bovis Calculus, 0.25 qian)
First, grind Muxiang, Chenxiang, and Niuhuang into powder. Place Yapian in a pot, melt with a few drops of water.
Add Aw ei and melt. Mix with the powders to form pills, sized like mung beans. Coat with gold foil. One pill per dose: for heat-type pain, dissolve in cool water; for cold-type pain, dissolve in boiling water. Avoid alcohol, vinegar, green vegetables for one night. Miraculous effect. (Cihang)
Treating acute heart pain: 1 cup of vinegar, add a small piece of raw Bai fan (Alumen), size of a soap bean. Decoct together until reduced to 0.7 cup. Take warm for immediate cure. (Shenxiao Mingfang) Treating heart pain: 1 qian of Bai fan (Alumen), ground into fine powder, taken with half cup of hot tea. (Jingyan Mifang) (Note: Liu Changchun's formula, Jiangxue San, treats various Heart-Qi pains using Zhusha (Cinnabaris) and Mingfan (Alumen) with Jinbo (Folium Aureum). Bencao Gangmu quotes Shao Zhenren similarly.)
Hot Compress Method: Main formula for heart pain.
Mix vinegar with tangled hair. Place in a cloth-wrapped bowl over hot ashes. Wrap with multiple layers of cloth and apply as a compress. (Qianjin Yueling)
Regulation Method: Regarding epigastric pain centered below the heart, etc. If pain occurs frequently, the Yuan Qi (Original Qi) of the Stomach is severely deficient. Regulate for two to three days. Do not eat hot food; consume warm, soft, well-cooked food, swallowing carefully. Pain will likely cease, and harmony will return in one or two days. If eating hot thick porridge, pain may lead to near-death state. Do not speak after finishing speech; do not eat after speaking. (Note: The rationale here is unclear.) When desiring food, keep mouth and nose away from wind, and continue doing so after eating. Avoid raw, cold, hard foods, fruits, nuts, bran, flour, and fermented products. Long-term avoidance is necessary to prevent future complications. (Shixiao)