沙随先生在泰兴时，有乳妪因食冷肉，心脾发痛，不可堪忍。知县钱仁老名寿之，以药与之，一服痛止，
再服即无他。其药以陈茱萸五、六十粒，水一大盏，煎取汁去滓，入官局平胃散三钱，再煎热服。（《游宦纪闻》）
心腹疼痛，服诸药不效。
生料五积散，加艾、生姜煎服。（《澹寮》）（按∶《得效》亦用之，既见上。）心脾痛，以炮过
附子数片，同五积散煎服。（《事林广记》）
鸡舌香散，安胃思食，止心腹痛，调冷热，定泄泻，老少通用。
丁香（一百个） 甘草（半两） 良姜（一两） 白芍药（二两）
上末，陈米饮调下方寸匕，空心食前煎生用。（《纪用经》）
二香散，治心脾痛。
赤芍药（半两） 姜黄（一分） 木香（二钱） 丁香（四十九粒）
上为粗末，每服三钱，水一盏半，煎一盏，发时热服，忌冷。（《吴氏》）
烧脾散，治脾胃虚弱，久寒积冷，心气脾痛，及疗妇人血气攻刺，腹胁撮痛。
赤芍药 干姜（炮各六钱半） 良姜（十两油炒） 甘草（炙四两）
上为细末，每服二大钱，白汤点下，不拘时候。（《和剂》）
安中散，治远年日近脾疼翻胃，口吐酸水，寒邪之气留滞于内，停积不消，胸膈胀满，攻刺腹胁，恶心呕
逆，面黄肌瘦，四肢倦怠。又治妇人血气刺痛，小腹连腰攻疰重痛，并能治之。
甘草（一十两炒） 玄胡索（去皮） 良姜（炒） 干姜（炮） 茴香（炒） 肉桂（各五两） 牡
蛎（四两 ）
上为细末，每服二钱，热酒调下，妇人淡醋汤调服，如不饮酒者，用盐汤点下，并不拘时。（同上）
蟠葱散，治男子妇人脾胃虚冷，攻筑心腹，连胁肋刺痛，胸膈痞闷，背膊连项拘急疼痛，不思饮食，
时或呕逆，霍乱转筋，腹冷泄泻，膀胱气刺，小肠及外肾肿痛。
苍术（米泔浸去皮焙） 甘草（ 各半斤） 玄胡索（三两） 肉桂（去粗皮） 干姜（炮各二两） 三
棱（炮） 青皮（去白） 茯苓（白者去皮） 蓬术（各六两） 缩砂（去皮） 丁香皮 槟榔（各四两）
上捣罗为末，每服二钱，水一盏，连根葱白一茎，煎七分，空心食前稍热服。（同上）冷证。蟠
葱散加茱萸、木香煎，亦效。（《得效》）
接真汤，治阴病，手足厥冷，脐腹疼痛，真气不足，虚惫欲绝者。
沉香 丁香（各二钱） 麝香（一钱） 附子（四钱炮去皮脐）
上切一剂，姜、枣煎，或为末，每服二钱，温酒调下。（《百代医宗》）
治冷气攻心腹痛，久不瘥，面色青黄，四肢多冷，阿魏丸方。
阿魏（一两） 桂心（一两） 干姜（一两） 附子（一两） 吴茱萸（半两） 当归（一两）
上件药捣罗为末，用阿魏膏和捣百余杵，丸如梧桐子大，不计时候，以温酒下二十丸。（《圣惠》）
椒附丸，治脐下极冷，痛楚异常，手足亦冷，不任冷水冷食，面黄肌瘦，按之痛稍止者。
绵附（一个十二钱者） 胡椒（一百粒）
上为末，姜汗糊为丸，如梧子大，每服五十丸，姜汤或盐汤空心吞下。（《得效》）
破气诸方 治冷气攻心腹 痛，少思饮食，槟榔散方。
槟榔（三分） 当归（一两） 蓬莪术（三分） 吴茱萸（一分） 阿魏（一分） 木香（三分）
上件药捣，细罗为散，不计时候，以热酒调下一钱。（《圣惠》）
《举痛论》云∶寒客于夹脊之脉，则按之不能及，故按之无益。夹脊乃膂脉之所行，其脉当
尺泽沉而击，宜行其肾经，以去其寒
乌药（一分） 芎 当归 京三棱 蓬莪术 延胡索（各一分） 木香 鳖甲（各四铢） 甘草（炙三铢）
上为细末，空心，水一盏，煎三钱服。（《史载之》）
沉麝丸，治一切气痛不可忍。
没药 辰砂 血竭（各一两） 木香（半两） 麝香（一钱） 沉香（一两）
上皆生用，银瓷器熬生甘草膏为丸，皂荚子大，姜盐汤送下，血气醋汤嚼下。松滋令万君拟宝此药，妇
人血痛不可忍者，只一丸。万君神秘之，每有人病，止肯与半丸，往往亦瘥。（《苏沈》）
沉香大丸，治男子妇人脾气虚弱，腹胀满闷，脐下刺痛。
沉香（一分细锉） 木香 川楝子肉（炒） 茴香（炒） 肉桂（去粗皮） 附子（炮去皮脐） 青橘
皮（去白） 砂（别研） 雄黄（光明者别研八味各半两）
上件为细末，酒煮面糊为丸，每一两作十丸，朱砂为衣，
每服一丸细嚼，热酒或盐汤送下。妇人脐下刺痛，烧绵灰酒送下食空。（《杨氏》）
行气香苏散，风寒外感，饮食内伤，七情恼怒过度，肚腹疼痛初起者。（《保元》）
通壅诸方（清热） 《集验》疗痰 心腹痛兼冷方。
鳖甲（炙） 柴胡 赤芍药（各八分） 甘草（炙） 枳实（炙） 生姜 白术（各六分） 槟榔（七个）
上八味切，以水六升，煮七味，取二升半，去滓，内槟榔末，分服八合，当利。（《外台》）
四逆散，治热郁腹痛。（《汇补》）
芍药甘草汤，治腹痛。（《纲目》）《选要》治四时腹痛，姜五片，水煎。
芍药黄芩汤，治腹痛，脉洪数。（《纲目》引海）（即黄芩汤去大枣，亦出《微义》。）
治肚腹痛如锥剜，（胡云阁传。）
白芍 黄连 甘草（各三钱）
上锉一剂，金华酒一钟，水一钟，煎服立瘥。（《济世全书》）
散火汤，治热痛。
黄连 芍药 栀子（各炒） 枳壳 陈皮 香附 浓朴（去皮） 抚芎（各二钱） 木香（另研） 砂
仁茴香（各五分） 甘草（三分）
痛甚不止，加玄胡索、乳香。
上剂，姜一片，煎服。（《回春》）
神仙珍珠散，治心脾气疼。
生朱砂（一钱） 真麝香（半钱） 白矾（半两） 真珠（七粒未穿者尤佳）
上为细末，每服一钱，百沸白汤一口许，调匀服之，大有神效，不可乱传。（《经验秘方》）（按∶《
易简方论》白金散，治忽然腹痛之极，用生白矾三钱研末，以百滚水一钟，冷水一钟，冲矾末服。服后
听其吐泻，吐泻通利，其痛即止。此方或效，但无类可隶，姑附于斯，更宜参《心痛》收涩诸方。）
荡结方法 治腹痛，脐下绞结，绕脐不止，温脾汤方。
当归 干姜（各三两） 附子 人参 芒硝（各二两） 大黄（五两） 甘草（二两）
上七味 咀，以水七升，煮取三升，分服，日三。（《千金》）（宜与《滞下》门等参。）《圣
济》治腹痛 刺，除寒冷，温脾，人参汤。于本方去芒消。
《极要方》备急丸，疗忽然心腹胀满，急痛气绝，大小便不通方。
大黄（五两） 干姜（二两） 巴豆（三两去心熬） 芒硝（三两）
上蜜丸，平晓饮服四丸，不利更加一、二丸，取得四、五度利。利如不止，取醋饭止之。（《医心》）
感应丸，治心腹痛甚而大便秘者，至于厥冷，或面青口噤，或六脉沉伏者，痛使之然，非虚脱也。当先以
苏合香丸灌下，次投此利之，其效甚速。（《易简》）腹痛作呕，欲利大便，诸
药皆吐，惟苏感丸，用姜汁泡汤吞服最妙。（《得效》）
有虚寒之人患腹痛，服温补药而相安，时止时作，痛仍不解，甚则利清水或白沫，此虚中有实，或先有
宿食在肠不曾去，或病中肠胃虚不能运化，所食之物停于肠中，即一二块宿粪亦能作楚。宜用温补药煎好去
滓，入大黄一钱，不甚虚者可加一钱五分，滚四、五沸服之，宿食自下，正气不伤
而病随愈，此屡试屡验之妙法也。（《胃气论》）
己未在金陵，有家提干上之下巽内人，病心腹胀痛，众医投木香、沉香、槟榔、大腹、芍药、姜、桂
之类，病益甚。召仆诊之，六脉弦紧而和，不似病脉，但诊之时，两手如火，以此知其实痛也。众问如何治
疗。仆曰∶夫凡心腹刺痛，不可便作虚冷治疗。有两医答曰∶非冷而何，热即生风冷生气是也。仆曰∶不
然。《难经》云∶虚则痒，实则痛。又仲景云∶腹痛者，桂枝加芍药汤。痛甚者，桂枝加大黄汤。家提干云∶
荆节素来质弱。仆曰∶有可辨处。遇痛时使一婢按之，若痛止，是虚寒证也，若按之转甚，手不可近，此实痛
也。即令一婢按之，手不可近，叫唤异常。仆曰∶此实热无可疑者，当用大柴胡汤治之。众皆不
许。仆责状而投之，八服愈。（《妇人良方》）
丹溪治一少年，自小面微黄，夏间腹大痛。医与小建中汤加丁香，三帖不效，加呕吐清汁。又与十八味
丁沉透膈汤二帖，食全不进，困卧，痛无休止，如此者五、六日，不可按。又与阿魏丸百粒，夜发热不得寐，
口却不渴。脉左三部沉弦而数实，关尤甚，右沉滑数实。遂与大柴胡加甘草四帖下之，痛呕虽减，食未进。与
小柴胡去参、芩，加芍药、陈皮、黄连、甘草，二十帖而愈。（《类案》）
气针丸，治久积风壅，疏利滞气，空胸膈，止刺痛。
木香 青皮（去白） 大黄（炮） 槟榔（各一两） 黑牵牛（二两半生半炒）
上为末，炼蜜丸如梧桐子大，温水下三十丸。（《妇人良方》）（原有治验，宜参。）
牵牛大黄丸，治内热作痛，热气上冲而呕。（原有治验。今节录。）
黑牵牛（四两，半炒半生，共磨取头末一两二钱。）马蹄 大黄（酒拌炒一两五钱） 坚槟榔（六钱） 陈
枳实（炒六钱） 姜汁炒浓朴（六钱） 醋炒三棱、莪术（各六钱）
大黄以下，共为细末，与牵牛末和匀，酽米饮为丸，如梧桐子大，饥服三钱，未利再服二钱，
服后停两三时而见效。（《医述》）
行血诸方 丹溪治一人，于六月投渊取鱼，至秋深雨凉，半夜小腹痛甚，大汗，脉沉弦细实，重
取如循刀责责然。与大承气汤加桂，二服微利痛止。仍连日于申酉时复痛，坚硬不可近。每与前药，得微利，痛
暂止。于前药加桃仁泥，下紫黑血升余，痛亦止。脉虽稍减而责责然犹在，又以前药加
川附子，下大便五行，有紫黑血如破絮者二升而愈。又伤食，于酉时复痛在脐腹间，脉和，与小建中汤一
服而愈。（《类案》）
至宝饮，治瘀血凝结，肚腹绞痛，如剜割者。（《玉案》）（方见《胁痛》当归须散下。）
治脾痛，手拈散，此药极奇，孟公实传。
草果 玄胡索 五灵脂 没药
上等分，为细末，每服三钱，温酒调下。（《是斋》）
乳蛎散，治心脾疼， 人不可忍，服诸药不效者云云。《本草》亦载此治心痛，或言古方有此。（按∶《
本草》等无考。）
牡蛎（一两，黄泥固济， 通红，取出研细。） 乳香（半两研细）
上和匀，每服二大钱，沸汤调下，立效。（《事证》）
没药散，治一切心肚疼痛不可忍者。
没药（乳香别研） 乳香（各三钱） 穿山甲（五钱炙） 木鳖子（四钱）
上为细末，每服半钱、一钱，酒一大盏同煎，温服不计时候。（《宣明》）
《方脉粹言》治肚腹攻疼因血滞者，用郁金、木香、莪术、玄胡索，白汤磨服。（《汇言》）
吐方 治卒腹痛方，食盐一大把，多饮水送之，忽当吐即瘥。（《肘后》）
熨法（蒸脐法） 凡心腹冷痛，熬盐一斗熨，熬蚕沙、烧砖石蒸熨，取其里温暖止，蒸土
亦大佳。（《千金》）《指迷方》盐（半斤炒）以故帛裹，热熨痛处。（《十便》引）
主心腹俱痛方，取椒以布裹薄注，上以火熨椒，令汗出瘥。（《千金月令》）
真定一秀士，年三十有一，肌体本弱，左胁下有积气，不敢食冷物，得寒则痛，或呕吐清水，眩晕欲倒，
目不敢开，恶人烦冗。静卧一二日，及服辛热之剂，则病退。延至甲戌初秋，因劳役及食冷物，其病大作，
腹痛不止，冷汗自出，四肢厥冷，口鼻气亦冷，面色青黄不泽，全不得卧，扶几而坐，又兼咳嗽，咽膈不利
。故《内经》云∶寒气客于小肠膜原之间，络血之中，血泣不得注于大经，血气稽留不得行，
故宿昔而成积矣。又寒气客于肠胃，厥逆上出，故痛而呕也。诸寒在内作痛，得炅则痛立止。予与药服之，
药不得入，见药则吐。无如之何治之，遂以熟艾约半斤，白纸一张，铺于腹上，纸上摊艾令匀。又以憨葱
数枝，批作两半，铺于熟艾上数重，再用白纸一张覆之，以慢火熨斗熨之，冷则易之。
若觉腹中热，腹皮暖不禁，以绵三担，多缝带系之，待冷时方解。初熨时，得暖则痛减，大暖则痛止，至夜得
睡。翌日再与对证药服之，良愈。故录此熨法，以救将来之痛也。（《宝鉴》）
蒸脐法，治胸腹结痛不可忍，以此蒸之。
丁香 木香 茴香 肉桂（各一钱） 香附（五钱）
用半寸高毛竹圈一个，一头糊绢，圈内密排葱管，灌以药末，置脐上结痛等处，以荔枝核大艾丸灸之，
令药气内通，则痛随已。（《医级》）
灸法 予旧苦脐中疼，则欲溏泻，常以手中指按之，少止。或正泻下，亦按之则不疼。它日灸
脐中，遂不疼矣。凡脐疼者，宜灸神阙。（《资生》）
辛亥夏，家仆社礼年二十四，中阴寒，少腹痛极几死，恨无地可入。为取丹田穴灸之，艾灼时则痛
When Mr. Shasui was serving in Taixing, a wet nurse suffered from severe pain in the heart and spleen region after eating cold meat, which she could hardly endure. The magistrate, Qian Renlao (name Shouzhi), administered medicine to her; one dose stopped the pain, and a second dose resulted in no further discomfort. His prescription consisted of 50-60 grains of aged Evodiae Fructus (Chenzhu Yu), decocted in one large cup of water until the liquid remained, filtered to remove dregs, then three qian of Pingwei San (Official Bureau Powder for Calming the Stomach) were added, and it was reheated and taken warm. (From *Youhuan Jiwen*)
For heart and abdominal pain unresponsive to various medicines:
Decoct Raw Wuji San (Raw Five Accumulations Powder) with Ai Ye (Mugwort Leaf) and Shengjiang (Fresh Ginger) and take warm. (From *Danliao*) [Note: *Defang* also uses this method, as seen above.] For heart-spleen pain, decoct several slices of processed Fuzi (Processed Aconite Root) together with Wuji San and take. (From *Shilin Guangji*)
Jiti Xiang San (Cardamom Powder): Calms the stomach, promotes appetite, stops heart and abdominal pain, regulates cold and heat, arrests diarrhea, suitable for all ages.
Dingxiang (100 cloves) Gancao (half liang) Liangjiang (one liang) Baishao Yao (two liang)
Grind into powder. Take a "fangcun bi" (approx. 1 cubic inch) amount mixed with aged rice broth. Decoct raw herbs before meals on an empty stomach. (From *Jiyong Jing*)
Erxiang San (Two Fragrances Powder): Treats heart-spleen pain.
Chishao Yao (half liang) Jianghuang (one fen) Muxiang (two qian) Dingxiang (49 cloves)
Grind into coarse powder. Take three qian per dose with one and a half cups of water, decoct to one cup. Take warm during attacks; avoid cold. (From *Wushi*)
Shaopi San (Burnt Spleen Powder): Treats spleen-stomach deficiency-cold, chronic cold accumulation, heart-spleen qi pain, and women's blood-qi stabbing pain with cramping in the abdomen and hypochondrium.
Chishao Yao Ganjiang (processed, each 6.5 qian) Liangjiang (10 liang stir-fried with oil) Gancao (honey-fried 4 liang)
Grind into fine powder. Take two large qian per dose with plain boiled water, at any time. (From *Heji Jufang*)
Anzhong San (Stabilize Middle Powder): Treats long-standing or recent spleen pain with regurgitation, vomiting of acid fluid, retention of cold pathogenic qi leading to stagnation, chest and diaphragm fullness, stabbing pain in abdomen and hypochondrium, nausea and vomiting, sallow complexion with emaciation, and limb fatigue. Also treats women's blood-qi stabbing pain radiating to the lower abdomen and lower back with heavy pain.
Gancao (roasted 10 liang) Yanshusuo (peeled) Liangjiang (roasted) Ganjiang (processed) Huixiang (roasted) Rougui (each 5 liang) Muli (4 liang)
Grind into fine powder. Take two qian per dose with hot wine. Women should use light vinegar broth. Non-drinkers may use salt water. No specific timing required. (Ibid.)
Pancan San (Coiled Scallion Powder): Treats spleen-stomach deficiency-cold in men and women, attacking the heart and abdomen, stabbing pain extending to the hypochondrium, chest oppression, stiffness and pain in the back, shoulders, and neck, loss of appetite, occasional vomiting, cholera with tendon retraction, cold diarrhea, bladder qi stabbing, and swelling/pain of the small intestine and external kidneys.
Cangzhu (soaked in rice wash, peeled, roasted) Gancao (each half jin) Yanshusuo (3 liang) Rougui (bark removed) Ganjiang (processed, each 2 liang) Sanleng (processed) Qingpi (white part removed) Fuling (white part peeled) Pengzhu (each 6 liang) Suosha (peeled) Dingxiangpi (clove skin) Binglang (each 4 liang)
Pulverize. Take two qian per dose with one cup of water and one stalk of scallion white (with root). Decoct to 70%, take slightly warm on an empty stomach before meals. (Ibid.) For cold syndromes, adding Zhuyu and Muxiang to Pancan San is also effective. (From *Defang*)
Jiezhen Tang (Receiving True Qi Decoction): Treats yin diseases with cold extremities, umbilical-abdominal pain, insufficiency of true qi, and critical exhaustion.
Chenxiang Dingxiang (each 2 qian) Shexiang (1 qian) Fuzi (processed, peeled, navel removed, 4 qian)
Cut into pieces for one dose. Decoct with ginger and jujube, or grind into powder. Take two qian per dose with warm wine. (From *Baidai Yizong*)
Formula for Cold Qi Attacking Heart and Abdomen, chronic, with sallow-green complexion and cold limbs: Awei Wan (Asafoetida Pill).
Awei (one liang) Guixin (one liang) Ganjiang (one liang) Fuzi (one liang) Wuzhuyu (half liang) Danggui (one liang)
Pulverize ingredients. Mix with Asafoetida paste and pound over 100 times. Form pills the size of paulownia seeds. Take 20 pills with warm wine at any time. (From *Shenghui Fang*)
Jiaofu Wan (Pepper and Aconite Pill): Treats extreme cold below the umbilicus with severe pain, cold extremities, intolerance to cold water/food, sallow complexion, emaciation, and pain relieved by pressure.
Mianfuzi (one piece weighing 12 qian) Hujiao (100 grains)
Grind into powder. Use ginger juice to make pills the size of paulownia seeds. Take 50 pills with ginger broth or salt water on an empty stomach. (From *Defang*)
Qi-Breaking Formulas for Cold Qi Attacking Heart and Abdomen with poor appetite: Binglang San (Areca Seed Powder).
Binglang (3 fen) Danggui (one liang) Peng'e Zhu (3 fen) Wuzhuyu (1 fen) Awei (1 fen) Muxiang (3 fen)
Pulverize and sieve finely. Take one qian with hot wine at any time. (From *Shenghui Fang*)
The *Ju Tong Lun* states: When cold lodges in the vessels along the spine, palpation cannot reach them, so pressing is ineffective. The spine area is where the Lvmài (Back Vessels) run; these vessels should be treated at Chize (LU-5) where they are deep and striking. It is appropriate to regulate the Kidney meridian to dispel cold.
Wuyao (1 fen) Xiong (Chuanxiong) Danggui Jing Sanleng Peng'e Zhu Yanshusuo (each 1 fen) Muxiang Biejia (each 4 zhu) Gancao (honey-fried 3 zhu)
Grind into fine powder. Take three qian decocted in one cup of water on an empty stomach. (From *Shi Zaizhi Fang*)
Chenshe Wan (Agarwood and Musk Pill): Treats unbearable qi pain.
Moyao Chenxue (Blood Dragon Resin) (each one liang) Muxiang (half liang) Shexiang (1 qian) Chenxiang (one liang)
All used raw. Simmer raw Gancao in silver/ceramic ware to make a paste for binding. Form pills the size of soap pods. Take with ginger-salt broth; for blood-qi pain, chew with vinegar broth. Wan Jun, Magistrate of Songzi, imitated this. For unbearable women's blood pain, one pill sufficed. He kept it secret, giving only half a pill, which often cured the patient. (From *Su Shen Liangfang*)
Chenxiang Da Wan (Large Agarwood Pill): Treats spleen-qi deficiency with abdominal fullness and stabbing pain below the umbilicus in men and women.
Chenxiang (finely cut 1 fen) Muxiang Chuanlianzi Rou (roasted) Huixiang (roasted) Rougui (bark removed) Fuzi (processed, peeled, navel removed) Qingjupi (white part removed) Sharen (separately ground) Xionghuang (bright quality, separately ground; eight ingredients each half liang)
Grind into fine powder. Make pills using flour paste boiled in wine. Each liang makes ten pills, coated with Cinnabar. Chew one pill per dose, swallow with hot wine or salt water. For women with stabbing pain below the umbilicus, swallow with wine made from burnt cotton ash on an empty stomach. (From *Yangshi*)
Xingqi Xiangsu San (Qi-Moving Litsea and Perilla Powder): Treats early-stage abdominal pain due to exogenous wind-cold, dietary injury, or excessive emotional frustration. (From *Baoyuan*)
Formulas for Unblocking Obstruction (Clearing Heat): *Jiyan Fang* treats phlegm-heart-abdominal pain with cold.
Biejia (roasted) Chaihu Chishao Yao (each 8 fen) Gancao (roasted) Zhishi (roasted) Shengjiang Baizhu (each 6 fen) Binglang (7 seeds)
Cut eight ingredients. Decoct seven ingredients in six sheng of water to obtain 2.5 sheng. Filter, add powdered Binglang, divide into two doses of 8 ge. Expect bowel movement. (From *Waitai Mi Yao*)
Sini San (Inverted Extremities Powder): Treats painful abdomen due to heat stagnation. (From *Huibu*)
Shaoyao Gancao Tang (Peony and Glycyrrhiza Decoction): Treats abdominal pain. (From *Bencao Gangmu*) *Xuanyao* treats seasonal abdominal pain with five slices of ginger decocted in water.
Shaoyao Huangqin Tang (Peony and Scutellaria Decoction): Treats abdominal pain with surging-rapid pulse. (From *Bencao Gangmu* citing Hai) (This is Huangqin Tang minus Dazao, also from *Wei Yi*)
Treatment for abdominal pain like being pierced by an awl (Transmitted by Hu Yunge):
Baishao Huanglian Gancao (each 3 qian)
Cut one dose. Decoct with one cup of Jinhua wine and one cup of water. Cure is immediate. (From *Jishi Quanshu*)
Sanhuo Tang (Scattering Fire Decoction): Treats painful heat syndrome.
Huanglian Shaoyao Zhizi (each roasted) Zhiqiao Chenpi Xiangfu Houpo (peeled) Fuxiong (each 2 qian) Muxiang (separately ground) Sharen Huixiang (each 5 fen) Gancao (3 fen)
If pain is severe and unceasing, add Yanshusuo and Ruxiang.
One dose with one slice of ginger, decoct and take. (From *Huichun*)
Shenxian Zhenzhu San (Immortal Pearl Powder): Treats heart-spleen qi pain.
Sheng Zhusha (1 qian) Zhen Shexiang (half qian) Baijian (half liang) Zhenzhu (seven whole pearls, unperforated are best)
Grind into fine powder. Take one qian per dose, mix with a mouthful of boiling water, and drink. Highly effective; do not disseminate casually. (From *Jingyan Mifang*) [Note: *Yijian Fang Lun* uses Baijin San for extreme sudden abdominal pain: 3 qian raw Baijian powder mixed with one cup boiling water and one cup cold water. Allow vomiting/diarrhea; once unblocked, pain stops. This formula may work but lacks categorization; attached here for reference. See *Xintong* chapter for astringent formulas.]
Formulas for Dissolving Knots: Treatment for abdominal pain with knotting below the umbilicus and continuous periumbilical pain: Wenpi Tang (Warm the Spleen Decoction).
Danggui Ganjiang (each 3 liang) Fuzi Renshen Mangxiao (each 2 liang) Dahuang (5 liang) Gancao (2 liang)
Cut seven ingredients. Decoct in seven sheng of water to obtain three sheng. Divide into three doses daily. (From *Qianjin Fang*) [Refer to *Zhixia* (Dysentery) section.] *Shengji Zonglu* treats abdominal pain/stabbing, removes cold, warms spleen: Renshen Tang. Remove Mangxiao from this base formula.
*Jiyao Fang* Beijii Wan (Emergency Pill): Treats sudden abdominal distension/fullness, acute pain causing breathlessness, and constipation.
Dahuang (5 liang) Ganjiang (2 liang) Badou (3 liang, de-husked, roasted) Mangxiao (3 liang)
Make honey pills. Take four pills at dawn. If no effect, add one or two pills. Aim for four or five bowel movements. If diarrhea persists, stop it with vinegar-soaked rice. (From *Yixin Fang*)
Ganying Wan: Treats severe heart-abdominal pain with constipation, cold extremities, blue face, clenched jaw, or deep-hidden pulses. The pain causes these signs, not deficiency collapse. First administer Suhexiang Wan, then give this purgative for rapid effect. (From *Yijian Fang*) For abdominal pain with vomiting and desire for bowel movement where other medicines cause vomiting, swallowing Sugan Wan soaked in ginger juice is best. (From *Defang*)
In patients with deficiency-cold suffering abdominal pain, warming-tonifying medicines provide temporary relief with intermittent pain. Severe cases may pass clear water or white foam. This indicates deficiency with excess: either retained food in the intestines was not cleared, or weak spleen-stomach failed to transform ingested food, causing stagnation. Even one or two pieces of old stool can cause distress. Method: Decoct warming-tonifying medicine, filter, add one qian of Dahuang (1.5 qian if not very deficient), boil briefly, and take. Retained food will pass, healthy qi remains intact, and disease resolves. This is a proven method. (From *Weiqi Lun*)
In Jiwei year in Jinling, a servant's wife suffered heart-abdominal distension and pain. Physicians prescribed Mugwort, Agarwood, Areca, Betel Nut, Peony, Ginger, Cinnamon, etc., but symptoms worsened. I diagnosed her: pulses were wiry-tight yet harmonious, unlike typical pathological pulses, but her hands felt hot as fire. Thus, I identified it as excess pain. Others asked for treatment. I said: Do not treat stabbing heart-abdominal pain as deficiency-cold immediately. Two physicians argued: "If not cold, what? Heat generates wind, cold generates qi." I replied: Incorrect. *Nanjing* states: Deficiency causes itching, excess causes pain. Zhang Zhongjing states: For abdominal pain, use Guizhi Ji Shaoyao Tang; for severe pain, Guizhi Jia Dahuang Tang. The servant claimed his family constitution was weak. I said: There are distinguishing signs. Press the abdomen during pain. If pain stops, it is deficiency-cold. If pain worsens and cannot be touched, it is excess pain. We pressed; she screamed and could not tolerate touch. I concluded: This is undoubtedly excess-heat. Use Dachaihu Tang. Others disagreed. I proceeded anyway; she recovered after eight doses. (From *Furen Liangfang*)
Danxi treated a youth, slightly sallow since childhood, with severe summer abdominal pain. Physician gave Xiao Jianzhong Tang plus Dingxiang; three doses failed, followed by vomiting clear fluid. Then eighteen-ingredient Dingchen Touge Tang for two doses; no food intake, lethargy, ceaseless pain, untouchable for five-six days. Then 100 Aw ei Wan pills; night fever, insomnia, but no thirst. Left-hand pulses: deep-wiry-rapid-excess, Guan particularly so. Right-hand: deep-slippery-rapid-excess. Prescribed Dachaihu Tang plus Gancao for four doses to purge. Pain/vomiting reduced, but no appetite. Then Xiaochaihu Tang minus Renshen/Huangqin, plus Shaoyao/Chenpi/Huanglian/Gancao for twenty doses to cure. (From *Lei An*)
Qizhen Wan: Treats chronic wind-phlegm obstruction, moves stagnant qi, clears chest/diaphragm, stops stabbing pain.
Muxiang Qingpi (white removed) Dahuang (processed) Binglang (each one liang) Hei Qianniu (2.5 liang, half raw half roasted)
Grind into powder. Honey pills paulownia seed size. Take 30 pills with warm water. (From *Furen Liangfang*) [Original case study available.]
Qianniu Dahuang Wan: Treats internal heat pain with rebellious qi causing vomiting. [Case study abridged.]
Hei Qianniu (4 liang, half roasted half raw, sifted top powder 1.2 liang) Mati Dahuang (wine-stir-fried 1.5 liang) Jian Binglang (6 qian) Chen Zhishi (roasted 6 qian) Houpo (ginger-juice fried 6 qian) Sanleng/E Zhu (vinegar-fried, each 6 qian)
Below Dahuang, grind to fine powder, mix with Qianniu powder. Make pills with thick rice broth, paulownia seed size. Take 3 qian when hungry; if no effect, take 2 qian more. Effect seen after 2-3 hours. (From *Yi Shu*)
Blood-Moving Formulas: Danxi treated a man who fished in June. By late autumn rain/coolness, he had severe midnight lower abdominal pain, profuse sweating, deep-wiry-thin-excess pulse, feeling like touching blades under pressure. Given Dachengqi Tang plus Gui; two doses brought mild relief and pain cessation. Pain returned daily at Shen/You hours (3-7 PM), hard and untouchable. Previous meds provided temporary relief via mild purging. Added Tao Ren paste to previous formula; passed over a sheng of purple-black blood, pain stopped. Pulse improved but blade-like feeling persisted. Added Chuan Fuzi to previous formula; passed five stools, two sheng of purple-black blood like torn cotton, cured. Later, dietary injury caused evening periumbilical pain with harmonious pulse; cured with one dose of Xiao Jianzhong Tang. (From *Lei An*)
Zhibao Yin: Treats blood stasis coagulation causing colicky abdominal pain like cutting/gouging. (From *Yu An*) [Formula see *Xietong* Dangguixu San below.]
Treatment for spleen pain: Shounian San (Hand-Picking Powder), extremely effective, transmitted by Meng Gong.
Caoguo Yanshusuo Wulingzhi Moyao
Equal parts, grind to fine powder. Take 3 qian with warm wine. (From *Shizhai*)
Ruli San: Treats unbearable heart-spleen pain unresponsive to other medicines. *Bencao* records this for heart pain, or says ancient formulas exist. [Note: *Bencao* verification unavailable.]
Muli (1 liang, sealed with yellow clay, calcined red, ground fine) Ruxiang (half liang, ground fine)
Mix well. Take two large qian with boiling water. Immediate effect. (From *Shizheng*)
Moyao San: Treats unbearable heart/abdominal pain.
Moyao (Ruxiang separately ground) Ruxiang (each 3 qian) Chuanshanjia (5 qian roasted) Mumuzi (4 qian)
Grind to powder. Take half to one qian, decoct with one large cup of wine, take warm at any time. (From *Xuanming*)
*Fangmai Cuiyan* treats abdominal stabbing pain due to blood stasis using Yujin, Muxiang, E Zhu, Yanshusuo, ground in plain water. (From *Huiyan*)
Emetic Formula: Treatment for sudden abdominal pain: Hold a handful of salt in mouth, drink much water to induce vomiting; cure follows. (From *Zhouhou Beiji Fang*)
Moxibustion/Warming Methods (Umbilical Steaming): For cold heart-abdominal pain, heat one dou of salt for warming compress. Heat silkworm feces or bricks for steaming/warming. Steamed earth is also excellent. (From *Qianjin Fang*) *Zhimi Fang*: Heat half jin salt, wrap in old cloth, apply hot compress to pain site. (From *Shibian Liangfang* citing)
Formula for universal heart-abdominal pain: Wrap pepper in thin cloth, place on body, heat pepper with fire until sweating occurs; cure. (From *Qianjin Yueling*)
A scholar from Zhending, age 31, naturally weak, had qi accumulation in left hypochondrium, avoided cold food, pain upon cold exposure, vomiting clear water, vertigo, inability to open eyes, aversion to noise. Resting 1-2 days or taking acrid-hot medicines reduced illness. In early autumn Jiawu year, due to labor and cold food, illness flared: continuous abdominal pain, cold sweat, cold extremities, cold breath, sallow-dull complexion, unable to lie down, sat leaning on table, cough, throat obstruction. *Neijing* states: Cold lodging in small intestine mesentery/blood collaterals causes blood stagnation, qi/blood retention, forming masses overnight. Cold in stomach/intestines causes rebellious qi upward, hence pain and vomiting. Internal cold pain stops immediately with heat. I prescribed medicine, but he vomited it up. Desperate, I used half jin cooked mugwort on paper on abdomen, layered with split scallions, covered with paper, warmed with slow-fire iron. Changed when cool. If abdomen felt too hot, bound with cotton strips until cool. Initially, warmth reduced pain; great warmth stopped pain; slept at night. Next day, took targeted medicine, largely cured. Recorded this warming method to save future patients. (From *Baojian*)
Umbilical Steaming Method: Treats unbearable chest/abdominal knotted pain.
Dingxiang Muxiang Huixiang Rougui (each 1 qian) Xiangfu (5 qian)
Use a half-cun high bamboo ring, one end covered with silk. Fill ring densely with scallion tubes, pour in herb powder, place on umbilicus/knotted pain area. Moxa cone the size of lychee pit moxa on top. Let herb qi penetrate internally; pain ceases. (From *Yi Ji*)
Moxibustion Method: I formerly suffered umbilical pain leading to loose stools, relieved by pressing with middle finger. Or pressing during diarrhea stopped pain. Later, moxa applied to umbilicus cured it permanently. For umbilical pain, moxa Shenque (CV-8). (From *Zisheng*)
Summer of Xinhai year, my servant She Li, age 24, contracted severe yin-cold, extreme lower abdominal pain nearly fatal, feeling like wanting to sink into the ground. I moxa Dantian (CV-8) point. During moxa burning, the pain...