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Excess qi is termed fire; when it moves recklessly, one must know it scorches the supreme yin. For excess conditions, purgation is indicated; for deficiency conditions, tonification is indicated. The principle of heavy ascending and light descending is indeed profound. Yin deficiency with fever and excessive yang presents with a rapid but forceless pulse, indicating involvement of the Heart and Kidney. Internal injury fever due to yang deficiency presents with a large but forceless pulse, indicating involvement of the Lung and Spleen. Qi rising from the left indicates Liver fire; yin fire arises from below the navel. Heat rising from the feet invading the abdomen indicates extreme deficiency, where medicine is difficult to balance. To purge fire, use Huanglian Jiedu Tang (Coptis Decoction for Alleviating Toxicity); to tonify deficiency, Ginseng, Atractylodes Macrocephala Rhizome, and Raw Licorice Root are excellent. For constrained fire following the meridians, dispersion is appropriate; for external wind-cold, dispersion is also appropriate. Heart fire is treated with Coptis Rhizome (Huanglian), Lung fire with Scutellaria Root (Huangqin), Liver and Gallbladder fire with Bupleurum Root (Chaihu). Scutellaria and Coptis can purge Sanjiao fire; organ fire is preferably treated with Indigo Naturalis (Qingdai). Paeonia Root (Shaoyao) purges Spleen fire, Anemarrhena Rhizome (Zhimu) purges Kidney fire, Gypsum Fibrosum (Shigao) clears Stomach fire and nourishes yin. To purge Bladder fire, Phellodendron Bark (Huangbai) and Asarum Root (Xixin) must be added. Akebia Stem (Mutong) specifically purifies Small Intestine fire; for constrained fire, Cimicifuga Rhizome (Shengma) and Kudzu Root (Gegen) are used. If treating rootless, wandering fire, how can Rehmannia Root (Xuanshen) be omitted from the formula?

Huanglian Jiedu Tang (See details below)

Additional Remarks: Cool medicines should not be used abruptly for non-excess fire; warm dispersion must first be employed. For external wind-cold, dispersion is suitable; for constrained fire, dispersion is also suitable. Raw Licorice Root can moderate fire pathogens, and Gardenia Seed (Zhizi Ren) greatly descends fire.

It was originally known that heart pain is not true heart pain; Stomach heat must be distinguished as new or old. New cases involve damage to the Stomach by cold food; old cases become damp-heat and linger. Excess heat causes the left wrist pulse to be rapid; a choppy pulse indicates blood stasis. A full pulse at the right wrist indicates phlegm accumulation causing pain; a surging pulse in chronic cases indicates blood disasters. The treatment method generally employs Pingwei San (Regularize the Stomach Powder), containing Dried Ginger, Licorice Root, Amomum Fruit, Pinellia Tuber, Aucklandia Root, and Platycodon Root. This treats new cases with divine efficacy. If it is a chronic case, add Corydalis Rhizome (Yanhusuo), Platycodon Root, Coptis Rhizome, Pinellia Tuber, Aucklandia Root, and Gardenia Fruit decocted together; then believe in the miraculous medicine of physicians.

Differentiation: There are nine types of stomach pain: Drink, Food, Wind, Cold, Qi, Palpitation, Worms, Zhu (a type of infectious disease), and Wandering Heat Pain. Hejian said: Sudden pain is not heat; chronic pain has no cold. Some cases arise from Qi stagnation and food retention, suddenly developing pain, constipation, elevated chest and heart area, worsened by pressure, and loss of appetite. Urgently use Zhuhuang Wan (Boiled Yellow Pill) to purge, then use Ben Tang (This Decoction) afterward to remove residual pathogens. Cold jue heart pain presents with inverted cold limbs, cold sweat on the body, loose stools, clear urine, and weak energy; this is not a chronic condition, potentially fatal from morning to evening. Urgently warm with Shufu Tang (Atractylodes and Aconite Decoction). Heat jue heart pain presents with body heat and cold feet, severe pain, irritability, vomiting, and spontaneous sweating on the forehead. Moxibustion should be applied to Taixi (KI3) and Kunlun (BL60), purging both interior and exterior, leading to recovery through general sweating. After moxibustion, take Jinlingzi San (Melia Melia Powder); once pain stops, take Zhizhu Wan (Immature Bitter Orange and Atractylodes Pill) to remove pathogens. Medical Mirror records: White spots on the face with red lips, ability to eat after pain, intermittent pain indicates worm pain. Erchen Tang (Two-Cured Decoction) with Toosendan Fruit Bark decocted and taken. Large belly with blue veins is treated with Chongwan (Worm Pill).

Zhuhuang Wan (Accumulation): Treats severe excess pain. Realgar 1 liang, Croton Seed 5 qian (peeled, raw, ground, mixed with realgar powder), Wheat Flour 2 liang (mixed and ground again). Drop water pills, size of Sophora seeds. When taking, first boil rice water, drop in 24 pills when boiling, boil for 10-20 times, retrieve into cold rice water to cool. Take 1 pill first, wait one shichen (2 hours), then 2 pills, then more, adding until slight purging occurs, delivered with soaked water. Also miraculously treats hypochondriac bi pain.

Ben Tang (Toxic Gas): Treats severe excess pain after purging, using this to eliminate toxins. Ben [Root] 3 qian, Atractylodes Rhizome 6 qian. Decoct in water and take warm.

Shufu Tang (Cold Pain): Treats cold jue pain, also wind-dampness binding with heavy painful annoyance, firm stools, and wind-deficiency dizziness/heavy head. Warms muscles, tonifies middle, assists yang qi, stops spontaneous sweating. Prepared Aconite Root 1 liang (peeled, de-veined, finely cut), Atractylodes Macrocephala Rhizome 4 liang, Licorice Root 1 liang (stir-fried). Take 3 qian per dose.

Jinling San (Chronic Pain): Treats heat jue pain, intermittent, chronic. Melia Melia 1 liang, Corydalis Rhizome 1 liang. Take 3 qian per dose, mixed with wine.

Qingyu San (Phlegm Pain): Treats latent fire in Stomach, retained phlegm above diaphragm, epigastric pain, nausea/vomiting clear or sour fluid. Erchen Tang plus Gardenia, Coptis, Atractylodes, Ligusticum, Dried Ginger, Cyperus. For severe vomiting, add Patchouli and Amomum. Making this into pills is also excellent.

Xuanqi San: Treats stabbing heart/stomach pain radiating to chest/hypochondrium with rapid pulse. Gardenia Seed (salt-stir-fried), Rhubarb, Talcum, Aucklandia Root (last three ground to powder). Decoct Fresh Ginger and Gardenia in water, mix with powder and take warm. [Text implies efficacy for upper jiao].

Sisheng Dan: Treats heart pain and abdominal yin syndrome, miraculous for intestinal colic. Trogopterus Dung (stir-fried to smoke out), Peach Kernel (flour-roasted yellow, peeled/seed removed), Aconite Root (water-soaked, changed daily, soaked 7 days, peeled/seed removed, sliced, dried on new tile) each 1 liang, Indigo Naturalis (2 qian in medicine, 8 qian as coating). Wine paste pills, size of Sophora seeds. Take 15 pills per dose, with 7 pieces of Mugwort (roasted to smoke), washed down with yellow wine.

Zhui Chong Wan (Worm Pain): Treats worm-biting pain. Dry Lacquer 5 qian (stir-fried to eliminate smoke), Realgar 2.5 qian, Croton Tartar 1 qian. Wheat paste pills, size of millet grains. Taken with seed and Toosendan Fruit Bark decoction, 12-13 pills.

Jiawei Zhizhu Wan: Treats alcohol, tea, meat accumulation, clear phlegm in epigastrium causing pain, fullness, heartburn, belching, acid regurgitation, and Spleen/Stomach syndromes. Atractylodes Macrocephala Rhizome 3 liang, Immature Bitter Orange (flour-roasted), Atractylodes Rhizome (soaked in rice wash water 2 nights, dried), Polyporus 1 liang each, Ligusticum, Fried Wheat Flour, Fermented Soybean Curd (fried), Pinellia Tuber (boiled thoroughly) each 1 liang, Alisma Rhizome, White Conch Shell (fried), Coptis Rhizome (fried with old wall soil), Red Poria each 7 qian, Amomum Fruit, Cardamom, Scutellaria Root (earth-fried), Tangerine Peel (de-white), Radish Seed (fried), Dried Ginger each 5 qian, Tangerine Peel (de-white), Trichosanthes Seed, Cyperus Rhizome (child's urine fried), Magnolia Bark (ginger juice fried), Areca Seed each 3 qian, Aucklandia Root, Licorice Root each 2 qian. For acid regurgitation, add Evodia Fruit (boiled, 5 qian in cold months, 2.5 qian in hot months); for chronic cases with deficiency, add Codonopsis Root, White Hyacinth Bean, Lotus Seed Endocarp each 5 qian; for constant vomiting of clear fluid... [Text cuts off, implied pill making]. Size of Sophora seeds, take 100 pills with clear rice drink.

Single Prescriptions: Gardenia (charred black), take 2-3 spoons per dose. For heart/stomach pain, deliver with Ginger Soup; for limb swelling, with Rice Drink; for difficult urination, with White Water. Another prescription adds Ligusticum 2 qian.

Treat Heart Pain with Jaw Lock near death: Old Green Onion White Bulbs 3-5 roots (peel skin and roots), pound into paste, instill into throat, then pour in Sesame Oil. Accumulated stagnation and worms turn into yellow water, slight purging is best.

Treat Worm Pain: Chew 27 Persimmon Kernels on an empty stomach daily, worms pass in three days.

Treat Adults/Children with Masses/Bi Accumulation: Scorpion (wine-soaked, washed, roasted) 3 qian, Chicken Gizzard Membrane (wine-roasted) 3 qian, Sugar, make pills, take 2.5 qian at dawn with wine.

Another Prescription: In emergency without medicine, place salt on red-hot knife blade, quench in water, drink while hot to vomit phlegm and find relief. This also treats intestinal colic.

Additional Remarks: Pain means blockage; unblocked means no pain. Heart/Spleen pain involves internal constrained heat, stubborn phlegm, dead blood, worms, or anger/wind pathogen.

Nine Types of Heart Pain: Argopecten Irradiatus Shell (vinegar-fire calcined) 3 fen, Cyperus Rhizome (child's urine soaked) 3 fen, Camphor Tree Seed 3 fen. Roast dry, grind to powder, take with wine or Ginger Soup for immediate cessation.

Another Prescription: Cyperus Rhizome (calcined stone-roasted), Galangal Root (sesame oil-roasted), Atractylodes Rhizome (salt water-roasted) each 1 liang. Grind to powder, take 2 fen per dose, with wine or Ginger... [Text cuts off].

Another Prescription: Aucklandia Root 9.3 qian, Alum 7 fen. Refined rice pills, take 1 qian with burning wine.

Another Prescription: Pepper, 1 grain per year of age, taken with plain boiled water.

Another Prescription: Rabbit feces roasted dry, burned to ash retaining nature, ground to powder, take 3 qian with yellow wine, effective.

Stomach Pain Another Prescription: 7 Walnut Kernels, pounded with skin, mixed with good brown sugar,冲 (rinsed/mixed) with one bowl of hot strong wine, cures.

Treat All Heart Pain, New or Old: Crush fresh Rehmannia Root, squeeze juice, mix with flour to make wontons, or eat cold noodles. After some time, worms approx. one chi long will exit, pain ceases. Formerly, someone near death from pain told his son to dissect him; later fed him this juice, worms died. Thus obtained this prescription, frequently curing people effectively.

Another Prescription: Treat unbearable sudden heart pain. Grind Lychee Seed to powder, take 1 qian per dose, half cup wine and half cup vinegar, decoct to 70%, take hot.

Treat unbearable intestinal colic pain, rolling on ground dying: Mix 1 liang salt with hot water, pour into patient's mouth. Salt qi reaches abdomen, pain stops immediately.

Zhizi Tang (Heat Disease): 10 Fat Gardenia Fruits (crushed, soaked in ginger juice, stir-fried, ground with shell), Ligusticum 1 qian, Cyperus 1 qian. Boil several times, add 3 spoons ginger juice, boil again, add 2 spoons Herbaceous Charcoal, mix and take.

Puzhi San (Blood Pain): Polygonum Multiflorum Seed (fried), Trogopterus Dung (wine-fried, washed sand) each 1 qian. Mix with vinegar to paste, add water, decoct and take.

Zhanluo Tang (Qi Pain): Tangerine Peel, Cyperus Rhizome, Galangal Root, Evodia Fruit, Acorus Rhizome equal parts. Decoct well, put 3-5 drops Sesame Oil in another bowl, cover with small cup, pour medicine under cup, take hot.