属忧思久耗心血，遇忧即发。
主方 当归（钱半） 白芍（一钱二分） 枣仁 丹参（各三钱） 陈皮（一钱） 贝母
茯苓（各二钱） 甘草（三分）
脉数，加酒炒黄连一钱。
经曰∶心痛脾疼，阴寒之设。凡病胸膈心腹疼痛，动辍饮食劳倦，七情致伤，则脾气为之郁
滞。或犯寒暑湿热，及食积痰气，脾受之而作痛，非心痛也。
主方 木香 丁香 檀香 香附 乌药 莪术 官桂 片姜 干姜 白豆蔻 砂仁 炙草（
等分）上为末，每服二钱，紫苏汤调下。
化食丸 治饮啖生冷水果、油腻难化之物，留积胃脘作痛。
浓朴 草果 砂仁 山楂 麦芽 神曲 干姜 陈皮 良姜（等分） 炙草（减半）
上为末，每服三钱，空心，热淡盐汤送下。
胃苓汤（方见泄泻） 治脾虚积黄而痛。如内伤不食而痛，补中益气汤（方见虚损）加
草豆蔻；热加栀子。实热
痛，枳实大黄汤（方见心痛）。
大安丸 （方见饮食）治胃不和，食不化，胀痛，或以本方煎服。
简便方 （治脾疼）用乌药、陈皮、紫苏煎服。
又 吴茱萸（一两）、桃仁（一两），和炒令茱萸焦，去萸用桃仁研末，分三服，用葱白三
茎煨热，煮酒调下。
又 良姜（为末一钱），米汤下。
又 生姜、川椒、丁香（研末），盐汤下。
又 川椒二十五粒，浆水浸一宿，盐汤送下。
It belongs to the condition where long-term worry and overthinking consume Heart Blood (Xin Xue, 心血), causing symptoms to flare up whenever worry is encountered.
Main Formula: Dang Gui (Angelicae Sinensis Radix, 当归) 1.5 qian, Bai Shao (Paeoniae Radix Alba, 白芍) 1.2 qian, Zao Ren (Ziziphi Spinosomi Semen, 酸枣仁) and Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 丹参) each 3 qian, Chen Pi (Citri Reticulatae Pericarpium, 陈皮) 1 qian, Bei Mu (Fritillariae Cirrhosae Bulbus, 贝母), Fu Ling (Poria, 茯苓) each 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) 0.3 qian.
If the pulse is rapid (Shu Mai, 数脉), add Huang Lian (Coptidis Rhizoma, 黄连) fried with wine, 1 qian.
The Classics state: Heart pain and Spleen pain are set by Yin-Cold (Yin Han, 阴寒). For any disease involving pain in the chest, diaphragm, heart, or abdomen, if it is triggered by eating, drinking, labor, fatigue, or injury from the Seven Emotions (Qi Qing, 七情), then Spleen Qi (Pi Qi, 脾气) becomes stagnant. Or if one is exposed to Cold, Summer-Heat, Dampness, or Heat pathogens, as well as Food Stagnation (Shi Ji, 食积) and Phlegm-Qi (Tan Qi, 痰气), the Spleen receives these and causes pain; this is not Heart pain.
Main Formula: Mu Xiang (Aucklandiae Radix, 木香), Ding Xiang (Caryophylli Flos, 丁香), Tan Xiang (Santalum Album Lignum, 檀香), Xiang Fu (Cyperi Rhizoma, 香附), Wu Yao (Linderae Radix, 乌药), E Zhu (Curcumae Rhizoma, 莪术), Guan Gui (Cinnamomi Cortex, 官桂), Pian Jiang (Zingiberis Rhizoma Recens, 片姜 - likely referring to fresh ginger or specific preparation), Gan Jiang (Zingiberis Rhizoma, 干姜), Bai Dou Kou (Amomi Fructus Rotundus, 白豆蔻), Sha Ren (Amomi Fructus, 砂仁), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 炙草) in equal parts. Grind the above into powder, take 2 qian per dose, mixed with Zi Su Tang (Perillae Decoction, 紫苏汤).
Hua Shi Wan (Digestive Pills): Treats pain caused by consuming cold/raw fruits, vegetables, or greasy foods that are difficult to digest, leading to accumulation in the Epigastrium (Wei Wan, 胃脘).
Hou Po (Magnoliae Officinalis Cortex, 厚朴), Cao Guo (Tsaoko Fructus, 草果), Sha Ren (Amomi Fructus, 砂仁), Shan Zha (Crataegi Fructus, 山楂), Mai Ya (Hordei Fructus Germinatus, 麦芽), Shen Qu (Massa Medicata Fermentata, 神曲), Gan Jiang (Zingiberis Rhizoma, 干姜), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Liang Jiang (Alpiniae Officinarum Rhizoma, 良姜) in equal parts, Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 炙草) half amount. Grind the above into powder, take 3 qian per dose, on an empty stomach, taken with hot light salt water.
Wei Ling Tang (Stomach-Poria Decoction, 胃苓汤) (Formula see Diarrhea chapter): Treats Spleen deficiency with stagnation turning yellow and causing pain. If it is internal injury causing pain due to lack of appetite, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction, 补中益气汤) (Formula see Deficiency Damage chapter) plus Cao Dou Kou (Cardamomi Fructus, 草豆蔻); if there is heat, add Zhi Zi (Gardeniae Fructus, 栀子). For excess-heat pain, use Zhi Shi Da Huang Tang (Immature Bitter Orange and Rhubarb Decoction, 枳实大黄汤) (Formula see Heart Pain chapter).
Da An Wan (Great Peace Pills) (Formula see Diet chapter): Treats Stomach disharmony, food indigestion, distension and pain; can also be taken as a decoction of this formula.
Jian Bian Fang (Simple Formula) (for treating Spleen pain): Use Wu Yao (Linderae Radix, 乌药), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), Zi Su (Perillae Folium, 紫苏) decocted and taken.
Another prescription: Wu Zhu Yu (Evodiae Fructus, 吴茱萸) 1 liang, Tao Ren (Persicae Semen, 桃仁) 1 liang, stir-fry together until Wu Zhu Yu is scorched, remove Wu Zhu Yu, use only Tao Ren, grind into powder, divide into three doses, take with Jiu (Wine, 酒) mixed with three stalks of Cong Bai (Scallion White, 葱白) baked hot.
Another prescription: Liang Jiang (Alpiniae Officinarum Rhizoma, 良姜) ground into powder (1 qian), taken with Mi Tang (Rice Decoction, 米汤).
Another prescription: Sheng Jiang (Zingiberis Rhizoma Recens, 生姜), Chuan Jiao (Zanthoxyli Pericarpium, 川椒), Ding Xiang (Caryophylli Flos, 丁香) ground into powder, taken with Yan Tang (Salt Water, 盐汤).
Another prescription: Chuan Jiao (Zanthoxyli Pericarpium, 川椒) 25 grains, soaked in Jiang Shui (Fermented Rice Water, 浆水) overnight, taken with Salt Water (Yan Tang, 盐汤).