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Heart pain is equivalent to epigastric pain; one must distinguish between recent and chronic onset. If it is known that the body has been invaded by cold pathogenic factors or cold food was ingested, and the illness is in its initial stage, warming and dispersing, as well as warming and promoting circulation, should be employed. However, if the condition persists for a long time leading to Qi stagnation, stagnation generates heat which steams upward; prolonged heat inevitably transforms into fire. In such cases, using warming agents would only assist the fire and exacerbate the disease. Although this ailment may last many days, death does not occur even without eating. If food is consumed immediately after the pain subsides, or if dietary indulgence occurs after recovery, causing abdominal diseases to recur, treatment becomes difficult.

Divine Formula for Heart Pain
Cinnabar (Zhusha) and Costus Root (Muxiang), each 3 qian; Yellow Beeswax (Huangzhan), 1 liang.
Melt and mix to form pills the size of mung beans. Take seven pills per dose, washed down with distilled spirits (Baijiu). It is most effective when taken during severe pain. (From *Weisheng Bei Yao*)

Acute Heart Pain (Jaw locked tight, near death)
Five stalks of old green onion white part, peeled and pounded into a paste. Insert into the throat with a spoon, then pour in four liang of sesame oil. Once swallowed, consciousness will return. After a short while, intestinal parasites will transform into yellow fluid and discharge. This is miraculous. (From *Ruizhu Tang Fang*)
Alternative method: Take one zhong of sesame oil, boil until rolling, then mix with a small zhong of distilled spirits. Drink immediately while pain is acute. (From *Mifang Jiyuan*)

Pinworm-Induced Heart Pain
The heart and head suffer from urgent, unbearable pain. I possess the Immortal's Sea-Side Prescription: Decoct Tongcao (Akebia Caulis) with vinegar and swallow. Within moments, health will be restored.
Alternative method: Three dried plums (Wumei) and fourteen Sichuan peppercorns (Chuanjiao), decocted and taken orally, will cure the condition. (From *Danfang Quanji*)

Epigastric Pain
Galangal (Liangjiang), washed seven times with wine, dried, and powdered; Cyperus Rhizome (Xiangfuzi), soaked seven times in vinegar, dried, and powdered. For causes related to cold: use 2 qian of Galangal powder and 1 qian of Aconite powder. For causes related to anger: use 1 qian of Galangal powder and 2 qian of Aconite powder. For combined cold and anger: use 1.5 qian of each. Take with rice water added with ginger juice and salt. Effective. (From *Han Feixia Yitongshu*)

Epigastric Pain
Realgar (Xionghuang), 1 qian (powdered); Dried Plum (Wumei), 3 qian (pulp).
Grind into fine powder and form pills the size of beans. When epigastric pain occurs, take with wine. For mild cases, two pills; for severe cases, three pills. (From *Jiyan Fang*)

Qi-Stagnation Heart Pain
Half sheng of raw sesame seeds. When pain strikes, take whatever is at hand without measuring specifically. Stir-fry in a copper pot until black, then grind into powder. Wash down with good wine. One dose eliminates the root cause. (From *Mifang Jiyuan*)

Divine Nine-Qi Powder
Specifically treats diaphragmatic Qi disorder, alternating cold and heat, fright Qi, anger Qi, mountain mist obstruction Qi, firm accumulations, inability to eat, and conditions where attacks cause near-death suffering.
Cyperus Rhizome (Xiangfu), Turmeric Rhizome (Jianghuang), Licorice Root (Gancao).
Grind into equal parts powder. Take 3 qian per dose, washed down with salt water. (A divine formula)

All Types of Qi Pain
Tiantai Litsea Fruit (Tiantai Wuyao - smaller ones soaked in wine overnight and stir-fried), Fennel Seed (Huixiang - stir-fried), Green Tangerine Peel (Qingju pi - pith removed and stir-fried), Galangal (Liangjiang - stir-fried).
Grind into equal parts powder. Mix with warm wine and child's urine (Tongbian) to administer. (From *Weisheng Jiabao*)