〔大〕妇人血气心腹疼痛，由脏腑虚弱，风邪乘于其间，与真气相击而痛。其痛随气
上下，或上冲于心，或下攻于腹，故云血气攻心腹痛也。
〔薛〕前证若气滞血瘀，用没药散。劳伤元气，用补中益气汤。（杂病伤劳倦。）肝脾郁
结，用四七汤。（杂病气。）怒动肝火，用小柴胡汤。（热入血室。）肝脾血虚，用四物汤。（通治。）脾
肺气虚，用四君子汤。（杂病虚劳。）中气虚弱，用补中益气汤。气血俱虚，用八珍汤。（即杂病虚
劳八物汤。）一妇人每怒心腹作痛，久而不愈，此肝火伤脾气也。用炒山栀一两，生姜五片，
煎服而痛止，更以二陈加山栀、桔梗，乃不再发。一妇人怀抱郁结，不时心腹作痛，诸
药不应。用归脾汤（杂病健忘。）倍加炒山栀而愈。
陈湖陆小村母，久患心腹疼痛，每作必胸满呕吐，手足俱冷，面赤唇麻，咽干舌燥，寒
热不时，月余竟夕不安，其脉洪大，众以痰火治之，屡止屡作。迨乙巳春，发频而甚，仍
用前药反剧。此寒凉损真之故，内真寒而外假热也。且脉息洪弦而有怪状，乃脾气亏损，
肝木乘之而然，当温补胃气。遂用补中益气汤加半夏、茯苓、吴茱萸、木香，一服熟寐
彻晓，洪脉顿敛，怪脉顿除，诸证释然。
三神丸 治室女血气，腹中刺痛，痛引心端，经行涩少，或月水不调，以致疼痛。
橘皮（二两，焙） 当归（酒浸，炒） 玄胡索（醋煮，各一两）
上为细末，炼蜜和丸如梧桐子大。每服五十丸，空心温酒送下。
没药散 治一切血气，脐腹撮痛，及产后恶露不下，儿枕块痛。
没药 血竭 桂心 玄胡索 当归 蒲黄 红花 干漆（炒，烟尽） 木香
芍药（各等分）
上为细末，每服二钱，食前温酒调下。
〔大〕延胡索散 治妇人血气攻心腹疼痛。
延胡索 当归 川芎 桂心（各七钱半） 木香 枳壳 赤芍药 桃仁（各半两）
熟地黄（一两）
上 咀，每服三钱，水一盏，姜三片，煎至七分，去滓热服。
琥珀散 治妇人血气攻心腹，烦躁闷乱，疼痛不止。
琥珀（另研） 没药（另研） 当归（炒） 赤芍药 牡丹皮 延胡索 蒲黄 莪术 桂心（各等分）
上为末，每服一钱，温酒调下。
瑞金散 治妇人血气撮痛，月经不行，预先呕吐疼痛。
玄胡索 牡丹皮 红花（各一钱） 片姜黄（二钱半） 赤芍药 莪术 川芎 当归（各一钱半）
官桂（半钱）
作一服，水一盅，酒一盅，同煎至一盅，食前服。
牡丹散 治妇人久虚羸瘦，血块走注，心腹疼痛，不思饮食。
牡丹皮 玄胡索 官桂（各一钱） 京三棱 当归（各一钱半） 莪术 赤芍药
牛膝（各二钱）
上煎服，法同前。
八仙散 治血气心腹 痛，立验。
当归 浓朴 芍药 枳壳（制） 人参（各四分） 甘草 茯苓（各五分） 肉豆蔻（二分）
上为末，水二升，煮取八合，空心分三服。
又八仙散 （《灵苑》治证同前。）
棕榈（二两） 当归（一两，并锉碎，一处烧成炭，细研） 麝香（一钱，细研）
上同研令停，每服一钱，温酒调下。
玄胡索汤 治妇人室女七情所感，血与气并，心腹疼痛，或连腰胁，甚作搐搦，一
切血气，经候不调，并宜服之。
玄胡索 蒲黄 赤芍药 片姜黄 当归（去芦，各一钱半） 乳香 木香（不见火）
官桂（不见火） 没药（各一钱） 甘草（半钱）
上作一服，水二盅，生姜三片，煎至一盅，食前服。
大效琥珀散 （《灵苑》）治妇人心膈迷闷，腹脏掐撮疼痛，气急气闷，月信不调等疾。
乌药 莪术（各二两） 当归（一两）
上并生为细末，温酒调二钱服，服后以食压之。忌生冷油腻等物。如是产后诸疾，炒
生姜、酒调下。
治血气不调，脐下痛。
桑耳 子 桂心 土瓜根 川芎（各四分） 甘草（二分） 牛膝 赤茯苓（各五分）
大黄 白芍药（各六分） 干地黄（八分）
上为末，炼蜜丸如梧桐子大。醋汤吞下二十丸。
蠲痛散 治妇人血气刺痛。
荔枝核（烧存性，半两） 香附子（去毛、炒，一两）
上为细末，盐汤米饮调下二钱，不拘时候。
没药散 治妇人血气疼痛不可忍者。（出《博济方》）
红花 没药（研） 延胡索（炒） 当归（各等分）
上为末，每服二钱，童便半盏，酒半盏，同煎至六分，热服。用烧赤秤锤淬过调服亦
可。常服只用温酒。
菖蒲丸 治妇人脾血积气及心脾疼。
菖蒲（九节者，六两） 吴茱萸（炮） 香附子（炒去毛，各四两）
上三味并锉细，以酽醋五升煮干为度，焙干研细末，以好神曲打糊为丸，如梧桐子大。
空心食前，以淡姜汤吞下四五十丸，日三服，
橘皮汤下亦好。
手拈散 治血气心腹疼痛。
草果 玄胡索 五灵脂 没药（各等分）
为末，每二钱，温酒调服。
木香枳术丸 破滞气，消饮食，开胃进食，消化痰涎。
木香 枳实（炒，各一两） 白术（二两）
上每服五钱，姜枣水煎服。
木香化滞汤 治脾胃虚弱，饮食停滞，腹胀作痛，或心下痞满，不思饮食。若忧怒饮
食而致者，尤宜用之。
木香 红花（各三钱） 橘皮 当归尾 枳实（炒，各二钱） 柴胡（四钱） 草豆蔻 甘草（炙，各
半两） 半夏（一两）
上每服三五钱，姜水煎服。
[Da Lun] Heart and abdominal pain in women caused by blood and qi results from the deficiency of the zang-fu organs, where wind pathogens invade and strike against the true qi, causing pain. This pain moves up and down with the flow of qi; sometimes it rushes upward to the heart region, and sometimes attacks downward into the abdomen. Hence, it is termed "blood and qi attacking the heart and abdomen."
[Xue Ji's Commentary] If the aforementioned condition is due to qi stagnation and blood stasis, use Moyao San (Myrrh Powder). If it is due to exhaustion damaging the primordial qi, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (from Miscellaneous Diseases: Injury from Overwork). If it is due to liver-spleen depression and knotting, use Siqi Tang (Four Seven Decoction) (from Miscellaneous Diseases: Qi Disorders). If it is triggered by anger stirring up liver fire, use Xiaochaihu Tang (Minor Bupleurum Decoction) (for Heat Entering the Blood Chamber). If it is due to liver-spleen blood deficiency, use Siwu Tang (Four Substances Decoction) (general formula). If it is due to spleen-lung qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction) (from Miscellaneous Diseases: Deficiency Consumption). If it is due to middle-jiao qi weakness, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If both qi and blood are deficient, use Bazhen Tang (Eight Treasures Decoction) (which is the Bayi Wu Tang for deficiency consumption in miscellaneous diseases).
A certain woman experienced heart and abdominal pain every time she became angry, which persisted for a long time without cure. This was due to liver fire injuring spleen qi. She was prescribed one liang of fried Gardenia (Shanzhi) and five slices of fresh ginger, decocted and taken orally, after which the pain ceased. Subsequently, she took Erchen Tang (Two Aged Substances Decoction) added with Gardenia and Platycodon (Jiegeng), and the condition did not recur. Another woman suffered from intermittent heart and abdominal pain due to emotional depression; various medicines were ineffective. She was cured using Guipi Tang (Restore the Spleen Decoction) (from Miscellaneous Diseases: Forgetfulness), with doubled amounts of fried Gardenia.
The mother of Lu Xiaocun from Chenhu suffered from chronic heart and abdominal pain. Each episode was accompanied by chest fullness and vomiting, cold hands and feet, flushed face, numb lips, dry throat, and dry tongue. She experienced alternating chills and fever, restless nights for over a month, and her pulse was surging (Hong). The physicians treated it as phlegm-fire; although symptoms temporarily subsided, they frequently recurred. In the spring of the Yisi year, the attacks became frequent and severe. Continuing with previous medications aggravated the condition. This was due to cold-natured drugs damaging the true yang, resulting in internal true cold and external false heat. Furthermore, the pulse was surging, wiry, and irregular, indicating spleen qi deficiency with liver wood overacting on spleen earth. Treatment should focus on warming and tonifying stomach qi. Thus, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used with additions of Pinellia (Banxia), Poria (Fuling), Evodia (Wuzhuyu), and Aucklandia (Muxiang). After one dose, she slept soundly until dawn; the surging pulse immediately normalized, and the irregular pulse disappeared, with all symptoms resolving.
Sanshen Wan (Three Divine Pills): Treats virgin girls' blood and qi disorders, characterized by stabbing pain in the abdomen radiating to the heart end, scanty or difficult menstruation, or irregular menses leading to pain.
Ingredients: Tangerine Peel (Chenpi, 2 liang, roasted), Angelica Sinensis (Danggui, wine-soaked, roasted), Corydalis (Yanhusuo, vinegar-boiled, 1 liang each).
Preparation: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds.
Dosage: Take 50 pills per dose, swallowed with warm liquor on an empty stomach.
Moyao San (Myrrh Powder): Treats all blood and qi disorders, including cramping pain in the umbilical and abdominal regions, postpartum lochia retention, and uterine mass pain (Erzhen Kuai).
Ingredients: Myrrh (Moyao), Dragon's Blood (Xuejie), Cinnamon Heart (Guixin), Corydalis (Yanhusuo), Angelica Sinensis (Danggui), Pollen Typhae (Puhuang), Safflower (Honghua), Dried Spurge Root (Ganqi, fried until smoke ceases), Aucklandia (Muxiang), Peony (Shaoyao) (all in equal parts).
Usage: Grind into fine powder. Take 2 qian per dose, mixed with warm liquor before meals.
[Da Lun] Yanhusuo San (Corydalis Powder): Treats heart and abdominal pain in women caused by blood and qi attack.
Ingredients: Corydalis (Yanhusuo), Angelica Sinensis (Danggui), Ligusticum (Chuanxiong), Cinnamon Heart (Guixin) (each 7.5 qian), Aucklandia (Muxiang), Bitter Orange (Zhiqiao), Red Peony (Chishaoyao), Peach Kernel (Taoren) (each 0.5 liang), Prepared Rehmannia (Shudihuang) (1 liang).
Usage: Coarsely chop. Take 3 qian per dose, add one cup of water and three slices of ginger, decoct to 0.7 cups, strain, and take hot.
Hupo San (Amber Powder): Treats blood and qi attacking the heart and abdomen in women, causing irritability, confusion, and unceasing pain.
Ingredients: Amber (Hupo, ground separately), Myrrh (Moyao, ground separately), Angelica Sinensis (Danggui, fried), Red Peony (Chishaoyao), Moutan Cortex (Mudanpi), Corydalis (Yanhusuo), Pollen Typhae (Puhuang), Curcuma Zedoaria (Ezhu), Cinnamon Heart (Guixin) (all in equal parts).
Usage: Grind into powder. Take 1 qian per dose, mixed with warm liquor.
Ruijin San: Treats women's blood and qi cramping pain, amenorrhea, preceded by vomiting and pain.
Ingredients: Corydalis (Yanhusuo), Moutan Cortex (Mudanpi), Safflower (Honghua) (each 1 qian), Turmeric Tuber (Pianjianghuang) (2.5 qian), Red Peony (Chishaoyao), Curcuma Zedoaria (Ezhu), Ligusticum (Chuanxiong), Angelica Sinensis (Danggui) (each 1.5 qian), Official Cinnamon (Guangui) (0.5 qian).
Usage: As one dose, decoct with one cup of water and one cup of wine until one cup remains. Take before meals.
Mudan San: Treats women with chronic deficiency and emaciation, wandering blood masses, heart and abdominal pain, and loss of appetite.
Ingredients: Moutan Cortex (Mudanpi), Corydalis (Yanhusuo), Official Cinnamon (Guangui) (each 1 qian), Chinese Samson Ginger (Jingsanleng), Angelica Sinensis (Danggui) (each 1.5 qian), Curcuma Zedoaria (Ezhu), Red Peony (Chishaoyao), Achyranthes (Niuxi) (each 2 qian).
Usage: Decoct and take, method same as above.
Baxian San (Eight Immortals Powder): Treats blood and qi heart and abdominal pain; effects are immediate.
Ingredients: Angelica Sinensis (Danggui), Magnolia Bark (Noupu), Peony (Shaoyao), Bitter Orange (Zhiqiao, processed), Ginseng (Renshen) (each 4 fen), Licorice (Gancao), Poria (Fuling) (each 5 fen), Nutmeg (Roudoukou) (2 fen).
Usage: Grind into powder. Add two sheng of water, boil to obtain eight ge. Divide into three doses, take on an empty stomach.
Another Baxian San (from *Lingyuan*, treating the same conditions):
Ingredients: Palm Fruit (Zonglv, 2 liang), Angelica Sinensis (Danggui, 1 liang, both chopped and burned to charcoal, then finely ground), Musk (Shexiang, 1 qian, finely ground).
Usage: Mix thoroughly. Take 1 qian per dose, mixed with warm liquor.
Yanhusuo Tang (Corydalis Decoction): Treats women and virgins affected by seven emotions, where blood and qi congregate, causing heart and abdominal pain, possibly radiating to the waist and hypochondrium, even leading to spasms. Suitable for all blood and qi disorders and irregular menstruation.
Ingredients: Corydalis (Yanhusuo), Pollen Typhae (Puhuang), Red Peony (Chishaoyao), Turmeric Tuber (Pianjianghuang), Angelica Sinensis (Danggui, remove root tip, each 1.5 qian), Frankincense (Ruxiang), Aucklandia (Muxiang, do not burn), Official Cinnamon (Guangui, do not burn), Myrrh (Moyao) (each 1 qian), Licorice (Gancao) (0.5 qian).
Usage: As one dose, add two cups of water and three slices of ginger, decoct to one cup. Take before meals.
Da Xiao Hupo San (Great Efficacy Amber Powder) (from *Lingyuan*): Treats women's chest diaphragm confusion, pinching/cramping abdominal pain, shortness of breath, chest oppression, and irregular menstruation.
Ingredients: Lindera (Wuyao), Curcuma Zedoaria (Ezhu) (each 2 liang), Angelica Sinensis (Danggui) (1 liang).
Usage: Raw grind into fine powder. Take 2 qian mixed with warm liquor. Press the medicine with food afterward. Avoid raw, cold, and greasy foods. For postpartum disorders, use fried ginger mixed with wine.
Treating blood and qi imbalance with pain below the umbilicus:
Ingredients: Fungus Auricularia (Sanger), Cinnamon Heart (Guixin), Trichosanthes Root (Tugua Gen), Ligusticum (Chuanxiong) (each 4 fen), Licorice (Gancao) (2 fen), Achyranthes (Niuxi), Red Poria (Chifuling) (each 5 fen), Rhubarb (Dahuang), White Peony (Baishaoyao) (each 6 fen), Prepared Rehmannia (Gandihuang) (8 fen).
Usage: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Swallow 20 pills with vinegar-infused water.
Juan Tong San (Pain-Relieving Powder): Treats women's blood and qi stabbing pain.
Ingredients: Lychee Seed (Lizhihe, burnt to retain character, 0.5 liang), Cyperus (Xiangfuzi, de-husked, fried, 1 liang).
Usage: Grind into fine powder. Take 2 qian mixed with salt water and rice drink, at any time.
Moyao San (Myrrh Powder): Treats unbearable blood and qi pain in women. (From *Boji Fang*)
Ingredients: Safflower (Honghua), Myrrh (Moyao, ground), Corydalis (Yanhusuo, fried), Angelica Sinensis (Danggui) (all in equal parts).
Usage: Grind into powder. Take 2 qian per dose, decoct with half a cup of urine from an uncircumcised boy and half a cup of wine until 0.6 cup remains. Take hot. Alternatively, mix with water quenched from a red-hot weight. For regular use, simply mix with warm liquor.
Changpu Wan (Acorus Pills): Treats women's spleen blood accumulation and qi stagnation, and heart-spleen pain.
Ingredients: Acorus (Changpu, nine-joint type, 6 liang), Evodia (Wuzhuyu, processed), Cyperus (Xiangfuzi, fried, de-husked, 4 liang each).
Usage: Finely chop the three ingredients. Boil in five sheng of strong vinegar until dry. Dry, grind into fine powder, and bind with paste made from Medicated Leaven (Shenqu) to form pills the size of paulownia seeds. Take 40-50 pills on an empty stomach before meals with light ginger water, three times daily. Taking with Tangerine Peel Decoction is also good.
Shounian San (Hand-Picking Powder): Treats blood and qi heart and abdominal pain.
Ingredients: Tsaoko Cardamom (Caoguo), Corydalis (Yanhusuo), Trogopterus Dung (Wulingzhi), Myrrh (Moyao) (all in equal parts).
Usage: Grind into powder. Take 2 qian per dose, mixed with warm liquor.
Muxiang Zhizhu Wan (Aucklandia and Immature Bitter Orange Pill): Breaks stagnant qi, aids digestion, opens the stomach to promote appetite, and resolves phlegm-fluids.
Ingredients: Aucklandia (Muxiang), Immature Bitter Orange (Zhishi, fried, each 1 liang), Atractodes Macrocephala (Baizhu, 2 liang).
Usage: Take 5 qian per dose, decoct with ginger and jujube water.
Muxiang Huazhi Tang (Aucklandia Resolving Stagnation Decoction): Treats spleen-stomach weakness, food stagnation, abdominal distension and pain, epigastric fullness, and loss of appetite. Especially suitable if caused by worry, anger, or improper diet.
Ingredients: Aucklandia (Muxiang), Safflower (Honghua) (each 3 qian), Tangerine Peel (Chenpi), Angelica Sinensis Tail (Dangguiwei), Immature Bitter Orange (Zhishi, fried, each 2 qian), Bupleurum (Chaihu, 4 qian), Cardamom Seed (Caodoukou), Licorice (Gancao, honey-fried, each 0.5 liang), Pinellia (Banxia, 1 liang).
Usage: Take 3-5 qian per dose, decoct with ginger water.