金铃子散（《保命》） 治热厥心痛，或作或止，久不愈者。
金铃子 玄胡索（各一两）
上为末，每服三钱，酒调下。痛止，与枳术丸。枳术丸（见伤食。）
煮黄丸（《洁古》） 治饮食过多，心腹胀满，胁肋走气， 癖刺痛，如神。
雄黄（研，一两） 巴豆（五钱，去皮心，研如泥）
上入白面二两，同研匀，滴水丸，如桐子大。滚浆水煮十二丸，滤入冷浆水内，令
沉冷，每用时用浸药冷浆下一丸，一日十二时尽十二丸，以微利为度，不必尽剂。
本汤（洁古） 治大实心痛，大便己利，宜以此撤其痛也。
本（半两） 苍术（一两）
每服一两，水二盏，煎至半盏，温服。
术附汤（《活人》） 治寒厥暴心痛，脉微气弱。
附子（炮，去皮脐，一两） 白术（四两） 甘草（炙，一两）
上粗末，每三钱，水一盏半，姜五片，枣一枚，煎至一盏，去渣温服，食前。
麻黄桂枝汤（《三因》） 治外因心痛，恶寒发热，内攻五脏，拘急不得转侧。
麻黄（去节，汤浸，焙） 桂心 芍药 细辛（去苗） 干姜 甘草（炙。各七钱半） 半夏 香附（各五钱）
每服五钱，水盏半，生姜五片，煎七分，去渣，食前服。大便秘，入大黄，量虚实加减。
九痛丸（《金匮》） 治九种心痛。
附子（炮，二两） 生野狼牙（炙香） 巴豆（去皮心，炒，研如脂。各半两） 人参 干姜 吴茱萸（各一两）
上为末，炼蜜丸，如桐子大。酒下，强人初服三丸，日三服，弱者二丸。兼治卒中
恶，腹胀，口不能言。又治连年积冷，流注心胸痛，并冷肿上气，落马坠车血疾等证，皆
主之。忌口如常法。
乌头赤石脂丸（《金匮》）
蜀椒（一两） 乌头（炮，二钱五分） 附子（炮，半两） 干姜（炮，一两） 赤石脂（二两）
末之，蜜丸如桐子大。先食服一丸，日三服；疾未已，稍加服。
栝蒌薤白半夏汤（《金匮》）
栝蒌实（一枚） 薤白（三两） 白酒（一斗） 半夏（半升）
上同煮至四升，服一升，日三服。
大建中汤（《金匮》）
蜀椒（二合，去汗） 干姜（四两） 人参（二两）
以水四升，煮取二升，去渣，内胶饴一升，微火煎取一升半，分温再服。如一炊顷，
可饮粥二升，后更服。当一日食糜，温覆之。
桂枝生姜枳实汤（《金匮》）
桂枝 生姜（各一两） 枳实（五个）
水六升，煮取三升，分温三服。
藿香正气散（见中风。） 五积散（见中寒。）
扶阳助胃汤 罗谦甫治漕运使崔君长男云卿，年二十五，体本丰肥，奉养高粱，时
有热证，友人劝食寒凉物，因服寒药。至元庚辰秋疟发，医以砒霜等药治之，新汲水下，
禁食热物。疟病未除，反添吐泻，脾胃复伤，中气愈虚，腹痛肠鸣，时复胃脘当心而痛，不
任其苦，屡医未效，至冬不瘥。延至四月间，劳役烦恼过度，前证大作，请予治之。诊视
脉得弦细而微，手足稍冷，面色青黄不泽，情思不乐，恶人烦冗，饮食减少，微饱则心下
痞闷，呕吐酸水，每发作冷汗时出，气促闷乱不安，须人额相抵而坐。少时易之，予思
《内经》云∶中气不足，溲便为之变，肠为之苦鸣；下气不足，则为痿厥心冤。又曰∶寒
气客于肠胃之间，则卒然而痛，得热则已。非甘辛大热之剂，则不能愈，遂制此方。
附子（炮，去皮脐，二钱） 干姜（炮，一钱半） 草豆蔻 益智仁 拣参 甘草（炙） 官桂 白
芍药（各一钱） 吴茱萸 陈皮 白术（各五分）
《内经》曰∶寒淫于内，治以辛热，佐以苦温。附子、干姜大辛热，温中散寒，故以
为君。草豆蔻、益智仁辛甘大热，治客寒犯胃，为佐。脾不足者，以甘补之。炙甘草甘
温，白术、陈皮苦温，补脾养气；水挟木气，亦来侮土，故作急痛，桂辛热以退寒水，芍
药味酸以泻木来克土，吴茱萸苦热泄厥气上逆于胸中，为使。上锉如麻豆大，都作一服，
水二盏，姜三片，枣二枚，同煎至一盏，去渣温服，食前。三服大势去，痛减半。至秋
先灸中脘三七壮，以助胃气。次灸气海百余壮，生发元气，滋荣百脉。以远少丹服之，喜
饮食，添肌肉，皮肤润泽。明年春，灸三里二七壮，乃胃之合穴，亦助胃气，引气下行。
又以芳香助脾，服育气汤加白檀香平治之。戒以惩忿窒欲，慎言语，节饮食，一年而平复。
草豆蔻丸（东垣） 治客寒犯胃，热亦宜用，止可一二服。
草豆蔻（一钱四分，面裹煨热，去皮） 吴茱萸（汤泡去苦） 益智仁 僵蚕（炒。各八分） 当归身
青皮（各六分） 神曲 姜黄（各四分） 生甘草（六分） 桃仁（去皮，七个） 半夏（汤泡七次，一钱） 泽
泻（一钱，小便利减半，一作一分，疑误） 麦 （炒黄，一钱半） 炙甘草（六分） 柴胡（四分，详胁下痛多少
与之） 人参 黄 陈皮（各八分）
上除桃仁另研如泥外，为极细末，同研匀，汤浸炊饼为丸，桐子大，每服三十丸，熟
白汤送下，食远，旋斟酌多少用之。
大柴胡汤（见伤寒往来寒热。） 大承气汤（见伤寒潮热。） 小胃丹（见痰饮。） 浓朴丸（见积聚。）
紫菀丸（见积聚。）
星半安中汤（《统旨》） 治痰积作痛。
南星 半夏（各一钱半，俱姜汤泡） 滑石 香附 枳壳（麸炒） 青皮（醋炒） 木香 苍术（米
泔浸一宿，炒） 砂仁 山栀（炒黑） 茯苓 橘红（各一钱） 甘草（炙，五分）
气攻痛者，去南星、滑石，加浓朴、玄胡索各一钱；痰甚，加白螺狮壳烧灰一钱，临服入。
水二盅，姜三片，煎八分，食前服。
海蛤丸（丹溪） 治痰饮心痛。
海蛤（烧为灰，研极细，过数日火毒散用之） 栝蒌仁（带瓤同研）
上以海蛤入栝蒌内，干湿得所，为丸。每服五十丸。
清中汤（《统旨》） 治火痛。
黄连 山栀（炒。各二钱） 陈皮 茯苓（各一钱半） 半夏（一钱，姜汤泡七次） 草豆蔻仁（捶碎）
甘草（炙，各七分）
水二盅，姜三片，煎八分，食前服。
妙香散（《良方》） 治心气不足，精神恍惚，虚烦少睡，夜多盗汗。常服补益气血，安镇
心神。
山药（姜汁炙） 茯苓（去皮） 茯神（去皮木） 远志（去心，妙） 黄 （各一两） 人参 桔梗（去芦）
甘草（炙。各半两） 木香（煨，二钱半） 辰砂（三钱，另研） 麝香（一钱，另研）
上为细末，每服二钱，不拘时，温酒调下。
加味七气汤（《统旨》） 治七情郁结，心腹痛，或因气而攻痛。
蓬术 青皮 香附（俱米醋炒，各一钱半） 玄胡索（一钱） 姜黄（一钱） 草豆蔻仁（八分） 三
棱（炮七分） 桂心（五分） 益智仁（七分） 陈皮（八分） 藿香（七分） 炙甘草（四分）
水二盅，煎八分，食前服。死血胃脘痛，加桃仁、红花、各一钱。
沉香降气散 正气天香散（并见气。） 桃仁承气汤（见伤寒蓄血。）
失笑散（《经验》） 治妇人心痛气刺不可忍。
五灵脂（净好者） 蒲黄（等分）
上为末，每二钱，用黄醋一杓熬成膏，再入水一盏，煎至七分，热服。
手拈散（《奇效》） 治心脾气痛。
延胡索 五灵脂 草果 没药（各等分）
上为细末，每服三钱，不拘时，温热酒调下。
集效丸 万应丸 煎红丸（三方并见虫。） 乌梅丸（见伤寒蛔厥。）
甘草粉蜜汤（《金匮》）
甘草（二两） 粉（一两） 蜜（四两）
以水三升，先煮甘草，取二升，去渣，纳粉，蜜搅令和，煎如薄粥，温服一升，瘥即止。
五苓散（见伤寒渴。） 参苏饮（见发热。） 二陈汤（见痰饮。） 越鞠丸（见郁。）
温胃汤（东垣） 治服寒药多，致脾胃虚弱，胃脘痛。
白豆蔻（三分） 益智 砂仁 浓朴 甘草 干姜 姜黄（各二分） 黄 陈皮（各七分）
人参 泽泻（各三分）
上为细末，每服三钱，水一盏，煎至半盏，食前温服。
术桂汤（东垣） 治寒热所客，身体沉重，胃脘痛，面色痿黄。
麻黄（一钱） 桂枝（五分） 杏仁（十粒） 草豆蔻仁 半夏 泽泻 炒曲（各五分） 苍术（三钱）
陈皮 白茯苓（各一钱） 猪苓 黄 （各五分） 炙甘草（二分）
水二大盏，煎至一盏，去渣，稍热服，食前。
桂黄散 大承气汤 小建中汤 大柴胡汤（三方，并见《伤寒》。） 胃苓汤（见泄泻。） 理中
汤（见伤寒。） 补中益气汤（见劳倦。） 温中丸（见黄胆。） 大安丸（即保和丸加白术二两，见伤食。） 木
香槟榔丸（见伤食。） 紫雪（见发热。） 小胃丹（见痰饮。） 左金丸（见发热。） 十全大补汤（见虚劳。） 五
膈宽中散（见反胃。） 四七汤（见中气。） 挝脾汤（见呕吐。） 苏子降气汤（见痰饮。） 小半夏茯苓
汤（同上。） 半硫丸（见大便秘。）
附方
拈痛丸（《奇效》，下同） 治九种心痛。
五灵脂 蓬莪术（煨） 木香 当归（各等分）
上为细末，炼蜜和丸，如梧桐子大。每服二十丸，食前，用橘皮煎汤送下。
大沉香丸 治冷气攻冲，心腹刺痛，亦治卒暴心痛。
沉香 干姜（炮） 姜黄 辣桂 檀香（以上各四钱） 甘松（洗，焙） 白芷 天台乌药 甘草
（以上各八两） 香附（一斤） 白豆蔻仁（二两）
上为细末，炼蜜和丸，如弹子大。每服一丸，食前细嚼，用生姜汤下。
沉香降气汤加乳香，治阴阳不和，心腹刺痛。（方见气门。）
灵脂酒 治热气乘心作痛。
五灵脂（去砂石，炒） 玄胡索 没药（炒。各等分）
上为细末，每服二钱，温酒调下。
芜荑散 治大人小儿蛔咬心痛。经云∶虫
贯心则杀人。欲验之，大痛不可忍，或吐青黄绿水涎沫，或吐虫出，发有休止，此是蛔心痛也，宜速疗之。
芜荑 雷丸（各半两） 干漆（捶碎，炒大烟尽，一两）
上为细末，每服三钱，温水七分盏，调和服，不拘时。甚者不过三服。小儿每服半钱。
蚕砂散 治男子妇人心气痛不可忍者。
上用晚蚕砂为末，滚汤泡过，滤清汁服之，不拘时候。
治男妇急心气疼，禁了牙关欲死者，可急救。
上将隔年老葱白三五根，去皮须叶，捣为膏，将病患口斡开，用银铜匙送葱膏入咽
喉中，用香油四两灌送葱膏，油不可少用，但得葱膏下喉中，其人即苏，少时将腹内所停
虫病等物化为黄水，微利为佳，除根永不再发。
《海上方》治一切心痛，不问新久，并宜服之。
上用生地黄，随人所食多少，捣绞取汁，溲面作FS 或冷淘食。良久当利出虫，长一
尺许，头似守宫，后不复患矣。（食冷淘不用盐。）
白螺壳丸（丹溪） 治痰积胃脘作痛。
白螺壳（火煨） 滑石（炒） 苍术 山栀子 红曲（炒） 香附（童便浸） 南星（煨裂，各一两） 枳
壳（麸炒黄） 青皮 木香 半夏 砂仁（各半两） 桃仁（炒，去皮尖，三十枚） 上为末，春加川芎，
夏加黄连，秋冬加吴茱萸，用生姜汁浸蒸并为丸，绿豆大。每服五十丸。
麻黄豆蔻丸（东垣） 治客寒犯胃，心头大痛不可忍。（见腹痛。）
加味枳术丸（《正传》） 治清痰、食积、酒积、茶积、肉积在胃脘，当心而痛，及痞满
恶心，嘈杂嗳气，吞酸吐呕，脾疼等证。
白术（三两） 枳实（麸炒黄色） 苍术（米泔浸三宿，焙） 猪苓（去黑皮） 麦 面（炒黄） 神曲（炒微
黄） 半夏（汤泡透，各一两） 泽泻（去毛） 赤茯苓（去皮） 川芎 黄连（陈壁土炒，去土） 白螺壳（ 。
各七钱） 缩砂仁 草豆蔻 黄芩（陈壁土同炒） 青皮（去白） 莱菔子（炒） 干生姜（各五钱） 陈皮（去
白） 香附米（童便浸） 栝蒌仁 浓朴（姜制炒） 槟榔（各三钱） 木香 甘草（各二钱）
吞酸，加吴茱萸汤泡，寒月五钱，热月二钱半。久病挟虚，加人参、白扁豆、石莲
肉各五钱。时常口吐清水，加炒滑石一两，牡蛎五钱。
上为细末，用青荷叶泡汤，浸晚粳米研粉作糊为丸，如桐子大。每服七十丸，多至
百丸，清米饮送下。
Jinlingzi San (Corydalis Bunge Decoction) (from *Baoming Ji*): Treats heat-jue heart pain, where pain comes and goes, and has persisted for a long time without healing.
Herbs: Jinlingzi (*Chuanlianzi*, 1 liang), Xiansuo (*Yanhusuo*, 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Take 3 qian each time, mixed with wine. After the pain stops, administer Zhizhu Wan (Citrus Aurantium and Atractylodes Macrocephala Pill). (Zhizhu Wan is seen in the "Food Stagnation" chapter.)
Zhu Huang Wan (Boiled Yellow Pill) (from Li Dongyuan's *Jiegu Jiazhen*): Treats abdominal distension and fullness caused by overeating, qi moving pain in the hypochondrium, and stabbing pain from accumulations. It is as effective as a divine remedy.
Herbs: Xionghuang (Realgar, ground, 1 liang), Badou (Croton Seed, 5 qian, peeled and cored, ground into paste).
Preparation and Administration: Mix the above herbs with 2 liang of white flour, grind evenly, add drops of water to form pills the size of paulownia seeds. Boil twelve pills in boiling starch water, filter them out, and place them in cold starch water to cool. When needed, take one pill soaked in the cold drug-infused starch water. Consume all twelve pills within twelve hours of the day, stopping when mild diarrhea occurs; it is not necessary to finish the entire dose.
Ben Tang (Bupleurum Decoction) (Li Dongyuan's formula): Treats severe excess heart pain after bowel movements have already cleared. This formula is suitable to alleviate the pain.
Herbs: Ben (*Chaihu* or *Qinjiao* depending on context, here likely referring to a specific root, 0.5 liang), Cangzhu (Atractylodes Lancea, 1 liang).
Administration: Take 1 liang each time, add 2 zhan of water, decoct until half a zhan remains, and take warm.
Shu Fu Tang (Atractylodes and Aconite Decoction) (from *Huoren Shu*): Treats sudden cold-jue heart pain with a faint pulse and weak qi.
Herbs: Fuzi (Processed Aconite Root, peeled and de-navel, 1 liang), Baizhu (Atractylodes Macrocephala, 4 liang), Gancao (Honey-fried Licorice Root, 1 liang).
Preparation and Administration: Coarsely crush the herbs. Take 3 qian each time, add 1.5 zhan of water, 5 slices of ginger, and 1 jujube. Decoct until 1 zhan remains, remove dregs, and take warm before meals.
Mahuang Guizhi Tang (Ephedra and Cinnamon Twig Decoction) (from *Sanyin Fang*): Treats external-cause heart pain accompanied by aversion to cold and fever, pathogenic factors attacking the five zang organs internally, and stiffness preventing turning or side-moving.
Herbs: Mahuang (Ephedra Stem, de-jointed, soaked in hot water, dried), Guixin (Cinnamon Bark), Shaoyao (Peony Root), Xixin (Asarum, de-seeds), Ganjiang (Dried Ginger), Gancao (Honey-fried Licorice Root, each 7.5 qian), Banxia (Pinellia Tuber), Xiangfu (Cyperus Rhizome, each 5 qian).
Administration: Take 5 qian each time, add 1.5 zhan of water and 5 slices of ginger. Decoct until 70% remains, remove dregs, and take before meals. If constipation exists, add Dahuang (Rhubarb Root and Rhizome), adjusting dosage according to deficiency or excess.
Jiu Tong Wan (Nine Pain Pill) (from *Jingui Yaolue*): Treats nine types of heart pain.
Herbs: Fuzi (Processed Aconite Root, 2 liang), Sheng Yelangya (Raw Wild Wolf-tooth Herb, roasted until fragrant), Badou (Croton Seed, peeled and cored, fried, ground like fat, each 0.5 liang), Renshen (Ginseng Root), Ganjiang (Dried Ginger), Wuzhuyu (Evodia Fruit, each 1 liang).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take with wine. Strong individuals start with 3 pills, three times daily; weak individuals take 2 pills. Also treats sudden evil attack, abdominal distension, and inability to speak. Treats chronic accumulated cold flowing into the chest and heart causing pain, cold swelling with upward qi rebellion, blood disorders from falling from horses or carts, etc. Observe usual dietary restrictions.
Wutou Chishizhi Wan (Aconite and Halloysit Rubra Pill) (from *Jingui Yaolue*)
Herbs: Shujiao (Sichuan Pepper, 1 liang), Wutou (Aconite Lateral Root, processed, 2.5 qian), Fuzi (Processed Aconite Root, 0.5 liang), Ganjiang (Dried Ginger, processed, 1 liang), Chishizhi (Halloysit Rubra, 2 liang).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of paulownia seeds. Take one pill before meals, three times daily. If the disease persists, slightly increase the dose.
Gualou Xiebai Banxia Tang (Trichosanthes Fruit, Allium Macrostemon, and Pinellia Decoction) (from *Jingui Yaolue*)
Herbs: Gualoushi (Trichosanthes Fruit, 1 piece), Xiebai (Allium Macrostemon Bulb, 3 liang), Baijiu (White Wine, 1 dou), Banxia (Pinellia Tuber, 0.5 sheng).
Preparation and Administration: Decoct together until 4 sheng remain. Take 1 sheng each time, three times daily.
Da Jianzhong Tang (Major Construct the Middle Decoction) (from *Jingui Yaolue*)
Herbs: Shujiao (Sichuan Pepper, 2 he, de-sweat), Ganjiang (Dried Ginger, 4 liang), Renshen (Ginseng Root, 2 liang).
Preparation and Administration: Add 4 sheng of water, decoct to obtain 2 sheng, remove dregs, add 1 sheng of Glucinum (Maltose), and simmer gently to obtain 1.5 sheng. Divide into two warm doses. About the time of one meal, drink 2 sheng of congee, then continue taking the medicine. Maintain a diet of soft rice porridge for one day and keep warm.
Guizhi Shengjiang Zhishi Tang (Cinnamon Twig, Fresh Ginger, and Immature Bitter Orange Decoction) (from *Jingui Yaolue*)
Herbs: Guizhi (Cinnamon Twig), Shengjiang (Fresh Ginger, each 1 liang), Zhishi (Immature Bitter Orange, 5 pieces).
Preparation and Administration: Add 6 sheng of water, decoct to obtain 3 sheng. Divide into three warm doses.
Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) (see "Stroke" chapter), Wuji San (Five Accumulations Powder) (see "Cold Damage").
Fuyang Zhuwei Tang (Yang-Supporting and Stomach-Assisting Decoction): Luo Qianfu treated Cui Yunqing, eldest son of the Transport Commissioner. The patient was 25 years old, originally robust and plump, accustomed to rich food, often presenting heat signs. Friends advised eating cold foods, so he took cold medicines. In autumn of the Gengchen year, malaria occurred. Doctors treated him with arsenic and other drugs, administered with fresh cold water, and prohibited hot foods. The malaria did not resolve; instead, vomiting and diarrhea were added, further injuring the spleen and stomach, weakening middle qi. Abdominal pain and borborygmus occurred, along with frequent pain in the epigastrium corresponding to the heart, unbearable in suffering. Multiple treatments failed, and by winter, there was no improvement. By April, due to excessive labor and worry, the previous symptoms worsened significantly. Upon examination, the pulse was wiry, thin, and faint; hands and feet were slightly cold; complexion was greenish-yellow and dull; mood was depressed, aversive to people and noise; appetite decreased; slight fullness caused subcardiac stuffiness; sour fluid was vomited; cold sweat appeared during attacks; breathing was rapid and chaotic with anxiety, requiring leaning forehead-to-forehead with someone. I reflected on the *Neijing*: "Deficiency of middle qi leads to changes in urination and defecation, and intestinal borborygmus; deficiency of lower qi leads to flaccidity, jue, and heart oppression." It also states: "When cold qi lodges between the stomach and intestines, sudden pain occurs, which resolves with warmth." Only sweet, pungent, and greatly hot agents can cure this, so this formula was prepared.
Herbs: Fuzi (Processed Aconite Root, peeled and de-navel, 2 qian), Ganjiang (Dried Ginger, processed, 1.5 qian), Caodoukou (Black Cardamom Seed), Yizhiren (Alpinia Oxyphylla Fruit), Jianshen (Selected Ginseng Root), Gancao (Honey-fried Licorice Root), Guanzi Gui (Cassia Bark), Baishaoyao (White Peony Root, each 1 qian), Wuzhuyu (Evodia Fruit), Chenpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala, each 0.5 qian).
Formula Analysis: The *Neijing* states: "For cold invading internally, treat with pungent-hot substances, assisted by bitter-warm ones." Fuzi and Ganjiang are greatly pungent and hot, warming the middle and dispersing cold, thus serving as Sovereign herbs. Caodoukou and Yizhiren are pungent, sweet, and greatly hot, treating guest-cold invading the stomach, serving as Minister herbs. For spleen insufficiency, tonify with sweet flavors. Honey-fried Gancao is sweet and warm; Baizhu and Chenpi are bitter and warm, tonifying the spleen and nourishing qi. Water qi carrying wood qi may insult earth, causing acute pain. Guizhi is pungent and hot to dispel cold water; Shaoyao is sour to drain wood qi that overacts on earth; Wuzhuyu is bitter and hot to vent rebellious jue qi ascending to the chest, serving as Envoy herbs. Crush herbs to the size of hemp seeds. Combine as one dose, add 2 zhan of water, 3 slices of ginger, and 2 jujubes. Decoct to 1 zhan, remove dregs, take warm before meals. After three doses, the major condition subsided, and pain halved. In autumn, moxa-foxilate the Zhongwan point (37 moxa cones) to assist stomach qi. Then moxa-foxilate the Qihai point (over 100 cones) to generate yuan qi and nourish the hundred vessels. Administer Yuanshao Dan to improve appetite, build muscle, and moisten skin. In spring of the next year, moxa-foxilate the Zusanli point (14 cones), the He-sea point of the Stomach, to assist stomach qi and guide qi downward. Use aromatic herbs to assist the spleen, administering Yuqi Tang with added Baitanxiang (Sandalwood) for balanced treatment. Advised to restrain anger, curb desires, guard speech, and regulate diet. Recovered completely after one year.
Caodoukou Wan (Cardamom Pill) (Li Dongyuan's formula): Treats guest-cold invading the stomach; suitable even if heat is present, but only for one or two doses.
Herbs: Caodoukou (Black Cardamom Seed, 1.4 qian, wrapped in flour, roasted hot, peeled), Wuzhuyu (Evodia Fruit, soaked in hot water to remove bitterness), Yizhiren (Alpinia Oxyphylla Fruit), Jiangcan (Silkworm, fried, each 0.8 qian), Dangguishen (Angelica Sinensis Root Body), Qingpi (Green Tangerine Peel, each 0.6 qian), Shenqu (Medicated Leaven), Jianghuang (Turmeric Rhizome, each 0.4 qian), Sheng Gancao (Raw Licorice Root, 0.6 qian), Taoren (Peach Kernel, peeled, 7 pieces), Banxia (Pinellia Tuber, soaked in hot water seven times, 1 qian), Zexie (Alisma Rhizome, 1 qian; reduce by half if urination is clear, or 0.1 qian, suspected error), Mai (Wheat Bran, fried yellow, 1.5 qian), Zhi Gancao (Honey-fried Licorice Root, 0.6 qian), Chaihu (Bupleurum Root, 0.4 qian, adjust based on hypochondriac pain), Renshen (Ginseng Root), Huangqi (Astragalus Root), Chenpi (Tangerine Peel, each 0.8 qian).
Preparation and Administration: Except for Taoren which is ground separately into paste, grind the rest into extremely fine powder, mix evenly, and form pills using steamed dough soaked in hot water, size of paulownia seeds. Take 30 pills each time, delivered with cooked white water, well after meals, adjusting dosage as needed.
Da Chaihu Tang (Major Bupleurum Decoction) (see "Shaoyang Syndrome Alternating Cold and Fever"), Dachengqi Tang (Major Order the Qi Decoction) (see "Shaoyang Tide Fever"), Xiaowei Dan (Minor Stomach Pill) (see "Phlegm-Fluids"), Nongpu Wan (Magnolia Bark Pill) (see "Accumulation"), Ziwan Wan (Kadsura Pill) (see "Accumulation").
Xingban Anzhong Tang (Arisaema and Pinellia Stabilizing Middle Decoction) (from *Tongzhi Fang*): Treats pain caused by phlegm accumulation.
Herbs: Nanxing (Arisaema Cum Bile), Banxia (Pinellia Tuber, each 1.5 qian, both soaked in ginger juice), Huashi (Talcum), Xiangfu (Cyperus Rhizome), Zhike (Immature Bitter Orange, bran-fried), Qingpi (Green Tangerine Peel, vinegar-fried), Muxiang (Vladimiria Root), Cangzhu (Atractylodes Lancea, soaked in rice wash overnight, fried), Sharen (Black Cardamom Seed), Shan Zhi (Gardenia Fruit, fried black), Fuling (Poria), Juhong (Red Tangerine Peel, each 1 qian), Gancao (Honey-fried Licorice Root, 0.5 qian).
Modifications: For qi-attacking pain, remove Nanxing and Huashi, add Nongpu (Magnolia Bark) and Yanhusuo (Corydalis Rhizome) 1 qian each. For severe phlegm, add 1 qian of calcined White Luoke (Concha Meretricis) at administration.
Administration: Add 2 zhong of water and 3 slices of ginger, decoct to 0.8 zhong, take before meals.
Haige Wan (Clam Pill) (Zhu Danxi's formula): Treats heart pain due to phlegm-fluids.
Herbs: Haige (Clam Shell, burned to ash, ground extremely fine, left for several days to dissipate fire toxicity), Gualouren (Trichosanthes Seed, ground with pulp).
Preparation and Administration: Place Haige inside Gualou, adjust moisture content appropriately, and form pills. Take 50 pills each time.
Qingzhong Tang (Clearing Middle Decoction) (from *Tongzhi Fang*): Treats fire pain.
Herbs: Huanglian (Coptis Rhizome), Shan Zhi (Gardenia Fruit, fried, each 2 qian), Chenpi (Tangerine Peel), Fuling (Poria, each 1.5 qian), Banxia (Pinellia Tuber, 1 qian, soaked in ginger juice seven times), Caodoukou Ren (Black Cardamom Seed, crushed), Gancao (Honey-fried Licorice Root, each 0.7 qian).
Administration: Add 2 zhong of water and 3 slices of ginger, decoct to 0.8 zhong, take before meals.
Miaoxin San (Wonderful Spirit Powder) (from *Liangfang*): Treats heart qi deficiency, mental vagueness, empty irritability with insomnia, and night sweats. Regular use tonifies qi and blood, calms and anchors the mind spirit.
Herbs: Shanyao (Chinese Yam, fried in ginger juice), Fuling (Poria, peeled), Fushen (Poria with Hostwood, peeled wood), Yuanzhi (Polygala Root, de-heart, fried), Huangqi (Astragalus Root, each 1 liang), Renshen (Ginseng Root), Jiegeng (Platycodon Root, de-bud), Gancao (Honey-fried Licorice Root, each 0.5 liang), Muxiang (Vladimiria Root, roasted, 2.5 qian), Chen Sha (Cinnabar, 3 qian, ground separately), Shexiang (Musk, 1 qian, ground separately).
Preparation and Administration: Grind into fine powder. Take 2 qian each time, anytime, mixed with warm wine.
Jiawei Qiqi Tang (Modified Seven-Qi Decoction) (from *Tongzhi Fang*): Treats emotional stagnation, heart and abdominal pain, or pain attacking due to qi.
Herbs: Pengzhu (Curcuma Zedoaria Rhizome), Qingpi (Green Tangerine Peel), Xiangfu (Cyperus Rhizome, all fried in rice vinegar, each 1.5 qian), Yanhusuo (Corydalis Rhizome, 1 qian), Jianghuang (Turmeric Rhizome, 1 qian), Caodoukou Ren (Black Cardamom Seed, 0.8 qian), Sanleng (Sparganium Rhizome, processed 0.7 qian), Guixin (Cinnamon Bark, 0.5 qian), Yizhiren (Alpinia Oxyphylla Fruit, 0.7 qian), Chenpi (Tangerine Peel, 0.8 qian), Huoxiang (Patchouli Herb, 0.7 qian), Zhi Gancao (Honey-fried Licorice Root, 0.4 qian).
Administration: Add 2 zhong of water, decoct to 0.8 zhong, take before meals. For fixed blood epigastric pain, add Taoren (Peach Kernel) and Honghua (Carthamus Flower) 1 qian each.
Chenxiang Jiangqi San (Aquilaria Descending Qi Powder), Zhengqi Tianxiang San (Upright Qi Heavenly Fragrance Powder) (both see "Qi"), Tao Ren Chengqi Tang (Peach Kernel Order the Qi Decoction) (see "Shaoyang Blood Stasis").
Shixiao San (Pain-Stopping Powder) (from *Jingyan Fang*): Treats women's heart pain with stabbing sensation, unbearable.
Herbs: Wulingzhi (Trogopterus Dung, clean and good quality), Puhuang (Lygodium Spore, equal parts).
Preparation and Administration: Grind into powder. Take 2 qian each time, boil with one ladle of yellow vinegar into a paste, add 1 zhan of water, decoct to 0.7 zhan, take hot.
Shounian San (Hand-Picking Powder) (from *Qixiao Liangfang*): Treats heart and spleen qi pain.
Herbs: Yanhusuo (Corydalis Rhizome), Wulingzhi (Trogopterus Dung), Caoguo (Black Cardamom Fruit), Moyao (Myrrh, equal parts).
Preparation and Administration: Grind into fine powder. Take 3 qian each time, anytime, mixed with warm wine.
Jixiao Wan (Effect-Accumulating Pill), Wanying Wan (Ten-Thousand-Response Pill), Jianhong Wan (Boiled Red Pill) (all three see "Parasites"), Wumei Wan (Mume Pill) (see "Shaoyang Ascaris Jue").
Gancao Fenmi Tang (Licorice, Flour, and Honey Decoction) (from *Jingui Yaolue*)
Herbs: Gancao (Licorice Root, 2 liang), Fen (Flour/Starch, 1 liang), Mi (Honey, 4 liang).
Preparation and Administration: Add 3 sheng of water, first decoct Gancao to obtain 2 sheng, remove dregs, add Fen and Mi, stir and mix, decoct until thick like thin porridge. Take 1 sheng warm. Stop when cured.
Wuling San (Five-Ingredient Powder with Poria) (see "Shaoyang Thirst"), Rensu Yin (Ginseng and Perilla Drink) (see "Fever"), Erchen Tang (Two-Aged Decoction) (see "Phlegm-Fluids"), Yueju Wan (Resolve Depression Pill) (see "Depression").
Weiwetang (Stomach-Warming Decoction) (Li Dongyuan's formula): Treats stomach-epigastric pain caused by excessive intake of cold medicines leading to spleen-stomach weakness.
Herbs: Baidoukou (White Cardamom Seed, 0.3 qian), Yizhi (Alpinia Oxyphylla Fruit), Sharen (Black Cardamom Seed), Nongpu (Magnolia Bark), Gancao (Licorice Root), Ganjiang (Dried Ginger), Jianghuang (Turmeric Rhizome, each 0.2 qian), Huangqi (Astragalus Root), Chenpi (Tangerine Peel, each 0.7 qian), Renshen (Ginseng Root), Zexie (Alisma Rhizome, each 0.3 qian).
Preparation and Administration: Grind into fine powder. Take 3 qian each time, add 1 zhan of water, decoct to 0.5 zhan, take warm before meals.
Shugui Tang (Atractylodes and Cinnamon Decoction) (Li Dongyuan's formula): Treats body heaviness, epigastric pain, and sallow complexion due to invasion of cold and heat pathogens.
Herbs: Mahuang (Ephedra Stem, 1 qian), Guizhi (Cinnamon Twig, 0.5 qian), Xingren (Apricot Seed, 10 grains), Caodoukou Ren (Black Cardamom Seed), Banxia (Pinellia Tuber), Zexie (Alisma Rhizome), Chao Qu (Fried Medicated Leaven, each 0.5 qian), Cangzhu (Atractylodes Lancea, 3 qian), Chenpi (Tangerine Peel), Baifuling (White Poria, each 1 qian), Zhuling (Polyporus, Huangqi (Astragalus Root), each 0.5 qian), Zhi Gancao (Honey-fried Licorice Root, 0.2 qian).
Administration: Add 2 large zhan of water, decoct to 1 zhan, remove dregs, take slightly warm before meals.
Guihuang San (Cinnamon and Astragalus Powder), Dachengqi Tang (Major Order the Qi Decoction), Xiaojianzhong Tang (Minor Construct the Middle Decoction), Da Chaihu Tang (Major Bupleurum Decoction) (all three see *Shanghan Lun*), Weiling Tang (Stomach and Pingwater Decoction) (see "Diarrhea"), Lizhong Tang (Regulate the Middle Decoction) (see "Shaoyang"), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see "Fatigue"), Wenzhong Wan (Warm the Middle Pill) (see "Jaundice"), Da'an Wan (Great Peace Pill, i.e., Baohe Wan plus 2 liang Baizhu) (see "Food Stagnation"), Muxiang Binglang Wan (Vladimiria and Areca Nut Pill) (see "Food Stagnation"), Zixue (Purple Snow) (see "Fever"), Xiaowei Dan (Minor Stomach Pill) (see "Phlegm-Fluids"), Zuojin Wan (Left Metal Pill) (see "Fever"), Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) (see "Consumption"), Wuge Kuanzhong San (Five Diaphragms Widening Middle Powder) (see "Regurgitation"), Siqi Tang (Four-Qi Decoction) (see "Middle Qi"), Zhuapi Tang (Beating Spleen Decoction) (see "Vomiting"), Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction) (see "Phlegm-Fluids"), Xiaobanxia Fuling Tang (Minor Pinellia and Poria Decoction) (same as above), Banshen Wan (Pinellia and Semen Brunoniae Pill) (see "Constipation").
Supplementary Formulas:
Niantong Wan (Pain-Relieving Pill) (from *Qixiao Liangfang*, same below): Treats nine types of heart pain.
Herbs: Wulingzhi (Trogopterus Dung), Peng'e Zhu (Curcuma Zedoaria Rhizome, roasted), Muxiang (Vladimiria Root), Danggui (Angelica Sinensis Root, equal parts).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills before meals, delivered with tangerine peel decoction.
Da Chenxiang Wan (Major Aquilaria Pill): Treats cold qi attacking and rushing, stabbing pain in heart and abdomen, and also treats sudden violent heart pain.
Herbs: Chenxiang (Aquilaria Wood), Ganjiang (Dried Ginger, processed), Jianghuang (Turmeric Rhizome), Lagui (Hot Cinnamon), Tanxiang (Sandalwood, each 4 qian), Gansong (Nardostachys Root, washed and dried), Baizhi (Angelica Dahurica Root), Tiantai Youdao (Tiantai Cyperus), Gancao (Licorice Root, each 8 liang), Xiangfu (Cyperus Rhizome, 1 jin), Baidoukou Ren (White Cardamom Seed, 2 liang).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill before meals, chew slowly, delivered with ginger soup.
Chenxiang Jiangqi Tang with Rushi (Myrrh): Treats yin-yang disharmony, stabbing pain in heart and abdomen. (Formula see "Qi Gate".)
Lingzhi Jiu (Trogopterus Wine): Treats pain caused by heat qi invading the heart.
Herbs: Wulingzhi (Trogopterus Dung, de-gravel, fried), Yanhusuo (Corydalis Rhizome), Moyao (Myrrh, fried, equal parts).
Preparation and Administration: Grind into fine powder. Take 2 qian each time, mixed with warm wine.
Wuyi San (Canarium Powder): Treats adult and pediatric heart pain caused by roundworm biting. Classics state: "If worms penetrate the heart, death ensues." To verify: Unbearable severe pain, or vomiting of green/yellow watery saliva, or vomiting worms, with paroxysmal attacks. This is worm heart pain; treat urgently.
Herbs: Wuyi (Canarium Seed), Leiwan (Polyporus Umbellatus, each 0.5 liang), Ganxi (Dried Resin of Toxicodendron, crushed, fried until smoke ceases, 1 liang).
Preparation and Administration: Grind into fine powder. Take 3 qian each time, mixed with 0.7 zhan of warm water, anytime. Severe cases require no more than three doses. Children take 0.5 qian each time.
Cansha San (Mulberry Silkworm Faeces Powder): Treats unbearable heart qi pain in men and women.
Administration: Use late-season mulberry silkworm faeces as powder, soak in boiling water, filter clear juice, and take, anytime.
Emergency Treatment for Acute Heart Qi Pain in Men and Women with Locked Jaw and Approaching Death:
Administration: Take 3-5 roots of old scallion whites from the previous year, peel off skins, roots, and leaves, pound into paste. Pry open the patient's mouth, use a silver/copper spoon to deliver the scallion paste into the throat. Pour 4 liang of sesame oil to help swallow the paste. Do not use less oil. Once the paste enters the throat, the patient will revive. Soon, parasites and stagnant matter in the abdomen will transform into yellow water, with mild diarrhea being ideal, eliminating the root cause permanently.
*Haishang Fang* treats all heart pain, regardless of new or old, and recommends taking this.
Administration: Use fresh Rehmannia Root, amount depending on food intake, pound and squeeze to extract juice. Use this juice to knead dough to make noodles or cold rinsed noodles. After a while, worms approximately one chi long with heads resembling geckos will be passed in stool, and the disease will not recur. (Do not use salt with cold rinsed noodles.)
Bailuoke Wan (Concha Meretricis Pill) (Zhu Danxi's formula): Treats epigastric pain caused by phlegm accumulation.
Herbs: Bailuoke (Concha Meretricis, fire-roasted), Huashi (Talcum, fried), Cangzhu (Atractylodes Lancea), Shan Zhizi (Gardenia Fruit), Hongqu (Red Yeast Rice, fried), Xiangfu (Cyperus Rhizome, soaked in child's urine), Nanxing (Arisaema Cum Bile, roasted until cracked, each 1 liang), Zhike (Immature Bitter Orange, bran-fried yellow), Qingpi (Green Tangerine Peel), Muxiang (Vladimiria Root), Banxia (Pinellia Tuber), Sharen (Black Cardamom Seed, each 0.5 liang), Taoren (Peach Kernel, fried, peeled and de-pitted, 30 pieces).
Preparation and Administration: Grind into powder. Add Chuanxiong (Sichuan Lovage Rhizome) in spring, Huanglian (Coptis Rhizome) in summer, Wuzhuyu (Evodia Fruit) in autumn/winter. Soak/steam in ginger juice and form pills the size of mung beans. Take 50 pills each time.
Mahuang Doukou Wan (Ephedra and Cardamom Pill) (Li Dongyuan's formula): Treats severe, unbearable heart pain due to guest-cold invading the stomach. (See "Abdominal Pain" chapter.)
Jiawei Zhizhu Wan (Modified Citrus Aurantium and Atractylodes Pill) (from *Zhengchuan*): Treats clear phlegm, food stagnation, wine stagnation, tea stagnation, meat stagnation in the epigastrium causing pain corresponding to the heart, as well as stuffiness, nausea, acid regurgitation, belching, vomiting, and spleen pain.
Herbs: Baizhu (Atractylodes Macrocephala, 3 liang), Zhishi (Immature Bitter Orange, bran-fried yellow), Cangzhu (Atractylodes Lancea, soaked in rice wash three nights, dried), Zhuling (Polyporus, de-black skin), Mai Mian (Wheat Flour, fried yellow), Shenqu (Medicated Leaven, fried light yellow), Banxia (Pinellia Tuber, thoroughly soaked in hot water, each 1 liang), Zexie (Alisma Rhizome, de-hairs), Chi Fuling (Red Poria, peeled), Chuanxiong (Sichuan Lovage Rhizome), Huanglian (Coptis Rhizome, fried with old wall soil, de-soil), Bailuoke (Concha Meretricis, calcined, each 7 qian), Suosharen (Amomum Fructus), Caodoukou (Black Cardamom Seed), Huangqin (Scutellaria Root, fried with old wall soil), Qingpi (Green Tangerine Peel, de-white), Laifuzi (Radish Seed, fried), Gan Shengjiang (Dried Fresh Ginger, each 5 qian), Chenpi (Tangerine Peel, de-white), Xiangfumii (Cyperus Rhizome, soaked in child's urine), Gualouren (Trichosanthes Seed), Nongpu (Magnolia Bark, ginger-processed fried), Binglang (Areca Nut, each 3 qian), Muxiang (Vladimiria Root), Gancao (Licorice Root, each 2 qian).
Modifications: For acid regurgitation, add Wuzhuyu (Evodia Fruit) soaked in hot water: 5 qian in cold months, 2.5 qian in hot months. For chronic disease with deficiency, add Renshen (Ginseng Root), Baibian Dou (White Hyacinth Bean), and Shilian Rou (Lotus Seed Endocarp) 5 qian each. For frequent spitting of clear water, add fried Huashi (Talcum) 1 liang and Muli (Oyster Shell) 5 qian.
Preparation and Administration: Grind into fine powder. Use green lotus leaf soaked water to soak late japonica rice, grind into powder to make paste for forming pills, size of paulownia seeds. Take 70 pills each time, up to 100 pills, delivered with clear rice drink.