夫痛者，经脉流行不止，环周不休，寒气入经而稽迟，血泣凝而不行，客于脉外血少，
客于脉中气不通，故卒然而痛。其痛或卒然而止，或痛甚而不休，或痛甚不可按，或按之而痛
止，或按之而无益，或痛喘动应手，或心与背相引而痛，或胁肋相引而痛，或腹痛引阴股，
或痛宿昔而成积，或卒然而痛，死不知人，而少间复生，或痛而闭不通者，诸痛各不同形。
经曰∶寒气客于脉外则脉寒，脉寒则蜷缩，蜷缩则脉绌（音督）。急，脉绌急则外引小络，
卫气不得流通，故卒然而痛，得热则痛止。寒气客于经脉之中，与炅气相薄则脉满，满则
血气乱，故痛而不可按。寒气客于肠胃之间，膜原之下，血不得散，小络急引，故痛。按之
血气散，痛乃止也。胁肋痛者，寒气客于厥阴之脉也。背与心相引痛者，寒气客于背俞之脉，注
于心，相引痛。寒气客于阴股，血泣在小腹，相引痛。卒然痛死者，寒气客于五脏，厥逆
上壅，阴气竭，阳气未入，故卒然痛死。气复反则生矣。
视其五色，黄赤为热，白青则为寒，青黑为痛。经曰∶感虚则陷下，其留于肋骨之间，
寒多则筋挛骨痛，热则筋弛肉消。但痛痒疮疡痈痛肿而聚者，皆属心火热也，不可一例伤寒。
凡治痛者，先察本，次明经络皮部虚实，用药无误矣。
辰砂一粒丹 治一切厥心痛，小肠膀胱痛不可止者。
附子（一两，炮） 郁金 橘红（等附子，停用）
上为末，醋面糊为丸，如酸枣大，以朱砂为衣，每服一丸，男子酒下，妇人醋汤下。
服罢又服散子。
神圣代针散 治一切心痛不可忍者，心惊欲死者，小肠气搐得如角弓，膀胱肿硬，一
切气刺虚痛，并妇人血癖、血迷、血晕、血刺、血冲心，胎衣不下，难产。但一切痛疾，服之大
有神效。只是要详疾证用药。
乳香 没药 当归 香白芷 川芎（各半两） 元青（一两，去翅足）
上为细末，更研，每服一字，病甚者半钱，先点好茶一盏，次掺药末在茶上，不得吹
搅，立地细细急呷之。
茴香丸 治男子妇人脐腹疼痛刺胸膈，不止者。
茴香（炒） 良姜 官桂（各半两） 苍术（一两，米泔浸）
上为末，酒煮面糊和丸，如桐子大，每服十丸，生姜汤下。
趁痛丸 治一切走注疼痛，妇人经脉住滞，水肿腹胀。
甘遂 大戟 芫花 黄牵牛（各等分）
上为末，以荞面同末和作饼子，扦，切为棋子，煮熟服之，得利为度，每服一钱。
加减相虚实。
六合散 治一切燥结，汗后余热，宣转不通。（亦名密钥匙散。）并治小肠气结，心腹
满，胸中结痞，走疰疼痛。
大黄（一两，纸裹煨） 白牵牛（半两，生） 黑牵牛（微炒） 甘遂（各半两）
槟榔（三钱，生） 轻粉（一钱）
上为细末，每服一钱，蜜水调下服。量虚实加减。
定痛丸 治打扑损伤，筋骨疼痛等。
乳香（一分） 川椒 当归 没药 赤芍药 川芎 自然铜 蒴 根（以上各半两）
上为末，熔蜡为丸，如弹子大，细嚼，酒下一丸。骨碎者，先用竹夹夹定，三五日，
依旧小可与服。如打扑骨损者，先整骨定，用竹夹夹定，然后先用好酒下麻黄三钱，然后
服药。
香壳散 治小肠气，脐腹搅痛急，阴股中疼闷，不省人事。
舶上茴香（用盐炒） 枳壳（各一两） 没药（半两）
上为末，每服一钱，温热酒下，不计时候，并二三服。
金针丸（亦名陆神丸。） 治阳绝痞气，心腹痛不可忍者。
丁香 木香 乳香 阿魏 轻粉 骨碎补（去毛） 槟榔 官桂 桂心 巴豆（去皮）
杏仁（去皮） 锻石末 肉豆蔻 阳起石 朱砂（各等分）
上为细末，水面糊为丸，如小豆大，每服一丸，针穿作孔子，小油内滚过，灯焰内
燎遍，于油中蘸死，嚼，生姜汤下，不计时候，日三服。虚实加减。
一粒金丹 治腰膝走注疼痛如虎啮。
草乌头 五灵脂（各一斤） 木鳖子（四两） 白胶香（半斤） 地龙（四两，去土，炒）
细墨（一两） 乳香（一两） 当归（二两，焙） 没药（二两） 麝香（一钱）
上为末，再研一千下，糯米面糊和丸，每服一丸至二丸，温酒下。吃药罢，遍身微汗。
神验！
没药散 治一切心腹疼痛不可忍者。
没药（乳香别研） 乳香（各三钱） 穿山甲（三钱，炙） 木鳖子（四钱）
上为细末，每服半钱、一钱，酒大半盏，同煎，温服，不计时候。
Pain arises because the flow of Qi and blood in the meridians is ceaseless, circulating around the body without rest. When cold pathogen enters the meridians, it causes stagnation and delay; the blood becomes congealed and fails to circulate. If the cold pathogen lodges outside the vessels, there is a deficiency of blood; if it lodges inside the vessels, there is an obstruction of Qi. Thus, pain occurs suddenly. This pain may stop suddenly, or be severe and unceasing; it may be so severe that it cannot be pressed, or pressing may relieve it, or pressing may have no effect; the pulse may throb rapidly at the site of pain; there may be mutual traction causing pain between the heart and the back, or between the hypochondrium and ribs, or abdominal pain radiating to the inner thigh; pain may persist for days and form accumulations; sudden severe pain may cause loss of consciousness, followed by recovery after a short interval; or pain may be accompanied by constipation. The manifestations of various pains are different.
The Classics state: "When cold pathogen lodges outside the vessels, the vessels become cold; when cold, they contract; when contracted, the vessels become crimped (crimped implies tension). Vessel tension externally pulls on the small collaterals, preventing the free flow of Wei Qi, thus causing sudden pain, which ceases upon receiving warmth." When cold pathogen lodges within the meridians and contends with heat Qi, the vessels become full; fullness leads to chaotic Qi and blood, causing pain that cannot be pressed. When cold pathogen lodges between the stomach and intestines, below the membrane source, blood cannot disperse, and small collaterals contract and pull, causing pain. Pressing allows the Qi and blood to disperse, and the pain stops. Hypochondriac pain is caused by cold pathogen lodging in the Jueyin meridians. Mutual traction pain between the back and the heart is caused by cold pathogen lodging in the Back-Shu point meridians, connecting to the heart. Pain radiating from the lower abdomen to the inner thighs is caused by cold pathogen lodging in the lower abdomen with congealed blood. Sudden death from pain is caused by cold pathogen lodging in the Zang organs, leading to rebellious Qi blocking upwards, exhaustion of Yin Qi, and failure of Yang Qi to enter; thus, sudden pain and death occur. If Qi returns, life is preserved.
Observing the five colors of the face: yellow and red indicate heat; white and blue/green indicate cold; blue/green and black indicate pain. The Classics state: "Deficiency allows pathogens to sink and lodge; if they remain between the ribs, excessive cold causes tendon spasms and bone pain, while excessive heat causes flaccid tendons and emaciated flesh." All conditions involving pain, itching, sores, ulcers, carbuncles, and swelling belong to Heart Fire blazing and should not be uniformly treated as Cold Damage (Shanghan). In treating pain, one must first examine the root cause, then clarify the excess or deficiency of the meridians and skin regions; only then will medication be accurate.
Chensha Yili Dan (Cinnabar One-Pill Pill): Treats all types of Jue Xin Tong (Jue Cold-Damage Heart Pain) and unremitting pain of the Small Intestine and Bladder.
Fuzi (Prepared Aconite Root, 1 liang), Yujin (Curcuma Rhizome), Juhong (Tangerine Red Peel, same dosage as Fuzi, optional).
Grind into powder, mix with vinegar and wheat paste to make pills the size of sour jujube seeds, coated with Zhusha (Cinnabaris). Take one pill per dose; men take with wine, women take with vinegar decoction. After taking the pills, follow with the powder.
Shenming Daizhen San (Divine Spirit Needle-Replacing Powder): Treats unbearable heart pain, palpitations with fear of death, Small Intestine Qi spasms resembling opisthotonos, swollen and hard bladder, all types of Qi-stabbing deficiency pain, and women's Xue Pi (Blood Stasis), Xue Mi (Blood Confusion), Xue Yun (Blood Syncope), Xue Ci (Blood Stabbing), Xue Chong Xin (Blood Rushing to Heart), retained placenta, and difficult labor. It is effective for all painful diseases, provided the syndrome is carefully differentiated.
Ruxiang (Frankincense), Moyao (Myrrh), Danggui (Angelica Sinensis), Xiang Baizhi (Angelica Dahurica), Chuanxiong (Ligusticum Chuanxiong) (each 0.5 liang); Yuanqing (Indigo Naturalis, 1 liang, remove wings and feet).
Grind into fine powder and further triturate. Take 1 zi (approx. 0.3-0.5g) per dose, or 0.5 qian (approx. 1.5-2g) for severe cases. Brew a cup of good tea, sprinkle the powder on top, do not stir, and drink quickly and finely.
Huixiang Wan (Fennel Pill): Treats umbilical and abdominal pain radiating to the chest and diaphragm in men and women, refractory cases.
Huixiang (Stir-fried Fennel Fruit), Liangjiang (Galangal Rhizome), Guanzi Gui (Cassia Twig) (each 0.5 liang); Cangzhu (Atractylodes Rhizome, 1 liang, soaked in rice wash water).
Grind into powder, mix with wine-boiled wheat paste to make pills the size of paulownia seeds. Take 10 pills per dose with ginger decoction.
Chentong Wan (Pain-Chasing Pill): Treats all wandering pains, menstrual stagnation in women, edema, and abdominal distension.
Gansui (Kansui Root), Daji (Euphorbia Lathyris Root), Yuanhua (Genkwa Flower), Huang Qianniu (Yellow Pharbitis Seed) (equal parts).
Grind into powder, mix with buckwheat flour to make cakes, perforate, cut into chess-piece shapes, boil and eat. Stop when bowel movement occurs. Take 1 qian per dose. Adjust according to excess or deficiency.
Liuhe San (Six-Harmony Powder): Treats all dry accumulations, residual heat after sweating, and obstructed circulation (also known as Miyaochi San). Also treats Small Intestine Qi knot, epigastric and abdominal fullness, chest oppression, and wandering pain.
Dahuang (Rhubarb Root, 1 liang, baked in paper), Bai Qianniu (White Pharbitis Seed, 0.5 liang, raw), Hei Qianniu (Black Pharbitis Seed, lightly fried), Gansui (each 0.5 liang); Binglang (Areca Seed, 3 qian, raw), Qingfen (Calomelas, 1 qian).
Grind into fine powder. Take 1 qian per dose, mixed with honey water. Adjust according to excess or deficiency.
Dingtong Wan (Pain-Stabilizing Pill): Treats trauma injuries, bone and tendon pain, etc.
Ruxiang (Frankincense, 1 fen), Chuanjiao (Sichuan Pepper), Danggui (Angelica Sinensis), Moyao (Myrrh), Chishao (Red Peony Root), Chuanxiong (Ligusticum Chuanxiong), Ziran Tong (Natural Pyrite), Shuobi Gen (Drynaria Root) (each 0.5 liang).
Grind into powder, melt beeswax to make pills the size of bullet shots. Chew thoroughly and take one pill with wine. For fractures, fix with bamboo splints first; after 3-5 days, when the patient is stable, administer. For traumatic bone damage, reduce the fracture first, fix with bamboo splints, then take Mahuang (Ephedra Herb, 3 qian) with good wine first, followed by this pill.
Xiangke San (Citrus Shell Powder): Treats Small Intestine Qi, urgent twisting pain in the umbilical and abdominal region, pain and stuffiness in the inner thighs, and loss of consciousness.
Boshang Huixiang (Imported Fennel Fruit, salt-stir-fried), Zhike (Bitter Orange Fruit) (each 1 liang); Moyao (Myrrh, 0.5 liang).
Grind into powder. Take 1 qian per dose with warm wine, at any time. Take 2-3 doses.
Jinzhen Wan (Golden Needle Pill, also known as Lu Shen Wan): Treats Yang exhaustion with痞气 (masses), unbearable heart and abdominal pain.
Dingxiang (Clove), Muxiang (Aucklandia Root), Ruxiang (Frankincense), Awei (Asafoetida), Qingfen (Calomelas), Gusui Bu (Drynaria Rhizome, remove hairs), Binglang (Areca Seed), Guanzi Gui (Cassia Twig), Guixin (Cinnamon Bark), Badou (Croton Seed, remove skin), Xingren (Apricot Seed, remove skin), Duanshi (Calcined Alum), Roudoukou (Nutmeg), Yangqishi (Leptostyrum Ore), Zhusha (Cinnabaris) (equal parts).
Grind into fine powder, mix with water and wheat paste to make pills the size of mung beans. Take one pill per dose. Pierce with a needle, roll in sesame oil, roast over lamp flame until covered, dip in oil to extinguish, chew, and take with ginger decoction, at any time. Three times daily. Adjust according to excess or deficiency.
Yili Jin Dan (One-Pill Golden Elixir): Treats wandering pain in waist and knees, feeling like tiger bites.
Caowutou (Aconitum Carmichaelii Root, Unprocessed), Wulingzhi (Trogopterus Dung) (each 1 jin); Mugua Zi (Momordica Cochinchinensis Seed, 4 liang); Baijiaoxiang (Elemi Resin, 0.5 jin); Dilong (Pheretima Earthworm, 4 liang, remove soil, stir-fry); Xi Mo (Fine Ink Stick, 1 liang); Ruxiang (Frankincense, 1 liang); Danggui (Angelica Sinensis, 2 liang, baked); Moyao (Myrrh, 2 liang); Shexiang (Musk, 1 qian).
Grind into powder, triturate 1000 times, mix with glutinous rice flour paste to make pills. Take 1-2 pills per dose with warm wine. After taking, slight sweating over the whole body occurs. Miraculous effect!
Moyao San (Myrrh Powder): Treats unbearable heart and abdominal pain.
Moyao (Myrrh, separately ground), Ruxiang (Frankincense) (each 3 qian); Chuanshanjia (Pangolin Scale, 3 qian, roasted); Mugua Zi (Momordica Cochinchinensis Seed, 4 qian).
Grind into fine powder. Take 0.5 qian or 1 qian per dose, decoct with half a large cup of wine, take warm, at any time.