手拈散
主心脾痛。
草果仁 延胡索 五灵脂 没药
上等分为末。每服二三钱，温酒调下，米饮亦可。
香附散
治心脾疼，不可忍者。
高良姜（去芦，炒） 香附子（去毛，炒。各一两）
上为末。每服三钱，入盐，米饮调下。
诃子散
治心脾疼，冷痛不可忍，一服见效。及老幼霍乱吐泻，其效如神。
诃子（炮，去核） 甘草（炙） 浓朴（姜汁炒） 干姜（炮） 草果（去皮） 陈皮 良
姜（炒）
茯
上为末。每服二钱，候发刺不可忍时，用水一盏，煎七分，入盐服。
九痛丸
治九种心痛∶虫痛、疰痛、风痛、悸痛、食痛、饮痛、冷痛、热痛、往来痛。兼治
卒中恶，腹胀痛，口不能言。又治连年积冷，流在心胸，并冷肿痛，上气。落马，坠车
等疾
附子（三两，炮，去皮脐） 野狼毒（炙香） 巴豆（去皮、心、膜炒，称） 人参 干
姜（炮） 吴
茱萸（浸洗，炒。各一两）
上为末，炼蜜丸如梧桐子大，每服空腹温下三丸。卒中恶，心痛，不能言，服三丸。
撞气阿魏丸
治九种心痛，五种噎疾， 癖，气块，冷气攻刺。及脾胃停塞，胸满膨胀，腹
呕吐酸水。丈夫小肠气，妇人血气、血刺等。
阿魏（酒浸一宿，面为糊） 胡椒（各二钱半） 甘草 茴香（炒） 川芎 青皮 陈
皮丁
香皮
片，用
盐一
上为末，阿魏糊丸如鸡头大，每药一斤，用朱砂七钱为衣。丈夫气痛，炒姜、盐汤下二
粒至
失笑散
治败血冷气心痛。（方见疝气类。）
浮椒丸
治脾痛不可忍，及疗冷气疼。
陈茱萸（二两） 浮椒（即胡椒） 蚌粉（炒赤色。各一两）
上为末，醋糊丸如梧子大。每服二十丸，用温酒或盐汤下。遇发时服，甚者不过二三服，
立
附术汤
治脾积气，妇人诸般气痛。
香附子（五两，炒去毛，赤色止） 莪术（醋煮） 甘草（各二两）
上为末。每服二钱，入盐少许，百沸汤空心点服。
九气汤
治心脾疼不可忍，下九痛丸，一服而止。（与诸气类神仙九气汤同，九痛丸方见前
三和散
治腹胀脾疼，中满痞闷不食，大小便或涩，加生姜、灯心、缩砂仁煎服。仍服理中
贴，立效。或加白茯苓、浓朴各二钱。（方见诸气及泄泻类。）
神保丸
治心气筑刺痛甚，柿蒂、灯心汤下。（方见诸气类。）
夺命抽刀散
治男子妇人脾胃积冷，中焦不和，心下虚痞，腹中痛，胸胁逆满，噎塞不通，
饮食不下，噫醋吞酸，口苦无味，不思饮食。及妇人久患冷气刺痛，男子或当空
风露之邪，得心痛积年，服之大效。
干姜（锉，入巴豆半钱，同炒至黑色，去巴豆不用） 良姜（入斑蝥一百个，同炒。去
斑蝥。
上为末。每服二钱，盐少许，沸汤点服，不拘时。或温酒调尤佳。一方，以去壳巴豆炒
蚌粉
而心
参术散
治虚弱人脾疼。
人参 白术（去芦，炒） 干姜（炮） 白豆蔻仁 缩砂仁 丁香 橘皮 甘草（略炒）
上等分，锉散。每服三钱，姜三片，煎取药汁，调炒过真蚌粉一大钱，并服。
加味乌沉汤
生气补血。心肾虚损之人服此，胜大建中汤。
人参 当归（大者，去芦） 白术（炒。各一两） 沉香（半两） 天台乌药 白茯苓
（去皮） 附
上锉散。每服三钱，水一盏，姜五片，枣一枚煎，空心服。
单方
治苦热食冰雪过多，又频饮冷浆，积冷于中，脾疼半岁不愈。
汉椒二十粒，浸于浆水盆中一宿漉出，还以水吞之，其病即脱，更不复作。
大理中丸
治因食水太过，脾疼久不愈，以水煎一二丸服，立效。又方，治心脾气痛，加泡
三十粒，入丸末皆可。（方见泄泻类。）
神效散
治远年近日，一切脾疼，遇食冷物，或天气寒，阴冷便作，胸间一点痛起，或引入
痛不可忍。服之即绝根。
南木香 青皮 陈皮 麦 （炒） 大枳壳（炮） 京三棱 蓬莪术 神曲（炒） 甘
草（炙。各
澄茄 丁香（各
上锉散。每服三钱，水一盏半，生姜三片，枣子一枚，煎至七分，空心服。临睡加盐一
捻，
茴姜汤
治男子妇人一切心腹胀满，气滞走痛，神效。
茴香（二两半） 青皮（一两，去白） 良姜（一两，酒浸炒） 天台乌药（泔浸一日
夜，炒黄为
上锉散。每服三钱，水一盏，姜五片，枣一枚煎，空心服。
单方
治一切心痛，无问久新，服之良久当利，即愈。生地黄一味，随人所食多少，取汁搜
作 ，或作冷淘，但忌用盐。
灸法∶心痛有三虫，多涎，不得反侧，上脘穴主之。若心痛身寒，难以俯仰，心疝，冲
冒不
手拈散
主治心脾疼痛。
草果仁、延胡索、五灵脂、没药
以上药材等份研为细末。每次服用二三钱，用温酒调服，米汤也可以。
香附散
治疗心脾疼痛，剧烈到无法忍受的情况。
高良姜（去除芦头，炒制）、香附子（去除毛，炒制。各一两）
以上药材研为细末。每次服用三钱，加入盐，用米汤调服。
诃子散
治疗心脾疼痛，冷痛剧烈无法忍受，服用一次即可见效。以及老人和儿童的霍乱吐泻，疗效如神。
诃子（炮制，去核）、甘草（炙）、浓朴（姜汁炒）、干姜（炮制）、草果（去皮）、陈皮、良姜（炒制）
以上药材研为细末。每次服用二钱，等到发作刺痛无法忍受时，用水一盏，煎至七分，加入盐服用。
九痛丸
治疗九种心痛：虫痛、疰痛、风痛、悸痛、食痛、饮痛、冷痛、热痛、往来痛。兼治卒中恶气，腹胀痛，口不能说话。又治连年积冷，寒气流注于心胸，以及冷肿痛，上气。落马、坠车等疾。
附子（三两，炮制，去皮脐）、野狼毒（炙香）、巴豆（去皮、心、膜炒制，称量）、人参、干姜（炮制）、吴茱萸（浸泡清洗，炒制。各一两）
以上药材研为细末，炼蜜制成梧桐子大小的丸剂。每次空腹用温水送服三丸。若是卒中恶气、心痛、不能说话，服用三丸。
撞气阿魏丸
治疗九种心痛，五种噎疾，癖块，气块，冷气攻刺。以及脾胃停塞，胸满膨胀，腹部呕吐酸水。男子小肠气，妇人血气、血刺等症。
阿魏（酒浸一夜，面粉为糊）、胡椒（各二钱半）、甘草、茴香（炒制）、川芎、青皮、陈皮、丁香皮
以上药材研为细末，用阿魏面糊制成鸡头大小的丸剂。每药一斤，用朱砂七钱作为衣。男子气痛，用炒姜、盐汤送服二粒至……（原文此处有缺漏，依文意推测为剂量或次数，但根据规则不增添内容，故仅翻译可见部分）
浮椒丸
治疗脾痛剧烈无法忍受，以及治疗冷气疼痛。
陈茱萸（二两）、浮椒（即胡椒）、蚌粉（炒至赤色。各一两）
以上药材研为细末，醋糊制成梧桐子大小的丸剂。每次服用二十丸，用温酒或盐汤送服。遇发作时服用，严重者不过二三服，立即……（原文此处有缺漏，依文意推测为见效，但根据规则不增添内容）
附术汤
治疗脾积气，妇人各种气痛。
香附子（五两，炒去毛，以变赤色为度）、莪术（醋煮）、甘草（各二两）
以上药材研为细末。每次服用二钱，加入少许盐，百沸汤空腹点服。
九气汤
治疗心脾疼痛剧烈无法忍受，配合下九痛丸，服用一次即可停止。（与诸气类神仙九气汤相同，九痛丸方见前文）
和三散
治疗腹胀脾疼，中焦痞闷不食，大小便或涩滞，加生姜、灯心、缩砂仁煎服。仍服用理中贴，立效。或加白茯苓、浓朴各二钱。（方剂见诸气及泄泻类。）
神保丸
治疗心气筑刺痛甚剧，柿蒂、灯心汤送服。（方剂见诸气类。）
夺命抽刀散
治疗男子妇人脾胃积冷，中焦不和，心下虚痞，腹中痛，胸胁逆满，噎塞不通，饮食不下，嗳气吞酸，口苦无味，不思饮食。以及妇人久患冷气刺痛，男子或因空受风露之邪，得心痛积年，服用此方大效。
干姜（锉碎，加入巴豆半钱，同炒至黑色，去掉巴豆不用）、良姜（加入斑蝥一百个，同炒。去掉斑蝥。
以上药材研为细末。每次服用二钱，加少许盐，沸汤冲服，不拘时间。或用温酒调服尤佳。一方，以去壳巴豆炒蚌粉……（原文此处有缺漏，依文意推测为药引或制法，但根据规则不增添内容）
参术散
治疗虚弱人的脾疼。
人参、白术（去芦，炒制）、干姜（炮制）、白豆蔻仁、缩砂仁、丁香、橘皮、甘草（略炒）
以上药材等份，锉成散剂。每次服用三钱，加姜三片，煎取药汁，调拌炒过的真蚌粉一大钱，一并服用。
加味乌沉汤
生气补血。心肾虚损之人服用此方，胜过大建中汤。
人参、当归（大的，去芦）、白术（炒制。各一两）、沉香（半两）、天台乌药、白茯苓（去皮）、附子……（原文此处有缺漏，依文意推测为附子或其他药材，但根据规则不增添内容）
以上药材锉成散剂。每次服用三钱，水一盏，姜五片，枣一枚煎煮，空腹服用。
单方
治疗因苦于吃冰雪过多，又频繁饮用冷浆，积冷于中，脾疼半年不愈。
汉椒二十粒，浸泡在浆水盆中一夜捞出，再用清水吞服，其病即脱，更不再复发。
大理中丸
治疗因饮水太过，脾疼久不愈，以水煎一二丸服用，立效。又一方，治疗心脾气痛，加泡……（原文此处有缺漏，依文意推测为某药材三十粒，但根据规则不增添内容）入丸末皆可。（方剂见泄泻类。）
神效散
治疗远年近日，一切脾疼，遇吃冷物，或天气寒，阴冷便发作，胸间一点痛起，或引入……（原文此处有缺漏，依文意推测为其他部位，但根据规则不增添内容）痛不可忍。服用此方即绝根。
南木香、青皮、陈皮、麦……（原文此处有缺漏，依文意推测为麦芽，但根据规则不增添内容）（炒制）、大枳壳（炮制）、京三棱、蓬莪术、神曲（炒制）、甘草（炙制。各……（原文此处有缺漏，依文意推测为剂量，但根据规则不增添内容）
澄茄、丁香（各……（原文此处有缺漏，依文意推测为剂量，但根据规则不增添内容）
以上药材锉成散剂。每次服用三钱，水一盏半，生姜三片，枣子一枚，煎至七分，空腹服用。临睡加盐一捻……（原文此处有缺漏，依文意推测为用法，但根据规则不增添内容）
茴姜汤
治疗男子妇人一切心腹胀满，气滞走痛，神效。
茴香（二两半）、青皮（一两，去白）、良姜（一两，酒浸炒制）、天台乌药（泔水浸一日夜，炒黄为……（原文此处有缺漏，依文意推测为度，但根据规则不增添内容）
以上药材锉成散剂。每次服用三钱，水一盏，姜五片，枣一枚煎煮，空腹服用。
单方
治疗一切心痛，无论新旧，服用良久当利，即愈。生地黄一味，随人所食多少，取汁搜……（原文此处有缺漏，依文意推测为面作饼或类似食物，但根据规则不增添内容）作冷淘，但忌用盐。
灸法：心痛有三虫，多涎，不得反侧，上脘穴主之。若心痛身寒，难以俯仰，心疝，冲冒不……（原文此处有缺漏，依文意推测为续，但根据规则不增添内容）
Shou Nian San (Hand-Picking Powder)
Indicated for Heart-Spleen pain.
Tsaoko Fruit Kernel (Amomi Fructus Rotundus), Corydalis Rhizome (Yanhusuo, 延胡索), Trogopterus Dung (Wulingzhi, 五灵脂), Myrrh (Moyao, 没药)
Grind the above herbs into fine powder in equal parts. Take 2-3 qian each time, mixed with warm wine; rice water is also acceptable.
Xiang Fu San (Cyperi Powder)
Treats Heart-Spleen pain that is unbearable.
Galangal Rhizome (Gaoliangjiang, 高良姜) [remove rhizome, stir-fry], Cyperi Rhizome (Xiangfu, 香附子) [remove hairs, stir-fry]. Each 1 liang.
Grind the above herbs into powder. Take 3 qian each time, add salt, and mix with rice water.
He Zi San (Terminalia Powder)
Treats Heart-Spleen pain, cold pain that is unbearable, effective after one dose. Also treats cholera with vomiting and diarrhea in the elderly and children, with miraculous efficacy.
Terminalia Chebula Fruit (Hezi, 诃子) [parched, remove seeds], Licorice Root (Gancao, 甘草) [honey-fried], Magnolia Bark (Houpo, 厚朴) [stir-fry with ginger juice], Dried Ginger (Ganjiang, 干姜) [parched], Tsaoko Fruit (Caoguo, 草果) [remove peel], Tangerine Peel (Chenpi, 陈皮), Galangal Rhizome (Liangjiang, 良姜) [stir-fry]
Grind the above herbs into powder. Take 2 qian each time. When stabbing pain becomes unbearable, decoct in one sheng of water until reduced to 0.7 sheng, add salt, and take.
Jiu Tong Wan (Nine Pain Pill)
Treats nine types of Heart pain: Worm pain, Pestilence pain, Wind pain, Palpitation pain, Food stagnation pain, Drink stagnation pain, Cold pain, Heat pain, and Alternating pain. Also treats sudden attack by evil qi, abdominal distension and pain, inability to speak. Treats chronic accumulation of cold flowing into the heart and chest, cold swelling and pain, and rising qi. Also treats injuries from falling off horses or carts.
Aconite Root (Fuzi, 附子) [3 liang, parched, remove skin and umbilical scar], Daphne Genkwa Stem Bark (Langdu, 狼毒) [roasted until fragrant], Croton Seed (Badou, 巴豆) [remove skin, heart, and membrane, stir-fry, weighed], Ginseng Root (Renshen, 人参), Dried Ginger (Ganjiang, 干姜) [parched], Evodia Fruit (Wuzhuyu, 吴茱萸) [soak and wash, stir-fry]. Each 1 liang.
Grind the above herbs into powder, refine honey to make pills the size of Sophora seeds. Take 3 pills on an empty stomach with warm water. For sudden attack by evil qi, heart pain, and inability to speak, take 3 pills.
Zhuang Qi A Wei Wan (Striking Qi Asafoetida Pill)
Treats nine types of Heart pain, five types of dysphagia, fixed masses, Qi masses, and piercing cold qi. Also treats stagnation and blockage in the Spleen and Stomach, chest fullness and distension, abdominal vomiting of sour fluid. Men's Small Intestine Qi, Women's Blood Qi, Blood stabbing, etc.
Asafoetida Resin (Awei, 阿魏) [soak in wine overnight, paste made from flour], Black Pepper (Hu Jiao, 胡椒). Each 2.5 qian, Licorice Root (Gancao, 甘草), Fennel Seed (Hui Xiang, 茴香) [stir-fry], Ligusticum Rhizome (Chuanxiong, 川芎), Green Tangerine Peel (Qingpi, 青皮), Tangerine Peel (Chenpi, 陈皮), Clove Bud (Dingxiang, 丁香) [skin]
Grind the above herbs into powder, use Asafoetida paste to make pills the size of a lotus root head. For every 1 jin of medicine, coat with 7 qian of Cinnabar. For men's Qi pain, take 2 pills with stir-fried ginger and salt water... (text incomplete)
Shi Xiao San (Pain-Stopping Powder)
Treats Heart pain caused by stagnant blood and cold qi. (Formula see Hernia category.)
Fu Jiao Wan (Floating Pepper Pill)
Treats unbearable Spleen pain, and treats cold Qi pain.
Old Evodia Fruit (Chen Wuzhuyu, 陈茱萸) [2 liang], Floating Pepper (Fu Jiao, i.e., Black Pepper, 胡椒), Clam Shell Ash (Bang Fen, 蚌粉) [stir-fry until red]. Each 1 liang.
Grind the above herbs into powder, use vinegar paste to make pills the size of Sophora seeds. Take 20 pills each time with warm wine or salt water. Take when attacks occur; for severe cases, no more than 2-3 doses are needed to immediately... (text incomplete)
Fu Zhu Tang (Curcuma and Atractylodes Decoction)
Treats Spleen Qi accumulation, and various Qi pains in women.
Cyperi Rhizome (Xiangfu, 香附子) [5 liang, stir-fry to remove hairs, until reddish], Curcuma Zedoaria Rhizome (Ezhu, 莪术) [decoct in vinegar], Licorice Root (Gancao, 甘草). Each 2 liang.
Grind the above herbs into powder. Take 2 qian each time, add a little salt, and take on an empty stomach with boiling water.
Jiu Qi Tang (Nine Qi Decoction)
Treats unbearable Heart-Spleen pain. Combine with Jiu Tong Wan; stops pain after one dose. (Same as Shen Xian Jiu Qi Tang in the Qi category. Jiu Tong Wan formula see previous section.)
He San San (Harmonizing Three Powder)
Treats abdominal distension and Spleen pain, middle jiao fullness and stuffiness, loss of appetite, or constipation/difficulty in urination and defecation. Add Fresh Ginger, Centum Segments, and Amomum Fruit to decoct and take. Continue taking Li Zhong Tie; effect is immediate. Or add White Poria and Magnolia Bark, 2 qian each. (Formula see Qi and Diarrhea categories.)
Shen Bao Wan (Divine Protection Pill)
Treats severe stabbing pain of Heart Qi. Take with Persimmon Calyx and Centum Segments decoction. (Formula see Qi category.)
Ming Chou Chou Dao San (Life-Taking Knife-Drawing Powder)
Treats accumulated cold in the Spleen and Stomach of men and women, disharmony of the middle jiao, deficiency-fullness below the heart, abdominal pain, reverse fullness of chest and hypochondrium, choking and blockage, inability to eat and drink, belching with acid regurgitation, bitter taste and loss of flavor, lack of appetite. Also treats women with long-term cold Qi stabbing pain, and men who have suffered from chronic Heart pain due to exposure to wind and dew for years; this formula is highly effective.
Dried Ginger (Ganjiang, 干姜) [chopped, add half a qian of Croton Seed, stir-fry together until black, discard Croton Seed], Galangal Rhizome (Liangjiang, 良姜) [add 100 Mylabris Beetles, stir-fry together, discard Mylabris Beetles]
Grind the above herbs into powder. Take 2 qian each time, add a little salt, and take with boiling water, at any time. Mixing with warm wine is even better. Another method uses peeled Croton Seed stir-fried with Clam Shell Ash... (text incomplete)
Shen Zhu San (Ginseng and Atractylodes Powder)
Treats Spleen pain in weak individuals.
Ginseng Root (Renshen, 人参), Atractylodes Macrocephala Rhizome (Baizhu, 白术) [remove rhizome, stir-fry], Dried Ginger (Ganjiang, 干姜) [parched], Cardamom Seed (Baidoukou, 白豆蔻), Amomum Fruit (Suansha, 缩砂仁), Clove Bud (Dingxiang, 丁香), Tangerine Peel (Jupi, 橘皮), Licorice Root (Gancao, 甘草) [slightly stir-fry]
Grind the above herbs into powder in equal parts. Take 3 qian each time, add 3 slices of ginger, decoct to extract juice, mix with 1 large qian of stir-fried real Clam Shell Ash, and take together.
Jia Wei Wu Chen Tang (Modified Wu-Chen Decoction)
Generates Qi and nourishes Blood. For those with Heart-Kidney deficiency, this is superior to Da Jian Zhong Tang.
Ginseng Root (Renshen, 人参), Angelica Sinensis Root (Danggui, 当归) [large ones, remove rhizome], Atractylodes Macrocephala Rhizome (Baizhu, 白术) [stir-fry]. Each 1 liang, Agarwood (Chenxiang, 沉香) [half liang], Tiantai Aristolochia Root (Tiantai Weyao, 天台乌药), White Poria (Baifuling, 白茯苓) [remove skin], Aconite Root... (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with one sheng of water, 5 slices of ginger, and one date, decoct and take on an empty stomach.
Single Prescription
Treats Spleen pain lasting half a year due to excessive consumption of ice and snow, and frequent drinking of cold liquids, causing accumulated cold in the center.
Take 20 Sichuan Peppercorns, soak them in a basin of fermented grain water overnight, strain them out, and swallow them with water. The disease will disappear and not recur.
Da Li Zhong Wan (Great Harmonizing Middle Pill)
Treats Spleen pain that persists for a long time due to excessive water intake. Decoct 1-2 pills in water and take; effect is immediate. Another prescription for Heart-Spleen Qi pain: add... (text incomplete) 30 grains, can be added to pill powder. (Formula see Diarrhea category.)
Shen Xiao San (Miraculous Efficacy Powder)
Treats all Spleen pain, whether recent or chronic. Triggered by eating cold food or cold weather, Yin-Cold arises, starting as a point of pain in the chest, or radiating... (text incomplete) making pain unbearable. Taking this eliminates the root cause.
Southern Costus Root (Nanmuxiang, 南木香), Green Tangerine Peel (Qingpi, 青皮), Tangerine Peel (Chenpi, 陈皮), Wheat... (text incomplete) [stir-fry], Large Bitter Orange (Da Zhike, 大枳壳) [parched], Sparganium Rhizome (Jingsanleng, 京三棱), Curcuma Zedoaria Rhizome (Peng Ezhu, 蓬莪术), Medicated Leaven (Shenqu, 神曲) [stir-fry], Licorice Root (Gancao, 甘草) [honey-fried]. Each... (text incomplete)
Cubeb Fruit (Chengqie, 澄茄), Clove Bud (Dingxiang, 丁香). Each... (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with 1.5 sheng of water, 3 slices of ginger, and one date, decoct until reduced to 0.7 sheng, and take on an empty stomach. Before sleep, add a pinch of salt... (text incomplete)
Hui Jiang Tang (Fennel and Ginger Decoction)
Treats all Heart and abdominal distension and fullness, Qi stagnation and wandering pain in men and women; miraculous efficacy.
Fennel Seed (Hui Xiang, 茴香) [2.5 liang], Green Tangerine Peel (Qingpi, 青皮) [1 liang, remove white pith], Galangal Rhizome (Liangjiang, 良姜) [1 liang, soak in wine and stir-fry], Tiantai Aristolochia Root (Tiantai Weyao, 天台乌药) [soak in rice water for one day and night, stir-fry until yellow...] (text incomplete)
Chop the above herbs into pieces. Take 3 qian each time, with one sheng of water, 5 slices of ginger, and one date, decoct and take on an empty stomach.
Single Prescription
Treats all Heart pain, regardless of duration. After taking for a while, there should be purging, leading to cure. Use only Raw Rehmannia Root (Sheng Dihuang, 生地黄). Extract juice according to the amount eaten, knead into dough... (text incomplete) to make cold noodles, but avoid using salt.
Moxibustion Method: Heart pain involves three worms, with excessive saliva, inability to turn over. Shangwan (CV13) is indicated. If Heart pain is accompanied by body coldness, difficulty in bending and stretching, Heart hernia, and rushing upward... (text incomplete)