（附∶胁痛）
夫心痛之病，医经所载凡有九种∶一曰虫心痛，二曰疰心痛，三曰风心痛，四曰悸心痛，
五曰食心痛，六曰饮心痛，七曰寒心痛，八曰热心痛，九曰去来心痛。其名虽不同，而其所
致皆因外感六淫，内沮七情，或饮啖生冷果食之类，使邪气搏于正气，邪正交击，气道闭塞，
郁于中焦，遂成心痛，夫心乃诸脏之主，正经不可伤，伤之则痛，若痛甚手足青过节者，则
名曰真心痛，真心痛者，旦发夕死，夕发旦死。若乍间乍甚成疹而不死者，名曰厥心痛，不
过邪气乘于心支别络也。寸口脉紧，心脉甚急，皆主心痛。又有痛甚而心脉沉伏者有之矣。
王叔和云∶心腹痛，脉沉细瘥；浮大弦长，命必殂。治法当推其所自而调之，痛无不止矣。
又论∶夫心痛之病，有真心痛，有厥心痛，心乃五脏六腑之所主，法不受病。其痛甚，手足
青而冷者，名曰真心痛，此神去气竭，旦发夕死，夕发旦死。或六淫七情之所伤，五脏之气
冲逆，其痛乍间乍甚成疹而不死者，名曰厥心痛，此皆邪气乘于心支别络也。大抵痛为实痛
宜下，寒宜温，温利之药，却痛散主之。若妇人血刺心痛仓卒，取功效之速，立应散主之。
其诸心痛各方审处而用之，以平为期。
治喜、怒、忧、思、悲、恐、惊七气为病，发则心腹刺痛不可忍，时发时止，发则欲死。
及外感风寒湿气作痛，亦宜服之。
半夏（汤泡七次，三两） 桂心（不见火） 玄胡索（炒，去皮。各一两） 人参 甘
草（炙。各半两） 乳香（三钱）
上 咀，每服四钱，水一盏半，生姜七片，枣一枚，煎至七分，去滓，食前温服。妇人
血痛
（附注：胁痛）
所谓心痛这一病症，医经中记载共有九种：第一种是虫心痛，第二种是疰心痛，第三种是风心痛，第四种是悸心痛，第五种是食心痛，第六种是饮心痛，第七种是寒心痛，第八种是热心痛，第九种是去来心痛。虽然名称不同，但导致这些病症的原因都是因为外感六淫（风、寒、暑、湿、燥、火六种外邪），内伤七情（喜、怒、忧、思、悲、恐、惊七种情志），或者饮食生冷瓜果食物等，使得邪气与正气搏结，邪正相互交击，气道闭塞，郁结在中焦，从而形成心痛。心是五脏六腑的主宰，正经不可受伤，一旦受伤就会疼痛。如果疼痛剧烈，导致手足青紫超过关节的，就称为真心痛（心脏本体受邪所致的剧痛）。真心痛的患者，早晨发病晚上死亡，晚上发病早晨死亡。如果疼痛时轻时重，发作成阵但不致死的，称为厥心痛（邪气侵犯心之支络所致的疼痛），这不过是邪气乘虚侵袭心的分支别络所致。寸口脉紧，心脉急迫，都主诉为心痛。也有疼痛剧烈而心脉沉伏的情况。王叔和说：心腹痛，脉象沉细则病势缓解；若脉象浮大弦长，则性命必亡。治疗方法应当推究其病因所在并进行调理，疼痛没有不能停止的。
又论述道：所谓心痛这一病症，有真心痛，有厥心痛。心是五脏六腑的主宰，按照常法是不受病的。如果疼痛剧烈，手足青紫且发冷的，称为真心痛，这是神气离去、元气枯竭的表现，早晨发病晚上死亡，晚上发病早晨死亡。如果是被六淫或七情所伤，导致五脏之气冲逆上犯，疼痛时轻时重、发作成阵但不致死的，称为厥心痛，这都是邪气乘虚侵袭心的分支别络所致。大体而言，疼痛属实证宜用下法，属寒证宜用温法。温利药物，由却痛散主治。如果是妇人因血瘀刺痛导致的心痛，为了迅速取得疗效，由立应散主治。其余各种心痛，根据各方剂审慎辨证后使用，以病情平复为度。
治疗因喜、怒、忧、思、悲、恐、惊七种情志失调引发的疾病，发作时心腹刺痛难以忍受，时发时止，发作时痛苦欲死。以及外感风寒湿气引起的疼痛，也适宜服用此方。
(Note: Hypochondriac Pain)
The disease of Heartache (Xintong), as recorded in medical classics, comprises nine types: first, Insect Heartache; second, Infectious Heartache; third, Wind Heartache; fourth, Palpitation Heartache; fifth, Food Stagnation Heartache; sixth, Fluid Retention Heartache; seventh, Cold Heartache; eighth, Heat Heartache; ninth, Wandering Heartache. Although their names differ, the causes are all due to external contraction of the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and internal injury by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), or consumption of cold, raw fruits and foods. This allows pathogenic factors to contend with healthy Qi, leading to a clash between pathogen and Zhengqi, obstruction of the Qi mechanism, and stagnation in the Middle Jiao, thereby forming Heartache. The Heart is the master of the five Zang and six Fu organs; its regular meridians must not be injured. If injured, pain ensues. If the pain is severe, causing cyanosis of the hands and feet extending beyond the joints, it is named True Heartache (Zhenxintong). Patients with True Heartache who contract it in the morning will die by evening, and those who contract it in the evening will die by morning. If the pain comes and goes intermittently, appearing in paroxysms without being fatal, it is named Rebellious Heartache (Juxintong); this is merely due to pathogenic factors invading the branch collateral networks of the Heart. A tight pulse at the Cun Kou position, or an extremely rapid Heart pulse, both indicate Heartache. There are also cases where the pain is severe while the Heart pulse is deep and hidden. Wang Shuhe stated: "In Heart and Abdominal Pain, a deep and fine pulse indicates recovery; a floating, large, wiry, and long pulse indicates certain death." The treatment method should deduce the origin of the pathology and regulate it, so that the pain will cease.
Furthermore, it is discussed that Heartache includes True Heartache and Rebellious Heartache. As the master of the five Zang and six Fu organs, the Heart theoretically does not suffer from disease directly. If the pain is severe, accompanied by cyanosis and coldness of the hands and feet, it is named True Heartache; this signifies the departure of Shen (Spirit) and exhaustion of Qi, leading to death within half a day. If caused by injuries from the Six Excesses or Seven Emotions, resulting in rebellious Qi of the five Zang organs, with pain that fluctuates in intensity and appears in paroxysms without being fatal, it is named Rebellious Heartache; this is due to pathogenic factors invading the branch collateral networks of the Heart. Generally, pain due to excess syndromes should be treated with purgation, while pain due to cold syndromes should be treated with warming. For warming and promoting circulation, Que Tong San (Pain-Dispersing Powder) is the primary formula. For women suffering from sudden stabbing Heartache due to blood stasis, Li Ying San (Instant-Response Powder) is used for rapid efficacy. Other types of Heartache should be treated according to specific formulas based on careful differentiation, aiming for the restoration of balance.
This formula treats diseases caused by the imbalance of the Seven Emotions: Joy, Anger, Worry, Pensiveness, Sorrow, Fear, and Fright. Upon onset, there is unbearable stabbing pain in the heart and abdomen, occurring intermittently, with episodes so severe they feel like impending death. It is also suitable for pain caused by external contraction of Wind-Cold-Dampness.
Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times, 3 liang)
Gui Xin (Cinnamomi Cortex, not exposed to fire)
Yan Hu Suo (Corydalis Rhizoma, stir-fried, skin removed, each 1 liang)
Ren Shen (Ginseng Radix et Rhizoma)
Gan Cao (Licorice Root, honey-fried, each 0.5 liang)
Ru Xiang (Frankincense, 3 qian)
Crush the above herbs. Take 4 qian per dose, add 1.5 sheng of water, 7 slices of fresh ginger, and one jujube. Decoct until reduced to 0.7 sheng, strain, and take warm before meals. For women with blood-stasis pain...