〔《竹》〕治急心疼方。
斑蝥(七个,头翅全者) 胡椒(四十九粒)
上将二味同炒,令斑蝥焦碎,吹去斑蝥不用,却将净胡椒研为细末,只作一服,热酒调下,
不拘时候。治暴心痛,不可忍者。
荔枝核(丹溪云∶荔枝核属金性燥热)
上为末,每服一钱,水醋各半盏,煎七分,稍热服。
〔《外》〕治卒心痛。黄连八两一味, 咀,水七升煮五升,绞去渣,温饮五合,日进三服。
〔《肘》〕卒心痛。龙胆草四两,酒三升,煮一升半,顿服。
〔仲〕走马汤治中恶心痛,腹胀,大便不通。
巴豆(二枚,去皮心,炒) 杏仁(二枚)
上二味,以绵缠,槌令碎,热汤二合,捻取白汁,饮之,当下。老少量服。通治飞尸鬼击等病。
〔《竹》〕《海上方》急救男子妇人心疼,牙关紧,欲死者。用隔年陈葱白三五根,去皮须叶,
擂为膏,将病患口斡开,用匙将膏送入咽喉,用香油四两灌送下,油不以多少,但得葱下喉,其
人必苏。少时将腹中所停虫病等物,化为黄水,微得利为佳,除根永不再发,累效。一方,用真香
油顿服一盏亦妙。
〔《肘》〕治卒心痛。白艾成熟者一升,水二升,煮取一升去渣,顿服。若为客气中者,当吐虫。
(丹溪云∶艾属火而有水,服多者有毒发。)
治卒心痛。东引桃枝一握,切碎,以酒一升,煎去半升,顿服大效。
经云∶邪客于足少阴之络,令人卒心痛,暴胀胸胁支满。无积者,刺然骨之前出血,如食顷
而已。不已,左取右,右取左。病新发者,五日已。
〔《摘》〕卒心痛,不可忍∶上脘(八分,先补后泻,觉针下气行如滚鸡子入腹为度,次取后
穴) 气海 涌泉(无积者,刺之如食顷而已。有积者,先饮药利之,刺之立已。如不已,再
刺后穴) 间使 支沟 三里
〔丹〕针灸经治卒心痛不可忍,吐冷酸水,及原脏气少,灸足大指次指内约文中,各一壮,如小麦
大,下火立瘥。
〔《甲》〕卒心痛,螈 ,互相引肘内廉痛,心敖敖然,间使主之。卒心痛汗出,大敦主之,出
血立已。心
腹中卒痛而汗出,石门主之。
【《竹》】治疗急心疼的方剂。
斑蝥(七个,头翅完整的) 胡椒(四十九粒)
将上述两味药一同炒制,直到斑蝥炒焦碎裂,吹去斑蝥不用,只将干净的胡椒研成细末,一次性服用,用热酒调服,不限时间。治疗突发的心痛,疼痛剧烈难以忍受。
荔枝核(丹溪说:荔枝核属性燥热,属金)
将荔枝核研成粉末,每次服用一钱,用水和醋各半盏,煎至七分满,稍热时服用。
【《外台秘要》】治疗卒心痛。黄连八两一味药,切碎,用水七升煮取五升,过滤去掉药渣,温服五合,每天分三次服用。
【《肘后备急方》】卒心痛。龙胆草四两,酒三升,煮取一升半,一次性服用。
【张仲景】走马汤治疗中恶引起的腹痛、腹胀,大便不通。
巴豆(二枚,去皮心,炒制) 杏仁(二枚)
将上述两味药,用棉布包裹,捣碎,用热汤二合,捏取白色汁液,饮用它,应当会腹泻。年老体弱者少量服用。通治飞尸鬼击等病。
【《竹》】《海上方》急救男子妇人心疼,牙关紧闭,快要死去的状况。使用隔年的陈葱白三五根,去掉皮须叶,
擂成膏状,撬开病人的嘴巴,用勺子将膏送入咽喉,用香油四两灌送下去,香油不限多少,只要葱膏进入喉咙,
病人必定苏醒。过一会儿,腹中停滞的虫病等物,化为黄水,微微腹泻为佳,可除根永不再发,屡试屡效。另一方法,用真香油一次性服用一盏也很好。
【《肘后备急方》】治疗卒心痛。成熟的白艾一升,水二升,煮取一升去掉药渣,一次性服用。如果是被客气(外邪)侵袭导致的,应当吐出虫来。
(丹溪说:艾属火而含有水,服用过多者有毒性发作。)
治疗卒心痛。向东生长的桃枝一握,切碎,用酒一升,煎去一半,一次性服用效果显著。
经典记载:邪气客居在足少阴肾经的络脉,使人突发心痛,突然腹胀,胸胁支撑胀满。体内没有积滞的,刺然骨之前的穴位出血,大约一顿饭的时间就好了。如果不好,左病取右穴,右病取左穴。新发的病,五天可以痊愈。
【《针灸聚英》】卒心痛,疼痛难忍:上脘(进针八分,先补后泻,感觉到针下气行如滚鸡蛋入腹为度,接着取后面的穴位) 气海 涌泉(体内无积滞的,针刺大约一顿饭的时间就好。有积滞的,先服药通便,再针刺立刻见效。如果不好,再刺后面的穴位) 间使 支沟 三里
【朱丹溪】针灸经治疗卒心痛不可忍,呕吐冷酸水,以及原脏气虚弱,灸足大指次指内约文中(即行间穴附近),各灸一壮,如小麦大小,施灸后立刻痊愈。
【《甲乙经》】卒心痛,身体抽搐,互相牵引导致肘内侧疼痛,心中悸动不安,由间使穴主治。卒心痛出汗,由大敦穴主治,出血立刻见效。心腹中突发疼痛且出汗,由石门穴主治。
[From "Zhu"] Prescription for treating acute heart pain.
Mylabris (seven pieces, with complete heads and wings) Piperis Fructus (Forty-nine grains)
Stir-fry the above two ingredients together until the Mylabris is scorched and broken. Blow away the Mylabris and do not use it. Grind the clean Piperis Fructus into a fine powder. Take as a single dose, mixed with hot wine. Time of administration is unrestricted. Treats sudden severe heart pain that is unbearable.
Litchi Seed (Danxi stated: Litchi Seed has a dry and hot nature, belonging to Metal)
Grind the Litchi Seed into powder. Take one qian per dose. Decoct with half a cup of water and half a cup of vinegar until reduced to seventy percent volume. Take slightly warm.
[From "Waitai Mi Yao"] Treatment for sudden heart pain. Coptidis Rhizoma (Eight liang), used alone. Cut into small pieces. Decoct with seven sheng of water until five sheng remain. Strain to remove dregs. Take five he of the liquid warm. Administer three times daily.
[From "Zhoubao Jifang"] Sudden heart pain. Gentianae Radix et Rhizoma (Four liang). Decoct with three sheng of wine until one and a half sheng remain. Take in one dose.
[Zhang Zhongjing] Zouma Tang treats abdominal pain due to sudden evil invasion, abdominal distension, and constipation.
Crotonis Fructus (Two seeds, skin and heart removed, stir-fried) Armeniacae Semen Amarum (Two seeds)
Wrap the above two ingredients in silk, pound them until crushed. Add two he of hot water, squeeze out the white juice, and drink it. Diarrhea should ensue. Elderly or weak patients take a smaller amount. It generally treats diseases such as Feishi and Guiji.
[From "Zhu"] "Haishang Fang" emergency treatment for men and women suffering from heart pain, locked jaw, and near death. Use three to five roots of old green onion scallion whites from the previous year. Remove skins, roots, and leaves. Pound into a paste. Pry open the patient's mouth. Use a spoon to insert the paste into the throat. Pour down four liang of sesame oil. The amount of oil is not fixed; as long as the scallion paste enters the throat, the person will surely regain consciousness. After a short while, parasites or other stagnated matter in the abdomen will transform into yellow fluid; slight diarrhea is ideal. This cures the root cause so it never recurs. It has been effective repeatedly. Another method: taking one cup of pure sesame oil in one dose is also excellent.
[From "Zhoubao Jifang"] Treatment for sudden heart pain. Artemisiae Argyi Folium (one sheng of mature white mugwort). Decoct with two sheng of water until one sheng remains. Strain and remove dregs. Take in one dose. If caused by external pathogenic qi, vomiting of worms may occur.
(Danxi stated: Mugwort belongs to Fire but contains Water; excessive consumption causes toxicity.)
Treatment for sudden heart pain. One handful of Peach Branch growing towards the east, chopped finely. Decoct with one sheng of wine until half a sheng remains. Take in one dose for great efficacy.
The Classics state: When evil qi lodges in the collateral of the Foot-Shaoyin Kidney Meridian, it causes sudden heart pain, sudden abdominal distension, and fullness/supporting sensation in the chest and hypochondrium. In cases without accumulation, bleed at the point anterior to Ran Gu (K1). Recovery occurs in about the time it takes to eat a meal. If not cured, treat the left side with right points and the right side with left points. For newly onset disease, recovery occurs within five days.
[From "Zhenjiu Ju Ying"] Sudden heart pain, unbearable: Shangwan (ST13) (Insert 8 fen, tonify first then sedate, stop when sensation of Qi moving like a rolling egg enters the abdomen, then select subsequent points) Qihai (CV6) Yongquan (KI1) (In cases without accumulation, needle for about the time of a meal. In cases with accumulation, first administer medicine to promote bowel movement, then needle for immediate relief. If not relieved, needle subsequent points again) Jianshi (PC5) Zhigou (SJ6) Zusanli (ST36)
[Zhu Danxi] According to the Acupuncture and Moxibustion Classics, for unbearable sudden heart pain, vomiting of cold sour water, and deficiency of original organ Qi, moxa on the area between the inner aspects of the first and second toes (Xingjian LR2 vicinity), one moxibustion cone per site, size of a wheat grain. Recovery follows immediately after applying fire.
[From "Jia Yi Jing"] Sudden heart pain, spasms, pain radiating to the medial aspect of the elbow, palpitations ("Ao Ao"), treated primarily by Jianshi (PC5). Sudden heart pain with sweating, treated primarily by Dazhuan (LR1); bleeding leads to immediate cessation. Sudden pain in the heart and abdomen with sweating, treated primarily by Shimen (CV5).