一伤寒中脘痛太阴也宜用 理中汤 小建中汤 治中汤
一脐腹痛少阴也宜用 真武汤 附子汤
一小腹痛厥阴也宜用 正阳散 四逆汤
一客寒犯胃作痛者宜用 草豆蔻丸
一七情气郁痛连心胃者宜用 七气汤 指迷七气汤
一食积阻滞不通作痛者宜用 化滞丸 木香槟榔丸 保和丸
一虚气作痛宜用 二陈合四君子汤 参术散
一死血作痛宜用 桃仁陈气汤
一胃中热郁作痛者宜用 栀子仁（姜汁炒） 佐以行气之药
一诸痛不可过用补药盖痛因不通通则不痛补药能滞气也
一心腹痛病须分新旧若明知身受寒气口吃冷物而得者于初得之时宜与温散温利之药若病
得之
治伤寒中腕痛
俱见中寒门 治同上
治脐腹痛
治伤寒中脘作痛
芍药 甘草 桂枝 胶饴
水二钟姜三片大枣一枚煎八分不拘时服
治客寒犯胃
草豆蔻 益智仁 吴茱萸 当归身 生甘草 炙甘草 橘皮 僵蚕 人黄 黄 半夏
青
除桃仁为末用蒸饼糊丸如桐子大每服三五十丸滚白汤送下
治食痰生冷寒留中焦心脾痛不可忍
干姜 浓朴 麦芽 草果 神曲 良姜 橘红 砂仁 甘草
水二钟姜三片煎八分不拘时服 为末服亦可
治疗伤寒引起的中脘疼痛，属于太阴病，适宜使用理中汤、小建中汤或治中汤。
脐部腹痛，属于少阴病，适宜使用真武汤或附子汤。
小腹疼痛，属于厥阴病，适宜使用正阳散或四逆汤。
外感寒邪侵犯胃部导致疼痛的，适宜使用草豆蔻丸。
因七情（喜、怒、忧、思、悲、恐、惊）气机郁结，疼痛牵连心胃的，适宜使用七气汤或指迷七气汤。
因食积阻滞、气机不通导致疼痛的，适宜使用化滞丸、木香槟榔丸或保和丸。
因虚气运行不畅导致疼痛的，适宜使用二陈汤合四君子汤，或参术散。
因死血（瘀血）导致疼痛的，适宜使用桃仁陈气汤。
因胃中热邪郁结导致疼痛的，适宜使用栀子仁（用姜汁炒制），并辅以行气的药物。
各种疼痛不可过度使用补药，因为疼痛多由气机不通所致，“通则不痛”，而补药容易阻碍气机运行。
心腹疼痛的病证必须区分新病与久病。如果明确知道是感受寒气或食用生冷食物所致，在初发病时，适宜给予温散、温利的药物。如果病情……
治疗小腹疼痛
治疗伤寒引起中脘作痛：
芍药、甘草、桂枝、胶饴（饴糖）。
加水两钟，生姜三片，大枣一枚，煎至八分，不拘时间服用。
治疗客寒犯胃：
草豆蔻、益智仁、吴茱萸、当归身、生甘草、炙甘草、橘皮、僵蚕、大黄、半夏、青皮。
除去桃仁，研为细末，用蒸饼糊制成梧桐子大小的丸剂。每次服用三五十丸，用滚开的白开水送服。
治疗食痰、生冷寒邪留滞中焦，导致心脾疼痛难以忍受：
干姜、厚朴、麦芽、草果、神曲、良姜、橘红、砂仁、甘草。
加水两钟，生姜三片，煎至八分，不拘时间服用；也可研为细末服用。
治疗七情气郁导致的心腹刺痛：
半夏、桂心、玄胡索、人参、乳香、甘草。
加水两钟，生姜三片，大枣一枚，煎至八分，在饭后稍远的时间服用。
For epigastric pain caused by Cold Damage (Shanghan), which belongs to the Taiyin syndrome, Lizhong Tang (Regulate the Middle Decoction), Xiaojianzhong Tang (Minor Construct the Middle Decoction), or Zhizhong Tang (Regulate the Middle Decoction) are appropriate.
For abdominal pain at the umbilicus, which belongs to the Shaoyin syndrome, Zhenwu Tang (True Warrior Decoction) or Fuzi Tang (Aconite Decoction) are appropriate.
For lower abdominal pain, which belongs to the Jueyin syndrome, Zhengyang San (Uphold Yang Powder) or Sini Tang (Reverse the Extremities Decoction) are appropriate.
For pain caused by exogenous cold invading the stomach, Caodoukou Wan (Cardamomum Seed Pill) is appropriate.
For pain involving the heart and stomach due to Qi stagnation from the Seven Emotions (Seven Affects), Qiqi Tang (Seven Qi Decoction) or Zhimi Qi Qi Tang (Enlighten the Mystery Seven Qi Decoction) are appropriate.
For pain caused by food retention blocking the flow of Qi, Huazhi Wan (Resolve Stagnation Pill), Muxiang Binglang Wan (Costus and Areca Nut Pill), or Baohe Wan (Preserve Harmony Pill) are appropriate.
For pain caused by deficiency Qi malfunctioning, Erchen Tang (Two-Cured Decoction) combined with Sijunzi Tang (Four Gentlemen Decoction), or Shen'zhu San (Ginseng and Atractylodes Powder) are appropriate.
For pain caused by fixed blood (blood stasis), Taoren Chenqi Tang (Peach Kernel and Regulate Qi Decoction) is appropriate.
For pain caused by heat stagnation in the stomach, Zhizi Ren (Gardenia Seed, stir-fried with ginger juice) should be used, supplemented with herbs that promote Qi movement.
Various pains should not be treated excessively with tonifying medicines, because pain arises from obstruction ("when there is free flow, there is no pain"), and tonifying medicines can impede Qi movement.
Diseases of heart and abdominal pain must be distinguished as new or old. If it is known that the condition was acquired through exposure to cold or consumption of cold foods, during the initial stage, warming and dispersing or warming and promoting urination medicines should be administered. If the disease...
Treatment of Epigastric Pain from Cold Damage
Symptoms are also found in the "Middle Cold" category; treatment is the same as above.
Treatment of Umbilical Abdominal Pain
Symptoms are also found in the "Cold Damage" category.
Treatment of Lower Abdominal Pain
Treatment for epigastric pain from Cold Damage:
Shaoyao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Guizhi (Cinnamomi Ramulus), Jiaoyi (Maltose).
Add two cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Dazao (Jujubae Fructus). Decoct until reduced to 80%. Take at any time.
Treatment for Exogenous Cold Invading the Stomach:
Caodoukou (Tsaoko Fructus), Yizhiren (Alpiniae Oxyphyllae Fructus), Wuzhuyu (Evodiae Fructus), Dangguishen (Angelicae Sinensis Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Jiangcan (Bombyx Batryticatus), Huang Qin (Scutellariae Radix - *Note: Text says 'Ren Huang' then 'Huang', likely typo for Huang Qin or Da Huang, context suggests clearing heat/dampness, but literal translation of visible text*), Banxia (Pinelliae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride).
Remove Tao Ren (Persicae Semen), grind into fine powder, use steamed dough paste to make pills the size of Sophora seeds. Take 30-50 pills each time, washed down with boiling plain water.
Treatment for Food Phlegm and Cold Retention in the Middle Jiao causing unbearable Heart-Spleen Pain:
Ganjiang (Zingiberis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Maiya (Hordei Fructus Germinatus), Caoguo (Tsaoko Fructus), Shenqu (Massa Medicata Fermentata), Liangjiang (Alpiniae Officinarum Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Sharen (Amomi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
Add two cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until reduced to 80%. Take at any time; may also be taken as a powder.
Treatment for Heart-Abdominal Sharp Pain due to Qi Stagnation from Seven Emotions:
Banxia (Pinelliae Rhizoma), Guixin (Cinnamomi Ramulus), Yuanhusuo (Corydalis Rhizoma), Renshen (Ginseng Radix), Ruxiang (Olibanum), Gancao (Glycyrrhizae Radix et Rhizoma).
Add two cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Dazao (Jujubae Fructus). Decoct until reduced to 80%. Take well after meals.