论曰心中寒者，心痛彻背，背痛彻心，如蛊注之状，盖心为阳脏，中寒则寒必甚，心背
彻痛，则寒邪中脏深矣。
治心中寒，心痛彻背，背痛彻心，或心下结实。姜附丸方
附子（炮裂去皮脐一分） 干姜（炮三分） 乌头（炮裂去皮尖一分） 吴茱萸（汤浸
一宿焙干炒半两） 浓朴（去粗皮生姜汁炙半两）
上五味。捣罗为细末，炼蜜和丸，梧桐子大。空腹以酒下三丸，日三夜一。未效稍
加丸数。
治心中寒，心背彻痛。赤石脂丸方
赤石脂（一两半） 干姜（炮二两） 乌头（炮裂去皮尖三分） 人参（一两） 细辛
（去苗叶一两） 桂（去
上七味。粗罗为末，炼蜜和丸，梧桐子大。每服五丸，食前米饮下，日二。未效渐加
丸数，以知为度。
治心中寒心背彻痛。吴茱萸汤方
吴茱萸（汤浸一宿焙干炒二两） 附子（炮裂去皮脐二枚） 芎 干姜（炮） 浓
朴（去粗皮生姜汁炙各二两） 甘草（炙锉一两）
上六味。粗捣筛，每服五钱匕。水一盏半，枣二枚劈破，同煎至一盏，去滓温服，不计
时，日三。
治心中寒，心痛彻背，背痛彻心。乌头丸方
乌头（炮裂去皮脐一分） 附子（炮裂去皮脐） 桂（去粗皮） 蜀椒（去目并闭口炒
出汗各半两） 赤
上六味。为细末，炼蜜为丸，如麻子大。每服三五丸，食后生姜汤下，日进三服。
治心中寒，寒气痛，胁下肠鸣，心转喉中胸腹妨闷，食不多消，常生食气。桔梗散方
桔梗 当归 芍药 茯苓 橘皮（汤浸去白瓤秤） 浓朴（去粗皮姜炙） 白术（各二
两） 荜茇
上一十二味。捣筛为散，每服三钱，生姜五片，枣一枚，煎至八分去滓，空心温服日三
又治心中寒，心背彻痛。茱萸丸方
吴茱萸（一升） 桂心 当归（各二两）
上三味。捣罗为末，炼蜜为丸，如梧桐子大。每服三十丸，温酒下，渐加至四十丸。
治心中寒，腹痛。当归汤方
当归（去芦头） 桂（去粗皮各一两） 甘草（生锉半两） 干姜（生锉一两）
上四味。粗捣筛，每服三钱匕。水一盏，枣二枚劈破，煎至七分，去滓食前温服。
治心中寒，发痛甚。大腹皮散方
大腹皮（锉半两） 高良姜（一两） 芍药（一两） 吴茱萸（汤浸一宿焙干炒一分）
上四味，捣罗为散，每服二钱匕，温酒调下，不饮酒，生姜汤亦得。
治心中寒，脉浮当吐。瓜蒂散方
瓜蒂（一分炒黄） 赤小豆（一分）
上二味。各捣罗，拌匀再罗，每服一钱匕，以香豉一合，热汤一盏，煮作稀糜，去滓取
汁，调散温顿服之，不吐者少加服之，快吐乃止，诸亡血虚人，不可服。
论述说：心中寒证，表现为心痛放射至背部，背痛放射至心脏，症状如同蛊毒注病一样严重。这是因为心为阳脏，一旦受寒，寒邪必然极盛；心背相互牵引作痛，说明寒邪已经深入脏腑。
治疗心中寒证，心痛放射至背部，背痛放射至心脏，或者心下部位结聚坚硬的姜附丸方：
附子（炮制裂开，去皮和脐，一分） 干姜（炮制，三分） 乌头（炮制裂开，去皮和尖，一分） 吴茱萸（用汤浸泡一夜，焙干后炒，半两） 浓朴（去除粗皮，用生姜汁炙，半两）
以上五味药。捣碎过筛成细末，用炼蜜调和做成丸剂，大小如梧桐子。空腹时以酒送服三丸，白天三次，夜间一次。如果无效，稍微增加丸数。
治疗心中寒证，心背相互牵引作痛。赤石脂丸方：
赤石脂（一两半） 干姜（炮制，二两） 乌头（炮制裂开，去皮和尖，三分） 人参（一两） 细辛（去苗叶，一两） 桂（去除粗皮）
以上七味药。粗捣成末，用炼蜜调和做成丸剂，大小如梧桐子。每次服用五丸，饭前用米汤送服，每天两次。如果无效逐渐增加丸数，以见效为度。
治疗心中寒证，心背相互牵引作痛。吴茱萸汤方：
吴茱萸（用汤浸泡一夜，焙干后炒，二两） 附子（炮制裂开，去皮和脐，二枚） 川芎 干姜（炮制） 浓朴（去除粗皮，用生姜汁炙，各二两） 甘草（炙制锉碎，一两）
以上六味药。粗捣过筛，每次服用五钱匕。用水一盏半，大枣二枚劈破，一同煎煮至一盏，去渣温服，不限时间，每天三次。
治疗心中寒证，心痛放射至背部，背痛放射至心脏。乌头丸方：
乌头（炮制裂开，去皮和脐，一分） 附子（炮制裂开，去皮和脐） 桂（去除粗皮） 蜀椒（去目并闭口，炒出油，各半两） 赤石脂
以上六味药。制成细末，用炼蜜做成丸剂，大小如麻子。每次服用三五丸，饭后用生姜汤送服，每天进药三次。
治疗心中寒证，寒气疼痛，胁下肠鸣，心胸腹部烦闷不适，食物不能很好地消化，常产生食积气滞。桔梗散方：
桔梗 当归 芍药 茯苓 橘皮（用汤浸泡去除白色瓤后称重） 浓朴（去除粗皮，用姜炙） 白术（各二两） 荜茇
以上十二味药。捣碎过筛成散剂，每次服用三钱，加生姜五片，大枣一枚，煎煮至八分，去渣，空腹温服，每天三次。
又治心中寒证，心背相互牵引作痛。茱萸丸方：
吴茱萸（一升） 桂心 当归（各二两）
以上三味药。捣碎过筛成末，用炼蜜做成丸剂，大小如梧桐子。每次服用三十丸，用温酒送服，逐渐增加到四十丸。
治疗心中寒证，腹痛。当归汤方：
当归（去芦头） 桂（去除粗皮，各一两） 甘草（生锉碎，半两） 干姜（生锉碎，一两）
以上四味药。粗捣过筛，每次服用三钱匕。用水一盏，大枣二枚劈破，煎煮至七分，去渣，饭前温服。
治疗心中寒证，发作疼痛剧烈。大腹皮散方：
大腹皮（锉碎，半两） 高良姜（一两） 芍药（一两） 吴茱萸（用汤浸泡一夜，焙干后炒，一分）
以上四味药，捣碎过筛成散剂，每次服用二钱匕，用温酒调服，不饮酒的人，用生姜汤也可以。
治疗心中寒证，脉象浮，应当使用吐法。瓜蒂散方：
瓜蒂（一分，炒黄） 赤小豆（一分）
以上两味药。分别捣碎过筛，拌匀后再过筛，每次服用一钱匕，用香豉一合，热汤一盏，煮成稀粥状，去渣取汁，调匀散剂温顿服之。如果不呕吐，稍微增加剂量，直到畅快呕吐为止。所有失血或虚损之人，不可服用。
Commentary states: In cases of Cold invading the Heart (Xin), there is pain in the heart radiating to the back, and pain in the back radiating to the heart, resembling the condition of Gu Zhu (Gu Poison Injection). This is because the Heart is a Yang Zang organ; when invaded by Cold, the pathogenic factor becomes severe. The mutual radiation of pain between the heart and back indicates that the Cold pathogen has deeply penetrated the Zang organs.
Prescription for Jiang Fu Wan (Ginger and Aconite Pill) to treat Cold invading the Heart, with heart pain radiating to the back, back pain radiating to the heart, or hardness and fullness below the heart:
Fuzi (Prepared Radix Aconiti Lateralis Preparata, split, skin and umbilicus removed, 1 fen) Ganjiang (Prepared Rhizoma Zingiberis Preparatus, 3 fen) Wutou (Prepared Radix Aconiti Preparata, split, skin and tip removed, 1 fen) Wuzhuyu (Soaked in decoction overnight, dried by baking and stir-fried, 0.5 liang) Houpo (Bark removed, stir-fried with juice of fresh ginger, 0.5 liang)
The above five herbs are crushed, sifted into fine powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take three pills orally on an empty stomach with wine, three times during the day and once at night. If ineffective, slightly increase the number of pills.
Prescription for Chishizhi Wan (Red Kaolin Pill) to treat Cold invading the Heart, with mutual radiation of pain between the heart and back:
Chishizhi (1.5 liang) Ganjiang (Prepared, 2 liang) Wutou (Prepared, skin and tip removed, 3 fen) Renshen (1 liang) Xixin (Aerial parts and leaves removed, 1 liang) Rougui (Bark removed)
The above seven herbs are coarsely ground into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take five pills per dose before meals with rice water, twice daily. If ineffective, gradually increase the dosage until therapeutic effect is achieved.
Prescription for Wuzhuyu Tang (Evodia Decoction) to treat Cold invading the Heart, with mutual radiation of pain between the heart and back:
Wuzhuyu (Soaked in decoction overnight, dried by baking and stir-fried, 2 liang) Fuzi (Prepared, skin and umbilicus removed, 2 pieces) Xiongqiong (Rhizoma Chuanxiong) Ganjiang (Prepared) Houpo (Bark removed, stir-fried with juice of fresh ginger, each 2 liang) Gancao (Stir-fried and cut, 1 liang)
The above six herbs are coarsely crushed and sieved. Take 5 qianbi per dose. Add one and a half zhan of water and two cracked jujubes, decoct until one zhan remains, strain, and take warm without specific timing, three times daily.
Prescription for Wutou Wan (Aconite Pill) to treat Cold invading the Heart, with heart pain radiating to the back and back pain radiating to the heart:
Wutou (Prepared, skin and umbilicus removed, 1 fen) Fuzi (Prepared, skin and umbilicus removed) Rougui (Bark removed) Shujiao (Seeds and closed shells removed, stir-fried until oil appears, each 0.5 liang) Chishizhi
The above six herbs are made into fine powder, mixed with refined honey to form pills the size of sesame seeds. Take three to five pills per dose after meals with ginger soup, three doses daily.
Prescription for Jiegeng San (Platycodon Powder) to treat Cold invading the Heart, causing cold-related pain, borborygmus under the hypochondrium, oppression and stuffiness in the chest and abdomen, poor digestion of food, and frequent generation of food stagnation qi:
Jiegeng Angelicae Sinensis Radix (Danggui) Baishao (Radix Paeoniae Alba) Fuling (Poria) Chenpi (Pericarpium Citri Reticulatae, soaked in decoction, white pith removed, weighed) Houpo (Bark removed, stir-fried with ginger) Baizhu (Rhizoma Atractylodis Macrocephalae, each 2 liang) Bibo (Fructus Piperis Longi)
The above twelve herbs are crushed and sieved into powder. Take 3 qian per dose with five slices of fresh ginger and one jujube, decoct until eight-tenths remain, strain, and take warm on an empty stomach, three times daily.
Another prescription for Cold invading the Heart, with mutual radiation of pain between the heart and back: Zhuyu Wan (Evodia Pill):
Wuzhuyu (1 sheng) Guixin (Cortex Cinnamomi) Danggui (each 2 liang)
The above three herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take thirty pills per dose with warm wine, gradually increasing to forty pills.
Prescription for Danggui Tang (Angelica Decoction) to treat Cold invading the Heart, causing abdominal pain:
Danggui (Radix Angelicae Sinensis, radix tip removed) Rougui (Bark removed, each 1 liang) Gancao (Raw, cut, 0.5 liang) Ganjiang (Raw, cut, 1 liang)
The above four herbs are coarsely crushed and sieved. Take 3 qianbi per dose. Add one zhan of water and two cracked jujubes, decoct until seven-tenths remain, strain, and take warm before meals.
Prescription for Dafupi San (Areca Peel Powder) to treat Cold invading the Heart, causing severe pain attacks:
Dafupi (Pericarpium Arecae, cut, 0.5 liang) Gaoliangjiang (Rhizoma Alpiniae Officinarum, 1 liang) Baishao (Radix Paeoniae Alba, 1 liang) Wuzhuyu (Soaked in decoction overnight, dried by baking and stir-fried, 1 fen)
The above four herbs are crushed and sieved into powder. Take 2 qianbi per dose, mixed with warm wine. For those who do not drink alcohol, ginger soup may be used instead.
Prescription for Guiti San (Melon Seed Powder) for treating Cold invading the Heart where the pulse is floating and emesis is indicated:
Guiti (Fructus Momordicae, 1 fen, stir-fried until yellow) Chixiaodou (Semina Phaseoli Angularis, 1 fen)
The above two herbs are separately crushed and sifted, mixed evenly, and sifted again. Take 1 qianbi per dose. Mix with one he of Xiangchi (Fermented Soybean) and one zhan of hot water, cook into a thin porridge, strain to obtain the juice, mix with the powder, and take warm in one dose. If vomiting does not occur, slightly increase the dose. Stop when profuse vomiting occurs. This is contraindicated in patients with blood loss or deficiency.