论曰凡人将理失度，阴阳俱虚，血气不足，复因风寒暑湿客忤邪恶之气，乘虚入于肌体，
流注经络，伏留脏腑，毒击心包，时发疼痛，积滞日久，转相注易，故曰恶注心痛也。
治心腹 痛，或暴得恶注 刺欲死者。鬼箭羽汤方
鬼箭羽（一两） 桃仁（汤浸去皮尖双仁六十枚炒） 芍药（二两） 鬼臼（削去皮微
炒一两）
大黄（锉碎醋
炒一两半）
上九味，粗捣筛，每服五钱匕，水一盏半，入生姜一分拍破，同煎至一盏，去滓入麝香
末一字匕，丹砂末朴硝末各半钱匕，再煎一沸，温服日再，以快利为度。
治恶注两胁连心痛。当归汤方
当归（切焙一两） 木香（三分） 槟榔（五枚微煨） 麝香（研旋入）
上四味，除麝香外，粗捣筛，每服五钱匕，童子小便一盏，水半盏，同煎至八分。去滓
入麝香末一字，再煎一沸、温服，空心日午夜卧各一，微利为度。
治恶注，心痛不可忍，气走连胸背，如刀刺者，及蛔咬心。十注丸方
麝香（研一两半） 犀角（镑二两） 雄黄（研一两半） 甘遂（微炒一两） 丹砂（研
一分）
上六味，捣研为末，炼蜜为丸，如小豆大，每服三丸，空心米饮下，如不吐利，渐加至
五丸。
治心腹注痛不可忍。桃枝汤方
桃枝（一握东引者削去皮）
上一味，锉碎，水二盏，煎至七分，去滓作一服，如未瘥再服。
治恶性心痛，五脏气壅，胸膈两胁拘急，发则呕吐清水，食饮不下。鳖甲丸方
鳖甲（去裙 醋浸炙） 人参 木香 白槟榔（锉） 枳壳（去瓤麸炒） 桂（去粗皮）
赤芍
药桔梗（锉炒）防葵 牡丹皮 京三棱（煨锉） 诃黎勒皮 陈橘皮（汤浸去白焙） 独
行根
当行（切焙） 大黄（锉炒） 郁李仁（去皮研各一两）
上一十七味，捣研为末，炼蜜为丸，如梧桐子大，每服三十丸，温汤或酒下。
治恶注心痛闷绝。鬼督邮丸方
鬼督邮末 安息香（各一两酒浸细研滤去滓慢火煎令成膏）
上二味，先将安息香煎成膏，拌前药为丸，如梧桐子大，每服十五丸。空心煎吴茱萸醋
汤下。
论述说：大凡人们调理失当，导致阴阳两虚，血气不足，又因风寒暑湿及客忤邪恶之气，乘虚侵入肌体，流注于经络，潜伏留滞于脏腑，毒邪冲击心包，时常引发疼痛。若积滞日久，病邪转相传染转移，所以称为“恶注心痛”。
治疗心腹疼痛，或是突然患上恶注，刺痛欲死的情况。鬼箭羽汤方：
鬼箭羽（一两）、桃仁（用热水浸泡，去皮尖，保留双仁的六十枚，炒制）、芍药（二两）、鬼臼（削去外皮，微炒，一两）、大黄（锉碎，用醋炒，一两半）。
以上九味药，粗捣筛过，每次服用五钱匕，加水一盏半，放入生姜一分拍破，一同煎煮至一盏，滤去药渣，加入麝香末一字匕、丹砂末和朴硝末各半钱匕，再煮沸一次，温服，每日两次，以大便通畅为度。
治疗恶注引起的两胁连及心痛。当归汤方：
当归（切后焙干，一两）、木香（三分）、槟榔（五枚，微煨）、麝香（研细，随时加入）。
以上四味药，除麝香外，粗捣筛过，每次服用五钱匕，加童子小便一盏、水半盏，一同煎煮至八分。滤去药渣，加入麝香末一字，再煮沸一次，温服，空腹时早晚各一次，以轻微腹泻为度。
治疗恶注，心痛难以忍受，气窜连及胸背，如刀刺一般，以及蛔虫咬心的情况。十注丸方：
麝香（研细，一两半）、犀角（镑片，二两）、雄黄（研细，一两半）、甘遂（微炒，一两）、丹砂（研细，一分）。
以上六味药，捣研成粉末，炼蜜为丸，如小豆大小，每次服用三丸，空腹时用米饮送下，如果不呕吐或腹泻，逐渐增加至五丸。
治疗心腹注痛难以忍受。桃枝汤方：
桃枝（一握，选取向东生长的枝条，削去外皮）。
以上一味药，锉碎，加水二盏，煎煮至七分，滤去药渣作为一服，如果未痊愈可再服。
治疗恶性心痛，五脏气机壅滞，胸膈及两胁拘急，发作时呕吐清水，饮食不下。鳖甲丸方：
鳖甲（去除裙边，醋浸后炙烤）、人参、木香、白槟榔（锉碎）、枳壳（去瓤，麸炒）、桂（去除粗皮）、赤芍药、桔梗（锉碎炒制）、防葵、牡丹皮、京三棱（煨后锉碎）、诃黎勒皮、陈橘皮（热水浸泡去白后焙干）、独行根、当行（切后焙干）、大黄（锉碎炒制）、郁李仁（去皮研碎，各一两）。
以上十七味药，捣研成粉末，炼蜜为丸，如梧桐子大小，每次服用三十丸，用温水或酒送下。
治疗恶注心痛导致闷绝昏迷。鬼督邮丸方：
鬼督邮末、安息香（各一两，用酒浸泡，细研后滤去药渣，慢火煎制成膏）。
以上两味药，先将安息香煎成膏，拌入前药粉末制成丸剂，如梧桐子大小，每次服用十五丸。空腹时用吴茱萸醋汤煎煮送下。
Commentary states: Generally, when people's regulation and care are improper, both Yin and Yang become deficient, and Blood and Qi are insufficient. Subsequently, due to pathogenic factors such as Wind-Cold, Summer-Heat, Dampness, and malicious or intrusive evil Qi, these pathogens enter the body through the deficiency, flow into the meridians, and lie latent in the Zang-Fu organs. The toxicity strikes the Pericardium, causing intermittent pain. If stagnation persists for a long time, the pathogenic factors transfer and change places with one another; thus, it is called "Malignant Transmission Heartache" (Ezhu Xin Tong).
Treatment for heart and abdominal pain, or sudden onset of Malignant Transmission causing stabbing pain nearly fatal. Guijianyu Decoction (Arrowwood Twig Decoction):
Guijianyu (Cacumen Spatholobi, 1 liang), Taoren (Semen Persicae, soaked in hot water, skin and pointed ends removed, retaining those with two kernels, 60 pieces, stir-fried), Shaoyao (Radix Paeoniae Alba, 2 liang), Jiubai (Rhizoma Daisumi, skin peeled off, slightly stir-fried, 1 liang), Dahuang (Radix et Rhizoma Rhei, crushed, stir-fried with vinegar, 1.5 liang).
The above nine ingredients are coarsely pounded and sieved. Each dose consists of 5 qianbi (approx. 5 grams), boiled with 1.5 sheng of water and 1 fen of smashed fresh ginger until reduced to 1 sheng. Strain the decoction, add 1 zibi of powder of Moschus (She Xiang), 0.5 qianbi of powder of Cinnabar (Dan Sha), and 0.5 qianbi of powder of Natrii Sulfas (Piao Xiao). Boil once more, take warm, twice daily, stopping when bowel movement becomes unobstructed.
Treatment for Malignant Transmission causing pain connecting from the hypochondrium to the heart. Danggui Decoction:
Danggui (Radix Angelicae Sinensis, cut and dried, 1 liang), Muxiang (Radix Aucklandiae, 3 fen), Binglang (Semen Arecae, 5 pieces, slightly roasted), She Xiang (Moschus, ground and added freshly).
The above four ingredients, excluding Moschus, are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1 sheng of urine from an uncircumcised boy and 0.5 sheng of water until reduced to 0.8 sheng. Strain the decoction, add 1 zibi of ground Moschus, boil once more, take warm. Take on an empty stomach at midnight and before sleep, each time, stopping when mild diarrhea occurs.
Treatment for Malignant Transmission, unbearable heartache, Qi rushing to connect with the chest and back like knife stabbing, and roundworm biting the heart. Shizhu Wan (Ten Transmissions Pill):
She Xiang (Moschus, ground, 1.5 liang), Xijiao (Cornu Rhinocerotis, sliced, 2 liang), Xionghuang (Realgar, ground, 1.5 liang), Gansui (Radix Euphorbiae Kansui, slightly stir-fried, 1 liang), Dan Sha (Cinnabar, ground, 1 fen).
The above six ingredients are pounded and ground into powder. Mix with refined honey to make pills the size of small beans. Take 3 pills per dose on an empty stomach with rice water. If no vomiting or diarrhea occurs, gradually increase to 5 pills.
Treatment for unbearable heart and abdominal transmission pain. Taozhi Decoction (Peach Twig Decoction):
Taozhi (Ramulus Persicae, one handful, specifically branches growing eastward, skin peeled off).
The above single ingredient is crushed, boiled with 2 sheng of water until reduced to 0.7 sheng. Strain and take as one dose. If not cured, take again.
Treatment for malignant heartache, stagnation of Qi in the five Zang organs, stiffness and tension in the chest, diaphragm, and hypochondrium, vomiting clear fluid upon attack, and inability to eat or drink. Biejia Wan (Softshell Turtle Shell Pill):
Biejia (Carapax et Plastrum Testudinis, remove skirt edge, soak in vinegar and roast), Renshen (Radix Ginseng), Muxiang (Radix Aucklandiae), Bai Binglang (Semen Arecae, crushed), Zhike (Fructus Aurantii, remove pith, stir-fried with bran), Gui (Cortex Cinnamomi, remove rough bark), Chishao (Radix Paeoniae Rubra), Jiegeng (Radix Platycodonis, crushed and stir-fried), Fangkui (Radix Securigerae), Mudanpi (Cortex Moutan), Jingsanleng (Rhizoma Sparganii, roasted and crushed), Helilepi (Pericarpium Terminaliae, dried tangerine peel soaked in hot water, white part removed, dried), Duxinggen (Radix Solani Tuberosi), Dangxing (Radix Salviae Miltiorrhizae, cut and dried), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried), Yuliren (Semen Pruni Armeniacae, skin removed and ground, each 1 liang).
The above seventeen ingredients are pounded and ground into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose with warm water or wine.
Treatment for Malignant Transmission heartache leading to fainting and coma. Guiduyou Wan (Guiduyou Pill):
Guiduyou powder, Anshixiang (Styrax, each 1 liang, soaked in wine, finely ground, strained, and slowly boiled into a paste).
The above two ingredients: first boil Anshixiang into a paste, mix with the Guiduyou powder to make pills the size of paulownia seeds. Take 15 pills per dose on an empty stomach, administered with a decoction of Evodiae Fructus and vinegar.