《病源》心痛而不能饮食者，积冷在内，客于脾而乘心络故也。心，阳气也，冷，阴气
也，冷乘于心，阴阳相乘，冷热相击，故令痛也。脾主消水谷，冷气客之则脾气冷弱，不胜
于水谷也。心为火，脾为土，是母子也，俱为邪所乘，故痛，复不能饮食也。（出第十九卷
中）
《广济》疗久心刺肋，冷气结痛不能食。高良姜汤方。
高良姜（十分） 当归（十分） 橘皮（八分） 浓朴（十分炙） 桔梗（八分） 桃
仁（五十枚
去尖、皮） 吴茱萸（八分） 生姜（八分） 诃黎勒（五分）
上九味，切，以水八升，煮取二升八合，绞去滓，分温三服，服别相去如人行六七里，
再服。忌猪肉、生冷、油腻、粘食、小豆等。（出第四卷中）
《肘后》疗常患心痛，不能饮食，头中疼重。乌头丸方。
乌头（六分炮） 椒（六分汗） 干姜（四分） 桂心（四分）
上四味，捣末，蜜丸。酒服如大豆四丸，稍稍增之。忌生葱。（出第一卷中）
《病源》心为诸脏主，其正经不可伤，伤之而痛者，则朝发夕死，夕发朝死，不暇展疗
。其人心痛者，是心之支别络为风邪冷气所乘痛也，故成疹不死，发作有时，经久不瘥也。
（出第十六卷中）
《广济》疗心痛三十年不瘥，月上旬杀虫。雷丸鹤虱散方。
雷丸（八分） 鹤虱（八分） 贯众（八分） 野狼牙（八分） 桂心（八分） 当归（八
分） 槟榔
（八分）
上七味，捣筛为散。空腹煮蜜水半鸡子许，服方寸匕，日二服。若重，不过三服则瘥，
不利。忌生葱、生冷、油腻、猪、鱼、小豆、大蒜等。（出第四卷中）
《范汪》疗久心痛。乌头赤石脂丸方。
赤石脂 干姜 桂心 椒（汗） 乌头（炮）
上五味等分，末之，蜜和丸如梧子。服三丸，日三，以知为度。赤石脂当取斑斑赤中者
。忌猪肉、冷水、生葱。（出第十八卷中）
《必效》疗三十年心痛方。
桃仁（七枚去皮、尖）
上一味，研，汤水合，顿服。酒服亦良。（《肘后》、《经心录》同，出第五卷中）
《古今录验》疗久心痛、腹痛积年，定不过一时间还发，发甚则数日不能食，又便出干
血，穷天下方不瘥，甄立言为处犀角丸服之，数日则瘥方。
犀角（二分屑） 麝香（二分碎） 朱砂（四分光明者，研） 桔梗（二分） 莽草（二
分炙）
花（二分熬） 巴
豆（二十枚去心、皮） 赤足蜈蚣（二枚去足，炙）
上十三味，捣筛，蜜和丸如梧子。饮服一丸，旦渐加至三丸，以利为度。忌生葱、猪肉
、野猪肉、芦笋、生血物。（一方无附子，《千金》有雄黄二分，出第八卷中）
疗心痛如虫啮痛，宛转欲死不救方。
又浓捣地黄汁，和面作，冷淘不用盐，服一顿，虫即出。不出再服，必出便瘥。正元十
年，通事舍人崔抗女患心痛，垂气欲绝，忽记此方，服便吐出一物，可方一寸以来，状如虾
蟆，无目足，微似有口，盖被此物所蚀。抗云，往年见亲表患心痛，因偶食地黄 ，遂吐
一虫犹动，其时亦不谓地黄冷淘，能害此虫，因盛于小竹筒，以数茎地黄冷淘，投于竹筒中
，须臾视之，已化为水。然觉此冷淘杀虫，心痛无不永绝，抗自得此方，救三四人皆如神效
，出手抄方。
《经心录》疗四十年心痛不瘥方。
黍米沉汁，温服随多少。（出第一卷中）
《诸病源候论》指出：心痛且不能进食的病症，是由于体内积聚寒气，外邪侵袭脾脏并波及心之络脉所致。心属阳气，寒属阴气，寒邪侵犯心脏，导致阴阳相互搏结，冷热之气相激，因而引发疼痛。脾主运化水谷，若寒气客居其中，则脾气虚冷衰弱，无法胜任对水谷的消化与传输。心为火脏，脾为土脏，二者互为母子关系，如今均受邪气侵扰，故既出现疼痛，又伴有不能进食的症状。（出自第十九卷）
《广济方》治疗长期心痛放射至胁肋部，因冷气凝结疼痛而无法进食的方剂：高良姜汤方。
高良姜（十分）、当归（十分）、橘皮（八分）、厚朴（十分，炙）、桔梗（八分）、桃仁（五十枚，去皮尖）、吴茱萸（八分）、生姜（八分）、诃黎勒（五分）。
以上九味药，切碎，用水八升，煎煮至二升八合，过滤去渣，分三次温服。每次服药间隔时间约为行人行走六七里的路程，连续服用两次。忌食猪肉、生冷食物、油腻食物、粘性食物、赤小豆等。（出自第四卷）
《肘后备急方》治疗经常患有心痛、不能进食、头部疼痛沉重的方剂：乌头丸方。
乌头（六分，炮制）、花椒（六分，出汗处理）、干姜（四分）、桂心（四分）。
以上四味药，捣碎成粉末，用蜂蜜制成丸药。每次用酒送服如大豆大小的四丸，逐渐增加剂量。忌食生葱。（出自第一卷）
《诸病源候论》指出：心是五脏的主宰，其正经不可受伤，如果正经受伤而致痛，往往早晨发病晚上死亡，晚上发病早晨死亡，来不及进行治疗。所谓的心痛症状，是因为心的分支络脉被风邪和冷气侵袭所致，因此形成疹疾但不会立即致死，发作有定时，经久不愈。（出自第十六卷）
《广济方》治疗心痛三十年不愈，于每月上旬服用杀虫药的方剂：雷丸鹤虱散方。
雷丸（八分）、鹤虱（八分）、贯众（八分）、野狼牙（八分）、桂心（八分）、当归（八分）、槟榔（八分）。
以上七味药，捣碎过筛成为散剂。空腹时煮半颗鸡蛋量的蜜水，服用一方寸匕的药散，每日两次。如果病情严重，不超过三次服用即可痊愈，以通利大便为度。忌食生葱、生冷食物、油腻食物、猪肉、鱼肉、赤小豆、大蒜等。（出自第四卷）
《范汪方》治疗长期心痛的方剂：乌头赤石脂丸方。
赤石脂、干姜、桂心、花椒（出汗处理）、乌头（炮制）。
以上五味药等量，研成粉末，用蜂蜜调和制成如梧桐子大小的丸药。每次服用三丸，每日三次，以见效为限度。赤石脂应当选取带有斑斑红色纹理的优质品。忌食猪肉、冷水、生葱。（出自第十八卷）
《必效方》治疗三十年心痛的方剂。
桃仁（七枚，去皮尖）。
以上一味药，研磨，用热水调和，一次性服下。用酒送服效果也很好。（《肘后备急方》、《经心录》记载相同，出自第五卷）
《古今录验方》治疗长期心痛、腹痛多年，疼痛固定在一个时间段发作，发作严重时数日不能进食，并且排出干血，天下所有方剂都无法治愈。甄立言为此处方犀角丸服用，数日即愈的方剂。
犀角（二分，锉屑）、麝香（二分，捣碎）、朱砂（四分，选光明者，研磨）、桔梗（二分）、莽草（二分，炙）、辛夷花（二分，熬制）、巴豆（二十枚，去心皮）、赤足蜈蚣（二枚，去足，炙）。
以上十三味药，捣碎过筛，用蜂蜜调和制成如梧桐子大小的丸药。饮水送服一丸，早晨开始逐渐增加至三丸，以通利大便为限度。忌食生葱、猪肉、野猪肉、芦笋、未凝固的血类食物。（另一版本无附子，《千金方》中有雄黄二分，出自第八卷）
治疗心痛如虫咬般疼痛，辗转反侧欲死无法救治的方剂。
又法：将地黄汁浓稠捣烂，与面粉混合做成冷淘面，不加盐，一次顿服，虫子就会排出。如果不排出再服一次，必定能排出并痊愈。正元十年，通事舍人崔抗的女儿患心痛，气息微弱几乎断绝，忽然想起这个方子，服用后吐出一个物体，大约一寸见方，形状像蛤蟆，没有眼睛和脚，微微似乎有口，大概是被此物侵蚀所致。崔抗说，往年曾见亲戚表兄弟患心痛，偶然吃了地黄，于是吐出一条还在蠕动的虫子，当时也不认为地黄的冷淘面能害死这种虫子，便将其盛在小竹筒中，放入几根地黄的冷淘面，片刻后观察，已化为水。然而觉得这冷淘面确实能杀虫，心痛之症无不永远断绝。崔抗得到此方后，救了三四人，都如神效一般，这是手抄的方子。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): The condition of heart pain accompanied by inability to eat is caused by the accumulation of cold pathogens within, which invade the Spleen and affect the collaterals of the Heart. The Heart belongs to Yang Qi, while cold belongs to Yin Qi. When cold invades the Heart, Yin and Yang contend with each other, and cold and heat clash, thus causing pain. The Spleen governs the digestion and transportation of food and fluids; if cold pathogens reside therein, the Spleen Qi becomes cold and weak, unable to handle food and fluids. The Heart is Fire, and the Spleen is Earth; they are in a mother-son relationship. Since both are invaded by pathogenic factors, pain occurs, along with the inability to eat. (From Volume 19)
*Guangji Fang* (Prescriptions from Guangji Hospital) treats long-standing heart pain radiating to the hypochondrium, where cold qi condenses causing pain and inability to eat. Formula: Gaoliangjiang Tang (Galangal Decoction).
Gaoliangjiang (Alpiniae Officinarum Rhizoma, 10 fen), Danggui (Angelicae Sinensis Radix, 10 fen), Jupi (Citri Reticulatae Pericarpium, 8 fen), Houpo (Magnoliae Officinalis Cortex, 10 fen, processed with heat), Jiegeng (Platycodonis Radix, 8 fen), Taoren (Persicae Semen, 50 seeds, skin and tip removed), Wuzhuyu (Evodiae Fructus, 8 fen), Shengjiang (Zingiberis Rhizoma Recens, 8 fen), Helile (Terminaliae Chebulae Fructus, 5 fen).
The above nine herbs are cut, boiled in eight sheng of water until reduced to two sheng and eight he, strained to remove dregs, and divided into three warm doses. The interval between doses should be equivalent to the time it takes a person to walk six or seven li. Take two doses consecutively. Avoid pork, raw/cold foods, greasy foods, sticky foods, and adzuki beans. (From Volume 4)
*Zhouhou Beiji Fang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) treats frequent heart pain, inability to eat, and heavy pain in the head. Formula: Wutou Wan (Aconite Pill).
Wutou (Radix Aconiti Lateralis Preparata, 6 fen, prepared), Jiao (Zanthoxyli Fructus, 6 fen, perspired), Ganjiang (Zingiberis Rhizoma, 4 fen), Guixin (Cinnamomi Ramulus, 4 fen).
The above four herbs are pounded into powder and mixed with honey to form pills. Administer four pills the size of soybeans with wine, gradually increasing the dose. Avoid raw green onions. (From Volume 1)
*Zhu Bing Yuan Hou Lun* states: The Heart is the master of all viscera; its main meridians must not be injured. If the main meridians are injured and cause pain, death may occur in the morning if onset is in the evening, or in the evening if onset is in the morning, leaving no time for treatment. The so-called heart pain described here results from wind-cold pathogens invading the branch collaterals of the Heart. Thus, it forms a chronic condition that does not lead to immediate death, has periodic attacks, and persists without cure for a long time. (From Volume 16)
*Guangji Fang* treats heart pain persisting for thirty years without cure. To administer anthelmintics on the first ten days of the lunar month. Formula: Leiwan Heshi San (Omphalia Powder).
Leiwan (Omphalia Lapidea, 8 fen), Heshi (Chrysanthemi Indici Flos, 8 fen), Guanzhong (Cyrtomii Rhizoma, 8 fen), Yelangya (Sanguisorbae Radix, 8 fen), Guixin (Cinnamomi Ramulus, 8 fen), Danggui (Angelicae Sinensis Radix, 8 fen), Binglang (Arecae Semen, 8 fen).
The above seven herbs are pounded and sifted into a powder. On an empty stomach, boil half the volume of water used for cooking an egg with honey, and take one fangcunbi (a square-inch measure) of the powder twice daily. If the condition is severe, no more than three doses are needed for recovery, aiming for bowel movement. Avoid raw green onions, raw/cold foods, greasy foods, pork, fish, adzuki beans, and garlic. (From Volume 4)
*Fan Wang Fang* treats long-standing heart pain. Formula: Wutou Chishizhi Wan (Aconite and Halloysit Rubra Pill).
Chishizhi (Halloysit Rubra), Ganjiang (Zingiberis Rhizoma), Guixin (Cinnamomi Ramulus), Jiao (Zanthoxyli Fructus, perspired), Wutou (Radix Aconiti Lateralis Preparata).
The above five herbs are taken in equal parts, powdered, and mixed with honey to form pills the size of sophora seeds. Take three pills, three times a day, stopping when effective. Chishizhi should be selected for its mottled red texture. Avoid pork, cold water, and raw green onions. (From Volume 18)
*Bixiao Fang* treats heart pain lasting thirty years.
Taoren (Persicae Semen, 7 seeds, skin and tip removed).
The single herb is ground, mixed with hot water, and taken in one dose. Taking it with wine is also effective. (Recorded in *Zhouhou Beiji Fang* and *Jingxin Lu*, From Volume 5)
*Gujin Luyan Fang* treats long-standing heart pain and abdominal pain persisting for years, recurring at fixed times. Severe attacks last several days with inability to eat, accompanied by passage of dried blood. No prescriptions in the world could cure this. Zhen Liyan prescribed Xijiao Wan (Rhinoceros Horn Pill), which cured the patient in a few days.
Xijiao (Rhinocerotis Cornu, 2 fen, crushed), Shexiang (Moschus, 2 fen, broken), Zhusha (Cinnabaris, 4 fen, bright quality, ground), Jiegeng (Platycodonis Radix, 2 fen), Mangcao (Adenophorae Radix, 2 fen, processed with heat), Xin Yi Hua (Magnoliae Flos, 2 fen, roasted), Badou (Crotonis Fructus, 20 seeds, heart and skin removed), Chizu Wugong (Scolopendra, 2 specimens, feet removed, processed with heat).
The above thirteen herbs are pounded, sifted, and mixed with honey to form pills the size of sophora seeds. Take one pill with water, starting in the morning and gradually increasing to three pills, stopping when bowel movement occurs. Avoid raw green onions, pork, wild boar meat, asparagus, and fresh blood products. (Another version lacks Fuzi; *Qianjin Fang* includes Xionghuang 2 fen, From Volume 8)
Treatment for heart pain feeling like insect bites, tossing and turning as if dying and incurable.
Alternative method: Thoroughly crush Rehmannia juice, mix with flour to make "cold noodles" (Lengtao), do not add salt, and consume in one meal. The insects will be expelled. If not expelled, take another dose; expulsion is certain and the disease will heal. In the Zhengyuan era, Cui Kang, the Tongshi Sheren, had a daughter suffering from heart pain with faint breath nearing death. She suddenly remembered this prescription. After taking it, she vomited an object about one cun square, resembling a toad, without eyes or feet, but seemingly having a mouth. It was likely eaten by this creature. Cui Kang said that in previous years, he saw a relative suffer from heart pain and vomit a moving worm after accidentally eating Rehmannia. He did not then realize that Rehmannia cold noodles could kill such worms. He kept the worm in a small bamboo tube, added some Rehmannia cold noodles, and soon observed it dissolved into water. However, he realized these cold noodles indeed kill parasites, ensuring permanent relief from heart pain. Having obtained this prescription, Cui Kang saved three or four people with miraculous effect. This is a hand-copied prescription.
*Jingxin Lu* treats heart pain persisting for forty years without cure.
Take the sediment juice of Shumi (Panicum miliaceum), warm and drink as much as tolerated. (From Volume 1)