《广济》疗心痛，又心撮肋，心闷则吐血，手足烦疼，食饮不入，桃仁丸方。
桃仁（八分去皮、尖） 当归（六分） 芍药（八分） 诃黎勒（六分） 甘草（六分
炙） 延
胡索（四分） 人参（六分） 槟榔（十四枚）
上八味，捣筛，蜜丸如梧子。以酒空腹下二十丸，渐加至三十丸，日再服，取快利。忌
海藻、菘菜、生菜、热面、荞麦、猪犬肉、粘食。（出第四卷中）
《古今录验》真心痛证，手足青至节，心痛甚者，旦发夕死，夕发旦死，疗心痛，痛及
已死方。
高其枕，柱其膝，欲令腹皮蹙柔，爪其脐上三寸胃管有顷，其人患痛短气，欲令人举手
者，小举手问痛瘥，缓者止。（出第八卷中）
《救急》疗心痛冷热方。
取伏龙肝末，煮水服方寸匕。若冷，以酒和服瘥。（《范汪》、《经心录》同，出第八卷
中）
《病源》腹痛者，由腑脏虚，寒冷之气，客于肠胃募原之间，结聚不散，正气与邪气交
争相击，故痛。其有冷气搏于阴经者，则腹痛而肠鸣，谓之寒中，是阳气不足、阴气有余者
也。诊其寸口脉沉而紧，则腹痛；尺脉紧，脐下痛；脉沉迟，腹痛；脉来触触者，少腹痛；
脉阴弦则腹痛。凡腹急痛，此里之有病，其脉当沉，若细而反浮大，故当愈矣，其人不即愈
者，必当死，以其病与脉相反故也。其汤、熨、针石，别有正方补养宣导，今附于后。《养
生方·导引法》云∶股胫手臂痛，法屈一胫臂中所痛者，正偃卧，口鼻闭气腹痛，以意推之
，想气往至痛上俱热即愈。又云，偃卧展两胫两手，仰足指，以鼻纳气自极七息，除腹中弦
急切痛。又云，偃卧，口纳气，鼻出之，除里急，饱咽气数十，令温中寒，干吐呕腹痛，口
纳气七十所大振腹，咽气数十，两手相摩，令热以摩腹，令气下。（出第十六卷中）
张文仲当归大黄 疗冷气牵引腰背肋下，腹内痛方。
当归（三两） 芍药（八分） 桂心（三分） 干姜（六分） 茱萸（五分） 人参（一
两） 大黄
（一两） 甘草（二两炙）
上八味，切，以水六升，煮取三升，去滓，温服一升，日三。忌海藻、菘菜、生葱。
（出第三卷中）
《范汪》四味当归汤 主寒腹痛方。
当归 桂心 干姜（各三两） 甘草（二两炙）
上切，以水八升，煮取三升，一服一升，日三服。虚冷激痛甚者，加黄 、芍药各二两
。忌海藻、菘菜、生葱。（《千金》无甘草，有附子一两，出第十五卷中）
《短剧》疗寒冷腹痛。茱萸汤方。
吴茱萸（二两） 甘草（炙） 人参 桂心（各一两） 生姜（五两） 半夏（一升） 小
麦（一
升） 当归（二两）
上八味，切，以水一斗五升，煮取三升，分温服一升，日三服。忌海藻、菘菜、羊肉饧
、生葱。（《千金》桂二两，生姜切一升，出第一卷中）
《古今录验》芎 汤 疗卒寒腹中拘急痛方。
芎 当归 桂心 芍药 甘草（炙各一两） 黄芩（半两） 干姜（半两） 杏仁（三
十枚
去皮、尖）
上八味，切，以水五升，煮取二升，分再服。忌海藻、菘菜、生葱。（出第八卷中）
《广济方》治疗心痛，以及心气牵引胁肋、心胸烦闷导致吐血、手足烦痛、饮食无法入口的桃仁丸方。
桃仁（八分，去皮和尖） 当归（六分） 芍药（八分） 诃黎勒（六分） 甘草（六分，炙） 延胡索（四分） 人参（六分） 槟榔（十四枚）
以上八味药，捣碎并过筛，用蜂蜜制成梧桐子大小的丸剂。空腹时以酒送服二十丸，逐渐增加至三十丸，每日服用两次，以取得通畅利下的效果。忌食海藻、菘菜（白菜）、生菜、热面、荞麦、猪狗肉及粘性食物。（出自第四卷中）
《古今录验方》记载真心痛证候，手足青紫延伸至关节，心痛剧烈者，早晨发病傍晚死亡，傍晚发病早晨死亡，治疗心痛，疼痛已致人死亡的急救方。
垫高枕头，支撑膝盖，想要让腹部皮肤皱缩柔软，用手指掐按脐上三寸处的胃管穴片刻，如果患者患病疼痛且短气，想要让人举起手来，轻轻举手询问疼痛是否缓解，若症状缓和则停止操作。（出自第八卷中）
《救急方》治疗寒性或热性心痛的方子。
取伏龙肝（灶心土）的粉末，用水煮后服用一方寸匕。如果是寒性心痛，用酒调和服用即可痊愈。（《范汪方》、《经心录》与此相同，出自第八卷中）
《诸病源候论》认为腹痛，是由于脏腑虚弱，寒气侵袭肠胃募原之间，结聚不散，正气与邪气相互交争搏击，所以产生疼痛。如果有冷气搏结于阴经，则腹痛且肠鸣，称为“寒中”，这是阳气不足、阴气有余的表现。诊察寸口脉沉而紧，则是腹痛；尺脉紧，则是脐下痛；脉象沉迟，是腹痛；脉象来势触触跳动，是小腹痛；脉象阴弦，则是腹痛。凡是腹部紧急疼痛，这是里有病，其脉应当沉，如果脉细却反而浮大，说明病情应当好转，如果病人没有立即好转，必定会死亡，因为病症与脉象相反的缘故。关于汤药、熨法、针石疗法，另有专门的正方补养宣导方法，现在附在后面。《养生方·导引法》说：大腿、小腿、手臂疼痛，方法是屈曲一腿或一臂中疼痛的部位，正身仰卧，闭住口鼻之气感到腹痛，用意念引导气息到达疼痛处，想到气息到达疼痛处时发热就会痊愈。又说，仰卧伸展两腿两手，仰起足趾，用鼻子吸气直到极限，共七次呼吸，可以消除腹中弦急迫切的疼痛。又说，仰卧，口吸气，鼻呼气，可以消除里急后重，饱食后咽气数十次，可以温中散寒，治疗干呕呕吐腹痛，口吸气七十次，大力振腹，咽气数十次，两手互相摩擦使其发热，然后用热手按摩腹部，使气下行。（出自第十六卷中）
张文仲的当归大黄方，治疗冷气牵引腰背肋下，腹内疼痛。
当归（三两） 芍药（八分） 桂心（三分） 干姜（六分） 吴茱萸（五分） 人参（一两） 大黄（一两） 甘草（二两，炙）
以上八味药，切碎，用水六升，煮取三升，去渣，温服一升，每日三次。忌食海藻、菘菜、生葱。（出自第三卷中）
《范汪方》的四味当归汤，主治寒性腹痛。
当归 桂心 干姜（各三两） 甘草（二两，炙）
以上药物切碎，用水八升，煮取三升，每次服一升，每日三次。虚冷剧烈疼痛严重的，加黄芪、芍药各二两。忌食海藻、菘菜、生葱。（《千金方》中没有甘草，有一两附子，出自第十五卷中）
《短剧方》治疗寒冷腹痛的茱萸汤方。
吴茱萸（二两） 甘草（炙） 人参 桂心（各一两） 生姜（五两） 半夏（一升） 小麦（一升） 当归（二两）
以上八味药，切碎，用水一斗五升，煮取三升，分次温服，每次一升，每日三次。忌食海藻、菘菜、羊肉饴糖、生葱。（《千金方》中桂心二两，生姜切一升，出自第一卷中）
《古今录验方》的芎䓖汤，治疗突然受寒腹中拘急疼痛。
芎䓖 当归 桂心 芍药 甘草（炙，各一两） 黄芩（半两） 干姜（半两） 杏仁（三十枚，去皮和尖）
以上八味药，切碎，用水五升，煮取二升，分两次服用。忌食海藻、菘菜、生葱。（出自第八卷中）
The *Guangji Fang* treats heart pain, as well as the sensation of heart qi pulling the ribs, chest oppression leading to hematemesis, irritability and pain in the hands and feet, and inability to ingest food or drink. This is the formula for Taoren Wan (Peach Kernel Pill).
Taoren (Peach Seed) (8 fen, peeled and remove tips), Danggui (Angelicae Sinensis Radix) (6 fen), Shaoyao (Peony Root) (8 fen), Helile (Chebulae Fructus) (6 fen), Gancao (Licorice Root) (6 fen, honey-fried), Yanhuxue (Corydalis Rhizoma) (4 fen), Renshen (Ginseng Radix et Rhizoma) (6 fen), Binglang (Areca Seed) (14 pieces).
These eight ingredients are crushed, sifted, and made into pills the size of wutong seeds using honey. Take twenty pills with wine on an empty stomach, gradually increasing to thirty pills, taken twice daily, aiming for a smooth and unobstructed bowel movement. Avoid consuming Haizao (Sargassum), Songcai (Chinese Cabbage), raw vegetables, hot noodles, buckwheat, pork and dog meat, and sticky foods. (From Volume IV)
The *Gujin Luyan* records the syndrome of Zhenxintong (True Heart Pain), where the hands and feet turn cyanotic extending to the joints, and severe heart pain results in death if onset occurs in the morning and persists until evening, or vice versa. This is the emergency prescription for treating heart pain when the patient has already died from pain.
Elevate the pillow and support the knees, intending to make the abdominal skin soft and wrinkled. Press the Weiguan acupoint located three cun above the umbilicus for a moment. If the patient suffers from painful shortness of breath and desires someone to raise their hand, gently raise the hand and ask if the pain has alleviated; if it eases, stop the manipulation. (From Volume VIII)
The *Jiuji Fang* provides formulas for treating cold-type or heat-type heart pain.
Take powder from Fulonggan (Caos Xin Tu / Earth from the Center of the Cooking Stove), boil it in water, and take one fangcun bi (a square-inch measure). If it is cold-type heart pain, mix with wine and take to achieve recovery. (*Fan Wang Fang* and *Jingxin Lu* are identical; From Volume VIII)
According to *Bingyuan*, abdominal pain arises from deficiency of the fu and zang organs, allowing cold qi to invade between the chang intestines and mu-yuan (epigastric region), where it accumulates and does not dissipate. The righteous qi and pathogenic qi clash and strike each other, causing pain. If cold qi clashes with the yin meridians, abdominal pain accompanied by borborygmus occurs, termed "Han Zhong" (Cold Middle), which indicates insufficiency of yang qi and excess of yin qi. Palpating the cunkou pulse: if deep and tight, there is abdominal pain; if the chi pulse is tight, there is pain below the umbilicus; if the pulse is deep and slow, there is abdominal pain; if the pulse comes with a throbbing sensation, there is lower abdominal pain; if the yin pulse is wiry, there is abdominal pain. Generally, in cases of urgent abdominal pain, indicating internal disease, the pulse should be deep. If the pulse is fine but unexpectedly floating and large, the condition should resolve; if the patient does not recover immediately, death is certain because the pathology contradicts the pulse presentation. Regarding decoctions, moxibustion/ironing therapy, acupuncture, and stone therapy, there are separate specific formulas for nourishing and guiding qi, which are attached below. The *Yangsheng Fang · Daoyin Fa* states: For pain in the thighs, calves, and arms, the method is to flex the painful leg or arm, lie supine, hold the breath through mouth and nose inducing abdominal pain, use intention to guide qi to the painful area, imagining heat arriving at the pain site leads to recovery. It also states: Lie supine, extend both legs and arms, dorsiflex the toes, inhale deeply through the nose to the limit for seven breaths to eliminate tense, urgent abdominal pain. It further states: Lie supine, inhale through the mouth and exhale through the nose to eliminate tenesmus; after a full meal, swallow air dozens of times to warm the middle and dispel cold, treating dry retching, vomiting, and abdominal pain; inhale through the mouth seventy times, vigorously vibrate the abdomen, swallow air dozens of times, rub hands together until hot, then massage the abdomen to direct qi downward. (From Volume XVI)
Zhang Wenzhong's Danggui Dahuang Tang treats cold qi牵引 (pulling/traction) affecting the waist, back, and hypochondrium, and internal abdominal pain.
Danggui (Angelicae Sinensis Radix) (3 liang), Shaoyao (Peony Root) (8 fen), Guixin (Cinnamomi Cortex) (3 fen), Jiangjiang (Zingiberis Rhizoma) (6 fen), Zhuyu (Evodiae Fructus) (5 fen), Renshen (Ginseng Radix et Rhizoma) (1 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Gancao (Licorice Root) (2 liang, honey-fried).
These eight ingredients are cut, boiled in six sheng of water to obtain three sheng, strained, and one sheng is taken warm, three times daily. Avoid Haizao, Songcai, and raw scallions. (From Volume III)
Fan Wang's Siwei Danggui Tang primarily treats cold-type abdominal pain.
Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex), Jiangjiang (Zingiberis Rhizoma) (3 liang each), Gancao (Licorice Root) (2 liang, honey-fried).
Cut the ingredients, boil in eight sheng of water to obtain three sheng. Take one sheng per dose, three times daily. For severe pain due to deficiency-cold, add Huangqi (Astragali Radix) and Shaoyao (Peony Root) (2 liang each). Avoid Haizao, Songcai, and raw scallions. (*Qianjin Fang* lacks Gancao but includes Fuzi (Aconiti Lateralis Radix Praeparata) 1 liang; From Volume XV)
Dujuan's Zhuyu Tang treats cold-induced abdominal pain.
Zhuyu (Evodiae Fructus) (2 liang), Gancao (Licorice Root, fried), Renshen (Ginseng Radix et Rhizoma), Guixin (Cinnamomi Cortex) (1 liang each), Shengjiang (Zingiberis Rhizoma Recens) (5 liang), Banxia (Pinelliae Rhizoma) (1 sheng), Xiaomai (Tritici Fructus) (1 sheng), Danggui (Angelicae Sinensis Radix) (2 liang).
These eight ingredients are cut, boiled in fifteen dou of water to obtain three sheng. Divide into warm doses of one sheng, taken three times daily. Avoid Haizao, Songcai, mutton, maltose, and raw scallions. (*Qianjin Fang* uses 2 liang of Guixin and 1 sheng of cut Shengjiang; From Volume I)
Gujin Luyan's Xiongqiong Tang treats sudden cold-induced tense and urgent abdominal pain.
Xiongqiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex), Shaoyao (Peony Root), Gancao (Licorice Root, fried) (1 liang each), Huangqin (Scutellariae Radix) (0.5 liang), Jiangjiang (Zingiberis Rhizoma) (0.5 liang), Xingren (Armeniacae Semen Amarum) (30 pieces, peeled and remove tips).
These eight ingredients are cut, boiled in five sheng of water to obtain two sheng. Divide into two doses. Avoid Haizao, Songcai, and raw scallions. (From Volume VIII)