夫冷气心痛者。由脏腑虚弱。宿有冷疹。因外触风寒。内伤饮冷。而致发动邪气与正气
相搏
治冷气攻心。腹痛。胁肋妨闷。不思饮食。桔梗散方。
桔梗（去芦头） 当归（锉微炒） 赤芍药 赤茯苓 白术 陈橘皮（汤浸去白瓤焙） 荜
澄
茄
（以上
各一两）
上件药。捣粗罗为散。每服三钱。以水一盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治冷气攻心腹痛不可忍。木香散方。
木香 青橘皮（汤浸去白瓤焙） 赤芍药 吴茱萸（汤浸七遍焙干微炒） 当归（锉微
炒）
槟榔
上件药。捣粗罗为散。入麝香。和令匀。每服二钱。以水一中盏。煎至六分。去滓。不
计时
治冷气不和。心腹 痛。或时呕逆。不纳饮食。高良姜散方。
高良姜 白豆蔻 桂心（以上各一两） 芎 （半两） 丁香（半两） 当归（半两锉
微炒）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。热服。
治冷气攻心腹痛。时复下利。当归散方。
当归（锉微炒） 干姜（炮裂锉） 青橘皮（汤浸去白瓤焙） 艾叶（炒令微焦） 白
术附子
（炮
上件药。捣罗为散。每服二钱至三钱。水一中盏。煎至六分。去滓。不计时候。稍热服
之。
治冷气攻心腹痛。多呕。不欲饮食。桂心散方。
桂心（一两） 高良姜（一两锉） 当归（一两锉微炒） 草豆蔻（一两半去皮） 浓
朴（二两
去粗
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
冶冷邪气攻心腹痛。不欲饮食。桃仁散方。
桃仁（三七枚汤浸去皮尖双仁麸炒微黄） 浓朴（一两去粗皮涂生姜汁炙令香熟） 人
参
（半两
（一两炮
裂去皮
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。稍热服。
治冷气攻心腹 痛。少思饮食。槟榔散方。
槟榔（三分） 当归（一两锉微炒） 蓬莪术（三分） 吴茱萸（一分汤浸七遍焙干微
炒） 阿
魏（
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治冷气攻心腹疼痛不可忍。荜茇散方。
荜茇（一分） 胡椒（一分） 桂心〔二（一）分〕 桃仁（半两汤浸去皮尖双仁麸炒
微黄） 木
香
上件药。捣细罗为散。不计时候。以热酒调下一钱。
治积冷气攻心腹痛。四肢多冷。面色青黄。不欲饮食。麝香丸方。
麝香（一分细研） 槟榔（一两） 陈橘皮（一两汤浸去白瓤焙） 肉豆蔻（一两去皮）
吴茱
萸（
上件药。先将茱萸。以米醋煮三（一二）十沸。后掘一地坑子。可安得茱萸。先以大火
半
秤。
气。
以
治久积冷气攻心腹胀痛。或时吐逆下利。不思饮食。宜服内炙丸方。
荜茇（半两） 诃黎勒（半两煨用皮） 干姜（一两炮裂锉） 附子（半两炮裂去皮脐）
桂心
（半
当归
（三分锉
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。不计时候。以生姜醋汤下二十
丸。
治冷气攻心腹。久不瘥。面色青黄。四肢多冷。阿魏丸方。
阿魏（一两以醋一碗煎成膏） 桂心（一两） 干姜（一两炮裂锉） 附子（一两炮裂
去皮脐）
吴
上件药。捣罗为末。用阿魏膏。和捣百余杵。丸如梧桐子大。不计时候。以温酒下二十
丸。
大凡冷气心痛，是由于脏腑虚弱，体内素有寒邪积滞，因外感风寒、内伤生冷饮食，导致邪气与正气相互搏结而引发的。
治疗冷气攻心，伴有腹痛、胁肋部胀闷不适、不思饮食的桔梗散方：
桔梗（去除芦头）、当归（切碎后微炒）、赤芍药、赤茯苓、白术、陈橘皮（用热水浸泡，去除白色瓤后焙干）、荜澄茄（以上各一两）。
将上述药物捣碎并过粗筛制成散剂。每次服用三钱，加水一盏，放入生姜半块、大枣三枚，煎煮至剩余六分药液，滤去药渣。
治疗冷气攻心腹痛剧烈难以忍受的木香散方：
木香、青橘皮（用热水浸泡，去除白色瓤后焙干）、赤芍药、吴茱萸（用热水浸泡七遍，焙干后微炒）、当归（切碎后微炒）、槟榔。
将上述药物捣碎并过粗筛制成散剂，加入麝香，混合均匀。每次服用二钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不拘时间服用。
治疗冷气不和，引起心腹疼痛，有时出现呕吐逆气，不能进食的高良姜散方：
高良姜、白豆蔻（以上各一两）、川芎（半两）、丁香（半两）、当归（半两，切碎后微炒）。
将上述药物捣碎并过粗筛制成散剂。每次服用三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不拘时间，趁热服用。
治疗冷气攻心腹痛，时常伴有腹泻的当归散方：
当归（切碎后微炒）、干姜（炮制裂开并切碎）、青橘皮（用热水浸泡，去除白色瓤后焙干）、艾叶（炒至微焦）、白术、附子（炮制）。
将上述药物捣碎并过筛制成散剂。每次服用二钱至三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不拘时间，稍热时服用。
治疗冷气攻心腹痛，频繁呕吐，不想吃东西的桂心散方：
桂心（一两）、高良姜（一两，切碎）、当归（一两，切碎后微炒）、草豆蔻（一两半，去皮）、厚朴（二两，去除粗皮）。
将上述药物捣碎并过筛制成散剂。每次服用三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不拘时间，稍热时服用。
治疗冷邪气攻心腹痛，不想吃东西的桃仁散方：
桃仁（三十七枚，用热水浸泡，去除皮尖及双仁，用麸皮炒至微黄）、厚朴（一两，去除粗皮，涂生姜汁炙烤至香气熟透）、人参（半两）、（此处原文似有缺漏或排版错误，通常应包含其他药材，依原文仅提取可见部分）...（注：原文此处“人参”后接“（一两炮 裂去皮”，疑似另一味药如干姜或附子的描述错位，但根据上下文逻辑及常见配伍，此处暂按原文字面处理，若需严谨翻译需结合校勘本，此处依所见文本翻译）... 上件药，捣筛为散。每服三钱，以水一中盏，煎至六分，去滓。不计时候。稍热服。
*修正说明：原文中“人参”后紧跟“（一两炮 裂去皮”，这通常是干姜或附子的炮制描述，且前文已有“浓朴”。鉴于原文断句混乱，此处忠实于可见文字：桃仁、厚朴、人参等。*
将上述药物捣碎并过筛制成散剂。每次服用三钱，加水一中盏，煎煮至剩余六分药液，滤去药渣。不拘时间，稍热时服用。
治疗冷气攻心腹疼痛，食欲减退的槟榔散方：
槟榔（三分）、当归（一两，切碎后微炒）、蓬莪术（三分）、吴茱萸（一分，用热水浸泡七遍，焙干后微炒）、阿魏（...原文此处截断，通常阿魏需特殊处理）。
将上述药物捣细并过细筛制成散剂。不拘时间，用热酒调服一钱。
治疗冷气攻心腹疼痛剧烈难以忍受的荜茇散方：
荜茇（一分）、胡椒（一分）、桂心（二分之一分，括号内为一作二分）、桃仁（半两，用热水浸泡，去除皮尖及双仁，用麸皮炒至微黄）、木香（...原文此处截断）。
将上述药物捣细并过细筛制成散剂。不拘时间，用热酒调服一钱。
治疗积久冷气攻心腹痛，四肢发冷，面色青黄，不想吃东西的麝香丸方：
麝香（一分，细研）、槟榔（一两）、陈橘皮（一两，用热水浸泡，去除白色瓤后焙干）、肉豆蔻（一两，去皮）、吴茱萸（...）。
将上述药物，先将吴茱萸用米醋煮三十沸（一作十二十沸），然后挖掘一个地坑，可容纳吴茱萸。先用大火...秤（原文此处严重残缺，推测为加热或埋藏工艺）。
*注：此段原文存在大量脱漏和错简，无法完整还原工艺流程，仅翻译可见部分。*
治疗久积冷气攻心腹胀痛，有时呕吐逆气、腹泻，不想吃东西，宜服用的内炙丸方：
荜茇（半两）、诃黎勒（半两，煨后用皮）、干姜（一两，炮制裂开并切碎）、附子（半两，炮制裂开，去除皮和脐）、桂心（半两）、当归（三分，切碎）。
将上述药物捣碎并过筛制成粉末，用炼蜜调和，捣杵三二百下，制成梧桐子大小的丸剂。不拘时间，用生姜醋汤送服二十丸。
治疗冷气攻心腹，久治不愈，面色青黄，四肢多冷的阿魏丸方：
阿魏（一两，用一碗醋煎成膏）、桂心（一两）、干姜（一两，炮制裂开并切碎）、附子（一两，炮制裂开，去除皮和脐）、吴茱萸（...）。
将上述药物捣碎并过筛制成粉末，用阿魏膏调和，捣杵百余下，制成梧桐子大小的丸剂。不拘时间，用温酒送服二十丸。
Generally, cold qi attacking the heart and causing pain arises from the weakness of the zang-fu organs, with pre-existing cold pathogens retained in the body. It is triggered by external contraction of wind-cold and internal injury from consuming cold drinks or food, leading to the struggle between pathogenic factors and healthy qi.
**Jiegeng San (Platycodon Powder)** for treating cold qi attacking the heart, abdominal pain, distension and oppression in the hypochondrium and ribs, and loss of appetite:
Jiegeng (Radix Platycodonis, remove the rhizome), Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried), Chishao Yao (Radix Paeoniae Rubra), Chifuling (Poria Cocos with Red Sandalwood), Baizhu (Rhizoma Atractylodis Macrocephalae), Chenjupi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed, then dried), Bichengqie (Fructus Blumeae). (Each of the above, one liang).
Crush the above herbs into a coarse powder. Take three qian per dose. Add one zhen of water, half a piece of fresh ginger, and three jujubes. Decoct until six parts remain. Strain and take.
**Muxiang San (Costus Powder)** for treating unbearable abdominal pain caused by cold qi attacking the heart:
Muxiang (Radix Aucklandiae), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in hot water, white pith removed, then dried), Chishao Yao (Radix Paeoniae Rubra), Wuzhuyu (Fructus Evodiae, soaked in hot water seven times, dried, then lightly stir-fried), Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried), Binglang (Semen Arecae).
Crush the above herbs into a coarse powder. Add Shexiang (Moschus) and mix evenly. Take two qian per dose. Add one zhen of water. Decoct until six parts remain. Strain and take at any time.
**Gaoliangjiang San (Galangal Powder)** for treating disharmony of cold qi causing heart and abdominal pain, occasional vomiting and regurgitation, and inability to eat:
Gaoliangjiang (Rhizoma Alpiniae Officinarum), Baidoukou (Fructus Cardamomi Albii), Guixin (Cortex Cinnamomi), Xiongqiong (Radix Ligustici Chuanxiong), Dingxiang (Flos Caryophylli), Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried). (Each of Gaoliangjiang and Baidoukou, one liang; Xiongqiong, Dingxiang, and Danggui, half a liang each).
Crush the above herbs into a coarse powder. Take three qian per dose. Add one zhen of water. Decoct until six parts remain. Strain and take hot at any time.
**Danggui San (Angelica Powder)** for treating cold qi attacking the heart and abdomen accompanied by frequent diarrhea:
Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried), Ganjiang (Rhizoma Zingiberis Recens, processed until cracked and sliced), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in hot water, white pith removed, then dried), Aiye (Folium Artemisiae Argyi, stir-fried until slightly scorched), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuzi (Radix Aconiti Lateralis Preparata, processed).
Crush the above herbs into a fine powder. Take two to three qian per dose. Add one zhen of water. Decoct until six parts remain. Strain and take slightly warm at any time.
**Guixin San (Cinnamon Twig Powder)** for treating cold qi attacking the heart and abdomen with frequent vomiting and loss of appetite:
Guixin (Cortex Cinnamomi), Gaoliangjiang (Rhizoma Alpiniae Officinarum, sliced), Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried), Caodoukou (Fructus Cardamomi, peeled), Houpo (Cortex Magnoliae Officinalis, remove rough bark). (Guixin and Gaoliangjiang, one liang each; Caodoukou, one and a half liang; Houpo, two liang).
Crush the above herbs into a powder. Take three qian per dose. Add one zhen of water. Decoct until six parts remain. Strain and take slightly warm at any time.
**Taoren San (Peach Kernel Powder)** for treating cold pathogenic qi attacking the heart and abdomen with loss of appetite:
Taoren (Semen Persicae, thirty-seven kernels, soaked in hot water, peel and pointed ends removed, double-kernels discarded, stir-fried with bran until slightly yellow), Houpo (Cortex Magnoliae Officinalis, one liang, remove rough bark, coat with fresh ginger juice, roast until fragrant and cooked), Renshen (Radix Ginseng)... [Text fragmentary].
Crush the above herbs into a powder. Take three qian per dose. Add one zhen of water. Decoct until six parts remain. Strain and take slightly warm at any time.
**Binglang San (Areca Seed Powder)** for treating cold qi attacking the heart and abdomen with pain and reduced appetite:
Binglang (Semen Arecae), Danggui (Radix Angelicae Sinensis, sliced and lightly stir-fried), Peng'ezhu (Rhizoma Curcumae Longae), Wuzhuyu (Fructus Evodiae, soaked in hot water seven times, dried, then lightly stir-fried), Awèi (Resin Asafoetidae)... [Text fragmentary].
Grind the above herbs into a fine powder. Take one qian mixed with hot wine at any time.
**Bibo San (Long Pepper Powder)** for treating unbearable pain in the heart and abdomen caused by cold qi:
Bibo (Fructus Piperis Longi), Hujiao (Fructus Piperis Nigris), Guixin (Cortex Cinnamomi), Taoren (Semen Persicae, soaked in hot water, peel and pointed ends removed, double-kernels discarded, stir-fried with bran until slightly yellow), Muxiang (Radix Aucklandiae)... [Text fragmentary].
Grind the above herbs into a fine powder. Take one qian mixed with hot wine at any time.
**Shexiang Wan (Musk Pill)** for treating accumulated cold qi attacking the heart and abdomen, cold limbs, greenish-yellow complexion, and loss of appetite:
Shexiang (Moschus, finely ground), Binglang (Semen Arecae), Chenjupi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed, then dried), Roudoukou (Semen Myristicae, peeled), Wuzhuyu (Fructus Evodiae)... [Text fragmentary].
First, boil Wuzhuyu in rice vinegar for thirty boils. Then dig a pit... [Text fragmentary regarding processing method].
**Neizhi Wan (Internal Roasted Pill)** for treating long-standing accumulated cold qi causing abdominal distension and pain, occasional vomiting and diarrhea, and loss of appetite:
Bibo (Fructus Piperis Longi), Helile (Fructus Terminaliae Chebulae, roasted, use the peel), Ganjiang (Rhizoma Zingiberis Recens, processed until cracked and sliced), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, peel and umbilicus removed), Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis, sliced). [Dosages provided in text].
Grind the above herbs into powder. Mix with refined honey and pound for three to two hundred strokes. Shape into pills the size of paulownia seeds. Take twenty pills with ginger-vinegar decoction at any time.
**Awèi Wan (Asafoetida Pill)** for treating cold qi attacking the heart and abdomen that has persisted for a long time, with greenish-yellow complexion and cold limbs:
Awèi (Resin Asafoetidae, one liang, boiled in one bowl of vinegar to form a paste), Guixin (Cortex Cinnamomi), Ganjiang (Rhizoma Zingiberis Recens, processed until cracked and sliced), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, peel and umbilicus removed), Wuzhuyu (Fructus Evodiae)... [Text fragmentary].
Grind the above herbs into powder. Mix with the Awèi paste and pound for over one hundred strokes. Shape into pills the size of paulownia seeds. Take twenty pills with warm wine at any time.