治热呕吐苦。虚烦惊悸不眠。痰气上逆。
温胆汤方本二陈。竹茹枳实合和匀。（二陈。加竹茹枳实。）不眠惊悸虚烦呕。日暖风和
木气伸。
陈修园曰。二陈汤为安胃祛痰之剂。加竹茹以清隔上之虚热。枳实以除三焦之痰壅。热
除痰清。而胆自宁和。即温也。温之者。实凉之也。若胆家真寒而怯。宜用龙牡桂枝汤加附
子之
治心腹痛。及胁痛等症。○脉洪数。及服热药而增病者如神。
金铃子散妙如神。须辨诸疼作止频。（火痛或作或止。）胡索金铃调酒下。（延胡索金铃
子
陈修园曰。金铃子。引心包相火下行。从小肠膀胱而出。延胡索和一身上下诸痛。配合
得法。所以效神。
治心痛胃脘诸痛多效。
妇人更效。
心腹诸疼有妙方。丹参十分作提纲。檀砂一分聊为佐。入咽咸知效验彰。（丹参一两。
檀香砂仁各一钱。水一杯半。煎七分服。）
陈修园曰。稳。
治心口痛。服诸热药不效者。○亦属气痛。
久痛原来郁气凝。若投辛热痛频增。重需白合轻清品。乌药同煎亦准纯。（白合一两。
乌药三钱。水二杯。煎七分服。）
陈修园曰。此方余从海坛得来。用之多验。○以上三方。皆治心胃诸痛。服热药而不效
（者宜）之。古人治痛。俱用通法。然通之之法。各有不同。调气以和血。调血以和气。通
也。
上逆者使之下行。中结者使之旁达。亦通也虚者助之使通。寒者温之使通。无非通之之法也。
若必以下泄为通。则妄矣。此说本之高士宗医学正传。士宗名世拭。浙江人也。着有灵枢直
解。素问直解等书行世。
治疗热性呕吐、口苦。虚烦、惊悸、失眠。痰气上逆。
温胆汤方剂本于二陈汤（燥湿化痰、理气和中的基础方）。竹茹、枳实配合均匀。（二陈汤，加上竹茹、枳实。）针对失眠、惊悸、虚烦、呕吐。日暖风和，木气舒展。
陈修园说：二陈汤是安胃祛痰的方剂。加入竹茹以清除膈上的虚热，加入枳实以消除三焦的痰浊壅滞。热除痰清，胆自然安宁平和，这就是“温”。所谓“温”，实际上是“凉”的意思。如果是胆家真正的寒证而胆怯，应当使用龙牡桂枝汤加附子。
治疗心腹痛，以及胁痛等症状。○脉象洪数，以及服用热药后病情加重者，此方如神效。
金铃子散妙用如神。必须辨别各种疼痛发作和停止的频率。（火邪致痛，或作或止。）延胡索、金铃子调酒送服。（延胡索、金铃子）
陈修园说：金铃子，引导心包相火下行，从小肠、膀胱排出。延胡索调和全身上下各种疼痛。配合得当，所以效果神奇。
治疗心痛、胃脘部各种疼痛大多有效。
对妇人更有效。
心腹各种疼痛有妙方。丹参十分作为主药提纲。檀香、砂仁一分作为辅佐。入口咸知疗效显著。（丹参一两，檀香、砂仁各一钱，水一杯半，煎至七分服用。）
陈修园说：稳妥。
治疗心口痛，服用各种热药无效者。○也属于气痛。
久痛原本是由于郁结之气凝结。如果投用辛热药物，疼痛会频繁增加。需要重用白合等轻清之品。乌药同煎也准确纯正。（白合一两，乌药三钱，水二杯，煎至七分服用。）
陈修园说：这个方子我从海坛得到，使用多次验证有效。○以上三个方子，都是治疗心胃各种疼痛，服用热药而不生效（的患者适宜）使用。古人治疗疼痛，都使用通法。然而“通”的方法，各有不同。调气以和血，调血以和气，这是通。上逆的使其下行，中结的使其旁达，这也是通。虚弱的辅助它使其通畅，寒冷的温煦它使其通畅，无非都是通的方法。如果一定认为只有泻下才是通，那就荒谬了。这种说法源自高士宗《医学正传》。士宗名世拭，浙江人。著有《灵枢直解》、《素问直解》等书流行于世。
Treats heat-induced vomiting and bitter taste. Deficiency-heat vexation, palpitations with fright, and insomnia. Phlegm-Qi rebelling upward.
The Wendan Tang (Warm the Gallbladder Decoction) is based on Erchen Tang (Two-Cured Decoction). Zhu Ru (Bamboo Shavings) and Zhi Shi (Immature Bitter Orange) are blended evenly. (Erchen Tang plus Zhu Ru and Zhi Shi.) For insomnia, palpitations with fright, deficiency-heat vexation, and vomiting. When the sun warms and the wind is gentle, the Wood Qi extends.
Chen Xiuyuan said: Erchen Tang is a formula to calm the Stomach and dispel phlegm. Adding Zhu Ru clears deficiency-heat above the diaphragm; adding Zhi Shi removes phlegm obstruction in the Triple Burner. Once heat is removed and phlegm cleared, the Gallbladder naturally becomes tranquil and harmonious; this is what is meant by "warm." To "warm" it is actually to cool it. If there is true cold in the Gallbladder accompanied by timidity, Longmu Guizhi Tang (Dragon Bone, Oyster Shell, and Cinnamon Twig Decoction) with Fuzi (Aconite Root) should be used.
Treats heart and abdominal pain, as well as hypochondriac pain and other symptoms. ○ Pulse is flooding and rapid, or when taking hot medicines aggravates the condition; this formula works miraculously.
Jinlingzi San (Melia Toosendan Powder) is wonderfully effective. One must distinguish the frequency of onset and cessation of various pains. (Pain due to Fire may come and go.) Yanhusuo (Corydalis Rhizome) and Jinlingzi (Melia Fruit) are taken with wine.
Chen Xiuyuan said: Jinlingzi guides the Ministerial Fire of the Pericardium downward, exiting through the Small Intestine and Bladder. Yanhusuo harmonizes all pains throughout the upper and lower body. When combined properly, the effect is miraculous.
Effective for treating heart pain and epigastric pain.
Even more effective for women.
There is a wonderful formula for various pains in the heart and abdomen. Danshen (Salvia Miltiorrhiza Root) constitutes ten parts as the principal guide. Tanxiang (Sandalwood Wood) and Sharen (Amomum Fruit), one part each, serve as assistants. Upon swallowing, one knows clearly that the efficacy is manifest. (Danshen 1 liang, Tanxiang and Sharen 1 qian each, boiled in 1.5 cups of water until reduced to 0.7 cup, then taken.)
Chen Xiuyuan said: Stable.
Treats pain at the heart's gate (epigastrium/cardiac region) where various hot medicines have failed. ○ This also belongs to Qi pain.
Long-standing pain originally stems from congealed stagnant Qi. If辛热 (acrid-hot) medicines are administered, pain increases frequently. Heavy use of Baihe (Lily Bulb) and other light-clearing agents is required. Wuyao (Lindera Root) decocted together is equally pure and accurate. (Baihe 1 liang, Wuyao 3 qian, boiled in 2 cups of water until reduced to 0.7 cup, then taken.)
Chen Xiuyuan said: I obtained this formula from Haitan, and its use has been verified many times. ○ The above three formulas all treat various pains in the Heart and Stomach, suitable for those who do not respond to hot medicines. Ancient practitioners treated pain using the method of "unblocking" (Tong). However, the methods of unblocking vary. Regulating Qi to harmonize Blood, and regulating Blood to harmonize Qi, constitutes unblocking. Directing rebellious Qi downward, and dispersing central knotting laterally, also constitutes unblocking. Assisting the deficient to achieve unblocking, and warming the cold to achieve unblocking—these are all methods of unblocking. If one insists that only purgation constitutes unblocking, that would be absurd. This theory originates from Gao Shizong's *Yixue Zhengzhuan* (Correct Transmission of Medicine). Shizong's given name was Shi Shi; he was from Zhejiang Province. He authored widely circulated books such as *Lingshu Zhijie* (Direct Explanation of the Spiritual Pivot) and *Suwen Zhijie* (Direct Explanation of the Basic Questions).