秦子曰∶痛在胃之下，脐之四旁，毛际之上，名曰腹痛。若痛在胁肋，曰胁痛。痛在脐
上，则曰胃痛，而非腹痛。今列外感者五，内伤者十。
【风气腹痛之症】风冷着腹，即患腹痛，或发寒热，腹中攻注，或腹中作响，大便作泻
【风气腹痛之因】偶值衣被太薄，外又风气所伤，风与寒常相因，风气入于肠胃，传于
【风气腹痛之脉】浮缓不数，乃是风冷。或见沉缓，风邪内伏。左关浮弦，风入肝胆。
【风气腹痛之治】脉浮缓者祛风，脉沉弦者和里，寒热脉浮，防风汤。腹中作响，大便
泻，平胃五苓散，加防风。脉迟者，建中汤加防风。左脉浮，柴胡汤。右脉浮，干葛汤。
防风汤
防风 葛根 柴胡 桂枝 甘草 白芍药
平胃五苓散 见痢疾门。
建中汤
桂枝 饴糖 甘草 生姜 白芍药
胸前饱闷加砂仁、木香，以行甘甜之滞。有寒加炮姜。
柴胡汤 见前。
干葛汤 见前。
【寒气腹痛之症】面黄唇白，手足多冷，恶寒不热，二便清利，腹中绵绵作痛，此寒
【寒气腹痛之因】腹主太阴，其人阳气不足，又冒外寒。《内经》云∶寒气入经，卒然
而痛，此寒气之能令入腹痛也。
【寒气腹痛之脉】脉多沉伏，或见微弱，或见弦紧，或见迟弦。
【寒气腹痛之治】左关弦紧者，宜散寒，桂枝芍药汤。右关迟弦，《金匮》建中汤。六
脉沉伏，四肢冷，四逆汤。六脉微弱，中气虚寒，理中汤。
桂枝芍药汤
桂枝 陈皮 甘草 生姜 白芍药
《金匮》建中汤
桂枝 生姜 芍药 甘草 饴糖 大枣 广皮 砂仁
四逆汤
甘草 干姜 附子
理中汤 见前。
秦子说：疼痛位于胃的下方、肚脐的四周、阴毛之上的区域，称为腹痛。如果疼痛位于胁肋部，称为胁痛。如果疼痛位于肚脐上方，则称为胃痛，而不是腹痛。现在列出外感引起的有五种，内伤引起的有十种。
【风气腹痛的症状】感受风冷侵袭腹部，立即患上腹痛，有时伴有发冷发热，腹中气机攻冲走注，或者腹中发出声响，大便泄泻。
【风气腹痛的原因】偶然遇到衣被太薄，外部又受到风邪伤害，风与寒常常相互伴随，风气侵入肠胃，传导至……（原文此处截断）
【风气腹痛的脉象】脉象浮缓而不数，这是风冷所致。或者见到沉缓脉，是风邪内伏。左关脉浮弦，是风邪侵入肝胆。
【风气腹痛的治疗】脉象浮缓的祛风，脉象沉弦的调和里气，伴有寒热且脉浮的，用防风汤。腹中作响，大便泄泻的，用平胃五苓散，加防风。脉迟的，用建中汤加防风。左脉浮的，用柴胡汤。右脉浮的，用干葛汤。
防风汤
防风 葛根 柴胡 桂枝 甘草 白芍药
平胃五苓散 见痢疾门。
建中汤
桂枝 饴糖 甘草 生姜 白芍药
胸前饱闷加砂仁、木香，以行甘甜之滞。有寒加炮姜。
柴胡汤 见前。
干葛汤 见前。
【寒气腹痛的症状】面色黄，嘴唇白，手足多冷，怕冷不发热的，二便清利，腹中绵绵作痛，这是寒……（原文此处截断）
【寒气腹痛的原因】腹部属太阴经，其人阳气不足，又冒犯外寒。《内经》说：寒气侵入经脉，突然疼痛，这就是寒气能导致腹痛的原因。
【寒气腹痛的脉象】脉象多沉伏，或者见到微弱，或者见到弦紧，或者见到迟弦。
【寒气腹痛的治疗】左关脉弦紧的，宜散寒，用桂枝芍药汤。右关脉迟弦的，用《金匮要略》中的建中汤。六脉沉伏，四肢冷的，用四逆汤。六脉微弱，中气虚寒的，用理中汤。
桂枝芍药汤
桂枝 陈皮 甘草 生姜 白芍药
《金匮》建中汤
桂枝 生姜 芍药 甘草 饴糖 大枣 广皮 砂仁
四逆汤
甘草 干姜 附子
理中汤 见前。
Qin Zi said: Pain located below the stomach, around the four sides of the umbilicus, and above the pubic region is named Abdominal Pain (Futong). If the pain is located in the hypochondriac region, it is called Hypochondriac Pain (Xietong). If the pain is located above the umbilicus, it is called Stomachache (Weitong), not Abdominal Pain. Here, five types caused by external pathogens are listed, and ten types caused by internal injury are listed.
[Symptoms of Wind-Cold Abdominal Pain] When wind-cold invades the abdomen, abdominal pain occurs immediately, sometimes accompanied by aversion to cold and fever, qi attacking and flowing within the abdomen, or sounds in the abdomen, with loose stools.
[Causes of Wind-Cold Abdominal Pain] Occasionally due to thin clothing and bedding, and further injured by external wind, wind and cold often accompany each other. Wind pathogen enters the intestines and stomach, transmitting to... [Text cuts off here]
[Pulse of Wind-Cold Abdominal Pain] The pulse is floating, moderate, and not rapid, indicating wind-cold. Or a deep, moderate pulse appears, indicating wind pathogen lying latent inside. A floating and wiry pulse at the left Guan position indicates wind entering the Liver and Gallbladder.
[Treatment of Wind-Cold Abdominal Pain] For a floating and moderate pulse, dispel wind; for a deep and wiry pulse, harmonize the interior. For cases with chills and fever and a floating pulse, use Fangfeng Tang (Saposhnikovia Decoction). For sounds in the abdomen and loose stools, use Pingwei Wuling San (Pingwei and Wuling Powder) with added Fangfeng. For a slow pulse, use Jianzhong Tang (Jian Middle Decoction) with added Fangfeng. For a floating pulse on the left side, use Chaihu Tang (Bupleurum Decoction). For a floating pulse on the right side, use Gange Tang (Pueraria Decoction).
Fangfeng Tang
Fangfeng (Radix Saposhnikoviae), Gegen (Radix Puerariae), Chaihu (Radix Bupleuri), Guizhi (Ramulus Cinnamomi), Gancao (Radix Glycyrrhizae), Baishao (Radix Paeoniae Alba).
Pingwei Wuling San See section on Dysentery.
Jianzhong Tang
Guizhi (Ramulus Cinnamomi), Yitang (Maltose), Gancao (Radix Glycyrrhizae), Shengjiang (Rhizoma Zingiberis Recens), Baishao (Radix Paeoniae Alba).
Add Renchen (Fructus Amomi) and Muxiang (Radix Aucklandiae) for fullness and oppression in the chest to move stagnation from sweetness. Add Paojiang (Rhizoma Zingiberis Preparatum) if there is cold.
Chaihu Tang See previous.
Gange Tang See previous.
[Symptoms of Cold-Abdominal Pain] Yellow complexion, white lips, cold hands and feet, aversion to cold without fever, clear and profuse urination and defecation, continuous dull pain in the abdomen, this is cold... [Text cuts off here]
[Causes of Cold-Abdominal Pain] The abdomen belongs to the Taiyin channel. If one's Yang Qi is insufficient and they are exposed to external cold, as stated in the *Neijing*: "When cold pathogen enters the meridians, pain occurs suddenly." This explains how cold pathogen causes abdominal pain.
[Pulse of Cold-Abdominal Pain] The pulse is mostly deep and hidden, or weak, or wiry and tight, or slow and wiry.
[Treatment of Cold-Abdominal Pain] For a wiry and tight pulse at the left Guan position, scatter cold using Guizhi Shaoyao Tang (Cinnamon Twig and Peony Decoction). For a slow and wiry pulse at the right Guan position, use Jianzhong Tang from the *Jingui Yaolue*. For deep and hidden pulses in all six positions with cold limbs, use Sini Tang (Recover the Extremities Decoction). For weak pulses in all six positions indicating deficiency-cold of the Middle Qi, use Lizhong Tang (Regulate the Middle Decoction).
Guizhi Shaoyao Tang
Guizhi (Ramulus Cinnamomi), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Shengjiang (Rhizoma Zingiberis Recens), Baishao (Radix Paeoniae Alba).
*Jingui* Jianzhong Tang
Guizhi (Ramulus Cinnamomi), Shengjiang (Rhizoma Zingiberis Recens), Shaoyao (Radix Paeoniae), Gancao (Radix Glycyrrhizae), Yitang (Maltose), Dazao (Fructus Jujubae), Guangpi (Pericarpium Citri Reticulatae), Sharen (Fructus Amomi).
Sini Tang
Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis), Fuzi (Radix Aconiti Lateralis Preparata).
Lizhong Tang See previous.