经曰∶木郁之发，民病胃脘当心而痛。夫胃为脾之腑，阳先于阴，故脏未病而腑先病也，甚
而致于胁下如刀刺之痛，已连及于脏矣。胃之下口，名曰贲门，与心相连，俗谓心痛。虽曰五运
胜复之气，未有不由清痰食积，郁于中宫；七情九气，触于内腑而成者。致病之由，多因纵恣口
腹，喜好辛酸热辣，煎爆酒腥，生冷溷淆。朝伤暮损，日积月深，痰积血液，妨碍升降。故酸嗳
嘈杂，呕哕，噎膈，翻胃之渐也。寸口脉沉而迟，关上小紧而数。初治暂用辛温疏散，后当养正
，兼以除邪。
主方 （气郁痰火） 抚芎 干姜（炮） 苍术 栀子（姜炒焦） 陈皮 半夏（姜制）
茯苓（各一钱） 草豆蔻（研碎） 甘草（各五分） 生姜（五片）水煎，正痛时服。痛止半日
，方可饮食，即食复作痛。
寒痛去栀，加木香、砂仁；痛不止加灵脂、玄胡；痛甚加乳香、没药。
草豆蔻丸 治客寒犯胃作痛，及心脾胞络诸痛，或湿热郁滞寒热痛。
草豆蔻（面包煨，去皮，一钱四分） 益智 陈皮 僵蚕 延胡索 黄 吴萸（各八分）
甘草（三分） 炙草 当归 青皮 神曲 姜黄（各四分） 泽泻（一钱，小便数减半） 桃仁
（七个，去皮尖，另研） 柴胡（四分，详胁痛加减） 半夏（制，四分）
上除桃仁另研，余为末。蒸饼糊丸绿豆大。每服三十丸，空心白汤送下。热厥痛，金铃子散
；大实痛，三花神佑丸（方见痰门）。
《黄帝内经》中说：木气郁结发作时，百姓容易患上胃脘部当心而痛的症状。胃是脾的腑，阳气先于阴气受病，所以脏气未病而腑气先病，严重时会导致胁下如刀刺般的疼痛，这说明病邪已经连及到脏了。胃的下口名叫贲门，与心相连，俗称为心痛。虽然说是五运六气胜复的变化所致，但没有不是由于清稀痰饮和食积，郁结在中焦脾胃；以及七情九气触动内腑而形成的。致病的原因，多是因为放纵口腹之欲，喜好辛辣、酸热、煎炸爆炒、酒类腥膻之物，以及生冷食物混杂食用。早晨受伤晚上受损，日积月累，导致痰积血瘀，妨碍气机的升降。这是出现酸嗳、嘈杂、呕吐呃逆、噎膈、翻胃等病症的开端。寸口脉沉而迟，关上脉小紧而数。初期治疗暂时使用辛温疏散的方法，后期应当扶助正气，兼以祛除邪气。
主方（针对气郁痰火证）：抚芎、干姜（炮制）、苍术、栀子（姜炒至焦）、陈皮、半夏（姜汁制）、茯苓（各一钱），草豆蔻（研碎）、甘草（各五分），生姜（五片）。水煎服，在疼痛发作时服用。疼痛停止半天后，才可以进食，如果立即进食会再次引发疼痛。
若是寒痛，去掉栀子，加入木香、砂仁；若疼痛不止，加入五灵脂、玄胡索；若疼痛剧烈，加入乳香、没药。
草豆蔻丸：治疗客寒侵犯胃部引起的疼痛，以及心、脾、胞络等各处的疼痛，或者湿热郁滞导致的寒热错杂性疼痛。
配方：草豆蔻（用面包包裹煨熟，去皮，一钱四分）、益智仁、陈皮、僵蚕、延胡索、黄芪、吴茱萸（各八分），甘草（三分），炙甘草、当归、青皮、神曲、姜黄（各四分），泽泻（一钱，若小便频数则减半用量），桃仁（七个，去皮尖，单独研磨），柴胡（四分，根据胁痛情况加减），半夏（制，四分）。
以上药物除桃仁单独研磨外，其余药物研为细末。用蒸饼糊制作成绿豆大小的丸剂。每次服用三十丸，空腹时用白开水送服。若是热厥引起的疼痛，使用金铃子散；若是大实痛，使用三花神佑丸（方剂见痰门章节）。
The *Classic of Difficult Issues* (Jing Yue) states: "When Wood Qi is depressed and erupts, the people suffer from pain in the epigastrium centered on the heart." The Stomach is the Fu organ of the Spleen; Yang pathogenesis precedes Yin, thus the Zang organs are not yet diseased while the Fu organs become diseased first. In severe cases, this leads to stabbing pain under the hypochondrium, indicating that the disease has extended to the Zang organs. The lower opening of the Stomach is named the Cardia (Benmen), which connects with the Heart, commonly referred to as Heart Pain. Although it is said to be caused by the winning and revenging Qi of the Five Movements (Wu Yun), none arise without clear Phlegm and Food Retention stagnating in the Central Palace (Middle Jiao); nor do they form without the Seven Emotions and Nine Qi disturbing the internal organs. The causes of disease often stem from indulging in eating and drinking, favoring sour, spicy, hot, and pungent foods, fried and roasted items, alcohol, and fishy meats, mixed with raw and cold foods. Injury occurs in the morning and damage in the evening; day after day, month after month, Phlegm accumulates and Blood stasis forms, obstructing the ascending and descending mechanisms. Thus, these are the precursors to acid regurgitation, gastric discomfort (Za Cha), vomiting and hiccups, dysphagia (Ye Ge), and food regurgitation (Fan Wei). The pulse at the Cun Kou position is deep and slow; the pulse at the Guan position is slightly tight and rapid. Initial treatment temporarily employs acrid-warm dispersing methods; later, one should nourish Righteous Qi while simultaneously eliminating Evil.
Main Formula (for Qi Depression with Phlegm-Fire): Fuxiong (Ligusticum Chuanxiong Rhizoma), Ganjiang (Prepared Ginger Rhizome), Cangzhu (Atractylodis Rhizoma), Zhizi (Gardeniae Fructus stir-fried with Ginger Juice until charred), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma prepared with Ginger Juice), Fuling (Poria) — each 1 qian; Caodoukou (Grain of Paradise Seed crushed), Gancao (Licorice Root) — each 5 fen; Shengjiang (Fresh Ginger Slice, 5 pieces). Decoct in water and take during acute pain episodes. One may only resume diet half a day after pain cessation; immediate ingestion will cause pain recurrence.
For Cold Pain, remove Zhizi and add Muxiang (Aucklandiae Radix) and Sharen (Amomi Fructus); if pain persists, add Lingzhi (Trogopteri Dung) and Xuanhusu (Corydalis Rhizoma); if pain is severe, add Ruxiang (Boswelliae Resin) and Moyao (Commiphora Resin).
Caodoukou Wan (Grain of Paradise Pill): Treats pain caused by Exogenous Cold invading the Stomach, as well as various pains involving the Heart, Spleen, and Bao Luo (Pericardium Collaterals), or alternating cold and heat pain due to Damp-Heat stagnation.
Formula: Caodoukou (wrapped in dough and baked, skin removed, 1 qian 4 fen), Yizhi (Alpiniae Oxyphyllae Fructus), Chenpi, Jiangcan (Bombyx Batryticatus), Yanhusuo (Corydalis Rhizoma), Huangqi (Astragali Radix), Wuyu (Evodiae Fructus) — each 8 fen; Gancao (3 fen), Zhigancao (Honey-fried Licorice Root), Danggui (Angelicae Sinensis Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Shenqu (Massa Medicata Fermentata), Jianghuang (Curcumae Longae Rhizoma) — each 4 fen; Zexie (Alismatis Rhizoma, 1 qian; reduce by half if urination is frequent), Taoren (Persicae Semen, 7 seeds, skin and tips removed, ground separately), Chaihu (Bupleuri Radix, 4 fen, adjust according to hypochondriac pain), Banxia (Prepared, 4 fen).
Except for Taoren which is ground separately, grind the remaining herbs into powder. Use steamed cake paste to make pills the size of mung beans. Take 30 pills per dose, swallowed with plain warm water on an empty stomach. For pain due to Heat Jue (Cold Extremities with Internal Heat), use Jinlingzi San; for severe Excess Pain, use Sanhua Shenyao Wan (see Phlegm section for formula).