治心中痞。诸逆心悬痛者。此汤主之。
桂枝 生姜（各三两。） 枳实（五两。）
上三味。以水六升。煮取三升。分温三服。
歌曰 心悬而痛痞相连。痰饮上弥客气填。三两桂姜五两枳。祛寒散逆并攻坚。
元犀按。心下痞者。心阳虚而不布。阴邪僭居心下而作痞也。尤云。诸逆该痰饮客气而
言。
壮阳
姜、
治心痛彻背。背痛彻心者。此丸主之。
乌头（一分。炮。） 蜀椒 干姜（各一两。） 附子（半两。） 赤石脂（一两。）
上五味末之。蜜丸如桐子大。先食服一丸。日三服。不知。稍加服。
歌曰 彻背彻胸痛不休。（前言心痛彻背。尚有止息之时。今则阴寒极而痛极矣。）阳光
欲
喻嘉言曰。前后牵连痛楚。气血疆界俱乱。若用气分诸药。转益其痛。势必危殆。仲景
用蜀
姜之
不相
气攻
治九种心痛。（一虫。二注。三风。四悸。五食。六饮。七冷。八热。九去来痛是
而并以一方治之者。岂痛虽有九其因于积冷结气者多耶。）
附子（三两。炮。） 生野狼牙 巴豆（去皮。熬。研如膏。） 干姜 吴茱萸 人参（各
一
上六味末之。炼蜜丸如梧桐子大。酒下。强人初服三丸。日三服。弱者二丸。 兼治卒
中恶
主之
歌曰 九种心疼治不难。野狼（牙吴） 萸姜（巴）豆附参安。附须三两余皆一。攻补同
行仔细看
魏云。凡结聚太甚。有形之物参杂其间。暂用此丸。政刑所以济德礼之穷也。
治疗心中痞塞感，以及因各种气逆导致的心部悬吊样疼痛的病症，此汤剂主治。
桂枝、生姜（各三两）。枳实（五两）。
以上三味药，用水六升，煎煮至剩余三升药液，分三次温服。
歌诀说：心部悬吊样疼痛与痞塞感相连，痰饮上泛使客气填塞胸中。用三两桂枝和生姜，五两枳实，以祛除寒邪、平降气逆并攻坚散结。
元犀按语：心下痞塞，是因为心阳虚衰而不能布达，阴邪僭越占据心下部位而导致痞塞。尤在泾说：“诸逆”包括痰饮和客气而言。
壮阳（此处指方义或批注残留字，原文结构混乱，依文意理解为强调温壮阳气之意，但无具体方名对应，故仅翻译文字）
姜（原文残缺，结合上下文推测为干姜或生姜，但原文未完整列出，此处保留原意翻译片段）
治疗心痛放射至背部，背痛放射至心部的病症，此丸剂主治。
乌头（一分，炮制）。蜀椒、干姜（各一两）。附子（半两）。赤石脂（一两）。
以上五味药研成粉末，用蜂蜜制成如梧桐子大小的丸剂。饭前服用一丸，每日三次。若无效，稍增加剂量服用。
歌诀说：痛彻背彻心不休。（前文提到心痛彻背，尚有间歇之时，如今则是阴寒极盛而疼痛剧烈。）阳光（原文残缺，推测为比喻阳气欲复或相关理论，此处直译）
喻嘉言说：前后牵连的痛楚，说明气血运行的疆界都乱了。如果使用理气分的药物，反而会增加疼痛，势必危险。仲景使用蜀椒、干姜等（原文残缺，推测为辛热之品）不相（原文残缺，推测为相互配伍或攻邪之意）气攻（原文残缺，推测为行气攻邪之意）
治疗九种心痛。（一是虫心痛，二是注心痛，三是风心痛，四是悸心痛，五是食心痛，六是饮心痛，七是冷心痛，八是热心痛，九是去来痛即游走性疼痛。然而并用一方来治疗的，难道不是虽然痛有九种，但多因积冷结气所致吗？）
附子（三两，炮制）。生野狼牙草、巴豆（去皮，熬制，研成膏状）。干姜、吴茱萸、人参（各一两，原文“各”后数字被截断，根据常规及后文“余皆一”推断为一两）。
以上六味药研成粉末，炼蜜制成如梧桐子大小的丸剂，酒送服。体质强者初次服用三丸，每日三次；体质弱者服用二丸。兼治突然中恶（原文残缺，指突发急症）
主之（原文残缺，指以此方主治）
歌诀说：九种心痛治疗不难，野狼牙、吴茱萸、姜、巴豆、附子、人参配合安适。附子需用三两，其余各一两。攻补兼施需仔细查看。
魏荔彤说：凡是结聚太甚，有形之物夹杂其中，暂时使用此丸剂，正如刑法用来补救德礼所不能解决的困境一样。
Treats the sensation of *xin zhong pi* (stagnation in the heart region) and various types of *qi ni* (rebellious qi) causing a hanging pain in the heart. This decoction is the primary treatment.
Guizhi Tang (Cinnamon Twig Decoction) ingredients: Guizhi (Ramulus Cinnamomi), Shengjiang (Rhizoma Zingiberis Recens) (each 3 liang). Zhishi (Fructus Aurantii Immaturus) (5 liang).
Take the above three herbs, add six sheng of water, boil to obtain three sheng of liquid, and divide into three warm doses.
The song states: The hanging pain in the heart is connected with stagnation; phlegm-fluids rise upwards, filling the chest with rebellious qi. Use three liang of Guizhi and Shengjiang, and five liang of Zhishi, to dispel cold, descend rebellious qi, and break up accumulation.
Yu Xi's commentary: Stagnation below the heart occurs because Heart Yang is deficient and fails to distribute, allowing Yin pathogens to usurp the space below the heart, causing stagnation. You Zaijing states: "Various rebellions" refer to phlegm-fluids and rebellious qi.
[Text fragment regarding strengthening Yang]
Ginger [Fragmentary text]
Treats heart pain radiating to the back, and back pain radiating to the heart. This pill is the primary treatment.
Wutou (Radix Aconiti Lateralis Preparata) (1 fen, processed). Shujiao (Pericarpium Zanthoxyli), Ganjiang (Rhizoma Zingiberis Secatum) (each 1 liang). Fuzi (Radix Aconiti Lateralis Preparata) (0.5 liang). Chishizhi (Lapis Kaolinitis) (1 liang).
Grind the above five herbs into powder, mix with honey to form pills the size of paulownia seeds. Take one pill before meals, three times a day. If ineffective, slightly increase the dosage.
The song states: Pain penetrating the back and heart does not cease. (Previously mentioned heart pain penetrating the back had intervals of relief; now it indicates extreme Yin-cold and severe pain.) Sunlight [Fragmentary metaphorical text]
Yu Jiayan says: Pain牵连 (connected/linked) between front and back indicates chaos in the boundaries of Qi and Blood. If Qi-regulating herbs are used, it will exacerbate the pain, leading to critical danger. Zhang Zhongjing uses Shujiao, Ganjiang, etc., [Fragmentary text regarding interaction and attacking with Qi]
Treats nine types of heart pain. (1. Worm pain, 2. Infestation pain, 3. Wind pain, 4. Palpitation pain, 5. Food pain, 6. Fluid pain, 7. Cold pain, 8. Heat pain, 9. Migratory pain. However, treating them all with one formula suggests that although there are nine types of pain, most are caused by accumulated cold and stagnant qi.)
Fuzi (Radix Aconiti Lateralis Preparata) (3 liang, processed). Sheng Yelangya (Herba Saposhnikoviae or similar, literal: Raw Wild Wolf's Tooth), Badou (Semen Crotonis) (peeled, roasted, ground into paste). Ganjiang (Rhizoma Zingiberis Secatum), Wuzhuyu (Fructus Evodiae), Renshen (Radix Ginseng) (each 1 liang, inferred from context).
Grind the above six herbs into powder, refine honey to make pills the size of paulownia seeds. Take with wine. For strong individuals, start with three pills, three times a day; for weak individuals, two pills. Also treats sudden onset of evil [Fragmentary text]
Primary treatment [Fragmentary text]
The song states: Treating the nine types of heart pain is not difficult; Yelangya, Wuzhuyu, Jiang, Badou, Fuzi, and Renshen work together harmoniously. Fuzi requires 3 liang, while the others are each 1 liang. Attacking and tonifying must be carefully balanced.
Wei Litong says: When accumulations are extremely severe and tangible pathogenic factors are intermixed, this pill is used temporarily, just as penal law supplements the limitations of virtue and ritual.