眉眶痛，属风热与痰。作风痰治，类痛风。
入方
黄芩（酒浸炒） 白芷（一本作白术）
上为末。茶清调二钱。
又方
川乌 草乌（二味为君，童便浸，炒去毒） 细辛 羌活 黄芩 甘草（等分，为佐）
上为细末。茶清调服。一本加南星。
〔附录〕痛有二证，眼属肝，有肝虚而痛。才见光明，则眶骨痛甚，宜生熟地黄丸。又有
骨痛，眼不可开，昼静夜剧，宜导痰汤，或芎辛汤入芽茶，或二陈汤，吞青州白丸子，良。
附方
选奇方 治眉骨痛不可忍，大有效。
羌活 防风（各二钱） 甘草（二钱，夏月生冬炒） 酒黄芩（一钱，冬月不用有热者用）
上每服三钱，水煎，食后温服。
生熟地黄丸
生地黄 熟地黄（各一两） 玄参 金钗石斛（各一两）
上为末，蜜丸。
导痰汤 见痰类。
芎辛汤
附子（生，去皮脐） 乌头（生） 天南星 干姜 甘草（炙） 川芎 细辛（等分）
上锉。每服四钱，姜五片，芽茶少许，煎服。
青州白丸子 见《和剂》及《瑞竹堂方》。
四神散 治妇人血风，眩晕头痛。
菊花 当归 旋复花 荆芥穗
上等分，为细末。每服二钱，葱白三寸，茶末二钱，水一盏半，煎至八分，去滓，食后
心痛，即胃脘痛，虽日数多，不吃食，不死。若痛方止便吃物，还痛。必须三
服药后，方吃物。痛甚者，脉必伏，用温药附子之类，不可用参术。诸痛不可补气。大凡心
，须分新久。若明知身受寒气，口吃寒物而得病者，于初得之时，当与温散或温利之药。
曰病得之稍久则成郁，久郁则蒸热，热久必生火，《原病式》中备言之矣。若欲行温散温
无助火添病耶？古方中多以山栀子为热药之向导，则邪易伏，病易退，正易复而病安。然
病安之后，若纵恣口味，不改前非，病复作时，反咎医之失，良可叹哉！一方用山栀子炒
皮，每服十五枚，浓煎汤一呷，入生姜汁令辣，再煎小沸，又入川芎一钱，尤妙。山栀子大者
，或七枚，或九枚，须炒黑。大概胃口有热而作痛者，非山栀子不可，须佐以姜汁，多用
芎开之。病发者，或用二陈汤加川芎、苍术，倍加炒栀子。痛甚者，加炒干姜从之，反治
之
十丸，热辣姜汤下。重者，桂枝、麻黄、石碱各等分，姜汁和蒸饼丸桐子大，服五十丸，热
姜汤下。一本∶轻者散之，麻黄、桂枝之类。重者加石碱、川芎、苍术、炒山栀子去皮，作
丸服。凡治此证，必要先问平日起居何如。假如心痛，有因平日喜食热物，以致死血留于
口作痛，用桃仁承气汤下之，切记。轻者用韭汁、桔梗，能开提其气，血药中兼用之。以物
柱按痛处则止者挟虚，以二陈汤加炒干姜和之。有虫痛者，面上白斑，唇红能食属虫，治
以
头向下，难治。先以肉汁及糖蜜食下，则引虫头向上，然后用药打出。楝树根皮、槟榔、鹤
，夏取汁饮，冬浓煎汤，下万应丸，最好。脉坚实不大便者，下之。心痛，用山栀并劫药
之。若又复发，前药必不效，可用玄明粉一服，立止。左手脉数热多，脉涩有死血；右手
脉紧实痰积，弦大必是久病。胃脘有湿而痛者，宜小胃丹下之。
入方
黄连（炒） 山栀（炒） 吴茱萸（汤洗，各五钱） 荔枝核（烧存性，三钱） 滑石（五钱）
上为末，姜汁和丸服。
又方
山栀子仁（炒黄色）
上为末，姜汤调粥丸，亦得。冷痛者，加草豆蔻仁炒末，姜汁炊饼丸服。
又方
白术（五钱） 白芍 砂仁 半夏 当归（各三钱） 桃仁 黄连 神曲（炒） 陈皮（各二钱） 吴
茱萸（一钱半）僵蚕 人参 甘草（各一钱）
上为末，蒸饼丸服。
又方
白术（三钱半） 白芍（炒） 陈皮 归尾（各二钱半） 人参 黄连（炒，一钱半）
吴茱萸（半钱）
上为末，蒸饼丸。
又方 治气实心痛者。
山栀子（炒焦，六钱） 香附（一钱） 吴茱萸（一钱）
上为末，蒸饼丸如花椒大。以生地黄酒洗净，同生姜汤煎，送下二十丸。
又方
胡椒 荜茇（各半两）
上为末。以醋调，捏作团子吞下。
又方 治心痛，亦治哮喘。又见痰类。
半夏（切碎，香油炒）
上为末，姜汁炊饼丸。姜汤下二三十丸。
又方
黄荆子炒焦为末，米汤调下。亦治白带。
一人脉涩，心脾常痛。
白术（一两） 半夏（一两） 苍术 枳实 神曲 香附 茯苓 台芎（各半两）
上为末，神曲糊丸。
治死血留胃脘作痛者。
玄胡（一两半） 桂 滑石 红花 红曲（各五钱） 桃仁（三十个）
上为末，汤浸蒸饼和丸。
治痰饮积胃脘痛。
螺蛳壳（墙上年久者烧） 滑石（炒） 苍术 山栀 香附 南星（各二两） 枳壳 青皮 木
半两）
上为末，生姜汁浸蒸饼为丸，绿豆大。每服三四十丸，姜汤下。春加芎，夏加黄连，冬
茱萸半两。有痰者，用明矾溶开，就丸如鸡头大，热姜汤吞下一丸。青黛亦治心痛，蓝叶捶
碎取汁，姜汁和服，亦可。如无叶处，用水一小瓶，用蓝安在刀头，火中烧红，淬水服。
治脾痛，用海粉，佐以香附末，用川芎、山栀、生姜汁煎辣汤，调服为佳。又方，治脾
痛气实
〔附录〕夫心痛，其种有九∶一曰虫痛，二曰疰痛，三曰风痛，四曰悸痛，五曰食痛，六
曰饮痛，七曰寒痛，八曰热痛，九曰来去痛。其痛甚，手足青过节者，是名真心痛，旦发夕
，夕发旦死，非药物所能疗。若蛔虫攻啮心痛，令人恶心而吐，用川椒十粒煎汤，下乌梅丸
良。有肾气上攻以致心痛，用生韭研汁和五苓散为丸，空心茴香汤下。时作时止，或饮汤水
咽下而作哕者，是有死血在其中，以桃仁承气汤下之。草豆蔻丸，多治气馁弱人心痛妙。
附方
草豆蔻丸 治客寒犯胃痛者，宜此丸。热亦可服，止可一二服。
草豆蔻（一钱四分，面裹煨去皮） 益智 橘皮 僵蚕 人参 黄 （各八分） 吴茱萸（汤洗
去苦，八分） 生甘草（三分） 炙甘草（三分） 归身 青皮（各六分） 神曲（炒） 姜黄（各四分
泽泻（一钱，小便数者减半） 桃仁（七个，去皮尖，另研） 麦芽（炒，一钱五分） 柴胡（四分，详
胁下加减用） 半夏（洗，一钱）
上除桃仁另研，余为末，浸蒸饼丸如桐子大。服三十丸，白汤下，食远，旋斟酌多少用
丁香止痛散 治心气痛不可忍。
良姜（五两） 茴香（炒） 甘草（各一两半）丁香（半两）
上为末。每服二钱，沸汤点服。
失笑散 治心气痛不可忍，小肠气痛。
蒲黄（炒） 五灵脂（酒研淘去砂土，各等分）
上先以醋调二钱，煎成膏，入水一盏煎，食前热服。
二姜丸 治心脾疼，温养脾胃，冷食所伤。
干姜（炮） 良姜
扶阳助胃汤 治寒气客于肠胃，胃脘当心而痛，得热则已。
干姜（炮，一钱半） 拣参 草豆蔻 甘草（炙） 官桂 白芍（各一钱） 陈皮 白术 吴茱萸
（各五分） 附子（炮，二钱） 益智（五分）
上锉作一服，水煎，生姜三片，枣二枚。有积聚，备
乌梅丸 治胃冷，蛔虫攻心痛，呕吐，四肢冷。
乌梅（三百个） 黄柏（炙） 细辛 肉桂 附子（炮，各六两） 黄连（十六两） 人参（六两） 蜀椒
（炒去闭口者及目） 当归（各四两） 干姜（炮一两）
上为末，取乌梅肉和蜜丸，桐子大。每服五十丸，空心盐汤下。
桃仁承气汤 见吐血类。
小胃丹 见痰类。
五苓散 见中暑类。
入方：
黄芩（用酒浸后炒制） 白芷（另一版本作白术）
将上述药物研为细末。用清茶调服二钱。
又一方：
川乌 草乌（这两味药作为君药，用童子尿浸泡，炒制以去除毒性） 细辛 羌活 黄芩 甘草（各等分，作为佐药）
将上述药物研为极细的粉末。用清茶调服。另一版本加入天南星。
〔附录〕疼痛有两种证候，眼睛所属的肝，有因肝虚而导致的疼痛。刚见到光亮，眼眶骨头就剧烈疼痛，适宜服用生熟地黄丸。又有骨痛，眼睛无法睁开，白天安静夜晚加剧，适宜服用导痰汤，或者在芎辛汤中加入嫩茶叶，或者服用二陈汤，吞服青州白丸子，效果很好。
附方：
选奇方：治疗眉骨痛难以忍受，效果显著。
羌活 防风（各二钱） 甘草（二钱，夏季出生者冬季炒制） 酒黄芩（一钱，冬季不用，若有热症则使用）
每次服用三钱，加水煎煮，饭后温服。
生熟地黄丸：
生地黄 熟地黄（各一两） 玄参 金钗石斛（各一两）
将上述药物研为细末，用蜂蜜制成丸剂。
芎辛汤：
附子（生用，去皮和脐） 乌头（生用） 天南星 干姜 甘草（炙烤） 川芎 细辛（各等分）
将上述药物切碎。每次服用四钱，加生姜五片、少许嫩茶叶，煎煮后服用。
四神散：治疗妇人血风引起的眩晕头痛。
菊花 当归 旋复花 荆芥穗
以上药物等分，研为细末。每次服用二钱，加葱白三寸、茶末二钱、水一盏半，煎至八分满，去渣滓，饭后服用。
心痛，就是胃脘痛，虽然持续多天，不吃东西，也不会死亡。如果疼痛刚停止就吃东西，疼痛还会复发。必须服药三次之后，才能进食。疼痛剧烈的，脉象必然沉伏，应用温性药物如附子之类，不可用人参、白术。各种疼痛都不可补气。大凡心痛，必须区分新病和久病。如果明确知道是因为感受寒邪，或食用寒凉食物而致病，在初得病时，应当给予温散或温利的药物。如果说病久了就会形成郁结，久郁则会蒸腾发热，热久必生火，《原病式》中已有详细论述。如果想要进行温散温利，难道不会助火添病吗？古方中多以山栀子作为热药的向导，这样邪气容易潜伏，病情容易消退，正气容易恢复，疾病得以安宁。然而病愈之后，如果放纵口腹之欲，不改正以前的错误，疾病复发时，反而责怪医生的失误，实在令人叹息！一方用山栀子炒去皮，每次服用十五枚，浓煎汤液一口饮下，加入生姜汁使其辛辣，再煎至微沸，又加入川芎一钱，尤其奇妙。山栀子大的，或用七枚，或用九枚，必须炒黑。大概胃口有热而作痛的，非山栀子不可，必须佐以姜汁，多用川芎来开散。病发时，可用二陈汤加川芎、苍术，加倍加入炒栀子。疼痛剧烈的，加入炒干姜顺从病势，反治法用十丸，热辣姜汤送下。重症者，桂枝、麻黄、石碱各等分，姜汁调和蒸饼制成梧桐子大小的丸剂，服用五十丸，热姜汤送下。另一版本：轻症用发散法，用麻黄、桂枝之类。重症加石碱、川芎、苍术、炒山栀子去皮的，制成丸剂服用。凡是治疗此证，一定要先询问平日起居情况如何。假如心痛，有因为平日喜食热物，导致死血留滞于口部作痛，用桃仁承气汤攻下，切记。轻症用韭汁、桔梗，能开提其气，在血药中兼用。以物体按压痛处则停止的是挟虚证，用二陈汤加炒干姜调和。有虫痛者，面部有白斑，嘴唇红且能进食属虫痛，治疗用……头向下，难治。先用肉汁及糖蜜喂食，则引导虫头向上，然后用药打出。楝树根皮、槟榔、鹤虱，夏取汁饮用，冬浓煎汤，下万应丸，最好。脉象坚实不大便的，攻下之。心痛，用山栀并劫药治疗之。若又复发，前药必不效，可用玄明粉一次服用，立即停止。左手脉数主热多，脉涩主有死血；右手脉紧实主痰积，弦大必是久病。胃脘有湿而痛的，宜用小胃丹攻下。
入方：
黄连（炒制） 山栀（炒制） 吴茱萸（汤洗，各五钱） 荔枝核（烧存性，三钱） 滑石（五钱）
将上述药物研为细末，姜汁和丸服用。
又一方：
山栀子仁（炒至黄色）
将上述药物研为细末，姜汤调粥制成丸剂，也可以。冷痛者，加炒制的草豆蔻仁末，姜汁炊饼和丸服用。
又一方：
白术（五钱） 白芍 砂仁 半夏 当归（各三钱） 桃仁 黄连 神曲（炒制） 陈皮（各二钱） 吴茱萸（一钱半）僵蚕 人参 甘草（各一钱）
将上述药物研为细末，蒸饼和丸服用。
又一方：
白术（三钱半） 白芍（炒制） 陈皮 归尾（各二钱半） 人参 黄连（炒制，一钱半） 吴茱萸（半钱）
将上述药物研为细末，蒸饼和丸。
又一方：治疗气实心痛。
山栀子（炒焦，六钱） 香附（一钱） 吴茱萸（一钱）
将上述药物研为细末，蒸饼制成如花椒大小的丸剂。用地黄酒洗净，同生姜汤煎煮，送下二十丸。
又一方：
胡椒 荜茇（各半两）
将上述药物研为细末。用醋调匀，捏成团子吞下。
又一方：治疗心痛，也治疗哮喘。另见痰类章节。
半夏（切碎，香油炒制）
将上述药物研为细末，姜汁炊饼和丸。姜汤送下二三十丸。
一人脉涩，心脾经常疼痛。
白术（一两） 半夏（一两） 苍术 枳实 神曲 香附 茯苓 台芎（各半两）
将上述药物研为细末，神曲糊和丸。
治疗死血留滞胃脘作痛者。
玄胡索（一两半） 桂枝 滑石 红花 红曲（各五钱） 桃仁（三十个）
将上述药物研为细末，汤浸蒸饼和丸。
治疗痰饮积滞胃脘痛。
螺蛳壳（墙上生长多年的烧制） 滑石（炒制） 苍术 山栀 香附 南星（各二两） 枳壳 青皮 木香（半两）
将上述药物研为细末，生姜汁浸蒸饼制成绿豆大小的丸剂。每次服用三四十丸，姜汤送下。春季加川芎，夏季加黄连，冬季加吴茱萸半两。有痰者，用明矾溶化，就在丸剂中加入如鸡头大小的量，热姜汤吞服一丸。青黛也能治疗心痛，蓝叶捣碎取汁，姜汁和服，也可以。如果没有叶子处，用水一小瓶，将蓝靛放在刀头上，在火中烧红，淬入水中服用。
治疗脾痛，用海粉，佐以香附末，用川芎、山栀、生姜汁煎成辣汤，调服为佳。又一方，治疗脾痛气实。
〔附录〕心痛，其种类有九种：一是虫痛，二是疰痛，三是风痛，四是悸痛，五是食痛，六是饮痛，七是寒痛，八是热痛，九是来去痛。疼痛非常剧烈，手足青紫超过关节的，这名叫真心痛，早晨发作晚上死，晚上发作早晨死，不是药物所能治疗的。如果是蛔虫攻啮引起的心痛，令人恶心呕吐，用川椒十粒煎汤，送服乌梅丸，效果良好。有肾气上攻导致的心痛，用生韭菜研汁和五苓散制成丸剂，空腹茴香汤送下。时作时止，或者喝汤水咽下后出现呃逆的，是有死血在其中，用桃仁承气汤攻下。草豆蔻丸，多用于治疗气馁虚弱人心痛，效果奇妙。
附方：
草豆蔻丸：治疗客寒犯胃痛者，适宜此丸。热症也可服用，但只可服用一二服。
草豆蔻（一钱四分，面粉包裹煨制去壳） 益智仁 橘皮 僵蚕 人参 黄芪（各八分） 吴茱萸（汤洗去苦味，八分） 生甘草（三分） 炙甘草（三分） 当归身 青皮（各六分） 神曲（炒制） 姜黄（各四分） 泽泻（一钱，小便频数者减半） 桃仁（七个，去皮尖，单独研碎） 麦芽（炒制，一钱五分） 柴胡（四分，根据胁下情况加减使用） 半夏（洗制，一钱）
除桃仁单独研碎外，其余研为细末，浸蒸饼制成梧桐子大小的丸剂。服用三十丸，白开水送下，饭后较远时间服用，随时斟酌用量。
丁香止痛散：治疗心气痛难以忍受。
良姜（五两） 茴香（炒制） 甘草（各一两半） 丁香（半两）
将上述药物研为细末。每次服用二钱，沸水冲服。
失笑散：治疗心气痛难以忍受，小肠气痛。
蒲黄（炒制） 五灵脂（酒研淘去砂土，各等分）
先将醋调二钱，煎成膏状，加入水一盏煎煮，饭前热服。
扶阳助胃汤：治疗寒气客居于肠胃，胃脘当心而痛，得热则缓解。
干姜（炮制，一钱半） 拣选人参 草豆蔻 甘草（炙烤） 官桂 白芍（各一钱） 陈皮 白术 吴茱萸（各五分） 附子（炮制，二钱） 益智仁（五分）
切碎为一服量，加水煎煮，加生姜三片，大枣二枚。有积聚者，备……
乌梅丸：治疗胃冷，蛔虫攻心痛，呕吐，四肢冷。
乌梅（三百个） 黄柏（炙烤） 细辛 肉桂 附子（炮制，各六两） 黄连（十六两） 人参（六两） 蜀椒（炒去闭口者及目） 当归（各四两） 干姜（炮制一两）
将上述药物研为细末，取乌梅肉和蜂蜜制成梧桐子大小的丸剂。每次服用五十丸，空腹盐汤送下。
Eyebrow and orbital pain is attributed to wind-heat and phlegm. Treat it as wind-phlegm, similar to gout.
Prescription:
Huangqin (Scutellariae Radix, soaked in wine and stir-fried) Baizhi (Angelicae Dahuricae Radix; another version uses Baizhu Atractylodis Macrocephalae Rhizoma)
Grind the above into powder. Mix with clear tea water and take 2 qian.
Another Prescription:
Chuanwu (Aconiti Radix), Caowu (Aconiti Kusnezoffii Radix) [These two are Jun (Emperor) herbs, soaked in child's urine, stir-fried to remove toxicity] Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [Equal parts, Zuo (Assistant) herbs]
Grind the above into fine powder. Take with clear tea water. Another version adds Nanxing (Arisaematis Rhizoma).
[Appendix] Pain has two syndromes. The eyes belong to the Liver; there is pain due to Liver deficiency. Upon seeing light, the orbital bones hurt severely; Shengshu Dihuang Wan (Raw and Cooked Rehmannia Pill) is suitable. There is also bone pain where the eyes cannot open, quiet during the day and worse at night; Daotan Tang (Phlegm-Resolving Decoction) or Xiongxin Tang (Ligusticum and Asari Decoction) with young tea leaves, or Erchen Tang (Two-Aged Herb Decoction) taken with Qingzhou Baixi Wan (Qingzhou White Pill) is effective.
Attached Prescriptions:
Xuanqi Fang (Select Extraordinary Formula): Treats unbearable eyebrow bone pain, highly effective.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) [2 qian each], Gancao (Glycyrrhizae Radix et Rhizoma) [2 qian, stir-fried in winter for those born in summer], Jiu Huangqin (Scutellariae Radix processed with wine) [1 qian, not used in winter, use if heat signs are present].
Take 3 qian per dose, decoct in water, take warm after meals.
Shengshu Dihuang Wan (Raw and Cooked Rehmannia Pill):
Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata) [1 liang each], Xuanshen (Scrophulariae Radix), Jincha Shihu (Dendrobii Nobile Caulis) [1 liang each].
Grind into powder, make pills with honey.
Daotan Tang (Phlegm-Resolving Decoction): See Phlegm category.
Xiongxin Tang (Ligusticum and Asari Decoction):
Fuzi (Aconiti Lateralis Radix Preparata, raw, skin and navel removed), Wutou (Aconiti Radix, raw), Tian Nanxing (Arisaematis Rhizoma), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma) [Equal parts].
Cut into pieces. Take 4 qian per dose with 5 slices of fresh ginger and a little young tea leaf, decoct and take.
Qingzhou Baixi Wan (Qingzhou White Pill): See *Heji Ju Fang* and *Ruizhutang Fang*.
Sishen San (Four-Gentlemen Powder): Treats women's blood-wind causing dizziness and headache.
Juhua (Chrysanthemi Flos), Danggui (Angelicae Sinensis Radix), Xuanjinhua (Inulae Flos), Jingjie Sui (Schizonepetae Spica).
Equal parts, grind into fine powder. Take 2 qian per dose with 3 cun of scallion white, 2 qian of tea powder, and 1.5 cups of water. Decoct until 0.8 cup remains, strain, and take after meals.
Heart pain is actually epigastric pain. Although it may last for many days without eating, it is not fatal. If one eats immediately when the pain stops, the pain returns. One must take medicine three times before eating. In severe pain, the pulse is likely deep and hidden (Fu); use warming herbs like Fuzi (Aconiti Lateralis Radix Preparata), do not use Renshen (Ginseng Radix) or Baizhu (Atractylodis Macrocephalae Rhizoma). All pains should not be treated with Qi-tonifying methods. Generally, heart pain must be distinguished by newness or chronicity. If it is known that the disease was caused by cold exposure or consuming cold foods, at the beginning, use warming dispersing or warming draining herbs. It is said that prolonged illness leads to stagnation (Yu), prolonged stagnation generates heat, and prolonged heat generates fire, as detailed in *Yuan Bing Shi*. If one attempts warming dispersing/draining now, would it not aid fire and worsen the disease? Ancient formulas often use Shanzhizi (Gardeniae Fructus) as a guide for heat-clearing herbs, so that evil qi can be subdued, the disease recedes, healthy qi recovers, and the patient is safe. However, after recovery, if one indulges in taste preferences and does not correct past mistakes, and the disease recurs, blaming the doctor is lamentable! One prescription uses Shanzhizi (Gardeniae Fructus) stir-fried to remove the skin, 15 fruits per dose, decoct strongly, drink one mouthful, add fresh ginger juice to make it spicy, boil slightly, then add 1 qian of Chuanxiong (Ligustici Chuanxiong Rhizoma), which is excellent. For large Shanzhizi, use 7 or 9 fruits, must be stir-fried until black. Generally, for stomach heat causing pain, Shanzhizi (Gardeniae Fructus) is indispensable, assisted by ginger juice, and more Chuanxiong (Ligustici Chuanxiong Rhizoma) to open dispersion. When the disease flares, use Erchen Tang (Two-Aged Herb Decoction) plus Chuanxiong (Ligustici Chuanxiong Rhizoma) and Cangzhu (Atractylodis Rhizoma), double the amount of stir-fried Zhizi (Gardeniae Fructus). For severe pain, add stir-fried Ganjiang (Zingiberis Rhizoma) to follow the pathogenic factor, treating contrary with ten pills, taken with hot spicy ginger soup. For heavy cases, Guizhi (Cinnamomi Ramulus), Mahuang (Ephedrae Herba), and Shijian (Calcium Carbonatum) in equal parts, mixed with ginger juice and steamed biscuit dough to make pills size of paulownia seeds, take 50 pills with hot ginger soup. Another version: Light cases use dispersing methods, such as Mahuang (Ephedrae Herba) and Guizhi (Cinnamomi Ramulus). Heavy cases add Shijian (Calcium Carbonatum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), and stir-fried Shanzhizi (Gardeniae Fructus) without skin, made into pills. To treat this condition, one must first ask about daily habits. For example, heart pain caused by a habit of eating hot foods, leading to fixed blood stasis causing pain, treat with Tao Ren Cheng Qi Tang (Peach Kernel Magnolia Bark Decoction) to purge. Remember this. For light cases, use Jiuzhi (Allium Tuberosum Juice) and Jiegeng (Platycodonis Radix) to lift Qi, used alongside blood-invigorating herbs. If pressing the painful area with an object stops the pain, it involves deficiency; harmonize with Erchen Tang (Two-Aged Herb Decoction) plus stir-fried Ganjiang (Zingiberis Rhizoma). For worm pain, white spots on the face, red lips, and ability to eat indicate worms; treat by... head down, difficult to treat. First feed meat broth and sugar/honey to guide the worm head upward, then expel with medicine. Lindera root bark, Areca Seed, and Heshen (Vincetoxici Rosae Caulis) juice in summer, or strong decoction in winter, taken with Wanying Wan (Ten-Thousand-Effect Pill) is best. If the pulse is firm and there is no bowel movement, purge. For heart pain, use Zhizi (Gardeniae Fructus) and Jie Yao (Seizing Medicine). If it recurs, previous medicines will fail; use Xuanming Fen (Mirabilite) once to stop immediately. Left hand rapid pulse indicates excess heat, choppy pulse indicates fixed blood stasis; right hand tight/firm pulse indicates phlegm accumulation, wiry/large pulse indicates chronic disease. For dampness in the epigastrium causing pain, use Xiaowei Dan (Minor Stomach Pill) to purge.
Prescription:
Huanglian (Coptidis Rhizoma, stir-fried), Zhizi (Gardeniae Fructus, stir-fried), Wuzhuyu (Evodiae Fructus, washed in water, 5 qian each), Lizhihe (Litchi Semen, burned to retain efficacy, 3 qian), Huashi (Talcum, 5 qian).
Grind into powder, mix with ginger juice to make pills.
Another Prescription:
Zhiziren (Gardeniae Fructus, stir-fried yellow).
Grind into powder, mix with ginger water and congee to make pills. For cold pain, add stir-fried Caodoukou (Alpiniae Katsumadai Semen) powder, mix with ginger juice and steamed biscuit dough to make pills.
Another Prescription:
Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Baishao (Paeoniae Radix Alba), Sharen (Amomi Fructus Rotundus), Banxia (Pinelliae Rhizoma), Danggui (Angelicae Sinensis Radix) [3 qian each], Taoren (Persicae Semen), Huanglian (Coptidis Rhizoma), Shenqu (Masa Medicata Fermentata, stir-fried), Chenpi (Citri Reticulatae Pericarpium) [2 qian each], Wuzhuyu (Evodiae Fructus, 1.5 qian), Jiangcan (Bombyx Batryticatus), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [1 qian each].
Grind into powder, make pills with steamed biscuit dough.
Another Prescription:
Baizhu (Atractylodis Macrocephalae Rhizoma, 3.5 qian), Baishao (Paeoniae Radix Alba, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Guiwei (Angelicae Sinensis Radix Caudex) [2.5 qian each], Renshen (Ginseng Radix), Huanglian (Coptidis Rhizoma, stir-fried, 1.5 qian), Wuzhuyu (Evodiae Fructus, 0.5 qian).
Grind into powder, make pills with steamed biscuit dough.
Another Prescription: Treats Qi-excess heart pain.
Zhizi (Gardeniae Fructus, stir-fried scorched, 6 qian), Xiangfu (Cyperi Rhizoma, 1 qian), Wuzhuyu (Evodiae Fructus, 1 qian).
Grind into powder, make pills with steamed biscuit dough the size of Sichuan pepper. Wash with raw rehmannia wine decoction, decoct with ginger water, and swallow 20 pills.
Another Prescription:
Hujiao (Piperis Longi Fructus), Bibo (Piperis Kadsurae Fructus) [0.5 liang each].
Grind into powder. Mix with vinegar, form into balls, and swallow.
Another Prescription: Treats heart pain, also treats asthma. See Phlegm category.
Banxia (Pinelliae Rhizoma, chopped, stir-fried in sesame oil).
Grind into powder, mix with ginger juice and steamed biscuit dough to make pills. Take 20-30 pills with ginger water.
Another Prescription:
Huangjingzi (Viticis Trifoliate Semen), stir-fried scorched to powder, take with rice water. Also treats leukorrhea.
One person had a choppy pulse and frequent heart/spleen pain.
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Banxia (Pinelliae Rhizoma, 1 liang), Cangzhu (Atractylodis Rhizoma), Zhishi (Aurantii Fructus Immaturus), Shenqu (Masa Medicata Fermentata), Xiangfu (Cyperi Rhizoma), Fuling (Poria), Taixiong (Ligustici Chuanxiong Rhizoma) [0.5 liang each].
Grind into powder, make pills with masa paste.
Treats fixed blood stasis remaining in the epigastrium causing pain.
Yanhusuo (Corydalis Rhizoma, 1.5 liang), Guizhi (Cinnamomi Ramulus), Huashi (Talcum), Honghua (Carthami Flos), Hongqu (Monascus Ruber) [5 qian each], Taoren (Persicae Semen, 30 pieces).
Grind into powder, soak in water, mix with steamed biscuit dough to make pills.
Treats phlegm-fluid retention in the epigastrium causing pain.
Luosike (Concha Viverrinae, burnt from walls old enough), Huashi (Talcum, stir-fried), Cangzhu (Atractylodis Rhizoma), Zhizi (Gardeniae Fructus), Xiangfu (Cyperi Rhizoma), Nanxing (Arisaematis Rhizoma) [2 liang each], Zhike (Aurantii Fructus), Qingpi (Citri Reticulatae Pericarpium), Muxiang (Aucklandiae Radix) [0.5 liang].
Grind into powder, soak in ginger juice, mix with steamed biscuit dough to make mung bean-sized pills. Take 30-40 pills with ginger water. Add Chuanxiong (Ligustici Chuanxiong Rhizoma) in spring, Huanglian (Coptidis Rhizoma) in summer, Wuzhuyu (Evodiae Fructus) 0.5 liang in winter. For phlegm, dissolve Mingfan (Alumen) and add to pills the size of a chicken head, swallow one pill with hot ginger water. Qingdai (Indigo Naturalis) also treats heart pain; crush Lan Ye (Isatidis Folium) to extract juice, mix with ginger juice and take. If leaves are unavailable, use a small bottle of water, place Lan'an (Indigo preparation) on the blade of a knife, heat red in fire, quench in water, and drink.
For spleen pain, use Haifen (Sea Shell Powder), assisted by Xiangfu (Cyperi Rhizoma) powder, decoct Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus), and ginger juice into a spicy soup, and mix for administration is best. Another prescription treats spleen pain with Qi excess.
[Appendix] Heart pain has nine types: 1. Worm pain, 2. Zhu (infectious/contagious) pain, 3. Wind pain, 4. Palpitation pain, 5. Food pain, 6. Drink pain, 7. Cold pain, 8. Heat pain, 9. Migratory pain. If pain is severe and hands/feet turn blue past the joints, it is called True Heart Pain (Zhen Xin Tong), dying if onset is morning/evening or evening/morning, untreatable by medicine. If roundworms attack causing heart pain, nausea, and vomiting, decoct 10 grains of Chuanjiao (Zanthoxyli Fructus) in water and take Wu Mei Wan (Mume Pill), which is good. Kidney Qi attacking upwards causing heart pain: crush raw leeks for juice, mix with Wuling San (Five-Ingredient Powder with Poria) to make pills, take on an empty stomach with Fenhui (Foeniculi Fructus) soup. Intermittent pain or hiccups after drinking water/soup indicates fixed blood stasis inside; purge with Tao Ren Cheng Qi Tang (Peach Kernel Magnolia Bark Decoction). Caodoukou Wan (Alpinia Katsumada Pill) is excellent for treating heart pain due to Qi deficiency and weakness.
Attached Prescriptions:
Caodoukou Wan (Alpinia Katsumada Pill): Treats external cold invading the stomach. Suitable for this pill. Can be taken for heat, but only 1-2 doses.
Caodoukou (Alpiniae Katsumadai Semen, wrapped in flour and baked, skin removed) [1.4 qian], Yizhi (Alpiniae Officinarum Fructus), Jupi (Citri Reticulatae Pericarpium), Jiangcan (Bombyx Batryticatus), Renshen (Ginseng Radix), Huangqi (Astragali Radix) [0.8 qian each], Wuzhuyu (Evodiae Fructus, washed in water to remove bitterness, 0.8 qian), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, raw) [0.3 qian], Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [0.3 qian], Guishen (Angelicae Sinensis Radix Caudex), Qingpi (Citri Reticulatae Pericarpium) [0.6 qian each], Shenqu (Masa Medicata Fermentata, stir-fried), Jianghuang (Curcumae Longae Rhizoma) [0.4 qian each], Zexie (Alismatis Rhizoma) [1 qian, halve if frequent urination], Taoren (Persicae Semen, 7 pieces, skin and tip removed, separately ground), Maiya (Hordei Fructus Germinatus, stir-fried) [1.5 qian], Chaihu (Bupleuri Radix) [0.4 qian, adjust based on hypochondriac symptoms], Banxia (Pinelliae Rhizoma, washed) [1 qian].
Except for Taoren (Persicae Semen) separately ground, grind the rest into powder, soak in steamed biscuit dough, make pills size of paulownia seeds. Take 30 pills with plain water, far from meals, adjust dosage as needed.
Dingxiang Zhitong San (Clove Pain-Relieving Powder): Treats unbearable heart Qi pain.
Liangjiang (Alpiniae Officinarum Rhizoma, 5 liang), Huixiang (Foeniculi Fructus, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma) [1.5 liang each], Dingxiang (Caryophylli Flos) [0.5 liang].
Grind into powder. Take 2 qian per dose, brew with boiling water.
Shixiao San (Laughing Discords Powder): Treats unbearable heart Qi pain, Xiao Chang Qi (Small Intestine Qi) pain.
Puhuang (Pollen Typhae), Wulingzhi (Trogopterori Faeces, wine-ground and washed to remove sand/dirt) [Equal parts].
First mix 2 qian with vinegar, decoct into paste, add 1 cup of water, decoct, take hot before meals.
Erjiang Wan (Two Gingers Pill): Treats heart/spleen pain, warms and nourishes spleen/stomach, injury from cold food.
Ganjiang (Zingiberis Rhizoma, processed), Liangjiang (Alpiniae Officinarum Rhizoma).
Fuyang Zhuwei Tang (Yang-Supporting Stomach-Assisting Decoction): Treats cold qi lodging in intestines/stomach, epigastric pain centering on the heart, relieved by heat.
Ganjiang (Zingiberis Rhizoma, processed, 1.5 qian), Jian Shen (Ginseng Radix selected), Caodoukou (Alpiniae Katsumadai Semen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Guanzi Gui (Cinnamomi Cortex), Baishao (Paeoniae Radix Alba) [1 qian each], Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Wuzhuyu (Evodiae Fructus) [0.5 qian each], Fuzi (Aconiti Lateralis Radix Preparata, processed, 2 qian), Yizhi (Alpiniae Officinarum Fructus) [0.5 qian].
Cut into one dose, decoct in water with 3 slices of fresh ginger and 2 dates. For accumulations, prepare...
Wu Mei Wan (Mume Pill): Treats stomach cold, roundworms attacking heart causing pain, vomiting, cold limbs.
Wumei (Mume Fructus, 300 pieces), Huangbai (Phellodendri Cortex, honey-fried), Xixin (Asari Radix et Rhizoma), Rougui (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Preparata, processed) [6 liang each], Huanglian (Coptidis Rhizoma, 16 liang), Renshen (Ginseng Radix, 6 liang), Shujiao (Zanthoxyli Fructus, stir-fried to remove closed-mouth ones and eyes), Danggui (Angelicae Sinensis Radix) [4 liang each], Ganjiang (Zingiberis Rhizoma, processed, 1 liang).
Grind into powder, take Wumei flesh and mix with honey to make pills size of paulownia seeds. Take 50 pills on an empty stomach with salt water.
Tao Ren Cheng Qi Tang (Peach Kernel Magnolia Bark Decoction): See Hematemesis category.
Xiaowei Dan (Minor Stomach Pill): See Phlegm category.
Wuling San (Five-Ingredient Powder with Poria): See Summerheat category.