有寒，积热，死血，食积，湿痰，脐下忽大痛，人中有黑色者，多死。寒痛者，绵绵痛，
无增减者是。时痛时止者，热也。死血痛，不行移者是。食积痛，欲大便，便后痛减者是。
湿痰痛，小便必不利者是。
见疟门。
见寒门。
见寒门。
见气门。
见心痛。
治虚，里急腹痛，遗精，四肢酸痛，手足烦热，咽干口燥，自汗等症。
桂枝 甘草（各三钱） 生姜（二钱） 白芍（六钱） 阿胶（炒，一合） 黄芩（三
钱）枣二枚，水煎服。
治腹痛。
官桂 陈皮 干姜 甘草（各等分）
水煎，空心温服。
脉弦气弱，自汗发热，或大便泄泻，或皮毛枯槁脱落等症。
黄 肉桂（各三钱） 甘草（二两） 白芍（六两）
每五钱，姜三片、枣二枚，入饧少许，煎。
一方 治腹痛，以生姜自然汁半酒钟，沙糖半酒钟，滚水一大钟调服，半时愈。
治虚症不足，小腹急痛，肠胁 胀，骨肉酸痛，短气，喘咳痰嗽，潮热多汗，心下惊悸，
腰背强直，多卧少起。
黄 附子 鹿茸（炙） 地骨皮 石斛 人参 当归 芍药 续断 川芎 小草（各
一钱）
上用水一钟半，姜三片煎，空心温服。渣再煎服。
一方 治小腹痛，及阴中相引痛，自汗出，欲死。丹参为末，二钱热酒调，空心服。
又方 小腹痛，及阴扯痛。用小茴炒，加盐，时时服，茴香茎叶皆可煎服，神效。
一方 妇人小腹痛，及有血块作痛，速效。
蓬术（酒炒，一钱） 青皮（去穣，一钱） 官桂（五分） 红花（五分） 川芎（一
钱） 姜黄（二
上用水一钟半，煎服。
如果患者感受寒邪，或体内有积热、死血（瘀血）、食积、湿痰等病邪，导致脐下突然剧烈疼痛，且人中部位出现黑色者，大多预后不良，难以救治。
如果是寒邪引起的腹痛，其特点是疼痛绵绵不断，且程度没有增减变化。
如果是时痛时止的，属于热证。
如果是死血（瘀血）引起的疼痛，特点是疼痛位置固定不移。
如果是食积引起的疼痛，特点是想要大便，排便后疼痛减轻。
如果是湿痰引起的疼痛，特点是小便必然不通畅。
（关于疟疾相关的腹痛，参见“疟门”章节。）
（关于寒邪相关的腹痛，参见“寒门”章节。）
（关于寒邪相关的腹痛，参见“寒门”章节。）
（关于气滞相关的腹痛，参见“气门”章节。）
（关于心痛放射至腹部的情况，参见“心痛”章节。）
（关于气滞相关的腹痛，参见“气门”章节。以上各类情况均适宜使用上述辨证方法。）
有一个方子：治疗腹中水鸣作响并伴有疼痛，这是火邪扰动水液所致。
治疗腹部常有热感并伴随疼痛，这属于积热证。参见“牙齿门”章节。
治疗虚证，表现为里急腹痛、遗精、四肢酸痛、手足烦热、咽干口燥、自汗等症状。
处方：桂枝三钱，甘草三钱，生姜二钱，白芍六钱，阿胶一合（炒制），黄芩三钱，大枣二枚。用水煎煮后服用。
治疗腹痛。
处方：官桂、陈皮、干姜、甘草（各等分）。
用水煎煮，空腹温服。
脉象弦而气弱，伴有自汗、发热，或者大便泄泻，或者皮毛枯槁脱落等症状。
处方：黄芪三钱，肉桂三钱，甘草二两，白芍六两。
每次取五钱药量，加生姜三片、大枣二枚，加入少许饴糖，煎煮服用。
另一个方子：治疗腹痛，用生姜自然汁半酒钟，砂糖半酒钟，一大钟滚开水调匀服用，半小时即可痊愈。
治疗虚证不足，表现为小腹急痛、肠胁胀满、骨肉酸痛、短气、喘咳痰嗽、潮热多汗、心下惊悸、腰背强直、嗜睡少起等症状。
处方：黄芪一钱，附子一钱，鹿茸一钱（炙制），地骨皮一钱，石斛一钱，人参一钱，当归一钱，芍药一钱，续断一钱，川芎一钱，小草一钱。
以上药物用水一钟半，生姜三片煎煮，空腹温服。药渣再次煎煮服用。
另一个方子：治疗小腹痛，以及阴部牵引性疼痛，伴有自汗出，痛苦欲死。将丹参研为末，取二钱，用热酒调服，空腹服用。
又一方：治疗小腹痛，以及阴部牵扯疼痛。用小茴香炒制，加盐，时时服用。茴香的茎和叶也可以煎服，效果神奇。
另一个方子：治疗妇人小腹痛，以及因血块引起的疼痛，见效迅速。
处方：蓬术一钱（酒炒），青皮一钱（去瓤），官桂五分，红花五分，川芎一钱，姜黄二钱。
以上药物用水一钟半，煎煮服用。
If a patient is affected by cold pathogens, or has accumulated heat, dead blood (blood stasis), food retention, or damp-phlegm, leading to sudden severe pain below the umbilicus, and if the area between the nose and upper lip exhibits black discoloration, the prognosis is mostly poor and death is likely.
For pain caused by cold, the characteristic is a continuous, lingering pain without increase or decrease in intensity.
For pain that comes and goes intermittently, it belongs to heat syndromes.
For pain caused by dead blood (blood stasis), the characteristic is fixed pain that does not shift position.
For pain caused by food retention, the characteristic is the urge to defecate, with pain relief after bowel movement.
For pain caused by damp-phlegm, the characteristic is necessarily obstructed urination.
(Regarding abdominal pain related to malaria, see the "Malaria Section".)
(Regarding abdominal pain related to cold pathogens, see the "Cold Section".)
(Regarding abdominal pain related to cold pathogens, see the "Cold Section".)
(Regarding abdominal pain related to qi stagnation, see the "Qi Section".)
(Regarding heart pain radiating to the abdomen, see the "Heart Pain Section".)
(Regarding abdominal pain related to qi stagnation, see the "Qi Section". The above diagnostic methods are suitable for all these conditions.)
One prescription: Treats rumbling sounds in the abdomen accompanied by pain, which is caused by fire disturbing water fluids.
Treats chronic heat sensation in the abdomen accompanied by pain, known as accumulated heat syndrome. See the "Teeth Section".
Treats deficiency syndromes manifesting as internal urgency and abdominal pain, spermatorrhea, soreness and pain in the four limbs, vexatious heat in the hands and feet, dry throat and mouth, spontaneous sweating, etc.
Prescription: Guizhi Tang (Cinnamon Twig Decoction) components: Cinnamon Twig (Guizhi) 3 qian, Licorice Root (Gancao) 3 qian, Fresh Ginger (Shengjiang) 2 qian, White Peony Root (Baishao) 6 qian, Donkey-hide Gelatin (Ejiao) 1 he (stir-fried), Scutellaria Root (Huangqin) 3 qian, Jujube (Dazao) 2 pieces. Decoct in water and take orally.
Treats abdominal pain.
Prescription: Official Cinnamon Bark (Guangui), Tangerine Peel (Chenpi), Dried Ginger (Ganjiang), Licorice Root (Gancao) (equal parts).
Decoct in water and take warm on an empty stomach.
Pulse is wiry and qi is weak, accompanied by spontaneous sweating, fever, or diarrhea, or withered and peeling skin and hair.
Prescription: Astragalus Root (Huangqi) 3 qian, Cinnamon Bark (Rougui) 3 qian, Licorice Root (Gancao) 2 liang, White Peony Root (Baishao) 6 liang.
Take 5 qian per dose, add 3 slices of ginger, 2 jujubes, and a small amount of maltose syrup, decoct and take.
Another prescription: Treats abdominal pain by mixing half a wine cup of fresh ginger juice, half a wine cup of rock sugar, and one large cup of boiling water, then taking the mixture; recovery occurs within half an hour.
Treats deficiency insufficiency manifesting as urgent lower abdominal pain, distension of intestines and hypochondrium, soreness and pain in bones and flesh, shortness of breath, wheezing cough with phlegm, tidal fever with profuse sweating, palpitations in the epigastrium, stiffness of waist and back, excessive sleeping with little rising.
Prescription: Astragalus Root (Huangqi) 1 qian, Aconite Root (Fuzi) 1 qian, Deer Antler (Lurong) 1 qian (roasted), Cortex Lycii (Digupi) 1 qian, Dendrobium Stem (Shihu) 1 qian, Ginseng Root (Renshen) 1 qian, Angelica Sinensis Root (Danggui) 1 qian, Peony Root (Shaoyao) 1 qian, Drynaria Rhizome (Xuduan), Ligusticum Chuanxiong Rhizome (Chuanxiong) 1 qian, Polygonum Multiflorum Vine (Xiaocao) 1 qian.
Add 1.5 cups of water and 3 slices of ginger, decoct, and take warm on an empty stomach. Re-decoct the dregs and take.
Another prescription: Treats lower abdominal pain and pulling pain from the genitalia, accompanied by spontaneous sweating and extreme suffering. Powderize Salvia Miltiorrhiza Root (Danshen), take 2 qian mixed with hot wine, on an empty stomach.
Another method: For lower abdominal pain and pulling pain from the yin region. Stir-fry Fennel Fruit (Xiaohuixiang), add salt, and take frequently. The stems and leaves of fennel can also be decocted and taken, with miraculous effects.
Another prescription: For women's lower abdominal pain and pain caused by blood masses, with rapid effect.
Prescription: Curcuma Zedoana Rhizome (Pengzhu) 1 qian (stir-fried with wine), Green Tangerine Peel (Qingpi) 1 qian (pith removed), Official Cinnamon Bark (Guangui) 5 fen, Safflower (Honghua) 5 fen, Ligusticum Chuanxiong Rhizome (Chuanxiong) 1 qian, Turmeric Rhizome (Jianghuang) 2 qian.
Decoct in 1.5 cups of water and take.