此即胃脘痛。因胃脘在心之下，劳伤风寒及食冷物而作痛，俗呼为心痛。心可痛乎！血不足，则怔忡惊悸不
安耳。若真心痛，手足青黑色，旦夕死矣。治当散胃中之寒气，消胃中之冷物，必用生化汤，佐消寒食之药，无有
不安。若绵绵而痛，可按止之，问无血块，则当论虚而加补也。产后心痛、腹痛，二症相似，因寒食与气上攻于
心，则心痛；下攻于腹，则腹痛，均用生化汤加肉桂、吴萸等温散之药也。
加味生化汤
川芎（一钱） 当归（三钱） 黑姜（五分） 肉桂（八分） 吴萸（八分） 砂仁（八分） 炙草（五分）
伤寒食，加肉桂、吴萸；伤面食，加神曲、麦芽；伤肉食，加山楂、砂仁；大便不通，加肉苁蓉。
歌括∶劳伤风寒食伤冷，绵绵不止胃脘痛。
散寒消积化食滞，加味生化服之宁。
寒食吴萸肉桂投，面食神曲麦芽增。
肉食山楂砂仁用，大便不通加苁蓉。
先问有块无块。块痛，只服生化汤，调失笑散二钱，加元胡一钱；无块，则是遇风冷作痛，宜服加减生化汤。
川芎（一钱） 当归（四钱） 黑姜（四分） 炙草（四分） 防风（七分） 吴萸（六分） 白蔻（五分） 桂
枝（七分）
痛止去之。随伤食物，所加如前。
歌括∶腹痛无块因风冷，加减生化汤最灵。
归芎姜草白豆蔻，吴萸桂枝与防风。
这就是胃脘痛。因为胃脘位于心脏下方，因劳倦、受风寒以及食用生冷食物而引发疼痛，民间俗称为“心痛”。心脏真的会痛吗？（不会）血不足时，才会出现怔忡（心跳剧烈）、惊悸（心神不宁）和不安的症状。如果是真正的真心痛，会出现手足青黑色，早晚就会死亡。治疗应当驱散胃中的寒气，消除胃中的冷积食物，必须使用生化汤，配合消寒化食的药物，没有不能安愈的。如果是绵绵不断的隐痛，按压可以缓解，询问没有血块，则应当按虚证论治并加入补益药。产后心痛和腹痛，这两种症状相似，因寒邪、饮食停滞与气机上逆攻冲于心，则表现为心痛；下攻于腹，则表现为腹痛，均使用生化汤加入肉桂、吴茱萸等温性发散药物进行治疗。
加味生化汤
川芎（一钱） 当归（三钱） 黑姜（五分） 肉桂（八分） 吴茱萸（八分） 砂仁（八分） 炙甘草（五分）
若因伤寒饮食所致，加入肉桂、吴茱萸；若因伤面食所致，加入神曲、麦芽；若因伤肉食所致，加入山楂、砂仁；若大便不通，加入肉苁蓉。
歌诀：劳倦受伤、风寒侵袭、饮食生冷，导致绵绵不止的胃脘痛。
驱散寒邪、消除积滞、化解食积，服用加味生化汤即可安宁。
寒食之症投用吴茱萸、肉桂，面食之症增加神曲、麦芽。
肉食之症使用山楂、砂仁，大便不通则加入肉苁蓉。
先询问是否有包块。有包块的疼痛，只服用生化汤，调服失笑散二钱，加入延胡索一钱；没有包块，则是因感受风冷而作痛，适宜服用加减生化汤。
川芎（一钱） 当归（四钱） 黑姜（四分） 炙甘草（四分） 防风（七分） 吴茱萸（六分） 白豆蔻（五分） 桂枝（七分）
疼痛停止后去掉这些药。根据所伤食物的种类，添加药物如前所述。
This is epigastric pain (stomach region pain). Since the epigastrium is located below the heart, pain caused by overwork, exposure to wind-cold, and consumption of cold foods is colloquially referred to as "heart pain." Can the Heart truly hurt? When blood is insufficient, palpitations (Zhen Tong), fright palpitations (Jing Ji), and restlessness occur. If it is true Zhen Xin Tong (True Heart Pain), the hands and feet turn cyanotic/black, and death occurs within a day or two. Treatment should focus on dispersing cold qi in the stomach and eliminating cold food stagnation. Shenghua Tang (Decoction for Transforming Blood) must be used, assisted by herbs that dispel cold and digest food; there will be no case that cannot be healed. If the pain is continuous and dull, relieved by pressure, and there are no blood stasis masses upon inquiry, it should be treated as deficiency with added tonifying herbs. Postpartum heart pain and abdominal pain are similar symptoms: when cold pathogens, food stagnation, and rebellious Qi attack upward toward the Heart, it manifests as heart pain; when attacking downward toward the abdomen, it manifests as abdominal pain. Both are treated with Shenghua Tang (Decoction for Transforming Blood) added with warming and dispersing herbs such as Rou Gui (Cinnamon Bark) and Wu Zhu Yu (Evodia Fruit).
Modified Shenghua Tang (Jia Wei Sheng Hua Tang)
Chuan Xiong (Ligusticum Chuanxiong Rhizome) (1 qian)
Dang Gui (Angelica Sinensis Radix) (3 qian)
Hei Jiang (Charred Zingiberis Officinalis Rhizome) (5 fen)
Rou Gui (Cinnamomi Cortex) (8 fen)
Wu Zhu Yu (Euodiae Fructus) (8 fen)
Sha Ren (Amomi Fructus Rotundus) (8 fen)
Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma) (5 fen)
If caused by cold-dietary injury, add Rou Gui (Cinnamon Bark) and Wu Zhu Yu (Evodia Fruit); if caused by damage from eating noodles/grains, add Shen Qu (Medicated Leaven) and Mai Ya (Hordei Fructus Germinatus); if caused by damage from eating meat, add Shan Zha (Crataegi Fructus) and Sha Ren (Amomi Fructus Rotundus); if accompanied by constipation, add Rou Cong Rong (Cistanches Herba).
Rhyme Prescription:
Injury from overwork, wind-cold invasion, and consumption of cold foods leads to continuous epigastric pain.
Dispel cold, eliminate accumulation, resolve food stagnation; taking Modified Shenghua Tang brings peace.
For cold-food injuries, administer Wu Zhu Yu and Rou Gui; for noodle-grain injuries, increase Shen Qu and Mai Ya.
For meat injuries, use Shan Zha and Sha Ren; for constipation, add Rou Cong Rong.
First inquire whether there is a mass. For pain with a mass, take only Shenghua Tang (Decoction for Transforming Blood), mixed with Shixiao San (Pain-Relieving Powder) 2 qian, plus Yuan Hu (Corydalis Rhizome) 1 qian; without a mass, the pain is due to exposure to wind-cold, and Jia Jian Sheng Hua Tang (Altered Shenghua Decoction) is appropriate.
Chuan Xiong (Ligusticum Chuanxiong Rhizome) (1 qian)
Dang Gui (Angelica Sinensis Radix) (4 qian)
Hei Jiang (Charred Zingiberis Officinalis Rhizome) (4 fen)
Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma) (4 fen)
Fang Feng (Saposhnikoviae Radix) (7 fen)
Wu Zhu Yu (Euodiae Fructus) (6 fen)
Bai Kou (Amomi Fructus Rotundus / White Cardamom) (5 fen)
Gui Zhi (Cinnamomi Ramulus) (7 fen)
Remove these after the pain stops. Additions based on the ingested food are as described above.
Rhyme Prescription:
Abdominal pain without a mass is due to wind-cold; Altered Shenghua Decoction is most effective.
Dang Gui, Chuan Xiong, Jiang, Cao, Bai Dou Kou, along with Wu Zhu Yu, Gui Zhi, and Fang Feng.