心痛即胃脘痛也。心为君主之官，本不受邪。若受邪而痛，是真心痛，手足青至节，朝
作夕死。痛有九种，宜细辨而药之。
气痛。脉沉而涩，诸气郁滞，及七情过用所致。宜二陈汤加沉香、乌药、百合主之。
加味二陈汤
半夏 乌药 茯苓（各二钱） 炙草（七分） 陈皮（一钱） 沉香（五分） 百合（五
钱或一两） 生姜（三斤）
水煎服。
百合合众瓣而成，有百脉一宗之象。其色白而入肺。肺主气，肺气降则诸气俱调。此医
书所不载，余得之海外奇人。屡试屡效。或无沉香，即用紫苏叶一钱代之。
血痛，脉浮沉俱涩，其痛如刺，不可按扪。或寒热往来，大便黑，宜失笑散主之。
失笑散
研末醋汤送下，挟热者，加栀子三钱，高良姜一钱，煎汤送下。寒者以肉桂一钱，煎汤送下。
痰痛即饮痛，脉滑咳嗽，其痛游走无定，宜二陈汤加干薤白五钱，栝蒌皮二钱主之。
火痛，脉数而实，口渴面赤，身热便秘，其痛或作或止，宜金铃子散主之。如火盛者，
用栀子二钱，川楝子去核、黄连、良姜、泽泻、丹参各一钱，香附一钱五分。水煎服。
金铃子散（各见《时方》）
冷痛，脉迟而微细，手足俱冷，其痛绵绵不休，喜用热手按者，宜桂附理中汤加当归二
钱，以济其刚。木通一钱，以通其络。（痛久则入络也。）
虚痛即悸痛，脉浮而小细，或沉而短涩，其痛重轻相间，多日不愈。心悸，最喜摩按，
得食小愈，饥则更痛。宜归脾汤加石菖蒲一钱、木香五分主之。
注痛，入山林古庙古墓，及感一切异气而痛。其人语言错乱，其脉乍大乍小，左右手若出
两人。宜平胃散加藿香二钱，入些少麝香服之。
虫痛，脉如平人，其痛忽来忽止，闻肥甘之味更痛。（闻食而虫头上昂也。）按摩稍止，（虫惊
而暂伏也。）唇红，舌上有白花点。年力壮者，以景岳扫虫煎主之。虚弱者，以理中汤去甘草
，加乌梅二枚，川椒一钱五分，吴茱萸、黄连、肉桂各一钱，当归二钱主之。
食痛，食积停滞，嗳腐吞酸，恶食腹满。其痛或有一条扛起者，脉实而滑。右关更实，宜平胃散加
山楂、麦芽、半夏各二钱。胀甚者，更加莱菔子生研一钱。水煎服。如初病食尚在胃，服此
汤。即以手探吐之。
心痛实际上就是胃脘痛。心作为君主之官（主宰生命活动的器官），本来不受邪气侵袭。如果受邪而疼痛，那是真心痛，手足青紫直达关节，早晨发作晚上就会死亡。疼痛有九种类型，应当仔细辨别后用药治疗。
气痛。脉象沉而涩，由各种气机郁滞，以及七情（喜、怒、忧、思、悲、恐、惊）过度使用所致。适宜用二陈汤（燥湿化痰、理气和中的基础方）加沉香、乌药、百合来主治。
加味二陈汤
半夏 乌药 茯苓（各二钱） 炙甘草（七分） 陈皮（一钱） 沉香（五分） 百合（五钱或一两） 生姜（三斤）
水煎服。
百合由众多花瓣合聚而成，有百脉归宗的意象。其色白入肺经。肺主气，肺气下降则诸气调和。这是医书中未记载的，是我从海外奇人处得来的。屡试屡效。如果没有沉香，就用一钱紫苏叶代替。
血痛，脉象浮沉皆涩，疼痛如针刺，不可按压触摸。或有寒热往来，大便黑色，适宜用失笑散（活血祛瘀、散结止痛的方剂）来主治。
失笑散
研成粉末，用醋汤送服。兼有热象者，加栀子三钱，高良姜一钱，煎汤送服。属寒者，用肉桂一钱，煎汤送服。
痰痛即饮痛（水饮停聚引起的疼痛），脉滑且咳嗽，疼痛游走不定，适宜用二陈汤加干薤白五钱、栝蒌皮二钱来主治。
火痛，脉数而实，口渴面赤，身体发热便秘，疼痛时作时止，适宜用金铃子散（行气疏肝、清热活血的方剂）来主治。如果火盛者，用栀子二钱，川楝子去核、黄连、良姜、泽泻、丹参各一钱，香附一钱五分。水煎服。
金铃子散（各方见《时方》）
冷痛，脉迟而微细，手足俱冷，疼痛绵绵不休，喜欢用热手按压，适宜用桂附理中汤加当归二钱，以济助其刚烈之性。木通一钱，以疏通其络脉。（疼痛日久则入络脉。）
虚痛即悸痛，脉浮而小细，或沉而短涩，疼痛轻重交替，多日不愈。心悸，最喜欢按摩，进食后稍好转，饥饿时更痛。适宜用归脾汤（益气补血、健脾养心的方剂）加石菖蒲一钱、木香五分来主治。
注痛（邪气注袭引起的疼痛），进入山林古庙古墓，以及感受一切异气而痛。其人语言错乱，脉象乍大乍小，左右手脉象仿佛出自两人。适宜用平胃散（燥湿运脾、行气和胃的方剂）加藿香二钱，加入少许麝香服用。
虫痛，脉象如常人，疼痛忽来忽止，闻到肥甘厚味的食物更痛。（闻到食物气味，虫头向上昂起。）按摩可稍止。（虫受惊暂时潜伏。）嘴唇红，舌上有白花点。年富力壮者，用景岳扫虫煎主治。虚弱者，用理中汤去甘草，加乌梅二枚，川椒一钱五分，吴茱萸、黄连、肉桂各一钱，当归二钱来主治。
食痛，饮食积滞停滞，嗳腐吞酸，厌恶食物腹部胀满。疼痛有时像有一条扛起的感觉，脉实而滑。右关脉更实，适宜用平胃散加山楂、麦芽、半夏各二钱。胀甚者，再加生研莱菔子一钱。水煎服。如果是初病食积尚在胃中，服用此汤后，即以手指探吐。
Heart pain is actually epigastric pain. The Heart, as the Monarch Official (the organ governing vital activities), originally does not receive pathogenic factors. If it receives pathogens and causes pain, this is True Heart Pain (Zhen Xin Tong), where the hands and feet turn cyan up to the joints, and death occurs from morning to evening if onset is in the morning. There are nine types of pain; they should be carefully differentiated before administering medication.
Qi Pain. The pulse is deep and choppy, caused by stagnation of various Qi mechanisms and excessive use of the Seven Emotions (Joy, Anger, Worry, Pensiveness, Grief, Fear, Fright). Er Chen Tang (Two-Aged Decoction) with added Chen Xiang (Aquilaria Wood), Wu Yao (Lindera Root), and Bai He (Lily Bulb) is indicated.
Modified Er Chen Tang
Ban Xia (Pinelliae Rhizoma), Wu Yao (Linderae Radix), Fu Ling (Poria) (each 2 qian), Zhi Gan Cao (Prepared Licorice Root) (0.7 fen), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Chen Xiang (Aquilariae Lignum Resinatum) (0.5 fen), Bai He (Lilii Bulbus) (5 qian or 1 liang), Sheng Jiang (Fresh Ginger) (3 jin).
Decoct in water and take orally.
Bai He consists of many petals joined together, symbolizing the unity of all vessels. Its white color enters the Lung meridian. The Lung governs Qi; when Lung Qi descends, all Qi becomes harmonious. This is not recorded in medical books; I obtained it from an extraordinary person overseas. It has been repeatedly tested and proven effective. If Chen Xiang is unavailable, substitute with 1 qian of Zi Su Ye (Perillae Folium).
Blood Pain. The pulse is choppy at both superficial and deep levels. The pain feels like stabbing and cannot be pressed or touched. There may be alternating chills and fever, and black stool. Shi Xiao San (Smile-Inducing Powder) is indicated.
Shi Xiao San
Grind into powder and take with vinegar decoction. If accompanied by heat, add Zhi Zi (Gardeniae Fructus) 3 qian and Gao Liang Jiang (Galangal Rhizome) 1 qian, decoct in water and take. If cold, use Rou Gui (Cinnamomi Cortex) 1 qian, decoct in water and take.
Phlegm Pain, also known as Fluid Pain. The pulse is slippery with coughing. The pain wanders without a fixed location. Er Chen Tang with dried Xie Bai (Allii Macrostemonis Bulbus) 5 qian and Gua Lou Pi (Trichosanthis Pericarpium) 2 qian is indicated.
Fire Pain. The pulse is rapid and excess. Symptoms include thirst, red face, body heat, and constipation. The pain comes and goes intermittently. Jin Ling Zi San (Melia Toosendan Powder) is indicated. If fire is excessive, use Zhi Zi (Gardeniae Fructus) 2 qian, Chuan Lian Zi (Toosendan Fructus) pitted, Huang Lian (Coptidis Rhizoma), Liang Jiang (Zingiberis Rhizoma Recens), Ze Xie (Alismatis Rhizoma), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) each 1 qian, and Xiang Fu (Cyperi Rhizoma) 1.5 qian. Decoct in water and take orally.
Jin Ling Zi San (See "Contemporary Formulas" for details)
Cold Pain. The pulse is slow, faint, and thin. Hands and feet are cold. The pain is continuous and lingering, relieved by pressing with warm hands. Gui Fu Li Zhong Tang (Cinnamon and Aconite Regulate the Middle Decoction) with Dang Gui (Angelicae Sinensis Radix) 2 qian is indicated to supplement its rigidity. Mu Tong (Akebiae Caulis) 1 qian is used to unblock the collaterals. (Pain lasting long enters the collaterals.)
Deficiency Pain, also called Palpitation Pain. The pulse is floating, small, and thin, or deep, short, and choppy. The pain alternates between severe and mild, persisting for many days without healing. Palpitations are present. Massage is highly preferred. Symptoms improve slightly after eating but worsen when hungry. Gui Pi Tang (Restore the Spleen Decoction) with Shi Chang Pu (Acori Tatarinowii Rhizoma) 1 qian and Mu Xiang (Aucklandiae Radix) 0.5 fen is indicated.
Injection Pain (caused by pathogenic invasion). Occurs after entering mountains, forests, ancient temples, or tombs, or after exposure to abnormal qi. The patient speaks confusedly. The pulse fluctuates between large and small; the pulses on the left and right wrists seem to come from two different people. Ping Wei San (Peaceful Stomach Powder) with Huo Xiang (Agastaches Herba) 2 qian and a small amount of She Xiang (Moschus) is indicated.
Worm Pain. The pulse resembles that of a healthy person. The pain comes and goes suddenly. It worsens upon smelling rich, sweet, or fatty foods. (Upon smelling food, the worms raise their heads.) Massage provides slight relief. (The worms hide temporarily due to fear.) Lips are red, and there are white flower-like spots on the tongue. For those in their prime, Jing Yue Sao Chong Jian (Jing Yue's Worm-Sweeping Decoction) is indicated. For the weak, Li Zhong Tang (Regulate the Middle Decoction) without Gan Cao (Licorice Root), plus Mei Zi (Mume Fructus) 2 pieces, Hua Jiao (Zanthoxyli Pericarpium) 1.5 qian, Wu Zhu Yu (Evodiae Fructus), Huang Lian (Coptidis Rhizoma), Rou Gui (Cinnamomi Cortex) each 1 qian, and Dang Gui (Angelicae Sinensis Radix) 2 qian is indicated.
Food Pain. Caused by food accumulation and stagnation. Symptoms include belching with rotten odor, acid regurgitation, aversion to food, and abdominal fullness. The pain may feel like something lifting up. The pulse is excess and slippery, especially at the Right Guan position. Ping Wei San with Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus), and Ban Xia (Pinelliae Rhizoma) each 2 qian is indicated. If distension is severe, add raw-ground Lai Fu Zi (Radish Seed) 1 qian. Decoct in water and take orally. If the disease is new and food remains in the stomach, after taking this decoction, induce vomiting by probing the throat with fingers.