心痛从来类分九，胃脘疼痛当心口。风热悸冷冻饮料食虫，疰与去来痛皆有。得暖缓时属于
寒，前后应痛因郁久。血痛逆气唧唧声，痰痛脉滑吐痰垢。恶心恶食因食伤， 杂喜饥胃火
诱。口吐黄水是蛔虫（时作时止，痛止能食者），闷痛吐宽郁痰浓。初起得寒温散之，姜半
（夏）香砂青（皮）广（皮）蔻（仁）。稍久或郁郁火生，曲（六曲）壳（枳壳）苓栀滑（石）芎（川
芎）守。痛则不通郁自成，通则不痛便无咎。
惊伤心痛（闻雷或炮被惊，心下漾漾作
痛，此肝阳上逆，不容升达也，养血平肝治之）
逍遥散去柴胡加钩勾、丹皮。
积劳损伤心痛（劳伤血痹，痛极昏厥，宜通络和营法）
生鹿角 官桂 半夏 当归须 桃仁 姜汁
脾寒厥痛（吐涎肢冷，病在脉络，宜辛香开通法）
高良姜片 姜黄 草果 生茅术 丁香 梗 川朴
心劳受伤作痛（重按而痛减者，攻劫难施，宜用辛甘化阳良法）
人参 川椒 白蜜 桂枝 炙草
陈曰∶心痛寒甚用炮姜、肉桂，火甚用炒川连、竹茹。如因瘀血，用桃仁泥、延胡索、五
灵脂、当归须，痰饮用制南星、栝蒌，虫厥用椒目、乌梅、使君子。若真心痛，十指甲俱青，夕死旦危，不治。
腹痛之症芍药甘，甲乙化土方须谙。苍（术）朴（白）术苓（香）附（枳）实（白）芷，用药
堪与心痛参。虚者手按痛止软，手不可近是实焉。寒痛绵绵小腹冷，火痛时作时止然。痛处
不移瘀血聚，或东或西气攻坚。痰则脉滑小便秘，怒痛肝伤两胁连。血虚偎偎筋抽引，气虚
呼吸少气绵。泻后痛减知食积，燥湿导滞汤为先。冒暑吐泻香薷需，伤湿木通茅术痊。
上中二焦气阻腹痛（呕吐脉数而涩）
半夏 白蔻 山栀 豆豉 广皮 桔梗
阳气不运腹痛（兼腰痛冷则尤甚）
桂枝 香附 小茴香 艾绒 青皮 白茯苓
郁伤脾阳作痛
半夏 延胡索 生姜 苏梗 川朴 川楝子 草果
秽浊阻气腹痛（用芳香逐秽法）
藿香 莱菔子 川朴 半夏 广皮 白杏仁
阴浊内阻，腑阳不通（用通阳泄浊法）
生晒术 附子 茯苓 小茴香 制川朴 淡吴萸 良姜 半夏 生益智 生姜汁
肝气郁而腹痛
逍遥散去白术加郁金、香附。
郁久血滞，癸水不调，痛而无形
肉桂 香附 吴茱萸 木香 当归 川芎 五灵脂 白芍
郁怒饮气入络
制南星 牡蛎 桂枝 川楝子 橘核 东引李根皮
暑伤中气作痛
人参 广皮 益智仁 谷芽 白芍 茯苓
郁伤肝脾，络血瘀凝（用宣达营络法治之）
桃仁 老韭白 归须 桂木 穿山甲 阿魏丸 当归 白芍 甘草 制军 枳实 桂枝
劳伤中阳，腹痛浮肿，食入痛甚
当归 益智 煨姜 枣肉 白芍 广皮 炙草
陈曰∶营分虚寒，当脐而痛，冬发春愈，加肉桂、茯苓。
心痛历来分为九种，胃脘疼痛的位置正当心口。风、热、悸、冷、冻、饮、食、虫、疰（注：一种由鬼邪或寄生虫引起的慢性消耗性疾病）以及去来痛（指疼痛时作时止），这些情况都会引起疼痛。得暖后缓解的属于寒证，前后牵连疼痛是因为气郁日久。血瘀疼痛伴有逆气，发出唧唧的声音；痰阻疼痛脉象滑利，并吐出痰垢。恶心、厌食是因为饮食损伤；频繁感到饥饿是胃火诱发。口吐黄水是蛔虫所致（特点是时作时止，痛止时能进食）；闷痛且呕吐后宽舒的是浓稠的郁痰。初起因受寒者，用温散法，方用干姜、半夏、香附、砂仁、青皮、广陈皮、白豆蔻。病程稍久或因情志抑郁化火者，用六神曲、枳壳、茯苓、栀子、滑石、川芎、白芍。疼痛的原理是“不通则痛”，气郁自成，通则不痛，就没有祸患。
惊伤心痛（听到雷声或炮声被惊吓，心下荡漾作痛，这是肝阳上逆，不容升达，应养血平肝治疗）：逍遥散去柴胡，加钩藤、牡丹皮。
积劳损伤心痛（劳伤导致血痹，疼痛剧烈至昏厥，宜用通络和营的方法）：生鹿角、官桂、半夏、当归须、桃仁，姜汁送服。
脾寒厥痛（吐涎沫、四肢冰冷，病在脉络，宜用辛香开通的方法）：高良姜、片姜黄、草果、生茅术、丁香、梗（此处疑为丁香梗或类似药材，原文未明示具体部位，保留原意）、川朴（厚朴）。
心劳受伤作痛（重按而疼痛减轻者，攻伐劫夺之法难施，宜用辛甘化阳的好方法）：人参、川椒、白蜜、桂枝、炙甘草。
陈氏说：心痛寒甚用炮姜、肉桂，火甚用炒川连、竹茹。如因瘀血，用桃仁泥、延胡索、五灵脂、当归须；痰饮用制南星、栝蒌；虫厥用椒目、乌梅、使君子。若是真心痛，十指甲俱青，傍晚发作早晨死亡，或早晨发作傍晚危殆，属不治之症。
腹痛之症多用芍药甘草，甲乙经中化土方的用法必须熟悉。苍术、厚朴、白术、茯苓、香附、枳实、白芷，用药可与心痛篇参考互参。虚证用手按压疼痛停止且腹部柔软，手不可近触的是实证。寒痛绵绵不绝，小腹发冷；火痛时作时止。痛处不移是瘀血积聚，或东或西走窜是气机攻坚。痰湿则脉滑小便秘，怒痛伤肝两胁相连。血虚则隐隐作痛，筋脉抽引；气虚则呼吸短促绵弱。泻后疼痛减轻可知是食积，燥湿导滞汤为首选。冒暑吐泻需用香薷，伤湿用木通、茅术痊愈。
上中二焦气阻腹痛（呕吐、脉数而涩）：半夏、白蔻、山栀、豆豉、广陈皮、桔梗。
阳气不运腹痛（兼腰痛寒冷则尤为严重）：桂枝、香附、小茴香、艾绒、青皮、白茯苓。
郁伤脾阳作痛：半夏、延胡索、生姜、苏梗、川朴、川楝子、草果。
秽浊阻气腹痛（用芳香逐秽的方法）：藿香、莱菔子、川朴、半夏、广陈皮、白杏仁。
阴浊内阻，腑阳不通（用通阳泄浊的方法）：生晒术、附子、茯苓、小茴香、制川朴、淡吴茱萸、良姜、半夏、生益智、生姜汁。
郁久血滞，癸水不调，痛而无形：肉桂、香附、吴茱萸、木香、当归、川芎、五灵脂、白芍。
郁怒饮气入络：制南星、牡蛎、桂枝、川楝子、橘核、东引李根皮。
郁伤肝脾，络血瘀凝（用宣达营络的方法治疗）：桃仁、老韭白、归须、桂木、穿山甲、阿魏丸、当归、白芍、甘草、制军（大黄）、枳实、桂枝。
Heart pain has traditionally been classified into nine types, while epigastric pain is located precisely at the heart's gate. Pain may arise from wind, heat, palpitations, cold, freezing, drinking, food retention, parasites, zhū disease (a chronic consumptive disease caused by evil spirits or parasites), and migratory pain (pain that comes and goes). Relief upon warming indicates a cold pattern; radiating pain to the front and back suggests long-standing qi stagnation. Blood stasis pain is accompanied by rebellious qi and audible gurgling sounds; phlegm obstruction pain presents with a slippery pulse and expectoration of turbid phlegm. Nausea and aversion to food result from dietary injury; frequent hunger is induced by stomach fire. Vomiting yellow fluid indicates roundworms (characterized by intermittent pain, with appetite returning when pain subsides); stifling pain relieved by vomiting indicates thick, stagnant phlegm. In the early stage due to cold, use warming and dispersing methods: dried ginger, pinellia rhizome, cyperi rhizome, amomum fruit, green tangerine peel, broad-leafed tangerine peel, and white cardamom seed. If the condition persists longer or arises from emotional depression transforming into fire, use fermented soybean mass, aurantium fruit, poria sclerotium, gardenia fruit, talcum, ligusticum chuanxiong rhizome, and paeonia lactiflora root. The principle is "blockage causes pain"; stagnation forms itself, but if unblocked, there is no harm.
Startled Heart Pain (palpitations and pain in the epigastrium after being startled by thunder or cannon fire; this is due to hyperactive liver yang failing to ascend and diffuse; treat by nourishing blood and pacifying the liver): Xiaoyao San (Free and Easy Wanderer Powder) minus bupleurum root, plus uncaria rhynchophylla and moutan bark.
Accumulated Fatigue Injury Heart Pain (fatigue injury leading to blood bi syndrome, severe pain causing fainting; treat by unblocking collaterals and harmonizing nutritive qi): fresh deer antler, cassia twig, pinellia rhizome, angelica sinensis rootlet, persica seed, administered with ginger juice.
Spleen Cold Jue Pain (saliva spitting, cold limbs; pathology in the collaterals; treat with pungent-aromatic opening methods): highland ginger, turmeric rhizome, black cardamom, raw atractylodes macrocephala rhizome, clove bud, and zanthoxylum stem.
Heart Labor Injury Pain (pain relieved by firm pressure; aggressive purging is difficult to apply; treat with the excellent method of pungent-sweet transforming yang): ginseng root, sichuan pepper pericarp, white honey, cinnamon twig, roasted licorice root.
Mr. Chen says: For severe cold heart pain, use fried dried ginger and cassia bark; for severe heat, use stir-fried coptis chinensis rhizome and bamboo shavings. For blood stasis, use persica seed paste, cyperi rhizome, tuckahoe, and angelica sinensis rootlet; for phlegm-fluid retention, use prepared arisaema cum bile and trichosanthes fruit; for parasitic jue, use chili pepper seeds, dried plum, and quinoa. If it is true heart pain, with cyanosis of all ten fingernails, death occurs in the evening if onset is in the morning, or danger in the evening if onset is in the morning; this is incurable.
Abdominal pain often uses paeonia lactiflora root and licorice root; one must be familiar with the earth-transforming formulas from the Jia Yi Jing. Atractylodes macrocephala rhizome, zanthoxylum schinifolium fruit, atractylodes lancea rhizome, poria sclerotium, cyperi rhizome, aurantium fruit, angelica dahurica root are suitable for reference alongside heart pain treatments. Deficiency patterns show pain relief upon manual pressure and a soft abdomen; inability to tolerate touch indicates excess patterns. Dull, continuous cold pain with a cold lower abdomen indicates cold; intermittent pain indicates heat. Fixed pain indicates blood stasis accumulation; wandering pain indicates qi blockage. Phlegm-dampness presents with a slippery pulse and constipation; anger-induced pain involves liver injury and connects to both hypochondriac regions. Blood deficiency causes lingering pain and tendon spasms; qi deficiency causes shortness of breath. Pain relief after diarrhea indicates food retention; drying dampness and guiding out stagnation with decoction is the priority. For summerheat-induced vomiting and diarrhea, use elsholtzia herb; for dampness injury, use wood tongue and atractylodes macrocephala rhizome.
Upper and Middle Jiao Qi Obstruction Abdominal Pain (vomiting, rapid and choppy pulse): pinellia rhizome, white cardamom seed, gardenia fruit, fermented soybean mass, broad-leafed tangerine peel, platycodon root.
Yang Qi Non-circulation Abdominal Pain (accompanied by cold lower back pain, worsening significantly): cinnamon twig, cyperi rhizome, fennel fruit, mugwort wool, green tangerine peel, white poria sclerotium.
Depression Injuring Spleen Yang Causing Pain: pinellia rhizome, cyperi rhizome, fresh ginger, perilla stem, zanthoxylum schinifolium fruit, melia toosendan fruit, black cardamom.
Filth-Turbidity Blocking Qi Abdominal Pain (use aromatic dispelling filth method): agastache rugosa, radish seed, zanthoxylum schinifolium fruit, pinellia rhizome, broad-leafed tangerine peel, white apricot seed.
Yin Turbidity Internal Obstruction, Fu Yang Blockage (use unblocking yang and draining turbidity method): raw processed atractylodes macrocephala rhizome, aconite lateral root, poria sclerotium, fennel fruit, processed zanthoxylum schinifolium fruit, mild evodia fruit, highland ginger, pinellia rhizome, raw alpinia oxyphylla fruit, ginger juice.
Liver Qi Stagnation Abdominal Pain: Xiaoyao San (Free and Easy Wanderer Powder) minus atractylodes macrocephala rhizome, plus curcuma aromatica rhizome and cyperi rhizome.
Long-standing Depression with Blood Stasis, Gui Water Irregularity, Formless Pain: cassia bark, cyperi rhizome, evodia fruit, costus root, angelica sinensis root, ligusticum chuanxiong rhizome, tuckahoe, paeonia lactiflora root.
Depression and Anger with Fluid-Qi Entering Collaterals: prepared arisaema cum bile, oyster shell, cinnamon twig, melia toosendan fruit, mandarin orange seed, east-growing pear tree root bark.
Summerheat Injuring Middle Qi Causing Pain: ginseng root, broad-leafed tangerine peel, alpinia oxyphylla fruit, rice sprout, paeonia lactiflora root, poria sclerotium.
Depression Injuring Liver and Spleen, Collateral Blood Stasis Coagulation (treat by disseminating and reaching nutritive collaterals): persica seed, old garlic bulb, angelica sinensis rootlet, cassia twig, pangolin scales, asafoetida pill, angelica sinensis root, paeonia lactiflora root, licorice root, processed rhubarb root, aurantium fruit, cinnamon twig.
Labor Injury Middle Yang, Abdominal Pain with Edema, Worsening Pain After Eating: angelica sinensis root, alpinia oxyphylla fruit, baked ginger, jujube flesh, paeonia lactiflora root, broad-leafed tangerine peel, roasted licorice root.
Mr. Chen says: For deficiency-cold in the Ying level with umbilical pain, occurring in winter and healing in spring, add cassia bark and poria sclerotium.