治气滞心痛。
沉香(细锉,三钱) 砂仁(七钱) 甘草(炙,五钱) 香附(盐水炒,五钱) 元胡索(酒炒,一两)
川楝子(煨去肉净,一两
共为末。每服二钱,淡姜汤下。
治血积心痛
元胡索(醋炒) 香附(酒炒) 五灵脂(去土醋炒) 没药(箬上炙干,等分
共为细末。每服三钱,热酒调下。血老者,用红花五分,桃仁十粒,煎酒调下。
治热厥心痛。
香附 陈皮(各一钱五分) 黑山栀 金铃子(即川楝子) 元胡索(各八分) 甘草(炙,五分)
川黄连(姜汁炒,一钱)
水煎服。
姜附汤 (见诸方补遗)
治寒厥心痛。又真心痛,手足青至节,宜用本方大剂饮之,或救
小半夏加茯苓汤 (见伤寒咳嗽。
治伤食心痛。
麦芽 山楂 卜子 浓朴 香附(各一钱) 甘草 连翘(各五分) 陈皮(一钱五分
水煎服。
治气血虚弱,以致心痛。
黄 (一钱五分) 白术 人参 茯神 枣仁 当归(各一钱) 远志(七分) 木香 甘草(炙,各
五分) 元眼肉(五枚
水煎服。
若挟肝火,加柴胡、山栀、丹皮各一钱。
治虫啮心痛。
芜荑(去梗) 白雷丸(各五钱) 槟榔(二钱五分) 雄黄(一钱五分) 木香 白术 陈皮(各三钱
神曲(炒,四钱
以百部二两,熬膏糊丸,如桐子大。每服一钱五分,米饮下。
如取下虫积,加大黄五钱
神术散 (见中食。
治疗气滞引起的心痛。
沉香(细切,三钱) 砂仁(七钱) 甘草(蜜炙,五钱) 香附(盐水炒,五钱) 元胡索(酒炒,一两)
川楝子(煨制去核净用,一两)
以上药物共研为细末。每次服用二钱,用淡姜汤送服。
治疗血瘀积滞引起的心痛。
元胡索(醋炒) 香附(酒炒) 五灵脂(去土,醋炒) 没药(在箬叶上烤干,各等分)
以上药物共研为细末。每次服用三钱,用热酒调服。若病程较长、瘀血较重者,加红花五分,桃仁十粒,煎酒调服。
治疗热厥引起的心痛。
香附 陈皮(各一钱五分) 黑山栀 金铃子(即川楝子) 元胡索(各八分) 甘草(蜜炙,五分)
川黄连(姜汁炒,一钱)
加水煎煮后服用。
姜附汤 (见诸方补遗)
治疗寒厥引起的心痛。若是真心痛,手足青紫直至关节,宜用本方大剂量服用,或急救用
小半夏加茯苓汤 (见伤寒咳嗽章节)。
治疗伤食引起的心痛。
麦芽 山楂 莱菔子 厚朴 香附(各一钱) 甘草 连翘(各五分) 陈皮(一钱五分)
加水煎煮后服用。
治疗因气血虚弱导致的心痛。
黄芪(一钱五分) 白术 人参 茯神 酸枣仁 当归(各一钱) 远志(七分) 木香 甘草(蜜炙,各五分) 龙眼肉(五枚)
加水煎煮后服用。
若兼有肝火,加柴胡、山栀、丹皮各一钱。
治疗虫咬引起的心痛。
芜荑(去梗) 白雷丸(各五钱) 槟榔(二钱五分) 雄黄(一钱五分) 木香 白术 陈皮(各三钱)
神曲(炒,四钱)
用百部二两熬成膏状作为粘合剂制成丸药,如梧桐子大小。每次服用一钱五分,用米饮送服。
如果为了攻下虫积,加大黄五钱。
神术散 (见中食章节)。
Treatment for heart pain caused by Qi stagnation.
Chenxiang (Aquilariae Lignum Resinatum, finely sliced, 3 qian) Sharen (Amomi Fructus Rotundus, 7 qian) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 5 qian) Xiangfu (Cyperi Rhizoma, salt-water fried, 5 qian) Yuanhusuo (Corydalis Rhizoma, wine-fried, 1 liang)
Chuanlianzi (Meliae Fructus, baked to remove the flesh and seeds, 1 liang)
Grind all ingredients into a fine powder. Take 2 qian per dose, administered with light ginger soup.
Treatment for heart pain caused by blood stasis accumulation.
Yuanhusuo (Corydalis Rhizoma, vinegar-fried) Xiangfu (Cyperi Rhizoma, wine-fried) Wulingzhi (Trogopteri Dung, cleaned of earth, vinegar-fried) Moyao (Myrrha, dried over bamboo leaf, equal parts)
Grind all ingredients into a fine powder. Take 3 qian per dose, mixed with hot wine. For chronic cases with severe blood stasis, add Honghua (Carthami Flos, 0.5 qian) and Taoren (Persicae Semen, 10 grains), decocted in wine and taken.
Treatment for heart pain caused by heat jue (cold extremities due to heat).
Xiangfu (Cyperi Rhizoma) Chenpi (Citri Reticulatae Pericarpium, each 1.5 qian) Heishanzhi (Gardeniae Fructus, charred) Jinlingzi (Meliae Fructus, i.e., Chuanlianzi) Yuanhusuo (Corydalis Rhizoma, each 0.8 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 fen)
Chuanhuanglian (Coptidis Rhizoma, ginger-juice fried, 1 qian)
Decoct in water and take orally.
Jiangfu Tang (Ginger and Aconite Decoction) (See Supplementary Formulas)
Treatment for heart pain caused by cold jue (cold extremities due to cold). In cases of Zhenxintong (True Heart Pain) where hands and feet turn cyanotic up to the joints, use this formula in a large dose or for emergency rescue:
Xiao Banxia Jia Fuling Tang (Minor Pinellia Decoction with Poria) (See Treatise on Cold Damage and Cough).
Treatment for heart pain caused by food retention.
Maiya (Hordei Fructus Germinatus) Shanzha (Crataegi Fructus) Boluoz (Raphani Semen) Houpo (Magnoliae Officinalis Cortex) Xiangfu (Cyperi Rhizoma, each 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma) Lianqiao (Forsythiae Fructus, each 0.5 fen) Chenpi (Citri Reticulatae Pericarpium, 1.5 qian)
Decoct in water and take orally.
Treatment for heart pain caused by Qi and Blood deficiency.
Huangqi (Astragali Radix, 1.5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix) Fushen (Poria with Hostwood) Zaoren (Ziziphi Spinosae Semen) Danggui (Angelicae Sinensis Radix, each 1 qian) Yuanzhi (Polygalae Radix, 0.7 fen) Muxiang (Aucklandiae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.5 fen) Longyanrou (Longan Aril, 5 pieces)
Decoct in water and take orally.
If accompanied by Liver Fire, add Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Danpi (Moutan Cortex), each 1 qian.
Treatment for heart pain caused by parasitic biting.
Wuyi (Canarii Fructus, stems removed) Bileiwan (Polyporus Umbellatus, each 5 qian) Binglang (Arecae Semen, 2.5 qian) Xionghuang (Realgar, 1.5 qian) Muxiang (Aucklandiae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium, each 3 qian)
Shenqu (Massa Medicata Fermentata, fried, 4 qian)
Boil Baibu (Stemonae Radix, 2 liang) into a paste to bind the pills, shaping them like wattle seeds. Take 1.5 qian per dose, administered with rice drink.
To expel parasitic accumulation, add Dahuang (Rhei Radix et Rhizoma, 5 qian).
Shenzhu San (Divine Skill Powder) (See Food Retention chapter).