治破脑伤风。
防风 生南星（炮，等分
上为末。每服二钱，童便冲酒调服。
补中益气汤 （见类中。
当胸之下，岐骨陷处，属心之部位，其发痛者，则曰心痛。然心不受邪，受邪则为真心
痛，旦暮不保矣。凡有痛者，胞络受病也。胞络者，心主之宫城也。寇凌宫禁，势已可危，
而况犯主乎？故治之宜亟亟也。心痛有九种，一曰气，二曰血，三曰热，四曰寒，五曰饮，
六曰食，七曰虚，八曰虫，九曰疰，宜分而治之。
气痛者，气壅攻刺而痛，游走不定也，沉香降气散主之。血痛者，痛有定处而不移，转
侧若刀锥之刺，手拈散主之。热痛者，舌燥唇焦，溺赤便闭，喜冷畏热，其痛或作或止，脉
洪大有力，清中汤主之。寒痛者，其痛暴发，手足厥冷，口鼻喜冷，喜热畏寒，其痛绵绵不
休，脉沉细无力，姜附汤加肉桂主之。饮痛者，水饮停积也，干呕吐涎，或咳，或噎，甚则
摇之作水声，脉弦滑，小半夏加茯苓汤主之。食痛者，伤于饮食，心胸胀闷，手不可按，或
吞酸嗳腐，脉紧滑，保和汤主之。虚痛者，心悸怔忡，以手按之则痛止，归脾汤主之。虫痛
者，面白唇红，或唇之上下有白斑点，或口吐白沫，饥时更甚，化虫丸主之。疰痛者，触冒
邪祟，卒尔心痛，面目青暗，或昏愦谵语，脉来乍大乍小，或两手如出两人，神术散、葱白
酒、生姜汤并主之，此治心痛之大法也。
或问∶久痛无寒，暴痛无火，然乎？否乎？答曰∶此说亦宜斟酌。如人宿有积热，或受暑
湿之热，或热食所伤而发，则暴痛亦属火矣，岂宜热药疗之。如人本体虚寒，经年累月，
凭发无休，是久痛亦属寒矣，岂宜寒药疗之。且凡病始受热中，末传寒中者，比比皆是。必
须临症审确，逐一明辨，斯无误也。又或谓∶诸痛为实，痛无补法。亦非也，如人果属实痛
则不可补，若属虚痛，必须补之。虚而寒者，则宜温补并行，若寒而不虚，则专以温剂主
之。丹溪云∶温即是补。若虚而兼火，则补剂中须加凉药。此治痛之良法，治者宜详审焉。
治疗破伤风（头部受创后感染风邪）。
防风、生南星（炮制，用量相等）
将上述药物研为细末。每次服用二钱，用童便（儿童尿液）冲入酒中调匀后服用。
补中益气汤（参见中风类疾病章节）。
在胸部下方，两肋骨交界处的凹陷部位，属于心脏所在的区域，此处发生疼痛，称为心痛。然而，心脏本身不易直接受邪，若心脏直接受邪则称为“真心痛”，病情危重，早晚之间就可能危及生命。凡是出现的心痛症状，都是心包络受到病邪侵袭所致。心包络，是心脏的宫城（保护屏障）。外寇侵犯宫禁，形势已经危险，更何况侵犯心脏本体呢？因此，治疗应当急切进行。心痛分为九种：一是气痛，二是血痛，三是热痛，四是寒痛，五是饮痛，六是食痛，七是虚痛，八是虫痛，九是疰痛（注：疰，指具有传染性或迁延不愈的慢性病症），应当分别进行治疗。
气痛，表现为气机壅滞攻冲刺痛，疼痛位置游走不定，以沉香降气散为主治方剂。血痛，表现为疼痛位置固定不移，翻身侧卧时如刀锥刺割般疼痛，以手拈散为主治方剂。热痛，表现为舌干口燥、嘴唇焦裂、小便赤红、大便闭塞，喜冷恶热，疼痛时作时止，脉象洪大有力，以清中汤为主治方剂。寒痛，表现为疼痛突然发作，手足厥冷，口鼻虽喜冷但身体喜热畏寒，疼痛绵绵不休，脉象沉细无力，以姜附汤加入肉桂为主治方剂。饮痛，表现为水饮停积体内，干呕吐涎沫，或咳嗽，或噎塞，严重时摇动身体可听到水声，脉象弦滑，以小半夏加茯苓汤为主治方剂。食痛，表现为饮食损伤，心胸胀闷，手不可按压，或吞酸嗳腐，脉象紧滑，以保和汤为主治方剂。虚痛，表现为心悸怔忡，用手按压则疼痛停止，以归脾汤为主治方剂。虫痛，表现为面色苍白、嘴唇红润，或嘴唇上下有白斑点，或口吐白沫，饥饿时疼痛加剧，以化虫丸为主治方剂。疰痛，表现为触冒邪祟，突然发生心痛，面目青暗，或昏愦谵语，脉象忽大忽小，或两手脉搏强弱不一如同两人所出，以神术散、葱白酒、生姜汤共同主治，这是治疗心痛的大法。
有人问：久痛多无寒证，暴痛多无火证，这种说法对吗？回答说：这种说法也需要斟酌。如果人原本体内有积热，或感受暑湿之热，或因热食损伤而发病，那么突发疼痛也属于火证，岂能用热药治疗？如果人本身体质虚寒，经年累月，疼痛发作无休无止，那么久痛也属于寒证，岂能用寒药治疗？况且，凡是疾病开始受热邪侵袭，后来转化为寒证的，比比皆是。必须临症仔细审察确认，逐一明辨，才不会出错。又有人说：各种疼痛都属于实证，疼痛没有补法。这也不对，如果人确实属于实痛，则不可进补；如果属于虚痛，则必须补益。虚而兼寒的，应当温补并行；如果是寒而不虚的，则专门以温剂主治。朱丹溪说：温即是补。如果虚而兼有火邪，则在补剂中须加入凉药。这是治疗疼痛的良好法则，医者应当详细审慎地对待。
Treatment for broken brain wind (wind infection following head trauma).
Fangfeng (Saposhnikoviae Radix), Sheng Nanting (Arisaematis Rhizoma, raw) [processed, equal parts]
Grind the above herbs into powder. Take two qian per dose, mixed with wine and administered using child's urine (Tongbian).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See section on Stroke-like diseases).
Below the chest, in the depression at the junction of the costal cartilages, is the area belonging to the Heart. Pain occurring here is called Heart pain (Xintong). However, the Heart itself does not easily receive pathogenic factors; if it directly receives pathogens, it is called True Heart Pain (Zhenxintong), which is critical and may lead to death within a day or night. All other cases of pain are due to disease affecting the Pericardium Collateral (Baoluo). The Pericardium Collateral is the palace city (protective barrier) of the Heart Master. If invaders encroach upon the palace gates, the situation is already perilous, let alone attacking the Heart Master itself. Therefore, treatment must be urgent. There are nine types of Heart pain: one is Qi pain, two is Blood pain, three is Heat pain, four is Cold pain, five is Fluid retention pain, six is Food stagnation pain, seven is Deficiency pain, eight is Worm pain, and nine is Zhu pain (chronic/infectious pain). They should be treated separately.
Qi pain is characterized by Qi stagnation and stabbing pain that migrates without a fixed location; Chenxiang Jiangqi San (Agarwood Descending Qi Powder) is the primary formula. Blood pain is characterized by fixed, unchanging pain that feels like knife or cone piercing when turning over; Shounian San (Hand-Picking Powder) is the primary formula. Heat pain is characterized by dry tongue, scorched lips, red urine, constipation, preference for cold and aversion to heat, intermittent pain, and a surging, forceful pulse; Qingzhong Tang (Clear the Middle Decoction) is the primary formula. Cold pain is characterized by sudden onset, cold extremities, preference for cold in mouth/nose but preference for warmth and aversion to cold in the body, continuous lingering pain, and a deep, thin, weak pulse; Jiangfu Tang (Ginger and Aconite Decoction) with Rougui (Cinnamon Bark) is the primary formula. Fluid retention pain is characterized by accumulation of fluids, dry heaving with salivation, cough, or choking, and even water sounds heard upon shaking the body; a wiry and slippery pulse indicates this condition; Xiaobanxia Jia Fuling Tang (Minor Pinellia Decoction plus Poria) is the primary formula. Food stagnation pain results from dietary injury, causing distension and fullness in the chest and heart, tenderness to touch, acid regurgitation, and belching of rotten food; a tight and slippery pulse indicates this condition; Baohe Tang (Preserve Harmony Decoction) is the primary formula. Deficiency pain is characterized by palpitations and frightfulness, where pain ceases upon pressure; Guipi Tang (Restore the Spleen Decoction) is the primary formula. Worm pain presents with a pale face and red lips, white spots on or around the lips, or foaming at the mouth, with pain worsening during hunger; Huachong Wan (Worm-Dissolving Pill) is the primary formula. Zhu pain results from exposure to evil influences, causing sudden Heart pain, dark/blueish complexion, confusion, delirium, a pulse that fluctuates between large and small, or disparate pulses in both hands; Shenzhu San (Divine Skill Powder), Congbai Jiu (Scallion White Wine), and Shengjiang Tang (Fresh Ginger Decoction) are all used as primary treatments. This constitutes the general principles for treating Heart pain.
One might ask: Is it true that chronic pain lacks Cold and acute pain lacks Fire? I reply: This statement requires careful consideration. If a person has accumulated internal heat, or contracts summer-heat/dampness heat, or is injured by hot food, then acute pain can also belong to Fire, and it would be inappropriate to treat it with hot medicines. If a person has an inherent deficiency-Cold constitution, suffering from endless pain year after year, then chronic pain belongs to Cold, and it would be inappropriate to treat it with cold medicines. Moreover, cases where a disease begins with Heat invasion and later transforms into Cold are common. One must examine the symptoms carefully and distinguish each case individually to avoid errors. Others say: All pains are Excess patterns, and there is no tonification method for pain. This is also incorrect. If the pain is truly Excess, tonification is contraindicated; if it is Deficiency pain, tonification is necessary. For Deficiency combined with Cold, warming and tonifying should proceed together; for Cold without Deficiency, purely warming agents should be used. Danxi stated: Warming is equivalent to tonifying. If Deficiency is combined with Fire, cooling herbs must be added to the tonifying formula. This is an excellent method for treating pain, and practitioners should attend to it with detailed caution.