《病源论》云∶其寒气盛胜于热，荣卫痞涩不通，寒气内结于心，故心腹痛而心噤寒也。
其状心腹痛而寒，噤不能言是也。
《僧深方》云∶解散人参汤常用治心噤或寒噤不解方∶
人参（二两） 干姜（一两） 甘草（三两） 茯苓（一两） 栝蒌（二两） 白术（一
两） 枳实（一两）
凡七物，水六升，煮取二升五合，分三服。
秦承祖云∶疗散豉酒方∶散发不解或噤寒，或心痛心噤，皆宜服之方。用∶
美豉（二升，勿令有盐）
凡一物，熬令香，以三升清酒，投之一沸，滤（胡移反）取温服一升，小自温暖，令有
汗意。若患热不可取汗者，但服之，不必期令汗也。
《病源论》云∶居处犯温，致令石势不宣，内壅腑脏与气相搏，故心腹胀满也。
皇甫谧云∶或腹胀欲决，甚者断衣带。坐寝处久下热。又衣温、失食、失洗、不起行、
促起行、饮热酒、冷食、冷洗、当风栉梳（所菹反）而立。
《僧深方》解散三黄汤治散发心腹痛，胀满猝急方∶
大黄 黄连 黄芩（各三两）
凡三物，以水七升，煮取三升，分三服，得下便止。
今按∶三黄汤亦出《短剧方》，在上除热篇。
《短剧方》云∶三黄汤治散盛热实不除，心腹满，小便赤，大行不利，地逆充胸中，口
焦燥，目赤熏热方∶
黄连（二两） 黄芩（二两） 大薰黄（二两） 甘草（二两） 芒硝（二两）
凡五物，以水五升，煮取二升半，纳芒硝，令烊，分三服。
《诸病源候论》说：寒气盛于热邪，营卫之气痞塞涩滞、运行不通，寒气内结于心，所以出现心腹疼痛且心中噤寒的症状。
其症状表现为心腹疼痛且伴有寒冷感，牙关紧闭不能言语。
《僧深方》记载：解散人参汤常用于治疗心噤或寒噤久治不愈的方剂：
人参（二两） 干姜（一两） 甘草（三两） 茯苓（一两） 栝蒌（二两） 白术（一两） 枳实（一两）
以上七味药，用水六升，煎煮至剩余二升五合，分三次服用。
秦承祖说：治疗散发酒方的方剂：适用于发热不解或噤寒，或心痛、心噤的情况，都适宜服用此方。用法：
优质豆豉（二升，不要含有盐分）
以上一味药，炒至香气溢出，用三升清酒投入煮沸一次，过滤后取温服一升，使身体微微温暖，产生出汗的感觉。如果患者患有热证不宜发汗者，只需服用此药，不必强求出汗。
《诸病源候论》说：居住处所触犯温热之气，导致石毒之势不得宣散，内壅脏腑并与气机相互搏结，所以出现心腹胀满的症状。
皇甫谧说：有的腹胀欲裂，严重的甚至崩断衣带。久坐卧之处感到下热。此外还有穿衣过暖、饮食失节、洗浴不当、不运动、强行活动、饮热酒、吃冷食、冷水洗浴、迎风梳头站立等情况。
《僧深方》记载：解散三黄汤治疗散发引起的心腹痛、胀满突然紧急的方剂：
大黄 黄连 黄芩（各三两）
以上三味药，用水七升，煎煮至剩余三升，分三次服用，大便通畅即停止服用。
现在按语：三黄汤也出自《短剧方》，位于“除热篇”。
《短剧方》说：三黄汤治疗散发盛热实证不除，心腹满闷，小便赤红，大便行而不畅，地气逆冲胸中，口舌焦燥，眼睛红肿熏热的方剂：
黄连（二两） 黄芩（二两） 大薰黄（二两） 甘草（二两） 芒硝（二两）
以上五味药，用水五升，煎煮至剩余二升半，加入芒硝，使其溶化，分三次服用。
*Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: When cold qi is excessive compared to heat, Ying and Wei Qi (Nutritive and Defensive Qi) become stagnant and obstructed, preventing smooth circulation. Cold qi internally knots in the Heart, resulting in pain in the heart and abdomen accompanied by a sensation of coldness and lockjaw (Jin Han).
The manifestations include pain in the heart and abdomen with a feeling of cold, lockjaw, and an inability to speak.
*Seng Shen Fang* (Prescriptions from Monk Shen) records: Jie San Ren Shen Tang (Ginseng Decoction for Dissipating Stagnation) is commonly used to treat persistent Xin Jin (Heart Lockjaw) or Han Jin (Cold Lockjaw). The prescription is as follows:
Ren Shen (Radix Ginseng, 2 liang), Gan Jiang (Rhizoma Zingiberis Recens, 1 liang), Gan Cao (Radix Glycyrrhizae, 3 liang), Fu Ling (Poria, 1 liang), Gua Lou (Fructus Trichosanthis, 2 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Zhi Shi (Fructus Aurantii Immaturus, 1 liang).
These seven ingredients are decocted in six sheng of water until two sheng five he remain. Divide into three doses.
Qin Chengzu states: Liao San Chi Jiu Fang (Vinegar Wine Prescription for Treating Dispersed Fever): This is suitable for cases where fever does not resolve, or there is cold lockjaw, heart pain, or Xin Jin. Usage:
Mei Chi (Fermented Soybean Paste, 2 sheng, must be salt-free).
This single ingredient is roasted until fragrant, then added to three sheng of clear wine and boiled once. Strain and take one sheng warm. It should make the body slightly warm and induce sweating. If the patient has a heat condition where sweating is contraindicated, simply take the medicine; do not force sweating.
*Zhubing Yuanhou Lun* states: Exposure to warm environments causes Stone Poison (Shi Du) to fail to disperse. Internally, it obstructs the Zang-Fu organs and contends with Qi, resulting in fullness and distension in the heart and abdomen.
Huangfu Mi states: Some experience abdominal distension so severe it feels like bursting, and in extreme cases, even break their sash. Sitting or lying down for long periods generates heat below. Other factors include wearing clothes that are too warm, improper diet, improper bathing, lack of movement, forced exertion, drinking hot wine, eating cold food, washing with cold water, combing hair while standing in the wind.
*Seng Shen Fang* records: Jie San San Huang Tang (Three Yellows Decoction for Dissipating Stagnation) treats heart and abdominal pain and sudden urgent distension caused by dispersed pathogenic factors. The prescription is as follows:
Da Huang (Radix et Rhizoma Rhei, Huang Lian (Rhizoma Coptidis, Huang Qin (Radix Scutellariae) (each 3 liang).
These three ingredients are decocted in seven sheng of water until three sheng remain. Divide into three doses. Stop taking when bowel movements occur.
Current commentary: San Huang Tang also appears in *Duan Ju Fang*, in the chapter on eliminating heat.
*Duan Ju Fang* states: San Huang Tang treats persistent excess heat from dispersed pathogens, causing fullness in the heart and abdomen, red urine, difficult or incomplete defecation, rebellious Qi rushing to the chest, dry and scorched mouth, and red, burning eyes. The prescription is as follows:
Huang Lian (Rhizoma Coptidis, 2 liang), Huang Qin (Radix Scutellariae, 2 liang), Da Xun Huang (Radix et Rhizoma Rhei, 2 liang), Gan Cao (Radix Glycyrrhizae, 2 liang), Mang Xiao (Natrii Sulfas, 2 liang).
These five ingredients are decocted in five sheng of water until two sheng half remain. Add Mang Xiao and stir until dissolved. Divide into three doses.