《病源论》云∶邪气客于足少阳之络,令人胁痛。
《葛氏方》治胁卒痛如得打方∶
以绳横度两乳中间,屈绳从乳横度,以起痛胁下灸绳下屈处三十壮。
《短剧方》治胁下偏痛,发热,其脉弦,此寒也。当以温药下其寒。大黄附子汤方∶
大黄(三两) 附子(三枚) 细辛(二两)
凡三物,以水三升,煮取二升,分二服。
《千金方》治冷气胁下往来,冲胸膈(古核反,胸内也),痛引胁背闷当归汤方∶
当归(二两) 吴茱萸(二两) 茯苓(一两) 桂心(二两) 干姜(三两) 枳实
(一两) 人参(
十味,以水八升,煮取二升半,一服八合,日三。治尸注亦佳。(今按∶《极要方》有干
地
又云∶治两胁下痛方∶
热汤渍两足,冷则易。
《病源论》云∶心痛者,风冷邪气乘于心也。其病发,有死者,有不死成疹者。心为诸
脏主
其
《葛氏方》治卒心痛方∶
当力以自坐。若男子病者,令妇人以一杯水与饮之。若妇人病者,令男子以一杯水与饮
之。
又方∶吴茱萸五合,桂一两,酒二升,煮取一升,分二服。
又方∶吴茱萸二升,生姜四两,豉一升,酒六升,煮取二升半,分三服。
又方∶切生姜,若干姜切半升,以水二升,煮得一升,去滓,顿服之。
又方∶取灶中热灰,筛去炭芥,燔熨心上,冷复易。
《录验方》治卒心痛方∶
蒸大豆若煮之,以囊盛更燔,以熨心上,冷复易之。已熨之豆不可令畜生犬等食之,即
死。
又云∶治人心痛懊(于报反) (于报反,恼也), (于缘反,忧也)闷(莫困反)
筑筑(音竹),
桂心(半两) 茱萸(二升) 夕药(三两) 当归(二两) 生姜(半斤)
凡五物,切,水一斗二升,煮取四升,服一升,日三夜一。有验。无生姜用干姜五两代。
《备急方》治心痛方∶
极咸作盐汤,饮三升,吐则即瘥。
《耆婆方》治卒心痛欲死方∶
吴茱萸(三两) 夕药(三两) 桂心(三两)
上,以淳酒大一升生煮之,令有半升在,顿服。
《僧深方》治卒心痛方∶
当归(二两) 夕药(一两) 桂心(一两) 人参(一两) 栀子(二十一枚)
五物, (弗禹反)咀,以水七升,煮取二升半,分服五服。
又云∶治三十年心痛附子丸方∶
人参(二两) 桂心(二两) 干姜(二两) 蜀附子(二两) 巴豆(二两)
凡五物,下筛,蜜丸如大豆,先食服三丸,日一。神良。
《新录方》治心痛方∶
饮井花水二升。
又方∶以热汤渍手足,以瘥为度。
又方∶烧秤锤令赤,投二升酒中,分二服。
又方∶水服米粉一匙。
《集验方》治卒心痛方∶
桂心(八两)
以水四升,煮取一升半,分再服。
《鉴真方》治心痛方∶
大验酢半升,切,葱白一茎,和煎顿服,立愈。
《范汪方》治卒心痛一物桂心散方∶
桂心(一两)
为散,温酒服方寸匕,日三,不饮酒,以米饮服之。
又云∶备急丸方∶
巴豆(一分) 大黄(二分) 干姜(二分)
捣筛,共冶巴豆合丸如大豆。有急,取二三丸,以水服之。
《如意方》治卒心痛术∶
画地作五字,撮中央,以水一升,搅饮之。
《短剧方》解急蜀椒汤主寒疝心痛如刺,绕脐绞痛,腹中尽痛,白汗自出欲绝方∶
蜀椒〔三百枚(一方二百枚)〕 附子(一枚) 粳米(半升) 干姜(半两) 大枣
(三十枚) 半夏
凡七物,以水七升,煮取三升,汤成热服一升,不瘥复服一升。数用,治心痛最良。
《千金方》云∶九痛丸主九种心痛∶一、虫心痛;二、注心痛;三、风心痛;四、悸心
痛;五、食心痛;六、饮心痛;七、冷心痛;八、热心痛;九、生来心痛。此方悉主之,并
治
附子(二两) 巴豆仁(一两) 生野狼毒(一两,炙令极香,称) 人参(一两) 干
姜(一两) 吴
六味,蜜和,空腹服如梧子三丸。卒中恶腹痛,口不能言者,二日一服。连年积冷,流
注心
又方∶桃白皮煮汁,空腹服之。
又云,凡暴心痛,面无色欲死方∶
以布裹盐如弹丸,烧令赤,置酒中消,服之。
又云∶灸心痛方∶
心懊 (恼也),彻痛烦逆,灸心俞百壮。
心痛如刀,刺气结∶(灸膈俞七壮。)
心痛胸痹∶(灸膻中百壮。)
心痛冷气上∶(灸龙头百壮,在心鸠尾头上行一十半。)
心痛恶气上,胁急痛∶(灸通谷五十壮,在乳十二寸。)
心痛暴绞急绝欲死∶(灸神府百壮,附心鸠尾,正心有忌。)
心痛暴恶风∶(灸巨厥百壮。)
心痛胸胁满∶(灸期门有年壮。)
心痛坚烦气结∶(灸太仓百壮。)以上《短剧方》同之。
《救急单验方》冷心痛方∶
吴茱萸(一升) 桂心(三两) 当归(三两)
捣末蜜丸如梧子,酒服二十丸,日再,渐加三十丸,以知为度。
又云∶蛔心痛方∶取蛐(音曲) (是演反)粪,烧令赤,末之,酒服验。
又云∶一切心痛方∶生油半合,温服立愈。
又方∶服当归末方寸匕,和酒服瘥。
《孟诜食经》治心痛方∶酢研青木香服之。
《诸病源候论》说:邪气侵入足少阳经的络脉,使人胁肋疼痛。
《葛氏方》治疗突然胁痛如被打伤的方法:
用绳子横量两乳中间的距离,弯曲绳子从乳房横向度量,在疼痛一侧肋骨下方,对着绳子弯曲处施灸三十壮。
《短剧方》治疗胁下偏侧疼痛、发热、脉象弦紧,这是寒证。应当用温性药物攻下寒邪。大黄附子汤方:
大黄(三两) 附子(三枚) 细辛(二两)
以上三味药,用水三升,煮取二升药液,分两次服用。
《千金方》治疗冷气在胁下往来冲击胸膈(古音核反,指胸内),疼痛牵引胁背感到闷窒的当归汤方:
当归(二两) 吴茱萸(二两) 茯苓(一两) 桂心(二两) 干姜(三两) 枳实(一两) 人参(十份之一注:此处原文似有缺漏,按常规应为“人参一两”或类似剂量,但依原文仅列名,暂译为人参)
以上十味药(注:原文列举药材数量与“十味”不符,且中间有断行,此处依原文结构翻译),用水八升,煮取二升半药液,每次服用八合,每日三次。治疗尸注病也很好。(今按:《极要方》中有干地黄)。
又说:治疗两胁下疼痛的方法:
用热水浸泡双脚,水凉了则更换。
《诸病源候论》说:心痛,是风冷邪气侵袭心脏所致。发病时,有的致死,有的不死而成为疹病。心为五脏之主……
《葛氏方》治疗突然心痛的方法:
应当用力让自己坐直。如果是男子患病,让妇人给喝一杯水让他喝下。如果是妇人患病,让男子给喝一杯水让她喝下。
又一方:吴茱萸五合,桂枝一两,酒二升,煮取一升药液,分两次服用。
又一方:吴茱萸二升,生姜四两,豆豉一升,酒六升,煮取二升半药液,分三次服用。
又一方:切生姜,或者切干姜半升,用水二升,煮得一升药液,去掉药渣,一次性服下。
又一方:取灶中的热灰,筛去炭屑,烧热后熨烫心口部位,冷了再换。
《录验方》治疗突然心痛的方法:
蒸大豆或者煮大豆,用袋子装好再次烧热,用来熨烫心口,冷了再换。已经熨过的豆子不要让牲畜狗等吃,否则会死。
又说:治疗人心痛懊恼(于报反,意为烦恼)、忧愁(于缘反,意为忧)、闷窒(莫困反)、悸动不安(音竹)……
桂心(半两) 吴茱萸(二升) 芍药(三两) 当归(二两) 生姜(半斤)
以上五味药,切碎,用水一斗二升,煮取四升药液,每次服用一升,白天三次,夜间一次。有效。如果没有生姜,可用干姜五两代替。
《备急方》治疗心痛的方法:
做成极咸的盐汤,饮用三升,吐出来病就好了。
《耆婆方》治疗突然心痛欲死的方法:
吴茱萸(三两) 芍药(三两) 桂心(三两)
以上药物,用纯酒一大升生煮,使药液剩下一半升,一次性服下。
《僧深方》治疗突然心痛的方法:
当归(二两) 芍药(一两) 桂心(一两) 人参(一两) 栀子(二十一枚)
以上五味药,咬碎(弗禹反,指咀嚼破碎),用水七升,煮取二升半药液,分五次服用。
又说:治疗三十年心痛附子丸方:
人参(二两) 桂心(二两) 干姜(二两) 蜀椒附子(二两) 巴豆(二两)
以上五味药,研成粉末,用蜂蜜制成如大豆大小的丸剂,饭前服用三丸,每日一次。效果神奇良好。
《新录方》治疗心痛的方法:
饮用井花水(清晨汲取的井水)二升。
又一方:用热水浸泡手足,以病愈为度。
又一方:用水送服米粉一匙。
《集验方》治疗突然心痛的方法:
桂心(八两)
用水四升,煮取一升半药液,分两次服用。
《鉴真方》治疗心痛的方法:
醋半升,切碎葱白一根,一起煎煮后一次性服下,立即痊愈。
《范汪方》治疗突然心痛的一物桂心散方:
桂心(一两)
研成散剂,用温酒送服一方寸匕,每日三次,不饮酒的人用米汤送服。
又说:备急丸方:
巴豆(一分) 大黄(二分) 干姜(二分)
捣碎过筛,混合研磨巴豆制成如大豆大小的丸剂。遇到紧急情况,取二三丸,用水送服。
《如意方》治疗突然心痛的法术:
在地上画五个字,撮取中央的字,用水一升搅拌后饮下。
《短剧方》解急蜀椒汤,主治寒疝心痛如针刺,绕脐绞痛,腹中全部疼痛,冷汗自出几乎昏厥的方法:
蜀椒〔三百枚(另一版本二百枚)〕 附子(一枚) 粳米(半升) 干姜(半两) 大枣(三十枚) 半夏
以上七味药,用水七升,煮取三升药液,药成后趁热服用一升,如果没好再服用一升。多次使用,治疗心痛最为良效。
《千金方》说:九痛丸主治九种心痛:一、虫心痛;二、注心痛(传染性疾病引起的心痛);三、风心痛;四、悸心痛;五、食心痛;六、饮心痛;七、冷心痛;八、热心痛;九、生来心痛(先天遗传或自幼患有的心痛)。此方全面主治这些病症,并治疗……
附子(二两) 巴豆仁(一两) 生野狼毒(一两,炙烤至极香,称量) 人参(一两) 干姜(一两) 吴茱萸(未标剂量,依上下文推测可能为一两或适量,原文此处截断,暂略)
以上六味药,用蜂蜜调和,空腹服用如梧桐子大小的三丸。突发恶气腹痛,口不能言者,隔日服用一次。连年积冷,流注心……
又说,凡是突发心痛,面色苍白欲死的方法:
用布包裹如弹丸大小的盐,烧红后放入酒中溶解,服用。
又说:灸治心痛的方法:
心中懊恼(烦恼也),彻痛烦逆,灸心俞穴一百壮。
心痛如刀刺,气结:(灸膈俞穴七壮。)
心痛胸痹:(灸膻中穴一百壮。)
心痛冷气上冲:(灸龙头穴一百壮,位于心鸠尾穴上方行走一寸半处。)
心痛恶气上冲,胁肋拘急疼痛:(灸通谷穴五十壮,位于乳头旁十二寸处。)
心痛突然绞急几乎昏厥:(灸神府穴一百壮,靠近心鸠尾穴,正对心脏处有禁忌。)
心痛突发恶风:(灸巨厥穴一百壮。)
心痛胸胁胀满:(灸期门穴若干壮。)
心痛坚硬烦闷气结:(灸太仓穴一百壮。)以上均出自《短剧方》。
《救急单验方》冷心痛方:
吴茱萸(一升) 桂心(三两) 当归(三两)
研成粉末,用蜂蜜制成如梧桐子大小的丸剂,酒送服二十丸,每日两次,逐渐增加到三十丸,以见效为度。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: When pathogenic factors invade the collaterals of the Foot-Shaoyang Gallbladder channel, it causes hypochondriac pain.
The *Ge Shi Fang* (Prescriptions by Master Ge) for treating sudden hypochondriac pain as if beaten:
Measure horizontally across the midpoint between the two breasts with a rope. Bend the rope to measure horizontally from the breast. Moxibustion is applied at thirty moxa cones (zhuang) below the painful hypochondrium, directly under the bent part of the rope.
The *Duan Ju Fang* (Short Drama Prescriptions) for treating unilateral pain under the hypochondrium, fever, and a wiry pulse, indicating a cold syndrome: Warm medicines should be used to purge the cold. Da Huang Fu Zi Tang (Rhubarb and Aconite Decoction):
Da Huang (Radix et Rhizoma Rhei, 3 liang), Fu Zi (Lateral Root of Aconitum carmichaelii, 3 pieces), Xi Xin (Herba Asari, 2 liang).
These three ingredients are boiled in 3 sheng of water until 2 sheng remains. Divide into two doses.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) for treating cold qi moving back and forth under the hypochondrium, rushing to the chest and diaphragm (ancient pronunciation 'he', meaning inside the chest), causing pain radiating to the hypochondrium and back with stifling sensation: Dang Gui Tang (Angelica Sinensis Decoction):
Dang Gui (Radix Angelicae Sinensis, 2 liang), Wu Zhu Yu (Fructus Evodiae, 2 liang), Fu Ling (Poria, 1 liang), Gui Xin (Cortex Cinnamomi, 2 liang), Gan Jiang (Rhizoma Zingiberis, 3 liang), Zhi Shi (Fructus Aurantii Immaturus, 1 liang), Ren Shen (Radix Ginseng, [dose missing in text]), [Text indicates ten ingredients but lists fewer; translation follows structure].
These ten ingredients (note: text discrepancy) are boiled in 8 sheng of water until 2.5 sheng remains. Take 8 ge per dose, three times daily. Also effective for Shi Zhu (Corpse Transmission disease). (Current note: *Ji Yao Fang* contains Shu Di Huang).
It also says: For treating bilateral hypochondriac pain:
Soak both feet in hot water; change when cool.
The *Zhu Bing Yuan Hou Lun* states: Xin Tong (Heart Pain) is caused by wind-cold pathogenic factors invading the Heart. The Heart is the master of all zang organs... Upon onset, some die, others survive but develop rashes.
The *Ge Shi Fang* for treating sudden Xin Tong:
One should sit upright with effort. If the patient is male, have a female give him one cup of water to drink. If the patient is female, have a male give her one cup of water to drink.
Another prescription: Wu Zhu Yu (5 he), Gui Zhi (1 liang), wine (2 sheng). Boil until 1 sheng remains. Divide into two doses.
Another prescription: Wu Zhu Yu (2 sheng), Sheng Jiang (4 liang), Chi Dou (1 sheng), wine (6 sheng). Boil until 2.5 sheng remains. Divide into three doses.
Another prescription: Slice fresh Sheng Jiang, or slice Gan Jiang (0.5 sheng). Boil in 2 sheng of water until 1 sheng remains. Strain and take in one dose.
Another prescription: Take hot ashes from the stove, sieve out charcoal fragments, heat them, and apply as a hot compress to the heart region. Replace when cool.
The *Lu Yan Fang* for treating sudden Xin Tong:
Steam or boil soybeans, place in a bag, reheat, and apply as a hot compress to the heart region. Replace when cool. Do not let livestock or dogs eat the used beans, or they will die.
It also says: For treating Xin Tong with ao nao (distress/annoyance), you chou (worry), men bi (stifling), and zhu zhu (palpitations/throbbing)...
Gui Xin (0.5 liang), Zhu Yu (2 sheng), Bai Shao (3 liang), Dang Gui (2 liang), Sheng Jiang (0.5 jin).
These five ingredients are sliced and boiled in 12 dou of water until 4 sheng remains. Take 1 sheng per dose, three times during the day and once at night. Effective. If fresh ginger is unavailable, substitute with 5 liang of Gan Jiang.
The *Bei Ji Fang* for treating Xin Tong:
Make an extremely salty salt soup. Drink 3 sheng. Vomiting brings immediate recovery.
The *Qi Po Fang* for treating sudden Xin Tong approaching death:
Wu Zhu Yu (3 liang), Bai Shao (3 liang), Gui Xin (3 liang).
Boil these in 1 da sheng of pure wine until only 0.5 sheng remains. Take in one dose.
The *Seng Shen Fang* for treating sudden Xin Tong:
Dang Gui (2 liang), Bai Shao (1 liang), Gui Xin (1 liang), Ren Shen (1 liang), Zhi Zi (21 fruits).
These five ingredients are chewed/crushed (Fu Yu fan). Boil in 7 sheng of water until 2.5 sheng remains. Divide into five doses.
It also says: Fu Zi Wan (Aconite Pill) for treating thirty-year chronic Xin Tong:
Ren Shen (2 liang), Gui Xin (2 liang), Gan Jiang (2 liang), Shu Fu Zi (2 liang), Ba Dou (2 liang).
These five ingredients are powdered and mixed with honey to form pills the size of soybeans. Take three pills before meals, once daily. Highly effective.
The *Xin Lu Fang* for treating Xin Tong:
Drink 2 sheng of Jing Hua Shui (well water drawn at dawn).
Another prescription: Soak hands and feet in hot water until cured.
Another prescription: Heat a scale weight until red-hot, drop it into 2 sheng of wine. Divide into two doses.
Another prescription: Take one spoonful of rice flour with water.
The *Ji Yan Fang* for treating sudden Xin Tong:
Gui Xin (8 liang).
Boil in 4 sheng of water until 1.5 sheng remains. Divide into two doses.
The *Jian Zhen Fang* for treating Xin Tong:
Take 0.5 sheng of vinegar, slice one stalk of scallion white. Decoct together and take in one dose. Immediate cure.
The *Fan Wang Fang* for sudden Xin Tong: Gui Xin San (Cinnamon Powder):
Gui Xin (1 liang).
Powder it. Take one cun bi (measure) with warm wine, three times daily. Non-drinkers may use rice gruel.
It also says: Bei Ji Wan (Emergency Pill):
Ba Dou (1 fen), Da Huang (2 fen), Gan Jiang (2 fen).
Grind and sieve. Mix and process Ba Dou to form pills the size of soybeans. In emergencies, take 2-3 pills with water.
The *Ru Yi Fang* for treating sudden Xin Tong (ritual method):
Draw five characters on the ground. Scoop up the central character. Stir in 1 sheng of water and drink.
The *Duan Ju Fang* Jie Ji Shu Jiao Tang (Hot Pepper Decoction for Emergency Relief), mainly for Han Shan (Cold Spasm) Xin Tong like stabbing, colic around the umbilicus, general abdominal pain, spontaneous cold sweat nearly causing collapse:
Shu Jiao (300 seeds [alternative: 200]), Fu Zi (1 piece), Geng Mi (0.5 sheng), Gan Jiang (0.5 liang), Da Zao (30 pieces), Ban Xia.
These seven ingredients are boiled in 7 sheng of water until 3 sheng remains. Take 1 sheng while hot. If not cured, take another 1 sheng. Frequent use is best for Xin Tong.
The *Qian Jin Fang* states: Jiu Tong Wan (Nine-Pain Pill) treats nine types of Xin Tong: 1. Chong Xin Tong (Parasitic); 2. Zhu Xin Tong (Infectious/Transmission); 3. Feng Xin Tong (Wind); 4. Ji Xin Tong (Palpitation); 5. Shi Xin Tong (Food); 6. Yin Xin Tong (Fluid); 7. Leng Xin Tong (Cold); 8. Re Xin Tong (Heat); 9. Sheng Lai Xin Tong (Congenital). This formula treats all of them and also treats...
Fu Zi (2 liang), Ba Dou Ren (1 liang), Sheng Ye Lang Du (1 liang, roasted until fragrant), Ren Shen (1 liang), Gan Jiang (1 liang), Wu Zhu Yu [dose cut off].
These six ingredients are mixed with honey. Take three pills the size of wutong seeds on an empty stomach. For sudden evil qi abdominal pain where speech is lost, take every other day. For chronic accumulated cold flowing into the heart...
Another prescription: Decoct peach bark juice and take on an empty stomach.
It also says: For sudden Xin Tong with pale face approaching death:
Wrap salt the size of a bullet in cloth, heat until red-hot, dissolve in wine, and drink.
It also says: Moxibustion for Xin Tong:
For Xin Tong with distress/stifling sensation penetrating pain and irritability, moxibustion at Xin Shu (BL-15) for 100 cones.
For Xin Tong like knife stabbing with qi stagnation: Moxibustion at Ge Shu (BL-17) for 7 cones.
For Xin Tong with Xiong Bi (Chest Bi): Moxibustion at Dan Zhong (CV-17) for 100 cones.
For Xin Tong with cold qi rising: Moxibustion at Long Tou (Extra point, 1.5 cun above Xin Jiu Wei) for 100 cones.
For Xin Tong with evil qi rising and hypochondriac tension/pain: Moxibustion at Tong Gu (BL-25? Note: Text says Tong Gu, location described as 12 cun lateral to nipple, likely referring to a specific extra point or misrecorded standard point, translated as stated) for 50 cones.
For sudden severe cramping Xin Tong approaching death: Moxibustion at Shen Fu (Extra point, near Xin Jiu Wei, caution against direct heart stimulation) for 100 cones.
For sudden Xin Tong with evil wind: Moxibustion at Ju Que (CV-2?) for 100 cones.
For Xin Tong with chest/hypochondriac fullness: Moxibustion at Qi Men (LR-14) for several cones.
For hard, irritable Xin Tong with qi stagnation: Moxibustion at Tai Cang (CV-12) for 100 cones. All above from *Duan Ju Fang*.
The *Jiu Ji Dan Yan Fang* for Cold Xin Tong:
Wu Zhu Yu (1 sheng), Gui Xin (3 liang), Dang Gui (3 liang).
Powder and mix with honey to form pills the size of wutong seeds. Take 20 pills with wine, twice daily. Gradually increase to 30 pills until effect is achieved.
It also says: For Hui Xin Tong (Roundworm Xin Tong): Take dung of Qu Yan (centipede/scolopendra), burn until red, powder, and take with wine. Effective.
It also says: For all types of Xin Tong: Take 0.5 he of raw oil, warm and drink. Immediate cure.
Another prescription: Take one cun bi of Dang Gui powder, mix with wine and drink. Cured.
The *Meng Shen Shi Jing* for treating Xin Tong: Grind Qing Mu Xiang with vinegar and take.