心腹痛者,皆由脏腑虚弱,血气不调,兼以七情动于中,六淫袭于外,邪气干之而作痛,
随气上下,或上冲于心,下攻于腹,皆邪正之相击而使然也。
干漆丸 治妇人积年 瘕,血气痞块,或攻心腹疼痛,四肢不和,面无血色,饮食减少。
干漆(炒令烟尽) 大黄(蒸。各一两) 琥珀 砂(研) 硝石(研) 莪术(各三钱)
红花 桂心(各半两) 腻粉(一钱) 巴豆(三七粒,去皮心,研去油,用浆水二盏煎如饧。)
上为细末,用枣肉和丸,如梧桐子大。每服五丸,于日未出时,煎苏木汤吞下,量患人轻
重加减服之。
乌药散 治妇人血气攻心,腹胁疼痛,发歇不定。
乌药 莪术 桂心 当归 桃仁 青皮 木香(各等分)
上为细末,每服二钱,热酒调下,无时。
难舌香散 治男子妇人九种心疼,一切冷气。
良姜(细锉米粒大,香油炒) 桂心 赤芍药(等分)
上为细末,每服二钱,水一盏,入盐木瓜三片,同煎七分,温服,盐汤点亦可。血出,
疝瘕疼痛,用熟醋汤调下,忌生冷。
延胡索散 治妇人血气攻注心腹痛。
延胡索 当归 川芎 桂心(各五分) 木香(磨汁) 枳壳 赤芍药 桃仁(各一钱)
上咀,水盏半,姜三片,枣一枚,煎七分,热服。
当归延胡散 治妇人血气不和,经水不调,心腹走痛,饮食减少,面色黄瘦及产后诸病。
当归 延胡索 三棱 莪术 人参(各等分)
为末,每服二钱,酒下或加童便一杯同服。
没药散 治一切血气,脐腹撮痛,及产后恶露不行,儿枕块痛。
血竭 没药(并细研) 桂心 当归 蒲黄 红花 木香 延胡索 干漆(炒) 赤芍药(各等分)
上为细末,食前热酒调下二钱。
郁金散 治妇人血气撮痛,月水不通,预先呕吐,疼痛及腰腹胀。
片姜黄(一钱) 牡丹皮 莪术 红花 当归 赤芍药 川芎 桂心 延胡索(各七分)
上咀,水盏半,酒半盏,煎八分,温服,日三次。
蠲痛散 治妇人血气刺痛。
荔枝核(烧存性,半两) 香附米(炒,一两)
上为细末,盐汤、米饮调下二钱,无时服。
又没药散 治妇人血气疼痛不可忍者。
没药 红花 当归 延胡索(炒。各等分)
上为末,每服二钱,童便、酒各半盏,同煎至六分,热服。只用秤钟烧红淬过,调药
下亦可。
(《卫生》)牡丹皮散 治妇人久虚羸瘦,血块走注,心腹疼痛,不思饮食。
牡丹皮 桂心 当归 延胡索(各五分) 莪术 牛膝 赤芍药(各一钱) 京三棱(八分)
上水一盏,煎半盏,加酒半盏,同煎七分温服。
延胡索汤 治妇人、室女七情伤感,遂使血气并心腹作痛,或连腰胁,或引背膂,上下
攻刺,经候不调,但一切气血、心腹疼痛并可治之。
当归(酒浸) 延胡索 蒲黄 赤芍药 官桂(各半两) 片姜黄 乳香 没药 木香(各三钱)
甘草(炙,二钱)
上为粗末,每服四钱,水一盏,姜七片,煎六分,食前温服。吐逆加半夏、陈皮各半两。
手拈散 治气血、心腹疼痛。
草果 玄胡索 五灵脂 没药(等分)
上为末,每服二钱,酒调下。
槟榔散 治妇人脾胃虚冷,心腹胀满,不欲饮食。
槟榔 前胡 川芎 青皮(四分) 赤芍药 枳壳 大黄 苦梗 木香 桂心(各钱半)
甘草(二分)
上水盏半,姜三片,煎六分,温服。
心腹疼痛,都是由于脏腑虚弱,气血不调,加上七情在体内扰动,六淫从体外侵袭,邪气干扰人体而引发疼痛。疼痛随气机上下运行,有时上冲至心,有时下攻至腹,这都是邪气与正气相互搏击所致。
干漆丸:治疗妇人多年形成的瘕积、血气痞块,或攻冲导致的心腹疼痛,四肢不适,面色无血色,饮食减少。
配方:干漆(炒至烟尽)、大黄(蒸,各一两);琥珀砂(研细)、硝石(研细)、莪术(各三钱);红花、桂心(各半两);腻粉(一钱);巴豆(三七粒,去皮心,研碎去油,用浆水二盏煎成饴糖状)。
制法与用法:将上述药物研为细末,用枣肉调和制成梧桐子大小的丸药。每次服用五丸,在日出之前,用苏木汤煎煮后送服,根据患者病情轻重增减剂量。
乌药散:治疗妇人血气攻冲心脏,腹胁部疼痛,发作间歇不定。
配方:乌药、莪术、桂心、当归、桃仁、青皮、木香(各等分)。
制法与用法:将上述药物研为细末,每次服用二钱,用热酒调服,不限时间。
难舌香散:治疗男子妇人的九种心痛,以及一切冷气病。
配方:良姜(细切如米粒大,用香油炒)、桂心、赤芍药(等分)。
制法与用法:将上述药物研为细末,每次服用二钱,用水一盏,加入盐木瓜三片,同煎至七分量,温服,用盐汤送服也可以。若出血或疝瘕疼痛,用熟醋汤调服,忌食生冷食物。
延胡索散:治疗妇人血气攻注引起的心腹疼痛。
配方:延胡索、当归、川芎、桂心(各五分);木香(磨汁);枳壳、赤芍药、桃仁(各一钱)。
制法与用法:将药物切碎,用水一盏半,生姜三片,大枣一枚,煎至七分量,热服。
当归延胡散:治疗妇人血气不和,月经不调,心腹游走性疼痛,饮食减少,面色黄瘦以及产后各种疾病。
配方:当归、延胡索、三棱、莪术、人参(各等分)。
制法与用法:研为细末,每次服用二钱,用酒送服,或者加一杯童便一同服用。
没药散:治疗一切血气病,脐腹部拘急疼痛,以及产后恶露不行,儿枕块疼痛。
配方:血竭、没药(并细研);桂心、当归、蒲黄、红花、木香、延胡索、干漆(炒)、赤芍药(各等分)。
制法与用法:将上述药物研为细末,饭前用热酒调服二钱。
郁金散:治疗妇人血气拘急疼痛,月经不通,预先呕吐,疼痛涉及腰腹胀满。
配方:片姜黄(一钱);牡丹皮、莪术、红花、当归、赤芍药、川芎、桂心、延胡索(各七分)。
制法与用法:将药物切碎,用水一盏半,酒半盏,煎至八分量,温服,每日三次。
蠲痛散:治疗妇人血气刺痛。
配方:荔枝核(烧存性,半两);香附米(炒,一两)。
制法与用法:将上述药物研为细末,用盐汤或米饮调服二钱,不限时间服用。
又方没药散:治疗妇人血气疼痛剧烈无法忍受者。
配方:没药、红花、当归、延胡索(炒,各等分)。
制法与用法:研为细末,每次服用二钱,用童便和酒各半盏,同煎至六分量,热服。也可以用烧红的秤锤淬过水后,用药汁调服亦可。
(出自《卫生》)牡丹皮散:治疗妇人久病体虚消瘦,血块走注,心腹疼痛,不思饮食。
配方:牡丹皮、桂心、当归、延胡索(各五分);莪术、牛膝、赤芍药(各一钱);京三棱(八分)。
制法与用法:用水一盏,煎至半盏,加酒半盏,同煎至七分,温服。
延胡索汤:治疗妇人及未婚女子因七情伤感,致使血气并聚于心腹作痛,或牵连腰胁,或牵引背脊,上下攻刺,月经不调,凡是各类气血、心腹疼痛均可治疗。
配方:当归(酒浸)、延胡索、蒲黄、赤芍药、官桂(各半两);片姜黄、乳香、没药、木香(各三钱);甘草(炙,二钱)。
制法与用法:将上述药物研为粗末,每次服用四钱,用水一盏,生姜七片,煎至六分量,饭前温服。若有呕吐逆症,加半夏、陈皮各半两。
手拈散:治疗气血、心腹疼痛。
配方:草果、玄胡索、五灵脂、没药(等分)。
制法与用法:研为细末,每次服用二钱,用酒调服。
槟榔散:治疗妇人脾胃虚冷,心腹胀满,不想饮食。
配方:槟榔、前胡、川芎、青皮(四分);赤芍药、枳壳、大黄、苦梗、木香、桂心(各钱半);甘草(二分)。
制法与用法:用水一盏半,生姜三片,煎至六分量,温服。
Heart and abdominal pain are all caused by the weakness of the Zang-Fu organs, irregular flow of Qi and Blood, combined with the disturbance of the Seven Emotions internally and the invasion of the Six Exogenous Pathogens externally. The pathogenic factors interfere with the body causing pain. The pain moves up and down with the Qi, sometimes rushing up to the Heart or attacking downwards to the Abdomen. This is all due to the struggle between pathogenic factors and healthy Qi.
Ganqi Wan (Dry Lacquer Pill): Treats women with chronic Jia masses (abdominal masses), Qi and Blood stagnation blocks, or pain in the heart and abdomen caused by attacking Qi, discomfort in the four limbs, lack of luster in the facial complexion, and reduced appetite.
Ingredients: Ganqi (Dry Lacquer) (stir-fried until smoke ceases), Dahuang (Rhubarb Root) (steamed, each 1 liang); Hupo Sha (Amber Sand) (ground), Xiaoshi (Niter) (ground), Ezhu (Curcuma Rhizome) (each 3 qian); Honghua (Safflower Flower), Guixin (Cinnamon Twig) (each 0.5 liang); Nifen (Calomel) (1 qian); Badou (Croton Seed) (27-30 seeds, peel and remove hearts, grind and remove oil, decoct in Jiangshui [fermented rice water] 2 zhan until it resembles maltose).
Preparation and Administration: Grind the above ingredients into a fine powder, mix with date flesh to form pills the size of Sophora japonica seeds. Take 5 pills each time. Before sunrise, decoct Sumu (Sappan Wood) soup and swallow the pills with it. Adjust the dosage according to the severity of the patient's condition.
Wuyao San (Lindera Powder): Treats women with Qi and Blood attacking the Heart, pain in the abdomen and hypochondrium, with irregular intervals of onset and remission.
Ingredients: Wuyao (Lindera Root), Ezhu (Curcuma Rhizome), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis Root), Taoren (Peach Kernel), Qingpi (Green Tangerine Peel), Muxiang (Aucklandia Root) (equal parts).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian each time, mixed with hot wine. Take at any time.
Nanshe Xiang San (Difficult Tongue Fragrant Powder): Treats men and women with nine types of Heart pain and all types of Cold Qi diseases.
Ingredients: Liangjiang (Galangal Rhizome) (finely chopped like rice grains, stir-fried with sesame oil), Guixin (Cinnamon Twig), Chishaoyao (Red Peony Root) (equal parts).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian each time, with one zhan of water, add three slices of Yanmugua (Salted Papaya), decoct together until 0.7 zhan remains. Take warm. Taking with salt water is also acceptable. For bleeding or Shan-Jia pain (hernia and abdominal masses), take mixed with ripe vinegar water. Avoid raw and cold foods.
Yanhulsuo San (Cyperi Rhizoma Powder): Treats women with Qi and Blood attacking and flooding, causing heart and abdominal pain.
Ingredients: Yanhulsuo (Cyperi Rhizoma), Danggui (Angelica Sinensis Root), Chuanxiong (Sichuan Lovage Rhizome), Guixin (Cinnamon Twig) (each 5 fen); Muxiang (Aucklandia Root) (grated for juice); Zhike (Bitter Orange Fruit), Chishaoyao (Red Peony Root), Taoren (Peach Kernel) (each 1 qian).
Preparation and Administration: Cut the herbs into pieces. Decoct with 1.5 zhan of water, 3 slices of Shengjiang (Fresh Ginger), and one Zao (Jujube) until 0.7 zhan remains. Take hot.
Danggui Yanhu San (Angelica Cyperi Powder): Treats women with irregular Qi and Blood, irregular menstruation, wandering pain in the heart and abdomen, reduced appetite, sallow and emaciated complexion, and various postpartum diseases.
Ingredients: Danggui (Angelica Sinensis Root), Yanhulsuo (Cyperi Rhizoma), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), Renshen (Ginseng Root) (equal parts).
Preparation and Administration: Grind into a fine powder. Take 2 qian each time, taken with wine, or add one cup of Tongbian (Child Urine) and take together.
Moyao San (Myrrh Powder): Treats all Qi and Blood disorders, cramping pain in the umbilical and abdominal region, as well as retention of Lochia after childbirth and pain from Erzhen masses (postpartum uterine clots).
Ingredients: Xuexie (Dragon's Blood), Moyao (Myrrh) (both finely ground); Guixin (Cinnamon Twig), Danggui (Angelica Sinensis Root), Puhuang (Tamarisk Pollen), Honghua (Safflower Flower), Muxiang (Aucklandia Root), Yanhulsuo (Cyperi Rhizoma), Ganqi (Dry Lacquer) (stir-fried), Chishaoyao (Red Peony Root) (equal parts).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian before meals, mixed with hot wine.
Yujin San (Curcuma Aromatica Powder): Treats women with cramping pain due to Qi and Blood, amenorrhea, premonitory vomiting, pain extending to the waist and abdominal distension.
Ingredients: Pianjianghuang (Slice of Curcuma Aromatica Rhizome) (1 qian); Mudanpi (Tree Peony Root Bark), Ezhu (Curcuma Rhizome), Honghua (Safflower Flower), Danggui (Angelica Sinensis Root), Chishaoyao (Red Peony Root), Chuanxiong (Sichuan Lovage Rhizome), Guixin (Cinnamon Twig), Yanhulsuo (Cyperi Rhizoma) (each 7 fen).
Preparation and Administration: Cut the herbs into pieces. Decoct with 1.5 zhan of water and 0.5 zhan of wine until 0.8 zhan remains. Take warm, three times a day.
Juan Tong San (Pain-Relieving Powder): Treats women with stabbing pain due to Qi and Blood.
Ingredients: Lizhihe (Lychee Seed) (burnt to retain its nature, 0.5 liang); Xiangfumiao (Cyperi Rhizoma) (stir-fried, 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 2 qian mixed with salt water or Rice Drink. Take at any time.
Another Formula: Moyao San (Myrrh Powder): Treats women with unbearable pain due to Qi and Blood.
Ingredients: Moyao (Myrrh), Honghua (Safflower Flower), Danggui (Angelica Sinensis Root), Yanhulsuo (Cyperi Rhizoma) (stir-fried, equal parts).
Preparation and Administration: Grind into a fine powder. Take 2 qian each time, decoct with 0.5 zhan of Tongbian (Child Urine) and 0.5 zhan of wine until 0.6 zhan remains. Take hot. Alternatively, use a red-hot Chengzhong (weight pan), quench it in water, and mix with the medicine to take.
(Mutually cited from *Weisheng*) Mudanpi San (Tree Peony Root Bark Powder): Treats women with chronic deficiency and emaciation, migrating blood masses, heart and abdominal pain, and loss of appetite.
Ingredients: Mudanpi (Tree Peony Root Bark), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis Root), Yanhulsuo (Cyperi Rhizoma) (each 5 fen); Ezhu (Curcuma Rhizome), Niuxi (Achyranthes Root), Chishaoyao (Red Peony Root) (each 1 qian); Jingsanleng (Japanese Sparganium Rhizome) (8 fen).
Preparation and Administration: Decoct with 1 zhan of water until 0.5 zhan remains, add 0.5 zhan of wine, decoct together until 0.7 zhan remains. Take warm.
Yanhulsuo Tang (Cyperi Rhizoma Decoction): Treats women and unmarried girls whose Seven Emotions cause injury, leading to Qi and Blood converging in the heart and abdomen causing pain, possibly radiating to the waist and hypochondrium or pulling on the back and spine, with stabbing pain up and down, irregular menstruation. It can treat all types of Qi and Blood disorders and heart and abdominal pain.
Ingredients: Danggui (Angelica Sinensis Root) (soaked in wine), Yanhulsuo (Cyperi Rhizoma), Puhuang (Tamarisk Pollen), Chishaoyao (Red Peony Root), Guanguix (Official Cinnamon) (each 0.5 liang); Pianjianghuang (Slice of Curcuma Aromatica Rhizoma), Ruxiang (Frankincense), Moyao (Myrrh), Muxiang (Aucklandia Root) (each 3 qian); Gancao (Licorice Root) (roasted, 2 qian).
Preparation and Administration: Grind into coarse powder. Take 4 qian each time, with 1 zhan of water and 7 slices of Shengjiang (Fresh Ginger), decoct until 0.6 zhan remains. Take warm before meals. If there is vomiting and counterflow, add Banxia (Pinellia Tuber) and Chenpi (Aged Tangerine Peel) each 0.5 liang.
Shounian San (Hand-Picking Powder): Treats Qi and Blood disorders, heart and abdominal pain.
Ingredients: Caoguo (Black Cardamom Fruit), Xuanhulsuo (Cyperi Rhizoma), Wulingzhi (Trogopterus Dung), Moyao (Myrrh) (equal parts).
Preparation and Administration: Grind into a fine powder. Take 2 qian each time, mixed with wine.
Binglang San (Betel Nut Powder): Treats women with Spleen and Stomach deficiency-cold, abdominal fullness and distension, and lack of desire to eat.
Ingredients: Binglang (Areca Seed), Qianhu (Peucedanum Root), Chuanxiong (Sichuan Lovage Rhizome), Qingpi (Green Tangerine Peel) (4 fen); Chishaoyao (Red Peony Root), Zhike (Bitter Orange Fruit), Dahuang (Rhubarb Root), Kujie (Platycodon Root), Muxiang (Aucklandia Root), Guixin (Cinnamon Twig) (each 1.5 qian); Gancao (Licorice Root) (2 fen).
Preparation and Administration: Decoct with 1.5 zhan of water and 3 slices of Shengjiang (Fresh Ginger) until 0.6 zhan remains. Take warm.