论曰九种心痛，曰虫曰注曰风曰悸曰食曰饮曰冷曰热曰去来者是也，治病必求其本。今
九种心痛，其名虽异，而治疗各有其法，盖正气和调，则邪不能入，若或虚弱，外邪乘之，
则种种皆能致疾，善医者惟明攻邪以扶正，则九种之痛，其治一也，延龄至宝论曰，鬼击之
气，须以牛黄麝香，或气满相攻，则生嚼桃仁，若此之类，又当随宜治之。理固然矣。
治九种心痛。附子丸方
附子（炮裂去皮脐） 人参 野狼毒（炙） 干姜（炮） 食茱萸（各一两） 巴豆（半
两去皮心
上六味，捣研为末，炼蜜为丸。如麻子大，每服十丸，米饮下，中恶心痛，口不能言者，
日一服，累年积冷气流注心胸者，日再服之。
治九种心痛。木香煮散方
木香 吴茱萸（汤浸一宿炒） 陈橘皮（汤浸去白炒） 柴胡（去苗各一两） 麝香（别
研半
上九味，捣罗八味为散，入麝香和匀，每服三钱匕，水一盏，煎至七分，不拘时温服。
治九种心痛。浓朴汤方
浓朴（去粗皮用生姜汁涂炙） 槟榔（锉） 食茱萸 芍药 柴胡（去苗） 当归（切
焙各一
上七味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服，空心日午夜卧各一。
治九种心痛。救生散方
野狼牙（炙） 槟榔（锉） 青橘皮（汤浸去白炒） 鹤虱 雷丸（各一两） 当归 桂
（去粗皮
上七味，捣罗为散，每服三钱匕，蜜酒调下，空心日午服，虫下为度。
治九种心痛。弭痛丸方
五灵脂 木香 当归（切焙） 高良姜（炮） 蓬莪术（炮各一两）
上五味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸至三十丸。空心煎木香汤下。
治九种心痛。冷热吐逆， 刺疼痛。干漆散方
干漆（炒出烟） 蓬莪术（炮各一两半） 桂（去粗皮） 吴茱萸（汤浸一宿炒干各一
两）
上四味，捣罗为散，每服二钱匕，温酒或醋汤调下，不计时候。
治九种心痛及诸滞气。和气丸方
附子（一枚大者去皮脐切作四片入 砂一钱面裹煨香熟去面只用附子为末 砂别研） 芫
花（醋炒） 牵牛子（炒各一钱）
上三味，杵研为末，用醋面糊为丸，如梧桐子大，每服十丸，生姜汤下、不拘时。
治九种心痛。双珍散方
芫花 野狼毒（各一两）
上二味，用醋一升半。入砂石器中熬，醋尽为度，再焙干捣罗为散，每服半钱匕，葱酒
调下。
治九种心痛。乌头散方
乌头（炮裂去皮脐） 栀子仁（生用各一两）
上二味，捣罗为散，每服一钱匕，醋汤调下。
治九种心痛。换金煮散方
延胡索 蓬莪术（炮） 威灵仙（去土） 鬼箭羽 姜黄 苦楝根（洗锉各一两）
上六味，捣罗为散。每服三钱匕，水一盏，酒少许，同煎七分，温服、日二夜一。
治九种心痛。无比丸方
高良姜（炮） 缩砂仁 桂（去粗皮） 干姜（炮） 赤芍药（各三两）
上五味，捣罗为末，醋面糊为丸。如小弹子大，每服一丸，生莱菔一片，和药细嚼。热
汤下，不拘时。
治九种心痛，及腹胁积聚滞气。干漆丸方
干漆（炒烟出二两）
上一味，捣罗为末，醋面糊丸，如梧桐子大，每服五丸，至七丸，温酒下，醋汤亦得，
不拘时候。
治九种心痛。万灵丸方
石菖蒲（二两）
上一味，捣罗为末，醋面糊丸。如鸡头大，以丹砂为衣，每服一丸，丈夫盐汤妇人醋汤
嚼下。
论述说：九种心痛，是指虫痛、注病（一种由邪气传染或游走不定的疾病）、风痛、悸痛（因心神不安所致的心痛）、食痛、饮痛、冷痛、热痛、以及去来痛（疼痛时作时止）这几种。治疗疾病必须探求其根本原因。如今这九种心痛，虽然名称不同，但治疗方法各有侧重。大概正气调和，邪气就不能侵入；如果正气虚弱，外邪就会乘虚而入，从而引发各种病症。善于治病的人，只明白通过攻逐邪气来扶持正气，那么对于这九种疼痛，其治疗原则是一致的。《延龄至宝论》说：鬼击之气（指突然遭受邪气侵袭），需要用牛黄、麝香；如果是气机壅满相互攻冲，就应当生嚼桃仁。像这类情况，又应当根据具体情况灵活治疗。道理本来就是这样的。
治疗九种心痛的附子丸方：
附子（炮制裂开，去皮和脐）、人参、野狼毒（炙烤）、干姜（炮制）、食茱萸（各一两）、巴豆（半两，去皮和心）。
以上六味药，捣碎研成细末，用炼蜜制成丸剂，大小如麻子。每次服用十丸，米汤送服。若是中恶邪导致心痛，口不能言语的，每日服用一次；若是多年积存的冷气气流注心胸的，每日服用两次。
治疗九种心痛的木香煮散方：
木香、吴茱萸（用汤水浸泡一夜后炒制）、陈橘皮（用汤水浸泡去白瓤后炒制）、柴胡（去苗，各一两）、麝香（单独研细，半两）。
以上九味药（注：原文列名似有缺漏或排版问题，此处依原文“上九味”及所列药材处理，实际列出五味主药加麝香共六味，可能原文有脱文，此处忠实翻译原文结构），捣碎过筛成散剂，加入麝香混合均匀。每次服用三钱匕，用水一盏，煎至七分，不拘时间温服。
治疗九种心痛的浓朴汤方：
浓朴（去掉粗皮，用生姜汁涂抹后炙烤）、槟榔（锉碎）、食茱萸、芍药、柴胡（去苗）、当归（切后焙干，各一两）。
以上七味药，粗捣筛选。每次服用五钱匕，用水一盏半，煎至一盏，去渣温服。空腹时、半夜及睡前各服用一次。
治疗九种心痛的救生散方：
野狼牙（炙烤）、槟榔（锉碎）、青橘皮（用汤水浸泡去白瓤后炒制）、鹤虱、雷丸（各一两）、当归、桂枝（去掉粗皮，一两）。
以上七味药，捣碎过筛成散剂。每次服用三钱匕，用蜂蜜和酒调服。空腹时、中午服用，以虫子排出为度。
治疗九种心痛的弭痛丸方：
五灵脂、木香、当归（切后焙干）、高良姜（炮制）、蓬莪术（炮制，各一两）。
以上五味药，捣碎过筛成细末，用炼蜜和匀制成丸剂，大小如梧桐子。每次服用二十丸至三十丸。空腹时煎木香汤送服。
治疗九种心痛，以及冷热吐逆、刺割样疼痛的干漆散方：
干漆（炒至出烟）、蓬莪术（炮制，各一两半）、桂枝（去掉粗皮）、吴茱萸（用汤水浸泡一夜后炒干，各一两）。
以上四味药，捣碎过筛成散剂。每次服用二钱匕，用温酒或醋汤调服，不拘时间。
治疗九种心痛及诸滞气的和气丸方：
附子（一枚大的，去皮脐，切成四片，放入砂一钱，用面包裹煨至香熟，去掉面，只用附子研成末，砂另研）、芫花（醋炒）、牵牛子（炒，各一钱）。
以上三味药，杵碎研成细末，用醋和面糊制成丸剂，大小如梧桐子。每次服用十丸，生姜汤送服，不拘时间。
治疗九种心痛的双珍散方：
芫花、野狼毒（各一两）。
以上二味药，用一升半醋，放入砂石器中熬煮，直到醋完全蒸发为止，再焙干捣碎过筛成散剂。每次服用半钱匕，用葱酒调服。
治疗九种心痛的乌头散方：
乌头（炮制裂开，去皮和脐）、栀子仁（生用，各一两）。
以上二味药，捣碎过筛成散剂。每次服用一钱匕，用醋汤调服。
治疗九种心痛的换金煮散方：
延胡索、蓬莪术（炮制）、威灵仙（去土）、鬼箭羽、姜黄、苦楝根（洗净锉碎，各一两）。
以上六味药，捣碎过筛成散剂。每次服用三钱匕，用水一盏，加少许酒，同煎至七分，温服。每日两次，夜间一次。
治疗九种心痛的无比丸方：
高良姜（炮制）、缩砂仁、桂枝（去掉粗皮）、干姜（炮制）、赤芍药（各三两）。
以上五味药，捣碎过筛成细末，用醋和面糊制成丸剂。大小如小弹子。每次服用一丸，取生莱菔一片，与药一起细细咀嚼。用热汤送下，不拘时间。
治疗九种心痛，以及腹胁积聚滞气的干漆丸方：
干漆（炒至出烟，二两）。
以上一味药，捣碎过筛成细末，用醋和面糊制成丸剂，大小如梧桐子。每次服用五丸至七丸，用温酒送服，醋汤也可以，不拘时间。
治疗九种心痛的万灵丸方：
石菖蒲（二两）。
以上一味药，捣碎过筛成细末，用醋和面糊制成丸剂。大小如鸡头。以丹砂为衣。每次服用一丸，男子用盐汤，女子用醋汤，嚼服。
Discourse states: The nine types of heart pain refer to those caused by parasites (chong), infectious or wandering pathogens (zhu), wind (feng), palpitations due to mental unrest (ji), food stagnation (shi), fluid retention (yin), cold (leng), heat (re), and intermittent pain that comes and goes (qulai). Treating diseases requires seeking the root cause. Although these nine types of heart pain have different names, their treatments vary. Generally, when the righteous qi (Zhengqi) is harmonious, evil pathogens cannot invade; if the righteous qi is deficient, external pathogens will take advantage of the weakness, causing various ailments. A skilled physician understands that by expelling evil pathogens to support the righteous qi, the treatment principle for all nine types of pain becomes unified. The *Yanling Zhibao Lun* states: For "ghost strike" qi (sudden invasion by evil pathogens), Niuhuang (Calculus Bovis) and Shexiang (Moschus) should be used; if there is Qi stagnation with mutual attacking sensations, raw Taoren (Persicae Semen) should be chewed. Such cases require flexible treatment based on specific conditions. This reasoning is sound.
Formula for treating the nine types of heart pain: Fuzi Wan (Aconite Pill)
Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and umbilicus removed), Renshen (Radix Ginseng), Yelangdu (Radix Stellerae Chamaejasme, roasted), Ganjiang (Rhizoma Zingiberis Preparatum), Shizhuyu (Fructus Evodiae, each 1 liang), Badou (Semen Crotonis Tiglii, 0.5 liang, skin and heart removed).
The above six herbs are crushed, ground into powder, and mixed with refined honey to form pills the size of hemp seeds. Take ten pills per dose, administered with rice water. For sudden onset of evil qi causing heart pain where speech is impaired, take once daily. For chronic accumulation of cold qi flowing into the chest and heart, take twice daily.
Formula for treating the nine types of heart pain: Muxiang Zhusan (Wood Fragrance Decoction Powder)
Muxiang (Radix Aucklandiae), Wuzhuyu (Fructus Evodiae, soaked in water overnight, then stir-fried), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, then stir-fried), Chaihu (Radix Bupleuri, radix removed, each 1 liang), Shexiang (Moschus, separately ground, 0.5 liang).
(Note: The text mentions nine ingredients but lists fewer; following the source structure). The above eight (sic) herbs are crushed, sifted into a powder, mixed evenly with Shexiang. Take three qianbi (approx. 3-4 grams) per dose, with one sheng (approx. 200ml) of water, decocted until reduced to 70%. Take warm at any time.
Formula for treating the nine types of heart pain: Nongpu Tang (Magnolia Bark Decoction)
Nongpu (Cortex Magnoliae Officinalis, coarse bark removed, coated with fresh ginger juice, then roasted), Binglang (Semen Arecae), Shizhuyu (Fructus Evodiae), Shaoyao (Radix Paeoniae Alba/Rubra), Chaihu (Radix Bupleuri, radix removed), Danggui (Radix Angelicae Sinensis, sliced and dried, each 1 liang).
The above seven herbs are coarsely crushed and sifted. Take five qianbi per dose, with one and a half sheng of water, decocted until reduced to one sheng. Strain and take warm. Take on an empty stomach, at midnight, and before sleep.
Formula for treating the nine types of heart pain: Jiusheng San (Life-Saving Powder)
Yelangya (Radix Stellerae Chamaejasme, roasted), Binglang (Semen Arecae, crushed), Qingjupi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, then stir-fried), Heshi (Herba Pedalinthii), Leiwan (Semen Veleitis), Danggui (Radix Angelicae Sinensis), Guizhi (Ramulus Cinnamomi, coarse bark removed, each 1 liang).
The above seven herbs are crushed and sifted into a powder. Take three qianbi per dose, mixed with honey and wine. Take on an empty stomach and at noon, until parasites are expelled.
Formula for treating the nine types of heart pain: Mitong Wan (Pain-Relieving Pill)
Wulingzhi (Trogopteri Dung), Muxiang (Radix Aucklandiae), Danggui (Radix Angelicae Sinensis, sliced and dried), Gaoliangjiang (Rhizoma Alpiniae Officinarum, prepared), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, prepared, each 1 liang).
The above five herbs are crushed and sifted into powder. Mix with refined honey to form pills the size of lucid seed fruits. Take 20 to 30 pills per dose. Administer on an empty stomach with decoction of Muxiang.
Formula for treating the nine types of heart pain, as well as alternating cold/heat vomiting and stabbing pain: Ganxi San (Dried Lacquer Powder)
Ganxi (Resina Rhois Semecadendri, fried until smoke emerges), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, prepared, each 1.5 liang), Guizhi (Ramulus Cinnamomi, coarse bark removed), Wuzhuyu (Fructus Evodiae, soaked in water overnight, fried dry, each 1 liang).
The above four herbs are crushed and sifted into a powder. Take two qianbi per dose, mixed with warm wine or vinegar solution. Take at any time.
Formula for treating the nine types of heart pain and various stagnant qi: Heqi Wan (Harmonizing Qi Pill)
Fuzi (Radix Aconiti Lateralis Preparata, one large piece, skin and umbilicus removed, cut into four pieces, placed with Qiansha (Cinnabaris, 1 qian), wrapped in flour, baked until fragrant and cooked, flour removed, only Fuzi used for powder; Qiansha separately ground), Yuanhua (Flos Genkwa, fried with vinegar), Qianniuzi (Semen Pharbitidis, fried, each 1 qian).
The above three herbs are pounded and ground into powder. Use vinegar and flour paste to form pills the size of lucid seed fruits. Take ten pills per dose, with ginger decoction. Take at any time.
Formula for treating the nine types of heart pain: Shuangzhen San (Double Treasure Powder)
Yuanhua (Flos Genkwa), Yelangdu (Radix Stellerae Chamaejasme, each 1 liang).
The above two herbs are boiled in one and a half sheng of vinegar in a stone vessel until the vinegar is completely evaporated. Then bake dry, crush, and sift into a powder. Take half a qianbi per dose, mixed with scallion and wine.
Formula for treating the nine types of heart pain: Wutou San (Aconite Powder)
Wutou (Radix Aconiti Kusnezoffii Preparata, cracked, skin and umbilicus removed), Zhizi Ren (Semen Gardeniae, raw use, each 1 liang).
The above two herbs are crushed and sifted into a powder. Take one qianbi per dose, mixed with vinegar solution.
Formula for treating the nine types of heart pain: Huanjin Zhusan (Transforming Gold Decoction Powder)
Yanhusuo (Rhizoma Corydalis), Peng'ezhu (Rhizoma Curcumae Phaeocaulis, prepared), Weilingxian (Herba Saposhnikoviae), Guijianyu (Ramulus Corni), Jianghuang (Rhizoma Curcumae Longae), Kulian Gen (Radix Meliae Toosendan, washed and crushed, each 1 liang).
The above six herbs are crushed and sifted into a powder. Take three qianbi per dose, with one sheng of water and a little wine, decocted together until reduced to 70%. Take warm. Twice daily, once at night.
Formula for treating the nine types of heart pain: Wubi Wan (Peerless Pill)
Gaoliangjiang (Rhizoma Alpiniae Officinarum, prepared), Suosharen (Fructus Amomi Rotundus), Guizhi (Ramulus Cinnamomi, coarse bark removed), Ganjiang (Rhizoma Zingiberis Preparatum), Chishaoyao (Radix Paeoniae Rubra, each 3 liang).
The above five herbs are crushed and sifted into powder. Use vinegar and flour paste to form pills the size of small marbles. Take one pill per dose, chew thoroughly with one slice of raw Radish (Lafu). Swallow with hot water. Take at any time.
Formula for treating the nine types of heart pain, as well as abdominal and hypochondriac accumulations and stagnant qi: Ganxi Wan (Dried Lacquer Pill)
Ganxi (Resina Rhois Semecadendri, fried until smoke emerges, 2 liang).
The above single herb is crushed and sifted into powder. Use vinegar and flour paste to form pills the size of lucid seed fruits. Take 5 to 7 pills per dose, with warm wine. Vinegar solution is also acceptable. Take at any time.
Formula for treating the nine types of heart pain: Wanling Wan (Ten Thousand Spirits Pill)
Shichangpu (Rhizoma Acori Tatarinowii, 2 liang).
The above single herb is crushed and sifted into powder. Use vinegar and flour paste to form pills the size of a chicken head. Coat with Dansha (Cinnabar). Take one pill per dose. Men should chew with salt water, women with vinegar solution.