论曰风邪冷气，伤于心之络脉，皆能致痛，若阳气偏虚，宿挟冷滞，又因饮食伤动。而
致心痛。则其病喜温而恶寒。其气惨而不舒。甚者四肢厥冷，气攻心而发痛也。
治冷气心痛，肋下鸣转，食不能消。豆蔻汤方
肉豆蔻（去壳炮四枚） 赤茯苓（去黑皮一两半） 当归（切焙一两） 陈橘皮（汤浸
去白焙）
术（一两半）
上一十二味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大切，枣二枚劈破，同煎至
八分。去滓空心日午夜卧温服。
治冷气冲心痛。浓朴汤方
浓朴（去粗皮生姜汁炙三分） 人参 当归（切焙） 陈橘皮（汤浸去白焙各半两） 麦
（
微炒一分） 白槟榔（微煨锉一枚）
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜一枣大拍破，同煎至八分，去滓温服
治寒气客于心，心中妨痛，脉来沉紧。槟榔汤方
槟榔（微煨锉五枚） 桂（去粗皮） 当归（切焙） 木香（各一两） 陈橘皮（汤浸
去白焙三
分） 附子（炮裂去皮脐一两）
上六味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大拍破，同煎至七分，去滓空
心日晚温服。
治冷气心痛不能食。八味桂心丸方
桂（去粗皮一两半） 桔梗（锉炒） 吴茱萸（汤浸焙炒） 人参 白术 高良姜（各
三分）
陈橘皮（汤浸去白焙半两） 当归（切焙一两）
上八味，捣罗为末，炼蜜丸如小豆大，每服十丸。温酒下，日午夜卧各一。稍加至十五
二十丸。
治宿患冷气心痛。时时发动。芎 丸方
芎 （一两） 桂（去粗皮） 当归（切焙） 干姜（炮） 浓朴（去粗皮生姜汁炙） 枳
壳（去
瓤炒各三分） 槟榔（微煨锉六枚）
上七味，捣罗为末，炼蜜丸如小豆大，每服二十丸，温酒下，加至三十丸，如腹有结块，
加附子鳖甲，妇人加桃仁各一两。
治冷气心肋结痛。食不下。高良姜汤方
高良姜 当归（切焙各二两） 陈橘皮（汤浸去白焙一两半） 浓朴（去粗皮生姜汁炙
二两）
干微炒一两
半） 诃黎勒皮（微煨五枚）
上八味，粗捣筛，每服三钱匕，水一盏，生姜一枣大拍破，同煎至六分，去滓温服、日
三。
治虚冷胸满短气，心痛呕吐，防风茯苓汤方
防风（去叉） 赤茯苓（去黑皮各一两） 桂（去粗皮三两） 甘草（炙锉一两） 干
姜（炮二
两） 人参（一两半） 半夏（汤洗去滑二两）
上七味，粗捣筛，每服五钱匕，水一盏半，入生姜一片，枣二枚劈破，同煎至八分。去
滓温服，空心日午夜卧各一。
治冷气冲心痛。三味桂心丸方
桂（去粗皮半两） 当归（切焙三分） 吴茱萸（汤浸一宿焙炒干一两）
上三味，捣罗为末，炼蜜丸如小豆大，每服二十丸，空心炒盐酒下，日晚再服。
治冷气心痛。干枣汤方
干枣（二七枚去核） 生姜（切一两） 白蜜（一匙头）
上三味，以水二盏，煎五六沸，去滓热服，未瘥再作服。
治冷气心痛。芜荑汤方
芜荑 陈橘皮（汤浸去白焙各一分）
上二味，粗捣筛，用水二盏，煎取一盏，去滓入炒盐一字顿服，未瘥再作服。
治心疼冷气 刺，痛不可忍。桂姜散方
桂（去粗皮一两） 生姜（片切焙干二两）
上二味，捣罗为散，每服二钱匕，温酒调下。
论述说：风邪与冷气，损伤心之络脉，都能导致疼痛。如果阳气偏虚，体内素有冷滞，又因饮食不当而诱发，就会导致心痛。这种病症喜欢温暖而厌恶寒冷，气息惨烈而不舒畅。严重的会出现四肢厥冷，气攻于心而引发疼痛。
治疗冷气心痛，伴有胁下肠鸣转动、食物不能消化。采用豆蔻汤方。
肉豆蔻（去壳炮制四枚） 赤茯苓（去掉黑皮一两半） 当归（切碎焙干一两） 陈橘皮（用热水浸泡后刮去白瓤焙干） 白术（一两半）
以上十二味药，粗捣筛碎，每次服用五钱匕，加水一盏半，放入生姜一块如枣大小切得很大，大枣两枚劈破，一同煎煮至八分满。滤去药渣，空腹时、白天和夜晚睡前温服。
治疗冷气上冲引起的心痛。采用浓朴汤方。
浓朴（去掉粗皮，用生姜汁炙烤三分） 人参 当归（切碎焙干） 陈橘皮（热水浸泡去白瓤焙干，各半两） 麦门冬（微炒一分） 白槟榔（微煨后锉碎一枚）
以上六味药，粗捣筛碎，每次服用五钱匕，加水一盏半，放入生姜一块如枣大拍破，一同煎煮至八分，滤去药渣温服。
治疗寒气客居于心，心中痞塞疼痛，脉象沉紧。采用槟榔汤方。
槟榔（微煨后锉碎五枚） 桂枝（去掉粗皮） 当归（切碎焙干） 木香（各一两） 陈橘皮（热水浸泡去白瓤焙干三分） 附子（炮裂去皮脐一两）
以上六味药，锉成麻豆大小，每次服用三钱匕，加水一盏，放入生姜一块如枣大拍破，一同煎煮至七分，滤去药渣空腹时、晚上睡前温服。
治疗冷气心痛导致不能进食。采用八味桂心丸方。
桂枝（去掉粗皮一两半） 桔梗（锉碎炒制） 吴茱萸（热水浸泡后焙干炒制） 人参 白术 高良姜（各三分） 陈橘皮（热水浸泡去白瓤焙干半两） 当归（切碎焙干一两）
以上八味药，捣碎过罗成粉末，用炼蜜制成如小豆大小的丸剂，每次服用十丸，用温酒送下，白天和夜晚睡前各一次。逐渐增加至十五至二十丸。
治疗宿患冷气心痛，时常发作。采用芎䓖丸方。
川芎（一两） 桂枝（去掉粗皮） 当归（切碎焙干） 干姜（炮制） 浓朴（去掉粗皮，用生姜汁炙烤） 枳壳（去掉瓤炒制，各三分） 槟榔（微煨锉碎六枚）
以上七味药，捣碎过罗成粉末，用炼蜜制成如小豆大小的丸剂，每次服用二十丸，用温酒送下，加量至三十丸。如果腹部有结块，加入附子和鳖甲各一两；妇女患者加入桃仁一两。
治疗冷气导致心肋部结聚疼痛，饮食不下。采用高良姜汤方。
高良姜 当归（切碎焙干，各二两） 陈橘皮（热水浸泡去白瓤焙干一两半） 浓朴（去掉粗皮，用生姜汁炙烤二两） 干姜（微炒一两半） 诃黎勒皮（微煨五枚）
以上八味药，粗捣筛碎，每次服用三钱匕，加水一盏，生姜一块如枣大拍破，一同煎煮至六分，滤去药渣温服，每日三次。
治疗虚冷导致的胸满短气，心痛呕吐。采用防风茯苓汤方。
防风（去掉叉枝） 赤茯苓（去掉黑皮，各一两） 桂枝（去掉粗皮三两） 甘草（炙烤锉碎一两） 干姜（炮制二两） 人参（一两半） 半夏（热水洗去滑腻二两）
以上七味药，粗捣筛碎，每次服用五钱匕，加水一盏半，放入生姜一片，大枣两枚劈破，一同煎煮至八分。滤去药渣温服，空腹时、白天和夜晚睡前各一次。
治疗冷气上冲引起的心痛。采用三味桂心丸方。
桂枝（去掉粗皮半两） 当归（切碎焙干三分） 吴茱萸（热水浸泡一夜后焙干炒制一两）
以上三味药，捣碎过罗成粉末，用炼蜜制成如小豆大小的丸剂，每次服用二十丸，空腹时用炒盐酒送下，晚上再服一次。
治疗冷气心痛。采用干枣汤方。
干枣（十四枚去核） 生姜（切碎一两） 白蜜（一匙头）
以上三味药，用水二盏，煎煮五六沸，滤去药渣热服，病未痊愈可再次制作服用。
治疗冷气心痛。采用芜荑汤方。
芜荑 陈橘皮（热水浸泡去白瓤焙干，各一分）
以上两味药，粗捣筛碎，用水二盏，煎取一盏，滤去药渣加入炒盐一字顿服，病未痊愈可再次制作服用。
治疗心疼受冷气刺扎，疼痛难以忍受。采用桂姜散方。
桂枝（去掉粗皮一两） 生姜（切片焙干二两）
以上两味药，捣碎过罗成散剂，每次服用二钱匕，用温酒调服。
Commentary states: Wind pathogenic factors and cold qi, damaging the collateral vessels of the Heart, can all cause pain. If Yang Qi is deficient, with pre-existing cold stagnation, further triggered by dietary injury, Heart pain results. This condition favors warmth and dislikes cold; the qi feels miserable and unrelaxed. In severe cases, there is coldness in the four extremities, with qi attacking the Heart causing pain.
For treating Cold Qi Heart Pain accompanied by borborygmus under the ribs and inability to digest food, use Cardamomum Decoction (Doukou Tang).
Nux Moschata (Shell removed, roasted, four pieces) [Myristicae Semen]
Polyporus (Black skin removed, one tael and a half) [Poria]
Angelicae Sinensis Radix (Cut and roasted, one tael) [Donggui]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted) [Chenpi]
Atractylodis Macrocephalae Rhizoma (one tael and a half) [Baizhu]
The above twelve ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding ginger slice as large as a date cut into large pieces, and two dates split open. Simmer until reduced to eight-tenths. Strain and take warm on an empty stomach, during the day and before night sleep.
For treating Heart pain caused by Cold Qi rushing upward, use Magnoliae Officinalis Cortex Decoction (Nongpu Tang).
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice, three fen) [Houpo]
Ginseng Radix
Angelicae Sinensis Radix (Cut and roasted)
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, each half tael)
Ophiopogonis Radix (Lightly roasted, one fen) [Maidong]
Arecae Semen (Lightly roasted and crushed, one piece) [Binglang]
The above six ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to eight-tenths. Strain and take warm.
For treating Cold Pathogen lodging in the Heart, causing stifling pain in the heart region with a deep and tight pulse, use Arecae Semen Decoction (Binglang Tang).
Arecae Semen (Lightly roasted and crushed, five pieces) [Binglang]
Cinnamomi Ramulus (Rough bark removed) [Guizhi]
Angelicae Sinensis Radix (Cut and roasted)
Costi Radix (each one tael) [Muxiang]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, three fen)
Aconiti Lateralis Radix Praeparata (Roasted until cracked, skin and navel removed, one tael) [Fuzi]
The above six ingredients are crushed like hemp seeds. Each dose consists of three qianbi, boiled with one zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to seven-tenths. Strain and take warm on an empty stomach and before night sleep.
For treating Cold Qi Heart Pain resulting in inability to eat, use Eight-Ingredient Cinnamon Heart Pill (Bawei Guixin Wan).
Cinnamomi Ramulus (Rough bark removed, one tael and a half) [Guizhi]
Platycodonis Radix (Crushed and roasted) [Jiegeng]
Evodiae Fructus (Soaked in water, roasted after drying) [Wuzhuyu]
Ginseng Radix
Atractylodis Macrocephalae Rhizoma
Alpiniae Officinarum Rhizoma (each three fen) [Gaoliangjiang]
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, half tael)
Angelicae Sinensis Radix (Cut and roasted, one tael)
The above eight ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is ten pills, taken with warm wine, once during the day and once before night sleep. Gradually increase to fifteen or twenty pills.
For treating chronic Cold Qi Heart Pain that flares up occasionally, use Xiong Pill (Xion Wan).
Saposhnikoviae Radix (one tael) [Qiongyao]
Cinnamomi Ramulus (Rough bark removed)
Angelicae Sinensis Radix (Cut and roasted)
Zingiberis Rhizoma Recens (Roasted) [Ganjiang]
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice)
Aurantii Fructus (Pulp removed, roasted, each three fen) [Zhike]
Arecae Semen (Lightly roasted and crushed, six pieces)
The above seven ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is twenty pills, taken with warm wine, increasing to thirty pills. If there are abdominal masses, add Aconiti Lateralis Radix Praeparata and Triosteae Rhizoma (or Turtle Shell), each one tael. For women, add Persicae Semen, one tael.
For treating Cold Qi causing knotted pain in the Heart and hypochondrium with difficulty eating, use Alpiniae Officinarum Rhizoma Decoction (Gaoliangjiang Tang).
Alpiniae Officinarum Rhizoma
Angelicae Sinensis Radix (Cut and roasted, each two taels)
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, one tael and a half)
Magnoliae Officinalis Cortex (Rough bark removed, roasted with ginger juice, two taels)
Zingiberis Rhizoma Recens (Lightly roasted, one tael and a half)
Terminalia Chebulae Fructus (Lightly roasted, five pieces) [Helile]
The above eight ingredients are coarsely pounded and sieved. Each dose consists of three qianbi, boiled with one zhan of water, adding ginger slice as large as a date smashed open. Simmer until reduced to six-tenths. Strain and take warm, three times daily.
For treating deficiency-cold causing chest fullness, shortness of breath, Heart pain, and vomiting, use Saposhnikoviae Radix and Polyporus Decoction (Fangfeng Fuling Tang).
Saposhnikoviae Radix (Branches removed)
Polyporus (Black skin removed, each one tael)
Cinnamomi Ramulus (Rough bark removed, three taels)
Glycyrrhizae Radix et Rhizoma (Roasted and crushed, one tael)
Zingiberis Rhizoma Recens (Roasted, two taels)
Ginseng Radix (one tael and a half)
Pinelliae Tuber (Washed in water to remove slipperiness, two taels)
The above seven ingredients are coarsely pounded and sieved. Each dose consists of five qianbi, boiled with one and a half zhan of water, adding one slice of ginger and two split dates. Simmer until reduced to eight-tenths. Strain and take warm, once on an empty stomach, once during the day, and once before night sleep.
For treating Heart pain caused by Cold Qi rushing upward, use Three-Ingredient Cinnamon Heart Pill (Sanwei Guixin Wan).
Cinnamomi Ramulus (Rough bark removed, half tael)
Angelicae Sinensis Radix (Cut and roasted, three fen)
Evodiae Fructus (Soaked in water overnight, roasted until dry, one tael)
The above three ingredients are pounded, sifted into powder, and made into pills with refined honey the size of small beans. Each dose is twenty pills, taken on an empty stomach with roasted salt wine, and again in the evening.
For treating Cold Qi Heart Pain, use Dried Jujube Decoction (Ganzao Tang).
Ziziphi Jujubae Fructus (Fourteen pieces, pits removed)
Zingiberis Rhizoma Recens (Cut, one tael)
Mel (One spoonful)
The above three ingredients are boiled in two zhan of water for five or six boils. Strain and take hot. If not cured, prepare and take again.
For treating Cold Qi Heart Pain, use Archidocarpae Fructus Decoction (Wuyi Tang).
Archidocarpae Fructus
Citri Reticulatae Pericarpium (Soaked in water, white pith removed, roasted, each one fen)
The above two ingredients are coarsely pounded and sieved. Boil in two zhan of water to obtain one zhan. Strain, add a pinch of roasted salt, and take at once. If not cured, prepare and take again.
For treating Heart pain from Cold Qi stinging, unbearable pain, use Cinnamon and Ginger Powder (Guijiang San).
Cinnamomi Ramulus (Rough bark removed, one tael)
Zingiberis Rhizoma Recens (Sliced and roasted until dry, two taels)
The above two ingredients are pounded, sifted into powder. Each dose is two qianbi, mixed with warm wine and taken.