论曰心痛诸候，皆由邪气客于手心主之脉，盖手少阴心之经。五脏六腑君主之官也。
精神所舍，诸阳所合，其藏坚固，邪气未易以伤，是以诸邪在心，多在包络者，心主之脉也
，其候不一，有寒气卒客于脏腑、发卒痛者，有阳虚阴厥，痛引喉者，有心背相引，善螈伛
偻者，有腹胀归于心而痛甚者，有急痛如针锥所刺者，有其色苍苍，终日不得太息者，有卧
则从心间痛、动作愈甚者，有发作肿聚，往来上下，痛有休止者。或因于饮食，或从于外风
。中藏既虚，邪气客之，痞而不散，宜通而塞，故为痛也，若夫真心不痛，痛即实气相搏，
手足厥冷，非治疗之所及，不可不辨也。
论曰心为君主之官，神明之府。正经不受邪，其支别之络脉，为风寒邪气所乘，令人心
痛，盖寒邪之气，痞而不散，内干经络，则发为心痛，乍间乍甚，乃其证也。
治心痛。吴茱萸丸方
吴茱萸（水浸去涎焙干炒三分） 白术（一两） 干姜（炮三分） 桂（去粗皮） 陈
橘皮（去
（去黑心） 当归（切焙） 桔梗（炒各半
上一十一味，捣罗为细末，炼蜜丸如梧桐子大，每服米饮下十五丸，空心午间临卧各一。
稍加至二十丸。
治心痛如刺，或绕脐绞痛，白汗出。附子汤方
附子（大者炮裂去皮脐二枚） 芎 干姜（炮） 浓朴（去粗皮姜汁炙透） 吴茱萸
（水浸
上六味，锉如麻豆，每服五钱匕，水一盏半，入枣二枚劈破，同煎至七分，去滓温服，
如人行十里再服。
治心痛寒气上逆，心中妨闷，脉沉而紧。槟榔汤方
槟榔（微煨） 桂（去粗皮） 郁李仁（汤浸去皮尖炒熟） 附子（炮裂去皮脐） 当
归（焙各
上六味，锉如麻豆，每服五钱匕，水二盏，入生姜一分拍碎，同煎至一盏。去滓食前
治心痛如锥刀刺。木香汤方
木香 当归（切焙） 桔梗（炒各一两） 吴茱萸（水浸去涎焙干炒一分） 鳖甲（去
裙醋炙黄一两） 槟榔（微煨一两一分）
上六味，粗捣筛，每服三钱匕，水一盏，同煎至七分，去滓食前温服。
治心痛不可忍。姜黄散方
姜黄（微炒） 当归（切焙各一两） 木香 乌药（微炒各半两）
上四味，捣罗为散，每服二钱匕，煎茱萸醋汤调下。
治心痛精神闷乱。胡椒丸方
胡椒 高良姜 乌头（炮裂去皮脐各一两）
上三味，捣罗为细末，米醋三盏。熬令硬软得所，丸如皂子大，每服一丸，盐汤嚼下，
妇人醋汤下。
治心气痛。胜金丸方
干漆（炒烟尽半两） 桂（去粗皮） 京三棱（生用各一两）
上三味，捣罗为细末，面糊丸如梧桐子大，每服一丸，用新绵灰一钱匕，热酒调送下，
如有块即下赤黄水，或下血，临卧再服一丸。
治心痛不可忍。三妙丸方
巴豆（一枚去皮心膜研出油） 斑蝥（七枚去头翅足炒） 胡椒（四十九粒）
上三味，捣罗二味为末，入巴豆合研匀，醋浸糊饼和丸如梧桐子大每服一丸用熟水滴热
油一两点搅匀下。
治心痛不止。槟榔散方
槟榔（生锉半两） 姜黄（半两）
上二味，捣罗为细散，每服二钱匕，热酒调下。
治心痛。姜桂散方
姜黄（一两） 桂（去粗皮三两）
上二味，捣罗为细散，每服二钱匕，醋汤调下。
治心痛。桂心汤方
桂（去粗皮一两半） 甘草（炙黄一两）
上二味，粗捣筛，每服五钱匕，水二盏，煎至一盏，去滓温服，如人行五里再服
治心痛。莎草根散方
莎草根（炒去毛） 丁香（炒等分）
上二味，捣罗为细散，每服半钱匕，以酒煎三两沸热服。
治心痛。人参汤方
人参（一两半） 吴茱萸（汤浸去涎焙干炒一两）
上二味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，枣二枚劈破，同煎至七分，
去滓温服，空心日晡各一。
治心痛。五灵脂散方
五灵脂（二两）
上一味，捣罗为细散。每服一钱匕，男子热酒调下。妇人当归酒调下。
治心痛。蓬莪术饮方
蓬莪术（生用一两）
上一味，粗捣筛，每服三钱匕，水醋各半盏，煎至七分，去滓热服。
治心痛及腹痛。铅丹丸方
铅丹 白矾（各一两）
上二味，同研，内瓶中，瓦盖头，火 通赤，取出饭丸，如绿豆大，心痛、生姜汤下，
腹痛、醋汤下十丸、细嚼。
治心疼气刺痛不食。浓朴丸方
浓朴（去粗皮生姜汁炙） 当归（切焙） 附子（炮裂去皮脐） 陈橘皮（汤浸去白焙
各三分）
分）
上八味，捣罗为末，用陈曲煮糊为丸，如梧桐子大，每服二十丸至三十丸。炒生姜盐汤
下。
治心疼不食。两胁刺痛、壅闷。豆蔻汤方
草豆蔻仁（半两） 甘草（炙锉三分）
上二味，细锉，如麻豆大，每服五钱匕，水一盏半，煎至八分。去滓缓缓呷。
治心疼不食，两胁刺痛。壅闷参香散方
人参 木香 荜茇 半夏（汤洗七遍炒） 芍药（炒） 大腹（锉各三分） 高良姜 丁
香
桂（去粗皮） 芎 青橘皮（汤浸去白焙各半两）
上一十一味，捣罗为散，每服二钱匕，炒生姜汤调下。
治心疼气刺痛，不能食。木香汤方
木香（半两） 桂（去粗皮） 芍药（炒） 白术 陈橘皮（汤浸去白焙） 枳壳（去
瓤麸炒各
三分） 甘草（炙一分）
上七味，细锉，每服五钱匕，水一盏半，入生姜五片。煎至八分，去滓温服。
治心痛，胸胁气满烦闷。茱萸汤方
吴茱萸（汤浸焙干炒） 桂（去粗皮） 浓朴（去粗皮生姜汁炙） 白术 芍药（炒） 陈
橘皮
（汤洗去白焙各半两） 五味子（三分）
上七味，粗捣筛，每服五钱匕，水一盏半，入大枣二枚，生姜三片，同煎至八分。去滓
温服，空心午时服。
治心痛不可忍。香桂丸方
丁香 干姜（炮各半两） 芎 （三分） 桂（去粗皮） 当归（切焙） 枳壳（去瓤
麸炒） 槟
上九味，捣罗为末，炼蜜和丸。如梧桐子大，每服三十丸，炒生姜盐汤下，或温酒亦可。
空心食前。
治心气痛闷乱。山杏煎方
山杏仁（炒令香熟去皮尖双仁二两） 吴茱萸（汤洗焙干炒为末十二钱）
上二味，一处研匀，丸如弹子大，每服一丸，温酒化下，如不饮酒，即用热汤，发时服
治九种心痛。茱萸生姜汤方
吴茱萸（汤洗焙干微炒） 生姜（切焙各一两） 人参（三分）
上三味，粗捣筛，每服五钱匕，水一盏半，枣二枚劈破，煎至一盏，去滓热服。
治心痛不能食。丁香丸方
丁香 木香 当归（切焙） 白豆蔻（各半两） 龙脑（研一分）
上五味，捣研为末，再同研匀，米醋煮蒸饼和丸，如绿豆大，每服七丸，炒生姜盐汤下，
甚者炒姜酒下十五丸，不拘时。
治心疼气痛，客忤邪气，蛊毒鬼疰。犀香丸方
犀角（屑半两） 枳壳（去瓤麸炒三分） 丁香 麝香（研各一分） 桂（去粗皮） 槟
榔（锉） 干姜（炮） 当归（切焙各半两） 牛黄（研半分） 鬼箭羽（一两） 安息香
（二两用胡桃四枚椎
碎一处酒浸
上一十一味，除安息香外，捣研为末，用安息香煎和为丸，如梧桐子大，每服二十丸至
三十丸，炒生姜酒下。
治心疼中恶，绕脐刺痛，白汗出。鬼箭羽汤方
鬼箭羽 桃仁（去皮尖双仁炒各一两） 干姜（炮一分） 甘草（炙锉半分）浓朴（去
粗皮
上八味，细锉如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治心痛、不可忍。桂心丸方
桂（去粗皮）
上一味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，紫苏酒下。
论述说：心痛的各类证候，都是由于邪气客居于手心主之脉（即手厥阴心包经），因为手少阴心经是五脏六腑中君主之官。它是精神所居之处，诸阳经汇聚之所，其脏体坚固，邪气不易直接伤害它，所以各种邪气侵犯心脏时，多在心包络（心之外围组织）发生，这是心主之脉的病变。其症状表现不一：有寒气突然客居于脏腑，引发突发性剧痛的；有阳气虚弱、阴寒内盛导致四肢厥冷，疼痛牵引至咽喉的；有心痛与背痛相互牵引，容易抽搐、弯腰曲背的；有腹部胀满，病势归于心部而疼痛剧烈的；有急骤刺痛，如同被针锥刺入的；有面色苍白，整天无法顺畅深呼吸的；有平卧时从心窝处感到疼痛，活动后加重的；有发作时肿块聚散无常，上下移动，疼痛时有休止的。这些病症有的因饮食不当引起，有的由外感风邪所致。体内脏腑既已虚弱，邪气乘虚而入，导致气机痞塞而不消散，该通畅的地方反而闭塞，因此产生疼痛。至于真正的“真心痛”，通常不表现为普通疼痛，而是实邪之气相互搏结，出现手足冰冷，这种情况非一般治疗手段所能奏效，必须仔细辨别。
论述说：心是君主之官，是神明居住的场所。心脏的正经不受邪气侵袭，但其分支和别行的络脉，容易被风寒邪气所侵扰，从而引起心痛。这是因为寒邪之气痞塞不散，内侵经络，就会发为心痛，疼痛时轻时重，是其典型证候。
治疗心痛。吴茱萸丸方
吴茱萸（用水浸泡去涎沫，焙干炒制三分） 白术（一两） 干姜（炮制三分） 桂枝（去除粗皮） 陈皮（去除黑心） 当归（切片焙干） 桔梗（炒制，各半两）
以上十一味药，捣碎过筛成细末，用炼蜜制成梧桐子大小的丸剂。每次服用十五丸，用米汤送下，空腹、中午及临睡前各服一次。可稍增加至二十丸。
治疗心痛如针刺，或绕脐绞痛，出冷汗。附子汤方
附子（大者，炮裂去皮脐，二枚） 川芎 干姜（炮制） 厚朴（去除粗皮，用姜汁炙透） 吴茱萸（用水浸泡，去涎沫焙干炒）
以上六味药，锉碎如麻豆大小。每次服用五钱匕，加水一盏半，放入劈破的两枚大枣，同煎至七分，去渣温服。如果人行走十里路后再服一次。
治疗心痛因寒气上逆，心中烦闷不适，脉象沉而紧。槟榔汤方
槟榔（微煨） 桂枝（去除粗皮） 郁李仁（热水浸泡去皮尖，炒熟） 附子（炮裂去皮脐） 当归（焙干，各半两）
以上六味药，锉碎如麻豆大小。每次服用五钱匕，加水二盏，放入拍碎的一分生姜，同煎至一盏。去渣，饭前温服。
治疗心痛如锥刀刺割。木香汤方
木香 当归（切片焙干） 桔梗（炒制，各一两） 吴茱萸（用水浸泡去涎沫，焙干炒制一分） 鳖甲（去除裙边，醋炙至黄，一两） 槟榔（微煨，一两一分）
以上六味药，粗捣过筛。每次服用三钱匕，加水一盏，同煎至七分，去渣，饭前温服。
治疗心痛难以忍受。姜黄散方
姜黄（微炒） 当归（切片焙干，各一两） 木香 乌药（微炒，各半两）
以上四味药，捣碎过筛成散剂。每次服用二钱匕，用吴茱萸醋汤调服。
治疗心痛伴精神烦乱。胡椒丸方
胡椒 高良姜 乌头（炮裂去皮脐，各一两）
以上三味药，捣碎过筛成细末，用三盏米醋熬煮至硬软适中，制成如皂角子大小的丸剂。每次服用一丸，用盐汤嚼服，妇人用醋汤送服。
治疗心气痛。胜金丸方
干漆（炒至烟尽，半两） 桂枝（去除粗皮） 京三棱（生用，各一两）
以上三味药，捣碎过筛成细末，用面糊制成梧桐子大小的丸剂。每次服用一丸，用一钱匕新绵灰，热酒调送下。如果有瘀块，会排出赤黄色水，或排出血，临睡前再服一丸。
治疗心痛难以忍受。三妙丸方
巴豆（一枚，去皮心膜，研出油） 斑蝥（七枚，去头翅足，炒制） 胡椒（四十九粒）
以上三味药，将斑蝥和胡椒捣碎过筛成末，加入巴豆油混合研匀，用醋浸糊饼和丸，制成梧桐子大小。每次服用一丸，用熟水滴入一两滴热油搅匀后送服。
治疗心痛不止。槟榔散方
槟榔（生锉，半两） 姜黄（半两）
以上两味药，捣碎过筛成细散。每次服用二钱匕，热酒调服。
治疗心痛。姜桂散方
姜黄（一两） 桂枝（去除粗皮，三两）
以上两味药，捣碎过筛成细散。每次服用二钱匕，醋汤调服。
治疗心痛。桂心汤方
桂枝（去除粗皮，一两半） 甘草（炙黄，一两）
以上两味药，粗捣过筛。每次服用五钱匕，加水二盏，煎至一盏，去渣温服。如果人行走五里路后再服。
治疗心痛。莎草根散方
莎草根（炒去毛） 丁香（炒制，等分）
以上两味药，捣碎过筛成细散。每次服用半钱匕，用酒煎煮三沸后热服。
治疗心痛。人参汤方
人参（一两半） 吴茱萸（热水浸泡去涎沫，焙干炒制，一两）
以上两味药，粗捣过筛。每次服用三钱匕，加水一盏，放入拍碎的一半生姜，劈破的两枚大枣，同煎至七分，去渣温服，空腹及傍晚各服一次。
治疗心痛。五灵脂散方
五灵脂（二两）
以上一味药，捣碎过筛成细散。每次服用一钱匕，男子用热酒调服，妇人用当归酒调服。
治疗心痛。蓬莪术饮方
蓬莪术（生用，一两）
以上一味药，粗捣过筛。每次服用三钱匕，水和醋各半盏，煎至七分，去渣热服。
治疗心痛及腹痛。铅丹丸方
铅丹 白矾（各一两）
以上两味药，共同研磨，放入瓶中，用瓦片盖住瓶口，用火烧至通红，取出后用米饭制成绿豆大小的丸剂。心痛者用生姜汤送服十丸，细细咀嚼；腹痛者用醋汤送服十丸，细细咀嚼。
治疗心疼气刺痛且不能进食。厚朴丸方
厚朴（去除粗皮，用生姜汁炙制） 当归（切片焙干） 附子（炮裂去皮脐） 陈皮（热水浸泡去白瓤焙干，各三分）
以上八味药，捣碎过筛成末，用陈年酒曲煮糊制成梧桐子大小的丸剂。每次服用二十丸至三十丸，用炒生姜盐汤送服。
治疗心疼不能进食，两胁刺痛、壅闷。豆蔻汤方
草豆蔻仁（半两） 甘草（炙锉，三分）
以上两味药，细锉如麻豆大小。每次服用五钱匕，加水一盏半，煎至八分。去渣，缓缓呷服。
治疗心疼不能进食，两胁刺痛，壅闷。参香散方
人参 木香 荜茇 半夏（热水洗七遍，炒制） 芍药（炒制） 大腹皮（锉碎，各三分） 高良姜 丁香 桂枝（去除粗皮） 川芎 青皮（热水浸泡去白瓤焙干，各半两）
以上十一味药，捣碎过筛成散剂。每次服用二钱匕，用炒生姜汤调服。
治疗心疼气刺痛，不能进食。木香汤方
木香（半两） 桂枝（去除粗皮） 芍药（炒制） 白术 陈皮（热水浸泡去白瓤焙干） 枳壳（去瓤麸炒，各三分） 甘草（炙制，一分）
以上七味药，细锉。每次服用五钱匕，加水一盏半，放入五片生姜。煎至八分，去渣温服。
治疗心痛，胸胁气满烦闷。茱萸汤方
吴茱萸（热水浸泡焙干炒制） 桂枝（去除粗皮） 厚朴（去除粗皮，用生姜汁炙制） 白术 芍药（炒制） 陈皮（热水洗去白瓤焙干，各半两） 五味子（三分）
以上七味药，粗捣过筛。每次服用五钱匕，加水一盏半，放入劈破的两枚大枣，三片生姜，同煎至八分。去渣温服，空腹及午时服用。
治疗心痛难以忍受。香桂丸方
丁香 干姜（炮制，各半两） 川芎（三分） 桂枝（去除粗皮） 当归（切片焙干） 枳壳（去瓤麸炒） 槟榔
以上九味药，捣碎过筛成末，用炼蜜和丸，制成梧桐子大小。每次服用三十丸，用炒生姜盐汤送服，或用温酒送服亦可。空腹及食前服用。
治疗心气痛烦乱。山杏煎方
山杏仁（炒令香熟，去皮尖双仁，二两） 吴茱萸（热水洗焙干炒为末，十二钱）
以上两味药，一起研磨均匀，制成如弹子大小的丸剂。每次服用一丸，用温酒化开送服。如果不饮酒，就用热汤，在发病时服用。
治疗九种心痛。茱萸生姜汤方
吴茱萸（热水洗焙干微炒） 生姜（切焙，各一两） 人参（三分）
以上三味药，粗捣过筛。每次服用五钱匕，加水一盏半，放入劈破的两枚大枣，煎至一盏，去渣热服。
治疗心痛不能进食。丁香丸方
丁香 木香 当归（切片焙干） 白豆蔻（各半两） 龙脑（研细，一分）
以上五味药，捣研成末，再共同研磨均匀，用米醋煮蒸饼和丸，制成绿豆大小的丸剂。每次服用七丸，用炒生姜盐汤送服。严重者用炒姜酒送服十五丸，不拘时间。
治疗心疼气痛，客忤邪气，蛊毒鬼疰。犀香丸方
犀角（屑，半两） 枳壳（去瓤麸炒，三分） 丁香 麝香（研细，各一分） 桂枝（去除粗皮） 槟榔（锉碎） 干姜（炮制） 当归（切片焙干，各半两） 牛黄（研细，半分） 鬼箭羽（一两） 安息香（二两，用胡桃四枚椎碎，一处酒浸）
以上十一味药，除安息香外，其余捣研成末，用煎好的安息香调和制成梧桐子大小的丸剂。每次服用二十丸至三十丸，用炒生姜酒送服。
治疗心疼中恶，绕脐刺痛，出冷汗。鬼箭羽汤方
鬼箭羽 桃仁（去皮尖双仁炒制，各一两） 干姜（炮制，一分） 甘草（炙锉，半分） 厚朴（去除粗皮，用生姜汁炙制）
以上八味药，细锉如麻豆大小。每次服用五钱匕，加水一盏半，煎至八分，去渣温服。
治疗心痛，难以忍受。桂心丸方
桂枝（去除粗皮）
以上一味药，捣碎过筛成末，用炼蜜和丸，制成梧桐子大小。每次服用三十丸，用紫苏酒送服。
Discourse states: All categories of heart pain syndromes are caused by pathogenic factors lodging in the vessels of the Hand Jueyin Pericardium (Pericardium Meridian of Hand-Jueyin), which corresponds to the Heart. The Heart is the sovereign official of the Zang-Fu organs, the residence of the Shen (Spirit), and the convergence point of all Yang meridians. Its substance is solid and resistant, making it difficult for pathogens to directly injure it. Therefore, when various pathogens invade the Heart, they typically affect the Pericardium (the outer covering of the Heart), manifesting as disorders of the Pericardium vessels. The clinical manifestations vary: there are cases where cold pathogen suddenly lodges in the Zang-Fu, causing sudden severe pain; cases of Yang deficiency with Yin rebellion, where pain radiates to the throat accompanied by cold limbs; cases where heart pain and back pain radiate to each other, associated with spasms and stooping; cases where abdominal distension leads to severe pain centered in the heart region; cases of acute stabbing pain as if pierced by a needle or awl; cases where the complexion is pale and the patient cannot take deep sighs throughout the day; cases where lying down causes pain from the epigastrium that worsens with movement; and cases where masses appear and disappear, moving up and down, with intermittent pain. These conditions may arise from dietary irregularities or external wind invasion. When the internal Zang-Fu are deficient, pathogens enter and cause Qi stagnation that does not dissipate, leading to obstruction where flow should be free, resulting in pain. True "Zhen Xin Tong" (True Heart Pain) usually does not present as ordinary pain but rather as a struggle between excess pathogens, characterized by cold hands and feet; this condition is beyond the reach of standard treatments and must be carefully distinguished.
Discourse states: The Heart is the sovereign official and the mansion of the Shen (Spirit). The regular meridians of the Heart do not accept pathogens, but its branch collateral vessels can be invaded by wind-cold pathogens, causing heart pain. This occurs because cold pathogenic factors become stagnant and do not dissipate, invading the meridians internally, leading to heart pain characterized by alternating mildness and severity of symptoms.
Treatment for heart pain. Wuzhuyu Wan Formula
Wuzhuyu (Evodiae Fructus, soaked in water to remove saliva, dried, roasted, 3 fen) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Ganjiang (Dried Ginger, processed, 3 fen) Guizhi (Cinnamomi Ramulus, coarse bark removed) Chenpi (Citri Reticulatae Pericarpium, black core removed) Danggui (Angelicae Sinensis Radix, sliced and dried) Jiegeng (Platycodonis Radix, roasted, each 0.5 liang)
The above eleven ingredients are pounded into fine powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Take 15 pills per dose with rice broth, on an empty stomach, at noon, and before bed. The dose may be slightly increased to 20 pills.
Treatment for heart pain like stabbing, or colicky pain around the umbicus with cold sweat. Fuzi Tang Decoction
Fuzi (Aconiti Lateralis Radix Praeparata, large ones, processed, split, skin and placenta removed, 2 pieces) Xiong (Chuanxiong Rhizoma) Ganjiang (Dried Ginger, processed) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice) Wuzhuyu (Evodiae Fructus, soaked in water to remove saliva, dried, roasted)
The above six ingredients are cut into sizes similar to hemp seeds. Take 5 qianbi per dose with 1.5 sheng of water, adding two cracked dates. Decoct until reduced to 0.7 sheng, strain, and take warm. Administer another dose after walking approximately five kilometers.
Treatment for heart pain due to upward reversal of cold qi, with chest fullness and oppression, and a deep, tight pulse. Binglang Tang Decoction
Binglang (Arecae Semen, lightly roasted) Guizhi (Cinnamomi Ramulus, coarse bark removed) Yuliren (Prunus japonica Seed, soaked in hot water, skin and tip removed, roasted) Fuzi (Aconiti Lateralis Radix Praeparata, processed, split, skin and placenta removed) Danggui (Angelicae Sinensis Radix, dried, each 0.5 liang)
The above six ingredients are cut into sizes similar to hemp seeds. Take 5 qianbi per dose with 2 sheng of water, adding one fen of crushed fresh ginger. Decoct until reduced to 1 sheng, strain, and take warm before meals.
Treatment for heart pain like stabbing with awls or knives. Muxiang Tang Decoction
Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix, sliced and dried) Jiegeng (Platycodonis Radix, roasted, each 1 liang) Wuzhuyu (Evodiae Fructus, soaked in water to remove saliva, dried, roasted, 1 fen) Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-processed to yellow, 1 liang) Binglang (Arecae Semen, lightly roasted, 1 liang 1 fen)
The above six ingredients are coarsely pounded and sifted. Take 3 qianbi per dose with 1 sheng of water. Decoct until reduced to 0.7 sheng, strain, and take warm before meals.
Treatment for unbearable heart pain. Jianghuang San Powder
Jianghuang (Curcumae Longae Rhizoma, lightly roasted) Danggui (Angelicae Sinensis Radix, sliced and dried, each 1 liang) Muxiang (Aucklandiae Radix) Wuyao (Litseae Fructus, lightly roasted, each 0.5 liang)
The above four ingredients are pounded into powder. Take 2 qianbi per dose, mixed with Evodia vinegar decoction.
Treatment for heart pain with mental restlessness. Hujiao Wan Pill
Hujiao (Piperis Nigris Fructus) Gaoliangjiang (Alpiniae Officinarum Rhizoma) Wutou (Aconiti Radix, processed, split, skin and placenta removed, each 1 liang)
The above three ingredients are pounded into fine powder. Add 3 sheng of rice vinegar and boil until the consistency is appropriate. Form into pills the size of soap pods. Take one pill per dose, chewed with salt water. Women should use vinegar water.
Treatment for Heart Qi pain. Shengjin Wan Pill
Ganqi (Drynariae Rhizoma, roasted until smoke ceases, 0.5 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed) Jingsanleng (Sparganii Rhizoma, raw, each 1 liang)
The above three ingredients are pounded into fine powder. Mix with flour paste to form pills the size of Sophora seeds. Take one pill per dose, mixed with 1 qianbi of ash from new cotton wool, taken with hot wine. If blood stasis is present, red-yellow fluid or blood will be discharged. Take another pill before bed.
Treatment for unbearable heart pain. Sanmiao Wan Pill
Badou (Crotonis Fructus, one seed, skin, heart, and membrane removed, oil pressed out) Banmao (Mylabris, seven insects, heads, wings, and legs removed, roasted) Hujiao (Piperis Nigris Fructus, 49 grains)
The above three ingredients: pound Banmao and Hujiao into powder, mix with Badou oil, and combine evenly. Soak in vinegar and mix with paste dough to form pills the size of Sophora seeds. Take one pill per dose, mixed with a drop or two of hot water and hot oil.
Treatment for persistent heart pain. Binglang San Powder
Binglang (Arecae Semen, raw and cut, 0.5 liang) Jianghuang (Curcumae Longae Rhizoma, 0.5 liang)
The above two ingredients are pounded into fine powder. Take 2 qianbi per dose, mixed with hot wine.
Treatment for heart pain. Jianggui San Powder
Jianghuang (Curcumae Longae Rhizoma, 1 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed, 3 liang)
The above two ingredients are pounded into fine powder. Take 2 qianbi per dose, mixed with vinegar water.
Treatment for heart pain. Guixin Tang Decoction
Guizhi (Cinnamomi Ramulus, coarse bark removed, 1.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried to yellow, 1 liang)
The above two ingredients are coarsely pounded and sifted. Take 5 qianbi per dose with 2 sheng of water. Decoct until reduced to 1 sheng, strain, and take warm. Administer another dose after walking approximately two kilometers.
Treatment for heart pain. Sucaogen San Powder
Sucaogen (Cyperii Rotundii Rhizoma, roasted, hair removed) Dingxiang (Caryophylli Flos, roasted, equal parts)
The above two ingredients are pounded into fine powder. Take 0.5 qianbi per dose, boiled in wine for three boils, and taken hot.
Treatment for heart pain. Renshen Tang Decoction
Renshen (Ginseng Radix, 1.5 liang) Wuzhuyu (Evodiae Fructus, soaked in hot water to remove saliva, dried, roasted, 1 liang)
The above two ingredients are coarsely pounded and sifted. Take 3 qianbi per dose with 1 sheng of water, adding half a fen of crushed fresh ginger and two cracked dates. Decoct until reduced to 0.7 sheng, strain, and take warm. Take on an empty stomach and in the late afternoon.
Treatment for heart pain. Wulingzhi San Powder
Wulingzhi (Trogopteri Dung, 2 liang)
The above single ingredient is pounded into fine powder. Take 1 qianbi per dose. Men should mix with hot wine; women should mix with Danggui wine.
Treatment for heart pain. Peng'ezhu Yin Decoction
Peng'ezhu (Curcumae Phaeocaulis Rhizoma, raw, 1 liang)
The above single ingredient is coarsely pounded and sifted. Take 3 qianbi per dose with half a sheng of water and half a sheng of vinegar. Decoct until reduced to 0.7 sheng, strain, and take hot.
Treatment for heart pain and abdominal pain. Qiandan Wan Pill
Qiandan (Lapis Minii) Baifan (Aluminis Crystallis, each 1 liang)
The above two ingredients are ground together, placed in a bottle, covered with a tile, and fired until red-hot. Remove and mix with rice flour to form pills the size of mung beans. For heart pain, take ten pills with ginger water, chewing them finely. For abdominal pain, take ten pills with vinegar water, chewing them finely.
Treatment for heart pain with Qi stabbing pain and inability to eat. Houpo Wan Pill
Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice) Danggui (Angelicae Sinensis Radix, sliced and dried) Fuzi (Aconiti Lateralis Radix Praeparata, processed, split, skin and placenta removed) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried, each 3 fen)
The above eight ingredients are pounded into powder. Use aged yeast paste to form pills the size of Sophora seeds. Take 20 to 30 pills per dose with stir-fried ginger salt water.
Treatment for heart pain with inability to eat, stabbing pain in both hypochondria, and fullness/oppression. Doukou Tang Decoction
Caodoukou Ren (Cardamomi Fructus Rotundus Semen, 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, 3 fen)
The above two ingredients are finely cut to the size of hemp seeds. Take 5 qianbi per dose with 1.5 sheng of water. Decoct until reduced to 0.8 sheng. Strain and sip slowly.
Treatment for heart pain with inability to eat, stabbing pain in both hypochondria, and fullness/oppression. Shenxiang San Powder
Renshen (Ginseng Radix) Muxiang (Aucklandiae Radix) Biba (Piperis Kadsurae Fructus) Banxia (Pinelliae Rhizoma, washed seven times in hot water, roasted) Shaoyao (Paeoniae Radix Alba, roasted) Dafupi (Arecae Pericarpium, cut, each 3 fen) Gaoliangjiang (Alpiniae Officinarum Rhizoma) Dingxiang (Caryophylli Flos) Guizhi (Cinnamomi Ramulus, coarse bark removed) Xiong (Chuanxiong Rhizoma) Qingpi (Citri Reticulatae Pericarpium Viride, soaked in hot water, white pith removed, dried, each 0.5 liang)
The above eleven ingredients are pounded into powder. Take 2 qianbi per dose, mixed with stir-fried ginger water.
Treatment for heart pain with Qi stabbing pain and inability to eat. Muxiang Tang Decoction
Muxiang (Aucklandiae Radix, 0.5 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed) Shaoyao (Paeoniae Radix Alba, roasted) Baizhu (Atractylodis Macrocephalae Rhizoma) Chenpi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried) Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried, each 3 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen)
The above seven ingredients are finely cut. Take 5 qianbi per dose with 1.5 sheng of water, adding five slices of fresh ginger. Decoct until reduced to 0.8 sheng, strain, and take warm.
Treatment for heart pain with chest and hypochondriac Qi fullness and restlessness. Zhuyu Tang Decoction
Wuzhuyu (Evodiae Fructus, soaked in hot water, dried, roasted) Guizhi (Cinnamomi Ramulus, coarse bark removed) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice) Baizhu (Atractylodis Macrocephalae Rhizoma) Shaoyao (Paeoniae Radix Alba, roasted) Chenpi (Citri Reticulatae Pericarpium, washed in hot water, white pith removed, dried, each 0.5 liang) Wuweizi (Schisandrae Chinensis Fructus, 3 fen)
The above seven ingredients are coarsely pounded and sifted. Take 5 qianbi per dose with 1.5 sheng of water, adding two cracked dates and three slices of fresh ginger. Decoct until reduced to 0.8 sheng. Strain and take warm. Take on an empty stomach and at noon.
Treatment for unbearable heart pain. Xianggui Wan Pill
Dingxiang (Caryophylli Flos) Ganjiang (Dried Ginger, processed, each 0.5 liang) Xiong (Chuanxiong Rhizoma, 3 fen) Guizhi (Cinnamomi Ramulus, coarse bark removed) Danggui (Angelicae Sinensis Radix, sliced and dried) Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried) Binglang (Arecae Semen)
The above nine ingredients are pounded into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with stir-fried ginger salt water, or warm wine. Take on an empty stomach and before meals.
Treatment for Heart Qi pain with restlessness. Shanxing Jian Paste
Shanxingren (Armeniacae Semen Amarum, roasted until fragrant, skin and tip removed, double-kernel, 2 liang) Wuzhuyu (Evodiae Fructus, washed in hot water, dried, roasted into powder, 12 qian)
The above two ingredients are ground together evenly. Form into pills the size of marbles. Take one pill per dose, dissolved in warm wine. If alcohol is not consumed, use hot water. Take during attacks.
Treatment for the Nine Types of Heart Pain. Zhuyu Shengjiang Tang Decoction
Wuzhuyu (Evodiae Fructus, washed in hot water, dried, lightly roasted) Shengjiang (Fresh Ginger, sliced, dried, each 1 liang) Renshen (Ginseng Radix, 3 fen)
The above three ingredients are coarsely pounded and sifted. Take 5 qianbi per dose with 1.5 sheng of water, adding two cracked dates. Decoct until reduced to 1 sheng, strain, and take hot.
Treatment for heart pain with inability to eat. Dingxiang Wan Pill
Dingxiang (Caryophylli Flos) Muxiang (Aucklandiae Radix) Danggui (Angelicae Sinensis Radix, sliced and dried) Baidoukou (Cardamomi Fructus, each 0.5 liang) Longnao (Borneolum Syntheticum, ground, 1 fen)
The above five ingredients are pounded and ground into powder, then mixed thoroughly. Mix with rice vinegar and steamed bread dough to form pills the size of mung beans. Take 7 pills per dose with stir-fried ginger salt water. For severe cases, take 15 pills with stir-fried ginger wine. Time is not restricted.
Treatment for heart pain with Qi pain, Ke Wu evil Qi, Gu poison, and Gui Zhu. Xixiang Wan Pill
Xijiao (Rhinocerotis Cornu, powdered, 0.5 liang) Zhike (Aurantii Fructus Immaturus, pulp removed, bran-fried, 3 fen) Dingxiang (Caryophylli Flos) Shexiang (Moschus, ground, each 1 fen) Guizhi (Cinnamomi Ramulus, coarse bark removed) Binglang (Arecae Semen, cut) Ganjiang (Dried Ginger, processed) Danggui (Angelicae Sinensis Radix, sliced and dried, each 0.5 liang) Niuhuang (Bovis Calculus, ground, 0.5 fen) Guijianyu (Eucommiae Ramulus cum Folio? Note: Text says Guijianyu, likely Eucommiae Ramulus or specific herb, here translated as Eucommiae Ramulus based on common usage though literal is Arrow Branch Feather) Anshixiang (Styrax, 2 liang, soaked in wine with four crushed walnuts)
The above eleven ingredients: except for Anshixiang, pound and grind into powder. Mix with decocted Anshixiang to form pills the size of Sophora seeds. Take 20 to 30 pills per dose with stir-fried ginger wine.
Treatment for heart pain with sudden evil, colicky pain around the umbicus, and cold sweat. Guijianyu Tang Decoction
Guijianyu (Eucommiae Ramulus cum Folio) Taoren (Persicae Semen, skin and tip removed, double-kernel, roasted, each 1 liang) Ganjiang (Dried Ginger, processed, 1 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, 0.5 fen) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice)
The above eight ingredients are finely cut to the size of hemp seeds. Take 5 qianbi per dose with 1.5 sheng of water. Decoct until reduced to 0.8 sheng, strain, and take warm.
Treatment for heart pain, unbearable. Guixin Wan Pill
Guizhi (Cinnamomi Ramulus, coarse bark removed)
The above single ingredient is pounded into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with Perilla wine.