论曰胃为水谷之海，足阳明之脉也。阳明之脉络属心，心胃不和，寒气乘之，则气聚于
胃中，令水谷不化，胃满连心，故心腹卒胀痛也。
治心腹卒痛如刺。两胁胀满。高良姜汤方
高良姜（二两） 当归（切焙） 桂（去粗皮各一两半） 浓朴（去粗皮生姜汁炙一两）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服、日三。
治心腹卒胀痛，吐痰不止。半夏汤方
半夏（汤洗去滑焙） 甘草（炙锉） 陈橘皮（汤浸去白焙） 桂（去粗皮各半两） 人
参白
上七味，锉如麻豆大，每服三钱匕，水一盏半，入生姜三片，煎至七分，去滓空心温
服、日再。
治冷热相击，心腹卒痛不可忍。当归汤方
当归（切焙） 高良姜 浓朴（去粗皮生姜汁炙各一两半） 桃仁（六十粒去皮尖双仁
麸炒
上五味，粗捣筛，每服三钱匕，水一盏，入生姜三片，煎至七分，去滓温服日三。
治心腹卒 痛如刺，胸胁胀痛。浓朴汤方
浓朴（去粗皮生姜汁炙） 当归（切焙） 桂（去粗皮） 高良姜 芎 （各一两）
上五味，粗捣筛，每服三钱匕 水一盏，煎至七分，去滓温服，日三。
治心腹受冷，卒胀满，短气 痛。吴茱萸丸方
吴茱萸（汤洗焙干炒） 干姜（炮） 附子（炮裂去皮脐各一两） 青橘皮（汤浸焙干
炒） 细
上六味，捣罗为细末，炼蜜和丸，如梧桐子大，每服二十丸。温酒下不拘时候。
治心腹卒胀痛，胸胁支满欲死。枳实散方
枳实（去瓤麸炒） 桂（去粗皮各一两）
上二味，捣罗为细散，每服二钱匕，米饮调下。
治心腹卒胀痛，桂心丸方
桂（去粗皮二两） 乌头（炮裂去皮脐一两）
上二味，捣罗为细末，炼蜜和丸，如梧桐子大，每服五丸，米饮下，渐增至七丸。
治心腹卒胀痛。桃白皮汤方
桃白皮（锉一两）
上一味，以水三盏，煎取一盏，去滓顿服，根皮亦佳。
治心腹气滞，卒胀满闷。柴胡汤方
柴胡（去苗二两半） 赤茯苓（去黑皮） 陈橘皮（去白焙各二两） 浓朴（去粗皮涂
生姜汁
炙香熟一两半） 紫苏茎叶 槟榔（各三两锉） 生姜（去皮薄切焙干五两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，如人行五里再服。利
动即效。
治心腹卒胀痛。槟榔汤方
槟榔（锉碎十枚） 生姜（去皮薄切焙干） 陈橘皮（汤浸去白焙） 枳壳（去瓤麸炒）
甘草
（炙锉各三两） 大黄（锉炒） 木香（各二两）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分。去滓温服，微利即效。
治心腹卒胀痛，膈气噎塞。宿食不消，大便秘涩。神保丸方
木香 胡椒（各一分） 巴豆（十枚去皮心研） 干蝎（七枚炒）
上四味，捣研为末，汤化蒸饼，丸如麻子大。丹砂为衣。每服三丸，心膈痛、柿蒂灯心
汤下，腹痛、柿蒂煨姜煎汤下。血气痛、炒生姜醋小便下，小便不通、灯心汤下。血痢脏毒
、楮叶汤下。肺气甚者、白矾蚌粉各三分，铅丹一分，同研为散，煎桑根白皮糯米饮，调下
二钱，肾气胁下痛， 香子酒下，大便不通，蜜汤调槟榔末一钱下，气噎、木香汤下，宿食
不消，茶酒浆饮下。
论述说：胃是受纳水谷的器官，属于足阳明经脉。足阳明经脉联络并归属于心，如果心与胃的功能不协调，寒气侵袭，就会导致气机郁结在胃中，使得水谷无法消化，胃部胀满感牵连至心脏，因此出现心腹部突然胀痛的症状。
治疗心腹部突然疼痛如针刺样，两胁部胀满的高良姜汤方：
高良姜（二两）、当归（切碎后焙干）、桂枝（去除粗皮，各一两半）、厚朴（去除粗皮，用生姜汁炙烤，一两）。
以上四味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分水量，滤去药渣，温服，每日三次。
治疗心腹部突然胀痛，呕吐痰涎不止的半夏汤方：
半夏（用热水洗去滑腻物后焙干）、甘草（炙烤后锉碎）、陈皮（用热水浸泡后刮去白瓤焙干）、桂枝（去除粗皮，各半两）、人参（切片）。
以上七味药，锉碎如麻豆大小，每次服用三钱匕，加水一盏半，放入生姜三片，煎煮至七分水量，滤去药渣，空腹时温服，每日两次。
治疗冷热邪气相互搏击，心腹部突然剧烈疼痛难以忍受的当归汤方：
当归（切碎后焙干）、高良姜、厚朴（去除粗皮，用生姜汁炙烤，各一两半）、桃仁（六十粒，去皮尖及双仁，用麸皮炒制）。
以上五味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，放入生姜三片，煎煮至七分水量，滤去药渣，温服，每日三次。
治疗心腹部突然疼痛如针刺，胸胁部胀痛的厚朴汤方：
厚朴（去除粗皮，用生姜汁炙烤）、当归（切碎后焙干）、桂枝（去除粗皮）、高良姜、川芎（各一两）。
以上五味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分水量，滤去药渣，温服，每日三次。
治疗心腹部受寒，突然胀满，呼吸短促且疼痛的吴茱萸丸方：
吴茱萸（用热水洗后焙干炒制）、干姜（炮制）、附子（炮制裂开，去皮和脐，各一两）、青橘皮（用水浸泡后焙干炒制）、细辛（原文此处可能有缺字，依常理推测为细辛或类似药材，但严格按原文提取实体）。
以上六味药，捣碎过筛制成细末，用炼蜜调和做成丸药，如梧桐子大小，每次服用二十丸，用温酒送服，不限时间。
治疗心腹部突然胀痛，胸胁部支撑胀满感觉快要死去的枳实散方：
枳实（去除瓤，用麸皮炒制）、桂枝（去除粗皮，各一两）。
以上两味药，捣碎过筛制成细散，每次服用二钱匕，用米汤调下。
治疗心腹部突然胀痛，桂心丸方：
桂心（去除粗皮，二两）、乌头（炮制裂开，去皮和脐，一两）。
以上两味药，捣碎过筛制成细末，用炼蜜调和做成丸药，如梧桐子大小，每次服用五丸，用米汤送服，逐渐增加至七丸。
治疗心腹部突然胀痛，桃白皮汤方：
桃白皮（锉碎，一两）。
以上一味药，用水三盏，煎取一盏，滤去药渣，一次性服下，使用根皮也可以。
治疗心腹部气机阻滞，突然胀满胸闷的柴胡汤方：
柴胡（去除苗，二两半）、赤茯苓（去除黑皮）、陈皮（去除白瓤焙干，各二两）、厚朴（去除粗皮，涂生姜汁炙烤至香熟，一两半）、紫苏茎叶、槟榔（各三两，锉碎）、生姜（去皮薄切后焙干，五两）。
以上七味药，捣碎并筛成粗末，每次服用五钱匕，加水一盏半，煎煮至八分水量，滤去药渣，温服，如人行走五里的时间内再次服用。大便通畅即见效。
治疗心腹部突然胀痛，槟榔汤方：
槟榔（锉碎，十枚）、生姜（去皮薄切后焙干）、陈皮（用水浸泡后刮去白瓤焙干）、枳壳（去除瓤，用麸皮炒制）、甘草（炙烤后锉碎，各三两）、大黄（锉碎炒制）、木香（各二两）。
以上七味药，捣碎并筛成粗末，每次服用三钱匕，加水一盏，煎煮至七分水量，滤去药渣，温服，轻微腹泻即见效。
治疗心腹部突然胀痛，膈间气机噎塞。宿食不消化，大便秘结不通的神保丸方：
木香、胡椒（各一分）、巴豆（十枚，去皮心研碎）、全蝎（七枚，炒制）。
以上四味药，捣碎研成细末，用热水化开蒸饼，做成如麻子大小的丸药，以朱砂为衣。每次服用三丸，如果是心膈痛，用柿蒂灯心草汤送服；如果是腹痛，用柿蒂煨姜煎汤送服；如果是血气痛，用炒生姜醋小便送服；如果是小便不通，用灯心草汤送服；如果是血痢脏毒，用楮树叶汤送服；如果是肺气严重者，用白矾、蚌粉各三分，铅丹一分，共同研成散剂，煎桑根白皮糯米饮，调服二钱；如果是肾气胁下痛，用茴香子酒送服；如果是大便不通，用蜂蜜汤调服槟榔末一钱；如果是气噎，用木香汤送服；如果是宿食不消化，用茶、酒或浆饮送服。
Commentary states: The Stomach is the sea of water and grain, belonging to the Foot-Yangming Meridian. The Yangming Meridian connects with and attaches to the Heart. If the Heart and Stomach are disharmonious, and Cold pathogen takes advantage of this, Qi will accumulate in the Stomach, causing food and fluids to fail to transform. The fullness of the Stomach extends to the Heart, resulting in sudden distending pain in the heart and abdomen.
Gao Liang Jiang Tang (Galangal Decoction) for treating sudden stabbing pain in the heart and abdomen, with distension and fullness in both hypochondria:
Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜, two liang), Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each one and a half liang), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice, one liang).
The above four herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Ban Xia Tang (Pinellia Decoction) for treating sudden distending pain in the heart and abdomen, with incessant vomiting of phlegm:
Pinelliae Tuber (Banxia, 半夏, wash with hot water to remove slipperiness, then roast), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, roast and crush), Citri Reticulatae Pericarpium (Chenpi, 陈皮, soak in hot water, remove white pith, then roast), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each half liang), Ginseng Radix (Renshen, 人参, sliced).
The above seven herbs are crushed to the size of hemp seeds. Take three qianbi per dose, add one and a half zhan of water, put in three slices of fresh ginger, decoct until seven-tenths remain, remove dregs, and take warm on an empty stomach. Twice daily.
Dang Gui Tang (Angelica Decoction) for treating clashing of cold and heat, with unbearable sudden pain in the heart and abdomen:
Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice, each one and a half liang), Prunus Persica Semen (Taoren, 桃仁, sixty grains, remove skin and sharp ends, double-kernel ones removed, stir-fry with bran).
The above five herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, put in three slices of fresh ginger, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Hou Po Tang (Magnolia Bark Decoction) for treating sudden stabbing pain in the heart and abdomen, with distending pain in the chest and hypochondria:
Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, stir-fry with ginger juice), Angelicae Sinensis Radix (Danggui, 当归, cut and roasted), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark), Alpiniae Officinarum Rhizoma (Liangjiang, 高良姜), Ligustici Chuanxiong Rhizoma (Xiong, 川芎, each one liang).
The above five herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain, remove dregs, and take warm. Three times daily.
Wu Zhu Yu Wan (Evodia Pill) for treating cold invasion of the heart and abdomen, with sudden distension and fullness, shortness of breath, and pain:
Evodiae Fructus (Wuzhuyu, 吴茱萸, wash with hot water, roast dry), Zingiberis Rhizoma Recens (Shengjiang, 干姜 - note: text says Ganjiang, dried ginger, processed), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed until cracked, remove skin and navel, each one liang), Citri Reticulatae Pericarpium Viride (Qingju pi, 青橘皮, soak in water, roast dry), Asari Radix et Rhizoma (Xi Xin, 细辛 - inferred from context "fine", though text cuts off).
The above six herbs are pounded and sieved into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take twenty pills per dose, swallow with warm wine at any time.
Zhi Shi San (Immature Bitter Orange Powder) for treating sudden distending pain in the heart and abdomen, with support-like fullness in the chest and hypochondria feeling fatal:
Citri Aurantii Fructus Immaturus (Zhishi, 枳实, remove pulp, stir-fry with bran), Cinnamomi Ramulus (Guizhi, 桂, remove coarse bark, each one liang).
The above two herbs are pounded and sieved into fine powder. Take two qianbi per dose, mix with rice drink and swallow.
Gui Xin Wan (Cinnamon Heart Pill) for treating sudden distending pain in the heart and abdomen:
Cinnamomi Ramulus (Guixin, 桂, remove coarse bark, two liang), Aconiti Radix (Wutou, 乌头, processed until cracked, remove skin and navel, one liang).
The above two herbs are pounded and sieved into fine powder. Mix with refined honey to make pills the size of paulownia seeds. Take five pills per dose, swallow with rice drink, gradually increase to seven pills.
Tao Bai Pi Tang (Peach White Bark Decoction) for treating sudden distending pain in the heart and abdomen:
Pruni Persicae Cortex (Tao baipi, 桃白皮, crushed, one liang).
The above single herb is decocted in three zhan of water until one zhan remains. Remove dregs and take in one dose. Root bark is also suitable.
Chai Hu Tang (Bupleurum Decoction) for treating qi stagnation in the heart and abdomen, with sudden distension, fullness, and oppression:
Bupleuri Radix (Chaihu, 柴胡, remove seedlings, two and a half liang), Poria Cum Radice Xyli (Chifuling, 赤茯苓, remove black skin), Citri Reticulatae Pericarpium (Chenpi, 陈皮, remove white pith, roast, each two liang), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove coarse bark, coat with ginger juice, roast until fragrant, one and a half liang), Perillae Caulis et Folium (Zisu jingye, 紫苏茎叶), Arecae Semen (Binglang, 槟榔, each three liang, crushed), Zingiberis Rhizoma Recens (Shengjiang, 生姜, peel, slice thinly, roast dry, five liang).
The above seven herbs are coarsely crushed and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct until eight-tenths remain, remove dregs, and take warm. Repeat the dose after walking five li. Effect is seen when bowel movement occurs.
Bing Lang Tang (Areca Seed Decoction) for treating sudden distending pain in the heart and abdomen:
Arecae Semen (Binglang, 槟榔, crushed, ten pieces), Zingiberis Rhizoma Recens (Shengjiang, 生姜, peel, slice thinly, roast dry), Citri Reticulatae Pericarpium (Chenpi, 陈皮, soak in hot water, remove white pith, roast), Aurantii Fructus (Zhike, 枳壳, remove pulp, stir-fry with bran), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, roast and crush, each three liang), Rheum Palmatum Radix et Rhizoma (Dahuang, 大黄, crush and roast), Costi Radix (Muxiang, 木香, each two liang).
The above seven herbs are coarsely crushed and sifted. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain. Remove dregs, take warm. Effect is seen with mild diarrhea.
Shen Bao Wan (Divine Preservation Pill) for treating sudden distending pain in the heart and abdomen, diaphragmatic qi obstruction and choking. Indigestion of retained food, constipation with dry stool:
Costi Radix (Muxiang, 木香), Piperis Longi Fructus (Hujiao, 胡椒, each one fen), Crotonis Fructus (Badou, 巴豆, ten pieces, remove skin and heart, grind), Scorpio (Quanxie, 全蝎, seven pieces, roast).
The above four herbs are pounded and ground into powder. Dissolve steamed cake in hot water, mix with powder to make pills the size of sesame seeds. Coat with Cinnabar (Dansha, 丹砂). Take three pills per dose. For heart and diaphragm pain, swallow with persimmon stalk and centipede grass decoction; for abdominal pain, swallow with persimmon stalk and roasted ginger decoction; for blood and qi pain, swallow with stir-fried fresh ginger vinegar urine; for urinary obstruction, swallow with centipede grass decoction; for bloody dysentery and internal toxin, swallow with catalpa leaf decoction; for severe lung qi, mix alum and clam powder (each three fen) with lead monoxide (one fen), grind into powder, decoct mulberry root bark and glutinous rice water, mix with two qian of powder and swallow; for kidney qi pain under hypochondria, swallow with fennel seed wine; for constipation, mix one qian of Areca Seed powder with honey water and swallow; for qi choking, swallow with costus root decoction; for indigestion of retained food, swallow with tea, wine, or malt beverage.