论曰脾者中州。为狐藏以灌四旁。脾气盛则四脏皆得所养，今脾虚受病，气上乘心，故
其为痛特甚，古方谓如针锥所刺而急迫者，是为脾心痛之候。
治脾心痛如刺。白术汤方
白术（一两二钱） 人参 陈橘皮（汤浸去白炒） 附子（炮裂去皮脐） 桂（去粗皮
各半两）
上七味锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓温服。日二。
治脾心痛。木香三棱散方
木香 枳壳（麸炒去瓤） 白芷 蓬莪术（锉煨） 白术 益智仁（炒） 陈曲（炒） 京
三棱
（炮各四两） 甘草（炙锉二两） 桂（去粗皮半两） 青橘皮（汤浸去白焙三两）
上一十一味，捣罗为散，每服半钱匕，入盐少许，沸汤点服。不计时。
治脾心痛，或泄泻不止。虚冷膈气。木香宽中散方
木香 肉豆蔻仁 白茯苓（去黑皮） 甘草（炙） 陈曲（炒黄） 诃黎勒皮（炮） 人
参（各
一两） 麦 （炒一两半） 草豆蔻（去皮） 白豆蔻（去皮） 附子（炮去皮脐各半两）
上一十一味，捣罗为散，每服一钱匕，入盐生姜各少许，空心沸汤点服。
治心脾冷痛，不可忍，霍乱吐泻。诃黎勒汤方
诃黎勒（炮去核） 甘草（炙） 干姜（炮） 浓朴（生姜汁浸一宿炒） 白豆蔻（去
皮） 陈橘
皮（汤浸去白焙干） 高良姜 白茯苓（去黑皮） 神曲（炒） 麦 （炒各一两）
上一十味，粗捣筛，每服三钱匕，水二盏，入盐少许，煎至七分，去滓温服，不拘时候
治心脾痛，霍乱吐泻。蓬莪术丸方
蓬莪术（湿纸裹煨锉） 青橘皮（汤浸去白焙干） 香子（炒） 干姜（炮） 甘草
（炙锉）
吴茱萸（汤洗焙干炒各一两） 阿魏（少许醋浸研膏入面作饼子炙干）
上七味，捣罗为末，醋煮面糊。丸如鸡头大，每服一丸，加至二丸，煨生姜煎汤嚼下。
治脾心痛如刺，或绕脐 痛，汗出。吴茱萸汤方
吴茱萸（汤洗焙干炒） 干姜（炮） 浓朴（去粗皮姜汁涂炙） 甘草（炙锉各一两） 附
子（
炮裂去皮脐一枚）
上五味，锉如麻豆，每服三钱匕，水一盏半，入枣二枚劈破，同煎至七分，去滓温服
食前。
治脾心痛。浓朴汤方
浓朴（去粗皮姜汁涂炙） 吴茱萸（汤洗焙干炒）
上三味，粗捣筛，每服五钱匕，水一盏半，入生姜一分拍碎，枣二枚劈破，同煎至七分，
去滓温服，空心日午临卧各一。
治脾心痛兼吐水。茱萸汤方
食茱萸（炒） 白术 干姜（炮各一两）
上三味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，空心午间临卧各一。
治脾心痛，痛则胀痛如锥刺。吴茱萸汤方
吴茱萸（汤洗焙干炒半两） 葱花（切半升）
上二味，拌令匀，每服五钱匕，水一盏半，煎取七分，去滓温服，食顷再服。
论述说：脾脏位于人体的中州（中央位置），作为“孤脏”以灌溉滋养四周的四脏。脾气旺盛，则其他四脏都能得到充分的滋养；如今脾虚而受病邪侵袭，气机上逆侵犯心脏，所以这种疼痛特别剧烈，古代医方形容其痛感像被针锥刺入一样急迫，这就是脾心痛的证候。
治疗脾心痛如针刺感的白术汤方：
白术（一两二钱） 人参 陈橘皮（用热水浸泡后去除白色内瓤并炒制） 附子（炮制裂开，去除外皮和脐部） 桂枝（去除粗糙外皮）
以上七味药切碎如麻豆大小，每次服用五钱匕，加水一盏半，煎煮至八分满，滤去药渣，温服。每日两次。
治疗脾心痛的木香三棱散方：
木香 枳壳（麸皮炒后去除内部瓤） 白芷 蓬莪术（切碎并煨制） 白术 益智仁（炒制） 陈曲（炒制） 京三棱（炮制，各四两） 甘草（炙烤、切碎，二两） 桂枝（去除粗糙外皮，半两） 青橘皮（热水浸泡去白焙干，三两）
以上十一味药，捣碎过筛成散剂，每次服用半钱匕，加入少许盐，用沸水冲服。不限时间。
治疗脾心痛，或泄泻不止，虚冷膈气的木香宽中散方：
木香 肉豆蔻仁 白茯苓（去除黑皮） 甘草（炙烤） 陈曲（炒黄） 诃黎勒皮（炮制） 人参（各一两） 麦芽（炒，一两半） 草豆蔻（去皮） 白豆蔻（去皮） 附子（炮制，去皮脐，各半两）
以上十一味药，捣碎过筛成散剂，每次服用一钱匕，加入少许盐和生姜，空腹时用沸水冲服。
治疗心脾冷痛，难以忍受，霍乱吐泻的诃黎勒汤方：
诃黎勒（炮制，去核） 甘草（炙烤） 干姜（炮制） 浓朴（用生姜汁浸泡一夜后炒制） 白豆蔻（去皮） 陈橘皮（热水浸泡去白焙干） 高良姜 白茯苓（去黑皮） 神曲（炒制） 麦芽（炒，各一两）
以上十味药，粗捣筛选，每次服用三钱匕，加水二盏，加入少许盐，煎煮至七分满，滤去药渣，温服，不拘泥于特定时间。
治疗心脾痛，霍乱吐泻的蓬莀术丸方：
蓬莪术（湿纸包裹煨制后切碎） 青橘皮（热水浸泡去白焙干） 香子（炒制） 干姜（炮制） 甘草（炙烤切碎） 吴茱萸（热水清洗焙干炒，各一两） 阿魏（少许，醋浸泡研成膏，拌入面粉做成饼状炙干）
以上七味药，捣碎过筛成粉末，用醋煮面糊为粘合剂。制成如鸡头米大小的丸子，每次服用一丸，可加至两丸，用煨生姜煎汤送服咀嚼。
治疗脾心痛如针刺，或绕脐疼痛，出汗的吴茱萸汤方：
吴茱萸（热水清洗焙干炒） 干姜（炮制） 浓朴（去除粗皮，姜汁涂炙） 甘草（炙烤切碎，各一两） 附子（炮制裂开，去皮脐，一枚）
以上五味药，切碎如麻豆大小，每次服用三钱匕，加水一盏半，加入两枚劈破的大枣，同煎至七分满，滤去药渣，温服，饭前服用。
治疗脾心痛的浓朴汤方：
浓朴（去除粗皮，姜汁涂炙） 吴茱萸（热水清洗焙干炒）
以上三味药，粗捣筛选，每次服用五钱匕，加水一盏半，加入一分拍碎的生姜，两枚劈破的大枣，同煎至七分满，滤去药渣，温服，空腹、中午、睡前各一次。
治疗脾心痛兼有吐水的茱萸汤方：
食茱萸（炒制） 白术 干姜（炮制，各一两）
以上三味药，粗捣筛选，每次服用三钱匕，加水一盏，煎煮至七分满，滤去药渣，温服，空腹、午间、睡前各一次。
治疗脾心痛，疼痛时胀满如锥刺的吴茱萸汤方：
吴茱萸（热水清洗焙干炒，半两） 葱花（切碎，半升）
以上两味药，拌匀，每次服用五钱匕，加水一盏半，煎取七分满，滤去药渣，温服，进食片刻后再服。
It is stated that the Spleen resides in the Central Region (Zhongzhou) of the body. As the "Lone Zang" (Gu Zang), it irrigates and nourishes the four surrounding organs. When Spleen Qi is abundant, all four other Zang organs receive adequate nourishment; however, when the Spleen is deficient and afflicted by pathogenic factors, Qi rebels upward to invade the Heart, resulting in particularly severe pain. Ancient formulas describe this pain as urgent and piercing, like being stabbed with a needle or awl, which constitutes the syndrome of Pi Xin Tong (Spleen-Heart Pain).
Formula for Treating Pi Xin Ting with Stabbing Pain: Baizhu Tang (Atractylodis Macrocephalae Decoction)
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 2 qian)
Renshen (Ginseng Radix et Rhizoma)
Chen Jupi (Citri Reticulatae Pericarpium Vetustum, soaked in water, white pith removed, stir-fried)
Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, outer skin and umbilical scar removed)
Guizhi (Cinnamomi Ramulus, outer bark removed)
Seven ingredients are cut into pieces the size of hemp seeds. Each dose consists of 5 qian bi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Twice daily.
Formula for Treating Pi Xin Tong: Muxiang Sanleng San (Costus and Curcuma Powder)
Muxiang (Aucklandiae Radix)
Zhiqiao (Aurantii Fructus Immaturus, stir-fried with bran, pith removed)
Baizhi (Angelicae Dahuricae Radix)
Peng Ezhu (Curcumae Longae Rhizoma, cut and roasted)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Yizhiren (Alpiniae Oxyphyllae Fructus, stir-fried)
Chen Qu (Medicated Leaven, stir-fried)
Jing Sanleng (Sparganii Rhizoma, processed, each 4 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, 2 liang)
Guizhi (Cinnamomi Ramulus, outer bark removed, 0.5 liang)
Qing Jupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried over fire, 3 liang)
Eleven ingredients are pounded and sifted into a powder. Each dose is 0.5 qian bi, taken with a pinch of salt and boiling water. Time is not restricted.
Formula for Treating Pi Xin Tong, or Continuous Diarrhea, and Deficient-Cold Ge Qi: Muxiang Kuanzhong San (Costus Midsection-Widening Powder)
Muxiang (Aucklandiae Radix)
Roudoukou (Myristicae Semen)
Baifuling (Poria, black skin removed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Chen Qu (Medicated Leaven, stir-fried until yellow)
Helilepi (Terminaliae Chebulae Pericarpium, processed)
Renshen (Ginseng Radix et Rhizoma, each 1 liang)
Mairen (Hordei Fructus Germinatus, stir-fried, 1.5 liang)
Caodoukou (Cardamomi Rotundus Semen, peeled)
Baidoukou (Cardamomi Fructus, peeled)
Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, umbilical scar removed, each 0.5 liang)
Eleven ingredients are pounded and sifted into a powder. Each dose is 1 qian bi, taken on an empty stomach with boiling water, along with a little salt and fresh ginger.
Formula for Treating Cold Pain of Heart and Spleen, Unbearable, Huoluan with Vomiting and Diarrhea: Helile Tang (Terminalia Chebula Decoction)
Helile (Terminaliae Chebulae Fructus, processed, pit removed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
Ganjiang (Zingiberis Rhizoma Recens, processed)
Houpo (Magnoliae Officinalis Cortex, soaked in fresh ginger juice overnight, stir-fried)
Baidoukou (Cardamomi Fructus, peeled)
Chen Jupi (Citri Reticulatae Pericarpium Vetustum, soaked in water, white pith removed, dried)
Gaoliangjiang (Alpiniae Officinarum Rhizoma)
Baifuling (Poria, black skin removed)
Shenqu (Massa Medicata Fermentata, stir-fried)
Mairen (Hordei Fructus Germinatus, stir-fried, each 1 liang)
Ten ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, boiled with 2 zhan of water and a little salt until reduced to 0.7 zhan. Strain and take warm. No specific time restriction.
Formula for Treating Heart-Spleen Pain, Huoluan with Vomiting and Diarrhea: Peng Ezhu Wan (Curcuma Pill)
Peng Ezhu (Curcumae Longae Rhizoma, wrapped in wet paper and roasted, then cut)
Qing Jupi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried)
Xiangzi (likely Bishengzi or similar aromatic seed, stir-fried)
Ganjiang (Zingiberis Rhizoma Recens, processed)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut)
Wuzhuyu (Evodiae Fructus, washed in water, dried over fire, stir-fried, each 1 liang)
awei (Asafoetida, a small amount, soaked in vinegar, ground into paste, mixed with flour to make cakes, roasted dry)
Seven ingredients are pounded and sifted into powder. Vinegar and wheat starch paste are used as binders. Pills are made the size of chicken heads. Take one pill per dose, increasing to two if necessary, chewed and swallowed with decoction of roasted fresh ginger.
Formula for Treating Pi Xin Tong like Stabbing, or Periumbilical Pain, with Sweating: Wuzhuyu Tang (Evodia Decoction)
Wuzhuyu (Evodiae Fructus, washed in water, dried over fire, stir-fried)
Ganjiang (Zingiberis Rhizoma Recens, processed)
Houpo (Magnoliae Officinalis Cortex, outer bark removed, coated with ginger juice and roasted)
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut, each 1 liang)
Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, outer skin and umbilical scar removed, one piece)
Five ingredients are cut into pieces the size of hemp seeds. Each dose is 3 qian bi, boiled with 1.5 zhan of water and two split jujubes until reduced to 0.7 zhan. Strain and take warm before meals.
Formula for Treating Pi Xin Tong: Houpo Tang (Magnolia Bark Decoction)
Houpo (Magnoliae Officinalis Cortex, outer bark removed, coated with ginger juice and roasted)
Wuzhuyu (Evodiae Fructus, washed in water, dried over fire, stir-fried)
Three ingredients are coarsely crushed and sieved. Each dose is 5 qian bi, boiled with 1.5 zhan of water, one part of smashed fresh ginger, and two split jujubes until reduced to 0.7 zhan. Strain and take warm. Taken on an empty stomach, at noon, and before bed.
Formula for Treating Pi Xin Tong with Vomiting of Water: Zhuyu Tang (Evodia Decoction)
Shi Zhuyu (Tetradenia Daphnoides Fruit, stir-fried)
Baizhu (Atractylodis Macrocephalae Rhizoma)
Ganjiang (Zingiberis Rhizoma Recens, processed, each 1 liang)
Three ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, boiled with 1 zhan of water until reduced to 0.7 zhan. Strain and take warm. Taken on an empty stomach, at noon, and before bed.
Formula for Treating Pi Xin Tong, where Pain feels like Swelling and Stabbing with Awls: Wuzhuyu Tang (Evodia Decoction)
Wuzhuyu (Evodiae Fructus, washed in water, dried over fire, stir-fried, 0.5 liang)
Congbai (Allii Fistulosi Bulbus, chopped, 0.5 sheng)
Two ingredients are mixed evenly. Each dose is 5 qian bi, boiled with 1.5 zhan of water until reduced to 0.7 zhan. Strain and take warm. Re-administer after a short period of eating.