治九种心痛，并疗冷冲上气落马堕车，血疾等方。（一虫心痛，二疰心痛，三风心痛，
四悸心痛，五食心痛，六饮心痛，七冷心痛，八热心痛，九来去心痛。此之谓九痛。）
附子 干姜（各二两） 吴茱萸 人参 巴豆（各一两） 生野狼毒（四两）
上六味为末，蜜和丸，如梧子大，空腹服三丸。猝中恶腹胀痛口不能言者服五丸，日
一服。连年积冷流注心胸者，亦服之，好好将息神验。（《金匮》方用附子三两，干姜、野狼
牙各一两。）
治九种心痛方∶
取当太岁上新生槐枝一握，去两头， 咀，以水三升煮取一升，顿服。
治心中痞诸逆悬痛方。
桂心 生姜（各二两） 胶饴（半斤）
上三味，取二味 咀，以水六升煮取三升，去滓，纳饴，分三服。（仲景用枳实五枚，
不用胶饴，肘后用枳实五枚，白术二两，为五味。）
治心痛彻背，背痛彻心方。
乌头（六铢） 附子 蜀椒（各半两） 干姜 赤石脂（各一两）
上五味为末，蜜丸，如梧子大，先食服三丸，日三，不知少增之。（范汪不用附子，服
如
治心痛方∶
桃白皮煮汁，空腹以意服之。（崔氏用疗疰心痛。）
治暴心痛或如中恶口中涎出不可禁止回回欲吐方∶
苦参（十斤）
上一味 咀，以水一石煮取二斗，去滓，下苦酒二斗，更煎取五升，加大豆黄末熬和煮
汁中煎，令可丸，并手丸之，如梧子大。每服以酒一升进三四十丸，日一，当倒腹吐，不吐
下利，更酒浸苦参二斤，进丸弥佳，非止腹痛心暴痛 骨等痛。凡是腹中之疾悉主之，又宿
冷血
治猝中恶心痛方∶
苦参（三两）
上一味 咀，以好醋一升半煮取八合，强者顿服，老小分二服。
又方 桂心（一两）
上一味 咀，以水四升煮取一升半，分三服。
治虫心痛方∶
鹤虱为末，蜜丸，如梧子大，服四十丸，蜜汤下，日一服，可加至五十丸，慎酒肉。
又方 鹤虱一两为末，温醋一盏和，空腹服之，虫当吐出。
又方 服漆一合，（方见后养生服饵篇中），凡虫心痛皆用漆主之。
【背景信息】
书名：备急千金要方 作者：孙思邈 朝代：唐·永徽三年 章节：九痛丸 / 桂心三物汤 / 乌头丸 类别：方剂
【待处理原文】
治疗九种心痛，并治疗冷气冲逆上气、落马堕车（从马上摔下或从高处坠落）、血疾等方。（一为虫心痛，二为疰心痛，三为风心痛，四为悸心痛，五为食心痛，六为饮心痛，七为冷心痛，八为热心痛，九为来去心痛。这被称为九痛。）
附子（各二两） 干姜（各二两） 吴茱萸 人参 巴豆（各一两） 生野狼毒（四两）
以上六味药研成细末，用蜂蜜调和制成丸药，如梧桐子大小，空腹服用三丸。突然遭受恶邪侵袭导致腹胀痛、口不能言者，服用五丸，每日服用一次。连年积冷流注心胸者，也服用此药，好好调养，神效验证。（《金匮要略》方中用附子三两，干姜、野狼牙各一两。）
治疗九种心痛方：
取当年太岁方位上新生的槐树枝一握，去掉两头，切碎，用水三升煮取一升，一次性服下。
治疗心中痞塞、各种逆气悬痛方。
桂心 生姜（各二两） 胶饴（半斤）
以上三味药，取前两位切碎，用水六升煮取三升，去渣，加入饴糖，分三次服用。（张仲景方用枳实五枚，不用胶饴；《肘后备急方》用枳实五枚，白术二两，共五味药。）
治疗心痛放射至背部，背痛放射至心脏方。
乌头（六铢） 附子 蜀椒（各半两） 干姜 赤石脂（各一两）
以上五味药研成细末，用蜂蜜制成丸药，如梧桐子大小，饭前服用三丸，每日三次，若无效则稍增加剂量。（范汪方不用附子，服药方法同上。）
治疗心痛方：
桃树皮煮汁，空腹酌情服用。（崔氏方用于治疗疰心痛。）
治疗突发心痛或像遭受恶邪侵袭、口中涎出不止、频频欲吐方：
苦参（十斤）
以上一味药切碎，用水一石煮取二斗，去渣，加入醋二斗，再煎取五升，加大豆黄末熬和煮汁中煎，使其可制成丸药，用手搓成丸，如梧桐子大小。每次用酒一升送服三四十丸，每日一次，应当引起呕吐腹泻，若不吐不泻，再用酒浸泡苦参二斤，送服丸药更佳，不仅治疗腹痛、突发心痛、骨痛等痛。凡是腹中的疾病都主治，又治宿冷血瘀。
治疗突然遭受恶邪侵袭心痛方：
苦参（三两）
以上一味药切碎，用好醋一升半煮取八合，体质强者一次性服下，老人小孩分两次服用。
又一方：桂心（一两）
以上一味药切碎，用水四升煮取一升半，分三次服用。
治疗虫心痛方：
鹤虱研成细末，用蜂蜜制成丸药，如梧桐子大小，服用四十丸，用蜜汤送下，每日一次，可增加至五十丸，忌食酒肉。
又一方：鹤虱一两研成细末，用温醋一盏调和，空腹服用，虫子应当吐出。
又一方：服用漆一合，（方见后养生服饵篇中），凡虫心痛都用漆为主治。
[Background Information]
Book: *Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Sun Simiao
Dynasty: Tang Dynasty, Yonghui Year 3
Chapter: Jiutong Wan (Nine-Pain Pill) / Guixin Sanwu Tang (Cinnamon Heart Three-Ingredient Decoction) / Wutou Wan (Aconite Pill)
Category: Formulas
[Treating the Nine Types of Heartache and Other Conditions]
Treats the nine types of heartache, as well as cold qi rushing upward, injuries from falling off horses or from heights, blood disorders, etc. (1. Worm heartache; 2. Zhu [infectious/pestilential] heartache; 3. Wind heartache; 4. Palpitation heartache; 5. Food heartache; 6. Drink [fluid retention] heartache; 7. Cold heartache; 8. Heat heartache; 9. Migratory heartache. These are called the Nine Pains.)
Fuzi (Prepared Aconiti Lateralis Radix) (2 liang each) Ganjiang (Dried Zingiberis Rhizoma) (2 liang each) Wuzhuyu (Evodiae Fructus) Renshen (Ginseng Radix et Rhizoma) Badou (Crotonis Fructus) Sheng Yelangdu (Fresh Stellerae Radix) (4 liang)
Grind the above six ingredients into powder, mix with honey to form pills the size of a Chinese quince seed. Take three pills on an empty stomach. For sudden attack by evil pathogens causing abdominal distension and pain with inability to speak, take five pills, once daily. For chronic accumulation of cold flowing into the chest and heart, also take this medicine. Maintain proper rest and care; it is miraculously effective. (The formula in *Jingui Yaolue* uses 3 liang of Fuzi, and 1 liang each of Ganjiang and Yelangya [Stellerae Radix].)
Formula for Treating the Nine Types of Heartache:
Take one handful of fresh Huai branch (Sophorae Tomentosae Ramulus) growing in the direction of the Tai Sui deity that year, remove the two ends, chop it, boil in 3 sheng of water until reduced to 1 sheng, and take in one dose.
Formula for Treating Chest Bi (Pipi), Various Rebellious Qi, and Suspended Pain:
Guixin (Cinnamomi Cortex) Shengjiang (Zingiberis Rhizoma Recens) (2 liang each) Jiaoyi (Malt Sugar) (0.5 jin)
Chop the first two ingredients, boil in 6 sheng of water until reduced to 3 sheng, strain, add Jiaoyi, and divide into three doses. (Zhang Zhongjing's formula uses 5 pieces of Zhishi (Aurantii Fructus Immaturus) and does not use Jiaoyi; *Zhouhou Beiji Fang* uses 5 pieces of Zhishi and 2 liang of Baizhu (Atractylodis Macrocephalae Rhizoma), totaling five ingredients.)
Formula for Treating Heartache Radiating to the Back and Backache Radiating to the Heart:
Wutou (Aconiti Radix) Fuzi (Aconiti Lateralis Radix Praeparata) Shujiao (Zanthoxyli Pericarpium) (0.5 liang each) Ganjiang (Zingiberis Rhizoma) Chishizhi (Halloysitum Rubrum) (1 liang each)
Grind the above five ingredients into powder, mix with honey to form pills the size of a Chinese quince seed. Take three pills before meals, three times daily. If ineffective, slightly increase the dosage. (Fan Wang's formula does not use Fuzi; administration method is otherwise the same.)
Formula for Treating Heartache:
Boil Taobai pi (Pruni Persicae Cortex) juice, take appropriately on an empty stomach. (Cui Shi's formula treats Zhu heartache.)
Formula for Treating Sudden Heartache or Feeling Like Evil Attack with Uncontrollable Salivation and Frequent Urge to Vomit:
Kushen (Sophorae Flavescentis Radix) (10 jin)
Chop the single ingredient, boil in 1 dan of water until reduced to 2 dou, strain, add 2 dou of Kujiu (Vinegar), and decoct again until reduced to 5 sheng. Add Doudahuangmo (Powdered Soybean) and continue boiling until it can be formed into pills. Roll into pills the size of a Chinese quince seed. Take 30–40 pills at a time with 1 sheng of wine, once daily. Vomiting and diarrhea should occur. If there is no vomiting or diarrhea, soak another 2 jin of Kushen in wine and take the pills; this is better. It treats not only abdominal pain, sudden heartache, bone pain, etc., but all diseases within the abdomen, as well as chronic cold and blood stasis.
Formula for Treating Sudden Evil Attack Causing Heartache:
Kushen (Sophorae Flavescentis Radix) (3 liang)
Chop the single ingredient, boil in 1.5 sheng of good vinegar until reduced to 8 he. Those with strong constitution take in one dose; the elderly and children divide into two doses.
Another Formula: Guixin (Cinnamomi Cortex) (1 liang)
Chop the single ingredient, boil in 4 sheng of water until reduced to 1.5 sheng, divide into three doses.
Formula for Treating Worm Heartache:
Grind Lesi (Chrysanthemi Indici Flos) into powder, mix with honey to form pills the size of a Chinese quince seed. Take 40 pills, washed down with sweet water, once daily. The dose may be increased to 50 pills. Avoid alcohol and meat.
Another Formula: Grind 1 liang of Lesi into powder, mix with one cup of warm vinegar, take on an empty stomach; the worms should be vomited out.
Another Formula: Take 1 he of Qi (Lac), (see the section on Nourishing Life and Ingestibles later); Lac is the primary treatment for all worm heartaches.