《广济》主冷气心痛,肋下鸣转,喉中妨食不消,常生食气,每食心头住不下。桔梗散
方。
桔梗 当归 芍药 茯苓 橘皮 浓朴(炙) 白术(各八分) 荜茇(四分) 豆蔻
子(四
分)
上十二味,捣筛为散。空腹煮姜枣饮服方寸匕,日二服,加至一匕半,不利。忌生葱、
猪肉、酢物、桃、李、雀肉等。(一方有枳实,不用桔梗,出第四卷中)
《深师》疗胸满短气,心痛吐涎虚冷。防风茯苓汤方。
防风(二两) 茯苓(二两) 桂心(六两) 甘草(二两炙) 半夏(四两洗) 干
姜(四两炮
)人参(三两)
上七味,切,以水一斗,煮取三升,绞去滓,分三服,良。忌酢物、生葱、海藻、菘菜
、羊肉、饧。(出第十六卷中)
崔氏疗心痛与冷气痛者,特相宜。乌头丸方。
乌头(三两炮) 附子(三两炮) 赤石脂(三两) 蜀椒(二两出汗) 桂心(二两)
干姜(
二两)
上六物,捣筛,蜜和为丸。痛发时温清酒服三丸如梧子,觉至痛处,痛则止,若不止加
至五六丸,以知为度。若早朝服无所觉,至午时又服三丸。此方丹阳有隐士出山云得华佗法
,其疗略同。若久心痛,每旦服三丸,稍加至十丸,尽一剂,遂终身不发。忌生葱、猪肉。
(张文仲、《备急》同,出第四卷中)
《延年》疗冷气久,刺心痛不能食方。
当归 桂心 桔梗 吴茱萸 人参 白术 高良姜(以上各六分) 橘皮(三分)
上八味,捣筛为散,蜜和为丸,如梧子大。一服十丸,酒下,日二服,加至十五、二十
丸为度。忌生葱、桃、李、猪肉、雀肉等。
又疗心痛冷痛,腹满如锥针刺,及虫啮心痛。当归汤方。
当归(三两) 桔梗(二两) 吴茱萸(三两) 桂心(三两) 芍药(二两) 大黄
(二两)
上六味,切,以水六升,煮取二升三合,去滓,纳鹤虱一两,搅温一沸,分三服,空腹
服之,微利为度。忌猪肉、生葱。(出第十五卷中)
《广济方》主治冷气所致的心痛,伴有胁下肠鸣辘辘作响,咽喉部感觉阻塞导致食物难以消化,经常产生食积之气,每次进食后感觉心口处有物停滞无法下行。桔梗散方。
桔梗、当归、芍药、茯苓、橘皮、浓朴(经炙烤处理)、白术(各八分),荜茇(四分),豆蔻子(四分)。
以上十二味药材,捣碎并过筛制成散剂。空腹时煮姜枣汤送服一方寸匕的药量,每日服用两次,可逐渐增加至一方寸半的量,以大便通畅为度。忌食生葱、猪肉、醋制品、桃、李、雀肉等。(另一版本含有枳实,不含桔梗,出自第四卷中)
《深师方》治疗胸中胀满、呼吸短促,心痛伴呕吐涎沫及虚寒症状。防风茯苓汤方。
防风(二两)、茯苓(二两)、桂心(六两)、甘草(二两,经炙烤处理)、半夏(四两,洗净)、干姜(四两,炮制)、人参(三两)。
以上七味药材,切碎,用水一斗,煎煮至剩余三升,滤去药渣,分三次服用,疗效良好。忌食醋制品、生葱、海藻、白菜、羊肉、麦芽糖。(出自第十六卷中)
乌头(三两,炮制)、附子(三两,炮制)、赤石脂(三两)、蜀椒(二两,出汗处理)、桂心(二两)、干姜(二两)。
以上六味药材,捣碎过筛,用蜂蜜调和制成丸药。疼痛发作时,用温清酒送服三粒如梧桐子大小的药丸,感觉到药力到达疼痛部位,疼痛即止;如果疼痛未止,可增加至五六粒,以见效为限度。如果早晨服药没有感觉,到中午时再服用三粒。此方由丹阳一位隐居出山的道士传授,称得自华佗之法,其治疗原理大致相同。如果是久治不愈的心痛,每天早晨服用三粒,逐渐增加至十粒,服完一剂药后,终身不再发作。忌食生葱、猪肉。(张文仲的《备急方》与此相同,出自第四卷中)
当归、桂心、桔梗、吴茱萸、人参、白术、高良姜(以上各六分)、橘皮(三分)。
以上八味药材,捣碎过筛制成散剂,用蜂蜜调和制成丸药,大小如梧桐子。每次服用十丸,用酒送服,每日两次,逐渐增加至十五至二十丸为限度。忌食生葱、桃、李、猪肉、雀肉等。
另外治疗心痛冷痛,腹部胀满如同锥子针刺,以及虫咬样心痛的方剂。当归汤方。
当归(三两)、桔梗(二两)、吴茱萸(三两)、桂心(三两)、芍药(二两)、大黄(二两)。
以上六味药材,切碎,用水六升,煎煮至剩余二升三合,滤去药渣,加入鹤虱一两,煮沸一次,分三次服用,空腹服用,以轻微腹泻为度。忌食猪肉、生葱。(出自第十五卷中)
The *Guangji Fang* (Broad Rescue Formulas) treats heart pain caused by cold qi, accompanied by rumbling in the hypochondrium, a sensation of obstruction in the throat preventing digestion, frequent accumulation of food stagnation qi, and a feeling of food lodging at the epigastrium after each meal. Jiegeng San (Platycodon Powder).
Jiegeng (Radix Platycodonis), Danggui (Radix Angelicae Sinensis), Shaoyao (Radix Paeoniae Alba), Fuling (Poria), Ju Pi (Pericarpium Citri Reticulatae), Nong Po (Cortex Magnoliae Officinalis, prepared by stir-frying with bran), Baizhu (Rhizoma Atractylodis Macrocephalae, 8 fen each), Bibo (Fructus Piperis Kadsurae, 4 fen), Doukou Zi (Semen Cardamomi Rotundae, 4 fen).
The above twelve ingredients are crushed, sifted, and made into a powder. Take one fangcun bi (a square-inch measure) with ginger and jujube decoction on an empty stomach, twice daily. The dose may be increased to one and a half fangcun bi, stopping if diarrhea occurs. Avoid raw green onions, pork, vinegar products, peaches, plums, and sparrow meat. (Another version contains Zhishi [Fructus Aurantii Immaturus] instead of Jiegeng; found in Volume 4).
The *Shenshi Fang* (Deep Master Formulas) treats chest fullness, shortness of breath, heart pain with vomiting of saliva due to deficiency-cold. Fangfeng Fuling Tang (Saposhnikovia and Poria Decoction).
Fangfeng (Radix Saposhnikoviae, 2 liang), Fuling (Poria, 2 liang), Guixin (Cortex Cinnamomi, 6 liang), Gancao (Radix Glycyrrhizae Preparata, 2 liang, prepared by stir-frying), Banxia (Rhizoma Pinelliae Preparata, 4 liang, washed), Ganjiang (Rhizoma Zingiberis Preparatum, 4 liang, processed), Renshen (Radix Ginseng, 3 liang).
The above seven ingredients are sliced, boiled in ten dou of water until three sheng remain, strained to remove dregs, and divided into three doses. This is effective. Avoid vinegar products, raw green onions, seaweed, Chinese cabbage, mutton, and maltose sugar. (Found in Volume 16).
Cui Shi's formula is particularly suitable for treating heart pain and cold qi pain. Wutou Wan (Aconite Pill).
Wutou (Radix Aconiti Lateralis Preparata, 3 liang, processed), Fuzi (Radix Aconiti Lateralis Preparata, 3 liang, processed), Chishizhi (Lapis Kaolinitis, 3 liang), Shujiao (Fructus Schisandrae Chinensis, 2 liang, "sweated"), Guixin (Cortex Cinnamomi, 2 liang), Ganjiang (Rhizoma Zingiberis Preparatum, 2 liang).
The above six ingredients are crushed, sifted, and mixed with honey to form pills. When pain attacks, take three pills the size of wutou seeds with warm clear wine. When the medicinal effect reaches the painful area, the pain stops. If it does not stop, increase to five or six pills, taking efficacy as the limit. If there is no sensation after morning administration, take another three pills at noon. This formula was transmitted by a hermit from Danyang who claimed to have received the method from Hua Tuo; its treatment principle is similar. For chronic heart pain, take three pills every morning, gradually increasing to ten pills. After finishing one course, the condition will not recur for life. Avoid raw green onions and pork. (Zhang Wenzhong's *Beiji Fang* is identical; found in Volume 4).
The *Yannian Fang* (Longevity Formulas) treats long-standing cold qi causing needle-like heart pain and inability to eat.
Danggui (Radix Angelicae Sinensis), Guixin (Cortex Cinnamomi), Jiegeng (Radix Platycodonis), Wuzhuyu (Fructus Evodiae), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Gaoliangjiang (Rhizoma Alpiniae Officinarum, 6 fen each), Ju Pi (Pericarpium Citri Reticulatae, 3 fen).
The above eight ingredients are crushed, sifted, and mixed with honey to form pills the size of wutou seeds. Take ten pills per dose with wine, twice daily. Increase to fifteen or twenty pills as needed. Avoid raw green onions, peaches, plums, pork, and sparrow meat.
Additionally, for heart pain and cold pain with abdominal fullness like needle pricking, and heart pain resembling insect bites: Danggui Tang (Angelica Decoction).
Danggui (Radix Angelicae Sinensis, 3 liang), Jiegeng (Radix Platycodonis, 2 liang), Wuzhuyu (Fructus Evodiae, 3 liang), Guixin (Cortex Cinnamomi, 3 liang), Shaoyao (Radix Paeoniae Alba, 2 liang), Dahuang (Radix et Rhizoma Rhei, 2 liang).
The above six ingredients are sliced, boiled in six sheng of water until two sheng and three he remain, strained, and then add Heshi (Herba Siegesbeckiae, 1 liang). Boil once, divide into three doses, and take on an empty stomach. Mild diarrhea is the desired effect. Avoid pork and raw green onions. (Found in Volume 15).