《肘后》疗卒腹痛方
粳米（二升）
上一味，以水六升，煮取六七沸，饮之。
又方
掘土作小坎，以水满坎中，熟搅取汁，饮之瘥。（并出第一卷中）
张文仲疗卒腹痛方
令病患卧高枕一尺许，柱膝，使腹皮 气入胸，令人爪其脐上三寸，便愈。能干咽吞气
数十过者弥佳。亦疗心痛。（《肘后》、《备急》同）
又方
灸两足指头各十四壮，使火俱下，良。（《备急》、《肘后》同，并出第一卷中）
《千金》疗胸腹中卒痛。生姜汤方。
生姜（一斤捣取汁） 食蜜（八两） 醍醐（四两）
上三味，微火上熬令相得，适寒温。服三合，日三。（出第十六卷中）
《集验》疗卒腹痛，葛氏方。
桂末三匕，酒服。人参、上好干姜亦佳。忌生葱。（《肘后》、文仲同）
又方
食盐一大把，多饮水送，取吐。（《肘后》、张文仲同，并出第一卷中）
《病源》心腹痛者，由腑脏虚弱，风寒客于其间故也。邪气发作，与正气相击，上冲于
心，则心痛，下攻于腹，则腹痛，上下相攻，故心腹绞痛，气不得息。诊其脉，左手寸口人
迎以前，脉手少阴经也，沉者为阴，阴虚者病苦心腹痛，难以言，心如寒状，心腹痛，痛不
得息，脉细小者生，大坚疾者死。心腹痛脉沉细小者生，浮大而疾者死。其汤、熨、针石，
别有正方补养宣导，今附于后。《养生方·导引法》云，行大道常度日月星辰，清静以鸡鸣
，安身卧，漱口三咽之，调五脏，杀蛊虫，令人长生，疗心腹痛。（出第十六卷中）
《广济》疗心腹中气时时痛，食冷物则不安稳，及恶水。桔梗散方。
桔梗 茯苓（各八分） 枳实（炙） 人参 浓朴（炙） 芍药 橘皮（各六分） 桂
心（五分）
上十味，捣筛为散。空肚煮姜枣饮服方寸匕，日三服，渐加至一匕半，热以茶饮下，不
利。忌猪肉、酢物、生葱、生冷、油腻、小豆、粘食、热面、炙肉等物。
又疗卒心腹痛，气胀满，不下食，欲得泻三两行佳。当归汤方。
当归 茯苓 桔梗 橘皮 高良姜 槟榔（各八分） 生姜（八分）
上七味，细切，以水七升，煮取二升三合，绞去滓，分温三服，服别相去如人行六七里
，服讫，利三两行，宜停后服。忌猪肉、酢物、生冷、油腻、鱼、蒜、粘食、小豆。（并出
第十五卷中）
《肘后》疗心腹俱胀痛烦满，短气欲死，或已绝方。
栀子（十四枚） 豉（七合）
上二味，以水二升，先煮豉，取一升二合，去滓，纳栀子，更煎取八合，绞去滓，服半
升，不愈者，尽服之。（《备急》、文仲同）
又方
乌梅二七枚，水五升，煮一沸，纳青大钱二七文，煮取一升半，强人可顿服，羸人分再
服，当下愈。（文仲同）
又方
茱萸（二两） 生姜（四两切） 豉（三合）
上三味，酒四升，煮取二升，分三服，即瘥。
又疗心腹相连常胀痛。野狼毒丸方。
野狼毒（二两炙） 附子（半两炮）
上二味捣筛，蜜和丸，服如梧子。一日服一丸，二日二丸，三日三丸，自一至三，以为
常服，即瘥。忌猪肉、冷水。
又方
吴茱萸（一合） 干姜（四分） 附子（二分炮） 细辛（二分） 人参（二分）
上五味，捣末，蜜和丸如梧子。服五丸，酒饮并得，日三。忌猪肉、生菜等。（并出第
一卷中）
《深师》疗久寒冷，胸膈满，心腹绞痛，不能食，忽气吸吸不足。前胡汤方。
前胡（一两） 羊脂（二两） 大枣（二十枚） 当归（一两） 茯苓（一两） 白术
（一两） 芍
药（六分） 桂心（一两） 半夏（二两） 干姜（一两） 麦门冬（六分去心） 吴茱萸
（三百粒）
上十二味，切，以水八升，煮取三升，分三服，相去如人行十里进一服。忌酢物、生葱
、羊肉、饧、桃、李、雀肉等。（出第十六卷中）
《短剧》当归汤 疗心腹绞痛，诸虚冷气满方。
当归（三两） 干姜（四两） 甘草（三两炙） 芍药（二两） 浓朴（三两炙） 黄
（二两）
蜀椒（一两汗） 半夏（三两洗） 肉桂（三两） 人参（三两）
上十味，切，以水一斗，煮取三升二合，强人可一升，羸人服八合。大冷者，加附子一
枚炮。忌海藻、菘菜、羊肉、饧、生葱。（《古今录验》、《千金》同）
《古今录验》通命丸疗心腹积聚，寒中绞痛，又心迫满，胁下胀痛方。
大黄 远志（去心） 黄芩 麻黄（去节） 甘草（炙以上各四两） 芒硝（三两） 杏
仁（六
十枚去皮、尖） 豉（二合） 巴豆（五十枚去心、皮，熬，别为脂）
上九味，捣，合下筛，蜜和丸如梧子大。先食饮服三丸，日三。忌野猪肉、芦笋、海藻
、菘菜。（出第八卷中）
《肘后备急方》治疗突发腹痛的方剂：
粳米（二升）
以上一味药，用水六升，煮至沸腾六七次，饮用即可。
另一个方子：
挖掘泥土做成小坑，往坑中注满水，充分搅拌后取汁饮用，病可痊愈。（均出自第一卷）
张文仲治疗突发腹痛的方剂：
让病人仰卧，枕头垫高一尺左右，弯曲膝盖支撑身体，使腹部皮肤收缩、气机进入胸部，让人用指甲掐按脐上三寸处，疼痛即可缓解。能够干咽吞咽气息数十次者效果更佳。此法也治疗心痛。（与《肘后备急方》、《备急千金要方》相同）
另一个方子：
灸双侧足趾尖端各十四壮，使艾火热力同时到达，疗效良好。（与《备急千金要方》、《肘后备急方》相同，均出自第一卷）
《千金方》治疗胸腹中突发疼痛的生姜汤方：
生姜（一斤捣取汁） 蜂蜜（八两） 醍醐（四两，即酥油）
以上三味药，在微火上熬制使其融合，温度适宜时服用三合，每日三次。（出自第十六卷）
《集验方》治疗突发腹痛的葛氏方：
肉桂末三匕，用酒送服。人参、优质干姜也可以使用。忌食生葱。（与《肘后备急方》、张文仲方相同）
另一个方子：
食盐一大把，大量饮水送服，以引起呕吐为度。（与《肘后备急方》、张文仲方相同，均出自第一卷）
《诸病源候论》认为心腹痛，是由于脏腑虚弱，风寒邪气客居其中所致。邪气发作，与正气相互搏击，向上冲犯心脏，则发生心痛；向下攻冲腹部，则发生腹痛；上下相互攻冲，所以心腹绞痛，气息不能顺畅。诊察其脉象，左手寸口人迎穴以前，属于手少阴心经，脉沉属阴，阴虚则病发苦心腹痛，难以言语，心中感觉寒冷，心腹痛，疼痛导致气息不畅，脉象细小者预后良好，脉象大坚疾者预后不良。心腹痛脉象沉细小者预后良好，浮大而疾者预后不良。其汤药、熨法、针石疗法，另有专门的补养宣导方剂，现附在后面。《养生方·导引法》说，行走大道常遵循日月星辰的运行规律，清静无为直到鸡鸣时分，安身躺卧，漱口三次咽下津液，调理五脏，杀灭蛊虫，使人长生，治疗心腹痛。（出自第十六卷）
《广济方》治疗心腹中气机时时作痛，食用冷物则不安稳，以及厌恶饮水的桔梗散方：
桔梗 茯苓（各八分） 枳实（炙） 人参 厚朴（炙） 芍药 橘皮（各六分） 桂心（五分）
以上十味药，捣碎过筛制成散剂。空腹时用姜枣煎汤送服一方寸匕，每日三次，逐渐增加至一又二分之一方寸匕，若热感明显则用茶饮送服，若无不适亦可。忌食猪肉、醋制品、生葱、生冷食物、油腻食物、小豆、粘性食物、热面、烤肉等物。
又治疗突发心腹痛，气胀满，无法进食，最好能泻下三两为宜的当归汤方：
当归 茯苓 桔梗 橘皮 高良姜 槟榔（各八分） 生姜（八分）
以上七味药，细切，用水七升，煮取二升三合，过滤去渣，分三次温服，每次服药间隔时间相当于人行走六七里的路程，服药后，若能泻下三两为宜，宜停止后续服药。忌食猪肉、醋制品、生冷食物、油腻食物、鱼、蒜、粘性食物、小豆。（均出自第十五卷）
《肘后备急方》治疗心腹俱胀痛烦闷，短气欲死，或已断气的方剂：
栀子（十四枚） 豆豉（七合）
以上两味药，用水二升，先煮豆豉，取汁一升二合，去渣，加入栀子，再煎取八合，过滤去渣，服用半升，若不愈，则全部服下。（与《备急千金要方》、张文仲方相同）
另一个方子：
乌梅十四枚，水五升，煮至沸腾，投入青大钱十四文，煮取汁一升半，体质强壮者可一次顿服，体弱者分两次服用，当下利后即可痊愈。（与张文仲方相同）
另一个方子：
吴茱萸（二两） 生姜（四两切） 豆豉（三合）
以上三味药，用酒四升，煮取二升，分三次服用，病即痊愈。
又治疗心腹相连经常胀痛。野狼毒丸方：
野狼毒（二两炙） 附子（半两炮）
以上两味药捣碎过筛，用蜜调和制成丸药，大小如梧桐子。第一天服一丸，第二天服两丸，第三天服三丸，从一到三作为常规服用量，病即痊愈。忌食猪肉、冷水。
另一个方子：
吴茱萸（一合） 干姜（四分） 附子（二分炮） 细辛（二分） 人参（二分）
以上五味药，捣成粉末，用蜜调和制成如梧桐子大小的丸药。每次服用五丸，用酒送服均可，每日三次。忌食猪肉、生菜等。（均出自第一卷）
《深师方》治疗久受寒冷，胸膈满闷，心腹绞痛，不能进食，忽然气息微弱不足的前胡汤方：
前胡（一两） 羊脂（二两） 大枣（二十枚） 当归（一两） 茯苓（一两） 白术（一两） 芍药（六分） 桂心（一两） 半夏（二两） 干姜（一两） 麦门冬（六分去心） 吴茱萸（三百粒）
以上十二味药，切碎，用水八升，煮取三升，分三次服用，每次服药间隔时间相当于人行走十里路进服一次。忌食醋制品、生葱、羊肉、饴糖、桃、李、雀肉等。（出自第十六卷）
《短剧方》当归汤，治疗心腹绞痛，各种虚寒冷气满闷的方剂：
当归（三两） 干姜（四两） 甘草（三两炙） 芍药（二两） 厚朴（三两炙） 黄芪（二两）
蜀椒（一两出汗处理） 半夏（三两洗） 肉桂（三两） 人参（三两）
以上十味药，切碎，用水一斗，煮取三升二合，体质强壮者可服一升，体弱者服八合。特别寒冷者，加炮附子一枚。忌食海藻、白菜、羊肉、饴糖、生葱。（与《古今录验》、《千金方》相同）
《古今录验》通命丸，治疗心腹积聚，寒中绞痛，以及心部迫满，胁下胀痛的方剂：
大黄 远志（去心） 黄芩 麻黄（去节） 甘草（炙，以上各四两） 芒硝（三两） 杏仁（六十枚去皮、尖） 豆豉（二合） 巴豆（五十枚去心、皮，熬制，另取脂）
以上九味药，捣碎，混合后过筛，用蜜调和制成如梧桐子大小的丸药。饭前饮服三丸，每日三次。忌食野猪肉、芦笋、海藻、白菜。（出自第八卷）
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) prescriptions for sudden abdominal pain:
Jingmi (Glutinous Rice, 2 sheng)
Take the above single herb, add six sheng of water, boil until it boils six or seven times, and drink.
Another prescription:
Dig a small pit in the soil, fill the pit with water, stir vigorously to extract the juice, and drink it to cure the condition. (Both from Volume I)
Zhang Wenzhong's prescription for sudden abdominal pain:
Have the patient lie supine with a pillow about one chi high under their head, prop up their knees, causing the abdominal skin to retract and qi to enter the chest. Have someone press with fingernails on the point three cun above the umbilicus; the pain will resolve. Those who can swallow air dryly dozens of times will have even better results. This also treats heart pain. (Same as *Zhouhou Beiji Fang* and *Beiji Qianjin Yaofang*)
Another prescription:
Moxibustion on the tips of both big toes, fourteen moxa cones each, ensuring the heat penetrates evenly is effective. (Same as *Beiji Qianjin Yaofang* and *Zhouhou Beiji Fang*, both from Volume I)
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) Shengjiang Tang (Ginger Decoction) for sudden pain in the chest and abdomen:
Shengjiang (Fresh Ginger, one jin, crushed to extract juice) Femi (Honey, eight liang) Tihu (Clarified Butter/Su You, four liang)
Simmer the above three ingredients over low heat until they blend well. Take Sanhe (approx. 60ml) when warm, three times a day. (From Volume XVI)
*Jiyan Fang* (Collected Proven Prescriptions) Ge Shi's prescription for sudden abdominal pain:
Guimo (Cinnamon Bark Powder), three bi (spoonfuls), taken with wine. Renshen (Ginseng) or high-quality Ganjiang (Dried Ginger) are also good. Avoid raw green onions. (Same as *Zhouhou Beiji Fang* and Zhang Wenzhong's prescription)
Another prescription:
A large handful of Yanshi (Salt), taken with plenty of water to induce vomiting. (Same as *Zhouhou Beiji Fang* and Zhang Wenzhong's prescription, both from Volume I)
*Bingyuan* (Source of Diseases) states that Heart-Abdominal Pain arises from the weakness of the fu and zang organs, allowing wind-cold pathogens to lodge within. When the pathogenic qi erupts and clashes with healthy qi, rushing upward to the heart, it causes heart pain; attacking downward to the abdomen, it causes abdominal pain; attacking both up and down, it results in severe cramping pain in the heart and abdomen, with inability to breathe smoothly. Upon pulse diagnosis, the area before the Renying point at the Cunkou position on the left hand corresponds to the Hand-Shaoyin Heart Meridian. A deep pulse indicates Yin; Yin deficiency leads to bitter heart-abdominal pain, difficulty speaking, a sensation of cold in the heart, heart-abdominal pain, and pain preventing normal breathing. A fine and small pulse indicates survival, while a large, firm, and rapid pulse indicates death. For heart-abdominal pain, a deep, fine, and small pulse suggests survival, whereas a floating, large, and rapid pulse suggests death. Their decoctions, hot compresses, and needle-stone therapies, along with specific regimens for tonification and guidance exercises, are attached separately below. The *Yangsheng Fang · Daoyin Fa* (Guidance and Pulling Method) states: Walking the Great Way often following the movements of the sun, moon, and stars; maintaining purity and stillness until the rooster crows; resting safely, rinsing the mouth and swallowing saliva three times; regulating the five zang organs; killing gu parasites; enabling longevity; and treating heart-abdominal pain. (From Volume XVI)
*Guangji Fang* (Broad Rescue Prescriptions) Jiegeng San (Platycodon Powder) for intermittent pain in the heart and abdomen due to qi stagnation, discomfort after eating cold foods, and aversion to drinking water:
Jiegeng (Platycodon Root) Fuling (Poria, each 8 fen) Zhishi (Immature Bitter Orange, processed with fire) Renshen (Ginseng) Houpo (Magnolia Bark, processed with fire) Shaoyao (Peony Root) Ju pi (Tangerine Peel, each 6 fen) Guixin (Cinnamon Twig Heart, 5 fen)
Sift the above ten herbs into powder. Take one fangcunbi (square-inch spoonful) with ginger and jujube decoction on an empty stomach, three times a day. Gradually increase to one and a half fangcunbi. If feeling excessive heat, take with tea beverage; if no adverse effects occur, continue. Avoid pork, vinegar products, raw green onions, cold/raw foods, greasy foods, adzuki beans, sticky foods, hot noodles, and roasted meats.
Another prescription, Danggui Tang (Angelica Decoction), for sudden heart-abdominal pain, qi distension and fullness, inability to eat, where inducing three liang of bowel movement is desirable:
Danggui (Angelica Sinensis) Fuling (Poria) Jiegeng (Platycodon Root) Ju pi (Tangerine Peel) Gaoliangjiang (Galangal) Binglang (Areca Seed, each 8 fen) Shengjiang (Fresh Ginger, 8 fen)
Finely cut the above seven herbs, add seven sheng of water, boil down to two sheng and Sanhe (approx. 420ml). Strain and discard the dregs. Divide into three warm doses. The interval between doses should be equivalent to walking six or seven li. After finishing the dose, if three liang of stool is passed, stop subsequent doses. Avoid pork, vinegar products, cold/raw foods, greasy foods, fish, garlic, sticky foods, and adzuki beans. (All from Volume XV)
*Zhouhou Beiji Fang* prescription for simultaneous bloating and pain in the heart and abdomen, shortness of breath nearing death, or apparent cessation of breath:
Zhizi (Gardenia Fruit, 14 pieces) Chi (Fermented Soybean, 7 he)
Add two sheng of water to the above two ingredients. First boil Chi until one sheng and Erhe (approx. 240ml) remains. Strain and discard dregs, add Zhizi, and boil again to obtain Bahe (approx. 160ml). Strain and discard dregs. Take Banliang (approx. 100ml); if not cured, take the remainder. (Same as *Beiji Qianjin Yaofang* and Zhang Wenzhong's prescription)
Another prescription:
Wumei (Dark Plum, 14 pieces), boil in five sheng of water for one boil. Add fourteen green copper coins (Daqian), boil until one sheng and Banliang (approx. 350ml) remains. Strong individuals may take this all at once; weak individuals should divide it into two doses. Bowel movement will ensue, leading to recovery. (Same as Zhang Wenzhong's prescription)
Another prescription:
Zuyu (Evodia Fruit, 2 liang) Shengjiang (Fresh Ginger, 4 liang, sliced) Chi (Fermented Soybean, 3 he)
Boil the above three ingredients in four sheng of wine until two sheng remains. Divide into three doses; the condition will resolve.
Another prescription for constant connected pain and distension in the heart and abdomen: Yelangdu Wan (Wild Wolf Poison Pill):
Yelangdu (Stellera Chamaejasme, 2 liang, processed with fire) Fuzi (Prepared Aconite Lateral Root, 0.5 liang, prepared)
Grind the above two ingredients into powder, mix with honey to form pills the size of wutong seeds. Take one pill on the first day, two on the second, and three on the third. Continue this regimen (one to three pills daily) as maintenance; the condition will resolve. Avoid pork and cold water.
Another prescription:
Wuzhuyu (Evodia Fruit, 1 he) Ganjiang (Dried Ginger, 4 fen) Fuzi (Prepared Aconite Lateral Root, 2 fen, prepared) Xixin (Asarum, 2 fen) Renshen (Ginseng, 2 fen)
Grind the above five herbs into powder, mix with honey to form pills the size of wutong seeds. Take five pills per dose, with wine being acceptable. Three times a day. Avoid pork and raw vegetables. (All from Volume I)
*Shenshi Fang* (Deep Master Prescriptions) Qianhu Tang (Peucedanum Decoction) for long-standing cold affecting the chest and diaphragm, causing fullness, severe cramping pain in the heart and abdomen, inability to eat, and sudden insufficiency of breath (Qi sucking in insufficiently):
Qianhu (Peucedanum Root, 1 liang) Yangzhi (Sheep Fat, 2 liang) Dazao (Jujube, 20 pieces) Danggui (Angelica Sinensis, 1 liang) Fuling (Poria, 1 liang) Baizhu (Atractylodes Macrocephala Rhizome, 1 liang) Shaoyao (Peony Root, 6 fen) Guixin (Cinnamon Twig Heart, 1 liang) Banxia (Pinellia Tuber, 2 liang) Ganjiang (Dried Ginger, 1 liang) Maimendong (Ophiopogon Tuber, 6 fen, heart removed) Wuzhuyu (Evodia Fruit, 300 grains)
Cut the above twelve herbs. Add eight sheng of water, boil down to three sheng. Divide into three doses. Administer one dose every interval equivalent to walking ten li. Avoid vinegar products, raw green onions, mutton, maltose (Xing), peaches, plums, and sparrow meat. (From Volume XVI)
*Duanju Fang* (Short Drama Prescriptions) Danggui Tang (Angelica Decoction) for severe cramping pain in the heart and abdomen, and fullness caused by various deficiencies and cold qi:
Danggui (Angelica Sinensis, 3 liang) Ganjiang (Dried Ginger, 4 liang) Gancao (Licorice Root, 3 liang, processed with fire) Shaoyao (Peony Root, 2 liang) Houpo (Magnolia Bark, 3 liang, processed with fire) Huangqi (Astragalus Root, 2 liang)
Shujiao (Sichuan Pepper, 1 liang, sweat-treated) Banxia (Pinellia Tuber, 3 liang, washed) Rougui (Cinnamon Bark, 3 liang) Renshen (Ginseng, 3 liang)
Cut the above ten herbs. Add one dou of water, boil down to three sheng and Erhe (approx. 420ml). Strong individuals may take one sheng; weak individuals take Banliang (approx. 100ml). For severe cold, add one prepared Fuzi (Prepared Aconite Lateral Root). Avoid seaweed, Chinese cabbage (Songcai), mutton, maltose (Xing), and raw green onions. (Same as *Gujin Luyan* and *Qianjin Fang*)
*Gujin Luyan* (Records of Past and Present) Tongming Wan (Life-Passing Pill) for accumulations and masses in the heart and abdomen, cold-induced cramping pain, oppression and fullness in the heart, and distending pain in the hypochondrium:
Dahuang (Rhubarb Root) Yuanzhi (Polygala Root, heart removed) Huangqin (Scutellaria Root) Mahuang (Ephedra Stem, nodes removed) Gancao (Licorice Root, processed with fire, each 4 liang above) Mangxiao (Mirabilite, 3 liang) Xingren (Apricot Seed, 60 pieces, skin and tip removed) Chi (Fermented Soybean, 2 he) Badou (Croton Seed, 50 pieces, heart and skin removed, fried, fat extracted separately)
Grind the above nine ingredients, mix and sieve. Form pills with honey the size of wutong seeds. Take three pills before meals with water, three times a day. Avoid wild boar meat, reeds, seaweed, and Chinese cabbage (Songcai). (From Volume VIII)