《病源》夫疝者，痛也，阴气积结所生也，阴气不散则寒气盛，寒气盛则痛，上下无常
处，冷气上冲于心，故令心痛也。（出第二十卷中）
《范汪》大茱萸丸 疗心腹寒疝，胸中有逆气，时上抢心痛，烦满不得卧，面目恶风，
悸掉，惕惕时惊，不欲饮食而呕，变发寒热方。
吴茱萸（半升） 细辛 芍药 柴胡（一方用前胡） 旋复花 黄芩 紫菀 人参 白
术
茯苓 干姜 桂心 附子（炮） 甘草（炙） 半夏（洗） 当归（各半两）
上十六味，捣筛，以蜜和为丸，如梧子。先食服三丸，日三，不知稍加。忌生葱、羊肉
、饧、酢物、桃、李、雀肉、猪肉、生菜、海藻、菘菜，除此更无所忌。（一方有蜀椒、无
桂心，又一方有干地黄、无黄芩，《深师》同，出第十四卷中）
《短剧》解急蜀椒汤 主寒疝气，心痛如刺，绕脐腹中尽痛，白汗出，欲绝方。
蜀椒（二百枚汗） 附子（一枚炮） 粳米（半升） 干姜（半两） 半夏（十二枚洗）
大枣
（二十枚） 甘草（一两炙）
上七味，切，以水七升，煮取三升，澄清，热服一升。不瘥，更服一升，数用疗心腹痛
困急欲死，解结逐寒，上下痛，良。忌猪羊肉、饧、海藻、菘菜。（《肘后》、《古今录验》、《范
汪方》无甘草，余同，《经心录》同，出第一卷中）
《古今录验》疗心痛寒疝。牡丹丸方。
牡丹（去心） 桂心（各二两） 乌头（炮二枚）
上三味，末之，合蜜和为丸如大豆。旦起未食服三丸，日二，不知稍增之。药少急，宁
少服。并治遁尸发动，无乌头、附子亦可用，炮之。忌胡荽、猪肉、冷水、生葱等。（出第
八卷中）
《诸病源候论》说：所谓疝，就是疼痛，是由阴气积聚凝结而产生的。如果阴气不能消散，寒气就会亢盛；寒气亢盛则导致疼痛，且疼痛部位上下无常。当冷气上冲至心脏时，就会导致心痛。（出自第二十卷中）
《范汪方》大茱萸丸：治疗心腹部的寒疝，胸中有逆气，时常向上冲击引起心痛，烦闷胀满无法安卧，面部和眼睛怕风，心悸颤抖，惊恐不安时常受惊，不想饮食且伴有呕吐，甚至引发寒热交替症状的方剂。
吴茱萸（半升） 细辛 芍药 柴胡（另一版本用前胡） 旋复花 黄芩 紫菀 人参 白术
茯苓 干姜 桂心 附子（炮制） 甘草（炙烤） 半夏（水洗） 当归（各半两）
以上十六味药，捣碎过筛，用蜂蜜调和制成丸药，大小如梧桐子。饭前服用三丸，每日三次，若无效可逐渐增加剂量。忌食生葱、羊肉、麦芽糖、醋制品、桃子、李子、雀肉、猪肉、生菜、海藻、白菜，除此之外没有其他禁忌。（另一版本含有蜀椒，不含桂心；又一方含有干地黄，不含黄芩，《深师方》与此相同，出自第十四卷中）
《短剧方》解急蜀椒汤：主治寒疝气，心痛如针刺，环绕脐腹部全部疼痛，出冷汗，几乎要断气的方剂。
蜀椒（二百枚，去汗） 附子（一枚，炮制） 粳米（半升） 干姜（半两） 半夏（十二枚，水洗）
大枣
（二十枚） 甘草（一两，炙烤）
以上七味药，切碎，用水七升，煮取三升，澄清后，热服一升。若未痊愈，再服一升。多次使用可治疗心腹痛困急欲死的情况，能解散结滞、驱逐寒气，对于上下疼痛效果良好。忌食猪羊肉、麦芽糖、海藻、白菜。（《肘后备急方》、《古今录验》、《范汪方》无甘草，其余相同，《经心录》也相同，出自第一卷中）
《古今录验》治疗心痛寒疝的牡丹丸方。
牡丹（去除心） 桂心（各二两） 乌头（炮制二枚）
以上三味药，研成粉末，混合蜂蜜制成如大豆大小的丸药。早晨起床空腹时服用三丸，每日两次，若无效可逐渐增加剂量。药力猛烈紧急，宁可少服。此方兼治遁尸发作，若无乌头、附子也可使用，但需炮制。忌食胡荽、猪肉、冷水、生葱等。（出自第八卷中）
According to *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): The term "Shan" (Hernia/Cold Pain) refers to pain, which arises from the accumulation and coagulation of Yin Qi. If Yin Qi does not dissipate, Cold Qi becomes excessive; when Cold Qi is excessive, it causes pain. The pain moves up and down without a fixed location. When Cold Qi rushes upward to the Heart, it causes Heart Pain. (From Volume 20)
*Fan Wang Fang*: Da Zhuyu Wan (Major Evodia Pill). It treats cold Shan in the heart and abdomen, rebellious Qi in the chest that occasionally rushes upward causing Heart Pain, irritability, fullness, inability to lie down, aversion to wind in the face and eyes, palpitations and tremors, frequent fright and startle, loss of appetite with vomiting, and alternating chills and fever.
Evodiae Fructus (Wuzhuyu) (half sheng) Asari Radix (Xixin) Paeoniae Radix (Shaoyao) Bupleuri Radix (Chaihu) [Another version uses Peucedani Radix (Qianhu)] Inulae Flos (Xuanjinfang) Scutellariae Radix (Huangqin) Asteris Radix (Ziwan) Ginseng Radix (Renshen) Atractylodis Macrocephalae Rhizoma (Baizhu)
Poria (Fuling) Zingiberis Rhizoma (Ganjiang) Cinnamomi Ramulus (Guixin) Aconiti Lateralis Radix Praeparata (Fuzi) [Prepared] Glycyrrhizae Radix et Rhizoma (Gancao) [Roasted] Pinelliae Rhizoma (Banxia) [Washed] Angelicae Sinensis Radix (Danggui) [Each half liang]
The above sixteen ingredients are crushed, sifted, and mixed with honey to form pills the size of Chinese parasol tree seeds. Take three pills before meals, three times a day. If ineffective, gradually increase the dose. Avoid raw green onions, mutton, maltose, vinegar products, peaches, plums, sparrow meat, pork, raw vegetables, seaweed, and Chinese cabbage. There are no other dietary restrictions. [Another version contains Sichuan Pepper (Shujiao) and lacks Cinnamon Twig (Guixin); another version contains Dried Rehmannia Root (Gandi Huang) and lacks Scutellaria Root (Huangqin), consistent with *Shen Shi Fang*, From Volume 14]
*Duan Ji Fang*: Jieji Shujiao Tang (Urgency-Relieving Sichuan Pepper Decoction). It primarily treats cold Shan Qi, where Heart Pain feels like stabbing, pain surrounds the navel and abdomen completely, cold sweat appears, and the patient feels as if they are about to die.
Sichuan Pepper (Shujiao) (200 pods, perspiration removed) Aconiti Lateralis Radix Praeparata (Fuzi) (one piece, prepared) Oryza Sativa (Jingshi) (half sheng) Zingiberis Rhizoma (Ganjiang) (half liang) Pinelliae Rhizoma (Banxia) (12 pieces, washed)
Ziziphus Jujuba (Dazao)
(20 pieces) Glycyrrhizae Radix et Rhizoma (Gancao) (one liang, roasted)
The above seven ingredients are chopped, boiled in seven sheng of water until reduced to three sheng, clarified, and taken hot, one sheng at a time. If not cured, take another sheng. Repeated use effectively treats severe, life-threatening heart and abdominal pain, resolving stagnation and expelling cold, providing relief for pain throughout the body. Avoid pork, mutton, maltose, seaweed, and Chinese cabbage. (*Zhou Hou Bei Ji Fang*, *Gu Jin Lu Yan*, and *Fan Wang Fang* lack Gancao, otherwise identical; *Jing Xin Lu* is also identical, From Volume 1)
*Gu Jin Lu Yan*: Mudan Wan (Moutan Pill) for treating Heart Pain and cold Shan.
Moutan Cortex (Mudan) [Heart removed] Cinnamomi Ramulus (Guixin) [Two liang each] Aconiti Radix (Wutou) (two pieces, prepared)
The above three ingredients are powdered, mixed with honey, and formed into pills the size of soybeans. Take three pills on an empty stomach in the morning, twice a day. If ineffective, gradually increase the dose. The medicine is potent and urgent; it is better to take less. It also treats Dunshi (Hidden Corpse Disease) attacks. Wutou and Fuzi can be omitted but must be prepared if used. Avoid Coriandrum Sativum (Husui), pork, cold water, and raw green onions. (From Volume 8)