仲景《伤寒论》，心痛彻背，背痛彻心。乌头赤石脂丸主之方。
乌头（二分炮，去皮） 附子（一分炮，去皮） 赤石脂（二分） 干姜（二分） 蜀
椒（一分
汗）
上五味，捣筛，蜜和丸。先食服如麻子大，一服三丸，少少加之。忌猪肉、冷水。（《
千金》、《必效》、文仲、《范汪》、《经心录》等同，出第十五卷中，《千金》分两小别）
张文仲蜀椒丸 疗胸中气满，心痛引背方。
蜀椒（一升出汗） 半夏（一升洗） 附子（一两炮）
上三味，捣筛，蜜和为丸，如梧子大。一服五丸，日三。忌猪羊肉、饧等。（出第三卷
中）
《范汪》疗心下切痛引背，胸下蓄气，胃中有宿食。茱萸煎方。
吴茱萸（一升） 蜀椒（五升） 甘草（二两炙） 干地黄（一斤）
上四味，以清酒三升渍三宿，绞取汁，铜器中煎令沸，麦门冬五升去心、干漆一斤纳
煎，中色黄，绞去之，纳石斛五两、阿胶一斤、白蜜六升，凡九味以汤煎，令可丸，取如枣
大。含，稍稍咽之，日三，甚者日五六服。膝胫重痛者，加石斛；少气，加麦门冬。服药五
日愈，当下症。忌海藻、菘菜、芜荑等。（奉车都尉陈盖试有验）
又芫花汤 主卒心痛连背，背痛彻心，心腹并懊痛，如鬼所刺，绞急欲死者方。
芫花（十分） 大黄（十分）
上二味，捣下筛，取四方寸匕，着二升半苦酒中合煎，得一升二合，顿服尽。须臾当吐
，吐便愈。老小从少起，此疗强实人良，若虚冷心痛，恐未必可服。（并出第十八卷中）
张仲景在《伤寒论》中记载：“心痛放射至背部，背痛放射至心脏。”治疗此证使用乌头赤石脂丸。
方药组成：
乌头（二分，炮制，去皮） 附子（一分，炮制，去皮） 赤石脂（二分） 干姜（二分） 蜀椒（一分，去汗）
以上五味药，捣碎过筛，用蜂蜜调和制成丸剂。饭前服用，如麻子大小，初次服三丸，逐渐增加剂量。忌食猪肉、冷水。（《千金方》、《必效方》、文仲著作、《范汪方》、《经心录》中记载相同，出自第十五卷，《千金方》中分量略有不同）
方药组成：
蜀椒（一升，去汗） 半夏（一升，洗净） 附子（一两，炮制）
以上三味药，捣碎过筛，用蜂蜜调和制成丸剂，如梧桐子大小。每次服五丸，每日三次。忌食猪羊肉、饴糖等。（出自第三卷）
《范汪方》治疗心下剧烈疼痛牵引至背部，胸下积聚气滞，胃中有宿食的茱萸煎方。
方药组成：
吴茱萸（一升） 蜀椒（五升） 甘草（二两，炙） 干地黄（一斤）
以上四味药，用清酒三升浸泡三个夜晚，绞取汁液，在铜器中煎煮至沸腾，加入麦门冬五升（去心）、干漆一斤，煎至颜色变黄，绞去渣滓，再加入石斛五两、阿胶一斤、白蜜六升，共九味药，用水煎煮，使其可制成丸剂，制成如枣核大小的丸剂。含在口中，慢慢咽下，每日三次，重症者每日五六次。若膝胫沉重疼痛，加石斛；若气短，加麦门冬。服药五日病愈，应当排出病邪。忌食海藻、白菜、芜荑等。（奉车都尉陈盖试用有效）
又方芫花汤，主治突然心痛连及背部，背痛放射至心脏，心腹同时懊恼疼痛，如被鬼刺，绞痛紧急欲死者的方剂。
以上两味药，捣碎过筛，取四方寸匕的药量，放入二升半醋中合煎，得到一升二合药液，一次性服完。不久应当呕吐，吐后病愈。老人小孩从少量开始服用，此方治疗体质强壮实证者效果良好，若是虚寒性心痛，恐怕不一定适合服用。（均出自第十八卷）
Zhang Zhongjing, in the *Shanghan Lun* (Treatise on Cold Pathogenic Diseases), records: "Heart pain radiating to the back, back pain radiating to the heart." The treatment is governed by Wutou Chishizhi Wan (Aconite and Red Halloysite Pill).
Ingredients:
Wutou (Fried Aconiti Lateralis Radix Praeparata, 2 fen, processed, skin removed) Fuzi (Processed Aconiti Lateralis Radix Praeparata, 1 fen, processed, skin removed) Chishizhi (Halloysitum Rubrum, 2 fen) Ganjiang (Dried Zingiberis Rhizoma, 2 fen) Shujiao (Fructus Zanthoxyli, 1 fen, perspiration removed)
The above five ingredients are crushed, sieved, and mixed with honey to form pills. Taken before meals, sized like hemp seeds, starting with three pills per dose, gradually increasing the amount. Avoid pork and cold water. (Recorded identically in *Qianjin Fang*, *Bixiao Fang*, works of Wen Zhong, *Fan Wang Fang*, and *Jingxin Lu*, originating from Volume 15; slight differences in dosage exist in *Qianjin Fang*)
Zhang Wenzhong's Shujiao Wan, a formula for treating chest fullness of qi, and heart pain radiating to the back.
Ingredients:
Shujiao (Fructus Zanthoxyli, 1 sheng, perspiration removed) Banxia (Pinelliae Rhizoma, 1 sheng, washed) Fuzi (Processed Aconiti Lateralis Radix Praeparata, 1 liang, processed)
The above three ingredients are crushed, sieved, and mixed with honey to form pills, sized like sophora seeds. Take five pills per dose, three times daily. Avoid pork, mutton, maltose, etc. (Originating from Volume 3)
*Fan Wang Fang* treats severe pain below the heart radiating to the back, accumulation of qi below the chest, and retained food in the stomach, using the Zhuyu Decoction.
Ingredients:
Wuzhuyu (Fructus Evodiae, 1 sheng) Shujiao (Fructus Zanthoxyli, 5 sheng) Gancao (Licorice Root, 2 liang, honey-fried) Dihuang (Prepared Rehmanniae Radix, 1 jin)
The above four ingredients are soaked in three sheng of clear wine for three nights, then pressed to extract the juice. Boil in a copper vessel until boiling. Add Maidong (Ophiopogonis Radix, 5 sheng, core removed) and Qianxi (Drymopteridis Rhizoma, 1 jin). When the color turns yellow, strain off the dregs. Then add Shihu (Dendrobii Caulis, 5 liang), Ejiao (Donkey-hide Gelatin, 1 jin), and Baimi (White Honey, 6 sheng). These nine ingredients are decocted with water until suitable for pill formation. Form pills sized like jujubes. Hold in the mouth and swallow slowly, three times daily. For severe cases, take five to six times daily. If there is heaviness and pain in the knees and shins, add Shihu; if there is shortness of breath, add Maidong. After five days of medication, the disease will be cured, and pathogenic factors should be purged. Avoid seaweed, Chinese cabbage, and Xuyi. (Tested successfully by Chen Gai, Attendant-in-Waiting for Chariots)
Another formula, Yuanhua Tang, governs sudden heart pain connecting to the back, back pain radiating to the heart, simultaneous distress and pain in the heart and abdomen, feeling as if pierced by a ghost, with strangling urgency threatening death.
Ingredients:
Yuanhua (Genkwa Flos, 10 fen) Dahuang (Rhei Radix et Rhizoma, 10 fen)
The above two ingredients are crushed and sieved. Take one square-cun-bi (a specific measuring spoon) of powder, place it in two and a half sheng of vinegar, and decoct together until one sheng and two he remain. Take all at once. Vomiting should occur shortly after; recovery follows vomiting. Start with smaller doses for the elderly and children. This formula is excellent for treating robust excess patterns; however, for deficiency-cold heart pain, it may not be suitable. (Both formulas originate from Volume 18)