（附论）
夫心中寒者。心痛彻背。背痛彻心。如蛊注之状。盖心为阳脏。中寒则寒必甚。心背彻
痛。则寒邪中脏深矣。
方
桔梗汤 治心中寒气疼痛。肋下鸣转。喉中妨闷。食不多消。常生食气。
桔梗 当归 芍药 橘皮（汤浸去白瓤称） 茯苓 浓朴（去粗皮姜炙） 白术（各二
两） 荜茇
钱。水一盏半。
赤石脂丸 治心中寒。心背彻痛。
赤石脂（一两半） 干姜（炮二两） 乌头（炮裂去皮尖三分） 人参（一两） 细辛
（去苗叶
一两）
大。
每服五
吴茱萸汤 治中寒心痛。
吴茱萸（汤浸一宿焙干炒二两） 附子（炮裂去皮脐二枚） 芎 干姜（炮） 浓朴
（去粗
皮
煎
至一
姜附丸 治中寒心痛彻背。背痛彻心。或心下结实。
附子（炮裂去皮脐一钱） 干姜（炮三钱） 乌头（炮裂去皮尖一钱） 吴茱萸（汤浸
一宿焙
干炒
三
丸。
大腹皮散 治心中寒发痛甚。
大腹皮（半两锉） 吴茱萸（汤浸一宿焙干炒一钱） 高良姜 芍药（各一两） 上为
散。每
服二
又茱萸丸 治心中寒气疼痛。肋下鸣转。喉中妨闷。食不消。常生食气。
吴茱萸（一升） 桂心 当归（各二两） 上为末。炼蜜丸。如梧桐子大。每服三十丸。
温
酒下
瓜蒂散（出百一选方）治心中寒。脉浮当吐。全生指迷方。张德明阁中。服
此吐涎甚多。遂
瓜蒂（一两炒黄） 赤小豆（一两） 上捣罗。拌匀再罗。每服一钱。以香豉一合。热
汤一
盏。
可服。一方。热米饮调一钱。羸人半钱。得吐即止。德明阁中。服三钱方吐。数日后又服。
遂全
一方 治心脏中风。心中常如寒栗。恶风冷。汗自出。言语混错。惊悸恍惚不安。\x
（出杨子
细辛 远志（去心） 人参 五味子 菖蒲 芎 木香 牡蛎（火 通赤） 防风（各
等
分）
【附论】
所谓心中寒证，表现为心痛放射至背部，背痛放射至心脏部位，症状如同蛊毒注病一般。这是因为心属于阳脏，一旦受到寒邪侵袭，寒气必然严重。心与背相互牵引疼痛，说明寒邪已经深入脏腑内部。
方剂
桔梗汤：治疗心中寒气引起的疼痛，胁下肠鸣转动，喉中堵塞闷胀，饮食难以消化，经常产生食积之气。
药材：桔梗、当归、芍药、橘皮（用热水浸泡后去除白色内瓤并称重）、茯苓、浓朴（去除粗糙外皮并用生姜炙烤）、白术（以上各二两）、荜茇（一钱）。
煎服法：用水一盏半煎煮。
赤石脂丸：治疗心中寒证，心背相互牵引疼痛。
药材：赤石脂（一两半）、干姜（炮制二两）、乌头（炮制裂开，去皮去尖三分）、人参（一两）、细辛（去除苗叶一两）。
煎服法：制成丸剂，每服用五丸。
吴茱萸汤：治疗中寒引起的心痛。
药材：吴茱萸（用热水浸泡一夜，焙干炒制二两）、附子（炮制裂开，去皮去脐二枚）、川芎、干姜（炮制）、浓朴（去除粗糙外皮）。
煎服法：水煎至一定量后服用。
姜附丸：治疗中寒引起的心痛放射至背部，背痛放射至心脏部位，或者心下部感觉结实硬满。
药材：附子（炮制裂开，去皮去脐一钱）、干姜（炮制三钱）、乌头（炮制裂开，去皮去尖一钱）、吴茱萸（用热水浸泡一夜，焙干炒制）。
煎服法：制成丸剂，如梧桐子大小。
大腹皮散：治疗心中寒邪发作导致剧烈疼痛。
药材：大腹皮（半两锉碎）、吴茱萸（用热水浸泡一夜，焙干炒制一钱）、高良姜、芍药（以上各一两）。
煎服法：以上药物研为散剂，每次服用二钱。
又茱萸丸：治疗心中寒气引起的疼痛，胁下肠鸣转动，喉中堵塞闷胀，饮食不消化，经常产生食积之气。
药材：吴茱萸（一升）、桂心、当归（以上各二两）。
煎服法：以上药物研为末，炼蜜制成丸剂，如梧桐子大小。每次服用三十丸，温酒送下。
瓜蒂散（出自《百一选方》）：治疗心中寒证，脉象浮起应当使用吐法。《全生指迷方》记载，张德明阁中有人服用此药吐出大量涎液，随后痊愈。
药材：瓜蒂（一两炒黄）、赤小豆（一两）。
煎服法：以上药物捣碎过筛，拌匀后再过筛。每次服用一钱，用香豉一合、热汤一盏煎煮，待可饮用时服用。另一方法是用热米饮调服一钱，体弱之人半钱，出现呕吐即停止。张德明阁中那人服用三钱才呕吐，数日后再次服用，于是完全康复。
一方：治疗心脏中风，心中常常像寒冷战栗，怕风冷，汗自出，言语混乱错乱，惊悸恍惚不安。（出自杨子...）
药材：细辛、远志（去除心）、人参、五味子、菖蒲、川芎、木香、牡蛎（火煅通红）、防风（以上各等分）。
[Supplementary Discussion]
The condition of Cold in the Heart (Xin Zhong Han) is characterized by heart pain radiating to the back, and back pain radiating to the heart region, resembling the presentation of Gu Zhu disease (蛊注 - a type of parasitic or toxic accumulation disease). This is because the Heart is a Yang Zang organ (阳脏 - an organ associated with Yang energy); when invaded by Cold, the pathogenic Cold becomes severe. The mutual radiation of pain between the heart and the back indicates that the Cold Pathogen has deeply penetrated the Zang organs.
Formulas
Jiegeng Tang (Platycodon Decoction): Treats pain caused by Cold Qi in the Heart, rumbling and turning sensations in the hypochondrium, a feeling of obstruction and stuffiness in the throat, indigestion of food, and frequent generation of food stagnation Qi.
Ingredients: Jie Geng (Platycodonis Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix Alba), Ju Pi (Citri Reticulatae Pericarpium - soaked in hot water, white pith removed, weighed), Fu Ling (Poria), Hou Po (Magnoliae Officinalis Cortex - coarse bark removed, stir-fried with fresh ginger juice), Bai Zhu (Atractylodis Macrocephalae Rhizoma - each 2 liang), Bi Bo (Long Pepper Fruit - 1 qian).
Preparation and Administration: Decoct with 1.5 zhan of water.
Chishizhi Wan (Red Kaolin Pill): Treats Cold in the Heart, with heart and back pain radiating to each other.
Ingredients: Chi Shi Zhi (Kaolinite - 1.5 liang), Gan Jiang (Dried Ginger - processed, 2 liang), Wu Tou (Aconiti Lateralis Radix Praeparata - processed until cracked, skin and tip removed, 3 fen), Ren Shen (Ginseng Radix et Rhizoma - 1 liang), Xi Xin (Asari Radix et Rhizoma - seedlings and leaves removed, 1 liang).
Preparation and Administration: Process into pills; take 5 pills per dose.
Wuzhuyu Tang (Evodia Decoction): Treats heart pain caused by Middle Jiao Cold.
Ingredients: Wu Zhu Yu (Evodiae Fructus - soaked in hot water overnight, dried and stir-fried, 2 liang), Fu Zi (Aconiti Lateralis Radix Praeparata - processed until cracked, skin and navel removed, 2 pieces), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Gan Jiang (Dried Ginger - processed), Hou Po (Magnoliae Officinalis Cortex - coarse bark removed).
Preparation and Administration: Decoct and administer.
Jiang Fu Wan (Ginger and Aconite Pill): Treats heart pain radiating to the back and back pain radiating to the heart due to Middle Jiao Cold, or a sensation of firmness and fullness below the heart.
Ingredients: Fu Zi (Aconiti Lateralis Radix Praeparata - processed until cracked, skin and navel removed, 1 qian), Gan Jiang (Dried Ginger - processed, 3 qian), Wu Tou (Aconiti Lateralis Radix Praeparata - processed until cracked, skin and tip removed, 1 qian), Wu Zhu Yu (Evodiae Fructus - soaked in hot water overnight, dried and stir-fried).
Preparation and Administration: Process into pills the size of Sophora japonica seeds.
Dafupi San (Areca Peel Powder): Treats severe pain caused by the onset of Cold in the Heart.
Ingredients: Da Fu Pi (Arecae Pericarpium - 0.5 liang, sliced), Wu Zhu Yu (Evodiae Fructus - soaked in hot water overnight, dried and stir-fried, 1 qian), Gao Liang Jiang (Galangal Rhizome), Shao Yao (Paeoniae Radix Alba - each 1 liang).
Preparation and Administration: Grind the above ingredients into powder; take 2 qian per dose.
You Wuzhu Yu Wan (Another Evodia Pill): Treats pain caused by Cold Qi in the Heart, rumbling and turning sensations in the hypochondrium, a feeling of obstruction and stuffiness in the throat, indigestion of food, and frequent generation of food stagnation Qi.
Ingredients: Wu Zhu Yu (Evodiae Fructus - 1 sheng), Gui Xin (Cinnamomi Cortex), Dang Gui (Angelicae Sinensis Radix - each 2 liang).
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, administered with warm wine.
Gua Di San (Melon Seed Powder) (from *Bai Yi Xuan Fang*): Treats Cold in the Heart where the pulse is floating, indicating the need for emesis. In *Quan Sheng Zhi Mi Fang*, it is recorded that Zhang Deming's household member took this medicine and vomited a large amount of saliva/phlegm, subsequently recovering fully.
Ingredients: Gua Di (Momordicae Fructus - 1 liang, stir-fried until yellow), Chi Xiao Dou (Vigna umbellata Seed - 1 liang).
Preparation and Administration: Pound and sieve the above ingredients, mix evenly, and sieve again. Take 1 qian per dose. Decoct with 1 he of Xiang Chi (Prepared Soybean) and 1 zhan of hot water until ready to drink. Another method uses hot rice decoction to mix 1 qian; for frail persons, use 0.5 qian. Stop once vomiting occurs. In Zhang Deming's household, the patient required 3 qian to induce vomiting, and after taking it again several days later, recovered completely.
One Formula: Treats Wind-Stroke affecting the Heart, characterized by a constant sensation of cold shivering in the chest, aversion to wind and cold, spontaneous sweating, confused and disordered speech, palpitations, trance-like states, and restlessness. (From Yang Zi...)
Ingredients: Xi Xin (Asari Radix et Rhizoma), Yuan Zhi (Polygalae Radix - heart removed), Ren Shen (Ginseng Radix et Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus), Chang Pu (Acori Tatarinowii Rhizoma), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Mu Xiang (Aucklandiae Radix), Mu Li (Ostreae Concha - fired until red-hot), Fang Feng (Saposhnikoviae Radix - each equal part).