徐东皋云∶匡掌科夫人，年三十余，病胃脘连胸胁痛，日轻夜甚，两寸关脉弦滑有力。
诸医以积滞凝寒，用发散及攻下药，继用铁刷散，四磨饮等方，俱不效。后用汤水，皆吐而
不纳，经月不食，痛且益甚。予谓其为痰郁明矣，但痛久弱甚，不敢行吐法，奈何？偶一医
谓五灵脂、没药素用有效，众皆哂之曰∶此药用之多矣。予谓∶再用亦无妨，何哂之有？彼
用酒调，病者到口便吐，随吐绿痰两碗许，痛即止，遂纳饮食。此盖痰在膈上，攻下之亦不
去，必得吐法而后愈，经曰∶有故无殒，此之谓欤。
一、胃脘当心而痛，或气或寒，触而屡发者，用荔枝核烧微焦，每荔枝核一钱，加木香
七分，共为末，以清汤下一钱许，数服可以除根，屡试神效者。
一、胸膈胃脘大痛，察有邪滞，连用排气饮及诸药全不见效者，但用牙皂角，以微火烧
，烟甫尽即取起，为末，用烧酒调送七八分或一钱许，其效如神，亦余试效者。
《兵部手集》方∶治久心痛十年五年者，随手效。用小蒜以酽醋煮熟顿服，此后再不发
。
治脾痛三方歌∶腹胀脾疼怎抵当，椒姜之外有丁香，三般等分罗为末，调入白盐与白汤
。
水磨乌药治脾疼，每服须教一盏浓，一片陈皮一苏叶，再煎浓服有神功。
心与脾疼有妙方，良姜切碎等槟榔，两般同炒研为末，米饮同调服亦良。
食疗方∶治五脏冷痛、心腹痛，以胡椒二十一粒，擂碎，热酒服之。
《肘后》方∶治心腹俱胀痛，短气欲死，或已绝者，用官桂三两，切碎，以水一升二合
，煮八合，去渣，顿服。无桂用姜亦可。
徐东皋说：匡掌科的夫人，三十多岁，患病表现为胃脘部连带胸胁疼痛，白天轻晚上重，两手寸部和关部的脉象弦滑且有力。
各位医生认为是积滞和凝寒所致，使用了发散药及攻下药，接着又用了铁刷散、四磨饮等方剂，都没有效果。后来连汤水都喝不下，一喝就吐出来，整整一个月没有进食，疼痛更加严重。
我说这显然是痰郁证，但因为疼痛日久导致身体极度虚弱，不敢使用催吐法，该怎么办呢？
偶然有一位医生说五灵脂、没药平时使用很有效，众人都嘲笑他说：“这种药用得多了。”
我说：“再用一次也无妨，有什么好笑的？”
那人用酒调服，病人刚送到嘴边就吐了出来，随即吐出约两碗绿色的痰，疼痛立刻停止，于是能够进食了。
这大概是痰在膈上，用攻下法也不能去除，必须通过催吐法才能痊愈，《黄帝内经》说：“有病邪存在就不会造成伤害”，说的就是这个道理。
第一、胃脘部当心处疼痛，或因气滞或因寒邪，触碰后反复发作的，用荔枝核烧至微焦，每用荔枝核一钱，加木香七分，共同研为细末，用清汤送服一钱左右，服用几次可以除根，多次尝试非常有效。
第二、胸膈和胃脘剧烈疼痛，检查发现有邪气停滞，连续使用排气饮及其他药物完全无效的，只用牙皂角，用微火烧烤，烟刚烧完就取下来，研为细末，用烧酒调服七八分或一钱左右，效果神奇，也是我亲自尝试有效的方子。
《兵部手集》中的方子：治疗持续十年或五年的久心痛，随手见效。用小蒜用浓醋煮熟后一次性服下，此后不再发作。
治疗脾痛的三方歌诀：腹胀脾疼怎么抵挡，除了花椒生姜还有丁香，这三样等份研磨成末，调入白盐和白开水服用。
用水磨乌药治疗脾疼，每次服用要调制得浓稠如一盏茶量，再加一片陈皮和一叶紫苏叶，再次煎煮浓服有神奇功效。
心和脾疼痛有妙方，高良姜切碎与槟榔等量，这两样同炒后研为细末，用米汤调和服用也很好。
食疗方：治疗五脏冷痛、心腹痛，用胡椒二十一粒，捣碎，用热酒送服。
《肘后备急方》中的方子：治疗心腹俱胀痛，短气欲死，或者已经昏厥的，用官桂三两，切碎，用水一升二合，煮取八合，去渣滓，一次性服下。如果没有肉桂，用生姜也可以。
Xu Donggao said: The wife of Vice Director Kuang, in her thirties, suffered from pain in the epigastrium radiating to the chest and hypochondrium, which was milder during the day and worse at night. Her pulse at both cun (inch) and guan (bar) positions was wiry, slippery, and forceful.
Various physicians attributed the condition to stagnation and congealed cold, using diaphoretic and purgative medicines, followed by formulas such as Tieshuan San (Iron Brush Powder) and Simo Yin (Four-Mortar Decoction), all without effect. Subsequently, she could not retain even water, vomiting immediately upon ingestion, and had not eaten for a month; the pain intensified further.
I stated that this was clearly Phlegm Stagnation (Phlegm accumulation obstructing Qi dynamics). However, due to prolonged pain causing severe debility, I dared not employ the emetic method. What should be done?
Occasionally, a physician suggested that Wulingzhi (Trogopterus Dung) and Moyao (Myrrh) were effective when used routinely. Others scoffed, saying, "This medicine has been used too much."
I replied, "Using it again poses no harm; why mock it?"
The physician administered it mixed with wine. Upon reaching her mouth, the patient vomited, expelling approximately two bowls of green phlegm. The pain ceased immediately, and she was able to eat.
This indicates that the phlegm was located above the diaphragm; purgatives could not remove it, and only the emetic method could cure it. As the Classic states: "When there is an existing pathogen, there will be no injury," which refers to this principle.
1. For pain in the epigastrium centered over the heart, caused by either Qi stagnation or cold, recurring frequently upon palpation: Burn Litchi Seed (Lizhi He) until slightly charred. Use one qian (approx. 3-5g) of Litchi Seed plus seven fen (approx. 2-3g) of Muxiang (Aucklandiae Radix), grind them into powder, and take about one qian with clear broth. Several doses can eradicate the root cause; this has proven highly effective through repeated trials.
2. For severe pain in the chest, diaphragm, and epigastrium, where examination reveals pathogenic stagnation, and continuous use of Paqi Yin (Qi-Dispersing Decoction) and other medications fails completely: Use only Ya Zao Jiao (Gleditsia Sinensis Fruit). Roast it gently over fire until the smoke just ceases, then remove it, grind into powder, and administer with distilled liquor, taking approximately seven to eight fen or one qian. The effect is miraculous; this is also a formula I have personally verified.
From *Bingbu Shouji* (Manual Collection of the Ministry of War): Treats chronic heart pain lasting five to ten years, effective immediately. Cook small garlic (Xiao Suan) in strong vinegar until soft, and take in one dose. It will not recur thereafter.
Song of Three Formulas for Treating Spleen Pain:
How to withstand abdominal distension and spleen pain? Besides Sichuan Pepper (Huajiao) and Ginger (Shengjiang), add Clove (Dingxiang). Grind these three ingredients in equal parts into powder, mix with white salt and plain water for administration.
Grind Wu Yao (Linderae Radix) with water to treat spleen pain; each dose must be thick, equivalent to one cup. Add one slice of Chenpi (Citri Reticulatae Pericarpium) and one leaf of Ziye (Perillae Folium), decoct again until concentrated, and drink for miraculous efficacy.
There is a wonderful formula for heart and spleen pain: Chop Gao Liang Jiang (Alpiniae Officinarum Rhizoma) and Binglang (Arecae Semen) in equal amounts. Stir-fry them together, grind into powder, and take with rice water; this is also beneficial.
Dietary Therapy Formula: Treats cold pain in the five zang organs and heart/abdominal pain. Take twenty-one grains of Hu Jiao (Piperis Nigris Fructus), crush them, and take with hot wine.
From *Zhou Hou Bei Ji Fang* (Handbook of Prescriptions for Emergencies): Treats distending pain in both the heart and abdomen, shortness of breath nearing death, or even apparent cessation of breathing. Use three liang (approx. 90-150g) of Guan Gui (Cinnamomi Cortex), chop finely, boil in one sheng and two he (approx. 240ml) of water until reduced to eight he (approx. 160ml), strain, and take in one dose. If Cinnamon is unavailable, Ginger may be used instead.