仲景桂枝加大黄汤治腹满时痛烦躁
桂枝 生姜(各三钱) 芍药(六钱) 大黄(一钱) 甘草(二钱) 大枣(二枚)
上 咀水煎
大陷胸汤治潮热烦渴从心下至少腹硬满而痛不可近
大黄(六钱) 芒硝(一合) 甘遂(一分) 上先煮大黄去滓纳硝再煮后下甘遂末温服
按以上太阳例药也
大承气汤治关脉实腹满大便秘按之痛或绕脐痛
大黄 浓朴 枳实 芒硝
上 咀水煎
按此阳明例药也
黄连汤治胸中有热胃中有邪气腹中痛欲呕吐者用此升降阴阳
黄连 甘草(炙) 干姜 桂枝(各三钱) 人参(二钱) 半夏(半合)
上 咀水煎入大枣二枚
芍药甘草汤
白芍药 甘草(炙)
上等分 咀水煎入生姜
元戎云腹痛脉弦伤气用本药 脉洪伤金加黄芩脉缓伤水加桂枝 脉涩伤血加当归 脉迟
伤火加干姜
按以上并太阳例药也
加减小柴胡汤治寒热脉弦腹中痛
本方去黄芩加芍药
四逆散治寒邪变热传里小便不利腹中痛或泄利
甘草(炙) 枳实(炒) 柴胡 芍药
上等分每半两水煎
黄芩芍药汤治腹痛脉洪
黄芩 白芍 甘草
上 咀水煎加生姜
按以上并少阳例药也
杂方
元戎四物苦楝汤治脐下虚冷腹痛
四物汤(四两) 玄胡 苦楝(各一两炒)
上 咀水煎服每服一两
酒煮当归丸治小腹下痛
当归(一两) 茴香(半两) 附子 良姜(各七钱)
上四味酒煮干再焙
炒黄盐 丁香(各半两) 全蝎(二钱) 柴胡(二钱) 升麻 木香(各一钱) 苦楝(半钱)
甘草(炙半钱) 玄胡(四钱)
上酒煮糊丸梧子大每二三十丸空心白汤下
增损当归丸治三阴受邪心腹 痛
四物汤(半两) 防风 独活 全蝎(各五钱) 续断 茴香(各一两) 苦楝 玄胡(各七
钱) 木香 丁香(各二钱半)
上末酒糊丸梧子大每四五十丸白汤下
苦楝丸治奔豚小腹痛
苦楝 茴香 附子
上三味酒煮焙干末之每两入玄胡半两全蝎炒丁香各十八个为末酒糊丸桐子大每五十丸食
前温酒下
熨法 见寒门
回阳丹治阴毒
牡蛎(烧) 不灰木(烧) 良姜(炒) 川乌(炮) 白芍(各一钱) 麝(少许)
上细末每用一钱男病用女唾津调涂外肾女病用男唾调涂乳上
谨按以前诸方皆伤寒例法也余属血属积聚属疝等因作痛方例见各门兹不备录
张仲景的桂枝加大黄汤，用于治疗腹部胀满、阵发性疼痛及烦躁不安。
桂枝、生姜（各三钱）、芍药（六钱）、大黄（一钱）、甘草（二钱）、大枣（两枚）。
以上药材切碎，加水煎煮。
大陷胸汤，用于治疗定时发热、烦渴，从心窝部直至小腹坚硬胀满且疼痛剧烈、拒按的症状。
大黄（六钱）、芒硝（一合）、甘遂（一分）。先将大黄煎煮，去渣后加入芒硝，再煮沸，最后加入甘遂末，温服。
按：以上属于太阳病（太阳经受邪所致的病证）的用药法度。
大承气汤，用于治疗关脉实象、腹部胀满、大便秘结，按压时疼痛或绕脐疼痛。
大黄、厚朴、枳实、芒硝。
以上药材切碎，加水煎煮。
按：此属阳明病（阳明经受邪所致的病证）的用药法度。
黄连汤，用于治疗胸中有热、胃中有邪气、腹中疼痛、想要呕吐的情况，以此方来升降阴阳之气。
黄连、炙甘草、干姜、桂枝（各三钱）、人参（二钱）、半夏（半合）。
以上药材切碎，加水煎煮，并加入大枣两枚。
芍药甘草汤。
白芍药、炙甘草。
以上等分，切碎，加水煎煮，并加入生姜。
元戎指出：若腹痛且脉象弦紧为伤气，使用本方；若脉象洪大为伤金，加黄芩；若脉象缓弱为伤水，加桂枝；若脉象涩滞为伤血，加当归；若脉象迟慢为伤火，加干姜。
按：以上均属于太阳病的用药法度。
加减小柴胡汤，用于治疗寒热往来、脉象弦紧、腹中疼痛。
在原方基础上去掉黄芩，加入芍药。
四逆散，用于治疗寒邪化热传入体内，导致小便不利、腹中疼痛或腹泻痢疾。
炙甘草、炒枳实、柴胡、芍药。
以上等分，每取半两，加水煎煮。
黄芩芍药汤，用于治疗腹痛且脉象洪大。
黄芩、白芍、甘草。
以上药材切碎，加水煎煮，并加入生姜。
按：以上均属于少阳病（少阳经受邪所致的病证）的用药法度。
杂方。
元戎四物苦楝汤，用于治疗脐下虚冷引起的腹痛。
四物汤（四两）、玄胡索、苦楝皮（各一两，炒）。
以上药材切碎，加水煎服，每次服用一两。
酒煮当归丸，用于治疗小腹部下部疼痛。
当归（一两）、茴香（半两）、附子、良姜（各七钱）。
以上四味药，用酒煮至干燥，再焙干。
炒黄盐、丁香（各半两）、全蝎（二钱）、柴胡（二钱）、升麻、木香（各一钱）、苦楝皮（半钱）、炙甘草（半钱）、玄胡索（四钱）。
以上药材用酒煮制成糊状，丸如梧桐子大，每次空腹时用白开水送服二三十丸。
增损当归丸，用于治疗三阴经受邪引起的心腹疼痛。
四物汤（半两）、防风、独活、全蝎（各五钱）、续断、茴香（各一两）、苦楝皮、玄胡索（各七钱）、木香、丁香（各二钱半）。
以上药材研末，用酒糊制成丸，丸如梧桐子大，每次空腹时用白开水送服四五十丸。
苦楝丸，用于治疗奔豚病（气从少腹上冲心胸）及小腹部疼痛。
苦楝皮、茴香、附子。
以上三味药，用酒煮后焙干研末，每两药末中加入玄胡索半两、炒全蝎十八个、丁香十八个，共同研末，用酒糊制成丸，丸如梧桐子大，每次饭前用温酒送服五十丸。
熨法，见“寒门”章节。
回阳丹，用于治疗阴毒证。
煅牡蛎、不灰木（烧制）、炒良姜、炮川乌、白芍（各一钱）、麝香（少许）。
以上药材研成细末，每次取一钱，男病人用女唾液调和涂抹于外生殖器，女病人用男唾液调和涂抹于乳房。
谨按：以上各方皆属于伤寒病的用药法度。其余属于血证、积聚、疝气等病因所致疼痛的方例，详见各相关门类，此处不再赘录。
Zhang Zhongjing's Guizhi Jia Dahuang Tang (Cinnamon Twig Decoction with Added Rhubarb) treats abdominal fullness, intermittent pain, and irritability.
Guizhi (Ramulus Cinnamomi), Shengjiang (Rhizoma Zingiberis Recens) (each 3 qian), Shaoyao (Radix Paeoniae Alba), Dahuang (Radix et Rhizoma Rhei), Gancao (Radix Glycyrrhizae), Dazao (Fructus Jujubae) (2 pieces).
The above ingredients are cut into small pieces and decocted in water.
Da Xianxiong Tang (Major Sinking into the Chest Decoction) treats tidal fever, thirst and irritability, hardness and fullness from the epigastrium down to the lower abdomen, accompanied by severe pain that cannot be tolerated upon touch.
Dahuang (Radix et Rhizoma Rhei) (6 qian), Mangxiao (Natrii Sulfas), Gansui (Radix Euphorbiae Kansui) (1 fen). First, decoct Dahuang, remove the dregs, add Mangxiao, boil again, then add Gansui powder, and take warm.
Note: The above belong to the medication principles of Taiyang disease (diseases caused by pathogenic invasion of the Taiyang channel).
Da Chengqi Tang (Major Order the Qi Decoction) treats a solid pulse at the Guan position, abdominal fullness, constipation, pain upon pressure, or periumbilical pain.
Dahuang (Radix et Rhizoma Rhei), Houpo (Cortex Magnoliae Officinalis), Zhishi (Fructus Aurantii Immaturus), Mangxiao (Natrii Sulfas).
The above ingredients are cut into small pieces and decocted in water.
Note: This belongs to the medication principles of Yangming disease (diseases caused by pathogenic invasion of the Yangming channel).
Huanglian Tang (Coptis Decoction) treats heat in the chest, pathogenic qi in the stomach, abdominal pain, and the desire to vomit; it is used to regulate the ascending and descending of Yin and Yang.
Huanglian (Rhizoma Coptidis), Zhi Gancao (Prepared Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis), Guizhi (Ramulus Cinnamomi) (each 3 qian), Ren Shen (Radix Ginseng) (2 qian), Banxia (Rhizoma Pinelliae Preparatum) (half he).
The above ingredients are cut into small pieces, decocted in water, and two pieces of Dazao (Fructus Jujubae) are added.
Shaoyao Gancao Tang (Peony and Licorice Decoction).
Baishao (Radix Paeoniae Alba), Zhi Gancao (Prepared Radix Glycyrrhizae).
Equal parts, cut into small pieces, decocted in water with fresh ginger added.
Yuanrong stated: For abdominal pain with a wiry pulse indicating Qi injury, use this formula; for a surging pulse indicating Metal injury, add Huangqin (Radix Scutellariae); for a slow pulse indicating Water injury, add Guizhi (Ramulus Cinnamomi); for a choppy pulse indicating Blood injury, add Danggui (Radix Angelicae Sinensis); for a delayed pulse indicating Fire injury, add Ganjiang (Rhizoma Zingiberis).
Note: The above all belong to the medication principles of Taiyang disease.
Jia Jian Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) treats alternating chills and fever, a wiry pulse, and abdominal pain.
Remove Huangqin (Radix Scutellariae) from the original formula and add Shaoyao (Radix Paeoniae Alba).
Sini San (Four Reversals Powder) treats cold pathogen transforming into heat and transmitting inward, resulting in difficult urination, abdominal pain, or diarrhea/dysentery.
Zhi Gancao (Prepared Radix Glycyrrhizae), Chao Zhishi (Stir-fried Fructus Aurantii Immaturus), Chaihu (Radix Bupleuri), Shaoyao (Radix Paeoniae Alba).
Equal parts, take half liang per dose, and decoct in water.
Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) treats abdominal pain with a surging pulse.
Huangqin (Radix Scutellariae), Baishao (Radix Paeoniae Alba), Gancao (Radix Glycyrrhizae).
The above ingredients are cut into small pieces, decocted in water, and fresh ginger is added.
Note: The above all belong to the medication principles of Shaoyang disease (diseases caused by pathogenic invasion of the Shaoyang channel).
Miscellaneous Formulas.
Yuanrong Siwu Kulian Tang (Yuanrong Four Substances and Melia Decoction) treats abdominal pain due to deficiency-cold below the umbilicus.
Siwu Tang (Four Substances Decoction) (4 liang), Yanhusuo (Rhizoma Corydalis), Kulianpi (Cortex Meliae) (each 1 liang, stir-fried).
The above ingredients are cut into small pieces, decocted in water, and taken orally, one liang per dose.
Jiu Zhu Danggui Wan (Wine-Boiled Angelica Pill) treats pain in the lower part of the lower abdomen.
Danggui (Radix Angelicae Sinensis) (1 liang), Huixiang (Fructus Foeniculi) (half liang), Fuzi (Lateralis Radix Aconiti Preparata), Liangjiang (Rhizoma Alpiniae Officinarum) (each 7 qian).
The above four ingredients are boiled in wine until dry, then dried in a warm place.
Chao Huangyan (Stir-fried Yellow Salt), Dingxiang (Flos Caryophylli) (each half liang), Quanxie (Scorpio) (2 qian), Chaihu (Radix Bupleuri) (2 qian), Shengma (Rhizoma Cimicifugae), Muxiang (Radix Aucklandiae) (each 1 qian), Kulianpi (Cortex Meliae) (half qian), Zhi Gancao (Prepared Radix Glycyrrhizae) (half qian), Yanhusuo (Rhizoma Corydalis) (4 qian).
The above ingredients are boiled in wine to form a paste, made into pills the size of paulownia seeds, and taken orally with plain water on an empty stomach, 20-30 pills per dose.
Zeng Sun Danggui Wan (Increased and Decreased Angelica Pill) treats heart and abdominal pain caused by pathogenic invasion of the Three Yin channels.
Siwu Tang (Four Substances Decoction) (half liang), Fangfeng (Radix Saposhnikoviae), Duhuo (Radix Angelicae Pubescentis), Quanxie (Scorpio) (each 5 qian), Xuduan (Radix Dipsaci), Huixiang (Fructus Foeniculi) (each 1 liang), Kulianpi (Cortex Meliae), Yanhusuo (Rhizoma Corydalis) (each 7 qian), Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli) (each 2.5 qian).
The above ingredients are powdered, mixed with wine paste to make pills the size of paulownia seeds, and taken orally with plain water on an empty stomach, 40-50 pills per dose.
Kulian Wan (Melia Pill) treats Ben Tun disease (rushing pig condition, characterized by gas rushing from the lower abdomen to the chest) and lower abdominal pain.
Kulianpi (Cortex Meliae), Huixiang (Fructus Foeniculi), Fuzi (Lateralis Radix Aconiti Preparata).
The above three ingredients are boiled in wine, dried, and powdered. To each liang of powder, add half liang of Yanhusuo (Rhizoma Corydalis), 18 stir-fried Quanxie (Scorpio), and 18 Dingxiang (Flos Caryophylli), and grind together into powder. Mix with wine paste to make pills the size of paulownia seeds, and take 50 pills before meals with warm wine.
Warming Compress Method, see the "Cold Gate" section.
Huiyang Dan (Restore Yang Pill) treats Yin Du syndrome (toxicity of yin nature).
Shao Musli (Concha Ostreae, calcined), Bu Huimu (Asbestos Stone, calcined), Chao Liangjiang (Stir-fried Rhizoma Alpiniae Officinarum), Pao Chuanwu (Prepared Rhizoma Aconiti Kusnezoffii), Baishao (Radix Paeoniae Alba) (each 1 qian), She Xiang (Moschus) (a little).
The above ingredients are ground into fine powder. Use 1 qian per application. For male patients, mix with female saliva and apply to the external genitalia; for female patients, mix with male saliva and apply to the breasts.
Carefully note: All the aforementioned formulas belong to the treatment principles of Shanghan (Cold Damage) diseases. Other formulas for pain caused by blood disorders, accumulations, hernias, etc., can be found in their respective sections and are not recorded here in full.