弦为痛，涩为痛。胃脉微滑为痰饮，滑实为宿食。沉紧为冷积，沉涩为气滞。数大为火，芤弦为血，
忽大忽小为虫。沉小者生，实大浮长者死。
〔阳衰〕香砂六君子汤 六君子汤加木香、砂仁。
〔肝乘〕枳壳煎 枳壳汁（五匙） 乌药汁（七匙） 白芍汁（二十匙） 木香汁（五匙） 灯心土（一钱）
砂仁（五分） 二味煎冲诸汁服之。
〔肾厥〕吴茱萸汤 见三卷呕吐。
〔烦劳〕小建中汤 桂 芍 草 姜 饴 枣
〔客寒〕大建中汤 见二卷汗。
〔积寒〕术附汤 见五卷痉。
〔火痰〕清中汤 见本卷心痛。
〔饮痛〕胃苓汤 见一卷中风。
〔肝火〕左金丸 见一卷火。
〔食痛〕香砂枳术丸 见本卷头痛。
〔气郁〕沉香降气散 见三卷郁。
〔血滞〕手拈散 见本卷心痛。
〔痞痛〕半夏泻心汤 见一卷温。
〔蛔动〕安蛔汤 见三卷呕吐。
〔络痛〕失笑散 灵脂 蒲黄（俱炒） 等分，水酒煎。
〔虚痛〕参术散 参 术 草
〔实痛〕栀萸丸 山栀 吴萸
〔初起〕射干汤 射干（去毛） 山栀 赤茯 升麻（各一线） 赤芍（钱五分） 白术（五分） 煎去渣，
入地黄汁一合，煎服。
〔风热〕薏仁汤 薏仁 防己 赤小豆 炙草 等分。
〔积热〕清胃散 见二卷衄血。
〔积热〕芍药汤 赤芍 石膏 犀角 麦冬 木通 朴硝 荠 升麻 元参 甘草
〔毒成〕内消沃雪汤 归 芍 翘 芷 贝 陈 乳 没 甘草节 角刺 花粉 甲片 银花（各五分）
水酒煎。
〔毒盛〕东垣托里散 银花 当归（各二钱） 大黄 牡蛎 花粉 角刺 连翘 朴硝（各六分） 赤芍
黄芩（各四分） 水酒煎。
〔脓臭〕牡丹散 丹皮 地榆 薏仁 黄芩（各钱半） 赤芍 桔梗 升麻 甘草 败酱（各一钱）
〔已溃〕排脓汤 汤或作散，见二卷肺痈。
〔脓稀〕太乙膏 地 芍 归 芷 桂 元参 大黄（各二两） 麻油二斤，熬，去渣再熬，下黄丹。
〔调补〕八珍汤 见一卷中风。
〔呕脓〕凉膈散 见一卷中风。
〔调补〕保元汤 见一卷火。
弦脉主痛，涩脉也主痛。胃脉微滑提示有痰饮，滑而有力提示有宿食。沉紧脉提示有冷积，沉涩脉提示有气滞。数大脉提示为火邪，芤弦脉提示为血病，忽大忽小的脉象提示有虫证。脉象沉小者预后良好（生），实大浮长者预后不良（死）。
〔阳衰〕使用香砂六君子汤：即六君子汤加入木香、砂仁。
〔肝乘〕使用枳壳煎：取枳壳汁五匙，乌药汁七匙，白芍汁二十匙，木香汁五匙，灯心土一钱，砂仁五分，将后两味药材煎煮后冲入前面的药汁中服用。
〔肾厥〕使用吴茱萸汤：详见第三卷呕吐篇。
〔烦劳〕使用小建中汤：由桂枝、白芍、甘草、生姜、饴糖、大枣组成。
〔客寒〕使用大建中汤：详见第二卷汗证篇。
〔积寒〕使用术附汤：详见第五卷痉病篇。
〔火痰〕使用清中汤：详见本卷心痛篇。
〔饮痛〕使用胃苓汤：详见第一卷中风篇。
〔肝火〕使用左金丸：详见第一卷火证篇。
〔食痛〕使用香砂枳术丸：详见本卷头痛篇。
〔气郁〕使用沉香降气散：详见第三卷郁证篇。
〔血滞〕使用手拈散：详见本卷心痛篇。
〔痞痛〕使用半夏泻心汤：详见第一卷温病篇。
〔蛔动〕使用安蛔汤：详见第三卷呕吐篇。
〔络痛〕使用失笑散：灵脂与蒲黄（均炒制）等分，用水和酒煎煮。
〔虚痛〕使用参术散：由人参、白术、甘草组成。
〔实痛〕使用栀萸丸：由山栀、吴茱萸组成。
〔初起〕使用射干汤：射干（去毛）、山栀、赤茯苓、升麻各一钱，赤芍五分，白术五分，煎煮去渣，加入地黄汁一合，再煎服。
〔风热〕使用薏仁汤：薏苡仁、防己、赤小豆、炙甘草等分。
〔积热〕使用清胃散：详见第二卷衄血篇。
〔积热〕使用芍药汤：由赤芍、石膏、犀角、麦冬、木通、朴硝、荠菜、升麻、元参、甘草组成。
〔毒成〕使用内消沃雪汤：当归、白芍、连翘、白芷、贝母、陈皮、乳香、没药、甘草节、皂角刺、天花粉、穿甲片、金银花各五分，用水和酒煎煮。
〔毒盛〕使用东垣托里散：金银花、当归各二钱，大黄、牡蛎、天花粉、皂角刺、连翘、朴硝各六分，赤芍、黄芩各四分，用水和酒煎煮。
〔脓臭〕使用牡丹散：丹皮、地榆、薏苡仁、黄芩各一钱半，赤芍、桔梗、升麻、甘草、败酱草各一钱。
〔已溃〕使用排脓汤：该方作汤剂或散剂均可，详见第二卷肺痈篇。
〔脓稀〕使用太乙膏：生地、白芍、当归、白芷、桂枝、元参、大黄各二两，用麻油二斤熬制，去渣后再熬，加入黄丹。
〔调补〕使用八珍汤：详见第一卷中风篇。
〔呕脓〕使用凉膈散：详见第一卷中风篇。
〔调补〕使用保元汤：详见第一卷火证篇。
A wiry pulse indicates pain, and a choppy pulse also indicates pain. A slightly slippery pulse in the stomach meridian suggests phlegm-fluid retention (Tan Yin), while a slippery and full pulse suggests retained food (Su Shi). A deep and tight pulse indicates cold accumulation (Leng Ji), and a deep and choppy pulse indicates qi stagnation (Qi Zhi). A rapid and large pulse indicates fire (Huo), a hollow and wiry pulse indicates blood disorders (Xue), and a pulse that fluctuates between large and small indicates parasitic infestation (Chong). A deep and small pulse indicates a favorable prognosis (Sheng), whereas a full, large, floating, and long pulse indicates an unfavorable prognosis (Si).
[Yang Deficiency] Use Xiangsha Liujunzi Tang (Fragrant Sand Six Gentlemen Decoction): Liujunzi Tang (Six Gentlemen Decoction) with added Muxiang (Aucklandiae Radix) and Sharen (Amomi Fructus).
[Liver Overacting] Use Zhike Jian (Bitter Orange Decoction): Take Zhike juice (5 spoons), Wuyao juice (7 spoons), Baishao juice (20 spoons), and Muxiang juice (5 spoons); decoct Dengxintu (Junci Medulla) (1 qian) and Sharen (0.5 fen), then mix the decoction with the juices for administration.
[Kidney Jue] Use Wuzhuyu Tang (Evodia Decoction): See Volume 3, Vomiting section.
[Exhaustion from Overwork] Use Xiaojianzhong Tang (Minor Construct the Middle Decoction): Composed of Guizhi (Cinnamon Twig), Shaoyao (Peony Root), Gancao (Licorice Root), Shengjiang (Fresh Ginger), Yitang (Maltose), and Dazao (Jujube).
[External Cold] Use Dajianzhong Tang (Major Construct the Middle Decoction): See Volume 2, Sweating section.
[Accumulated Cold] Use Shufu Tang (Atractylodes and Aconite Decoction): See Volume 5, Spasm section.
[Fire-Phlegm] Use Qingzhong Tang (Clear the Middle Decoction): See this volume, Heartache section.
[Fluid Pain] Use Weiling Tang (Stomach-Poria Decoction): See Volume 1, Wind-Stroke section.
[Liver Fire] Use Zuojin Wan (Left Metal Pill): See Volume 1, Fire section.
[Food Pain] Use Xiangsha Zhizhu Wan (Fragrant Sand Atractylodes Pill): See this volume, Headache section.
[Qi Stagnation] Use Chenxiang Jiangqi San (Aquilaria Descending Qi Powder): See Volume 3, Depression section.
[Blood Stasis] Use Shounian San (Hand-Pulling Off Decoction/Powder): See this volume, Heartache section.
[Fullness Pain] Use Banxia Xiexin Tang (Pinellia Drain the Epigastrium Decoction): See Volume 1, Warmth section.
[Ascaris Movement] Use Anqi Tang (Calming Ascaris Decoction): See Volume 3, Vomiting section.
[Collateral Pain] Use Shixiao San (Pain-Relieving Powder): Lingzhi (Dysosma Caulis) and Puhuang (Typhae Pollen) (both stir-fried) in equal parts, decocted with water and wine.
[Deficiency Pain] Use Shen'ou San (Ginseng and Atractylodes Powder): Composed of Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), and Gancao (Licorice Root).
[Excess Pain] Use Zhiyu Wan (Gardenia and Evodia Pill): Composed of Shanzhi (Gardenia Fruit) and Wuzhuyu (Evodia Fruit).
[Initial Stage] Use Shegan Tang (Belamcanda Decoction): Shegan (Belamcanda Rhizome, de-hairy), Shanzhi, Chifu (Red Poria), and Shengma (Cimicifugae Rhizoma) each 1 qian; Chishao (Red Peony Root) 0.5 qian; Baizhu 0.5 fen. Decoct, remove dregs, add Dihuang juice (1 he), and decoct again before taking.
[Wind-Heat] Use Yiren Tang (Coix Seed Decoction): Yiren (Coix Seed), Fangji (Stephania Root), Chixiaodou (Adzuki Bean), and Zhigancao (Prepared Licorice Root) in equal parts.
[Accumulated Heat] Use Qingwei San (Clear the Stomach Powder): See Volume 2, Epistaxis section.
[Accumulated Heat] Use Shaoyao Tang (Peony Decoction): Composed of Chishao (Red Peony Root), Shigao (Gypsum Fibrosum), Xijiao (Rhinoceros Horn - *note: substitute with Buffalo Horn in modern practice*), Maidong (Ophiopogon Tuber), Mutong (Akebia Stem), Poxiao (Mirabilite), Qie (Shepherd's Purse), Shengma, Yuan Shen (Scrophularia Root), and Gancao.
[Toxin Formation] Use Neixiao Waxue Tang (Internal Resolution Snow-Melting Decoction): Danggui (Angelica Sinensis), Shaoyao, Qiao (Forsythia), Zhi (Angelica Dahurica), Bei (Fritillaria), Chen (Tangerine Peel), Rushi (Dragon's Blood Resin), Mo (Myrrh), Gancao Jie (Licorice Knots), Jiaoci (Gleditsia Spine), Huafen (Trichosanthes Root), Jiapian (Tortoise Shell), and Yinhua (Honeysuckle Flower) each 0.5 fen. Decoct with water and wine.
[Severe Toxin] Use Dongyuan Tuoli San (Dongyuan Supporting Interior Powder): Yinhua and Danggui each 2 qian; Dahuang (Rhubarb Root), Muli (Oyster Shell), Huafen, Jiaoci, Lianqiao (Forsythia Fruit), and Poxiao each 0.6 fen; Chishao and Huangqin (Scutellaria Root) each 0.4 fen. Decoct with water and wine.
[Purulent Odor] Use Mudan San (Tree Peony Powder): Danpi (Tree Peony Bark), Diyu (Sanguisorba Root), Yiren, and Huangqin each 1.5 qian; Chishao, Jiegeng (Platycodon Root), Shengma, Gancao, and Baijiang (Patrinia Herb) each 1 qian.
[Already Ulcerated] Use Painong Tang (Draining Pus Decoction): This formula may be used as a decoction or powder; see Volume 2, Lung Abscess section.
[Thin Pus] Use Taiyi Gao (Supreme Paste): Didihuang (Rehmannia Root), Shaoyao, Danggui, Baizhi, Guizhi, Yuanshen, and Dahuang each 2 liang. Boil in 2 jin of Sesame Oil, remove dregs, boil again, and add Huangdan (Lead Monoxide).
[Regulation and Tonification] Use Bazhen Tang (Eight Treasures Decoction): See Volume 1, Wind-Stroke section.
[Vomiting Pus] Use Liangge San (Cooling the Diaphragm Powder): See Volume 1, Wind-Stroke section.
[Regulation and Tonification] Use Baoyuan Tang (Preserve the Origin Decoction): See Volume 1, Fire section.