心痛即胃脘痛，须分新久之殊。若明知身受寒气，口食寒物，而病于初得时，当用温散
温利之药；若病稍久而成郁，郁则蒸热，热久必生火，若行温剂，宁无助火添病乎？此病虽
日数多，不食不死。若痛方止便吃物，与病安之后又纵恣口，腹病再发，难治。
心痛神方
朱砂 木香各三钱 黄占一两
化开为丸如绿豆大。每服七丸，烧酒下，极痛时方服效。（《卫生备要》）
急心痛（牙关紧闭欲死）
老葱白五茎，去皮须捣膏，用匙送入咽喉中，灌以麻油四两，但得下咽即苏。少倾虫积
皆化黄水而下，神效。（《瑞竹堂方》）
一用 麻油一钟，煎滚，冲入烧酒一小钟，乘痛急饮。（《秘方集验》）
蛔咬心痛
心头痛急不能当，吾有仙人海上方， 蓄醋煎通口咽，管叫时刻立安康。 一用乌梅三
个，川椒十四粒，煎服愈。（《单方全集》）
心口痛
良姜（酒洗七次，焙研）、香附子（醋浸七次，焙研）。病因寒得，姜末二钱、附末一钱；
因怒得，姜末一钱、附末二钱；寒怒兼有各钱半，米饮加姜汁并盐服效。（《韩飞霞医通书》）
胃脘疼痛
雄黄一钱（末） 乌梅三钱（肉）
为末，如豆大。俟胃口痛时，须酒服。轻者两丸、重者三丸。（《集验方》）
心气痛
生芝麻半升，候痛时，不必看随手取来，不拘多少，放铜锅内炒黑为末，好酒送下。一
服除根。（《秘方集验》）
神仙九气散
专治膈气、寒热气、惊气、怒气、山岚障气、积聚坚牢、不能饮食，发则欲死
香附 姜黄 甘草
等分为末。每服盐汤下三钱。（当神方）
一切气痛
天台乌药（小者酒浸一夜炒） 茴香（炒） 青橘皮（去白炒） 良姜（炒）
各等分为末，温酒、童便调下。（《卫生家宝》）
心痛即胃脘痛，必须区分病程新久之别。如果明确知道身体受寒邪侵袭，或食用了寒凉食物，且在发病初期，应当使用温散、温利的药物；如果病情迁延日久形成气郁，气郁则化热蒸腾，热久必生火，此时若使用温燥药剂，岂不是助长火势、加重病情吗？此病虽然天数较多，但不进食也不会死亡。如果在疼痛刚停止时就进食，或在病痛痊愈后放纵口腹之欲，导致腹部疾病复发，则难以治疗。
心痛神方
朱砂、木香各三钱，黄占一两。
将其熔化混合制成如绿豆大小的丸剂。每次服用七丸，用烧酒送服，在疼痛剧烈时服用效果显著。（出自《卫生备要》）
急心痛（牙关紧闭，濒临死亡）
老葱白五茎，去皮后捣成膏状，用勺子送入咽喉中，灌入麻油四两，只要能够咽下即可苏醒。过了一会儿，虫积都会化为黄水排出体外，效果神奇。（出自《瑞竹堂方》）
另一种方法：取麻油一钟，煎至沸腾，冲入一小钟烧酒，趁疼痛紧急时饮下。（出自《秘方集验》）
蛔咬心痛
心头痛势急迫难以忍受，我有仙人海上方，用醋煎煮通草口服，保证片刻之间立刻恢复安康。
另一种方法：用乌梅三个，川椒十四粒，煎汤服用可愈。（出自《单方全集》）
心口痛
良姜（用酒清洗七次，焙干研粉）、香附子（用醋浸泡七次，焙干研粉）。如果是因寒邪致病，用姜末二钱、附子末一钱；如果是因愤怒致病，用姜末一钱、附子末二钱；如果是寒邪与愤怒兼有，则各用一钱半，用米饮加姜汁并盐送服有效。（出自《韩飞霞医通书》）
胃脘疼痛
雄黄一钱（研末），乌梅三钱（去肉）。
研为细末，制成如豆大丸剂。等到胃口疼痛时，必须用酒送服。轻症服两丸，重症服三丸。（出自《集验方》）
心气痛
生芝麻半升，等到疼痛发作时，不必特意查看，随手取来，数量不拘，放入铜锅内炒黑后研为粉末，用好酒送下。一次服用即可除根。（出自《秘方集验》）
神仙九气散
专门治疗膈气、寒热气、惊气、怒气、山岚障气、积聚坚牢、不能饮食，发作时令人痛苦欲死。
香附、姜黄、甘草。
等分为粉末。每次服用三钱，用盐汤送下。（当为神效方）
一切气痛
天台乌药（小的用酒浸泡一夜后炒制）、茴香（炒制）、青橘皮（去白后炒制）、良姜（炒制）。
各等分为粉末，用温酒、童便调服。（出自《卫生家宝》）
Heart pain is equivalent to epigastric pain; one must distinguish between recent and chronic onset. If it is known that the body has been invaded by cold pathogenic factors or cold food was ingested, and the illness is in its initial stage, warming and dispersing, as well as warming and promoting circulation, should be employed. However, if the condition persists for a long time leading to Qi stagnation, stagnation generates heat which steams upward; prolonged heat inevitably transforms into fire. In such cases, using warming agents would only assist the fire and exacerbate the disease. Although this ailment may last many days, death does not occur even without eating. If food is consumed immediately after the pain subsides, or if dietary indulgence occurs after recovery, causing abdominal diseases to recur, treatment becomes difficult.
Divine Formula for Heart Pain
Cinnabar (Zhusha) and Costus Root (Muxiang), each 3 qian; Yellow Beeswax (Huangzhan), 1 liang.
Melt and mix to form pills the size of mung beans. Take seven pills per dose, washed down with distilled spirits (Baijiu). It is most effective when taken during severe pain. (From *Weisheng Bei Yao*)
Acute Heart Pain (Jaw locked tight, near death)
Five stalks of old green onion white part, peeled and pounded into a paste. Insert into the throat with a spoon, then pour in four liang of sesame oil. Once swallowed, consciousness will return. After a short while, intestinal parasites will transform into yellow fluid and discharge. This is miraculous. (From *Ruizhu Tang Fang*)
Alternative method: Take one zhong of sesame oil, boil until rolling, then mix with a small zhong of distilled spirits. Drink immediately while pain is acute. (From *Mifang Jiyuan*)
Pinworm-Induced Heart Pain
The heart and head suffer from urgent, unbearable pain. I possess the Immortal's Sea-Side Prescription: Decoct Tongcao (Akebia Caulis) with vinegar and swallow. Within moments, health will be restored.
Alternative method: Three dried plums (Wumei) and fourteen Sichuan peppercorns (Chuanjiao), decocted and taken orally, will cure the condition. (From *Danfang Quanji*)
Epigastric Pain
Galangal (Liangjiang), washed seven times with wine, dried, and powdered; Cyperus Rhizome (Xiangfuzi), soaked seven times in vinegar, dried, and powdered. For causes related to cold: use 2 qian of Galangal powder and 1 qian of Aconite powder. For causes related to anger: use 1 qian of Galangal powder and 2 qian of Aconite powder. For combined cold and anger: use 1.5 qian of each. Take with rice water added with ginger juice and salt. Effective. (From *Han Feixia Yitongshu*)
Epigastric Pain
Realgar (Xionghuang), 1 qian (powdered); Dried Plum (Wumei), 3 qian (pulp).
Grind into fine powder and form pills the size of beans. When epigastric pain occurs, take with wine. For mild cases, two pills; for severe cases, three pills. (From *Jiyan Fang*)
Qi-Stagnation Heart Pain
Half sheng of raw sesame seeds. When pain strikes, take whatever is at hand without measuring specifically. Stir-fry in a copper pot until black, then grind into powder. Wash down with good wine. One dose eliminates the root cause. (From *Mifang Jiyuan*)
Divine Nine-Qi Powder
Specifically treats diaphragmatic Qi disorder, alternating cold and heat, fright Qi, anger Qi, mountain mist obstruction Qi, firm accumulations, inability to eat, and conditions where attacks cause near-death suffering.
Cyperus Rhizome (Xiangfu), Turmeric Rhizome (Jianghuang), Licorice Root (Gancao).
Grind into equal parts powder. Take 3 qian per dose, washed down with salt water. (A divine formula)
All Types of Qi Pain
Tiantai Litsea Fruit (Tiantai Wuyao - smaller ones soaked in wine overnight and stir-fried), Fennel Seed (Huixiang - stir-fried), Green Tangerine Peel (Qingju pi - pith removed and stir-fried), Galangal (Liangjiang - stir-fried).
Grind into equal parts powder. Mix with warm wine and child's urine (Tongbian) to administer. (From *Weisheng Jiabao*)