连、枳壳、半夏、浓朴、郁金、草蔻、滑石、茯苓皮之类。若触秽暑兼挟食滞，脘中痞满，饱闷呕恶。腹中板痛；亦宜清疏中宫。如广藿香、川郁金、川连、枳壳、白蔻、浓朴、木香汁，生楂肉，莱菔子之类。若暑湿之邪未清，误投补剂，以致胸膈胀满，脘中痞闷硬痛，几成结胸者；亦宜泻心法治之。或加二陈、枳实、浓朴、川连、楂肉、郁金、莱菔子、木香汁之类。另有王孟英治陈赤堂妻，痰热阻痹，用小隔胸合温胆雪羹加旋复、薤白。（见王孟英《医案》）则又得对症投药，灵活运用之妙。
（一名伤寒夹胃脘痛）
【因】素有肝胃气痛。外感风寒。触动而发。有表里上下左右之别。气血虚实寒热之分。
【证】头痛身热。恶寒无汗。胸脘满痛。恶心吐酸。或两胁痛。或腹胀痛。或少腹痛。舌苔白滑。或黄白相兼。或灰白不燥。甚或黄浊。
【脉】左浮紧。右弦急。或浮或沉。甚则沉弦而涩。皆伤寒夹内痛之候也。
【治】先当理气发汗。香苏葱豉汤加延胡、乳香。去表邪以止痛。表邪去而痛不止者。必有凝痰伏饮。或有宿食瘀血、当明辨病根。细审部位以施治。胸引两胁串疼者。属痰气互结。初用柴胡陷胸汤加乳香、没药。和解郁结以住痛。继用大柴胡汤送下控涎丹。缓下痰饮以除根。不应。即用蠲饮万灵汤调下紫金片。速除痰饮。胃脘坚痛。甚或有块。痛不可按者。属宿食阻气。初用神术汤加乳、没。温中疏滞以缓痛。继则枳实导滞汤加延胡。逐下宿滞以除根。不应。即用六磨饮子调下当归导气散。下气攻滞。痛不可按。按之却软。甚则痛极如狂。或至昏厥不省者。属瘀血凝结。轻则五仁橘皮汤合代抵当丸。滑利通瘀以止痛。重则桃仁承气汤。峻攻瘀热以除根。
若肝火烁胃。饥不欲食。食则吐蛔。甚则烦躁昏厥者。属蛔厥虫疼。初用连梅安蛔汤。清肝止痛以定厥。
继用雪羹吞下更衣丸、泻肝杀虫以除根。惟屡经通逐而痛益甚者。属虚痛。偏寒者。加味小建中汤
倍当归。温和肝脾以调补之。偏热者。四物绛覆汤。濡润血络以缓和之。甚则导火归原。如加味《金匮》
肾气汤。纳气归肾。或新加八味地黄汤等。皆可对病酌用。然不多见。临症时细心斟酌。不可轻试。
总之痛则不通。通则不痛。或用温通。或用凉通。或用疏通。或用攻通。因时审症。量体制方。必使其气血通调。
则抑塞者通畅。郁结者通达。而痛自止矣。此皆伤寒夹痛之要法也。
【秀按】凡素有胸胁脘腹诸痛。因外感触动宿疾而发者。俞君用香苏葱豉汤加延胡、乳香。既能解表。又能
缓痛。宣气活血。行经通络。外内兼理。方殊轻稳。盖因表气宣通。则里气亦得疏通。痛必稍缓。即有胃
脘留伏痰饮之腹痛。肾虚足不任地之脚心痛。肾衰风袭之下体痿弱。骨节疼痛。病虽从内而发。其实痛在经
络。所以治表之药。总无妨于本病。其次胸胁肩背诸痛。证虽不一。然悉为阳分之疾。纵有伤寒表证。而痛
楚不堪者。不妨兼治其痛。此方加延胡、乳香。止痛最妙。且无引邪入犯三阴之虞。又次腰脐少腹诸痛。虽皆
阴分之患。然既有表证。必当先解其表。表解然后治里。俞君明辨挟痰、挟饮、挟食、挟瘀、挟虫、挟虚
之故。审症既明。处方必效。真得通则不痛之要诀也。
【廉勘】风寒挟诸痛证。俞氏临病求源。对症发药。方法固多惬合。然必参以上夹食、夹痰、夹饮、夹痞、
夹血诸篇。始能随病策应。而安蛔止痛之法。照俞法治。轻症可效。症势重者不应。必用沉香至珍丸。（沉
香、广木香、公丁香各四钱、广皮、青皮、乌药、莪术、巴霜、川连、槟榔各一两、神曲糊为丸、每服三五
粒、淡姜盐汤送下、或玫瑰花汤送下、善治九种胃痛、一切肝胃气痛、两胁胀满、及呕吐反胃、痰气食滞诸
症、杀虫下虫、尤有专功。）始克逐虫下出。虫出则疼自止。若素有头风。偶患风寒者。每见服香苏
葱豉汤。一二剂汗出身凉。往往头痛愈剧。彻夜叫号。此由辛散过汗。激动风火。重伤血液。故痛益甚。当用菊
花茶调散加减。（滁菊花、苏薄荷、嫩桑芽、荆芥穗、制香附、夏枯草、苦丁茶、荷叶边各一钱、炙
甘草五分、细研为散、食后茶清调服二钱。）辛凉散风以泄热。外用蓖麻贴法。（蓖麻、乳香各五分、麝香
三厘、同捣烂成饼、贴太阳穴上、如痛定、急于头上解开头发出气、即去药饼。）或用透顶散搐法。（细辛
三茎、公丁香七粒、甜瓜蒂七枚、赤小豆七粒、梅冰五厘、麝香一分、前四味先研细末、后入冰麝同研极匀、
盛小口瓶中、紧塞瓶口、令患人口含清水、随左右搐一豆大许于鼻中、良久涎出即安、不愈、三日后再搐。）
痛久不愈。须防起翳以害目。前哲如东垣丹溪。以为右属湿属痰。多气虚。用半夏白术天麻汤。（姜半夏、生
于术、明天麻各钱半、潞党参、姜汁炒黄 、浙茯苓、广皮红、六神曲、泽泻各一钱、制苍术七分。）左属
风属火。多血虚。用四物汤加苍耳、细辛、薄荷、芽茶。盖一主肥人头痛。多是湿痰上冒。一主瘦人头痛。多
是血虚有火。斯诚要言。然就余所验。靡不兼风。无风入。但作眩。不作痛也。且多是风毒。傍阻于髓海之旁。
侵入于脑膜孙络。脑系通目。目系入脑。故病之去路。多从目出而解。不解则伤目。目盲则头风顿愈。历验不
爽。予治偏头风痛。每用淡婆婆根汤。（淡婆婆根三钱、明天麻、蔓荆子各钱半、滁菊花、白芷各一钱、川
芎、当归、木贼草各七分、小黑豆百粒、考淡婆婆、即俗呼淡亲家母、味淡性平、草药肆购之。）初起屡效。
外治以解毒去风。性味之平正者。淡淡注之。如滁菊花、细芽茶泡汤冷注。以鼻注药。而清窍自通。窍通则
头风自愈。或用点眼止痛法。（雄精、西瓜硝各一分、冰片、麝香少许、菊花、芽茶泡汤调、点目内 睛明穴、
男左女右、扶行数步、止偏正头风固效、即治胃脘痛亦立效。）效亦如神。虽然。头风一症。往往标寒而本热。
况属风毒久踞。多从火化。当用轻清宣上。如羚角荷翘汤。（羚角片一钱、苏薄荷八分、青连翘、夏枯草、
苦丁茶、焦栀
皮各钱半、鲜荷叶边三钱、鲜青菊叶七片。）成绩最多。外用一滴金。（人中白、干地龙各二钱、共研细末、
羊胆汁为丸、芥子大、每用一丸、新汲水一滴化开、滴鼻内。）时时注入鼻孔。奏功尤捷。俞氏但就夹胃痛
言。未免阙漏。初用香苏葱豉汤加味。专治风寒。岂知夹胃痛一症。温热病亦最多。虽平时因寒而发。于此则
但治其热。盖湿温伏于膜原。温热伏于血络。蕴酿蒸变。必从火化。伏邪自里达表。而发其胃痛痼疾者。多属
热痛。则但于治伏邪药中。加乳香、没药以止痛。延胡、桃仁以活络。速使其伏邪透发。而胃痛自已。不必概
以普通止痛之方混治也。总之通则不痛。治痛之理也。但通之之法。各有不同。调气以和血。如疏肝流气饮。
（制香附、苏叶梗、郁金、蜜炙延胡各钱半、枳壳、青皮、通草各一钱、当归二钱、乌药、佛手片各八分、葱
管五寸冲。）六磨汤。（沉香、乌药、枳实、广木香、尖槟榔、酒磨各一匙、毛西参二钱煎汤、入盐少许、将
五汁和服、本方去枳实木香、名四磨饮。）香砂达郁汤。（广木香、春砂仁各七分、制香附、焦山栀、广郁金
各二钱、川芎、制苍术各六分、六神曲钱半、若湿郁重、加赤苓、滑石、热郁重、加青黛、川连、痰郁重、加
浮海石、竹沥半夏、食郁重、加枳实、山楂、血郁重、加桃仁、红花，虽以理气为主，亦可因病变通。）绿萼
梅花丸。（党参、茯苓、益智仁、砂仁各三钱、四制香附二两、滑石七两、山药、黄 各钱半、甘松、莪术各
五钱、远志二钱半、桔梗一钱、炙甘草七分、用绿萼梅三两、丹皮八两煎汤、煮前药晒干为末、蜜丸、每重一
钱、蜡封固、每服一丸、开水化送、王孟英曰∶此方用药颇奇，分两多寡亦难测识，而功效甚着。）九制香附
丸。（制香附十四两、艾四两、春三日、夏一日、秋三日、冬七日、一次酒、二次醋、三次盐、四次童便、五
次小茴香二两、六次益智仁二两、七次丹参二两、八次姜汁、九次萝卜子二两、制如法糊丸、每服三四钱、开
水送下、武叔卿云、香附乃血中气药、开郁行气、而血自调、妇人宜常服之。）《局方》聚宝丹。仁香汤。
香砂二陈汤之属。调血以和气。如七厘散。琥珀散。（三棱、莪术、赤芍、丹皮、当归、熟地、官桂、乌药、延胡
索、琥珀、刘寄奴各一两、研细、每服二钱、许叔微云、止血气痛尤妙、救人不少。）四物绛覆汤。
四物加二香汤。（加南木香六分、小茴香二分。）四物加兰香汤。（加泽兰、制香附各二钱、乌贼骨三钱、茜
根八分。）四物加桃红汤。（加光桃仁七粒、藏红花四分。）济阴八物汤。（即四物汤加延胡索、
川楝子各一钱、广木香、尖槟榔各五分。）归芍调肝汤。（当归、白芍各钱半、银花、川断各一钱、南木香
片、红花各五分、）丹参饮。（苏丹参五钱、紫檀香一钱、春砂仁、明乳香各五分、）四物益母丸。（当
归一两五钱、川芎、赤芍、红木香各一两、为末、益母膏打丸、每重一钱二分。）之属通也。上逆者使之
下行。如苏子降气汤。（苏子、前胡、橘红、仙半夏各钱半、当归、川朴各一钱、炙甘草五分、沉香汁两
匙冲。）苏子降香汤。（苏子一钱、降香八分、冬桑叶、炒丹皮各钱半、川贝、丹参、广郁金各二钱、
枇杷叶去毛筋净五钱、生藕汁一杯冲。）沉香降气散。（沉香、砂仁各六分、制香附钱半、蜜炙延胡、川
楝子各一钱、盐水炒甘草四分。）安东散。（苏罗子炒、瓦楞子醋炙各四两、陈香橼、陈木瓜各两只炒、
生蛤壳二斤生杵、研极细、每服三钱、赤沙糖汤调服。）丹溪海蛤丸。（海蛤粉二两、栝蒌仁一两、同捣
为丸、用陈皮、生姜各一钱、红枣肉七枚、煎汤送下、此丸涤饮降气、专治痰饮胃痛。）肝胃二气丹。
（一次醋 赭石、 石决明、 瓦楞子、路路通各八两、旋复花四两、新绛、乌药各二两、青葱管一把、
以上八味、煎浓汁听用、二次淡附子、吴茱萸、元胡、五灵脂、蒲公英、佛手柑各一两、当归二两、制香
附一两五钱、炙草五钱、以上九味法制各取净末、三次沉香、公丁香各一两、木香、砂仁、川连各一两
五钱、寸香五分、以上各药、照方法制、将前药末和匀、以前药汁搀入、量加曲糊杵丸、每粒潮重一钱五分、
阴干、辰砂为衣、白蜡封固、每服一丸、重者二丸、玫瑰花冰糖汤化下、此丹专治肝逆犯胃、脘胁作痛、
呕吐酸水、食不得入、兼治酒膈湿郁等证、大有奇效。）沉香化滞丸（沉香六钱、山楂肉、川锦纹各一两
五钱、川朴、枳实、槟榔、条芩、陈皮、半夏曲、生晒术、广木香、杜藿香、春砂仁各一两二钱、姜
汁竹沥泛丸、每服二三钱、淡姜盐汤送下、专治脾胃不和、过食生冷油腻、停滞不化、胸膈饱闷、
胁腹疼痛、一切气痰痞积诸症、皆效。）下郁者使之上行。如逍遥散。（川柴胡七分、当归、白术、茯苓
各一钱、酒炒白芍钱半、广皮红八分、苏薄荷、炙甘草各五分、蜜煨生姜二片、加丹皮、焦栀各钱半、
名加味逍遥散、加青蒿钱半、生鳖甲四钱、以治骨蒸、名逍遥加蒿鳖汤。）柴胡调经汤。（川柴胡七分、
羌活、独活、 本、升麻、苍术各五分、葛根、当归、炙甘草各三分、片红花一分）和血逐邪汤。（川
柴胡、焦枳壳、绛通各一钱、荆芥穗、嫩苏梗、制香附、左秦艽各钱半、川芎、川朴各八分、益母草、
泽兰各二钱、生姜皮二分。）逍遥加减汤。（本方去白术加制香附广郁金各二钱。）逍遥二陈汤。柴胡
四物汤。加减小柴胡汤之属亦通也。中结者使之旁达。如新绛旋复花汤。（真新绛二钱、旋复花包煎钱半、
青葱管五寸冲。）三仁绛覆汤。三合绛覆汤。四物绛覆汤。通窍活血汤。清肝活络汤。（归须、泽兰各
二钱、新绛、赤芍、广郁金、紫苏旁枝各钱半、桃仁、三七、枳壳、青皮各一钱、瓦楞子 研四钱、马
培之先生验方。）舒筋通络汤。（归须三钱、秦艽、川芎、桑叶、酒炒赤芍各钱半、广橘络、鸡血藤膏
各一钱、雷少逸先生验方。）蒌薤绛覆汤。（栝蒌仁二钱、干薤白烧酒洗捣三枚、仙半夏、赤苓、新绛、
旋复花各钱半、春砂壳七分、桂枝三分、青葱管五寸、徐守愚先生验方）蠲痛丹。（制川乌、地龙各五钱、
全蝎酒洗七只、炒黑丑四十九粒、麝香五分、酒糊丸、每重四分、每服一丸、好酒送下。）蠲痛活络丹
之属。（蠲痛丹加制草乌、陈胆星各六钱、乳香、净没药各三钱。）周痹者使之走窜。如桃仁 虫丸（光
桃仁二两、 虫、炙蜣螂虫、五灵脂炒各一两、桂枝尖五钱、蜀漆炒黑三钱、用老韭根白捣汁泛丸、每
服二钱、桑枝尖、青松针各五钱、煎汤送下。）龙鲤宣痹丸。（干地龙酒炒一两、蜣螂、全蝎、穿
连翘、枳壳、半夏、厚朴、郁金、草豆蔻、滑石、茯苓皮等药物。如果触犯了秽浊暑气兼夹食滞，导致胃脘部痞塞胀满，饱闷恶心呕吐。腹部僵硬疼痛；也应当清利疏泄中焦脾胃。如广藿香、川郁金、黄连、枳壳、白豆蔻、厚朴、木香汁、生山楂肉、莱菔子等药物。如果暑湿之邪尚未清除，误用补益药剂，以致胸膈胀满，胃脘部痞闷硬痛，几乎形成结胸证；也应当用泻心汤法治疗。或者加入二陈汤、枳实、厚朴、黄连、山楂肉、郁金、莱菔子、木香汁等药物。另有王孟英治疗陈赤堂的妻子，痰热阻痹，用小陷胸汤合温胆汤、雪羹汤，加旋覆花、薤白。（见王孟英《医案》）这又是得到对症用药，灵活运用的妙处。
（一名伤寒夹胃脘痛）
【病因】平素有肝胃气痛。外感风寒。触动而发作。有表里上下左右的区别。气血虚实寒热的分别。
【症状】头痛身热。恶寒无汗。胸脘满痛。恶心吐酸。或两胁痛。或腹胀痛。或少腹痛。舌苔白滑。或黄白相兼。或灰白不燥。甚或黄浊。
【脉象】左脉浮紧。右脉弦急。或浮或沉。甚则沉弦而涩。都是伤寒夹内痛的征候。
【治法】先当理气发汗。用香苏葱豉汤加延胡索、乳香。去除表邪以止痛。表邪去除而疼痛不止的。必定有凝痰伏饮。或者有宿食瘀血、应当明辨病根。仔细审查部位来施治。胸部牵引两胁串疼的。属于痰气互结。初用柴胡陷胸汤加乳香、没药。和解郁结以止住疼痛。继用大柴胡汤送服控涎丹。缓下痰饮以除根。无效。即用蠲饮万灵汤调服紫金片。速除痰饮。胃脘坚硬疼痛。甚至或有肿块。疼痛不可按压的。属于宿食阻滞气机。初用神术汤加乳香、没药。温中疏滞以缓解疼痛。继则枳实导滞汤加延胡索。逐下宿滞以除根。无效。即用六磨饮子调服当归导气散。下气攻滞。疼痛不可按压。按压却感觉柔软。甚至疼痛剧烈如狂。或者至昏厥不省人事的。属于瘀血凝结。轻则五仁橘皮汤合代抵当丸。滑利通瘀以止痛。重则桃仁承气汤。峻攻瘀热以除根。
如果是肝火灼伤胃阴。饥饿但不想进食。进食则吐蛔虫。甚至烦躁昏厥的。属于蛔厥虫疼。初用连梅安蛔汤。清肝止痛以定厥。
继用雪羹吞服更衣丸、泻肝杀虫以除根。只有屡次经过通下逐邪而疼痛更加严重的。属于虚痛。偏寒的。加味小建中汤
倍用当归。温和肝脾以调补它。偏热的。四物绛覆汤。濡润血络以缓和它。甚至则导火归原。如加味《金匮》
肾气汤。纳气归肾。或者新加八味地黄汤等。都可以对病斟酌使用。然而不多见。临症时细心斟酌。不可轻易尝试。
总之痛则不通。通则不痛。或者用温通。或者用凉通。或者用疏通。或者用攻通。因时审症。量体制方。必须使其气血通调。
那么抑塞者通畅。郁结者通达。而疼痛自然停止。这都是伤寒夹痛的要法。
【秀按】凡是平素有胸胁脘腹诸痛。因外感触动宿疾而发作的。俞君用香苏葱豉汤加延胡索、乳香。既能解表。又能
缓痛。宣气活血。行经通络。外内兼理。方剂殊为轻稳。因为表气宣通。则里气亦得疏通。疼痛必然稍缓。即使有胃
脘留伏痰饮的腹痛。肾虚足不任地的脚心痛。肾衰风袭的下体痿弱。骨节疼痛。病虽然从内而发。其实痛在经络。所以治表的药。总不妨碍本病。其次胸胁肩背诸痛。证候虽然不一。然而全为阳分的疾病。纵有伤寒表证。而痛苦不堪的。不妨兼治其痛。此方加延胡索、乳香。止痛最妙。且没有引邪入犯三阴的忧虑。再次腰脐少腹诸痛。虽然皆属阴分的病患。然而既有表证。必当先解其表。表解然后治里。俞君明辨挟痰、挟饮、挟食、挟瘀、挟虫、挟虚
的缘故。审症既明。处方必效。真得通则不痛的要诀。
【廉勘】风寒挟诸痛证。俞氏临病求源。对症发药。方法固然多契合。然而必须参考以上夹食、夹痰、夹饮、夹痞、
夹血诸篇。始能随病策应。而安蛔止痛之法。照俞法治。轻症可效。症势重者无效。必用沉香至珍丸。（沉香、广木香、公丁香各四钱、广陈皮、青皮、乌药、莪术、巴豆霜、黄连、槟榔各一两、神曲糊为丸、每服三五粒、淡姜盐汤送下、或玫瑰花汤送下、善治九种胃痛、一切肝胃气痛、两胁胀满、及呕吐反胃、痰气食滞诸症、杀虫下虫、尤有专功。）始能逐虫下出。虫出则疼自止。如果平素有头风。偶患风寒的。每见服用香苏
葱豉汤。一二剂汗出身凉。往往头痛加剧。彻夜叫号。这是由辛散过汗。激动风火。重伤血液。故疼痛更甚。当用菊
花茶调散加减。（滁菊花、苏薄荷、嫩桑芽、荆芥穗、制香附、夏枯草、苦丁茶、荷叶边各一钱、炙
甘草五分、细研为散、食后茶清调服二钱。）辛凉散风以泄热。外用蓖麻贴法。（蓖麻、乳香各五分、麝香
三厘、同捣烂成饼、贴太阳穴上、如痛定、急于头上解开头发出气、即去药饼。）或用透顶散搐鼻法。（细辛
三茎、公丁香七粒、甜瓜蒂七枚、赤小豆七粒、梅冰五厘、麝香一分、前四味先研细末、后入冰麝同研极匀、
盛小口瓶中、紧塞瓶口、令患人口含清水、随左右搐一豆大许于鼻中、良久涎出即安、不愈、三日后再搐。）
疼痛久不愈。须防起翳以害目。前哲如东垣丹溪。以为右属湿属痰。多气虚。用半夏白术天麻汤。（姜半夏、生
于术、明天麻各钱半、潞党参、姜汁炒黄 、浙茯苓、广陈皮红、六神曲、泽泻各一钱、制苍术七分。）左属
风属火。多血虚。用四物汤加苍耳、细辛、薄荷、芽茶。盖一主肥人头痛。多是湿痰上冒。一主瘦人头痛。多
是血虚有火。斯诚要言。然而就我所验。无不兼风。无风入。只作眩晕。不作痛也。且多是风毒。傍阻于髓海之旁。
侵入于脑膜孙络。脑系通目。目系入脑。故病之去路。多从目出而解。不解则伤目。目盲则头风顿愈。历验不
爽。我治偏头风痛。每用淡婆婆根汤。（淡婆婆根三钱、明天麻、蔓荆子各钱半、滁菊花、白芷各一钱、川芎、当归、木贼草各七分、小黑豆百粒、考淡婆婆、即俗呼淡亲家母、味淡性平、草药肆购之。）初起屡效。
外治以解毒去风。性味之平正者。淡淡注之。如滁菊花、细芽茶泡汤冷注。以鼻注药。而清窍自通。窍通则
头风自愈。或用点眼止痛法。（雄精、西瓜硝各一分、冰片、麝香少许、菊花、芽茶泡汤调、点目内 睛明穴、
男左女右、扶行数步、止偏正头风固效、即治胃脘痛亦立效。）效亦如神。虽然。头风一症。往往标寒而本热。
况属风毒久踞。多从火化。当用轻清宣上。如羚角荷翘汤。（羚角片一钱、苏薄荷八分、青连翘、夏枯草、
苦丁茶、焦栀
皮各钱半、鲜荷叶边三钱、鲜青菊叶七片。）成绩最多。外用一滴金。（人中白、干地龙各二钱、共研细末、
羊胆汁为丸、芥子大、每用一丸、新汲水一滴化开、滴鼻内。）时时注入鼻孔。奏功尤捷。俞氏但就夹胃痛
言。未免阙漏。初用香苏葱豉汤加味。专治风寒。岂知夹胃痛一症。温热病亦最多。虽平时因寒而发。于此则
但治其热。盖湿温伏于膜原。温热伏于血络。蕴酿蒸变。必从火化。伏邪自里达表。而发其胃痛痼疾者。多属
热痛。则但于治伏邪药中。加乳香、没药以止痛。延胡索、桃仁以活络。速使其伏邪透发。而胃痛自已。不必概
以普通止痛之方混治也。总之通则不痛。治痛之理也。但通之之法。各有不同。调气以和血。如疏肝流气饮。
（制香附、苏叶梗、郁金、蜜炙延胡索各钱半、枳壳、青皮、通草各一钱、当归二钱、乌药、佛手片各八分、葱
管五寸冲。）六磨汤。（沉香、乌药、枳实、广木香、尖槟榔、酒磨各一匙、毛西参二钱煎汤、入盐少许、将
五汁和服、本方去枳实木香、名四磨饮。）香砂达郁汤。（广木香、春砂仁各七分、制香附、焦山栀、广郁金
各二钱、川芎、制苍术各六分、六神曲钱半、若湿郁重、加赤苓、滑石、热郁重、加青黛、黄连、痰郁重、加
浮海石、竹沥半夏、食郁重、加枳实、山楂、血郁重、加桃仁、红花，虽以理气为主，亦可因病变通。）绿萼
梅花丸。（党参、茯苓、益智仁、砂仁各三钱、四制香附二两、滑石七两、山药、黄柏各钱半、甘松、莪术各
五钱、远志二钱半、桔梗一钱、炙甘草七分、用绿萼梅三两、丹皮八两煎汤、煮前药晒干为末、蜜丸、每重一
钱、蜡封固、每服一丸、开水化送、王孟英曰∶此方用药颇奇，分两多寡亦难测识，而功效甚着。）九制香附
丸。（制香附十四两、艾四两、春三日、夏一日、秋三日、冬七日、一次酒、二次醋、三次盐、四次童便、五
次小茴香二两、六次益智仁二两、七次丹参二两、八次姜汁、九次萝卜子二两、制如法糊丸、每服三四钱、开
水送下、武叔卿云、香附乃血中气药、开郁行气、而血自调、妇人宜常服之。）《局方》聚宝丹。仁香汤。
香砂二陈汤之属。调血以和气。如七厘散。琥珀散。（三棱、莪术、赤芍、丹皮、当归、熟地、官桂、乌药、延胡
索、琥珀、刘寄奴各一两、研细、每服二钱、许叔微云、止血气痛尤妙、救人不少。）四物绛覆汤。
四物加二香汤。（加南木香六分、小茴香二分。）四物加兰香汤。（加泽兰、制香附各二钱、乌贼骨三钱、茜
根八分。）四物加桃红汤。（加光桃仁七粒、藏红花四分。）济阴八物汤。（即四物汤加延胡索、
川楝子各一钱、广木香、尖槟榔各五分。）归芍调肝汤。（当归、白芍各钱半、银花、川断各一钱、南木香
片、红花各五分、）丹参饮。（苏丹参五钱、紫檀香一钱、春砂仁、明乳香各五分、）四物益母丸。（当
归一两五钱、川芎、赤芍、红木香各一两、为末、益母膏打丸、每重一钱二分。）之属通也。上逆者使之
下行。如苏子降气汤。（苏子、前胡、橘红、仙半夏各钱半、当归、川朴各一钱、炙甘草五分、沉香汁两
匙冲。）苏子降香汤。（苏子一钱、降香八分、冬桑叶、炒丹皮各钱半、川贝、丹参、广郁金各二钱、
枇杷叶去毛筋净五钱、生藕汁一杯冲。）沉香降气散。（沉香、砂仁各六分、制香附钱半、蜜炙延胡索、川
楝子各一钱、盐水炒甘草四分。）安东散。（苏罗子炒、瓦楞子醋炙各四两、陈香橼、陈木瓜各两只炒、
生蛤壳二斤生杵、研极细、每服三钱、赤沙糖汤调服。）丹溪海蛤丸。（海蛤粉二两、栝蒌仁一两、同捣
为丸、用陈皮、生姜各一钱、红枣肉七枚、煎汤送下、此丸涤饮降气、专治痰饮胃痛。）肝胃二气丹。
（一次醋煅赭石、石决明、瓦楞子、路路通各八两、旋复花四两、新绛、乌药各二两、青葱管一把、
以上八味、煎浓汁听用、二次淡附子、吴茱萸、元胡、五灵脂、蒲公英、佛手柑各一两、当归二两、制香
附一两五钱、炙草五钱、以上九味法制各取净末、三次沉香、公丁香各一两、木香、砂仁、黄连各一两
五钱、寸香五分、以上各药、照方法制、将前药末和匀、以前药汁搀入、量加曲糊杵丸、每粒潮重一钱五分、
阴干、辰砂为衣、白蜡封固、每服一丸、重者二丸、玫瑰花冰糖汤化下、此丹专治肝逆犯胃、脘胁作痛、
呕吐酸水、食不得入、兼治酒膈湿郁等证、大有奇效。）沉香化滞丸（沉香六钱、山楂肉、川锦纹各一两
五钱、川朴、枳实、槟榔、条芩、陈皮、半夏曲、生晒术、广木香、杜藿香、春砂仁各一两二钱、姜
汁竹沥泛丸、每服二三钱、淡姜盐汤送下、专治脾胃不和、过食生冷油腻、停滞不化、胸膈饱闷、
胁腹疼痛、一切气痰痞积诸症、皆效。）下郁者使之上行。如逍遥散。（川柴胡七分、当归、白术、茯苓
各一钱、酒炒白芍钱半、广陈皮红八分、苏薄荷、炙甘草各五分、蜜煨生姜二片、加丹皮、焦栀各钱半、
名加味逍遥散、加青蒿钱半、生鳖甲四钱、以治骨蒸、名逍遥加蒿鳖汤。）柴胡调经汤。（川柴胡七分、
羌活、独活、 本、升麻、苍术各五分、葛根、当归、炙甘草各三分、片红花一分）和血逐邪汤。（川
柴胡、焦枳壳、绛通各一钱、荆芥穗、嫩苏梗、制香附、左秦艽各钱半、川芎、川朴各八分、益母草、
泽兰各二钱、生姜皮二分。）逍遥加减汤。（本方去白术加制香附广郁金各二钱。）逍遥二陈汤。柴胡
四物汤。加减小柴胡汤之属亦通也。中结者使之旁达。如新绛旋复花汤。（真新绛二钱、旋复花包煎钱半、
青葱管五寸冲。）三仁绛覆汤。三合绛覆汤。四物绛覆汤。通窍活血汤。清肝活络汤。（归须、泽兰各
二钱、新绛、赤芍、广郁金、紫苏旁枝各钱半、桃仁、三七、枳壳、青皮各一钱、瓦楞子 研四钱、马
培之先生验方。）舒筋通络汤。（归须三钱、秦艽、川芎、桑叶、酒炒赤芍各钱半、广橘络、鸡血藤膏
各一钱、雷少逸先生验方。）蒌薤绛覆汤。（栝蒌仁二钱、干薤白烧酒洗捣三枚、仙半夏、赤苓、新绛、
旋复花各钱半、春砂壳七分、桂枝三分、青葱管五寸、徐守愚先生验方）蠲痛丹。（制川乌、地龙各五钱、
全蝎酒洗七只、炒黑丑四十九粒、麝香五分、酒糊丸、每重四分、每服一丸、好酒送下。）蠲痛活络丹
之属。（蠲痛丹加制草乌、陈胆星各六钱、乳香、净没药各三钱。）周痹者使之走窜。如桃仁 虫丸（光
桃仁二两、 虫、炙蜣螂虫、五灵脂炒各一两、桂枝尖五钱、蜀漆炒黑三钱、用老韭根白捣汁泛丸、每
服二钱、桑枝尖、青松针各五钱、煎汤送下。）龙鲤宣痹丸。（干地龙酒炒一两、蜣螂、全蝎、穿山甲
Lianqiao (Forsythiae Fructus), Zhike (Aurantii Fructus), Banxia (Pinelliae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Yujin (Curcumae Radix), Caodoukou (Cardamomi Fructus), Huashi (Talcum), Fulingpi (Poriae Sclerotium Exocarpium) and other herbs. If one is affected by turbid summerheat combined with food stagnation, resulting in epigastric stuffiness and fullness, bloating, nausea, and vomiting, accompanied by abdominal stiffness and pain; it is also appropriate to clear and drain the middle jiao (middle burner). Examples include Guanghuoxiang (Patchouli Herba), Chuan Yujin (Curcumae Radix), Huanglian (Coptidis Rhizoma), Zhike (Aurantii Fructus), Baiko (Amomi Fructus Rotundus), Houpo (Magnoliae Officinalis Cortex), Muxiang juice (Aucklandiae Radix Juice), Sheng Zharonrou (Raw Hawthorn Fruit Flesh), Laifuzi (Raphani Semen) and similar herbs. If the pathogen of summerheat-dampness has not been cleared, and tonifying agents are mistakenly administered, leading to chest and diaphragm distension, epigastric stuffiness, hardness, and pain, nearly forming a Jie Xiong syndrome (chest binding syndrome); it is also appropriate to treat it with the Xi Xin Tang method (Draining Heart Decoction method). One may add Er Chen Tang (Two-Cured Decoction), Zhishi (Aurantii Fructus Immaturus), Houpo (Magnoliae Officinalis Cortex), Huanglian (Coptidis Rhizoma), Zharonrou (Hawthorn Fruit Flesh), Yujin (Curcumae Radix), Laifuzi (Raphani Semen), Muxiang juice (Aucklandiae Radix Juice) and similar herbs. Additionally, Wang Mengying treated the wife of Chen Chitang for phlegm-heat obstruction using Xiao Xian Xiong Tang (Minor Chest Binding Decoction) combined with Wen Dan Tang (Warming Gallbladder Decoction) and Xue Geng Tang (Snow Soup), adding Xuanfuhua (Inulae Flos) and Xiebai (Allii Macrostemonis Bulbus). (See Wang Mengying's *Medical Cases*) This demonstrates the subtlety of administering correct medication against symptoms and flexible application.
(Also known as Cold Damage complicated with Epigastric Pain)
[Etiology] A history of Liver-Stomach Qi pain. External contraction of Wind-Cold. Triggered and manifested. There are distinctions regarding exterior-interior, upper-lower, left-right, and differences in Qi-Blood, deficiency-excess, cold-heat.
[Symptoms] Headache, feverish body sensation. Aversion to cold, absence of sweating. Chest and epigastrium fullness and pain. Nausea, vomiting acid. Or pain in both hypochondria. Or abdominal distension and pain. Or lower abdominal pain. Tongue coating white and slippery. Or yellow-white mixed. Or gray-white not dry. Even or yellow and turbid.
[Pulse] Left pulse floating and tight. Right pulse wiry and rapid. Or floating or deep. Even deep, wiry, and choppy. These are all signs of Cold Damage complicated with internal pain.
[Treatment] First, regulate Qi and induce sweating. Use Xiang Su Cong Chi Tang (Perilla and Scallion Decoction) added with Yanhusuo (Corydalis Rhizoma) and Ruxiang (Olibanum). Remove exterior pathogens to stop pain. If the exterior pathogen is removed but pain persists, there must be congealed phlegm and hidden fluid retention. Or there may be retained food and blood stasis; one must clearly distinguish the root cause. Carefully examine the location to apply treatment. If chest pain radiates to both hypochondria in a string-like manner, it belongs to Phlegm-Qi mutual knotting. Initially use Chai Hu Xian Xiong Tang (Bupleurum Minor Chest Binding Decoction) added with Ruxiang (Olibanum) and Moyao (Myrrha). Harmonize and resolve depression/knotting to stop pain. Subsequently use Da Chai Hu Tang (Major Bupleurum Decoction) to administer Kong Xian Dan (Control Fluid Elixir) slowly purging phlegm-fluids to remove the root. If ineffective, immediately use Juan Yin Wan Ling Tang (Fluid-Purging Ten Thousand Spirit Decoction) to administer Zi Jin Pian (Purple Gold Tablets) rapidly removing phlegm-fluids. For hard and painful epigastrium, even with palpable masses, where pain cannot bear pressure, it belongs to Retained Food obstructing Qi mechanism. Initially use Shen Shu Tang (Divine Skill Decoction) added with Ruxiang (Olibanum) and Moyao (Myrrha) to warm the middle and disperse stagnation to relieve pain. Subsequently use Zhishi Dao Zhi Tang (Immature Aurantii Guiding Stagnation Decoction) added with Yanhusuo (Corydalis Rhizoma) to purge retained stagnation to remove the root. If ineffective, immediately use Liu Mo Yin Zi (Six Mortars Infusion) to administer Dang Gui Dao Qi San (Angelica Guiding Qi Powder) descending Qi and attacking stagnation. For pain that cannot bear pressure, yet feels soft upon pressing, or even extreme pain resembling madness, or fainting and loss of consciousness, it belongs to Blood Stasis coagulation. Mild cases: Wu Ren Ju Pi Tang (Five Seeds Tangerina Peel Decoction) combined with Dai Di Dang Wan (Substitute Leech Pill) lubricating and unblocking stasis to stop pain. Severe cases: Tao Ren Cheng Qi Tang (Persica Seed Descending Qi Decoction) vigorously attacking heat-stasis to remove the root.
If Liver Fire scorches the Stomach, causing hunger without desire to eat, vomiting roundworms after eating, even irritability and fainting, it belongs to Roundworm Jue (Jue Syndrome caused by Ascaris). Initially use Lian Mei An Hui Tang (Forsythia and Mume Calming Roundworm Decoction) clearing Liver heat and stopping pain to stabilize Jue.
Subsequently use Xue Geng (Snow Soup) to swallow Geng Yi Wan (Change Clothing Pill), purging Liver heat and killing parasites to remove the root. Only if repeated purgative treatments result in increased pain, it belongs to Deficiency Pain. For Cold bias: Jia Wei Xiao Jian Zhong Tang (Modified Minor Construct the Middle Decoction) doubling Dang Gui (Angelicae Sinensis Radix) to gently warm Liver and Spleen for tonification. For Heat bias: Si Wu Jiang Fu Tang (Four Substances Red Covering Decoction) moistening and nourishing blood collaterals to soothe. Even then, guide fire back to its source, such as Jia Wei *Jin Gui* Shen Qi Tang (Modified *Essential Prescriptions from the Golden Cabinet* Kidney Qi Decoction) drawing Qi back to the Kidney. Or Xin Jia Ba Wei Di Huang Tang (Newly Added Eight Ingredient Rehmannia Decoction) etc., can be used酌情 (discretionarily) according to the disease. However, these are rare. At the bedside, deliberate carefully; do not experiment lightly.
In short, pain implies blockage; patency implies no pain. Use Warm Patency, Cool Patency, Soothing Patency, or Attacking Patency. Assess symptoms according to time, formulate prescriptions according to constitution. Ensure Qi and Blood flow smoothly.
Then suppressed pathways become patent, knotted areas become open, and pain naturally ceases. These are the essential methods for Cold Damage complicated with pain.
[Xiu's Note] Whenever there is chronic pain in the chest, hypochondria, epigastrium, or abdomen, triggered and manifested by external contraction aggravating old diseases, Yu Jun uses Xiang Su Cong Chi Tang (Perilla and Scallion Decoction) added with Yanhusuo (Corydalis Rhizoma) and Ruxiang (Olibanum). It can both release the exterior and relieve pain, promote Qi circulation and activate Blood, move meridians and unblock collaterals, treating both exterior and interior. The formula is particularly light and stable. Because when Exterior Qi is vented, Interior Qi also becomes unblocked, and pain will slightly ease. Even for abdominal pain due to latent phlegm-fluids in the epigastrium, foot pain due to Kidney deficiency unable to support the body, lower body flaccidity and bone/joint pain due to Kidney decline and Wind invasion, although the disease originates internally, the pain actually lies in the meridians and collaterals. Therefore, exterior-releasing medicines generally do not harm the primary disease. Secondly, for various pains in the chest, hypochondria, shoulders, and back, although syndromes vary, they are all diseases of the Yang divisions. Even with Cold Damage exterior signs, if pain is unbearable, it is acceptable to treat the pain concurrently. Adding Yanhusuo (Corydalis Rhizoma) and Ruxiang (Olibanum) to this formula is excellent for pain relief and carries no risk of drawing pathogens into the Three Yin divisions. Thirdly, for pains in the waist, umbilicus, and lower abdomen, although they are ailments of the Yin divisions, since there are exterior signs, one must first release the exterior. After the exterior is resolved, treat the interior. Yu Jun clearly distinguishes the causes of accompanying Phlegm, Fluid, Food, Stasis, Parasites, and Deficiency. With clear symptom differentiation, prescriptions will be effective. Truly grasping the essential secret of "patency implies no pain."
[Lian's Verification] For Wind-Cold complicated with various pain syndromes, Yu Shi seeks the source at the bedside and administers medication against symptoms. The methods are indeed mostly appropriate. However, one must refer to the chapters on accompanying Food, Phlegm, Fluid, Stuffiness, and Blood above, to respond flexibly to the disease. Regarding the method of calming roundworms and stopping pain, following Yu Shi's treatment works for mild cases but fails for severe ones. One must use Chen Xiang Zhi Zhen Wan (Agarwood Precious Pill) (Chenxiang (Aquilariae Lignum Resinatum), Guangmuxiang (Aucklandiae Radix), Gong Dingxiang (Caryophylli Flos) each 4 qian, Guangpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Wuyao (Aucklandiae Radix), Ezhu (Curcumae Rhizoma), Bashuang (Crotonis Semen Preparatum), Chuanlian (Coptidis Rhizoma), Binglang (Arecae Semen) each 1 liang, formed into pills with Shenqu paste, take 3-5 pills each time, delivered with light ginger-salt water or rose flower water, excels in treating nine types of stomach pain, all Liver-Stomach Qi pains, hypochondriac distension, vomiting and reverse flowing, phlegm-Qi and food stagnation syndromes, killing and expelling parasites, having special merit.) to finally expel the worms downward. Once worms are expelled, pain stops. If one chronically suffers from Head Wind (chronic headache), occasionally contracting Wind-Cold, often after taking Xiang Su Cong Chi Tang (Perilla and Scallion Decoction), sweating occurs after 1-2 doses, body temperature normalizes, yet headache worsens, crying out all night. This is due to excessive sweating from pungent dispersal, agitating Wind-Fire, severely damaging Blood, thus pain increases. One should use Ju Hua Cha Tiao San (Chrysanthemum Tea Regulating Powder) modified (Chu Juhua (Chrysanthemi Flos), Su Bohe (Menthae Haplocalycis Herba), Nen Sangya (Mori Ramulus), Jingjie Sui (Schizonepetae Spica), Zhi Xiangfu (Cyperi Rhizoma), Xiakucao (Prunellae Spica), Kudingcha (Ilicis Kudingchae Folium), Heyebian (Nelumbinis Nelumbo Leaf Margin) each 1 qian, Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) 0.5 qian, finely ground into powder, taken 2 qian after meals mixed with tea liquor.) Pungent-cool dispersing Wind to vent Heat. External treatment using Castor Paste Method (Bimamu (Ricini Semen), Ruxiang (Olibanum) each 0.5 fen, Shexiang (Moschus) 0.03 fen, pounded together into a cake, applied to Taiyang acupoint (Ex-HN 5); once pain settles, urgently loosen hair on the head to let air escape, then remove the medicine cake.) Or Tou Ding San Nasal Snuff Method (Xixin (Asari Radix et Rhizoma) 3 stems, Gong Dingxiang (Caryophylli Flos) 7 grains, Tianguadi (Cucumeris Fructus), Chixiaodou (Phaseoli Semen Rubrum) 7 grains, Meibing (Borneolum Syntheticum) 0.05 fen, Shexiang (Moschus) 0.1 fen, the first four ingredients ground fine first, then mixed with Borneol and Musk extremely uniformly, stored in a small-mouthed bottle, tightly sealed, instruct patient to hold clear water in mouth, snuff about one bean-sized amount into nose left or right, after some time saliva flows out and patient is relieved; if not cured, snuff again after three days.)
For chronic pain not healing, one must prevent cataracts harming the eyes. Ancient sages like Dong Yuan and Dan Xi believed the right side belongs to Dampness and Phlegm, mostly Qi deficiency, using Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) (Jiang Banxia (Pinelliae Rhizoma Preparatum), Sheng Baizhu (Atractylodis Macrocephalae Rhizoma), Ming Tianma (Gastrodiae Rhizoma) each 1.5 qian, Lu Dangshen (Codonopsis Radix), Jiangzhi Chao Huang (Prepared with Ginger Juice), Zhe Fuling (Poria) Guangpihong (Citri Reticulatae Pericarpium), Liushenqu (Massa Medicata Fermentata), Zexie (Alismatis Rhizoma) each 1 qian, Zhi Cangzhu (Atractylodis Rhizoma Preparatum) 0.7 fen.) The left side belongs to Wind and Fire, mostly Blood deficiency, using Si Wu Tang (Four Substances Decoction) added with Cang'er (Xanthii Fructus), Xixin (Asari Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Yacha (Tea Sprouts). One mainly addresses headache in fat people, mostly Wet-Phlegm rising; the other addresses headache in thin people, mostly Blood deficiency with Fire. These are indeed important words. However, based on my experience, none lack Wind. Without Wind entering, only dizziness occurs, not pain. Moreover, it is mostly Wind-Toxin, blocking beside the Sea of Marrow, invading the brain membrane collateral branches. The Brain Meridian connects to the Eyes, the Eye Meridian enters the Brain. Thus, the exit path of the disease often resolves through the eyes. If not resolved, it harms the eyes; blindness leads to sudden cure of Head Wind. Verified repeatedly without error. I treat hemicephalic wind pain, often using Dan Popogen Tang (Pale Popo Root Decoction) (Dan Popogen 3 qian, Ming Tianma (Gastrodiae Rhizoma), Manjingzi (Vittariae Spora) each 1.5 qian, Chu Juhua (Chrysanthemi Flos), Baizhi (Angelicae Dahuricae Radix) each 1 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Muzeicao (Equiseti Hiemalis Herba) each 0.7 fen, Xiaoheidou (Sojae Semen Nigrum) 100 grains. Note: Dan Popo is commonly called Dan Qinjiamu, taste pale nature neutral, purchased at herbal shops.) Effective repeatedly in early stages. External treatment to detoxify and dispel Wind, using mild-natured substances, gently instilling. Such as Chu Juhua (Chrysanthemi Flos), Xi Yacha (Fine Tea Sprouts) brewed in water, cooled and instilled nasally. Clear orifices naturally open; orifice patency heals Head Wind spontaneously. Or use Eye-Dotting Pain Relief Method (Xiongjing (Stalactitum), Xiguaxiao (Salpetra) each 0.1 fen, Bingpian (Borneolum), Shexiang (Moschus) a little, Juhua (Chrysanthemi Flos), Yacha (Tea Sprouts) brewed in water to mix, dot into Jingming acupoint (BL1) inside the eye, male left female right, walk several steps, stops lateral and frontal headaches effectively, also instantly effective for epigastric pain.) Effect is also miraculous. Although, Head Wind syndrome often presents with Cold at the surface and Heat at the root. Furthermore, belonging to long-standing Wind-Toxin, it mostly transforms into Fire. One should use Light-Clear Venting Upper methods, such as Lingjiao He Qiao Tang (Antelope Horn and Lotus Leaf Forsythia Decoction) (Lingjiao pian (Saigae Tataricae Cornu) 1 qian, Su Bohe (Menthae Haplocalycis Herba) 0.8 fen, Qing Lianqiao (Forsythiae Fructus), Xiakucao (Prunellae Spica), Kudingcha (Ilicis Kudingchae Folium), Jiao Zhipi (Gardeniae Fructus Corticeus) each 1.5 qian, Xian Heyebian (Fresh Nelumbinis Nelumbo Leaf Margin) 3 qian, Xian Qingjuye (Fresh Chrysanthemi Indici Foli) 7 leaves.) Results are most frequent. External use of Yi Di Jin (One Drop Gold) (Renzhongbai (Unguentum Dentis Humanum), Gan Dilong (Pheretima Preparatum) each 2 qian, ground fine together, formed into pills with Sheep Gallbladder Juice, size of mustard seed, use one pill each time, dissolve in one drop of fresh well water, drip into nostrils.) Injected into nostrils frequently, achieving results especially quickly. Yu Shi only discusses accompanying Stomach Pain, which is somewhat incomplete. Initially using Xiang Su Cong Chi Tang (Perilla and Scallion Decoction) modified specifically treats Wind-Cold. Who knows that accompanying Stomach Pain is also most common in Warm Diseases. Although usually triggered by Cold, here one only treats the Heat. Because Damp-Warmth hides in the Membrane Source, Warm-Thermal hides in Blood Collaterals, brewing and steaming transformation, must transform into Fire. Hidden pathogens reach from interior to exterior, triggering chronic Stomach Pain, mostly belonging to Heat Pain. Then simply add Ruxiang (Olibanum) and Moyao (Myrrha) to the hidden-pathogen treating herbs to stop pain, Yanhusuo (Corydalis Rhizoma) and Taoren (Persicae Semen) to activate collaterals, quickly allowing hidden pathogens to emerge, and Stomach Pain will heal itself. No need to generally confuse with ordinary pain-relieving formulas. In short, patency implies no pain, this is the principle of treating pain. But the methods of patency vary. Regulate Qi to harmonize Blood, such as Shu Gan Liu Qi Yin (Soothe Liver Flow Qi Infusion) (Zhi Xiangfu (Cyperi Rhizoma), Su Ye Geng (Perillae Caulis), Yujin (Curcumae Radix), Mi Zhi Yanhusuo (Honey-Processed Corydalis Rhizoma) each 1.5 qian, Zhike (Aurantii Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), Tongcao (Tetrapanacis Medulla) each 1 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Wuyao (Aucklandiae Radix), Foshoupian (Fortunellae Fructus) each 0.8 fen, Congguan (Scallion Tube) 5 cun infused.) Liu Mo Tang (Six Mortars Decoction) (Chenxiang (Aquilariae Lignum Resinatum), Wuyao (Aucklandiae Radix), Zhishi (Aurantii Fructus Immaturus), Guangmuxiang (Aucklandiae Radix), Jian Binglang (Arecae Semen), wine-ground each 1 spoon, Mao Xishen (Panax Notoginseng) 2 qian decocted in soup, add little salt, mix five juices and drink, this formula minus Zhishi and Muxiang is named Si Mo Yin (Four Mortars Infusion).) Xiang Sha Da Yu Tang (Agarwood Amomum Reaching Depression Decoction) (Guangmuxiang (Aucklandiae Radix), Chun Sharen (Amomi Fructus Rotundus) each 0.7 fen, Zhi Xiangfu (Cyperi Rhizoma), Jiao Shanzhi (Gardeniae Fructus Carbonisatus), Guang Yujin (Curcumae Radix) each 2 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhi Cangzhu (Atractylodis Rhizoma Preparatum) each 0.6 fen, Liushenqu (Massa Medicata Fermentata) 1.5 qian, if Damp Depression heavy, add Chiling (Polyporus) and Huashi (Talcum), if Heat Depression heavy, add Qingdai (Indigo Naturalis) and Chuanlian (Coptidis Rhizoma), if Phlegm Depression heavy, add Fuhaisshi (Arcae Concha) and Zhuli Banxia (Bamboo Juice Pinellia), if Food Depression heavy, add Zhishi (Aurantii Fructus Immaturus) and Shanzha (Crataegi Fructus), if Blood Depression heavy, add Taoren (Persicae Semen) and Honghua (Carthami Flos), although primarily regulating Qi, can also change according to pathology.) Lv'e Meihua Wan (Green-Eyed Plum Blossom Pill) (Dangshen (Codonopsis Radix), Fuling (Poria), Yizhiren (Alpiniae Oxyphyllae Semen), Sharen (Amomi Fructus Rotundus) each 3 qian, Si Zhi Xiangfu (Four-Processed Cyperi Rhizoma) 2 liang, Huashi (Talcum) 7 liang, Shanyao (Dioscoreae Rhizoma), Huangbo (Phellodendri Cortex) each 1.5 qian, Gangsong (Nardostachyos Radix et Rhizoma), Ezhu (Curcumae Rhizoma) each 5 qian, Yuanzhi (Polygalae Radix) 2.5 qian, Jiegeng (Platycodonis Radix) 1 qian, Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) 0.7 fen, use Lv'e Mei (Green-Eyed Plum Flower) 3 liang, Danpi (Moutan Cortex) 8 liang decocted in soup, boil previous medicines, dry and grind into powder, honey-pill, each weighing 1 qian, wax-sealed, take one pill each time, dissolved in boiling water, Wang Mengying said: This formula uses strange medicines, dosage ratios are hard to fathom, yet efficacy is significant.) Jiu Zhi Xiangfu Wan (Nine-Processed Cyperi Pill) (Zhi Xiangfu (Cyperi Rhizoma) 14 liang, Aiye (Artemisiae Argyi Folium) 4 liang, Spring 3 days, Summer 1 day, Autumn 3 days, Winter 7 days, first Wine, second Vinegar, third Salt, fourth Child Urine, fifth Xiaohuixiang (Foeniculi Fructus) 2 liang, sixth Yizhiren (Alpiniae Oxyphyllae Semen) 2 liang, seventh Danshen (Salviae Miltiorrhizae Radix) 2 liang, eighth Ginger Juice, ninth Luoboziren (Raphani Semen) 2 liang, processed according to method into paste-pill, take 3-4 qian each time, delivered with boiling water, Wu Shuqing said: Xiangfu is the Qi-medicine in Blood, opens depression and moves Qi, while Blood self-regulates, women should take it regularly.) *Ju Fang* Ju Bao Dan (Treasure Gathering Pill), Ren Xiang Tang (Benevolent Fragrant Decoction), Xiang Sha Er Chen Tang (Agarwood Amomum Two-Cured Decoction) and similar categories. Regulate Blood to harmonize Qi, such as Qi Li San (Seven-Li Powder), Hu Po San (Amber Powder) (Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Chishao (Paeoniae Radix Rubra), Danpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Guanzi Gui (Cinnamomi Ramulus), Wuyao (Aucklandiae Radix), Yanhusuo (Corydalis Rhizoma), Hupo (Electrum), Liuji Nu (Artemisiae Abrotani Herba) each 1 liang, ground fine, take 2 qian each time, Xu Shuwei said: Especially wonderful for stopping Qi-blood pain, saving many people.) Si Wu Jiang Fu Tang (Four Substances Red Covering Decoction). Si Wu Jia Er Xiang Tang (Four Substances Plus Two Fragrances Decoction) (Add Nanmuxiang (Canarii Lignum) 0.6 fen, Xiaohuixiang (Foeniculi Fructus) 0.2 fen.) Si Wu Jia Lan Xiang Tang (Four Substances Plus Orchid Fragrance Decoction) (Add Zelan (Leonuri Herba), Zhi Xiangfu (Cyperi Rhizoma) each 2 qian, Wuzeigu (Sepiae Endoconcha) 3 qian, Qigen (Rubiae Radix et Rhizoma) 0.8 fen.) Si Wu Jia Tao Hong Tang (Four Substances Plus Peach Red Decoction) (Add Guang Taoren (Persicae Semen) 7 grains, Zanghonghua (Carthami Flos) 0.4 fen.) Ji Yin Ba Wu Tang (Nourishing Yin Eight Substances Decoction) (Namely Si Wu Tang plus Yanhusuo (Corydalis Rhizoma), Chuanlianzi (Toosendan Fructus) each 1 qian, Guangmuxiang (Aucklandiae Radix), Jian Binglang (Arecae Semen) each 0.5 fen.) Gui Shao Tiao Gan Tang (Angelica White Peony Regulate Liver Decoction) (Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) each 1.5 qian, Yinhua (Lonicerae Japonicae Flos), Chuanduan (Dipsaci Radix) each 1 qian, Nanmuxiang pian (Canarii Lignum Slice), Honghua (Carthami Flos) each 0.5 fen,) Danshen Yin (Salvia Infusion) (Dan Sunshen (Salviae Miltiorrhizae Radix) 5 qian, Zitanxiang (Pterocarpi Santalinus Lignum), Chun Sharen (Amomi Fructus Rotundus), Ming Ruxiang (Olibanum) each 0.5 fen,) Si Wu Yi Mu Wan (Four Substances Motherwort Pill) (Danggui (Angelicae Sinensis Radix) 1.5 liang, Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Hongmuxiang (Aucklandiae Radix Rubra) each 1 liang, ground into powder, beaten into pills with Yi Mu Gao (Motherwort Extract), each weighing 1.2 qian.) And similar categories representing Patency. For those reversing upward, make them descend, such as Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) (Su Zi (Perillae Fructus), Qianhu (Peucedani Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Xian Banxia (Pinelliae Rhizoma) each 1.5 qian, Danggui (Angelicae Sinensis Radix), Chuanpu (Magnoliae Officinalis Cortex) each 1 qian, Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) 0.5 fen, Chenxiang汁 (Aquilariae Lignum Resinatum Juice) 2 spoons infused.) Su Zi Jiang Xiang Tang (Perilla Seed Descending Fragrant Decoction) (Su Zi (Perillae Fructus) 1 qian, Jiangxiang (Dalbergiae Odoriferae Lignum) 0.8 fen, Dong Sangye (Mori Folium), Chao Danpi (Moutan Cortex Preparatum) each 1.5 qian, Chuanbei (Fritillariae Cirrhosae Bulbus), Danshen (Salviae Miltiorrhizae Radix), Guang Yujin (Curcumae Radix) each 2 qian, Pipaye (Loquat Folium) de-haired and cleaned 5 qian, Sheng Ou Zhi (Fresh Lotus Rhizome Juice) 1 cup infused.) Chenxiang Jiang Qi San (Agarwood Descending Qi Powder) (Chenxiang (Aquilariae Lignum Resinatum), Sharen (Amomi Fructus Rotundus) each 0.6 fen, Zhi Xiangfu (Cyperi Rhizoma) 1.5 qian, Mi Zhi Yanhusuo (Honey-Processed Corydalis Rhizoma), Chuanlianzi (Toosendan Fructus) each 1 qian, Yanshui Chao Gancao (Salt-Water Processed Licorice) 0.4 fen.) An Dong San (Peaceful East Powder) (Suluozi (Bischofia Fructus) stir-fried, Walengzi (Arcae Concha) vinegar-roasted each 4 liang, Chen Xiangyuan (Citri Grandis Exocarpium), Chen Mugua (Chaenomelis Fructus) each 2 pieces stir-fried, Sheng Geke (Tridacnae Concha) 2 jin raw pounded, ground extremely fine, take 3 qian each time, delivered with Red Rock Sugar Soup.) Danxi Hai Ge Wan (Danxi Seashell Pill) (Haige Fen (Tridacnae Concha Pulvis) 2 liang, Gualou Ren (Trichosanthis Semen) 1 liang, pounded together into pills, use Chenpi (Citri Reticulatae Pericarpium), Shengjiang (Zingiberis Rhizoma Recens) each 1 qian, Hongzaorou (Jujubae Mesocarp) 7 pieces, decocted in soup to deliver, this pill clears fluids and descends Qi, specifically treating Phlegm-Fluid Stomach Pain.) Gan Wei Er Qi Dan (Liver Stomach Two Qi Pill) (First Vinegar calcined Zheshi (Haematitum), Shijueming (Concha Strombis), Walengzi (Arcae Concha), Lulutong (Metopii Fructus) each 8 liang, Xuanfuhua (Inulae Flos) 4 liang, Xinjiang (Safflower Stamen), Wuyao (Aucklandiae Radix) each 2 liang, Qingcongguan (Green Scallion Tube) 1 bunch, the above eight flavors decocted in thick liquid for use; Second Dan Fuzi (Aconiti Lateralis Radix Preparata), Wuzhuyu (Evodiae Fructus), Yuanhu (Corydalidis Rhizoma), Wulingzhi (Trogopterori Faeces), Pugongying (Taraxaci Herba), Foshougān (Citri Reticulatae 'Chachi' Fructus) each 1 liang, Danggui (Angelicae Sinensis Radix) 2 liang, Zhi Xiangfu (Cyperi Rhizoma) 1.5 liang, Zhi Cao (Licorice) 5 qian, the above nine flavors processed separately to obtain clean powders; Third Chenxiang (Aquilariae Lignum Resinatum), Gong Dingxiang (Caryophylli Flos) each 1 liang, Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus Rotundus), Chuanlian (Coptidis Rhizoma) each 1.5 liang, Cunxiang (Moschus) 0.05 fen, the above medicines processed according to method, mix previous powders evenly, mix with previous liquid, add appropriate Qu paste and knead into pills, each wet pill weighs 1.5 qian, dried in shade, coated with Zhensha (Cinnabaris), sealed with white wax, take one pill each time, two pills for severe cases, dissolved in Rose Flower Rock Sugar Soup, this pill specifically treats Liver rebellion invading Stomach, epigastric and hypochondriac pain, vomiting sour water, inability to eat, also treats Alcohol Obstruction and Damp Depression syndromes, having great miraculous effect.) Chenxiang Hua Zhi Wan (Agarwood Transforming Stagnation Pill) (Chenxiang (Aquilariae Lignum Resinatum) 6 qian, Shanzhourou (Crataegi Fructus Flesh), Chuanjinwen (Rhei Radix et Rhizoma) each 1.5 liang, Chuanpu (Magnoliae Officinalis Cortex), Zhishi (Aurantii Fructus Immaturus), Binglang (Arecae Semen), Tiaoqin (Scutellariae Radix), Chenpi (Citri Reticulatae Pericarpium), Banxiaqu (Pinelliae Massa Medicata), Shengshu (Atractylodis Macrocephalae Rhizoma), Guangmuxiang (Aucklandiae Radix), Du Huoxiang (Agastaches Herba), Chun Sharen (Amomi Fructus Rotundus) each 1.2 liang, Jiangzhi Zhuli (Ginger Juice Bamboo Juice) pelleted, take 2-3 qian each time, delivered with light ginger-salt soup, specifically treating Spleen-Stomach disharmony, overeating cold/raw/greasy food, stagnation not transforming, chest-diaphragm fullness, hypochondriac-abdominal pain, all Qi-Phlegm stuffiness accumulation syndromes, all effective.) For downward depression, make them ascend, such as Xiao Yao San (Free and Easy Wanderer Powder) (Chuan Chaihu (Bupleuri Radix) 0.7 fen, Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) each 1 qian, Jiuchao Baishao (Wine-Processed White Peony Root) 1.5 qian, Guangpihong (Citri Reticulatae Pericarpium Rubrum) 0.8 fen, Su Bohe (Menthae Haplocalycis Herba), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) each 0.5 fen, Mi Wei Shengjiang (Honey-Roasted Fresh Ginger) 2 slices, add Danpi (Moutan Cortex), Jiao Zhi (Gardeniae Fructus Carbonisatus) each 1.5 qian, named Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), add Qinghao (Artemisiae Annuae Herba) 1.5 qian, Sheng Biejia (Testudinis Carapax et Plastrum) 4 qian, to treat Bone Steaming, named Xiao Yao Jia Hao Die Tang (Free and Easy Wanderer Plus Artemisia Turtle Shell Decoction).) Chai Hu Tiao Jing Tang (Bupleurum Regulate Menstruation Decoction) (Chuan Chaihu (Bupleuri Radix) 0.7 fen, Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Bencao (Ligustici Wallichii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma), Cangzhu (Atractylodis Rhizoma) each 0.5 fen, Gegen (Puerariae Lobatae Radix), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparatum) each 0.3 fen, Pian Honghua (Carthami Flos Slice) 0.01 fen) He Xue Zhu Xie Tang (Harmonize Blood Expel Evil Decoction) (Chuan Chaihu (Bupleuri Radix), Jiao Zhike (Aurantii Fructus Carbonisatus), Jiangtong (Red Unblocks) each 1 qian, Jingjie Sui (Schizonepetae Spica), Nen Sugeng (Perillae Caulis), Zhi Xiangfu (Cyperi Rhizoma), Zuo Qinjiao (Gentianae Macrophyllae Radix) each 1.5 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma), Chuanpu (Magnoliae Officinalis Cortex) each 0.8 fen, Yimucao (Leonuri Herba), Zelan (Leonuri Herba) each 2 qian, Shengjiangpi (Zingiberis Pericarpium) 0.02 fen.) Xiao Yao Jia Jian Tang (Free and Easy Wanderer Modified Decoction) (This formula minus Baizhu, add Zhi Xiangfu (Cyperi Rhizoma) and Guang Yujin (Curcumae Radix) each 2 qian.) Xiao Yao Er Chen Tang (Free and Easy Wanderer Two-Cured Decoction). Chai Hu Si Wu Tang (Bupleurum Four Substances Decoction). Jia Jian Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) and similar categories also represent Patency. For central knotting, make it spread laterally, such as Xinjiang Xuanfuhua Tang (New Safflower Inula Decoction) (Zhen Xinjiang (Safflower Stamen) 2 qian, Xuanfuhua (Inulae Flos) wrapped and decocted 1.5 qian, Qingcongguan (Green Scallion Tube) 5 cun infused.) San Ren Jiang Fu Tang (Three Seeds Red Covering Decoction). San He Jiang Fu Tang (Three Combines Red Covering Decoction). Si Wu Jiang Fu Tang (Four Substances Red Covering Decoction). Tong Qiao Huo Xue Tang (Unblock Orifices Activate Blood Decoction). Qing Gan Huo Luo Tang (Clear Liver Activate Collaterals Decoction) (Guixu (Paeoniae Radix Rubra Thalamus), Zelan (Leonuri Herba) each 2 qian, Xinjiang (Safflower Stamen), Chishao (Paeoniae Radix Rubra), Guang Yujin (Curcumae Radix), Zisu Pangzhi (Perillae Caulis Branchlets) each 1.5 qian, Taoren (Persicae Semen), Sanqi (Notoginseng Radix), Zhike (Aurantii Fructus), Qingpi (Citri Reticulatae Pericarpium Viride) each 1 qian, Walengzi (Arcae Concha) ground 4 qian, Mr. Ma Peizhi verified formula.) Shu Jin Tong Luo Tang (Relax Tendons Unblock Collaterals Decoction) (Guixu (Paeoniae Radix Rubra Thalamus) 3 qian, Qinjiao (Gentianae Macrophyllae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Sangye (Mori Folium), Jiuchao Chishao (Wine-Processed Red Peony Root) each 1.5 qian, Guang Jieluo (Citri Reticulatae Pericarpium Fibrovasculare), Jixueteng膏 (Spatholobi Caulis Extract) each 1 qian, Mr. Lei Shaoyi verified formula.) Lou Xie Jiang Fu Tang (Trichosanthes Allium Red Covering Decoction) (Gualouren (Trichosanthis Semen) 2 qian, Gan Xiebai (Allii Macrostemonis Bulbus) washed with rice wine and pounded 3 pieces, Xian Banxia (Pinelliae Rhizoma), Chiling (Polyporus), Xinjiang (Safflower Stamen), Xuanfuhua (Inulae Flos) each 1.5 qian, Chun Shaqiao (Amomi Fructus Rotundus Shell) 0.7 fen, Guizhi (Cinnamomi Ramulus) 0.3 fen, Qingcongguan (Green Scallion Tube) 5 cun, Mr. Xu Shouyu verified formula) Juan Tong Dan (Pain-Purging Elixir) (Zhi Chuanwu (Aconiti Radix Preparata), Dilong (Pheretima) each 5 qian, Quanxie (Buthus) wine-washed 7, Chao Hei Chou (Pharbitidis Semen Stir-fried Black) 49 grains, Shexiang (Moschus) 0.5 fen, wine-paste pill, each weighing 0.04 fen, take one pill each time, delivered with good wine.) Juan Tong Huo Luo Dan (Pain-Purging Activating Collaterals Elixir) and similar categories. (Juan Tong Dan plus Zhi Caowu (Aconiti Radix Preparata), Chen Danning (Arisaematis Cum Bile) each 6 qian, Ruxiang (Olibanum), Jing Moyao (Myrrha) each 3 qian.) For generalized Bi syndrome, make it wander, such as Tao Ren Ji Chong Wan (Persica Seed Beetle Pill) (Guang Taoren (Persicae Semen) 2 liang, Ji Chong (Eupolyphaga), Zhi Qiángláng (Silphidae Preparatum), Wulingzhi (Trogopterori Faeces) stir-fried each 1 liang, Guizhi Jian (Cinnamomi Ramulus Apex) 5 qian, Shuqi (Perillae Fructus) stir-fried black 3 qian, use Lao Jiugen Bai (Old Leek Root White) pounded juice to pellet pills, take 2 qian each time, Songzhi Jian (Mulberry Twig Apex), Qingsong Zhen (Pine Needle) each 5 qian, decocted in soup to deliver.) Long Li Xuan Bi Wan (Dragon Carp Dispersing Bi Pill) (Gan Dilong (Pheretima) wine-stir-fried 1 liang, Qiángláng (Silphidae), Quanxie (Buthus), Chansh...