（附∶胁痛）
夫心痛之病，医经所载凡有九种∶一曰虫心痛，二曰疰心痛，三曰风心痛，四曰悸心痛，
五曰食心痛，六曰饮心痛，七曰寒心痛，八曰热心痛，九曰去来心痛。其名虽不同，而其所
致皆因外感六淫，内沮七情，或饮啖生冷果食之类，使邪气搏于正气，邪正交击，气道闭塞，
郁于中焦，遂成心痛，夫心乃诸脏之主，正经不可伤，伤之则痛，若痛甚手足青过节者，则
名曰真心痛，真心痛者，旦发夕死，夕发旦死。若乍间乍甚成疹而不死者，名曰厥心痛，不
过邪气乘于心支别络也。寸口脉紧，心脉甚急，皆主心痛。又有痛甚而心脉沉伏者有之矣。
王叔和云∶心腹痛，脉沉细瘥；浮大弦长，命必殂。治法当推其所自而调之，痛无不止矣。
又论∶夫心痛之病，有真心痛，有厥心痛，心乃五脏六腑之所主，法不受病。其痛甚，手足
青而冷者，名曰真心痛，此神去气竭，旦发夕死，夕发旦死。或六淫七情之所伤，五脏之气
冲逆，其痛乍间乍甚成疹而不死者，名曰厥心痛，此皆邪气乘于心支别络也。大抵痛为实痛
宜下，寒宜温，温利之药，却痛散主之。若妇人血刺心痛仓卒，取功效之速，立应散主之。
其诸心痛各方审处而用之，以平为期。
治喜、怒、忧、思、悲、恐、惊七气为病，发则心腹刺痛不可忍，时发时止，发则欲死。
及外感风寒湿气作痛，亦宜服之。
半夏（汤泡七次，三两） 桂心（不见火） 玄胡索（炒，去皮。各一两） 人参 甘
草（炙。各半两） 乳香（三钱）
上 咀，每服四钱，水一盏半，生姜七片，枣一枚，煎至七分，去滓，食前温服。妇人
血痛
(Note: Hypochondriac Pain)
The disease of Heartache (Xintong), as recorded in medical classics, comprises nine types: first, Insect Heartache; second, Infectious Heartache; third, Wind Heartache; fourth, Palpitation Heartache; fifth, Food Stagnation Heartache; sixth, Fluid Retention Heartache; seventh, Cold Heartache; eighth, Heat Heartache; ninth, Wandering Heartache. Although their names differ, the causes are all due to external contraction of the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and internal injury by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), or consumption of cold, raw fruits and foods. This allows pathogenic factors to contend with healthy Qi, leading to a clash between pathogen and Zhengqi, obstruction of the Qi mechanism, and stagnation in the Middle Jiao, thereby forming Heartache. The Heart is the master of the five Zang and six Fu organs; its regular meridians must not be injured. If injured, pain ensues. If the pain is severe, causing cyanosis of the hands and feet extending beyond the joints, it is named True Heartache (Zhenxintong). Patients with True Heartache who contract it in the morning will die by evening, and those who contract it in the evening will die by morning. If the pain comes and goes intermittently, appearing in paroxysms without being fatal, it is named Rebellious Heartache (Juxintong); this is merely due to pathogenic factors invading the branch collateral networks of the Heart. A tight pulse at the Cun Kou position, or an extremely rapid Heart pulse, both indicate Heartache. There are also cases where the pain is severe while the Heart pulse is deep and hidden. Wang Shuhe stated: "In Heart and Abdominal Pain, a deep and fine pulse indicates recovery; a floating, large, wiry, and long pulse indicates certain death." The treatment method should deduce the origin of the pathology and regulate it, so that the pain will cease.
Furthermore, it is discussed that Heartache includes True Heartache and Rebellious Heartache. As the master of the five Zang and six Fu organs, the Heart theoretically does not suffer from disease directly. If the pain is severe, accompanied by cyanosis and coldness of the hands and feet, it is named True Heartache; this signifies the departure of Shen (Spirit) and exhaustion of Qi, leading to death within half a day. If caused by injuries from the Six Excesses or Seven Emotions, resulting in rebellious Qi of the five Zang organs, with pain that fluctuates in intensity and appears in paroxysms without being fatal, it is named Rebellious Heartache; this is due to pathogenic factors invading the branch collateral networks of the Heart. Generally, pain due to excess syndromes should be treated with purgation, while pain due to cold syndromes should be treated with warming. For warming and promoting circulation, Que Tong San (Pain-Dispersing Powder) is the primary formula. For women suffering from sudden stabbing Heartache due to blood stasis, Li Ying San (Instant-Response Powder) is used for rapid efficacy. Other types of Heartache should be treated according to specific formulas based on careful differentiation, aiming for the restoration of balance.
This formula treats diseases caused by the imbalance of the Seven Emotions: Joy, Anger, Worry, Pensiveness, Sorrow, Fear, and Fright. Upon onset, there is unbearable stabbing pain in the heart and abdomen, occurring intermittently, with episodes so severe they feel like impending death. It is also suitable for pain caused by external contraction of Wind-Cold-Dampness.
Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times, 3 liang)
Gui Xin (Cinnamomi Cortex, not exposed to fire)
Yan Hu Suo (Corydalis Rhizoma, stir-fried, skin removed, each 1 liang)
Ren Shen (Ginseng Radix et Rhizoma)
Gan Cao (Licorice Root, honey-fried, each 0.5 liang)
Ru Xiang (Frankincense, 3 qian)
Crush the above herbs. Take 4 qian per dose, add 1.5 sheng of water, 7 slices of fresh ginger, and one jujube. Decoct until reduced to 0.7 sheng, strain, and take warm before meals. For women with blood-stasis pain...