Library

Excessive drinking with frequent urination is called *Re Zhong* (Heat Middle); excessive eating with frequent urination is called *Xiao Zhong* (Consumption Middle); excessive joy is called *Duo Xi*; excessive anger is called *Kuang Re*. Both *Re Zhong* and *Xiao Zhong* are diseases prevalent among the wealthy and noble. (From *Nei Jing*)

The Heart stores the Spirit (*Shen*); the Heart is the master of the body. If its regular meridian (Hand-Shaoyin Heart Meridian) is invaded by Wind Evil, it is called *Zhen Xin Tong* (True Heartache), where onset in the morning leads to death in the evening, and onset in the evening leads to death in the morning. The Pericardium Meridian is an extra-meridian branch of the Heart; if invaded by Wind-Cold Evil, it also causes heartache, but the pain fluctuates in intensity and does not lead to death. Furthermore, when the Qi of the Hand-Shaoyin Heart Meridian rebels, it is called *Yang Xu Yin Jue* (Yang Deficiency and Yin Collapse), which also causes heartache, characterized by pain radiating to the throat. Urgent pain below the heart is called *Pi Xin Tong* (Spleen Heartache); abdominal distension accompanied by heartache is called *Wei Xin Tong* (Stomach Heartache); lower abdominal heaviness accompanied by diarrhea and coldness in the middle jiao is called *Shen Xin Tong* (Kidney Heartache). Additionally, there are nine types of heartache: 1. Insect (*Chong*), 2. Pestilence (*Zhu*), 3. Wind (*Feng*), 4. Palpitation (*Ji*), 5. Food (*Shi*), 6. Drink/Fluid (*Yin*), 7. Cold (*Leng*), 8. Heat (*Re*), 9. Branch (*Zhi*). All these heartaches result from Evil Qi invading the collaterals of the Hand-Shaoyin Heart Meridian. When Evil Qi contends with Healthy Qi, the struggle between Evil and Healthy Qi causes heartache. Diagnosis reveals that an urgent heart pulse indicates pain radiating to the back and inability to eat; a deep and tight pulse at the Cun Kou position indicates bitter cold in the heart and frequent pain; a tight pulse at the Guan position indicates severe pain below the heart; a deep pulse at the left Cun position indicates the severance of Yin and Yang, absence of heart pulse, and bitter toxic pain in the heart. (From *Ji Feng Fang*)

A person suffers from abdominal pain with varied manifestations. There are Wind Pain, Heat Pain, Cold Pain, Cold Accumulation Pain, Qi Accumulation Pain, and Insect Pain. Women may experience abdominal pain prior to menstruation; children may experience abdominal pain prior to the eruption of chickenpox/rash. If the entire abdomen hurts and warm herbs are ineffective, this is Wind Pain, suitable for treating with Official Bureau *Wei Feng Tang* (Stomach Wind Decoction) or *Huo Cao Wan* (Fire Grass Pill), such as those containing *Fuzi* (Prepared Aconite Root) or *Wutou* (Aconite Root). Constipation, red urine, and a preference for cold drinks and food indicate Heat Pain. Young people should take *Si Shun Yin* (Four Smooths Decoction), while the elderly should take *Da Ma Ren Wan* (Cannabis Seed Pill), both recorded in the Official Formularies. Abdominal masses accompanied by pain indicate Accumulations. Cold accumulation presents with pallor, emaciation, and a deep, hidden pulse; it is suitable to add *Badou* (Croton Seed) to warm herbs, such as in the Official Bureau *Ji Qi Wan* (Qi Accumulation Pill). Qi accumulation involves frequent belching; it is suitable to take *Jia He San*, *Tiao Qi San*, or *Wu Ge Kuan Zhong San*, using herbs like *Huixiang* (Fennel Fruit), *Dingxiang* (Clove), *Muxiang* (Costus Root), or *Chenxiang* (Agarwood). Food accumulation involves sour belching, clear water in the mouth, and nausea; it is suitable to take *Jingsanleng* (Burreed Tuber), *Peng'e zhu* (Turmeric Tuber), or *Ganqi* (Resin of Toxicodendron vernicifluum), but must also include *Badou*. If there is a mass in the abdomen that disappears upon pressing, along with mid-night gastric discomfort, stiff jaw, nausea with clear fluid, and teeth grinding during sleep, this is Insect Pain, suitable for taking the Official Bureau *Hua Chong Wan* (Insect Dissolving Pill), such as *Shijunzi* (Quince Seed). For virgins or women experiencing abdominal pain before menstruation, this differs from other pains and requires only *Si Wu Tang* (Four Substances Decoction). Children with feverish body, cold feet, cold ears and coccyx, and dry eyes exhibit signs of rash eruption; they must first have abdominal pain because the rash emerges from the intestines and stomach before appearing on the exterior. They should take *Gegen Shengma Tang* (Pueraria and Cimicifuga Decoction) or *Mian Jian San* (Cotton Decoction Powder). Prince Shu explained the character "Tong" (Pain): "If what should be unobstructed becomes obstructed, it is pain." This is highly reasonable. For any pain, one must unblock and regulate the Zang-Fu organs, and then use *Badou* (Croton Seed), *Dahuang* (Rhubarb Root), or *Qianniu* (Morning Glory Seed) according to the cold or heat condition. This is the most crucial method. (From *Yi Yu*)