论曰妊娠心痛者，盖因痰饮冷癖，或风寒邪气，上乘于心之别络，致攻击疼痛，休作有
时，若伤心之正经而痛者，旦发则夕死，夕发则旦死，所以然者，心为五官之主。不受外邪
故也。
治妊娠心痛，痰逆不思饮食。沉香汤方
沉香（锉一两） 白豆蔻（去皮） 草豆蔻（去皮各半两） 白术（锉炒二两） 人参 白
茯苓
橘皮（汤
上一十二味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣一枚擘，同煎至七分，去滓
稍热食前服。
治妊娠心痛烦闷。地黄汤方
生干地黄（焙） 淡竹茹（锉各一两） 桂（去粗皮半两）
上三味，粗捣筛，每服三钱匕，水一盏半，煎取一盏，去滓温服，不拘时。
治妊娠心痛，温中调气。金粟汤方
粟米 半夏（生姜汁浸五宿切焙各二两） 甘草（炙一两） 人参（半两） 白术 桂
（去粗
上七味，粗捣筛，每服二钱匕，水一盏，生姜三片，煎六分，去滓温服。
治妊娠心痛。竹茹汤方
青竹茹（锉碎三两）
上一味，粗捣筛，每服三钱匕，水一大盏，煎七分，去滓温服，不拘时。
治妊娠心痛，不思饮食。橘皮汤方
陈橘皮（汤浸去白焙四两） 甘草（锉炒二两） 浓朴（去粗皮生姜汁炙锉） 白术（各
四两）
上五味，将葱一握细切拌药，罨一宿，炒令黄色，捣为粗末，每服二钱匕，水一盏，煎
至七分，去滓温服。
治妊娠心痛、胁满，不思饮食。枳实汤方
枳实（去瓤麸炒） 人参 赤茯苓（去皮锉） 柴胡（去苗） 木香（炮） 桂（去粗
皮） 草豆
上九味。粗捣筛，每服二钱匕，水一盏，煎取七分，去滓温服，不拘时。
治妊娠心痛，呕逆不思饮食。芎 汤方
芎 甘草（炒） 芍药 草豆蔻（去皮） 槟榔（锉各二两）
上五味。粗捣筛，每服二钱匕，水一盏，枣一枚擘，生姜三片，煎至七分，去滓温服，
不拘时。
治妊娠心痛胀满，胎不安。大腹汤方
大腹皮（锉） 芎 赤茯苓（去黑皮） 陈橘皮（汤浸去白焙） 人参（各三分） 当
归（切
上八味，粗捣筛，每服五钱匕，水一盏半，煎取一盏，去滓温服，不拘时。
治妊娠心痛，不可禁忍。沉香汤方
沉香（锉） 浓朴（去粗皮生姜汁炙一两） 附子（炮裂去皮脐尖） 陈橘皮（汤浸去
白焙）
上七味，锉如麻豆，每服二钱匕，水一盏，生姜三片，枣一枚擘，同煎至六分，去滓温
服。
治妊娠心痛，胸脘不利，呕吐冷痰。七宝汤方
半夏（半两生姜汁浸透切炒） 大腹皮（锉） 甘草（炙） 草豆蔻（去皮） 诃黎勒
（炮去核）
参白茯苓（去
上一十二味。粗捣筛，每服二钱匕，水一盏，生姜三片，枣一枚擘，同煎至七分。去滓
温服。
治妊娠心脾痛，呕逆不下食。浓朴汤方
浓朴（去粗皮锉生姜汁浸一宿炒熟） 白术（各四两） 白芷（二两） 干姜（炮一两）
甘草
上八味，粗捣筛，每服二钱匕，水一盏，煎七分，去滓温服，不拘时候。
治妊娠心痛，时多痰逆，饮食无味，腹胁胀满。肉豆蔻汤方
肉豆蔻（仁煨） 附子（去皮脐切盐汤浸曝干炒） 缩砂（炒去皮各半两） 木香（一
分） 白
上六味，锉如麻豆，每服二钱匕。水一盏，生姜三片，煎七分，去滓温服，不拘时。
治妊娠心痛，胸膈不利，不思饮食。如圣散方
人参 白术（各一两） 干姜（炮） 丁香（炒各半两） 缩砂仁（炒） 檀香（锉） 桔
梗（炒
上九味，捣罗为散，每服二钱匕，盐汤点服。
治妊娠心痛，腹胁胀满，不思饮食，呕逆不止。人参饮方
人参 桑寄生 阿胶（炒燥） 陈橘皮（去白焙） 白茯苓（去黑皮各一两） 白术 甘
草（
上八味，粗捣筛，每服四钱匕，水一盏半，煎至七分，去滓温服，不拘时候。
Discussion states: Heart pain during pregnancy is generally caused by phlegm-fluid retention, cold accumulation masses, or wind-cold pathogenic factors ascending to the collateral vessels of the heart. This leads to attacking pain that comes and goes at specific times. If the pain damages the main meridians of the heart, death will occur in the evening if onset is in the morning, or in the morning if onset is in the evening. The reason for this is that the Heart is the master of the five zang organs and does not accept external pathogens directly.
Treatment for heart pain during pregnancy with phlegm reversal and loss of appetite. Chenxiang Tang (Agarwood Decoction)
Chen Xiang (Agarwood, Agarospiromatis Lignum), Bai Dou Kou (White Cardamom, Amomi Fructus Rotundus), Cao Dou Kou (Grass Cardamom, Amomi Fructus), Bai Zhu (Atractylodis Rhizoma, processed with stir-frying), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, Poria Cocos), Ju Pi (Tangerine Peel, Citri Reticulatae Pericarpium). [Note: Original text lists ingredients incompletely before stating "Twelve ingredients"]. All twelve ingredients are coarsely crushed and sieved. Each dose consists of three qianbi (approx. 9g), boiled with one sheng (approx. 200ml) of water, three slices of Sheng Jiang (Fresh Ginger, Zingiberis Rhizoma Recens), and one split Zao (Jujube, Ziziphi Jujubae Fructus). Simmer until reduced to 70%, strain, and take warm before meals.
Treatment for heart pain during pregnancy accompanied by irritability and stuffiness. Dihuang Tang (Rehmannia Decoction)
Sheng Gan Di Huang (Dried Rehmannia Root, Rehmanniae Radix Preparata), Dan Zhu Ru (Bamboo Shavings, Bambusae Folium), Gui (Cinnamon Twig, Ramulus Cinnamomi). These three ingredients are coarsely crushed and sieved. Each dose consists of three qianbi, boiled with one and a half sheng of water until reduced to one sheng, strained, and taken warm at any time.
Treatment for heart pain during pregnancy, to warm the middle and regulate qi. Jin Su Tang (Golden Millet Decoction)
Su Mi (Millet Grain, Setaria Italica Semen), Ban Xia (Pinellia Tuber, Pinelliae Rhizoma, soaked in Sheng Jiang juice for five nights, sliced and dried), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma, honey-processed), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma), Gui (Cinnamon Twig, Ramulus Cinnamomi). [Note: Original text lists ingredients incompletely]. These seven ingredients are coarsely crushed and sieved. Each dose consists of two qianbi, boiled with one sheng of water and three slices of Sheng Jiang until reduced to 60%, strained, and taken warm.
Treatment for heart pain during pregnancy. Zhuru Tang (Bamboo Shavings Decoction)
Qing Zhu Ru (Green Bamboo Shavings, Bambusae Folium). This single ingredient is coarsely crushed and sieved. Each dose consists of three qianbi, boiled with one large sheng of water until reduced to 70%, strained, and taken warm at any time.
Treatment for heart pain during pregnancy with loss of appetite. Ju Pi Tang (Tangerine Peel Decoction)
Chen Ju Pi (Aged Tangerine Peel, Citri Reticulatae Pericarpium, soaked in hot water, pith removed, dried), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma, crushed and stir-fried), Hou Po (Magnolia Bark, Magnoliae Officinalis Cortex, pith removed, processed with Sheng Jiang juice), Bai Zhu (Atractylodis Rhizoma). [Note: Dosages listed as four liang each for some]. These five ingredients are mixed with a handful of finely cut Cong Bai (Scallion Stem, Allii Fistulosi Bulbus), covered and left overnight, then stir-fried until yellow, crushed into coarse powder. Each dose consists of two qianbi, boiled with one sheng of water until reduced to 70%, strained, and taken warm.
Treatment for heart pain during pregnancy, fullness in the hypochondrium, and loss of appetite. Zhishi Tang (Immature Bitter Orange Decoction)
Zhi Shi (Immature Bitter Orange, Aurantii Fructus, bran-roasted), Ren Shen (Ginseng Radix et Rhizoma), Chi Fu Ling (Red Poria, Poria Cocos with red skin removed), Chai Hu (Bupleurum Root, Bupleuri Radix), Mu Xiang (Costus Root, Aucklandiae Radix, processed), Gui (Cinnamon Twig, Ramulus Cinnamomi), Cao Dou Kou (Grass Cardamom, Amomi Fructus). [Note: Original text lists ingredients incompletely]. These nine ingredients are coarsely crushed and sieved. Each dose consists of two qianbi, boiled with one sheng of water until reduced to 70%, strained, and taken warm at any time.
Treatment for heart pain during pregnancy with vomiting, nausea, and loss of appetite. Xiong Tang (Ligusticum Decoction) [Note: Original text "Xiong" likely refers to Chuan Xiong/Corydalis, translated as Ligusticum based on context].
Chuan Xiong (Sichuan Lovage Rhizome, Chuanxiong Rhizoma), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma, stir-fried), Shao Yao (Peony Root, Paeoniae Radix Alba), Cao Dou Kou (Grass Cardamom, Amomi Fructus, pith removed), Bing Lang (Areca Seed, Arecae Semen, crushed). These five ingredients are coarsely crushed and sieved. Each dose consists of two qianbi, boiled with one sheng of water, one split Zao (Jujube, Ziziphi Jujubae Fructus), and three slices of Sheng Jiang (Fresh Ginger, Zingiberis Rhizoma Recens) until reduced to 70%, strained, and taken warm at any time.
Treatment for heart pain during pregnancy with distension and fullness, and fetal unrest. Dafu Tang (Betel Nut Shell Decoction)
Da Fu Pi (Areca Peel, Arecae Pericarpium, crushed), Chuan Xiong (Sichuan Lovage Rhizome, Chuanxiong Rhizoma), Chi Fu Ling (Red Poria, Poria Cocos with black skin removed), Chen Ju Pi (Aged Tangerine Peel, Citri Reticulatae Pericarpium, soaked in hot water, pith removed, dried), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Chinese Angelica Root, Angelicae Sinensis Radix). [Note: Original text lists ingredients incompletely]. These eight ingredients are coarsely crushed and sieved. Each dose consists of five qianbi, boiled with one and a half sheng of water until reduced to one sheng, strained, and taken warm at any time.
Treatment for unbearable heart pain during pregnancy. Chenxiang Tang (Agarwood Decoction)
Chen Xiang (Agarwood, Agarospiromatis Lignum), Hou Po (Magnolia Bark, Magnoliae Officinalis Cortex, pith removed, processed with Sheng Jiang juice), Fu Zi (Prepared Aconite Root, Aconiti Lateralis Radix Preparata, roasted, cracked, pith and navel removed), Chen Ju Pi (Aged Tangerine Peel, Citri Reticulatae Pericarpium, soaked in hot water, pith removed, dried). [Note: Original text lists ingredients incompletely]. These seven ingredients are crushed like hemp seeds. Each dose consists of two qianbi, boiled with one sheng of water, three slices of Sheng Jiang (Fresh Ginger, Zingiberis Rhizoma Recens), and one split Zao (Jujube, Ziziphi Jujubae Fructus) until reduced to 60%, strained, and taken warm.
Treatment for heart pain during pregnancy with chest and epigastric discomfort, vomiting of cold phlegm. Qibao Tang (Seven Treasures Decoction)
Ban Xia (Pinellia Tuber, Pinelliae Rhizoma, soaked in Sheng Jiang juice until permeable, sliced and stir-fried), Da Fu Pi (Betel Nut Shell, Arecae Pericarpium, crushed), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma, honey-processed), Cao Dou Kou (Grass Cardamom, Amomi Fructus, pith removed), He Li Le (Chebula Fruit, Terminaliae Chebulae Fructus, roasted, pitted). [Note: Original text lists ingredients incompletely]. These twelve ingredients are coarsely crushed and sieved. Each dose consists of two qianbi, boiled with one sheng of water, three slices of Sheng Jiang (Fresh Ginger, Zingiberis Rhizoma Recens), and one split Zao (Jujube, Ziziphi Jujubae Fructus) until reduced to 70%, strained, and taken warm.
Treatment for heart and spleen pain during pregnancy with vomiting, nausea, and inability to eat. Houpo Tang (Magnolia Bark Decoction)
Hou Po (Magnolia Bark, Magnoliae Officinalis Cortex, pith removed, crushed, soaked in Sheng Jiang juice overnight, stir-fried until cooked), Bai Zhu (Atractylodis Rhizoma, Atractylodis Macrocephalae Rhizoma), Bai Zhi (Angelica Dahurica Root, Angelicae Dahuricae Radix), Gan Jiang (Dried Ginger, Zingiberis Rhizoma), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma). [Note: Original text lists ingredients incompletely]. These eight ingredients are coarsely crushed and sieved. Each dose consists of two qianbi, boiled with one sheng of water until reduced to 70%, strained, and taken warm at any time.
Treatment for heart pain during pregnancy with frequent phlegm reversal, tasteless diet, and abdominal/hypochondriac distension. Roudoukou Tang (Nutmeg Decoction)
Rou Dou Kou (Nutmeg, Myristicae Semen, kernel baked), Fu Zi (Prepared Aconite Root, Aconiti Lateralis Radix Preparata, pith and navel removed, sliced, soaked in salt water, dried, roasted), Suo Sha (Cardamom, Amomi Fructus, roasted, pith removed), Mu Xiang (Costus Root, Aucklandiae Radix), Bai [Ingredient incomplete in original]. [Note: Text says six ingredients]. These six ingredients are crushed like hemp seeds. Each dose consists of two qianbi, boiled with one sheng of water and three slices of Sheng Jiang (Fresh Ginger, Zingiberis Rhizoma Recens) until reduced to 70%, strained, and taken warm at any time.
Treatment for heart pain during pregnancy with chest and diaphragm discomfort and loss of appetite. Rusheng San (Like the Sage Powder)
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Rhizoma, Atractylodis Macrocephalae Rhizoma), Gan Jiang (Dried Ginger, Zingiberis Rhizoma), Ding Xiang (Clove, Caryophylli Flos), Suo Sha Ren (Cardamom Seed, Amomi Fructus), Tan Xiang (Sandalwood, Santali Albi Lignum), Jie Geng (Platycodon Root, Platycodi Radix). [Note: Original text lists ingredients incompletely]. These nine ingredients are ground into a fine powder. Each dose consists of two qianbi, taken with salt water.
Treatment for heart pain during pregnancy with abdominal/hypochondriac distension, loss of appetite, and incessant vomiting. Renshen Yin (Ginseng Drink)
Ren Shen (Ginseng Radix et Rhizoma), Sang Ji Sheng (Taxillus Branch, Taxilli Herba), E Jiao (Donkey-hide Gelatin, Asini Corii Colla, stir-fried until dry), Chen Ju Pi (Aged Tangerine Peel, Citri Reticulatae Pericarpium, pith removed, dried), Bai Fu Ling (Poria, Poria Cocos with black skin removed), Bai Zhu (Atractylodis Rhizoma, Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root, Glycyrrhizae Radix et Rhizoma). [Note: Original text lists ingredients incompletely]. These eight ingredients are coarsely crushed and sieved. Each dose consists of four qianbi, boiled with one and a half sheng of water until reduced to 70%, strained, and taken warm at any time.