论曰∶阳中之阳心也，与小肠合，其象火，故其支别络，为风冷邪气所乘，留薄不去，
阳气不得宣发。郁滞生热，则心神懊 而烦痛。
治心痛懊 闷，筑引两乳，如针刺困极。桂心汤方
桂（去粗皮半两） 吴茱萸（汤洗焙炒三两） 芍药（锉炒一两半） 当归（焙一两）
上四味，粗捣筛，每服三钱匕，水一盏半，生姜一枣大拍碎，煎至八分。去滓温服。空
心日午临卧各一。
治心中痞急懊 痛。桂心胶饴汤方
桂（去粗皮一两）
上一味，粗捣筛，每服二钱匕，水一盏，生姜一枣大拍碎，煎至六分。去滓下胶饴二枣
大，更煎一二沸，温服，空心向晚各一。
治心下虚痛懊 。桂心枳实汤方
桂（去粗皮一两） 枳实（麸炒半两）
上二味，粗捣筛，每服三钱匕，水一盏，生姜一枣大拍碎，煎至七分，去滓温服日再。
治心痛懊 。 芦散方
芦（一两） 干漆（炒烟出） 蓄（炒各一分）
上三味，捣罗为散，每服二钱匕，粥饮调下，空心日午临卧各一，若心腹胀满，不能饮
食，即以羊肝蒜齑作羹食之。能取干疳虫，旦服则暮下，百日内勿食酱。
治心痛懊 。芍药汤方
赤芍药（六两） 桔梗（炒） 杏仁（去皮尖双仁炒各五两）
上三味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治心垂急懊痛。郁金饮方
郁金（半两） 黄芩（去黑心） 赤芍药 枳壳（去瓤麸炒） 生干地黄（焙） 大腹
皮（各一
两）
上六味，粗捣筛，每服五钱匕，水一盏半，生姜一枣大拍碎，煎至八分，去滓温服。不
拘时。
治心垂急懊 气闷。木香汤方
木香 桂（去粗皮） 槟榔（锉） 赤芍药 吴茱萸（汤洗焙炒） 当归（锉炒各半两）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，不拘时。
治心懊痛，腹胁妨闷，不能饮食。沉香散方
沉香（镑） 木香 陈橘皮（去白焙） 桂（去粗皮各半两） 槟榔（锉） 郁李仁（汤
浸去皮
炒） 枳壳（去瓤麸炒） 诃黎勒皮（各一两） 大黄（锉炒半两）
上九味，为细散，每服二钱匕，生姜温酒调下，不拘时。
Discourse states: The heart, located in the upper jiao and belonging to Yang, corresponds with the Small Intestine. Its image is Fire. Therefore, when wind-cold pathogenic factors invade its collateral branches, remaining and pressing without departing, the Yang Qi fails to diffuse and circulate freely. Stagnation generates heat, leading to Xin Shen Ao Nao (mental restlessness and discomfort) accompanied by pain.
Formula for treating Heart Pain with Ao Nao and chest tightness, where there is a sensation of pulling towards both breasts, and extreme distress from needle-like stabbing pain: Guixin Tang (Cinnamon Heart Decoction).
Herbs: Rougui (Cortex Cinnamomi, removed coarse bark, 0.5 liang), Wuzhuyu (Fructus Evodiae, washed with hot water, dried, and stir-fried, 3 liang), Shaoyao (Radix Paeoniae Rubra or Radix Paeoniae Alba, crushed and stir-fried, 1.5 liang), Danggui (Radix Angelicae Sinensis, dried, 1 liang).
The above four herbs are coarsely pounded and sifted. Each dose consists of 3 qianbi (approx. 9-15g depending on era measurement), boiled with 1.5 sheng (approx. 300ml) of water and one date-sized piece of fresh ginger (Zingiberis Rhizoma Recens), smashed. Decoct until 0.8 sheng remains. Strain and take warm. Administer on an empty stomach, at noon, and before bed.
Formula for treating central chest fullness, urgency, Ao Nao, and pain: Guixin Jiaoyi Tang (Cinnamon Heart and Maltose Decoction).
Herbs: Rougui (Cortex Cinnamomi, removed coarse bark, 1 liang).
The above single herb is coarsely pounded and sifted. Each dose consists of 2 qianbi, boiled with 1 sheng (approx. 200ml) of water and one date-sized piece of fresh ginger, smashed. Decoct until 0.6 sheng remains. Strain, add two date-sized pieces of Jiaoyi (Maltose), boil for one or two more boils, and take warm. Administer on an empty stomach and in the evening.
Formula for treating deficiency-type pain below the heart with Ao Nao: Guixin Zhishi Tang (Cinnamon Heart and Immature Bitter Orange Decoction).
Herbs: Rougui (Cortex Cinnamomi, removed coarse bark, 1 liang), Zhishi (Fructus Aurantii Immaturus, stir-fried with bran, 0.5 liang).
The above two herbs are coarsely pounded and sifted. Each dose consists of 3 qianbi, boiled with 1 sheng of water and one date-sized piece of fresh ginger, smashed. Decoct until 0.7 sheng remains. Strain and take warm. Take twice daily.
Formula for treating Heart Pain with Ao Nao: Lus San (Reed Powder).
Herbs: Lu (Arundo Donax, 1 liang), Ganqi (Resina Taxodi, stir-fried until smoke emerges), Xiangfu (Herba Polygoni Avicularis, stir-fried, each 1 fen).
The above three herbs are pounded and sieved into a powder. Each dose consists of 2 qianbi, taken with millet drink. Administer on an empty stomach, at noon, and before bed. If there is abdominal distension and inability to eat, consume a soup made of sheep liver and minced garlic. This formula can expel dry Ganchong (parasitic worms); taking it in the morning results in expulsion by evening. Avoid soy sauce for 100 days.
Formula for treating Heart Pain with Ao Nao: Shaoyao Tang (Peony Decoction).
Herbs: Chishaoyao (Radix Paeoniae Rubra, 6 liang), Jiegeng (Radix Platycodonis, stir-fried), Xingren (Semen Armeniacae Amarum, peeled, pointed ends removed, double-kernel ones stir-fried, each 5 liang).
The above three herbs are cut into pieces the size of hemp seeds. Each dose consists of 5 qianbi, boiled with 1.5 sheng of water. Decoct until 0.8 sheng remains. Strain and take warm.
Formula for treating Heart drooping/urgency with Ao Nao and pain: Yujin Yin (Curcuma Drink).
Herbs: Yujin (Radix Curcumae Longae, 0.5 liang), Huangqin (Radix Scutellariae, remove black heart), Chishaoyao (Radix Paeoniae Rubra), Zhiqiao (Fructus Aurantii, remove pith, stir-fried with bran), Shengdihuang (Radix Rehmanniae Praeparata, dried, baked), Dafupi (Pericarpium Arecae Catechu, each 1 liang).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled with 1.5 sheng of water and one date-sized piece of fresh ginger, smashed. Decoct until 0.8 sheng remains. Strain and take warm. No specific time restriction.
Formula for treating Heart drooping/urgency with Ao Nao and Qi stagnation/tightness: Muxiang Tang (Costus Decoction).
Herbs: Muxiang (Radix Aucklandiae), Rougui (Cortex Cinnamomi, removed coarse bark), Binglang (Semen Arecae), Chishaoyao (Radix Paeoniae Rubra), Wuzhuyu (Fructus Evodiae, washed with hot water, dried, and stir-fried), Danggui (Radix Angelicae Sinensis, crushed and stir-fried, each 0.5 liang).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi, boiled with 1.5 sheng of water. Decoct until 0.8 sheng remains. Strain and take warm. No specific time restriction.
Formula for treating Heart Ao Nao and pain, with abdominal and hypochondriac fullness/stifling, and inability to eat: Chenxiang San (Agarwood Powder).
Herbs: Chenxiang (Lignum Aquilariae Resinatum, shaved), Muxiang (Radix Aucklandiae), Chenpi (Pericarpium Citri Reticulatae, remove white pith, dried), Rougui (Cortex Cinnamomi, removed coarse bark, each 0.5 liang), Binglang (Semen Arecae), Yuliren (Semen Pruni Persicae, soaked in hot water, peeled, stir-fried), Zhiqiao (Fructus Aurantii, remove pith, stir-fried with bran), Helilepi (Cortex Terminaliae Chebulae, each 1 liang), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, 0.5 liang).
The above nine herbs are processed into a fine powder. Each dose consists of 2 qianbi, taken with warm wine containing fresh ginger. No specific time restriction.