脉不出针不容，穴在幽门两旁各一寸五分。心闷痛上气牵引小肠，灸巨阙二
（论一首 方二十六首 针灸法二十五首）
论曰∶寒气卒客于五脏六腑，则发卒心痛胸痹。感于寒，微者为咳，甚者为痛为泄，厥
心痛与背相引，善螈如物从后触其心。身伛偻者肾心痛也。厥心痛腹胀满。心痛甚者，胃心
痛也。厥心痛如以针锥剌其心，心痛甚者脾心痛也。厥心痛，色苍苍如死灰状，终日不得太
息者，肝心痛也。厥心痛，卧若从心间痛，动作痛益甚，色不变者，肺心痛也。真心痛手足
青至节，心痛甚，旦发夕死，夕发旦死。蛔心痛，心腹中痛发作肿聚，往来上下行痛有休止，
腹中热，善涎出是蛔咬也，以手按而坚持之，勿令得移，以大针刺之，复久持之虫不动乃出
针。心下不可刺，中有成聚不可取于俞，肠中有虫蛔咬皆不可取以小针。
治寒气卒客于五脏六腑中则发心痛方∶
大黄 芍药 柴胡（各四两） 升麻 黄芩 桔梗 朱砂（各三两） 鬼臼 鬼箭羽 桂
心朴硝（各二两）
上十一味 咀，以水九升煮取二升七合，分三服，先分朱砂作三份，每服纳一份，搅匀
服之，得快利如痛不止，宜服后方∶ 赤芍（六两） 桔梗 杏仁（各五两） 上三味 咀，
以
水六升煮取三升，分三服。
Pulse is imperceptible; needle Buru (Bùróng, ST17). This acupoint is located one cun and five fen on either side of Yōumén (ST21). If symptoms include chest oppression and pain, rebellious Qi ascending, and traction to the small intestine, moxa Jūquè (CV14) for two moxibustion cones.
(This section contains one treatise, twenty-six formulas, and twenty-five acupuncture methods.)
The treatise states: When cold pathogen suddenly invades the five zang organs and six fu organs, it manifests as sudden heart pain and chest bi syndrome. Contracting cold, if mild, results in cough; if severe, it results in pain and diarrhea. Jué xīn tòng (Rebellious Heart Pain) draws from the back, prone to spasms, with a sensation as if an object touches the heart from behind. Body stooping indicates Shèn xīn tòng (Kidney Heart Pain). Jué xīn tòng accompanied by abdominal distension and fullness. Severe heart pain indicates Wèi xīn tòng (Stomach Heart Pain). Jué xīn tòng feeling like being pierced by a needle or awl into the heart, with extreme pain, indicates Pí xīn tòng (Spleen Heart Pain). Jué xīn tòng with a complexion ashen blue like dead ash, unable to take deep breaths all day, indicates Gān xīn tòng (Liver Heart Pain). Jué xīn tòng starting from the heart center when lying down, worsening with movement, but without color change, indicates Fèi xīn tòng (Lung Heart Pain). Zhēn xīn tòng (True Heart Pain) presents with cyanosis of hands and feet extending to the joints, severe heart pain, death if onset is in the morning and evening, or death if onset is in the evening and morning. Huí chóng xīn tòng (Roundworm Heart Pain) involves pain in the heart and abdomen where masses gather and disperse, moving up and down, with intermittent pain, heat in the abdomen, and frequent salivation, indicating roundworm biting. Press firmly with hand to prevent movement, needle with a large needle, retain for a long time until the worm stops moving, then withdraw the needle. The lower heart region must not be needled; lesions with accumulation inside should not be treated via shu points; intestinal roundworm biting must not be treated with small needles.
Formula for treating heart pain caused by sudden invasion of cold pathogen into the five zang and six fu organs:
Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix) (each 4 liang); Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Zhusha (Cinnabar) (each 3 liang); Guijiu (Arisaematis Rhizoma), Guijianyu (Cornus Swinhoei Ramulus), Guixin (Cinnamomi Ramulus), Poxiao (Natrii Sulfas) (each 2 liang).
The above eleven ingredients are coarsely crushed. Decoct in nine sheng of water to obtain two sheng and seven he. Divide into three doses. First, divide Zhusha into three parts; add one part per dose, stir evenly, and take. If loose stools occur as expected but pain persists, use the following formula: Chishao (Paeoniae Radix Rubra) (6 liang), Jiegeng (Platycodonis Radix), Xingren (Armeniacae Semen Amarum) (each 5 liang). The above three ingredients are coarsely crushed. Decoct in six sheng of water to obtain three sheng. Divide into three doses.