《病源》心痛者，由风冷邪气乘于心也，其痛发有死者，有不死者，有久成疹者。心为
诸脏主而藏神，其正经不可伤，伤之而痛，为真心痛，朝发夕死，夕发朝死。心有支别之络
脉，其为风冷所乘，不伤于正经者，亦令心痛，则乍间乍甚，故成疹不死。
又心为火，与诸阳会合，而手少阴心之经也，若诸阳气虚，少阴之经气逆，谓之阳虚阴
厥，亦令心痛，其痛引喉是也。
又诸脏虚受病，气乘于心者，亦令心痛，则心下急痛，谓之脾心痛也；足太阴为脾之经
，与胃合，足阳明为胃之经，气虚逆乘心而痛，其状腹胀归于心而痛甚，谓之胃心痛也；肾
之经，足少阴是也，与膀胱合，膀胱之经，足太阳是也，此二经俱虚而逆，逆气乘心而痛者
，其状下重不自收持，苦泄寒中，为肾心痛也。
诊其心脉急者，为心痛引背，食不下。
寸口脉沉紧，苦心下有寒时痛。
关上脉紧，心下苦痛。
左手寸口脉沉则为阴，阴绝者，无心脉也，苦心下毒痛。（出第十六卷中）
《备急》疗心痛方
桂心末，温酒服方寸匕，须臾六七服。干姜依上法服之亦佳。忌生葱。（文仲、《集验
》、《肘后》同，出第一卷中）
《延年》疗心痛。茱萸丸方。
吴茱萸（一两半） 干姜（一两半） 桂心（一两） 白术（二两） 人参（一两） 橘
皮（一两） 附子（一两半炮） 蜀椒（一两出汗） 甘草（一两炙） 黄芩（一两） 当
归（一两）
上十一味，捣筛为散，蜜丸。一服五丸如梧子大，日三服，稍加至十五丸。忌猪肉、生
葱、海藻、菘菜、桃、李、雀肉等。药尽更合，酒饮无拘，食前后任意。（《肘后》有桔梗
一两，出第十五卷中）
《救急》疗心痛方
取驴粪绞取汁五六合，及热顿服，立瘥。（《肘后》同）
又方
东引桃枝一握，切，以酒一升，煎取半升。顿服，大效。（《肘后》同，出第八卷中）
《必效》疗心痛方
当归末，酒服方寸匕，频服。（《备急》、文仲同）
又方
生油半合，温服，瘥。（《肘后》、《备急》、张文仲同，并出第五卷中）
《古今录验》疗心痛。黄连汤方。
黄连（八两）
上一物 咀，以水七升，煮取一升五合，绞去滓，适寒温，饮五合，日三。忌猪肉、冷
水。（《肘后》、《范汪》同，出第八卷中）
According to the *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), heart pain is caused by wind-cold pathogenic factors invading the Heart. Upon onset, it may lead to death in some cases, survival in others, or persist as a chronic condition (zhen) over time. The Heart is the master of the five Zang organs and houses the Shen (Spirit). Its main meridian (Shou-Shao-Yin Xin Jing, Heart Meridian of Hand-Taiyin) must not be injured; if injured and causing pain, it is called "True Heart Pain" (Zhen Xin Tong), where morning onset leads to evening death, and evening onset leads to morning death. If branch collateral vessels are invaded by wind-cold without damaging the main meridian, heart pain also occurs, characterized by intermittent severity, thus becoming a chronic condition but not immediately fatal.
Furthermore, the Heart belongs to Fire and converges with various Yang meridians. The Shou-Shao-Yin Xin Jing is the primary meridian of the Heart. If Qi of all Yang aspects is deficient, leading to rebellious Qi in the Shaoyin meridian, this is termed "Yang Deficiency with Yin Reversal" (Yang Xu Yin Jue), which also causes heart pain, often radiating to the throat.
Additionally, when other Zang organs are weak and diseased, pathogenic Qi invades the Heart, causing heart pain characterized by urgent pain below the heart, known as "Spleen Heart Pain" (Pi Xin Tong). The Foot-Tai-Yin Pi Jing (Spleen Meridian of Foot-Taiyin) is interiorly-exteriorly related to the Stomach, and the Foot-Yang-Ming Wei Jing (Stomach Meridian of Foot-Yangming) is the primary meridian of the Stomach. If Stomach Qi is deficient and rebels upward to invade the Heart causing pain, accompanied by abdominal distension and severe pain radiating to the heart region, it is called "Stomach Heart Pain" (Wei Xin Tong). The meridian of the Kidney is the Foot-Shao-Yin Shen Jing (Kidney Meridian of Foot-Shaoyin), interiorly-exteriorly related to the Bladder, whose primary meridian is the Foot-Tai-Yang Pang Guang Jing (Bladder Meridian of Foot-Taiyang). If these two meridians are both deficient and rebellious, with rebellious Qi invading the Heart causing pain, symptoms include heaviness in the lower body with loss of control, suffering from diarrhea and cold in the middle jiao, known as "Kidney Heart Pain" (Shen Xin Tong).
Diagnosis reveals that an urgent Heart pulse indicates heart pain radiating to the back and difficulty swallowing food.
A Chen-Jin (Deep-Tight) pulse at the Cun-Kou position indicates cold in the epigastrium causing frequent pain.
A Jin (Tight) pulse at the Guan position indicates severe pain in the epigastrium.
A Chen (Deep) pulse at the left hand Cun-Kou position indicates Yin; if Yin pulses are absent, there is no normal Heart pulse, manifesting as toxic severe pain in the epigastrium. (From Volume 16)
The *Bei Ji Qian Jin Yao Fang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) provides formulas for treating heart pain:
Cinnamon Twig Powder (Guixin Mo): Take one cun-bi (a measure equivalent to a square inch) with warm wine, administered several times within a short period. Dried Ginger (Ganjiang) taken according to the same method is also effective. Avoid raw green onions. (Same records in Wen Zhong, *Ji Yi Fang*, and *Zhou Hou Bei Ji Fang*; From Volume 1)
The *Yan Nian Mi Lu* (Secret Records for Longevity) provides the Evodia Pill (Zhuyu Wan) for treating heart pain:
Evodia Fruit (Wuzhuyu, 1.5 liang), Dried Ginger (Ganjiang, 1.5 liang), Cinnamon Twig (Guixin, 1 liang), Atractylodes Macrocephala Rhizome (Baizhu, 2 liang), Ginseng Root (Renshen, 1 liang), Tangerine Peel (Chenpi, 1 liang), Prepared Aconite Lateralis Radix (Fuzi, 1.5 liang, processed), Sichuan Pepper (Shujiao, 1 liang, perspired), Roasted Licorice Root (Gancao, 1 liang), Scutellaria Root (Huangqin, 1 liang), Angelica Sinensis Root (Danggui, 1 liang).
Grind the above eleven herbs into powder, mix with honey to form pills. Take five pills per dose, size of a Sophora japonica seed, three times daily, gradually increasing to fifteen pills. Avoid pork, raw green onions, seaweed, Chinese cabbage, peaches, plums, and sparrow meat. Prepare new medicine after finishing; alcohol intake is unrestricted, take before or after meals as desired. (*Zhou Hou Bei Ji Fang* includes Platycodon Root/Jiegeng, 1 liang; From Volume 15)
The *Jiu Ji Fang* (Emergency Rescue Formulas) provides a formula for treating heart pain:
Extract juice from donkey dung, approximately 5-6 he (a volume measure), and drink it hot in one go for immediate recovery. (Same record in *Zhou Hou Bei Ji Fang*)
Another formula:
Take a handful of peach branches growing towards the east, chop them, decoct in one sheng (volume measure) of wine until half a sheng remains. Drink in one go for significant effect. (Same record in *Zhou Hou Bei Ji Fang*; From Volume 8)
The *Bi Xiao Fang* (Effective Formulas) provides a formula for treating heart pain:
Angelica Sinensis Root Powder (Danggui Mo): Take one cun-bi with wine, administer frequently. (Same records in *Bei Ji Qian Jin Yao Fang* and Wen Zhong)
Another formula:
Raw sesame oil, half a he, take warm for recovery. (Same records in *Zhou Hou Bei Ji Fang*, *Bei Ji Qian Jin Yao Fang*, and Zhang Wen Zhong; From Volume 5)
The *Gu Jin Lu Yan Fang* (Ancient and Modern Verified Formulas) provides the Coptis Decoction (Huanglian Tang) for treating heart pain:
Coptis Rhizome (Huanglian, 8 liang).
Chop the single herb, decoct in seven sheng of water until one sheng and five he remain. Strain off dregs, adjust temperature to suit, drink five he per dose, three times daily. Avoid pork and cold water. (Same records in *Zhou Hou Bei Ji Fang* and *Fan Wang Fang*; From Volume 8)