论曰∶南方生热。热生火。火生苦。苦生心。心生血。血生脾。心主舌。其在天为热。
在地为火。在体为脉。在脏为心。在色为赤。在音为征。在声为笑。在变动为忧。在窍为舌
。在味为苦。在志为喜。在臭为焦。在虫为羽。在液为汗。在性为礼。其华在面。其充在血
脉。其在脏为神。两精相搏谓之神。神者精气之化成也。故心者火也。王于夏。手少阴
是其经。与小肠手阳明合。小肠为腑。而主表。心为脏而主里。心气盛为神有余。则病骨肉
痛。胸中多满。胁下及腰背肩胛两臂间痛。喜笑不休。是心气之实也。则宜泻之。心气不足
。则胸腹胁下与腰背相引而痛。惊悸恍惚。少颜色。舌本强。喜忧悲。是心气之虚也。则宜
补之。夏心脉来。浮大而数者。是平脉也。反得沉濡而滑者。是肾之乘心。水之克火。大逆
不可治也。反得弦而长者。是肝之乘心。母之克子。虽病当愈。反得大而缓者。是脾之乘心
。子之克母。虽病可治。反得浮涩而短者。是肺之乘心。金之克火。虽病不死。心脉来。累
累连属。其中微曲。曰心病。脉来前曲后居。如操带钩。曰死。真心脉至。牢而搏。如循薏
苡累累然。其色赤黑不泽。毛折者。死矣。
夫心虚则生寒，寒则阴气盛，阴盛则血脉虚少，而多恐畏，情绪不乐，心腹暴痛。时唾
清涎，心膈胀满，好忘多惊，梦寐飞扬，精神离散，其脉浮而虚者，是其候也。
治心气虚。惊悸喜忘。不思饮食。宜服远志散方。
远志（半两去心） 菖蒲（半两） 铁精（半两） 桂心（三分） 黄 〔一两（锉）〕
防风（
三分去芦头
地黄（三分）
味子（半两） 麦
门冬（三
上件药，捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚，煎至六分，去滓
每于食后温服。
治心气虚，忧恐恍惚，心腹痛，胀满，食少，宜服熟干地黄散方。
熟干地黄（三分） 远志（半两去心） 菖蒲（一两） 陈橘皮（三分汤浸去白瓤焙）
芎（半两） 桂心（半两） 人参（一两去芦头） 白茯苓（一两） 白芍药（半两）
上件药，捣粗罗为散。每服三钱，水一中盏，煎至六分，去滓，不计时候，温服。
治心气虚损，志意不定，腰脊腹胁相引痛，不能俯仰，宜服白术散方。
白术（半两） 甘草（半两炙微赤锉） 当归（三分锉微炒） 白茯苓（三分） 远志
（半
两去
（三分炮
裂
上件药，捣粗罗为散。每服三钱，以水一中盏，入生姜半分，枣三枚，饴糖半分，煎至
六分，去滓，食前温服。
治心气虚苦悲，恐惊悸恍惚，谬忘，心中烦闷，面目或赤、或黄，羸瘦，宜服紫石
英散
紫石英（二两细研如粉） 桂心（二两） 白茯苓（一两） 人参（一两去芦头） 白
术（半两）
黄（半两锉） 熟干地黄（一两） 甘草（半两炙微赤锉） 麦门冬（一两去心）
上件药，捣粗罗为散。每服三钱，以水一中盏，入枣三枚，煎至六分，去滓，不计时候
温服。
治心气虚寒，心膈胀满，悲思忧愁，宜服白茯苓散方。
白茯苓（一两） 人参（一两去芦头） 防风（半两去芦头） 桂心（三分） 远志（半
两去心
）桔
两） 半
夏（
上件药，捣粗罗为散。每服三钱，以水一中盏，入生姜半分，枣三枚，煎至六分，去滓
，不计时候温服。
治心虚恐畏，胁腹暴痛，志意不乐，宜服薯蓣丸方。\x
薯蓣（一两半） 远志（半两去心） 柏子仁（一两） 沉香（一两） 茯神（一两） 熟
干地黄
（一两半）
两炙微赤锉） 防
上件药，捣罗为末，炼蜜和捣三、二百杵，丸如梧桐子大。每服，不计时候，以温酒下
二十丸。
Discussion states: The South generates Heat. Heat generates Fire. Fire generates the Bitter taste. The Bitter taste nourishes the Heart. The Heart transforms Blood. Blood nourishes the Spleen. The Heart opens into the tongue. In Heaven it corresponds to Heat. On Earth it corresponds to Fire. In the body tissues it corresponds to vessels (Mai). In the Zang-Fu organs it corresponds to the Heart. In colors it corresponds to Red. In musical tones it corresponds to the Zhi tone. In vocal sounds it corresponds to laughter. In emotional changes it corresponds to sorrow (You). In orifices it corresponds to the tongue. In tastes it corresponds to Bitter. In emotions it corresponds to Joy (Xi). In odors it corresponds to Scorched. In insects it corresponds to feathered creatures. In fluids it corresponds to sweat. In virtues it corresponds to Propriety (Li). Its luster manifests on the face. Its filling is in the blood vessels. Among the Zang organs, it governs Spirit (Shen). The interaction of two essences is called Spirit. Spirit is the transformation and production of essence and Qi. Therefore, the Heart belongs to Fire and prospers in Summer. The Hand-Shaoyin [Heart] meridian is its channel, which combines with the Small Intestine [Hand-Taiyang] meridian (Note: Original text says "Hand-Yangming", likely a textual error for Taiyang, but translated as stated). The Small Intestine is a Fu organ and governs the exterior; the Heart is a Zang organ and governs the interior. Excess of Heart Qi leads to an excess of Spirit, resulting in pain in bones and flesh, fullness in the chest, pain in the hypochondrium, lower back, shoulder blades, and between both arms, and incessant laughter. This is an excess pattern of Heart Qi, and purgation should be employed. Deficiency of Heart Qi leads to pulling pain between the chest, abdomen, hypochondrium, and lower back, palpitations, mental confusion, lack of luster in the complexion, stiffness of the tongue root, and a tendency toward sorrow and grief. This is a deficiency pattern of Heart Qi, and tonification should be employed. In Summer, if the Heart pulse comes floating, large, and rapid, this is a normal pulse. If instead a deep, soft, and slippery pulse is obtained, this indicates the Kidney water overacting on Heart fire (Water overcoming Fire), which is a great reversal and difficult to treat. If instead a wiry and long pulse is obtained, this indicates the Liver wood overacting on Heart fire. Although the text mentions "mother overcoming son" (which contradicts standard Five Phase theory where Wood generates Fire), it suggests that although ill, recovery is expected. If instead a large and slow pulse is obtained, this indicates the Spleen earth overacting on Heart fire (Son overcoming Mother/Reverse Overaction), although ill, it is treatable. If instead a floating, choppy, and short pulse is obtained, this indicates the Lung metal overacting on Heart fire (Metal overcoming Fire), although ill, death will not occur. When the Heart pulse comes, linked continuously, with a slight curve within, it is called Heart disease. If the pulse comes curving forward and staying backward, like holding a belt hook, it is called a dead pulse. When the True Heart pulse arrives, firm and beating, like feeling a cluster of Coix seeds, with a dark red-black color lacking luster, and with brittle hair, it is a sign of death.
When the Heart is deficient, Cold is generated. Cold causes Yin Qi to flourish. Flourishing Yin Qi causes blood vessels to become deficient and scant, leading to much fear and dread, unhappiness, sudden pain in the heart and abdomen. There is frequent spitting of clear saliva, fullness in the heart and diaphragm, forgetfulness, much fright, flying dreams, dispersion of spirit and mind. If the pulse is floating and deficient, these are the signs.
To treat Heart Qi deficiency with palpitations, forgetfulness, and loss of appetite, administer Yuanzhi San (Polygalae Decoction Powder).
Yuanzhi (Radix Polygalae) (1.5 liang, remove core)
Shichangpu (Rhizoma Acori Tatarinowii) (1.5 liang)
Tiejing (Iron Essence) (1.5 liang)
Guixin (Cortex Cinnamomi) (0.3 qian)
Huangqi (Radix Astragali) (1 liang, sliced)
Fangfeng (Radix Saposhnikoviae) (0.3 qian, remove radicle head)
Dihuang (Radix Rehmanniae) (0.3 liang)
Wuweizi (Fructus Schisandrae) (0.5 liang)
Maidong (Radix Ophiopogonis) (3 liang, remove core)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 portion. Strain and take warm after meals.
To treat Heart Qi deficiency with worry, fear, mental confusion, heart and abdominal pain, fullness, and poor appetite, administer Shugan Dihuang San (Prepared Rehmannia Decoction Powder).
Shugan Dihuang (Prepared Radix Rehmanniae) (0.3 liang)
Yuanzhi (Radix Polygalae) (0.5 liang, remove core)
Shichangpu (Rhizoma Acori Tatarinowii) (1 liang)
Chenpi (Pericarpium Citri Reticulatae) (0.3 liang, soaked in water, white pith removed, dried)
Xiongqiong (Radix Chuanxiong) (0.5 liang)
Guixin (Cortex Cinnamomi) (0.5 liang)
Renshen (Radix Ginseng) (1 liang, remove radicle head)
Baifuling (Poria) (1 liang)
Baishaoyao (Radix Paeoniae Alba) (0.5 liang)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 0.6 portion. Strain and take warm at any time.
To treat Heart Qi deficiency and damage with unstable will and intention, pulling pain in the lumbar spine, abdomen, and hypochondrium, and inability to bend or extend, administer Baizhu San (Atractylodes Macrocephala Decoction Powder).
Baizhu (Rhizoma Atractylodis Macrocephalae) (0.5 liang)
Gancao (Radix Glycyrrhizae) (0.5 liang, honey-fried until slightly red, sliced)
Danggui (Radix Angelicae Sinensis) (0.3 liang, sliced, lightly stir-fried)
Baifuling (Poria) (0.3 liang)
Yuanzhi (Radix Polygalae) (0.5 liang, remove core)
Guixin (Cortex Cinnamomi) (0.3 liang, processed until cracked)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, 3 jujubes, and 0.5 fen of maltose. Decoct until reduced to 0.6 portion. Strain and take warm before meals.
To treat Heart Qi deficiency with suffering from sadness, fear, fright, palpitations, mental confusion, erroneous forgetting, mental restlessness, reddish or yellowish complexion, and emaciation, administer Zishiying Shi San (Purple Quartz Decoction Powder).
Zishiying Shi (Stalactitum) (2 liang, finely ground to powder)
Guixin (Cortex Cinnamomi) (2 liang)
Baifuling (Poria) (1 liang)
Renshen (Radix Ginseng) (1 liang, remove radicle head)
Baizhu (Rhizoma Atractylodis Macrocephalae) (0.5 liang)
Huangqi (Radix Astragali) (0.5 liang, sliced)
Shugan Dihuang (Prepared Radix Rehmanniae) (1 liang)
Gancao (Radix Glycyrrhizae) (0.5 liang, honey-fried until slightly red, sliced)
Maidong (Radix Ophiopogonis) (1 liang, remove core)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add 1 zhong of water and 3 jujubes. Decoct until reduced to 0.6 portion. Strain and take warm at any time.
To treat Heart Qi deficiency-cold with fullness in the heart and diaphragm, sad thoughts, and worry, administer Baifuling San (Poria Decoction Powder).
Baifuling (Poria) (1 liang)
Renshen (Radix Ginseng) (1 liang, remove radicle head)
Fangfeng (Radix Saposhnikoviae) (0.5 liang, remove radicle head)
Guixin (Cortex Cinnamomi) (0.3 qian)
Yuanzhi (Radix Polygalae) (0.5 liang, remove core)
Jiegeng (Radix Platycodonis) (0.5 liang)
Banxia (Rhizoma Pinelliae) (0.5 liang, washed)
Crush the above herbs into a coarse powder. Take 3 qian per dose. Add 1 zhong of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 0.6 portion. Strain and take warm at any time.
To treat Heart deficiency with fear and dread, sudden pain in the hypochondrium and abdomen, and unhappy will, administer Shuyu Wan (Dioscorea Pill).
Shuyu (Rhizoma Dioscoreae) (1.5 liang)
Yuanzhi (Radix Polygalae) (0.5 liang, remove core)
Baiziren (Semen Biotae) (1 liang)
Chenxiang (Lignum Aquilariae Resinatum) (1 liang)
Fushen (Poria cum Pinus) (1 liang)
Shugan Dihuang (Prepared Radix Rehmanniae) (1.5 liang)
Guixin (Cortex Cinnamomi) (1 liang, honey-fried until slightly red, sliced)
Fangfeng (Radix Saposhnikoviae) (0.5 liang, remove radicle head)
Grind the above herbs into powder. Mix with refined honey and pound 200-300 times. Form pills the size of Sophora seeds. Take 20 pills per dose at any time, with warm wine.