大全云∶妊娠心痛，乃风邪痰饮交结。若伤心正经，为真心痛，旦发夕死，夕发旦死；若
伤心支络，则乍安乍作；若伤于子脏，则胎动而血下。
薛氏曰∶前证若饮食所伤，用平胃散加枳壳、山楂；若因错杂诸邪，当审其因而治之。
一妊妇心痛，烦热作渴，用白术散即愈。后因停食，其痛仍作，胸腹胀满，按之则痛，此
因饮食停滞，用人参养胃汤，按之不痛，乃脾胃受伤，以六君子汤补之而愈。
一妊妇心腹作痛，胸胁作胀，吞酸不食，此肝脾气滞，用二陈、山楂、山栀、青皮、木香
而愈。又因怒仍痛，胎动不食，面色青黄，肝脉弦紧，脾脉弦长，此肝木乘土，用六君子汤加
升麻、柴胡、木香而愈。
火龙散 治妊娠心气疼。（此方治平常心
痛亦妙）
川楝子 茴香（炒，各三钱） 艾叶末（盐炒，钱半）
上作一服，水二盅，煎至一盅，不拘时服。
产宝丸 治妊娠卒心痛，气欲绝。
川芎 当归 茯苓 浓朴（制，各一钱）
上用水六升煎取二升，分二服。
白术汤 治妊娠卒心痛欲死，不可忍者。
白术（三两）（诸痛无补法，岂以心痛而可用白术者？详之） 赤芍药（二两） 黄芩（一两半）
上切，以水六升煮取二升半，分三服，半日令尽。微下水令易生，忌桃、李、雀肉等。
千金方 疗妊娠心痛。（按此可治燥热心痛）
青竹茹（一升） 羊脂（八两） 白蜜（三两）
上三味合煎，每服枣核大三枚，食前顿服，日三服。
一方 治妊娠忽然心痛，闷绝欲死者，谓之中恶。
生地黄（二钱） 枳壳（一钱） 木香（三分）
上锉，酒煎服。
一方
橘皮（二两） 豆豉（五两）
上为末，炼为丸，如桐子大，温水下二七丸，无时。
杂方 青竹茹一升，酒二升，煮取一升半，去滓，分温顿服。
一方 破鸡子一枚，酒调服之。
一方 大麻子三升研，水八升煮取五升，分五服。
补遗
沉香降气汤、茯苓补心汤、四七汤、紫苏饮皆可用。《炮炙论》云∶心痛欲死，急觅玄胡。（此治瘀血痛）
The *Daquan* records: Heart pain during pregnancy is caused by the intermingling of wind pathogens and phlegm-fluids. If the primary meridian of the Heart is damaged, it is called "True Heart Pain" (Zhen Xin Tong); if onset occurs in the morning, death follows in the evening, and if onset occurs in the evening, death follows in the morning. If the collateral vessels of the Heart are damaged, the pain comes and goes intermittently. If the uterus (Zi Zang) is damaged, it leads to fetal movement and vaginal bleeding.
Xue Ji stated: For the aforementioned conditions, if caused by dietary injury, use Pingwei San (Calm the Stomach Powder) with added Zhike (Aurantii Fructus) and Shanzha (Crataegi Fructus). If caused by a complex of various pathogens, one must examine the etiology and treat accordingly.
In one case, a pregnant woman suffered from heart pain accompanied by vexation, heat, and thirst; she recovered after taking Baizhu San (Atractylodis Macrocephalae Powder). Later, due to food stagnation, the pain recurred with fullness and distension in the chest and abdomen, which was aggravated by pressure. This was due to dietary stagnation, and she was treated with Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach). In another instance where there was no pain upon pressure, indicating injury to the Spleen and Stomach, she recovered after being supplemented with Liujunzi Tang (Six Gentlemen Decoction).
In another case, a pregnant woman experienced pain in the heart and abdomen, distension in the chest and hypochondrium, acid regurgitation, and anorexia. This was due to Qi stagnation in the Liver and Spleen. She recovered after treatment with Erchen Tang (Two-Aged Decoction) plus Shanzha (Crataegi Fructus), Shanzhi (Gardeniae Fructus), Qingpi (Aurantii Fructus Pericarpium), and Muxiang (Aucklandiae Radix). Subsequently, due to anger, the pain recurred with fetal restlessness and anorexia, and her complexion was greenish-yellow. Her Liver pulse was wiry and tight, and her Spleen pulse was wiry and long. This indicated Liver Wood overacting on Earth (Spleen/Stomach). She recovered after treatment with Liujunzi Tang (Six Gentlemen Decoction) plus Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), and Muxiang (Aucklandiae Radix).
Huolong San (Fire Dragon Powder): Treats heart qi pain during pregnancy. (This formula is also excellent for ordinary heart pain.)
Ingredients: Chuanlianzi (Toosendan Fructus) 3 qian, Huixiang (Foeniculi Fructus, stir-fried) 3 qian, Aiye Mo (Artemisiae Argyi Folium powder, salt-stir-fried) 1.5 qian.
Preparation: Take as one dose, add two zhong of water, decoct to one zhong. Take at any time.
Chanbao Wan (Child-Birth Treasure Pill): Treats sudden heart pain during pregnancy with faint breath approaching extinction.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex, processed) each 1 qian.
Preparation: Add six sheng of water, decoct to obtain two sheng. Divide into two doses.
Baizhu Tang (Atractylodis Macrocephalae Decoction): Treats sudden severe heart pain during pregnancy that is unbearable.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang, Chi Shaoyao (Paeoniae Radix Rubra) 2 liang, Huangqin (Scutellariae Radix) 1.5 liang.
Note: There is no tonification method for pain; how can Baizhu be used for heart pain? Examine this carefully.
Preparation: Cut the herbs, add six sheng of water, boil to obtain two and a half sheng. Divide into three doses, finish within half a day. Mild purgation facilitates recovery. Avoid peaches, plums, and sparrow meat.
Qianjin Fang (Prescription from the Thousand Gold Formulas): Treats heart pain during pregnancy. (Note: This can treat dry-heat type heart pain.)
Ingredients: Qingzhuru (Green Bamboo Shavings) 1 sheng, Yangzhi (Oleum Ovis/Caponis Fat) 8 liang, Baimi (Meli Mel) 3 liang.
Preparation: Combine the three ingredients and decoct. Take three pills the size of a jujube pit before meals, taken all at once, three times daily.
Another prescription: Treats sudden heart pain during pregnancy with suffocation and syncope resembling death, known as "Zhong E" (Evil Invasion).
Ingredients: Shengdihuang (Rehmanniae Radix Recens) 2 qian, Zhike (Aurantii Fructus) 1 qian, Muxiang (Aucklandiae Radix) 3 fen.
Preparation: Cut the herbs, decoct with wine, and take.
Another prescription:
Ingredients: Jupi (Citri Reticulatae Pericarpium) 2 liang, Douchi (Sojae Semen Praeparatum) 5 liang.
Preparation: Grind into powder, make pills with honey the size of tung tree seeds. Take fourteen pills with warm water at any time.
Miscellaneous Formula: Qingzhuru (Green Bamboo Shavings) 1 sheng, wine 2 sheng. Boil to obtain one and a half sheng, remove dregs, and take warm in divided doses or all at once.
Another prescription: Break one chicken egg, mix with wine, and take.
Another prescription: Damaizi (Cannabis Fructus) 3 sheng, grind, add eight sheng of water, boil to obtain five sheng. Divide into five doses.
Supplementary Notes:
Chenxiang Jiangqi Tang (Agarwood Decoction for Descending Qi), FulingBXin Tang (Poria Decoction for Nourishing the Heart), Siqi Tang (Four Seven Decoction), and Zisu Yin (Perilla Decoction) can all be used. The *Paozhi Lun* states: When heart pain is severe and life-threatening, urgently seek Xuanhusuo (Corydalis Rhizoma). (This treats pain caused by blood stasis.)