（手少阴属脏）
心体属火。位南方。色现赤。胸下歧骨陷处其部位也。凡额上手足心。皆其所辖。得血以养之。
方能运慧思。用才智。心无表症。皆属于里。
心之虚。血不足也。脉左寸必弱。其症为惊悸。为不得卧。为健忘。为虚痛。为怔忡。为遗精。
惊悸者。惕惕然恐。神失守也。七福饮、秘旨安神丸主之。不得卧者。思虑太过。神不藏也。归脾汤、安神
定志丸主之。健忘者。心肾不交。神明不充也。归脾汤、十补丸主之。虚痛者。似 似饥。似手摭心。喜
得手按。洋参麦冬汤主之。怔忡者。气自下逆。心悸不安。归脾汤主之。遗精者。或有梦。或无梦。心肾
不固也。清心丸、十补丸主之。
心之实。邪入之也。心不受邪。其受者胞络耳。脉左寸必弦而大。其症为气滞。为血痛。为停饮。
为痰迷。为暑闭。为虫啮。
气滞者。或食胀。或怒冲。烦闷而痛。沉香降气散主之。血痛者。血凝于中。痛有定处。转侧若刀针刺。手
拈散主之。停饮者。干呕吐涎痛。作水声。小半夏加茯苓汤主之。如有饮囊。则加苍术。名倒仓法。痰
迷者。顽痰壅闭。不省人事。清膈煎灌之。暑闭者。汗喘昏闷。先以消暑丸灌之。再用香薷饮加益元散。
虫啮者。饥时作痛。面白唇红。化虫丸主之。
心之寒。脉左寸必迟。其症为暴痛。
暴痛者。肢冷气冷。绵绵不休。姜附汤加肉桂主之。
心之热。火迫之也。脉左寸必数。舌尖赤。其症为目痛。为重舌、木舌。为烦躁。为不得卧。为癫狂。
为谵语。为赤浊。为尿血。
目痛者。赤肿羞明。导赤散加连翘、菊花、蝉蜕主之。重舌、木舌者。泻心丸主之。烦躁者。泻心丸加竹
卷心主之。不得卧者。暑热乘心也。导赤散加益元散主之。癫狂者。弃衣骂詈。生铁落饮主之。谵
语者。邪热攻心也。泻心丸主之。赤浊者。萆 厘清饮加灯心、丹参主之。尿血者。阿胶散主之。
(Hand-Shaoyin Heart Meridian belongs to the Zang organs)
The substance of the Heart belongs to Fire. It is located in the South. Its color manifests as red. Its anatomical location is at the depression below the chest, between the bifurcation of the costal cartilages. The forehead, palms of the hands, and soles of the feet are all under its jurisdiction. The Heart requires blood to nourish it, enabling it to operate wisdom and utilize talent. The Heart has no Exterior syndromes; all conditions belong to the Interior.
Heart Deficiency refers to insufficient Blood. The pulse at the Left Cun position must be weak. Symptoms include Jingji (Palpitations with fright), inability to lie down, amnesia, deficiency pain, Zhengchong (Severe palpitations), and spermatorrhea.
Jingji refers to a state of constant fearfulness, where the Shen (Spirit) loses its residence. Treatment is primarily with Qifu Yin (Seven Blessings Decoction) or Mizhi Anshen Wan (Secret Purpose Calming Spirit Pill). Inability to lie down results from excessive overthinking, causing the Shen to fail to store itself. Treatment is primarily with Guipi Tang (Restore the Spleen Decoction) or Anshen Dingzhi Wan (Calming Spirit Stabilizing Will Pill). Amnesia results from the failure of communication between the Heart and Kidney, leading to insufficient充盈 (fullness) of the Shen. Treatment is primarily with Guipi Tang or Shibu Wan (Ten Tonics Pill). Deficiency pain feels like hunger without actual need for food, as if one needs to press on the heart, and relief is found by pressing with the hand. Treatment is primarily with Yangshen Maidong Tang (American Ginseng and Ophiopogon Decoction). Zhengchong refers to Qi counterflowing upward from below, causing palpitations and unrest. Treatment is primarily with Guipi Tang. Spermatorrhea may occur with dreams or without dreams, resulting from insecurity of the Heart and Kidney. Treatment is primarily with Qingxin Wan (Clear Heart Pill) or Shibu Wan.
Heart Excess refers to the invasion of pathogenic factors. The Heart itself does not accept pathogens; rather, the Pericardium (Bao Luo) accepts them. The pulse at the Left Cun position must be Wiry and Large. Symptoms include Qi stagnation, Blood pain, Fluid retention, Phlegm confusion, Summer-heat closure, and Worm biting.
Qi stagnation may result from food distension or anger striking upward, causing vexation, oppression, and pain. Treatment is primarily with Chenxiang Jiangqi San (Aquilaria Regulating Qi Powder). Blood pain involves Blood coagulation within, with fixed pain locations that feel like knife stabs or needle pricks upon turning or moving. Treatment is primarily with Shounian San (Hand-Picking Powder). Fluid retention presents as dry heaving, spitting saliva, pain, and water sounds in the abdomen. Treatment is primarily with Xiaobanxia Jia Fuling Tang (Minor Pinellia plus Poria Decoction). If a fluid cyst forms, Cangzhu (Atractylodis Rhizoma) is added, known as Daochang Fa (Stomach Emptying Method). Phlegm confusion involves stubborn Phlegm obstructing and closing the orifices, leading to loss of consciousness. Treatment involves administering Qingge Jian (Clear Diaphragm Decoction). Summer-heat closure presents with sweating, panting, and coma/oppression. Initially administer Xiaoshu Wan (Summer-Heat Dispelling Pill), followed by Xiangru Yin (Elsholtzia Decoction) plus Yiyuan San. Worm biting presents as pain occurring when hungry, with a pale face and red lips. Treatment is primarily with Huachong Wan (Expel Worms Pill).
Heart Cold: The pulse at the Left Cun position must be Slow. Symptoms include sudden severe pain.
Sudden severe pain involves cold limbs and cold internal organs, continuous and unceasing. Treatment is primarily with Jiangfu Tang (Ginger and Aconite Decoction) plus Rougui (Cinnamon Bark).
Heart Heat: Caused by Fire forcing. The pulse at the Left Cun position must be Rapid. The tip of the tongue is red. Symptoms include eye pain, Chongshe (Double Tongue), Mushe (Wooden Tongue), irritability, inability to lie down, Diankuang (Manic-depressive psychosis), Zhanyu (Delirious speech), Chizhuo (Red turbid urine), and Hematuria.
Eye pain presents with redness, swelling, and photophobia. Treatment is primarily with Daochi San (Guide Out Red Powder) plus Lianqiao (Forsythiae Fructus), Juhua (Chrysanthemi Flos), and Chantui (Cicadae Periostracum). Chongshe and Mushe are treated primarily with Xiexin Wan (Drain Heart Pill). Irritability is treated primarily with Xiexin Wan plus Zhujuanxin (Bamboo Heart). Inability to lie down due to Summer-heat invading the Heart is treated primarily with Daochi San plus Yiyuan San. Diankuang presents with discarding clothes, cursing, and shouting. Treatment is primarily with Shengtieluo Yin (Raw Iron Filings Decoction). Zhanyu results from Pathogenic Heat attacking the Heart. Treatment is primarily with Xiexin Wan. Chizhuo is treated primarily with Bixie Fenqing Yin (Dioscoreae Hypoglaucae Separating Turbidity Decoction) plus Dengxincao (Junci Medulla) and Danshen (Salviae Miltiorrhizae Radix et Rhizoma). Hematuria is treated primarily with Ejiao San (Donkey-Hide Gelatin Powder).