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The Three Yin Meridians of the Hand govern diseases of the chest and heart. ○ Zi Yun states: When Heart pathogenic factors are in excess, there is sudden severe pain in the heart; when Heart Qi is deficient, there is mental restlessness, palpitations, and loss of intelligence.
For Heart palpitations and loss of intelligence, select Neiguan (PC6), Baihui (GV20), and Shenmen (HT7).
For chest or abdominal pain, or chest pain caused by Phlegm Jue (syncope due to phlegm), measure from below the third thoracic vertebra to above the fourth thoracic vertebra. Moxibustion is applied at points five fen lateral to the spine on both sides, for 3x7 to 7x7 moxa cones, resulting in immediate miraculous recovery.
For sudden onset of chest and heart pain with sweating, select Jian Shi (PC5), Shenmen (HT7), Lie Que (LU7), and Da Dun (LR1), puncture to bleed.
For chest fullness, rebellious Qi, stifling heat, moxa Xin Shu (BL15) for 14 cones, Ge Shu (BL17) for 3 cones, and Jue Yin Shu (BL19) according to the patient's age (Sui Nian Zhuang).
For chronic chest pain, moxa seven cones at the root of the nail of the big toe, halfway along the nail bed. For males, use the left side; for females, the right side. Then moxa Tai Chong (LR3) for three cones, Du Yin (EX-LE11) for five cones, and Zhang Men (LR13) for seven cones, leading to immediate recovery. If not recovered, continue moxibustion.
In Zhen Xin Tong (True Heart Pain), where the nails turn completely blue, survival is limited to half a day. Onset in the morning leads to death in the evening; onset in the evening leads to death in the morning. It is incurable because the Heart is the monarch organ of the body.
For chest pain with vomiting of cold, sour fluid, moxa Tai Chong (LR3) for three cones, Neiguan (PC6) for two cones, Du Yin (EX-LE11) for five cones, three cones at the transverse crease of the first segment of the medial aspect of the big toe, and fifty cones at the Wei Qiong Gu (coccyx).
For insomnia due to Heart Heat, apply reducing method to Jie Xi (ST41) and tonifying method to Yong Quan (KI1), resulting in immediate recovery.
For stabbing chest pain with sudden cyanosis of hands and feet, select Jian Shi (PC5), Neiguan (PC6), Xia San Li (EX-LE10), Zhi Gou (TE6), Tai Xi (KI3), Shao Chong (HT9), and moxa Ge Shu (BL17) for seven cones.
For Cold Qi rushing to the heart causing pain, moxa Neiguan (PC6) and Tai Chong (LR3) for three cones, Du Yin (EX-LE11) for five cones, and thirty-seven cones at points six cun below the umbilicus and one cun lateral to each side. ○ Alternatively, use a wax cord to measure the distance between the corners of the patient's mouth as one cun, fold it into three parts to form a triangle. Place one corner at the center of the umbilicus, mark the other two corners at the ends of the lower abdomen on both sides, and moxa fourteen cones in this triangular area for immediate recovery.
For panic-induced heart pain, select Shenmen (HT7), Shao Chong (HT9), Ran Gu (KI2), Yang Ling Quan (GB34), and Neiguan (PC6).
For mental vagueness, select Tian Jing (TE15), Xin Shu (BL15), Baihui (GV20), and Shen Dao (GV11).
For chest/abdominal pain with acute diarrhea, select Da Du (SP2), Yin Ling Quan (SP9), Bai Wen (SP3), and Zhong Wan (CV12), and needle them.
For heart pain with vomiting of saliva, if there are three parasites, there will be excessive saliva; moxa Shang Wan (CV13) for seven cones.
For heart pain with pale/blackish complexion and feeling of impending death, needle Chi Ze (LU5), apply reducing method to Zhi Gou (TE6), needle and retain needle at San Li (ST36), moxa He Gu (LI4) for fourteen cones, moxa Da Ling (PC7) for three cones, and moxa Tai Chong (LR3).
For sadness, fear, and irritability with heat, select Shenmen (HT7), Da Ling (PC7), Yu Ji (LU10), Tong Li (HT5), Da Yuan (LU4), Gong Sun (SP4), Fei Shu (BL13), Yin Bai (SP1), San Yin Jiao (SP6), and Yin Ling Quan (SP9).
For Xin Feng (Heart Wind), moxa Xin Shu (BL15) for thirty cones, and needle Zhong Wan (CV12) and Qu Ze (PC3).
For Wind Xuan (dizziness due to wind), select Lin Qi (GB15), Yang Gu (SI5), Wan Gu (SI4), and Shen Mai (BL62).
For chest pain radiating to both hypochondria, select Gan Shu (BL18), Neiguan (PC6), Yu Ji (LU10), and Jue Gu (GB39).
For chest pain with lockjaw, moxa Qi Men (LR14) for three cones, Da Ling (PC7), Shenmen (HT7), and three cones at the cross-shaped wrinkle under the scrotum.
For chest pain radiating to the hypochondria, select Qi Men (LR14), Zhang Men (LR13), Jue Gu (GB39), Shenmen (HT7), Xing Jian (LR2), and Yong Quan (KI1).
For blood stasis in the chest, select Xia San Li (EX-LE10), Neiguan (PC6), Shenmen (HT7), and Da Yuan (LU4).
For chest oppression, dysphagia, and poor appetite, select Jian Shi (PC5), Guan Chong (SJ1), needle Zhong Wan (CV12), moxa Qi Men (LR14) for three cones, and moxa Ran Gu (KI2).