脉不出针不容，穴在幽门两旁各一寸五分。心闷痛上气牵引小肠，灸巨阙二
（论一首 方二十六首 针灸法二十五首）
论曰∶寒气卒客于五脏六腑，则发卒心痛胸痹。感于寒，微者为咳，甚者为痛为泄，厥
心痛与背相引，善螈如物从后触其心。身伛偻者肾心痛也。厥心痛腹胀满。心痛甚者，胃心
痛也。厥心痛如以针锥剌其心，心痛甚者脾心痛也。厥心痛，色苍苍如死灰状，终日不得太
息者，肝心痛也。厥心痛，卧若从心间痛，动作痛益甚，色不变者，肺心痛也。真心痛手足
青至节，心痛甚，旦发夕死，夕发旦死。蛔心痛，心腹中痛发作肿聚，往来上下行痛有休止，
腹中热，善涎出是蛔咬也，以手按而坚持之，勿令得移，以大针刺之，复久持之虫不动乃出
针。心下不可刺，中有成聚不可取于俞，肠中有虫蛔咬皆不可取以小针。
治寒气卒客于五脏六腑中则发心痛方∶
大黄 芍药 柴胡（各四两） 升麻 黄芩 桔梗 朱砂（各三两） 鬼臼 鬼箭羽 桂
心朴硝（各二两）
上十一味 咀，以水九升煮取二升七合，分三服，先分朱砂作三份，每服纳一份，搅匀
服之，得快利如痛不止，宜服后方∶ 赤芍（六两） 桔梗 杏仁（各五两） 上三味 咀，
以
水六升煮取三升，分三服。
脉象摸不到，针刺不容穴。该穴位于幽门穴两旁各一寸五分处。若出现心胸闷痛、气逆上冲并牵引至小肠的症状，可灸巨阙穴二壮。
论述说：寒邪突然侵袭五脏六腑，就会引发突发的心痛和胸痹。感受寒邪，轻微的表现为咳嗽，严重的则表现为疼痛和泄泻。厥心痛与背部相互牵引，容易抽搐，感觉像有东西从背后触动心脏。身体弯曲驼背的是肾心痛。厥心痛伴有腹部胀满。心痛剧烈的，是胃心痛。厥心痛如同被针锥刺入心脏，疼痛非常剧烈的是脾心痛。厥心痛，面色青灰如同死灰一般，整天不能深呼吸的是肝心痛。厥心痛，躺下或从心间开始疼痛，活动时疼痛加剧，但面色没有变化的是肺心痛。真心痛，手足发青直到关节，心痛剧烈，早晨发病晚上死亡，晚上发病早晨死亡。蛔虫心痛，心腹中疼痛发作时肿块聚散无常，上下移动，疼痛有间歇，腹部发热，经常流出涎水，这是蛔虫咬噬所致。用手按住并保持不动，不让其移位，用大针刺之，持续久留针，待虫体不动后再出针。心下部不可针刺，体内有积聚的病灶不可取俞穴治疗，肠中有蛔虫咬噬都不可用小针治疗。
治疗寒邪突然侵袭五脏六腑从而引发心痛的方剂：
大黄、芍药、柴胡（各四两）、升麻、黄芩、桔梗、朱砂（各三两）、鬼臼、鬼箭羽、桂心、朴硝（各二两）。
以上十一味药，切碎，用水九升煮取二升七合，分三次服用。先将朱砂分成三份，每次服药时纳入一份，搅拌均匀后服用。如果大便通畅如预期但疼痛不止，适宜服用后方：赤芍（六两）、桔梗、杏仁（各五两）。以上三味药，切碎，用水六升煮取三升，分三次服用。
Pulse is imperceptible; needle Buru (Bùróng, ST17). This acupoint is located one cun and five fen on either side of Yōumén (ST21). If symptoms include chest oppression and pain, rebellious Qi ascending, and traction to the small intestine, moxa Jūquè (CV14) for two moxibustion cones.
(This section contains one treatise, twenty-six formulas, and twenty-five acupuncture methods.)
The treatise states: When cold pathogen suddenly invades the five zang organs and six fu organs, it manifests as sudden heart pain and chest bi syndrome. Contracting cold, if mild, results in cough; if severe, it results in pain and diarrhea. Jué xīn tòng (Rebellious Heart Pain) draws from the back, prone to spasms, with a sensation as if an object touches the heart from behind. Body stooping indicates Shèn xīn tòng (Kidney Heart Pain). Jué xīn tòng accompanied by abdominal distension and fullness. Severe heart pain indicates Wèi xīn tòng (Stomach Heart Pain). Jué xīn tòng feeling like being pierced by a needle or awl into the heart, with extreme pain, indicates Pí xīn tòng (Spleen Heart Pain). Jué xīn tòng with a complexion ashen blue like dead ash, unable to take deep breaths all day, indicates Gān xīn tòng (Liver Heart Pain). Jué xīn tòng starting from the heart center when lying down, worsening with movement, but without color change, indicates Fèi xīn tòng (Lung Heart Pain). Zhēn xīn tòng (True Heart Pain) presents with cyanosis of hands and feet extending to the joints, severe heart pain, death if onset is in the morning and evening, or death if onset is in the evening and morning. Huí chóng xīn tòng (Roundworm Heart Pain) involves pain in the heart and abdomen where masses gather and disperse, moving up and down, with intermittent pain, heat in the abdomen, and frequent salivation, indicating roundworm biting. Press firmly with hand to prevent movement, needle with a large needle, retain for a long time until the worm stops moving, then withdraw the needle. The lower heart region must not be needled; lesions with accumulation inside should not be treated via shu points; intestinal roundworm biting must not be treated with small needles.
Formula for treating heart pain caused by sudden invasion of cold pathogen into the five zang and six fu organs:
Dahuang (Rhei Radix et Rhizoma), Shaoyao (Paeoniae Radix), Chaihu (Bupleuri Radix) (each 4 liang); Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Zhusha (Cinnabar) (each 3 liang); Guijiu (Arisaematis Rhizoma), Guijianyu (Cornus Swinhoei Ramulus), Guixin (Cinnamomi Ramulus), Poxiao (Natrii Sulfas) (each 2 liang).
The above eleven ingredients are coarsely crushed. Decoct in nine sheng of water to obtain two sheng and seven he. Divide into three doses. First, divide Zhusha into three parts; add one part per dose, stir evenly, and take. If loose stools occur as expected but pain persists, use the following formula: Chishao (Paeoniae Radix Rubra) (6 liang), Jiegeng (Platycodonis Radix), Xingren (Armeniacae Semen Amarum) (each 5 liang). The above three ingredients are coarsely crushed. Decoct in six sheng of water to obtain three sheng. Divide into three doses.