周梦觉曰∶古传心痛有九，循其名，而责其实，纤毫难混。─曰虫。凡痛脉多伏，今反洪数者，纤虫也。厥名
曰蛔，长寸许，首尾通红，踞于心窝子，吮血吸精。伤心之患，莫惨于是，以雄黄、槟榔、白矾为丸杀之，而痛
自除。二曰疰。疰者自上疰下也。令人沉沉默默，心中隐隐作痛，甚有疰至灭门户，而莫名其病者。脉则乍短乍
长，乍涩乍细。非寻常药饵所能疗，惟苏合
丸、阿魏膏庶可以治。三曰风。风得火而益炽，火得风而愈威，风而入于心，则痛之猝者也。其脉浮紧而数。以白
菊、白矾为君，侯氏黑风散，可采也。四曰悸。有触而惊曰惊，无触而惊曰悸；悸而至于痛，则悸之甚者也。其
脉虚而滑，加乳香没药为使，李氏养心汤，盍用之。五曰食。食入于胃，停滞未化，攻冲作痛，其脉短而涩。平胃
散洵为对证之方。六曰饮。饮入于胃，攻注无常，激射作痛，其脉濡而迟。五苓散实为导水之剂。七曰冷。寒气
犯于绎宫，脉则或迟或结。吴萸、川椒、砂仁、木香止痛，书何难共证。八曰热。火气郁于胸膈，脉则或数或促，
生地、栀子、黄连、苦楝，除痛药确有明文。九曰去来痛。经脉周流，有碍则痛，过其所碍而旋止，巡至所碍而
复发。气充血足，何碍之有。不必诊脉，补之可也。顾同是心腹痛也，以虫伤人最酷者居首，以疰之伤人最隐者
居二，以风之伤人最速者居三，以悸之介在可以伤，可以无伤者居四，以饮食之不轻伤人者居五六，以寒热之恒
有者居七八，以去来痛之人皆知而能治者居九。想古人位置之宜，亦大费踌躇矣。然名则列之有九，义实本之于
经。曰虫痛者，经言蛔蜒心腹痛也。曰疰痛者，如飞尸遁尸之类也。曰风痛者，经言肝心痛也。曰悸痛者，手少
阴之脉起于心中也。曰食痛饮痛者，足太阴之脉，其支上膈注心中也。曰冷痛者，寒气客于背 ，注于心也。曰
热痛者，寒气客于经脉，与热相搏也。曰去来痛者，经言气不宣通也。要皆非真心痛也。若真心痛，手足冷至节，
旦发夕死，夕发朝死。彼医家所传之方，大半言止冷痛。本草所注之性，间有止热痛之语。夫冷热之痛，病之最
浅而最易辨者，诸书尚且聚讼，何况痛之至隐而至僻者乎。领会《灵》《素》微词，才是医家学问；变化本草训
语，方知用药权衡。
苏合丸
麝香 沉香 丁香 檀香 香附 荜茇 白术 诃子 朱砂 青木香 乌犀角（各二两） 薰陆香 龙脑香
（各一两） 安息香（二两，另为未用无灰酒熬膏）
方为末，用安息香膏加炼蜜为丸，每两十丸，蜡皮包裹，温酒化服。
阿魏膏
山楂肉 胆南星 法夏 麦芽 神曲 黄连 连翘 阿魏 栝蒌仁 贝母 风化硝 枯咸 萝卜子 胡黄连
上为末，姜汤浸蒸饼为丸。相其本体之强弱寒热，体强而热，阿魏丸；体弱而寒，苏合丸。俱宜随时酌用多寡。
侯氏黑风散
白菊（五钱） 白矾（一钱） 防风（一钱） 白术（一钱） 桔梗（八分） 人参（一钱） 茯苓（一钱）
当归（一钱） 川芎（五分） 干姜（五分） 细辛（三分） 牡蛎（三分） 共为末调服。
李氏养心汤
黄 （一钱） 茯苓（一钱） 当归（一钱） 川芎（七分） 法半夏（五分） 甘草（一钱） 柏子仁（一钱）
枣仁（一钱） 远志（一钱） 五味子（一钱） 人参（一钱） 肉桂（五分） 乳香（六分） 没药（六分）
生姜（一钱） 大枣（一枚）
平胃散（见前肿满方内）
五苓散 （见前咳嗽方内。）
梦觉香砂汤 治冷痛。
广木香 砂仁 肉桂
等分共研细末，每服五分。
梦觉栀仁汤 治热痛。
黑栀子（三钱） 干姜（一钱五分） 炙甘草（一钱五分）
梦觉 术汤 治去来痛。
黄 （一钱） 焦术（一钱） 肉桂（五分） 当归（一钱） 法半夏（五分） 陈皮
（七分） 茯苓（一钱） 炙甘草（一钱） 生姜（一钱） 大枣（一枚）
涂蔚生曰∶先贤有谓肚脐以上为心痛，肚脐以下为腹痛者。实则肚脐以上亦是胃痛，不与心痛相干。因心位
至高，界居膈膜以上，而胃则界居于胸口之下也（陈飞霞曰，凡病心腹痛者，有上中下三焦之分。上焦者，痛在
膈上，此即胃脘痛也。是其不知何为上焦，膈位何在，而胃脘又何在也）。不过胃脘痛至甚，其气上逆，亦可牵
连心脏不安，使之发生疼痛耳，故《难经》云∶有厥心痛，无真心痛。如真心痛，则旦发夕死，夕发旦死。周梦觉
虽未将痛之界限厘清，仅将痛之种类分别晰清。因症用药，而其硕诚伟见，已足高人一等。不过其食痛而下，药
味均可加减，诚能触类旁通，其中自有无数法门。陈飞霞谓可按者为虚，拒按者为实，久痛者多虚，暴痛者多实，
得食少减者为虚，得食益甚者为实，痛轻莫得其处者为虚，痛剧有定所者为实。又谓冷痛面色或青、或白，甚者，
面色暗淡，唇口爪甲皆青。热痛面赤壮热，四肢烦躁，手足心热。食痛口中气温，面黄唇白，多眠少食，大便酸
臭。虫痛面白唇红，六脉洪大，痛则口出涎沫清水，腹内结聚成团。然予每遇是症，除虫痛外，俱以针刺之法，为
之调剂补泻。轻者刺委中、手十二井、足三里等穴而愈，重刺中脘、分水等穴而愈。如心痛再甚，则为之刺巨阙
一穴，而无不愈矣。但此中补泻之法，未易深明；寒热之症，尤须分晓。惜乎吾国针学，近者每下愈况，医者不
知趋向尚耳。
周梦觉说：古传的心痛有九种，顺着名称去探究其实质，细微之处也难以混淆。一是虫痛。凡是疼痛的脉象多沉伏，现在反而洪大数急的，是蛔虫所致。这种虫名叫蛔，长约一寸左右，头尾通红，盘踞在心窝处，吸食血液精气。伤害心脏的祸患，没有比这更惨烈的了，用雄黄、槟榔、白矾制成丸药来杀灭它，疼痛自然消除。二是疰痛。疰是指病气从上往下传染。使人精神沉闷，心中隐隐作痛，严重的甚至导致门户封闭（指病情危重或神志昏迷），却不知是什么病。脉象忽短忽长，忽涩忽细。不是寻常药物所能治疗的，只有苏合丸、阿魏膏或许可以治疗。三是风痛。风遇到火而更加炽盛，火遇到风而更加威猛，风邪侵入心脏，就会导致猝然发作的疼痛。其脉象浮紧而数。以白菊、白矾为主药，侯氏黑风散是可以采用的。四是悸痛。受到触动而惊恐叫惊，没有受到触动而惊恐叫悸；悸动进而发展到疼痛，就是悸动的严重情况。其脉象虚而滑，加入乳香、没药作为引经药，李氏养心汤，为何不用呢？五是食痛。食物进入胃中，停滞未能消化，攻冲引起疼痛，其脉象短而涩。平胃散确实是对症的方剂。六是饮痛。水饮进入胃中，攻注无常，激荡射流引起疼痛，其脉象濡而迟。五苓散实在是引导水湿的药剂。七是冷痛。寒气侵犯心宫，脉象或迟或结。吴茱萸、川椒、砂仁、木香可以止痛，书籍中何难找到共同验证的记载。八是热痛。火气郁结在胸膈，脉象或数或促，生地、栀子、黄连、苦楝皮，清除疼痛的药物确有明确记载。九是往来痛。经脉气血周流全身，有阻碍就会疼痛，经过阻碍部位后又暂时停止，巡回至阻碍部位又复发。如果气血充盈充足，有什么阻碍呢？不必诊脉，补益即可。
况且同样是心腹痛，以虫子伤人最残酷的列为第一，以疰气伤人最隐蔽的列为第二，以风邪伤人最迅速的列为第三，以悸动介于可伤可不伤之间的列为第四，以饮食不轻易伤人的列为第五、第六，以寒热恒常存在的列为第七、第八，以往来痛人人皆知且能治疗的列为第九。想古人排列位置的适宜性，也费了一番斟酌。然而名称虽然列出九种，义理实际上源于经典。说虫痛，经典说蛔虫引起的心腹痛。说疰痛，像飞尸、遁尸之类。说风痛，经典说肝心痛。说悸痛，手少阴心经的经脉起于心中。说食痛、饮痛，足太阴脾经的支脉上行穿过膈肌注入心中。说冷痛，寒气客居背部，注入心脏。说热痛，寒气客居经脉，与热邪相搏结。说往来痛，经典说气机不宣通。这些都不是真心痛。如果是真心痛，手足冰冷至关节，早晨发病晚上死亡，晚上发病早晨死亡。那些医家所传的方子，大半说的是止冷痛。本草所注的药性，间或有止热痛的语句。至于冷热之痛，是疾病中最浅表且最容易辨别的，各书尚且争论不休，何况疼痛最为隐蔽和偏僻的呢？领会《灵枢》《素问》的微言大义，才是医家的学问；变化运用本草的训诫语言，才知道用药的权衡。
苏合丸
麝香、沉香、丁香、檀香、香附、荜茇、白术、诃子、朱砂、青木香、乌犀角（各二两）、薰陆香、龙脑香（各一两）、安息香（二两，另研为末，用无灰酒熬成膏）
将上述药物研为细末，用安息香膏加炼蜜制成丸药，每两药粉制十丸，蜡皮包裹，温酒送服化开。
阿魏膏
山楂肉、胆南星、法半夏、麦芽、神曲、黄连、连翘、阿魏、栝蒌仁、贝母、风化硝、枯咸（推测为盐类或特定炮制品，此处保留原名）、萝卜子、胡黄连
以上研为细末，用姜汤浸泡蒸饼制成丸药。根据患者本身体质的强弱寒热来调整：体质强且热的，用阿魏丸；体质弱且寒的，用苏合丸。都应当随时酌情决定用量多少。
侯氏黑风散
白菊（五钱）、白矾（一钱）、防风（一钱）、白术（一钱）、桔梗（八分）、人参（一钱）、茯苓（一钱）、当归（一钱）、川芎（五分）、干姜（五分）、细辛（三分）、牡蛎（三分）
共研为细末调服。
李氏养心汤
黄芪（一钱）、茯苓（一钱）、当归（一钱）、川芎（七分）、法半夏（五分）、甘草（一钱）、柏子仁（一钱）、枣仁（一钱）、远志（一钱）、五味子（一钱）、人参（一钱）、肉桂（五分）、乳香（六分）、没药（六分）、生姜（一钱）、大枣（一枚）
梦觉香砂汤 治疗冷痛。
广木香、砂仁、肉桂
等分共研细末，每次服用五分。
梦觉栀仁汤 治疗热痛。
黑栀子（三钱）、干姜（一钱五分）、炙甘草（一钱五分）
梦觉术汤 治疗往来痛。
黄芪（一钱）、焦白术（一钱）、肉桂（五分）、当归（一钱）、法半夏（五分）、陈皮（七分）、茯苓（一钱）、炙甘草（一钱）、生姜（一钱）、大枣（一枚）
涂蔚生说：先贤有人说肚脐以上是心痛，肚脐以下是腹痛。实际上肚脐以上也是胃痛，与心痛无关。因为心脏位置最高，界限在膈膜以上，而胃则界限在胸口之下。（陈飞霞说，凡是病发心腹痛的，有上中下三焦之分。上焦者，疼痛在膈上，这就是胃脘痛。这是不知道什么是上焦，膈的位置在哪里，以及胃脘在哪里）。不过是胃脘痛非常严重时，气机上逆，也可以牵连心脏不安，使之发生疼痛罢了，所以《难经》说：有厥心痛，无真心痛。如果是真心痛，则早晨发病晚上死，晚上发病早晨死。周梦觉虽然没有将痛的界限厘清，仅仅将痛的种类分别清晰。因症用药，他的真诚和伟大见解，已经足以高人一等。不过他的食痛在下，药味都可以加减，如果能触类旁通，其中自有无数法门。陈飞霞说可按摸的为虚证，拒绝按摸的为实证，久痛的多为虚证，暴痛的多为实证，进食后减轻的为虚证，进食后加重的为实证，疼痛轻微找不到具体部位的为虚证，疼痛剧烈有固定部位的为实证。又说冷痛面色或青、或白，严重的，面色暗淡，嘴唇口角爪甲皆青。热痛面红壮热，四肢烦躁，手足心热。食痛口中气温，面黄唇白，多眠少食，大便酸臭。虫痛面白唇红，六脉洪大，痛时口出涎沫清水，腹内结聚成团。然而我每当遇到这些病症，除了虫痛外，都用针刺的方法，为之进行补泻调剂。轻的刺委中、手十二井穴、足三里等穴位而痊愈，重的刺中脘、分水等穴位而痊愈。如果心痛再严重，就刺巨阙一穴，没有不痊愈的。只是其中的补泻方法，不容易深刻理解；寒热的症状，尤其必须分辨清楚。可惜我国的针学，近来每况愈下，医者不知道趋向罢了。
Zhou Mengjue stated: In ancient tradition, there are nine types of heart pain. By following the names to investigate their realities, even the slightest details are difficult to confuse. The first is worm pain (Chong Tong). Generally, pain pulses are often hidden (Fu), but if they are instead surging and rapid (Hong Shu), it indicates roundworms (Hui Chong). These worms are named "Hui," about one cun long, with red heads and tails, residing in the epigastric region, sucking blood and essence. No harm to the heart is more tragic than this; using realgar (Xiong Huang), betel nut (Bing Lang), and alum (Bai Fan) made into pills to kill them will naturally relieve the pain. The second is zhu pain (Zhu Tong). Zhu refers to disease transmission from above downwards. It makes people feel heavy and silent, with a dull ache in the chest; severe cases may lead to closed doors (metaphor for critical condition or unconsciousness) without knowing the illness. The pulse may be suddenly short or long, rough or fine. Ordinary medicines cannot cure this; only Suhexiang Wan (Suhexiang Pill) or Awie Gao (Awie Plaster) might treat it. The third is wind pain (Feng Tong). Wind intensifies when meeting fire, and fire becomes more fierce with wind. When wind enters the heart, sudden pain occurs. The pulse is floating, tight, and rapid. Using white chrysanthemum (Bai Ju) and alum (Bai Fan) as chief herbs, Hou Shi Hei Feng San (Hou's Black Wind Powder) can be adopted. The fourth is palpitation pain (Ji Tong). Being startled by contact is called jing (startle); being startled without contact is called ji (palpitation). When palpitation progresses to pain, it is severe palpitation. The pulse is deficient and slippery; adding frankincense (Ruxiang) and myrrh (Moyao) as guides, Li Shi Yang Xin Tang (Li's Heart-Nourishing Decoction) should be used. The fifth is food stagnation pain (Shi Tong). Food entering the stomach remains stagnant and undigested, attacking and causing pain; the pulse is short and rough. Pingwei San (Pingwei Powder) is indeed the correct formula. The sixth is fluid retention pain (Yin Tong). Fluids entering the stomach attack irregularly, agitating and causing pain; the pulse is soggy and slow. Wuling San (Wuling Powder) is truly a diuretic agent. The seventh is cold pain (Leng Tong). Cold qi invading the heart palace results in a pulse that is either slow or knotted. Evodia (Wuyu), Sichuan pepper (Chuanjiao), amomum (Sharen), and costus root (Muxiang) relieve pain; texts provide ample evidence. The eighth is heat pain (Re Tong). Fire qi stagnates in the chest and diaphragm; the pulse is either rapid or hurried. Rehmannia (Sheng Di), gardenia (Zhizi), coptis (Huanglian), and melia bark (Kulian) have clear records for relieving pain. The ninth is intermittent pain (Qulai Tong). Meridian qi flows throughout the body; obstruction causes pain, which stops after passing the obstruction but recurs upon returning to it. If qi and blood are abundant, what obstruction exists? Pulse diagnosis is unnecessary; tonification suffices.
Although all are heart and abdominal pains, worm pain is ranked first because worms cause the most cruel injury; zhu pain second due to its insidious nature; wind pain third for its speed; palpitation pain fourth as it lies between injurious and non-injurious; food stagnation pain fifth and sixth as food rarely causes severe injury; cold and heat pains seventh and eighth as they are constant; and intermittent pain ninth as everyone knows how to treat it. One can imagine the careful consideration古人 (ancients) gave to this arrangement. However, while there are nine names, the principles originate from the Classics. Worm pain corresponds to the Classic's mention of roundworm heart/abdominal pain. Zhu pain corresponds to conditions like Feishi (Flying Corpse) and Dunshi (Escaping Corpse). Wind pain corresponds to Liver Heart Pain (Gan Xintong) in the Classics. Palpitation pain relates to the Hand Shaoyin Heart Meridian originating in the heart. Food and fluid pain relate to the Foot Taiyin Spleen Meridian branch ascending through the diaphragm to the heart. Cold pain relates to cold qi lodging in the back and injecting into the heart. Heat pain relates to cold qi lodging in meridians clashing with heat. Intermittent pain corresponds to the Classic's description of blocked qi circulation. None of these are Zhenxin Tong (True Heart Pain). True Heart Pain presents with cold limbs reaching the joints, death within half a day (morning onset leads to evening death, evening onset leads to morning death). Most formulas passed down by physicians address cold pain. Materia Medica notes occasionally mention treating heat pain. Yet, for cold and heat pain—the most superficial and easiest to distinguish—books still debate extensively. How much more so for pain that is deeply hidden and obscure? Understanding the subtle meanings of the *Ling Shu* and *Su Wen* constitutes medical scholarship; mastering the application of Materia Medica principles reveals the balance of medication.
Suhexiang Wan (Suhexiang Pill):
Moschus (Shexiang), Aquilariae Lignum Resinatum (Chenxiang), Symplocos Fructus (Dingxiang), Santalum Album Lignum (Tanxiang), Cyperi Rhizoma (Xiangfu), Long Pepper Fructus (Bibo), Atractodis Rhizoma (Baizhu), Terminalia Chebula Fructus (Hezi), Cinnabar (Zhusha), Tsaoko Cardamomi Fructus (Qingmuxiang), Rhinocerotis Cornu (Wuxijiao - note: modern substitutes used), Frankincense (Xunluxiang), Borneolum Syntheticum (Longnaoxiang) (each 2 liang); Boswellia Carteri Gum (Xunluxiang/Bowei - text lists both, likely distinct resins), Camphora (Longnaoxiang) (each 1 liang); Styrax (Anxixiang) (2 liang, processed separately into paste with pure wine).
Grind into powder, mix with Anxixiang paste and refined honey to form pills. Each qian of powder makes 10 pills. Wrap in wax skin. Dissolve and take with warm wine.
Awie Gao (Awie Plaster/Pill):
Crataegi Fructus (Shanzha Rou), Arisaema Cum Bile (Dannanxing), Pinellia Preparata (Faxia), Hordeum Vulgare Sprout (Maiya), Mass Medicinalis Fermentata (Shenqu), Coptidis Rhizoma (Huanglian), Forsythiae Fructus (Lianqiao), Ferulae Resina (Awei), Trichosanthis Semen (Gualou Ren), Fritillariae Bulbus (Beimu), Natrii Sulfas Exsiccatus (Fenghua Xiao), Salt (Kuxian - likely specific salt preparation), Raphani Semen (Luobozhi), Picrorhizae Rhizoma (Huhuanglian).
Grind into powder. Soak steamed leaven cake in ginger soup to form pills. Adjust based on constitution: strong and hot constitutions use Awie Wan; weak and cold constitutions use Suhexiang Wan. Dosage should be adjusted according to circumstances.
Hou Shi Hei Feng San (Hou's Black Wind Powder):
Chrysanthemi Flos (Bai Ju) (5 qian), Alum (Bai Fan) (1 qian), Saposhnikoviae Radix (Fangfeng) (1 qian), Atractodis Rhizoma (Baizhu) (1 qian), Platycodonis Radix (Jiegeng) (8 fen), Ginseng Radix (Renshen) (1 qian), Poria (Fuling), Angelicae Sinensis Radix (Danggui) (1 qian), Ligustici Chuanxiong Rhizoma (Chuanxiong) (5 fen), Zingiberis Rhizoma Recens (Ganjiang) (5 fen), Asari Radix et Rhizoma (Xixin) (3 fen), Ostreae Concha (Muli) (3 fen).
Grind together and take mixed with liquid.
Li Shi Yang Xin Tang (Li's Heart-Nourishing Decoction):
Astragali Radix (Huangqi) (1 qian), Poria (Fuling) (1 qian), Angelicae Sinensis Radix (Danggui) (1 qian), Ligustici Chuanxiong Rhizoma (Chuanxiong) (7 fen), Pinellia Preparata (Faxia) (5 fen), Glycyrrhizae Radix et Rhizoma (Gancao) (1 qian), Biota Semen (Baiziren), Ziziphi Spinosae Semen (Zaoren), Polygalae Radix (Yuanzhi), Schisandrae Fructus (Wuweizi) (1 qian each), Ginseng Radix (Renshen) (1 qian), Cinnamomi Cortex (Rougui) (5 fen), Frankincense (Ruxiang) (6 fen), Myrrha (Moyao) (6 fen), Zingiberis Rhizoma Recens (Shengjiang) (1 qian), Jujubae Fructus (Dazao) (1 piece).
Pingwei San (See previous edema/fullness formula).
Wuling San (See previous cough formula).
Mengjue Xiangsha Tang (Treats Cold Pain):
Costus Root (Guangmuxiang), Amomum Fruit (Sharen), Cinnamon Twig (Rougui).
Equal parts ground to fine powder. Take 5 fen per dose.
Mengjue Zhiren Tang (Treats Heat Pain):
Gardenia Fruit (Heizhizi) (3 qian), Dried Ginger (Ganjiang) (1.5 qian), Honey-fried Licorice (Zhigancao) (1.5 qian).
Mengjue Zhu Tang (Treats Intermittent Pain):
Astragali Radix (Huangqi) (1 qian), Charred Atractylodes Macrocephala Rhizoma (Jiaozhu) (1 qian), Cinnamon Twig (Rougui) (5 fen), Angelicae Sinensis Radix (Danggui) (1 qian), Pinellia Preparata (Faxia) (5 fen), Citri Reticulatae Pericarpium (Chenpi) (7 fen), Poria (Fuling) (1 qian), Honey-fried Licorice (Zhigancao) (1 qian), Fresh Ginger (Shengjiang) (1 qian), Jujube (Dazao) (1 piece).
Tu Weisheng said: Ancients stated that pain above the navel is heart pain, and below is abdominal pain. In reality, pain above the navel is also stomach pain, unrelated to true heart pain. Because the heart is located highest, above the diaphragm, while the stomach is below the chest. (Chen Feixia stated that heart/abdominal pain is divided into Upper, Middle, and Lower Jiao. Upper Jiao pain is above the diaphragm, which is actually Wei Wan pain. This shows ignorance of the Upper Jiao, the diaphragm's location, and the Wei Wan). However, when Wei Wan pain is severe, rebellious qi can disturb the heart, causing pain. Thus, the *Nan Jing* states: There is Jue Heart Pain, but no True Heart Pain. True Heart Pain involves cold limbs to the joints and death within half a day. Zhou Mengjue did not clarify the boundaries of pain, only distinguishing the types. His prescription based on symptoms shows great insight. Regarding his food stagnation treatment, formulas can be modified; applying this logic opens many methods. Chen Feixia stated: Pressable pain is deficiency; unpressable pain is excess. Chronic pain is mostly deficiency; acute pain is mostly excess. Pain relieved by eating is deficiency; worsened by eating is excess. Vague, mild pain is deficiency; severe, localized pain is excess. Also, cold pain presents with blue or pale face, dark complexion, and blue lips/nails in severe cases. Heat pain presents with red face, high fever, restlessness, and hot palms/soles. Food stagnation pain presents with warm breath, yellow face, white lips, lethargy, poor appetite, and sour-smelling stool. Worm pain presents with white face, red lips, surging pulses, salivation/clear fluid during pain, and abdominal masses. However, I treat all these except worm pain with acupuncture for tonification and sedation. Mild cases heal with needling Weizhong, Twelve Hand Ying-Spring points, and Zusanli. Severe cases heal with Zhongwan and Fenshui. For severe heart pain, needling Juque alone is curative. The art of tonification/sedation is hard to master; distinguishing cold/heat is crucial. Regrettably, Chinese acupuncture has declined recently, and physicians lack direction.