内经曰五脏卒痛何气使然曰寒气客于背俞之脉则血脉泣脉泣则血虚血虚则痛其俞注于心
故相引而痛按之则热气至则痛止矣重感于寒则痛久矣
针经曰足太阴之脉其支者复从胃别上鬲注心中是动则病舌木强食则呕胃脘痛腹胀善噎心
下急
痛胃病者腹 胀胃脘当心而痛上支两胁鬲咽不通 厥心痛者乃寒邪客于心包络也 真心痛
者寒邪伤其君也手足青至节甚则旦发夕死夕发旦死
脉经曰愁忧思虑则伤心伤心则苦惊喜忘善怒心伤者其人劳倦即头面赤而下重心中痛彻背
其脉
弦此心脏伤所致也 诸虫痛者如心腹痛懊 发作肿聚往来上下行痛有休作心腹中热善渴涎出
面色乍青乍白乍赤呕吐清水者蛔咬也以手紧按而坚持之无令得移以针刺之久持之虫不动乃出
针也
内经曰五脏卒痛何气使然曰寒气客于背俞之脉则血脉泣脉泣则血虚血虚则痛其俞注于心
故相引而痛按之则热气至则痛止矣重感于寒则痛久矣
针经曰足太阴之脉其支者复从胃别上鬲注心中是动则病舌木强食则呕胃脘痛腹胀善噎心
下急
痛胃病者腹 胀胃脘当心而痛上支两胁鬲咽不通 厥心痛者乃寒邪客于心包络也 真心痛
者寒邪伤其君也手足青至节甚则旦发夕死夕发旦死
脉经曰愁忧思虑则伤心伤心则苦惊喜忘善怒心伤者其人劳倦即头面赤而下重心中痛彻背
其脉
弦此心脏伤所致也 诸虫痛者如心腹痛懊 发作肿聚往来上下行痛有休作心腹中热善渴涎出
面色乍青乍白乍赤呕吐清水者蛔咬也以手紧按而坚持之无令得移以针刺之久持之虫不动乃出
针也
《黄帝内经》说：五脏突然疼痛，是什么气引起的呢？回答说：寒气侵入背俞的经脉，就会导致血脉凝涩；血脉凝涩则导致血虚；血虚就会引起疼痛。因为背俞之气注通于心，所以相互牵引而痛。按压患处则热气到达，疼痛就会停止。如果再次感受寒邪，疼痛就会持续很久。
《灵枢·经脉》（针经）说：足太阴脾经的支脉，从胃部分出，向上穿过膈肌，注入心中。这条经脉发生变动时，会出现舌根僵硬、进食后呕吐、胃脘疼痛、腹胀、容易噎塞、心下急迫疼痛等症状。患胃病的人，腹部胀满，胃脘部当心而痛，向上支撑两胁，导致膈部和咽喉不通畅。厥心痛，是寒邪侵袭心包络所致。真心痛，是寒邪损伤心脏君主之官所致，症状表现为手足青紫直至关节，严重的甚至早晨发病晚上死亡，晚上发病第二天早上死亡。
《脉经》说：忧愁思虑会损伤心脏。心脏受损则容易因惊恐而痛苦、健忘、易怒。心脏受伤的人，在劳累疲倦时就会出现头面部发红、下肢沉重、心中疼痛放射至背部，其脉象弦，这是心脏受伤所导致的。各种虫积引起的疼痛，表现为心腹疼痛、烦闷不安，发作时肿块聚散无常，上下移动，疼痛有间歇。如果心腹中热、口渴、流涎、面色时而青白时而赤红、呕吐清水，这是蛔虫咬噬所致。治疗时用双手紧紧按住并固定痛点，不让虫体移动，用针刺入后长时间留针，待虫体不动后再出针。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "What causes the sudden pain of the five zang organs?" It is answered that when cold qi invades the vessels of the back-shu points, the blood vessels become stagnant. Stagnation of blood vessels leads to blood deficiency, and blood deficiency results in pain. Since the qi of the back-shu points connects to the heart, they mutually attract each other, causing pain. Pressing on the affected area brings warmth to it, and the pain ceases. If one is re-exposed to cold, the pain will persist for a long time.
The *Lingshu Jing* (Spiritual Pivot) states: The branch of the Foot-Taiyin Spleen Channel separates from the stomach, ascends through the diaphragm, and enters into the heart. When this channel undergoes pathological changes, symptoms include stiffness of the tongue, vomiting after eating, epigastric pain, abdominal distension, frequent choking, and urgent pain below the heart. Patients with stomach disease experience abdominal distension, epigastric pain centered behind the heart, upward support to both hypochondriac regions, and obstruction in the diaphragm and throat. Jue heartache is caused by cold evil invading the Pericardium. Zhen heartache is caused by cold evil injuring the Heart (the Monarch). Symptoms include cyanosis of the hands and feet extending to the joints; in severe cases, death occurs in the evening if onset is in the morning, or in the morning if onset is in the evening.
The *Maijing* (Pulse Classic) states: Worry, sorrow, and overthinking damage the Heart. Damage to the Heart leads to distress from sudden fright, forgetfulness, and irritability. In individuals with damaged Hearts, fatigue and exhaustion lead to redness of the head and face, heaviness in the lower body, and heart pain radiating to the back. The pulse is wiry, which is caused by injury to the Heart. Various types of pain caused by parasites manifest as heart and abdominal pain with restlessness. During attacks, masses gather and disperse, moving up and down, with intermittent pain. If there is heat in the heart and abdomen, thirst, salivation, fluctuating complexion (alternating between green, white, and red), and vomiting of clear fluid, these are signs of Ascaris biting. Treatment involves firmly pressing and holding the painful area with hands to prevent the parasite from moving, inserting a needle, retaining it for a long time until the parasite stops moving, and then withdrawing the needle.