论曰内经谓一阳发病。少气善咳善泄，其传为心掣，夫心君火也，三焦相火也。盖气血
和平，三焦升降，则神明泰定。三焦既病，故上咳下泄少气，致心火胥应而不宁。其动若掣
者，乃其证也。
治心掣胸中少气，善咳善泄。调中汤方
白术 干姜（炮） 当归（切焙） 人参 赤茯苓（去黑皮各二两） 桂（去粗皮一两
半） 五
上八味， 咀如麻豆大，每服五钱匕，水一盏半，慢火煎至八分，去滓稍热服。日二夜
一。
治心掣气乏，咳逆泄利。人参煮散方
人参（一两） 丁香 草豆蔻（去皮各一分） 羌活（去芦头） 甘草（炙锉） 陈曲
（各半两） 京三棱（煨锉三分）
上七味，捣罗为散，每服三钱匕，水一盏，煎至七分，和滓温服，不拘时。
治心掣胸中气少，水谷不化，泄利气逆。茯苓煮散方
赤茯苓（去黑皮） 浓朴（去粗皮生姜汁炙） 麦 （炒） 芎 甘草（炙锉） 人
参（各一
两） 干姜 （炮半两）
上七味，捣罗为散，每服三钱匕，水一盏，煎至七分，和滓温服，不拘时。
治心掣少气，善咳善泄，腹痛上攻。当归散方
当归（切焙） 桔梗（去芦头炒） 枳壳（去瓤麸炒） 陈橘皮（汤浸去白焙） 赤芍
药桂（去
粗皮各一两） 人参 木香（各半两）
上八味，捣罗为散，每服二钱匕，煎生姜枣汤调下，不拘时。
治心掣、胸中不利，时咳泄利。桔梗汤方
桔梗（去芦头炒） 人参 赤茯苓（去黑皮） 白术 陈橘皮（汤浸去白焙） 桂（去
粗皮）
浓朴（去粗皮生姜汁炙各一两） 木香（半两） 枇杷叶（拭去毛炙三分）
上九味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，煎至六分，去滓温服。不拘
时。
论述说：《内经》提到一阳发病，会出现气短、容易咳嗽、容易腹泻的症状，这种病传变后成为心掣。心属君火，三焦属相火。如果气血平和，三焦气机升降正常，那么神明就会安泰稳定。三焦既然生病，就会导致上面咳嗽、下面腹泻、气短，致使心火随之感应而不安宁。其跳动如同牵引拉扯的样子，就是这种病症的表现。
治疗心掣症见胸中气少、容易咳嗽、容易腹泻的调中汤方：
白术、干姜（炮制）、当归（切片焙干）、人参、赤茯苓（去掉黑皮，各二两）、桂枝（去掉粗皮，一两半）。
以上八味药，捣碎成麻豆大小，每次服用五钱匕，用水一盏半，用慢火煎至八分满，滤去药渣，稍热时服用。每天两次，夜间一次。
治疗心掣症见气乏、咳嗽气逆、腹泻的人参煮散方：
人参（一两）、丁香、草豆蔻（去皮，各一分）、羌活（去掉芦头）、甘草（炙后锉碎）、陈曲（各半两）、京三棱（煨后锉碎，三分）。
以上七味药，捣碎过筛制成散剂，每次服用三钱匕，用水一盏，煎至七分满，连同药渣一起温服，不限时间。
治疗心掣症见胸中气少、水谷不消化、腹泻气逆的茯苓煮散方：
赤茯苓（去掉黑皮）、厚朴（去掉粗皮，用生姜汁炙）、麦冬（炒）、川芎、甘草（炙后锉碎）、人参（各一两）、干姜（炮制，半两）。
以上七味药，捣碎过筛制成散剂，每次服用三钱匕，用水一盏，煎至七分满，连同药渣一起温服，不限时间。
治疗心掣症见气少、容易咳嗽、容易腹泻、腹痛向上攻冲的当归散方：
当归（切片焙干）、桔梗（去掉芦头炒）、枳壳（去掉瓤，麸炒）、陈皮（汤浸去白焙）、赤芍药、桂枝（去掉粗皮，各一两）、人参、木香（各半两）。
以上八味药，捣碎过筛制成散剂，每次服用二钱匕，用生姜大枣汤调服，不限时间。
治疗心掣、胸中不畅、时而咳嗽腹泻的桔梗汤方：
桔梗（去掉芦头炒）、人参、赤茯苓（去掉黑皮）、白术、陈皮（汤浸去白焙）、桂枝（去掉粗皮）、厚朴（去掉粗皮，用生姜汁炙，各一两）、木香（半两）、枇杷叶（拭去毛，炙，三分）。
以上九味药，粗捣筛过，每次服用三钱匕，用水一盏，加入拍碎的生姜半分，煎至六分满，滤去药渣温服。不限时间。
Commentary states: The *Neijing* (Inner Canon) mentions that when a disease originates from the "One Yang," it manifests as shortness of breath, frequent coughing, and frequent diarrhea. If this condition transmits, it becomes Xinche (Heart Palpitation/Drawback). The Heart belongs to Ministerial Fire (Jun Huo), and the Sanjiao (Triple Burner) belongs to Ministerial Fire (Xiang Huo). When Qi and Blood are in harmony, and the Sanjiao's ascending and descending functions are normal, the Spirit (Shen Ming) remains stable and tranquil. Once the Sanjiao is diseased, it leads to coughing above, diarrhea below, and shortness of breath, causing the Heart Fire to resonate with it and become restless. The sensation of movement resembling pulling or tugging constitutes the manifestation of this syndrome.
Tiaozhong Decoction for treating Xinche with scanty Qi in the chest, frequent coughing, and frequent diarrhea:
Baizhu (Atractylodis Macrocephalae Rhizoma), Ganjiang (Zingiberis Rhizoma Praeparatum), Danggui (Angelicae Sinensis Radix, sliced and dried), Renshen (Ginseng Radix et Rhizoma), Chifuling (Poria cum Ligno, black skin removed, each 2 liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, 1.5 liang).
The above eight herbs are crushed to the size of hemp seeds. Each dose consists of 5 qianbi, decocted in 1.5 zhan of water over slow fire until reduced to 0.8 zhan. Strain the dregs and take slightly warm. Twice daily, once at night.
Renshen Powder for treating Xinche with Qi deficiency, coughing with rebellious Qi, and diarrhea:
Renshen (Ginseng Radix et Rhizoma, 1 liang), Dingxiang (Caryophylli Flos), Caodoukou (Cardamomi Fructus, peel removed, each 1 fen), Qianghuo (Notopterygii Rhizoma et Radix, radix removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Chenqu (Massa Medicata Fermentata, each 0.5 liang), Jingsanleng (Sparganii Rhizoma, roasted and cut, 3 fen).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 3 qianbi, decocted in 1 zhan of water until reduced to 0.7 zhan. Take warm with the dregs included, at any time.
Fuling Powder for treating Xinche with scanty Qi in the chest, indigestion of water and grain, diarrhea, and rebellious Qi:
Chifuling (Poria cum Ligno, black skin removed), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, fried with ginger juice), Maidong (Ophiopogonis Radix, roasted), Xiongqiong (Ligusticum Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Renshen (Ginseng Radix et Rhizoma, each 1 liang), Ganjiang (Zingiberis Rhizoma Praeparatum, 0.5 liang).
The above seven herbs are pounded and sifted into a powder. Each dose consists of 3 qianbi, decocted in 1 zhan of water until reduced to 0.7 zhan. Take warm with the dregs included, at any time.
Danggui Powder for treating Xinche with scanty Qi, frequent coughing, frequent diarrhea, and abdominal pain attacking upwards:
Danggui (Angelicae Sinensis Radix, sliced and dried), Jiegeng (Platycodonis Radix, radix removed and roasted), Zhike (Aurantii Fructus Immaturus, albedo removed, bran-roasted), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed and dried), Chi Shaoyao (Paeoniae Radix Rubra), Guizhi (Cinnamomi Ramulus, coarse bark removed, each 1 liang), Renshen (Ginseng Radix et Rhizoma), Muxiang (Aucklandiae Radix, each 0.5 liang).
The above eight herbs are pounded and sifted into a powder. Each dose consists of 2 qianbi, taken with decoction of Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus), at any time.
Jiegeng Decoction for treating Xinche, chest discomfort, occasional coughing, and diarrhea:
Jiegeng (Platycodonis Radix, radix removed and roasted), Renshen (Ginseng Radix et Rhizoma), Chifuling (Poria cum Ligno, black skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed and dried), Guizhi (Cinnamomi Ramulus, coarse bark removed), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, fried with ginger juice, each 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Pipaye (Eriobotryae Folium, hairs wiped off, roasted, 3 fen).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 3 qianbi, decocted in 1 zhan of water with 0.5 fen of smashed Shengjiang (Zingiberis Rhizoma Recens) added, until reduced to 0.6 zhan. Strain the dregs and take warm. At any time.