论曰肝心痛者，色苍苍如死灰状，不得太息是也，盖肝在色为苍，足厥阴之脉。贯膈布
胁肋，今肝虚受邪，传为心痛，故色苍苍而不泽，拘挛不得太息也。
治肝心痛，色苍苍不得太息，四肢厥逆。白茯苓汤方
白茯苓（去黑皮） 防风（去叉） 柏子仁 细辛（去苗叶各三分） 当归（锉微炒） 槟
榔（
各半两） 白术 芎 （各三分） 桂（去粗皮） 附子（炮裂去皮脐各半两） 枳壳（去
瓤麸炒三
分）
上一十一味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大切，枣三枚劈破，同煎
至七分，去滓不拘时候温服。
治肝心痛，胸膈气滞，四肢厥逆，两胁疼痛。细辛汤方
细辛（去苗叶） 桃仁（去皮尖双仁麸炒） 前胡（去芦头） 当归（锉微炒） 附子
（炮裂去
皮脐） 桂（去粗皮） 陈橘皮（汤浸去白焙） 人参 柏子仁 芎 木香 白茯苓（去
黑皮各
三分） 吴茱萸（汤洗七遍焙干炒半两）
上一十三味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大切，枣三枚劈破，同煎至
七分，去滓不拘时候温服。
治肝心痛连两胁。不得太息。紫菀丸方
紫菀 桔梗（锉炒） 白术 木香 当归（切焙各半两） 郁李仁（汤浸去皮炒） 桂
（去粗
皮各三分）
上七味，捣罗为末，炼蜜丸如小豆大，每服空腹食前，以槟榔汤下二十丸。
治肝心痛、色苍苍然如死灰状，经时一太息。二物散方
野狐粪（烧灰一升） 姜黄（锉炒三两）
上二味，捣罗为散，每服一钱匕，空腹温酒调下。日晚再服。
论述说：所谓肝心痛，是指面色青暗无光泽，像死灰一样，并且患者无法深长地叹息。这是因为肝脏在五色中对应青色（苍），足厥阴肝经贯穿膈肌并分布于胁肋部位。如今肝脏虚弱受到邪气侵袭，病邪传变导致心痛，所以面色青暗而无润泽，身体拘挛且不能深长叹息。
治疗肝心痛，症见面色青暗、无法深长叹息、四肢厥冷（手脚冰凉）。白茯苓汤方
白茯苓（去除黑色外皮） 防风（去除枝叉） 柏子仁 细辛（去除根茎和叶片，各三分） 当归（切碎并轻微炒制） 槟榔（各半两） 白术 川芎（各三分） 桂枝（去除粗糙外皮） 附子（炮制裂开，去除外皮和脐部，各半两） 枳壳（去除瓤，用麦麸炒，三分）
以上十一味药，切碎如麻豆大小，每次服用三钱匕，用水一盏，加入生姜一块（切得很大片）、大枣三枚（劈破），一同煎煮至剩余七分药液，去渣滓，不分时候温服。
治疗肝心痛，胸膈气机阻滞，四肢厥冷，两侧胁肋疼痛。细辛汤方
细辛（去除根茎和叶片） 桃仁（去除皮尖及双仁部分，用麦麸炒） 前胡（去除芦头） 当归（切碎并轻微炒制） 附子（炮制裂开，去除外皮和脐部） 桂枝（去除粗糙外皮） 陈皮（热水浸泡后去除白色内瓤，焙干） 人参 柏子仁 川芎 木香 白茯苓（去除黑色外皮，各三分） 吴茱萸（热水清洗七遍，焙干后炒制，半两）
以上十三味药，切碎如麻豆大小，每次服用三钱匕，用水一盏，加入生姜一块（切得很大片）、大枣三枚（劈破），一同煎煮至剩余七分药液，去渣滓，不分时候温服。
治疗肝心痛牵连两侧胁肋，无法深长叹息。紫菀丸方
紫菀 桔梗（切碎炒制） 白术 木香 当归（切片焙干，各半两） 郁李仁（热水浸泡后去皮，炒制） 桂枝（去除粗糙外皮，各三分）
以上七味药，捣碎过筛成粉末，用炼蜜制成如小豆大小的丸剂，每次空腹饭前服用，用槟榔汤送服二十丸。
治疗肝心痛，面色青暗如同死灰状，时常需要一次深长叹息。二物散方
野狐粪（烧成灰，一升） 姜黄（切碎炒制，三两）
以上两味药，捣碎过筛成散剂，每次服用一钱匕，空腹时用温酒调服。晚上再服用一次。
Discourse states: The so-called Liver Heart Pain (Gan Xin Tong) is characterized by a complexion that is dark greenish-gray, resembling dead ash, and the inability to sigh deeply. This is because the Liver corresponds to the color green (Cang) in the Five Colors, and its channel, the Foot Jueyin Liver Channel (Zu Jueyin Gan Jing), passes through the diaphragm and spreads over the hypochondrium. Now, due to Liver deficiency and invasion by pathogenic factors, the disease transmits to cause Heart Pain; thus, the complexion appears dark greenish-gray without luster, and there is stiffness and spasm preventing deep sighing.
To treat Liver Heart Pain with symptoms of a dark greenish-gray complexion, inability to sigh deeply, and cold limbs (Ji Ni): Bai Fu Ling Tang (White Poria Decoction).
Bai Fu Ling (Poria Cocos [Sclerotium], peeled black skin) 2.4g; Fang Feng (Saposhnikoviae Radix, removed twigs) 2.4g; Bai Zi Ren (Biota Seed) 2.4g; Xi Xin (Asari Radix et Rhizoma, removed roots and leaves) 2.4g; Dang Gui (Angelicae Sinensis Radix, chopped and slightly stir-fried) 15g; Bing Lang (Arecae Semen) 15g; Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2.4g; Xiong Qiong (Ligusticum Chuanxiong Rhizoma) 2.4g; Gui Zhi (Cinnamomi Ramulus, removed rough bark) 15g; Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, removed bark and navel) 15g; Zhi Ke (Aurantii Fructus Immaturus, removed pulp, stir-fried with bran) 2.4g.
The above eleven ingredients are chopped like hemp seeds. Each dose consists of three qianbi (approx. 9-10g), boiled with one sheng (approx. 200ml) of water, adding one large piece of fresh ginger (Sheng Jiang) and three dates (Da Zao) split open. Simmer until reduced to seven-tenths of the original volume, strain, and take warm at any time.
To treat Liver Heart Pain with stagnation of Qi in the chest and diaphragm, cold limbs, and pain in both hypochondria: Xi Xin Tang (Asari Decoction).
Xi Xin (Asari Radix et Rhizoma, removed roots and leaves); Tao Ren (Persicae Semen, removed skin and tips, stir-fried with bran); Qian Hu (Peucedani Radix, removed rhizome head); Dang Gui (Angelicae Sinensis Radix, chopped and slightly stir-fried); Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, removed bark and navel); Gui Zhi (Cinnamomi Ramulus, removed rough bark); Chen Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried); Ren Shen (Ginseng Radix et Rhizoma); Bai Zi Ren (Biota Seed); Xiong Qiong (Ligusticum Chuanxiong Rhizoma); Mu Xiang (Aucklandiae Radix); Bai Fu Ling (Poria Cocos [Sclerotium], peeled black skin) 2.4g each; Wu Zhu Yu (Evodiae Fructus, washed seven times in hot water, dried, stir-fried) 15g.
The above thirteen ingredients are chopped like hemp seeds. Each dose consists of three qianbi, boiled with one sheng of water, adding one large piece of fresh ginger and three dates split open. Simmer until reduced to seven-tenths of the original volume, strain, and take warm at any time.
To treat Liver Heart Pain radiating to both hypochondria and inability to sigh deeply: Zi Wan Wan (Asterae Pill).
Zi Wan (Asterae Radix); Jie Geng (Platycodonis Radix, chopped and stir-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma); Mu Xiang (Aucklandiae Radix); Dang Gui (Angelicae Sinensis Radix, sliced and dried) 15g each; Yu Li Ren (Prunus Li Fructus Seed, soaked in hot water, peeled, stir-fried); Gui Zhi (Cinnamomi Ramulus, removed rough bark) 2.4g each.
The above seven ingredients are pounded into powder and refined honey is used to form pills the size of small beans. Take twenty pills on an empty stomach before meals, administered with Areca Nut Decoction (Bing Lang Tang).
To treat Liver Heart Pain with a dark greenish-gray complexion resembling dead ash, requiring one deep sigh occasionally: Er Wu San (Two-Ingredient Powder).
Ye Hu Fen (Vulpis Faecis, burnt to ash) 300g; Jiang Huang (Curcumae Longae Rhizoma, chopped and stir-fried) 90g.
The above two ingredients are pounded into powder. Each dose consists of one qianbi (approx. 3-4g), taken on an empty stomach mixed with warm wine. Administer again in the evening.