《病源》心痛而多唾者，停饮乘心之络故也。停饮者，水液之所为也，心气通于口，心
与小肠合，俱象火。小肠，心之腑也，其水气下行于小肠为溲便，则心络无有停饮也。膀胱
与肾俱象水，膀胱为肾之腑，主藏津液，肾之液上为唾，肾气下通于阴，若腑脏和平，则水
液下流宣利，若冷热相乘，致腑脏不调，津液水饮停积，上迫于心，令心气不宣畅，故痛而
多唾也。（出第十六卷中）
《范汪》疗胸中寒热心痛，清唾满口，数数欲吐，食不化。干姜丸方。
干姜（一分） 桂心（一分） 矾石（一分熬令汁尽） 半夏（一分） 蜀椒（一分）
上五味，捣筛，蜜和丸如大豆许。服二丸，日三，不知稍加，以知为度。忌生葱、羊肉
、饧。（出第十八卷中）
《集验》疗心痛唾多似虫者方。
取六畜心，随得生切作四脔，刀纵横各一割破之，纳少真朱砂着中，平旦吞之，虫死愈
矣。无真朱砂，可用雄黄、麝香也。（《肘后》云，切作十四脔，刀纵横各割之，以真丹一
两粉纳割中，旦悉吞之，入雄黄、麝香佳。《肘后》、《经心录》同，出第一卷中。通按，生
食果安否）
《病源》心与小肠合为表里，俱象于火，而火为阳气也，心为诸脏主，故正经不受邪。
若为邪所伤而痛则死，若支别络为风邪所乘而痛，则经久成疹。其痛悬急懊者，是邪迫于阳
气，不得宣畅，拥瘀生热，故心如悬而急烦懊痛也。（出第十六卷中）
仲景《伤寒论》，心下悬痛，诸逆大虚者。桂心生姜枳实汤主之方。
桂心（三两） 生姜（三两） 枳实（五枚炙）
上三味，切，以水六升，煮取三升，去滓，温分三服。忌生葱。（《范汪》同，出十五
卷中）
《肘后》姜附丸方
附子（二两炮） 干姜（一两）
上二味，捣筛，蜜和丸如梧子。服四丸，酒饮并得，日三服。忌猪肉、冷水。（本方云
，治心肺伤动冷痛，出第一卷中）
《古今录验》疗人心痛懊 闷，筑筑引两乳，又或如刺，困极。桂心汤方。（通按∶
音绢，躁急也）
桂心（半两） 茱萸（二两） 芍药（三两） 当归（二两） 生姜（半斤无生姜，以
干姜五两
代之）
上五味，切，以水一斗二升，煮取四升，服一升，昼三夜一，良有验。忌生葱。（出第
八卷中）
《千金》心下痞，诸逆悬痛。桂心三物汤主之方。
桂心（二两） 胶饴（半斤） 生姜（二两）
上药切，以水四升，煮二味，取三升，去滓，纳饴，分三服。忌生葱。（出第十三卷中）
《诸病源候论》指出：心痛且多唾的病症，是由于停饮（水液代谢障碍形成的病理产物）侵袭心之络脉所致。所谓停饮，是由水液异常积聚而成。心气通于口，心与小肠相表里，二者在五行中均属火象。小肠是心的腑，其水气向下运行至小肠转化为尿液排出，这样心之络脉就不会有停饮滞留。膀胱与肾在五行中均属水象，膀胱是肾的腑，主要功能是贮藏津液；肾的液体向上表现为唾，肾气向下通达于阴部。如果脏腑功能平和协调，则水液能够向下流动并顺利排泄；若寒热邪气相互搏结，导致脏腑功能失调，津液和水饮就会停滞积聚，向上逼迫心脏，使心气不能宣通畅达，因此出现心痛且多唾的症状。（出自第十六卷）
《范汪方》治疗胸中寒热交错引起的心痛，口中清稀唾液充满，频频想要呕吐，食物无法消化。干姜丸方如下：
干姜（一分） 桂心（一分） 矾石（一分，熬制至汁液耗尽） 半夏（一分） 蜀椒（一分）
以上五味药，捣碎过筛，用蜂蜜调和制成如大豆大小的丸剂。每次服用两丸，每日三次，若无效可逐渐增加剂量，以见效为度。忌食生葱、羊肉、饴糖。（出自第十八卷）
《集验方》治疗心痛且唾液多似虫状排出的方剂。
取六畜（牛、马、羊、猪、狗、鸡）的心脏，根据手头有的种类，新鲜切片切成四块，用刀纵横各切一刀破开，放入少许真朱砂在其中，清晨空腹吞服，寄生虫死亡即可痊愈。如果没有真朱砂，可以使用雄黄、麝香代替。（《肘后备急方》记载：切成十四块，刀纵横各切一刀，将一两真丹研磨成粉纳入切口之中，早晨全部吞服，加入雄黄、麝香更佳。《肘后备急方》与《经心录》记载相同，出自第一卷。按语：生食是否安全需斟酌）
《诸病源候论》指出：心与小肠互为表里，都象征火，而火属于阳气。心是五脏的主宰，所以正经通常不受邪气侵犯。如果被邪气伤害而导致疼痛，则会致死；如果是分支络脉被风邪侵袭而导致疼痛，经久不愈会形成疹疾。那种疼痛感觉悬挂、紧急且心中烦闷懊恼的，是因为邪气逼迫阳气，使其不能宣通畅达，郁结瘀滞而生热，所以感觉心脏像悬挂一样紧急烦躁且疼痛。（出自第十六卷）
张仲景《伤寒论》中提到：心下悬挂样疼痛，伴有各种逆乱症状且正气大虚的情况。使用桂心生姜枳实汤主治。方剂如下：
桂心（三两） 生姜（三两） 枳实（五枚，炙烤）
以上三味药，切碎，用水六升，煮取三升药液，去除药渣，分三次温服。忌食生葱。（《范汪方》记载相同，出自第十五卷）
《肘后备急方》姜附丸方：
附子（二两，炮制） 干姜（一两）
以上两味药，捣碎过筛，用蜂蜜调和制成如梧桐子大小的丸剂。每次服用四丸，酒送服或白水送服均可，每日三次。忌食猪肉、冷水。（本方记载：治疗心肺受损引起的冷痛，出自第一卷）
《古今录验方》治疗人心痛懊恼、胸闷，胸部跳动牵引两侧乳房，或者感觉如针刺般疼痛，极度困倦乏力。桂心汤方如下：
桂心（半两） 吴茱萸（二两） 芍药（三两） 当归（二两） 生姜（半斤，若无生姜，可用干姜五两代替）
以上五味药，切碎，用水一斗二升，煮取四升药液，每次服用一升，白天服用三次，夜间服用一次，疗效良好。忌食生葱。（出自第八卷）
《千金方》治疗心下痞塞，各种逆乱之气导致的悬挂样疼痛。使用桂心三物汤主治。方剂如下：
桂心（二两） 胶饴（半斤） 生姜（二两）
以上药物切碎，用水四升，先煮前两种药，取三升药液，去除药渣，加入胶饴，分三次服用。忌食生葱。（出自第十三卷）
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): Heartache accompanied by excessive salivation is caused by retained fluid (pathological accumulation of body fluids due to metabolic dysfunction) invading the collaterals of the heart. Retained fluid refers to the abnormal accumulation of water and fluids. The Qi of the heart connects with the mouth; the heart and the small intestine are exterior-interior paired, both symbolizing Fire in the Five Elements. The small intestine is the fu-organ of the heart; its water Qi flows downward into the small intestine to become urine and feces, thus preventing retained fluid from stagnating in the heart's collaterals. The bladder and the kidney both symbolize Water; the bladder is the fu-organ of the kidney, primarily responsible for storing Jin-Ye (body fluids). The fluid of the kidney manifests upward as saliva, and the Qi of the kidney flows downward to the genitalia. If the zang-fu organs are harmonious and peaceful, water fluids flow downward and are excreted smoothly. However, if cold and heat pathogens interact, causing disharmony among the zang-fu organs, Jin-Ye and water drinks will stagnate and accumulate, pressing upward against the heart. This prevents the Qi of the heart from being unimpeded and smooth, resulting in heartache and excessive salivation. (From Volume 16)
*Fan Wang Fang* treats heartache caused by cold and heat intermingling in the chest, with clear saliva filling the mouth, frequent urge to vomit, and indigestion. Formula for Ganjiang Wan:
Ganjiang (Dried Ginger, 1 fen) Guixin (Cinnamon Twig, 1 fen) Fanshi (Alum, 1 fen, calcined until juice is exhausted) Banxia (Pinellia Tuber, 1 fen) Shujiao (Sichuan Pepper, 1 fen)
The above five herbs are crushed, sifted, and mixed with honey to form pills the size of soybeans. Take two pills per dose, three times a day. If ineffective, gradually increase the dosage until the desired effect is achieved. Avoid raw green onions, mutton, and maltose. (From Volume 18)
*Jiyan Fang* treats heartache with excessive salivation resembling worms.
Take the hearts of six domestic animals (cattle, horses, sheep, pigs, dogs, chickens), slice them fresh according to availability into four pieces. Cut each piece once longitudinally and once transversely with a knife. Place a small amount of real Cinnabar (Zhenshashi) inside, and swallow it on an empty stomach at dawn. The parasites will die, and the disease will be cured. If real Cinnabar is unavailable, Realgar (Xionghuang) or Musk (Shexiang) may be used. (*Zhouhou Beiji Fang* records: cut into fourteen pieces, make longitudinal and transverse cuts, mix one liang of real Dan (Cinnabar) powder into the cuts, and swallow all at dawn. Adding Realgar and Musk is better. *Zhouhou Beiji Fang* and *Jingxin Lu* agree. From Volume 1. Note: Consider whether raw consumption is safe.)
*Zhu Bing Yuan Hou Lun* states: The heart and small intestine are exterior-interior paired and both symbolize Fire, which belongs to Yang Qi. The heart is the master of the five zang organs, so the main meridians generally do not accept pathogenic factors. If injured by pathogens leading to pain, death may ensue; if branch collaterals are invaded by wind pathogens leading to pain, it may persist for a long time and manifest as rashes. The sensation of hanging, urgent pain with inner restlessness and vexation occurs because pathogens force upon Yang Qi, preventing it from flowing freely. Stagnation and blood stasis generate heat, causing the heart to feel suspended, urgent, vexed, restless, and painful. (From Volume 16)
In Zhang Zhongjing's *Shanghan Lun*: For subcardiac hanging pain accompanied by various rebellious symptoms and severe deficiency of Zheng Qi (Upright Qi), use Guixin Shengjiang Zhishi Tang. Formula:
Guixin (Cinnamon Twig, 3 liang) Shengjiang (Fresh Ginger, 3 liang) Zhishi (Immature Bitter Orange, 5 pieces, roasted)
The above three herbs are chopped. Boil in 6 sheng of water to obtain 3 sheng of decoction. Remove dregs. Divide into three warm doses. Avoid raw green onions. (Same as *Fan Wang Fang*, From Volume 15)
*Zhouhou Beiji Fang* Jiangfu Wan Formula:
Fuzi (Prepared Aconite Root, 2 liang, processed) Ganjiang (Dried Ginger, 1 liang)
The above two herbs are crushed, sifted, and mixed with honey to form pills the size of Chinese quince seeds. Take four pills per dose. Swallow with wine or water. Three times a day. Avoid pork and cold water. (This formula treats cold pain caused by injury and disturbance of the heart and lungs. From Volume 1)
*Gujin Luyan Fang* treats heartache with restlessness and oppression, throbbing pain radiating to both breasts, or stabbing pain, accompanied by extreme fatigue. Formula for Guixin Tang:
Guixin (Cinnamon Twig, 0.5 liang) Zhuyu (Evodia Fruit, 2 liang) Shaoyao (Peony Root, 3 liang) Danggui (Angelica Sinensis, 2 liang) Shengjiang (Fresh Ginger, 0.5 jin; if unavailable, substitute with 5 liang of Ganjiang/Dried Ginger)
The above five herbs are chopped. Boil in 12 dou of water to obtain 4 sheng of decoction. Take 1 sheng per dose. Take three times during the day and once at night. It is effective. Avoid raw green onions. (From Volume 8)
*Qianjin Fang* treats epigastric fullness (Pi) and hanging pain caused by various rebellious Qi. Use Guixin Sanwu Tang. Formula:
Guixin (Cinnamon Twig, 2 liang) Jiaoyi (Maltose/Sweet Malt, 0.5 jin) Shengjiang (Fresh Ginger, 2 liang)
Chop the above herbs. Boil the first two ingredients in 4 sheng of water to obtain 3 sheng of decoction. Remove dregs. Add Jiaoyi. Divide into three doses. Avoid raw green onions. (From Volume 13)