凡忧思太过，心血耗散，生冷硬物损伤脾胃，致阴阳不得升降，结于中焦，令人心下恍惚，当以来复丹、
金液丹、荜澄茄散治之。若心血少者，须用独骸大丹，次则延寿丹亦可。（忧思之伤，怔忡之本证；饮食之伤，
怔忡之兼证，微有虚实之殊。审证施治，自然无误。）
皆由郁火停痰而作，饮食生冷填于阳明、太阴分野，亦能作病，宜全真丹。若胃口寒甚，全真丹或姜附汤
不愈，灸中脘七十壮。若脾心痛发而欲死，六脉尚有者，急灸左命关五十壮而苏，内服来复丹，荜澄茄散。若
时痛时止，吐清水者，乃蛔攻心包络也，服安虫散。若卒心痛，六脉沉微，汗出不止，爪甲青，足冷过膝，乃
真心痛也，不治。（心为一身之主宰，一毫不可犯，处正无偏，岂宜受病。凡痛非心痛，乃心之包络痛与脾痛、
胃痛、膈痛耳。审其所因、所客，或气、或痰，虽有九种之分，虚实之异、大概虚者为
多，属实者间亦有之，审察而治，庶无差错。）
风寒湿三气合而为痹，走注疼痛，或臂腰足膝拘挛，两肘牵急，乃寒邪凑于分肉之间也，方书谓之白虎历
节风。治法于痛处灸五十壮，自愈，汤药不效，惟此法最速。若轻者不必灸，用草乌末二两、白面二钱，醋调
熬成稀糊，摊白布上，乘热贴患处，一宿而愈。（痹者，气血凝闭而不行，留滞于五脏之外，合而为病。又邪
入于阴则为痹，故凡治痹，非温不可，方书皆作实治，然属虚者亦颇不少。）
凡是忧愁思虑过度，导致心血耗散，或者因食用生冷坚硬食物损伤脾胃，致使阴阳之气无法正常升降，郁结在中焦，从而引起心下部心神恍惚不定，应当使用来复丹、金液丹、荜澄茄散进行治疗。如果心血亏少的人，必须使用独骸大丹，其次也可以使用延寿丹。（忧思造成的伤害，是怔忡（心中悸动不安）的本证；饮食造成的伤害，是怔忡的兼证，在虚实性质上略有不同。仔细审察证候施治，自然不会有误。）
这些病症都是由郁火和停痰引起的，饮食中的生冷之物填塞在阳明经和太阴经的领域，也能引发疾病，适宜使用全真丹。如果胃脘部寒气极重，服用全真丹或姜附汤（干姜与附子组成的方剂）无效，可以灸中脘穴七十壮。如果脾心痛发作剧烈近乎死亡，但六脉尚存者，紧急灸左命关穴五十壮即可苏醒，同时内服来复丹、荜澄茄散。如果疼痛时发时止，吐出清水，这是蛔虫攻扰心包络的表现，服用安虫散。如果是突然的心痛，六脉沉微，汗出不止，指甲发青，脚冷超过膝盖，这是真心痛，属于不治之症。（心脏是一身的主宰，丝毫不可侵犯，处于中正无偏的位置，怎么容易受病呢？凡是不属于真正心脏本身的疼痛，多是心包络痛以及脾痛、胃痛、膈痛等。审察其病因和病邪所在，或是气滞、或是痰阻，虽然有九种分类的区别，虚实性质的差异，但大致上虚证居多，实证也有少数，仔细审查后治疗，才可能没有差错。）
风、寒、湿三种邪气结合而成痹病，疼痛游走不定，或者手臂、腰部、足膝拘挛抽搐，两肘牵引紧迫，这是寒邪聚集在肌肉纹理之间，医书称之为白虎历节风。治疗方法是在疼痛部位灸五十壮，即可自愈，如果汤药无效，只有这种方法最快。如果病情较轻不必灸，用草乌末二两、白面二钱，用醋调和熬成稀糊状，摊在白布上，趁热贴在患处，一夜即可痊愈。（痹病是指气血凝滞闭塞而不运行，留滞在五脏之外，合而发病。另外邪气侵入阴分就会形成痹病，所以凡是治疗痹病，不用温法不行，医书多将其作为实证治疗，但实际上属于虚证的也不少。）
Whenever excessive worry and overthinking deplete the Heart Blood, or when consumption of raw, cold, and hard foods damages the Spleen and Stomach, causing the Yin and Yang to fail in their ascending and descending functions, leading to stagnation in the Middle Jiao, resulting in a sense of mental vagueness and palpitations below the heart, one should treat with Laifu Dan (Revival Pill), Jin Ye Dan (Golden Fluid Pill), and Bichengqie San (Cubeb Powder). If the Heart Blood is deficient, Duhai Dadan (Great Pill of Solitary Bone) must be used; alternatively, Yanshou Dan (Longevity Pill) may also be employed. (Injury from worry and thinking constitutes the primary syndrome of Zhangchong [palpitations]; injury from diet constitutes an accompanying syndrome, with slight differences in deficiency and excess. Examining the syndrome for treatment ensures accuracy.)
These conditions arise from stagnant fire and retained phlegm. Consumption of raw and cold foods filling the domains of the Yangming and Taiyin meridians can also cause disease, for which Quanzhen Dan (Complete True Pill) is suitable. If there is severe cold in the stomach region and Quanzhen Dan or Jiangfu Tang (Ginger and Aconite Decoction) fails to cure it, moxa should be applied to Zhongwan (CV12) for seventy moxibustion units. If Spicy Heart Pain erupts severely, approaching death, but the six pulses remain, urgently apply moxa to Zuomingguan (EX-UE9) on the left side for fifty moxibustion units to restore consciousness, while internally administering Laifu Dan and Bichengqie San. If pain comes and goes intermittently with vomiting of clear fluid, this indicates roundworms attacking the Pericardium Collateral; administer Anchong San (Worm-Anchoring Powder). If sudden heart pain occurs with deep and faint six pulses, incessant sweating, cyanotic nails, and cold feet extending past the knees, this is Zhenxintong [True Heart Pain], which is incurable. (The Heart is the master of the whole body and cannot be offended in the slightest; residing in correctness without deviation, how could it easily suffer disease? Any pain that is not true Heart Pain is actually Pericardium Collateral pain, or Spleen pain, Stomach pain, or Diaphragm pain. Examine the cause and pathogenic factor, whether Qi stagnation or Phlegm; although there are nine classifications and differences between deficiency and excess, deficiency patterns are generally more common, though excess patterns exist occasionally. Careful examination and treatment will prevent errors.)
Wind, Cold, and Dampness combining to form Bi Syndrome [obstruction] result in wandering pain, or spasms and contractures in the arms, waist, legs, and knees, with tightness pulling at both elbows. This is Cold pathogen gathering between the muscle intervals, known in medical texts as Baihu Lijiefeng [White Tiger Joint-Wandering Wind]. The treatment method is to apply fifty moxibustion units directly on the painful area, leading to spontaneous recovery; if herbal decoctions are ineffective, this method is the fastest. For mild cases, moxibustion is unnecessary: use two liang of Caowu End (Aconitum Kusnezoffii Radix powder) and two qian of white flour, mixed with vinegar and boiled into a thin paste, spread on white cloth, and applied hot to the affected area overnight for cure. (Bi Syndrome refers to the coagulation and closure of Qi and Blood preventing their flow, remaining stagnant outside the five Zang organs, combining to cause disease. Furthermore, when pathogenic factors enter the Yin, Bi Syndrome forms; therefore, treating Bi Syndrome requires warming methods. Medical texts often treat it as an excess pattern, but deficiency patterns are also quite numerous.)