大全云∶妊娠心痛，乃风邪痰饮交结。若伤心正经，为真心痛，旦发夕死，夕发旦死；若
伤心支络，则乍安乍作；若伤于子脏，则胎动而血下。
薛氏曰∶前证若饮食所伤，用平胃散加枳壳、山楂；若因错杂诸邪，当审其因而治之。
一妊妇心痛，烦热作渴，用白术散即愈。后因停食，其痛仍作，胸腹胀满，按之则痛，此
因饮食停滞，用人参养胃汤，按之不痛，乃脾胃受伤，以六君子汤补之而愈。
一妊妇心腹作痛，胸胁作胀，吞酸不食，此肝脾气滞，用二陈、山楂、山栀、青皮、木香
而愈。又因怒仍痛，胎动不食，面色青黄，肝脉弦紧，脾脉弦长，此肝木乘土，用六君子汤加
升麻、柴胡、木香而愈。
火龙散 治妊娠心气疼。（此方治平常心
痛亦妙）
川楝子 茴香（炒，各三钱） 艾叶末（盐炒，钱半）
上作一服，水二盅，煎至一盅，不拘时服。
产宝丸 治妊娠卒心痛，气欲绝。
川芎 当归 茯苓 浓朴（制，各一钱）
上用水六升煎取二升，分二服。
白术汤 治妊娠卒心痛欲死，不可忍者。
白术（三两）（诸痛无补法，岂以心痛而可用白术者？详之） 赤芍药（二两） 黄芩（一两半）
上切，以水六升煮取二升半，分三服，半日令尽。微下水令易生，忌桃、李、雀肉等。
千金方 疗妊娠心痛。（按此可治燥热心痛）
青竹茹（一升） 羊脂（八两） 白蜜（三两）
上三味合煎，每服枣核大三枚，食前顿服，日三服。
一方 治妊娠忽然心痛，闷绝欲死者，谓之中恶。
生地黄（二钱） 枳壳（一钱） 木香（三分）
上锉，酒煎服。
一方
橘皮（二两） 豆豉（五两）
上为末，炼为丸，如桐子大，温水下二七丸，无时。
杂方 青竹茹一升，酒二升，煮取一升半，去滓，分温顿服。
一方 破鸡子一枚，酒调服之。
一方 大麻子三升研，水八升煮取五升，分五服。
补遗
沉香降气汤、茯苓补心汤、四七汤、紫苏饮皆可用。《炮炙论》云∶心痛欲死，急觅玄胡。（此治瘀血痛）
《大全》记载：妊娠期间的心痛，是由于风邪与痰饮相互交结所致。如果损伤了心脏的正经，称为“真心痛”，早晨发病傍晚死亡，傍晚发病早晨死亡；如果损伤了心脏的支络，则疼痛时好时坏、反复发作；如果损伤了子宫（子脏），则会导致胎动不安并伴有阴道出血。
薛己认为：上述病症如果是因饮食不当所伤，可使用平胃散加枳壳、山楂治疗；如果是因各种杂邪交错引起，应当审察病因后进行治疗。
曾有一位孕妇心痛，伴有烦热和口渴，服用白术散后痊愈。后来因为停食（消化不良），疼痛再次发作，出现胸腹胀满，按压时疼痛加剧，这是因饮食停滞所致，使用人参养胃汤治疗；按压时不痛，则是脾胃受伤，用六君子汤补益脾胃而痊愈。
又有一位孕妇心腹部作痛，胸胁部胀满，吞酸水且不能进食，这是肝脾气机阻滞所致，使用二陈汤加山楂、山栀、青皮、木香治疗后痊愈。后来又因发怒导致疼痛复发，胎动不安且不能进食，面色青黄，肝脉弦紧，脾脉弦长，这是肝木乘克脾土所致，使用六君子汤加升麻、柴胡、木香治疗后痊愈。
火龙散：治疗妊娠期间的心气疼痛。（此方治疗普通的心痛也非常有效）
药材：川楝子三钱，茴香（炒）三钱，艾叶末（盐炒）一钱半。
用法：以上为一服量，加水两盅，煎至一盅，不拘时间服用。
产宝丸：治疗妊娠突发心痛，气息微弱欲绝。
药材：川芎、当归、茯苓、浓朴（制）各一钱。
用法：用水六升煎取二升药液，分两次服用。
白术汤：治疗妊娠突发心痛剧烈，难以忍受。
药材：白术三两，赤芍药二两，黄芩一两半。
用法：以上药材切碎，用水六升煮取二升半药液，分三次服用，半天内服完。服药后微微通下大便有利于恢复，忌食桃、李、雀肉等食物。
千金方：治疗妊娠心痛。（按：此方可治疗燥热型心痛）
药材：青竹茹一升，羊脂八两，白蜜三两。
用法：将这三味药合煎，每次服用如枣核大小的三枚，饭前一次性服下，每日三次。
另一方：治疗妊娠突然心痛，闷乱昏厥欲死的情况，这被称为“中恶”。
药材：生地黄二钱，枳壳一钱，木香三分。
用法：以上药材切碎，用酒煎服。
另一方：
药材：橘皮二两，豆豉五两。
用法：以上药材研为细末，炼蜜为丸，如梧桐子大小，温水送服十四丸，不拘时间。
杂方：青竹茹一升，酒二升，煮取一升半药液，去渣滓，分次温服或一次性服下。
另一方：打破一个鸡蛋，用酒调服。
另一方：大麻子三升研磨，用水八升煮取五升药液，分五次服用。
补遗：
沉香降气汤、茯苓补心汤、四七汤、紫苏饮都可以使用。《炮炙论》记载：心痛欲死时，急忙寻找玄胡索。（此法用于治疗瘀血引起的疼痛）
The *Daquan* records: Heart pain during pregnancy is caused by the intermingling of wind pathogens and phlegm-fluids. If the primary meridian of the Heart is damaged, it is called "True Heart Pain" (Zhen Xin Tong); if onset occurs in the morning, death follows in the evening, and if onset occurs in the evening, death follows in the morning. If the collateral vessels of the Heart are damaged, the pain comes and goes intermittently. If the uterus (Zi Zang) is damaged, it leads to fetal movement and vaginal bleeding.
Xue Ji stated: For the aforementioned conditions, if caused by dietary injury, use Pingwei San (Calm the Stomach Powder) with added Zhike (Aurantii Fructus) and Shanzha (Crataegi Fructus). If caused by a complex of various pathogens, one must examine the etiology and treat accordingly.
In one case, a pregnant woman suffered from heart pain accompanied by vexation, heat, and thirst; she recovered after taking Baizhu San (Atractylodis Macrocephalae Powder). Later, due to food stagnation, the pain recurred with fullness and distension in the chest and abdomen, which was aggravated by pressure. This was due to dietary stagnation, and she was treated with Renshen Yangwei Tang (Ginseng Decoction for Nourishing the Stomach). In another instance where there was no pain upon pressure, indicating injury to the Spleen and Stomach, she recovered after being supplemented with Liujunzi Tang (Six Gentlemen Decoction).
In another case, a pregnant woman experienced pain in the heart and abdomen, distension in the chest and hypochondrium, acid regurgitation, and anorexia. This was due to Qi stagnation in the Liver and Spleen. She recovered after treatment with Erchen Tang (Two-Aged Decoction) plus Shanzha (Crataegi Fructus), Shanzhi (Gardeniae Fructus), Qingpi (Aurantii Fructus Pericarpium), and Muxiang (Aucklandiae Radix). Subsequently, due to anger, the pain recurred with fetal restlessness and anorexia, and her complexion was greenish-yellow. Her Liver pulse was wiry and tight, and her Spleen pulse was wiry and long. This indicated Liver Wood overacting on Earth (Spleen/Stomach). She recovered after treatment with Liujunzi Tang (Six Gentlemen Decoction) plus Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), and Muxiang (Aucklandiae Radix).
Huolong San (Fire Dragon Powder): Treats heart qi pain during pregnancy. (This formula is also excellent for ordinary heart pain.)
Ingredients: Chuanlianzi (Toosendan Fructus) 3 qian, Huixiang (Foeniculi Fructus, stir-fried) 3 qian, Aiye Mo (Artemisiae Argyi Folium powder, salt-stir-fried) 1.5 qian.
Preparation: Take as one dose, add two zhong of water, decoct to one zhong. Take at any time.
Chanbao Wan (Child-Birth Treasure Pill): Treats sudden heart pain during pregnancy with faint breath approaching extinction.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex, processed) each 1 qian.
Preparation: Add six sheng of water, decoct to obtain two sheng. Divide into two doses.
Baizhu Tang (Atractylodis Macrocephalae Decoction): Treats sudden severe heart pain during pregnancy that is unbearable.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma) 3 liang, Chi Shaoyao (Paeoniae Radix Rubra) 2 liang, Huangqin (Scutellariae Radix) 1.5 liang.
Note: There is no tonification method for pain; how can Baizhu be used for heart pain? Examine this carefully.
Preparation: Cut the herbs, add six sheng of water, boil to obtain two and a half sheng. Divide into three doses, finish within half a day. Mild purgation facilitates recovery. Avoid peaches, plums, and sparrow meat.
Qianjin Fang (Prescription from the Thousand Gold Formulas): Treats heart pain during pregnancy. (Note: This can treat dry-heat type heart pain.)
Ingredients: Qingzhuru (Green Bamboo Shavings) 1 sheng, Yangzhi (Oleum Ovis/Caponis Fat) 8 liang, Baimi (Meli Mel) 3 liang.
Preparation: Combine the three ingredients and decoct. Take three pills the size of a jujube pit before meals, taken all at once, three times daily.
Another prescription: Treats sudden heart pain during pregnancy with suffocation and syncope resembling death, known as "Zhong E" (Evil Invasion).
Ingredients: Shengdihuang (Rehmanniae Radix Recens) 2 qian, Zhike (Aurantii Fructus) 1 qian, Muxiang (Aucklandiae Radix) 3 fen.
Preparation: Cut the herbs, decoct with wine, and take.
Another prescription:
Ingredients: Jupi (Citri Reticulatae Pericarpium) 2 liang, Douchi (Sojae Semen Praeparatum) 5 liang.
Preparation: Grind into powder, make pills with honey the size of tung tree seeds. Take fourteen pills with warm water at any time.
Miscellaneous Formula: Qingzhuru (Green Bamboo Shavings) 1 sheng, wine 2 sheng. Boil to obtain one and a half sheng, remove dregs, and take warm in divided doses or all at once.
Another prescription: Break one chicken egg, mix with wine, and take.
Another prescription: Damaizi (Cannabis Fructus) 3 sheng, grind, add eight sheng of water, boil to obtain five sheng. Divide into five doses.
Supplementary Notes:
Chenxiang Jiangqi Tang (Agarwood Decoction for Descending Qi), FulingBXin Tang (Poria Decoction for Nourishing the Heart), Siqi Tang (Four Seven Decoction), and Zisu Yin (Perilla Decoction) can all be used. The *Paozhi Lun* states: When heart pain is severe and life-threatening, urgently seek Xuanhusuo (Corydalis Rhizoma). (This treats pain caused by blood stasis.)