心气虚，则悲不已；实，则笑不休。心气虚，则梦救火，阳物，得其时则梦燔灼。心气盛，则梦喜笑及恐畏。
厥气客于心，则梦丘山烟火。
病在心，日中慧，夜半甚，平旦静。
病先发于心者，心痛；一日之肺，喘咳；三日之肝，胁痛支满；五日之脾，闭塞不通，身痛体重；三日不已，死，
冬夜半，夏日中。心脉搏坚而长，当病舌卷不能言。其软而散者。当病消渴，自已。心脉沉之小而紧，浮之不喘，苦心
下聚气而痛，食不下，喜咽唾，时手足热，烦满，时忘，不乐，喜太息，得之忧思。赤脉之至也，喘而坚。诊曰有积气
在中，时害于食，名曰心痹。得之外疾，思虑而心虚，故邪从之。
心脉急，名曰心疝，少腹当有形。其以心为牡脏，小肠为之使，故少腹当有形。邪哭使魂魄不安者，血气少也。血
气少者，属于心。心气虚者，其人即畏（一作衰），合目欲眠，梦远行而精神离散，魂魄妄行。阴气衰者即为癫。阳气衰
者即为狂。五脏者，魂魄之宅舍，精神之所根据托也。魂魄飞扬者，其五脏空虚也，即邪神居之，神灵所使，鬼而下之，
脉短而微，其脏不足，则魂魄不安。魂属于肝，魄属于肺。肺主津液，即为涕泣。肺气衰者，即为泣出。肝气衰者，魂
则不安。肝主善怒，其声呼。
心中风者，翕翕发热，不能起，心中饥而欲食，食则呕。
心中寒者，其人病心如啖蒜状。剧者，心痛彻背，背痛彻心，如虫注。其脉浮者，自吐乃愈。愁忧思虑则伤心，心
伤则苦惊，喜忘，善怒。心伤者，其人劳倦即头面赤而下重，心中痛彻背，自发烦热，当脐挑手，其脉弦，此为心脏伤
所致也。
心胀者，烦心，短气，卧不安。
心水者，其人身体重（一作肿），而少气，不得卧，烦而躁，其阴大肿。
肾乘心，必癃。
真心痛，手足清至节，心痛甚，旦发夕死，夕发旦死。
心腹痛，懊 ，发作肿聚，往来上下行，痛有休作，心腹中热，苦渴，涎出者，是蛔咬也。以手聚而坚，持之毋令
得移，以大针刺之，久持之，虫不动，乃出针。肠中有虫蛔咬，皆不可取以小针。
心之积，名曰伏梁，起于脐上，上至心，大如臂。久久不愈，病烦心，心痛。以秋庚辛日得之，何也？肾病传心，
心当传肺，肺适以秋王，王者不受邪，心复欲还肾，肾不肯受，因留结为积，故知伏梁以秋得之。心病，其色赤，心痛，
短气手掌烦热，或啼笑骂詈，悲思愁虑，面赤身热，其脉实大而数，此为可治。春当刺中冲，夏刺劳宫，季夏刺太陵，
皆补之；秋刺间使，冬刺曲泽，皆泻之（此是手厥阴心包络经）。又当灸巨阙五十壮，背第五椎百壮。心病者，胸内痛，
胁支满，两胁下痛，膺背肩甲间痛，两臂内痛。虚则胸腹大，胁下与腰背相引而痛。取其经，手少阴、太阳，舌下血者，
其变病，刺 中血者。邪在心，则病心痛，善悲，时眩仆，视有余不足而调之其输。黄帝曰∶手少阴之脉独无输，何也？
岐伯曰∶少阴者，心脉也，心者，五脏六腑之大主也。心为帝王，精神之所舍，其脏坚固，邪不能客。客之则伤心，心
伤则神去，神去则身死矣。故诸邪在于心者，皆在心之包络，包络者，心主之脉也，故少阴无输焉。少阴无输，心不病
乎？对曰∶其外经腑病，脏不病，故独取其经于掌后兑骨之端也。手心主之脉，起于胸中，出属心包，下膈，历络三焦，
其支者，循胸，出胁，下腋三寸，上抵腋，下循 内，行太阴少阴之间，入肘中，下臂，行两筋之间，入掌中，循中指
出其端。其支者，别掌中，循小指次指出其端。是动则病手心热，肘臂挛急，腋肿，甚则胸胁支满，心中澹澹大动，面
赤目黄，善笑不休。是主脉所生病者，烦心，心痛，掌中热。盛者，则寸口大一倍于人迎；虚者则寸口反小于人迎也。
手心主之别，名曰内关，去腕二寸，出于两筋间，循经以上，系于心包，络心系。气实则心痛，虚则为烦心，取之两筋
间。心病，烦闷，少气，大热，热上荡心，呕吐，咳逆，狂语，汗出如珠，身体厥冷，其脉当浮，今反沉濡而滑；其色
当赤，而反黑者，此是水之克火，为大逆，十死不治。
心气虚弱，就会悲伤不止；心气实证，就会笑个不停。心气虚弱，会梦见救火或阳具勃起，如果正值其时（指心气当旺之时），则会梦见焚烧灼热。心气亢盛，会梦见欢喜大笑以及恐惧畏怯。
厥逆之气客居于心，就会梦见山丘和烟火。
病位在心，中午时分病情减轻，半夜时分加重，清晨时分平静。
疾病首先从心脏发起的，表现为心痛；一天后传至肺，出现喘咳；三天后传至肝，出现胁痛且支撑胀满；五天后传至脾，出现闭塞不通、身体疼痛沉重；如果三天后病仍未愈，则死亡，死亡时间多在冬季半夜或夏季中午。
心脉按之坚硬而长，应当患病见舌卷缩不能言语。如果心脉软而散漫，应当患消渴病，但能自行痊愈。心脉沉取小而紧，浮取不喘，这是苦心下积聚气机而疼痛，饮食不下，喜欢吞咽唾液，时常手足发热，烦闷胀满，时常健忘，心情不乐，喜欢叹气，这是由于忧思所致。
心经的脉象来势急促而坚实，诊察认为是有积气在中焦，时常妨害进食，名叫心痹。这是由于外感邪气，加上思虑过度导致心虚，所以邪气得以侵入。
心脉急迫，名叫心疝，少腹部应当有有形之物。因为心为牡脏（阳脏），小肠为其使腑，所以少腹部应当有有形之物。
因邪气哭泣导致魂魄不安的，是因为血气不足。血气不足，归属于心。心气虚弱的人，其人就会畏惧（一说衰弱），闭眼想睡觉，梦见远行而精神离散，魂魄妄动。阴气衰败就会变成癫证。阳气衰败就会变成狂证。五脏是魂魄的居所，是精神的依托所在。魂魄飞扬不定，是因为五脏空虚，于是邪神占据，神灵驱使，鬼魅下降，脉象短而微弱，脏腑精气不足，所以魂魄不安。魂归属于肝，魄归属于肺。肺主管津液，表现为涕泪。肺气衰败，就会流泪。肝气衰败，魂就不安。肝主易怒，其发声为呼。
心中风邪，身体翕翕发热，不能起身，心中饥饿想吃东西，吃了就呕吐。
心中寒邪，病人感觉心里像吃了蒜一样辛辣难受。严重的，心痛放射到背部，背痛放射到心前区，像虫子叮咬一样。如果脉象浮，通过呕吐就能痊愈。忧愁思虑会损伤心脏，心脏受损就会苦于惊恐，喜忘事，容易发怒。心脏受伤的人，劳累疲倦时头面发红，下肢沉重，心痛放射到背部，自发烦热，肚脐周围跳动感明显，脉象弦，这是心脏受伤导致的。
心水（心水肿），病人身体沉重（一说肿胀），气短，不能平卧，烦躁躁动，阴部肿大。
真心痛，手脚冰凉直到关节，心痛剧烈，早晨发病晚上死，晚上发病早晨死。
心腹痛，懊恼不适，发作时肿聚，上下移动，疼痛有时停止有时发作，心腹中热，苦于口渴，流涎水的，这是蛔虫咬噬所致。用手按住肿块使其坚硬固定，不让它移动，用大针刺入，久留针，虫子不动，再出针。肠中有蛔虫咬噬，都不可用小针治疗。
心的积病，名叫伏梁，起于脐上，向上延伸至心，大小如手臂。久久不愈，会导致心烦、心痛。为什么在秋季庚辛日得病呢？这是因为肾病传心，心本该传给肺，但肺正值秋季旺盛，旺盛的脏腑不受邪气，心又想传回给肾，肾不肯接受，因此停留结聚成为积病，所以知道伏梁是在秋季得的。
心病，面色赤红，心痛，气短，手掌心烦热，或者啼哭、大笑、骂人，悲伤思虑，面红身热，脉象实大而数，这是可以治疗的。春季应当刺中冲穴，夏季刺劳宫穴，季夏刺太陵穴，都用补法；秋季刺间使穴，冬季刺曲泽穴，都用泻法（这些是手厥阴心包络经的穴位）。还应当灸巨阙穴五十壮，背部第五椎旁百壮。
心病的症状，胸内痛，胁肋支撑胀满，两胁下痛，胸前、背部、肩胛间痛，两臂内侧痛。虚证则胸腹大，胁下与腰背相互牵引而痛。取手少阴、手太阳经穴，舌下出血者，如果是变病，刺郄穴出血者。邪气在心，就会病心痛，善悲，时常眩晕跌倒，根据有余或不足的虚实情况调理其输穴。黄帝问：手少阴脉唯独没有输穴，为什么呢？岐伯答：少阴是心脉，心是五脏六腑的大主。心如同帝王，是精神居住的处所，其脏坚固，邪气不能侵犯。如果邪气侵犯就会伤心，心伤则神去，神去则身死。所以各种邪气在心者，都在心包络，包络是心主的脉，所以少阴经没有输穴。少阴经没有输穴，心就不生病吗？回答说：其外经和腑有病，脏本身不病，所以只取掌后兑骨端的经脉穴。
手心主之脉，起于胸中，出来属于心包，向下穿过膈肌，依次联络三焦。其支脉，沿胸部，出于胁部，下行腋下三寸，向上抵达腋窝，向下循行肘内，行于手太阴、手少阴之间，进入肘中，下行臂部，行于两筋之间，进入掌中，循中指出其端。其支脉，从掌中分出，循小指次指（无名指）出其端。这条经脉发生变动就会病手心热，肘臂挛急，腋肿，严重时胸胁支撑胀满，心中澹澹大动，面红目黄，喜笑不休。这条经脉主治脉所生的病，包括心烦、心痛、掌中热。实证，则寸口脉比人迎脉大一倍；虚证，则寸口脉反而小于人迎脉。
手心主之别络，名叫内关，距离腕横纹二寸，出于两筋之间，沿经上行，系于心包，联络心系。气实则心痛，虚则心烦，取穴在两筋之间。
心病，烦闷，气短，大热，热气上荡于心，呕吐，咳逆，胡言乱语，汗出如珠，身体厥冷，其脉应当浮，现在反而沉濡而滑；其色应当赤，反而黑，这是水克火，是大逆证，十死不治。
When the Heart Qi is deficient, there is incessant grief; when it is excess, there is unceasing laughter. When Heart Qi is deficient, one dreams of saving fires or experiencing erections; if this occurs during its appropriate time (when Heart Qi is at its peak), one dreams of burning and scorching. When Heart Qi is flourishing, one dreams of joyous laughter as well as fear and dread.
When Jue Qi (rebellious Qi) lodges in the Heart, one dreams of hills and smoke/fire.
If the disease is located in the Heart, symptoms improve at noon, worsen at midnight, and stabilize at dawn.
If the disease originates in the Heart, it manifests as heart pain; after one day it transmits to the Lung, causing wheezing and coughing; after three days it transmits to the Liver, causing hypochondriac pain and distension/fullness; after five days it transmits to the Spleen, causing obstruction and blockage, body pain, and heaviness; if the disease persists for three more days without resolution, death ensues, typically occurring at midnight in winter or noon in summer.
If the Heart pulse feels firm and long upon palpation, the patient should suffer from a curled tongue and inability to speak. If the Heart pulse is soft and scattered, the patient should suffer from Xiao Ke (Wasting-Thirst Syndrome), but it will resolve spontaneously. If the Heart pulse is small and tight on deep palpation, and not wheezy on superficial palpation, it indicates difficult accumulation of Qi below the heart with pain, inability to eat, frequent swallowing of saliva, occasional heat in the hands and feet, vexation and fullness, occasional forgetfulness, dissatisfaction, and frequent sighing, caused by worry and overthinking.
When the Heart channel pulse arrives rapid and firm, diagnosis indicates accumulated Qi in the middle jiao, occasionally hindering food intake, named Xin Bi (Heart Bi Syndrome). This results from external pathogens invading due to mental exertion causing Heart deficiency, allowing evil to enter.
Crying induced by pathogenic factors leading to unrest of Hun and Po souls is due to insufficiency of Blood and Qi. Insufficiency of Blood and Qi belongs to the Heart. A person with deficient Heart Qi will feel fearful (or weak), desire to sleep with eyes closed, dream of traveling far away, experience dispersion of spirit and essence, and have wandering Hun and Po. Decline of Yin Qi leads to Dian syndrome (epilepsy-like condition). Decline of Yang Qi leads to Kuang syndrome (mania). The Five Zang organs are the dwellings of Hun and Po, and the foundation for spirit and essence. Flying and unsettled Hun and Po indicate emptiness of the Five Zang organs, allowing evil spirits to reside, driven by divine forces and ghosts descending. A short and faint pulse indicates insufficient organ essence, leading to unrest of Hun and Po. Hun belongs to the Liver, and Po belongs to the Lung. The Lung governs body fluids, manifesting as nasal discharge and tears. Decline of Lung Qi leads to tearing. Decline of Liver Qi leads to unrest of Hun. The Liver governs anger, and its vocalization is shouting.
Wind-stroke affecting the Heart presents with mild fever, inability to rise, a sensation of hunger in the chest with desire to eat, but vomiting after eating.
Cold affecting the Heart makes the patient feel as if consuming garlic in the chest. In severe cases, heart pain radiates to the back, and back pain radiates to the heart, resembling insect bites. If the pulse is floating, spontaneous vomiting leads to recovery. Worry and overthinking damage the Heart; damaged Heart leads to distress from fright, forgetfulness, and irritability. A person with damaged Heart becomes flushed on the head and face and heavy in the lower body upon fatigue, experiences heart pain radiating to the back, spontaneous vexation and heat, pulsation around the umbilicus, and a string-taut pulse; this is caused by Heart injury.
Heart distension presents with vexation in the heart, shortness of breath, and restless sleep.
Heart edema presents with heavy body (or swelling), shortness of breath, inability to lie flat, vexation and restlessness, and significant swelling of the genitals.
Kidney evil attacking the Heart必然 causes Long (difficulty in urination).
True Heart Pain presents with cold extremities reaching the joints, severe heart pain, death if onset is in the morning and evening, or death if onset is in the evening and morning.
Heart and abdominal pain with feelings of stifling discomfort, episodic swelling and gathering moving up and down, intermittent pain, heat in the heart and abdomen, thirst, and salivation indicates Ascaris biting. Press the mass firmly with hand to prevent movement, insert a large needle, retain for a long time until the worm stops moving, then remove the needle. For intestinal Ascaris biting, small needles must not be used.
The accumulation in the Heart is named Fu Liang (Hidden Beam), starting above the umbilicus, extending upward to the Heart, size like an arm. If unresolved for a long time, it causes heart vexation and pain. Why does it occur on Geng/Xin days in autumn? Because Kidney disease transmits to the Heart; the Heart should transmit to the Lung, but the Lung is prosperous in autumn, and the prosperous organ does not accept evil. The Heart tries to return the evil to the Kidney, but the Kidney refuses to accept it, so it stays and forms an accumulation. Thus, Fu Liang is known to occur in autumn.
Heart disease presents with red complexion, heart pain, shortness of breath, heat in the palms, crying, laughing, cursing, sadness, and worry, red face, body heat, and a solid, large, and rapid pulse; this is treatable. In spring, puncture Zhongchong (PC 9); in summer, labor Gong (PC 8); in late summer, Tai Ling (PC 7), all using tonification; in autumn, pierce Jian Shi (PC 5); in winter, pierce Qu Ze (PC 3), all using sedation (these are points on the Pericardium Channel of Hand-Jueyin). Additionally, moxa Ju Que (CV 14) for fifty moxa cones, and Bai Zhuang at the fifth thoracic vertebra on the back for one hundred moxa cones.
Symptoms of Heart disease include pain inside the chest, distension and fullness in the flanks, pain under both hypochondria, pain in the chest, back, and between the shoulder blades, and pain in the inner arms. Deficiency presents with large chest and abdomen, and pulling pain between the hypochondria and lower back. Treat by selecting channels: Hand-Shaoyin and Hand-Taiyang. For bleeding from under the tongue, or for changed diseases, bleed Xi-Cleft points. Evil in the Heart causes heart pain, frequent sadness, and occasional dizziness/fainting; regulate the Shu-Stream points based on excess or deficiency. Huangdi asked: Why does the Hand-Shaoyin channel alone lack Shu-Stream points? Qibo answered: Shaoyin is the Heart pulse; the Heart is the great master of the Five Zang and Six Fu organs. The Heart is like an emperor, the residence of spirit; its organ is solid, and evil cannot lodge. If evil lodges, it damages the Heart; if the Heart is damaged, Spirit departs; if Spirit departs, the body dies. Therefore, all evils in the Heart reside in the Pericardium. The Pericardium is the pulse of the Heart Master, hence Shaoyin has no Shu-Stream points. Does the Heart never get sick if Shaoyin has no Shu-Stream points? The answer is: The exterior channel and Fu organs can get sick, but the Zang organ itself does not; thus, only the channel point at the end of the wrist bone (Dagu) is selected.
The Hand-Jueyin Pericardium channel originates in the chest, emerges to belong to the Pericardium, descends through the diaphragm, and sequentially connects with the San Jiao. Its branch follows the chest, emerges from the hypochondrium, descends three cun below the axilla, ascends to the armpit, descends along the medial aspect of the arm, runs between the Taiyang and Shaoyin channels, enters the elbow, descends the forearm between two tendons, enters the palm, and follows the middle finger to its tip. Another branch diverges from the palm, follows the ring finger to its tip. Pathological changes in this channel cause heat in the palm, spasm and stiffness of the elbow and arm, axillary swelling, and in severe cases, chest/hypochondriac distension, palpitations (Dan Dan Da Dong), red face, yellow eyes, and unceasing laughter. This channel governs diseases generated by the pulse, including heart vexation, heart pain, and heat in the palm. Excess conditions present with Cun Kou pulse being double the size of Ren Ying; deficiency conditions present with Cun Kou pulse smaller than Ren Ying.
The Luo-connecting vessel of the Hand-Jueyin Pericardium is named Nei Guan (PC 6), two cun from the wrist crease, emerging between the two tendons, ascending along the channel, binding to the Pericardium, and connecting to the Heart system. Excess of Qi causes heart pain; deficiency causes heart vexation; treat by needling between the two tendons.
Heart disease presenting with vexation, shortness of breath, high fever, heat disturbing the heart, vomiting, coughing/counterflow qi, delirious speech, pearl-like sweat, and cold extremities should have a floating pulse. If the pulse is instead deep, soggy, and slippery; and the color should be red but appears black, this is Water overcoming Fire, representing a major reversal (Ni), which is ten deaths out of ten, untreatable.