久腹胀者，此由风冷邪气在腹内不散，与脏腑相搏，脾虚故胀。其胀不已，连滞停积，
时瘥时发，则成久胀也。久胀不已，则食不消而变下痢。所以然者，脾胃为表里，脾主消水
谷，胃为水谷之海，脾虚，寒气积久，脾气衰弱，故食不消也。而冷移入大肠，大肠为水谷
糟粕之道路，虚而受冷，故变为痢也。
心腹痛者，由腑脏虚弱，风寒客于其间故也。邪气发作，与正气相击，上冲于心则心痛
，下攻于腹则腹痛，上下相攻，故心腹绞痛，气不得息。
诊其脉，左手寸口人迎以前脉，手厥阴经也，沉者为阴，阴虚者，病苦心腹痛，难以言
，心如寒状，心腹 痛，不得息。脉细小者生，大坚疾者死。心腹痛，脉沉细小者生，浮大
而疾者死。其汤熨针石，别有正方，补养宣导，今附于后。
《养生方·导引法》云∶行大道，常度日月星辰。清净以鸡鸣，安身卧，嗽口三咽之。
调五脏，杀蛊虫，治心腹痛，令人长生。
久心腹痛者，由寒客于腑脏之间，与血气相搏，随气上下，攻击心腹，绞结而痛。脏气
虚，邪气盛，停积成疹，发作有时，为久心腹痛也。然心腹久痛，冷气结聚，连年积岁，日
月过深，变为寒疝。
心腹相引痛者，足太阴之经与络俱虚，为寒冷邪气所乘故也。足太阴是脾之脉，起于足
大指之端，上循属脾，络胃；其支脉，复从胃别上注心。经入于胃，络注于心。此二脉俱虚
，为邪所乘，正气与邪气交争，在于经则胃脘急痛，在于络则心下急痛。经络之气往来，邪
正相击，在于其间，所以心腹相引痛也。
太阴厥逆， 急挛，心腹引于腹也。
久腹胀，是由于风冷邪气在腹内不能消散，与脏腑相互搏结，因脾虚而导致腹部胀满。如果胀满持续不愈，导致气机连滞、水湿停积，时好时发，就形成了久胀。久胀如果不治愈，会导致食物无法消化而转变为下痢。之所以如此，是因为脾胃互为表里，脾主运化水谷，胃为水谷之海；脾虚则寒气积聚日久，脾气衰弱，所以食物不能消化。同时，寒气移入大肠，大肠是水谷糟粕通行的道路，因虚而受寒，所以转变为痢疾。
心腹痛，是由于脏腑虚弱，风寒之邪客居其间所致。邪气发作时，与正气相互搏击，向上冲逆至心则引起心痛，向下攻冲于腹则引起腹痛，上下相互攻冲，因此出现心腹绞痛，气息难以顺畅。
诊察其脉象，左手寸口人迎之前的脉，属于手厥阴经。脉沉属阴，阴虚者，会患苦心腹痛，言语困难，心中感觉像寒冷一样，心腹疼痛，呼吸不畅。脉象细小者预后良好（生），脉象大坚且急促者预后不良（死）。心腹痛，若脉象沉细小者预后良好，若脉象浮大且急促者预后不良。关于汤药外熨、针刺砭石的治疗，另有专门的方剂，补养和导引的方法，现在附在后面。
《养生方·导引法》说：行大道，常度日月星辰。清净以鸡鸣，安身卧，漱口三咽之。调五脏，杀蛊虫，治心腹痛，令人长生。
久心腹痛，是由于寒邪客居在腑脏之间，与血气相互搏结，随着气机上下运行，攻击心腹，绞结而痛。脏气虚，邪气盛，停积成疹，发作有时，成为久心腹痛。然而心腹久痛，冷气结聚，连年积岁，日月过深，变为寒疝。
心腹相引痛，是足太阴经脉与络脉都虚弱，被寒冷邪气所乘袭所致。足太阴是脾的经脉，起于足大趾末端，上行归属于脾，联络胃；其支脉，又从胃别出上注于心。经脉进入胃，络脉注入心。这两条经脉都虚弱，被邪气所乘，正气与邪气交争，在经脉则胃脘急痛，在络脉则心下急痛。经络之气往来，邪正相击，在于其间，所以心腹相互牵引而痛。
Chronic abdominal distension arises from wind-cold pathogenic factors remaining in the abdomen without dissipating, clashing with the Zang-Fu organs. Due to Spleen deficiency, distension occurs. If the distension persists, it leads to stagnation and accumulation of fluids, manifesting intermittently as chronic distension. Untreated chronic distension impairs digestion, leading to dysentery. This is because the Spleen and Stomach are exterior-interior pairs; the Spleen governs the transformation and transportation of food and fluids, while the Stomach is the sea of food and fluids. Spleen deficiency allows cold pathogenic factors to accumulate over time, weakening Spleen Qi, thus impairing digestion. Furthermore, cold shifts into the Large Intestine, which is the pathway for waste products. Being deficient and invaded by cold, it transforms into dysentery.
Heart and abdominal pain results from weakness of the Zang-Fu organs, allowing wind-cold pathogens to lodge within. When pathogenic factors attack, they clash with healthy Qi. Ascending to the Heart causes heart pain; descending to the Abdomen causes abdominal pain. Mutual attacking between upper and lower regions results in severe cramping pain in the heart and abdomen, with difficulty breathing.
Palpation reveals that the pulse at the Cun Kou (Inch Position) before the Ren Ying (Human Welcome) point on the left hand belongs to the Pericardium Meridian of Hand-Jueyin. A deep pulse indicates Yin; Yin deficiency manifests as painful heart and abdomen, difficulty speaking, a sensation of cold in the Heart, and distress in the heart and abdomen with impaired respiration. A fine and small pulse indicates survival (good prognosis), whereas a large, firm, and rapid pulse indicates death (poor prognosis). For heart and abdominal pain, a deep, fine, and small pulse indicates survival, while a floating, large, and rapid pulse indicates death. Treatments involving decoctions, hot compresses, acupuncture, and stone therapy have separate specific formulas. Methods of nourishment and Daoyin (guiding and pulling exercises) are attached hereafter.
The "Health Preservation Formulas · Daoyin Method" states: Walk the Great Path, constantly measuring the sun, moon, and stars. Maintain purity and clarity at cockcrow, settle the body for sleep, rinse the mouth and swallow saliva three times. Harmonize the Five Viscera, eliminate gu worms (parasites), treat heart and abdominal pain, and promote longevity.
Chronic heart and abdominal pain arises when cold pathogens lodge between the Zang-Fu organs, clashing with Blood and Qi. Following the movement of Qi up and down, they attack the heart and abdomen, causing knotted pain. When Zang Qi is deficient and pathogenic factors are excessive, stagnation forms, occurring at specific times, constituting chronic heart and abdominal pain. However, long-standing heart and abdominal pain involves the aggregation of cold Qi over years. As time passes deeply, it transforms into Cold Hernia (Han Shan).
Mutually pulling pain between the heart and abdomen occurs due to deficiency in both the Foot-Taiyin Meridian and its collaterals, allowing cold pathogenic factors to invade. The Foot-Taiyin is the Spleen Meridian, originating at the tip of the great toe, ascending to connect with the Spleen and link with the Stomach; its branch diverges from the Stomach and ascends to enter the Heart. The meridian enters the Stomach, and the collateral connects to the Heart. When these two vessels are deficient and invaded by pathogens, Healthy Qi clashes with Pathogenic Qi. In the meridians, this causes acute epigastric pain; in the collaterals, it causes acute subcardiac pain. The flow of Qi in the meridians and collaterals, with the clash between pathogenic and healthy Qi in between, results in mutually pulling pain between the heart and abdomen.
Taiyin JueNi (reversal) presents with acute spasms and pulling pain from the heart/abdomen to the lower abdomen.