方论心痛有九种∶曰饮、曰食、曰风、曰冷、曰热、曰虫、曰悸、曰疰、曰去来。悸者
动也
，心虚则动而痛也。疰者住也，恶风所着也。去来者，作止不常，亦邪气也。但疰为阴而去
来为阳耳。
心主诸阳，又心主血。是以因邪而阳气郁伏，过于热者痛。阳气不及，邪气胜之者亦痛
。血因邪泣在络而不行者痛。血因邪胜而虚者亦痛。
五脏六腑任督支脉，皆络于心，是以各脏腑经脉，挟其淫气，自支脉上乘于心，皆能作
痛。
然必有各脏腑病形与之相应。经云∶心痛引少腹，上下无定处，溲便难者，取足厥阴；心痛
腹胀啬然，大便不利，取足太阴；心痛短气，不足以息，取手太阴；心痛引背不得息，刺足
少阴，不已，刺手少阳。此之谓也。
胃居中焦，禀中和之气，为水谷之海，三阳之总司。凡饮食、寒热、气血、虫邪、恶气
，亦
如心痛有不一之因也。惟肝木之相乘者尤甚。其症胃脘当心而痛，上支两胁，膈咽不通，饮
食不下，病名食痹。食痹者，食已心下痛，吐出乃已是也。其肾水上逆者次之。肾水上逆者
，寒厥入胃也。
胃者，土气也，主乎痞。故胃病者，或满或胀，或食不下，或呕吐吞酸，或大便难，或
泻利
，面色浮而黄者，皆是胃之本病也。其有六淫五邪相乘于胃者，大率与前所列心痛之形状相
类，但其间必与胃本病参杂而见之也。忧思忿怒之气，素蓄于中，发则上冲旁击，时复下注
，若三焦无所阻滞，任其游行，则不能作痛，虽痛亦微，若有湿痰死血，阻滞其气而不得条
达，两相搏击，则痛甚矣。
余家有治心胃痛丸方
白胡椒 枳壳 白檀香 红花 五灵脂（去砂） 广木香
各为末，于六月六日修合，水泛为丸。每用七丸噙化，少顷痛即止。余因名之曰灵香丸
。（
此条宜注胃脘痛中，鹤年识。药共六味，五味各一两，五灵用五两。予忆昔年合药时，配分
两仿佛若此。）
方书将心痛分为九种：即饮心痛、食心痛、风心痛、冷心痛、热心痛、虫心痛、悸心痛、疰心痛、去来心痛。悸，指跳动不安；心气虚弱则心跳动而疼痛。疰，指邪气停留；是恶风之邪侵袭所致。去来心痛，指发作和停止没有规律，也是邪气作祟。只是疰心痛属阴，而去来心痛属阳罢了。
心为君主之官，统领诸阳经，又主司血液。因此，因邪气导致阳气郁结伏留，若热势过盛则引起疼痛；若阳气不足，邪气亢盛也会引起疼痛。血液因邪气凝滞于络脉而不运行则疼痛；血液因邪气亢盛而亏虚也会引起疼痛。
五脏六腑以及任脉、督脉的分支脉络，都联络于心，所以各脏腑的经脉，挟带其淫乱之气，从支脉上乘袭于心，都能引起疼痛。
然而，必定会有相应脏腑的病证表现与之对应。《内经》说：心痛牵引少腹，上下部位不固定，小便大便困难的，取足厥阴肝经治疗；心痛伴有腹胀、拘急不适，大便不通利的，取足太阴脾经治疗；心痛伴有短气，呼吸急促不足的，取手太阴肺经治疗；心痛牵引背部，呼吸困难不能平息的，针刺足少阴肾经，若无效，再针刺手少阳三焦经。说的就是这种情况。
胃位于中焦，禀受中和之气，是水谷汇聚的海港，是三阳经（阳明胃、太阳膀胱、少阳胆）功能的总枢纽。凡是饮食不当、寒热失调、气血紊乱、虫邪、恶气等，也像心痛一样有多种致病原因。其中尤以肝木乘克脾胃最为严重。其症状表现为胃脘部当心而痛，向上支撑两胁，膈部和咽喉不通畅，饮食难以下咽，病名叫做食痹。所谓食痹，就是进食后心下（胃脘）疼痛，吐出食物后疼痛才停止。其次是由肾水上逆引起的。肾水上逆，即是寒厥之气侵入胃中。
胃属土气，主要功能是受纳和腐熟水谷，易出现痞塞不通的症状。所以胃病，或表现为胀满，或表现为膨胀，或饮食不下，或呕吐吞酸，或大便困难，或腹泻痢疾，面色浮肿且发黄，这些都是胃的本病。如果有六淫（风、寒、暑、湿、燥、火）五邪（喜、怒、忧、思、恐）相乘侵犯胃腑，大体上与前面所列的心痛症状相似，但其中必然夹杂着胃的本病症状一起出现。忧思愤怒之气，平时蓄积在体内，发作时向上冲撞并向旁侧打击，有时又向下注泄。如果三焦没有阻滞，让气机自由游行，就不能引起疼痛，即使痛也很轻微；如果有湿痰和死血阻滞气机，使其不能条达舒畅，气与痰血相互搏击，疼痛就会非常剧烈。
我家有一张治疗心胃痛的丸药方：
白胡椒、枳壳、白檀香、红花、五灵脂（去除砂石）、广木香。
将以上药材分别研成细末，在农历六月六日配制，用水泛制成丸药。每次服用七丸含化，片刻之后疼痛即可停止。我因此给它起名叫灵香丸。（这一条应当注释在胃脘痛章节中，鹤年识。药物共六味，五味各一两，五灵脂用五两。我回忆当年配制药剂时，分量大致如此。）
The treatises on formulas classify heart pain into nine types: namely, Yin (Drink) pain, Shi (Food) pain, Feng (Wind) pain, Leng (Cold) pain, Re (Heat) pain, Chong (Insect) pain, Ji (Palpitation) pain, Zhu (Sticking/Peripatetic) pain, and Qulai (Intermittent) pain. "Ji" refers to palpitation; when Heart Qi is deficient, the heart moves restlessly causing pain. "Zhu" refers to stagnation or sticking; it is caused by the invasion of malignant Wind pathogens. "Qulai" pain refers to attacks that are irregular in onset and cessation, also caused by pathogenic factors. However, Zhu pain is considered Yin, while Qulai pain is considered Yang.
The Heart governs all Yang meridians and also governs Blood. Therefore, when pathogens cause the obstruction and stagnation of Yang Qi, excessive heat leads to pain. If Yang Qi is insufficient and pathogens prevail, pain also occurs. When blood stagnates in the collaterals due to pathogens and fails to circulate, pain results. When blood becomes deficient due to the prevalence of pathogens, pain also ensues.
The branch meridians of the Zang-Fu organs of the five Zang and six Fu, as well as the Ren Mai (Conception Vessel) and Du Mai (Governing Vowel), all connect to the Heart. Thus, the meridians of each Zang-Fu organ, carrying their dyscratic Qi, ascend to the Heart via these branch meridians, all capable of producing pain.
However, there must be corresponding pathological manifestations from the respective Zang-Fu organs. The Classics state: For heart pain radiating to the lower abdomen with no fixed location, accompanied by difficulty in urination and defecation, treat the Foot Jueyin (Liver) meridian; for heart pain with abdominal distension and a feeling of tightness, accompanied by difficulty in defecation, treat the Foot Taiyin (Spleen) meridian; for heart pain with shortness of breath and insufficient respiration, treat the Hand Taiyin (Lung) meridian; for heart pain radiating to the back with inability to breathe freely, needle the Foot Shaoyin (Kidney) meridian, and if ineffective, needle the Hand Shaoyang (Sanjiao/Triple Burner) meridian. This is what is meant.
The Stomach resides in the Middle Jiao, inheriting the balanced Qi, serving as the Sea of Water and Grain, and acting as the general supervisor of the Three Yang meridians. Factors such as improper diet, cold and heat imbalance, Qi and Blood disorders, insect pathogens, and malignant Qi can cause pain through various mechanisms, similar to heart pain. Among these, the overacting of Liver Wood upon the Spleen and Stomach is particularly severe. Its symptoms include pain in the epigastrium directly below the heart, radiating upward to support both hypochondria, obstruction in the diaphragm and pharynx, and inability to swallow food. This condition is named Shib Bi (Food Impediment). Shib Bi refers to pain in the Xin Xia (epigastrium) after eating, which ceases only after vomiting. Next in severity is the counterflow of Kidney Water. Counterflow of Kidney Water implies the invasion of Cold-Jue (Cold Reversal) Qi into the Stomach.
The Stomach belongs to Earth Qi and primarily governs Pi (fullness/stagnation). Therefore, Stomach diseases may manifest as fullness, distension, inability to eat, vomiting with acid regurgitation, difficulty in defecation, or diarrhea and dysentery, along with a puffy and yellowish complexion; these are all fundamental diseases of the Stomach. When the Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and Five Pathogens (Joy, Anger, Worry, Pensiveness, Fear) invade the Stomach, the symptoms are generally similar to those of heart pain listed previously, but they inevitably appear mixed with the fundamental diseases of the Stomach. Qi of worry, thought, anger, and indignation, accumulated internally, rises and strikes laterally upon eruption, sometimes flowing downward. If the Sanjiao (Triple Burner) has no obstruction allowing free movement of Qi, pain cannot occur, or if it does, it is mild. However, if Phlegm-Dampness and Dead Blood obstruct the Qi flow preventing its smooth regulation, the mutual combat between Qi and these pathogens results in severe pain.
My family possesses a pill formula for treating Heart and Stomach pain:
Bai Hu Jiao (White Pepper Fruit), Zhi Ke (Immature Bitter Orange), Bai Tan Xiang (White Sandalwood), Hong Hua (Safflower), Wu Ling Zhi (Trogopterus Dung, cleaned of sand), Guang Mu Xiang (Aucklandia Root).
Grind each herb into powder separately. Prepare them on the sixth day of the sixth lunar month. Form pills using water. Take seven pills at a time and hold them in the mouth to dissolve. Pain will cease shortly. I named this formula Ling Xiang Wan (Spiritual Fragrance Pill). (Note: This entry should be annotated under Epigastric Pain. He Nian records. There are six herbs in total; five of them are one liang each, and Wu Ling Zhi is five liang. I recall that when preparing the medicine in past years, the proportions were approximately as stated.)