厥心痛，与背相引，善 ，如从后触其心，身伛偻者，肾心痛也。先取京骨、昆仑，发
针立已，不已取然谷。厥心痛，暴泄，腹胀满，心痛尤甚者，胃心痛也，取大都、太白。厥
心痛，如锥刺其心，心痛甚者，脾心痛也，取然谷、太冲。厥心痛，色苍苍如死状，终日不
得太息者，肝心痛也，取行间、太冲。厥心痛，卧若徒居，心痛乃间，动行痛益甚，色不变
者，肺心痛也，取鱼际、太渊。真心痛，手足青至节，心痛甚，旦发夕死，夕发旦死。
心下（一本作痛）不可刺者，中有
盛聚，不可取于俞，肠中有虫瘕，有 蛟，不可取以小针。心腹痛，发作肿聚，往来上下行
痛有休止，腹中热渴HT （音涎）者，是 蛟也。以手聚按而坚持之，无令得移，以大针刺之
，久持之，虫不动，乃出针。心痛引腰脊欲呕，刺足少阴。心痛腹胀涩涩然，大便不利
，取足太阴。心痛引背不得息，刺足少阴；不已，取手少阴。心痛引少腹满，上下无常处，
溲便难，刺足厥阴。心痛，但短气不足以息，刺手太阴。
心腹中卒痛而汗出，石门主之。
心痛有三虫，多HT ，不得反侧，上脘主之。心痛有寒，难以俯仰，心疝气冲胃，死不知人，
中脘主之。心痛上抢心，不欲食，支痛引鬲，建里主之。胸胁背相引痛，心下混混，呕吐多
唾，饮食不下，幽门主之。脾逆气寒，次急烦心，善唾哕噫，胸满激呼，胃气上逆，心痛
（《千金》作肺胀胃逆），太渊主之。心膨膨痛（《千金》云烦闷乱），少气不足以息，尺
泽主之。心痛，侠白主之。卒心中痛，螈 互相引，肘内廉痛，心敖敖然，间使主之。心痛
，衄哕呕血，惊恐畏人，神气不足， 门主之。心痛卒咳逆，尺泽主之，出血则已。卒心痛
，汗出，大敦主之，出血立已。胸痹引背时寒，间使主之。胸痹心痛，肩肉麻木，天井主之
。胸痹心痛，不得息，痛无常处（《千金》云∶不得反侧），临泣主之。
心疝暴痛，取足太阴、厥阴，尽刺之血络。喉痹舌卷，口干烦心，心痛，臂表痛（《灵枢
》及《太素》俱作臂内
厥心痛，疼痛牵引背部，容易嗳气，感觉像有人从背后触碰心脏，身体弯曲驼背的，是肾心痛。先针刺京骨穴、昆仑穴，出针后疼痛立即停止，如果未愈，再取然谷穴。厥心痛，突然腹泻，腹部胀满，心痛特别严重的，是胃心痛，取大都穴、太白穴。厥心痛，像锥子刺心一样，心痛剧烈的，是脾心痛，取然谷穴、太冲穴。厥心痛，面色青灰像死状，整天不能深长呼吸的，是肝心痛，取行间穴、太冲穴。厥心痛，躺着或静坐时心痛缓解，活动行走时疼痛加重，面色没有变化的，是肺心痛，取鱼际穴、太渊穴。真心痛，手脚发青直到关节，心痛剧烈，早晨发病晚上死亡，晚上发病早晨死亡。
心下部位如果有坚硬的积块聚集，不可针刺；肠中有虫瘕（寄生虫积聚），有蛟蛔（一种大虫），不可用小针治疗。心腹痛，发作时有肿块聚散，疼痛上下移动，有休止时间，腹中发热口渴流涎水的，是蛟蛔病。用手按住肿块并坚持固定它，不让它移动，用大针刺入，长时间留针，虫子不动了，才出针。心痛牵引腰脊想呕吐的，针刺足少阴经。心痛腹胀涩滞感，大便不通利的，取足太阴经。心痛牵引背部呼吸困难，针刺足少阴经；如果未愈，取手少阴经。心痛牵引小腹胀满，疼痛上下无常处，小便困难，针刺足厥阴经。心痛，只是短气不足以呼吸的，针刺手太阴经。
心腹中突然疼痛且出汗的，石门穴主治。心痛有三种虫症，多流涎水，身体僵硬不能翻身侧卧，上脘穴主治。心痛伴有寒气，难以俯仰，心疝气冲犯胃部，昏迷不省人事，中脘穴主治。心痛向上冲击心胸，不想吃东西，支撑性疼痛牵引膈肌，建里穴主治。胸胁背部相互牵引疼痛，心下浑浊不适，呕吐多唾沫，饮食难以下咽，幽门穴主治。脾脏逆气寒凉，急躁心烦，喜欢吐唾沫、打嗝，胸部胀满激呼，胃气上逆导致心痛（《千金方》作肺胀胃逆），太渊穴主治。心中膨膨胀痛（《千金方》说是烦闷混乱），少气不足以呼吸，尺泽穴主治。心痛，侠白穴主治。突然心中疼痛，抽搐互相牵引，肘内侧疼痛，心中恐惧不安，间使穴主治。心痛，鼻出血、打嗝、呕血，惊恐怕人，神气不足，内关穴主治。心痛突然咳嗽气逆，尺泽穴主治，放出血液则痊愈。突然心痛，出汗，大敦穴主治，放出血液立即痊愈。胸痹牵引背部时常发冷，间使穴主治。胸痹心痛，肩胛肌肉麻木，天井穴主治。胸痹心痛，呼吸困难，疼痛位置不固定（《千金方》说：不能翻身侧卧），临泣穴主治。
心疝突然剧痛，取足太阴经、足厥阴经，将血络全部刺破出血。喉痹舌卷缩，口干心烦，心痛，手臂内侧疼痛（《灵枢》及《太素》均作手臂内侧）
Jue heart pain, with pain radiating to the back, prone to belching, feeling as if someone is touching the heart from behind, and with a stooped posture, is Kidney Jue Heart Pain. First needle Jinggu (BL64) and Kunlun (BL60); upon withdrawal of the needle, the pain stops immediately. If not relieved, then select Ran Gu (KI2). Jue heart pain with sudden diarrhea, abdominal distension and fullness, and severe heart pain is Stomach Jue Heart Pain; select Da Du (SP3) and Tai Bai (SP3). Jue heart pain feeling like a cone piercing the heart, with severe pain, is Spleen Jue Heart Pain; select Ran Gu (KI2) and Tai Chong (LR3). Jue heart pain with a cyanotic complexion resembling death, unable to take deep breaths all day, is Liver Jue Heart Pain; select Jian Xing (LR2) and Tai Chong (LR3). Jue heart pain that relieves when lying down or sitting still, but worsens with movement and walking, with no change in complexion, is Lung Jue Heart Pain; select Yu Ji (LU10) and Tai Yuan (LU9). Zhen Xin Tong (True Heart Pain) presents with cyanosis of hands and feet extending to the joints, severe heart pain, death if onset occurs in the morning and resolves in the evening, or death if onset occurs in the evening and resolves in the morning.
If there is a solid accumulation in the epigastrium, acupuncture is contraindicated; if there are intestinal parasites (Chong Jia) or large worms (Jiao), small needles should not be used. For heart and abdominal pain where masses appear and disappear, pain moves up and down with intervals, and there is heat in the abdomen, thirst, and salivation, this is Jiao worm disease. Press and hold the mass firmly with the hand to prevent it from moving, insert a large needle, retain for a long time until the worm is immobilized, then withdraw the needle. Heart pain radiating to the lower back and spine with nausea: needle the Foot Shaoyin channel. Heart pain with abdominal distension, a sensation of friction, and difficult defecation: select the Foot Taiyin channel. Heart pain radiating to the back with dyspnea: needle the Foot Shaoyin channel; if ineffective, select the Hand Shaoyin channel. Heart pain radiating to the hypogastrium with fullness, pain shifting without fixed location, and difficult urination: needle the Foot Jueyin channel. Heart pain with only shortness of breath and insufficient respiration: needle the Hand Taiyin channel.
Sudden pain in the heart and abdomen with sweating: Shimen (CV5) governs this. Heart pain with three types of worms, excessive salivation, and inability to turn over or lie on the side: Shangwan (CV13) governs this. Heart pain with cold, difficulty in bending and stretching, Xin Shan (Heart Hernia) with Qi rushing to the stomach, leading to unconsciousness: Zhongwan (CV12) governs this. Heart pain rushing upward to the chest, anorexia, supportive pain radiating to the diaphragm: Jianli (CV11) governs this. Radiating pain in the chest, flanks, and back, turbid discomfort in the epigastrium, vomiting with excessive saliva, and difficulty swallowing: Youmen (CV21) governs this. Spleen Qi rebellion with cold, irritability, frequent spitting, hiccups, and belching, chest fullness with loud breathing, Stomach Qi rebellion causing heart pain (as recorded in *Qianjin Fang* as Lung Distension and Stomach Qi Rebellion): Taiyuan (LU9) governs this. Palpitations and distending pain in the heart (described in *Qianjin Fang* as vexation, confusion, and disorder), shortness of breath and insufficient respiration: Chize (LU5) governs this. Heart pain: Xiabai (LU2) governs this. Sudden heart pain, convulsions with mutual radiation, pain at the medial aspect of the elbow, and a fearful state of the heart: Neiguan (PC6) governs this. Heart pain with epistaxis, hiccups, hematemesis, fearfulness, and deficiency of Shen Qi: Neiguan (PC6) governs this. Sudden heart pain with cough and rebellious Qi: Chize (LU5) governs this; bleeding leads to recovery. Sudden heart pain with sweating: Dazhuan (LR14) governs this; bleeding leads to immediate recovery. Chest Bi with pain radiating to the back and intermittent chills: Neiguan (PC6) governs this. Chest Bi and heart pain with numbness of the shoulder muscles: Tianjing (TE10) governs this. Chest Bi and heart pain with dyspnea and pain without fixed location (as recorded in *Qianjin Fang*: inability to turn over or lie on the side): Linqi (GB41) governs this.
Xin Shan (Heart Hernia) with sudden severe pain: select the Foot Taiyin and Foot Jueyin channels, and pierce all collateral vessels to bleed. Throat Bi with tongue retraction, dry mouth, vexation, heart pain, and pain on the medial aspect of the arm (as recorded in both *Ling Shu* and *Tai Su* as the medial aspect of the arm)