Formulas · Text · Donguibogam 東醫寶鑑

The Heart

Simjang

한글 심장  ·  Pinyin Xin Zang

The sovereign among the officials — a lotus bud hung under the lung, ruling summer and fire, joy and the tongue, the vessels and the sweat, and the spirit that leaves it at death

心臟

The second organ chapter, in the same fourteen headings as the liver's with one added. The heart is a lotus bud not yet open, twelve nyang, hung point-down beneath the lung, with seven holes and three hairs in it — and the number of holes, the tradition said, is the measure of a person's wisdom, seven in a sage and one in a fool. It rules summer and the days byeong and jeong, fire and heat and the colour red, the tongue and the vessels and the complexion, joy and sweat and laughter. Its injury is worry and thought; its disease is pain in the chest, sorrow, and sudden dizziness; its vacuity is grief and its repletion laughter that will not stop. The chapter's added section is the Lingshu's question of why the heart's channel alone has no transport point: because the heart is the sovereign and cannot receive evil, and what strikes at it strikes the pericardium instead. The treatment is sourness to gather it and saltiness to soften it, and the six formulas are three to feed it and three to drain it — including Danxi's coptis with a pinch of cinnamon, which makes the heart and kidney meet in a moment. The signs of its end are a face black as lacquer and the eyes staring while the head shakes.

3.1 The Form of the Heart 心形象

3.1.1
Source원문

心形如未敷蓮花, 中有九空, 以導引天眞之氣, 神之宇也. 《內經註》

Translation영역
The heart is shaped like a lotus flower not yet open, with nine hollows within, by which it guides the heavenly true qi. It is the house of the spirit.

Naegyeong-ju 內經註

3.1.2
Source원문

心重十二兩, 中有七孔三毛, 盛精汁三合, 主藏神. 《難經》

Translation영역
The heart weighs twelve nyang, has seven holes and three hairs within, holds three hop of essential juice, and governs the storing of the spirit.
Clinical note임상 주석
Twelve nyang is about half a kilo, and a heart weighs about three hundred grams. The seven holes and three hairs are the Nanjing's, and the next passage says what they were held to mean.

Nangyeong 難經

3.1.3
Source원문

上智人, 心有七竅三毛, 中智人, 心有五竅二毛, 下智人, 心有三竅一毛, 常人, 心有二竅無毛, 愚人, 心有一竅, 下愚人, 心有一竅甚小, 無竅則神無出入之門.

Translation영역
A person of the highest wisdom has a heart with seven openings and three hairs; of middling wisdom, five openings and two hairs; of lesser wisdom, three openings and one hair; an ordinary person, two openings and no hair; a fool, one opening; the lowest fool, one opening and very small. Where there is no opening the spirit has no door to go in and out by.
Clinical note임상 주석
Intelligence as anatomy — the more holes in the heart, the wiser. The idea is old enough to be in the Shiji, where Bi Gan's heart is cut out to see whether a sage's has seven holes, and the Bogam records the scale without comment. 心竅, the heart's openings, is still the tradition's word for the clarity of the mind, and 開竅 is what the acorus formulas do.

Immun 入門

3.1.4
Source원문

心有七孔三毛, 七孔以應北斗七星, 三毛以應三台, 故心至誠則天無不應也. 《入門》

Translation영역
The heart has seven holes and three hairs; the seven holes answer to the seven stars of the Northern Dipper and the three hairs to the Three Terraces. So where the heart is wholly sincere, heaven never fails to answer.

Immun 入門

3.1.5
Source원문

心包絡, 實乃裹心之膜, 包于心外, 故曰心包絡也. 《正傳》

Translation영역
The pericardium is in truth the membrane that wraps the heart, enclosing it from outside, and so it is called the heart's wrapping network.
Clinical note임상 주석
The pericardium named and located — the sac round the heart — and 3.10 will say why it matters: it is what takes the blows the heart cannot.

Jeongjeon 正傳

3.1.6
Source원문

心形如未開蓮花, 上大下銳, 倒懸着肺. 《類聚》

Translation영역
The heart is shaped like a lotus flower not yet open, broad above and pointed below, hung upside down against the lung.
Clinical note임상 주석
倒懸着肺 — hung point-down against the lung. The one anatomical fact in the section that a dissection confirms: the heart's apex points down and its base sits under the lungs.

Yuchwi 類聚

3.2 The Position of the Heart 心部位

3.2.1
Source원문

心居肺下肝上. 《入門》

Translation영역
The heart sits below the lung and above the liver.

Immun 入門

3.2.2
Source원문

五藏系通於心, 心通五藏系, 心之系與五藏之系相連, 故五藏有病, 先干於心. 其系上系於肺. 其別者, 自肺兩葉之中, 向後通脊者腎, 自腎而之於膀胱, 與膀胱膜絡幷行而之溲尿處, 乃下極部分也. 《入門》

Translation영역
The cords of the five viscera communicate with the heart, and the heart communicates with the cords of the five viscera; the heart's cord and the cords of the five viscera are joined, and so when the five viscera are diseased the heart is affected first. Its cord attaches above to the lung. A branch of it goes from between the two lobes of the lung backward through the spine to the kidney, from the kidney to the bladder, and runs alongside the bladder's membranes to the place of urination — this is the lowest part.
Clinical note임상 주석
A cord from the heart to every organ, and one branch running down the spine to the bladder. The tradition's account of the great vessels, and the reason it gave for the heart being affected first in any disease: every organ is wired to it.

Immun 入門

3.2.3
Source원문

巨闕穴, 乃心之募也. 在背則心兪, 在脊五顀下, 是心之部位也. 《銅人》

Translation영역
The point Geogwol (巨闕, CV14) is the heart's alarm point; on the back, Simsu (心兪, BL15) is below the fifth vertebra. These are the heart's territory.

Dongin 銅人

3.3 The Season and Days the Heart Rules 心主時日

3.3.1
Source원문

心主夏, 手少陰太陽主治, 其日丙丁.

Translation영역
The heart rules summer; the hand lesser yin and greater yang govern its treatment; its days are byeong and jeong.

Naegyeong 內經

3.3.2
Source원문

南方生熱, 熱生火, 火生苦, 苦生心.

Translation영역
The south engenders heat, heat engenders fire, fire engenders bitterness, and bitterness engenders the heart.

Naegyeong 內經

3.3.3
Source원문

心者, 生之本也, 神之變也. 爲陽中之太陽, 通於夏氣. 《內經》

Translation영역
The heart is the root of life and the transformation of the spirit. It is the greater yang within yang, and communicates with the qi of summer.
Clinical note임상 주석
生之本 — the root of life. The Suwen's ninth chapter gives each organ a root, and the heart's is life itself; the liver's at 2.3 was only the lesser yang. Byeong and jeong are the two fire stems.

Naegyeong 內經

3.4 The Things That Belong to the Heart 心屬物類

3.4.1
Source원문

在天爲熱, 在地爲火, 在卦爲离, 在體爲脉, 在藏爲心, 在色爲赤, 在音爲徵, 在聲爲笑, 在變動爲憂, 在竅爲舌, 在味爲苦, 在志爲喜, 其液爲汗, 其榮爲色, 其臭爲焦, 其數爲七, 其穀爲麥一作黍, 其畜爲羊一作馬, 其蟲爲羽, 其果爲杏, 其菜爲薤, 其脉爲手少陰. 《內經》

Translation영역
In heaven it is heat, on earth fire, in the trigrams li, in the body the vessels, among the viscera the heart, in colour red, in the notes chi, in sounds laughter, in change worry, in the orifices the tongue, in flavours bitter, in the minds joy; its fluid is sweat, its bloom the complexion, its odour scorched, its number seven, its grain wheat one version says millet, its animal the sheep one version says the horse, its creatures the feathered, its fruit the apricot, its vegetable the scallion, and its channel the hand lesser yin.
Clinical note임상 주석
The heart's column. 其液爲汗, sweat — the Sweating chapter's foundation, and the reason heavy sweating is read as the heart's loss. 其榮爲色, the complexion — the heart shows on the face, and the Face chapter reads it there. The apricot and scallion are among the simples at 3.15.

Naegyeong 內經

3.5 The Size of the Heart 心臟大小

3.5.1
Source원문

五藏六府, 心爲之主, 缺盆爲之道. 䯏骨有餘, 以候𩩲骬上音曷, 下音于, 卽心蔽骨也.

Translation영역
Of the five viscera and six bowels the heart is the master, and the supraclavicular fossa is its road. Where the collarbone shows a surplus, examine the xiphoid the first graph is read gal, the second u; it is the bone that covers the heart.
Clinical note임상 주석
𩩲骬 is the xiphoid process — the Bogam glosses it as 心蔽骨, the bone that shields the heart — and the Lingshu reads the heart from it as the liver was read from the ribs.

Yeongchu 靈樞

3.5.2
Source원문

赤色小理者心小, 麄理者心大. 無𩩲骬者心高, 𩩲骬小短擧者心下. 𩩲骬長者心堅, 𩩲骬弱小以薄者心脆. 𩩲骬直下不擧者心端正, 𩩲骬倚一方者心偏傾也.

Translation영역
A red complexion with fine skin-grain means a small heart, with coarse grain a large one. No xiphoid means a high heart; a small short xiphoid standing up, a low one. A long xiphoid means a firm heart; a weak, small, thin one, a brittle heart. A xiphoid pointing straight down means an upright heart; one leaning to a side, a tilted one.

Yeongchu 靈樞

3.5.3
Source원문

心小則易傷以憂, 心大則憂不能傷. 心高則滿於肺中, 悗而善忘悗與悶同, 難開以言, 心下則易傷於寒, 易恐以言. 心堅則藏安守固, 心脆則善病消癉熱中. 心端正則和利難傷, 心偏傾則操持不一, 無守司也. 《靈樞》

Translation영역
A small heart is easily injured by worry; a large one, worry cannot injure. A high heart crowds into the lung, is oppressed 悗 is the same as 悶 and forgetful, and hard to open with words; a low one is easily injured by cold and easily frightened by words. A firm heart is at ease and holds fast; a brittle one is prone to wasting thirst and heat in the centre. An upright heart is harmonious and hard to injure; a tilted one wavers in its grip and has no steady charge.
Clinical note임상 주석
難開以言, 易恐以言 — hard to reach with words, easily frightened by them. The Lingshu's heart is the organ that words act on, and its size decides how. The Ojangyukbu chapter's 1.7 gave the five organs' characters; this is the heart's alone.

Yeongchu 靈樞

3.6 The Patterns of Heart Injury 心傷證

3.6.1
Source원문

憂愁思慮則傷心. 《難經》

Translation영역
Worry, sorrow, thought and deliberation injure the heart.

Nangyeong 難經

3.6.2
Source원문

邪客使魂魄不安者, 血氣少也. 血氣少者, 屬於心. 心氣虛者, 其人多畏, 合目欲眠, 夢遠行而精神離散, 魂魄妄行. 陰氣衰者爲癲, 陽氣衰者爲狂.

Translation영역
Where a lodging evil makes the ethereal and corporeal souls unquiet, the blood and qi are scant, and scant blood and qi belong to the heart. Where the heart qi is vacuous the person is much afraid, closes the eyes wanting to sleep, dreams of travelling far while the essence and spirit scatter, and the souls wander. Where the yin qi is declined it becomes epilepsy; where the yang qi is declined, madness.
Clinical note임상 주석
Fear, drowsiness, dreams of long journeys with the mind coming apart — the Lingshu's picture of a depleted heart, and the Dreams chapter took its dream of travel from here. The last line splits the psychoses by yin and yang: 癲 the withdrawn kind and 狂 the manic.

Yeongchu 靈樞

3.6.3
Source원문

心傷者, 其人勞倦, 則頭面赤而下重, 心中痛而自煩, 發熱臍上跳, 其脉弦. 此爲心藏傷所致也. 《仲景》

Translation영역
Where the heart is injured, when the person is taxed and weary the head and face flush and the lower body feels heavy, there is pain in the heart with vexation, fever, and a throbbing above the navel, and the pulse is stringlike. This is what injury of the heart viscus brings about.
Clinical note임상 주석
Flushing with exertion, chest pain, and a pulsation above the navel — Zhongjing's heart injury from the Jingui, and the pulsation is the abdominal aorta felt hard. The Nanjing's 3.7.4 gives the same sign.

Junggyeong 仲景

3.7 The Patterns of Heart Disease 心病證

3.7.1
Source원문

邪在心則病心痛, 喜悲, 時眩仆. 《靈樞》

Translation영역
Where the evil is in the heart, the disease is heart pain, readiness to grieve, and dizziness and falling from time to time.
Clinical note임상 주석
Chest pain, sorrow, and sudden collapse — the heart's three signs, and the last is syncope. The Lingshu's 心痛 is the pain the Chest chapter treats, and the tradition kept true heart pain, 眞心痛, as the one that kills by evening.

Yeongchu 靈樞

3.7.2
Source원문

腎傳之心, 病筋脉相引而急, 病名曰瘛.

Translation영역
Where the kidney passes it to the heart, the disease is the sinews and vessels drawing on each other in spasm, and it is named convulsion.
Clinical note임상 주석
Water overcoming fire, and the sign is 瘛, convulsive spasm. The control-cycle passage that the Ojangyukbu chapter's 1.15 said was the fatal one, for the heart.

Naegyeong 內經

3.7.3
Source원문

心熱者, 色赤而絡脉溢也. 《內經》

Translation영역
Where the heart is hot, the complexion is red and the network vessels overflow.

Naegyeong 內經

3.7.4
Source원문

外證, 面赤, 口乾, 善笑, 內證, 臍上有動氣, 按之牢若痛, 其病煩心心痛, 掌中熱而啘, 有是者心也, 無是者非也. 《難經》

Translation영역
The outer signs are a red face, a dry mouth and readiness to laugh; the inner sign is stirring qi above the navel, firm under pressure and painful. Its disease is vexation of the heart and heart pain, heat in the palms and retching. Where these are present it is the heart; where they are absent it is not.
Clinical note임상 주석
The Nanjing's sixteenth difficulty for the heart, with the test. The pulsation is above the navel where the liver's at 2.7.5 was to the left of it — the abdomen mapped by organ, and the tradition's hand on the belly deciding which.

Nangyeong 難經

3.7.5
Source원문

大骨枯槁, 大肉陷下, 胸中氣滿, 喘息不便, 內痛引肩項, 期一月死, 眞藏見, 乃與之期日. 註曰, 此心之藏也. 期後三十日內死. 《內經》

Translation영역
The great bones withered, the great muscles sunken, the chest full of qi, the breath laboured, pain within drawing to shoulder and neck — death is expected within a month, and when the true viscus appears, the day is set. The commentary says: this is the heart as a viscus; death within thirty days after.
Clinical note임상 주석
The heart's version of 2.7.6 — wasting, breathlessness, chest pain running to the shoulder and neck — and 內痛引肩項 is the radiation of cardiac pain, which the Suwen has right.

Naegyeong 內經

3.7.6
Source원문

健忘失記, 驚悸不安, 心內懊憹不樂, 皆心血少也. 《入門》

Translation영역
Forgetfulness and loss of memory, fright and palpitation and unease, and anguish within the heart without pleasure are all the heart's blood scant.
Clinical note임상 주석
The Immun's summary for the milder case: poor memory, palpitation, a joyless anguish. 心血 少, the heart's blood scant — the pattern the Spirit chapter's tonics treat, and Seongsim- san at 3.11 is this chapter's.

Immun 入門

3.8 Vacuity and Repletion in Heart Disease 心病虛實

3.8.1
Source원문

心藏脉, 脉舍神. 心氣虛則悲, 實則笑不休.

Translation영역
The heart stores the vessels, and the vessels house the spirit; where the heart qi is vacuous there is grief, and where it is replete, laughter without cease.
Clinical note임상 주석
Grief or laughter — the heart's pair, as fear or anger was the liver's at 2.8.1. 笑不休, laughter that will not stop, is the sign of the full heart, and the manic patient of 3.6.2 is its extreme.

Yeongchu 靈樞

3.8.2
Source원문

心實則胸中痛, 脇支滿, 脇下痛, 膺背肩胛間痛, 兩臂內痛. 心虛則胸腹大, 脇下與腰背相引而痛. 《靈樞》

Translation영역
Where the heart is replete there is pain in the chest, propping fullness of the flanks, pain under the ribs, pain between chest, back and shoulder-blades, and pain along the inside of both arms. Where it is vacuous the chest and abdomen are enlarged, and the flanks, lumbus and back draw on each other in pain.
Clinical note임상 주석
兩臂內痛 — pain along the inside of both arms. The Lingshu's replete heart hurts down the arm, which is where the heart channel runs and where cardiac pain refers. The observation is exact.

Yeongchu 靈樞

3.8.3
Source원문

心藏神. 神有餘則笑不休, 神不足則悲. 《內經》

Translation영역
The heart stores the spirit; where the spirit is in surplus there is laughter without cease, and where it is insufficient, grief.

Naegyeong 內經

3.9 Remission and Worsening of Heart Disease 心病間甚

3.9.1
Source원문

病在心, 愈在長夏, 長夏不愈, 甚於冬, 冬不死, 持於春, 起於夏.

Translation영역
Where the disease is in the heart it heals in late summer; if it does not heal in late summer it worsens in winter; if it does not kill in winter it holds in spring and rises in summer.

Naegyeong 內經

3.9.2
Source원문

心病者, 愈在戊己, 戊己不愈, 加於壬癸, 壬癸不死, 持於甲乙, 起於丙丁.

Translation영역
Heart disease heals on mu and gi days; if it does not heal on mu and gi it worsens on im and gye; if it does not kill on im and gye it holds on gap and eul and rises on byeong and jeong.

Naegyeong 內經

3.9.3
Source원문

心病者, 日中慧, 夜半甚, 平旦靜. 《內經》

Translation영역
Heart disease is clear at noon, worse at midnight, and quiet at dawn.
Clinical note임상 주석
Fire's clock: late summer and earth days ease it, winter and water days worsen it, spring and wood days hold it, summer and fire days stir it. Worst at midnight, which is water's hour — and cardiac events do cluster in the small hours.

Naegyeong 內經

3.10 The Hand Lesser Yin Has No Transport Point 手少陰無輸

3.10.1
Source원문

黃帝曰, 手少陰之脉, 獨無輸何也. 岐伯曰, 少陰者, 心脉也. 心者, 五藏六府之大主也. 爲帝王, 精神之所舍. 其藏堅固, 邪不能容, 容之則傷心, 心傷則神去, 神去則死矣. 故諸邪在於心者, 皆在心之包絡. 包絡者, 心主之脉也. 故少陰無輸也. 帝曰, 少陰無輸, 心不病乎. 岐伯曰, 其外經病而藏不病, 故獨取其經於掌後銳骨之端卽神門穴也. 《靈樞》

Translation영역
The Yellow Emperor said: why does the hand lesser yin channel alone have no transport point? Qi Bo said: the lesser yin is the heart's channel. The heart is the great master of the five viscera and six bowels; it is the emperor and the lodging of essence and spirit. The viscus is firm and solid and cannot admit evil; if it admitted it the heart would be injured, the injured heart would lose the spirit, and with the spirit gone there is death. So all evils that are in the heart are in the heart's wrapping network — the pericardium, the channel of the heart's master. Hence the lesser yin has no transport point. The Emperor said: if the lesser yin has no transport point, does the heart not fall ill? Qi Bo said: its outer channel falls ill and the viscus does not, so one takes its channel alone, at the end of the sharp bone behind the palm that is, the point Sinmun.
Clinical note임상 주석
The section the heart has and no other organ does. The Lingshu's rule that the heart cannot be diseased — anything that reaches it kills — and so the pericardium takes its illnesses and its needling. Sinmun (神門, HT7) is the one point the heart's own channel gets, and every chapter that needles for the heart uses it. The claim is the Body chapter's 1.8.2 — the sovereign must be bright — turned into an anatomical rule: the emperor is not touched.

Yeongchu 靈樞

3.11 The Treatment of Heart Disease 心病治法

3.11.1
Source원문

心苦緩, 急食酸以收之. 註曰, 心苦緩, 是心氣虛也. 心欲耎與軟同, 急食醎以耎之, 用醎補之, 甘瀉之. 《內經》

Translation영역
The heart suffers from slackness; quickly eat sour things to gather it. The commentary says: the heart suffering from slackness is the heart's qi vacuous. The heart wishes to be softened the same as 軟; quickly eat salty things to soften it — use saltiness to supplement it and sweetness to drain it.
Clinical note임상 주석
Sour to gather, salty to soften — the heart's two rules, as sweet and acrid were the liver's at 2.10.1. 心苦緩, the heart suffers from slackness: the organ of fire is hurt by being let go, and sourness pulls it in.

Naegyeong 內經

3.11.2
Source원문

心苦緩, 宜五味子. 又心虛, 以炒鹽補之. 心欲耎, 宜芒硝補之, 甘草瀉之, 是心氣實也. 《東垣》

Translation영역
For the heart suffering from slackness, schisandra is suitable. For heart vacuity, supplement with stir-fried salt. For the heart wishing to be softened, mirabilite supplements and licorice drains — this is the heart's qi replete.
Clinical note임상 주석
Dongwon's medicinals for the Suwen's flavours: schisandra for sour, salt and mirabilite for salty, licorice for sweet. Jeonssiansin-hwan's mirabilite and Seongsim-san's schisandra are these rules in formulas.

Dongwon 東垣

3.11.3
Source원문

心病, 宜食酸, 小豆ㆍ犬肉ㆍ李ㆍ韭, 皆酸, 取其能收也. 《內經》

Translation영역
In heart disease it is suitable to eat sour things — adzuki bean, dog meat, plum and leek — all sour, taking their power to gather.

Naegyeong 內經

3.11.4
Source원문

心病, 宜食麥ㆍ羊肉ㆍ杏ㆍ薤, 取本味也. 《甲乙經》

Translation영역
In heart disease it is suitable to eat wheat, mutton, apricot and scallion, taking the organ's own flavour.

Gabeulgyeong 甲乙經

3.11.5
Source원문

心虛, 宜錢氏安神丸朱砂安神丸方見神門醒心散, 心實, 宜瀉心湯導赤散十味導赤散. 《綱目》

Translation영역
For heart vacuity, Master Qian's Calm the Spirit Pill, Cinnabar Calm the Spirit Pill formula in the Spirit chapter and Wake the Heart Powder are appropriate; for heart repletion, Drain the Heart Decoction, Guide Out the Red Powder and Ten-Ingredient Guide Out the Red Powder.
Clinical note임상 주석
Three each way. The empty heart gets cinnabar and the spirit medicinals; the full heart gets coptis and the drain to the urine. Danxi's coptis-and-cinnamon at 3.11.7 is the one formula the Gangmok's list does not sort, because it does both.

Gangmok 綱目

3.11.6
Source원문

心病, 禁溫食熱衣. 《內經》

Translation영역
In heart disease, warm food and hot clothing are forbidden.
Clinical note임상 주석
The heart's prohibition is heat, as the liver's at 2.10.5 was wind — each organ forbidden its own element.

Naegyeong 內經

3.11.7
Source원문

一方, 黃連, 生用爲君, 佐官桂少許. 煎百沸湯, 入蜜, 空心服. 能使心腎交於頃刻. 《丹心》

Translation영역
Another formula: coptis, raw, as chief, assisted by a little cinnamon bark; decoct in water boiled a hundred times, put in honey, and take on an empty stomach. It can make the heart and kidney meet in a moment.
Clinical note임상 주석
Registered as the Coptis and Cinnamon Formula — the decoction the tradition later rolled into Gyotae-hwan. The heart's fire down and the kidney's water up, and the two meet in sleep.

Dansim 丹心

3.12 The Signs of the Heart Expiring 心絶候

3.12.1
Source원문

手少陰氣絶, 則脉不通, 脉不通, 則血不流, 血不流則色不澤. 故其面黑如漆柴者, 血先死. 壬日篤, 癸日死. 《靈樞》

Translation영역
Where the hand lesser yin's qi is cut off, the vessels do not pass; where the vessels do not pass the blood does not flow; where the blood does not flow the complexion has no sheen. So where the face is black as lacquered wood, the blood has died first. Grave on an im day, death on a gye day.
Clinical note임상 주석
Black as lacquer — the face of circulatory failure, and the Lingshu traces it back through the chain: no pulse, no flow, no colour. Death on a water day, which overcomes fire.

Yeongchu 靈樞

3.12.2
Source원문

形體如烟煤, 直視搖頭者, 此爲心絶. 《仲景》

Translation영역
Where the body is the colour of soot, the eyes stare straight and the head shakes — this is the heart expiring.

Junggyeong 仲景

3.12.3
Source원문

心絶一日死, 何以知之. 肩息, 回視立死. 一云, 二日死. 《脉經》

Translation영역
The heart expiring, death in a day — how is it known? The shoulders heave with the breath, and when the eyes turn back, death at once. One version says two days.
Clinical note임상 주석
One day, where the liver's at 2.11.4 was eight. The heart is the sovereign, and 3.10 said why its death is the quickest: 神去則死, when the spirit goes there is nothing left.

Maekgyeong 脉經

3.13 The Method of Cultivating the Heart 心臟修養法

3.13.1
Source원문

常以四月五月朔望淸旦, 面南端坐, 叩金梁九, 漱玄泉三, 靜思注想, 吸离宮赤色氣入口, 三呑之, 閉氣三十息. 《養生書》

Translation영역
Always on the first and fifteenth of the fourth and fifth months at clear dawn, sit upright facing south, click the golden beams nine times, rinse the dark spring three times, still the thoughts and fix the mind, breathe the red qi of the li palace in through the mouth, swallow it three times, and hold the breath for thirty breaths.
Clinical note임상 주석
Summer, south, the trigram li, the colour red, three swallowings — the heart's set, where the liver's at 2.12 was spring, east, jin, green and nine. 金梁, the golden beams, are the teeth, and 玄泉, the dark spring, is the saliva.

Yangsaengseo 養生書

3.14 The Guided Stretch for the Heart 心臟導引法

3.14.1
Source원문

可正坐, 以兩手作拳, 用力左右互相築各六度. 又可正坐, 以一手按腕上, 一手向下, 拓空如重石. 又以兩手相叉, 以脚踏手中各五六度, 能去心胸間風邪諸疾, 閉氣爲之, 良久閉目, 三嚥津三叩齒而已. 《臞仙》

Translation영역
Sit upright, make fists of both hands, and strike left against right with force six times each way. Or sit upright, press one hand on the other wrist, and push the other hand downward against the air as if against a heavy stone. Or interlace the two hands and tread on them with the foot five or six times each. These can remove the wind evil and various ills between heart and chest. Do them holding the breath; after a good while close the eyes, swallow the saliva three times and click the teeth three times, and that is all.
Clinical note임상 주석
Striking the fists together and pushing against the air — the stretch for the organ in the chest works the arms, which is where 3.8.2 said the heart's pain runs.

Guseon 臞仙

3.15 Simple Medicinals 單方

3.15.1
Source원문

凡二十二種.

Translation영역
Twenty-two kinds in all.
Clinical note임상 주석
Twenty-two simples for the heart — cinnabar, halloysite, gold and silver leaf, minium, acorus, ophiopogon, polygala, rehmannia, coptis, poria with pine root, tortoise plastron, lotus seed, apricot, wheat, rhinoceros horn, hen's egg, sowthistle, adzuki bean, bamboo leaf, mint juice, forsythia and gardenia. The first four are minerals to settle the spirit, and the rest cool or feed it; the apricot and wheat are 3.4's own.

Donguibogam · Sim

About this translation 凡例

Base text: Donguibogam (東醫寶鑑, 1613 first edition), Inner Landscape, Volume 3, The Heart chapter. The Chinese text is collated against the public-domain Wikisource transcription and a printed edition; original character forms (脉, 人參) are retained. Terminology follows Wiseman & Feng, A Practical Dictionary of Chinese Medicine. Translation and clinical notes are original to this site. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.