脉∶惊悸怔忡，寸动而弱；寸紧胃浮，悸病乃作；饮食痰火，伏动滑搏；浮微弦濡，忧
惊过怯；健忘神亏，心虚浮薄。
惊悸者，忽然惊惕而不安也。惊悸属血虚火动者，宜养心以清火也。
养血安神汤
当归身（五分，酒洗） 川芎（五分） 白芍（炒，五分） 生地黄（酒洗，一钱） 陈皮（五分） 白术（七
分） 茯神（一钱） 酸枣仁（七分，炒） 柏子仁（五分，炒） 黄连（五分，酒炒） 甘草（炙，三分）
上锉一剂。水煎服。
安神镇惊丸 治血虚心神不安、惊悸怔忡不寐等症。
当归（酒洗，一两） 白芍（煨，一两） 川芎（七钱） 生地（酒洗，两半） 白茯苓（去皮木，七钱）
贝母（去心，二两） 远志（去心，七钱） 酸枣仁（炒，五钱） 麦门冬（去心，二两） 黄连（姜汁炒，五
钱） 陈皮（去白，一两） 甘草（二钱） 朱砂（一两，研末飞过）
上为细末，炼蜜丸，如绿豆大。每服五十丸，食远枣汤送下。
惊悸属痰火而兼气虚者，宜清痰火以补虚也。
温胆汤 治痰火而惊惕不眠。
人参 白术（去芦） 茯神（去皮木） 当归（酒洗） 生地黄（酒洗） 酸枣仁（炒） 麦门冬
半夏（姜汁炒） 枳实（麸炒） 黄连（酒炒） 竹茹 山栀（炒，各等分） 甘草（三分） 辰砂（五分
临服研末调入）
上锉一剂。姜一片，枣一枚，乌梅一个，竹沥调辰砂末服。
金箔镇心丸 治一切惊悸。
朱砂 琥珀 天竺黄（各五钱） 胆星（一两） 牛黄 雄黄 珍珠（各二钱） 麝香
心经有热，加炒黄连、当归、生地黄各二两，炙甘草五钱，人参一两，去雄黄、胆星、
麝香。上为细末，炼蜜为丸，如皂角子大，金箔为衣。每服一丸，用薄荷汤送下。
惊悸属心虚、气虚而有痰者，宜安神补虚以化痰也。
益气安神汤 治七情六淫相感而心虚，夜多梦寐，睡卧不宁，恍惚惊怖痰 。
当归（一钱二分） 茯神（去皮木，二钱一分） 黄连（八分） 麦门冬（去心） 酸枣仁（炒） 远志
（去心） 人参 黄 （蜜炙） 胆星 淡竹叶（各一钱） 小草（六分） 生地黄（一钱）
上锉一剂。生姜一片，枣一枚，水煎服。
琥珀定志丸 专补心生血，定魄安魂，扶肝壮胆，管辖神魂，惊战虚弱，气乏疾并治。
南星半斤（先将地作一坑，用炭火十八斤在坑内烧红，去炭净，好酒十余斤倾入在坑内
，大瓦盆盖覆周遭，以炭火拥定，勿令泄气，次日取出，为末） 真琥珀（一两，皂角水洗去油
）大辰砂（二两，公猪心割开入内，用线缚住，悬胎煮酒二碗） 人乳（用姜汁制） 楝参（三两
白茯苓（三两，去皮） 白茯神（去皮木，三两） 石菖蒲（二两，猪胆汁炒） 远志（水泡去心，二两，
猪胆汁煮过晒干，用姜汁制）
上为极细末，炼蜜为丸，如梧桐子大。每夜卧时盐汤送下五、七十丸。
晒干人乳法 用人乳数碗，入瓦盆内，莫搅动，四围晒干刮一处，干则再刮，乳干以姜
汁拌晒用。
辰砂宁志丸 治劳神过度致伤心血，惊悸怔忡、梦寐不宁，若有人来捕捉，渐成心疾，
甚至癫狂者。
辰砂（二两，用无灰酒三升，煮酒将尽，留二盏用之） 远志（去心） 石菖蒲（去毛） 酸枣
仁（炒） 乳香（炙） 当归身（酒洗，各七钱） 人参（五分） 白茯神（去皮木，七钱） 白茯苓（去皮），
七钱）
共捣细末，用猪心一个研如泥，入前药末，并煮辰砂，酒搅匀，丸如绿豆大。每服六、
七十丸，临卧以枣汤送下。
Pulse: Palpitations (palpitatio) and frightfulness (jingji) present with a weak pulse at the cun position; if the cun pulse is tight and the stomach pulse is floating, palpitations arise; due to food stagnation, phlegm, or fire pathogenic factors lying dormant, the pulse may be slippery and forceful; if the pulse is floating, slightly thready, wiry, and soft, it indicates excessive fear and timidity due to worry and shock; forgetfulness and spirit deficiency indicate heart qi deficiency and a thin, floating pulse.
Palpitations refer to sudden fright and mental unrest. When palpitations are caused by blood deficiency leading to hyperactive deficient fire, the treatment should nourish the heart to clear the fire.
Yangxin Anshen Tang (Nourish Heart and Calm Spirit Decoction)
Danggui Shen (Radix Angelicae Sinensis Root End, 5 fen, washed with wine) Chuanxiong (Rhizoma Chuanxiong, 5 fen) Baishao (Radix Paeoniae Alba, stir-fried, 5 fen) Shengdihuang (Radix Rehmanniae Preparata, washed with wine, 1 qian) Chenpi (Pericarpium Citri Reticulatae, 5 fen) Baizhu (Rhizoma Atractylodis Macrocephalae, 7 fen) Fushen (Sclerotium Poriae cum Radice, 1 qian) Suanzaoren (Semen Ziziphi Spinosae, 7 fen, stir-fried) Baiziren (Semen Platycladi, 5 fen, stir-fried) Huanglian (Rhizoma Coptidis, 5 fen, stir-fried with wine) Gancao (Radix Glycyrrhizae Preparata, 3 fen)
Crush these ingredients into one dose. Decoct in water and take orally.
Anshen Zhenjing Wan (Calm Spirit and Suppress Fright Pill) Treats symptoms such as restlessness of the heart spirit due to blood deficiency, palpitations, frightfulness, and insomnia.
Danggui (Radix Angelicae Sinensis, washed with wine, 1 liang) Baishao (Radix Paeoniae Alba, baked, 1 liang) Chuanxiong (Rhizoma Chuanxiong, 7 qian) Shengdi (Radix Rehmanniae Preparata, washed with wine, 1.5 liang) Baifuling (Poria, peeled and core removed, 7 qian) Beimu (Bulbus Fritillariae Cirrhosae, core removed, 2 liang) Yuanzhi (Radix Polygalae, core removed, 7 qian) Suanzaoren (Semen Ziziphi Spinosae, stir-fried, 5 qian) Maimendong (Radix Ophiopogonis, core removed, 2 liang) Huanglian (Rhizoma Coptidis, stir-fried with ginger juice, 5 qian) Chenpi (Pericarpium Citri Reticulatae, white pith removed, 1 liang) Gancao (Radix Glycyrrhizae, 2 qian) Zhusha (Cinnabar, 1 liang, ground into fine powder and sifted)
Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of mung beans. Take 50 pills per dose, swallowed with jujube decoction after meals.
When palpitations are caused by phlegm-fire combined with qi deficiency, the treatment should clear phlegm-fire and tonify deficiency.
Wendan Tang (Warm the Gallbladder Decoction) Treats frightfulness and insomnia caused by phlegm-fire.
Renshen (Radix Ginseng) Baizhu (Rhizoma Atractylodis Macrocephalae, rhizome tip removed) Fushen (Sclerotium Poriae cum Radice, peeled and core removed) Danggui (Radix Angelicae Sinensis, washed with wine) Shengdihuang (Radix Rehmanniae Preparata, washed with wine) Suanzaoren (Semen Ziziphi Spinosae, stir-fried) Maimendong (Radix Ophiopogonis) Banxia (Rhizoma Pinelliae, stir-fried with ginger juice) Zhishi (Fructus Aurantii Immaturus, stir-fried with bran) Huanglian (Rhizoma Coptidis, stir-fried with wine) Zhuru (Caulis Bambusae in Taenia) Shanzhi (Fructus Gardeniae, stir-fried, equal parts each) Gancao (Radix Glycyrrhizae, 3 fen) Chensha (Cinnabar, 5 fen, ground into fine powder and mixed in just before administration)
Crush these ingredients into one dose. Add one slice of fresh ginger, one jujube, and one smoked plum. Decoct in water, mix with bamboo sap, and administer the chensha powder.
Jinbo Zhenxin Wan (Gold Foil-Calming Heart Pill) Treats all types of palpitations.
Zhusha (Cinnabar) Hupo (Fossilia Subcorium) Tianzhuhuang (Calculus Bhambusae) Danxing (Folium Arisaematis cum Bile) Niuhuang (Calculus Bovis) Xionghuang (Realgar) Zhenzhu (Margarita) Moshi (Moschus)
If there is heat in the Heart meridian, add stir-fried Huanglian, Danggui, and Shengdihuang (2 liang each), roasted Gancao (5 qian), and Renshen (1 liang). Remove Xionghuang, Danxing, and Moshi. Grind all ingredients into a fine powder. Mix with refined honey to form pills the size of soap pods, coated with gold foil. Take one pill per dose, swallowed with peppermint decoction.
When palpitations are caused by heart deficiency, qi deficiency, and the presence of phlegm, the treatment should calm the spirit, tonify deficiency, and resolve phlegm.
Yiqi Anshen Tang (Tonify Qi and Calm Spirit Decoction) Treats heart deficiency induced by the interaction of seven emotions and six climatic pathogens, characterized by frequent dreaming at night, restless sleep, mental confusion, fright, and phlegm.
Danggui (Radix Angelicae Sinensis, 1.2 qian) Fushen (Sclerotium Poriae cum Radice, peeled and core removed, 2.1 qian) Huanglian (Rhizoma Coptidis, 8 fen) Maimendong (Radix Ophiopogonis, core removed) Suanzaoren (Semen Ziziphi Spinosae, stir-fried) Yuanzhi (Radix Polygalae, core removed) Renshen (Radix Ginseng) Huangqi (Radix Astragali, honey-roasted) Danxing (Folium Arisaematis cum Bile) Danyezhu Ye (Folium Phyllostachdis Viridis, 1 qian each) Xiaocao (Herba Siegesbeckiae, 6 fen) Shengdihuang (Radix Rehmanniae Preparata, 1 qian)
Crush these ingredients into one dose. Add one slice of fresh ginger and one jujube. Decoct in water and take orally.
Hupo Dingzhi Wan (Amber-Stabilizing Will Pill) Specifically tonifies the heart to generate blood, stabilizes the魄 (corporeal soul) and calms the魂 (ethereal soul), supports the liver and strengthens the gallbladder, governs the shenhun (spirit and soul), and treats conditions such as trembling from fright, weakness, and qi exhaustion.
Nanxing (Rhizoma Arisaematis Cum Bile, 8 jin: First dig a pit, burn 18 jin of charcoal until red inside the pit, remove charcoal cleanly, pour over 10+ jin of good wine, cover tightly with a large earthenware basin, seal with charcoal fire to prevent gas leakage. Retrieve the next day and grind into powder.) Zhenhupo (True Amber, 1 liang, washed with soap pod solution to remove oil) Dachensha (Large Cinnabar, 2 liang: Cut open a male pig's heart, insert the cinnabar, tie securely with thread, suspend in wine and boil until only two bowls of wine remain.) Renru (Human Milk, processed with ginger juice) Lianshen (Radix Meliae Toosendan, 3 liang) Baifuling (Poria, peeled, 3 liang) Baifushen (Sclerotium Poriae cum Radice, peeled and core removed, 3 liang) Shichangpu (Rhizoma Acori Tatarinowii, 2 liang, stir-fried with pig bile) Yuanzhi (Radix Polygalae, soaked in water, core removed, 2 liang, boiled in pig bile, dried, then processed with ginger juice)
Grind all ingredients into an extremely fine powder. Mix with refined honey to form pills the size of wutong tree seeds. Take 50-70 pills nightly before bed, swallowed with salt water.
Method for Sun-Drying Human Milk: Place several bowls of human milk in an earthenware basin. Do not stir. Allow the edges to dry, then scrape off the dried portion. Repeat until the milk is completely dry. Mix the dried milk with ginger juice and sun-dry again for use.
Chensha Ningzhi Wan (Cinnabar-Pacifying Will Pill) Treats palpitations, frightfulness, restless dreams, and the sensation of being pursued due to excessive mental labor damaging heart blood, which may gradually develop into heart disease or even mania.
Chensha (Cinnabar, 2 liang: Boil in 3 sheng of unadulterated wine until nearly dry, reserve two cups of the liquid.) Yuanzhi (Radix Polygalae, core removed) Shichangpu (Rhizoma Acori Tatarinowii, hair removed) Suanzaoren (Semen Ziziphi Spinosae, stir-fried) Ruxiang (Resina Frankincense, roasted) Danggui Shen (Radix Angelicae Sinensis Root End, washed with wine, 7 qian each) Renshen (Radix Ginseng, 5 fen) Baifushen (Sclerotium Poriae cum Radice, peeled and core removed, 7 qian) Baifuling (Poria, peeled, 7 qian)
Pound all ingredients into a fine powder. Grind one pig heart into a paste, mix with the herbal powder and the boiled cinnabar, blend well with wine, and form pills the size of mung beans. Take 60-70 pills per dose, swallowed with jujube decoction before sleep.