灶中灰(两石)
上以灰堆聚,急将溺者埋灰中,从头至足,水出七孔,即活。
夫惊悸与忪悸,二证不同。惊悸,则因事有所大惊,或闻虚响,或见异相,登高涉险,
梦寐不祥,惊忤心神,气与涎郁,遂使惊悸,名曰心惊胆寒,在心胆经,属不内外因,其脉
必动;忪悸,则因汲汲富贵,戚戚贫贱,久思所爱,遽失所重,触事不意,气郁涎聚,遂致
忪悸,在心脾经,意思所主,属内所因。或冒寒暑湿,塞闭诸经,令人忽忽若有所失,恐恐
如人将捕,中脘忪悸,此乃外邪,非因心病。况五饮停蓄,闭于中脘,最使人忪悸,治属饮
家。除饮悸与外内因所治各见本门,惊悸治方备列于后。
治心胆虚怯,触事易惊,或梦寐不祥,或异象惑,遂致心惊胆慑,气郁生涎,
涎与气搏,变生诸证,或短气悸乏,或复自汗,四肢浮肿,饮食无味,心虚烦闷,坐卧不安。
半夏(汤洗七次) 竹茹 枳实(麸炒去瓤,各二两) 橘皮(三两,去白) 甘草(炙,一两) 白
茯苓(一两半)
上为锉散。每服四大钱,水一盏半,姜五片,枣一个,煎七分,去滓,食前服。
镇心丹 大治惊悸。(方见狂证门)
小定志丸 治心惊胆慑。(方见健忘门)
治因惊心气不行,郁而生涎,涎结为饮,遂为大疾,忪悸损KT ,不
自胜持。少小遇惊,尤宜服之,但中寒者不宜服。
寒水石( ) 滑石(水飞,各一两) 甘草(生,一分)
上为末。每服二钱,热则新汲水下,怯寒则煎姜枣汤下。入龙脑少许尤佳,小儿量岁与之。
Ash from the stove (two shi)
Pile up the ash, and quickly bury the drowned person in the ash pile, covering from head to toe. When water flows out from the seven orifices, the person will revive.
Palpitations due to fright (Jingji) and palpitations with a sense of emptiness (Songji) are two different syndromes. Jingji arises from sudden great fright, hearing phantom sounds, seeing strange sights, climbing heights and traversing dangers, or dreaming of inauspicious omens. This startles and disturbs the heart spirit and胆 (gallbladder), causing qi and phlegm-fluid to stagnate, leading to Jingji. It is named "Heart Fright and Gallbladder Cold," located in the Heart and Gallbladder meridians, belonging to the "Neither Internal nor External Cause" (accidental factors), and its pulse must be restless (Dong). Songji arises from anxiety over wealth and status, sorrow over poverty and lowly position, prolonged longing for loved ones, sudden loss of what is valued, or unexpected events. This causes qi stagnation and phlegm-fluid accumulation, leading to Songji. It is located in the Heart and Spleen meridians, governed by mental intent, and belongs to the "Internal Cause" (emotional injury). Alternatively, exposure to cold, heat, or dampness can block various meridians, causing one to feel lost and fearful as if being chased. This is Songji in the Zhongwan region, caused by external pathogens, not by heart disease. Moreover, the retention of five types of fluid-dampness blocking the Zhongwan region most easily causes Songji; treatment falls under the category of "Fluid-Dampness Disorders." Apart from the treatments for Fluid-Dampness Palpitations and those caused by internal/external factors which are detailed in their respective sections, the formulas for treating Jingji are listed below.
Treats deficiency and timidity of the Heart and Gallbladder, where one is easily frightened by events, dreams of inauspicious omens, or is confused by strange sights, leading to a startled heart and cowed gallbladder. Qi stagnates generating phlegm-fluid, which clashes with qi, transforming into various syndromes: shortness of breath, palpitations, and fatigue; recurrent spontaneous sweating; edema of the four limbs; loss of taste in food; heart deficiency with vexation and oppression; restlessness in sitting and lying. Pinellia Rhizoma (Pinelliae Rhizoma Preparatum, Banxia) (washed seven times with decoction), Bamboo Shavings (Zhuru), Immature Bitter Orange (Zhi Shi) (bran-fried, bran removed, each 2 liang), Tangerine Peel (Chenpi) (3 liang, white pith removed), Licorice Root (Gancao) (roasted, 1 liang), Poria (Fuling) (1.5 liang).
Grind these into a coarse powder. For each dose, take 4 qian, add 1.5 zhan of water, 5 slices of fresh ginger, and 1 jujube. Decoct until 0.7 portion remains, strain, and take before meals.
Zhenxin Dan (Calming the Heart Pill) Greatly treats severe palpitations. (Formula see section on Mania)
Xiao Dingzhi Wan (Minor Stabilizing Will Pill) Treats heart fright and gallbladder timidity. (Formula see section on Forgetfulness)
Treats major illness caused by fright disrupting heart qi circulation, leading to stagnation and phlegm-fluid generation, which condenses into fluid-retention, resulting in severe palpitations that one cannot control. Children who have experienced fright should especially take this, but it is contraindicated for those with interior cold.
Calcitum (Hanshuishi) [dose missing in original], Talcum (Huashi) (water-ground, each 1 liang), Raw Licorice Root (Sheng Gancao) (1 fen).
Grind into fine powder. Take 2 qian per dose. If heat syndrome, take with newly drawn cool water; if cold/timidity syndrome, take with decocted ginger-jujube soup. Adding a small amount of Borneol (Longnao) is particularly effective. Dosage for children should be adjusted according to age.