钱仲阳云∶心主惊，实则叫哭发热饮水而搐，虚则困卧惊悸不安。又云∶热则睡中口气温及
上窜切牙，而合面卧有就冷之意，皆心热也，导赤散主之。若抑面卧者，乃心气实，气不得
上下流通也，泻心散主之。心病冬见，火胜水也，当补肾治心，轻者病自愈，下窜不语者，
肾虚怯也。又张洁古云∶心主热，若肺乘心为微邪，肝乘心为虚邪，脾乘心为实邪，肾乘心
为贼邪。凡心脏得病，必先调其肝肾，肝气通则心气和，肝气滞则心气乏，此心病先求其肝
，清其源也。五脏受病必传其所胜，肾之邪必传于心，故先治其肾逐其邪也。若肝肾脉俱和
，然后察其心家虚实治之。窃谓仰面卧者，因其心胸实热，故喜仰面而向虚也。合面卧者，
因心胸虚热，故喜合卧而就实也。实则调治心肝，虚则调补脾肺，二者别之，尽其状矣。其
切牙等症，多有雷同，不必拘泥。如用泻心、导赤等剂，邪气虽去而病仍作，当调补元气，
或反甚，急温补元气。其心气冬见，或亥子时病益甚，或下窜不语者，乃肾水虚而心火甚也
，用地黄丸。其乳下婴儿，须母服之。
钱氏泻心散 治心经实热。
黄连
上为末，每服五分，临卧温水化下。
愚按∶前症若叫哭发热，作渴饮水，抽搐有力，仰面而睡者，属心经实热，宜用泻心散或导
赤散。若发热饮汤，抽搐乏力，惊窜切牙，合面而睡者，属心经虚热，用补心散。若喘嗽面
赤，壮热饮水，肺乘心也，用泻白散。若摇头目札，身热抽搐，肝乘心也，用柴胡清肝散。
若合目昏睡，泄泻身热，脾乘心也，用泻黄散。若窜视惊悸，切牙足热，肾乘心也，用安神
丸。若因乳母致症，亦用前药，以治其母。
导赤散 治小肠实热，小便秘赤。
生地黄 木通 甘草（等分）
上为末，每服一钱，入淡竹叶水煎。
愚按∶泻心散、导赤散，泻心、小肠实火之剂。盖心为脾母，脾为心子，然心既病则脾土益
虚矣。用者审之！
钱氏生犀散 治心经虚热。
地骨皮 赤芍药 柴胡 干葛（各一两） 甘草（五钱） 犀角（二钱，镑）
上为末，每服一二钱，水煎。（添加）
愚按∶前方云，治心经虚热，其所用药多属泻心、泻肝经之剂，虚热二字，恐鲁鱼也。如心
经自病而血虚热者，用秘旨安神丸。脾虚夺心之气而热者，用秘旨补脾汤，肝木不能生心火
，而虚热者用地黄丸。
秘旨安神丸 治心血虚而睡中惊悸，或受惊吓而作。
人参 半夏（汤泡） 酸枣仁（炒） 茯神（各一钱） 当归（酒洗） 橘红 赤芍（炒。各七分） 五味子
（五粒，杵） 甘草（炙，三分）
上为末，姜汁糊丸芡实大。每服一丸，生姜汤下。
地黄丸（方见肾症）
补心散（方见惊啼）
泻白散（方见肺脏）
柴胡清肝散（方见热症）
泻黄散（方见脾脏）
秘旨补脾汤（方见惊啼）
Qian Zhongyang stated: The Heart governs fright. In excess patterns, symptoms include crying and weeping, fever, thirst for water, and convulsions; in deficiency patterns, symptoms include lethargy, sleepiness, palpitations, and restlessness. He further stated: If there is heat, the breath may feel warm during sleep, eyes may roll upward, teeth may be clenched, and the infant may prefer sleeping face down seeking coolness; these are all signs of Heart Heat, treated primarily with Daochi San (Coptis Decoction). If the infant sleeps face down, it indicates Heart Qi Excess, where Qi fails to circulate up and down, treated primarily with Xiexin San (Gallbladder-Draining Decoction). Heart diseases manifesting in winter indicate Fire overcoming Water (Kidney Water deficiency); treatment should tonify the Kidney and treat the Heart. Mild cases will resolve spontaneously. Symptoms such as eyes rolling downward and muteness indicate Kidney Deficiency and timidity.
Furthermore, Zhang Jiegu stated: The Heart governs heat. If Lung pathogenic factors invade the Heart, it is a minor evil; if Liver pathogenic factors invade the Heart, it is a deficient evil; if Spleen pathogenic factors invade the Heart, it is an excessive evil; if Kidney pathogenic factors invade the Heart, it is a destructive evil. Whenever the Heart becomes diseased, one must first regulate the Liver and Kidneys. When Liver Qi flows freely, Heart Qi harmonizes; when Liver Qi stagnates, Heart Qi becomes deficient. This principle dictates that treating Heart disease requires addressing the Liver first to clear the source. When the Five Zang organs are diseased, the pathology inevitably transmits to the organ it controls. Pathogenic factors from the Kidney inevitably transmit to the Heart; therefore, one must first treat the Kidney to expel the pathogen. Only when the pulses of both the Liver and Kidney are harmonious should one then examine the Heart for excess or deficiency before treating. I suggest that infants sleeping on their backs do so because of excess heat in the chest and heart, preferring to lie back towards empty space (seeking coolness). Infants sleeping face down do so because of deficient heat in the chest and heart, preferring to press against solid surfaces (seeking support). For excess patterns, regulate the Heart and Liver; for deficiency patterns, tonify the Spleen and Lungs. Distinguishing between these two exhaustively describes the condition. Regarding symptoms like clenching teeth, which often overlap, one should not be rigid. If using formulas like Xiexin San or Daochi San, and although pathogenic factors are expelled the illness recurs, one should regulate and tonify Yuan Qi (Primal Qi); if symptoms worsen, urgently warm and tonify Yuan Qi. If Heart Qi manifests in winter, or symptoms worsen during Hai and Zi hours (9 PM - 3 AM), or if eyes roll downward and muteness occurs, this indicates Kidney Water deficiency and Heart Fire excess, treated with Dihuang Wan (Rehmannia Pill). For nursing infants, the mother should take the medicine.
Qian's Xiexin San: Treats Heart Meridian Excess Heat.
Huanglian (Coptidis Rhizoma)
Grind into powder. Take 0.5 fen each time, dissolve in warm water before bedtime.
My commentary: The aforementioned symptoms, if accompanied by crying, fever, thirst for drinking, strong convulsions, and sleeping on the back, belong to Heart Meridian Excess Heat, suitable for Xiexin San or Daochi San. If accompanied by fever, desire for hot drinks, weak convulsions, fright with eye rolling and tooth grinding, and sleeping face down, it belongs to Heart Meridian Deficient Heat, treated with Buxin San. If accompanied by wheezing, coughing, red face, high fever, and thirst, it indicates Lung invading Heart, treated with Xiebai San. If accompanied by head shaking, blinking, body heat, and convulsions, it indicates Liver invading Heart, treated with Chaihu Qinggan San. If accompanied by closed eyes, drowsiness, diarrhea, and body heat, it indicates Spleen invading Heart, treated with Xiehuang San. If accompanied by darting gaze, palpitations, tooth grinding, and hot feet, it indicates Kidney invading Heart, treated with Anshen Wan. If the condition is caused by the wet nurse, use the aforementioned medicines to treat the mother.
Daochi San: Treats Small Intestine Excess Heat, characterized by scanty and dark urine.
Shengdihuang (Rehmanniae Radix Recens), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Grind into powder. Take 1 qian each time, decoct with Danzhuyeh (Lophatheri Herba) in water.
My commentary: Xiexin San and Daochi San are formulas that drain excess fire from the Heart and Small Intestine. Since the Heart is the Mother of the Spleen, and the Spleen is the Child of the Heart, once the Heart is diseased, the Spleen Earth becomes increasingly deficient. Users must exercise caution!
Qian's Shengxi San: Treats Heart Meridian Deficient Heat.
Digupi (Bark of Ground Tree Bark), Chishaoyao (Radix Paeoniae Rubra), Chaihu (Radix Bupleuri), Gange (Radix Puerariae Lobatae) each 1 liang; Gancao (Radix Glycyrrhizae) 5 qian; Xijiao (Cornu Rhinocerotis) 2 qian, shaved.
Grind into powder. Take 1-2 qian each time, decoct in water. (Added)
My commentary: The previous formula claims to treat Heart Meridian Deficient Heat, but its ingredients mostly belong to formulas that drain the Heart and Liver meridians. The term "Deficient Heat" here is likely a textual error. If the Heart Meridian itself is diseased causing blood deficiency heat, use Mizhi Anshen Wan. If Spleen deficiency steals Qi from the Heart causing heat, use Mizhi Bupi Tang. If Liver Wood fails to generate Heart Fire causing deficient heat, use Dihuang Wan.
Mizhi Anshen Wan: Treats Heart Blood deficiency causing palpitations during sleep, or onset due to fright.
Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, soaked in boiling water), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Fushen (Poria with Hostwood) each 1 qian; Danggui (Angelicae Sinensis Radix, washed with wine), Juhong (Exocarpium Citri Reticulatae Chishao (Radix Paeoniae Rubra, stir-fried) each 7 fen; Wuweizi (Schisandrae Fructus) 5 grains, crushed; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 3 fen.
Grind into powder, make pills with ginger juice paste to the size of Euryale Seed. Take one pill each time, swallow with Ginger Decoction.
Dihuang Wan (Formula see Kidney Disease section)
Buxin San (Formula see Crying and Wailing section)
Xiebai San (Formula see Lung Organ section)
Chaihu Qinggan San (Formula see Heat Syndrome section)
Xiehuang San (Formula see Spleen Organ section)
Mizhi Bupi Tang (Formula see Crying and Wailing section)