叙曰∶惊悸怔忡，心疾也。心为一身之主，万化之源，失而不治，则十二官次第而失职，
所
黄 白茯苓 茯神 半夏曲 当归 川芎（各半两） 柏子仁 酸枣仁（炒） 人参 远
志（去心，姜汁炒） 五味子 辣桂（各二钱半） 甘草（炙，四钱）
每服五钱。
心血虚少，神气不宁，令人惊悸怔忡者，此方主之。
心主血而藏神，故方寸灵台，名曰神室。神室血少而空虚，则邪气袭之，令人如有惊悸
而怔怔忡忡不自宁也。《内经》曰∶阳气者，精则养神，故用人参、黄 、茯神、茯苓、甘
草以益气。又曰静则神藏，燥则消亡，故用当归、远志、柏仁、酸枣仁、五味子以润燥，养
气所以养神，润燥所以润血。若川芎者，所以调肝而益心之母。半夏曲所以醒脾而益心之子。
辣桂辛热，从火化也，《易》曰∶火就燥，故能引诸药直达心君而补之，经谓之从治是也。
亦有加槟榔、赤茯苓者，因其停水为悸，加之以导
利水气耳。非停水者，不之用也。
人参 白茯苓 白茯神 酸枣仁（酒浸半日，隔纸炒） 当归 远志 柏子仁 琥珀（各
半两） 乳香 石菖蒲 朱砂（各二钱五分）
蜜丸梧子大。每服三十丸。
气血虚，梦中多惊者，此方主之。
重可以去怯，故用朱砂。明可以安神，故用琥珀。香可以利窍，故用乳香、菖蒲。气可
以生神，故用参、苓、茯神。仁可以归心，故用柏仁、枣仁。酸可使养津，故用远志。润可
以益血，故用当归。
Preface: Palpitations and fright (Jing Ji Zheng Chong) are diseases of the Heart. The Heart is the master of the whole body and the source of all transformations. If left untreated, the twelve zang-fu organs will successively lose their functions.
Huangqi (Radix Astragali), Baifuling (Poria with Hostwood), Fushen (Poria with Pine Root), Banxiaqu (Fermented Pinellia Paste), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong) (each 1.5 liang); Baiziren (Semen Platycladi), Suanzaoren (Fructus Ziziphi Spinosae, stir-fried), Renshen (Radix Ginseng), Yuanzhi (Radix Polygalae, heart removed, stir-fried with ginger juice), Wuweizi (Fructus Schisandrae), Lagui (Cortex Cinnamomi) (each 0.83 liang); Gancao (Radix Glycyrrhizae, honey-fried) (4 qian).
Take 5 qian per dose.
For cases where Heart blood deficiency leads to a lack of tranquility in Shen spirit, causing palpitations and fright, this formula is indicated.
The Heart governs blood and houses the Shen spirit; thus, its palace, known as the Lingtai, is called the Chamber of Spirit. When the Chamber of Spirit lacks blood and becomes empty, pathogenic factors invade it, causing one to feel as if startled, with a persistent sense of unease and palpitations. The *Neijing* states: "When Yang qi is pure, it nourishes the Shen." Therefore, Renshen, Huangqi, Fushen, Baifuling, and Gancao are used to tonify Qi. It also states: "Stillness allows the Shen to be stored; dryness causes it to perish." Therefore, Danggui, Yuanzhi, Baiziren, Suanzaoren, and Wuweizi are used to moisten dryness. Tonifying Qi nourishes the Shen, and moistening dryness nourishes the Blood. As for Chuanxiong, it regulates the Liver to benefit the Mother of the Heart (Wood generates Fire, so the Liver is the Mother of the Heart). Banxiaqu awakens the Spleen to benefit the Child of the Heart (Fire generates Earth, so the Spleen is the Child of the Heart). Lagui is acrid and hot, conforming to the nature of Fire. The *Yijing* says: "Fire tends toward dryness," thus it can guide other herbs directly to the Monarch of the Heart to tonify it; this is referred to in the classics as "conforming treatment" (Cong Zhi). Some add Binglang (Arecae Semen) and Chi Fuling (Poria with Red Hostwood) because water retention causes palpitations; these are added to guide and drain water qi. For those without water retention, this modification is not used.
Renshen (Radix Ginseng), Baifuling (Poria with Hostwood), Baifushen (Poria with Pine Root), Suanzaoren (Fructus Ziziphi Spinosae, soaked in wine for half a day, stir-fried between papers), Danggui (Radix Angelicae Sinensis), Yuanzhi (Radix Polygalae), Baiziren (Semen Platycladi), Hupo (Electrum) (each 1.5 liang); Ruxiang (Resina Olibani), Shichangpu (Rhizoma Acori Tatarinowii), Zhusha (Cinnabaris) (each 0.83 qian).
Make pills with honey, sized like wutong seeds. Take 30 pills per dose.
For cases of Qi and Blood deficiency resulting in frequent fright in dreams, this formula is indicated.
Heavy substances dispel timidity, hence Zhusha is used. Clarity calms the Shen, hence Hupo is used. Fragrance opens orifices, hence Ruxiang and Shichangpu are used. Qi generates Shen, hence Renshen, Fuling, and Fushen are used. Seeds/nuts return to the Heart, hence Baiziren and Suanzaoren are used. Sour flavors promote fluid nourishment, hence Yuanzhi is used. Moistening benefits blood, hence Danggui is used.