方四十五首
主心气不足，惊悸汗出，心中烦闷短气，喜怒悲忧，悉不自知，咽喉痛，口唇黑，呕吐，
舌本强，水浆不通方∶
紫石英 紫苏 茯苓 人参 当归 茯神 远志（去心） 甘草（炙，各二两） 赤小
豆（
五合） 大枣（三十枚，擘） 麦门冬（一升，去心）
上一十一味， 咀，以水一升，煮取三升，分四服。日二夜一。
主心气不足，多汗心烦，喜独语，多梦不自觉，喉咽痛，时吐血，舌本强，水
麦门冬（三两，去心） 茯苓 紫石英 人参 桂心 大枣（三十枚，擘） 赤小豆（二
十
枚） 紫菀 甘草（炙，各一两）
上九味， 咀，以水八升，煮取二升五合，分为三服，宜春夏服之。
主心气虚，惊悸喜忘，不进食补心方∶
远志（去心） 黄 铁精 干姜 桂心（各三两） 人参 防风 当归 芎 紫石
英
茯苓 茯神 独活 甘草（炙，各二两） 五味子（三合） 半夏（洗） 麦门冬（各四两，
去心）
大
上一十八味， 咀，以水一斗三升，煮取三升五合，分为五服，日三夜二。
主心气不足，心痛惊恐方∶
远志（去心） 菖蒲 人参 茯苓（各四两）
上四味， 咀，以水一斗煮取三升，分三服。
主心伤不足，腰脊腹背相引痛，不能俯仰方∶
茯苓 远志（去心） 干地黄（各二两） 大枣（三十枚，擘） 饴糖（一升） 黄芩 半
夏（
洗） 附子（炮，去皮） 生姜（切） 桂心（各二两） 石膏（碎） 麦门冬（各四两，
去心） 甘
草（炙）
上一十四味， 咀，以水一斗五升，煮取三升半，去滓，纳饴糖阿胶更煎，取三升二合
，分三服。
Formula 45
Indicated for deficiency of Heart Qi, manifesting as palpitations with sweating, mental restlessness and shortness of breath in the chest, uncontrolled emotions such as anger, joy, sorrow, and grief, complete loss of self-awareness regarding these states, sore throat, blackening of the lips and mouth, vomiting, stiffness of the tongue root, and inability to swallow fluids or food. Prescription:
Zhi Shi Ying (Fluorite), Zi Su (Perilla Leaf), Fu Ling (Poria), Ren Shen (Ginseng Root), Dang Gui (Angelica Sinensis Root), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygala Root, heart removed), Gan Cao (Licorice Root, honey-fried, each 2 liang), Chi Xiao Dou (Adzuki Bean, 5 he), Da Zao (Jujube Fruit, 30 pieces, split open), Mai Men Dong (Ophiopogon Tuber, 1 sheng, heart removed).
The above eleven ingredients are coarsely crushed, decocted with one dou of water until reduced to three sheng, divided into four doses. Taken twice during the day and once at night.
Indicated for deficiency of Heart Qi, manifesting as profuse sweating, mental restlessness, tendency to speak alone, frequent dreaming without awareness upon waking, sore throat and pharynx, occasional hemoptysis, stiffness of the tongue root, and obstruction of swallowing fluids and food. Prescription:
Mai Men Dong (Ophiopogon Tuber, 3 liang, heart removed), Fu Ling (Poria), Zhi Shi Ying (Fluorite), Ren Shen (Ginseng Root), Gui Xin (Cinnamon Twig Heart), Da Zao (Jujube Fruit, 30 pieces, split open), Chi Xiao Dou (Adzuki Bean, 20 pieces), Zi Wan (Aster Root), Gan Cao (Licorice Root, honey-fried, each 1 liang).
The above nine ingredients are coarsely crushed, decocted with eight sheng of water until reduced to two sheng and five he, divided into three doses. It is suitable to take this formula during spring and summer.
Indicated for deficiency of Heart Qi, manifesting as palpitations and forgetfulness, and inability to eat. A formula to tonify the Heart. Prescription:
Yuan Zhi (Polygala Root, heart removed), Huang Qi (Astragalus Root), Tie Jing (Iron Essence), Gan Jiang (Dried Ginger), Gui Xin (Cinnamon Twig Heart, each 3 liang), Ren Shen (Ginseng Root), Fang Feng (Saposhnikovia Root), Dang Gui (Angelica Sinensis Root), Xiong Diao (Ligusticum Chuanxiong Rhizome), Zi Shi Ying (Fluorite), Fu Ling (Poria), Fu Shen (Poria with Hostwood), Du Huo (Angelica Pubescens Root), Gan Cao (Licorice Root, honey-fried, each 2 liang), Wu Wei Zi (Schisandra Berry, 3 he), Ban Xia (Pinellia Tuber, washed), Mai Men Dong (Ophiopogon Tuber, each 4 liang, heart removed).
The above eighteen ingredients are coarsely crushed, decocted with one dou and three sheng of water until reduced to three sheng and five he, divided into five doses. Taken three times during the day and twice at night.
Indicated for deficiency of Heart Qi, manifesting as heart pain and fright/terror. Prescription:
Yuan Zhi (Polygala Root, heart removed), Chang Pu (Acorus Rhizome), Ren Shen (Ginseng Root), Fu Ling (Poria, each 4 liang).
The above four ingredients are coarsely crushed, decocted with one dou of water until reduced to three sheng, divided into three doses.
Indicated for injury and deficiency of the Heart, manifesting as pulling pain connecting the waist, spine, abdomen, and back, with inability to bend forward or extend backward. Prescription:
Fu Ling (Poria), Yuan Zhi (Polygala Root, heart removed), Gan Di Huang (Rehmannia Root, each 2 liang), Da Zao (Jujube Fruit, 30 pieces, split open), Yi Tang (Maltose), Huang Qin (Scutellaria Root), Ban Xia (Pinellia Tuber, washed), Fu Zi (Aconite Lateral Root, processed, skin removed), Sheng Jiang (Fresh Ginger, sliced), Gui Xin (Cinnamon Twig Heart, each 2 liang), Shi Gao (Gypsum Fibrosum, crushed), Mai Men Dong (Ophiopogon Tuber, each 4 liang, heart removed), Gan Cao (Licorice Root, honey-fried).
The above fourteen ingredients are coarsely crushed, decocted with one dou and five sheng of water until reduced to three sheng and half a sheng. Strain the dregs, add Yi Tang (Maltose) and E Jiao (Donkey-hide Gelatin), and simmer further until obtaining three sheng and two he. Divide into three doses.