论曰妇人风邪惊悸者,以心为五官之主,神明所出,若心气虚怯,则风邪乘之,风主躁
动,所以神志不宁,故令惊而悸动不定也。
治妇人心气虚弱,为风邪所乘,惊悸不定。麦门冬汤方
麦门冬(去心焙) 白茯苓(去黑皮) 人参 防风(去叉) 芎 当归(切焙) 紫
菀(去
上一十味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,不拘时候。
治妇人风邪惊悸,心神恍惚。羚羊角汤方
羚羊角屑 生干地黄(焙) 人参(各一两) 茯神(去木) 麦门冬(去心焙) 防
风(去叉
上九味,粗捣筛,每服四钱匕,以水一盏,入生姜竹叶各五片,同煎取七分,去滓温服
,不拘时候。
治妇人风邪惊悸不定。紫石英饮方
紫石英(研) 防风(去叉) 白茯苓(去黑皮) 人参 麦门冬(去心略炒) 当归
(切焙)
两)
上一十一味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服。
治妇人心虚受风,惊悸不安。龙齿丸方
龙齿(研) 丹砂(研水飞过) 茯神(去木各一两) 犀角屑 槟榔(锉) 防风(去
叉) 生
半两) 麝香(
上一十三味,捣研为末,炼蜜丸如梧桐子大,每服二十丸,薄荷温酒下,不拘时候。
治妇人心气不足,被风所乘,惊悸不已。丹砂丸方
丹砂(别研) 雄黄(别研) 龙齿(去土研) 羚羊角屑 远志(去心各半两) 菖
蒲(洗锉
上一十二味,捣罗十味为末,入丹砂雄黄和匀,用炼蜜为丸,如梧桐子大,每服二十丸
,温水下,日二服。
治妇人心气不足,汗出烦闷,惊悸不宁。补心汤方
麦门冬(去心焙三两) 紫石英(研一两一分) 紫菀(去苗土) 桂(去粗皮各二两)
赤茯
上八味,粗捣筛,每服三钱匕,以水一盏,入大枣二枚擘,煎取七分,去滓温服,日二
治妇人心气怯弱,感于风邪,惊悸不安。茯神汤方
茯神(去木) 麦门冬(去心焙) 人参 龙齿(去土) 升麻 石膏(椎碎) 枳壳
(去瓤麸
上一十二味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,日再。
治妇人惊悸,安神定志,解风邪。防风汤方
防风(去叉) 人参 远志(去心) 桂(去粗皮) 独活(去芦头) 甘草(炙各一
两) 茯神
半两)
上一十一味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服,日二夜一。
治妇人风邪惊悸,恍惚不安。人参散方
人参 远志(去心) 赤小豆(炒) 白茯苓(去黑皮) 细辛(去苗叶) 桂(去粗
皮) 干姜
(研半两) 菖蒲(洗
上一十三味,捣罗为散,每服二钱匕,温酒调下,日三。
治妇人风邪惊悸,神思不安。人参丸方
人参(二两) 桂(去粗皮) 防己 牛膝(酒浸切焙) 桔梗(炒) 远志(去心) 干
姜(炮)
十片研入)
上一十三味,捣罗十一味为末,将金银薄细研和入,炼蜜为丸,梧桐子大,每服二十丸
,生姜薄荷汤下。
镇心安神,去邪气,止惊悸,及治妇人血攻寒热,惊忧成病等,蕊珠丸方
丹砂(一两一分凤尾草一握水研汁同煮一食久水洗干研) 桃仁(去皮尖双仁四十九枚
生
阿魏
上八味,和丸如大豆,每服五七丸,至十丸,妇人桃心醋汤下,丈夫桃心盐汤下,有人
因悲忧病腹中有块如拳,每相冲击则闷绝,服此药即愈。
Discussion: In cases of wind-pathogen-induced palpitations and fright in women, the Heart is the master of the five zang organs and the source of Shen (Spirit). If Heart Qi is deficient and timid, the wind-pathogen takes advantage of this deficiency to invade. Since wind is characterized by restlessness and movement, it causes the Shen to become unsettled, resulting in symptoms of fright and unstable palpitations.
Formula for treating women with weak Heart Qi invaded by wind-pathogen, causing unstable palpitations: Maidong Decoction (Ophiopogon Decoction)
Ingredients: Ophiopogonis Radix (Maidong, 麦门冬) [removed heart, roasted], Poria (Fuling, 茯苓) [removed black skin], Ginseng (Renshen, 人参), Saposhnikoviae Radix (Fangfeng, 防风) [removed branches], Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归) [sliced, roasted], Asteris Radix (Ziwan, 紫菀) [removed buds/soil]. (Note: The original text mentions ten ingredients but lists fewer explicitly; following the instruction to translate strictly based on provided text). Process the above ten ingredients, crush and sieve coarsely. Take three qianbi (approx. 9-10g) per dose, add one sheng (approx. 200ml) of water, decoct until reduced to seven-tenths, remove dregs, and take warm. Time is not restricted.
Formula for treating women with wind-pathogen-induced palpitations and vague mental state: Lingyangjiao Decoction (Antelope Horn Decoction)
Ingredients: Antelocornis Cornu (Lingyangjiao, 羚羊角) [shavings], Rehmanniae Radix Recens (Shengdihuang, 生干地黄) [roasted], Ginseng (Renshen, 人参) [each 1 liang], Poria cum Radice Pinelli (Fushen, 茯神) [removed wood], Ophiopogonis Radix (Maidong, 麦门冬) [removed heart, roasted], Saposhnikoviae Radix (Fangfeng, 防风) [removed branches]. (Note: Original text indicates nine ingredients). Process the above nine ingredients, crush and sieve coarsely. Take four qianbi per dose, add one sheng of water, five slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and five leaves of Bambusae Folium (Zhuye, 竹叶), decoct together until reduced to seven-tenths, remove dregs, and take warm. Time is not restricted.
Formula for treating women with unstable palpitations due to wind-pathogen: Zhiyanshi Yin (Purple Quartz Drink)
Ingredients: Helicrysi Lapis (Zhiyanshi, 紫石英) [ground], Saposhnikoviae Radix (Fangfeng, 防风) [removed branches], Poria (Fuling, 茯苓) [removed black skin], Ginseng (Renshen, 人参), Ophiopogonis Radix (Maidong, 麦门冬) [removed heart, lightly roasted], Angelicae Sinensis Radix (Danggui, 当归) [sliced, roasted]. (Note: Original text indicates eleven ingredients). Process the above eleven ingredients, crush and sieve coarsely. Take three qianbi per dose, add one sheng of water, decoct until reduced to seven-tenths, remove dregs, and take warm.
Formula for treating women with Heart deficiency exposed to wind, causing unrest and palpitations: Longchi Pill (Dragon Tooth Pill)
Ingredients: Draconis Os (Longchi, 龙齿) [ground], Cinnabaris (Dansha, 丹砂) [ground, washed with water], Poria cum Radice Pinelli (Fushen, 茯神) [removed wood, each 1 liang], Rhinocerotis Cornu (Xijiao, 犀角) [shavings], Arecae Semen (Binglang, 槟榔) [chopped], Saposhnikoviae Radix (Fangfeng, 防风) [removed branches], ... Moschus (Shexiang, 麝香) [half liang]. (Note: Original text indicates thirteen ingredients). Crush and grind the above thirteen ingredients into powder, mix with refined honey to make pills the size of Sophora japonica seeds. Take twenty pills per dose, swallow with mint-warmed wine. Time is not restricted.
Formula for treating women with insufficient Heart Qi invaded by wind, causing persistent palpitations: Dansha Pill (Cinnabar Pill)
Ingredients: Cinnabaris (Dansha, 丹砂) [separately ground], Realgar (Xionghuang, 雄黄) [separately ground], Draconis Os (Longchi, 龙齿) [cleaned, ground], Antelocornis Cornu (Lingyangjiao, 羚羊角) [shavings], Polygalae Radix (Yuanzhi, 远志) [removed heart, each half liang], Acori Tatarinowii Rhizoma (Changpu, 菖蒲) [washed, chopped]. (Note: Original text indicates twelve ingredients). Ten of the ingredients are crushed and sieved into powder, mixed evenly with Cinnabar and Realgar, then formed into pills with refined honey, sized like Sophora japonica seeds. Take twenty pills per dose, swallow with warm water, twice daily.
Formula for treating women with insufficient Heart Qi, sweating, vexation, and restless palpitations: Buxin Decoction (Tonify Heart Decoction)
Ingredients: Ophiopogonis Radix (Maidong, 麦门冬) [removed heart, roasted, 3 liang], Helicrysi Lapis (Zhiyanshi, 紫石英) [ground, 1 liang 1 fen], Asteris Radix (Ziwan, 紫菀) [removed buds/soil], Cinnamomi Ramulus (Gui, 桂) [removed coarse bark, each 2 liang], Red Poria (Chifuling, 赤茯苓)... (Note: Original text indicates eight ingredients). Process the above eight ingredients, crush and sieve coarsely. Take three qianbi per dose, add one sheng of water and two Jujubae Fructus (Dazao, 大枣) split open, decoct until reduced to seven-tenths, remove dregs, and take warm, twice daily.
Formula for treating women with timid Heart Qi affected by wind-pathogen, causing unrest and palpitations: Fushen Decoction (Poria with Pinellia Root Decoction)
Ingredients: Poria cum Radice Pinelli (Fushen, 茯神) [removed wood], Ophiopogonis Radix (Maidong, 麦门冬) [removed heart, roasted], Ginseng (Renshen, 人参), Draconis Os (Longchi, 龙齿) [cleaned], Cimicifugae Rhizoma (Shengma, 升麻), Gypsum Fibrosum (Shigao, 石膏) [crushed], Aurantii Fructus Immaturus (Zhike, 枳壳) [removed pith, bran-roasted]... (Note: Original text indicates twelve ingredients). Process the above twelve ingredients, crush and sieve coarsely. Take three qianbi per dose, add one sheng of water, decoct until reduced to seven-tenths, remove dregs, and take warm, twice daily.
Formula for treating women's palpitations, calming the Spirit, stabilizing the Will, and resolving wind-pathogen: Fangfeng Decoction (Saposhnikovia Decoction)
Ingredients: Saposhnikoviae Radix (Fangfeng, 防风) [removed branches], Ginseng (Renshen, 人参), Polygalae Radix (Yuanzhi, 远志) [removed heart], Cinnamomi Ramulus (Gui, 桂) [removed coarse bark], Angelicae Pubescentis Radix (Duhuo, 独活) [removed rhizome head], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted, each 1 liang], Poria cum Radice Pinelli (Fushen, 茯神) [half liang]... (Note: Original text indicates eleven ingredients). Process the above eleven ingredients, crush and sieve coarsely. Take three qianbi per dose, add one sheng of water, decoct until reduced to seven-tenths, remove dregs, and take warm, twice during the day and once at night.
Formula for treating women with wind-pathogen-induced palpitations and vague, unsettled spirit: Renshen Powder (Ginseng Powder)
Ingredients: Ginseng (Renshen, 人参), Polygalae Radix (Yuanzhi, 远志) [removed heart], Phaseoli Semen Rubrum (Chixiaodou, 赤小豆) [roasted], Poria (Fuling, 茯苓) [removed black skin], Asari Radix et Rhizoma (Xixin, 细辛) [removed buds/leaves], Cinnamomi Ramulus (Gui, 桂) [removed coarse bark], Zingiberis Rhizoma (Ganjiang, 干姜) [ground, half liang], Acori Tatarinowii Rhizoma (Changpu, 菖蒲) [washed]... (Note: Original text indicates thirteen ingredients). Grind the above thirteen ingredients into powder. Take two qianbi per dose, mix with warm wine and swallow, three times daily.
Formula for treating women with wind-pathogen-induced palpitations and unsettled thoughts: Renshen Pill (Ginseng Pill)
Ingredients: Ginseng (Renshen, 人参) [2 liang], Cinnamomi Ramulus (Gui, 桂) [removed coarse bark], Podagricae Radix (Fangji, 防己), Achyranthis Bidentatae Radix (Niuxi, 牛膝) [wine-soaked, sliced, roasted], Platycodonis Radix (Jiegeng, 桔梗) [roasted], Polygalae Radix (Yuanzhi, 远志) [removed heart], Zingiberis Rhizoma (Ganjiang, 干姜) [processed]... Gold and Silver Leaf (Jinyinbo, 金银薄) [ten slices, ground and added]. (Note: Original text indicates thirteen ingredients). Grind eleven of the ingredients into powder, finely grind the gold and silver leaf and mix in, form into pills with refined honey, sized like Sophora japonica seeds. Take twenty pills per dose, swallow with Ginger-Mint Decoction.
Formula for settling the Heart Spirit, calming the Spirit, expelling evil qi, stopping palpitations, and treating women's blood attacking with cold/heat, or illness caused by fright/worry: Ruizhu Pill (Pearl Flower Pill)
Ingredients: Cinnabaris (Dansha, 丹砂) [1 liang 1 fen, boiled with a handful of Pteridis Multifidae Herba (Fengweicao, 凤尾草) in water for the duration of one meal, washed dry, and ground], Persicae Semen (Taoren, 桃仁) [skin and tip removed, double-kernel, 49 pieces, raw], Asafoetida (Awei, 阿魏)... (Note: Original text indicates eight ingredients). Mix and form pills the size of soybeans. Take five to seven pills, up to ten pills. Women should swallow with Peach Heart Vinegar Decoction; men with Peach Heart Salt Decoction. There are cases where individuals suffer from abdominal masses the size of fists due to grief and worry, causing fainting upon impact; taking this medicine cures the condition.