论曰风惊悸者。以心气不足。为风邪所乘。神魂惊怖不已。则悸动不宁。其证目睛不转
不能
惊。
治心气虚弱。风热所乘。惊悸不宁。胸中逆气。魇梦参错。谬妄恍惚。镇心丸方
紫石英（别研） 丹砂（别研） 茯神（去木） 银屑（别研） 雄黄（别研） 菖蒲 人
参桔梗（
皮各半两） 防风（去叉
上一十七味。除别研外。捣罗为末。和匀炼蜜。丸如小豆大。每服十五丸。米饮下。渐
加至二十丸。
治风热心气不定。五脏不足。甚者忧愁悲伤不乐。忽忽善忘。朝瘥暮剧。暮瘥朝发。定
志丸方
菖蒲 远志（去心各二两） 白茯苓（去黑皮） 人参（各三两）
上四味。捣罗为末。炼蜜和丸。如梧桐子大。每服十丸至十五丸。米饮或熟水下。日三
治风热心虚惊悸。或忧怖怔忪。如人追逐。或睡中惊怕。忘谬不安。定心龙胆丸方
龙胆（去苗） 茯神（去木） 白薇（焙） 栀子仁（各一两） 麦门冬（去心焙一两
半） 玄参
上一十味。除别研外。捣罗为末。和匀炼蜜。和丸如梧桐子大。每服二十丸。食后煎枣
汤下。日三。加至三十丸。肠胃风热秘涩。加大黄一两半。
治久积风热。发即惊悸。气满不安。四肢虚弱。不生肌肉。鹿髓煎丸方
鹿髓（五合） 生天门冬汁（三合滤） 生麦门冬（汁三合滤） 清酒（五合） 牛髓
（五合无
煎地黄天门冬汁
器中复于重汤上
瓤麸炒） 细辛（去苗
（炙锉） 五味子（各三分） 甘草（炙锉一两半） 陈橘皮（汤浸去白焙） 浓朴（去
粗皮生姜汁炙） 山芋（各半两） 山茱
志（去心） 黄连（去须各半两） 薏苡仁（炒）
上三十一味。除八味为煎外。捣罗为末。入在煎中。和捣令匀。丸如梧桐子大。每服二
十丸
治中风邪。惊悸心不安。石膏丸方
石膏（碎） 麦门冬（去心焙） 龙齿（别研） 人参 升麻 玄参 茯神（去木） 黄
芩（去
白蔹（锉） 赤芍药 葳蕤（各一分） 虎睛（一对炙） 甘草（炙锉半两）
上一十五味。除别研外。捣罗为末和匀。炼蜜和丸。如梧桐子大。每服三十丸。米饮下
、日三。
治中风惊悸。安神定气。金箔丸方
金箔（三十片） 银箔（三十片） 丹砂（与金银箔同研一两） 牛黄（别研一分） 铁
粉（别
研半两） 麝
上一十二味。除金银箔等别研外。余二味捣罗为末。和匀。用粟米饭和丸。如梧桐子大
。每服十丸。至十五丸。早晚食后。用黄 汤下。
治风惊悸。心神恍惚。半身不遂。牛黄饮方
牛黄（别研入三分） 人参（二两） 豉（炒三合） 升麻（一两） 铁精（捣研别入
一两） 龙
冬（去心焙三两）
上一十味。除别研外。粗捣筛。每服三钱匕。水一盏。煎至七分去滓。入荆沥少许。再
煎令沸。入牛黄铁精末各半字。调匀温服。日午临卧服。
治心神不安。化风痰。止惊悸。解烦热。安神散方
人参 白茯苓（去黑皮各一两） 甘草（炙锉） 丹砂（别研） 茯神（去木） 天竺
黄（别研各半两） 凝水石（烧二两半别研）
上七味。除别研外。捣罗为散。合和令匀。每服一钱匕。食后临卧。以温荆芥汤调下。
治心神惊悸。头目不清。金箔十珍丸方
金箔（五片） 银箔（五片） 丹砂（与金银箔同研一两） 琥珀（别研） 玳瑁（镑）
真珠（别研） 犀角（镑各一分） 硼砂（别研） 龙脑（别研各一分） 牛黄（别研半钱）
人参 白茯苓（去
上一十五味。除别研外。捣罗为末。和匀炼蜜。丸如鸡头实大。每服一丸嚼破。竹叶汤
下。食后临卧服。
治心气不足惊悸。心风谵语狂癫。化痰涎。蛇黄丸方
蛇黄（火烧酒淬） 丹砂（别研） 铁粉（别研） 不灰木（烧） 人参 白茯苓（去
黑皮各半
上八味。除别研外。捣罗为末。合研令匀。用糯米饭。丸如梧桐子大。每服十丸。金银
箔荷汤下。
治风化涎。保精神。益肝胆。压惊悸。镇心。牛黄丸方
牛黄（别研一分） 龙脑（别研半两） 人参（二两） 玳瑁末（一两） 丹砂（别研
二两） 麝
内慢火熬成膏）
上八味。除别研并安息香膏外。捣罗为末和匀。以安息香膏同炼蜜少许。和丸如梧桐子
大。每服三丸。薄荷汤嚼下。小儿惊热风虚。以金银箔荷汤化下一丸。食后临卧服。
治中风惊悸。心虚恍惚。言语失常。或嗔或怒。志意不乐。定心防风散方
防风（去叉） 龙骨 远志（去心） 铁精（别研各一两） 紫石英（别研） 丹砂（别
研各二两） 熟干地黄（洗切焙二两） 人参（二两半） 干姜（炮） 细辛（去苗叶） 附
子（炮裂去皮脐各一两） 白茯苓（去黑皮二两）
上一十二味。除别研外。捣罗为散。再和匀。每服一钱匕。煮枣汤调下。加至二钱。如
风热盛者。去干姜。加玄参一两。
治心气不足。风邪乘之。神魂不安。惊怖悸动。目睛不转。不能呼者。雄黄丸方
雄黄（研） 丹砂（研） 龙脑（研） 麝香（研各一钱） 乌蛇（去皮骨生用） 白
附子（生用）
上八味。捣研为末。再同和匀。炼蜜和丸。如梧桐子大。每服一丸。薄荷酒化下。如中
风涎潮。牙关不开者。先用大蒜一瓣。捣烂涂两牙关外腮上。次用豆淋酒化一丸。揩在牙龈
上。即便开口。续用薄荷酒。化服两丸。
治惊悸恍惚喜忘。心怖神不安。及风邪胸胁满。不思饮食。人参丸方
人参 桂（去粗皮各二两） 桔梗（炒） 白蔹 白茯苓（去黑皮） 防风（去叉） 大
黄（蒸
（去心各一两一
上一十二味。捣罗为末。炼蜜丸如梧桐子大。食后米饮下二十丸。日二服。
治风热惊悸。心神不安。常多恐怖。茯神饮方
茯神（去木） 生干地黄（焙） 人参 菖蒲 沙参（各一两） 天门冬（去心焙一两
半） 犀角（镑） 远志（去心） 甘草（炙锉各半两）
上九味。粗捣筛。每服三钱匕。水一盏。赤小豆二七粒。同煎至六分去滓。不计时候温
服。
Discussion: Wind-induced palpitations and fright refer to a condition where insufficient Heart Qi allows wind pathogens to invade, causing continuous fright and terror of the Hun and Shen spirits, resulting in palpitations and restlessness. Clinical manifestations include immobility of the eyeballs and an inability to respond appropriately to fright.
Formula for treating Heart Qi deficiency with invasion of wind-heat, leading to palpitations and restlessness, rebellious Qi in the chest, chaotic dreams, delirium, and confusion: Zhenxin Wan (Calming the Heart Pill).
Zhiyingshi (Fluorite, prepared separately), Dansha (Cinnabar, prepared separately), Fushen (Poria with Hostwood, wood removed), Yinxie (Silver flakes, prepared separately), Xionghuang (Realgar, prepared separately), Shichangpu (Rhizoma Acori Tatarinowii), Renshen (Radix Ginseng), Jiegeng (Radix Platycodi, half tael each), Fangfeng (Radix Saposhnikoviae, forked parts removed).
The above seventeen ingredients, except those requiring separate grinding, are crushed, sifted into powder, mixed uniformly, and combined with refined honey to form pills the size of small beans. Take fifteen pills per dose, administered with rice water, gradually increasing to twenty pills.
Formula for treating wind-heat causing instability of Heart Qi and deficiency of the Five Viscera, characterized by severe sorrow, sadness, depression, mental fogginess, forgetfulness, worsening in the evening and improving in the morning, or improving in the evening and recurring in the morning: Dingzhi Wan (Stabilizing Will Pill).
Shichangpu (Rhizoma Acori Tatarinowii), Yuanzhi (Radix Polygalae, heart removed, two taels each), Bai Fuling (White Poria, black skin removed), Renshen (Radix Ginseng, three taels each).
The above four ingredients are crushed, sifted into powder, and combined with refined honey to form pills the size of Sophora seeds. Take ten to fifteen pills per dose, administered with rice water or warm water, three times daily.
Formula for treating wind-heat causing Heart deficiency with palpitations, or anxiety, fear, tremors, feeling as if being chased, waking from sleep in fright, memory loss, errors, and restlessness: Dingxin Longdan Wan (Calming the Heart Gentian Pill).
Longdan (Radix Gentianae, seedlings removed), Fushen (Poria with Hostwood, wood removed), Baiwei (Radix Cynanchi Atrati, baked), Zhizi Ren (Seed Gossypii, one tael each), Maimendong (Radix Ophiopogonis, heart removed, baked, one and a half taels), Xuanshen (Radix Scrophulariae).
The above ten ingredients, except those requiring separate grinding, are crushed, sifted into powder, mixed uniformly, and combined with refined honey to form pills the size of Sophora seeds. Take twenty pills per dose, administered with jujube decoction after meals, three times daily, increasing to thirty pills if necessary. If there is constipation due to wind-heat in the intestines and stomach, add Dahuang (Radix et Rhizoma Rhei) one and a half taels.
Formula for treating long-standing accumulation of wind-heat, which upon onset causes palpitations, fullness of Qi and restlessness, weakness of the four limbs, and emaciation: Lusui Jian Wan (Deer Marrow Decoction Pill).
Lusui (Deer marrow, five he), Sheng Tianmendong Zhi (Fresh juice of Radix Asparagi, filtered, three he), Sheng Maimendong Zhi (Fresh juice of Radix Ophiopogonis, filtered, three he), Qingjiu (Clear wine, five he), Niusui (Ox marrow, five he; if unavailable, sheep marrow may be used), Dihuang (Rhizoma Rehmanniae, skin removed, bran-fried), Xixin (Herba Asari, seedlings removed), Wuweizi (Fructus Schisandrae, roasted and chopped, three fen each), Gancao (Radix Glycyrrhizae, roasted and chopped, one and a half taels), Chenjupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, baked), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, ginger juice-roasted), Shanyao (Rhizoma Dioscoreae, half tael each), Shanzhuyu (Fructus Corni), Yuanzhi (Radix Polygalae, heart removed), Huanglian (Rhizoma Coptidis, stamens removed, half tael each), Yiyiren (Semen Coicis, stir-fried).
Of the above thirty-one ingredients, eight are used to prepare a decoction. The remaining ingredients are crushed, sifted into powder, added to the decoction, mixed thoroughly, and pounded to form pills the size of Sophora seeds. Take twenty pills per dose.
Formula for treating wind-stroke pathogens causing palpitations and unsettled Heart mind: Shigao Wan (Gypsum Pill).
Shigao (Gypsum Fibrosum, crushed), Maimendong (Radix Ophiopogonis, heart removed, baked), Longchi (Dentalia fossilis, prepared separately), Renshen (Radix Ginseng), Shengma (Rhizoma Cimicifugae), Xuanshen (Radix Scrophulariae), Fushen (Poria with Hostwood, wood removed), Huangqin (Radix Scutellariae, rotten wood removed), Bailian (Bulbus Belamcandae, chopped), Chishao (Radix Paeoniae Rubra), Weirui (Rhizoma Polygonati Odorati, one qian each), Hujing (Tiger eye, one pair, roasted), Gancao (Radix Glycyrrhizae, roasted and chopped, half tael).
The above fifteen ingredients, except those requiring separate grinding, are crushed, sifted into powder, mixed uniformly, and combined with refined honey to form pills the size of Sophora seeds. Take thirty pills per dose, administered with rice water, three times daily.
Formula for treating wind-stroke with palpitations, calming the Spirit and stabilizing Qi: Jinbo Wan (Gold Leaf Pill).
Jinbo (Gold leaf, thirty pieces), Yinbo (Silver leaf, thirty pieces), Dansha (Cinnabar, ground together with gold and silver leaves, one tael), Niuhuang (Calculus Bovis, prepared separately, one fen), Tie Fen (Ferrum Pulveratum, prepared separately, half tael), Shexiang (Moschus).
The above twelve ingredients, except for gold/silver leaves requiring separate grinding, are crushed, sifted into powder, mixed uniformly, and combined with millet rice paste to form pills the size of Sophora seeds. Take ten to fifteen pills per dose, administered with yellow wine after meals in the morning and evening.
Formula for treating wind-induced palpitations, mental fogginess, and hemiplegia: Niuhuang Yin (Calculus Bovis Decoction).
Niuhuang (Calculus Bovis, prepared separately, enter three fen), Renshen (Radix Ginseng, two taels), Chi (Folium Sojae Praeparatum, stir-fried, three he), Shengma (Rhizoma Cimicifugae, one tael), Tie Jing (Ferrum, pounded and ground, added separately, one tael), Longchi (Dentalia fossilis).
The above ten ingredients, except those requiring separate grinding, are coarsely crushed and sieved. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain, strain, add a small amount of Jingli (Juice of Bambusa Textilis var. Multiplex), boil again until boiling. Add half zi of Niuhuang and Tie Jing powders, mix well, and take warm. Administer at noon and before bed.
Formula for treating unsettled Heart mind, resolving wind-phlegm, stopping palpitations, relieving vexing heat, and calming the Spirit: Anshen San (Calming the Spirit Powder).
Renshen (Radix Ginseng), Bai Fuling (White Poria, black skin removed, one tael each), Gancao (Radix Glycyrrhizae, roasted and chopped), Dansha (Cinnabar, prepared separately), Fushen (Poria with Hostwood, wood removed), Tianzhu Huang (Bambusae Concretio Silicea, prepared separately, half tael each), Ningshuishi (Natron, calcined, two and a half taels, prepared separately).
The above seven ingredients, except those requiring separate grinding, are crushed, sifted into powder, and mixed uniformly. Take one qianbi per dose, administered with warm Jingjie (Herba Schizonepetae) decoction after meals and before bed.
Formula for treating palpitations and unsettled Heart mind with unclear head and eyes: Jinbo Shizhen Wan (Gold Leaf Ten-Treasure Pill).
Jinbo (Gold leaf, five pieces), Yinbo (Silver leaf, five pieces), Dansha (Cinnabar, ground together with gold and silver leaves, one tael), Hupo (Electrum, prepared separately), Daimao (Testudo Carapax et Plastrum, shaved), Zhenzhu (Margarita, prepared separately), Xi Jiao (Cornu Rhinocerotis, shaved, one qian each), Pengsha (Borax, prepared separately), Longnao (Borneolum Syntheticum, prepared separately, one qian each), Niuhuang (Calculus Bovis, prepared separately, half qian), Renshen (Radix Ginseng), Bai Fuling (White Poria, black skin removed).
The above fifteen ingredients, except those requiring separate grinding, are crushed, sifted into powder, mixed uniformly, and combined with refined honey to form pills the size of Echinochloa frumentacea seeds. Take one pill per dose, chew thoroughly, and administer with bamboo leaf decoction after meals and before bed.
Formula for treating Heart Qi deficiency with palpitations, Heart wind with delirium and mania, and resolving phlegm-saliva: Shehuang Wan (Snake Yellow Pill).
Shehuang (Chrysocolla, fired and quenched in wine), Dansha (Cinnabar, prepared separately), Tie Fen (Ferrum Pulveratum, prepared separately), Buhui Mu (Asbestos stone, calcined), Renshen (Radix Ginseng), Bai Fuling (White Poria, black skin removed, half tael each).
The above eight ingredients, except those requiring separate grinding, are crushed, sifted into powder, and mixed thoroughly. Combine with glutinous rice paste to form pills the size of Sophora seeds. Take ten pills per dose, administered with gold and silver leaf lotus leaf decoction.
Formula for treating wind transforming into saliva, preserving spirit, benefiting Liver and Gallbladder, suppressing palpitations, and calming the Heart: Niuhuang Wan (Calculus Bovis Pill).
Niuhuang (Calculus Bovis, prepared separately, one fen), Longnao (Borneolum Syntheticum, prepared separately, half tael), Renshen (Radix Ginseng, two taels), Daimai Mo (Powdered Testudo Carapax et Plastrum, one tael), Dansha (Cinnabar, prepared separately, two taels), Shexiang (Moschus).
The above eight ingredients, except for separate grinding and Anxi Xiang (Resina Agares) paste, are crushed, sifted into powder, and mixed uniformly. Combine with Anxi Xiang paste and a small amount of refined honey to form pills the size of Sophora seeds. Take three pills per dose, chewed with mint decoction. For children with wind-heat convulsions and deficiency-cold, dissolve one pill in gold and silver leaf lotus leaf decoction. Administer after meals and before bed.
Formula for treating wind-stroke with palpitations, Heart deficiency with mental fogginess, abnormal speech, irritability, anger, and unhappiness: Dingxin Fangfeng San (Calming the Heart Saposhnikovia Powder).
Fangfeng (Radix Saposhnikoviae, forked parts removed), Longgu (Os Draconis et Mammutis), Yuanzhi (Radix Polygalae, heart removed), Tie Jing (Ferrum, prepared separately, one tael each), Zhiyingshi (Fluorite, prepared separately), Dansha (Cinnabar, prepared separately, two taels each), Shu Gan Dihuang (Prepared Rhizoma Rehmanniae, washed, sliced, baked, two taels), Renshen (Radix Ginseng, two and a half taels), Ganjiang (Rhizoma Zingiberis Recens, processed), Xixin (Herba Asari, seedlings and leaves removed), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed, one tael each), Bai Fuling (White Poria, black skin removed, two taels).
The above twelve ingredients, except those requiring separate grinding, are crushed, sifted into powder, and mixed uniformly. Take one qianbi per dose, administered with boiled jujube decoction, increasing to two qianbi if necessary. If wind-heat is excessive, remove Ganjiang and add Xuanshen (Radix Scrophulariae) one tael.
Formula for treating Heart Qi deficiency with invasion of wind pathogens, unsettled Hun and Shen spirits, fright, palpitations, immobility of eyeballs, and inability to speak: Xionghuang Wan (Realgar Pill).
Xionghuang (Realgar, ground), Dansha (Cinnabar, ground), Longnao (Borneolum Syntheticum, ground), Shexiang (Moschus, ground, one qian each), Wushe (Bungarus multicinctus, skin and bones removed, raw), Baifuzi (Rhizoma Typhonii, raw).
The above eight ingredients are pounded and ground into powder, mixed uniformly, and combined with refined honey to form pills the size of Sophora seeds. Take one pill per dose, dissolved in mint wine. If wind-stroke involves phlegm tide and locked jaw, first apply mashed garlic to the masseter muscles on both sides of the jaw. Then, dissolve one pill in Doulin Jiu (Soybean-leavened Wine), rub it on the gums to open the mouth, and subsequently take two pills dissolved in mint wine.
Formula for treating palpitations, mental fogginess, forgetfulness, Heart fear, unsettled Spirit, chest and hypochondriac fullness due to wind pathogens, and loss of appetite: Renshen Wan (Ginseng Pill).
Renshen (Radix Ginseng), Gui (Cortex Cinnamomi, coarse bark removed, two taels each), Jiegeng (Radix Platycodi, stir-fried), Bailian (Bulbus Belamcandae), Bai Fuling (White Poria, black skin removed), Fangfeng (Radix Saposhnikoviae, forked parts removed), Dahuang (Radix et Rhizoma Rhei, steamed)... Yuanzhi (Radix Polygalae, heart removed, one tael and one...).
The above twelve ingredients are crushed, sifted into powder, combined with refined honey to form pills the size of Sophora seeds. Take twenty pills per dose with rice water after meals, twice daily.
Formula for treating wind-heat palpitations, unsettled Heart mind, and frequent terror: Fushen Yin (Poria Decoction).
Fushen (Poria with Hostwood, wood removed), Sheng Gan Dihuang (Fresh Prepared Rhizoma Rehmanniae, baked), Renshen (Radix Ginseng), Changpu (Rhizoma Acori Tatarinowii), Shashen (Radix Glehniae, one tael each), Tianmendong (Radix Asparagi, heart removed, baked, one and a half taels), Xi Jiao (Cornu Rhinocerotis, shaved), Yuanzhi (Radix Polygalae, heart removed), Gancao (Radix Glycyrrhizae, roasted and chopped, half tael each).
The above nine ingredients are coarsely crushed and sieved. Take three qianbi per dose, add one zhan of water and fourteen Xiaodou (Semen Phaseoli Radiati), decoct until six-tenths remain, strain, and take warm at any time.