病源风惊悸者。由体虚心气不足。心之经为风邪所乘也。或恐惧忧迫。令心气虚。亦受
风邪。风邪搏于心。则惊不自安。惊不已则悸动不定。其状目睛不转而不能呼。诊其脉动而
弱者
广济疗热风惊悸。安心久服长年。镇心丸方。
茯神 人参 龙齿（研） 升麻 石膏（研） 黄芩 茯苓 麦门冬（八分去心） 银
薄（二
百番研） 虎睛（一具炙） 枳实（炙） 白蔹 玄参 芍药 葳蕤 甘草（炙各六分） 生
姜（二
分）
上十七味捣筛蜜和丸。每食讫少时。以饮服如梧子大。十五丸。日二服。渐渐加至三十
丸。不利。忌海藻菘菜醋蒜面粘食陈臭等物。（出第一卷中）
深师大定心丸。疗恍惚惊悸。心神不安。或风邪因虚加藏。语言喜忘。胸胁满。不得
饮食方。
人参 桂心（各三两） 白术 防己 茯苓 干姜 防风 大黄 茯神 桔梗 白蔹（各
一两） 牛膝（十铢） 远志（二两去心） 银屑（六铢）
上十四味捣合下筛。以蜜丸如梧子大。先食服五丸。日三。不知稍稍增之。一方无牛膝
。而有茱萸一两。银屑十铢。余悉同。忌生葱酢物猪肉桃李雀肉等。
又补心汤。疗心气不足。其病苦满。汗出心风。烦闷善恐。独苦多梦。不自觉者。咽喉
痛。时时吐血。舌本强。水浆不通。手掌热。心惊悸。吐下血方。
麦门冬（三两去心） 紫石英（五分） 紫菀（二两） 桂心（一尺一方二两） 茯苓
（四两一
方一两） 小豆（二十四枚一方六合） 人参（半两） 大枣（二十五枚擘） 甘草（五寸
炙一方一
两）
上九味切。以水八升。煮取二升四合。羸人分作三服。强人再服。心旺之时。有血症可
服耳。一方说用药两数不尽同。注之在下煮。取多少服亦同。忌海藻菘菜生葱酢物。（并出
第十
千金疗心虚寒。阴阳寒损。心惊掣悸。语声宽急混濯。口 。冒昧好自笑。厉风伤心。
荆沥汤方。
荆沥（三升） 麻黄（去节） 白术 芎 （各四两） 防风 桂心 升麻 茯苓 远
志（去
心） 人参 羌活 当归（各三两） 防己 甘草（炙各二两） 母姜（切一升取汁）
上十五味切。以水一斗。先煮麻黄两沸。去沫。次下诸药。煮取三升。绞去滓。下荆沥
姜汁。煎取四升。分为四服。日三夜一。忌海藻菘菜酢生葱桃李雀肉等物。
又大镇心丸。疗心虚惊悸。梦寤恐畏方。
紫石英 茯苓 防风 人参 甘草（炙） 泽泻（各八分） 秦艽 黄 白术 薯蓣 白
蔹（各六分） 麦门冬 当归（各五分） 桂心 远志（去心） 柏子仁 石膏 桔梗 大
黄大
豆卷（各四分熬） 椒（汗去目） 芍药 干姜 细辛（各三分）
上二十四味。酒服如梧子大十五丸。日再。一方用枣膏丸。忌海藻菘菜生葱猪肉生菜桃
李雀肉等。
又小镇心散。疗心气不足。虚悸恐畏。悲思恍惚。心神不定。惕惕而惊方。
人参 远志（去心） 赤小豆 附子（炮） 桂心 细辛 干姜 防风 龙齿（炙） 菖
蒲
干地黄（各二两） 茯苓 白术 黄 （各四两）
上十四味捣筛为散。以酒服两方寸匕。日三。忌羊肉饧桃李雀肉生葱生菜猪肉。（并出
第十四卷中）
崔氏疗热风惊掣。心忪恐悸。风邪狂叫妄走者。服此汤亦瘥。朱四频用之极效方。
茯神（三两） 杏仁（三两去皮尖两仁切） 升麻 白藓皮 沙参（各二两） 龙齿（六
两炙）
上九味切。以水一斗二升。煎取三升。去滓。分温为三服。相去十里。若甚者减水三升
纳竹沥三升。先用水煮九沸。然后纳竹沥。煮取三升。服如上法。忌酢物。（出第六卷中）
古今录验茯神汤。疗风经五脏虚惊悸。安神定志方。
龙骨（一两） 干姜（一两半） 细辛（一两半） 白术（一两） 茯神（三两） 人
参远志（
去心） 甘草（炙） 桂心 独活（各二两） 酸枣仁（一两） 防风（二两）
上十二味切。以水九升。煮取三升。分为三服。忌海藻菘菜桃李雀肉生葱生菜醋物。
又大竹沥汤。疗大虚风气。入腹拘急。心痛烦冤恍惚迷惑不知人。或惊悸时怖。吸吸口
干。
欲绝
强反
秦艽 防风 茯苓 人参（各二两） 茵芋 乌头（炮） 黄芩 干姜 当归 细辛 白
术（各
一两） 天雄（一枚炮） 甘草（三两炙） 防己（二两）
上十四味切。以竹沥一斗。水五升。煮取四升。分服一升。羸人服五合佳。此汤令人痹
宁
竹
卷
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Nine Formulas for Wind-induced Palpitations and Fright
Category: Formulas
[English Translation]
Discussion on the etiology of wind-induced palpitations and fright (palpitations and fright caused by wind pathogen invasion): This arises from a weak constitution and deficiency of Heart Qi, where the meridians of the Heart are invaded by wind pathogen. Alternatively, due to fear or distress, Heart Qi becomes deficient, making one susceptible to wind pathogen. When wind pathogen contends with Heart Qi, it causes fright and restlessness; prolonged fright leads to unstable palpitations. The clinical manifestations include immobility of the eyeballs and inability to speak. Pulse diagnosis reveals a moving and weak pulse.
Guangji Fang treats heat-wind palpitations and fright, calms the mind, and prolongs life when taken long-term. Zhenxin Wan (Calming the Heart Pill) Formula:
Fushen (Poria with Hostwood), Renshen (Ginseng Root), Longchi (Dragon Bone, crushed), Shengma (Cimicifugae Rhizoma), Shigao (Gypsum Fibrosum, crushed), Huangqin (Scutellariae Radix), Fuling (Poria), Maidong (Ophiopogonis Tuber) [each 8 fen, de-heartened], Yinbo (Silver Leaf, 200 sheets, finely ground), Huqing (Tiger Eye, one piece, roasted), Zhishi (Aurantii Fructus, roasted), Bailian (Ibani Radix), Xuanshen (Scrophulariae Radix), Shaoyao (Paeoniae Radix), Weirui (Polygonati Odorati Rhizoma), Gancao (Licorice Root, roasted) [each 6 fen], Shengjiang (Fresh Ginger) [2 fen].
The above seventeen herbs are pounded, sifted, and mixed with honey to form pills. Shortly after meals, take fifteen pills the size of a wu zi (ciboule seed) with warm water, twice daily. Gradually increase to thirty pills. Discontinue if diarrhea occurs. Avoid consuming seaweed, songcai (Chinese cabbage), vinegar, garlic, wheat products, sticky foods, and stale or foul-smelling substances. (From Volume I)
Shenshi's Dadingxin Wan (Great Calming Heart Pill): Treats trance, palpitations, and mental unrest. It is also used when wind pathogen invades the zang organs due to deficiency, causing forgetfulness, chest and hypochondriac fullness, and anorexia. Formula:
Renshen (Ginseng Root), Guixin (Cinnamon Twig) [each 3 liang], Baizhu (Atractylodis Macrocephalae Rhizoma), Fangji (Stephaniae Tetrandrae Radix), Fuling (Poria), Ganjiang (Dried Ginger), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Fushen (Poria with Hostwood), Jiegeng (Platycodonis Radix), Bailian (Ibani Radix) [each 1 liang], Niuxi (Achyranthis Bidentatae Radix) [10 zhu], Yuanzhi (Polygalae Radix, de-heartened) [2 liang], Yinye (Silver Dust) [6 zhu].
The above fourteen herbs are pounded, mixed, and sifted, then formed into pills the size of a wu zi with honey. Take five pills before meals, three times daily. If ineffective, gradually increase the dose. Another version excludes Niuxi but includes 1 liang of Zhuyu (Corni Fructus) and 10 zhu of Yinye; the rest remain the same. Avoid raw scallions, vinegar products, pork, plums, peaches, and sparrow meat.
Also, Buxin Tang (Tonify Heart Decoction): Treats Heart Qi deficiency. Symptoms include chest fullness, sweating, wind affecting the heart, irritability, excessive fear, vivid dreaming, unconsciousness, sore throat, frequent hemoptysis, stiffness of the tongue base, difficulty swallowing fluids, hot palms, palpitations, and hematemesis or hematochezia. Formula:
Maidong (Ophiopogonis Tuber, de-heartened) [3 liang], Zi Shiyun (Fluorite) [5 fen], Ziwan (Asteris Radix) [2 liang], Guixin (Cinnamon Twig) [one chi length in one version equals 2 liang], Fuling (Poria) [4 liang, one version 1 liang], Xiaodou (Adzuki Bean) [24 pieces, one version 6 he], Renshen (Ginseng Root) [0.5 liang], Dazao (Jujube Fruit) [25 pieces, split], Gancao (Licorice Root, roasted) [5 cun length, one version 1 liang].
The above nine herbs are cut, boiled in 8 sheng of water until reduced to 2.4 sheng. Frail patients divide this into three doses; robust patients take two doses. It can be taken during periods of strong Heart Qi if blood disorders are present. Another version notes different dosages, detailed below; boiling reduction and dosage methods are similar. Avoid seaweed, songcai, raw scallions, and vinegar products. (From Volume X)
Qianjin Fang treats Heart deficiency-cold, damage to Yin and Yang, sudden palpitations, indistinct speech, drooling, dizziness, spontaneous laughter, and wind striking the Heart. Jingli Tang (Arborvitae Sap Decoction) Formula:
Jingli (Arborvitae Sap) [3 sheng], Mahuang (Ephedrae Herba, nodes removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiongqiong (Ligusticum Chuanxiong Rhizoma) [each 4 liang], Fangfeng (Saposhnikoviae Radix), Guixin (Cinnamon Twig), Shengma (Cimicifugae Rhizoma), Fuling (Poria), Yuanzhi (Polygalae Radix, de-heartened), Renshen (Ginseng Root), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix) [each 3 liang], Fangji (Stephaniae Tetrandrae Radix), Gancao (Licorice Root, roasted) [each 2 liang], Mujiang (Old Ginger, sliced 1 sheng, juice extracted).
The above fifteen herbs are cut. Boil in 1 dou of water. First boil Mahuang for two boils, skim off the foam, then add the remaining herbs. Boil until reduced to 3 sheng, strain, then add Jingli and ginger juice. Simmer until reduced to 4 sheng. Divide into four doses: three times daily and once at night. Avoid seaweed, songcai, vinegar, raw scallions, plums, peaches, and sparrow meat.
Also, Da Zhenxin Wan (Great Calming Heart Pill): Treats Heart deficiency with palpitations and fright, occurring in dreams or upon waking. Formula:
Zi Shiyun (Fluorite), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Root), Gancao (Licorice Root, roasted), Zexie (Alismatis Rhizoma) [each 8 fen], Qinjiao (Gentianae Macrophyllae Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shuyao (Dioscoreae Rhizoma), Bailian (Ibani Radix) [each 6 fen], Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix) [each 5 fen], Guixin (Cinnamon Twig), Yuanzhi (Polygalae Radix, de-heartened), Baiziren (Biota Seed), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Dahuang (Rhei Radix et Rhizoma), Dadijuan (Fermented Soybean) [each 4 fen, fried], Jiaohua (Zanthoxyli Pericarpium, remove seeds), Shaoyao (Paeoniae Radix), Ganjiang (Dried Ginger), Xixin (Asari Radix et Rhizoma) [each 3 fen].
The above twenty-four herbs are taken with wine, fifteen pills the size of a wu zi, twice daily. Another version uses jujube paste to form pills. Avoid seaweed, songcai, raw scallions, pork, raw vegetables, plums, peaches, and sparrow meat.
Also, Xiao Zhenxin San (Small Calming Heart Powder): Treats Heart Qi deficiency, deficiency-type palpitations and fear, sadness, trance, mental instability, and startle. Formula:
Renshen (Ginseng Root), Yuanzhi (Polygalae Radix, de-heartened), Chixiaodou (Adzuki Bean), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Guixin (Cinnamon Twig), Xixin (Asari Radix et Rhizoma), Ganjiang (Dried Ginger), Fangfeng (Saposhnikoviae Radix), Longchi (Dragon Bone, roasted), Changpu (Acori Tatarinowii Rhizoma), Dihuang (Rehmanniae Radix Preparata) [each 2 liang], Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix) [each 4 liang].
The above fourteen herbs are pounded and sifted into a powder. Take two fang cun bi (square-inch measure) with wine, three times daily. Avoid mutton, maltose, plums, peaches, sparrow meat, raw scallions, raw vegetables, and pork. (From Volume XIV)
Cui Shi treats heat-wind convulsions, panic, fear, palpitations, and wild running/shouting caused by wind pathogen. This decoction is effective. Zhu Si used it frequently with great effect. Formula:
Fushen (Poria with Hostwood) [3 liang], Xingren (Pruni Semen, skin and tip removed, double-kernel ones cut), Shengma (Cimicifugae Rhizoma), Baixianpi (Dictamni Cortex), Shashen (Glehniae Radix) [each 2 liang], Longchi (Dragon Bone, roasted) [6 liang].
The above nine herbs are cut. Boil in 1.2 dou of water until reduced to 3 sheng. Strain. Divide into three warm doses. Take every distance equivalent to traveling ten li. For severe cases, reduce water by 3 sheng and add 3 sheng of Zhuli (Bamboo Sap). First boil water for nine boils, then add bamboo sap. Simmer until reduced to 3 sheng. Take as above. Avoid vinegar products. (From Volume VI)
Gujin Luyan Fushen Tang (Ancient and Modern Recorded Poria Decoction): Treats wind passing through the five zang organs causing deficiency palpitations and fright, calming the spirit and stabilizing will. Formula:
Longgu (Dragon Bone) [1 liang], Ganjiang (Dried Ginger) [1.5 liang], Xixin (Asari Radix et Rhizoma) [1.5 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang], Fushen (Poria with Hostwood) [3 liang], Renshen (Ginseng Root), Yuanzhi (Polygalae Radix, de-heartened), Gancao (Licorice Root, roasted), Guixin (Cinnamon Twig), Duhuo (Angelicae Pubescentis Radix) [each 2 liang], Suanzaoren (Ziziphi Spinosae Semen) [1 liang], Fangfeng (Saposhnikoviae Radix) [2 liang].
The above twelve herbs are cut. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Avoid seaweed, songcai, plums, peaches, sparrow meat, raw scallions, raw vegetables, and vinegar products.
Also, Da Zhuli Tang (Great Bamboo Sap Decoction): Treats severe deficiency with wind qi entering the abdomen causing spasms, heart pain, vexation, trance, confusion, unconsciousness, intermittent palpitations and terror, rapid breathing, dry mouth, and impending collapse. Formula:
Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Fuling (Poria), Renshen (Ginseng Root) [each 2 liang], Yinyu (Epimedii Folium), Wutou (Aconiti Radix, processed), Huangqin (Scutellariae Radix), Ganjiang (Dried Ginger), Danggui (Angelicae Sinensis Radix), Xixin (Asari Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang], Tianxiong (Aconiti Radix Lateralis Preparata, one piece, processed), Gancao (Licorice Root, roasted) [3 liang], Fangji (Stephaniae Tetrandrae Radix) [2 liang].
The above fourteen herbs are cut. Boil in 1 dou of bamboo sap and 5 sheng of water until reduced to 4 sheng. Divide doses, taking 1 sheng per dose. Frail patients take 5 he for better results. This decoction alleviates numbness and paralysis. (From Bamboo Scroll)