夫心实则生热，热则阳气盛，阳盛则卫气不行，荣气不通，遂令热毒稽留，心神烦乱，
面赤身热，口舌生疮，咽燥头疼，喜笑，恐悸，手心热，满汗出，衄血，其脉洪实相搏者，
是其候也。
治心实热，惊悸喜笑，心神不安，泄热安心沙参散方。
沙参（一两去芦头） 白薇（一两） 石膏（二两半） 川芒硝（一两） 人参（三分
去芦头）
茯神（一两） 栀子仁（一两） 甘草（半两炙微赤锉） 羚羊角屑（一两） 子芩（一两）
上件药，捣粗罗为散。每服三钱，水一中盏，煎至五分，去滓，入地黄汁一合、竹沥半
合，更煎一两沸，每于食后温服。忌炙爆热面。
治心实热，多惊梦（多）喜，畏惧不安，宜服黄连散方。
黄连（一两去须） 石膏（二两） 人参（一两去芦头） 知母（一两） 麦门冬（一
两去心）
栀子仁（一两） 赤芍药（一两） 犀角屑（一两） 茯神（一两） 紫菀（一两去苗土） 川
芒硝
（二两）
上件药，捣粗罗为散。每服三钱，以水一中盏，煎至五分，去滓，入竹沥半合，生地黄
半合，更煎一两沸，每于食后温服。
治心气实热，烦闷不安，宜服赤茯苓散方。
赤茯苓（一两） 麦门冬（一两去心） 木通（三分锉） 川升麻（三分） 葳蕤（三
分） 甘草
（半两炙微赤锉） 紫菀（三分去苗土） 川大黄（三分锉碎微炒） 子芩（一两）
上件药，捣粗罗为散。每服三钱，以水一中盏，入淡竹茹一分，煎至六分，去滓，每于
食后温服。
治心实热，或欲吐，吐而不出，烦闷，喘急头痛，宜服石膏散方。
石膏（四两） 麦门冬（二两去心） 甘草（半两炙微赤锉） 葛根（半两锉） 地骨
皮（二
两） 栀子仁（三十枚） 赤茯苓（二两）
上件药，捣粗罗为散。每服三钱，以水一中盏，入生姜半分，小麦与豉各五十粒，淡竹
叶二七片，煎至六分，去滓，每于食后温服。
治心实热，口干烦渴，眠卧不安，宜服茯神散方。
茯神（一两） 木通（一两锉） 黄连（一两去须） 麦门冬（一两去心） 川升麻（一
两） 知
母（一两） 子芩（一两） 川芒硝（一两） 羚羊角屑（三分）
上件药，捣粗罗为散。每服三钱，以水一中盏，煎至六分，去滓，每于食后温服。
治心脏实热，上焦壅滞，口舌生疮，恒多烦渴，宜服犀角散方。
犀角屑（一两） 柴胡（一两去苗） 地骨皮（一两） 麦门冬（一两去心） 葛根（一
两锉）
黄连（一两去须） 赤芍药（一两） 黄芩（一两） 川升麻（一两） 甘草（半两炙微赤
锉）
上件药，捣筛为散。每服三钱，以水一中盏，煎至六分，去滓，每于食后温服。
治心脏实热，身体烦疼，口干多燥，宜服大黄散方。
川大黄（一两锉碎，微炒） 黄芩（一两） 赤芍药（半两） 柴胡（一两去苗） 知
母（一两）
上件药，捣粗罗为散。每服三钱，以水一中盏，煎至六分，去滓，每于食后温服。
治心脏实热，惊怖，痰隔不下食，宜服远志散方。
远志（一两去心） 生干地黄（一两） 枳壳（一两麸炒微黄，去瓤） 旋复花（半两）
甘草
（三分炙微赤，锉） 麦门冬（一两半去心） 半夏（半两汤洗七遍，去滑） 赤茯苓（三
分）
上件药，捣粗罗为散。每服三钱，以水一中盏，入生姜半分，煎至六分，去滓，每于食
后温服。
When the Heart is in a state of excess, heat is generated. Heat causes an abundance of Yang Qi; when Yang Qi is abundant, Wei Qi (Defensive Qi) fails to circulate properly, and Ying Qi (Nutritive Qi) becomes obstructed. Consequently, toxic heat lingers within, causing mental restlessness, facial redness, body fever, sores in the mouth and tongue, dry throat, headache, excessive laughter, fear, palpitations, heat in the palms, generalized sweating, and epistaxis. If the pulse is surging and firm with strong pulsation, these are the signs of Heart Excess.
To treat Heart Excess-Heat manifesting as palpitations, excessive laughter, and mental unrest, use the Shashen San (Ginseng Powder) formula for draining heat and calming the mind.
Ingredients: Sha Shen (Adenophorae Radix, 1 liang, radix removed), Bai Wei (Cynanchi Atrati Radix, 1 liang), Shi Gao (Gypsum Fibrosum, 2.5 liang), Chuan Mang Xiao (Natrii Sulfas, 1 liang), Ren Shen (Ginseng Radix et Rhizoma, 3 fen, radix removed), Fu Shen (Poria with Hostwood, 1 liang), Zhi Zi Ren (Gardeniae Fructus, 1 liang), Gan Cao (Licorice Radix et Rhizoma, 0.5 liang, honey-fried until slightly reddish and chopped), Ling Yang Jiao Xie (Saiga Tataricae Cornu, 1 liang), Zi Qin (Scutellariae Radix, 1 liang).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, and decoct until 0.5 zhong remains. Strain the dregs, add 1 he of Di Huang Zhi (Rehmanniae Juice) and 0.5 he of Zhu Li (Bamboo Sap), boil for one or two minutes, and take warm after meals. Avoid roasted, fried, hot-natured foods, and wheat products.
To treat Heart Excess-Heat manifesting as frequent dreams, fright, excessive laughter, fear, and insecurity, use the Huanglian San (Coptis Powder) formula.
Ingredients: Huang Lian (Coptidis Rhizoma, 1 liang, fibrous roots removed), Shi Gao (Gypsum Fibrosum, 2 liang), Ren Shen (Ginseng Radix et Rhizoma, 1 liang, radix removed), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Mai Men Dong (Ophiopogonis Tuber, 1 liang, heart removed), Zhi Zi Ren (Gardeniae Fructus, 1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 1 liang), Xi Jiao Xie (Rhinocerotis Cornu, 1 liang), Fu Shen (Poria with Hostwood, 1 liang), Zi Wan (Asteris Radix, 1 liang, herbs and soil removed), Chuan Mang Xiao (Natrii Sulfas, 2 liang).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, and decoct until 0.5 zhong remains. Strain the dregs, add 0.5 he of Zhu Li (Bamboo Sap) and 0.5 he of Sheng Di Huang (Rehmanniae Radix), boil for one or two minutes, and take warm after meals.
To treat Heart Qi Excess-Heat manifesting as irritability and unrest, use the Chi Fu Ling San (Red Poria Powder) formula.
Ingredients: Chi Fu Ling (Poria Cocos with Red Skin, 1 liang), Mai Men Dong (Ophiopogonis Tuber, 1 liang, heart removed), Mu Tong (Akebiae Caulis, 3 fen, chopped), Chuan Sheng Ma (Bupleuri Radix, 3 fen), Wei Rui (Polygonati Odorati Rhizoma, 3 fen), Gan Cao (Licorice Radix et Rhizoma, 0.5 liang, honey-fried until slightly reddish and chopped), Zi Wan (Asteris Radix, 3 fen, herbs and soil removed), Chuan Da Huang (Rhei Radix et Rhizoma, 3 fen, chopped and lightly stir-fried), Zi Qin (Scutellariae Radix, 1 liang).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water and 1 fen of Dan Zhu Ru (Bamboo Shavings), decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.
To treat Heart Excess-Heat manifesting as nausea without vomiting, irritability, rapid breathing, and headache, use the Shi Gao San (Gypsum Powder) formula.
Ingredients: Shi Gao (Gypsum Fibrosum, 4 liang), Mai Men Dong (Ophiopogonis Tuber, 2 liang, heart removed), Gan Cao (Licorice Radix et Rhizoma, 0.5 liang, honey-fried until slightly reddish and chopped), Ge Gen (Puerariae Lobatae Radix, 0.5 liang, chopped), Di Gu Pi (Lycii Cortex, 2 liang), Zhi Zi Ren (Gardeniae Fructus, 30 pieces), Chi Fu Ling (Poria Cocos with Red Skin, 2 liang).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, 0.5 fen of Sheng Jiang (Zingiberis Rhizoma), 50 grains of Xiao Mai (Triticum aestivum), 50 grains of Chi Dou Chi (Sojae Semen Praeparatum), and 14 slices of Dan Zhu Ye (Phyllostachys Viridis Folium). Decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.
To treat Heart Excess-Heat manifesting as dry mouth with thirst, and restless sleep, use the Fu Shen San (Poria Powder) formula.
Ingredients: Fu Shen (Poria with Hostwood, 1 liang), Mu Tong (Akebiae Caulis, 1 liang, chopped), Huang Lian (Coptidis Rhizoma, 1 liang, fibrous roots removed), Mai Men Dong (Ophiopogonis Tuber, 1 liang, heart removed), Chuan Sheng Ma (Bupleuri Radix, 1 liang), Zhi Mu (Anemarrhenae Rhizoma, 1 liang), Zi Qin (Scutellariae Radix, 1 liang), Chuan Mang Xiao (Natrii Sulfas, 1 liang), Ling Yang Jiao Xie (Saiga Tataricae Cornu, 3 fen).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, and decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.
To treat Heart Excess-Heat manifesting as stagnation in the Upper Jiao, sores in the mouth and tongue, and frequent thirst, use the Xi Jiao San (Rhino Horn Powder) formula.
Ingredients: Xi Jiao Xie (Rhinocerotis Cornu, 1 liang), Chai Hu (Bupleuri Radix, 1 liang, herbs removed), Di Gu Pi (Lycii Cortex, 1 liang), Mai Men Dong (Ophiopogonis Tuber, 1 liang, heart removed), Ge Gen (Puerariae Lobatae Radix, 1 liang, chopped), Huang Lian (Coptidis Rhizoma, 1 liang, fibrous roots removed), Chi Shao Yao (Paeoniae Radix Rubra, 1 liang), Huang Qin (Scutellariae Radix, 1 liang), Chuan Sheng Ma (Bupleuri Radix, 1 liang), Gan Cao (Licorice Radix et Rhizoma, 0.5 liang, honey-fried until slightly reddish and chopped).
Process the above ingredients by crushing and sifting through a fine sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, and decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.
To treat Heart Excess-Heat manifesting as bodily pain and irritability, and dry mouth with excessive dryness, use the Da Huang San (Rhubarb Powder) formula.
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, chopped and lightly stir-fried), Huang Qin (Scutellariae Radix, 1 liang), Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang), Chai Hu (Bupleuri Radix, 1 liang, herbs removed), Zhi Mu (Anemarrhenae Rhizoma, 1 liang).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water, and decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.
To treat Heart Excess-Heat manifesting as fright and terror, phlegm obstruction preventing food intake, use the Yuan Zhi San (Polygala Powder) formula.
Ingredients: Yuan Zhi (Polygalae Radix, 1 liang, pith removed), Sheng Gan Di Huang (Rehmanniae Radix Preparata, 1 liang), Zhi Ke (Aurantii Fructus, 1 liang, bran-fried until slightly yellow, pith removed), Xuan Fu Hua (Inulae Flos, 0.5 liang), Gan Cao (Licorice Radix et Rhizoma, 3 fen, honey-fried until slightly reddish and chopped), Mai Men Dong (Ophiopogonis Tuber, 1.5 liang, heart removed), Ban Xia (Pinelliae Rhizoma, 0.5 liang, washed seven times in boiling water to remove acridity), Chi Fu Ling (Poria Cocos with Red Skin, 3 fen).
Process the above ingredients by crushing and sifting through a coarse sieve to make a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma), decoct until 0.6 zhong remains. Strain the dregs and take warm after meals.