夫心气盛实，气血壅涩，阴阳不通，荣卫隔塞，上焦壅滞，故令心胸烦热也。（按∶以
下第一方缺方名及症状。）
地骨皮（一两） 葳蕤（一两） 玄参（一两） 黄 （一两锉） 子芩（一两） 麦
门冬（一两
去心） 川升麻（一两） 甘草（半两炙微赤锉）
上件药，捣粗罗为散。每服三钱，用水一中盏，入竹叶七片，煎至五分，去滓，入生地
黄汁、蜜各半合，更煎一两沸，不计时候温服。
治心胸烦热，渴逆头痛，宜服羚羊角散方。
羚羊角屑（一两） 葛根（半两锉） 黄芩（半两） 赤芍药（半两） 石膏（二两） 麦
门冬（
三分去心） 甘草（半两炙微赤锉） 柴胡（一两去苗） 赤茯苓（一两） 栀子仁（半两）
上件药，捣粗罗为散。每服三钱，以水一中盏，入竹叶七片，豉三十粒，煎至六分，去
滓，不计时候温服。
治心胸烦热，眠卧不安，或大小肠不利，口舌生疮，宜服麦门冬散方。
麦门冬（三分去心） 枳壳（半两麸炒微黄去瓤） 黄芩（三分） 大青（半两） 黄
连（半
两去须） 川芒硝（一两） 犀角屑（半两） 升麻（半两） 小草（半两） 甘草（半两
炙微赤锉）
上件药，捣粗罗为散。每服三钱，以水一中盏，煎至六分，去滓，食后温服。
治心胸烦热，头疼目涩，烦渴不止，宜服黄芩散方。
黄芩（一两） 赤茯苓（一两） 石膏（二两） 麦门冬（一两去心） 甘草（半两炙
微赤锉
）葛根（半两锉） 甘菊花（半两）
上件药，捣粗罗为散。每服三钱，以水一中盏，入豉二七粒，淡竹叶二七片，煎至五分
，去滓，入生地黄汁一合，更煎一两沸，不计时候温服。
治心胸烦热，不思饮食，宜服人参散方。
人参（一两去芦头） 沙参（一两去芦头） 赤茯苓（一两） 黄 （一两锉） 地骨
皮（一两）
麦门冬（一两去心） 柴胡（一两去芦头） 羚羊角屑（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，不计时候温服。
治心胸烦热，口舌干燥，心神不利，宜服真珠散方。
真珠粉 琥珀末 寒水石 天竺黄 马牙硝（半分） 铁粉 朱砂 甘草末（半分生用）
栝
上件药，同研令细。每服半钱，不计时候，以竹叶汤放温调下。
治心胸烦热，口干舌涩，心神壅闷，宜服含化玉液丸方。
寒水石（一两研） 石膏（一两研如粉） 葛根（一两） 栝蒌根（一两） 乌梅肉（半
两炒）
麦门冬（一两半去心焙） 赤茯苓（一两） 龙脑（一钱研入）
上件药，捣罗为末，入研了药令匀，炼蜜和丸，如弹子大。每服一丸，薄棉裹，含化
咽津。
治心胸烦热，不得安定，宜服甘露散方。
甘草（半斤） 不灰木（半斤）
上件药，须是腊月内预办，修合取冰雪水浸过，阴干，又投入水中，如此三、二十度后
，阴令极干，捣细罗为散。每服不计时候，以新汲水调下一钱。
When Heart Qi is excessive and solid, Qi and Blood become stagnant and sluggish, Yin and Yang fail to communicate, Ying (Nutritive) and Wei (Defensive) energies are obstructed and blocked, and the Upper Jiao (Upper Burner) becomes congested and stagnant, thus causing vexation and heat in the chest and heart. (Note: The first formula below lacks a name and symptom description.)
Dige Cortex (Di Gu Pi, *Lycii Radicis Cortex*) (1 liang)
Asparagus Tuber (Wei Rui, *Asparagi Rhizoma*) (1 liang)
Scrophularia Root (Xuan Shen, *Scrophulariae Radix*) (1 liang)
Scutellaria Root (Huang Qin, *Scutellariae Radix*) (1 liang, sliced)
Zi Huang Qin (1 liang) [Note: Zi Huang Qin is a specific type of Scutellaria root]
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (1 liang, core removed)
Cimicifuga Rhizome (Chuan Sheng Ma, *Cimicifugae Rhizoma*) (1 liang)
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red and sliced)
The above ingredients are coarsely pounded and sieved to make a powder. Take 3 qian per dose, add 1 zhong zhan (approx. 200-250ml) of water and 7 slices of Bamboo Leaf, decoct until 0.5 portion remains. Strain the dregs, add 0.5 he of Fresh Rehmannia Juice and Honey, boil for one or two more boils, and take warm at any time.
For treating vexation and heat in the chest and heart, thirst with rebellious Qi, and headache, Lingyang Jiao San (Antelope Horn Powder) is suitable.
Antelope Horn Shavings (Ling Yang Jiao Xie, *Saigae Tataricae Cornu*) (1 liang)
Pueraria Root (Ge Gen, *Puerariae Lobatae Radix*) (0.5 liang, sliced)
Scutellaria Root (Huang Qin, *Scutellariae Radix*) (0.5 liang)
Red Peony Root (Chi Shao Yao, *Paeoniae Radix Rubra*) (0.5 liang)
Gypsum (Shi Gao, *Gypsi Fibrosum*) (2 liang)
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (3 fen, core removed)
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red and sliced)
Bupleurum Root (Chai Hu, *Bupleuri Radix*) (1 liang, awn removed)
Red Poria (Chi Fu Ling, *Poria cum Ligno* or *Poria Cocos* with red skin) (1 liang)
Gardenia Seed (Zhi Zi Ren, *Gardeniae Fructus*) (0.5 liang)
The above ingredients are coarsely pounded and sieved to make a powder. Take 3 qian per dose, add 1 zhong zhan of water, 7 slices of Bamboo Leaf, and 30 grains of Fermented Soybean (Chi Dou Chi), decoct until 0.6 portion remains. Strain the dregs and take warm at any time.
For treating vexation and heat in the chest and heart, restlessness during sleep, or difficulty in bowel/bladder movement, sores in the mouth and tongue, Maidong San (Ophiopogon Powder) is suitable.
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (3 fen, core removed)
Bitter Orange (Zhi Ke, *Aurantii Fructus*) (0.5 liang, bran-fried until slightly yellow and pith removed)
Scutellaria Root (Huang Qin, *Scutellariae Radix*) (3 fen)
Isatis Root (Da Qing, *Isatidis Radix*) (0.5 liang)
Coptis Rhizome (Huang Lian, *Coptidis Rhizoma*) (0.5 liang, fibrous roots removed)
Mirabilite (Chuan Mang Xiao, *Natrii Sulfas*) (1 liang)
Rhinoceros Horn Shavings (Xi Jiao Xie, *Rhinocerotis Cornu*) (0.5 liang) [Note: Use substitutes in modern practice due to conservation laws]
Cimicifuga Rhizome (Sheng Ma, *Cimicifugae Rhizoma*) (0.5 liang)
Xiao Cao (0.5 liang) [Note: Often refers to *Patrinia* or similar herbs in ancient texts]
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red and sliced)
The above ingredients are coarsely pounded and sieved to make a powder. Take 3 qian per dose, add 1 zhong zhan of water, decoct until 0.6 portion remains. Strain the dregs and take warm after meals.
For treating vexation and heat in the chest and heart, headache, dry and sore eyes, and incessant vexation and thirst, Huang Qin San (Scutellaria Powder) is suitable.
Scutellaria Root (Huang Qin, *Scutellariae Radix*) (1 liang)
Red Poria (Chi Fu Ling, *Poria Cocos*) (1 liang)
Gypsum (Shi Gao, *Gypsi Fibrosum*) (2 liang)
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (1 liang, core removed)
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red and sliced)
Pueraria Root (Ge Gen, *Puerariae Lobatae Radix*) (0.5 liang, sliced)
Chrysanthemum Flower (Gan Ju Hua, *Chrysanthemi Flos*) (0.5 liang)
The above ingredients are coarsely pounded and sieved to make a powder. Take 3 qian per dose, add 1 zhong zhan of water, 14 grains of Fermented Soybean (Dou Chi), and 14 slices of Light Bamboo Leaf (Dan Zhu Ye), decoct until 0.5 portion remains. Strain the dregs, add 1 he of Fresh Rehmannia Juice, boil for one or two more boils, and take warm at any time.
For treating vexation and heat in the chest and heart, loss of appetite, Renshen San (Ginseng Powder) is suitable.
Ginseng Root (Ren Shen, *Panacis Ginseng Radix*) (1 liang, rhizome removed)
Glehnia Root (Sha Shen, *Glehniae Radix*) (1 liang, rhizome removed)
Red Poria (Chi Fu Ling, *Poria Cocos*) (1 liang)
Scutellaria Root (Huang Qin, *Scutellariae Radix*) (1 liang, sliced)
Lycium Bark (Di Gu Pi, *Lycii Radicis Cortex*) (1 liang)
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (1 liang, core removed)
Bupleurum Root (Chai Hu, *Bupleuri Radix*) (1 liang, rhizome removed)
Antelope Horn Shavings (Ling Yang Jiao Xie, *Saigae Tataricae Cornu*) (1 liang) [Note: Use substitutes in modern practice]
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 liang, honey-fried until slightly red and sliced)
The above ingredients are pounded and sifted to make a powder. Take 3 qian per dose, add 1 zhong zhan of water, decoct until 0.6 portion remains. Strain the dregs and take warm at any time.
For treating vexation and heat in the chest and heart, dry mouth and tongue, and disordered Heart Spirit, Zhenzhu San (Pearl Powder) is suitable.
Pearl Powder (Zhenzhu Fen)
Amber Powder (Hupo Mo)
Alumen (Hanshui Shi, *Alumen*)
Tian Zhu Huang (0.5 liang) [Note: Calculus Bovis substitute or bamboo sediment]
Marble Nitre (Ma Ya Xiao, *Natrii Sulfas crystallinus*) (0.5 fen)
Iron Powder (Tie Fen)
Cinnabar (Zhusha, *Cinnabaris*)
Licorice Powder (Gan Cao Mo, *Glycyrrhizae Radix et Rhizoma*) (0.5 fen, raw)
The above ingredients are ground together until fine. Take 0.5 qian per dose at any time, mixed with warm Bamboo Leaf Decoction.
For treating vexation and heat in the chest and heart, dry mouth and stiff tongue, and congested Heart Spirit, Hanhua Yuye Wan (Jade Fluid Pill for Dissolving in Mouth) is suitable.
Alumen (Hanshui Shi, *Alumen*) (1 liang, ground)
Gypsum (Shi Gao, *Gypsi Fibrosum*) (1 liang, ground to powder)
Pueraria Root (Ge Gen, *Puerariae Lobatae Radix*) (1 liang)
Trichosanthes Root (Gua Lou Gen, *Trichosanthis Radix*) (1 liang)
Smoked Plum Flesh (Wu Mei Rou, *Mume Fructus*) (0.5 liang, stir-fried)
Ophiopogon Tuber (Mai Men Dong, *Ophiopogonis Radix*) (1.5 liang, core removed and baked)
Red Poria (Chi Fu Ling, *Poria Cocos*) (1 liang)
Borneol (Long Nao, *Borneolum Syntheticum*) (1 qian, added after grinding)
The above ingredients are pounded and sieved into powder, mixed evenly with the ground ingredients, and bound with refined honey into pills the size of a bullet. Take one pill per dose, wrap in thin cotton, hold in the mouth to dissolve and swallow the saliva.
For treating vexation and heat in the chest and heart, inability to find peace, Ganlu San (Sweet Dew Powder) is suitable.
Licorice Root (Gan Cao, *Glycyrrhizae Radix et Rhizoma*) (0.5 jin)
Bu Hui Mu (0.5 jin) [Note: Likely a mineral substance, possibly related to asbestos or specific stone used historically, now obsolete/rare]
The above ingredients must be prepared in advance during the twelfth lunar month. Process by soaking in snow/ice water, drying in shade, and re-immersing in water, repeating this process 30-20 times until extremely dry. Grind finely and sieve to make a powder. Take 1 qian per dose at any time, mixed with fresh well water.