《圣惠》论∶夫小儿惊悸者，由心脏壅热，为风邪所乘。邪搏于心，则令多惊不安。惊不已，则悸动不定也。
《外台秘要》钩藤汤 疗小儿壮热，时气，惊悸，并热疮出方。
钩藤 人参 蚱蝉（炙） 子芩（各一分） 蛇蜕皮（炙，三寸） 龙齿（四分，碎） 防风 泽泻（各二分） 石
膏（一两，碎） 竹沥（三合）
上十味切，以水二升，并竹沥煎取七合，细细服之，以瘥为度。
《外台秘要》又方
茯神 蚱蝉（炙。各二分） 人参（三分） 钩藤（一分） 牛黄（两大豆许，研） 杏仁（十二枚，去皮，研）
龙齿（碎） 麦门冬（去心。各四分） 蛇蜕皮（三寸，炙，末之）
上九味切，以水三升，煎取六合，去滓，下牛黄末，分六服。消息服之，令尽瘥。
《圣惠》治小儿心惊悸、烦乱。茯神散方
茯神 川升麻（各三分） 龙齿 甘草（炙微赤，锉。各半两） 寒水石 石膏 麦门冬（去心焙。各一两）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分，去滓，入竹沥半合，更煎二沸。量儿大小，以
意加减。
《圣惠》治小儿惊悸，情思不安。人参散方
人参（去芦头） 甘草（炙微赤，锉） 犀角屑（各半两） 麦门冬（去心焙） 龙骨（各一两） 茯神（三分）
上件药捣，粗罗为散。每服一钱，以水一小盏，煎至五分去滓，入地黄汁半合，更煎一两沸。量儿大小以
意加减，温服。
《圣惠》治小儿风热惊悸。蚱蝉散方
龙齿（细研） 人参（去芦头。各三分） 钩藤 杏仁（汤浸，去皮尖、双仁，麸炒微黄。各二分） 牛黄（二钱，
细研） 蛇蜕皮（五寸，烧灰） 蚱蝉（去翅、足，微炒） 茯神 麦门冬（去心焙。各半两）
上件药捣，细罗为散。入研了药都研令匀。每服以新汲水调下半钱。量儿大小加减服之。
《圣惠》治小儿身体壮热，惊悸神不宁。安心神。远志煎方
远志（去心） 羚羊角屑 茯神 甘草（炙微赤锉） 杏仁（汤浸，去皮尖、双仁，麸炒微黄） 紫菀（洗去苗土）
龙骨 防风（去芦头。各半两） 龙胆（去芦头） 蚱蝉（去翅足） 百合 牛黄（细研） 麝香 川升麻（三分） 川
大黄（一两，锉，微炒） 酥（三两） 蜜（半斤）
上件药先研牛黄、麝香二味为粉，除酥、蜜等二味粗捣，用水三升入银锅内煎至半升，以新绵滤去滓，却
入锅内，下牛黄、麝香、酥、蜜等，以柳篦不住手搅，慢火熬如稠饧方止，瓷合内盛。每服取两豆许大，用
温水调服。量儿大小加减服之。
《圣惠》治小儿热多，惊悸，昼瘥夜甚，象鬼神所着。铁粉煎方
铁粉（一两） 牛黄（细研，一分） 菖蒲（三分） 酥（三两） 犀角屑 人参（去芦头） 茯神 百合 防风
（去芦头） 川大黄（锉碎） 青黛
（细研） 细辛 远志（去心） 芎 麻黄（去根节） 薯蓣 甘草（炙微赤，锉。以上各半两） 蜜（半斤）
上件药先粗捣诸药，用水三升入银锅中，煎至半升，以新绵滤去滓，却入银锅内入搅如稠饧，收瓷合中。
每服以温水调二大豆许，日三、四服。量儿大小加减服之。
《圣惠》治小儿心热，多惊悸。金泥煎方
金箔（七十五片） 水银（一两半） 远志（一两，去心） 青黛 麝香 牛黄（各一分） 蚱蝉（三枚，去翅足）
虎睛（一对，微炙） 酥（四两） 蜜（半斤） 菖蒲 钩藤 龙胆（去芦头） 龙齿 人参（去芦头） 赤茯苓 甘
草（炙微赤，锉。各三分）
上件药水银、金箔同研如泥；又别研麝香、虎睛、牛黄、青黛四味如粉，其余药捣、筛为散，入银锅中。先
以水二升，慢火煎取半升，以新绵滤去滓，再入锅内，下酥、蜜及金泥并研了药等，慢火煎，不住手以柳篦
搅如稠饧，入瓷合内盛。每服取二大豆许，以温水调服。日三、四服。量儿大小以意加减服之。
《圣惠》治小儿惊悸，壮热黄瘦，不思乳食。天竺黄丸方
天竺黄（细研） 黄连（去须） 柴胡（去苗） 羚羊角（屑） 蔓荆子 犀角屑 防风（去芦头） 子芩 川升
麻麦门冬（去心，焙） 甘草（炙微赤，锉） 元参 白蒺藜（微炒，去刺） 朱砂（研） 木香（以上各一分） 脑
麝（研） 牛黄（研。各一钱）
上件药捣，罗为末，与研了药都研令匀，炼蜜和丸如绿豆大。每服以温水化下五丸。量儿大小，以意加减。
《圣惠》治小儿惊悸壮热，黄瘦发立。牛黄丸方
犀角屑 天竺黄（细研） 白附子（炮裂） 茯神 黄连（去须） 羚羊角屑 防风（去芦头） 元参 枳壳（麸
炒微黄，去瓤） 甘菊花 人参（去芦头） 黄 （锉） 甘草（炙微赤，锉） 黄芩（以上各一分） 牛黄（细研，
一钱） 朱砂（细研，水飞过，半两）
上件药捣，罗为末，入研了药，都研令匀，炼蜜和丸如绿豆大。每服以淡竹叶汤研下五丸，日三、四服。
量儿大小以意加减服之。
《圣惠》治小儿壮热惊悸，不得眠睡。天竺黄丸方
天竺黄（细研） 黄连（去须） 川大黄（锉碎，微炒） 牡蛎粉 黄芩 栀子仁 远志（去心。以上各半两）
上件药捣，罗为末，炼蜜和丸如绿豆大。每服以新汲水下五丸。量儿大小加减服之。
《圣惠》治小儿心热惊悸。竹沥磨犀角饮子方
竹沥（二合） 犀角
上件药，将犀角于竹沥内磨，令浓。量儿大小分减服之，日三、四服。
《灵苑》抱龙丸 解一切热，化风痰。治大人、小儿风痫、惊痫，阳毒狂躁；及心热惊悸，夜卧不安，胸膈壅
痰，厥头痛，心神恍惚等疾。（翰林院方。）
天南星（一斤，生） 朱砂（细研，水飞） 紫石英（研、飞） 白石英（研、飞） 犀角（锉末。各一两） 牛
黄（研） 阿胶（锉碎，炒如珠子） 藿香 麝香（研。各半两） 金箔（五十片） 雄黄（水磨通明者，四两，研）
上件一十一味捣，罗、细研为末，更入乳钵内研如粉，以黄牛胆四十五个，取汁和丸如樱桃大。每服一丸，
以盐一捻，和药细嚼，新水吞下。如牛胆少，以煎水相和。诸疾服之，心膈清凉如冰雪，便觉精神爽快也。
《灵苑》辰朱虎睛丸 压惊悸，镇心脏，兼治小儿诸惊痫。（此方柏温恭进过，甚有功效）
辰锦朱砂 白茯苓 黄芩 山栀子仁 人参（各一两） 虎睛（一对，用人） 牛黄 脑麝 犀角屑（各一分） 钩
藤大黄（用湿纸裹，煨熟。各四两）
上件一十二味并捣，罗为细末，以炼蜜为丸如鸡头肉子大。每服一丸至二丸，用金银汤下。人参汤亦得。
According to the *Shenghui Fang*: The condition of pediatric fright palpitations (Jing Ji) arises from heat accumulation in the Heart, which is invaded by wind pathogen. When the pathogen clashes with the Heart, it causes frequent fright and restlessness. If the fright persists, it leads to palpitations and instability of the heart spirit.
*Waitai Miyao* Gouteng Decoction (Uncaria Decoction) treats pediatric high fever, seasonal epidemics, fright palpitations, and the eruption of heat sores.
Ingredients: Uncariae Ramulus cum Uncis (Gouteng), Ginseng Radix et Rhizoma (Renshen), Cicada Molt (Zachan, roasted), Scutellariae Radix (Ziqin, each 1 fen), Snake Slough (Shetuipi, roasted, 3 cun), Dragon's Teeth (Longchi, 4 fen, crushed), Saposhnikoviae Radix (Fangfeng), Alisma Rhizoma (Zexie, each 2 fen), Gypsum Fibrosum (Shigao, 1 liang, crushed), Bamboo Juice (Zhuli, 3 he).
Preparation and Administration: The above ten ingredients are cut, decocted with two sheng of water and bamboo juice to obtain seven he of liquid. Administer slowly until recovery.
Another prescription from *Waitai Miyao*:
Ingredients: Poria Cum Radix (Fushen), Cicada Molt (Zachan, roasted, each 2 fen), Ginseng Radix et Rhizoma (Renshen, 3 fen), Uncariae Ramulus cum Uncis (Gouteng, 1 fen), Calculus Bovis (Niuhuang, approx. size of two large soybeans, powdered), Armeniacae Semen Amarum (Xingren, 12 pieces, peeled and crushed), Dragon's Teeth (Longchi, crushed), Ophiopogonis Radix (Maimendong, deheartened, each 4 fen), Snake Slough (Shetuipi, 3 cun, roasted and powdered).
Preparation and Administration: The above nine ingredients are cut, decocted with three sheng of water to obtain six he of liquid. Strain the dregs, add the powdered Calculus Bovis, and divide into six doses. Adjust dosage according to the condition until cured.
*Shenghui Fang* Fushen Powder for treating pediatric heart fright palpitations and agitation.
Ingredients: Poria Cum Radix (Fushen), Cimicifugae Rhizoma (Chuan Shengma, each 3 fen), Dragon's Teeth (Longchi), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut, each half liang), Halloysit Rubra (Hanshuishi), Gypsum Fibrosum (Shigao), Ophiopogonis Radix (Maimendong, deheartened and baked, each 1 liang).
Preparation and Administration: Crush the herbs, sieve coarsely to make a powder. Take one qian per dose, decoct with one small cup of water until reduced to five fen, strain, add half he of bamboo juice, and boil twice more. Adjust dosage based on the child's age.
*Shenghui Fang* Renshen Powder for treating pediatric fright palpitations and mental unrest.
Ingredients: Ginseng Radix et Rhizoma (Renshen, rhizome removed), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut), Cornu Rinocerotis (Xijiao, each half liang), Ophiopogonis Radix (Maimendong, deheartened and baked), Os Draconis (Longgu, each 1 liang), Poria Cum Radix (Fushen, 3 fen).
Preparation and Administration: Crush the herbs, sieve coarsely to make a powder. Take one qian per dose, decoct with one small cup of water until reduced to five fen, strain, add half he of Rehmanniae Juice (Dihuang Zhi), and boil briefly. Adjust dosage based on the child's age and take warm.
*Shenghui Fang* Zachan Powder for treating pediatric wind-heat fright palpitations.
Ingredients: Dragon's Teeth (Longchi, finely ground), Ginseng Radix et Rhizoma (Renshen, rhizome removed, each 3 fen), Uncariae Ramulus cum Uncis (Gouteng), Armeniacae Semen Amarum (Xingren, soaked in hot water, peeled and crushed, each 2 fen), Calculus Bovis (Niuhuang, 2 qian, finely ground), Snake Slough (Shetuipi, 5 cun, burnt to ash), Cicada Molt (Zachan, wings and feet removed, lightly fried), Poria Cum Radix (Fushen), Ophiopogonis Radix (Maimendong, deheartened and baked, each half liang).
Preparation and Administration: Crush the herbs, sieve finely to make a powder. Mix thoroughly with the pre-ground ingredients. Take half a qian per dose mixed with fresh well water. Adjust dosage based on the child's age.
*Shenghui Fang* Yuanzhi Decoction for treating pediatric high fever, fright palpitations, and restless spirit, to calm the heart spirit.
Ingredients: Polygalae Radix (Yuanzhi, deheartened), Cornu Saigae Tataricae (Lingyangjiao), Poria Cum Radix (Fushen), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut), Armeniacae Semen Amarum (Xingren, soaked, peeled, and fried with bran), Asteris Radix (Ziwan, washed), Os Draconis (Longgu), Saposhnikoviae Radix (Fangfeng, rhizome removed, each half liang), Gentianae Radix (Longdan, rhizome removed), Cicada Molt (Zachan, wings and feet removed), Liliis Bulbus (Baihe), Calculus Bovis (Niuhuang, finely ground), Moschus (Shexiang), Cimicifugae Rhizoma (Chuan Shengma, 3 fen), Rheii Radix et Rhizoma (Chuan Dahuang, 1 liang, cut and lightly fried), Butter (Su, 3 liang), Honey (Mi, half jin).
Preparation and Administration: First grind Calculus Bovis and Moschus into powder. Coarsely crush the remaining herbs (excluding butter and honey). Decoct with three sheng of water in a silver pot until reduced to half a sheng. Filter through new cotton, return to the pot, add Calculus Bovis, Moschus, butter, and honey. Stir constantly with a willow stick over low heat until it resembles thick syrup. Store in a porcelain jar. Take an amount the size of two soybeans per dose, mixed with warm water. Adjust dosage based on the child's age.
*Shenghui Fang* Tiefen Decoction for pediatric excess heat, fright palpitations that improve during the day but worsen at night, resembling possession by spirits.
Ingredients: Ferri Pulvis (Tiefen, 1 liang), Calculus Bovis (Niuhuang, finely ground, 1 fen), Acori Tatarinowii Rhizoma (Changpu, 3 fen), Butter (Su, 3 liang), Cornu Rinocerotis (Xijiao), Ginseng Radix et Rhizoma (Renshen, rhizome removed), Poria Cum Radix (Fushen), Liliis Bulbus (Baihe), Saposhnikoviae Radix (Fangfeng, rhizome removed), Rheii Radix et Rhizoma (Chuan Dahuang, crushed), Indigo Naturalis (Qingdai, finely ground), Asari Radix et Rhizoma (Xixin), Polygalae Radix (Yuanzhi, deheartened), Ligustici Chuanxiong Rhizoma (Xiong), Ephedrae Herba (Mahuang, roots and nodes removed), Dioscoreae Rhizoma (Shuyu), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut, each half liang), Honey (Mi, half jin).
Preparation and Administration: Coarsely crush all herbs. Decoct with three sheng of water in a silver pot until reduced to half a sheng. Filter through new cotton, return to the pot, stir until thick like syrup. Store in a porcelain jar. Take an amount the size of two soybeans per dose mixed with warm water, three to four times daily. Adjust dosage based on the child's age.
*Shenghui Fang* Jinni Decoction for pediatric heart heat and frequent fright palpitations.
Ingredients: Folium Aurum (Jinbo, 75 pieces), Hydrargyrum (Shuiyin, 1.5 liang), Polygalae Radix (Yuanzhi, 1 liang, deheartened), Indigo Naturalis (Qingdai), Moschus (Shexiang), Calculus Bovis (Niuhuang, each 1 fen), Cicada Molt (Zachan, 3 pieces, wings and feet removed), Felis Tigris Oculi (Huqing, one pair, lightly roasted), Butter (Su, 4 liang), Honey (Mi, half jin), Acori Tatarinowii Rhizoma (Changpu), Uncariae Ramulus cum Uncis (Gouteng), Gentianae Radix (Longdan, rhizome removed), Dragon's Teeth (Longchi), Ginseng Radix et Rhizoma (Renshen, rhizome removed), Poria (Chifuling), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut, each 3 fen).
Preparation and Administration: Grind Hydrargyrum and Folium Aurum together until mud-like. Separately grind Moschus, Felis Tigris Oculi, Calculus Bovis, and Indigo Naturalis into powder. Crush and sieve the remaining herbs into a powder and place in a silver pot. Decoct with two sheng of water over low heat until reduced to half a sheng. Filter through new cotton, return to the pot, add butter, honey, the "gold mud," and other powders. Simmer over low heat, stirring constantly with a willow stick until thick like syrup. Store in a porcelain jar. Take an amount the size of two soybeans per dose mixed with warm water, three to four times daily. Adjust dosage based on the child's age.
*Shenghui Fang* Tianzhu Huang Pill for pediatric fright palpitations, high fever, sallow emaciation, and loss of appetite.
Ingredients: Calamus Tuber (Tianzhu Huang, finely ground), Coptidis Rhizoma (Huanglian,须 removed), Bupleuri Radix (Chaihu, tops removed), Cornu Saigae Tataricae (Lingyangjiao), Viticis Fructus (Manjingzi), Cornu Rinocerotis (Xijiao), Saposhnikoviae Radix (Fangfeng, rhizome removed), Scutellariae Radix (Ziqin), Cimicifugae Rhizoma (Chuan Shengma), Ophiopogonis Radix (Maimendong, deheartened and baked), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut), Scrophulariae Radix (Yuanshen), Tribuli Fructus (Bajili, lightly fried and thorns removed), Cinnabaris (Zhusha, ground), Costi Radix (Muxiang, each 1 fen), Moschus (Nanshe, ground), Calculus Bovis (Niuhuang, ground, each 1 qian).
Preparation and Administration: Crush the herbs, sieve into powder, mix thoroughly with the ground ingredients. Form pills with refined honey, sized like mung beans. Take five pills per dose dissolved in warm water. Adjust dosage based on the child's age.
*Shenghui Fang* Niuhuang Pill for pediatric fright palpitations, high fever, sallow emaciation, and erect hair.
Ingredients: Cornu Rinocerotis (Xijiao), Calamus Tuber (Tianzhu Huang, finely ground), Typhonii Rhizoma (Baifuzi, processed), Poria Cum Radix (Fushen), Coptidis Rhizoma (Huanglian,须 removed), Cornu Saigae Tataricae (Lingyangjiao), Saposhnikoviae Radix (Fangfeng, rhizome removed), Scrophulariae Radix (Yuanshen), Aurantii Fructus (Zhike, fried with bran until slightly yellow, pith removed), Chrysanthemi Flos (Ganjuhua), Ginseng Radix et Rhizoma (Renshen, rhizome removed), Astragali Radix (Huangqi, cut), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red and cut), Scutellariae Radix (Huangqin, each 1 fen), Calculus Bovis (Niuhuang, finely ground, 1 qian), Cinnabaris (Zhusha, finely ground and water-washed, half liang).
Preparation and Administration: Crush the herbs, sieve into powder, mix with the ground ingredients. Form pills with refined honey, sized like mung beans. Take five pills per dose washed down with light bamboo leaf decoction, three to four times daily. Adjust dosage based on the child's age.
*Shenghui Fang* Tianzhu Huang Pill for pediatric high fever, fright palpitations, and insomnia.
Ingredients: Calamus Tuber (Tianzhu Huang, finely ground), Coptidis Rhizoma (Huanglian,须 removed), Rheii Radix et Rhizoma (Chuan Dahuang, crushed and lightly fried), Ostreae Concha (Muli Fen), Scutellariae Radix (Huangqin), Gardeniae Fructus (Zhizi Ren), Polygalae Radix (Yuanzhi, deheartened, each half liang).
Preparation and Administration: Crush the herbs, sieve into powder. Form pills with refined honey, sized like mung beans. Take five pills per dose washed down with fresh well water. Adjust dosage based on the child's age.
*Shenghui Fang* Zhuli Mo Xijiao Yinzi for pediatric heart heat and fright palpitations.
Ingredients: Bamboo Juice (Zhuli, 2 he), Cornu Rinocerotis (Xijiao).
Preparation and Administration: Grind Cornu Rinocerotis in Bamboo Juice until thick. Divide into doses based on the child's age, three to four times daily.
*Lingyuan Fang* Baolong Wan resolves all heat, transforms wind-phlegm. It treats wind epilepsy and fright epilepsy in adults and children, yang-toxic mania; as well as heart heat fright palpitations, restless sleep, phlegm obstruction in chest and diaphragm, jue headache, and vague spirit. (From Hanlin Academy Formula.)
Ingredients: Pinelliae Rhizoma (Tiannanxing, 1 jin, raw), Cinnabaris (Zhusha, finely ground and water-washed), Fluorite (Zishiyang, ground and washed), White Fluorite (Baishiyang, ground and washed), Cornu Rinocerotis (Xijiao, cut into powder, each 1 liang), Calculus Bovis (Niuhuang, ground), Collagen (Ejiao, cut and fried until bead-like), Pogostemonis Herba (Huoxiang), Moschus (Shexiang, ground, each half liang), Folium Aurum (Jinbo, 50 pieces), Realgar (Xionghuang, water-milled transparent ones, 4 liang, ground).
Preparation and Administration: Crush the eleven ingredients, sieve, and grind finely. Further grind in a mortar until powdery. Mix with the juice of forty-five ox gallbladders to form pills the size of cherries. Take one pill per dose, chew thoroughly with a pinch of salt, and swallow with fresh water. If ox bile is insufficient, use decocted water. This formula clears the chest and diaphragm like ice and snow, refreshing the spirit.
*Lingyuan Fang* Chenzhu Huqing Wan suppresses fright palpitations and calms the Heart. It also treats various fright epilepsies in children. (This formula was presented by Bai Wengong and is highly effective.)
Ingredients: Chenjin Cinnabaris (Chenjinzhu Sha), Poria (Baifuling), Scutellariae Radix (Huangqin), Gardeniae Fructus (Shanzhizi Ren), Ginseng Radix et Rhizoma (Renshen, each 1 liang), Felis Tigris Oculi (Huqing, one pair, soaked in human urine), Calculus Bovis (Niuhuang), Moschus (Naoshe), Cornu Rinocerotis (Xijiao, each 1 fen), Uncariae Ramulus cum Uncis (Gouteng), Rheii Radix et Rhizoma (Dahuang, wrapped in wet paper and baked until cooked, each 4 liang).
Preparation and Administration: Crush all twelve ingredients, sieve into fine powder. Form pills with refined honey, sized like chicken head seeds. Take one to two pills per dose, washed down with gold-silver decoction or Ginseng decoction.