搐而不休，休而再搐。惊叫发搐。汗出足冷。痰满胸喉。口开目直。
急惊眼睛翻转，口中出血，两足摆跳，肚腹搐动，或神缓而摸体寻衣，或证笃
而神昏气促，喷药不下，通关不嚏，心中热痛，忽大叫者不治。慢惊四肢厥冷，
吐泻咳嗽，面黯神惨，鸦声胃痛，两胁动气，口生白疮，发直摇头，眼青不转，涎
鸣喘嗌，头软，大小二便不禁，手足一边牵引者，皆为不治。慢脾身冷粘汗，直
卧如尸喘嗽，头软背直，口噤摇头，痰如牵锯之声，面无润泽之色，缩唇气粗者，
不治。
治小儿急惊方搐，不用惊扰，此不足畏，慢惊虽静，乃危病也。急惊方搐时但
扶持之，不可擒捉，盖风气方盛，恐流入筋脉，或至手足成拘挛也。
〔薛〕人身有九脏，心藏神，肝藏魂，二经皆主于血，血亏则神魂失宁而生惊悸
也。经曰∶东方青色，入通于肝，其病发惊骇。又曰∶二阳一阴发病，主惊骇。惊
者，心卒动而恐怖也，悸者，心跳动而怔忡也，二者因心虚血少，故健忘之证随之，
用四物安神之类。丹溪谓∶亦有属痰者，宜用温胆汤加辰砂、远志、之类。若思虑
便动，虚也，用养心汤。时作时止，痰也，用茯苓丸。触事易惊，心胆虚怯也，用
温胆汤。卧惊多魇，血不归源也，用真珠母丸。梦寐不宁，肝魂失守也，用定志丸。
恐畏不能独处，胆气虚冷也，用茯神汤。睡卧烦躁，胆气实热也，用酸枣仁丸。眩
运惊悸，风痰内作也，用《本事》辰砂远志丸。思虑郁结，脾虚气滞，用归脾汤。
前证虽曰属心与肝，而血之所统，实主于脾，脾之志曰思，思虑多则血耗损，而不
能滋养于肝心者，脾使之也。思虑内动，未尝有不役其心者，夫心为君火之脏，十
二官之主也，夫君之德，不怒而威，无为而治，故宜镇之以静谧，戒之以妄动，动
则相火翕合，煽烁阴精，精血既亏，则火空独发，是以惊悸怔忡之所由生，五志之
火，心所不能制者矣。故治脾者不可不知养心，养心者不可不知镇静而寡欲，然人
孰无思也，思之正，则无妄动之欲矣。朱子曰∶必使道心常为一身之主，而人心每
听命焉。此善养于心者也。
温胆汤 治心胆虚怯，触事易惊，或梦寐不祥，遂致心惊胆慑，气郁生涎，涎与气
搏，变生诸证，或短气悸乏，或复自汗，胆虚不能制脾，则脾之水饮作矣。
半夏（汤洗） 竹茹 枳实（麸炒） 橘皮（去白。各二两） 甘草（炙，一两） 白茯苓（一两半）
上，每服四钱，水一盏半，姜五片，枣一枚，煎七分，食前服。
宁志丸 治心虚多惊，若有痰，宜吐之。
人参 白茯苓 茯神 柏子仁 琥珀 当归 酸枣仁（温酒浸半日，去壳） 远志（炒。各半
两） 乳香 朱砂 石菖蒲（各三钱）
上为末，蜜丸桐子大。每服三十丸，食后枣汤下。
茯神散 治五脏气血虚弱，惊悸怔忡，宜用此安神定志。
茯神（去木） 人参 龙齿（另研） 远志（去心） 桂心 防风 独活 酸枣仁 细辛 白术
（炒。各三钱。） 干姜（炮，三两）
上为末。每服四五钱，水煎服。蜜丸亦可。
《治要》茯苓补心汤 治心气不足，喜悲愁怒，衄血面黄，五心烦热，或咽喉间痛，
舌本作强。
茯苓（四钱） 桂心 甘草（炒。各三分） 紫石英（ ） 人参 麦门冬（去心。各一钱）
大枣（二枚）
上，水煎服。
茯神汤 治胆气虚冷，头痛目眩，心神恐畏，不能独处，胸中烦闷。
茯神（去木） 酸枣仁（炒） 黄 （炒） 栀子仁（炒） 白芍药（炒） 五味子（杵，炒）
桂心 熟地黄（自制） 人参（各一两） 甘草（五钱，炒）
上，每服五钱，姜水煎。
酸枣仁丸 治胆气实热，不得睡卧，神志不安，惊悸怔忡。
茯神（去木） 酸枣仁（炒） 远志（去心） 柏子仁（炒） 防风（各一两） 枳壳（麸炒）
生地黄（杵膏。各半两） 青竹茹（二钱五分）
上为末，蜜丸梧子大。每服七八十丸，滚汤下。
定志丸 治心神虚怯，所患同前，或语言鬼怪，喜笑惊悸。
人参 茯苓（各一两五钱） 菖蒲 远志（去心。各一两）
上为末，蜜丸如梧子大。每服七八十丸，滚汤下。
《治要》茯苓散 治心经实热，口干烦渴，眠卧不得，心神恍惚。
茯神 麦门冬（各一两半） 通草 升麻（各一两二钱半） 紫菀 桂心（各七钱五分）
知母（一两） 大枣（十二枚） 淡竹茹（五钱） 赤石脂（一两七钱五分）
上，每服一两，水煎。
朱雀丸 治心病怔忡不止。
白茯苓（二两） 沉香（半两）
上为末，蜜丸小豆大。每服三十丸，人参煎汤下。
世传密陀僧散 治惊气入心络，不能语者。昔有人为野狼及犬、蛇所惊，皆以此而安。
密陀僧（研极细末如粉）
上，茶清调一钱匕。
丹溪朱砂丸 治劳役心跳。
朱砂 当归身 白芍药 侧柏叶（各三钱） 川芎 陈皮 甘草 黄连（炒。各一钱半）
上用猪心血为丸，粟米大。每服百丸，龙眼汤下。
《本事》辰砂远志丸 消风化痰，镇心安神。
人参 石菖蒲（去毛） 远志（去心） 茯神（各一两） 川芎 山药 白附子 麦门冬
细辛 铁粉 辰砂（各五钱）
上为末，用生姜汁入水糊丸，绿豆大，以朱砂为衣。每服一二十丸，临睡生姜
汤下。
加味归脾汤 去丹皮山栀，即归脾汤 治脾虚弱损，健忘惊悸等证。
人参 黄 茯神（去木，各一钱） 甘草（五分） 白术（炒一钱） 木香（五分）
远志（去心） 酸枣仁（炒，研） 龙眼肉 当归 牡丹皮 山栀（炒。各一钱）
上水煎服。
愚按∶前方，若乳母忧思伤脾，血虚发热，食少体倦，或脾虚不能统摄，以
致阴血妄行，或健忘怔忡，惊悸少寐，或心脾作痛，自汗盗汗，或肢体肿痛，大
便不调，或妇人经候不调，晡热内热，或茧唇流注等证，致儿为患者，令子母俱
服之。
辰砂胆星膏 治小儿痰热气热，气急喘嗽，惊悸不安。
辰砂（一钱） 牛胆南星（一两） 琥珀 青礞石末（各一钱） 天竺黄（二钱） 甘草（五分）
麝香（少许）
上为细末，炼蜜丸，如芡实大。每服半丸，不拘时，生姜汤化下。
木通散 治小儿肝心有热惊悸，用此药泻肝风，降心火，利惊热。
羌活 山栀子（各二钱） 大黄（煨） 木通 赤茯苓 甘草（各一钱）
上锉。每服二钱，入紫苏叶些少，水一盏，煎至五分，不拘时服。
Twitching without cessation, ceasing and then twitching again. Startled crying accompanied by convulsions. Sweating with cold feet. Phlegm filling the chest and throat. Mouth open and eyes staring straight up.
In acute wind (Jing Feng) [Acute Convulsive Disorder], the eyes roll back, blood flows from the mouth, the two legs tremble, the abdomen twitches, or the spirit is sluggish while feeling for clothes, or the condition is severe with coma and shortness of breath, medicines cannot be forced down, opening the orifices does not induce sneezing, heat and pain in the heart region, sudden loud crying—these are incurable. In chronic wind (Man Jing), the four limbs are cold, vomiting, diarrhea, and coughing, the face is dark and the spirit miserable, the voice is hoarse like a crow with stomach pain, qi movement in the two hypochondria, white sores in the mouth, hair standing erect with head shaking, eyes blue and unresponsive, salivary rattling with wheezing and throat obstruction, soft head, incontinence of urine and stool, and pulling of hands and feet to one side—all are incurable. In chronic spleen wind (Man Pi Feng), the body is cold with sticky sweat, lying straight like a corpse with wheezing and coughing, soft head and stiff back, locked jaw with head shaking, phlegm sound like sawing, no luster on the face, retracted lips with coarse breathing—incurable.
When treating acute wind in infants during convulsions, do not cause panic or disturbance; this is not something to fear. Although chronic wind is quiet, it is a critical illness. When acute wind is convulsing, only support and protect the child; do not grasp or restrain forcibly, as the pathogenic wind-qi is vigorous, and there is fear that it may flow into the sinews and tendons, leading to contracture of the hands and feet.
[Xue Ji] The human body has nine zang organs. The Heart stores the Shen (Spirit), and the Liver stores the Hun (Ethereal Soul). Both meridians govern Blood. When Blood is deficient, the Shen and Hun lose their tranquility, generating fright palpitations (Jing Ji). The Classics state: "The color of the East is green, entering into communication with the Liver; its disease manifests as fright and terror." It also states: "Disease arising from Yang-Ming and Jue-Yin primarily presents as fright and terror." Fright (Jing) is the sudden beating of the Heart accompanied by terror; Palpitations (Ji) is the beating of the Heart accompanied by restlessness. These two conditions arise from Heart deficiency and Blood insufficiency, hence symptoms of forgetfulness follow. Use Si Wu Tang (Four Substance Decoction) combined with calming-spirit medications. Danxi stated: There are also cases attributable to Phlegm, suitable for using Wen Dan Tang (Warm the Gallbladder Decoction) added with Chen Sha (Cinnabar) and Yuan Zhi (Polygala Root). If triggered by overthinking, it is a deficiency pattern, use Yang Xin Tang (Nourish the Heart Decoction). Intermittent onset indicates Phlegm, use Fu Ling Wan (Poria Pill). Easily startled by events indicates Heart and Gallbladder deficiency and timidity, use Wen Dan Tang. Frequent waking from dreams and nightmares indicates Blood failing to return to its source, use Zhen Zhu Mu Wan (Mother-of-Pearl Pill). Restless sleep indicates the Hun of the Liver failing to maintain its residence, use Ding Zhi Wan (Stabilize Will Pill). Fear preventing solitude indicates Gallbladder Qi deficiency and cold, use Fu Shen Tang (Poria Decoction). Restlessness in sleep indicates Gallbladder Qi excess-heat, use Suan Zao Ren Wan (Ziziphus Seed Pill). Vertigo with fright palpitations indicates internal production of Wind-Phlegm, use Chen Sha Yuan Zhi Wan (Cinnabar and Polygala Pill) from *Ben Shi Fang*. Overthinking and depression with Spleen deficiency and Qi stagnation, use Gui Pi Tang (Restore the Spleen Decoction). Although these syndromes are said to belong to the Heart and Liver, the governing of Blood actually lies with the Spleen. The emotion of the Spleen is Thought (Si); excessive thought consumes Blood, failing to nourish the Liver and Heart, which is caused by the Spleen. Internal movement of thought invariably labors the Heart. The Heart is the organ of Sovereign Fire and the master of the twelve officials. The virtue of a sovereign is authority without anger and governance through non-action; thus, it should be stabilized by tranquility and guarded against reckless movement. Movement causes Ministerial Fire to converge, fanning and scorching Yin Essence. Once Essence and Blood are depleted, Fire erupts alone in emptiness; this is the origin of fright palpitations. The Fire of the Five Emotions is beyond the control of the Heart. Therefore, those treating Spleen disorders must know how to nourish the Heart; those nourishing the Heart must know tranquility and reducing desires. Yet who does not think? Righteous thinking eliminates reckless desires. Zhu Xi said: "One must ensure that the Dao Mind (Moral Mind) is always the master of the body, while the Ren Mind (Human Mind) obeys it." This is the method of good cultivation of the mind.
Wen Dan Tang (Warm the Gallbladder Decoction) treats Heart and Gallbladder deficiency and timidity, being easily startled by events, or ominous dreams leading to heart fright and gallbladder terror, Qi stagnation generating saliva, saliva battling with Qi, transforming into various syndromes, or shortness of breath and palpitation fatigue, or recurrent spontaneous sweating. Gallbladder deficiency fails to control the Spleen, causing Spleen water-dampness to arise.
Ban Xia (Pinelliae Rhizoma, washed in decoction) Zhu Ru (Bambusae Caulis in Taeniam) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Ju Pi (Citri Reticulatae Pericarpium, white pith removed, each 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang) Bai Fu Ling (Poria, 1.5 liang).
Take the above, each dose 4 qian, with 1.5 cups of water, 5 slices of fresh ginger, 1 jujube, decoct to 0.7 cup, take before meals.
Ning Zhi Wan (Calming Spirit Pill) treats Heart deficiency with frequent fright; if phlegm is present, expectoration is indicated.
Ren Shen (Ginseng Radix) Bai Fu Ling (Poria) Fu Shen (Poria with Pine Root) Bai Zi Ren (Biota Seed) Hu Po (Amber) Dang Gui (Angelicae Sinensis Radix) Suan Zao Ren (Ziziphi Spinosae Semen, soaked in warm wine for half a day, shell removed) Yuan Zhi (Polygalae Radix, fried, each half liang) Ru Xiang (Olibanum) Zhu Sha (Cinnabar) Shi Chang Pu (Acori Tatarinowii Rhizoma, each 3 qian).
Grind into powder, make pills with honey the size of tung seeds. Take 30 pills after meals with jujube decoction.
Fu Shen San (Poria Powder) treats deficiency of Qi and Blood in the five zang organs, fright palpitations and arrhythmia; use this to calm the spirit and stabilize the will.
Fu Shen (Poria with Pine Root, remove wood) Ren Shen (Ginseng Radix) Long Chi (Draconis Os, separately ground) Yuan Zhi (Polygalae Radix, remove heart) Gui Xin (Cinnamomi Ramulus) Fang Feng (Saposhnikoviae Radix) Du Huo (Angelicae Pubescentis Radix) Suan Zao Ren (Ziziphi Spinosae Semen) Xi Xin (Asari Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, fried, each 3 qian.) Gan Jiang (Zingiberis Rhizoma, processed, 3 liang).
Grind into powder. Take 4-5 qian each time, decoct in water. Honey pills are also acceptable.
*Zhi Yao* Fu Ling Bu Xin Tang (Poria Nourishing Heart Decoction) from *Zhi Yao* treats Heart Qi deficiency, propensity for sadness and anger, epistaxis, sallow complexion, heat in the five centers, or pain in the throat, and stiffness of the tongue.
Fu Ling (Poria, 4 qian) Gui Xin (Cinnamomi Ramulus) Gan Cao (Glycyrrhizae Radix et Rhizoma, fried, each 3 fen) Zi Shi Ying (Fluorite) Ren Shen (Ginseng Radix) Mai Men Dong (Ophiopogonis Radix, remove heart, each 1 qian) Da Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take.
Fu Shen Tang (Poria Decoction) treats Gallbladder Qi deficiency-cold, headache and vertigo, Heart spirit fear and inability to be alone, chest stuffiness.
Fu Shen (Poria with Pine Root, remove wood) Suan Zao Ren (Ziziphi Spinosae Semen, fried) Huang Qi (Astragali Radix, fried) Zhi Zi Ren (Gardeniae Fructus, fried) Bai Shao Yao (Paeoniae Radix Alba, fried) Wu Wei Zi (Schisandrae Fructus, pounded, fried) Gui Xin (Cinnamomi Ramulus) Shu Di Huang (Rehmanniae Radix Praeparata, homemade) Ren Shen (Ginseng Radix, each 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 qian, fried).
Each dose 5 qian, decoct in water with ginger.
Suan Zao Ren Wan (Ziziphus Seed Pill) treats Gallbladder Qi excess-heat, inability to sleep, unsettled spirit, fright palpitations and arrhythmia.
Fu Shen (Poria with Pine Root, remove wood) Suan Zao Ren (Ziziphi Spinosae Semen, fried) Yuan Zhi (Polygalae Radix, remove heart) Bai Zi Ren (Biota Seed, fried) Fang Feng (Saposhnikoviae Radix, each 1 liang) Zhi Ke (Aurantii Fructus, bran-fried) Sheng Di Huang (Rehmanniae Radix, pounded into paste, each half liang) Qing Zhu Ru (Bambusae Caulis in Taeniam, 2.5 qian).
Grind into powder, make honey pills the size of tung seeds. Take 70-80 pills with boiling water.
Ding Zhi Wan (Stabilize Will Pill) treats Heart spirit deficiency and timidity, same symptoms as above, or speaking like ghosts, laughing and fright palpitations.
Ren Shen (Ginseng Radix) Fu Ling (Poria, each 1.5 liang) Chang Pu (Acori Tatarinowii Rhizoma) Yuan Zhi (Polygalae Radix, remove heart, each 1 liang).
Grind into powder, make honey pills the size of tung seeds. Take 70-80 pills with boiling water.
*Zhi Yao* Fu Ling San (Poria Powder) from *Zhi Yao* treats Heart meridian excess-heat, dry mouth and thirst, insomnia, and vague spirit.
Fu Shen (Poria with Pine Root) Mai Men Dong (Ophiopogonis Radix, each 1.5 liang) Tong Cao (Tetrapanacis Medulla) Sheng Ma (Cimicifugae Rhizoma, each 1.25 liang) Zi Wan (Adenophorae Radix) Gui Xin (Cinnamomi Ramulus, each 0.75 liang) Zhi Mu (Anemarrhenae Rhizoma, 1 liang) Da Zao (Jujubae Fructus, 12 pieces) Dan Zhu Ru (Bambusae Caulis in Taeniam, 5 qian) Chi Shi Zhi (Halloysit Rubrum, 1.75 liang).
Each dose 1 liang, decoct in water.
Zhu Que Wan (Vermilion Bird Pill) treats persistent arrhythmia due to Heart disease.
Bai Fu Ling (Poria, 2 liang) Chen Xiang (Aquilariae Lignum Resinatum, half liang).
Grind into powder, make honey pills the size of mung beans. Take 30 pills with Ginseng decoction.
Shi Chuan Mi Duo Seng San (World-Transmitted Lead Monoxide Powder) treats fright qi entering the Heart collaterals, resulting in aphasia. In the past, people frightened by wild wolves, dogs, or snakes were all calmed by this.
Mi Duo Seng (Galena/Lead Monoxidum, ground to fine powder).
Mix with clear tea water, take one qian bi (a small spoonful).
Danxi Zhu Sha Wan (Danxi's Cinnabar Pill) treats palpitations due to overwork.
Zhu Sha (Cinnabar) Dang Gui Shen (Angelicae Sinensis Radix) Bai Shao Yao (Paeoniae Radix Alba) Ce Bai Ye (Platycladi Cacumen, each 3 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Chen Pi (Citri Reticulatae Pericarpium) Gan Cao (Glycyrrhizae Radix et Rhizoma) Huang Lian (Coptidis Rhizoma, fried, each 1.5 qian).
Make pills with pig heart blood, size of millet grains. Take 100 pills with longan decoction.
*Ben Shi Fang* Chen Sha Yuan Zhi Wan (Cinnabar and Polygala Pill from *Essential Prescriptions*) dissipates wind and transforms phlegm, settles the Heart and calms the spirit.
Ren Shen (Ginseng Radix) Shi Chang Pu (Acori Tatarinowii Rhizoma, remove hairs) Yuan Zhi (Polygalae Radix, remove heart) Fu Shen (Poria with Pine Root, each 1 liang) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Shan Yao (Dioscoreae Rhizoma) Bai Fu Zi (Typhonii Rhizoma) Mai Men Dong (Ophiopogonis Radix) Xi Xin (Asari Radix et Rhizoma) Tie Fen (Ferrum) Chen Sha (Cinnabar, each 5 qian).
Grind into powder, make pills with ginger juice and water starch, size of mung beans, coat with cinnabar. Take 10-20 pills before sleep with ginger decoction.
Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) Remove Mu Dan Pi and Shan Zhi, i.e., Gui Pi Tang. Treats Spleen deficiency damage, forgetfulness, and fright palpitations.
Ren Shen (Ginseng Radix) Huang Qi (Astragali Radix) Fu Shen (Poria with Pine Root, remove wood, each 1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma, fried, 1 qian) Mu Xiang (Aucklandiae Radix, 5 fen) Yuan Zhi (Polygalae Radix, remove heart) Suan Zao Ren (Ziziphi Spinosae Semen, fried, ground) Long Yan Rou (Longan Aril) Dang Gui (Angelicae Sinensis Radix) Mu Dan Pi (Moutan Cortex) Shan Zhi (Gardeniae Fructus, fried, each 1 qian).
Decoct in water and take.
My commentary: For the above formulas, if the wet nurse suffers Spleen injury from worry and overthinking, leading to Blood deficiency fever, poor appetite, and fatigue, or Spleen deficiency failing to control blood causing erratic Yin-Blood bleeding, or forgetfulness and arrhythmia, fright palpitations and insomnia, or Heart-Spleen pain, spontaneous and night sweats, limb swelling and pain, irregular bowel movements, or women with irregular menstruation, afternoon tidal fever, internal heat, or mulberry lip and flowing abscesses, causing the infant to suffer, both mother and child should take these medicines.
Chen Sha Dan Xing Gao (Cinnabar and Gall-Nard Paste) treats infant phlegm-heat and qi-heat, rapid breathing and coughing, and fright palpitations with unrest.
Chen Sha (Cinnabar, 1 qian) Niu Dan Nan Xing (Bovis Calculus cum Arecae Semine, 1 liang) Hu Po (Amber) Qing Meng Shi Mo (Malachite Powder, each 1 qian) Tian Zhu Huang (Bambusae Stimulus, 2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen) She Xiang (Moschus, a little).
Grind into fine powder, make pills with refined honey, size of euryale seed. Take half a pill at any time, dissolve in ginger decoction.
Mu Tong San (Tetrapanax Powder) treats infant Liver and Heart heat causing fright palpitations; use this to drain Liver wind, descend Heart fire, and benefit from clearing fright-heat.
Qiang Huo (Notopterygii Rhizoma et Radix) Shan Zhi Zi (Gardeniae Fructus, each 2 qian) Da Huang (Rhei Radix et Rhizoma, baked) Mu Tong (Akebiae Caulis) Chi Fu Ling (Poria with Red Coating) Gan Cao (Glycyrrhizae Radix et Rhizoma, each 1 qian).
Cut into pieces. Each dose 2 qian, add a little Zi Su Ye (Perillae Folium), 1 cup of water, decoct to 0.5 cup, take at any time.