（附健忘）
惊悸者。因事有所大惊。触忤心神。气与涎郁。遂生惊悸。此乃心虚胆怯所致。宜温胆
汤。呕则以人参代竹茹。
若惊悸眠多异梦。随即惊觉者。宜温胆汤。加酸枣仁莲肉各一钱。以金银煎下十四友丸
或镇心丹远志丸。酒调妙香散。
健忘者。所过之事。转盼遗忘。此乃思虑过度。病在心脾。宜归脾汤。
怔忡。久思所爱。触事不意虚耗真血。心血不足。遂成怔忡。俗谓心忡脉乱是也。宜益
荣汤。
怔忡即忪悸也。忪悸与惊悸若相类而实不同。惊悸者。因事有所惊而悸。忪悸者。本无
所惊。常心忪而自悸。焉得无辨。
感风寒暑湿闭塞诸经而忪忡。各见本门。
因痰饮怔忡者。导痰汤加炒酸枣仁。下寿星丸。
失志者。由所求不遂。或过误自咎。懊恨嗟叹不已。独语书空。若有所失。宜温胆汤。
去竹茹加人参柏子仁各一钱。下定志丸。仍佐以酒。调辰砂妙香散。
有痞塞不饮食。心中常有所怯。爱处暗或倚门后。见人则惊避。似失志状。此名为卑
之证。以血不足故示谷神嘉禾散。加当归半钱。黄 半钱。
痫有五。马牛鸡羊猪。五者以其病状偶类之耳。无非痰涎壅塞。迷闷孔窍。发则头旋颠
倒。
手足触搦。口眼相引。胸背强直叫吼吐沫。食顷乃苏。俗止呼为发猪痫。疾发鸡风。宜星香
散。加全蝎三个。下苏角丸。
(Attached: Forgetfulness)
Palpitations due to fright (Jingji) arise from sudden great shocks that disturb the Heart Spirit, causing Qi and phlegm-fluids to stagnate, thereby generating palpitations. This is caused by deficiency of the Heart and timidity of the Gallbladder. Wen Dan Tang (Warm the Gallbladder Decoction) is indicated. If vomiting occurs, replace Zhu Ru (Bambusae Caulis in Taeniam) with Ren Shen (Ginseng Radix et Rhizoma).
If there are palpitations accompanied by excessive dreaming and strange dreams, followed by sudden awakening, Wen Dan Tang (Warm the Gallbladder Decoction) is indicated, added with Suan Zao Ren (Ziziphi Spinosae Semen) and Lian Rou (Nelumbinis Semen) each one qian. Take it down with Shi Si You Wan (Fourteen Friends Pill), or Zhen Xin Dan (Heart-Calming Pellet), or Yuan Zhi Wan (Polygalae Pill), administered with wine mixed Miao Xiang San (Wonderful Fragrance Powder).
Forgetfulness (Jianwang) refers to forgetting events immediately after they have passed. This results from excessive mental exertion, with the pathology located in the Heart and Spleen. Gui Pi Tang (Restore the Spleen Decoction) is indicated.
Throbbing palpitations (Zhengchong) occur when long-term longing for loved ones or matters, combined with unexpected encounters, deplete the true blood, leading to insufficiency of Heart Blood, thus forming Zhengchong. This is commonly referred to as "Heart throbbing with chaotic pulse." Yi Rong Tang (Nourish the Nutrient Decoction) is indicated.
Zhengchong is synonymous with Songji. Songji resembles Jingji but is fundamentally different. Jingji arises from being startled by external events; Songji occurs without any external startle, characterized by constant inner panic and spontaneous palpitations. How can these not be distinguished?
Palpitations and throbbing caused by contraction of Wind-Cold, Summerheat, and Dampness blocking the various meridians are discussed in their respective sections.
For Zhengchong caused by Phlegm-Fluids, Dao Tan Tang (Guide Out Phlegm Decoction) added with Chao Suan Zao Ren (Fried Ziziphi Spinosae Semen) is used, along with Shou Xing Wan (Longevity Star Pill).
Loss of Will (Shizhi) stems from unfulfilled desires or self-blame for past errors, resulting in endless regret and sighing, speaking alone, writing in the air, and feeling as if something has been lost. Wen Dan Tang (Warm the Gallbladder Decoction) is indicated, with Zhu Ru (Bambusae Caulis in Taeniam) removed, and added with Ren Shen (Ginseng Radix et Rhizoma) and Bai Zi Ren (Biota Seed) each one qian, taking Xia Ding Zhi Wan (Settle the Will Pill). It should still be assisted with wine to mix Chen Sha Miao Xiang San (Cinnabar Wonderful Fragrance Powder).
If there is a sensation of fullness and obstruction, loss of appetite, constant fear in the heart, a preference for dark places or leaning behind doors, and startling avoidance upon seeing people, resembling the state of Loss of Will, this is named the syndrome of Bei (Lowly/Depressed Syndrome). This is due to insufficiency of Blood, so Jia He San (Harmonizing Grain Powder) is used, added with Dang Gui (Angelicae Sinensis Radix) half a qian and Huang Qi (Astragali Radix) half a qian.
There are five types of Epilepsy (Xian): Horse, Ox, Chicken, Sheep, and Pig epilepsy. These five names are derived from the accidental resemblance of symptoms. They all involve phlegm-fluids obstructing and confusing the orifices. Upon onset, there is dizziness and falling, convulsions of the hands and feet, deviation of the mouth and eyes, rigidity of the chest and back, roaring, and foaming at the mouth. Recovery occurs after about the time it takes to eat a meal. Commonly, only Pig Epilepsy is mentioned, and acute onset is called Chicken Wind. Xing Xiang San (Star Anise Powder) is indicated, added with Quan Xie (Scorpio) three pieces, taking Su Jiao Wan (Su Jiao Pill).