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, and after cessation, 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) [convulsive disorder], if the eyes roll back, blood flows from the mouth, both legs jump, the abdomen twitches, or the spirit is sluggish while groping the body and searching for clothes, or the condition is severe with coma and shortness of breath, medication cannot be administered, opening-the-nose powder fails to induce sneezing, there is heat and pain in the heart region, or sudden loud screaming occurs, these are untreatable. In chronic wind (Man Jing), if the four limbs are cold, vomiting, diarrhea, and coughing occur, the complexion is dark and the spirit is desolate, the voice is hoarse like a crow's croak with stomach pain, qi moves in the two hypochondria, white sores appear in the mouth, hair stands erect with head shaking, the eyes are blue-black and unresponsive, phlegm rattles with wheezing and throat obstruction, the head is soft, incontinence of urine and stool occurs, or the hands and feet are pulled to one side, all these are untreatable. In slow spleen wind (Man Pi Feng), if the body is cold with sticky sweat, lying straight like a corpse with wheezing and coughing, the head is soft and the back stiff, the jaw is locked with head shaking, the sound of phlegm resembles sawing, the face lacks luster, the lips are retracted and breathing is coarse, this is untreatable.
When treating infant acute wind (Jing Feng) during convulsions, do not cause panic or disturbance; this is not something to fear. Although chronic wind (Man Jing) appears quiet, it is a critical illness. When acute wind (Jing Feng) is convulsing, simply support the child; do not forcibly restrain them, as the pathogenic wind-qi is vigorous and may flow into the sinews and vessels, 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, giving rise to 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 Two Yangs and One Yin primarily presents as fright and terror." Fright (Jing) refers to the sudden beating of the Heart accompanied by terror; Palpitations (Ji) refer to the beating of the Heart accompanied by fluttering anxiety. Both conditions arise from Heart deficiency and Blood insufficiency, hence symptoms of forgetfulness follow. Use Si Wu Tang (Four Substances Decoction) combined with herbs that calm the Spirit. Danxi stated: There are also cases attributable to Phlegm, suitable for treating with Wendan Tang (Warm the Gallbladder Decoction) added with Chen Sha (Cinnabar) and Yuan Zhi (Polygala Root). If triggered by overthinking, it is a deficiency pattern, treat with Yang Xin Tang (Nourish the Heart Decoction). If intermittent, it is a Phlegm pattern, treat with Fu Ling Wan (Poria Pill). If easily startled by events, it is Heart and Gallbladder deficiency and timidity, treat with Wendan Tang (Warm the Gallbladder Decoction). If dreaming and prone to nightmares during sleep, it is Blood failing to return to its source, treat with Zhen Zhu Mu Wan (Pearl Shell Pill). If restless in dreams, it is the Hun of the Liver failing to maintain its post, treat with Ding Zhi Wan (Stabilize the Will Pill). If fearful and unable to stay alone, it is Gallbladder Qi deficiency and cold, treat with Fu Shen Tang (Poria Decoction). If restless in sleep, it is Gallbladder Qi excess and heat, treat with Suan Zao Ren Wan (Ziziphus Seed Pill). If dizzy with palpitations, it is internal production of Wind-Phlegm, treat with Chen Sha Yuan Zhi Wan (Cinnabar and Polygala Pill) from *Ben Shi Fang*. If thoughts are knotted due to depression, with Spleen deficiency and Qi stagnation, treat with Gui Pi Tang (Restore the Spleen Decoction). Although the aforementioned conditions are said to belong to the Heart and Liver, the governance of Blood actually lies with the Spleen. The emotion of the Spleen is Thought (Si). Excessive thought consumes Blood, preventing it from nourishing the Liver and Heart; this is caused by the Spleen. Internal movement of thought invariably exerts strain on 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. Therefore, it should be stabilized by tranquility and warned against reckless movement. Movement causes Ministerial Fire to converge and scorch Yin Essence. Once Essence and Blood are depleted, Fire flares up alone; thus arises the origin of fright palpitations (Jing Ji) and fluttering anxiety (Zheng Chong). The Fire of the Five Emotions is beyond the control of the Heart. Therefore, those who treat the Spleen must know how to nourish the Heart; those who nourish the Heart must know tranquility and reducing desires. Yet, who can be without thought? If thought is upright, there will be no desire for reckless movement. Zhu Xi said: "One must ensure that Dao Xin (The Way Mind) constantly serves as the master of the body, while Ren Xin (The Human Mind) obeys it." This is the method of nurturing the mind well.
Wendan Tang (Warm the Gallbladder Decoction) treats Heart and Gallbladder deficiency and timidity, being easily startled by events, or ominous dreams, leading to a startled heart and cowed gallbladder. Qi stagnation generates Phlegm; Phlegm and Qi contend, transforming into various syndromes. Or there is shortness of breath and fatigue, or recurrent spontaneous sweating. Gallbladder deficiency fails to control the Spleen, causing Spleen water-dampness to arise.
Ban Xia (Pinelliae Rhizoma, washed with ginger juice) Zhu Ru (Bambusae Caulis in Taeniam) Zhi Shi (Aurantii Fructus Immaturus, bran-fried) Ju Pi (Citri Reticulatae Pericarpium, pith removed. Each 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang) Bai Fu Ling (Poria, 1.5 liang)
Take each dose of 4 qian, add 1.5 sheng of water, 5 slices of fresh Ginger, and 1 Jujube. Decoct until 0.7 sheng remains. Take before meals.
Ning Zhi Wan (Stabilize the Will Pill) treats Heart deficiency with frequent fright. If there is Phlegm, expectoration is indicated.
Ren Shen (Ginseng Radix) Bai Fu Ling (Poria) Fu Shen (Poria with Hostwood) Bai Zi Ren (Biota Semen) Hu Po (Fossilized 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 0.5 liang) Ru Xiang (Olibanum) Zhu Sha (Cinnabaris) Shi Chang Pu (Acori Tatarinowii Rhizoma. Each 3 qian)
Grind into powder, make pills with honey the size of wutong seeds. Take 30 pills per dose, washed down with Jujube decoction after meals.
Fu Shen San (Poria Powder) treats weakness of Qi and Blood in the five zang organs, fright palpitations (Jing Ji) and fluttering anxiety (Zheng Chong). Use this to calm the Spirit and stabilize the Will.
Fu Shen (Poria with Hostwood, remove wood) Ren Shen (Ginseng Radix) Long Chi (Dragon Teeth, ground separately) 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 per dose, decoct in water. Honey pills are also acceptable.
*Zhi Yao* Fu Ling Bu Xin Tang (Poria Nourishing Heart Decoction) 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 (Fluoritum) 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 and cold, headache and vertigo, fearful Heart Spirit unable to stay alone, and chest oppression.
Fu Shen (Poria with Hostwood, 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 and 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, fried, 5 qian)
Take 5 qian per dose, decoct in water with fresh Ginger.
Suan Zao Ren Wan (Ziziphus Seed Pill) treats Gallbladder Qi excess and heat, inability to sleep, unsettled Spirit, fright palpitations (Jing Ji) and fluttering anxiety (Zheng Chong).
Fu Shen (Poria with Hostwood, remove wood) Suan Zao Ren (Ziziphi Spinosae Semen, fried) Yuan Zhi (Polygalae Radix, remove heart) Bai Zi Ren (Biota Semen, fried) Fang Feng (Saposhnikoviae Radix. Each 1 liang) Zhi Ke (Aurantii Fructus, bran-fried) Sheng Di Huang (Rehmanniae Radix, pounded into paste. Each 0.5 liang) Qing Zhu Ru (Bambusae Caulis in Taeniam, 2.5 qian)
Grind into powder, make pills with honey the size of wutong seeds. Take 70-80 pills per dose, washed down with boiling water.
Ding Zhi Wan (Stabilize the Will Pill) treats Heart Spirit deficiency and timidity, with symptoms same as above, or strange speech, excessive laughter, and fright palpitations (Jing Ji).
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 pills with honey the size of wutong seeds. Take 70-80 pills per dose, washed down with boiling water.
*Zhi Yao* Fu Ling San (Poria Powder) treats Heart meridian excess heat, dry mouth with烦渴 (restless thirst), insomnia, and vague/unsettled Heart Spirit.
Fu Shen (Poria with Hostwood) Mai Men Dong (Ophiopogonis Radix. Each 1.5 liang) Tong Cao (Tetrapanacis Medulla) Sheng Ma ( Cimicifugae Rhizoma. Each 1.25 liang) Zi Wan (Asteris 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)
Take 1 liang per dose, decoct in water.
Zhu Que Wan (Vermilion Bird Pill) treats persistent fluttering anxiety (Zheng Chong) due to Heart disease.
Bai Fu Ling (Poria, 2 liang) Chen Xiang (Aquilariae Lignum Resinatum, 0.5 liang)
Grind into powder, make pills with honey the size of mung beans. Take 30 pills per dose, washed down with Ginseng decoction.
Shi Chuan Mi Duo Seng San (World-transmitted Lead Monoxide Powder) treats Fright Qi entering the Heart collaterals, resulting in inability to speak. In the past, someone frightened by wild wolves, dogs, and snakes was calmed using this.
Mi Duo Seng (Galena/Lead Monoxide, ground to fine powder)
Mix 1 qian bi with clear tea water.
Danxi Zhu Sha Wan (Danxi Cinnabar Pill) treats palpitations due to labor and overexertion.
Zhu Sha (Cinnabaris) Dang Gui Shen (Angelicae Sinensis Radix, root end) 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, the size of millet grains. Take 100 pills per dose, washed down with Longan decoction.
*Ben Shi Fang* Chen Sha Yuan Zhi Wan (Cinnabar and Polygala Pill) dispels Wind and resolves 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 Hostwood. 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 (Cinnabaris. Each 5 qian)
Grind into powder, use fresh Ginger juice and water starch to make pills the size of mung beans, coat with Cinnabar. Take 10-20 pills per dose, washed down with fresh Ginger decoction before sleep.
Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) Remove Mu Dan Pi and Shan Zhi, which is Gui Pi Tang. Treats Spleen deficiency damage, forgetfulness, and fright palpitations (Jing Ji).
Ren Shen (Ginseng Radix) Huang Qi (Astragali Radix) Fu Shen (Poria with Hostwood, 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 and 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.
Commentary: For the above formulas, if the wet nurse suffers Spleen injury due to worry and overthinking, with Blood deficiency causing fever, poor appetite, and fatigue, or Spleen deficiency failing to control Blood leading to erratic bleeding, or forgetfulness and fluttering anxiety (Zheng Chong), fright palpitations (Jing Ji) and insomnia, or Heart-Spleen pain, spontaneous and night sweats, limb swelling and pain, irregular bowel movements, or irregular menstruation in women, afternoon fever and internal heat, or silkworm lip and flowing abscesses, causing the infant to suffer, the mother and child should both take these medicines.
Chen Sha Dan Xing Gao (Cinnabar and Gall-Nigella Paste) treats infant Phlegm-heat and Qi-heat, rapid breathing with wheezing and coughing, and restlessness due to fright palpitations (Jing Ji).
Chen Sha (Cinnabaris, 1 qian) Niu Dan Nan Xing (Cow Gall Nigella, 1 liang) Hu Po (Fossilized Amber) Qing Meng Shi Mo (Malachite Powder. Each 1 qian) Tian Zhu Huang (Bambusae Texta, 2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 fen) She Xiang (Moschus, a little)
Grind into fine powder, make pills with refined honey the size of euryale seeds. Take half a pill per dose, at any time, dissolved in fresh Ginger decoction.
Mu Tong San (Tetrapanax Powder) treats infant Liver and Heart heat causing fright palpitations (Jing Ji). Use this medicine 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 Skin) Gan Cao (Glycyrrhizae Radix et Rhizoma. Each 1 qian)
Cut into small pieces. Take 2 qian per dose, add a little Zi Su Ye (Perillae Folium), 1 sheng of water, decoct until 0.5 sheng remains. Take at any time.