治上盛下虚，头目眩晕，耳鸣耳聋。
沉香（半两，别研） 磁石（火 ，醋淬
（去心） 阳起石（ ，研） 附子（炮，去皮脐） 椒
（炒。各一两） 青盐（别研） 甘菊花（去枝萼） 蔓荆子（各半
上为细末，酒煮米糊为丸，如梧桐子大，每服七十丸，空心盐汤送下。仓卒不能办，此
沉香汤送下养正丹（方见咳嗽痰饮门）亦可。
（附∶虚烦）
夫惊悸者，心虚胆怯之所致也。且心者君主之官，神明出焉，胆者中正之官，决断出焉。
心
险
浮
无不瘥者矣。
治心虚胆怯，触事易惊，梦寐不祥，异象感惑，遂致心惊胆怯，气郁生涎，涎与气
复生诸证，或短气悸乏，或复自汗，四肢浮肿，饮食无味，心虚烦闷，坐卧不安。
半夏
皮，一两半） 甘
上 咀，每服四钱，水一盏半，生姜五片，枣子一枚，煎至七分，去滓，温服，不拘时
候。
治因事有所大惊，梦寐不祥，登高陟险，神魂不安，惊悸恐怯。
远志（去心，姜汁
齿（各一两）
上为细末，炼蜜为丸，如梧桐子大，辰砂为衣，每服七十丸，用熟水送下，食后，临卧。
夫怔忡者，此心血不足也。盖心主于血，血乃心之主，心乃形之君，血富则心君自安矣。
多
已
当
五
治思虑过制，耗伤心血，心帝无辅，怔忡恍惚，善悲忧，少颜色，夜多不寐，小
当归（去芦，酒浸） 黄 （去芦） 小草 酸枣仁（炒，去壳） 柏子仁（炒） 麦
门冬
参甘草（炙。
上 咀，每服四钱，水一盏半，生姜五片，枣一枚，煎至七分，去滓，温服，不拘时候。
治疗上实下虚，头部和眼睛眩晕，耳鸣耳聋。
沉香（半两，单独研磨） 磁石（火煅，醋淬，去除杂质） 阳起石（研磨） 附子（炮制，去皮和脐） 花椒（炒。各一两） 青盐（单独研磨） 甘菊花（去除枝和花萼） 蔓荆子（各半两）
以上药物研成细末，用酒煮米糊作为粘合剂制成丸药，大小如梧桐子，每次服用七十丸，空腹时用盐汤送服。如果仓促间无法制备此药，用沉香汤送服养正丹（方剂见咳嗽痰饮门）也可以。
（附：虚烦）
所谓惊悸，是由于心气虚弱、胆气不足所致。心是君主之官，神明由此产生；胆是中正之官，决断由此产生。
心主血脉，胆主决断。若心虚胆怯，遇事易惊，神魂不安，则会出现各种症状。只要针对病因治疗，没有不痊愈的。
治疗心虚胆怯，遇事容易惊恐，梦中出现不祥之兆，被奇异景象所迷惑，从而导致心惊胆战，气机郁结而生痰涎，痰涎与气机相互搏结，进而产生各种证候，或者呼吸短促、心悸乏力，或者自汗，四肢浮肿，饮食无味，心中虚烦闷乱，坐卧不安。
半夏（洗，去皮，一两半） 甘草（炙，一两） 茯苓（去皮，一两） 陈皮（去白，一两） 人参（去芦，一两） 桂心（去粗皮，一两） 酸枣仁（炒，一两） 远志（去心，一两） 麦门冬（去心，一两） 五味子（一两） 干姜（炮，一两） 大枣（擘开，一枚）
以上药物切碎，每次服用四钱，加水一盏半，生姜五片，大枣一枚，煎至七分，去渣，温服，不拘时候。
治疗因受到大惊刺激，梦中出现不祥之兆，登高涉险，神魂不安，惊悸恐惧怯弱。
远志（去心，姜汁浸） 龙骨（煅） 茯神（去木） 人参 当归 白术 黄芪 酸枣仁 柏子仁 五味子 甘草（炙。各一两）
以上药物研成细末，用炼蜜制成丸药，大小如梧桐子，辰砂为衣，每次服用七十丸，用温水送服，饭后，临睡前服用。
所谓怔忡，是因为心血不足。心主血，血是心的主宰，心是身体的君主，血液充足则心君自然安宁。
多思虑过度，耗伤心血，心神失去辅佐，出现怔忡恍惚，善于悲伤忧愁，面色少华，夜间多失眠，小便短赤。
当归（去芦，酒浸） 黄芪（去芦） 小草 酸枣仁（炒，去壳） 柏子仁（炒） 麦门冬（去心） 人参 甘草（炙。各一两）
以上药物切碎，每次服用四钱，加水一盏半，生姜五片，大枣一枚，煎至七分，去渣，温服，不拘时候。
Treats upper excess and lower deficiency, dizziness and vertigo of the head and eyes, tinnitus, and deafness.
Chenxiang (Caryophylli Lignum, half liang, ground separately) Cishi (Magnetitum, calcined, quenched in vinegar, impurities removed) Yangqishí (Yangqishi, ground) Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed) Jiaohua (Zanthoxyli Pericarpium, stir-fried. Each one liang) Qingyan (Halitum, ground separately) Ganjuhua (Chrysanthemi Flos, branches and calyx removed) Manjingzi (Viticis Fructus, each half liang)
The above herbs are ground into fine powder, mixed with rice paste boiled in wine to form pills, sized like wu-tong seeds. Take seventy pills per dose, administered with salt water on an empty stomach. If preparation is not feasible in haste, administering Yangzheng Dan (see section on Cough, Phlegm, and Fluid Retention) with Chenxiang Decoction is also acceptable.
(Attachment: Deficiency-Heat Restlessness)
Palpitations due to fright are caused by Heart Qi deficiency and Gallbladder Qi insufficiency. The Heart is the Sovereign Official, from which Shen (Spirit) emerges; the Gallbladder is the Official of Uprightness, from which decision-making emerges.
The Heart governs blood vessels, and the Gallbladder governs decision-making. If Heart Qi is deficient and Gallbladder Qi is weak, one becomes easily frightened by events, and Hun (Ethereal Soul) and Shen (Spirit) become unsettled, leading to various symptoms. As long as treatment targets the root cause, recovery is inevitable.
Treats Heart Qi deficiency and Gallbladder weakness, where one is easily startled by events, dreams of ominous signs, is confused by strange phenomena, thereby causing heart palpitations and fear, Qi stagnation generating phlegm-fluids, and the interaction between phlegm-fluids and Qi producing various syndromes. Symptoms may include shortness of breath, palpitations, and fatigue; spontaneous sweating; edema of the four limbs; loss of taste in food; mental restlessness and oppression due to Heart deficiency; and inability to sit or lie comfortably.
Banxia (Pinelliae Rhizoma, washed, skin removed, one and a half liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one liang) Fuling (Poria, skin removed, one liang) Chenpi (Citri Reticulatae Pericarpium, white pith removed, one liang) Renshen (Ginseng Radix, radix removed, one liang) Guixin (Cinnamomi Ramulum, bark removed, one liang) Suanzaoren (Ziziphi Spinosae Semen, stir-fried, shell removed, one liang) Yuanzhi (Polygalae Radix, core removed, one liang) Maimendong (Ophiopogonis Radix, core removed, one liang) Wuweizi (Schisandrae Fructus, one liang) Jiangjiang (Zingiberis Rhizoma Praeparatum, processed, one liang) Dazao (Jujubae Fructus, split, one piece)
The above herbs are cut into pieces. Take four qian per dose, add one dan and a half of water, five slices of fresh ginger, and one jujube. Decoct until three-tenths remain, strain, and take warm. Administer at any time.
Treats cases resulting from sudden severe fright, dreams of ominous signs, climbing heights and traversing dangers, leading to unsettled Hun and Shen, palpitations due to fright, and fearfulness.
Yuanzhi (Polygalae Radix, core removed, soaked in ginger juice) Longgu (Draconis Os, calcined) Fushen (Poria cum Radix, wood removed) Renshen (Ginseng Radix) Danggui (Angelicae Sinensis Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Huangqi (Astragali Radix) Suanzaoren (Ziziphi Spinosae Semen) Baiziren (Platycladi Semen) Wuweizi (Schisandrae Fructus) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried. Each one liang)
The above herbs are ground into fine powder, formed into pills with refined honey, sized like wu-tong seeds, coated with Zhusha (Cinnabaris). Take seventy pills per dose, administered with cooked warm water, after meals and before bedtime.
Palpitations (Zhengchong) are caused by insufficient Heart Blood. The Heart governs blood; blood is the master of the Heart; the Heart is the sovereign of the body. When blood is abundant, the Heart Sovereign is naturally tranquil.
Excessive overthinking consumes Heart Blood, leaving the Heart Spirit without support, resulting in Zhengchong (palpitations with anxiety), trance-like states, predisposition to sadness and worry, lackluster complexion, frequent insomnia at night, and scanty urine.
Danggui (Angelicae Sinensis Radix, radix removed, soaked in wine) Huangqi (Astragali Radix, radix removed) Xiaocao (Herba Siegesbeckiae) Suanzaoren (Ziziphi Spinosae Semen, stir-fried, shell removed) Baiziren (Platycladi Semen, stir-fried) Maimendong (Ophiopogonis Radix, core removed) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried. Each one liang)
The above herbs are cut into pieces. Take four qian per dose, add one dan and a half of water, five slices of fresh ginger, and one jujube. Decoct until three-tenths remain, strain, and take warm. Administer at any time.