紫河车（一具） 茯苓 茯神 远志（各一两） 人参（五钱） 丹参（七钱
炼蜜为丸。每早开水下三钱。
惊者，惊骇也。悸者，心动也。恐者，畏惧也。此三者皆发于心，而肝肾因之。方书分
为三门，似可不必。经云∶东方青色，入通乎肝，其病发惊骇。惊虽属肝，然心有主持则不
惊矣。心惊然后胆怯，乃一定之理。心气热，朱砂安神丸主之。心气虚，安神定志丸主之。
悸为心动，谓之怔忡，心筑筑而跳，摇摇而动也。皆由心虚挟痰所致，定志丸加半夏、橘红
主之。恐为肾志，亦多由心虚而得，经云∶心怵惕思虑则伤神，神伤则恐惧自失。十全大补
汤主之。若肾经真阳不足以致恐者，更佐以八味丸加鹿茸、人参之类。予尝治惊悸恐惧之症
有用大补数十剂，或百余剂而后愈者，毋谓七情之病而忽视之也。
黄连（酒炒，一钱五分） 朱砂（水飞，一钱） 甘草（五分） 生地黄（酒洗，五钱） 当归（酒拌，二钱
蒸饼丸，绿豆大。每服十丸，开水下。
安神定志丸（见不得卧。
十全大补汤（见虚劳。
八味丸（见类中。
眩，谓眼黑；晕者，头旋也。古称头旋眼花是也。其中有肝火内动者，经云∶诸风掉眩
皆属肝木是也，逍遥散主之。有湿痰壅遏者，书云∶头旋眼花，非天麻、半夏不除是也，
半夏白术天麻汤主之。有气虚挟痰者，书曰∶清阳不升，浊阴不降，则上重下轻也，六君子
汤主之。亦有肾水不足，虚火上炎者，六味汤。亦有命门火衰，真阳上泛者，八味汤。此治
眩晕之大法也。予尝治大虚之人，眩晕自汗，气短脉微，其间有用参数斤而愈者，有用参十
数斤而愈者，有用附子二、三斤者，有用 、术熬膏近半石者，其所用方，总不离十全、八
味、六君子等。惟时破格投剂，见者皆惊，坚守不移，闻者尽骇，及至事定功成，甫知非此
不可。想因天时薄弱，人禀渐虚，至于如此。摄生者。可不知所慎欤！
加味逍遥散（见类中。
紫河车（一具） 茯苓 茯神 远志（各一两） 人参（五钱） 丹参（七钱）
用炼蜜制成丸剂。每天早晨用开水送服三钱。
惊，是指受到惊吓；悸，是指心跳不安；恐，是指畏惧害怕。这三种症状都发源于心，并与肝肾有关。医书中将其分为三个门类，其实似乎没有必要。《内经》说：东方青色，通应于肝，其病表现为惊骇。虽然惊属于肝，但如果心神有主持之力，就不会发生惊骇。心惊之后才会导致胆怯，这是一定的道理。如果是心气热，用朱砂安神丸主治。如果是心气虚，用安神定志丸主治。
悸是心跳不安，称为怔忡，感觉心脏筑筑跳动，摇摇欲动。这都是由心虚兼夹痰邪所致，用定志丸加半夏、橘红主治。恐是肾的情志表现，也多由心虚引起，《内经》说：心中惊恐思虑会损伤心神，心神受损就会恐惧而失去自主控制。这种情况用十全大补汤主治。如果是肾经真阳不足导致恐惧的，再配合八味丸加鹿茸、人参等药物。我曾经治疗惊悸恐惧的病症，有用大补药数十剂，或者百余剂后才痊愈的，不要因为是七情致病就忽视它。
黄连（酒炒，一钱五分） 朱砂（水飞，一钱） 甘草（五分） 生地黄（酒洗，五钱） 当归（酒拌，二钱）
用蒸饼为糊制成丸剂，大小如绿豆。每次服用十丸，用开水送服。
安神定志丸（参见“不得卧”章节）。
十全大补汤（参见“虚劳”章节）。
八味丸（参见“类中”章节）。
眩，是指眼前发黑；晕，是指头晕旋转。古人称之为头旋眼花。其中有的属于肝火内动，《内经》说：所有的风病动摇眩晕都属于肝木，这种情况用逍遥散主治。有的属于湿痰壅塞阻滞，书上说：头旋眼花，不用天麻、半夏不能去除，这种情况用半夏白术天麻汤主治。有的属于气虚兼夹痰邪，书上说：清阳不升，浊阴不降，就会导致上重下轻，这种情况用六君子汤主治。也有的是肾水不足，虚火上炎，用六味汤。也有的是命门火衰，真阳上浮，用八味汤。这是治疗眩晕的大法。我曾经治疗极度虚弱的人，出现眩晕、自汗、气短、脉微的症状，其中有用人参数斤而痊愈的，有用参十余斤而痊愈的，有用附子二三斤的，有用干姜、白术熬膏接近半石的，其所用的方剂，总离不开十全大补汤、八味丸、六君子汤等。只是当时破格投药，看到的人都感到惊讶，坚守不移，听到的人都震惊，等到事情结束功效达成，才知道非这样不可。想是因为天时薄弱，人的禀赋逐渐虚弱，以至于到了这种地步。注重养生的人，能不谨慎吗！
加味逍遥散（参见“类中”章节）。
Ziheche (Placenta Hominis, one piece) Fuling (Poria), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix) (each 1 liang) Renshen (Ginseng Radix et Rhizoma, 5 qian) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 7 qian)
Made into pills with refined honey. Take 3 qian each morning with warm water.
Jing (Fright) refers to being startled; Ji (Palpitation) refers to the heart moving restlessly; Kong (Fear) refers to feeling afraid. These three conditions all originate from the Heart and involve the Liver and Kidney. Medical texts divide them into three categories, which seems unnecessary. The Classic says: "The color of the East is green, entering into communication with the Liver; its disease manifests as fright." Although Jing belongs to the Liver, if the Heart Spirit has control, fright will not occur. It is a fixed principle that after the Heart is frightened, the Gallbladder becomes timid. If it is Heat of Heart Qi, Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) is the primary prescription. If it is Deficiency of Heart Qi, Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill) is the primary prescription.
Ji is the restless movement of the Heart, called Zhengchong (Severe Palpitations), where the heart beats vigorously and trembles. This is caused by Heart Deficiency combined with Phlegm. Dingzhi Wan added with Banxia (Pinelliae Rhizoma) and Juhong (Citri Reticulatae Pericarpium Rubrum) is the primary prescription. Kong is the emotion of the Kidney, also often resulting from Heart Deficiency. The Classic says: "Fright and anxiety in the Heart damage the Shen (Spirit); when the Shen is damaged, fear arises and self-control is lost." Shiquan Dabu Tang (Decoction for Ten Thousand Tonifications) is the primary prescription. If Kong is caused by Insufficiency of True Yang in the Kidney Meridian, supplement with Bawei Wan (Eight-Ingredient Pill) added with Lurong (Cervi Cornu Pantotrichum) and Renshen (Ginseng Radix et Rhizoma). I have treated cases of Jing, Ji, and Kong using major tonifying formulas for dozens or even over a hundred doses before recovery. Do not neglect these conditions simply because they are caused by the Seven Emotions.
Huanglian (Stir-fried with wine, 1.5 qian) Zhusha (Water-triturated, 1 qian) Gancao (Licorice Root, 0.5 qian) Shengdihuang (Rehmanniae Radix Praeparata, washed with wine, 5 qian) Danggui (Angelicae Sinensis Radix, mixed with wine, 2 qian)
Made into pills with steamed wheat cake paste, size of mung beans. Take 10 pills each time with warm water.
Anshen Dingzhi Wan (See section on "Insomnia").
Shiquan Dabu Tang (See section on "Xu Lao" / Chronic Weakness).
Bawei Wan (See section on "Lei Zhong" / Stroke-like Syndromes).
Xuan (Dizziness/Blacking out) refers to vision going dark; Yun (Vertigo) refers to spinning sensation in the head. Ancient texts call this "spinning head and blurred eyesight." Among these, some are due to internal stirring of Liver Fire. The Classic says: "All wind diseases with trembling and vertigo belong to Liver Wood." Xiaoyao San (Free and Easy Wanderer Powder) is the primary prescription. Some are due to obstruction by Damp-Phlegm. Books say: "For spinning head and blurred eyesight, without Tianma (Gastrodiae Rhizoma) and Banxia (Pinelliae Rhizoma), it cannot be removed." Banxia Baizhu Tianma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) is the primary prescription. Some are due to Qi Deficiency combined with Phlegm. Books state: "When Clear Yang fails to ascend and Turbid Yin fails to descend, there is heaviness above and lightness below." Liujunzi Tang (Six Gentlemen Decoction) is the primary prescription. There are also cases of Insufficient Kidney Water with flaming up of Deficient Fire, treated with Liuwei Tang (Six-Ingredient Pill). There are also cases of Decline of Mingmen Fire with floating up of True Yang, treated with Bawei Tang (Eight-Ingredient Decoction). These are the general principles for treating Xuan-Yun. I have treated patients with severe deficiency presenting with vertigo, spontaneous sweating, shortness of breath, and faint pulse. Some recovered after using several jin of Renshen (Ginseng Radix et Rhizoma), some after using ten-plus jin, some after using two to three jin of Fuzi (Aconiti Lateralis Radix Praeparata), and some after using nearly half a shi of Jianghuang (Zingiberis Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) boiled into paste. The formulas used always revolved around Shiquan Dabu Tang, Bawei Wan, and Liujunzi Tang. At the time, prescribing such large doses was shocking to observers and terrifying to listeners. However, once the treatment succeeded, people realized that nothing else would have worked. I suppose this is due to the weakening of heavenly times and the gradual decline of human constitution. Those who practice health preservation should be cautious!
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (See section on "Lei Zhong" / Stroke-like Syndromes).