惊者，心卒动而不宁也。悸者，心跳动而怕惊也。怔忡，亦心动而不宁也。
〔丹〕怔忡，大概属血虚与痰。有虑便动者属虚，时作时止者，痰因火动。瘦人多是血虚，肥人多是痰饮，
真觉心跳者是血少，宜四物、安神之类。
治劳役心跳大虚症。
朱砂（一钱） 归身 白芍 侧柏 川芎（各五钱） 陈皮 甘草 黄连（各三钱）
上用猪心血为丸。
〔垣〕六脉俱大，按之空虚，必面赤善惊上热，乃手少阴心之脉也。此气盛多而亡血，以甘寒镇坠之剂泻
火与气，以坠气浮，以甘辛温微苦峻补其血，熟地黄、生地黄、柴胡、升麻、白芍药、牡丹皮、川芎、黄 之
类以补之，以防血溢上竭。（甘寒镇坠之剂，谓丹砂之类。）
〔杜〕林学士本南人，历内地为官，有一子甚端严而聪敏，父母爱之，居常喜食海蛤，饮食之顷，未尝不
设，至十八年，忽面色顿青，形体瘦削，夜多惊悸。皆谓劳瘵之疾，百疗不瘳。遂召杜脉之，杜曰∶非病。何
以知之？盖虽瘦削面青，精神不减。问学院子，秀才好食甚物？曰∶多食南海中味。杜曰∶但多服生津液药，
病当自愈。如是经两月，面色渐有红润意，夜亦无惊悸。林学士延杜而问曰∶医师之验，久闻世名，愿闻此病
所以？杜曰∶王冰《素问》曰，盐发渴，乃胜血之证。海味皆咸物，既多食海味，使心血渐衰，则夜惊悸。今
既去咸，用生津液之药，人且少壮，血液易生，面色渐有红润，此疾去乃安矣。众医以为劳瘵，非其治也。
〔仲〕食少饮多，水停心下，甚者则悸，微者短气。（饮水多必心下悸。）
〔无〕五饮停蓄，闭于中脘，最使人惊悸，属饮家。
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，变生诸症。或短气悸乏，
或复自汗。（胆虚不能致脾，则脾之水饮作矣。）
半夏（汤洗） 竹茹 枳实（炒。各二两） 橘皮（二两，去白） 甘草（炙，一两） 白茯苓（一两五钱）
上为锉散，每服四大钱，水一盏半，姜五片，枣一枚，煎七分去渣，食前服。
〔仲〕心下悸者，半夏麻黄丸主之。
半夏 麻黄（等分）
上二味为末，炼蜜和丸，如小豆大。饮服三丸，日三服。
茯苓甘草汤（方见伤寒悸。）
〔《素》〕东方青色，入通于肝，其病发惊骇。（金匮真言论）
脾移热于肝，则为惊衄。（全文见诊病传变。）
一阳一阴发病，主惊骇背痛，善噫善欠者，名曰风厥。（全文见诊。）
三阳一阴，太阳脉胜，一阴不得止，内乱五脏，外为惊骇。（阴阳类论）
〔《本》〕珍真丸独活丸 并治卧惊悸多魇。（二方并见不得卧。经云∶卧则血归于肝。今血不静卧不归肝，
故惊悸于卧也。）
〔东〕羌活胜湿汤 治卧而多惊悸多魇溲者，邪在少阳厥阴也，加柴胡五分。如淋，加泽泻五分。此下焦风
寒，二经合病也。经曰∶肾肝之病同一治，为俱在下焦，非风药行经不可也。（羌活胜湿汤方见腰痛。）
诸病疼酸惊骇，皆属于火。（全文见诊。）
〔丹〕病自惊而得者，则神出其舍。舍空得液，则成痰也。血气入舍，则痰拒，其神不得归焉。（控涎丹加辰砂、远志。）
〔无〕惊悸，因事有所大惊而成者，名曰心惊胆寒，病在心胆经，其脉大动（动脉如豆，厥厥动摇无头尾者也。）东垣朱
砂安神丸（方见烦躁门。东垣云∶外物惊宜镇，平以黄连安神丸是也。）
〔无〕镇心丹 治惊悸。
辰砂（用黄松节酒浸） 龙齿（用远志苗醋煮）
上只取辰砂、龙齿各等分为末。猪心血为丸，如芡实大。每服一丸，以麦门冬叶、绿豆、灯心、白蜜，水
煎，豆熟为度，临卧咽下。小儿磨化半丸，量岁数与之。
〔世〕密陀僧散 治惊气入心络不能语者。昔有为野狼及大蛇所惊，皆以此而安。
用密陀僧研极细末，茶调一钱匕，一服即愈。
〔无〕寒水石散 治因惊心气不行，郁而生涎，结为饮，遂为大疾，忪悸陨KT ，不自胜持。少遇惊
则发，尤宜服之。
寒水石（ ） 滑石（水飞。各一钱） 生甘草（一钱）
上为末，每服二钱，热则新汲水下，怯寒则姜枣汤下，加龙胆少许尤佳。
〔子和〕卫德新之妻，旅宿楼上，夜值盗劫人烧舍，惊坠床下。自后每闻有响，则惊倒不知人，家人辈蹑
足而行，莫敢冒触有声。诸医作心病治之，人参、珍珠及定志丸，皆无效。戴人见而断之曰∶惊者为阳，从外
入也；恐者为阴，从内出也，惊者为自不知也，恐者为自知也。足少阳胆经，属肝木，胆者敢也，惊怕则胆伤
矣。乃命侍女执其两手，按于高椅上坐，当面前下置一小几。戴人曰∶娘子当视此。一木猛击之，其妇人大惊。
戴曰∶我以木击几，何必惊乎？伺少停，击之惊少缓。又斯须，连击三五次，又以杖击门，又暗遣人击背后之
窗。徐徐惊定，而叹曰∶是何治法？戴人曰∶《内经》云，惊者平之，平者常也，常见必无惊。是夜使人击其门
窗，自昏暮达曙，熟卧不闻。夫惊者，神上越也，从下击几，使之下视，所以收神也。一二日虽闻雷，亦不惊。
德新素不喜戴人，至是终身敬服。
〔仲〕炙甘草汤 治脉结代而悸。（方见伤寒。）
〔丹〕惊悸，定志丸加琥珀、郁金。
〔无〕定志丸 治心气不足，惊悸恐怯。
菖蒲（炒） 远志（去心） 茯苓（各二两） 人参（一两） 辰砂（为衣）
上为末，蜜丸如桐子大。每服五十丸，米汤下。一方去茯神，名开心散，服二钱匕，不时。
〔《本》〕安神镇心，治惊悸，消风痰，辰砂远志丸。
石菖蒲 远志 人参 茯神 川芎 山药 铁粉 麦门冬 天麻 半夏 南星 白茯苓（生。各一两）
细辛 辰砂（各半两）
上为细末，生姜五两，取汁入水煮糊丸，如绿豆大，另以朱砂为衣。每服二十五丸，夜卧服生姜汤下，小
儿减服。
茯苓丸
石菖蒲 辰砂 人参 远志 茯苓 真铁粉 茯神 南星（牛胆制） 半夏曲（等分）
上为细末，生姜四两，取汁和水煮，糊丸，如桐子大，别用细末为衣，干之。每服十粒，加至二十粒，夜
卧生姜汤下。
上二方疗惊良验。
胃足阳明之脉是动则病。闻木音则惕然而惊，欲动。
〔《素》〕阳明所谓甚则恶人与火，闻木音则惕然而惊者，阳气与阴气相搏，水火相恶，故惕然而惊也。
（脉解篇）黄帝问曰∶足阳明之脉病，恶人与火，闻木音则惕然而惊，钟鼓不为动，闻音而惊何也？岐伯曰∶阳明
者，胃脉也，胃者土也，故闻木音而惊者，土恶木也。（阳明脉解篇）
痰饮惊悸属脾土。（见前痰饮条。）
运气惊悸有三∶
一曰肝木不及，金来乘之。经曰∶木不及曰委和，委和之纪，其发惊骇。又云∶阳明之复，则入肝，惊骇
筋挛是也。
二曰火邪助心。经云∶少阳所至为惊惑。又云∶少阳所至为惊躁。又云∶少阳之胜善惊是也。
三曰寒邪伤心。经云∶岁水太过，寒气流行，病烦心躁悸是也。
按经云∶阳气者，开阖不得，寒气从之，乃生大 ，陷脉为 ，留连肉腠，俞气化薄，传为善畏，及为惊
骇者，是痿疮所为之惊骇也。盖俞则 疮之俞窍，其痛，气留连肉腠之间，恐人触着而痛，故化惕惕然之
心内薄而传为善畏惊骇之疾也。
〔《撮》〕心烁烁跳动，少冲泻之，灸立效。
〔《甲》〕惊，善悲不乐如堕坠，汗不出，面尘黑，病饥不欲食，照海主之。
胆寒怯寒厥，手臂痛，善惊妄言，面赤泣出，液门主之。善惊悲不乐，厥胫足下热，面尽热，嗌干渴，行间主之。
〔《素》〕肝脉骛暴，有所惊骇。（大奇论 王注云∶骛谓驰骛，言迅急也。）二阳急为惊。（同上）白脉之
至也，喘而浮，上虚下实，惊有积气在胸中，名曰肺痹寒热。（全文见积块，下同）阳明涩则病积而善惊。
〔仲〕寸口脉动而弱，动即为惊，弱即为悸。
〔《脉》〕惊主病者，其脉止而复来，其人目睛不转，不能呼气。
〔仲〕病有奔豚，有吐脓，有惊怖，有火邪，此四病皆从惊发得之。
惊，是指心脏突然跳动而不安宁。悸，是指心跳动且害怕受惊。怔忡，也是指心脏跳动而不安宁。
〔朱丹溪〕怔忡，大概属于血虚和痰饮。有思虑就发作的属于虚证，时好时坏的，是痰因火而动。瘦人多为血虚，肥人多多为痰饮，真正感觉心跳的是血少，适宜用四物汤、安神丸之类的方剂。
治疗劳役过度导致的心跳大虚症。
朱砂（一钱） 当归身 白芍 侧柏叶 川芎（各五钱） 陈皮 甘草 黄连（各三钱）
以上药物用猪心血作为粘合剂制成丸药。
〔李东垣〕六脉都大，按下去空虚，必定面色红赤、容易受惊、上部发热，这是手少阴心经的脉象。这是气盛而血亏，用甘寒镇坠的药物来泻火和气，以镇压浮越之气，用甘辛温微苦的药物峻补其血，如熟地黄、生地黄、柴胡、升麻、白芍药、牡丹皮、川芎、黄柏之类来补益，以防止血液上溢枯竭。（所谓甘寒镇坠之剂，指的是朱砂之类的药物。）
〔杜清碧〕林学士本是南方人，到内地做官，有一个儿子非常端庄严肃且聪明，父母很喜爱他，平时喜欢吃海蛤，吃饭时从不缺少。到了十八岁，忽然面色变得青黑，身体消瘦，夜里经常惊悸。大家都认为是劳瘵病，各种治疗都不见效。于是请杜清碧诊脉，杜清碧说：“这不是病。”为什么知道呢？虽然身体消瘦面色青黑，但精神没有减退。问林学士的儿子，秀才喜欢吃什么东西？回答说：多吃南海中的味道。杜清碧说：“只要多服用生津液的药，病自然会好。”这样经过两个月，面色逐渐有了红润的意思，夜里也没有惊悸了。林学士邀请杜清碧询问说：“医生的诊断，久闻您的名声，希望听听这个病的道理。”杜清碧说：“王冰在《素问》注中说，盐能引发口渴，这是胜血的证候。海味都是咸物，既然多吃海味，使心血逐渐衰弱，就会夜间惊悸。现在既然去掉了咸味，使用生津液的药，人本来就年轻力壮，血液容易生成，面色逐渐红润，这个疾病去除后就安好了。”众医生认为是劳瘵，不是这种治法。
〔张仲景〕吃得少喝得多，水停在心下，严重的就会心悸，轻微的会短气。（喝水多必然心下悸。）
〔陈无择〕五种饮邪停蓄，闭塞在中脘，最容易使人惊悸，属于饮家。
温胆汤 治疗心胆虚怯，遇事容易受惊，或者梦见不祥之事，从而导致心惊胆战，气郁生涎，涎与气搏结，变化产生各种症状。或者短气心悸乏力，或者又出自汗。（胆虚不能制约脾，则脾的水饮就会产生。）
半夏（汤洗） 竹茹 枳实（炒。各二两） 橘皮（二两，去白） 甘草（炙，一两） 白茯苓（一两五钱）
以上药物锉成散剂，每次服用四大钱，用水一盏半，生姜五片，大枣一枚，煎至七分，去渣，饭前服用。
〔张仲景〕心下悸动的，用半夏麻黄丸主治。
半夏 麻黄（等分）
以上两味药研成末，炼蜜和丸，如小豆大小。饮水送服三丸，每天三次。
茯苓甘草汤（方剂见伤寒悸条。）
〔《黄帝内经·素问》〕东方青色，入通于肝，其病发惊骇。（《金匮真言论》）
脾将热邪移于肝，就会发生惊衄。（全文见诊病传变篇。）
一阳一阴发病，主要症状是惊骇背痛，喜欢打嗝喜欢呵欠的，名叫风厥。（全文见诊法篇。）
三阳一阴，太阳脉胜，一阴不得休止，内部扰乱五脏，外部表现为惊骇。（《阴阳类论》）
〔《黄帝内经·灵枢》〕珍真丸、独活丸 并治卧睡时惊悸多梦魇。（两个方剂并见不得卧篇。经文说：卧则血归于肝。现在血不静卧不归肝，所以在卧睡时惊悸。）
〔张元素〕羌活胜湿汤 治疗卧睡时多惊悸多梦魇多尿者，邪气在少阳厥阴经，加柴胡五分。如果淋证，加泽泻五分。这是下焦风寒，两条经脉合病。经文说：肾肝的病同一治法，因为都在下焦，不用风药行经是不行的。（羌活胜湿汤方剂见腰痛篇。）
各种疼痛酸楚惊骇，都属于火。（全文见诊法篇。）
〔朱丹溪〕病从惊而得的，神就会离开它的居所。居所空了得到液，就会形成痰。血气进入居所，痰就会抗拒，神就不能回来。（可用控涎丹加辰砂、远志。）
〔陈无择〕惊悸，因为事情受到大惊而形成的，名叫心惊胆寒，病在心胆经，其脉大动（动脉像豆子一样，厥厥动摇没有头尾）。李东垣的朱砂安神丸（方剂见烦躁门。李东垣说：外物惊吓宜用镇摄，平以黄连安神丸就是这样的。）
镇心丹 治疗惊悸。
辰砂（用黄松节酒浸泡） 龙齿（用远志苗醋煮）
以上只取辰砂、龙齿各等分为末。猪心血为丸，如芡实大小。每次服用一丸，用麦门冬叶、绿豆、灯心草、白蜜，水煎，煮到豆子熟为止，临睡前咽下。小儿磨化半丸，根据年龄给予。
〔世医〕密陀僧散 治疗惊气进入心络不能说话的。过去有人被野狼和大蛇惊吓，都用此药而安定。
用密陀僧研成极细末，茶调服一钱匕，一次服用即愈。
〔陈无择〕寒水石散 治疗因惊心气不行，郁而生涎，凝结为饮，于是成为大病，心中惶恐悸动，不能自我控制。稍微遇到惊吓就会发作，尤其适宜服用此药。
寒水石（ ） 滑石（水飞。各一钱） 生甘草（一钱）
以上研成末，每次服用二钱，热证用新汲水下服，怯寒用姜枣汤下服，加少许龙胆草尤其好。
〔张子和〕卫德新的妻子，住在旅馆楼上，夜里遇到强盗抢劫烧房子，惊吓掉到床下。从此以后每听到响声，就惊吓跌倒不知人事，家人走路都踮着脚，不敢冒犯发出声音。众医生当作心病治疗，用人参、珍珠及定志丸，都没有效。戴人看了后判断说：“惊属于阳，从外入；恐属于阴，从内出，惊是自己不知道的，恐是自己知道的。足少阳胆经，属肝木，胆者敢也，惊怕则胆伤矣。”于是让侍女抓住她的双手，按在高椅子上坐，当面放一个小几案。戴人说：“娘子应当看这个。”一木头猛击几案，妇人大大一惊。戴人说：“我用木头击打几案，何必惊慌呢？”等了一会儿，再击打，惊吓稍缓。又过了一会儿，连续击打三五次，又用杖击打门，又暗中派人击打背后的窗户。慢慢惊吓平静，感叹说：“这是什么治疗方法？”戴人说：“《内经》说，惊者平之，平者常也，常见必无惊。这天晚上让人击打她的门窗，从黄昏到天亮，熟睡没听见。夫惊者，神上越也，从下击几，使之下视，所以收神也。一二天后即使听到雷声，也不惊恐。”德新向来不喜欢戴人，至此终身敬服。
〔陈无择〕定志丸 治疗心气不足，惊悸恐怯。
石菖蒲（炒） 远志（去心） 茯苓（各二两） 人参（一两） 辰砂（为衣）
以上研成末，蜜丸如梧桐子大小。每次服用五十丸，米汤送下。一方去掉茯神，名叫开心散，服用二钱匕，不定时。
〔《黄帝内经·灵枢》〕安神镇心，治疗惊悸，消风痰，辰砂远志丸。
石菖蒲 远志 人参 茯神 川芎 山药 铁粉 麦门冬 天麻 半夏 南星 白茯苓（生。各一两）
细辛 辰砂（各半两）
以上研成细末，生姜五两，取汁入水煮糊丸，如绿豆大小，另外用朱砂为衣。每次服用二十五丸，夜卧时用生姜汤送下，小儿减量服用。
茯苓丸
石菖蒲 辰砂 人参 远志 茯苓 真铁粉 茯神 南星（牛胆制） 半夏曲（等分）
以上研成细末，生姜四两，取汁和水煮，糊丸，如梧桐子大小，另外用细末为衣，晾干。每次服用十粒，加至二十粒，夜卧时用生姜汤送下。
以上两个方剂治疗惊悸良验。
胃足阳明之脉是动则病。听到木音就惕然而惊，想要动。
〔《黄帝内经·素问》〕阳明所谓甚则恶人与火，闻木音则惕然而惊者，阳气与阴气相搏，水火相恶，故惕然而惊也。（《脉解篇》）黄帝问曰：足阳明之脉病，恶人与火，闻木音则惕然而惊，钟鼓不为动，闻音而惊何也？岐伯曰：阳明者，胃脉也，胃者土也，故闻木音而惊者，土恶木也。（《阳明脉解篇》）
痰饮惊悸属脾土。（见前痰饮条。）
运气惊悸有三：
一是肝木不及，金来乘之。经文说：木不及曰委和，委和之纪，其发惊骇。又说：阳明之复，则入肝，惊骇筋挛是也。
二是火邪助心。经文说：少阳所至为惊惑。又说：少阳所至为惊躁。又说：少阳之胜善惊是也。
三是寒邪伤心。经文说：岁水太过，寒气流行，病烦心躁悸是也。
按经文说：阳气者，开阖不得，寒气从之，乃生大痱，陷脉为瘘，留连肉腠，俞气化薄，传为善畏，及为惊骇者，是痿疮所为之惊骇也。盖俞则痱疮之俞窍，其痛，气留连肉腠之间，恐人触着而痛，故化惕惕然之心内薄而传为善畏惊骇之疾也。
〔《针灸甲乙经》〕惊，喜欢悲伤不乐像堕坠感，汗不出，面尘黑，病饥不欲食，照海主之。
胆寒怯寒厥，手臂痛，喜欢惊妄言，面赤泣出，液门主之。喜欢惊悲不乐，厥胫足下热，面尽热，嗌干渴，行间主之。
〔《黄帝内经·素问》〕肝脉骛暴，有所惊骇。（《大奇论》王注云：骛谓驰骛，言迅急也。）二阳急为惊。（同上）白脉之至也，喘而浮，上虚下实，惊有积气在胸中，名曰肺痹寒热。（全文见积块篇，下同）阳明涩则病积而善惊。
〔张仲景〕寸口脉动而弱，动即为惊，弱即为悸。
〔《脉经》〕惊主病者，其脉止而复来，其人目睛不转，不能呼气。
Jing (Fright) refers to the sudden beating of the heart accompanied by restlessness. Ji (Palpitation) refers to the beating of the heart with fear of being startled. Zhengchong (Severe Palpitation) also refers to the beating of the heart with restlessness.
[Zhu Danxi] Zhengchong generally belongs to Blood Deficiency and Phlegm-Fluid retention. Cases that occur upon thinking belong to Deficiency; cases that come and go are due to Phlegm stirred by Fire. Thin people mostly suffer from Blood Deficiency, while fat people mostly suffer from Phlegm-Fluid retention. Those who truly feel their heart beating have a lack of Blood and should use formulas such as Siwu Tang (Four Substances Decoction) or Anshen Wan (Calming the Spirit Pill).
Treating severe deficiency palpitation caused by overwork.
Cinnabar (1 qian) Angelicae Sinensis Radix (Danggui Shen) Paeoniae Alba Radix (Baishao) Platycladi Cacumen (Cebaiye) Chuanxiong Rhizoma (Chuanxiong) (each 5 qian) Citri Reticulatae Pericarpium (Chenpi) Glycyrrhizae Radix et Rhizoma (Gancao) Coptidis Rhizoma (Huanglian) (each 3 qian)
The above herbs are processed into pills using pig heart blood as the binder.
[Li Dongyuan] If all six pulses are large but empty upon pressure, there will be a red face, susceptibility to fright, and heat in the upper body; this is the pulse of the Hand-Shaoyin Heart meridian. This indicates excessive Qi and depleted Blood. Use sweet-cold and heavy-settling agents to drain Fire and Qi, to suppress floating Qi, and use sweet-acrid-warm and slightly bitter-strong tonics to strongly tonify Blood, such as Rehmanniae Radix Preparata (Shudihuang), Rehmanniae Radix Recens (Shengdihuang), Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma), Paeoniae Alba Radix (Baishaoyao), Moutan Cortex (Mudanpi), Chuanxiong Rhizoma (Chuanxiong), Phellodendri Cortex (Huangbai), etc., to tonify it, preventing Blood from overflowing and exhausting upwards. (Sweet-cold heavy-settling agents refer to substances like Cinnabar.)
[Du Qingbi] Scholar Lin was originally from the South and served as an official inland. He had a son who was very dignified and intelligent, dearly loved by his parents. He usually enjoyed eating sea clams, which were always present during meals. At eighteen years old, his complexion suddenly turned blue-black, he became emaciated, and suffered from frequent nocturnal palpitations. Everyone considered it a consumption disease (Laozai), but hundred treatments failed to cure him. Du Qingbi was summoned to take his pulse and said, "This is not a disease." How do I know? Although he is emaciated and has a blue-black complexion, his spirit is unimpaired. Asking the scholar son what he likes to eat most, he replied, "Mostly flavors from the South China Sea." Du Qingbi said, "Just take more fluids-generating medicines, and the illness will heal itself." After two months, his complexion gradually showed signs of ruddiness, and there were no longer nocturnal palpitations. Scholar Lin invited Du Qingbi to ask, "I have long heard your reputation as a physician; I wish to hear the reasoning behind this illness." Du Qingbi said, "Wang Bing in his commentary on the *Suwen* states that salt induces thirst, which is a sign of overcoming Blood. Seafood is salty; excessive consumption causes Heart Blood to gradually decline, leading to nocturnal palpitations. Now that the salty taste is removed and fluids-generating medicines are used, and since the person is young and strong, Blood is easily generated, and the complexion becomes ruddy. With the removal of this ailment, peace is restored." The other physicians thought it was consumption, not this treatment.
[Zhang Zhongjing] Eating little and drinking much causes Water to stagnate below the Heart; severely, this leads to palpitations; mildly, it leads to shortness of breath. (Drinking too much water inevitably causes palpitations below the Heart.)
[Chen Wuze] When the five types of Fluids accumulate and block the Middle Jiao, it most easily causes fright and palpitations; this belongs to those with Fluid retention.
Wendan Tang (Warm the Gallbladder Decoction) treats deficiency and timidity of the Heart and Gallbladder, where one is easily frightened by events, or dreams of inauspicious things, leading to a frightened heart and gallbladder, Qi stagnation generating Phlegm-Saliva, and the phlegm-saliva battling with Qi, transforming into various symptoms. Or shortness of breath, palpitations, and fatigue, or spontaneous sweating. (When the Gallbladder is deficient and cannot control the Spleen, Spleen Fluid retention arises.)
Pinellia Tuber (Banxia, washed with ginger juice) Bamboo Shavings (Zhuru) Immature Bitter Orange (Zhishi, stir-fried) (each 2 liang) Tangerine Peel (Chenpi, 2 liang, remove white pith) Licorice Root (Gancao, honey-fried, 1 liang) Poria (Fuling, 1.5 liang)
The above are cut into decoction pieces. Take 4 qian per dose, add 1.5 sheng of water, 5 slices of fresh ginger, and 1 jujube, decoct until 0.7 sheng remains, strain, and take before meals.
[Zhang Zhongjing] For palpitations below the Heart, Banxia Mahuang Wan (Pinellia and Ephedra Pill) is the primary treatment.
Pinellia Tuber (Banxia) Ephedra Stem (Mahuang) (equal parts)
The above two ingredients are powdered, mixed with refined honey, and formed into pills the size of small beans. Take 3 pills with water, three times a day.
Fuling Gancao Tang (Poria and Licorice Decoction) (See Palpitation in Shanghan for formula.)
[*Suwen*] The color of the East is green, entering through the Liver. Its disease manifests as fright and terror. (*Jinkui Zhenyan Lun*)
If Heat transfers from the Spleen to the Liver, it results in fright and epistaxis. (Full text see Disease Transmission in Diagnosis.)
When Yi Yang and Yi Yin are affected, the main symptoms are fright, terror, back pain, frequent belching, and yawning; this is named Fengjue (Wind Revolving). (Full text see Diagnosis.)
San Yang and Yi Yin: Taiyang pulse prevails, Yi Yin cannot cease, internally disturbing the Five Zang organs, externally manifesting as fright and terror. (*Yinyang Leilun*)
[*Lingshu*] Zhenzhen Wan and Duhuo Wan both treat nocturnal fright, palpitations, and frequent nightmares. (Both formulas see Nocturnal Restlessness. The Classic says: When lying down, Blood returns to the Liver. Now if Blood does not settle and return to the Liver during sleep, it causes fright and palpitation at night.)
[Zhang Yuansu] Qianghuo Shengshi Tang (Notopterygium Decoction to Overcome Dampness) treats nocturnal fright, palpitations, nightmares, and enuresis; the pathogen is in the Shaoyang and Jueyin meridians. Add Chaihu 5 fen. If strangury, add Ze Xie 5 fen. This is Wind-Cold in the Lower Jiao affecting both meridians. The Classic says: Diseases of the Kidney and Liver share the same treatment because they are both in the Lower Jiao; non-Wind herbs cannot circulate the meridians. (Qianghuo Shengshi Tang see Low Back Pain.)
Various pains, soreness, fright, and terror all belong to Fire. (Full text see Diagnosis.)
[Zhu Danxi] Illnesses originating from fright cause the Spirit to leave its residence. If the empty residence receives Fluids, Phlegm forms. If Qi and Blood enter the residence, Phlegm repels them, and the Spirit cannot return. (Use Kongyan Dan added with Chen Sha and Yuanzhi.)
[Chen Wuze] Fright and palpitation caused by sudden great fright is named Xin Jing Dan Han (Heart Fright and Gallbladder Cold), located in the Heart and Gallbladder meridians. The pulse is Da Dong (Large and Trembling) (the Artery pulse resembles a bean, trembling without head or tail). Li Dongyuan's Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) (See Irritability section. Li Dongyuan says: External fright requires settling; Pingyi Huanglian Anshen Wan is an example.)
Zhenxin Dan (Settle the Heart Pill) treats fright and palpitation.
Chen Sha (Cinnabar, soaked in Huang Songjie wine) Longgu (Dragon Bone, boiled in vinegar with Yuanzhi seedlings)
Take only equal parts of Chen Sha and Longgu, powder them. Form pills using pig heart blood, the size of Euryale Seed (Qianshi). Take one pill at a time, decoct with Ophiopogon Leaf (Maodongye), Mung Bean (Lvdou), Juncus Effusus (Dengxin), and White Honey in water until the beans are cooked, and swallow before bed. For children, grind half a pill and administer according to age.
[World Physicians] Mituoseng San (Lead Monoxide Powder) treats fright Qi entering the Heart collaterals causing inability to speak. Previously, people frightened by wild wolves or large snakes were calmed by this.
Grind Mituoseng (Lead Monoxide) into extremely fine powder, mix with tea, take 1 qian bi per dose, cured after one dose.
[Chen Wuze] Hanshuishi San (Calcite Powder) treats major illness caused by fright disrupting Qi flow, leading to stagnation, Phlegm-Saliva formation, and Fluid retention, resulting in profound palpitations and inability to bear oneself. It flares up upon slight fright and is especially suitable for this condition.
Hanshuishi (Calcite) Huashi (Talcum, water-ground) (each 1 qian) Sheng Gancao (Raw Licorice, 1 qian)
Powder the above. Take 2 qian per dose. For heat, take with fresh well water; for cold deficiency, take with Ginger-Jujube decoction. Adding a little Longdan Cao (Gentian Root) is even better.
[Zihe] The wife of Wei Dexin stayed in a room upstairs. At night, robbers raided and burned the house; she fell off the bed in fright. Since then, every sound made her faint from fright. Family members walked on tiptoes, daring not make noise. Physicians treated it as Heart disease with Ginseng, Pearl, and Dingzhi Wan, all ineffective. Dai Ren examined her and diagnosed: "Fright is Yang, coming from outside; Fear is Yin, arising from within. Fright is unknown to the self; Fear is known to the self. The Foot-Shaoyang Gallbladder Meridian belongs to Liver Wood. The Gallbladder is courage; fright injures the Gallbladder." He ordered attendants to hold her hands, sit her on a high chair, and place a small table in front. Dai Ren said, "Lady, look at this." He struck the table violently with wood. The woman was greatly frightened. Dai Ren said, "I hit the table with wood, why be frightened?" After a pause, he struck again, and the fright subsided slightly. Soon after, he struck three or five times continuously, then struck the door with a staff, and secretly had someone strike the window behind her. Gradually, her fright settled, and she sighed, "What kind of treatment is this?" Dai Ren said, "*Neijing* says, 'Treat fright with normalization.' Normalization means familiarity; familiar things do not cause fright." That night, he had people strike her doors and windows from dusk till dawn, and she slept soundly without hearing. Fright causes the Spirit to ascend; striking from below makes her look down, thus gathering the Spirit. After one or two days, even thunder did not frighten her. Dexin, who previously disliked Dai Ren, respected him for life thereafter.
[Zhang Zhongjing] Zhigancao Tang (Honey-Fried Licorice Decoction) treats irregular pulse (Jiedai) with palpitations. (Formula see Shanghan.)
[Zhu Danxi] For fright and palpitation, Dingzhi Wan added with Hupo (Amber) and Yujin (Curcuma Aromatica Rhizome).
[Chen Wuze] Dingzhi Wan (Stabilize Spirit Pill) treats Heart Qi deficiency, fright, palpitations, and timidity.
Shichangpu (Acorus Tatarinowii Rhizome, stir-fried) Yuanzhi (Polygala Root, remove heart) Fuling (Poria) (each 2 liang) Renshen (Ginseng Root, 1 liang) Chen Sha (Cinnabar, as coating)
Powder the above, form pills with honey the size of Sophora Seeds (Tongzi). Take 50 pills per dose with Rice Decoction. Another prescription removes Shen (Poria with Hostwood), named Kaixin San (Open Heart Powder), take 2 qian bi, as needed.
[*Lingshu*] Anshen Zhenxin (Calms the Spirit and Settles the Heart) treats fright and palpitation, dissipates Wind-Phlegm. Chen Sha Yuanzhi Wan (Cinnabar and Polygala Pill).
Shichangpu (Acorus) Yuanzhi (Polygala) Renshen (Ginseng) Fushen (Poria with Hostwood) Chuanxiong (Ligusticum) Shanyao (Dioscorea) Tie Fen (Iron Powder) Maidong (Ophiopogon) Tianma (Gastrodia) Banxia (Pinellia) Nanting (Arisaema) Baifuling (White Poria, raw) (each 1 liang)
Xixin (Asarum) Chen Sha (Cinnabar) (each 0.5 liang)
Powder finely. Take juice from 5 liang of fresh ginger, mix with water to cook into a paste for pills, size of mung beans. Coat separately with Cinnabar. Take 25 pills at night with Ginger Decoction. Reduce dose for children.
Fuling Wan (Poria Pill)
Shichangpu (Acorus) Chen Sha (Cinnabar) Renshen (Ginseng) Yuanzhi (Polygala) Fuling (Poria) Zhen Tie Fen (True Iron Powder) Fushen (Poria with Hostwood) Nanting (Arisaema, prepared with ox bile) Banxia Qu (Pinellia Fermented Dough) (equal parts)
Powder finely. Take juice from 4 liang of fresh ginger, mix with water to cook into a paste for pills, size of Sophora seeds. Coat separately with fine powder, dry. Take 10 pills, increase to 20, at night with Ginger Decoction.
The above two formulas are effective for treating fright.
When the Foot-Yangming Stomach Meridian is moved, disease occurs. Hearing wooden sounds causes sudden fright and desire to move.
[*Suwen*] What Yangming refers to as "severely fearing people and fire, and being suddenly frightened by wooden sounds" is due to the struggle between Yang Qi and Yin Qi, and the aversion of Water and Fire, hence the sudden fright. (*Maijie Pian*) Yellow Emperor asked: When the Foot-Yangming Meridian is diseased, fearing people and fire, being suddenly frightened by wooden sounds, but not moved by bells and drums, why does one startle at sound? Qibo said: Yangming is the Stomach Meridian; the Stomach is Earth. Thus, frightening at wooden sounds is because Earth fears Wood. (*Yangming Maijie Pian*)
Phlegm-Fluid palpitations belong to Spleen Earth. (See Phlegm-Fluid section above.)
There are three types of Yunqi (Six Qi) related to fright and palpitations:
First, Liver Wood is insufficient, Metal attacks it. The Classic says: Insufficient Wood is called Weihe; in the cycle of Weihe, fright and terror erupt. Also: Rebound of Yangming enters the Liver, causing fright, terror, and tendon spasms.
Second, Fire Evil assists the Heart. The Classic says: Where Shaoyang arrives, there is confusion and fright. Also: Where Shaoyang arrives, there is agitation and fright. Also: Victory of Shaoyang leads to ease of fright.
Third, Cold Evil harms the Heart. The Classic says: Excessive Water year, Cold Qi spreads, causing vexation, irritability, and palpitations.
According to the Classic: When Yang Qi cannot open and close properly, Cold Qi enters, causing severe Fei (paralysis/atrophy), sinking into vessels causing Liu (fistula), lingering in muscle intervals, affecting Shu points and Qi transformation, transmitting as fearfulness and fright/terror; this is the fright/terror caused by Liu Chuang (fistula sores). The Shu point is the opening of the fistula sore; the pain causes Qi to linger in the muscle intervals, fearing touch and pain, thus transforming into a fearful heart internally, transmitting as fearfulness and fright/terror diseases.
[*Zhenjiu Ju Ying*] If the Heart beats burning hotly, drain Shaochong (HT9); moxibustion is immediately effective.
[*Jia Yi Jing*] For fright, sadness, unhappiness resembling falling, absence of sweat, dusty black face, hunger without desire to eat, Zhaohai (KI6) governs.
For Gallbladder cold, timidity, cold reversal, arm pain, fright with delirious speech, red face with weeping, Yemen (SJ4) governs. For fright, sadness, unhappiness, cold reversal with heat in calves and soles, full-face heat, dry throat and thirst, Xingjian (LR2) governs.
[*Suwen*] Liver pulse rushing and violent indicates having been frightened. (*Daqi Lun* Wang Bing notes: Wu means galloping, indicating rapidity.) Er Yang tension indicates fright. (Same source) When Bai (Metal/Lung) pulse arrives, panting and floating, upper deficiency lower excess, fright with accumulated Qi in the chest, named Feibi (Lung Bi) with cold and heat. (Full text see Masses, same below) Yangming choppy indicates accumulation disease and ease of fright.
[Zhang Zhongjing] Cun Kou pulse moving and weak: Moving indicates fright, weak indicates palpitation.
[*Mai Jing*] In diseases governed by fright, the pulse stops and returns; the patient's eyes do not turn, and they cannot exhale.
[Zhang Zhongjing] Diseases include Ben Tun (Running Piglet), vomiting pus, fright/terror, and Fire Evil; these four diseases all arise from fright.