滑伯仁治一人。病怔忡善忘。口淡舌燥。多汗。四肢疲软。发热。小便白而浊。众医以
内伤不足。拟进茸、附等药。未决。脉之虚大而数。曰。是由思虑过度。厥阴之火为害耳。
夫君火以明。相火以位。相火代君火行事者也。相火一扰。能为百病。百端之起。皆由心生
越人云。忧愁思虑则伤心。其人平生志大心高。所谋不遂。抑郁积久。致内伤也。服补中
益气汤、朱砂安神丸。空心进小坎离丸。月余而安。
一人因事恐怖。心常惕惕。如畏人捕之状。诊其脉。豁豁然虚大而浮。体热多汗。曰。
凡病得之从高坠下。惊仆击搏。恶血留滞。皆从中风论。终归厥阴。此海藏之说也。盖厥阴
多血。其化风木故也。有形当从血论。无形当从风论。今疾是走无形也。从风家治之。兼化
痰散结。佐以铁粉朱砂丸。愈。
吴茭山治一妇气盛血少。火旺痰多。因事忤意。得怔忡之患。心惕惕然而惊。时发时止
清晨至晚。如此无度。每服镇心金石之药。愈不安。吴诊其脉左弦而大。知血少火旺。右
浮滑不匀。气盛痰多也。遂也温胆汤入海粉、苏子。数服而安。次以安神丸。常服全愈。
高果哉治钱塞庵相国怔忡不寐。诊得心脉独虚。肝脉独旺。因述上年驿路还乡。寇盗充
斥。风声鹤唳。日夜惊惧而致。高用生地、麦冬、枣仁、元参各五钱。人参三钱。龙眼肉十
五枚。服数剂。又用夏枯草、羚羊角、远志、茯神、甘草、人参。大效。仍以天王补心丹。
常服全愈。
震按怔忡本非重病。而居官者多患之。因劳心太过。或兼惊忧所致。治法不外养血安神
补元镇怯。然亦难效。莫若抛弃一切。淡然漠然。病自肯去。老子曰。内观其心。心无其
心。广成子曰。毋劳尔形。毋摇尔精。毋使尔思虑营营。岂惟却病。并可长生。
滑伯仁治疗一个人。他患有怔忡（心中悸动不安）和健忘。口淡无味，舌干，多汗，四肢疲软无力，发热，小便色白且浑浊。众位医生认为是内伤不足，打算进用鹿茸、附子等温补药物。尚未决定时，滑伯仁诊察其脉象虚大且数。他说：这是由于思虑过度，导致厥阴相火为害所致。君火以光明为主，相火以守位为本，相火是代替君火执行职能的。相火一旦受到扰动，能引发各种疾病。各种疾病的起因，都源于心神失控。扁鹊（越人）说：忧愁思虑会损伤心脏。这个人平生志向远大、心气高傲，所谋划的事情未能如愿，长期抑郁，从而导致内伤。服用补中益气汤、朱砂安神丸。空腹时服用小坎离丸。一个多月后病情安定。
另有一人因为某事感到恐惧，心中常常惊惕不安，好像害怕被人抓捕的样子。诊察他的脉象，豁豁然地虚大且浮，身体发热，多汗。滑伯仁说：凡是疾病由于从高处坠落、受惊吓跌倒或遭受击打搏斗，导致恶血留滞，都应当从中风的角度来论述，最终归属于厥阴经。这是海藏（张元素）的说法。大概厥阴经多血，其气化特性属于风木。有形的病邪应当从血论治，无形的病邪应当从风论治。现在的疾病属于走窜无形的类型，所以从风证方面治疗。兼以化痰散结，辅以铁粉朱砂丸。痊愈。
吴茭山治疗一位妇女，她气盛血少，火旺痰多。因为事情不顺心意，得了怔忡的病。心中惊惕不安，时发时止，从清晨到晚上，如此没有节制。每次服用镇心安神的金石类药物，反而更加不安。吴茭山诊察她的脉象，左侧弦而大，知道是血少火旺；右侧浮滑不匀，知道是气盛痰多。于是使用温胆汤加入海粉、苏子。服用几剂后病情安定。随后服用安神丸，长期服用完全痊愈。
高果哉治疗钱塞庵宰相的怔忡失眠。诊察发现心脉独虚，肝脉独旺。患者叙述去年通过驿路回乡时，盗贼遍地，风声鹤唳，日夜惊恐害怕而导致此病。高果哉使用生地、麦冬、枣仁、元参各五钱，人参三钱，龙眼肉十五枚。服用几剂后，又使用夏枯草、羚羊角、远志、茯神、甘草、人参。效果显著。最后仍以天王补心丹常服，完全痊愈。
俞震按语：怔忡本来不是重病，但做官的人多患此病。这是因为劳心太过，或者兼有惊恐忧虑所致。治疗方法不外乎养血安神、补益元气、镇惊怯懦。然而也难以见效。不如抛弃一切杂念，淡然处之，病自然肯离去。老子说：向内观察内心，心中无心。广成子说：不要劳累你的形体，不要动摇你的精气，不要让你的思虑纷繁复杂。这岂止是去除疾病，还可以长生不老。
Hua Borén treated a patient suffering from palpitations (Zhen Tong, characterized by restless anxiety and heart palpitations) and forgetfulness. The patient had a bland taste in the mouth, dry tongue, excessive sweating, flaccidity of the four limbs, fever, and urine that was white and turbid. Other physicians attributed this to deficiency due to internal injury and proposed administering warming tonics such as Deer Antler Velvet (Rong) and Prepared Aconite Root (Fu Zi). Before a decision was made, Hua Borén examined the pulse, finding it deficient, large, and rapid. He stated: "This is caused by excessive rumination, leading to harm from the Ministerial Fire of the Jueyin channel." The Sovereign Fire (Jun Huo) manifests as clarity, while the Ministerial Fire (Xiang Huo) maintains its proper position; the Ministerial Fire acts on behalf of the Sovereign Fire. Once the Ministerial Fire is disturbed, it can cause myriad diseases. The origins of all ailments stem from the mind's loss of control. Yue Ren (Bian Que) said: "Worry and rumination damage the Heart." This individual has always had high ambitions and a proud spirit, but his plans have not been realized. Long-term depression led to internal injury. He was prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill). Xiaokanli Wan (Small Kan-Li Pill) was taken on an empty stomach. After more than a month, the condition stabilized.
Another person, terrified by a certain incident, felt constant apprehension, as if fearing capture by others. His pulse was hollow, deficient, large, and floating. His body was hot with excessive sweating. Hua Borén said: "Any disease resulting from falling from heights, being startled and falling, or being struck and beaten, causing stagnant evil blood, should be discussed under the category of Wind Stroke (Zhong Feng), ultimately returning to the Jueyin channel. This is the theory of Haicang (Zhang Yuansu)." Generally, the Jueyin channel contains abundant blood and transforms into Wind-Wood. Pathogens with form should be treated from the perspective of Blood; pathogen without form should be treated from the perspective of Wind. This illness involves wandering without form, so it is treated according to Wind patterns, combined with resolving phlegm and dissipating nodules, assisted by Tie Fen Zhusha Wan (Iron Powder and Cinnabar Pill). The patient recovered.
Wu Jiaoshan treated a woman with excess Qi and deficient Blood, accompanied by hyperactive Fire and profuse Phlegm. Due to dissatisfaction with circumstances, she developed palpitations. Her heart felt constantly startled and frightened, with episodes occurring intermittently from morning until night, without restraint. Each time she took mineral-based sedatives to calm the Heart, her condition worsened. Wu Jiaoshan diagnosed her pulse: left side wiry and large, indicating deficient Blood and hyperactive Fire; right side floating, slippery, and irregular, indicating excess Qi and profuse Phlegm. He therefore used Wendan Tang (Warm the Gallbladder Decoction) added with Hai Fen (Sea Powder) and Su Zi (Perilla Seed). After several doses, the condition stabilized. Subsequently, Anshen Wan (Calming the Spirit Pill) was administered for long-term use, resulting in complete recovery.
Gao Guozai treated Qian Sai'an, a Grand Secretary, for palpitations and insomnia. Examination revealed a solitary deficiency in the Heart pulse and hyperactivity in the Liver pulse. The patient recounted that during his return home via the postal route last year, bandits were rampant, and the sound of wind and cranes induced fear. Day and night, he lived in terror, which caused this ailment. Gao Guozai prescribed Sheng Di Huang (Rehmanniae Radix), Mai Dong (Ophiopogonis Radix), Suan Zao Ren (Ziziphi Spinosae Semen), Yuan Shen (Scrophulariae Radix), each 5 qian, Renshen (Ginseng Radix et Rhizoma) 3 qian, and Long Yan Rou (Longan Aril) 15 pieces. After several doses, he prescribed Xia Ku Cao (Prunellae Spica), Ling Yang Jiao (Antelope Horn), Yuan Zhi (Polygalae Radix), Fu Shen (Poria with Hostwood), Gan Cao (Licorice Radix et Rhizoma), and Renshen (Ginseng Radix et Rhizoma). The effect was remarkable. Finally, Tianwang Buxin Dan (Emperor of Heaven's Special Pill to Tonify the Heart) was taken regularly for complete recovery.
Yu Zhen commented: Palpitations are not inherently severe illnesses, yet officials often suffer from them. This is due to excessive mental labor or concomitant fright and worry. Treatment methods generally involve nourishing Blood, calming the Spirit, tonifying Original Qi, and settling timidity. However, efficacy is difficult to achieve. It is better to abandon all worldly concerns and remain indifferent; the illness will naturally depart. Laozi said: "Look inward at your heart; let there be no heart in your heart." Guangchengzi said: "Do not exhaust your form, do not agitate your essence, do not let your thoughts run rampant." This not only cures disease but also promotes longevity.