脉
心中惊悸，脉必大结，饮食之悸，沉伏动滑。
病
夫怔忡者，心中躁动不安，惕惕然如人将捕是也。多因富贵戚
戚，贫贱不遂所愿而成。属血虚，有虑便动；属虚，时作时止者。痰因火动，瘦人多是血少，肥人属痰。
夫惊悸者，蓦然而跳跃，惊动如有欲厥之状，有时而作者是也，属血虚。或时觉心跳，亦是血虚。盖
人之所主者，心；心之所养者，血。心血一虚，神气不守，此惊悸之肇端也。又曰∶惊者，
恐怖之谓。怔忡、健忘、惊悸三证，名异而病同。
方
朱砂安神丸 治血虚心烦懊 ，惊悸怔忡，胸中气乱。
朱砂（五钱，水飞过，另研） 黄连（酒洗，六钱） 生甘草（炙，二钱半） 生地
黄（一钱半） 当归（二钱半）
上为细末，蒸饼为丸，如黍米大。每服三五十丸，食后、临卧津咽下。
安神补心汤
当归（一钱二分） 川芎（七分） 白芍（一钱，炒） 生地黄（一钱二分） 白术（一钱）
茯神（一钱二分） 远志（甘草水泡，去心，八分） 酸枣仁（炒，八分） 麦门冬（去心，
二钱） 黄芩（一钱二分） 玄参（五分） 甘草（三分）
一方去远志、麦门冬、黄芩、玄参，加陈皮、柏子仁、酒炒黄连，锉一剂，水煎服。
养心汤 治忧愁思虑伤心，惊悸不宁，及勤政劳心，痰多少睡，心神不足。
黄 （蜜炙，八分） 白茯苓（一钱） 茯神（一钱） 半夏曲（六分） 当归（一钱）
川芎（七分） 甘草（炙，三分） 辣桂（少许） 远志（去心，姜汁炒，八分） 柏子仁（七
分） 五味子（十四个） 酸枣仁（炒，七分） 人参（五分） 生地黄（一钱）
上锉，姜、枣煎，食前服。治停水怔忡，加槟榔、赤茯苓。
参归腰子 治心气怔忡而自汗者，不过一二服即愈。
人参（五钱） 当归（五钱） 猪腰子（一个）
上先将以腰子用水二碗，煎至一碗半，将腰子细切，入二味药，同煎至八分。吃腰子，以药汁送下。有
吃不尽腰子，同上二味药渣焙干，为细末，山药糊为丸，梧子大。每三五十丸，米汤下。
琥珀定智丸（刘尚书方） 专补心生血，定魄安魂，扶肝壮胆，管辖
神魂。惊战虚弱，气乏之病，并皆治之。
南星（半斤，先将地作坑，用炭十斤，在坑内烧红，去灰净，用好酒十余斤倾在坑
内，大瓦盆盖覆周遭，以炭火拥定，勿令泄气，次日取出为末） 真琥珀（一两，皂角水洗
去油） 大朱砂（二两，公猪心割开，入内，用线缚住，悬胎煮酒二碗） 干人乳（用姜汁
制） 好拣参（去芦，三两） 白茯苓（去皮，三两） 白茯神（去皮、木，三两） 石菖
蒲（二两，猪胆汁炒） 远志（水泡过，去心，二两，猪胆煮过，晒干，再用姜汁制）
上为末，炼蜜为丸，如梧子大。每夜卧时，盐汤送下五七十丸。
晒干人乳法 用人乳数碗，入瓦盘内，莫搅动，四周晒干刮一处，干则再刮，乳干以姜汁拌，晒用。
镇心汤（云林验方） 治心慌立应。
当归（一钱二分） 川芎（七分） 生地黄（八分） 片芩（八分） 黄连（六分） 栀子
仁（七分，炒） 酸枣仁（一钱，炒） 远志（一钱，制） 麦门冬（去心一钱） 白芍（八分）
上锉一剂，生姜煎服。
脉象
心中感到惊恐悸动，脉象必定呈现大而结滞之象；因饮食不当引起的悸动，脉象多沉伏且兼见滑象。
病症
所谓怔忡，是指心中躁动不安，惶恐害怕，好像有人将要抓捕自己一样。这多是因为富贵之人忧愁烦恼，或贫贱之人愿望无法实现而形成的。属于血虚证候，思虑过度则症状发作；属于虚证，症状时发时止。若是痰火扰动所致，瘦人多半是血少，肥人多属痰湿。
所谓惊悸，是指突然受到惊吓而心跳跳跃，惊恐动荡，有快要昏厥的样子，有时发作，属于血虚证。或者时常感觉心跳，也是血虚的表现。大概人体由心所主宰，心所滋养的是血。心血一旦虚弱，神气就不能守舍，这是惊悸产生的开端。又说：惊，就是恐怖的意思。怔忡、健忘、惊悸这三种证候，名称不同但病因相同。
方剂
朱砂安神丸 治疗血虚心烦懊恼，惊悸怔忡，胸中气机紊乱。
朱砂（五钱，水飞法处理，单独研磨） 黄连（酒洗，六钱） 生甘草（蜜炙，二钱半） 生地黄（一钱半） 当归（二钱半）
以上药物研成细末，用蒸饼糊作为丸剂，大小如黍米。每次服用三五十丸，饭后、临睡前用唾液送服。
安神补心汤
当归（一钱二分） 川芎（七分） 白芍（一钱，炒制） 生地黄（一钱二分） 白术（一钱） 茯神（一钱二分） 远志（甘草水泡过，去心，八分） 酸枣仁（炒制，八分） 麦门冬（去心，二钱） 黄芩（一钱二分） 玄参（五分） 甘草（三分）
另一方：去掉远志、麦门冬、黄芩、玄参，加入陈皮、柏子仁、酒炒黄连，锉碎为一剂，加水煎服。
养心汤 治疗因忧愁思虑损伤心脏，导致惊悸不宁，以及勤于政务劳损心神，痰多睡眠少，心神不足。
黄芪（蜜炙，八分） 白茯苓（一钱） 茯神（一钱） 半夏曲（六分） 当归（一钱） 川芎（七分） 甘草（蜜炙，三分） 辣桂（少许） 远志（去心，姜汁炒，八分） 柏子仁（七分） 五味子（十四个） 酸枣仁（炒制，七分） 人参（五分） 生地黄（一钱）
以上药物锉碎，加生姜、大枣煎煮，饭前服用。若治疗停饮导致的怔忡，加入槟榔、赤茯苓。
参归腰子 治疗心气不足导致怔忡并伴有自汗者，服用一二剂即可痊愈。
人参（五钱） 当归（五钱） 猪腰子（一个）
先将猪腰子用水两碗，煎至一碗半，将腰子切成细块，加入上述两味药，同煎至八分。吃腰子，用药汁送下。若有吃不完的腰子，连同这两味药的药渣一起焙干，研成细末，用山药糊制成丸剂，大小如梧桐子。每次服用三五十丸，米汤送服。
琥珀定智丸（刘尚书方） 专门补心生血，安定魂魄，扶持肝脏壮胆，统摄神魂。惊惧颤抖、身体虚弱、气乏等病症，都予以治疗。
天南星（半斤，先在地上挖坑，用十斤炭在坑内烧红，清除灰烬干净后，倒入十余斤好酒，用大瓦盆覆盖周围，用炭火围住固定，不让气体泄漏，次日取出研成粉末） 真琥珀（一两，用皂角水洗去油脂） 大朱砂（二两，公猪心剖开，放入朱砂，用线捆住，悬挂在胎中煮酒两碗） 干人乳（用姜汁炮制） 优质拣选的人参（去芦头，三两） 白茯苓（去皮，三两） 白茯神（去皮、木，三两） 石菖蒲（二两，用猪胆汁炒制） 远志（水泡过，去心，二两，用猪胆煮过，晒干，再用姜汁炮制）
以上药物研成粉末，炼蜜为丸，大小如梧桐子。每晚睡觉时，用盐汤送服五七十丸。
晒干人乳的方法 取数碗人乳，放入瓦盘中，不要搅动，四周晒干后刮聚一处，干了再刮，乳汁干后用姜汁拌和，晒干备用。
镇心汤（云林验方） 治疗心慌，立竿见影。
当归（一钱二分） 川芎（七分） 生地黄（八分） 片芩（八分） 黄连（六分） 栀子仁（七分，炒制） 酸枣仁（一钱，炒制） 远志（一钱，炮制） 麦门冬（去心一钱） 白芍（八分）
以上药物锉碎为一剂，加生姜煎服。
Pulse
When the heart feels startled and palpitations occur, the pulse must be large and knotted (Jie). For palpitations caused by dietary indiscretion, the pulse is typically deep (Chen), hidden (Fu), and slippery (Hua).
Diseases
Zhen Tong (Palpitations with a sense of unrest) refers to a restless and uneasy feeling in the heart, characterized by fearfulness as if someone were about to capture one. It often arises from the worries of the wealthy or the unfulfilled desires of the poor. It belongs to Blood Deficiency, where symptoms are triggered by overthinking; it is also a Deficiency pattern, where symptoms come and go intermittently. If caused by Phlegm-Fire agitation, thin individuals usually have insufficient Blood, while fat individuals tend to have Phlegm.
Jing Ji (Startled Palpitations) refers to sudden jumping and trembling due to fright, with a sensation of impending fainting, occurring intermittently. This belongs to Blood Deficiency. Occasional feelings of heart beating are also due to Blood Deficiency. The Heart governs the human body, and the Heart is nourished by Blood. Once Heart Blood becomes deficient, the Shen (Spirit) loses its residence, which is the origin of Jing Ji. Furthermore: "Jing" refers to terror. Zhen Tong, Jian Wang (Amnesia), and Jing Ji are three different names for the same disease pathology.
Formulas
Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) treats Heart Blood deficiency with vexation and restlessness, Jing Ji, Zhen Tong, and chaotic Qi in the chest.
Zhusha (Cinnabar) (5 qian, processed by water levigation, ground separately) Huanglian (Rhizoma Coptidis) (6 qian, washed with wine) Sheng Gancao (Radix Glycyrrhizae Preparata) (2.5 qian, honey-fried) Sheng Dihuang (Radix Rehmanniae Preparata) (1.5 qian) Danggui (Radix Angelicae Sinensis) (2.5 qian)
Grind the above into fine powder, make pills using steamed bread paste, size like millet seeds. Take 30-50 pills after meals and before bed, swallowed with saliva.
Anshen Buxin Tang (Calming the Spirit and Nourishing the Heart Decoction)
Danggui (Radix Angelicae Sinensis) (1.2 qian) Chuanxiong (Rhizoma Chuanxiong) (0.7 qian) Baishao (Radix Paeoniae Alba) (1 qian, stir-fried) Sheng Dihuang (Radix Rehmanniae Preparata) (1.2 qian) Baizhu (Rhizoma Atractylodis Macrocephalae) (1 qian) Fushen (Poria with Hostwood) (1.2 qian) Yuanzhi (Radix Polygalae) (0.8 qian, soaked in Licorice water, core removed) Suanzaoren (Semen Ziziphi Spinosae) (0.8 qian, stir-fried) Maimendong (Radix Ophiopogonis) (2 qian, core removed) Huangqin (Scutellariae Radix) (1.2 qian) Xuanshen (Radix Scrophulariae) (0.5 qian) Gancao (Radix Glycyrrhizae) (0.3 qian)
Alternative formula: Remove Yuanzhi, Maimendong, Huangqin, and Xuanshen; add Chenpi (Pericarpium Citri Reticulatae), Baiziren (Semen Biotae), and Huanglian (Rhizoma Coptidis) fried with wine. Decoct one dose in water and take orally.
Yangxin Tang (Nourishing the Heart Decoction) treats damage to the Heart caused by worry and overthinking, leading to restless palpitations, as well as mental fatigue from diligent administration, excessive phlegm, little sleep, and insufficiency of Heart Shen.
Huangqi (Radix Astragali) (0.8 qian, honey-fried) Baifuling (Poria) (1 qian) Fushen (Poria with Hostwood) (1 qian) Banxiaqu (Fructus Crataegi Fermentatus) (0.6 qian) Danggui (Radix Angelicae Sinensis) (1 qian) Chuanxiong (Rhizoma Chuanxiong) (0.7 qian) Gancao (Radix Glycyrrhizae) (0.3 qian, honey-fried) Lagui (Cortex Cinnamomi) (a small amount) Yuanzhi (Radix Polygalae) (0.8 qian, core removed, stir-fried with ginger juice) Baiziren (Semen Biotae) (0.7 qian) Wuweizi (Fructus Schisandrae) (14 pieces) Suanzaoren (Semen Ziziphi Spinosae) (0.7 qian, stir-fried) Renshen (Radix Ginseng) (0.5 qian) Sheng Dihuang (Radix Rehmanniae Preparata) (1 qian)
Decoct with ginger and jujube, take before meals. To treat Zhen Tong caused by retained water, add Binglang (Arecae Semen) and Chifuling (Poria cum Choro).
Shen Gui Yaozi (Ginseng and Angelica Pork Kidney) treats Zhen Tong with spontaneous sweating due to Heart Qi deficiency; recovery occurs within one or two doses.
Renshen (Radix Ginseng) (5 qian) Danggui (Radix Angelicae Sinensis) (5 qian) Zhu Yaozi (Porcine Kidney) (one piece)
First, decoct the pork kidney in two bowls of water until reduced to one and a half bowls. Cut the kidney into fine pieces, add the two herbs, and decoct until reduced to eight-tenths. Eat the kidney, washing it down with the medicinal liquid. Any remaining kidney should be dried together with the herb dregs, ground into fine powder, made into pills with yam paste, size like wu zi (seed of Sophora japonica). Take 30-50 pills with rice soup.
Hupo Dingzhi Wan (Amber Stabilizing Wisdom Pill) (Prescription of Minister Liu) specifically tonifies the Heart to generate Blood, stabilizes the Po and Hun, supports the Liver and strengthens the Gallbladder, and governs the Shen and Hun. It treats all conditions of fright, trembling, weakness, and Qi deficiency.
Nanxing (Rhizoma Arisaematis) (0.5 jin, first dig a pit in the ground, burn ten jin of charcoal in the pit until red, remove ash cleanly, pour in more than ten jin of good wine, cover tightly with a large earthenware basin, secure with charcoal fire to prevent gas leakage, remove the next day and grind into powder) Zhen Hupo (Succinum) (1 liang, wash oil off with Gengjiao extract) Da Zhusha (Cinnabaris) (2 liang, cut open a male pig's heart, insert inside, tie with thread, suspend in fetus [of pig] and decoct in wine for two bowls) Gan Renru (Dried Human Milk) (processed with ginger juice) Hao Jian Shen (Premium Selected Ginseng) (3 liang, remove radicle) Baifuling (Poria) (3 liang, peel removed) Bai Fushen (Poria with Hostwood) (3 liang, peel and wood removed) Shichangpu (Rhizoma Acori Tatarinowii) (2 liang, stir-fried with porcine bile) Yuanzhi (Radix Polygalae) (2 liang, soaked in water, core removed, boiled in porcine bile, sun-dried, then processed with ginger juice)
Grind into powder, make pills with refined honey, size like wu zi. Take 50-70 pills at night before bed, delivered with salt water.
Method for Sun-Drying Human Milk
Place several bowls of human milk in an earthenware plate, do not stir. Sun-dry around the edges, scrape into a pile when dry, repeat scraping until dry. Mix dried milk with ginger juice and sun-dry for use.
Zhenxin Tang (Stabilizing the Heart Decoction) (Verified Prescription from Yunlin) treats palpitations with immediate effect.
Danggui (Radix Angelicae Sinensis) (1.2 qian) Chuanxiong (Rhizoma Chuanxiong) (0.7 qian) Sheng Dihuang (Radix Rehmanniae Preparata) (0.8 qian) Pian Qin (Scutellariae Radix slice) (0.8 qian) Huanglian (Rhizoma Coptidis) (0.6 qian) Zhiziren (Fructus Gardeniae) (0.7 qian, stir-fried) Suanzaoren (Semen Ziziphi Spinosae) (1 qian, stir-fried) Yuanzhi (Radix Polygalae) (1 qian, processed) Maimendong (Radix Ophiopogonis) (1 qian, core removed) Baishao (Radix Paeoniae Alba) (0.8 qian)
Decoct one dose with fresh ginger and take orally.