病源风惊悸者。由体虚心气不足。心之经为风邪所乘也。或恐惧忧迫。令心气虚。亦受
风邪。风邪搏于心。则惊不自安。惊不已则悸动不定。其状目睛不转而不能呼。诊其脉动而
弱者
广济疗热风惊悸。安心久服长年。镇心丸方。
茯神 人参 龙齿（研） 升麻 石膏（研） 黄芩 茯苓 麦门冬（八分去心） 银
薄（二
百番研） 虎睛（一具炙） 枳实（炙） 白蔹 玄参 芍药 葳蕤 甘草（炙各六分） 生
姜（二
分）
上十七味捣筛蜜和丸。每食讫少时。以饮服如梧子大。十五丸。日二服。渐渐加至三十
丸。不利。忌海藻菘菜醋蒜面粘食陈臭等物。（出第一卷中）
深师大定心丸。疗恍惚惊悸。心神不安。或风邪因虚加藏。语言喜忘。胸胁满。不得
饮食方。
人参 桂心（各三两） 白术 防己 茯苓 干姜 防风 大黄 茯神 桔梗 白蔹（各
一两） 牛膝（十铢） 远志（二两去心） 银屑（六铢）
上十四味捣合下筛。以蜜丸如梧子大。先食服五丸。日三。不知稍稍增之。一方无牛膝
。而有茱萸一两。银屑十铢。余悉同。忌生葱酢物猪肉桃李雀肉等。
又补心汤。疗心气不足。其病苦满。汗出心风。烦闷善恐。独苦多梦。不自觉者。咽喉
痛。时时吐血。舌本强。水浆不通。手掌热。心惊悸。吐下血方。
麦门冬（三两去心） 紫石英（五分） 紫菀（二两） 桂心（一尺一方二两） 茯苓
（四两一
方一两） 小豆（二十四枚一方六合） 人参（半两） 大枣（二十五枚擘） 甘草（五寸
炙一方一
两）
上九味切。以水八升。煮取二升四合。羸人分作三服。强人再服。心旺之时。有血症可
服耳。一方说用药两数不尽同。注之在下煮。取多少服亦同。忌海藻菘菜生葱酢物。（并出
第十
千金疗心虚寒。阴阳寒损。心惊掣悸。语声宽急混濯。口 。冒昧好自笑。厉风伤心。
荆沥汤方。
荆沥（三升） 麻黄（去节） 白术 芎 （各四两） 防风 桂心 升麻 茯苓 远
志（去
心） 人参 羌活 当归（各三两） 防己 甘草（炙各二两） 母姜（切一升取汁）
上十五味切。以水一斗。先煮麻黄两沸。去沫。次下诸药。煮取三升。绞去滓。下荆沥
姜汁。煎取四升。分为四服。日三夜一。忌海藻菘菜酢生葱桃李雀肉等物。
又大镇心丸。疗心虚惊悸。梦寤恐畏方。
紫石英 茯苓 防风 人参 甘草（炙） 泽泻（各八分） 秦艽 黄 白术 薯蓣 白
蔹（各六分） 麦门冬 当归（各五分） 桂心 远志（去心） 柏子仁 石膏 桔梗 大
黄大
豆卷（各四分熬） 椒（汗去目） 芍药 干姜 细辛（各三分）
上二十四味。酒服如梧子大十五丸。日再。一方用枣膏丸。忌海藻菘菜生葱猪肉生菜桃
李雀肉等。
又小镇心散。疗心气不足。虚悸恐畏。悲思恍惚。心神不定。惕惕而惊方。
人参 远志（去心） 赤小豆 附子（炮） 桂心 细辛 干姜 防风 龙齿（炙） 菖
蒲
干地黄（各二两） 茯苓 白术 黄 （各四两）
上十四味捣筛为散。以酒服两方寸匕。日三。忌羊肉饧桃李雀肉生葱生菜猪肉。（并出
第十四卷中）
崔氏疗热风惊掣。心忪恐悸。风邪狂叫妄走者。服此汤亦瘥。朱四频用之极效方。
茯神（三两） 杏仁（三两去皮尖两仁切） 升麻 白藓皮 沙参（各二两） 龙齿（六
两炙）
上九味切。以水一斗二升。煎取三升。去滓。分温为三服。相去十里。若甚者减水三升
纳竹沥三升。先用水煮九沸。然后纳竹沥。煮取三升。服如上法。忌酢物。（出第六卷中）
古今录验茯神汤。疗风经五脏虚惊悸。安神定志方。
龙骨（一两） 干姜（一两半） 细辛（一两半） 白术（一两） 茯神（三两） 人
参远志（
去心） 甘草（炙） 桂心 独活（各二两） 酸枣仁（一两） 防风（二两）
上十二味切。以水九升。煮取三升。分为三服。忌海藻菘菜桃李雀肉生葱生菜醋物。
又大竹沥汤。疗大虚风气。入腹拘急。心痛烦冤恍惚迷惑不知人。或惊悸时怖。吸吸口
干。
欲绝
强反
秦艽 防风 茯苓 人参（各二两） 茵芋 乌头（炮） 黄芩 干姜 当归 细辛 白
术（各
一两） 天雄（一枚炮） 甘草（三两炙） 防己（二两）
上十四味切。以竹沥一斗。水五升。煮取四升。分服一升。羸人服五合佳。此汤令人痹
宁
竹
卷
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：风惊悸方九首 类别：方剂
【待处理原文翻译】
病因中关于风惊悸（因风邪侵袭导致的心神惊恐、心悸不安）的论述：这是由于体质虚弱、心气不足，心的经脉被风邪所乘袭。或者因为恐惧、忧愁逼迫，导致心气虚损，也容易受到风邪侵袭。风邪与心气搏结，就会使人惊恐而不得安宁；惊恐不止，就会导致心悸动摇不定。其症状表现为眼球转动不灵且不能发声。诊察其脉象，呈现动而弱的特点。
《广济方》治疗热风惊悸，能安心神，长期服用可延年益寿。镇心丸方：
茯神、人参、龙齿（研碎）、升麻、石膏（研碎）、黄芩、茯苓、麦门冬（各八分，去心）、银箔（二百片，研细）、虎睛（一只，炙烤）、枳实（炙烤）、白蔹、玄参、芍药、葳蕤、甘草（炙烤，各六分）、生姜（二分）。
以上十七味药，捣碎过筛，用蜂蜜调和制成丸药。每顿饭吃完后不久，用温水送服梧桐子大小的十五丸，每日两次。逐渐增加至三十丸。若出现腹泻则停药。忌食海藻、菘菜（白菜类）、醋、蒜、面食、粘性食物及陈旧腐臭之物。（出自第一卷）
深师的大定心丸：治疗恍惚、惊悸，心神不安。或因风邪乘虚侵入脏腑，导致言语喜忘、胸胁胀满、无法进食。方剂如下：
人参、桂心（各三两）、白术、防己、茯苓、干姜、防风、大黄、茯神、桔梗、白蔹（各一两）、牛膝（十铢）、远志（二两，去心）、银屑（六铢）。
以上十四味药，捣碎混合后过筛，用蜂蜜制成梧桐子大小的丸药。饭前服用五丸，每日三次。若效果不明显，可逐渐增加剂量。另一版本没有牛膝，但有一两茱萸和十铢银屑，其余相同。忌食生葱、醋物、猪肉、李子、桃子、雀肉等。
又补心汤：治疗心气不足。病症表现为心中烦满、出汗、心受风邪、烦闷易恐、独自痛苦多梦、意识不清、咽喉痛、时常吐血、舌根僵硬、水浆难以下咽、手掌发热、心惊悸、吐血或便血。方剂如下：
麦门冬（三两，去心）、紫石英（五分）、紫菀（二两）、桂心（一尺长一方为二两）、茯苓（四两，一方为一两）、小豆（二十四枚，一方为六合）、人参（半两）、大枣（二十五枚，掰开）、甘草（五寸长，炙烤，一方为一两）。
以上九味药切碎，用水八升，煮取二升四合。体弱者分三次服用，体强者分两次服用。在心气旺盛之时，若有血症可以服用。另一版本说用药分量不尽相同，注记在下面，煎煮取量和服用量也相同。忌食海藻、菘菜、生葱、醋物。（均出自第十卷）
《千金方》治疗心虚寒，阴阳受损，心惊掣悸，语声宽急混杂不清，口角流涎，头目昏冒，喜欢自笑，厉风伤心。荆沥汤方：
荆沥（三升）、麻黄（去节）、白术、川芎（各四两）、防风、桂心、升麻、茯苓、远志（去心）、人参、羌活、当归（各三两）、防己、甘草（炙烤，各二两）、老姜（切片一升，取汁）。
以上十五味药切碎，用水一斗，先煮麻黄两沸，去掉浮沫，然后加入其他药物，煮取三升，绞去药渣，加入荆沥和姜汁，再煎取四升，分为四次服用，每日三次，夜间一次。忌食海藻、菘菜、醋、生葱、李子、桃子、雀肉等物。
又大镇心丸：治疗心虚惊悸，做梦或醒时恐惧畏怯。方剂如下：
紫石英、茯苓、防风、人参、甘草（炙烤）、泽泻（各八分）、秦艽、黄芪、白术、薯蓣、白蔹（各六分）、麦门冬、当归（各五分）、桂心、远志（去心）、柏子仁、石膏、桔梗、大黄、大豆卷（各四分，熬制）、花椒（去目）、芍药、干姜、细辛（各三分）。
以上二十四味药，用酒送服梧桐子大小十五丸，每日两次。另一版本用枣膏制丸。忌食海藻、菘菜、生葱、猪肉、生菜、桃子、李子、雀肉等。
又小镇心散：治疗心气不足，虚性惊悸恐惧，悲伤思绪恍惚，心神不定，惕惕然受惊。方剂如下：
人参、远志（去心）、赤小豆、附子（炮制）、桂心、细辛、干姜、防风、龙齿（炙烤）、石菖蒲、干地黄（各二两）、茯苓、白术、黄芪（各四两）。
以上十四味药捣碎过筛成为散剂，用酒送服两方寸匕，每日三次。忌食羊肉、饴糖、李子、桃子、雀肉、生葱、生菜、猪肉。（均出自第十四卷）
崔氏治疗热风惊掣，心慌恐惧惊悸，风邪狂叫妄行的人，服用此汤也能痊愈。朱四多次使用极有效。方剂如下：
茯神（三两）、杏仁（三两，去皮尖，双仁者切开）、升麻、白鲜皮、沙参（各二两）、龙齿（六两，炙烤）。
以上九味药切碎，用水一斗二升，煎取三升，去渣，分温三次服用。间隔十里路程的时间服用一次。如果病情严重，减少水三升，加入竹沥三升，先用水煮九沸，然后加入竹沥，煎取三升，服用方法同上。忌食醋物。（出自第六卷）
古今录验茯神汤：治疗风邪经过五脏导致的虚惊悸，安神定志。方剂如下：
龙骨（一两）、干姜（一两半）、细辛（一两半）、白术（一两）、茯神（三两）、人参、远志（去心）、甘草（炙烤）、桂心、独活（各二两）、酸枣仁（一两）、防风（二两）。
以上十二味药切碎，用水九升，煮取三升，分为三次服用。忌食海藻、菘菜、李子、桃子、雀肉、生葱、生菜、醋物。
又大竹沥汤：治疗大虚风气，入腹导致拘急，心痛烦冤，恍惚迷惑不知人，或惊悸时时恐怖，呼吸急促口干，欲绝强反。方剂如下：
秦艽、防风、茯苓、人参（各二两）、茵芋、乌头（炮制）、黄芩、干姜、当归、细辛、白术（各一两）、天雄（一枚，炮制）、甘草（三两，炙烤）、防己（二两）。
以上十四味药切碎，用竹沥一斗，水五升，煮取四升，分次服用一升。体弱者服用五合较好。此汤能令人痹症安宁。（出自竹卷）
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Nine Formulas for Wind-induced Palpitations and Fright
Category: Formulas
[English Translation]
Discussion on the etiology of wind-induced palpitations and fright (palpitations and fright caused by wind pathogen invasion): This arises from a weak constitution and deficiency of Heart Qi, where the meridians of the Heart are invaded by wind pathogen. Alternatively, due to fear or distress, Heart Qi becomes deficient, making one susceptible to wind pathogen. When wind pathogen contends with Heart Qi, it causes fright and restlessness; prolonged fright leads to unstable palpitations. The clinical manifestations include immobility of the eyeballs and inability to speak. Pulse diagnosis reveals a moving and weak pulse.
Guangji Fang treats heat-wind palpitations and fright, calms the mind, and prolongs life when taken long-term. Zhenxin Wan (Calming the Heart Pill) Formula:
Fushen (Poria with Hostwood), Renshen (Ginseng Root), Longchi (Dragon Bone, crushed), Shengma (Cimicifugae Rhizoma), Shigao (Gypsum Fibrosum, crushed), Huangqin (Scutellariae Radix), Fuling (Poria), Maidong (Ophiopogonis Tuber) [each 8 fen, de-heartened], Yinbo (Silver Leaf, 200 sheets, finely ground), Huqing (Tiger Eye, one piece, roasted), Zhishi (Aurantii Fructus, roasted), Bailian (Ibani Radix), Xuanshen (Scrophulariae Radix), Shaoyao (Paeoniae Radix), Weirui (Polygonati Odorati Rhizoma), Gancao (Licorice Root, roasted) [each 6 fen], Shengjiang (Fresh Ginger) [2 fen].
The above seventeen herbs are pounded, sifted, and mixed with honey to form pills. Shortly after meals, take fifteen pills the size of a wu zi (ciboule seed) with warm water, twice daily. Gradually increase to thirty pills. Discontinue if diarrhea occurs. Avoid consuming seaweed, songcai (Chinese cabbage), vinegar, garlic, wheat products, sticky foods, and stale or foul-smelling substances. (From Volume I)
Shenshi's Dadingxin Wan (Great Calming Heart Pill): Treats trance, palpitations, and mental unrest. It is also used when wind pathogen invades the zang organs due to deficiency, causing forgetfulness, chest and hypochondriac fullness, and anorexia. Formula:
Renshen (Ginseng Root), Guixin (Cinnamon Twig) [each 3 liang], Baizhu (Atractylodis Macrocephalae Rhizoma), Fangji (Stephaniae Tetrandrae Radix), Fuling (Poria), Ganjiang (Dried Ginger), Fangfeng (Saposhnikoviae Radix), Dahuang (Rhei Radix et Rhizoma), Fushen (Poria with Hostwood), Jiegeng (Platycodonis Radix), Bailian (Ibani Radix) [each 1 liang], Niuxi (Achyranthis Bidentatae Radix) [10 zhu], Yuanzhi (Polygalae Radix, de-heartened) [2 liang], Yinye (Silver Dust) [6 zhu].
The above fourteen herbs are pounded, mixed, and sifted, then formed into pills the size of a wu zi with honey. Take five pills before meals, three times daily. If ineffective, gradually increase the dose. Another version excludes Niuxi but includes 1 liang of Zhuyu (Corni Fructus) and 10 zhu of Yinye; the rest remain the same. Avoid raw scallions, vinegar products, pork, plums, peaches, and sparrow meat.
Also, Buxin Tang (Tonify Heart Decoction): Treats Heart Qi deficiency. Symptoms include chest fullness, sweating, wind affecting the heart, irritability, excessive fear, vivid dreaming, unconsciousness, sore throat, frequent hemoptysis, stiffness of the tongue base, difficulty swallowing fluids, hot palms, palpitations, and hematemesis or hematochezia. Formula:
Maidong (Ophiopogonis Tuber, de-heartened) [3 liang], Zi Shiyun (Fluorite) [5 fen], Ziwan (Asteris Radix) [2 liang], Guixin (Cinnamon Twig) [one chi length in one version equals 2 liang], Fuling (Poria) [4 liang, one version 1 liang], Xiaodou (Adzuki Bean) [24 pieces, one version 6 he], Renshen (Ginseng Root) [0.5 liang], Dazao (Jujube Fruit) [25 pieces, split], Gancao (Licorice Root, roasted) [5 cun length, one version 1 liang].
The above nine herbs are cut, boiled in 8 sheng of water until reduced to 2.4 sheng. Frail patients divide this into three doses; robust patients take two doses. It can be taken during periods of strong Heart Qi if blood disorders are present. Another version notes different dosages, detailed below; boiling reduction and dosage methods are similar. Avoid seaweed, songcai, raw scallions, and vinegar products. (From Volume X)
Qianjin Fang treats Heart deficiency-cold, damage to Yin and Yang, sudden palpitations, indistinct speech, drooling, dizziness, spontaneous laughter, and wind striking the Heart. Jingli Tang (Arborvitae Sap Decoction) Formula:
Jingli (Arborvitae Sap) [3 sheng], Mahuang (Ephedrae Herba, nodes removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiongqiong (Ligusticum Chuanxiong Rhizoma) [each 4 liang], Fangfeng (Saposhnikoviae Radix), Guixin (Cinnamon Twig), Shengma (Cimicifugae Rhizoma), Fuling (Poria), Yuanzhi (Polygalae Radix, de-heartened), Renshen (Ginseng Root), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix) [each 3 liang], Fangji (Stephaniae Tetrandrae Radix), Gancao (Licorice Root, roasted) [each 2 liang], Mujiang (Old Ginger, sliced 1 sheng, juice extracted).
The above fifteen herbs are cut. Boil in 1 dou of water. First boil Mahuang for two boils, skim off the foam, then add the remaining herbs. Boil until reduced to 3 sheng, strain, then add Jingli and ginger juice. Simmer until reduced to 4 sheng. Divide into four doses: three times daily and once at night. Avoid seaweed, songcai, vinegar, raw scallions, plums, peaches, and sparrow meat.
Also, Da Zhenxin Wan (Great Calming Heart Pill): Treats Heart deficiency with palpitations and fright, occurring in dreams or upon waking. Formula:
Zi Shiyun (Fluorite), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Root), Gancao (Licorice Root, roasted), Zexie (Alismatis Rhizoma) [each 8 fen], Qinjiao (Gentianae Macrophyllae Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shuyao (Dioscoreae Rhizoma), Bailian (Ibani Radix) [each 6 fen], Maidong (Ophiopogonis Tuber), Danggui (Angelicae Sinensis Radix) [each 5 fen], Guixin (Cinnamon Twig), Yuanzhi (Polygalae Radix, de-heartened), Baiziren (Biota Seed), Shigao (Gypsum Fibrosum), Jiegeng (Platycodonis Radix), Dahuang (Rhei Radix et Rhizoma), Dadijuan (Fermented Soybean) [each 4 fen, fried], Jiaohua (Zanthoxyli Pericarpium, remove seeds), Shaoyao (Paeoniae Radix), Ganjiang (Dried Ginger), Xixin (Asari Radix et Rhizoma) [each 3 fen].
The above twenty-four herbs are taken with wine, fifteen pills the size of a wu zi, twice daily. Another version uses jujube paste to form pills. Avoid seaweed, songcai, raw scallions, pork, raw vegetables, plums, peaches, and sparrow meat.
Also, Xiao Zhenxin San (Small Calming Heart Powder): Treats Heart Qi deficiency, deficiency-type palpitations and fear, sadness, trance, mental instability, and startle. Formula:
Renshen (Ginseng Root), Yuanzhi (Polygalae Radix, de-heartened), Chixiaodou (Adzuki Bean), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Guixin (Cinnamon Twig), Xixin (Asari Radix et Rhizoma), Ganjiang (Dried Ginger), Fangfeng (Saposhnikoviae Radix), Longchi (Dragon Bone, roasted), Changpu (Acori Tatarinowii Rhizoma), Dihuang (Rehmanniae Radix Preparata) [each 2 liang], Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix) [each 4 liang].
The above fourteen herbs are pounded and sifted into a powder. Take two fang cun bi (square-inch measure) with wine, three times daily. Avoid mutton, maltose, plums, peaches, sparrow meat, raw scallions, raw vegetables, and pork. (From Volume XIV)
Cui Shi treats heat-wind convulsions, panic, fear, palpitations, and wild running/shouting caused by wind pathogen. This decoction is effective. Zhu Si used it frequently with great effect. Formula:
Fushen (Poria with Hostwood) [3 liang], Xingren (Pruni Semen, skin and tip removed, double-kernel ones cut), Shengma (Cimicifugae Rhizoma), Baixianpi (Dictamni Cortex), Shashen (Glehniae Radix) [each 2 liang], Longchi (Dragon Bone, roasted) [6 liang].
The above nine herbs are cut. Boil in 1.2 dou of water until reduced to 3 sheng. Strain. Divide into three warm doses. Take every distance equivalent to traveling ten li. For severe cases, reduce water by 3 sheng and add 3 sheng of Zhuli (Bamboo Sap). First boil water for nine boils, then add bamboo sap. Simmer until reduced to 3 sheng. Take as above. Avoid vinegar products. (From Volume VI)
Gujin Luyan Fushen Tang (Ancient and Modern Recorded Poria Decoction): Treats wind passing through the five zang organs causing deficiency palpitations and fright, calming the spirit and stabilizing will. Formula:
Longgu (Dragon Bone) [1 liang], Ganjiang (Dried Ginger) [1.5 liang], Xixin (Asari Radix et Rhizoma) [1.5 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang], Fushen (Poria with Hostwood) [3 liang], Renshen (Ginseng Root), Yuanzhi (Polygalae Radix, de-heartened), Gancao (Licorice Root, roasted), Guixin (Cinnamon Twig), Duhuo (Angelicae Pubescentis Radix) [each 2 liang], Suanzaoren (Ziziphi Spinosae Semen) [1 liang], Fangfeng (Saposhnikoviae Radix) [2 liang].
The above twelve herbs are cut. Boil in 9 sheng of water until reduced to 3 sheng. Divide into three doses. Avoid seaweed, songcai, plums, peaches, sparrow meat, raw scallions, raw vegetables, and vinegar products.
Also, Da Zhuli Tang (Great Bamboo Sap Decoction): Treats severe deficiency with wind qi entering the abdomen causing spasms, heart pain, vexation, trance, confusion, unconsciousness, intermittent palpitations and terror, rapid breathing, dry mouth, and impending collapse. Formula:
Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Fuling (Poria), Renshen (Ginseng Root) [each 2 liang], Yinyu (Epimedii Folium), Wutou (Aconiti Radix, processed), Huangqin (Scutellariae Radix), Ganjiang (Dried Ginger), Danggui (Angelicae Sinensis Radix), Xixin (Asari Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 1 liang], Tianxiong (Aconiti Radix Lateralis Preparata, one piece, processed), Gancao (Licorice Root, roasted) [3 liang], Fangji (Stephaniae Tetrandrae Radix) [2 liang].
The above fourteen herbs are cut. Boil in 1 dou of bamboo sap and 5 sheng of water until reduced to 4 sheng. Divide doses, taking 1 sheng per dose. Frail patients take 5 he for better results. This decoction alleviates numbness and paralysis. (From Bamboo Scroll)