夫怔忡者。心中不安。惕惕然如人将捕是也。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。怔忡者。心胸躁动。谓之怔忡。此心血不足也。多因汲汲
富贵。戚戚贫贱。不遂所愿而成。
一论血虚火盛。怔忡心慌恍惚。烦躁不宁。
养血清心汤
当归（酒洗一钱） 川芎（七分） 白芍（酒炒一钱） 生地黄（酒洗一钱） 黄连（姜汁炒一
钱）
甘草（二钱五分） 片芩（去朽八分） 栀子（炒八分） 酸枣仁（炒） 远志（去心） 麦门
冬（去心各一钱）
上锉一剂。生姜煎服。
一论心烦懊恼。惊悸怔忡。胸中气乱。此血虚而火盛也。
朱砂安神丸
朱砂（另研水飞滤过五钱） 当归（酒洗二钱五分） 黄连（酒洗一钱） 生地黄（酒洗一钱
五分） 甘草（炙二钱五分）
一方。加人参、白术、茯神、酸枣仁炒、麦门冬去心。各等分为末。炼蜜为丸。如黍米
大。每服五十丸。食远。米汤送下。
一论思虑。即心跳者。是心中无气少血。故作怔忡也。
四物安神汤
当归（酒洗） 白茯神（去皮木） 白芍（酒炒） 熟地黄 黄连（姜汁炒） 人参 白术（
去芦） 辰砂（研末临服调入） 竹茹 酸枣仁（炒） 麦门冬（去心） 乌梅（一个） 栀
子
上锉一剂。煎服。
一论心气怔忡。而自汗者。不过一二服而愈。
参归腰子
人参（五钱） 当归身（五钱） 猪腰子（一对）
上先以腰子。用水二碗。煮至一碗半。将腰子细切。入二味药。同煎至八分。吃腰子。
以药
汁送下。如吃不尽腰子。同上二味药渣。焙干为细末。山药糊为丸。如梧子大。每服三五十
丸。米汁汤送下。
一论精神虚惫。恍惚不宁。心思不定。气不足。健忘怔忡。
加味宁志丸
人参 白茯苓（去皮） 远志（甘草水泡去心） 石菖蒲（米泔浸） 酸枣仁（炒） 黄连（去
毛
）柏子仁（各二两） 当归（酒洗八钱） 生地黄（酒洗八钱） 木香（四钱） 朱砂（研水
飞一两二钱半一半入药一半为衣）
上为细末。炼蜜为丸。如绿豆大。半饥时。麦门冬去心煎汤。送下五六十丸。
怔忡这种病症，表现为心中不安宁，惊恐的样子好像有人要抓捕自己一样。这属于血虚证，只要有所思虑就会发作，属于虚证；有时发作、有时停止的，是痰因火邪扰动所致。瘦人多半是因为血少，肥人则多属于痰湿。怔忡的症状是心胸躁动不安，称为怔忡，这是心血不足引起的。多因为急切地追求富贵，或为贫贱而忧愁，愿望不能实现而致病。
第一种论述：血虚火盛导致的怔忡，伴有心慌、恍惚、烦躁不宁。
方用养血清心汤：
当归（用酒洗一钱），川芎（七分），白芍（用酒炒一钱），生地黄（用酒洗一钱），黄连（用姜汁炒一钱），甘草（二钱五分），黄芩（去掉朽坏部分八分），栀子（炒八分），酸枣仁（炒），远志（去心），麦门冬（去心，各一钱）。
以上药材锉碎为一剂，加生姜煎服。
第二种论述：心烦意乱，惊悸怔忡，胸中气机紊乱。这是血虚而火盛的表现。
方用朱砂安神丸：
朱砂（单独研磨，水飞法过滤五钱），当归（用酒洗二钱五分），黄连（用酒洗一钱），生地黄（用酒洗一钱五分），甘草（炙制二钱五分）。
另一方：加入人参、白术、茯神、炒酸枣仁、去心麦门冬。各药等分为末，炼蜜制成丸药，大小如黍米。每次服用五十丸，饭后服用，用米汤送下。
第三种论述：思虑过度即导致心跳的，是因为心中气少血亏，所以发生怔忡。
方用四物安神汤：
当归（用酒洗），白茯神（去皮木），白芍（用酒炒），熟地黄，黄连（用姜汁炒），人参，白术（去芦头），辰砂（研成末，临服药时调入），竹茹，酸枣仁（炒），麦门冬（去心），乌梅（一个），栀子。
以上药材锉碎为一剂，煎服。
第四种论述：心气虚弱导致的怔忡，伴有自汗症状，不过服用一两剂就能痊愈。
方用参归腰子：
人参（五钱），当归身（五钱），猪腰子（一对）。
先将猪腰子用水两碗，煮至一碗半，将腰子切成细块，加入上述两味药，同煎至八分量。吃腰子，用药汁送下。如果吃不完腰子，将剩下的两味药渣焙干研成细末，用山药糊制成丸药，大小如梧桐子。每次服用三五十丸，用米汁汤送下。
第五种论述：精神虚弱疲惫，恍惚不宁，心思不定，气不足，健忘且怔忡。
方用加味宁志丸：
人参，白茯苓（去皮），远志（用甘草水泡过并去心），石菖蒲（用米泔水浸泡），酸枣仁（炒），黄连（去毛），柏子仁（各二两），当归（用酒洗八钱），生地黄（用酒洗八钱），木香（四钱），朱砂（研磨后水飞一两二钱半，一半入药，一半作为丸衣）。
以上药材研成细末，炼蜜制成丸药，大小如绿豆。在半饥半饱时，用去心麦门冬煎汤，送下五六十丸。
Zhenchong (palpitations with a sense of fear) is characterized by inner restlessness, feeling terrified as if someone were about to capture them. This condition belongs to Blood deficiency; it occurs whenever there is mental concern, indicating a Deficiency pattern. When symptoms come and go intermittently, it is caused by Phlegm stirred by Fire. Thin individuals are mostly due to insufficient Blood, while obese individuals are mostly due to Phlegm. Zhenchong refers to the restless agitation in the chest and heart, known as Zhenchong, which results from insufficiency of Heart Blood. It is often caused by anxiously pursuing wealth and honor, or worrying about poverty and low status, leading to unfulfilled desires.
First discussion: Zhenchong accompanied by palpitations, trance-like states, irritability, and restlessness due to Blood deficiency and flourishing Fire.
Prescription: Yangxin Qingxi Tang (Nourish Blood and Clear Heart Decoction).
Dang Gui (Radix Angelicae Sinensis, washed with wine, 1 qian), Chuan Xiong (Rhizoma Chuanxiong, 7 fen), Bai Shao (Radix Paeoniae Alba, stir-fried with wine, 1 qian), Sheng Di Huang (Radix Rehmanniae Preparata, washed with wine, 1 qian), Huang Lian (Rhizoma Coptidis, stir-fried with ginger juice, 1 qian), Gan Cao (Radix Glycyrrhizae Preparata, 2.5 qian), Pian Qin (Radix Scutellariae, remove rotten parts, 8 fen), Zhi Zi (Fructus Gardeniae, stir-fried, 8 fen), Suan Zao Ren (Semen Ziziphi Spinosae, stir-fried), Yuan Zhi (Radix Polygalae, remove heart), Mai Men Dong (Tuber Ophiopogonis, remove heart, each 1 qian).
Crush these ingredients into one dose. Decoct with fresh ginger and take orally.
Second discussion: Mental vexation and distress, palpitations and Zhenchong, chaotic Qi in the chest. This indicates Blood deficiency with flourishing Fire.
Prescription: Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill).
Zhu Sha (Cinnabar, separately ground, water-floating method, filtered, 5 qian), Dang Gui (Radix Angelicae Sinensis, washed with wine, 2.5 qian), Huang Lian (Rhizoma Coptidis, washed with wine, 1 qian), Sheng Di Huang (Radix Rehmanniae Preparata, washed with wine, 1.5 qian), Gan Cao (Radix Glycyrrhizae Preparata, honey-fried, 2.5 qian).
Alternative formula: Add Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fu Shen (Poria with Hostwood), stir-fried Suan Zao Ren (Semen Ziziphi Spinosae), and Mai Men Dong (Tuber Ophiopogonis, remove heart). Grind all equal parts into powder. Make pills using refined honey, sized like millet grains. Take 50 pills per dose after meals, delivered with rice soup.
Third discussion: Palpitations triggered by overthinking indicate that the Heart lacks Qi and Blood, causing Zhenchong.
Prescription: Siwu Anshen Tang (Four Substances Calming the Spirit Decoction).
Dang Gui (Radix Angelicae Sinensis, washed with wine), Bai Fu Shen (Poria with Hostwood, remove bark and wood), Bai Shao (Radix Paeoniae Alba, stir-fried with wine), Shu Di Huang (Radix Rehmanniae Preparata, cooked), Huang Lian (Rhizoma Coptidis, stir-fried with ginger juice), Ren Shen (Radix Ginseng), Bai Zhu (Rhizoma Atractylodis Macrocephalae, remove rhizome base), Chen Sha (Cinnabar, grind into powder and mix in just before taking), Zhu Ru (Caulis Bambusae in Taenia), Suan Zao Ren (Semen Ziziphi Spinosae, stir-fried), Mai Men Dong (Tuber Ophiopogonis, remove heart), Wu Mei (Fructus Mume, one piece), Zhi Zi (Fructus Gardeniae).
Crush these ingredients into one dose. Decoct and take orally.
Fourth discussion: Zhenchong due to Heart Qi deficiency accompanied by spontaneous sweating can be cured within one or two doses.
Prescription: Shen Gui Yaozi (Ginseng and Angelica Pig Kidney Dish).
Ren Shen (Radix Ginseng, 5 qian), Dang Gui Shen (Radix Angelicae Sinensis body, 5 qian), Zhu Yaozi (Kidney of Sus scrofa domestica, a pair).
First, boil the pig kidneys in two bowls of water until reduced to one and a half bowls. Cut the kidneys finely, add the two medicinal herbs, and decoct together until reduced to eight-tenths volume. Eat the kidneys, washing them down with the medicinal liquid. If the kidneys are not fully consumed, dry the remaining herb dregs by roasting, grind into fine powder, bind with yam paste to make pills sized like wu zi (seeds of Cercis chinensis). Take 30-50 pills per dose, delivered with rice juice soup.
Fifth discussion: Spiritual exhaustion, trance-like states, restlessness, unsettled mind, Qi insufficiency, forgetfulness, and Zhenchong.
Prescription: Jiawei Ningzhi Wan (Modified Calming Mind Pill).
Ren Shen (Radix Ginseng), Bai Fu Ling (Poria, remove bark), Yuan Zhi (Radix Polygalae, soak in licorice water and remove heart), Shi Chang Pu (Rhizoma Acori Tatarinowii, soak in rice wash water), Suan Zao Ren (Semen Ziziphi Spinosae, stir-fried), Huang Lian (Rhizoma Coptidis, remove hairs), Bai Zi Ren (Semen Platycladi, each 2 liang), Dang Gui (Radix Angelicae Sinensis, washed with wine, 8 qian), Sheng Di Huang (Radix Rehmanniae Preparata, washed with wine, 8 qian), Mu Xiang (Radix Aucklandiae, 4 qian), Zhu Sha (Cinnabar, grind and water-float, 1.25 liang; half incorporated into the pill, half used as coating).
Grind all ingredients into fine powder. Make pills using refined honey, sized like mung beans. Take 50-60 pills when half-hungry, delivered with decoction of Mai Men Dong (Tuber Ophiopogonis, remove heart).