惊与悸不同，杨仁斋说，言约而理尽，故首揭之，以正端绪。如动筑之悸，别是一义，与此所言自异。
总说（名义）人之所主者心，心之所养者血，心血一虚，神气不守，此惊悸之所肇端也。曰惊曰悸，
其可无辨乎。惊者恐怖之谓，悸者怔忪之谓。心虚而郁痰，则耳闻大声，目击异物，遇险临危，触事丧志，心为
之忤，使人有惕惕之状，是则为惊。心虚而停水，则胸中渗漉，虚气流动，水既上乘，心火恶之，心不自安，使
人有怏怏之状，是则为悸。惊者与之豁痰定惊之剂，悸者与之逐水消饮之剂，所谓扶虚，不过调养心血、和平
心气而已。若一切以刚燥用工，
或者心火自炎，又有热生风之证。（《直指》）（按∶《说文》悸，心动也。此杨氏所本。）
悸即怔忡也。怔忡者，本无所惊，自心动而不宁。惊者，因外有所卒动。（《准绳》）（按∶原更有惊恐辨，
今载篇末，宜考。）
《伤寒明理论》释悸字云∶悸，心忪也，筑筑惕惕然动，证怔忪忪不能自安也。则悸即怔忡，而今人分为
两条，谬矣。（同上）
惊悸由失精《养生方》云∶精藏于玉房，交接太数则失精。失精者，令人怅怅，心常惊悸。（《病源论》）
惊病所由 风惊者，由体虚心气不足，为风邪所乘也。心藏神而主血脉，心气不足则虚，虚则血乱，血
乱则气并于血，气血相并，又被风邪所乘，故惊不安定，名为风惊。（《病源论》）（按∶又有风惊邪候、风惊
悸候、风惊恐候，大旨并同。风惊邪候曰∶其状乍惊乍喜，恍惚失常是也。）
夫惊悸者，心虚胆怯之所致也。且心者君主之官，神明出焉。胆者中正之官，决断出焉。心气安逸，胆气
不怯，决断思虑，得其所矣。或因事有所大惊，或闻虚响，或见异相，登高陟险，惊忤心神，气与涎郁，遂使
惊悸。惊悸不已，变生诸证，或短气悸乏，体倦自汗，四肢浮肿，饮食无味，心虚烦闷，坐卧不安，皆心虚胆怯
之候也。治之之法，宁其心以壮胆气，无不瘥者矣。（《济生》）（按，严氏别有怔忡论，此主惊病而言。）
惊悸者血虚，惊悸有时（按∶又于怔忡曰无时，是对待为辨），以朱砂安神丸。（《丹溪》）
悸病所由 夫怔忡者，由心血不足也。盖心主于血，血乃心之主，心乃形之君，血富则心君自安矣。
多因汲汲富贵，
戚戚贫贱，久思所爱，触事不意，真血虚耗，心帝失辅，遂成怔忡。怔忡不已，变生诸证，舌强恍惚，善忧悲，
少颜色，皆心病之候。《难经》曰∶损其心者调其荣。法当专补真血，真血若富，心君有辅，无不愈者矣。又
有冒风寒暑湿，闭塞诸经，令人怔忡。五饮停蓄，堙塞中脘，亦令人怔忡。当随其证，施以治法。（《济生》）
心胸躁动，谓之怔忡，俗云心忪，皆为热也。（《原病式》）
怔忡者血虚，怔忡无时，血少者多。有思虑便动，属虚。时作时止者，痰因火动。瘦人多是因血少，肥人
属痰。寻常者多是痰。真觉心跳者是血少，四物、朱砂安神之类。假如病因惊而得，惊则神出其舍，舍空则痰
生也。（《丹溪》）
心悸之由，不越二种，一者虚也，二者饮也。气虚者由阳气内虚，心下空虚，火气内动而为悸也，血虚者
亦然。其停饮者，由水停心下，心为火而恶水，水既内停，心不自安，故为悸也。（《准绳》）
脉候 趺阳脉微而浮，浮则胃气虚，微则不能食，此恐惧之脉，忧迫所作也。惊生病者，其脉止而复
来，其人目睛不转，不能呼气。（《脉经》）
治法诸说 气郁生痰自汗，温胆汤、《简易》雄朱丸。因事大惊，梦寐不祥，《济生》远志丸、宁志膏、
酸枣仁汤。房事失精，令人怅闷惊悸，十四友丸，临眠服，空心，大菟丝丸。（《永类》）（节录。十四友丸、
大菟丝丸，系心肾双补大方。）
若惊悸，眠多异梦，随即惊觉者，宜温胆汤加酸枣仁、莲肉各一钱，以金银煎，下十四友丸或镇心丹（见《和剂》）、
远志丸（用远志、茯神、益智）、酒调妙香散。（《要诀》）
治惊悸，必先以养心安神之剂，随后豁痰。或用此法，大便结而脉实者，以朱砂滚痰丸下之。一服不愈，再
服之无不愈者。（《医统》）
肝出谋虑，游魂散守，恶动而惊，重治于肝经。胆为决断，属志不伸，触事而惊，重治于胆腑。有因怒气伤
肝，有因惊气入胆，母能令子虚，因而心血不足；又或嗜欲繁冗，思想无穷，则心神耗散而心君不宁，此其所
以有从肝胆出治也。（同上）
郁痰留饮，积于心包胃口，而致惊悸怔忡者有之，此又不可概以虚而治也。医者当参究脉候，立方处治，
庶能奏功。（同上）
易惊属胆气虚，忌破气、升发、燥热，宜补胆气、甘温、辛温、酸平。（《本草经疏》）
痰则豁痰定惊，饮则逐水蠲饮，血虚者调养心血，气虚者和平心气，痰结者降下之，气郁者舒畅之。阴火
上炎者，治其肾而心悸自已。若如外物卒惊，宜行镇重。（《汇补》）
惊之因，有由肝胆俱虚，百药不效者，须补肾。古人谓肝无虚，不可补，补肾正补肝也。（《尊生书》）
或有阴火上冲，怔忡不已，甚者火炎于上，或头晕眼花，或齿落发脱，或手指如许长大，或见异物，或腹
中作声，此阴火为患也，治宜滋阴抑火汤。心不宁者，加养心之剂。日久服降火药不愈，加附子从治，或入参、
亦可。（《准绳》）
惊恐治法之分 惊则气乱，恐则气下，惊恐虽若同类，而不知恐之伤人，尤甚于惊。何也？盖惊出于
暂，而暂者即可复；恐积于渐，而渐者不可解。甚至心忪而神伤，精怯则
阴痿，日消月缩，不亡不已。此非大勇大断者，必不能拔去其病根，徒资药力，不易及也。予尝治暴惊者，十
愈其八九，治恐惧者，十不得其一二。（《景岳》）
镇心诸方 深师龙骨汤，疗宿惊失志，忽忽喜忘，悲伤不乐，阳气不起方。
龙骨 茯苓 桂心 远志（去心各一两） 麦门冬（去心二两）
牡蛎（熬） 甘草（炙各三两） 生姜（四两）
上八味 咀，以水七升，煮取二升，分为二服。（《外台》）（按∶此桂枝加龙骨牡蛎汤变方。）《圣惠》
治产后脏气虚，心神惊悸，龙齿散，于本方去龙骨、茯苓，加龙齿、茯神、人参、熟干地黄、当归、芍药。
治心脏不安，惊悸善忘，上膈风热，化痰安神，朱砂散方。
朱砂（一两研） 白石英（一两研）
上件药二味同细研为散，每服半钱，食后临卧煎金银汤调下。（《简要济众》）《神巧》加马牙消三分研。
铁粉牛黄丸，主心经留热，安精神，化风痰，止心下忪悸。
铁粉（再研水飞过焙干二两） 辰砂（别研水飞过极细焙干一两） 天竹黄（一分别研极细） 牛黄（半两细
研治急风加至一两） 铅白霜（一分别细研）
上五味，煎糯米粥饭和为丸，如绿豆大，每服十五丸，人参汤下，日再服，糯米饮下亦得。（《传家秘法》）
（按∶此《圣惠》铁粉丸类方，宜参《癫》门。）
治心神不定，恍惚不乐，火不下降，时有振跳，消阴养火全心气，朱雀丸。
茯神（二两去皮） 沉香（半两）
上为细末，炼蜜丸如小豆大，每服三十丸，食后人参汤
下甚妙。（《选奇后集正传》引河间，朱砂半两研为衣。此方余家常用，加朱砂为散，甚效。）《粹言》
茯苓定志丸，治恐伤肾，神志不宁，于本方加茯苓、人参、朱砂，面糊丸，白汤下。
治惊气入心络，喑不能言语。《夷坚己志》十五卷 事章。
密陀僧（研极细如粉）
上以茶调服一钱匕，一服即愈。昔有人为野狼及恶蛇所惊，皆以此药疗而愈。田师中太尉秘方，亦治暗风，蜜
陀僧大如两指者一块，以铁线密缠，留铁线一条悬空挂之，四边以火 令通红，酒一升，醋一升，合和淬药，
取酒醋尽为度，出火毒一宿，研令极细，每服一钱，麝香酒调下，吐涎不妨。（《是斋》）（按∶《本事》有治
惊忧受邪，惊气丸，既录《癫》门中。）
枣肉灵砂，专治虚人夜不得睡，梦中惊魇，自汗忪悸。
灵砂（二钱研） 人参（半钱） 酸枣仁肉（一钱）（按；《如宜方》肉字无。）
上为末，枣肉丸，临卧时，枣汤吞下五七粒。（《得效》）
安神丸，治心神烦乱怔忡，兀兀欲吐，胸中气乱而热，有似懊 之状，皆膈上血中伏火，蒸蒸然不安。宜用
权衡法，以镇阴火之浮越，以养上焦之元气。
黄连（一钱五分酒洗） 朱砂（一钱水飞） 酒生地黄 酒当归身 炙甘草（以上各五分）
上件除朱砂水飞外，捣四味为细末，同和匀，汤浸 饼为丸，如黍米大，每服十五丸，津唾咽下，食后。
（《兰室》）又朱砂安神丸，于本方去地黄、当归。丹溪曰∶心气虚怯之人，怔忡或烦乱，或健忘，或失心后
神痴不清，辰砂
安神丸。又朱砂丸，治劳役心跳，于本方去地黄，加芍药、侧柏叶、川芎、陈皮。《心统》琥珀安神丸，治病后
虚烦不眠，于本方加琥珀、真珠。
补心诸方（附清火方）定志小丸，主心气不定，五脏不足，甚者忧愁悲伤不乐，忽忽喜忘，朝瘥夕剧，
暮瘥朝发，狂眩方。
菖蒲 远志（各二两） 茯苓 人参（各三两）
上四味末之，蜜丸，饮服如梧子大七丸，日三。加茯神为茯神丸，散服亦佳。（《千金》）（按∶此方本
由《肘后》疗人心孔昏塞，多忘喜误，末服方寸匕。《翼方》名开心散，主好忘。）《外台》∶《古今录验》一
方，加茯神一两半，牛黄五铢，为六味，茯苓、远志、菖蒲各一两。（《圣济》亦名茯神丸。）《和剂》名定
志丸，炼蜜和丸，以朱砂为衣。《圣济》治心热健忘，远志散，于本方加黄连为末，食后酒调方寸匕。《济生》
远志丸，治因事有所大惊，梦寐不祥，登高陟险，神思不安，惊悸恐怯，于茯神丸加龙齿，辰砂为衣。《心
法附余》加味定志丸，治痰迷心膈，惊悸怔忡，于本方加琥珀、郁金。
妙香散，治男子妇人心气不足，志意不安，惊怖悲忧惨戚，虚烦少睡，喜怒不常，夜多盗汗，饮食无味，
头目昏眩。
茯苓（去皮不焙） 茯神（去皮木） 薯蓣（姜汁炙） 远志（去心炒） 黄 （各一两） 人参 桔梗（炒）
甘草（炙各半两） 辰砂（三两别研） 麝香（一钱别研） 木香（二钱半）
上为细末，每服二钱，温酒调下，不拘时候。常服，补益气血，安神镇心。（《和剂》）王荆公安神秘精，
定心气，用人参、益智、五色龙骨各一两，茯苓、茯神、远志去
心各半两，朱砂研、甘草炙各一分，为末，每服二钱，空心温酒调下，亦名妙香散。（《简易》）
治肝经因虚，内受风邪，卧则魂散而不守，状若惊悸，真珠丸。（真珠母大于常珠，形状不一。）
真珠母（未钻真珠也五分研如粉同碾） 当归（洗去芦薄切焙干后秤） 熟干地黄（酒洒九蒸九曝焙干各一两半）
人参（去芦） 酸枣仁（微炒去皮研） 柏子仁（各一两研） 茯神（去木） 沉香 龙齿（各半两）
上为细末，炼蜜为丸，如梧子大，辰砂为衣，每眼四、五十丸，金银薄荷汤下，日午夜卧服。（《本事》）
益荣汤，治思虑过度，耗伤心血，怔忡恍惚，善悲忧，少颜色，夜多不寐，小便或浊。
当归（去芦酒浸） 黄 （去芦） 小草 酸枣仁（炒去壳） 柏子仁（炒） 麦门冬（去心） 茯神（去木）
白芍药 紫石英（细研各一两） 木香（不见火） 人参 甘草（炙各半两）
上 咀，每服四钱，水一盏半，生姜五片，枣一枚，煮至七分，去滓温服，不拘时候。（《济生》）
宁志膏，治心虚血虚多惊。
人参 白茯苓 茯神 柏子仁 琥珀 当归 酸枣仁（温酒浸半日去壳隔纸炒香） 远志（酒浸半日新布裹
捶取肉焙各半两） 乳香 朱砂（别研） 石菖蒲（各一分）
上末，炼蜜丸，梧子大，每三十丸，食后枣汤下。（《直指》）
平惊通圣散，治一切惊悸怔忡健忘等证。
当归 人参 黄连 茯神 远志 甘草（炙各三钱） 石菖蒲 朱砂（另研各二钱）
上为细末，竹叶煎汤调二钱，食后临卧服。（《医统》）《百代医宗》怔忡汤，于本方去人参、远志、石
菖蒲，加川
芎、白芍、熟地黄、生地黄煎服。《尊生书》静神丹，治忧思过度，惕然心跳，于本方去人参、甘草，加生地、
牛黄，丸黍米大，金箔为衣，灯心汤下五十丸。
镇心汤，云林验方，治心荒立应。（《济世全书》作清火安神汤，治惊悸怔忡，心神荒乱。）
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。（《医鉴》）
一人心下怔忡，眠倒即大声鼾睡，醒即不寐。
用羚羊角、乌犀角，各用水磨浓汁，入所用之药汤剂内，服之即愈。盖打鼾睡者，心肺之火也。（《慈航》）
惊与悸是不同的病证，杨仁斋说，言辞简练而道理详尽，所以首先提出这一点，以端正头绪。像筑筑跳动的悸，是另一种含义，与此处所说的自然不同。
总论（名义）：人之所以主宰的是心，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。称为惊、称为悸，难道可以不加辨别吗？惊，是指恐惧的意思；悸，是指怔忡的意思。如果心虚而有郁结之痰，那么听到巨大的声响，看到奇异的事物，遇到危险面临危难，接触事物丧失志气，心神为之逆乱，使人产生惊恐不安的状态，这就是惊。如果心虚而有停聚之水，那么胸中漉漉作响，虚气流动，水邪既已上乘于心，心火厌恶它，心不能自安，使人产生怏怏不乐的状态，这就是悸。对于惊，给予豁痰定惊的方剂；对于悸，给予逐水消饮的方剂，所谓扶助正气，不过是调养心血、调和心气罢了。如果对一切病症都使用刚燥的药物，或许会导致心火自炎，又出现热极生风的证候。（出自《直指》）（按语：《说文解字》解释“悸”为心动。这是杨氏学说的依据。）
悸就是怔忡。怔忡，是指原本没有受到惊吓，心脏自己跳动而不安宁。惊，是因为外部突然受到触动。（出自《准绳》）（按语：原文还有惊恐的辨析，现在载于篇末，应当考证。）
《伤寒明理论》解释“悸”字说：悸，就是心忪，筑筑惕惕然跳动，证见怔忪忪然不能自安。那么悸就是怔忡，而现在的人将其分为两条，是错误的。（同上）
惊悸由失精引起：《养生方》说：精藏于玉房（生殖器），性交过于频繁就会失精。失精的人，会令人怅然若失，心中常常惊悸。（出自《病源论》）
惊病的由来：风惊，是由于体质虚弱、心气不足，被风邪所乘袭。心藏神而主血脉，心气不足则虚，虚则血行紊乱，血乱则气并归于血，气血相并，又被风邪所乘袭，所以惊而不安定，名为风惊。（出自《病源论》）（按语：又有风惊邪候、风惊悸候、风惊恐候，大旨都相同。风惊邪候说：其症状是乍惊乍喜，恍惚失常。）
夫惊悸，是由心虚胆怯所致。而且心是君主之官，神明由此而出。胆是中正之官，决断由此而出。心气安逸，胆气不怯，决断思虑，就能各得其所。或者因为事情受到大惊，或听到虚幻的声音，或看到异样的景象，登高涉险，惊扰心神，气与涎液郁结，于是导致惊悸。惊悸不已，变生各种证候，或短气悸乏，身体疲倦自汗，四肢浮肿，饮食无味，心虚烦闷，坐卧不安，都是心虚胆怯的征候。治疗的方法，使心宁静以壮胆气，没有不好的了。（出自《济生》）（按语：严氏另有怔忡论，此处主要论述惊病。）
惊悸属于血虚，惊悸有时发作（按语：又在怔忡中说无时，是对待而言以作辨别），用朱砂安神丸。（出自《丹溪》）
悸病的由来：夫怔忡，是由于心血不足。盖心主于血，血是心的主宰，心是形体的君主，血充足则心君自然安宁。多因汲汲于富贵，戚戚于贫贱，长久思念所爱之人，遇事不如意，真血虚耗，心帝失去辅佐，于是成为怔忡。怔忡不已，变生各种证候，舌强恍惚，善于忧悲，面色少华，都是心病的征候。《难经》说：损其心者调其荣。治法应当专补真血，真血如果充足，心君有辅佐，没有不好的了。又有冒受风寒暑湿，闭塞诸经，令人怔忡。五饮停蓄，堵塞中脘，也令人怔忡。应当根据证候，施以治疗方法。（出自《济生》）
心胸躁动，称为怔忡，俗称心忪，都是因为热邪。（出自《原病式》）
怔忡属于血虚，怔忡无时发作，血少的居多。有思虑就动的，属虚。时作时止的，是痰因火动。瘦人多是因为血少，肥人属于痰。寻常的多是痰。真正觉得心跳的是血少，用四物汤、朱砂安神丸之类。假如病因惊而得，惊则神出离其舍，舍空则痰生。（出自《丹溪》）
心悸的由来，不外乎两种，一是虚，二是饮。气虚者由于阳气内虚，心下空虚，火气内动而为悸；血虚者也是如此。其停饮者，由于水停心下，心属火而恶水，水既内停，心不自安，所以为悸。（出自《准绳》）
脉候：趺阳脉微而浮，浮则胃气虚，微则不能食，这是恐惧的脉象，是忧迫所作所为引起的。患惊病的人，其脉止而复来，其人目睛不转，不能呼气。（出自《脉经》）
治法诸说：气郁生痰自汗，用温胆汤、《简易》雄朱丸。因事大惊，梦寐不祥，用《济生》远志丸、宁志膏、酸枣仁汤。房事失精，令人怅闷惊悸，用十四友丸，临睡前服，空心服，大菟丝丸。（出自《永类》）（节录。十四友丸、大菟丝丸，是心肾双补的大方。）
如果是惊悸，睡眠多异梦，随即惊醒的，宜用温胆汤加酸枣仁、莲肉各一钱，用金银煎汤，送服十四友丸或镇心丹（见《和剂局方》）、远志丸（用远志、茯神、益智），酒调妙香散。（出自《要诀》）
治惊悸，必先以养心安神的方剂，随后豁痰。或用此法，大便结而脉实者，用朱砂滚痰丸攻下。一服不愈，再服之无不愈者。（出自《医统》）
肝出谋虑，游魂散守，恶动而惊，重在治肝经。胆为决断，属志不伸，触事而惊，重在治胆腑。有因怒气伤肝的，有因惊气入胆的，母能令子虚，因而心血不足；又或嗜欲繁冗，思想无穷，则心神耗散而心君不宁，这就是之所以有从肝胆出治的原因。（同上）
郁痰留饮，积于心包胃口，而导致惊悸怔忡的有之，这又不可以一概以虚证来治。医者当参究脉候，立方处治，庶能奏效。（同上）
易惊属于胆气虚，忌破气、升发、燥热之品，宜补胆气，用甘温、辛温、酸平之药。（出自《本草经疏》）
痰则豁痰定惊，饮则逐水蠲饮，血虚者调养心血，气虚者和平心气，痰结者降下之，气郁者舒畅之。阴火上炎者，治其肾而心悸自止。如果如外物卒然惊吓，宜行镇重之法。（出自《汇补》）
惊的成因，有由肝胆俱虚，百药不效的，须补肾。古人谓肝无虚，不可补，补肾正是补肝。（出自《尊生书》）
或有阴火上冲，怔忡不已，甚者火炎于上，或头晕眼花，或齿落发脱，或手指如许长大，或见异物，或腹中作声，这是阴火为患，治宜滋阴抑火汤。心不宁者，加养心之剂。日久服降火药不愈，加附子从治，或加入人参，也可以。（出自《准绳》）
惊恐治法之分：惊则气乱，恐则气下，惊恐虽然看似同类，但不知恐伤人，尤其甚于惊。为什么呢？盖惊出于暂时，而暂时即可恢复；恐积于渐进，而渐进者不可解。甚至心忪而神伤，精怯则阳痿，日消月缩，不亡不已。这不是有大勇大断的人，一定不能拔去病根，徒靠药力，不容易达到效果。我曾治疗暴惊者，十愈八九；治疗恐惧者，十不得一二。（出自《景岳》）
镇心诸方：深师龙骨汤，疗宿惊失志，忽忽喜忘，悲伤不乐，阳气不起方。
龙骨、茯苓、桂心、远志（去心各一两）、麦门冬（去心二两）、牡蛎（熬）、甘草（炙各三两）、生姜（四两）。
上八味，切碎，以水七升，煮取二升，分为二服。（出自《外台秘要》）（按语：此乃桂枝加龙骨牡蛎汤的变方。）《圣惠方》治产后脏气虚，心神惊悸，龙齿散，于本方去龙骨、茯苓，加龙齿、茯神、人参、熟干地黄、当归、芍药。
治心脏不安，惊悸善忘，上膈风热，化痰安神，朱砂散方。
朱砂（一两研）、白石英（一两研）。
上件药二味同细研为散，每服半钱，食后临卧煎金银汤调下。（出自《简要济众方》）《神巧万全方》加马牙消三分研。
铁粉牛黄丸，主心经留热，安精神，化风痰，止心下忪悸。
铁粉（再研水飞过焙干二两）、辰砂（别研水飞过极细焙干一两）、天竹黄（一分别研极细）、牛黄（半两细研，治急风加至一两）、铅白霜（一分别细研）。
上五味，煎糯米粥饭和为丸，如绿豆大，每服十五丸，人参汤下，日再服，糯米饮下亦得。（出自《传家秘法》）（按语：此乃《圣惠方》铁粉丸类方，宜参《癫狂》门。）
治心神不定，恍惚不乐，火不下降，时有振跳，消阴养火全心气，朱雀丸。
茯神（二两去皮）、沉香（半两）。
上为细末，炼蜜丸如小豆大，每服三十丸，食后人参汤下甚妙。（出自《选奇后集正传》引河间，朱砂半两研为衣。此方余家常用，加朱砂为散，甚效。）《粹言》茯苓定志丸，治恐伤肾，神志不宁，于本方加茯苓、人参、朱砂，面糊丸，白汤下。
治惊气入心络，喑不能言语。《夷坚己志》十五卷 事章。
密陀僧（研极细如粉）。
上以茶调服一钱匕，一服即愈。昔有人为野狼及恶蛇所惊，皆以此药疗而愈。田师中太尉秘方，亦治暗风，密陀僧大如两指者一块，以铁线密缠，留铁线一条悬空挂之，四边以火煅令通红，酒一升，醋一升，合和淬药，取酒醋尽为度，出火毒一宿，研令极细，每服一钱，麝香酒调下，吐涎不妨。（出自《是斋百一选方》）（按语：《本事方》有治惊忧受邪，惊气丸，既录《癫狂》门中。）
枣肉灵砂，专治虚人夜不得睡，梦中惊魇，自汗忪悸。
灵砂（二钱研）、人参（半钱）、酸枣仁肉（一钱）（按：《如宜方》肉字无）。
上为末，枣肉丸，临卧时，枣汤吞下五七粒。（出自《得效方》）
安神丸，治心神烦乱怔忡，兀兀欲吐，胸中气乱而热，有似懊憹之状，皆膈上血中伏火，蒸蒸然不安。宜用权衡法，以镇阴火之浮越，以养上焦之元气。
黄连（一钱五分酒洗）、朱砂（一钱水飞）、酒生地黄、酒当归身、炙甘草（以上各五分）。
上件除朱砂水飞外，捣四味为细末，同和匀，汤浸蒸饼为丸，如黍米大，每服十五丸，津唾咽下，食后。（出自《兰室秘藏》）又朱砂安神丸，于本方去地黄、当归。丹溪曰：心气虚怯之人，怔忡或烦乱，或健忘，或失心后神痴不清，辰砂安神丸。又朱砂丸，治劳役心跳，于本方去地黄，加芍药、侧柏叶、川芎、陈皮。《心统》琥珀安神丸，治病后虚烦不眠，于本方加琥珀、真珠。
补心诸方（附清火方）：定志小丸，主心气不定，五脏不足，甚者忧愁悲伤不乐，忽忽喜忘，朝瘥夕剧，暮瘥朝发，狂眩方。
菖蒲、远志（各二两）、茯苓、人参（各三两）。
上四味末之，蜜丸，饮服如梧子大七丸，日三。加茯神为茯神丸，散服亦佳。（出自《千金方》）（按语：此方本由《肘后方》疗人心孔昏塞，多忘喜误，末服方寸匕。《翼方》名开心散，主好忘。）《外台秘要》：《古今录验》一方，加茯神一两半，牛黄五铢，为六味，茯苓、远志、菖蒲各一两。（《圣济总录》亦名茯神丸。）《和剂局方》名定志丸，炼蜜和丸，以朱砂为衣。《圣济总录》治心热健忘，远志散，于本方加黄连为末，食后酒调方寸匕。《济生方》远志丸，治因事有所大惊，梦寐不祥，登高陟险，神思不安，惊悸恐怯，于茯神丸加龙齿，辰砂为衣。《心法附余》加味定志丸，治痰迷心膈，惊悸怔忡，于本方加琥珀、郁金。
妙香散，治男子妇人心气不足，志意不安，惊怖悲忧惨戚，虚烦少睡，喜怒不常，夜多盗汗，饮食无味，头目昏眩。
茯苓（去皮不焙）、茯神（去皮木）、薯蓣（姜汁炙）、远志（去心炒）、黄芪（各一两）、人参、桔梗（炒）、甘草（炙各半两）、辰砂（三两别研）、麝香（一钱别研）、木香（二钱半）。
上为细末，每服二钱，温酒调下，不拘时候。常服，补益气血，安神镇心。（出自《和剂局方》）王荆公安神秘精，定心气，用人参、益智、五色龙骨各一两，茯苓、茯神、远志去心各半两，朱砂研、甘草炙各一分，为末，每服二钱，空心温酒调下，亦名妙香散。（出自《简易方论》）
治肝经因虚，内受风邪，卧则魂散而不守，状若惊悸，真珠丸。（真珠母大于常珠，形状不一。）
真珠母（未钻真珠也五分研如粉同碾）、当归（洗去芦薄切焙干后秤）、熟干地黄（酒洒九蒸九曝焙干各一两半）、人参（去芦）、酸枣仁（微炒去皮研）、柏子仁（各一两研）、茯神（去木）、沉香、龙齿（各半两）。
上为细末，炼蜜为丸，如梧子大，辰砂为衣，每服四、五十丸，金银薄荷汤下，日午夜卧服。（出自《本事方》）
益荣汤，治思虑过度，耗伤心血，怔忡恍惚，善悲忧，少颜色，夜多不寐，小便或浊。
当归（去芦酒浸）、黄芪（去芦）、小草、酸枣仁（炒去壳）、柏子仁（炒）、麦门冬（去心）、茯神（去木）、白芍药、紫石英（细研各一两）、木香（不见火）、人参、甘草（炙各半两）。
上咀，每服四钱，水一盏半，生姜五片，枣一枚，煮至七分，去滓温服，不拘时候。（出自《济生方》）
宁志膏，治心虚血虚多惊。
人参、白茯苓、茯神、柏子仁、琥珀、当归、酸枣仁（温酒浸半日去壳隔纸炒香）、远志（酒浸半日新布裹捶取肉焙各半两）、乳香、朱砂（别研）、石菖蒲（各一分）。
上末，炼蜜丸，梧子大，每三十丸，食后枣汤下。（出自《直指方》）
平惊通圣散，治一切惊悸怔忡健忘等证。
当归、人参、黄连、茯神、远志、甘草（炙各三钱）、石菖蒲、朱砂（另研各二钱）。
上为细末，竹叶煎汤调二钱，食后临卧服。（出自《医统》）《百代医宗》怔忡汤，于本方去人参、远志、石菖蒲，加川芎、白芍、熟地黄、生地黄煎服。《尊生书》静神丹，治忧思过度，惕然心跳，于本方去人参、甘草，加生地、牛黄，丸黍米大，金箔为衣，灯心汤下五十丸。
镇心汤，云林验方，治心荒立应。（《济世全书》作清火安神汤，治惊悸怔忡，心神荒乱。）
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。（出自《医鉴》）
一人心下怔忡，眠倒即大声鼾睡，醒即不寐。
用羚羊角、乌犀角，各用水磨浓汁，入所用之药汤剂内，服之即愈。盖打鼾睡者，心肺之火也。（出自《慈航》）
Jing (Startle) and Ji (Palpitation) are different conditions. Yang Renzhai stated that his words were concise yet comprehensive in principle, so this point is raised first to clarify the beginning of the discussion. The palpitation described as "beating like a pestle" (Zhu Zhu) is a different meaning and naturally differs from what is discussed here.
General Discussion (Nomenclature): What governs the human body is the Heart (Xin), and what nourishes the Heart is Blood (Xue). Once Heart Blood becomes deficient, the Shen (Spirit) fails to reside securely; this is the origin of Jing and Ji. Can we fail to distinguish between Jing and Ji? Jing refers to terror/fear. Ji refers to Zheng Chong (palpitations with a sense of unease). If there is Heart deficiency with stagnant Phlegm (Tan), then hearing loud noises, seeing strange objects, encountering danger, or being confronted with peril causes the Shen to be disturbed, leading to a state of timidity and apprehension; this is Jing. If there is Heart deficiency with retained Water (Shui), then there is a gurgling sensation in the chest, and Qi moves vacuously. Since the pathogenic Water rises to oppress the Heart, and Heart Fire dislikes Water, the Heart feels insecure, leading to a state of dissatisfaction; this is Ji. For Jing, administer formulas that resolve Phlegm and calm Startle. For Ji, administer formulas that expel Water and eliminate Fluid retention (Yin).所谓的扶虚 (Supporting Deficiency) merely involves nourishing Heart Blood and harmonizing Heart Qi. If one uses acrid-warm and drying herbs indiscriminately, it may cause Heart Fire to flare up spontaneously, leading to symptoms of Heat generating Wind. (From *Zhi Zhi*) [Note: *Shuo Wen* defines Ji as heart movement. This is the basis of Yang's theory.]
Ji is synonymous with Zheng Chong. Zheng Chong means that without external startle, the Heart beats restlessly on its own. Jing occurs due to sudden external stimulation. (From *Zhun Sheng*) [Note: The original text contains a differentiation between Jing and Kong, now placed at the end of the chapter for reference.]
*Sang Han Ming Li Lun* explains the character Ji as follows: Ji is Xin Song (heart palpitation/unease), beating and trembling, presenting as Zheng Zhong Song Song, unable to feel at ease. Thus, Ji is Zheng Chong, and dividing them into two separate categories today is erroneous. (Ibid.)
Jing Ji arises from Essence loss: *Yang Sheng Fang* states: Essence is stored in the Jade Chamber (genitals); excessive intercourse leads to Essence loss. Those who lose Essence become despondent and suffer from frequent Jing Ji. (From *Bing Yuan Lun*)
Origin of Jing Disease: Feng Jing (Wind Startle) occurs when the constitution is weak and Heart Qi is insufficient, allowing Wind Pathogens to invade. The Heart stores the Shen and governs Blood vessels. Insufficient Heart Qi leads to deficiency; deficiency leads to chaotic Blood flow; chaotic Blood causes Qi to congregate with Blood. With Qi and Blood mingling, and further invaded by Wind Pathogens, one becomes startled and unsettled, named Feng Jing. (From *Bing Yuan Lun*) [Note: There are also Feng Jing Xie Hou, Feng Jing Ji Hou, and Feng Jing Kong Hou, all sharing the same general purport. Feng Jing Xie Hou describes symptoms as alternating startle and joy, with恍惚 (trance-like confusion).]
Jing Ji is caused by Heart deficiency and Gallbladder cowardice. The Heart is the Sovereign Official, from whom Shen emerges. The Gallbladder is the Official of Uprightness, from whom Decision emerges. When Heart Qi is tranquil and Gallbladder Qi is not fearful, decision-making and thought are proper. However, if one experiences great shock from events, hears phantom sounds, sees strange sights, climbs heights, or traverses dangers, the Shen and Heart are disturbed. Qi and Saliva become stagnant, resulting in Jing Ji. If Jing Ji persists, various syndromes arise: shortness of breath and fatigue, body weariness and spontaneous sweating, edema of the four limbs, loss of taste, Heart deficiency with vexation and oppression, restlessness in sitting and lying down. These are all signs of Heart deficiency and Gallbladder cowardice. The treatment method is to calm the Heart to strengthen Gallbladder Qi; there will be no case that does not heal. (From *Ji Sheng*) [Note: Yan Shi has a separate treatise on Zheng Chong; this section focuses on Jing disease.]
Jing Ji belongs to Blood deficiency. Jing Ji occurring intermittently (Note: Zheng Chong is described as continuous, distinguishing them by contrast) should be treated with Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill). (From *Dan Xi*)
Origin of Ji Disease: Zheng Chong arises from insufficiency of Heart Blood. The Heart governs Blood; Blood is the master of the Heart, and the Heart is the ruler of the form. When Blood is abundant, the Heart Ruler is at peace. Often, due to anxiety over wealth and honor, sorrow over poverty and low status, prolonged longing for loved ones, or unexpected disappointments, True Blood is consumed, and the Heart Emperor loses support, leading to Zheng Chong. If Zheng Chong persists, various syndromes arise: stiff tongue, trance-like confusion, propensity to worry and grief, sallow complexion. These are all signs of Heart disease. *Nan Jing* states: "Damage to the Heart requires regulating Ying (Nutritive Qi)." The method should focus on tonifying True Blood. If True Blood is abundant, the Heart Ruler has support, and healing is assured. Additionally, exposure to Wind, Cold, Summer-Heat, or Dampness, blocking the meridians, can cause Zheng Chong. Accumulation of the Five Drinks obstructing the Middle Jiao also causes Zheng Chong. Treatment should follow the specific syndrome. (From *Ji Sheng*)
Restlessness in the chest and heart is called Zheng Chong, commonly known as Xin Song, both caused by Heat. (From *Yuan Bing Shi*)
Zheng Chong belongs to Blood deficiency; Zheng Chong without fixed timing is mostly due to Blood scarcity. Movement triggered by thought indicates deficiency. Intermittent onset and cessation indicate Phlegm stirred by Fire. Thin individuals often suffer from Blood deficiency; obese individuals belong to Phlegm. Common cases are mostly Phlegm. True palpitation indicates Blood deficiency; use Si Wu Tang (Four Substances Decoction) or Zhu Sha An Shen Wan. If the cause is Startle, Startle causes the Shen to leave its residence; emptiness leads to Phlegm generation. (From *Dan Xi*)
The origin of Xin Ji (Heart Palpitation) falls into two categories: one is Deficiency, the other is Fluid retention (Yin). Qi deficiency arises from internal deficiency of Yang Qi, emptiness below the Heart, and internal movement of Fire causing Ji; Blood deficiency is similar. Cases of retained Yin involve Water stopping below the Heart. The Heart belongs to Fire and dislikes Water; since Water stops internally, the Heart feels insecure, thus causing Ji. (From *Zhun Sheng*)
Pulse Signs: The Fu Yang pulse is faint and floating. Floating indicates Stomach Qi deficiency; faint indicates inability to eat. This is the pulse of fear, caused by anxiety and pressure. In patients suffering from Jing disease, the pulse stops and then returns; their eyes do not move, and they cannot exhale. (From *Mai Jing*)
Various Treatment Methods: Qi stagnation generating Phlegm and spontaneous sweating: use Wen Dan Tang (Warm the Gallbladder Decoction) or *Jian Yi* Xiong Zhu Wan. Great shock from events, ominous dreams: use *Ji Sheng* Yuan Zhi Wan, Ning Zhi Gao, or Suan Zao Ren Tang. Loss of Essence from sexual activity causing despondency and Jing Ji: use Shi Si You Wan, taken before sleep on an empty stomach, or Da Tu Si Wan. (From *Yong Lei*) [Excerpt. Shi Si You Wan and Da Tu Si Wan are major formulas for dual tonification of Heart and Kidney.]
For Jing Ji with many strange dreams and immediate awakening upon dreaming: use Wen Dan Tang plus Suan Zao Ren (Sour Jujube Seed) and Lian Rou (Lotus Seed Meat), each 1 qian, decocted with Gold and Silver, followed by Shi Si You Wan or Zhen Xin Dan (see *He Ji Ju Fang*), Yuan Zhi Wan (using Yuan Zhi, Fu Shen, Yi Zhi Ren), or Miao Xiang San mixed with wine. (From *Yao Jue*)
To treat Jing Ji, one must first use formulas to nourish the Heart and calm the Shen, followed by resolving Phlegm. Alternatively, if the stool is constipated and the pulse is excess, use Zhu Sha Gun Tan Wan to purge. If one dose is ineffective, a second dose will surely cure. (From *Yi Tong*)
The Liver produces planning; the Wandering Soul scatters and resides; it fears movement and is startled. Treatment focuses heavily on the Liver Meridian. The Gallbladder governs decision; when Will (Zhi) is not expressed, one is startled by events. Treatment focuses heavily on the Gallbladder Organ. Anger injuring the Liver or Startle Qi entering the Gallbladder can cause the Mother (Liver/Wood) to make the Child (Heart/Fire) deficient, leading to Heart Blood insufficiency. Or, excessive desires and endless thoughts scatter the Shen and disturb the Heart Ruler. This is why treatment sometimes originates from the Liver and Gallbladder. (Ibid.)
Stagnant Phlegm and retained Yin accumulating in the Pericardium and Stomach gate can cause Jing Ji and Zheng Chong. This cannot be treated generally as deficiency. Physicians must investigate pulse signs and prescribe accordingly to achieve success. (Ibid.)
Susceptibility to Startle belongs to Gallbladder Qi deficiency. Avoid Qi-breaking, ascending, dispersing, and drying-hot herbs. Instead, tonify Gallbladder Qi using sweet-warm, acrid-warm, and sour-neutral herbs. (From *Ben Cao Jing Shu*)
For Phlegm, resolve Phlegm and calm Startle; for Yin, expel Water and eliminate Fluid retention; for Blood deficiency, nourish Heart Blood; for Qi deficiency, harmonize Heart Qi; for Phlegm knots, descend them; for Qi stagnation, soothe them. If Yin Fire flares upward, treat the Kidney, and Heart palpitation will cease spontaneously. If startled by external objects suddenly, use heavy sedatives. (From *Hui Bu*)
If the cause of Jing is Liver and Gallbladder dual deficiency, and hundreds of medicines fail, one must tonify the Kidney. Ancients said the Liver has no deficiency and cannot be tonified; tonifying the Kidney is indeed tonifying the Liver. (From *Zun Sheng Shu*)
If Yin Fire rushes upward, causing persistent Zheng Chong, and severely, Fire flares upward causing dizziness, blurred vision, tooth loss, hair loss, fingers feeling enlarged, seeing strange objects, or sounds in the abdomen, this is Yin Fire pathology. Treat with Zi Yin Yi Huo Tang (Nourish Yin and Suppress Fire Decoction). For restless Heart, add Heart-nourishing agents. If long-term use of Fire-descending medicines fails, add Fu Zi (Aconite Root) for counter-treatment, or add Ren Shen (Ginseng). (From *Zhun Sheng*)
Differentiation of Treatment for Jing and Kong: Startle causes Qi chaos; Fear causes Qi sinking. Although Jing and Kong seem similar, one must know that Kong harms people more severely than Jing. Why? Jing is temporary, and temporary conditions recover quickly; Kong accumulates gradually, and gradual accumulation is hard to resolve. It can even lead to Heart palpitation and Shen damage, Essence cowardice and impotence, wasting away month by month until death. Only those with great courage and decisiveness can remove the root of this disease; relying solely on medicine is difficult. I have treated acute Startle, curing 8 or 9 out of 10; treating Fear, curing only 1 or 2 out of 10. (From *Jing Yue*)
Formulas for Calming the Heart:
Shen Shi Long Gu Tang (Deep Master Dragon Bone Decoction): Treats chronic Startle and loss of will, forgetfulness, sadness, and lack of Yang Qi.
Ingredients: Long Gu (Dragon Bone), Fu Ling (Poria), Gui Xin (Cinnamon Twig Heart), Yuan Zhi (Polygala Root - remove heart), each 1 liang; Mai Men Dong (Ophiopogon Tuber - remove heart), 2 liang; Mu Li (Oyster Shell - calcined), Gan Cao (Licorice Root - honey-fried), each 3 liang; Sheng Jiang (Fresh Ginger), 4 liang.
Process these eight ingredients, decoct in 7 sheng of water to obtain 2 sheng, divide into two doses. (From *Wai Tai*) [Note: This is a variation of Gui Zhi Jia Long Gu Mu Li Tang.]
*Sheng Hui Fang* treats postpartum visceral Qi deficiency and Heart Shen Jing Ji with Long Chi San (Dragon Tooth Powder). Remove Long Gu and Fu Ling from the above formula, add Long Chi (Dragon Teeth), Fu Shen (Poria with Hostwood), Ren Shen (Ginseng), Shu Di Huang (Prepared Rehmannia Root), Dang Gui (Angelica Sinensis), and Bai Shao (White Peony Root).
Treats Heart instability, Jing Ji, forgetfulness, upper burner Wind-Heat, resolving Phlegm and calming Shen: Zhu Sha San (Cinnabar Powder).
Ingredients: Zhu Sha (Cinnabar), 1 liang, ground; Bai Shi Ying (Quartz), 1 liang, ground.
Grind these two ingredients finely into powder. Take half qian after meals and before bed, mixed with decoction of Gold and Silver. (From *Jian Yao Ji Zhong*) *Shen Qiao Wan Quan Fang* adds Ma Ya Xiao (Saltpeter), 3 fen, ground.
Tie Fen Niu Huang Wan (Iron Powder and Calculus Bovis Pill): Governs lingering Heat in the Heart Meridian, calms Spirit, transforms Wind-Phlegm, stops Heart palpitation.
Ingredients: Tie Fen (Iron Powder), 2 liang (re-ground, washed with water, dried); Chen Sha (Vermilion/Cinnabar), 1 liang (separately ground, washed with water, dried); Tian Zhu Huang (Bamboo Honey), 1 liang (separately ground); Niu Huang (Calculus Bovis), 0.5 liang (finely ground, increase to 1 liang for acute Wind); Qian Bai Shuang (Lead White Frost), 1 liang (finely ground).
Mix these five ingredients with glutinous rice porridge to form pills the size of mung beans. Take 15 pills with Ren Shen decoction, twice daily. Glutinous rice drink is also acceptable. (From *Chuan Jia Mi Fa*) [Note: This is a variant of *Sheng Hui Fang* Tie Fen Wan; refer to the Epilepsy section.]
Zhu Que Wan (Vermilion Bird Pill): Treats Heart Shen instability, trance-like unhappiness, Fire failing to descend, occasional tremors, eliminating Yin and nourishing Fire to fully benefit Heart Qi.
Ingredients: Fu Shen (Poria with Hostwood), 2 liang (remove skin); Chen Xiang (Agarwood), 0.5 liang.
Grind into fine powder, mix with refined honey to form pills the size of small beans. Take 30 pills after meals with Ren Shen decoction. Very effective. (From *Xuan Qi Hou Ji Zheng Zhuan*, citing He Jian; coat with 0.5 liang ground Zhu Sha. This author frequently uses this formula, adding Zhu Sha as powder, very effective.)
Fu Ling Ding Zhi Wan (*Cui Yan* version): Treats Kidney injury from Fear, restless Shen and will. Add Fu Ling, Ren Shen, and Zhu Sha to the base formula, pill with wheat paste, take with warm water.
Treats Startle Qi entering Heart collaterals, aphasia. *Yi Jian Ji Zhi*, Vol 15, Chapter on Events.
Mi Tuo Seng (Litharge), ground extremely fine like powder.
Take 1 qian bi with tea water; one dose cures. Previously, someone startled by wild wolves and venomous snakes was cured with this medicine. General Tian Shizhong’s secret recipe also treats An Feng (Dark Wind): Take a piece of Mi Tuo Seng the size of two fingers, wrap tightly with iron wire, leaving one strand hanging. Heat red hot on all sides, quench in 1 sheng wine and 1 sheng vinegar until liquid is exhausted. Remove fire toxicity overnight, grind extremely fine. Take 1 qian with musk-infused wine; expect expectoration of saliva. (From *Shi Zhai*) [Note: *Ben Shi Fang* has Jing Qi Wan for treating Startle and憂受邪, recorded in the Epilepsy section.]
Zao Rou Ling Sha (Date Flesh and Ling Sha Pill): Specifically treats deficient individuals unable to sleep at night, nightmares, spontaneous sweating, and palpitations.
Ingredients: Ling Sha (Alchemical Cinnabar), 2 qian, ground; Ren Shen (Ginseng), 0.5 qian; Suan Zao Ren Rou (Sour Jujube Seed Flesh), 1 qian. [Note: *Ru Yi Fang* omits the character "Rou".]
Grind into powder, form pills with date flesh. Swallow 5-7 pills with date water before bed. (From *De Xiao Fang*)
An Shen Wan (Calming Spirit Pill): Treats Heart Shen vexation, Zheng Chong, nausea, chaotic and hot Qi in the chest, resembling Ao Dao (vexation), all due to latent Fire in blood above the diaphragm, causing restless heat. Use balancing methods to suppress floating Yin Fire and nourish Upper Jiao Yuan Qi.
Ingredients: Huang Lian (Coptis Rhizome), 1.5 qian, washed with wine; Zhu Sha (Cinnabar), 1 qian, water-ground; Jiu Sheng Di Huang (Wine-processed Raw Rehmannia Root); Jiu Dang Gui Shen (Wine-processed Angelica Sinensis Root Body); Zhi Gan Cao (Honey-fried Licorice Root), each 0.5 qian.
Except for Zhu Sha (water-ground), grind the other four ingredients into fine powder, mix evenly. Soak steamed wheat cake in water to form pills the size of millet seeds. Take 15 pills, swallowed with saliva, after meals. (From *Lan Shi Mi Cang*) Another Zhu Sha An Shen Wan removes Di Huang and Dang Gui from this formula. Dan Xi said: For those with Heart Qi deficiency and cowardice, experiencing Zheng Chong, vexation, forgetfulness, or mental confusion after losing the mind, use Chen Sha An Shen Wan. Another Zhu Sha Wan treats palpitation from overwork; remove Di Huang from the base formula, add Shao Yao (Peony), Ce Bai Ye (Biota Leaf), Chuan Xiong (Ligusticum), and Chen Pi (Tangerine Peel). *Xin Tong* Hu Po An Shen Wan (Amber Calming Spirit Pill) treats post-illness vexation and insomnia; add Hu Po (Amber) and Zhen Zhu (Pearl) to the base formula.
Tonifying Heart Formulas (Including Fire-Clearing Formulas):
Ding Zhi Xiao Wan (Stabilizing Will Small Pill): Governs unstable Heart Qi, insufficiency of the Five Zang organs, severe sadness and unhappiness, forgetfulness, improving in morning but worsening in evening, or improving in evening but worsening in morning, mania and vertigo.
Ingredients: Chang Pu (Acorus Root), Yuan Zhi (Polygala Root), each 2 liang; Fu Ling (Poria), Ren Shen (Ginseng), each 3 liang.
Grind these four ingredients into powder, mix with honey to form pills. Take 7 pills the size of wu zi (walnut seeds) with water, three times daily. Adding Fu Shen makes Fu Shen Wan; taking as powder is also good. (From *Qian Jin Fang*) [Note: This formula originates from *Zhou Hou Fang* treating heart orifice blockage, forgetfulness, and errors, taken as powder, 1 cun bi. *Yi Fang* names it Kai Xin San (Open Heart Powder), governing forgetfulness.] *Wai Tai Mi Yao*: *Gu Jin Lu Yan* formula adds Fu Shen 1.5 liang, Niu Huang (Calculus Bovis) 5 zhu, making six ingredients; Fu Ling, Yuan Zhi, Chang Pu each 1 liang. (*Sheng Ji Zong Lu* also calls it Fu Shen Wan.) *He Ji Ju Fang* names it Ding Zhi Wan, mixed with honey and coated with Zhu Sha. *Sheng Ji Zong Lu* treats Heart Heat and forgetfulness with Yuan Zhi San: add Huang Lian to the base formula as powder, take 1 cun bi with wine after meals. *Ji Sheng Fang* Yuan Zhi Wan treats great shock, ominous dreams, climbing heights/dangers, mental unrest, Jing Ji, and fear: add Long Chi (Dragon Teeth) and coat with Chen Sha to Fu Shen Wan. *Xin Fa Fu Yu* Jia Wei Ding Zhi Wan treats Phlegm confusing Heart and diaphragm, Jing Ji, and Zheng Chong: add Hu Po (Amber) and Yu Jin (Curcuma Radix) to the base formula.
Miao Xiang San (Wonderful Fragrance Powder): Treats men and women with Heart Qi insufficiency, unstable will, fright, sorrow, depression, vexation, little sleep, irregular emotions, night sweats, loss of taste, dizziness.
Ingredients: Fu Ling (Poria - remove skin, do not roast), Fu Shen (Poria with Hostwood - remove skin and wood), Shu Yu (Dioscorea Rhizome - stir-fry with ginger juice), Yuan Zhi (Polygala Root - remove heart, stir-fry), Huang Qi (Astragalus Root), each 1 liang; Ren Shen (Ginseng), Jie Geng (Platycodon Root - stir-fry), Zhi Gan Cao (Honey-fried Licorice Root), each 0.5 liang; Chen Sha (Vermilion), 3 liang, separately ground; She Xiang (Musk), 1 qian, separately ground; Mu Xiang (Costus Root), 2.5 qian.
Grind into fine powder. Take 2 qian, mixed with warm wine, at any time. Regular use tonifies Qi and Blood, calms Shen and anchors Heart. (From *He Ji Ju Fang*) Wang Jing’an’s Shen Mi Jing formula stabilizes Heart Qi: use Ren Shen, Yi Zhi Ren (Alpinia Oxyphylla Fruit), and Wu Se Long Gu (Five-Color Dragon Bone), each 1 liang; Fu Ling, Fu Shen, Yuan Zhi (remove heart), each 0.5 liang; Zhu Sha (ground), Zhi Gan Cao (honey-fried), each 1 fen. Grind into powder. Take 2 qian with warm wine on an empty stomach. Also named Miao Xiang San. (From *Jian Yi Fang Lun*)
Zhen Zhu Wan (Pearl Pill): Treats Liver Meridian deficiency with internal Wind invasion, where the Hun (Ethereal Soul) scatters during sleep, resembling Jing Ji. (Zhen Zhu Mu is larger than normal pearls, varying in shape.)
Ingredients: Zhen Zhu Mu (Mother of Pearl - un-drilled pearl, 5 fen, ground to powder and crushed together); Dang Gui (Angelica Sinensis - wash, remove radicle, slice thinly, dry, weigh); Shu Di Huang (Prepared Rehmannia Root - sprinkle with wine, steam nine times, sun-dry nine times, dry, 1.5 liang); Ren Shen (Ginseng - remove radicle); Suan Zao Ren (Sour Jujube Seed - lightly stir-fry, remove shell, grind); Bai Zi Ren (Biota Seed), each 1 liang, ground; Fu Shen (Poria with Hostwood - remove wood); Chen Xiang (Agarwood); Long Chi (Dragon Teeth), each 0.5 liang.
Grind into fine powder, mix with refined honey to form pills the size of wu zi, coat with Chen Sha. Take 40-50 pills with decoction of Gold, Silver, and Bo He (Mint), taken at midnight before sleep. (From *Ben Shi Fang*)
Yi Rong Tang (Benefit Nutrient Decoction): Treats excessive thinking consuming Heart Blood, Zheng Chong, trance, propensity to worry and grief, sallow complexion, insomnia at night, turbid urine.
Ingredients: Dang Gui (Angelica Sinensis - remove radicle, soak in wine); Huang Qi (Astragalus Root - remove radicle); Xiao Cao (Herba Glehniae); Suan Zao Ren (Sour Jujube Seed - stir-fry, remove shell); Bai Zi Ren (Biota Seed - stir-fry); Mai Men Dong (Ophiopogon Tuber - remove heart); Fu Shen (Poria with Hostwood - remove wood); Bai Shao Yao (White Peony Root); Zi Shi Ying (Purple Quartz), each 1 liang, finely ground; Mu Xiang (Costus Root - avoid fire); Ren Shen (Ginseng); Zhi Gan Cao (Honey-fried Licorice Root), each 0.5 liang.
Cut into pieces. Take 4 qian, add 1.5 sheng water, 5 slices of Sheng Jiang (Fresh Ginger), 1 Jujube. Decoct to 0.7 portion, strain, take warm. At any time. (From *Ji Sheng Fang*)
Ning Zhi Gao (Will-Calming Paste): Treats Heart and Blood deficiency with frequent Startle.
Ingredients: Ren Shen (Ginseng), Bai Fu Ling (White Poria), Fu Shen (Poria with Hostwood), Bai Zi Ren (Biota Seed), Hu Po (Amber), Dang Gui (Angelica Sinensis), Suan Zao Ren (Sour Jujube Seed - soak in warm wine for half a day, remove shell, stir-fry fragrant between papers), Yuan Zhi (Polygala Root - soak in wine for half a day, wrap in new cloth, pound to extract flesh, dry), each 0.5 liang; Ru Xiang (Frankincense), Zhu Sha (Cinnabar - separately ground), Shi Chang Pu (Acorus Root), each 1 fen.
Grind into powder, mix with refined honey to form pills the size of wu zi. Take 30 pills after meals with date water. (From *Zhi Zhi Fang*)
Ping Jing Tong Sheng San (Peace Startle and Unblock Hero Powder): Treats all types of Jing Ji, Zheng Chong, and forgetfulness.
Ingredients: Dang Gui (Angelica Sinensis), Ren Shen (Ginseng), Huang Lian (Coptis Rhizome), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygala Root), Zhi Gan Cao (Honey-fried Licorice Root), each 3 qian; Shi Chang Pu (Acorus Root), Zhu Sha (Cinnabar - separately ground), each 2 qian.
Grind into fine powder. Mix 2 qian with decoction of Zhu Ye (Bamboo Leaf), take after meals and before bed. (From *Yi Tong*) *Bai Dai Yi Zong* Zheng Chong Tang removes Ren Shen, Yuan Zhi, and Shi Chang Pu from this formula, adds Chuan Xiong (Ligusticum), Bai Shao (White Peony), Shu Di Huang (Prepared Rehmannia), and Sheng Di Huang (Raw Rehmannia), decoct and take. *Zun Sheng Shu* Jing Shen Dan (Calm Spirit Elixir) treats excessive worry and thought with palpitation. Remove Ren Shen and Gan Cao from this formula, add Sheng Di (Raw Rehmannia) and Niu Huang (Calculus Bovis), form pills the size of millet seeds, coat with Jin Bo (Gold Foil), take 50 pills with Deng Xin Tang (Juncus Decoction).
Zhen Xin Tang (Heart-Anchoring Decoction): Yun Lin Verified Formula, instantly treats Heart panic. (*Ji Shi Quan Shu* names it Qing Huo An Shen Tang, treating Jing Ji, Zheng Chong, and Heart panic.)
Ingredients: Dang Gui (Angelica Sinensis), 1.2 qian; Chuan Xiong (Ligusticum), 0.7 qian; Sheng Di Huang (Raw Rehmannia Root), 0.8 qian; Pian Qin (Scutellaria Baicalensis Slice), 0.8 qian; Huang Lian (Coptis Rhizome), 0.6 qian; Zhi Zi Ren (Gardenia Seed - stir-fry), 0.7 qian; Suan Zao Ren (Sour Jujube Seed - stir-fry), 1 qian; Yuan Zhi (Polygala Root - processed), 1 qian; Mai Men Dong (Ophiopogon Tuber - remove heart), 1 qian; Bai Shao (White Peony Root), 0.8 qian.
Cut one dose. Decoct with Sheng Jiang (Fresh Ginger) and take. (From *Yi Jian*)
A patient had Zheng Chong below the Heart, snored loudly upon falling asleep, and could not sleep upon waking.
Use Ling Yang Jiao (Antelope Horn) and Wu Xi Jiao (Black Rhino Horn), each prepared as thick concentrated juice by grinding with water, added to the medicinal decoction. Taking this cures immediately. Snoring is due to Fire in the Heart and Lungs. (From *Ci Hang*)