消饮诸方 温胆汤，治心胆虚怯，触事易惊，或梦寐不祥，或异象惑，遂致心惊胆慑，气郁生涎，涎与
气搏，变生诸证，或短气悸乏，或复自汗，四肢浮肿，饮食无味，心虚烦闷，坐卧不安。
半夏（汤洗七次） 竹茹 枳实（麸炒去穣各二两） 橘红（三两去白） 甘草（炙一两） 白茯苓（一两半）
上为锉散，每服四大钱，水一盏半，姜五片，枣一个，煎七分，去滓食前服。（《三因》）《得效》十味温
胆汤（主治同），于本方加酸枣仁、远志、北五味子、熟地黄、条参。（《金匮翼》去五味子。）《经验秘方》
温胆汤，定心志，于本方去竹茹，加远志、酸枣仁。（宜与《伤寒·惊悸》相参。）
茯苓饮子，治痰饮蓄于心胃，怔忡不已。
赤茯苓（去皮） 半夏（汤泡七次） 茯神（去木） 橘皮（去白） 麦门冬（去心各一两） 沉香（不见火）
甘草（炙） 槟榔（各半两）
上 咀，每服四钱，水一盏半，生姜五片，煎至七分，去滓温服，不拘时候。（《济生》）
加味四七汤，治心气郁滞，豁痰散惊。
半夏（制二两半） 白茯苓 浓朴（制各一两半） 茯神 紫苏叶（各一两） 远志（姜汁蘸湿取肉焙）
甘草（炙各半两）
上锉，每服四钱，姜七片，石菖蒲半寸，枣二枚，煎服。（《直指》）
姜术汤，治虚证停饮怔忡。
白姜（生） 白术 茯苓 半夏曲（各半两） 辣桂 甘草（炙各一分）
上锉，每服三钱，姜枣煎服。（同上）（按∶此系苓桂术甘汤、小半夏汤合方。）
移精治验 卫德新之妻，旅中宿于楼上，夜值盗劫人烧舍，惊堕床下，自后每闻有响，则惊倒不知人。
家人辈蹑足而行，莫敢冒触有声。岁余不痊，诸医作心病治之，人参真珠及定志丸皆无效。戴人见而断之曰∶
惊者为阳，从外入也；恐者为阴，从内出。惊者为自不知故也，恐者自知也。（按∶《准绳》举此言曰∶盖惊
者闻响即惊。恐者自知，如人将捕之状，及不能独自坐卧，必须人为伴侣，方不恐惧，或夜必用灯照，无灯烛
亦恐惧者是也。）足少阳胆经属肝木，胆者敢也，惊怕则胆伤矣。乃命二侍女，执其两手，按高椅之上，当面
前，下置一小几。戴人曰∶娘子当视此。一木猛击之，其妇大惊。戴人曰∶我以木击几，何必惊乎。伺少定击
之，惊已缓。又斯须连击三五次，又以杖击门，又暗遣人画背后之窗。徐徐惊定而笑曰∶是何治法？戴人曰∶
《内经》云惊者平之，平者常也，平常见之必无惊。是夜使人击其门窗，自夕达曙。夫惊者，神上越也。从下
击几，使之下视，所以收神也。一二日，虽闻雷亦不惊。（《十形三疗》）
消饮各类方剂
温胆汤，用于治疗心胆气虚怯弱，遇事容易受惊，或者在睡梦中梦见不祥之兆，或被奇异景象所迷惑，从而导致心惊胆战，气机郁滞而生痰涎，痰涎与气机相互搏结，变化产生各种证候。症状包括呼吸短促、心悸乏力，或者再次出现自汗，四肢浮肿，饮食没有味道，心中空虚烦闷，坐立不安。
药物组成：半夏（用热水清洗七次）、竹茹、枳实（用麦麸炒制，去掉内部瓤，各二两）、橘红（三两，去掉白色内皮）、甘草（炙烤，一两）、白茯苓（一两半）。
制法与服法：将上述药材捣碎成粗散。每次服用四大钱，加水一盏半，生姜五片，大枣一个，煎煮至七分满，滤去药渣，饭前服用。（出自《三因极一病证方论》）
《得效方》中的十味温胆汤（主治病症相同），在本方基础上加入酸枣仁、远志、北五味子、熟地黄、党参。（《金匮翼》中则去掉五味子。）
《经验秘方》中的温胆汤，用于安定心志，在本方中去掉竹茹，加入远志、酸枣仁。（应当与《伤寒论·惊悸篇》的内容参照参考。）
茯苓饮子，用于治疗痰饮蓄积在心胃之间，导致怔忡（心跳剧烈且持续不停）不止。
药物组成：赤茯苓（去皮）、半夏（热水浸泡七次）、茯神（去掉木质中心）、橘皮（去掉白色内皮）、麦门冬（去掉心，各一两）、沉香（避免直接火烤）、甘草（炙烤）、槟榔（各半两）。
制法与服法：将药材切碎，每次服用四钱，加水一盏半，生姜五片，煎煮至七分满，滤去药渣，温服，不限定具体时间。（出自《济生方》）
药物组成：半夏（制过，二两半）、白茯苓、厚朴（制过，各一两半）、茯神、紫苏叶（各一两）、远志（用姜汁蘸湿，取肉焙干）、甘草（炙烤，各半两）。
制法与服法：将药材切碎，每次服用四钱，生姜七片，石菖蒲半寸，大枣两枚，煎服。（出自《济生方》或相关直指类医书，此处标注为《直指》）
姜术汤，用于治疗虚证导致的停饮和怔忡。
药物组成：干姜（生用）、白术、茯苓、半夏曲（各半两）、辣桂（即肉桂）、甘草（炙烤，各一分）。
制法与服法：将药材切碎，每次服用三钱，用生姜和大枣煎服。（同上）（按语：此方是苓桂术甘汤与小半夏汤的合方。）
移精变气治疗验案
卫德新的妻子，在旅途中住在楼上，夜里遇到强盗抢劫并焚烧房屋，受惊吓从床上跌落下来。从此以后，每当听到响声，就会惊吓跌倒，失去知觉。
家人们走路都踮着脚尖，不敢发出声音触碰物品。一年多没有痊愈，各位医生将其作为心病治疗，使用人参、真珠以及定志丸等药物都没有效果。
张从正（戴人）诊察后判断说：“惊属于阳邪，是从外部侵入的；恐属于阴邪，是从内部产生的。惊是因为自己不知道原因而受到惊吓，恐则是自己心里清楚害怕的原因。”（按语：《医学纲目》引用这段话解释说：大概惊是听到响声就惊恐；恐是自己心里明白，像被人追捕的样子，以至于不能独自坐卧，必须有人陪伴才不恐惧，或者晚上一定需要点灯照明，没有灯火也恐惧的情况。）
足少阳胆经归属于肝木，胆主决断，受到惊吓则会损伤胆气。于是让两个侍女抓住她的双手，让她坐在高椅子上，面前放一个小几案。张从正说：“娘子请看这里。”突然用力敲击几案，妇人非常惊恐。张从正说：“我只是用木头敲击几案，何必惊慌呢？”等到她稍微平静后再次敲击，她的惊恐反应已经缓和。过了一会儿连续敲击三四次，又用拐杖敲击门窗，还暗中派人敲打背后的窗户。慢慢地，她的惊恐情绪平定并笑了起来，问：“这是什么治疗方法？”张从正说：“《内经》说‘惊者平之’，平的意思是平常，如果平时常见的事物，必然不会引起惊恐。”当天晚上让人敲击她的门窗，从傍晚一直持续到天亮。所谓惊，就是神气向上外越。从下方敲击几案，使她向下看，以此来收敛神气。一二天后，即使听到雷声也不会再惊恐了。（出自《儒门事亲·十形三疗》）
Formulas for Resolving Fluid Retention
Wendan Tang (Warm the Gallbladder Decoction) is used to treat deficiency and timidity of the Heart and Gallbladder, where one is easily startled by events, experiences ominous dreams, or is confused by strange visions. This leads to a frightened heart and gallbladder, Qi stagnation generating phlegm-fluids, and the struggle between phlegm-fluids and Qi, which transforms into various syndromes. Symptoms include shortness of breath, palpitations, and fatigue; recurrent spontaneous sweating; edema of the four limbs; loss of taste in food; empty feeling with vexation in the chest; and restlessness in sitting or lying down.
Ingredients: Banxia (Pinelliae Rhizoma, washed seven times with boiling water), Zhuru (Bambusae Caulis in Taeniam), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran, pith removed, 2 liang each), Juhong (Citri Reticulatae Pericarpium Rubrum, 3 liang, white pith removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang), Baifuling (Poria Cocos, 1.5 liang).
Preparation and Administration: Grind the above ingredients into coarse powder. Take 4 qian per dose, add 1.5 sheng of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 Zao (Jujubae Fructus). Decoct until reduced to 0.7 parts, strain, and take before meals. (From *San Yin Fang*)
Shiwei Wendan Tang (Ten-Ingredient Warm the Gallbladder Decoction) from *De Xiao Fang* has the same indications. It adds Suanzaoren (Zizyphi Semen), Yuanzhi (Polygalae Radix), Beiwuzizi (Schisandrae Chinensis Fructus), Shudihuang (Rehmanniae Radix Preparata), and Tiaoshen (Codonopsis Radix) to the base formula. (*Jin Gui Yi* removes Wuzizi.)
Wendan Tang from *Jingyan Mifang* is used to stabilize the mind. It removes Zhuru and adds Yuanzhi and Suanzaoren to the base formula. (Should be cross-referenced with *Shang Han Lun · Jing Ji* chapter.)
Fuling Yinzi (Poria Drink) treats phlegm-fluid retention in the Heart and Stomach, causing persistent Zhengchong (palpitations with a sense of terror).
Ingredients: Chifuling (Red Poria Cocos, peeled), Banxia (Pinelliae Rhizoma, soaked in hot water seven times), Fushen (Poria Cocos with Hosta Root), Ju pi (Citri Reticulatae Pericarpium, white pith removed), Maimendong (Ophiopogonis Radix, core removed, 1 liang each), Chenxiang (Aquilariae Lignum Resinatum, not exposed to direct fire), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Binglang (Arecae Semen, 0.5 liang each).
Preparation and Administration: Cut the herbs. Take 4 qian per dose, add 1.5 sheng of water and 5 slices of Shengjiang. Decoct until reduced to 0.7 parts, strain, and take warm at any time. (From *Jisheng Fang*)
Jiawei Siqi Tang (Modified Four-Seven Decoction) treats stagnation of Heart Qi, with effects of resolving phlegm and dispersing fright.
Ingredients: Banxia (Pinelliae Rhizoma, processed, 2.5 liang), Baifuling (Poria Cocos), Houpo (Magnoliae Officinalis Cortex, processed, 1.5 liang each), Fushen (Poria Cocos with Hosta Root), Zisuye (Perillae Folium, 1 liang each), Yuanzhi (Polygalae Radix, dipped in ginger juice, flesh taken and baked), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang each).
Preparation and Administration: Cut the herbs. Take 4 qian per dose, add 7 slices of Shengjiang, half cun of Shichangpu (Acori Tatarinowii Rhizoma), and 2 Zao. Decoct and take. (From *Zhizhi*)
Jiangshu Tang (Ginger and Atractylodes Decoction) treats Zhengchong caused by fluid retention in deficiency syndromes.
Ingredients: Baijiang (Dried Ginger, raw), Baizhu (Atractodis Macrocephalae Rhizoma), Fuling (Poria Cocos), Banxiaqu (Pinelliae Fermentum, 0.5 liang each), Lagui (Cinnamomi Ramulus, i.e., Rougui), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 fen each).
Preparation and Administration: Cut the herbs. Take 3 qian per dose, decoct with Shengjiang and Zao. (Same as above) [Note: This is a combined formula of Linggui Zhugan Tang and Xiao Banxia Tang.]
Case Report on Shifting Spirit (Yi Jing) Treatment
The wife of Wei Dexin was lodging in an upper floor during travel. At night, robbers raided and burned the house. She was startled and fell from the bed. Since then, whenever she heard a noise, she would faint from fright.
Her family members walked on tiptoes, daring not to make any sound. After more than a year without recovery, physicians treated it as a Heart disease using Ren Shen (Ginseng Radix), Zhenzhu (Margarita), and Dingzhi Wan (Stabilize Mind Pill), all to no avail.
Zhang Congzheng (courtesy name Dairen) examined her and diagnosed: "Fright (Jing) is Yang, entering from outside; Fear (Kong) is Yin, arising from within. Fright occurs due to unknown causes, while fear arises from known causes." [Note: *Yi Xue Gang Mu* cites this saying: Generally, Jing is startled by hearing noises; Kong involves self-awareness, like being hunted, unable to sit or lie alone, requiring companionship to avoid fear, or needing lights at night, fearing even without light.]
The Foot-Shaoyang Gallbladder Meridian belongs to Liver Wood. The Gallbladder governs courage; fright injures the Gallbladder. He ordered two maids to hold her hands, place her on a high chair, and set a small table in front of her face. Zhang said, "Lady, look at this." He suddenly struck the table with wood. The woman was greatly startled. Zhang said, "I only struck the table with wood, why be alarmed?" Waiting until she calmed slightly, he struck again. Her startle response had eased. After a moment, he struck three or five times consecutively, then struck doors with a staff, and secretly had someone scratch behind the window. Gradually, her fright subsided, and she laughed, asking, "What treatment is this?" Zhang replied, "*Nei Jing* states 'Treat fright with Ping (calm/ordinary).' Ping means ordinary. If one sees common things regularly, there will be no fright." That night, he had people strike her doors and windows from dusk till dawn. Fright causes the Spirit (Shen) to ascend and escape. Striking from below makes her look down, thereby gathering the Shen. Within one or two days, even thunder did not startle her. (From *Rumen Shiqin · Shi Xing San Liao*)