【脉】 寸口脉动而弱，动为惊，弱为悸。趺阳脉微而浮，浮为胃气虚，微则不
能食，此恐惧之脉，忧迫所作也。寸口脉紧，趺阳脉浮，胃气则虚，是以悸。肝脉 暴，有
所惊骇。
【证】 悸有三，惊、悸、忪悸。痰饮闭于中脘，其证短气自汗，四肢浮肿，饮
食无味，心虚烦闷，坐卧不安。悸，心筑然而动。
【治】因血虚。肝主血，无血养则木盛，故易惊。心神忤乱，气与涎结，遂使
惊悸。血虚
，治宜朱砂安神丸。气涎相结，宜温胆汤，在心胆经。小儿惊搐，涎潮如死，乃母胎时受怖
。为腹中积热，可坠其涎，镇火清心等是也。
悸因失志气郁，涎聚在心脾经，治宜定志丸。失志者，或事不如意，久思所爱。
少阴心悸，乃邪入于肾，水乘心，唯肾欺心，火惧水也。治在于水，以茯苓导其湿，四
逆散调之。枳实、柴胡、芍药、甘草是也。与惊悸不同，名亦谓之悸，故书以别之。
发搐痰饮为证，脉必弦涩，皆用下之。
外有肝痹、心肺疟，言虚寒，皆惊。
朱砂安神丸 治血虚惊悸。
朱砂（一两，另研） 黄连（一钱二分） 当归（五分） 甘草（五分） 生地（三钱）
炊饼丸。
温胆汤 治心胆性易惊。
半夏 竹茹 枳实（二两） 茯苓（一两五钱） 陈皮（三两） 甘草（一两）
寒水石散 治因惊心气不行，郁而生痰，结为饮。
寒水石（ ） 滑石（水飞，各一两） 甘草（一两） 龙脑（少许）
热则水下，寒姜下。
【脉象】寸口脉搏动而弱，其中“动”脉主惊，“弱”脉主悸。趺阳脉微细而浮，浮表示胃气虚弱，微细则表示不能进食，这是恐惧的脉象，由忧愁逼迫所致。寸口脉紧，趺阳脉浮，说明胃气虚，因此出现心悸。肝脉突然急暴，表明受到惊吓骇怕。
【证候】悸有三种：惊、悸、忪悸（心中空虚而跳动）。痰饮阻滞在中脘，症状表现为呼吸短促、自汗、四肢浮肿、饮食无味、心虚烦闷、坐卧不安。悸，是指心脏筑筑然跳动的感觉。
【治疗】因血虚引起。肝主藏血，无血滋养则肝木偏盛，所以容易受惊。心神逆乱，气与涎液凝结，从而导致惊悸。对于血虚引起的惊悸，治疗宜用朱砂安神丸。对于气与涎液相结的情况，宜用温胆汤，此方作用于心和胆经。小儿惊厥抽搐，涎液涌潮如死状，是因为在母胎时期受到惊恐。这是由于腹中积热，可用坠痰、镇火清心等方法治疗。
惊悸因失志（情志抑郁）和气机郁滞引起，涎液聚集在心脾经，治疗宜用定志丸。所谓失志，是指事情不如意，或长久思念所爱之人。少阴病出现心悸，是邪气侵入肾脏，水气凌心，即肾水欺侮心火，火畏惧水的表现。治疗重点在于治水，用茯苓引导湿气，用四逆散调理。药物包括枳实、柴胡、芍药、甘草。这与一般的惊悸不同，虽然名称也叫悸，但需记录以作区别。
朱砂安神丸：治疗血虚引起的惊悸。
配方：朱砂（一两，单独研磨）、黄连（一钱二分）、当归（五分）、甘草（五分）、生地（三钱）。
制法：用炊饼（一种面食团）为丸。
温胆汤：治疗心胆虚弱易惊。
配方：半夏、竹茹、枳实（二两）、茯苓（一两五钱）、陈皮（三两）、甘草（一两）。
寒水石散：治疗因心惊导致心气运行不畅，郁结而生痰，凝结成饮。
配方：寒水石（未注明剂量）、滑石（水飞法处理，各一两）、甘草（一两）、龙脑（少许）。
服法：热证用水送服，寒证用姜汤送服。
[Pulse] The pulse at the Cun Kou (Inch Port) is active and weak. "Active" indicates fright, while "weak" indicates palpitations. The pulse at the Fu Yang (Foot Yang) is faint and floating. Floating indicates deficiency of Stomach Qi, and faintness indicates an inability to eat; this is the pulse of fear, caused by distress and pressure. If the Cun Kou pulse is tight and the Fu Yang pulse is floating, it indicates deficiency of Stomach Qi, thereby leading to palpitations. A sudden surging Liver pulse indicates shock or terror.
[Symptoms] There are three types of palpitations: Jing (Fright), Ji (Palpitation), and Song Ji (Empty Palpitations). When Phlegm-Fluid obstructs the Middle Jiao (Middle Burner), symptoms include shortness of breath, spontaneous sweating, edema of the four limbs, loss of taste in food, mental emptiness with irritability, and restlessness in sitting or lying down. Ji refers to the sensation of the heart beating vigorously.
[Treatment] Caused by Blood deficiency. The Liver governs Blood; without Blood to nourish it, Liver Wood becomes hyperactive, making one prone to fright. When the Spirit is disordered and Qi condenses with Saliva, Jing-Ji (Fright-Palpitation) ensues. For Jing-Ji due to Blood deficiency, treatment should employ Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill). For condensation of Qi and Saliva, Wendan Tang (Warm the Gallbladder Decoction) is indicated, acting on the Heart and Gallbladder meridians. In children, convulsions with saliva flooding as if dead result from terror received during gestation. This is due to accumulated heat in the abdomen; treatments such as descending phlegm, suppressing fire, and clearing the heart may be used.
Jing-Ji caused by loss of willpower and Qi stagnation, with Saliva accumulating in the Heart and Spleen meridians, should be treated with Dingzhi Wan (Stabilize Will Pill). "Loss of willpower" refers to circumstances being unsatisfactory or long-term yearning for a loved one. Shaoyin (Lesser Yin) palpitations occur when pathogenic factors enter the Kidney, allowing Water to overwhelm the Heart; specifically, Kidney Water bullies Heart Fire, as Fire fears Water. Treatment focuses on managing Water: use Fuling (Poria) to guide out dampness, and adjust with Sixni San (Four Reversal Powder). The herbs are Zhishi (Immature Bitter Orange), Chaihu (Bupleurum Root), Shaoyao (Peony Root), and Gancao (Licorice Root). This differs from ordinary Jing-Ji; although named similarly, it is recorded separately for distinction.
Convulsions caused by Phlegm-Fluid present with wiry and choppy pulses, and all cases require purgation.
Additionally, Gan Bi (Liver Obstruction) and Xin Fei Nu (Heart-Lung Malaria) manifest as deficiency-cold and are accompanied by fright.
Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill): Treats Jing-Ji due to Blood deficiency.
Ingredients: Zhusha (Cinnabar, 1 liang, ground separately), Huanglian (Coptis Rhizome, 1 qian 2 fen), Danggui (Angelica Sinensis Root, 5 fen), Gancao (Licorice Root, 5 fen), Shengdi (Rehmannia Root Preparata, 3 qian).
Preparation: Form pills using Chuibing (steamed dough balls).
Wendan Tang (Warm the Gallbladder Decoction): Treats easy fright due to Heart and Gallbladder deficiency.
Ingredients: Banxia (Pinellia Tuber), Zhuru (Bamboo Shavings), Zhishi (Immature Bitter Orange, 2 liang), Fuling (Poria, 1 liang 5 qian), Chenpi (Aged Tangerine Peel, 3 liang), Gancao (Licorice Root, 1 liang).
Hanshui Shi San (Cold Water Stone Powder): Treats impaired Heart Qi flow due to fright, where stagnation generates Phlegm that congeals into Fluid.
Ingredients: Hanshui Shi (Calcitum, dosage unspecified), Huashi (Talcum, water-ground, each 1 liang), Gancao (Licorice Root, 1 liang), Longnao (Borneol, a small amount).
Administration: Take with cold water for heat patterns; take with ginger juice for cold patterns.