人有闻声而动惊，心中怦怦，半日而后止者，人以为心中有痰也。乃用消痰之药治之不
效，久则不必闻声而亦惊，且添悸病，心中常若有来捕者，是惊悸相连而至也。虽俱是心虚
之症，而惊与悸实有不同。盖惊之病轻于悸，悸之病重于惊，惊从外来而动心，悸从内生而
动心也。若怔忡正悸之渐也，故惊悸宜知轻重，一遇怔忡
即宜防惊，一惊即宜防悸。然而惊悸虽分轻重，而虚则一也。方用安定汤∶
黄 （一两） 白术（五钱） 当归（五钱） 生枣仁（五钱） 远志（三钱） 茯神（五钱） 甘草（一钱） 熟
地
水煎服。一剂而惊悸轻，再剂更轻，十剂全愈。
夫神魂不定而惊生，神魂不安而悸起，皆心肝二部之血虚也。血虚则神无所归，魂无所
主。今用生血之剂，以大补其心肝，则心肝有血以相养，神魂何至有惊悸哉!倘此等之药，
用之骤效，未几而仍然惊悸者，此心肝大虚之故也，改煎药为丸。方用镇神丹∶
人参（四两） 当归（三两） 白术（五两） 生枣仁（三两） 远志（二两） 生地（三两） 熟地（八两） 白
芥
子（一两） 茯苓（三两） 柏子仁（一两） 龙骨（一两醋 用） 虎睛（一对） 陈皮（三钱） 麦冬（三两）
各为末，蜜为丸。每日白滚水送下，早晚各五钱，一料全愈。
此方较前方更奇而有神。方中用龙虎二味实有妙义。龙能定惊，虎能止悸，入之补心补
肾之中，使心肾交通，而神魂自定也。
此症用镇心丹亦效。
人参 白芍（各一两） 丹砂（一钱） 铁落（一钱） 天花粉（一钱） 山药（五钱） 远志（二钱） 生枣仁
（五钱） 茯苓（三钱）
水煎服。十剂全愈。
人有先惊而后悸，亦有先悸而后惊，似乎不同，而不知非有异也，不过轻重之殊耳。但惊
有出于暂，而不出于常，悸有成于暗，而不成于明者，似乎常暂明暗之不同。然而暂惊轻于
常惊，明悸重于暗悸。吾定一方，合惊悸而治之，名为两
静汤∶
人参（一两） 生枣仁（二两） 菖蒲（一钱） 白芥子（三钱） 丹砂（三钱） 巴戟天（一两）
水煎服。连服四剂，惊者不惊，而悸者亦不悸也。
此方多用生枣仁以安其心，用人参、巴戟天以通心肾。心肾两交，则心气通于肾，而夜
能安；肾气通于心，而日亦安也。心肾交而昼夜安，即可久之道也。
此症用镇心丹亦可同治。
有人听到声音就受惊，心中怦怦乱跳，半天后才停止，人们认为这是心中有痰。于是用化痰的药物来治疗，但无效。时间久了，即使不听到声音也会受惊，并且增添了心悸的病状，心中常常觉得好像有人来捕捉自己，这就是惊和悸相互关联而同时出现。虽然都是心气虚弱的病症，但惊与悸实际上有所不同。大概惊的病证比悸轻，悸的病证比惊重，惊是从外部因素引起而扰动心神，悸是从内部产生而扰动心神。如果怔忡（心跳剧烈、不能自主）正是悸的初期表现，所以惊和悸应当知道其轻重程度，一遇到怔忡就要预防发展为惊，一受到惊就要预防发展为悸。然而惊和悸虽然分为轻重不同，但其本质都是虚证。方剂使用安定汤：黄耆（一两）、白术（五钱）、当归（五钱）、生枣仁（五钱）、远志（三钱）、茯神（五钱）、甘草（一钱）、熟地黄（适量），水煎服。服用一剂后惊悸减轻，再服用两剂更轻，十剂后完全痊愈。
神魂不定而产生惊，神魂不安而产生悸，这都是心和肝两个部位的血虚所致。血虚则神无所依附，魂无所主宰。现在使用补血药剂，大力补益心和肝，那么心和肝有血液来相互滋养，神魂怎么会发生惊悸呢！倘若这类药物，使用后迅速见效，不久后又再次出现惊悸，这是心和肝极度虚损的缘故，将煎药改为丸药。方剂使用镇神丹：人参（四两）、当归（三两）、白术（五两）、生枣仁（三两）、远志（二两）、生地黄（三两）、熟地黄（八两）、白芥子（一两）、茯苓（三两）、柏子仁（一两）、龙骨（一两，醋淬用）、虎睛（一对）、陈皮（三钱）、麦冬（三两）。各药研为细末，蜂蜜制成丸药。每日用温开水送服，早晚各五钱，一料药即可完全痊愈。
这个方子比前面的方子更加奇妙且有效。方中使用龙和虎这两味药实在有深意。龙能定惊，虎能止悸，将其加入补心和补肾的药物中，使心肾交通，那么神魂自然安定。
这种病症使用镇心丹也有效。
人参、白芍（各一两）、丹砂（一钱）、铁落（一钱）、天花粉（一钱）、山药（五钱）、远志（二钱）、生枣仁（五钱）、茯苓（三钱）。
水煎服。十剂后完全痊愈。
有人先受惊而后心悸，也有人先心悸而后受惊，似乎不同，但不知道其实没有差异，不过是轻重程度不同罢了。但惊有的是暂时发生的，而不是经常发生的；悸有的是在不知不觉中形成的，而不是明显察觉到的，这似乎是常与暂、明与暗的不同。然而暂时的惊比经常的惊轻，明显的悸比隐晦的悸重。我制定了一个方子，将惊和悸合并治疗，名为两静汤：
人参（一两）、生枣仁（二两）、石菖蒲（一钱）、白芥子（三钱）、丹砂（三钱）、巴戟天（一两）。
水煎服。连续服用四剂，受惊的人不再受惊，心悸的人也不再心悸。
这个方子多用生枣仁来安养心神，用人参、巴戟天来沟通心肾。心肾相交，则心气通于肾，夜晚就能安宁；肾气通于心，白天也能安宁。心肾相交而昼夜安宁，这就是可以长久的方法。
这种病症使用镇心丹也可以共同治疗。
There are cases where a person is startled by sounds, with their heart pounding (Palpitations), which subsides only after half a day. People often attribute this to phlegm in the Heart. However, treating it with expectorant herbs proves ineffective. Over time, even without hearing sounds, the person becomes easily startled and develops palpitations (Palpitations), feeling as if someone is constantly coming to catch them. This indicates that Startle (Jing) and Palpitations (Ji) occur together. Although both are symptoms of Heart Qi deficiency, Startle and Palpitations are distinct. Generally, Startle is milder than Palpitations, while Palpitations are more severe. Startle arises from external factors disturbing the Heart Spirit, whereas Palpitations arise internally disturbing the Heart Spirit. Since Zhengchong (Trembling Palpitations, a severe form of palpitations) is the gradual onset of Ji, one must understand the severity of Startle and Palpitations: when encountering Zhengchong, one should prevent the development of Startle; when experiencing Startle, one should prevent the progression to Palpitations. However, despite the difference in severity, the underlying nature is deficiency in both cases. The formula used is Anding Tang (Stability Decoction): Huangqi (Astragali Radix, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Danggui (Angelicae Sinensis Radix, 5 qian), Sheng Zaoren (Ziziphi Spinosomi Semen, raw, 5 qian), Yuanzhi (Polygalae Radix, 3 qian), Fushen (Poria with Hostwood, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Shudi (Rehmanniae Radix Praeparata, adequate amount). Decoct in water and take orally. After one dose, Startle and Palpitations lessen; after two more doses, they lessen further; after ten doses, full recovery is achieved.
When the Hun Soul and Shen Spirit are unsettled, Startle arises; when they are insecure, Palpitations begin. Both result from Blood deficiency in the Heart and Liver organs. When Blood is deficient, the Shen has no place to reside, and the Hun has no master. Now, using blood-nourishing agents to greatly tonify the Heart and Liver ensures that these organs have sufficient Blood to nourish each other, preventing the Shen and Hun from causing Startle or Palpitations! If such medicines produce rapid effects but the patient soon returns to Startle and Palpitations, this is due to severe deficiency of the Heart and Liver. In this case, change the decoction into pills. The formula is Zhenshen Dan (Spirit-Calming Pill): Renshen (Ginseng Radix, 4 liang), Danggui (Angelicae Sinensis Radix, 3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 5 liang), Sheng Zaoren (Ziziphi Spinosomi Semen, raw, 3 liang), Yuanzhi (Polygalae Radix, 2 liang), Shengdi (Rehmanniae Radix, raw, 3 liang), Shudi (Rehmanniae Radix Praeparata, 8 liang), Baijiezi (Brassicae Semina, 1 liang), Fuling (Poria, 3 liang), Baiziren (Platycladi Semen, 1 liang), Longgu (Fossilized Bones, 1 liang, processed with vinegar), Huqing (Tiger Eyes, 1 pair), Chenpi (Citri Reticulatae Pericarpium, 3 qian), Maidong (Ophiopogonis Radix, 3 liang). Grind all ingredients into fine powder and form pills with honey. Take orally daily with warm boiled water, 5 qian morning and evening. One course of treatment yields full recovery.
This formula is more miraculous and effective than the previous one. The use of Dragon and Tiger in the formula holds profound meaning. Dragon can calm Startle, and Tiger can stop Palpitations. Added to formulas that tonify the Heart and Kidney, they facilitate communication between the Heart and Kidney, thereby naturally stabilizing the Shen and Hun.
This condition can also be effectively treated with Zhenxin Dan (Heart-Calming Pill):
Renshen (Ginseng Radix, 1 liang), Baishao (Paeoniae Radix Alba, 1 liang), Dansha (Cinnabaris, 1 qian), Tielluo (Iron Filings, 1 qian), Tianhuafen (Trichosanthis Radix, 1 qian), Shanyao (Dioscoreae Rhizoma, 5 qian), Yuanzhi (Polygalae Radix, 2 qian), Sheng Zaoren (Ziziphi Spinosomi Semen, raw, 5 qian), Fuling (Poria, 3 qian).
Decoct in water and take orally. Full recovery is achieved after ten doses.
Some patients experience Startle first followed by Palpitations, while others experience Palpitations first followed by Startle. They seem different, but in essence, there is no difference; it is merely a matter of severity. Startle may occur temporarily rather than constantly; Palpitations may develop imperceptibly rather than obviously. This seems to distinguish between constant/temporary and obvious/subtle. However, temporary Startle is milder than constant Startle, and obvious Palpitations are heavier than subtle Palpitations. I have formulated a single prescription to treat both Startle and Palpitations together, named Liangjing Tang (Two-Stillness Decoction):
Renshen (Ginseng Radix, 1 liang), Sheng Zaoren (Ziziphi Spinosomi Semen, raw, 2 liang), Changpu (Acori Tatarinowii Rhizoma, 1 qian), Baijiezi (Brassicae Semina, 3 qian), Dansha (Cinnabaris, 3 qian), Bajitian (Morindae Officinalis Radix, 1 liang).
Decoct in water and take orally. After four consecutive doses, those who were startled will no longer be startled, and those with Palpitations will no longer have Palpitations.
This formula uses a large amount of Sheng Zaoren to calm the Heart, and Renshen and Bajitian to connect the Heart and Kidney. When the Heart and Kidney interact, Heart Qi communicates with the Kidney, allowing for peaceful sleep at night; Kidney Qi communicates with the Heart, allowing for peace during the day. When the Heart and Kidney interact, bringing peace day and night, this is the way to maintain long-term health.
This condition can also be treated concurrently with Zhenxin Dan (Heart-Calming Pill).