治心气不足,病苦惊悸,自汗,心烦闷,短气,喜怒悲忧,悉不自知,亡魂失
魄,状若神灵所凭。及治男子遗泄,女子带下。
光明辰砂(研) 白矾( 汁尽,各等分)
上为末,水丸,如鸡头大。每服一丸,煎人参汤下,食后服。
治忧思恶虑过多,致神志不宁,魂魄失守,虚阳外泄,则自汗呕吐,泻利频
数,诸阴不生,则语言重复,忪悸眩晕。兼治大病后虚烦不得眠,羸瘦困乏;及妇人胎前产
后,悉能主之。常服安心神,调血脉,镇惊补心。
黄 (蜜炙) 茯神 人参 酸枣仁(炒) 熟地黄(各一两) 远志(去心炒) 五味子 柏子
仁(各半两,别研)
上为末,蜜丸,如梧子大,用辰砂为衣。每服三十丸,米汤、温酒任下。盗汗不止,麦
麸汤下;乱梦失精,人参龙骨汤下;卒暴心痛,乳香汤下;肌热虚烦,麦门冬汤下;吐血,
人参卷柏汤下;大便下血,当归地榆汤下;小便尿血,赤茯苓汤下;中风不语,薄荷牛黄汤
下;风痫涎潮,防风汤下。
矾丹 亦治狂。(方见癫痫门)
凡伤寒阳毒,及蓄瘀血,皆发狂,各见本门。
夫心痛者,在方论则曰九痛,《内经》则曰举痛,一曰卒痛。种种不同,以其痛在中
脘,故总而言之曰心痛,其实非心痛也。若真心痛,则手足青至节,若甚,夕发昼死,昼发
夕死,不在治疗之数。方中所载者,乃心主包络经也。若十二经络外感六淫,则其气闭塞,
郁于中焦,气与邪争,发为疼痛,属外所因;若五脏内动,汨以七情,则其气痞结,聚于中
脘,气与血搏,发为疼痛,属内所因;饮食劳逸,触忤非类,使脏气不平,痞隔于中,食饮
遁疰,变乱肠胃,发为疼痛,属不内外因。治之当详分三因,通中解散,破积溃坚,随其所
因,无使混滥,根据经具录诸证,以备治法云尔。
治疗心气不足,病症表现为惊恐心悸、自汗、心烦闷乱、气短、喜怒悲忧等情绪失控且无法自我察觉,魂不守舍,神志恍惚如同被神灵附体。同时也用于治疗男子遗精滑泄,女子带下病。
光明辰砂(研磨) 白矾(煅至汁液尽干),各取等分。
将上述药物研为细末,用水泛丸,制成如鸡头米大小的药丸。每次服用一丸,用人参汤煎送服,饭后服用。
治疗因过度忧思恶虑,导致神志不宁、魂魄失守、虚阳外泄,从而出现自汗、呕吐、腹泻频数;若诸阴不生,则会出现语言重复、心慌悸动、眩晕等症状。兼治大病之后虚烦不得睡眠、身体消瘦困乏;以及妇女怀孕前和产后出现的各种症状,均能主治。常服可安神定志、调和血脉、镇惊补心。
黄耆(蜜炙) 茯神 人参 酸枣仁(炒) 熟地黄(各一两) 远志(去心后炒) 五味子 柏子仁(各半两,单独研磨)。
将上述药物研为细末,用蜂蜜炼制成梧桐子大小的蜜丸,以辰砂粉末为衣。每次服用三十丸,可用米汤或温酒送服。若盗汗不止,用麦麸汤送服;若多梦遗精,用人参龙骨汤送服;若突发剧烈心痛,用乳香汤送服;若肌肤发热虚烦,用麦门冬汤送服;若吐血,用人参卷柏汤送服;若大便下血,用当归地榆汤送服;若小便尿血,用赤茯苓汤送服;若中风不语,用薄荷牛黄汤送服;若风痫痰涎上涌,用防风汤送服。
矾丹 也用于治疗狂证。(方剂详见癫痫门)
凡是伤寒阳毒,以及蓄积瘀血,都会导致发狂,具体表现分别参见各自章节。
所谓心痛,在方论中称为“九痛”,《内经》中称为“举痛”或“卒痛”。虽然名称各异,但因为疼痛部位在中脘,所以统称为心痛,其实并非心脏本身的疼痛。如果是真心痛,则手足青紫直至关节,病情严重者,晚上发病早晨死亡,早晨发病晚上死亡,这已不属于常规治疗的范畴。方书中记载的,实际上是心包络经的病证。如果十二经络感受外邪六淫,则气机闭塞,郁结于中焦,气与邪气相争,引发疼痛,属于外所因;如果五脏内部受七情刺激,则气机痞塞结聚,聚集于中脘,气与血搏结,引发疼痛,属于内所因;饮食劳逸不当,触犯禁忌,使脏气不平,痞隔于中,饮食停滞注连,扰乱肠胃,引发疼痛,属于不内外因。治疗时应当详细区分三因,通中解散,破除积聚、溃散坚结,根据致病原因进行治疗,不要混淆滥治,依据经典详细记录各种证候,以备治疗方法参考。
Treats insufficiency of Heart Qi, manifesting as fright palpitations (Jing Ji), spontaneous sweating (Zi Han), mental restlessness and oppression, shortness of breath, uncontrollable emotions such as anger, joy, sorrow, and worry where the patient is unaware of their state, loss of Hun and Po souls, and a trance-like state as if possessed by spirits. It also treats seminal emission in men and leukorrhea in women.
Guangming Chen Sha (Cinnabar, ground) Bai Fan (Alum, calcined until dry), equal parts.
Grind into powder, make pills with water, sized like a cockle seed. Take one pill per dose, decocted in Ren Shen Tang (Ginseng Decoction), taken after meals.
Treats excessive worry and anxiety leading to restless spirit and mind, loss of Hun and Po, leakage of deficient Yang, resulting in spontaneous sweating, vomiting, frequent diarrhea; if Yin fails to generate, it causes repetitive speech, palpitations, and dizziness. It also treats lingering deficiency heat and insomnia after severe illness, emaciation and fatigue; and conditions before and after childbirth in women, effectively managing them. Regular use calms the spirit, regulates blood vessels, settles fright, and tonifies the Heart.
Huang Qi (Astragali Radix, honey-fried) Fu Shen (Poria with Hostwood) Ren Shen (Ginseng Radix et Rhizoma) Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) Shu Di Huang (Rehmanniae Radix Praeparata) each 1 liang; Yuan Zhi (Polygalae Radix, heart removed and stir-fried) Wu Wei Zi (Schisandrae Fructus) Bai Zi Ren (Platycladi Semen) each 0.5 liang, separately ground.
Grind into powder, make honey pills sized like mustard seeds, coated with Chen Sha powder. Take 30 pills per dose, with Rice Decoction or warm wine. For persistent night sweats, take with Mai Fu Tang (Wheat Bran Decoction); for vivid dreams and seminal loss, take with Ren Shen Long Gu Tang (Ginseng and Dragon Bone Decoction); for sudden severe chest pain, take with Ru Xiang Tang (Frankincense Decoction); for body heat and deficiency vexation, take with Mai Men Dong Tang (Ophiopogonis Decoction); for hematemesis, take with Ren Shen Juan Bai Tang (Ginseng and Selaginella Decoction); for hematochezia, take with Dang Gui Di Yu Tang (Angelica and Sanguisorba Decoction); for hematuria, take with Chi Fu Ling Tang (Red Poria Decoction); for stroke with aphasia, take with Bo He Niu Huang Tang (Mint and Calculus Bovis Decoction); for wind epilepsy with phlegm flooding, take with Fang Feng Tang (Saposhnikoviae Decoction).
Fan Dan (Alum Pill) also treats mania (Kuang). (Formula see Epilepsy Section)
All cases of Yang Toxin from Cold Damage, and accumulated blood stasis, can cause mania; refer to respective sections for details.
The term "Heart Pain" (Xin Tong) is referred to as "Nine Kinds of Pain" (Jiu Tong) in formula treatises, and as "General Pain" (Ju Tong) or "Sudden Pain" (Cu Tong) in the *Nei Jing*. Although variously named, because the pain is located in the Zhong Wan region, it is collectively called Heart Pain, though it is not actually pain of the Heart organ itself. If it is True Heart Pain (Zhen Xin Tong), hands and feet turn blue up to the joints; if severe, death occurs on the same day (morning onset leads to evening death, evening onset leads to morning death), which is beyond the scope of treatment. The formulas recorded here actually pertain to the Pericardium Meridian of Hand-Jueyin. If the twelve meridians are affected by external pathogenic factors (Six Evils), Qi becomes obstructed and stagnates in the Middle Jiao, Qi struggles with pathogens, causing pain; this belongs to External Causes. If internal movement of the five zang organs is stirred by Seven Emotions, Qi becomes blocked and knots, gathering in Zhong Wan, Qi and Blood clash, causing pain; this belongs to Internal Causes. Improper diet and labor, or violating taboos, cause disharmony of Zang Qi, blockage in the middle, food and drink stagnate and disrupt the intestines and stomach, causing pain; this belongs to Neither-Internal-Nor-External Causes. Treatment should carefully distinguish the Three Causes, resolve obstruction centrally, break accumulations, and dissolve hardness, treating according to the specific cause without confusion. Based on classics, all syndromes are recorded to prepare treatment methods.