人之所主者心。心之所养者血。心血一虚。神气不守。此怔忡惊悸之所厘端也。曰怔忡
。曰
使人有怏怏之状。是则怔忡。心虚而郁痰。则耳闻大声。目击异物。使人有惕惕之状。或蓦
然而跳跃惊动。是则为惊悸。又有所为健忘者。为事有始无终。言语不知首尾是也。治之之
法。怔忡者。与之逐水消饮之剂。惊悸者。与之豁痰定惊之剂。健忘者。与之定志安神之药
。总之要在调养心血。和平心气而已。
虎犀丹 治怔忡。惊悸。因七情所伤。心神惑乱。健忘等症。
虎睛(一对微炒) 犀角 羚羊角 麦门冬(去心) 生地 胆星(各八钱) 黄连(姜汁炒)
山
八钱为衣) 麝香 甘草(各二钱) 金箔(二十张) 人参 茯神(各一两五钱)
上为末。蜜丸桐子大。每服三钱。灯心煎汤送下。
温胆汤 治心胆虚怯。触事易惊。
半夏(姜矾制) 竹茹 枳实(麸炒) 橘皮(各四钱) 甘草(炙) 白茯苓(各二钱) 加龙
眼五个。煎服。
镇心丹 治惊悸。
辰砂 龙齿(远志醋煮各一两)
上为细末,猪心血为丸。如菜子大。每服一钱。麦门冬煎汤送下。
琥珀育心丸 治怔忡惊悸。日久不愈。形容渐瘦。四肢乏力。
茯神 郁金 远志(各一两) 牛黄(三钱) 龙齿(四钱) 酸枣仁 黄连(各八钱) 辰砂
(五钱) 真金箔(三十张)
上为末。炼蜜为丸。辰砂金箔为衣。如芡实大。每日早晚一丸。灯心煎汤调下。
加味定志丸 治肥人多痰惊悸。
天花粉 贝母(去心) 栝蒌仁(去油) 白茯苓(各二两) 远志(甘草水泡) 石菖蒲 人
参琥珀 郁金(各一两) 辰砂(六钱)
上为末蜜丸。辰砂为衣每服二钱。白滚汤送下。
归脾汤 治思虑过度。劳伤心脾。以至健忘。
人参 黄 白术(各一钱) 茯神 远志 酸枣仁 当归(各一钱五分) 木香 甘草(
各八分) 龙眼肉五枚。煎服。
养心汤 治心虚胆怯。健忘怔忡。不能成寐者。
玄参 白术 麦门冬 当归 白芍 生地(各一钱) 川芎 天麻 紫石英 柏子仁 枣
仁陈皮(各八分) 灯心三十茎。煎服。
人心是生命的主宰。心所滋养的是血液。心血一旦虚弱,神气就会失守,这是怔忡(心中惕惕不安)和惊悸(易受惊吓)产生的根源。所谓怔忡,是指患者常表现出郁郁寡欢的状态;所谓惊悸,是因为心虚且伴有郁结之痰,导致听到大声、看到异物时,产生惊恐不安的样子,或者突然跳跃受惊。此外还有健忘症,表现为做事有始无终,说话不知首尾。治疗的方法:对于怔忡,给予逐水消饮的方剂;对于惊悸,给予豁痰定惊的方剂;对于健忘,给予定志安神的药物。总之关键在于调养心血,平和心气。
寸口脉搏动而弱,趺阳脉微而浮。
虎犀丹 治疗怔忡、惊悸,因七情内伤导致心神惑乱、健忘等症状。
虎睛(一对,微炒) 犀角 羚羊角 麦门冬(去心) 生地 胆星(各八钱) 黄连(姜汁炒) [原文此处似缺药名及剂量,据上下文推测可能为某药八钱] 山 [原文此处似缺药名,据上下文推测可能为某药八钱为衣] 麝香 甘草(各二钱) 金箔(二十张) 人参 茯神(各一两五钱)
以上药材研为细末,用蜂蜜制成如梧桐子大小的丸药。每次服用三钱,用灯心草煎汤送服。
温胆汤 治疗心胆虚怯,遇事容易受惊。
半夏(姜矾制) 竹茹 枳实(麸炒) 橘皮(各四钱) 甘草(炙) 白茯苓(各二钱) 加龙眼五个,煎服。
镇心丹 治疗惊悸。
辰砂 龙齿(远志醋煮各一两)
以上研为细末,用猪心血泛丸,如菜籽大小。每次服用一钱,用麦门冬煎汤送服。
琥珀育心丸 治疗怔忡惊悸,日久不愈,形体逐渐消瘦,四肢乏力。
茯神 郁金 远志(各一两) 牛黄(三钱) 龙齿(四钱) 酸枣仁 黄连(各八钱) 辰砂(五钱) 真金箔(三十张)
以上研为细末,炼蜜为丸,用辰砂和金箔包衣,如芡实大小。早晚各服一丸,用灯心草煎汤调服。
加味定志丸 治疗肥人多痰引起的惊悸。
天花粉 贝母(去心) 栝蒌仁(去油) 白茯苓(各二两) 远志(甘草水泡) 石菖蒲 人参 琥珀 郁金(各一两) 辰砂(六钱)
以上研为细末,蜂蜜为丸,辰砂为衣。每次服用二钱,用白开水送服。
归脾汤 治疗思虑过度,劳伤心脾,以致健忘。
人参 黄芪 白术(各一钱) 茯神 远志 酸枣仁 当归(各一钱五分) 木香 甘草(各八分) 龙眼肉五枚,煎服。
养心汤 治疗心虚胆怯,健忘怔忡,无法入睡者。
玄参 白术 麦门冬 当归 白芍 生地(各一钱) 川芎 天麻 紫石英 柏子仁 枣仁 陈皮(各八分) 灯心三十茎,煎服。
The heart is the master of the human body. The blood nourishes the heart. When Heart Blood (Xue) becomes deficient, the Shen Spirit (Shen Qi) loses its residence; this is the origin of Zhen Tong (palpitations with a sense of inner fear) and Jing Ji (startle palpitations). Zhen Tong refers to a condition where the patient appears depressed and unhappy. Jing Ji occurs due to Heart deficiency accompanied by stagnant phlegm; when hearing loud noises or seeing strange objects, the person feels terrified, or suddenly jumps in fright. Additionally, there is Jian Wang (forgetfulness), characterized by starting tasks but not finishing them, and speaking without knowing the beginning or end. The treatment methods are as follows: for Zhen Tong, administer formulas that drain water and resolve fluid retention; for Jing Ji, administer formulas that resolve phlegm and calm fright; for Jian Wang, administer medicines that stabilize the will and calm the spirit. In summary, the key lies in nourishing Heart Blood and harmonizing Heart Qi.
The pulse at Cun Kou (radial artery) is moving yet weak; the pulse at Fu Yang (dorsalis pedis artery) is faint and floating.
Huxi Dan (Tiger Eye and Rhinoceros Horn Pill) treats Zhen Tong, Jing Ji, and symptoms such as forgetfulness caused by emotional injury leading to confusion of the Shen Spirit.
Hu Jing (Tiger Eye, one pair, lightly stir-fried) Xijiao (Rhinoceros Horn) Lingyangjiao (Antelope Horn) Maidong (Ophiopogon Tuber, heart removed) Shengdi (Rehmannia Root) Danning (Calculus Bovis processed with bile, each 8 qian) Huanglian (Coptis Rhizome, stir-fried with ginger juice) [Text missing herb name] [Text missing herb name] Shexiang (Musk) Gancao (Licorice Root, each 2 qian) Jinbo (Gold Leaf, 20 sheets) Renshen (Ginseng Root) Fushen (Poria with Hostwood, each 1 liang 5 qian)
Grind all ingredients into fine powder. Make pills using honey, sized like tung tree seeds. Take 3 qian per dose, delivered with decoction of Dengxin Cao (Juncus Effusus Stem).
Wendan Tang (Warm the Gallbladder Decoction) treats deficiency-cold of the Heart and Gallbladder, causing easy startle upon encountering events.
Banxia (Pinellia Tuber, processed with ginger and alum) Zhuru (Bamboo Shavings) Zhishi (Immature Bitter Orange, bran-fried) Chenpi (Citrus Peel, each 4 qian) Gancao (Licorice Root, honey-fried) Baifuling (Poria, each 2 qian). Add five Longyan Rou (Longan Aril). Decoct and take orally.
Zhenxin Dan (Settle the Heart Pill) treats Jing Ji.
Chensha (Cinnabar) Longchi (Dragon Tooth/Fossilized Teeth) Yuanzhi (Polygala Root, boiled with vinegar, each 1 liang)
Grind into fine powder. Form pills using Pig Xin Xue (Pig Heart Blood), sized like mustard seeds. Take 1 qian per dose, delivered with Maidong decoction.
Hupo Yuxin Wan (Amber Nourishing Heart Pill) treats chronic Zhen Tong and Jing Ji that do not heal over time, resulting in gradual emaciation and weakness in the four limbs.
Fushen (Poria with Hostwood) Yujin (Curcuma Radix) Yuanzhi (Polygala Root, each 1 liang) Niuhuang (Calculus Bovis, 3 qian) Longchi (Dragon Tooth, 4 qian) Suanzaoren (Ziziphus Seed) Huanglian (Coptis Rhizome, each 8 qian) Chensha (Cinnabar, 5 qian) Zhen Jinbo (Real Gold Leaf, 30 sheets)
Grind into fine powder. Form pills using refined honey. Coat with Chensha and Jinbo. Size like Euphorbia seed. Take one pill morning and evening, mixed with Dengxin Cao decoction.
Jiawei Dingzhi Wan (Modified Stabilize Will Pill) treats Jing Ji caused by excessive phlegm in obese individuals.
Tianhuafen (Trichosanthes Root) Beimu (Fritillaria Bulb, heart removed) Gualouren (Trichosanthes Seed, oil removed) Baifuling (Poria, each 2 liang) Yuanzhi (Polygala Root, soaked in Licorice water) Shichangpu (Acorus Rhizome) Renshen (Ginseng Root) Hupo (Amber) Yujin (Curcuma Radix, each 1 liang) Chensha (Cinnabar, 6 qian)
Grind into fine powder. Form pills using honey. Coat with Chensha. Take 2 qian per dose, delivered with plain warm water.
Guipi Tang (Restore the Spleen Decoction) treats forgetfulness caused by excessive mental labor injuring the Heart and Spleen.
Renshen (Ginseng Root) Huangqi (Astragalus Root) Baizhu (Atractylodes Macrocephala Rhizome, each 1 qian) Fushen (Poria with Hostwood) Yuanzhi (Polygala Root) Suanzaoren (Ziziphus Seed) Danggui (Angelica Sinensis Root, each 1.5 qian) Muxiang (Costus Root) Gancao (Licorice Root, each 0.8 qian). Add five Longyan Rou (Longan Aril). Decoct and take orally.
Yangxin Tang (Nourish the Heart Decoction) treats Heart deficiency and Gallbladder timidity, forgetfulness, Zhen Tong, and insomnia.
Xuanshen (Scrophularia Root) Baizhu (Atractylodes Macrocephala Rhizome) Maidong (Ophiopogon Tuber) Danggui (Angelica Sinensis Root) Baishao (White Peony Root) Shengdi (Rehmannia Root, each 1 qian) Chuanxiong (Ligusticum Rhizome) Tianma (Gastrodia Rhizome) Zi Shiying (Purple Quartz) Baiziren (Biota Seed) Zaoren (Ziziphus Seed) Chenpi (Citrus Peel, each 0.8 qian). Add thirty Dengxin Cao (Juncus Effusus Stems). Decoct and take orally.