钱仲阳云∶心主惊，实则叫哭发热饮水而搐，虚则困卧惊悸不安。又云∶热则睡中口气温及
上窜切牙，而合面卧有就冷之意，皆心热也，导赤散主之。若抑面卧者，乃心气实，气不得
上下流通也，泻心散主之。心病冬见，火胜水也，当补肾治心，轻者病自愈，下窜不语者，
肾虚怯也。又张洁古云∶心主热，若肺乘心为微邪，肝乘心为虚邪，脾乘心为实邪，肾乘心
为贼邪。凡心脏得病，必先调其肝肾，肝气通则心气和，肝气滞则心气乏，此心病先求其肝
，清其源也。五脏受病必传其所胜，肾之邪必传于心，故先治其肾逐其邪也。若肝肾脉俱和
，然后察其心家虚实治之。窃谓仰面卧者，因其心胸实热，故喜仰面而向虚也。合面卧者，
因心胸虚热，故喜合卧而就实也。实则调治心肝，虚则调补脾肺，二者别之，尽其状矣。其
切牙等症，多有雷同，不必拘泥。如用泻心、导赤等剂，邪气虽去而病仍作，当调补元气，
或反甚，急温补元气。其心气冬见，或亥子时病益甚，或下窜不语者，乃肾水虚而心火甚也
，用地黄丸。其乳下婴儿，须母服之。
钱氏泻心散 治心经实热。
黄连
上为末，每服五分，临卧温水化下。
愚按∶前症若叫哭发热，作渴饮水，抽搐有力，仰面而睡者，属心经实热，宜用泻心散或导
赤散。若发热饮汤，抽搐乏力，惊窜切牙，合面而睡者，属心经虚热，用补心散。若喘嗽面
赤，壮热饮水，肺乘心也，用泻白散。若摇头目札，身热抽搐，肝乘心也，用柴胡清肝散。
若合目昏睡，泄泻身热，脾乘心也，用泻黄散。若窜视惊悸，切牙足热，肾乘心也，用安神
丸。若因乳母致症，亦用前药，以治其母。
导赤散 治小肠实热，小便秘赤。
生地黄 木通 甘草（等分）
上为末，每服一钱，入淡竹叶水煎。
愚按∶泻心散、导赤散，泻心、小肠实火之剂。盖心为脾母，脾为心子，然心既病则脾土益
虚矣。用者审之！
钱氏生犀散 治心经虚热。
地骨皮 赤芍药 柴胡 干葛（各一两） 甘草（五钱） 犀角（二钱，镑）
上为末，每服一二钱，水煎。（添加）
愚按∶前方云，治心经虚热，其所用药多属泻心、泻肝经之剂，虚热二字，恐鲁鱼也。如心
经自病而血虚热者，用秘旨安神丸。脾虚夺心之气而热者，用秘旨补脾汤，肝木不能生心火
，而虚热者用地黄丸。
秘旨安神丸 治心血虚而睡中惊悸，或受惊吓而作。
人参 半夏（汤泡） 酸枣仁（炒） 茯神（各一钱） 当归（酒洗） 橘红 赤芍（炒。各七分） 五味子
（五粒，杵） 甘草（炙，三分）
上为末，姜汁糊丸芡实大。每服一丸，生姜汤下。
地黄丸（方见肾症）
补心散（方见惊啼）
泻白散（方见肺脏）
柴胡清肝散（方见热症）
泻黄散（方见脾脏）
秘旨补脾汤（方见惊啼）
钱仲阳说：心主受惊，实证表现为哭闹、发热、想喝水并伴有抽搐；虚证表现为疲倦嗜睡、易惊悸且不安。他又说：若有热象，则睡眠中口气温热，眼球上窜、咬紧牙关，喜欢趴着睡并有寻找凉意之意，这些都是心热的表现，用导赤散主治。如果是趴着睡的，那是心气实，导致气机不能上下流通，用泻心散主治。心病在冬季显现，是因为火胜水（肾水不足），应当补肾兼治心，轻症病会自愈。如果出现眼球下窜、不语的症状，是肾虚怯的表现。
另外张洁古说：心主热。如果肺邪乘袭心为微邪，肝邪乘袭心为虚邪，脾邪乘袭心为实邪，肾邪乘袭心为贼邪。凡是心脏得病，必须先调理肝肾，肝气通畅则心气和顺，肝气郁滞则心气匮乏，这是治疗心病先求之于肝，清除病源的道理。五脏受病必然传其所克制的脏器，肾的邪气必传于心，所以先治肾以驱逐邪气。如果肝肾脉象都平和，然后才察辨心的虚实进行治疗。我认为仰面而卧的人，是因为心胸有实热，所以喜欢仰面向空（寻求凉爽）；趴着睡的人，是因为心胸有虚热，所以喜欢趴着寻求支撑（就实）。实证调理心肝，虚证调补脾肺，区分这两者，就能穷尽病症的情状了。至于咬紧牙关等症状，多有雷同，不必拘泥。如果使用泻心散、导赤散等方剂，邪气虽去但病仍发作，应当调补元气；如果反而加重，急需温补元气。其心气在冬季显现，或在亥子时病情加重，或出现眼球下窜、不语的，是肾水虚而心火盛，用地黄丸治疗。对于吃奶的婴儿，必须让母亲服用此药。
钱氏泻心散：治疗心经实热。
黄连
研为细末，每次服用五分，临睡前用温水化开送服。
我按语：前述症状若见哭闹发热、口渴饮水、抽搐有力、仰面而睡，属于心经实热，宜用泻心散或导赤散。若发热饮汤、抽搐乏力、惊窜咬牙、合面而睡，属于心经虚热，用补心散。若喘嗽面赤、壮热饮水，是肺邪乘袭心，用泻白散。若摇头眨眼、身热抽搐，是肝邪乘袭心，用柴胡清肝散。若闭目昏睡、泄泻身热，是脾邪乘袭心，用泻黄散。若窜视惊悸、咬牙足热，是肾邪乘袭心，用安神丸。若因乳母原因导致病症，也使用上述药物，通过治疗母亲来治愈婴儿。
导赤散：治疗小肠实热，小便短赤。
生地黄、木通、甘草（等分）
研为细末，每次服用一钱，加入淡竹叶用水煎煮。
我按语：泻心散、导赤散，是泻除心与小肠实火的方剂。因为心为脾之母，脾为心之子，既然心病了，脾土就会更加虚弱。使用者需谨慎审察！
钱氏生犀散：治疗心经虚热。
地骨皮、赤芍药、柴胡、干葛（各一两）、甘草（五钱）、犀角（二钱，镑成薄片）
研为细末，每次服用一二钱，用水煎煮。（添加）
我按语：前文方剂说治疗心经虚热，但其用药多属于泻心、泻肝经的方剂，“虚热”二字，恐怕是文字讹误。如心经自病而血虚发热的，用秘旨安神丸。脾虚夺去心之气而发热的，用秘旨补脾汤。肝木不能生心火而导致虚热的，用地黄丸。
秘旨安神丸：治疗心血虚而在睡眠中惊悸，或因受惊吓而发病。
人参、半夏（汤泡）、酸枣仁（炒）、茯神（各一钱）、当归（酒洗）、橘红、赤芍（炒，各七分）、五味子（五粒，捣碎）、甘草（炙，三分）
研为细末，用姜汁糊制成如芡实大小的丸药。每次服用一丸，生姜汤送下。
地黄丸（方剂见肾脏病症章节）
补心散（方剂见惊啼章节）
泻白散（方剂见肺脏章节）
柴胡清肝散（方剂见热症章节）
泻黄散（方剂见脾脏章节）
秘旨补脾汤（方剂见惊啼章节）
Qian Zhongyang stated: The Heart governs fright. In excess patterns, symptoms include crying and weeping, fever, thirst for water, and convulsions; in deficiency patterns, symptoms include lethargy, sleepiness, palpitations, and restlessness. He further stated: If there is heat, the breath may feel warm during sleep, eyes may roll upward, teeth may be clenched, and the infant may prefer sleeping face down seeking coolness; these are all signs of Heart Heat, treated primarily with Daochi San (Coptis Decoction). If the infant sleeps face down, it indicates Heart Qi Excess, where Qi fails to circulate up and down, treated primarily with Xiexin San (Gallbladder-Draining Decoction). Heart diseases manifesting in winter indicate Fire overcoming Water (Kidney Water deficiency); treatment should tonify the Kidney and treat the Heart. Mild cases will resolve spontaneously. Symptoms such as eyes rolling downward and muteness indicate Kidney Deficiency and timidity.
Furthermore, Zhang Jiegu stated: The Heart governs heat. If Lung pathogenic factors invade the Heart, it is a minor evil; if Liver pathogenic factors invade the Heart, it is a deficient evil; if Spleen pathogenic factors invade the Heart, it is an excessive evil; if Kidney pathogenic factors invade the Heart, it is a destructive evil. Whenever the Heart becomes diseased, one must first regulate the Liver and Kidneys. When Liver Qi flows freely, Heart Qi harmonizes; when Liver Qi stagnates, Heart Qi becomes deficient. This principle dictates that treating Heart disease requires addressing the Liver first to clear the source. When the Five Zang organs are diseased, the pathology inevitably transmits to the organ it controls. Pathogenic factors from the Kidney inevitably transmit to the Heart; therefore, one must first treat the Kidney to expel the pathogen. Only when the pulses of both the Liver and Kidney are harmonious should one then examine the Heart for excess or deficiency before treating. I suggest that infants sleeping on their backs do so because of excess heat in the chest and heart, preferring to lie back towards empty space (seeking coolness). Infants sleeping face down do so because of deficient heat in the chest and heart, preferring to press against solid surfaces (seeking support). For excess patterns, regulate the Heart and Liver; for deficiency patterns, tonify the Spleen and Lungs. Distinguishing between these two exhaustively describes the condition. Regarding symptoms like clenching teeth, which often overlap, one should not be rigid. If using formulas like Xiexin San or Daochi San, and although pathogenic factors are expelled the illness recurs, one should regulate and tonify Yuan Qi (Primal Qi); if symptoms worsen, urgently warm and tonify Yuan Qi. If Heart Qi manifests in winter, or symptoms worsen during Hai and Zi hours (9 PM - 3 AM), or if eyes roll downward and muteness occurs, this indicates Kidney Water deficiency and Heart Fire excess, treated with Dihuang Wan (Rehmannia Pill). For nursing infants, the mother should take the medicine.
Qian's Xiexin San: Treats Heart Meridian Excess Heat.
Huanglian (Coptidis Rhizoma)
Grind into powder. Take 0.5 fen each time, dissolve in warm water before bedtime.
My commentary: The aforementioned symptoms, if accompanied by crying, fever, thirst for drinking, strong convulsions, and sleeping on the back, belong to Heart Meridian Excess Heat, suitable for Xiexin San or Daochi San. If accompanied by fever, desire for hot drinks, weak convulsions, fright with eye rolling and tooth grinding, and sleeping face down, it belongs to Heart Meridian Deficient Heat, treated with Buxin San. If accompanied by wheezing, coughing, red face, high fever, and thirst, it indicates Lung invading Heart, treated with Xiebai San. If accompanied by head shaking, blinking, body heat, and convulsions, it indicates Liver invading Heart, treated with Chaihu Qinggan San. If accompanied by closed eyes, drowsiness, diarrhea, and body heat, it indicates Spleen invading Heart, treated with Xiehuang San. If accompanied by darting gaze, palpitations, tooth grinding, and hot feet, it indicates Kidney invading Heart, treated with Anshen Wan. If the condition is caused by the wet nurse, use the aforementioned medicines to treat the mother.
Daochi San: Treats Small Intestine Excess Heat, characterized by scanty and dark urine.
Shengdihuang (Rehmanniae Radix Recens), Mutong (Akebiae Caulis), Gancao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Grind into powder. Take 1 qian each time, decoct with Danzhuyeh (Lophatheri Herba) in water.
My commentary: Xiexin San and Daochi San are formulas that drain excess fire from the Heart and Small Intestine. Since the Heart is the Mother of the Spleen, and the Spleen is the Child of the Heart, once the Heart is diseased, the Spleen Earth becomes increasingly deficient. Users must exercise caution!
Qian's Shengxi San: Treats Heart Meridian Deficient Heat.
Digupi (Bark of Ground Tree Bark), Chishaoyao (Radix Paeoniae Rubra), Chaihu (Radix Bupleuri), Gange (Radix Puerariae Lobatae) each 1 liang; Gancao (Radix Glycyrrhizae) 5 qian; Xijiao (Cornu Rhinocerotis) 2 qian, shaved.
Grind into powder. Take 1-2 qian each time, decoct in water. (Added)
My commentary: The previous formula claims to treat Heart Meridian Deficient Heat, but its ingredients mostly belong to formulas that drain the Heart and Liver meridians. The term "Deficient Heat" here is likely a textual error. If the Heart Meridian itself is diseased causing blood deficiency heat, use Mizhi Anshen Wan. If Spleen deficiency steals Qi from the Heart causing heat, use Mizhi Bupi Tang. If Liver Wood fails to generate Heart Fire causing deficient heat, use Dihuang Wan.
Mizhi Anshen Wan: Treats Heart Blood deficiency causing palpitations during sleep, or onset due to fright.
Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, soaked in boiling water), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Fushen (Poria with Hostwood) each 1 qian; Danggui (Angelicae Sinensis Radix, washed with wine), Juhong (Exocarpium Citri Reticulatae Chishao (Radix Paeoniae Rubra, stir-fried) each 7 fen; Wuweizi (Schisandrae Fructus) 5 grains, crushed; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 3 fen.
Grind into powder, make pills with ginger juice paste to the size of Euryale Seed. Take one pill each time, swallow with Ginger Decoction.
Dihuang Wan (Formula see Kidney Disease section)
Buxin San (Formula see Crying and Wailing section)
Xiebai San (Formula see Lung Organ section)
Chaihu Qinggan San (Formula see Heat Syndrome section)
Xiehuang San (Formula see Spleen Organ section)
Mizhi Bupi Tang (Formula see Crying and Wailing section)