论曰左手关前寸口阴实者,心实也。上气胸中满膨膨,与肩相引。扁鹊曰,心实热,则
喘逆胸凭仰息,此手少阴为热所加,故为心实之病,甚则口苦引饮无度,体背生疮,以至股
膝胫皆痛,法宜泻之。
治心实热。茯神汤方
茯神(去木) 麦门冬(去心焙各三分) 木通(锉) 桂(去粗皮) 知母 紫菀(洗
切) 升麻(各半两) 竹茹(如鸡子大) 赤石脂(一两)
上九味。粗捣筛,每服五钱匕,井华水一盏半,入枣一枚去核,煎至一盏去滓,早晚食
前临卧温服。
治心实热梦多惊恐,畏惧不安。石膏汤方
石膏(四两碎研) 人参 知母(焙) 赤石脂 栀子(去皮) 芍药 白术 茯神(去
木) 紫菀(洗切
上九味。粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓入竹沥少许,生地黄汁一合
,更煎一两沸,食后温服。若要利加芒硝一两,去芍药。
治心实热,欲吐不出,烦闷喘急。泻心汤方
小麦(三合) 豉(炒一合) 石膏(五两) 地骨皮(一两) 栀子(去皮七枚) 赤
茯苓(去黑皮三分)
上六味。粗捣筛,每服五钱匕,水一盏半,入竹叶十片,细锉,煎至一盏,去滓食后温
服。
治心脏实热,烦躁喘急,欲吐不出,头目昏眩。麦门冬汤方
麦门冬(去心焙) 石膏 地骨皮(各二两) 栀子仁 甘草(炙锉各半两)
上五味。粗捣筛,每服三钱匕,水一盏,入小麦五十粒,竹叶十片,煎至七分去滓,食
后临卧温服。
治心壅痰实,膈热头昏,不思饮食,咳嗽烦渴。犀角汤方
犀角屑 柴胡(去苗) 黄芩(去黑心) 人参(各一两) 白茯苓(去黑皮) 麦门
冬(去心焙) 升麻(各
上八味。粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓食后温服。
治心气实热,火气炎盛。销烁金精,肺受心邪,因而生疾,若人患肺,先审心虚实,若
心气盛实,则脉洪大,或肺脉微,得心脉,即先服此。抑心气汤方
黄芩(去黑皮) 赤茯苓(去黑皮) 玄参 甘草(炙锉) 麦门冬(去心焙) 牡丹
皮升麻 桔梗(去芦) 贝母(去心) 犀角屑(各一分) 沉香 木香(各一钱)
上一十二味。粗捣筛,每服三钱匕。水一盏,煎至七分,食后温服。
治心实壅热,口苦舌干,涕唾稠粘,胸膈烦闷,不思饮食。人参汤方
人参 赤茯苓(去黑皮) 茯神(去木) 龙骨 远志(去心) 麦门冬(去心焙) 生
干地黄(洗切焙) 甘草(炙锉各半两) 丹砂(别研) 天竺黄(各一钱) 天门冬(去
心焙半两)
上一十一味。粗捣筛,每服三钱匕。水一盏,枣一枚去核,淡竹叶五片,灯心十茎,煎
至七分,去滓温服。
治心实壅热,口苦舌干,涕唾稠粘,胸膈烦闷,不思饮食,肢体倦怠,或发烦热,状似
骨蒸。茯神丸方
茯神(去木) 生干地黄(洗切焙各二两) 鳖甲(九肋者醋炙去裙 ) 桔梗(去芦
头切炒) 人参 升麻 大腹炮 防风(去叉) 黄芩(去黑心) 白前(各一两) 枳壳
(去瓤麸炒) 赤芍药 柴胡(去苗) 黄 (薄切各一两半)
上一十四味。为细末,炼蜜丸梧桐子大。每服十丸,食后生姜汤下。
治心脏积热,口舌生疮,善怒言语不快,舌强小便赤痛。通心汤方
麦门冬(去心焙) 栀子(去皮) 黄芩(去黑心) 当归(酒洒切焙) 荆芥穗 芍
药大黄(生锉) 升
上九味。粗捣筛,每服三钱匕。水一盏,入葱白三寸,煎至八分,去滓食后热服。
治心经蕴热,头目壅赤,小便秘涩。加减火府丸方
生干地黄(洗切焙一两) 木通(一两半) 黄连(去须三分) 黄芩(去黑心一分) 赤
茯苓(去黑皮半两)
上五味。为细末,炼蜜丸梧桐子大。每服七丸至十丸,食后温水下。
治心热实,忪悸恍惚,痰壅昏倦,上焦渴燥,夜卧不稳。镇心丸方
丹砂(别研) 人参 甘草(炙锉) 黄芩(去黑心) 栝蒌根(各一两) 凝水石(碎
研二两) 牛黄(研) 犀角(镑) 知母(各半两) 龙脑(别研一钱)
上一十味,为细末,炼蜜丸鸡头大。每服一丸,人参汤嚼下。
治心脏大热,去烦闷,润肠胃。山栀子汤方
山栀子(三两) 大黄(锉炒) 朴硝 甘草(生锉) 石膏(各二两) 黄芩(去黑
心) 大青(各一两
上九味。粗捣筛,每服三钱匕。水一盏,入竹叶七片,煎至七分,去滓食后服。
治心实生热,惊悸,化风痰,解积热。冰壶丸方
牛黄(别研) 真珠(别研) 人参 白茯苓(去黑皮) 安息香(酒化) 胡黄连 龙
胆麦门冬(去心焙) 远志(去心各半两) 丹砂(别研) 玳瑁(镑) 犀角(镑各一
两) 龙脑(别研) 龙齿 铁粉(别研) 甜硝(别研各一分) 金箔(别研) 银箔(别
研各十五片)
上一十七味。为细末,炼蜜同安息香膏和丸,如鸡头大,每服一丸,煎人参茯苓汤化下
治心脏实热,惊怖痰壅,不下食。远志汤方
远志(去心) 生干地黄(洗切焙) 枳壳(去瓤麸炒各一两) 半夏(为末生姜汁
调作饼焙干) 旋复花(各半两) 麦门冬(去心焙一两半) 赤茯苓(去黑皮) 甘草(炙
锉各三分)
上八味。粗捣筛,每服三钱匕。水一盏,生姜五片,煎至六分,去滓食后温服。
治心脏实热,上焦壅滞,口舌生疮,或多烦渴。柴胡汤方
柴胡(去苗) 地骨皮 犀角(镑) 麦门冬(去心焙) 葛根(锉) 黄连(去须) 赤
芍药 黄芩(去黑心) 升麻(各一两) 甘草(炙锉半两)
上一十味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食后温服。
治心实热,口干烦渴,夜卧不安。羚羊角汤方
羚羊角(镑三分) 茯神(去木) 木通(锉) 黄连(去须) 麦门冬(去心焙) 升
麻知母(焙) 黄芩(
上九味。粗捣筛,每服三钱匕。水一盏,煎至七分,去滓食后温服。
治心脏实热,胸中满闷,嗔怒不常,或头旋运,或痛如破。犀角汤方
犀角(镑) 防风(去叉) 生干地黄(焙) 羌活(去芦头) 菊花 半夏(汤浸去
滑姜汁制作饼曝干) 玄参 黄芩(去黑心) 白术 甘草(炙锉) 旋复花 麦门冬(去
心焙) 前胡(去芦头各一两半)
上一十三味。粗捣筛,每服五钱匕。水一盏半,入生姜一枣大切,煎至八分,去滓食后
温服。
治心脏壅盛烦热,口舌生疮,头痛颊赤,心神不宁。通心汤方
升麻 犀角(镑) 龙胆 玄参 防风(去叉) 黄芩(去黑心) 羌活(去芦头各半
两) 苦竹叶(三
上九味。粗捣筛,每服五钱匕。水一盏半,煎至八分,去滓食后温服。
治心热胆虚,喜惊多涎,梦中惊魇,小儿惊热,女子忧劳血厥,产后心虚怔忪等疾。至
宝丹方
生犀角(镑) 生玳瑁(镑) 琥珀(研) 丹砂(研) 雄黄(研各一两) 牛黄(半
两与上二味各研匀) 安
上七味。纳六味捣研为末,以安息香膏,丸如皂荚子大,人参汤下一丸,小儿量度加减
治心脏风热。牛黄散
牛黄(别研一分) 何首乌(一两半) 甘草(炙锉一分) 玄明粉(半两)
上四味,捣研为细散和匀,每服一钱半匕,麦门冬熟水调下。
治心脏热实,狂言妄语,心神不宁。大定志丸方
硝石(一两) 丹砂(一分) 白茯苓(去黑皮) 人参(各二两)
上四味,捣研为末,粟米饭和丸,如弹丸大,每服一丸,沙糖新汲水调下。
治心热实在内,狂妄不常。定心丸方
硝石(半两) 丹砂(一分)
上二味,细研,糯米粥和丸,如樱桃大,每服一丸,生糯米汁入油一两点,青柳枝打匀
服。
论述说:左手关前寸口部位脉象阴实,是心实证。气逆上冲,胸中胀满膨隆,疼痛牵引至肩部。扁鹊说,心经实热,就会出现气喘逆乱、胸部憋闷、只能仰面呼吸的症状,这是手少阴心经受热邪侵袭所致,所以称为心实证。病情严重时,会出现口苦、极度口渴想喝水、身体背部生疮,甚至大腿、膝盖、小腿都疼痛,治疗法则应当采用泻法。
治疗心经实热的茯神汤方:
茯神(去除木质部分)、麦门冬(去除心部并焙干,各三分)、木通(切碎)、桂枝(去除粗皮)、知母、紫菀(洗净切碎)、升麻(各半两)、竹茹(如鸡蛋大小)、赤石脂(一两)。
以上九味药,粗捣筛碎,每次服用五钱匕,用井华水一盏半,加入一枚去核的大枣,煎煮至一盏量,去掉药渣,早晚饭前及睡前温服。
治疗心经实热导致多梦、惊恐、畏惧不安的石膏汤方:
石膏(四两,打碎研细)、人参、知母(焙干)、赤石脂、栀子(去除果皮)、芍药、白术、茯神(去除木质部分)、紫菀(洗净切碎)。
以上九味药,粗捣筛碎,每次服用五钱匕,用水一盏半,煎煮至一盏量,去掉药渣,加入少许竹沥和合生地黄汁,再煮沸一两次,饭后温服。如果希望增加通便效果,加芒硝一两,去掉芍药。
治疗心经实热,想吐却吐不出,烦闷气喘急促的泻心汤方:
小麦(三合)、豆豉(炒制一合)、石膏(五两)、地骨皮(一两)、栀子(去除果皮七枚)、赤茯苓(去除黑皮三分)。
以上六味药,粗捣筛碎,每次服用五钱匕,用水一盏半,加入十片竹叶,切碎,煎煮至一盏量,去掉药渣,饭后温服。
治疗心脏实热,烦躁气喘急促,想吐却吐不出,头目昏眩的麦门冬汤方:
麦门冬(去除心部并焙干)、石膏、地骨皮(各二两)、栀子仁、甘草(炙烤后切碎,各半两)。
以上五味药,粗捣筛碎,每次服用三钱匕,用水一盏,加入小麦五十粒、竹叶十片,煎煮至七分量,去掉药渣,饭后及睡前温服。
治疗心壅痰实,膈间有热、头昏,不想饮食,咳嗽烦渴的犀角汤方:
犀角屑、柴胡(去除苗)、黄芩(去除黑心)、人参(各一两)、白茯苓(去除黑皮)、麦门冬(去除心部并焙干)、升麻(各... [原文此处似有缺漏,依上下文推测为剂量])。
以上八味药,粗捣筛碎,每次服用五钱匕,用水一盏半,煎煮至一盏量,去掉药渣,饭后温服。
治疗心气实热,火气炎盛,消烁金精(肺金),肺受心邪侵袭因而生病。如果人患肺病,先要审察心的虚实。如果心气盛实,则脉象洪大,或者肺脉微弱,出现心脉特征,就先服用此方以抑制心气。抑心气汤方:
黄芩(去除黑皮)、赤茯苓(去除黑皮)、玄参、甘草(炙烤切碎)、麦门冬(去除心部并焙干)、牡丹皮、升麻、桔梗(去除芦头)、贝母(去除心部)、犀角屑(各一分)、沉香、木香(各一钱)。
以上十二味药,粗捣筛碎,每次服用三钱匕。用水一盏,煎煮至七分量,饭后温服。
治疗心实壅热,口苦舌干,鼻涕唾液稠粘,胸膈烦闷,不想饮食的人参汤方:
人参、赤茯苓(去除黑皮)、茯神(去除木质部分)、龙骨、远志(去除心部)、麦门冬(去除心部并焙干)、生干地黄(洗净切碎焙干)、甘草(炙烤切碎,各半两)、丹砂(单独研细)、天竺黄(各一钱)、天门冬(去除心部并焙干,半两)。
以上十一味药,粗捣筛碎,每次服用三钱匕。用水一盏,加入一枚去核大枣、五片淡竹叶、十茎灯心草,煎煮至七分量,去掉药渣温服。
治疗心实壅热,口苦舌干,鼻涕唾液稠粘,胸膈烦闷,不想饮食,肢体倦怠,或发生烦热,症状像骨蒸劳热一样的茯神丸方:
茯神(去除木质部分)、生干地黄(洗净切碎焙干,各二两)、鳖甲(九肋者,醋炙后去除裙边)、桔梗(去除芦头切碎炒制)、人参、升麻、大腹子(炮制)、防风(去除叉状分枝)、黄芩(去除黑心)、白前(各一两)、枳壳(去除瓤麸炒)、赤芍药、柴胡(去除苗)、黄芪(薄切,各一两半)。
以上十四味药,研成细末,用炼蜜制成梧桐子大小的丸剂。每次服用十丸,饭后用生姜汤送下。
治疗心脏积热,口舌生疮,易怒言语不利,舌体僵硬,小便赤痛的通心汤方:
麦门冬(去除心部并焙干)、栀子(去除果皮)、黄芩(去除黑心)、当归(酒洒后切碎焙干)、荆芥穗、芍药、大黄(生切碎)、升麻... [原文此处似有缺漏]。
以上九味药,粗捣筛碎,每次服用三钱匕。用水一盏,加入葱白三寸,煎煮至八分量,去掉药渣,饭后热服。
治疗心经蕴热,头目充血肿胀,小便便秘涩滞的加减火府丸方:
生干地黄(洗净切碎焙干,一两)、木通(一两半)、黄连(去除须根,三分)、黄芩(去除黑心,一分)、赤茯苓(去除黑皮,半两)。
以上五味药,研成细末,用炼蜜制成梧桐子大小的丸剂。每次服用七丸至十丸,饭后用温水送下。
治疗心热实,心悸恍惚,痰壅昏倦,上焦渴燥,夜间睡眠不稳定的镇心丸方:
丹砂(单独研细)、人参、甘草(炙烤切碎)、黄芩(去除黑心)、栝蒌根(各一两)、凝水石(打碎研细,二两)、牛黄(研细)、犀角(镑片)、知母(各半两)、龙脑(单独研细,一钱)。
以上十味药,研成细末,用炼蜜制成鸡头米大小的丸剂。每次服用一丸,用人参汤嚼服。
治疗心脏大热,去除烦闷,滋润肠胃的山栀子汤方:
山栀子(三两)、大黄(切碎炒制)、朴硝、甘草(生切碎)、石膏(各二两)、黄芩(去除黑心)、大青(各一两)。
以上九味药,粗捣筛碎,每次服用三钱匕。用水一盏,加入竹叶七片,煎煮至七分量,去掉药渣,饭后服用。
治疗心实生热,惊悸,化解风痰,解除积热的冰壶丸方:
牛黄(单独研细)、真珠(单独研细)、人参、白茯苓(去除黑皮)、安息香(酒化开)、胡黄连、龙胆草、麦门冬(去除心部并焙干)、远志(去除心部,各半两)、丹砂(单独研细)、玳瑁(镑片)、犀角(镑片,各一两)、龙脑(单独研细)、龙齿、铁粉(单独研细)、甜硝(单独研细,各一分)、金箔(单独研细)、银箔(单独研细,各十五片)。
以上十七味药,研成细末,用炼蜜同安息香膏混合制成丸剂,如鸡头米大小。每次服用一丸,用人参茯苓汤化开送服。
治疗心脏实热,惊恐痰壅,不能进食的远志汤方:
远志(去除心部)、生干地黄(洗净切碎焙干)、枳壳(去除瓤麸炒,各一两)、半夏(研成末,用生姜汁调成饼焙干)、旋复花(各半两)、麦门冬(去除心部并焙干,一两半)、赤茯苓(去除黑皮)、甘草(炙烤切碎,各三分)。
以上八味药,粗捣筛碎,每次服用三钱匕。用水一盏,加入生姜五片,煎煮至六分量,去掉药渣,饭后温服。
治疗心脏实热,上焦壅滞,口舌生疮,或多发烦渴的柴胡汤方:
柴胡(去除苗)、地骨皮、犀角(镑片)、麦门冬(去除心部并焙干)、葛根(切碎)、黄连(去除须根)、赤芍药、黄芩(去除黑心)、升麻(各一两)、甘草(炙烤切碎,半两)。
以上十味药,粗捣筛碎,每次服用三钱匕,用水一盏,煎煮至七分量,去掉药渣,饭后温服。
治疗心实热,口干烦渴,夜间睡眠不安的羚羊角汤方:
羚羊角(镑片,三分)、茯神(去除木质部分)、木通(切碎)、黄连(去除须根)、麦门冬(去除心部并焙干)、升麻、知母(焙干)、黄芩... [原文此处似有缺漏]。
以上九味药,粗捣筛碎,每次服用三钱匕。用水一盏,煎煮至七分量,去掉药渣,饭后温服。
治疗心脏实热,胸中满闷,经常发怒,或头晕旋转,或头痛如破的犀角汤方:
犀角(镑片)、防风(去除叉状分枝)、生干地黄(焙干)、羌活(去除芦头)、菊花、半夏(热水浸泡去除滑腻,姜汁制作成饼晒干)、玄参、黄芩(去除黑心)、白术、甘草(炙烤切碎)、旋复花、麦门冬(去除心部并焙干)、前胡(去除芦头,各一两半)。
以上十三味药,粗捣筛碎,每次服用五钱匕。用水一盏半,加入一大块生姜,煎煮至八分量,去掉药渣,饭后温服。
治疗心脏壅盛烦热,口舌生疮,头痛脸颊发红,心神不宁的通心汤方:
升麻、犀角(镑片)、龙胆草、玄参、防风(去除叉状分枝)、黄芩(去除黑心)、羌活(去除芦头,各半两)、苦竹叶(三... [原文此处似有缺漏]。
以上九味药,粗捣筛碎,每次服用五钱匕。用水一盏半,煎煮至八分量,去掉药渣,饭后温服。
治疗心热胆虚,容易受惊多涎,梦中惊魇,小儿惊热,女子忧劳血厥,产后心虚怔忪等疾病的至宝丹方:
生犀角(镑片)、生玳瑁(镑片)、琥珀(研细)、丹砂(研细)、雄黄(研细,各一两)、牛黄(半两,与上述两味分别研匀)、安息香... [原文此处似有缺漏]。
以上七味药,将六味药捣研成末,用安息香膏制成如皂荚子大小的丸剂。用人参汤送下一丸,小儿根据情况增减剂量。
治疗心脏风热的牛黄散:
牛黄(单独研细,一分)、何首乌(一两半)、甘草(炙烤切碎,一分)、玄明粉(半两)。
以上四味药,捣研成细散并混合均匀,每次服用一钱半匕,用麦门冬熟水调服。
治疗心脏热实,胡言乱语,心神不宁的大定志丸方:
硝石(一两)、丹砂(一分)、白茯苓(去除黑皮)、人参(各二两)。
以上四味药,捣研成末,用粟米饭和丸,如弹丸大小。每次服用一丸,用沙糖和新汲水调服。
治疗心热实在内,狂妄无常的定心丸方:
硝石(半两)、丹砂(一分)。
以上两味药,细研,用糯米粥和丸,如樱桃大小。每次服用一丸,用生糯米汁加入一两滴油,用青柳枝搅拌匀后服用。
Discussion states: When the pulse at the Cun Kou (Cun position) on the left hand is Yin-Shi (Excess pattern of Yin), it indicates Heart Excess. Qi rebels upward, causing fullness and distension in the chest, with pain radiating to the shoulder. Bian Que said that when the Heart has Excess-Heat, there will be panting and rebellion of Qi, chest oppression, and dyspnea requiring an upright posture. This is because the Hand-Shaoyin (Heart meridian) is affected by Heat pathogens, thus constituting a Heart Excess disease. In severe cases, it manifests as bitter taste in the mouth, excessive thirst with unquenchable desire to drink, sores on the back, and even pain extending to the thighs, knees, and shins. The treatment principle should be to purge (drain excess).
Fushen Tang Decoction for treating Heart Excess-Heat:
Fushen (Poria with Hostwood removed), Maidong (Ophiopogonis Radix, heart removed and roasted), Tongcao (Akebiae Caulis, chopped), Guizhi (Cinnamomi Ramulus, bark removed), Zhimu (Anemarrhenae Rhizoma), Ziwan (Astagi Radix, washed and cut), Shengma (Bupleuri Radix or Cimicifugae Rhizoma - context implies Bupleuri/Cimicifuge type, here likely Cimicifugae based on formula composition, but standard WHO term for Shengma is Cimicifugae Rhizoma; however, in Song dynasty texts, Shengma often referred to Bupleuri or similar ascending herbs. Given "Shengma" usually maps to Cimicifugae Rhizoma in modern TCM, but historically varied. Let's use Cimicifugae Rhizoma as per modern standard unless specified otherwise, though some scholars argue Bupleuri. I will stick to the literal translation of the herb name Shengma -> Cimicifugae Rhizoma for consistency with current standards, noting historical ambiguity if necessary, but for this task, direct mapping is preferred. Actually, in *Shengji Zonglu*, Shengma is often used for clearing heat and raising yang. I will use Cimicifugae Rhizoma.), Zhuru (Bambusae Caulis in Taeniae Residuum, size of a chicken egg), Chishizhi (Halloysit Rubra).
Nine ingredients. Coarsely grind and sieve. Take 5 Qianbi (approx. 10-15g depending on era measure, literally "spoonful") per dose. Add 1.5 cups of Jinghua Water (well water drawn at dawn) and one pitted Jujube. Decoct until 1 cup remains, remove dregs, and take warm before meals and before sleep.
Shigao Tang Decoction for treating Heart Excess-Heat with frequent dreams, fright, fear, and restlessness:
Shigao (Gypsum Fibrosum, crushed and ground), Renshen (Ginseng Radix et Rhizoma), Zhimu (Anemarrhenae Rhizoma, roasted), Chishizhi (Halloysit Rubra), Zhizi (Gardeniae Fructus, peel removed), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria with Hostwood removed), Ziwan (Astagi Radix, washed and cut).
Nine ingredients. Coarsely grind and sieve. Take 5 Qianbi per dose. Add 1.5 cups of water. Decoct until 1 cup remains, remove dregs, add a small amount of Zhuli (Bambusae Caulis in Taeniae Liquidum) and Yiheye Zhi (Rehmanniae Radix Juice). Boil for one or two more boils. Take warm after meals. If purgation is desired, add Mangxiao (Natrii Sulfas) 1 Liang and remove Shaoyao.
Xie Xin Tang Decoction for treating Heart Excess-Heat with inability to vomit despite urge, irritability, and rapid panting:
Xiaomai (Tritici Fructus), Chi (Fermented Soybean Seed), Shigao (Gypsum Fibrosum), Digupi (Lycii Cortex), Zhizi (Gardeniae Fructus, peel removed), Chifuling (Poria, black skin removed).
Six ingredients. Coarsely grind and sieve. Take 5 Qianbi per dose. Add 1.5 cups of water and 10 slices of Zhu Ye (Bambusae Folium), finely chopped. Decoct until 1 cup remains, remove dregs, and take warm after meals.
Maidong Tang Decoction for treating Heart Excess-Heat with irritability, rapid panting, inability to vomit, and dizziness/blurred vision:
Maidong (Ophiopogonis Radix, heart removed and roasted), Shigao (Gypsum Fibrosum), Digupi (Lycii Cortex), Zhiren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped).
Five ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water, 50 grains of Xiaomai (Tritici Fructus), and 10 slices of Zhu Ye (Bambusae Folium). Decoct until 70% remains, remove dregs, and take warm after meals and before sleep.
Xijiao Tang Decoction for treating Heart Phlegm-Excess with Diaphragmatic Heat, dizziness, anorexia, cough, and thirst:
Xijiao (Rhinocerotis Cornu), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Maidong (Ophiopogonis Radix), Shengma (Cimicifugae Rhizoma).
Eight ingredients. Coarsely grind and sieve. Take 5 Qianbi per dose. Add 1.5 cups of water. Decoct until 1 cup remains, remove dregs, and take warm after meals.
Yixin Qi Tang Decoction for treating Heart Qi Excess-Heat with blazing Fire, consuming Lung Metal (Jin Jing), where the Lung suffers from Heart Pathogens. If a patient has Lung disease, first assess the Heart's deficiency or excess. If Heart Qi is Excess, the pulse will be Hongda (Surging and Large), or the Lung pulse will be weak while showing Heart pulse characteristics. Administer this formula first to suppress Heart Qi:
Huangqin (Scutellariae Radix), Chifuling (Poria), Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Maidong (Ophiopogonis Radix), Mudanpi (Moutan Cortex), Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), Xijiao (Rhinocerotis Cornu), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix).
Twelve ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water. Decoct until 70% remains, and take warm after meals.
Renshen Tang Decoction for treating Heart Excess with Stagnant Heat, bitter taste, dry tongue, thick sputum, chest oppression, and anorexia:
Renshen (Ginseng Radix et Rhizoma), Chifuling (Poria), Fushen (Poria with Hostwood removed), Longgu (Dinosaur Bone), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Radix), Shenggan Dihuang (Prepared Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Dansha (Cinnabar), Tianzhuhuang (Calami Rhizoma), Tiandong (Asparagi Radix).
Eleven ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water, one pitted Jujube, five slices of Dan Zhuye (Light Bamboo Leaf), and ten stems of Dengxin Cao (Junci Medulla). Decoct until 70% remains, remove dregs, and take warm.
Fushen Wan Pill for treating Heart Excess with Stagnant Heat, bitter taste, dry tongue, thick sputum, chest oppression, anorexia, limb fatigue, or fever resembling Bone-steaming Consumption:
Fushen (Poria with Hostwood removed), Shenggan Dihuang (Prepared Rehmanniae Radix), Biejia (Testudinis Carapax et Plastrum, nine-ribbed, vinegar-roasted, skirt removed), Jiegeng (Platycodonis Radix), Renshen (Ginseng Radix et Rhizoma), Shengma (Cimicifugae Rhizoma), Dafupao (Arecae Pericarpium, processed), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Baiqian (Cynanchi Stauntonii Rhizoma et Radix), Zhike (Aurantii Fructus), Chishaoyao (Red Paeonia Root), Chaihu (Bupleuri Radix), Huangqi (Astragali Radix).
Fourteen ingredients. Grind into fine powder. Mix with refined honey to make pills the size of Sophora seeds. Take 10 pills after meals with Ginger Decoction.
Tongxin Tang Decoction for treating Heart Accumulated Heat with mouth/tongue ulcers, irritability, slurred speech, stiff tongue, and painful red urination:
Maidong (Ophiopogonis Radix), Zhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Jingjiesui (Schizonepetae Spica), Shaoyao (Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma), Shengma (Cimicifugae Rhizoma).
Nine ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water and three cun of Congbai (Allii Fistulosi Bulbus). Decoct until 80% remains, remove dregs, and take hot after meals.
Jiajian Huofu Wan Pill for treating Heart Meridian Stagnant Heat with congested red head/eyes and difficult urination:
Shenggan Dihuang (Prepared Rehmanniae Radix), Mutong (Akebiae Caulis), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chifuling (Poria).
Five ingredients. Grind into fine powder. Mix with refined honey to make pills the size of Sophora seeds. Take 7-10 pills after meals with warm water.
Zhenxin Wan Pill for treating Heart Heat Excess with palpitations, confusion, phlegm stagnation, lethargy, upper Jiao dryness/thirst, and restless sleep:
Dansha (Cinnabar), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Huangqin (Scutellariae Radix), Gualougen (Trichosanthis Radix), Ningshuishi (Natron), Niuhuang (Bovis Calculus), Xijiao (Rhinocerotis Cornu), Zhimu (Anemarrhenae Rhizoma), Longnao (Borneolum Syntheticum).
Ten ingredients. Grind into fine powder. Mix with refined honey to make pills the size of a cock's head. Take one pill, chewed down with Ginseng Decoction.
Shanzhizi Tang Decoction for treating Extreme Heart Heat to relieve irritability and moisten intestines/stomach:
Shanzhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Huangqin (Scutellariae Radix), Daqing (Isatidis Folium).
Nine ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water and seven slices of Zhu Ye (Bambusae Folium). Decoct until 70% remains, remove dregs, and take after meals.
Binghu Wan Pill for treating Heart Excess generating Heat, palpitations, resolving Wind-Phlegm, and relieving accumulated Heat:
Niuhuang (Bovis Calculus), Zhenzhu (Margarita), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Anshixiang (Styrax), Huhuanglian (Picrorhizae Rhizoma), Longdan (Gentianae Radix), Maidong (Ophiopogonis Radix), Yuanzhi (Polygalae Radix), Dansha (Cinnabar), Daimao (Eretmochelys Carapax), Xijiao (Rhinocerotis Cornu), Longnao (Borneolum Syntheticum), Longchi (Dinosaur Bone), Tiefen (Ferrum), Tinxiao (Natrii Sulfas), Jinbo (Gold Foil), Yinbo (Silver Foil).
Seventeen ingredients. Grind into fine powder. Mix with refined honey and Anshixiang paste to make pills the size of a cock's head. Take one pill, dissolved in Ginseng and Poria Decoction.
Yuanzhi Tang Decoction for treating Heart Excess Heat with fright, phlegm stagnation, and inability to eat:
Yuanzhi (Polygalae Radix), Shenggan Dihuang (Prepared Rehmanniae Radix), Zhike (Aurantii Fructus), Banxia (Pinelliae Rhizoma), Xuanjinhua (Inulae Flos), Maidong (Ophiopogonis Radix), Chifuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped).
Eight ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water and five slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 60% remains, remove dregs, and take warm after meals.
Chaihu Tang Decoction for treating Heart Excess Heat with Upper Jiao stagnation, mouth/tongue ulcers, and frequent thirst:
Chaihu (Bupleuri Radix), Digupi (Lycii Cortex), Xijiao (Rhinocerotis Cornu), Maidong (Ophiopogonis Radix), Gegen (Puerariae Lobatae Radix), Huanglian (Coptidis Rhizoma), Chishaoyao (Red Paeonia Root), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped).
Ten ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water. Decoct until 70% remains, remove dregs, and take warm after meals.
Lingyangjiao Tang Decoction for treating Heart Excess Heat with dry mouth, irritability, and restless sleep:
Lingyangjiao (Saiga Tataricae Cornu), Fushen (Poria with Hostwood removed), Mutong (Akebiae Caulis), Huanglian (Coptidis Rhizoma), Maidong (Ophiopogonis Radix), Shengma (Cimicifugae Rhizoma), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix).
Nine ingredients. Coarsely grind and sieve. Take 3 Qianbi per dose. Add 1 cup of water. Decoct until 70% remains, remove dregs, and take warm after meals.
Xijiao Tang Decoction for treating Heart Excess Heat with chest fullness, frequent anger, vertigo, or headache as if breaking:
Xijiao (Rhinocerotis Cornu), Fangfeng (Saposhnikoviae Radix), Shenggan Dihuang (Prepared Rehmanniae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Juhua (Chrysanthemi Flos), Banxia (Pinelliae Rhizoma), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Xuanjinhua (Inulae Flos), Maidong (Ophiopogonis Radix), Qianhu (Peucedani Radix).
Thirteen ingredients. Coarsely grind and sieve. Take 5 Qianbi per dose. Add 1.5 cups of water and a large piece of Shengjiang (Zingiberis Rhizoma Recens). Decoct until 80% remains, remove dregs, and take warm after meals.
Tongxin Tang Decoction for treating Heart Excess with Stagnant Heat, mouth/tongue ulcers, headache, red cheeks, and restless mind:
Shengma (Cimicifugae Rhizoma), Xijiao (Rhinocerotis Cornu), Longdan (Gentianae Radix), Xuanshen (Scrophulariae Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Kuzhuye (Bitter Bamboo Leaf).
Nine ingredients. Coarsely grind and sieve. Take 5 Qianbi per dose. Add 1.5 cups of water. Decoct until 80% remains, remove dregs, and take warm after meals.
Zhibao Dan Pearl Elixir for treating Heart Heat with Gallbladder Deficiency, susceptibility to fright, excessive saliva, nightmare terrors, pediatric febrile convulsions, female blood syncope due to worry/labor, and postpartum Heart deficiency with palpitations:
Sheng Xijiao (Fresh Rhinoceros Horn), Sheng Daimao (Fresh Tortoise Shell), Hupo (Amber), Dansha (Cinnabar), Xionghuang (Realgar), Niuhuang (Bovis Calculus), Anshixiang (Styrax).
Seven ingredients. Pound and grind six ingredients into powder. Use Anshixiang paste to form pills the size of Soapberry seeds. Take one pill with Ginseng Decoction. Adjust dosage for children.
Niuhuang San Powder for treating Heart Wind-Heat:
Niuhuang (Bovis Calculus), Heshouwu (Polygoni Multiflori Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Xuanmingfen (Mirabilite).
Four ingredients. Pound and grind into fine powder and mix evenly. Take 1.5 Qianbi per dose, mixed with warm Ophiopogon water.
Da Dingzhi Wan Pill for treating Heart Heat Excess with delirious speech, restlessness, and disturbed spirit:
Xiaoshi (Nitrums), Dansha (Cinnabar), Baifuling (Poria), Renshen (Ginseng Radix et Rhizoma).
Four ingredients. Pound and grind into powder. Mix with Millet Rice Paste to make pills the size of a bullet. Take one pill per dose, mixed with rock sugar and fresh well water.
Dingxin Wan Pill for treating Internal Heart Heat Excess with madness and erratic behavior:
Xiaoshi (Nitrums), Dansha (Cinnabar).
Two ingredients. Grind finely. Mix with Glutinous Rice Porridge to make pills the size of a cherry. Take one pill per dose, mixed with raw glutinous rice juice, one or two drops of oil, and stirred evenly with a Green Willow Branch before ingestion.