论曰心烦热之病，手少阴经有余所致也。其不足则亦能令人虚烦。圣惠方止及实热，大
抵心属火而恶热，其受病则易以生热，热则血气壅滞，故为烦躁，寝卧不得安宁。口舌生疮
，头痛颊赤之类。虚则热气内攻，心神不宁，亦为之烦躁也。
治心虚多烦躁，背膊妨闷，面色变赤，言语谬乱。远志汤方
远志（去心一两） 白茯苓（去黑皮三分） 犀角（镑一两半） 知母（半两） 芍药
（一两） 黄芩（去黑心）
上七味。粗捣筛，每服三钱匕。水一盏，入生麦门冬汁半合，煎至八分，去滓不拘时温
服。
治心烦躁，口干舌涩。麦门冬汤方
麦门冬（去心焙二两） 龙齿（半两） 玄参（洗切） 栀子仁 茅根（各一两） 木
通（二两锉） 赤芍药（一两）
上七味。粗捣筛，每服三钱匕。水一盏，煎至八分，去滓不拘时温服。
治心脏烦热，睡即多惊，心忪不欲见人。乌犀汤方
犀角（镑八钱） 龙齿 升麻（各一两） 茯神（去木一两半） 麦门冬（去心焙二两）
玄参（一两） 栝蒌根（锉焙三两） 赤芍药（一两半）
上八味。粗捣筛，每服三钱匕。水一盏，入马牙硝半钱匕，生地黄五七寸拍碎，同煎至
七分，去滓温服。
治心虚烦躁。黄 汤方
黄 （锉） 茯神（去木） 麦门冬（去心焙） 栝蒌根（锉各二两） 熟干地黄（洗
切焙四两）
上五味。粗捣筛，每服五钱匕。水一盏半，煎至一盏，去滓不拘时温服。
治心虚烦热怔忪，头目昏眩，夜卧不宁。铁粉丸方
铁粉（二两） 蛇蜕（五尺炒焦） 黄连（去须） 泽泻 犀角（镑各三分） 龙齿 远
志（去心各半两） 麦门冬（去心焙） 人参 白茯苓（去黑皮各一两半）
上一十味。捣罗为末，炼蜜和丸，梧桐子大。每服二十丸，熟水下，日三服。
治心热烦躁，小便赤涩。瞿麦汤方
瞿麦穗 麦门冬（去心焙） 木通（锉各一两） 黄连（去须） 甘草（炙锉各半两）
上五味。粗捣筛，每服三钱匕。水一盏，入竹叶十片，同煎至七分，去滓，不拘时温服。
治心膈虚烦，燥渴至甚。黑豆汤方
黑豆（小者一升） 防风（去叉二两） 甘草（炙锉） 麦门冬（去心各一两）
上四味。除黑豆外，并细锉，用水七升，煎取五升，不拘时温服，从早至夜，匀分作
四服。如渴不至甚者，止用半剂。
治心经积热烦郁。地黄散方
生地黄汁（三升） 蛤粉（一斤） 郁金（锉二两） 甘草（炙锉三两）
上四味。将地黄汁拌和下三味令匀，曝干捣罗为散，每服一钱匕，用新汲水调下，日三
服，食后临卧。
治心热烦躁。凉心丸方
紫河车（三分蚤休是也） 人参 白茯苓（去黑皮各半两） 远志（去心一分） 麦门
冬（去心焙半
上八味。除别研外，捣罗为末，再同研匀，炼蜜和丸，如鸡头大。每服一丸，人参汤化
下。
治心热恍惚烦躁，面赤小便涩。黄芩汤方
黄芩（去黑心） 贝母（去心） 升麻 玄参 麦门冬（去心焙） 紫菀（去苗土） 柴
胡（去苗） 桔梗（去
上一十一味。粗捣筛，每服三钱匕。水一盏，煎取七分，去滓温服不拘时。
治心烦热，咽干舌涩，面赤潮热。地骨皮汤方
地骨皮 防风（去叉各一两） 甘草（炙锉半两）
上三味。粗捣筛，每服三钱匕。水一盏，入竹叶五七片，同煎至七分，去滓温服不拘时
论述说：心烦热这种病，是由手少阴心经邪气有余（实证）所导致的。如果手少阴心经正气不足，也能让人产生虚烦。《圣惠方》只涉及实热的情况，大抵上心属火而厌恶热邪，心脏受病后容易产生内热，热邪会导致气血壅滞，从而出现烦躁、睡眠卧息不得安宁的症状。以及口舌生疮、头痛、脸颊发红等表现。如果是虚证，热气向内攻冲，心神不宁，也会引起烦躁。
治疗心气虚弱导致的多发烦躁，伴有背部和两胁部憋闷不适，面色变红，言语错乱谬误的方剂：远志汤方。
药材：远志（去除心核一两）、白茯苓（去除黑皮三分）、犀角（镑成薄片一两半）、知母（半两）、芍药（一两）、黄芩（去除黑心）。
以上七味药。粗捣筛碎，每次服用三钱匕。用水一盏，加入新鲜麦门冬汁半合，煎煮至八分满，去渣滓，不拘时间温服。
治疗心烦躁、口干舌涩的方剂：麦门冬汤方。
药材：麦门冬（去除心核焙干二两）、龙齿（半两）、玄参（洗净切制）、栀子仁、茅根（各一两）、木通（二两锉碎）、赤芍药（一两）。
以上七味药。粗捣筛碎，每次服用三钱匕。用水一盏，煎煮至八分满，去渣滓，不拘时间温服。
治疗心脏烦热，睡觉时容易惊悸，心中悸动不想见人的方剂：乌犀汤方。
药材：犀角（镑成薄片八钱）、龙齿、升麻（各一两）、茯神（去除木心一两半）、麦门冬（去除心核焙干二两）、玄参（一两）、栝蒌根（锉碎焙干三两）、赤芍药（一两半）。
以上八味药。粗捣筛碎，每次服用三钱匕。用水一盏，加入马牙硝半钱匕，新鲜地黄五七寸拍碎，一同煎煮至七分满，去渣滓温服。
治疗心气虚弱烦躁的方剂：黄芪汤方。（注：原文“黄 汤”据上下文及常用方剂推断为黄芪汤，此处依原文字形保留“黄”，但翻译中补全为黄芪以符合医理，若严格对应原文则为“黄[芪]汤”）
药材：黄芪（锉碎）、茯神（去除木心）、麦门冬（去除心核焙干）、栝蒌根（锉碎各二两）、熟干地黄（洗净切制焙干四两）。
以上五味药。粗捣筛碎，每次服用五钱匕。用水一盏半，煎煮至一盏满，去渣滓，不拘时间温服。
治疗心虚烦热怔忪（心悸），头晕目眩，夜间睡眠不安宁的方剂：铁粉丸方。
药材：铁粉（二两）、蛇蜕（五尺炒焦）、黄连（去除须根）、泽泻、犀角（镑成薄片各三分）、龙齿、远志（去除心核各半两）、麦门冬（去除心核焙干）、人参、白茯苓（去除黑皮各一两半）。
以上十味药。捣碎过罗成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，用米汤送下，每日三次。
治疗心热烦躁，小便赤红涩痛的方剂：瞿麦汤方。
药材：瞿麦穗、麦门冬（去除心核焙干）、木通（锉碎各一两）、黄连（去除须根）、甘草（炙烤锉碎各半两）。
以上五味药。粗捣筛碎，每次服用三钱匕。用水一盏，加入竹叶十片，一同煎煮至七分满，去渣滓，不拘时间温服。
治疗心膈部位虚烦，燥渴非常严重的方剂：黑豆汤方。
药材：黑豆（小粒一升）、防风（去除叉枝二两）、甘草（炙烤锉碎）、麦门冬（去除心核各一两）。
以上四味药。除黑豆外，其余药物细锉，用水七升，煎取五升，不拘时间温服，从早到晚，均匀分为四次服用。如果口渴不严重的，只用半剂。
治疗心经积热烦闷郁结的方剂：地黄散方。
药材：生地黄汁（三升）、蛤粉（一斤）、郁金（锉碎二两）、甘草（炙烤锉碎三两）。
以上四味药。将生地黄汁拌入其余三味药中使其均匀，晒干后捣碎过罗成散剂，每次服用一钱匕，用新汲水调服，每日三次，饭后临睡前服用。
治疗心热烦躁的方剂：凉心丸方。
药材：紫河车（三分，即蚤休/重楼）、人参、白茯苓（去除黑皮各半两）、远志（去除心核一分）、麦门冬（去除心核焙干半... [原文此处截断，推测后续还有药材或剂量，按现有文本翻译]
以上八味药。除需单独研磨的药外，其余捣碎过罗成粉末，再共同研磨均匀，用炼蜜调和制成丸药，大小如鸡头米。每次服用一丸，用人参汤化开送下。
治疗心热恍惚烦躁，面色发红小便涩痛的方剂：黄芩汤方。
药材：黄芩（去除黑心）、贝母（去除心核）、升麻、玄参、麦门冬（去除心核焙干）、紫菀（去除苗土）、柴胡（去除苗）、桔梗（去... [原文此处截断]
以上十一味药。粗捣筛碎，每次服用三钱匕。用水一盏，煎取七分满，去渣滓温服，不拘时间。
治疗心烦热，咽干舌涩，面色发红如潮热般的方剂：地骨皮汤方。
药材：地骨皮、防风（去除叉枝各一两）、甘草（炙烤锉碎半两）。
以上三味药。粗捣筛碎，每次服用三钱匕。用水一盏，加入竹叶五七片，一同煎煮至七分满，去渣滓温服，不拘时间。
Discussion: The disease of "mental restlessness and heat" (Xin Fan Re) is caused by an excess condition in the Hand-Shaoyin Heart Meridian. If there is a deficiency, it can also cause mental vexation due to deficiency (Xu Fan). *Shenghui Fang* only addresses excess-heat conditions. Generally, the Heart belongs to Fire and dislikes heat; when diseased, it easily generates internal heat. Heat causes stagnation of Qi and Blood, leading to irritability and inability to sleep peacefully. Symptoms include sores on the mouth and tongue, headache, and redness of the cheeks. In deficiency patterns, pathogenic heat attacks inward, disturbing the Shen (Spirit), which also results in irritability.
Formula for treating heart deficiency with frequent irritability, oppression in the back and shoulders, reddish complexion, and confused speech: Yuanzhi Tang (Polygalae Decoction).
Ingredients: Yuanzhi (Radix Polygalae, removed core, 1 liang), Baifuling (Poria, removed black skin, 3 qian), Xijiao (Cornu Rhinocerotis, shaved, 1.5 liang), Zhimu (Radix Anemarrhenae, 0.5 liang), Shaoyao (Radix Paeoniae Rubra or Alba, 1 liang), Huangqin (Radix Scutellariae, removed black center).
Preparation: Coarsely crush and sieve the above seven herbs. Take 3 qianbi per dose. Add 1 sheng of water and 0.5 he of fresh juice from Maidong (Radix Ophiopogonis), decoct until 8 fen remains. Strain and take warm at any time.
Formula for treating heart irritability, dry mouth, and rough tongue: Maidong Tang (Ophiopogonis Decoction).
Ingredients: Maidong (Radix Ophiopogonis, removed core and roasted, 2 liang), Longchi (Dens Draconis, 0.5 liang), Xuanshen (Radix Scrophulariae, washed and sliced), Zhizi Ren (Semen Gardeniae), Maogen (Radix Imperatae, each 1 liang), Mutong (Caulis Akebiae, cut into pieces, 2 liang), Chishaoyao (Radix Paeoniae Rubra, 1 liang).
Preparation: Coarsely crush and sieve the above seven herbs. Take 3 qianbi per dose. Add 1 sheng of water, decoct until 8 fen remains. Strain and take warm at any time.
Formula for treating heart organ heat with irritability, frequent startle during sleep, palpitations, and aversion to seeing people: Wuxi Tang (Black Rhinoceros Horn Decoction).
Ingredients: Xijiao (Cornu Rhinocerotis, shaved, 8 qian), Longchi (Dens Draconis), Shengma (Rhizoma Cimicifugae, each 1 liang), Fushen (Poria with Pine Root, removed wood, 1.5 liang), Maidong (Radix Ophiopogonis, removed core and roasted, 2 liang), Xuanshen (Radix Scrophulariae, 1 liang), Gualougen (Radix Trichosanthis, cut and roasted, 3 liang), Chishaoyao (Radix Paeoniae Rubra, 1.5 liang).
Preparation: Coarsely crush and sieve the above eight herbs. Take 3 qianbi per dose. Add 1 sheng of water, 0.5 qianbi of Mayaxiao (Natrii Sulfas), and 5-7 cun of freshly broken Dihuang (Radix Rehmanniae). Decoct together until 7 fen remains. Strain and take warm.
Formula for treating heart deficiency with irritability: Huangqi Tang (Astragali Decoction). [Note: Original text says "Huang [Qi] Tang", inferred as Astragalus based on context].
Ingredients: Huangqi (Radix Astragali, cut into pieces), Fushen (Poria with Pine Root, removed wood), Maidong (Radix Ophiopogonis, removed core and roasted), Gualougen (Radix Trichosanthis, cut into pieces, each 2 liang), Shugan Dihuang (Radix Rehmanniae Praeparata, washed, sliced, and roasted, 4 liang).
Preparation: Coarsely crush and sieve the above five herbs. Take 5 qianbi per dose. Add 1.5 sheng of water, decoct until 1 sheng remains. Strain and take warm at any time.
Formula for treating heart deficiency with irritability, palpitations, dizziness, and restless sleep at night: Tiefen Wan (Iron Powder Pill).
Ingredients: Tiefen (Ferrum Pulveratum, 2 liang), Shutui (Exuvias Bombycis, 5 chi, stir-fried until charred), Huanglian (Rhizoma Coptidis, removed stamens), Zexie (Rhizoma Alismatis), Xijiao (Cornu Rhinocerotis, shaved, each 3 qian), Longchi (Dens Draconis), Yuanzhi (Radix Polygalae, removed core, each 0.5 liang), Maidong (Radix Ophiopogonis, removed core and roasted), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin, each 1.5 liang).
Preparation: Ten ingredients. Grind into powder, mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose with cooked rice water, three times daily.
Formula for treating heart heat with irritability and dark, scanty urine: Qumai Tang (Persicaria Decoction).
Ingredients: Qumaishui (Herba Persicariae), Maidong (Radix Ophiopogonis, removed core and roasted, each 1 liang), Mutong (Caulis Akebiae, cut into pieces, 1 liang), Huanglian (Rhizoma Coptidis, removed stamens), Gancao (Radix Glycyrrhizae, honey-roasted and cut, each 0.5 liang).
Preparation: Coarsely crush and sieve the above five herbs. Take 3 qianbi per dose. Add 1 sheng of water and 10 leaves of Zhuye (Folium Bambusae), decoct until 7 fen remains. Strain and take warm at any time.
Formula for treating chest-diaphragm deficiency with severe dryness and thirst: Heidou Tang (Black Soybean Decoction).
Ingredients: Heidou (Fructus Sojae Nigra, small beans, 1 sheng), Fangfeng (Radix Saposhnikoviae, removed forked ends, 2 liang), Gancao (Radix Glycyrrhizae, honey-roasted and cut), Maidong (Radix Ophiopogonis, removed core, each 1 liang).
Preparation: Four ingredients. Except for Heidou, finely cut the others. Use 7 sheng of water, decoct to obtain 5 sheng. Take warm at any time, divided equally into four doses from morning to night. If thirst is not severe, use only half the dose.
Formula for treating accumulated heat in the Heart Meridian with irritability and depression: Dihuang San (Rehmannia Powder).
Ingredients: Shengdihuang Zhi (Jucius Radicis Rehmanniae Recens, 3 sheng), Haifen (Concha Arcae, 1 jin), Yujin (Radix Curcumae Longae, cut into pieces, 2 liang), Gancao (Radix Glycyrrhizae, honey-roasted and cut, 3 liang).
Preparation: Four ingredients. Mix Shengdihuang Zhi with the other three ingredients evenly, sun-dry, grind into powder. Take 1 qianbi per dose, mixed with fresh well-water, three times daily after meals and before bed.
Formula for treating heart heat with irritability: Liangxin Wan (Cooling Heart Pill).
Ingredients: Ziheche (Placenta Humana, 3 qian, identified as Zaochiu/Zhonglou), Renshen (Radix Ginseng), Baifuling (Poria, removed black skin, each 0.5 liang), Yuanzhi (Radix Polygalae, removed core, 1 qian), Maidong (Radix Ophiopogonis, removed core and roasted, 0.5 liang)... [Text cuts off here].
Preparation: Eight ingredients. Grind separately those requiring special processing, then grind all into powder together. Mix with refined honey to make pills the size of corn kernels. Take one pill per dose, dissolved in Renshen Tang (Ginseng Decoction).
Formula for treating heart heat with confusion, irritability, red face, and scanty urine: Huangqin Tang (Scutellaria Decoction).
Ingredients: Huangqin (Radix Scutellariae, removed black center), Beimu (Bulbus Fritillariae Cirrhosae, removed core), Shengma (Rhizoma Cimicifugae), Xuanshen (Radix Scrophulariae), Maidong (Radix Ophiopogonis, removed core and roasted), Ziwan (Radix Asteris, removed roots and soil), Chaihu (Radix Bupleuri, removed roots), Jiegeng (Radix Platycodonis, removed...) [Text cuts off].
Preparation: Eleven ingredients. Coarsely crush and sieve. Take 3 qianbi per dose. Add 1 sheng of water, decoct until 7 fen remains. Strain and take warm at any time.
Formula for treating heart irritability and heat, dry throat, rough tongue, red face, and tidal fever: Digupi Tang (Cortex Lycii Decoction).
Ingredients: Digupi (Cortex Lycii), Fangfeng (Radix Saposhnikoviae, removed forked ends, each 1 liang), Gancao (Radix Glycyrrhizae, honey-roasted and cut, 0.5 liang).
Preparation: Three ingredients. Coarsely crush and sieve. Take 3 qianbi per dose. Add 1 sheng of water and 5-7 leaves of Zhuye (Folium Bambusae), decoct until 7 fen remains. Strain and take warm at any time.