论曰心与小肠合,故手少阴经与手太阳经为表里,其象火,其王夏,其脉洪。在脏为神
,在志为喜,在变动为忧,在液为汗,是故心气虚则悲不已。实则笑不休,心气虚则梦救
火阳物,得其时则梦燔灼,心气盛则梦喜笑恐畏,厥气客于心,则梦丘山烟火,心衰则健忘
,心热则多汗。不足则胸腹胁下与腰背引痛,惊悸恍惚,少颜色,舌本强。有余则骨痛胸中
支满,胁下及膺背肩胛两臂痛,不足则补,有余则泻,此治之大法也。
论曰心虚之状,气血衰少,面黄烦热,多恐悸不乐,心腹痛难以言,时出清涎,心膈胀
满,善忘多惊,梦寝不宁,精神恍惚,皆手少阴经虚寒所致。其脉见于左手寸口人迎以前阴
虚者,乃其候也。
治心虚悸,头项热痛,狂走言语无度,小腹气壅。石膏汤方
石膏(二两) 麦门冬(去心焙) 升麻(各一两半) 桔梗(去芦头切炒) 甘菊花
(择去梗) 黄 (薄切
上七味。粗捣筛,每服五钱匕,水一盏半,煎至一盏去滓,食后温服日三。
治心脏虚烦,恍惚多忘,神思不宁。人参汤方
人参(半两) 远志(去心) 石菖蒲(各一两)
上三味。粗捣筛,每服三钱匕,水一盏,生姜三片,薄荷三叶,煎至七分,去滓温服,
不拘时。
治心气虚弱,时发昏闷,惊悸恍惚,忘误心忪,安定神志,补心不足。丹砂茯神丸方
丹砂(别研) 茯神(去木) 人参 天麻 白僵蚕(微炒各一两) 天竺黄(研) 真
珠末 琥珀(研) 菖蒲 远志(去心各半两) 铅霜(研) 麝香(研) 水银沙子 干
蝎(去肚泥炒) 牛黄(别研各一分)
上一十五味。为细末,炼蜜丸如梧桐子大。每服十丸至十五丸,煎人参茯苓汤下,食后
临卧服。
治心经邪热,虚烦懊躁,头目不利,神思昏倦。紫石英汤方
紫石英(别研) 麦门冬(去心焙各二两) 生干地黄(洗切焙) 人参 紫苏茎叶 远
志(去心) 茯神(去木) 当归(切焙) 甘草(炙锉) 防风(去叉各半两) 赤小
豆(一两)
上一十一味。粗捣筛,每服三钱匕,水一盏,煎至七分去滓,早晚食后温服。
治精神恍惚,或爽或昏,意思不佳,日多伸欠,眠食不时,补心益志。菖蒲散方
菖蒲锉 人参 生干地黄(洗切焙) 远志(去心) 白茯苓(去黑皮) 山芋(各一
两) 桂(去粗皮半两)
上七味。为细散,每服一钱匕,粥饮调下,食后临卧服。
治思虑过多,心气不安,惊悸恍惚烦倦,神思不清。人参远志丸方
人参 远志(去心) 黄 (薄切) 酸枣仁(各一两) 桂(去粗皮) 桔梗(去芦
头炒) 丹砂(别研各半
上一十味。为细末,炼蜜丸如梧桐子大。每服十五丸至二十丸,米饮下不拘时。
安镇魂魄,令人神爽气清,目明耳聪,强记预知。应真丸方
琥珀(研) 预知子 远志(去心) 人参 白茯苓(去黑皮) 白术 菖蒲(各二两)
桂(去粗皮一两
上八味,为细末,炼蜜丸如梧桐子大,每服二十丸,食前温酒下。
治心气虚弱惊悸,夜卧不宁。沉香散方
沉香 白茯苓(去黑皮各三钱) 酸枣仁(炒) 人参 天麻 芎 陈橘皮(去白切
焙各二钱) 藿香叶 甘草(炙锉) 白僵蚕(去丝酒炒各一钱)
上一十味。为细散,每服一钱匕,食后生姜汤调下,日二夜一。
治心气不足。茯苓菖蒲丸方
茯苓(去黑皮) 菖蒲 远志(去心各一两) 茯神(去木二两) 赤小豆(半两)
上五味为细末,用炊饼浸稀,丸如绿豆大,每服三十丸至五十丸,食后熟水下。
治心气不足。山茱萸丸方
山茱萸 杜仲(去粗皮炒) 茯神(去木) 枳壳(去瓤麸炒) 甘草(炙锉) 贝母
(去心炒) 天门冬(去心焙各一两) 白茯苓(去黑皮) 麦门冬(去心焙各一两三分) 生
干地黄(洗切焙) 百部(各二两) 防风(去叉一两半) 远志(去心半两)
上一十三味。为细末,炼蜜丸如弹子大。每服一丸嚼细,食后麦门冬熟水下。
治心气不足,脾乏生气,脾既受邪,先诊其脉,若心脾脉俱弱,即宜先服补益心气。人
参汤方
人参 藿香(去梗) 远志(去心) 芎 菖蒲 白术 白芷 陈橘皮(去白切焙各
等分)
上八味。粗捣筛,每服三钱匕,水一盏,煎至八分,去滓食前服。
开心益智。菖蒲散方
菖蒲(三分) 远志(去心一两三分) 菖蒲 白茯苓(去黑皮) 龙骨(碎研各一两
一分)
上五味,为细散,每服一钱匕,平旦以新水调下,服此药宜以开日为始。
治心虚不足,补心气。山芋丸方
山芋 熟干地黄(焙各一两半) 柏子仁 茯神(去木) 人参 防风(去叉) 丹参
(各一两) 贝母
上一十一味。捣罗为末,研令匀,用蜜和丸,如弹子大。每日食后将一丸含化咽津,夜
卧时再服。
治心虚惊悸,睡卧不安。龙齿汤方
龙齿 人参(各三分) 芍药 淡竹茹 当归(切焙) 半夏曲 茯神(去木) 羌活
(去芦头各半两)
上一十一味。除银外,粗捣筛,每服五钱匕,用银水一盏半,生姜五片,煎至八分,去
滓食后温服。
治心虚惊悸。茯苓散方
白茯苓(去黑皮三分) 远志(去心) 人参 麦门冬(去心焙) 白僵蚕(炒) 羚
羊角(镑) 菊花(各半两) 甘草(炙锉) 牛黄(研) 铁粉(研各一分)
上一十味。捣研为散,每服二钱匕,食后煎竹沥汤调下,或薄荷熟水下。
治心脏虚热,惊悸心忪,虚乏气短,睡卧不安。茯神丸方
茯神(去木二两) 人参 麦门冬(去心焙) 龙齿 防风(去叉) 云母粉(各一两
半) 犀角(镑) 黄
上九味。捣罗为末,炼蜜丸如绿豆大。每服食后,米饮下十五丸,至二十丸。
治心虚言语错谬,精神恍惚,多惊。黄 汤方
黄 (锉) 麦门冬(去心焙各二两) 人参 白茯苓(去黑皮) 芍药 当归(切
焙) 桂(去粗皮)
上八味。粗捣筛,每服五钱匕,水一盏半,枣二枚劈,煎至一盏,去滓不拘时温服。
治心虚惊悸,或因忧虑,神气不安。镇心丸方
茯神(去木) 人参 甘草(炙锉) 龙齿(各一两半) 升麻 枳壳(去瓤麸炒各一
两) 银箔(二
上八味,捣罗为末,炼蜜和丸,如梧桐子大。每服十五丸至二十丸,米饮下,早晚食后
服。
治心虚不足,惊悸不安,言语谬乱。人参远志散方
人参 远志(去心) 熟干地黄焙(各三分) 琥珀(研) 白茯苓(去黑皮各一两) 甘
草(炙锉一分
上七味。捣研为散,每服二钱匕,煎金银汤调下。
治心虚不足,惊悸不安,言语谬乱。人参汤方
人参 茯神(去木) 羌活(去芦头) 芍药 黄 (各三分) 龙齿 桂(去粗皮各
半两)
上七味。细锉如麻豆,每服五钱匕,水一盏半,入生姜三片,同煎至八分,去滓温服
日二。
治心气不足,或喜或悲,或嗔或怒,或时鼻衄,眼目黄赤,言语颠倒,咽喉痛,唇口干
燥,冷汗自出,惊悸心忪。补心汤方
人参 白茯苓(去黑皮) 桂(去粗皮) 紫菀(去苗土) 麦门冬(去心焙各二两) 紫
石英(研一两)
上六味。粗捣筛,每服五钱匕,水一盏半,大枣二枚劈,赤小豆三十粒,煎至八分,去
滓食后温服。
治心虚神气不宁,举动多惊,睡卧不安。杏仁丸方
杏仁(一斗汤浸去皮尖双仁用童子小便三斗煮一日以好酒二升淘洗然后烂研如膏再以清
酒三斗并地黄汁三升和杏仁膏银石器内重汤煮一复时稀稠如膏为度盛瓶器密封口) 远志(一
两去心焙干秤) 茯苓(去粗皮) 菖蒲(各二两) 麦门冬(去心) 黄连(各一两)
上六味。除杏膏外,捣罗为末,入前膏和为丸,如梧桐子大。每服三十丸,人参汤下。
治心虚,通治百病虚瘠羸乏。牛髓丸方
牛髓 羊髓 白蜜 酥 枣膏(各一升) 茯苓 麦门冬 芎 桂心 当归(去芦
头) 甘草 羌活(各一两一分) 干姜 干地黄(各一两半) 人参 五味子 防风(各
一两) 细辛(三分) 白术(一两三分)
上一十九味。先捣十四味为末,取上五味铜石器内熬令消,次入前药末,同熬如膏取出
,可丸即丸如梧桐子大。温酒下三十丸。
论述说:心与小肠相配合,因此手少阴经与手太阳经互为表里。心的象属火,旺于夏季,脉象洪大。在脏主藏神,在志为喜,在变动为忧,在液为汗。所以心气虚则悲伤不已;心气实则欢笑不止。心气虚时,梦见救火或阳物;得其时令(指夏季)则梦见焚烧灼热;心气盛时,梦见欢喜、大笑、恐惧和畏惧;厥气客居于心,则梦见丘山烟火;心衰则健忘;心热则多汗。心气不足,则胸腹胁下及腰背部牵引疼痛,惊悸恍惚,面色少华,舌根强硬。心气有余,则骨痛、胸中支撑胀满,胁下及膺部、背部、肩胛及两臂疼痛。心气不足则用补法,心气有余则用泻法,这是治疗的大法。
论述说:心虚的症状表现,是气血衰少,面色黄且烦热,多恐惧惊悸而不快乐,心腹痛难以言状,时常流出清稀涎沫,心膈部胀满,善忘多惊,睡眠不安宁,精神恍惚,这些都是手少阴经虚寒所致。其脉象见于左手寸口人迎之前的阴虚部位,就是这种证候的征象。
治疗心虚悸动,头项热痛,狂乱行走,言语无度,小腹气机壅滞。石膏汤方:石膏(二两)、麦门冬(去心焙干)、升麻(各一两半)、桔梗(去芦头切后炒)、甘菊花(择去梗)、黄芪(薄切)。以上七味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎至一盏,去渣滓,饭后温服,每日三次。
治疗心脏虚烦,恍惚多忘,神思不宁。人参汤方:人参(半两)、远志(去心)、石菖蒲(各一两)。以上三味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜三片,薄荷三叶,煎至七分,去渣滓温服,不拘时间。
治疗心气虚弱,时常发作昏闷,惊悸恍惚,忘误心忪(心中空虚悸动),安定神志,补益心气不足。丹砂茯神丸方:朱砂(另研)、茯神(去木)、人参、天麻、白僵蚕(微炒,各一两)、天竺黄(研)、真珠末、琥珀(研)、菖蒲、远志(去心,各半两)、铅霜(研)、麝香(研)、水银沙子、干蝎(去肚泥炒)、牛黄(另研,各一分)。以上十五味药,研为细末,炼蜜制成梧桐子大小的丸剂。每次服用十丸至十五丸,用人参茯苓汤送下,饭后临睡前服用。
治疗心经邪热,虚烦懊恼躁扰,头目不利,神思昏倦。紫石英汤方:紫石英(另研)、麦门冬(去心焙,各二两)、生干地黄(洗切焙干)、人参、紫苏茎叶、远志(去心)、茯神(去木)、当归(切焙)、甘草(炙锉)、防风(去叉,各半两)、赤小豆(一两)。以上十一味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至七分,去渣滓,早晚饭后温服。
治疗精神恍惚,时而清醒时而昏沉,意念不佳,白天多伸欠哈欠,睡眠饮食不规律,补心益志。菖蒲散方:菖蒲(锉碎)、人参、生干地黄(洗切焙干)、远志(去心)、白茯苓(去黑皮)、山药(各一两)、桂枝(去粗皮,半两)。以上七味药,研为细散,每次服用一钱匕,用粥饮调下,饭后临睡前服用。
治疗思虑过多,心气不安,惊悸恍惚烦倦,神思不清。人参远志丸方:人参、远志(去心)、黄芪(薄切)、酸枣仁(各一两)、桂枝(去粗皮)、桔梗(去芦头炒)、朱砂(另研,各半两)。以上十味药,研为细末,炼蜜制成梧桐子大小的丸剂。每次服用十五丸至二十丸,用米饮送下,不拘时间。
安镇魂魄,使人神爽气清,目明耳聪,强记预知。应真丸方:琥珀(研)、预知子、远志(去心)、人参、白茯苓(去黑皮)、白术、菖蒲(各二两)、桂枝(去粗皮,一两)。以上八味药,研为细末,炼蜜制成梧桐子大小的丸剂,每次服用二十丸,饭前用温酒送下。
治疗心气虚弱惊悸,夜间卧睡不安宁。沉香散方:沉香、白茯苓(去黑皮,各三钱)、酸枣仁(炒)、人参、天麻、川芎、陈橘皮(去白切焙,各二钱)、藿香叶、甘草(炙锉)、白僵蚕(去丝酒炒,各一钱)。以上十味药,研为细散,每次服用一钱匕,饭后用生姜汤调下,每日两次,夜间一次。
治疗心气不足。茯苓菖蒲丸方:茯苓(去黑皮)、菖蒲、远志(去心,各一两)、茯神(去木,二两)、赤小豆(半两)。以上五味药,研为细末,用炊饼浸湿后泛丸,如绿豆大小,每次服用三十丸至五十丸,饭后用熟水送下。
治疗心气不足。山茱萸丸方:山茱萸、杜仲(去粗皮炒)、茯神(去木)、枳壳(去瓤麸炒)、甘草(炙锉)、贝母(去心炒)、天门冬(去心焙,各一两)、白茯苓(去黑皮)、麦门冬(去心焙,各一两三分)、生干地黄(洗切焙干)、百部(各二两)、防风(去叉,一两半)、远志(去心,半两)。以上十三味药,研为细末,炼蜜制成弹子大小的丸剂。每次服用一丸嚼细,饭后用麦门冬熟水送下。
治疗心气不足,脾乏生气,脾既受邪,先诊察其脉,若心脾脉俱弱,即宜先服用补益心气的人参汤方:人参、藿香(去梗)、远志(去心)、川芎、菖蒲、白术、白芷、陈橘皮(去白切焙,各等分)。以上八味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至八分,去渣滓饭前服用。
开心益智。菖蒲散方:菖蒲(三分)、远志(去心,一两三分)、龙骨(碎研,各一两一分)。以上五味药,研为细散,每次服用一钱匕,清晨用新水调下,服用此药宜以开日为始。
治疗心虚不足,补心气。山芋丸方:山药、熟干地黄(焙,各一两半)、柏子仁、茯神(去木)、人参、防风(去叉)、丹参(各一两)、贝母。以上十一味药,捣罗为末,研令均匀,用蜜和丸,如弹子大小。每日食后将一丸含化咽津,夜卧时再服。
治疗心虚惊悸,睡卧不安。龙齿汤方:龙齿、人参(各三分)、芍药、淡竹茹、当归(切焙)、半夏曲、茯神(去木)、羌活(去芦头,各半两)。以上十一味药,除银箔外,粗捣筛过,每次服用五钱匕,用银水一盏半,生姜五片,煎至八分,去渣滓饭后温服。
治疗心虚惊悸。茯苓散方:白茯苓(去黑皮,三分)、远志(去心)、人参、麦门冬(去心焙)、白僵蚕(炒)、羚羊角(镑)、菊花(各半两)、甘草(炙锉)、牛黄(研)、铁粉(研,各一分)。以上十味药,捣研为散,每次服用二钱匕,饭后用竹沥汤调下,或用薄荷熟水送下。
治疗心脏虚热,惊悸心忪,虚乏气短,睡卧不安。茯神丸方:茯神(去木,二两)、人参、麦门冬(去心焙)、龙齿、防风(去叉)、云母粉(各一两半)、犀角(镑)、黄芪。以上九味药,捣罗为末,炼蜜制成绿豆大小的丸剂。每次饭后,用米饮送下十五丸至二十丸。
治疗心虚言语错谬,精神恍惚,多惊。黄芪汤方:黄芪(锉)、麦门冬(去心焙,各二两)、人参、白茯苓(去黑皮)、芍药、当归(切焙)、桂枝(去粗皮)。以上八味药,粗捣筛过,每次服用五钱匕,用水一盏半,大枣二枚劈开,煎至一盏,去渣滓不拘时间温服。
治疗心虚惊悸,或因忧虑,神气不安。镇心丸方:茯神(去木)、人参、甘草(炙锉)、龙齿(各一两半)、升麻、枳壳(去瓤麸炒,各一两)、银箔(二两)。以上八味药,捣罗为末,炼蜜和丸,如梧桐子大小。每次服用十五丸至二十丸,用米饮送下,早晚饭后服用。
治疗心虚不足,惊悸不安,言语谬乱。人参远志散方:人参、远志(去心)、熟干地黄(焙,各三分)、琥珀(研)、白茯苓(去黑皮,各一两)、甘草(炙锉,一分)。以上七味药,捣研为散,每次服用二钱匕,用金银汤调下。
治疗心虚不足,惊悸不安,言语谬乱。人参汤方:人参、茯神(去木)、羌活(去芦头)、芍药、黄芪(各三分)、龙齿、桂枝(去粗皮,各半两)。以上七味药,细锉如麻豆大小,每次服用五钱匕,用水一盏半,入生姜三片,同煎至八分,去渣滓温服,每日两次。
治疗心气不足,或喜或悲,或嗔或怒,或时常鼻衄,眼目黄赤,言语颠倒,咽喉痛,唇口干燥,冷汗自出,惊悸心忪。补心汤方:人参、白茯苓(去黑皮)、桂枝(去粗皮)、紫菀(去苗土)、麦门冬(去心焙,各二两)、紫石英(研,一两)。以上六味药,粗捣筛过,每次服用五钱匕,用水一盏半,大枣二枚劈开,赤小豆三十粒,煎至八分,去渣滓饭后温服。
治疗心虚神气不宁,举动多惊,睡卧不安。杏仁丸方:杏仁(一斗,汤浸去皮尖双仁用童子小便三斗煮一日,以好酒二升淘洗,然后烂研如膏,再以清酒三斗并地黄汁三升和杏仁膏,银石器内重汤煮一复时,稀稠如膏为度,盛瓶器密封口)、远志(一两,去心焙干秤)、茯苓(去粗皮)、菖蒲(各二两)、麦门冬(去心)、黄连(各一两)。以上六味药,除杏膏外,捣罗为末,入前膏和为丸,如梧桐子大小。每次服用三十丸,人参汤送下。
治疗心虚,通治百病虚瘠羸乏。牛髓丸方:牛髓、羊髓、白蜜、酥、枣膏(各一升)、茯苓、麦门冬、川芎、桂心、当归(去芦头)、甘草、羌活(各一两一分)、干姜、干地黄(各一两半)、人参、五味子、防风(各一两)、细辛(三分)、白术(一两三分)。以上十九味药,先捣十四味为末,取上五味铜石器内熬令消,次入前药末,同熬如膏取出,可丸即丸如梧桐子大小。温酒送下三十丸。
It is said: The Heart and the Small Intestine are internally-externally related. Therefore, the Hand-Shaoyin Pericardium Meridian (Shou Shaoyin Jing) and the Hand-Taiyang Small Intestine Meridian (Shou Taiyang Jing) form a table-lining relationship. Its nature corresponds to Fire, it prospers in Summer, and its pulse is洪 (Hong, surging). In the Zang organs, it houses the Shen (Spirit); in emotions, it corresponds to Joy; in pathological changes, it manifests as Sorrow; in fluids, it produces Sweat. Thus, when Heart Qi is deficient, there is endless grief. When excess, there is unceasing laughter. With Heart Qi deficiency, one dreams of fighting fires or seeing phallic objects; if occurring in its proper season (Summer), one dreams of burning and scorching. With Heart Qi excess, one dreams of joy, laughter, fear, and terror. If Jue Qi (rebellious Qi) lodges in the Heart, one dreams of hills, mountains, smoke, and fire. When Heart function declines, there is forgetfulness. When the Heart is hot, there is excessive sweating. Deficiency leads to pulling pain in the chest, abdomen, hypochondrium, and lower back; palpitations, trance-like states, lackluster complexion, and a stiff tongue root. Excess leads to bone pain, fullness and distension in the chest, pain in the hypochondrium, anterior chest, back, shoulder blades, and both arms. Deficiency is treated with tonification; excess is treated with purgation. This is the general principle of treatment.
It is said: The manifestations of Heart deficiency include depletion of Qi and Blood, yellowish complexion with vexatious heat, frequent fear and palpitations with unhappiness, heart and abdominal pain that is hard to describe, occasional discharge of clear saliva, distension and fullness in the Heart and Diaphragm region, forgetfulness, frequent fright, restless sleep, and spiritual trance. All these are caused by deficiency-cold of the Hand-Shaoyin Meridian. The pulse sign appears at the Yin position before the Renying point on the left Cun Kou (Radial Pulse), which is the indicator for this condition.
For treating Heart deficiency with palpitations, heat and pain in the head and neck, manic running, excessive speech, and Qi stagnation in the lower abdomen. Shigao Tang (Gypsum Decoction): Shigao (Gypsum Fibrosum, 2 liang), Maimendong (Ophiopogonis Radix, heart removed and roasted), Shengma (Cimicifugae Rhizoma, each 1.5 liang), Jiegeng (Platycodonis Radix, radix tip removed, sliced and roasted), Ganjuhua (Chrysanthemi Flos, stems removed), Huangqi (Astragali Radix, thinly sliced). These seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and take warm after meals, three times daily.
For treating Heart organ deficiency-vexation, trance-like states, frequent forgetfulness, and unsettled spirit. Renshen Tang (Ginseng Decoction): Renshen (Panacis Ginseng Radix, 0.5 liang), Yuanzhi (Polygalae Radix, heart removed), Shichangpu (Acori Tatarinowii Rhizoma, each 1 liang). These three ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, 3 slices of fresh ginger, 3 leaves of bohe (Menthae Haplocalycis Herba), decoct until 7 fen remains, strain, and take warm at any time.
For treating Heart Qi weakness, occasional fainting and dizziness, palpitations, trance-like states, mental confusion and emptiness, to calm the spirit and tonify Heart deficiency. Dansha Fushen Wan (Cinnabar and Poria Pill): Dansha (Cinnabaris, separately ground), Fushen (Poria with Hostwood, wood removed), Renshen (Panacis Ginseng Radix), Tianma (Gastrodiae Rhizoma), Baijiangcan (Bombyx Batryticatus, slightly fried, each 1 liang), Tianzhuhuang (Calami Polypus, ground), Zhenzhumo (Margarita, powdered), Hupo (Succinum, ground), Changpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix, heart removed, each 0.5 liang), Qianshuang (Plumbum Subacetatum, ground), Shexiang (Moschus, ground), Shuiyinshazi (Hydrargyrum Sand), Ganxie (Scorpio, belly dirt removed and fried), Niuhuang (Calculus Bovis, separately ground, each 1 fen). These fifteen ingredients are ground into fine powder, mixed with refined honey to make pills the size of paulownia seeds. Take 10–15 pills per dose, washed down with Renshen Fuling Tang (Ginseng and Poria Decoction), after meals and before bed.
For treating pathogenic heat in the Heart Meridian, deficiency-vexation and restlessness, discomfort in the head and eyes, dullness and fatigue of the spirit. Zi Shiyin Tang (Purple Quartz Decoction): Zi Shiyin (Hematitum, separately ground), Maimendong (Ophiopogonis Radix, heart removed and roasted, each 2 liang), Shenggan Dihuang (Rehmanniae Radix, washed, sliced, and dried), Renshen (Panacis Ginseng Radix), Zisu Jingye (Perillae Caulis et Folium), Yuanzhi (Polygalae Radix, heart removed), Fushen (Poria with Hostwood, wood removed), Danggui (Angelicae Sinensis Radix, sliced and roasted), Gancao (Glycyrrhizae Radix, roasted and chopped), Fangfeng (Saposhnikoviae Radix, bristles removed, each 0.5 liang), Chixiaodou (Vigna Angularis Semen, 1 liang). These eleven ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 7 fen remains, strain, and take warm after morning and evening meals.
For treating spiritual trance, alternating clarity and confusion, poor mental state, frequent yawning during the day, irregular sleep and diet, to tonify the Heart and benefit the will. Changpu San (Acorus Powder): Changpu (Acori Tatarinowii Rhizoma, sliced), Renshen (Panacis Ginseng Radix), Shenggan Dihuang (Rehmanniae Radix, washed, sliced, and dried), Yuanzhi (Polygalae Radix, heart removed), Baifuling (Poria, black skin removed), Shanyu (Dioscoreae Rhizoma, each 1 liang), Guizhi (Cinnamomi Ramulus, bark removed, 0.5 liang). These seven ingredients are made into a fine powder. Take 1 qianbi per dose, mixed with congee water, after meals and before bed.
For treating excessive overthinking, unsettled Heart Qi, palpitations, trance-like states, vexation and fatigue, unclear spirit. Renshen Yuanzhi Wan (Ginseng and Polygala Pill): Renshen (Panacis Ginseng Radix), Yuanzhi (Polygalae Radix, heart removed), Huangqi (Astragali Radix, thinly sliced), Suanzaoren (Ziziphi Spinosae Semen, each 1 liang), Guizhi (Cinnamomi Ramulus, bark removed), Jiegeng (Platycodonis Radix, radix tip removed and roasted), Dansha (Cinnabaris, separately ground, each 0.5 liang). These ten ingredients are ground into fine powder, mixed with refined honey to make pills the size of paulownia seeds. Take 15–20 pills per dose, washed down with rice drink, at any time.
To anchor the Hun and Po spirits, making the person spiritually refreshed and qi clear, eyes bright and ears sharp, strengthening memory and foresight. Yingzhen Wan (True Man Pill): Hupo (Succinum, ground), Yuzhizi (Stemonae Rhizoma), Yuanzhi (Polygalae Radix, heart removed), Renshen (Panacis Ginseng Radix), Baifuling (Poria, black skin removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Changpu (Acori Tatarinowii Rhizoma, each 2 liang), Guizhi (Cinnamomi Ramulus, bark removed, 1 liang). These eight ingredients are ground into fine powder, mixed with refined honey to make pills the size of paulownia seeds. Take 20 pills per dose, washed down with warm wine before meals.
For treating Heart Qi weakness with palpitations and restless night sleep. Chenxiang San (Agarwood Powder): Chenxiang (Aquilariae Lignum Resinatum), Baifuling (Poria, black skin removed, each 3 qian), Suanzaoren (Ziziphi Spinosae Semen, fried), Renshen (Panacis Ginseng Radix), Tianma (Gastrodiae Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Chenjupi (Citri Reticulatae Pericarpium, white pith removed, sliced and roasted, each 2 qian), Huoxiangye (Pogostemonis Leaf), Gancao (Glycyrrhizae Radix, roasted and chopped), Baijiangcan (Bombyx Batryticatus, silk threads removed and wine-fried, each 1 qian). These ten ingredients are made into a fine powder. Take 1 qianbi per dose, mixed with fresh ginger tea after meals, twice daily and once at night.
For treating Heart Qi insufficiency. Fuling Changpu Wan (Poria and Acorus Pill): Fuling (Poria, black skin removed), Changpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix, heart removed, each 1 liang), Fushen (Poria with Hostwood, wood removed, 2 liang), Chixiaodou (Vigna Angularis Semen, 0.5 liang). These five ingredients are ground into fine powder, moistened with steamed bread paste to make pills the size of mung beans. Take 30–50 pills per dose, washed down with cooked water after meals.
For treating Heart Qi insufficiency. Shanzhuyu Wan (Cornus Pill): Shanzhuyu (Corni Fructus), Duzhong (Eucommiae Cortex, bark removed and fried), Fushen (Poria with Hostwood, wood removed), Zhike (Aurantii Fructus, pulp removed and bran-fried), Gancao (Glycyrrhizae Radix, roasted and chopped), Beimu (Fritillariae Cirrhosae Bulbus, heart removed and fried), Tianmendong (Asparagi Radix, heart removed and roasted, each 1 liang), Baifuling (Poria, black skin removed), Maimendong (Ophiopogonis Radix, heart removed and roasted, each 1.3 liang), Shenggan Dihuang (Rehmanniae Radix, washed, sliced, and dried), Bobai (Stemonae Radix, each 2 liang), Fangfeng (Saposhnikoviae Radix, bristles removed, 1.5 liang), Yuanzhi (Polygalae Radix, heart removed, 0.5 liang). These thirteen ingredients are ground into fine powder, mixed with refined honey to make pills the size of bullet casings. Chew one pill thoroughly per dose, wash down with cooked Ophiopogon water after meals.
For treating Heart Qi insufficiency, Spleen lacking generating Qi, Spleen having received pathogenic factors. First diagnose the pulse; if both Heart and Spleen pulses are weak, first administer the tonifying Heart Qi Renshen Tang (Ginseng Decoction): Renshen (Panacis Ginseng Radix), Huoxiang (Patchouliae Aromatica Herba, stem removed), Yuanzhi (Polygalae Radix, heart removed), Xiong (Ligustici Chuanxiong Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chenjupi (Citri Reticulatae Pericarpium, white pith removed, sliced and roasted, equal parts). These eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, add 1 zhan of water, decoct until 8 fen remains, strain, and take before meals.
To open the mind and benefit intelligence. Changpu San (Acorus Powder): Changpu (Acori Tatarinowii Rhizoma, 3 fen), Yuanzhi (Polygalae Radix, heart removed, 1.3 liang), Longgu (Fossilium Os, crushed and ground, each 1.1 liang). These five ingredients are made into a fine powder. Take 1 qianbi per dose, mixed with fresh water at dawn. Taking this medicine should begin on an auspicious day.
For treating Heart deficiency-insufficiency, tonifying Heart Qi. Shanyu Wan (Yam Pill): Shanyu (Dioscoreae Rhizoma), Shugan Dihuang (Prepared Rehmanniae Radix, roasted, each 1.5 liang), Baiziren (Biotae Semen), Fushen (Poria with Hostwood, wood removed), Renshen (Panacis Ginseng Radix), Fangfeng (Saposhnikoviae Radix, bristles removed), Danshen (Salviae Miltiorrhizae Radix, each 1 liang), Beimu (Fritillariae Cirrhosae Bulbus). These eleven ingredients are pounded and sifted into powder, ground evenly, and mixed with honey to make pills the size of bullet casings. After each meal, hold one pill in the mouth to dissolve and swallow the saliva; take again at bedtime.
For treating Heart deficiency with palpitations and restless sleep. Longchi Tang (Dragon Tooth Decoction): Longchi (Fossilium Dentis, each 3 fen), Shaoyao (Paeoniae Radix), Danzhuru (Bambusae Caulis in Taenia), Danggui (Angelicae Sinensis Radix, sliced and roasted), Banxiaqu (Pinelliae Fermentum), Fushen (Poria with Hostwood, wood removed), Qianghuo (Notopterygii Rhizoma et Radix, radix tip removed, each 0.5 liang). These eleven ingredients, except for Yinbo (Silver Foil), are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of silver water (water boiled with silver), 5 slices of fresh ginger, decoct until 8 fen remains, strain, and take warm after meals.
For treating Heart deficiency with palpitations. Fuling San (Poria Powder): Baifuling (Poria, black skin removed, 3 fen), Yuanzhi (Polygalae Radix, heart removed), Renshen (Panacis Ginseng Radix), Maimendong (Ophiopogonis Radix, heart removed and roasted), Baijiangcan (Bombyx Batryticatus, fried), Lingyangjiao (Saigae Tataricae Cornu), Juhua (Chrysanthemi Flos, each 0.5 liang), Gancao (Glycyrrhizae Radix, roasted and chopped), Niuhuang (Calculus Bovis, ground), Tiefen (Ferrum, ground, each 1 fen). These ten ingredients are pounded and ground into powder. Take 2 qianbi per dose, mixed with Zhu Li (Bambusae Succesio) decoction after meals, or washed down with cooked Bohe (Menthae Haplocalycis Herba) water.
For treating Heart organ deficiency-heat, palpitations and mental emptiness, deficiency-fatigue and shortness of breath, restless sleep. Fushen Wan (Poria Pill): Fushen (Poria with Hostwood, wood removed, 2 liang), Renshen (Panacis Ginseng Radix), Maimendong (Ophiopogonis Radix, heart removed and roasted), Longchi (Fossilium Dentis), Fangfeng (Saposhnikoviae Radix, bristles removed), Yunmu Fen (Microlite Powder, each 1.5 liang), Xijiao (Rhinocerotis Cornu, shaved), Huangqi (Astragali Radix). These nine ingredients are pounded and sifted into powder, mixed with refined honey to make pills the size of mung beans. Take 15–20 pills per dose after meals, washed down with rice drink.
For treating Heart deficiency with erroneous speech, spiritual trance, and frequent fright. Huangqi Tang (Astragalus Decoction): Huangqi (Astragali Radix, cut), Maimendong (Ophiopogonis Radix, heart removed and roasted, each 2 liang), Renshen (Panacis Ginseng Radix), Baifuling (Poria, black skin removed), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix, sliced and roasted), Guizhi (Cinnamomi Ramulus, bark removed). These eight ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, 2 split jujubes, decoct until 1 zhan remains, strain, and take warm at any time.
For treating Heart deficiency with palpitations, due to worry, with unsettled Shen Qi. Zhenxin Wan (Heart-Calming Pill): Fushen (Poria with Hostwood, wood removed), Renshen (Panacis Ginseng Radix), Gancao (Glycyrrhizae Radix, roasted and chopped), Longchi (Fossilium Dentis, each 1.5 liang), Shengma (Cimicifugae Rhizoma), Zhike (Aurantii Fructus, pulp removed and bran-fried, each 1 liang), Yinbo (Silver Foil, 2 liang). These eight ingredients are pounded and sifted into powder, mixed with refined honey to make pills the size of paulownia seeds. Take 15–20 pills per dose, washed down with rice drink, after morning and evening meals.
For treating Heart deficiency-insufficiency, palpitations and unrest, erroneous speech. Renshen Yuanzhi San (Ginseng and Polygala Powder): Renshen (Panacis Ginseng Radix), Yuanzhi (Polygalae Radix, heart removed), Shugan Dihuang (Prepared Rehmanniae Radix, roasted, each 3 fen), Hupo (Succinum, ground), Baifuling (Poria, black skin removed, each 1 liang), Gancao (Glycyrrhizae Radix, roasted and chopped, 1 fen). These seven ingredients are pounded and ground into powder. Take 2 qianbi per dose, mixed with Jin Yin Tang (Gold and Silver Decoction).
For treating Heart deficiency-insufficiency, palpitations and unrest, erroneous speech. Renshen Tang (Ginseng Decoction): Renshen (Panacis Ginseng Radix), Fushen (Poria with Hostwood, wood removed), Qianghuo (Notopterygii Rhizoma et Radix, radix tip removed), Shaoyao (Paeoniae Radix), Huangqi (Astragali Radix, each 3 fen), Longchi (Fossilium Dentis), Guizhi (Cinnamomi Ramulus, bark removed, each 0.5 liang). These seven ingredients are finely cut like hemp seeds. Take 5 qianbi per dose, add 1.5 zhan of water, 3 slices of fresh ginger, decoct together until 8 fen remains, strain, and take warm, twice daily.
For treating Heart Qi insufficiency, with alternating joy and sorrow, anger and rage, occasional epistaxis, yellow-red eyes, inverted speech, sore throat, dry lips and mouth, spontaneous cold sweat, palpitations and mental emptiness. Buxin Tang (Tonify Heart Decoction): Renshen (Panacis Ginseng Radix), Baifuling (Poria, black skin removed), Guizhi (Cinnamomi Ramulus, bark removed), Ziwan (Adenophorae Radix, seedlings and soil removed), Maimendong (Ophiopogonis Radix, heart removed and roasted, each 2 liang), Zi Shiyin (Hematitum, ground, 1 liang). These six ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 zhan of water, 2 split jujubes, 30 Chixiaodou (Vigna Angularis Semen), decoct until 8 fen remains, strain, and take warm after meals.
For treating Heart deficiency with unsettled Shen Qi, frequent fright in movements, and restless sleep. Xingren Wan (Apricot Kernel Pill): Xingren (Armeniacae Semen Amarum, 1 dou, soaked in water, peeled, remove bitter kernels, use child's urine 3 dou to boil for one day, rinse with good wine 2 sheng, then grind into paste, mix with clear wine 3 dou and Dihuang juice 3 sheng, boil in silver/copper vessel over double boiler for one fu-shi until thick like paste, seal tightly in bottle), Yuanzhi (Polygalae Radix, 1 liang, heart removed and dried), Fuling (Poria, coarse skin removed), Changpu (Acori Tatarinowii Rhizoma, each 2 liang), Maimendong (Ophiopogonis Radix, heart removed), Huanglian (Coptidis Rhizoma, each 1 liang). These six ingredients, excluding the apricot paste, are pounded and sifted into powder, mixed with the paste to make pills the size of paulownia seeds. Take 30 pills per dose, washed down with Renshen Tang (Ginseng Decoction).
For treating Heart deficiency, generally treating all diseases with deficiency emaciation and weakness. Niuisui Wan (Ox Marrow Pill): Niuisui (Ox Medulla), Yangsui (Sheep Medulla), Baimi (White Honey), Su (Butyrum), Zaogao (Jujube Paste, each 1 sheng), Fuling (Poria), Maimendong (Ophiopogonis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix, radix tip removed), Gancao (Glycyrrhizae Radix), Qianghuo (Notopterygii Rhizoma et Radix, each 1.1 liang), Jiang (Dried Ginger), Dihuang (Rehmanniae Radix, dried, each 1.5 liang), Renshen (Panacis Ginseng Radix), Wuweizi (Schisandrae Chinensis Fructus), Fangfeng (Saposhnikoviae Radix, each 1 liang), Xixin (Asari Radix et Rhizoma, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.3 liang). These nineteen ingredients: first pound fourteen ingredients into powder. Take the top five ingredients (marrows, honey, butter, jujube paste) in a copper/ceramic vessel and melt them. Then add the previous powder and boil together until thick like paste. Remove and make into pills the size of paulownia seeds. Take 30 pills washed down with warm wine.