治心实热,惊梦喜笑恐畏悸惧不安方。
淡竹沥(一升) 生地黄汁(一升) 石膏(八两) 芍药 白术 栀子仁 人参(各
三两)
赤石脂 紫菀 知母 茯神(各二两)
上十一味 咀,以水九升煮十味至二升七合,去滓,下竹沥更煎,取三升。若须利入
芒硝二两,去芍药,分三服。
治心实热,口干烦渴,眠卧不安方。
茯神 麦门冬(各三十六铢) 通草 升麻(各三十铢) 紫菀 桂心(各十八铢) 知
母(
一两) 赤石脂(四十二铢) 大枣(二十枚) 淡竹茹(鸡子大一枚)
上十味治,下筛为粗散,以绵裹方寸匕,井花水二升半,煮取九合,时动裹子,为一服
。日再。
治心热满烦闷惊恐方。
白芍药 远志 宿姜(各二两) 茯苓 知母 赤石脂 麦门冬 紫菀 石膏(各四十
二
铢人参(二十四铢) 桂心 麻黄 黄芩(各三十铢) 葳蕤(三十六铢) 甘草(十铢)
上十五味治,下筛为粗散,先以水五升,淡竹叶一升,煮取三升,去滓,煮散一方寸匕
,牢以绢裹煮时动之,煎取八合,为一服。日再。
治不能食,胸中满膈上逆气闷热方∶
灸心俞二七壮,小儿减半。
心 虚 寒
左手寸口人迎以前脉阴虚者,手少阴经也。病苦悸恐不乐,心腹痛难以言,心如寒恍惚
,名曰心虚寒也。
治疗心经实热证,症见惊悸、多梦、喜笑、恐惧、心悸及心神不安的方剂。
淡竹沥(一升) 生地黄汁(一升) 石膏(八两) 芍药 白术 栀子仁 人参(各三两)
赤石脂 紫菀 知母 茯神(各二两)
以上十一味药,切碎,用水九升煎煮前十味药,至剩余二升七合时,滤去药渣,加入竹沥再煎,取三升药液。若需通便泻下,可加入芒硝二两,去掉芍药,分三次服用。
治疗心经实热证,症见口干烦渴、睡眠卧息不安的方剂。
茯神 麦门冬(各三十六铢) 通草 升麻(各三十铢) 紫菀 桂心(各十八铢) 知母(一两) 赤石脂(四十二铢) 大枣(二十枚) 淡竹茹(如鸡蛋大小一枚)
以上十味药处理后,筛成粗散,用丝绵包裹如方寸匕大小的药量,用井中清晨汲取的水二升半,煎煮至剩余九合,煎煮时需不时摇动药包,作为一次服用的剂量。每日服用两次。
治疗心热所致胸中满闷、烦躁、惊恐的方剂。
白芍药 远志 宿姜(各二两) 茯苓 知母 赤石脂 麦门冬 紫菀 石膏(各四十二铢) 人参(二十四铢) 桂心 麻黄 黄芩(各三十铢) 葳蕤(三十六铢) 甘草(十铢)
以上十五味药处理后,筛成粗散,先用水五升、淡竹叶一升,煎煮至剩余三升,滤去药渣,将一方寸匕的药散放入,用绢布牢固包裹,煎煮时需不断摇动,煎取八合,作为一次服用的剂量。每日服用两次。
治疗食欲不振,胸中胀满,膈上逆气上冲,感觉闷热不适的方剂:
艾灸心俞穴十四壮,小儿减半。
心虚寒证
左手寸口脉人迎穴以前部位脉象表现为阴虚的,属于手少阴心经病变。病症表现为心中悸动、恐惧、情绪不乐,心腹部疼痛难以言说,心中感觉寒冷且精神恍惚,这被称为心虚寒证。
Formula for treating Heart Excess-Heat, characterized by palpitations, nightmares, excessive laughter, fear, startle, and restlessness.
Dan Zhu Li (Bamboo Sap, 1 sheng) Sheng Di Huang Zhi (Fresh Rehmannia Juice, 1 sheng) Shi Gao (Gypsum Fibrosum, 8 liang) Shaoyao (Paeoniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhizi Ren (Gardeniae Semen) Renshen (Ginseng Radix et Rhizoma) (each 3 liang)
Chishizhi (Halloysit Rubra) Ziwan (Asternatis Radix) Zhimu (Anemarrhenae Rhizoma) Fushen (Poria with Hostwood) (each 2 liang)
The above eleven ingredients are cut into pieces. Boil the first ten ingredients in 9 sheng of water until reduced to 2.7 sheng. Strain out the dregs, add Dan Zhu Li (Bamboo Sap), and boil again to obtain 3 sheng. If purgation is required, add Mangxiao (Natrii Sulfas, 2 liang) and remove Shaoyao (Paeoniae Radix). Divide into three doses.
Formula for treating Heart Excess-Heat, characterized by dry mouth, vexatious thirst, and restless sleep.
Fushen (Poria with Hostwood) Maidong (Ophiopogonis Radix) (each 36 zhu) Tongcao (Tetrapanacis Medulla) Shengma (Cimicifugae Rhizoma) (each 30 zhu) Ziwan (Asternatis Radix) Guixin (Cinnamomi Ramulus) (each 18 zhu) Zhimu (Anemarrhenae Rhizoma, 1 liang) Chishizhi (Halloysit Rubra, 42 zhu) Dazao (Jujubae Fructus, 20 pieces) Dan Zhuru (Bamboo Shavings, size of one chicken egg)
Process the above ten ingredients and sieve them into a coarse powder. Wrap an amount equivalent to a "fangcun bi" (a square-inch scoop) in silk. Boil in 2.5 sheng of well water drawn at dawn until reduced to 0.9 sheng. Shake the packet occasionally during boiling. This constitutes one dose. Take twice daily.
Formula for treating Heat in the Heart causing chest fullness, vexation, startle, and fear.
Baishaoyao (White Paeonia Root) Yuanzhi (Polygalae Radix) Sujiang (Old Ginger) (each 2 liang) Fuling (Poria) Zhimu (Anemarrhenae Rhizoma) Chishizhi (Halloysit Rubra) Maidong (Ophiopogonis Radix) Ziwan (Asternatis Radix) Shi Gao (Gypsum Fibrosum) (each 42 zhu) Renshen (Ginseng Radix et Rhizoma, 24 zhu) Guixin (Cinnamomi Ramulus) Mahuang (Ephedrae Herba) Huangqin (Scutellariae Radix) (each 30 zhu) Weirui (Polygonati Odorati Rhizoma, 36 zhu) Gancao (Glycyrrhizae Radix et Rhizoma, 10 zhu)
Process the above fifteen ingredients and sieve them into a coarse powder. First, boil 5 sheng of water with 1 sheng of Dan Zhuye (Bamboo Leaves) until reduced to 3 sheng. Strain out the dregs. Add one fangcun bi of the coarse powder, wrap firmly in silk, and boil while shaking constantly until reduced to 0.8 sheng. This constitutes one dose. Take twice daily.
For treating inability to eat, chest fullness, rebellious Qi rising from the diaphragm, and stifling heat:
Moxibustion on Xinshu (BL-15, Heart Shu) 14 moxa cones; reduce the dose by half for children.
Heart Deficiency-Cold Syndrome
When the pulse at the Yin position before the Renying point (Renying) on the left Cun Kou (Radial Artery) indicates Yin deficiency, it involves the Hand-Shaoyin (Heart) Meridian. The patient suffers from palpitations, fear, and unhappiness; heart and abdominal pain that is difficult to describe; a sensation of cold in the heart; and mental confusion or trance. This is termed Heart Deficiency-Cold.