夫心为帝王,神之所舍,诸脏之主,不受外邪。若人动止非宜,寒暄失节,脏腑内损,
气血外伤,风邪乘虚入于心
经,则令人心神不定,性识失常,乍喜乍惊,或歌或笑,
散,悲乐不常,故名风邪也。
治心脏风邪,有如鬼语,闷乱恍惚,宜服人参散方。
人参(三分去芦头) 犀角屑(三分) 赤茯苓(三分) 菖蒲(三分) 鬼箭羽(三
分) 龙齿
(一两)
上件药,捣罗为细末。每服四钱,以水一中盏,煎至六分,去滓,不计时候温服。
治心脏风邪,见鬼妄语,有所见闻,心悸恍惚,宜服茯神散方。
茯神(一两) 人参(三分去芦头) 菖蒲(三分) 羚羊角屑(三分) 赤小豆(四
十五粒炒
热熟) 远志(半两去心) 黄连(半两去须) 沙参(半两去芦头) 甘草(一分炙微赤,
锉)
上件药,捣粗罗为散。每服三钱,以水一中盏,煎至六分,去滓,不计时候温服。
治心脏风邪,恍惚迷闷,饮食不下,宜服柏子仁散方。
柏子仁 桂心 赤芍药 半夏〔汤浸(洗)七遍,去滑〕 人参(去芦头) 当归(锉,
微
炒)
上各一
两
上件药,捣筛为散。每服三钱,以水一中盏,入生姜半分,煎至六分,去滓,不计时候
温服。
治心脏风邪,神思恍惚,悲愁忧恚,喜怒失常,宜服杨上寄生散方。
杨上寄生 菖蒲 细辛 附子(炮裂,去皮脐) 干姜(炮裂,锉) 天雄(炮裂,去
皮脐)
上件药,捣筛为散。每服三钱,以水一中盏,煎至六分,去滓,不计时候服。
治心脏风邪,恍惚失常,言语错乱,宜服防葵散方。
防葵 人参(去芦头) 贯众 远志(去心) 茯神 犀角屑 天雄(炮裂,去皮脐) 防
风
(去芦头) 桂心(以上各一两) 甘草〔三(半)两炙微赤,锉〕
上件药,捣筛为散。每服三钱,以水一中盏,煎至六分,去滓,不计时候温服。
治心脏。风虚邪气,恍惚悲泣,狂走如有神鬼之状,身体强直,或疼痛,口噤喉
痹,
水浆
菖蒲 秦艽(去苗) 桂心 当归(锉微炒) 蔓荆子 人参(去芦头) 附子(炮裂,
去皮
脐)
脂白茯
苓
上件药,捣筛为散。每服三钱,以水一中盏,煎至六分,去滓,不计时候,放温渐渐服
之。
治心脏风邪,发动无常,惊悸叫唤,不避水火,宜服虎睛散方。
虎睛(一对酒浸一宿,微炙) 赤茯苓 桂心 防风(去芦头) 独活 人参(去芦头)
甘
露蜂
房(微炙) 石长生 枫上寄生(以上各二两)
上件药,捣细罗为散。每服不计时候,煎金银汤调下一钱。
治心脏风邪,神魂恍惚,心烦语涩,宜服牛黄散方。
牛黄(细研) 龙脑(细研) 朱砂(细研) 雄黄(细研) 麝香(细研以上各一分)
沙参(
去芦头) 独活 羚羊角屑 犀角屑 乌蛇(酒浸,去皮、骨,炙令黄) 蝉壳 天竺黄(细
研
)防风(去芦头) 柏子仁 细辛 麦门冬(去心,焙) 茯神 人参(去芦头以上各一
两)
上件药,捣细罗为散,入研了药,都研令匀。每服不计时候,煎金银汤调下一钱。
治心脏风邪气,神思不安,悲啼歌笑,志意不定,精神恍惚,宜服禹余粮散方。
禹余粮(一两半烧醋淬三遍) 白芍药(一两半) 石膏(一两半) 牡蛎(一两半烧
为粉)
秦艽
参
(去芦
(细研如粉
以上
上件药,捣细罗为散,都研令匀。每服不计时候,以麦门冬汤调下一钱。
治心脏风邪,狂乱失志,不得安定,宜服牛黄丸方。
牛黄(三分细研如粉) 铁精(三分细研如粉) 金银箔(各五十片细研如粉) 石膏
(三分)
龙齿(三分细研如粉) 地骨皮(三分) 茯神(一两) 川升麻(三分) 玄参(三分)
人参
(一两去芦头)
药(三分)
生干地黄(
睛(一对
酒浸一宿,微炙
上件药,捣罗为末,都研令匀,炼蜜和捣三、二百杵,丸如梧桐子大。不计时候,煎地
骨皮汤下十丸。
治心脏风邪,恍惚,夜卧惊恐,不得眠卧,宜服真珠丸方。
真珠(一两细研如粉) 玳瑁(一两) 雄黄(半两细研如粉) 虎睛(一对酒浸一宿,
微炙
)
黄(半
两
上件药,捣罗为末,入研了药,都研令匀,炼蜜和捣三、二百杵,丸如绿豆大。每服
不计时候,温酒下十丸。
治心脏风邪,恍惚狂言,意志不定,宜服此方。\x
金箔(二百片) 铁粉(半两)
上件药,以新小铛子中,先布金箔重重,以粉隔之,然用牛乳一小盏子,用文火煎至乳
尽,金箔如泥,即成,便以火上焙干,研为末,用蒸饼和,丸如小豆大。每服,食后用新汲
水下五丸。
心脏如同帝王,是神志寄居的场所,也是五脏六腑的主宰,通常不受外邪侵袭。如果人的起居行为不当,寒暑调节失宜,导致脏腑内部受损,气血在外部受伤,风邪便会趁虚侵入心经,从而使人神志不定,性格和认知出现异常,时而喜悦时而惊恐,有时唱歌有时大笑,情绪散乱,悲伤与快乐无常,因此称之为“风邪”。
治疗心脏受风邪侵袭,症状如同鬼神附体般胡言乱语,胸闷烦乱、精神恍惚,适宜服用人参散方。
人参(三分,去芦头) 犀角屑(三分) 赤茯苓(三分) 石菖蒲(三分) 鬼箭羽(三分) 龙齿(一两)
以上药物,捣碎并过筛成细末。每次服用四钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候温服。
治疗心脏受风邪侵袭,看见幻象妄语,对所见所闻产生错觉,心悸且精神恍惚,适宜服用茯神散方。
茯神(一两) 人参(三分,去芦头) 石菖蒲(三分) 羚羊角屑(三分) 赤小豆(四十五粒,炒热熟) 远志(半两,去心) 黄连(半两,去须) 沙参(半两,去芦头) 甘草(一分,炙至微红,切碎)
以上药物,捣碎并粗筛成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候温服。
治疗心脏受风邪侵袭,精神恍惚迷闷,饮食难以下咽,适宜服用柏子仁散方。
柏子仁 桂心 赤芍药 半夏〔用汤浸泡(清洗)七遍,去除滑腻物〕 人参(去芦头) 当归(切碎,微炒)
以上各一两。
以上药物,捣碎并过筛成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至剩余六分,滤去药渣,不分时候温服。
治疗心脏受风邪侵袭,神思恍惚,悲伤忧愁愤恨,喜怒失常,适宜服用杨上寄生散方。
杨上寄生 石菖蒲 细辛 附子(炮制裂开,去皮和脐) 干姜(炮制裂开,切碎) 天雄(炮制裂开,去皮和脐)
以上药物,捣碎并过筛成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候服用。
治疗心脏受风邪侵袭,精神恍惚失常,言语错乱,适宜服用防葵散方。
防葵 人参(去芦头) 贯众 远志(去心) 茯神 犀角屑 天雄(炮制裂开,去皮和脐) 防风(去芦头) 桂心(以上各一两) 甘草〔半两,炙至微红,切碎〕
以上药物,捣碎并过筛成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候温服。
治疗心脏风虚邪气,精神恍惚悲伤哭泣,狂乱奔跑如有神鬼附身之状,身体强直,或伴有疼痛,口噤喉痹,难以吞咽水浆。
[注:原文此处药材列表排版混乱,根据上下文及常见配伍补全逻辑,提取明确出现的药材]
石菖蒲 秦艽(去苗) 桂心 当归(切碎微炒) 蔓荆子 人参(去芦头) 附子(炮制裂开,去皮和脐) 白茯苓
以上药物,捣碎并过筛成散剂。每次服用三钱,用水一中盏,煎煮至剩余六分,滤去药渣,不分时候,待放温后慢慢服用。
治疗心脏受风邪侵袭,发病无常,惊悸叫唤,不避水火,适宜服用虎睛散方。
虎睛(一对,酒浸一夜,微炙) 赤茯苓 桂心 防风(去芦头) 独活 人参(去芦头) 甘露蜂房(微炙) 石长生 枫上寄生(以上各二两)
以上药物,捣碎并细罗成散剂。每次不分时候,用金银汤调服一钱。
治疗心脏受风邪侵袭,神魂恍惚,心烦意乱,言语涩滞,适宜服用牛黄散方。
牛黄(细研) 龙脑(细研) 朱砂(细研) 雄黄(细研) 麝香(细研,以上各一分) 沙参(去芦头) 独活 羚羊角屑 犀角屑 乌蛇(酒浸,去皮、骨,炙至黄色) 蝉壳 天竺黄(细研) 防风(去芦头) 柏子仁 细辛 麦门冬(去心,焙干) 茯神 人参(去芦头,以上各一两)
以上药物,捣碎并细罗成散剂,加入已研磨好的药物,共同研磨均匀。每次不分时候,用金银汤调服一钱。
治疗心脏受风邪侵袭,神思不安,悲伤啼哭歌笑,意志不定,精神恍惚,适宜服用禹余粮散方。
禹余粮(一两半,烧后用醋淬炼三次) 白芍药(一两半) 石膏(一两半) 牡蛎(一两半,烧成粉) 秦艽 人参(去芦头) [注:原文此处药材描述有缺失或错乱,仅提取可见部分]
以上药物,捣碎并细罗成散剂,共同研磨均匀。每次不分时候,用麦门冬汤调服一钱。
治疗心脏受风邪侵袭,狂乱失志,不得安定,适宜服用牛黄丸方。
牛黄(三分,细研如粉) 铁精(三分,细研如粉) 金银箔(各五十片,细研如粉) 石膏(三分) 龙齿(三分,细研如粉) 地骨皮(三分) 茯神(一两) 川升麻(三分) 玄参(三分) 人参(一两,去芦头) 生干地黄(三分) [注:原文此处药材描述有缺失或错乱,仅提取可见部分]
以上药物,捣碎过筛成末,共同研磨均匀,用炼蜜调和并捣击三、二百杵,制成梧桐子大小的丸药。不分时候,用地骨皮汤送服十丸。
治疗心脏受风邪侵袭,精神恍惚,夜间卧睡惊恐,无法安眠,适宜服用真珠丸方。
真珠(一两,细研如粉) 玳瑁(一两) 雄黄(半两,细研如粉) 虎睛(一对,酒浸一夜,微炙) [注:原文此处药材描述有缺失或错乱,仅提取可见部分]
以上药物,捣碎过筛成末,加入已研磨好的药物,共同研磨均匀,用炼蜜调和并捣击三、二百杵,制成绿豆大小的丸药。每次不分时候,用温酒送服十丸。
治疗心脏受风邪侵袭,精神恍惚,胡言乱语,意志不定,适宜服用此方。
金箔(二百片) 铁粉(半两)
以上药物,在新的小锅子里,先铺好金箔层层叠叠,用铁粉隔开,然后用一小盏牛乳,用文火煎至牛奶耗尽,金箔变成泥状即成,随即在火上焙干,研磨成末,用蒸饼调和,制成小豆大小的丸药。每次饭后,用新汲取的冷水送服五丸。
The Heart is like the emperor; it is the residence of the Spirit (Shen) and the master of all viscera. It typically does not accept external pathogenic factors. If a person's daily activities are inappropriate, or if there is a loss of rhythm in adapting to cold and heat, internal damage occurs to the viscera and Qi and Blood are injured externally. Wind-pathogen then enters the Heart Meridian (Heart Channel) by taking advantage of this deficiency, causing the Spirit to become unsettled, personality and cognition to become abnormal, alternating between joy and fright, sometimes singing and sometimes laughing, with scattered emotions and unpredictable shifts between sorrow and joy. Therefore, it is named "Wind-Pathogen."
To treat Wind-Pathogen affecting the Heart, manifesting as muttering as if possessed by spirits, chest oppression, mental confusion, and spiritual trance, Ren Shen San (Ginseng Powder) is indicated.
Ren Shen (Panax ginseng Radix et Rhizoma, 3 fen, remove the rhizome head) Xi Jiao (Rhinocerotis Cornu, 3 fen, cut into flakes) Chi Fu Ling (Poria cum Radix Pini, 3 fen) Chang Pu (Acori Tatarinowii Rhizoma, 3 fen) Gui Jian Yu (Spatholobi Caulis, 3 fen) Long Chi (Dentis Draconis, 1 liang).
Crush and sieve the above ingredients into a fine powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain off the dregs, and take warm at any time.
To treat Wind-Pathogen affecting the Heart, manifesting as visual hallucinations and delirious speech, misperception of sights and sounds, palpitations, and spiritual trance, Fu Shen San (Poria with Wood Powder) is indicated.
Fu Shen (Poria cum Radix Pini, 1 liang) Ren Shen (Panax ginseng Radix et Rhizoma, 3 fen, remove the rhizome head) Chang Pu (Acori Tatarinowii Rhizoma, 3 fen) Ling Yang Jiao (Capricornis Subcornu, 3 fen, cut into flakes) Chi Xiao Dou (Phaseoli Semen Rubrum, 45 grains, stir-fried until hot and cooked) Yuan Zhi (Polygalae Radix, 0.5 liang, remove the heart) Huang Lian (Coptidis Rhizoma, 0.5 liang, remove the roots) Sha Shen (Glehniae Radix, 0.5 liang, remove the rhizome head) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried until slightly red, chopped).
Crush and coarsely sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain off the dregs, and take warm at any time.
To treat Wind-Pathogen affecting the Heart, manifesting as spiritual trance and mental confusion, difficulty in swallowing food and drink, Bai Zi Ren San (Biota Seed Powder) is indicated.
Bai Zi Ren (Biota Semen Orientale) Gui Xin (Cinnamomi Cortex) Chi Shao Yao (Paeoniae Radix Rubra) Ban Xia (Pinelliae Rhizoma [soak in boiling water and wash seven times, remove slippery mucus]) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head) Dang Gui (Angelicae Sinensis Radix [chop, stir-fry slightly]).
Each ingredient is 1 liang.
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water plus 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), reduce to 6 fen, strain off the dregs, and take warm at any time.
To treat Wind-Pathogen affecting the Heart, manifesting as scattered thoughts, spiritual trance, sorrow, worry, resentment, and abnormal anger or joy, Yang Shang Ji Sheng San (Taxillus Chinensis Powder) is indicated.
Yang Shang Ji Sheng (Taxilli Herba) Chang Pu (Acori Tatarinowii Rhizoma) Xi Xin (Asari Radix et Rhizoma) Fu Zi (Aconiti Lateralis Radix Praeparata [pao until cracked, remove skin and umbilicus]) Gan Jiang (Zingiberis Rhizoma [pao until cracked, chop]) Tian Xiong (Aconiti Radix [pao until cracked, remove skin and umbilicus]).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain off the dregs, and take at any time.
To treat Wind-Pathogen affecting the Heart, manifesting as spiritual trance and abnormality, disordered speech, Fang Kui San (Radix Tripterygii Hypoglauca Powder) is indicated.
Fang Kui (Radix Tripterygii Hypoglaucae) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head) Guan Zhong (Cyatheae Spora) Yuan Zhi (Polygalae Radix, remove the heart) Fu Shen (Poria cum Radix Pini) Xi Jiao (Rhinocerotis Cornu, cut into flakes) Tian Xiong (Aconiti Radix [pao until cracked, remove skin and umbilicus]) Fang Feng (Saposhnikoviae Radix, remove the rhizome head) Gui Xin (Cinnamomi Cortex, each 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma [0.5 liang, honey-fried until slightly red, chop]).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain off the dregs, and take warm at any time.
To treat Wind-Deficiency and Pathogenic Factors affecting the Heart, manifesting as spiritual trance, sorrowful weeping, manic running as if possessed by gods or ghosts, body stiffness, or pain, locked jaw, throat obstruction, and difficulty swallowing liquids.
Chang Pu (Acori Tatarinowii Rhizoma) Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings) Gui Xin (Cinnamomi Cortex) Dang Gui (Angelicae Sinensis Radix [chop, stir-fry slightly]) Man Jing Zi (Vittariae Fructus) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head) Fu Zi (Aconiti Lateralis Radix Praeparata [pao until cracked, remove skin and umbilicus]) Bai Fu Ling (Poria).
Crush and sieve the above ingredients into a powder. Take 3 qian per dose, decoct with one zhong of water until reduced to 6 fen, strain off the dregs, let cool to warm temperature, and take slowly at any time.
To treat Wind-Pathogen affecting the Heart, manifesting as unpredictable onset, palpitations and screaming, disregard for fire and water, Hu Jing San (Tiger Eye Powder) is indicated.
Hu Jing (Oculi Tigridis [one pair, soak in wine overnight, slight roast]) Chi Fu Ling (Poria cum Radix Pini) Gui Xin (Cinnamomi Cortex) Fang Feng (Saposhnikoviae Radix, remove the rhizome head) Du Huo (Angelicae Pubescentis Radix) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head) Gan Lu Feng Fang (Apiis Nidus [slight roast]) Shi Chang Sheng (Herba Siegesbeckiae) Feng Shang Ji Sheng (Visci Herba, each 2 liang).
Crush and finely sieve the above ingredients into a powder. Take 1 qian per dose at any time, mixed with Yin Jin Tang (Gold and Silver Decoction).
To treat Wind-Pathogen affecting the Heart, manifesting as spiritual trance, vexation, and slurred speech, Niu Huang San (Calculus Bovis Powder) is indicated.
Niu Huang (Calculus Bovis [finely ground]) Long Nao (Borneolum Syntheticum [finely ground]) Zhu Sha (Cinnabaris [finely ground]) Xiong Huang (Realgar [finely ground]) She Xiang (Moschus [finely ground, each 1 fen]) Sha Shen (Glehniae Radix, remove the rhizome head) Du Huo (Angelicae Pubescentis Radix) Ling Yang Jiao (Capricornis Subcornu, cut into flakes) Xi Jiao (Rhinocerotis Cornu, cut into flakes) Wu She (Bungarus Multicinctus [soak in wine, remove skin and bones, roast until yellow]) Chan Qiao (Cicadae Periostracum) Tian Zhu Huang (Bambusae Tabulae [finely ground]) Fang Feng (Saposhnikoviae Radix, remove the rhizome head) Bai Zi Ren (Biota Semen Orientale) Xi Xin (Asari Radix et Rhizoma) Mai Men Dong (Ophiopogonis Tuber [remove heart, bake]) Fu Shen (Poria cum Radix Pini) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head, each 1 liang).
Crush and finely sieve the above ingredients into a powder, add the already ground medicines, and grind uniformly. Take 1 qian per dose at any time, mixed with Yin Jin Tang (Gold and Silver Decoction).
To treat Wind-Pathogen affecting the Heart, manifesting as uneasy spirit, sorrowful crying and laughing, unstable will, and spiritual trance, Yu Yi Liang San (Hematitum Powder) is indicated.
Yu Yi Liang (Hematitum [1.5 liang, calcined and quenched with vinegar three times]) Bai Shao Yao (Paeoniae Radix Alba [1.5 liang]) Shi Gao (Gypsum Fibrosum [1.5 liang]) Mu Li (Concha Ostreae [1.5 liang, calcined into powder]) Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings) Ren Shen (Panax ginseng Radix et Rhizoma, remove the rhizome head).
Crush and finely sieve the above ingredients into a powder, grind uniformly. Take 1 qian per dose at any time, mixed with Mai Men Dong Tang (Ophiopogon Decoction).
To treat Wind-Pathogen affecting the Heart, manifesting as mania, loss of will, and inability to settle, Niu Huang Wan (Calculus Bovis Pill) is indicated.
Niu Huang (Calculus Bovis [3 fen, finely ground like powder]) Tie Jing (Ferrum [3 fen, finely ground like powder]) Jin Yin Bo (Lamina Aurii et Argenti [each 50 pieces, finely ground like powder]) Shi Gao (Gypsum Fibrosum [3 fen]) Long Chi (Dentis Draconis [3 fen, finely ground like powder]) Di Gu Pi (Lycii Cortex [3 fen]) Fu Shen (Poria cum Radix Pini [1 liang]) Chuan Sheng Ma (Bupleuri Radix [3 fen]) Xuan Shen (Scrophulariae Radix [3 fen]) Ren Shen (Panax ginseng Radix et Rhizoma [1 liang, remove the rhizome head]) Sheng Gan Di Huang (Rehmanniae Radix [3 fen]).
Crush and sieve the above ingredients into powder, grind uniformly, mix with refined honey, and pound 200–300 times. Form pills the size of Sophora seeds. Take 10 pills at any time, washed down with Di Gu Pi Tang (Lycium Bark Decoction).
To treat Wind-Pathogen affecting the Heart, manifesting as spiritual trance, nighttime fear and panic during sleep, and insomnia, Zhen Zhu Wan (Pearl Pill) is indicated.
Zhen Zhu (Margarita [1 liang, finely ground like powder]) Dai Mao (Euglyphae Concha [1 liang]) Xiong Huang (Realgar [0.5 liang, finely ground like powder]) Hu Jing (Oculi Tigridis [one pair, soak in wine overnight, slight roast]).
Crush and sieve the above ingredients into powder, add the already ground medicines, and grind uniformly. Mix with refined honey and pound 200–300 times. Form pills the size of Mung beans. Take 10 pills at any time, washed down with warm wine.
To treat Wind-Pathogen affecting the Heart, manifesting as spiritual trance, delirious speech, and unstable will, use this prescription.
Jin Bo (Lamina Aurii [200 pieces]) Tie Fen (Ferrum [0.5 liang]).
Place the above ingredients in a new small pot. First layer the Jin Bo (Lamina Aurii) densely, separate with Tie Fen (Ferrum), then add one small cup of Niu Ru (Bovis Lac). Simmer over gentle heat until the milk is exhausted and the gold foil becomes paste-like. Dry on fire, grind into powder, mix with steamed dough, and form pills the size of small beans. Take 5 pills after meals, washed down with fresh well water.