When wind-heat pathogens contend in the Yang meridians and enter the blood vessels, stasis of blood generates heat. The Ying (Nutritive) Qi becomes full and obstructed, failing to circulate freely, thereby causing mental restlessness and confusion. The Heart governs the Shen (Spirit), and its condition is reflected on the tongue. The Shen is the master of the Heart, and the tongue is the external orifice of the Heart. The mechanisms of speech all originate from the Heart. Now that the Heart-Shen is congested with heat and simultaneously attacked by wind-pathogens, one's true nature becomes disordered, and the spirit fails to remain anchored, resulting in delirious speech.

For treating Heart-wind manifesting as delirious speech, mental vagueness, and fear, the Fushen San (Poria Cocos Powder) formula is appropriate.
Ingredients: Fushen (Poria Cocos with Hostwood), Xingren (Prunus Armeniaca Seed, soaked in hot water, skin and tips removed, double kernels discarded, stir-fried with bran until slightly yellow), Chuan Shengma (Cimicifugae Rhizoma), Baixianpi (Dictamni Cortex), Shashen (Adenophorae Radix or Glehniae Radix, radix tip removed; each of the above five herbs 0.5 liang), Longchi (Dragon Bone, 1 liang), Shigao (Gypsum Fibrosum, 2 liang), Yuanzhi (Polygalae Radix, 1 liang, heart removed), Xijiao (Rhinocerotis Cornu, 1 liang).
Preparation and Administration: Coarsely grind and sieve the aforementioned herbs into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm after meals.

For treating Heart-wind causing irritability, delirious speech, chest and diaphragm stagnation, and mental unease, the Zhusha San (Cinnabar Powder) formula is appropriate.
Ingredients: Zhusha (Cinnabaris, 1 liang, finely ground into powder), Niuhuang (Bovis Calculus, 1 fen, finely ground), Longnao (Borneolum Syntheticum, 1 fen, finely ground), Shexiang (Moschus, 1 fen, finely ground), Fushen (Poria Cocos with Hostwood, 1 liang), Dongqing (Asparagi Radix, 1 liang), Huanglian (Coptidis Rhizoma, 1 liang, finely ground).
Preparation and Administration: Finely grind and sieve the aforementioned herbs into a powder, mix with the pre-ground ingredients, and ensure uniformity. Take 1 qian at any time, mixed with decoction of gold and silver.

For treating Heart-wind heat causing delirious speech, mental instability, dry mouth, and vexation, the Shengma San (Cimicifugae Powder) formula is appropriate.
Ingredients: Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang), Zhusha (Cinnabaris, 3 fen, finely ground into powder), Xijiao (Rhinocerotis Cornu, 3 fen), Fushen (Poria Cocos with Hostwood, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red and cut), Tianzhuhuang (Calamus Tectorum Resina, 3 fen).
Preparation and Administration: Finely grind and sieve the aforementioned herbs into a powder, mix with the pre-ground ingredients, and ensure uniformity. Take 1 qian after meals, mixed with mint decoction.

For treating Heart-wind causing delirious speech, mental unease, and hallucinations such as seeing spirits, the Zhenzhu San (Pearl Powder) formula is appropriate.
Ingredients: Zhenzhu (Margarita, 1 fen, finely ground), Shuijing (Quartz, 1 fen, finely ground), Qianshuang (Plumbum Subacetatum, 1 fen, finely ground), Renshen (Ginseng Radix, 1 liang, radix tip removed and powdered), Zhusha (Cinnabaris, 1 fen, finely ground).
Preparation and Administration: Mix the aforementioned ingredients uniformly. Take 0.5 qian after meals, mixed with mint decoction.

For treating Heart-wind causing delirious speech with frequent fright, confusion, and mental vagueness, this Zhenxin Wan (Heart-Calming Pill) formula is appropriate.
Ingredients: Xijiao (Rhinocerotis Cornu, 1 liang), Tianzhuhuang (Calamus Tectorum Resina, 0.5 liang, finely ground), Zhusha (Cinnabaris, 0.5 liang, finely ground into powder), Qianshuang (Plumbum Subacetatum, 1 fen, finely ground), Niuhuang (Bovis Calculus, 1 fen), Yuanzhi (Polygalae Radix, 0.5 liang, heart removed), Sheng Dihuang (Rehmanniae Radix Recens, 0.5 liang), Longdan (Gentianae Radix, 0.5 liang, radix tip removed), Tiefen (Ferrum Pulveratum, 3 fen, finely ground).
Preparation and Administration: Grind and sieve the aforementioned herbs into powder, mix with the pre-ground ingredients, ensure uniformity, combine with refined honey, and pound 300–200 times. Form pills the size of small beans. Take 7 pills at any time, washed down with bamboo leaf decoction.

For treating Heart-wind causing disordered delirious speech, sensation of demonic possession, and periodic attacks, the Qibao Zhenxin Wan (Seven-Treasure Heart-Calming Pill) formula is appropriate.
Ingredients: Yuxie (Jade Dust, 1 liang), Zhenzhu (Margarita, 0.5 liang, finely ground into powder), Hupo (Electrum, 0.5 liang, finely ground into powder), Jinxie (Gold Dust, 1 liang), Yinxi (Silver Dust, 1 liang), Xionghuang (Realgar, 0.5 liang, finely ground), Shexiang (Moschus, 1 fen, finely ground), Yuanzhi (Polygalae Radix, 1 liang, heart removed), Danshen (Salviae Miltiorrhizae Radix, 0.5 liang), Longchi (Dragon Bone, 1 liang, heart removed, baked), Dongqing (Asparagi Radix, 1 liang, heart removed, baked).
Preparation and Administration: Grind and sieve the aforementioned herbs into powder, mix with the pre-ground ingredients, ensure uniformity, combine with refined honey, and pound 300–500 times. Form pills the size of smartweed seeds. Take 5 pills at any time, washed down with warm water.

For treating Heart organ wind-heat rushing upward to the head and face, constriction and urgency of the Heart system, frequent fright, unstable delirious speech, and mental unease, the Xijiao Wan (Rhinoceros Horn Pill) formula is appropriate.
Ingredients: Xijiao (Rhinocerotis Cornu, 3 fen), Fangfeng (Saposhnikoviae Radix, 0.5 liang, radix tip removed), Renshen (Ginseng Radix, 0.5 liang, radix tip removed), Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang), Binglang (Arecae Semen, 0.5 liang), Tianzhuhuang (Calamus Tectorum Resina, 0.5 liang, finely ground).
Preparation and Administration: Grind and sieve the aforementioned herbs into powder, mix with the pre-ground ingredients, ensure uniformity, combine with refined honey, and pound 100–200 times. Form pills the size of smartweed seeds. Take 20 pills at any time, washed down with warm water.