张 中年宿痫频发，先必触事生怒，情不自禁，发则猝倒无知，啮舌糜烂，惊恐发搐，痰响便遗。此肾
阴素亏，肝阳易亢，痰随火升，阻蔽心包，故来骤苏迟，且数发也。急则治标，用前胡、青皮、川贝、连翘、钩
藤、竹沥、菖蒲、山栀。矾水煎，二剂诸症退，神识清。随服补肾平肝丸料，发稀后用丸方常服，茯神（六钱）、
羚羊角（三钱）、胆星（钱半）、天竺黄（五钱）、郁金（四钱）、川贝（四钱）、莲子心（六钱）、西牛黄（七分）、
栀心（三钱）、矾水滴丸，朱砂为衣，服愈。
赵 髫年阴痫屡仆，初更后声喊涎涌，搐搦超时乃醒。此风火痰交煽，显然足少阳手厥阴受病。主熄风火，
佐以豁痰。羚羊角、鲜石菖蒲、山栀、钩藤、胆星、橘红、防风、前胡、竹沥。数服发必稀，然数年久恙，
须调补其本。用潞参、绵 、茯神、炙草、山药、贝母、熟地炭、当归、白芍。为末服，调粳米屑，俾脾元充
旺，间服抱龙丸，可免痼疾之累。
怔忡者，心动不安，无所见闻惊恐，而胸间惕惕自动也。惊者，神气失守，由见闻夺气，而骇出临时也。
恐者，胆怯股栗，如人将捕之，乃历久而惧难自释也。怔忡伤心神，惊伤胆液，恐伤肾精，三者心胆肝肾病。
恐甚于惊，惊久则为怔忡。而心胆之
虚，无不由肾精之虚也。昔人论阳统于阴，心本于肾，上下不安者由乎下，心气虚者因乎精，此精气互根，
君相相资之理，固然矣。然怔忡惊恐，与悲思忧怒，皆情志之病。患者非节劳欲，摄心神，壮胆力，则病根难
拔。治者务审其病情而调之。如心脾气血本虚，而致怔忡惊恐、或因大惊猝恐，神志昏乱者，七福饮，甚者大
补元煎。如肾水亏，真阴不足致怔忡者，左归饮。如命火衰，真阳不足致怔忡者，右归饮。如三阴精血亏损，
阴中之阳不足，而致怔忡惊恐者，大营煎或理阴煎。如水亏火盛，烦躁热渴而为怔忡惊悸者，二阴煎或加减一
阴煎。如思虑郁损心营，而为怔忡惊悸者，逍遥散，或益营煎。如痰火盛，心下怔忡者，温胆汤加炒黄连、
山栀、当归、贝母。如寒痰停蓄心下而怔忡者，姜术汤。如痰迷心窍惊悸者，温胆汤，甚者朱砂消痰饮。
此景岳治法也。
张姓患者，中年时期宿患癫痫频繁发作。发病前必定因遇事而愤怒，情绪失控无法自持；发作时突然昏倒失去知觉，咬伤舌头导致糜烂，伴有惊恐、抽搐，喉间痰鸣音重，大小便失禁。此证属肾阴素来亏虚，肝阳易于亢盛，痰浊随火势上逆，阻蔽心包络，因此苏醒迅速但意识恢复迟缓，且发作次数多。急则治其标，使用前胡、青皮、川贝母、连翘、钩藤、竹沥、石菖蒲、山栀。用明矾水煎服，两剂后诸症消退，神识清明。随后服用补肾平肝丸药料，待发作稀少后用丸方长期服用，处方为：茯神（六钱）、羚羊角（三钱）、胆南星（一钱半）、天竺黄（五钱）、郁金（四钱）、川贝母（四钱）、莲子心（六钱）、西牛黄（七分）、栀子心（三钱），用明矾水滴丸，朱砂为衣，服用后痊愈。
赵姓患者，幼年时期患有阴痫多次仆倒，通常在初更之后大声喊叫、涎液涌出，抽搐时间过长才醒来。此证属风火痰邪相互煽动，显然是足少阳胆经和手厥阴心包经受病。主要治疗原则是熄风火，辅以豁痰。药用：羚羊角、鲜石菖蒲、山栀、钩藤、胆南星、橘红、防风、前胡、竹沥。服用数剂后发作必然减少，然而数年久病，必须调补根本。药用：党参、绵黄芪、茯神、炙甘草、山药、贝母、熟地黄炭、当归、白芍。研为末服用，调入粳米屑，使脾元充盛旺盛，间或服用抱龙丸，可免除顽固疾病的困扰。
怔忡，是指心跳不安，没有外界见闻却感到惊恐，胸部悸动不由自主。惊，是指神气失守，因见闻受到惊吓而夺气，在临时突发骇异时发生。恐，是指胆怯大腿颤抖，像被人追捕一样，经历长久时间恐惧难以自我解脱。怔忡伤心神，惊伤胆液，恐伤肾精，这三者涉及心、胆、肝、肾的病变。恐惧重于惊骇，惊骇日久则转为怔忡。而心胆之虚，无不源于肾精之虚。古人论述阳气统摄于阴气，心脏本源在于肾脏，上下不安是由于下部（肾）的问题，心气虚弱是因为精气不足，这是精气互根、君火与相火相互资助的道理，确实如此。然而怔忡惊恐，与悲伤、思虑、忧愁、愤怒一样，都属于情志疾病。患者若不节制劳累和欲望，摄养心神，增强胆力，则病根难以拔除。医者务必审察病情并加以调理。如心脾气血本虚，导致怔忡惊恐，或因大惊猝恐导致神志昏乱的，用七福饮，严重的用大补元煎。如肾水亏虚，真阴不足导致怔忡的，用左归饮。如命门之火衰微，真阳不足导致怔忡的，用右归饮。如三阴经精血亏损，阴中之阳不足，导致怔忡惊恐的，用大营煎或理阴煎。如肾水亏虚火气旺盛，烦躁热渴而致怔忡惊悸的，用二阴煎或加减一阴煎。如思虑郁结损伤心营，导致怔忡惊悸的，用逍遥散，或益营煎。如痰火旺盛，心下怔忡的，用温胆汤加炒黄连、山栀、当归、贝母。如寒痰停蓄心下而致怔忡的，用姜术汤。如痰迷心窍导致惊悸的，用温胆汤，严重的用朱砂消痰饮。这是张景岳的治疗方法。
Zhang, a middle-aged man, suffered from frequent recurrences of epilepsy. Before an attack, he would inevitably become angry due to external events, losing control of his emotions uncontrollably. During an attack, he would suddenly fall and lose consciousness, bite his tongue causing ulceration, experience fright and convulsions, have loud phlegm rales in the throat, and suffer from urinary and fecal incontinence. This condition stems from a constitutional deficiency of Kidney Yin, leading to hyperactivity of Liver Yang. Phlegm rises with fire, obstructing the Pericardium (Pericardium), hence he wakes up quickly but regains consciousness slowly, and attacks are frequent. Treating the acute stage by addressing the branch symptoms, use Qianhu (Peucedani Radix), Qingpi (Aurantii Fructus Immaturus Pericarpium), Chuanbei (Fritillariae Cirrhosae Bulbus), Lianqiao (Forsythiae Fructus), Gouteng (Uncariae Ramulus cum Uncis), Zhuli (Bambusae Sap), Shichangpu (Acori Tatarinowii Rhizoma), and Shanzhi (Gardeniae Fructus). Decoct with Mingfan (Alum) water. After two doses, all symptoms subsided, and mental clarity was restored. Subsequently, administer Wan (Pill) formula for tonifying the Kidney and calming the Liver. When attacks became infrequent, continue long-term administration of the following pill formula: Fushen (Poria with Hostwood), Lingyangjiao (Saigae Tataricae Cornu), Danning (Arisaematis Cum Bile), Tianzhuhuang (Calami Sibirici Rhizoma), Yujin (Curcumae Longae Radix), Chuanbei (Fritillariae Cirrhosae Bulbus), Lianzixin (Nelumbinis Plumula), Xiniuhuang (Bovis Calculus), Zhixin (Gardeniae Cor), drip pills with Mingfan (Alum) water, coat with Zhusha (Cinnabaris). The patient recovered after taking this.
Zhao, since childhood, suffered repeatedly from Yin Epilepsy with falls. Usually after the first watch of the night, he would shout loudly with excessive salivation, and only wake up after prolonged convulsions. This indicates that Wind, Fire, and Phlegm are mutually stirring; clearly, the Foot Shaoyang Gallbladder Channel and Hand Jueyin Pericardium Channel are affected. The primary treatment is to extinguish Wind and Fire, assisted by resolving Phlegm. Use Lingyangjiao (Saigae Tataricae Cornu), Xian Shichangpu (Fresh Acori Tatarinowii Rhizoma), Shanzhi (Gardeniae Fructus), Gouteng (Uncariae Ramulus cum Uncis), Danning (Arisaematis Cum Bile), Juhong (Citri Reticulatae Pericarpium), Fangfeng (Saposhnikoviae Radix), Qianhu (Peucedani Radix), Zhuli (Bambusae Sap). After several doses, attacks will surely decrease. However, for a chronic illness lasting years, it is necessary to tonify the root. Use Luzhen (Codonopsis Radix), Mian Huangqi (Astragali Radix), Fushen (Poria with Hostwood), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata), Shanyao (Dioscoreae Rhizoma), Beimu (Fritillariae Bulbus), Shuditan (Rehmanniae Radix Preparata Carbonized), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba). Grind into powder and take, mixed with Jingmi xie (Rice bran/powder), to ensure the Spleen Yuan is robust and vigorous. Administer Baolong Wan (Pill) intermittently to avoid the burden of stubborn disease.
Zhetong (Palpitations with Anxiety) refers to the heart beating uneasily, feeling frightened without external stimuli, with involuntary palpitations in the chest. Jing (Fright) refers to the loss of Shen (Spirit) stability, caused by shock from sensory experiences, occurring suddenly upon being startled. Kong (Fear) refers to gallbladder deficiency with trembling thighs, as if being pursued, where fear persists for a long time and is hard to release. Zhetong damages Heart Shen, Jing damages Gallbladder fluid, and Kong damages Kidney Essence; these three conditions involve pathologies of the Heart, Gallbladder, Liver, and Kidney. Fear is more severe than Fright; prolonged Fright transforms into Zhetong. Deficiency of the Heart and Gallbladder invariably stems from deficiency of Kidney Essence. Ancients stated that Yang is governed by Yin, and the Heart originates from the Kidney. Instability above and below arises from issues below (Kidney); Heart Qi deficiency is due to Essence deficiency. This reflects the principle of mutual rooting of Qi and Essence, and mutual assistance between Jun (Monarch) and Xiang (Minister) Fires, which is indeed correct. However, Zhetong and Jing/Kong, along with Sadness, Worry, and Anger, are all diseases of emotional states. If patients do not moderate labor and desires, nourish the Shen, and strengthen the Gallbladder, the root of the disease is difficult to eradicate. Physicians must carefully examine the condition and regulate it accordingly. If Heart and Spleen Qi and Blood are constitutionally deficient, causing Zhetong and Jing/Kong, or if sudden great fright causes confusion of Shen and Zhi, use Qifu Yin (Seven Blessings Decoction); for severe cases, use Dabu Yuan Jian (Great Tonification of the Origin Decoction). If Kidney Water is deficient, with insufficient True Yin causing Zhetong, use Zuogui Yin (Left Restoring Decoction). If Mingmen Fire is declining, with insufficient True Yang causing Zhetong, use Yougui Yin (Right Restoring Decoction). If Essence and Blood of the Three Yin channels are depleted, with insufficient Yang within Yin causing Zhetong and Jing/Kong, use Daying Jian (Great Nourishing Decoction) or Liyin Jian (Regulating Yin Decoction). If Water deficiency leads to Fire hyperactivity, causing irritability, heat, thirst, and Zhetong/Jingji (Palpitations with Startle), use Er Yin Jian (Two Yin Decoction) or Jiayi Yiyin Jian (Modified One Yin Decoction). If Overthinking and depression damage Ying (Nutrient) Qi of the Heart, causing Zhetong and Jingji, use Xiaoyao San (Free and Easy Wanderer Powder) or Yiying Jian (Nourishing Ying Decoction). If Phlegm-Fire is abundant, causing Zhetong in the epigastrium, use Wendan Tang (Warm the Gallbladder Decoction) plus Chao Huanglian (Stir-fried Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Danggui (Angelicae Sinensis Radix), Beimu (Fritillariae Bulbus). If Cold-Phlegm stagnates in the epigastrium causing Zhetong, use Jiangshu Tang (Ginger and Atractylodes Decoction). If Phlegm confuses the Heart orifices causing Jingji, use Wendan Tang (Warm the Gallbladder Decoction); for severe cases, use Zhusha Xiaotan Yin (Cinnabar Resolving Phlegm Decoction). These are the treatment methods of Zhang Jingyue.