《素问》云∶东方青色，入通于肝，其病发惊骇。脾移热于肝，则为惊衄。二阳一阴发病，
主惊骇，背痛，善噫，善欠者，名曰风厥。三阳一阴，太阳脉胜，一阴不得
止，内乱五脏，外为惊骇。胃足阳明之脉，是动则病，闻木音则惕然而惊，心欲动。阳明所谓甚者恶
人与火，闻木音则惕然而惊者，阳气与阴气相搏，水火相恶，故惕然而惊也。黄帝问曰∶足阳明之脉
病，恶人与火，闻木音则惕然而惊，钟鼓不为动，闻木音而动何也？岐伯曰∶阳明者胃脉也，胃者土
也，故闻木音而惊者，土恶木也。由是观之，肝、胆、心、脾、胃皆有惊证明矣。运气惊悸有三∶一
曰肝木不及，金来乘之。经曰∶木不及曰委和，委和之纪，其发惊骇。又云∶阳明之复，甚则
入肝，惊骇筋挛是也。二曰火邪助心。经云∶少阳所至为惊恐。又云∶少阳所至为惊躁。又云∶少阳
之胜，善惊是也。三曰寒邪伤心。经云∶岁水太过，寒气流行，病烦心躁悸是也。东垣云∶六脉俱大，
按之空虚，必面赤善惊上热，乃手少阴心之脉也。此气盛多而亡血，以甘寒镇坠之剂，泻火与气，以
坠气浮。以甘辛温微苦峻补其血，熟地黄、生地黄、柴胡、升麻、白芍药、牡丹皮、川芎、黄 之类
以补之，以防血溢上竭。（甘寒镇坠之剂，谓丹砂之类。）《三因》云∶五饮停蓄，闭于中脘，最使
人惊骇，属饮家。（五饮汤丸）心胆虚怯，触事易惊，或梦寐不祥，遂致心惊胆慑，气郁生涎，涎与
气搏，变生诸证，或短气悸乏，或复自汗者，并温胆汤主之。呕则以人参代竹茹。若惊悸眠多异梦随
即惊觉者，宜温胆汤加酸枣仁、莲肉各一钱，以金银煎下十四友丸，或镇心丹、远志丸、酒调妙香散、
琥珀养心丹、定志丸、宁志丸。卧而多惊魇，真珠母丸、独活汤。羌活胜湿汤，治卧而多惊悸、多魇
溲者，邪在少阳厥阴也。加柴胡五分。如淋，加泽泻五分。此下焦风寒二经合病也。经曰∶肾肝之病
同一治，为俱在下焦，非风药行经不可也。丹溪云∶病自惊而得者，则神出于舍，舍空得液则成痰矣。
血气入舍，则痰拒其神不得归焉。（寿星丸、或控涎丹，加辰砂、远志。）惊悸因事有所大惊而成者，
其脉大动，动脉之状，如豆厥厥动摇、无头尾者是也。东垣云∶外物惊，宜镇平，以黄连安神丸。密
陀僧研极细末，茶汤调一钱匕，治惊气入心络不能语者。昔有为野狼及大蛇所惊，皆以此而安。盖惊则
气上，故以重剂坠之。热郁有痰，寒水石散。气郁有痰，加味四七汤。虚而有痰，十味温胆汤、养心
汤。《金匮》云∶病有奔豚，有吐脓，有惊怖，有火邪，此四病皆从惊发得之。经云∶阳气者，开阖
不得，寒气从之，乃生大偻，陷脉为 ，留连肉腠，俞气化薄，传为善畏，及为惊骇者，是 疮所为
之惊骇也。盖俞则 疮之俞窍，其痛气留连肉腠之间，恐
人触着而痛，故化惕惕然之心，内薄而传为善畏惊骇之疾也。
【诊】寸口脉动而弱，动即为惊，弱即为悸。趺阳脉微而浮，浮为胃气虚，微则不能食，如恐
怖之脉，忧迫所作也。寸口紧，趺阳浮滑，气虚是以悸。惊主病者，其脉止而复来，其人目睛不转，
不能呼气。
《素问》说：东方对应青色，内通于肝，其病变表现为惊骇。脾的热邪转移至肝，就会发生惊骇和鼻出血。二阳（阳明）与一阴（厥阴）同时发病，主要症状为惊骇、背痛、容易嗳气、容易呵欠，这种病名叫风厥。三阳（太阳）与一阴（厥阴）同病，若太阳脉气偏胜，而厥阴之气不能制约，导致内部扰乱五脏，外部出现惊骇症状。足阳明胃经的经脉，发生变动时会出现这样的病症：听到木器的声音就会惊恐不安，心中悸动。《灵枢·经脉篇》中提到的“严重时厌恶人和火，听到木声就惊恐”，是因为阳气与阴气相互搏结，水火不相容，所以会惊恐不安。黄帝问道：足阳明经脉生病时，厌恶人和火，听到木声就惊恐，但听到钟鼓声却不为所动，为什么听到木声反而有反应呢？岐伯回答说：阳明经是胃的经脉，胃在五行中属土，所以听到木声而惊恐，是因为土畏惧木（木克土）。由此看来，肝、胆、心、脾、胃都有惊证的证明。
因运气失常导致的惊悸有三种情况：一是肝木之气不足，被金气乘虚克制。经文说：木气不足称为“委和”，委和之年，其发作表现为惊骇。又说：阳明燥金之气复盛，严重时侵犯肝脏，出现惊骇、筋脉拘挛等症状。二是火邪助长心火。经文说：少阳相火之气到来时表现为惊恐。又说：少阳之气到来时表现为惊躁。又说：少阳之气偏胜时，容易使人受惊。三是寒邪伤害心脏。经文说：岁水之气太过，寒气流行，会导致心烦、心躁、心悸。李东垣说：如果六脉都大，但重按空虚，必然面色发红、易受惊吓且上部有热感，这是手少阴心经的脉象。这是因为气盛而血亏，应用甘寒沉降的药物，以泻火和气，使上浮之气下沉。再用甘辛温微苦的药物峻补其血，使用熟地黄、生地黄、柴胡、升麻、白芍药、牡丹皮、川芎、黄芩等药物来补益，以防止血液上溢枯竭。（所谓甘寒沉降之剂，指朱砂之类的药物。）《三因极一病证方论》说：五种饮邪停聚蓄积，闭塞中脘，最容易使人惊骇，这属于饮家范畴。（可用五饮汤或丸剂。）心胆虚弱怯懦，遇事容易惊恐，或者梦见不祥之事，从而导致心惊胆战，气机郁结而生痰涎，痰涎与气机搏结，变生各种证候，或者短气乏力，或者自汗出，都用温胆汤主治。如果有呕吐症状，用人参代替竹茹。如果是惊悸、多梦、随即惊醒的情况，宜用温胆汤加酸枣仁、莲肉各一钱，用金银煎汤送服十四友丸，或者镇心丹、远志丸、酒调妙香散、琥珀养心丹、定志丸、宁志丸。睡觉时多惊魇者，用真珠母丸、独活汤。羌活胜湿汤，治疗睡觉时多惊悸、多梦魇及小便异常者，这是邪气在少阳和厥阴两经。加柴胡五分。如果伴有淋证，加泽泻五分。这是下焦风寒两经合病。经文说：肾和肝的病治疗方法相同，因为它们都在下焦，不用风药疏通经络是不行的。朱丹溪说：因病后受惊而得的，神气离舍，舍空则津液凝聚成痰。气血进入舍中，则痰阻碍神气不得回归。（可用寿星丸，或控涎丹，加辰砂、远志。）因受到巨大惊吓而导致惊悸的，其脉象大动，动脉的特征，像豆子一样厥厥动摇、无头尾。李东垣说：因外物惊吓所致，宜用镇平之法，用黄连安神丸。密陀僧研成极细末，用茶汤调服一钱匕，治疗惊气侵入心络导致不能说话的症状。过去有人被野狼和大蛇惊吓，都是靠此药安定的。因为惊吓会使气机上逆，所以用重镇药物使其下沉。热郁且有痰，用寒水石散。气郁且有痰，用加味四七汤。虚而有痰，用十味温胆汤、养心汤。《金匮要略》说：有病名奔豚的，有吐脓血的，有惊怖的，有火邪的，这四种病都是从惊吓引发的。经文说：阳气者的开阖功能失常，寒气随之侵入，就会形成严重的驼背，寒气陷入脉络，滞留于肌肉腠理之间，俞穴气化受迫，传变为善畏及惊骇的症状，这是痈疮引起的惊骇。因为俞穴是痈疮的孔窍，痛气滞留于肌肉腠理之间，恐怕人触碰而疼痛，所以化生出惕惕不安的心理，内迫而传变为善畏惊骇的疾病。
【诊法】寸口脉动而弱，动即为惊，弱即为悸。趺阳脉微而浮，浮表示胃气虚，微表示不能进食，这种如恐惧般的脉象，是由于忧思逼迫所致。寸口脉紧，趺阳脉浮滑，气虚所以导致心悸。惊证的主病脉象，脉搏停止后又重新出现，患者眼球不转动，不能呼气。
The *Suwen* (Basic Questions) states: The East corresponds to the color green, internally connecting with the Liver. Its disease manifests as fright and alarm. If heat from the Spleen transfers to the Liver, it results in fright and epistaxis. When the Yangming (Stomach/Large Intestine) and Jueyin (Liver/Pericardium) channels are affected simultaneously, the primary symptoms are fright, back pain, frequent belching, and frequent yawning; this condition is named Fengjue (Wind Jue). When Taiyang (Bladder) and Yinyin (Liver) are involved, if the Taiyang pulse prevails and the Yinyin cannot restrain it, internal disorder of the five Zang organs occurs, manifesting externally as fright. The Foot-Yangming Stomach meridian, when disturbed, causes illness where hearing the sound of wood induces sudden fright and palpitations. In the *Lingshu*, it is stated that "when severe, one dislikes people and fire, and hears the sound of wood with sudden fright." This is because Yang Qi and Yin Qi contend with each other, and Water and Fire are antagonistic, thus causing sudden fright. The Yellow Emperor asked: When the Foot-Yangming meridian is diseased, why does one dislike people and fire, and feel sudden fright at the sound of wood, yet remain unmoved by bells and drums? Qibo replied: The Yangming is the meridian of the Stomach, and the Stomach belongs to Earth in the Five Elements. Therefore, one feels fright at the sound of wood because Earth fears Wood (Wood overcomes Earth). From this, we can see that the Liver, Gallbladder, Heart, Spleen, and Stomach all have manifestations of fright.
There are three types of fright palpitations caused by climatic factors (Yunqi): First, deficiency of Liver Wood allows Metal to invade. The classics state: "Deficiency of Wood is called Weihe. In the era of Weihe, its manifestation is fright." It also states: "When Yangming reverts, it severely affects the Liver, causing fright and tendon spasms." Second, Fire pathogen assists the Heart. The classics say: "Arrival of Shaoyang brings fear and fright." Also: "Shaoyang arrival brings fright and restlessness." And: "Victory of Shaoyang leads to easy fright." Third, Cold pathogen damages the Heart. The classics state: "Excess of Yearly Water leads to the prevalence of Cold Qi, causing heart vexation, irritability, and palpitations." Li Dongyuan said: If the six pulses are large but empty upon deep pressure, accompanied by a red face, easy fright, and upper body heat, this is the pulse of the Hand-Shaoyin Heart meridian. This indicates excess Qi and deficient Blood. One should use sweet-cold descending agents to clear Heat and descend floating Qi. Then, use sweet-pungent-warm slightly bitter strong tonics to replenish Blood, using Shu Dihuang (Prepared Rehmannia Root), Sheng Dihuang (Raw Rehmannia Root), Chaihu (Bupleurum Root), Shengma (Cimicifuga Rhizome), Baishaoyao (White Peony Root), Mudanpi (Moutan Cortex), Chuanxiong (Szechwan Lovage Rhizome), Huangqin (Scutellaria Root), etc., to prevent blood from overflowing and exhausting upwards. (Sweet-cold descending agents refer to substances like Zhusha/Cinnabar.) The *San Yin Fang Lun* states: Accumulation of the five types of fluid retention obstructing the middle Jiao most easily causes fright; this belongs to the category of Fluid Retention diseases (use Wuyin Tang or pills). Deficiency and timidity of the Heart and Gallbladder, leading to easy fright upon encountering events, or dreaming of ominous signs, resulting in a frightened heart and gallbladder, Qi stagnation generating phlegm-fluid, which contends with Qi, transforming into various syndromes such as shortness of breath, fatigue, or spontaneous sweating, are all treated primarily with Wendan Tang (Warm the Gallbladder Decoction). If vomiting occurs, replace Zhuru (Bamboo Shavings) with Renshen (Ginseng). For palpitations, excessive dreaming, and immediate awakening from fright, use Wendan Tang plus Suanzaoren (Ziziphus Seed) and Lianrou (Lotus Seed Flesh), each 1 qian, taken with Yinjin (Silver foil) decoction, along with Shisiyou Wan (Fourteen Friends Pill), Zhenxin Dan (Heart-Calming Pill), Yuanzhi Wan (Polygala Pill), Miao Xiang San (Wonderful Fragrance Powder) mixed with wine, Hupo Yangxin Dan (Amber Nourishing Heart Pill), Dingzhi Wan (Will-Firming Pill), or Ningzhi Wan (Mind-Calm Pill). For sleep disturbances with many nightmares, use Zhenzhumu Wan (Mother-of-Pearl Pill) or Duhuo Tang (Angelica Pubescens Decoction). Qianghuo Shengshi Tang (Notopterygium Decoction for Overcoming Dampness) treats sleep disturbances with fright palpitations, nightmares, and urinary abnormalities, indicating pathogen in the Shaoyang and Jueyin meridians. Add Chaihu 5 fen. If dysuria is present, add Zexie (Alisma Rhizome) 5 fen. This is a combined disease of Wind and Cold in the Lower Jiao. The classics state: Diseases of the Kidney and Liver share the same treatment because they are both in the Lower Jiao; wind-dispelling herbs must be used to unblock the meridians. Zhu Danxi said: When illness arises from fright, the Shen (Spirit) leaves its residence. An empty residence allows fluids to condense into Phlegm. When Qi and Blood enter the residence, Phlegm repels the Shen, preventing its return. (Use Shouxing Wan or Kongxian Dan, added with Chen Sha/Cinnabar and Yuanzhi/Polygala.) For palpitations caused by sudden great fright, the pulse is greatly agitated. The characteristic of the Dong Pulse (Agitated Pulse) is like a bean, trembling violently, without head or tail. Li Dongyuan said: Fright from external objects should be calmed with sedatives, such as Huanglian Anshen Wan (Coptis Calming Spirit Pill). Miduo Seng (Lead Monoxide) ground into fine powder, mixed with tea water and taken as 1 qian, treats inability to speak due to fright Qi entering the Heart collaterals. Historically, individuals frightened by wild wolves or large snakes were calmed by this remedy. Since fright causes Qi to ascend, heavy sedative agents are used to descend it. For Heat stagnation with Phlegm, use Hanshuishi San (Calcitum and Arsenolite Powder). For Qi stagnation with Phlegm, use Jiawei Siqi Tang (Modified Four-Seven Decoction). For deficiency with Phlegm, use Shiwei Wendan Tang (Ten-Ingredient Warm the Gallbladder Decoction) or Yangxin Tang (Nourish Heart Decoction). The *Jinkui Yaolue* states: There are conditions named Ben Tun (Rushing Pig), pus expectoration, fright terror, and Fire Pathogen; these four diseases all arise from fright. The classics state: When the opening and closing of Yang Qi fail, Cold Qi enters, causing severe curvature. If it sinks into the vessels and lingers in the muscle layers, affecting the Shu points, it transmits as fearfulness and fright. This is fright caused by carbuncles. Because the Shu point is the aperture of the carbuncle, painful Qi lingers in the muscle layers, fearing touch and pain, thus generating a fearful mind, which internally presses and transmits into diseases of fearfulness and fright.
[Diagnosis] The Cun Kou (Radial) pulse is agitated and weak; agitation indicates Fright, weakness indicates Palpitations. The Fu Yang (Dorsalis Pedis) pulse is faint and floating; floating indicates Stomach Qi deficiency, faint indicates inability to eat. Such a fearful pulse is produced by worry and distress. If the Cun Kou is tight and the Fu Yang is floating and slippery, Qi deficiency leads to palpitations. The main pulse for Fright disease is one that stops and then returns; the patient's eyes do not move, and they cannot exhale.