Heart vexation

Main signs symptoms Alternating fever and chills, chest and lateral costal region bitterness (i.e., pain) and fullness, diminished intake of food and drink, heart vexation, a desire to vomit, acid eructations, possible jaundice, a bitter (taste) in the mouth, a dry throat, vertigo, a thin, white tongue coating, and a wiry pulse. 

If there is a flushed face, heart vexation, and easy anger, to Dan Zhi Xiao Yao San add Rhizoma Coptidis Chinensis Huang Lian) and Radix Gentianae Scabrae Long Dan Cao). 

Main signs symptoms Heart vexation, spirit in chaos, insomnia, excessive dreams, severe palpitations, palpitations due to fright, possible sores on the tip of the tongue, if severe, a desire but inability to vomit, shortness of breath, forgetfulness, a red tongue, and a rapid, thready pulse... 

Raw Rehmannia cools the blood and enriches yin, thus restraining heart fire. Akebia clears heat from the heart channel above, while below, it also clears heat from the small intestine. In addition, it disinhibits water and opens strangury. Raw Licorice clears heat and resolves toxins and regulates and harmonizes the other medicinals. In particular, it is believed that using Licorice s small root tips stops strangury and pain. Bamboo Leaves clear the heart and eliminate vexation. 

Within this formula, Cinnabar is the sovereign medicinal. It is heavy and settling and therefore quiets the heart spirit. Because it is cold, it is able to overwhelm heat. Thus it restrains floating fire. Coptis is bitter and cold and drains fire. It is the minister medicinal. It clears heat and eliminates vexation. Together, these two medicinals drain fire, clear heat, and eliminate vexation at the same time as heavily settling and quieting the spirit and will... 

If heart fire is more prominent and there is more pronounced insomnia and vexation and agitation, add Plumula Nelumbinis Nuciferae (Lian Zi Xin) and Fructus Gardeniae Jasminoidis Zhi Zi). 

Indications Vacuity taxation, vacuity vexation, inability to sleep. Insomnia, nervous exhaustion, night sweats, poor memory, nightmares, rapid heart palpitations, crying and irritability in teething infants, neurasthenia, and schizophrenia... 

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