脉∶脉虚弦为惊、为风痫。
痫病者，卒时晕倒，身软切牙吐涎沫，遂不省人事，随后醒者，是痫病也。有羊痫、猪
痫、牛痫、马痫、犬痫，皆惊风热痰，俱用二陈汤加减、安神丸。又有癫病者，狂叫奔走而
不知人也，专主于痰，治在痰症，二陈汤加减。
诸痫者，痰涎壅并然也。
二陈汤 治一切痫病。
茯苓（去皮） 南星（姜制） 陈皮（各一钱） 栝蒌仁 枳实（麸炒） 桔梗 栀子 半夏 黄
芩（各一钱） 甘草（三分） 木香（五分，研） 辰砂（为末，五分）
上锉一剂。姜三片，水煎，临服入竹沥、姜汁，磨木香，调辰砂末调服。
痫属气血虚而兼痰火者，宜攻补兼施也。
清心抑胆汤 平肝解郁，清火化痰，除眩晕诸痫之疾。
当归（酒浸） 白芍（酒浸） 白术（去芦、炒） 茯苓（去皮） 黄连（姜汁炒） 香附（炒）
半夏（姜汁炒） 枳实（麸炒） 竹茹 石菖蒲 陈皮（各一钱） 麦门冬（去心） 川芎 人参 远
志（去心） 甘草（四分）
上锉剂。水煎服。
安神丸 治痫病，常服。
当归（酒洗） 人参（去芦） 茯苓（去皮） 酸枣仁（炒） 生地黄（酒洗） 黄连（酒炒） 陈
皮（去白） 南星（姜制，各一两） 天竺黄（五钱） 牛黄（二钱） 珍珠（二钱） 琥珀（二钱） 朱砂（五钱，
为衣）
上为极细末，炼蜜为丸，如梧桐子大。每服五十丸，清米汤下。忌母猪肉、牛羊犬马等
肉、胡椒、葱、蒜。
痫属风痰者，宜追风祛痰也。
追风祛痰丸 治诸风痫暗风。世之患此病者甚多，余用此得效者甚广，幸试之。
防风（去芦） 天麻 僵蚕（洗去丝，炒） 白附子（面包煨，各一两） 全蝎（去毒微炒） 木
香（各五钱） 牙皂（炒，一两） 白矾（枯，五钱） 南星（三两，一半白矾水浸，一半皂角水浸，皆浸
一宿） 半夏（汤泡七次，研为细末，秤六两分作二分，一分用皂角浸浆作曲，一分用生姜汁
作曲）
上为细末，姜汁打稀糊为丸，如梧桐子大，朱砂为衣。每服七、八十丸，食远临卧用淡
姜汤送下，或薄荷汤下。病患气血虚者，加人参、当归；胃虚，加白术；有火，加姜汁、炒
黄连各一两。
痫属痰者，宜化痰清火也。
清心滚痰丸 治癫痫惊狂，一切怪症，神效。
大黄（酒蒸，四两） 黄芩（四两） 青礞石（硝 ，五钱） 沉香（二钱半） 犀角（五钱） 皂角（五钱）
麝香（五分） 朱砂（五钱）
上为细末，水丸如梧桐子大，朱砂为衣。每服七十丸，温水下。
虎睛丸 治痫疾发作，涎潮搐搦，精神恍惚，将作谵语。
犀角（挫屑，一两） 虎睛（一对，微炒） 大黄（一两） 栀子（五钱） 远志（甘草水泡，去心，一两
上为细末，炼蜜为丸，绿豆大。每服二十丸，食后温酒送下。
痫属风热者，宜祛风清热也。
祛风至宝丹 治癫痫。
防风 薄荷 荆芥 羌活 独活 连翘 黄芩 黄柏 黄连 栀子 全蝎 天麻 细辛
枳实 桔梗 大黄 芒硝 生地 石膏 甘草（各一两） 盐梅（五十个，去核） 干葛 赤芍
细茶（各一两半） 麻黄（三钱，临症详审，或用或不用）
上药均用温水洗，火焙干为末，炼蜜为丸，弹子大，朱砂为衣。每服二丸，不时细嚼，
并卧时茶酒任下。如血虚，加芎、归各一两；气虚，加人参、白术各一两。
一小儿周岁，从桌上仆地，良久复苏，发搐吐痰沫。服定惊化痰等药，遇惊即复作，毕
姻后不时发而难愈。形气俱虚，面色痿黄，服十全大补、补中益气二汤而愈（方见补益）。
王大参嗣君，年十八岁。患痫，每发即仆地，吐涎，不省人事，少顷复苏。或一月一发
，或两月发四五次者，七年遍医弗效。余诊六脉滑数，人迎紧盛，此气血虚而有风痰壅并也
。以追风祛痰丸加人参、当归、黄连各一两，安神丸，二药兼服，未及半年而痊。后有数人
，俱同此治，皆愈。
一小儿十五岁，御女后复劳役，考试失意，患痫症三年矣。遇劳则发。用十全大补汤、
加味归脾汤之类，更以紫河车生研如膏，入蒸糯米饭为丸，如梧桐子大。每服百丸，日三、
五服而痊。后患遗精、盗汗、发热，仍用前药及六味丸而愈。此方治痫，不拘男女老幼皆效
Pulse: A deficient and wiry pulse indicates fright (Jing) and wind epilepsy (Feng Xian).
Epilepsy (Xian Bing) is characterized by sudden collapse, limpness of the body, teeth grinding, foaming at the mouth, followed by loss of consciousness, and subsequent recovery. There are five types: sheep epilepsy (Yang Xian), pig epilepsy (Zhu Xian), cow epilepsy (Niu Xian), horse epilepsy (Ma Xian), and dog epilepsy (Quan Xian). All are caused by fright, wind, heat, and phlegm (Tan), and are treated with modifications of Er Chen Tang (Two-Aged Decoction) combined with An Shen Wan (Calming the Spirit Pill). Mania (Dian Bing) is characterized by wild shouting, running about, and not recognizing people; its primary pathogenesis is phlegm, so treatment focuses on resolving phlegm using modifications of Er Chen Tang.
Various forms of epilepsy are due to the accumulation and obstruction of phlegm-fluids (Tan Xian).
Er Chen Tang (Two-Aged Decoction): Treats all types of epilepsy.
Fu Ling (Poria), prepared Nan Xing (Arisaema Cum Bile), Chen Pi (Tangerine Peel) (each 1 qian); Gua Lou Ren (Trichosanthes Seed), bran-fried Zhi Shi (Immature Bitter Orange), Jie Geng (Platycodon Root), Zhi Zi (Gardenia Fruit), Ban Xia (Pinellia Rhizome), Huang Qin (Scutellaria Root) (each 1 qian); Gan Cao (Licorice Root) (0.3 qian); Mu Xiang (Aucklandia Root) (0.5 qian, powdered); Chen Sha (Cinnabar) (0.5 qian, powdered).
Decoct one dose with three slices of fresh ginger in water. Before administration, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice), grind Mu Xiang, mix with Chen Sha powder, and take orally.
When epilepsy is due to deficiency of Qi and Blood accompanied by phlegm-fire, both attacking and tonifying methods should be employed simultaneously.
Qing Xin Yi Dan Tang (Clear Heart and Subdue Gallbladder Decoction): Calms the Liver, resolves depression, clears fire, transforms phlegm, and eliminates dizziness and various epileptic disorders.
Jiu Jin Dang Gui (Wine-soaked Angelica Sinensis Root), Jiu Jin Bai Shao (Wine-soaked White Peony Root), Qu Lu Chao Bai Zhu (De-rhizomed, fried Atractylodes Macrocephala Rhizome), Qu Pi Fu Ling (De-corticated Poria), Jiang Zhi Chao Huang Lian (Ginger-juice fried Coptis Rhizome), Chao Xiang Fu (Fried Cyperus Rhizome), Jiang Zhi Chao Ban Xia (Ginger-juice fried Pinellia Rhizome), Biao Chao Zhi Shi (Bran-fried Immature Bitter Orange), Zhu Ru (Bamboo Shavings), Shi Chang Pu (Acorus Rhizome), Chen Pi (Tangerine Peel) (each 1 qian); Qu Xin Mai Men Dong (De-heart Ophiopogon Tuber), Chuan Xiong (Ligusticum Rhizome), Ren Shen (Ginseng Root), Qu Xin Yuan Zhi (De-heart Polygala Root), Gan Cao (Licorice Root) (0.4 qian).
Decoct as a single dose in water and take orally.
An Shen Wan (Calming the Spirit Pill): Treats epilepsy; suitable for long-term use.
Jiu Xi Dang Gui (Wine-washed Angelica Sinensis Root), Qu Lu Ren Shen (De-rhizomed Ginseng Root), Qu Pi Fu Ling (De-corticated Poria), Chao Suan Zao Ren (Fried Ziziphus Seed), Jiu Xi Sheng Di Huang (Wine-washed Rehmannia Root), Jiu Chao Huang Lian (Wine-fried Coptis Rhizome), Qu Bai Chen Pi (De-white Tangerine Peel), Jiang Zhi Nan Xing (Ginger-prepared Arisaema) (each 1 liang); Tian Zhu Huang (Bamboo Moso), Niu Huang (Calculus Bovis), Zhen Zhu (Pearl), Hu Po (Amber) (each 2 qian); Zhu Sha (Cinnabar) (5 qian, used as coating).
Grind into an extremely fine powder, make pills with refined honey, size of Sophora seeds. Take 50 pills each time with clear rice soup. Avoid mother pork, beef, mutton, dog, horse meat, pepper, scallion, and garlic.
When epilepsy is due to wind-phlegm, wind-chasing and phlegm-resolving methods are appropriate.
Zhui Feng Qu Tan Wan (Wind-Chasing and Phlegm-Expelling Pill): Treats various wind-epilepsies and hidden wind. Many suffer from this disease in the world; I have achieved wide success with this formula, so try it.
Qu Lu Fang Feng (De-rhizomed Saposhnikovia Root), Tian Ma (Gastrodia Rhizome), Xi Qu Si Chao Jiang Can (Silkworm washed, de-silked, fried), Mian Bao Wei Bai Fu Zi (Flour-baked Typhonius Rhizome) (each 1 liang); Qu Du Wei Chao Quan Xie (De-toxified, slightly fried Scorpion), Mu Xiang (Aucklandia Root) (each 5 qian); Chao Ya Zao (Fried Gleditsia Spine), Ku Bai Fan (Calcined Alum) (5 qian); Nan Xing (Arisaema) (3 liang, half soaked in Bai Fan water, half in Yao Jiao water, soaked overnight); Ban Xia (Pinellia) (soaked in boiling water seven times, ground to fine powder, weighed 6 liang, divided into two parts: one part made into qu using Yao Jiao soaked paste, the other part made into qu using Ginger Juice) (total weight corresponds to the described proportions).
Grind into fine powder, make pills with thin paste made from Ginger Juice, size of Sophora seeds, coated with Zhu Sha. Take 70-80 pills each time after meals and before bed with light ginger soup, or mint soup. If the patient has Qi and Blood deficiency, add Ren Shen and Dang Gui; if Stomach deficiency, add Bai Zhu; if there is fire, add Jiang Zhi and Chao Huang Lian (each 1 liang).
When epilepsy is due to phlegm, phlegm-transforming and fire-clearing methods are appropriate.
Qing Xin Gun Tan Wan (Clear Heart and Rolling Phlegm Pill): Treats epilepsy, mania, fright, and all strange syndromes; miraculous effect.
Jiu Zheng Da Huang (Wine-steamed Rhubarb) (4 liang), Huang Qin (Scutellaria Root) (4 liang), Xiao Yan Qing Meng Shi (Saltpeter-treated Lapis Aurichalceus) (5 qian), Chen Xiang (Aquilaria Wood) (2.5 qian), Xi Jiao (Rhinoceros Horn) (5 qian), Yao Jiao (Gleditsia Spine) (5 qian), She Xiang (Musk) (0.5 fen), Zhu Sha (Cinnabar) (5 qian).
Grind into fine powder, make water pills size of Sophora seeds, coated with Zhu Sha. Take 70 pills each time with warm water.
Hu Jing Wan (Tiger Eye Pill): Treats epilepsy attacks with flooding saliva, convulsions, trance-like state, and impending delirium.
Cu Xie Xi Jiao (Crushed Rhinoceros Horn) (1 liang), Wei Chao Hu Jing (Slightly fried Tiger Eyes) (1 pair), Da Huang (Rhubarb) (1 liang), Zhi Zi (Gardenia Fruit) (5 qian), Yuan Zhi (Polygala Root) soaked in Licorice water, de-heart (1 liang).
Grind into fine powder, make pills with refined honey, size of mung beans. Take 20 pills each time after meals with warm wine.
When epilepsy is due to wind-heat, wind-dispelling and heat-clearing methods are appropriate.
Qu Feng Zhi Bao Dan (Wind-Dispelling Precious Treasure Elixir): Treats epilepsy.
Fang Feng (Saposhnikovia Root), Bo He (Mint), Jing Jie (Schizonepeta Spike), Qiang Huo (Notopterygium Rhizome), Du Huo (Angelica Pubescens Root), Lian Qiao (Forsythia Fruit), Huang Qin (Scutellaria Root), Huang Bo (Phellodendron Bark), Huang Lian (Coptis Rhizome), Zhi Zi (Gardenia Fruit), Quan Xie (Scorpion), Tian Ma (Gastrodia Rhizome), Xi Xin (Asarum Root), Zhi Shi (Immature Bitter Orange), Jie Geng (Platycodon Root), Da Huang (Rhubarb), Mang Xiao (Mirabilite), Sheng Di Huang (Rehmannia Root), Shi Gao (Gypsum Fibrosum), Gan Cao (Licorice Root) (each 1 liang); Yan Mei (Salted Plum) (50 pieces, pitted), Gan Ge (Kudzu Root), Chi Shao (Red Peony Root), Xi Cha (Fine Tea) (each 1.5 liang); Ma Huang (Ephedra Herb) (3 qian, use according to detailed clinical assessment, may or may not be used).
Wash all herbs in warm water, dry over fire, grind to powder, make pills with refined honey, size of bullet, coated with Zhu Sha. Take 2 pills each time, chew slowly at any time, or swallow with tea or wine before bed. If Blood deficiency, add Chuan Xiong and Dang Gui (each 1 liang); if Qi deficiency, add Ren Shen and Bai Zhu (each 1 liang).
A one-year-old child fell from a table, recovered after a long time, and developed convulsions with foaming at the mouth. After taking medicines for calming fright and transforming phlegm, symptoms recurred upon fright. After marriage, attacks became frequent and difficult to cure. The child had deficient form and Qi, sallow complexion, and was cured by taking Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) (formulas see Tonification section).
Wang Dacan’s stepson, aged eighteen, suffered from epilepsy. Each attack involved falling to the ground, foaming at the mouth, and loss of consciousness, recovering after a short while. Attacks occurred once a month or four to five times every two months. Seven years of medical treatment were ineffective. I diagnosed slippery and rapid pulses in all six positions, and a tight, full Ren Ying (Carotid) pulse, indicating Qi and Blood deficiency with wind-phlegm obstruction. I prescribed Zhui Feng Qu Tan Wan added with Ren Shen, Dang Gui, and Huang Lian (each 1 liang), combined with An Shen Wan. Taking both medicines, he recovered in less than half a year. Several subsequent patients were treated similarly and all recovered.
A fifteen-year-old boy contracted epilepsy after sexual intercourse, excessive labor, and failure in examinations, suffering for three years. Attacks were triggered by fatigue. He was treated with Shi Quan Da Bu Tang and Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction), along with Zi He Che (Human Placenta) raw-ground into paste, mixed with steamed glutinous rice flour to make pills size of Sophora seeds. Take 100 pills each time, three to five times daily, resulting in recovery. Later, he suffered from spermatorrhea, night sweats, and fever, which were also cured with the previous medicines plus Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia). This formula is effective for treating epilepsy regardless of gender or age.