治五癫百痫,无问阴阳冷热。
虢丹 晋矾(各一两)
上用砖凿一窠,可容二两许,先安丹在下,次安矾在上,以白炭五斤 令炭尽,取出细
研,以不经水猪心血为丸,如绿豆大。每服十丸至二十丸,橘皮汤下。
治一百二十种癫痫,惊狂谵妄颠倒,昏不知人,喷吐涎沫。及治心惊胆寒,
清清不睡,可左胁偏疼。
辰砂(用黄松节酒煮) 龙齿(用远志苗醋煮)
上只取辰砂龙齿各等分,为末,猪心血为丸,如鸡头大。每服一丸,以麦门冬叶、绿豆
、灯芯、生姜、白蜜,水煎豆熟为度,临卧咽下;小儿磨化半丸,量岁数与之。
治五脏六腑诸风,癫痫掣纵,吐涎沫,不识人;及小儿急慢惊风。
蛇含(四枚,建盏内 红,以楮树汁一碗淬干) 天南星(炮) 白附子 辰砂(别研) 麝香
(别研,各半两)
上为末,糯米糊丸,如梧子大。每服温汤磨化一丸,量大小与服,大人嚼细三五丸,温
酒、米汤任下。
夫五痫合属五脏,而无肾有胃者,以肾属鼠,非畜养物,神无主治,故不作痫;胃属鸡
,系六畜物,故有象;兼胃为五脏海,非余腑比。又犬属戌,手少阳小肠经主之,虽属六畜
,初无犬痫者,以辰戌为魁罡,四杀没处,不兴痫象。古方类例,未之究也,学人宜知之。
夫三阳并三阴,则阳虚而阴实,故癫;三阴并三阳,则阴虚而阳实,故狂。论曰∶阳入
阴,其病静;阴入阳,其病怒,怒则狂矣。病者发狂不食,弃衣奔走,或自称神圣,登高笑
歌,逾墙上屋,所至之处,非人所能,骂詈妄言,不避亲属,病名狂。多因阳气暴折,蓄怒
不决之所致。故《经》曰∶阳明常动,太阳少阳不动,不动而动为大疾。此其候也。
Treats various forms of epilepsy, regardless of whether they are Yin or Yang patterns, or Cold or Heat patterns.
Guodan (National Cinnabar) and Jinfan (Jin Alum) (each 1 liang).
Place the above ingredients in a cavity carved into a brick, with a capacity of approximately 2 liang. First place Guodan at the bottom, then place Jinfan on top. Roast using 5 jin of white charcoal until the charcoal is completely consumed. Remove the material, grind it finely, and use pig heart blood that has not been washed with water as a binder to form pills the size of mung beans. Take 10 to 20 pills per dose, administered with Tangerine Peel Decoction (Chenpi Tang).
Treats 120 types of epilepsy, including mania, delirium, mental confusion, unconsciousness, and spitting of saliva/phlegm caused by fright. Also treats palpitations, fearfulness, insomnia while awake, and unilateral pain in the left hypochondrium.
Chensha (Cinnabar, boiled with Huangsongjie wine), Longchi (Dragon Teeth, boiled with Yuanzhi seedling vinegar).
Take equal parts of Chensha and Longchi, grind into powder, and use pig heart blood to form pills the size of a chicken head. Take one pill per dose. Decoct Ophiopogon Leaf (Maimendong Ye), Mung Bean, Juncus Effusus (Dengxin), Fresh Ginger, and White Honey in water until the beans are cooked. Swallow before bedtime; for children, crush half a pill and administer according to age.
Treats wind pathogens affecting the five Zang organs and six Fu organs, causing epilepsy with spasms and convulsions, spitting of saliva/phlegm, and loss of recognition; also treats infantile acute and chronic convulsive disorders (Jingfeng).
Shetian (Ophiorrhiza mungos root, four pieces, calcined red in a Jian ware cup, quenched once with one bowl of Broussonetia papyrifera sap), Arisaema Cum Bile (Paotian Nanxing), Bai Fuzi (Aconitum Carmichaelii Dehulled and Prepared), Chensha (Cinnabar, ground separately), Moschus (She Xiang, ground separately, each 0.5 liang).
Grind the above into powder, bind with rice paste to form pills the size of Sophora seeds. For each dose, dissolve one pill in warm water and take, adjusting quantity based on body size. Adults may chew 3 to 5 pills thoroughly and take with warm wine or rice gruel.
The five epilepsies correspond to the five Zang organs, but there is no Kidney epilepsy or Stomach epilepsy. This is because the Kidney corresponds to the Rat, which is not a domesticated animal, and thus lacks a presiding deity, so it does not generate epilepsy; the Stomach corresponds to the Chicken, which belongs to the six domestic animals, so it has an associated image; furthermore, the Stomach is the "Sea" of the five Zang organs, unlike other Fu organs. Additionally, the Dog corresponds to the Earthly Branch Xu, governed by the Hand-Shaoyang Small Intestine Meridian. Although the Dog is among the six domestic animals, there was initially no concept of "Dog Epilepsy," because Chen and Xu are positions of Kuigang (Commander and General stars) and Si Sha (Four Killers), where energy is submerged, so they do not manifest epilepsy images. Ancient formularies did not investigate these classifications in depth; students should be aware of this.
When the three Yang meridians merge with the three Yin meridians, Yang becomes deficient and Yin becomes excess, resulting in Dian disorder (epilepsy); when the three Yin meridians merge with the three Yang meridians, Yin becomes deficient and Yang becomes excess, resulting in Kuang disorder (mania). The treatise states: When Yang enters Yin, the disease manifests as quietude; when Yin enters Yang, the disease manifests as anger, and anger leads to mania. Patients suffering from mania refuse food, discard clothing, run about, sometimes claim to be divine, climb high places singing and laughing, jump over walls and roofs, perform actions beyond human capability, curse and speak nonsense, disregarding kinship ties. This condition is named Kuang disorder. It is often caused by a sudden trauma to Yang Qi or unresolved suppressed anger. Thus, the Classic states: The Yangming meridian's Qi and Blood move constantly, whereas the Taiyang and Shaoyang meridians do not move; when what does not move suddenly moves violently, it constitutes a major disease. This is its clinical presentation.