铁粉散
治颠狂，谵语，乱说，神祟，不避亲疏，登高履险，或歌或笑，裸体，不饮食，数
不知人。及风证狂怒，或如醉如痴。
颗块大朱砂（一两，另研） 红明琥珀（一两，另研） 大南星（二两） 圆白半夏（二
两） 白
矾
两） 全
蝎
上为末。每服四钱，生姜四两，净洗取自然汁，温暖调服。如不任辣味，加温水少许服
之，
十四友丸
补诸虚不足，益血，收敛心气。治怔忡不宁，精神昏倦，睡卧不安。
柏子仁（别研） 远志（去心，酒浸蒸，炒） 酸枣仁（炒香） 紫石英（明亮者） 熟
干地黄
（洗）
胶（蚌粉炒）
肉
上为末，炼蜜丸如梧子大。每服三四十丸，枣汤食后临卧服。旧有患心疾，怔忡健忘，
梦寐
得之
收敛
宁志丸
好朱砂一两，将熟绢一小片包裹，以线扎定。 猪心一枚，竹刀子切破，不得犯铁
纸拭去血，入朱砂包子于猪心内。却用麻线缚合猪心，又以甜笋壳再裹了，麻皮扎定。
酒二升，入砂罐子或银器内煮，酒尽为度。去线并笋壳，取朱砂别研，将猪心竹刀细切
盆内研令烂，却入后药末并朱砂、枣肉为丸，留少朱砂为衣。药末须隔日碾下，枣肉于
心日绝早煮熟，剥去皮核，取肉四两用。患心风，服此一料，其病顿减。
人参 白茯苓 当归（洗去土及芦） 石菖蒲 乳香（别研） 酸枣仁（用五两，汤浸
去皮
可剥
上为末，和丸如梧子大，以留下朱砂为衣。每服五十丸，人参汤下。
抱胆丸
治男子妇人一切癫痫风狂，或因惊恐怖畏所致者。及妇人产后血虚，惊气入心，并
经脉通行，惊邪蕴结。顿服此，累曾经效。
水银（二两） 朱砂（一两，研制） 黑铅（一两半） 乳香（一两，细研）
上将黑铅入铫子内，下水银结成砂子，次下朱砂、滴乳，乘热用柳木槌研匀，丸如鸡头
大。
一醉散
治心恙。
无灰酒（二碗） 真麻油（四两）
上和匀，用杨柳枝二十条，逐条搅一二百下，换遍柳条，直候油、酒相入如膏，煎至七
分碗
又方，蕊珠丸
大猪心（一枚取血） 大朱砂（二两，为末） 青靛花（一匙）
上先将青靛花同猪心血一处同研，次以朱砂末共丸如梧子大。每服二十丸，茶、酒下，
不拘
郁矾丸
治颠狂可畏，数年不愈，多因惊忧得之，痰涎留于心窍。
蝉肚郁金（七两，真蜀川来者） 明矾（三两）
上为末，薄糊为丸如梧子大。每服五十丸，汤水任服。初服，觉心胸间有物脱去，神气
洒然
朱雀丸
治心神不定，恍惚不乐，火不下降，时复振跳。常服，消阴养火，全心气。
茯神（二两，去皮） 沉香（半两）
上为末，炼蜜丸如小豆大。每服三十丸，食后，人参汤下。
陈艾汤
治盗汗，只自心头出者，名曰心汗。
茯苓（二两半）
上为末，每服二钱，浓煎艾汤调下。
归神丹
治一切惊忧，思虑恍惚，作事多忘，心气不足，癫痫狂乱。及大病后心虚，神不守
久服养神思，益眼力。
颗块大朱砂（二两，入猪心内，灯心缠缚，用无灰酒蒸二炊久，取出另研） 金箔（二
十
片，
远
志（取
二两） 龙
齿（
上为末，酒煮稀糊丸如梧子大。每服二九丸到三九丸，去心麦门冬汤下。癫痫至甚者，
乳香
平补镇心丹
治丈夫妇人心气不足，志意不定，神情恍惚，夜多异梦，忪悸烦郁。及肾气伤
气多，四肢倦怠，足麻酸疼，睡卧不稳，梦寐遗精，时有白浊，渐至羸弱。
酸枣仁（去皮，隔纸微炒，二钱半） 车前子（去沙土，碾破） 白茯苓（去皮） 五
味子（去
枝
天门冬（去心） 远志（去心，甘草水煮） 山药（洗净，姜汁制，各一两半） 茯神
（去皮）
朱砂（细研，
半两，为衣）
上为末，炼蜜丸如梧子大。每服三十丸，空心，饭饮下，温酒亦可，加至五十丸。常服，
益
独效苦丁香散
治忽患心疾，癫狂不止，得之惊忧之极，痰气上犯心包。当伐其源。
上以苦丁香即瓜蒂半两，为末。每服一钱重，井花水调满一盏投之，得大吐之后熟睡，
勿令
痼之
灸法∶
狂痫不识人，癫病眩乱，灸百会九壮。狂邪鬼语，灸天窗九壮，其穴在颈大筋前曲颊
下扶突后，动应手陷中是。狂言恍惚，灸天枢百壮，其穴去肓俞一寸半，直脐傍二寸。狂痫
哭泣，灸手逆注三十壮，穴在左右手腕后六寸。癫狂风痫吐吞，灸胃脘百壮，不针。狂邪发
无常，被发大唤，欲杀人，不避水火，及狂言妄语，灸间使三十壮，穴在腕后五寸，臂上两
骨间。狂走喜怒悲泣，灸臣觉穴随年壮，穴在背上夹内侧，反手所不及者，骨芒穴上捻之痛
者是也。鬼魅，灸入发一寸百壮。狐魅，合手大指缚指，灸合间三七壮，当狐鸣即差。卒狂
言鬼语，以带急合缚两手大指，便灸左右胁下，对屈肋头两处各七壮，须臾鬼自道姓名乞去
，徐徐问之，乃解其手。卒中邪魅，恍惚振噤，灸鼻下人中及两手足大指爪甲本，令艾丸半
在爪上，半在肉上，各七壮，不止，十四壮，艾炷如雀粪大。卒狂鬼语，针其足大拇指爪甲
下，入少许即止。
Tie Fen San (Iron Powder Powder)
Treats mania and delirium, incoherent speech, chaotic talking, manifestations of spiritual possession, lack of discrimination between kin and strangers, climbing high and treading on dangers, singing or laughing, nudity, refusal to eat or drink, and unconsciousness. Also treats manic rage due to wind syndromes, or states resembling drunkenness or dementia.
Cinnabar (Zhusha, 1 liang, ground separately) Amber (Hupo, 1 liang, ground separately) Arisaema Cum Bile (Nanxing, 2 liang) Pinellia Rhizoma Preparatum (Banxia, 2 liang) Alum (Baifan, 2 liang) Scorpio (Quanxie, 2 liang)
Grind the above into a fine powder. Take 4 qian per dose, mix with fresh juice extracted from 4 liang of fresh ginger (Shengjiang), wash clean, and take warm. If the spicy taste is intolerable, add a little warm water to take it.
Shisi You Wan (Fourteen Friends Pill)
Tonifies various deficiencies and insufficiencies, nourishes blood, and consolidates Heart Qi. Treats palpitations and restlessness, mental fatigue and drowsiness, and restless sleep.
Bai Zi Ren (Biota Seed) [ground separately] Yuan Zhi (Polygala Root) [decored, soaked in wine, steamed, stir-fried] Suan Zao Ren (Ziziphus Seed) [stir-fried until fragrant] Fluorite (Zhiyingshi) [choose bright ones] Rehmanniae Radix Praeparata (Shu Dihuang) [washed] Deer Antler Glue (Lujiao Jiao) [stir-fried with Corium Tridactyli Pulvis (Bangfen)] Cinnamon Twig (Rougui)
Grind the above into a fine powder, refine honey, and make pills the size of mulberry seeds. Take 30-40 pills per dose, administer after meals and before bed with jujube decoction. For existing heart diseases, palpitations, and forgetfulness, dreams of fright, taking this medicine will yield results.
Ning Zhi Wan (Calm Spirit Pill)
Take 1 liang of good quality Cinnabar (Zhusha), wrap it in a small piece of cooked silk, and tie it securely with thread. Take one pig heart, cut it open with a bamboo knife, ensuring no iron touches it. Wipe off the blood with paper, insert the silk-wrapped Cinnabar into the pig heart. Tie the pig heart closed with hemp thread, then wrap it again with sweet bamboo shell (Sunke) and secure with hemp skin.
Boil in 2 sheng of rice wine without ash (Wuhui Jiu) in a clay pot or silver vessel until the wine is exhausted. Remove the thread and bamboo shell, take out the Cinnabar and grind it separately. Finely chop the pig heart with a bamboo knife and grind it into a paste in a basin. Then add the following powdered medicines, Cinnabar, and jujube flesh to form pills, leaving some Cinnabar for coating. The medicinal powder should be ground every other day. The jujube flesh should be boiled early in the morning, peeled, pitted, and 4 liang of flesh taken. For patients with Heart Wind syndrome, taking this dosage will significantly reduce the disease.
Ginseng Radix et Rhizoma (Renshen) Poria (Fuling) Angelicae Sinensis Radix (Danggui) [wash to remove soil and rhizome] Acori Tatarinowii Rhizoma (Shichangpu) Frankincense (Ruxiang) [ground separately] Ziziphi Spinosae Semen (Suanzaoren) [use 5 liang, soak in hot water, peel if removable]
Grind the above into a fine powder, mix with pills the size of mulberry seeds, using the reserved Cinnabar as a coating. Take 50 pills per dose, administer with Ginseng decoction.
Bao Dan Wan (Gallbladder Embracing Pill)
Treats epilepsy and mania in men and women, whether caused by fright, terror, or fear. Also treats postpartum blood deficiency in women where fright qi enters the Heart, obstructing meridian circulation, causing accumulation of fright pathogens. Taking this pill has proven effective repeatedly.
Mercurius (Shuiyin, 2 liang) Cinnabar (Zhusha, 1 liang, finely ground) Lead (Heiqian, 1.5 liang) Frankincense (Ruxiang, 1 liang, finely ground)
First, place Lead in a crucible, add Mercurius to form granules. Then add Cinnabar and Frankincense. While hot, grind evenly with a willow wood pestle. Form pills the size of a cockspur wheat grain.
Yi Zui San (One Drunkenness Powder)
Treats Heart disorders.
Rice wine without ash (Wuhui Jiu, 2 bowls) Sesame Oil (Mahu You, 4 liang)
Mix well. Use 20 willow branches, stirring each branch 100-200 times, replacing branches until the oil and wine merge into a paste-like consistency. Simmer until reduced to 7/10 of a bowl.
Another Prescription: Ruzhu Wan (Pearl Stamen Pill)
Large pig heart (one, collect blood) Cinnabar (Zhusha, 2 liang, ground to powder) Indigo Naturalis (Qingdianhua, 1 spoonful)
First, grind Indigo Naturalis together with pig heart blood. Then mix with Cinnabar powder to form pills the size of mulberry seeds. Take 20 pills per dose, with tea or wine, at any time.
Yu Fan Wan (Curcuma and Alum Pill)
Treats severe mania that persists for years, often caused by fright and sorrow, with phlegm-saliva lingering in the Heart orifices.
Curcumae Radix (Yujin) [specifically "Chan Du" type from Sichuan, 7 liang] Alum (Mingfan, 3 liang)
Grind into a fine powder, use thin starch paste to form pills the size of mulberry seeds. Take 50 pills per dose, with water or soup as desired. Upon initial intake, one may feel something departing from the chest and heart, with a refreshing sensation in spirit.
Zhu Que Wan (Vermilion Bird Pill)
Treats unsettled Heart spirit,恍惚 (trance-like state), unhappiness, failure of Fire to descend, and occasional tremors/jumping. Regular use eliminates Yin, nourishes Fire, and tonifies Heart Qi.
Poria Cum Radix Xylomi (Fushen) [2 liang, peeled] Agarwood (Chenxiang) [0.5 liang]
Grind into a fine powder, refine honey to form pills the size of mung beans. Take 30 pills per dose after meals, administered with Ginseng decoction.
Chen Ai Tang (Aged Mugwort Decoction)
Treats night sweats originating specifically from the heart region, known as Heart Sweat.
Poria (Fuling, 2.5 liang)
Grind into a fine powder. Take 2 qian per dose, mixed with strong Mugwort decoction.
Gui Shen Dan (Return Spirit Elixir)
Treats all forms of fright and sorrow, mental trance, forgetfulness, insufficient Heart Qi, epilepsy, and madness. Also treats Heart deficiency after severe illness where the Spirit does not reside. Long-term use nourishes the mind and improves eyesight.
Cinnabar (Zhusha, 2 liang, placed inside pig heart, bound with Cogongrass Rhizome (Dengxincao), steamed in rice wine without ash for two cooking cycles, then removed and ground separately) Gold Leaf (Jinbo, 20 pieces) Polygala Root (Yuanzhi) [flesh, 2 liang] Dragon Teeth (Longchi, 2 liang)
Grind into a fine powder, use wine-boiled thin starch paste to form pills the size of mulberry seeds. Take 18-27 pills per dose, administered with Decoction of Ophiopogon Root (Maigendong) without the heart. For severe epilepsy, add Frankincense.
Ping Bu Zhen Xin Dan (Balanced Tonification and Calming Heart Elixir)
Treats insufficient Heart Qi in men and women, unstable will, mental trance, frequent strange dreams, palpitations, irritability, and depression. Also treats Kidney Qi injury, excessive Qi leading to limb fatigue, numbness and soreness in feet, restless sleep, nocturnal emissions, white turbidity, and gradual emaciation.
Ziziphi Spinosae Semen (Suanzaoren) [peeled, lightly stir-fried through paper, 2.5 qian] Plantaginis Semen (Cheqianzi) [cleaned of sand/dirt, crushed] Poria (Fuling) [peeled] Schisandrae Fructus (Wuweizi) [remove stems] Asparagi Radix (Tianmendong) [decored] Polygala Root (Yuanzhi) [decored, boiled in Licorice decoction] Dioscoreae Rhizoma (Shanyao) [cleaned, processed with Ginger juice, each 1.5 liang] Poria Cum Radix Xylomi (Fushen) [peeled] Cinnabar (Zhusha) [finely ground, 0.5 liang, for coating]
Grind into a fine powder, refine honey to form pills the size of mulberry seeds. Take 30 pills per dose on an empty stomach, with rice drink; warm wine is also acceptable, up to 50 pills. Regular use provides benefits.
Du Xiao Ku Ding Xiang San (Uniquely Effective Bitter Dill Powder)
Treats sudden onset of Heart disease, unceasing mania, caused by extreme fright and sorrow, with Phlegm-Qi attacking the Pericardium. One must attack the root source.
Use Bitter Dill, which is Cucumis Melo Fruit (Gua Di), 0.5 liang, ground to powder. Take 1 qian per dose, mix with well-water (Jing Hua Shui) to fill a cup and ingest. After inducing severe vomiting and deep sleep, ensure it does not become a chronic condition.
Moxibustion Methods:
For mania and epilepsy with loss of recognition, or dementia with dizziness and confusion, moxa 9 cones at Baihui (GV20). For manic spirits and ghostly speech, moxa 9 cones at Tianchuang (SI16); the point is located anterior to the large tendon of the neck, below the angle of the jaw, posterior to Futu (LI18), in the depression that moves when pressed. For manic speech and trance, moxa 100 cones at Tianshu (ST25); the point is 1.5 cun from Huangshu (CV14), directly 2 cun lateral to the umbilicus. For mania and epilepsy with weeping, moxa 30 cones at Shou Ni Zhu (Extra point); located 6 cun posterior to the wrist joint on both sides. For dementia, wind-epilepsy with spitting and swallowing difficulties, moxa 100 cones at Wei Wan (Extra point); do not needle. For erratic manic attacks, disheveled hair, loud shouting, desire to kill, disregard for fire/water, and manic speech, moxa 30 cones at Jianshi (PC5); located 5 cun proximal to the wrist crease, between the two tendons of the forearm. For manic walking, anger, joy, crying, moxa Chen Jue (Extra point) according to age; located on the back, medial to the spine, where pressing causes pain, unreachable by reverse hand. For ghosts, moxa 100 cones at 1 cun into the hairline. For fox spirits, bind the thumbs together, moxa 21 cones at Hegu (LI4) interspace; cure occurs upon hearing fox sounds. For sudden manic ghostly speech, tightly bind the thumbs together with a belt, then moxa 7 cones at each of the two points under the lateral costal margins corresponding to the bent rib heads. Soon the ghost will name itself and beg to leave; ask gently, then release hands. For sudden evil invasion, trance, and tremors, moxa Renzhong (GV26) below the nose, and the roots of the nails on both big toes. Place moxa cone half on the nail and half on the flesh, 7 cones each; if ineffective, 14 cones. Moxa cone size like a sparrow droppings. For sudden manic ghostly speech, needle below the nail of the big toe, insert slightly to stop symptoms.