忽卒倒不语。但风必有斜歪。搐搦之症为异。有因受气而中者。脉沉身冷。无痰故也。
用姜
汤调苏合香丸灌之。至醒随其寒热虚实调之。轻者用乌药顺气散。或曰。此气暴逆而然。气
复即已。虽不药而愈。然闭口脉绝者。亦不治。
有因停食而厥者。必胸中满闷。
有夏月卒倒。为暑风。此类中风。而实中暑者。
有因火者。内火外火合而炎铄。刘守真作将息失宜。一水不胜二火也。
有因痰者。火气激搏。痰塞碍心窍也。以上四者皆用盐汤吐之。防风至宝汤。
南星 防风 天麻 陈皮 当归 半夏（各一钱） 僵蚕（一钱二分） 白芍 川芎 甘草
青皮 栀仁 乌药 羌活 黄芩 黄连 麻黄 白芷 牛膝（各八分）
水二钟。加姜五片煎服。忌食蒜。
痫证一发即颠仆。眼直口吐痰沫。其声类畜。不省人事。少顷即苏。此因惊风食而得之。
其症
有五。而似五畜。以应五脏。原因或七情之郁结。六淫之所感或曰大惊。神不守舍。亦有幼
小受惊。以至痰迷于心窍故也。
育神镇心丸（秘传）治五种痫症。并颠狂惊恐。痰迷心窍等证。
羚羊角 犀角（各四钱） 胆星（制过九次者） 远志（去心） 茯神（去木） 百子仁（去油）
石
菖蒲 橘红（各八钱） 礞石（ 过六钱） 大黄（五钱） 天麻（煨过七钱） 牛黄（二钱） 栝蒌
曲（五钱） 麝香（一钱二分） 朱砂（二钱） 真金箔（三十张）
上为细末。竹沥同胆星打糊为丸。朱砂金箔为衣。每服空心姜汤送下。一钱。
清心豁痰汤
石菖蒲（去毛） 麦门冬（去心） 茯苓（去皮） 枳实（炒各一钱二分） 远志（去心） 天花
粉贝母（去心） 酸枣仁（去油） 玄参 黄连（姜汁炒） 橘红（各一钱） 甘草梢（四分）
水二钟。加姜五片。竹茹八分。煎一钟。温服。
Sudden collapse with loss of speech. However, wind-stroke (Zhong Feng) must present with facial deviation, whereas convulsions and spasms are distinct symptoms. There are cases caused by emotional shock, characterized by a deep pulse and cold body, due to the absence of phlegm turbidity.
Administer Suhe Xiang Wan (Styrax Pills) mixed in ginger decoction via gavage. Once conscious, regulate treatment according to patterns of cold, heat, deficiency, or excess. For mild cases, use Wuyao Shunqi San (Aucklandia and Cyperus Powder to Smooth Qi). Some argue that this results from sudden qi rebellion; once qi returns to normalcy, recovery occurs spontaneously, even without medication. However, if the mouth is tightly closed and the pulse is imperceptible (closed syndrome), it is incurable.
There are cases of jue (syncope/cold extremities) caused by food stagnation, invariably accompanied by chest fullness and oppression.
Cases of sudden collapse in summer are termed shu feng (summerwind); these resemble wind-stroke but are actually heatstroke.
There are cases caused by fire pathogens, where internal and external fire combine to scorch the body. Liu Shouzhen attributed this to improper lifestyle management, resulting in Kidney Water failing to control Heart and Liver Fire.
There are cases caused by phlegm, where fire qi agitates and struggles, causing phlegm to obstruct the heart orifices. The above four categories (food stagnation, summerwind, fire, phlegm) should first be treated with salt water emesis, followed by Fangfeng Zhibao Tang (Saposhnikovia and Precious Treasure Decoction).
Ingredients: Tianxing (Arisaema Cum Bile), Fangfeng (Saposhnikovia Root), Tianma (Gastrodia Rhizome), Chenpi (Citrus Reticulata Peel), Danggui (Angelica Sinensis Radix), Banxia (Pinelliae Tuber) (each 1 qian); Jiangcan (Bombyx Batryticatus) (1.2 qian); Baishao (White Peony Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Gancao (Licorice Root), Qingpi (Green Citrus Peel), Zhiren (Gardenia Seed), Wuyao (Lindera Root), Qianghuo (Notopterygium Rhizoma), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Mahuang (Ephedra Herb), Baizhi (Angelica Dahurica Radix), Niuxi (Achyranthes Root) (each 0.8 qian).
Add five slices of fresh ginger to two zhong of water, decoct, and take orally. Avoid garlic.
Xian Zheng (Epilepsy) presents with immediate falling, eyes staring straight up, foaming at the mouth, sounds resembling animals, and unconsciousness. Recovery occurs after a short while. This condition arises from wind-phlegm and food accumulation.
The symptoms manifest in five types, corresponding to five animals and five zang organs. Etiology includes depression of the seven emotions, invasion of the six climatic factors, or severe fright causing the spirit to lose its residence. It may also result from fright received in early childhood, leading to phlegm confusing the heart orifices.
A deficient and wiry pulse indicates fright; floating and surging pulse indicates Yang Epilepsy; deep pulse indicates Yin Epilepsy; floating and scattered pulse indicates Wind Epilepsy.
Yushen Zhenxin Wan (Spirit-Nourishing Heart-Calming Pill, Secret Formula) treats the five types of epilepsy, as well as mania, fright, and phlegm confusing the heart orifices.
Ingredients: Lingyangjiao (Saiga Antelope Horn), Xijiao (Rhinoceros Horn - *Note: Use substitute in practice*) (each 4 qian); Danning (Arisaema Cum Bile, processed nine times), Yuanzhi (Polygala Root, dehearted), Fushen (Poria with Hostwood, de-woodyled), Baiziren (Biota Seed, defatted), Shichangpu (Acorus Rhizoma), Juhong (Citrus Reticulata Pericarpium Rubrum) (each 8 qian); Mengshi (Calamine, calcined) (6 qian), Dahuang (Rhubarb Root), Tianma (Gastrodia Rhizoma, roasted) (7 qian), Niuhuang (Calculus Bovis) (2 qian), Gualou Qu (Trichosanthes Fruit Fermented Paste) (5 qian), Shexiang (Musk) (1.2 qian), Zhusha (Cinnabar) (2 qian), Zhen Jinbo (True Gold Leaf) (30 sheets).
Grind into fine powder. Make pills using paste formed by mixing Zhu Li (Bamboo Sap) with Danning. Coat with Zhusha and Jinbo. Take one qian on an empty stomach with ginger decoction.
Qingxin Huotan Tang (Heart-Clearing Phlegm-Expelling Decoction)
Ingredients: Shichangpu (Acorus Rhizoma, de-hairy), Maidong (Ophiopogon Tuber, de-heart), Fuling (Poria, de-barked), Zhishi (Immature Bitter Orange, stir-fried), Yuanzhi (Polygala Root, de-heart), Tianhuafen (Trichosanthes Root), Beimu (Fritillaria Bulb, de-heart), Suanzaoren (Ziziphus Seed, defatted), Xuanshen (Scrophularia Root), Huanglian (Coptis Rhizome, stir-fried with ginger juice), Juhong (Citrus Reticulata Pericarpium Rubrum) (each 1 qian); Gancaoshao (Licorice Tip) (0.4 qian).
Add five slices of fresh ginger and 0.8 fen of Zhuru (Bamboo Shavings) to two zhong of water. Decoct to one zhong. Take warm.