大率与痫相似,比痫为虚,治宜带补。气虚有火兼有痰,人参、竹沥之类,切不可作风治而兼用风药。治酒多风
搐∶白术(五钱) 人参(二钱半) 甘草(三钱) 陈皮 苍术(以上各一钱)
天麻(细切,酒浸一钱) 白芍药(酒浸一钱) 防风(五分) 川芎(五分) 上为末,作丸。如小便多加五味子。
属热郁,用火郁汤。葛根 柴胡 白芍药(以上各一两) 甘草(炙一两) 防风(五钱) 升麻(一两)
每服三钱,入葱白三寸,煎,稍热服。又方∶栀子、香附、白芷、苍术、半夏、川芎,上
末之,面糊丸。火郁,手足心发骨蒸,草还丹。
麻是气虚,木是湿痰死血。东垣云∶麻木,气不行也,当补肺中之气。一妇人,体肥气郁,舌麻眩晕,手足
麻,气塞有痰,便结,凉膈散加南星、香附、台芎开之。
有阳厥,有阴厥。阳衰于下即寒,阴衰于下即热。《原病式》中详之。以气血虚为主,有痰、有热。治痰,白
术竹沥;治热,承气汤,因外感解散加姜汁酒。气虚,脉细;血虚,脉如葱管;热厥,脉数;外感,脉浮;实痰脉
弦。一妇人年三十余,面白形长,心中常有不平事。忽半夜诞子,才分娩便晕厥,不知人,遂急于气海灼火十五壮,
而苏后以参、术等药两月而安。一妇人年十九,气怒事不发,一日忽大发,叫而欲厥,盖痰闭于上,火起于下而上
冲,始用∶香附(五钱) 生甘草(三钱) 川芎(七钱) 童便 姜汁煎服 后又用青黛、人参、白附子为丸,少
愈不除,后用大吐乃安。吐后用导痰汤加姜炒黄连、香附、生姜下龙荟丸。
Generally similar to epilepsy (Xian Bing), but more deficient than epilepsy; treatment should incorporate tonification. If there is Qi deficiency with fire and phlegm, use substances such as Renshen (Ginseng) and Zhuli (Bamboo Sap); strictly avoid treating it as a wind syndrome and using wind-dispelling herbs. For treating wind convulsions caused by excessive alcohol consumption: Baizhu (Atractylodis Rhizoma, 5 qian), Renshen (Ginseng Radix et Rhizoma, 2.5 qian), Gancao (Licorice Root, 3 qian), Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma, 1 qian each above), Tianma (Gastrodiae Rhizoma, finely cut, soaked in wine, 1 qian), Baishao Yao (Paeoniae Radix Alba, soaked in wine, 1 qian), Fangfeng (Saposhnikoviae Radix, 0.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 0.5 qian). Grind the above into powder and make pills. If urine output increases, add Wuweizi (Schisandrae Fructus).
For cases belonging to heat stagnation, use Huoyu Tang (Fire Stagnation Decoction). Gegen (Puerariae Lobatae Radix), Chaihu (Bupleuri Radix), Baishao Yao (Paeoniae Radix Alba, 1 liang each above), Gancao (Licorice Root, roasted, 1 liang), Fangfeng (Saposhnikoviae Radix, 5 qian), Shengma (Cimicifugae Rhizoma, 1 liang). Take 3 qian per dose, add 3 cun of Congbai (Scallion White), decoct, and take slightly warm. Another prescription: Zhizi (Gardeniae Fructus), Xiangfu (Cyperi Rhizoma), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma), Banxia (Pinelliae Tuber), Chuanxiong (Ligustici Chuanxiong Rhizoma). Grind into powder and make pills with wheat paste. For Fire Stagnation presenting with bone-steaming heat in the palms and soles, use Caohuan Dan.
Numbness (Ma) is due to Qi deficiency; stiffness/loss of sensation (Mu) is due to damp-phlegm and dead blood (stasis). Dongyuan (Li Dongyuan) said: Numbness and stiffness are caused by the failure of Qi to circulate; one should tonify the Qi in the Lung. A woman, obese with Qi stagnation, presented with tongue numbness, vertigo, limb numbness, Qi obstruction with phlegm, and constipation. She was treated with Liangge San (Cooling the Chest Powder) added with Nanting (Arisaematis Tuber) and Xiangfu (Cyperi Rhizoma) and Taixiong (Chuanxiong) to open the orifices and resolve phlegm.
There are Yang Jue (Yang Reversal) and Yin Jue (Yin Reversal). Yang deficiency at the lower part manifests as cold; Yin deficiency at the lower part manifests as heat. This is detailed in Yuanbing Shi (Original Patterns of Disease). The root is primarily Qi and Blood deficiency, possibly complicated by phlegm or heat. To treat phlegm, use Baizhu and Zhuli; to treat heat, use Chengqi Tang (Chengqi Decoction); if due to external contraction, add Jiangzhi (Ginger Juice) and Jiu (Wine) to the exterior-resolving formula. Qi deficiency presents with a fine pulse; Blood deficiency presents with a pulse like a scallion stalk (hollow); Heat Jue presents with a rapid pulse; External contraction presents with a floating pulse; Excess Phlegm presents with a wiry pulse. A woman over thirty years old, with a pale face and long slender body, often harbored unresolved grievances. Suddenly giving birth in the middle of the night, she fainted immediately after delivery, losing consciousness. Urgently, fifteen moxa cones were applied to Qihai (CV6), after which she revived. Subsequently, she was stabilized over two months with medicines such as Renshen and Baizhu. Another woman, nineteen years old, suppressed her anger for a day until it suddenly erupted; she shouted and was about to faint. This was because phlegm closed the upper jiao while fire rose from the lower jiao and rushed upward. Initially, she was given Xiangfu (5 qian), Sheng Gancao (Raw Licorice Root, 3 qian), Chuanxiong (7 qian), Tongbian (Child's Urine), and Jiangzhi (Ginger Juice) decocted together. Later, pills made of Qingdai (Indigo Naturalis), Renshen, and Baifu Zi (Radix Bungeae) were used. Symptoms slightly improved but did not disappear. Finally, emesis was induced, leading to stability. After emesis, Daotan Tang (Great Phlegm-Resolving Decoction) added with Jiangchao Huanglian (Ginger-fried Coptidis Rhizoma), Xiangfu, and Shengjiang (Fresh Ginger) was used to administer Longhui Wan (Longhui Pills).