治心烦懊 ,心乱怔忡,胸中气乱,心中痞闷,食入反吐出。
朱砂(四钱,研) 黄连末(五钱) 生甘草(二钱半)
上为末,蒸饼丸如黄米大。每十丸,唾津咽下。
治膈痰太甚,作痫。见痰门。
治肝火太甚,作痫。见胁门。
男妇风邪颠痫,或狂走不知人事。
辰砂(一两) 雄黄(一两) 大附子(一个,重一两)
上为末,猪心血为丸梧子大。每服九丸,菖蒲汤下。
一方 治风痫。久服,其痰随小便出。
明矾 细茶(各等)
上为末,炼蜜丸梧子大。每三十丸,茶清下。
《脉诀》∶颠痫之脉,浮洪大长滑大坚疾,痰蓄心狂,脉虚者可治,实则死。又曰∶脉
乍大乍小,乍长乍短,此皆邪脉,神志昏乱。癫属阴,狂属阳。癫多喜而狂,多怒,大率多
因痰结于心胸间,治当治心神,开痰结。亦有中邪而成此疾,则以治邪法治之。癫者,神不
守舍;狂者,如有所见,经年不愈。心经有损,是为真病。如心经蓄热,当清心除热;如痰
迷心窍,当下痰宁志。若颠哭呻吟,为邪所凭,非狂也。烧蚕纸,酒下方寸。卒狂言鬼语,
针大拇指甲下,即止。狂之为病,少卧而不饥,笑傲好歌乐,妄行不休。颠之为病,意常不
乐。直视仰面曰僵,覆面曰仆。脉三部阴阳俱盛,大率多因痰结于心胸间,治当镇心开痰结,
同痫法。
Treats mental restlessness and discomfort, palpitations, chaotic Qi in the chest, epigastric fullness and oppression, and vomiting after eating.
Zhusha (Cinnabar, 4 qian, ground) Huanglian Mo (Coptidis Rhizoma Powder, 5 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 2.5 qian)
Grind the above into powder, use steamed dough as a binder to make pills the size of yellow millet grains. Take ten pills each time, swallow with saliva.
Treats excessive phlegm in the diaphragm causing epilepsy. See the "Phlegm" section.
Treats excessive Liver Fire causing epilepsy. See the "Hypochondrium" section.
Treats wind-stroke epilepsy in men and women, or manic wandering and loss of consciousness.
Chensha (Vermilion, 1 liang) Xionghuang (Realgar, 1 liang) Da Fuzi (Aconiti Lateralis Radix Praeparata, one piece, weighing 1 liang)
Grind the above into powder, use pig heart blood as a binder to make pills the size of Sophora japonica seeds. Take nine pills each time, administer with Anemarrhenae Decoction (Shichangpu Tang).
Another prescription: Treats wind-epilepsy. Long-term use causes phlegm to be discharged via urine.
Mingfan (Alumen, equal amount) Xi Cha (Fine Tea, equal amount)
Grind the above into powder, use refined honey as a binder to make pills the size of Sophora japonica seeds. Take thirty pills each time, administer with clear tea water.
The *Mai Jue* (Pulse Classic) states: The pulse for epilepsy is floating, surging, large, long, slippery, firm, and rapid. If accompanied by phlegm obstructing the Heart orifices leading to mania, a deficient pulse indicates treatability, while an excess pulse indicates death. It also states: A pulse that fluctuates between large and small, long and short, are all aberrant pulses indicating mental confusion. Dian syndrome (catatonic schizophrenia/epilepsy) belongs to Yin; Kuang syndrome (manic psychosis) belongs to Yang. Dian patients tend to laugh excessively, while Kuang patients tend to anger. Generally, both are caused by phlegm knotting in the chest and heart region; treatment should focus on regulating the Heart Spirit and resolving phlegm knots. Some cases arise from pathogenic invasion, which should be treated by dispelling pathogens. Dian syndrome involves the Spirit failing to reside in its abode; Kuang syndrome involves hallucinations and visions persisting for years without cure. Damage to the Heart Channel constitutes a true disease. If there is heat accumulation in the Heart Channel, clear the Heart and remove heat; if phlegm confuses the Heart orifices, resolve phlegm and calm the Spirit. If the patient cries and groans during an episode, it is possession by evil spirits, not Kuang. Burn mulberry paper, take one cun cube with wine. For sudden manic speech resembling ghostly chatter, needle the area under the nail of the thumb to stop it immediately. Kuang disease is characterized by little sleep, lack of hunger, laughing and singing, and ceaseless erratic movement. Dian disease is characterized by persistent unhappiness. Staring straight ahead with the head tilted back is called "Jiang" (stiff); face down is called "Pu" (prostrate). When the pulses at the three positions (Cun, Guan, Chi) show excess in both Yin and Yang, it is generally due to phlegm knotting in the chest and heart region; treatment should settle the Heart and resolve phlegm knots, following the same method as for epilepsy.