（此症乃天刑之疾。医者治之，或传染，或反受殃，大风疮亦然。惊风三次复发则为痫，发时仆地作声，醒时吐涎
沫，过后便惺惺）
清心温痰汤（此剂平肝解郁，清火化痰也）
当归身（一钱） 人参（五分） 白茯苓 陈皮 半夏曲 白术 白芍药（酒炒） 香附子（便炒） 麦门冬（去
心，各七分） 竹茹 黄连（干炒） 川芎 枳实（麸炒，此材治痰，有冲墙倒壁之力） 远志（干炒） 石菖蒲（各
五分）
此剂一名二方，今取性味和平之剂，而但胆星胜于半夏曲，酸枣仁胜于麦门冬，用者宜变通加减可也。白僵蚕、全
蝎尤妙。痫病方萌，耳后高骨间必有青纹，纷纷如线，见之急用抓破，须令血出，啼叫尤得，气通易效。
一方∶黑质白肠大蛇作 或脯，久服奇效。
一方∶久患此症者，震死牛马肉食有效（已验）。
一方∶黑 猪心，以竹刀劈开，入九节菖蒲末煮汤，每日空心送下二、三钱，神效。
一方∶胎痫、奶痫、惊痫，灸鬼眼四穴（穴在拇指爪甲
上两角，如韭叶）各三壮（此治邪祟之要穴也）。
（罢倦无力者，癫；强健有力者，狂。癫为心血不足，狂为痰火实盛。窃观痫者，发时虽似惊风，而过后了了如常。
癫者，丧失本性，多喜痴笑。狂者，或歌或哭，奔走无定。《入门》云∶十岁以下为痫，十岁以上为癫。此指痫变为癫
而言）
宁心化痰汤（治癫狂初起，狂可治，癫不治）
胆星 半夏（炮，干炒） 陈皮 赤茯苓 黄连（姜炒） 天麻 人参 酸枣仁（另炒） 石菖蒲（各一钱） 姜
（一片）
胆星、半夏二味俱入太燥，去半夏代入贝母为可。先服此剂祛痰，后宜继服养心清血汤。
养心清血汤
当归身 生地（干炒） 人参 白术 白茯苓 川芎 远志（干炒） 酸枣仁（另炒） 石菖蒲（各一钱） 甘草
（五分）
癫宜养血安神而兼降痰火，宜加莲肉（一钱），益智仁（盐炒，五分），朱砂（五分）。
狂宜下之大便，宜加大黄（酒煨）、芒硝各一钱。
如狂言妄语，加犀角五分。
如啼泣狂叫，加百合一钱。
一方∶癫狂痫，多服牛心血，有效。
一方∶猝狂，狂言妄说，蚕退纸烧存性一钱许，和白沸汤饮下，即效。
一方∶凡诸热病发狂三日，芒硝（三钱），鸡子清（一个），生清（一匕），井花水调饮，奇效。
(This condition is a disease of heavenly punishment. Physicians treating it may contract the infection or suffer misfortune themselves; this also applies to leprosy (Feng Da Chuang). If convulsions (Jing Feng) recur three times, they transform into epilepsy (Xian). During an attack, the patient falls to the ground making sounds; upon waking, they salivate and foam at the mouth; afterwards, their mind becomes clear.)
Qingxin Wentan Decoction (This formula soothes the Liver, resolves depression, clears fire, and transforms phlegm.)
Danggui Shen (Angelicae Sinensis Radix, one qian) Renshen (Ginseng Radix, five fen) Baifuling (Poria, unspecified amount) Chenpi (Citri Reticulatae Pericarpium, unspecified amount) Banxia Qu (Pinelliae Fermentatum, unspecified amount) Baizhu (Atractylodis Macrocephalae Rhizoma, unspecified amount) Baishaoyao (Paeoniae Radix Alba, wine-fried, unspecified amount) Xiangfuzi (Cyperi Rhizoma, urine-fried, unspecified amount) Maimendong (Ophiopogonis Radix, heart removed, seven fen each) Zhuru (Bambusae Caulis in Taeniam, unspecified amount) Huanglian (Coptidis Rhizoma, dry-fried, unspecified amount) Chuanxiong (Ligusticum Chuanxiong Rhizoma, unspecified amount) Zhishi (Aurantii Fructus Immaturus, bran-fried, described as having the power to break through walls and topple battlements for treating phlegm, unspecified amount) Yuanzhi (Polygalae Radix, dry-fried, unspecified amount) Shichangpu (Acori Tatarinowii Rhizoma, five fen each)
This prescription comprises two formulas under one name. Currently, a formula with mild nature and flavor is selected. However, Danxing (Arisaema cum Bile) is superior to Banxia Qu, and Suanzaoren (Ziziphi Spinosae Semen) is superior to Maimendong. Practitioners should adapt and modify as appropriate. Baijiangcan (Bombyx Batryticatus) and Quanxie (Scorpio) are particularly excellent. When epilepsy (Xian) is just beginning, there must be blue veins behind the ear on the high bone, appearing like scattered threads. Upon seeing this, scratch them open immediately until blood flows; crying out enhances efficacy by promoting Qi circulation.
Another prescription: Dried meat or powder of large snakes with black flesh and white intestines; long-term use yields miraculous effects.
Another prescription: For those suffering from this condition for a long time, eating meat of cattle or horses struck by lightning is effective (verified).
Another prescription: Black pig heart, split open with a bamboo knife, boiled with powder of Jiujie Changpu (Acori Tatarinowii Rhizoma); taken orally on an empty stomach daily, two to three qian, yields divine effects.
Another prescription: For fetal epilepsy (Tai Xian), milk epilepsy (Nai Xian), and wind-induced epilepsy (Jing Xian), moxa-foxilate four points named Guiyan (located at the two corners above the nail of the thumb, shaped like a leek leaf), three moxa cones per point (these are key points for treating evil influences).
(Those who are fatigued and weak have Dian (catatonia/mental depression); those who are strong and vigorous have Kuang (mania/excitement). Dian is caused by insufficiency of Heart Blood; Kuang is caused by excess of Phlegm-Fire. I observe that patients with epilepsy (Xian), although resembling convulsions during attacks, return to normal clarity afterwards. Patients with Dian lose their true nature and often laugh foolishly. Patients with Kuang sing or cry, running about without stability. *Rumen* states: below ten years old is Xian, above ten years old is Dian. This refers to Xian transforming into Dian.)
Ningxin Huatan Decoction (Treats early-stage Dian and Kuang; Kuang is treatable, Dian is difficult to treat.)
Danxing (Arisaema cum Bile) Banxia (Pinelliae Rhizoma, processed, dry-fried) Chenpi (Citri Reticulatae Pericarpium) Chifuling (Poria Rubra, unspecified amount) Huanglian (Coptidis Rhizoma, ginger-fried) Tianma (Gastrodiae Rhizoma) Renshen (Ginseng Radix) Suanzaoren (Ziziphi Spinosae Semen, separately fried) Shichangpu (Acori Tatarinowii Rhizoma, one qian each) Jiang (Zingiberis Rhizoma Recens, one slice)
Both Danxing and Banxia are overly drying; removing Banxia and substituting Beimu (Fritillariae Bulbus) is advisable. First take this formula to resolve phlegm, then continue with Yangxin Qingxue Decoction.
Yangxin Qingxue Decoction
Danggui Shen (Angelicae Sinensis Radix) Shengdi (Rehmanniae Radix, dry-fried) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Baifuling (Poria) Chuanxiong (Ligusticum Chuanxiong Rhizoma) Yuanzhi (Polygalae Radix, dry-fried) Suanzaoren (Ziziphi Spinosae Semen, separately fried) Shichangpu (Acori Tatarinowii Rhizoma, one qian each) Gancao (Glycyrrhizae Radix et Rhizoma, five fen)
For Dian, nourish Blood, calm the Spirit, and descend Phlegm-Fire; add Lianrou (Nelumbinis Semen, one qian), Yizhiren (Alpiniae Oxyphyllae Semen, salt-fried, five fen), and Zhusha (Cinnabar, five fen).
For Kuang, purge via bowel movement; add Dahuang (Rhei Radix et Rhizoma, wine-roasted) and Mangxiao (Natrii Sulfas, one qian each).
If speaking nonsense, add Xijiao (Rhinocerotis Cornu, five fen).
If crying and shouting wildly, add Baihe (Lilii Bulbus, one qian).
Another prescription: For Dian, Kuang, and Xian, frequent consumption of ox heart blood is effective.
Another prescription: For sudden Kuang with delirious speech, burn Can Tui Zhi (Paper from silkworm cocoon) to retain its properties, take approximately one qian, mix with boiling water, and drink; immediate effect.
Another prescription: For any febrile disease causing Kuang for three days, Mangxiao (Natrii Sulfas, three qian), Jizi Qing (Album Ovi Galli, one egg white), Shengqing (unspecified ingredient, one bi), mixed well-water (Jinghua Shui) and drunk; miraculous effect.