天冬(去心) 麦冬(去心) 贝母(各三钱) 胆星 橘红 远志肉 石菖蒲 连翘 茯苓
茯神(各一钱) 元参 钩藤 丹参(各一钱五分) 辰砂(三分
用生铁落、煎熬三炷线香,取此水煎药,服后安神静睡,不可惊骇叫醒,犯之则病复作
难乎为力。凡狂症,服此药三十余剂而愈者多矣,若大便闭结,或先用滚痰丸下之。
滚痰丸(见痰饮。
大承气汤(见伤寒少阴证。
男、妇、小儿痫症,并皆治之。凡癫狂症,亦有服此药而愈者。
明天麻(一两) 川贝母(一两) 胆南星(九制者,五钱) 半夏(姜汁炒,一两) 陈皮(洗去白,七
钱) 茯苓(蒸,一两) 茯神(去木蒸,一两) 丹参(酒蒸,二两) 麦冬(去心,二两) 石菖蒲(石杵
碎取粉,五钱) 远志(去心,甘草水泡,七钱) 全蝎(去尾、甘草水洗,五钱) 僵蚕(甘草水洗,去嘴
炒,五钱) 真琥珀(腐煮灯草研,五钱) 辰砂(细研,水飞,三钱
用竹沥一小碗,姜汁一杯,再用甘草四两熬膏,和药为丸,如弹子大,辰砂为衣,每服
一丸,照五痫分引下。犬痫,杏仁五枚,煎汤化下。羊痫,薄菏三分,煎汤化下。马痫,麦
冬二钱,煎汤化下。牛痫,大枣二枚,煎汤化下。猪痫,黑料豆三钱,煎汤化下。日再服。
Tian Dong (Asparagi Radix, removed core), Mai Dong (Ophiopogonis Radix, removed core), Bei Mu (Fritillariae Bulbus) [each 3 qian]; Dan Xing (Arisaematis Cum Bile), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Yuan Zhi Rou (Polygalae Radix flesh), Shi Chang Pu (Acori Tatarinowii Rhizoma), Lian Qiao (Forsythiae Fructus), Fu Ling (Poria), Fu Shen (Poria with Hostwood, removed core) [each 1 qian]; Yuan Shen (Scrophulariae Radix), Gou Teng (Uncariae Ramulus cum Uncis), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) [each 1.5 qian]; Chen Sha (Cinnabar) [3 fen].
Use Sheng Tie Luo (Calcined Pig Iron Scale), decoct until the time equivalent to burning three incense sticks is elapsed, and use this water to decoct the herbs. After taking the medicine, one should remain calm and sleep quietly; do not be startled or awakened. If this precaution is violated, the disease will recur and become difficult to cure. For many cases of Kuang Zheng (Mania characterized by hyperactivity and agitation), taking this prescription for more than thirty doses results in recovery. If there is constipation, first use Gun Tan Wan (Rolling Phlegm Pill) to purge the bowels.
Gun Tan Wan (See section on Phlegm-Fluids).
Da Cheng Qi Tang (Great Order the Qi Decoction) (See section on Shaoyin Syndrome in Shanghan Lun).
This formula treats epilepsy (Xian Zheng) in men, women, and children. It is also effective for some cases of Dian Kuang (Epileptic Mania).
Ming Tian Ma (Gastrodiae Rhizoma, 1 liang), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 1 liang), Dan Nan Xing (Arisaematis Cum Bile, processed nine times, 5 qian), Ban Xia (Pinelliae Rhizoma, stir-fried with ginger juice, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, washed to remove white pith, 7 qian), Fu Ling (Poria, steamed, 1 liang), Fu Shen (Poria with Hostwood, removed core and steamed, 1 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, wine-steamed, 2 liang), Mai Dong (Ophiopogonis Radix, removed core, 2 liang), Shi Chang Pu (Acori Tatarinowii Rhizoma, pounded in a stone mortar to obtain powder, 5 qian), Yuan Zhi (Polygalae Radix, removed core, soaked in licorice water, 7 qian), Quan Xie (Scorpio, tail removed, washed in licorice water, 5 qian), Jiang Can (Bombyx Batryticatus, washed in licorice water, mouth removed, stir-fried, 5 qian), Zhen Hu Po (True Amber, boiled with Equiseti Herba then ground, 5 qian), Chen Sha (Cinnabar, finely ground, levigated with water, 3 qian).
Take one small bowl of Zhu Li (Bamboo Sap), one cup of Jiang Zhi (Ginger Juice), and decoct four liang of Gan Cao (Licorice Root) into a paste. Mix this paste with the herbs to form pills the size of bullet seeds, coated with Chen Sha. Take one pill per dose. Administer according to the five types of epilepsy using specific guiding decoctions:
For Quan Xian (Dog-type Epilepsy), dissolve the pill in a decoction of five Xing Ren (Pruni Semen).
For Yang Xian (Sheep-type Epilepsy), dissolve the pill in a decoction of 3 fen of Bo He (Menthae Haplocalycis Herba).
For Ma Xian (Horse-type Epilepsy), dissolve the pill in a decoction of 2 qian of Mai Dong (Ophiopogonis Radix).
For Niu Xian (Ox-type Epilepsy), dissolve the pill in a decoction of two Da Zao (Jujubae Fructus).
For Zhu Xian (Pig-type Epilepsy), dissolve the pill in a decoction of 3 qian of Hei Liao Dou (Sojae Semen Nigrum).
Take twice daily.