欲独闭户牖而处，阴不胜其阳，则脉流薄疾并乃狂。（全文见治虚实法。）
血并于阳，气并于阴，故为惊狂。（全文见刺虚法。）
〔《素》〕帝曰∶有病怒狂者，此病安生？岐伯曰∶生于阳也。帝曰∶阳何以使人狂？岐伯曰∶阳气者，
因暴折而难决，故善怒也，病名曰阳厥。帝曰∶何以知之？岐伯曰∶阳明者常动，巨阳少阳不动，不动而动大
疾，此其候也。帝曰∶治之奈何？岐伯曰∶夺其食即已。夫食入于阴，长气于阳，故夺其食即已。使之服以生
铁落为饮。夫生铁落者，下气疾也。（病能篇）
〔无〕虢矾丹治狂效。（方见癫痫门）
镇心丹 治惊悸自汗，心烦短气，喜怒悲恶，悉不自知，忘魂失魄，状若神灵所凭，及男子遗泄，女子带下。
辰砂（研） 白矾（ 汁尽，各等分）
上为末，水丸如鸡头大。每服一丸，煎人参汤下，食后服。
〔世〕浙江一妇人，癫狂不止。医以瓜蒂半两为末，每一钱重，井花水调满一盏投之，随得大吐，吐后熟
睡，勿令惊动，自此无恙。
〔《竹》〕来苏膏 治远年近日风痫心病，风狂中风，涎沫潮闭，牙关不开及破伤风，并皆治之。
皂角（一两，肥大无虫蛀者，去皮弦子）
上将皂角切碎，用浆水一大碗，春秋浸三四日，冬七日，夏一二日，揉开取净浸透皂角汁，入银器或砂锅
内，以文武火熬，用新柳条槐枝搅，熬似膏药取出，摊于夹纸上，阴干，收贮。如遇病患，取手掌大一片，
用温浆化在盏内，用竹管儿盛药水，将病患扶坐定，头微抬起，将药吹入左右鼻孔内，良久扶起，涎出为验。
欲要涎止，将温盐汤令病患服一二口便止。忌鸡鱼生硬湿面等物。
〔子和〕一男子落马发狂，起则目瞪狂言，不识亲疏，弃衣而走，骂言涌出，气力加倍，三五人不能执缚，
烧符作醮，问鬼跳巫，殊不知顾，服丹砂、牛黄、犀、珠、脑、麝，资财散去，室中萧然。不远二百里而求戴
人一往，戴人以车轴埋之地中，约高二丈许，上安中等车轮，其HT 上凿一穴，如作盆之状，缚病患在其上，使
之伏卧，以软 衬之。又令一人于下坐机一枚，以棒搅之，转千百遭，病患吐出青黄涎沫一二斗许，绕车轮数
匝。病患曰∶我不能堪，可解我下。从其言而解之，索凉水，与之冰水，饮数升，狂乃罢矣。
〔《素》〕帝曰∶阳明病甚则弃衣而走，登高而歌，或至不食数日，逾垣上屋，所上之处，皆非其素所能
也，病反能者，何也？岐伯曰∶四肢者，诸阳之本也。阳盛则四肢实，实则能登高也。帝曰∶其弃衣而走者，
何也？岐伯曰∶热甚于身，故弃衣欲走也。帝曰∶其妄言骂詈，不避亲疏而歌者，何也？岐伯曰∶阳盛则使人
妄言骂詈不避亲疏而不欲食，不欲食故妄走也。（阳明脉解篇 阳明所谓病至则欲乘高而歌弃衣而走者，阴
阳复争外并于阳，故使之弃衣而走也。）
〔海〕许氏病阳厥，狂怒骂詈亲疏，或哭或歌，六脉举按无力，身表如水石，发即叫呼声高。洁古云∶夺
食则已。因不与之食。予用大承气汤下之，得脏腑渣秽数升，狂稍宁。数日复发，复下。如此五七次，行大便
数斗，疾瘥。身温脉生，良愈。此易老夺食之法也。
〔《保》〕当归承气汤
当归 大黄（各一两） 甘草（半两） 芒硝（七钱）
上锉，如麻豆大。每二两，水一大碗，姜五片，枣十枚，煎至一半，去渣，热温服。若阳狂奔走，骂詈不
知亲疏，此阳有余，阴不足，大黄、芒硝去胃中实热，当归补血益阴，甘草缓中，加姜、枣者，胃属土，此
引入胃中也。经所谓微者逆之，甚者从之，此之谓也。以大利为度，微缓以瓜蒂散入防风末、藜芦末吐之，
其病立安。后用调心散、洗心散、凉膈散、解毒汤等调之。
〔子和〕一狂人阴不胜其阳，则脉流薄疾，阳并乃狂。《难经》曰∶阳极则狂，阴极则癫。阳为腑，阴为
脏。非阳热而阴寒也，热并于阳则狂，狂则生寒；并于阴则癫，癫则死。《内经》曰∶足阳明实则狂。故登高
而歌，弃衣而走，无所不为，是热之极也。以调胃承气大作汤下数十行，三五日复上涌一二升，三五日又复下
之，凡五六十日，下百余行，吐亦七八度。如吐时暖室置火以助其汗，数汗方平。
一叟年六十，值徭役烦扰而暴发狂，口鼻觉如虫行，两手爬搔，数年不已。戴人诊其两手脉皆洪大如 ，
断之曰肝主谋，胆主决，徭役迫遽，财不能支，则肝屡谋而胆屡不能决，屈无所伸，怒无所泄，心火磅因礴，乘
阳明金，然胃本属土，而肝属木，胆属相火，火随木气而入胃，故暴发狂。乃命置燠室中，涌而汗出，如此三
坎。《内经》曰∶木郁则达之，火郁则发之，正谓此也。又以调胃承气汤半斤，用水五升，煎半沸，分作三服，
大下二十行，血水与瘀血相杂而下数升，来日乃康。以通圣散调其后。
〔孙〕相国寺僧充忽患癫疾，经半年，遍服名医药皆不效，僧俗兄潘氏家富，召孙疗之。孙曰∶今夜睡着，
明后日便愈也。潘曰∶且告投药，报恩不忘。孙曰∶有咸物但与师吃，待渴却来道。至夜僧果渴。孙至，遂求
温酒一角，调药一服与之。有顷，再索酒，与之半角。其僧遂睡，两昼夜乃觉，人事如故。潘谢孙，问其治法。
曰∶众人能安神矣，而不能使神昏得睡，此乃《灵苑方》中朱砂、酸枣仁、乳香散也，人不能用耳。
辰砂散 治风痰诸痫，狂言妄走，精神恍惚，思虑迷乱，乍歌乍哭，饮食失常，疾发仆地，吐沫戴目，魂魄不
守，医药无验。
辰砂（一两，须光明有墙壁者） 酸枣仁（半两，微炒） 乳香（半两，光莹者）
上量所患人饮酒几何，先令恣饮沉醉，但勿令吐，至静室中以前药都作一服，温酒调下，作一盏调之，令
顿饮。如饮酒素少人，但以随量取醉，服药讫，便安置床枕令卧。病浅者半日至一日，病深者三两日，令家
人潜伺之，鼻息匀调，但勿唤觉，亦不可惊触使觉，待其自醒，即神魂定矣。万一惊悟，不可复治。正肃吴
公少时心病，服此一剂，五日方寤，遂瘥。
一醉膏 治心恙。
无灰酒二碗，香油四两，和匀，用杨柳枝二十条，逐条搅一二百下，候香油与酒相入成膏，煎至八分灌之，
熟睡，则醒或吐下即安矣。
狂之为病少卧，少卧则卫独行阳，不行阴，故阳盛阴虚，令昏其神。得睡则卫得入于阴，而阴得卫填不虚，
阳无卫助不盛，故阴阳均平而愈矣。
〔《本》〕宁志膏
人参 酸枣仁（各一两） 辰砂（五钱） 乳香（一分）
上为细末，炼蜜和丸，如弹子大。每服一丸，薄荷汤送下。予族弟缘兵火失心，制此方与之，服二十粒，
愈。亲旧多传去，服之皆验。
〔海〕狂邪癫痫，不欲眠卧，自贤自智，妄行不休。此方能安五脏，下心气。用白雄鸡一只煮熟，五味调
和作羹粥食之。经云∶悲哀动中则伤魂，魂伤则狂妄不精，不精则不正，此悲哀伤魂而狂，当用温药补魂之阳，
仲景方以地黄汤，《本事》惊气丸之类即是也。经云∶喜乐无极则伤魄，魄伤则狂，狂者意不存人。此喜乐伤魄
而狂，当用凉药补魄之阴，辰砂、郁金、白矾之类是也。
〔世〕治失心。
郁金（十两，须四川蝉肚者是真） 明矾（三两）
上为细末，薄糊为丸，如桐子大。每服五六十丸，汤水任下。昔有妇人癫狂可畏，数年不愈，后遇至人授
此方，初服觉心胸中有物脱去，神气洒然，再服顿苏。至人云∶此病用忧惊得之，痰涎包络心窍，此药能去
郁痰。
〔仲〕防己地黄汤 治病如狂状，妄形独语不休，无寒热，其脉浮。
防己（一钱） 桂枝 防风（各三钱） 甘草（二钱）
上四味，以酒一杯，渍一宿，绞取汁，生地黄二斤， 咀蒸之，如斗米饭久，以铜器盛其汁，更绞地黄汁
和分再服。
〔《本》〕治惊 ，积气 ，风邪发则于关紧急，涎潮昏塞，醒则精神若痴，惊气丸。
附子 木香 白僵蚕 白花蛇 橘红 天麻 麻黄（各半两） 干葛（二分） 紫苏叶（一两） 朱砂（一钱，留
少许
为衣） 天南星（洗，切姜汁浸一夕，半两）
上为末，加脑麝少许，同研极匀，炼蜜杵丸，如龙眼大。每服一丸，金银薄荷汤化下，温酒亦得。此予家
秘方也，戊申年军中一人犯法，褫衣将受刑而得释，精神顿失如痴，予与一丸，服讫而寐，及觉，病已失矣。
提辖张载扬其妻因避寇失心已数年，予授此方，不终剂而愈。又黄彦奇妻狂厥者逾十年，诸医不验，予授此
方，去附子加铁粉，亦不终剂而愈。铁粉非但化痰镇心，至如摧抑肝邪特异，若多恚怒，肝邪大盛，铁粉能
制伏之。《素问》云∶阳厥狂怒，治以铁落饮。金制木之意也，此亦前人未尝论及。
〔无〕治中风或歌或哭，或笑语，无所不及，小续命汤
用麻黄三两，人参、桂枝、白术各三两，无防风、附子、生姜，有当归一两。
〔世〕治巅狂发作，披头大叫，不避水火，苦参为末，蜜丸梧子大。每服十丸，薄荷汤化下，妙。
〔《保》〕牛黄膏 治热入血室，发狂不认人。
牛黄（二钱半） 朱砂 郁金 牡丹皮（各三钱） 甘草 脑子（各一钱）
上为末，炼蜜丸，如枣子大。新汲水化下。
肝移 寒于心，狂膈中。（全文见诊病传变。）
运气 狂皆属火。经云∶诸躁狂越，皆属于火。又云∶火太过曰赫曦，赫曦之纪，其病笑谑狂妄。又云∶
岁火太过，上临少阴少阳，病谵妄狂越，治以诸寒是也。
〔子和〕项开合之妻，病饥不欲食，常好叫呼怒骂，欲杀左右，恶言不辍。众医皆处药，几半载，尚尔。
其夫命戴人视之，戴人曰∶此难以药治。乃使二娼各涂丹粉，作伶人状，其妇人大笑。次日，又作角 ，又大
笑。其旁常以两个能食之妇夸其食美，病妇亦索其食而为一尝之。不数日，怒减食增。不药而瘥，后得一子。
夫医贵有才，无才何足应变无穷。
〔《灵》〕狂始生，先自悲也，喜忘苦怒善恐者，得之忧饥。治之取手太阴阳明，血变而止，及取足太阴
阳明。狂始发，少卧不饥，自高贤也，自辨智也，自尊贵也，善骂詈，日夜不休。治之取手阳明、太阳、太阴、
舌下少阴，视之盛者皆取之，不盛，释之也。狂言，惊，善笑，好歌乐，妄行不休者，得之大恐。治之取手
阳明、太阳、太阴。狂目妄见，耳妄闻，善呼者，少气之所生也。治之取手太阳、太阴、阳明，足太阴头两 。狂者多
食，善见鬼神，善笑而不发于外者，得之有所大喜。治之取足太阴、太阳、阳明，后取手太阴、太阳、阳明。
狂而新发，未应如此者，先取曲泉左右动脉，及盛者见血，有顷已。不已，以法取之，灸骨 二十壮。（颠狂篇）
大热遍身，狂而妄见妄闻妄言，视足阳明及大络取之，虚者补之，血而实者泻之。因其偃卧，居其头前，
以两手四指挟按颈动脉，久持之。卷而切，推下至缺盆中，而复止如前，热去乃止，此所谓推而散之者也。（刺
节真邪篇 颈动脉胃挟喉两旁人迎脉也。）
胃足阳明之脉是动，病甚则欲上高而歌，弃衣而走，故狂皆取阳明也。
〔秦承祖灸鬼法〕狐魅神邪癫狂诸病，并小儿惊痫。两手大拇指用软绳急缚之，灸三壮，艾炷着四处，半
在甲，半在肉上，四处尽烧，一处不着，其疾不愈，神效难量。（此法累用累效。）
〔《明堂》〕灸狂发怒欲杀人，见鬼∶身柱（灸，在三椎节下间、后溪。）
〔通玄〕呆痴∶神门（一穴，沿皮向前三分，先补后泻，灸之）、后溪（补生，泻成。）
〔标幽〕又法∶大钟。
〔《集》〕失志呆痴∶神门、中冲、鬼服、鸠尾、百会。
〔《摘》〕心闷不已∶支沟。
〔《甲》〕狂易，鱼际及合谷、腕骨、支正、少海、昆仑主之。狂言笑，见鬼，取之阳溪及手足阳明、太
阳。狂歌妄言怒恐，恶人与火，骂詈，三里主之。狂妄走善欠，巨虚上廉主之。狂易见鬼神与火，解溪主之。狂
言，太渊主之。心悬如饥之状，善悲而惊狂，面赤目黄，间使主之。狂疾，液门主之。又侠溪、丘墟、光明主之。
狂互引头痛，耳鸣目痹，中渚主之。身热狂走，谈言见鬼，螈 ，身柱主之。狂妄言怒，恐恶火，甚骂詈，巨
阙主之。
If one desires to stay alone with doors and windows closed, and Yin fails to overcome Yang, the blood vessels will flow rapidly and turbidly, leading to Qi and Blood converging in the Yang aspect, resulting in mania. (See "Treatment of Deficiency and Excess" for the full text.)
Blood converges in the Yang, and Qi converges in the Yin, thus causing fright and mania. (See "Acupuncture for Deficiency" for the full text.)
[Suwen] The Yellow Emperor asked: There is a disease characterized by anger and mania; how does this disease arise? Qibo replied: It arises from Yang. The Yellow Emperor asked: How does Yang cause mania? Qibo said: The Yang Qi of the body, due to sudden frustration and difficulty in resolution, tends to become angry easily; this disease is named "Yang Jue" (Yang Repletion). The Yellow Emperor asked: How do we know this? Qibo said: The Yangming channel usually has a pulsation, while the Taiyang and Shaoyang channels do not usually pulse. If the non-pulsating areas show a large and rapid pulse, this is the sign. The Yellow Emperor asked: How to treat it? Qibo said: Depriving the patient of food will cure it. Because food enters the Yin and generates Qi in the Yang, depriving food cures it. One can also administer a drink made from raw iron filings (Sheng Tie Luo). Raw iron filings have the effect of descending rebellious Qi quickly. (From "Chapter on Disease Capabilities")
[Wu Ming Shi] Guo Fan Dan is effective in treating mania. (Formula see "Epilepsy Section")
Zhen Xin Dan treats palpitations with spontaneous sweating, vexation, shortness of breath, uncontrollable emotions such as joy, anger, sorrow, and aversion, complete lack of self-awareness, loss of soul and spirit, appearing possessed by spirits, as well as seminal emission in men and leukorrhea in women.
Cinnabar (ground) White Alum (calcined until juice is exhausted, equal parts)
Grind the above into powder, make water pills the size of a corn kernel. Take one pill per dose, decocted with Ginseng Decoction, taken after meals.
[Worldly Transmission] A woman in Zhejiang suffered from incessant epilepsy and mania. A doctor used half a liang of Genggen (Melon Stalk) ground into powder, taking one qian per dose, mixed with well water to fill a cup and administered. This induced severe vomiting, followed by deep sleep without disturbance, after which she recovered completely.
[Bamboo Hall Medical Cases] Laisu Gao treats long-standing or recent wind-phlegm heart diseases, wind-mania, stroke, tidal phlegm obstruction, locked jaw, and tetanus, all of which are treated effectively.
Gleditsia Sinensis Fruit (one liang, select plump ones without insect damage, remove skin and strings)
First, chop the Gleditsia fruit finely. Use one bowl of fermented rice water. Soak for three to four days in spring and autumn, seven days in winter, or one to two days in summer. Rub to extract the thoroughly soaked Gleditsia juice. Place in a silver vessel or clay pot. Simmer over gentle fire, stirring with new willow branches or locust branches. Boil until it resembles an ointment consistency, then take out. Spread on layered paper, dry in shade, and store. When encountering a patient, take a piece the size of a palm, dissolve in warm fermented rice water in a cup. Use a bamboo tube to hold the medicinal liquid. Assist the patient to sit upright, tilt the head slightly back, and blow the medicine into both nostrils. After a while, lift the patient; the discharge of phlegm indicates efficacy. To stop the discharge, let the patient drink one or two mouthfuls of warm salt water. Avoid chicken, fish, raw, hard, and damp dough foods.
[Zhang Zihe] A man fell from a horse and developed mania. Upon rising, his eyes were wide open, he spoke wildly, did not recognize relatives or strangers, removed his clothes and ran, shouted curses continuously, and had double the strength, unable to be restrained by three or four strong men. He burned talismans, performed rituals, consulted ghosts, and danced for spirits, disregarding everything else. He took Cinnabar, Realgar, Rhinoceros Horn, Pearl, Borneol, and Musk, depleting his wealth, leaving his home desolate. Traveling two hundred li to seek Dai Ren's treatment, Dai Ren buried a cart axle in the ground, about two zhang high, mounted a medium-sized wheel on top, carved a hole in the wheel like a basin, tied the patient on it, and made him lie prone, cushioned with soft material. Another person sat below operating a mechanism, turning it with a stick for thousands of rotations. The patient vomited one or two dou of green and yellow phlegm, circling the wheel several times. The patient said, "I cannot endure this, untie me." They untied him as requested. He asked for cool water, drank several sheng of ice water, and the mania ceased.
[Suwen] The Yellow Emperor asked: In severe Yangming disease, patients discard their clothes and run, climb high and sing, may go without food for several days, climb walls and roofs, going to places they could never reach before, yet the disease enables them to do so. Why is this? Qibo replied: The four limbs are the root of all Yang meridians. When Yang is excessive, the four limbs are solid and full, enabling climbing high. The Yellow Emperor asked: Why discard clothes and run? Qibo said: Heat is intense in the body, so they discard clothes and wish to run. The Yellow Emperor asked: Why speak wildly, curse, ignore kinship, and sing? Qibo said: Yang excess causes wild speech, cursing, ignoring kinship, and lack of desire to eat. Lack of desire to eat leads to wandering. (From "Yangming Pulse Resolution Chapter" What is meant by Yangming disease manifesting as wanting to climb high, sing, discard clothes, and run is that Yin and Yang struggle, and Yang merges outwardly into Yang, causing these symptoms.)
[Li Dongyuan] Xu suffered from Yang Jue, manic rage, cursing kin and strangers, sometimes crying, sometimes singing. All six pulses were weak upon lifting and pressing. The body surface felt cold like water and stone. Onset was accompanied by loud shouting. Ji Gu stated: Restricting food cures it. Therefore, no food was given. I used Da Cheng Qi Tang to purge him, expelling several sheng of fecal matter and filth from the viscera. The mania subsided slightly. It relapsed after a few days, and purgation was repeated. This happened five or seven times, expelling several dou of stool, and the disease was cured. The body became warm, pulses returned, and he fully recovered. This is Yi Lao's (Zhang Yuansu) method of restricting food.
[Baoming Ji] Dang Gui Cheng Qi Tang
Angelica Sinensis Rhizome (Dang Gui) Rhubarb Root (Da Huang) (each one liang) Licorice Root (Gan Cao) (half liang) Mirabilite (Mang Xiao) (seven qian)
Chop the above ingredients to the size of hemp seeds. Take two liang per dose, add one bowl of water, five slices of ginger, and ten jujubes. Decoct until half remains, strain, and take warm. If there is Yang mania with running and cursing, unaware of kinship, this indicates Yang excess and Yin deficiency. Da Huang and Mang Xiao clear excess heat in the stomach. Dang Gui nourishes blood and benefits Yin. Gan Cao moderates the middle. Ginger and jujube are added because the stomach belongs to Earth, guiding the medicine to the stomach. As the classics say, mild cases are treated oppositely, severe cases similarly. This is what is meant. Aim for significant purgation. If mildly relieved, use Gua Di San with Fang Feng powder and Li Lu powder to induce vomiting, and the disease will settle immediately. Afterwards, regulate with Tiao Xin San, Xi Xin San, Liang Ge San, Jie Du Tang, etc.
[Zhang Zihe] A manic patient had Yin failing to overcome Yang, causing blood vessels to flow rapidly and turbulently, with Yang merging causing mania. Nan Jing states: Extreme Yang leads to mania, extreme Yin leads to depression. Yang refers to Fu organs, Yin to Zang organs. It is not that Yang is hot and Yin is cold, but rather heat merging into Yang causes mania, and mania generates cold; merging into Yin causes depression, and depression leads to death. Nei Jing states: Foot Yangming excess leads to mania. Thus, climbing high and singing, discarding clothes and running, doing anything, represents extreme heat. Use Diao Wei Cheng Qi Tang in large doses to induce dozens of bowel movements. Every three to five days, induce vomiting of one or two sheng. Every three to five days, purge again. Over fifty to sixty days, more than a hundred purgations and seven or eight vomitings occurred. During vomiting, keep the room warm and place fire to promote sweating. Only after multiple sweatings did it calm down.
An elderly man of sixty, suffering from heavy corvée labor and disturbance, suddenly developed mania. He felt insects crawling on his mouth and nose, scratching with both hands for years without relief. Dai Ren diagnosed his pulses as both large and forceful like a drum. He judged: Liver governs planning, Gallbladder governs decision-making. Under urgent corvée pressure and financial inability to cope, the Liver planned repeatedly while the Gallbladder failed to decide. Grievance had no outlet, anger had no release. Heart Fire surged, attacking Yangming Metal. Although the Stomach belongs to Earth, Liver belongs to Wood, and Gallbladder is Ministerial Fire, Fire follows Wood Qi into the Stomach, causing sudden mania. He ordered the patient to be placed in a warm room, inducing vomiting and sweating, repeating this three times. Nei Jing states: For Wood stagnation, disperse it; for Fire stagnation, vent it. This is exactly what is meant. Then use half a jin of Diao Wei Cheng Qi Tang, decocted in five sheng of water until half boiling, divided into three doses. Profuse purgation occurred twenty times, expelling several sheng of bloody water mixed with stasis. He recovered the next day. Regulate afterwards with Tong Sheng San.
[Sun Simiao] Monk Chong of Xiangguo Temple suddenly suffered from epilepsy. After half a year, various famous doctors' medicines were ineffective. His lay brother Pan, whose family was wealthy, summoned Sun Simiao. Sun said: He will sleep tonight and recover tomorrow or the day after. Pan said: Please tell me the prescription first, so I may remember the kindness. Sun said: Give him salty food. Wait until he is thirsty, then come find me. That night, the monk indeed became thirsty. Sun arrived, requested a cup of warm wine, mixed one dose of medicine, and gave it to him. After a while, he asked for more wine, and Sun gave him half a cup. The monk then slept for two days and nights before waking, with normal consciousness. Pan thanked Sun and asked about the treatment. Sun said: Others can calm the spirit but cannot induce spiritual unconsciousness for sleep. This is the Zhu Sha, Suan Zao Ren, and Ru Xiang Powder from Ling Yuan Fang, which people fail to use correctly.
Zhu Sha San treats wind-phlegm various epilepsies, wild speech and walking, mental confusion, chaotic thoughts, alternating singing and crying, abnormal eating and drinking, sudden collapse during attacks, foaming at the mouth and staring eyes, loss of soul and spirit, and failure of medical treatments.
Cinnabar (one liang, must be bright and block-like) Sour Jujube Seed (Suan Zao Ren) (half liang, lightly stir-fried) Frankincense (Ru Xiang) (half liang, translucent)
Measure the patient's alcohol tolerance. First, let him drink freely until drunk, but do not allow vomiting. In a quiet room, mix all the above medicines into one dose, blend with warm wine to make one cup, and instruct to drink it all at once. For those who rarely drink alcohol, intoxicate according to tolerance. After taking the medicine, place pillows and bed for rest. For mild cases, half a day to one day; for deep cases, two to three days. Have family members observe secretly. Ensure regular breathing. Do not wake him, nor startle him awake. Wait for natural awakening, then the soul and spirit will settle. If startled awake, it cannot be treated again. Official Wu Zhengsu suffered from heart disease in his youth. Taking one dose of this formula, he woke after five days and recovered.
Yi Zui Gao treats heart ailments.
Two bowls of pure wine (Wu Hui Jiu), four liang of sesame oil. Mix evenly. Stir each of the twenty willow branches one or two hundred times. Wait until the oil and wine merge into a paste. Decoct to eight-tenths concentration and administer. Deep sleep ensues. Awakening, vomiting, or purgation brings relief.
Mania manifests as little sleep. Little sleep causes Wei Qi to travel only in Yang, not entering Yin. Thus, Yang is excessive and Yin is deficient, causing spiritual confusion. Sleep allows Wei Qi to enter Yin, and Yin is filled by Wei Qi without deficiency. Yang, without Wei Qi support, is not excessive. Thus, Yin and Yang balance, and recovery occurs.
[Bencao] Ning Zhi Gao
Ginseng Root (Ren Shen) Sour Jujube Seed (Suan Zao Ren) (each one liang) Cinnabar (Zhu Sha) (five qian) Frankincense (Ru Xiang) (one fen)
Grind into fine powder. Mix with refined honey and form pills the size of a bullet. Take one pill per dose, delivered with Mint Decoction. My clan brother lost his mind due to war fires. I prepared this formula for him. After taking twenty pills, he recovered. Relatives and friends widely transmitted it, and all found it effective.
[Li Dongyuan] Mania, evil, and epilepsy involve unwillingness to sleep, arrogance, self-righteousness, and ceaseless妄行. This formula calms the five Zang organs and descends Heart Qi. Cook one white rooster thoroughly. Season with five flavors and eat as soup or porridge. Classics state: Sadness moving internally injures Hun. Hun injury leads to madness and lack of essence. Lack of essence leads to disorder. This is sadness injuring Hun causing mania. Warm herbs should be used to tonify Hun Yang. Zhang Zhongjing's Di Huang Tang and Ben Shi Fang's Jing Qi Wan are examples. Classics state: Unrestrained joy injures Po. Po injury leads to mania. Maniacs disregard others. This is joy injuring Po causing mania. Cool herbs should be used to tonify Po Yin. Cinnabar, Curcuma, and Alum are examples.
[Worldly Transmission] Treat loss of mind.
Curcuma Longa Rhizome (Yu Jin) (ten liang, Sichuan Cicada Belly variety is authentic) Alum (Ming Fan) (three liang)
Grind into fine powder. Make pills with thin paste, size of tung tree seeds. Take 50-60 pills per dose, with water or broth. Formerly, a woman suffered from terrifying mania for years without cure. Later, she met a master who taught her this formula. Initially, she felt something leave her chest and mind, feeling refreshed. After a second dose, she revived instantly. The master said: This disease arises from worry and fright. Phlegm-saliva envelopes the Heart orifice. This medicine removes stagnant phlegm.
[Zhang Zhongjing] Fang Ji Di Huang Tang treats conditions resembling mania, wild behavior, continuous solitary talking, without chills or fever, with floating pulses.
Stephania Tetrandra Root (Fang Ji) (one qian) Cinnamon Twig (Gui Zhi) Saposhnikovia Root (Fang Feng) (each three qian) Licorice Root (Gan Cao) (two qian)
Take the above four ingredients. Soak in one cup of wine overnight. Strain and extract juice. Take two jin of fresh Rehmannia Root (Sheng Di Huang). Chop and steam for the time it takes to cook a dou of rice. Collect the juice in a copper vessel. Extract Rehmannia juice again and mix with the previous juice. Divide into two doses.
[Bencao] Treats fright palpitations, accumulated Qi, bloating, wind-pathogen onset causing joint urgency, tidal phlegm and coma, waking with spirit resembling idiocy. Jing Qi Wan.
Aconite Root (Fu Zi) Costus Root (Mu Xiang) White Silkworm (Bai Jiang Can) White Flower Snake (Bai Hua She) Tangerine Peel (Ju Hong) Gastrodia Rhizome (Tian Ma) Ephedra Herb (Ma Huang) (each half liang) Kudzu Root (Gan Ge) (two fen) Perilla Leaf (Zi Su Ye) (one liang) Cinnabar (Zhu Sha) (one qian, reserve a small amount for coating) Arisaema Rhizome (Tian Nan Xing) (washed, sliced, soaked in ginger juice overnight, half liang)
Grind into powder. Add a small amount of Borneol and Musk. Grind extremely uniformly. Mix with refined honey and knead into pills the size of a longan. Take one pill per dose, dissolved in Silver and Mint Decoction. Warm wine is also acceptable. This is my family's secret formula. In the Wushen year, a soldier in the army broke the law, was stripped awaiting punishment but released. His spirit suddenly vanished, resembling idiocy. I gave him one pill. After taking it, he slept. Upon waking, the illness was gone. Commander Zhang Zaiyang's wife had lost her mind for years due to fleeing bandits. I gave her this formula, and she recovered before finishing the dose. Huang Yanqi's wife suffered from mania and syncope for over ten years. Various doctors failed. I gave her this formula, removing Fu Zi and adding Iron Powder. She recovered before finishing the dose. Iron Powder not only resolves phlegm and calms the heart but is uniquely effective in suppressing Liver pathogenic factors. If there is much anger, Liver pathogenic factors are excessive; Iron Powder can subdue them. Su Wen states: Yang Jue mania is treated with Tie Luo Yin. This implies Metal controlling Wood. This point was previously unmentioned by predecessors.
[Anonymous] Treats stroke with singing or crying, laughing or speaking, covering all aspects. Xiao Xu Ming Tang.
Use Ephedra Herb (Ma Huang) three liang, Ginseng Root (Ren Shen), Cinnamon Twig (Gui Zhi), Atractylodes Macrocephala Rhizome (Bai Zhu) each three liang. Exclude Saposhnikovia Root (Fang Feng), Aconite Root (Fu Zi), and Fresh Ginger (Sheng Jiang). Include Angelica Sinensis Rhizome (Dang Gui) one liang.
[Worldly Transmission] Treats acute mania, tearing hair, screaming, disregarding fire and water. Gentian Root (Ku Shen) ground into powder, honey pills size of tung seeds. Take ten pills per dose, dissolved in Mint Decoction. Excellent.
[Baoming Ji] Niu Huang Gao treats heat entering the Blood Chamber, causing mania and unrecognized persons.
Realgar (Niu Huang) (two qian half) Cinnabar (Zhu Sha) Curcuma Longa Rhizome (Yu Jin) Moutan Bark (Mu Dan Pi) (each three qian) Licorice Root (Gan Cao) Borneol (Nao Zi) (each one qian)
Grind into powder. Mix with refined honey and form pills the size of a date. Dissolve in freshly drawn water.
Liver transferring Cold to the Heart causes mania and diaphragmatic obstruction. (See "Diagnosis of Disease Transmission" for full text.)
Five Movements and Six Qi theory states that mania belongs to Fire. Classics state: All restlessness, mania, and transgression belong to Fire. Also: Excessive Fire is called He Xi. In the He Xi era, diseases include laughing, joking, and madness. Also: In years of excessive Fire, influencing Shaoyin and Shaoyang, diseases include delirium, mania, and transgression. Treatment uses cold herbs.
[Zhang Zihe] Wife of Xiang Kaiche suffered from hunger without desire to eat, often shouting, cursing, wishing to kill those around her, and uttering foul words incessantly. Many doctors prescribed medicine for nearly half a year, but she remained unchanged. Her husband ordered Dai Ren to examine her. Dai Ren said: This is difficult to treat with medicine. He had two courtesans apply rouge and powder, acting like actors. The woman laughed greatly. The next day, they performed wrestling, and she laughed again. Two women known for good appetites praised the delicious food nearby. The sick woman also asked for food and tasted it. Within a few days, anger decreased, and appetite increased. She recovered without medicine and later bore a son.
Doctors must possess talent; without talent, how can they respond to infinite changes?
[Lingshu] Mania begins with sadness, forgetfulness, painful anger, and fear, arising from worry and hunger. Treatment involves selecting Hand Taiyin and Hand Yangming meridians until blood color changes, and also selecting Foot Taiyin and Foot Yangming meridians. Initial mania features little sleep, no hunger, self-perception of worthiness, wisdom, and nobility, frequent cursing, day and night without rest. Treatment selects Hand Yangming, Hand Taiyang, Hand Taiyin, and Lower Yin on the tongue. Select those with strong pulses; release those without. Wild speech, fright, laughter, love for singing and music, ceaseless wandering arises from great fright. Treatment selects Hand Yangming, Hand Taiyang, Hand Taiyin. Wild vision, wild hearing, frequent calling arises from Qi deficiency. Treatment selects Hand Taiyang, Hand Taiyin, Hand Yangming, Foot Taiyin, and temples. Manic patients eat much, see ghosts and gods, smile inwardly, arising from great joy. Treatment selects Foot Taiyin, Foot Taiyang, Foot Yangming, then Hand Taiyin, Hand Taiyang, Hand Yangming.
New-onset mania not showing these symptoms: First select Ququan arterial points on both sides. If strong, bleed. Stop after a moment. If not stopped, follow methods. Moxibustion on bone processes, twenty moxa cones. (From "Dian Kuang Chapter")
High fever throughout the body, mania with wild visions, hearing, and speech. Inspect Foot Yangming and major collaterals for selection. Tonify deficiency, sedate excess blood. With the patient lying supine, stand before the head. Use four fingers of both hands to clamp and press the carotid artery. Hold for a long time. Roll and cut, push down to the Supraclavicular Fossa (Quepen), then stop as before. Stop when heat dissipates. This is called pushing and dispersing. (From "Ci Jie Zhen Xie Chapter" Carotid arteries are Renying pulses on both sides of the throat near the Stomach.)
The Foot Yangming Stomach Meridian moves. Severe disease causes desire to climb high and sing, discard clothes and run. Therefore, mania is always treated via Yangming.
[Qin Chengzu Ghost Moxibustion Method] Treats fox spirits, evil spirits, epilepsy, mania, and pediatric fright epilepsy. Bind thumbs tightly with soft rope. Moxibustion three cones. Cone placement: four spots, half on nail, half on flesh. Burn all four spots. If one spot is missed, the disease will not cure. Divine efficacy is immeasurable. (This method has been repeatedly effective.)
[Mingtang] Moxibustion for mania, anger wishing to kill, seeing ghosts: Shenzhu (Moxibustion, located between the third and fourth thoracic vertebrae, adjacent to Houxi.)
[Tongxuan] Imbecility: Shenmen (One point, oblique forward three fen, tonify first then sedate, moxibustion), Houxi (Tonify birth, sedate completion.)
[Biaoyou] Another method: Dazhong.
[Ji] Loss of will and imbecility: Shenmen, Zhongchong, Guifu, Jiawei, Baihui.
[Zhai] Endless chest oppression: Zhigou.
[Jiayingjing) Mania and transformation, Yuji, Hegu, Wangu, Zhizheng, Shaohai, Kunlun govern it. Wild speech and laughter, seeing ghosts, select Yangxi and Hand/Foot Yangming/Taiyang. Singing, wild speech, anger, fear, aversion to people and fire, cursing, Zusanli governs it. Wild running and yawning, Shangjuxu governs it. Mania seeing ghosts and fire, Jiexi governs it. Wild speech, Taiyuan governs it. Heart hanging like hunger, sadness, fright, mania, red face, yellow eyes, Neiguan governs it. Mania, Yongmen governs it. Also Xiaxi, Qiuxu, Guangming govern it. Mania radiating headache, tinnitus, visual obstruction, Zhongzhu governs it. Body heat, wild running, talking, seeing ghosts, convulsions, Shenzhu governs it. Wild speech, anger, fear of fire, severe cursing, Juque governs it.