〔钱〕肝有风,目连札不搐;有热,则直视亦不搐;得心热则搐。治肝,泻青丸。治心,导赤散。凡病或
新或久,皆引肝风,风动而上于头目。目属肝,风入于目,上下左右如风吹不定,儿不任,故目连札也。
若热入于目,牵其筋脉,两 皆紧,不能转视,故目直视也。若得心热则搐,其子母俱有实热,风火
相搏故也。治肝,泻青丸。治心,导赤散。
〔钱〕肝有风,甚则身反张,强直不搐,心不受热,当补肾治肝。补肾,地黄丸。治肝,泻青丸。
丹溪云∶ 比痫为虚,宜带补,多是气虚有火兼痰,用人参、竹沥治之,不用兼风药。此论实发前
人所未发,汤氏虽云 候十无一生,盖未尝有此法施于人也。
〔《明》〕角弓反张。鼻上入发际三分,灸三壮。大椎下节间,灸三壮。
〔汤〕身软时醒者为痫,身强直反张如弓,不时醒者为 , 候十无一生。
〔汤〕肝风摇头,诸方不载。郑都丞子患七年摇头,三年下血,已服百余方,前后所服治摇头者,无非风
药止血者,或作痢,或作肠风,百药无效。予既视其病,又知其详,亦不明其标本,退而思之,乃肝血液盛,
外有风热乘之。肝属木,盛而脾土为木所克。脾与肺是子母,俱为肝所胜,而血遂渍于大便,故便血不止。遂
处一方,但损肝祛风而益脾。初亦一时之见,只数服而愈。十余日后,血止而下白脓,遂得以安。
犀角屑 甘草(各一分) 栝蒌根(半两) 蛇蜕皮(一钱,炙赤) 防风(五两) 钩藤(钩子,一钱)
麻黄(去节,一钱) 黄 (蜜炙,半两) 羌活 白芍药(各半两)
上为末,枣肉丸,食后薄荷汤下,只二服作效,头摇即止,便血随愈。次间服胃风汤,数日顿除。沈舍人
子服之亦验。
〔海〕《食疗》云∶蛇脱皮,主去风邪,明目,治小儿一百二十种惊痫寒热,痔,蛊毒,安胎,熬用。治痫弄
舌摇头者,宜用全脱。
[Qian Yi] When the Liver has Wind pathogen, the eyes blink frequently without convulsions; when the Liver has Heat pathogen, there is fixed staring of the eyes without convulsions; if Heart Heat is involved, convulsions occur. To treat the Liver, use Xieqing Wan (Drain the Green Pill). To treat the Heart, use Daochi San (Guide Out Red Powder). Any disease, whether new or chronic, can draw out Liver Wind, causing the Wind to move upward to the head and eyes. The eyes belong to the Liver. When Wind enters the eyes, they shake up, down, left, and right as if blown by the wind. The child cannot bear this, hence the frequent blinking. If Heat enters the eyes, it pulls on the sinews and vessels, causing the eyes to be tightly bound [text missing in original, inferred as closed/tight], unable to turn the gaze, hence fixed staring. If convulsions occur due to Heart Heat, it is because both the Mother (Heart) and Child (Liver) organs have Excess Heat, and Wind and Fire struggle against each other. To treat the Liver, use Xieqing Wan. To treat the Heart, use Daochi San.
[Qian Yi] When Liver Wind is severe, the body arches backward like a bow (opisthotonos), becoming stiff and rigid without convulsions. If the Heart does not receive Heat, one should tonify the Kidney and treat the Liver. To tonify the Kidney, use Dihuang Wan (Rehmannia Pill). To treat the Liver, use Xieqing Wan.
Zhu Danxi stated: Epilepsy (Xian) is deficient compared to Convulsive Disorders (Feng), so treatment should include tonification. It is mostly Qi deficiency with Fire and Phlegm. Use Ren Shen (Ginseng Root) and Zhu Li (Bamboo Sap) for treatment, avoiding drugs that specifically target Wind. This discussion truly expounded upon points not previously revealed by earlier masters. Although Tang Shi claimed that ten cases of Convulsive Disorder result in no survivors, this was likely because this method had never been applied to patients.
[Ming Dynasty Physician] For Opisthotonos: Moxibustion at three Zhu (units of moxa cone size) above the nasal root, entering the hairline by three cun. Moxibustion at three Zhu between the lower segment of the Dazhui (GV14) vertebra.
[Tang Shi] If the body is soft and the patient wakes up intermittently, it is Epilepsy (Xian). If the body is stiff and arched backward like a bow, and the patient does not wake up intermittently, it is Convulsive Disorder (Jing Feng - text missing in original). The prognosis for Convulsive Disorder is extremely poor, with no survivors out of ten cases.
[Tang Shi] Head shaking caused by Liver Wind is not recorded in various formularies. The son of Vice-Administrator Zheng suffered from head shaking for seven years and hematochezia for three years. He had already taken over a hundred prescriptions. Previous treatments for head shaking consisted merely of Wind-expelling drugs and hemostatics; some treated it as Dysentery, others as Intestinal Wind, but all medicines were ineffective. After examining his condition and knowing the details, I initially did not understand its root and branch. Upon reflection, I determined that Liver Blood was abundant, and external Wind-Heat invaded it. The Liver belongs to Wood. When excessive, it overacts on Spleen Earth. The Spleen and Lung are in a mother-child relationship and are both subdued by the Liver, causing blood to seep into the large intestine, leading to persistent hematochezia. Therefore, I prescribed a formula that only damaged the Liver, expelled Wind, and benefited the Spleen. This was initially just my personal insight, but after taking only a few doses, he recovered. More than ten days later, the bleeding stopped, and white pus was discharged, after which he became stable.
Prescription: Xi Jiao Xiao (Rhinoceros Horn Shavings), Gan Cao (Licorice Root) (each 1 fen); Gua Lou Gen (Trichosanthes Root) (0.5 liang); She Tui Pi (Ophichus Skin) (1 qian, roasted until red); Fang Feng (Saposhnikovia Root) (5 liang); Gou Teng (Uncaria Ramulus cum Uncis) (1 qian); Ma Huang (Ephedrae Herba) (devoid of joints, 1 qian); Huang Qi (Astragali Radix) (honey-fried, 0.5 liang); Qiang Huo (Notopterygii Rhizoma et Radix); Bai Shao Yao (Paeoniae Radix Alba) (each 0.5 liang).
Grind the above into powder, form pills with jujube paste, and take with Bo He Tang (Mint Decoction) after meals. Effect was seen after only two doses; head shaking ceased immediately, and hematochezia healed subsequently. Intermittently take Weifeng Tang (Stomach Wind Decoction), and within a few days, the disease was completely eradicated. The son of Secretary Shen also verified the efficacy of this prescription.
[Hai Zang] "Food Therapy" states: She Tui Pi (Ophichus Skin) primarily expels Wind pathogen, brightens the eyes, treats 120 types of pediatric convulsive disorders, epilepsy, colds, fevers, hemorrhoids, gu poison, and calms the fetus; it should be roasted before use. For treating convulsive disorders with tongue protrusion and head shaking, complete skins should be used.