天津陈××，年三十八岁，得痫风兼脑充血证。
病因 因肝火素盛，又在校中任讲英文，每日登堂演说，时间过长。劳心劳力皆过度，遂得斯证。
证候 其来社求诊时，但言患痫风，或数日一发，或旬余一发，其发必以夜，亦不自觉，惟
睡醒后其舌边觉疼，有咬破之处，即知其睡时已发痫风，其日必精神昏愦，身体酸懒。诊其脉
左右皆弦硬异常，因问其脑中发热或作疼，或兼有眩晕之时乎？答曰∶此三种病脑中皆有，余
以为系痫风之连带病，故未言及耳。愚曰∶非也，是子患痫风兼患脑充血也。
诊断 按痫风之证，皆因脑髓神经失其所司，而有非常之变动，其脑部若充血过甚者，恒至排
挤脑髓神经，使失其常司也。此证既患痫风，又兼脑部充血，则治之者自当以先治其脑部充血为急务。
处方 治以拙拟镇肝熄风汤，为其兼患痫风加全蜈蚣大者三条，盖镇肝熄风汤原为拙拟治脑
充血之主方，而蜈蚣又善治痫风之要药也。
复诊 前方连服十剂，脑部热疼眩晕皆除。惟脉仍有力，即原方
略为加减，又服十剂则脉象和平如常矣。继再治其痫风。
处方 治以拙拟愈痫丹，日服两次，每次用生怀山药五钱煎汤送下。
效果 服药逾两月旧病未发，遂停药勿服，痫风从此愈矣。
Chen XX from Tianjin, aged 38, suffered from epilepsy (Xian Feng) complicated by cerebral congestion.
Etiology: Due to a pre-existing excess of Liver Fire, and his role as an English lecturer at a school where he delivered daily speeches for extended periods. Both mental exertion and physical labor were excessive, leading to this condition.
Symptoms: When he came to the clinic for consultation, he only mentioned suffering from epilepsy, which occurred either every few days or every ten-plus days. The attacks invariably happened at night without his conscious awareness; he only knew they had occurred because he woke up with pain and bite marks on the edges of his tongue. On such days, he would feel mentally confused and lethargic, with body soreness and lassitude. His pulse was excessively wiry and hard in both left and right positions. I asked him if he experienced heat or pain in the head, or accompanied dizziness. He replied that all three symptoms were present in his head, but he assumed they were secondary to the epilepsy and thus did not mention them. I said: Incorrect. You are suffering from epilepsy complicated by cerebral congestion.
Diagnosis: According to the pathology of epilepsy, it is caused by the brain marrow and nerves losing their normal control, resulting in abnormal changes. If cerebral congestion is severe, it often compresses the brain marrow and nerves, causing them to lose their normal function. Since this case involves both epilepsy and cerebral congestion, the priority for treatment must be to address the cerebral congestion first.
Prescription: Treated with my formulated Zhen Gan Xi Feng Tang (Sedate the Liver and Extinguish Wind Decoction). Because of the concurrent epilepsy, three large whole Centipede (Quan Wugong, Scolopendra) were added. Zhen Gan Xi Feng Tang is originally my primary formula for treating cerebral congestion, while Centipede is a key herb for treating epilepsy.
Follow-up Visit: After taking the previous prescription for ten doses, the heat, pain, and dizziness in the head were eliminated. However, the pulse remained forceful. Slight modifications were made to the original formula, and after another ten doses, the pulse became peaceful and normal. Subsequently, the epilepsy was treated.
Prescription: Treated with my formulated Yu Xian Dan (Cure Epilepsy Pill), taken twice daily, each time washed down with decoction made from five qian of raw Huai Shan Yao (Dioscoreae Rhizoma, Chinese Yam).
Outcome: After more than two months of medication, the old disease did not recur. Medication was then discontinued, and the epilepsy was completely cured.