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Qingdai (Bromheadinae Herba), Qingfen (Calomel), each 1 qian; Qianniu Zi powder (Semen Pharbitidis) 5 qian; Tianzhu Huang (Bambusae Concretio Silicea) 2 qian.
Grind the above ingredients into fine powder, and make pills with honey, sized like millet seeds. Take 1 qian per dose. Stop taking after the patient experiences diarrhea.
This pill is administered for patients with Jingxian (epilepsy caused by fright) presenting with excess syndrome of Qi.
The origin of Xianji (epileptic seizures) lies in fright. It may occur while in the mother's womb or after birth, inevitably caused by fright and terror, hence it is called Jingxian (fright-induced epilepsy). Generally, fear causes Qi to sink, and fright causes Qi to become chaotic. Fear-related Qi returns to the Kidney, and fright-related Qi returns to the Heart. When pathogenic factors congregate in the Heart and Kidney, the Liver and Spleen alone become deficient. Liver deficiency generates Wind, and Spleen deficiency generates Phlegm. When accumulation reaches its peak, it erupts violently, causing Wind and Phlegm to surge upward, thus triggering epileptic seizures. The Classic states: "Excess syndromes should be purged." Therefore, Tianzhu Huang and Qingdai are used to purge the Liver, and Qianniu Zi and Qingfen are used to purge the Spleen. Purging the Liver serves to expel Wind, and purging the Spleen serves to expel Saliva/Phlegm.

Xianzheng (epileptic disorders) are suitable for purgation or emesis. Chazi (Camellia oleifera seeds) is bitter and effective in inducing vomiting, capable of expelling stubborn Phlegm. Users should take one sheng, crush it thoroughly, and decoct it with five times its volume in water. Instruct the patient to fast from dinner the night before. On the early morning of the next day, bind their lower abdomen tightly with a silk cloth, and drink the decoction in a draft-free place to induce vomiting. Stop immediately once profuse vomiting occurs; there is no need to consume the entire dose.

Narrative: Diankuang (mania and melancholia) both result from the loss of Shen (Spirit). The Classic states: "If the Ruler (Heart) is not clear, the twelve officials (organs) will be endangered." Consequently, vision, hearing, speech, and movement all lose their proper functions. For recent onset, purging excess is appropriate; for chronic cases, calming the Shen is appropriate. Here, eight famous prescriptions are examined, revealing the treatment methods of the ancients.

Dahuang (Rhubarb Root and Rhizome) 4 liang.
Soak in wine overnight, add three sheng of water, and decoct. Divide into three doses. If symptoms persist, prepare and administer again.
This prescription is the primary treatment for Diankuangbing (mania and melancholia disorders).
Excessive anger characterizes Dian (melancholia); excessive joy characterizes Kuang (mania). Dian manifests as spirit failing to reside within, disordered speech, delusions, hallucinations, climbing heights, and cursing. Early-stage Kuang manifests as little sleep, little hunger, self-aggrandizement, inappropriate laughter and movement, singing while climbing heights, discarding clothes, and running. Dian disease is attributed to pathogenic factors congregating in the Liver. Kuang disease is attributed to pathogenic factors congregating in the Heart. These are all excess syndromes, suitable for purgation rather than tonification. Therefore, Dahuang is used to purge excess, leveraging its bitter and cold nature which descends everything, thereby clearing excess. Furthermore, food should only be introduced after several days. As long as the patient achieves tranquility, it is an auspicious sign. Do not use warm tonifying medicines or overfeed the patient simply because they appear emaciated or have reduced appetite, otherwise the disease will relapse. Guard against this! Providing food slowly is appropriate. Thus, it is said that reducing grain intake facilitates recovery. This is because food enters to nourish Yin, which in turn generates Yang.