间使(二穴,在掌外横纹后三寸,两筋陷中,灸五壮。治癫狂。) 人中(一穴,在鼻下,
小炷灸之,治癫狂卒倒。)两手足大拇指甲(甲肉之半处,灸七壮。其法,以二指并缚一处灸之,四处着火。)
春甫考心风病,诸书鲜有载之,而多附癫痫门候,混同论治。心风虽出于世俗之称,深中
病情,诚为切当。古人谓∶风善行而数变,风痹为不仁。此曰心风者,非若外风入中,甚言其
变常无定,恍惚不仁。而心之病,诚若风之魔也。此皆七情五志久逆所生,而与癫痫则又不同矣。癫狂
痫证主于火炽,风痰之盛,而寝延及于心,属实者多;心风则由七情五志久逆不遂,戴人所谓
肝屡谋,胆屡不决,屈无所申,怒无所泄。心之官则思,甚则心血日涸,脾液不行,痰迷心窍,
则成心风,属虚者多。治法须以七情相胜,五志遂心,养血豁痰,引神归舍,标本兼治,此疾
可愈矣。致若混同癫痫攻治,是谓虚虚,而速其死也,噫。
脉寸关微间而歇,至者死。微而滑者生。
浮而涩者难治。(乃血气不足,而神荡于外。)弦大者可攻之。
虚而无力者宜补。
滑疾者痰甚,在寸宜吐之,关滑可下。
心风初作,多属虚候,何则?思虑伤脾,则谷气浸少,血液日亏,则心神慢散,神不守舍,
卒成心风。故
知其始皆属虚也,归脾汤养心汤、定志丸之类。至于病久,则心志变而美恶不知,无思无虑,饮
食如故,杀气颇增,病根已固。郁痰不解者,可用子和法治之,随证调理,无不愈也。
Jianshi (PC5) acupoint (two points, located three cun posterior to the transverse crease of the palm, in the depression between the two tendons; moxibustion five zhuang. Treats mania and epilepsy.) Renzhong (GV26) acupoint (one point, located in the philtrum; use small moxa cones for moxibustion; treats sudden collapse due to mania or epilepsy.) The half-way points on the fingernails/toenails of both thumbs and big toes (at the junction of the nail and flesh; moxibustion seven zhuang per site. Method: bind two fingers together and apply fire at all four sites simultaneously.)
Chunfu examined the disease known as "Heart Wind" (Xin Feng). Few medical texts record it specifically; instead, it is mostly appended to the section on epilepsy, where diagnosis and treatment are confused with those of epilepsy. Although "Heart Wind" is a term originating from popular usage, it accurately reflects the pathological condition and is indeed appropriate. The ancients stated: "Wind pathogens move freely and change frequently; wind-bi leads to numbness." The "Heart Wind" mentioned here does not refer to external wind invading the body, but rather emphasizes its unpredictable nature and constant changes, manifesting as mental confusion and insensibility. Diseases of the heart truly resemble being possessed by wind demons. These conditions arise from the long-term reversal and stagnation of the Seven Emotions (joy, anger, worry, thought, grief, fear, fright) and Five Wills (anger, joy, thought, worry, fear), which differs from epilepsy. Epilepsy, mania, and convulsive disorders are primarily caused by blazing fire and excessive wind-phlegm, which eventually affect the heart, and are mostly excess syndromes. In contrast, Heart Wind results from the long-term frustration and stagnation of the Seven Emotions and Five Wills. As Zhang Congzheng (Zihe) stated: "The Liver plans repeatedly but hesitates; the Gallbladder decides repeatedly but lacks resolve; there is no outlet for grievance, nor release for anger." The function of the Heart is to govern thought. Excessive thinking depletes Heart Blood day by day, and Spleen fluids fail to circulate. Phlegm confuses the Heart orifices, leading to Heart Wind, which is mostly a deficiency syndrome. Treatment must employ the theory of emotional counteraction (using one emotion to overcome another), allow the Five Wills to be satisfied, nourish blood and resolve phlegm, guide the Shen (Spirit) back to its residence, and treat both root and branch. With this approach, the disease can be cured. If it is mistakenly treated like epilepsy using purgative methods, this constitutes "treating deficiency as if it were excess" (making the deficient even more deficient), accelerating death. Alas.
If the pulse at the Cun and Guan positions is faint and intermittent, and the beat ceases without returning, it indicates a fatal prognosis. If the pulse is faint yet slippery, survival is possible. If the pulse is floating and choppy, it is difficult to treat (indicating insufficiency of Qi and Blood, with the Shen dissipating externally). If the pulse is wiry and large, it can be treated with attacking methods. If the pulse is weak and forceless, tonification is appropriate. If the pulse is slippery and rapid, it indicates severe phlegm; if located at the Cun position, emesis should be induced; if slippery at the Guan position, purgation may be used.
When Heart Wind first manifests, it mostly belongs to deficiency patterns. Why? Because excessive thought damages the Spleen, causing the essence derived from food and drink to gradually decrease. As blood becomes increasingly deficient, the Heart Shen slowly scatters, failing to reside within the Heart, ultimately resulting in Heart Wind. Therefore, it is known that the initial stage belongs to deficiency. Formulas such as Guipi Tang (Restore the Spleen Decoction), Yangxin Tang (Nourish the Heart Decoction), and Dingzhi Wan (Calm the Will Pill) are suitable. However, if the disease persists for a long time, the Heart's will changes, and the patient loses the ability to discern beauty from ugliness or good from evil. They have no thoughts or worries, eat normally, but exhibit increased aggressive tendencies, and the root of the disease has become solidified. For cases where stagnant phlegm cannot be resolved, the methods of Zhang Zihe (Zihe) can be employed. By adjusting treatment according to the specific manifestations, recovery is assured.