论曰重阳者狂。谓阳气独盛也。伤寒热毒既盛，内外皆热，则阳气愤嗔而发为狂越，其
病使人狂走妄言。或骂詈不避亲疏，或妄见妄闻，甚则至于弃衣而走，登高而歌。或数日不
食，逾垣上屋者，盖四肢诸阳之本也，热盛而四肢实，是为重阳，故所上之处，皆非素所能
而病乃能也。若乃因火为邪，而发为惊狂，及内有瘀血外证如狂，其为病虽不同，然其为阳
气有余，则一也。
治伤寒欲发狂，解毒止躁。苦参散方
苦参（一两） 黄芩（去黑心二两） 甘草（炙半两）
上三味，捣为粗末，每服三钱匕，水一盏煎至七分，去滓入生地黄汁约半合，搅匀去滓，
温服不计时候。
治伤寒热结在内，心神恍惚狂妄。大黄汤方
大黄（锉炒） 芒硝（各一两半） 桂（去粗皮三分） 大腹皮（锉） 甘草（炙锉） 木
通锉（各一两） 桃仁（二十一枚去皮尖双仁麸炒）
上七味，粗捣筛，每服四钱匕，水一盏，煎至六分去滓。
温服不计时候，以通利为度。
治伤寒九日至十日，头战掉，大汗出，恍惚狂走，眼见神鬼。犀角汤方
犀角屑（半两） 茵陈蒿（三分） 茯神（去木） 芍药 麦门冬（去心焙） 生干地
黄（焙各一两半） 栀子仁（半两）
上七味，粗捣筛，每服五钱匕，用水一盏半，入竹叶三七片，同煎至八分，去滓食后温
服。
治伤寒心热狂妄，精神不安。龙齿散方
龙齿（研） 丹砂（研各半两） 牛黄（一分） 马牙硝 地龙（炒各一两） 麝香（一
钱研）
上六味，捣研为散，每服一钱匕，以生姜蜜水调下，不计时候。
治阳毒发狂，及癫邪狂走。千金丸方
猪血（一盏生用） 不灰木（为末） 蓝根（连叶为末各一两） 水银（一钱以锡结沙
子） 鸡子（三枚只用清） 腻粉（半钱）
上六味，除猪血鸡子清外，细研、入猪血鸡清，拌合令匀，入瓷罐子内封闭，腊日合之，
掘地坑一尺藏埋，候端午日取出，旋丸如鸡头大，每服一丸，生姜汁及新汲水化破服。
治伤寒脉浮，医以火劫之，亡阳必惊狂。救逆汤方
桂（去粗皮蜀漆各一两半） 甘草（炙一两） 牡蛎（熬二两半） 龙骨（二两）
上五味，锉如麻豆大，每服五钱匕，以水一盏半，入生姜半分切，大枣二枚劈破，同煎
取七分，去滓温服。
治伤寒后狂言欲走，口干或时吐逆。人参汤方
人参 羚羊角屑 葛根（锉） 竹茹 前胡（去芦头） 麦门冬（去心焙各半两） 甘
草（炙锉一分） 半夏（汤洗去滑炒干半两）
上八味，粗捣筛，每服五钱匕，水一盏半，入生姜一分拍碎，枣三枚劈破，同煎至八分，
去滓食后温服。
治伤寒过经不解，热结在里，狂言不定，烦躁欲走。柴胡汤方
柴胡（去苗） 大黄（锉炒） 朴硝 枳壳（去瓤麸炒各一两） 甘草（炙锉半两）
上五味，粗捣筛，每服三钱匕，以水一盏，煎取六分，去滓温服，未利再服。
治伤寒发汗后，热毒未尽，因有所惊，狂言欲走。羚羊角汤方
羚羊角屑 犀角屑 防风（去叉） 茯神（去木） 黄芩（去黑心） 玄参 升麻（各
半两） 龙齿（研一两） 甘草（炙一两） 竹茹 地骨皮（洗焙） 人参（各三分）
上一十二味，粗捣筛，每服五钱匕，用水一盏半，煎至八分，去滓温服。
治伤寒心狂欲走，缘风热毒瓦斯，内乘于心所致。香豉汤方
豉（炒令香熟三两） 芒硝（烧令白于湿地上用纸衬出火毒四两）
上二味，每取豉半两，先以水一盏，煎取七分，去滓下芒硝末三钱匕，再煎三两沸，空
腹分温二服，如人行三里更一服，日夜可四服，但初看是风狂者，宜暂缚两手足。三服之后
解之，即无不愈者。
治伤寒太阳病六七日，表证仍在，脉微沉，反不结胸，其人发狂者，以热在下焦，少腹
当硬满，小便自利者，下血乃愈，所以然者，以太阳随经瘀热在里故也。抵当汤方
水蛭（十枚熬） 虻虫（十枚去翅足熬） 大黄（酒洗炒一两） 桃仁（七枚去皮尖双
仁者）
上四味，锉如麻豆，每服五钱匕，以水一盏半，煎取八分，去滓温服， 时当下血，不
下再服之。
治伤寒发狂欲走，是毒瓦斯壅于上焦，毒热不散，狂盛者，但缚手脚，恐自刑害及走赶人，
其脉左寸洪数，时时伏地。朴硝汤方
朴硝（烧令白于湿地纸衬出火毒一两） 豉（炒令香熟一合） 山栀子仁（一分）
上三味，粗捣筛，每服三钱匕，以水一盏，煎至半盏，去滓空腹温服，如人行十里，再
一服，如利即止。
治伤寒狂言欲走，大小便不通，腹痛胀满。大黄汤方
大黄（细锉微炒） 木通（锉各三分） 木香（一分） 升麻 羚羊角屑 白茅根（锉）
黄芩（去黑心各半两）
上七味，粗捣筛，每服五钱匕，用水一盏半，入葱白五寸，同煎至八分，去滓温服。
治伤寒阳盛发狂，大便不通，腹胀满欲走。郁金散方
郁金 大黄（细锉微炒） 山栀子仁（各三分） 桂（去粗皮半两） 甘草（炙锉一分）
上五味，捣罗为细散，每服二钱匕，食后煎葱豉汤调下。
治伤寒得汗。热毒不解，心烦躁闷，言语不定，小便赤涩，大便不通，狂闷欲走。朴硝
汤方
大黄（细锉微炒） 朴硝（研各二两） 黄芩（去黑心） 山栀子仁 大青（各一两半）
龙胆（去土） 苦参（各一两）
上七味，捣罗为细末，炼蜜和成剂，更捣三五百杵，丸如桐子大，每服二十丸，食后煎
麦门冬汤下，量病势更加丸数。
治伤寒时行发狂，妄见神鬼。金箔丸方
金箔 银箔（各一十片） 铁落（用水淘去沙泥取铁粉四两） 青黛（半两） 砒霜（半
钱） 麝香（半钱）
上六味，研为细末，入糯米粥为丸，如皂荚子大，新汲水磨下一丸，如行人五里，吐出
涎立效。
治伤寒热实发狂，烦躁闷乱。不灰木散方
不灰木（二两） 滑石 寒水石 蓝根 甘草（生各一两）
上五味，捣研为散，每服二钱匕，研生粟米，入乳糖一块，如枣大，同化调服，不拘时
候。
治伤寒发狂眼赤，大小便血出，身如金色，兼治六七日狂躁发热。绛雪丸方
硝石（一两） 丹砂（一分）
上二味，同研如粉，烧粟米饭和丸，如弹子大，每服一丸，沙糖冷水化下，服药后便睡，
移时汗出为效。
Commentary states: When yang qi is excessively abundant (Chong Yang), mania ensues. This refers to the solitary hyperactivity of yang qi. In cold damage (Shanghan), when heat toxins are rampant, causing heat both internally and externally, yang qi becomes agitated and furious, leading to manic behavior that transcends normal limits. The disease causes individuals to run wildly and speak nonsensically. Some may curse without regard for kinship or distance; some may hallucinate, seeing or hearing things that are not there. In severe cases, they may strip naked and run, climb to high places and sing. Or, they may go several days without eating, yet still manage to jump over walls and climb onto roofs. This is because the four limbs are the root of all yang meridians; when heat is excessive, the limbs become full and strong. This is termed "repeated yang" (Chong Yang). Therefore, places they climb to are those they could never reach normally, but due to the illness, they can. If the condition arises from fire pathogenic factors causing fright and mania, or if there is internal blood stasis presenting with external symptoms resembling mania, although these diseases differ, they share the commonality of excess yang qi.
To treat impending mania in cold damage, resolve toxins and stop agitation. Kushen San Formula
Kushen (Coptidis Rhizoma, 1 liang) Huangqin (Scutellariae Radix, remove black heart, 2 liang) Gancao (Licorice Root, honey-fried, 0.5 liang)
Crush the above three herbs into coarse powder. Take 3 qianbi per dose. Decoct with one zhan of water until reduced to 0.7 zhan. Strain the dregs, add approximately 0.5 he of fresh Shengdihuang juice (Rehmanniae Radix Recens Juice), mix well, strain again, and take warm at any time.
To treat internal binding of heat in cold damage causing mental confusion and madness. Dahuang Tang Formula
Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) Mangxiao (Natrii Sulfas, each 1.5 liang) Gui (Cinnamomi Ramulus, remove rough bark, 3 fen) Dafupi (Arecae Pericarpium, cut) Gancao (Licorice Root, honey-fried and cut) Mutong (Akebiae Caulis, cut, each 1 liang) Taoren (Persicae Semen, 21 seeds, remove skin, tip, and twin kernels, stir-fried with bran)
Sieve the above seven herbs after coarse crushing. Take 4 qianbi per dose. Decoct with one zhan of water until reduced to 0.6 zhan. Strain.
Take warm at any time. Continue until bowel movement is unobstructed.
To treat cold damage on the ninth to tenth day, characterized by head tremors, profuse sweating, mental confusion, wild running, and visual hallucinations of spirits. Xijiao Tang Formula
Xijiao (Rhino CeratUs Horn, shaved, 0.5 liang) Yinchenhao (Artemisiae Scopariae Herba, 3 fen) Fushen (Poria Cum Radix Pini, remove wood) Shaoyao (Paeoniae Radix) Maimendong (Ophiopogonis Radix, remove heart and roast) Shengdihuang (Rehmanniae Radix, dried and roasted, each 1.5 liang) Zhizi Ren (Gardeniae Fructus Seed, 0.5 liang)
Sieve the above seven herbs after coarse crushing. Take 5 qianbi per dose. Decoct with 1.5 zhan of water and 37 slices of Zhuye (Bambusa Leaves) until reduced to 0.8 zhan. Strain and take warm after meals.
To treat heart-heat induced madness in cold damage with spiritual unrest. Longchi San Formula
Longchi (Dent fossil, ground) Dansha (Cinnabaris, ground, each 0.5 liang) Niuhuang (Bovis Calculus, 1 fen) Mayaxiao (Natrii Sulfas crystallized) Dilong (Pheretima, fried, each 1 liang) Shexiang (Moschus, 1 qian, ground)
Grind the above six ingredients into a fine powder. Take 1 qianbi per dose, mixed with ginger and honey water. Take at any time.
To treat yang toxicity causing mania and epilepsy-like wild running. Qianjin Wan Formula
Zhuxue (Porcis Sanguis, 1 zhan, raw) Buhui Mu (Asbestus, powdered) Langen (Isatidis Radix, with leaves, powdered, each 1 liang) Shuiyin (Hydrargyrum, 1 qian, alloyed with tin to form sand grains) Jizi Qing (Album Ovi Galli, 3 eggs, whites only) Nifen (Calomelas, 0.5 qian)
Except for the pig blood and egg whites, finely grind the other ingredients. Mix with the pig blood and egg whites until uniform. Seal in a porcelain jar. Prepare on the last day of the twelfth lunar month. Bury one chi deep in the earth. Retrieve on the Dragon Boat Festival (Duanwu). Roll into pills the size of chicken heads. Take one pill per dose, dissolved in ginger juice and fresh drawn water.
To treat floating pulse in cold damage where the physician used fire therapy to force sweating, resulting in loss of yang qi and inevitable fright/mania. Jiuni Tang Formula
Guizhi (Cinnamomi Ramulus, remove rough bark, Shuyekung (Perillae Folium), each 1.5 liang) Gancao (Licorice Root, honey-fried, 1 liang) Muli (Concha Ostreae, calcined, 2.5 liang) Longgu (Fossil Bones, 2 liang)
Cut the above five herbs into sizes similar to hemp seeds. Take 5 qianbi per dose. Decoct with 1.5 zhan of water, adding 0.5 fen of sliced fresh ginger and two cracked jujubes. Reduce to 0.7 zhan. Strain and take warm.
To treat post-cold damage muttering and desire to walk, dry mouth, and occasional vomiting. Renshen Tang Formula
Renshen (Ginseng Radix) Lingyangjiao (Saigae Tataricae Cornu, shaved) Gegen (Puerariae Lobatae Radix, cut) Zhuru (Bambusa Textilis Caulis Succus) Qianhu (Peucedani Radix, remove rhizome) Maimendong (Ophiopogonis Radix, remove heart and roast, each 0.5 liang) Gancao (Licorice Root, honey-fried and cut, 1 fen) Banxia (Pinelliae Rhizoma, washed in water to remove slipperiness, dried, 0.5 liang)
Sieve the above eight herbs after coarse crushing. Take 5 qianbi per dose. Decoct with 1.5 zhan of water, adding 1 fen of crushed fresh ginger and three cracked jujubes. Reduce to 0.8 zhan. Strain and take warm after meals.
To treat cold damage that has passed through stages but remains unresolved, with heat binding internally, constant muttering, irritability, and desire to walk. Chaihu Tang Formula
Chaihu (Bupleuri Radix, remove seedlings) Dahuang (Rhei Radix et Rhizoma, cut and stir-fried) Puxiao (Natrii Sulfas) Zhike (Aurantii Fructus, remove pith, stir-fried with bran, each 1 liang) Gancao (Licorice Root, honey-fried and cut, 0.5 liang)
Sieve the above five herbs after coarse crushing. Take 3 qianbi per dose. Decoct with one zhan of water until reduced to 0.6 zhan. Strain and take warm. If bowels do not move, take again.
To treat mania and desire to walk after cold damage sweating, due to residual heat toxins and fright. Lingyangjiao Tang Formula
Lingyangjiao (Saigae Tataricae Cornu, shaved) Xijiao (Rhino CeratUs Horn, shaved) Fangfeng (Saposhnikoviae Radix, remove forks) Fushen (Poria Cum Radix Pini, remove wood) Huangqin (Scutellariae Radix, remove black heart) Xuanshen (Scrophulariae Radix) Shengma ( Cimicifugae Rhizoma, each 0.5 liang) Longchi (Dent fossil, ground, 1 liang) Gancao (Licorice Root, honey-fried, 1 liang) Zhuru (Bambusa Textilis Caulis Succus) Digupi (Lycii Cortex, washed and roasted) Renshen (Ginseng Radix, each 3 fen)
Sieve the above twelve herbs after coarse crushing. Take 5 qianbi per dose. Decoct with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm.
To treat heart mania and desire to walk caused by wind-heat toxins invading the heart. Xiangchi Tang Formula
Chi (Sojae Semens Praeparatum, stir-fried until fragrant, 3 liang) Mangxiao (Natrii Sulfas, burned white on wet ground lined with paper to remove fire toxicity, 4 liang)
Take 0.5 liang of Chi per dose. Decoct with one zhan of water until reduced to 0.7 zhan. Strain, add 3 qianbi of Mangxiao powder, and boil three times more. Take divided into two warm doses on an empty stomach. If the patient walks about three li, administer another dose. Up to four doses per day are acceptable. For initial wind-manic cases, temporarily bind hands and feet. Release after three doses; recovery is assured.
To treat Taiyang disease in cold damage lasting six to seven days, where exterior signs persist, pulse is faint and sinking, chest binding is absent, and the patient is manic. This indicates heat in the lower jiao; the hypogastrium should be hard and full, and urination free. Healing occurs via bleeding (blood letting/purgation of blood stasis). This happens because Taiyang pathogens follow the meridians, causing blood stasis and heat to bind internally. Didang Tang Formula
Shuizhi (Hirudo, ten pieces, processed) Mengchong (Ophryogenia, ten pieces, remove wings and legs, processed) Dahuang (Rhei Radix et Rhizoma, wine-washed and stir-fried, 1 liang) Taoren (Persicae Semen, seven seeds, remove skin, tip, twin kernels)
Cut the above four herbs into sizes similar to hemp seeds. Take 5 qianbi per dose. Decoct with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Blood discharge is expected; if it does not occur, take again.
To treat mania and desire to walk in cold damage, where toxic vapors obstruct the upper jiao and heat is intense. Binding hands and feet is necessary to prevent self-harm or attacking others. The pulse at the left Cun position is surging and rapid; the patient frequently prostrates. Puxiao Tang Formula
Puxiao (Natrii Sulfas, burned white on wet ground lined with paper to remove fire toxicity, 1 liang) Chi (Sojae Semens Praeparatum, stir-fried until fragrant, 1 he) Shanzhizi Ren (Gardeniae Fructus Seed, 1 fen)
Sieve the above three herbs after coarse crushing. Take 3 qianbi per dose. Decoct with one zhan of water until reduced to half a zhan. Strain and take warm on an empty stomach. If the patient walks ten li, take another dose. Stop if diarrhea occurs.
To treat muttering and desire to walk in cold damage with obstruction of large and small intestines, abdominal pain, and distension. Dahuang Tang Formula
Dahuang (Rhei Radix et Rhizoma, finely cut and lightly stir-fried) Mutong (Akebiae Caulis, cut, each 3 fen) Muxiang (Aucklandiae Radix, 1 fen) Shengma (Cimicifugae Rhizoma) Lingyangjiao (Saigae Tataricae Cornu, shaved) Baimaogen (Imperatae Rhizoma, cut) Huangqin (Scutellariae Radix, remove black heart, each 0.5 liang)
Sieve the above seven herbs after coarse crushing. Take 5 qianbi per dose. Decoct with 1.5 zhan of water and five cun of Congbai (Allii Fistulosi Bulbus) until reduced to 0.8 zhan. Strain and take warm.
To treat yang-excess mania in cold damage with constipation, abdominal distension, and desire to walk. Yujin San Formula
Yujin (Curcumae Radix) Dahuang (Rhei Radix et Rhizoma, finely cut and lightly stir-fried) Shanzhizi Ren (Gardeniae Fructus Seed, each 3 fen) Guizhi (Cinnamomi Ramulus, remove rough bark, 0.5 liang) Gancao (Licorice Root, honey-fried and cut, 1 fen)
Grind the above five herbs into a fine powder. Take 2 qianbi per dose after meals, taken with decocted Congchi Tang (Green Onion and Fermented Soybean Soup).
To treat cold damage where sweating occurred but heat toxins remain, causing heart irritability, restlessness, erratic speech, dark scanty urine, constipation, and manic闷欲走. Puxiao Tang Formula
Dahuang (Rhei Radix et Rhizoma, finely cut and lightly stir-fried) Puxiao (Natrii Sulfas, ground, each 2 liang) Huangqin (Scutellariae Radix, remove black heart) Shanzhizi Ren (Gardeniae Fructus Seed) Daqing (Indigo Naturalis, each 1.5 liang) Longdan (Gentianae Radix, remove soil) Kushen (Coptidis Rhizoma, each 1 liang)
Grind the above seven herbs into a fine powder. Mix with refined honey to form a paste, then pound 300-500 times. Roll into pills the size of Sophora seeds. Take 20 pills per dose after meals, with Maimendong Tang (Ophiopogon Decoction). Adjust dosage based on disease severity.
To treat epidemic cold damage causing mania and hallucinations of spirits. Jinbo Wan Formula
Jinbo (Gold Leaf) Yinbo (Silver Leaf, each 10 pieces) Tielpuo (Iron Filings, washed to remove sand/mud, 4 liang) Qingdai (Indigo Naturalis, 0.5 liang) Pishuang (Arsenic Trioxide, 0.5 qian) Shexiang (Moschus, 0.5 qian)
Grind the above six ingredients into a fine powder. Mix with glutinous rice porridge to form pills the size of Gleditsia sinensis pods. Dissolve one pill in fresh drawn water and swallow. If the patient walks five li and expectorates saliva, immediate effect is observed.
To treat heat-excess mania in cold damage with irritability and confusion. Buhui Mu San Formula
Buhui Mu (Asbestus, 2 liang) Huashi (Talcum) Hanshuishi (Aqua Marina) Langen (Isatidis Radix) Gancao (Licorice Root, raw, each 1 liang)
Grind the above five herbs into a powder. Take 2 qianbi per dose. Mix with ground raw millet and a piece of lactose the size of a jujube. Dissolve and take. Take at any time.
To treat cold damage mania with red eyes, bleeding from large and small intestines, golden-yellow skin, and also for mania/restlessness/fever lasting six to seven days. Jiangxue Wan Formula
Xiaoshi (Nitrums, 1 liang) Dansha (Cinnabaris, 1 fen)
Grind the two ingredients together into a powder. Mix with cooked millet rice to form pills the size of marbles. Take one pill per dose, dissolved in rock sugar and cold water. Sleep immediately after taking. Sweating after a period indicates efficacy.