论曰风恍惚者。以风邪经于五脏。其神恍惚而不宁也。盖五脏处于内。神之舍也。脏气
充足
不宁也。
治风惊悸。或忧愁思虑。心神恍惚。狂言烦闷。口眼 斜。化痰涎。利咽膈。丹砂镇心
丸方 丹砂(别研一两) 牛黄(别研) 龙脑(别研) 麝香(别研各一钱) 铅白霜
(别研二钱)
各半两)
上一十味。捣研为末。和匀炼蜜。丸如鸡头大。每服三丸。煎金银薄荷汤化下。食后夜
卧服。
治风虚。安寝寐。镇心神。止恍惚。化痰滞。石菖蒲丸方
石菖蒲 远志(去心) 铁粉(别研) 丹砂(别研各一两) 白茯苓(去黑皮) 人
参(各一
衣)
上九味。捣研为末。和匀炼蜜。丸如梧桐子大。每服十五丸。至二十丸。煎人参汤下。
早晚食后服。
治诸藏虚邪。夜卧恍惚。精神不安。鹿角散丸
鹿角(镑三两)
上一味。捣罗为散。每服一钱匕。温酒调下。日三服。
治诸藏虚邪。夜卧恍惚。神不安。羚羊角散方
羚羊角(镑微炒一两)
上一味。捣罗为散。每服一钱匕。温酒调下。日三服。
治神志不宁。风虚恍惚。镇惊悸。补不足。丹砂茯神丸方
丹砂(别研) 茯神(去木) 人参(各一两) 干蝎(二十一枚全者去土炒) 牛黄
(别研半
上五味。捣研为末。和匀炼蜜。丸如梧桐子大。每服十丸。温金银薄荷汤下。人参汤化
亦得。
治恍惚健忘。心神不宁。解烦躁。清头目。镇心安神。牛黄紫云丸方
牛黄(别研) 麝香(别研) 龙脑(别研各一分) 丹砂(别研) 天竺黄(别研) 黄
芩(去黑心) 远志(去心) 龙齿(各三分) 铁粉(别研) 茯苓(去黑皮) 甘草(炙
锉各一两) 甘
为衣)
上一十五味。以十四味捣研为末。和匀炼蜜。丸如小弹子大。以金薄为衣。每服一丸。
早晚食后。荆芥汤嚼下。薄荷汤亦得。
治心神恍惚。化痰涎。利胸膈。丹砂煎方
丹砂(别研) 真珠(别研) 犀角(镑) 玳瑁(镑) 阿胶(炙燥各一两) 龙脑
(别研) 麝
上七味。捣研为末。和匀。用安息香一两。汤一盏。化去滓。入蜜二两。于一处重汤内
。煮令化。然后下前五味末。熬成煎候冷方入脑麝末搅匀。入瓷合内。每服一皂子大。用温
薄荷汤化下。
治心虚忧愁不乐。惊悸心忪。恍惚忘误。神情不宁。定心丸方
茯苓(去黑皮) 茯神(去木各一两) 琥珀(别研) 龙齿 阿胶(炙令燥) 牛黄
(别研)
胆内匮者) 甘草(炙锉各一两半) 远志(去心一分) 金薄(三十片为衣) 银薄(二
十片研入药) 菖蒲 酸枣仁(炒) 天竺黄(别研) 人参(各三分) 虎睛(一对酥
炙) 丹砂(别研四两) 龙脑(半分) 雄黄(别研二两) 苏合香(一两) 安息香(二
两同苏合香以酒一大盏研化澄去砂脚熬成膏)
上二十五味。除别研外。捣罗为末和匀。以安息香膏。同炼蜜和丸。如鸡头大。每服一
丸。麝香汤化下。早晚食后临卧服。
Discussion: The condition referred to as "Wind-induced Trance" (Feng Huanghu) occurs when wind pathogenic factors invade the five zang organs, causing the spirit (Shen) to become unstable and restless. The five zang organs reside within the interior and serve as the dwelling place of the spirit. When the qi of the zang organs is sufficient, the spirit remains tranquil; however, if there is insufficiency or pathogenic disturbance, spiritual unrest ensues.
For treating palpitations caused by wind pathogens, as well as symptoms arising from worry and overthinking such as mental trance, delirious speech, restlessness, and deviation of the mouth and eyes, with the aim of resolving phlegm-fluids and benefiting the throat and diaphragm, use the Cinnabar Calming Heart Pill Formula (Dansha Zhenxin Wan Fang). Ingredients include: Zhusha (Cinnabaris, prepared separately, 1 liang), Niuhuang (Bovis Calculus, prepared separately), Longnao (Borneolum Syntheticum, prepared separately), Shexiang (Moschus, prepared separately, each 1 qian), Qianbaishuang (Plumbi Subcarbonas, prepared separately, 2 qian), [Text missing ingredient name, listed as "each half liang"]. These ten ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a cockle seed. Take three pills per dose, dissolved in a decoction of Yinchen (Silverweed/Mint complex) and Bohe (Menthae Haplocalycis Herba). Administer after meals and before sleep.
To treat deficiency-wind, calm sleep, stabilize the heart spirit, stop trance, and resolve phlegm stagnation, use the Shichangpu Pill Formula (Shichangpu Wan Fang). Ingredients include: Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix, remove heart), Tiefen (Ferrum, prepared separately), Dansha (Cinnabaris, prepared separately, each 1 liang), Baifuling (Poria Cum Ramo Xylatis, remove black skin), Renshen (Ginseng Radix et Rhizoma, each [quantity missing]). These nine ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a sophora seed. Take 15 to 20 pills per dose, washed down with a decoction of Renshen. Administer in the morning and evening after meals.
To treat deficiency and evil in various viscera, characterized by nightly trance and spiritual unease, use the Deer Horn Powder Pill (Lujiao San Wan). Ingredient: Lujiao (Cornu Cervi, sliced thinly, 3 liang). This single ingredient is crushed and sifted into a powder. Take one qianbi per dose, mixed with warm wine. Administer three times daily.
To treat deficiency and evil in various viscera, characterized by nightly trance and spiritual unease, use the Antelope Horn Powder Formula (Lingyangjiao San Fang). Ingredient: Lingyangjiao (Ceratsum Saigae Tataricae, sliced thinly, slightly stir-fried, 1 liang). This single ingredient is crushed and sifted into a powder. Take one qianbi per dose, mixed with warm wine. Administer three times daily.
To treat spiritual unrest, wind-deficiency trance, calm palpitations, and tonify insufficiency, use the Cinnabar Poria Spirit Pill Formula (Dansha Fushen Wan Fang). Ingredients include: Dansha (Cinnabaris, prepared separately), Fushen (Poria with Hostwood, remove wood), Renshen (Ginseng Radix et Rhizoma, each 1 liang), Ganxie (Scorpio, 21 whole specimens, remove dirt and stir-fry), Niuhuang (Bovis Calculus, prepared separately, [quantity missing]). These five ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a sophora seed. Take ten pills per dose, washed down with warm decoction of Yinchen and Bohe, or alternatively with Renshen decoction.
To treat trance and forgetfulness, spiritual unrest, relieve irritability, clear the head and eyes, and calm the heart spirit, use the Bovis Calculus Purple Cloud Pill Formula (Niuhuang Ziyun Wan Fang). Ingredients include: Niuhuang (Bovis Calculus, prepared separately), Shexiang (Moschus, prepared separately), Longnao (Borneolum Syntheticum, prepared separately, each 1 fen), Dansha (Cinnabaris, prepared separately), Tianzhuhuang (Bambusae Tabulae, prepared separately), Huangqin (Scutellariae Radix, remove black heart), Yuanzhi (Polygalae Radix, remove heart), Longchi (Dentium Draconis, each 3 fen), Tiefen (Ferrum, prepared separately), Fuling (Poria, remove black skin), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 liang), Gan [Ingredient name missing for coating]. These fifteen ingredients: take fourteen of them, crush and grind into fine powder, mix uniformly, blend with refined honey to form pills the size of a small bullet, coated with Jinbo (Gold Leaf). Take one pill per dose, chewed with Jingjie (Schizonepetae Herba) decoction in the morning and evening after meals; Bohe decoction is also acceptable.
To treat heart-spirit trance, resolve phlegm-fluids, and benefit the chest and diaphragm, use the Cinnabar Decoction Paste Formula (Dansha Jian Fang). Ingredients include: Dansha (Cinnabaris, prepared separately), Zhenzhu (Margarita, prepared separately), Xijiao (Rhinocerotis Cornu, sliced thinly), Daimao (Eretmochelys Carapax, sliced thinly), Ejiao (Colla Corii Asini, roasted dry, each 1 liang), Longnao (Borneolum Syntheticum, prepared separately), She [Xiang] (Moschus). These seven ingredients are crushed, ground into fine powder, and mixed uniformly. Take 1 liang of Anxi Xiang (Styrax), dissolve in one zhan of water, filter out dregs, add 2 liang of honey, and heat gently until melted. Then add the powders of the previous five ingredients, boil into a paste, cool, then add Longnao and Shexiang powders, and mix well. Store in a porcelain container. Take a piece the size of a soap pod per dose, dissolved in warm Bohe decoction.
To treat heart-deficiency leading to sorrow and unhappiness, palpitations and anxiety, trance and memory lapses, and spiritual unrest, use the Dingxin Pill Formula (Dingxin Wan Fang). Ingredients include: Fuling (Poria, remove black skin), Fushen (Poria with Hostwood, remove wood, each 1 liang), Hupo (Succinum, prepared separately), Longchi (Dentium Draconis), Ejiao (Colla Corii Asini, roasted dry), Niuhuang (Bovis Calculus, prepared separately), [Missing ingredient, text mentions "gall bladder cavity"], Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1.5 liang), Yuanzhi (Polygalae Radix, remove heart, 1 fen), Jinbo (Gold Leaf, 30 pieces for coating), Yinbo (Silver Leaf, 20 pieces ground into medicine), Changpu (Acori Tatarinowii Rhizoma), Szaoren (Ziziphi Spinosae Semen, stir-fried), Tianzhuhuang (Bambusae Tabulae, prepared separately), Renshen (Ginseng Radix et Rhizoma, each 3 fen), Huqing (Tigris Ocellati Oculi, one pair, roasted with butter), Dansha (Cinnabaris, prepared separately, 4 liang), Longnao (Borneolum Syntheticum, 0.5 fen), Xionghuang (Realgar, prepared separately, 2 liang), Suhe Xiang (Styrax, 1 liang), Anxi Xiang (Styrax, 2 liang, combined with Suhe Xiang, ground with one large zhan of wine, clarified, sediment removed, boiled into paste). Of these twenty-five ingredients, except those requiring separate grinding, crush and sift into powder and mix uniformly. Blend with the Anxi Xiang paste and refined honey to form pills the size of a cockle seed. Take one pill per dose, dissolved in Shexiang decoction. Administer in the morning and evening after meals and before bed.