答曰。入并于阴则为颠。入并于阳则为狂。皆繇风邪之所致也。颠者。猝然仆地。呕吐涎沫
。口 目急。手足撩戾。无所觉知。良久乃苏。狂者。或言语不避亲疏。或因自高贤。或弃
衣逾走。亦有自定之时。又在有胎之时。其母猝大惊。亦令子气发痫。其颠有五。一曰阳
颠。二曰阴颠。三曰风颠。四曰湿颠。五曰劳颠。此皆随其感病之繇而命名也。又有牛马猪
狗颠。以其颠发之时。声形状似于牛马等。故以为名也。俗云。病颠之人。忌食六畜肉。颠
发之状。悉皆象之。
大圣一粒金丹。治诸风惊痫。
大川乌头 黑附子 白附子(各二两) 白蒺藜(炒去刺) 五灵脂(各一两) 没药(半两别研)
白矾(枯半两别研) 白僵蚕(一两去丝炒) 麝香(半两净肉) 细香墨(半两别研) 朱砂(
半两别研) 金箔(二百片为衣)
上将前六味同为细末。后四味研细合和。用井华水一盏。研墨尽为度。将墨汁搜和。杵臼内
捣五百下。丸如弹子大。金箔为衣阴干。每服一粒。食后临卧。生姜自然汁磨化。入热酒服
。再以热酒随意多少饮之。就无风暖处卧。衣被盖覆。汗出即瘥。病小者。每粒分作二服。
忌发风物。孕妇不可服。
黄牛丸。治风狂。喜怒不常。或欲狂走。
白龙骨(烧) 铁粉(研) 茯神 人参 黄连 铅霜 犀角(屑) 防风 朱砂(各一两研) 牛
黄(一钱研) 远志(一两去心) 龙脑(一钱研) 甘草(半两炙) 麦门冬(一两半去心)
上为细末。如桐子大。每服二十丸。熟水送下。不拘时服。
祛邪散。治颠邪恶候。
白矾(三两生研) 黄丹(半两)
上为研细。用桑柴于瓦中烧一伏时。服半钱以乳香汤下。不拘时。
小柴胡加地黄汤。方见三十五问。每服五钱。水二盏。姜五片。枣二枚。煎八分。去滓温服。
来复丹。治产后热入血室。如见鬼神狂语者。方见三十五问。以醋汤下十来服。
Answer: When pathogenic factors merge into the Yin aspect, Dian disease (epilepsy/mental disorder characterized by depression) occurs; when they merge into the Yang aspect, Kuang disease (mania) occurs. Both are caused by Wind pathogens. Dian disease is characterized by sudden collapse to the ground, vomiting of salivary foam, deviation and spasm of the mouth and eyes, convulsive twisting of the limbs, loss of consciousness, and recovery after a long period. Kuang disease manifests as speech that ignores kinship distinctions, arrogance or self-perception of being virtuous, discarding clothes and running away, though there may be periods of spontaneous calmness. Additionally, during pregnancy, if the mother suffers a sudden severe fright, it can cause the fetus to develop Xian disease (epileptic seizures).
Dian disease is classified into five types: 1. Yang Dian, 2. Yin Dian, 3. Feng Dian (Wind Dian), 4. Shi Dian (Dampness Dian), and 5. Lao Dian (Exhaustion Dian). These names are derived from their respective etiologies. There are also Niu Dian (Ove Dian), Ma Dian (Horse Dian), Zhu Dian (Pig Dian), and Gou Dian (Dog Dian), named because the sounds and postures during an attack resemble those animals. Folklore states that patients with Dian disease should avoid eating meat from the six domestic animals, as the manifestations mimic these animals.
Da Sheng Yi Li Jin Dan (Great Sage Single-Grain Golden Pill): Treats various Wind-induced Jing Xian (startle epilepsy/seizures).
Ingredients: Da Chuan Wu Tou (Radix Aconiti Kusnezoffii), Hei Fu Zi (Radix Aconiti Lateralis Preparata), Bai Fu Zi (Rhizoma Typhonii), Bai Ji Li (Fructus Tribuli, stir-fried and thorns removed), Wu Ling Zhi (Trogopteri Dung, each 2 liang for the first three, 1 liang for the next two), Mo Yao (Resin Boswelliae, half liang, separately ground), Bai Fan (Alumen, calcined, half liang, separately ground), Bai Jiang Can (Bombyx Batryticatus, 1 liang, silk removed and stir-fried), She Xiang (Moschus, half liang, pure flesh), Xi Xiang Mo (Fine Fragrant Ink Stick, half liang, separately ground), Zhu Sha (Cinnabaris, half liang, separately ground), Jin Bo (Folium Aurum, 200 pieces for coating).
The first six ingredients are ground together into a fine powder. The latter four are finely ground and mixed. Add one cup of Jing Hua Shui (first-drawn well water) and grind the ink stick until dissolved. Use this ink solution to knead the powder mixture, pounding in a mortar and pestle 500 times. Form pills the size of a bullet, coat with Jin Bo, and dry in the shade. Take one pill after meals and before bed. Grind the pill in fresh Ginger Juice (Sheng Jiang Zi Ran Zhi), mix with hot wine, and ingest. Drink additional hot wine as desired. Lie down in a warm, draft-free place, cover with blankets, and allow sweating to occur for cure. For milder cases, divide one pill into two doses. Avoid wind-inducing foods. Pregnant women must not take this.
Huang Niu Wan (Yellow Cow Pill): Treats Feng Kuang (Wind Mania), characterized by erratic mood swings (joy or anger) or urges to run wildly.
Ingredients: Bai Long Gu (Os Draconis, calcined), Tie Fen (Plumbum Metallicum, ground), Fu Shen (Poria with Hostwood), Ren Shen (Radix Ginseng), Huang Lian (Rhizoma Coptidis), Qian Shuang (Lapis Plumbi Subacetatis), Xi Jiao (Cornu Rhinocerotis, shaved), Fang Feng (Radix Saposhnikoviae), Zhu Sha (Cinnabaris, each 1 liang, ground), Niu Huang (Calculus Bovis, 1 qian, ground), Yuan Zhi (Radix Polygalae, 1 liang, heart removed), Long Nao (Borneolum Syntheticum, 1 qian, ground), Gan Cao (Radix Glycyrrhizae, half liang, honey-fried), Mai Men Dong (Radix Ophiopogonis, 1.5 liang, heart removed).
Grind all ingredients into a fine powder and form pills the size of Sophora seeds. Take 20 pills per dose with boiled water, at any time.
Qu Xie San (Evil-Expelling Powder): Treats malignant symptoms of Dian disease.
Ingredients: Bai Fan (Alumen, 3 liang, raw and ground), Huang Dan (Minium, half liang).
Grind finely. Calcine in a clay vessel using mulberry wood fire for one shichen (approx. 2 hours). Take half a qian per dose, administered with Ru Xiang Tang (Frankincense Decoction), at any time.
Xiao Chai Hu Jia Di Huang Tang (Minor Bupleurum Decoction plus Rehmannia Root): See Question 35 for the formula. Take 5 qian per dose. Add 2 cups of water, 5 slices of ginger, and 2 jujubes. Decoct to 80% volume, strain, and take warm.
Lai Fu Dan (Restoration Pill): Treats postpartum heat entering the Blood Chamber (Xue Shi), manifesting as hallucinations of seeing spirits or manic speech. See Question 35 for the formula. Administer with vinegar-infused water, approximately ten doses.