脉虚弦为惊。为风痫。
痫症者。发则仆地。闷乱无知。嚼舌吐沫。背反张。目上视。手足搐搦。或作六畜声者
是也
盖痫疾之原。得之惊。或在母腹之时。或在有生之后。必因惊恐而致疾。盖恐则气下。惊
则气乱。恐气归肾。惊气归心。并于心肾。则肝脾独虚。肝虚则生风。脾虚则生痰。蓄极而
通。其发也暴。故令风痰上涌而痫作矣。内经曰。然所以令人仆地者。厥气并于上。上实下
虚。清浊倒置。故令人仆地。闷乱无知者。浊邪上干心主。而神明壅闭也。舌者心之苗。而
脾之经络。连于舌本。阳明之经络。入上下齿缝中。故风邪实于心胸。则舌自挺。风邪实于
阳明。则口自噤。一挺一噤。故令嚼舌吐沫者。风热盛于内也。此风来潮涌之象。背反张。
目上视者。风在太阳经也。足太阳之经。起于睛明。挟脊而下。风邪干之。则实而劲急。故
目上视而背反张也。手足搐搦者。属肝木。肝木主筋。风热盛于肝。则一身之筋牵挛。故令
手足搐搦也。搐者四肢屈曲之名。搦者十指开握之义也。或作六畜声者。风痰鼓其气窍。而
声自变也。譬之弄笛焉。六孔闭塞不同。而宫商别异是也。
夫痫之为病。角弓反张。手足搐搦。口吐涎沫。俗云猪圈风也。亦因金衰木旺。生风外
出。
惊邪入内以致之。盖痫病一月数发者。易治。周年一发者。难治。虚实之判也。实则即攻之
虚者先补可也。治法。当先以瓜蒂散吐之。用甜瓜蒂为末。每服一钱。井水调一盏投之。
即大吐。后熟睡。勿令惊起即效。后以汤药调理。
一论痫者。宜下宜吐。茶子喜涌而能吐顽痰。宜取一升。捣烂。煎汤服。得大吐便止。
一论诸痫神智不宁。时发狂躁。多言好怒。面容不泽。
定神至宝丹
生地黄（姜汁炒五钱） 橘红 贝母 白茯苓（去皮） 黄连 远志（去心） 石菖蒲
酸枣仁（炒） 枳实（麸炒） 栝蒌仁 天花粉 甘草（少许）
上锉。生姜三片。水煎服。
一论痫者。痰涎壅并然也。
加减导痰汤 主方神效。
南星（姜制） 半夏 陈皮（去白） 白茯苓（去皮） 栝蒌仁 枳实（麸炒） 桔梗 山
栀子 黄芩（各一钱） 黄连（姜炒一钱） 甘草 木香（五分另研） 辰砂（五分为
末）
上锉一剂。生姜煎。入竹沥、姜汁。磨木香末。调辰砂同服。
一论痫属气血虚。而兼痰火者。此攻补兼施。平肝解郁。清火化痰。除眩晕诸痫之症。
清心抑气汤
当归（酒洗） 白芍（酒炒） 白术（去芦炒） 白茯苓（去皮） 陈皮（去白） 半夏（姜汁炒
）枳
实（麸炒） 竹茹 石菖蒲 黄连（姜炒） 香附（炒各一钱） 麦门冬（去心） 川芎
人参 远志（去心） 甘草（各四分）
上锉一剂。生姜煎服。
一论大人小儿。忽然昏晕倒地。五痫之症。
朱砂（水飞用猪心一个割开入砂末五钱湿纸包漫火炙熟取砂净入后药猪心病患空心食）
南星
（沸汤浸三次锉姜制二两） 巴豆仁（五钱锻石一碗炒红入仁在内灰冷取仁将灰又炒又以仁在
内再炒拣出用草纸捶去油灰不用） 全蝎（去头足尾炙二钱） 龙胆草（二两）
上为末。面糊丸如梧子大。每服十五丸。姜汤送下。
一论风痫搐搦。心志发狂。弃衣而走。登高而歌。或数日不愈。逾垣上屋。
妄言骂詈。不避亲疏。妄见鬼神。一切潮热。及风中厥逆。牙关紧闭。并可治之。
三圣散
防风（去芦三两） 瓜蒂（炒二两） 藜芦（去苗加减用或一两或半两或二两）
上为粗末。每服五钱。用齑汁二盏煎三沸。滤于大碗中。再用齑一盏。煎渣三沸。却入
先煎药
同熬三沸。澄清。候温。徐徐投下。不必尽剂。吐。如吐不止。煎葱白汤咽三五口。立解
如不吐。再加服之。如服药多。不吐出涎。再饮齑汁盐汤各一二盏投之。如不出。以光钗
喉中探引。即出矣。须用白盆一个。黑盆不见涎形状。吐出青黄涎沫二三升为效。吐罢之
后。吃微温白粥一二顿。
此三圣散。汗吐下三法俱行。防风发汗。瓜蒂下泄。藜芦涌吐。凡用法则禁忌症候。小
者勿
服。病久虽合吐。勿服。吐血人勿服。主病不正勿服。众口不能正勿服。先正病患心神。居
净室中。善侍病者一二人。温克和柔。善诱病患则妙矣。提防吐后眩晕。跌扑呼叫。病患既
吐必损津液作渴。与冰水及新水。降心火。勿食热物。
一论诸风螈 。不能言语。怔忡健忘。恍惚去来。头目眩晕。胸中烦郁。痰涎壅塞。精
神昏
倦。心气不足。神志不宁。惊恐忧惨。虚烦少睡。或发癫狂。小儿惊痫风搐。大人暗风羊癫
风癫。发叫如雷。其效如神。
千金保命丹 侍御何中寰经验。
朱砂（二钱） 珍珠（一钱） 胆星（三钱） 甘草 麻黄（去根节） 白附子（炮） 雄黄
薄荷（
各一钱） 防风 琥珀 金箔 牛黄（各一钱） 僵蚕（炒） 犀角 麦门冬（去心）
枳壳（去穣） 桔梗（去芦） 地骨皮 神曲（炒） 白茯苓（去皮） 白术（去芦） 人参（各三钱）
远志（去心三钱） 柴胡（三钱） 天麻（一钱） 胆矾（一钱七分） 冰片（少许） 黄芩（七钱）
麝香（少许） 紫河车（七钱） 天竺黄（一钱） 荆芥（七钱） 蝉蜕（一钱七分） 川芎 牙皂
（各一钱）
上为细末。炼蜜为丸。如弹子大。金箔为衣。用蜡包裹。用时取开。每服一丸。薄荷煎
汤磨化下。不拘时服。忌猪羊肉虾米胡桃动风之物。
一参伯王 庵公子。患痫七年。诸医罔效。召余治。以追风祛痰丸、安神丸。二丸兼进
半年而愈。
逾四年未发。复因不善保守。病发如前。差役复求余治。余以此方制药一料。投之辄效。迄
今数年不发。气体已撤消矣。余因此方治痫屡验。故名曰
医痫无双丸
南星（一两） 半夏（一两二味用白矾皂角生姜煎汤浸一日夜透切片随汤煮干去矾皂姜不
用）
川芎（三钱） 归身（酒洗） 软石膏（各一两） 天麻（七钱） 僵蚕（五分） 生地黄（酒炒
一两
）荆芥穗（五钱） 辰砂（五钱） 川独活（五钱） 乌犀角（五钱） 白茯苓（去皮）
参（各
一两） 远志（甘草水泡去心） 麦冬（去心） 白术（去芦油） 陈皮（去白各五钱） 酸枣
仁（炒
五钱） 黄芩（三钱） 川黄连（去毛五钱） 白附子（煨） 珍珠 甘草（各三钱） 金箔（
三十片）
上为细末。好酒打稀糊为丸。如梧子大。金箔为衣。每服五十丸。空心白汤送下。最能
祛风化痰。降火补益。养血理脾。宁心定志。轻者半料奏效。重者全料。
一儿十五岁。御女后。复劳役。考试失意。患痫症三年矣。遇劳则发。用十全大补汤。
加
味归脾汤之类。更以紫河车生研如膏。入蒸糯米饭为丸。如梧子大。每服百丸。日三四服而
痊。后患遗精。盗汗发热。仍用前药。及六味丸而愈。此方治痫。不拘老幼皆效。
清心滚痰丸 治诸风癫痫有殊效。
一治惊痫方。
白矾（一两半生半枯） 荆芥穗（二两）
上为末。面糊为丸。如黍米大。朱砂为衣。每服二十丸。姜汤送下。
A pulse that is deficient and wiry indicates fright, also known as wind epilepsy.
Epilepsy (Xian Zheng) is characterized by the patient suddenly falling to the ground upon onset, accompanied by mental confusion and loss of consciousness, biting of the tongue with foaming at the mouth, opisthotonos (back arching), upward deviation of the eyes, spasms and convulsions of the hands and feet, or making sounds resembling those of six domestic animals.
Generally, the origin of epilepsy lies in fright. This fright may occur while in the mother's womb or after birth; it must be caused by fright. Fear causes Qi to sink, and fright causes Qi to become chaotic. Fear affects the Kidney, and fright affects the Heart. When the pathogenic Qi gathers in the Heart and Kidney, the Liver and Spleen become relatively deficient. Liver deficiency generates internal Wind, and Spleen deficiency generates Phlegm. When Phlegm accumulates to an extreme and then unblocks, the onset is violent. Thus, Wind and Phlegm surge upward, causing epilepsy to manifest. The *Neijing* states: "The reason people fall to the ground is that Jue Qi (rebellious Qi) gathers in the upper part, creating excess above and deficiency below, with clear and turbid energies reversed." Mental confusion and loss of consciousness occur because turbid pathogens attack the Heart Master, obstructing and closing the Shen (Spirit). The tongue is the sprout of the Heart, and the meridians of the Spleen connect to the root of the tongue; the meridians of the Yangming enter the gaps between the upper and lower teeth. Therefore, when Wind pathogen creates excess in the Heart and chest, the tongue protrudes; when Wind pathogen creates excess in the Yangming channels, the mouth closes tightly. One protruding and one clenching result in biting the tongue and foaming, which indicates excessive Wind-Heat inside. This is like the surging of a tide. Opisthotonos and upward deviation of the eyes indicate Wind in the Taiyang channel. The Foot-Taiyang Bladder Meridian originates at Jingming (BL1) and descends along both sides of the spine. When invaded by Wind pathogen, the channel becomes full and tense, causing upward deviation of the eyes and back arching. Spasms and convulsions of the hands and feet belong to Wood/Liver. The Liver governs the sinews. When Wind-Heat is excessive in the Liver, the sinews of the whole body are pulled and cramped, causing spasms. "Chu" refers to the flexion of the four limbs, and "Nuo" refers to the opening and closing of the ten fingers. Making animal-like sounds occurs because Wind and Phlegm agitate the Qi orifices, altering the voice. It is like playing a flute: different blockages of the six holes produce different musical notes.
Regarding epilepsy: symptoms include opisthotonos, limb spasms, and foaming at the mouth, commonly called "Pig Pen Wind" in folklore. This is also due to weak Metal and hyperactive Wood generating internal Wind that moves outward, combined with invasive Fright pathogens. Generally, epilepsy occurring several times a month is easy to treat, whereas once-a-year occurrence is difficult to treat, distinguishing excess from deficiency. Excess patterns should be purged; deficiency patterns should first be tonified. The treatment method should initially use Gua Di San (Melon Peduncle Powder) to induce vomiting. Use sweet melon peduncle powder, take one qian per dose, mix with a large cup of well water, and administer. This will cause severe vomiting, followed by deep sleep. Do not startle the patient awake for this to be effective. Afterwards, regulate with herbal decoctions.
Another theory suggests epilepsy is suitable for purgation and emesis. Tea seeds have a strong emetic property and can expel stubborn Phlegm. Take one sheng, crush it, decoct in water, and drink. Stop when severe vomiting occurs.
Another theory addresses various epilepsies where spirit is unsettled, with frequent manic episodes, excessive talking, irritability, and dull complexion.
Ding Shen Zhi Bao Dan (Settle Spirit Supreme Treasure Pill)
Sheng Di Huang (Fried with ginger juice, 5 qian) Ju Hong Chen Pi Bei Mu Bai Fu Ling (Peeled) Huang Lian Yuan Zhi (Heart removed) Shi Chang Pu Suan Zao Ren (Fried) Zhi Shi (Bran-fried) Gua Lou Ren Tian Hua Fen Gan Cao (A little)
Chop these herbs, add three slices of fresh ginger, decoct in water, and take orally.
Another theory posits that epilepsy is caused by congestion of Phlegm and saliva.
Jia Jian Dao Tan Tang (Modified Phlegm-Guiding Decoction) is highly effective.
Nan Xing (Ginger-processed) Ban Xia Chen Pi (White part removed) Bai Fu Ling (Peeled) Gua Lou Ren Zhi Shi (Bran-fried) Jie Geng Shan Zhi Zi Huang Qin (Each 1 qian) Huang Lian (Ginger-fried, 1 qian) Gan Cao Mu Xiang (5 fen, separately ground) Chen Sha (5 fen, ground to powder)
Chop one dose, decoct with ginger, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice), grind Mu Xiang powder into it, mix with Chen Sha powder, and take together.
Another theory states that epilepsy belongs to Qi and Blood deficiency with concurrent Phlegm-Fire. This formula combines attacking and tonifying, soothes the Liver, resolves depression, clears Fire, and transforms Phlegm, eliminating dizziness and other epilepsy symptoms.
Qing Xin Yi Qi Tang (Clear Heart Suppress Qi Decoction)
Dang Gui (Washed with wine) Bai Shao (Stir-fried with wine) Bai Zhu (Rhizome removed, stir-fried) Bai Fu Ling (Peeled) Chen Pi (White part removed) Ban Xia (Ginger-juice fried) Zhi Shi (Bran-fried) Zhu Ru Shi Chang Pu Huang Lian (Ginger-fried) Xiang Fu (Stir-fried, each 1 qian) Mai Men Dong (Heart removed) Chuan Xiong Ren Shen Yuan Zhi (Heart removed) Gan Cao (Each 4 fen)
Chop one dose, decoct with ginger, and take orally.
Another theory covers sudden fainting and falling in adults and children, belonging to the five types of epilepsy.
Zhu Sha (Water-triturated. Use one pig heart, cut open, insert 5 qian of Zhu Sha powder, wrap in wet paper, roast slowly over fire until cooked, remove Zhu Sha. Patient eats the pig heart on an empty stomach.) Nan Xing (Soaked three times in boiling water, chopped, ginger-processed, 2 liang) Ba Dou Ren (5 qian. Stir-fry with one bowl of calcined stone until red, put Ba Dou Ren inside. When ash cools, take out the kernel. Stir-fry again with ash, put kernel back in, stir-fry again, take out. Pounded with grass paper to remove oily ash, do not use the oil/ash.) Quan Xie (Head, feet, tail removed, roasted, 2 qian) Long Dan Cao (2 liang)
Grind into powder, make pills with wheat paste the size of wu zi (cibotium seeds). Take 15 pills per dose, send down with ginger soup.
Another theory addresses wind-epilepsy with spasms, manic mind, discarding clothes and running, climbing high places and singing, persisting for days, climbing walls and roofs, speaking nonsense and cursing regardless of kinship, seeing ghosts and spirits, all tidal fevers, and wind-stroke with jue-ni (cold extremities/rebellion), locked jaw. All can be treated.
San Sheng San (Three Sages Powder)
Fang Feng (Rhizome removed, 3 liang) Gua Di (Roasted, 2 liang) Li Lu (Seedlings removed, dosage adjusted: 1 liang, 0.5 liang, or 2 liang)
Make into coarse powder. Take 5 qian per dose. Decoct in vinegar juice (2 cups) for three boils. Filter into a large bowl. Add another cup of vinegar juice, decoct the dregs for three boils. Pour back into the first decoction, boil together for three more boils. Clarify. Wait until warm, administer slowly. No need to finish the dose. If vomiting occurs, if it does not stop, drink 3-5 sips of scallion white soup to stop it immediately. If no vomiting, administer more. If too much medicine is taken without vomiting phlegm, drink 1-2 cups of vinegar juice salt solution to induce vomiting. If still no effect, probe the throat with a silver hairpin to induce expulsion. A white basin must be used, as black basins obscure the shape of the expelled phlegm. Expelling 2-3 sheng of green-yellow phlegm and foam is effective. After vomiting, eat 1-2 meals of slightly warm white porridge.
This San Sheng San employs sweating, vomiting, and purging methods simultaneously. Fang Feng induces sweating, Gua Di promotes downward drainage, Li Lu induces vomiting. Regarding contraindications: do not use in young children. Even if vomiting is indicated for chronic disease, do not use. Do not use in patients with hematemesis. Do not use if the primary pathology is unclear. Do not use if public opinion is divided/unsettled. First stabilize the patient's spirit, keep them in a clean room, have one or two skilled caregivers attend gently and softly, guiding the patient properly. Beware of dizziness, falls, and shouting after vomiting. Vomiting damages fluids, causing thirst. Provide ice water or fresh water to clear Heart Fire. Avoid hot foods.
Another theory addresses various winds causing twitching, inability to speak, palpitations, forgetfulness,恍惚 (trance-like state), dizziness, chest oppression, Phlegm congestion, mental fatigue, insufficient Heart Qi, unsettled spirit, fright, sorrow, vexation, insomnia, mania, pediatric fright-epilepsy spasms, adult hidden wind/sheep epilepsy, roaring sounds upon onset. Effect is miraculous.
Qian Jin Bao Ming Dan (Thousand Gold Life-Preserving Pill), experience formula of Imperial Attendant He Zhonghuan.
Zhu Sha (2 qian) Zhen Zhu (1 qian) Dan Xing (3 qian) Gan Cao Ma Huang (Roots and nodes removed) Bai Fu Zi (Processed) Xiong Huang Bo He (Each 1 qian) Fang Feng Hu Po Jin Bo Niu Huang (Each 1 qian) Jiang Can (Stir-fried) Xi Jiao Mai Men Dong (Heart removed) Zhi Ke (Pith removed) Jie Geng (Rhizome removed) Di Gu Pi Shen Qu (Stir-fried) Bai Fu Ling (Peeled) Bai Zhu (Rhizome removed) Ren Shen (Each 3 qian) Yuan Zhi (Heart removed, 3 qian) Chai Hu (3 qian) Tian Ma (1 qian) Dan Fan (1.7 qian) Bing Pian (A little) Huang Qin (7 qian) She Xiang (A little) Zi He Che (7 qian) Tian Zhu Huang (1 qian) Jing Jie (7 qian) Chan Tui (1.7 qian) Chuan Xiong Ya Zao (Each 1 qian)
Grind into fine powder, bind with refined honey into pills the size of a bullet, coat with Jin Bo (Gold Leaf), wrap in wax. Open when needed. Take one pill per dose, dissolve and swallow with Bo He (Mint) decoction. Take at any time. Avoid pork, mutton, shrimp, walnuts, and other wind-aggravating foods.
The son of Prince Wang An suffered from epilepsy for seven years with no effect from other doctors. I was summoned to treat him. I administered Zhui Feng Qu Tan Wan (Wind-Chasing Phlegm-Expelling Pill) and An Shen Wan (Calm Spirit Pill) together. After half a year, he recovered.
Four years later, no recurrence occurred. However, due to poor self-care, the disease returned. The servant requested my treatment again. I prepared one batch of this formula, administered it, and it was effective immediately. For several years since, there has been no recurrence, and his constitution has recovered. Because this formula has repeatedly proven effective for epilepsy, I named it
Yi Xian Wu Shuang Wan (Medical Epilepsy Peerless Pill)
Nan Xing (1 liang) Ban Xia (1 liang. These two herbs are soaked in a decoction of Bai Fan, Zao Jiao, and Sheng Jiang for one day and night until permeated. Slice, cook in the decoction until dry, discard Fan, Zao Jiao, and Jiang.) Chuan Xiong (3 qian) Gui Shen (Washed with wine) Ruan Shi Gao (Each 1 liang) Tian Ma (7 qian) Jiang Can (5 fen) Sheng Di Huang (Wine-fried, 1 liang) Jing Jie Sui (5 qian) Chen Sha (5 qian) Chuan Du Huo (5 qian) Wu Xi Jiao (5 qian) Bai Fu Ling (Peeled) Ren Shen (Each 1 liang) Yuan Zhi (Soaked in Gan Cao water, heart removed) Mai Dong (Heart removed) Bai Zhu (Rhizome and oil removed) Chen Pi (White part removed, each 5 qian) Suan Zao Ren (Stir-fried, 5 qian) Huang Qin (3 qian) Chuan Huang Lian (Trichomes removed, 5 qian) Bai Fu Zi (Roasted) Zhen Zhu Gan Cao (Each 3 qian) Jin Bo (30 pieces)
Grind into fine powder, use good wine to make a thin paste for binding, form pills the size of wu zi. Coat with Jin Bo. Take 50 pills per dose, send down with plain warm water on an empty stomach. It best expels Wind and transforms Phlegm, clears Fire and tonifies, nourishes Blood and regulates Spleen, calms the Heart and stabilizes the Spirit. Mild cases respond to half a batch; severe cases require the full batch.
A fifteen-year-old boy, after sexual indulgence and labor, and failing exams, suffered from epilepsy for three years, triggered by exertion. Used Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) and Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction), plus Zi He Che (Placenta) raw-ground into paste, mixed with steamed glutinous rice to form pills the size of wu zi. Take 100 pills per dose, 3-4 times daily. He recovered. Later, he suffered from seminal emission, night sweats, and fever. He continued using the previous medicines and Liu Wei Wan (Six-Ingredient Pill) and recovered. This formula is effective for epilepsy regardless of age.
Qing Xin Gun Tan Wan (Clear Heart Rolling Phlegm Pill) has special efficacy for treating various wind-epilepsies.
One formula for treating fright-epilepsy:
Bai Fan (1.5 liang, half raw, half calcined) Jing Jie Sui (2 liang)
Grind into powder, bind with wheat paste into pills the size of millet seeds. Coat with Zhu Sha. Take 20 pills per dose, send down with ginger soup.