癫者痴呆之状。哭笑无时。语言无序。其人当静。狂者骂詈不避亲疏。其人当动。痫者
忽然猝倒无知。口角流涎。手足抽掣。或作五畜声。数刻即愈。愈后即如平人。作止有间断。
所以名痫也。皆痰火为病。而痫病多由胎中受惊。一触而发也。治宜调中。服补北泻南不必
过求奇险。
脉实者吉。 沉细者凶。
一前症属于实痰实火者。宜
滚痰丸。（六十三）
肝火之为害。非泛常之药所可疗。时贤叶天士独得其秘。急用
当归芦荟丸。每服三十丸。一日两三服。不可迟疑败事。（九十八）
一前症属虚者。宜
磁砂丸。（二十六）
二加龙骨汤加铅丹二钱。或再加阿胶三钱。（二十二）
此二方神妙。非可以思议及者。
一前症既愈。即宜以和平之剂收功。宜
朱砂安神丸。（二十八）
口渴不止为上消。治以人参白虎汤。食入即饿为中消。治以调胃承气汤。饮一溲一为下
消。治以肾气丸。赵养葵大变其法。谓治消无分上中下。先以治肾为急。以六味丸料一斤。
入肉桂一两五味子一两。水煎六七碗。恣意冷冻饮料之。熟睡而渴如失矣。白虎承气皆非所宜也。
喻嘉言曰。肾者。胃之关也。关门不开。则水无输泄而为肿满。关门不 。则水无底止。而
为消渴。金匮肾气丸。蒸动精水。上承君火。而止其下入之阳光。彼症取其开。此症取其
。一开一合。具通天手眼。子和诋之。何其陋也。又白茯苓丸。治肾消方。用白茯苓复盆子
黄连栝蒌根萆 人参熟地黄元参各一两。石斛蛇床子各七钱半。鸡 三十具。微炒共为
末。炼蜜和捣三五百杵丸如梧子大。每服三十丸。食前磁石汤送下。喻嘉言治验加犀角一两
。又以六味丸加犀角收功。○抄此与八味地黄丸。一阴一阳。相为表里。皆为神方。
脉宜数大。 忌虚小。
Dian syndrome (Manic-Depressive Psychosis) is characterized by a dazed appearance, crying and laughing without timing, and disordered speech. The patient tends to remain quiet. Kuang syndrome (Psychotic Excitement) is characterized by cursing and scolding without distinction between relatives and strangers. The patient tends to be restless. Xian syndrome (Epilepsy) is characterized by sudden collapse with loss of consciousness, drooling from the corners of the mouth, spasmodic convulsions of the hands and feet, sometimes emitting sounds resembling those of five domestic animals, resolving after a few moments, and returning to normal after recovery, with intermittent episodes, hence named "Xian". All these diseases are caused by Phlegm-Fire, while Xian syndrome often originates from fright received in the womb, triggered upon contact after birth. Treatment should focus on regulating the Middle Jiao (Middle Burner). Using formulas to tonify the North (Kidney) and drain the South (Heart) need not overly seek bizarre or dangerous methods.
A solid pulse indicates a favorable prognosis. A deep and fine pulse indicates an unfavorable prognosis.
If the aforementioned symptoms belong to Excess Phlegm and Excess Fire, Gun Tan Wan (Rolling Phlegm Pill) is appropriate. (Formula 63)
The harm caused by Liver Fire cannot be treated with ordinary medicines. Contemporary expert Ye Tianshi alone mastered its secret. Urgently use Danggui Lue Wan (Angelica Root and Aloe Pill), taking thirty pills per dose, two to three times a day. Do not hesitate, lest you ruin the case. (Formula 98)
If the aforementioned symptoms belong to Deficiency, Ci Sha Wan (Magnetite and Cinnabar Pill) is appropriate. (Formula 26)
Alternatively, use Erjia Longgu Tang (Two-Added Dragon Bone Decoction) adding Qian Dan (Lead Carbonate) two qian, or additionally add Ejiao (Donkey-Hide Gelatin) three qian. (Formula 22)
These two formulas are miraculous and beyond ordinary reasoning.
Once the aforementioned symptoms have subsided, mild and harmonious agents should be used to conclude treatment. Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) is appropriate. (Formula 28)
Unceasing thirst is Shang Xiao (Upper Consumption). Treat with Renshen Baihu Tang (Ginseng White Tiger Decoction). Hunger immediately after eating is Zhong Xiao (Middle Consumption). Treat with Tiaowei Chengqi Tang (Regulate the Stomach and Direct Downward Decoction). Drinking one part and urinating one part (Yin Yi Sou Yi) is Xia Xiao (Lower Consumption). Treat with Shenqi Wan (Kidney Qi Pill). Zhao Yangkui drastically changed this method, stating that treating Xiao Ke (Wasting-Thirst) does not distinguish between Upper, Middle, and Lower types; first, treating the Kidney is urgent. Use one jin of Liuwei Wan (Six-Ingredient Pill with Rehmannia) ingredients, add Rougui (Cinnamon Bark) one liang, Wuweizi (Schisandra Berry) one liang, decoct in water into six or seven bowls, and drink freely when cold. After falling into a deep sleep, the thirst disappears as if lost. At this point, Baihu Tang and Chengqi Tang are no longer suitable.
Yu Jiayan said: The Kidney is the gate of the Stomach. If the gate does not open, water cannot be transported and excreted, leading to swelling and fullness. If the gate does not close, water has no bottom limit, leading to Xiao Ke (Wasting-Thirst). Jin Kui Shenqi Wan (Golden Cabinet Kidney Qi Pill) steams and moves the essence-water, conveying it upward to support the Ministerial Fire, thereby stopping the downward-intruding solar heat (deficient fire). Those conditions utilize its "opening"; this condition utilizes its "closing". One opening and one closing demonstrate profound medical insight. Hezi Zhang disparaged this, how shallow he was. Additionally, there is Baifuling Wan (Poria Pill), a formula for treating Kidney Xiao. It uses Baifuling (Poria), Fupenzi (Rubus Fruit), Huanglian (Coptis Rhizome), Gualougen (Trichosanthes Root), Bibing (Dioscorea Hypoglauca), Renshen (Ginseng), Shudihuang (Prepared Rehmannia Root), Yuanshen (Scrophularia Root) each one liang, Shihu (Dendrobium Stem), Chuangzi (Cnidium Fruit) each seven qian and half, Ji [missing character, likely referring to Ji Zao or similar avian ingredient, text says "Ji"], stir-fried lightly, ground together into powder, mixed with refined honey and pounded three or five hundred times, formed into pills the size of mulberry seeds. Take thirty pills per dose, before meals, delivered with Cishi Tang (Magnetite Decoction). Yu Jiayan's verified treatments added Xijiao (Rhinoceros Horn) one liang, and concluded with Liuwei Wan added with Xijiao. ○ Copying this alongside Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill), one Yin and one Yang, mutually exterior and interior, both are divine formulas.
The pulse should be rapid and large. Avoid deficiency and small pulses.