上方具述多端王氏着载有三惊痫风痫食痫风痫之疾由于风热而作惊痫之疾由于惊积而得
食痫由
于食时而得其惊三者发作大抵相类风痫有热生痰惊痫神魄散乱恍惚无定食痫因食而致惊食未
克化气停关鬲之间生痰致风由风成痫
议治风痫先用化痰宽利胸膈开通关窍安镇心神定其搐掣然后与治风痫药服之
议治惊痫先凉三焦利惊去热安神定志平调脏腑湿化痰涎然后与治惊痫服之
议治食痫先用推下关鬲停积惊气次和顺中脘次安脏腑然后与治痫药服之
议曰惊之与痫风之与热皆遍相袭有热必恐有风有惊必惧成痫治风先退其热治痫先用散惊此
乃至
要之识学人当明其理所言痫之为疾古述繁多或云六畜牛马鸡羊猪犬其声音相类形体相尚有若六
畜之状故得其名宝鉴载云一百二十种其说大繁其传乃执但是痫药无越三症皆由所生总而言之
不必烦求有误初机枉究遂成艰学如此一病尚陈罗缕向其惊风者乎王氏蠲之得其详要以合礼法
今则着书特示良妙截治至简庶几所受顿渐瘳愈靡不快欤学人深详必无枉冤
治小儿食痫先用真珠天麻丸推下次服定痫妙药
治小儿风痫先用化风丹去其风热次服定痫妙药
法制黄牛胆(二两) 羌活 独活(各一两) 天麻 防风 甘草 荆芥穗 人参 川芎
上为末炼蜜为丸如皂子大每服一丸薄荷汤化下服
议曰风之为病其状多端皆由腠理疏弱荣卫虚怯经络不顺关窍闭塞其气霾痊爵勃(音弗)其
脉凝注、
有同天地晦冥日月晕蚀 暴发与精神俱渍者一身四体皆不我有是谓风痫之至也所谓化风
化其
所受之风不待久传迅变凡该五脏蕴热三焦作壅速与流利热即风生壅即风长关窍不通其风
何能
自散若言化之即顺助之其荣卫经络顺得流行若也便与截风定搐为已成痫其风不散若更攻击即
冲任百脉虽不发作毕竟隐伏久而再发无能去根此方得名化风不复加进矣
比金丹方 人参 白茯苓 远志(去心) 山药 辰砂 天麻(各一分) 石菖蒲 川芎
甘草(炙各一分) 天南星(炮二两生姜汁制) 麝(一)
上为细末炼蜜为丸皂子大每服一粒煎金银薄荷汤化下
议曰风行于四时和顺于内外长养万物能生能败法令至周惟风之德夫人一身亦同天地顺则
和逆则
害所发之风由其虚而作应其热而生有其痰与热而发其惊关窍不通气脉流注遂有传变于身为害
当
用逐之何向童稚幼雏嫩娇危脆百病总归于可岂可取次疏怠凡治风有法度不可极力施功若停待
即须
臾而更仓皇即拙谬而失深意审详随其逆顺以疗之袭逐在后预追不及听载在前犹化不尽者正谓
庸工医之陋也善治惊痫也化其痰和其气镇心神安魂魄通关窍顺经络使其荣卫常顺流行调其脏
腑长和充实邪自和生风从何入虽有些小自然而散此痫由惊为疾岂可见留常令血脉充肌肤壮头
目清精神备饮食即睡卧稳寒暑知时脏腑常固其经络自和荣卫自顺比金之名决定不坏斯乃顺调
善摄而已
The above text details various aspects. Wang Shi recorded three types of epilepsy: Jing Epilepsy (Convulsive Epilepsy), Feng Epilepsy (Wind Epilepsy), and Shi Epilepsy (Food-induced Epilepsy). Feng Epilepsy arises from Wind-Heat; Jing Epilepsy results from shock and accumulation; Shi Epilepsy is caused by improper diet. The onset of these three conditions is generally similar. Feng Epilepsy manifests as internal heat generating phlegm; Jing Epilepsy presents with scattered spirit and soul, restlessness, and instability; Shi Epilepsy is caused by food stagnation leading to Qi blockage between the chest and diaphragm, generating phlegm and wind, which then triggers epilepsy.
Regarding the treatment of Feng Epilepsy: First, use herbs to resolve phlegm and benefit the chest and diaphragm, open the orifices, calm and anchor the heart-mind, and control convulsions. Then, administer medicines specifically for treating Feng Epilepsy.
Regarding the treatment of Jing Epilepsy: First, cool the San Jiao (Triple Burner), relieve shock, clear heat, calm the spirit, stabilize the will, harmonize the Zang-Fu organs, and dampen/resolve phlegm-fluids. Then, administer medicines specifically for treating Jing Epilepsy.
Regarding the treatment of Shi Epilepsy: First, use pushing-down methods to eliminate stagnation and shock-Qi in the chest and diaphragm. Next, harmonize and smooth the Zhong Wan (Middle Jiao/Stomach). Then, settle the Zang-Fu organs. Finally, administer medicines for treating epilepsy.
It is discussed that Shock and Epilepsy, Wind and Heat, mutually invade each other. Where there is Heat, there is fear; where there is Wind and Shock, there is dread, leading to Epilepsy. Treating Wind diseases first requires clearing Heat; treating Epilepsy first requires dispersing Shock. This is a crucial principle. Scholars must understand the rationale. Ancient descriptions of Epilepsy are numerous. Some claim it resembles the sounds and forms of six domestic animals (cattle, horses, chickens, sheep, pigs, dogs), hence the name. *Bao Jian* records one hundred and twenty types, making the theories complex. Traditional views often cling to using generic anti-epileptic drugs for all cases, but they essentially fall into the three aforementioned categories, determined by their origin. In summary, one need not seek excessive complexity to avoid misleading beginners, which would make learning difficult. To list such details for one disease, how much more so for Wind-Shock disorders? Wang Shi streamlined this, obtaining detailed yet appropriate content conforming to propriety. Now, this book specially presents excellent prescriptions and subtle treatments, offering simple interception therapies, hoping that patients, whether acute or chronic, will recover quickly without regret. Scholars who study deeply will surely avoid wrongful treatment.
For treating children's Shi Epilepsy: First, use *Zhenzhu Tianma Wan* (Pearl and Gastrodia Pill) to purge downwards, followed by *Ding Xian Miao Yao* (Miraculous Medicine for Calming Epilepsy).
For treating children's Feng Epilepsy: First, use *Hua Feng Dan* (Wind-Transforming Pill) to dispel Wind-Heat, followed by *Ding Xian Miao Yao*.
Prepared Ox Gallbladder (2 liang), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix) (each 1 liang), Tian Ma (Gastrodiae Rhizoma), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jing Jie Sui (Schizonepetae Spica), Ren Shen (Ginseng Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Grind the above into powder, mix with refined honey, and form pills the size of soap beans. Take one pill per dose, dissolved in Bo He Tang (Mint Decoction).
It is discussed that Wind pathogenic factors cause diverse symptoms, all due to loose and weak cou-li (skin and interstices), deficiency of Ying-Wai (Nutritive and Defensive Qi), unsmooth meridians, and blocked orifices. Wind Qi becomes stagnant and erupts (pronounced 'Fu'), pulse condenses and stagnates, resembling dark heavens and eclipsed sun and moon. Sudden onset causes spiritual immersion, loss of control over limbs, which is the extreme state of Feng Epilepsy. "Transforming Wind" means resolving the acquired Wind without waiting for prolonged transmission and rapid change. Whenever the Five Zang organs harbor Heat and the San Jiao becomes obstructed, if one does not promptly promote flow and dissipate Heat, Heat generates Wind, and obstruction causes Wind to grow. If orifices are blocked, how can Wind disperse naturally? To "transform" it implies assisting compliance, allowing Ying-Wei and meridians to flow smoothly. If one directly attempts to intercept Wind and stop convulsions when Epilepsy has already formed, the Wind will not disperse. Further aggressive attack may suppress immediate attacks, but the Wind remains latent, recurring later, unable to be eradicated. This prescription is named "Transforming Wind" and avoids further additive aggression.
Bi Jin Dan Formula: Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix) (remove heart), Shan Yao (Dioscoreae Rhizoma), Chen Sha (Cinnabar), Tian Ma (Gastrodiae Rhizoma) (each 1 fen), Shi Chang Pu (Acori Tatarinowii Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted, each 1 fen), Tian Nan Xing (Arisaematis Rhizoma) (processed, 2 liang, prepared with fresh ginger juice), She Xiang (Moschus) (1 unit).
Grind finely, mix with refined honey, and form pills the size of soap beans. Take one pill per dose, dissolved in Yin Jin Yin Bo He Tang (Silverweed and Mint Decoction).
It is discussed that Wind circulates through the four seasons, harmonizes internally and externally, nourishes all things, generates and destroys, following strict laws. Only the virtue of Wind applies similarly to the human body: harmony follows compliance, harm follows opposition. The Wind that arises stems from deficiency, responds to Heat, develops with Phlegm and Heat, and involves Shock, blocking orifices and causing Qi and pulse stagnation with transmission, harming the body. Expulsion methods should be used. How much more so for tender infants, fragile and vulnerable, where all diseases are formidable? One cannot be negligent. Treating Wind requires methodical approach, not excessive force. Hesitation leads to panic and error. One must carefully assess compliance or opposition to treat accordingly. Pursuing too late, failing to anticipate early, leaving residue behind—this represents the ignorance of mediocre physicians. Skillful treatment of Jing Epilepsy involves resolving Phlegm, harmonizing Qi, anchoring the Heart-Mind, calming the Soul and Spirit, opening orifices, smoothing meridians, ensuring continuous smooth flow of Ying-Wei, regulating Zang-Fu, and maintaining long-term harmony and fullness. When evil is harmonized, where can Wind enter? Minor symptoms will naturally dissipate. Since this Epilepsy originates from Shock, one must not allow pathogens to remain. Constantly ensure blood vessels are full, skin and muscles strong, head and eyes clear, spirit abundant, diet appropriate, sleep stable, adaptation to cold and heat normal, Zang-Fu solid. Then meridians will harmonize, Ying-Wei will flow smoothly. The name "Bi Jin" (Comparable to Gold) ensures durability. This is merely顺应 (compliance) and regulation through proper care.