（附心风）
癫狂由七情所郁。遂生痰涎。迷塞心窍。不省人事。目瞪不瞬。妄言叫骂。甚则逾垣上
屋。
裸体打人。当治痰宁心。宜辰砂妙香散。加金箔珍珠末。杂青州白丸子末。浓姜汤调下。吞
十四友丸。滑石六一汤。加珍珠末。白汤调下。
有病癫人专服四七汤而愈。盖痰迷为颠。气结为痰故也。如健忘如惊悸。如怔忡五痫。
亦宜用此。
如颠狂不定。非轻剂所能愈者。宜太乙膏及抱胆丸。心风者。精神恍惚。喜怒不常。
无语时或错乱。有颠之意。不如颠之甚。亦痰气所为也。宜星香散。加石菖蒲人参各半钱。
下寿星丸。
有心经蕴热。发作不常。或时烦躁。鼻眼各有热气。不能自由。有类心风。稍定复作。
参苏
饮加石菖蒲一钱。有妇人狂言叫骂。歌笑不常。似祟凭根据。一边眼与口角吊起。或作颠治。
或作心风治。皆不效。乃是旧有头风之疾。风痰作之使然。用芎心汤加防风十分。数服其病
顿愈。
不寐有二种。有病后虚弱及年高人阳衰不寐。有痰在胆经。神不归舍。亦令不寐。虚者
六
君子汤加炒酸枣仁。炙黄 各半钱。痰者。宜温胆汤。减竹茹一半。加南星炒酸枣仁各半钱
下青灵丹。
伤寒不寐。当于活人书中求之。
自惊悸以后诸证。亦可用温胆汤加。或同金银煎竹茹。则随其寒热虚实而去取之。导
痰汤加石菖蒲半钱尤治。
大抵惊悸健忘。怔忡失志不寐。心风。皆是胆涎沃心。以致心气不足。若用凉心之剂。
太过则心火愈微。痰涎愈盛。病愈不减。惟当以理痰气为第一义。
(Attached: Xin Feng / Wind of the Heart)
Dian Kuang (Mania and Epilepsy) is caused by the stagnation of Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright). This subsequently generates Tan Xie (Phlegm-Fluids), which cloud and obstruct the Orifices of the Heart, leading to a loss of consciousness. Symptoms include staring with unblinking eyes, incoherent speech, shouting and cursing; in severe cases, patients may climb walls or roofs, strip naked, and strike others. Treatment should focus on resolving phlegm and calming the Heart. Chen Sha Miao Xiang San (Cinnabar Wonderful Fragrance Powder) is indicated, added with Jin Bo (Gold Leaf) and Zhen Zhu Mo (Pearl Powder), mixed with Qing Zhou Bai Wan Zi Mo (Qingzhou White Pill Powder), and taken down with strong Ginger Decoction. Simultaneously, swallow Shi Si You Wan (Fourteen Friends Pill) and Hua Shi Liu Yi Tang (Talcum Six-to-One Decoction) added with Pearl Powder, taken down with plain water.
There are cases where Dian (Epilepsy/Depression) patients recover solely by taking Si Qi Tang (Four Substances Decoction). This is because Tan Mi (Phlegm Clouding) causes Dian, and Qi Jie (Qi Knotting) generates Tan. For symptoms such as forgetfulness, Jing Ji (Palpitations with fright), Zheng Chong (Violent Palpitations), and Wu Xian (Five Types of Epilepsy), this formula is also appropriate.
If Dian Kuang symptoms are unstable and cannot be cured by mild agents, Tai Yi Gao (Great Unity Ointment) and Bao Dan Wan (Gall Bladder Guarding Pill) are indicated. Xin Feng (Wind of the Heart) is characterized by spiritual trance, irregular joy and anger, occasional silence or confused speech. It resembles Dian but is less severe, and is also caused by Tan Qi (Phlegm-Qi). Xing Xiang San (Star Fragrance Powder) is indicated, added with Shi Chang Pu (Acorus Rhizome) and Ren Shen (Ginseng Root), each half qian, followed by Shou Xing Wan (Longevity Star Pill).
When there is latent heat in the Heart Meridian, attacks occur intermittently, sometimes with irritability, and a sensation of hot air rising from the nose and eyes, causing lack of freedom of movement. This resembles Xin Feng, subsiding slightly before recurring. Shen Su Yin (Ginseng and Perilla Drink) added with Shi Chang Pu (Acorus Rhizome) one qian is indicated. In women who speak madly, shout, laugh and sing irregularly, appearing possessed, with one eye and corner of the mouth drawn upward, treatment as Dian or Xin Feng fails. This is actually an old condition of Tou Feng (Head Wind), triggered by Feng Tan (Wind-Phlegm). Xiong Xin Tang (Sichuan Lovage Heart Decoction) added with Fang Feng (Saposhnikovia Root) ten fen cures the disease quickly after several doses.
Bu Mei (Insomnia) has two types. One type occurs due to weakness after illness and Yang decline in the elderly. The other type is caused by Tan (Phlegm) in the Gall Bladder Meridian, preventing the Shen (Spirit) from returning to its residence, also leading to insomnia. For deficiency patterns, Liu Jun Zi Tang (Six Gentlemen Decoction) added with Chao Suan Zao Ren (Fried Ziziphus Seed) and Zhi Huang Qi (Honey-fried Astragalus Root), each half qian, is used. For phlegm patterns, Wen Dan Tang (Warm the Gallbladder Decoction) is indicated, with half the amount of Zhu Ru (Bamboo Shavings) reduced, added with Nan Xing (Arisaema Rhizome) and Chao Suan Zao Ren (Fried Ziziphus Seed), each half qian, followed by Qing Ling Dan (Green Spirit Elixir).
For Bu Mei caused by Shang Han (Cold Damage), one should seek guidance in *Liu Ren Shu* (The Book of Living Persons).
Various syndromes following Jing Ji (Palpitations with fright) can also be treated with modifications of Wen Dan Tang. Alternatively, combine with Jin Yin Jian (Silver and Gold Decoction) or Zhu Ru (Bamboo Shavings), selecting based on Cold, Heat, Deficiency, and Excess. Dao Tan Tang (Guiding Phlegm Decoction) added with Shi Chang Pu (Acorus Rhizome) half qian is particularly effective.
Generally, Jing Ji (Palpitations with fright), forgetfulness, Zheng Chong (Violent Palpitations), loss of will, Bu Mei (Insomnia), and Xin Feng (Wind of the Heart) are all caused by Dan Xian (Gallbladder Saliva/Phlegm) flooding the Heart, resulting in insufficient Heart Qi. If cooling agents for the Heart are used excessively, Heart Fire becomes weaker, and Tan Xie (Phlegm-Fluids) increase, so the disease does not subside. The primary principle must be to regulate Tan Qi (Phlegm-Qi).