生铁落饮
生铁四十斤，入火烧赤沸；砧上锻之，有花出如兰如蛾，纷纷坠地者，是名铁落。用
水二斗，煮取一斗，入后药∶
石膏（三两） 龙齿（研） 白茯苓（去皮） 防风（去芦。各一两半） 玄参 秦艽（各一两）
上为粗散，入铁汁中，煮取五升，去渣，入竹沥一升和匀，温服二合，无时，日五服。
朱砂丸 镇心神，化痰涎，退潮热，利咽膈，止烦渴。
铁粉 天竺黄（各一两） 金银箔（各二十片） 人参（二钱） 脑子（半钱） 生麝香（一钱） 轻粉（二钱）
真犀角（二钱） 海金砂（一两） 朱砂（五钱）
上为末，水丸，朱砂为衣，共丸作六百丸，每一丸至五丸。痰盛潮热，薄荷、砂糖、
生葛自然汁、井水下；狂言谵语，涎壅膈上，
地龙三两，薄荷及砂糖水研；心神不宁，金银箔、薄荷汤化下。
抱胆丸（见癫。） 养正丹（见气。） 瓜蒂散（见伤食。）
来苏膏（《瑞竹》） 治远年近日，风痫心病，风狂中风，涎沫潮闭，牙关不开，及破伤风搐。
皂角（一两，肥大不蛀者，去皮弦。）
上将皂角切碎，用浆水一大碗，春秋浸三四日，冬七日，夏一二日，揉开取净浸透
皂角汁，入银器或砂锅内，以文武火熬，用新柳条、槐枝搅，熬似膏药，取出，摊于夹
纸上，阴干收顿。如遇病患，取手掌大一片，用温浆化在盏内，用小竹管盛药水，将病患
扶坐定，头微抬起，以药吹入左右鼻孔内，良久扶起，涎出为验。欲要涎止，将温盐汤，令
病患服一二口便止。忌鸡、鱼、生硬、湿面。
大承气汤（见大便不通。）
当归承气汤（《保命》）
当归 大黄（各一两） 甘草（半两） 芒硝（七钱）
上锉如麻豆大，每二两，水一大碗，姜五片，枣十枚，煎至一半，去渣，热温服。
洗心散 治风壅涎盛，心经积热，口苦唇燥，眼涩多泪，大便秘结，小便赤涩。
白术（一两半） 麻黄（和节） 当归（去苗，洗） 荆芥穗 芍药 甘草 大黄（面裹煨，去面，切，
焙。各六两）
上锉散，每服三钱，水一盏半，生姜三片，薄荷叶七皮，水煎服；为末，茶清调亦可。
凉膈散 解毒汤（俱见发热。）
宁志膏（《本事》）
人参 酸枣仁（各一两） 辰砂（五钱） 乳香（二钱半）
上为细末，炼蜜和丸，如弹子大。每服一丸，薄荷汤送下。
予族弟妇，缘兵火失心，制此方与之，服二十粒愈，亲旧传去，服之皆验。
一醉膏 治心恙
用无灰酒二碗，香油四两，和匀，用杨柳枝二十条，逐条搅一二百下，候香油与酒
相入成膏，煎至八分，灌之，熟睡则醒，或吐下即安矣。
《灵苑》辰砂散 治风痰诸痫，狂言妄走，精神恍惚，思虑迷乱，乍歌乍哭，饮食失常，
疾发仆地，吐沫戴目，魂魄不守。
辰砂（一两，须光明有墙壁者） 酸枣仁（半两，微炒） 乳香（半两，光莹者）
上量所患人饮酒几何，先令恣饮沉醉，但勿令吐，至静室中，以前药都作一服，温酒
调作一盏调之，令顿饮。如饮酒素少人，但以随量取醉。服药讫，便安置床枕令卧，病
浅者半日至一日，病深者三两日，令家人潜伺之，鼻息匀调，但勿唤觉，亦不可惊触使
觉，待其自醒，即神魂定矣。万一惊寤，不可复治。吴正肃公少时心病，服此一剂，五
日方寤，逐瘥。
祛风一醉散 治阳厥气逆，多怒而狂。
朱砂（水飞，半两） 曼陀罗花（二钱半）
上为细末，每服二钱，温酒调下。若醉便卧，勿令惊觉为佳。有痰者，先服胜金丸。
一方，加乳香二钱，根据前法服之。
防己地黄汤 治病如狂状，妄言独语不休，无寒热，其脉浮。
防己（一钱） 桂枝 防风（各三钱） 甘草（二钱）
上四味，以酒一杯，渍一宿，绞取汁；生地黄二斤， 咀，蒸之如斗米饭久，以铜器
盛其汁，更绞地黄汁和，分再服。
惊气丸（《本事》） 治惊痉，积气，风邪发则牙关紧急，涎潮昏塞，醒则精神若痴。
附子 木香 白僵蚕 白花蛇 橘红 天麻 麻黄 干葛（各半两） 紫苏叶（一两） 南
星（洗，切，姜汁浸一宿，半两） 朱砂（一钱，留少许为衣）
上为末，加脑麝少许，同研极匀，炼蜜杵丸，如龙眼大。每服一丸，金银薄荷汤化
下，温酒亦得。
此予家秘方也。戊申年，军中一人犯法，
褫衣将受刑而得释，精神顿失如痴，予与一丸，服讫而寐，及觉病已失矣。提辖张载扬，
其妻因避寇，失心已数年，予授此方，不终剂而愈。又黄彦奇妻，狂厥者逾十年，诸医
不验，予授此方，去附子，加铁粉，亦不终剂而愈。铁粉非但化痰镇心，至如摧抑肝邪
特异。若多恚怒，肝邪太盛，铁粉能制伏之。《素问》云∶阳厥狂怒，治以铁落饮，金制木
之意也。此亦前人未尝论及。
牛黄膏（《保命》） 治热入血室，发狂不认人者。
牛黄（二钱半） 朱砂 郁金 牡丹皮（各三钱） 脑子 甘草（各一钱）
上为细末，炼蜜丸，如皂角子大。新汲水化下。
妙香散（见心痛。） 青州白丸子（见中风。） 十四友丸（见惊。） 六一散 即天水散。（见伤暑。）
Shengtie Luo Yin (Raw Iron Filings Decoction)
Take forty jin of raw iron, heat it in fire until red-hot and boiling; forge it on an anvil. If fragments fall like orchids or moths fluttering to the ground, this substance is named "Tie Luo" (Iron Filings). Use two dou of water, boil down to one dou, then add the following herbs:
Shigao (Gypsum Fibrosum, 3 liang), Longchi (Dragon Teeth, crushed), Baifuling (Poria with Hosta Root, peeled), Fangfeng (Saposhnikovia Root, de-rhizomed. Each 1.5 liang), Xuanshen (Scrophulariae Radix), Qinjiao (Gentianae Macrophyllae Radix. Each 1 liang).
Grind the above into a coarse powder, add to the iron juice, boil down to five sheng, filter out the dregs, add one sheng of Zhuli (Bamboo Sap), mix evenly, take warm, two he per dose, at any time, five doses daily.
Zhusha Wan (Cinnabar Pill)
To calm the heart spirit, resolve phlegm-saliva, retreat tidal fever, benefit the throat and diaphragm, stop irritability and thirst.
Formula: Tiefen (Iron Powder), Tianzhuhuang (Calami Tectorii Rhizoma) (Each 1 liang); Jinyinbo (Gold and Silver Leaf) (Each 20 pieces); Renshen (Ginseng Radix et Rhizoma, 2 qian); Naozi (Borneolum Syntheticum, 0.5 qian); Sheng Muxiang (Fresh Moschus, 1 qian); Qingfen (Calomelas, 2 qian); Zhen Xijiao (Rhinoceros Horn, 2 qian); Haijinsha (Lygodii Spora, 1 liang); Zhusha (Cinnabaris, 5 qian).
Grind all into fine powder, make pills with water, coat with Zhusha (Cinnabaris). Total 600 pills. Take 1 to 5 pills per dose. For abundant phlegm and tidal fever, administer with Bohe (Menthae Haplocalycis Herba), Baitang (Saccharum), Sheng Ge Ziranji (Puerariae Radix natural juice), and well water; for manic speech and delirium with phlegm-saliva obstructing the upper diaphragm, grind 3 liang of Dilong (Pheretima) with Bohe (Menthae Haplocalycis Herba) and Baitang (Saccharum) water; for restless heart spirit, dissolve Jinyinbo (Gold and Silver Leaf) in Bohe Tang (Menthae Haplocalycis Herba Decoction) and administer.
Baodan Wan (See Dian syndrome). Yangzheng Dan (See Qi disorder). Gudi San (See Food Stagnation).
Laisu Gao (From *Ruizhu*)
Treats long-standing or recent wind-phlegm heart disease, wind-manic stroke, phlegm-saliva obstruction, locked jaw, and tetanus convulsions.
Formula: Zaojiao (Gleditsiae Sinensis Fructus, 1 liang, select plump ones without insect damage, remove skin and strings.)
First, chop the Zaojiao (Gleditsiae Sinensis Fructus) finely, soak in one large bowl of vinegar water. Soak for three to four days in spring and autumn, seven days in winter, one to two days in summer. Rub to extract fully soaked Zaojiao (Gleditsiae Sinensis Fructus) juice. Pour into a silver vessel or clay pot, simmer over gentle fire, stirring with new willow branches or locust branches. Simmer until paste-like consistency, remove, spread on layered paper, dry in shade and store. When treating a patient, take a piece the size of a palm, dissolve in warm vinegar in a cup. Use a small bamboo tube to draw the medicinal liquid. Have the patient sit upright, tilt head slightly back, blow the medicine into both nostrils. After a while, lift the patient; discharge of phlegm-saliva indicates efficacy. To stop salivation, have the patient drink one or two mouthfuls of warm salt water. Avoid chicken, fish, raw/hard foods, and wet dough.
Da Chengqi Tang (See Constipation).
Danggui Chengqi Tang (From *Baoming Ji*)
Formula: Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma) (Each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang); Mangxiao (Natrii Sulfas, 7 qian).
Chop into sizes similar to hemp seeds. For every 2 liang, add one large bowl of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), 10 dates (Jujubae Fructus). Decoct until half volume remains, filter dregs, take hot and warm.
Xixin San (Heart-Washing Powder)
Treats wind obstruction with abundant saliva, accumulated heat in the Heart meridian, bitter taste in mouth, dry lips, dry eyes with excessive tearing, constipation, and dark/scanty urination.
Formula: Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang); Mahuang (Ephedrae Herba, keep nodes); Danggui (Angelicae Sinensis Radix, remove radicle, wash); Jingjie Sui (Schizonepetae Spica); Shaoyao (Paeoniae Radix); Gancao (Glycyrrhizae Radix et Rhizoma); Dahuang (Rhei Radix et Rhizoma, wrapped in flour and baked, remove flour, slice, dry-roast. Each 6 liang).
Chop into coarse powder. Take 3 qian per dose, decoct with 1.5 cups of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), 7 leaves of Bohe (Menthae Haplocalycis Herba). Alternatively, take as powder mixed with clear tea.
Liangge San (Cooling the Diaphragm Powder) Jiedu Tang (Detoxifying Soup) (Both see Fever).
Ningzhi Gao (Peaceful Mind Paste) (From *Baoshi Fang*)
Formula: Renshen (Ginseng Radix et Rhizoma), Suanzaoren (Ziziphi Spinosae Semen) (Each 1 liang); Chensha (Cinnabaris, 5 qian); Ruxiang (Olibanum, 2.5 qian).
Grind into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, send down with Bohe Tang (Menthae Haplocalycis Herba Decoction).
My clan brother's wife lost her mind due to war and fire. I prepared this formula for her; after taking twenty pills, she recovered. Relatives and friends passed it on, and all who took it found it effective.
Yizui Gao (One-Drunkenness Paste)
Treats heart disorders.
Use two bowls of unadulterated wine, four liang of sesame oil, mix evenly. Stir vigorously one hundred to two hundred times with each of twenty willow branches. Wait until the sesame oil and wine merge into a paste. Decoct until eight-tenths concentrated. Administer. The patient will sleep soundly and wake up, or settle through vomiting or purging.
*Lingyuan* Chensha San (From *Lingyuan*)
Treats various epilepsy caused by wind-phlegm, manic speech and wandering, mental confusion, disordered thoughts, sudden singing and crying, irregular diet, falling to the ground during attacks, foaming at the mouth and rolling eyes, loss of soul and spirit.
Formula: Chensha (Cinnabaris, 1 liang, must be bright and crystalline); Suanzaoren (Ziziphi Spinosae Semen, 0.5 liang, lightly stir-fried); Ruxiang (Olibanum, 0.5 liang, lustrous).
Measure the patient's usual alcohol consumption. First, let them drink freely until drunk, but do not allow vomiting. Place in a quiet room. Mix all the above medicines as one dose, adjust with warm wine to fill one cup, and instruct to drink in one go. For those who usually drink little, simply intoxicate them according to their capacity. After taking the medicine, arrange bed and pillow for lying down. For mild cases, wait half a day to one day; for severe cases, two to three days. Family members should observe secretly. When breathing becomes regular, do not wake them, nor startle them awake. Wait for them to wake naturally; then the spirit and soul will stabilize. If startled awake, treatment cannot be repeated. Lord Wu Zhengsu suffered from heart disease in his youth; after taking one dose of this, he woke after five days and subsequently recovered.
Qufeng Yizui San (Wind-Expelling One-Drunkenness Powder)
Treats Yang-Jue with reversed qi, anger, and mania.
Formula: Zhusha (Cinnabaris, water-triturated, 0.5 liang); Tuoluohua (Datura Metel Flower, 2.5 qian).
Grind into fine powder. Take 2 qian per dose, mix with warm wine and swallow. It is best if the patient falls asleep drunk and is not awakened. For those with phlegm, first take Shengjin Wan (Golden Victory Pill).
Another prescription adds 2 qian of Ruxiang (Olibanum), administered according to the previous method.
Fangji Dihuang Tang (Stephania Tetrandra and Rehmannia Decoction)
Treats symptoms resembling mania, delirious talking alone without cessation, no chills or fever, floating pulse.
Formula: Fangji (Stephaniae Tetrandrae Radix, 1 qian); Guizhi (Cinnamomi Ramulus), Fangfeng (Saposhnikovia Root) (Each 3 qian); Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Soak the above four herbs in one cup of wine overnight, squeeze to extract juice. Take 2 jin of Shengdihuang (Rehmanniae Radix), chop, steam for as long as it takes to cook a bushel of rice. Collect the juice in a copper vessel. Squeeze Shengdihuang (Rehmanniae Radix) again to extract its juice, mix with the previous juice. Divide into two doses.
Jingqi Wan (Startling-Qi Pill) (From *Baoshi Fang*)
Treats fright-spasm, accumulated qi. Wind-pathogen attack causes locked jaw, surging phlegm-saliva and coma; upon waking, spirit appears dull.
Formula: Fuzi (Aconiti Lateralis Radix Praeparata), Muxiang (Aucklandiae Radix), Bai Jiangcan (Bombyx Batryticatus), Baihua She (Bungarus Parvus), Juhong (Citri Reticulatae Pericarpium Rubrum), Tianma (Gastrodiae Rhizoma), Mahuang (Ephedrae Herba), Gan Ge (Puerariae Radix) (Each 0.5 liang); Zisu Ye (Perillae Folium, 1 liang); Nanxing (Arisaematis Rhizoma, washed, sliced, soaked in ginger juice overnight, 0.5 liang); Zhusha (Cinnabaris, 1 qian, reserve a little for coating).
Grind into powder, add a little Naozi (Borneolum Syntheticum) and Muxiang (Moschus), grind extremely uniform. Mix with refined honey and pound into pills the size of a longan. Take one pill per dose, dissolve in Jin Yin Bohe Tang (Gold/Silver Leaf and Menthae Haplocalycis Herba Decoction); warm wine is also acceptable.
This is my family's secret formula. In the year Wushen, a soldier in the army broke the law. He was stripped to receive punishment but was released. His spirit suddenly vanished, appearing dull. I gave him one pill. After taking it, he slept. Upon waking, the illness had disappeared. Zhang Zaiyang, a military inspector, had a wife who had lost her mind for several years due to fleeing bandits. I taught her this formula; she recovered before finishing one dose. Also, the wife of Huang Yanqi suffered from manic-jue for over ten years. Various doctors failed. I taught her this formula, removing Fuzi (Aconiti Lateralis Radix Praeparata) and adding Tiefen (Iron Powder). She recovered before finishing one dose. Tiefen (Iron Powder) not only resolves phlegm and calms the heart but is particularly effective in suppressing Liver pathogenic factors. If there is much anger, Liver pathogenic factors are too strong; Tiefen (Iron Powder) can subdue them. *Suwen* states: Yang-Jue mania is treated with Tie Luo Yin (Iron Filings Decoction), representing the metal controlling wood principle. This point was previously unmentioned by predecessors.
Niuhuang Gao (Cow Bezoar Paste) (From *Baoming Ji*)
Treats heat entering the Blood Chamber, causing mania and failure to recognize people.
Formula: Niuhuang (Calculus Bovis, 2.5 qian); Zhusha (Cinnabaris), Yujin (Curcumae Radix), Mudanpi (Moutan Cortex) (Each 3 qian); Naozi (Borneolum Syntheticum), Gancao (Glycyrrhizae Radix et Rhizoma) (Each 1 qian).
Grind into fine powder, mix with refined honey to form pills the size of a soap bean. Dissolve in fresh well water and administer.
Miaoxin San (Wonderful Heart Powder) (See Heart Pain). Qingzhou Baiwanzi (Qingzhou White Pills) (See Stroke). Shisiyou Wan (Fourteen Friends Pill) (See Fright). Liuyi San (Six-One Powder) i.e., Tianshui San (Sky Water Powder) (See Heatstroke).