星香散（见中风。） 寿星丸（见痫。）
抱胆丸 治男妇一切癫痫风狂，或因惊恐怖畏所致。及妇人产后血虚，惊气入心，并
安室女经脉通行，惊邪蕴结，累效。
水银（二两） 朱砂（一两，细研） 黑铅（一两半） 乳香（一两，细研）
上将黑铅入铫子内，下水银结成砂子，次下朱砂、滴乳，乘热用柳木槌研匀，丸鸡头
大。每服一丸，空心井花水吞下。病者得睡，切莫惊动，觉来即安。再一丸可除根。
清心汤 即凉膈散加黄连、麦门冬。（见发热。） 四七汤（见气。） 《灵苑》辰砂散（见狂。）
养正丹（见气。） 三生饮（见卒中。） 三化汤（见中风。）
五邪汤 治中风神思昏愦，五邪所侵，或歌，或哭，或笑，或喜，或怒，发则无时。
防风（去芦） 桂心 白芍药 远志（去心） 独活（去芦） 甘草（炙） 白术（去芦） 人参（去芦） 秦
艽（去芦土） 牡蛎（ ） 石膏 禹余粮（醋淬。各二两） 雄黄（水飞） 防己（去皮） 石菖蒲 茯神（去木）
蛇蜕皮（炒。各一两）
每服四钱，水二盏，煎一盏，去渣温服，不拘时候，日进二服。
九精丸（一名九物牛黄丸） 治男子沾鬼魅欲死，所见惊怖欲走，时无休止，邪气不
能自绝者。
牛黄（土精，一云火精） 龙骨（水精） 荆实（人精） 玄参（玄武精，去芦） 赤石脂（朱雀精） 玉屑
（白虎精） 曾青（苍龙精） 空青（天精研） 雄黄（地精，无石者妙，研，以上各一两）
上九味，名九精，上通九天，下通九地。为细末，炼蜜和丸，如小豆大。每服一丸，日
三服，以知为度。
附方
独效苦丁香散（《得效》） 治忽患心疾，癫狂不止。得之惊忧之极，痰气上犯心包，当伐其源。
上以苦丁香（即瓜蒂） 半两，为末。每服一钱重，井花水调满一盏投之。得大吐之后熟
睡，勿令人惊起。凡吐能令人目翻，吐时令闭双目，或不省人事，则令人以手密掩之。信
乎深痼之疾，必投瞑眩之药。吐不止，以生麝香少许，温汤调下即解。控涎丹 下痰涎。（见行痹。）
甘遂散 治癫痫，及妇女心风血邪。
甘遂一钱，为末，用猪心取三管血三条和甘遂，多少和之，将心批作二片，入药在
内，合之线缚，外用皮纸裹湿，慢火煨熟，勿令焦，取药细碾，入辰砂末一钱和匀，分作
四丸。每服一丸，将所煨猪心煎汤化下。再
服，用别猪心亦可。过半日，大便下恶物后，调和胃气。凡此病乍作乍醒者苏，不食迷痴者不治。
泻心汤 治心受积热，谵言发狂，逾墙上屋。
大黄 黄芩 黄连（各五钱。）
上锉散，每服四钱，水一盏半，煎服。
引神归舍丹 治心气，亦治心风。
大天南星（刮去皮，取心秤一两，生用） 附子（一枚，重七钱以上者，炮，去皮脐） 朱砂（一两，水飞）
上为末，用猪心血丸，梧子大。如不稠粘，用面糊少许。煎忘忧草根汤下，子午之交各一服。
秘方半夏丸（《集验》） 治心风狂。张德明传，其内人失心狂数年，服此药而愈。后再
作，服人参琥珀丸而安。
半夏（一两，用生姜汁煮三五十沸，取出切作块，更煮令熟，焙干，为细末） 麝香（一钱，研） 水
银（半两） 生薄荷（一大握，和水银研如泥）
上件药，入薄荷泥内，更研千百下，丸如芥子。每服十五丸，金银汤临卧下，三日再服。
人参琥珀丸
人参（去芦） 琥珀（另研） 茯神（去木） 白茯苓（去皮） 石菖蒲（节密小者） 远志（各半两，酒浸半
日，去心） 乳香（另研） 酸枣仁（温酒浸半日，去壳，纸上炒令香熟） 朱砂（另研，水飞各二钱半）
上为细末，炼蜜丸，桐子大。每服二十丸，食后温酒送下，日再服，如不能饮，枣汤下。可常服。
宁志丸（《得效》）
好朱砂一两，将熟绢一小片包裹，线扎。 猪心一枚，竹刀切开，不犯铁，用纸拭去
血，入朱砂包于猪心内，再用线缚合，又用甜笋壳重裹，麻皮扎定。无灰酒二升，入银
器或砂罐内煮，酒尽去包，取出朱砂另研。将猪心竹刀细切，砂盆内研烂，却入后药末并
朱砂、枣肉为丸，留少朱砂为衣。药末须隔日碾下，枣肉于煮猪心日绝早煮熟，去皮核
取肉四两用。患心风服此一料，其病顿减。
人参 白茯苓 当归（洗去土及芦） 石菖蒲 乳香（别研） 酸枣仁（用五两许，汤浸去皮，可
取半两净仁，炒令赤香熟为度，以上各半两）
上为末，和丸如梧子大，以留下朱砂为衣。每服五十丸，人参汤下。
蕊珠丸
大猪心（一枚，取血） 大朱砂（一两，为末） 青靛花（一匙）
上先将青靛花、猪心血一处同研，次以朱砂末共丸，如梧子大。每服二十丸，茶，酒
任下，不拘时。一醉散 即一醉膏。（见狂。）
天门冬煎 治风癫。
天门冬（十斤，汤浸二日，去心） 生地黄（肥净者，三十斤）
上二味，安木臼内，捣一二千杵，取其汁，再入温汤更捣，又取其汁，不论几次，直
待二药无味方止，以文武火熬成膏子，盛瓷器内。每服一匙，温酒化下，不拘时，日进三服。
Xingxiang San (see Stroke chapter). Shouxing Wan (see Epilepsy chapter).
Baodan Wan: Treats epilepsy, wind-epilepsy, and mania in both men and women, caused by fright, terror, or fear. It also treats postpartum blood deficiency in women where fright qi enters the Heart; and regulates menstruation in young girls, resolving accumulated pathogenic factors of fright, with repeated efficacy.
Herbs: Mercury (Shuiyin, 2 liang); Cinnabar (Zhusha, 1 liang, finely ground); Black Lead (Heiqian, 1.5 liang); Frankincense (Ruxiang, 1 liang, finely ground).
Preparation and Administration: First, place black lead in a crucible, add mercury to form cinnabar-like granules, then add cinnabar and frankincense oil. While hot, grind uniformly with a willow wood pestle. Form pills the size of a corn kernel. Take one pill on an empty stomach, swallowed well-water. The patient should fall asleep; do not disturb them. Upon waking, they will be at peace. A second pill can eradicate the root cause.
Qingxin Tang: Is Liangge San added with Coptis Rhizome (Huanglian) and Ophiopogon Tuber (Maidong). (See Fever chapter). Siqi Tang (see Qi disorders chapter). Lingyuan Zhusha San from *Lingyuan* (see Mania chapter). Yangzheng Dan (see Qi disorders chapter). Sansheng Yin (see Apoplexy chapter). Sanhua Tang (see Stroke chapter).
Wuxie Tang: Treats stroke resulting in mental confusion, invaded by the Five Pathogens, manifesting as singing, crying, laughing, joy, or anger, occurring at any time without regularity.
Herbs: Saposhnikovia Root (Fangfeng, de-rooted); Cassia Twig (Guixin); White Peony Root (Baishao); Polygala Root (Yuanzhi, de-heart); Angelica Pubescens Root (Duhuo, de-rooted); Licorice Root (Gancao, honey-fried); Atractylodes Macrocephala Rhizome (Baizhu, de-rooted); Ginseng Root (Renshen, de-rooted); Gentian Root (Qinjiao, de-rooted and cleaned); Oyster Shell (Muli); Gypsum Fibrosum (Shigao); Yuyuliang (Yu Yuliang, vinegar-fired, each 2 liang); Realgar (Xionghuang, water-ground); Podocarpus Root Bark (Fangji, de-barked); Acorus Tatarinowii Rhizome (Shichangpu); Poria with Hostwood (Fushen, de-wood); Snake Slough (Shetuipi, stir-fried, each 1 liang).
Administration: Take 4 qian per dose, with 2 cups of water, decoct to 1 cup, remove dregs, and take warm. No specific timing required; administer twice daily.
Jiujing Wan (also known as Jiuwu Niuhuang Wan): Treats men possessed by evil spirits, feeling like death, seeing terrifying visions, wanting to flee, ceaselessly, where pathogenic qi cannot sever itself.
Herbs: Calculus Bovis (Niuhuang, Earth Essence, or Fire Essence); Dragon Bone (Longgu, Water Essence); Tribulus Fruit (Jingshi, Human Essence); Scrophularia Root (Xuanshen, Black Tortoise Essence, de-rooted); Red Kaolin (Chishizhi, Vermilion Bird Essence); Jade Fragments (Yuxie, White Tiger Essence); Azurite (Zengqing, Azure Dragon Essence); Antlerite (Kongqing, Heaven Essence, ground); Realgar (Xionghuang, Earth Essence, preferably stone-free, ground, each 1 liang above).
Preparation and Administration: These nine ingredients are named "Nine Essences," connecting to the Nine Heavens above and Nine Earths below. Grind into fine powder, mix with refined honey to form pills the size of small beans. Take one pill, three times daily, until effective.
Supplementary Formulas
Duxiao Kudingxiang San (from *Defang Fang*) : Treats sudden onset of heart disease, incessant mania. Caused by extreme fright and anxiety, phlegm qi attacks the Pericardium; the source must be eradicated.
Herbs: Melon Peduncle (Kudingxiang, i.e., Guali), half liang, ground to powder. Take 1 qian weight per dose, mixed with a full cup of well-water and administered. After inducing severe vomiting and deep sleep, do not allow others to startle the patient. Vomiting may cause eyes to roll up; instruct the patient to close eyes during vomiting. If unconscious, cover tightly with hands. Indeed, deep-seated chronic diseases require medicines that induce vertigo or nausea (mingxuan reaction). If vomiting does not stop, take a small amount of Fresh Musk (Shexiang) dissolved in warm water to resolve it. Kongyan Dan: Drains phlegm-fluids. (See Moving Bi syndrome chapter).
Gansui San: Treats epilepsy and women's heart-wind blood-pathogen.
Herbs: Kansui Root (Gansui), 1 qian, ground to powder. Use pig heart to extract three tubes of blood, mix with Gansui in appropriate amounts. Slice the pig heart open, insert the medicine inside, tie closed with thread, wrap in wet skin-paper, and slow-roast until cooked but not burnt. Take out the medicine, grind finely, mix with 1 qian of Cinnabar powder, divide into four pills. Take one pill per dose, dissolved in soup made from the roasted pig heart. For subsequent doses, another pig heart may be used. After half a day, after evacuating foul matter via stool, harmonize Stomach qi. Cases where symptoms appear and subside spontaneously may recover; those who do not eat and remain confused are incurable.
Xiexin Tang: Treats Heart affected by accumulated heat, leading to delirious speech and mania, climbing walls and roofs.
Herbs: Rhubarb Radix et Rhizoma (Dahuang); Scutellaria Root (Huangqin); Coptis Rhizome (Huanglian) (each 5 qian).
Preparation and Administration: Coarsely crush, take 4 qian per dose, with 1.5 cups of water, decoct and drink.
Yinshen Guishe Dan: Treats Heart qi disorders, and also Heart-wind.
Herbs: Pinellia Tuber (Tian Nanxing), large, peeled, heart taken and weighed 1 liang, raw; Aconite Lateral Root Preparata (Fuzi), one piece weighing over 7 qian, processed, peel and navel removed; Cinnabar (Zhusha), 1 liang, water-ground.
Preparation and Administration: Grind to powder, bind with pig heart blood into pills the size of Sophora seeds. If not sticky enough, use a little wheat paste. Decoct roots of Daylily (Wangyougen) to administer; take one dose at the junction of Zi hour (11 PM-1 AM) and Wu hour (11 AM-1 PM).
Mifang Banxia Wan (from *Jiyuan*) : Treats Heart-wind mania. Passed down by Zhang Deming; his female relative suffered from loss-of-mind mania for years, cured by this medicine. Later relapse was managed by Renshen Hupo Wan.
Herbs: Pinellia Tuber (Banxia), 1 liang, boiled in ginger juice for 30-50 boils, taken out, cut into pieces, boiled again until cooked, dried, and ground to fine powder; Musk (Shexiang), 1 qian, ground; Mercury (Shuiyin), half liang; Fresh Mint Leaf (Sheng Bohe), a large handful, ground with mercury into a paste.
Preparation and Administration: Mix the above herbs into the mint paste, grind thousands of times, form pills the size of mustard seeds. Take 15 pills per dose with silver-gold water before bed; repeat after three days.
Renshen Hupo Wan
Herbs: Ginseng Root (Renshen, de-rooted); Amber (Hupo, ground separately); Poria with Hostwood (Fushen, de-wood); Poria (Baifuling, de-bark); Acorus Tatarinowii Rhizome (Shichangpu, dense nodes and small); Polygala Root (Yuanzhi, each half liang, soaked in wine for half a day, de-heart); Frankincense (Ruxiang, ground separately); Sour Jujube Seed (Suanzaoren, soaked in warm wine for half a day, de-shell, stir-fried on paper until fragrant and cooked); Cinnabar (Zhusha, ground separately, water-ground, each 2.5 qian).
Preparation and Administration: Grind to fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose after meals with warm wine, twice daily. If unable to drink alcohol, use jujube soup. Can be taken regularly.
Ningzhi Wan (from *Defang Fang*)
Herbs: Good quality Cinnabar (Zhusha), 1 liang, wrapped in a small piece of fine silk, tied with thread. Pig heart, one, sliced with bamboo knife, avoiding iron, wiped clean of blood with paper. Place the wrapped Cinnabar inside the pig heart, tie closed with thread, wrap heavily in sweet bamboo shell, secure with hemp rope. Two sheng of pure wine (without ash), boil in a silver vessel or clay pot until wine is exhausted. Remove package, take out Cinnabar and grind separately. Finely chop the pig heart with bamboo knife, grind in clay mortar until smooth. Add the following herb powders, Cinnabar, and jujube flesh to form pills, leaving some Cinnabar for coating. Herb powders should be ground every other day. Jujube flesh should be cooked early on the day the pig heart is boiled, peeled, pitted, and 4 liang of flesh taken. One course significantly reduces Heart-wind symptoms.
Subsequent Herbs: Ginseng Root (Renshen); Poria (Baifuling); Angelica Sinensis Root (Danggui, washed clean of soil and roots); Acorus Tatarinowii Rhizome (Shichangpu); Frankincense (Ruxiang, ground separately); Sour Jujube Seed (Suanzaoren, approx. 5 liang, soaked in water, de-skin, obtain half liang of clean kernel, stir-fried until red, fragrant, and cooked, each half liang above).
Preparation and Administration: Grind to powder, mix into pills the size of Sophora seeds, coat with reserved Cinnabar. Take 50 pills per dose with Ginseng soup.
Rouzhu Wan
Herbs: Large pig heart (one, extract blood); Large Cinnabar (Zhusha), 1 liang, ground to powder; Indigo Flower (Qingdianhua), one spoon.
Preparation and Administration: First grind Qingdianhua and pig heart blood together. Then mix with Cinnabar powder to form pills the size of Sophora seeds. Take 20 pills per dose with tea or wine, no specific timing.
Yizui San: Is Yizui Gao. (See Mania chapter).
Tianmendong Jian: Treats wind-epilepsy.
Herbs: Asparagus Tuber (Tianmendong), 10 jin, soaked in water for two days, de-heart; Rehmannia Root (Shengdihuang), plump and clean, 30 jin.
Preparation and Administration: Place these two ingredients in a wooden mortar, pound 1,000-2,000 times, extract juice. Add warm water, pound again, extract juice again. Repeat regardless of number of times until both herbs lose flavor. Simmer over moderate fire into a paste, store in porcelain. Take one spoon per dose, dissolved in warm wine, no specific timing, three times daily.