人有热极发狂，登高而呼，弃衣而走，气喘发汗如雨，此阳明胃经之火也。夫阳明之火
何以能使人登高而呼乎?盖火性炎上，内火炽胜，则身自飞扬矣。热郁于胸，得呼则气泄矣
。衣所以蔽体者也，内热既盛，衣之覆体，不啻如焚，弃之则快，又何顾焉。火刑肺金，自
然大喘，喘极而肺金受伤，不能自卫夫皮毛，腠理开泄，阴不摄阳，逼其汁而外出，有不可
止遏之势，汗既尽出，心无所养，神将飞越，安得而不发狂乎。方用加味白虎汤救之。
人参（二两） 石膏（三两） 知母（五钱） 茯苓（五钱） 麦
冬（三两） 甘草（一钱） 半夏（三钱） 竹叶（二百片） 糯米（一撮）
水煎服。一剂而狂定，再剂而热止矣，不可用三剂也。
此症非用白虎汤以急救胃火，则肾水立时熬干，身成黑炭矣。然而火势燎原，非杯水可
救，必得滂沱大雨，则满山遍野之焰始能尽行扑灭也。
此症用坎水汤亦效。
石膏（一两） 玄参（二两） 甘草（一钱） 天花粉（三钱） 炒栀子（三钱） 车前子（二钱）
水煎服。一剂狂定，再剂全愈。
人有火起发狂，腹满不得卧，面赤心热，妄见妄言，如见鬼状，此亦阳明胃火之盛也。
然胃火是阳症，而妄见妄言如见鬼状，又是阴症，何也?阳明之火盛，由于心包之火盛也。
阳明属阳，而心包属阴，心包与阳明之火，一齐并动，故腹满而不得卧。倘仅有胃火之动，
而心包之火不动，虽口渴腹满，而尚可卧也。唯心包助胃火而齐动，遂至心神外越，而阴气
乘之，若有所见，因而妄有所言，如见鬼而实非真有鬼也。治法仍宜泻胃之火，而不必泻心
包之火。盖胃为心包之子，心包为胃之母也。母盛而子始旺，然子衰而母亦弱耳，泻胃火非
即泻心包之火乎。方用泻子汤∶
玄参（三两） 甘菊花（一两） 知母（三钱） 天花粉（三钱）
水煎服。一剂而胃火平，二剂而心包火亦平矣。二火既平，而狂病自愈。
论理此症可用白虎汤，予嫌白虎汤过于峻削，故改用泻子汤。以此症心包属阴，用白虎
汤以泻阳，毕竟有伤阴气，不若泻子汤，既泻其阳，而又无损其阴之为愈也。或曰∶母盛而
子始旺，泻心包之火可也，何以泻胃子之火耶!不知五脏六腑之火最烈者胃火也，胃火一炽
，将肾水立时烁干，故必须先救胃火，胃火息而心包之火亦息矣。倘先泻心包之火，而寒凉
之药不能先入心包，必由胃而后入，假道灭虢，不反动胃火之怒乎!不若直泻胃火，既能制
阳，又能制阴，两有所得也。
此症用二石汤亦神。
人参（五钱） 石膏（五钱） 寒水石（二钱） 茯苓（三钱） 半夏（二钱） 丹皮（五钱）
水煎服。一剂狂定，二剂全愈。
人有易喜易笑，狂妄谵语，心神散乱，目有所见，人疑为胃火之热也。不知此病非胃热
也，乃心热耳。心热发狂，膻中之外卫，谓何亦因心过于酷热，则包络膻中何敢代心以司令
，听心中之自主而喜笑不节矣。譬如君王恣肆以擅威，宰辅大臣不敢轻谏，则近侍左右，无
非便佞之流，自然声色可以娱心，言语可以博趣，此偏喜偏笑之所必至也。于是所发之令无
非乱政，及至令不可行，而涣散之景象有同鬼域矣。人心之发热何独不然。然而心中发狂，
以致神越，宜立时暴亡矣，何以仍能苟延日月耶?不知心热之发狂，不同于胃热之发狂，胃
热之发狂乃外热而犯心，心之发狂乃内热而自乱。故胃狂有遽亡之祸，而心狂有苟延之幸也
。治法必以清心为主，心清而狂自定矣。方用清心丹∶
黄连（三钱） 茯神（五钱） 生枣仁（五钱） 人参（三钱） 麦冬（一两） 玄参（一两） 丹参（三钱）
水煎服。一剂而神定，再剂而狂定，不必用三剂也。
黄连所以清心火，然徒用黄连，则心火正燥，恐黄连性燥，反动其燥，所以又益人参、
丹参、麦冬之类，润以济之。盖火有余，自然气不足，补气以泻火，则心君无伤，可静而不
可动矣。
此症用解妄汤亦效。
人参（一两） 黄连 茯神 柏子仁 玄参 丹参（各三钱） 生枣仁（五钱） 甘草（一钱） 肉桂（二
分）
水煎服。一剂狂定，二剂全愈。
人有身热发狂，所言者无非淫乱之语，所喜者无非欢愉之事，一拂其言，一违其事，则
狂妄猝发，见神见鬼，人以为心热之极也，谁知是心包之热乎?夫心包为心君之副，心中安
静，胡为任包络之拂乱乖张至此。盖君弱臣强，心中寒极，不能自主耳。譬如庸懦之主，朝
纲解散，乃寄其权于相，而相臣植党营私，生杀予夺，悉出其手，奉令者立即称扬，违命者
辄加苛斥，闻顺情之辞则喜，听逆耳之言则怒。颠倒是非，违背礼法，心自生疑，若有所见
，心包热狂，正复相似，治法自应泻心包之火。然而徒治心包，而心中内寒，愈有震惊之嫌
，必须补助其心，使心气不弱，而后呼召外人，可清震主之贼矣。苟或单泻心包之火，则心
包且有犯逆之危，非治法之善也。方用卫主汤∶
人参（一两） 茯苓（五钱） 玄参（一两） 天花粉（三钱） 麦冬（五钱） 生地（五钱） 丹皮（三
钱） 水煎
方用止玄参、生地、丹皮乃清心包之药，其人参、茯苓、麦冬仍是补心之品，心强而心
包之火自弱矣。况玄参、生地、丹皮虽泻心包而亦是补心之剂，自然拨乱为安，化奸为忠也
。或谓心中虚寒，用人参以补虚是矣，然用玄参、丹皮、生地之类虽凉心包，独不益心之寒
乎，似乎宜加热药以济之也。嗟乎!心寒用热药理也。然而心包火旺，用助火之药以益心，
必由心包而后能入，火性炎蒸，心未必得益，而转助心包之焰矣。故不若用人参以助心之为
得。盖人参亦能助心包，非心包所恶，用玄参之类共入之，自然拥卫其心，指挥群药，以扫
荡炎氛，将心气自旺，寒变为温，何必用热药以生变哉。
此症用正心汤亦神效。
人参 熟地（各一两） 玄参 麦冬（各二两） 菖蒲（一钱） 白芥子（三钱）
水煎服。一剂轻，二剂愈。
人有为强横者所折辱，愤懑不平，遂病心狂，时而持刀，时而逾屋，披头大叫，人以为
阳明胃火之盛也，谁知是阳明胃土之衰乎?夫阳明火盛，必由于心火之大旺也。心火旺，而
胃火盛，是火生夫土也，心火衰而胃火盛，是土败于火也。火生土而胃安，土败火而胃变，
虽所变有似于真火之盛，而中已无根，欲土崩瓦解，而不可救矣。夫狂症皆是热，而余以此
为虚热，而非实热，孰肯信之。不知脏腑实热可以凉折，而虚热必须温引。然而阳明胃经之
虚热，又不可全用温引也。于温中而佐之微寒之品，实治法之善者。盖阳明虚热，乃内伤而
非外感也。因愤懑而生热，不同于邪入而生热也，明甚。以邪为实热，而正热为虚热耳
。方用平热汤∶
人参（五钱） 黄 （一两） 甘草（一钱） 麦冬（一两） 黄芩（一钱） 青皮（五分） 竹沥（一合） 白
芍（五
钱） 茯苓（三钱） 枣仁（三钱） 炒栀子（五分） 天花粉（三钱） 柴胡（五分）
水煎服。二剂而狂轻，四剂而狂定，服一月而安然熟卧矣。
此方变竹叶石膏汤，以治阳明之虚热也。甘温以退大热，复佐之以甘寒，使阳明之火相
顺而不逆，转能健土于火宅之中，消烟于余氛之内。土既有根，火亦自息，何狂之不去乎!
倘以为实热，而用竹叶石膏也，去生自远矣。
此症用舒愤汤亦神效。
白芍（二两） 炒栀子（五钱） 玄参（一两） 天花粉（三钱） 柴胡（一钱）
水煎服。一剂狂定，再剂愈，三剂全愈。
人有忍饥过劳，忽然发狂，披发裸形，罔知羞恶，人以为失心之病也，谁知是伤胃而动
火乎?夫胃属阳明，阳明火动，多一发而不可止。世皆谓胃火，宜泻而不宜补，然而胃实可
泻，而胃虚不可泻也。经云∶二阳之病发心脾。二阳者正言胃也。胃为水谷之海，最能容物
，物入胃而消，胃亦得物而养，物养胃而火静，胃失物而火动矣。及至火动而胃土将崩，必
求救于心脾，心见胃火之沸腾，而心神有切肤之痛，自扰乱而不宁，脾见胃火之焚烧，而脾
之意有震邻之恐，亦纷纭而无定，失其归根据，安得而不发狂哉!治法不必安心之神，奠脾之
意也，仍救其胃气之存，而狂自可定也。虽然救胃气者，必救胃土也，欲救胃土，而不少杀
胃火，则胃气亦未能独存耳。方用救焚疗胃汤∶
人参（一两） 玄参（一两） 竹沥（一合） 陈皮（三分） 神曲（五分） 山药（五钱） 百合（五钱）
水煎服。一剂而狂定，再剂而狂止，三剂全愈。
此方大用人参以救胃土，即兼用玄参以杀胃火，又益之群药以调停于心、肺、脾、肾之
间，使肝不敢来伤胃土，则胃气尤易转也。胃气一转，胃伤可补，胃既无伤，而心之神，脾
之意，又宁有扰乱纷纭之患乎!此狂之所以易定耳。
此症用遏火汤亦神效。
人参 白术 生地（各五钱） 玄参（一两） 甘草（一钱） 知母（一钱） 天花粉（二钱） 陈皮（五分）
神曲（一钱） 丹皮（五钱）
水煎服。一剂狂定，再剂全愈。
A person suffering from extreme heat causing mania, climbing high and shouting, discarding clothes and running, with panting and sweating profusely like rain, this is due to the fire of the Yangming Stomach Meridian. Why can the fire of Yangming cause one to climb high and shout? Because the nature of fire is to flare upwards; when internal fire is blazing, the body naturally feels restless and soaring. Heat stagnates in the chest, and shouting allows Qi to dissipate. Clothes are meant to cover the body; when internal heat is intense, covering the body with clothes feels like being burned, so discarding them brings relief, why care about anything else? Fire punishes Metal (Lung), naturally causing severe panting; when panting reaches its extreme, Lung Metal is injured and cannot protect the skin and hair, pores open, Yin fails to control Yang, forcing fluids out with an unstoppable momentum. Once sweat is exhausted, the Heart loses nourishment, and Spirit is about to fly away and scatter, how can one not become manic? The prescription used is Modified Baihu Tang (White Tiger Decoction) to save the condition.
Ren Shen (Ginseng Radix et Rhizoma) (2 liang), Shi Gao (Gypsum Fibrosum) (3 liang), Zhi Mu (Anemarrhenae Rhizoma) (5 qian), Fu Ling (Poria) (5 qian), Mai Dong (Ophiopogonis Radix) (3 liang), Gan Cao (Licorice Root) (1 qian), Ban Xia (Pinelliae Tuber) (3 qian), Zhu Ye (Bambusae Folium) (200 leaves), Nuo Mi (Glutinous Rice) (a pinch).
Decoct in water and take orally. After one dose, mania stabilizes; after two doses, heat stops. Do not use three doses.
This syndrome requires Baihu Tang to urgently clear Stomach fire; otherwise, Kidney Water will be boiled dry immediately, turning the body into black charcoal. However, a prairie fire cannot be extinguished by a cup of water; it requires torrential rain to completely put out flames across mountains and fields.
This syndrome can also be treated with Kan Shui Tang.
Shi Gao (Gypsum Fibrosum) (1 liang), Xuan Shen (Scrophulariae Radix) (2 liang), Gan Cao (Licorice Root) (1 qian), Tian Hua Fen (Trichosanthis Radix) (3 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried) (3 qian), Che Qian Zi (Plantaginis Semen) (2 qian).
Decoct in water and take orally. One dose stabilizes mania; two doses result in full recovery.
Another person suffers from mania caused by fire, with abdominal fullness preventing lying down, red face, heart heat, hallucinations, and delirious speech as if seeing ghosts. This is also due to excessive fire in the Yangming Stomach.
However, Stomach fire is a Yang syndrome, while hallucinations and seeing ghosts resemble Yin syndromes. Why? Excessive Yangming fire stems from excessive Pericardium fire.
Yangming belongs to Yang, while the Pericardium belongs to Yin. When fire in both the Pericardium and Yangming moves together, abdominal fullness and inability to lie down occur. If only Stomach fire moves without Pericardium fire, despite thirst and fullness, lying down is still possible. Only when the Pericardium assists Stomach fire does Heart Spirit float outward, allowing Yin Qi to invade, creating illusions and delirious speech, resembling seeing ghosts though none exist. The treatment should clear Stomach fire but need not clear Pericardium fire. Since the Stomach is the "Son" (element generated by) of the Pericardium, and the Pericardium is the "Mother" (element generating), when the Mother is excess, the Son becomes prosperous; yet if the Son declines, the Mother weakens too. Clearing Stomach fire is effectively clearing Pericardium fire. The prescription is Xie Zi Tang (Draining Son Decoction):
Xuan Shen (Scrophulariae Radix) (3 liang), Gan Ju Hua (Chrysanthemi Flos) (1 liang), Zhi Mu (Anemarrhenae Rhizoma) (3 qian), Tian Hua Fen (Trichosanthis Radix) (3 qian).
Decoct in water and take orally. One dose calms Stomach fire; two doses calm Pericardium fire. With both fires calmed, mania heals itself.
Theoretically, Baihu Tang could be used, but I dislike its overly harsh nature, so I use Xie Zi Tang instead. Since the Pericardium belongs to Yin, using Baihu Tang to drain Yang heat inevitably damages Yin. Xie Zi Tang drains Yang without harming Yin, which is superior. Some ask: If Mother excess leads to Son prosperity, shouldn't we drain Pericardium fire? Why drain Stomach fire (the Son)? It is unknown that among all organs, Stomach fire is the most fierce. Once Stomach fire blazes, Kidney Water dries instantly. Thus, saving Stomach fire first causes Pericardium fire to subside. If one drains Pericardium fire first, cold-natured herbs must pass through the Stomach to reach the Pericardium ("borrowing a path to destroy Guo"), which might anger Stomach fire further. Directly draining Stomach fire controls both Yang and Yin, achieving mutual benefit.
Er Shi Tang (Two Stones Decoction) is also miraculous for this syndrome.
Ren Shen (Ginseng Radix et Rhizoma) (5 qian), Shi Gao (Gypsum Fibrosum) (5 qian), Han Shui Shi (Alumen) (2 qian), Fu Ling (Poria) (3 qian), Ban Xia (Pinelliae Tuber) (2 qian), Dan Pi (Moutan Cortex) (5 qian).
Decoct in water and take orally. One dose stabilizes mania; two doses result in full recovery.
A person easily laughs and smiles, speaks deliriously and wildly, with scattered Heart Spirit and visual hallucinations. People suspect Stomach heat, but this is actually Heart heat. Heart heat causes mania; why do the San Jiao (Triple Burner) and Pericardium fail to guard? Because the Heart is excessively hot, the Pericardium and San Jiao dare not command on behalf of the Heart, obeying the Heart's autonomy leading to uncontrolled laughter. Like a tyrannical ruler where ministers dare not advise, sycophants surround him, bringing pleasure and amusement, inevitably leading to excessive joy and laughter. Orders issued disrupt governance; when orders fail, chaos ensues like a ghost realm. Similarly, Heart heat causes Spirit to flee. Why not die immediately? Heart heat mania differs from Stomach heat mania. Stomach heat invades the Heart from outside; Heart heat arises from internal disorder. Stomach mania risks sudden death, while Heart mania allows lingering survival. Treatment must focus on clearing the Heart; once the Heart is clear, mania settles. The prescription is Qing Xin Dan (Clear Heart Pill):
Huang Lian (Coptidis Rhizoma) (3 qian), Fu Shen (Poria with Hostwood) (5 qian), Sheng Suan Zao Ren (Ziziphi Spinosae Semen, raw) (5 qian), Ren Shen (Ginseng Radix et Rhizoma) (3 qian), Mai Dong (Ophiopogonis Radix) (1 liang), Xuan Shen (Scrophulariae Radix) (1 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) (3 qian).
Decoct in water and take orally. One dose calms Spirit; two doses stabilize mania. No third dose needed.
Huang Lian clears Heart fire, but using it alone may aggravate dryness due to its hot nature. Therefore, add Ren Shen, Dan Shen, and Mai Dong to moisten and balance. Fire excess implies Qi deficiency; tonifying Qi to drain fire protects the Heart Monarch, keeping it quiet.
Jie Wang Tang (Resolve Delusion Decoction) is also effective.
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Huang Lian (Coptidis Rhizoma), Fu Shen (Poria with Hostwood), Bai Zi Ren (Biota Seed), Xuan Shen (Scrophulariae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) (each 3 qian), Sheng Suan Zao Ren (Ziziphi Spinosae Semen, raw) (5 qian), Gan Cao (Licorice Root) (1 qian), Rou Gui (Cinnamon Bark) (2 fen).
Decoct in water and take orally. One dose stabilizes mania; two doses result in full recovery.
A person has body heat and mania, speaking lewd words, desiring pleasure. Any contradiction triggers sudden wild rage, seeing spirits and ghosts. People think it is extreme Heart heat, but it is actually Pericardium heat. The Pericardium is the deputy of the Heart Monarch. If the Heart is quiet, why allow the Pericardium to be so rebellious? This is because the Ruler is weak and the Minister strong; the Heart is extremely cold and lacks autonomy. Like a weak ruler delegating power to a corrupt minister who manipulates life and death, praising compliance and punishing dissent, reversing right and wrong, causing suspicion and hallucinations. This resembles Pericardium heat mania. Treatment should drain Pericardium fire. However, treating only the Pericardium while the Heart remains cold risks shock. One must tonify the Heart to strengthen Qi before calling upon external forces to clear the "rebel." Simply draining Pericardium fire risks rebellion against the Heart. The prescription is Wei Zhu Tang (Guard the Master Decoction):
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Fu Ling (Poria) (5 qian), Xuan Shen (Scrophulariae Radix) (1 liang), Tian Hua Fen (Trichosanthis Radix) (3 qian), Mai Dong (Ophiopogonis Radix) (5 qian), Sheng Di Huang (Rehmanniae Radix) (5 qian), Dan Pi (Moutan Cortex) (3 qian).
Decoct in water and take orally.
Xuan Shen, Sheng Di Huang, and Dan Pi clear Pericardium fire, while Ren Shen, Fu Ling, and Mai Dong tonify the Heart. A strong Heart makes Pericardium fire weak. Although these herbs drain Pericardium fire, they also tonify the Heart, turning chaos into order. Some argue: If the Heart is cold-deficient, Ren Shen is appropriate, but cooling herbs like Xuan Shen and Dan Pi might increase Heart cold, suggesting hot herbs are needed. Alas, cold Heart uses hot herbs normally. But with Pericardium fire excess, hot herbs must pass through the Pericardium, potentially fueling its flame rather than benefiting the Heart. Ren Shen helps the Heart and is acceptable to the Pericardium. Combined with Xuan Shen, it guards the Heart, directing other herbs to clear heat, transforming cold to warmth without needing hot herbs.
Zheng Xin Tang (Rectify Heart Decoction) is also miraculous.
Ren Shen (Ginseng Radix et Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata) (each 1 liang), Xuan Shen (Scrophulariae Radix), Mai Dong (Ophiopogonis Radix) (each 2 liang), Chang Pu (Acori Tatarinowii Rhizoma) (1 qian), Bai Jie Zi (Sinapis Semen) (3 qian).
Decoct in water and take orally. One dose lightens symptoms; two doses cure.
A person insulted by bullies feels resentful and develops Heart mania, holding knives, jumping over walls, screaming with disheveled hair. People attribute this to Yangming Stomach fire, but it is actually Yangming Earth deficiency. Yangming fire excess usually stems from Heart fire excess. Heart fire generates Stomach fire (Fire generates Earth); if Heart fire declines but Stomach fire rises, it indicates Earth failing under Fire. Fire generating Earth keeps Stomach stable; Earth failing Fire leads to Stomach pathology. Though resembling true fire excess, the root is gone, leading to collapse. Mania is generally heat, but I consider this deficient heat, not excess heat. Visceral excess heat is cooled; deficient heat requires warming guidance. However, Yangming deficient heat cannot be fully warmed. Warm middle jiao with slight cold herbs is best. Yangming deficient heat is internal injury, not external invasion. Resentment generates heat differently than pathogenic invasion. Pathogenic heat is excess; righteous heat is deficient. The prescription is Ping Re Tang (Calming Heat Decoction):
Ren Shen (Ginseng Radix et Rhizoma) (5 qian), Huang Qi (Astragali Radix) (1 liang), Gan Cao (Licorice Root) (1 qian), Mai Dong (Ophiopogonis Radix) (1 liang), Huang Qin (Scutellariae Radix) (1 qian), Qing Pi (Citri Reticulatae Pericarpium Viride) (5 fen), Zhu Li (Bambusae Sap) (1 he), Bai Shao (Paeoniae Radix Alba) (5 qian), Fu Ling (Poria) (3 qian), Zao Ren (Ziziphi Spinosae Semen) (3 qian), Chao Zhi Zi (Gardeniae Fructus, stir-fried) (5 fen), Tian Hua Fen (Trichosanthis Radix) (3 qian), Chai Hu (Bupleuri Radix) (5 fen).
Decoct in water and take orally. Two doses lighten mania; four doses stabilize it; one month of use ensures peaceful sleep.
This formula modifies Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) to treat Yangming deficient heat. Sweet-warm herbs reduce great heat, assisted by sweet-cold herbs to harmonize Yangming fire, strengthening Earth within the "fire house" and eliminating smoke. With rooted Earth, fire subsides, and mania disappears. Using Zhuye Shigao Tang for excess heat would be fatal.
Shu Fen Tang (Soothe Resentment Decoction) is also miraculous.
Bai Shao (Paeoniae Radix Alba) (2 liang), Chao Zhi Zi (Gardeniae Fructus, stir-fried) (5 qian), Xuan Shen (Scrophulariae Radix) (1 liang), Tian Hua Fen (Trichosanthis Radix) (3 qian), Chai Hu (Bupleuri Radix) (1 qian).
Decoct in water and take orally. One dose stabilizes mania; two doses cure; three doses ensure full recovery.
A person starving and overworking suddenly becomes manic, disheveled and naked, unaware of shame. People think it is loss of mind, but it is Stomach injury stirring fire. Stomach belongs to Yangming; Yangming fire movement is hard to stop. Worldly wisdom says Stomach fire should be drained, not tonified. Excess Stomach can be drained; deficient Stomach cannot. Classics state: Diseases of Er Yang (Stomach) originate in Heart and Spleen. Stomach is the Sea of Water and Grain, capable of containing food. Food digests in Stomach, nourishing it; food nourishes Stomach so fire rests; Stomach lacking food causes fire to move. When fire moves and Stomach Earth collapses, it seeks help from Heart and Spleen. Heart sees boiling Stomach fire, feeling pain, becoming disturbed. Spleen sees burning Stomach fire, fearing neighbor's disaster, becoming chaotic and losing grounding, leading to mania. Treatment need not calm Heart Spirit or stabilize Spleen Intent directly, but must save Stomach Qi. Saving Stomach Qi requires saving Stomach Earth; if Stomach fire is not suppressed, Stomach Qi cannot survive alone. The prescription is Jiu Fen Liao Wei Tang (Save from Burning and Heal Stomach Decoction):
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Xuan Shen (Scrophulariae Radix) (1 liang), Zhu Li (Bambusae Sap) (1 he), Chen Pi (Citri Reticulatae Pericarpium) (3 fen), Shen Qu (Massa Medicata Fermentata) (5 fen), Shan Yao (Dioscoreae Rhizoma) (5 qian), Bai He (Lilii Bulbus) (5 qian).
Decoct in water and take orally. One dose stabilizes mania; two doses stop it; three doses cure.
This formula heavily uses Ren Shen to save Stomach Earth, combined with Xuan Shen to suppress Stomach fire, and other herbs to mediate between Heart, Lung, Spleen, and Kidney, preventing Liver from attacking Stomach Earth, facilitating Stomach Qi recovery. Once Stomach Qi turns, Stomach injury heals. With no Stomach injury, Heart Spirit and Spleen Intent remain undisturbed, making mania easy to settle.
E Huo Tang (Extinguish Fire Decoction) is also miraculous.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Sheng Di Huang (Rehmanniae Radix) (each 5 qian), Xuan Shen (Scrophulariae Radix) (1 liang), Gan Cao (Licorice Root) (1 qian), Zhi Mu (Anemarrhenae Rhizoma) (1 qian), Tian Hua Fen (Trichosanthis Radix) (2 qian), Chen Pi (Citri Reticulatae Pericarpium) (5 fen), Shen Qu (Massa Medicata Fermentata) (1 qian), Dan Pi (Moutan Cortex) (5 qian).
Decoct in water and take orally. One dose stabilizes mania; two doses cure.