（王焘《外台秘要》 治痴癫病痰迷心。）
雄黄 雌黄 冰片 牛黄（各五分） 人言（四分） 生山栀（二十枚） 急性子（一
钱） 生绿豆（一百八十粒） 先将绿豆冷水洗去皮，同余药各生晒干为末。大人用七分，
十五六岁者用四分。或粉面糕饼令其食，少顷吐出顽痰为妙。晚以稀粥补之。
霹雳散治痴癫病，涌吐风痰泄浊阴。（《内经》癫病分骨、筋、脉三种，《难经》谓“《重
阴者癫”。明系痴癫是脏病，多由肝经风痰上逆于心，迷乱神明，故宜涌而吐之，破泄阴霾
之气。）雌雄西黄冰急性，人言绿豆山栀寻。（重用绿豆、山栀，所以解砒毒也）。若然不吐
吞糕饼，鼓舞阳明气上临。（方中虽用绿豆解人言毒，然有服之其毒内攻而不吐者，又必以
食物，如粉面糕饼鼓舞胃气，则无不吐者矣。山栀轻扬上浮，急性子下气透骨，雄黄入肝之
阳分，杀精辟邪，雌黄入肝之阴分，祛风杀虫，牛黄入肝脏，引风外出，冰片入骨髓，搜风
可尽，人言燥烈劫痰善吐，刚猛毒药，无微不入，即有固结顽痰，亦必倒仓吐出，其神明得
以归舍而清矣。）
（许叔微《普济本事方》引孙兆方） 治中风暴仆，痰涎壅盛，气闭不通。先开其关，
令微吐稀涎，续进他药。亦治喉风牙关紧闭。
皂角（四挺去皮弦炙） 白矾（一两） 共为末，温水调下五分。或加藜芦。
(Wang Tao's *Waitai Miyao* records: Treating manic-depressive illness where phlegm confounds the heart orifice.)
Xionghuang (Realgar), Cixiong (Orpiment), Bingpian (Borneol), Niuhuang (Calculus Bovis) (each 5 fen), Renyan (Arsenic Trioxide, 4 fen), Sheng Shanzhi (Gardeniae Fructus, raw, 20 fruits), Jixingzi (Speranskiae Semen, 1 qian), Sheng Lv dou (Phaseoli Volubilis Semen, raw, 180 grains). First, wash the green beans with cold water to remove their skins, then dry them in the sun along with the other raw herbs and grind into a fine powder. Adults take 7 fen; those aged fifteen or sixteen take 4 fen. It can be mixed into flour noodles or cakes for the patient to eat. Ideally, after a short while, the stubborn phlegm will be vomited out. In the evening, nourish the body with thin rice gruel.
Pili San treats manic-depressive illness by inducing vomiting of wind-phlegm to drain turbid yin. (*Neijing* classifies dian disease into bone, tendon, and vessel types; *Nanjing* states "excessive yin leads to dian." This is clearly an internal organ pathology, mostly caused by wind-phlegm from the Liver channel reversing upward to the Heart, confusing the spirit. Therefore, it is appropriate to use emesis to break through the yin pathogenic qi.) The formula rhyme goes: "Cixiong Xihuang Bing Jixing, Renyan Lv dou Shanzhi xun." (Heavy use of Green Bean and Gardenia Fruit is to resolve arsenic toxicity.) If vomiting does not occur, swallow cakes to stimulate the Yangming stomach qi to ascend. (Although the formula uses Green Bean to resolve Renyan toxicity, if ingestion leads to internal attack of toxicity without vomiting, food such as flour cakes must be used to stimulate stomach qi, ensuring vomiting occurs. Gardenia Fruit is light and ascending; Speranskiae Semen directs qi downward and penetrates bones; Realgar enters the yang aspect of the Liver, killing essence and dispelling evil; Orpiment enters the yin aspect of the Liver, expelling wind and killing parasites; Calculus Bovis enters the Liver, guiding wind outward; Borneol enters the marrow, searching out wind until it is exhausted; Arsenic Trioxide is drying, acrid, and aggressive in resolving phlegm, good at inducing vomiting. As a fierce toxic drug, it penetrates everywhere. Even firmly bound stubborn phlegm will surely be vomited up via the stomach, allowing the spirit to return to its residence and become clear.)
(Xu Shuwei's *Puji Ben shi Fang* cites Sun Zhao's formula) Treats sudden collapse due to wind-stroke, with excessive phlegm-saliva and blocked qi mechanism. First open the orifices to induce slight vomiting of thin saliva, then administer other medicines subsequently. Also treats throat wind with locked jaw.
Zaojiao (Gleditsiae Sinensis Fructus, four pods, remove skin and strings, roasted), Baifan (Alumen, 1 liang). Grind together into a powder, mix with warm water and take 5 fen. Alternatively, add Licui (Veratrum Rhizome).