，切不可作风治，兼用风药
。大率与痫病相似，比痫为甚为虚，宜带补。多是气虚有火，兼痰，宜用人参、竹沥之类。
〔附录〕古方，风痉曰 也。经云∶“诸痉项强，皆属
直，皆属于风”。是阳明内郁，而阴行于外。又曰∶“阳
，故湿过极反兼风化制之。然兼化者虚象，实非风也。
附方
葛根汤 治 病无汗而小便少，反恶寒者，名刚 。
葛根（四钱） 麻黄（三钱） 桂枝（二钱） 芍药（二钱） 甘草（三钱炙）
上 咀。水二钟，生姜三片，枣一枚，煎服，覆取微
桂枝加葛根汤 治 病有汗，不恶寒者服之，此名柔
葛根（四钱） 生姜（三钱） 桂枝 芍药 甘草（各二钱）
上作一服，水二钟，枣一个，煎服，二 皆可用小续
命汤加减服。若胸满口噤，咬齿脚挛，卧不着床者，以大承气汤下之，无疑矣。
小续命汤 见中风类。
大承气汤 见痢类。
惊与痰宜吐，大率行痰为主，用黄连、南星、栝蒌、半夏，寻火寻痰，分多分少
，治之无不愈者。分痰与热，
有热者，以凉药清其心；有痰者，必用吐药，吐后用东垣安神丸。大法宜吐，吐后用平肝
剂，青黛、柴胡、川芎之类，龙荟丸正宜服之。且如痫因惊而得，惊则神不守舍，舍空而
戴云∶痫者，俗曰猪癫风者是也。
〔附录〕痫症有五∶马、牛、鸡、猪、羊。且如马痫，张口摇头，马鸣；牛痫，目正直视
，腹胀；鸡痫，摇头反折，喜惊；羊痫，喜扬目吐舌；猪痫，喜吐沫。以其病状偶类之耳，
无痰涎壅塞，迷闷孔窍。发则头旋颠倒，手足搐搦，口眼相引，胸背强直，叫吼吐沫，食
顷乃苏。宜星香散加全蝎三个。
附方
续命汤 主痫发顿闷无知，口吐沫出，四体角弓反张，目反上，口噤不得言。
竹沥（一升二合） 生地黄汁（一升） 龙齿（末） 生姜 防风 麻黄（去节，各四两） 防己 附
子（炮，各二两） 石膏 桂（二两）
上十味，水一斗，煮取三升，分三服。有气，加紫苏、陈皮各半两。
但小儿痫，《千金》有风、食、惊三种，《本事》方又有阴阳、痫、慢脾风三证。慢脾
即食痫，宜醒脾丸、人参散。
古方三痫丸 治小儿百二十种惊痫。
荆芥穗（二两） 白矾（一两，半生半枯）
上为末，面糊为丸，黍米大，朱砂为衣。姜汤下二十丸。如慢惊，用来复丹；急惊，三
痫丸；食痫，醒脾丸可也。
《本事》人参散 治慢脾风，神昏痰盛。
人参（半两） 圆白大南星（一两，切片以生姜汁并浆水各半，荫满煮，带性晒）
上为末。每服一钱，水一盏，姜三片，冬瓜仁擂细少许，同煎，取半盏，作两三次
宁神丹 清热养气血，不时潮作者可服。
天麻 人参 陈皮 白术 归身 茯神 荆芥 僵蚕（炒） 独活 远志（去心） 犀角
麦门冬（去心） 酸枣仁（炒） 辰砂（各半两，另研） 半夏 南星 石膏（各一两） 甘草（炙） 白附
子川芎 郁金 牛黄（各三钱） 珍珠（三钱） 生地黄 黄连（各半两） 金箔（三十片）
上为末，酒糊丸。空心服五十丸，白汤下。
东垣安神丸
黄连（一钱五分,酒洗） 朱砂（一钱,水飞） 酒生地黄 酒归身 炙甘草（各五分）
上除朱砂水飞外，四味捣为末，和匀，汤浸蒸饼，丸如黍米大。每服十五丸，食后津咽
星香散 见中风类。
切不可将其当作风证来治疗，同时也不宜使用祛风药物。
这种情况大体上与痫病相似，但比痫病更为严重且体质更虚，治疗时应当兼顾补益。
多数情况是气虚伴有内火，兼有痰浊，适宜用人参、竹沥等药物。
〔附录〕古方中，将因风邪引起的痉挛称为“痓”（zhì）。
《内经》记载：“各种痉病出现的项背强直，都归属于湿邪。”
“身体反张向后挺立，都归属于风邪”。
这是阳明经内部郁结，而阴气运行于体表所致。
又说：“阳气亢盛至极，反而兼夹风象以制约它。”
然而这种兼夹变化的现象属于虚象，实际上并非真正的风邪。
附方：
葛根汤：治疗刚痓病，表现为无汗且小便量少，反而恶寒的症状。
葛根（四钱） 麻黄（三钱） 桂枝（二钱） 芍药（二钱） 甘草（三钱，炙用）
以上药材切碎。加水两钟，生姜三片，大枣一枚，煎煮后服用，服药后覆盖衣被以取得微汗。
桂枝加葛根汤：治疗柔痓病，表现为有汗且不恶寒的患者服用此方。
葛根（四钱） 生姜（三钱） 桂枝（各二钱） 芍药（各二钱） 甘草（各二钱）
以上药材作为一剂，加水两钟，大枣一个，煎煮后服用。这两种情况都可以用小续命汤进行加减治疗。
如果出现胸满、口噤（牙关紧闭）、咬齿、脚部挛急、卧床时背部不能着床等症状，则应毫不犹豫地以大承气汤攻下。
惊痫与痰浊适宜采用吐法治疗，大体上以行痰为主，使用黄连、天南星、瓜蒌、半夏等药物，根据火与痰的多少比例分别施治，没有不痊愈的。
需区分痰与热：
体内有热的，用凉性药物清心；
体内有痰的，必须使用催吐药物，吐完后服用东垣安神丸。
大法则是适宜用吐法，吐完后服用平肝制剂，如青黛、柴胡、川芎等药物，龙荟丸正适合服用。
况且痫病多因受惊而得，受惊则神志不守舍，心神空虚而……
〔附录〕痫症分为五种：马痫、牛痫、鸡痫、猪痫、羊痫。
例如马痫，表现为张口摇头，发出马叫声；
牛痫，表现为眼睛直视，腹部胀满；
鸡痫，表现为摇头、身体反折，容易受惊；
羊痫，表现为喜欢瞪眼吐舌；
猪痫，表现为喜欢流口水。
这只是因为病症表现偶然类似而得名。
发作时并无痰涎壅塞阻塞孔窍。
发病时头晕颠倒，手足抽搐，口眼歪斜牵引，胸背强直，叫吼并吐出白沫，约一顿饭的时间后才苏醒。
适宜使用星香散加全蝎三个。
附方：
续命汤：主治痫病发作时突然昏闷无知，口吐白沫，四肢角弓反张，眼球上翻，牙关紧闭不能言语。
竹沥（一升二合） 生地黄汁（一升） 龙齿（研末） 生姜 防风 麻黄（去节，各四两） 防己 附子（炮制，各二两） 石膏 桂枝（各二两）
以上十味药，用水一斗，煮取三升，分三次服用。如果有气滞症状，加紫苏、陈皮各半两。
但是小儿痫病，《千金方》中有风痫、食痫、惊痫三种分类，《本事方》又有阴痫、阳痫、慢脾风三种证候。
慢脾风即属于食痫，适宜使用醒脾丸、人参散。
古方三痫丸：治疗小儿一百二十种惊痫。
荆芥穗（二两） 白矾（一两，一半生用一半枯干）
以上研为细末，用面糊制成丸药，大小如黍米，朱砂为衣。姜汤送服二十丸。
如果是慢惊风，用来复丹；急惊风，用三痫丸；食痫，用醒脾丸即可。
《本事方》人参散：治疗慢脾风，神志昏沉，痰涎旺盛。
人参（半两） 圆白大南星（一两，切片后用生姜汁和浆水各半，浸泡至满后煮透，带其本性晒干）
以上研为细末。每次服用一钱，加水一盏，生姜三片，冬瓜仁擂碎少许，同煎，取药液半盏，分两到三次服用。
宁神丹：清热养气血，对于不时潮热发作者可服用。
天麻 人参 陈皮 白术 当归身 茯神 荆芥 僵蚕（炒） 独活 远志（去心） 犀角 麦门冬（去心） 酸枣仁（炒） 辰砂（各半两，另研） 半夏 南星 石膏（各一两） 甘草（炙） 白附子 川芎 郁金 牛黄（各三钱） 珍珠（三钱） 生地黄 黄连（各半两） 金箔（三十片）
以上研为细末，用酒糊制成丸药。空腹服用五十丸，白开水送下。
东垣安神丸：
黄连（一钱五分，酒洗） 朱砂（一钱，水飞法处理） 酒生地黄 酒当归身 炙甘草（各五分）
以上除朱砂用水飞法处理外，其余四味捣为细末，混合均匀，用汤浸蒸饼为丸，大小如黍米。每次服用十五丸，饭后津液吞咽送下。
It must not be treated as a wind syndrome, nor should wind-dispelling herbs be used concurrently.
This condition is generally similar to epilepsy (epilepsy), but is more severe and characterized by deficiency compared to typical epilepsy; treatment should incorporate tonification.
It is mostly due to Qi deficiency with internal fire, accompanied by phlegm; thus, herbs such as Ginseng Radix et Rhizoma (Renshen) and Bamboo Sap (Zhuli) are appropriate.
[Appendix] In ancient texts, spasms caused by wind are referred to as "Zhi" (spasm/stiffness).
The *Classic of Internal Medicine* states: "All cases of spasm with neck stiffness belong to dampness."
"All cases of body arching backward belong to wind."
This indicates internal stagnation in the Yangming channel, with Yin qi circulating on the exterior.
It further states: "When Yang qi reaches its extreme, it may manifest with wind-like symptoms to regulate itself."
However, this manifestation of transformation is a sign of deficiency, not an actual wind pathogen.
Attached Formulas:
**Ge Gen Tang (Kudzu Decoction)**: Treats Gang Zhi (Stiff Spasm) characterized by absence of sweating, scanty urination, and aversion to cold.
- Puerariae Radix (Gegen): 4 qian
- Ephedrae Herba (Mahuang): 3 qian
- Cinnamomi Ramulus (Guizhi): 2 qian
- Paeoniae Radix Alba (Shaoyao): 2 qian
- Glycyrrhizae Radix et Rhizoma (Gancao): 3 qian, honey-fried
Decoct these ingredients after being coarsely crushed. Add two zhong of water, three slices of Zingiberis Rhizoma Recens (Shengjiang), and one Ziziphus Jujuba (Dazao). Boil and administer. Cover the patient to induce slight perspiration.
**Gui Zhi Jia Ge Gen Tang (Cinnamon Twig Decoction with Added Kudzu Root)**: Administer to patients with Rou Zhi (Soft Spasm) who exhibit sweating and no aversion to cold.
- Puerariae Radix (Gegen): 4 qian
- Zingiberis Rhizoma Recens (Shengjiang): 3 qian
- Cinnamomi Ramulus (Guizhi): 2 qian
- Paeoniae Radix Alba (Shaoyao): 2 qian
- Glycyrrhizae Radix et Rhizoma (Gancao): 2 qian
Prepare as one dose. Add two zhong of water and one Ziziphus Jujuba (Dazao). Boil and administer. Both conditions can also be treated with modified **Xiao Xu Ming Tang (Minor Continuation of Life Decoction)**.
If chest fullness, trismus (lockjaw), teeth grinding, leg cramps, or inability to lie flat due to back rigidity occurs, use **Da Cheng Qi Tang (Major Order the Qi Decoction)** for purgation without hesitation.
*Xiao Xu Ming Tang*: See Stroke category.
*Da Cheng Qi Tang*: See Dysentery category.
For epilepsy caused by fright and phlegm, emesis (vomiting therapy) is suitable. The primary strategy is to resolve phlegm using Scutellariae Radix (Huanglian), Arisaematis Rhizoma (Nanxing), Trichosanthis Fructus (Gualou), and Pinelliae Rhizoma (Banxia). Treatment should be tailored based on the proportion of fire and phlegm; there will be no failure in cure.
Differentiate between phlegm and heat:
- If heat is present, clear the Heart with cooling herbs.
- If phlegm is present, mandatory emetic therapy is required. After vomiting, administer **Dongyuan Anshen Wan (Dongyuan Calming Spirit Pill)**.
The general principle favors emesis. Post-emesis, administer liver-calming agents such as Indigo Naturalis (Qingdai), Bupleuri Radix (Chaihu), and Ligustici Chuanxiong Rhizoma (Chuanxiong). **Longdan Xiegan Wan** is particularly suitable.
Epilepsy often arises from fright; fright causes the Shen (Spirit) to lose its residence, leaving the mind empty...
Dai Yuanli stated: Epilepsy is commonly known as "Pig Epilepsy Wind."
[Appendix] Epilepsy is classified into five types: Horse, Ox, Chicken, Pig, and Sheep epilepsy.
- Horse epilepsy: Mouth opening, head shaking, neighing sounds.
- Ox epilepsy: Eyes staring straight forward, abdominal distension.
- Chicken epilepsy: Head shaking, body arching backward, prone to fright.
- Sheep epilepsy: Frequent eye widening and tongue protrusion.
- Pig epilepsy: Frequent drooling.
These names derive from the accidental resemblance of symptoms.
During attacks, there is no obstruction of orifices by copious phlegm-saliva.
Symptoms include dizziness, falling, convulsions of hands and feet, pulling of mouth and eyes, rigidity of chest and back, roaring, and foaming at the mouth. Recovery occurs after approximately one meal time.
*Tingxiang San (Star and Fragrant Powder)* plus three Whole Scorpions (Quanxie) is indicated.
Attached Formulas:
**Xu Ming Tang (Continuation of Life Decoction)**: Mainly treats sudden fainting and loss of consciousness during epilepsy, foaming at the mouth, opisthotonos (arching of the back) of four limbs, upward deviation of eyes, and trismus preventing speech.
- Bamboo Sap (Zhuli): 1 sheng 2 he
- Rehmanniae Radix Recens (Sheng Dihuang) Juice: 1 sheng
- Dragon Teeth (Longchi), powdered
- Zingiberis Rhizoma Recens (Shengjiang)
- Saposhnikoviae Radix (Fangfeng)
- Ephedrae Herba (Mahuang), nodes removed: each 4 liang
- Podopteri Radix (Fangji)
- Aconiti Lateralis Radix Preparata (Fuzi), prepared: each 2 liang
- Gypsum Fibrosum (Shigao)
- Cinnamomi Cortex (Guirou): 2 liang
Boil these ten ingredients in one dou of water until three sheng remain. Divide into three doses. If Qi stagnation is present, add Perillae Folium (Zisu) and Citri Reticulatae Pericarpium (Chenpi), half liang each.
Regarding pediatric epilepsy, *Qianjin Fang* classifies them into Wind, Food, and Fright types. *Ben Shi Fang* adds Yin Epilepsy, Yang Epilepsy, and Slow Spleen Wind.
Slow Spleen Wind corresponds to Food Epilepsy; *Xingpi Wan* and *Renshen San* are indicated.
**Ancient Formula: San Xian Wan (Three Epilepsies Pill)**: Treats 120 types of fright-induced epilepsy in children.
- Schizonepetae Spica (Jingjie Sui): 2 liang
- Alum (Bai Fan): 1 liang, half raw and half calcined
Grind into powder, bind with wheat paste into pills the size of millet seeds. Coat with Cinnabar (Zhusha). Take 20 pills with Ginger Decoction.
For slow convulsions, use *Laifu Dan*; for acute convulsions, use *San Xian Wan*; for food epilepsy, use *Xingpi Wan*.
***Ben Shi Fang* Renshen San (Ginseng Powder)**: Treats Slow Spleen Wind with mental confusion and profuse phlegm.
- Ginseng Radix et Rhizoma (Renshen): Half liang
- Large Round Arisaema (Nanxing): 1 liang, sliced, soaked in Ginger juice and grain wash water until fully cooked, then dried retaining its nature
Grind into powder. Take 1 qian per dose. Add one zhong of water, three slices of ginger, and a small amount of finely ground Benincasae Semen (Dongguaren). Decoct together to obtain half a zheng. Divide into two or three doses.
**Ningshen Dan (Calming Spirit Pill)**: Clears heat and nourishes Qi and Blood; suitable for intermittent tidal fever.
- Gastrodiae Rhizoma (Tianma)
- Ginseng Radix et Rhizoma (Renshen)
- Citri Reticulatae Pericarpium (Chenpi)
- Atractylodis Macrocephalae Rhizoma (Baizhu)
- Angelicae Sinensis Radix (Guishen)
- Poria (Fushen)
- Schizonepetae Spica (Jingjie)
- Bombyx Batryticatus (Jiangcan), fried
- Angelicae Pubescentis Radix (Duhuo)
- Polygalae Radix (Yuanzhi), heart removed
- Rhinocerotis Cornu (Xijiao)
- Ophiopogonis Tuber (Mendong), heart removed
- Ziziphi Spinosae Semen (Suanzaoren), fried
- Cinnabar (Zhusha): each half liang, separately ground
- Pinelliae Rhizoma (Banxia)
- Arisaematis Rhizoma (Nanxing)
- Gypsum Fibrosum (Shigao): each 1 liang
- Glycyrrhizae Radix et Rhizoma (Gancao), honey-fried
- Bupleuri Radix? No, Bai Fuzi (Typhonii Rhizoma)
- Ligustici Chuanxiong Rhizoma (Chuanxiong)
- Curcumae Longae Rhizoma (Yujin)
- Calculus Bovis (Niuhuang): each 3 qian
- Pearl (Zhenzhu): 3 qian
- Rehmanniae Radix (Shengdihuang)
- Scutellariae Radix (Huanglian): each half liang
- Gold Leaf (Jinbo): 30 pieces
Grind into powder. Bind with wine paste. Take 50 pills on an empty stomach with warm water.
**Dongyuan Anshen Wan (Dongyuan Calming Spirit Pill)**:
- Scutellariae Radix (Huanglian): 1.5 qian, washed with wine
- Cinnabar (Zhusha): 1 qian, processed by water flotation
- Rehmanniae Radix (Shengdihuang), steeped in wine
- Angelicae Sinensis Radix (Guishen), steeped in wine
- Glycyrrhizae Radix et Rhizoma (Gancao), honey-fried: each 5 fen
Except for the Cinnabar which is processed by water flotation, grind the other four ingredients into powder, mix evenly. Steamed steamed bread dough moistened with decoction is used to form pills the size of millet seeds. Take 15 pills after meals, swallowed with saliva.
*Tingxiang San*: See Stroke category.