颠痫之脉,浮洪大长,滑大坚疾。痰蓄心狂且如痫,因惊而得。惊则神不守舍,舍空而
痰聚也。惊与痫宜吐,大率行痰为主,用黄连、南星、瓜蒌、半夏,寻火寻痰,分多分少,
治之无不愈。有热者,以凉药清其心。有痰必用吐药,吐后用东垣安神丸、龙荟丸,正宜服。
治风涎暴作,气塞倒仆。
苦丁香为末,三钱,加轻粉一字,水半合,调灌良久,涎自出。未出,含沙糖自出。
治风痫。
天南星九蒸九曝,为末,姜汁糊丸。每二十丸,人参、菖蒲、麦冬,煎汤下。
治癫痫发作,不问新久,并宜治之。
全蝎(去毒,炒,二钱) 皂角(四两,捶碎,水半升与白矾同熬干) 半夏(汤泡七
次,二两) 南星(炮一两) 乌蛇(酒浸一夕,去骨,焙) 白附子(炮,半两) 雄黄
(一钱,另研) 白矾(一两) 蜈蚣(半条去头足,焙) 朱砂(一钱半另研) 麝香(三
钱,另研) 白僵蚕(一两半,炒,去丝)
上为末,姜汁煮糊为丸梧子大。每三十丸,姜汤送下。
治心气不足,并治心风。
附子(一个,重七钱以上,炮,去皮脐) 朱砂(一两,水飞) 大天南星(二两,生
用) 上为末,用猪心血,并面糊丸如梧子大。煎萱草根汤下,子午之交各一服。
治诸痫暗风。
防风 天麻 僵蚕(炒,去丝、嘴) 白附子(煨。各一两) 白矾(半两) 南星(三
两,一半化白矾水浸,一半用皂角浆水浸) 半夏(汤洗七次,晒干为末,分作二分,一分
用生姜汁作曲,一分用皂角洗浆作曲)
上为末,姜汁糊为丸梧子大。每七八十丸,薄荷汤或淡姜汤食远下。
癫痫病的脉象,表现为浮、洪、大、长,或滑、大、坚、疾。痰浊蓄积于心导致神志狂乱且类似癫痫的症状,多因受惊而引发。受惊则心神不能安守其位,心舍空虚而痰浊聚集。对于惊风与癫痫适宜采用涌吐法治疗,大抵以行化痰浊为主,使用黄连(Coptidis Rhizoma)、天南星(Arisaematis Rhizoma)、瓜蒌(Trichosanthis Fructus)、半夏(Pinelliae Rhizoma),根据火邪与痰浊的多少比例进行辨证施治,没有不痊愈的。伴有热象者,用凉性药物清泄心火。有痰证必然使用涌吐药,吐法之后适宜服用东垣安神丸(Dongyuan Anshen Wan)和当归龙荟丸(Danggui Longhui Wan)。
治疗风涎突然发作,气机闭塞导致昏倒仆地。
将苦丁香(Caryophylli Flos)研为细末,取三钱,加入轻粉(Calomelas)一字量,加水半合,调匀后灌服,良久之后,风涎自然流出。若未流出,含服沙糖即可使涎液自行排出。
治疗风痫。
将天南星经过九次蒸制和九次日晒,研为细末,用姜汁调和制成糊状丸剂。每次服用二十丸,用人参(Ginseng Radix)、石菖蒲(Acori Tatarinowii Rhizoma)、麦冬(Ophiopogonis Radix)煎汤送服。
治疗癫痫发作,不论新病久病,都适宜治疗。
全蝎(去除毒性,炒制,二钱) 皂角(四两,捶碎,与水半升及白矾同熬至干) 半夏(沸水浸泡七次,二两) 天南星(炮制,一两) 乌梢蛇(酒浸一夜,去骨,焙干) 白附子(炮制,半两) 雄黄(一钱,单独研磨) 白矾(一两) 蜈蚣(半条,去头足,焙干) 朱砂(一钱半,单独研磨) 麝香(三钱,单独研磨) 白僵蚕(一两半,炒制,去除丝嘴)
以上药材研为细末,用姜汁煮糊制成如梧桐子大小的丸剂。每次服用三十丸,用姜汤送服。
治疗心气不足,并治疗心风。
附子(一个,重量在七钱以上,炮制,去皮和脐) 朱砂(一两,水飞法处理) 大天南星(二两,生用)
以上药材研为细末,用猪心血和面糊制成如梧桐子大小的丸剂。煎萱草根汤送服,在子时与午时交替之际各服用一次。
治疗各种癫痫引起的暗风证。
防风 天麻 僵蚕(炒制,去除丝和嘴) 白附子(煨制,各一两) 白矾(半两) 天南星(三两,一半用白矾水浸泡,一半用皂角浆水浸泡) 半夏(沸水清洗七次,晒干后研为细末,分为两份,一份用生姜汁制作成曲,一份用皂角洗浆制作成曲)
以上药材研为细末,用姜汁糊制成如梧桐子大小的丸剂。每次服用七八十丸,饭后用薄荷汤或淡姜汤送服。
The pulse of epilepsy (epilepsy) presents as floating, surging, large, and long, or slippery, large, firm, and rapid. Phlegm accumulation in the Heart causing mania resembling epilepsy is often caused by fright. Fright causes the Shen (Spirit) to fail to reside in its dwelling; when the dwelling is empty, phlegm gathers. For fright wind and epilepsy, emesis (vomiting therapy) is suitable. Generally, the treatment focuses on resolving phlegm, using Huanglian (Coptidis Rhizoma), Nanting (Arisaematis Rhizoma), Gualou (Trichosanthis Fructus), and Banxia (Pinelliae Rhizoma). One must investigate the fire pathogen and phlegm, distinguishing their proportions for treatment, ensuring recovery without exception. In cases with heat, cool-natured herbs are used to clear the Heart. When phlegm is present, emetic herbs are mandatory; after emesis, Dongyuan Anshen Wan (Anshen Pill of Li Dongyuan) and Danggui Longhui Wan (Longhui Pill with Angelica) are appropriate to take.
For sudden onset of wind-phlegm, where Qi obstruction leads to fainting and collapse:
Powdered Kudingxiang (Caryophylli Flos), three qian, mixed with a measure of Qingfen (Calomelas) equivalent to one grain of sand, combined with half he of water, stirred and administered orally. After a while, wind-phlegm will discharge naturally. If it does not discharge, holding rock sugar in the mouth will induce spontaneous discharge.
For treating wind-epilepsy:
Nanting (Arisaematis Rhizoma) subjected to nine steaming and nine sun-drying cycles, then powdered. Formed into pills using ginger juice paste. Take twenty pills per dose, decocted with Renshen (Ginseng Radix), Shichangpu (Acori Tatarinowii Rhizoma), and Maidong (Ophiopogonis Radix) for administration.
For treating epilepsy attacks, regardless of whether new or chronic:
Quanxie (Scorpio, detoxified and stir-fried, two qian); Zaojiao (Gleditsiae Sinensis Fructus, four liang, crushed, boiled with half sheng of water and Baifan until dry); Banxia (Pinelliae Rhizoma, soaked in boiling water seven times, two liang); Nanting (Arisaematis Rhizoma, processed, one liang); Wushe (Zaocys, soaked in wine overnight, bones removed, dried); Baifuzi (Typhonii Rhizoma, processed, half liang); Xionghuang (Realgar, one qian, separately ground); Baifan (Alumen, one liang); Wugong (Scolopendra, half strip, head and feet removed, dried); Zhusha (Cinnabar, one and a half qian, separately ground); Shexiang (Moschus, three qian, separately ground); Baijiangcan (Bombyx Batryticatus, one and a half liang, stir-fried, silk and mouth parts removed).
Grind all ingredients into powder. Use ginger juice paste to form pills the size of wutong seeds. Take thirty pills per dose, washed down with ginger soup.
For treating Heart Qi deficiency and Wind affecting the Heart:
Fuzi (Aconiti Lateralis Radix Praeparata, one piece weighing over seven qian, processed, skin and umbilicus removed); Zhusha (Cinnabar, one liang, water-floating processed); Datiantanxing (Arisaematis Rhizoma, two liang, raw use).
Grind into powder. Use pig heart blood and flour paste to form pills the size of wutong seeds. Administer with decoction of Xuanshen Gen (Compositae Root), one dose at the transition between Zi hour (23:00-01:00) and Wu hour (11:00-13:00).
For treating various forms of epilepsy manifesting as hidden wind:
Fangfeng (Saposhnikoviae Radix); Tianma (Gastrodiae Rhizoma); Jiangcan (Bombyx Batryticatus, stir-fried, silk and mouth parts removed); Baifuzi (Typhonii Rhizoma, baked, each one liang); Baifan (Alumen, half liang); Nanting (Arisaematis Rhizoma, three liang, half soaked in Baifan water, half soaked in Zaojiao slurry); Banxia (Pinelliae Rhizoma, washed in boiling water seven times, dried and powdered, divided into two parts: one part made into qu using fresh ginger juice, the other part made into qu using Zaojiao washing slurry).
Grind into powder. Use ginger juice paste to form pills the size of wutong seeds. Take seventy to eighty pills per dose, taken after meals with mint tea or mild ginger tea.