〔凡人有病发狂见鬼，此正气虚而邪气犯之也，似宜正治邪气为是。然而“邪之所凑，其气心虚”，不治其虚，安
问其余？此所以急宜因其正气，而少佐以祛寒祛邪之药为妙。〕方用∶
人参（一两） 白术（一两） 半夏（三钱） 天南星（三钱） 附子（一钱）
水煎服。
〔发狂见鬼，明是虚而痰中之，用半夏、南星、附子以祛痰，不用人参、白术之多，何以并驾齐驱而成功载？此
方之妙，不特发狂见鬼，而治中风不语，卒倒不知人，亦神妙之极。盖气虚而后始中痰也。〕
此症是内热之症，方用∶
人参（三钱） 白芍（三钱） 半夏（三钱） 南星（二钱） 白芥子（一钱） 陈皮（一钱） 黄连（二钱） 甘
草（一钱）
水煎服。
〔此方妙在用黄连，盖厥深热益深，去其热则厥自定。黄连入心，引诸补心之味，同群共济，或补或泻，中
正之意也。〕
此症有因伤寒得之者，一时之狂也，可用白虎汤以泻其火。更有终年狂而不愈者，或拿刀杀人，或詈骂人，不
认儿女，见水大喜，见食大恶，此心气之虚，而热邪乘之，痰气侵之也，方用化狂汤∶
人参（一两） 白术（一两） 茯神（一两） 附子（一分） 半夏（三钱） 菟丝子（三钱） 菖蒲（三钱） 甘
草（一钱）
水煎服。
一剂狂定。此方妙在补心、脾、胃三经，化其痰而不去泻火。盖泻火则心气益伤，而痰涎益盛，狂何以止乎？
尤妙微用附子，引补心消痰之品，直入心中，则气易补而痰易消，又何用泻火之多事哉？
【凡是有人生病发狂并看见鬼怪，这是因为正气虚弱而邪气侵犯所致，似乎应该直接治疗邪气。然而“邪气聚集之处，必定是正气先虚”，如果不治疗其虚损，又怎能顾及其他呢？因此，急切之策应当顺应正气的状况，少量辅以祛寒祛邪的药物为妙。】方剂如下：
人参（一两） 白术（一两） 半夏（三钱） 天南星（三钱） 附子（一钱）
用水煎煮后服用。
【发狂见鬼，明显是虚证导致痰浊蒙蔽心窍，使用半夏、南星、附子来祛除痰浊，如果不用人参、白术的大量补益，怎么能协同作用而取得成功呢？此方的精妙之处，不仅在于治疗发狂见鬼，对于中风失语、突然昏倒不知人事等症状，也极为神妙。因为都是气虚之后才中受痰邪。】
这种病症属于内热证，方剂如下：
人参（三钱） 白芍（三钱） 半夏（三钱） 南星（二钱） 白芥子（一钱） 陈皮（一钱） 黄连（二钱） 甘草（一钱）
用水煎煮后服用。
【此方的精妙之处在于使用黄连，因为厥逆越深，内热越盛，清除其热则厥逆自然平定。黄连入心经，引导各种补心的药物，与众药共同发挥作用，或补或泻，体现了中正平和之意。】
这种病症有因伤寒引起的，是一时的发狂，可以使用白虎汤（Baihu Decoction, White Tiger Decoction）来清泻火热。更有常年发狂不愈者，有的持刀杀人，有的辱骂他人，不认识儿女，见到水就大喜，见到食物就极度厌恶，这是心气虚弱，而热邪乘虚而入，痰气侵扰所致，方用化狂汤（Hua Kuang Tang, Transform Madness Decoction）：
人参（一两） 白术（一两） 茯神（一两） 附子（一分） 半夏（三钱） 菟丝子（三钱） 石菖蒲（三钱） 甘草（一钱）
用水煎煮后服用。
服用一剂后发狂即可平息。此方的精妙之处在于补益心、脾、胃三经，化解痰浊而不直接清泻火热。因为清泻火热会进一步损伤心气，导致痰涎更加旺盛，发狂又如何能停止呢？尤其精妙的是微量使用附子，引导补心消痰的药物，直接深入心经，这样气容易补益而痰容易消除，又何须多此一举去大量清泻火热呢？
[When a person falls into madness and sees ghosts, it is due to deficiency of righteous Qi (Zheng Qi, the body's resistance) allowing pathogenic factors (Xie Qi) to invade. It might seem appropriate to directly treat the pathogenic factors. However, "where pathogenic factors gather, there is prior deficiency of Qi." If one does not treat the deficiency, how can one attend to other matters? Therefore, the urgent strategy should be to follow the condition of the righteous Qi, with only a small addition of herbs that dispel cold and eliminate pathogens, which is the best approach.] The prescription is as follows:
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Ban Xia (Pinelliae Tuber) (3 qian), Tian Nan Xing (Arisaematis Rhizoma Preparatum) (3 qian), Fu Zi (Aconiti Lateralis Radix Praeparata) (1 qian).
Decoct in water and take orally.
[Madness accompanied by hallucinations of ghosts clearly indicates deficiency leading to phlegm clouding the mind. Using Ban Xia, Nan Xing, and Fu Zi dispels phlegm; without the substantial dosage of Ren Shen and Bai Zhu for tonification, how could they work in synergy to achieve success? The brilliance of this formula lies not only in treating madness and ghostly hallucinations but also in its miraculous efficacy for stroke-induced aphasia and sudden collapse with loss of consciousness. This is because phlegm invasion occurs after Qi deficiency.]
This syndrome belongs to internal heat. The prescription is as follows:
Ren Shen (Ginseng Radix et Rhizoma) (3 qian), Bai Shao (Paeoniae Radix Alba) (3 qian), Ban Xia (Pinelliae Tuber) (3 qian), Nan Xing (Arisaematis Rhizoma Preparatum) (2 qian), Bai Jie Zi (Sinapis Semen) (1 qian), Chen Pi (Citri Reticulatae Pericarpium) (1 qian), Huang Lian (Coptidis Rhizoma) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Decoct in water and take orally.
[The brilliance of this formula lies in the use of Huang Lian. When jue (cold extremities/counterflow) is deep, the internal heat is profound; clearing the heat will naturally resolve the counterflow. Huang Lian enters the Heart meridian, guiding various heart-tonifying ingredients to act together with the group, balancing supplementation and purgation, embodying the principle of centrality and balance.]
Some cases arise from Taiyang Cold Damage (Shang Han), resulting in temporary madness, which can be treated with Bai Hu Tang (White Tiger Decoction) to purge fire. Others suffer from chronic, unrelenting madness, such as holding knives to kill people, cursing others, failing to recognize their children, showing great joy at the sight of water, and extreme aversion to food. This is due to deficiency of Heart Qi, allowing heat pathogens to take advantage, and phlegm-qi to invade. The prescription is Hua Kuang Tang (Transform Madness Decoction):
Ren Shen (Ginseng Radix et Rhizoma) (1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Fu Shen (Poria with Hostwood) (1 liang), Fu Zi (Aconiti Lateralis Radix Praeparata) (1 fen), Ban Xia (Pinelliae Tuber) (3 qian), Tu Si Zi (Cuscutae Semen) (3 qian), Chang Pu (Acori Tatarinowii Rhizoma) (3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Decoct in water and take orally.
One dose stabilizes the madness. The brilliance of this formula lies in tonifying the Heart, Spleen, and Stomach meridians to transform phlegm without directly purging fire. Purging fire would further injure Heart Qi, causing phlegm-saliva to increase excessively, making it impossible to stop the madness. Even more brilliant is the minute use of Fu Zi, which guides heart-tonifying and phlegm-resolving agents directly into the Heart center, facilitating the replenishment of Qi and elimination of phlegm, thus rendering excessive purging of fire unnecessary.