茯苓 茯神 人参 远志(各一两) 石菖蒲 龙齿(各五钱
炼蜜为丸,如桐子大,辰砂为衣。每服二钱,开水下。
二陈汤(见中风。
自汗症,有风伤卫自汗出者、有热邪传里自汗出者、有中暑自汗出者、有中寒冷汗自出
者,治法俱见本门。然风火暑热症,自汗太多,犹恐亡阳,尚当照顾元气,矧在虚寒者乎?
是以人参、 、术,为敛汗之圣药。挟寒者,则以附子佐之。轻剂不应,则当重剂以投之,
设仍不应,则以龙骨、牡蛎、北五味等收涩之品,辅助而行。或以人参养荣汤,相兼而用。
盖补可去弱,涩可固脱,自然之理也。其盗汗症,伤寒邪客少阳则有之,外此悉属阴虚。古
方当归六黄汤,药味过凉,不宜于阴虚之人,阴已虚而更伤其阳,能无损乎?宜用八珍汤加
黄、麦冬、五味主之。方有参、 以气旺则能生阴也。
人参养荣汤 (见虚劳。
当归 黄 黄芩 黄柏 黄连 甘草
各等分
八珍汤 (见虚劳。
经云∶重阴为癫,重阳为狂。而痫症,则痰涎聚于经络也。癫者,痴呆之状,或笑或泣
如醉如梦,言语无序,秽洁不知,此志愿太高而不遂所欲者,多得之,安神定志丸主之。
狂者,发作刚暴,骂詈不避亲疏,甚则登高而歌,弃衣而走,逾垣上屋,此痰火结聚所致,或
伤寒阳明邪热所发。痰火,生铁落饮、滚痰丸,并治之;伤寒邪热,大承气汤下之。痫者,
忽然发作,眩仆倒地,不省高下,甚则螈 抽掣,目斜、口 ,痰涎直流,叫喊作畜声。医
家听其五声,分为五脏,如犬吠者、肺也,羊嘶者、肝也,马鸣者、心也,牛吼者、脾也,
猪叫者、肾也。虽有五脏之殊,而为痰涎则一,定痫丸主之。既愈之后,则用河车丸以断其
根。以上三症,皆频治取验者也,若妄意求奇,失之远矣。
安神定志丸(见不得卧。
茯苓、茯神、人参、远志(各一两),石菖蒲、龙齿(各五钱)。用炼蜜制成丸药,大小如梧桐子,以辰砂为衣。每次服用二钱,开水送服。
二陈汤(参见中风章节)。
自汗症,有因风邪伤及卫气导致自汗出的,有因热邪传入体内导致自汗出的,有因中暑导致自汗出的,有因中寒冷导致冷汗自出的,这些治法均在本门中可见。然而,风、火、暑、热等病症,若自汗过多,还担心会导致亡阳(阳气脱失),尚且应当顾护元气,更何况是虚寒体质的人呢?因此,人参、白术,是收敛止汗的圣药。兼夹寒邪者,则用附子辅助。轻剂无效时,则当用重剂投予,如果仍然无效,则使用龙骨、牡蛎、北五味子等收敛固涩的药物,辅助治疗。或者配合使用人参养荣汤。因为补益可以去除虚弱,固涩可以防止脱失,这是自然的道理。至于盗汗症,伤寒邪气客居少阳经时会有此症,除此之外都属于阴虚。古方当归六黄汤,药性过于寒凉,不适合阴虚之人,阴液已虚却更损伤其阳气,能没有损害吗?宜用八珍汤加黄芪、麦冬、五味子来主治。方中有参、术,因为气旺则能生阴。
人参养荣汤(参见虚劳章节)。
当归、黄芪、黄芩、黄柏、黄连、甘草,各等分。
八珍汤(参见虚劳章节)。
经文说:重阴发展为癫证,重阳发展为狂证。而痫证,则是痰涎积聚在经络所致。癫证,表现为痴呆的样子,有时笑有时哭,像喝醉或做梦一样,言语无序,不知秽洁,这多是志愿太高而不能遂愿导致的,多用安神定志丸主治。狂证,发作时刚猛暴烈,骂人不分亲疏,严重时登高唱歌,脱衣奔跑,翻墙爬屋,这是痰火结聚所致,或者是伤寒阳明经邪热所引发。对于痰火,用生铁落饮、滚痰丸共同治疗;对于伤寒邪热,用大承气汤攻下。痫证,突然发作,眩晕仆倒在地上,不省人事,严重时身体抽搐,眼睛斜视、口角歪斜,痰涎直流,叫喊发出牲畜的声音。医生通过听患者的五种叫声,将其分为五脏,如犬吠声的是肺病,羊嘶声的是肝病,马鸣声的是心病,牛吼声的是脾病,猪叫声的是肾病。虽然五脏不同,但致病原因都是痰涎,用定痫丸主治。痊愈之后,则用河车丸来断除病根。以上三种病症,都是频繁治疗可取得疗效的,如果妄图追求奇特疗法,就相差太远了。
安神定志丸(参见不得卧章节)。
Poria (Fuling), Poria with Hostwood (Fushen), Ginseng Radix (Renshen), Polygala Tuber (Yuanzhi) (each 1 liang), Acorus Tatarinowii Rhizome (Shichangpu), Dragon Teeth (Longchi) (each 5 qian). Form pills with refined honey, size of Sophora japonica seeds, coat with Cinnabar (Chensha). Take 2 qian each time, swallow with boiled water.
Erchen Tang (See Stroke chapter).
Spontaneous sweating syndrome includes cases caused by wind damaging the Defensive Qi (Wei Qi), heat transmitting inward, summerheat, and cold causing cold sweat. The treatments are detailed in their respective sections. However, in wind, fire, summerheat, and heat syndromes, excessive spontaneous sweating may lead to Yang collapse (Wang Yang); thus, one must still protect the Original Qi (Yuan Qi), especially in deficiency-cold constitutions. Therefore, Ginseng Radix (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu) are sacred herbs for arresting sweating. If accompanied by cold, add Aconite Lateral Root Preparata (Fuzi). If mild prescriptions fail, heavy doses should be used; if still ineffective, use astringents such as Dragon Teeth (Longchi), Oyster Shell (Muli), and Schisandra Fruit (Bei Wuweiizi) to assist. Alternatively, combine with Ren Shen Yang Rong Tang. This is because tonification removes weakness, and astringency prevents collapse, which is the natural principle. Regarding night sweats, they occur when pathogenic factors lodge in the Shaoyang channel during Cold Damage syndromes; otherwise, they all belong to Yin deficiency. The ancient formula Dang Gui Liu Huang Tang is too cooling and unsuitable for those with Yin deficiency, as it further damages Yang after Yin is already deficient, causing harm. Instead, use Bazhen Tang added with Astragalus Membranaceus Root (Huangqi), Ophiopogon Japonicus Tuber (Maidong), and Schisandra Fruit (Wuweizi). The formula contains Ginseng Radix (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu), as abundant Qi generates Yin.
Ren Shen Yang Rong Tang (See Consumption chapter).
Angelica Sinensis Root (Danggui), Astragalus Membranaceus Root (Huangqi), Scutellaria Baicalensis Root (Huangqin), Phellodendron Amurense Bark (Huangbai), Coptis Chinensis Rhizome (Huanglian), Licorice Root (Gancao), equal parts.
Bazhen Tang (See Consumption chapter).
The Classic states: Excess Yin leads to Dian syndrome (Manic-Depressive Psychosis), excess Yang leads to Kuang syndrome (Psychotic Mania). Epilepsy (Xian syndrome) results from phlegm-saliva accumulating in the meridians. Dian syndrome presents as dementia-like behavior, laughing or crying intermittently, resembling drunkenness or dreaming, disordered speech, and ignorance of cleanliness or filth. It often arises from unfulfilled high aspirations and is primarily treated with An Shen Ding Zhi Wan. Kuang syndrome manifests as violent aggression, cursing without regard for kinship, climbing heights to sing, discarding clothes to run, and jumping over walls or roofs. This is caused by the aggregation of phlegm-fire or triggered by Yangming channel heat from Cold Damage. For phlegm-fire, Sheng Tie Luo Yin and Gun Tan Wan are used; for Cold Damage heat, Da Cheng Qi Tang is used to purge. Epilepsy attacks suddenly, causing dizziness, falling, loss of consciousness, convulsions, deviated eyes, twisted mouth, profuse salivation, and animal-like cries. Physicians classify these sounds into five organs: dog barking corresponds to Lung, sheep bleating to Liver, horse neighing to Heart, cow roaring to Spleen, and pig squealing to Kidney. Although the organs differ, the pathology is phlegm-saliva, treated with Ding Xian Wan. After recovery, He Che Wan is used to eradicate the root cause. These three syndromes respond well to frequent treatment; seeking eccentric remedies would be far off the mark.
An Shen Ding Zhi Wan (See Insomnia chapter).