青黛 轻粉（各一钱） 牵牛末（五钱） 天竺黄（二钱）
上件为末，蜜丸黍米大，每服一钱。得利止后服。
惊痫气实者，此丸与之。
痫疾之原，得之于惊。或在母腹之时，或在有生之后，必以惊恐而致疾，故曰惊痫。盖
恐则气下，惊则气乱，恐气归肾，惊气归心，并于心肾，则肝脾独虚，肝虚则生风，脾虚则
生痰，畜极而通，其法也暴，故令风痰上涌，而痫作矣。经曰∶实者泻之，故用竺黄、青黛
以泻肝，牵牛、轻粉以泻脾。泻肝所以驱风，泻脾所以驱涎。
痫证宜下、宜吐。茶子苦而善涌，能吐顽痰，用者宜取一升，捣烂煎汤五倍之。令患人
先一夕勿食夜膳，次早以帛束其少腹，于无风处饮而行之，得大吐便止，不必尽剂。
叙曰∶癫狂，皆失心也。经曰∶主不明，则十二官危。故视听言动，皆失其职。初病者
宜泻其实。久病者宜安其神。兹考名方八首，而古人之治法见矣。
大黄（四两）
酒浸一宿，水三升煎之，分三服，不已再作。
癫狂病者，此方主之。
多怒为癫，多喜为狂。癫者，精神不守，言语错乱，妄见妄言，登高骂詈是也。狂之始
发，少卧少饥，自贤自贵，妄笑妄动，登高而歌，弃衣而走是也。癫病者，责邪之并于肝。
狂病者，责邪之并于心也。此皆实证，宜泻而不宜补，故用大黄以泻之，取其苦寒，无物不
降，可以泻实。又必数日后方可与食，但得宁静，便为吉兆，不可见其瘦弱减食，便以温药
补之，及以饮食饱之，病必再作。戒之戒之！缓与之食，方为得体，故曰损其谷气，则病易
愈。所以然者，食入于阴，长气于阳故也。
青黛、轻粉（各一钱），牵牛子末（五钱），天竺黄（二钱）。
将上述药材研为细末，用蜂蜜制成如黍米大小的丸剂，每次服用一钱。待患者出现腹泻症状后停止服药。
对于惊痫且气机实证的患者，使用此丸剂。
痫疾的根源，源于惊恐。这种病可能在母腹中形成，也可能在出生后发生，必定是因为受到惊恐而导致疾病，所以称为惊痫。大概恐惧会使气机下陷，惊恐会使气机紊乱，恐惧之气归于肾，惊恐之气归于心，邪气并聚于心肾，则肝脾独自虚弱，肝虚则生风，脾虚则生痰，蓄积到极点而发作，其发病方法猛烈，因此导致风痰上涌，从而引发痫证。《内经》说：“实证应当泻法”，所以使用天竺黄、青黛来泻肝火，使用牵牛子、轻粉来泻脾实。泻肝是为了驱除风邪，泻脾是为了驱除涎沫。
痫证适宜采用攻下或催吐的方法。茶子味苦且具有涌吐作用，能吐出顽固的痰浊，使用者宜取一升，捣烂后加水煎煮，水量为药量的五倍。让患者在头一天晚上不要进食晚餐，第二天早晨用丝绸束紧其小腹，在无风的地方饮下药汤以促使呕吐，一旦大量吐出便停止服药，不必喝完所有药剂。
叙述说：癫证和狂证，都是心神丧失的表现。《内经》说：“君主之官不明，则十二脏腑都会危险。”因此视、听、言、动等功能，都失去了正常职责。初患病的人适宜泻其实邪；久病的人适宜安神定志。这里考证了八个名方，古人的治疗方法就显现出来了。
大黄（四两）。
用酒浸泡一夜，加入三升水煎煮，分三次服用，如果病情未愈，再次制作服用。
癫狂病患者，以此方主治。
多怒的是癫证，多喜的是狂证。癫证，表现为精神不能守舍，言语错乱，胡言乱语，看见不存在的东西，登上高处骂人等。狂证刚开始发作时，睡眠少、饥饿感少，自认为贤能尊贵，无故发笑妄动，登上高处唱歌，脱掉衣服奔跑等。癫病，责求于邪气并聚于肝。狂病，责求于邪气并聚于心。这些都属于实证，适宜泻法而不适宜补法，所以使用大黄来泻实邪，取其苦寒之性，无物不降，可以泻除实邪。又必须数日后才可以给予饮食，只要患者得到宁静，就是吉兆，不可见到患者身体瘦弱、食欲减退，就用温补药物进行滋补，或用饮食使其吃饱，否则疾病必定复发。务必戒慎！缓慢地给予饮食，才符合治疗原则，所以说减少谷气摄入，疾病就容易痊愈。之所以这样，是因为食物进入体内滋养阴精，进而化生阳气的原因。
Qingdai (Bromheadinae Herba), Qingfen (Calomel), each 1 qian; Qianniu Zi powder (Semen Pharbitidis) 5 qian; Tianzhu Huang (Bambusae Concretio Silicea) 2 qian.
Grind the above ingredients into fine powder, and make pills with honey, sized like millet seeds. Take 1 qian per dose. Stop taking after the patient experiences diarrhea.
This pill is administered for patients with Jingxian (epilepsy caused by fright) presenting with excess syndrome of Qi.
The origin of Xianji (epileptic seizures) lies in fright. It may occur while in the mother's womb or after birth, inevitably caused by fright and terror, hence it is called Jingxian (fright-induced epilepsy). Generally, fear causes Qi to sink, and fright causes Qi to become chaotic. Fear-related Qi returns to the Kidney, and fright-related Qi returns to the Heart. When pathogenic factors congregate in the Heart and Kidney, the Liver and Spleen alone become deficient. Liver deficiency generates Wind, and Spleen deficiency generates Phlegm. When accumulation reaches its peak, it erupts violently, causing Wind and Phlegm to surge upward, thus triggering epileptic seizures. The Classic states: "Excess syndromes should be purged." Therefore, Tianzhu Huang and Qingdai are used to purge the Liver, and Qianniu Zi and Qingfen are used to purge the Spleen. Purging the Liver serves to expel Wind, and purging the Spleen serves to expel Saliva/Phlegm.
Xianzheng (epileptic disorders) are suitable for purgation or emesis. Chazi (Camellia oleifera seeds) is bitter and effective in inducing vomiting, capable of expelling stubborn Phlegm. Users should take one sheng, crush it thoroughly, and decoct it with five times its volume in water. Instruct the patient to fast from dinner the night before. On the early morning of the next day, bind their lower abdomen tightly with a silk cloth, and drink the decoction in a draft-free place to induce vomiting. Stop immediately once profuse vomiting occurs; there is no need to consume the entire dose.
Narrative: Diankuang (mania and melancholia) both result from the loss of Shen (Spirit). The Classic states: "If the Ruler (Heart) is not clear, the twelve officials (organs) will be endangered." Consequently, vision, hearing, speech, and movement all lose their proper functions. For recent onset, purging excess is appropriate; for chronic cases, calming the Shen is appropriate. Here, eight famous prescriptions are examined, revealing the treatment methods of the ancients.
Dahuang (Rhubarb Root and Rhizome) 4 liang.
Soak in wine overnight, add three sheng of water, and decoct. Divide into three doses. If symptoms persist, prepare and administer again.
This prescription is the primary treatment for Diankuangbing (mania and melancholia disorders).
Excessive anger characterizes Dian (melancholia); excessive joy characterizes Kuang (mania). Dian manifests as spirit failing to reside within, disordered speech, delusions, hallucinations, climbing heights, and cursing. Early-stage Kuang manifests as little sleep, little hunger, self-aggrandizement, inappropriate laughter and movement, singing while climbing heights, discarding clothes, and running. Dian disease is attributed to pathogenic factors congregating in the Liver. Kuang disease is attributed to pathogenic factors congregating in the Heart. These are all excess syndromes, suitable for purgation rather than tonification. Therefore, Dahuang is used to purge excess, leveraging its bitter and cold nature which descends everything, thereby clearing excess. Furthermore, food should only be introduced after several days. As long as the patient achieves tranquility, it is an auspicious sign. Do not use warm tonifying medicines or overfeed the patient simply because they appear emaciated or have reduced appetite, otherwise the disease will relapse. Guard against this! Providing food slowly is appropriate. Thus, it is said that reducing grain intake facilitates recovery. This is because food enters to nourish Yin, which in turn generates Yang.