经义
邪入于阳则狂。○阴不胜其阳，则脉流薄疾，并乃狂。○血并于阴，气并于阳，故为惊狂。○帝曰∶足阳
明之脉，病甚则弃衣而走，登高而歌；或至不食数日，窬垣上屋，所上之处，皆非其素所能也。病反能者，何
也？岐伯曰∶四肢者，诸阳之本也。阳盛则四肢实，实则能登高也。帝曰∶其弃衣而走者，何也？岐伯曰∶热
盛于身，故弃衣欲走也。帝曰∶其妄言骂詈不避亲疏而歌者，何也？曰∶阳盛则使人妄言骂詈不避亲疏而歌也。
○帝曰∶有病怒狂者，此病安生？岐伯曰∶生于阳也。阳气者，因暴折而难决，故善怒也。病名曰阳厥。○帝
曰∶人生而有病癫疾者，病名曰何？安所得之？岐伯曰∶名为胎病。此得之在母腹中时，其母有所大惊，气上
而不下，精气并居，故令子发为癫疾也。（《素问》）
重阳者狂，重阴者癫。○狂癫之病，何以别之？曰∶狂之始发，少卧不饥，自高贤也，自辨智也，自贵倨也，
妄笑，好歌乐，妄行不休是也。癫疾始发，意不乐，僵卧直视，其脉三部俱盛是也。（《难经》）
哲言
阴气衰者为癫，阳气衰者为狂。（《金匮》）
《素问》言癫狂而不及痫，《灵枢》乃有痫 、痫厥之名，诸书有言癫狂者，有言癫痫者，有言风痫者，
有言惊痫者，有分
癫痫为二门者，迄无定论。要之癫痫狂大相径庭，非名殊而实一之谓也。《灵枢》虽编癫狂为一门，而形证两
具，取治异途，较之于痫，又大不侔矣。徐嗣伯云∶大人曰癫，小儿曰痫。亦不然也。《素问》谓癫为母腹中
受惊所致，今乃曰小儿无癫可乎？痫病大人每每有之，妇人尤多。今据经文分辨于后∶癫者，或歌、或笑、或
悲、或泣，如醉如痴，言语有头无尾，秽洁不知，积年累月不愈，俗呼心风，此志愿高硕而不遂所欲者多有之。
狂者，病发猖狂刚暴，如伤寒阳明实，发狂骂詈，不避亲疏，甚则登高而歌，弃衣而走，窬垣上屋，或与人语
所未尝见之事，如有邪祟根据附者是也。痫病，发则昏不知人，眩仆倒地，甚则螈 抽掣，目睛上视，或口眼
斜，或口作六畜之声是也。（《证治准绳》）
癫、狂二证，皆由情志过度，则气伤而火壅，热甚而风生，风火相搏，痰涎胶固，粘着膻中，则昏迷而丧
其神守。故癫、狂皆属火炽痰壅，但有缓急之分耳。
癫、狂病本不同∶狂病之来，狂妄以渐，而经久难已；癫病之至，忽然僵仆，而时作时止。狂病常醒，多
怒而暴；癫病常昏，多倦而静。由此观之，则其阴阳寒热，自有冰炭之异。《难经》曰∶重阳者狂，重阴者癫。
义可知矣。后世诸家，有谓癫狂大概是热，此未必然，其间形气脉气自有可据，须辨察阴阳而分治之。（张景岳）
癫多喜笑，尚知畏惧，证属不足；狂多忿怒，人莫能制，证属有余。此病多因惊忧，痰血塞于心窍所致。（朱丹溪）
癫，有时人不之觉，是癫之轻也；狂有时人不及防，是狂之骤也。癫病，痰火一时忽动，阴阳相争，亦若
狂之状；狂病，痰火经久煎熬，神魂迷瞀，亦兼癫之状。（《见闻录》）
疑病为痴，口如木而不能言为呆，人事颠倒为癫，三病相似。痴，脾病；呆，肝病；癫，肾病。三者胥兼
心。○癫狂皆痰病也。癫因寒为虚，狂因火为实。癫病责心肾，狂病责肝胃。○有故而倒曰
惊，无故而倒曰痫，皆螈 也。痫虚而惊实。（《医参》）
痫疾者，风痰之故也。风者，阳气也。《经》曰∶阳之气，以天地之疾风名之，故其发也暴。所以令人仆
地者，厥气并于上，上实下虚，清浊倒置，故令人仆地，闷乱无知。浊邪干于心脏，而神明壅闭也。舌者心之
苗，而脾之经络连于舌本，阳明之经络入于上下齿缝中，故风邪实于心脾，则舌自挺，风邪实于阳明，则口自
噤，一挺一噤，故令嚼舌吐沫者，风热盛于内也。此风来潮汹之象，背反张目上视者，风在太阳经也。足太阳
之经，起于睛明，挟脊而下，风邪干之，则实而劲急，故目上视而背反张也。手足搐溺者，风属木，肝主筋，
风热盛于肝，则一身之筋挚，故令人手足搐溺也。搐者，四肢屈曲之名。搦者，十指开握之义也。或作六畜声
者，风痰鼓其气窍而声自变也，譬之弄笛，六孔闭塞不同，而宫商别异是也。（吴鹤皋）
病痫者，涎沫出于口，冷汗出于身，清涕出于鼻，皆阳跷、阴跷、督、冲四脉之邪上行为病也。此奇邪为
病，不系五行、阴阳、十二经所拘，当从督、冲、二跷四穴奇邪之法治之。（李东垣）
痫与痉，略同而实异。发时身软，时醒者，谓之痫；身体强直，反张如弓，不时醒者，谓之痉。痫病随其
痰之潮作，故有时而醒；痉比痫为甚而多挟虚，故常昏冒而亡者多矣。（刘宗浓）
论治
狂病多因于火，或谋为失志，或思虑郁结，屈无所伸，怒无所泄，以致肝胆气逆，木火合邪，是诚东方之
实证也。邪乘于心，则为神魂不守；邪乘于胃，则为暴横刚强。故当以治火为先，或痰或气，察其微甚而兼治
之。○癫病多由痰、气，凡气有所逆，痰有所滞，皆能壅闭经络，格塞心窍，故发则旋晕僵仆，口眼相引，目
睛上视，手足搐搦，腰脊强直，食顷乃苏。此其倏病倏已者，正由气之倏逆倏顺也。故当察痰察气，因其甚者
而先之。至若火之有无，当审脉证而兼治之。○痫证无火者多，且复有阴盛
阳衰，及气血暴脱，而绝无痰火气逆者。则凡四君、四物、八珍、十全等汤，或干姜、桂、附之类，皆所必用，
不得谓癫痫尽属实邪而概禁补剂也。若真阴大损，气不归根，而时发难愈者，必用河车丸，方可奏效。（张景岳）
天地一阴阳也，阴阳和则天清地凝，一有偏胜，遂有非常之变。人身亦一阴阳也，阴阳和则神清志定，一
有偏胜，则有不测之 。故《经》曰∶重阳者狂，重阴者癫。痫与癫其原则同也。古人集癫、痫、狂，辨以为
阳并于阴，阴并于阳。言乎见证∶狂则少卧不饥，妄言妄笑，甚则上屋窬垣，其候多躁而常醒；癫则或歌或哭，
如醉如痴，甚至不知秽洁，其候多静而常昏；痫则发作无时，卒然昏仆，筋脉螈 ，口中作声，其候经时必止。
推其病因∶狂由大惊大怒，病在肝、胆、胃经，三阳并而上升，故火炽则痰涌，心窍为之闭塞；癫由积忧积郁，
病在心、脾、包络，三阴蔽而不宣，故气郁则痰迷，神志为之混淆；痫病或由惊恐，或由饮食不节，或由母腹
中受惊，以致五内不平，经久失调，一触积痰，厥气内风，猝焉暴逆，莫能禁止，待其气反然后已。至于主治，
察形证，诊脉候，以辨虚实。狂之实者，以承气、白虎直折阳明之火，生铁落饮重制肝胆之邪；虚者，当壮水
以制火，二阴煎之类。癫之实者，以滚痰丸开痰壅闭，清心丸泄火郁勃；虚者，养神而通志，归脾、枕中之类。
痫之实者，用五痫丸以攻风，控涎丸以劫痰，龙荟丸以泻火；虚者，当补助气血，调摄阴阳，养营汤、河车丸
之类。三证治法，大旨不越乎此。他如肝风痰火者，则苦辛开泄；神虚火炎者，则清补并施；肝胆厥阳，化
风旋逆者，以极苦之药折之；神志两虚者，用交通心肾法；劳神太过者，宗静以生阴意，为敛补镇摄。医者惟
调理其阴阳，不使有所偏胜，则郁逆自消，而神气得反其常矣。（《临证指南》）
《经》云∶悲哀动中则伤魂，魂伤则狂妄不精，不精则不正。此悲哀伤魂而狂，当用温药补魂之伤，
《本事》惊气丸之类是也。
喜乐无极则伤魄，魄伤则狂，狂者意不存人。此喜乐伤魄而狂，当用凉药补魄之阴，辰砂、郁金、白矾之类是也。（娄全善）
五志之火，郁而成痰，为癫为狂，宜以人事制之。如喜伤心者，以怒解之，以恐胜之；忧伤肺者，以喜胜
之，以怒解之。（《证治准绳》）
狂病久而不愈，宜分治之。定志膏、一醉膏、辰砂散。盖狂病少卧，卫气行阳而不行阴，故阳盛阴虚，令
昏其神，使之得睡，则卫气得入于阴，阴得卫填则不虚，阳无卫助则不盛，故阴阳和而愈矣。（《医学六要》）
癫证等方，总不若用六君加减，以治痰之本；用六味丸不加减，以治肾水不足之源，为治癫之秘法。（方星岩）
《经》云∶癫疾呕多涎沫，气下泄者不治，发如狂者不治。气下泄不治者，癫本由邪入于阴，阴气闭塞
于下而奔逆于上，今气下泄，将见肾气虚脱故也。发如狂不治者，由心之阳不胜其阴气之逆，神明散乱，阳气
暴绝，犹灯将灭而复明也。（赵以德）
痫证往往生于郁闷之人，多缘病后本虚，或复感六淫，气虚痰积之故。盖以肾水本虚，不能制火，火气上
乘，痰壅脏腑，经脉闭遏，故卒然倒仆，手足搐搦，口目牵掣，乃热盛生风之候。虽分五痫，要以补肾为本，
豁痰为标，随经见证用药。（张石顽）
《千金方》云∶病先身热，掣 惊啼叫唤，而后发痫，脉浮者，为阳痫，病在六腑，犹易治也；病先身
冷，不惊掣，不啼呼，而病时发，脉沉者，为阴痫，病在五脏，为难治也。刘宗浓谓此论痫之阴阳，后世有认
为寒热者，误也。盖此疾皆以痰热所作而得，在表而浅为阳，故云易治；入里而深为阴，故曰难治。乃表里浅
深之谓，非寒热之谓也。（《赤水玄珠》）
痫证日久，宜以归脾汤扶其气血，六味丸治其龙雷之火。治痫之源，无出于此。（《伤寒百问》）
病笑不休，用盐 赤，研，入河水煎沸，啜之，探吐热痰数升即
愈。《素问》曰∶神有余则笑不休。神，心火也，火得风则焰，笑之象也。一妇病此半年，张子和用此方治愈。（《同寿录》）
脉候
帝曰∶癫疾何如？岐伯曰∶脉搏大滑，久自已；脉小坚急，死不治。帝曰∶癫疾之脉，虚实何如？岐伯曰∶
虚则可治，实则死。○心脉满大，痫螈筋挛。○肝脉小急，痫螈筋挛。○二阴急为痫厥。○搏阳为癫疾。（《素问》）
心脉缓甚为狂笑，微涩为癫疾。○肺脉急甚为癫疾。○肾脉急甚为骨癫疾。（《灵枢》）
《素问》通评虚实论∶癫疾，脉搏大滑，久自己，脉小坚急，死不治。按此癫疾之“癫”字，当是“狂”
字。脉搏大滑，阳病得阳脉，故自愈；脉小坚急，阳病得阴脉，故死。观下文即言癫疾之脉，虚则可治，实则
死。狂与癫证别阴阳，合勘益审。（《医参》）
选案
某姓少妇病狂四载，延余至，病者卧床上，甫就诊，突被反手相掣，口出妄言。出谓其夫曰∶脉虽未得，
而劫夺之际，已领料其病情。讯其目珠之赤，盖已三年。每发不必有因，唯自禁食，登高歌哭，厉声叫喊，昼
夜无眠，人莫能制，诸药罔效。其发一月、十日不一，已则如平人，惟食饮逾常，潮信愆期耳。为用大陷胸方，
大黄一两，芒硝、甘遂各三钱，加甘草钱许，服剂须臾，吐泻交作，次日犹能起居。然静而可诊，两脉皆坚锐
而数，按有胃气，因忆《内经》无过犯之旨，易以小剂，调胃承气继之。再泻十余行，口渴思饮，进稀粥碗余，
熟睡一昼夜，起坐不支，然后以开窍利痰兼安抚药调养月余，最后以补心丸、归脾丸间用，两月寻愈。询其前
事，如梦初觉。（曹恒占）
西园令弟陶士，狂证屡作，人莫能制，药不肯饮。予因其爱酒，用新葫芦一枚，去瓤，入浓酒盏许，封固，
外加面裹，水中煮
透，倒出露一宵，饮之大吐，病去如失。（程华仲）
一人得心病，状似癫狂，彻夜不寐，服药旬日，有用加味逍遥散者，有用补心丹者，有作痰治用胆星者，
有作火治用黄连者，皆不效。诊脉弦大，重按无力，唇红面赤。予曰∶脉大无力，非实火也。病由用心过度，
心火上浮，不能下交于肾，肾水下虚，不能上交于心。法当交通心肾，用八仙长寿丸，辰砂为衣，早晚各服三
钱，纳心火于肾水之中，以成既济之象。凡治心肾不交之病，每用六味加辰砂为衣，效者甚多。（许宣治）
相国寺僧患癫疾半年，医皆不效，召孙兆疗之。孙曰∶但有咸物，尽与食之，待渴可来取药，今夜睡着，
明日便愈。至夜，僧果渴，与酒一角，调药一服与之，再索，又与半角，遂睡两昼夜乃觉，人事如故。僧谢问
其治法，曰∶众人用药，能安神矣，而不能使其神昏得睡，此乃《灵苑方》中朱砂酸枣仁乳香散也，但人不识
用耳。（《证治准绳》）
一妇因心事拂郁，遂得心疾，半年服药不效。诊脉沉涩，左手更微，断为血虚之证。《经》曰∶心藏神，
肝藏魂，心血虚则神不得藏，肝血虚则魂无所归，是以神魂不定，语言无序，或啼或笑。然言语轻微，证属不
足，非若狂证之属有余也。且脉涩无力，血虚而气亦虚。夫有形之血，必藉无形之气以生，则补血尤须补气，
遂用归脾汤。初二剂加天竺黄分许，微化其痰之标。服后，前证不发，并制丸药调理而痊。（吴天士）
附方
熏鼻法 治癫狂最佳，亦治产后血晕。用炉贮炭火，时时沃醋，以熏其鼻。
又方 治痰迷心窍癫狂。用 树根皮焙干研末，每服二钱，鲜菖蒲煎水调下，吐泻痰涎即愈。
【经典论述】
邪气侵入阳分就会发狂。○阴气不能制约阳气，脉流就会急迫迅猛，进而导致发狂。○血偏聚于阴分，气偏聚于阳分，所以会惊狂。○黄帝问：足阳明经脉的病，严重时患者会脱衣奔跑，登高唱歌；或者几天不吃饭，翻越墙垣、爬上屋顶，所去的地方都是他平时做不到的。病情反而能做出这些举动，为什么呢？岐伯说：四肢是诸阳经的根本。阳气旺盛则四肢充实有力，充实有力就能登高。黄帝问：那些脱衣奔跑的人，是什么原因呢？岐伯说：身体热盛，所以脱衣想要奔跑。黄帝问：那些胡言乱语、骂人、不分亲疏而唱歌的人，是什么原因呢？回答说：阳气旺盛使人胡言乱语、骂人、不分亲疏而唱歌。○黄帝问：有人患怒狂病，这病是怎么产生的？岐伯说：产生于阳分。阳气因为突然受挫而难以决断，所以容易发怒。这种病名叫阳厥。○黄帝问：人生下来就患有癫疾的，病名叫什么？是从哪里得来的？岐伯说：名叫胎病。这是在母腹中时，母亲受到大惊吓，气机上逆而不能下行，精气并居在一起，所以使孩子发作癫疾。（《素问》）
重阳气的发狂，重阴气的发癫。○狂病和癫病，如何区别？回答说：狂病刚开始发作时，睡眠少且不觉得饿，自认为贤能，自认为聪明，自认为尊贵傲慢，无故发笑，喜欢歌唱娱乐，胡乱行动不停止，这就是狂病的表现。癫病刚开始发作时，心情不愉快，僵硬地躺着，眼睛直视，寸关尺三部脉都盛大，这就是癫病的表现。（《难经》）
【哲人言论】
阴气衰弱的发癫，阳气衰弱的发狂。（《金匮要略》）
《素问》谈论癫狂而没有提及痫病，《灵枢》才有痫、痫厥的名称。各种书籍中，有的谈论癫狂，有的谈论癫痫，有的谈论风痫，有的谈论惊痫，有的将癫痫分为两个门类，始终没有定论。总之，癫痫狂三者大相径庭，不是名称不同而实质相同的意思。《灵枢》虽然将癫狂编为一门，但症状表现两者具备，治疗方法却不同，与痫病相比，又大大不相称了。徐嗣伯说：成人叫癫，小儿叫痫。这也不对。《素问》说癫是由于在母腹中受惊所致，现在却说小儿没有癫病吗？痫病成人常常有，妇女尤其多。现在根据经文分辨如下：癫病，有时唱歌，有时笑，有时悲伤，有时哭泣，像醉了一样，像痴了一样，说话有头无尾，不知秽洁，长年累月不愈，俗称为心风，这是志向高远而不遂心愿的人多有此病。狂病，发病时猖狂刚暴，像伤寒阳明实证一样，发狂骂人，不分亲疏，甚至登高唱歌，脱衣奔跑，翻墙爬屋，或者与人谈论从未见过的事，好像有邪祟依附一样。痫病，发作时昏迷不省人事，眩晕跌倒，甚至抽搐掣动，眼球上视，或者口眼歪斜，或者口中发出六畜的声音。（《证治准绳》）
癫、狂两种证候，都是由情志过度，导致气伤而火壅，热甚而生风，风火相搏，痰涎胶固，粘着膻中，就会昏迷而丧失神守。所以癫、狂都属于火炽痰壅，只是有缓急的区别罢了。
癫、狂病的本质不同：狂病来临，狂妄逐渐形成，而且经久难愈；癫病到来，忽然僵仆倒地，而且时作时止。狂病常清醒，多愤怒而暴躁；癫病常昏沉，多疲倦而安静。由此看来，它们的阴阳寒热，自有冰炭般的差异。《难经》说：重阳者狂，重阴者癫。道理就可以知道了。后世各家，有的说癫狂大概都是热证，这不一定是这样，其中形体、气息、脉象自有依据，必须辨别阴阳而分别治疗。（张景岳）
癫病多喜笑，尚知道畏惧，证候属于不足；狂病多忿怒，别人无法控制，证候属于有余。这个病多因惊恐忧愁，痰血堵塞心窍所致。（朱丹溪）
癫病，有时别人察觉不到，这是癫病的轻症；狂病有时别人来不及防备，这是狂病的骤发。癫病，痰火一时忽动，阴阳相争，也类似狂病的状态；狂病，痰火经久煎熬，神魂迷乱，也兼有癫病的状态。（《见闻录》）
疑病为痴，口像木头不能说话为呆，人事颠倒为癫，这三种病相似。痴，是脾病；呆，是肝病；癫，是肾病。这三者都兼涉心脏。○癫狂都是痰病。癫因寒而为虚，狂因火而为实。癫病责在心肾，狂病责在肝胃。○有原因而倒下的叫惊，无原因而倒下的叫痫，都有抽搐。痫属虚而惊属实。（《医参》）
痫疾，是风痰的缘故。风，是阳气。《内经》说：阳的气，用天地疾风来命名，所以它的发作很暴烈。所以让人仆倒在地，是因为厥气并聚于上部，上实下虚，清浊倒置，所以让人仆倒，闷乱无知。浊邪干扰心脏，神明被壅闭。舌是心的苗窍，而脾的经络连于舌本，阳明的经络进入上下齿缝中，所以风邪实于心脾，舌头自然挺出，风邪实于阳明，嘴巴自然紧闭，一挺一噤，所以让人嚼舌吐沫，是风热盛于内部。这是风来如潮汹涌的景象，背反张、眼球上视，是风在太阳经。足太阳经，起于睛明穴，挟脊而下，风邪侵犯它，就会实而劲急，所以眼球上视而背部反张。手足抽搐，风属木，肝主筋，风热盛于肝，全身的筋就会拘挛，所以让人手足抽搐。搐，是四肢屈曲的名称。搦，是十指开握的意义。或者发出六畜声音，是风痰鼓动气窍而声音自然改变，就像吹笛子，六个孔闭塞不同，而宫商音律各异。（吴鹤皋）
患痫病的人，涎沫从口出，冷汗从身出，清涕从鼻出，都是阳跷、阴跷、督、冲四脉的邪气上行致病。这种奇邪致病，不受五行、阴阳、十二经的拘束，应当从督、冲、二跷四穴的奇邪之法治疗。（李东垣）
痫与痉，大致相同而实质不同。发作时身体柔软，时而清醒的，叫痫；身体强直，反张如弓，不时清醒的，叫痉。痫病随着痰的潮作，所以有时清醒；痉比痫更严重且多夹杂虚证，所以经常昏冒而死亡的很多。（刘宗浓）
【论治】
狂病多因于火，或者谋为失志，或者思虑郁结，委屈无处伸展，愤怒无处发泄，以致肝胆气逆，木火合邪，这确实是东方（肝属木，位东）的实证。邪气乘袭心脏，就会神魂不守；邪气乘袭胃腑，就会暴横刚强。所以应当以治火为先，或者痰或者气，观察其轻重而兼治。○癫病多由痰、气引起，凡是气有所逆乱，痰有所停滞，都能壅闭经络，格塞心窍，所以发作时头晕僵仆，口眼牵引，眼球上视，手足抽搐，腰脊强直，片刻后才苏醒。这种突然发病突然停止的，正是由于气的突然逆乱突然顺达。所以应当察痰察气，针对严重的先治。至于是否有火，应当审察脉证而兼治。○痫证没有火的较多，而且有阴盛阳衰，以及气血暴脱，而绝无痰火气逆的。那么凡是用四君子汤、四物汤、八珍汤、十全大补汤等，或者干姜、桂枝、附子之类，都是必须使用的，不能说癫痫全是实邪而一概禁止补剂。如果真阴大损，气不归根，而时常发作难以痊愈的，必须用河车丸，才能见效。（张景岳）
天地就是一个阴阳，阴阳调和则天清地凝，一旦偏胜，就有非常的变化。人身也是一个阴阳，阴阳调和则神清气爽意志安定，一旦偏胜，就有不可测度的病变。所以《内经》说：重阳者狂，重阴者癫。痫与癫的原则是相同的。古人集合癫、痫、狂，辨析认为是阳并于阴，阴并于阳。看症状表现：狂则睡眠少不觉得饿，胡言乱语，甚至爬屋翻墙，症状多躁动而常清醒；癫则有时唱歌有时哭，像醉像痴，甚至不知秽洁，症状多安静而常昏沉；痫则发作无定时，突然昏倒，筋脉抽搐，口中发声，症状经过一段时间必然停止。推究病因：狂由大惊大怒，病在肝、胆、胃经，三阳并而上升，所以火炽则痰涌，心窍为之闭塞；癫由积忧积郁，病在心、脾、包络，三阴蔽而不宣，所以气郁则痰迷，神志为之混淆；痫病或由惊恐，或由饮食不节，或由母腹中受惊，以致五脏不平，经久失调，一触动积痰，厥气内风，猝然暴逆，不能禁止，等到气机回复然后停止。至于主治，观察形证，诊察脉候，以辨别虚实。狂之实证，用承气汤、白虎汤直折阳明之火，生铁落饮重制肝胆之邪；虚证，当壮水以制火，用二阴煎之类。癫之实证，用滚痰丸开痰壅闭，清心丸泄火郁勃；虚证，养神而通志，用归脾汤、枕中丹之类。痫之实证，用五痫丸以攻风，控涎丸以劫痰，龙荟丸以泻火；虚证，当补助气血，调摄阴阳，用养营汤、河车丸之类。三种证候的治疗方法，大意不出乎此。其他如肝风痰火的，则苦辛开泄；神虚火炎的，则清补并施；肝胆厥阳，化风旋逆的，用极苦的药折之；神志两虚的，用交通心肾法；劳神太过的，遵循静以生阴的意思，为敛补镇摄。医者只要调理其阴阳，不使有所偏胜，那么郁逆自然消除，而神气得以恢复常态。（《临证指南医案》）
《内经》说：悲哀动中则伤魂，魂伤则狂妄不精，不精则不正。这是悲哀伤魂而狂，应当用温药补魂之伤，如《本事方》惊气丸之类就是。
喜乐无极则伤魄，魄伤则狂，狂者意不存人。这是喜乐伤魄而狂，应当用凉药补魄之阴，如辰砂、郁金、白矾之类就是。（娄全善）
五志之火，郁而成痰，导致癫狂，宜以人事来制服。如喜伤心者，以怒解之，以恐胜之；忧伤肺者，以喜胜之，以怒解之。（《证治准绳》）
狂病久而不愈，宜分治。定志膏、一醉膏、辰砂散。因为狂病睡眠少，卫气行于阳而不行于阴，所以阳盛阴虚，使其神志昏蒙，让他得到睡眠，那么卫气就能入于阴，阴得到卫气填充就不虚，阳没有卫气帮助就不盛，所以阴阳调和而痊愈。（《医学六要》）
治疗癫证等方，总不如用六君子汤加减，以治痰之本；用六味地黄丸不加减，以治肾水不足之源，这是治疗癫病的秘法。（方星岩）
《内经》说：癫疾呕吐多涎沫，气下泄的不治，发作像狂病的不治。气下泄不治的，是因为癫本由邪入于阴，阴气闭塞于下而奔逆于上，现在气下泄，将会出现肾气虚脱。发作像狂病不治的，是因为心的阳不胜其阴气的逆乱，神明散乱，阳气暴绝，就像灯将灭而复明一样。（赵以德）
痫证往往生于郁闷之人，多缘病后本虚，或复感六淫，气虚痰积的缘故。因为肾水本虚，不能制火，火气上乘，痰壅脏腑，经脉闭遏，所以突然倒仆，手足抽搐，口目牵掣，这是热盛生风的征候。虽然分五痫，要以补肾为本，豁痰为标，随经见证用药。（张石顽）
《千金方》说：病先身热，抽搐惊啼叫唤，而后发痫，脉浮的，为阳痫，病在六腑，还容易治；病先身冷，不抽搐，不啼呼，而病时发，脉沉的，为阴痫，病在五脏，为难治。刘宗浓说这个论述痫的阴阳，后世有认为是寒热的，错误了。因为这个病都以痰热所作而得，在表而浅为阳，所以说易治；入里而深为阴，所以说难治。这是指表里浅深，不是指寒热。（《赤水玄珠》）
痫证日久，宜用归脾汤扶其气血，六味地黄丸治其龙雷之火。治疗痫病的源头，没有超出这个。（《伤寒百问》）
病笑不休，用盐炒赤小豆，研末，入河水煎沸，喝下，探吐热痰数升即愈。《素问》说：神有余则笑不休。神，是心火，火得风则焰起，笑的象征。一个妇人患此半年，张子和用此方治愈。（《同寿录》）
【脉候】
黄帝问：癫疾怎么样？岐伯说：脉搏大滑，久了自己好；脉小坚急，死，不治。黄帝问：癫疾的脉，虚实怎么样？岐伯说：虚则可治，实则死。○心脉满大，痫抽搐筋挛。○肝脉小急，痫抽搐筋挛。○二阴急为痫厥。○搏阳为癫疾。（《素问》）
心脉缓甚为狂笑，微涩为癫疾。○肺脉急甚为癫疾。○肾脉急甚为骨癫疾。（《灵枢》）
《素问》通评虚实论：癫疾，脉搏大滑，久了自己好，脉小坚急，死，不治。按此癫疾的“癫”字，应当是“狂”字。脉搏大滑，阳病得阳脉，所以自愈；脉小坚急，阳病得阴脉，所以死。看下文就说癫疾的脉，虚则可治，实则死。狂与癫证别阴阳，合勘更加审慎。（《医参》）
【选案】
某姓少妇患狂病四年，请我去诊治。病人躺在床上，刚就诊，突然反手拉扯我，口出妄言。出来后对她的丈夫说：脉虽未摸到，但在她抢夺拉扯之际，已经领会了解她的病情。询问她眼珠发红，已经三年了。每次发作不必有原因，只是自我禁食，登高歌哭，厉声叫喊，昼夜不眠，别人无法控制，各种药物无效。她发作一月、十日不等，发作后就如常人，只是饮食超过平常，月经推迟而已。为她用大陷胸方，大黄一两，芒硝、甘遂各三钱，加甘草少许，服药片刻，吐泻交作，第二天还能起居。然而安静时可诊，两脉皆坚锐而数，按之有胃气，于是想起《内经》无过犯的宗旨，改为小剂，用调胃承气汤继之。再泻十余次，口渴想喝水，进稀粥一碗多，熟睡一昼夜，起来坐立不稳，然后用开窍利痰兼安抚药调养月余，最后用补心丸、归脾丸间用，两个月左右痊愈。询问她以前的事，如梦初醒。（曹恒占）
西园令弟陶士，狂证屡次发作，别人无法控制，不肯吃药。我因为他爱喝酒，用新葫芦一枚，去掉瓤，放入浓酒一盏，封固，外加面裹，水中煮透，倒出露一夜，让他喝下，大吐一场，病去如失。（程华仲）
一人患心病，状似癫狂，彻夜不寐，服药十天，有用加味逍遥散的，有用补心丹的，有作痰治用胆南星的，有作火治用黄连的，都不效。诊脉弦大，重按无力，唇红面赤。我说：脉大无力，不是实火。病由用心过度，心火上浮，不能下交于肾，肾水下虚，不能上交于心。法当交通心肾，用八仙长寿丸，辰砂为衣，早晚各服三钱，纳心火于肾水之中，以成既济之象。凡治心肾不交的病，每用六味地黄丸加辰砂为衣，有效的很多。（许宣治）
相国寺僧患癫疾半年，医生都不效，召孙兆治疗。孙兆说：只要有咸物，全部给他吃，等到渴了可以来取药，今晚睡着，明天就好了。到了晚上，僧果然渴了，给酒一杯，调药一服用给他，再要，又给半杯，于是睡了两昼夜才醒，人事如故。僧感谢并问治疗方法，说：众人用药，能安神，但不能使其神昏得睡，这是《灵苑方》中朱砂酸枣仁乳香散，只是人们不认识使用罢了。（《证治准绳》）
一妇人因为心事拂郁，遂得心疾，半年服药不效。诊脉沉涩，左手更微弱，断为血虚之证。《内经》说：心藏神，肝藏魂，心血虚则神不得藏，肝血虚则魂无所归，是以神魂不定，语言无序，有时哭有时笑。然而言语轻微，证候属于不足，不像狂证属于有余。而且脉涩无力，血虚而气亦虚。有形之血，必借无形之气以生，则补血尤须补气，于是用归脾汤。前两剂加天竺黄少许，微化其痰之标。服后，前证不发，并制丸药调理而痊愈。（吴天士）
【附方】
熏鼻法 治疗癫狂最佳，也治产后血晕。用炉贮炭火，时时浇醋，以熏其鼻。
又方 治疗痰迷心窍癫狂。用樗树根皮焙干研末，每服二钱，鲜菖蒲煎水调下，吐泻痰涎即愈。
[Classical Discourses]
When pathogenic factors enter the Yang aspect, mania (Kuang) ensues. ○ When Yin cannot control Yang, the pulse flow becomes rapid and forceful, leading to mania. ○ When blood congregates in the Yin aspect and Qi congregates in the Yang aspect,惊狂 (Jing Kuang, startled mania) occurs. ○ The Yellow Emperor asked: In diseases of the Foot-Yangming Meridian, when severe, patients may discard their clothes and run, climb high and sing; or go several days without eating, leap over walls and roofs, going to places they could never reach before. Why can they perform these actions contrary to their usual capabilities? Qibo replied: The four limbs are the root of all Yang meridians. When Yang is excessive, the four limbs become solid and strong, enabling one to climb high. The Yellow Emperor asked: What causes those who discard clothes and run? Qibo said: Excessive heat in the body causes them to discard clothes and wish to run. The Yellow Emperor asked: What causes those who speak nonsense, curse, and sing regardless of kinship or distance? The answer is: Excessive Yang causes people to speak nonsense, curse, and sing regardless of relationships. ○ The Yellow Emperor asked: Some suffer from anger-induced mania; how does this disease arise? Qibo said: It arises from the Yang aspect. Yang Qi, due to sudden frustration and inability to resolve, leads to frequent anger. This disease is named Yang Jue (Yang Reversal). ○ The Yellow Emperor asked: Some are born with epilepsy (Dian Ji); what is its name and origin? Qibo said: It is called Tai Bing (Fetal Disease). This originates when the mother suffers a great fright while in the womb; Qi rises but does not descend, and Jing Essence and Qi congregate, causing the child to develop epilepsy. (Su Wen)
Excess Yang leads to mania; excess Yin leads to epilepsy (Dian). ○ How to distinguish between mania and epilepsy? Answer: At the onset of mania, there is little sleep, no hunger, self-perception of being virtuous, wise, and noble, unprovoked laughter, love for singing and music, and continuous erratic behavior. At the onset of epilepsy, there is mental distress, rigid lying down, fixed staring, and a surging pulse in all three positions (Cun, Guan, Chi). (Nan Jing)
[Philosophical Remarks]
Deficiency of Yin leads to epilepsy; deficiency of Yang leads to mania. (Jin Gui Yao Lue)
Su Wen discusses Dian and Kuang but does not mention Xian (epileptic seizures). Ling Shu introduces terms like Xian and Xian Jue. Various texts discuss Dian-Kuang, Dian-Xian, Feng Xian (Wind Epilepsy), and Jing Xian (Startled Epilepsy), some dividing Dian and Xian into two categories, yet no consensus exists. Essentially, Dian, Xian, and Kuang are vastly different, not merely different names for the same reality. Although Ling Shu groups Dian and Kuang together, their symptoms and treatments differ significantly, and both differ greatly from Xian. Xu Sibai stated: Adults have Dian, children have Xian. This is incorrect. Su Wen states Dian results from fetal fright; can it be said children do not have Dian? Xian is common in adults, especially women. Based on classical texts, we distinguish as follows: Dian involves singing, laughing, crying, behaving drunk or foolish, speaking incompletely, lacking hygiene awareness, persisting for years, commonly called Xin Feng (Heart Wind), often seen in those with high aspirations unfulfilled. Kuang involves violent, reckless behavior, similar to Yangming excess in Cold Damage, cursing indiscriminately, climbing roofs, discarding clothes, discussing unseen events as if possessed by spirits. Xian involves sudden loss of consciousness, fainting, convulsions, upward gaze, facial deviation, or sounds resembling livestock. (Zheng Zhi Zhun Sheng)
Both Dian and Kuang result from emotional excess damaging Qi and obstructing Fire, leading to extreme heat generating Wind. Wind and Fire clash, phlegm-drool becomes sticky and adheres to Dan Zhong (Pericardium), causing coma and loss of spiritual guardianship. Thus, both belong to blazing Fire and obstructing Phlegm, differing only in severity.
The nature of Dian and Kuang differs: Kuang develops gradually and persists; Dian strikes suddenly with rigidity and comes and goes. Kuang patients are usually awake, angry, and violent; Dian patients are usually drowsy, tired, and quiet. Thus, their Yin/Yang and Cold/Heat natures are as distinct as ice and charcoal. Nan Jing states: Excess Yang is Kuang, excess Yin is Dian. This clarifies the principle. Later physicians claimed Dian/Kuang are mostly Heat, which is not always true; one must examine form, Qi, and pulse to differentiate Yin/Yang and treat accordingly. (Zhang Jingyue)
Dian often involves laughter and fear, indicating Deficiency; Kuang often involves anger and uncontrollability, indicating Excess. These diseases often stem from fright/worry causing Phlegm and Blood stasis blocking the Heart orifices. (Zhu Danxi)
Dian may go unnoticed by others, indicating mildness; Kuang may catch others off guard, indicating suddenness. Dian can resemble Kuang when Phlegm-Fire flares and Yin/Yang struggle; Kuang can resemble Dian when Phlegm-Fire lingers and confuses the Spirit. (Jian Wen Lu)
Obsessive doubt is Chi (Folly); mute rigidity is Dai (Stupor); chaotic behavior is Dian. These three are similar. Chi relates to Spleen; Dai to Liver; Dian to Kidney. All involve the Heart. ○ Dian and Kuang are Phlegm diseases. Dian is Cold/Deficiency; Kuang is Fire/Excess. Dian concerns Heart/Kidney; Kuang concerns Liver/Stomach. ○ Falling with cause is Jing (Startle); falling without cause is Xian (Epilepsy), both involving convulsions. Xian is Deficiency; Jing is Excess. (Yi Can)
Xian disease is caused by Wind-Phlegm. Wind is Yang Qi. Classics state Yang Qi is named after swift wind, hence its sudden onset. Fainting occurs because Jue Qi gathers above, creating upper excess and lower deficiency, confusing clear/turbid energies, disturbing the Heart Mind. Tongue is the sprout of the Heart; Spleen meridians connect to the tongue base; Yangming meridians enter teeth gaps. Wind-Phlegm affecting Heart/Spleen causes tongue protrusion; affecting Yangming causes jaw clenching. Protrusion and clenching lead to biting tongue and foaming, indicating internal Wind-Heat. Back arching and upward gaze indicate Wind in the Taiyang Meridian. Foot-Taiyang starts at Jingming, runs along the spine; Wind invasion makes it tight, causing back arching. Hand-foot spasms occur because Wind belongs to Wood, Liver governs sinews; Wind-Heat in Liver causes whole-body spasm. "Chu" refers to limb flexion; "Nuo" refers to finger opening/closing. Livestock sounds arise from Wind-Phlegm altering air passages, like varying flute holes changing pitch. (Wu Hegao)
In Xian, saliva exits the mouth, cold sweat the body, clear mucus the nose, due to pathogenic factors in Yang Qiao, Yin Qiao, Du, and Chong meridians ascending. This odd-pathogen disease is not bound by Five Elements, Yin/Yang, or Twelve Meridians; treat via odd-pathogen methods of Du, Chong, and two Qiao points. (Li Dongyuan)
Xian and Jing (Spasm) are similar but distinct. Xian features soft body and intermittent consciousness; Jing features rigid body, opisthotonos, and persistent unconsciousness. Xian wakes as Phlegm subsides; Jing is more severe, often deficient, leading to frequent death. (Liu Zongnong)
[Treatment Principles]
Kuang is mostly due to Fire, arising from frustrated ambitions or depressed thoughts, causing Liver/Gallbladder Qi reversal and Wood-Fire combination (Eastern Excess). Pathogens attacking the Heart disturb Shen; attacking the Stomach cause violence. Treat Fire first, addressing Phlegm/Qi based on severity. ○ Dian is mostly due to Phlegm/Qi. Qi reversal and Phlegm stagnation block meridians and Heart orifices, causing dizziness, collapse, eye deviation, spasms, and stiffness, resolving quickly as Qi normalizes. Treat Phlegm/Qi primarily; assess Fire presence via pulse/symptoms. ○ Many Xian cases lack Fire, featuring Yin excess/Yang deficiency or sudden Qi/Blood depletion without Phlegm-Fire. Si Jun Zi Tang, Si Wu Tang, Ba Zhen Tang, Shi Quan Da Bu Tang, Gan Jiang, Gui Zhi, Fu Zi are essential. Do not forbid tonics assuming all Dian/Xian are Excess. For severe True Yin damage with floating Qi, He Che Wan is required. (Zhang Jingyue)
Heaven and Earth are Yin/Yang; harmony brings clarity, imbalance brings disaster. Humans are Yin/Yang; harmony brings calm spirit, imbalance brings unpredictable illness. Classics: Excess Yang is Kuang, excess Yin is Dian. Xian and Dian share principles. Ancient texts analyzed them as Yang merging into Yin, Yin into Yang. Symptoms: Kuang has little sleep, no hunger, nonsense, climbing, restlessness, wakefulness; Dian has singing/crying, drunkenness, ignorance of hygiene, quietness, drowsiness; Xian has unpredictable onset, sudden collapse, spasms, sounds, temporary duration. Etiology: Kuang from shock/anger, affecting Liver/Gallbladder/Stomach (Three Yang rising), Fire blazing, Phlegm surging, blocking Heart orifices; Dian from chronic worry/depression, affecting Heart/Spleen/Pericardium (Three Yin blocked), Qi stagnating, Phlegm confusing, mixing Shen/Zhi; Xian from fright, diet irregularity, or fetal shock, causing internal imbalance, triggering accumulated Phlegm and internal Wind/Jue Qi. Treatment: Assess form/pulse for Deficiency/Excess. Kuang Excess: Cheng Qi Tang, Bai Hu Tang to drain Yangming Fire; Sheng Tie Luo Yin to suppress Liver/Gallbladder pathogens. Kuang Deficiency: Nourish Water to control Fire, e.g., Er Yin Jian. Dian Excess: Gun Tan Wan to open Phlegm obstruction; Qing Xin Wan to drain Fire. Dian Deficiency: Nourish Shen, e.g., Gui Pi Tang, Zhen Zhong Dan. Xian Excess: Wu Xian Wan to attack Wind; Kong Yan Wan to seize Phlegm; Long Hui Wan to drain Fire. Xian Deficiency: Tonify Qi/Blood, regulate Yin/Yang, e.g., Yang Ying Tang, He Che Wan. General principles apply. Other methods: Bitter/Pungent for Liver-Wind/Phlegm-Fire; Clear/Tonify for Shen-Deficiency/Fire-Flaring; Bitter drugs for Liver-Gallbladder Jue-Yang/Wind; Heart-Kidney intersection for Shen-Zhi Deficiency; Quietude for mental exhaustion. Regulate Yin/Yang to eliminate depression/reversal and restore normal Shen-Qi. (Lin Zheng Zhi Nan)
Classics: Grief damages Hun; Hun damage causes madness. Use warm herbs to tonify Hun, e.g., Jing Qi Wan. (Ben Shi Fang)
Unrestrained joy damages Po; Po damage causes madness (ignoring others). Use cool herbs to tonify Po-Yin, e.g., Chen Sha, Yu Jin, Bai Fan. (Lou Quanshan)
Fire from Five Emotions condenses into Phlegm, causing Dian/Kuang. Resolve via human interactions: Joy harms Heart, resolve with Anger/Fear; Worry harms Lung, resolve with Joy/Anger. (Zheng Zhi Zhun Sheng)
Chronic Kuang requires differentiation. Ding Zhi Gao, Yi Zui Gao, Chen Sha San. Kuang patients sleep little because Wei Qi moves in Yang but not Yin, causing Yang excess/Yin deficiency. Inducing sleep allows Wei Qi to enter Yin, balancing Yin/Yang. (Yi Xue Liu Yao)
For Dian, Liu Jun Zi Tang variations treat Phlegm root; Liu Wei Di Huang Wan treats Kidney Water deficiency source. This is a secret method for Dian. (Fang Xingyan)
Classics: Dian with vomiting/phlegm and downward Qi leakage is untreatable; Dian presenting as Kuang is untreatable. Downward leakage indicates Kidney Qi collapse from Yin obstruction reversing upward. Presenting as Kuang indicates Heart Yang failing against Yin reversal, Shen scattering, Yang abruptly perishing (like a flickering lamp). (Zhao Yi De)
Xian often affects depressed individuals, stemming from post-illness deficiency or Six Evils invasion, causing Qi deficiency and Phlegm accumulation. Kidney Water deficiency fails to control Fire; Fire ascends, Phlegm obstructs organs/meridians, causing sudden collapse and spasms (Heat generating Wind). Though classified as Five Xian, tonifying Kidney is root, resolving Phlegm is branch, treating according to meridian/symptoms. (Zhang Shiwen)
Qian Jin Fang: Onset with fever, spasms, crying, floating pulse = Yang Xian (Six Fu, easier). Onset with cold body, no spasms/crying, sinking pulse = Yin Xian (Five Zang, harder). Liu Zongnong notes this refers to depth (superficial/internal), not Cold/Heat. Both stem from Phlegm-Heat; superficial is Yang/easy; deep is Yin/hard. (Chi Shui Xuan Zhu)
Chronic Xian: Gui Pi Tang to support Qi/Blood; Liu Wei Di Huang Wan to control Dragon/Fire. This addresses the root of Xian. (Shang Han Bai Wen)
Constant laughter: Roasted salt and red adzuki beans, powdered, boiled in river water, drunk, inducing vomiting of hot Phlegm cures. Su Wen: Excess Shen causes constant laughter. Shen is Heart Fire; Fire with wind flares, symbolizing laughter. Zhang Zihe cured a woman with this. (Tong Shou Lu)
[Pulse Diagnosis]
Yellow Emperor: How is Dian Ji diagnosed? Qibo: Large, slippery pulse resolves slowly; small, firm, rapid pulse indicates death/untreatable. Pulse Deficiency is treatable; Excess is fatal. ○ Full-large Heart pulse: Xian with spasms. ○ Small-rapid Liver pulse: Xian with spasms. ○ Rapid Two Yin pulses: Xian Jue. ○ Beating Yang: Dian Ji. (Su Wen)
Very slow Heart pulse: Manic laughter; slightly choppy: Dian Ji. ○ Very rapid Lung pulse: Dian Ji. ○ Very rapid Kidney pulse: Bone Dian Ji. (Ling Shu)
Su Wen Tong Ping Xu Shi Lun: Dian Ji, large-slippery pulse resolves; small-firm-rapid pulse indicates death. Note: "Dian" here likely means "Kuang". Large-slippery (Yang pulse for Yang disease) resolves; small-firm-rapid (Yin pulse for Yang disease) indicates death. Subsequent text confirms Dian pulse: Deficiency treatable, Excess fatal. Distinguishing Kuang/Dian by Yin/Yang clarifies this. (Yi Can)
[Selected Cases]
A young woman had Kuang for four years. Upon examination, she grabbed me violently and spoke nonsense. I told her husband: Though pulse was not taken, her violent action revealed the condition. Her eyes were red for three years. Attacks were spontaneous, involving fasting, climbing, singing/crying, shouting, insomnia, uncontrollable, resistant to meds. Attacks varied monthly/ten-day intervals; between attacks, she was normal except for increased appetite and delayed menstruation. Prescribed Da Xian Xiong Fang: Da Huang 1 liang, Mang Xiao & Gan Sui 3 qian each, plus Gan Cao. Vomiting/diarrhea ensued; next day she could move. Pulse was firm/rapid/stomach Qi present. Switched to Xiao Ji (small dose) Tiao Wei Cheng Qi Tang. After 10+ purgations, thirst arose, consumed porridge, slept deeply. Recovered after month-long phlegm-resolving/calming therapy, followed by Bu Xin Wan and Gui Pi Wan alternating. Cured in two months. (Cao Hanzhan)
Brother of Xi Yuan magistrate, Tao Shi, recurrent Kuang, uncontrollable, refused meds. Knowing he loved wine, used fresh gourd, hollowed, filled with strong wine, sealed, dough-wrapped, boiled, exposed overnight. He drank it, vomited heavily, cured. (Cheng Huazhong)
Man with Heart disease, resembling Dian/Kuang, insomnia for 10 days. Tried Jia Wei Xiao Yao San, Bu Xin Dan, Dan Nan Xing (Phlegm), Huang Lian (Fire), all failed. Pulse string-large, weak on heavy press; red lips/cheeks. Said: Large-weak pulse is not Excess Fire. Cause: Overuse of mind, Heart Fire floats up, fails to descend to Kidney; Kidney Water deficients, fails to ascend to Heart. Treat Heart-Kidney non-interaction with Ba Xian Chang Shou Wan, Chen Sha coating, 3 qian morning/evening. Guides Heart Fire into Kidney Water, achieving Ji Ji (Intersection). Liu Wei Di Huang Wan + Chen Sha effective for this. (Xu Xuanzhi)
Monk at Xiang Guo Temple had Dian for half year, doctors failed. Sun Zhao treated: Eat salty foods until thirsty, then take medicine. Sleep tonight, cure tomorrow. Monk got thirsty, given wine cup + medicine, then another half cup, slept 2 days, recovered fully. Asked method: Others calm Shen but don't induce deep sleep. Used Zhu Sha, Suan Zao Ren, Ru Xiang powder from Ling Yuan Fang. (Zheng Zhi Zhun Sheng)
Woman with郁 (depression) developed Heart disease, half year meds failed. Pulse deep-choppy, left weaker. Diagnosed Blood Deficiency. Classics: Heart stores Shen, Liver stores Hun. Heart Blood deficiency loses Shen; Liver Blood deficiency loses Hun. Shen/Hun unsettled, speech disordered, crying/laughing. Speech gentle indicates Deficiency, unlike Kuang Excess. Choppy-weak pulse indicates Qi/Blood deficiency. Formative Blood needs Non-formative Qi to generate; tonify Qi to tonify Blood. Used Gui Pi Tang. First 2 doses + Tian Zhu Huang to resolve Phlegm branch. Symptoms ceased, cured with pills. (Wu Tianshi)
[Attached Formulas]
Nasal Fumigation Method: Best for Dian/Kuang, also for postpartum blood fainting. Charcoal in furnace, pour vinegar periodically, fumigate nose.
Another Method: For Phlegm confusing Heart orifices (Dian/Kuang). Dry and powder Chuan Pi (Bark of Toona sinensis), 2 qian per dose, mixed with fresh Shi Pu decoction. Vomiting/diarrhea of Phlegm cures.