凡身中有掣痛不仁不随处者,取干艾叶一纠许丸之。纳瓦甑下,塞余孔,唯留一目。以
痛处着甑目下,烧艾以熏之,一时间愈矣。
取盐半斤,熬令尽,着口中饮热汤二升,得便、吐愈。
鸡屎二升 大豆一升 防风三两
以水三升,先煮防风取三合汁,纳豆、鸡屎二味,熬之令黄赤色,用酒二升淋之,去滓;
然后用防风汁和,分为再服。相去如人行六、七里,衣覆取汗,忌风。
皂角末
陈醋调涂口上。右 涂右,左 涂左,俟干即换,数次即愈;或以生乌头,青矾搐鼻亦
效。
此肝肾受风寒所致也。
将宣木瓜去瓤,入乳香、没药于其中,以线缚定,饭锅上蒸三、四次,研成膏,入生地
黄汁,热酒冲服。
白术 地骨皮 荆实各五升 菊花三升
以水三石,煮取一石五斗,去滓,澄清取汁。酿米二石,用曲如常法,以酒熟随量饮之,
常取半醉,勿令至吐。
独活四两 桂心五两 生葛根八两 炙甘草 防风 当归各二两 芍药 附子各一两
(炮)半夏一升(洗)
上药以水一斗,煮取三升,分为三服,日三,大验,忌海藻、菘菜、生葱、猪肉、羊肉、
饧。
癫病有五∶一曰阳癫,发时如死人,遗尿,有顷乃解;二曰阴癫,乃初生小时脐疮未愈,
数洗浴,因此得之;三曰风癫,发时眼目相引,牵纵反急强,羊鸣,食顷方解,由热作汗出
当风,因以房室过度,醉饮饱满行事,令心气逼迫,短气脉悸得之;四曰湿癫,眉头痛,身
重,坐热沐发,湿结脑,汗未止得之;五曰马癫,发时反目口噤,手足相引,身皆热,系小
时风气脑热不和得之。下方任何癫症,俱可用之。方用∶
铜青 雄黄 空青 东门上鸡头 水银各一两 猪苓 茯苓 人参 白芷 石长生 白
蔹白薇各二两 卷柏 乌扇各半两 硫黄一两半
上为末,以青牛胆和,着铜器中,于甑中五斗大豆上蒸之。药成丸如麻子,每服三十丸,
日二夜一。
按∶此方首尾多金石之品,宜于西北。若大江以南,水土柔弱症多虚弱,不宜用此。恒
有以乌蝎、六君、鹿茸、八味收功者,未可执此概论也。(孙思邈注)
凡是身体某处出现牵引性疼痛且麻木不仁、痛无定处的情况,取大约一纠(古代计量单位)的干艾叶搓成丸状。将其放置在瓦制的甑(一种蒸食用具)下方,堵塞其余孔洞,只留一个孔。将疼痛部位对准甑上的孔,燃烧艾草进行熏烤,约一顿饭的时间即可痊愈。
取盐半斤,炒至完全干燥,放入口中,同时饮用热汤二升,随后通过排便或呕吐排出,即可痊愈。
鸡屎二升、大豆一升、防风三两。
用水三升,先煎煮防风,取汁液三合;加入大豆和鸡屎这两味药,熬煮至呈黄红色;用酒二升淋在药渣上,滤去药渣;然后用之前煎好的防风汁调和药液,分两次服用。服药间隔时间相当于人行走六、七里路的时间,服药后覆盖衣物以促使出汗,注意避风。
皂角末。
用陈醋调匀涂抹于嘴唇上。右侧患病涂右侧,左侧患病涂左侧,待干燥后即更换,经过数次涂抹即可痊愈;或者使用生乌头、青矾吹入鼻腔也有效。
这是由于肝肾受到风寒侵袭所致。
将宣木瓜挖去瓤,放入乳香、没药在其中,用线捆扎固定,放在饭锅上蒸三到四次,研磨成膏状,加入生地黄汁,用热酒冲服。
白术、地骨皮、荆实各五升、菊花三升。
用水三石,煮取一石五斗的药汁,滤去药渣,澄清后取汁。用米二石,按照常规方法加曲酿酒,酒酿好后适量饮用,通常保持半醉状态,不要喝到呕吐。
独活四两、桂心五两、生葛根八两、炙甘草、防风、当归各二两、芍药、附子(炮制)各一两、半夏一升(洗净)。
以上药物用水一斗,煮取三升药液,分三次服用,每日三次,效果显著。忌食海藻、菘菜(白菜类)、生葱、猪肉、羊肉、饴糖。
癫病有五种:一是阳癫,发作时像死人一样,伴有遗尿,过一会儿才缓解;二是阴癫,多因婴儿出生不久脐带伤口未愈合,多次洗浴而感染所致;三是风癫,发作时两眼相互牵引,肢体牵拉抽搐、反张强直,发出羊叫声,约一顿饭时间才缓解,多因发热出汗时当风受邪,或因房事过度、醉酒饱食后行房,导致心气逼迫、短气脉悸而得;四是湿癫,表现为眉头痛、身体沉重,多因坐热后洗头,湿气凝结于脑部,汗未干时受湿所致;五是马癫,发作时眼球上翻、牙关紧闭,手足相互牵引,全身发热,多因婴儿时期风气与脑热不和所致。以下方剂对于任何类型的癫症均可使用。方剂组成如下:
铜青、雄黄、空青、东门上鸡头(指在东城门附近捕捉的鸡的头)、水银各一两;猪苓、茯苓、人参、白芷、石长生、白蔹、白薇各二两;卷柏、乌扇各半两;硫黄一两半。
以上药物研成细末,用青牛胆汁调和,放入铜器中,置于装有五斗大豆的甑上蒸制。药制成如麻子大小的丸剂,每次服用三十丸,白天服两次,夜间服一次。
按语:此方首尾多用金石类药物,适宜于西北地区。若在大江以南地区,水土柔弱,患者病症多为虚弱体质,不宜使用此方。临床上常有使用乌梢蛇、全蝎、六君子汤、鹿茸、八味丸等收功的案例,不可拘泥于此方一概而论。(孙思邈注)
The treatment principle is similar to that of wind-stroke with phlegm-jue (a condition characterized by sudden loss of consciousness due to phlegm obstruction), and can be slightly modified accordingly.
Da Ji (Knoxia Root, *Knoxiae Radix*) and Ku Shen (Sophora Root, *Sophorae Flavescentis Radix*), each 4 liang.
Boil 1 dou of white vinegar and use it to wash the affected area.
For any part of the body exhibiting pulling pain accompanied by numbness and lack of sensation, where the pain location is not fixed, take approximately one "jiu" (an ancient unit of measurement) of dried mugwort leaves (*Artemisiae Argyi Folium*) and roll them into a ball. Place this under a clay steamer (Zeng), seal all other holes, leaving only one opening. Position the painful area over the opening and smoke it with burning mugwort; recovery typically occurs within the time it takes to finish a meal.
Take half a jin of salt, stir-fry until completely dry, place it in the mouth, and drink two sheng of hot water. Recovery is achieved through subsequent defecation or vomiting.
Ji Shi (Chicken Droppings, *Galli Stercus*) 2 sheng, Da Dou (Soybean, *Sojae Semen Preparatum*) 1 sheng, Fang Feng (Saposhnikovia Root, *Saposhnikoviae Radix*) 3 liang.
Add three sheng of water, first decoct the Fang Feng to obtain three ge of juice. Add the Da Dou and Ji Shi, and simmer until they turn yellowish-red. Pour two sheng of wine over the mixture, filter out the dregs, and then mix the filtrate with the previously prepared Fang Feng juice. Divide into two doses. The interval between doses should be equivalent to the time it takes a person to walk six or seven li. After taking the medicine, cover with clothing to induce sweating, and avoid exposure to wind.
Zao Jiao Mo (Soap Bean Powder, *Gleditsiae Sinensis Fructus Pulvis*).
Mix with aged vinegar and apply to the lips. Apply to the right side if the ailment is on the right, and to the left if on the left. Replace when dry; repeated applications will lead to recovery. Alternatively, blowing powdered raw Wu Tou (Aconite Root, *Aconiti Radix*) and Qing Fan (Alum, *Alumen*) into the nostrils is also effective.
This condition is caused by Wind-Cold invading the Liver and Kidney.
Remove the pulp from Xuan Mu Gua (Chaenomeles Fruit, *Chaenomelis Fructus*), insert Ru Xiang (Frankincense, *Boswelliae Resina*) and Mo Yao (Myrrh, *Commiphorae Resina*) inside, tie it securely with thread, and steam it over a rice cooker for three to four times. Grind into a paste, add Sheng Di Huang (Rehmannia Root, *Rehmanniae Radix*) juice, and take mixed with hot wine.
Bai Zhu (Atractylodes Rhizome, *Atractylodis Macrocephalae Rhizoma*), Di Gu Pi (Cortex Lycii, *Lycii Cortex*), Jing Shi (Elatostema Fruit, *Elatostematis Fructus*), each 5 sheng; Ju Hua (Chrysanthemum Flower, *Chrysanthemi Flos*) 3 sheng.
Decoct in three shi of water until reduced to one shi five dou of liquid. Filter out the dregs, clarify the juice. Use two shi of rice, ferment with yeast according to standard methods to make wine. Drink the ripe wine in moderation, aiming for a state of mild intoxication, but do not drink to the point of vomiting.
Du Huo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*) 4 liang, Gui Xin (Cinnamon Twig Heart, *Cinnamomi Ramulus*), Sheng Ge Gen (Pueraria Root, *Puerariae Lobatae Radix*) 8 liang, Zhi Gan Cao (Honey-fried Licorice Root, *Glycyrrhizae Radix et Rhizoma Preparata*), Fang Feng, Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), each 2 liang; Shao Yao (Peony Root, *Paeoniae Radix*), Fu Zi (Prepared Aconite Lateral Root, *Aconiti Lateralis Radix Preparata*), each 1 liang; Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*) 1 sheng (washed).
Decoct the above herbs in one dou of water until three sheng of liquid remain. Divide into three doses, taken three times a day. This prescription is highly effective. Avoid consuming Hai Zao (Sargassum, *Sargassum*), Song Cai (Chinese Cabbage, *Brassicae Pekinensis Folium*), raw Cong (Scallion, *Allii Fistulosi Bulbus*), pork, mutton, and Yi Tang (Malt Sugar, *Saccharum).
There are five types of Dian disease (epilepsy/severe mental disorder):
1. Yang Dian: During an attack, the patient appears dead and experiences urinary incontinence, recovering after a while.
2. Yin Dian: Often contracted in infancy when the umbilical wound has not healed and the infant is bathed frequently.
3. Feng Dian (Wind Dian): During an attack, the eyes are drawn together, limbs are pulled and convulsed with opisthotonos, and the patient bleats like a sheep. Recovery takes about a meal's time. It is caused by sweating during fever and exposure to wind, excessive sexual activity, or intercourse after drunkenness and full meals, leading to constrained Heart Qi, shortness of breath, and palpitations.
4. Shi Dian (Damp Dian): Characterized by headache in the brow region and heavy body. It results from washing hair while sitting in heat, causing dampness to condense in the brain before sweat has ceased.
5. Ma Dian (Horse Dian): During an attack, the eyes roll back, the jaw is clenched, limbs are pulled inward, and the whole body becomes hot. It originates from disharmony between wind qi and heat in the brain during infancy.
The following formula can be used for any type of Dian disease. Formula composition:
Tong Qing (Azurite, *Azurite*), Xiong Huang (Realgar, *Realgar*), Kong Qing (Chrysocolla, *Chrysocolla*), Dong Men Shang Ji Tou (Rooster head caught near the East Gate, *Galli Caput*), Shui Yin (Mercury, *Hydrargyrum*), each 1 liang; Zhu Ling (Polyporus, *Polypori Umbilicati Sclerotium*), Fu Ling (Poria, *Poria*), Ren Shen (Ginseng Root, *Panacis Ginseng Radix*), Bai Zhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*), Shi Chang Sheng (likely a local herb name, unspecified Latin equivalent), Bai Lian (Ampelopsis Rhizome, *Ampelopsidis Rhizoma*), Bai Wei (Cynanchum Root, *Cynanchi Atrati Radix*), each 2 liang; Juan Bai (Selaginella, *Selaginellae Herba*), Wu Shan (Iris Pseudacorus Rhizome, *Iridis Tectori Rhizoma*), each 0.5 liang; Liu Huang (Sulfur, *Sulfur*) 1.5 liang.
Grind all ingredients into powder. Mix with Qing Niu Dan (Green Ox Gallbladder, *Bovis Vesica Fellea*) juice. Place in a copper vessel and steam over five dou of soybeans in a steamer. Form pills the size of hemp seeds. Take 30 pills per dose, twice during the day and once at night.
Note: This formula contains many mineral substances at the beginning and end, making it suitable for the Northwest region. In the regions south of the Yangtze River, where the soil and water are soft and patients often present with deficiency syndromes, this formula is not appropriate. Clinically, cases are often concluded using Wuxie (Wushao She and Scorpion, *Agkistrodon venenum* and *Isoptera*), Liujun Zi Tang (Six Gentlemen Decoction), Lurong (Deer Antler, *Cervi Cornu Degelatinatum*), or Bawei Wan (Eight-Ingredient Pill). One cannot rigidly apply this formula as a general rule. (Commentary by Sun Simiao)