病源风狂者。由风邪入并于阳所为也。风邪入血。使人阴阳二气。虚实不调。若一实一
虚。
动中
由血
千金方疗狂邪 恶。或披头大叫欲杀人。不避水火方。苦参为末。以蜜丸如梧子大。每
服十丸。薄荷汤下。
又方疗癫狂不识人。
人屎烧灰酒调服之。
又方疗风狂百病。
麻仁四升。水八升。猛火煮令牙生。去滓。煎取七升。旦空心服。或 或不 。或多言
语。勿怪之。但令人摩手足须定。凡进三服。
千金翼疗癫狂不识人。
伏龙肝为末。水调方寸匕。日进三服
肘后方疗风狂丧心。
取葶苈一升。捣三千杵。取白犬倒悬之。以杖杖血出盛取以和葶苈末。丸如麻子大。一
丸三服取瘥。
又方
莨菪子二升。酒五升浸之。出曝干。再渍尽酒止捣。服一钱匕。日三。勿多服益狂。
又方
防葵为末。酒服一刀圭至二三。身润又小不仁为候。
又方
自缢死者。绳烧三指撮服之。
又主狂言恍惚方。
灸天枢百壮。(并出第十四卷中铜人经天枢侠脐二寸)
深师人参汤。疗忽忽善忘。小便赤黄。喜梦见死人。或梦居水中。惊恐惕惕如怖。目视
KTKT 。不欲闻人声。饮食不得味。神情恍惚不安定志养魂方。
人参 甘草(炙各二两) 半夏(一两洗) 龙骨(六两) 远志(八两) 麦门冬(一
升洗去
心) 干地黄(四两) 大枣(五十枚擘) 小麦(一升) 阿胶(三两炙) 胶饴(八两)
石膏(四
两碎绵裹)
上十二味切。以水三斗。煮小麦令熟。去麦纳药。煮取七升。去滓。纳胶饴令烊。一服
一升。日三夜一。安卧当小汗弥佳。忌海藻菘菜羊肉芜荑。
又龙骨汤。疗宿惊失志。忽忽喜忘悲伤不乐。阳气不起方。
龙骨 茯苓 桂心 远志(去心各一两) 麦门冬(去心二两) 牡蛎(熬) 甘草(炙
各三
两) 生姜(四两)
上八味 咀。以水七升。煮取二升。分为二服。忌海藻菘菜酢生葱。
又铁精散。疗惊恐妄言。或见邪魅。恍惚不自觉。发作有时。或如中风方。
铁精 茯苓 芎 桂心 皮(炙各三两)
上五味捣下筛。以酒服钱五匕。日三。不知。稍增至一钱以上。知之为度。忌酢物生葱
等。(并出第九卷中)
古今录验道士陈明进茯神丸。一名定志小丸。主心气不定。五脏不足。甚者忧愁悲伤不
乐。忽忽喜忘。朝瘥暮剧。暮瘥朝发。发则狂眩。加茯神为茯神丸。不加茯神为定志丸。二
分合少
菖蒲 远志(去心) 茯苓(各二分) 人参(三两)
上四味捣下筛。服方寸匕。后食日三。蜜和丸如梧桐子。服六七丸。日五。亦得。一方
加茯神一两半。牛黄五铢为六味。茯苓远志菖蒲各一两。忌酢物羊肉饧。(千金同)
又定志紫葳丸。疗五惊喜怒不安方。
紫葳(六分) 远志(十五分去心) 白龙骨(七分) 牛黄(一两) 甘草(十分炙)
虎头皮
(十二分炙令焦) 人参 桂心 白术(各八分) 防风(七分) 麦门冬(去心熬) 雷
丸(各五
分) 柴胡(六分)
上十三味。各别捣下筛。蜜和丸如梧桐子大。先食服十丸。日三甚良。忌海藻菘菜桃李
生葱。(并出第五卷中)
千金疗惊劳失志方。
茯神(五两) 甘草(炙) 桂心(各一两) 龙骨 麦门冬(去心) 防风 牡蛎(熬)
远志
(去心各二两) 枣(二十枚擘)
上九味切。以水八升。煮取二升。分为二服。日再服。忌海藻菘菜生葱酢物。(出第十
四卷中一云主惊悸心神错乱或者或非言语无度茯神汤)
病因学认为,风狂病是由于风邪侵入并合并于阳经所致。风邪进入血脉,导致人体阴阳二气虚实失调。如果一实一虚,气血动荡,就会引发各种恶症,例如披头散发、大声叫喊想要杀人,不避开水火危险。
《千金方》治疗狂邪的方法:将苦参研成粉末,用蜂蜜制成梧桐子大小的药丸。每次服用十丸,用薄荷汤送服。
又一方,治疗癫狂且不认识人的病症:将人屎烧成灰,用酒调服。
又一方,治疗风狂引起的百病:取麻仁四升,加水八升,用猛火煮至水面上出现类似牙生的泡沫(指煮沸产生的浮沫)。滤去药渣,继续煎煮至剩余七升。早晨空腹服用。服药后患者可能会胡言乱语或沉默不语,或多言语,不要感到奇怪。只需让人按摩患者的手足使其安静下来。总共进服三剂。
《千金翼方》治疗癫狂且不认识人的病症:将伏龙肝(灶心土)研成粉末,用水调服一方寸匕的量,每天服用三次。
《肘后备急方》治疗风狂丧心病狂:取葶苈一升,捣三千杵。取一只白狗倒悬,用棍棒击打使其血液流出,收集血液并与葶苈末混合,制成如麻子大小的药丸。每次服用一丸,分三次服完即可痊愈。
又一方:取莨菪子二升,用五升酒浸泡。取出晒干,再次浸泡直至酒被吸尽为止,然后捣碎。每次服用一钱匕,每天三次。不要多服,否则会使狂症加重。
又一方:将防葵研成粉末,用酒送服一刀圭至二三刀圭的量。以身润且轻微麻木为见效的标志。
又一方:取上吊自杀者的绳索,烧成灰,取三指撮的量服用。
又一方,主治狂言恍惚:灸天枢穴一百壮。(出自第十四卷中的铜人经,天枢穴位于脐旁二寸处)
《深师方》人参汤,治疗神情恍惚、容易遗忘、小便赤黄、喜欢梦见死人、或者梦见居住在水中、惊恐不安如同受惊吓、眼睛直视不动、不想听到人声、饮食无味、神情恍惚、心神不定的病症。处方:人参、甘草(炙,各二两)、半夏(一两,洗)、龙骨(六两)、远志(八两)、麦门冬(一升,洗去心)、干地黄(四两)、大枣(五十枚,掰开)、小麦(一升)、阿胶(三两,炙)、胶饴(八两)、石膏(四两,碎,绵裹)。以上十二味药切碎,用水三斗,先煮小麦至熟,去掉麦粒放入其他药物,煎煮至剩余七升,滤去药渣,加入胶饴使其溶化。每次服用一升,每天三次,夜间一次。安卧后微微出汗为佳。忌食海藻、菘菜、羊肉、芜荑。
又一方,龙骨汤,治疗宿惊失志、神情恍惚、容易遗忘、悲伤不乐、阳气不起的病症。处方:龙骨、茯苓、桂心、远志(去心,各一两)、麦门冬(去心,二两)、牡蛎(熬)、甘草(炙,各三两)、生姜(四两)。以上八味药切碎,用水七升,煎煮至剩余二升,分为两次服用。忌食海藻、菘菜、醋、生葱。
又一方,铁精散,治疗惊恐妄言、看见邪魅、神情恍惚不自知、发作有时、或者像中风的病症。处方:铁精、茯苓、芎藭、桂心、芍药皮(炙,各三两)。以上五味药捣碎过筛。用酒送服五钱匕,每天三次。若无感觉,逐渐增加至一钱以上,以有知觉为度。忌食醋物、生葱等。(均出自第九卷)
《古今录验》道士陈明进献的茯神丸,又名定志小丸。主治心气不定、五脏不足。严重者忧愁悲伤不乐,神情恍惚容易遗忘,早晨好转晚上加重,晚上好转早晨复发,发作时狂乱眩晕。加入茯神的称为茯神丸,不加茯神的称为定志丸。配方:石菖蒲、远志(去心)、茯苓(各二分)、人参(三两)。以上四味药捣碎过筛。每次服用一方寸匕,饭后服用,每天三次。也可以用蜜和丸如梧桐子大,每次服用六七丸,每天五次也可以。另一方案加茯神一两半、牛黄五铢,共六味药。茯苓、远志、菖蒲各一两。忌食醋物、羊肉、饴糖。(与《千金方》相同)
又一方,定志紫葳丸,治疗五惊喜怒不安的病症。处方:紫葳(六分)、远志(十五分,去心)、白龙骨(七分)、牛黄(一两)、甘草(十分,炙)、虎头皮(十二分,炙令焦)、人参、桂心、白术(各八分)、防风(七分)、麦门冬(去心,熬)、雷丸(各五分)、柴胡(六分)。以上十三味药,分别捣碎过筛。用蜜和丸如梧桐子大。饭前服用十丸,每天三次,效果很好。忌食海藻、菘菜、桃李、生葱。(均出自第五卷)
《千金方》治疗惊劳失志的方剂:茯神(五两)、甘草(炙)、桂心(各一两)、龙骨、麦门冬(去心)、防风、牡蛎(熬)、远志(去心,各二两)、枣(二十枚,掰开)。以上九味药切碎,用水八升,煎煮至剩余二升,分为两次服用,每天两次。忌食海藻、菘菜、生葱、醋物。(出自第十四卷,一说主治惊悸、心神错乱、胡言乱语无度的茯神汤)
According to etiology, Fengkuang (Wind-induced Mania) is caused by Wind pathogen invading and merging with the Yang meridians. When the Wind pathogen enters the blood vessels, it causes an imbalance of deficiency and excess in the body's Yin and Qi. If there is one state of excess and one of deficiency, the movement of Qi and Blood becomes turbulent, leading to various malignant symptoms such as disheveled hair, loud screaming, attempts to kill others, and disregard for water and fire hazards.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) treats Kuangxie (Maniacal Evil): Grind Kushen (Sophorae Root, *Sophora flavescens*) into powder, mix with honey to make pills the size of Chinese wolfberry seeds. Take ten pills each time, washed down with Bohe Tang (Mint Decoction).
Another prescription treats Diankuang (Epileptic Mania) where the patient does not recognize people: Burn human feces to ash, mix with wine, and take orally.
Another prescription treats Fengkuang (Wind-induced Mania) causing hundred diseases: Take Maharen (Cannabis Seed, *Cannabis sativa*) four sheng, add eight sheng of water, boil vigorously until foam resembling "tooth growth" appears. Remove dregs, continue decocting until seven sheng remain. Take on an empty stomach in the morning. The patient may speak nonsense, remain silent, or talk excessively; do not be surprised. Simply have someone massage the patient's hands and feet to calm them down. Administer a total of three doses.
*Qianjin Yifang* (Supplement to Prescriptions Worth a Thousand Gold) treats Diankuang (Epileptic Mania) where the patient does not recognize people: Grind Fulonggan (Caosin, *Fodder Dragon Liver/Heart Earth*) into powder, mix with water, and take one cunbi (square-inch scoop) per dose, three times daily.
*Zhouhou Beiji Fang* (Emergency Prescriptions Ke Up My Sleeve) treats Fengkuang (Wind-induced Mania) with loss of mind: Take Tingli (Descurainiae Semen, *Descurainia sophia*) one sheng, pound three thousand times. Suspend a white dog upside down, strike it with a stick to let blood flow out, collect the blood, and mix it with Tingli powder to make pills the size of hemp seeds. Take one pill at a time, divided into three doses until recovery.
Another prescription: Take Langdangzi (Daturae Fructus, *Datura metel*) two sheng, soak in five sheng of wine. Remove and dry in the sun, then soak again until the wine is fully absorbed. Pound the mixture. Take one qianbi (coin-sized scoop) per dose, three times daily. Do not take too much, as it will worsen the mania.
Another prescription: Grind Fangkui (Araliae Radix, *Aralia continentalis*) into powder, take with wine, one dao gui to two or three dao gui per dose. Stop when the body feels moist and slightly numb, which indicates efficacy.
Another prescription: Take the rope from a person who hanged themselves, burn it to ash, and take an amount held between three fingers orally.
Another prescription, mainly treating Kuangyan Huanghai (Manic Speech and Trance): Moxibustion on Tianshu (ST25, 100 moxa cones). (From Volume 14 of Tongren Jing, Tianshu is located 2 cun lateral to the umbilicus).
*Shenshi Fang* (Deep Master's Prescriptions) Renshen Tang (Ginseng Decoction) treats sudden forgetfulness, red and yellow urine, frequent dreams of dead people or living underwater, fear and trembling as if terrified, fixed staring, aversion to human voices, loss of taste in food and drink, trance-like state, and instability of spirit and soul. Formula: Renshen (Ginseng Radix, *Panax ginseng*), Zhigancao (Prepared Licorice Root, *Glycyrrhiza uralensis*, both 2 liang), Banxia (Pinelliae Rhizoma, *Pinellia ternata*, 1 liang, washed), Longgu (Fossil Bones, *Mammuthi ossus fossilis*, 6 liang), Yuanzhi (Polygalae Radix, *Polygala tenuifolia*, 8 liang), Maimendong (Ophiopogonis Radix, *Ophiopogon japonicus*, 1 sheng, washed and heart removed), Shengdihuang (Rehmanniae Radix, *Rehmannia glutinosa*, 4 liang), Dazao (Jujubae Fructus, *Ziziphus jujuba*, 50 pieces, split), Xiaomai (Tritici Fructus, *Triticum aestivum*, 1 sheng), Ejiao (Colla Corii Asini, *Asini corii colla*, 3 liang, prepared), Jiaoyi (Maltose, *Saccharum officinarum* maltose, 8 liang), Shigao (Gypsum Fibrosum, *Gypsum*, 4 liang, crushed and wrapped in silk). Cut the above twelve ingredients. Add three dou of water, boil Xiaomai until cooked, remove the wheat, add the other herbs, decoct until seven sheng remain. Remove dregs, add Jiaoyi until melted. Take one sheng per dose, three times daily and once at night. Rest quietly; slight sweating is ideal. Avoid Haizao (Sargassum, *Sargassum pallidum*), Songcai (Chinese Cabbage, *Brassica pekinensis*), Yangrou (Mutton, *Ovis aries*), Wuyi (Hovenia seed, *Hovenia dulcis*).
Another prescription, Longgu Tang (Dragon Bone Decoction), treats Su Jing Shi Zhi (Lingering Fear and Loss of Will), sudden forgetfulness, sadness and unhappiness, and failure of Yang Qi to rise. Formula: Longgu (Fossil Bones, *Mammuthi ossus fossilis*), Fuling (Poria, *Poria cocos*), Guixin (Cinnamomi Ramulus, *Cinnamomum cassia*), Yuanzhi (Polygalae Radix, *Polygala tenuifolia*, heart removed, both 1 liang), Maimendong (Ophiopogonis Radix, *Ophiopogon japonicus*, heart removed, 2 liang), Muli (Concha Ostreae, *Ostrea gigas*, roasted), Zhigancao (Prepared Licorice Root, *Glycyrrhiza uralensis*, both 3 liang), Shengjiang (Zingiberis Rhizoma Recens, *Zingiber officinale*, 4 liang). Chew/crush the above eight ingredients. Add seven sheng of water, decoct until two sheng remain. Divide into two doses. Avoid Haizao (Sargassum, *Sargassum pallidum*), Songcai (Chinese Cabbage, *Brassica pekinensis*), Cu (Vinegar, *Acetum*), Shengcong (Raw Scallion, *Allium fistulosum*).
Another prescription, Tiejing San (Iron Essence Powder), treats Jingkong Wang Yan (Fearful Panic and Delirious Speech), seeing evil spirits, trance-like state without self-awareness, episodic attacks, or symptoms resembling Stroke. Formula: Tiejing (Ferrum, *Ferrum*), Fuling (Poria, *Poria cocos*), Xiong (Ligustici Chuanxiong Rhizoma, *Ligusticum chuanxiong*), Guixin (Cinnamomi Ramulus, *Cinnamomum cassia*), Baishao Pi (Paeoniae Radix Alba, *Paeonia lactiflora*, both 3 liang, prepared). Pound and sieve the above five ingredients. Take five qianbi with wine, three times daily. If no effect, gradually increase to more than one qianbi, stopping when sensation is achieved. Avoid vinegar products and raw scallions. (All from Volume 9).
Daoist Chen Ming from *Gujin Luyan* presented Fushen Wan (Pachymaria Pill), also known as Dingzhi Xiao Wan. It treats unstable Heart Qi and insufficiency of the Five Viscera. Severe cases involve sorrow, sadness, unhappiness, sudden forgetfulness, improvement in the morning but worsening at night, improvement at night but recurrence in the morning, and manic vertigo during attacks. Adding Fushen makes it Fushen Wan; without Fushen, it is Dingzhi Wan. Formula: Shichangpu (Acori Tatarinowii Rhizoma, *Acorus tatarinowii*), Yuanzhi (Polygalae Radix, *Polygala tenuifolia*, heart removed), Fuling (Poria, *Poria cocos*, each 2 fen), Renshen (Ginseng Radix, *Panax ginseng*, 3 liang). Pound and sieve the above four ingredients. Take one cunbi per dose, after meals, three times daily. Alternatively, mix with honey to make pills the size of Chinese wolfberry seeds, take 6-7 pills, five times daily. Another formula adds Fushen (Pachymiae Hostilis Sclerotium, *Poria cocos* with hostwood, 1.5 liang) and Niuhuang (Calculus Bovis, *Bovis calculus*, 5 zhu), totaling six ingredients. Fuling, Yuanzhi, and Shichangpu are each 1 liang. Avoid vinegar, mutton, and maltose. (Same as *Qianjin Fang*).
Another prescription, Dingzhi Ziwei Wan (Dingzhi Coral Bowerwort Pill), treats Wu Jing Xi Nu Bu An (Five Fears, Joy, Anger, and Instability). Formula: Ziwei (Cornus Officinalis Bark? No, *Campsis grandiflora* bark/Coral Bowerwort, *Campsis grandiflora*, 6 fen), Yuanzhi (Polygalae Radix, *Polygala tenuifolia*, heart removed, 15 fen), Bailonggu (White Fossil Bones, *Mammuthi ossus fossilis*, 7 fen), Niuhuang (Calculus Bovis, *Bovis calculus*, 1 liang), Zhigancao (Prepared Licorice Root, *Glycyrrhiza uralensis*, 10 fen, prepared), Hutoupi (Tiger Head Skin, *Panthera tigris*, 12 fen, roasted until charred), Renshen (Ginseng Radix, *Panax ginseng*), Guixin (Cinnamomi Ramulus, *Cinnamomum cassia*), Baizhu (Atractylodis Macrocephalae Rhizoma, *Atractylodes macrocephala*, each 8 fen), Fangfeng (Saposhnikoviae Radix, *Saposhnikovia divaricata*, 7 fen), Maimendong (Ophiopogonis Radix, *Ophiopogon japonicus*, heart removed, roasted), Leiwan (Meloe Beetle, *Mylabris phalerata*, each 5 fen), Chaihu (Bupleuri Radix, *Bupleurum chinense*, 6 fen). Pound and sieve each of the thirteen ingredients separately. Mix with honey to make pills the size of Chinese wolfberry seeds. Take ten pills before meals, three times daily, highly effective. Avoid Haizao (Sargassum, *Sargassum pallidum*), Songcai (Chinese Cabbage, *Brassica pekinensis*), Taoli (Peach and Plum fruits, *Prunus persica* & *Prunus salicina*), Shengcong (Raw Scallion, *Allium fistulosum*). (All from Volume 5).
*Qianjin Fang* treats Jing Lao Shi Zhi (Startling Exhaustion and Loss of Will) formula: Fushen (Pachymiae Hostilis Sclerotium, *Poria cocos* with hostwood, 5 liang), Zhigancao (Prepared Licorice Root, *Glycyrrhiza uralensis*, prepared), Guixin (Cinnamomi Ramulus, *Cinnamomum cassia*, each 1 liang), Longgu (Fossil Bones, *Mammuthi ossus fossilis*), Maimendong (Ophiopogonis Radix, *Ophiopogon japonicus*, heart removed), Fangfeng (Saposhnikoviae Radix, *Saposhnikovia divaricata*), Muli (Concha Ostreae, *Ostrea gigas*, roasted), Yuanzhi (Polygalae Radix, *Polygala tenuifolia*, heart removed, each 2 liang), Zao (Jujubae Fructus, *Ziziphus jujuba*, 20 pieces, split). Cut the above nine ingredients. Add eight sheng of water, decoct until two sheng remain. Divide into two doses, take twice daily. Avoid Haizao (Sargassum, *Sargassum pallidum*), Songcai (Chinese Cabbage, *Brassica pekinensis*), Shengcong (Raw Scallion, *Allium fistulosum*), Cuwu (Vinegar products, *Acetum*). (From Volume 14; alternatively stated to treat Jingji Xin Shen Cuo Luan or erratic speech, named Fushen Tang).