此症乃气虚而中痰也。宜固其正气,而佐以化痰之品。方用∶
人参(一两) 白术(一两) 半夏(三钱) 南星(三钱) 附子(一钱) 水煎服
此是内热之症,〔方用〕
人参(三钱) 白芍(三钱) 半夏(三钱) 南星(二钱) 白芥子(一钱) 黄
连(二
又 方
此症亦有伤寒得之者,一时之狂也,可用白虎汤以泻火。更有终年狂而不愈者,或持刀
杀人
也。
人参(一两) 白术(一两) 茯神(一两) 附子(一分) 菟丝子(三钱) 半夏
(三
此方妙在补心、脾、胃之三经,而化其痰,不去泻火。盖泻火则心气益伤,而痰涎益盛,
狂
火
又 方
凡发狂骂人,未渴索饮,与水不饮者,寒症之狂也。此必气郁不舒,怒气未泄,其人平
日定
人参(一两) 白术(五钱) 茯苓(五钱) 半夏(一钱) 南星(一钱) 附子(一
钱) 菖蒲(三分) 柴胡(一钱) 水煎服
茯苓当易茯神一两,下喉热睡,病如失也。
此症忽然卧地,作羊马牛之声,口中吐痰如涌泉者,〔乃〕痰迷心窍,因寒而成,感痰
而发
人参(三钱) 白术(一两) 茯神(五钱) 山药(三钱) 薏仁(五钱) 肉桂
(一钱) 附子(一
前方治此症亦效。
后附丸方∶
人参(三两) 白术(五钱) 甘草(一两) 陈皮(三钱) 南星(一两 生) 半
夏(一两) 附子(一钱)
上为末,蜜丸。须病未发时服之,则永不再发矣。
这种病症是由于气虚导致体内产生痰浊。应当巩固正气,并辅以化痰的药物。方剂如下:
人参(一两) 白术(一两) 半夏(三钱) 天南星(三钱) 附子(一钱) 水煎后服用
这是内热型的病症,〔方剂用〕
人参(三钱) 白芍(三钱) 半夏(三钱) 天南星(二钱) 白芥子(一钱) 黄连(二钱)
又一方
这种病症也有因伤寒病引发的,属于一时的发狂,可以使用白虎汤来泻火。更有整年发狂不愈的,甚至持刀杀人的情况。
人参(一两) 白术(一两) 茯神(一两) 附子(一分) 菟丝子(三钱) 半夏(三钱)
这个方剂的妙处在于补益心、脾、胃三条经络,从而化解痰浊,而不是去泻火。因为泻火会进一步损伤心气,导致痰涎更加旺盛,使狂症加重。
又一方
凡是发狂骂人,没有口渴想喝水的症状,给水也不喝的,属于寒症引起的发狂。这必定是气机郁结不畅,怒气未发泄,此人平日一定……
人参(一两) 白术(五钱) 茯苓(五钱) 半夏(一钱) 天南星(一钱) 附子(一钱) 石菖蒲(三分) 柴胡(一钱) 水煎后服用
其中的茯苓应当换成茯神一两,药液咽下后患者会感到发热并入睡,病就像消失了一样。
这种病症突然倒地,发出像羊、马、牛一样的叫声,口中吐出如涌泉般的痰液,〔这是〕痰浊迷蔽心窍,因寒邪而成,感受痰邪而发作。
人参(三钱) 白术(一两) 茯神(五钱) 山药(三钱) 薏苡仁(五钱) 肉桂(一钱) 附子(一钱)
前面的方子治疗这种病症也有效。
后面附上丸药方:
人参(三两) 白术(五钱) 甘草(一两) 陈皮(三钱) 天南星(一两,生用) 半夏(一两) 附子(一钱)
以上药物研成粉末,用蜂蜜制成丸药。必须在病症未发作时服用,这样就能永远不再发作了。
This condition arises from Qi deficiency leading to the accumulation of phlegm in the middle jiao. It is advisable to consolidate the upright Qi and assist with substances that resolve phlegm. The prescription is as follows:
Renshen (Ginseng Radix et Rhizoma) (1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Banxia (Pinelliae Tuber) (3 qian), Nanxing (Arisaematis Rhizoma) (3 qian), Fuzi (Aconiti Lateralis Radix Praeparata) (1 qian). Decoct in water and take orally.
This is a condition characterized by internal heat, [the prescription uses]:
Renshen (Ginseng Radix et Rhizoma) (3 qian), Baishao (Paeoniae Radix Alba) (3 qian), Banxia (Pinelliae Tuber) (3 qian), Nanxing (Arisaematis Rhizoma) (2 qian), Baijiezi (Sinapis Semen) (1 qian), Huanglian (Coptidis Rhizoma) (2 qian).
Another prescription
This condition can also result from Taiyang disease (Taiyang disorder), manifesting as temporary madness. Baihu Tang (White Tiger Decoction) can be used to purge fire. For those who suffer from continuous madness throughout the year without recovery, or even those who hold knives to kill people:
Renshen (Ginseng Radix et Rhizoma) (1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Fushen (Poria with Hostwood) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (1 fen), Tusizi (Cuscutae Semen) (3 qian), Banxia (Pinelliae Tuber) (3 qian).
The brilliance of this formula lies in tonifying the Heart, Spleen, and Stomach meridians to transform phlegm, rather than purging fire. Purging fire would further injure Heart Qi, causing phlegm and saliva to become more abundant, thereby exacerbating the madness.
Another prescription
For cases of madness involving cursing and scolding, where there is no thirst seeking drink, and refusal to drink even when water is offered, this is madness caused by cold syndromes. This must stem from stagnant Qi that is not free-flowing and unvented anger; such individuals typically...
Renshen (Ginseng Radix et Rhizoma) (1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Fuling (Poria) (5 qian), Banxia (Pinelliae Tuber) (1 qian), Nanxing (Arisaematis Rhizoma) (1 qian), Fuzi (Aconiti Lateralis Radix Praeparata) (1 qian), Changpu (Acori Tatarinowii Rhizoma) (3 fen), Chaihu (Bupleuri Radix) (1 qian). Decoct in water and take orally.
Fuling (Poria) should be replaced with Fushen (Poria with Hostwood) at 1 liang. After swallowing the medicine, the patient will feel warm and fall asleep, and the illness will vanish as if it never existed.
This condition manifests suddenly with the patient falling to the ground, making sounds like sheep, horses, or cattle, and vomiting phlegm like a gushing spring. [This is] phlegm confusing the orifices of the Heart, formed due to cold pathogens, and triggered by phlegm accumulation.
Renshen (Ginseng Radix et Rhizoma) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Fushen (Poria with Hostwood) (5 qian), Shanyao (Dioscoreae Rhizoma) (3 qian), Yiren (Coicis Semen) (5 qian), Rougui (Cinnamomi Cortex) (1 qian), Fuzi (Aconiti Lateralis Radix Praeparata) (1 qian).
The previous formula is also effective for treating this condition.
Attached below is a pill formula:
Renshen (Ginseng Radix et Rhizoma) (3 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Chenpi (Citri Reticulatae Pericarpium) (3 qian), Nanxing (Arisaematis Rhizoma) (1 liang, raw), Banxia (Pinelliae Tuber) (1 liang), Fuzi (Aconiti Lateralis Radix Praeparata) (1 qian).
Grind all ingredients into powder and form pills using honey. They must be taken when the disease is not active, so that it will never recur.