生铁落饮 治狂妄不避亲疏。
铁落(用生铁火烧赤沸。砧上锻之有花粉粉坠地。取升许。用水二斗煮取一斗。入下项药)
石膏(二两) 龙齿(醋 。飞) 白茯苓 防风(各两半) 黑参 秦艽(各一两)
为粗末。入铁落汁中煮取五升。去滓。入竹沥一升和匀。温服二合。日三服。
来苏膏 治远近风痫。心病风狂。牙关不开。痰涎潮塞。
皂角(二两。大挺不蛀者。去皮弦子。切)
用酸浆水二升。浸透揉汁。砂锅内以文武火熬。用槐柳枝搅熬成似膏药。摊夹纸上阴干。如遇
病患。取掌大一片。用温浆水化在盏内。将小竹管盛药。扶病患坐定。微抬起头。以药吹入左右鼻
孔内。良久扶起。涎出为效。啜温盐汤一二口。其涎即止。忌鸡鱼生硬湿面等物。
戴人三圣散 治湿痰壅塞。
瓜蒂(炒微黄) 防风(各二两) 藜芦(半两)
为散。每服四五分。以薤汁三盏。慢火熬至一盏。去滓澄清。放温徐徐服之。以吐为度。不必
尽剂。
洗心散(局方) 治心经积热痰盛。口舌生疮。不大小便。
麻黄(连节。一两) 当归(二两) 大黄(酒拌曲裹煨。三两) 白术(生用) 芍药 荆
芥(各一两。) 甘草(炙。二两)
为散。每服三四钱。生姜三片。薄荷七叶。水煎。去滓温服。或茶清调服三钱。日再服。 又
方。无白术、芍药、荆芥、甘草。多生地黄二两。黄连、木香各五钱。
胜金丹 治痴病狂怒叫号。远年近日皆效。但失心风癫。悲愁不语。元气虚人禁用。
白砒(一钱) 绿豆(三百六十粒。水浸去壳。同白砒研如泥。阴干) 肥栀子(四十枚。去
壳晒干。勿见火为末) 雄黄 雌黄(俱水飞。各一钱)
急性子(即白凤仙子。去皮研。二钱)
上为极细末。和匀。瓷罐收藏。每服七八分。强人至一钱。临服入西牛黄五七厘。冰片三五厘
。细细研匀。入糕饼内食之。一方。加珍珠、(腐内煮。研) 琥珀、狗实各一钱。分作二十服。
临服亦如上方。入西牛黄五厘。冰片三厘。上好白面
一两五钱。将面匀作二分。先将一半。入白糖霜一钱半。拌药为馅。一半再入白糖钱半。裹外
作饼。 熟与食。食后姜汤过口。少顷即上吐下泻而愈。不吐。以肥皂肉一钱。擂水灌吐。吐后锈
钉磨水。频进六七次以镇其神。永不复发。但药中有砒。大忌烧酒。又须在团饼内以搜顽痰。方始
得力。然有一服即应者。有服二三服应者。胃气浓薄不同故也。
清神汤 治心肺虚热。痰迷膈上。
黄连 茯苓 酸枣仁(生研) 石菖蒲 柏子仁 远志肉(各钱半) 甘草(炙。五分
)
姜汁(少许) 竹沥(半杯)
水煎。食远服。 肺虚。加人参一钱。肺热。加沙参二钱。痰壅。加半夏、南星各一钱。橘红
、栝蒌霜各六分。
大承气汤(小承气汤下) 凉膈散(方祖) 龙齿清魂散(颤振门) 小柴胡汤(方祖) 当
归活血汤(蓄血门)
芎辛汤(头痛门) 归脾汤(保元汤下)
生铁落饮:治疗狂妄自大、不分亲疏的行为。
配方组成及制备:铁落(取生铁烧至红热,在砧上锻打,使如花粉般坠落的铁屑约一升,用二斗水煮至剩一斗,作为药汁备用);石膏(二两);龙齿(醋淬后飞研);白茯苓;防风(各一两半);黑参;秦艽(各一两)。
将上述药材捣成粗末,放入铁落汁中煎煮,取液五升,滤去药渣,加入竹沥一升混合均匀。每次温服二合,每日服用三次。
来苏膏:治疗各种风痫病症,以及心经风邪所致的心狂、牙关紧闭、痰涎壅盛堵塞咽喉。
配方组成及制备:皂角(二两,选粗壮无虫蛀者,去皮弦及子,切碎)。
用酸浆水二升浸泡透后揉出汁液,在砂锅中以文火和武火交替熬制,期间用槐柳枝不断搅拌,熬制成类似膏药的稠度。摊在夹纸上阴干。使用时,取掌心大的一片,用温热的酸浆水在盏内化开。用小竹管盛装药液,让患者坐定,微微抬起头,将药液吹入左右鼻孔内。过一会儿扶起患者,待痰涎流出即为见效。随后喝一二口温盐水,痰涎即可停止涌出。忌食鸡肉、鱼类、生冷坚硬食物及湿面等。
戴人三圣散:治疗湿痰壅塞之证。
配方组成:瓜蒂(炒至微黄);防风(各二两);藜芦(半两)。
研为散剂。每次服用四五分,用薤汁三盏,慢火熬至一盏,滤去药渣澄清,放温后徐徐服下。以引起呕吐为度,不必服完全部剂量。
洗心散(出自《局方》):治疗心经积热、痰盛导致的口舌生疮、大小便不通。
配方组成:麻黄(连节使用,一两);当归(二两);大黄(酒拌后用曲包裹煨熟,三两);白术(生用);芍药;荆芥(各一两);甘草(炙,二两)。
研为散剂。每次服用三四钱,加生姜三片、薄荷七叶,用水煎煮,滤去药渣温服。也可用茶清调服三钱,每日两次。
另一处方:去掉白术、芍药、荆芥、甘草,增加生地黄二两,黄连、木香各五钱。
胜金丹:治疗痴呆病、狂怒叫号等症状,无论病程长短均有效。但失心风癫、悲愁不语者,以及元气虚弱之人禁用。
配方组成:白砒(一钱);绿豆(三百六十粒,水浸去壳,与白砒同研如泥,阴干);肥栀子(四十枚,去壳晒干,勿见火,研为细末);雄黄;雌黄(均用水飞法处理,各一钱);急性子(即白凤仙子,去皮研碎,二钱)。
以上药物研成极细末,混合均匀,装入瓷罐收藏。每次服用七八分,体质强壮者可服至一钱。临服药时加入西牛黄五七厘、冰片三五厘,细细研匀,包入糕饼内食用。
另一方:加入珍珠(腐内煮后研碎)、琥珀、狗实(苍耳子)各一钱,分为二十次服用。临服方法同上,加入西牛黄五厘、冰片三厘。另取上好白面一两五钱,将面分成两份,先将一半加入白糖霜一钱半,拌药为馅;另一半再加入白糖一钱半,包裹在外面做成饼。煮熟后食用,食后用姜汤漱口。不久即会出现上吐下泻而痊愈。若不吐,可用肥皂肉一钱,研磨加水灌服催吐。吐后用生锈铁钉磨成的水,频繁饮用六七次以镇摄心神,可永不复发。但药中含有砒,严禁饮酒。此外,必须在团饼内才能搜刮顽痰,方能生效。有人服一次即见效,有人服二三剂才见效,这是因为胃气厚薄不同所致。
清神汤:治疗心肺虚热、痰迷膈上之证。
配方组成:黄连;茯苓;酸枣仁(生研);石菖蒲;柏子仁;远志肉(各钱半);甘草(炙,五分);姜汁(少许);竹沥(半杯)。
用水煎煮,饭后服用。若肺虚,加人参一钱;肺热,加沙参二钱;痰壅,加半夏、南星各一钱,橘红、栝蒌霜各六分。
其他相关方剂参考:大承气汤(见小承气汤之下);凉膈散(见方祖部分);龙齿清魂散(见颤振门);小柴胡汤(见方祖部分);当归活血汤(见蓄血门);芎辛汤(见头痛门);归脾汤(见保元汤之下)。
Shengtie Luo Yin (Raw Iron Falling Drink): Treats mania characterized by arrogance and disregard for kinship or social boundaries.
Ingredients and Preparation: Tieluo (Raw iron filings obtained by heating raw iron until red-hot, forging it on an anvil so that fine particles fall like pollen; take approximately one sheng, boil in two dou of water until reduced to one dou, to prepare the decoction base). Shigao (Gypsum Fibrosum, 2 liang); Longchi (Dragon Bone, quenched in vinegar and levigated); Baifuling (Poria, 1.5 liang); Fangfeng (Saposhnikovia Root, 1.5 liang); Heishen (Black Ginseng, 1 liang); Qinjiao (Gentiana Macrophylla Root, 1 liang).
Grind the herbs into coarse powder. Add them to the Tieluo decoction and boil until reduced to five sheng. Strain the dregs, add Zhuli (Bamboo Sap, 1 sheng), and mix evenly. Take two he of the warm mixture three times daily.
Laisu Gao (Lisu Ointment): Treats wind-epilepsy of recent or remote onset, heart-organ wind-mania, lockjaw, and phlegm-saliva flooding and obstruction.
Ingredients and Preparation: Zaorou (Gleditsia Sinensis Fruit, 2 liang; select thick, uninfested stalks, remove skin, strings, and seeds, and slice).
Soak in two sheng of sour placket water until thoroughly permeated, then knead to extract juice. Boil in a clay pot using alternating mild and strong fire, stirring constantly with locust or willow branches until it reaches a paste-like consistency. Spread onto layered paper and dry in the shade. For use, take a piece the size of a palm, dissolve it in a cup with warm sour placket water. Use a small bamboo tube to administer the medicine. Have the patient sit firmly, tilt their head back slightly, and blow the medicine into both nostrils. After some time, help the patient sit up; the discharge of phlegm-saliva indicates efficacy. Follow with one or two mouthfuls of warm salted water to stop the salivation. Avoid chicken, fish, raw, hard, and damp wheat products.
Dairen Sansheng San (Da Ren’s Three Holy Powders): Treats obstruction caused by damp-phlegm.
Ingredients: Gouti (Melon Seed, stir-fried until slightly yellow, 2 liang); Fangfeng (Saposhnikovia Root, 2 liang); Lilu (Veratrum Nigrum Rhizome, 0.5 liang).
Grind into a powder. Take 4–5 fen per dose. Mix with three zhan of Scallion Juice, slowly boil down to one zhan, strain, clarify, and let cool to warm temperature before administering slowly. The goal is to induce vomiting; do not necessarily consume the entire dose.
Xixin San (Heart-Washing Powder, from *Ju Fang*): Treats accumulation of heat in the Heart organ and excessive phlegm, leading to mouth and tongue ulcers, and constipation/urinary retention.
Ingredients: Mahuang (Ephedrae Herba, including nodes, 1 liang); Danggui (Angelicae Sinensis Radix, 2 liang); Dahuang (Rhei Radix et Rhizoma, mixed with wine and fermented grain, baked, 3 liang); Baizhu (Atractylodis Macrocephalae Rhizoma, raw); Shaoyao (Paeoniae Radix); Jingjie (Schizonepetae Herba, each 1 liang); Gancao (Licorice Root, honey-fried, 2 liang).
Grind into a powder. Take 3–4 qian per dose. Add three slices of fresh ginger and seven leaves of bohe (Menthae Haplocalycis Herba), decoct in water, strain, and take warm. Alternatively, mix 3 qian with tea liquor. Take twice daily.
Another prescription: Remove Baizhu, Shaoyao, Jingjie, and Gancao; increase Shengdihuang (Rehmanniae Radix) to 2 liang; add Huanglian (Coptidis Rhizoma) and Muxiang (Aucklandiae Radix), each 5 qian.
Shengjin Dan (Victory Golden Pill): Treats dementia, manic rage, and shouting. Effective for both chronic and acute cases. Contraindicated for patients with wind-epilepsy of lost mind, sorrowful mutism, or those with deficient Yuan Qi.
Ingredients: Bai Pi (White Arsenic, 1 qian); Lvdou (Mung Bean, 360 grains, soaked in water, peeled, ground together with Bai Pi into a paste, dried in shade); Fei Zhizi (Gardeniae Fructus, 40 fruits, peeled, sun-dried, ground without exposure to fire); Xionghuang (Realgar); Cihuang (Orpiment, both processed by water levigation, 1 qian each); Jixingzi (Impatiens Seed, peeled and ground, 2 qian).
Grind all ingredients into an extremely fine powder, mix evenly, and store in a porcelain jar. Take 7–8 fen per dose (up to 1 qian for robust individuals). Before administration, add 5–7 li of Xi Niuhuang (Bovis Calculus) and 3–5 li of Bingpian (Borneolum Syntheticum), grind finely together, and incorporate into a cake or biscuit for consumption.
Alternative formula: Add Zhenzhu (Margarita, boiled in rot and ground), Hupo (Amber), and Goushi (Xanthii Fructus), each 1 qian. Divide into twenty doses. Administration method is the same as above, adding 5 li of Xi Niuhuang and 3 li of Bingpian. Take 1.5 liang of high-quality white flour, divide into two parts. Mix half with 1.5 qian of white sugar frost and the medicine to form the filling. Mix the other half with 1 qian of white sugar to form the outer wrapper. Shape into cakes, cook thoroughly, and eat. Rinse mouth with ginger soup afterward. Vomiting and diarrhea should occur shortly after, indicating cure. If no vomiting occurs, induce vomiting by grinding 1 qian of soapberry flesh with water and forcing it down. After vomiting, drink water made from grinding rusty nails frequently (6–7 times) to calm the spirit and prevent recurrence. Note: The medicine contains arsenic; alcohol is strictly forbidden. The pill form is necessary to extract stubborn phlegm. Response varies: some react after one dose, others after two or three, due to differences in stomach qi strength.
Qingshen Tang (Spirit-Clearing Decoction): Treats deficiency-heat in the Heart and Lungs, and phlegm confusing the upper jiao.
Ingredients: Huanglian (Coptidis Rhizoma); Fuling (Poria); Suanzaoren (Ziziphi Spinosae Semen, raw and ground); Shichangpu (Acori Tatarinowii Rhizoma); Baiziren (Biota Seed); Yuanzhi (Polygalae Radix, meat only, each 1.5 qian); Gancao (Licorice Root, honey-fried, 5 fen); Jiangzhi (Fresh Ginger Juice, a little); Zhuli (Bamboo Sap, half cup).
Decoct in water. Take well after meals. For Lung deficiency, add Renshen (Ginseng Radix et Rhizoma) 1 qian. For Lung heat, add Shashen (Glehniae Radix) 2 qian. For phlegm obstruction, add Banxia (Pinelliae Rhizoma) and Nanxing (Arisaema Cum Bile), each 1 qian, plus Juhong (Citri Reticulatae Pericarpium Rubrum) and Gualou Shuang (Trichosanthis Pulvis), each 6 fen.
Related Formulas Reference: Dachengqi Tang (Greater Order Yellow Decoction, see Xiaochengqi Tang below); Liangge San (Cool the Chest Powder, see Fang Zu section); Longchi Qinghun San (Dragon Bone Spirit-Calming Powder, see Chan Zhen Men); Xiaochaihu Tang (Minor Bupleurum Decoction, see Fang Zu section); Danggui Huoxue Tang (Angelica Blood-Invigorating Decoction, see Xu Xue Men); Xiongxin Tang (Chuanxiong and Asarum Decoction, see Tou Tong Men); Guipi Tang (Restore the Spleen Powder, see Baoyuan Tang below).