定志丸(千金) 治言语失伦。常常喜笑发狂。
人参 茯神(各三两) 石菖蒲 大远志(甘草汤泡。去骨。各二两)
上四味。为末。蜜丸梧子大。饮服七十丸。亦可作汤服。血虚。加当归。有痰。加橘、半、
甘草、生姜。
千金防己地黄汤 治癫痫语言错乱。神气昏惑。
防己(一钱) 甘草 桂心 防风(各三钱) 生地黄(四钱) 生姜汁(三匕)
上四味。酒浸一宿。绞取汁。铜器盛之。地黄另咀。蒸之如斗米饭久。亦绞取汁。并入姜汁。
和分三服。
半夏茯神散 治癫妄因思虑不遂。妄言妄见。神不守舍。初病神气未衰者。用此数服效。
半夏 茯神(各一两二钱) 天麻(煨) 胆星 远志肉 枣仁(炒) 广皮
乌药 木香 礞石( 。各八钱)
上为散。每服三钱。水一盏。煎数沸。入生姜汁数匙。空心和滓服。
妙功丸 治虫积在内。使人多疑善惑。而成癫痫。
丁香 木香 沉香(各半两) 乳香(研) 麝香(另碎) 熊胆(各二钱半)
白丁香(即雄雀屎。三百粒。但直者是雄) 鹤虱(即天名精子。勿误胡菔子) 白雷丸
陈皮(去白。各一两) 轻粉(四钱半)
大黄(酒浸。两半) 赤小豆(三百粒。即赤豆之细者勿误半黑半赤相思子) 巴豆(七粒。去皮
研。压去油) 朱砂(一两。水飞。一半为衣)
为细末。荞麦一两作糊。每两作十丸。朱砂为衣。阴干。每用一丸。温水浸一宿。去水。再用
温水化开。空心服之。小儿减服。久年病。一服即愈。未愈。后三五日再服。重不过三服。
控涎丹(十枣汤下) 导痰汤(二陈汤下) 稀涎散(中风门) 归脾汤(保元汤下) 凉
膈散(方祖)
四七汤(二陈汤下) 滚痰丸(痰饮门)
定志丸(出自《千金方》):治疗言语失去条理。常常喜欢发笑甚至发狂。
人参、茯神(各三两)、石菖蒲、大远志(用甘草汤浸泡,去掉木质骨心,各二两)。
以上四味药,研成细末,用蜂蜜制成梧桐子大小的丸剂。每次服用七十丸,温水送服。也可以煎汤服用。如果属于血虚证,加入当归;如果有痰湿,加入陈皮、半夏、甘草、生姜。
千金防己地黄汤:治疗癫痫导致的语言错乱。神情昏沉迷惑。
防己(一钱)、甘草、桂心、防风(各三钱)、生地黄(四钱)、生姜汁(三匕量)。
以上四味药(注:原文此处“上四味”与前文五味药不符,依古法通常指前四味或主要药物,此处按原文直译),用酒浸泡一夜,绞取药汁,用铜器盛装。生地黄另外切碎,蒸得像煮斗米饭那么久的时间,也绞取汁液。将两种汁液合并,加入姜汁。混合后分三次服用。
半夏茯神散:治疗癫症因思虑不畅引起,胡言乱语,产生幻觉,心神不能安守舍宅。初发病时神气尚未衰弱的患者,使用此方数服即可见效。
半夏、茯神(各一两二钱)、天麻(煨制)、胆南星、远志肉、酸枣仁(炒制)、广陈皮、乌药、木香、礞石(煅制,各八钱)。
以上药物研为散剂。每次服用三钱,用水一盏,煮沸数次,加入几匙生姜汁。空腹连渣服用。
妙功丸:治疗体内有虫积,使人多疑且容易受惑,从而形成癫痫。
丁香、木香、沉香(各半两)、乳香(研磨)、麝香(另碎)、熊胆(各二钱半)、白丁香(即雄雀屎,三百粒,只有直的才是雄性的)、鹤虱(即天名精子的果实,不要误用胡荽子/萝卜子)、白雷丸、陈皮(去白,各一两)、轻粉(四钱半)、大黄(酒浸,一两半)、赤小豆(三百粒,即细小的红豆,不要误用半黑半红的相思子)、巴豆(七粒,去皮研磨,压榨去油)、朱砂(一两,水飞法处理,一半用来做丸衣)。
研成细末,用一两荞麦面做成糊状,每两药粉做成十丸,用朱砂做外衣,阴干。每次用一丸,温水浸泡一夜,倒掉水,再用温水化开,空腹服用。小儿减少剂量。多年的老病,服一次即可痊愈。如果未愈,过三五日再服,最多不超过三次。
控涎丹(在十枣汤方下参考)、导痰汤(在二陈汤方下参考)、稀涎散(在中风门中查找)、归脾汤(在保元汤方下参考)、凉膈散(方祖来源)、四七汤(在二陈汤方下参考)、滚痰丸(在痰饮门中查找)。
Dingzhi Wan (from *Qianjin Fang*): Treats speech that lacks coherence. Characterized by frequent laughter and manic behavior.
Ren Shen (Ginseng Radix), Fushen (Poria with Hostwood), Shichangpu (Acori Tatarinowii Rhizoma), Dazhizhi (Polygalae Radix, soaked in Licorice Decoction, woody core removed). Dosage: Ren Shen and Fushen are each 3 liang; Shichangpu and Dazhizhi are each 2 liang.
The above four ingredients are ground into powder, mixed with honey to form pills the size of a Chinese quince seed. Take 70 pills with warm water. It can also be decocted as a soup. For blood deficiency, add Dang Gui (Angelicae Sinensis Radix); for phlegm, add Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Sheng Jiang (Zingiberis Rhizoma Recens).
Qianjin Fangji Dihuang Tang: Treats epilepsy manifesting as disordered speech, with a confused and dazed mental state.
Fang Ji (Stephaniae Tetrandrae Radix) 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Fang Feng (Saposhnikoviae Radix) each 3 qian; Sheng Di Huang (Rehmanniae Radix) 4 qian; Sheng Jiang Zhi (Jucius Zingiberis Recens) 3 bi (approximate measure).
Soak the first four ingredients in wine overnight, then press to extract the juice, storing it in a copper vessel. Separately, finely chop Sheng Di Huang, steam it until it resembles the time required to cook a dou of rice, then press to extract its juice. Combine both juices, add the ginger juice, and divide into three doses for consumption.
Banxia Fushen San: Treats mania caused by unfulfilled thoughts and worries, leading to nonsensical speech and hallucinations, with the spirit failing to reside within. It is effective after a few doses for early-stage cases where the vital qi has not yet declined.
Ban Xia (Pinelliae Rhizoma), Fushen (Poria with Hostwood) each 1 liang 2 qian; Tian Ma (Gastrodiae Rhizoma, roasted); Dan Xing (Arisaridis Bulbus prepared with Bovis Calculus); Yuanzhi Rou (Polygalae Semen); Zao Ren (Ziziphi Spinosae Semen, stir-fried); Guang Pi (Citri Reticulatae Pericarpium); Wu Yao (Linderae Radix); Mu Xiang (Aucklandiae Radix); Meng Shi (Mangani Carbonas, calcined) each 8 qian.
Grind all ingredients into a powder. Take 3 qian per dose, decoct with one cup of water until boiling several times, add several spoons of fresh ginger juice, and consume empty-stomach including the dregs.
Miao Gong Wan: Treats intestinal parasites causing suspicion and confusion, which may develop into epilepsy.
Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Chen Xiang (Aquilariae Lignum Resinatum) each 0.5 liang; Ru Xiang (Olibanum, ground); She Xiang (Moschus, crushed separately); Xiong Dan (Ursi Fellis Vesica) each 2.5 qian; Bai Ding Xiang (Excrement Passeri Masculini, i.e., male sparrow droppings, 300 grains, only straight ones are male); He Ni (Xanthii Fructus, specifically from *Tianmingzi*, do not confuse with Hu Fu Zi); Bai Lei Wan (Polyporus Umbellatus); Chen Pi (Citri Reticulatae Pericarpium, white pith removed) each 1 liang; Qing Fen (Calomelas) 4.5 qian; Da Huang (Rhei Radix et Rhizoma, soaked in wine) 1.5 liang; Chi Xiao Dou (Phaseoli Angularis Semen, 300 grains, small red beans, do not confuse with half-black half-red Abrus precatorius seeds); Ba Dou (Crotonis Fructus, 7 grains, peeled, ground, oil pressed out); Zhu Sha (Cinnabaris, 1 liang, washed with water, half used as coating).
Grind into fine powder. Use 1 liang of buckwheat flour to make a paste. Form pills from every 1 liang of powder into ten pills, coat with Zhu Sha, and dry in the shade. Take one pill at a time: soak in warm water overnight, discard the water, dissolve in warm water, and take on an empty stomach. Reduce dosage for children. For chronic cases lasting many years, one dose may cure it. If not cured, repeat after three to five days, but no more than three doses in total.
Kongxian Dan (refer to Shizao Tang); Daotan Tang (refer to Erchen Tang); Xixian San (see Stroke section); Guipi Tang (refer to Baoyuan Tang); Liangge San (source formula); Siqi Tang (refer to Erchen Tang); Guntan Wan (see Phlegm-Fluids section).