周梦觉曰∶诸痫病发，卒倒搐掣，叫吼吐涎。因其声之似，而有猪痫马痫羊痫牛痫鸡痫之分。溯其源，卒倒
无知者，痰迷心窍也。搐溺抽掣者，风入肝经也。名虽不一，不外心肝二经。经曰∶脉滑大，久自已，脉坚小，死不
治。有得之胎前者，儿在母腹，其母卒然受惊，痰气逼入心肝，与本来气血搏结成窠，此不可治者也。有得之怀
抱者，小儿心肝有余，神气不足，偶有所触，火发于心，风动于肝，神不守舍，痰涎蔓延浸淫，乘其隙而
入之，据以为主，此介于可治不可治者也。有得之成人者，外感风寒，内伤饮食，逆于脏气，闭塞诸经，郁而生痰，
胶固心肝，此无不可治者也。夫有桀骜不驯之虏，必恃斩关夺隘之才，有顽梗难化之枭，必有执锐披圣之勇。盖
负隅劲敌，非诗书所能启牖，仁义所能渐摩，礼乐所能陶淑。不得不挽强弓，操毒矢，以摧其锋，而捣其窟。痰之
凝结心肝，亦犹是也。彼挟心肝以淬其锋，温之而余氛愈炽，据心肝以完其窟，和之而固垒难降。且协心肝以成其
党，而树其敌，补之而邪焰鸱张。求其剽悍之性，直抵巢穴，而能杀伐者，其惟礞石与麝香乎。其以拨乱而反正，能
平肝下气，而治惊利痰之圣药。余于是症，胎病无论矣，小儿未曾诊视，稍得成人，但脉浮大，概以礞石滚痰丸、
麝香丸攻之，可服六君子汤一帖，得愈者无数。有服至一月愈者，有服至两月愈者，以痰尽为度。经曰∶有故无陨，
不信然欤，《难经》训颠为僵仆直视，与痫无异。近阅《内经》颠狂篇，亦大同小异，以为痫即颠者，非也。《内
经》明有三条之论，以为痫不同于颠者，亦非也。所言颠痫，两相仿佛，故阙之以俟参考。
王隐君滚痰丸
青礞石（一两） 沉香（五钱） 酒大黄（八两） 酒黄芩（八两）
上将礞石打碎，同焰硝一两，同入瓦罐内，盐泥固济晒干，火 石色，如金为度，研未，合诸药水丸。临卧时，
每服二钱五分，生姜汤送下。
周梦觉麝香丸
法半夏（一钱） 胆南星（七分） 陈皮（一钱） 枳实（一钱） 麝香（二分） 茯苓（一钱） 炙甘草
（一钱） 生姜（汁为丸）
万密斋曰∶痫者卒然而倒，四肢强直，目闭或眼珠翻上不
转，口噤，或有咬其舌者，口中涎出，或有无涎者，面色或青或白，（此句宜仔细着眼）或作六畜声。其状不一，
乃小儿之恶候也。昏晕一时，即醒如常矣。其发也或以旬日计，或以月计，或以岁计。古人有三痫五痫之名，症治
太多，似无一定之说，故后学不知其所从也。凡治痫之法，幼科所载，其方甚多，而无可取者。惟予家秘新方，名
断痫丸，真神方也。
万密斋断痫丸
川黄连（一钱） 青礞石（一钱） 石菖蒲（一钱） 辰砂（一钱） 蚌珍珠（六分） 铁华粉（一钱）
胆南星（一钱） 白甘遂（五分） 上沉香（二分） 白茯苓（一钱）
另以人参一钱，白术三钱，煎汤煮糊为丸，猪心汤下。
万密斋通心丸
上辰砂（一钱） 马牙硝（一钱） 明雄黄（一钱） 真麝香（二分） 白附子（五分） 陈枳壳（一钱）
川芎（一钱） 茯苓（一钱） 人参（一钱） 川黄连（一钱） 金银箔（一钱） 蜜丸，麦冬汤下。
涂蔚生曰∶周梦觉之痰迷心窍，风入肝经二语，已将痫之本源所在，直为抒出。而儿在母腹，其母猝然受惊，
痰气逼入心肝，与本来气血搏结成窠一节，尤为将不治之痫症，所以生成之理，尽行阐发。非慧心人而兼有平素
经验研究者，曷能臻此。其方药，虽属猛烈，然病系根深蒂固，非此强悍之剂，势难取效。其理论既与病症相符，
其方药当然可用，又何发生危险。万密斋之痫症论，是将痫之形状帮助，未将痫之根源叙清。然其药方已与梦觉
暗合，余故亦为摘入。陈飞霞以为面色青白，不宜用药攻伐，痰迷心窍，不宜发过清明，谬斥密斋之非。是其知
有常，而不知有变也。夫面色青白之儿，本不宜妄用攻伐，然病非血虚，咎由痰滞，是痰其本，而青白其标。痰为
有形之物，心为生血之脏，心既为痰所迷，则血不能周流全身，气亦随之停滞。气血既
形停滞，则上荣于面者少，而青白见矣。斯时养血以荣面，补气以润色，是何异欲弭乱而赉盗粮者乎？至风入肝径，
手足抽搐搦掣，余意则谓由于痰迷心脏，心神不得了了，尽其全部势力，以与痰敌争战，而传其掣动之状于四
肢也。然亦即心窍闭塞，各窍随之停滞，而将肝之气血触发者也。再按以上之各种丸药，均宜酌用，宁少勿多为妙。
周梦觉说：各种痫病发作时，突然跌倒、抽搐掣动、叫喊吼叫并吐出涎沫。因为叫声相似，所以分为猪痫、马痫、羊痫、牛痫、鸡痫等类型。追溯其根源，突然跌倒且失去知觉的，是痰浊迷蔽了心窍；出现抽搐溺尿、抽掣症状的，是风邪侵入肝经。虽然名称不一，但都不外乎心和肝两经的问题。《内经》说：脉象滑大，久后自然痊愈；脉象坚小，则无法治愈。
有的痫病是在胎儿时期就获得的。婴儿在母腹中时，母亲突然受到惊吓，痰气逼迫进入心和肝，与原本的气血搏结形成病灶（窠臼），这种是不可治愈的。
有的痫病是在怀抱抚养过程中获得的。小儿心肝之气有余，而神气不足，偶然受到外界触动，火气发于心，风气动于肝，神志不能守舍，痰涎蔓延浸淫，乘虚而入，占据主导，这种属于介于可治与不可治之间的情况。
有的痫病是在成年后获得的。由于外感风寒，内伤饮食，导致脏气逆乱，闭塞诸条经脉，郁滞而生痰，胶固于心和肝，这种情况没有不可以治愈的。
这就好比有桀骜不驯的敌虏，必须倚仗斩关夺隘的才能；有顽固难化的枭雄，必须有披坚执锐的勇气。面对负隅顽抗的劲敌，仅靠诗书教化、仁义感化、礼乐熏陶是无法奏效的。不得不拉开强弓，射出毒矢，以摧毁其锋芒，捣毁其巢穴。痰凝结在心肝，也是同样的道理。那些挟持心肝来淬炼锋芒的邪气，用温补法治疗会使残余邪气更加炽盛；占据心肝来完善其堡垒的邪气，用调和法治疗则坚固的壁垒难以攻克。况且协助心肝结成党羽、树立敌人的邪气，如果用补益法治疗，邪焰就会像鸱鸟一样嚣张。想要找到一种剽悍的性质，直抵巢穴并能进行杀伐的药物，大概只有礞石和麝香了吧？它们是拨乱反正、能平肝下气、治疗惊悸和利痰的圣药。
对于这种病症，胎传痫病就不讨论了，小儿痫病我也未曾诊视过，稍微遇到成人患者，只要脉象浮大，一概使用礞石滚痰丸、麝香丸攻逐治疗。可以服用一帖六君子汤作为辅助，治愈者无数。有的服药一个月痊愈，有的服药两个月痊愈，以痰尽为度。《内经》说：“有故无陨”，难道不是这样吗？《难经》将“颠”解释为僵仆直视，与痫无异。最近阅读《内经》中的《癫狂篇》，内容也大同小异。认为痫就是颠的观点，是不对的；认为痫不同于颠的观点，也是不对的。所说的颠和痫，两者非常相似，所以我暂时保留疑问，留待参考。
王隐君滚痰丸配方：青礞石（一两）、沉香（五钱）、酒大黄（八两）、酒黄芩（八两）。先将礞石打碎，同焰硝一两，一起放入瓦罐内，用盐泥密封固济并晒干，烧至石头呈金色为度，研成粉末，混合其他药物制成水丸。临睡前，每次服用二钱五分，生姜汤送服。
周梦觉麝香丸配方：法半夏（一钱）、胆南星（七分）、陈皮（一钱）、枳实（一钱）、麝香（二分）、茯苓（一钱）、炙甘草（一钱）、生姜（取汁泛丸）。
万密斋说：痫病是突然跌倒，四肢强直，眼睛闭合或眼珠上翻不转，牙关紧闭，有的咬伤舌头，口中流出涎沫，也有无涎沫的，面色或青或白（这句话需要仔细体会），或者发出六畜的声音。症状表现不一，这是小儿的恶候。昏晕一时，随即醒来如常人一般。其发作周期有的以十天计算，有的以月计算，有的以年计算。古人有三痫、五痫的名称，症治方法太多，似乎没有一定的说法，所以后学者不知道遵循什么。凡是治疗痫病的方法，儿科记载的方剂很多，但没有值得采纳的。只有我家秘传的新方，名叫断痫丸，真是神方。
万密斋断痫丸配方：川黄连（一钱）、青礞石（一钱）、石菖蒲（一钱）、辰砂（一钱）、蚌珍珠（六分）、铁华粉（一钱）、胆南星（一钱）、白甘遂（五分）、上沉香（二分）、白茯苓（一钱）。另外用人参一钱、白术三钱，煎汤煮糊为丸，猪心汤送服。
万密斋通心丸配方：辰砂（一钱）、马牙硝（一钱）、明雄黄（一钱）、真麝香（二分）、白附子（五分）、陈枳壳（一钱）、川芎（一钱）、茯苓（一钱）、人参（一钱）、川黄连（一钱）、金银箔（一钱）。蜜丸，麦冬汤送服。
涂蔚生说：周梦觉关于“痰迷心窍”、“风入肝经”的两句话，已经直接阐明了痫病的本源所在。特别是关于婴儿在母腹中，母亲突然受惊，痰气逼迫进入心肝，与本来气血搏结形成病灶这一节，更是将不治之痫症生成的原理完全阐发出来。如果不是心思聪慧且兼具平时经验研究的人，怎能达到这种境界？他的方药虽然猛烈，但病情根深蒂固，不用这种强悍的药剂，很难取得疗效。既然理论符合病症，方药当然可用，又怎么会发生危险呢？
万密斋对痫病的论述，只是描述了痫病的形状，没有将痫病的根源叙述清楚。然而他的药方已与周梦觉暗中契合，所以我将其摘录进来。陈飞霞认为面色青白的患儿不宜用药攻伐，痰迷心窍不宜过度清醒，错误地斥责万密斋不对。这是他只知道常规，而不知道变化。面色青白的儿童，本不应妄用攻伐之法，但如果病非血虚所致，而是由痰滞引起，那么痰是本，青白色是标。痰是有形的物质，心是生血的脏器，心既被痰所迷，血液就不能周流全身，气也随之停滞。气血一旦停滞，向上荣养面部的就少，从而显现出青色或白色。此时若养血以荣面，补气以润色，这与想要平息祸乱却资助盗贼粮草有什么区别呢？至于风入肝经导致的手足抽搐掣动，我的意见认为是由于痰迷心脏，心神不能清明，调动全部势力与痰邪争斗，并将掣动的状态传导至四肢。这也是因为心窍闭塞，各窍随之停滞，进而触发肝的气血所致。再查看以上各种丸药，都应当酌情使用，宁可量少也不要过多，这才是妙处。
Zhou Mengjue stated: When various types of Epilepsy (Xian Bing, 痫病) attack, the patient suddenly falls into convulsions and twitching, shouts or roars, and vomits saliva. Due to the similarity in their sounds, they are classified as Pig Epilepsy, Horse Epilepsy, Sheep Epilepsy, Ox Epilepsy, and Chicken Epilepsy. Tracing back to the source, sudden falling with loss of consciousness is caused by Phlegm misting the Heart Orifice (Tan Mi Xin Qiao, 痰迷心窍). Convulsions, enuresis, and twitching are caused by Wind entering the Liver Meridian (Feng Ru Gan Jing, 风入肝经). Although the names differ, they all pertain to the Heart and Liver meridians. The *Classic of Internal Medicine* states: If the pulse is slippery and large, it will heal itself after a long time; if the pulse is firm and small, it is incurable.
Some cases of epilepsy are acquired before birth. While in the mother's womb, if the mother suffers a sudden fright, Phlegm-Qi forces its way into the Heart and Liver, where it struggles with the original Qi and Blood to form a nest-like lesion (Ke Jiu, 窠臼). This type is incurable.
Some cases are acquired during childhood upbringing. Children have excess Heart and Liver Qi but insufficient Shen (Spirit). Upon occasional external stimulation, Fire erupts in the Heart, and Wind moves in the Liver. The Shen fails to reside in its abode, Phlegm-Saliva spreads and infiltrates, entering through gaps and taking dominance. This type is between curable and incurable.
Some cases occur in adults due to external contraction of Cold and Wind, and internal injury from diet. This causes rebellion of Zang-Fu Qi, blockage of the meridians, stagnation leading to Phlegm formation, which becomes sticky and fixed in the Heart and Liver. This type is entirely curable.
Just as unruly rebels require talent to breach gates and seize passes, and stubborn owls require courage to wield sharp weapons against them, dealing with entrenched enemies cannot be resolved merely by poetry, books, benevolence, righteousness, rites, or music. One must draw strong bows and shoot poisonous arrows to crush their momentum and destroy their nests. Similarly, Phlegm congealing in the Heart and Liver requires such an approach. Evil Qi that uses the Heart and Liver to sharpen its edge will become more vigorous if treated with warming methods; evil Qi that occupies the Heart and Liver to fortify its fortress will be hard to subdue if treated with harmonizing methods. Moreover, evil Qi that allies with the Heart and Liver to build factions will cause evil flames to rage like vultures if treated with tonification. To find a drug with a fierce nature that can reach the nest directly and perform killing actions, there is none other than Qingmengshi (Lapis Aurichalcum, 青礞石) and Shexiang (Musk, 麝香). These are holy medicines that can restore order, calm the Liver and descend Qi, and treat fright and promote Phlegm resolution.
Regarding this disease, I do not discuss congenital epilepsy, nor have I treated pediatric epilepsy. For adult patients, provided the pulse is floating and large, I generally use Mengshi Gun Tan Wan (Calamine Rolling Phlegm Pill) and Shexiang Wan (Musk Pill) for purgation. One dose of Liujunzi Tang (Six Gentlemen Decoction) may be taken as support. Countless patients have been cured. Some recovered after one month of medication, others after two months, stopping when the Phlegm was exhausted. The *Classic* says: "If there is a cause, there is no destruction," is this not true? The *Nan Jing* defines Dian (Epileptic Stupor) as stiff falling and staring straight ahead, which is no different from Xian. Recently reading the *Dian Kuang Pian* (Chapter on Epileptic Mania) in the *Nei Jing*, the content is largely similar. To claim that Xian is identical to Dian is incorrect; to claim that Xian is different from Dian is also incorrect. Since Dian and Xian are very similar, I leave this question open for further reference.
Wang Yinjun's Gun Tan Wan Formula: Qingmengshi (1 liang), Chenxiang (5 qian), Jiudahuang (8 liang), Jiuhuangqin (8 liang). First, crush the Qingmengshi, mix with 1 liang of Yanxiao (Saltpeter), place together in a clay pot, seal tightly with salt mud, dry, and fire until the stone turns golden. Grind into powder, mix with other drugs, and make water pills. Take 2.5 qian before bed, delivered with Ginger Decoction.
Zhou Mengjue's Shexiang Wan Formula: Fabanxia (1 qian), Dannanxing (7 fen), Chenpi (1 qian), Zhishi (1 qian), Shexiang (2 fen), Fuling (1 qian), Zhigancao (1 qian), Shengjiang (juice used to pill).
Wan Muzhai stated: Epilepsy involves sudden falling, rigid limbs, closed eyes or upward-turned eyeballs that cannot move, locked jaw, sometimes biting the tongue, flowing saliva or no saliva, complexion either green or white (this sentence requires careful attention), or making sounds of six domestic animals. The manifestations vary; it is a severe condition in children. After a brief period of fainting, they wake up as usual. Attacks may occur every ten days, monthly, or yearly. Ancients named Three Epilepsies and Five Epilepsies, with too many treatment methods and seemingly no fixed theory, leaving later students confused. Pediatric texts contain many formulas for treating epilepsy, but none are worthy of adoption. Only my family's secret new formula, named Duanxian Wan (Severing Epilepsy Pill), is truly miraculous.
Wan Muzhai's Duanxian Wan Formula: Chuanhuanglian (1 qian), Qingmengshi (1 qian), Shichangpu (1 qian), Chensha (1 qian), Bangzhenzhu (6 fen), Tiehuafen (1 qian), Dannanxing (1 qian), Baigansui (5 fen), Shangchenxiang (2 fen), Bai Fuling (1 qian). Additionally, decoct Renshen (1 qian) and Baizhu (3 qian) in water to make a paste for pilling. Deliver with Pig Heart Decoction.
Wan Muzhai's Tongxin Wan Formula: Chensha (1 qian), Mayaxiao (1 qian), Mingxionghuang (1 qian), Zhen Shexiang (2 fen), Baifuzi (5 fen), Chen Zhike (1 qian), Chuanxiong (1 qian), Fuling (1 qian), Renshen (1 qian), Chuanhuanglian (1 qian), Jinyinbo (1 qian). Honey pills, delivered with Maidong Decoction.
Tu Weisheng commented: Zhou Mengjue's phrases "Phlegm misting the Heart Orifice" and "Wind entering the Liver Meridian" directly elucidate the root cause of epilepsy. Especially the section describing how maternal fright causes Phlegm-Qi to invade the Heart and Liver, struggling with original Qi and Blood to form a nest, thoroughly explains the genesis of incurable epilepsy. Only a wise person with practical experience could achieve such insight. Although his formulas are potent, the disease is deeply rooted; without such strong agents, efficacy is unlikely. Since the theory matches the pathology, the formulas are applicable and safe.
Wan Muzhai's discussion on epilepsy describes the symptoms but fails to clarify the root cause. However, his formulas align secretly with Zhou Mengjue's, so I included them. Chen Feixia argued that children with green or white complexions should not undergo purgative treatment, and that Phlegm misting the Heart Orifice should not be treated with overly clearing methods, erroneously criticizing Wan Muzhai. He knew the constant but ignored the variable. Indeed, children with green/white complexions should not be blindly purged, but if the disease is due to Phlegm stagnation rather than Blood deficiency, then Phlegm is the root, and the color is the branch. Phlegm is a tangible substance; the Heart generates Blood. If the Heart is misted by Phlegm, Blood cannot circulate, and Qi stagnates. With stagnant Qi and Blood, nourishment to the face decreases, causing green/white discoloration. At this point, tonifying Blood to brighten the face and Qi to moisten the complexion would be akin to feeding thieves while trying to quell rebellion. Regarding hand and foot convulsions from Wind entering the Liver Meridian, I believe this results from Phlegm misting the Heart, causing the Shen to lose clarity and mobilize all strength to fight the Phlegm, transmitting the twitching state to the limbs. This is also because Heart Orifice blockage causes stagnation in other orifices, triggering Liver Qi and Blood. Regarding the various pills mentioned above, they should be used cautiously; less is better than more.