夫风狂之状。始发则少卧不饥。自高自贤。自辩自贵。盖人之营卫。周身循环昼夜不穷。
一
风邪乘虚而入。并于阳则谓之重阳。故其病妄笑好乐。妄行不休。甚则弃衣而走,登高而歌
。或至数日不食。故曰狂也。风邪入血,使人阴阳二气虚实不调。若一实一虚则令血气相并
。气并于阳则为狂。又肝藏魂。悲哀动中则伤魂,伤魂则狂妄不精。不敢正当人。而筋挛两
胁骨不举。毛悴色夭死于秋。又云∶夫三阳并三阴,则阳虚则阴实,故癫。三阴并三阳;则
阴虚而阳实,故狂。论曰∶阳入阴其病静。阴入阳其病怒则狂矣。多阴阳气暴折。畜怒不决
之所致。故经曰∶阳明常动,太阳、少阳不动。不动而动为大疾。此其候也。治要之法何。
曰∶夺其食即已。夫食入于阴,长气于阳。故夺其食即已。使之服以生铁落为后饭。夫生铁
落者下气疾也。
方
珍珠散(出圣惠方)
治风狂妄语。心热狂走不知人。
珍珠(研) 牛黄(研) 丹砂(研各半两) 金箔(研) 银箔(研各五十片) 麝
香(研一分)
铁
风(去叉)
犀角(镑各半两) 茯神(去木三钱) 麦门冬(去心焙一两半) 远志(去心) 甘草(炙)
胡黄
连甘菊花 白附子(炮各三分) 白藓皮 羚羊角(镑各三两) 上除研外。捣罗末。入
研药
拌匀。每服一钱匕。渐加至二钱匕。薄荷温汤下,或梨汁调下。忌生血。
牛黄丸(出圣济总录)
治中风邪狂乱失志。心多恐怖。
牛黄(研一两) 铁精(研三分) 虎睛(研一对) 石膏(研) 龙齿(研各二两) 银
箔(研
一百
麻
玄
药(各一
两
入研药
拌
禹余粮饮(一名五邪汤出千金方)
治风邪所中惊狂啼哭。或歌或笑。
禹余粮( 研) 防风(去叉) 桂(去粗皮) 赤芍药 远志(去心) 独活(去芦
头) 白术
人
黄丹) 茯
神
取七分
去滓。食后服。日再服。
牛黄丸(出圣惠方)
治风狂喜怒不恒。或欲狂走不自觉知。
牛黄(研一分) 远志(去心) 白龙骨(各一两) 铁粉(研二钱) 龙脑(研一钱)
甘草
(炙半
各一两)
麦门
桐子
大。
虎睛汤(出圣惠方)
治风狂叫笑不时,喜怒无常;登高逾垣,言语不避人。
虎睛(一对慢火熬) 鸱头并肝(一具炙) 白茯苓(去皮) 桂(去粗皮各三两) 石
长生
(去粗茎一两) 枫上寄生(去粗茎五两) 人参 露蜂房(炙) 独活(去芦头) 防风
(去叉)
甘草(炙锉) 天雄(炮裂皮脐) 当归(切焙各一两) 上锉如麻豆。每以十八钱匕。酒
六盏。
煮取三盏去滓。分三服。日二夜一。每服时,须去食稍远。恐药食相犯也。一方∶治狂邪发
无常
铁粉散(出危氏方)
治风狂谵语,乱说神祟,不避亲疏,登高履险。或歌笑裸体,不饮食,
人。及风证狂怒,或如醉如痴。
颗块大朱砂(一两另研) 红明琥珀(一两另研) 天南星(二两) 圆白半夏(二两)
白矾(
蝎(五十
个)
然汁。
温
远志散(出圣惠方)
治风狂发即多啼泣,或即歌笑,或自说贤智,或乱走不避水火。
远志(一两去心) 防风(去芦头) 桂心(各半两) 茯神(一两) 甘草(半两炙
微赤锉)
独活
门冬
(一两
茯神汤(出圣济总录)
治风狂失神,少坐卧不安,笑乐无节,弃衣登高。
茯神(去木) 杏仁(汤浸去皮尖双仁各三两) 龙脑(六两) 凝水石(碎一斤) 升
麻(三
两)
大。每
服五钱
白藓皮汤(出圣济总录)
治风邪入腑,狂言妄语,精神错乱,腰痛骨疼。
白藓皮(一分半) 麻黄(去根节半两) 白茯苓(去皮三分) 防风(去叉) 独活
(去芦)
杏仁
咀。每服
三钱
犀角散(出圣惠方)
治风狂妄有所见。恍惚不定。发即欲走。
犀角屑 白藓皮 枫上寄生 人参(各一两去芦) 麦门冬(一两半去心焙) 龙脑(一
两)
防
煎至
六
生铁饮(出圣惠方)
治风狂乱走不可禁止。
生铁(二十斤以水二斗煮取一斗去铁) 玄参(一两) 防风(一两半去芦) 白茯苓
(一两
半)
汁中。煮
取五升
金箔煎(出圣济总录)
治风邪发狂,守神。
金箔(一百片) 丹砂(研) 龙脑(研) 牛黄(研) 珍珠(末) 琥珀(末) 犀
角(末各半
两)
升。于
白僵蚕丸(出圣济总录)
治风邪发狂,妄语躁闷。
白僵蚕(炒三分) 海荆子(炒一两) 白附子(炮半两) 干蝎(酒炒二十一枚) 蒺
藜子
(炒令
同
罗为
大。
防己地黄汤(出千金方)
治言语狂错。眼目霍霍。或言见鬼。精神昏乱。
防己 甘草(各二两) 桂心 防风(各二两) 生地黄(五斤别切勿令药渍疾小轻用
二斤)
上
之
麻黄丸(出圣济总录)
治中风邪狂走,或自高自贤,或悲泣呻吟。及猝得惊悸邪魅,恍惚,
麻黄(去根节煎掠去沫焙) 甘草(炙锉) 半夏(汤浸生布揉洗七次焙各一两) 生
姜(去
皮一
心午
熟黄瓜(出圣惠方)
治风热气盛,烦躁如狂。
熟黄瓜(一枚水五合捩取汁) 竹沥(二合) 川朴硝(三两细研) 蜜(二合) 上
药相和令
匀。
黄石散(出医方集成)
治心风发狂。
狗肝(一具) 硝石 黄丹(各一两半) 上研匀。批开狗肝,将药掺在肝内。却以麻
线缠
定。
守神丸(出圣济总录)
治中风邪发狂,及肝心风热,气虚不足,惊恚掣 。
金箔(一百片) 腻粉(半两) 人参(为末三分) 上于银石器内。先将金箔分开,
逐重用
腻粉
渐入
泻心汤
治心受积热,谵言发狂,逾墙上屋。
大黄 黄连 黄芩(各等分) 上 咀。每服四钱。用水一盏半。煎至七分。去滓服。
香砂散(一名朱麝散出十便良方)
治心转不定,好登高临险。恶言骂詈,不避亲疏,日夜强
怒举止非常。大便秘结,小便赤涩,解衣裸露,不得安处,虚言妄
狂易之疾。服此一剂即定。继以蕤仁并心气药。七日而安。
颗块朱砂(研如粉) 真麝香(研) 上同研匀。用无灰酒,满注瓷瓶内。以糠头火慢
烧于
瓷瓶
浓盖
一分
虾蟆散(出肘后方)
治猝狂言鬼语,忽仆地吐涎,遗屎不知。
用烧虾蟆杵末。酒服方寸匕。日三。一方水服之亦可。治风邪。
治狂病经久不瘥,或歌或笑,行走不休,发动无休。
用 猪肉一斤。煮令熟。细切作脍。和酱醋食之。或羹粥和任性服之。
治风狂忧愁不乐,能安心气。
以牡驴肉食之。又以头 去毛。煮汁。以渍面酝酒。
蚕纸散
治狂发欲走,或自高贵称神,皆应。
白雄鸡方
治狂邪癫痫不欲眠卧,自贤自知,骄倨妄行不休,安五脏下气。
用白雄鸡一只。煮令熟。调五味和作羹粥食之。
苦参丸
治狂邪发无常,披头大叫欲杀人,不避水火。
治猝发狂方(出肘后方)
令病患着地仰卧。以冷水终日淋其面。良。
排风汤(出和剂方)
治男子妇人风虚湿冷,邪气入脏,狂言妄语精神错乱。其肝风发则面青
吐逆呕沫,胁满,头眩,重耳不闻人声,偏枯筋急,曲拳而卧。其心风发则面赤
而热,悲伤 怒,张目呼唤。其脾风发则面黄,身体不仁不能行步,饮食失味,梦寐
错与亡人相随。其肺风发则面白,咳逆唾脓血,上气,奄然而极。其肾风发则面黑,手
足
心定志
白藓皮 白术 芍药 桂心 川芎 当归 杏仁 防风 甘草(各一两) 独活 麻黄
茯苓
服三
剂。
羚羊
每服
治中风发狂(出本草)
取 中膏如鸡子大。以热醋搅令消。服之。
治风狂忧愁不乐,能安心气。(出本草方)
以驴肉一斤。切。于豉汁内煮。五味和。腌腊食之。作粥及羹并得。
治若发狂者\x(出本草)
取车毂中脂如鸡子。热温淳苦酒。以投脂甚搅令消。服之令尽。
【背景信息】
书名:普济方 作者:朱梓 朝代:明·永乐四年 章节:风狂(附论) 类别:方剂
【原文翻译】
所谓风狂的症状,刚开始发作时,患者睡眠少且不觉得饥饿,自视甚高,自认为贤能,自我辩解,自认尊贵。这是因为人的营气(营养之气)和卫气(防御之气),在周身循环,昼夜不停。
一、风邪趁虚而入,与阳相并则称为“重阳”。因此病症表现为无故发笑、喜好娱乐、行为妄动不止。严重时甚至脱衣奔跑,登上高处歌唱,或者几天不进食,所以称之为“狂”。风邪侵入血分,导致人体阴阳二气虚实不调。如果一实一虚,就会使血气相互搏结。气偏并于阳分则发为狂证。另外,肝藏魂。悲哀触动内心则损伤魂,魂受损则狂妄而不精明,不敢正视他人,且出现筋脉拘挛、两胁骨骼不能抬举。毛发憔悴、面色枯槁,死于秋季。又说:三阳经与三阴经相并,若阳虚则阴实,故发为癫证;三阴经与三阳经相并,若阴虚则阳实,故发为狂证。论述说:阳气入于阴分,病势安静;阴气入于阳分,病势愤怒则发狂。这多是由于阴阳之气突然受挫,郁怒无法发泄所致。所以医经说:阳明经常跳动,太阳经、少阳经通常不跳动。不跳动的经脉反而跳动,是大病的征兆。这是其征候。治疗的关键方法是什么?回答说:剥夺其饮食即可痊愈。因为食物进入阴分,会助长阳气的亢盛。所以剥夺其饮食即可痊愈。让患者服用生铁落作为饭后药。生铁落具有下气疾速的作用。
方剂:
珍珠散(出自《圣惠方》)
治疗风邪导致的狂妄言语、心热狂乱奔走、神志不清。
珍珠(研细)、牛黄(研细)、丹砂(研细,各半两)、金箔(研细)、银箔(研细,各五十片)、麝香(研细一分)、犀角(镑片,各半两)、茯神(去木心,三钱)、麦门冬(去心焙干,一两半)、远志(去心)、甘草(炙)、胡黄连、甘菊花、白附子(炮制,各三分)、白鲜皮、羚羊角(镑片,各三两)。以上除需研细的药外,捣碎过筛成末,加入已研细的药物拌匀。每次服用一钱匕,逐渐增加至二钱匕。用薄荷温汤送服,或用梨汁调服。忌食生血类食物。
牛黄丸(出自《圣济总录》)
治疗中风邪导致狂乱失志、心中多恐惧。
牛黄(研细,一两)、铁精(研细,三分)、虎睛(研细,一对)、石膏(研细)、龙齿(研细,各二两)、银箔(研细,一百片)、麻黄(去根节)、玄参(各一两)。以上药物除需研细的外,捣碎过筛成末,加入已研细的药物拌匀,制成梧桐子大小的丸剂。每次服用三十丸,温水送服。
禹余粮饮(又名五邪汤,出自《千金方》)
治疗风邪中伤导致的惊狂啼哭,或唱歌或大笑。
禹余粮(研细)、防风(去叉)、桂枝(去粗皮)、赤芍药、远志(去心)、独活(去芦头)、白术、人参、黄丹(研细)、茯神(去木心)。以上药物取七分水量,煎煮至剩余水分,去渣滓。饭后服用,每日两次。
牛黄丸(出自《圣惠方》)
治疗风狂喜怒无常,或想要狂走而自己不知觉。
牛黄(研细,一分)、远志(去心)、白龙骨(各一两)、铁粉(研细,二钱)、龙脑(即冰片,研细,一钱)、甘草(炙,半两)、麦门冬(去心,一两)。以上药物捣罗成末,炼蜜为丸,如梧桐子大。每次服用二十丸,米汤送服。
虎睛汤(出自《圣惠方》)
治疗风狂不时叫笑,喜怒无常;登高爬墙,言语不顾及他人。
虎睛(一对,慢火熬制)、鸱头及肝脏(一只,炙烤)、白茯苓(去皮)、桂枝(去粗皮,各三两)、石长生(去粗茎,一两)、枫上寄生(去粗茎,五两)、人参、露蜂房(炙烤)、独活(去芦头)、防风(去叉)、甘草(炙锉)、天雄(炮裂,去皮脐)、当归(切,焙干,各一两)。以上药物切碎如麻豆大小。每次取十八钱匕,加酒六盏,煮取三盏,去渣滓。分三次服用,白天两次,夜间一次。每次服药时,须远离进食时间,恐怕药食相互冲突。另一法:治疗狂邪发作无常。
铁粉散(出自《危氏方》)
治疗风狂谵语,乱说鬼神之事,不分亲疏,登高履险。或唱歌大笑裸体,不进食饮水,以及风证狂怒,或像醉酒般痴呆。
朱砂(块状,一两,另研)、红明琥珀(一两,另研)、天南星(二两)、圆白半夏(二两)、白矾(一两)、全蝎(五十个)、龙脑(一钱,另研)。以上药物捣罗成末,拌入自然铜汁中。温酒送服。
远志散(出自《圣惠方》)
治疗风狂发作时多啼哭,或即唱歌大笑,或自称贤智,或乱跑不避水火。
远志(一两,去心)、防风(去芦头)、桂心(各半两)、茯神(一两)、甘草(半两,炙微赤,锉)、独活(一两)、麦门冬(去心,一两)。以上药物切碎,加水煎煮,去渣滓,温服。
茯神汤(出自《圣济总录》)
治疗风狂失神,坐卧不安,笑乐无节制,脱衣登高。
茯神(去木心)、杏仁(汤浸去皮尖双仁,各三两)、龙脑(六两)、凝水石(碎,一斤)、升麻(三两)。以上药物切碎,加水煎煮,去渣滓,温服。每次服用五钱。
白藓皮汤(出自《圣济总录》)
治疗风邪入腑,狂言妄语,精神错乱,腰痛骨疼。
白藓皮(一分半)、麻黄(去根节,半两)、白茯苓(去皮,三分)、防风(去叉)、独活(去芦)、杏仁(去皮尖,各一两)。以上药物切碎,每次服用三钱,加水煎煮,去渣滓,温服。
犀角散(出自《圣惠方》)
治疗风狂妄见幻象,恍惚不定,发作时想要奔走。
犀角屑、白藓皮、枫上寄生、人参(各一两,去芦)、麦门冬(一两半,去心焙)、龙脑(一两)、防风(一两)。以上药物切碎,加水煎煮至六盏,去渣滓,温服。
生铁饮(出自《圣惠方》)
治疗风狂乱走不可禁止。
生铁(二十斤,以水二斗煮取一斗,去铁渣)、玄参(一两)、防风(一两半,去芦)、白茯苓(一两半)。以上药物加水煎煮,取五升,温服。
金箔煎(出自《圣济总录》)
治疗风邪发狂,守神。
金箔(一百片)、丹砂(研细)、龙脑(研细)、牛黄(研细)、珍珠(末)、琥珀(末)、犀角(末,各半两)。以上药物混合,加水煎煮,取适量,温服。
白僵蚕丸(出自《圣济总录》)
治疗风邪发狂,妄语躁闷。
白僵蚕(炒,三分)、海荆子(炒,一两)、白附子(炮,半两)、干蝎(酒炒,二十一枚)、蒺藜子(炒令熟)。以上药物捣罗成末,炼蜜为丸,如梧桐子大。每次服用三十丸,温水送服。
防己地黄汤(出自《千金方》)
治疗言语狂错,眼目闪烁不定,或说见鬼,精神昏乱。
防己、甘草(各二两)、桂心、防风(各二两)、生地黄(五斤,别捣勿令药渍,疾小轻用二斤)。以上药物切碎,加水煎煮,去渣滓,温服。
麻黄丸(出自《圣济总录》)
治疗中风邪狂走,或自高自贤,或悲泣呻吟。以及猝然受惊悸邪魅,恍惚。
麻黄(去根节,煎掠去沫,焙干)、甘草(炙锉)、半夏(汤浸,生布揉洗七次,焙干,各一两)、生姜(去皮,一两)。以上药物捣罗成末,炼蜜为丸,如梧桐子大。每次服用三十丸,温水送服。
熟黄瓜(出自《圣惠方》)
治疗风热气盛,烦躁如狂。
熟黄瓜(一枚,水五合,拧取汁)、竹沥(二合)、川朴硝(三两,细研)、蜜(二合)。以上药物调和均匀,温服。
黄石散(出自《医方集成》)
治疗心风发狂。
狗肝(一具)、硝石、黄丹(各一两半)。以上药物研匀。剖开狗肝,将药掺在肝内。然后用麻线缠定,煮熟后食用。
守神丸(出自《圣济总录》)
治疗中风邪发狂,及肝心风热,气虚不足,惊恚掣痛。
金箔(一百片)、腻粉(半两)、人参(为末,三分)。以上药物在银石器内,先将金箔分开,逐层重用腻粉,渐入人参末,拌匀,炼蜜为丸,如梧桐子大。每次服用十丸,温水送服。
泻心汤
治疗心受积热,谵言发狂,逾墙上屋。
大黄、黄连、黄芩(各等分)。以上药物切碎,每次服用四钱,用水一盏半,煎至七分,去渣滓服。
香砂散(一名朱麝散,出自《十便良方》)
治疗心转不定,好登高临险。恶言骂詈,不避亲疏,日夜强怒,举止非常。大便秘结,小便赤涩,解衣裸露,不得安处,虚言妄语,狂易之疾。服此一剂即定。继以蕤仁并心气药。七日而安。
颗块朱砂(研如粉)、真麝香(研)。以上同研匀。用无灰酒,满注瓷瓶内。以糠头火慢烧于瓷瓶上,浓盖密封,待冷后取出,温酒送服一分。
虾蟆散(出自《肘后方》)
治疗猝然狂言鬼语,忽仆地吐涎,遗屎不知。
用烧过的虾蟆杵成末。酒服方寸匕。每日三次。另一法用水服亦可。治风邪。
治狂病经久不瘥,或歌或笑,行走不休,发动无休。
用猪肉一斤。煮令熟。细切作脍。和酱醋食之。或羹粥和任性服之。
治风狂忧愁不乐,能安心气。
以牡驴肉食之。又以头去毛。煮汁。以渍面酝酒。
蚕纸散
治狂发欲走,或自高贵称神,皆应。
(原文此处缺具体组成,仅列方名及主治)
白雄鸡方
治狂邪癫痫不欲眠卧,自贤自知,骄倨妄行不休,安五脏下气。
用白雄鸡一只。煮令熟。调五味和作羹粥食之。
苦参丸
治狂邪发无常,披头大叫欲杀人,不避水火。
(原文此处缺具体组成,仅列方名及主治)
治猝发狂方(出自《肘后方》)
令病患着地仰卧。以冷水终日淋其面。良。
排风汤(出自《和剂方》)
治疗男子妇人风虚湿冷,邪气入脏,狂言妄语精神错乱。其肝风发则面青吐逆呕沫,胁满,头眩,重耳不闻人声,偏枯筋急,曲拳而卧。其心风发则面赤而热,悲伤怒,张目呼唤。其脾风发则面黄,身体不仁不能行步,饮食失味,梦寐错与亡人相随。其肺风发则面白,咳逆唾脓血,上气,奄然而极。其肾风发则面黑,手足厥冷。
白藓皮、白术、芍药、桂心、川芎、当归、杏仁、防风、甘草(各一两)、独活、麻黄、茯苓(各一两)。以上药物切碎,加水煎煮,去渣滓,温服。每次服用三剂。
羚羊角散(治中风发狂,出自《本草》)
取羚羊角中膏如鸡子大。以热醋搅令消。服之。
治风狂忧愁不乐,能安心气。(出自《本草方》)
以驴肉一斤。切。于豉汁内煮。五味和。腌腊食之。作粥及羹并得。
治若发狂者(出自《本草》)
取车毂中脂如鸡子。热温淳苦酒。以投脂甚搅令消。服之令尽。
[Background Information]
Book: *Puji Fang* (General Repository of Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Feng Kuang (Wind Madness) [Appendix Discussion]
Category: Formulas
[Translation]
Regarding the symptoms of Wind Madness (Feng Kuang), initially, the patient sleeps little and feels no hunger, considers themselves superior, believes themselves to be virtuous, argues for themselves, and claims high status. This is because the Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) circulate throughout the body without ceasing, day and night.
I. When Wind Evil (Feng Xie) enters due to deficiency and combines with Yang, it is called "Double Yang" (Chong Yang). Therefore, the disease manifests as delirious laughter, excessive joy, and ceaseless erratic behavior. In severe cases, the patient may strip naked and run, climb to heights and sing, or go without food for several days; thus, it is called "Kuang" (Mania). When Wind Evil enters the blood level, it causes an imbalance of deficiency and excess in the Yin and Yang Qi. If one is excess and the other deficiency, Blood and Qi will contend with each other. When Qi aggregates in the Yang aspect, Mania ensues. Furthermore, the Liver stores the Hun (Ethereal Soul). Sorrow moving within damages the Hun; when the Hun is damaged, madness and lack of clarity occur, the patient dares not look directly at others, experiences tendon spasms, and cannot raise the bones of the two hypochondria. Withered hair and sallow complexion indicate death in Autumn. It is also said: When the Three Yang meridians combine with the Three Yin meridians, if Yang is deficient and Yin is excess, Dian (Depression/Melancholia) occurs. When the Three Yin meridians combine with the Three Yang meridians, if Yin is deficient and Yang is excess, Kuang (Mania) occurs. The treatise states: When Yang enters Yin, the disease is quiet; when Yin enters Yang, the disease involves anger and leads to Mania. This is often caused by a sudden fracture of Yin and Yang Qi and unresolved suppressed anger. Thus, the Classics state: The Yangming channel is always pulsating, while the Taiyang and Shaoyang channels usually do not pulse. If a non-pulsating channel begins to pulse, it indicates a major illness. This is its sign. What is the key method of treatment? The answer is: Depriving them of food will cure it. Because food enters the Yin and generates Qi in the Yang, depriving them of food cures it. Let the patient take Sheng Tie Luo (Fallen Iron) as a post-meal remedy. Sheng Tie Luo has the effect of rapidly descending Qi.
Formulas:
Zhenzhu San (Pearl Powder) (from *Shenghui Fang*)
Treats wind-induced maniacal speech, heart-heat causing manic running and unconsciousness.
Zhenzhu (Pearl, ground), Niuhuang (Calculus Bovis, ground), Dansha (Cinnabaris, ground, each 0.5 liang), Jinbo (Gold Leaf, ground), Yinbo (Silver Leaf, ground, each 50 pieces), Shexiang (Moschus, ground, 1 fen), Xijiao (Rhinocerotis Cornu, shaved, each 0.5 liang), Fushen (Poria cum Radix Pini, wood removed, 3 qian), Maimendong (Ophiopogonis Radix, heart removed, roasted, 1.5 liang), Yuanzhi (Polygalae Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huhuanglian (Picrorhizae Rhizoma), Ganjuhua (Chrysanthemi Flos), Baifuzi (Aconiti Kusnezoffii Radix, processed, each 3 fen), Baixianpi (Dictamni Cortex), Lingyangjiao (Saigae Tataricae Cornu, shaved, each 3 liang). Except for those to be ground, crush and sieve into powder. Mix with the grounded medicines. Take 1 qianbi per dose, gradually increasing to 2 qianbi. Administer with warm mint decoction or pear juice. Avoid raw blood foods.
Niuhuang Wan (Calculus Bovis Pill) (from *Shengji Zonglu*)
Treats stroke-wind evil causing manic confusion and loss of will, with frequent fear.
Niuhuang (Calculus Bovis, ground, 1 liang), Tiejing (Ferrum, ground, 3 fen), Huqing (Tigris Oculum, ground, 1 pair), Shigao (Gypsum Fibrosum, ground), Longchi (Dentis Fosilia Mastodontis, ground, each 2 liang), Yinbo (Silver Leaf, ground, 100 pieces), Mahuang (Ephedrae Herba, roots and joints removed), Xuanshen (Scrophulariae Radix, each 1 liang). Except for those to be ground, crush and sieve into powder. Mix with the grounded medicines. Make pills the size of tung tree seeds. Take 30 pills with warm water.
Yuyuliang Yin (Limonitum Decoction) (also known as Wuxie Tang, from *Qianjin Fang*)
Treats fright-manic crying due to wind evil invasion, or singing and laughing.
Yuyuliang (Limonitum, ground), Fangfeng (Saposhnikoviae Radix, fork removed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Chishaoyao (Paeoniae Radix Rubra), Yuanzhi (Polygalae Radix, heart removed), Duhuo (Angelicae Pubescentis Radix, rhizome removed), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Huangdan (Lithargyrum, ground), Fushen (Poria cum Radice Pini, wood removed). Take 7 parts water, decoct until reduced, strain. Take after meals, twice daily.
Niuhuang Wan (Calculus Bovis Pill) (from *Shenghui Fang*)
Treats wind-manic irregular mood, or desire to run wildly without awareness.
Niuhuang (Calculus Bovis, ground, 1 fen), Yuanzhi (Polygalae Radix, heart removed), Bailonggu (Os Draconis et Mammutis, each 1 liang), Tiefen (Ferrum, ground, 2 qian), Longnao (Borneolum Syntheticum, ground, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang), Maimendong (Ophiopogonis Radix, heart removed, 1 liang). Crush and sieve into powder. Make pills the size of tung tree seeds with honey. Take 20 pills with rice soup.
Huqing Tang (Tiger Eye Decoction) (from *Shenghui Fang*)
Treats wind-manic intermittent shouting and laughing, irregular mood; climbing heights and walls, speaking without regard for others.
Huqing (Tigris Oculum, 1 pair, slow-fire simmered), Chitou bing gan (Strigis Caput et Jecur, 1 piece, roasted), Bai Fuling (Polyporus, skin removed), Guizhi (Cinnamomi Ramulus, coarse bark removed, each 3 liang), Shichangsheng (Hericium erinaceus stem?, coarse stem removed, 1 liang), Fengshangjiseng (Visci Fructus, coarse stem removed, 5 liang), Renshen (Ginseng Radix), Lufengfang (Vespa Nidus, roasted), Duhuo (Angelicae Pubescentis Radix, rhizome removed), Fangfeng (Saposhnikoviae Radix, fork removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Tianxiong (Aconiti Radix Lateralis Preparata, cracked, skin and navel removed), Danggui (Angelicae Sinensis Radix, sliced, roasted, each 1 liang). Cut like hemp seeds. Take 18 qianbi per dose, with 6 lamps of wine. Decoct to 3 lamps, strain. Divide into three doses. Twice during the day, once at night. Each dose must be taken far from meals to avoid conflict between medicine and food. Another method: Treats irregular onset of manic evil.
Tiefen San (Ferrum Powder) (from *Weishi Fang*)
Treats wind-manic delirium, talking nonsense about spirits, disregarding kinship, climbing heights and dangers. Or singing, laughing, nudity, refusing food and drink; and wind-syndrome manic rage, or resembling drunken stupor.
Zhusha (Cinnabaris, lump, 1 liang, separately ground), Hongming Hupo (Electrum, 1 liang, separately ground), Tiannanxing (Arisaematis Rhizoma, 2 liang), Yuanbai Banxia (Pinelliae Rhizoma Rotundum, 2 liang), Baijian (Alumen, 1 liang), Quanxie (Scorpio, 50 pieces), Longnao (Borneolum Syntheticum, 1 qian, separately ground). Crush and sieve into powder. Mix with Ranran Zhi (Natural Copper Juice?). Take with warm wine.
Yuanzhi San (Polygala Powder) (from *Shenghui Fang*)
Treats wind-manic onset with much weeping, or immediate singing/laughing, claiming wisdom, or running wildly ignoring fire and water.
Yuanzhi (Polygalae Radix, 1 liang, heart removed), Fangfeng (Saposhnikoviae Radix, rhizome removed), Guixin (Cinnamomi Ramulus, each 0.5 liang), Fushen (Poria cum Radice Pini, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried, slightly red, cut), Duhuo (Angelicae Pubescentis Radix, 1 liang), Maimendong (Ophiopogonis Radix, heart removed, 1 liang). Cut, decoct in water, strain, take warm.
Fushen Tang (Poria Decoction) (from *Shengji Zonglu*)
Treats wind-manic loss of spirit, restlessness sitting/lying, uncontrolled laughter, stripping clothes and climbing heights.
Fushen (Poria cum Radice Pini, wood removed), Xingren (Armeniacae Semen Amarum, soaked in water, skin and tip removed, double kernel, each 3 liang), Longnao (Borneolum Syntheticum, 6 liang), Ningshuishi (Natrii Sulfas, crushed, 1 jin), Shengma (Cimicifugae Rhizoma, 3 liang). Cut, decoct in water, strain, take warm. Take 5 qian per dose.
Baixianpi Tang (Dictamnus Decoction) (from *Shengji Zonglu*)
Treats wind evil entering the fu organs, manic speech, mental confusion, lower back pain, bone ache.
Baixianpi (Dictamni Cortex, 1.5 fen), Mahuang (Ephedrae Herba, roots and joints removed, 0.5 liang), Bai Fuling (Polyporus, skin removed, 3 fen), Fangfeng (Saposhnikoviae Radix, fork removed), Duhuo (Angelicae Pubescentis Radix, rhizome removed), Xingren (Armeniacae Semen Amarum, skin and tip removed, each 1 liang). Cut, take 3 qian per dose, decoct in water, strain, take warm.
Xijiao San (Rhinoceros Horn Powder) (from *Shenghui Fang*)
Treats wind-manic visual hallucinations, fluctuating trance, urge to run upon onset.
Xijiao xie (Rhinocerotis Cornu, shaved), Baixianpi (Dictamni Cortex), Fengshangjiseng (Visci Fructus), Renshen (Ginseng Radix, each 1 liang, rhizome removed), Maimendong (Ophiopogonis Radix, 1.5 liang, heart removed, roasted), Longnao (Borneolum Syntheticum, 1 liang), Fangfeng (Saposhnikoviae Radix, 1 liang). Cut, decoct in water to 6 lamps, strain, take warm.
Shengtie Yin (Fresh Iron Drink) (from *Shenghui Fang*)
Treats wind-manic uncontrollable running.
Shengtie (Ferrous Metal, 20 jin, boiled in 2 dou water to obtain 1 dou, remove iron residue), Xuanshen (Scrophulariae Radix, 1 liang), Fangfeng (Saposhnikoviae Radix, 1.5 liang, rhizome removed), Bai Fuling (Polyporus, 1.5 liang). Decoct in water to obtain 5 sheng, take warm.
Jinbo Jian (Gold Leaf Decoction) (from *Shengji Zonglu*)
Treats wind-evil induced mania, guarding the spirit.
Jinbo (Gold Leaf, 100 pieces), Dansha (Cinnabaris, ground), Longnao (Borneolum Syntheticum, ground), Niuhuang (Calculus Bovis, ground), Zhenzhu (Margarita, powder), Hupo (Electrum, powder), Xijiao (Rhinocerotis Cornu, powder, each 0.5 liang). Mix, decoct in water, take appropriate amount, warm.
Baijiangcan Wan (Bombyx Batryticatus Pill) (from *Shengji Zonglu*)
Treats wind-evil induced mania, delirious speech, restlessness.
Baijiangcan (Bombyx Batryticatus, fried, 3 fen), Haijingzi (Fructus Viticis, fried, 1 liang), Baifuzi (Aconiti Kusnezoffii Radix, processed, 0.5 liang), Ganxie (Scorpio, wine-fried, 21 pieces), Jili (Tribuli Fructus, fried until cooked). Crush and sieve into powder. Make pills the size of tung tree seeds with honey. Take 30 pills with warm water.
Fangji Dihuang Tang (Stephania and Rehmannia Decoction) (from *Qianjin Fang*)
Treats manic erroneous speech, flickering eyes, seeing ghosts, mental confusion.
Fangji (Stephaniae Tetrandrae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 liang), Guixin (Cinnamomi Ramulus), Fangfeng (Saposhnikoviae Radix, each 2 liang), Shengdihuang (Rehmanniae Radix Recens, 5 jin, pounded separately, do not let medicine soak; use 2 jin for mild cases). Cut, decoct in water, strain, take warm.
Mahuang Wan (Ephedra Pill) (from *Shengji Zonglu*)
Treats stroke-wind evil causing manic running, self-aggrandizement, or weeping/moaning. Also sudden fright palpitations from evil spirits, trance.
Mahuang (Ephedrae Herba, roots/joints removed, boiled to remove foam, roasted), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried/cut), Banxia (Pinelliae Rhizoma, soaked in water, washed 7 times in raw cloth, roasted, each 1 liang), Shengjiang (Zingiberis Rhizoma Recens, peeled, 1 liang). Crush and sieve into powder. Make pills the size of tung tree seeds with honey. Take 30 pills with warm water.
Shu Huanggua (Cooked Cucumber) (from *Shenghui Fang*)
Treats wind-heat qi excess, irritability resembling mania.
Shu Huanggua (Cucumis Sativus, 1 fruit, 5 he water, squeeze juice), Zhuli (Bambusae Caulis in Taenia, 2 he), Chuan Poxiao (Natrii Sulfas, 3 liang, finely ground), Mi (Mel, 2 he). Mix evenly, take warm.
Huangshi San (Yellow Stone Powder) (from *Yifang Jicheng*)
Treats Heart-Wind inducing mania.
Gougan (Canis Hepar, 1 piece), Xiaoshi (Nitrums, Huangdan (Lithargyrum, each 1.5 liang). Grind uniformly. Split open dog liver, sprinkle medicine inside. Tie with hemp thread, cook thoroughly, eat.
Shoushen Wan (Guard Spirit Pill) (from *Shengji Zonglu*)
Treats stroke-wind evil inducing mania, Liver/Heart wind-heat, qi deficiency, fright/anger spasms.
Jinbo (Gold Leaf, 100 pieces), Nifen (Hydrargyri Subchloridum, 0.5 liang), Renshen (Ginseng Radix, powder, 3 fen). In silver/ceramic vessel, separate gold leaf, layer with Nifen, gradually add Ginseng powder, mix. Make pills the size of tung tree seeds with honey. Take 10 pills with warm water.
Xiexin Tang (Drain Heart Decoction)
Treats Heart accumulation of heat, delirious mania, climbing walls/roofs.
Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix, equal parts). Cut, take 4 qian per dose, with 1.5 lamps water, decoct to 0.7 lamps, strain, take.
Xiangsha San (Aromatic Sand Powder) (aka Zhusha San, from *Shibian Liangfang*)
Treats unstable mind, liking to climb heights/dangers. Verbal abuse, disregarding kinship, constant anger day/night, abnormal behavior. Constipation, dark/scanty urine, stripping clothes, inability to rest, false words/manic changes. One dose settles it. Follow with Ruiren and Heart-Qi herbs. Restored in 7 days.
Zhusha (Cinnabaris, lump, ground to powder), Zhen Shexiang (Moschus, ground). Grind together. Fill porcelain bottle with pure wine. Slowly burn with chaff fire over bottle, seal tightly. Wait for cool, take 1 fen with warm wine.
Xiamu San (Toad Powder) (from *Zhouhou Fang*)
Treats sudden manic ghost-talk, falling down vomiting saliva, incontinence.
Burn toad, pound to powder. Take 1 fangcunbi with wine. 3 times daily. Alternatively, take with water. Treats wind evil.
For chronic mania not healing, singing/laughing, walking ceaselessly, attacks unceasing.
Take 1 jin pork. Boil until cooked. Slice finely. Eat with sauce/vinegar. Or mix with porridge/soup as desired.
For wind-manic sorrow/unhappiness, calming Heart-Qi.
Eat male donkey meat. Also, remove hair from head, boil juice. Use to soak flour/wine.
Canzhi San (Silkworm Paper Powder)
Treats manic urge to run, claiming nobility/godhood. Effective.
(Formula composition missing in source text)
Bai Xiongji Fang (White Rooster Formula)
Treats manic epilepsy insomnia, self-righteousness, arrogant erratic behavior, calming five zang, descending qi.
Take 1 white rooster. Boil until cooked. Season with five flavors, make into soup/porridge, eat.
Kushen Wan (Sophora Pill)
Treats irregular manic onset, disheveled hair screaming to kill, ignoring fire/water.
(Formula composition missing in source text)
Formula for Sudden Mania (from *Zhouhou Fang*)
Let patient lie supine on ground. Pour cold water on face all day. Good.
Paifeng Tang (Expel Wind Decoction) (from *Heji Fang*)
Treats men/women wind-deficiency-damp-cold, evil entering zang, manic speech, mental confusion. Liver wind: blue face, vomiting foam, hypochondriac fullness, dizziness, deafness, hemiplegia/tendon spasm, curled posture. Heart wind: red/hot face, sadness/anger, staring/calling. Spleen wind: yellow face, numbness/inability to walk, loss of taste, dreaming of dead people. Lung wind: pale face, cough/asthma, purulent bloody sputum, sudden extremity. Kidney wind: black face, cold limbs.
Baixianpi (Dictamni Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Xingren (Armeniacae Semen Amarum), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 liang), Duhuo (Angelicae Pubescentis Radix), Mahuang (Ephedrae Herba), Fuling (Poria, each 1 liang). Cut, decoct in water, strain, take warm. Take 3 doses.
Lingyang Jiao San (Saiga Antelope Horn Powder) (Treating Stroke-Mania, from *Bencao*)
Take Saiga horn grease the size of a chicken egg. Stir with hot vinegar until dissolved. Take.
For wind-manic sorrow/unhappiness, calming Heart-Qi (from *Bencao Fang*).
Take 1 jin donkey meat. Slice. Boil in soybean juice. Season with five flavors. Cure/eat. Porridge/soup also acceptable.
If Mania Occurs (from *Bencao*)
Take grease from cart hub the size of a chicken egg. Warm strong sour wine. Add grease, stir well until dissolved. Take completely.