病机二圣散治大风疠疾
大黄(半两) 皂角刺(三钱烧灰)
上将皂角刺一二个烧灰研细煎大黄半两汤调下二钱早服桦皮散中煎升麻汤下泻青丸晚服
二圣散此数等药皆为缓疏泄血中风热也
三因通天再造散治大风恶疾
郁金(半钱) 大黄(一两炮) 白牵牛(六钱半生半炒) 皂角刺(一两经年黑大者)
上为末每服五钱日未出面东以无灰酒调下
按以上二方并厥阴例药也
杂方
元戎生眉散
桑寄生 南星 半夏 没药(各一钱)
上为细末生姜自然汁调成膏子先用自然铜擦过次以此涂之
子和一方半夏生用羊粪烧焦各等分为末生姜汁调涂
渫洗药
何首乌 荆芥 防风 马鞭草 蔓荆子
上为粗末每二两水一斗煎十数沸得药力无风处渫洗
本事方蓖麻法治疠风十指挛曲节间疼不可忍渐至断落
蓖麻(去皮) 黄连(锉各二两)
上以小瓶入水一升同浸春夏三日秋冬五日后用蓖麻子一粒擘破面赤以浸药水吞下平旦服
渐加至四五粒微利不妨水少更添水忌动风物累用得效
按宝鉴以此二味用银石器着水大碗煮水尽即添熬三日二夜取出只用蓖麻阴干切作四段计
五粒二十段作一服荆芥汤下用治诸痫病
灵枢云暴挛痫眩足不任身取天柱(天柱穴足太阳也)又云癫痫螈 不知所苦两跷之下男阳
女阴
按洁古云昼发灸阳跷夜发灸阴跷各二七壮阳跷起于跟中循外踝上行入风池(申脉穴也)阴
跷亦起于跟中循内踝上行至咽喉交贯冲脉(照海穴也)
又按内经言癫而不言痫古方以癫痫或并言或言风癫或言风痫或言癫狂所指不一盖痫病归
于五
脏癫病属之于心故今以风痫另立一门而癫狂合为一门也又痫与 略相类而实不同其病发身软
时醒者谓之痫也身强直反张如弓不时醒者谓之 也痫病随其痰之潮作故有时而醒 病比痫为
甚而有挟虚者故因其昏冒而遂致亡者多矣
病机二圣散用于治疗大风疠疾(麻风病)。
大黄(半两)皂角刺(三钱,烧成灰)
先将皂角刺一二个烧成灰并研细,煎煮大黄半两,用汤药调服二钱。早晨服用桦皮散中提到的升麻汤送服泻青丸,晚上服用。
二圣散等这几类药物,都是为了缓和地疏通泄除血中的风热邪气。
三因通天再造散用于治疗大风恶疾(严重的麻风病)。
郁金(半钱)大黄(一两,炮制)白牵牛(六钱半,生用与炒用各半)皂角刺(一两,经年且黑色粗大的)
将上述药物制成粉末,每次服用五钱。在日落之前,面向东方,用无灰酒调服。
按语:以上两个方子都遵循厥阴肝经的用药法则。
杂方
元戎生眉散
桑寄生 南星 半夏 没药(各一钱)
将上述药物研成细末,用生姜自然汁调和成膏状。先用自然铜擦拭患处,然后再涂抹此膏。
子和一方:半夏生用,羊粪烧焦,两者等分研为粉末,用生姜汁调和后涂抹。
渫洗药(外洗方)
何首乌 荆芥 防风 马鞭草 蔓荆子
将上述药物捣成粗末,每二两加水一斗,煎煮十余沸,待药力渗出后,在无风处进行渫洗(熏洗)。
本事方蓖麻法治疗疠风(麻风病)导致十指挛曲、关节间疼痛难以忍受,逐渐发展到肢体断落的情况。
蓖麻(去皮)黄连(锉碎,各二两)
用小瓶装入一升水,将上述药物一同浸泡。春夏季节浸泡三日,秋冬季节浸泡五日。之后取一粒蓖麻子掰破,使面部变红,用浸泡过的药水吞下,清晨服用。
逐渐增加至四五粒,轻微腹泻不要紧。如果水少了就添加水。忌食动风之物,连续使用能取得疗效。
按语:《宝鉴》记载这两味药用银石器盛水,在大碗中煮,水干后即添加,熬煮三天两夜。取出后只用蓖麻子阴干,切成四段,共计五粒二十段作为一服,用荆芥汤送下,用于治疗各种痫病。
《灵枢》说:突发痉挛、癫痫眩晕、双脚无法支撑身体,应取天柱穴(天柱穴属于足太阳膀胱经)。又说:癫痫抽搐,不知痛苦所在,应取两跷脉之下。男子取阳跷,女子取阴跷。
按语:洁古(张元素)说:白天发作的灸阳跷脉,夜晚发作的灸阴跷脉,各灸七壮(十四壮)。阳跷脉起于脚跟中部,沿外踝上行进入风池穴(即申脉穴)。阴跷脉也起于脚跟中部,沿内踝上行至咽喉,交会贯穿冲脉(即照海穴)。
又按:《内经》只提及癫病而不提痫病。古方中有时将癫痫并称,有时称风癫,有时称风痫,有时称癫狂,所指不一。大概认为痫病归属于五脏,癫病归属于心。所以如今将风痫单独设立一门,而将癫狂合并为一门。另外,痫病与痓病(痉病)略微相似但实际不同。发病时身体柔软、时常清醒的称为痫病;身体强直、反张如弓、不时清醒的称为痓病。痫病随着痰浊的潮汐般发作,所以有时能够清醒。痓病比痫病更为严重,且有夹杂虚证的情况,所以因为昏冒而导致死亡的很多。
Bingji Ersheng San (Disease Mechanism Two Sages Powder) is used to treat Feng Da Li Ji (severe leprosy/malodorous disease).
Da Huang (Rhei Radix et Rhizoma, half tael) Zao Jiao Ci (Gleditsiae Sinensis Spina, three qian, burnt to ash).
First, take one or two Zao Jiao Ci, burn them to ash, and grind them finely. Decoct Da Huang (half tael), mix with decoction liquid, and administer two qian orally. In the morning, take Sheng Ma Tang (Cimicifugae Rhizoma Decoction) mentioned in Hua Pi San (Birch Bark Powder) to deliver Xie Qing Wan (Drain Green Pill); in the evening, take [the formula].
Ersheng San (Two Sages Powder) and these other medications are all intended to gently unblock and drain wind-heat from the blood.
Sanyin Tongtian Zaizao San (Three Causes Heaven-Penetrating Rebirth Powder) is used to treat Feng Da E Ji (severe malodorous disease/leprosy).
Yu Jin (Curcumae Radix, half qian) Da Huang (Rhei Radix et Rhizoma, one tael, processed) Bai Qian Niu (Pharbitidis Semen, six qian half, raw and fried equally) Zao Jiao Ci (Gleditsiae Sinensis Spina, one tael, aged black and large ones).
Grind the above into powder. Each dose is five qian. Before sunset, face east and take with Wu Hui Jiu (wine without ash impurities).
Note: The above two formulas both follow the medication principles of the Jueyin (Liver) channel.
Miscellaneous Formulas
Yuanrong Sheng Mei San (Yuanrong Eyebrow-Growing Powder)
Sang Ji Sheng (Taxilli Herba) Nan Xing (Arisaematis Rhizoma) Ban Xia (Pinelliae Rhizoma) Mo Yao (Myrrha, each one qian).
Grind the above into fine powder. Mix with Jiang Zi Ran Ran Zhi (fresh juice of Zingiberis Rhizoma) to form a paste. First rub the affected area with Zi Ran Tong (Natural Pyrite), then apply this paste.
Hezi's Formula: Ban Xia (Pinelliae Rhizoma) used raw, Yang Fen (Ovis Aries Faeces) burnt until charred, equal parts ground into powder, mixed with Jiang Zhi (Ginger Juice) for topical application.
Xie Xi Yao (Washing Medicines)
He Shou Wu (Polygoni Multiflori Radix) Jing Jie (Schizonepetae Herba) Fang Feng (Saposhnikoviae Radix) Ma Bian Cao (Verbenae Herba) Man Jing Zi (Viticis Fructus).
Grind the above into coarse powder. For every two liang, add one dou of water, boil for more than ten boils until the medicinal power is extracted. Wash (fumigate and wash) in a place free from wind.
Ben Shi Fang Bi Ma Zhi (Bi Ma Method from Ben Shi Fang) treats Li Feng (leprosy) causing spasms and curling of the ten fingers, unbearable pain between joints, gradually leading to limb detachment.
Bi Ma (Ricini Semen, peeled) Huang Lian (Coptidis Rhizoma, crushed, each two liang).
Place in a small bottle with one sheng of water and soak the above together. Soak for three days in spring and summer, five days in autumn and winter. Then take one Ricini Semen, break it open until the surface turns red, and swallow it with the soaking liquid. Take on an empty stomach in the early morning.
Gradually increase to four or five grains; slight diarrhea is acceptable. If water decreases, add more. Avoid foods that stir up wind. Continuous use yields efficacy.
Note: Bao Jian records that these two ingredients are boiled in water using silver or ceramic vessels in a large bowl. When the water evaporates, add more and continue simmering for three days and two nights. Remove and use only Ricini Semen, dried in shade, cut into four segments. Five grains make twenty segments as one dose, taken with Jing Jie Tang (Schizonepetae Decoction) to treat various Xian Bing (epileptic seizures).
Ling Shu states: For sudden spasms, epilepsy, dizziness, and inability of the feet to support the body, select Tian Zhu (Tianzhu BL10, belonging to the Foot-Taiyang Bladder Channel). It also states: For epilepsy and convulsions where the patient is unaware of their suffering, select below the two Qiao vessels. For males, select Yang Qiao; for females, select Yin Qiao.
Note: Jiegu (Zhang Yuansu) stated: For daytime onset, moxa the Yang Qiao vessel; for nighttime onset, moxa the Yin Qiao vessel, each for seven rounds (fourteen moxa cones). Yang Qiao originates from the middle of the heel, ascends along the lateral malleolus, and enters Feng Chi (Shenmai BL62). Yin Qiao also originates from the middle of the heel, ascends along the medial malleolus, reaches the throat, intersects, and penetrates Chong Mai (Zhaohai KI6).
Furthermore, according to Nei Jing, Dian is mentioned but not Xian. Ancient formulas sometimes combine Dian and Xian, sometimes call it Feng Dian, sometimes Feng Xian, or Dian Kuang, with varying references. Generally, Xian Bing is attributed to the Five Zang organs, while Dian Bing is attributed to the Heart. Therefore, Feng Xian is now established as a separate category, while Dian Kuang is combined into one category. Additionally, Xian Bing and Zhi Bing (spasm/stiffness) are slightly similar but actually different. When the disease attacks, if the body is soft and the patient wakes intermittently, it is called Xian Bing; if the body is stiff and arched backward like a bow, and the patient does not wake intermittently, it is called Zhi Bing. Xian Bing occurs with the tidal surge of Phlegm, so there are times when the patient wakes. Zhi Bing is more severe than Xian Bing and may involve deficiency patterns; thus, many die due to coma and stupor.