李和南五生丸治痫有神治阴脉弦细缓者
南星 半夏 川乌 白附子(各一两) 大豆(去皮一两)
上为细末滴水为丸每服三丸至五丸不过七丸姜汤下
元戎小灵宝丹
附子(炮一两) 天麻 全蝎 白僵蚕(炒) 藿香叶 南星(炮) 白附子(炮各半两)
上细末酒糊丸桐子大温酒下一十五丸
按以上二方并出厥阴风痫例药也
吐剂
局方碧霞丹治痰涎壅塞牙关紧急心神迷闷目睛上视五种痫疾时作搐搦
石碌(研丸度飞十两) 附子尖 乌头尖 蝎精(各七十个)
上为末入石碌令匀面糊丸如鸡豆每服用薄荷汁半盏化下一丸更以酒半合温服之须臾吐出
痰涎然后随证治之如口噤斡开灌之
子和三圣散
方见吐剂
严氏控涎丸治诸痫久不愈顽涎散聚无时
川乌(生) 半夏(各半两) 铁粉(三钱) 甘遂(二钱半) 僵蚕(不炒生姜汁浸一宿半两)
全蝎(去尖七个)
上为细末生姜自然汁成薄糊丸如绿豆大朱砂为衣每服十五丸食后姜汤下忌甘草
按此厥阴例药也
三因控涎丹
方见痰饮门
钱氏白饼子
方见痰饮门
千金紫丸治食痫先寒后热方
方见内伤门
拔萃妙香丸治时疾伤寒解五毒潮热积热及小儿惊百病
辰砂(研九两) 牛黄(半两) 金箔(九十片研) 龙脑 腻粉 麝香(研各七钱半) 巴豆
(三百十五个去皮心研去油)
上合研匀炼蜜去蜡净入沙蜜白者七钱半同炼匀为丸每两作三十丸米饮调下
按海藏云此治脉洪长大有力内热者无力内寒五生丸主之治小儿每一丸分十五粒每服二丸
蜜水下出厥阴风痫例药也以上五方有寒热温凉之异用者随证择焉
李和南五生丸:治疗癫痫有奇效,适用于阴脉呈现弦、细、缓特征的病证。
药材:天南星、半夏、川乌、白附子(各一两)、大豆(去皮一两)。
制法与用法:将上述药材研成细末,用滴水泛丸的方法制成丸剂。每次服用三丸至五丸,最多不超过七丸,用生姜汤送服。
元戎小灵宝丹:
药材:附子(炮制一两)、天麻、全蝎、白僵蚕(炒制)、藿香叶、天南星(炮制)、白附子(炮制,各半两)。
制法与用法:将上述药材研成细末,用酒调制的面糊作为粘合剂制成如梧桐子大小的丸剂。每次服用十五丸,用温酒送服。
按语:以上两个方剂均出自厥阴风痫的病例用药。
吐剂(催吐疗法):
局方碧霞丹:治疗痰涎壅塞、牙关紧闭、心神昏闷、眼球上翻五种癫痫发作时出现的抽搐症状。
药材:石碌(研磨、水飞十两)、附子尖、乌头尖、蝎精(各七十枚)。
制法与用法:将上述药材研成粉末,加入石碌粉混合均匀,用面糊制成如鸡豆大小的丸剂。每次服用一丸,用半盏薄荷汁化开服用,再辅以半合温酒送服。片刻之后会吐出痰涎,然后根据具体证候进行治疗。如果牙关紧闭无法灌药,需先撬开牙关进行灌服。
严氏控涎丸:治疗各种癫痫久治不愈、顽痰散聚无时的症状。
药材:川乌(生用)、半夏(各半两)、铁粉(三钱)、甘遂(二钱半)、僵蚕(不炒,用生姜汁浸泡一夜,半两)、全蝎(去尖端七个)。
制法与用法:将上述药材研成细末,用生姜自然汁调成稀糊状制成如绿豆大小的丸剂,外用朱砂粉末为衣。每次服用十五丸,饭后用生姜汤送服。忌食甘草。
按语:此方属于厥阴经例药。
千金紫丸:治疗食痫(因饮食积滞引起的癫痫),症见先寒后热。
方剂详情见“内伤门”章节。
拔萃妙香丸:治疗时行疾病、伤寒解除后的五毒、潮热、积热以及小儿惊风等百病。
药材:辰砂(研磨九两)、牛黄(半两)、金箔(九十片,研磨)、龙脑、腻粉、麝香(研磨,各七钱半)、巴豆(三百十五个,去皮去心,研磨去油)。
制法与用法:将上述药材混合研磨均匀,炼制蜂蜜(去除蜡质,选用白色净蜜七钱半)一同炼匀,制成丸剂。每两药粉制成三十丸,用米饮调服。
按语:海藏先生(张元素弟子张璧)说:此方适用于脉象洪大、长而有力、体内有热的患者;若脉无力、体内有寒,则主用五生丸。治疗小儿时,每一丸分为十五粒,每次服用两丸,用蜜水送下。此方亦出自厥阴风痫的例药。以上五个方剂在寒、热、温、凉属性上有所不同,使用者应根据具体证候进行选择。
Li He's Nanwu Sheng Wan (Southern Five-Generation Pill): Effective in treating epilepsy, specifically indicated for cases where the Yin pulse presents as wiry (Xian), thin (Xi), and slow (Huan).
Ingredients: Arisaema Cum Bile (Nanxing), Pinellia Rhizoma Preparatum (Banxia), Aconitum Lateralis Radix Praeparata (Chuanwu), Typhonii Rhizoma (Baifuzi) (each 1 liang), Glycine Max Seed (Dadou) (dehulled, 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Form pills by adding water dropwise. Take 3 to 5 pills per dose, not exceeding 7 pills. Administer with ginger decoction.
Yuanrong Xiao Lingbao Dan:
Ingredients: Aconitum Carmandii Radix Praeparata (Fuzi) (processed, 1 liang), Gastrodia Rhizoma (Tianma), Scorpio (Quanxie), Bombyx Batryticatus (Baijiangcan) (stir-fried), Agastache Herba (Huoxiangye), Arisaema Cum Bile (Nanxing) (processed), Typhonii Rhizoma (Baifuzi) (processed) (each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Use wine-mixed paste as a binder to form pills the size of paulownia seeds. Take 15 pills per dose, administered with warm wine.
Note: The above two formulas are derived from examples of Jueyin Wind Epilepsy treatments.
Emetic Agents:
Jufang Bixia Dan: Treats five types of epilepsy characterized by phlegm-fluid obstruction, locked jaw, mental confusion, upward deviation of the eyes, and intermittent convulsions.
Ingredients: Realgar (Shilu) (ground and floated, 10 liang), Tip of Aconitum Carmandii Radix Praeparata (Fuzi Jian), Tip of Aconitum Kusnezoffii Radix (Wutou Jian), Scorpion Essence (Xiejing) (each 70 units).
Preparation and Administration: Grind the ingredients into powder, mix uniformly with Realgar, and form pills the size of chicken beans using wheat paste. For each dose, dissolve one pill in half a cup of peppermint juice. Subsequently, take half a he of warm wine. This will induce vomiting of phlegm-fluids. Thereafter, treat according to the specific syndrome. If the jaw is locked and medication cannot be administered, pry open the mouth to灌 (administer) the medicine.
Hezi San Sheng San:
See "Emetic Agents" section for the formula details.
Yanshi Kongyan Wan: Treats various epilepsies that persist for a long time without cure, characterized by stubborn phlegm accumulating irregularly.
Ingredients: Aconitum Kusnezoffii Radix (raw) (Banliang), Pinellia Rhizoma (Banxia) (each 0.5 liang), Ferrum Oxidatum (Tiefen) (3 qian), Kansui Radix (Gansui) (2.5 qian), Bombyx Batryticatus (Baijiangcan) (not stir-fried, soaked overnight in fresh ginger juice, 0.5 liang), Scorpio (Quanxie) (tips removed, 7 units).
Preparation and Administration: Grind the above ingredients into a fine powder. Use fresh ginger juice to make a thin paste for forming pills the size of mung beans. Coat with Cinnabar (Zhusha). Take 15 pills per dose after meals, administered with ginger decoction. Avoid Licorice Root (Gancao).
Note: This formula belongs to the Jueyin category.
Sanyin Kongyan Dan:
See "Phlegm-Fluids Section" for the formula details.
Qianshi Baibing Zi:
See "Phlegm-Fluids Section" for the formula details.
Qianjin Ziwan: Treats Food Stagnation Epilepsy, presenting with initial chills followed by fever.
See "Internal Injury Section" for the formula details.
Bacui Miaoxiang Wan: Treats epidemic diseases, residual toxins after the resolution of Cold Damage, tidal fever, accumulated heat, and pediatric convulsions among various ailments.
Ingredients: Cinnabar (Chensha) (ground, 9 liang), Calculus Bovis (Niuhuang) (0.5 liang), Folium Aurum (Jinbo) (90 sheets, ground), Borneolum Syntheticum (Longnao), Calomelas (Nifen), Moschus (Muxiang) (ground, each 0.75 qian), Crotonis Fructus (Badou) (315 units, peeled, cored, ground, oil removed).
Preparation and Administration: Mix and grind all ingredients uniformly. Refine honey (remove wax, use 0.75 liang of pure white honey) and blend uniformly with the powder. Form pills. Each liang of medicinal powder yields 30 pills. Administer with rice drink.
Note: Haizang (Zhang Bi) stated: This formula is suitable for patients with a surging, long, and forceful pulse indicating internal heat. For those with a weak pulse indicating internal cold, Nanwu Sheng Wan is primarily used. When treating children, divide each pill into 15 granules. Take 2 granules per dose, administered with honey water. This formula also originates from the Jueyin Wind Epilepsy category. Among the above five formulas, there are differences in cold, heat, warmth, and coolness properties; users should select according to the specific syndrome.