当归(一钱) 白术(八分,壁土炒) 陈皮(五分,去白) 白芍(五分,炙) 生地(七分)
远志(五分,去骨) 石菖蒲(六分) 麦冬(七分,去心) 酸枣仁(五分,略炒) 甘草(三
分半) 黄柏(三分,童便炒) 知母(五分,童便炒) 茯神(五分,去木)
虚极者,加人参三分。又一方加柏子仁、北五味,水煎服。
朱砂安神丸
朱砂(三钱,水研末) 黄连(酒洗,六钱) 甘草(炙,二钱五分) 生地黄(一钱五分)
当归(二钱)
上为细末,蒸饼为丸,如黍米大,每服三五十丸,临卧津液下。
林学院历官海南地方,有一子甚聪敏,喜食海蛤,每食必设。至十八年,忽面色顿青,
形体消瘦,夜多惊悸,皆谓痨瘵,百疗不瘳。遂召杜诊之,杜曰∶非病。何以知之?盖虽病
削面青,精神不减,问秀才平日好食甚物。曰∶多食海南中味。杜曰∶但多服生津液药,病
当自愈。如是经两月,颜色渐红润,夜亦无惊。学士延杜问曰∶愿闻此病所以。杜曰∶《素
问》云∶盐发渴,乃胜血之证。今既去盐,用生津液之药,人且少壮,血液易生,而色渐红
润,此病去乃安矣。众医以痨瘵,非其治也。
卫德新之妻,旅宿楼上,夜值盗劫人烧舍,惊坠床下,自后每闻有响,则惊倒不知,诸
医作心病治之,皆无效。戴人见而断之曰∶惊者,为阳从外入也。恐者,为阴从内出也。惊
者,为自不知也。恐者,为自知也。足少阳胆经属肝木,胆者敢也。惊怕则伤胆矣。乃命侍
女执其两手,按于高椅上坐,当面前下置一小几,戴人云∶娘子当视此一木,猛击之,其妇
人大惊。戴曰∶我以木击几,何必惊乎?伺少停,击之惊少缓,又须臾,连击三五次,又杖
击门,又遣人击背后之窗,徐徐惊定。卫叹曰∶是何治法?戴人曰∶惊者平之,平者常也,
常见必无惊。是夜使人击其门窗,自昏暮达曙,熟卧不闻矣。惊者,神上越也。从下击几,
使之下视,所以收神也。十二日后,虽闻雷亦不惊。
当归(一钱) 白术(八分,用壁土炒制) 陈皮(五分,去掉白色部分) 白芍(五分,炙烤) 生地(七分)
远志(五分,去除木质心) 石菖蒲(六分) 麦冬(七分,去除心部) 酸枣仁(五分,轻微炒制) 甘草(三分半) 黄柏(三分,用童子尿炒制) 知母(五分,用童子尿炒制) 茯神(五分,去除木质部分)
如果虚损极其严重,加入人参三分。另一配方加入柏子仁、北五味子,用水煎服。
朱砂安神丸
朱砂(三钱,用水研磨成末) 黄连(用酒洗过,六钱) 甘草(炙烤,二钱五分) 生地黄(一钱五分)
当归(二钱)
将上述药材研成细末,用蒸饼作为粘合剂制成丸药,大小如黍米,每次服用三五十丸,睡前用唾液送服。
林学院曾在海南任职,他的一个儿子非常聪明,喜欢吃海蛤,每次吃饭都必须准备。到了十八年,突然面色发青,身体消瘦,夜间经常惊悸,大家都认为是痨瘵(肺结核类消耗性疾病),各种治疗都没有效果。于是请杜医生诊治,杜医生说:这不是病。怎么知道的呢?虽然面削色青,但精神没有减少,问这位秀才平时喜欢吃什么东西。回答说:多吃海南的特产美味。杜医生说:只要多服用生津液的药物,病自然会好。像这样经过两个月,脸色逐渐红润,夜里也不再惊悸。学士邀请杜医生询问说:希望听听这个病的原理。杜医生说:《素问》说:咸味引发口渴,这是胜血(耗伤血液)的证候。现在既然去掉了盐,使用生津液的药物,人还年轻力壮,血液容易生成,而脸色逐渐红润,这个病好了才能安宁。众医生认为是痨瘵,治疗方法不对。
卫德新的妻子,住在旅馆楼上,夜里遇到强盗抢劫并放火烧房,受惊从床上摔下来,从此以后每次听到响声,就惊吓跌倒失去知觉,各位医生当作心病治疗,都没有效果。戴人见到后判断说:惊,是阳气从外侵入。恐,是阴气从内生出。惊,是自己不知道原因。恐,是自己知道原因。足少阳胆经属于肝木,胆代表勇气。惊恐会损伤胆。于是命令侍女抓住她的双手,按在高椅子上坐下,在面前放一个小桌子,戴人说:娘子请看这一块木头,猛地敲击它,那妇人非常惊恐。戴人说:我用木头敲击桌子,何必惊慌呢?等待片刻,再次敲击,惊恐稍微缓和,又过了一会儿,连续敲击三五次,又用杖敲击门,又派人敲击背后的窗户,慢慢地惊恐平定。卫感叹说:这是什么治疗方法?戴人说:惊者平之,平就是平常,常见的事物必然不会引起惊恐。当天晚上让人敲击她的门窗,从黄昏到天亮,熟睡听不到声音了。惊,是神气向上浮越。从下面敲击桌子,让她向下看,所以能收敛神气。十二天后,即使听到雷声也不惊恐。
Angelicae Sinensis Radix (1 qian) Atractylodis Macrocephalae Rhizoma (8 fen, stir-fried with wall soil) Citri Reticulatae Pericarpium (5 fen, white pith removed) Paeoniae Radix Alba (5 fen, processed with heat) Rehmanniae Radix (7 fen) Polygalae Radix (5 fen, woody core removed) Acori Tatarinowii Rhizoma (6 fen) Ophiopogonis Radix (7 fen, heart removed) Ziziphi Spinosae Semen (5 fen, lightly stir-fried) Glycyrrhizae Radix et Rhizoma (3.5 fen) Phellodendri Cortex (3 fen, stir-fried with child's urine) Anemarrhenae Rhizoma (5 fen, stir-fried with child's urine) Poria Cum Ramo Pinus (5 fen, woody part removed)
In cases of extreme deficiency, add Ginseng Radix et Rhizoma (3 fen). Another prescription adds Biota Seed and Schisandrae Fructus, decocted in water and taken orally.
Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill)
Cinnabar (3 qian, ground into powder with water) Coptidis Rhizoma (washed with wine, 6 qian) Glycyrrhizae Radix et Rhizoma (processed with heat, 2.5 qian) Rehmanniae Radix (1.5 qian) Angelicae Sinensis Radix (2 qian)
Grind the above ingredients into a fine powder, use steamed wheat cake as a binder to form pills, sized like millet seeds. Take 30-50 pills each time, swallowed with saliva before bedtime.
The Academician Lin served in Hainan. His son was very intelligent and loved eating sea clams, which were always prepared for every meal. In the eighteenth year, his complexion suddenly turned blue-green, he became emaciated, and suffered from frequent nocturnal palpitations. Everyone believed it was Laozai (consumptive disease resembling tuberculosis), but all treatments failed. He then summoned Doctor Du for diagnosis. Doctor Du said: "This is not a disease." How did he know? Although the face was thin and the color was blue-green, the spirit was not diminished. He asked the scholar what he usually liked to eat. The answer was: "Mostly local delicacies from Hainan." Doctor Du said: "Just take more medicines that generate body fluids, and the illness will heal itself." After two months, the complexion gradually became ruddy, and there were no more nocturnal palpitations. The Academician invited Doctor Du to ask about the principle of this illness. Doctor Du said: "Suwen states: Salty taste induces thirst; this is a syndrome of blood depletion due to excessive salt intake. Now that salt has been eliminated and medicines generating body fluids are used, and since the person is young and vigorous, blood can be easily generated, leading to a ruddy complexion. Only when this condition resolves can peace be restored." The other doctors treated it as Laozai, which was incorrect.
The wife of Wei Dexin stayed in a room upstairs at an inn. At night, robbers raided and set fire to the building. She fell off the bed in fright. Since then, whenever she heard a noise, she would faint from shock. Various doctors treated it as a Heart disorder, but none were effective. Dai Ren examined her and diagnosed: "Jing (startle/fright) is Yang energy entering from outside. Kong (fear) is Yin energy emerging from inside. Jing occurs without conscious awareness. Kong occurs with conscious awareness." The Foot-Shaoyang Gallbladder Meridian belongs to Liver Wood. The Gallbladder governs courage. Fright injures the Gallbladder. He ordered attendants to hold her hands, press her onto a high chair, and place a small table in front of her. Dai Ren said: "Madam, look at this piece of wood." He struck it violently. The woman was greatly startled. Dai Ren said: "I am striking the table with wood; why are you frightened?" After waiting a moment, he struck again, and the startle subsided slightly. After another short while, he struck three or five times continuously, then struck the door with a staff, and had someone strike the window behind her. Gradually, her startle settled. Wei sighed: "What kind of treatment is this?" Dai Ren said: "Treat Jing by making it ordinary (Ping). Ping means common/ordinary. One does not startle at things seen frequently." That night, they made noises on her doors and windows from dusk until dawn, and she slept soundly without hearing them. Jing is the upward floating of Shen (Spirit). Striking the table from below makes her look down, thereby gathering the Shen. Twelve days later, even thunder did not startle her.