（附心风）
癫狂由七情所郁。遂生痰涎。迷塞心窍。不省人事。目瞪不瞬。妄言叫骂。甚则逾垣上
屋。
裸体打人。当治痰宁心。宜辰砂妙香散。加金箔珍珠末。杂青州白丸子末。浓姜汤调下。吞
十四友丸。滑石六一汤。加珍珠末。白汤调下。
有病癫人专服四七汤而愈。盖痰迷为颠。气结为痰故也。如健忘如惊悸。如怔忡五痫。
亦宜用此。
如颠狂不定。非轻剂所能愈者。宜太乙膏及抱胆丸。心风者。精神恍惚。喜怒不常。
无语时或错乱。有颠之意。不如颠之甚。亦痰气所为也。宜星香散。加石菖蒲人参各半钱。
下寿星丸。
有心经蕴热。发作不常。或时烦躁。鼻眼各有热气。不能自由。有类心风。稍定复作。
参苏
饮加石菖蒲一钱。有妇人狂言叫骂。歌笑不常。似祟凭根据。一边眼与口角吊起。或作颠治。
或作心风治。皆不效。乃是旧有头风之疾。风痰作之使然。用芎心汤加防风十分。数服其病
顿愈。
不寐有二种。有病后虚弱及年高人阳衰不寐。有痰在胆经。神不归舍。亦令不寐。虚者
六
君子汤加炒酸枣仁。炙黄 各半钱。痰者。宜温胆汤。减竹茹一半。加南星炒酸枣仁各半钱
下青灵丹。
伤寒不寐。当于活人书中求之。
自惊悸以后诸证。亦可用温胆汤加。或同金银煎竹茹。则随其寒热虚实而去取之。导
痰汤加石菖蒲半钱尤治。
大抵惊悸健忘。怔忡失志不寐。心风。皆是胆涎沃心。以致心气不足。若用凉心之剂。
太过则心火愈微。痰涎愈盛。病愈不减。惟当以理痰气为第一义。
（附：心风）
癫狂是由于七情（喜、怒、忧、思、悲、恐、惊）郁结所致。进而产生痰涎，迷塞心窍，导致神志不清，人事不省。表现为眼睛瞪大不眨眼，胡言乱语，大声叫骂，严重时甚至翻墙爬屋，脱光衣服打人。治疗应当化痰宁心，适宜服用辰砂妙香散，加入金箔和珍珠末，混合青州白丸子末，用浓姜汤调服。同时吞服十四友丸、滑石六一汤，加入珍珠末，用白开水调服。
有患癫病的人专门服用四七汤而痊愈。这是因为痰迷心窍导致癫证，气机郁结生成痰浊的缘故。如出现健忘、惊悸、怔忡（心跳剧烈不安）、五痫（五种类型的癫痫）等症状，也适宜使用此方。
如果癫狂症状不稳定，非轻剂所能治愈的，适宜使用太乙膏及抱胆丸。所谓心风，表现为精神恍惚，喜怒无常，有时沉默不语或言语错乱，有癫证的迹象，但不如癫证严重，也是由痰气引起的。适宜服用星香散，加入石菖蒲、人参各半钱，送服寿星丸。
有心经蕴热，发作不定时，有时烦躁，鼻眼各有热气上冲，不能自主，类似心风，稍安定后又复发。可用参苏饮加石菖蒲一钱。有妇人狂言叫骂，歌笑无常，似被邪祟依附，一边眼睛与口角歪斜吊起，或按癫证治疗，或按心风治疗，均无效。这其实是旧有的头风疾病，因风痰引发所致。使用芎心汤加防风十分，数服后病顿愈。
不寐（失眠）有两种情况。一是病后体虚及老年人阳气衰弱导致的不寐；二是胆经有痰，神志不能归舍，也会导致不寐。属虚证的，用六君子汤加炒酸枣仁、炙黄芪各半钱。属痰证的，适宜用温胆汤，减去一半竹茹，加入南星、炒酸枣仁各半钱，送服青灵丹。
伤寒引起的不寐，应当在《活人书》中寻求治法。
自惊悸以后的各种证候，也可以用温胆汤加减。或者配合金银煎、竹茹，根据寒热虚实的情况进行取舍。导痰汤加石菖蒲半钱尤其有效。
大抵惊悸、健忘、怔忡、失志、不寐、心风等症，都是由于胆中涎沫浸渍心脏，导致心气不足。如果使用清心凉的药剂，过于寒凉则心火更加微弱，痰涎更加旺盛，病情不会减轻。只有以调理痰气为第一要义。
(Attached: Xin Feng / Wind of the Heart)
Dian Kuang (Mania and Epilepsy) is caused by the stagnation of Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright). This subsequently generates Tan Xie (Phlegm-Fluids), which cloud and obstruct the Orifices of the Heart, leading to a loss of consciousness. Symptoms include staring with unblinking eyes, incoherent speech, shouting and cursing; in severe cases, patients may climb walls or roofs, strip naked, and strike others. Treatment should focus on resolving phlegm and calming the Heart. Chen Sha Miao Xiang San (Cinnabar Wonderful Fragrance Powder) is indicated, added with Jin Bo (Gold Leaf) and Zhen Zhu Mo (Pearl Powder), mixed with Qing Zhou Bai Wan Zi Mo (Qingzhou White Pill Powder), and taken down with strong Ginger Decoction. Simultaneously, swallow Shi Si You Wan (Fourteen Friends Pill) and Hua Shi Liu Yi Tang (Talcum Six-to-One Decoction) added with Pearl Powder, taken down with plain water.
There are cases where Dian (Epilepsy/Depression) patients recover solely by taking Si Qi Tang (Four Substances Decoction). This is because Tan Mi (Phlegm Clouding) causes Dian, and Qi Jie (Qi Knotting) generates Tan. For symptoms such as forgetfulness, Jing Ji (Palpitations with fright), Zheng Chong (Violent Palpitations), and Wu Xian (Five Types of Epilepsy), this formula is also appropriate.
If Dian Kuang symptoms are unstable and cannot be cured by mild agents, Tai Yi Gao (Great Unity Ointment) and Bao Dan Wan (Gall Bladder Guarding Pill) are indicated. Xin Feng (Wind of the Heart) is characterized by spiritual trance, irregular joy and anger, occasional silence or confused speech. It resembles Dian but is less severe, and is also caused by Tan Qi (Phlegm-Qi). Xing Xiang San (Star Fragrance Powder) is indicated, added with Shi Chang Pu (Acorus Rhizome) and Ren Shen (Ginseng Root), each half qian, followed by Shou Xing Wan (Longevity Star Pill).
When there is latent heat in the Heart Meridian, attacks occur intermittently, sometimes with irritability, and a sensation of hot air rising from the nose and eyes, causing lack of freedom of movement. This resembles Xin Feng, subsiding slightly before recurring. Shen Su Yin (Ginseng and Perilla Drink) added with Shi Chang Pu (Acorus Rhizome) one qian is indicated. In women who speak madly, shout, laugh and sing irregularly, appearing possessed, with one eye and corner of the mouth drawn upward, treatment as Dian or Xin Feng fails. This is actually an old condition of Tou Feng (Head Wind), triggered by Feng Tan (Wind-Phlegm). Xiong Xin Tang (Sichuan Lovage Heart Decoction) added with Fang Feng (Saposhnikovia Root) ten fen cures the disease quickly after several doses.
Bu Mei (Insomnia) has two types. One type occurs due to weakness after illness and Yang decline in the elderly. The other type is caused by Tan (Phlegm) in the Gall Bladder Meridian, preventing the Shen (Spirit) from returning to its residence, also leading to insomnia. For deficiency patterns, Liu Jun Zi Tang (Six Gentlemen Decoction) added with Chao Suan Zao Ren (Fried Ziziphus Seed) and Zhi Huang Qi (Honey-fried Astragalus Root), each half qian, is used. For phlegm patterns, Wen Dan Tang (Warm the Gallbladder Decoction) is indicated, with half the amount of Zhu Ru (Bamboo Shavings) reduced, added with Nan Xing (Arisaema Rhizome) and Chao Suan Zao Ren (Fried Ziziphus Seed), each half qian, followed by Qing Ling Dan (Green Spirit Elixir).
For Bu Mei caused by Shang Han (Cold Damage), one should seek guidance in *Liu Ren Shu* (The Book of Living Persons).
Various syndromes following Jing Ji (Palpitations with fright) can also be treated with modifications of Wen Dan Tang. Alternatively, combine with Jin Yin Jian (Silver and Gold Decoction) or Zhu Ru (Bamboo Shavings), selecting based on Cold, Heat, Deficiency, and Excess. Dao Tan Tang (Guiding Phlegm Decoction) added with Shi Chang Pu (Acorus Rhizome) half qian is particularly effective.
Generally, Jing Ji (Palpitations with fright), forgetfulness, Zheng Chong (Violent Palpitations), loss of will, Bu Mei (Insomnia), and Xin Feng (Wind of the Heart) are all caused by Dan Xian (Gallbladder Saliva/Phlegm) flooding the Heart, resulting in insufficient Heart Qi. If cooling agents for the Heart are used excessively, Heart Fire becomes weaker, and Tan Xie (Phlegm-Fluids) increase, so the disease does not subside. The primary principle must be to regulate Tan Qi (Phlegm-Qi).