脉浮滑洪数为风痫,细弦微缓为虚痫。浮为阳痫,沉为阴痫。
虚弦为惊,沉数为实热。沉实弦急及虚散者,皆不治。细缓者,虽久剧可治,又目瞪如呆者,不治。
〔通治〕定痫丸 天麻 川贝 胆星 半夏 陈皮 茯苓 茯神 丹参 菖蒲 麦冬 远志 全蝎
僵蚕 琥珀 辰砂 竹沥、姜汁糊丸。
〔镇补〕琥珀丸 见本卷癫狂。
〔补元〕河车丸 紫河车 人参 茯神 茯苓 远志 丹参 炼蜜为丸。
〔因惊〕温胆汤 见一卷温。
〔复神〕七福饮 见三卷郁。
〔安神〕远志丸 远志 菖蒲 茯苓 茯神 人参 龙齿 蜜丸,辰砂为衣。
〔肝火〕小柴胡汤 见一卷温。
〔肝火〕泻肝汤 见三卷诸气。
〔透窍〕龙脑安神丸 冰片 麝香 牛黄 犀角 人参 茯神 麦冬 朱砂 桑白皮 地骨皮 马牙硝
金箔 甘草 蜜丸。
〔调气〕四七汤 见二卷咳嗽。
〔培源〕六味丸 见一卷中风。
〔补阴〕虎潜丸 见一卷中风。
〔补心〕养心汤 见二卷劳瘵。
〔补营〕益营煎 参 归 芍 草 茯神 枣仁 远志 紫石英 木香 柏子仁
〔胎痫〕烧丹丸 元精石 轻粉(各一钱) 粉霜 硼砂(各五分) 研细,入寒食面一钱,水丸,再用面裹煨
黄,研丸。
〔泻火〕凉膈散 见一卷中风。
〔吐痰〕三圣散 见一卷中风。
〔除痰〕安神丸 见本卷癫狂。
〔阳痫〕妙香丸 朱砂 牛黄 腻粉 巴霜 金箔 黄蜡 冰片 麝香 蜜丸。
〔阴痫〕五生丸 南星 半夏 川乌 白附 黑豆(各生用,一两) 姜汁糊丸。
〔阴痫〕引神归舍丹 胆星(二两) 辰砂(一两) 川附(童便制,七钱) 猪心血和丸,萱草根煎汤下。
〔通治〕五痫丸 白附子 半夏 南星 乌蛇 全蝎 皂角 白矾 蜈蚣 姜蚕 辰砂 雄黄 麝香
姜汁糊丸,又名五痫神应丸。
〔通治〕钱氏五色丸 珍珠 雄黄 黑铅 水银(同铅炒) 辰砂
〔通治〕六珍丹 水银(半两) 黑铅(一两熬屑) 雄黄 雌黄 珍珠(各一两) 辰砂(五钱) 蜜丸。
〔肝火〕泻青丸 胆草 山栀 大黄 芎 归 羌 防 蜜丸,竹叶汤下。
〔清火〕导赤散 见一卷温。
〔心火〕清神汤 见本卷癫狂。
〔火盛〕清膈饮 胆星(一钱) 木通 陈皮(各八分) 贝母 海石(各二钱) 白芥子(五分)
或加童便。
〔清火〕朱砂安神丸 见二卷汗。
〔逐痰〕控涎丹 见二卷痰饮。
〔降痰〕导痰汤 见一卷中风。
〔透窍〕金箔镇心丸 见本卷癫狂。
〔清火〕抽薪饮 黄芩 石斛 木通 栀子 黄柏 连翘 花粉(各一钱) 枳壳 泽泻(各一钱半)
甘草(三分)
〔消滞〕大和中饮 见三卷饮食。
〔镇惊〕抱龙丸 见本卷癫狂。
〔因怒〕安神导痰汤 见本卷癫狂。
〔心血〕滋阴安神汤 见本卷癫狂。
〔心虚〕清心温胆汤 见本卷癫狂。
〔安神〕归神丹 见本卷癫狂。
〔杀虫〕妙功丸 丁香 木香 沉香(各两半) 乳香 麝香 熊胆(各二钱半) 雄雀屎(三百粒,直者即是)
鹤虱(即天名精) 雷丸 陈皮(去白。各一两) 轻粉(四钱) 大黄(两半) 赤小豆(即赤豆之细者,勿误
半黑半赤之相思子。用三百粒) 巴
豆(七粒,去皮研压去油) 朱砂(一两,飞一半为衣) 为细末,荞麦一两作糊,每两作十丸,朱砂为衣。
每用一丸,温水浸一宿,去水,再用温水化开,空心服之,症重不过三服。
〔调血〕加味逍遥散 见一卷火。
〔化痰〕加味寿星丸 半夏 南星 辰砂 琥珀 枯矾 母珍珠 糊丸。
〔痰火〕清心滚痰丸 见本卷癫狂。
〔除根〕断痫丹 见本卷癫狂。
〔补中〕补中益气汤 见一卷中风。
脉象浮、滑、洪、数,属于风痫;脉象细、弦、微、缓,属于虚痫。脉浮为阳痫,脉沉为阴痫。
脉虚而弦主惊痫,脉沉而数主实热证。脉沉实、弦急以及脉虚散无根的,都属于难治之症(不治)。脉细缓的,即使病情长久剧烈也可以治疗;但如果患者两眼瞪视如同痴呆状,则属难治。
〔通治方〕定痫丸:天麻、川贝母、胆南星、半夏、陈皮、茯苓、茯神、丹参、石菖蒲、麦冬、远志、全蝎、僵蚕、琥珀、辰砂。用竹沥和姜汁泛为丸剂。
〔镇惊补益方〕琥珀丸:见本卷癫狂病章节。
〔补元气方〕河车丸:紫河车、人参、茯神、茯苓、远志、丹参。用炼蜜制成丸剂。
〔因惊致痫方〕温胆汤:见一卷温热病章节。
〔复元神方〕七福饮:见三卷郁证章节。
〔安神方〕远志丸:远志、石菖蒲、茯苓、茯神、人参、龙齿。用蜜制成丸剂,以辰砂为衣。
〔肝火证方〕小柴胡汤:见一卷温热病章节。
〔肝火证方〕泻肝汤:见三卷诸气病章节。
〔透窍方〕龙脑安神丸:冰片、麝香、牛黄、犀角、人参、茯神、麦冬、朱砂、桑白皮、地骨皮、马牙硝、金箔、甘草。用蜜制成丸剂。
〔调气方〕四七汤:见二卷咳嗽病章节。
〔培本源方〕六味丸:见一卷中风病章节。
〔补阴方〕虎潜丸:见一卷中风病章节。
〔补心方〕养心汤:见二卷劳瘵病章节。
〔补营血方〕益营煎:人参、当归、芍药、甘草、茯神、酸枣仁、远志、紫石英、木香、柏子仁。
〔胎痫方〕烧丹丸:元精石、轻粉(各一钱)、粉霜、硼砂(各五分)。研成细末,加入寒食面一钱,用水泛为丸,再用面裹起来煨熟变黄,研细后重新制丸。
〔泻火方〕凉膈散:见一卷中风病章节。
〔吐痰方〕三圣散:见一卷中风病章节。
〔除痰方〕安神丸:见本卷癫狂病章节。
〔阳痫方〕妙香丸:朱砂、牛黄、腻粉、巴豆霜、金箔、黄蜡、冰片、麝香。用蜜制成丸剂。
〔阴痫方〕五生丸:生南星、生半夏、生川乌、生白附子、生黑豆(均生用,各一两)。用姜汁泛为丸剂。
〔阴痫方〕引神归舍丹:胆南星(二两)、辰砂(一两)、川附子(用童便炮制,七钱)。用猪心血调和制成丸剂,用萱草根煎汤送服。
〔通治方〕五痫丸:白附子、半夏、南星、乌梢蛇、全蝎、皂角、白矾、蜈蚣、姜蚕、辰砂、雄黄、麝香。用姜汁泛为丸剂,又名五痫神应丸。
〔通治方〕钱氏五色丸:珍珠、雄黄、黑铅、水银(与水银同铅炒制)、辰砂。
〔通治方〕六珍丹:水银(半两)、黑铅(一两熬成屑)、雄黄、雌黄、珍珠(各一两)、辰砂(五钱)。用蜜制成丸剂。
〔肝火证方〕泻青丸:龙胆草、山栀、大黄、川芎、当归、羌活、防风。用蜜制成丸剂,用竹叶汤送服。
〔清火方〕导赤散:见一卷温热病章节。
〔心火证方〕清神汤:见本卷癫狂病章节。
〔火盛证方〕清膈饮:胆南星(一钱)、木通、陈皮(各八分)、贝母、海浮石(各二钱)、白芥子(五分)。或者加入童便。
〔清火方〕朱砂安神丸:见二卷汗证章节。
〔逐痰方〕控涎丹:见二卷痰饮病章节。
〔降痰方〕导痰汤:见一卷中风病章节。
〔透窍方〕金箔镇心丸:见本卷癫狂病章节。
〔清火方〕抽薪饮:黄芩、石斛、木通、栀子、黄柏、连翘、花粉(各一钱)、枳壳、泽泻(各一钱半)、甘草(三分)。
〔消滞方〕大和中饮:见三卷饮食病章节。
〔镇惊方〕抱龙丸:见本卷癫狂病章节。
〔因怒致痫方〕安神导痰汤:见本卷癫狂病章节。
〔心血不足方〕滋阴安神汤:见本卷癫狂病章节。
〔心虚方〕清心温胆汤:见本卷癫狂病章节。
〔安神方〕归神丹:见本卷癫狂病章节。
〔杀虫方〕妙功丸:丁香、木香、沉香(各两半)、乳香、麝香、熊胆(各二钱半)、雄雀屎(三百粒,直者即为正品)、鹤虱(即天名精)、雷丸、陈皮(去白,各一两)、轻粉(四钱)、大黄(两半)、赤小豆(即赤豆之细小者,切勿误用半黑半赤的相思子,用三百粒)、巴豆(七粒,去皮研碎压榨去油)、朱砂(一两,飞制一半作为丸衣)。研成细末,用荞麦一两煮糊为粘合剂,每两药粉制成十丸,以朱砂为衣。每次服用一丸,温水浸泡一夜,倒掉水,再用温水化开,空腹服用,重症不超过三次服药。
〔调血方〕加味逍遥散:见一卷火证章节。
〔化痰方〕加味寿星丸:半夏、南星、辰砂、琥珀、枯矾、母珍珠。用糊剂泛为丸剂。
〔痰火证方〕清心滚痰丸:见本卷癫狂病章节。
〔除根方〕断痫丹:见本卷癫狂病章节。
〔补中气方〕补中益气汤:见一卷中风病章节。
Pulse floating, slippery, flooding, and rapid indicates Wind Epilepsy (Feng Xian); pulse fine, wiry, slight, and slow indicates Deficiency Epilepsy (Xu Xian). Floating pulse denotes Yang Epilepsy (Yang Xian), while sinking pulse denotes Yin Epilepsy (Yin Xian).
Deficient and wiry pulse indicates Shock Epilepsy (Jing Xian); sinking and rapid pulse indicates Excess Heat (Shi Re). Sinking, excess, wiry, and urgent pulses, as well as deficient and scattered pulses, are all intractable conditions. Fine and slow pulses indicate that although the condition may be chronic and severe, it is treatable; however, if the patient stares blankly with eyes wide open like a dummy, it is intractable.
[General Treatment] Dingxian Wan (Calming Epilepsy Pill): Tianma (Gastrodiae Rhizoma), Chuanbei (Fritillariae Bulbus), Danning (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Fushen (Poria with Hostwood), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Maidong (Ophiopogonis Radix), Yuanzhi (Polygalae Radix), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Hupo (Electrum), Chensha (Cinnabaris). Made into pills using Zhuli (Bambusae Sap) and Jiangzhi (Zingiberis Rhizoma Juice).
[Calming and Tonifying] Hupo Wan (Electrum Pill): See Epilepsy and Mania section in this volume.
[Tonifying Primordial Qi] Heche Wan (Placenta Humanum Pill): Ziheche (Placenta Humanum), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Fuling (Poria), Yuanzhi (Polygalae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma). Made into pills with refined honey.
[Due to Shock] Wendan Tang (Warming Gallbladder Decoction): See Volume 1 on Warm Diseases.
[Restoring Spirit] Qifu Yin (Seven Blessings Infusion): See Volume 3 on Stagnation.
[Calming Spirit] Yuanzhi Wan (Polygala Pill): Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Fuling (Poria), Fushen (Poria with Hostwood), Renshen (Ginseng Radix et Rhizoma), Longchi (Dentis Mamuthi Fossum). Made into honey pills, coated with Chensha (Cinnabaris).
[Liver Fire] Xiaochaihu Tang (Minor Bupleurum Decoction): See Volume 1 on Warm Diseases.
[Liver Fire] Xiegan Tang (Draining Liver Decoction): See Volume 3 on Various Qi Disorders.
[Piercing Orifices] Longnao Anshen Wan (Borneol Calming Spirit Pill): Bingpian (Borneolum Syntheticum), Shexiang (Moschus), Niuhuang (Calculus Bovis), Xijiao (Rhinocerotis Cornu), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Maidong (Ophiopogonis Radix), Zhusha (Cinnabaris), Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Mayaxiao (Natrii Sulfas), Jinbo (Lamina Aurea), Gancao (Glycyrrhizae Radix et Rhizoma). Made into honey pills.
[Regulating Qi] Siqi Tang (Four Seven Decoction): See Volume 2 on Cough.
[Nourishing Source] Liuwei Wan (Six-Ingredient Pill): See Volume 1 on Stroke.
[Tonifying Yin] Huqian Wan (Tiger Kneeling Pill): See Volume 1 on Stroke.
[Tonifying Heart] Yangxin Tang (Nourishing Heart Decoction): See Volume 2 on Consumption.
[Nourishing Ying Blood] Yying Jian (Nourishing Ying Decoction): Renshen (Ginseng Radix et Rhizoma), Gui (Angelicae Sinensis Radix), Shao (Paeoniae Radix Alba), Cao (Glycyrrhizae Radix et Rhizoma), Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), Zhi Shiyin (Fluoritum), Muxiang (Aucklandiae Radix), Baizi Ren (Platycladi Semen).
[Fetal Epilepsy] Shaodan Wan (Burned Cinnabar Pill): Yuanjingshi (Crinis Calcitri), Qingfen (Hydrargyri Oxydum Rubrum) (each 1 qian), Fanshuang (Calomel), Pengsha (Borax) (each 5 fen). Ground into fine powder, mixed with 1 qian of Hanshi mian (Cold Food Flour), made into water pills, then wrapped in dough and roasted until yellow, ground again, and reformed into pills.
[Draining Fire] Liangge San (Cooling Diaphragm Powder): See Volume 1 on Stroke.
[Vomiting Phlegm] Sansheng San (Three Saints Powder): See Volume 1 on Stroke.
[Eliminating Phlegm] Anshen Wan (Calming Spirit Pill): See Epilepsy and Mania section in this volume.
[Yang Epilepsy] Miaoxiang Wan (Wonderful Fragrance Pill): Zhusha (Cinnabaris), Niuhuang (Calculus Bovis), Nifen (Hydrargyri Chloridum Compositum), Bashuang (Crotonis Fructus Extractum), Jinbo (Lamina Aurea), Huangla (Beeswax), Bingpian (Borneolum Syntheticum), Shexiang (Moschus). Made into honey pills.
[Yin Epilepsy] Wusheng Wan (Five Raw Pills): Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Chuanwu (Aconiti Radix), Baifu (Typhonii Rhizoma), Heidou (Sojae Semen Nigrum) (all used raw, each 1 liang). Made into pills with Jiangzhi (Zingiberis Rhizoma Juice).
[Yin Epilepsy] Yishen Guishe Dan (Guiding Spirit Returning Home Pill): Danning (Arisaematis Cum Bile) (2 liang), Chensha (Cinnabaris) (1 liang), Chuanfu (Aconiti Lateralis Radix Praeparata, processed with infant urine) (7 qian). Mixed with Zhu Xinxue (Suis Coris Blood) to form pills, taken with decoction of Xuancgen (Commelinae Rhizoma).
[General Treatment] Wuxian Wan (Five Epilepsies Pill): Baifuzi (Alismatis Rhizoma), Banxia (Pinelliae Rhizoma), Nanxing (Arisaematis Rhizoma), Wushe (Bungarus Parvus), Quanxie (Scorpio), Zaojiao (Gleditsiae Fructus), Baifan (Alumen), Wugong (Centipedae Corpus), Jiangcan (Bombyx Batryticatus), Chensha (Cinnabaris), Xionghuang (Realgar), Shexiang (Moschus). Made into pills with Jiangzhi (Zingiberis Rhizoma Juice), also known as Wuxian Shenyin Wan (Five Epilepsies Divine Response Pill).
[General Treatment] Qianshi Sewu Wan (Qian's Five-Color Pill): Zhenzhu (Margarita), Xionghuang (Realgar), Heiqian (Plumbum), Shuiyin (Hydrargyrum) (stir-fried together with lead), Chensha (Cinnabaris).
[General Treatment] Liuzhen Dan (Six Treasures Pill): Shuiyin (Hydrargyrum) (0.5 liang), Heiqian (Plumbum) (1 liang, boiled into flakes), Xionghuang (Realgar), Cihuang (Orpiment), Zhenzhu (Margarita) (each 1 liang), Chensha (Cinnabaris) (5 qian). Made into honey pills.
[Liver Fire] Xieqing Wan (Draining Green Pill): Dancao (Gentianae Radix), Shanzhi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Xiong (Chuanxiong Rhizoma), Gui (Angelicae Sinensis Radix), Qiang (Qianghuo), Fang (Fangfeng). Made into honey pills, taken with Zhuye (Phyllostachys Viridis Folium) decoction.
[Clearing Fire] Daochi San (Guiding Out Redness Powder): See Volume 1 on Warm Diseases.
[Heart Fire] Qingshen Tang (Clearing Spirit Decoction): See Epilepsy and Mania section in this volume.
[Excessive Fire] Qingge Yin (Clearing Diaphragm Infusion): Danning (Arisaematis Cum Bile) (1 qian), Mutong (Akebiae Caulis), Chenpi (Citri Reticulatae Pericarpium) (each 8 fen), Beimu (Fritillariae Bulbus), Haishi (Pietritum) (each 2 qian), Baijiezi (Sinapis Semen) (5 fen). Alternatively, add Tongbian (Infantis Urine).
[Clearing Fire] Zhusha Anshen Wan (Cinnabar Calming Spirit Pill): See Volume 2 on Sweating.
[Expelling Phlegm] Kongyan Dan (Controlling Saliva Pill): See Volume 2 on Phlegm-Fluids.
[Descending Phlegm] Daotan Tang (Leading Phlegm Decoction): See Volume 1 on Stroke.
[Piercing Orifices] Jinbo Zhenxin Wan (Gold Leaf Calming Heart Pill): See Epilepsy and Mania section in this volume.
[Clearing Fire] Chouxin Yin (Drawing Firewood Infusion): Huangqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Mutong (Akebiae Caulis), Zhizi (Gardeniae Fructus), Huangbai (Phellodendri Cortex), Lianqiao (Forsythiae Fructus), Huafen (Trichosanthis Radix) (each 1 qian), Zhike (Aurantii Fructus), Zexie (Alismatis Rhizoma) (each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen).
[Resolving Stagnation] Dahezhong Yin (Great Harmonizing Middle Infusion): See Volume 3 on Diet.
[Calming Shock] Baolong Wan (Embracing Dragon Pill): See Epilepsy and Mania section in this volume.
[Due to Anger] Anshen Daotan Tang (Calming Spirit Leading Phlegm Decoction): See Epilepsy and Mania section in this volume.
[Heart Blood] Ziyin Anshen Tang (Nourishing Yin Calming Spirit Decoction): See Epilepsy and Mania section in this volume.
[Heart Deficiency] Qingxin Wendan Tang (Clearing Heart Warming Gallbladder Decoction): See Epilepsy and Mania section in this volume.
[Calming Spirit] Guishen Dan (Returning Spirit Pill): See Epilepsy and Mania section in this volume.
[Killing Parasites] Miaogong Wan (Wonderful Merit Pill): Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum) (each 1.5 liang), Ruxiang (Olibanum), Shexiang (Moschus), Xiongdan (Ursi Fel) (each 2.5 qian), Xiongqueshi (Excrement Passeris Domestici Masculini) (300 grains, straight ones are authentic), Heshi (Tianmingjing) (Herba Cynanchi Atrati), Leiwang (Wormseed Fruit), Chenpi (Citri Reticulatae Pericarpium, peeled) (each 1 liang), Qingfen (Hydrargyri Oxydum Rubrum) (4 qian), Dahuang (Rhei Radix et Rhizoma) (1.5 liang), Chixiaodou (Phaseoli Semen Rubrum) (fine red beans, do not mistake for half-black half-red Abrus precatorius seeds, use 300 grains), Badou (Crotonis Fructus) (7 grains, peeled, ground, pressed to remove oil), Zhusha (Cinnabaris) (1 liang, half refined for coating). Ground into fine powder, mixed with 1 liang of Qiaomai paste (buckwheat flour paste), made into ten pills per liang of powder, coated with Zhusha (Cinnabaris). Take one pill at a time, soak in warm water overnight, discard the water, dissolve in warm water, and take on an empty stomach. For severe cases, no more than three doses are needed.
[Regulating Blood] Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder): See Volume 1 on Fire.
[Transforming Phlegm] Jiawei Shouxing Wan (Modified Longevity Star Pill): Banxia (Pinelliae Rhizoma), Nanxing (Arisaematis Rhizoma), Chensha (Cinnabaris), Hupo (Electrum), Kufan (Alumen Ustun), Mu Zhenzhu (Mother Pearl). Made into pills with paste.
[Phlegm-Fire] Qingxin Gun Tan Wan (Clearing Heart Rolling Phlegm Pill): See Epilepsy and Mania section in this volume.
[Eradicating Root] Duanxian Dan (Severing Epilepsy Pill): See Epilepsy and Mania section in this volume.
[Tonifying Middle] Buzhong Yiqi Tang (Tonifying Middle and Augmenting Qi Decoction): See Volume 1 on Stroke.