某氏 因惊致癫，向暗悲泣，坐卧如痴十余年。神衰肌削，此失心难治痼疾，非大补元气不为功。仿安心
丸。人参、黄精、茯神、当归、远志、枣仁、菖蒲、乳香（各研极细）。用猪心切开，入朱砂，以线缚定，再
箬裹扎紧，酒煮研烂，入各药末，加煮枣肉捣丸桐子大，（另用朱砂为衣）。每服六七十丸，参汤下，以无
力用参而止，惜夫。
王 因郁发狂，笑詈善怒，面赤目红，脉洪大，此阳气暴折，因怒触发，木火失制，热痰上乘心包，病名
阳厥。用生铁落饮去芄、防，加山栀、连翘、羚羊角、竹沥、石菖蒲、丹皮。数剂而狂定。
张氏 恍惚狂妄，视夫若仇，持械弃衣，莫之敢近，脉滑而弦。用独圣散吐之，去粘涎宿沫颇多，捶胸言
痛，诊脉稍平，然犹独言独笑，知其痰沫去而心舍虚，神魂未复也。用栝蒌仁、贝母、橘红、胆量、菖蒲汁、
郁金汁、姜汁、枳壳、茯苓。一剂胸痛定。乃仿龙齿清魂散。用龙齿（ ）、茯神、铁粉、牡蛎、乳香、远志、
枣仁、当归，二剂如常。
包 因恐发狂，神扰语妄，脉右大左软。症由心虚受吓，惊痰乱其神明，非痫疾也。痫乃一时昏仆，醒
即明了，即用胆星，川连等泄降痰火，月来神识稍清，宜用白金丸六服，再以清心温胆汤安神定志，可冀向安。
潞参、淡竹茹、枳壳、橘红、茯神、生枣仁、栀心、远志、麦冬、莲子心、鲜菖蒲，（汁冲。）三四剂已效，
改汤为丸服，遂复常。
王氏 独言独笑，痰多气郁。用温胆汤降涤扰心涎沫，数服效。
张 少年怀抱不遂，渐次神明恍惚，言语失伦，面赤眼斜，弃衣裂帐。曾服草药吐泻，痰火略定。
今交午火升，独言独笑，半昧半明，左脉弦长，自属肝胆火逆，直犯膻中，神明遂为痰涎所蔽。经谓肝者谋
虑所出，胆者决断所出。凡肝胆谋虑不决，屈何所伸，怒何所泄，木火炽煽，君主无权，从此厥逆不寐，重阳
必狂。前已服牛黄清心丸，今拟平肝胆之火，涤心包之痰，暂服煎剂，期于清降火逆，扫荡粘涎。后服丸方，
缓收其效。（煎方∶）龙胆草、山栀、郁金（磨汁）、贝母、连翘、茯神、天竺黄、知母、石菖蒲（捣汁）、
橘红，金器同煎，五六服狂态大敛。谈及前辙，深知愧赧，一切如常，诊脉左右已匀，沉按有力。再疏丸方。
胆南星、川贝（各二钱）、山栀（五钱）、郁金、龙齿（ 。各三钱）、牛黄（八分）、羚羊角（二钱）、茯神
（五钱）、生地（一两）。用淡竹沥为丸，朱砂为衣，开水下，一料遂不复发。
某姓患者，因受惊吓而引发癫证，平时沉默寡言、悲伤哭泣，坐卧姿态如同痴呆一般，持续十余年。精神衰弱，肌肉消瘦，这是心神失守难以治愈的顽固疾病，必须大补元气才能见效。仿照安心丸的方义进行配制。用人参、黄精、茯神、当归、远志、酸枣仁、石菖蒲、乳香（各研磨成极细粉末）。取猪心切开，放入朱砂，用线捆扎固定，再用箬竹叶包裹扎紧，加酒煮烂后研磨成泥，加入上述药末，再加煮熟的枣肉捣匀制成梧桐子大小的丸剂（另用朱砂作为包衣）。每次服用六七十丸，用参汤送服，直到患者无力服用人参时停止，可惜未能完全治愈。
王某，因情绪抑郁引发狂证，嬉笑骂人、容易发怒，面色红赤、眼睛发红，脉象洪大，这是阳气突然受挫，因愤怒触发，肝木与心火失去制约，热痰上扰心包，病名为阳厥。使用生铁落饮，去掉芫花、防风，加入山栀、连翘、羚羊角、竹沥、石菖蒲、牡丹皮。服用数剂后狂躁症状平息。
张姓患者，神情恍惚狂妄，视丈夫如仇敌，手持器械、脱去衣物，无人敢靠近，脉象滑而弦。使用独圣散催吐，排出大量粘涎和宿积泡沫，捶打胸口诉说疼痛，诊察脉搏稍显平和，但仍然自言自语、独自发笑，可知痰涎虽去但心窍空虚，神魂尚未恢复。使用瓜蒌仁、贝母、橘红、胆南星、石菖蒲汁、郁金汁、姜汁、枳壳、茯苓。服用一剂后胸痛平息。接着仿照龙齿清魂散。使用龙齿、茯神、铁粉、牡蛎、乳香、远志、酸枣仁、当归，服用两剂后恢复正常。
包姓患者，因恐惧引发狂证，神志扰乱、言语错乱，右脉大左脉软。病症由心虚受惊所致，惊痰扰乱神明，并非痫疾。痫疾是暂时昏倒仆地，醒来后即清醒明白。此处即用胆南星、黄连等药物泄降痰火，一个月来神识稍微清晰，适宜服用白金丸六次，再使用清心温胆汤安神定志，有望逐渐安宁。使用潞党参、淡竹茹、枳壳、橘红、茯神、生酸枣仁、栀子心、远志、麦冬、莲子心、鲜石菖蒲（汁液冲服）。服用三四剂后见效，改汤剂为丸剂服用，于是恢复常态。
王氏，自言自语、独自发笑，痰多气机郁滞。使用温胆汤降涤扰乱心神的痰涎，服用数剂后见效。
张某，少年时期抱负不得施展，渐渐出现神志恍惚、言语不合逻辑、面红眼斜、脱衣撕帐等症状。曾服用草药导致呕吐腹泻，痰火症状略微平息。如今正值午时阳气升发，自言自语、独自发笑，神志半明半昧，左脉弦长，这属于肝胆之火上逆，直犯膻中穴，神明被痰涎遮蔽。医经说肝主谋虑，胆主决断。凡是肝胆谋虑不决，委屈无处伸展，愤怒无处发泄，木火炽盛煽动，君主（心）无权，从此发生厥逆不寐，重阳必发狂证。之前已服用牛黄清心丸，现在拟平抑肝胆之火，涤除心包之痰，暂时服用煎剂，期望清除降逆之火，扫荡粘腻痰涎。后续服用丸方，缓慢收效。（煎剂方：）龙胆草、山栀、郁金（磨汁）、贝母、连翘、茯神、天竺黄、知母、石菖蒲（捣汁）、橘红，与金器同煎，服用五六剂后狂躁状态大幅收敛。谈及过往行为，深知羞愧难当，一切恢复正常，诊察左右脉搏已均匀，沉按有力。再次开具丸方。胆南星、川贝母（各二钱）、山栀（五钱）、郁金、龙齿（各三钱）、牛黄（八分）、羚羊角（二钱）、茯神（五钱）、生地黄（一两）。用淡竹沥制作丸剂，朱砂包衣，开水送服，一料药后便不再复发。
A patient surnamed Mou developed Dian syndrome (epileptic psychosis characterized by withdrawal and depression) due to fright. For over ten years, the patient remained silent, wept sadly, and sat or lay in a state resembling idiocy. With spiritual depletion and emaciated muscles, this is a stubborn disease of lost heart-mind that is difficult to treat; only by greatly tonifying Yuan Qi (Original Qi) can success be achieved. Following the principle of Anxin Wan (Calming the Heart Pill), Ren Shen (Ginseng Root), Huang Jing (Polygonatum Rhizome), Fu Shen (Poria with Hostwood), Dang Gui (Angelica Sinensis Root), Yuan Zhi (Polygala Root), Suan Zao Ren (Ziziphus Seed), Shi Chang Pu (Acorus Rhizome), and Ru Xiang (Frankincense Resin) were each ground into an extremely fine powder. A pig heart was cut open, Cinnabar (Zhusha) was placed inside, and it was tied securely with thread, then wrapped tightly in bamboo leaves. It was boiled in wine until soft and mashed, then mixed with the herbal powders. Cooked jujube flesh was added, and the mixture was pounded into pills the size of paulownia seeds (coated separately with Cinnabar). Each dose consisted of 60-70 pills, taken with Ginseng decoction, stopping when the patient became too weak to take Ginseng. Unfortunately, full recovery was not achieved.
Patient Wang developed Kuang syndrome (psychosis characterized by agitation and aggression) due to emotional stagnation. The patient laughed, cursed, and was prone to anger, with a red face and red eyes, and a洪 Da (Surging and Large) pulse. This indicated a sudden fracture of Yang Qi triggered by anger, leading to uncontrolled Wood (Liver) and Fire (Heart) energies, with Phlegm-Heat ascending to disturb the Pericardium. The disease is named Yang Jue (Yang Reversal). Sheng Tie Luo Yin (Raw Iron Drop Decoction) was used, removing Yuan Hua (Genkwa Flower) and Fang Feng (Saposhnikovia Root), and adding Shan Zhi (Gardenia Fruit), Lian Qiao (Forsythia Fruit), Ling Yang Jiao (Antelope Horn), Zhu Li (Bamboo Sap), Shi Chang Pu (Acorus Rhizome), and Dan Pi (Moutan Cortex). After several doses, the manic behavior subsided.
A patient surnamed Zhang exhibited vague and delirious behavior, viewing her husband as an enemy, holding weapons, stripping naked, and deterring anyone from approaching. The pulse was Slippery and Wiry. Du Sheng San (Supreme Holy Powder) was administered to induce vomiting, expelling a significant amount of sticky phlegm and old foam. The patient beat their chest in pain, and the pulse became slightly calmer, yet they continued to speak and laugh alone. This indicated that while the phlegm had been removed, the Heart residence was deficient, and the Hun and Shen (Soul and Spirit) had not yet recovered. Gua Lou Ren (Trichosanthes Seed), Bei Mu (Fritillaria Bulb), Ju Hong (Tangerine Peel), Dan Nan Xing (Arisaema with Bile), Shi Chang Pu Juice, Yu Jin Juice, Jiang Zhi (Ginger Juice), Zhi Ke (Aurantium Fruit), and Fu Ling (Poria) were prescribed. After one dose, chest pain resolved. Subsequently, Long Chi Qing Hun San (Dragon Tooth Clearing Soul Powder) was imitated. Long Chi (Dragon Tooth/Fossilized Teeth), Fu Shen (Poria with Hostwood), Tie Fen (Iron Powder), Mu Li (Oyster Shell), Ru Xiang (Frankincense Resin), Yuan Zhi (Polygala Root), Suan Zao Ren (Ziziphus Seed), and Dang Gui (Angelica Sinensis Root) were used. After two doses, normalcy returned.
Patient Bao developed manic behavior due to fear, with disturbed spirit and delirious speech. The right pulse was Large, and the left pulse was Soft. The condition stemmed from Heart deficiency receiving shock, where fright-induced Phlegm confused the Ming Shen (Bright Spirit); this was not Xian Ji (Epilepsy). Epilepsy involves temporary collapse and loss of consciousness, followed by immediate clarity upon waking. Here, Dan Nan Xing (Arisaema with Bile) and Chuan Lian (Coptis Rhizome) were used to drain and descend Phlegm-Fire. Over the past month, mental clarity improved slightly. It was appropriate to administer Bai Jin Wan (White Gold Pill) six times, followed by Qing Xin Wen Dan Tang (Clear Heart Warm Gallbladder Decoction) to calm the spirit and stabilize willpower, hoping for gradual peace. Lu Shen (Codonopsis Root), Dan Zhu Ru (Bamboo Shavings), Zhi Ke (Aurantium Fruit), Ju Hong (Tangerine Peel), Fu Shen (Poria with Hostwood), Sheng Suan Zao Ren (Raw Ziziphus Seed), Zhi Xin (Gardenia Stamen), Yuan Zhi (Polygala Root), Mai Dong (Ophiopogon Tuber), Lian Zi Xin (Lotus Plumule), and Xian Shi Chang Pu (Fresh Acorus Rhizome, juice taken separately) were prescribed. After three to four doses, efficacy was observed. The prescription was changed from decoction to pills, leading to full recovery.
Patient Wang spoke and laughed alone, with excessive phlegm and Qi stagnation. Wen Dan Tang (Warm Gallbladder Decoction) was used to descend and cleanse the phlegm disturbing the Heart. After several doses, improvement occurred.
Patient Zhang, frustrated in his ambitions during youth, gradually developed vague spirit and illogical speech, with a red face, slanted eyes, and tendencies to strip and tear curtains. He had previously taken herbal medicine causing vomiting and diarrhea, which slightly settled the Phlegm-Fire. Now, at noon when Fire rises, he speaks and laughs alone, with half-conscious awareness. The left pulse is Wiry and Long, indicating Liver-Gallbladder Fire counterflow directly attacking Dan Zhong (Chest Center), obscuring the Ming Shen with Phlegm-Saliva. The Classics state: "The Liver is the source of planning; the Gallbladder is the source of decision." When Liver-Gallbladder planning is unresolved, grievance cannot be extended, and anger cannot be discharged. Wood and Fire blaze fiercely, the Monarch (Heart) loses authority, leading to Jue Ni (Reversal) and insomnia. Extreme Yang leads to Kuang (Mania). Previously, Niu Huang Qing Xin Wan (Calcareous Calculus Clearing Heart Pill) was taken. Now, the plan is to level Liver-Gallbladder Fire and cleanse Pericardium Phlegm. A temporary decoction is proposed to clear and descend counterflowing fire and sweep away sticky phlegm. Later, a pill formula will be used for slow effect. (Decoction: Long Dan Cao (Gentiana Root), Shan Zhi (Gardenia Fruit), Yu Jin (Curcuma Tuber, ground into juice), Bei Mu (Fritillaria Bulb), Lian Qiao (Forsythia Fruit), Fu Shen (Poria with Hostwood), Tian Zhu Huang (Bambusa Textilis Mite Deposit), Zhi Mu (Anemarrhena Rhizome), Shi Chang Pu (Acorus Rhizome, crushed into juice), Ju Hong (Tangerine Peel), decocted together with gold vessels. After five or six doses, manic states largely subsided. Reflecting on past actions, deep shame was felt, and everything returned to normal. The left and right pulses were even and strong upon deep palpation. Another pill formula was prescribed: Dan Nan Xing (Arisaema with Bile), Chuan Bei (Fritillaria Bulb, 2 qian each), Shan Zhi (Gardenia Fruit, 5 qian), Yu Jin (Curcuma Tuber), Long Chi (Dragon Tooth, 3 qian each), Niu Huang (Calcareous Calculus, 8 fen), Ling Yang Jiao (Antelope Horn, 2 qian), Fu Shen (Poria with Hostwood, 5 qian), Sheng Di (Rehmannia Root, 1 liang). Made into pills with Dan Zhu Li (Bamboo Sap), coated with Zhusha (Cinnabar), taken with warm water. One course prevented recurrence.)