治卒癫疾方。灸阴茎上宛宛中三壮,得小便通,则愈。
又方 灸阴茎上三壮,囊下缝二七壮。
又方 灸两乳头三壮,又灸足大趾本聚毛中七壮,灸足小趾本节七壮。
又方 取葶苈一升,捣三千杵,取白犬倒悬之,以杖犬,令血出,承取以和葶苈末,服
如麻子大一丸,三服取瘥。
又方 莨菪子三升。酒五升,渍之出,曝干,渍尽酒止。捣服一钱匕,日三,勿多,益
狂。
又《短剧》癫狂莨菪散。莨菪子三升。末之,酒一升,渍多日出,捣之,以向汁和
绞去滓,汤上煎,令可丸,服如小豆三丸,日三。口面当觉急,头中有虫行者,额及手足应
有赤色处,如此必是瘥候,若未见,服取尽矣。
又方 末房葵,温酒服一刀圭至二三,身润又小不仁为候。
又方 自缢死者绳,烧三指撮,服之。
凡癫疾,发则仆地,吐涎沫,无知强掠,起如狂,反遗粪者,难治。
治卒发狂方。烧虾蟆捣末,服方寸匕,日三服之,酒服。
又方 卧其人着地,以冷水淋其面,为终日淋之。
治卒狂言鬼语方。针其足大拇趾爪甲下入少许,即止。
又方 以甑带急合缚两手,火灸左右胁,握肘头文俱起,七壮,须臾,鬼语自道姓名,
乞去,徐徐诘问,乃解手耳。
凡狂发则欲走,或自高贵称神圣,皆应备诸火炙,乃得永瘥耳。
若或悲泣呻吟者,此为邪魅非狂,自根据邪方治之。《近效方》,已生蚕纸作灰,酒水任
下,瘥。疗风癫也。
附方
《斗门方》治癫痫。用艾于阴囊下谷道正门当中间,随年数灸之。
《千金方》治风癫百病。麻仁四升,水六升,猛火煮,令牙生,去滓,煎取七合,旦空
心服,或发或不发,或多言语,勿怪之。但人摩手足须定,凡进三剂愈。
又方 治狂邪发无时,披头大叫,欲杀人,不避水火。苦参以蜜丸如梧子大。每服十丸
,薄荷汤下。
《外台秘要》治风痫,引胁牵痛,发作则吐,耳如蝉鸣。天门冬去心皮,曝干,捣筛。
酒服方寸匕。若人久服,亦能长生。
《广利方》治心热风痫。烂龙角浓研汁,食上服二合,日再服。
《经验后方》治大人小儿久患风痫,缠喉 嗽,遍身风疹,急中涎潮。
盖此药不太吐逆,只出涎水,小儿服一字,瓜蒂不限多少,细碾为末,壮年一字,十五
以下、老怯半字,早晨井花水下。一食须含沙糖一块,良久涎如水出。年深涎尽,有一块如
涎布,水上如鉴矣。涎尽,食粥一两日。如吐多困甚,即咽麝香汤一盏即止矣。麝细斫,温
水调下。昔天平尚书觉昏眩,即服之,取涎有效。
《明皇杂录》云,开元中有名医纪朋者,观人颜色谈笑,知病深浅,不待诊脉。帝闻之
,召于掖庭中,看一宫人。每日间则笑歌啼号,若狂疾,而足不能履地。朋视之曰∶此必因
食饱而大促力,顿仆于地而然。乃饮以云母汤,令熟寐,觉而失所苦,问之乃言因太华公主
载诞,宫中大陈歌吹,某乃主讴,惧其声不能清且长,吃豚蹄羹饱,而当筵歌大曲,
曲罢觉胸中甚热,戏于砌台上,高而坠下,久而方惺,病狂,足不能及地。
治疗突然发作的癫疾方。在阴茎上凹陷处(曲骨穴)艾灸三壮,待小便通畅后,病即痊愈。
另一首方:在阴茎上艾灸三壮,在阴囊下方缝隙处艾灸十四壮。
又一首方:在两乳头处各艾灸三壮,又在足大趾根部聚毛处艾灸七壮,在足小趾本节处艾灸七壮。
又一首方:取葶苈一升,捣三千杵,取一只白狗倒悬,用棍棒击打狗身令其出血,承接血液与葶苈末混合,制成如麻子大一丸的药丸,每次服用一丸,每日三次,服至病愈。
又一首方:莨菪子三升,酒五升,浸泡后取出,晒干,再浸泡直至酒尽为止。捣碎后服用一钱匕大小,每日三次,不可多服,否则会使狂症加重。
又引《短剧》中的癫狂莨菪散:莨菪子三升,研为细末,用酒一升浸泡多日后取出,捣烂,将之前浸泡出的汁液混合并绞去渣滓,在汤锅上煎煮,使其能制成丸剂,每次服用如小豆大三丸,每日三次。服药后口面部会感到拘急,头部感觉有虫爬行,额头及手足相应部位会出现红色斑点,这必定是病情好转的征兆;如果未见这些现象,就将药全部服完。
又一首方:将房葵研为细末,用温酒送服一刀圭至二、三刀圭,以身润且轻微麻木为见效标志。
又一首方:取自缢死者所用的绳索,烧成灰,取三指撮的量服用。
凡是癫疾发作时,患者仆倒在地,吐涎沫,神志不清,强行拉扯也不知情,起身后如同发狂,甚至遗粪者,难以治愈。
治疗突然发作的狂症方:将蛤蟆烧焦后捣成细末,服用一方寸匕的大小,每日三次,用酒送服。
又一首方:让患者卧于地上,用冷水淋其面部,整日持续淋洗。
治疗突然狂言乱语、胡言鬼语方:针刺足大拇趾爪甲下少许,即可停止。
又一首方:用蒸笼带紧紧捆绑双手,用火灸左右胁部,握紧肘头纹路均隆起,每侧七壮,片刻之后,患者会自己说出姓名,请求离开,慢慢审问后,解开手绑即可。
凡是狂症发作时,患者想要奔跑,或自称高贵、神圣,都应当准备各种火灸方法,才能彻底痊愈。
如果是悲伤哭泣、呻吟的患者,这是邪魅作祟而非狂症,应自行根据治疗邪魅的方剂进行治疗。《近效方》记载:将已孵化的蚕纸烧成灰,用水或酒任其送服,可治愈。此方用于治疗风癫。
附方
《斗门方》治疗癫痫:用艾条在阴囊下谷道正中间的位置,根据患者年龄决定艾灸壮数。
《千金方》治疗风癫百病:麻仁四升,水六升,猛火煮至产生泡沫,去渣,煎取七合,早晨空腹服用,无论发作与否或多言语,不要奇怪。只需让人按住患者的手足使其安定,凡服用三剂即可痊愈。
又一首方:治疗狂邪随时发作,披头散发大叫,想要杀人,不避水火。用苦参制成蜜丸,如梧桐子大。每次服用十丸,用薄荷汤送下。
《外台秘要》治疗风痫,牵引胁肋疼痛,发作时呕吐,耳中如蝉鸣。天门冬去掉心皮,晒干,捣碎筛粉。用酒送服一方寸匕。如果长期服用,也能延年益寿。
《广利方》治疗心热风痫:将龙角腐烂后浓研取汁,饭后服用二合,每日两次。
《经验后方》治疗大人小儿久患风痫,喉间痰嗽,遍身风疹,急中涎潮。
此药不太引起呕吐逆反,只排出涎水。小儿服用一字量,瓜蒂不限多少,细碾为末,壮年人服用一字,十五岁以下及体弱老人服用半字,早晨用井花水送服。进食时需含一块沙糖,良久后涎水如水般流出。若病程长、涎水排尽,有一块如涎布的东西浮在水面上,水面如镜一般清澈。涎水排尽后,吃粥一两日。如果吐多导致极度困倦,立即喝一盏麝香汤即可停止。麝香细切,温水调服。昔日天平尚书觉昏眩,服用此药,取涎有效。
《明皇杂录》记载,开元年间有位名医纪朋,观察人的面色谈笑,就能知道病情的深浅,不需要诊脉。皇帝听说后,召他在掖庭中诊治一位宫人。白天她笑歌啼号,像狂疾一样,但脚不能着地。纪朋观察后说:“这一定是因为吃饱后大力用力,突然跌倒在地所致。”于是给她喝云母汤,让她熟睡,醒来后痛苦消失,询问后才说是因为太华公主生育,宫中大设歌舞,她是主唱歌手,担心声音不够清亮悠长,吃了猪蹄羹饱食,并在席间演唱大曲,曲罢觉得胸中很热,在砌台上嬉戏时从高坠落,许久才清醒,因而患病发狂,脚不能着地。
Formula for treating sudden onset of dian (epilepsy/mental disorder). Moxibustion at the depression on the penis (Qugu, CV2) three moxa cones; once urination becomes unobstructed, the disease is cured.
Another formula: Three moxa cones on the penis; fourteen moxa cones in the seam below the scrotum.
Yet another formula: Three moxa cones on each nipple; seven moxa cones in the hairy area at the root of the big toe; seven moxa cones at the proximal interphalangeal joint of the little toe.
Yet another formula: Take one sheng of Tingli (Descurainiae Semen seu Fructus), pound it three thousand times. Suspend a white dog upside down, strike it with a stick to make it bleed, collect the blood, and mix it with the powder of Tingli. Form pills the size of hemp seeds. Take one pill per dose, three times a day, until recovery.
Yet another formula: Three sheng of Langdangzi (Daturae Fructus), five sheng of wine. Soak, take out, dry in the sun, soak again until the wine is exhausted. Pound and take one qianbi (a small measuring spoon) per dose, three times a day. Do not take too much, as it will exacerbate mania.
Also from *Duanju*: Diankuang Langdang San (Datura Powder for Epilepsy and Mania). Three sheng of Langdangzi (Daturae Fructus). Grind into powder, soak in one sheng of wine for several days, take out, pound, mix with the original soaking liquid, strain to remove dregs, and simmer over water until it can be formed into pills. Take three pills the size of soybeans per dose, three times a day. The mouth and face will feel tight, there will be a sensation of insects crawling in the head, and red spots should appear on the forehead and corresponding areas of the hands and feet. This indicates a sign of recovery. If these signs are not seen, finish taking the medicine.
Yet another formula: Grind Fangkui (Malvae Seed or Root) into powder, take with warm wine, one dao gui to two or three dao gui. Recovery is indicated by a moist body and slight numbness.
Yet another formula: Burn the rope used by a person who hanged themselves, take an amount held by three fingers, and ingest it.
Generally, when dian (epilepsy/mental disorder) attacks, the patient falls to the ground, foams at the mouth, loses consciousness, does not respond to forceful restraint, rises acting like someone with kuang (mania), and may defecate involuntarily. Such cases are difficult to treat.
Formula for treating sudden onset of kuang (mania). Burn toads, grind into powder, take one fangcun bi (square-inch scoop) per dose, three times a day, taken with wine.
Another formula: Lay the patient on the ground, pour cold water over their face, continuing this throughout the day.
Formula for treating sudden kuang (mania) with delirious speech and talking to ghosts. Prick slightly below the nail of the big toe, and the symptoms will stop immediately.
Another formula: Bind both hands tightly with a steamer belt. Apply fire moxibustion to the left and right hypochondrium until the lines around the elbows rise. Seven moxa cones per side. After a short while, the patient will speak their own name, begging to leave. Ask questions slowly, then release the hands.
Generally, when kuang (mania) attacks, the patient wants to run, or claims to be noble or divine. All kinds of fire moxibustion methods should be prepared to achieve permanent cure.
If the patient is weeping or groaning, this is caused by evil spirits rather than kuang (mania); treat according to formulas for dispelling evil spirits. *Jin Xiao Fang* records: Ashes from hatched silkworm cocoons, taken with water or wine, cure the condition. This treats wind-dian (wind-induced epilepsy/mental disorder).
Supplementary Formulas
*Dou Men Fang* treats dian (epilepsy/mental disorder). Use moxa on the midpoint between the anus and the scrotum, based on the patient's age in terms of moxa cones.
*Qian Jin Fang* treats various diseases of wind-dian (wind-induced epilepsy/mental disorder). Four sheng of Mahuren (Cannabis Seed), six sheng of water. Boil vigorously until foam forms, strain, simmer to obtain seven he. Take on an empty stomach in the morning. Whether seizures occur or not, or if there is excessive talking, do not be alarmed. Restrain the patient's hands and feet to keep them calm. Three doses will cure.
Another formula: Treats kuang xie (mad evil) attacking at any time, with disheveled hair, screaming, wanting to kill, disregarding fire and water. Make pills of Kushen (Sophorae Flavescentis Radix) with honey, the size of wuzi (wuze fruit/seeds). Take ten pills per dose, washed down with Bohe Tang (Mint Decoction).
*Waitai Miyao* treats feng xian (wind epilepsy), with pain pulling the hypochondrium, vomiting during attacks, and tinnitus like cicadas. Tianmendong (Asparagi Radix), remove heart and skin, dry in sun, pound and sieve. Take one fangcun bi (square-inch scoop) with wine. Long-term use can also prolong life.
*Guang Li Fang* treats xin re feng xian (heart-heat wind epilepsy). Grind Longjiao (Dragon Horn) thoroughly to extract juice. Take two he after meals, twice a day.
*Jing Yan Hou Fang* treats long-standing wind xian (epilepsy) in adults and children, throat phlegm cough, generalized wind rashes, and sudden tidal flow of saliva.
This medicine does not cause severe vomiting, only expels saliva. Children take one zi character measure; Gudi (Melon Fruit) amount is unlimited, finely ground into powder. Adults take one zi character measure; those under fifteen or frail elderly take half a zi character measure. Take with well water in the morning. Hold a piece of rock sugar in the mouth during a meal; after a while, saliva will flow out like water. If the illness is chronic and saliva is exhausted, a cloth-like substance resembling dried saliva will float on the water surface, making the water clear as a mirror. After saliva is exhausted, eat congee for one or two days. If vomiting is excessive and fatigue is severe, drink one cup of Shexiang Tang (Musk Decoction) to stop it. Cut Musk finely, mix with warm water, and take. Formerly, Minister Jue suffered from dizziness; taking this medicine to expel saliva was effective.
*Ming Huang Za Lu* states that during the Kaiyuan era, there was a famous doctor named Ji Peng. By observing people's complexions and conversations, he could know the depth of their illness without pulse diagnosis. The Emperor heard of this and summoned him to the Ye Ting palace to examine a palace maid. During the day, she laughed, sang, cried, and screamed, appearing manic, but her feet could not touch the ground. Ji Peng observed and said, "This must be due to eating full and exerting great strength, causing a sudden fall." He gave her Yunmu Tang (Mica Decoction) to induce deep sleep. Upon waking, her suffering ceased. She explained that during the birth celebration of Princess Taihua, the palace held grand music and dance performances. As the lead singer, fearing her voice would not be clear and long enough, she ate pig trotter soup until full, then performed a major song on stage. After the song, she felt intense heat in her chest. While playing on a terrace wall, she fell from a height and remained unconscious for a long time before regaining consciousness, resulting in manic illness where her feet could not touch the ground.