滚痰丸(王隐君) 治一切实痰异症。孕妇忌服。
青礞石(三两,研如米大,同焰硝三两,用新磁罐内封固,以铁线扎之,外以盐泥封固,
过研末。水飞,二两实) 沉香五分,另研) 川大黄(酒蒸) 黄芩(炒,各八两)
共为末,水泛为丸,绿豆大。每服一钱至二钱,食远沸汤下。
生铁落饮 治狂妄不避亲疏。
铁落(一盏,用水六杯,煮取三杯,入下项药) 石膏(一两) 龙齿 茯苓 防风(各七分) 玄
参秦艽(各五钱)
铁落水三杯,煎一杯服,一日两服。
当归承气汤(秘传方) 治男妇痰迷心窍,逾墙越壁,胡言乱走。
归尾(一两) 大黄(酒洗) 芒硝 枳实 浓朴(各五钱) 炙草(三钱)
水二杯,煎八分服。
温胆汤 骆氏《内经拾遗》云∶癫狂之由,皆是胆涎沃心,故神不守舍,理宜温胆。亦治痫病。
即二陈汤加枳实、鲜竹茹各二钱,或调下飞矾分半。
当归龙荟丸 治肝经实火,大便秘结,小便涩滞。或胸膈疼痛,阴囊肿胀。凡属肝经实火,皆宜用之。
叶天士云∶动怒惊触,致五志阳越莫制,狂乱不避亲疏,非苦降之药,未能清爽其神识也。
当归 龙胆草 栀子仁 黄柏 黄连 黄芩(各一两) 大黄 芦荟 青黛(各五钱) 木香(二
钱五分) 麝香(五分,另研)
共为末,神曲糊丸。每服二十丸,姜汤下。
丹矾丸(《医通》) 治五痫。
黄丹(一两) 白矾(二两)
二味入银罐中 通红,为末。入腊茶一两,不落水猪心血为丸,朱砂为衣。每服三十丸
,茶清下。久服其涎自便出,半月后更以安神药调之。(按∶猪心血不粘,宜加炼蜜少许合捣)
磁朱丸 治癫狂痫如神。
磁石(一两) 朱砂(一两) 六神曲(三两,生研)
共研末。另以六神曲一两,水和作饼,煮浮。入前药加炼蜜为丸,如麻子大。沸汤下二
钱。解见《时方歌括》。
滚痰丸(由王隐君创制):治疗各种实性痰浊引起的怪异病症。孕妇禁止服用。
青礞石(三两,研磨成米粒大小,与焰硝三两一同放入新磁罐内密封固定,用铁线扎紧,外部再用盐泥封固,煅烧至红透后取出研末。经水飞法处理,得药粉二两),沉香(五分,单独研磨),川大黄(酒蒸制),黄芩(炒制,各八两)。
以上药物共同研磨成细末,用水泛法制成丸剂,大小如绿豆。每次服用一钱至二钱,在饭后较远时用沸水送服。
生铁落饮:治疗狂妄自大、不避亲疏的行为。
铁落(一盏,用水六杯,煮取三杯,加入以下药物),石膏(一两),龙齿,茯苓,防风(各七分),玄参,秦艽(各五钱)。
将铁落水三杯,煎煮至一杯时服用,每日服用两次。
当归承气汤(秘传方):治疗男女因痰迷心窍导致的逾墙越壁、胡言乱语、到处乱走的症状。
归尾(一两),大黄(酒洗),芒硝,枳实,浓朴(各五钱),炙甘草(三钱)。
用水二杯,煎煮至八分满时服用。
温胆汤:骆氏在《内经拾遗》中记载:癫狂的成因,都是胆中涎沫浸渍心脏,导致神志不能守舍,因此适宜使用温胆法。此方也用于治疗痫病。
即二陈汤加入枳实、鲜竹茹各二钱,或者调入飞矾半分钱。
当归龙荟丸:治疗肝经实火,大便秘结,小便涩滞不畅。或者胸膈疼痛,阴囊肿胀。凡是属于肝经实火的病症,都适宜使用此方。
叶天士说:动怒受惊,导致五志阳气外越无法制约,出现狂妄混乱、不避亲疏的症状,如果不是用苦寒降泄的药物,就不能使神识清爽。
当归,龙胆草,栀子仁,黄柏,黄连,黄芩(各一两),大黄,芦荟,青黛(各五钱),木香(二钱五分),麝香(五分,单独研磨)。
共同研磨成细末,用神曲糊作为粘合剂制成丸剂。每次服用二十丸,用姜汤送服。
丹矾丸(出自《医宗金鉴·医学入门》或相关医籍,此处指《医通》):治疗五种痫病。
黄丹(一两),白矾(二两)。
将这两味药放入银罐中,加热至通红,研磨成细末。加入腊茶一两,用未产过小猪的心血泛丸,以朱砂为衣。每次服用三十丸,用茶清送服。长期服用可使痰涎自然排出,半月后再用安神药物调理。(按语:如果猪心血不粘稠,宜加入少许炼蜜一起捣匀。)
磁朱丸:治疗癫狂痫病效果神奇。
磁石(一两),朱砂(一两),六神曲(三两,生研)。
共同研磨成细末。另外取六神曲一两,用水和成饼状,煮至浮起。加入前面的药粉及炼蜜制成丸剂,大小如麻子。用沸水送服二钱。解释详见《时方歌括》。
Gutan Wan (Cinnabar and Alum Pill, created by Wang Yinjun): Treats various strange syndromes caused by excess phlegm turbidity. Pregnant women should avoid taking this.
Qingmengshi (Lapis Lazuli, 3 liang, ground to the size of rice grains, combined with Yanxiao (Saltpeter) 3 liang, sealed in a new porcelain jar, bound with iron wire, and further sealed externally with salt mud; calcined until red-hot, then ground into powder. Processed by water levigation to obtain 2 liang of powder), Chenxiang (Agarwood, 5 fen, ground separately), Chuan Dahuang (Rhubarb Radix et Rhizoma steamed with wine), Huangqin (Scutellariae Radix stir-fried, each 8 liang).
All ingredients are ground into fine powder, formed into pills using water as a binder, sized like mung beans. Take 1 qian to 2 qian per dose, administered with boiling water well after meals.
Shengtie Luo Yin (Raw Iron Filings Decoction): Treats manic behavior characterized by arrogance and lack of discrimination between relatives and strangers.
Tieluo (Iron Filings, 1 zhan, boiled with 6 cups of water until reduced to 3 cups, then add the following herbs), Shigao (Gypsum Fibrosum, 1 liang), Longchi (Dragon Teeth), Fuling (Poria), Fangfeng (Saposhnikoviae Radix, each 7 fen), Xuanshen (Scrophulariae Radix), Qinjiao (Gentianae Macrophyllae Radix, each 5 qian).
Boil the 3 cups of Tieluo decoction until reduced to 1 cup for administration, taken twice daily.
Danggui Chengqi Tang (Secret Formula): Treats men and women suffering from heart orifice confusion due to phlegm, manifesting as climbing walls, jumping over barriers, speaking nonsense, and wandering aimlessly.
Dangguiwei (Angelicae Sinensis Radix tail, 1 liang), Dahuang (Rhubarb Radix et Rhizoma washed with wine), Mangxiao (Natrii Sulfas), Zhishi (Aurantii Fructus Immaturus), Nongpo (Magnoliae Officinalis Cortex, each 5 qian), Zhi Cao (Glycyrrhizae Radix et Rhizoma prepared with honey, 3 qian).
Boil with 2 cups of water until reduced to 0.8 parts for administration.
Wendan Tang (Warm the Gallbladder Decoction): Luoshi stated in *Neijing Shiyi* (Supplement to the Inner Canon): The cause of diankuang (mania and melancholia) is all due to gallbladder fluid flooding the heart, causing the spirit to lose its residence; thus, it is appropriate to warm the gallbladder. It also treats xianbing (epilepsy).
This formula consists of Erchen Tang (Two-Aged Phlegm Decoction) added with Zhishi (Aurantii Fructus Immaturus) and Xianzhuru (Fresh Bamboo Shavings) each 2 qian, or alternatively mixed with Feifan (Calcined Alum) half a fen.
Danggui Longhui Wan (Angelica and Gentian Pill): Treats excess fire in the Liver meridian, presenting with constipation and dysuria. Or chest and diaphragm pain, scrotal swelling. All conditions belonging to excess fire in the Liver meridian are suitable for this prescription.
Ye Tianshi said: Anger and shock cause the Yang of the Five Emotions to hyperactive without restraint, leading to mania and lack of discrimination; only bitter-cold descending herbs can clear the spirit and mind.
Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix), Zhiziren (Gardeniae Semen, embryo removed), Huangbai (Phellodendri Cortex), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix, each 1 liang), Dahuang (Rhubarb Radix et Rhizoma), Lvhui (Aloe), Qingdai (Indigo Naturalis, each 5 qian), Muxiang (Aucklandiae Radix, 2 qian 5 fen), Shexiang (Moschus, 5 fen, ground separately).
Grind all into fine powder, use Shenqu (Massa Medicata Fermentata) paste as a binder to form pills. Take 20 pills per dose, administered with Ginger Decoction.
Danfan Wan (Cinnabar and Alum Pill, from *Yitong*): Treats the five types of xianbing (epilepsy).
Huangdan (Lead Monoxide, 1 liang), Baifan (Alumen, 2 liang).
Place these two ingredients in a silver pot, heat until red-hot, grind into powder. Add 1 liang of Laicha (Aged Tea), form pills using fresh pig heart blood (Note: If pig heart blood is not viscous, add a little refined honey and knead together), coat with Zhusha (Cinnabar). Take 30 pills per dose, administered with clear tea liquor. Long-term use will naturally expel phlegm; after half a month, regulate with spirit-calming herbs.
Cizhu Wan (Magnetite and Cinnabar Pill): Treats diankuang (mania and melancholia) and xianbing (epilepsy) with miraculous effect.
Cishi (Magnetitum, 1 liang), Zhusha (Cinnabar, 1 liang), Liushenqu (Six-Ingredient Medicated Leaven, 3 liang, raw ground).
Grind all into fine powder. Separately take 1 liang of Liushenqu, mix with water to make cakes, boil until they float. Add the previous powder and refined honey to form pills, sized like hemp seeds. Administer 2 qian with boiling water. Explanation can be found in *Shifang Geku*.