王叔和主阳跷、阳维、阴维、督脉，详载《脉经》及《李濒湖奇经考》，宜参观之。
张石顽云∶昼发灸阳跷，宜补中益气汤加益智。夜发灸阴跷，宜六味丸加鹿胶。
薛氏云∶凡有此症，欲发未发前二三日，先宜看耳后高骨间，有青筋纹，抓破出血，可免其患。
张石顽云∶痫症之发，由肾中龙火上升，而肝家雷火相从挟助也。惟有肝风，故作搐搦，
则通身之脂液逼迫而上，随逆而吐出于口也。阴气虚不能宁谧于内，则附阳而上升，故上热而
下寒。阳气虚，不能周卫于身，则随阴而下陷，故下热而上寒。
当归承气汤（《秘传方》）
治男妇痰迷心窍，逾墙越壁，胡言乱语。
当归尾（一两） 大黄（酒洗） 芒硝 枳实 浓朴（各五钱） 炙甘草（三钱）
水三杯，煎八分服。
温胆汤
络氏《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。
即二陈汤加鲜竹茹，枳实各二钱，或调飞矾分半。
磁朱丸（方见《时方》） 治癫、狂、痫如神。
疝气，睾丸肿大，牵引小腹而痛。丹溪云∶专属肝经。景岳云∶病名疝气，以治疝必
先治气也。盖寒有寒气，热有热气，湿有湿气，逆有逆气，俱当兼用气药也。
长孙男心典按∶虽有寒、水、筋、气、血、狐、 七疝之名，其治法不外温经散寒，
除湿行气，活血、导火、软坚为主。《别录》云∶以五苓散加木通、川楝子、橘核、木香统治之，
实为简捷可从。若苦楝子丸，及三层茴香散，为久患不愈者立法。《千金翼》洗方，为暴痛
欲死者立法，不可不知。 瘕，即妇人之疝也。
王叔和主张从阳跷脉、阳维脉、阴维脉、督脉来论治，这些内容在《脉经》及李时珍的《奇经八脉考》中有详细记载，应当参考阅读。
张石顽说：白天发作的痫症（癫痫），宜艾灸阳跷脉，方药适宜用补中益气汤加入益智仁。夜间发作的痫症，宜艾灸阴跷脉，方药适宜用六味地黄丸加入鹿角胶。
薛氏说：凡是患有这种病症的人，在症状即将发作前的两三天，先要看耳后高骨之间是否有青色的筋络纹路显现，将其抓破出血，就可以避免发作带来的祸患。
张石顽说：痫症的发作，是由于肾中的相火（龙火）上升，而肝中的雷火随之跟随并协助所致。只有肝风内动，所以导致身体抽搐痉挛；此时全身的精微脂液被逼迫向上，随着逆乱的气机呕吐出口中。如果阴气虚弱，不能在内安宁静谧，就会依附阳气而上浮上升，所以上半身发热而下半身发冷。如果阳气虚弱，不能在周身护卫固密，就会随着阴气而下陷，所以下半身发热而上半身发冷。
当归承气汤（出自《秘传方》）
治疗男女因痰浊迷蔽心窍，出现攀爬墙壁、跳跃高低、胡言乱语等狂躁行为。
处方组成：当归尾（一两）、大黄（用酒清洗）、芒硝、枳实、厚朴（各五钱）、炙甘草（三钱）。
煎服法：用水三杯，煎煮至剩余八分药液时服用。
温胆汤
络氏在《内经拾遗》中说：癫狂病的成因，都是由于胆中涎沫浸渍心脏，导致神志不能安守于舍，理应使用温胆之法，此方也用于治疗痫病。
即二陈汤加入鲜竹茹、枳实各二钱，或者调入飞白矾半钱。
疝气，表现为睾丸肿大，牵引小腹疼痛。朱丹溪说：疝气专门归属于肝经病变。张景岳说：病名叫做疝气，是因为治疗疝气必须先调理气机。大概寒疝有寒气，热疝有热气，湿疝有湿气，气逆疝有逆气，都应当兼用理气药物来治疗。
长孙男心典按语：虽然有名目为寒、水、筋、气、血、狐、瘕的七种疝病名称，但其治疗方法不外乎以温经散寒、除湿行气、活血、导火、软坚散结为主。《本草别录》说：用五苓散加入木通、川楝子、橘核、木香来统摄治疗，确实简洁且可遵循。如果是苦楝子丸，以及三层茴香散，是为久病不愈的患者制定的法则。《千金翼方》中的洗方，是为突发剧痛欲死的情况制定的法则，不可不知道。瘕病，就是妇女的疝病。
Wang Shuhe advocated treating based on the Yang Qiao Mai (Yang Heel Vessel), Yang Wei Mai (Yang Linking Vessel), Yin Wei Mai (Yin Linking Vessel), and Du Mai (Governing Vessel). These are detailed in *Mai Jing* (Pulse Classic) and Li Shizhen’s *Qijing Bakmai Kao* (Examination of the Eight Extraordinary Vessels); they should be consulted.
Zhang Shiwan stated: For epilepsy (Xian Zheng) manifesting during the day, moxibustion on the Yang Qiao Mai is indicated, and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with added Yizhi Ren (Alpinia Oxyphylla Fruit) is suitable. For epilepsy manifesting at night, moxibustion on the Yin Qiao Mai is indicated, and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) with added Lu Jiao Jiao (Deer Antler Glue) is suitable.
Xue Shi stated: Whenever this condition occurs, two to three days before an impending attack, one should first inspect the area between the high bone behind the ear for visible blue vein patterns. Breaking these veins to induce bleeding can prevent the subsequent affliction.
Zhang Shiwan stated: The onset of epilepsy is caused by the ascent of the Minister Fire (Dragon Fire) from the Kidney, accompanied and assisted by the Thunder Fire of the Liver. It is solely due to internal stirring of Liver Wind that convulsions and spasms occur; at this time, the essential fatty fluids of the entire body are forced upward and vomited out through the mouth along with the rebellious Qi. If Yin Qi is deficient and cannot remain tranquil internally, it attaches to Yang Qi and ascends, resulting in heat above and cold below. If Yang Qi is deficient and cannot circulate and protect the body, it sinks downward following Yin, resulting in heat below and cold above.
Danggui Chengqi Tang (from *Mizhuan Fang*)
Treats men and women suffering from phlegm misting the Heart orifices, manifesting as behaviors such as climbing walls, jumping over barriers, and speaking nonsense.
Ingredients: Danggui Wei (Tail of Angelica Sinensis Root) (1 liang), Dahuang (Rhubarb Rhizome and Rhei Radix et Rhizoma, washed with wine), Mangxiao (Natrii Sulfas), Zhishi (Immature Bitter Orange), Houpo (Magnolia Bark) (each 5 qian), Zhi Gancao (Prepared Licorice Root) (3 qian).
Preparation: Decoct in three cups of water until reduced to eight-tenths; take orally.
Wendan Tang (Warm the Gallbladder Decoction)
Luo Shi stated in *Neijing Shiyi*: The cause of Dian Kuang (Manic-Depressive Psychosis) is always due to Gallbladder fluid overflowing onto the Heart, causing the Spirit to lose its residence; therefore, it is appropriate to Warm the Gallbladder. This formula also treats Xian Bing (Epilepsy).
It consists of Erchen Tang (Two-Cured Decoction) plus Xian Zhuru (Fresh Bamboo Shavings) and Zhishi (Immature Bitter Orange), each 2 qian, or mixed with Fei Fan (Calcined Alum) half a qian.
Cizhu Wan (Magnetite and Millet Pill) (Formula seen in *Shifang Miaoyong*)
Treats Dian Bing (Depressive Psychosis), Kuang Bing (Manic Psychosis), and Xian Bing (Epilepsy) with miraculous efficacy.
Shan Qi (Hernia), characterized by swelling of the testicles and pain radiating to the lower abdomen. Zhu Danxi stated: It exclusively belongs to the Liver Meridian. Zhang Jingyue stated: The disease name is Shan Qi because treating hernia requires first regulating Qi. Generally, Cold Hernia involves Cold Qi, Heat Hernia involves Heat Qi, Damp Hernia involves Damp Qi, and Rebellious Hernia involves Rebellious Qi; all should be treated concurrently with Qi-regulating herbs.
Changsun Nan Xindian’s commentary: Although there are seven types of hernia named Cold, Water, Tendon, Qi, Blood, Fox, and Lei, their treatment methods do not exceed warming the meridians and dispersing cold, eliminating dampness and moving Qi, invigorating blood, guiding fire downward, and softening hardness. *Bencao BieLu* states: Using Wuling San (Five-Ingredient Powder with Poria) added with Mutong (Akebia Stem), Chuanlianzi (Szechwan Chinaberry Seed), Juhe (Tangerine Seed), and Muxiang (Costus Root) to treat them comprehensively is indeed concise and followable. If using Kulianzi Wan (Toosendan Pill) or Sansheng Huixiang San (Three-Layer Fennel Powder), these are formulated for chronic cases that do not heal. The wash formula from *Qianjin Yi* is formulated for acute severe pain approaching death; this must be known. Lei (Mass) is the female equivalent of hernia.