天冬(去心) 麦冬(去心) 贝母(各三钱) 胆星 橘红 远志肉 石菖蒲 连翘 茯苓
茯神(各一钱) 元参 钩藤 丹参(各一钱五分) 辰砂(三分
用生铁落、煎熬三炷线香,取此水煎药,服后安神静睡,不可惊骇叫醒,犯之则病复作
难乎为力。凡狂症,服此药三十余剂而愈者多矣,若大便闭结,或先用滚痰丸下之。
滚痰丸(见痰饮。
大承气汤(见伤寒少阴证。
男、妇、小儿痫症,并皆治之。凡癫狂症,亦有服此药而愈者。
明天麻(一两) 川贝母(一两) 胆南星(九制者,五钱) 半夏(姜汁炒,一两) 陈皮(洗去白,七
钱) 茯苓(蒸,一两) 茯神(去木蒸,一两) 丹参(酒蒸,二两) 麦冬(去心,二两) 石菖蒲(石杵
碎取粉,五钱) 远志(去心,甘草水泡,七钱) 全蝎(去尾、甘草水洗,五钱) 僵蚕(甘草水洗,去嘴
炒,五钱) 真琥珀(腐煮灯草研,五钱) 辰砂(细研,水飞,三钱
用竹沥一小碗,姜汁一杯,再用甘草四两熬膏,和药为丸,如弹子大,辰砂为衣,每服
一丸,照五痫分引下。犬痫,杏仁五枚,煎汤化下。羊痫,薄菏三分,煎汤化下。马痫,麦
冬二钱,煎汤化下。牛痫,大枣二枚,煎汤化下。猪痫,黑料豆三钱,煎汤化下。日再服。
天冬(去除芯)、麦冬(去除芯)、贝母(各三钱);胆星、橘红、远志肉、石菖蒲、连翘、茯苓、茯神(去木,各一钱);元参、钩藤、丹参(各一钱五分);辰砂(三分)。
使用生铁落,煎熬至相当于点燃三炷香的时间,取此水来煎煮药物。服用后应安神静睡,不可受惊骇或叫醒,若违反此禁忌则疾病复发,将难以治愈。凡是狂症(精神亢奋、躁动不安的病证),服用此药三十多剂而痊愈的很多。如果大便闭结不通,可先用滚痰丸攻下通便。
男子、妇女、小儿的痫症(癫痫发作类疾病),都可用此方治疗。凡是癫狂症,也有服用此药而痊愈的。
明天麻(一两)、川贝母(一两)、胆南星(经过九次炮制的,五钱)、半夏(用姜汁炒制,一两)、陈皮(洗去白色内层,七钱)、茯苓(蒸制,一两)、茯神(去木质心并蒸制,一两)、丹参(酒蒸制,二两)、麦冬(去除芯,二两)、石菖蒲(用石臼杵碎取粉,五钱)、远志(去除芯,用甘草水泡制,七钱)、全蝎(去除尾部,用甘草水洗制,五钱)、僵蚕(用甘草水洗制,去除嘴部并炒制,五钱)、真琥珀(与灯草一起腐煮后研磨,五钱)、辰砂(细研,用水飞法处理,三钱)。
用竹沥一小碗,姜汁一杯,再用甘草四两熬成膏状,与上述药物混合制成丸药,大小如弹子,外用辰砂为衣。每次服用一丸,根据五种痫症的不同类型,分别用特定的引药煎汤送服。犬痫(表现为类似狗叫或扑咬症状的痫症),用杏仁五枚煎汤化开药丸送服。羊痫(表现为类似羊叫声或仰面抽搐症状的痫症),用薄荷三分煎汤化开药丸送服。马痫(表现为类似马嘶鸣或奔跑症状的痫症),用麦冬二钱煎汤化开药丸送服。牛痫(表现为类似牛吼叫或角抵症状的痫症),用大枣二枚煎汤化开药丸送服。猪痫(表现为类似猪哼哼或拱土症状的痫症),用黑料豆三钱煎汤化开药丸送服。每日服用两次。
Tian Dong (Asparagi Radix, removed core), Mai Dong (Ophiopogonis Radix, removed core), Bei Mu (Fritillariae Bulbus) [each 3 qian]; Dan Xing (Arisaematis Cum Bile), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Yuan Zhi Rou (Polygalae Radix flesh), Shi Chang Pu (Acori Tatarinowii Rhizoma), Lian Qiao (Forsythiae Fructus), Fu Ling (Poria), Fu Shen (Poria with Hostwood, removed core) [each 1 qian]; Yuan Shen (Scrophulariae Radix), Gou Teng (Uncariae Ramulus cum Uncis), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) [each 1.5 qian]; Chen Sha (Cinnabar) [3 fen].
Use Sheng Tie Luo (Calcined Pig Iron Scale), decoct until the time equivalent to burning three incense sticks is elapsed, and use this water to decoct the herbs. After taking the medicine, one should remain calm and sleep quietly; do not be startled or awakened. If this precaution is violated, the disease will recur and become difficult to cure. For many cases of Kuang Zheng (Mania characterized by hyperactivity and agitation), taking this prescription for more than thirty doses results in recovery. If there is constipation, first use Gun Tan Wan (Rolling Phlegm Pill) to purge the bowels.
Gun Tan Wan (See section on Phlegm-Fluids).
Da Cheng Qi Tang (Great Order the Qi Decoction) (See section on Shaoyin Syndrome in Shanghan Lun).
This formula treats epilepsy (Xian Zheng) in men, women, and children. It is also effective for some cases of Dian Kuang (Epileptic Mania).
Ming Tian Ma (Gastrodiae Rhizoma, 1 liang), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus, 1 liang), Dan Nan Xing (Arisaematis Cum Bile, processed nine times, 5 qian), Ban Xia (Pinelliae Rhizoma, stir-fried with ginger juice, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, washed to remove white pith, 7 qian), Fu Ling (Poria, steamed, 1 liang), Fu Shen (Poria with Hostwood, removed core and steamed, 1 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, wine-steamed, 2 liang), Mai Dong (Ophiopogonis Radix, removed core, 2 liang), Shi Chang Pu (Acori Tatarinowii Rhizoma, pounded in a stone mortar to obtain powder, 5 qian), Yuan Zhi (Polygalae Radix, removed core, soaked in licorice water, 7 qian), Quan Xie (Scorpio, tail removed, washed in licorice water, 5 qian), Jiang Can (Bombyx Batryticatus, washed in licorice water, mouth removed, stir-fried, 5 qian), Zhen Hu Po (True Amber, boiled with Equiseti Herba then ground, 5 qian), Chen Sha (Cinnabar, finely ground, levigated with water, 3 qian).
Take one small bowl of Zhu Li (Bamboo Sap), one cup of Jiang Zhi (Ginger Juice), and decoct four liang of Gan Cao (Licorice Root) into a paste. Mix this paste with the herbs to form pills the size of bullet seeds, coated with Chen Sha. Take one pill per dose. Administer according to the five types of epilepsy using specific guiding decoctions:
For Quan Xian (Dog-type Epilepsy), dissolve the pill in a decoction of five Xing Ren (Pruni Semen).
For Yang Xian (Sheep-type Epilepsy), dissolve the pill in a decoction of 3 fen of Bo He (Menthae Haplocalycis Herba).
For Ma Xian (Horse-type Epilepsy), dissolve the pill in a decoction of 2 qian of Mai Dong (Ophiopogonis Radix).
For Niu Xian (Ox-type Epilepsy), dissolve the pill in a decoction of two Da Zao (Jujubae Fructus).
For Zhu Xian (Pig-type Epilepsy), dissolve the pill in a decoction of 3 qian of Hei Liao Dou (Sojae Semen Nigrum).
Take twice daily.