痫证者,卒倒无知,口角流涎,或噤口遗尿,或手足牵引,或作五畜声,少顷即愈,作止有间断。
此得之在母腹中时,其母有所大惊,气上而不下,精气并居,故令子发为痫疾也。以温胆汤主之。如五痫
宜攻痰者,以丹矾丸主之。
温胆汤
半夏(三钱) 陈皮(三钱) 茯苓(三钱) 甘草(二钱) 枳实(二钱) 竹茹(二钱) 水煎
大
半杯,温服。
丹矾丸
黄丹(一两) 白矾(二两) 二味入银罐中, 通红为末,入腊菜(即芥子)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)
祟病者,食减肌削,精神恍惚,睡时口流白沫,或战栗绝而复苏,两手脉如出两人,面色忽赤忽黄,其变
无常,此邪气有以中之也。以却邪汤主之。
却邪汤
犀角 羚羊角 龙齿 虎胫骨 牡蛎 鹿角霜 人参 黄 (各二钱) 合为末,另以羊肉
半斤,煎取浓汁三盏,
尽调其末,一次服,立愈。
目病者,清阳之不升也。目居清阳之位,必阳升而神化,其目乃无微而不照。若浊阴冲逆,遏
抑清阳,不得上升,而二气壅迫,两相击撞,是以目作痛也。甲木不降,相火上炎,而刑肺金,肺金被
刑,是以白珠红肿而热滞也。赤痛之久,浊阴蒙蔽,清阳不能透露,是以云翳生而有碍于目光也。然
清阳不升,由于脾,浊阴不降本于胃,升降之失权,实中气之不治也。盖偏湿则脾病,偏燥则胃病,偏热则
火病,偏寒则水病,济其偏而归于平,则中气治矣。如左目赤痛者,以柴胡、芍药,丹皮汤主之。如右
目赤痛者,以百合、五味汤主之。如水土寒湿而上热赤痛者,以百合、五味、姜、附汤主之。如湿热熏蒸
目珠黄赤者,以茯、泽、石膏汤主之。如昏花不明而无赤痛者,以桂枝。丹皮、首乌汤主之。如瞳子缩小
者,以桂枝、柴胡汤主之。如瞳子散大者,以乌梅、山萸汤主之。如目珠塌陷者,以姜、桂、参、苓、首
乌汤主之。如目珠突出者,以芍药、枣仁、柴胡汤主之。
柴胡芍药丹皮汤
黄芩(三钱酒炒) 柴胡(三钱) 芍药(三钱) 甘草(二钱) 丹皮(三钱) 水煎大
半杯,温服。
百合五味汤
百合(三钱) 五味(一钱研) 半夏(三钱) 甘草(二钱) 丹皮(三钱) 芍药(三钱)
水煎大半杯,热服,热甚加石膏、知母。
百合五味姜附汤
百合(三钱) 五味(一钱) 芍药(三钱) 甘草(二钱) 茯苓(三钱) 半夏(三钱)
干姜(三钱) 附子(三钱) 水煎
大半杯,温服。如不赤不热,而作疼痛,是无上热,去百合、芍药、加桂枝。
茯泽石膏汤
茯苓(三钱) 泽泻(三钱) 栀子(三钱) 甘草(二钱) 半夏(三钱) 石膏(三钱) 水
煎
大半杯,热服。
桂枝丹皮首乌汤
桂枝(三钱) 丹皮(三钱) 首乌(三钱) 甘草(二钱) 茯苓(三钱) 半夏(三钱)
干姜(三钱) 龙眼肉(十个) 水煎大半杯,热服。
桂枝柴胡汤
柴胡(三钱) 桂枝(三钱) 丹皮(三钱) 生姜(三钱) 甘草(一钱) 菖蒲(一钱) 水
煎大
半杯,热服。
乌梅山萸汤
五味(一钱) 乌梅肉(二钱) 山萸肉(三钱) 甘草(二钱) 首乌(三钱) 芍药(三钱)
龙骨(二钱) 牡蛎(三钱) 水煎大半杯,温服。
姜桂参苓首乌汤
人参(三钱) 桂枝(三钱) 甘草(二钱) 茯苓(三钱) 首乌(三钱) 干姜(三钱)
水煎大半杯,温服。
芍药枣仁柴胡汤
芍药(三钱) 甘草(二钱) 首乌(三钱) 枣仁(三钱生研) 柴胡(三钱) 丹皮
(三钱) 水煎大半杯,温服。
痫证(癫痫发作),表现为突然昏倒、意识丧失,口角流涎,或者牙关紧闭并伴有遗尿,或者手足抽搐牵引,或者发出五种牲畜的叫声,片刻之后自行缓解,发作与停止之间有间歇期。
这种病是在母亲怀孕时得的,当时母亲受到极大的惊吓,导致气机上逆而不能下行,精气积聚在一起,因此使孩子患上癫痫疾病。治疗以温胆汤为主方。如果是五痫(五种类型的癫痫)且适宜攻逐痰邪的患者,以丹矾丸为主方。
温胆汤
半夏(三钱) 陈皮(三钱) 茯苓(三钱) 甘草(二钱) 枳实(二钱) 竹茹(二钱) 用水煎煮,取大半杯药液,温服。
丹矾丸
黄丹(一两) 白矾(二两) 将这两味药放入银罐中,烧至通红后研成粉末,加入腊菜(即芥子)一两,不沾水的猪心血作为粘合剂制成丸药,外用朱砂为衣包裹,每次服用三十丸,用茶汁送下。长期服用后,体内的痰涎会自然排出,半个月后,再改用安神药物进行调理。(按语:如果猪心血粘性不足,可加入少许炼蜜一起捣匀)
祟病(一种因邪气侵扰导致的类似精神病的病症),表现为食欲减退、肌肉消瘦,精神恍惚不定,睡觉时口流白沫,或者出现战栗休克后复苏,两手脉搏感觉像是有两个人在跳动,面色忽红忽黄,变化无常,这是邪气侵入人体所致。治疗以却邪汤为主方。
却邪汤
犀角 羚羊角 龙齿 虎胫骨 牡蛎 鹿角霜 人参 黄芪(各二钱) 将这些药材合为粉末,另外取羊肉半斤,煎煮提取浓汁三盏,将药末全部调入药汁中,一次性服用,立即痊愈。
目病(眼部疾病),是由于清阳之气不能上升所致。眼睛位于清阳之位,必须阳气上升才能神光化生,这样眼睛才能无所不见。如果浊阴之气冲逆向上,遏制压抑清阳,使其不能上升,导致阴阳二气壅塞逼迫,相互撞击,从而引起眼睛疼痛。肝木之气(甲木)不能下降,相火向上炎蒸,进而刑克肺金,肺金被刑克,所以眼白红肿且有热滞感。赤痛时间长久,浊阴蒙蔽遮蔽,清阳不能透发显露,所以产生云翳(角膜混浊)而妨碍视力。然而,清阳不升是因为脾脏的问题,浊阴不降根本在于胃腑,升降功能的失常,实际上是中气(脾胃之气)治理不当的结果。大概湿气偏盛则脾病,燥气偏盛则胃病,热气偏盛则火病,寒气偏盛则水病,调和这些偏颇使之归于平衡,那么中气就能恢复正常。如左眼赤痛的,以柴胡芍药丹皮汤为主方。如右眼赤痛的,以百合五味汤为主方。如水土寒湿而上部有热导致赤痛的,以百合五味姜附汤为主方。如湿热熏蒸导致眼珠黄赤的,以茯泽石膏汤为主方。如视物昏花不明而没有赤痛的,以桂枝丹皮首乌汤为主方。如瞳孔缩小的,以桂枝柴胡汤为主方。如瞳孔散大的,以乌梅山萸汤为主方。如眼珠塌陷的,以姜桂参苓首乌汤为主方。如眼珠突出的,以芍药枣仁柴胡汤为主方。
柴胡芍药丹皮汤
黄芩(三钱酒炒) 柴胡(三钱) 芍药(三钱) 甘草(二钱) 丹皮(三钱) 用水煎煮,取大半杯药液,温服。
百合五味汤
百合(三钱) 五味子(一钱研碎) 半夏(三钱) 甘草(二钱) 丹皮(三钱) 芍药(三钱) 用水煎煮,取大半杯药液,热服,热势重者加石膏、知母。
百合五味姜附汤
百合(三钱) 五味子(一钱) 芍药(三钱) 甘草(二钱) 茯苓(三钱) 半夏(三钱) 干姜(三钱) 附子(三钱) 用水煎煮,取大半杯药液,温服。如果不红不热但感到疼痛,说明没有上部之热,去掉百合、芍药,加入桂枝。
茯泽石膏汤
茯苓(三钱) 泽泻(三钱) 栀子(三钱) 甘草(二钱) 半夏(三钱) 石膏(三钱) 用水煎煮,取大半杯药液,热服。
桂枝丹皮首乌汤
桂枝(三钱) 丹皮(三钱) 首乌(三钱) 甘草(二钱) 茯苓(三钱) 半夏(三钱) 干姜(三钱) 龙眼肉(十个) 用水煎煮,取大半杯药液,热服。
桂枝柴胡汤
柴胡(三钱) 桂枝(三钱) 丹皮(三钱) 生姜(三钱) 甘草(一钱) 菖蒲(一钱) 用水煎煮,取大半杯药液,热服。
乌梅山萸汤
五味子(一钱) 乌梅肉(二钱) 山萸肉(三钱) 甘草(二钱) 首乌(三钱) 芍药(三钱) 龙骨(二钱) 牡蛎(三钱) 用水煎煮,取大半杯药液,温服。
姜桂参苓首乌汤
人参(三钱) 桂枝(三钱) 甘草(二钱) 茯苓(三钱) 首乌(三钱) 干姜(三钱) 用水煎煮,取大半杯药液,温服。
芍药枣仁柴胡汤
芍药(三钱) 甘草(二钱) 首乌(三钱) 枣仁(三钱生研) 柴胡(三钱) 丹皮(三钱) 用水煎煮,取大半杯药液,温服。
Epilepsy (Xian Zheng) is characterized by sudden collapse and loss of consciousness, drooling from the corners of the mouth, or clenched jaws accompanied by urinary incontinence, convulsive traction of the limbs, or vocalizations resembling those of five domestic animals. It resolves spontaneously after a short period, with intermittent intervals between attacks.
This condition originates during fetal development when the mother experiences severe fright. The qi ascends abnormally without descending, causing essence and qi to accumulate together, thereby inducing epilepsy in the child. Treatment is primarily directed by Wendan Tang (Warm the Gallbladder Decoction). For the five types of epilepsy (Wu Xian) where phlegm-attacking therapy is indicated, Danfan Wan (Cinnabar and Alum Pill) is prescribed.
Wendan Tang (Warm the Gallbladder Decoction)
Banxia (Pinelliae Rhizoma, 3 qian), Chenpi (Citri Reticulatae Pericarpium, 3 qian), Fuling (Poria, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Zhishi (Aurantii Fructus Immaturus, 2 qian), Zhuru (Bambusae Caulis in Taenia, 2 qian). Decoct in water, take half a cup warm.
Danfan Wan (Cinnabar and Alum Pill)
Huangdan (Lithargyri Pulvis, 1 liang), Baifan (Alumen, 2 liang). Place these two ingredients in a silver pot, heat until red-hot, then grind into powder. Add Lacai (Sinapis Semen/Mustard Seed, 1 liang). Bind with pig heart blood that has not touched water, form into pills, coat with Zhusha (Cinnabaris). Take 30 pills per dose, washed down with tea infusion. Long-term use will naturally expel phlegm; after half a month, regulate with spirit-calming medicines. (Note: If pig heart blood lacks viscosity, add a small amount of refined honey for mixing.)
Sui Bing (Disease Attributed to Evil Influence) presents with reduced appetite, muscle wasting, mental confusion, foaming at the mouth during sleep, or tremors leading to syncope followed by recovery. The pulse in both wrists feels as if two persons are beating it. The complexion fluctuates between red and yellow unpredictably. This is caused by evil qi invading the body. Treatment is primarily directed by Qiexie Tang (Expel Evil Decoction).
Qiexie Tang (Expel Evil Decoction)
Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu), Longchi (Dentis Fosiliae Mamuthi), Hu Jing Gu (Tigris Ossis Tibialis), Muli (Concha Ostreae), Lu Jiao Shuang (Cornu Cervi Degelatinatum), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix) (each 2 qian). Grind all into powder. Separately, decoct half a jin of mutton meat to extract three cups of thick broth. Mix the powder completely into the broth and consume in one dose for immediate cure.
Eye Diseases (Mu Bing) result from the failure of clear yang qi to ascend. The eyes reside in the position of clear yang; only when yang qi ascends can divine light transform, allowing vision to perceive all details. If turbid yin qi rebels upward, suppressing clear yang and preventing its ascent, the two qi energies become congested and collide, causing eye pain. Liver wood (Jia Mu) fails to descend, and ministerial fire flares upward, damaging Lung metal. As Lung metal is damaged, the sclera becomes red, swollen, hot, and stagnant. Prolonged redness and pain cause turbid yin to obscure vision, preventing clear yang from penetrating, leading to the formation of cloud-like opacities (Yun Yi) that impair sight. However, the failure of clear yang to ascend stems from the Spleen, while the failure of turbid yin to descend originates from the Stomach. The loss of ascending and descending authority is essentially due to the maladministration of Middle Qi (Zhong Qi). Generally, excessive dampness causes Spleen disease, excessive dryness causes Stomach disease, excessive heat causes Fire disease, and excessive cold causes Water disease. Balancing these excesses restores equilibrium, thereby regulating Middle Qi.
For redness and pain in the left eye, Chaihu Shaoyao Danpi Tang (Bupleurum, Peony, and Moutan Decoction) is prescribed.
For redness and pain in the right eye, Baihe Wuwei Tang (Lily and Schisandra Decoction) is prescribed.
For cases involving cold-dampness of water and earth combined with upper heat causing redness and pain, Baihe Wuwei Jiangfu Tang (Lily, Schisandra, Ginger, and Aconite Decoction) is prescribed.
For yellow-red eyes caused by damp-heat steaming, Fuze Shigao Tang (Poria, Alisma, and Gypsum Decoction) is prescribed.
For blurred vision without redness or pain, Guizhi Danpi Shouwu Tang (Cinnamon Twig, Moutan, and Polygonum Multiflorum Decoction) is prescribed.
For constricted pupils, Guizhi Chaihu Tang (Cinnamon Twig and Bupleurum Decoction) is prescribed.
For dilated pupils, Wumei Shanyu Tang (Mume Fruit and Cornus Decoction) is prescribed.
For sunken eyeballs, Jianggui Shenling Shouwu Tang (Ginger, Cinnamon, Ginseng, Poria, and Polygonum Multiflorum Decoction) is prescribed.
For protruding eyeballs, Shaoyao Zaoren Chaihu Tang (Peony, Ziziphus Seed, and Bupleurum Decoction) is prescribed.
Chaihu Shaoyao Danpi Tang (Bupleurum, Peony, and Moutan Decoction)
Huangqin (Scutellariae Radix, 3 qian, stir-fried with wine), Chaihu (Bupleuri Radix, 3 qian), Shaoyao (Paeoniae Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Danpi (Moutan Cortex, 3 qian). Decoct in water, take half a cup warm.
Baihe Wuwei Tang (Lily and Schisandra Decoction)
Baihe (Lilii Bulbus, 3 qian), Wuweizi (Schisandrae Chinensis Fructus, 1 qian, ground), Banxia (Pinelliae Rhizoma, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Danpi (Moutan Cortex, 3 qian), Shaoyao (Paeoniae Radix, 3 qian). Decoct in water, take half a cup hot. Add Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) if heat is severe.
Baihe Wuwei Jiangfu Tang (Lily, Schisandra, Ginger, and Aconite Decoction)
Baihe (Lilii Bulbus, 3 qian), Wuweizi (Schisandrae Chinensis Fructus, 1 qian), Shaoyao (Paeoniae Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Fuling (Poria, 3 qian), Banxia (Pinelliae Rhizoma, 3 qian), Ganjiang (Zingiberis Rhizoma, 3 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 3 qian). Decoct in water, take half a cup warm. If there is no redness or heat but pain exists, indicating absence of upper heat, remove Baihe and Shaoyao, and add Guizhi (Cinnamomi Ramulus).
Fuze Shigao Tang (Poria, Alisma, and Gypsum Decoction)
Fuling (Poria, 3 qian), Zexie (Alismatis Rhizoma, 3 qian), Zhizi (Gardeniae Fructus, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Banxia (Pinelliae Rhizoma, 3 qian), Shigao (Gypsum Fibrosum, 3 qian). Decoct in water, take half a cup hot.
Guizhi Danpi Shouwu Tang (Cinnamon Twig, Moutan, and Polygonum Multiflorum Decoction)
Guizhi (Cinnamomi Ramulus, 3 qian), Danpi (Moutan Cortex, 3 qian), Shouwu (Polygoni Multiflori Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Fuling (Poria, 3 qian), Banxia (Pinelliae Rhizoma, 3 qian), Ganjiang (Zingiberis Rhizoma, 3 qian), Longyanrou (Longan Arillus, 10 pieces). Decoct in water, take half a cup hot.
Guizhi Chaihu Tang (Cinnamon Twig and Bupleurum Decoction)
Chaihu (Bupleuri Radix, 3 qian), Guizhi (Cinnamomi Ramulus, 3 qian), Danpi (Moutan Cortex, 3 qian), Shengjiang (Zingiberis Rhizoma Recens, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Changpu (Acori Tatarinowii Rhizoma, 1 qian). Decoct in water, take half a cup hot.
Wumei Shanyu Tang (Mume Fruit and Cornus Decoction)
Wuweizi (Schisandrae Chinensis Fructus, 1 qian), Wumei Rou (Mume Fructus, 2 qian), Shanyu Rou (Corni Fructus, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Shouwu (Polygoni Multiflori Radix, 3 qian), Shaoyao (Paeoniae Radix, 3 qian), Longgu (Os Draconis, 2 qian), Muli (Concha Ostreae, 3 qian). Decoct in water, take half a cup warm.
Jianggui Shenling Shouwu Tang (Ginger, Cinnamon, Ginseng, Poria, and Polygonum Multiflorum Decoction)
Renshen (Ginseng Radix et Rhizoma, 3 qian), Guizhi (Cinnamomi Ramulus, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Fuling (Poria, 3 qian), Shouwu (Polygoni Multiflori Radix, 3 qian), Ganjiang (Zingiberis Rhizoma, 3 qian). Decoct in water, take half a cup warm.
Shaoyao Zaoren Chaihu Tang (Peony, Ziziphus Seed, and Bupleurum Decoction)
Shaoyao (Paeoniae Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Shouwu (Polygoni Multiflori Radix, 3 qian), Zaoren (Ziziphi Spinosae Semen, 3 qian, raw and ground), Chaihu (Bupleuri Radix, 3 qian), Danpi (Moutan Cortex, 3 qian). Decoct in water, take half a cup warm.