前顶主之。风眩目眩，颅上痛，后顶主之。风眩惊，手脘痛，泄风，汗出至腰，阳谷主之。脑风目瞑头痛，风
眩目痛，脑空主之。风逆暴，四肢肿，湿则唏然寒，饥则烦心，饱则眩，大都主之。头眩目痛，至阴主之。
〔丹〕左手脉数热多，脉涩有死血。右手脉实痰积，脉大必有久病。
癫痫，即头眩也。痰在膈间，则眩微不仆。痰溢膈上，则眩甚仆倒于地，而不知人，名之曰癫痫。徐嗣伯
云∶大人曰癫，小儿曰痫，其实一疾也。然与中风、中寒、中暑、尸厥等仆倒不同。凡癫痫仆时，口中作声，
将省时，吐涎沫，省后又复发，时作时止，而不休息。中风、中寒、中暑、尸厥之类，则仆时无声，省时无涎
沫者，后不复再发，间有发者，亦如癫痫之常法也。
〔丹〕痫属惊与痰，宜吐。大率行痰为主，黄芩、黄连、栝蒌、半夏、南星。寻火寻痰，分多少治之，无
有不愈。分痰与热，有热以凉药清其心。有痰必用吐药，吐后用东垣安神丸。此证必用吐，吐后用平肝之药，
青黛、柴胡、川芎之类。
〔海〕治长、洪、伏三脉，风痫、惊痫、发狂、恶人与火者，灸第三椎、第九椎，服局方妙香丸，以针穿
一眼子透，冷水内浸少时，服之如本方。若治弦、细、缓三脉，诸痫似狂者，李河南五生丸。（妙香丸方见虚烦条。）
气乱于头，则为厥逆，头重眩仆。（全文见针灸。）邪搏阳，则为癫疾。（见诊法，下同。《针经》九针
云∶邪入于阳，转为癫疾。）厥成为癫疾。（厥，气上逆也。）
〔《素》〕帝曰∶人生而有病癫疾者，病名曰何？安所得之？岐伯曰∶病名为胎病，此得之在母腹中时，其
母有所大惊，气上而不下，精气并居，故令子发为癫疾。（奇病论）
凡癫痫，及中风、中寒、中暑、中湿、气厥、尸厥而昏眩倒仆，不省人事者，皆由邪气逆上阳分，而乱
于头中也。癫痫者，痰邪逆上也。中风寒暑湿及气厥尸厥者，亦风寒暑湿等邪气逆上也。邪气逆上，则头
中气乱，头中气乱，则脉道闭塞，孔窍不通，故耳不闻声，目不识人，而昏眩无知，仆倒于地也。以其病
在头巅，故曰癫疾。治之者，或吐痰而就高越之，或镇坠痰而从高抑之，或内消痰邪使气不逆，或随风寒
暑湿之法用轻剂发散上焦，或针灸头中脉络而导其气，皆可使头巅脉道流通，孔窍开发，而不致昏眩也。
是知癫痫之癫，与厥成癫疾，眩冒癫疾之巅，一疾也。王太仆误分癫为二疾，独孙真人始能一之，今特冠
此气乱头巅等经文于癫痫篇首，使人知疾有所归，而治有所据也。
〔《局》〕碧霞丹 治五痫疾。（方见虚实门。）
〔世〕治暗风，天麻、南星、半夏、僵蚕、白附子、防风各半两，白矾二两，用木瓜一个，切去顶取穣，
纳前药末，用原顶覆住，面包煨熟，就捣如泥为丸。又用皂角二寸敲细，酒半盏，浸一宿。如发时，取前药一
十九粒，纳口中，用酒灌下，取出痰即愈。自省后，日服三十粒，姜汤下。
治风痫及心风病，用皂角三挺捶破滤汁，熬如稀糊，摊纸上晒干，取两叶如小钱大，用温浆水浸洗，去
纸，注于两鼻孔，各一蚬壳许，须臾涎下，咬箸沥尽涎，后服祛痰丸。
代赭石（一两，生） 白矾（二两，生）
上为细末，稀糊为丸，如梧子大。每服三十丸，冷水送下，不拘时。
〔仲〕风引汤 治痫疾螈 。（方见后。）
〔无〕矾丹丸 治五癫百痫，无问阴阳冷热。
虢丹 晋矾（各一两）
上用砖凿一窠，可容二两许，先安丹在下，次安矾在上，以炭五斤。炽令炭尽，取出细研，以不
经水猪心血为丸，如绿豆大，每服十丸至二十丸，橘皮汤下。
〔世〕治暗风，远年日久不愈，皆可服。用地黄。广南道地者，不计多少，火 醋淬七次，为细末，每服
二钱，温酒调下，年深者亦治。
〔罗〕参朱丸 治风痫，大有神效。
人参 蛤粉 朱砂（各等分）
上为细末，KT 猪心血为丸，如梧子大。每服三十丸，金银花汤下，食远服。
神应丹 治诸痫。
用好辰砂，不拘多少，为细末，用猪心血和之得所，以蒸饼裹蒸取出，就热丸如梧子大。每服一丸，食远卧
时，煎人参汤下，大有神效。
琥珀寿星丸
天南星（一斤，撅坑二尺深，用木炭五斤 热，取出炭，用好酒一升泼之，将南星趁热下坑，用盆盖讫
合，过一宿取出，再焙干为末） 琥珀（四两，取末） 朱砂（二两，一半为衣，一半入药）
猪心三个取血，另打生姜面糊搅令稠粘，将猪心血和入药末，丸如梧子大，每服五十丸，煎人参汤空心送
下，日进三服。
〔世〕密陀僧散 治暗风。
取密陀僧成块者，以铁线缠，又用铁线悬挂，火 红，用酒醋一升淬尽，出火毒，研极细，每服一钱，麝
香酒调下。
治痫疾。凌霄花一味，为细末，每三钱，空心酒调服，每服药时，以木梳不住手梳其发，又用冷水一碗，
逐口含之，水温则换，水尽住梳，如此四十九日，永绝其根。
《杨氏家藏》五痫丸 治癫痫发作，不问新久，并宜服之。
天南星（炮，一两） 乌蛇肉（酒浸一宿，去皮骨，焙，一两） 朱砂（二钱半，另研） 全蝎（二钱，去
毒，炒） 半夏（二两，酒洗，焙） 雄黄（一钱半，另研） 蜈蚣（半条，去头足，炙） 白附子（半两，炮）
白僵蚕（一两半，炒去丝） 麝香（三钱，另研。） 白矾（一两） 皂角（四两，捶碎，水半升揉汁与
白矾同熬干，研）
上为末，姜汁煮面糊丸，如梧子大。每服三十丸，姜汤下。
〔丹〕治痫疾。
川芎（二两） 防风 猪牙皂角 郁金 明矾（各一两） 蜈蚣（一条）
上细末，蒸饼丸，如梧子大。空心清茶下十五丸，一日除根。
〔罗〕治痫病、心风病。用天南星，九蒸九曝，为末，生姜汁打糊为丸，如梧子大。每服二十丸，煎
人参、麦门冬，菖蒲汤下，亦可。
〔《素》〕春脉者肝也，春脉太过，为病在外，善怒，忽忽眩冒而癫疾。（全文见治法。脉来弦实
而强为太过。岁木太过，）甚则忽忽善怒，眩冒而癫疾。（全文见运气类注。）
〔丹〕治巡检夫人痫，通圣散二钱半，姜三片煎，下犀角丸三十粒。
〔《保》〕防风通圣散
防风 川芎 当归 芍药 大黄 芒硝 连翘 薄荷 麻黄（不去节，各五钱） 枯梗 黄芩
石膏（各一两） 白术 山栀 荆芥穗（各二钱半） 滑石（三两） 甘草（一两）
上为粗末，每服一两，生姜煎，温服，日再服。若劳汗当风，寒薄为 ，郁乃痤。此劳汗出于玄府，脂液
所凝，去芒硝，倍加芍药、当归，发散玄府之风，当调其荣卫。俗云风刺，或生瘾疹，或赤或白，倍加麻黄、
盐豉、葱白出其汗。麻黄去节。亦去芒硝，以咸走血而内凝，故不用之。发汗罢，根据前方中加四物汤、黄连
解毒，三药合而饮之，日二服。故《内经》曰∶以苦发之。为热在肌表，连内也。小便淋闭，去麻黄，加滑
石、连翘，煎药中调木香末一钱匕。麻黄主于表，而不主于里，故去之。腰胁走注疼痛者，加硝石、当归、
甘草，一服各二钱，调车前子末、海金砂末各一钱。故经曰∶腰者肾之府。破伤风者，如在表则辛以散之，
在里则苦以下之，兼散之。汗下后，通利荣血，祛逐风邪，每一两加荆芥穗、大黄各二钱，调全蝎末一钱，
羌活末一钱。诸风痫搐，小儿急慢惊风，大便秘结，邪热暴甚，肠胃干燥，寝汗切牙，上窜睡语，筋转惊悸，
肌肉蠕动，每一两加大黄二钱，栀子二钱，茯苓末二钱匕。如肌肉蠕动者，调羌活末一钱。经曰∶肌肉蠕动，
命曰微风。风伤于肺，咳嗽喘急者，每一两加半夏、桔梗、紫菀各二钱。如打扑伤损，肢节疼痛，腹中恶血
不下，每一两加当归、大黄各三钱半，调没药、乳香末各二钱。解利四时伤寒，内外所伤，每一两加益元散
一两，葱白十茎，盐豉一合，生姜半两，水一碗，同煎至五七沸，或煎一小碗，温冷服一半，以箸投之，即
吐。吐罢后，服一半，稍热服，汗出立解。如饮酒中风，身热头痛如破者，加黄连须二钱，葱白十茎，根据法
立愈。慎勿用桂枝、麻黄汤解之。头旋脑热鼻塞，浊涕时下，每一两加黄连、薄荷各二钱半。《内经》曰∶胆
移热于脑，则辛 鼻渊。鼻渊者，浊涕下不已。王注曰∶胆液不澄，则为浊涕，不已如水泉者，故曰鼻渊也。
此为足太阳脉与阳明脉俱盛也。如气逆者，调木香末一钱。
〔《素》〕心脉满大，痫 筋挛。
〔仲〕风引汤 除热癫痫，又治大人风引，少小惊痫螈 ，日数十发，医所不疗。又治脚风。
大黄 龙骨 干姜（各四两） 桂枝（三两） 甘草 牡蛎（各二两） 寒水石 滑石 赤石脂 白石
脂紫石英 石膏（各六两）
上十二味，杵粗末，筛，以韦囊盛之。取三指撮，井花水三升，煮三沸，温服一升。（治风热螈 ，食
后量多少呷之，不用渣，无不效。）
〔河〕犀角丸 治风癫痫，发作有时，扬手掷足，口吐痰涎，不省人事，暗倒屈伸。
犀角末（半两） 赤石脂（三两） 朴硝（二两） 白僵蚕（一两） 薄荷叶（一两）
上为末，面糊丸，如梧子大。每服二十丸至三十丸，温水下，日三服，不拘时候。如觉痰多，即减数。忌
油腻炙爆。
龙脑安神丸 治男妇五种癫痫，无问远年近日，发作无时。
茯苓（去皮取末，三两） 人参（去芦） 地骨皮 甘草 麦门冬（去心，各二两） 龙脑（三
钱，另研） 牛黄（半两，研） 朱砂（二钱，飞） 桑白
皮（一两） 马牙硝（二钱，另研） 麝香（三钱，另研） 乌犀角末（一两） 金箔（三十五片）
上十三味，炼蜜为丸，如弹子大，金箔为衣。冬月温水化下，夏月凉水。又治虚劳发热咳嗽，语涩舌强，
日进三服。
〔《灵》〕肝脉小急，痫 筋挛。（王注云∶肝养筋藏血，肝气受寒，故痫 筋挛。）二阴急，为痫厥。
（同上。）肺脉急甚，为癫疾。肾脉急甚，为骨癫疾。（见治虚实法。）
〔罗〕沉香天麻汤 治痫螈 筋挛。（方见小儿门。）
珠子辰砂丹 治风痫久不愈者。
薯蓣 人参 远志 防风 紫石英 茯神 虎骨 虎睛 龙脑 五味子 石菖蒲 丹参 细辛（各
二钱半） 珠子末（四钱）
上件为细末，面糊为丸，如梧子大。用朱砂二钱，研细为衣。每服三十五丸，煎金银花汤送下，日进三服。
忌鱼肉湿面动风之物。
乌头丸 治五风痫病。
川乌 草乌 天仙子 五灵脂（各二两） 黑豆（一升）
上为细末，滴水和丸，如梧子大。每服五七丸，温水下。如中风，加附子半两。
〔子和〕昔项开完颜氏病搐，先右臂并右足约搐六七十数，良久左臂并左足亦搐六七十数，不瘥。两目直
视，昏 不识人，几月余。求治于余，先涌其寒痰三四升，次用导水禹功散泄二十余行，次服通圣散辛凉之剂，
不数日而瘥。
〔罗〕法煮蓖麻子 治诸痫病，不问年深日远。
蓖麻子（去皮取仁，二两） 黄连（去须，锉如豆大，一两）
上件，用银器，水一大碗，慢火熬，水尽即添水，熬三日两夜为度。取出，去黄连，只用蓖麻子仁，风干，
不得见日。用竹刀将蓖麻子每粒切作四块，每次服五粒，计二十块作一服，用荆芥汤食后温服。（服蓖麻仁者，终身
忌食豆，犯之则腹胀而死。）
〔丹〕治一妇人。四十五岁，生子多，触胎时有腹痛，每夜喜饮酒三盏即睡，其夫性暴而谐谑，所以借酒
解怒。忽九月望后，痫病大作，目上视，扬手掷足，甚强健，举体大筋皆动，喉向如锯，涎沫流口两角。如此
一时辰许，诸症皆静，状如熟寝，全不知人。半时，小腹渐痛，上至心，痛大作，汗如雨，自头至乳而止。如
此半时，痛渐减，汗亦收，痛作时，却自言其痛。其余言语皆谬误，问亦不答，亦不知人。痛定又熟寝如前。
痫与痛间作，昼夜不息。经两宿，方召予脉之。痛作时脉四至半，似弦非弦，左弱于右。予未敢与药，候痫作
时，再看形脉。后作时，六脉皆隐，但有大筋转于指下，眼白青而面不青，手之动三倍于足。予问之，痛作时
必欲重按。比痫作时，汗必不出。其夫言果然。予曰∶此非死证，若尚能咽药，则易治。试以调香附子末灌
之。适痫势稍定，却咽得半盏，令急烧竹沥未就，时痛大作，余以肝有怒邪，因血少而气独行，所以脾受病。
肺胃之间，旧有酒痰，为肝气所抑郁而为痛。然酒喜动，可以出入升降，入内则痛，出外则痫。当乘其入内之
时，急为点大敦、行间、中脘三处穴，令分头同时下火灸之。足上艾火少，灸先了，腹上痛渐下至腰而止。熟
寝少时，痫作如前，证减半。又以竹沥入少姜汁灌下大半钟。灌时适值痫定，但熟寐如前，自是不省人事，一
昼二夜，皆已弃之。余晓之曰∶身不发热，因痛则汗出，大便不通者五六日。自予来，亦未见其小水。非死症，
前顶穴主治癫痫。风邪引起的眩晕、目眩，以及颅顶部疼痛，由后顶穴主治。风邪眩晕伴惊悸，手腕疼痛，泄风（一种风邪致病），汗出至腰部，由阳谷穴主治。脑风引起的目闭头痛，风邪眩晕目痛，由脑空穴主治。风邪逆乱突发，四肢肿胀，遇湿则呵欠发冷，饥饿时心烦，饱食后眩晕，由大都穴主治。头眩目痛，由至阴穴主治。
[朱丹溪]左手脉数主热盛，脉涩主有瘀血。右手脉实主痰积，脉大主久病。
癫痫，即头眩之甚也。痰浊停留在膈间，则眩晕轻微不会仆倒。痰浊溢出膈上，则眩晕严重仆倒在地，不省人事，称为癫痫。徐嗣伯说：成人叫癫，小儿叫痫，其实是一种疾病。然而这与中风、中寒、中暑、尸厥等导致的仆倒不同。凡是癫痫发作时，口中发出声音，将苏醒时，吐出涎沫，苏醒后又复发，时发时止，没有休止。中风、中寒、中暑、尸厥之类，仆倒时没有声音，苏醒时没有涎沫，之后不再复发，偶尔复发的，也像癫痫的常规方法一样。
[朱丹溪]痫证属于惊和痰，宜用吐法。大体以行痰为主，药用黄芩、黄连、瓜蒌、半夏、天南星。寻究火邪与痰邪，根据多少进行治疗，没有不愈的。区分痰与热，有热的用凉药清心。有痰必用吐药，吐后用东垣安神丸。此证必须用吐法，吐后用平肝的药物，如青黛、柴胡、川芎之类。
[海藏]治疗长、洪、伏三种脉象的风痫、惊痫、发狂、恶人与火者，灸第三椎、第九椎，服用局方妙香丸，用针穿一个眼子透过去，在冷水中浸泡少许时间，服用如同本方。若治疗弦、细、缓三种脉象，诸痫类似狂症者，用李河南五生丸。（妙香丸方见虚烦条。）气乱于头部，则为厥逆，头重眩晕仆倒。（全文见针灸篇。）邪气搏结于阳分，则为癫疾。（见诊法篇，下同。《针经》九针说：邪入于阳，转为癫疾。）厥逆成为癫疾。（厥，指气上逆。）
[《素问》]黄帝问：人生下来就有患癫疾的，病名叫什么？是怎么得的？岐伯说：病名叫做胎病，这是在母腹中时得的，当时母亲有所大惊，气上而不下，精气并居，所以使孩子发生癫疾。（出自《奇病论》）
凡是癫痫，以及中风、中寒、中暑、中湿、气厥、尸厥而昏眩倒仆，不省人事的，都是由邪气逆上阳分，而在头部扰乱所致。癫痫，是痰邪逆上也。中风寒暑湿及气厥尸厥，也是风寒暑湿等邪气逆上也。邪气逆上，则头部气机紊乱，头部气机紊乱，则脉道闭塞，孔窍不通，所以耳不闻声，目不识人，而昏眩无知，仆倒在地。因为病位在头巅，所以叫癫疾。治疗它，或用吐痰法使其从高越出，或用镇坠痰邪法使其从高抑制，或内消痰邪使气不逆，或随风寒暑湿的方法用轻剂发散上焦，或针灸头部脉络以引导其气，都可以使头巅脉道流通，孔窍开发，而不致昏眩。
由此可知癫痫的“癫”，与厥成癫疾、眩冒癫疾的“巅”，是同一疾病。王冰误将癫分为两种疾病，只有孙思邈开始能将其统一，现在特别将这些关于气乱头巅等的经文冠于癫痫篇首，使人知道疾病有所归属，而治疗有所依据。
[《局方》]碧霞丹 治疗五种痫疾。（方见虚实门。）
[《世医得效方》]治疗暗风，用天麻、南星、半夏、僵蚕、白附子、防风各半两，白矾二两，用一个木瓜，切去顶部取瓤，放入前面的药末，用原来的顶部盖住，用面包煨熟，就地捣烂如泥制成丸。又用皂角二寸敲细，酒半盏，浸泡一夜。如果发作时，取前面的药十九粒，放入口中，用酒灌下，取出痰即痊愈。自清醒后，每日服用三十粒，姜汤送下。
治疗风痫及心风病，用皂角三挺捶破滤汁，熬成稀糊状，摊在纸上晒干，取两片如小铜钱大小，用温浆水浸洗，去掉纸，注入两个鼻孔，每个约一蚬壳量，须臾之间涎液流出，咬住筷子沥尽涎液，然后服用祛痰丸。
代赭石（一两，生用） 白矾（二两，生用）
以上研为细末，用稀糊制成丸，如梧桐子大。每次服用三十丸，冷水送下，不限时间。
[张仲景]风引汤 治疗痫疾抽搐。（方见后。）
[无名字]矾丹丸 治疗五癫百痫，不问阴阳冷热。
虢丹 晋矾（各一两）
上面用砖凿一个坑，可容纳二两左右，先将丹放在下面，次将矾放在上面，用炭五斤烧，直到炭烧尽，取出研细，用未经过水的猪心血制成丸，如绿豆大，每次服用十丸至二十丸，橘皮汤送下。
[《世医得效方》]治疗暗风，多年日久不愈，皆可服用。用地黄。广南道地道药材，不计多少，用火醋淬七次，研为细末，每次服用二钱，温酒调下，年深者也能治。
[罗谦甫]参朱丸 治疗风痫，大有神效。
人参 蛤粉 朱砂（各等分）
以上研为细末，用猪心血制成丸，如梧桐子大。每次服用三十丸，金银花汤送下，饭后远时服用。
神应丹 治疗各种痫证。
用好辰砂，不拘多少，研为细末，用猪心血调和得当，用蒸饼包裹蒸熟取出，趁热制成如梧桐子大的丸。每次服用一丸，饭后远时及卧时，煎人参汤送下，大有神效。
琥珀寿星丸
天南星（一斤，挖坑二尺深，用木炭五斤烧热，取出炭，用好酒一升泼在上面，将南星趁热放入坑中，用盆盖好密封，过一夜取出，再焙干研末） 琥珀（四两，取末） 朱砂（二两，一半作衣，一半入药）
取三个猪心的血，另外打生姜面糊搅令稠粘，将猪心血和入药末，制成如梧桐子大的丸，每次服用五十丸，煎人参汤空腹送下，每日进服三次。
[《世医得效方》]密陀僧散 治疗暗风。
取块状密陀僧，用铁线缠绕，又用铁线悬挂，火烧红，用酒醋一升淬尽，去火毒，研极细，每次服用一钱，麝香酒调下。
治疗痫疾。凌霄花一味，研为细末，每次三钱，空腹酒调服，每次服药时，用木梳不住手梳理头发，又用冷水一碗，逐口含之，水温则换，水尽停止梳理，如此四十九日，永绝其根。
《杨氏家藏》五痫丸 治疗癫痫发作，不问新久，都适宜服用。
天南星（炮制，一两） 乌蛇肉（酒浸一夜，去皮骨，焙干，一两） 朱砂（二钱半，另研） 全蝎（二钱，去毒，炒） 半夏（二两，酒洗，焙） 雄黄（一钱半，另研） 蜈蚣（半条，去头足，炙） 白附子（半两，炮制） 白僵蚕（一两半，炒去丝） 麝香（三钱，另研。） 白矾（一两） 皂角（四两，捶碎，水半升揉汁与白矾同熬干，研）
以上研为末，姜汁煮面糊制成丸，如梧桐子大。每次服用三十丸，姜汤送下。
[朱丹溪]治疗痫疾。
川芎（二两） 防风 猪牙皂角 郁金 明矾（各一两） 蜈蚣（一条）
以上研为细末，蒸饼制成丸，如梧桐子大。空腹清茶送下十五丸，一日除根。
[罗谦甫]治疗痫病、心风病。用天南星，九蒸九晒，研为末，生姜汁打糊制成丸，如梧桐子大。每次服用二十丸，煎人参、麦门冬、菖蒲汤送下，也可以。
[《素问》]春脉对应肝，春脉太过，病在外，易怒，忽忽眩晕冒昧而发癫疾。（全文见治法篇。脉来弦实而强为太过。岁木太过，）严重时忽忽善怒，眩晕冒昧而发癫疾。（全文见运气类注。）
[朱丹溪]治疗巡检夫人痫病，通圣散二钱半，姜三片煎，送服犀角丸三十粒。
[《保命集》]防风通圣散
防风 川芎 当归 芍药 大黄 芒硝 连翘 薄荷 麻黄（不去节，各五钱） 桔梗 黄芩 石膏（各一两） 白术 山栀 荆芥穗（各二钱半） 滑石（三两） 甘草（一两）
以上研为粗末，每次服用一两，生姜煎，温服，每日两次。若劳汗当风，寒薄为疿，郁乃痤。这是劳汗出于玄府，脂液所凝，去掉芒硝，倍加芍药、当归，发散玄府之风，应当调和营卫。俗云风刺，或生瘾疹，或赤或白，倍加麻黄、盐豉、葱白出汗。麻黄去节。也去掉芒硝，因为咸走血而内凝，所以不用。发汗罢，根据前方中加入四物汤、黄连解毒汤，三药合而饮之，每日两次。所以《内经》说：以苦发之。因为热在肌表，连及内脏。小便淋闭，去掉麻黄，加滑石、连翘，煎药中调木香末一钱匕。麻黄主于表，而不主于里，所以去掉。腰胁走注疼痛者，加硝石、当归、甘草，一次各二钱，调车前子末、海金砂末各一钱。所以经说：腰者肾之府。破伤风者，如在表则辛以散之，在里则苦以下之，兼散之。汗下后，通利营血，祛逐风邪，每一两加荆芥穗、大黄各二钱，调全蝎末一钱，羌活末一钱。诸风痫搐，小儿急慢惊风，大便秘结，邪热暴甚，肠胃干燥，寝汗切牙，上窜睡语，筋转惊悸，肌肉蠕动，每一两加大黄二钱，栀子二钱，茯苓末二钱匕。如肌肉蠕动者，调羌活末一钱。经说：肌肉蠕动，命曰微风。风伤于肺，咳嗽喘急者，每一两加半夏、桔梗、紫菀各二钱。如打扑伤损，肢节疼痛，腹中恶血不下，每一两加当归、大黄各三钱半，调没药、乳香末各二钱。解利四时伤寒，内外所伤，每一两加益元散一两，葱白十茎，盐豉一合，生姜半两，水一碗，同煎至五七沸，或煎一小碗，温冷服一半，以箸投之，即吐。吐罢后，服一半，稍热服，汗出立解。如饮酒中风，身热头痛如破者，加黄连须二钱，葱白十茎，根据法立即痊愈。慎用桂枝、麻黄汤解之。头旋脑热鼻塞，浊涕时下，每一两加黄连、薄荷各二钱半。《内经》说：胆移热于脑，则辛頞鼻渊。鼻渊者，浊涕下不已。王注说：胆液不澄，则为浊涕，不已如水泉者，故曰鼻渊也。此为足太阳脉与阳明脉俱盛也。如气逆者，调木香末一钱。
[《素问》]心脉满大，痫证抽搐筋挛。
[张仲景]风引汤 除热癫痫，又治大人风引，少小惊痫抽搐，每天数十发，医生无法治疗。又治脚风。
大黄 龙骨 干姜（各四两） 桂枝（三两） 甘草 牡蛎（各二两） 寒水石 滑石 赤石脂 白石脂 紫石英 石膏（各六两）
以上十二味，杵成粗末，筛过，用韦囊盛装。取三指撮，井花水三升，煮三沸，温服一升。（治风热抽搐，食后量多少呷之，不用渣，无不有效。）
[河间]犀角丸 治疗风癫痫，发作有时，扬手掷足，口吐痰涎，不省人事，暗倒屈伸。
犀角末（半两） 赤石脂（三两） 朴硝（二两） 白僵蚕（一两） 薄荷叶（一两）
以上研为末，面糊制成丸，如梧桐子大。每次服用二十丸至三十丸，温水送下，每日三次，不限时候。如果觉得痰多，就减少数量。忌油腻炙爆。
龙脑安神丸 治疗男女五种癫痫，不问远年近日，发作无时。
茯苓（去皮取末，三两） 人参（去芦） 地骨皮 甘草 麦门冬（去心，各二两） 龙脑（三钱，另研） 牛黄（半两，研） 朱砂（二钱，飞） 桑白皮（一两） 马牙硝（二钱，另研） 麝香（三钱，另研） 乌犀角末（一两） 金箔（三十五片）
以上十三味，炼蜜制成丸，如弹子大，金箔为衣。冬月温水化下，夏月凉水。又治虚劳发热咳嗽，语涩舌强，每日进服三次。
[《灵枢》]肝脉小急，痫证抽搐筋挛。（王注说：肝养筋藏血，肝气受寒，故痫证抽搐筋挛。）二阴急，为痫厥。（同上。）肺脉急甚，为癫疾。肾脉急甚，为骨癫疾。（见治虚实法篇。）
[罗谦甫]沉香天麻汤 治疗痫证抽搐筋挛。（方见小儿门。）
珠子辰砂丹 治疗风痫久不愈者。
薯蓣 人参 远志 防风 紫石英 茯神 虎骨 虎睛 龙脑 五味子 石菖蒲 丹参 细辛（各二钱半） 珠子末（四钱）
以上件为细末，面糊制成丸，如梧桐子大。用朱砂二钱，研细为衣。每次服用三十五丸，煎金银花汤送下，每日进服三次。忌鱼肉湿面动风之物。
乌头丸 治疗五风痫病。
川乌 草乌 天仙子 五灵脂（各二两） 黑豆（一升）
以上研为细末，滴水制成丸，如梧桐子大。每次服用五七丸，温水送下。如中风，加附子半两。
[子和]以前项开完颜氏病抽搐，先右臂并右足约抽搐六七十次，很久左臂并左足也抽搐六七十次，不好。两目直视，昏迷不识人，几个月多。求治于我，先涌出其寒痰三四升，其次用导水禹功散泄二十多次，其次服用通圣散辛凉之剂，不几天就好了。
[罗谦甫]法煮蓖麻子 治疗各种痫病，不问年深日远。
蓖麻子（去皮取仁，二两） 黄连（去须，锉如豆大，一两）
以上件，用银器，水一大碗，慢火熬，水尽即添水，熬三日两夜为度。取出，去黄连，只用蓖麻子仁，风干，不得见日。用竹刀将蓖麻子每粒切作四块，每次服五粒，计二十块作一服，用荆芥汤食后温服。（服蓖麻仁者，终身忌食豆，犯之则腹胀而死。）
[朱丹溪]治疗一妇人。四十五岁，生子多，触胎时有腹痛，每晚喜欢饮酒三盏就睡，其夫性暴而谐谑，所以借酒解怒。忽然九月望后，痫病大作，目上视，扬手掷足，甚强健，举体大筋皆动，喉响如锯，涎沫流口两角。如此一时辰许，诸症皆静，状如熟寝，全不知人。半时，小腹渐痛，上至心，痛大作，汗如雨，自头至乳而止。如此半时，痛渐减，汗亦收，痛作时，却自言其痛。其余言语皆谬误，问亦不答，亦不知人。痛定又熟寝如前。痫与痛间作，昼夜不息。经两宿，才召我来诊脉。痛作时脉四至半，似弦非弦，左弱于右。我不敢给药，候痫作时，再看形脉。后作时，六脉皆隐，但有大筋转于指下，眼白青而面不青，手之动三倍于足。我问她，痛作时必欲重按。比痫作时，汗必不出。其夫言果然。我说：这不是死证，如果还能咽药，则易治。试以调香附子末灌之。适逢痫势稍定，却咽得半盏，令急烧竹沥未就，时痛大作，我认为肝有怒邪，因血少而气独行，所以脾受病。肺胃之间，旧有酒痰，为肝气所抑郁而为痛。然酒喜动，可以出入升降，入内则痛，出外则痫。当乘其入内之时，急为点大敦、行间、中脘三处穴，令分头同时下火灸之。足上艾火少，灸先了，腹上痛渐下至腰而止。熟寝少时，痫作如前，证减半。又以竹沥入少姜汁灌下大半钟。灌时适值痫定，但熟寐如前，自是不省人事，一昼二夜，皆已弃之。我晓谕她说：身不发热，因痛则汗出，大便不通者五六日。自我来，也未见其小水。非死症，
The Qianding (GV21) acupoint is indicated for epilepsy. Wind-induced vertigo, dizziness of the eyes, and pain at the vertex are treated by the Houding (GV19) acupoint. Wind-induced vertigo with fright, wrist pain, Xiefeng (a wind-pathogen disease), and sweating down to the waist are treated by the Yanggu (SI5) acupoint. Brain wind causing eye closure and headache, wind-induced vertigo and eye pain are treated by the Naokong (GB13) acupoint. Sudden wind counterflow with swollen limbs, yawning and chills when exposed to dampness, vexation when hungry, and vertigo after fullness are treated by the Dadu (SP2) acupoint. Head vertigo and eye pain are treated by the Zhiyin (BL67) acupoint.
[Zhu Danxi] A rapid pulse on the left hand indicates excess heat; a choppy pulse indicates static blood. An excess pulse on the right hand indicates phlegm accumulation; a large pulse indicates chronic illness.
Epilepsy is essentially severe vertigo. When phlegm turbidity remains between the diaphragm, the vertigo is mild and does not cause collapse. When phlegm turbidity overflows above the diaphragm, the vertigo is severe, causing collapse to the ground and loss of consciousness, termed Epilepsy. Xu Sibai stated: In adults it is called Dian, in children it is called Xian, but they are essentially the same disease. However, this differs from the collapse caused by Stroke-Wind, Cold-Stroke, Summerheat-Stroke, or Corpse-Jue. Whenever Epilepsy occurs, sounds are made from the mouth; upon approaching recovery, salivary foam is expectorated; after regaining consciousness, it recurs again, occurring intermittently without rest. In cases of Stroke-Wind, Cold-Stroke, Summerheat-Stroke, or Corpse-Jue, there are no sounds during collapse, no salivary foam upon recovery, and no subsequent recurrence; if occasional recurrence happens, it follows the usual patterns of Epilepsy.
[Zhu Danxi] Epileptic disorders belong to Fright and Phlegm; emesis is appropriate. Generally, resolving phlegm is the primary approach, using herbs such as Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Gualou (Trichosanthis Fructus), Banxia (Pinelliae Rhizoma), and Nanxing (Arisaematis Rhizoma). Investigating Fire and Phlegm, treating according to their quantity ensures cure. Differentiating Phlegm and Heat: if Heat exists, use cooling herbs to clear the Heart. If Phlegm exists, emetic herbs must be used; after emesis, Dongyuan's Anshen Wan is administered. This condition requires emesis, followed by liver-calming herbs such as Qingdai (Indigo Naturalis), Chaihu (Bupleuri Radix), and Chuanxiong (Ligustici Chuanxiong Rhizoma).
[Hai Zang] For Chang, Hong, and Fu pulses indicating Wind-Epilepsy, Fright-Epilepsy, mania, and aversion to people and fire, moxa is applied to the 3rd and 9th thoracic vertebrae, and Ju Fang's Miao Xiang Wan is taken. The pill is pierced with a needle, soaked briefly in cold water, and taken as per the formula. For Xian, Xi, and Huan pulses where various epilepsies resemble mania, Li Henan's Wusheng Wan is used. (Miao Xiang Wan formula is found under "Deficiency Vexation".) Qi disorder in the head leads to Jue Ni (reversal of Qi), heavy head, vertigo, and collapse. (Full text in Acupuncture section.) Pathogenic factors clashing with Yang lead to Dian Ji. (See Diagnosis section, below. *Zhen Jing* Nine Needles states: Pathogens entering Yang transform into Dian Ji.) Jue transforming into Dian Ji. (Jue refers to ascending counterflow of Qi.)
*[Su Wen]* The Yellow Emperor asked: People are born with Dian Ji; what is its name? How is it acquired? Qibo replied: The disease is named Tai Bing (Fetal Disease), acquired while in the womb. At that time, the mother suffered great fright, causing Qi to ascend rather than descend, with Essence and Qi dwelling together, thus causing the child to develop Dian Ji. (*Chapter on Rare Diseases*)
All cases of Epilepsy, as well as Stroke-Wind, Cold-Stroke, Summerheat-Stroke, Dampness-Stroke, Qi-Jue, and Corpse-Jue presenting with vertigo, collapse, and loss of consciousness, are caused by pathogenic factors ascending counterflow to the Yang divisions and disrupting the head. Epilepsy is due to Phlegm pathogens ascending counterflow. Stroke-Wind/Cold/Summerheat/Dampness and Qi-Jue/Corpse-Jue are also due to Wind-Cold/Summerheat/Dampness pathogenic factors ascending counterflow. When pathogens ascend counterflow, Qi in the head becomes chaotic; chaotic Qi in the head blocks the meridians and vessels, obstructing the orifices, resulting in deafness, inability to recognize people, unconscious vertigo, and collapse. Because the pathology is located at the vertex, it is called Dian Ji. Treatment involves either inducing emesis to expel phlegm upwards, using sedative/heavy herbs to suppress phlegm downwards, internally dissolving phlegm to prevent Qi counterflow, using light dispersing agents for the Upper Jiao following Wind-Cold/Summerheat/Dampness methods, or acupuncture/moxibustion on head meridians to guide Qi. All these methods can unblock the meridians at the vertex, open the orifices, and prevent vertigo.
Thus, the "Dian" in Epilepsy, the "Dian" in Jue transforming into Dian Ji, and the "Dian" (vertex) in Xuan Mao Dian Ji refer to the same disease. Wang Bing mistakenly divided Dian into two diseases; only Sun Simiao unified them. Here, I specifically place the scriptures regarding Qi disorder at the vertex at the beginning of the Epilepsy chapter, so that people know the disease has a source and treatment has a basis.
*[Ju Fang]* Bixia Dan treats five types of epilepsy. (Formula found in Deficiency/Excess section.)
*[Shi Yi De Xiao Fang]* For treating hidden wind, use Tianma (Gastrodiae Rhizoma), Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Jiangcan (Bombyx Batryticatus), Baifuzi (Typhonii Rhizoma), and Fangfeng (Saposhnikoviae Radix), each half liang, and Bai Fan (Alumen) two liang. Take one papaya, cut off the top, remove the pulp, insert the powdered herbs, replace the top, wrap in dough, and bake until cooked. Pound into a paste to form pills. Also, take Er Jiao (Gleditsiae Sinensis Fructus Spina) two cun, crush finely, soak in half a cup of wine overnight. Upon attack, take nineteen of the aforementioned pills, place in the mouth, and wash down with wine. Expelling the phlegm leads to cure. After regaining consciousness, take thirty pills daily with Ginger Decoction.
For Wind-Epilepsy and Heart-Wind disease, use three stalks of Er Jiao (Gleditsiae Sinensis Fructus Spina), crush, filter juice, boil to a thick paste, spread on paper, dry, cut into pieces the size of small coins. Soak in warm grain water, remove paper, instill into both nostrils, about one clam shell volume per side. Saliva will flow shortly after; bite a chopstick to drain saliva completely, then take Phlegm-Resolving Pills.
Daizheshi (Hematitum, one liang, raw) Bai Fan (Alumen, two liang, raw)
Grind into fine powder, make pills with thin paste, size of Sophora seeds. Take thirty pills each time with cold water, anytime.
[Zhang Zhongjing] Fengyin Tang treats epilepsy with convulsions. (Formula found later.)
[Wu Ming Shi] Fandan Wan treats five Dian and hundred Xian, regardless of Yin/Yang or Cold/Heat.
Guo Dan (Mineral Vermilion) Jin Fan (Alumen, each one liang)
Carve a hole in a brick to hold about two liang. Place Dan at the bottom, Fan on top. Burn with five jin of charcoal until exhausted. Remove, grind finely, and make pills with pig heart blood (from pigs that have never drunk water), size of mung beans. Take ten to twenty pills with Tangerine Peel Decoction.
*[Shi Yi De Xiao Fang]* For treating hidden wind, chronic and long-standing, this can be taken. Use Dihuang (Rehmanniae Radix). Authentic material from Guangnan Dao, amount unspecified. Quench seven times with vinegar over fire, grind to fine powder. Take two qian each time, mixed with warm wine. Effective even for long-standing cases.
[Luo Qianfu] Shen Zhu Wan treats Wind-Epilepsy with great efficacy.
Renshen (Panacis Ginseng Radix) Gafen (Calamari Sepiae) Zhusha (Cinnabaris, equal parts)
Grind to fine powder, make pills with pig heart blood, size of Sophora seeds. Take thirty pills with Honeysuckle Flower Decoction, taken well after meals.
Shenying Dan treats all epilepsies.
Use high-quality Chen Sha (Cinnabaris), amount unspecified, grind to fine powder. Mix appropriately with pig heart blood. Wrap in steamed bun dough, steam, remove, and while hot, form pills size of Sophora seeds. Take one pill each time, well after meals and before bed, with Ginseng Decoction. Great efficacy.
Hupo Shouxing Wan
Nanxing (Arisaematis Rhizoma, one jin: dig a pit two chi deep, heat five jin of charcoal, remove charcoal, pour one sheng of good wine, put Nanxing in while hot, cover with basin, seal, leave overnight, remove, dry, grind) Hupo (Amber, four liang, take powder) Zhusha (Cinnabaris, two liang: half for coating, half for medicine)
Take blood from three pig hearts. Make ginger paste separately, stir until thick/sticky. Mix pig heart blood with herb powder, form pills size of Sophora seeds. Take fifty pills each time with Ginseng Decoction on an empty stomach, three times daily.
*[Shi Yi De Xiao Fang]* Mituoseng San treats hidden wind.
Take block-shaped Mituoseng (Litharge), wrap in iron wire, hang, heat red-hot, quench in one sheng of wine/vinegar mixture. Remove fire toxicity, grind extremely fine. Take one qian each time, mixed with Musk wine.
Treating epilepsy. Lingxiao Hua (Campsis Grandiflora Flos) alone, grind to fine powder. Take three qian each time, mixed with wine on an empty stomach. During medication, continuously comb hair with a wooden comb. Hold a bowl of cold water in the mouth, replacing when warm. Stop combing when water is finished. Continue for forty-nine days to eradicate the root permanently.
*Yang Shi Jia Cang* Wu Xian Wan treats epilepsy attacks, suitable for both new and old cases.
Nanxing (Arisaematis Rhizoma, processed, one liang) Wushe Rou (Agkistrodon Meat, soaked in wine overnight, skin/bone removed, dried, one liang) Zhusha (Cinnabaris, two qian half, separate grinding) Quanxie (Scorpio, two qian, detoxified, fried) Banxia (Pinelliae Rhizoma, two liang, wine-washed, dried) Xionghuang (Realgar, one qian half, separate grinding) Wugong (Centipede, half strip, head/legs removed, roasted) Baifuzi (Typhonii Rhizoma, half liang, processed) Bai Jiangcan (Bombyx Batryticatus, one liang half, fried, silk removed) Shexiang (Moschus, three qian, separate grinding.) Bai Fan (Alumen, one liang) Er Jiao (Gleditsiae Sinensis Fructus Spina, four liang, crushed, half sheng water kneamed for juice, boiled dry with Bai Fan, ground)
Grind to powder, make pills with ginger juice and wheat paste, size of Sophora seeds. Take thirty pills with Ginger Decoction.
[Zhu Danxi] Treating epilepsy.
Chuanxiong (Ligustici Chuanxiong Rhizoma, two liang) Fangfeng (Saposhnikoviae Radix) Zhuya Erjiao (Gleditsiae Sinensis Fructus Spina) Yujin (Curcumae Longae Radix) Mingfan (Alumen, each one liang) Wugong (Centipede, one strip)
Grind to fine powder, make pills with steamed bun dough, size of Sophora seeds. Take fifteen pills on an empty stomach with clear tea. One day eradicates the root.
[Luo Qianfu] Treating epilepsy and Heart-Wind disease. Use Nanxing (Arisaematis Rhizoma), nine steams and nine sun-dryings, grind to powder. Make pills with ginger juice and paste, size of Sophora seeds. Take twenty pills each time with Ginseng, Ophiopogonis Radix, and Acori Tatarinowii Rhizoma Decoction. Alternatively.
*[Su Wen]* Spring pulse corresponds to Liver. Excessive Spring pulse indicates external disease, irritability, sudden vertigo/dizziness leading to Dian Ji. (Full text in Treatment section. Pulse coming string-taut, solid, and strong is excessive. Year of Wood Excess,) severely, sudden irritability, vertigo/dizziness leading to Dian Ji. (Full text in Climate Influence annotations.)
[Zhu Danxi] Treating Patrol Captain's wife's epilepsy: Tongsheng San two qian half, decocted with three slices of ginger, followed by Xijiao Wan thirty pills.
*[Bao Ming Ji]* Fangfeng Tongsheng San
Fangfeng (Saposhnikoviae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix) Dahuang (Rhei Radix et Rhizoma) Mangxiao (Natrii Sulfas) Lianqiao (Forsythiae Fructus) Bohe (Menthae Haplocalycis Herba) Mahuang (Ephedrae Herba, joints not removed, each five qian) Jiegeng (Platycodonis Radix) Huangqin (Scutellariae Radix) Shigao (Gypsum Fibrosum, each one liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Shanzhi (Gardeniae Fructus) Jingjie Sui (Schizonepetae Spica, each two qian half) Huashi (Talcum, three liang) Gancao (Glycyrrhizae Radix et Rhizoma, one liang)
Grind to coarse powder. Take one liang each time, decoct with ginger, take warm. Twice daily. If labor sweat meets wind, cold condenses causing 'Fu', stagnation causes acne. This is labor sweat exiting the Xuan Fu (pores), coagulated lipid. Remove Mangxiao, double Shaoyao and Danggui, disperse Wind in Xuan Fu, regulate Ying and Wei. Commonly called Wind Prickles, or generating Urticaria, red or white. Double Mahuang, Yanchi (Fermented Soybean), Congbai (Allii Fistulosi Bulbus) to induce sweating. Remove Mahuang joints. Also remove Mangxiao, as salty flavors enter Blood and congeal internally, hence not used. After sweating, add Siwu Tang and Huanglian Jiedu Tang to the previous formula, drink three medicines combined, twice daily. Thus *Neijing* says: Disperse with bitter flavors. Because heat is in muscle/surface, connecting to interior. Dysuria/obstruction, remove Mahuang, add Huashi and Lianqiao, mix Muxiang (Aucklandiae Radix) powder one qian bi into the decoction. Mahuang acts on exterior, not interior, hence removed. Pain radiating in waist/flanks, add Xiaoshi (Natrii Nitras), Danggui, Gancao, two qian each dose, mix Cheqianzi (Plantaginis Semen) and Haijinsha (Lygodii Spora) powder one qian each. Thus scripture says: Waist is the mansion of Kidney. For Tetanus, if in exterior, disperse with pungent; if in interior, purge with bitter, combined with dispersion. After sweating/purging, unblock Ying/Blood,驱除 Wind pathogen, add Jingjie Sui and Dahuang two qian each per liang, mix Quanxie (Scorpio) powder one qian, Qianghuo (Notopterygii Rhizoma et Radix) powder one qian. For various Wind-Epilepsy spasms, pediatric acute/chronic惊风 (Convulsive Disorder), constipation, violent pathogenic heat, dry intestines/stomach, night sweats, teeth grinding, upward staring, sleep talking, tendon twitching, palpitations, muscle twitching, add Dahuang two qian, Zhizi (Gardeniae Fructus) two qian, Fuling (Poria) powder two qian bi per liang. If muscle twitching, mix Qianghuo powder one qian. Scripture says: Muscle twitching is called Mild Wind. Wind injuring Lung, cough/asthma, add Banxia (Pinelliae Rhizoma), Jiegeng (Platycodonis Radix), Ziwan (Asteri Radix) two qian each per liang. For trauma/injury, joint pain, stagnant evil blood in abdomen, add Danggui (Angelicae Sinensis Radix) and Dahuang (Rhei Radix et Rhizoma) three qian half each per liang, mix Moyao (Myrrha) and Ruxiang (Olibanum) powder two qian each. For relieving Four Seasons Shanghan, internal/external injury, add Yiyuan San one liang, Congbai (Allii Fistulosi Bulbus) ten stems, Yanchi (Fermented Soybean) one he, Shengjiang (Zingiberis Rhizoma Recens) half liang, one bowl water. Decoct together for 5-7 boils, or decoct to small bowl. Take half warm/cold. Insert chopsticks to induce vomiting. After vomiting, take remaining half, slightly warm. Sweating resolves immediately. If wind-stroke after drinking alcohol, body heat/headache like breaking, add Huanglian Xu (Coptidis Radix Stamen) two qian, Congbai (Allii Fistulosi Bulbus) ten stems. Follow method for immediate cure. Do not use Guizhi Tang or Mahuang Tang to resolve. Vertigo, brain heat, nasal congestion, continuous turbid discharge, add Huanglian (Coptidis Rhizoma) and Bohe (Menthae Haplocalycis Herba) two qian half each per liang. *Neijing* says: Gallbladder transferring heat to Brain causes Xin E Bi Yuan. Bi Yuan is continuous turbid discharge. Wang's annotation: Unclear Gallbladder fluid becomes turbid discharge; if continuous like a spring, it is called Bi Yuan. This is excess in Foot-Taiyang and Foot-Yangming meridians. If Qi counterflows, mix Muxiang (Aucklandiae Radix) powder one qian.
*[Su Wen]* Heart pulse full/large indicates Epilepsy with tendon spasms.
[Zhang Zhongjing] Fengyin Tang clears Heat Epilepsy, also treats adult Fengyin, pediatric fright-epilepsy convulsions, occurring dozens of times daily, untreatable by physicians. Also treats Leg Wind.
Dahuang (Rhei Radix et Rhizoma) Longgu (Fossilia Ossis Mastodi et Scapulae) Ganjiang (Zingiberis Rhizoma, each four liang) Guizhi (Cinnamomi Ramulus, three liang) Gancao (Glycyrrhizae Radix et Rhizoma) Muli (Concha Ostreae, each two liang) Hanshuishi (Halotum) Huashi (Talcum) Chishizhi (Halloysit Rubrum) Baishizhi (Halloysit Alba) Ziyingshi (Fluoritum) Shigao (Gypsum Fibrosum, each six liang)
Twelve ingredients, pound to coarse powder, sieve, store in leather bag. Take pinch of three fingers, well water three sheng, boil three times. Take one sheng warm. (Treats Wind-Heat convulsions, sip after meal according to amount, dregs not used, always effective.)
[He Jian] Xijiao Wan treats Wind-Epilepsy, occurring at times, waving hands/throwing feet, spitting phlegm/saliva, loss of consciousness, silent collapse/flexion-extension.
Xijiao (Rhino Cerios Cornu) powder (half liang) Chishizhi (Halloysit Rubrum, three liang) Puxiao (Natrii Sulfas, two liang) Bai Jiangcan (Bombyx Batryticatus, one liang) Bohe Ye (Menthae Haplocalycis Herba, one liang)
Grind to powder, make pills with wheat paste, size of Sophora seeds. Take twenty to thirty pills each time with warm water, three times daily, anytime. If phlegm feels excessive, reduce dosage. Avoid greasy/fried foods.
Longnao Anshen Wan treats five types of Epilepsy in men/women, regardless of duration, occurring anytime.
Fuling (Poria, peel removed, powder, three liang) Renshen (Panacis Ginseng Radix, rhizome removed) Digupi (Phellodendri Cortex) Gancao (Glycyrrhizae Radix et Rhizoma) Maidong (Ophiopogonis Radix, core removed, each two liang) Longnao (Borneolum Syntheticum, three qian, separate grinding) Niuhuang (Bovis Calculus, half liang, ground) Zhusha (Cinnabaris, two qian, washed) Sangbaipi (Mori Cortex, one liang) Mayaxiao (Natrii Sulfas, two qian, separate grinding) Shexiang (Moschus, three qian, separate grinding) Wu Xijiao (Rhino Cerios Cornu) powder (one liang) Jinbo (Folium Aurum, thirty-five sheets)
Thirteen ingredients, refine honey to make pills, size of bullet, coat with Jinbo. Winter: dissolve in warm water. Summer: cool water. Also treats deficiency-consumption fever/cough, slurred speech/stiff tongue. Three doses daily.
*[Ling Shu]* Liver pulse small/tense indicates Epilepsy with tendon spasms. (Wang's annotation: Liver nourishes tendons and stores Blood; Liver Qi affected by Cold causes Epilepsy with tendon spasms.) Two Yin tense indicates Epileptic Jue. (Same.) Lung pulse very tense indicates Dian Ji. Kidney pulse very tense indicates Bone Dian Ji. (See Treating Deficiency/Excess section.)
[Luo Qianfu] Chenxiang Tianma Tang treats Epilepsy convulsions/tendon spasms. (Formula found in Pediatrics section.)
Zhuzi Chen Sha Dan treats Wind-Epilepsy long-standing without cure.
Shuyu (Dioscoreae Rhizoma) Renshen (Panacis Ginseng Radix) Yuanzhi (Polygalae Radix) Fangfeng (Saposhnikoviae Radix) Ziyingshi (Fluoritum) Fushen (Poria cum Radix) Hugutiger (Pantheris Os) Hujing (Pantheris Bulbus) Longnao (Borneolum Syntheticum) Wuweizi (Schisandrae Fructus) Shichangpu (Acori Tatarinowii Rhizoma) Danshen (Salviae Miltiorrhizae Radix) Xixin (Asari Radix et Rhizoma, each two qian half) Zhuzi Mo (Pearl Powder, four qian)
Grind all to fine powder, make pills with wheat paste, size of Sophora seeds. Coat with two qian Zhusha (Cinnabaris) ground fine. Take thirty-five pills each time with Silver Flower Decoction, three times daily. Avoid fish/meat/damp noodles and wind-aggravating foods.
Wutou Wan treats Five Wind-Epilepsy diseases.
Chuanwu (Aconiti Radix Preparata) Caowu (Aconiti Kusnezoffii Radix Preparata) Tianxianzi (Hyoscyami Semen) Wulingzhi (Trogopterori Faeces, each two liang) Heidou (Sojae Semen Nigrum, one sheng)
Grind to fine powder, drop water to make pills, size of Sophora seeds. Take five to seven pills each time with warm water. If Stroke-Wind, add Fuzi (Aconiti Lateralis Radix Preparata) half liang.
[He Hanzhong] Previously, Xiang Kai's Lady Wan Yan had spasms. First right arm and leg spasmed 60-70 times, then left arm and leg 60-70 times after a while, not improving. Eyes fixed straight, coma/unconscious for months. Sought my treatment. First induced vomiting of 3-4 sheng cold-phlegm. Then used Daoshui Yugong San to purge 20+ times. Then took Tongsheng San (pungent-cooling agent). Recovered in few days.
[Luo Qianfu] Method for boiling Ricinus Seeds treats all epilepsies, regardless of duration.
Bimazi (Ricini Semen, peel removed, kernel, two liang) Huanglian (Coptidis Rhizoma, whiskers removed, chopped bean-sized, one liang)
In silver vessel, one bowl water, slow fire boil. Add water when dry. Boil for three days and two nights. Remove, discard Huanglian, use only Ricinus kernels. Air dry, do not expose to sun. Use bamboo knife to cut each seed into four pieces. Take five pieces per dose (twenty pieces total). Take warm with Schizonepeta Decoction after meal. (Those taking Ricinus Kernel must avoid soybeans for life; violation causes abdominal distension and death.)
[Zhu Danxi] Treating a woman. Age 45, many births, abdominal pain when touching fetus. Likes drinking three cups of wine nightly before sleep. Husband violent/joking, uses wine to vent anger. Suddenly after Mid-Autumn Festival, Epilepsy worsened significantly. Eyes rolled up, waving hands/throwing feet, very strong, all large tendons moving, throat sound like sawing, salivary foam flowing from corners of mouth. Lasted one shichen (two hours). Symptoms quieted, resembling deep sleep, completely unconscious. Half hour later, lower abdomen gradually painful, rising to heart, severe pain, sweating like rain, from head to breast. Lasted half hour, pain decreased, sweat stopped. During pain, she described her pain. Other speech erroneous, did not answer questions, unconscious. After pain settled, slept deeply as before. Epilepsy and pain alternated, day and night without rest. After two nights, summoned me to pulse. During pain, pulse four-and-a-half beats, string-like but not quite, left weaker than right. I dared not give medicine, waited for Epilepsy attack to observe form/pulse. Next attack, six pulses hidden, only large tendons moving under fingers. Eye whites green, face not green. Hand movement triple foot movement. Asked her: during pain, must press heavily. During Epilepsy, sweat definitely does not come out. Husband confirmed. I said: Not a death case. If able to swallow medicine, easy to treat. Tried pouring Tiao Xiang Fuzi powder. As Epilepsy subsided slightly, swallowed half cup. Ordered urgent preparation of Bamboo Sap, not ready yet. Pain flared. I reasoned: Liver has Wrath Pathogen, due to Blood deficiency, Qi moves alone, thus Spleen affected. Between Lung/Stomach, old Wine-Phlegm existed, depressed by Liver Qi causing pain. Wine likes movement, ascends/descends. Entering inside causes pain, exiting outside causes Epilepsy. Seizing the moment it enters inside, urgently puncture Datun (LR1), Xingjian (LR2), Zhongwan (CV12) points, apply moxibustion simultaneously. Less moxa on feet, finished first. Abdominal pain gradually moved down to waist and stopped. Slept briefly, Epilepsy recurred as before, symptoms halved. Poured Bamboo Sap with little Ginger Juice, drank most of a cup. Pouring coincided with Epilepsy subsiding, just sleeping deeply as before. Unconscious since then. One day two nights, already abandoned. I advised her: Body not feverish. Sweating due to pain. Constipation for 5-6 days. Since I came, no urine seen. Not a death case,