治癫狂失心（癫多喜笑，尚知畏惧，证属不足；狂多忿怒，人不能制，证属有余。此病
多因惊忧、痰血塞于心窍所致。《难经》曰∶诸阳为狂，诸阴为癫。喜属心，怒属肝，二经
皆火有
白矾（三两） 郁金（七两。）薄荷糊丸。
此手太阴药也。白矾酸咸，能软顽痰；郁金苦辛，能去恶血；痰血去则心窍开而痰已矣
治风痰涌盛，呕吐涎沫，口眼 斜，手足瘫痪，小儿惊风（皆风痰壅塞经络；及痰盛泄
泻肥人滑泄，多属之痰；脉滑责之痰，不食不饥责之痰）。
白附子（生用） 南星（生用。二两） 半夏（水浸生衣，生用。七两）川乌（去皮
脐，生
暴夜露
瘫痪，酒下；惊风，
此足厥阴、太阴药也。痰之生也，由风由寒由湿，故用半夏、南星之辛温以燥湿散寒，
川乌、白附子辛热以温经逐风，浸而暴之者，杀其毒也（喻嘉言曰∶此治风痰之上药也，然
热痰迷
治中风痰盛，体肥不渴者。
胆星（八钱） 木香（二钱。）为末，服。或加全蝎。
此足厥阴药也。南星燥痰之品，制以牛胆，以杀其毒，且胆有益肝胆之功（肝胆之经属
风木）；佐以木香，取其行气以利痰也（木香能疏肝气，和脾气）。肥而不渴，宜燥可知。加
全蝎者，以
（《局方》）
疟久不已者，用此截之（疟初起不宜KT ，KT 则邪气未尽，变生他证，发久则可截
之）。
常山（烧酒炒。二钱） 草果（煨） 槟榔 知母 贝母（一钱） 乌梅（二个。）姜
（三片）、枣（一枚），半酒半水煎，露一宿，日未出时，面东空心温服。渣用酒浸煎，待疟
将发时先服。一方有良姜、甘
此足少阴、太阴药也。古云无痰不作疟，常山引吐行水，祛老痰积饮；槟榔下气破积，
能消食行痰。阴阳不和则疟作（阳胜则热，阴胜则寒），知母滋阴，能治阳明独胜之火；草
果辛热，能治太阴独胜之寒；贝母清火散结，泻热除痰；乌梅酸敛涩收，生津退热（敛阴故
退热）；合为截疟之剂也（赵以德曰∶尝究本草，知母、草果、常山、甘草、乌梅、槟榔、
穿山甲皆云治疟。集以成方者，为知母性寒，入足阳明，治独胜之热，使退就太阴；草果温
燥，治足太阴独胜之寒，使退就阳明，二经和则无阴阳交错之变，是为君药。常山主寒热疟，
吐胸中痰结，是为臣药。甘草和诸药，乌梅去痰，槟榔除痰癖，破滞气，是为佐药。穿山甲
穴山而居，遇水而入，则是出入阴阳，贯穿经络于荥分，以破暑结之邪，为使药也。惟脾胃
有郁痰者，用之收效。李士材曰∶常山生用多用则吐，与甘草同用亦必吐，若酒浸炒透，但
用钱许，每见奇功，未见其或吐也，世人泥于老人久病忌服之说，使良药见疑，沉 难起，
抑何愚耶。李时珍曰∶常山、蜀漆劫痰截疟，须在发散表邪及提出阳分之后，用之得宜；得
甘草则吐，得大黄则利，得乌梅、穿山甲则入肝，得小麦、竹叶则入心，得秫米、麻黄则入
肺，得龙骨、附子则入肾，得草果、槟榔则入脾。盖无痰不作疟，一物之功，亦在驱逐痰水
而已）。
【白金丸】
治疗癫狂失心（癫证多表现为喜笑，尚知畏惧，病证属性为虚；狂证多表现为忿怒，人不能自制，病证属性为实。此病多因惊恐忧思、痰血阻塞心窍所致。《难经》说：诸阳经病变导致狂证，诸阴经病变导致癫证。喜笑归属于心，忿怒归属于肝，这两条经脉都涉及火邪）。
白矾（三两） 郁金（七两）。用薄荷汁糊制为丸。
这是手太阴肺经的药物。白矾味酸咸，能软化顽固之痰；郁金味苦辛，能祛除恶血；痰和血去除后，心窍开通，痰浊也就消除了。
【常山饮】
治疗风痰涌盛，呕吐涎沫，口眼歪斜，手足瘫痪，小儿惊风（这些都是风痰壅塞经络所致；以及痰盛导致的泄泻，肥胖之人滑泄，多属于痰证；脉象滑利责之于痰，不食不饥也责之于痰）。
白附子（生用） 南星（生用，二两） 半夏（水浸后保留生皮，生用，七两） 川乌（去皮脐，生用）。
暴夜露
瘫痪者，酒送服；惊风者，……
这是足厥阴肝经、足太阴脾经的药物。痰的产生，由风、由寒、由湿引起，所以用半夏、南星的辛温之性来燥湿散寒，用川乌、白附子的辛热之性来温经祛风，浸泡后暴晒是为了消除其毒性（喻嘉言说：这是治疗风痰的上等药物，然而对于热痰迷……）。
治疗中风痰盛，身体肥胖且不口渴者。
胆星（八钱） 木香（二钱）。研为末，服用。或者加入全蝎。
这是足厥阴肝经的药物。南星是燥痰的药物，用牛胆汁炮制，以消除其毒性，且胆汁有益肝胆的功效（肝胆的经脉属于风木）；佐以木香，取其行气以利化痰的作用（木香能疏肝气，调和脾气）。身体肥胖而不口渴，适宜用燥湿药，由此可知。加入全蝎的原因，是因为……
（出自《太平惠民和剂局方》）
疟疾日久不愈者，用此方截断发作（疟疾初起不宜使用截疟法，若强行截疟则邪气未尽，会变化产生其他证候，发病日久则可以截断它）。
常山（烧酒炒，二钱） 草果（煨） 槟榔 知母 贝母（一钱） 乌梅（二个）。姜（三片）、枣（一枚），半酒半水煎煮，露天放置一夜，日出之前，面向东方空腹温服。药渣用酒浸泡煎煮，待疟疾将要发作时先服用。另一版本有良姜、甘……
这是足少阴肾经、足太阴脾经的药物。古语说无痰不作疟，常山能引吐行水，祛除老痰积饮；槟榔能下气破积，能消食行痰。阴阳不和则疟疾发作（阳胜则发热，阴胜则发冷），知母滋阴，能治疗阳明经独盛的火热；草果辛热，能治疗太阴经独盛的寒邪；贝母清火散结，泻热除痰；乌梅酸敛涩收，生津退热（收敛阴液故能退热）；合起来成为截疟的方剂（赵以德说：我曾研究本草，知道知母、草果、常山、甘草、乌梅、槟榔、穿山甲都声称能治疟疾。集合成这个成方，是因为知母性寒，入足阳明经，治疗独胜之热，使其退却归于太阴；草果温燥，治疗足太阴经独胜之寒，使其退却归于阳明，两条经脉调和就没有阴阳交错的变证，所以作为君药。常山主治寒热疟，吐出胸中痰结，所以作为臣药。甘草调和诸药，乌梅去痰，槟榔除痰癖，破滞气，所以作为佐药。穿山甲穴居山中，遇水而入，则是出入阴阳，贯穿经络于荥分，以破除暑结之邪，所以作为使药。只有脾胃有郁痰者，使用此方收效。李士材说：常山生用多用则会催吐，与甘草同用也必然催吐，如果用酒浸炒透，只用许钱左右，每见奇功，未见其催吐的情况，世人拘泥于老人久病忌服的说法，使良药受到怀疑，沉疴难以起复，这多么愚蠢啊。李时珍说：常山、蜀漆劫痰截疟，必须在发散表邪及提出阳分之后，使用得当；得甘草则吐，得大黄则利，得乌梅、穿山甲则入肝，得小麦、竹叶则入心，得秫米、麻黄则入肺，得龙骨、附子则入肾，得草果、槟榔则入脾。大概无痰不作疟，一物的功效，也在驱逐痰水而已）。
[Baijin Wan (Platinum Pill)]
Treats dian and kuang with loss of heart-mind (Dian is characterized by excessive laughter but still knowing fear, belonging to deficiency syndromes; Kuang is characterized by anger and inability to control oneself, belonging to excess syndromes. This disease is often caused by fright, worry, phlegm, and blood stasis blocking the orifices of the Heart. The *Nan Jing* states: Yang disorders lead to Kuang, Yin disorders lead to Dian. Laughter belongs to the Heart, anger belongs to the Liver; both meridians involve Fire).
Bai Fan (Alum, 3 liang) Yu Jin (Curcuma Aromatica Rhizome, 7 liang). Form pills using Mint paste.
This acts on the Hand-Taiyin Lung Meridian. Bai Fan is sour and salty, capable of softening stubborn Phlegm; Yu Jin is bitter and acrid, capable of removing bad Blood; once Phlegm and Blood are removed, the Heart orifices open and Phlegm dissipates.
[Changshan Yin (Dichroa Decoction)]
Treats surging Wind-Phlegm, vomiting of saliva and froth, deviation of mouth and eyes, paralysis of hands and feet, and infantile convulsions (all caused by Wind-Phlegm obstructing the collaterals; also diarrhea due to excessive Phlegm, and slippery diarrhea in obese persons, mostly attributed to Phlegm; a slippery pulse indicates Phlegm, lack of appetite and hunger sensation indicates Phlegm).
Bai Fu Zi (Aconitum Kusnezoffii Radix, raw use) Nan Xing (Arisaema Cum Bile, raw use, 2 liang) Ban Xia (Pinellia Tuber, soaked in water retaining raw skin, raw use, 7 liang) Chuan Wu (Aconitum Carmichaelii Radix, skin and navel removed, raw use).
Exposed to night dew.
For paralysis, take with wine; for infantile convulsions...
This acts on the Foot-Jueyin Liver Meridian and Foot-Taiyin Spleen Meridian. The generation of Phlegm arises from Wind, Cold, and Dampness; therefore, the acrid-warm nature of Ban Xia and Nan Xing is used to dry Dampness and scatter Cold, while the acrid-hot nature of Chuan Wu and Bai Fu Zi is used to warm the meridians and expel Wind. Soaking and sun-drying aims to reduce their toxicity (Yu Jiayan stated: This is a superior medicine for treating Wind-Phlegm, however, for Heat-Phlegm confusing...).
Treats stroke with excessive Phlegm, in obese individuals who do not feel thirsty.
Dan Xing (Arisaema Cum Bile, 8 qian) Mu Xiang (Saussurea Root, 2 qian). Grind into powder and take. Alternatively, add Quan Xie (Scorpio).
This acts on the Foot-Jueyin Liver Meridian. Nan Xing is a drying Phlegm agent; processing it with ox bile reduces its toxicity, and bile benefits the Liver and Gallbladder (the Liver and Gallbladder meridians belong to Wind-Wood); assisted by Mu Xiang to promote Qi movement to facilitate Phlegm resolution (Mu Xiang can soothe Liver Qi and harmonize Spleen Qi). Obese individuals without thirst indicate the suitability of drying agents. The reason for adding Quan Xie is because...
(From *Ju Fang*)
For malaria that persists for a long time, use this to intercept attacks (Malaria in the initial stage should not be intercepted; if intercepted prematurely, pathogenic factors remain incomplete, leading to other complications; after prolonged onset, it can be intercepted).
Chang Shan (Dichroa Root, stir-fried with rice wine, 2 qian) Cao Guo (Black Cardamom Seed, roasted) Bing Lang (Areca Seed) Zhi Mu (Anemarrhenae Rhizoma) Bei Mu (Fritillariae Bulbus, 1 qian) Wu Mei (Mume Fructus, 2 pieces). Ginger (3 slices), Jujube (1 piece). Decoct with half wine and half water, expose overnight, and take warm on an empty stomach facing east before sunrise. Use the dregs soaked in wine and decocted, taking them first when the malaria is about to attack. Another formula includes Liang Jiang and Gan...
This acts on the Foot-Shaoyin Kidney Meridian and Foot-Taiyin Spleen Meridian. Ancient texts state "No Phlegm, No Malaria"; Chang Shan induces vomiting and moves fluids, dispelling old Phlegm and accumulated fluid retention; Bing Lang directs Qi downward and breaks stagnation, digesting food and moving Phlegm. Disharmony of Yin and Yang causes malaria (Yang excess leads to heat, Yin excess leads to cold); Zhi Mu nourishes Yin and treats the solitary excess fire of the Yangming; Cao Guo is acrid and hot, treating the solitary excess cold of the Taiyin; Bei Mu clears fire and disperses nodules, draining heat and eliminating Phlegm; Wu Mei is sour, astringent, and收敛 (astringent), generating fluids and reducing fever (astringing Yin thus reduces fever); combined, they form an antimalarial formula (Zhao Yi-de stated: I have researched Materia Medica, knowing that Zhi Mu, Cao Guo, Chang Shan, Gan Cao, Wu Mei, Bing Lang, and Chuanshanjia are all said to treat malaria. This formula is compiled because Zhi Mu is cold, enters the Foot-Yangming, treats solitary excess heat, causing it to retreat to the Taiyin; Cao Guo is warm and drying, treats Foot-Taiyin solitary excess cold, causing it to retreat to the Yangming; harmony between these two meridians prevents Yin-Yang交错 (interlocking) changes, serving as the Sovereign drug. Chang Shan primarily treats chills and fever malaria, vomiting phlegm knots in the chest, serving as the Minister drug. Gan Cao harmonizes the drugs, Wu Mei removes Phlegm, Bing Lang eliminates Phlegm-piety, breaks stagnant Qi, serving as the Assistant drug. Chuanshanjia lives in caves and enters water, thus entering and exiting Yin and Yang, penetrating collaterals at Ying points to break summer-heat accumulation pathogens, serving as the Guide drug. It is effective only for those with stagnant Phlegm in the Spleen and Stomach. Li Shicai stated: Raw Chang Shan in large doses induces vomiting; combined with Gan Cao, it inevitably induces vomiting. If soaked in wine and thoroughly fried, using only a small amount, miraculous effects are often seen without vomiting. People foolishly adhere to the saying that elderly people with chronic illness should avoid it, causing good medicines to be suspected and deep ailments to remain incurable, how ignorant is this. Li Shizhen stated: Chang Shan and Shu Qi seize Phlegm and intercept malaria, but must be used after releasing exterior pathogens and raising Yang Qi appropriately; combined with Gan Cao it induces vomiting, with Da Huang it promotes purgation, with Wu Mei and Chuanshanjia it enters the Liver, with Xiao Mai and Zhu Ye it enters the Heart, with Shumi and Ma Huang it enters the Lung, with Longgu and Fuzi it enters the Kidney, with Cao Guo and Bing Lang it enters the Spleen. Essentially, no malaria occurs without Phlegm; the efficacy of any single substance lies in expelling Phlegm and water.)