病有怒狂者,(怒狂者,多怒而狂也,即骂詈不避亲疏之谓。)生于阳也。阳气者,因暴折而难决,故
善怒也,名曰阳厥。(阳气宜于畅达,若暴有折锉,则志无所伸,或事有难决,则阳气被抑,逆
而上行,故为怒狂,病名阳厥。)阳明者常动,巨阳、少阳不动,不动而动,大疾,此其候也。(阳明常动
者,谓如下关、地仓、大迎、人迎、气冲、冲阳之类,皆有脉常动者也。巨阳。少阳不动者,谓巨
阳惟委中、昆仑,少阳惟听会、悬钟,其脉虽微动而动不甚也。于其不甚动者而动,且大疾,则其常动者更
甚矣。此即阳厥怒狂之候。)夺其食即已。夫食入于阴,长气于阳,故夺其食即已。(食少则气衰,故
节夺其食,不使胃火复助阳邪,则阳厥怒狂者可已。)使之服以生铁洛为饮。夫生铁洛者,下气疾也。(
生铁洛,即炉冶间锤落之铁屑,用水研浸,可以为饮,其属金,其气寒而重,最能坠热开结,平水火之
邪,故可以下气疾、除狂怒也。凡药中用铁精、铁华粉、针砂、铁锈水之类,皆同此意。)
癫疾脉搏大滑,久自已。脉小坚急,死不治。(搏大而滑为阳脉,阳盛气亦盛,故久将自已。若小
坚而急,则肝之真脏脉也,全失中和,而无胃气,故死不治。)故又曰癫疾之脉,虚则可治,实则死。(
虚则柔缓邪气微也,故生;实则弦急邪气盛也,故死。)人生而有病癫疾者,何得之?(言人之初生者,
未犯邪气,即有癫疾也。)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,故令子发为癫疾也。(惊则气乱而逆,故气上不下,气乱则精亦
随之,故精气并及于胎,令子为癫痫疾也。)
患有怒狂症状的人,(怒狂,指容易发怒且精神狂乱,也就是骂人时不分亲疏远近的表现。)是由阳邪引起的。人体的阳气,因为突然受到挫折而难以疏通决断,所以容易发怒,这种病叫做阳厥。(阳气适宜于畅达舒展,如果突然遭受挫抑,意志就无法伸展;或者遇到事情难以决断,阳气被压抑,逆乱而上行,从而导致发狂易怒,病名定为阳厥。)阳明经的脉象通常是搏动的,巨阳经(太阳经)和少阳经的脉象通常不搏动,如果不搏动的经脉出现搏动,而且脉搏跳动非常急促,这是该病的征候。(所谓阳明经常动,是指下关、地仓、大迎、人迎、气冲、冲阳等穴位处的动脉都有经常跳动的现象。巨阳经和少阳经不常动,是指巨阳经只有委中、昆仑穴的脉象微弱跳动,少阳经只有听会、悬钟穴的脉象微弱跳动,它们的脉象虽然微动但跳动不明显。在这些本来不怎么动的地方出现明显搏动,并且跳动非常急促,那么原本常动的阳明经脉象就更显著了。这就是阳厥怒狂的征候。)通过限制饮食就可以治愈。因为食物进入体内转化为阴精,进而助长阳气,所以限制饮食即可治愈。(饮食减少则气机衰退,因此节制并剥夺其饮食,不让胃火再次助长阳邪,那么阳厥怒狂的病就可以痊愈。)让患者服用生铁洛煎成的汤剂。生铁洛具有降气疾速的作用。(生铁洛,就是冶炼炉中锤打下来的铁屑,用水浸泡研磨后,可以作为汤剂饮用。它属金性,气味寒凉而沉重,最能镇压热邪、开通郁结,平息水火之邪,因此可以迅速降气、消除狂怒。凡是药物中使用铁精、铁华粉、针砂、铁锈水等,都是基于同样的原理。)
癫疾患者的脉搏如果表现为搏大且滑利,病程较长后会自然痊愈。如果脉搏细小、坚硬且急迫,则是死证,无法治愈。(脉搏搏大而滑属于阳脉,说明阳气旺盛,气机也盛,所以时间久了将自行痊愈。如果脉搏细小坚硬而急迫,则是肝脏的真脏脉,完全失去了中和之气,没有胃气,所以是死证,无法治愈。)所以说,癫疾的脉象,虚弱的可以治疗,实盛的则致死。(脉虚表示柔和缓慢,邪气微弱,所以能生存;脉实表示弦硬急迫,邪气强盛,所以致死。)人生下来就患有癫疾,这是怎么得的呢?(意思是人在刚出生时,还没有感受外邪,就已经患有癫疾了。)这种病名叫胎病,这是因为在母亲腹中时,母亲曾遭受巨大的惊吓,导致气机上逆而不能下行,精气随之并聚,从而使得胎儿发生癫疾。(惊吓会导致气机紊乱而逆乱,所以气上逆而不下降;气机紊乱则精气也随之紊乱,精气并及于胎儿,致使孩子患上癫痫疾。)
Patients suffering from *nu kuang* (anger-induced mania), (characterized by excessive anger and manic behavior, specifically cursing without distinction between relatives and strangers,) are afflicted by Yang pathogenic factors. The body's Yang Qi, due to sudden frustration and inability to resolve the obstruction, becomes prone to anger; this condition is named *Yang Jue* (Yang Rebelliousness). (Yang Qi should be smooth and unobstructed; if suddenly suppressed, the will cannot be expressed. If matters are difficult to resolve, Yang Qi is constrained and rebels upward, leading to anger and mania, hence the name *Yang Jue*.) The Yangming channel typically exhibits pulsation, whereas the Juyang (Taiyang) and Shaoyang channels do not. If a non-pulsating channel begins to pulse, especially with a rapid and forceful beat, this is a sign of the disease. (The "typically pulsating" refers to acupoints such as Xiaguan, Dicang, Daying, Renying, Qichong, and Chongyang, where pulses are constantly palpable. The "non-pulsating" refers to Weizhong and Kunlun for Taiyang, and Tinghui and Xuanzhong for Shaoyang, where pulses are faint or barely perceptible. If these normally quiet areas show strong, rapid pulsation, it indicates that the already active Yangming pulses are even more pronounced. This is the clinical manifestation of *Yang Jue* and anger-induced mania.) Restricting food intake can cure it. Since food enters the Yin aspect and generates Qi in the Yang aspect, restricting diet resolves the condition. (Reducing food intake weakens Qi; thus, by depriving the patient of food, one prevents Stomach Fire from further assisting the Yang pathogen, allowing *Yang Jue* and mania to subside.) Administer Shengtie Luo (Iron Filings Decoction) for the patient to drink. Shengtie Luo has a rapid descending effect on rebellious Qi. (Shengtie Luo refers to iron filings hammered from a furnace, soaked in water and ground into a liquid. It belongs to Metal, is cold and heavy in nature, and is most effective at suppressing heat, resolving stagnation, and balancing Water and Fire pathogens. Therefore, it descends rebellious Qi and eliminates mania. Other metallic substances like Tie Jing, Tie Hua Fen, Zhen Sha, or Iron Rust Water function on similar principles.)
In epilepsy (*Dian Ji*), if the pulse is large, surging, and slippery, the condition will likely resolve spontaneously after a long duration. If the pulse is small, firm, and rapid, it indicates a fatal prognosis that is untreatable. (A large, surging, and slippery pulse is a Yang pulse, indicating excess Yang and abundant Qi, suggesting eventual spontaneous recovery. A small, firm, and rapid pulse indicates the True Organ Pulse of the Liver, showing a complete loss of harmonious Qi and Stomach Qi, leading to death.) Thus, it is said: regarding the pulse of epilepsy, a deficient pulse indicates treatability, while an excess pulse indicates fatality. (Deficiency implies softness and slowness with weak pathogenic factors, favoring survival; excess implies wiriness and urgency with strong pathogenic factors, leading to death.) Why does some person have epilepsy since birth? (This asks about individuals born with epilepsy before exposure to external pathogens.) This disease is named *Tai Bing* (Fetal Disease), acquired when the fetus was in the womb. If the mother suffered a great fright during pregnancy, Qi would rebel upward and fail to descend, causing Essence and Qi to congregate, thereby inducing epilepsy in the child. (Fright causes Qi to become chaotic and rebellious, rising instead of descending. As Qi becomes chaotic, Essence follows suit, affecting the fetus and causing epilepsy.)