论曰风恍惚者。以风邪经于五脏。其神恍惚而不宁也。盖五脏处于内。神之舍也。脏气
充足
不宁也。
治风惊悸。或忧愁思虑。心神恍惚。狂言烦闷。口眼 斜。化痰涎。利咽膈。丹砂镇心
丸方 丹砂(别研一两) 牛黄(别研) 龙脑(别研) 麝香(别研各一钱) 铅白霜
(别研二钱)
各半两)
上一十味。捣研为末。和匀炼蜜。丸如鸡头大。每服三丸。煎金银薄荷汤化下。食后夜
卧服。
治风虚。安寝寐。镇心神。止恍惚。化痰滞。石菖蒲丸方
石菖蒲 远志(去心) 铁粉(别研) 丹砂(别研各一两) 白茯苓(去黑皮) 人
参(各一
衣)
上九味。捣研为末。和匀炼蜜。丸如梧桐子大。每服十五丸。至二十丸。煎人参汤下。
早晚食后服。
治诸藏虚邪。夜卧恍惚。精神不安。鹿角散丸
鹿角(镑三两)
上一味。捣罗为散。每服一钱匕。温酒调下。日三服。
治诸藏虚邪。夜卧恍惚。神不安。羚羊角散方
羚羊角(镑微炒一两)
上一味。捣罗为散。每服一钱匕。温酒调下。日三服。
治神志不宁。风虚恍惚。镇惊悸。补不足。丹砂茯神丸方
丹砂(别研) 茯神(去木) 人参(各一两) 干蝎(二十一枚全者去土炒) 牛黄
(别研半
上五味。捣研为末。和匀炼蜜。丸如梧桐子大。每服十丸。温金银薄荷汤下。人参汤化
亦得。
治恍惚健忘。心神不宁。解烦躁。清头目。镇心安神。牛黄紫云丸方
牛黄(别研) 麝香(别研) 龙脑(别研各一分) 丹砂(别研) 天竺黄(别研) 黄
芩(去黑心) 远志(去心) 龙齿(各三分) 铁粉(别研) 茯苓(去黑皮) 甘草(炙
锉各一两) 甘
为衣)
上一十五味。以十四味捣研为末。和匀炼蜜。丸如小弹子大。以金薄为衣。每服一丸。
早晚食后。荆芥汤嚼下。薄荷汤亦得。
治心神恍惚。化痰涎。利胸膈。丹砂煎方
丹砂(别研) 真珠(别研) 犀角(镑) 玳瑁(镑) 阿胶(炙燥各一两) 龙脑
(别研) 麝
上七味。捣研为末。和匀。用安息香一两。汤一盏。化去滓。入蜜二两。于一处重汤内
。煮令化。然后下前五味末。熬成煎候冷方入脑麝末搅匀。入瓷合内。每服一皂子大。用温
薄荷汤化下。
治心虚忧愁不乐。惊悸心忪。恍惚忘误。神情不宁。定心丸方
茯苓(去黑皮) 茯神(去木各一两) 琥珀(别研) 龙齿 阿胶(炙令燥) 牛黄
(别研)
胆内匮者) 甘草(炙锉各一两半) 远志(去心一分) 金薄(三十片为衣) 银薄(二
十片研入药) 菖蒲 酸枣仁(炒) 天竺黄(别研) 人参(各三分) 虎睛(一对酥
炙) 丹砂(别研四两) 龙脑(半分) 雄黄(别研二两) 苏合香(一两) 安息香(二
两同苏合香以酒一大盏研化澄去砂脚熬成膏)
上二十五味。除别研外。捣罗为末和匀。以安息香膏。同炼蜜和丸。如鸡头大。每服一
丸。麝香汤化下。早晚食后临卧服。
论述:所谓“风恍惚”,是因为风邪侵入五脏,导致人的神志恍惚而不安宁。五脏居于体内,是神志寄居的场所。若脏气充足,则神志安宁;若脏气不足或受邪扰,则出现神志不宁。
治疗风邪引起的惊悸,以及因忧愁思虑导致的心神恍惚、胡言乱语、烦闷、口眼歪斜等症状,以化痰涎、利咽膈为主。丹砂镇心丸方:丹砂(另研细粉一两)、牛黄(另研细粉)、龙脑(另研细粉)、麝香(另研细粉,各一钱)、铅白霜(另研细粉二钱)、[此处原文缺味名,据方义推测可能为某药半两,但依原文仅列“各半两”]。以上十味药,捣碎研成细末,混合均匀,用炼过的蜂蜜调和,制成如鸡头米大小的丸剂。每次服用三丸,用金银薄荷煎汤化开送服。饭后及睡前服用。
治疗风虚证,安神定志,安定睡眠,镇摄心神,止住恍惚,化解痰滞。石菖蒲丸方:石菖蒲、远志(去心)、铁粉(另研细粉)、丹砂(另研细粉,各一两)、白茯苓(去黑皮)、人参(各[此处原文缺量,据上下文推测为一两或等量])。以上九味药,捣碎研成细末,混合均匀,用炼过的蜂蜜调和,制成如梧桐子大小的丸剂。每次服用十五至二十丸,用人参煎汤送服。早晚饭后服用。
治疗五脏虚损兼感邪气,夜间睡眠时神志恍惚、精神不安的鹿角散丸:鹿角(镑成薄片三两)。以上一味药,捣碎过筛成散剂。每次服用一钱匕,用温酒调服。每日三次。
治疗五脏虚损兼感邪气,夜间睡眠时神志恍惚、神志不安的羚羊角散方:羚羊角(镑成薄片,微炒一两)。以上一味药,捣碎过筛成散剂。每次服用一钱匕,用温酒调服。每日三次。
治疗神志不宁,风虚所致恍惚,镇惊悸,补益不足的丹砂茯神丸方:丹砂(另研细粉)、茯神(去木心)、人参(各一两)、干蝎(二十一枚,完整的,去土后炒制)、牛黄(另研细粉半[此处原文缺量,通常为半两或一分,依原文保留])。以上五味药,捣碎研成细末,混合均匀,用炼过的蜂蜜调和,制成如梧桐子大小的丸剂。每次服用十丸,用温金银薄荷汤送服,或用参汤化开亦可。
治疗恍惚健忘,心神不宁,解除烦躁,清利头目,镇心安神的牛黄紫云丸方:牛黄(另研细粉)、麝香(另研细粉)、龙脑(另研细粉,各一分)、丹砂(另研细粉)、天竺黄(另研细粉)、黄芩(去黑心)、远志(去心)、龙齿(各三分)、铁粉(另研细粉)、茯苓(去黑皮)、甘草(炙后锉碎,各一两)、甘[此处原文缺味名,据方义推测可能为某药为衣]。以上十五味药,将其中十四味捣碎研成细末,混合均匀,用炼过的蜂蜜调和,制成如小弹丸大小的丸剂,以金箔为衣。每次服用一丸,早晚饭后,用荆芥汤嚼服,用薄荷汤送服亦可。
治疗心神恍惚,化痰涎,利胸膈的丹砂煎方:丹砂(另研细粉)、真珠(另研细粉)、犀角(镑成薄片)、玳瑁(镑成薄片)、阿胶(炙干,各一两)、龙脑(另研细粉)、麝[此处原文缺香字,应为麝香]。以上七味药,捣碎研成细末,混合均匀。取安息香一两,用水一盏,化开后滤去渣滓,加入蜂蜜二两,一起放在另一容器中隔水加热煮令融化。然后加入前面五种药的细末,熬制成膏状,待冷却后加入脑、麝香的细末搅拌均匀。装入瓷盒中。每次服用一块皂荚子大小的量,用温薄荷汤化开送服。
治疗心虚导致的忧愁不乐,惊悸心慌,恍惚遗忘错误,神情不宁的定心丸方:茯苓(去黑皮)、茯神(去木心,各一两)、琥珀(另研细粉)、龙齿、阿胶(炙干)、牛黄(另研细粉)、[此处原文缺味名,据方义推测可能为某药胆内匮者,指牛黄或类似物]、甘草(炙后锉碎,各一两半)、远志(去心一分)、金薄(三十片作为衣)、银薄(二十片研入药中)、菖蒲、酸枣仁(炒制)、天竺黄(另研细粉)、人参(各三分)、虎睛(一对,用酥油炙烤)、丹砂(另研细粉四两)、龙脑(半分)、雄黄(另研细粉二两)、苏合香(一两)、安息香(二两,同苏合香用酒一大盏研磨化开,澄清后去掉沉淀物,熬成膏)。以上二十五味药,除需另研细粉的以外,其余捣碎过筛成细末并混合均匀。用安息香膏和炼蜜调和,制成如鸡头米大小的丸剂。每次服用一丸,用麝香汤化开送服。早晚饭后及临睡前服用。
Discussion: The condition referred to as "Wind-induced Trance" (Feng Huanghu) occurs when wind pathogenic factors invade the five zang organs, causing the spirit (Shen) to become unstable and restless. The five zang organs reside within the interior and serve as the dwelling place of the spirit. When the qi of the zang organs is sufficient, the spirit remains tranquil; however, if there is insufficiency or pathogenic disturbance, spiritual unrest ensues.
For treating palpitations caused by wind pathogens, as well as symptoms arising from worry and overthinking such as mental trance, delirious speech, restlessness, and deviation of the mouth and eyes, with the aim of resolving phlegm-fluids and benefiting the throat and diaphragm, use the Cinnabar Calming Heart Pill Formula (Dansha Zhenxin Wan Fang). Ingredients include: Zhusha (Cinnabaris, prepared separately, 1 liang), Niuhuang (Bovis Calculus, prepared separately), Longnao (Borneolum Syntheticum, prepared separately), Shexiang (Moschus, prepared separately, each 1 qian), Qianbaishuang (Plumbi Subcarbonas, prepared separately, 2 qian), [Text missing ingredient name, listed as "each half liang"]. These ten ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a cockle seed. Take three pills per dose, dissolved in a decoction of Yinchen (Silverweed/Mint complex) and Bohe (Menthae Haplocalycis Herba). Administer after meals and before sleep.
To treat deficiency-wind, calm sleep, stabilize the heart spirit, stop trance, and resolve phlegm stagnation, use the Shichangpu Pill Formula (Shichangpu Wan Fang). Ingredients include: Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix, remove heart), Tiefen (Ferrum, prepared separately), Dansha (Cinnabaris, prepared separately, each 1 liang), Baifuling (Poria Cum Ramo Xylatis, remove black skin), Renshen (Ginseng Radix et Rhizoma, each [quantity missing]). These nine ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a sophora seed. Take 15 to 20 pills per dose, washed down with a decoction of Renshen. Administer in the morning and evening after meals.
To treat deficiency and evil in various viscera, characterized by nightly trance and spiritual unease, use the Deer Horn Powder Pill (Lujiao San Wan). Ingredient: Lujiao (Cornu Cervi, sliced thinly, 3 liang). This single ingredient is crushed and sifted into a powder. Take one qianbi per dose, mixed with warm wine. Administer three times daily.
To treat deficiency and evil in various viscera, characterized by nightly trance and spiritual unease, use the Antelope Horn Powder Formula (Lingyangjiao San Fang). Ingredient: Lingyangjiao (Ceratsum Saigae Tataricae, sliced thinly, slightly stir-fried, 1 liang). This single ingredient is crushed and sifted into a powder. Take one qianbi per dose, mixed with warm wine. Administer three times daily.
To treat spiritual unrest, wind-deficiency trance, calm palpitations, and tonify insufficiency, use the Cinnabar Poria Spirit Pill Formula (Dansha Fushen Wan Fang). Ingredients include: Dansha (Cinnabaris, prepared separately), Fushen (Poria with Hostwood, remove wood), Renshen (Ginseng Radix et Rhizoma, each 1 liang), Ganxie (Scorpio, 21 whole specimens, remove dirt and stir-fry), Niuhuang (Bovis Calculus, prepared separately, [quantity missing]). These five ingredients are crushed, ground into fine powder, mixed uniformly, and blended with refined honey to form pills the size of a sophora seed. Take ten pills per dose, washed down with warm decoction of Yinchen and Bohe, or alternatively with Renshen decoction.
To treat trance and forgetfulness, spiritual unrest, relieve irritability, clear the head and eyes, and calm the heart spirit, use the Bovis Calculus Purple Cloud Pill Formula (Niuhuang Ziyun Wan Fang). Ingredients include: Niuhuang (Bovis Calculus, prepared separately), Shexiang (Moschus, prepared separately), Longnao (Borneolum Syntheticum, prepared separately, each 1 fen), Dansha (Cinnabaris, prepared separately), Tianzhuhuang (Bambusae Tabulae, prepared separately), Huangqin (Scutellariae Radix, remove black heart), Yuanzhi (Polygalae Radix, remove heart), Longchi (Dentium Draconis, each 3 fen), Tiefen (Ferrum, prepared separately), Fuling (Poria, remove black skin), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 liang), Gan [Ingredient name missing for coating]. These fifteen ingredients: take fourteen of them, crush and grind into fine powder, mix uniformly, blend with refined honey to form pills the size of a small bullet, coated with Jinbo (Gold Leaf). Take one pill per dose, chewed with Jingjie (Schizonepetae Herba) decoction in the morning and evening after meals; Bohe decoction is also acceptable.
To treat heart-spirit trance, resolve phlegm-fluids, and benefit the chest and diaphragm, use the Cinnabar Decoction Paste Formula (Dansha Jian Fang). Ingredients include: Dansha (Cinnabaris, prepared separately), Zhenzhu (Margarita, prepared separately), Xijiao (Rhinocerotis Cornu, sliced thinly), Daimao (Eretmochelys Carapax, sliced thinly), Ejiao (Colla Corii Asini, roasted dry, each 1 liang), Longnao (Borneolum Syntheticum, prepared separately), She [Xiang] (Moschus). These seven ingredients are crushed, ground into fine powder, and mixed uniformly. Take 1 liang of Anxi Xiang (Styrax), dissolve in one zhan of water, filter out dregs, add 2 liang of honey, and heat gently until melted. Then add the powders of the previous five ingredients, boil into a paste, cool, then add Longnao and Shexiang powders, and mix well. Store in a porcelain container. Take a piece the size of a soap pod per dose, dissolved in warm Bohe decoction.
To treat heart-deficiency leading to sorrow and unhappiness, palpitations and anxiety, trance and memory lapses, and spiritual unrest, use the Dingxin Pill Formula (Dingxin Wan Fang). Ingredients include: Fuling (Poria, remove black skin), Fushen (Poria with Hostwood, remove wood, each 1 liang), Hupo (Succinum, prepared separately), Longchi (Dentium Draconis), Ejiao (Colla Corii Asini, roasted dry), Niuhuang (Bovis Calculus, prepared separately), [Missing ingredient, text mentions "gall bladder cavity"], Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1.5 liang), Yuanzhi (Polygalae Radix, remove heart, 1 fen), Jinbo (Gold Leaf, 30 pieces for coating), Yinbo (Silver Leaf, 20 pieces ground into medicine), Changpu (Acori Tatarinowii Rhizoma), Szaoren (Ziziphi Spinosae Semen, stir-fried), Tianzhuhuang (Bambusae Tabulae, prepared separately), Renshen (Ginseng Radix et Rhizoma, each 3 fen), Huqing (Tigris Ocellati Oculi, one pair, roasted with butter), Dansha (Cinnabaris, prepared separately, 4 liang), Longnao (Borneolum Syntheticum, 0.5 fen), Xionghuang (Realgar, prepared separately, 2 liang), Suhe Xiang (Styrax, 1 liang), Anxi Xiang (Styrax, 2 liang, combined with Suhe Xiang, ground with one large zhan of wine, clarified, sediment removed, boiled into paste). Of these twenty-five ingredients, except those requiring separate grinding, crush and sift into powder and mix uniformly. Blend with the Anxi Xiang paste and refined honey to form pills the size of a cockle seed. Take one pill per dose, dissolved in Shexiang decoction. Administer in the morning and evening after meals and before bed.