论曰风狂之状。始发则少卧不饥。自高自贤。自辩自贵。盖人之营卫周身循环。昼夜不
穷。一失其平。则有血并于阴。而气并于阳者。有血并于阳。而气并于阴者。阴阳二气。虚
实不调。风邪乘虚而入。并于阳则谓之重阳。故其病妄笑好乐。妄行不休。甚则弃衣而走。
登高而歌。或至数日不食。故曰狂也。又肝藏魂。魂则随神往来。悲哀动中。有伤于魂。则
为狂
治中风邪。狂乱失志。心多恐怖。牛黄丸方
牛黄(研一两) 铁精(研三分) 虎睛(一对微炙研) 石膏(研) 龙齿(研各二
两) 银箔
神(去木) 升麻 玄参 人参(各二两) 麦门冬(去心焙三两) 枳实(去瓤麸炒) 葳
蕤(去土) 赤芍药(各一
上一十九味。除研外。捣罗为末。入研药拌匀。炼蜜为丸。如梧桐子大。食后煎枸杞根
皮汤。下二十丸。日再服。渐加至三十丸。
治风狂妄语。心热狂走。不知人。真珠散
真珠(研) 牛黄(研) 丹砂(研各半两) 金箔(研) 银箔(研各五十片) 麝
香(研一钱)
防风(去叉) 犀角
心) 白藓皮 羚羊角(镑
上二十二味。除研外。捣罗为末。入研药拌匀。每服一钱匕。加至二钱匕。薄荷温水或
梨汁调下。
治中风邪狂走。或自高自贤。或悲泣呻吟。及卒得惊悸。邪魅恍惚。心下虚悸。麻黄丸
方
麻黄(去根节煎掠去沫焙) 甘草(炙锉) 半夏(汤浸生布 洗七遍焙各一两) 生
姜(去
上四味。捣罗为末。炼蜜和丸。如大豆大。生姜汤下三丸。加至五丸。空心午时各一服
。渐加至十丸。
治风狂叫笑不时。喜怒无常。登高逾垣。言语不避人。虎睛汤方
虎睛(一对慢火炙) 鸱头并肝(一具炙) 白茯苓(去黑皮) 桂(去粗皮各三两) 石
长生
风(去叉)
上一十三味。锉如麻豆。每以十八钱匕。酒六盏。煮取三盏。去滓分三服。日二夜一。
每服时。须去食稍远。恐药食相犯也。
治中风邪发狂。及肝心风热。气虚不足。惊恚掣 。守神丸方
金箔(一百片) 腻粉(半两) 人参(为末三分)
上三味。于银石器内。先将金箔逐重用腻粉渗隔布尽。入黄牛乳五合。于金箔上淋溉。
用物密盖定。煮尽乳。取研如膏。以人参末渐渐入同研。丸如赤小豆大。空心日午临卧。新
汲水下三丸。渐加至五丸。
治风邪发狂妄言燥闷。白僵蚕丸方
白僵蚕(炒三分) 海荆子(炒一两) 白附子(炮半两) 干蝎(酒炒二十一枚) 蒺
藜子(
上六味。先捣前五味。与腻粉二钱半。同罗为末。冬用大枣蒸取肉。研如膏和丸。夏炼
白蜜和丸。春秋研糯米饭膏为丸。并如梧桐子大。又于腻粉二钱半内。滚令色匀。用密器收。
每
治风邪所中。惊狂啼哭。或歌或笑。禹余粮饮方
禹余粮( 研) 防风(去叉) 桂(去粗皮) 赤芍药 远志(去心) 独活(去芦
头) 白术
黄(研) 茯神(去
上一十七味。粗捣筛。每服五钱匕。以水一盏半。煎取七分去滓。食后服。日再。
治风狂失神少饥。笑乐无节。弃衣登高。茯神汤方
茯神(去木) 杏仁(汤去皮尖双仁各三两) 龙齿(六两) 凝水石(碎一斤) 升
麻(二两)
上九味。锉如麻豆大。每服五钱匕。水二盏。煎至一盏。去滓温服日三。如病甚。煎成
入竹沥半合。再煎至一盏服。
治风邪入脏。狂言妄语。精神错乱。腰疼骨痛。白藓皮汤方
白藓皮(一分半) 麻黄(去根节半两) 白茯苓(去黑皮三分) 防风(去叉) 独
活(去芦
一分)
上九味。粗捣筛。每服三钱匕。水一盏半。煎至八分去滓。空腹温服。服讫取微汗为度
。日三。
治风邪发狂。守神。金箔煎方
金箔(一百片) 丹砂(研) 龙脑(研) 牛黄(研) 真珠末 琥珀末 犀角末(各
半两)
上七味。将六味。再同研匀。以鼎子一个。铺一重金箔了。渗一重药末。次第铺盖了。
用牛
论述说:风狂的症状。刚开始发作时,睡眠少且不觉得饥饿,自视甚高,自认为贤能,自我辩解,自视尊贵。大概人体的营卫之气在周身循环,昼夜不停。一旦失去平衡,就会出现血偏聚于阴分而气偏聚于阳分的情况;或者血偏聚于阳分而气偏聚于阴分。阴阳二气虚实不调,风邪趁虚而入。如果风气并合于阳分,就称为“重阳”。所以这种病表现为无故发笑、喜好娱乐、行为妄动不止,严重时甚至脱衣奔跑、登上高处歌唱,或者连续几天不进食,所以称之为“狂”。另外,肝藏魂,魂随着神气往来。悲哀触动内心,会损伤魂,从而导致狂症。
治疗中风邪引起的狂乱失志,心中多恐惧的牛黄丸方:
牛黄(研磨一两)、铁精(研磨三分)、虎睛(一对,微火炙烤后研磨)、石膏(研磨)、龙齿(研磨,各二两)、银箔、神(去木,注:此处原文可能有误或为特定药材简称,通常指远志或类似安神药,但依原文保留)、升麻、玄参、人参(各二两)、麦门冬(去心,焙干三两)、枳实(去瓤,麸炒)、葳蕤(去土)、赤芍药(各一两,注:原文此处截断,推测为各一两)。以上十九味药,除需研磨的药外,捣碎过筛成粉末,加入研磨好的药拌匀,用炼蜜制成梧桐子大小的丸药。饭后煎枸杞根皮汤送服二十丸,每日两次,逐渐加量至三十丸。
治疗风狂妄语,心热导致狂奔,神志不清的真珠散:
真珠(研磨)、牛黄(研磨)、丹砂(研磨,各半两)、金箔(研磨)、银箔(研磨,各五十片)、麝香(研磨一钱)、防风(去叉)、犀角(镑片,注:原文截断)、白藓皮、羚羊角(镑片,注:原文截断)。以上二十二味药,除需研磨的药外,捣碎过筛成粉末,加入研磨好的药拌匀。每次服用一钱匕,加量至二钱匕,用薄荷温水或梨汁调服。
治疗中风邪导致的狂奔,或者自视甚高,或者悲伤哭泣呻吟,以及突然受到惊吓心悸,邪气迷惑精神恍惚,心下空虚悸动的麻黄丸方:
麻黄(去根节,煎煮掠去浮沫,焙干)、甘草(炙,锉碎)、半夏(汤浸,生布洗七遍,焙干,各一两)、生姜(去,注:原文截断)。以上四味药,捣碎过筛成粉末,用炼蜜调和制成大豆大小的丸药。用生姜汤送服三丸,加量至五丸,空腹及午时各服一次,逐渐加量至十丸。
治疗风狂不时叫笑,喜怒无常,登高翻墙,言语不顾及他人的虎睛汤方:
虎睛(一对,慢火炙烤)、鸱头并肝(一具,炙烤)、白茯苓(去黑皮)、桂(去粗皮,各三两)、石长生(注:原文可能为石菖蒲或其他,依原文保留)、风(去叉,注:原文截断,应为防风等)。以上十三味药,锉如麻豆大小。每次取十八钱匕,用酒六盏,煮取三盏,去渣分三次服用,白天两次,夜间一次。每次服药时,须与进食时间稍错开,恐怕药物与食物相互冲突。
治疗中风邪引发狂症,以及肝心风热,气虚不足,惊恐愤怒抽搐的守神丸方:
金箔(一百片)、腻粉(半两)、人参(研末三分)。以上三味药,在银石器内,先将金箔逐层用腻粉渗透隔开铺好,倒入黄牛乳五合,淋浇在金箔上,用物品严密盖好,煮尽乳汁,取出研磨如膏状,将人参末渐渐加入同研,制成赤小豆大小的丸药。空腹、日中、临卧时,用新汲水送服三丸,逐渐加量至五丸。
治疗风邪引发狂言燥闷的白僵蚕丸方:
白僵蚕(炒三分)、海荆子(炒一两)、白附子(炮制半两)、干蝎(酒炒二十一枚)、蒺藜子(注:原文截断)。以上六味药,先捣碎前五味,与腻粉二钱半,一同过筛成粉末。冬天用大枣蒸熟取肉,研磨如膏和丸;夏天用炼白蜜和丸;春秋两季用糯米饭膏和丸,都做成梧桐子大小。另外将二钱半腻粉滚匀,用密闭容器收藏。每(次服用...注:原文截断)
治疗风邪所中,惊狂啼哭,或者唱歌或者大笑的禹余粮饮方:
禹余粮(研磨)、防风(去叉)、桂(去粗皮)、赤芍药、远志(去心)、独活(去芦头)、白术、黄(研,注:原文截断,应为黄芪或黄芩等)、茯神(去,注:原文截断)。以上十七味药,粗捣筛。每次服用五钱匕,用水一盏半,煎取七分,去渣,饭后服用,每日两次。
治疗风狂失神,少食,笑乐无节制,脱衣登高的茯神汤方:
茯神(去木)、杏仁(汤去皮尖双仁,各三两)、龙齿(六两)、凝水石(碎一斤)、升麻(二两,注:原文截断)。以上九味药,锉如麻豆大小。每次服用五钱匕,水二盏,煎至一盏,去渣温服,每日三次。如果病情严重,煎好后加入竹沥半合,再煎至一盏服用。
治疗风邪入脏,狂言妄语,精神错乱,腰疼骨痛的白藓皮汤方:
白藓皮(一分半)、麻黄(去根节半两)、白茯苓(去黑皮三分)、防风(去叉)、独活(去芦,注:原文截断)、一分,注:原文截断)。以上九味药,粗捣筛。每次服用三钱匕,水一盏半,煎至八分,去渣,空腹温服。服完后以微微出汗为度,每日三次。
治疗风邪引发狂症,守神的金箔煎方:
金箔(一百片)、丹砂(研磨)、龙脑(研磨)、牛黄(研磨)、真珠末、琥珀末、犀角末(各半两)。以上七味药,将前六味再次研磨均匀,用一个鼎,铺一层重金箔,渗一层药末,依次铺盖好,用牛(注:原文截断)
Discourse states: The manifestations of wind-induced mania (Feng Kuang). Initially, the patient sleeps little and feels no hunger, regards themselves as superior, considers themselves virtuous, argues for themselves, and deems themselves noble. Generally, the Ying (Nutritive) and Wei (Defensive) Qi circulate throughout the body without cease during day and night. Once balance is lost, blood may congregate in the Yin while Qi congregates in the Yang; or blood may congregate in the Yang while Qi congregates in the Yin. The deficiency and excess of Yin and Yang Qi are unregulated, allowing Wind pathogen (Feng Xie) to enter due to deficiency. If Wind combines with Yang, it is called "Double Yang" (Chong Yang). Therefore, the disease presents with spontaneous laughter, fondness for entertainment, and incessant erratic behavior. In severe cases, the patient may strip naked and run, climb high places and sing, or go several days without eating. Hence, it is called Mania (Kuang). Furthermore, the Liver stores the Hun (Ethereal Soul), which travels with the Shen (Spirit). Sorrow moving within damages the Hun, leading to mania.
Formula for Niu Huang Wan (Civet Pill) to treat wind pathogen invasion causing mania and loss of will, with frequent fear:
Niu Huang (Calculus Bovis, ground, 1 liang), Tie Jing (Iron Essence, ground, 3 fen), Hu Jing (Tiger Eye, a pair, lightly roasted and ground), Shi Gao (Gypsum Fibrosum, ground), Long Chi (Dragon Tooth, ground, each 2 liang), Yin Bo (Silver Leaf), Shen (Wood removed, note: text ambiguous, likely Zhi Zi or similar), Sheng Ma (Bupleuri Radix), Xuan Shen (Scrophulariae Radix), Ren Shen (Ginseng Radix, each 2 liang), Mai Men Dong (Ophiopogonis Radix, heart removed, roasted, 3 liang), Zhi Shi (Aurantii Fructus, pith removed, bran-fried), Wei Yu (Polygonati Odorati Rhizoma, soil removed), Chi Shao Yao (Paeoniae Radix Rubra, each 1 liang). Nineteen ingredients in total. Except for those requiring grinding, crush and sieve into powder. Mix with the ground medicines. Form pills using refined honey, size of Sophora japonica seeds. After meals, administer 20 pills decocted from Gouqi Gen Pi Tang (Lycium Root Bark Decoction), twice daily. Gradually increase to 30 pills.
Formula for Zhen Zhu San (Pearl Powder) to treat wind-induced mania with rambling speech, heart-heat causing running away, and unconsciousness:
Zhen Zhu (Margarita, ground), Niu Huang (Calculus Bovis, ground), Dan Sha (Cinnabar, ground, each 0.5 liang), Jin Bo (Gold Leaf, ground), Yin Bo (Silver Leaf, ground, each 50 pieces), She Xiang (Moschus, ground, 1 qian), Fang Feng (Saposhnikoviae Radix, twigs removed), Xi Jiao (Rhinocerotis Cornu, shaved), Bai Xian Pi (Dictamni Cortex), Ling Yang Jiao (Capricornus Saigae, shaved). Twenty-two ingredients in total. Except for those requiring grinding, crush and sieve into powder. Mix with the ground medicines. Take 1 qian bi per dose, increasing to 2 qian bi. Administer mixed with warm water containing mint or pear juice.
Formula for Ma Huang Wan (Ephedra Pill) to treat wind pathogen invasion causing running away, self-aggrandizement, weeping and groaning, sudden palpitations from fright, bewitchment, mental confusion, and empty palpitations in the epigastrium:
Ma Huang (Ephedrae Herba, roots and joints removed, boiled to remove foam, roasted), Gan Cao (Glycyrrhizae Radix, roasted and cut), Ban Xia (Pinelliae Rhizoma, soaked in water, washed seven times on raw cloth, roasted, each 1 liang), Sheng Jiang (Zingiberis Rhizoma Recens, peeled). Four ingredients in total. Crush and sieve into powder. Mix with refined honey to form pills the size of soybeans. Administer 3 pills with ginger soup, increasing to 5 pills. Take once on an empty stomach and once at noon, gradually increasing to 10 pills.
Formula for Hu Jing Tang (Tiger Eye Decoction) to treat wind-induced mania with intermittent shouting and laughing, irregular mood, climbing over walls, and speaking without regard for others:
Hu Jing (Tiger Eye, a pair, slow-roasted), Chi Tou Bing Gan (Owl head and liver, one set, roasted), Bai Fu Ling (Poria, black skin removed), Gui (Cinnamomi Ramulus, rough bark removed, each 3 liang), Shi Chang Pu (Acori Tatarinowii Rhizoma, note: text says 'Shi Chang Sheng' likely typo), Feng (Wind herb, twigs removed, note: text truncated). Thirteen ingredients in total. Cut like hemp seeds. Take 18 qian bi per dose, with 6 zhan of wine, boil down to 3 zhan. Strain and divide into three doses. Take twice during the day and once at night. When taking the medicine, ensure a sufficient interval from meals to avoid food-drug interaction.
Formula for Shou Shen Wan (Guard Spirit Pill) to treat wind pathogen invasion causing mania, liver and heart wind-heat, qi deficiency, and convulsions from fright and anger:
Jin Bo (Gold Leaf, 100 pieces), Ni Fen (Calomelas, 0.5 liang), Ren Shen (Ginseng Radix, powdered, 3 fen). Three ingredients in total. In a silver or porcelain vessel, layer the gold leaf with Ni Fen separation cloth. Pour 5 he of yellow ox milk over the gold leaf. Cover tightly and boil until the milk is exhausted. Grind into a paste. Gradually add Ren Shen powder and grind together. Form pills the size of adzuki beans. Take 3 pills with fresh well water on an empty stomach, at noon, and before bed. Gradually increase to 5 pills.
Formula for Bai Jiang Can Wan (White Silkworm Pill) to treat wind pathogen causing mania with rambling speech and dry oppression:
Bai Jiang Can (Bombyx Batryticatus, fried, 3 fen), Hai Jin Zi (Viticis Fructus, fried, 1 liang), Bai Fu Zi (Typhonii Rhizoma, processed, 0.5 liang), Gan Xie (Dry Scorpion, wine-fried, 21 pieces), Ji Li Zi (Tribuli Fructus). Six ingredients in total. First crush the first five ingredients and mix with 2.5 qian of Ni Fen, sieving into powder. In winter, use steamed red date flesh ground into paste to bind; in summer, use refined honey; in spring and autumn, use glutinous rice paste. Form pills the size of Sophora japonica seeds. Store the remaining 2.5 qian of Ni Fen in a sealed container. Each (dose...) [Text truncated]
Formula for Yu Yu Liang Yin (Yu Yu Liang Drink) to treat wind pathogen invasion causing fright, mania, crying, singing, or laughing:
Yu Yu Liang (Hematitum, ground), Fang Feng (Saposhnikoviae Radix, twigs removed), Gui (Cinnamomi Ramulus, rough bark removed), Chi Shao Yao (Paeoniae Radix Rubra), Yuan Zhi (Polygalae Radix, heart removed), Du Huo (Angelicae Pubescentis Radix, rhizome removed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang (Yellow herb, ground, note: text truncated, likely Huang Qi or Huang Qin), Fu Shen (Poria with Hostwood, note: text truncated). Seventeen ingredients in total. Coarsely crush and sieve. Take 5 qian bi per dose, with 1.5 zhan of water, boil down to 0.7 zhan. Strain and take after meals, twice daily.
Formula for Fu Shen Tang (Fu Shen Decoction) to treat wind-induced mania with loss of spirit, reduced appetite, uncontrolled laughter, stripping clothes, and climbing high:
Fu Shen (Poria with Hostwood, wood removed), Xing Ren (Armeniacae Semen Amarum, blanched, skin and tips removed, double kernels, each 3 liang), Long Chi (Dragon Tooth, 6 liang), Ning Shui Shi (Natron, crushed, 1 jin), Sheng Ma (Bupleuri Radix, 2 liang). Nine ingredients in total. Cut like hemp seeds. Take 5 qian bi per dose, with 2 zhan of water, boil down to 1 zhan. Strain and take warm, three times daily. If the condition is severe, add 0.5 he of Zhu Li (Bambusa Textilis Sap) to the decoction and boil down to 1 zhan before taking.
Formula for Bai Xian Pi Tang (Dictamni Cortex Decoction) to treat wind pathogen entering the zang organs, causing mania with rambling speech, mental confusion, lower back pain, and bone pain:
Bai Xian Pi (Dictamni Cortex, 1.5 fen), Ma Huang (Ephedrae Herba, roots and joints removed, 0.5 liang), Bai Fu Ling (Poria, black skin removed, 3 fen), Fang Feng (Saposhnikoviae Radix, twigs removed), Du Huo (Angelicae Pubescentis Radix, rhizome removed)... [Text truncated]. Nine ingredients in total. Coarsely crush and sieve. Take 3 qian bi per dose, with 1.5 zhan of water, boil down to 0.8 zhan. Strain and take warm on an empty stomach. Continue until a slight sweat appears. Take three times daily.
Formula for Jin Bo Jian (Gold Leaf Decoction) to treat wind pathogen causing mania and guarding the spirit:
Jin Bo (Gold Leaf, 100 pieces), Dan Sha (Cinnabar, ground), Long Nao (Borneolum Syntheticum, ground), Niu Huang (Calculus Bovis, ground), Zhen Zhu Mo (Margarita Powder), Hu Po Mo (Amber Powder), Xi Jiao Mo (Rhinocerotis Cornu Powder, each 0.5 liang). Seven ingredients in total. Grind the first six ingredients uniformly. Use a tripod vessel, lay a layer of heavy gold leaf, then a layer of medicine powder, repeating this process. Use cow... [Text truncated]