病源风癫者。由血气虚风邪入于阴经故也。人有血气少则心虚。而精神离散。魂魄妄行
。因为风邪所伤。故邪入于阴则为癫疾。又人在胎时。其母卒大惊。精气并居。令子发癫。
其发
顺墙
别有正
热癫疾
地舒两
自极十一通。愈头眩风癫。久行。身卧空中而不坠落。(出第二
集验风癫论曰∶凡癫病发则仆地。吐涎沫无知。若强掠如狂及遗粪者难疗。无方。(出
第三卷中千金同)
千金疗风癫方。
葶苈子(熬研) 铅丹 栝蒌 虎掌(各三分) 乌头(三分炮) 白术(一分) 鸱
头(一枚
炙) 铁精 茹(各一两) 椒(汗) 大戟(炙) 甘遂 天雄(各二分炮)
上十三味末之。以蜜和如梧子大。服二丸。日二。忌桃李雀肉猪肉冷水。(经心录同名
鸱头丸)
又芎 汤。主风癫。引胁牵痛发作则吐。耳如蝉鸣方。
芎 本 茹(各五两)
上三味切。纳酒一斗。煮取三升。顿服。酒一升。羸者二服。取大汗。(深师同)
又方
生天门冬(十斤) 生地黄(三十斤)
上二味取汁作煎服之。忌鲤鱼芜荑。
又天门冬酒。通治五脏六腑。大风洞虚。五劳七伤症结滞气。冷热诸风。癫痫恶疾。
耳
天门冬与百部相似。天门冬味甘。两头方。百部细长而味苦。令人利。门冬汁一斗。渍
曲二升
令酒相
石二石
气出去
身。中
余汁拌
止。此
凡八月
四月不
天门冬去心皮。暴干捣筛。以上件酒张方寸匕。日三加至三匕。久服长生。凡酒亦得服
之。
又疗风癫方。
茯神 白龙骨(研) 龙齿(研) 龙角(研) 龙胆 蔓荆子 铁精(研) 干姜(各
十分)
人参 远志(去心) 黄连 大黄(各八分) 芎 白芷 黄芩 当归(各六分) 桂心
(五分
去皮)
上十七味末之。蜜和丸。汤服十五丸。如梧子大。日二。稍稍加之。以知为度。忌酢物
猪肉冷水生葱。(并出第十四卷中)
古今录验疗风癫。六生散方。
菖蒲 蒴 (一作 芦) 防风 茵芋 商陆根 蜀附子(炮各二两)
上六味捣下筛。酒服钱五匕。日再服。不知稍增。以知为度。忌猪肉冷水羊肉饧牛犬肉
蒜等。
又侯氏黑散。疗风癫方。
菊花(四十分) 防风 白术(各十分) 茯苓 细辛 牡蛎(熬) 钟乳(研)
石(泥裹
烧半日研) 人参 干姜 桂心 芎 当归 矾石(如马齿者烧令汁尽研各三分) 黄芩
(五
分)
上十五味捣合下筛。以酒服方寸匕。日三。忌桃李雀肉胡荽青鱼 酢物生葱生菜。(并
出
上
病源论中关于风癫的论述:风癫这种病,是由于人体血气虚弱,风邪侵入阴经所致。人如果血气不足,就会导致心虚,进而出现精神离散、魂魄妄行的症状。因为受到风邪的伤害,所以邪气进入阴经就会引发癫疾。另外,人在胎儿时期,如果母亲突然受到极大的惊吓,精气紊乱并聚积,也会导致孩子出生后发作癫病。
其发病情况:顺着墙壁(行走或站立时出现异常),另有正……热癫疾……地舒两……自极十一通。治愈头眩风癫。长期行走,身体卧于空中而不坠落。(出自第二卷)
《集验方》中风癫论说:凡是癫病发作,患者会仆倒在地,口吐涎沫且失去知觉。如果病情严重如狂乱般挣扎以及大小便失禁的,难以治疗。此处无具体方剂。(出自第三卷,《千金方》中内容相同)
《千金方》治疗风癫的方剂:
葶苈子(熬制后研磨)、铅丹、栝蒌、虎掌(各三分)、乌头(三分,炮制)、白术(一分)、鸱头(一枚,炙烤)、铁精、茹(各一两)、椒(出汗处理)、大戟(炙烤)、甘遂、天雄(各二分,炮制)。
以上十三味药研成细末,用蜂蜜调和制成如梧桐子大小的丸药。每次服用二丸,每日两次。忌食桃李、雀肉、猪肉及冷水。(《经心录》中有同名方“鸱头丸”)
又一方:芎䓖汤。主治风癫。症状表现为牵引胁肋疼痛,发作时呕吐,耳朵像蝉鸣一样响。
芎䓖、本、茹(各五两)。
以上三味药切碎,放入一斗酒中,煮取三升药液,一次性服下。若酒力不够,可再服一升酒。体质虚弱者分两次服用。以出大汗为效。(《深师方》内容相同)
又一方:
生天门冬(十斤)、生地黄(三十斤)。
以上两味药取汁液,熬制成煎剂服用。忌食鲤鱼和芜荑。
又一方:天门冬酒。通用治疗五脏六腑的大风洞虚、五劳七伤、症结滞气、冷热诸风、癫痫恶疾等。
天门冬与百部相似。天门冬味甘,两头方形;百部细长而味苦,使人腹泻。取天门冬汁一斗,浸泡曲二升,令酒相……石二石……气出去身。中间余汁拌……止。此凡八月……四月不……
天门冬去心皮,晒干捣筛。以上述酒方,每次服用方寸匕大小的量,每日三次,逐渐增加至三匕。长期服用可长生。一般的酒也可以服用。
又一方:治疗风癫。
茯神、白龙骨(研磨)、龙齿(研磨)、龙角(研磨)、龙胆、蔓荆子、铁精(研磨)、干姜(各十分)。
人参、远志(去心)、黄连、大黄(各八分)、芎䓖、白芷、黄芩、当归(各六分)、桂心(五分,去皮)。
以上十七味药研成细末,用蜂蜜和丸。用汤药送服十五丸,大小如梧桐子。每日两次,逐渐增加剂量,以见效为度。忌食醋物、猪肉、冷水、生葱。(均出自第十四卷)
《古今录验》治疗风癫的“六生散”方:
菖蒲、蒴藋(一作芦)、防风、茵芋、商陆根、蜀附子(炮制,各二两)。
以上六味药捣碎过筛。用酒送服钱五匕大小的药量,每日两次。若无效则稍加剂量,以见效为度。忌食猪肉、冷水、羊肉、饴糖、牛犬肉、蒜等。
又一方:侯氏黑散。治疗风癫。
菊花(四十分)、防风、白术(各十分)、茯苓、细辛、牡蛎(熬制)、钟乳(研磨)、石(泥裹烧半日后研磨)、人参、干姜、桂心、芎䓖、当归、矾石(如马齿状者,烧至汁尽后研磨,各三分)、黄芩(五分)。
以上十五味药捣合过筛。用酒送服方寸匕大小的药量,每日三次。忌食桃李、雀肉、胡荽、青鱼、醋物、生葱、生菜。(均出自上卷)
According to the *Bing Yuan* (Etiology and Pathogenesis), Fengdian (Wind-induced Epilepsy) arises from deficiency of blood and qi, allowing wind pathogens to invade the Yin meridians. When a person's blood and qi are insufficient, the Heart becomes deficient, leading to the dispersion of spirit and mind (*Shen* and *Hun*) and erratic behavior of the soul. Due to injury by wind pathogens, when the pathogen enters the Yin meridians, it results in Dianji (Epilepsy). Furthermore, if the mother suffers a sudden great fright during pregnancy, the essence and qi may become disordered and accumulate, causing the child to develop epilepsy after birth.
Regarding its onset: [Text describes specific physical manifestations or movements such as leaning against walls, heat-induced epilepsy, etc.] It cures Touxuan Fengdian (Vertigo and Wind-induced Epilepsy). Long-term walking while lying in mid-air without falling. (From Volume 2)
The *Jiyan Fang* (Collected Proven Prescriptions) discusses Fengdian: Generally, when an epileptic seizure occurs, the patient falls to the ground, vomits saliva and foam, and loses consciousness. If the condition is severe, resembling madness with struggling, or accompanied by fecal incontinence, it is difficult to treat. No prescription is provided here. (From Volume 3; identical content in *Qianjin Fang*)
*Qianjin Fang* Prescription for Treating Wind-induced Epilepsy:
Tinglizi (Thlaspi Semen, prepared and ground), Qiandan (Lead Tetroxide), Gualou (Trichosanthes Fruit), Huzhang (Aconitum carmichaelii side root), each 3 fen; Wutou (Aconitum carmichaelii lateral root, processed), 3 fen; Baizhu (Atractylodis Macrocephalae Rhizoma), 1 fen; Chitou (Owl head, roasted), 1 piece; Tiejing (Iron powder); Ru (likely referring to a specific herb or part, contextually linked to other ingredients), each 1 liang; Jiao (Zanthoxylum bungeanum, treated to remove moisture); Daji (Euphorbia pekinensis, roasted); Gansui (Kansui Root); Tianxiong (Aconitum kusnezoffii root, processed), each 2 fen.
Grind the above thirteen herbs into fine powder. Mix with honey to form pills the size of a wu zi (cibotium seed). Take 2 pills, twice daily. Avoid peaches, plums, sparrow meat, pork, and cold water. (*Jingxin Lu* has a prescription with the same name "Chitou Wan")
Another Prescription: Xiongtang Decoction. Mainly treats wind-induced epilepsy. Symptoms include pulling pain in the hypochondrium, vomiting upon attack, and tinnitus like cicada buzzing.
Xiong (Ligusticum chuanxiong), Ben (Ligusticum wallichii), Ru (each 5 liang).
Cut the above three herbs, place in one dou of wine, boil to obtain three sheng of liquid. Take all at once. If necessary, drink another sheng of wine. For frail patients, divide into two doses. The goal is to induce profuse sweating. (Identical in *Shenshi Fang*)
Another Prescription:
Sheng Tianmendong (Asparagi Radix, fresh), 10 jin; Sheng Dihuang (Rehmanniae Radix, fresh), 30 jin.
Extract the juice from the above two herbs and take as a concentrated decoction. Avoid carp and Elsholtzia.
Another Prescription: Tianmendong Wine. Universally treats internal wind, emptiness of the five zang and six fu organs, five exhaustions and seven injuries, stagnation of qi, cold and heat wind patterns, epilepsy, and malignant diseases.
Tianmendong resembles Bubu. Tianmendong tastes sweet and has square ends; Bubu is slender and bitter, causing diarrhea. Take one dou of Tianmendong juice, soak two sheng of yeast starter, let the wine ferment... [Text contains fragmented instructions regarding fermentation time and processing]. Remove the heart and peel of Tianmendong, dry in the sun, grind, and sieve. Using the aforementioned wine method, take one fangcun bi (square-inch spoonful) each time, three times daily, gradually increasing to three spoonfuls. Long-term use promotes longevity. Ordinary wine can also be used.
Another Prescription: Treats wind-induced epilepsy.
Fushen (Poria with Hostwood), Bailonggu (Fossilized Bone, ground), Longchi (Dragon Teeth, ground), Longjiao (Dragon Horn, ground), Longdan (Gentianae Radix), Manjingzi (Viticis Fructus), Tiejing (Iron powder, ground), Ganjiang (Zingiberis Rhizoma, dried), each 10 fen.
Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix, heart removed), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), each 8 fen; Xiong (Ligusticum chuanxiong), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), each 6 fen; Guixin (Cinnamomi Ramulus, bark removed), 5 fen.
Grind the above seventeen herbs into fine powder. Mix with honey to make pills. Take 15 pills with warm water, size of a wu zi. Twice daily. Gradually increase the dose until efficacy is achieved. Avoid vinegar, pork, cold water, and raw scallions. (All from Volume 14)
*Gujin Luyan* Prescription "Liusheng San" for treating wind-induced epilepsy:
Changpu (Acori Tatarinowii Rhizoma), Shuodie (likely Pseudoginseng or similar, noted as Lu in some versions), Fangfeng (Saposhnikoviae Radix), Yinyu (Skullcap flavescens), Shanglugen (Phytolaccae Radix), Shufuzi (Aconitum carmichaelii lateral root from Shu region, processed), each 2 liang.
Grind the above six herbs and sieve. Take the amount equivalent to a coin-sized scoop with wine, twice daily. If ineffective, slightly increase the dose until efficacy is achieved. Avoid pork, cold water, mutton, maltose, beef, dog meat, and garlic.
Another Prescription: Hou's Black Powder (Houshi Heisan). Treats wind-induced epilepsy.
Juhua (Chrysanthemi Flos), 40 fen; Fangfeng (Saposhnikoviae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), each 10 fen; Fuling (Poria), Xixin (Asari Radix et Rhizoma), Musli (Ostrea Concha, prepared), Zhongru (Halloysitum), Shi (likely Calcitum or similar mineral, wrapped in clay and fired for half a day then ground), Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma, dried), Guixin (Cinnamomi Ramulus), Xiong (Ligusticum chuanxiong), Danggui (Angelicae Sinensis Radix), Fanshi (Alumen, horse-tooth type, fired until juice dries then ground), each 3 fen; Huangqin (Scutellariae Radix), 5 fen.
Grind and mix the above fifteen herbs and sieve. Take one fangcun bi with wine, three times daily. Avoid peaches, plums, sparrow meat, Coriandrum, green fish, vinegar, raw scallions, and raw vegetables. (All from the upper volume)