〔大〕夫妇人颠狂病者，由血气虚，受风邪所为也。人禀阴阳之气而生，而风邪入
并于阴则为颠，入并于阳则为狂。阴之与阳，有虚有实，随其虚时，为邪所并则发也。颠
者卒发，意不乐，直视仆地，吐涎沫，口 目急，手足撩戾，无所觉知，良久乃苏。狂
者少卧不饥，自高贤也，自辨智也，自贵倨也，妄笑好歌乐，妄行不休，故曰颠狂也。
《素问》云∶阳厥狂怒，饮以铁落。狂怒出于肝经，肝属木，铁落，金也，以金制木之意。
予尝治一女人眼见鬼物，言语失常，循衣直视。众医多用心药治之无效。予投养正丹二
帖，煎乳香汤送下，以三生饮佐之立愈。又一男子亦曾病此证，亦用此药收效。且养正
丹与《百一方》抱胆丸无异，抱胆丸内无硫黄，有乳香也。
〔薛〕刘宗浓先生云∶有在母腹中受惊者，或有闻大惊而得者。盖惊则神不守舍，舍
空则痰涎归之。或饮食失节，胃气有伤，痰停胸膈而作，当寻火、寻痰、固元气。若顽
痰胶固上膈，必先用吐法，若在肠胃，亦须下之。窃谓此证，若因元气虚弱，或痰盛发
热等，皆是虚象，如慢惊证，无风可祛，无痰可逐，但补脾胃，生气健旺，神智自清，痰
涎自化。若误用辛散祛逐脑麝之剂，必为败证。一妇人素清苦，因惊而颠，或用风痰
等药愈甚。余用参、 、归、术浓煎，佐以姜汁、竹沥，服三斤余方愈。
防风散 治妇人风邪颠狂，或啼泣不止，或歌笑无度，或心神恐惧，或言语失常。
防风 茯神（去木） 独活 人参 远志（去心） 龙齿（研） 菖蒲（去毛）
石膏 牡蛎（各一两） 秦艽 禹余粮 桂心（各半两） 甘草（七钱半） 蛇蜕（一尺，炙）
上为粗末，每服三钱，水一盏半，煎七分，去滓温服。
又方 羚羊角（屑） 人参 生干地黄（各七钱半） 独活 远志（去心） 菖蒲（去毛）
防风（各半两） 茯神（去木） 石膏 麦门冬（去心） 龙齿（别研） 白鲜皮（各一两）
上为粗末，每服三钱，水煎，温服无时。
牛黄清心丸亦可用。（方见杂病中风。）
余详杂病本门。
【大】妇女患颠狂病，是由于气血虚弱，感受风邪所致。人禀受阴阳二气而生，若风邪侵入并合于阴分，则发为癫；若风邪侵入并合于阳分，则发为狂。阴与阳，有虚有实，随着正气虚弱之时，邪气乘虚而入就会发病。癫证是突然发作，患者心中不乐，两眼直视倒地，口吐涎沫，口眼抽搐拘急，手足屈曲扭转，神志昏迷无知觉，过了很久才苏醒。狂证则是睡眠少、不知饥饿，自认为贤能，自认为聪慧，自认为尊贵傲慢，无故嬉笑、喜欢唱歌娱乐，行为妄乱不停止，所以称为癫狂。《素问》说：阳厥导致的狂怒，用铁落煎水饮用。狂怒源于肝经，肝属木，铁落属金，这是以金克制木的意思。我曾经治疗一位妇女，看见鬼怪物象，言语失常，摸弄衣被且两眼直视。许多医生多用镇心安神之药治疗，但无效。我投予养正丹两帖，用乳香汤送服，并用三生饮辅助，立刻痊愈。又有一位男子也患此证，也用此药见效。而且养正丹与《百一方》中的抱胆丸没有区别，抱胆丸内没有硫黄，而是含有乳香。
【薛】刘宗浓先生说：有的患者在母腹中受到惊吓，或者因听到巨大的惊恐而患病。大概是因为惊则神志不能安守舍宅，舍宅空虚则痰涎归聚于此。或者是饮食失节，损伤胃气，导致痰停聚在胸膈而发病，应当寻找火邪、寻找痰邪、固护元气。如果顽痰胶结固着在上膈，必须先用吐法；如果在肠胃，也必须用下法。我认为此证，如果是由于元气虚弱，或者痰盛发热等，都是虚象，就像慢惊风证一样，无风可祛，无痰可逐，只需补益脾胃，使生气健旺，神智自然清明，痰涎自然化解。如果误用辛散祛逐及脑麝类的药剂，必然导致败证。有一位妇人平素清苦，因受惊而患癫证，有人用治风痰的药物，病情反而加重。我用人参、白术、当归、茯苓浓煎，佐以姜汁、竹沥，服用三斤多才痊愈。
防风散：治疗妇人风邪引起的颠狂，或者啼哭不止，或者歌笑无度，或者心神恐惧，或者言语失常。
药物组成：防风、茯神（去木）、独活、人参、远志（去心）、龙齿（研碎）、菖蒲（去毛）、石膏、牡蛎（各一两）、秦艽、禹余粮、桂心（各半两）、甘草（七钱半）、蛇蜕（一尺，炙）。
用法：以上药材捣成粗末，每次服用三钱，加水一盏半，煎至七分，去渣温服。
又一方：羚羊角（屑）、人参、生干地黄（各七钱半）、独活、远志（去心）、菖蒲（去毛）、防风（各半两）、茯神（去木）、石膏、麦门冬（去心）、龙齿（另研）、白鲜皮（各一两）。
用法：以上药材捣成粗末，每次服用三钱，用水煎煮，随时温服。
[Da] Women suffering from dian-kuang disorder (a category of mental disorders characterized by mania or melancholia) are afflicted due to deficiency and weakness of Qi and Blood, combined with the invasion of Wind pathogen. Humans are born endowing Yin and Yang Qi. When Wind pathogen enters and merges with Yin, it manifests as Dian (melancholic psychosis); when it enters and merges with Yang, it manifests as Kuang (manic psychosis). Yin and Yang have states of deficiency and excess. When the body is deficient, the pathogen combines with the deficiency, triggering an attack. Dian attacks suddenly; the patient feels unhappy, stares straight ahead, collapses, foams at the mouth, experiences spasms of the mouth and eyes, tortuous twisting of the limbs, and loses consciousness. After a long time, they recover. Kuang is characterized by little sleep, lack of hunger, arrogance regarding one's virtue, wisdom, and status, unprovoked laughter, fondness for singing and music, continuous erratic behavior. Hence, it is called dian-kuang. The *Suwen* states: "For manic rage due to Yang Jue (rebellious Qi), drink Iron Dust Decoction." Manic rage originates from the Liver Meridian. The Liver belongs to Wood, while Iron Dust belongs to Metal; this represents the principle of using Metal to control Wood. I once treated a woman who saw ghosts and objects, spoke abnormally, picked at her clothes, and stared straight ahead. Many physicians used sedative herbs without effect. I prescribed Yangzheng Dan (Nourish Righteousness Pill) twice, taken with Frankincense Decoction, assisted by Sansheng Yin (Three Lives Decoction), resulting in immediate recovery. Another male patient suffered from the same condition and also recovered with this prescription. Moreover, Yangzheng Dan is identical to Baodan Wan (Guard the Gallbladder Pill) from *Baiyi Fang*, except that Baodan Wan contains no Realgar but instead contains Frankincense.
[Xue] Mr. Liu Zongnong stated: Some patients suffer fright in the womb, or contract the disease after hearing a sudden loud shock. Fright causes the Spirit (Shen) to lose its residence; when the residence is empty, Phlegm-Drool gathers there. Alternatively, irregular diet damages Stomach Qi, causing Phlegm to stagnate in the chest and diaphragm, leading to illness. One must identify Fire pathogens, identify Phlegm, and consolidate Yuan Qi. If stubborn Phlegm is firmly lodged in the upper diaphragm, emesis must be induced first; if in the intestines and stomach, purgation is required. I believe that if this disorder arises from deficiency of Yuan Qi, or Phlegm-heat causing fever, these are all deficiency patterns. Similar to Slow Convulsion Disorder, there is no Wind to dispel and no Phlegm to purge; one should only tonify the Spleen and Stomach. As Sheng Qi becomes robust, Shen will naturally clear, and Phlegm-Drool will transform. If mistakenly treated with acrid-dispersing agents containing Camphor and Musk, it will inevitably lead to a deteriorating condition. A woman of ascetic habits contracted Dian due to fright. Treatment with Wind-Phlegm dispersing herbs worsened her condition. I used dense decoctions of Ginseng, Atractylodes Macrocephala Rhizome, Angelica Sinensis Radix, and Poria Cocos, assisted by Ginger Juice and Bamboo Sap. After consuming over three jin, she recovered.
Fangfeng San (Saposhnikovia Powder): Treats Wind-pathogen-induced dian-kuang in women, including incessant weeping, excessive laughing/singing, mental fear, or abnormal speech.
Ingredients: Saposhnikovia Root (Fangfeng), Poria with Hostwood Removed (Fushen), Notopterygium Root (Duhuo), Ginseng Root (Renshen), Polygala Tuber (Yuanzhi), Dragon Teeth (Longchi), Acorus Tatarinowii Rhizome (Changpu), Gypsum Fibrosum (Shigao), Oyster Shell (Muli) [each 1 liang]; Gentian Macrophylla Root (Qinjiao), Yucca Lithium Carbonas (Yuyuliang), Cassia Twig (Guixin) [each 0.5 liang]; Licorice Root (Gancao) [7.5 qian]; Snake Slough (Shetui) [1 chi, roasted].
Preparation: Grind into coarse powder. Take 3 qian per dose, add 1.5 cups of water, decoct to 0.7 cups, strain, and take warm.
Another Prescription: Antelope Horn (Lingyangjiao), Ginseng Root (Renshen), Rehmannia Root Preparata (Sheng Dihuang) [each 7.5 qian]; Notopterygium Root (Duhuo), Polygala Tuber (Yuanzhi), Acorus Tatarinowii Rhizome (Changpu), Saposhnikovia Root (Fangfeng) [each 0.5 liang]; Poria with Hostwood Removed (Fushen), Gypsum Fibrosum (Shigao), Ophiopogon Tuber (Mendong), Dragon Teeth (Longchi), Dictamnus Root Bark (Baixianpi) [each 1 liang].
Preparation: Grind into coarse powder. Take 3 qian per dose, decoct in water, take warm at any time.
Niuhuang Qingxin Wan (Calculus Bovis Clear Heart Pill) may also be used. (Formula see Miscellaneous Diseases - Stroke section.)
For further details, refer to the Miscellaneous Diseases section.