脉虚弦为惊。为风痫。
痫症者。发则仆地。闷乱无知。嚼舌吐沫。背反张。目上视。手足搐搦。或作六畜声者
是也
盖痫疾之原。得之惊。或在母腹之时。或在有生之后。必因惊恐而致疾。盖恐则气下。惊
则气乱。恐气归肾。惊气归心。并于心肾。则肝脾独虚。肝虚则生风。脾虚则生痰。蓄极而
通。其发也暴。故令风痰上涌而痫作矣。内经曰。然所以令人仆地者。厥气并于上。上实下
虚。清浊倒置。故令人仆地。闷乱无知者。浊邪上干心主。而神明壅闭也。舌者心之苗。而
脾之经络。连于舌本。阳明之经络。入上下齿缝中。故风邪实于心胸。则舌自挺。风邪实于
阳明。则口自噤。一挺一噤。故令嚼舌吐沫者。风热盛于内也。此风来潮涌之象。背反张。
目上视者。风在太阳经也。足太阳之经。起于睛明。挟脊而下。风邪干之。则实而劲急。故
目上视而背反张也。手足搐搦者。属肝木。肝木主筋。风热盛于肝。则一身之筋牵挛。故令
手足搐搦也。搐者四肢屈曲之名。搦者十指开握之义也。或作六畜声者。风痰鼓其气窍。而
声自变也。譬之弄笛焉。六孔闭塞不同。而宫商别异是也。
夫痫之为病。角弓反张。手足搐搦。口吐涎沫。俗云猪圈风也。亦因金衰木旺。生风外
出。
惊邪入内以致之。盖痫病一月数发者。易治。周年一发者。难治。虚实之判也。实则即攻之
虚者先补可也。治法。当先以瓜蒂散吐之。用甜瓜蒂为末。每服一钱。井水调一盏投之。
即大吐。后熟睡。勿令惊起即效。后以汤药调理。
一论痫者。宜下宜吐。茶子喜涌而能吐顽痰。宜取一升。捣烂。煎汤服。得大吐便止。
一论诸痫神智不宁。时发狂躁。多言好怒。面容不泽。
定神至宝丹
生地黄（姜汁炒五钱） 橘红 贝母 白茯苓（去皮） 黄连 远志（去心） 石菖蒲
酸枣仁（炒） 枳实（麸炒） 栝蒌仁 天花粉 甘草（少许）
上锉。生姜三片。水煎服。
一论痫者。痰涎壅并然也。
加减导痰汤 主方神效。
南星（姜制） 半夏 陈皮（去白） 白茯苓（去皮） 栝蒌仁 枳实（麸炒） 桔梗 山
栀子 黄芩（各一钱） 黄连（姜炒一钱） 甘草 木香（五分另研） 辰砂（五分为
末）
上锉一剂。生姜煎。入竹沥、姜汁。磨木香末。调辰砂同服。
一论痫属气血虚。而兼痰火者。此攻补兼施。平肝解郁。清火化痰。除眩晕诸痫之症。
清心抑气汤
当归（酒洗） 白芍（酒炒） 白术（去芦炒） 白茯苓（去皮） 陈皮（去白） 半夏（姜汁炒
）枳
实（麸炒） 竹茹 石菖蒲 黄连（姜炒） 香附（炒各一钱） 麦门冬（去心） 川芎
人参 远志（去心） 甘草（各四分）
上锉一剂。生姜煎服。
一论大人小儿。忽然昏晕倒地。五痫之症。
朱砂（水飞用猪心一个割开入砂末五钱湿纸包漫火炙熟取砂净入后药猪心病患空心食）
南星
（沸汤浸三次锉姜制二两） 巴豆仁（五钱锻石一碗炒红入仁在内灰冷取仁将灰又炒又以仁在
内再炒拣出用草纸捶去油灰不用） 全蝎（去头足尾炙二钱） 龙胆草（二两）
上为末。面糊丸如梧子大。每服十五丸。姜汤送下。
一论风痫搐搦。心志发狂。弃衣而走。登高而歌。或数日不愈。逾垣上屋。
妄言骂詈。不避亲疏。妄见鬼神。一切潮热。及风中厥逆。牙关紧闭。并可治之。
三圣散
防风（去芦三两） 瓜蒂（炒二两） 藜芦（去苗加减用或一两或半两或二两）
上为粗末。每服五钱。用齑汁二盏煎三沸。滤于大碗中。再用齑一盏。煎渣三沸。却入
先煎药
同熬三沸。澄清。候温。徐徐投下。不必尽剂。吐。如吐不止。煎葱白汤咽三五口。立解
如不吐。再加服之。如服药多。不吐出涎。再饮齑汁盐汤各一二盏投之。如不出。以光钗
喉中探引。即出矣。须用白盆一个。黑盆不见涎形状。吐出青黄涎沫二三升为效。吐罢之
后。吃微温白粥一二顿。
此三圣散。汗吐下三法俱行。防风发汗。瓜蒂下泄。藜芦涌吐。凡用法则禁忌症候。小
者勿
服。病久虽合吐。勿服。吐血人勿服。主病不正勿服。众口不能正勿服。先正病患心神。居
净室中。善侍病者一二人。温克和柔。善诱病患则妙矣。提防吐后眩晕。跌扑呼叫。病患既
吐必损津液作渴。与冰水及新水。降心火。勿食热物。
一论诸风螈 。不能言语。怔忡健忘。恍惚去来。头目眩晕。胸中烦郁。痰涎壅塞。精
神昏
倦。心气不足。神志不宁。惊恐忧惨。虚烦少睡。或发癫狂。小儿惊痫风搐。大人暗风羊癫
风癫。发叫如雷。其效如神。
千金保命丹 侍御何中寰经验。
朱砂（二钱） 珍珠（一钱） 胆星（三钱） 甘草 麻黄（去根节） 白附子（炮） 雄黄
薄荷（
各一钱） 防风 琥珀 金箔 牛黄（各一钱） 僵蚕（炒） 犀角 麦门冬（去心）
枳壳（去穣） 桔梗（去芦） 地骨皮 神曲（炒） 白茯苓（去皮） 白术（去芦） 人参（各三钱）
远志（去心三钱） 柴胡（三钱） 天麻（一钱） 胆矾（一钱七分） 冰片（少许） 黄芩（七钱）
麝香（少许） 紫河车（七钱） 天竺黄（一钱） 荆芥（七钱） 蝉蜕（一钱七分） 川芎 牙皂
（各一钱）
上为细末。炼蜜为丸。如弹子大。金箔为衣。用蜡包裹。用时取开。每服一丸。薄荷煎
汤磨化下。不拘时服。忌猪羊肉虾米胡桃动风之物。
一参伯王 庵公子。患痫七年。诸医罔效。召余治。以追风祛痰丸、安神丸。二丸兼进
半年而愈。
逾四年未发。复因不善保守。病发如前。差役复求余治。余以此方制药一料。投之辄效。迄
今数年不发。气体已撤消矣。余因此方治痫屡验。故名曰
医痫无双丸
南星（一两） 半夏（一两二味用白矾皂角生姜煎汤浸一日夜透切片随汤煮干去矾皂姜不
用）
川芎（三钱） 归身（酒洗） 软石膏（各一两） 天麻（七钱） 僵蚕（五分） 生地黄（酒炒
一两
）荆芥穗（五钱） 辰砂（五钱） 川独活（五钱） 乌犀角（五钱） 白茯苓（去皮）
参（各
一两） 远志（甘草水泡去心） 麦冬（去心） 白术（去芦油） 陈皮（去白各五钱） 酸枣
仁（炒
五钱） 黄芩（三钱） 川黄连（去毛五钱） 白附子（煨） 珍珠 甘草（各三钱） 金箔（
三十片）
上为细末。好酒打稀糊为丸。如梧子大。金箔为衣。每服五十丸。空心白汤送下。最能
祛风化痰。降火补益。养血理脾。宁心定志。轻者半料奏效。重者全料。
一儿十五岁。御女后。复劳役。考试失意。患痫症三年矣。遇劳则发。用十全大补汤。
加
味归脾汤之类。更以紫河车生研如膏。入蒸糯米饭为丸。如梧子大。每服百丸。日三四服而
痊。后患遗精。盗汗发热。仍用前药。及六味丸而愈。此方治痫。不拘老幼皆效。
清心滚痰丸 治诸风癫痫有殊效。
一治惊痫方。
白矾（一两半生半枯） 荆芥穗（二两）
上为末。面糊为丸。如黍米大。朱砂为衣。每服二十丸。姜汤送下。
痫症发作时，患者会突然仆倒在地，神志昏乱无知，咬破舌头并吐出涎沫，身体向后反折僵硬（角弓反张），眼球向上凝视，手足抽搐痉挛，或者发出类似六畜的叫声。
大抵痫疾的成因，源于惊恐。这种惊恐可能发生在母腹之中，也可能发生在出生之后，必定是因为受到惊恐而导致疾病。恐惧会使气机下陷，惊慌会使气机紊乱。恐伤肾，惊伤心，病气归于心和肾，导致肝脾相对虚弱。肝虚则生内风，脾虚则生痰湿。痰浊蓄积到极点而一旦通畅，发病就会非常猛烈，因此风痰上涌，导致痫症发作。《黄帝内经》说：之所以让人仆倒在地，是因为厥逆之气并聚于上部，造成上实下虚，清阳与浊阴倒置，所以使人仆倒在地。神志昏乱无知的，是因为浊邪上犯心主，导致神明被壅塞闭阻。舌是心的苗窍，且脾的经络连于舌本，阳明经的经络进入上下齿缝中。因此，风邪实证于心胸，舌头就会挺出；风邪实证于阳明经，口唇就会紧闭。一挺一噤，所以导致咬舌吐沫，这是体内风热炽盛的表现。这就像风来潮涌一样的景象。身体反折僵硬、眼球上视，是因为风邪在太阳经。足太阳膀胱经起于睛明穴，沿脊柱两侧下行，风邪侵犯它，经脉就会变得充实而劲急，所以出现眼球上视和背部反折僵硬。手足抽搐痉挛，属于肝木病变，肝主筋，风热盛于肝，就会导致全身筋脉牵拉挛急，所以出现手足抽搐。所谓“搐”，是指四肢屈曲的状态；所谓“搦”，是指手指开合的动作。发出类似六畜的声音，是因为风痰鼓动气窍，声音自然改变。这就好比吹笛子一样，六个孔闭塞情况不同，发出的宫商音律也就各异。
关于痫病的论述：表现为角弓反张、手足抽搐、口吐涎沫，俗称“猪圈风”。这也是因为金气衰弱、木气旺盛，内生风气外发，加上惊邪入内所致。一般来说，痫病每月发作几次的，容易治疗；一年只发作一次的，难以治疗。这是辨别虚实的方法。实证应当攻逐，虚证应当先补益。治疗方法，应当先用瓜蒂散催吐。用甜瓜蒂研成粉末，每次服用一钱，用井水调匀一大盏服下，立即引起剧烈呕吐，随后熟睡，不要惊吓使其醒来，这样就会见效。之后再用药汤调理。
另一种观点认为，痫病适宜用泻下法和催吐法。茶籽喜欢涌吐作用，能吐出顽固的痰涎，宜取一升，捣烂后煎汤服用，引起剧烈呕吐后就停止。
另一种观点认为，各种痫病患者神志不宁，时常发作狂躁，多言好怒，面色无光泽。
定神至宝丹
生地黄（用姜汁炒五钱） 橘红 贝母 白茯苓（去皮） 黄连 远志（去心） 石菖蒲 酸枣仁（炒） 枳实（麸炒） 栝蒌仁 天花粉 甘草（少许）
以上药物切碎，加生姜三片，用水煎服。
另一种观点认为，痫病是由于痰涎壅盛所致。
加减导痰汤 主治效果显著。
南星（姜制） 半夏 陈皮（去白） 白茯苓（去皮） 栝蒌仁 枳实（麸炒） 桔梗 山栀子 黄芩（各一钱） 黄连（姜炒一钱） 甘草 木香（五分另研） 辰砂（五分为末）
以上药物切碎一剂，用生姜煎煮，加入竹沥、姜汁，磨入木香末，调和辰砂末一同服用。
另一种观点认为，痫病属于气血虚弱，兼有痰火。此方攻补兼施，平肝解郁，清火化痰，可消除眩晕等各种痫症症状。
清心抑气汤
当归（酒洗） 白芍（酒炒） 白术（去芦炒） 白茯苓（去皮） 陈皮（去白） 半夏（姜汁炒） 枳实（麸炒） 竹茹 石菖蒲 黄连（姜炒） 香附（炒各一钱） 麦门冬（去心） 川芎 人参 远志（去心） 甘草（各四分）
以上药物切碎一剂，用生姜煎服。
另一种观点认为，大人小孩忽然昏晕倒地，属于五痫的症状。
朱砂（水飞法处理，用猪心一个割开，放入朱砂末五钱，用湿纸包裹，在慢火上炙熟，取出朱砂备用，将猪心病患空腹食用）
南星（用沸汤浸泡三次，切碎，姜制二两） 巴豆仁（五钱，用煅石一碗炒红，放入巴豆仁在内，待灰冷却后取出仁，再用灰炒，又将仁放入再炒，拣出后用草纸捶打去除油灰，不用油灰） 全蝎（去头足尾，炙二钱） 龙胆草（二两）
以上药物研为细末，用面糊做成梧桐子大小的丸药。每次服用十五丸，姜汤送下。
另一种观点认为，风痫抽搐，心志发狂，脱衣奔跑，登高唱歌，或者数日不愈，翻墙爬屋，胡言乱语骂人，不分亲疏，看见鬼神，一切潮热，以及中风厥逆、牙关紧闭等症状，都可以治疗。
三圣散
防风（去芦三两） 瓜蒂（炒二两） 藜芦（去苗，根据病情加减使用，或一两，或半两，或二两）
以上药物制成粗末。每次服用五钱，用醋汁二盏煎煮三沸，滤到大碗中。再用醋汁一盏，煎煮药渣三沸，然后倒入先煎的药液，共同熬煮三沸，澄清。待温度适宜，慢慢喂服。不必喝完所有药剂。如果引起呕吐，如呕吐不止，喝几口葱白汤即可止住。如果不呕吐，再加服。如果服药过多，没有吐出涎沫，再饮用醋汁盐汤各一二盏催吐。如果仍不出，用光钗探喉引吐，即可吐出。必须用一个白盆，黑盆看不见涎沫的形状。吐出青黄色的涎沫二三升为有效。吐完后，吃一两顿微温的白粥。
这个三圣散，汗、吐、下三种治法都具备。防风发汗，瓜蒂泄下，藜芦涌吐。凡是用法和禁忌症候，年幼者勿服。病程久虽适合吐法，也不可用。吐血者勿服。主病不正者勿服。众人议论纷纷不能确定者勿服。首先要安定病患的神志，居住在洁净的房间中，由一两名善于侍奉病人的人，温和柔顺地诱导病患，这样就妙了。要提防吐后出现眩晕、跌倒呼叫。病患既然已经呕吐，必然损伤津液而感到口渴，给予冰水或新水，以降心火，不要吃热的食物。
另一种观点认为，各种风邪引起的抽搐，不能言语，心悸健忘，恍惚不定，头目眩晕，心中烦闷抑郁，痰涎壅塞，精神昏倦，心气不足，神志不宁，惊恐忧惨，虚烦少睡，或者发癫狂，小儿惊痫风搐，大人暗风羊癫疯，发作时叫声如雷，效果神奇。
千金保命丹 侍御何中寰的经验方。
朱砂（二钱） 珍珠（一钱） 胆星（三钱） 甘草 麻黄（去根节） 白附子（炮制） 雄黄 薄荷（各一钱） 防风 琥珀 金箔 牛黄（各一钱） 僵蚕（炒） 犀角 麦门冬（去心） 枳壳（去瓤） 桔梗（去芦） 地骨皮 神曲（炒） 白茯苓（去皮） 白术（去芦） 人参（各三钱） 远志（去心三钱） 柴胡（三钱） 天麻（一钱） 胆矾（一钱七分） 冰片（少许） 黄芩（七钱） 麝香（少许） 紫河车（七钱） 天竺黄（一钱） 荆芥（七钱） 蝉蜕（一钱七分） 川芎 牙皂（各一钱）
以上药物研为细末，炼蜜为丸，如弹子大小，用金箔做外衣，用蜡包裹。用时打开，每次服用一丸，用薄荷煎汤磨化送下，不拘时间服用。忌食猪羊肉、虾米、胡桃等动风之物。
参伯王庵的公子，患痫病七年，众医无效，召我诊治。我用追风祛痰丸、安神丸，两种药丸同时服用，半年后痊愈。
过了四年未复发，又因不善保养，病情像以前一样发作。差役又来求我诊治。我用此方制药一料，投药即见效。至今几年未复发，体质已恢复。我因为这个方子治疗痫病屡次验证有效，所以命名为
医痫无双丸
南星（一两） 半夏（一两，这两味药用白矾、皂角、生姜煎汤浸泡一天一夜透彻，切片，随汤煮干，去掉矾、皂角、姜，不用）
川芎（三钱） 归身（酒洗） 软石膏（各一两） 天麻（七钱） 僵蚕（五分） 生地黄（酒炒一两） 荆芥穗（五钱） 辰砂（五钱） 川独活（五钱） 乌犀角（五钱） 白茯苓（去皮） 人参（各一两） 远志（甘草水泡去心） 麦冬（去心） 白术（去芦油） 陈皮（去白各五钱） 酸枣仁（炒五钱） 黄芩（三钱） 川黄连（去毛五钱） 白附子（煨） 珍珠 甘草（各三钱） 金箔（三十片）
以上药物研为细末，用好酒打稀糊为丸，如梧桐子大小，用金箔做外衣。每次服用五十丸，空腹白开水送下。最能祛风化痰，降火补益，养血理脾，宁心定志。轻症半料奏效，重症全料。
有一个十五岁的男孩，纵欲后，又劳累过度，考试失意，患痫症三年了。遇劳累则发作。用十全大补汤、加味归脾汤之类，再加上紫河车生研如膏，加入蒸糯米饭为丸，如梧桐子大小。每次服用一百丸，每天三四次而痊愈。后来患遗精、盗汗发热，仍用前药，以及六味丸而愈。这个方子治疗痫病，不拘老幼都有效。
清心滚痰丸 治疗各种风痫癫痫有特殊疗效。
一方治疗惊痫。
白矾（一两半，一半生用一半枯矾） 荆芥穗（二两）
以上药物研为末，用面糊为丸，如黍米大小，朱砂为衣。每次服用二十丸，姜汤送下。
A pulse that is deficient and wiry indicates fright, also known as wind epilepsy.
Epilepsy (Xian Zheng) is characterized by the patient suddenly falling to the ground upon onset, accompanied by mental confusion and loss of consciousness, biting of the tongue with foaming at the mouth, opisthotonos (back arching), upward deviation of the eyes, spasms and convulsions of the hands and feet, or making sounds resembling those of six domestic animals.
Generally, the origin of epilepsy lies in fright. This fright may occur while in the mother's womb or after birth; it must be caused by fright. Fear causes Qi to sink, and fright causes Qi to become chaotic. Fear affects the Kidney, and fright affects the Heart. When the pathogenic Qi gathers in the Heart and Kidney, the Liver and Spleen become relatively deficient. Liver deficiency generates internal Wind, and Spleen deficiency generates Phlegm. When Phlegm accumulates to an extreme and then unblocks, the onset is violent. Thus, Wind and Phlegm surge upward, causing epilepsy to manifest. The *Neijing* states: "The reason people fall to the ground is that Jue Qi (rebellious Qi) gathers in the upper part, creating excess above and deficiency below, with clear and turbid energies reversed." Mental confusion and loss of consciousness occur because turbid pathogens attack the Heart Master, obstructing and closing the Shen (Spirit). The tongue is the sprout of the Heart, and the meridians of the Spleen connect to the root of the tongue; the meridians of the Yangming enter the gaps between the upper and lower teeth. Therefore, when Wind pathogen creates excess in the Heart and chest, the tongue protrudes; when Wind pathogen creates excess in the Yangming channels, the mouth closes tightly. One protruding and one clenching result in biting the tongue and foaming, which indicates excessive Wind-Heat inside. This is like the surging of a tide. Opisthotonos and upward deviation of the eyes indicate Wind in the Taiyang channel. The Foot-Taiyang Bladder Meridian originates at Jingming (BL1) and descends along both sides of the spine. When invaded by Wind pathogen, the channel becomes full and tense, causing upward deviation of the eyes and back arching. Spasms and convulsions of the hands and feet belong to Wood/Liver. The Liver governs the sinews. When Wind-Heat is excessive in the Liver, the sinews of the whole body are pulled and cramped, causing spasms. "Chu" refers to the flexion of the four limbs, and "Nuo" refers to the opening and closing of the ten fingers. Making animal-like sounds occurs because Wind and Phlegm agitate the Qi orifices, altering the voice. It is like playing a flute: different blockages of the six holes produce different musical notes.
Regarding epilepsy: symptoms include opisthotonos, limb spasms, and foaming at the mouth, commonly called "Pig Pen Wind" in folklore. This is also due to weak Metal and hyperactive Wood generating internal Wind that moves outward, combined with invasive Fright pathogens. Generally, epilepsy occurring several times a month is easy to treat, whereas once-a-year occurrence is difficult to treat, distinguishing excess from deficiency. Excess patterns should be purged; deficiency patterns should first be tonified. The treatment method should initially use Gua Di San (Melon Peduncle Powder) to induce vomiting. Use sweet melon peduncle powder, take one qian per dose, mix with a large cup of well water, and administer. This will cause severe vomiting, followed by deep sleep. Do not startle the patient awake for this to be effective. Afterwards, regulate with herbal decoctions.
Another theory suggests epilepsy is suitable for purgation and emesis. Tea seeds have a strong emetic property and can expel stubborn Phlegm. Take one sheng, crush it, decoct in water, and drink. Stop when severe vomiting occurs.
Another theory addresses various epilepsies where spirit is unsettled, with frequent manic episodes, excessive talking, irritability, and dull complexion.
Ding Shen Zhi Bao Dan (Settle Spirit Supreme Treasure Pill)
Sheng Di Huang (Fried with ginger juice, 5 qian) Ju Hong Chen Pi Bei Mu Bai Fu Ling (Peeled) Huang Lian Yuan Zhi (Heart removed) Shi Chang Pu Suan Zao Ren (Fried) Zhi Shi (Bran-fried) Gua Lou Ren Tian Hua Fen Gan Cao (A little)
Chop these herbs, add three slices of fresh ginger, decoct in water, and take orally.
Another theory posits that epilepsy is caused by congestion of Phlegm and saliva.
Jia Jian Dao Tan Tang (Modified Phlegm-Guiding Decoction) is highly effective.
Nan Xing (Ginger-processed) Ban Xia Chen Pi (White part removed) Bai Fu Ling (Peeled) Gua Lou Ren Zhi Shi (Bran-fried) Jie Geng Shan Zhi Zi Huang Qin (Each 1 qian) Huang Lian (Ginger-fried, 1 qian) Gan Cao Mu Xiang (5 fen, separately ground) Chen Sha (5 fen, ground to powder)
Chop one dose, decoct with ginger, add Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice), grind Mu Xiang powder into it, mix with Chen Sha powder, and take together.
Another theory states that epilepsy belongs to Qi and Blood deficiency with concurrent Phlegm-Fire. This formula combines attacking and tonifying, soothes the Liver, resolves depression, clears Fire, and transforms Phlegm, eliminating dizziness and other epilepsy symptoms.
Qing Xin Yi Qi Tang (Clear Heart Suppress Qi Decoction)
Dang Gui (Washed with wine) Bai Shao (Stir-fried with wine) Bai Zhu (Rhizome removed, stir-fried) Bai Fu Ling (Peeled) Chen Pi (White part removed) Ban Xia (Ginger-juice fried) Zhi Shi (Bran-fried) Zhu Ru Shi Chang Pu Huang Lian (Ginger-fried) Xiang Fu (Stir-fried, each 1 qian) Mai Men Dong (Heart removed) Chuan Xiong Ren Shen Yuan Zhi (Heart removed) Gan Cao (Each 4 fen)
Chop one dose, decoct with ginger, and take orally.
Another theory covers sudden fainting and falling in adults and children, belonging to the five types of epilepsy.
Zhu Sha (Water-triturated. Use one pig heart, cut open, insert 5 qian of Zhu Sha powder, wrap in wet paper, roast slowly over fire until cooked, remove Zhu Sha. Patient eats the pig heart on an empty stomach.) Nan Xing (Soaked three times in boiling water, chopped, ginger-processed, 2 liang) Ba Dou Ren (5 qian. Stir-fry with one bowl of calcined stone until red, put Ba Dou Ren inside. When ash cools, take out the kernel. Stir-fry again with ash, put kernel back in, stir-fry again, take out. Pounded with grass paper to remove oily ash, do not use the oil/ash.) Quan Xie (Head, feet, tail removed, roasted, 2 qian) Long Dan Cao (2 liang)
Grind into powder, make pills with wheat paste the size of wu zi (cibotium seeds). Take 15 pills per dose, send down with ginger soup.
Another theory addresses wind-epilepsy with spasms, manic mind, discarding clothes and running, climbing high places and singing, persisting for days, climbing walls and roofs, speaking nonsense and cursing regardless of kinship, seeing ghosts and spirits, all tidal fevers, and wind-stroke with jue-ni (cold extremities/rebellion), locked jaw. All can be treated.
San Sheng San (Three Sages Powder)
Fang Feng (Rhizome removed, 3 liang) Gua Di (Roasted, 2 liang) Li Lu (Seedlings removed, dosage adjusted: 1 liang, 0.5 liang, or 2 liang)
Make into coarse powder. Take 5 qian per dose. Decoct in vinegar juice (2 cups) for three boils. Filter into a large bowl. Add another cup of vinegar juice, decoct the dregs for three boils. Pour back into the first decoction, boil together for three more boils. Clarify. Wait until warm, administer slowly. No need to finish the dose. If vomiting occurs, if it does not stop, drink 3-5 sips of scallion white soup to stop it immediately. If no vomiting, administer more. If too much medicine is taken without vomiting phlegm, drink 1-2 cups of vinegar juice salt solution to induce vomiting. If still no effect, probe the throat with a silver hairpin to induce expulsion. A white basin must be used, as black basins obscure the shape of the expelled phlegm. Expelling 2-3 sheng of green-yellow phlegm and foam is effective. After vomiting, eat 1-2 meals of slightly warm white porridge.
This San Sheng San employs sweating, vomiting, and purging methods simultaneously. Fang Feng induces sweating, Gua Di promotes downward drainage, Li Lu induces vomiting. Regarding contraindications: do not use in young children. Even if vomiting is indicated for chronic disease, do not use. Do not use in patients with hematemesis. Do not use if the primary pathology is unclear. Do not use if public opinion is divided/unsettled. First stabilize the patient's spirit, keep them in a clean room, have one or two skilled caregivers attend gently and softly, guiding the patient properly. Beware of dizziness, falls, and shouting after vomiting. Vomiting damages fluids, causing thirst. Provide ice water or fresh water to clear Heart Fire. Avoid hot foods.
Another theory addresses various winds causing twitching, inability to speak, palpitations, forgetfulness,恍惚 (trance-like state), dizziness, chest oppression, Phlegm congestion, mental fatigue, insufficient Heart Qi, unsettled spirit, fright, sorrow, vexation, insomnia, mania, pediatric fright-epilepsy spasms, adult hidden wind/sheep epilepsy, roaring sounds upon onset. Effect is miraculous.
Qian Jin Bao Ming Dan (Thousand Gold Life-Preserving Pill), experience formula of Imperial Attendant He Zhonghuan.
Zhu Sha (2 qian) Zhen Zhu (1 qian) Dan Xing (3 qian) Gan Cao Ma Huang (Roots and nodes removed) Bai Fu Zi (Processed) Xiong Huang Bo He (Each 1 qian) Fang Feng Hu Po Jin Bo Niu Huang (Each 1 qian) Jiang Can (Stir-fried) Xi Jiao Mai Men Dong (Heart removed) Zhi Ke (Pith removed) Jie Geng (Rhizome removed) Di Gu Pi Shen Qu (Stir-fried) Bai Fu Ling (Peeled) Bai Zhu (Rhizome removed) Ren Shen (Each 3 qian) Yuan Zhi (Heart removed, 3 qian) Chai Hu (3 qian) Tian Ma (1 qian) Dan Fan (1.7 qian) Bing Pian (A little) Huang Qin (7 qian) She Xiang (A little) Zi He Che (7 qian) Tian Zhu Huang (1 qian) Jing Jie (7 qian) Chan Tui (1.7 qian) Chuan Xiong Ya Zao (Each 1 qian)
Grind into fine powder, bind with refined honey into pills the size of a bullet, coat with Jin Bo (Gold Leaf), wrap in wax. Open when needed. Take one pill per dose, dissolve and swallow with Bo He (Mint) decoction. Take at any time. Avoid pork, mutton, shrimp, walnuts, and other wind-aggravating foods.
The son of Prince Wang An suffered from epilepsy for seven years with no effect from other doctors. I was summoned to treat him. I administered Zhui Feng Qu Tan Wan (Wind-Chasing Phlegm-Expelling Pill) and An Shen Wan (Calm Spirit Pill) together. After half a year, he recovered.
Four years later, no recurrence occurred. However, due to poor self-care, the disease returned. The servant requested my treatment again. I prepared one batch of this formula, administered it, and it was effective immediately. For several years since, there has been no recurrence, and his constitution has recovered. Because this formula has repeatedly proven effective for epilepsy, I named it
Yi Xian Wu Shuang Wan (Medical Epilepsy Peerless Pill)
Nan Xing (1 liang) Ban Xia (1 liang. These two herbs are soaked in a decoction of Bai Fan, Zao Jiao, and Sheng Jiang for one day and night until permeated. Slice, cook in the decoction until dry, discard Fan, Zao Jiao, and Jiang.) Chuan Xiong (3 qian) Gui Shen (Washed with wine) Ruan Shi Gao (Each 1 liang) Tian Ma (7 qian) Jiang Can (5 fen) Sheng Di Huang (Wine-fried, 1 liang) Jing Jie Sui (5 qian) Chen Sha (5 qian) Chuan Du Huo (5 qian) Wu Xi Jiao (5 qian) Bai Fu Ling (Peeled) Ren Shen (Each 1 liang) Yuan Zhi (Soaked in Gan Cao water, heart removed) Mai Dong (Heart removed) Bai Zhu (Rhizome and oil removed) Chen Pi (White part removed, each 5 qian) Suan Zao Ren (Stir-fried, 5 qian) Huang Qin (3 qian) Chuan Huang Lian (Trichomes removed, 5 qian) Bai Fu Zi (Roasted) Zhen Zhu Gan Cao (Each 3 qian) Jin Bo (30 pieces)
Grind into fine powder, use good wine to make a thin paste for binding, form pills the size of wu zi. Coat with Jin Bo. Take 50 pills per dose, send down with plain warm water on an empty stomach. It best expels Wind and transforms Phlegm, clears Fire and tonifies, nourishes Blood and regulates Spleen, calms the Heart and stabilizes the Spirit. Mild cases respond to half a batch; severe cases require the full batch.
A fifteen-year-old boy, after sexual indulgence and labor, and failing exams, suffered from epilepsy for three years, triggered by exertion. Used Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) and Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction), plus Zi He Che (Placenta) raw-ground into paste, mixed with steamed glutinous rice to form pills the size of wu zi. Take 100 pills per dose, 3-4 times daily. He recovered. Later, he suffered from seminal emission, night sweats, and fever. He continued using the previous medicines and Liu Wei Wan (Six-Ingredient Pill) and recovered. This formula is effective for epilepsy regardless of age.
Qing Xin Gun Tan Wan (Clear Heart Rolling Phlegm Pill) has special efficacy for treating various wind-epilepsies.
One formula for treating fright-epilepsy:
Bai Fan (1.5 liang, half raw, half calcined) Jing Jie Sui (2 liang)
Grind into powder, bind with wheat paste into pills the size of millet seeds. Coat with Zhu Sha. Take 20 pills per dose, send down with ginger soup.