此病由于心血不足,又七情六欲损伤包络,或风邪客之,故发风狂,言语无伦,持刀上屋。
治法∶先灌睡圣散,灸巨阙二三十壮,又灸心俞二穴各五壮,内服镇心丹、定志丸。(此证有阳明脉盛而
为热狂者,清凉可愈也;有暴折而难决为怒狂者,夺其食则已,治之以生铁落饮,二证皆狂之实者也。然虚证
常多,不可误治,设一差讹,害人反掌。有心血不足而病者,有肾水亏损而病者,有神志俱不足而病者,有因
惊恐而病者,有因妄想而病者,是皆虚证,体察而治,斯无悖矣。)
治验
一人得风狂已五年,时发时止,百法不效。余为灌睡圣散三钱,先灸巨阙五十壮,醒时再服;又灸心俞五
十壮,服镇心丹一料。余曰∶病患已久,须大发一回方愈。后果大发一日,全好。
一妇人产后得此证,亦如前灸服姜附汤而愈。
此因贼风入舍于阳明之经,其脉挟口环唇,遇风气则经脉牵急,又风入手太阳经亦有此证。
治法∶当灸地仓穴二十壮,艾炷如小麦粒大。左 灸左,右 灸右,后服八风散,三五七散,一月全安。
(此证非中风兼证之口眼 斜,乃身无他苦而单现此者,是贼风之客也,然有筋脉之异,伤筋则痛,伤脉则无
痛,稍有差别,治法相
同。)
凡疮口或金刃破处,宜先贴膏药以御风,不然致风气入内,则成破伤风。此证最急,须早治,迟则不救。
若初得此时,风客太阳经,令人牙关紧急,四肢反张,项背强直,急服金华散,连进二三服,汗出即愈。若救
迟则危笃,额上自汗,速灸关元三百壮可保,若真气脱,虽灸无用矣。(此证所患甚微,为害甚大,虽一毛孔
之伤,有关性命之急,一人因拔髭一茎,忽然肿起不食,有友人询余,余曰∶此破伤风也,速灸为妙。疡医认
作髭疔,治以寒凉,不数日发痉而死。)
此病是由于心血不足,加上七情六欲损伤心包络,或者风邪侵袭所致,因此引发风狂,表现为言语错乱无章,甚至持刀登屋。
治疗方法:先灌服睡圣散,灸巨阙穴二三十壮,再灸心俞穴两穴各五壮,内服镇心丹、定志丸。(这种病症中有因阳明脉盛而产生热狂的,用清凉法可以治愈;有因突然受挫而难以决断产生怒狂的,停止进食即可痊愈,治疗用生铁落饮,这两种证候都属于狂证的实证。然而虚证更为常见,不可误治,一旦出错,害人性命只在顷刻之间。有心血不足而发病的,有肾水亏损而发病的,有神志俱不足而发病的,有因惊恐而发病的,有因妄想而发病的,这些都是虚证,仔细体察后治疗,就不会违背医理了。)
治疗验案
有一人患风狂病已有五年,时发时止,各种方法都不见效。我为他灌服三钱睡圣散,先灸巨阙穴五十壮,醒后再服药;又灸心俞穴五十壮,服用一料镇心丹。我说:“病人患病已久,必须大发一次才能痊愈。”后来果然大发一天,完全康复。
一位妇女产后得了这个证,也像前面那样通过灸法和服用姜附汤而痊愈。
这是因为贼风侵入阳明经,其经脉环绕口唇,遇到风气则经脉牵引拘急,另外风邪侵入手太阳经也有这种证候。
治疗方法:应当灸地仓穴二十壮,艾炷大小如小麦粒。左边病灸左边,右边病灸右边,之后服用八风散、三五七散,一个月就能完全安康。(这种证候不是中风兼证引起的口眼歪斜,而是身体没有其他痛苦仅单独出现这一症状的,这是贼风客居所致,然而有筋和脉的区别,伤筋则痛,伤脉则无痛,稍有差别,治疗方法相同。)
凡是疮口或金刃造成的破损处,应当先贴膏药以抵御风邪,否则导致风气入内,就会形成破伤风。此证最为紧急,必须早治,迟则无法救治。如果在初得病时,风邪客于太阳经,使人牙关紧闭,四肢反张,项背强直,应急服金华散,连续服用二三剂,出汗即愈。如果救治太晚则病情危重,额头自汗,速灸关元穴三百壮可保性命,若真气脱失,即使灸也无效了。(此证所患看似微小,危害却很大,虽然只是一毛孔的伤口,关乎性命的紧急程度。有一人因为拔掉一根胡须,忽然肿起不食,有朋友询问我,我说:“这是破伤风,速灸为妙。”疡医误认为是髭疔,用寒凉药物治疗,没过几天发作痉挛而死。)
This disease arises from a deficiency of Heart Blood, combined with damage to the Pericardium (Pericardium Meridian) by the Seven Emotions and Six Desires, or invasion by Wind Pathogen. Consequently, it manifests as Feng Kuang (Wind-induced Mania), characterized incoherent speech, and behaviors such as holding a knife and climbing onto roofs.
Treatment Method: First, administer Shui Sheng San (Sleeping Holy Powder). Moxibustion is applied to Juque (CV14) for 20-30 moxa cones, followed by moxibustion on both Xinyu (BL15) acupoints, 5 cones each. Internally, take Zhenxin Dan (Heart-Calming Pill) and Dingzhi Wan (Will-Fixing Pill). (In this condition, there are cases of Re Kuang (Heat Mania) due to flourishing Yangming Pulse, which can be cured with cooling methods; there are cases of Nu Kuang (Anger Mania) resulting from sudden frustration and inability to resolve conflicts, which cease when food intake is restricted, treated with Sheng Tie Luo Yin (Calcined Iron Drop Drink). Both these presentations represent Excess-type Mania. However, Deficiency-type cases are more common and must not be misdiagnosed; an error could prove fatal instantly. Causes include deficiency of Heart Blood, depletion of Kidney Water, insufficiency of both Spirit and Will, fright, or delusional thoughts. All these are Deficiency syndromes. Careful differentiation and treatment will ensure no deviation from correct principles.)
Clinical Case Record
A patient suffered from Feng Kuang for five years, with intermittent episodes unresponsive to various treatments. I administered three qian of Shui Sheng San, followed by 50 moxa cones on Juque. Upon waking, the medication was repeated. Then, 50 moxa cones were applied to Xinyu, and one dose of Zhenxin Dan was taken. I stated, "Since the illness has persisted for a long time, a severe exacerbation must occur before recovery." Indeed, after a severe episode lasting one day, the patient fully recovered.
A woman developed this syndrome postpartum and was also cured through moxibustion and administration of Jiang Fu Tang (Ginger and Aconite Decoction), as described above.
This occurs because Zephyr Wind (Thief Wind) enters the Yangming Meridian. Its vessels encircle the mouth and lips; upon exposure to wind, the meridians become tense and contracted. Similarly, invasion of the Hand-Taiyang Meridian by Wind can present this syndrome.
Treatment Method: Moxibustion should be applied to Dicang (ST4) for 20 moxa cones, with cone sizes resembling wheat grains. Treat the left side if symptoms are on the left, and the right side if on the right. Subsequently, administer Ba Feng San (Eight-Wind Powder) and San Wu Qi San (Three-Five-Seven Powder). Full recovery can be expected within one month. (This syndrome differs from the facial paralysis seen as a complication of Stroke (Zhong Feng); here, the body suffers no other distress, presenting only this isolated symptom, indicating the presence of Thief Wind. There is a distinction between injury to tendons and vessels: tendon injury causes pain, whereas vessel injury does not. Although slightly different, the treatment methods remain the same.)
For any open sores or wounds caused by metal blades, plaster should be applied first to ward off Wind. Otherwise, Wind Qi may enter internally, leading to Po Shang Feng (Traumatic Tetanus). This condition is most urgent and requires early treatment; delay renders it incurable. In the initial stage, if Wind lodges in the Taiyang Meridian, it causes trismus (lockjaw), opisthotonos (backward arching of the back), and rigidity of the neck and back. Immediately administer Jin Hua San (Golden Flower Powder), taking two or three doses consecutively. Recovery follows with sweating. If rescue is delayed, the condition becomes critical, characterized by spontaneous sweating on the forehead. Rapid moxibustion of Guanyuan (CV4) for 300 cones can save life; however, if True Qi collapses, moxibustion becomes useless. (Although the injury appears minor, the harm is significant. Even a wound in a single hair follicle can pose a life-threatening emergency. For instance, a person plucked a single whisker, resulting in sudden swelling and refusal to eat. When consulted, I diagnosed it as Po Shang Feng and advised immediate moxibustion. The surgeon mistakenly identified it as a whisker carbuncle and treated it with cold-natured herbs. Within a few days, the patient died from spasms.)