礞石（一两煨） 风化硝（一两） 朱砂（一两） 沉香（五钱） 珍珠（五钱）
共末，煎天麻膏，丸如芡实大，每服三丸，姜汁、竹沥调下。（《订补明医指掌》）
乌巴丸，治颠邪结热狂乱，不辨尊卑，吼叫丑骂。
上用巴豆五粒去壳，乌梅五个去核焙干，同研匀，滴水
研为丸，粟米大，朱砂为衣，大人三、五丸，加至十五丸，量大小加减，淡姜汤夜卧吞下，通利三、五行病去，
白粥补之。（《经验良方》）
癫疾既久（按∶此癫即狂），动辄生疑，面色萎黄，或时吐沫，默默欲眠，此虫积为患，妙功丸。（《医通》）
镇坠诸方 治产后体虚，血邪攻心，狂语，铁粉丸方。
铁粉（一两） 天竹黄（半两） 真珠末（半两） 地黄（半两） 牛黄（一两） 朱砂（一分） 麝香（一分）
琥珀（半两） 金薄（三十片） 银薄（二十片）
上件药都研如面，以粟米饭和丸，如梧桐子大，不计时候，以竹叶汤下五丸。（《圣惠》）（按∶此方主证，
不必拘产后，《观聚方》既列之大方中，故今亦揭于此。）《圣济》治心脏风热，惊惕不安，言语谵妄，化铁丸，
于本方去天竹黄、真珠、地黄，加蛇黄。
辰砂散，治风邪诸痫，狂言妄走，精神恍惚，思虑迷乱，乍歌乍哭，饮食失常，疾发仆地，吐沫戴目，魂
魄不守，医禁无验。
辰砂（一两须光明有墙壁者） 酸枣仁（微炒） 乳香（光莹者各半两）
上量所患人饮酒几何，先令恣饮沉醉，但勿令至吐，静室中服药讫，便安置床枕令睡。以前药都为一服，温
酒一盏调之，顿服令尽。如素饮酒少人，但随量取醉。病浅人一两日，深者三五日，睡不觉，令家人潜伺之，
觉即神魂定矣。慎不可惊触使觉，及他物惊动，一为惊寤，更不可治。上枢正肃吴公，少时病心，服一剂三日
方寤，遂瘥。（《苏沈》）（按∶《纲目》载此方孙兆治验，宜参。云出《灵苑方》。）《圣济》治心神恍惚，
自语自笑，举止不常，丹砂丸，即本方酒面糊丸，梧桐子大，冷水下十丸，不拘时候。《鸡峰》养心丹，宽神
消虑，于本方加雪白茯苓，以枣和丸。
《本事》宁志膏，于本方加人参，炼蜜和杵，丸如弹子大，每服一粒，薄荷汤化下。予族弟妇缘兵火失志，制
此方与之，服二十粒愈。亲识多传者，服之皆验。《是斋》宁志膏，治妇人因失血多，心神不安，不得睡，言语
失常，于本方加人参、茯神、琥珀为末，每服一钱，浓煎灯心、枣汤调下。
朱麝散，治心转不足，好登高临险，妄言骂詈，不避亲疏，日夜狂走，自语自笑，忽高声叫怒，举止（此脱
一字）常，大便秘热，小便赤涩，解衣露体，不曾安处。（《家藏方》）
成块好朱砂 麝香
上二味同研，用无灰酒，于 瓶内浸，糠头火外慢烧一时，用银箸搅令熟，随患人吃得多少酒，须是吃令醉时，
患人睡着后，用浓衣被盖之，令出汗其病自愈。每服酒一升，使朱砂半两，麝香
二铢。其患人若只吃得一升，即砂一分，麝香一分。（《十便》）
铁落饮，若人多怒，一发则莫知所为，其后欲闭户而处，恶闻人声。由心有所欲，因暴折而难决，阳气常动，
即令气郁而为怒，谓之阳厥。（《指迷方》）
生铁落火 一拾斤（是铁炉打铁落坠下者碎屑火烧赤）
上作浆，日饮一盏，空心服，仍无多肉食（同上）（宜与《癫》门惊气丸相参。）
治一女人，眼见恶物，言语失常，循衣直视。众医多用心药治之，无效。仆投养正丹三帖，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。（《妇人良方》）《订补指掌》降龙丹，抑肝镇心，
于养正丹去硫黄（黑铅一两熔开，投水银一两，不住手炒，炒至成粉为度，名曰银钞），加蛇含石、金箔、银箔。
清心诸方（附凉血方）牛黄清心丸，治心气不足，神志不定，惊恐怕怖，悲忧惨戚，虚烦少睡，喜怒无时，
或发狂癫，神情昏乱。
牛黄（一两二钱研） 金箔（一千二百箔内四百箔为衣） 麝香（一两研） 犀角末（二两） 雄黄（八钱飞研）
龙脑（一两研） 羚羊角末（一两） 蒲黄（二两半炒）
上用炼蜜为丸，每两作十丸，用金箔为衣，每服一丸，温水化下，食后服之。（《和剂》）（按∶此方原二十九
味。据《癸辛杂识》，其二十一味，即大山蓣丸所错。今照宋本存八味，定为清心丸。但其制服法，亦与山蓣丸相混难
辨，从《观聚方》删订录。又按《医读》载此方，亦八味，与《观聚方》相符，岂览《杂识》而改订欤。但更有黄
芩二两半，《观聚方》亦有之，当考。《医读》方后曰∶上为末，炼蜜加煮枣肉捣丸，每两作十丸，用金箔为衣，
每服一丸，温水化下。枣肉丸，似大山蓣丸文。）《圣济》治风痰热气，安魂定魄镇心神，大丹砂丸，于本方去麝
香、雄黄、蒲黄，加丹砂、银箔、蓬砂、琥珀、甘草。
牛黄膏，治热入血室（按∶此不似子宫之谓），发狂不认人者。
牛黄（二钱半） 朱砂 郁金 牡丹皮（各三钱） 脑子 甘草（各一钱）
上为细末，炼蜜为丸，如皂子大，新水化下。（《保命集》）
治失心。
真郁金（七两） 明矾（三两）
上细末，薄糊丸，梧子大，每服五、六十丸，汤水任下。有妇人颠狂数年，至人授此，初服心胸间有物脱去，神
气洒然，再服而苏，此惊忧痰络心窍所致也。（《永类》）（《经验良方》同，又曰∶盖此药大能去痰。）
《医方考》名白金丸。
紫雪，治狂走。（《续焰》）
清心温胆汤，云林制，平肝解郁，清火化痰，益心生血。
陈皮 半夏（制） 茯苓 枳实 竹茹 白术（炒） 石菖蒲 黄连（姜汁炒） 白芍（炒） 当归（酒洗）
香附（炒各一钱） 麦门冬（去心） 川芎 人参 远志（各六分） 甘草（四分）
上锉一剂，生姜煎服。（《医鉴》）《回春》名清心抑胆汤。《玉案》清心豁痰汤，治五种痫证，并颠狂惊
恐，痰迷心窍等证，于本方去半夏、白术、白芍、当归、香附、川芎、人参，加花粉、贝母、枣仁、玄参。
妇人患癫疾，歌唱无时，逾垣上屋，乃营血迷于心包所致。
逍遥散，加桃仁、远志、红花、苏木、生地黄。（《医鉴》名开迷散。《回春》名加味逍遥散。）有热者，加
小柴胡汤，加生地黄、辰砂。（《济世全书》）
补心调肝诸方 治心气不足，善悲愁恚怒，衄血面黄，烦闷五心热，或独语不觉，喉咽痛，舌本强，冷
涎出（一作汗出），善忘、恐，走不定，妇人崩中，面色赤，茯苓补心汤方。
茯苓（四两） 桂心（二两） 大枣（二十枚） 紫石英（一两） 甘草（二两） 人参（一两） 赤小
豆（一十四枚） 麦门冬（三两）
上八味 咀，以水上升，煮取二升半，分三服。（《千金》）
茯苓丸。
辰砂（水飞） 石菖蒲（去须洗） 人参（去芦） 远志（去心洗锉炒令黄色）
茯神（去木） 白茯苓（去皮） 真铁粉 半夏曲 南星（牛胆制各等分）
上为细末，生姜四两，取汁和水煮糊，丸如梧子大，别用朱砂为衣干之，每服十粒，加至三十粒，夜卧生
姜汤下。医官都君子，常用以疗心疾，良验。（《本事》）
辰砂秘真丹。
辰砂（半两研细水飞过） 代赭石（火 醋淬七次别研） 新罗参（去芦） 茯神（去木各一两） 赤石
脂（ 别研） 莲子心（各半两）
上为细末，用糯米粽为丸，如梧桐子大，每服二十丸，煎人参汤下，空心常服。（《魏氏》）
正心汤，治七情五志久逆，心风妄言妄笑，不知所苦。
人参 茯神 当归（酒洗） 生地黄（酒洗各一钱） 羚羊角（镑） 甘草（炙） 酸枣仁（炒研） 远
志（去心各八分）
上 咀，水二盏，莲子七枚，煎七分去渣，入羚羊角末、麝香一分和匀，食后临卧服。（《医统》）
《方脉正宗》治肝虚内热，时惊惕，时梦魇，时狂怒，时搐搦，或大人中风，小儿惊风，及五痫癫痴，人
事狐惑，一切心神失灵，肝神昏乱诸证，用真羚羊角白汤磨汁半盏，以半夏、当归、防风、大麻、茯苓、枣仁、
人参、白术、钩藤各三钱，水煎一钟，和角汁服，立安。小儿减十分之七。（《汇言》）
利气方法 韩宗武侍父官洋州，得异疾，……颇大省人事，神志恍惚，或食或不食。国医陈易简，教服
苏合香丸，后数月，所遇者忽不见。（《医说》引《类编》）
余家荆布方产，一日忽……言语颠倒，遂取自合苏合香丸一钱重，以童子小便调服，即醒，神思如故。
（《妇人良方》）
有病癫人（按∶此癫即狂）专服四七汤而愈，盖痰迷为
癫，气结为痰（按∶《医通》此下曰∶痰饮郁闭其神识）故也。他如健忘，如惊悸，如怔忡、五痫，亦宜用此。
（《要诀》）（按∶《直指》治惊，有加味四七汤，是此所本。）
劫药方 祛风一醉散，治阳厥气逆，多怒而狂。
朱砂（水飞半两） 曼陀罗花（二钱半）
上为细末，每服二钱，温酒调下，若醉便卧，勿令惊觉为佳。（《准绳》）
移精法 项关令之妻，病饥不欲食，常好叫呼怒骂，欲杀左右，恶言不辍。众医皆处药，几半载尚尔。
其夫命戴人视之。戴人曰∶此难以药治。乃使二娼各涂丹粉，作伶人状，其妇人大笑。次日又令作角 ，又大
笑。其旁常以两个能食之妇，夸其食美，其妇亦索其食而为一尝之。不数日怒减食增，不药而瘥，后得一子。
夫医贵有才，无才何足应变无穷。（《十形三疗》）
礞石（一两，经煨制） 风化硝（一两） 朱砂（一两） 沉香（五钱） 珍珠（五钱）
以上药物共研为细末，用天麻膏煎煮，制成如芡实大小的药丸。每次服用三丸，用姜汁和竹沥调服。（出自《订补明医指掌》）
乌巴丸，治疗颠邪结热所致的狂乱，患者不分辨尊卑长幼，吼叫并辱骂他人。
取上述巴豆五粒，去壳，乌梅五个，去核后焙干，一同研磨均匀，滴入水，研磨成丸，大小如粟米，以朱砂为衣。成人每次服用三至五丸，可加至十五丸，根据患者体型大小增减剂量，夜间临睡前用淡姜汤送服。待大便通利三至五次，病愈后，喝白粥调养身体。（出自《经验良方》）
癫疾日久（按：此处“癫”即指“狂”），动辄产生猜疑，面色萎黄，有时吐沫，沉默想睡，这是虫积为患所致，可用妙功丸治疗。（出自《医通》）
镇坠类方剂 治疗产后体虚，血邪攻心，导致胡言乱语的铁粉丸方。
铁粉（一两） 天竺黄（半两） 真珠末（半两） 地黄（半两） 牛黄（一两） 朱砂（一分） 麝香（一分）
琥珀（半两） 金箔（三十片） 银箔（二十片）
以上药物都研磨成粉末，用粟米饭调和，制成如梧桐子大小的药丸，不限时间，用竹叶汤送服五丸。（出自《圣惠方》）（按：此方的主治证候，不必局限于产后，《观聚方》将其列在大方之中，所以这里也摘录于此。）《圣济总录》治疗心脏风热，惊惕不安，言语谵妄的化铁丸，即在上方中去掉天竺黄、真珠、地黄，加入蛇黄。
辰砂散，治疗风邪引起的各种痫证，胡言乱语，狂奔乱走，精神恍惚，思虑迷乱，时而唱歌时而哭泣，饮食失常，发病时仆倒在地，口吐白沫，眼睛上翻，魂魄不守，医生禁止无效。
辰砂（一两，须选光明且有墙壁光泽的） 酸枣仁（微炒） 乳香（光亮晶莹的各半两）
以上药物根据患病者平时饮酒的量，先让其尽情饮酒至沉醉，但不要令其呕吐，在静室中服药完毕后，便安置好床枕让其睡觉。以上药物作为一服的量，用温酒一盏调匀，一次性服完。如果是平时饮酒少的人，只随其量能醉即可。病情轻的一两天，深的三到五天，睡着后不要醒来，让家人暗中观察，醒来后神魂就安定矣。千万不要惊吓使其醒来，或用其他事物惊动，一旦受惊醒来，就不可再治了。上枢正肃吴公，年轻时患心病，服用一剂药，三天后才醒来，于是病愈。（出自《苏沈良方》）（按：《本草纲目》记载此方是孙兆的治疗验案，可以参考。说出自《灵苑方》。）《圣济总录》治疗心神恍惚，自言自语自笑，举止不正常的丹砂丸，就是本方用酒和面糊为丸，梧桐子大，冷水送服十丸，不限时间。《鸡峰普济方》养心丹，宽神消虑，在本方中加入雪白茯苓，用枣肉和丸。
《本事方》宁志膏，在本方中加入人参，炼蜜调和捣杵，制成如弹子大小的药丸，每次服用一粒，用薄荷汤化开送下。我族弟媳因兵火之灾失志，我制作此方给她，服用二十粒痊愈。亲友多流传使用，服用都有效。《是斋百一选方》宁志膏，治疗妇人因失血过多，心神不安，不能入睡，言语失常，在本方中加入人参、茯神、琥珀研为末，每次服用一钱，浓煎灯心草、枣汤调服。
朱麝散，治疗心气不足，喜欢登高临险，胡言乱语骂人，不避亲疏，日夜狂走，自言自语自笑，忽然高声叫怒，举止（此处脱一字）异常，大便秘结发热，小便赤涩，解衣露体，不得安宁。（出自《家藏方》）
成块的好朱砂 麝香
以上两味药一同研磨，用无灰酒，在瓶内浸泡，用糠头火在外慢烧一时辰，用银筷子搅拌使其熟透，根据患病者能喝多少酒，必须让他喝醉，患病者睡着后，用厚衣被盖住，令其出汗，病自然痊愈。每服用酒一升，使朱砂半两，麝香二铢。如果患病者只能喝一升酒，就用朱砂一分，麝香一分。（出自《十便良方》）
铁落饮，如果人多怒，一发怒就不知做什么，之后想关门独处，厌恶听到人声。这是因为心中有所欲求，因突然挫折而难以决断，阳气常动，致使气郁而为怒，称为阳厥。（出自《指迷方》）
生铁落火 一拾斤（是从铁炉打铁时落下的碎屑，火烧至红）
以上做成浆液，每天饮用一盏，空腹服用，同时不要吃太多肉（同上）（宜与《癫》门惊气丸参看。）
治疗一个女人，眼见恶物，言语失常，循衣摸空，直视。众医多用安神药治疗，无效。我投予养正丹三帖，用煎好的乳香汤送下，配合三生饮辅助，立刻痊愈。又一个男子也曾患此证，也用此药见效。（出自《妇人良方》）《订补明医指掌》降龙丹，抑肝镇心，在养正丹中去掉硫黄（黑铅一两熔化，投入水银一两，不停手翻炒，炒至成粉为止，名为银钞），加入蛇含石、金箔、银箔。
清心类方剂（附凉血方）牛黄清心丸，治疗心气不足，神志不定，惊恐害怕，悲伤忧愁，虚烦少睡，喜怒无常，或发狂癫，神情昏乱。
牛黄（一两二钱，研） 金箔（一千二百箔中取四百箔为衣） 麝香（一两，研） 犀角末（二两） 雄黄（八钱，飞研）
龙脑（一两，研） 羚羊角末（一两） 蒲黄（二两半，炒）
以上用炼蜜为丸，每两药作十丸，用金箔为衣，每次服用一丸，温水化开送下，饭后服用。（出自《太平惠民和剂局方》）（按：此方原由二十九味药组成。据《癸辛杂识》，其中二十一味，即大山蓣丸所错杂。现在依照宋本保留八味，定为清心丸。但其制剂方法，也与山蓣丸相混难辨，从《观聚方》删订录入。又按《医读》记载此方，也是八味，与《观聚方》相符，难道是看了《杂识》而改订的吗？但还有黄芩二两半，《观聚方》也有，应当考证。《医读》方后说：以上为末，炼蜜加煮枣肉捣丸，每两作十丸，用金箔为衣，每次服用一丸，温水化开送下。枣肉丸，似乎与大蓽蓣丸文字相似。）《圣济总录》治疗风痰热气，安魂定魄镇心神的丹砂丸，即在上方中去掉麝香、雄黄、蒲黄，加入丹砂、银箔、蓬砂、琥珀、甘草。
牛黄膏，治疗热入血室（按：此处不像子宫之意），发狂不认识人的情况。
牛黄（二钱半） 朱砂 郁金 牡丹皮（各三钱） 脑子 甘草（各一钱）
以上为细末，炼蜜为丸，如皂子大小，新水化开送下。（出自《保命集》）
治疗失心疯。
真郁金（七两） 明矾（三两）
以上为细末，薄糊为丸，梧子大，每次服用五六十丸，汤水任下。有个妇人颠狂数年，有人传授此方，初服时心胸间感觉有物脱落，神气清爽，再服后苏醒，这是惊忧痰阻心窍所致。（出自《永类钤方》）（《经验良方》相同，又说：这药大能去痰。）《医方考》名为白金丸。
清心温胆汤，云林制法，平肝解郁，清火化痰，益心生血。
陈皮 半夏（制） 茯苓 枳实 竹茹 白术（炒） 石菖蒲 黄连（姜汁炒） 白芍（炒） 当归（酒洗）
香附（炒各一钱） 麦门冬（去心） 川芎 人参 远志（各六分） 甘草（四分）
以上锉成一剂，生姜煎服。（出自《医鉴》）《回春》名为清心抑胆汤。《玉案》清心豁痰汤，治疗五种痫证，并颠狂惊恐，痰迷心窍等证，在本方中去掉半夏、白术、白芍、当归、香附、川芎、人参，加入花粉、贝母、枣仁、玄参。
妇人患癫疾，歌唱无时，逾垣上屋，乃营血迷于心包所致。
逍遥散，加桃仁、远志、红花、苏木、生地黄。（《医鉴》名为开迷散。《回春》名为加味逍遥散。）有热者，加小柴胡汤，加生地黄、辰砂。（出自《济世全书》）
补心调肝类方剂 治疗心气不足，容易悲伤愁恚怒，鼻出血面色黄，烦闷五心热，或独语不觉，喉咽痛，舌根强，冷涎出（一作汗出），善忘、恐惧，走动不定，妇人崩中，面色赤，茯苓补心汤方。
茯苓（四两） 桂心（二两） 大枣（二十枚） 紫石英（一两） 甘草（二两） 人参（一两） 赤小豆（十四枚） 麦门冬（三两）
以上八味药切碎，用水煮，取二升半，分三次服用。（出自《千金方》）
茯苓丸。
辰砂（水飞） 石菖蒲（去须洗） 人参（去芦） 远志（去心洗锉炒令黄色）
茯神（去木） 白茯苓（去皮） 真铁粉 半夏曲 南星（牛胆制各等分）
以上为细末，生姜四两，取汁和水煮糊，丸如梧子大，另用朱砂为衣晒干，每次服用十粒，加至三十粒，夜间临睡前用生姜汤送下。医官都君子，常用以治疗心疾，效果很好。（出自《本事方》）
辰砂秘真丹。
辰砂（半两，研细水飞过） 代赭石（火煅醋淬七次别研） 新罗参（去芦） 茯神（去木各一两） 赤石脂（煅别研） 莲子心（各半两）
以上为细末，用糯米粽为丸，如梧桐子大，每次服用二十丸，煎人参汤送下，空腹常服。（出自《魏氏家藏方》）
正心汤，治疗七情五志久逆，心风妄言妄笑，不知所苦。
人参 茯神 当归（酒洗） 生地黄（酒洗各一钱） 羚羊角（镑） 甘草（炙） 酸枣仁（炒研） 远志（去心各八分）
以上切碎，水二盏，莲子七枚，煎至七分去渣，入羚羊角末、麝香一分和匀，食后临卧服。（出自《医统》）
《方脉正宗》治疗肝虚内热，时常惊惕，时常梦魇，时常狂怒，时常抽搐，或大人中风，小儿惊风，及五痫癫痴，人事狐惑，一切心神失灵，肝神昏乱诸证，用真羚羊角白汤磨汁半盏，以半夏、当归、防风、大麻、茯苓、枣仁、人参、白术、钩藤各三钱，水煎一钟，和角汁服，立刻安静。小儿减去十分之七。（出自《汇言》）
利气方法 韩宗武侍奉父亲在洋州做官，得了怪病，……颇大省人事，神志恍惚，有时吃有时不吃。国医陈易简，教服苏合香丸，后来几个月，遇到的人忽然不见了。（《医说》引《类编》）
我家荆布方产，一天忽然……言语颠倒，于是取自合苏合香丸一钱重，用童子小便调服，立刻醒，神思如故。（出自《妇人良方》）
有病癫人（按：此处癫即狂）专服四七汤而愈，盖痰迷为癫，气结为痰（按：《医通》此下曰：痰饮郁闭其神识）的缘故。其他如健忘，如惊悸，如怔忡、五痫，也宜用此。（出自《要诀》）（按：《直指》治惊，有加味四七汤，是以此为基础。）
劫药方 祛风一醉散，治疗阳厥气逆，多怒而狂。
朱砂（水飞半两） 曼陀罗花（二钱半）
以上为细末，每次服用二钱，温酒调下，如果醉了便卧，不要让惊醒为佳。（出自《准绳》）
移精法 项关令的妻子，病饥不欲食，常好叫呼怒骂，想杀身边的人，恶言不辍。众医都处方用药，将近半年还是这样。
她的丈夫让戴人诊治。戴人说：这难以用药治。于是让两个歌女各涂丹粉，装作伶人模样，那妇人哈哈大笑。第二天又让她看角抵戏，又大笑。旁边常有两个能吃的女人，夸耀食物美味，那妇人也索要食物尝了一口。没过几天怒气减少食欲增加，不用药而痊愈，后来生了一个儿子。
医生贵在才有才，没有才能怎么足以应对无穷的变化。（出自《十形三疗》）
Lengshi (one tael, roasted) Fenghuaxiao (one tael) Zhusha (one tael) Chenxiang (five qian) Zhenzhu (five qian)
Grind all into fine powder. Decoct Tianma Gao (Gastrodia Paste), form pills the size of Euryale Seed (Qianshi). Take three pills each time, mixed with Jiangzhi (Ginger Juice) and Zhuli (Bamboo Sap) for administration. (From *Dingbu Mingyi Zhizhang*)
Wuba Wan (Black Bean Pill), treats Dianxie (Manic Disorder) caused by accumulated heat, resulting in Kuangluan (Manic Chaos), where the patient fails to distinguish between superior and inferior, roaring and cursing uglily.
Take five Baiduo beans (Croton Seeds), remove shells; five Wumei (Smoked Plums), remove pits and roast dry. Grind together evenly. Add water dropwise and grind into pills the size of Millet grains. Coat with Zhusha (Cinnabar). Adults take three to five pills, increasing up to fifteen pills, adjusted according to body size. Swallow at night before sleep with Danjiangtang (Light Ginger Decoction). After bowel movements become smooth three to five times, the disease will be cured. Supplement with white porridge afterwards. (From *Jingyan Liangfang*)
Dianji (Epilepsy/Mania) lasting long (Note: Here "Dian" refers to "Kuang"), often leads to suspicion, sallow complexion, occasional spitting of foam, silence and desire to sleep. This is caused by parasite accumulation. Miaogong Wan can be used. (From *Yitong*)
Sedative Formulas: Treating postpartum physical weakness, Blood Evil attacking the Heart, causing delirious speech. Tie Fen Wan Formula.
Tiefen (Iron Powder, one tael) Tiantuzhuang (Calculus Bolus, half tael) Zhenzhumo (Pearl Powder, half tael) Dihuang (Rehmannia Root, half tael) Niuhuang (Calculus Bovis, one tael) Zhusha (Cinnabar, one fen) Shexiang (Musk, one fen)
Hupo (Amber, half tael) Jinbo (Gold Leaf, thirty pieces) Yinbo (Silver Leaf, twenty pieces)
Grind all ingredients into powder. Mix with millet rice paste to form pills the size of Privet Fruit (Wutongzi). Take five pills at any time, administered with Zhuyetang (Bamboo Leaf Decoction). (From *Shenghui Fang*) (Note: The indications for this formula are not limited to postpartum conditions. Since *Guanju Fang* lists it among major formulas, it is included here.) *Shengji Zonglu* treats Heart Wind-Heat, palpitations and restlessness, delirious speech with Huatie Wan (Iron-Melting Pill). Remove Tiantuzhuang, Zhenzhu, Dihuang from the above formula, add Shehuang (Realgar).
Chensha San (Cinnabar Powder), treats various Xian syndromes caused by Wind-Evil, including delirious speech, running wildly, mental confusion, chaotic thoughts, singing and crying alternately, irregular diet, sudden collapse upon onset, foaming at the mouth, eyes rolling back, loss of soul and spirit, unresponsive to medical treatment.
Chensha (one tael, must be bright and have a crystalline wall structure) Szaoren (Spiny Jujube Seed, slightly stir-fried) Ruxiang (Frankincense, bright and translucent, half tael each)
Measure the amount of alcohol the patient usually drinks. First, allow them to drink until intoxicated, but do not let them vomit. In a quiet room, after taking the medicine, arrange bed and pillow for sleep. The above medicines constitute one dose. Mix with one cup of warm wine and take all at once. For those who rarely drink alcohol, induce intoxication according to their tolerance. For mild cases, sleep for one or two days; for severe cases, three to five days. Do not wake them up; let family members observe secretly. Once they wake, the spirit will stabilize. Do not startle them awake or disturb them with other objects. If startled awake, it becomes incurable. Official Wu Zhengsu, when young, suffered from heart disease. After taking one dose, he slept for three days before waking, and was then cured. (From *Su Shen Liangfang*) (Note: *Bencao Gangmu* records this case treated by Sun Zhao, which should be consulted. It states it comes from *Lingyuan Fang*.) *Shengji Zonglu* treats mental confusion, self-talk and laughter, abnormal behavior with Dansha Wan (Cinnabar Pill). This is the base formula made into pills with wine and wheat paste, size of Privet Fruit. Take ten pills with cold water, at any time. *Jifeng Pujifang* Yangxin Dan (Nourish Heart Pill) calms the spirit and relieves anxiety. Add Xu Bai Fuling (White Poria) to the base formula, mix with jujube paste for pills.
*Benshi Fang* Ningzhi Gao (Peace Mind Ointment) adds Ginseng to the base formula. Mix with refined honey, pound into pills the size of bullet seeds. Take one pill each time, dissolved in Bohe Tang (Mint Decoction). My clan brother's wife lost her mind due to war fires. I prepared this formula for her. After taking twenty pills, she recovered. Many relatives and friends passed it on, and all found it effective. *Shizhai Ba Yi Xuanfang* Ningzhi Gao treats women suffering from excessive blood loss, leading to restless heart-mind, insomnia, and abnormal speech. Add Renshen (Ginseng), Fushen (Poria with Hostwood), Hupo (Amber) to the base formula, grind to powder. Take one qian each time, mixed with thickly decocted Dengxin Cao (Juncus Effusus) and Zao Tang (Jujube Decoction).
Zhushe San (Cinnabar and Musk Powder), treats Heart Qi deficiency, desire to climb high places or approach dangers, delirious speech and cursing, ignoring kinship distinctions, running wildly day and night, self-talk and laughter, sudden loud shouting and anger, abnormal behavior (text missing one character), constipation with heat, dark and scanty urine, stripping clothes and exposing body, inability to find peace. (From *Jiacang Fang*)
High-quality lump Zhusha (Cinnabar) Shexiang (Musk)
Grind these two ingredients together. Soak in Wuhui Jiu (Clear Wine without ash) in a bottle. Slowly roast externally with chaff fire for one shichen (two hours). Stir with silver chopsticks until cooked. Based on how much alcohol the patient can consume, ensure they become drunk. After the patient falls asleep, cover them with thick clothes and blankets to induce sweating; the illness will heal spontaneously. For every one sheng (liter) of wine taken, use half a tael of Zhusha and two zhu of Shexiang. If the patient can only drink one sheng, use one fen of Zhusha and one fen of Shexiang. (From *Shibian Liangfang*)
Tieluo Yin (Iron Falling Drink): If a person is prone to anger, losing control upon outbursts, later desiring to stay behind closed doors and hating human voices. This occurs because desires within the heart are abruptly frustrated and difficult to resolve. Yang Qi moves constantly, causing Qi stagnation leading to anger, termed Yang Jue (Yang Reversal). (From *Zhimi Fang*)
Sheng Tieluo Huo (Raw Iron Scale/Filings) Ten jin (These are fragments falling from the iron furnace during forging, heated red by fire)
Make into a slurry. Drink one cup daily on an empty stomach. Avoid eating too much meat (Same source) (Should be referenced with Jingqi Wan in the Dian chapter.)
Treating a woman who saw evil objects, had abnormal speech, picked at clothes, stared fixedly. Most doctors treated with calming herbs without effect. I administered Yangzheng Dan (Nourish Righteousness Pill) for three doses, delivered with Ruxiang Tang (Frankincense Decoction), assisted with Sansheng Yin (Three Raw Decoction). She recovered immediately. Another man suffered the same syndrome and also recovered with this medication. (From *Furen Liangfang*) *Dingbu Zhizhang* Jianglong Dan (Subdue Dragon Pill) suppresses Liver and calms Heart. Remove Huangqin (Sulfur) from Yangzheng Dan (Melt one tael of Qianhei [Lead], pour in one tael of Shuiyin [Mercury], stir continuously until it turns to powder, named Yinchao [Silver Coin]). Add Shehanshi (Ophicalcite), Jinbo (Gold Leaf), Yinbo (Silver Leaf).
Clearing Heart Formulas (Including Cooling Blood Formulas): Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill), treats Heart Qi deficiency, unstable spirit, fear and terror, sadness and grief, empty irritability and insomnia, unpredictable joy and anger, or manic epilepsy, confused spirit.
Niuhuang (Calculus Bovis, one tael two qian, ground) Jinbo (Gold Leaf, take four hundred out of twelve hundred for coating) Shexiang (Musk, one tael, ground) Xijiaomo (Rhinoceros Horn Powder, two liang) Xionghuang (Realgar, eight qian, sublimed and ground)
Longnao (Borneol, one tael, ground) Lingyangjiaomo (Antelope Horn Powder, one tael) Puhuang (Typha Pollen, two and a half liang, stir-fried)
Use refined honey to form pills. Each liang of medicine makes ten pills. Coat with gold leaf. Take one pill each time, dissolved in warm water. Take after meals. (From *Heji Ju Fang*) (Note: This formula originally contained twenty-nine ingredients. According to *Guixin Zashi*, twenty-one of them are mixed with Dashanyu Wan. Now retaining eight ingredients based on the Song edition, designated as Qingxin Wan. However, its preparation method is confusingly similar to Shanyu Wan, so it is recorded after deletion and revision from *Guanju Fang*. Also, *Yidu* records this formula with eight ingredients, matching *Guanju Fang*. Was it revised after viewing *Zashi*? But it also contains Huangqin (Scutellaria Root) two and a half liang, which *Guanju Fang* also has; this needs verification. The note after the formula in *Yidu* says: Grind to powder, mix with refined honey and boiled jujube flesh to form pills, ten per liang, coat with gold leaf, take one pill dissolved in warm water. Jujube flesh pills seem similar in text to Dashanyu Wan.) *Shengji Zonglu* treats Wind-Phlegm Heat, calming soul and stabilizing spirit with Dansha Wan. Remove Shexiang, Xionghuang, Puhuang from the base formula, add Dansha (Cinnabar), Yinbo (Silver Leaf), Pengsha (Borax), Hupo (Amber), Gancao (Licorice Root).
Niuhuang Gao (Calculus Bovis Ointment), treats Re entering Blood Chamber (Note: Here does not refer to the uterus), causing mania and failure to recognize people.
Niuhuang (Two and a half qian) Zhusha (Cinnabar) Yujin (Curcuma Root) Mudanpi (Tree Peony Bark, three qian each) Naozi (Camphor) Gancao (Licorice Root, one qian each)
Grind to fine powder. Form pills with refined honey, size of soap pods. Dissolve in fresh water for administration. (From *Baoming Ji*)
Treating Lost Heart Madness.
True Yujin (Seven liang) Mingfan (Alum, three liang)
Grind to fine powder. Use thin paste to form pills, size of walnut seeds. Take fifty to sixty pills each time, with water or soup freely. A woman suffered from mania for several years. Someone taught her this prescription. After the first dose, she felt something detach in her chest and mind, feeling refreshed. After the second dose, she revived. This was caused by fright and worry blocking the Heart orifices with Phlegm. (From *Yonglei Diaofang*) (*Jingyan Liangfang* is identical, adding: This medicine greatly removes Phlegm.) *Yifang Kao* names it Baijin Wan (Platinum Pill).
Zixue (Purple Frost), treats manic running. (From *Xu Yan*)
Qingxin Wendan Tang (Clear Heart Warm Gallbladder Decoction), prepared by Yunlin. Calms Liver, resolves depression, clears fire, transforms phlegm, benefits Heart, generates blood.
Chenpi (Tangerine Peel) Banxia (Pinellia, processed) Fuling (Poria) Zhishi (Immature Bitter Orange) Zhuru (Bamboo Shavings) Baizhu (Atractylodes, stir-fried) Shichangpu (Acorus) Huanglian (Coptis, stir-fried with ginger juice) Baishao (White Peony Root, stir-fried) Danggui (Angelica Sinensis, washed with wine)
Xiangfu (Cyperus, stir-fried, one qian each) Maimendong (Ophiopogon, de-heart) Chuanxiong (Ligusticum) Renshen (Ginseng) Yuanzhi (Polygala, six fen each) Gancao (Licorice, four fen)
Cut into pieces for one dose. Decoct with fresh ginger and take. (From *Yijian*) *Huichun* names it Qingxin Yidan Tang. *Yu'an* Qingxin Huotan Tang treats five types of Xian syndromes, Dian/Kuang, fright, panic, Phlegm confusing Heart Orifices, etc. Remove Banxia, Baizhu, Baishao, Danggui, Xiangfu, Chuanxiong, Renshen from the base formula, add Huafen (Angelica Dahurica), Beimu (Fritillaria), Zaoren (Ziziphus Seed), Xuanshen (Scrophularia Root).
Women suffering from Dianji (Mania/Epilepsy), singing at any time, climbing walls and roofs, is caused by Ying Blood confusing the Pericardium.
Xiaoyao San (Rambling Powder), add Taoren (Peach Kernel), Yuanzhi (Polygala), Honghua (Safflower), Sumu (Red Sandalwood), Shengdihuang (Rehmannia Root). (*Yijian* names it Kaimi San. *Huichun* names it Jiawei Xiaoyao San.) If there is heat, add Xiao Chaihu Tang (Minor Bupleurum Decoction), add Shengdihuang, Chensha (Cinnabar). (From *Jishi Quanshu*)
Nourishing Heart and Regulating Liver Formulas: Treating Heart Qi deficiency, prone to sadness and anger, epistaxis, sallow complexion, vexation and heat in five centers, speaking alone unaware, sore throat, stiff tongue root, cold saliva (or sweating), forgetfulness, fear, restlessness, women with metrorrhagia, red face. Fuling Buxin Tang Formula.
Fuling (Poria, four liang) Guixin (Cinnamon Twig, two liang) Dazao (Jujube, twenty fruits) Zi Shiyin (Purple Quartz, one tael) Gancao (Licorice Root, two liang) Renshen (Ginseng, one tael) Chixiaodou (Adzuki Bean, fourteen seeds) Maimendong (Ophiopogon, three liang)
Chop the eight ingredients. Decoct with water. Obtain two and a half sheng. Divide into three doses. (From *Qianjin Fang*)
Fuling Wan (Poria Pill).
Chensha (Cinnabar, water levigated) Shichangpu (Acorus, remove roots and wash) Renshen (Ginseng, remove rhizomes) Yuanzhi (Polygala, remove hearts, wash, cut, stir-fry until yellow)
Fushen (Poria with Hostwood, remove wood) Bai Fuling (Poria, remove skin) Zhen Tiefen (Pure Iron Powder) Banxiaqu (Pinellia Fermented Curd) Nanxing (Arisaema, prepared with ox gall, equal parts)
Grind to fine powder. Take four liang of fresh ginger, extract juice, mix with water to make paste. Form pills size of walnut seeds. Coat separately with Zhusha and dry. Take ten pills each time, increase to thirty pills. Administer with fresh ginger decoction before sleep. Medical Officer Du Junzi frequently used this to treat heart diseases with good results. (From *Benshi Fang*)
Chensha Mizhen Dan (Cinnabar Secret True Pill).
Chensha (Cinnabar, half tael, finely ground and water-leveled) Daizheshi (Hematite, calcined and quenched in vinegar seven times, separately ground) Xinluoshen (Korean Ginseng, remove rhizomes) Fushen (Poria with Hostwood, remove wood, one tael each) Chishizhi (Red Halloysite, calcined and separately ground) Lianzixin (Lotus Plumule, half tael each)
Grind to fine powder. Form pills with glutinous rice zongzi (sticky rice dumplings), size of Privet Fruit. Take twenty pills each time, administer with Ginseng decoction. Take regularly on an empty stomach. (From *Wei Shi Jiacang Fang*)
Zhengxin Tang (Upright Heart Decoction), treats prolonged reversal of Seven Emotions and Five Wills, Heart Wind causing delirious speech and laughter, unaware of suffering.
Renshen (Ginseng) Fushen (Poria with Hostwood) Danggui (Angelica Sinensis, washed with wine) Shengdihuang (Rehmannia Root, washed with wine, one qian each) Lingyangjiao (Antelope Horn, shaved) Gancao (Licorice Root, roasted) Szaoren (Spiny Jujube Seed, stir-fried and ground) Yuanzhi (Polygala, remove hearts, eight fen each)
Chop. Decoct with two cups of water and seven lotus seeds until reduced to seven parts. Strain. Add Lingyangjiao powder and one fen of Shexiang (Musk). Mix well. Take after meals and before sleep. (From *Yitong*)
*Fangmai Zhengzong* treats Liver deficiency with internal heat, frequent palpitations, nightmares, manic rage, convulsions, adult stroke, infantile convulsions, five Xian/Dian madness, Huo Huo syndrome, all disorders of spirit malfunction and Liver spirit confusion. Use real Lingyangjiao (Antelope Horn) ground in white water to obtain half a cup of juice. Decoct Banxia (Pinellia), Danggui (Angelica), Fangfeng (Saposhnikovia), Dama (Hemp Seed), Fuling (Poria), Zaoren (Ziziphus Seed), Renshen (Ginseng), Baizhu (Atractylodes), Gouteng (Uncaria) each three qian in water. Obtain one zhong. Mix with Antelope Horn juice and take. Calmness is achieved immediately. Reduce dosage for children by seventy percent. (From *Huiyan*)
Regulating Qi Methods: Han Zongwu served his father in Yangzhou office, contracted a strange illness... regained some consciousness, mental confusion, eating intermittently. Imperial Physician Chen Yijian advised taking Suhexiang Wan (Styrax Pill). Months later, hallucinations of unseen people ceased. (From *Yishuo* citing *Leibian*)
My wife, shortly after childbirth, suddenly... spoke incoherently. I took one qian of Suhexiang Wan, mixed with Tongzi Xiaonian (Boy's Urine) for administration. She woke immediately, spirit restored. (From *Furen Liangfang*)
A patient with Dian (Mania) recovered solely by taking Siqi Tang (Four Seven Decoction). This is because Phlegm confusing causes Dian, and Qi knotting causes Phlegm (Note: *Yitong* adds below: Phlegm-fluids stagnantly closing the Spirit). Therefore, it is suitable for other conditions like forgetfulness, palpitations, arrhythmia, and five Xian syndromes. (From *Yaojue*) (Note: *Zhizhi* treats fright with Jiawei Siqi Tang, which is based on this.)
Forceful Medicines Formula: Qufeng Yizui San (Wind-Expelling Intoxication Powder), treats Yang Jue Qi Ni (Qi Reversal in Yang Reversal), excessive anger and mania.
Zhusha (Cinnabar, water-leveled, half tael) Tuoluohua (Datura Flower, two and a half qian)
Grind to fine powder. Take two qian each time, mixed with warm wine. If intoxicated, lie down. Best not to be startled awake. (From *Zhunsheng*)
Spirit Transference Method: Wife of Xiang Guanling, suffered hunger without desire to eat, often shouting, cursing, wanting to kill attendants, ceaseless foul language. Doctors prescribed medicine for nearly half a year with no change.
Her husband asked Dai Ren to examine her. Dai Ren said: This cannot be treated with medicine. He ordered two female performers to apply rouge and powder, acting like actors. The woman laughed loudly. The next day, he had her watch wrestling matches, and she laughed again. Two gluttonous women nearby praised the delicious food, and the woman also requested to taste it. Within a few days, anger decreased, appetite increased, cured without medicine, and later gave birth to a son.
Doctors must possess talent; without talent, how can they respond to infinite changes? (From *Shixing Sanliao*)