朱砂安神丸
内生不恐心跳悸，悸更惊惕是怔忡，善忘前言曰健忘，如昏似慧恍惚名，失志伤神
心胆弱，痰饮九气火相乘，清热朱连归地草，余病他门治法精。
【注】惊悸、怔忡、健忘、恍惚、失志、伤神等病，皆因心虚胆弱，诸邪得以乘之也。
心气热者，先用朱砂安神丸以清之。其余虚实诸邪，则当与虚损、九气、癫痫、痰饮等
门合证拣方，自有效法之处。
仁熟散
恐畏不能独自卧，胆虚气怯用仁熟，柏仁地枸味萸桂，参神菊壳酒调服。
【注】恐畏不能独自卧者，皆因气怯胆虚也。仁熟散，即柏子仁、熟地黄、枸杞子、五
味子、山茱萸、桂心、人参、茯神、菊花、枳壳，为末，老酒调服也。
经言癫狂本一病，狂乃阳邪癫是阴。癫疾始发意不乐，甚则神痴语不伦。狂怒凶狂
多不卧，目直骂詈不识亲。痫发吐涎昏噤倒，抽搐省后若平人。
【注】李时珍曰∶经有言癫狂疾者，又言癫疾为狂者，是癫狂为兼病也。邪入于阳者
狂，邪入于阴者癫。盖癫疾始发，志意不乐，甚则精神呆痴，言语不伦，而睡如平时，以
邪并于阴也。狂疾始发多怒不卧，甚则凶狂欲杀，目直骂詈，不识亲疏，而夜多不卧，以
邪并于阳也。然俱不似痫疾发则吐涎神昏卒倒无知，口噤牙紧，抽搐时之多少不等，而
省后起居饮食皆若平人为别也。痫虽分而为五，曰鸡、马、牛、羊、猪名者，以病状偶
类故也。其实痰、火、气、惊、四者而已，所以为治同乎癫狂也。
三圣散 青州白丸子 滚痰丸 遂心丹 矾郁丸 控涎丹 抱胆丸 镇心丹
癫狂痫疾三圣吐，风痰白丸热滚痰，痰实遂心气矾郁，痰惊须用控涎丹，无痰抱胆
镇心治，发灸百会自然安，初发皂角灌鼻内，涎多欲止点汤盐。
【注】癫狂痫疾初起多痰者，先以三圣散吐之。风盛有痰者，用青州白丸子，热盛有
痰者，用礞石滚痰丸。痰而形气实者用遂心散，甘遂，朱砂、猪心也。痰而兼气郁者用
矾郁丸，白矾、郁金也。痰而兼惊者用控涎丹。无痰神轻因而惊悸者用镇心丹、抱胆丸。
皆成方也。痫病发时灸百会，不抱壮数，以苏为止。再发再灸，以愈为度。初发用皂角
汁灌鼻内，其风涎即从鼻口中涕唾而出，若苏后其涎不止，以盐汤服之自止。
体内产生恐惧感并非心跳悸动，若心悸伴随惊恐不安则称为怔忡，容易忘记先前说过的话称为健忘，神志昏沉似慧非慧称为恍惚，意志受损、精神受伤。
心胆虚弱，痰饮、九气（七情及饮食劳倦等致病因素）、火邪相互乘袭。
治疗需用清热之法，方用朱砂、黄连、当归、地黄、甘草。其余病症在其他门类中有精细的治疗法则。
【注】惊悸、怔忡、健忘、恍惚、失志、伤神等疾病，都是因为心虚胆弱，各种邪气得以乘虚而入所致。
心气热者，先用朱砂安神丸来清泄心热。其余虚实各类邪气，则应当结合虚损、九气、癫痫、痰饮等门类的证候选择方剂，自然有有效的治疗方法。
因恐惧畏惧而不能独自卧床，这是胆虚气怯，使用仁熟散。
方含柏子仁、熟地黄、枸杞子、五味子、山茱萸、桂心，配人参、茯神、菊花、枳壳，用酒调服。
【注】因恐惧畏惧而不能独自卧床的，都是因为气怯胆虚。仁熟散，即由柏子仁、熟地黄、枸杞子、五味子、山茱萸、桂心、人参、茯神、菊花、枳壳研为细末，用老酒调服。
经文说癫病和狂病本源是一类疾病，狂病属于阳邪，癫病属于阴邪。
癫疾开始发作时意愿不乐，严重时神志痴呆言语错乱。
狂病表现为愤怒凶狂多不睡觉，眼睛直视骂人不认识亲人。
痫病发作时吐涎沫、神昏牙关紧闭倒地，抽搐停止后恢复如常人。
【注】李时珍说：医经中既有说癫狂是两种疾病的，也有说癫疾就是狂病的，这说明癫狂是兼有的疾病。邪气侵入阳分则为狂，邪气侵入阴分则为癫。大概癫疾刚开始发作时，志意不快乐，严重时精神呆痴，言语不合常理，睡眠如同平时，这是因为邪气并居于阴分。狂病刚开始发作时多怒不睡，严重时凶狂欲杀人，眼睛直视骂人，不认识亲疏关系，夜间多不睡觉，这是因为邪气并居于阳分。然而这些都不像痫病，痫病发作时吐涎沫、神志昏迷突然倒下无知觉，牙关紧闭，抽搐时间长短不等，清醒后起居饮食都像正常人以此作为区别。痫病虽然分为五种，叫鸡痫、马痫、牛痫、羊痫、猪痫，是因为病情症状偶然相似的缘故。其实不过是痰、火、气、惊这四种病因罢了，所以治疗方法与癫狂相同。
三圣散 青州白丸子 滚痰丸 遂心丹 矾郁丸 控涎丹 抱胆丸 镇心丹
癫狂痫疾初起多用三圣散催吐，风盛有痰用青州白丸子，热盛有痰用滚痰丸，痰实用遂心丹，气郁用矾郁丸，痰惊须用控涎丹，无痰引起的惊悸用抱胆丸、镇心丹治疗。
发作时艾灸百会穴自然安宁，初发时用皂角粉灌入鼻内，涎多想止住时点涂盐汤。
【注】癫狂痫疾初起多痰的，先用三圣散催吐。风邪盛且有痰的，用青州白丸子；热邪盛且有痰的，用礞石滚痰丸。痰盛且形体气实者用遂心散（甘遂、朱砂、猪心）。痰盛兼气郁者用矾郁丸（白矾、郁金）。痰盛兼受惊者用控涎丹。无痰但因神气轻浮而惊悸者用镇心丹、抱胆丸。这些都是现成的方剂。痫病发作时灸百会穴，不拘泥于壮数，以患者苏醒为度。再次发作再灸，以痊愈为标准。初发时用皂角汁灌入鼻内，风涎就会从鼻口流出涕唾，如果苏醒后涎液不止，服用盐汤即可自止。
Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill)
Fear arising internally is not palpitation; if palpitation is accompanied by fright and apprehension, it is termed Zhengchong (Palpitations with Fright). Forgetting previous words is called Jianwang (Amnesia); a state of confusion, appearing dazed yet seemingly lucid, is named Huanghu (Trance-like State). These conditions involve loss of will and injury to the spirit.
When the Heart and Gallbladder are weak, Phlegm-Fluids, Jiuqi (Nine Qi/Pathogenic Factors), and Fire pathogen mutually attack.
Treatment requires clearing heat using Zhu Sha (Cinnabar), Lian Xin Ye (Coptis Rhizome), Dang Gui (Angelica Sinensis), Di Huang (Rehmannia Root), and Gan Cao (Licorice Root). For other diseases, refined treatment methods exist in other categories.
[Note] Diseases such as Jingji (Frightened Palpitations), Zhengchong, Jianwang, Huanghu, Shizhi (Loss of Will), and Shangshen (Spirit Injury) all occur because Heart deficiency and Gallbladder weakness allow various pathogens to take advantage.
For those with Heat in the Heart Qi, first use Zhu Sha An Shen Wan to clear it. For other excess or deficiency pathogens, one should select formulas by combining syndromes from categories such as Deficiency Damage, Jiuqi, Epilepsy, and Phlegm-Fluids, which will naturally provide effective methods.
Ren Shu San (Bai Zi Ren and Prepared Rehmannia Powder)
Fear and dread preventing independent lying down indicates Gallbladder deficiency and Qi timidity; use Ren Shu San.
The formula contains Bai Zi Ren (Biota Seed), Shu Di Huang (Prepared Rehmannia Root), Gou Qi Zi (Goji Berry), Wu Wei Zi (Schisandra Fruit), Shan Zhu Yu (Cornus Fruit), Gui Xin (Cinnamon Twig Heart), Ren Shen (Ginseng Root), Fu Shen (Poria with Hostwood), Ju Hua (Chrysanthemum Flower), and Zhi Ke (Aurantium Fruit). Take as powder mixed with wine.
[Note] Fear and dread preventing independent lying down are due to Qi timidity and Gallbladder deficiency. Ren Shu San consists of Bai Zi Ren, Shu Di Huang, Gou Qi Zi, Wu Wei Zi, Shan Zhu Yu, Gui Xin, Ren Shen, Fu Shen, Ju Hua, and Zhi Ke, ground into fine powder and taken mixed with aged wine.
Classics state that Dian (Epileptic Mania) and Kuang (Manic Disorder) originate from the same disease source; Kuang belongs to Yang pathogen, while Dian belongs to Yin pathogen.
Dian disease begins with unwillingness and depression; severely, it presents with mental dullness and incoherent speech.
Kuang disease manifests as anger, ferocity, and insomnia; severely, the patient may be murderous, stare straight ahead, curse, and fail to recognize relatives.
Xian (Epilepsy) attacks involve foaming at the mouth, coma, jaw clenching, and falling; after convulsions cease, the patient returns to normal.
[Note] Li Shizhen said: The classics mention both "Dian and Kuang" as separate entities and "Dian disease" as synonymous with Kuang, indicating they can coexist. Pathogens entering the Yang aspect cause Kuang; pathogens entering the Yin aspect cause Dian. Dian typically begins with low mood; severely, it causes mental dullness and incoherent speech, with sleep patterns remaining normal, as the pathogen resides in Yin. Kuang typically begins with irritability and insomnia; severely, it causes violent behavior, staring, cursing, and failure to recognize kin, with severe nighttime insomnia, as the pathogen resides in Yang. However, these differ from Xian (Epilepsy), where attacks involve foaming, sudden collapse with loss of consciousness, jaw clenching, and varying degrees of convulsions, followed by a return to normal daily activities. Although Xian is classified into five types—Chicken, Horse, Ox, Sheep, and Pig Xian—based on superficial symptom resemblance, the underlying causes are merely Phlegm, Fire, Qi stagnation, and Fright. Therefore, the treatment principles are similar to those for Dian and Kuang.
San Sheng San (Three Holy Powders), Qingzhou Bai Wan Zi (Qingzhou White Pills), Gun Tan Wan (Rolling Phlegm Pills), Sui Xin Dan (Satisfy the Heart Pill), Fan Yu Wan (Alum and Curcuma Pills), Kong Xian Dan (Draining Fluids Pill), Bao Dan Wan (Embracing Courage Pill), Zhen Xin Dan (Calming the Heart Pill)
For initial Dian, Kuang, or Xian with phlegm, use San Sheng San to induce vomiting. For wind-phlegm, use Qingzhou Bai Wan Zi; for heat-phlegm, use Gun Tan Wan. For solid phlegm, use Sui Xin Dan; for phlegm with Qi stagnation, use Fan Yu Wan. For phlegm-fright, use Kong Xian Dan. For fright without phlegm causing spirit disturbance, use Bao Dan Wan and Zhen Xin Dan.
Moxibustion on Baihui (GV20) brings natural peace during attacks. Initially, insert Sichuan Pepper (Zao Jiao) powder into the nose. To stop excessive salivation, apply salt water.
[Note] For initial Dian, Kuang, or Xian characterized by abundant phlegm, first use San Sheng San to induce vomiting. For wind-dominant phlegm, use Qingzhou Bai Wan Zi; for heat-dominant phlegm, use Meng Shi Gun Tan Wan (Lapis Lazuli Rolling Phlegm Pill). For phlegm with robust constitution, use Sui Xin San (Kan Su Gen, Cinnabar, Pig Heart). For phlegm with Qi stagnation, use Fan Yu Wan (Alum, Curcuma). For phlegm with fright, use Kong Xian Dan. For spirit lightness/fright without phlegm, use Zhen Xin Dan and Bao Dan Wan. These are established formulas. During Xian attacks, moxibustion is applied to Baihui (GV20); do not strictly adhere to the number of cones, but stop once the patient regains consciousness. Reapply upon recurrence until cured. Initially, instill Zao Jiao (Gleditsia Sinensis Fruit) juice into the nose to expel wind-phlegm via nasal discharge and saliva. If salivation persists after recovery, administer salt water decoction to stop it.