治定痫良方夺魂散
白僵蚕(去丝炒令黄色半两) 蛇含石(烧红用米酣淬七八次碾碎) 白附子(炮各一分)
生银
生金 牛黄(如无以胆制倍加用之) 鸟梢蛇头(七八寸许酒炙) 白茯苓 天麻(各二两)
天南星(秤末一分生姜汁浸一宿用) 半夏末(二两生姜汁浸一宿各焙) 赤脚蜈蚣(一条酒浸
炙令焦) 犀角(镑二两) 脑子 麝
上为末蒸枣肉为丸如○大每服十丸至十五丸二十丸煎金银薄荷汤下朱砂为衣
议曰痫之为疾又是一种症候若言惊风所传古人有谓食风惊三痫若言不于惊风所传古云惊
风三
发便为痫且痫为疾痰热壅盛传入经络塞于心肺是致关窍不通故作痫疾发作有如惊风天吊或因
惊而生痰多或因热而作风盛大小便不利上下气不通心神闷乱若因而复生生而复死沉沉默默无
由苏省忽尔气透关窍渐得开通魂魄稍得安定向后心被触脑气不宣利发作如前是知痫之为疾乃
由虚痰冷涎顽结子胸臆惊风并聚于关鬲常无精神心致不宁即存恍惚疗理不专药服不收必自
致害何足怪者耶夺魂散方经效秘传修合如法活神验岂非至宝之谓也
医云热有十种惊热疳热风热潮热伤寒热疟热积热丹热疮疹热余毒热
议曰有惊热即有风热此言惊风热又有风却热乃感风成病类同伤寒热又伤寒热类同疮疹热
又疮疹麻豆之后有余毒作热其伤寒后亦有余毒作热
议积热有同痞热发来潮作又似疟热综曰潮热盖发作有期
议丹热疳热各自体之不类诸症今将得效所治诸热良方有四主治分诸热症悉有功效非特触
类而
分之乃是所疗治其根本而已无不应验更不兼他药只此四方克效万不失一载列在下请宜审察投
药随病瘳愈神莫能冠仆尽心讨论以其简要不惮烦劳去此就彼检阅再三犹若良将用兵奇正
敌冠
难有凶恶必不能逃窜其病候或有同异其症候无过于折类为定必不疏远综错矣□自时退热之理
秘不可传道由心悟得之可谓醇乎醇善之善者耶
议类症诸热
议血热即遍体生疮痍 疥瘙痒及重发作丹毒龙带之属
议骨热即外冷内热其病骨蒸候
议实热即气脉壮实五脏六腑气充大便硬少或闭不通
议虚热三焦不顺五脏不和欲作疳候啼哭烦躁夜出虚汗或泻痢后有热
议三焦热即上鬲虚烦作渴颊赤惊悸夜后啼哭睡中谵语
议五心热虚烦多惊小便赤涩睡不安稳气粗或作螈
议肝经热眼目赤肿疼痛眵泪羞明或筋脉拘急有夹风痰
议肺经热鼻塞生疮不闻香臭或余毒不散
议胎热儿在胎中受母饮食荣卫不顺有余毒之热发作众疾或从降生之后常作热症
议伤寒后余毒热虽曾解表余热传脉或入经络久而不散
议疮疹余毒热其儿所患疮疹不甚快速有余热留滞在百脉之间
议项上生核作热软大微红者名惊气核小三五连连长短相类杂者乃余毒热亦名惊 初生乳
幼者有患之
议三焦蕴毒热上攻咽喉之外名作腮热气血凝滞经终不行热毒攻注故生痈疖
议麻豆作热类似疹候麻子乃腑受病属阳故易调理虽不服药亦能自愈只恐吃毒冒风为之逆
也
议温气热即是时气温热相袭而成小儿又令有时气之温未经患疮疹者即重蒸大小相传皆作
是疾
议小肠热心经不利小便淋涩或筒管内疼痛
议胃热作气口臭或发呕逆不思饮食亦由胃家虚热得之
议脾热口若昏因喜睡因吃食毒物积聚在脾不化脚稍冰冷
议邪热肺经感受寒邪阴阳二气不正痰涎咳嗽
议寒热谓先寒后热其状如 □乃虚中有积凡儿患痞癖 瘕皆作寒热潮发
议伤风热鼻声重头痛脚热类如伤寒候
议伤暑热烦躁引领头目昏重时正盛暑或曾感冒
议荣卫即血热也
议卫热即气热荣卫不顺即气血不相参虚之致也
议筋热咬指甲见血
议肾热病作崩砂黑齿烂龈以至走马疳极候
议烦热即啼之不已
议躁热即哭之不已皆由三焦不顺心中积热虚烦躁闷
议变蒸热只在五百七十四日之内三十二日一变六
十四日一蒸在其数发作者应也
议大肠热乃是肺家有热在里流入大肠秘结不通
议瘾疹热乃是肺经有风在表肺主皮毛故生瘾疹风
议痰热因感风生痰在上鬲久不化作热或在逆恶心
议惊气热良由小儿受惊其惊气不散留在上鬲无得自化故作热毒攻在颐项之间
议肚热即是积热症若加脚冷当与下之
议客忤热初生之儿亲戚外来儿触其邪以乱其正故作热
议痫热惊风不散聚在经络或入脏腑其候常发不省人事
议螈 热亦惊之所受入经未传散略作搐掣
以上诸症受病治法分类于后
治疗癫痫的良方夺魂散
白僵蚕(去除丝线,炒至半黄半白,半两) 蛇含石(烧红后用米醋淬炼七八次,碾碎) 白附子(炮制,各一分)
生银
生金 牛黄(如果没有,用胆汁炮制并加倍使用) 乌梢蛇头(长约七八寸,酒炙) 白茯苓 天麻(各二两)
天南星(称取末药一分,用生姜汁浸泡一夜后使用) 半夏末(二两,用生姜汁浸泡一夜,分别焙干) 赤脚蜈蚣(一条,酒浸后炙至焦黄) 犀角(镑成薄片,二两) 冰片 麝香
以上药物研为细末,用蒸熟的枣肉制成丸药,大小如○大。每次服用十丸至十五丸或二十丸,用金银、薄荷煎汤送服,以朱砂为衣。
议论说:癫痫这种疾病,是一种特殊的症候。如果说它是由惊风传变而来,古人有说法认为“食风、惊、三痫”有关;如果说它不是由惊风传变而来,古语云“惊风三次发作便成为痫”。而且癫痫这种疾病,是痰热壅盛,传入经络,堵塞于心肺,导致关窍不通,所以发作时像惊风、天吊(一种抽搐病症)。或者因为受惊而生痰多,或者因为受热而风气旺盛,大小便不利,上下气机不通,心神烦闷混乱。如果因此反复发生,生而复死,沉沉默默无法苏醒。忽然间气息透过关窍,逐渐得以通畅,魂魄稍得安宁。但之后心被触动,脑气宣利不畅,发作如前。由此可知,癫痫这种疾病,是由于虚痰、冷涎、顽结于胸臆,惊风并聚于关鬲,常无精神,心致不宁,即存恍惚之态。治疗若不专一,服药不收敛,必然自招其害,这有什么奇怪的呢?夺魂散方剂,经验有效,秘传修合方法得当,活神验效,岂非称之为至宝吗?
医生说:热症有十种:惊热、疳热、风热、潮热、伤寒热、疟热、积热、丹热、疮疹热、余毒热。
议论说:有惊热就有风热,这里说的惊风热又有风却热,乃是感受风邪而成病,类似伤寒热。又,伤寒热类似疮疹热。又,疮疹、麻豆(天花、麻疹类疾病)之后有余毒作热,其伤寒后也有余毒作热。
议论积热:有同痞热,发作如潮水般起伏;又似疟热。综曰:潮热,盖因发作有定期。
议论丹热、疳热,各自体质不同,症状不类似。现在将得效所治各种热症的良方有四首,主治分治各种热症,都有功效。不仅仅是触类旁通地分类,而是治疗其根本而已,没有不应验的。更不需要兼用其他药物,仅此四方即可奏效,万不失一。记载列在下文,请仔细审察投药,随病痊愈,神奇莫能超越。我尽心讨论,因其简要而不惮烦劳,去此就彼,检阅再三,犹如良将用兵,奇正相生,敌寇难逃,凶恶必不能窜逃。其病候或有同异,其症候无过于折类为定,必不疏远错乱矣。□自此时退热之理,秘不可传道,由心悟得之,可谓醇乎醇,善之善者耶。
议论各类症候的热:
议论虚热:三焦不顺,五脏不和,欲作疳候,啼哭烦躁,夜出虚汗,或泻痢后有热。
议论三焦热:即上膈虚烦作渴,颊赤,惊悸,夜后啼哭,睡中谵语。
议论五心热:虚烦多惊,小便赤涩,睡不安稳,气粗或作螈(抽搐)。
议论胎热:儿在胎中受母饮食,荣卫不顺,有余毒之热,发作众疾,或从降生之后常作热症。
议论疮疹余毒热:其儿所患疮疹不甚快速,有余热留滞在百脉之间。
议论项上生核作热:软大微红者名惊气核;小三五连连长短相类杂者乃余毒热,亦名惊。初生乳幼者有患之。
议论三焦蕴毒热:上攻咽喉之外,名作腮热。气血凝滞,经终不行,热毒攻注,故生痈疖。
议论麻豆作热:类似疹候。麻子乃腑受病,属阳,故易调理,虽不服药亦能自愈,只恐吃毒冒风为之逆也。
议论温气热:即是时气温热相袭而成。小儿又令有时气之温,未经患疮疹者,即重蒸大小相传皆作是疾。
议论寒热:谓先寒后热,其状如□,乃虚中有积。凡儿患痞癖瘕皆作寒热潮发。
议论伤暑热:烦躁,引领头目昏重,时正盛暑,或曾感冒。
议论荣卫:即血热也。
议论筋热:咬指甲见血。
议论烦热:即啼之不已。
议论变蒸热:只在五百七十四日之内,三十二日一变,六十四日一蒸。在其数发作者应也。
议论惊气热:良由小儿受惊,其惊气不散,留在上膈,无得自化,故作热毒攻在颐项之间。
议论痫热:惊风不散,聚在经络,或入脏腑。其候常发,不省人事。
议论螈 热:亦惊之所受,入经未传散,略作搐掣。
以上诸症,受病治法分类于后。
A good prescription for treating epilepsy, Duohun San (Soul-Plundering Powder)
Bombyx Batryticatus (Cicada Slough, *Bai Jiangcan*) (remove silk threads, stir-fry until half-yellow and half-white, 0.5 liang) Shehanshi (Snake-containing Stone, *She Han Shi*) (heat red-hot, quench in rice vinegar seven or eight times, grind into powder) Baifuzi (Prepared Aconitum Carmichaelii Root, *Bai Fuzi*) (prepared, each 1 fen) Raw Silver
Raw Gold Niuhuang (Calculus Bovis, *Niu Huang*) (if unavailable, process with bile and double the dosage) Head of Zaocys (Zaocys Head, *Wu Shao She Tou*) (about 7-8 cun long, roast in wine) Poria (*Fu Ling*) Gastrodia Elata Rhizome (*Tian Ma*) (each 2 liang) Pinelliae Tuber (*Tian Nan Xing*) (weigh 1 fen of powder, soak overnight in fresh ginger juice before use) Pinelliae Tuber Powder (*Ban Xia Mo*) (2 liang, soak overnight in fresh ginger juice, dry separately by roasting) Geelys (*Chi Jiao Wu Gong*) (one piece, soak in wine, roast until scorched) Rhinoceros Horn (*Xi Jiao*) (shave into slices, 2 liang) Borneol (*Nao Zi*) Moschus (*She Xiang*)
Grind the above ingredients into a fine powder. Use steamed jujube flesh to make pills, size like ○. Take 10 to 15 or 20 pills per dose. Decoct silver, gold, and mint leaves in water and take the decoction to swallow the pills. Coat with Cinnabar (*Zhu Sha*).
Discussion: Epilepsy is a specific syndrome. If one says it is transmitted from convulsive disorders due to fright (Jing Feng), ancient texts mention connections between dietary wind, fright, and the three types of epilepsy. If one says it is not transmitted from convulsive disorders due to fright, ancient sayings state that "three episodes of convulsive disorders due to fright become epilepsy." Moreover, in epilepsy, phlegm-heat accumulates excessively, enters the meridians, blocks the heart and lungs, causing obstruction of orifices. Thus, during attacks, symptoms resemble convulsive disorders due to fright or Tian Diao (a type of convulsive disorder). It may be caused by excessive phlegm generation due to fright, or excessive wind generation due to heat. There is difficulty in urination and defecation, obstruction of qi mechanism between upper and lower parts, and mental restlessness and confusion. If this recurs repeatedly, leading to death and revival, sinking and silent without recovery, suddenly qi penetrates the orifices, gradually opening up, and the soul and spirit gain slight peace. However, afterwards, if the heart is touched and brain qi is not smooth, attacks recur as before. Therefore, it is known that epilepsy is caused by deficiency-phlegm, cold saliva, and stubborn accumulation in the chest and diaphragm, where convulsive disorders due to fright gather at the Guan Ge (junction of chest and abdomen). The patient often lacks spirit, the mind is restless and fluctuating. If treatment is not focused and medication does not consolidate, harm will inevitably occur, which is no wonder. The Duohun San formula has proven effective through experience, secret transmission, proper preparation, and miraculous verification. Is it not called a supreme treasure?
Doctors say there are ten types of heat syndromes: Fright Heat, Malnutrition Heat, Wind Heat, Tidal Heat, Cold Damage Heat, Malaria Heat, Accumulation Heat, Carbuncle Heat, Rash Heat, and Residual Toxin Heat.
Discussion: Where there is Fright Heat, there is Wind Heat. Here, Fright Heat involves wind and heat, caused by contracting wind pathogens, similar to Cold Damage Heat. Furthermore, Cold Damage Heat is similar to Rash Heat. Additionally, after Rashes and Smallpox, residual toxins cause heat; similarly, after Cold Damage, residual toxins cause heat.
Discussion on Accumulation Heat: Similar to Obstruction Heat, it flares up periodically like tidal waves; also resembles Malaria Heat. In summary: Tidal Heat occurs at regular intervals.
Discussion on Carbuncle Heat and Malnutrition Heat: They differ in constitution and do not resemble other syndromes. Now, there are four effective prescriptions for treating various heat syndromes. Each targets specific heat syndromes with efficacy. This is not merely categorizing by analogy but treating the root cause. None fail to be effective. No need to combine with other medicines; these four formulas alone are sufficient, never failing. Listed below for careful examination and administration. As the disease heals, the miracle cannot be surpassed. I have discussed this diligently because it is concise and not afraid of labor. Reviewing repeatedly, it is like a good general using troops, combining orthodox and unorthodox tactics, making it impossible for enemies to escape. Although disease manifestations may have similarities and differences, symptom classification is definitive and avoids confusion. □ Since then, the principle of reducing heat is secret and cannot be taught; it must be realized by the mind. This can be called the purest of purities and the best of goods.
Discussion on various heat syndromes:
Discussion on Blood Heat: Manifests as sores all over the body, itching scabies, severe carbuncles, and Long Dai (likely a specific dermatological condition).
Discussion on Bone Heat: External cold with internal heat, manifesting as bone-steaming syndrome.
Discussion on Excess Heat: Vigorous qi and pulse, full qi in five zang and six fu organs, hard stool, scanty or obstructed defecation.
Discussion on Deficiency Heat: Disharmony of Triple Burner and five zang organs, predisposition to malnutrition syndrome, crying and irritability, night sweats, or heat following diarrhea/dysentery.
Discussion on Triple Burner Heat: Empty irritability and thirst in the upper burner, red cheeks, palpitations, crying at night, delirium during sleep.
Discussion on Five-Center Heat: Empty irritability, frequent fright, dark and scanty urine, restless sleep, coarse breathing, or convulsions.
Discussion on Liver Meridian Heat: Red, swollen, painful eyes, discharge, photophobia, muscle spasms, possibly complicated by wind-phlegm.
Discussion on Lung Meridian Heat: Nasal congestion, sores in nose, loss of smell, or unresolved residual toxins.
Discussion on Fetal Heat: The fetus receives maternal dietary influences, causing disharmony of Ying and Wei, residual toxin heat erupting into various diseases, or persistent heat syndromes after birth.
Discussion on Residual Toxin Heat after Cold Damage: Although exterior was resolved, residual heat transmits through vessels or enters meridians, lingering for a long time.
Discussion on Residual Toxin Heat after Rashes: The child's rash did not resolve quickly, leaving residual heat stagnating in the hundred vessels.
Discussion on Neck Nodules with Heat: Soft, large, slightly red nodules are called Fright Qi Nodules; small, linked nodules of varying lengths are residual toxin heat, also called Fright. Infants may suffer from this.
Discussion on Triple Burner Accumulated Toxin Heat: Attacks outwardly towards the throat, called Mumps Heat. Qi and blood stagnation, meridians blocked, heat-toxin attacking causes abscesses and boils.
Discussion on Heat from Smallpox/Rashes: Similar to rash syndromes. Smallpox affects the fu organs, belongs to Yang, thus easy to regulate. Even without medicine, it can heal itself, but beware of toxic ingestion or wind exposure causing adverse reactions.
Discussion on Warm Qi Heat: Caused by seasonal warm pathogens invading sequentially. Children with seasonal warmth who have not had rashes transmit heavily among themselves, all suffering this disease.
Discussion on Small Intestine Heat: Heart meridian dysfunction, dysuria, pain in the urethra.
Discussion on Stomach Heat: Bad breath, vomiting, anorexia, also caused by stomach deficiency-heat.
Discussion on Spleen Heat: Dull mouth, preference for sleep, accumulation of toxic food in spleen not digesting, slightly cold feet.
Discussion on Pathogenic Heat: Lung meridian contracts cold pathogen, yin and yang qi abnormal, phlegm-saliva cough.
Discussion on Chills and Fever: First chills then fever, resembling □, indicating deficiency with accumulation. Any child with abdominal masses (Pi Pi Jia) experiences chills and fever fluctuations.
Discussion on Wind-Cold Heat: Heavy nasal voice, headache, hot feet, resembling Cold Damage syndrome.
Discussion on Summerheat Injury Heat: Irritability, heavy head and eyes, occurring in peak summer or after catching cold.
Discussion on Ying and Wei: Equivalent to Blood Heat.
Discussion on Wei Heat: Equivalent to Qi Heat. Disharmony of Ying and Wei means Qi and Blood do not interact, caused by deficiency.
Discussion on Sinew Heat: Nail-biting drawing blood.
Discussion on Kidney Heat: Disease manifests as gingival bleeding, black teeth, rotting gums, progressing to Gangrene of the Cheeks (Zou Ma Gan) extreme stage.
Discussion on Irritable Heat: Unceasing crying.
Discussion on Restless Heat: Unceasing wailing. All caused by Triple Burner disharmony, accumulated heat in heart, empty irritability and depression.
Discussion on Bian Zheng Heat: Occurs only within 574 days. Every 32 days a change, every 64 days a steam. Eruption within these numbers is normal.
Discussion on Large Intestine Heat: Lung heat transferring internally to the large intestine, causing constipation and obstruction.
Discussion on Urticaria Heat: Wind in Lung meridian at the exterior. Lung governs skin and hair, thus generating urticaria wind.
Discussion on Phlegm Heat: Contracting wind generates phlegm, stagnating in upper burner, transforming into heat over time, or causing nausea/vomiting.
Discussion on Fright Qi Heat: Due to children being frightened, fright qi remains stagnant in upper burner, unable to transform naturally, generating heat-toxin attacking the jaw and neck area.
Discussion on Abdominal Heat: Equivalent to Accumulation Heat syndrome. If accompanied by cold feet, purgatives should be used.
Discussion on Guest Intrusion Heat: Newborns exposed to external relatives' evil qi disrupt their normal state, causing heat.
Discussion on Epilepsy Heat: Convulsive disorders due to fright do not disperse, gathering in meridians or entering zang-fu. Symptoms include frequent loss of consciousness.
Discussion on Convulsion Heat: Also caused by fright entering meridians without dispersing, presenting as slight twitching.
The treatment methods for the above syndromes are classified below.