典藏书目

The above text details various aspects. Wang Shi recorded three types of epilepsy: Jing Epilepsy (Convulsive Epilepsy), Feng Epilepsy (Wind Epilepsy), and Shi Epilepsy (Food-induced Epilepsy). Feng Epilepsy arises from Wind-Heat; Jing Epilepsy results from shock and accumulation; Shi Epilepsy is caused by improper diet. The onset of these three conditions is generally similar. Feng Epilepsy manifests as internal heat generating phlegm; Jing Epilepsy presents with scattered spirit and soul, restlessness, and instability; Shi Epilepsy is caused by food stagnation leading to Qi blockage between the chest and diaphragm, generating phlegm and wind, which then triggers epilepsy.

Regarding the treatment of Feng Epilepsy: First, use herbs to resolve phlegm and benefit the chest and diaphragm, open the orifices, calm and anchor the heart-mind, and control convulsions. Then, administer medicines specifically for treating Feng Epilepsy.

Regarding the treatment of Jing Epilepsy: First, cool the San Jiao (Triple Burner), relieve shock, clear heat, calm the spirit, stabilize the will, harmonize the Zang-Fu organs, and dampen/resolve phlegm-fluids. Then, administer medicines specifically for treating Jing Epilepsy.

Regarding the treatment of Shi Epilepsy: First, use pushing-down methods to eliminate stagnation and shock-Qi in the chest and diaphragm. Next, harmonize and smooth the Zhong Wan (Middle Jiao/Stomach). Then, settle the Zang-Fu organs. Finally, administer medicines for treating epilepsy.

It is discussed that Shock and Epilepsy, Wind and Heat, mutually invade each other. Where there is Heat, there is fear; where there is Wind and Shock, there is dread, leading to Epilepsy. Treating Wind diseases first requires clearing Heat; treating Epilepsy first requires dispersing Shock. This is a crucial principle. Scholars must understand the rationale. Ancient descriptions of Epilepsy are numerous. Some claim it resembles the sounds and forms of six domestic animals (cattle, horses, chickens, sheep, pigs, dogs), hence the name. *Bao Jian* records one hundred and twenty types, making the theories complex. Traditional views often cling to using generic anti-epileptic drugs for all cases, but they essentially fall into the three aforementioned categories, determined by their origin. In summary, one need not seek excessive complexity to avoid misleading beginners, which would make learning difficult. To list such details for one disease, how much more so for Wind-Shock disorders? Wang Shi streamlined this, obtaining detailed yet appropriate content conforming to propriety. Now, this book specially presents excellent prescriptions and subtle treatments, offering simple interception therapies, hoping that patients, whether acute or chronic, will recover quickly without regret. Scholars who study deeply will surely avoid wrongful treatment.

For treating children's Shi Epilepsy: First, use *Zhenzhu Tianma Wan* (Pearl and Gastrodia Pill) to purge downwards, followed by *Ding Xian Miao Yao* (Miraculous Medicine for Calming Epilepsy).

For treating children's Feng Epilepsy: First, use *Hua Feng Dan* (Wind-Transforming Pill) to dispel Wind-Heat, followed by *Ding Xian Miao Yao*.

Prepared Ox Gallbladder (2 liang), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix) (each 1 liang), Tian Ma (Gastrodiae Rhizoma), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jing Jie Sui (Schizonepetae Spica), Ren Shen (Ginseng Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Grind the above into powder, mix with refined honey, and form pills the size of soap beans. Take one pill per dose, dissolved in Bo He Tang (Mint Decoction).

It is discussed that Wind pathogenic factors cause diverse symptoms, all due to loose and weak cou-li (skin and interstices), deficiency of Ying-Wai (Nutritive and Defensive Qi), unsmooth meridians, and blocked orifices. Wind Qi becomes stagnant and erupts (pronounced 'Fu'), pulse condenses and stagnates, resembling dark heavens and eclipsed sun and moon. Sudden onset causes spiritual immersion, loss of control over limbs, which is the extreme state of Feng Epilepsy. "Transforming Wind" means resolving the acquired Wind without waiting for prolonged transmission and rapid change. Whenever the Five Zang organs harbor Heat and the San Jiao becomes obstructed, if one does not promptly promote flow and dissipate Heat, Heat generates Wind, and obstruction causes Wind to grow. If orifices are blocked, how can Wind disperse naturally? To "transform" it implies assisting compliance, allowing Ying-Wei and meridians to flow smoothly. If one directly attempts to intercept Wind and stop convulsions when Epilepsy has already formed, the Wind will not disperse. Further aggressive attack may suppress immediate attacks, but the Wind remains latent, recurring later, unable to be eradicated. This prescription is named "Transforming Wind" and avoids further additive aggression.

Bi Jin Dan Formula: Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix) (remove heart), Shan Yao (Dioscoreae Rhizoma), Chen Sha (Cinnabar), Tian Ma (Gastrodiae Rhizoma) (each 1 fen), Shi Chang Pu (Acori Tatarinowii Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted, each 1 fen), Tian Nan Xing (Arisaematis Rhizoma) (processed, 2 liang, prepared with fresh ginger juice), She Xiang (Moschus) (1 unit).
Grind finely, mix with refined honey, and form pills the size of soap beans. Take one pill per dose, dissolved in Yin Jin Yin Bo He Tang (Silverweed and Mint Decoction).

It is discussed that Wind circulates through the four seasons, harmonizes internally and externally, nourishes all things, generates and destroys, following strict laws. Only the virtue of Wind applies similarly to the human body: harmony follows compliance, harm follows opposition. The Wind that arises stems from deficiency, responds to Heat, develops with Phlegm and Heat, and involves Shock, blocking orifices and causing Qi and pulse stagnation with transmission, harming the body. Expulsion methods should be used. How much more so for tender infants, fragile and vulnerable, where all diseases are formidable? One cannot be negligent. Treating Wind requires methodical approach, not excessive force. Hesitation leads to panic and error. One must carefully assess compliance or opposition to treat accordingly. Pursuing too late, failing to anticipate early, leaving residue behind—this represents the ignorance of mediocre physicians. Skillful treatment of Jing Epilepsy involves resolving Phlegm, harmonizing Qi, anchoring the Heart-Mind, calming the Soul and Spirit, opening orifices, smoothing meridians, ensuring continuous smooth flow of Ying-Wei, regulating Zang-Fu, and maintaining long-term harmony and fullness. When evil is harmonized, where can Wind enter? Minor symptoms will naturally dissipate. Since this Epilepsy originates from Shock, one must not allow pathogens to remain. Constantly ensure blood vessels are full, skin and muscles strong, head and eyes clear, spirit abundant, diet appropriate, sleep stable, adaptation to cold and heat normal, Zang-Fu solid. Then meridians will harmonize, Ying-Wei will flow smoothly. The name "Bi Jin" (Comparable to Gold) ensures durability. This is merely顺应 (compliance) and regulation through proper care.