雷公真君曰∶狂病有伤寒得之者,此一时之狂也。照仲景张公伤寒门治之,用白虎汤以泻火矣。更有
终年狂病而不愈者,或欲拿刀以杀人,或欲见官而大骂,亲戚之不认,儿女之不知,见水则大喜,见
食则大怒,此乃心气之虚,而热邪乘之,痰气侵之,遂成为狂矣。此等症欲泻火,而火在心
之中不可泻也;欲消痰,而痰在心之中不易消也。惟有补脾胃之气,则心自得养;不必祛痰痰自
化,不必泻火火自无矣。
方为化狂丹。人参一两,白术一两,甘草一钱;茯神一两,附子一分,半夏三钱,菖蒲一钱,菟丝
子三钱,水煎服。一剂狂定,再剂病痊。此方妙在补心脾胃之三经,而化其痰,不去泻火。盖泻火则
心气愈伤,而痰涎愈盛,狂将何止乎。尤妙用附子一分,引补心消痰之剂,直入心中,则气尤易补,
而痰尤易消,又何用泻火之多事乎,此所以奏功如神也。
雷公真君曰∶呆病如痴,而默默不言也,如饥而悠悠如失也,意欲癫而不能,心欲狂而不敢,有
时睡数日不醒,有时坐数日不眠,有时将己身衣服密密缝完,有时将他人对象深深藏掩;与人言则无语
而神游,背人言则低声而泣诉,与之食则厌薄而不吞,不与食则吞炭而若快。此等症虽有祟凭之,实亦胸
腹之中,无非痰气。故治呆无奇法,治痰即治呆也。然而痰势最盛,呆气最深,若以寻常二陈汤治
之,安得获效。方用逐呆仙丹∶人参一两,白术二两,茯神三两,半夏五钱,白芥子一两,附子五分,
白薇三钱,菟丝子一两,丹砂三钱,研末。先将各药煎汤,调丹砂末与半碗,彼不肯服,以炭 之,
欣然服矣。又 之,又服半碗,然后听其自便。彼必倦怠欲卧矣,乘其睡熟,将其衣服被褥尽行火化,
单留身上所服之衣,另用新被盖之,切不可惊醒。此一睡,有睡至数日者,醒来必觅衣而衣无,觅被而被
非故物,彼必大哭,然后又以前药与一剂,必不肯服,即 之炭。亦断不肯矣,不妨以鞭责之,动其
怒气,用有力之人,将前药执而
灌之。彼必大怒,已而又睡去矣。此时断须预备新鲜衣服被褥等项,俟其半日即醒,彼见满房皆是
亲人,心中恍然如悟,必又大哭不已,诸人当以好言劝之,彼必说出鬼神之事。亲人说幸某人治疗,已
将鬼神尽行祛遣,不必再虑,彼听之欣然而病亦全愈矣。此方之妙,妙在大补心脾。以茯神为君,
使痰在心者尽祛之而出,其余消痰之药,又得附子引之,无经不入,将遍身上下之痰,尽行祛入膀胱
之中,而消化矣;白薇、菟丝子,皆是安神妙药,而丹砂镇魂定魄,实多奇功,所以用之而奏效也。
雷公真君说:狂病有因伤寒引发的,这是暂时性的狂乱。按照张仲景《伤寒论》的方法治疗,使用白虎汤来清泻火热即可。更有常年患狂病不愈的,有的想要拿刀杀人,有的想要去官府大声辱骂,不认识亲戚,认不出儿女,见到水就大喜,见到食物就大怒,这是由于心气虚弱,热邪趁机侵袭,痰气侵扰,从而形成了狂病。这类病症想要清泻火热,但火热在心之中不可直接清泻;想要消除痰浊,但痰浊在心之中不易消除。只有补益脾胃之气,心脏自然得到滋养;不必刻意祛痰,痰自会化解,不必刻意泻火,火自然会消失。
方剂名为化狂丹。人参一两,白术一两,甘草一钱;茯神一两,附子一分,半夏三钱,石菖蒲一钱,菟丝子三钱,加水煎服。服用一剂狂乱停止,服用两剂疾病痊愈。此方的妙处在于补益心、脾、胃三条经脉,从而化解痰浊,而不必去清泻火热。因为清泻火热会进一步损伤心气,导致痰涎更加旺盛,狂病又怎能止住呢?尤其妙在用附子一分,引导补心消痰的药物,直接入心经,这样心气更容易补益,痰浊更容易消除,又何须多此一举去清泻火热呢,这就是此方见效如神的原因。
雷公真君说:呆病表现为神情痴呆,沉默不语,像饥饿时心神恍惚、若有所失的样子,想发癫却做不到,想发狂却不敢,有时睡几天不醒,有时坐几天不眠,有时把自己身上的衣服密密缝完,有时把别人的物品深深藏起来;与人说话时无言以对而精神游离,背人说话时低声哭泣倾诉,给饭吃则嫌弃不肯吞咽,不给饭吃则吞炭也感到痛快。这类病症虽然有鬼神作祟的表象,实际上胸腹之中无非是痰气阻滞。所以治疗呆病没有奇特方法,治疗痰浊就是治疗呆病。然而痰势最盛,呆滞之气最深,如果用普通的二陈汤治疗,怎么能获得疗效呢?方剂用逐呆仙丹:人参一两,白术二两,茯神三两,半夏五钱,白芥子一两,附子五分,白薇三钱,菟丝子一两,朱砂三钱,研成粉末。先将各药煎汤,调朱砂末与半碗,患者不肯服用,就用火烧焦(炭之),患者欣然服下。再烧焦一些,又服半碗,然后听任其自行决定。患者必定感到疲倦想睡觉,趁他熟睡,将其衣服被褥全部烧毁,只留下身上穿的衣服,另外用新被子盖好,千万不要惊醒他。这一觉,有的睡几天,醒来后必定寻找衣服却发现没有了,寻找被子却发现不是原来的东西,他必定大哭,然后又给他前一剂药,他必定不肯服用,即使烧焦了也不肯。不妨用鞭子责打他,激起他的怒气,让有力气的人强行灌药。他必定大怒,随后又睡去了。此时必须预备新鲜衣服被褥等物品,等他半天后醒来,他看见满屋都是亲人,心中恍然醒悟,必定又大哭不止,众人应当用好言劝慰他,他必定说出鬼神之事。亲人说幸好某人治疗,已经将鬼神尽行驱除,不必再忧虑,他听了之后欣然接受,病也就全愈了。此方的妙处,妙在大补心脾。以茯神为君药,使在心中的痰浊尽数祛除排出,其余消痰的药物,又得附子引导,无处不到,将遍身上下之痰,尽数祛除进入膀胱之中,从而消化掉;白薇、菟丝子,都是安神的妙药,而朱砂镇魂定魄,确实多有奇功,所以使用它而奏效。
Lei Gong Zhen Jun (Deified Lord Lei Gong) said: Mania (Kuang Bing, a syndrome characterized by manic behavior and mental confusion) can arise from Taiyang disease (Taiyang disorder), which is a temporary state of mania. It should be treated according to the methods in Zhang Zhongjing’s *Treatise on Cold Pathogenic Diseases* (*Shanghan Lun*), using Baihu Tang (White Tiger Decoction) to clear and drain fire heat. There are cases of chronic mania that persist throughout the year without healing. Patients may wish to take a knife to kill others, or go to the magistrate to curse loudly; they do not recognize relatives, nor do they know their children; they feel great joy when seeing water, but extreme anger when seeing food. This is due to deficiency of Heart Qi (vital energy of the heart), allowing pathogenic heat to invade and phlegm-qi to encroach, thereby forming mania. In such cases, one wishes to drain fire, but fire located within the Heart cannot be directly drained; one wishes to resolve phlegm, but phlegm located within the Heart is difficult to resolve. The only approach is to tonify the Qi of the Spleen and Stomach, so that the Heart naturally receives nourishment. There is no need to forcibly dispel phlegm; it will transform itself. There is no need to forcibly drain fire; it will disappear naturally.
The prescription is called Hua Kuang Dan (Mania-Transforming Cinnabar Pill). Ren Shen (Ginseng Radix) 1 liang, Bai Zhu (Atractylodis Rhizoma) 1 liang, Gan Cao (Licorice Radix et Rhizoma) 1 qian; Fu Shen (Poria with Hostwood) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 fen, Ban Xia (Pinelliae Tuber) 3 qian, Chang Pu (Acori Tatarinowii Rhizoma) 1 qian, Tu Si Zi (Cuscutae Semen) 3 qian. Decoct in water and take orally. After one dose, mania subsides; after two doses, the illness is cured. The brilliance of this formula lies in tonifying the three meridians of the Heart, Spleen, and Stomach, thereby transforming phlegm, without resorting to draining fire. For if fire is drained, Heart Qi is further injured, and saliva/phlegm becomes more abundant, how then can mania cease? Particularly ingenious is the use of 1 fen of Fu Zi (Prepared Aconite Root) to guide the Heart-tonifying and phlegm-resolving agents directly into the Heart center. Thus, Qi is easier to tonify, and phlegm is easier to resolve, rendering the excessive measure of draining fire unnecessary. This is why its efficacy is like magic.
Lei Gong Zhen Jun said: Dullness disease (Dai Bing, a syndrome characterized by apathy and cognitive dullness) presents as if possessed by a spirit, with silent muteness; it feels like hunger yet vague and lost, as if something is missing; the mind desires to become epileptic but cannot, desires to become manic but dares not. Sometimes sleeping for several days without waking, sometimes sitting for several days without sleeping. Sometimes meticulously sewing one’s own clothes, sometimes deeply hiding other people’s objects. When speaking with others, one has no words and the spirit wanders; when speaking behind others’ backs, one whispers and weeps. When offered food, one despises it and refuses to swallow; when denied food, one swallows charcoal as if it were delightful. Although these symptoms appear to be caused by demonic possession, in reality, the chest and abdomen are filled with nothing but phlegm-qi obstruction. Therefore, there is no extraordinary method for treating dullness; treating phlegm is treating dullness. However, when phlegm accumulation is most severe and dullness is deepest, ordinary Er Chen Tang (Two-Aged Decoction) will certainly not yield results. The prescription used is Zhu Dai Xian Dan (Phlegm-Expelling Immortal Cinnabar Pill): Ren Shen (Ginseng Radix) 1 liang, Bai Zhu (Atractylodis Rhizoma) 2 liang, Fu Shen (Poria with Hostwood) 3 liang, Ban Xia (Pinelliae Tuber) 5 qian, Bai Jie Zi (Sinapis Semen) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 5 fen, Bai Wei (Cynanchi Atrati Radix) 3 qian, Tu Si Zi (Cuscutae Semen) 1 liang, Dan Sha (Cinnabaris) 3 qian. All herbs are ground into powder. First, decoct the herbs in water, mix with the Dan Sha (Cinnabar) powder, and prepare half a bowl. If the patient refuses to take it, burn the medicine until charred (tan zhi); the patient will then willingly take it. Burn more and administer another half bowl, then let them decide freely. The patient will inevitably feel fatigued and desire sleep. While they are asleep, burn all their clothes and bedding, leaving only the clothes currently worn on their body, cover them with a new quilt, and do not wake them abruptly. This sleep may last several days. Upon waking, they will search for clothes but find none, search for quilts but find they are not the original ones, and will inevitably cry bitterly. Then, administer the previous dose of medicine again. They will surely refuse, even if charred. Do not hesitate to whip them to provoke anger. Have strong individuals forcibly hold and pour the medicine into their mouths. They will become furious, then fall asleep again. At this time, fresh clothes and bedding must be prepared. Wait until they wake up after half a day. Seeing that the room is full of relatives, they will have a sudden realization, likely crying uncontrollably. Everyone should comfort them with kind words. They will inevitably speak of ghosts and spirits. Relatives should say, "Fortunately, Dr. [Name] treated you, and all ghosts and spirits have been expelled. You need not worry." Hearing this, they will accept it gladly, and the illness will be completely cured. The brilliance of this formula lies in greatly tonifying the Heart and Spleen. Using Fu Shen (Poria with Hostwood) as the sovereign herb, it expels phlegm from the Heart. The remaining phlegm-resolving herbs, guided by Fu Zi (Prepared Aconite Root), penetrate every meridian, driving phlegm from the entire body into the Bladder (Pang Guang) for digestion and elimination. Bai Wei (Cynanchi Atrati Radix) and Tu Si Zi (Cuscutae Semen) are excellent calming herbs, while Dan Sha (Cinnabar) stabilizes the soul and calms the spirit, achieving remarkable effects. Hence, its efficacy is achieved through this mechanism.