论发狂 论呆病 论花癫 论羊癫
天师曰∶生治者，乃人未死而若死者，用药以生之也。譬如发狂呆病是也。发狂多是热病，登高而
歌，弃衣而走，见水而入，骂詈之声，叫喊杀人之语，不绝于口，舌如芒刺。饮食不休，痰色光亮，面如
火肿是也。方用石膏半斤，元参一斤，白芥子三两，半夏三两，知母一两，甘草一
两，麦冬五两，竹叶数百片，人参一两。先用糯米半斤，煎汤一锅，去其米粒，用汤半
锅，将前药煎之，取半碗。（〔批〕救胃自焚汤。）彼索水时与之饮，随索随与，饮尽必睡。急再用元
参一斤，麦冬半斤，煎汤候之。（〔批〕玄麦至神汤。）一醒呼水，即以此汤与之，彼必欣然自饮，服完
必又睡。又将渣煎汤候之，醒后再与。彼即不若从前之肯服，亦不必强，听其自然可也。后用熟地三两，
麦冬三两，元参六两、山茱萸一两，煎二碗与之。（〔批〕胜火神丹。妙。）一剂必愈，不必
再与。此生治之一法也。
呆病又不如是治法。呆病郁抑不舒，愤怒而成者有之。羞恚而成者有之。方用人参一两，柴
胡一两，当归一两，白
芍四两，半夏一两，甘草五钱，生枣仁一两，天南星五钱，附子一钱，菖蒲一
两，神曲五钱，茯苓三两，郁金五钱，水十碗，煎一碗灌之。（〔批〕救呆至神汤。）彼必
不肯饮，以双手执其头发，两人拿其左右手，以一人托住下颏，一人将羊角去尖。插入其口，一人以手拿
住其头，一人倾药入羊角内灌之。倘或吐出不妨，益妙，尽灌完为止。彼必骂詈，少顷人困欲睡。听其自
醒，切勿惊动。使彼自醒来则全愈，惊醒来则半愈矣。此生治之又一法也。狂病之方，妙在用石膏之多，
以平其阳明之火。然徒籍石膏，未免过于峻烈，又济之以元参。元参亦能平胃火之浮游，不特去心肾之
二火。又妙用麦冬以济之，则肺金不畏火之炎上，而自能下生肾水，肾水生，则胃中之火不必治而自愈。然
而狂病至不知人，则痰势籍火奔腾可知。方中又用白芥子、半夏以祛逐其痰，痰祛则心自清，况又有竹叶
以清心乎，则火易息而人易复也。一剂之后，又佐以元参、麦冬，大剂煎饮，则火益息而水益深。后又用
熟地之类滋其肾肺之药，相制而相成，字不重夺其造化哉。后呆病之方，妙在用柴胡以舒泄其不得意之气；
又有白芍佐之，肝气一舒，心脉自散；又妙用祛痰之剂，集之于参苓之内，则正气足而邪气自散；尤妙用
菖蒲开窍之神品，同群共入，见匙即开。重关领禁之人，一旦再享春风之乐，是谁之功哉。生治法如何
可尽，举一而悟其余耳。
张公曰∶远公心解神怡，又何可言。尚有一说，在狂病多是热症，然亦有不全是热者，不可不辨也。
狂之症同，而寒热各异。热症发狂，如岐天师之方治之可也。倘寒症发狂。又将何以治之。凡人发狂而止
骂詈人，不口渴索饮，与之水不饮者，乃寒症之狂也。此得之气郁不舒，怒气不能发泄，
其人平日必懦弱不振，今一旦而狂病发作耳。治之法，宜祛痰为主，而佐以补气之药。方用人参一
两，茯神一两，白术五钱，半夏一钱，南星一钱，附子一钱，菖蒲三分，水
煎服。（〔批〕速救寒狂丹。）此方之妙，全在补气，而不十分祛痰。盖寒症发狂，与痫症同治。加入附子
以消其寒气，菖蒲引入心经，自然下喉熟睡，病如失也。方内再加柴胡一钱，以舒其肝木之郁气。
尤易奏功。远公医道通神，何知柴胡之妙耶。呆病无热症，不必重说。
华君曰∶举二可以类推，不必尽传也，予当传之。予师所传之法，尚有二方。如人病花癫，妇人忽
然癫痫，见男子则抱住不肯放。此乃思慕男子不可得，忽然病如暴风疾雨，罔识羞耻，见男子则以为情
人也。此肝木枯槁，内火燔盛，脉必弦出寸口。法当用平肝散郁祛邪之味。一方亦天师所传，用柴胡五
钱，白芍一两，当归五钱，炒栀子三钱，甘草一钱，茯神三钱，菖蒲一钱，麦
冬五钱，元参三钱，白芥子五钱，水煎服。（〔批〕散花去癫汤。）如不肯服，用人灌之，彼
必骂詈不休，久之人倦欲卧。卧后醒来，自家羞耻，紧闭房门者三日，少少与之饮食自愈。一剂后不必更
与之药也。此生治之一法。更有羊癫之症，忽然卧倒，作羊马之声，口中吐痰如涌者，痰迷心窍，因寒而
成，感寒则发也。天师传一方，治之神效，奏功实多。方用人参三钱，白术一两，茯神五
钱，山药三钱，薏仁五钱，肉桂一钱，附子一钱，半夏三钱，水煎服。此方助
其正气，以生心血，又加桂、附以祛寒邪，加半夏以消痰，逐去其水，自然气回而癫止也。一剂全愈，永
不再发，幸珍视之毋忽。羊癫症得之小儿之时居多，内伤脾胃，外感风寒。结成在胸膈之中。所以一遇
风寒，便发旧痰。今纯用补正之药，不尽祛痰，转能去其病根也。若作风痰治之，虽亦奏功，
终不能一止而不再发。此天师之方，所以奇而正也。
雷公曰∶我亦有方传子。治牛马之癫，虽与羊癫同治，而症实各异。方用人参三两，白术五
两，甘草一两，陈皮三钱，生南星一两，半夏一两，附子一钱，为末，蜜为丸。须
病未发前服之，永不再发。（〔批〕天师云∶妙甚。）盖健其胃气，自不生痰，况又佐之祛痰斩关之将乎。
若羊癫之人，亦先以此方治之，亦自愈。人病来如作牛马声，即牛马癫也。大约羊癫小儿居多，牛马癫
大人居半也。
天师说：所谓“生治法”，是指人尚未死亡但呈现濒死状态，通过用药使其恢复生机。例如发狂和呆病就是这种情况。发狂多由热病引起，患者登高而歌，脱衣奔跑，见水就跳进去，口中不断发出辱骂之声和叫喊杀人的话语，舌苔干燥如芒刺状，饮食不辍，痰液色泽光亮，面色红肿如火烧一般。治疗方剂用石膏半斤，玄参一斤，白芥子三两，半夏三两，知母一两，甘草一两，麦冬五两，竹叶数百片，人参一两。先用糯米半斤，煎煮成一锅汤，滤去米粒，取半锅汤，将上述药物放入其中煎煮，取药汁半碗。（批注：名为救胃自焚汤。）当患者索要水喝时，给他饮用，随要随给，喝完必然入睡。此时急忙再用玄参一斤，麦冬半斤，煎汤备用。（批注：名为玄麦至神汤。）一旦患者醒来呼喊要水，立即将此汤给他，他必定高兴地自行饮下，服完后必然再次入睡。再将药渣煎汤备用，等他醒来后再喂。即使他不像之前那样愿意服药，也不必勉强，顺其自然即可。之后用熟地三两，麦冬三两，玄参六两，山茱萸一两，煎煮成两碗给他服用。（批注：名为胜火神丹，效果奇妙。）一剂药必能痊愈，不必再服。这是生治法的一种。
呆病的治法则不同。呆病多因情绪抑郁不畅，或因愤怒而成，或因羞愤而成。治疗方剂用人参一两，柴胡一两，当归一两，白芍四两，半夏一两，甘草五钱，生枣仁一两，天南星五钱，附子一钱，石菖蒲一两，神曲五钱，茯苓三两，郁金五钱。加水十碗，煎煮成一碗灌服。（批注：名为救呆至神汤。）患者必定不肯喝，需用双手抓住他的头发，两人分别按住他的左右手，一人托住他的下巴，一人将羊角去掉尖端，插入其口中，一人固定住他的头，一人将药液倒入羊角内灌入。如果吐出也无妨，反而更好，直到灌完为止。患者必定会骂人，片刻后感到困倦想睡。让他自然醒来，切勿惊动。如果他自然醒来则完全痊愈，若被惊醒则只能好一半。这是生治法的另一种方法。
治疗狂病的方子，妙在大量使用石膏，以平抑阳明经的火气。然而单靠石膏，未免过于峻烈，所以辅以玄参。玄参也能平息胃中浮游之火，不仅去除心肾二火。又妙在用麦冬来辅助，使得肺金不畏火势炎上，从而自然下行滋生肾水，肾水生则胃中之火无需专门治疗也能自愈。然而狂病发展到不知人事的程度，可知痰势借火势奔腾。方中又用白芥子、半夏来祛除痰浊，痰祛则心神自清，况且还有竹叶来清心，则火势易息，人易恢复。一剂药之后，又辅以玄参、麦冬，大剂量煎服，则火势更息，肾水更深。后又用熟地等滋补肾肺的药物，相互制约又相互成就，这难道不是顺应造化之功吗？
至于呆病的方子，妙在用柴胡来疏泄不得志的气机；又有白芍辅助，肝气一舒，心脉自然疏散；又妙用祛痰之剂，汇聚于人参、茯苓之中，则正气充足而邪气自散；尤其妙用石菖蒲这开窍的神品，与群药共入，见到钥匙（喻指关键）即开。原本封闭重重关卡的人，一旦重新享受春风般的快乐，是谁的功劳呢？生治法怎能穷尽列举，举一例便可领悟其余。
张公说：远公心中理解，精神愉悦，还有什么可说的。尚有一说，狂病多是热证，但也有不完全是热的，不可不辨别。狂的症状相同，但寒热各异。热症发狂，像岐天师那样的方子治疗即可。如果是寒症发狂，又将如何治疗？凡是发狂只骂人不喝水，口渴但不索饮，给水也不喝的人，乃是寒症之狂。这是由于气机郁结不畅，怒气不能发泄，此人平日必定懦弱不振，如今突然发作狂病罢了。治疗方法，宜以祛痰为主，辅以补气药。方用人参一两，茯神一两，白术五钱，半夏一钱，南星一钱，附子一钱，石菖蒲三分，水煎服。（批注：名为速救寒狂丹。）此方的妙处，全在补气，而不十分强调祛痰。因为寒症发狂，与痫症同治。加入附子以消除寒气，石菖蒲引入心经，自然吞咽后熟睡，病如消失。方中再加柴胡一钱，以疏解肝木的郁气，更容易见效。远公医道通神，怎会不知道柴胡的妙用呢？呆病没有热证，不必多说。
华君说：举两个例子可以类推，不必全部传授，我应当传下去。我师父所传的方子，还有两个。比如患花癫的病，妇人忽然癫痫，见到男子就抱住不放。这是因为思慕男子不可得，忽然发病如暴风疾雨，不知羞耻，见到男子就以为是情人。这是肝木枯槁，内火燔盛，脉象必定弦出寸口。治法应当用平肝、散郁、祛邪的药物。一方也是天师所传，用柴胡五钱，白芍一两，当归五钱，炒栀子三钱，甘草一钱，茯神三钱，石菖蒲一钱，麦冬五钱，玄参三钱，白芥子五钱，水煎服。（批注：名为散花去癫汤。）如果患者不肯喝，让人强行灌服，她必定骂个不停，久之疲倦想卧倒。卧倒后醒来，自己感到羞耻，紧闭房门三天，稍微给她一点饮食即可自愈。一剂药后不必再给药。这是生治法的一种。更有羊癫的症状，忽然卧倒，发出羊马的声音，口中吐痰如涌出，这是痰迷心窍，因寒而成，感受寒邪则发作。天师传一方，治疗神效，奏功很多。方用人参三钱，白术一两，茯神五钱，山药三钱，薏苡仁五钱，肉桂一钱，附子一钱，半夏三钱，水煎服。此方助其正气，以生心血，又加桂枝、附子以祛寒邪，加半夏以消痰，逐去水湿，自然气回而癫止。一剂全愈，永不复发，希望珍视勿忽。羊癫症多得之于小儿时期，内伤脾胃，外感风寒，结成在胸膈之中。所以一遇风寒，便引发旧痰。如今纯用补正之药，不尽祛痰，反而能去除病根。如果作风痰治疗，虽然也有效，终究不能一次停止而不再复发。这是天师方子的奇正之处。
雷公说：我也有方子传授给你。治疗牛马之癫，虽然与羊癫同治，但症状确实不同。方用人参三两，白术五两，甘草一两，陈皮三钱，生南星一两，半夏一两，附子一钱，研为末，蜂蜜为丸。必须在病未发作前服用，永不复发。（批注：天师云：非常妙。）因为健旺胃气，自然不生痰，何况又辅以祛痰斩关的猛将呢。如果是羊癫患者，也先用此方治疗，也能自愈。人发病时发出如牛马的声音，即是牛马癫。大约羊癫多见于小儿，牛马癫成人占一半。
On Mania, On Dullness Disease, On Flower Madness, On Sheep Epilepsy
The Heavenly Master said: The method of "treating the living" refers to patients who are not yet dead but appear to be dying, where medication is used to restore their vitality. For example, mania and dullness disease fall into this category. Mania is mostly caused by heat diseases; patients climb high and sing, discard their clothes and run, jump into water when they see it, and continuously utter curses and threats of killing. Their tongues feel like thorns, they eat and drink without stopping, their phlegm is glossy, and their faces are swollen red as if on fire. The prescription uses Banxia Decoction (Pinelliae Rhizoma) 3 liang, Baizijie (White Mustard Seed) 3 liang, Zhimu (Anemarrhenae Rhizoma) 1 liang, Gancao (Licorice Root) 1 liang, Maidong (Ophiopogonis Radix) 5 liang, Zhuye (Bamboo Leaf) hundreds of pieces, and Renshen (Ginseng Radix et Rhizoma) 1 liang. First, boil 8 ounces of glutinous rice in a pot of water, remove the rice grains, take half a pot of the rice water, and decoct the aforementioned herbs in it to obtain half a bowl of liquid. [Annotation: Named Jiwei Zifen Tang (Rescue Stomach from Self-Burning Decoction).] When the patient asks for water, give it to them, providing it as soon as they ask. After drinking it all, they will inevitably fall asleep. Immediately prepare another decoction using 1 jin of Xuanshen (Scrophulariae Radix) and 0.5 jin of Maidong. [Annotation: Named Xuanmai Zhishen Tang (Mysterious and Wheat Supreme Spirit Decoction).] Once they wake up and call for water, give them this decoction immediately; they will likely drink it gladly. After finishing it, they will sleep again. Decoct the dregs of the previous medicine for later use. If they do not want to take it as before, do not force them; let nature take its course. Subsequently, use Shudi (Rehmanniae Radix Preparata) 3 liang, Maidong 3 liang, Xuanshen 6 liang, and Shanzhuyu (Corni Fructus) 1 liang, decocted in two bowls, for them to consume. [Annotation: Named Shenghuo Shendan (Fire-Supreme Divine Elixir. Excellent.)] One dose will surely cure the condition; no further doses are needed. This is one method of treating the living.
Dullness disease requires a different treatment. Dullness disease arises from emotional depression and stagnation, or from anger, or from shame and indignation. The prescription uses Renshen 1 liang, Chaihu (Bupleuri Radix) 1 liang, Danggui (Angelicae Sinensis Radix) 1 liang, Baishao (Paeoniae Radix Alba) 4 liang, Banxia 1 liang, Gancao 5 qian, Sheng Zaoren (Ziziphi Spinosae Semen) 1 liang, Tiannanxing (Arisaematis Rhizoma) 5 qian, Fuzi (Aconiti Lateralis Radix Preparata) 1 qian, Changpu (Acori Tatarinowii Rhizoma) 1 liang, Shenqu (Massae Fermentatae Medicinatae) 5 qian, Fuling (Poria) 3 liang, and Yujin (Curcumae Radix) 5 qian. Add ten bowls of water, decoct until one bowl remains, and administer forcibly. [Annotation: Named Jiudai Zhishen Tang (Rescue Dullness Supreme Spirit Decoction).] The patient will certainly refuse to drink. Hold their hair with both hands, have two people hold their left and right arms, one person support their chin, and another insert a horn (with the tip removed) into their mouth. One person holds the head steady while another pours the medicine into the horn to灌 (administer). If they vomit, it does not matter; it may even be better. Continue until the full amount is administered. They will likely curse. After a short while, they will feel sleepy. Let them wake up naturally; do not startle them. If they wake up naturally, they will be fully cured; if startled awake, they will only recover partially. This is another method of treating the living.
The brilliance of the prescription for mania lies in the large dosage of Shigao (Gypsum Fibrosum) to pacify the fire of the Yangming channel. However, relying solely on Shigao is too harsh, so it is supplemented with Xuanshen. Xuanshen can also pacify the floating fire of the stomach, removing not only the fire of the heart and kidney. It is also ingenious to use Maidong to assist, so that the Metal of the Lung is not afraid of the upward flaming fire, allowing it to naturally descend and generate Kidney Water. Once Kidney Water is generated, the fire in the stomach heals itself without direct treatment. However, when mania progresses to unconsciousness, it is evident that phlegm surges with the fire. The prescription uses Baizijie and Banxia to expel phlegm; once phlegm is removed, the Heart becomes clear. Moreover, with Zhuye clearing the Heart, the fire is easily extinguished, and recovery is swift. After one dose, supplementing with large doses of Xuanshen and Maidong further extinguishes fire and deepens water. Subsequently, using herbs like Shudi to nourish the Kidney and Lung creates a balance of mutual restriction and generation, truly mirroring the work of creation.
Regarding the prescription for dullness disease, its brilliance lies in using Chaihu to soothe and drain stagnant Qi; Baishao assists, so when Liver Qi is relaxed, Heart vessels disperse naturally. It ingeniously combines phlegm-resolving agents within Renshen and Fuling, strengthening righteous Qi so evil Qi disperses naturally. Most notably, it uses Changpu, a divine herb for opening orifices, which opens blockages upon contact. A person previously sealed off suddenly enjoys the joy of spring breeze again. Who deserves the credit? How can the methods of treating the living be exhaustively listed? Learn one case to understand the rest.
Master Zhang said: Yuan Gong understands deeply and finds spiritual joy; what more needs to be said? There is another point: although mania is mostly a heat syndrome, it is not always purely heat, so differentiation is necessary. The symptoms of mania are similar, but the nature (cold vs. heat) differs. For heat-type mania, the Heavenly Master's prescription is suitable. But how to treat cold-type mania? If a patient rants at others but does not feel thirsty or desire water, and refuses water even when offered, it is cold-type mania. This results from Qi stagnation and unexpressed anger. Such individuals are usually weak and lacking in vigor, but suddenly manifest mania. The treatment should focus on resolving phlegm, assisted by Qi-tonifying herbs. The prescription uses Renshen 1 liang, Fushen (Poria with Hostwood) 1 liang, Baizhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Banxia 1 qian, Nanxing (Arisaematis Rhizoma) 1 qian, Fuzi 1 qian, and Changpu 3 fen. Decoct in water and take orally. [Annotation: Named Sujiu Han Kuang Dan (Rapid Rescue Cold Mania Elixir).] The brilliance of this formula lies in tonifying Qi rather than aggressively resolving phlegm. Cold-type mania is treated similarly to epilepsy. Adding Fuzi eliminates cold, and Changpu guides the action to the Heart channel, leading to natural swallowing, sleep, and disappearance of the illness. Adding Chaihu 1 qian to soothe Liver Wood stagnation enhances efficacy. Yuan Gong's medical skill is divine; how could he not know the brilliance of Chaihu? Dullness disease has no heat syndrome, so there is no need to elaborate further.
Master Hua said: Two examples suffice for analogy; there is no need to transmit everything. I shall pass it on. My master transmitted two additional prescriptions. For instance, flower madness: a woman suddenly suffers from epilepsy-like symptoms, hugging men tightly and refusing to let go. This stems from unfulfilled longing for a man, causing sudden onset like a storm, devoid of shame, mistaking men for lovers. This indicates dry Liver Wood and blazing internal fire, with a wiry pulse emerging at the Cun position. The treatment should use herbs to pacify the Liver, dissipate stagnation, and expel evil. One prescription, also from the Heavenly Master, uses Chaihu 5 qian, Baishao 1 liang, Danggui 5 qian, Chao Zhizi (Gardeniae Fructus) 3 qian, Gancao 1 qian, Fushen 3 qian, Changpu 1 qian, Maidong 5 qian, Xuanshen 3 qian, and Baizijie 5 qian. Decoct in water and take orally. [Annotation: Named Sanhua Qudian Tang (Dispel Flower Remove Epilepsy Decoction).] If she refuses to drink, force-feed her; she will curse incessantly, eventually becoming tired and wanting to lie down. Upon waking, she feels ashamed, closes her door for three days, and recovers with slight dietary intake. No further medication is needed after one dose. This is one method of treating the living.
There is also sheep epilepsy: sudden collapse, making sheep or horse sounds, vomiting profuse phlegm. This is phlegm confusing the Heart orifice, caused by cold, triggered by cold exposure. The Heavenly Master transmitted a highly effective prescription. It uses Renshen 3 qian, Baizhu 1 liang, Fushen 5 qian, Shanyao (Dioscoreae Rhizoma) 3 qian, Yiren (Coicis Semen) 5 qian, Rougui (Cinnamomi Cortex) 1 qian, Fuzi 1 qian, and Banxia 3 qian. Decoct in water and take orally. This formula strengthens righteous Qi to generate Heart Blood, adds Rougui and Fuzi to dispel cold, and Banxia to resolve phlegm and drain water. Naturally, Qi returns and epilepsy stops. One dose cures completely, preventing recurrence. Cherish this carefully. Sheep epilepsy often originates in childhood due to internal Spleen/Stomach injury and external Wind-Cold invasion, forming phlegm in the chest/diaphragm. Thus, any Wind-Cold triggers old phlegm. By purely using righteousness-tonifying herbs without aggressively resolving phlegm, the root cause is eliminated. Treating it merely as Wind-Phlegm may yield temporary results but cannot prevent recurrence permanently. This is why the Heavenly Master's prescription is both unique and orthodox.
Master Lei said: I also have a prescription to teach you. To treat ox/horse epilepsy: although treated similarly to sheep epilepsy, the symptoms differ. The prescription uses Renshen 3 liang, Baizhu 5 liang, Gancao 1 liang, Chenpi (Citri Reticulatae Pericarpium) 3 qian, Sheng Nanxing 1 liang, Banxia 1 liang, and Fuzi 1 qian. Grind into powder, form pills with honey. Administer before the attack occurs to prevent recurrence permanently. [Annotation: Heavenly Master says: Very excellent.] Strengthening Stomach Qi prevents phlegm generation naturally, especially with the aid of powerful phlegm-resolving generals. If applied to sheep epilepsy first, it also self-cures. When a patient makes ox/horse sounds during an attack, it is ox/horse epilepsy. Sheep epilepsy is mostly seen in children, while ox/horse epilepsy accounts for half of adult cases.