孙兆治相国寺僧充患颠疾，经半年，过服名医药不效。僧俗兄潘氏家富，召孙疗之。孙曰∶今夜睡着，明
后日便愈也。潘曰∶且告投药，报恩不忘。孙曰∶有咸物，但命师吃，待渴却来道。至夜僧果渴，孙至遂求温
酒一角，调药一服与之。有顷再索酒，与之半角，其僧遂睡两昼夜乃觉，人事如故。潘谢孙，问治法，曰∶
众人能安神矣，而不能使神昏得睡。此乃灵苑方中朱砂枣仁乳香散也，人不能用耳。辰砂一两，光明有墙壁者；
枣仁半两，微炒；乳香半两，光莹者。右量所患人饮酒几何，先令恣饮沉醉，但勿令吐，至静室中，以前药都
作一服，温酒调下，作一盏调之，令顿服。如饮酒素少人，但随量取酒服药讫，便安置床枕令卧。病浅者半日
至一日，病深者三两日。令家人潜伺之，鼻息匀调，但勿唤觉，待其自醒即神魂定。万一惊寤，不可复治。正
肃吴公少时心病，服此一剂，五日方寤遂瘥。（《医药纲目》。）
浙江一妇人颠狂不止，医以瓜蒂半两为末，每一钱重，井花水调满一盏投之，随得大吐，吐后熟睡，勿令
惊动，自此无恙。（同上。）
窦材治一人得风狂，已五年，时发时止，百法不效。窦为灌睡圣散三钱，先灸巨阙三十壮，醒时再服。又
灸心 五十壮，服镇心丹一料。但病患已久，须大发一回方愈。后果大发，一日全好。又一妇人产后得此症，
亦如前灸，服姜附汤而愈。
张子和治一叟，年六十，值徭役烦扰而暴发狂，口鼻觉如虫行，两手爬搔，数年不已，两手脉皆洪大如
绳。足阳明经起于鼻，交额之中，旁纳太阳，下循鼻柱，交人中，环唇，下交承浆，故其病如是。夫徭役烦扰，
便属火化，火乘阳明经，故发狂。经言阳明之病，登高而歌，弃衣而走，骂詈不避亲疏。又况肝主谋，胆主决，
徭役迫遽，则财不足支，肝屡谋而胆不能决，屈无所伸，怒无所泄，心火磐礴，遂乘阳明。然胃本属土，而肝
属木，胆属相火，火随木气而入胃，故暴发狂。乃命置燠室中，涌而汗出，如此三次。《内经》曰木郁则达之，
火郁则发之，良谓此也。又以调胃承气汤半斤，用水五升，煎半沸，分作三服，大下二十行，血水与瘀血相杂
而下数升乃康。以通圣散调治，其后大下，则是土郁夺之也。
一男子落马发狂，起则目瞪，狂言不识亲疏，弃衣而走，骂言杂出，气力加倍，三人不能执缚。烧符作醮，
问鬼跳巫，殊不知顾，丹砂、牛黄、犀、珠、脑、麝，资财散去，室中萧然。张以车轮埋之地中，约高二丈许，
上安中等车轮，其辋上凿一穴，如作足盆之状，缚病患于其上，使之伏卧，以软 衬之，令一人于下，坐机
一枚，以棒搅之，转千百遭，病患吐出青黄痰沫一二斗许，绕车轮数匝。其病患曰∶我不能任，可解我下。从
其言而解之，索凉水，与之冰水饮数升，狂乃罢矣。（奇思幻想，得未曾有。张公真妙人也。）
范纯佑女丧夫发狂，闭之室中，夜断窗棂，登跳树上食桃花几尽。及旦家人接下，自是遂愈。按此亦惊
恐伤肝，痰挟败血，遂致发狂。偶得桃花利痰饮、散滞血之功，与张仲景治积热发狂，用承气汤，蓄血发狂，
用桃仁承气汤之意相同。（苏鹗杜阳编本《本草纲目》。）
一妇人颠狂十年，至人授以真郁金七两，明矾三两为末，薄糊为丸梧子大，每服五十丸，白汤下。初服心
胸间觉有物脱去，神气洒然。再服而苏。此惊忧，痰血结聚心窍所致。郁金入心去恶血，明矾化顽痰故也。
（《本草纲目》。）
龚子材治一人颠狂乱打，走叫上屋，用瓜蒂散吐出臭痰数升，又以承气汤下之而愈。
一人气心风，即是痰迷心窍发狂，用真花蕊石 黄，酒淬一次，为细末，每服一钱，黄酒下。
一妇人发狂，弃衣而走，逾屋上垣，不识亲疏，狂言妄语，人拿不住，诸医束手。龚令家人将凉水乱泼，
不计其数，须臾倒仆。脉之，六部俱弦数有力，此热极生风也。用防风通圣散加生地黄、黄连、桃仁、红花、
丹皮，三剂而安。后复服祛风至宝丹而全愈。
凌汉章治金华富家妇，少寡得狂疾，至裸形野立。凌视曰∶是谓丧心，吾针其心，心正必知耻，蔽之帐中，
慰以好言，释其丑，可不发。乃令二人坚持，用凉水喷而针之果愈。（《明史》。雄按∶固是正论，恐难效法。）
孙文垣治吴某，以绩学劳心，有星士决其发解，适以疟作，不能终场，遂抑郁而成颠狂，或悲或歌，或鼓
掌或顿足，甚则骂詈不避亲疏。诊之，面白而青，两寸短涩，左关弦，右关滑，两尺平。此心肺之神不足，志
愿高而不遂，郁结不舒，津液生痰而不生血，又攻痰克伐太过，心神不得养，故昏乱无所摄持。经云∶主不明，
则十二经危。按此则宜补养，收敛精神，兼之清痰，可万全也。用枣仁、人参、茯苓、甘草、丹参、当归以补
心安神，黄连、竹茹以清肝胆之火，元参佐之，外以龙齿、珍珠、羚羊角、牛黄、胆星、天麻、青黛、辰砂、
全蝎、冰片、黄连、甘草膏为丸，金箔为衣，调理而愈。
张路玉治黄文学，谵妄颠仆，数月来，或六七日一发，或一日二三发，发则大吐涎水血沫，或一日半日而
苏，（状同痫症。）昼夜恒见亡婢仆妇二鬼缠绵，或时昏愦不省，或时妄言妄见，精气不时下脱，不能收摄。
服二冬、二地、连、金樱、石莲之属，反作泻不食。诊之，寸盛尺微，前大后小，按之忽无，举之忽有，知为
神气浮散之候。因与六君子加龙齿、菖蒲、远志，送养正丹，间续而进。前后共六七服，是后谵妄颠仆，绝
不复发，邪祟亦不复见。惟梦泄为平时痼疾，更与平补镇心丹，两月而愈。（此与前孙案症治大同。）
一妇人狂言叫骂，歌笑不常，似祟凭根据，一边眼与口角吊起。或作狂治，或作心风治，皆不效。乃是旧有
头风之病，风痰使然。用芎辛散加防风，服之顿愈。
妇科郑青山，因治病不顺，沉思彻夜，兼受他医讽言，心甚怀愤。天明，病者霍然，愤喜交集，病家设酌
酬之，而讽者已遁，愤无从泄，忽然大叫发狂，（即是观之，业医者亦可怜哉。有志之士，慎勿为此。彼云∶不
可不知医者非圣人之言也。）同道治之罔效。一日，目科王道来往候，索已服未服等方视之，一并毁弃。曰∶
此神不守舍之虚症，岂豁痰理气清火药所克效哉？遂令觅上好人参二两，一味煎汤服之顿安，三啜而病如失。
更与归脾汤调理而愈。（《医通》。）
李士材治张少椿女，以丧子悲伤，忽雷雨交作，大恐，苦无所避。旦日或泣或笑，或自语或骂詈，如见鬼
祟。诊其心脉浮滑，余皆沉细。此气血两亏，忧恐伤心，心伤则热，热积生风也。以滚痰丸，用桔梗、延胡索、
陈皮、杏仁煎汤送下，出痰积甚多而愈。（《医通》。雄按∶此脉沉细，恐是血气郁滞。如果两亏，何以可用
此药奏功？）
龚子材治一女子，年二十岁，未婚，患每见男子咬住不放，后昏倒，阴户流出冷精，顷间即醒。其厥阴肝
脉弦出寸口，乃阴盛思男子不可得也。令其父母用棍痛责，使之思痛而失欲也。后服抑青丸而愈。（雄按∶治法
凛然，胜于药石。）
韩贻丰治永和一少年，患风狂，百治不效。其父兄缚送求治，为针百会二十针。升堂公坐，呼少年前来，
命去其缚，予杖者再，杖毕而醒，问以前事，茫然不知也。（《神针心法》。雄按∶此系祟附之证。）
一妇因夫病垂危，心患之，乃夫病愈，妇即病风狂，昼夜不思眠食，白日裸身狂走，或登高阜，或上窑
房，莫能禁也。乞韩治，将至其家，其妇正在袒裼狂跳中，忽自觅衣覆体，敛容屏息，若有所俟者。邻媪讶之，
初不解其何意。俄而韩至，令之跪则跪，因跪而受针。（时韩为本邑宰。）为针其百会一穴，鬼眼二穴，各二
十一针。针毕即叩头谢曰∶吾今不敢为祟矣，愿乞饶命，吾去矣。言毕而醒。（雄按∶些二条皆临以邑宰之威，
而又善针法，祟身退避，故
虽抱有为之才，必居可为之地，而后易建大功也。）
柴屿青治少京兆传嘉言夫人，忽患颠症，诊知胸有郁结，投以逍遥散加郁金、香附，两剂而痴象顿愈。惟
神气尚呆不语，即用前方为散，服三两，用灵苑方服之而瘥。（灵苑方见孙兆案。）
王海藏治许氏，阳厥狂怒，骂詈不避亲疏，或哭或歌，六脉举按无力，身表如冰石，发则叫呼声高。洁古
云∶夺其食即已。因不与之食，乃以大承气汤，下得脏腑积秽数升，狂稍宁。数日复发，复下，如此五七次，
行大便数斗，疾缓身温，脉生良愈，此易老夺食之法也。（《大还》，《纲目》亦收。）
一人病颠，脉洪且搏指，承气汤数下而安。（《病机沙篆》。）
陈良甫治一女人，眼见鬼物，言语失常，循衣直视。众医多用心药治之，无效。乃投养正丹二帖，煎乳香
汤送下，以三生饮佐之立愈。又一男子亦常病此症，亦用此药收效。养正丹与《百乙方》抱胆丸无异，抱胆丸
内无硫黄有乳香也。自合方见效。（《良方》。）
王执中治一士，妄语无常，且欲打人，病数日矣。意其心疾，为灸百会，百会治心疾故也。又疑是
鬼邪，用秦承祖灸鬼邪法，并两手大拇指，用软帛绳急缚定，当肉甲相接处，灸七壮，四处皆着火而后愈。更
有二贵人子，亦有此患，有医生亦为灸此穴而愈。
张子和治一狂人，阴不胜阳，则脉流薄厥，阳并乃狂。《难经》曰∶阳极则狂，阴极则颠。阳为腑，阴为脏，
非阳热而阴寒也。热并于阳则狂，狂则生寒，并于阴则颠，颠则死。《内经》曰足阳明有实则狂，故登高而歌，
弃衣而走，无所不为，是热之极也。以调胃承气汤，下数十行，三五日复上涌一二升，三五日又复下之。凡五
六十日，下百余行，吐亦七八度。如吐时，暖室置火，以助其热汗，数汗方平。（《医说续编》。）
《广笔记》风颠病神方∶好犀角四两锉末，每用一两，加清水十碗，入砂锅内熬至一碗，滤净再加水十碗，
熬至二酒杯，以淡竹叶四两，水六碗，煎二碗去渣，加犀角汁同服，尽四剂即愈。
汪石山治一人，县差拿犯人，以铁索锁犯，行至中途投河而死，犯家告所差人，索骗威逼致死，所差脱罪，
未免费财，忧愤成病，如醉如痴，谬言妄语，无复知识。诊之曰∶此以费财而忧，必得喜乃愈，药岂能治哉？
令其熔锡作银数锭，置其侧，病者见之果喜，握视不置，后病遂愈。此以喜胜忧也。
刘宏壁治一富室女，正梳洗间，忽见二妇相拘，方奔逸，复挤至，遂大叫，叫后乃大哭，哭已即发狂，寒
热相继，目眩不眠。以为鬼祟，召巫符咒而益困。因诊之，肺脉直上鱼际，肝亦双弦。知所见者，本身之魂魄
也。盖肺藏魂，肝藏魄，因用小柴胡汤去甘草之恋，加羚羊鱼、龙骨、牡蛎，清肺肝，镇惊怯，一服而安。
凡患痴颠，或羊头风，总因心窍有痰所致。取橄榄十斤，敲破入砂锅内，煮数滚去核，入臼捣烂，
仍入原汤煎之，至无味去渣，以汁共归一锅，煎成浓膏，用白矾八钱，研末入膏匀和，每日早晚以开水冲服三
钱。或初起轻者，取橄咬破一头，蘸矾末食之亦效。
孙兆治疗相国寺僧人充，患有癫疾，经过半年，服用了许多名医的药物却无效。僧人的俗家哥哥潘氏家境富裕，请孙兆来治疗。孙兆说：“今晚让他睡着，明后天就会痊愈。”潘某说：“请先告知用药方案，以便日后报恩不忘。”孙兆说：“准备些咸味食物，只让师父吃，等他渴了再来找我。”到了晚上，僧人果然感到口渴，孙兆到来后便索要一杯温酒，调好一服药给他服用。过了一会儿又向他要酒，给了他半杯，这位僧人于是睡了两天两夜才醒来，人事如常。潘某感谢孙兆，询问治疗方法，孙兆说：“众人能安神，但不能使神志昏沉以入睡。这是《灵苑方》中的朱砂枣仁乳香散，只是人们不会使用罢了。辰砂一两，要光亮且有墙壁光泽的；枣仁半两，微炒；乳香半两，要光莹的。以上药物根据患病者饮酒的量，先让其尽情饮用至沉醉，但不要让他吐，在安静的房间里，将上述药物全部作为一剂，用温酒调下，制成一盏的量，令其一次服完。如果平时饮酒少的人，只需随量取酒服药后，就安置在床上枕头旁让他睡觉。病轻的半天到一天，病重的两三天。让家人暗中观察，只要鼻息均匀调和，不要叫醒他，等他自然醒来就是神魂安定。万一惊醒，就不能再治了。正肃吴公年轻时患心病，服用这一剂药，五天后才醒过来，于是病愈。（出自《医药纲目》。）
浙江有一位妇人癫狂不止，医生用瓜蒂半两研成末，每次一钱重，用井花水调满一盏给她喝，随即发生剧烈呕吐，吐后熟睡，不要惊动她，从此安然无恙。（同上。）
窦材治疗一人患风狂病，已经五年，时发时止，各种方法都无效。窦材给他灌服“睡圣散”三钱，先灸巨阙穴三十壮，醒来后再服药。又灸心俞穴五十壮，服用镇心丹一料。但病患时间已久，必须大发一场才能痊愈。后果然大发了一次，一天就全好了。又有一位妇人产后得此症，也按照前面的方法施灸，服用姜附汤而痊愈。
张子和治疗一位六十岁的老人，正值徭役烦扰而突发狂病，口鼻感觉像有虫子爬，双手抓挠，几年不愈，两手脉象都洪大如绳。足阳明胃经起于鼻，交于额中，旁边接纳太阳经，向下沿鼻柱，交于人中，环绕嘴唇，下交于承浆穴，所以他的病是这样。徭役烦扰，属于火化，火邪侵犯阳明经，所以发狂。经书说阳明病，登高而歌，脱衣奔走，骂人不避亲疏。况且肝主谋虑，胆主决断，徭役紧迫，则财力不足以支撑，肝多次谋划而胆不能决断，委屈无处伸展，愤怒无处发泄，心火炽盛，于是乘袭阳明。然而胃本属土，肝属木，胆属相火，火随木气进入胃，所以突发狂病。于是让人放置在温暖密室中，涌吐并出汗，如此三次。《内经》说木郁则通达它，火郁则发散它，说的正是这个意思。又用调胃承气汤半斤，用水五升，煎煮半沸，分作三次服用，大便二十余次，血水与瘀血混杂而下数升才康复。后用通圣散调理，其后再次大下，这就是土郁夺之的方法。
一个男子从马上摔下发狂，起来时眼睛瞪大，胡言乱语不识亲疏，脱衣奔走，骂声杂出，力气加倍，三个人不能制服捆绑。烧符做法事，问鬼跳巫，全然不顾，丹砂、牛黄、犀角、珍珠、冰片、麝香等财物散去，家中萧条。张子和将车轮埋在地里，大约高二丈许，上面安放中等大小的车轮，在轮辐上凿一个洞，形状像脚盆一样，把病人绑在上面，让他伏卧，用软垫衬着，让一个人在下面，坐着一个机关，用棒子搅动，转动千百次，病人吐出青黄色的痰沫一二斗左右，绕车轮几圈。病人说：“我不能忍受了，可以放我下来。”听从他的话放下，索要凉水，给他喝了几升冰水，狂病才停止。（奇思幻想，前所未有。张公真是妙人。）
范纯佑的女儿丧夫后发狂，关在房间里，夜里折断窗棂，爬上树吃桃花几乎吃尽。等到天亮家人把她接下来，从此就好了。按：这也是惊恐伤肝，痰挟败血，导致发狂。偶然得到桃花利痰饮、散滞血的功效，与张仲景治疗积热发狂用承气汤，蓄血发狂用桃仁承气汤的意思相同。（苏鹗《杜阳编》引自《本草纲目》。）
一个妇人癫狂十年，有人传授真郁金七两，明矾三两研成末，薄糊做成梧桐子大的丸药，每次服五十丸，白开水送下。初服时心胸间觉得有东西脱落，神气清爽。再服后苏醒。这是惊忧、痰血结聚心窍所致。郁金入心去除恶血，明矾化解顽痰。（《本草纲目》。）
龚子材治疗一人癫狂乱打，跑叫上屋，用瓜蒂散吐出臭痰数升，又用承气汤泻下而痊愈。
一人患气心风，即是痰迷心窍发狂，用真花蕊石和硫磺，酒淬一次，研成细末，每次服一钱，黄酒送下。
一个妇人发狂，脱衣奔走，翻墙越垣，不识亲疏，狂言妄语，人抓不住，众医束手无策。龚子材让家人将凉水乱泼，不计其数，一会儿跌倒在地。诊脉，六部脉都弦数有力，这是热极生风。用防风通圣散加生地黄、黄连、桃仁、红花、丹皮，三剂而安。后来复服祛风至宝丹而全愈。
凌汉章治疗金华富家寡妇，年少守寡得狂疾，甚至裸体站在野外。凌汉章看后说：“这叫丧心，我针刺她的心区，心正则知耻，用帐子遮住她，用好话安慰，消除她的羞耻，可以不发作。”于是让两个人按住，用凉水喷然后针刺，果然痊愈。（《明史》。熊应雄按：固然是正论，恐怕难以效仿。）
孙文垣治疗吴某，因勤学劳心，有星士断定他能考中解元，恰逢疟疾发作，不能完成考试，于是抑郁而成癫狂，有时悲伤有时歌唱，有时鼓掌有时顿足，严重时骂人不避亲疏。诊察，面色白而青，两寸脉短涩，左关脉弦，右关脉滑，两尺脉平。这是心肺之神不足，志愿高而不遂，郁结不舒，津液生痰而不生血，又攻痰克伐太过，心神不得滋养，所以昏乱无所摄持。经云：主不明，则十二经危。据此则宜补养，收敛精神，兼清痰，可万全。用枣仁、人参、茯苓、甘草、丹参、当归以补心安神，黄连、竹茹以清肝胆之火，玄参佐之，外用龙齿、珍珠、羚羊角、牛黄、胆星、天麻、青黛、辰砂、全蝎、冰片、黄连、甘草膏为丸，金箔为衣，调理而愈。
张路玉治疗黄文学，谵妄颠仆，几个月来，或六七天发作一次，或一天二三次发作，发作时大吐涎水血沫，或半天一天才苏醒，（症状同痫症），昼夜常看见亡故婢女仆妇两个鬼魂纠缠，有时昏愦不省人事，有时妄言妄见，精气不时下脱，不能收摄。服用二冬、二地、连翘、金樱子、石莲之类，反而腹泻不食。诊察，寸脉盛尺脉微，前大后小，按之忽无，举之忽有，知道是神气浮散的征候。因此给予六君子汤加龙齿、菖蒲、远志，送服养正丹，间断续进。前后共六七服，此后谵妄颠仆，绝不复发，邪祟也不再见。只有梦遗是平时的痼疾，再给平补镇心丹，两个月而愈。（这与前面的孙案病症治疗大同小异。）
一个妇人狂言叫骂，歌笑无常，似被鬼祟依附，一边眼睛与口角吊起。或按狂病治，或按心风治，都不见效。乃是旧有的头风病，风痰所致。用芎辛散加防风，服用后顿时痊愈。
妇科郑青山，因治病不顺，沉思彻夜，兼受其他医生讽言，心中很怀愤恨。天亮时，病人霍然痊愈，愤喜交集，病家设宴酬谢，而讽刺者已逃跑，愤恨无处发泄，忽然大叫发狂，（由此看来，业医者也可怜啊。有志之士，千万不要这样做。有人说：不可不知医者非圣人之言也。）同道治疗无效。一天，眼科王道来往问候，索要已服未服等方子查看，一并毁弃。说：“这是神不守舍的虚证，岂是豁痰理气清火药所能奏效的？”于是让人寻找上等好人参二两，一味煎汤服用顿时安宁，喝三剂病如失。再给归脾汤调理而愈。（《医宗必读》。）
李士材治疗张少椿的女儿，因丧子悲伤，忽然雷雨交作，大恐，苦无所避。第二天时而哭泣时而笑，时而自语时而骂詈，如见鬼祟。诊察心脉浮滑，其余皆沉细。这是气血两亏，忧恐伤心，心伤则热，热积生风。用滚痰丸，用桔梗、延胡索、陈皮、杏仁煎汤送下，排出痰积甚多而愈。（《医宗必读》。熊应雄按：此脉沉细，恐怕是血气郁滞。如果是两亏，为何可用此药奏功？）
龚子材治疗一女子，年二十岁，未婚，患每见男子咬住不放，后昏倒，阴户流出冷精，顷刻即醒。其厥阴肝脉弦出寸口，乃阴盛思男子不可得也。令其父母用棍痛责，使之思痛而失欲也。后服抑青丸而痊愈。（熊应雄按：治法凛然，胜于药石。）
韩贻丰治疗永和一少年，患风狂，百治不效。其父兄缚送求治，为他针百会穴二十针。升堂公坐，呼少年前来，命解开束缚，予杖责两次，杖毕而醒，问以前的事，茫然不知也。（《神针心法》。熊应雄按：此系祟附之证。）
一妇人因丈夫病危，心里担忧，于是丈夫病愈，妇人即患风狂，昼夜不思眠食，白日裸身狂走，或登高阜，或上窑房，莫能禁也。乞求韩治疗，将至其家，其妇正在袒胸露臂狂跳中，忽自觅衣覆体，敛容屏息，若有所俟者。邻家老妪惊讶，起初不解其何意。俄而韩至，令之跪则跪，因跪而受针。（当时韩为本邑县宰。）为她针百会一穴，鬼眼二穴，各二十一针。针毕即叩头谢曰：“吾今不敢为祟矣，愿乞饶命，吾去矣。”言毕而醒。（熊应雄按：这两条皆是临以县宰之威，而又善针法，祟身退避，故虽抱有为之才，必居可为之地，而后易建大功也。）
柴屿青治疗少京兆传嘉言夫人，忽患颠症，诊知胸有郁结，投以逍遥散加郁金、香附，两剂而痴象顿愈。惟神气尚呆不语，即用前方为散，服三两，用灵苑方服之而瘥。（灵苑方见孙兆案。）
王海藏治疗许氏，阳厥狂怒，骂詈不避亲疏，或哭或歌，六脉举按无力，身表如冰石，发则叫呼声高。洁古云：夺其食即已。因不与之食，乃以大承气汤，下得脏腑积秽数升，狂稍宁。数日复发，复下，如此五七次，行大便数斗，疾缓身温，脉生良愈，此易老夺食之法也。（《大还》，《纲目》亦收。）
一人患颠，脉洪且搏指，承气汤数下而安。（《病机沙篆》。）
陈良甫治疗一女人，眼见鬼物，言语失常，循衣摸空直视。众医多用心药治之，无效。乃投养正丹二帖，煎乳香汤送下，以三生饮佐之立愈。又一男子亦常病此症，亦用此药收效。养正丹与《百乙方》抱胆丸无异，抱胆丸内无硫黄有乳香也。自合方见效。（《良方》。）
王执中治疗一士人，妄语无常，且欲打人，病数日矣。意其心疾，为灸百会，百会治心疾故也。又疑是鬼邪，用秦承祖灸鬼邪法，并两手大拇指，用软帛绳急缚定，当肉甲相接处，灸七壮，四处皆着火而后愈。更有二贵人子，亦有此患，有医生亦为灸此穴而愈。
张子和治疗一狂人，阴不胜阳，则脉流薄厥，阳并乃狂。《难经》曰：阳极则狂，阴极则颠。阳为腑，阴为脏，非阳热而阴寒也。热并于阳则狂，狂则生寒，并于阴则颠，颠则死。《内经》曰足阳明有实则狂，故登高而歌，弃衣而走，无所不为，是热之极也。以调胃承气汤，下数十行，三五日复上涌一二升，三五日又复下之。凡五六十日，下百余行，吐亦七八度。如吐时，暖室置火，以助其热汗，数汗方平。（《医说续编》。）
《广笔记》风颠病神方：好犀角四两锉末，每用一两，加清水十碗，入砂锅内熬至一碗，滤净再加水十碗，熬至二酒杯，以淡竹叶四两，水六碗，煎二碗去渣，加犀角汁同服，尽四剂即愈。
汪石山治疗一人，县差拿犯人，以铁索锁犯，行至中途投河而死，犯家告所差人，索骗威逼致死，所差脱罪，未免费财，忧愤成病，如醉如痴，谬言妄语，无复知识。诊之曰：此以费财而忧，必得喜乃愈，药岂能治哉？令其熔锡作银数锭，置其侧，病者见之果喜，握视不置，后病遂愈。此以喜胜忧也。
刘宏壁治疗一富室女，正梳洗间，忽见二妇相拘，方奔逸，复挤至，遂大叫，叫后乃大哭，哭已即发狂，寒热相继，目眩不眠。以为鬼祟，召巫符咒而益困。因诊之，肺脉直上鱼际，肝亦双弦。知所见者，本身之魂魄也。盖肺藏魂，肝藏魄，因用小柴胡汤去甘草之恋，加羚羊角、龙骨、牡蛎，清肺肝，镇惊怯，一服而安。
凡患痴颠，或羊头风，总因心窍有痰所致。取橄榄十斤，敲破入砂锅内，煮数滚去核，入臼捣烂，仍入原汤煎之，至无味去渣，以汁共归一锅，煎成浓膏，用白矾八钱，研末入膏匀和，每日早晚以开水冲服三钱。或初起轻者，取橄榄咬破一头，蘸矾末食之亦效。
Sun Zhao treated a monk named Chong from the Xiangguo Temple who suffered from dian disease (epilepsy/mental disorder). After half a year, he had taken medicines from many famous doctors without effect. The monk's lay brother, Mr. Pan, whose family was wealthy, invited Sun Zhao to treat him. Sun Zhao said, "Let him sleep tonight, and he will be cured by tomorrow or the next day." Mr. Pan said, "Please inform me of the medication first, so I may remember your kindness in gratitude." Sun Zhao said, "Prepare some salty food, just have the master eat it, and come find me when he is thirsty." That night, the monk indeed felt thirsty. When Sun Zhao arrived, he requested a cup of warm wine, mixed one dose of medicine, and gave it to him. After a while, he asked for more wine, giving him half a cup. The monk then slept for two days and two nights before waking up, with his mental state as usual. Mr. Pan thanked Sun Zhao and asked about the treatment method. Sun Zhao said, "Others can calm the spirit but cannot induce a state of spiritual昏沉 (drowsiness/unconsciousness) to allow sleep. This is the Zhusha Zaoren Ruxiang San (Cinnabar, Sour Jujube Seed, and Frankincense Powder) from Lingyuan Fang, which people simply do not know how to use. Chen Sha (Cinnabar) 1 liang, choosing those that are bright and wall-like; Zaoren (Sour Jujube Seed) 0.5 liang, slightly stir-fried; Ruxiang (Frankincense) 0.5 liang, choosing those that are bright and translucent. Based on the amount of alcohol the patient usually drinks, first let him drink freely until drunk, but do not let him vomit. In a quiet room, take all the above medicines as one dose, mix with warm wine, prepare as one cup's worth, and instruct him to take it all at once. If the patient usually drinks little alcohol, just take the medicine with an appropriate amount of wine, then place him on a bed with pillows to sleep. For mild illness, recovery takes half a day to one day; for deep illness, two to three days. Have family members observe secretly; as long as the breathing is even and harmonious, do not wake him. Wait for him to wake up naturally, indicating the spirit and soul are settled. If startled awake, it cannot be treated again. Wu Gong, styled Zhengsu, suffered from heart disease in his youth. He took this one dose, woke up after five days, and was cured. (From *Yi Yao Gang Mu*.)
A woman in Zhejiang suffered from continuous dian kuang (mania/epilepsy). A doctor used Gudi (Melon Twig) 0.5 liang ground into powder, each dose being 1 qian, mixed with well water to fill one cup, and administered it. She immediately vomited heavily, fell into a deep sleep afterward, and was not disturbed. From then on, she was fine. (Ibid.)
Dou Cai treated a man suffering from feng kuang (wind-manial disorder) for five years, intermittent, with no effect from various methods. Dou Cai administered Shui Sheng San (Sleep-Saint Powder) 3 qian, moxa Ji Que (CV14) acupoint 30 moxibustion cones first, and administered the medicine again upon waking. He also moxa Xin Shu (BL15) 50 cones and administered Zhen Xin Dan (Heart-Calming Pill) one batch. However, since the illness had persisted for a long time, it required a major outbreak to heal. Indeed, a major outbreak occurred later, and he recovered completely in one day. Another woman developed this syndrome postpartum; she was also moxaed as described above and cured by taking Jiang Fu Tang (Ginger and Aconite Decoction).
Zhang Zihe treated a sixty-year-old man who suddenly developed kuang (mania) due to the harassment of corvée labor. He felt insects crawling in his mouth and nose, scratched his hands continuously for several years without relief, and both radial pulses were surging and large like ropes. The Foot-Yangming Stomach Meridian starts at the nose, crosses the forehead, receives the Taiyang meridian on the side, descends along the nasal bridge, crosses Ren Zhong (GV26), circles the lips, and meets at Cheng Jiang (CV24); thus his symptoms manifested this way. Corvée harassment belongs to Fire transformation. Fire invading the Yangming meridian causes kuang. The classics state that Yangming disease involves climbing high and singing, discarding clothes and running, cursing without avoiding relatives or strangers. Moreover, the Liver governs planning, and the Gallbladder governs decision-making. Urgent corvée means finances are insufficient; the Liver plans repeatedly but the Gallbladder cannot decide, leading to unexpressed grievance and unvented anger. Heart Fire becomes rampant and attacks the Yangming. Although the Stomach belongs to Earth, the Liver belongs to Wood, and the Gallbladder is Ministerial Fire, Fire follows Wood Qi into the Stomach, causing sudden kuang. He ordered the patient to be placed in a warm room, inducing vomiting and sweating, repeating this three times. *Neijing* states: "For Wood stagnation, vent it; for Fire stagnation, disperse it," referring precisely to this. He then used Tiao Wei Cheng Qi Tang (Regulate the Stomach and Purge the Bowels Decoction) 0.5 jin, boiled in 5 sheng of water until half-boiled, divided into three doses. The patient had over twenty bowel movements, expelling several sheng of blood-tinged fluid and stasis, leading to recovery. Later, he used Tong Sheng San (Unimpeded Salvation Powder) for regulation. Subsequent purgation exemplifies "purging Earth stagnation."
A man fell from a horse and became manic. Upon rising, his eyes stared wide, he spoke deliriously ignoring kinship, discarded clothes and ran, cursed incessantly, and possessed double strength, unable to be restrained by three men. They burned talismans, held rituals, consulted ghosts and shamans, disregarding everything. Wealth was spent on Zhusha (Cinnabar), Niuhuang (Calculus Bovis), Xijiao (Rhinoceros Horn), Pearl, Bingpian (Borneol), and Shexiang (Musk), leaving the house desolate. Zhang Zihe buried a cart wheel in the ground, about two zhang high, placed a medium-sized wheel on top, carved a hole in the rim resembling a foot basin, tied the patient on it to lie prone, cushioned with soft material. One person sat below operating a mechanism, stirring with a stick, rotating thousands of times. The patient vomited one or two dou of green-yellow phlegm and foam, circling the wheel several times. The patient said, "I cannot endure this, release me." They released him as requested, asked for cool water, and gave him several sheng of ice water, stopping the mania. (Ingenious fantasy, unprecedented. Master Zhang is truly a wonderful person.)
Fan Chunyou's daughter developed kuang after her husband's death. Locked in a room, she broke window frames at night, climbed trees, and ate almost all peach blossoms. By dawn, family members brought her down, and she recovered thereafter. Analysis: This is also due to fright injuring the Liver, with Phlegm carrying defeated Blood, leading to kuang. Accidentally utilizing Peach Blossom's ability to promote Phlegm discharge and dissipate stagnant Blood aligns with Zhang Zhongjing's intent of using Cheng Qi Tang for accumulated Heat kuang and Tao Ren Cheng Qi Tang for Blood Stasis kuang. (Su E's *Du Yang Bian*, cited in *Ben Cao Gang Mu*.)
A woman suffered from dian kuang for ten years. Someone taught her to use Zhen Yujin (Turmeric Root) 7 liang and Mingfan (Alum) 3 liang ground into powder, made into pills the size of wutong seeds with thin paste. Each dose was 50 pills, taken with white soup (warm water). Initially, she felt something detach from her chest and heart, feeling refreshed. After a second dose, she revived. This was caused by fright/worry, with Phlegm and Blood coagulating in the Heart orifices. Yujin enters the Heart to remove evil Blood; Alum resolves stubborn Phlegm. (*Ben Cao Gang Mu*.)
Gong Zicai treated a man beating wildly in dian kuang, running and shouting onto roofs. He used Gudi San (Melon Twig Powder) to vomit out several sheng of foul phlegm, then used Cheng Qi Tang to purge the bowels, resulting in recovery.
A man suffered from Qi Xin Feng (Qi Heart Wind), which is kuang caused by Phlegm confusing the Heart orifices. He used Zhen Huarui Shi (Flower Ore Stone) and Huang (Sulfur), quenched in wine once, ground into fine powder. Each dose was 1 qian, taken with yellow wine.
A woman developed kuang, discarding clothes and running, jumping over walls, ignoring kinship, speaking deliriously, unable to be caught. Doctors were helpless. Gong instructed family members to splash cold water indiscriminately, countless times, until she collapsed. Pulse diagnosis showed all six positions were wiry, rapid, and forceful, indicating extreme Heat generating Wind. He used Fangfeng Tongsheng San (Saposhnikovia Unimpeded Salvation Powder) plus Sheng Dihuang (Rehmannia Root), Huanglian (Coptis Rhizome), Taoren (Peach Kernel), Honghua (Safflower), and Danpi (Moutan Cortex). Three doses brought peace. Later, she took Qu Feng Zhibao Dan (Wind-Expelling Precious Treasure Pill) and fully recovered.
Ling Hanzhang treated a wealthy widow in Jinhua who developed kuang in her youth, standing naked in the wild. Ling observed, "This is called losing the mind. I will needle her Heart area. If the Heart is correct, she will know shame. Cover her with a curtain, comfort her with kind words, relieve her embarrassment, and it will not flare up." He ordered two people to hold her, sprayed cold water, and then needleed. It indeed cured her. (*History of Ming*. Xiong's note: Although theoretically sound, it may be difficult to replicate.)
Sun Wen Yuan treated Wu Mou, who developed dian kuang due to depression from failing an exam because of malaria despite astrological predictions of success. Symptoms included sadness, singing, clapping, stomping, and cursing without avoiding kinship. Diagnosis: Pale face with bluish tint, Cun positions short and choppy, Guan position wiry on the left and slippery on the right, Chi positions level. This indicates insufficiency of Spirit in Heart and Lungs, high aspirations unfulfilled, stagnation not dispersing, fluids generating Phlegm instead of Blood, and excessive attack on Phlegm damaging Heart Spirit nourishment, leading to confusion. Classics say: "If the Ruler is unclear, the twelve meridians are endangered." Therefore, tonification is needed, gathering Spirit, clearing Phlegm. Used Zaoren (Sour Jujube Seed), Renshen (Ginseng), Fuling (Poria), Gancao (Licorice), Danshen (Salvia), Danggui (Angelica) to tonify Heart and calm Spirit; Huanglian (Coptis), Zhuru (Bamboo Shavings) to clear Liver/Gallbladder Fire; Xuanshen (Scrophularia) assisting. Externally prepared pills with Longchi (Dragon Bone), Zhenzhu (Pearl), Lingyangjiao (Antelope Horn), Niuhuang (Calculus Bovis), Danning (Phlegm-resolving Star), Tianma (Gastrodia), Qingdai (Indigo Naturalis), Chen Sha (Cinnabar), Quanxie (Scorpion), Bingpian (Borneol), Huanglian, Gancao paste, coated with Jinbo (Gold Leaf). Recovery through regulation.
Zhang Luyu treated Huang Wenxue with delirium and falling, occurring every 6-7 days or 2-3 times daily, vomiting saliva and blood foam, recovering after half a day. (Symptoms similar to epilepsy). Day and night, he saw two ghostly maidservants haunting him, sometimes unconscious, sometimes delirious, with frequent essence loss. Medicines like Dongdong (Winter Melon/Winter Bamboo), Erdi (Rehmannia), Lianqiao, Jinyingzi, Shilian failed, causing diarrhea and anorexia. Diagnosis: Cun pulse strong, Chi pulse weak, front large back small, pressing makes it vanish, lifting makes it appear, indicating floating/scattered Spirit Qi. Prescribed Liujunzi Tang (Six Gentlemen Decoction) plus Longchi, Changpu (Acorus), Yuanzhi (Polygala), delivered with Yangzheng Dan (Nourishing Righteousness Pill), administered intermittently. After 6-7 doses, delirium and falling ceased, ghosts disappeared. Only nocturnal emission remained as a chronic issue, treated with Pingbu Zhenxin Dan (Level Tonification Heart-Calming Pill) for two months until cured. (Similar to the previous Sun case.)
A woman shouted curses, sang and laughed irregularly, seemingly possessed, with one eye and corner of mouth pulled up. Treatment as kuang or Xin Feng failed. It was an old Tou Feng (Head Wind) condition caused by Wind-Phlegm. Used Xiongxin San (Ligusticum and Asarum Powder) plus Fangfeng (Saposhnikovia). Instant recovery.
Gynecologist Zheng Qingshan, frustrated by unsuccessful treatments, pondered all night, aggravated by sarcastic remarks from other doctors. At dawn, the patient recovered. Mixed feelings of anger and joy arose. The host set a banquet, but the mocker had fled. Anger had no outlet, leading to sudden shouting and kuang. (Thus, medical practitioners are pitiable. Ambitious scholars should avoid this. Some say: 'Not knowing medicine is not the words of sages.') Colleagues' treatments failed. One day, Wang Dao from Ophthalmology visited, examined prescriptions, destroyed them all. Said, "This is deficiency with Spirit not residing in its mansion. How can Phlegm-resolving, Qi-regulating, Heat-clearing drugs work?" Ordered 2 liang of premium Renshen (Ginseng), decocted alone. Immediate relief. Three doses cured it. Followed by Guipi Tang (Restore the Spleen Decoction) for regulation. (*Yi Tong*.)
Li Shicai treated Zhang Shaochun's daughter. Sadness over losing a child, combined with thunderstorm fear, led to crying, laughing, talking to herself, cursing, seeing ghosts. Heart pulse floating and slippery, others deep and fine. Deficiency of Qi and Blood, worry/fright injuring Heart, Heart injury generates Heat, Heat accumulates generating Wind. Used Guntan Wan (Rolling Phlegm Pill) delivered with Jiegeng (Platycodon), Yanhusuo (Corydalis), Chenpi (Tangerine Peel), Xingren (Apricot Seed) decoction. Expelled much Phlegm accumulation, cured. (*Yi Tong*. Xiong's note: Deep/fine pulse suggests Qi/Blood stagnation. If truly deficient, why did this harsh drug work?)
Gong Zicai treated a 20-year-old unmarried girl who hallucinated biting men, then fainted, discharged cold semen from the vagina, waking instantly. Jueyin Liver pulse wiry extending past Cun, indicating Yin excess desiring men but unable to obtain. Ordered parents to beat her severely with sticks, making her focus on pain to lose desire. Later cured by Yiqing Wan (Suppress Green Pill). (Xiong's note: Treatment is stern, superior to medicine.)
Han Yifeng treated a youth in Yonghe with feng kuang, untreatable by hundred methods. Father/brothers bound him and sought treatment. Han needled Baihui (GV20) 20 times. Sat in court, summoned the youth, ordered removal of bindings, struck him twice with a cane. Upon finishing, he woke up, unaware of previous events. (*Shenzhen Xinfa*. Xiong's note: This is possession syndrome.)
A woman developed feng kuang because her husband was critically ill. When he recovered, she became ill, sleeping/eating nothing day or night, running naked, climbing heights/kilns, uncontrollable. Sought Han's treatment. As he approached, she was jumping naked, suddenly found clothes to cover herself, composed herself, waiting. Neighbor aunt puzzled. Soon Han arrived, ordered her to kneel, she knelt and received needles. (Han was county magistrate at the time.) Needled Baihui (GV20) one point, Guiyan (Ghost Eye) two points, 21 needles each. After needling, she kowtowed thanking him: "I dare not haunt anymore, beg for mercy, I leave." Spoke then woke up. (Xiong's note: Both cases relied on magistrate authority and skillful needling, causing spirits to retreat. Thus, having talent requires the right position to achieve great success.)
Chai Yuqing treated Madam Chuan Jiayan, wife of Shaotingzhao, who suddenly suffered dian syndrome. Diagnosis revealed chest stagnation. Prescribed Xiaoyao San (Free and Easy Wanderer Powder) plus Yujin (Turmeric Root), Xiangfu (Cyperus). Two doses cured dementia appearance. Spirit still dull/silent. Used same formula as powder, 3 liang, taken with Lingyuan Fang, cured. (Lingyuan Fang seen in Sun Zhao case.)
Wang Haizang treated Xu Shi with Yang Jue Kuang Nu (Yang Reversal Manic Rage), cursing without avoiding kinship, crying/singing, six pulses weak on lift/press, body surface ice-cold, loud screaming during episodes. Jiegu said: "Deprive food and it ends." Withheld food, then used Da Cheng Qi Tang (Major Order the Yellow Springs Decoction). Purged several sheng of intestinal filth, kuang calmed slightly. Recurred days later, purged again, repeated 5-7 times. Passed several dou of stool, illness eased, body warmed, pulse returned, good recovery. This is Yilao's Food-Deprivation Method. (*Da Huan*, *Gang Mu* also collected.)
One man with dian, pulse surging and striking finger, stabilized after several purgations with Cheng Qi Tang. (*Bingji Shazhuan*.)
Chen Liangfu treated a woman seeing ghosts, abnormal speech, grasping clothes, staring straight. Many doctors used Heart-calming drugs, ineffective. Administered Yangzheng Dan (Nourishing Righteousness Pill) two doses, delivered with Ruxiang (Frankincense) decoction, assisted by Sansheng Yin (Three Lives Drink). Immediate cure. Another man with same symptom also cured by this. Yangzheng Dan is identical to Baodan Wan (Gall-Bearing Pill) from *Baibai Fang*, except Baodan Wan lacks Sulfur but has Frankincense. Naturally effective combination. (*Liangfang*.)
Wang Zhizhong treated a scholar with erratic delirium and aggression for several days. Suspected Heart disease, moxaed Baihui (GV20) because it treats Heart disease. Suspected ghost evil, used Qin Chengzu's Ghost Evil Moxa method. Bound both thumbs tightly with soft silk rope at the junction of flesh and nail, moxaed 7 cones at four locations. All ignited, then cured. Two noble sons had same affliction, another doctor cured by needling this acupoint.
Zhang Zihe treated a madman. Yin cannot overcome Yang, pulses flow violently, Yang merging causes kuang. *Nanjing* says: Extreme Yang leads to kuang, extreme Yin leads to dian. Yang is Fu organs, Yin is Zang organs, not Yang Heat and Yin Cold. Heat merging with Yang causes kuang; kuang generates Cold. Merging with Yin causes dian; dian leads to death. *Neijing* says: Foot-Yangming excess causes kuang, hence climbing high, singing, discarding clothes, doing anything, extreme Heat. Used Tiao Wei Cheng Qi Tang, purged dozens of times. Every 3-5 days, induced vomiting 1-2 sheng, then purged again. Over 50-60 days, purged over 100 times, vomited 7-8 times. During vomiting, used warm room with fire to assist heat-sweating. Several sweatings finally平息 (calmed). (*Yishuo Xubian*.)
*Guang Biji* Divine Formula for Feng Dian Disease: Good Xijiao (Rhinoceros Horn) 4 liang chopped to powder. Use 1 liang each time, add 10 bowls clear water, boil in clay pot to 1 bowl, filter clean, add 10 bowls water again, boil to 2 wine cups. Add Danyezhu (Light Bamboo Leaf) 4 liang, 6 bowls water, boil to 2 bowls, remove dregs, add Xijiao juice, take together. Finish 4 doses, cured.
Wang Shishan treated a man. County runner arrested a prisoner, chained him. Prisoner jumped into river midway. Prisoner's family sued runner for extortion/coercion causing death. Runner acquitted but spent wealth. Worry/anger caused illness, drunk/demented, delirious, lost knowledge. Diagnosis: Worry due to wealth loss, must gain Joy to cure. Drugs cannot treat! Ordered melting tin into silver ingots, placed beside him. Patient saw them, indeed joyful, held/viewed them constantly. Illness cured. This uses Joy overcoming Worry.
Liu Hongbi treated a wealthy girl. While combing/washing, suddenly saw two women fighting/chasing. Screamed, then cried, then developed kuang, alternating chills/fever, vertigo, insomnia. Thought ghost possession, summoned witch/talismans, worsened. Diagnosis: Lung pulse rises directly to Yuji, Liver double wiry. Realized visions were own Hun/Po souls. Lung stores Hun, Liver stores Po. Used Xiao Chaihu Tang removing Gancao's cloying nature, adding Lingyangjiao (Antelope Horn), Longgu (Dragon Bone), Muli (Oyster Shell) to clear Lung/Liver, calm fright/cowardice. One dose peaceful.
Generally, dementia/dian or Yangtou Feng (Sheep Head Wind) is always due to Phlegm in Heart orifices. Take 10 jin Olives, crack, boil in clay pot several times, remove pits, pound in mortar, return to original soup, boil until tasteless, remove dregs. Return juice to one pot, boil to thick paste. Add 8 qian Baifan (Alum) powder, mix evenly. Take 3 qian with boiling water morning and evening. Or for early mild cases, bite one end of olive, dip in Alum powder and eat. Effectual.