【脉】 倾仆，内有血，腹胀满，脉坚强者生，小弱者死。
【证】 瘀血为病，或痰涎发于上。
【治】 同中风证。恶血归内，留于肝经，胁痛自汗，治宜破血行经。
张论 坠堕使生心恙，痰涎发于上也。治宜补之。凡杖打、闪肭疼痛，皆血滞证
，可下之。忍痛则伤血。
神应散 治瘀血，大便不通。
大黄（酒浸，一两） 桃仁 红花（二钱） 当归（三钱） 栝蒌根（二钱） 炮穿山甲（二钱）
柴胡（引经） 麝香（透）
热酒下。
紫金丹 治骨节折伤疼痛。
炮川乌 炮草乌（各一两） 五灵（五钱） 木鳖子（去壳） 黑牵牛（各五钱） 威灵仙 金
毛狗
脊骨碎补 没药 麝香 红娘子（各二钱五分） 地龙 乌药 青皮 陈皮 茴香（各五分）
防风 自然铜（四两，烧淬） 禹余粮（四两，淬）
醋糊丸，梧子大，每十丸酒下。
三圣散 吐之，治痰壅。
【脉】 浮涩而疾者生，微细者死。洪大而迟者亦生。
【治法】 在上吐之。
解毒丸 治食毒物，救人于必死。
干板蓝根（四两） 贯仲（一两，去土） 青黛 甘草
蜜丸。青黛良。
秘传方 续随子 甘草 五味子
茶清下一二碗。
【脉】 大坚疾者，癫病。脉大滑者，自已；脉小急实者死，循衣缝者死，虚而
弦急者死。脉虚弦为惊，脉沉数为痰热。
【因】 痰、火、惊。
血气者，身之神也。神既衰乏，邪因而入。夫血气俱虚，痰客中焦，妨碍不得运用，以
致十二官各失其职，神听言动，皆有虚妄，宜吐之而安。
肺入火为谵语。肺主诸气，为气所鼓舞，火传于肺，为之寻衣撮空；胃中大实热，熏
于心肺，亦能谵语。宜降火之药。
惊其神，血不得宁也。痰积郁热，随动而迷乱，心神无主，有似邪鬼。可先吐之，后以
安神丸主之，佐以平肝之药，胆主惊故也。
【证】 狂言、谵语、郑声辨。
狂者，开目与人语，语所未尝见之事，为狂也。
谵语者，合目自言日用常行之事，为谵也。
郑声者，身动无力，不相接续，造语出于喉中，为郑声也。
又蓄血证，则重复语之。
【治】 痰者吐之，三圣散；火者下之，承气汤；惊者平之，安神丸。
方 总治∶黄连、辰砂二味降火，栝蒌、南星、半夏三味行痰，青黛、柴胡、川
芎三味平肝。
桃仁承气汤 治热入血室，发狂。
犀角地黄汤 治瘀血狂妄。因汗不彻，吐衄不尽，瘀血在内，面黄唇白，便黑，
脚弱气喘，甚则狂闷。
犀角（一两） 生地（八两） 白芍（三两） 丹皮 大黄（二两）
脉大迟，腹不满，为无热，减之。煎服。
洪、长、伏三脉，诸痫发狂，以《局方》妙香丸，以针透眼子，冷水浸服之。
弦、细、缓三脉并痫，李和尚五生丸。
治痫方 黄丹、白矾（等分）
研细，用杨树火 过，曲丸。
又方 川芎（二两） 防风（一两） 皂角郁金（各一两） 明矾（一两） 黄、赤脚蜈
蚣（各一条）
细末，蒸饼，丸梧子大，空心茶清下十五丸。
【脉象】 突然昏倒仆地，体内有瘀血，腹部胀满，若脉象坚强有力的则预后良好，脉象细小虚弱的则预后不良。
【治法】 参照中风证的治法。恶血内归，滞留于肝经，导致胁肋疼痛、自汗，治疗应当采用破血行气的方法。
张景岳论述：跌打坠堕导致心脏受损，痰涎上泛。治疗应当补益。凡是杖击殴打、闪挫扭伤引起的疼痛，都属于血滞证，可以使用攻下法。如果强忍疼痛则会损伤血液。
神应散：治疗瘀血阻滞，大便不通。
大黄（用酒浸泡，一两） 桃仁 红花（二钱） 当归（三钱） 栝蒌根（二钱） 炮制穿山甲（二钱）
柴胡（作为引经药） 麝香（透达经络）
用热酒送服。
紫金丹：治疗骨节折裂受伤引起的疼痛。
炮制川乌 炮制草乌（各一两） 五灵脂（五钱） 木鳖子（去壳） 黑牵牛子（各五钱） 威灵仙 金毛狗脊 骨碎补 没药 麝香 红娘子（各二钱五分） 地龙 乌药 青皮 陈皮 茴香（各五分）
防风 自然铜（四两，烧红后淬入水中） 禹余粮（四两，烧红后淬入水中）
用醋调糊制成丸药，如梧桐子大小，每次十丸，用酒送服。
【脉象】 脉象浮涩而快速者预后良好，脉象微细者预后不良。脉象洪大但迟缓者也能存活。
【治法】 病位在上部的，使用催吐法。
解毒丸：治疗食用毒物，在濒死之际救人一命。
干板蓝根（四两） 贯众（一两，去除泥土） 青黛 甘草
用蜂蜜制成丸药。其中青黛品质优良为佳。
【脉象】 脉象大而坚疾的，是癫病。脉象大滑的，疾病可自行痊愈；脉象小急实的会死亡，循衣摸缝（无意识抓扯衣物缝隙）的会死亡，脉象虚弱而弦急的也会死亡。脉象虚弦属于惊证，脉象沉数属于痰热证。
血和气，是身体的神明所在。既然神明已经衰败匮乏，邪气便趁机侵入。如果气血俱虚，痰浊客居在中焦，阻碍气机运行，导致五脏六腑各自失去正常职能，精神意识、言语行动，都出现虚妄错乱，应当使用催吐法使病情安定。
肺脏受火邪侵袭会出现谵语（胡言乱语）。肺主一身之气，被气所鼓舞，火邪传于肺，患者会出现寻衣撮空（手在空中摸索抓取）的症状；胃中实热炽盛，熏蒸于心肺，也会导致谵语。应当使用降火的药物。
惊恐会使心神不安，血液不能宁静。痰积郁结化热，随着气机变动而迷乱心神，心神失去主宰，看起来像被邪鬼附体。可以先使用催吐法，随后以安神丸为主药治疗，辅以平肝的药物，因为胆主决断且易受惊的缘故。
狂证：睁着眼睛与人说话，谈论从未见过的事情，称为狂。
谵语：闭着眼睛自言自语，说的是日常生活中的琐事，称为谵。
郑声：身体动弹无力，言语前后不接续，声音从喉咙中发出，称为郑声。
另外，蓄血证也会出现重复啰嗦的话语。
【治法】 痰证用催吐法，方用三圣散；火证用攻下法，方用承气汤；惊证用平惊法，方用安神丸。
总治方：黄连、辰砂两味药用于降火，栝蒌、南星、半夏三味药用于化痰，青黛、柴胡、川芎三味药用于平肝。
犀角地黄汤：治疗瘀血导致的狂妄。因发汗不彻底，或吐血衄血未尽，导致瘀血留在体内，面色发黄嘴唇苍白，大便黑色，脚部软弱气喘，严重时会狂闷昏迷。
犀角（一两） 生地（八两） 白芍（三两） 丹皮 大黄（二两）
若脉象大迟，腹部不胀满，说明没有热象，需减少药量。煎煮后服用。
对于洪脉、长脉、伏脉三种脉象伴随的各种痫病发狂，使用《局方》中的妙香丸，将药丸用针穿透眼孔，用冷水浸服。
对于弦脉、细脉、缓脉三种脉象并见的痫病，使用李和尚的五生丸。
治疗痫病的方子：黄丹、白矾（等分）
研成细末，用杨树枝火烧过的炭过筛，制成曲丸。
另一个方子：川芎（二两） 防风（一两） 皂角、郁金（各一两） 明矾（一两） 黄脚蜈蚣、赤脚蜈蚣（各一条）
研成细末，用蒸饼做粘合剂，制成梧桐子大小的丸药，空腹时用茶汁送服十五丸。
[Pulse] Sudden collapse and falling, with blood stasis internally and abdominal distension and fullness: if the pulse is firm and strong, survival is likely; if the pulse is small and weak, death is likely.
[Syndrome] Disease caused by blood stasis, or phlegm-saliva rising upwards.
[Treatment] Follow the treatment principles for Stroke syndrome (Zhong Feng). When evil blood returns inward and remains in the Liver meridian, causing hypochondriac pain and spontaneous sweating, the treatment should involve breaking blood stasis and promoting circulation.
Zhang's Commentary: Falls and trauma cause heart injury, leading to the rising of phlegm-saliva. Treatment should focus on tonification. Pain from beating, bruising, or sprains all belong to blood stagnation syndromes and can be treated with purgatives. Enduring pain damages the blood.
Shenying San (Miraculous Response Powder): Treats blood stasis with constipation.
Da Huang (Rhubarb Root and Rhizome, soaked in wine, 1 liang) Tao Ren (Peach Seed), Hong Hua (Safflower, 2 qian), Dang Gui (Angelica Sinensis Root, 3 qian), Gua Lou Gen (Trichosanthes Root, 2 qian), Pao Chuan Shan Jia (Prepared Pangolin Scales, 2 qian).
Chai Hu (Bupleurum Root, as a guiding herb), She Xiang (Musk, for penetration).
Take with hot wine.
Zijin Dan (Purple Gold Pill): Treats pain from bone fractures and joint injuries.
Pao Chuan Wu (Prepared Aconitum carmichaelii root lateralis), Pao Cao Wu (Prepared Aconitum kusnezoffii root, each 1 liang), Wu Ling Zhi (Trogopterus Dung, 5 qian), Mu Bie Zi (Momordica Seed, shelled), Hei Qian Niu (Black Morning Glory Seed, each 5 qian), Wei Ling Xian (Clematis Root), Jin Mao Gou Ji (Drynaria Rhizome), Gu Sui Bu (Drynaria fortunei Rhizome), Mo Yao (Myrrh), She Xiang (Musk), Hong Niang Zi (Lytta Beetle, each 2.5 qian), Di Long (Earthworm), Wu Yao (Lindera Root), Qing Pi (Aurantii Fructus Immaturus Pericarpium), Chen Pi (Citrus Reticulatae Pericarpium), Hui Xiang (Fennel Fruit, each 0.5 qian).
Fang Feng (Saposhnikovia Root), Zi Ran Tong (Pyrite, calcined and quenched, 4 liang), Yu Yu Liang (Hematite, calcined and quenched, 4 liang).
Make pills with vinegar paste, size of wu-tzu seeds. Take 10 pills with wine per dose.
Sansheng San (Three Holy Powders): Induce vomiting to treat phlegm obstruction.
[Pulse] If the pulse is floating, choppy, and rapid, survival is likely; if it is minute and fine, death is likely. If it is surging and large but slow, survival is also possible.
[Treatment Method] For conditions located in the upper body, induce vomiting.
Jiedu Wan (Detoxifying Pill): Treats poisoning from ingested toxic substances, saving lives from imminent death.
Ban Lan Gen (Isatis Root, dried, 4 liang), Guan Zhong (Cyrtomium Rhizome, 1 liang, cleaned), Qing Dai (Indigo Naturalis), Gan Cao (Licorice Root).
Make honey pills. Qing Dai should be of high quality.
Secret Formula: Xu Sui Zi (Euphorbia Lathyris Seed), Gan Cao (Licorice Root), Wu Wei Zi (Schisandra Fruit).
Take one or two bowls with clear tea decoction.
[Pulse] A large, firm, and rapid pulse indicates Dian disease (Manic-Depressive Disorder - Depression type). A large and slippery pulse indicates self-healing; a small, urgent, and solid pulse indicates death; picking at bedclothes (Xun Yi Feng) indicates death; a deficient and wiry-urgent pulse indicates death. A deficient and wiry pulse indicates Jing (Shock/Fright); a deep and rapid pulse indicates Tan Re (Phlegm-Heat).
[Etiology] Phlegm, Fire, Fright.
Blood and Qi are the spirit of the body. When the spirit declines and becomes deficient, pathogens enter. If both blood and qi are deficient, and phlegm lodges in the Middle Jiao, obstructing movement and transformation, the twelve organs lose their functions. The spirit’s hearing, speech, and movement become delusional and false. Vomiting should be induced to stabilize the condition.
When the Lung is affected by Fire, verbal confusion (Zhan Yu) occurs. The Lung governs all qi; when agitated by qi and transmitted fire, the patient may exhibit "seeking clothes and grasping at empty air" (Xun Yi Cuo Kong). Excessive heat in the Stomach steaming into the Heart and Lung can also cause verbal confusion. Medicines that descend fire should be used.
Fright disturbs the spirit, preventing blood from settling. Accumulated phlegm and stagnant heat confuse the mind as they move, leaving the Heart Spirit without control, resembling possession by evil spirits. First, induce vomiting, then primarily use Anshen Wan (Calming the Spirit Pill), assisted by herbs that calm the Liver, because the Gallbladder governs courage and fright.
[Syndrome Differentiation] Differentiation between Kuang Yan (Manic Speech), Zhan Yu (Verbal Confusion), and Zheng Sheng (Monotonous Repetition).
Kuang (Mania): Opening eyes and speaking to others about things never seen before is called Kuang.
Zhan Yu (Verbal Confusion): Closing eyes and talking to oneself about daily routine matters is called Zhan Yu.
Zheng Sheng (Monotonous Repetition): Weakness of body movement, lack of continuity in speech, words emerging from the throat is called Zheng Sheng.
Additionally, Blood Accumulation Syndrome presents with repetitive speech.
[Treatment] For Phlegm, induce vomiting using Sansheng San; for Fire, purge using Chengqi Tang; for Fright, calm using Anshen Wan.
General Formula: Huang Lian (Coptis Rhizome) and Chen Sha (Cinnabar) descend fire; Gua Lou (Trichosanthes Fruit), Nan Xing (Arisaema Cum Bile), and Ban Xia (Pinellia Tuber) resolve phlegm; Qing Dai (Indigo Naturalis), Chai Hu (Bupleurum Root), and Chuan Xiong (Ligusticum Rhizome) calm the Liver.
Taoren Chengqi Tang (Peach Kernel and Rheum Decoction): Treats heat entering the Blood Chamber causing mania.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction): Treats madness due to blood stasis. Caused by incomplete sweating or incomplete hematemesis/epistaxis, leaving blood stasis inside. Symptoms include yellow complexion, pale lips, black stool, weak legs, asthma, and severe cases of manic stupor.
Xi Jiao (Rhinoceros Horn, 1 liang) [Note: Substitute with Water Buffalo Horn in modern practice], Sheng Di Huang (Rehmannia Root, 8 liang), Bai Shao (White Peony Root, 3 liang), Mu Dan Pi (Moutan Cortex), Da Huang (Rhubarb Root and Rhizome, 2 liang).
If the pulse is large and slow, and the abdomen is not full, there is no heat; reduce the dosage. Decoct and take.
For various epilepsy attacks with mania presenting with Hong (Surging), Chang (Long), or Fu (Hidden) pulses, use Miao Xiang Wan (Wonderful Fragrance Pill) from the Bureau Formulas. Pierce a hole through the pill with a needle and administer with cold water.
For epilepsy associated with Xian (Wiry), Xi (Fine), or Huan (Slow) pulses, use Li Heshang’s Wusheng Wan (Five Life Pills).
Formula for Epilepsy: Huang Dan (Red Lead), Bai Fan (Alumen). Equal parts.
Grind finely, pass through a sieve heated by poplar wood fire, and make into pills.
Another Formula: Chuan Xiong (Ligusticum Rhizome, 2 liang), Fang Feng (Saposhnikovia Root, 1 liang), Zao Jiao (Gleditsia Sinensis Fruit), Yu Jin (Curcuma Radix, each 1 liang), Ming Fan (Alumen, 1 liang), Huang Gong (Yellow Centipede), Chi Gong (Red Centipede, each one).
Grind into fine powder, mix with steamed dough, make into wu-tzu sized pills. Take 15 pills on an empty stomach with clear tea.