钱。诸风痫搐,小儿急慢惊风,大便秘结,邪热暴甚,肠胃干燥,寝汗切牙,上窜睡语,筋
转惊悸,肌肉蠕动,每一两加大黄二钱,栀子二钱,茯苓末二钱匕。如肌肉蠕动者,调
羌活末一钱。经曰∶肌肉蠕动,命曰微风。风伤于肺,咳嗽喘急者,每一两加半夏、桔梗、
紫菀各二钱。如打扑伤损,肢节疼痛,腹中恶血不下,每一两加当归、大黄各三钱半,调
没药、乳香末各二钱。解利四时伤寒,内外所伤,每一两加益元散一两,葱白十茎,盐
豉一合,生姜半两,水一碗,同煎至五七沸,或煎一小碗,温冷服一半,以箸投之即吐,吐
罢后服一半,稍热服,汗出立解。如饮酒中风,身热,头痛如破者,加黄连须二钱,葱
白十茎,根据法立愈。慎勿用桂枝麻黄汤解之。头旋脑热,鼻塞,浊涕时下,每一两加黄连、
薄荷各二钱半。《内经》曰∶胆移热于脑,则辛 鼻渊。鼻渊者,浊涕下不已。王注曰∶胆
液不澄,则为浊涕不已,如水泉者,故曰鼻渊也。此为足太阳脉与阳明脉俱盛也。如气
逆者,调木香末一钱。
搜风丸(河间) 治邪气上逆,风热上攻,头目眩晕,大小便结滞。
人参 茯神(各半两) 滑石(二两) 藿香(二钱
半) 干姜 白矾(生。各一两) 蛤粉 南星(一作半两) 大黄 黄芩(各二两) 牵牛(四两) 薄荷(半两)
半夏 寒水石(各一两)
上为末,滴水丸,小豆大。每服十丸,生姜汤下,加至二十丸,日三服。
白术附子汤(仲景) 治风虚头重眩,苦极不知食味。
白术(二两) 附子(一两半,炮,去皮) 甘草(炙,一两)
每服五钱,姜五片,枣一枚,水一盅,煎至七分,去渣温服。
芎附汤(见鼻衄。) 正元散(见自汗。) 灵砂丹(见呕吐。) 养正丹(见气。) 茸朱丸(见头痛。)
沉香磁石丸 治上盛下虚,头目眩晕,耳鸣耳聋。
沉香(别碎) 蔓荆子 青盐(别研) 甘菊花(各半两) 巴戟(去心) 葫芦巴 山药(炒) 川椒(去
目,炒) 磁石(火 醋淬,细研水飞) 山茱萸(去核) 阳起石(火 ,研) 附子(炮,去皮脐。各一两)
上为细末,用酒煮米糊和丸,梧子大。每服五十丸,加至七十丸,空心用盐汤送下。
松花浸酒方 治风头旋,脑皮肿痹。
上以松花并台,春三月取五六寸,如鼠尾者,不拘多少,蒸,细切一升,生绢囊盛
贮,以酒三升,浸五日。每日空心暖饮五合,晚食前再服。
钱氏利惊丸加减法:治疗各种风痫抽搐,小儿急惊风和慢惊风,大便秘结,邪热突然亢盛,肠胃干燥,睡中出汗且咬牙齿,眼球上翻、睡眠中说胡话,筋脉拘挛、惊恐心悸,肌肉跳动蠕动。每用一方剂一两,加大黄二钱,栀子二钱,茯苓末两钱匕(约两钱)。如果患者出现肌肉蠕动症状,调入羌活末一钱。《内经》说:“肌肉蠕动,称为微风。”风邪伤及肺脏,导致咳嗽气喘急促的,每用一方剂一两,加半夏、桔梗、紫菀各二钱。如果是跌打损伤,肢节疼痛,腹中有瘀血排不出的,每用一方剂一两,加当归、大黄各三钱半,调入没药、乳香末各二钱。用于解除四时伤寒以及内外所伤,每用一方剂一两,加益元散一两,葱白十根,盐豉一合,生姜半两,用水一碗,同煎至五到七沸,或者煎成一小碗,温服或冷服一半,用筷子搅动咽喉引起呕吐,吐完后服用剩下的一半,稍加热后服用,出汗后病立解。如果是饮酒后中风,身体发热,头痛剧烈如破裂感,加黄连须二钱,葱白十根,根据此法立即痊愈。千万不要用桂枝汤或麻黄汤来解表。头晕目眩脑热,鼻塞,浊涕不时流下,每用一方剂一两,加黄连、薄荷各二钱半。《内经》说:“胆热移于脑,则鼻辛臭,称为鼻渊。”鼻渊的症状是浊涕下流不止。王冰注解说:“胆汁不清澈,就会浊涕不止,像水泉一样,所以叫鼻渊。”这是足太阳脉和阳明脉都旺盛的缘故。如果有气逆症状,调入木香末一钱。
搜风丸(河间刘完素方):治疗邪气上逆,风热上攻,头目眩晕,大小便结滞不通。
药材组成:人参、茯神(各半两)、滑石(二两)、藿香(二钱半)、干姜、白矾(生用,各一两)、蛤粉、南星(一作半两)、大黄、黄芩(各二两)、牵牛子(四两)、薄荷(半两)、半夏、寒水石(各一两)。
制法与用法:以上药物研为细末,滴水泛丸,如小豆大小。每次服用十丸,生姜汤送下,可加量至二十丸,每日三次服用。
白术附子汤(张仲景方):治疗风虚引起的头重眩晕,痛苦至极,不知食物味道。
药材组成:白术(二两)、附子(一两半,炮制,去皮)、甘草(炙,一两)。
用法:每次服用五钱,加生姜五片,大枣一枚,水一盅,煎至七分,去渣滓温服。
芎附汤(见鼻衄章节)、正元散(见自汗章节)、灵砂丹(见呕吐章节)、养正丹(见气机章节)、茸朱丸(见头痛章节)。
沉香磁石丸:治疗上盛下虚,头目眩晕,耳鸣耳聋。
药材组成:沉香(另碎)、蔓荆子、青盐(另研)、甘菊花(各半两)、巴戟天(去心)、葫芦巴、山药(炒)、川椒(去目,炒)、磁石(火煅醋淬,细研水飞)、山茱萸(去核)、阳起石(火煅,研)、附子(炮制,去皮脐,各一两)。
制法与用法:以上药物研为细末,用酒煮米糊调和做丸,如梧桐子大小。每次服用五十丸,加量至七十丸,空腹时用盐汤送下。
松花浸酒方:治疗风头旋,头皮肿痹。
制法与用法:取松花并带松针,春季三月采集五六寸长、形状如鼠尾者,数量不拘,蒸熟后细切一升,装入生绢袋中贮存,用酒三升浸泡五日。每天空腹温热饮用五合,晚饭前再服一次。
Qian's Li Jing Wan (Expel-Startle Pill) modifications: Treats various wind-phlegm convulsions, pediatric acute and chronic infantile convulsions, constipation, sudden hyperactivity of pathogenic heat, dryness of the intestines and stomach, nocturnal sweating with teeth grinding, upward deviation of eyes, somniloquy during sleep, tendon contraction with fright palpitations, and muscle twitching. For each liang (approx. 30g) of the base formula, add Rhizoma Rhei Preparatum (Dahuang) 2 qian (6g), Fructus Gardeniae Jasminoidis (Zhizi) 2 qian (6g), and Poria Cocos Powder (Fuling Mo) 2 qian bi (approx. 6g). If muscle twitching is present, mix in Radix Notopterygii (Qianghuo) powder 1 qian (3g). The *Neijing* states: "Muscle twitching is called slight wind." If wind pathogen injures the Lung, causing cough and rapid breathing, for each liang of the base formula, add Rhizoma Pinelliae Preparatae (Banxia), Radix Platycodi Grandiflori (Jiegeng), and Herba Asteris Tatarici (Ziwang) 2 qian (6g) each. If due to traumatic injury, with joint pain and stagnant evil blood in the abdomen not discharging, for each liang of the base formula, add Radix Angelicae Sinensis (Danggui) and Rhizoma Rhei Preparatum (Dahuang) 3.5 qian (10.5g) each, mixed with Pulvis Myrrhae (Moyao) and Pulvis Olibani (Ruxiang) 2 qian (6g) each. To resolve four-season cold damage and internal/external injuries, for each liang of the base formula, add Yi Yuan San (Benefit-Origin Powder) 1 liang, ten stalks of Bulbus Allii Cepae (Congbai), one he of Sal Fermentatum (Yanchi), and half a liang of Rhizoma Zingiberis Recens (Shengjiang). Decoct together in one bowl of water until five to seven boils, or decoct into a small bowl. Take half warm or cold; stir the throat with a chopstick to induce vomiting. After vomiting, take the remaining half, slightly heated. Perspiration will lead to immediate resolution. If wind-stroke occurs after drinking alcohol, with body heat and severe headache as if bursting, add Caulis Coptidis Dissectae Cum Ramis (Huanglian Xu) 2 qian and ten stalks of Bulbus Allii Cepae (Congbai); follow this method for immediate cure. Do not use Guizhi Tang (Cinnamon Twig Decoction) or Mahuang Tang (Ephedra Decoction) to release the exterior. For dizziness, brain heat, nasal congestion, and frequent discharge of turbid mucus, for each liang of the base formula, add Radix Coptidis Chinensis (Huanglian) and Folium Menthae Haplocalycis (Bohe) 2.5 qian (7.5g) each. The *Neijing* states: "When Gallbladder heat transfers to the Brain, the nose becomes pungent, termed Bi Yuan (Nasal Sinusitis)." Bi Yuan is characterized by continuous discharge of turbid mucus. Wang Bing’s commentary notes: "If Gallbladder fluid is not clear, turbid mucus flows incessantly like a spring, hence it is called Bi Yuan." This indicates hyperactivity of both the Foot-Taiyang Meridian and the Foot-Yangming Meridian. If there is rebellious Qi, mix in Radix Aucklandiae (Muxiang) powder 1 qian (3g).
Sou Feng Wan (Wind-Sweeping Pill, Liu Hejian): Treats rebellious pathogenic Qi, attacking Wind-Heat in the head and eyes, dizziness, and stagnation of stool and urine.
Ingredients: Radix Ginseng (Renshen), Sclerotium Poriae Cum Radix (Fushen) (each half liang), Talcum (Huashi) (2 liang), Folium Elsholtziae (Huoxiang) (2.5 qian), Rhizoma Zingiberis Preparatum (Ganjiang), Alumen (Baifan) (raw, each 1 liang), Calx Margarita (Ge Fen), Rhizoma Arisaematis Cum Bile (Nanxing) (one version says half liang), Rhizoma Rhei Preparatum (Dahuang), Fructus Scutellariae (Huangqin) (each 2 liang), Semen Plantaginis (Qianniu) (4 liang), Folium Menthae Haplocalycis (Bohe) (half liang), Rhizoma Pinelliae Preparatae (Banxia), Saxum Han Shui Shi (Hanshuishi) (each 1 liang).
Preparation and Administration: Grind all ingredients into fine powder. Use dripping water to form pills the size of adzuki beans. Take 10 pills per dose, washed down with Ginger Decoction. Dosage may increase to 20 pills. Take three times daily.
Baizhu Fuzi Tang (Atractylodes Macrocephala and Prepared Aconite Decoction, Zhang Zhongjing): Treats dizziness and heavy head due to Wind-Deficiency, extreme suffering, and loss of taste sensation.
Ingredients: Radix Atractylodis Macrocephalae (Baizhu) (2 liang), Radix Aconiti Lateralis Preparata (Fuzi) (1.5 liang, prepared, peeled), Radix Glycyrrhizae Uralensis (Gancao) (roasted, 1 liang).
Administration: Take 5 qian per dose, with 5 slices of fresh ginger, one jujube, and one cup of water. Decoct until reduced to 70%, strain, and drink warm.
Xiong Fu Tang (see Epistaxis section), Zheng Yuan San (see Spontaneous Sweating section), Ling Sha Dan (see Vomiting section), Yang Zheng Dan (see Qi disorders section), Rong Zhu Wan (see Headache section).
Chenxiang Cishi Wan (Agarwood and Magnetite Pill): Treats excess in the upper body and deficiency in the lower body, dizziness, tinnitus, and deafness.
Ingredients: Lignum Aquilariae Resinatum (Chenxiang) (crushed separately), Fructus Viticis Negundo (Manjingzi), Halitum (Qingyan) (ground separately), Flos Chrysanthemi Indici (Ganjuhua) (each half liang), Radix Morinda Officinalis (Bajitian) (heart removed), Semen Trigonellae (Huluba), Rhizoma Dioscoreae Hypoglaucae (Shanyao) (stir-fried), Fructus Zanthoxyli (Chuanjiao) (eyes removed, stir-fried), Saxum Magnetitum (Cishi) (calcined, quenched in vinegar, finely ground and floated in water), Fructus Corni (Shanzhuyu) (pits removed), Saxum Yangqishi (calcined, ground), Radix Aconiti Lateralis Preparata (Fuzi) (prepared, skin and navel removed, each 1 liang).
Preparation and Administration: Grind into fine powder. Mix with rice paste boiled in wine to form pills the size of wutong seeds. Take 50 pills per dose, increasing to 70 pills. Take on an empty stomach with salt water.
Songhua Jinjiu Fang (Pine Flower Infused Wine Formula): Treats dizziness and swelling/numbness of the scalp.
Preparation and Administration: Take pine flowers with needles, harvested in the third lunar month, about 5-6 cun long, resembling rat tails. Quantity is unrestricted. Steam them, cut finely to one sheng (approx. 200ml volume), place in a raw silk bag, and infuse in three sheng of wine for five days. Drink five ge (approx. 100ml) warm on an empty stomach daily, and again before evening meal.