鬼迷者，心气不足，精神衰弱，幽阴之气，乘虚而感，令人喜怒不常，情思如醉，或狂
言惊
怖，向壁悲啼，梦寐多魇，与鬼交通，乍寒乍热，腹满短气，不食，诊其脉人迎气口乍大乍
小，乃鬼魅所持之候也。鬼击之病，得之无渐
，卒着人如矛戟所伤，令人胸胁腹满急痛，不可按抑，或即吐血，或即下血，轻者获免，重
者或致不救，治宜符禁之法，兼辟邪安正之剂。
治鬼迷不醒方
雄黄一味研如粉，吹入两鼻中瘥。安息香取一皂子大，焚令烟起，邪自退。
治妖魅病患不言鬼方
生鹿角（镑） 一味为细末，每服一钱，一言即瘥。
治卒中鬼击方
鸡冠血一味，沥口中令下咽，仍破鸡以拓心下，冷即弃于道旁。
《肘后方》 治鬼击诸病，卒然着人如刀刺状，胸胁腹内切痛，不胜抑按，或吐
血、鼻血、下血。一名鬼排，以醇酒吹两鼻内良。
《千金方》 吹醋少许入鼻中。
狂病多火而属阳，或以谋为失志，或以思虑郁结，屈无所伸，怒无所泄，以致肝胆气逆
，木
火合邪，乘于心则为神魂不守，乘于胃则为暴横刚强，故治此者治火为先，或痰或气，察其
甚而兼治之。
生铁落饮 治痰火热狂，坠痰镇心。
生铁（四十斤） 入火烧赤，砧上捶之，有花出如兰如蛾，纷纷落地者，是名铁落。用水
二斗，煮取一斗，用以煎药。
石膏（三两） 龙齿（ ，研） 茯苓 防风（各一两半） 元参 秦艽（各一两） 竹沥（一
升）
上 咀，入铁汁中，煮取五升，去滓，入竹沥和匀，温服二合，日五服。
按∶此以重下气，以寒抑热之法。易老治一人病阳厥，怒狂骂詈，或歌或哭，六脉无力
，身
表如冰，发则叫呼高声。因夺其食，又以大承气汤下之，五七行泻渣秽数斗，身温脉生而愈
。盖铁落饮，以抑无形上怒之火，承气汤所以下有形内结之热也。
真珠丸（《本事》） 治肝经因虚，内受风邪，卧则魂散而不守，状若惊悸。
真珠（三分，另研极细） 干地黄 当归（各一两半） 人参 枣仁 柏仁 犀角 茯神
沉香 龙齿（各
一两）
为细末，蜜丸梧子大，辰砂为衣，每服四五十丸，金银薄荷汤下，日午夜卧各一服。
许学士云∶肝藏魂者也，游魂为变，平人肝不受邪，故卧则魂归于肝，神静而得寐。今
肝有
邪，魂不得归，是以卧则魂扬若离体也。此方以真珠母为君，龙齿佐之，真珠母入肝为第一
，龙齿与肝同类故也。龙齿、虎睛，今人例以为镇心药，不知龙齿安魂，虎睛定魄，盖言类
也。东方苍龙木也，属肝而藏魂；西方白虎金也，属肺而藏魄，龙能变化，故魂游而不定，
虎能专精，故魄止而有守。予谓治魄不宁者宜以虎睛，治魂飞扬者宜以龙齿，万物有成理而
不失，亦在夫人达之而已。
宁志膏（《本事》）
人参 枣仁（各一两） 辰砂（五钱） 乳香（二钱半）
蜜丸弹子大，每服一丸，薄荷汤下，一方有琥珀、茯神、石菖蒲，远志，名人参琥珀丸
。一方无人参，用酒调服，名灵苑辰砂散。
一僧忽患癫疾，不得眠卧，诸药不效。孙兆曰，今夜睡着，明后日便愈也。但有咸物，
任与
师吃，待渴却来道。至夜僧果渴，孙以温酒一角，调药一服与之。有倾再索酒，与之半角，
其僧便睡，两日夜乃觉，人事如故。人问其故，孙曰，人能安神矣，而不能使神昏得睡，此
乃灵苑中辰砂散也，人不能用之耳。
许学士云∶予族弟缘兵火失心，制宁志膏与之，服二十粒愈。亲旧传去，服之皆验。《
灵苑
》云∶服辰砂散讫，便令安卧，不可惊觉，待其自醒，即神魂定矣。万一惊寤，不可复活。
吴正甫少时，心病服此一刻，五日方寤，遂瘥。
安神丸 治癫痫、惊狂、痰火之症，能镇心安神。
人参 茯苓 枣仁（炒） 当归 生地（酒炒） 黄连（酒炒） 橘红 南星（姜制，各一两）
天竺黄（五钱） 雄黄 牛黄（各二钱） 琥珀 真珠（各二钱）
为末，蜜丸桐子大，朱砂为衣，米饮下五十丸。忌动风辛热之物。
《本事》惊气丸
治惊忧积气，心受风邪，发则牙关紧急，痰涎昏塞，醒则精神若痴。
附子 橘红 天麻 楠木香 僵蚕 白花蛇 麻黄（各五钱） 苏子（一两） 干蝎（一分）
南星（洗浸，薄切，姜汁浸一夕，半两） 朱砂（一分）
为末，入龙脑、麝香少许，同研极匀，蜜丸如龙眼大，每服一丸，金银薄荷汤化下。
许叔微云∶此予家秘方也。戊午年，军中有一人犯法，褫衣将受刃，而得释，神失如痴
。余
与一粒，服讫而寐，及觉病已失矣。山东提辖张载扬妻，因避寇失心已数年，余授此方，不
终剂而愈。又黄山沃巡检彦妻，狂厥者逾年，更十余医不验，予授此方去附子加铁粉，亦不
终剂而愈。铁粉非但化涎镇心，至如推抑肝邪特异，若多恚怒，肝邪大甚，铁粉能制伏之。
《素问》云∶厥阳怒狂，治以铁落饮，金制木之义也。
茯苓丸
辰砂 石菖蒲 人参 远志 茯苓 茯神 铁粉 半夏曲 胆星（各等分）
为细末，生姜四两取汁，和水煮和丸，如桐子大，别用朱砂为衣，每服十粒，加至二十
粒，夜卧生姜汤下。此医官都君方，余尝用以疗心疾良验。
镇心丸 治心风，狂言多惊，迷闷恍惚。
人参 茯神 犀角（各一两） 牛黄 铅粉（各七钱半） 朱砂（水飞） 龙齿（研） 胆草
天竺黄（研） 远志 生地（各半两） 金箔（五十片） 铁粉（七钱半，研）
为细末，蜜丸桐子大，每服七丸，竹叶汤送下，无时。
温胆汤（《三因》） 治心虚胆怯，触事易惊，或梦寐不详，短气悸乏，或自汗，
谵妄不寐，合目则惊。此气郁生涎，涎与气搏，故变生诸症。
半夏 枳实 竹茹（各一两） 橘红（一两五钱） 炙草（四钱）
每服四钱，水一盏半，生姜七片，枣一枚，煎七分。
十味温胆汤 治症如前而挟虚者宜之。
半夏 枳实 陈皮（去白各二钱） 枣仁（炒） 远志肉（甘草汤制） 熟地（酒焙） 竹茹
人参（各一钱） 茯苓（一钱五分） 炙草（五分）
水二盅，生姜五片，红枣一枚，煎一盅服。
滚痰丸（王隐君） （方见痰门。）
按∶癫狂之病属痰热相结，多在肝胆胞络之间，余遇此症，辄投礞石滚痰丸二三钱，下
胶痰
如桃胶、蚬肉者五升许即愈。若痰少热多，阳明内实者，当如罗谦甫之治丑斯兀阑，发狂热
渴，用大承气一两半，加黄连二钱，以下其热，俾便通汗出乃愈。
丑宝丸 治一切癫痫怔忡，搐搦难治之疾，祛风清火，豁痰调气，开心定志，安
神镇惊。
妙香丸 治惊痫百病，亦治伤寒潮热积热，结胸发黄，狂走燥热，大小便不通。
巴豆（三百十五粒，去皮心膜，炒熟，研如面） 牛黄（研） 腻粉（研） 龙脑（研） 麝香
（研，各三两） 辰砂（飞，九两） 金箔（九十片，研）
研匀，炼黄蜡六两，入白蜜三分，同炼令匀为丸，每两作三十丸，白汤下二丸，日二服
。
通涎散 治忽患癫狂不止，或风涎暴作，气塞倒仆。
瓜蒂（五钱）
为末，每服一钱，井花水调下，涎出即愈。如未出，含砂糖一块，下咽涎即出。
鹤年云∶予治昆山清水湾一人发狂，先为刺百会、神庭、人中三穴，后以蜀漆（水拌炒
熟，
一钱、）龙骨 、牡蛎 ，（各三钱、）黄连（五分、）生大黄（三钱，）水煎服，一剂即安。
按∶狂症未有不从惊得者，龙齿最能安魂者也。未有无痰者，惊则气逆，气逆则痰聚，
蜀漆
最善劫痰者也。未有无火者，火性炎上，故登高而歌，弃衣而走，黄连能泻心火。病属阳明
，故用大黄以泻之，斧底抽薪法也。（鹤年。）
鬼迷病，是由于心气不足、精神衰弱，幽暗阴寒之气趁虚侵袭所致。患者表现为喜怒无常，神情恍惚如醉酒状，或胡言乱语、惊恐恐怖，对着墙壁悲伤哭泣，睡眠中多梦魇，感觉与鬼神交往，忽冷忽热，腹部胀满、呼吸短促、食欲不振。诊察其脉象，人迎穴与气口穴的脉搏忽大忽小，这是被鬼魅附身的证候。
鬼击病，发病没有预兆，突然发作时如同被矛戟刺伤一样，导致胸胁腹部胀满急痛，不能按压触碰，或者立即吐血，或者立即便血。轻者可以痊愈，重者可能无法救治。治疗适宜采用符咒禁法，并配合辟邪安正的药剂。
治疗鬼迷不醒的方剂：
雄黄一味，研磨成粉，吹入两个鼻孔中即可痊愈。
安息香取皂荚子大小一块，焚烧使其冒烟，邪气自然退去。
治疗妖魅病患不言语的方剂：
生鹿角（镑碎），一味药研为细末，每次服用一钱，说一句话即可痊愈。
治疗卒中鬼击的方剂：
鸡冠血一味，滴入口中令其咽下，然后杀鸡剖开，将鸡身拓敷在心下部位，变冷后丢弃在路边。
《肘后方》治疗鬼击诸病，突然发作使人感觉如刀刺一般，胸胁腹内剧烈疼痛，忍受不住按压，或者吐血、鼻出血、便血。又名鬼排，用醇酒吹入两个鼻孔内效果良好。
《千金方》将少许醋吹入鼻孔中。
狂病多由火邪引起，属于阳证。有的因为谋事失败而失志，有的因为思虑郁结，委屈无处伸展，愤怒无处发泄，导致肝胆气逆，木火合邪，侵犯心脏则神魂不守，侵犯胃腑则变得暴横刚强。因此治疗此病以清火为先，若有痰或气滞，需根据严重程度兼治。
生铁落饮：治疗痰火热狂，具有坠痰镇心的功效。
生铁（四十斤）：放入火中烧红，在砧板上捶打，有碎片落下如兰花、飞蛾般纷纷落地，这叫做铁落。用水二斗，煮取一斗，用来煎煮其他药物。
石膏（三两）、龙齿（研碎）、茯苓、防风（各一两半）、元参、秦艽（各一两）、竹沥（一升）。
以上药物切碎，加入铁汁中，煮取五升，滤去渣滓，加入竹沥调和均匀，温服二合，每日五次。
按语：此方是用重镇降气、寒凉抑热的方法。易老治疗一人患阳厥，发怒狂骂，或歌或哭，六脉无力，身体表面如冰，发作时高声叫呼。因为剥夺其饮食，又用大承气汤攻下，五六次泻下秽物数斗，身体变暖，脉象恢复而痊愈。大概铁落饮是用来抑制无形上逆之火，而承气汤是用来攻下有形内结之热。
真珠丸（出自《本事方》）：治疗肝经因虚，内受风邪，睡觉时魂散而不守，症状类似惊悸。
真珠（三分，另研极细）、干地黄、当归（各一两半）、人参、枣仁、柏仁、犀角、茯神、沉香、龙齿（各一两）。
研为细末，蜜丸如梧桐子大，辰砂为衣，每次服用四五十丸，金银薄荷汤送下，早晚各一次。
许学士说：肝藏魂，游魂发生变异，普通人肝不受邪，所以睡觉时魂归于肝，神静而能入睡。现在肝有邪气，魂不得归，所以睡觉时魂飞扬若离体。此方以真珠母为君药，龙齿为佐药，真珠母入肝为首选，龙齿与肝同类的原因。龙齿、虎睛，现在人们通常认为是镇心药，不知道龙齿安魂，虎睛定魄，这是因为取类比象。东方苍龙属木，对应肝而藏魂；西方白虎属金，对应肺而藏魄，龙能变化，所以魂游动不定，虎能专精，所以魄静止而有守。我认为治疗魄不宁者宜用虎睛，治疗魂飞扬者宜用龙齿，万物有成理而不失，也在于人的通达理解罢了。
宁志膏（出自《本事方》）：
人参、枣仁（各一两）、辰砂（五钱）、乳香（二钱半）。
蜜丸如弹子大，每次服用一丸，薄荷汤送下。一方加琥珀、茯神、石菖蒲、远志，名叫人参琥珀丸。一方无人参，用酒调服，名叫灵苑辰砂散。
一位僧人忽然患癫疾，不能眠卧，各种药物无效。孙兆说：“今夜睡着，明后天就好了。但只要有咸味食物，任凭给师父吃，等他渴了再来找我。”到了晚上僧人果然口渴，孙兆用温酒一杯，调药一服给他喝。过了一会儿再要酒，给他半杯，那僧人就睡着了，两天两夜才醒来，人事如常。有人问原因，孙兆说：“人能安神，但不能使神昏沉得睡，这就是灵苑中的辰砂散，只是人们不会使用它罢了。”
许叔微说：我的族弟因为兵火失心，制作宁志膏给他服用，吃了二十粒痊愈。亲戚朋友传用，服用都有效验。《灵苑》说：服用辰砂散后，立即让人安静躺卧，不可惊醒，等待其自行醒来，即神魂安定。如果一旦惊醒，就不能复活。吴正甫年轻时，心病服用此药一刻钟，五天后才醒，于是痊愈。
安神丸：治疗癫痫、惊狂、痰火之症，能镇心安神。
人参、茯苓、枣仁（炒）、当归、生地（酒炒）、黄连（酒炒）、橘红、南星（姜制，各一两）、天竺黄（五钱）、雄黄、牛黄（各二钱）、琥珀、真珠（各二钱）。
研为末，蜜丸如桐子大，朱砂为衣，米饮送下五十丸。忌食动风辛热之物。
《本事方》惊气丸：
治疗惊忧积气，心受风邪，发作时牙关紧急，痰涎昏塞，醒后精神痴呆。
附子、橘红、天麻、楠木香、僵蚕、白花蛇、麻黄（各五钱）、苏子（一两）、干蝎（一分）、南星（洗浸，薄切，姜汁浸一夜，半两）、朱砂（一分）。
研为末，加入龙脑、麝香少许，同研极匀，蜜丸如龙眼大，每次服用一丸，金银薄荷汤化开送下。
许叔微说：这是我家的秘方。戊午年，军中有一人犯法，脱衣准备受刑，后来得以释放，神志丧失如痴。我给他一粒，服后入睡，醒来病已消失。山东提辖张载扬的妻子，因为躲避寇乱失心已有数年，我授以此方，未服完一剂就痊愈了。还有黄山沃巡检彦的妻子，患狂厥一年多，经过十多位医生治疗无效，我授以此方去掉附子加铁粉，也未服完一剂就痊愈了。铁粉不仅能化痰镇心，对于抑制肝邪特别有效，如果多恚怒，肝邪大甚，铁粉能制服它。《素问》说：厥阳怒狂，用铁落饮治疗，这是金克木的道理。
茯苓丸：
辰砂、石菖蒲、人参、远志、茯苓、茯神、铁粉、半夏曲、胆星（各等分）。
研为细末，生姜四两取汁，和水煮和成丸，如桐子大，另外用朱砂为衣，每次服用十粒，加至二十粒，睡前用生姜汤送下。这是医官都君的方子，我曾用来治疗心疾，疗效很好。
镇心丸：治疗心风，狂言多惊，迷闷恍惚。
人参、茯神、犀角（各一两）、牛黄、铅粉（各七钱半）、朱砂（水飞）、龙齿（研）、胆草、天竺黄（研）、远志、生地（各半两）、金箔（五十片）、铁粉（七钱半，研）。
研为细末，蜜丸如桐子大，每次服用七丸，竹叶汤送下，随时可服。
温胆汤（出自《三因方》）：治疗心虚胆怯，遇事易惊，或睡眠中做恶梦，气短心悸乏力，或自汗，谵妄不寐，闭眼即惊。这是由于气郁生涎，涎与气搏结，从而产生各种症状。
半夏、枳实、竹茹（各一两）、橘红（一两五钱）、炙甘草（四钱）。
每次服用四钱，水一盏半，生姜七片，大枣一枚，煎至七分。
十味温胆汤：症状同上但夹杂虚证者适宜使用。
半夏、枳实、陈皮（去白各二钱）、枣仁（炒）、远志肉（甘草汤制）、熟地（酒焙）、竹茹、人参（各一钱）、茯苓（一钱五分）、炙甘草（五分）。
水二盅，生姜五片，红枣一枚，煎至一盅服用。
滚痰丸（王隐君）：（方见痰门。）
按语：癫狂之病属于痰热相结，多在肝胆胞络之间。我遇到此症，常投礞石滚痰丸二三钱，下胶痰如桃胶、蚬肉者五升左右即愈。如果痰少热多，阳明内实者，应当像罗谦甫治疗丑斯兀阑那样，发狂热渴，用大承气汤一两半，加黄连二钱，以泻其热，使大便通、出汗才痊愈。
丑宝丸：治疗一切癫痫怔忡，搐搦难治之疾，祛风清火，豁痰调气，开心定志，安神镇惊。
妙香丸：治疗惊痫百病，也治疗伤寒潮热积热，结胸发黄，狂走燥热，大小便不通。
巴豆（三百十五粒，去皮心膜，炒熟，研如面粉）、牛黄（研）、腻粉（研）、龙脑（研）、麝香（研，各三两）、辰砂（飞，九两）、金箔（九十片，研）。
研匀，炼黄蜡六两，加入白蜜三分，同炼令匀为丸，每两作三十丸，白开水送下二丸，每日两次。
通涎散：治疗忽然患癫狂不止，或风涎暴作，气塞倒仆。
瓜蒂（五钱）。
研为末，每次服用一钱，井花水调下，涎出即愈。如果未出，含砂糖一块，咽下涎即出。
鹤年说：我治疗昆山清水湾一人发狂，先针刺百会、神庭、人中三穴，后用蜀漆（水拌炒熟，一钱）、龙骨、牡蛎（各三钱）、黄连（五分）、生大黄（三钱），水煎服，一剂即安。
按语：狂症没有不是从惊吓得来的，龙齿最能安魂。没有无痰的，惊则气逆，气逆则痰聚，蜀漆最善劫痰。没有无火的，火性炎上，所以登高而歌，弃衣而走，黄连能泻心火。病属阳明，故用大黄以泻之，这是釜底抽薪的方法。（鹤年。）
Gui Mi disease is caused by insufficient Heart Qi and weakened spirit, where dark yin-cold qi takes advantage of the deficiency to invade. The patient manifests with inconstant joy and anger, a trance-like state as if intoxicated, or muttering deliriously, terrified, weeping before walls, frequent nightmares, feeling interactions with spirits, alternating chills and fever, abdominal fullness, shortness of breath, and loss of appetite. Palpation reveals the Renying (ST9) and Qikou (LU9) pulses fluctuating between large and small; this is the sign of being possessed by Gui Mei (spirits/demons).
Gui Ji disease arises without gradual onset. It strikes suddenly like an injury from spears or halberds, causing acute pain and fullness in the chest, hypochondrium, and abdomen that cannot be pressed or suppressed. It may lead to immediate hematemesis (vomiting blood) or hematochezia/melena (bleeding from below). Mild cases recover, but severe cases may be incurable. Treatment should employ talismanic spells alongside herbs that dispel evil and stabilize righteousness.
Formula for treating Gui Mi coma:
Xionghuang (Realgar), single herb, ground into powder, blown into both nostrils for cure.
Anxi Xiang (Boswellia Karriensis Resin), taken in a size equivalent to a soap bean, burned until smoke rises, causing the evil to retreat.
Formula for treating demon-possessed patients who do not speak:
Sheng Lu Jiao (Deer Antler, raw), single herb, ground into fine powder. Take one qian per dose; speaking one sentence leads to cure.
Formula for treating sudden attack of Gui Ji:
Ji Guan Xue (Rooster Comb Blood), single herb, dripped into the mouth to be swallowed. Then slaughter a chicken, split it open, and apply it to the epigastrium. Discard on the roadside when cold.
*Zhou Hou Fang* treats various Gui Ji diseases, where sudden onset feels like knife stabbing, with severe pain in chest, hypochondrium, and abdomen, unbearable to pressure, accompanied by hematemesis, epistaxis, or lower bleeding. Also known as Gui Pai. Blowing strong wine into both nostrils is effective.
*Qian Jin Fang* prescribes blowing a small amount of vinegar into the nostrils.
Kuang Bing (Mania) is mostly due to Fire and belongs to Yang. It may result from frustrated ambitions or prolonged worry and depression, where grievances cannot be expressed and anger cannot be vented, leading to counterflow of Liver and Gallbladder Qi. Wood and Fire combine to pathogenically affect the Heart, causing the Hun (Ethereal Soul) and Shen (Spirit) to lose their residence, or affect the Stomach, causing violent and rigid behavior. Therefore, treatment prioritizes clearing Fire. If Phlegm or Qi stagnation exists, treat them concurrently based on severity.
Sheng Tie Luo Yin (Raw Iron Filings Decoction): Treats Phlegm-Fire Mania, sinking Phlegm and calming the Heart.
Sheng Tie (Raw Iron, 40 jin): Heated red in fire, hammered on an anvil. The falling fragments resembling orchids or moths are called Tie Luo (Iron Filings). Boil two dou of water with these filings to obtain one dou of decoction, used to decoct other herbs.
Shi Gao (Gypsum Fibrosum, 3 liang), Long Chi (Dragon Teeth, crushed), Fu Ling (Poria), Fang Feng (Saposhnikovia Root, each 1.5 liang), Yuan Shen (Scrophulariae Radix), Qin Jiao (Gentiana Macrophylla Root, each 1 liang), Zhu Li (Bamboo Sap, 1 sheng).
Chop the herbs, add the iron decoction, boil to obtain five sheng, filter dregs, mix in Bamboo Sap. Warm take two he, five times daily.
Note: This method uses heavy sedation to direct Qi downward and cold to suppress Heat. Yi Lao treated a case of Yang Jue (Yang Reversal) with mania, cursing, singing, or crying, with powerless six-pulse positions and icy skin surface, screaming loudly during attacks. By withholding food and administering Da Cheng Qi Tang (Major Order the Yellow Court Decoction) to purge, several dou of feces were expelled over five to seven days. The body warmed, pulses returned, and the patient recovered. Sheng Tie Luo Yin suppresses formless upward-raging Fire, whereas Da Cheng Qi Tang purges formless internal-stagnant Heat.
Zhen Zhu Wan (Pearl Pill, from *Ben Shi Fang*): Treats Liver channel deficiency with internal Wind invasion, where the Hun scatters during sleep and fails to reside, resembling palpitations.
Zhen Zhu (Pearl, 3 fen, separately ground extremely fine), Gan Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix, each 1.5 liang), Ren Shen (Ginseng Radix), Zao Ren (Ziziphi Spinosae Semen), Bai Ren (Prini Semen), Xi Jiao (Rhinocerotis Cornu), Fu Shen (Poria with Pine Root), Chen Xiang (Aquilariae Lignum), Long Chi (Dragon Teeth, each 1 liang).
Grind into fine powder, honey-pill sized like wutong seeds, coated with Chen Sha (Cinnabar). Take 40-50 pills per dose, washed down with Yinjin Bohe Tang (Silver Mint Decoction), once at noon and once at midnight.
Scholar Xu stated: The Liver stores the Hun. Wandering Hun causes transformation. In healthy people, the Liver does not accept pathogens, so the Hun returns to the Liver during sleep, the Spirit remains quiet, and sleep is achieved. Now, with pathogenic factors in the Liver, the Hun cannot return, causing the sensation of the Hun flying away from the body during sleep. This formula uses Mother-of-Pearl Shell (Zhen Zhu Mu) as the sovereign herb, supported by Dragon Teeth. Mother-of-Pearl Shell enters the Liver primarily; Dragon Teeth shares the same nature as the Liver. Dragon Teeth and Tiger Eyes are commonly regarded as heart-calming agents today, but one must know that Dragon Teeth calms the Hun, while Tiger Eyes stabilizes the Po (Corporeal Soul). This is based on symbolic correspondence. The Eastern Azure Dragon is Wood, corresponding to the Liver which stores the Hun; the Western White Tiger is Metal, corresponding to the Lung which stores the Po. The Dragon changes and transforms, hence the Hun wanders and is unstable; the Tiger focuses and specializes, hence the Po stays and has residence. I believe treating unstable Po requires Tiger Eyes, while treating flying Hun requires Dragon Teeth. All things have inherent principles; understanding them depends on human insight.
Ning Zhi Gao (Peace the Mind Paste, from *Ben Shi Fang*):
Ren Shen (Ginseng Radix), Zao Ren (Ziziphi Spinosae Semen, each 1 liang), Chen Sha (Cinnabar, 5 qian), Ru Xiang (Olibanum, 2.5 qian).
Honey-pill sized like bullet seeds. Take one pill per dose, washed down with Bohe Tang (Mint Decoction). One variation adds Hu Po (Amber), Fu Shen (Poria with Pine Root), Shi Chang Pu (Acori Tatarinowii Rhizoma), and Yuan Zhi (Polygalae Radix), named Ren Shen Hu Po Wan (Ginseng Amber Pill). Another variation omits Ginseng and mixes with wine, named Ling Yuan Chen Sha San (Ling Garden Cinnabar Powder).
A monk suddenly suffered from Dian Ji (Epilepsy/Mental Disorder), unable to sleep. Various medicines failed. Sun Zhao said, "He will sleep tonight and recover in two days. Provide him with salty food freely. When he becomes thirsty, bring him to me." At night, the monk was indeed thirsty. Sun Zhao mixed medicine with warm wine (one cup) and gave it to him. After a while, he asked for more wine; Sun Zhao gave half a cup. The monk slept deeply, waking up after two days fully conscious. When asked why, Sun Zhao replied, "Humans can calm the Spirit but cannot induce unconscious sleep. This is Ling Yuan Chen Sha San, which people fail to utilize correctly."
Xu Shuwei stated: My clan brother lost his mind due to war/fire. I prepared Ning Zhi Gao for him. After taking twenty pills, he recovered. Relatives and friends passed it on, and all found it effective. *Ling Yuan* states: After taking Cinnabar Powder, ensure the patient lies quietly and is not startled awake. Wait for natural awakening, then the Spirit and Hun will settle. If startled awake, recovery may be impossible. Wu Zhengfu, in his youth, took this medicine for heart disease, slept for five days, and then recovered.
An Shen Wan (Calming the Spirit Pill): Treats Dian Xian (Epilepsy), Jing Kuang (Frightful Mania), and Tan Huo (Phlegm-Fire) syndromes; calms the Heart and Spirit.
Ren Shen (Ginseng Radix), Fu Ling (Poria), Zao Ren (Ziziphi Spinosae Semen, stir-fried), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Preparata, wine-fried), Huang Lian (Coptidis Rhizoma, wine-fried), Ju Hong (Citri Reticulatae Pericarpium), Nan Xing (Arisaematis Rhizoma Preparatum, ginger-processed, each 1 liang), Tian Zhu Huang (Bambusae Concretio Silicea, 5 qian), Xiong Huang (Realgar), Niu Huang (Bovis Calculus, each 2 qian), Hu Po (Amber), Zhen Zhu (Pearl, each 2 qian).
Grind into powder, honey-pill sized like tung seeds, coated with Zhu Sha (Cinnabar). Take 50 pills with rice drink. Avoid wind-aggravating and pungent-hot foods.
*Ben Shi Fang* Jing Qi Wan (Startle Qi Pill):
Treats accumulated Qi from fright and sorrow, Wind pathogen affecting the Heart. Attacks manifest as locked jaw, phlegm-saliva obstruction, and post-awakening mental dullness resembling dementia.
Fu Zi (Aconiti Lateralis Radix Preparata), Ju Hong (Citri Reticulatae Pericarpium), Tian Ma (Gastrodiae Rhizoma), Nan Mu Xiang (Agarwood), Jiang Can (Bombyx Batryticatus), Bai Hua She (Bungarus Parvus), Ma Huang (Ephedrae Herba, each 5 qian), Su Zi (Perillae Fructus, 1 liang), Gan Xie (Scorpio, 1 fen), Nan Xing (Arisaematis Rhizoma, washed/soaked, thinly sliced, soaked in ginger juice overnight, 0.5 liang), Zhu Sha (Cinnabar, 1 fen).
Grind into powder, add small amounts of Long Nao (Borneolum Syntheticum) and She Xiang (Moschus), grind uniformly. Honey-pill sized like longan seeds. Take one pill per dose, dissolved in Yinjin Bohe Tang (Silver Mint Decoction).
Xu Shuwei stated: This is my family's secret formula. In the year Wu Wu, a soldier in the army committed an offense, was stripped awaiting execution, but was pardoned. His spirit was lost, resembling dementia. I gave him one pill. After taking it, he slept. Upon waking, the illness had vanished. The wife of Zhang Zaiyang, Inspector General of Shandong, had lost her mind for years due to fleeing bandits. I prescribed this formula; she recovered before finishing the dosage. Yan's wife, patrol officer of Huangshan, suffered from Kuang Jue (Maniacal Reversal) for over a year, failing treatments by over ten physicians. I prescribed this formula removing Fu Zi and adding Tie Fen (Iron Powder); she also recovered before finishing the dosage. Iron Powder not only resolves phlegm and calms the Heart but is uniquely effective in suppressing Liver pathogenic factors. For excessive anger and severe Liver pathogenic factors, Iron Powder can subdue them. *Su Wen* states: Jue Yang Mania is treated with Tie Luo Yin (Iron Filings Decoction), following the principle of Metal controlling Wood.
Fu Ling Wan (Poria Pill):
Chen Sha (Cinnabar), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (Ginseng Radix), Yuan Zhi (Polygalae Radix), Fu Ling (Poria), Fu Shen (Poria with Pine Root), Tie Fen (Iron Powder), Ban Xia Qu (Pinelliae Fermentatum), Dan Xing (Arisaematis Cum Bile), equal parts.
Grind into fine powder. Extract juice from four liang of fresh Ginger, mix with water to form pills sized like tung seeds. Coat with Zhu Sha (Cinnabar). Take 10 pills initially, increasing to 20 pills, washed down with Ginger Decoction before bed. This is the formula of Medical Officer Du Jun. I have used it successfully for heart diseases.
Zhen Xin Wan (Settling the Heart Pill): Treats Xin Feng (Wind affecting the Heart), delirious speech with frequent fright, confusion, and trance.
Ren Shen (Ginseng Radix), Fu Shen (Poria with Pine Root), Xi Jiao (Rhinocerotis Cornu, each 1 liang), Niu Huang (Bovis Calculus), Qian Fen (Lead Powder, each 7.5 qian), Zhu Sha (Cinnabar, water-triturated), Long Chi (Dragon Teeth, crushed), Dan Cao (Gentianae Radix), Tian Zhu Huang (Bambusae Concretio Silicea, crushed), Yuan Zhi (Polygalae Radix), Sheng Di Huang (Rehmanniae Radix Preparata, each 0.5 liang), Jin Bo (Gold Leaf, 50 pieces), Tie Fen (Iron Powder, 7.5 qian, crushed).
Grind into powder, honey-pill sized like tung seeds. Take 7 pills per dose, sent down with Zhuye Tang (Bamboo Leaf Decoction), anytime.
Wen Dan Tang (Warm the Gallbladder Decoction, from *San Yin Fang*): Treats Heart deficiency and Gallbladder timidity, easily frightened by events, bad dreams, shortness of breath, palpitations, spontaneous sweating, delirium, insomnia, and startle upon closing eyes. This results from Qi stagnation generating Phlegm-Saliva, which struggles with Qi, producing various symptoms.
Ban Xia (Pinelliae Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Zhu Ru (Bambusae Caulis in Taenia, each 1 liang), Ju Hong (Citri Reticulatae Pericarpium, 1.5 liang), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 4 qian).
Take 4 qian per dose. Add 1.5 cups of water, 7 slices of fresh Ginger, one Jujube. Decoct to 0.7 portion.
Shi Wei Wen Dan Tang (Ten-Ingredient Warm the Gallbladder Decoction): Indicated for the above symptoms complicated by deficiency.
Ban Xia (Pinelliae Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Chen Pi (Citri Reticulatae Pericarpium, white part removed, each 2 qian), Zao Ren (Ziziphi Spinosae Semen, stir-fried), Yuan Zhi Rou (Polygalae Radix flesh, processed with Licorice Decoction), Shu Di Huang (Rehmanniae Radix Preparata, wine-dried), Zhu Ru (Bambusae Caulis in Taenia), Ren Shen (Ginseng Radix, each 1 qian), Fu Ling (Poria, 1.5 qian), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 0.5 qian).
Add two zhong of water, five slices of fresh Ginger, one Red Jujube. Decoct to one zhong and consume.
Gun Tan Wan (Rolling Phlegm Pill, Wang Yin Jun): (See Phlegm Section.)
Note: Dian Kuang (Epilepsy and Mania) diseases belong to the binding of Phlegm and Heat, mostly located in the Liver, Gallbladder, and Bao Luo (Pericardium collaterals). When encountering such cases, I often administer Meng Shi Gun Tan Wan (Fluorite Rolling Phlegm Pill), 2-3 qian. Expelling sticky phlegm resembling peach gum or clam meat, about five sheng, leads to recovery. If there is little Phlegm but much Heat, with Yangming internal excess, one should follow Luo Qianfu's treatment for Chousiwulan: using Da Cheng Qi Tang (Major Order the Yellow Court Decoction) 1.5 liang plus Huang Lian (Coptidis Rhizoma) 2 qian to purge Heat, ensuring bowel movement and sweating for recovery.
Chou Bao Wan (Chou Treasure Pill): Treats all types of Dian Xian (Epilepsy), Zheng Chong (Palpitations), convulsions, and difficult-to-treat diseases. Dispels Wind, clears Fire, resolves Phlegm, regulates Qi, opens the Heart, stabilizes Will, calms the Spirit, and settles Fright.
Miao Xiang Wan (Wonderful Fragrance Pill): Treats Jing Xian (Frightful Epilepsy) and hundred diseases; also treats Tai Yang Shang Han (Cold Damage) tidal fever, accumulated heat, Jie Xiong (Chest Binding) with jaundice, manic running with dry heat, and obstruction of urination and defecation.
Ba Dou (Crotonis Fructus, 315 grains, peel/core/membrane removed, stir-fried ripe, ground like flour), Niu Huang (Bovis Calculus, crushed), Ni Fen (White Mercury), Long Nao (Borneolum Syntheticum, crushed), She Xiang (Moschus, crushed, each 3 liang), Chen Sha (Cinnabar, floated, 9 liang), Jin Bo (Gold Leaf, 90 pieces, crushed).
Grind uniformly. Refine 6 liang of yellow beeswax, add 3 parts white honey, refine together until uniform. Form pills. Each liang makes 30 pills. Take 2 pills with warm water, twice daily.
Tong Xian San (Unblocking Saliva Powder): Treats sudden persistent Dian Kuang (Epilepsy/Mania), or sudden violent Wind-Phlegm, Qi blockage causing collapse.
Gua Di (Thunbergiae Fructus, 5 qian).
Grind into powder. Take 1 qian per dose, mixed well water. Cure occurs when saliva exits. If none exits, hold a piece of rock sugar in the mouth; swallowing induces saliva exit.
He Nian stated: I treated a man in Qingshui Bay, Kunshan, suffering from mania. First, I acupunctured Bai Hui (GV20), Shen Ting (GV24), and Ren Zhong (GV26). Then, I administered Shu Qi (Jericho Thorn Apple Herb, water-mixed stir-fried ripe, 1 qian), Long Gu (Fossilized Bones), Mu Li (Ostreae Concha, each 3 qian), Huang Lian (Coptidis Rhizoma, 0.5 qian), Sheng Da Huang (Rhei Radix et Rhizoma Raw, 3 qian), decocted in water. One dose brought peace.
Note: Kuang Syndrome (Mania) invariably originates from Fright. Long Chi (Dragon Teeth) best calms the Hun. There is no case without Phlegm. Fright causes Qi counterflow; Qi counterflow causes Phlegm accumulation. Shu Qi (Jericho Thorn Apple Herb) best劫 (snatches/resolves) Phlegm. There is no case without Fire. Fire nature flares upward, causing climbing and singing, discarding clothes. Huang Lian (Coptidis Rhizoma) drains Heart Fire. The disease belongs to Yangming, hence Da Huang (Rhubarb) is used to purge it. This is the method of drawing firewood from under the cauldron. (He Nian.)