脉∶ 病弦直，或沉细些；汗后欲解，脉泼如蛇；伏坚尚可，伏弦伤嗟。
病，是难治也。多是血气内虚者，风痰而成 病。头项强直、身热足寒、头面赤、独头摇、卒口噤、目脉
赤、背反张、手挛急、脚如弓、脉弦紧，是 病也。开目无汗是刚 ，属阳；闭目有汗为柔 ，属阴。凡治伤寒
杂症，汗吐后入风亦成 病；大发湿家汗亦成 病；发疮家汗亦成 ；产
后去血过多亦成 ；有跌磕打伤，疮口未合贯风者亦成 ，此名破伤风也。若身凉手足冷、脉沉细者，名阴 ，
若是眼牵嘴扯，手足战摇伸缩者，是风痰 。俱宜参归养荣汤加减。若发热喘嗽生痰，脉滑数者，名痰火 。
用栝蒌枳实汤加减，不可全用风药，以风药散气，死之速矣。若是目瞪口开，真气昏冒，不知人者，断死无医。
若小儿吐泻惊风发 者，谓之角弓反张病，与 病用药同法也。
参归养荣汤 治一切 病。
人参 当归 川芎 白芍 熟地黄 白术 白茯苓 陈皮 甘草
上锉一剂，生姜一片、枣一枚，水煎温服。刚 身热，面赤脉紧加防风、羌活，柴胡、黄芩、干葛，去白术；
身热烦渴脉数加麦门冬、知母、柴胡、黄芩、葛粉，去川芎、白术；身热饱闷、气急生痰加苏子、栝蒌、枳实、
黄芩、桔梗、柴胡、砂仁、竹沥、姜汁，去人参、熟地、白芍、川芎；身热烦渴、口噤切牙、手足挛急、卧不
着席、大便不通、脉数者加枳实、大黄、柴胡、黄芩、浓朴，去白术、人参、川芎、茯苓；柔 身不热、手足冷、
脉沉细加熟附子、羌活；汗多加黄芩，去川芎；风痰 加羌活、防风、栝蒌、枳实、桔梗、片黄芩、竹沥、姜汁，
去人参、白术、熟地黄；破伤风 加僵蚕、全蝎、防风、羌活、南星、栝蒌、枳实、黄芩、桔梗、竹沥、姜汁，
去白术、人参、熟地黄；汗吐泻多发 者，本方倍人参、黄 、当归、生地、荆芥、羌活、白术。
栝蒌枳实汤 治痰火发 。
栝蒌仁 枳实 贝母 桔梗 片芩 陈皮 山栀 麦门冬（去心） 茯苓（去皮） 人参 当归 苏子
（各等分） 甘草（三分）
上锉一剂，姜一片，入竹沥、姜汁少许，水煎同服。
脉象：若脉象弦而直，或者沉细一些；发汗后病情欲解时，脉象滑利如蛇行；脉伏而坚硬的尚可救治，脉伏而弦急的则令人叹息（预后不良）。
痉病，是难以治疗的疾病。多因气血内部虚弱，风痰内生所致。症状表现为头项强直、身体发热而足部寒冷、头面部发红、唯独头部摇动、突然牙关紧闭、眼内血脉发红、背部反张（角弓反张）、手部拘挛紧急、脚部弯曲如弓、脉象弦紧，这就是痉病。睁眼且无汗的为刚痉，属于阳证；闭目且有汗的为柔痉，属于阴证。凡是治疗伤寒杂症，在发汗或催吐之后感受风邪也会形成痉病；大发湿家（素体湿盛者）之汗也会形成痉病；疮疡患者发汗也会形成痉病；产后失血过多也会形成痉病；有跌打损伤，伤口未愈合又受风邪侵袭的也会形成痉病，这名叫破伤风。如果身体凉爽、手足冰冷、脉象沉细的，名叫阴痉；如果是眼睛牵引嘴角抽动、手足颤抖伸缩的，是风痰引起的痉病。这些情况都适宜用参归养荣汤加减治疗。如果发热、气喘咳嗽、生痰，脉象滑数的，名叫痰火痉。用栝蒌枳实汤加减治疗，不可全用风药，因为风药会耗散正气，会导致死亡迅速到来。如果是眼睛瞪大、口张开、真气昏乱蒙蔽、神志不清的人，断定为死证，无法医治。如果是小儿吐泻惊风引发痉病的，叫做角弓反张病，用药方法与痉病相同。
参归养荣汤 治疗一切痉病。
人参 当归 川芎 白芍 熟地黄 白术 白茯苓 陈皮 甘草
以上药材锉碎为一剂，加生姜一片、大枣一枚，用水煎煮，温服。刚痉身热、面赤、脉紧的，加防风、羌活、柴胡、黄芩、干葛，去掉白术；身热烦渴、脉数的，加麦门冬、知母、柴胡、黄芩、葛粉，去掉川芎、白术；身热饱闷、气急生痰的，加苏子、栝蒌、枳实、黄芩、桔梗、柴胡、砂仁、竹沥、姜汁，去掉人参、熟地、白芍、川芎；身热烦渴、牙关紧闭咬齿、手足拘挛紧急、睡在床上不能着席、大便不通、脉数的，加枳实、大黄、柴胡、黄芩、浓朴，去掉白术、人参、川芎、茯苓；柔痉身不热、手足冷、脉沉细的，加熟附子、羌活；汗多的，加黄芩，去掉川芎；风痰痉加羌活、防风、栝蒌、枳实、桔梗、片黄芩、竹沥、姜汁，去掉人参、白术、熟地黄；破伤风加僵蚕、全蝎、防风、羌活、南星、栝蒌、枳实、黄芩、桔梗、竹沥、姜汁，去掉白术、人参、熟地黄；因发汗、催吐、腹泻多发痉病的，本方倍用人参、黄芪、当归、生地、荆芥、羌活、白术。
栝蒌枳实汤 治疗痰火引发的痉病。
栝蒌仁 枳实 贝母 桔梗 片芩 陈皮 山栀 麦门冬（去心） 茯苓（去皮） 人参 当归 苏子 （各等分） 甘草（三分）
以上药材锉碎为一剂，加生姜一片，加入少许竹沥、姜汁，用水煎煮同服。
Pulse: If the pulse is wiry and straight, or slightly deep and fine; after sweating, if the condition is about to resolve, the pulse flows smoothly like a snake; if the pulse is hidden (Fu) and firm, it is still treatable, but if the pulse is hidden and wiry, it is a cause for sighing (poor prognosis).
Jing disease (Spasm syndrome) is difficult to treat. It is mostly caused by internal deficiency of blood and qi, leading to the formation of wind-phlegm. Symptoms include stiffness and rigidity of the head and neck, fever in the body with cold feet, redness of the head and face, shaking of the head alone, sudden lockjaw (stiff mouth), redness of the eye vessels, opisthotonos (backward arching of the back), spasticity and urgency of the hands, feet curved like a bow, and a wiry-tight pulse. This is Jing disease (Spasm syndrome). Opening the eyes without sweat indicates Gang Jing (Rigid Spasm), which belongs to Yang; closing the eyes with sweat indicates Rou Jing (Flaccid Spasm), which belongs to Yin. In general, when treating Shanghan (Cold Damage) and miscellaneous diseases, contracting wind after sweating or vomiting can also result in Jing disease (Spasm syndrome); inducing heavy sweating in patients with dampness constitution can also result in Jing disease (Spasm syndrome); inducing sweating in patients with sores/ulcers can also result in Jing disease (Spasm syndrome); excessive blood loss after childbirth can also result in Jing disease (Spasm syndrome); falling, bumping, or beating injuries where the wound has not healed yet and is exposed to wind can also result in Jing disease (Spasm syndrome), this is named Po Shang Feng (Broken Wind/Tetanus). If the body is cool, hands and feet are cold, and the pulse is deep and fine, it is named Yin Jing (Yin Spasm); if the eyes pull the corners of the mouth and hands and feet tremble and extend/flex, it is Jing disease (Spasm syndrome) caused by wind-phlegm. All these conditions should be treated with Shen Gui Yang Rong Tang (Ginseng and Angelica Decoction to Nourish the Ying) with modifications. If there is fever, wheezing, coughing, and phlegm production with a slippery and rapid pulse, it is named Tan Huo Jing (Phlegm-Fire Spasm). Use Gua Lou Zhi Shi Tang (Trichosanthes Fruit and Immature Bitter Orange Decoction) with modifications. Do not use exclusively wind-dispelling herbs, as wind herbs disperse Qi and will lead to rapid death. If the eyes are wide open, the mouth is agape, true Qi is confused and obscured, and the person is unconscious, it is determined as a fatal case with no cure. If infants develop Jing disease (Spasm syndrome) due to vomiting, diarrhea, and convulsions, it is called Jiao Gong Fan Zhang Bing (Opisthotonos Disease), and the medication method is the same as for Jing disease (Spasm syndrome).
Shen Gui Yang Rong Tang (Ginseng and Angelica Decoction to Nourish the Ying) treats all types of Jing disease (Spasm syndrome).
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Shu Di Huang (Rehmanniae Radix Praeparata), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Crush one dose, add one slice of fresh ginger and one jujube, decoct in water, and take warm. For Gang Jing (Rigid Spasm) with fever, red face, and tight pulse, add Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Gan Ge (Puerariae Lobatae Radix), and remove Bai Zhu (Atractylodis Macrocephalae Rhizoma); for fever, irritability, thirst, and rapid pulse, add Mai Men Dong (Ophiopogonis Tuber), Zhi Mu (Anemarrhenae Rhizoma), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ge Fen (Puerariae Flos Powder), and remove Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma); for fever, fullness and oppression, urgent breathing, and phlegm production, add Su Zi (Perillae Fructus), Gua Lou (Trichosanthis Fructus), Zhi Shi (Aurantii Fructus Immaturus), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Chai Hu (Bupleuri Radix), Sha Ren (Amomi Fructus), Zhu Li (Bambusae Caulis in Taenia Succus), Jiang Zhi (Zingiberis Recensis Succus), and remove Ren Shen (Ginseng Radix et Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata), Bai Shao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma); for fever, irritability, thirst, lockjaw with teeth grinding, spasticity of hands and feet, inability to lie flat on the bed, constipation, and rapid pulse, add Zhi Shi (Aurantii Fructus Immaturus), Da Huang (Rhei Radix et Rhizoma), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Hou Po (Magnoliae Officinalis Cortex), and remove Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fu Ling (Poria); for Rou Jing (Flaccid Spasm) with no fever, cold hands and feet, and deep-fine pulse, add Shu Fu Zi (Aconiti Lateralis Radix Praeparata), Qiang Huo (Notopterygii Rhizoma et Radix); for excessive sweating, add Huang Qin (Scutellariae Radix), remove Chuan Xiong (Ligustici Chuanxiong Rhizoma); for wind-phlegm Jing disease (Spasm syndrome), add Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gua Lou (Trichosanthis Fructus), Zhi Shi (Aurantii Fructus Immaturus), Jie Geng (Platycodonis Radix), Pian Huang Qin (Scutellariae Radix Slice), Zhu Li (Bambusae Caulis in Taenia Succus), Jiang Zhi (Zingiberis Recensis Succus), and remove Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata); for Po Shang Feng (Broken Wind/Tetanus), add Jiang Can (Bombyx Batryticatus), Quan Xie (Scorpio), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Nan Xing (Arisaematis Cum Bile Rhizoma), Gua Lou (Trichosanthis Fructus), Zhi Shi (Aurantii Fructus Immaturus), Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), Zhu Li (Bambusae Caulis in Taenia Succus), Jiang Zhi (Zingiberis Recensis Succus), and remove Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata); for Jing disease (Spasm syndrome) caused by excessive sweating, vomiting, or diarrhea, double the dosage of Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Jing Jie (Schizonepetae Spica), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) in this formula.
Gua Lou Zhi Shi Tang (Trichosanthes Fruit and Immature Bitter Orange Decoction) treats Jing disease (Spasm syndrome) caused by Phlegm-Fire.
Gua Lou Ren (Trichosanthis Semen), Zhi Shi (Aurantii Fructus Immaturus), Bei Mu (Fritillariae Thunbergii Bulbus), Jie Geng (Platycodonis Radix), Pian Qin (Scutellariae Radix Slice), Chen Pi (Citri Reticulatae Pericarpium), Shan Zhi (Gardeniae Fructus), Mai Men Dong (Ophiopogonis Tuber, heart removed), Fu Ling (Poria, peel removed), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Su Zi (Perillae Fructus) (all in equal parts), Gan Cao (Glycyrrhizae Radix et Rhizoma) (three fen).
Crush one dose, add one slice of ginger, add a little Zhu Li (Bambusae Caulis in Taenia Succus) and Jiang Zhi (Zingiberis Recensis Succus), decoct in water, and take together.