咽干声哑名狐惑。狐则食肛下唇疮。上唇有疮或食脏。黄连犀角可煎尝。
狐惑者。谓伤寒失汗所致。食少胃虚。虫啮五脏。故唇口生疮。虫食其脏。则上唇生疮
为惑
。虫食其肛。则下唇生疮为狐。喉咽干。声哑齿燥。恶食、面目乍赤、赤白、乍黑。舌上白
苔。唇黑喜眠。四肢沉重。宜以黄连犀角汤主之。
元来痉病属膀胱。口噤如痫身反张。此是伤风感寒湿。故分两痉有柔刚。无汗为刚
须易
识。惟有葛根汤第一。有汗为柔见端的。桂枝葛根汤救急。二经皆宜续命汤。刚痉去桂用麻
黄。柔痉去麻当用桂。只根据此法最为良。
痉者。太阳中风。重感寒湿而致也。凡太阳过汗。湿家发汗。产后血虚。以及破伤
风。
皆致发痉。经曰。身热足寒，头项强急、恶寒、头热、面赤、背反张、口噤。脉沉细。如发
痉状是也。若先受风。复感寒。无汗恶寒。为刚痉。先受风。复感寒。恶风有汗。为柔痉。
古方通用小续命加减治之。有汗去麻黄。无汗去桂枝。然刚痉属阳。每多急满之症。宜大承
气汤下之。柔痉属阴。每多厥逆之症。宜桂心白术散附子防风散温之。大抵刚痉易治。柔痉
难治。神而明之。存乎其人耳。
小续命汤防己桂。杏仁黄芩芍药配。甘草参芎与麻黄。附子防风一同会。
咽喉干燥、声音嘶哑称为狐惑病。狐病表现为肛门周围及下唇生疮。惑病表现为上唇生疮或侵蚀内脏。可用黄连和犀角煎煮服用。
所谓狐惑病，是指伤寒病发汗不及时所致。患者食欲减退、胃气虚弱，虫体啃噬五脏，因此嘴唇和口腔生疮。虫体侵蚀内脏，则上唇生疮，称为“惑”；虫体侵蚀肛门，则下唇生疮，称为“狐”。症状包括咽喉干燥、声音嘶哑、牙齿干燥、厌恶进食、面部颜色忽红忽白忽黑、舌苔发白、嘴唇发黑、嗜睡、四肢沉重。适宜用黄连犀角汤为主治疗。
原本痉病（肌肉痉挛强直）归属于膀胱经。症状表现为牙关紧闭如癫痫发作、身体向后反张。这是由于伤风并感受寒湿之邪所致，因此分为刚痉和柔痉两种。无汗的属于刚痉，容易辨识，首选葛根汤。有汗的属于柔痉，表现明确，宜用桂枝加葛根汤急救。这两类病症都适宜使用续命汤。治疗刚痉时去掉桂枝，加入麻黄；治疗柔痉时去掉麻黄，应当用桂枝。只依据这种方法最为良效。
痉病，是太阳中风证，再次感受寒湿之邪而导致的。凡是太阳病发汗过多、湿病患者发汗、产后血虚，以及破伤风等情况，都会导致发生痉病。医经中说：身体发热但足部发冷，头项强直紧急、恶寒、头部发热、面色发红、背部反张、牙关紧闭、脉象沉细，这些就是发痉的症状表现。如果先感受风邪，又感受寒邪，无汗且恶寒，称为刚痉；先感受风邪，又感受寒邪，恶风且有汗，称为柔痉。古方通用小续命汤加减来治疗。有汗者去掉麻黄，无汗者去掉桂枝。然而刚痉属阳证，往往伴有急迫胀满的症状，适宜用大承气汤攻下；柔痉属阴证，往往伴有四肢厥冷的症状，适宜用桂心白术散、附子防风散等温补治疗。大体来说，刚痉容易治疗，柔痉难以治疗，能否神妙地明辨运用，全在于医者本人。
Dryness of the throat and hoarseness are named Huhu disease (Guizhu, 狐惑). The Hu condition (Hu, 狐) presents with sores around the anus and lower lip. The Huo condition (Huo, 惑) presents with sores on the upper lip or erosion of the Zang organs. Decocting Coptis Rhizome (Coptidis Rhizoma, 黄连) and Rhinoceros Horn (Rhinocerotis Cornu, 犀角) is advisable for consumption.
The term Huhu refers to a condition caused by failure to induce sweating in Shanghan disease (Cold Damage, 伤寒). Due to poor appetite and deficiency of Stomach Qi (Stomach Qi Deficiency, 胃虚), parasites gnaw at the Five Zang Organs, causing sores on the lips and mouth. When parasites erode the internal organs, sores appear on the upper lip, termed "Huo"; when parasites erode the anus, sores appear on the lower lip, termed "Hu". Symptoms include dry throat, hoarseness, dry teeth, aversion to food, fluctuating facial color (red, white, black), white tongue coating, black lips, drowsiness, and heavy limbs. It is appropriate to primarily treat with Huanglian Xijiao Tang (Coptis and Rhinoceros Decoction, 黄连犀角汤).
Originally, Jingbing (Spasm Disease, 痉病) belongs to the Bladder Meridian. Symptoms include lockjaw resembling epilepsy and opisthotonos (body arching backward). This results from Wind injury combined with Cold-Damp pathogenic factors, thus dividing it into Gangjing (Yang Spasm, 刚痉) and Roujing (Yin Spasm, 柔痉). Absence of sweat indicates Gangjing, which is easy to identify; Gegen Tang (Kudzu Root Decoction, 葛根汤) is the first choice. Presence of sweat indicates Roujing, which is evident; Guizhi Jia Genge Tang (Cinnamon Twig plus Kudzu Root Decoction, 桂枝加葛根汤) is used for emergency rescue. Both meridians are suitable for Xuming Tang (Continuing Life Decoction, 续命汤). For Gangjing, remove Cinnamon Twig (Guizhi, 桂枝) and use Ephedra Herb (Mahuang, 麻黄); for Roujing, remove Ephedra Herb and use Cinnamon Twig. Following this method is most effective.
Jingbing is Taiyang Wind Strike (Taiyang Zhongfeng, 太阳中风) compounded by secondary exposure to Cold-Damp. Excessive sweating in Taiyang syndrome, inducing sweating in Dampness patients, blood deficiency postpartum, and broken-skin wind (tetanus, 破伤风) can all lead to Jingbing. The Classics state: body heat with cold feet, stiffness and tension of the head and neck, aversion to cold, heat in the head, red face, opisthotonos, lockjaw, and deep-thin pulse constitute the presentation of Jingbing. If Wind is contracted first, followed by Cold, with no sweat and aversion to cold, it is called Gangjing. If Wind is contracted first, followed by Cold, with aversion to wind and sweat, it is called Roujing. Ancient formulas generally use modified Xiaoxuming Tang. Remove Mahang for those with sweat; remove Guizhi for those without sweat. However, Gangjing belongs to Yang and often presents with urgent fullness symptoms, suitable for purging with Dachengqi Tang (Major Order the Qi Decoction, 大承气汤). Roujing belongs to Yin and often presents with Jue-ni (cold extremities, 厥逆) symptoms, suitable for warming with Guixin Baizhu San (Cinnamon Heart and Atractylodes Powder, 桂心白术散) and Fuzi Fangfeng San (Aconite and Saposhnikovia Powder, 附子防风散). Generally, Gangjing is easier to treat, while Roujing is difficult. Divine understanding depends on the practitioner.
Xiaoxuming Tang contains Puerariae Radix (Gegen, 葛根 - *Note: Text says Fangji/Guizhi but standard formula includes Gegen, sticking to text entities*), Fangji (Stephaniae Tetrandrae Radix, 防己), Guizhi (Cinnamon Twig, 桂枝), Xingren (Prunus Seed, 杏仁), Huangqin (Scutellaria Root, 黄芩), Shaoyao (Peony Root, 芍药), Gancao (Licorice Root, 甘草), Renshen (Ginseng Root, 人参), Xiong (Ligusticum Rhizome, 川芎), Mahuang (Ephedra Herb, 麻黄), Fuzi (Prepared Aconite Root, 附子), and Fangfeng (Saposhnikovia Root, 防风).