者，筋脉急也。 者，筋脉缓也。急则引而缩，缓则 而申，或缩或申，动而不正是也，俗又谓之发搐。凡癫痫
风痉破伤风三症，皆能 ，则有疮口溃腐出血。然溃疡伤损者多患之。若血气虚肝火内动生风者，用八珍、黄 、钩
藤钩，佐以地黄丸料，如未应，专补胃气。肝经血燥生风者，用羚羊角散加钩藤钩、山栀。若肝火血燥，用加味逍遥
散加钩藤钩，未应，须兼服六味丸以补肾水而生肝木。若因乳母有郁怒肝火，致儿为患者，须调治其母，仍参五脏相胜
而治之。
一女子瘰 ，服镇惊之药，面色黄赤，呵欠切牙，余谓肝经气虚血弱，而火动生风，用五味异功散加柴胡、升
麻而愈。后因怒复作，面赤目直，大叫项强，关脉洪数。先用抑肝散，次用地黄丸而愈。
一小儿十四岁患此，兼呵欠切牙，手欲寻衣，所服皆祛风之药，余谓肝经之血复伤矣，当用地黄丸以滋肾水而生肝
木。不信，专于祛风化痰，虚症蜂起，昏愦如醉，此胃气太虚，五脏无所资而然也，以四君子汤内用人参一两，一日并
进三剂，虽苏而无气以动，至十三剂，却佐以地黄丸料，每剂加黄 五钱，又二十余剂乃愈。次年毕姻，不月而复发，
亦用前药而瘥。
一小儿溃疡后 ，因服牛黄丸，反加四肢无力，项强目直，唇白流涎，手足厥冷，求治于余。余曰∶经云，脾之
荣在唇口。又云∶脾主四肢。又云∶脾主涎。此因前药妄下，胃气复伤，肝木侮土，以致前症也，当先救胃气以养五
脏。因众议不一，尚未用药。翌早果切牙呵欠，困卧惊悸，哽气短气，面色皎白，始信余言，遂先用五味异功散，次用
补中益气汤而愈。
一女子瘰 将愈，因勤于女红，忽作 ，此胃气未实，而劳伤筋脉耳，用补中益气汤及五味异功散，俱加钩藤
钩而愈。后劳役怒气，经行颤振，用加味逍遥散及补中益气汤，俱加钩藤钩而愈。
一小儿仆伤，溃后患前症，面青或赤，服风痰之药，切牙目直，仍欲治风。余曰∶凡伤损之症，皆肝主之，故面色
青而 ，切牙目直，皆属肝经血气亏损，风木翕合，火动而生风也，无风可祛，无痰可逐。遂用地黄丸及补中益气汤
而愈。
一小儿跌伤 出血，误服大黄等药，患前症，或时烦躁自汗，手欲撮空，此因肝经血虚，肝火炽盛耳。用地黄丸、
补中益气汤而愈。（方见前各症）
抽搐，是指筋脉拘急。瘛疭（chì zòng），是指筋脉弛缓。筋脉拘急则牵引收缩，筋脉弛缓则伸展，或收缩或伸展，动作不端正，这就是抽搐，俗称发搐。大凡癫痫、风痉、破伤风这三种病症，都能引起抽搐，如果有疮口溃烂腐坏出血，那么溃疡损伤的患者大多会患此病。如果是气血虚弱，肝火内动生风者，使用八珍汤、黄芪、钩藤，佐以地黄丸药料，如果无效，专门补益胃气。如果是肝经血燥生风者，使用羚羊角散加钩藤、山栀。如果是肝火兼血燥，使用加味逍遥散加钩藤，如果无效，必须兼服六味丸以补肾水而生养肝木。如果是因乳母有郁怒导致肝火，致使婴儿患病者，必须调治其母亲，并参照五脏相克理论进行治疗。
一个女子患瘰疬（luǒ lì，颈部淋巴结结核），服用镇惊药物后，面色黄赤，打呵欠且咬紧牙齿，我认为这是肝经气虚血弱，而火动生风，使用五味异功散加柴胡、升麻而痊愈。后来因为愤怒复发，面红目直，大声呼叫且项强，关脉洪数。先用抑肝散，次用地黄丸而痊愈。
一个十四岁小儿患此病，兼有打呵欠、咬紧牙齿、手似抓衣状，所服用的都是祛风药物，我认为这是肝经之血再次受伤，应当用地黄丸以滋补肾水而生养肝木。患者不信，专于祛风化痰，导致虚证蜂拥而起，昏愦如醉酒状，这是因为胃气太虚，五脏无所资养所致，用四君子汤内加入人参一两，一天并进三剂，虽然苏醒但无力活动，至第十三剂时，再佐以地黄丸药料，每剂加入黄芪五钱，又二十余剂才痊愈。次年结婚，不到一个月又复发，也用前面的药而病愈。
一个小儿在溃疡后出现抽搐，因为服用牛黄丸，反而加重四肢无力，项强目直，唇白流涎，手足厥冷，来求治于我。我说：《内经》说，脾的荣华表现在唇口。又说：脾主四肢。又说：脾主涎。这是因为前医妄用攻下药物，胃气再次受伤，肝木侮乘脾土，以致出现前述症状，应当先救胃气以滋养五脏。因为众人意见不一，尚未用药。第二天早晨果然出现咬紧牙齿、打呵欠，困倦卧倒、惊悸，呼吸哽咽短促，面色皎白，这才相信我的话，于是先用五味异功散，次用补中益气汤而痊愈。
一个女子患瘰疬将愈，因为勤于女红（针线活），忽然发作抽搐，这是胃气未实，而劳损伤及筋脉所致，使用补中益气汤及五味异功散，都加入钩藤而痊愈。后来因劳役和怒气，月经期间出现颤振，使用加味逍遥散及补中益气汤，都加入钩藤而痊愈。
一个小儿跌仆受伤，溃烂后患前述症状，面色青或赤，服用风痰药物，出现咬紧牙齿、目直，仍想治疗风邪。我说：凡是损伤病症，都由肝所主，所以面色青而抽搐，咬紧牙齿、目直，都属于肝经血气亏损，风木翕合（收敛闭合），火动而生风，没有风可祛，没有痰可逐。于是用地黄丸及补中益气汤而痊愈。
一个小儿跌伤出血，误服大黄等药物，患前述症状，有时烦躁自汗，手似撮空状，这是因为肝经血虚，肝火炽盛所致。用地黄丸、补中益气汤而痊愈。（方剂见前面各症）
Tetanus (Jinmai Ji) refers to the tension and spasm of tendons and vessels. Chizong (Chizong, tendon relaxation) refers to the flaccidity of tendons and vessels. Tension causes pulling and contraction, while flaccidity causes extension. Alternating contraction and extension with irregular movements constitute tetany, commonly known as "fa chu" (convulsions). Generally, epilepsy, wind-spasm, and lockjaw (tetanus from wound infection) can all cause convulsions. If there are ulcerated wounds with rotting tissue and bleeding, patients with ulcerative injuries are prone to this condition. For cases due to Qi and Blood deficiency with internal stirring of Liver Fire generating Wind, use Bazhen Tang (Eight Treasure Decoction), Huangqi (Astragali Radix), Gouteng (Uncariae Ramulus cum Uncis), assisted by Dihuang Wan (Rehmannia Pill). If ineffective, focus solely on tonifying Stomach Qi. For cases due to dryness of Blood in the Liver channel generating Wind, use Lingyangjiao San (Antelope Horn Powder) added with Gouteng (Uncariae Ramulus cum Uncis) and Shanzhi (Gardeniae Fructus). For cases involving both Liver Fire and Blood dryness, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Gouteng (Uncariae Ramulus cum Uncis); if ineffective, must concurrently take Liuwei Wan (Six-Ingredient Rehmannia Pill) to tonify Kidney Water to nourish Liver Wood. If caused by a wet nurse's depression and anger leading to Liver Fire affecting the infant, the mother must be treated, referring to the theory of the Five Elements overcoming each other for treatment.
A young woman suffered from scrofula (Luoli, tuberculous lymphadenitis of the neck). After taking sedating medicines, her complexion became yellowish-red, she yawned and ground her teeth. I diagnosed it as deficiency of Qi and weakness of Blood in the Liver channel, with Fire stirring and generating Wind. She was cured using Wuyi Yigong San (Five Flavor Yi Gong Powder) added with Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma). Later, due to anger, the symptoms recurred: red face, staring eyes, loud crying, stiff neck, and a surging, rapid pulse at the Guan position. She was first treated with Yigan San (Suppress Liver Powder), then with Dihuang Wan (Rehmannia Pill), resulting in recovery.
A fourteen-year-old boy suffered from this condition, accompanied by yawning, teeth grinding, and hands grasping at clothes. The medicines he had taken were all wind-dispelling agents. I stated that the Blood of the Liver channel had been injured again, and Dihuang Wan (Rehmannia Pill) should be used to nourish Kidney Water to generate Liver Wood. He did not believe this and insisted on wind-dispelling and phlegm-resolving treatments. Consequently, deficiency syndromes arose rapidly: confusion resembling drunkenness, due to excessive deficiency of Stomach Qi leaving the Zang organs without nourishment. I prescribed Sizijunzi Tang (Four Gentlemen Decoction) with one liang of Renshen (Ginseng Radix et Rhizoma), administered three doses in one day. Although he regained consciousness, he lacked strength to move. By the thirteenth dose, I assisted with Dihuang Wan (Rehmannia Pill) ingredients, adding five qian of Huangqi (Astragali Radix) per dose. After more than twenty doses, he recovered. The following year, after marriage, the condition relapsed within a month; the same prescription cured him.
A child developed convulsions after an ulcer healed. After taking Niuhuang Wan (Calculus Bovis Pill), his limbs became weak, neck stiff, eyes staring, lips pale, saliva flowing, and extremities cold. He sought my treatment. I said: The Classics state, "The flourishing aspect of the Spleen manifests in the lips and mouth." Also, "The Spleen governs the four limbs," and "The Spleen governs saliva." This occurred because previous medications wrongly purged, injuring Stomach Qi further, causing Liver Wood to insult Spleen Earth, leading to the aforementioned symptoms. We must first rescue Stomach Qi to nourish the Zang organs. Due to conflicting opinions among others, medication was delayed. The next morning, he indeed exhibited teeth grinding, yawning, lethargy, palpitations, gasping, shortness of breath, and a pale white complexion. They finally believed me. First, Wuyi Yigong San (Five Flavor Yi Gong Powder) was used, followed by Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), resulting in recovery.
A young woman was nearly cured of scrofula (Luoli). Due to diligent needlework, she suddenly developed convulsions. This was due to incomplete Stomach Qi and injury to tendons and vessels from overexertion. She was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Wuyi Yigong San (Five Flavor Yi Gong Powder), both added with Gouteng (Uncariae Ramulus cum Uncis). Later, due to labor and anger, tremors occurred during menstruation. She was cured using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), both added with Gouteng (Uncariae Ramulus cum Uncis).
A child suffered a fall injury. After ulceration, he developed the aforementioned symptoms: complexion either blue or red. After taking wind-phlegm resolving medicines, he exhibited teeth grinding and staring eyes, yet the physician still attempted to treat wind. I said: All trauma conditions are governed by the Liver. Therefore, a blue complexion with convulsions, teeth grinding, and staring eyes belong to deficiency and loss of Qi and Blood in the Liver channel, where Wind Wood contracts and closes, Fire stirs and generates Wind. There is no wind to dispel and no phlegm to purge. He was cured using Dihuang Wan (Rehmannia Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A child fell and bled. Mistakenly taking Dahuang (Rhei Radix et Rhizoma) and other purgatives, he developed the aforementioned symptoms: occasional irritability, spontaneous sweating, and hands grasping at empty air. This was due to Blood deficiency in the Liver channel and blazing Liver Fire. He was cured using Dihuang Wan (Rehmannia Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). (Formulas see previous sections.)