颤振与 相类。 则手足牵引，或伸或屈，颤振则但颤动而不伸屈也。《内经》云∶因胃气不实，诸脉空虚。行
阴用不复因其所在补肉分间。然小儿疮疡溃腐，或损伤，脓血出多，属脾胃气虚血弱，用补中益气汤、五味异功散加白
术、当归、升麻主之。肝经虚热，用六味丸。脾血虚弱，用四君子加芎、归。胃气虚弱，用补中益气汤。
一小儿腿痈，内溃出脓碗许，实时颤振，面白汗出。此阳气虚脱，非大补不可也，遂用人参一两煎服之，汗愈甚，
手足并冷，再用人参二两、干姜二钱煎服，良久汗乃稍止，
再剂诸症顿愈，却用补中益气汤加人参五钱，数剂而愈。
一小儿臂痈溃后，颤振少气，脉浮数，按之不鼓，此元气虚弱也，朝用补中益气汤，夕用异功散各二十余剂，未见
效，因虚甚而功力未能及耳，又用前药各二十余剂，颤渐愈。后佐以托里散，而疮亦痊。
一小儿十六岁，臀痈溃而颤振、遂用大补中气之药而颤止。因劳发热，痈内溃而复颤，脉浮数，按之不鼓，两寸脉
短小不及本位，或欲祛风。余曰∶长则气治，短则气病，此由胃气虚甚故也，先用独参汤数剂愈，乃佐以补中益气汤各
五十余剂而愈。若加附子一片，数剂亦可愈矣。
一女子十六岁，臂肿一块，肉色不变，按之则痛，服败毒流气之剂，更加发颤，时孟春面戴阳光，手不畏寒，脉浮
数，按之不鼓而短，彼欲攻毒，余曰∶此荣卫虚弱，外寒所搏而为患也，又加败毒，胃气亏损，岂不加颤耳！遂用人参
五钱，黄 三钱，当归、熟地各三钱，升麻、柴胡各五分，二十余剂而颤稍缓。乃佐以补中益气汤，内用人参五钱，又
二十余剂，兼葱熨法，而肿亦愈。
一女子患瘰 ，因怒两手颤振，面色或青或赤，此肝经血虚火盛而生风也，用四物加山栀、钩藤钩、龙胆草、甘草，
而颤振渐愈，乃去胆草，与地黄丸间服而痊。后因劳心发热，两手复振，用补中益气汤、地黄丸而愈。
一小儿患臂痈，面色或黄或赤，先用补中益气汤、地黄丸寻愈。后因怒气颤振，先用补中益气汤加钩藤钩、炒山
栀；又用加味逍遥散加钩藤钩而愈。又因饮食停滞，吐泻酸臭，更加发搐，用五味异功散加钩藤钩而愈。
一女子患流注，发热而颤，此肝脾气血不足，经水过期，虚火生风之症也，先用补中益气汤加钩藤钩渐愈，又用
加味地黄丸而痊愈。
一女子不得继母之心，久而郁怒，遂患颤振，面赤发热，先用加味小柴胡汤，次用加味归脾汤及加味逍遥散，前
后间服而寻愈。但面色时青，又用地黄丸、逍遥散而安。
一女子腹痈患此，手足或急或纵，先用四物加柴胡、山栀、丹皮、钩藤钩，以养血清肝火；又用地黄丸以滋肾生肝
血而愈。
（方见前各症。）
颤振与抽搐（手足牵引拘急）相似。抽搐表现为手足牵引，或伸展或弯曲；而颤振则只是颤抖动摇，并不出现伸展或弯曲的动作。《黄帝内经》说：因为胃气不充实，导致各种经脉空虚。治疗时应顺着阴气的运行规律，在其病变所在的部位，补益肌肉间隙的气血。然而小儿因疮疡溃烂腐坏，或者受到损伤，脓血流出过多，属于脾胃气虚、血液虚弱，应当使用补中益气汤、五味异功散，加白术、当归、升麻来主治。若是肝经虚热，使用六味丸。脾血虚弱，使用四君子汤加川芎、当归。胃气虚弱，使用补中益气汤。
有一个小儿腿部生痈疽，内部溃破流出约一碗的脓液，随即出现颤振，面色苍白，出汗。这是阳气虚脱的症状，非大补不可，于是用人参一两煎服，汗出更加严重，手脚都变冷，再次用人参二两、干姜二钱煎服，过了很久汗才稍微停止，再服用两剂后各种症状立刻痊愈，随后改用补中益气汤加人参五钱，服用几剂后痊愈。
有一个小儿手臂生痈疽溃破后，出现颤振和气息微弱，脉象浮数，但重按无力（不鼓指），这是元气虚弱所致，早晨服用补中益气汤，晚上服用异功散，各服用二十多剂，未见效果，是因为虚损太严重，药力暂时未能达到病所，又继续用前药各二十多剂，颤振逐渐好转。后来辅以托里散，疮疡也痊愈了。
有一个十六岁的小儿，臀部生痈疽溃破后出现颤振，于是使用大补中气的药物使颤振停止。后来因劳累发热，痈疽内部再次溃破并引发颤振，脉象浮数，重按无力，两手寸脉短小不及本位，有人想祛风。我说：脉长表示气机调畅，脉短表示气机有病，这是由于胃气极度虚弱造成的，先用独参汤服用几剂痊愈，然后辅以补中益气汤，各服用五十多剂而痊愈。如果加一片附子，服用几剂也可以痊愈。
有一个十六岁的女子，手臂肿起一块，皮肤颜色没有改变，按压则疼痛，服用败毒流气的药剂后，更加出现发颤，正值孟春时节，面部像戴着阳光一样发红，手不怕冷，脉象浮数，重按无力且短，她想攻毒，我说：这是营卫虚弱，被外寒搏击而产生的疾患，又加上败毒药，导致胃气亏损，难道不会加重颤振吗！于是用人参五钱，黄芪三钱，当归、熟地黄各三钱，升麻、柴胡各五分，服用二十多剂后颤振稍缓解。接着辅以补中益气汤，内服用人参五钱，又服用二十多剂，兼用葱熨法，肿块也痊愈了。
有一个女子患瘰疬，因为愤怒导致双手颤振，面色有时青有时红，这是肝经血虚火盛而生风的表现，使用四物汤加山栀、钩藤钩、龙胆草、甘草，颤振逐渐痊愈，然后去掉龙胆草，与地黄丸交替服用而痊愈。后来因为劳心发热，双手再次震颤，使用补中益气汤、地黄丸而痊愈。
有一个小儿患手臂痈疽，面色有时黄有时红，先用补中益气汤、地黄丸不久痊愈。后来因为生气导致颤振，先用补中益气汤加钩藤钩、炒山栀；又用加味逍遥散加钩藤钩而痊愈。又因为饮食停滞，呕吐腹泻且有酸臭味，更加出现抽搐，使用五味异功散加钩藤钩而痊愈。
有一个女子患流注（一种漫肿无头的痈疽），发热而颤振，这是肝脾气血不足，月经过期，虚火生风的病症，先用补中益气汤加钩藤钩逐渐好转，又用加味地黄丸而痊愈。
有一个女子得不到继母的关爱，长期郁结愤怒，于是患上颤振，面赤发热，先用加味小柴胡汤，次用加味归脾汤及加味逍遥散，前后交替服用不久痊愈。但面色有时发青，又用地黄丸、逍遥散而安定。
有一个女子腹部生痈疽患此病，手足有时拘急有时弛纵，先用四物汤加柴胡、山栀、丹皮、钩藤钩，以养血清肝火；又用地黄丸以滋肾生肝血而痊愈。
（方剂见前面各病症记载。）
Tremor and convulsion (limb traction and spasm) are similar. Convulsion manifests as limb traction, with extension or flexion; whereas tremor is merely trembling and shaking, without extension or flexion. The *Huangdi Neijing* states: "Because the Stomach Qi is not substantial, all meridians become empty." Treatment should follow the movement of Yin Qi, tonifying the Qi in the muscle interspaces at the site of the lesion. However, when children suffer from ulcerated and putrid sores, or injuries, with excessive discharge of pus and blood, it belongs to Spleen and Stomach Qi deficiency and Blood weakness. The primary treatment should be Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Wuyi Yigong San (Five Agents for Extraordinary Merit Powder), modified with Baizhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), and Shengma (Cimicifugae Rhizoma). If there is deficient heat in the Liver meridian, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is used. For Spleen Blood deficiency, Sijunzi Tang (Four Gentlemen Decoction) modified with Xiong (Ligustici Chuanxiong Rhizoma) and Gui (Angelicae Sinensis Radix) is used. For Stomach Qi deficiency, Buzhong Yiqi Tang is used.
A child developed a carbuncle on the leg, which internally ulcerated and discharged approximately one bowl of pus. Immediately thereafter, tremors occurred, with a pale complexion and sweating. This indicates Yang Qi collapse and depletion, requiring major tonification. Ren Shen (Ginseng Radix et Rhizoma) 1 liang was decocted and administered. The sweating worsened, and both hands and feet became cold. Subsequently, Ren Shen 2 liang and Gan Jiang (Zingiberis Rhizoma) 2 qian were decocted and administered. After a long time, the sweating subsided slightly. After two more doses, all symptoms resolved abruptly. Thereafter, Buzhong Yiqi Tang modified with Ren Shen 5 qian was administered for several doses until recovery.
Another child had an arm carbuncle that ulcerated, followed by tremors and shortness of breath. The pulse was floating and rapid, but weak upon deep pressure (not drumming against the finger), indicating Yuan Qi (Original Qi) deficiency. In the morning, Buzhong Yiqi Tang was administered; in the evening, Yigong San was administered. After more than twenty doses of each, no effect was seen. This was because the deficiency was severe, and the medicinal power had not yet reached the disease site. The previous medicines were continued for another twenty-plus doses each, after which the tremors gradually improved. Later, Tuoli San (Support the Interior Powder) was added as an adjuvant, and the sore also healed.
A sixteen-year-old child had a buttock carbuncle that ulcerated, leading to tremors. Large-dose Qi-tonifying medicines were used, stopping the tremors. Later, due to fatigue-induced fever, the carbuncle internally ulcerated again, triggering tremors. The pulse was floating and rapid, weak upon deep pressure, and the Cun (inch) pulses on both wrists were short and small, failing to reach their normal position. Someone suggested dispelling wind. I said: A long pulse indicates regulated Qi; a short pulse indicates Qi pathology. This is caused by extreme Stomach Qi deficiency. Dushen Tang (Single Ginseng Decoction) was administered for several doses, resulting in recovery. Then, Buzhong Yiqi Tang was added as an adjuvant, administered for fifty-plus doses of each until recovery. If one slice of Fuzi (Aconiti Lateralis Radix Praeparata) had been added, recovery could have been achieved in a few doses.
A sixteen-year-old female had a swelling on her arm, with unchanged skin color, painful upon pressure. After taking Jiudu Liuqi agents (antidotal and Qi-moving preparations), she developed increased tremors. It was early spring; her face appeared flushed as if covered by sunlight, and her hands were not afraid of cold. The pulse was floating and rapid, weak upon deep pressure and short. She desired to attack the toxin. I said: This is due to Ying and Wei (Nutritive and Defensive) Qi weakness, attacked by external cold. Adding more antidotal medicines damages Stomach Qi; would this not exacerbate the tremors? Therefore, Ren Shen 5 qian, Huangqi (Astragali Radix) 3 qian, Danggui 3 qian, Shudi (Rehmanniae Radix Preparata) 3 qian, Shengma 5 fen, and Chaihu (Bupleuri Radix) 5 fen were administered. After twenty-plus doses, the tremors eased slightly. Then, Buzhong Yiqi Tang was added as an adjuvant, containing Ren Shen 5 qian. After another twenty-plus doses, combined with Congyun method (scallion moxibustion/fomentation), the swelling also healed.
A female suffered from scrofula (luoli). Due to anger, her hands trembled. Her complexion alternated between green and red. This indicated Liver meridian Blood deficiency with excess fire generating wind. Siwu Tang (Four Substances Decoction) modified with Zhizi (Gardeniae Fructus), Goutenggou (Uncariae Ramulus cum Uncis), Longdancao (Gentianae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) was used, and the tremors gradually improved. Longdancao was then removed, and Dihuang Wan (Rehmannia Pill) was administered alternately until recovery. Later, due to mental exertion causing fever, her hands trembled again. Buzhong Yiqi Tang and Dihuang Wan were used until recovery.
A child suffered from an arm carbuncle. His complexion alternated between yellow and red. Initially, Buzhong Yiqi Tang and Dihuang Wan were used, and he recovered quickly. Later, due to anger, tremors occurred. Buzhong Yiqi Tang modified with Goutenggou and Chao Zhizi (Stir-fried Gardeniae Fructus) was used first; then JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder) modified with Goutenggou was used until recovery. Later, due to food stagnation, vomiting and diarrhea with sour odor occurred, accompanied by spasms. Wuyi Yigong San modified with Goutenggou was used until recovery.
A female suffered from liuzhu (flowing abscesses), with fever and tremors. This was a syndrome of Liver and Spleen Qi and Blood deficiency, delayed menstruation, and deficiency fire generating wind. Buzhong Yiqi Tang modified with Goutenggou was used initially, leading to gradual improvement. Then JiaWei Dihuang Wan (Modified Rehmannia Pill) was used until complete recovery.
A female did not receive affection from her stepmother. Over time, depression and anger led to tremors. Her face was red and she had a fever. JiaWei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) was used first, followed by JiaWei Guipi Tang (Modified Restore the Spleen Decoction) and JiaWei Xiaoyao San, administered alternately until recovery. However, her complexion sometimes turned green, so Dihuang Wan and Xiaoyao San were used to stabilize her condition.
A female suffered from an abdominal carbuncle with this condition. Her limbs were sometimes rigid and sometimes flaccid. Siwu Tang modified with Chaihu, Zhizi, Danpi (Moutan Cortex), and Goutenggou was used first to nourish Blood and clear Liver fire. Then Dihuang Wan was used to nourish Kidney and generate Liver Blood until recovery.
(The formulas are described in the preceding sections regarding various syndromes.)