丹溪曰∶破伤风症多死，最急症也。始因出血过多，或风从疮口而入，或疮早闭
合，瘀血停滞于内，血受病而属阴，始虽在表，随易传脏，故此风所伤，极多难治。其
症身热自汗，口噤搐搦，势急非常药可治，故丹溪曰∶非全蝎不开，兼以防风风药。凡
破伤风邪，初受在表者，宜用发散，同伤寒表治法，用防风、羌、独、芎、归、麻黄、
南星、白芷、全蝎、赤芍、细辛、 本、蔓荆、天麻、半夏、陈皮之类，随候加减。半
表半里者，宜用和解药，如发散不解，邪传入里，脏腑闭塞。惊而发搐，宜用天麻、蜈
蚣、雄黄、僵蚕、巴霜、朱砂、南星、全蝎之类为丸。或用羌、防、芎、归、赤芍，黄
芩、大黄之类，煎服下之，若病日久，气血渐虚，邪气入胃者，宜养气血为主，兼以风
药，如当归、地黄、芎、芍、防风、白芷之类；如伤骨疼痛者加乳香。
四恶症不可治，一头目青黑，二额上汗珠不流，三眼小目瞪，四身汗如油。
治破伤风，止血定疼。
苍术（六两） 川乌头（泡，去皮，四两） 防风 草乌头（泡，去皮） 细辛（二两五钱）
天麻 川芎 两头尖（泡，去皮，四两） 白芷（各一两五钱） 蝎梢（微炒） 雄黄
乳香（各五钱） 为末。每服一钱，酒调下。
一方
治破伤风，用全蝎十个，为末，酒调，一日三次服之。
丹溪说：破伤风症大多致死，是最危急的病证。起初是因为出血过多，或者风邪从疮口侵入，或者疮口过早闭合，导致瘀血停滞在体内，血液受病而属阴，虽然起初病邪在表，但随后容易传入脏腑，因此这种风邪所致的伤害，极多难以治疗。其症状表现为身体发热、自汗、牙关紧闭、抽搐痉挛，病情急迫非常规药物所能治愈，所以丹溪说：非全蝎不能开通（经络），并配合防风等祛风药。凡是破伤风邪气，初起在表的，适宜使用发散法，同伤寒表证治法一样，用防风、羌活、独活、川芎、当归、麻黄、天南星、白芷、全蝎、赤芍、细辛、藁本、蔓荆子、天麻、半夏、陈皮之类的药物，根据具体证候加减。在半表半里的，适宜使用和解药，如果发散后不解，邪气传入里部，导致脏腑闭塞。惊恐而引发抽搐的，适宜使用天麻、蜈蚣、雄黄、僵蚕、巴豆霜、朱砂、天南星、全蝎之类的药物制成丸剂。或者用羌活、防风、川芎、当归、赤芍、黄芩、大黄之类的药物，煎服以泻下。如果病程日久，气血逐渐虚弱，邪气入胃的，适宜以调养气血为主，兼用祛风药，如当归、地黄、川芎、芍药、防风、白芷之类的；如果伤及骨骼疼痛的，加乳香。
四种恶症不可治：一是头目青黑，二是额头出汗珠而不流动，三是眼睛变小且直视，四是身上汗水如油。
治疗破伤风，止血定痛。
苍术（六两） 川乌头（炮制，去皮，四两） 防风 草乌头（炮制，去皮） 细辛（二两五钱）
天麻 川芎 两头尖（炮制，去皮，四两） 白芷（各一两五钱） 蝎梢（微炒） 雄黄
乳香（各五钱） 研为末。每次服用一钱，用酒调服。
Danxi stated: Wind-stroke due to broken skin (Pòshāngfēng) often results in death and is the most urgent condition. Initially, it arises from excessive bleeding, wind pathogen entering through the wound, or premature closure of the wound causing blood stasis within. Since blood pathology belongs to Yin, although the pathogen starts at the exterior, it easily transmits to the Zang-Fu organs. Therefore, injuries caused by this wind are extremely difficult to treat. Symptoms include fever, spontaneous sweating, trismus (lockjaw), and convulsions. The condition is so acute that ordinary medicines cannot cure it. Thus, Danxi said: Only Quanjie (Whole Scorpion) can open the meridians, combined with Fangfeng (Saposhnikovia Root) and other wind-dispelling herbs. For wind pathogen affecting broken skin initially located at the exterior, dispersing methods should be used, similar to treating exterior syndromes in Cold Damage (Shānghán). Formulas may include Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Mahuang (Ephedrae Herba), Banxia (Pinelliae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Quanjie (Whole Scorpion), Chishao (Paeoniae Radix Rubra), Xixin (Asari Radix et Rhizoma), Gaoben (Ligustici Wallichii Rhizoma et Radix), Manjingzi (Vittagiae Fructus), Tianma (Gastrodiae Rhizoma), Banxia (Pinelliae Rhizoma), and Chenpi (Citri Reticulatae Pericarpium), adjusted according to symptoms. For half-exterior half-interior stages, harmonizing formulas are appropriate. If dispersing fails and the pathogen transmits inward, causing Zang-Fu obstruction, and fright induces convulsions, one may use pills made of Tianma (Gastrodiae Rhizoma), Wugong (Scorpio), Xionghuang (Realgar), Jiangcan (Bombyx Batryticatus), Bafang (Crotonis Fructus Preparatum), Zhusha (Cinnabaris), Banxia (Pinelliae Rhizoma), and Quanjie (Whole Scorpion). Alternatively, decoctions of Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikovia Root), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix), and Dahuang (Rhei Radix et Rhizoma) can be taken to purge. If the disease has persisted for a long time, Qi and Blood become deficient, and the pathogen enters the Stomach, treatment should primarily nourish Qi and Blood, supplemented by wind-dispelling herbs such as Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikovia Root), and Baizhi (Angelicae Dahuricae Radix); if bone injury causes pain, add Ruxiang (Olibanum).
Four ominous signs indicate incurability: 1. Blue-black discoloration of the head and eyes; 2. Sweat beads on the forehead that do not flow; 3. Small, staring eyes; 4. Sweating like oil.
To treat wind-stroke due to broken skin, stop bleeding and relieve pain.
Cangzhu (Atractylodis Rhizoma, 6 liang), Chuanwutou (Prepared Aconiti Radix, peeled, 4 liang), Fangfeng (Saposhnikovia Root), Caowutou (Prepared Aconiti Kusnezoffii Radix, peeled), Xixin (Asari Radix et Rhizoma, 2.5 liang), Tianma (Gastrodiae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Liangtoujian (Dichroae Radix, peeled, 4 liang), Baizhi (Angelicae Dahuricae Radix, each 1.5 liang), Xieshao (Scorpion Tail, lightly stir-fried), Xionghuang (Realgar), Ruxiang (Olibanum, each 5 qian). Grind into powder. Take 1 qian per dose, mixed with wine.
Another prescription:
For wind-stroke due to broken skin, use 10 Quanjie (Whole Scorpions), grind into powder, mix with wine, and take three times daily.