肝风（气热为外伤风，气温为内生风）目直（热则两 俱紧不转。凡目直兼青者，必发惊；切牙甚者，
亦发惊）手循捻，
肝主谋，故循衣领，乱捻物。风甚身强反张力大，泻青丸；心乘风火相搏则发搐，导赤散；渴、喘，
泻白散。
虚则切牙呵欠兼。
心不受热，目连札不搐，或发抽力小，俱当补肾治肝，肾气丸。如心乘肝，实邪，壮热而搐，利惊丸、
凉惊丸；肺乘肝，贼邪气盛，呵欠微搐，法当以肾气丸补肝，泻白散泻肺；脾乘肝微邪，多睡身重发搐，先以
泻青丸定搐，然后随所见证调治；肾乘肝，虚邪，憎寒呵欠发搐，羌活膏。所谓乘者，犹乘车之乘。五脏相乘
莫测，如肝病必先治肺补肾，然后审肝脏虚实而调之，余脏仿此。
心惊（搐）难言合面卧，
烦热上窜，舌强欲言不能叫哭，胸热，故欲合卧就凉，单泻心汤、导赤散、小生犀散。
虚则困卧惊悸添。
温惊丸。肺乘心，喘而壮热，泻白散；肝乘心，风热，大羌活汤下泻青丸；脾乘心，身热，泻黄散；
肾乘心，恐怖恶寒，朱砂安神丸。
脾困（倦）身热渴不食，
实则困睡不露睛，身热渴欲饮水，或闭或泄黄赤色，泻黄散。
虚则吐泻风生痰。
虚则吐腥，泄泻白色，多睡露睛，四肢渐次生风，或有痰，钱氏白术散，异功散、理中丸。肝乘脾，
风泄而呕，二陈汤加黄芩；心乘脾，壮热体重而泻，羌活黄芩苍术甘草汤主之；肺乘脾，能食不大便而呕嗽，槟
榔、大黄煎汤下葶牛丸；肾乘脾，恶寒而泄，理中丸。
肺燥（喘嗽）鼻干手掐目，
实则喘而气盛，或渴，泻白散润之。手循眉目鼻面者，甘桔汤主之。肺只伤寒则不胸满；肺热复有风冷，
胸满短气喘嗽，泻白散、大青膏主之。
虚则（唇白色）少气喘无厌。
气哽长出少气，先服益黄散，而后阿胶散。心乘肺，热而喘嗽，先肾气丸，次导赤散、阿胶散；肝乘肺，
恶风眩冒喘嗽，人参羌活散；肾乘肺，憎寒，嗽清利，百部丸；脾乘肺，体重痰嗽泄泻，四君子汤加藿香、干
葛、木香、甘草。
肾寒畏明颅自解，
肾只不足，惟痘疮∶肾实则黑陷。小儿肾虚，由胎气不充，则神不足，目多白睛，畏明，颅囟自开，面
白色，皆难养或夭。有因病而致虚者，可补。
下窜足热火欲炎。
下窜者，骨重惟欲坠下而缩身也。足热不喜衣覆，心火下于肾部，肾气丸或正气汤。心乘肾，内热不恶
寒，桂枝汤加黄芩为丸；肺乘肾，喘嗽皮涩寒，百部丸；肝乘肾，拘急气搐身寒，理中丸；脾乘肾，体重泄泻
身寒，理中丸。凡本脏虚弱，皆鬼贼克害，当补本脏正气。假令肺病咳嗽，当春补肾，当夏救肺，当秋泻肺，
当冬补心。泻本脏，又名寒泻。大抵五脏各至本位即气盛，不可更补；到初克位，不可更泻。又肺病重，见肝
虚证易治，见肝热证难治。盖肺病久则虚冷，肝强实而反胜也。经曰∶受所制而不能制，谓之真强，法当
先补脾肺，而后
泻肝；肺胜者当补肝泻肺。然嗽久虚羸，不可服泻白散，宜肾气丸。又肝病见秋，肝胜肺也，宜补肺泻肝，
轻者病退，重者唇白如枯骨者死；肺病见春，肺胜肝也；心病见冬，心胜肾也；肾病见夏，肾胜心也；脾病
见四脏，顺者易治，逆者难治。五脏病机，不离五行生克制化之理，所以有脏腑虚实乘胜之病，世俗不审此
理，往往率指为外感、内伤，而用药枉死，此钱氏、洁古之功大矣哉！
肝风（由气热外感风邪，或气温内生风邪所致）表现为两眼直视（热盛则两目紧束不转动。凡目直兼见青色者，必定发作惊风；咬牙严重者，亦会发作惊风）。患儿出现手循衣领、乱捻物品的动作，因为肝主谋虑，所以出现此类行为。若风邪严重导致身体强直、角弓反张，应使用泻青丸；若心经受乘受风火相搏而引发抽搐，应使用导赤散；若伴有口渴、气喘，应使用泻白散。
心不受热邪侵袭时，仅表现为眼睑跳动而不抽搐，或发作抽搐但力度较小，都应当采用补肾治肝的方法，使用肾气丸。如果心经实邪乘袭肝经，表现为壮热且抽搐，应使用利惊丸、凉惊丸；如果肺经邪气乘袭肝经（贼邪），邪气旺盛，表现为呵欠微搐，治法应当用肾气丸补肝，用泻白散泻肺；如果脾经微邪乘袭肝经，表现为多睡、身重、发搐，先用泻青丸定搐，然后根据所见证候进行调理；如果肾经虚邪乘袭肝经，表现为憎寒、呵欠、发搐，应使用羌活膏。所谓“乘”，就像乘车一样顺势而上。五脏之间的相乘变化莫测，如肝病必须先治肺、补肾，然后审查肝脏的虚实情况进行调理，其余脏腑仿照此例。
心惊（搐）表现为难以言语、喜欢面向侧卧。烦热上窜，舌体僵硬想说话却叫不出哭声，胸部发热，所以喜欢合面侧卧以寻求凉爽，应使用单泻心汤、导赤散、小生犀散。
若属虚证，则表现为困倦卧床、惊悸加重，应使用温惊丸。肺经邪气乘袭心经，表现为气喘且壮热，使用泻白散；肝经风热乘袭心经，使用大羌活汤送服泻青丸；脾经邪气乘袭心经，表现为身热，使用泻黄散；肾经邪气乘袭心经，表现为恐惧、恶寒，使用朱砂安神丸。
若属实证，则表现为嗜睡但不露睛，身热口渴想饮水，大便或闭结或泄泻且颜色黄赤，应使用泻黄散。
若属虚证，则表现为呕吐、泄泻、生风、生痰。虚证表现为呕吐物有腥味，泄泻色白，多睡且露睛，四肢逐渐产生风象，或有痰涎，应使用钱氏白术散、异功散、理中丸。肝经邪气乘袭脾经，表现为风泄且呕吐，使用二陈汤加黄芩；心经邪气乘袭脾经，表现为壮热、体重且泄泻，使用羌活黄芩苍术甘草汤为主方；肺经邪气乘袭脾经，表现为能进食但不大便且呕吐咳嗽，使用槟榔、大黄煎汤送服葶苈子牛黄丸；肾经邪气乘袭脾经，表现为恶寒且泄泻，使用理中丸。
若属实证，表现为气喘且气盛，或口渴，应使用泻白散润之。手循摸眉目鼻面的，使用甘桔汤为主方。肺只受伤寒则不会出现胸满；若肺热又复感风冷，出现胸满、短气、气喘咳嗽，应使用泻白散、大青膏为主方。
若属虚证（唇色白），表现为少气、喘息且无厌恶感（指气息微弱而非烦躁）。
气哽、长出气、少气，先服用益黄散，而后服用阿胶散。心经邪气乘袭肺经，表现为热且喘嗽，先服用肾气丸，次服导赤散、阿胶散；肝经邪气乘袭肺经，表现为恶风、眩晕冒昧、喘嗽，使用人参羌活散；肾经邪气乘袭肺经，表现为憎寒、咳嗽清稀利爽，使用百部丸；脾经邪气乘袭肺经，表现为体重、痰嗽、泄泻，使用四君子汤加藿香、干葛、木香、甘草。
肾寒表现为畏光、头颅囟门自开解。
肾只有不足的情况，多见于痘疮病中：肾实则表现为黑陷。小儿肾虚，由于胎气不充，则神气不足，眼睛多白睛，畏光，头颅囟门自开，面色白，都难以养育或早夭。有因病致虚的，可以补益。
下窜，是指骨重只想坠下缩身的状态。足热不喜欢衣物覆盖，这是心火下行于肾部，应使用肾气丸或正气汤。心经邪气乘袭肾经，表现为内热不恶寒，使用桂枝汤加黄芩制成丸剂；肺经邪气乘袭肾经，表现为喘嗽、皮肤干燥涩滞、恶寒，使用百部丸；肝经邪气乘袭肾经，表现为拘急、气搐、身寒，使用理中丸；脾经邪气乘袭肾经，表现为体重、泄泻、身寒，使用理中丸。凡是本脏虚弱，都是鬼贼克害，应当补益本脏的正气。假令肺病咳嗽，应当在春季补肾，夏季救肺，秋季泻肺，冬季补心。泻本脏，又名寒泻。大抵五脏各至本位即气盛，不可再补；到了初克之位，不可再泻。另外，肺病重，见到肝虚证易治，见到肝热证难治。因为肺病久则虚冷，肝强实而反胜。经文说：受制约而不能制约对方，称为真强，治法应当先补脾肺，而后泻肝；肺胜者应当补肝泻肺。然而咳嗽日久导致虚羸，不可服用泻白散，宜用肾气丸。另外，肝病见于秋季，是肝胜肺，宜补肺泻肝，轻者病退，重者唇白如枯骨者死；肺病见于春季，是肺胜肝；心病见于冬季，是心胜肾；肾病见于夏季，是肾胜心；脾病见于其他四脏，顺者易治，逆者难治。五脏病机，不离五行生克制化的道理，所以有脏腑虚实乘胜的疾病，世俗之人不审察这个道理，往往率断为外感、内伤，而导致用药枉死，这是钱乙、洁古（张元素）功劳大的原因啊！
Liver Wind (caused by external wind invading due to Qi heat, or internal wind generated due to Qi warmth) manifests as fixed gaze (when heat is excessive, both eyes are tight and do not rotate. If fixed gaze is accompanied by bluish discoloration, convulsions will definitely occur; severe teeth grinding also indicates convulsions). The child performs actions such as picking at clothes and randomly grasping objects because the Liver governs planning and deliberation. If wind is severe causing body stiffness and opisthotonos, use Xie Qing Wan (Green Dragon Decoction); if the Heart is affected by wind-fire combusting leading to spasms, use Dao Chi San (Guide Out Red Powder); if accompanied by thirst and wheezing, use Xie Bai San (Drain White Powder).
If it is a deficiency pattern, it manifests as teeth grinding, yawning, and palpitations.
When the Heart is not invaded by heat, symptoms may include eyelid twitching without spasms, or spasms with weak intensity. In all these cases, one should tonify the Kidney and treat the Liver using Shen Qi Wan (Kidney Qi Pill). If excess pathogenic factors from the Heart invade the Liver, manifesting as high fever and spasms, use Li Jing Wan (Relieve Convulsion Pill) or Liang Jing Wan (Cool Convulsion Pill); if Lung pathogenic qi invades the Liver (Thief Pathogen), with strong qi manifesting as yawning and slight spasms, the treatment method should be to tonify the Liver with Shen Qi Wan and drain the Lung with Xie Bai San; if Spleen mild pathogen invades the Liver, manifesting as excessive sleepiness, heavy body, and spasms, first use Xie Qing Wan to stop spasms, then regulate according to the specific syndrome; if Kidney deficiency pathogen invades the Liver, manifesting as aversion to cold, yawning, and spasms, use Qiang Huo Gao (Notopterygium Paste). The term "Cheng" (invade/overcome) is like riding a vehicle. The interactions among the Five Zang organs are unpredictable. For example, in Liver disease, one must first treat the Lung and tonify the Kidney, then examine the Liver's deficiency or excess for regulation; other Zang organs follow this principle.
Heart惊 (Convulsion) manifests as difficulty speaking and a preference for sleeping face-down. Heat rises irritably, the tongue is stiff making speech difficult despite crying, chest heat causes a desire to lie face-down for coolness. Use Dan Xie Xin Tang (Single Drain Heart Decoction), Dao Chi San, or Xiao Sheng Xi San (Minor Rhinoceros Horn Powder).
If it is a deficiency pattern, it manifests as lethargy, lying down, and increased palpitations. Use Wen Jing Wan (Warm Convulsion Pill). Lung pathogen invading Heart manifests as wheezing and high fever; use Xie Bai San. Liver wind-heat invading Heart uses Da Qiang Huo Tang administered with Xie Qing Wan. Spleen pathogen invading Heart manifests as body heat; use Xie Huang San. Kidney pathogen invading Heart manifests as fear and aversion to cold; use Zhu Sha An Shen Wan (Cinnabar Calming Spirit Pill).
Spleen Kua (Fatigue) manifests as body heat, thirst, and anorexia.
If it is an excess pattern, it manifests as drowsiness without exposed pupils, body heat, thirst with desire to drink water, constipation or diarrhea with yellow-red stool color; use Xie Huang San.
If it is a deficiency pattern, it manifests as vomiting, diarrhea, generation of wind, and phlegm. Deficiency patterns show vomit with fishy smell, white diarrhea, excessive sleep with exposed pupils, gradual generation of wind in four limbs, possibly with phlegm. Use Qian Shi Bai Zhu San (Qian’s Atractylodes Macrocephala Powder), Yi Gong San (Benefit Work Powder), or Li Zhong Wan (Regulate Middle Pill). Liver pathogen invading Spleen manifests as wind-diarrhea and vomiting; use Er Chen Tang plus Huang Qin. Heart pathogen invading Spleen manifests as high fever, heavy body, and diarrhea; use Qiang Huo Huang Qin Cang Zhu Gan Cao Tang as the main formula. Lung pathogen invading Spleen manifests ability to eat but no bowel movement, vomiting, and cough; administer Ting Ni Wan (Descurainia and Coptis Pill) with decoction of Bing Lang and Da Huang. Kidney pathogen invading Spleen manifests as aversion to cold and diarrhea; use Li Zhong Wan.
Lung Dryness (Wheezing/Cough) manifests as dry nose and hand-picking at eyebrows, eyes, and face.
If it is an excess pattern, it manifests as wheezing with vigorous qi, or thirst; use Xie Bai San to moisten. Hand-picking at eyebrows, eyes, nose, and face is treated with Gan Jie Tang (Licorice and Platycodon Decoction). If Lung is only affected by Cold Damage, there is no chest fullness; if Lung heat is compounded by wind-cold, manifesting as chest fullness, shortness of breath, wheezing, and cough, use Xie Bai San or Da Qing Gao (Great Green Paste).
If it is a deficiency pattern (white lips), it manifests as shortness of breath and panting without aversion.
Qi choking, long exhalations, and shortness of breath: first take Yi Huang San, then E Jiao San. Heart pathogen invading Lung manifests as heat, wheezing, and cough; first take Shen Qi Wan, then Dao Chi San and E Jiao San. Liver pathogen invading Lung manifests as aversion to wind, dizziness, wheezing, and cough; use Ren Shen Qiang Huo San. Kidney pathogen invading Lung manifests as aversion to cold, clear profuse sputum cough; use Bai Bu Wan. Spleen pathogen invading Lung manifests as heavy body, phlegm-cough, and diarrhea; use Si Jun Zi Tang plus Huo Xiang, Gan Ge, Mu Xiang, and Gan Cao.
Kidney Cold manifests as aversion to light and fontanelle opening.
Kidney insufficiency is seen mainly in smallpox: Kidney excess manifests as black depression. Pediatric Kidney deficiency, due to insufficient prenatal qi, results in deficient spirit, prominent whites of the eyes, photophobia, open fontanelles, and pale complexion; these are difficult to nurture or may die young. Those who become deficient due to illness can be tonified.
Downward dragging, hot feet, fire wanting to flare up.
"Downward dragging" refers to heavy bones wanting to sink and curl up. Hot feet disliking clothing cover indicate Heart fire descending to the Kidney region; use Shen Qi Wan or Zheng Qi Tang. Heart pathogen invading Kidney manifests as internal heat without aversion to cold; use Gui Zhi Tang plus Huang Qin made into pills. Lung pathogen invading Kidney manifests as wheezing, cough, dry skin, and aversion to cold; use Bai Bu Wan. Liver pathogen invading Kidney manifests as tension, qi spasms, and cold body; use Li Zhong Wan. Spleen pathogen invading Kidney manifests as heavy body, diarrhea, and cold body; use Li Zhong Wan. Whenever the primary Zang organ is weak, it is subject to destruction by controlling elements; one must tonify the primary Zang's righteous qi. For instance, in Lung disease with cough, tonify Kidney in Spring, rescue Lung in Summer, drain Lung in Autumn, and tonify Heart in Winter. Draining the primary Zang is also called Cold Draining. Generally, when each Zang reaches its own position, its qi is prosperous and should not be further tonified; when reaching the initial controlling position, it should not be further drained. Furthermore, in severe Lung disease, seeing Liver deficiency signs makes it easy to treat, while seeing Liver heat signs makes it difficult to treat. This is because prolonged Lung disease leads to deficiency-cold, while strong Liver excess overcomes it. The Classic states: "Being controlled but unable to control is called True Strength." The method should be to first tonify Spleen and Lung, then drain Liver; if Lung is victorious, tonify Liver and drain Lung. However, in chronic cough leading to emaciation, Xie Bai San should not be used; Shen Qi Wan is suitable. Additionally, Liver disease appearing in Autumn indicates Liver overcoming Lung; tonify Lung and drain Liver. Mild cases recover, severe cases with lips white as dead bone die. Lung disease appearing in Spring indicates Lung overcoming Liver. Heart disease appearing in Winter indicates Heart overcoming Kidney. Kidney disease appearing in Summer indicates Kidney overcoming Heart. Spleen disease appearing in relation to the other four Zang organs: smooth progression is easy to treat, reverse progression is difficult. The pathology of the Five Zang organs does not depart from the principles of Five Elements generation and restriction. Thus, diseases of Zang-Fu deficiency/excess and mutual overcoming exist. Laypeople often fail to examine this principle, rashly diagnosing as external contraction or internal injury, leading to death from incorrect medication. This is why the contributions of Qian Yi and Jiegu (Zhang Yuansu) are great!