麻木不仁症何治，二陈四物汤须识。总是湿痰死血成，活血开痰法先试。两臂桂枝不可
无，下部灵仙牛膝使。补中益气青（皮）附（香附）香（木香），白芥红（花）桃（仁）药兼备。
营虚，肝风挟痰，指末胀麻
煨天麻 羚羊片 桂枝 茯苓 胆星 白芍 钩藤钩 石决明 桑枝 秦芄 归身
肝肾虚，眩晕耳鸣，心悸指末麻
生地 西杞子 远志 石菖蒲 桂枝 阿胶 羚羊角 茯神 炙龟版 牡蛎 归身
白蒺藜 胡麻 湖丹皮 白芍 料豆皮 桑叶 炒山栀
痫症或因惊恐，或由饮食不节，或由母腹中受惊，以致五内不平，经久失调，一触积痰，
厥气内风猝然暴逆，莫能禁止。待其气平然后已。至于主治，要在辨其虚实耳。
痫 晕倒时流涎，声类畜叫五痫传。痫醒身软 反是，皆由痰与惊专权。惊则神志不守
舍，舍空痰如心窍填。肝胆胃经挟痰火，三阳合并升而然。行痰为主清热次，犀角二陈
（石）菖（蒲）胆（星）连（川连枳）。壳蒌（皮）藤橘姜竹沥，茯神郁（金远）志宜同煎。
惊恐痰火升，发痫
黄连 山栀 广皮 胆星 黄芩 枳实 远志 菖蒲
阳气郁窍，络阻发痫厥
羚羊角 川柏 姜半夏 连翘 陈胆星 远志 广郁金 元参 钩藤钩 白芍 川
黄连 煨天麻 广皮 清阿胶
水火郁血滞，兼痫（妇人经来紫黑）
生地 紫丹参 炒山栀 西珀屑 丹皮 胡黄连 茺蔚子
肝肾阳开发痫
入冬不寐，阳不滑藏。虎潜丸，见前。
陈参曰∶痫症有风热，有惊邪，皆兼虚与痰所致。幼科方书小儿有五痫，五脏各有畜所
属。声如羊者心痫，声如犬者肝痫，声如牛者脾痫，声如鸡者肺痫，声如猪者肾痫。 ，风病
也。《难经》督脉为病，脊强而厥。张仲景云∶脊强者，五 之总名。其症卒口噤，背张而螈 。
麻木不仁的症状该如何治疗？必须了解二陈汤和四物汤。这总是由湿痰和瘀血造成的，先尝试活血化痰的方法。治疗两臂麻木不可缺少桂枝，治疗下部麻木则用威灵仙和牛膝。若是气虚导致的麻木，可用补中益气汤加青皮、香附、木香；若是血虚兼有痰瘀，白芥子、红花、桃仁等药需兼备。
若因营血虚弱，肝风挟带痰浊，导致手指末端胀麻，可用煨天麻、羚羊片、桂枝、茯苓、胆南星、白芍、钩藤、石决明、桑枝、秦艽、当归身。
若因肝肾虚弱，出现眩晕耳鸣、心悸及手指末端麻木，可用生地、枸杞子、远志、石菖蒲、桂枝、阿胶、羚羊角、茯神、炙龟板、牡蛎、当归身。
若见白蒺藜、胡麻、牡丹皮、白芍、料豆皮、桑叶、炒山栀（此段似为另一证候或方剂组成部分，原文未明确主症，依文意归入此类调理）。
痫症可能是因为惊恐，或者由于饮食不节制，或者在母腹中受到惊吓，导致五脏内部不平，长久失调，一旦触动积存的痰浊，厥逆之气和内风突然暴烈逆行，无法禁止，等到气息平复后才停止。至于主要治疗方法，关键在于辨别虚实。
痫症发作时晕倒流涎，声音像牲畜叫唤，这是五痫的传变。痫症苏醒后身体软弱无力，反过来看，这都是由痰和惊邪专权所致。惊恐导致神志不能守舍，心窍空虚，痰浊如填充心窍。肝胆胃经挟带痰火，三阳经合并上升而致病。治疗以行痰为主，清热为辅，可用犀角、二陈汤加石菖蒲、胆南星、黄连、瓜蒌壳、瓜蒌皮、橘红、生姜、竹沥汁，茯神、郁金、远志适宜同煎。
若因惊恐痰火上升引发痫症，可用黄连、山栀、陈皮、胆南星、黄芩、枳实、远志、菖蒲。
若因阳气郁结闭塞清窍，经络阻滞引发痫厥，可用羚羊角、川柏、姜半夏、连翘、陈胆南星、远志、广郁金、玄参、钩藤、白芍、川黄连、煨天麻、陈皮、清阿胶。
若因水火郁结、血滞，兼见妇人经期紫黑血块引发的痫症，可用生地、紫丹参、炒山栀、西珀屑、丹皮、胡黄连、茺蔚子。
若因肝肾阳气开发引发痫症，且伴有入冬失眠，这是阳气不能潜藏。可用虎潜丸（见前文）。
陈修园说：痫症有风热型的，有惊邪型的，都兼有虚证和痰证。儿科方书中记载小儿有五痫，五脏各有对应的动物归属。叫声像羊的是心痫，叫声像狗的是肝痫，叫声像牛的是脾痫，叫声像鸡的是肺痫，叫声像猪的是肾痫。这些都是风病。《难经》说督脉生病，会出现脊背强直和厥逆。张仲景说：脊背强直，是“痉病”的总称。其症状是突然口噤，背部反张并伴有抽搐。
How should the syndrome of numbness and insensitivity (Mabu Buren) be treated? One must understand Erchen Tang (Two-Chen Decoction) and Siwu Tang (Four-Substance Decoction). This is always caused by damp-phlegm (Shitan) and dead blood stasis (Sixue). The method of invigorating blood and resolving phlegm should be tried first. For numbness in both arms, Guizhi (Cinnamon Twig) must not be omitted; for numbness in the lower body, Lingxian (Notopterygii Rhizoma) and Niuxi (Achyranthis Bidentatae Radix) are used. If it is due to Qi deficiency, Buyi Zhongqi Tang (Tonify the Middle and Augment the Qi Decoction) with Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma), and Muxiang (Aucklandiae Radix) can be added. If blood deficiency is accompanied by phlegm and stasis, Baijiezi (Sinapis Semen), Honghua (Carthami Flos), and Taoren (Persicae Semen) should all be included.
If Ying-blood (Nutritive Blood) is deficient, and Liver Wind carries Phlegm, causing distending numbness at the fingertips, one may use Wei Tianma (Gastrodiae Rhizoma prepared by baking), Yangling Pian (Saiga Tataricae Cornu sliced), Guizhi, Fuling (Poria), Danningxing (Arisaematis Cum Bile), Baishao (Paeoniae Radix Alba), Goutenggou (Uncariae Ramulus cum Uncis), Shijueming (Haliotidis Concha), Sangzhi (Mori Ramulus), Qinjiao (Gentianae Macrophyllae Radix), and Guishen (Angelicae Sinensis Radix).
If it is due to Liver-Kidney deficiency, presenting with vertigo, tinnitus, palpitations, and numbness at the fingertips, one may use Shengdi (Rehmanniae Radix), Xiqizi (Lycii Fructus), Yuanzhi (Polygalae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Guizhi, Ejiao (Asini Corii Colla), Yanglingjiao (Saiga Tataricae Cornu), Fushen (Poria cum Pinodia), Zhi Guiban (Testudinis Carapax et Plastrum prepared), Muli (Ostreae Concha), and Guishen.
[Regarding] Baijili (Tribuli Fructus), Huma (Sesami Fructum), Hudanpi (Moutan Cortex), Baishao, Liaodoupi (Phaseoli Sarcotesta), Sangye (Mori Folium), and Chao Shanzhi (Gardeniae Fructus stir-fried).
Epilepsy (Xianzheng) may arise from fright or terror, or due to irregular diet, or from being startled in the mother's womb, leading to internal imbalance of the Five Viscera. After prolonged dysregulation, once accumulated phlegm is triggered, rebellious Qi and internal wind suddenly surge violently, uncontrollable, until the Qi calms down. Regarding the main treatment, it lies in distinguishing between deficiency and excess.
In epilepsy, when fainting occurs with salivation flowing, and the sound resembles that of livestock, this is the transmission of the Five Epilepsies. After waking, the body feels soft and weak; conversely, this is entirely due to Phlegm and Fright taking dominance. Fright causes the Spirit (Shen) to lose its residence; with the residence empty, Phlegm fills the Heart orifice. The Liver, Gallbladder, and Stomach meridians carry Phlegm-Fire, rising due to the convergence of the Three Yang meridians. Treatment focuses primarily on moving Phlegm, secondarily on clearing Heat. One may use Xijiao (Rhinocerotis Cornu - note: substitute with Tapir Horn or Buffalo Horn in modern practice), Erchen Tang, plus Shichangpu, Danningxing, and Lian (Chuanlian, Coptidis Rhizoma). Also include Louqiao (Trichosanthis Fructus shell and peel), Ju (Ju Hong, Citri Reticulatae Pericarpium), Jiang (Zingiberis Rhizoma), Zhuli (Bambusae Sap), Fushen, Yujin (Curcumae Longae Radix), and Yuanzhi, decocted together.
If epilepsy is triggered by Fright-Terror and rising Phlegm-Fire, one may use Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Guangpi (Chenpi, Citri Reticulatae Pericarpium), Danningxing, Huangqin (Scutellariae Radix), Zhishi (Aurantii Fructus Immaturus), Yuanzhi, and Changpu.
If epilepsy-jue (syncope) arises from stagnant Yang blocking the orifices and obstructing collaterals, one may use Yanglingjiao, Chuanbai (Phellodendri Chinensis Cortex), Jiang Banxia (Pinelliae Ternatae Rhizoma prepared with ginger), Lianqiao (Forsythiae Fructus), Chen Danningxing, Yuanzhi, Guang Yujin, Yuanshen (Scrophulariae Radix), Goutenggou, Baishao, Chuan Huanglian, Wei Tianma, Guangpi, and Qing Ejiao.
If water-fire stagnation and blood stasis occur, accompanied by epilepsy in women with dark purple menstrual blood, one may use Shengdi, Zidan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Chao Shanzhi, Xi Poxie (Succini Granulum), Danpi (Moutan Cortex), Hu Huanglian (Coptidis Rhizoma variant or related herb), and Chongweizi (Leonuri Fructus).
If epilepsy arises from the development of Liver-Kidney Yang, accompanied by insomnia in winter due to Yang failing to store and descend, one may use Huyian Wan (Tiger-Hiding Pill, see previous text).
Chen Xiuyuan said: Epilepsy includes types of Wind-Heat and Fright-Evil, all caused by a combination of Deficiency and Phlegm. Pediatric formularies state that children have Five Epilepsies, with each Zang organ corresponding to an animal. The sound like a sheep indicates Heart Epilepsy; like a dog, Liver Epilepsy; like an ox, Spleen Epilepsy; like a chicken, Lung Epilepsy; like a pig, Kidney Epilepsy. These are all Wind diseases. The Nan Jing states that disease of the Du Meridian presents as stiffness of the spine and jue (cold extremities/syncope). Zhang Zhongjing stated: Spinal stiffness is the general name for "Jing" (Spasm) syndrome. Its symptoms include sudden lockjaw, opisthotonos (back arching), and convulsions.