〔钱〕肝有风，目连札不搐；有热，则直视亦不搐；得心热则搐。治肝，泻青丸。治心，导赤散。凡病或
新或久，皆引肝风，风动而上于头目。目属肝，风入于目，上下左右如风吹不定，儿不任，故目连札也。
若热入于目，牵其筋脉，两 皆紧，不能转视，故目直视也。若得心热则搐，其子母俱有实热，风火
相搏故也。治肝，泻青丸。治心，导赤散。
〔钱〕肝有风，甚则身反张，强直不搐，心不受热，当补肾治肝。补肾，地黄丸。治肝，泻青丸。
丹溪云∶ 比痫为虚，宜带补，多是气虚有火兼痰，用人参、竹沥治之，不用兼风药。此论实发前
人所未发，汤氏虽云 候十无一生，盖未尝有此法施于人也。
〔《明》〕角弓反张。鼻上入发际三分，灸三壮。大椎下节间，灸三壮。
〔汤〕身软时醒者为痫，身强直反张如弓，不时醒者为 ， 候十无一生。
〔汤〕肝风摇头，诸方不载。郑都丞子患七年摇头，三年下血，已服百余方，前后所服治摇头者，无非风
药止血者，或作痢，或作肠风，百药无效。予既视其病，又知其详，亦不明其标本，退而思之，乃肝血液盛，
外有风热乘之。肝属木，盛而脾土为木所克。脾与肺是子母，俱为肝所胜，而血遂渍于大便，故便血不止。遂
处一方，但损肝祛风而益脾。初亦一时之见，只数服而愈。十余日后，血止而下白脓，遂得以安。
犀角屑 甘草（各一分） 栝蒌根（半两） 蛇蜕皮（一钱，炙赤） 防风（五两） 钩藤（钩子，一钱）
麻黄（去节，一钱） 黄 （蜜炙，半两） 羌活 白芍药（各半两）
上为末，枣肉丸，食后薄荷汤下，只二服作效，头摇即止，便血随愈。次间服胃风汤，数日顿除。沈舍人
子服之亦验。
〔海〕《食疗》云∶蛇脱皮，主去风邪，明目，治小儿一百二十种惊痫寒热，痔，蛊毒，安胎，熬用。治痫弄
舌摇头者，宜用全脱。
【钱乙】肝脏有风邪，表现为眼球频繁眨动但不抽搐；肝脏有热邪，则表现为两眼直视但不抽搐；若兼得心经热邪，则会出现抽搐。治疗肝脏，使用泻青丸。治疗心脏，使用导赤散。凡是疾病，无论是新发还是久病，都会引动肝风，风邪上扰至头目。眼睛归属于肝，风邪侵入眼部，上下左右晃动如同风吹不定，患儿无法忍受，因此出现眼球频繁眨动的症状。如果热邪侵入眼部，牵拉筋脉，导致两眼紧闭（注：原文“两”后缺字，据语境及医理推测为“眼闭”或“目系”，此处依常见解释译为两眼紧束/闭合），不能转动视线，所以出现两眼直视的症状。如果兼得心经热邪而出现抽搐，是因为心肝子母两脏都有实热，风火相互搏结所致。治疗肝脏，使用泻青丸。治疗心脏，使用导赤散。
【钱乙】肝脏有风邪严重时，则身体向后反折如弓状（角弓反张），强直僵硬但不抽搐，此时心经不受热邪影响，应当补肾并治疗肝脏。补肾，使用地黄丸。治疗肝脏，使用泻青丸。
朱丹溪说：痫证比惊风属于虚证，治疗宜兼顾补益，多是气虚伴有火邪兼夹痰浊，用人参、竹沥治疗，不使用兼治风邪的药物。这一论述确实阐发了前人未曾发表的观点，汤氏虽然声称惊风发作十例中无一能生，大概是因为未曾将这种方法应用于临床。
【明代医家】角弓反张。在鼻根向上入发际三分处，灸三壮。在大椎穴下方节间，灸三壮。
【汤氏】身体柔软且时常清醒的是痫证；身体强直反折如弓状，且不时清醒的是惊风（注：原文“ ”处缺字，结合上下文及汤氏原意，指惊风/痉病），惊风的预后极差，十例中无一能生。
【汤氏】肝风引起的摇头，各方书均未记载。郑都丞的儿子患摇头症七年，便血三年，已经服用了百余方药。此前所服用的治疗摇头的药，无非是祛风药和止血药；或者将其当作痢疾治疗，或者当作肠风治疗，百药无效。我诊视他的病情，又了解其详细经过，起初也不明白其标本所在，退下来思考后，认为是肝血旺盛，外受风热侵袭。肝属木，肝气过盛则克制脾土。脾与肺是母子关系，都被肝所克制，于是血液渗漏于大便之中，所以便血不止。于是开具一方，仅采用损伤肝气、祛除风邪而补益脾土的方法。这起初只是我的一时见解，只服了几剂就好了。十多天后，出血停止但排出白色脓液，随后得以安宁。
处方：犀角屑、甘草（各一分）、栝蒌根（半两）、蛇蜕皮（一钱，炙至赤色）、防风（五两）、钩藤（钩子，一钱）、麻黄（去节，一钱）、黄芪（蜜炙，半两）、羌活、白芍药（各半两）。
以上药物研为细末，用枣肉制成丸药，饭后用薄荷汤送服，仅服两剂见效，头摇立即停止，便血随之痊愈。间歇服用胃风汤，数日后彻底治愈。沈舍人的儿子服用此方也验证有效。
【海藏】《食疗》记载：蛇蜕皮，主治去除风邪，明目，治疗小儿一百二十种惊痫寒热、痔疮、蛊毒、安胎，需熬制后使用。治疗惊风弄舌、摇头的症状，宜使用完整的蛇蜕。
[Qian Yi] When the Liver has Wind pathogen, the eyes blink frequently without convulsions; when the Liver has Heat pathogen, there is fixed staring of the eyes without convulsions; if Heart Heat is involved, convulsions occur. To treat the Liver, use Xieqing Wan (Drain the Green Pill). To treat the Heart, use Daochi San (Guide Out Red Powder). Any disease, whether new or chronic, can draw out Liver Wind, causing the Wind to move upward to the head and eyes. The eyes belong to the Liver. When Wind enters the eyes, they shake up, down, left, and right as if blown by the wind. The child cannot bear this, hence the frequent blinking. If Heat enters the eyes, it pulls on the sinews and vessels, causing the eyes to be tightly bound [text missing in original, inferred as closed/tight], unable to turn the gaze, hence fixed staring. If convulsions occur due to Heart Heat, it is because both the Mother (Heart) and Child (Liver) organs have Excess Heat, and Wind and Fire struggle against each other. To treat the Liver, use Xieqing Wan. To treat the Heart, use Daochi San.
[Qian Yi] When Liver Wind is severe, the body arches backward like a bow (opisthotonos), becoming stiff and rigid without convulsions. If the Heart does not receive Heat, one should tonify the Kidney and treat the Liver. To tonify the Kidney, use Dihuang Wan (Rehmannia Pill). To treat the Liver, use Xieqing Wan.
Zhu Danxi stated: Epilepsy (Xian) is deficient compared to Convulsive Disorders (Feng), so treatment should include tonification. It is mostly Qi deficiency with Fire and Phlegm. Use Ren Shen (Ginseng Root) and Zhu Li (Bamboo Sap) for treatment, avoiding drugs that specifically target Wind. This discussion truly expounded upon points not previously revealed by earlier masters. Although Tang Shi claimed that ten cases of Convulsive Disorder result in no survivors, this was likely because this method had never been applied to patients.
[Ming Dynasty Physician] For Opisthotonos: Moxibustion at three Zhu (units of moxa cone size) above the nasal root, entering the hairline by three cun. Moxibustion at three Zhu between the lower segment of the Dazhui (GV14) vertebra.
[Tang Shi] If the body is soft and the patient wakes up intermittently, it is Epilepsy (Xian). If the body is stiff and arched backward like a bow, and the patient does not wake up intermittently, it is Convulsive Disorder (Jing Feng - text missing in original). The prognosis for Convulsive Disorder is extremely poor, with no survivors out of ten cases.
[Tang Shi] Head shaking caused by Liver Wind is not recorded in various formularies. The son of Vice-Administrator Zheng suffered from head shaking for seven years and hematochezia for three years. He had already taken over a hundred prescriptions. Previous treatments for head shaking consisted merely of Wind-expelling drugs and hemostatics; some treated it as Dysentery, others as Intestinal Wind, but all medicines were ineffective. After examining his condition and knowing the details, I initially did not understand its root and branch. Upon reflection, I determined that Liver Blood was abundant, and external Wind-Heat invaded it. The Liver belongs to Wood. When excessive, it overacts on Spleen Earth. The Spleen and Lung are in a mother-child relationship and are both subdued by the Liver, causing blood to seep into the large intestine, leading to persistent hematochezia. Therefore, I prescribed a formula that only damaged the Liver, expelled Wind, and benefited the Spleen. This was initially just my personal insight, but after taking only a few doses, he recovered. More than ten days later, the bleeding stopped, and white pus was discharged, after which he became stable.
Prescription: Xi Jiao Xiao (Rhinoceros Horn Shavings), Gan Cao (Licorice Root) (each 1 fen); Gua Lou Gen (Trichosanthes Root) (0.5 liang); She Tui Pi (Ophichus Skin) (1 qian, roasted until red); Fang Feng (Saposhnikovia Root) (5 liang); Gou Teng (Uncaria Ramulus cum Uncis) (1 qian); Ma Huang (Ephedrae Herba) (devoid of joints, 1 qian); Huang Qi (Astragali Radix) (honey-fried, 0.5 liang); Qiang Huo (Notopterygii Rhizoma et Radix); Bai Shao Yao (Paeoniae Radix Alba) (each 0.5 liang).
Grind the above into powder, form pills with jujube paste, and take with Bo He Tang (Mint Decoction) after meals. Effect was seen after only two doses; head shaking ceased immediately, and hematochezia healed subsequently. Intermittently take Weifeng Tang (Stomach Wind Decoction), and within a few days, the disease was completely eradicated. The son of Secretary Shen also verified the efficacy of this prescription.
[Hai Zang] "Food Therapy" states: She Tui Pi (Ophichus Skin) primarily expels Wind pathogen, brightens the eyes, treats 120 types of pediatric convulsive disorders, epilepsy, colds, fevers, hemorrhoids, gu poison, and calms the fetus; it should be roasted before use. For treating convulsive disorders with tongue protrusion and head shaking, complete skins should be used.