破伤风，跌打损伤而伤风也。宜养血疏风，四物汤加羌活、防风效。
验案
周娘娘，十二月杵碎二指，已三月矣，收口平复，半月后手复痛甚，发热身肿，便燥
，不能近枕。此破伤风也，作伤寒治必死。用羌活、防风、乌药、归身、生地、白芷、茯苓
、甘草、半夏、香附、枳壳，五帖而愈。
羊癫风，系先天元阴之不足，以致肝邪克土伤心故也。用二陈去一身之痰，加朱砂以镇
心火，菖蒲以开心窍，丹、青二皮以平肝，痰消而心肝之火平，自不致浊气填塞清道而作羊声矣
大头风，时行疫病也。宜用麻黄、杏仁、甘草、石膏、荆芥、防风、金银花、连翘、木通、生姜、葱白，水煎热服。
痿有风、痿之别。痛则为风，不痛则为痿。盖痛为实，不痛为虚。人之血气实，而风寒
客于经络之间，则邪正交攻而痛作矣；虚弱则痰火起于手足之内，而正不胜邪，痿痹作矣。一散
邪，一补虚，治法不同，慎之慎之！腰以下脚膝酸软无力，多属湿热。若大便燥结，四物汤
加苍术、黄柏、虎骨、龟板、汉防己之属；脾胃虚，四君子汤加上前药，腹胀用苍术煮白术
入药内，或参苓白术散加减亦可；骨髓中热，加知母、杜仲、牛膝，知母、杜仲补脾阴之不
足而走骨，得牛膝引退骨髓中邪热，助诸药成功。
五行之中，惟火有二。二肾虽水，而有一火。阳常有余，阴常不足，故曰一水不胜二火
金居上，畏火者也；脾土居中，侵水者也。人嗜欲无节，则水失所养，火寡于畏，火性炎上
，肺因火热矣；金被火克，木寡于畏，肝木乘脾，脾受木伤矣。肺伤则不能管摄一身，脾伤
则四肢不用。泻南方则肺金清，东方不实，何脾伤之有？补北方则心火降，西方不热，何肺
热之有？阳明清润，则宗筋滋，束骨而利关节矣，何痿之有？
痿证四肢不举，气血不足，风湿注于四肢而成痰。用川乌不拘多少，生杵为末，每服二
钱，好粳米半碗煮粥，加白糖二匙，啜之。中湿加薏苡仁末二钱，同煮粥吃甚效。
痿证四肢不用，浑身如绳束之状者，肝气急也，脾受木克，土不生金，肺为火邪所制，
宜补脾清肺。肺清肝平，脾无贼邪自愈。丸用白术一斤，白蔻三两，共末，桑椹汁丸。每服五十
丸，午前米饮下。忌食面、酒。
验案
一人六月遇考，湿浸于下体，遂致腰以下两足痿弱无力。此脾受湿而四肢不用耳。煎用
四君子加薏苡仁、芡实；丸用白术八两，茯苓二两，元米半升，入猪肚内蒸熟捣丸，沉香末三钱
为衣，白汤送下六七十丸。
一妇因火起惊吓，遂痰升，遍体疼痛，左半身手足俱软不能动，心中或痛或战，腰疼，
口干，头眩，便泄，四肢无力。方用白术、白茯苓、牛膝、川萆 、杜仲（姜汁炒）各一钱，归身
、甘草各五分，秦艽七分，姜、枣煎服愈。
破伤风，是指因跌打损伤后感受风邪所致。适宜采用养血疏风的治疗方法，使用四物汤加入羌活、防风，效果显著。
验案
周娘娘，在十二月末将两个脚趾砸碎，已经三个月了，伤口愈合平整，但半个月后手部再次剧烈疼痛，伴有发热和全身肿胀，大便干燥，无法靠近枕头休息。这是破伤风，如果当作伤寒治疗必然致死。处方用羌活、防风、乌药、当归身、生地、白芷、茯苓、甘草、半夏、香附、枳壳，服用五帖后痊愈。
羊癫风（癫痫），是由于先天元阴不足，导致肝木克制脾土并伤害心脏的缘故。使用二陈汤去除体内的痰浊，加入朱砂以镇安心火，石菖蒲以开通心窍，牡丹皮和赤芍（丹皮、青皮/或指代清肝之品，此处依原文“丹青二皮”通常指牡丹皮及清肝药物，结合语境理解为平肝清热）以平抑肝火，痰浊消除且心肝之火平息，自然就不会因为浊气堵塞清窍而发出羊叫声了。
大头风（颜面丹毒/痄腮等头面部急性感染），属于时行疫病。适宜使用麻黄、杏仁、甘草、石膏、荆芥、防风、金银花、连翘、木通、生姜、葱白，水煎后热服。
痿证有风与痿的区别。疼痛的属于风证，不疼痛的属于痿证。一般来说，疼痛属实证，不疼痛属虚证。人的血气充实，风寒客居于经络之间，则邪气与正气交争而引发疼痛；身体虚弱则痰火产生于手足内部，正气不能战胜邪气，痿痹便发生了。一种是疏散邪气，一种是补益虚损，治疗方法不同，务必谨慎！腰部以下脚膝酸软无力，多属于湿热。如果大便燥结，可用四物汤加入苍术、黄柏、虎骨、龟板、汉防己这类药物；如果是脾胃虚弱，用四君子汤加上前面的药物，若腹胀，可用苍术煮白术入药内，或者参苓白术散加减也可以；如果是骨髓中有热，加入知母、杜仲、牛膝，知母、杜仲补益脾阴的不足并引导药力走骨，配合牛膝引退骨髓中的邪热，帮助诸药取得成功。
五行之中，只有火有两种。两肾虽然属水，但其中含有一火（命门之火）。阳气常常有余，阴精常常不足，所以说一水不能胜二火。金位于上部，畏惧火；脾土位于中部，侵凌水。人如果嗜欲无节制，则肾水失去滋养，火缺乏制约，火性炎上，肺因此受到火热的影响；金被火克制，木缺乏制约，肝木乘袭脾土，脾受到肝木的伤害。肺受伤则不能统摄一身之气，脾受伤则四肢无法使用。泻南方（心火）则肺金清净，东方（肝木）不实，怎么会伤脾呢？补北方（肾水）则心火下降，西方（肺金）不热，怎么会肺热呢？阳明经得到滋润，宗筋得以滋养，约束骨骼并使关节灵活，怎么会有痿证呢？
痿证表现为四肢不能抬举，气血不足，风湿侵入四肢形成痰浊。使用川乌不拘多少，生捣为粉末，每次服用二钱，用好粳米半碗煮粥，加入白糖两匙，喝下。中湿者加薏苡仁末二钱，同煮粥吃，效果很好。
痿证表现为四肢不能使用，浑身像被绳子捆绑一样的感觉，这是肝气急迫，脾受肝木克制，土不生金，肺被火邪所制约，适宜补脾清肺。肺清肝平，脾没有贼邪侵害即可自愈。丸药方用白术一斤，白蔻三两，共研为末，用桑椹汁制成丸剂。每次服用五十丸，午前用米饮送下。忌食面食、酒类。
验案
一人在六月参加科举考试，湿气浸渍于下体，导致腰部以下两足痿弱无力。这是脾受湿气影响而导致四肢无法使用。煎药用四君子汤加入薏苡仁、芡实；丸药用白术八两，茯苓二两，元米半升，放入猪肚内蒸熟后捣烂成丸，用沉香末三钱作为外衣，白开水送下六七十丸。
一位妇女因火灾惊吓，导致痰气上逆，遍体疼痛，左半身手足全部软弱不能活动，心中有时疼痛有时战栗，腰痛，口干，头晕，腹泻，四肢无力。方药用白术、白茯苓、牛膝、川萆薢、杜仲（姜汁炒）各一钱，当归身、甘草各五分，秦艽七分，加生姜、大枣煎服而愈。
Shangfeng (Wind injury after trauma) refers to wind pathogen invasion following contusions and fractures. It is appropriate to employ the method of nourishing blood and dispersing wind; Siwu Tang (Four Substances Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix) is effective.
Case Record
Consort Zhou, in late December, crushed two toes. After three months, the wound had healed flatly, but half a month later, severe pain returned in the hand, accompanied by fever and generalized swelling, dry stool, and an inability to rest her head on a pillow. This is Shangfeng; treating it as Shangsang (Cold damage) would inevitably lead to death. The prescription consisted of Qianghuo, Fangfeng, Wuyao (Linderae Radix), Dangguishen (Radix Angelicae Sinensis - root part), Shengdi (Rehmanniae Radix), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Xiangfu (Cyperi Rhizoma), and Zhiqiao (Aurantii Fructus). She recovered after taking five doses.
Yangdianfeng (Epilepsy/Schizophrenia-like symptoms attributed to wind-phlegm) results from congenital deficiency of Primordial Yin, leading to Liver Wood overacting on Spleen Earth and injuring the Heart. Erchen Tang (Two-Cured Decoction) is used to eliminate phlegm from the body; Cinnabaris (Zhusha) is added to calm Heart Fire; Shichangpu (Acori Tatarinowii Rhizoma) is used to open the Heart orifices; Mudanpi (Moutan Cortex) and Qingpi (or Qinghao/Clearing agents depending on interpretation, here interpreted as clearing liver heat) are used to pacify the Liver. Once phlegm is eliminated and Heart and Liver fires are pacified, turbid qi will not block the clear pathways to produce bleating sounds.
Datoufeng (Big Head Wind / Erysipelas of the face) is a seasonal epidemic disease. It is appropriate to use Mahuang (Ephedrae Herba), Xingren (Armeniacae Semen Amarum), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Shengjiang (Zingiberis Rhizoma Recens), and Congbai (Allii Fistulosi Bulbus), decocted in water and taken hot.
Wei syndrome (Flaccidity syndrome) has distinctions between Feng (Wind) and Wei (Flaccidity). Pain indicates Wind; absence of pain indicates Wei. Generally, pain signifies Excess, while absence of pain signifies Deficiency. When one's Qi and Blood are substantial, Wind-Cold lodges in the collaterals, causing conflict between pathogenic factors and righteous Qi, resulting in pain; when weak, Phlegm-Fire arises within the limbs, righteous Qi fails to overcome pathogens, and Wei-Bi (flaccidity and numbness) occurs. One method disperses pathogens, the other tonifies deficiency; treatment methods differ, so caution is essential! Soreness and weakness below the waist and knees mostly belong to Damp-Heat. If stool is dry and hard, Siwu Tang (Four Substances Decoction) added with Cangzhu (Atractylodis Rhizoma), Huangbai (Phellodendri Cortex), Hugu (Pantheris Os - *Note: Modern ethical/legal constraints apply, historically used*), Guiban (Testudinis Carapax et Plastrum), and Hanfangji (Stephaniae Tetrandrae Radix) may be used. For Spleen-Stomach deficiency, Sijunzi Tang (Four Gentlemen Decoction) plus the aforementioned herbs is used; for abdominal distension, Cangzhu boiled with Baizhu (Atractylodis Macrocephalae Rhizoma) can be added, or Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) modified may also be employed. For heat in the bone marrow, add Zhimu (Anemarrhenae Rhizoma), Duzhong (Eucommiae Cortex), and Niuxi (Achyranthis Bidentatae Radix); Zhimu and Duzhong tonify insufficient Spleen Yin and guide action to the bones, while Niuxia guides out pathogenic heat from the bone marrow, assisting the other herbs in achieving success.
Among the Five Elements, only Fire exists in two forms. Although the two Kidneys belong to Water, they contain one Fire (Ministerial Fire). Yang is often in excess, while Yin is often deficient; hence, it is said that one Water cannot overcome two Fires. Metal resides superiorly and fears Fire; Spleen Earth resides centrally and invades Water. If desires are unregulated, Water loses its nourishment, Fire lacks restraint, and due to its flaming nature ascending, Lung Metal is affected by Heat; if Metal is controlled by Fire, Wood lacks restraint, Liver Wood overacts on Spleen Earth, and Spleen is injured by Wood. Lung injury impairs its ability to govern the whole body; Spleen injury renders the four limbs useless. Purging the South (Heart Fire) clears Lung Metal, ensuring East (Liver Wood) is not excessive, thus preventing Spleen injury. Tonifying the North (Kidney Water) descends Heart Fire, ensuring West (Lung Metal) is not hot, thus preventing Lung Heat. If the Yangming channels are moistened, the tendons are nourished, bones are bound, and joints move freely, how could Wei syndrome occur?
Wei syndrome manifesting as inability to raise the limbs, caused by Qi and Blood deficiency and Wind-Damp invading the limbs to form Phlegm, can be treated with Chuanwu (Aconiti Radix Preparata - *Raw form specified in text, highly toxic*) in any quantity, ground raw into powder. Take 2 qian per dose, cooked with half a bowl of good japonica rice porridge, adding two spoons of white sugar, and drink. For dampness obstruction, add 2 qian of Yiyiren (Coicis Semen) powder, cooked together in porridge, which is very effective.
Wei syndrome manifesting as inability to use the limbs, with a sensation like being bound by ropes throughout the body, indicates urgent Liver Qi. Spleen is controlled by Liver Wood, Earth fails to generate Metal, and Lung is constrained by Fire pathogens. It is appropriate to tonify the Spleen and clear the Lung. Once the Lung is clear and Liver is pacified, the Spleen is free from thief pathogens and heals itself. Pill formula: Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 jin, Baixiangdou (Amomi Fructus Rotundus) 3 liang, ground together, made into pills with Mulberry juice. Take 50 pills per dose, swallowed with rice broth before noon. Avoid wheat products and alcohol.
Case Record
A man took an examination in June; dampness soaked his lower body, resulting in flaccidity and weakness of both legs below the waist. This is Spleen affected by dampness causing limb dysfunction. Decoction: Sijunzi Tang (Four Gentlemen Decoction) added with Yiyiren (Coicis Semen) and Qianshi (Nelumbinis Semen). Pills: Bai Zhu (Atractylodis Macrocephalae Rhizoma) 8 liang, Fuling (Poria) 2 liang, Yuanmi (ordinary rice) 0.5 sheng, steamed inside a pig stomach until cooked, then pounded into pills, coated with Chenxiang (Aquilariae Lignum Resinatum) powder 3 qian. Take 60-70 pills with warm water.
A woman, startled by a fire outbreak, experienced rising phlegm, generalized pain, flaccidity and immobility of the left upper and lower limbs, intermittent chest pain and trembling, lower back pain, dry mouth, dizziness, diarrhea, and limb weakness. Prescription: Bai Zhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Niuxi (Achyranthis Bidentatae Radix), Chuanshanxi (Dioscoreae Hypoglaucae Rhizoma), Duzhong (Eucommiae Cortex stir-fried with ginger juice) each 1 qian; Dangguishen (Radix Angelicae Sinensis - root part), Gancao (Glycyrrhizae Radix et Rhizoma) each 0.5 qian; Qinjiao (Gentianae Macrophyllae Radix) 0.7 qian. Decocted with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) until cured.