肝主风 实则目直视。呵欠大叫哭。项急顿闷。虚则切牙呵欠。气温则内生。气热则外生也
。气谓口中气也。
实则泻青丸。当归龙荟丸泻之。虚则地黄丸补之。
泻青丸 治急惊搐搦。主肝热。
羌活 防风 当归 川芎 山栀仁 龙胆草 大黄（酒浸纸煨各等分） 上为末。蜜丸芡
实大。每服半丸至一丸。煎竹叶汤砂糖化下。
当归龙荟丸 治肾肝阴虚。风热蕴结。发惊悸。搐搦躁扰。
当归（一两） 龙胆草（一两） 黄连（五钱） 黄柏（一两） 大黄（五钱） 山栀子（一两） 芦荟
（五钱） 青黛（五钱） 木香（一钱） 麝香（五分） 黄芩（一两） 上为细末。蜜丸麻子大。每
服五丸至十五丸。竹叶汤下。
地黄丸 治小儿胎禀不足。肾怯不言。解颅。儿大不能行。又治肝疳。白膜遮睛。溲血
失音。身瘦疮疥。
熟地黄（八两焙取末） 山茱萸（焙四两） 山药（四两） 白茯苓（三两） 牡丹皮（二两）
泽泻（二两） 上为末。蜜丸芡实大。一岁儿服一丸。二岁以上。加至三丸。空心温水下。
（诸风搐搦。牵引 斜。皆肝之病也。宜泻青丸主之。）
一小儿七月。发搐无时。昏睡不醒。不哭不乳。掐之扎之不痛。 之鼻不嚏。灌药不入
。予曰。此真搐也。不可治矣。
兼见心证。则发热而搐。予曰。肝有风。则目连札不搐。得心热则搐。肝有热。则目直
视不搐。得心热则搐。泻肝泻青丸。泻心导赤散。 方见肝心下。
兼见脾证。轻则昏睡。不嗜饮食。当视其大便何如。大便秘者。宜蜜导法。慎勿下之。
恐下后脾虚。反为笃疾。大便润者。宜琥珀抱龙丸主之。
兼见肺证。喘急闷乱。痰涎壅塞。须从大小便以利之。如喘息有声。肩耸胸高。喉中痰
响者。不治。宜清宁散主之。
清宁散 惊热出于心肺。须从小便利之。
桑白皮（蜜水炒） 赤茯苓 车前子 甜葶苈（炒） 山栀仁（各等分） 炙甘草（减半） 上
为末。每服半钱。姜枣水煎服。肝热则大小便难。加煨大黄下。
一小儿痰壅而发搐。气促而喘。予用礞石滚痰丸。桑白皮煎汤。研碎调服之。喘定痰下
。搐亦止矣。
兼见肾证。暴喑失音。手足强直。此从风治。轻者地黄丸主之。重则为废疾而不可治矣
这是由于五脏之气运动失调所产生的疾病。这是病邪生于体内的表现。
肝主风。实证表现为眼睛直视、打哈欠、大声哭叫、颈部僵硬且突然感到烦闷。虚证表现为咬牙、打哈欠。气温则病生于体内，气热则病生于体外。这里所说的“气”，指的是口中的气息。
实证用泻青丸或当归龙荟丸来泻除邪气。虚证用地黄丸来补益。
泻青丸：治疗急惊风引起的抽搐痉挛，主治肝热。
药材组成：羌活、防风、当归、川芎、山栀仁、龙胆草、大黄（酒浸后纸裹煨熟，各等分）。以上药物研为细末，用蜂蜜制成如芡实大小的丸剂。每次服用半丸至一丸，用竹叶汤煎服，加入砂糖融化后送下。
当归龙荟丸：治疗肝肾阴虚，风热蕴结，引发惊悸、抽搐、烦躁不安。
药材组成：当归（一两）、龙胆草（一两）、黄连（五钱）、黄柏（一两）、大黄（五钱）、山栀子（一两）、芦荟（五钱）、青黛（五钱）、木香（一钱）、麝香（五分）、黄芩（一两）。以上药物研为极细末，用蜂蜜制成如麻子大小的丸剂。每次服用五丸至十五丸，用竹叶汤送服。
地黄丸：治疗小儿先天禀赋不足，肾气虚弱导致不说话、囟门迟闭（解颅），年龄大了还不能行走。又用于治疗肝疳，症状包括白膜遮盖瞳孔、尿血、失音、身体消瘦、疮疥。
药材组成：熟地黄（八两，焙干取末）、山茱萸（焙干四两）、山药（四两）、白茯苓（三两）、牡丹皮（二两）、泽泻（二两）。以上药物研为细末，用蜂蜜制成如芡实大小的丸剂。一岁的婴儿服用一丸，两岁以上的儿童，加量至三丸，空腹时用温水送服。
（各种风邪引起的抽搐痉挛，伴有身体牵引歪斜的，都是肝的病证。适宜用泻青丸为主进行治疗。）
有一个七个月大的婴儿，不时发生抽搐，昏睡不醒，不哭也不吃奶，掐扎他不觉得痛，吹鼻子他不打喷嚏，灌药也进不去。我说：这是真搐（危重之象），无法治愈了。
如果兼见心的证候，则发热并伴有抽搐。我说：肝有风邪，则眼球连眨但不抽搐；若得心热则抽搐。肝有热邪，则眼睛直视但不抽搐；若得心热则抽搐。治疗应泻肝用泻青丸，泻心用导赤散。（方剂详见肝心篇下）
如果兼见脾的证候，轻者昏睡，食欲不振。应当观察其大便情况。大便秘结的，适宜用蜜导法（蜂蜜栓通便），千万不要使用攻下法。恐怕攻下后导致脾虚，反而使病情加重成为重病。大便润通的，适宜用琥珀抱龙丸为主治疗。
如果兼见肺的证候，气喘急促，胸闷混乱，痰涎壅塞。必须通过大小便来通利邪气。如果出现喘息有声，耸肩挺胸，喉中有痰鸣声的，属于不治之症。适宜用清宁散为主治疗。
清宁散：治疗惊热出于心肺，必须从小便通利排出。
药材组成：桑白皮（蜜水炒）、赤茯苓、车前子、甜葶苈（炒）、山栀仁（各等分）、炙甘草（减半）。以上药物研为细末。每次服用半钱，用生姜、大枣水煎服。若肝热导致大小便困难，加入煨大黄以下行。
有一个婴儿因痰壅而发抽搐，气促而喘。我用礞石滚痰丸，配合桑白皮煎汤，将药丸研碎调服。结果喘息停止，痰液下行，抽搐也随之停止。
This is a disease arising from the dysregulation of Qi movement in the five Zang organs. It is a pathology originating internally.
The Liver governs Wind. In excess conditions, symptoms include staring eyes, yawning, loud crying, neck stiffness, and sudden oppression. In deficiency conditions, symptoms include teeth grinding and yawning. When Qi is warm, the pathology generates internally; when Qi is hot, it generates externally. Here, "Qi" refers to the breath from the mouth.
For excess conditions, use Xie Qing Wan (Drain the Green Pill) or Danggui Longhui Wan (Angelica Sinensis and Gentian Root Pill) to drain the pathogen. For deficiency conditions, use Dihuang Wan (Rehmannia Pill) to tonify.
Xie Qing Wan: Treats acute convulsive spasms due to wind-stroke (Jing Feng), primarily addressing Liver Heat.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhiren (Gardeniae Semen), Longdancao (Gentianae Radix), Dahuang (Rhei Radix et Rhizoma) (soaked in wine and stir-fried on paper, equal parts). Grind into fine powder, form pills with honey the size of Euryale Seed (Qianshi). Take half to one pill per dose, decocted with Zhuye (Bamleaf Twig) and dissolved sugar for administration.
Danggui Longhui Wan: Treats Yin deficiency of the Kidney and Liver, with accumulation of Wind-Heat causing palpitations, convulsions, and restlessness.
Ingredients: Danggui (Angelicae Sinensis Radix, 1 liang), Longdancao (Gentianae Radix, 1 liang), Huanglian (Coptidis Rhizoma, 5 qian), Huangbai (Phellodendri Cortex, 1 liang), Dahuang (Rhei Radix et Rhizoma, 5 qian), Shanzhizi (Gardeniae Fructus, 1 liang), Lushui (Aloe, 5 qian), Qingdai (Indigo Naturalis, 5 qian), Muxiang (Aucklandiae Radix, 1 qian), Shexiang (Moschus, 5 fen), Huangqin (Scutellariae Radix, 1 liang). Grind into extremely fine powder, form pills with honey the size of Sesame Seed. Take 5 to 15 pills per dose, administered with Zhuye (Bamleaf Twig) decoction.
Dihuang Wan: Treats congenital insufficiency in infants, resulting in Kidney weakness leading to mutism, delayed closure of fontanelles (Jie Lu), inability to walk at an older age. Also treats Liver Gan (malnutrition syndrome) with white membrane obscuring the pupil, hematuria, aphonia, emaciation, sores, and scabies.
Ingredients: Shudihuang (Prepared Rehmanniae Radix, 8 liangs, dried and powdered), Shanzhuyu (Corni Fructus, dried, 4 liangs), Shanyao (Dioscoreae Rhizoma, 4 liangs), Bai Fuling (Poria, 3 liangs), Mudanpi (Moutan Cortex, 2 liangs), Zexie (Alisma Rhizoma, 2 liangs). Grind into fine powder, form pills with honey the size of Euryale Seed. Infants aged one year take one pill; children over two years increase to three pills, taken on an empty stomach with warm water.
(Various convulsions and spasms caused by Wind, accompanied by body traction and deviation, are diseases of the Liver. Xie Qing Wan should be used as the primary treatment.)
An infant of seven months old experienced intermittent convulsions, deep sleep without waking, no crying or nursing, insensitivity to pinching or pricking, no sneezing upon nasal irritation, and inability to accept medication. I stated: This is True Convulsion (Zhen Chu), a critical sign indicating incurability.
If concurrent Heart symptoms are present, fever accompanies convulsions. I stated: If the Liver has Wind, the eyes blink repeatedly but do not convulse; if the Heart has Heat, convulsions occur. If the Liver has Heat, the eyes stare straight but do not convulse; if the Heart has Heat, convulsions occur. Treatment requires draining the Liver with Xie Qing Wan and draining the Heart with Daochi San. (Formulas see below under Liver and Heart sections).
If concurrent Spleen symptoms are present, mild cases involve lethargy and loss of appetite. One must observe the stool. If constipated, apply Mi Dao Fa (Honey Suppository method); strictly avoid purgatives. Purging may cause Spleen deficiency, worsening the condition into a severe illness. If stools are moist/loose, Hu Po Bao Long Wan (Amber Dragon-Holding Pill) is indicated.
If concurrent Lung symptoms are present, rapid breathing, chest oppression, and phlegm obstruction occur. Pathogens must be cleared via urination and defecation. If wheezing is audible, shoulders rise, chest elevates, and rattling sounds are heard in the throat, it is incurable. Qing Ning San (Clearing Peace Powder) is indicated.
Qing Ning San: Treats Heat from fright originating in the Heart and Lung, requiring clearance through urine.
Ingredients: Sangbaipi (Mori Cortex, stir-fried with honey water), Chi Fuling (Red Poria), Cheqianzi (Plantaginis Semen), Tiantingli (Descurainiae Semen seu Lepidii Semen, stir-fried), Shanzhiren (Gardeniae Semen, equal parts), Zhigancao (Prepared Licorice Root, half amount). Grind into fine powder. Take half a qian per dose, decocted with Shengjiang (Fresh Ginger) and Dazao (Jujube). If Liver Heat causes difficulty in both urination and defecation, add Wei Dahuang (Stir-fried Rhubarb) to promote downward movement.
An infant suffering from phlegm obstruction developed convulsions and rapid breathing. I administered Mengshi Guntan Wan (Pyrite Rolling Phlegm Pill), crushed and mixed with Sangbaipi (Morus Bark) decoction. The wheezing ceased, phlegm descended, and convulsions stopped.
If concurrent Kidney symptoms are present, sudden aphonia and rigid limbs occur. This should be treated according to Wind patterns. Mild cases are treated with Dihuang Wan. Severe cases result in permanent disability and are incurable.