马脾风者。肺胀也。上气喘急。两胁扇动。鼻张闷乱。喘喝声嗄。痰涎壅塞。其证
危恶。宜急攻之。牛黄散主之。
黑白牵牛头末（一两） 大黄（二两） 槟榔（五钱） 木香（三钱） 轻粉（少许） 上为末和
匀。每服用冷水。或浆水调服。
或问何以谓之马脾风。曰。午属马。为少阴君火。心主热。脾主虚。心火乘肺。脾之痰
升。故肺胀而喘。谓之马脾风也。
一儿四岁。忽作喘。气逆痰壅。鼻孔开张。予曰。此马脾风也。如胸高肩耸。汗出发润
不可治。须急治之。以葶苈丸。去防己。加大黄。除肺之热。合小陷胸汤。除肺之痰。碾为
细末。竹沥调服而愈。
因病后或吐泻。脾胃虚损。遍身冷。口鼻亦冷。手足时螈 。昏睡露睛。此无阳也。宜
未发而治之。调元汤合小建中汤主之。如见上证。虽有神丹。不可治也。或问。吐泻何以生
风。而不可治者何也。曰。五行之理。气有余则乘其所胜。不足则所胜乘之。吐泻损脾。脾
者土也。风者肝木所生也。脾土不足。则肝木乘之。木胜土也。其病不可治。人身之中。以
谷为本。吐多则水谷不入。泻多则水谷不藏。吐则伤气。泄则伤血。水谷已绝。血气又败。
如之何不死也。
或问风从风治。何以所立之方。不用风药。何也。曰。内经云。肝苦急。以甘缓之。以
之。以辛散之。又云。脾欲缓。急食甘以缓之。调元汤。参 甘草之甘。甘可以缓肝之急。
为治风之圣药也。而又可以补脾。芍药桂枝。苦辛为从。可以建中。二方合而用之治慢惊风
者。此东垣老人之秘传也。
因得惊风。医用利惊之药太多。致伤脾胃。元气益虚。变为慢惊者。此外风未退。中虚
又生。风虚相搏。正去邪存。大命随倾。此慢惊风证。尤慎于始也。
一儿五岁。病痢。医用药治之。痢转甚。其脾胃中气下陷也。予用参苓白术散调之。十
止。予辞归。有惑者谓其父曰。无积不成痢。富家之子。多有肉积。吾有阿魏。尝用治痢有
效。父惑而听之。乃以阿魏作丸。如小豆大。连服三丸。其子昏睡。适予又至。以服阿魏丸
告。予惊曰。阿魏虽去肉积。大损元气。令郎脾胃已弱。岂可服之。父曰。病安而喜睡未醒
也。予谓乳母叫之。则目露睛。气已绝矣。
有儿脾胃素弱。一日病泻。以理中丸服之。泻未止。口内生疮。谓儿前药性热助火。复
药投之。身微热。睡则扬睛。予见之曰。此儿发慢惊风。脾胃本虚。泻则益虚。口中生疮者
。脾虚热也。误服冷药。则中气益损。昏睡不乳。虚损之极也。当急作调元汤。加倍人参服
之。调理半月而愈。
一女子五个月内发搐。予以泻青丸投之。三四服。搐不止转甚。予思痰壅气郁。乃发搐
丸散颇粗。与痰粘滞于咽喉之间。致气不通。而搐愈甚也。用竹叶煎作汤。取绵纸滤去其渣
滓。澄清服之。搐止。其父叹曰。医之贵于变通也如是夫。
一小儿得真搐。予曰不治。彼家请一推拿法者掐之。其儿护痛。目瞪口动。一家尽喜。
儿斜视。彼曰看娘。儿口开张。彼曰寻娘乳吃。予叹曰。误矣。睹子转睛。谓之看娘。急口
开张。谓之寻乳。皆死证也。其夜儿果死。
肝主风。急惊风。搐搦振掉。肝之本经气动所生也。当急治之。得心热则发。宜泻青丸
导赤散煎汤送下而愈。初发搐昏睡不醒。或掐人中。或掐大陵。或灸中冲。待其醒而药之。
或用白僵蚕猪牙皂角细辛川芎藜芦等分为末。吹鼻中。嚏者可治。不嚏者不可治。
如顽涎壅塞者。用僵蚕末吐之。或礞石滚痰丸吐之。家传三黄五色丸下之。
小儿发搐。如法治之。搐止者吉也。如时发时止。昏睡不醒。不乳者死。
儿一岁发搐不止。口鼻气出温者。此真搐也。不可治。搐后易醒。口鼻气出热者。此假
。可治。钱氏云。气温则内生。谓肝之真脏病见者。故曰真。气热者。病自外生者也。故曰
先翁治一儿。盈月后发搐。以至圣保命丹治之。安。
祖训治急惊风。只用泻青丸导赤散。
旧县张月山长子。病急惊风。十七日不醒。待请予到。舌色黑矣。予尝见父念玉函经。
舌黑洗不红。药洗分明见吉凶。全问曰。用何药洗之。父曰。薄荷汤。乃根据法急取薄荷汤洗
之。舌变红色。予曰。可治也。用泻青丸二钱。煎汤服之。一饮而尽。口燥渴已止矣。其夜
搐止热退而安。此子不遇予几死。
汪元津幼子。七月间因伤食病疟。七日发搐。予见之。肝风虽甚。脾未至困。当泻其肝
补其脾可也。乃以泻肝散。三服而搐止。后用调元汤。以补其脾。琥珀抱龙丸。以平其肝。
喜睡。二目不能开。予思喜睡者。非脾困也。乃神昏欠惺惺也。目属肝。而胞属脾。合目不
开者。非亡魂也。乃神倦也。今儿目欲开欲合可知也。只用前方。又二日。令其家中平日相
与嬉戏者。取其小鼓小钹之物。在房中床前。唱舞以娱之。未半日。目开而平复也。凡十日
而安。
胡凤崖有子痘疮后伤食疳。饥瘦发穗。有医童一册见之曰。不是疳证。乃血虚也。其家
。始效。则生一病。如痫非痫。昼则安静。夜则梦寐。抱其乳母叫云。我怕我怕。如人捕之
状。询其病原。此儿性不食药。一册来喂药。必将针火以恐吓之。而得斯疾也。盖胃为戊土
。肾为癸水。合而化为火。肾主恐。恐则伤肾。此因脾胃虚弱。不能生肺。肾无化原。亦从
而虚也。肾藏志。肾虚则神志不宁。而生惊恐也。寤则神栖于心。寐则神栖于肾。脾志往来
出入之门户也。必以补脾为主。安神次之。补脾肥儿丸。安神钱氏安神丸。调理半年而安。
天钓内钓。足厥阴肝经之脉起足大指。而上环阴器。左交右。右交左。上入小腹。下会
。循脊膂过而上至于颠。如风伤肝则发天钓。其状眼上翻。头顶向后。仰身反折。浑如角弓
之状。钱氏云。肝有风甚。则角弓反张者是也。天钓属木宜发散。泻青丸中去大黄加天麻全
蝎僵蚕钩藤。
内钓者。肝受寒。则小腹痛。大叫哭。目直视。但不搐耳。宜急温其内。当归茱萸汤。
及木香丸。
当归茱萸汤
当归 吴茱萸（炮焙干） 小茴香（炒） 甘草 木香
木香丸 方见惊风类证。
小儿肠痛。亦在小腹腰屈。空啼无泪。此名盘肠痛。证似内钓。但不直视也。金锭子散
。见类证主之。
疝此厥阴肝经痛也。与肾无干。皆寒所致。有肿而不痛者名 。痛而不肿者名疝。有
肿又痛。名 疝。茱萸内消丸主之。
本县大尹梁公子病疝。右边睾丸。肿大如鸡卵。长约五寸。上络脐傍。下抵阴囊。直直
。大小便不通。急召全。全立方。用当归川芎木香青皮去瓤山栀仁山楂子小茴香川楝子泽泻
。二剂而安。
卵肿。小儿性急多哭者有之。予曾治小儿。立方用香附子川芎木香青皮山栀子麦芽等分
。作丸服之。
又小儿肠痛。予用诸证辨疑内一方。五苓散加川楝子小茴香。入盐一捻煎。神效。
肝之窍在目。目赤痛者。肝热也。宜泻青丸加黄连。作丸服之。
目中白膜遮睛者。肝虚也。宜泻青丸。去大黄栀子。加干菊花木贼蝉蜕。作丸服之。
经曰。肝有热者。则小便先赤。导赤散加栀子条芩胆草甘草梢主之。
本府三守小姐。溺出如青水。着肉处溃烂成疮。夫人忧之。守问全云。莫非女之脏腑坏
答云。膀胱受五脏之液以藏之。是为溺也。各随本藏之色。青者。肝之色也。着处成疮。
肝火盛也。火之所灼则溃烂矣。全独治之以前治小便赤方。更加黄柏为丸。调理五日而安。
夫人大喜。命小姐出而拜之。
治阴臭神效方
当归 胆草 山栀子 木通 车前子 泽泻 甘草梢 条芩 水煎服。
肝有病。则大便难。泻青丸木通散主之。
钱氏云肝热者。手循衣领及乱捻物。或切牙。
一小儿五十日。昼夜啼哭不止。予用泻青丸五厘。竹叶煎汤。入砂糖少许调服。立止。
咳嗽不止。作搐者。此肺衰而肝木侮之也。当先补肺。阿胶散。后泻肝。泻青丸。搐止
治。不止者不治。水寡乎畏也。钱氏所谓三补肺而咳嗽不除。三泻肝而肝搐不止者是也。
蕲水举人蔡沙江。有子病咳久不止。请予治。予往。见其连声不止。咳时面青。右手常
动。谓沙江曰。令郎不可治也。沙江问何故。曰。嗽者肺病也。肺属金。面青者。肝之色也
。肝属木。手摆者。肝风欲发之状也。木来侮金。寡乎畏也。维今十月。金病木生之时。四
时之序。将来者进。成功者退。木生而进。金病而退。发搐不可治也。甲乙日剧。果甲乙日
搐而死。
黄州府甘秀才女。惊后右手大指。屈而不能伸。医用全蝎僵蚕治之不效。问予求治法。肝
。筋赖血养。故曰掌得血而能屈也。血燥则筋枯。屈而不能伸也。手大指。手太阴之脉所出
也。金本性燥。复用风药以治之。燥益甚矣。刘宗浓云。休治风。休治燥。治得火时风燥了
。乃授一方。用人参固本丸加黄芩黄柏知母。作丸服之。
百日内儿搐最恶。谓之胎惊。钱氏论详。
马脾风，就是肺胀。表现为上气喘促急促，两胁扇动，鼻孔张开且呼吸闷乱，喘息有声且声音嘶哑，痰涎壅塞。这种证候危险凶恶，应当紧急攻逐治疗。用牛黄散主治。
黑白牵牛头末（一两） 大黄（二两） 槟榔（五钱） 木香（三钱） 轻粉（少许） 以上药物研为细末并混合均匀。每次服用时，用冷水或浆水调服。
有人问：为什么叫它马脾风？回答说：午时属马，对应少阴君火。心主热，脾主虚。心火乘袭肺金，脾的痰浊上升，导致肺胀而喘，所以称为马脾风。
有一个四岁的孩子，忽然发作气喘，气逆痰壅，鼻孔开张。我说：这是马脾风。如果胸部高耸、肩膀耸起、出汗且头发湿润，则不可治愈。必须紧急治疗。用葶苈丸，去掉防己，加入大黄，以清除肺热；合用小陷胸汤，以清除肺中痰浊。碾成细末，用竹沥调服而痊愈。
因为病后或者呕吐腹泻，导致脾胃虚损，全身发冷，口鼻也冷，手足有时抽搐，昏睡且眼睛半睁，这是无阳的表现。应当在症状发作前进行治疗。用调元汤合小建中汤主治。如果出现上述证候，即使有灵丹妙药，也不可治愈。有人问：呕吐腹泻为什么会生风？为什么不可治愈呢？回答说：五行的道理是，气有余则乘其所胜，气不足则被所胜者乘袭。呕吐腹泻损伤脾土，脾属土，风由肝木所生。脾土不足，则肝木乘袭之，即木胜克土。这种病难以治愈。人体之中，以水谷为本源。呕吐多则水谷不能入，腹泻多则水谷不能藏。呕吐伤气，泄泻伤血。水谷之源已绝，气血又败坏，怎么能不死呢？
有人问：风证应当从风论治，为什么所立的方剂中不用祛风药呢？回答说：《内经》说：“肝苦急，以甘缓之，以酸收之，以辛散之。”又说：“脾欲缓，急食甘以缓之。”调元汤中，人参、甘草味甘，甘味可以缓解肝之急迫，是治疗风的圣药，同时又可以补脾。芍药、桂枝，味苦辛，顺从脾性，可以建立中气。这两个方子合用治疗慢惊风，这是李东垣老人的秘传。
因为患惊风，医生使用利惊的药物太多，导致损伤脾胃，元气更加虚弱，转变为慢惊风。这是外风未退，中焦虚损又生内风，风邪与虚损相互搏结，正气离去而邪气留存，大命随之倾覆。这种慢惊风的证候，尤其要在初期谨慎对待。
有一个五岁的孩子，患痢疾，医生用药治疗，痢疾反而加重，这是因为脾胃中气下陷。我用参苓白术散调理他，十天后痊愈。我告辞回家，有疑惑的人对患儿父亲说：“没有积滞就不会形成痢疾，富家子弟多有肉积，我有阿魏，曾用它治疗痢疾很有效。”父亲听信了，于是用阿魏做成丸子，如小豆大小，连续服用三丸。孩子昏睡不醒，恰好我又到了那里，告知服用了阿魏丸。我惊讶地说：“阿魏虽然能去除肉积，但大损元气。令郎脾胃已经虚弱，怎么可以服用呢？”父亲说：“孩子生病安静喜欢睡觉，还没醒来。”我说：“让乳母叫醒他，如果眼睛半睁，说明气已绝了。”
有一个孩子脾胃素来虚弱，一天患病腹泻，服用理中丸。腹泻未止，口中生疮。我认为之前的药性热助火，再次服药，身体微热，睡觉时眼睛向上翻。我见到后说：这个孩子要发生慢惊风了。脾胃本虚，腹泻使虚更甚，口中生疮是脾虚热所致。误服冷药，则中气更加受损，昏睡不吃奶，这是虚损到了极点。应当紧急配制调元汤，加倍人参服用，调理半个月而痊愈。
有一个女子在五个月内发生抽搐，我用泻青丸投予。三四次服药后，抽搐不止反而加重。我思考是因为痰壅气郁，才导致抽搐。丸散药粉较粗，与痰粘滞于咽喉之间，导致气机不通，所以抽搐更严重。我用竹叶煎作汤，取绵纸滤去渣滓，澄清后服用，抽搐停止。孩子的父亲感叹道：医生的可贵之处就在于变通啊。
一个小孩得了真搐，我说不可治。那家人请了一位推拿师傅掐按穴位。孩子护痛，瞪眼张口动。全家都很高兴。孩子斜视，推拿师说是在看娘。孩子口张开，推拿师说是寻找娘的乳汁吃。我叹息说：错了。看到孩子转动眼球，叫做看娘；急迫地口张开，叫做寻乳，这都是死证。那天晚上孩子果然死了。
肝主风，急惊风，出现抽搐振掉，是肝之本经气动所生。应当紧急治疗。如果得心热则发病，宜用泻青丸、导赤散煎汤送下而痊愈。初发抽搐昏睡不醒，或者掐人中穴，或者掐大陵穴，或者灸中冲穴，等其苏醒后再给药。或者用白僵蚕、猪牙皂角、细辛、川芎、藜芦等分为末，吹入鼻中，打喷嚏的可以治，不打喷嚏的不可治。
如果是顽痰壅塞，用僵蚕末催吐，或者用礞石滚痰丸催吐。家传的三黄五色丸攻下。
小儿发生抽搐，按照这种方法治疗。抽搐停止的是吉兆。如果时发时止，昏睡不醒，不吃奶的则是死证。
孩子一岁时抽搐不止，口鼻呼出气体温热，这是真搐，不可治。抽搐后容易醒来，口鼻呼出气体热，这是假搐，可治。钱乙说：气温则是内生，指肝的真脏病显现，所以叫真。气热则是病自外生，所以叫假。先父曾治疗一个婴儿，满月后发生抽搐，用至圣保命丹治疗，安愈。
旧县张月山的长子，患急惊风，十七天不醒。等到请我去时，舌色已经发黑。我曾见父亲诵读《玉函经》，其中有“舌黑洗不红，药洗分明见吉凶”。我问：用什么药洗？父亲说：薄荷汤。于是根据方法紧急取薄荷汤清洗舌头。舌变红色。我说：可以治了。用泻青丸二钱，煎汤服用。一饮而尽，口燥渴已止。那天晚上抽搐停止，热退而安。这个孩子如果不遇到我，几乎死去。
汪元津的小儿子，七月间因伤食患疟疾，七天发生抽搐。我见到他，肝风虽然很盛，但脾尚未困顿。应当泻肝补脾。于是用泻肝散，三次服药后抽搐停止。后用调元汤补脾，琥珀抱龙丸平肝。孩子喜睡，两只眼睛不能睁开。我思考喜睡不是脾困，而是神志昏沉不清醒。目属肝，眼睑属脾。合眼不开，不是亡魂，而是神倦。现在孩子眼睛想开又想合，可知如此。只用前方，又过两天，让他家中平日一起嬉戏的人，拿着小鼓小钹之类物品，在房中床前唱歌跳舞来娱乐他。不到半天，眼睛睁开而平复。总共十天而安。
胡凤崖有个儿子，痘疮后伤食患疳积，饥饿消瘦，头发枯黄如穗。有个医童看了说：这不是疳证，是血虚。家里人不信。开始有效，则生出一病，像痫证又不是痫证，白天安静，夜里做梦。抱着乳母喊：“我怕，我怕。”像被人追捕的样子。询问病因，这个孩子性格不服药，医童来喂药，必定用针火恐吓他，从而得此病。胃属戊土，肾属癸水，合而化为火。肾主恐，恐伤肾。这是因为脾胃虚弱，不能生肺，肾无化源，也随之虚弱。肾藏志，肾虚则神志不宁，而生惊恐。醒时神栖于心，睡时神栖于肾。脾是志意往来的门户。必须以补脾为主，安神为辅。用补脾肥儿丸、安神钱氏安神丸，调理半年而安。
天钓和内钓，是足厥阴肝经的脉气。起于足大指，向上环绕阴器，左交右，右交左，向上进入小腹，向下会合，沿脊柱膂而上至于巅顶。如风伤肝则发天钓，其状眼睛上翻，头顶向后，仰身反折，完全像角弓反张的样子。钱乙说：肝有风甚，则角弓反张。天钓属木，宜发散，在泻青丸中去大黄，加天麻、全蝎、僵蚕、钩藤。
内钓，是肝受寒，则小腹痛，大叫哭，眼睛直视，只是不抽搐罢了。应当紧急温里，用当归茱萸汤及木香丸。
小儿肠痛，也在小腹腰屈处，空啼无泪，这名叫盘肠痛，证候似内钓，只是不直视。用金锭子散，见类证篇主治。
疝气是厥阴肝经疼痛，与肾无关，都是寒所致。有肿而不痛的名为筋疝，痛而不肿的名为气疝，有肿又痛的名为水疝。用茱萸内消丸主治。
本县大尹梁公的儿子患疝气，右边睾丸肿大如鸡卵，长约五寸，上连脐旁，下抵阴囊，直挺挺的，大小便不通。紧急召见我，我立一方，用当归、川芎、木香、青皮（去瓤）、山栀仁、山楂子、小茴香、川楝子、泽泻。两剂而安。
卵肿，小儿性情急躁多哭的会有这种情况。我曾治疗一个小儿，立方用香附子、川芎、木香、青皮、山栀子、麦芽等分，做成丸服用。
又有小儿肠痛，我用诸证辨疑中的另一方，五苓散加川楝子、小茴香，入盐一捻煎煮，神效。
目中白膜遮睛，是肝虚，宜用泻青丸，去大黄、栀子，加干菊花、木贼、蝉蜕，做成丸服用。
经上说：肝有热者，则小便先赤。用导赤散加栀子、条芩、胆草、甘草梢主治。
本府三守小姐，尿出如青水，着肉处溃烂成疮。夫人担忧。守问我说：莫非女儿的脏腑坏了？我回答：膀胱受五脏之液以藏之，这就是溺。各随本脏之色。青色，是肝之色。着处成疮，是肝火盛。火灼烧则溃烂。我独自以前治小便赤的方子，再加黄柏为丸，调理五日而安。夫人大喜，命小姐出来拜谢。
治阴臭神效方
当归 胆草 山栀子 木通 车前子 泽泻 甘草梢 条芩 水煎服。
一个五十天的婴儿，昼夜啼哭不止。我用泻青丸五厘，竹叶煎汤，入少许砂糖调服，立即停止。
咳嗽不止，引发抽搐，这是肺衰而肝木侮之。应当先补肺，用阿胶散，后泻肝，用泻青丸。抽搐停止再治咳嗽，咳嗽不止的不可治。水寡乎畏也。钱乙所谓三补肺而咳嗽不除，三泻肝而肝搐不止者是也。
蕲水举人蔡沙江，有儿子病咳久不止，请我治疗。我去，见他连声不止，咳嗽时面青，右手常动。对沙江说：令郎不可治。沙江问何故。我说：嗽是肺病，肺属金，面青是肝之色，肝属木。手摆是肝风欲发之状。木来侮金，寡乎畏也。维今十月，金病木生之时，四时之序，将来者进，成功者退。木生而进，金病而退，发搐不可治。甲乙日剧，果在甲乙日抽搐而死。
黄州府甘秀才女，惊后右手大指，屈而不能伸。医生用全蝎、僵蚕治疗无效，问我求治法。肝主筋，筋赖血养，所以说掌得血而能屈。血燥则筋枯，屈而不能伸。手大指，是手太阴之脉所出。金本性燥，复用风药以治之，燥益甚矣。刘宗浓说：休治风，休治燥，治得火时风燥了。于是授一方，用人参固本丸加黄芩、黄柏、知母，做成丸服用。
Ma Pi Feng (Horse Spleen Wind) is Pulmonary Distension (Lung distension). It presents with upper body wheezing and rapid breathing, flapping of the two hypochondriac regions, nasal flaring with labored breathing, hoarse wheezing sounds, and obstruction by phlegm and saliva. This syndrome is dangerous and ominous; it requires urgent purgation. Niu Huang San (Calculus Bovis Powder) is the primary prescription.
Black and white Qian Niu Tou Mo (Head powder of *Pharbitidis Semen*, 1 liang), Da Huang (*Rhei Radix et Rhizoma*, 2 liang), Bing Lang (*Arecae Semen*, 5 qian), Mu Xiang (*Aucklandiae Radix*, 3 qian), Qing Fen (Calomel, a small amount). The above are ground into powder and mixed evenly. Each dose is taken mixed with cold water or Jiang Shui (fermented rice water).
Someone asked: Why is it called Ma Pi Feng? I replied: Wu (noon) corresponds to the Horse and Shaoyin Jun Huo (Ministerial Fire). The Heart governs Heat, and the Spleen governs Deficiency. Heart Fire attacks Lung Metal, and Phlegm from the Spleen rises, causing Lung distension and wheezing. Hence it is called Ma Pi Feng.
A four-year-old child suddenly developed wheezing, with rebellious Qi and obstructed phlegm, and open nostrils. I said: This is Ma Pi Feng. If the chest is high and shoulders shrug, with sweating that wets the hair, it is incurable. It must be treated urgently. Use Ting Li Wan (Descurainiae Fructus Pill), removing Fang Ji (*Akebiae Caulis*), adding Da Huang (*Rhei Radix et Rhizoma*) to clear Lung Heat, combined with Xiao Xian Xiong Tang (Minor Chest Trap Decoction) to clear Lung Phlegm. Grind into fine powder and administer mixed with Zhu Li (Bamboo Sap), resulting in recovery.
Due to post-illness vomiting or diarrhea, Spleen and Stomach deficiency damage occurs, leading to coldness of the whole body and cold mouth and nose, occasional convulsions of the hands and feet, lethargy with eyes half-open. This indicates Yanglessness. It should be treated before symptoms manifest. Diao Yuan Tang (Regenerate Origin Decoction) combined with Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is the primary prescription. If these signs appear, even with divine pills, it is incurable. Someone asked: Why does vomiting and diarrhea generate Wind, and why is it incurable? I replied: The principle of Five Elements states that excess Qi attacks what it overcomes, while deficiency allows what overcomes it to attack. Vomiting and diarrhea damage Spleen Earth. Spleen belongs to Earth, and Wind is generated by Liver Wood. When Spleen Earth is deficient, Liver Wood attacks it, meaning Wood overcomes Earth. Such illness is difficult to cure. In the human body, grain and water are the root. Excessive vomiting prevents intake; excessive diarrhea prevents retention. Vomishing injures Qi, and purging injures Blood. When the source of grain and water is exhausted, and Qi and Blood are ruined, how can one not die?
Someone asked: Wind syndromes should be treated by addressing Wind, so why do the prescribed formulas not use Wind-dispelling herbs? I replied: *Nei Jing* (Inner Canon) says: "The Liver dislikes tension; soothe it with Sweet flavors, gather it with Sour flavors, and disperse it with Pungent flavors." It also says: "The Spleen desires relaxation; urgently eat Sweet flavors to relax it." In Diao Yuan Tang, Ren Shen (*Ginseng Radix*) and Gan Cao (*Glycyrrhizae Radix*) are Sweet. Sweetness can relieve Liver tension and is the holy medicine for treating Wind, while also tonifying the Spleen. Shao Yao (*Paeoniae Radix*) and Gui Zhi (*Cinnamomi Ramulus*) are Bitter and Pungent, following the nature of the Spleen, to construct the Middle Jiao. Combining these two formulas to treat Man Jing Feng (Slow Convulsion Wind) is the secret transmission of Elder Dong Yuan (Li Dongyuan).
Because of suffering from Jing Feng (Convulsion Wind), doctors used too many drugs to drain shock, damaging the Spleen and Stomach, further depleting Yuan Qi, transforming into Man Jing Feng. This is when external Wind has not receded, and internal Wind arises from central deficiency. Wind and deficiency fight each other; righteous Qi departs while pathogenic factors remain, leading to imminent death. This Man Jing Feng syndrome especially requires caution at the beginning.
A five-year-old child suffered from dysentery. Doctors used medication, but the dysentery worsened due to sinking of the Middle Qi of the Spleen and Stomach. I used Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) to regulate him. After ten days, he recovered. I took my leave. A skeptic told the father: "No accumulation, no dysentery. Sons of wealthy families often have meat accumulation. I have As Wei (Ferula resin), which I have used effectively for dysentery." The father was confused and listened. He made As Wei into pills, size of small beans, and administered three pills continuously. The son fell into lethargy. Fortunately, I arrived again. Upon hearing about the As Wei pills, I exclaimed: "Although As Wei removes meat accumulation, it severely damages Yuan Qi. Your son's Spleen and Stomach are already weak; how can he take this?" The father said: "The sick child lies quietly and likes to sleep, not yet awake." I said: "Have the wet nurse call him. If his eyes are half-open, his Qi is already extinct."
A child with inherently weak Spleen and Stomach suffered diarrhea one day. He was given Li Zhong Wan (Regulate the Middle Pill), but the diarrhea did not stop, and ulcers formed in the mouth. I reasoned that the previous medicine was hot and aided fire. Administering more medicine resulted in slight fever and upward-gazing eyes during sleep. Seeing this, I said: This child is developing Man Jing Feng. The Spleen and Stomach are originally deficient; diarrhea increases deficiency. Ulcers in the mouth indicate Spleen deficiency heat. Misusing cold medicines further damages Middle Qi, causing lethargy and refusal to nurse, representing extreme deficiency. Urgently prepare Diao Yuan Tang with doubled Ren Shen (*Ginseng Radix*). Regulate for half a month, and he recovered.
A girl experienced convulsions within five months. I administered Xie Qing Wan (Drain Green Pill). After three or four doses, convulsions persisted and worsened. I pondered that phlegm obstruction and Qi stagnation caused the convulsions. The pill and powder were coarse, sticking to the throat with phlegm, blocking Qi flow, thus worsening convulsions. I decocted Zhu Ye (Bamboo Leaf) as soup, filtered it through cotton paper to remove dregs, clarified it, and administered it. Convulsions stopped. The father sighed: "The value of a doctor lies in such adaptability."
A child had Zhen Chu (True Convulsion). I said it was incurable. The family invited a Tuina practitioner to pinch acupoints. The child protected against pain, stared with wide eyes, and moved his mouth. The family rejoiced. The child looked sideways; the practitioner said he was looking at his mother. The child opened his mouth; the practitioner said he was seeking his mother's milk. I sighed: "Mistaken. Seeing the child's eyeballs turn is called 'looking at mother'; urgently opening the mouth is called 'seeking milk.' Both are death omens." That night, the child indeed died.
The Liver governs Wind. Ji Jing Feng (Rapid Convulsion Wind) involves spasms and tremors, generated by the movement of Qi in the Liver meridian. It requires urgent treatment. If Heart Heat develops, use Xie Qing Wan (Drain Green Pill) and Dao Chi San (Direct to the Heart Powder) decocted together to send down the medicine, resulting in recovery. At initial onset of convulsions with lethargy and unresponsiveness, pinch Ren Zhong (GV26), or pinch Da Ling (PC7), or moxa Zhong Chong (JE9). Wait for awakening before administering medicine. Alternatively, use Bai Jiang Can (Bombyx Batryticatus), Zhu Ya Zao Jiao (Gleditsiae Sinensis Spine), Xi Xin (Asari Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Li Lu (Veratri Rhizoma) in equal parts, ground to powder, insufflated into the nose. Those who sneeze can be treated; those who do not cannot.
For stubborn phlegm obstruction, use Bai Jiang Can powder to induce vomiting, or Meng Shi Gun Tan Wan (Mica Pill to Roll Phlegm) to induce vomiting. Use family-prescribed San Huang Wu Se Wan (Three Yellows Five Colors Pill) to purge.
When children develop convulsions, treat according to this method. If convulsions stop, it is auspicious. If they come and go, with lethargy, unresponsiveness, and refusal to nurse, it is fatal.
A one-year-old child had continuous convulsions. Warm breath from mouth and nose indicates Zhen Chu (True Convulsion), which is incurable. If the child wakes easily after convulsions and breath is hot, it is Jia Chu (False Convulsion), which is treatable. Qian Yi said: Warm temperature indicates internal generation, showing the true organ disease of the Liver, hence "True." Hot temperature indicates external origin, hence "False." My late father treated an infant who developed convulsions after one month using Zhi Sheng Bao Ming Dan (Supreme Sage Preserving Life Pill), resulting in peace.
Ancestral instructions for treating Ji Jing Feng use only Xie Qing Wan (Drain Green Pill) and Dao Chi San (Direct to the Heart Powder).
The eldest son of Zhang Yueshan from Jiuxian suffered from Ji Jing Feng, unconscious for seventeen days. By the time I was summoned, his tongue color was black. I once saw my father reading *Yu Han Jing* (Jade Box Classic): "If the tongue is black and washing doesn't make it red, medicine washing clearly shows fortune or misfortune." I asked: What medicine to wash with? Father said: Bo He Tang (Mint Decoction). So, urgently following the method, I washed the tongue with Bo He Tang. The tongue turned red. I said: Treatable. Administered Xie Qing Wan (Drain Green Pill), 2 qian, decocted and drunk. One swallow, and dry mouth/thirst stopped. That night, convulsions ceased, heat retreated, and he was peaceful. This child would have nearly died without me.
Wang Yuanjin's young son, in July, contracted malaria due to food injury, developing convulsions on the seventh day. I examined him: Liver Wind was severe, but Spleen was not yet exhausted. Drain Liver and tonify Spleen. Used Xie Gan San (Drain Liver Powder); convulsions stopped after three doses. Later used Diao Yuan Tang (Regenerate Origin Decoction) to tonify Spleen, and Hu Po Bao Long Wan (Amber Embracing Dragon Pill) to calm Liver. The child liked to sleep, eyes unable to open. I reasoned that liking to sleep is not Spleen exhaustion, but spirit confusion and lack of alertness. Eyes belong to Liver, eyelids to Spleen. Closed eyes are not loss of Hun (Soul), but spiritual fatigue. Now the child's eyes want to open and close. Use the previous formula. Two days later, had people who usually played with him bring small drums and cymbals, singing and dancing before the bed in the room. Before half a day passed, eyes opened, and he recovered. Peaceful after ten days.
Hu Fengya's son had food injury and malnutrition after smallpox, emaciated with sparse hair. A medical assistant saw him and said: Not malnutrition, but Blood deficiency. The family disagreed. Initially effective, then another illness arose, resembling epilepsy but not quite. Quiet by day, dreaming by night. Holding the wet nurse, crying "I'm afraid, I'm afraid," like being hunted. Inquiry revealed the child refused medicine. The assistant forced medicine, threatening with needles and cautery, causing this disease. Stomach is Wu Earth, Kidney is Gui Water, combining to transform into Fire. Kidney governs Fear; fear injures Kidney. Because Spleen and Stomach are weak, failing to generate Lung Metal, Kidney lacks transformation source and becomes deficient. Kidney stores Zhi (Will); Kidney deficiency leads to restless spirit and will, generating fright. Awake, spirit resides in Heart; asleep, spirit resides in Kidney. Spleen is the portal for will. Must primarily tonify Spleen, secondarily calm spirit. Use Bu Pi Fei Er Wan (Tonify Spleen Enlarge Child Pill) and Qian Shi An Shen Wan (Qian's Spirit-Calming Pill). Regulated for half a year, then peaceful.
Tiao Diao (Sky Hook) and Nei Diao (Internal Hook) involve the Foot Jueyin Liver Meridian. It starts at the big toe, circles the genitalia, crosses left to right and right to left, enters the lower abdomen, meets below, runs along the spine to the vertex. If Wind injures Liver, Tiao Diao occurs: eyes roll up, head tilts back, body arches backward, completely like bow-string tension. Qian Yi said: Severe Liver Wind causes opisthotonos. Tiao Diao belongs to Wood, suitable for dispersing. In Xie Qing Wan (Drain Green Pill), remove Da Huang (*Rhei Radix et Rhizoma*), add Tian Ma (*Gastrodiae Rhizoma*), Quan Xie (Scorpio), Jiang Can (Bombyx Batryticatus), Gou Teng (Uncariae Ramulus cum Uncis).
Nei Diao: Liver receives Cold, causing lower abdominal pain, loud crying, fixed gaze, but no convulsions. Urgently warm the interior. Use Dang Gui Zhu Yu Tang (Angelica and Evodia Decoction) and Mu Xiang Wan (Aucklandia Pill).
Dang Gui Zhu Yu Tang
Dang Gui (*Angelicae Sinensis Radix*), Wu Zhu Yu (*Evodiae Fructus* (roasted and dried)), Xiao Hui Xiang (*Foeniculi Fructus* (stir-fried)), Gan Cao (*Glycyrrhizae Radix*), Mu Xiang (*Aucklandiae Radix*).
Mu Xiang Wan See Convulsion Syndromes category.
Xiao Er Chang Tong (Child Intestinal Pain) is also in the lower abdomen and waist flexion, crying hollowly without tears. Named Pan Chang Tong (Coiled Intestine Pain), similar to Nei Diao, but without fixed gaze. Use Jin Ding Zi San (Golden Ingot Powder), see Syndromes category.
Shan (Hernia) is pain in the Jueyin Liver Meridian, unrelated to Kidney, caused by Cold. Swollen but painless is named Jin Shan (Sinew Hernia); painful but not swollen is named Qi Shan (Qi Hernia); swollen and painful is named Shui Shan (Water Hernia). Use Zhu Yu Nei Xiao Wan (Evodia Internal Resolving Pill).
The eldest son of Grand Administrator Liang in our county suffered from hernia. Right testicle swollen like a chicken egg, length about 5 cun, connecting to umbilicus side, reaching scrotum, straight and hard, with blocked urination and defecation. Urgently summoned Quan. I formulated: Dang Gui (*Angelicae Sinensis Radix*), Chuan Xiong (*Ligustici Chuanxiong Rhizoma*), Mu Xiang (*Aucklandiae Radix*), Qing Pi (*Citri Reticulatae Pericarpium Viride* (remove pith)), Shan Zhi Ren (*Gardeniae Semen*), Shan Zha (*Crataegi Fructus*), Xiao Hui Xiang (*Foeniculi Fructus*), Chuan Lian Zi (*Toosendan Fructus*), Ze Xie (*Alismatis Rhizoma*). Two doses brought peace.
Scrotal swelling occurs in irritable children who cry much. I once treated a child, formulating: Xiang Fu (*Cyperi Rhizoma*), Chuan Xiong (*Ligustici Chuanxiong Rhizoma*), Mu Xiang (*Aucklandiae Radix*), Qing Pi (*Citri Reticulatae Pericarpium Viride*), Shan Zhi Zi (*Gardeniae Fructus*), Mai Ya (*Hordei Fructus Germinatus*) in equal parts, made into pills.
Another case of Child Intestinal Pain: I used another formula from *Zhu Zheng Bian Yi*: Wu Ling San (Five Ingredient Powder with Poria) plus Chuan Lian Zi (*Toosendan Fructus*), Xiao Hui Xiang (*Foeniculi Fructus*), with a pinch of salt decocted. Miraculous effect.
Liver opens into the eyes. Red and painful eyes indicate Liver Heat. Use Xie Qing Wan (Drain Green Pill) plus Huang Lian (*Coptidis Rhizoma*), made into pills.
White membrane covering pupils indicates Liver Deficiency. Use Xie Qing Wan (Drain Green Pill), remove Da Huang (*Rhei Radix et Rhizoma*) and Zhi Zi (*Gardeniae Fructus*), add Gan Ju Hua (*Chrysanthemi Flos*), Mu Zei (*Equiseti Herba*), Chan Tui (*Cicadae Periostracum*), made into pills.
Classic says: When Liver has Heat, urine turns red first. Use Dao Chi San (Direct to the Heart Powder) plus Zhi Zi (*Gardeniae Fructus*), Tiao Qin (*Scutellariae Radix*), Dan Cao (*Gentianae Radix*), Gan Cao Shao (*Glycyrrhizae Radix et Rhizoma caulis*).
Miss San Shou in our prefecture excreted urine like green water, causing ulceration where it touched flesh. Her mother worried. She asked me: Could her organs be damaged? I answered: Bladder receives fluids from five Zang organs to store them, which is urine. Color follows the respective Zang. Green is Liver color. Ulceration at contact site indicates盛 Liver Fire. Fire burns and causes ulceration. I treated her alone with the previous formula for red urine, adding Huang Bo (*Phellodendri Cortex*) as pills. Regulated for five days, then peaceful. Mother greatly delighted, ordered Miss out to pay respects.
Miraculous Formula for Treating Yin Odor
Dang Gui (*Angelicae Sinensis Radix*), Dan Cao (*Gentianae Radix*), Shan Zhi Zi (*Gardeniae Fructus*), Mu Tong (*Akebiae Caulis*), Che Qian Zi (*Plantaginis Semen*), Ze Xie (*Alismatis Rhizoma*), Gan Cao Shao (*Glycyrrhizae Radix et Rhizoma caulis*), Tiao Qin (*Scutellariae Radix*). Decoct in water and drink.
When Liver is diseased, bowel movements are difficult. Use Xie Qing Wan (Drain Green Pill) and Mu Tong San (Akebia Powder).
Qian Yi said: When Liver has Heat, hands rub clothes and pick at things randomly, or teeth grind.
A fifty-day-old infant cried day and night incessantly. I used Xie Qing Wan (Drain Green Pill), 5 li, mixed with Zhu Ye (Bamboo Leaf) decoction and a little rock sugar. Stopped immediately.
Continuous cough leading to convulsions indicates Lung decline with Liver Wood insulting it. First tonify Lung with E Jiao San (Donkey-Hide Gelatin Powder), then drain Liver with Xie Qing Wan (Drain Green Pill). Treat convulsions first; if cough persists, it is incurable. Water is scarce and fears [Fire]. Qian Yi stated: Three times tonifying Lung fails to stop cough; three times draining Liver fails to stop Liver convulsions.
Cai Shajiang, a Juren scholar from Qishui, had a son with persistent cough. Invited me. I saw him coughing continuously, face turning blue during coughs, right hand moving constantly. To Shajiang, I said: Your son is incurable. Shajiang asked why. I said: Cough is Lung disease, Lung belongs to Metal. Blue face is Liver color, Liver belongs to Wood. Hand waving is sign of impending Liver Wind. Wood insults Metal; scarcity fears [Metal]. Currently October, time when Metal is sick and Wood generates. Order of four seasons: incoming advances, successful retreats. Wood generates and advances, Metal sick and retreats. Convulsions are incurable. Aggravates on Jia/Yi days. Indeed died convulsing on Jia/Yi days.
Daughter of Scholar Gan in Huangzhou Prefecture, after fright, right thumb flexed and unable to extend. Doctors used Quan Xie (Scorpio) and Jiang Can (Bombyx Batryticatus) without effect. Asked me for treatment. Liver governs sinews; sinews rely on Blood nourishment. Thus, palm bends when receiving Blood. Blood dryness causes sinew withering, inability to bend/extend. Thumb is exit of Hand Taiyin Lung Meridian. Metal nature is dry; using Wind drugs worsens dryness. Liu Zongnong said: Do not treat Wind, do not treat Dryness. When Fire is treated, Wind and Dryness resolve. Prescribed: Ren Shen Gu Ben Wan (Ginseng Solidify Root Pill) plus Huang Qin (*Scutellariae Radix*), Huang Bo (*Phellodendri Cortex*), Zhi Mu (*Anemarrhenae Rhizoma*), made into pills.
Convulsions in infants within 100 days are most malignant, called Tai Jing (Fetal Fright). Qian Yi's discussion is detailed.