（节录庄一夔《福幼篇》）
庄一夔曰∶慢风之症，缘小儿吐泻得之最多，或久疟久痢，或痘后疹后，或因风寒饮食积滞，过用攻伐肠脾，
或秉赋本虚，或误用凉药，或因急惊而用药攻降太甚，或失于调理，皆可致此症也。其症神昏气喘，或大热不
退，眼翻惊搐，或乍寒乍热，或三阳晦暗，或面色淡白青黄，或大小便清白，或口唇虽开裂出血，而口中气冷，
或痢泻冷汗，或食谷不化，或四肢冰冷，并至腹中气响，喉内痰鸣，角弓反张，目光昏暗。此虚症也，亦危症也。
俗名谓之天吊风，虚风，慢脾风，皆此症也。若再用寒冷，再用消导，或用胆星抱龙以除痰，或用天麻全蝎以
驱风，或用知柏芩连以清火，或用巴豆大黄以去积，杀人如反掌，实可畏也。若治风而风无可治，治惊而惊无
可治也。此实因脾胃虚寒，孤阳外越，元气无根，阴寒至极，风之所由动也。治宜先用辛热，再加温补。盖补
土即所以敌木，治木即所以治标。凡小儿一经吐泻多作，即是危险之症。若其屡作不止，无论痘后疹后病后，不
拘何因，皆当急用参术以救胃气，姜桂枸熟等药以救肾气。不惟伤食当急救之，即伤寒伤暑，亦当急救之。盖
其先虽有寒暑实邪，一经吐泻，业已全除，脾胃空虚，仓廪空乏。若不急救，恐虚痰上涌，命在倾刻矣。庸医
不明，皆误指为食为热，投以清火去积凉血，立时告变，为之奈何。与其失之寒凉，断难生活；不若试之温补，
犹可救疗。此语发明吐泻慢风之理，最为
明透。后之君子，愿勿忽诸。今将慢风辨症，胪列于后。
慢风吐泻，脾胃虚寒也。
慢风身冷，阳气抑遏不出也。（服凉药后，往往至此。）
慢风鼻孔煽动，真阴失守，虚火烁肺也。
慢风面色青黄及白，气血两虚也。
慢风口鼻中冷气，中寒也。
慢风大小便清白，肾与大肠全无火也。
慢风昏睡露睛，神气不足也。
慢风手足抽掣，血不行于四肢也。
慢风角弓反张，血虚筋急也。
慢风乍热乍寒，阴血虚少，阴阳错乱也。
慢风汗出如洗，阳虚而表不固也。
慢风手足螈 ，血不足以养筋也。
慢风身虽发热，口唇焦裂出血，却不喜饮冷茶水，进以寒凉，愈增危笃，以及所吐之乳，所泻之物，皆不
甚消化，脾胃无火可知，唇之焦黑、乃真阴之不足明矣。
慢风囟门下陷，虚之极也。
庄一夔曰∶大凡因热不退，及吐泻而成者，总是由阴虚阳越，必成慢风。并非感冒风寒发热可比，故不宜
发散。治宜培元救本，加姜桂以引火归元。必先用辛热冲开寒痰，再进温补方为得法。
涂蔚生曰∶庄一夔之所谓慢风，即余之所谓寒风，与热风相反者。其实寒风热风俱各有急起慢起二种，
此则虚寒慢起之一种，由渐而至剧者。庄一夔原文慢字下，本系一个惊字。余以其与风字有别，全为易去。非
妄之也，实欲提清风字眉目耳。庄一有知，亦当谅我。至其以脾胃虚寒之昏睡露睛，解为神气不足，
亦尚属一间未到。盖上下眼皮属脾胃，脾胃虚寒收缩，而眼皮亦收缩露睛也。
庄一夔逐寒荡风汤
胡椒 炮姜 肉桂 丁香
上四味，谅儿之大小，酌加药之轻重。以灶心土三两煮水，澄清，煎药大半茶杯，频频灌之。接服后方，定
茯奇功。
庄一夔曰∶此方药性温暖，专治小儿气体本虚，或久病不愈，或痘后疹后，或误服凉药，泄泻呕吐，转为慢
风。清热散风，愈治愈危。速宜服此，能开寒痰，宽胸肠，止呕吐，荡风邪，所谓回元气于无有之乡。一二剂后，
呕吐渐止，即其验也。认明但系虚寒，即宜服之，不必疑畏也。
庄一夔加味理中地黄汤
熟地（一钱） 当归（一钱） 萸肉（一钱） 枸杞（一钱） 白术（一钱） 炮姜（一钱） 党参（一钱）
炙草（一钱） 枣仁（一钱） 肉桂（六分） 炙黄 （一钱）
外加生姜、大枣、核桃肉为引，仍用灶心土煮水煎药，取浓汁一杯。另加附子数分，煎水搀入。量儿大小，
分数次灌之。如咳嗽不止者，加罂粟壳、金樱子。如大热不退，加白芍。泄泻不止者，如丁香。只服一剂，即去附
子，只用丁香数粒。盖因附子大热，中病即宜去之也。如用附子太多，则小便闭塞不通。如不用附子，则沉寒
脏腑，固结不开。如不用丁香，则泄泻不止。若小儿虚寒至极者，附子不妨用至一二钱。此所谓神而明之，存乎
其人，用者审之。此方乃救阴固本之要药，治小儿慢风，称为神剂。若小儿泄泻不止已甚者，微见惊搐，胃中尚
可受药，吃乳便利者，并不必服逐寒荡风汤，只服此方一剂，而风定神清矣。如小儿尚未成风，不过昏睡发热，或
时热时止，或日间安静，夜间发热及午后发热等症，总属阴虚，均可服之。若新病壮实之小
儿，眼红口渴者，乃实火之症，方可暂行清解。但系实火，必大便闭塞，气壮声洪，且喜多喝冷茶水。若吐泻
交作，则非实火可知矣。此方补造阴阳所不足，实回生起死有神功。倘太虚之后，服一剂无效，必须大剂多服
为妙。
庄一夔曰∶此方助气补血，却病回阳。专治小儿精神已亏，气血大坏，形状野狼狈，瘦弱至极，皆可挽回之。
如法浓煎，频频与服。参天救本之功，有难以尽述者。
涂蔚生曰∶庆一夔此节之证论方治，颇着巨效。足征其平素经验，极有心得。可谓余之以前证论方治，是
一个疗风的标本对字。亦可知用药犹夫用兵，总宜使用活法，不宜使用碍法。知风之有寒热二种，即知宜寒者之
不可以热，宜热者不可以寒。亦即知虚者之不可以泻，实者之不可以补。悟透天时，固为妙颖。了解人事，的
是高明。如必HT 定风之种类有若干，风之形状为何若，是则缘木而求鱼，终无异胶柱以鼓瑟。
（节录自庄一夔的《福幼篇》）
庄一夔说：慢风病（一种以抽搐、神昏为主要表现的儿科危重病症），大多是因为小儿吐泻引起的，或者是长期疟疾、长期痢疾，或者是出痘疹之后，或者是因为风寒和饮食积滞，过度使用攻伐药物损伤了肠脾，或者先天禀赋虚弱，或者误用了寒凉药物，或者因为急惊风（急性高热惊厥）而用药攻下太过，或者护理调理不当，都可以导致这种病症。其症状表现为神志昏迷、气喘，或者大热不退，眼球上翻、惊厥抽搐，或者忽冷忽热，或者三阳经（太阳、阳明、少阳）晦暗无光，或者面色淡白青黄，或者大小便颜色清白，或者口唇虽然开裂出血，但口中呼出的气息寒冷，或者痢疾腹泻伴有冷汗，或者食物不消化，或者四肢冰冷，甚至腹部有气响，喉间有痰鸣声，身体向后反折如弓状（角弓反张），目光昏暗。这是虚证，也是危重症。俗称为天吊风、虚风、慢脾风，都是指这种病症。如果再使用寒凉药物，再使用消导药物，或者用胆星、抱龙丸来除痰，或者用天麻、全蝎来驱风，或者用知母、黄柏、黄芩、黄连来清火，或者用巴豆、大黄来去积，杀人就像翻手掌一样容易，实在令人畏惧。如果治风而风无可治，治惊而惊无可治。这实际上是因为脾胃虚寒，孤阳外越，元气无根，阴寒至极，风气由此而动。治疗应当先用辛热药物，再加温补药物。因为补益脾土（脾胃属土）就是用来克制肝木（肝属木主风），治疗肝木就是治疗标症。凡是小儿一旦频繁吐泻，就是危险的病症。如果反复发作不止，无论痘后、疹后还是病后，不管什么原因，都应当紧急用人参、白术来挽救胃气，用干姜、肉桂、枸杞、熟地黄等药物来挽救肾气。不仅仅是伤食需要急救，即使是伤寒或伤暑，也应当急救。因为起初虽然有寒暑实邪，一旦经过吐泻，已经全部去除，脾胃空虚，仓库匮乏。如果不紧急救治，恐怕虚痰上涌，性命就在顷刻之间了。庸医不明白这一点，都错误地认为是食积或热证，投以清火、去积、凉血的药物，立刻导致病情恶化，对此该怎么办呢？与其失误于寒凉，断难救活；不如尝试温补，还有可能救疗。这段话阐明了吐泻导致慢风的道理，最为透彻。后来的君子，希望不要忽视它。现在将慢风的辨证列在下面。
慢风吐泻，是脾胃虚寒。
慢风身冷，是阳气被抑制不能外出。（服用凉药后，往往出现这种情况。）
慢风鼻孔煽动，是真阴失守，虚火灼烧肺脏。
慢风面色青黄及白色，是气血两虚。
慢风口鼻中呼出冷气，是中寒。
慢风大小便清白，是肾与大肠完全没有火（阳气）。
慢风昏睡且眼睛睁开露睛，是神气不足。
慢风手足抽掣，是血液不能运行到四肢。
慢风角弓反张，是血虚导致筋脉拘急。
慢风忽冷忽热，是阴血虚少，阴阳错乱。
慢风汗出如洗，是阳虚而表卫不固。
慢风手足蠕动（瘛疭），是血液不足以滋养筋脉。
慢风身体虽然发热，口唇焦裂出血，却不喜欢喝冷饮茶水，给予寒凉药物，会加重危重程度，以及所呕吐的乳汁、所排泄的物质，都不甚消化，可知脾胃没有火（阳气），嘴唇焦黑，乃是真阴不足的明证。
慢风囟门下陷，是虚损到了极点。
庄一夔说：大凡因为热不退，以及吐泻而成的，总是由阴虚阳越引起，必然形成慢风。并不是感冒风寒发热可以相比的，所以不宜发散解表。治疗应当培元救本，加入干姜、肉桂以引火归元。必须先用辛热药物冲开寒痰，再进温补药物才是正确的方法。
涂蔚生说：庄一夔所说的慢风，就是我所说的寒风，与热风相反。其实寒风和热风各自都有急起和慢起两种，这里指的是虚寒慢起的一种，逐渐发展到严重的情况。庄一夔原文中“慢”字下面，原本是一个“惊”字。我因为它与“风”字有别，完全将其改为“风”字。并非妄加改动，实在是想提清风病的眉目罢了。如果庄一夔有知，也会谅解我。至于他将脾胃虚寒导致的昏睡露睛，解释为神气不足，也还算是一点未到位。因为上下眼皮属于脾胃，脾胃虚寒收缩，导致眼皮也收缩而露睛。
庄一夔逐寒荡风汤
胡椒 炮姜 肉桂 丁香
以上四味药，根据患儿的大小，酌情调整药量的轻重。用灶心土三两煮水，澄清后，煎药至大半茶杯，频频灌服。接着服用后面的方子，定有奇效。
庄一夔说：此方药性温暖，专门治疗小儿体质本虚，或者久病不愈，或者痘后疹后，或者误服凉药，泄泻呕吐，转为慢风。清热散风只会使治愈越困难，病情越危险。速宜服用此方，能开寒痰，宽胸肠，止呕吐，荡涤风邪，所谓在虚无之中挽回元气。一二剂后，呕吐逐渐停止，就是验证。认清只要是虚寒证，就应当服用，不必怀疑畏惧。
庄一夔加味理中地黄汤
熟地黄（一钱） 当归（一钱） 山茱萸（一钱） 枸杞子（一钱） 白术（一钱） 炮姜（一钱） 党参（一钱）
炙甘草（一钱） 酸枣仁（一钱） 肉桂（六分） 炙黄芪（一钱）
外加生姜、大枣、核桃肉作为药引，仍然用灶心土煮水煎药，取浓汁一杯。另外加附子数分，煎水掺入。根据患儿大小，分几次灌服。如果咳嗽不止，加罂粟壳、金樱子。如果大热不退，加白芍。泄泻不止者，加丁香。只服一剂，就去掉附子，只用丁香数粒。因为附子大热，中病（击中病灶/见效）后就应当去掉。如果用附子太多，则会导致小便闭塞不通。如果不用附子，则沉寒在脏腑，固结不开。如果不用丁香，则泄泻不止。如果小儿虚寒至极，附子不妨用到一两二钱。这就是所谓的“神而明之，存乎其人”，使用者要审慎。此方是救阴固本的要药，治疗小儿慢风，称为神剂。如果小儿泄泻不止已经很严重，微微见到惊搐，胃中还可以受药，吃奶便利的，并不一定非要服用逐寒荡风汤，只服用此方一剂，风停神清了。如果小儿尚未成风，不过是昏睡发热，或者时热时止，或者日间安静，夜间发热及午后发热等症状，总属阴虚，都可以服用。如果是新病壮实的小儿，眼红口渴的，是实火证，才可以暂时用清解法。只要是实火，必定大便闭塞，气壮声洪，并且喜欢多喝冷茶水。如果吐泻交作，那就不是实火可知了。此方补充阴阳的不足，实在有回生起死的神功。如果在极度虚弱之后，服一剂无效，必须大剂量多服才妙。
庄一夔说：此方助气补血，祛病回阳。专门治疗小儿精神已亏，气血大坏，形体野狼狈，瘦弱至极，都可以挽回。依法浓煎，频频给患儿服用。参天救本的功效，难以尽述。
涂蔚生说：庄一夔这一节的证论方治，颇著巨效。足以证明他平素经验丰富，极有心得。可以说这是我以前关于证论方治的一个治疗风病的标本对照字句。也可以知道用药如同用兵，总适宜使用活法，不适宜使用呆板之法。知道风有寒热两种，就知道宜寒的不可以用热，宜热的不可以用寒。也就知道虚的不可以泻，实的不可以补。悟透天时，固然是妙颖。了解人事，确实是高明。如果一定要限定风的种类有多少，风的形状是什么样的，那就是缘木求鱼，最终无异于胶柱鼓瑟（比喻拘泥成法，不知变通）。
(Excerpt from Zhuang Yikui's *Fu You Pian*)
Zhuang Yikui stated: The syndrome of Man Feng (Slow Wind, a critical pediatric condition characterized by convulsions and coma) is most often caused by vomiting and diarrhea in children. It may also result from chronic malaria or chronic dysentery, occurring after smallpox or chickenpox, due to wind-cold and food stagnation, excessive use of purgative drugs damaging the intestines and spleen, innate constitutional deficiency, misuse of cold-natured medicines, excessive downward-draining treatment for Ji Jing Feng (Acute Convulsive Wind), or improper nursing and regulation. All these can lead to this syndrome. Symptoms include unconsciousness and panting, persistent high fever, upward rolling of eyes with convulsions, alternating chills and fever, dimness of the three Yang meridians (Taiyang, Yangming, Shaoyang), pale white-greenish-yellow complexion, clear and colorless urine and stool, cracked and bleeding lips despite cold breath exhaled from the mouth, dysentery or diarrhea accompanied by cold sweat, undigested food, cold limbs, abdominal borborygmus, phlegm rattle in the throat, opisthotonos (body bent backward like a bow), and dim vision. This is a deficiency syndrome and also a critical condition. Commonly known as Tian Diao Feng (Heaven-Hanging Wind), Xu Feng (Deficiency Wind), or Man Pi Feng (Slow Spleen Wind), all refer to this same syndrome. If one further uses cold-natured medicines or digestive-promoting medicines, or employs Dan Xing (Arisaema cum Bile) and Bao Long Wan (Embrace Dragon Pill) to resolve phlegm, or uses Tian Ma (Gastrodia Rhizome) and Quan Xie (Scorpion) to dispel wind, or uses Zhi Mu (Anemarrhena Rhizome), Huang Bai (Phellodendron Bark), Huang Qin (Scutellaria Root), and Lian Zi (Lotus Plumule) to clear fire, or uses Ba Dou (Croton Seed) and Da Huang (Rhubarb Root) to remove accumulation, killing people would be as easy as turning over a palm; this is truly terrifying. If treating wind finds no wind to treat, and treating惊 (fright/convulsion) finds no惊 to treat, it is because the root cause is Spleen-Stomach Deficiency-Cold, lone Yang floating outward, Yuan Qi (Original Qi) lacking a root, and extreme Yin-Cold causing the movement of wind. Treatment should first employ acrid-hot medicines, followed by warming and tonifying medicines. Tonifying Earth (Spleen/Stomach) serves to counter Wood (Liver/Wind); treating Wood is treating the branch. Whenever a child suffers frequent vomiting and diarrhea, it is a dangerous condition. If it recurs incessantly, regardless of whether it follows smallpox, chickenpox, or other illnesses, and irrespective of the cause, Shen Qi (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) should be urgently used to rescue Stomach Qi, while Jiang (Ginger), Gui (Cinnamon Twig), Gou Qi (Goji Berry), and Shu Di (Prepared Rehmannia Root) should be used to rescue Kidney Qi. Not only food stagnation requires urgent rescue; even Shang Han (Cold Damage) or Shang Shu (Summerheat Injury) require urgent rescue. Although there may initially be excess pathogens of cold or summerheat, once vomiting and diarrhea occur, they are largely eliminated, leaving the Spleen and Stomach empty and the granaries depleted. If not urgently rescued, deficient phlegm may surge upward, and life may be lost in an instant. Quack doctors, failing to understand this, mistakenly diagnose it as food stagnation or heat, administering medicines to clear fire, remove accumulation, and cool blood, leading to immediate deterioration. What can be done? Rather than erring on the side of cold-cooling, which makes survival difficult, it is better to try warming-tonifying, which still offers hope for cure. This passage elucidates the principle of vomiting and diarrhea leading to Slow Wind most clearly. Future scholars should not neglect this. Below, the differentiation of Slow Wind symptoms is listed.
Slow Wind with vomiting and diarrhea indicates Spleen-Stomach Deficiency-Cold.
Slow Wind with cold body indicates Yang Qi being suppressed and unable to emerge. (This often occurs after taking cold-natured medicines.)
Slow Wind with flaring nostrils indicates True Yin failing to hold fast, with deficient fire scorching the Lung.
Slow Wind with greenish-yellow and white complexion indicates dual deficiency of Qi and Blood.
Slow Wind with cold air from mouth and nose indicates Middle Jiao Cold.
Slow Wind with clear and colorless urine and stool indicates complete lack of Fire (Yang Qi) in the Kidney and Large Intestine.
Slow Wind with drowsiness and exposed eyes during sleep indicates insufficiency of Shen Qi (Spiritual Qi).
Slow Wind with twitching of hands and feet indicates Blood failing to circulate to the four limbs.
Slow Wind with opisthotonos indicates Blood deficiency causing tendon tension.
Slow Wind with alternating hot and cold indicates insufficient Yin-Blood and disorder of Yin and Yang.
Slow Wind with profuse sweating indicates Yang deficiency and insecure exterior defense.
Slow Wind with clonic spasms of hands and feet indicates Blood insufficient to nourish the tendons.
Slow Wind with apparent fever but cracked, bleeding lips that do not desire cold drinks, worsening with cold medicines, and undigested vomit/stool, indicates lack of Fire in the Spleen and Stomach; blackened lips indicate insufficiency of True Yin.
Slow Wind with sunken fontanelle indicates extreme deficiency.
Zhuang Yikui said: Generally, cases resulting from persistent fever and vomiting/diarrhea are always due to Yin deficiency with Yang floating outward, inevitably forming Slow Wind. This is not comparable to fever caused by wind-cold invasion, so dispersing methods are unsuitable. Treatment should cultivate the Source and rescue the Root, adding Ginger and Cinnamon Twig to guide fire back to its origin. One must first use acrid-hot medicines to break open cold-phlegm, then proceed with warming-tonification. This is the correct method.
Tu Weisheng said: What Zhuang Yikui calls "Slow Wind" is what I call "Cold Wind," opposite to "Hot Wind." In fact, both Cold Wind and Hot Wind have acute-onset and slow-onset types. This refers to the slow-onset type of deficiency-cold, gradually progressing to severity. In Zhuang's original text, under the character "Man" (Slow), there was originally a character "Jing" (Fright). I changed it entirely to "Wind" because it differs from "Wind." This was not arbitrary; I intended to clarify the nature of Wind syndromes. If Zhuang were alive, he would likely forgive me. Regarding his explanation of drowsiness and exposed eyes due to Spleen-Stomach Deficiency-Cold as "insufficiency of Shen Qi," this is slightly incomplete. The upper and lower eyelids belong to the Spleen-Stomach; when Spleen-Stomach is deficient and cold, contraction occurs, causing the eyelids to retract and expose the eyes.
**Zhuang Yikui's Zhu Han Dang Feng Tang (Expel Cold and Eliminate Wind Decoction)**
Hu Jiao (Black Pepper), Pao Jiang (Baked Ginger), Rou Gui (Cinnamon Bark), Ding Xiang (Clove).
For these four herbs, adjust the dosage according to the child's size. Boil San Zao Xin Tu (Caolistae Terra) in water, clarify the liquid, decoct the herbs until half a teacup remains, and administer frequently. Follow with the subsequent formula for miraculous effect.
Zhuang Yikui said: This formula has warm properties and specifically treats children with innate constitutional deficiency, prolonged illness, post-smallpox/chickenpox states, or conditions transformed into Slow Wind due to mistaken use of cold medicines causing diarrhea and vomiting. Clearing heat and dispersing wind will only make treatment harder and the condition more critical. Take this quickly; it can open cold-phlegm, widen the chest and intestines, stop vomiting, and eliminate wind pathogens, thereby rescuing Yuan Qi from non-existence. Cessation of vomiting after one or two doses is the verification. Recognize it as a deficiency-cold pattern and administer without hesitation.
**Zhuang Yikui's Modified Li Zhong Di Huang Tang (Modified Regulate the Middle and Replenish Earth Decoction)**
Shu Di Huang (Prepared Rehmanniae Radix, 1 qian), Dang Gui (Angelicae Sinensis Radix, 1 qian), Yu Rou (Corni Fructus, 1 qian), Gou Qi Zi (Lycii Fructus, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Pao Jiang (Zingiberis Rhizoma Preparatum, 1 qian), Dang Shen (Codonopsis Radix, 1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 1 qian), Suan Zao Ren (Ziziphi Spinosae Semen, 1 qian), Rou Gui (Cinnamomi Cortex, 6 fen), Zhi Huang Qi (Astragali Radix Preparata, 1 qian).
Add Sheng Jiang (Fresh Ginger), Da Zao (Jujubae Fructus), and He Tao Ren (Juglandis Semen) as guides. Still use San Zao Xin Tu (Caolistae Terra) water for decoction, obtaining one cup of thick juice. Separately decoct Fu Zi (Aconiti Lateralis Radix Preparata) in water and mix in. Administer according to the child's size in divided doses. If cough persists, add Ying Su Qiao (Papaveris Pericarpium) and Jin Ying Zi (Chrysanthemi Fructus). If high fever persists, add Bai Shao (Paeoniae Radix Alba). For persistent diarrhea, add Ding Xiang (Caryophylli Flos). After one dose, remove Fu Zi and use only a few grains of Ding Xiang. Because Fu Zi is extremely hot, it should be removed once the disease is addressed. Too much Fu Zi causes urinary retention; omitting it leaves deep cold in the organs unresolved; omitting Ding Xiang results in persistent diarrhea. For extreme deficiency-cold, Fu Zi may be used up to 1-2 qian. As the saying goes, "Divinity lies in the practitioner"; users must exercise judgment. This formula is essential for saving Yin and securing the Root, called a divine agent for treating pediatric Slow Wind. If a child has severe persistent diarrhea with slight convulsions, yet the stomach can accept medicine and digestion is normal, Zhu Han Dang Feng Tang may be skipped; one dose of this formula alone will stop wind and clarify spirit. If the child has not yet developed full wind syndrome but shows drowsiness, fever (intermittent, night-time, or afternoon), all indicating Yin deficiency, this formula is suitable. For newly ill, robust children with red eyes and thirst (excess fire patterns), temporary clearing and resolving methods may be used. Excess fire presents with constipation, strong voice, and preference for cold drinks. Vomiting and diarrhea together rule out excess fire. This formula supplements insufficient Yin and Yang, possessing miraculous powers to revive the dying. If ineffective after one dose in extreme deficiency, larger doses should be used.
Zhuang Yikui said: This formula boosts Qi and nourishes Blood, expels disease and restores Yang. It specifically treats children with depleted spirit and severely damaged Qi and Blood, appearing emaciated and wretched, capable of recovery. Decoct strongly and administer frequently. Its merit in supplementing Heaven and rescuing the Root is beyond description.
Tu Weisheng said: Zhuang Yikui's discussion on syndromes and formulas in this section yields great efficacy, proving his extensive experience and insight. It serves as a standard reference for treating wind diseases. Medication is like warfare; flexible methods are preferred over rigid ones. Knowing wind has cold and hot types implies that cold-patterns should not be treated with heat, nor heat-patterns with cold. Similarly, deficiency should not be purged, nor excess tonified. Understanding natural timing is brilliant; understanding human affairs is wise. Insisting on rigid classifications of wind types and shapes is like climbing a tree to catch fish or gluing the tuning pegs of a zither—ultimately futile and inflexible.