（附论）
夫转脉 者。因饮酒大醉。夜卧不安。多惊欲呕。转侧失枕之所生也。始发之时。在于
颈项。脉转身如振。使人寒热。其根在于小肠也。
方
斑蝥白芷丸（出千金方）治转脉 。始发于颈项。濯濯脉转转。苦惊惕身振寒
热。此得之因惊卧失枕。其根在小肠。以斑蝥主之。白芷为之佐。
斑蝥（去头足翅糯米拌炒以黄为度） 白芷 绿青 大黄（各三两） 升麻 钟乳 甘
草
防风 地胆（去头足翅糯米拌炒以黄为度） 续断 麝香 矾石（各一两） 人参 当归 桂
心
（各二两） 白术 麦门冬（各一两） 上为细末。炼蜜和丸如大豆大。酒服十丸。日三。
勿
食生菜。慎房室百日。外台秘要无大黄、桂心、麦门冬、白术、钟乳。
斑蝥丸（出圣惠方）治转脉 发于颈。肿痛寒热。出脓水。
斑蝥（一分去头足翅糯米拌炒米黄为度） 人参（三分去芦头） 地胆（一分去头足翅
糯米
拌炒米黄为度） 当归（三两） 川升麻（三分） 麦门冬（去心一分焙） 白术（三分） 川
大黄
（三分微炒） 钟乳粉（三分） 桂心（三分） 甘草（一分锉炙微赤） 防风（半两去芦）
续断
（三分） 麝香（一分） 白矾（一两烧令汗尽） 上为细末。后入研了药令匀。炼蜜捣三
二百
杵。丸如梧桐子大。每服以酒下十丸。日三服。
连翘散（一名连翘丸出圣惠方）治转脉 发于颈项间。寒热有脓。\x（方见本
门
寒热类）
（附论）
所谓转脉，是由于饮酒大醉，夜间睡眠不安稳，多受惊吓且想呕吐，以及翻身时枕头位置不当所引发的疾病。发病初期，症状出现在颈项部位，脉搏跳动旋转，身体如同被震动一般，使人出现寒热交替的症状。其病根在于小肠。
方剂
斑蝥白芷丸（出自《千金方》），治疗转脉。病症始于颈项，脉搏跳动旋转，因惊恐而惕动，身体震颤，伴有寒热症状。此病得之于受惊后卧床且枕头位置不当。其病根在小肠，以斑蝥为主药，白芷为佐药。
斑蝥（去除头、足、翅膀，用糯米拌炒至黄色为止）、白芷、绿青、大黄（各三两）、升麻、钟乳、甘草、防风、地胆（去除头、足、翅膀，用糯米拌炒至黄色为止）、续断、麝香、矾石（各一两）、人参、当归、桂心（各二两）、白术、麦门冬（各一两）。以上药物研成细末，用炼蜜调和制成如大豆大小的丸剂。每次用酒送服十丸，每日三次。不要食用生冷蔬菜，禁欲百日。《外台秘要》中记载的方子没有大黄、桂心、麦门冬、白术、钟乳。
斑蝥丸（出自《圣惠方》），治疗转脉发于颈部，肿痛并伴有寒热，流出脓水。
斑蝥（一分，去除头、足、翅膀，用糯米拌炒至米黄色为止）、人参（三分，去除芦头）、地胆（一分，去除头、足、翅膀，用糯米拌炒至米黄色为止）、当归（三两）、川升麻（三分）、麦门冬（去心一分，焙干）、白术（三分）、川大黄（三分，微炒）、钟乳粉（三分）、桂心（三分）、甘草（一分，锉碎炙烤至微红）、防风（半两，去芦头）、续断（三分）、麝香（一分）、白矾（一两，烧至水分尽失）。以上药物研成细末，随后加入已研磨好的药物混合均匀。用炼蜜捣击三二百下，制成如梧桐子大小的丸剂。每次用酒送服十丸，每日三次。
(Attached Discussion)
The condition known as "Zhuan Mai" (Rotating Pulse) arises from excessive drinking leading to drunkenness, restless sleep at night, frequent fright and nausea, and improper pillow positioning during turning over. Initially, the symptoms manifest in the neck and nape region; the pulse rotates, and the body feels as if vibrating, causing alternating chills and fever. The root of this condition lies in the Small Intestine.
Prescriptions
Banmao Baizhi Wan (Spider Beetle and Angelica Dahurica Pill), sourced from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), treats Zhuan Mai. The condition begins in the neck and nape, with a rotating pulse sensation, frightful agitation, body tremors, and alternating chills and fever. This results from being frightened while lying down with an improper pillow. The root is in the Small Intestine. Spider Beetle (*Mylabris*) is the principal herb, and Angelica Dahurica (*Baizhi*) serves as the assistant herb.
Spider Beetle (*Mylabris*, remove head, feet, and wings, stir-fry with glutinous rice until yellow), Angelica Dahurica (*Baizhi*), Green Qing (likely referring to a specific mineral or processed herb, literal: *Lüqing*), Rhubarb (*Dahuang*) (each 3 liang), Cimicifuga (*Shengma*), Gypsum Fibrosum (*Zhongru*), Licorice (*Gancao*), Saposhnikovia (*Fangfeng*), Ground Beetle (*Didan*, remove head, feet, and wings, stir-fry with glutinous rice until yellow), Teasel Root (*Xuduan*), Musk (*Shexiang*), Alum (*Fanshi*) (each 1 liang), Ginseng (*Renshen*), Angelica Sinensis (*Danggui*), Cinnamon Heart (*Guixin*) (each 2 liang), Atractylodes Macrocephala (*Baizhu*), Ophiopogon (*Maimendong*) (each 1 liang). Grind the above herbs into fine powder. Mix with refined honey to form pills the size of soybeans. Take 10 pills with wine, three times daily. Avoid raw vegetables. Abstain from sexual activity for 100 days. *Waitai Miyao* (Secret Essentials of the Outer Palace) omits Rhubarb, Cinnamon Heart, Ophiopogon, Atractylodes Macrocephala, and Gypsum Fibrosum.
Banmao Wan (Spider Beetle Pill), sourced from *Shenghui Fang* (Prescriptions of Holy Grace), treats Zhuan Mai manifesting in the neck, characterized by swelling, pain, chills, fever, and discharge of pus and fluid.
Spider Beetle (*Mylabris*, 1 fen, remove head, feet, and wings, stir-fry with glutinous rice until rice-yellow), Ginseng (*Renshen*, 3 fen, remove rhizome), Ground Beetle (*Didan*, 1 fen, remove head, feet, and wings, stir-fry with glutinous rice until rice-yellow), Angelica Sinensis (*Danggui*, 3 liang), Sichuan Cimicifuga (*Chuan Shengma*, 3 fen), Ophiopogon (*Maimendong*, remove heart, 1 fen, bake), Atractylodes Macrocephala (*Baizhu*, 3 fen), Sichuan Rhubarb (*Chuan Dahuang*, 3 fen, lightly stir-fry), Gypsum Fibrosum Powder (*Zhongru Fen*, 3 fen), Cinnamon Heart (*Guixin*, 3 fen), Licorice (*Gancao*, 1 fen, cut and roast until slightly red), Saposhnikovia (*Fangfeng*, 0.5 liang, remove rhizome), Teasel Root (*Xuduan*, 3 fen), Musk (*Shexiang*, 1 fen), White Alum (*Bai Fan*, 1 liang, calcine until moisture is exhausted). Grind the above herbs into fine powder, then mix thoroughly with the already ground ingredients. Beat with refined honey for 200-300 strokes to form pills the size of golden oak seeds. Take 10 pills with wine per dose, three times daily.
Liaoqiao San (Forsythia Powder), also known as Liaoqiao Wan (Forsythia Pill), sourced from *Shenghui Fang*, treats Zhuan Mai manifesting between the neck and nape, accompanied by chills, fever, and pus formation. (See prescription in the "Chills and Fever" category of this section.)