一、痉证凡因汗因泻者，其气必虚。微虚者，宜三阴煎、五福饮之类主之。大虚而脉见
沉细，阴胜者，宜大营煎、大补元煎、十全大补汤之类主之。
一、痉证多汗者，宜三阴煎、参归汤、人参建中汤主之。阳气大虚，汗出或亡阳者，宜
参附汤、 附汤、大补元煎之类主之。若汗出兼火，多热躁者，且当归六黄汤主之。
一、痉因泄泻者，宜胃关煎、温胃饮之类主之。泻止而痉者，宜大营煎、五福饮之类主
之。
一、痉有兼火者，必脉见洪滑，证见烦热，宜一阴煎，或加减一阴煎主之。若火盛之甚
，以致阴血涸燥者，不得不先去其火，宜清化饮、保阴煎、玉女煎之类主之。
一、痉有表邪未解者，当察其邪之微甚及证之阴阳。若身有微热，脉不紧数者，此微邪
也。只补正气，其邪自散。宜五福饮之类主之。若表邪未解，阴虚无汗身热者，宜三柴胡饮
、四柴胡饮、补阴益气煎之类主之。若阳气大虚，阴极畏寒，邪不解而痉者，宜大温中饮主
之。
一、痉有痰盛者，不得不先清上焦。若火盛多痰者，宜用清膈煎、抱龙丸。若多痰无
火，宜用六安煎。凡此证候，多属虚痰虚火。因其壅滞，不得不暂为清理。但得痰气稍开，
盒饭调理血气。
一、小儿吐泻及多汗之后。一、妇人产后。一、诸证大失血之后。一、凡病中风及疮毒
溃脓之后，皆有此证，悉当根据前法酌宜治之。
一、痉证有兼湿者，当如王海藏治法，详见后条。
一、痉证（以项背强直、四肢抽搐为主要表现的病证）凡是因发汗或腹泻导致的，患者的正气必然虚弱。轻微虚弱的，适宜用三阴煎、五福饮等方剂为主进行治疗。严重虚弱且脉象呈现沉细、阴寒偏盛的，适宜用大营煎、大补元煎、十全大补汤等方剂为主进行治疗。
一、痉证伴有大量出汗的，适宜用三阴煎、参归汤、人参建中汤为主进行治疗。阳气极度虚弱，出现汗出过多甚至亡阳（阳气脱失）情况的，适宜用参附汤、附子汤、大补元煎等方剂为主进行治疗。如果汗出的同时兼有火热之邪，表现为多热且烦躁不安的，适宜用当归六黄汤为主进行治疗。
一、因泄泻引发的痉证，适宜用胃关煎、温胃饮等方剂为主进行治疗。泄泻停止后仍然出现痉证的，适宜用大营煎、五福饮等方剂为主进行治疗。
一、痉证兼有火邪的，必然脉象呈现洪大滑数，症状表现为烦热，适宜用一阴煎，或者加减一阴煎为主进行治疗。如果火邪炽盛到极点，导致阴血枯竭干燥的，不得不先清除其火邪，适宜用清化饮、保阴煎、玉女煎等方剂为主进行治疗。
一、痉证伴有表邪（外感病邪在肌表）未解除的，应当观察邪气的轻重以及证候的阴阳属性。如果身体仅有轻微发热，脉象不紧促快速的，这是轻微的邪气。只需补益正气，邪气自然消散。适宜用五福饮等方剂为主进行治疗。如果表邪未解，阴液亏虚无汗且身体发热，适宜用三柴胡饮、四柴胡饮、补阴益气煎等方剂为主进行治疗。如果阳气极度虚弱，阴寒至极而畏寒，邪气未解且发生痉证的，适宜用大温中饮为主进行治疗。
一、痉证伴有痰湿壅盛的，不得不先清理上焦（心肺所在部位）。如果火邪炽盛且痰多，适宜用清膈煎、抱龙丸。如果痰多但没有火邪，适宜用六安煎。凡此类证候，多属于虚痰和虚火。因为痰气壅滞阻塞，不得不暂时进行清理调理。只要痰气稍微通畅，就应当调理血气。
一、小儿在呕吐腹泻及大量出汗之后。一、妇女产后。一、各种病症在大出血之后。一、凡是患中风及疮毒溃破流脓之后，都会出现这种痉证，都应当根据前面的方法酌情适宜地治疗。
1. Spasm (a syndrome characterized by stiffness of the neck and back, and convulsions of the four limbs) caused by sweating or diarrhea inevitably results in Qi deficiency. For mild deficiency, San Yin Decoction (Three Yin Decoction) or Wu Fu Yin (Five Blessings Drink) are appropriate as primary treatments. For severe deficiency with a deep and fine pulse, indicating excess Yin, Da Ying Decoction (Great Camp Decoction), Da Bu Yuan Jian (Great Tonification of the Source Decoction), or Shi Quan Da Bu Tang (Ten Significant Great Tonifying Decoction) are appropriate as primary treatments.
2. For spasms accompanied by profuse sweating, San Yin Decoction, Shen Gui Tang (Ginseng and Angelica Decoction), or Ren Shen Jian Zhong Tang (Ginseng to Establish the Middle Decoction) are appropriate as primary treatments. In cases of extreme Yang Qi deficiency where sweating is excessive or Yang collapse occurs, Shen Fu Tang (Ginseng and Aconite Decoction), Fu Zi Tang (Aconite Decoction), or Da Bu Yuan Jian are appropriate as primary treatments. If sweating is accompanied by Fire pathogenic factors, manifesting as heat and restlessness, Dang Gui Liu Huang Tang (Angelica Sinensis and Six Yellow Decoction) is appropriate as the primary treatment.
3. For spasms caused by diarrhea, Wei Guan Jian (Stomach Gate Decoction) or Wen Wei Yin (Warming the Stomach Beverage) are appropriate as primary treatments. If spasms persist after diarrhea ceases, Da Ying Decoction or Wu Fu Yin are appropriate as primary treatments.
4. For spasms complicated by Fire, the pulse is invariably surging and slippery, and symptoms include irritability and heat. Yi Yin Decoction (One Yin Decoction) or Jia Jian Yi Yin Decoction (Modified One Yin Decoction) are appropriate as primary treatments. If Fire is excessively intense, leading to exhaustion and dryness of Yin Blood, it is imperative to first clear the Fire; Qing Hua Yin (Clearing Transformation Beverage), Bao Yin Jian (Preserving Yin Decoction), or Yu Nu Jian (Jade Woman Decoction) are appropriate as primary treatments.
5. For spasms where exterior pathogens have not yet resolved, one must assess the severity of the pathogen and the Yin-Yang nature of the syndrome. If there is slight fever and the pulse is not tight or rapid, this indicates a mild pathogen. Tonifying the healthy Qi alone will cause the pathogen to dissipate naturally. Wu Fu Yin is appropriate as the primary treatment. If the exterior pathogen remains unresolved, accompanied by Yin deficiency, absence of sweat, and body heat, San Chai Hu Yin (Three Bupleurum Beverage), Si Chai Hu Yin (Four Bupleurum Beverage), or Bu Yin Yi Qi Jian (Tonifying Yin and Boosting Qi Decoction) are appropriate as primary treatments. If Yang Qi is extremely deficient, Yin cold is at its extreme causing aversion to cold, and spasms occur due to unresolved pathogens, Da Wen Zhong Yin (Great Warming the Middle Beverage) is appropriate as the primary treatment.
6. For spasms complicated by abundant Phlegm, it is necessary to first clear the Upper Jiao (Upper Burner). If Fire is intense and phlegm is abundant, Qing Ge Jian (Clearing the Diaphragm Decoction) or Bao Long Wan (Embracing Dragon Pill) should be used. If there is abundant phlegm without Fire, Liu An Jian (Liu An Decoction) should be used. These syndromes generally belong to deficiency-Phlegm and deficiency-Fire. Due to obstruction and stagnation, temporary clearing and regulating are necessary. Once the Phlegm-Qi flow is slightly unblocked, regulation of Blood and Qi should follow.
7. After pediatric vomiting and diarrhea, and following profuse sweating. After postpartum conditions in women. After massive blood loss from various diseases. After stroke or the rupture and suppuration of sores/carbuncles, this syndrome may also appear; all should be treated according to the aforementioned methods, adjusted appropriately.
8. For spasms complicated by Dampness, refer to the treatment methods of Wang Haicang, detailed in the subsequent section.