上研细，入麝香少许，每服二钱，酒调下。不饮酒，米汤下。又一方，以苏木煎酒下。（《三因》）
蜈蚣散（主证见上防风汤下）
蜈蚣（一对） 鳔（五钱） 左盘龙（五钱，炒烟尽为度，野鸽粪是也。）
上件为细末，每服一钱，清酒调下。（《保命集》）（按∶此方，《微义》收在治表之剂。）又蜈蚣散，
去左盘龙，用防风汤调下。如前药解表不已，觉转入里，当服左龙丸微利。看大便硬软，加巴豆霜服之。左龙
丸，于本方去蜈蚣，加白僵蚕五钱，雄黄一钱，烧饼为丸，如桐子大，每服十五丸，温酒下。
通应散，治破伤风。
天南星（炮） 白僵蚕（炒） 干蝎（炒） 鳔（炮各等分）
上件同为细末，每服半钱，酒调灌之，立愈。（《烟霞》）
镇风散，治破伤风，诸药不效，事在危急者，用之必应也。
鳔胶（切段微焙） 杭粉（焙黄） 皂矾（各一两炒红色） 朱砂（三钱另研）
上为细末，每服二钱，无灰热酒调服。如一切猪羊等风发之昏倒不醒人事者，每服三钱，二服即愈不发。
外灸伤处七壮，知疼痛者，乃为吉兆。（《外科正宗》）
患处复加肿赤，神昏少食，不分经络者，穿山甲一钱匙，蜈蚣末半钱匙，麝香一字，浓煎葱白香豉汤服之。
患上，用葱涕调炒飞面涂之。（《医通》）《洞天奥旨》蜈蚣研末二分，麝香半分，擦牙，吐口涎即瘥。（宜
参证治总说《纲目》文。）
脱凡散，治破伤风，五七日未愈，已至角弓反张，牙关紧急。
蝉蜕（去头足土净五钱）
上为末，用好酒一碗煎滚，服之立苏。（《医鉴》）
治破伤风，独圣散方。
苏枋木（不拘多少）
上一味，捣罗为细散，每服三钱匕，酒调服之，立效。（《圣济》）
治破伤风。
黄蜡 乱丝 好麻 头发（各二钱）
锅内炒焦，好酒冲服，汗出即愈，重者不过二服。（《危证简便》）
破伤风，污血凝心，鸦翎烧灰存性，研细末，酒调下一钱。（《大还》）
外治诸法 （导引）《古今录验》疗金疮得风，身体 强，口噤不能语，或因破打而得，及斧刀所伤，
得风临死，总用此方，无有不瘥，瓠HT 烧麻烛熏之方。
取未开瓠HT 一枚，长柄者，开其口，随疮大小开之，令疮相当，可绕四边闭塞，勿使通气，上复开一孔如
口，取浮麻子烛两条并然，瓠HT 向上，烛尽更续之，不过半日即瘥。若不止，亦可经一两日熏之，以瘥为度
。若烛长不得内入瓠HT ，可中折用之。（《外台》）
水调膏，治初破伤风，热红肿，风邪欲将传播经络而未入深者，用此。
杏仁（去肉细研） 飞白面（各等分）
上和匀，用新汲水调如膏，敷患处，肿消热退。（《医鉴》）
灸法，治破伤风及犬伤，神效。
用核桃壳半个，填稠人粪满，仍用槐白皮衬扣伤处，用艾灸之。若遍身汗出，其人大困则愈。（同上）
破伤风，搐搦，角弓反张，用人耳中垢，不拘多少，纸上焙干为末，入熟艾中和匀，做成小艾炷七个或十
个，灸患处即愈。（《寿域神方》）
凡破伤中风，宜早令导引摩按。自不能者，令人以屈伸按摩挽之，使筋脉稍得舒缓，而气得通行。及频以
橛斡牙关，勿令口噤。若紧噤之，则常以橛当之，及频斡之，勿损牙齿，免致口噤不开，而粥药不能下也。
（《原病式》）
舒筋法，治破伤后，筋挛缩不能伸，他病筋缩亦可。用大竹管长尺余，钻一窍，系以绳，挂于腰间，平坐
贴，举足磋衮之，勿计工程。久当有效。（《得效》）
将药材研成细末，加入少许麝香，每次服用二钱，用酒调服。不饮酒者，可用米汤送服。另一配方，用苏木煎酒送服。（出自《三因方》）
蜈蚣散（主要证候见上文防风汤条下）
蜈蚣（一对） 鳔胶（五钱） 左盘龙（五钱，炒至烟尽为止，即野鸽粪。）
以上药材研为细末，每次服用一钱，用清酒调服。（出自《保命集》）（按语：此方，《医宗微义》收录在治表之剂中。）另有蜈蚣散，去掉左盘龙，用防风汤调服。如果前述药物解表后病邪仍未解除，感觉病邪转入体内，应当服用左龙丸使其轻微通利大便。根据大便的硬软程度，添加巴豆霜服用。左龙丸，在本方基础上去掉蜈蚣，加入白僵蚕五钱、雄黄一钱，以烧饼为粘合剂制成丸药，大小如梧桐子大，每次服用十五丸，温酒送服。
通应散，治疗破伤风。
天南星（炮制） 白僵蚕（炒） 干蝎（炒） 鳔胶（炮制，各等分）
以上药材共同研为细末，每次服用半钱，用酒调匀灌服，立即痊愈。（出自《烟霞仙书》）
镇风散，治疗破伤风，其他药物无效，情况危急时，使用此方必定有效。
鳔胶（切段微焙） 杭粉（焙至黄色） 皂矾（各一两，炒至红色） 朱砂（三钱，单独研磨）
以上药材研为细末，每次服用二钱，用无灰热酒调服。如果是因猪羊等风引发的昏倒不醒人事者，每次服用三钱，服用两次即可痊愈不再发作。外灸患处七壮，感到疼痛者，是吉兆。（出自《外科正宗》）
患处再次出现红肿，神志昏迷，食欲减退，不分经络归属者，用穿山甲一钱匙，蜈蚣末半钱匙，麝香一字量，浓煎葱白和香豉汤送服。患处在上的，用葱涕调和炒过的飞面涂抹患处。（出自《医学统旨》）《洞天奥旨》记载：蜈蚣研末二分，麝香半分，擦牙，吐出涎液即愈。（宜参考《治法总说》及《本草纲目》相关条文。）
脱凡散，治疗破伤风，经过五七日未愈，已经发展到角弓反张，牙关紧闭。
蝉蜕（去头足泥土洗净五钱）
以上药材研为末，用好酒一碗煎滚，服用后立即苏醒。（出自《医鉴》）
治疗破伤风的独圣散方。
苏枋木（不拘多少）
以上一味药，捣碎罗筛为细散，每次服用三钱匕，用酒调服，立即见效。（出自《圣济总录》）
治疗破伤风。
黄蜡 乱丝 好麻 头发（各二钱）
在锅内炒焦，用好酒冲服，出汗即愈，重症不超过两次服药。（出自《危证简便方》）
破伤风，污血凝结于心，乌鸦羽毛烧灰存性，研成细末，用酒调服一钱。（出自《大还丹》）
外治各种方法 （导引）《古今录验》治疗金疮受风，身体僵硬，口噤不能说话，或因破损打击而得，以及斧刀所伤，受风濒死，总用此方，没有不痊愈的。瓠壶烧麻烛熏蒸的方法。
取一个未开的瓠壶，长柄的，打开其口，根据疮口大小开口，使疮口相当，四周封闭，不让通气，上面再开一个如口的小孔，取两根浮麻子蜡烛点燃，瓠壶口向上，蜡烛烧完接续，不超过半天即痊愈。如果不停止，也可以经过一两天熏蒸，以痊愈为标准。如果蜡烛太长无法放入瓠壶内，可以中间折断使用。（出自《外台秘要》）
水调膏，治疗初起破伤风，热毒红肿，风邪即将传播经络但未深入者，使用此方。
杏仁（去皮肉细研） 飞白面（各等分）
混合均匀，用新汲水调成膏状，敷于患处，肿消热退。（出自《医鉴》）
灸法，治疗破伤风及犬咬伤，神效。
用半个核桃壳，填满稠人粪，仍用槐白皮衬垫扣在伤处，用艾灸之。如果全身出汗，病人感到极度困倦则痊愈。（同上）
破伤风，抽搐，角弓反张，用人耳垢，不拘多少，纸上焙干研末，加入熟艾中和匀，做成小艾炷七个或十个，灸患处即愈。（出自《寿域神方》）
凡是破伤中风，宜尽早令患者进行导引按摩。若患者自己不能做，让人帮助其屈伸按摩牵引，使筋脉稍得舒缓，气血得以通行。以及频繁用橛物撬开牙关，不要让它紧闭。如果紧咬牙关，则常以橛物抵住，并频繁撬动，不要损伤牙齿，避免导致口噤不开，从而粥药无法下咽。（出自《原病式》）
舒筋法，治疗破伤后，筋挛缩不能伸展，其他疾病引起的筋缩也可用。用大竹管长尺余，钻一个孔，系上绳子，挂在腰间，平坐贴地，举足搓滚竹管，不计工作量。久了应当有效。（出自《袖珍方》/《得效方》）
Grind the medicinal materials into fine powder, add a small amount of Moschus (Musk), take two qian per dose, mixed with wine for administration. For those who do not drink alcohol, administer with rice gruel. Another prescription: administer with decoction of Sappan Wood (Suanmu) in wine. (From *San Yin Fang*)
Wugong San (Main symptoms see under Fangfeng Tang above)
Wugong (Centipede) (one pair) Biao (Fish Maw) (five qian) Zuolongpan (Five qian, stir-fried until smoke ceases; this refers to wild pigeon droppings.)
Grind the above ingredients into fine powder. Take one qian per dose, mixed with clear wine. (From *Baoming Ji*) [Note: This prescription is included in the exterior-resolving agents in *Yi Zong Wei Yi*.] Another Wugong San removes Zuolongpan and is administered with Fangfeng Tang. If the aforementioned drugs fail to resolve the exterior pathogen and the pathogen appears to move inward, administer Zuolong Wan to induce mild bowel movement. Adjust the dosage of Radix Crotonis Tiglii Frost (Badou Shuang) according to the hardness or softness of the stool. Zuolong Wan: Remove Wugong from the original formula, add Baijiangcan (White Silkworm) five qian and Xionghuang (Realgar) one qian. Use baked biscuit as a binder to make pills the size of tung seeds. Take fifteen pills per dose with warm wine.
Tongying San, treats wind-stroke due to broken wounds (tetanus).
Nantingxing (Arisaema Cum Bile, processed) Baijiangcan (Bombyx Batryticatus, stir-fried) Ganxie (Scorpio, stir-fried) Biao (Fish Maw, processed) (equal parts)
Grind the above ingredients together into fine powder. Take half a qian per dose, mix with wine and force-feed; immediate recovery ensues. (From *Yanxia Xianshu*)
Zhenfeng San, treats wind-stroke due to broken wounds (tetanus) when other medicines are ineffective and the condition is critical; its use will surely be effective.
Biao Jiao (Fish Maw Glue, cut into segments and lightly roasted) Hangfen (Rice Flour, roasted yellow) Zaofan (Chalcanthite, one tael each, stir-fried to red color) Zhusha (Cinnabar, three qian, separately ground)
Grind the above into fine powder. Take two qian per dose, mixed with hot wine free of ash impurities. In cases of coma and unconsciousness caused by "pig/sheep wind" (tetanus-like symptoms from animal bites/wounds), take three qian per dose; two doses will cure it and prevent recurrence. Apply external moxibustion seven moxa cones on the affected area; feeling pain upon application is an auspicious sign. (From *Waike Zhengzong*)
If the affected area becomes swollen and red again, accompanied by coma and loss of appetite, regardless of meridian involvement: use Chanshunjia (Pangolin Scales) one qian spoonful, Wugong powder half a qian spoonful, and Shexiang (Musk) one zi measure. Administer with strong decoction of Congbai (Scallion White) and Jiangshi (Fermented Soybean). If the lesion is located high on the body, apply paste made of Congti (Scallion Juice) and Feimian (Sifted Wheat Flour, stir-fried) to the site. (From *Yitong*) *Dongtian Aozhi* records: Grind Wugong to two fen powder, Shexiang to half a fen powder; rub on teeth. Saliva discharge indicates recovery. (Refer to *Zhifa Zongshuo* and *Bencao Gangmu* for verification.)
Tuofan San, treats wind-stroke due to broken wounds (tetanus) that has persisted for five to seven days without cure, progressing to opisthotonos (arched back) and trismus (lockjaw).
Chantui (Cicada Slough, cleaned of heads, feet, and dirt, five qian)
Grind into powder. Boil in one bowl of good wine; drinking it induces immediate revival. (From *Yijian*)
Dusheng San formula for treating wind-stroke due to broken wounds (tetanus).
Sufangmu (Sappan Wood, any amount)
Grind this single ingredient into fine powder using a mortar and sieve. Take three qianbi per dose, mixed with wine; immediate effect. (From *Shengji Zonglu*)
For treating wind-stroke due to broken wounds (tetanus).
Huangla (Yellow Beeswax) Luansi (Disordered Silk) Hao Ma (Good Hemp Fiber) Toufa (Hair) (two qian each)
Stir-fry in a pot until charred. Mix with good wine and ingest; sweating indicates recovery. Severe cases require no more than two doses. (From *Weizheng Jianbian*)
Wind-stroke due to broken wounds (tetanus) with stagnant blood coagulating in the heart: Burn crow feathers to ash while preserving their nature, grind into fine powder, mix with wine, and take one qian. (From *Da Huan*)
External Treatment Methods (Dao Yin/Guided Exercise) *Gujin Luyan* treats injuries from metal weapons complicated by wind invasion, characterized by body stiffness, trismus preventing speech, whether caused by broken wounds/blows or axe/knife injuries leading to near-death from wind exposure. This formula is universally effective. Method of fumigating with burning hemp candles inside a gourd vessel (Hu Hu):
Take one unopened gourd vessel (Hu Hu) with a long handle. Open its mouth according to the size of the wound, sealing the surrounding area tightly to prevent air leakage. Open another small hole at the top like a mouth. Light two floating hemp candles. Position the gourd vessel opening upwards over the candle flame. Continue replacing candles until exhausted. Recovery usually occurs within half a day. If symptoms persist, fumigation may continue for one to two days until cured. If the candle is too long to fit inside the gourd, break it in the middle to use. (From *Waitai Mi Yao*)
Shuitiao Gao (Water-Mixed Paste), for early-stage wind-stroke due to broken wounds (tetanus) with heat, swelling, and redness, where wind pathogens are about to spread through meridians but have not yet penetrated deeply.
Xingren (Apricot Seed, peeled and finely ground) Feibaimian (Sifted White Wheat Flour) (equal parts)
Mix evenly. Blend with fresh well-water to form a paste. Apply to the affected area; reduces swelling and clears heat. (From *Yijian*)
Moxibustion method, highly effective for wind-stroke due to broken wounds (tetanus) and dog bites.
Use half a walnut shell filled densely with thick human feces. Line it with Huaimu Pi (Phellodendron Bark) and place it over the wound. Perform moxibustion. If the patient sweats all over and feels extreme fatigue, they will recover. (Ibid.)
For wind-stroke due to broken wounds (tetanus) with spasms and opisthotonos: Use earwax (Ren Er Zhong Gou), any amount. Dry it on paper by baking, grind into powder. Mix with Shuai Ai (Prepared Mugwort) evenly. Form seven or ten small moxa cones. Apply moxibustion to the affected area for cure. (From *Shouyu Shenfang*)
In all cases of wind-stroke due to broken wounds (tetanus), initiate Dao Yin and massage early. If the patient cannot do it themselves, assist them with flexion-extension massage and traction to slightly relax the sinews and meridians, allowing Qi and Blood to circulate. Frequently use a wooden wedge to pry open the jaw to prevent lockjaw. If the jaw is tightly clenched, constantly hold the wedge and pry gently without damaging teeth, avoiding permanent lockjaw which would prevent ingestion of porridge and medicine. (From *Yuanbing Shi*)
Shujin Fa (Sinew-Relaxing Method), for post-injury sinew contraction unable to extend; also applicable to sinew contraction from other diseases. Use a large bamboo tube over a chi long, drill a hole, tie a rope, and hang it at the waist. Sit flat against the ground, lift feet, and roll the bamboo tube back and forth. Do not count the repetitions. Effectiveness will appear after prolonged practice. (From *De Xiao Fang*)