是痉之讹，而前辈别立义训者误；痉本燥病，而玄晏偶及寒湿，后学执泥不移者亦误；痉以内燥而招外
邪，诸家析内外为二证者更误。盖此疾实不多有，则前人未免臆揣为说，否则徒剿袭陈言，无有发明，此编所
取不多者，良由此也。
名义 当作痉，传写之误也， 者恶也，非强也。（《注解伤寒论》）
劲痉二字，谐体谐声，而痉之病状，有项背劲急反张之相，则从痉字无疑。若 字于义莫解，故当以痉字
为正。（《济阴纲目》）
病因亡血邪袭 原其所因，多由亡血，筋无所营，故邪得以袭之，所以伤寒汗下过多，与夫病疮人，
及产后致斯病者，概可见矣。（《三因》）
方书皆谓感受风湿而致，多用风药。予细详之，恐仍未备，当作气血内虚，外物干之所致。盖人百骸九窍，
必本气血荣养，始能运动。观《内经》云，足得血而能步，掌得血而能握，目得血而能视等之可见。盖筋脉无
血荣养，则强直
不能运动， 病之症是也。但因有数者不同，是以有气血不能引导，津液无以养筋脉而致者；有因津血不足，
无以荣养筋脉而致者；有因痰火塞窒经隧，以致津血不荣者；有因真元本虚，六淫之乘袭，致血不能荣养者。
虽有数因不同，其于津血有亏，无以滋养经脉则一。详先哲谓汗下过多，及病家产后，与夫耗精耗血之病，
皆能作 ，其意可见。学人不可力执局方，专用风药而疗，在乎分因用药可也。（《原理》）（按∶此论数因
不同，稍涉烦琐，姑存之。）
病因血液枯燥 愚谓痉之为病，强直反张病也。其病在筋脉，筋脉拘急，所以反张。其病在血液，血
液枯燥，所以筋挛。观仲景曰∶太阳病，发汗太多，因致痉。风病下之则成痉。疮家不可发汗，汗之亦成痉。
只此数言，可见病痉者，多由误治之坏证，其虚其实，可了然矣。自仲景之后，惟陈无择能知所因，曰多由亡
血，筋无所营，因而成痉，则尽之矣。但惜其言之既善，而复有未善者，曰血气内虚，外为风寒湿热所中则痉，
斯言不无又误。若其所云，则仍是风湿为邪，而虚反次之。不知风随汗散，而既汗之后，何复言风；湿随下行，
而既下之后，何反致湿。盖误汗者，必伤血液；误下者，必伤真阴。阴血受伤则血燥，血燥则筋失所滋，筋失
所滋则为拘为挛，反张强直之病势所必至，又何待风寒湿热之相袭而后为痉耶。且仲景所言、言不当汗而汗也，
不当下而下也。汗下既误，即因误治而成痉矣。岂误治之外，必再受邪而后成痉，无邪则无痉哉。此陈氏之言，
不惟失仲景之意，而反致后人疑惑，用持两端。故凡今人之治此者，未有不以散风去湿为事，亦焉知血燥阴虚
之证，尚能堪此散削否，此不可不为辨察。（《景岳》）（按∶此说虽辨，犹未为当。何则？仲景叙痉，必云
太阳病，其所用三
方，皆为逐邪之设，况不有邪袭，何有诸件证候，故吾宁信仲景，不敢信景岳也。景岳又论不因误治，而阴虚
血少以致痉证曰∶凡以暴病而见反张戴眼口噤拘急之类，皆痉病也。不知所云诸证，盖是痫 惊搐之类，而非
真痉病。但景岳论其所以筋急之理，则稍有可取者，故举其证而并为之辨云。）
六气为病，皆能发热。然寒与热相因，暑与湿相从，独燥与湿相反。湿病多得之地气，燥病多得之内因，
此病因之殊同也。病机十九条，燥症独无。若诸痉项强皆属于湿，愚窃疑之。今本论有痉湿之分。又曰∶太阳
病，发汗太多，因致痉。则痉之属燥无疑也。夫痉以状命名，因血虚而筋急耳。六气为患，皆足以致痉。然不
热则不燥，不燥则不成痉矣云云。夫痉之始也，本非正病，必夹杂于他症之中。人之病此者，世医悉指为风，
所以不明其理。善医者必于他症中审察而预防之。（《伤寒论翼》）
病专在经 痉病，经病非脏腑病也。脉者人之正气正血所行之道路也，杂错乎邪风邪湿邪寒，则脉行
之道路，必阻塞壅滞，而拘急蜷挛之证见矣。是病悉在人经络隧道中为患耳，虽与脏腑相属，而究不同于病在
脏腑，故曰经病也。（《金匮本义》）
脉候 太阳中湿病 ，其脉沉与筋平。刚 太阳中风，感于寒湿者也，其脉往来进退，以沉迟细，异
于伤寒热病。（《甲乙经》）
其脉沉弦而迟，亦或带紧，此为恶候，不救者多。若脉如雨溅，散出于指外者，旦暮殂也。（《活人总括》）
新产血虚，金疮出血过多，皆能成痉。惟脉虚小可治，若实大者难愈也。（《伤寒绪论》）
总证 （痫痉辨异伤寒辨异） 风痉者，口噤不开，背强而
直，如发痫之状，其重者耳中策策痛，卒然身体痉直者死也。（《病源论》）
痉者，口噤不开，背强而直，如发痫之状，摇头马鸣，腰反折，须臾十发，气息如绝，汗出如雨，时有脱。
易得之者，新产妇人，及金疮血脉虚竭，小儿脐风，大人凉湿，得痉风者皆死。温病热盛入肾，小儿痫热盛皆
痉。痉喑厥癫皆相似，故久厥成癫。审察之，其重者患耳中策策痛，皆风入肾经中也。不治流入肾，则喜卒然
体痉直如死。（《千金》）
太阳风 证候，始则发热腹痛，喘息涎浮；次则牙紧头摇，十指微动；渐加项背强直，转侧不仁；甚者昏
困失音，目睛直视，滑泄不禁，身腰反张，如此则十不救一。（《活人总括》）
初发来，多有腹痛之证。（同上）
病发身软时醒者，谓之痫；身强直反张如弓，不时醒者，谓之痉。（《病源论》）（按∶弓字原作尸，据
《千金》改。）
外证发热恶寒，与伤寒相似，但其脉沉迟弦细，而项背反张强硬，如发痫之状，此为异耳。（《活人》）
刚柔 太阳病，发热不恶寒无汗为阳痉，发热恶寒汗出为阴痉。（《神巧》）
当察其有汗无汗，以分刚 柔 ，无汗葛根汤主之，有汗桂枝加葛根汤主之。（《活人》）
刚柔二 与阴阳二痉是如何？ 亦作痉，阳痉属刚 ，阴痉属柔 。（同上）
王朝奉刚柔二痉，《金匮》栝蒌桂枝汤（有汗者弱也，属阴）、桂枝加葛根栝蒌汤（治证同前）、《金匮》
葛根汤（无汗刚痉，属阳）。（《元戎》）
合面而卧者为阴痉，仰目者为阳痉。（《伤寒解惑论》）（按∶此本于《圣惠》，《圣惠》又曰∶阳痉
即易瘥∶阴痉即难瘥。）
若发热畏寒无汗，开目仰卧，口燥渴，脉浮紧而数，此属阳，名刚 。若自汗不恶寒，闭目合面，四肢不
收，口中和，脉沉细而涩，此属阴，名柔 。夫二 皆有搐搦反张口噤咬齿等证，但刚 手足抽掣，极能骇人；
柔四肢不收，时或发作耳。（《伤寒证治明条》）
本论以太阳病有汗表虚为柔痉，无汗表实为刚痉。是以虚实而定刚柔，其辨最切。后人妄以角弓反张为刚，
低头视下为柔，谬之甚矣。（《金匮编注》）
痉有数证 二病亦多有之（按∶郭氏以为 为轻，痉为重，故云二病），或为伤寒治，或为风治，故
不愈，风犹近之而未的也。雍亲见者数人，略言其状。一人初如伤寒，三数日后，冥冥不知人，亦似柔软，不
甚强直，惟忘记口噤不口噤，雍谓此 也。又一人初亦如伤寒，数日后，时作角弓反张，作则口噤不知人，罢
则略知人而困，雍谓此痉也。又有伤寒汗后，方坐谈，语次忽瞠目口噤，虽坐如故，而四肢僵硬，不可屈折，
少顷即罢，罢而复作，正所谓须臾数十发者，罢则言语如故，雍谓此缘出汗多所致，伤寒痉也，时服桂枝栝蒌
而愈。又一儿如伤风，一二日后，不知人，冥冥卧，不语不食，此 也，忽四肢强直口噤，手足背如策肿，
手足指皆越开，少顷即定，复稍柔，但冥冥然，雍谓此为 病而加痉者也。又一村人，病二三日后，口噤，身
强直反张，觉臂腿长于常日，略知人事，齿缝中能作声，不甚明晓，饮冷水反要火灸，寻衣缝，摸床撮空，无
所不至，其症甚怪，时雍思之，只是痉，用大崖蜜汤擦其齿，须臾口得开，
数进续命汤遂愈，村人耐疾，使富贵安得不死。又一家父子闭户坐，不出门，人云患锁牙风，使侦之，父子对
坐，各用两手，扳面前一横木，少顷病来，则两手俱脱偃卧，后苏而复坐，父子更起更偃仆，以仓公当归汤主
之，其子遂愈，父羸老不救。问风来之状，则自足起，循太阳经而上，过 中至股，分两支，一支循股外而上
入腰，则猛掣便侧起。一支循股内而上入少腹，考之于经，太阳无此别支，应是入少阴也。又有一人，行次仰
面顾者三，众谓仰面有所视，少顷即倒，舁归反张，数日而没。此疾症甚不一，亦有间者，不能具记。历验之
，似微柔软，发痉则极强硬。前人叙此未能尽，雍虽加详而次第紊乱耳。（《伤寒补亡论》）
产后发痉 （治方互见发表方中，宜参。） 产后中风痉者，因产伤动血脉，脏腑虚竭，饮食未复，未
满日月，荣卫虚伤，风气得入五脏，伤太阳之经，复感寒湿，寒搏于筋则发痉。其状口急噤，背强直，摇头马
鸣，腰为反折，须臾十发，气急如绝，汗出如雨，手拭不及者，皆死。（《病源论》）
产后角弓反张及诸风病，不得用毒药，惟宜单行一两味，亦不得大发汗，特忌转泻，吐利必死无疑，大豆
紫汤，产后大善。（《千金》）
产妇汗多，或因怒厥，皆成此病。（《三因》）
产后汗出多变 ，亦令服续命汤，此又难信。既汗多，如何更服麻黄、官桂、防己、黄芩辈，不若大豆紫
汤为佳，《太医局方》大圣散亦良药也。（同上）
凡产后发热，若舌謇唇急，手指微动，便急作风 疗之。（《活人总括》）
产后去血过多发 者，以六合汤主之。（《原病集》）
（按∶此系四物汤加羌活，秦艽、防风。）
产后发 ，因去血过多，元气亏极，或外邪相搏。其形牙关紧急，四肢劲强，或腰背反张，肢体抽搐。产
后患之，实由亡血过多，筋无所养而致。大补血气，多保无虞，若攻风邪，死无疑矣。（《女科撮要》）
死证 诸反张，大人脊下容侧手，小儿容三指者，不可复治也。（《千金》）
病卧不着席，小儿腰背去席二指，大人侧掌，为难治。（《总病论》）（按∶《补亡论》曰∶难治尚可
治，非不治也。又曰∶亦见有反张过掌而愈者。）
服药后，汗出身和者吉。若脉来沉迟或紧细，而大便自利者，皆死证也。（《绪论》）
此证无论阴阳刚柔脉类，总之正衰邪盛，卒难救疗。（同上）
治法诸说 其治不宜发汗，针灸为嘉。治之以药者，可服葛根汤。（《甲乙经》）
切不可作风治，兼用风药。（《丹溪》）
盖痉有虚实，治有补泻。倘表邪未尽，误补则躁烦立至；若阴血已亏，误攻而竭绝何堪。今人且不知痉病
为何病，而欲其分别表里，补泻得宜，不可得矣。（《病机汇论》）
若汗多亡阳，下多亡阴，致筋脉失养，不柔和而成痉，无外邪可解者，惟宜补养气血，十全大补、人参养
荣、大建中汤选用。（《绪论》）（按∶明清诸家治痉，不出此例，未知果能相当否，姑存之，以俟后考。）
常见 病，多起于产后，及伤寒汗下后，气血大亏，不能荣筋，筋强而然。须十全大补，少佐附子，以行
参之气
补卫，引归地之性补荣，妙甚。古方重外感，故用续命等药，今人禀受不同故尔。（《大还》）（按∶大补汤
加附子治痉，本出《女科撮要》。）
病乃伤寒坏症，小儿得之，犹有愈者，其余则百难疗一，其实者或有因下而得生，虚者竟无治法，《金
匮》诸方，见效绝少。（《兰台轨范》）
葛根栝蒌根 守仲景方者，但知刚痉用葛根汤，柔痉用桂枝加葛根汤，而不解金匮于柔痉之脉沉迟者。
在桂枝汤不加葛根而加栝蒌根。盖用葛根，不惟取其解肌之热，而取其体轻，可生在表阳分之津，以润筋之燥
急。今因沉迟，沉乃卫气不足，故用桂枝以和之；迟则荣血不足，故用栝蒌根，其体重，可生在表阴分之津。
此仲景随脉浮沉，用药浅深之法也。（《准绳》）
发表诸方 （兼滋液诸方） 仓公当归汤，主贼风口噤，角弓反张痉者方。
当归 防风（各十八铢） 独活（一两半） 麻黄（三十铢） 附子（一枚） 细辛（半两）
上六味 咀，以酒五升，水三升，煮取三升，服一升。口不开者，格口内汤，一服当苏，二服小汗，三服
大汗。（《千金》）尝见口噤似痉，略知人事，但坐而顺掣，腰脊仰倒者，亦风 也，服仓公当归汤而愈。（
《补亡论》）《圣惠》治产后中风，口噤不开，秦艽散，于本方去麻黄、细辛，加秦艽、葛根、桂心。（不用
酒。入生姜煎。）
甘草汤，治在蓐中风，背强不得转动，名曰风痉方。
甘草 干地黄 麦门冬 麻黄（各二两） 芎 黄芩
栝蒌根（各三两） 杏仁（五十枚） 葛根（半斤）
上九味 咀，以水一斗五升，酒五升，合煮葛根取八
升，去滓内诸药，煮取三升，去滓分再服。一剂不瘥，更合良。（《千金》）
防风汤，治产后中风，背急短气方。
这是“痉”字的讹误，而前辈另立义训是错误的；“痉”本属燥病，而皇甫谧偶尔提及寒湿，后学拘泥不变也是错误的；“痉”因内燥招致外邪，各家将内外分为两种证候更是错误。大概这种疾病实在不多见，所以前人难免臆测立说，否则只是徒然抄袭陈言，没有发明创造，本编所选取的内容不多，确实是因为这个原因。
名义 应当作“痉”，是传写之误。“痓”字意为恶，并非强直之意。（《注解伤寒论》）
“劲”与“痉”二字，形体相近声音相似，而“痉”的病状，有项背劲急、身体反张的相状，所以从“痉”字无疑。若用“痓”字在意义上无法解释，所以应当以“痉”字为正。（《济阴纲目》）
病因亡血邪袭 推究其起因，多由失血导致，筋脉失去营养，所以邪气得以侵袭，因此伤寒汗法下法过多，以及患疮疡的人，还有产后导致此病的，概可见一斑。（《三因方》）
医书都说是感受风湿所致，多用风药。我仔细详察，恐怕仍然不全面，应当认为是气血内虚，被外物干扰所致。大抵人的百骸九窍，必须依靠气血荣养，才能运动。看《内经》说，脚得到血滋养就能行走，手掌得到血滋养就能握持，眼睛得到血滋养就能视物等，由此可知。大抵筋脉如果没有血液荣养，就会强直不能运动，这就是“痓”病的症状表现。但因为成因有几种不同，所以有的因气血不能引导，津液无以养筋脉而导致；有的因津血不足，无以荣养筋脉而导致；有的因痰火堵塞经络隧道，以致津血不能荣养；有的因真元本虚，六淫乘袭，导致血不能荣养。虽然有数种原因不同，但在津血亏损，无以滋养经脉这一点上是一致的。详细考察先哲说汗下过多，以及病人产后，和那些耗精耗血的病，都能导致“痓”，其意思可见。学者不可固执地拘泥于成方，专用风药来治疗，在于分辨病因用药即可。（《医学原理》）（按：此论数种原因不同，稍显烦琐，姑且保留。）
病因血液枯燥 我认为“痉”之为病，是强直反张的病。病在筋脉，筋脉拘急，所以反张。病在血液，血液枯燥，所以筋挛。看仲景说：太阳病，发汗太多，因而导致痉。风病下之则成痉。疮家不可发汗，发汗也成痉。只这几句话，可见患痉病者，多由误治的坏证，其虚其实，可以了然了。自仲景之后，只有陈无择能知道起因，说多由失血，筋无所营，因而成痉，这就说尽了。但可惜他话说得好，却又有不完善的地方，说血气内虚，外为风寒湿热所中则痉，这话不免又有误。如果像他所说，则仍是风湿为邪，而虚反居其次。不知道风随汗散，既汗之后，为何再言风；湿随下行，既下之后，为何反致湿。大抵误汗者，必伤血液；误下者，必伤真阴。阴血受伤则血燥，血燥则筋失所滋，筋失所滋则为拘为挛，反张强直之病势所必至，又何待风寒湿热之相袭而后为痉耶。况且仲景所言，是说当汗而不该汗而汗了，不当汗而下之了。汗下既误，即因误治而成痉矣。难道误治之外，必再受邪而后成痉，无邪则无痉哉。此陈氏之言，不惟失仲景之意，而反致后人疑惑，用持两端。故凡今人之治此者，未有不以散风去湿为事，亦焉知血燥阴虚之证，尚能堪此散削否，此不可不为辨察。（《景岳全书》）（按：此说虽辨析，犹未为恰当。为什么呢？仲景叙述痉病，必云太阳病，其所用三方，皆为逐邪之设，况不有邪袭，何有诸件证候，故吾宁信仲景，不敢信景岳也。景岳又论不因误治，而阴虚血少以致痉证曰：凡以暴病而见反张戴眼口噤拘急之类，皆痉病也。不知所云诸证，盖是痫病惊搐之类，而非真痉病。但景岳论其所以筋急之理，则稍有可取者，故举其证而并为之辨云。）
六气致病，都能发热。然而寒与热相因，暑与湿相从，独燥与湿相反。湿病多得之地气，燥病多得之内因，此病因之殊同也。病机十九条，燥症独无。若诸痉项强皆属于湿，我私下怀疑它。现在本论有痉湿之分。又说：太阳病，发汗太多，因致痉。则痉之属燥无疑也。夫痉以状命名，因血虚而筋急耳。六气为患，皆足以致痉。然不热则不燥，不燥则不成痉矣云云。夫痉之始也，本非正病，必夹杂于他症之中。人之病此者，世医悉指为风，所以不明其理。善医者必于他症中审察而预防之。（《伤寒论翼》）
病专在经 痉病，是经病而非脏腑病。脉是人之正气正血所行的道路，杂错乎邪风邪湿邪寒，则脉行之道路，必阻塞壅滞，而拘急蜷挛之证见矣。是病悉在人经络隧道中为患耳，虽与脏腑相属，而究不同于病在脏腑，故曰经病也。（《金匮要略本义》）
脉候 太阳中湿病，其脉沉与筋平。刚痉，太阳中风，感于寒湿者也，其脉往来进退，以沉迟细，异于伤寒热病。（《甲乙经》）
其脉沉弦而迟，亦或带紧，此为恶候，不救者多。若脉如雨溅，散出于指外者，旦暮殂也。（《活人总括》）
新产血虚，金疮出血过多，皆能成痉。惟脉虚小可治，若实大者难愈也。（《伤寒绪论》）
总证 （痫痉辨异伤寒辨异） 风痉者，口噤不开，背强而直，如发痫之状，其重者耳中策策痛，卒然身体痉直者死也。（《诸病源候论》）
痉者，口噤不开，背强而直，如发痫之状，摇头马鸣，腰反折，须臾十发，气息如绝，汗出如雨，时有脱。易得之者，新产妇人，及金疮血脉虚竭，小儿脐风，大人凉湿，得痉风者皆死。温病热盛入肾，小儿痫热盛皆痉。痉喑厥癫皆相似，故久厥成癫。审察之，其重者患耳中策策痛，皆风入肾经中也。不治流入肾，则喜卒然体痉直如死。（《千金方》）
太阳风痉证候，始则发热腹痛，喘息涎浮；次则牙紧头摇，十指微动；渐加项背强直，转侧不仁；甚者昏困失音，目睛直视，滑泄不禁，身腰反张，如此则十不救一。（《活人总括》）
初发来，多有腹痛之证。（同上）
病发身软时醒者，谓之痫；身强直反张如弓，不时醒者，谓之痉。（《诸病源候论》）（按：弓字原作尸，据《千金方》改。）
外证发热恶寒，与伤寒相似，但其脉沉迟弦细，而项背反张强硬，如发痫之状，此为异耳。（《活人书》）
刚柔 太阳病，发热不恶寒无汗为阳痉，发热恶寒汗出为阴痉。（《神巧万全方》）
当察其有汗无汗，以分刚痉柔痉，无汗葛根汤主之，有汗桂枝加葛根汤主之。（《活人书》）
刚柔二痉与阴阳二痉是如何？痓亦作痉，阳痉属刚痉，阴痉属柔痉。（同上）
王朝奉刚柔二痉，《金匮要略》栝蒌桂枝汤（有汗者弱也，属阴）、桂枝加葛根栝蒌汤（治证同前）、《金匮要略》葛根汤（无汗刚痉，属阳）。（《类证活人书》）
合面而卧者为阴痉，仰目者为阳痉。（《伤寒解惑论》）（按：此本于《圣惠方》，《圣惠方》又说：阳痉即易瘥；阴痉即难瘥。）
若发热畏寒无汗，开目仰卧，口燥渴，脉浮紧而数，此属阳，名刚痉。若自汗不恶寒，闭目合面，四肢不收，口中和，脉沉细而涩，此属阴，名柔痉。夫二痉皆有搐搦反张口噤咬齿等证，但刚痉手足抽掣，极能骇人；柔痉四肢不收，时或发作耳。（《伤寒证治明条》）
本论以太阳病有汗表虚为柔痉，无汗表实为刚痉。是以虚实而定刚柔，其辨最切。后人妄以角弓反张为刚，低头视下为柔，谬之甚矣。（《金匮要略编注》）
痉有数证 二病亦多有之（按：郭氏以为痓为轻，痉为重，故云二病），或为伤寒治，或为风治，故不愈，风犹近之而未的也。雍亲见者数人，略言其状。一人初如伤寒，三数日后，冥冥不知人，亦似柔软，不甚强直，惟忘记口噤不口噤，雍谓此痓也。又一人初亦如伤寒，数日后，时作角弓反张，作则口噤不知人，罢则略知人而困，雍谓此痉也。又有伤寒汗后，方坐谈，语次忽瞠目口噤，虽坐如故，而四肢僵硬，不可屈折，少顷即罢，罢而复作，正所谓须臾数十发者，罢则言语如故，雍谓此缘出汗多所致，伤寒痉也，时服桂枝栝蒌而愈。又一儿如伤风，一二日后，不知人，冥冥卧，不语不食，此痓也，忽四肢强直口噤，手足背如策肿，手足指皆越开，少顷即定，复稍柔，但冥冥然，雍谓此为痓病而加痉者也。又一村人，病二三日后，口噤，身强直反张，觉臂腿长于常日，略知人事，齿缝中能作声，不甚明晓，饮冷水反要火灸，寻衣缝，摸床撮空，无所不至，其症甚怪，时雍思之，只是痉，用大崖蜜汤擦其齿，须臾口得开，数进续命汤遂愈，村人耐疾，使富贵安得不死。又一家父子闭户坐，不出门，人云患锁牙风，使侦之，父子对坐，各用两手，扳面前一横木，少顷病来，则两手俱脱偃卧，后苏而复坐，父子更起更偃仆，以仓公当归汤主之，其子遂愈，父羸老不救。问风来之状，则自足起，循太阳经而上，过腨中至股，分两支，一支循股外而上入腰，则猛掣便侧起。一支循股内而上入少腹，考之于经，太阳无此别支，应是入少阴也。又有一人，行次仰面顾者三，众谓仰面有所视，少顷即倒，舁归反张，数日而没。此疾症甚不一，亦有间者，不能具记。历验之，似微柔软，发痉则极强硬。前人叙此未能尽，雍虽加详而次第紊乱耳。（《伤寒补亡论》）
产后发痉 （治方互见发表方中，宜参。） 产后中风痉者，因产伤动血脉，脏腑虚竭，饮食未复，未满日月，荣卫虚伤，风气得入五脏，伤太阳之经，复感寒湿，寒搏于筋则发痉。其状口急噤，背强直，摇头马鸣，腰为反折，须臾十发，气急如绝，汗出如雨，手拭不及者，皆死。（《诸病源候论》）
产后角弓反张及诸风病，不得用毒药，惟宜单行一两味，亦不得大发汗，特忌转泻，吐利必死无疑，大豆紫汤，产后大善。（《千金方》）
产妇汗多，或因怒厥，皆成此病。（《三因方》）
产后汗出多变痓，亦令服续命汤，此又难信。既汗多，如何更服麻黄、官桂、防己、黄芩辈，不若大豆紫汤为佳，《太医局方》大圣散亦良药也。（同上）
凡产后发热，若舌謇唇急，手指微动，便急作风痓疗之。（《活人总括》）
产后去血过多发痓者，以六合汤主之。（《原病集》）
（按：此系四物汤加羌活，秦艽、防风。）
产后发痓，因去血过多，元气亏极，或外邪相搏。其形牙关紧急，四肢劲强，或腰背反张，肢体抽搐。产后患之，实由亡血过多，筋无所养而致。大补血气，多保无虞，若攻风邪，死无疑矣。（《女科撮要》）
死证 诸反张，大人脊下容侧手，小儿容三指者，不可复治也。（《千金方》）
病卧不着席，小儿腰背去席二指，大人侧掌，为难治。（《总病论》）（按：《补亡论》曰：难治尚可治，非不治也。又曰：亦见有反张过掌而愈者。）
服药后，汗出身和者吉。若脉来沉迟或紧细，而大便自利者，皆死证也。（《伤寒绪论》）
此证无论阴阳刚柔脉类，总之正衰邪盛，卒难救疗。（同上）
治法诸说 其治不宜发汗，针灸为嘉。治之以药者，可服葛根汤。（《甲乙经》）
切不可作风治，兼用风药。（《丹溪心法》）
盖痉有虚实，治有补泻。倘表邪未尽，误补则躁烦立至；若阴血已亏，误攻而竭绝何堪。今人且不知痉病为何病，而欲其分别表里，补泻得宜，不可得矣。（《病机汇论》）
若汗多亡阳，下多亡阴，致筋脉失养，不柔和而成痉，无外邪可解者，惟宜补养气血，十全大补、人参养荣、大建中汤选用。（《伤寒绪论》）（按：明清诸家治痉，不出此例，未知果能相当否，姑存之，以俟后考。）
常见痓病，多起于产后，及伤寒汗下后，气血大亏，不能荣筋，筋强而然。须十全大补，少佐附子，以行参之气补卫，引归地之性补荣，妙甚。古方重外感，故用续命等药，今人禀受不同故尔。（《大还指南》）（按：大补汤加附子治痉，本出《女科撮要》。）
病乃伤寒坏症，小儿得之，犹有愈者，其余则百难疗一，其实者或有因下而得生，虚者竟无治法，《金匮要略》诸方，见效绝少。（《兰台轨范》）
葛根栝蒌根 守仲景方者，但知刚痉用葛根汤，柔痉用桂枝加葛根汤，而不解金匮于柔痉之脉沉迟者，在桂枝汤不加葛根而加栝蒌根。盖用葛根，不惟取其解肌之热，而取其体轻，可生在表阳分之津，以润筋之燥急。今因沉迟，沉乃卫气不足，故用桂枝以和之；迟则荣血不足，故用栝蒌根，其体重，可生在表阴分之津。此仲景随脉浮沉，用药浅深之法也。（《医学入门》）
发表诸方 （兼滋液诸方） 仓公当归汤，主贼风口噤，角弓反张痉者方。
当归 防风（各十八铢） 独活（一两半） 麻黄（三十铢） 附子（一枚） 细辛（半两）
上六味㕮咀，以酒五升，水三升，煮取三升，服一升。口不开者，格口内汤，一服当苏，二服小汗，三服大汗。（《千金方》）尝见口噤似痉，略知人事，但坐而顺掣，腰脊仰倒者，亦风痓也，服仓公当归汤而愈。（《伤寒补亡论》）《圣惠方》治产后中风，口噤不开，秦艽散，于本方去麻黄、细辛，加秦艽、葛根、桂心。（不用酒。入生姜煎。）
甘草汤，治在蓐中风，背强不得转动，名曰风痉方。
甘草 干地黄 麦门冬 麻黄（各二两） 川芎 黄芩 栝蒌根（各三两） 杏仁（五十枚） 葛根（半斤）
上九味㕮咀，以水一斗五升，酒五升，合煮葛根取八升，去滓内诸药，煮取三升，去滓分再服。一剂不瘥，更合良。（《千金方》）
防风汤，治产后中风，背急短气方。
This is an error for "Jing" (Spasm), and the predecessors' establishment of separate meanings is incorrect; "Jing" originally belongs to Dryness disease, while Huangfu Mi occasionally mentioned Cold-Dampness, and later scholars' rigid adherence to this is also incorrect; "Jing" attracts external pathogens due to internal Dryness, and various schools dividing it into two separate syndromes of internal and external are even more mistaken. Essentially, this disease is quite rare, so predecessors inevitably speculated to form theories, or else merely plagiarized old words without innovation. The reason why this compilation selects few cases is indeed due to this.
**Nomenclature** It should be written as "Jing" (Spasm); "Zhi" (痓) is a transcription error. "Zhi" means evil/malicious, not stiffness. (*Commentary on Shanghan Lun*)
The characters "Jin" (Strength) and "Jing" share similar forms and sounds. Since the symptoms of "Jing" involve stiffness in the neck and back and opisthotonos, there is no doubt it should use the character "Jing". If "Zhi" is used, its meaning is unintelligible, so "Jing" should be considered correct. (*Jiyin Gangmu*)
**Etiology: Blood Loss and Pathogen Invasion** Tracing the cause, it mostly arises from blood loss, leaving tendons and vessels without nourishment, thus allowing pathogens to invade. Therefore, excessive sweating or purgation in *Shanghan* (Cold Damage), patients with sores/ulcers, and postpartum women developing this condition can all be understood. (*San Yin Fang*)
Medical texts generally attribute it to Wind-Dampness invasion, using many Wind-dispelling herbs. Upon careful examination, I fear this is still incomplete. It should be regarded as caused by internal deficiency of Qi and Blood, disturbed by external factors. Generally, the body's hundred bones and nine orifices rely on Qi and Blood for nourishment to enable movement. As stated in *Neijing*: "The feet walk when nourished by blood; the palms grasp when nourished by blood; the eyes see when nourished by blood." Thus, if tendons and vessels lack blood nourishment, they become stiff and immobile, which is the manifestation of "Zhi/Jing" disease. However, causes vary: some arise from Qi and Blood failing to guide, and fluids failing to nourish tendons; some from insufficient fluids and blood failing to nourish tendons; some from Phlegm-Fire blocking meridians, preventing fluid and blood nourishment; some from original Yuan Qi deficiency, where Six Excesses invade, causing blood failure to nourish. Despite different causes, the commonality is the deficiency of fluids and blood, unable to nourish meridians. Detailed examination of ancient sages' views shows that excessive sweating/purgation, postpartum states, and diseases consuming essence and blood can all cause "Zhi", making their intent clear. Scholars should not rigidly stick to established formulas or exclusively use Wind-dispelling herbs, but rather differentiate causes before prescribing. (*Yuanli*) (Note: This discussion of multiple causes is slightly tedious; retained for reference.)
**Etiology: Blood Dryness** I believe "Jing" is a disease of stiffness and opisthotonos. The pathology lies in tendons and vessels; tendon spasm causes opisthotonos. The pathology lies in blood; blood dryness causes tendon contraction. Zhang Zhongjing said: "Taiyang disease, excessive sweating leads to Jing. Wind disease, purgation leads to Jing. Patients with sores must not sweat; if sweated, it becomes Jing." These few sentences show that Jing is mostly a complication of mis-treatment, revealing its nature as both deficient and excess clearly. After Zhang Zhongjing, only Chen Wuzhe understood the cause, stating it mostly results from blood loss, leaving tendons without nourishment, hence forming Jing. This covers it well. However, his statement that "internal deficiency of Qi and Blood, combined with external invasion of Wind-Cold-Damp-Heat, causes Jing" is flawed. This implies Wind-Dampness is the pathogen, with deficiency secondary. One must realize that Wind disperses with sweat; after sweating, why mention Wind again? Dampness descends; after purgation, why mention Dampness again? Mis-sweating damages blood; mis-purgation damages True Yin. Injury to Yin-Blood leads to blood dryness; blood dryness deprives tendons of nourishment; deprived tendons contract, leading inevitably to opisthotonos and stiffness, without waiting for Wind-Cold-Damp-Heat invasion. Moreover, Zhang Zhongjing referred to inappropriate sweating and purgation. Once these errors occur, Jing results from mis-treatment. Does one need further pathogen invasion after mis-treatment to form Jing? Without pathogens, is there no Jing? Chen's words not only miss Zhang's intent but confuse later generations, leading to hesitation. Thus, modern practitioners focus on dispelling Wind and removing Dampness, unaware whether blood-dryness and Yin-deficiency syndromes can withstand such dispersing and draining methods. This requires clarification. (*Jingyue Quanshu*) (Note: Although this argument is辨析, it is not entirely appropriate. Why? Zhang Zhongjing describes Jing under Taiyang disease, and his three formulas are designed to expel pathogens. Without pathogen invasion, how could these symptoms exist? Therefore, I trust Zhang Zhongjing over Jingyue. Jingyue also discusses Jing caused by Yin deficiency and blood shortage without mis-treatment, stating acute cases with opisthotonos, upward-gazing eyes, locked jaw, and spasms are all Jing. However, these symptoms resemble epilepsy or convulsions, not true Jing. But Jingyue's reasoning on tendon tension has some merit, so I cite his symptoms and clarify them.)
The Six Qi causing illness all generate fever. Cold and Heat interact; Summerheat and Dampness follow each other; only Dryness opposes Dampness. Damp diseases often stem from Earth Qi (external/environmental); Dryness diseases often stem from internal causes. This distinguishes their etiologies. In the Nineteen Pathogenesis Formulas, Dryness symptoms are absent. Regarding "All spasms and neck stiffness belong to Dampness," I privately doubt it. The current treatise distinguishes Jing and Dampness. It also says: "Taiyang disease, excessive sweating leads to Jing." Thus, Jing undoubtedly belongs to Dryness. Jing is named by its shape, resulting from blood deficiency causing tendon tension. The Six Qi can all cause Jing. However, without Heat, there is no Dryness; without Dryness, there is no Jing. Initially, Jing is not a primary disease but mixed with others. Physicians usually attribute it to Wind, failing to understand the principle. Good physicians must examine and prevent it among other symptoms. (*Shanghan Lun Yi*)
**Pathology Specific to Meridians** Jing disease is a meridian disease, not a Zang-Fu disease. Pulses are the pathways of righteous Qi and blood. When mixed with Evil Wind, Dampness, or Cold, the pulse pathways become blocked and stagnant, manifesting as spasms and curling. This disease manifests in the body's meridians and tunnels. Although related to Zang-Fu, it differs fundamentally from Zang-Fu disease, hence called "Meridian Disease." (*Jinkui Benyi*)
**Pulse Diagnosis** In Taiyang Dampness Strike, the pulse is deep and level with the tendons. Gang-Jing (Yang Spasm) is Taiyang Wind Strike complicated by Cold-Dampness; the pulse advances and retreats, being deep, slow, and thin, differing from Cold Damage and Heat diseases. (*Jiayi Jing*)
If the pulse is deep, wiry, and slow, or tight, this is a bad omen; most are incurable. If the pulse scatters like rain splashing beyond the fingers, death occurs within a day or two. (*Huoren Zongkuo*)
Postpartum blood deficiency and excessive bleeding from metal wounds can both cause Jing. Only a deficient and small pulse is treatable; a full and large pulse indicates difficult recovery. (*Shanghan Xulun*)
**General Symptoms** (Differentiation from Epilepsy and Cold Damage) Feng-Jing (Wind Spasm): Jaw locked open, back stiff and straight, resembling epilepsy. Severe cases have throbbing pain in the ears; sudden total body rigidity leads to death. (*Bingyuan Lun*)
Jing: Jaw locked, back stiff and straight, resembling epilepsy, head shaking, horse-like neighing, waist bending backward, occurring ten times in a moment, breath seeming to stop, sweating profusely, occasional collapse. Those prone include new mothers, those with metal wound blood exhaustion, infants with umbilical wind, adults with cold-dampness contracting Jing-Wind; all die. In Warm Diseases with high heat entering Kidney, or infantile epilepsy with high heat, Jing occurs. Jing, aphonia, syncope, and mania are similar; prolonged syncope leads to mania. Examining closely, severe cases have ear pain, indicating Wind entering Kidney meridian. If untreated, flowing into Kidney, it prefers sudden body rigidity as if dead. (*Qianjin*)
Taiyang Wind-Jing syndrome: Initially fever and abdominal pain, wheezing and floating phlegm; then teeth grinding, head shaking, slight finger movement; gradually neck and back stiffness, inability to turn; severely, coma, loss of voice, fixed gaze, uncontrollable diarrhea, back arching. In such cases, nine out of ten die. (*Huoren Zongkuo*)
Early onset often includes abdominal pain. (Same source)
When the disease starts with a soft body and intermittent consciousness, it is called Epilepsy; when the body is stiff, straight, and arched like a bow, with no intermittent consciousness, it is called Jing. (*Bingyuan Lun*) (Note: "Bow" was originally "Corpse", corrected per *Qianjin*.)
External symptoms of fever and aversion to cold resemble Cold Damage, but the pulse is deep, slow, wiry, and thin, with neck/back arching and stiffness resembling epilepsy; this is the difference. (*Huoren*)
**Gang-Rou (Hard-Soft)** Taiyang disease: Fever, no aversion to cold, no sweating is Yang-Jing (Hard Spasm); fever, aversion to cold, sweating is Yin-Jing (Soft Spasm). (*Shenqiao*)
Observe presence or absence of sweat to distinguish Gang-Jing and Rou-Jing. No sweat: Gegen Tang (Kudzu Decoction) governs; Sweating: Guizhi Jia Gegen Tang (Cinnamon Twig plus Kudzu Decoction) governs. (*Huoren*)
How do Gang-Rou Jing relate to Yin-Yang Jing? "Zhi" is also written as "Jing". Yang-Jing belongs to Gang-Zhi; Yin-Jing belongs to Rou-Zhi. (Same source)
Wang Chaofeng's Gang-Rou Jing: *Jinkui* Gualou Guizhi Tang (Sweating, weak, belongs to Yin); Guizhi Jia Gegen Gualou Tang (Same indications); *Jinkui* Gegen Tang (No sweat, Gang-Jing, belongs to Yang). (*Rongmeng*)
Sleeping face-down is Yin-Jing; looking up is Yang-Jing. (*Shanghan Jiehuo Lun*) (Note: Based on *Shenghui*, which adds: Yang-Jing heals easily; Yin-Jing heals with difficulty.)
If fever, aversion to cold, no sweating, eyes open lying supine, dry mouth/thirst, floating-tight-rapid pulse, this belongs to Yang, named Gang-Jing. If spontaneous sweating, no aversion to cold, eyes closed face-down, limbs flaccid, normal mouth sensation, deep-thin-choppy pulse, this belongs to Yin, named Rou-Jing. Both types have spasms, jaw locking, and teeth grinding. But Gang-Jing has violent limb jerking, very frightening; Rou-Jing has flaccid limbs, occurring intermittently. (*Shanghan Zhengzhi Mingtiao*)
The main treatise defines Taiyang disease with sweating and exterior deficiency as Rou-Jing, and no sweating/exterior excess as Gang-Jing. Determining Hard/Soft by Deficiency/Excess is the most accurate differentiation. Later authors wrongly defined Hard as opisthotonos and Soft as looking down; this is greatly erroneous. (*Jinkui Bianzhu*)
**Several Types of Jing** These two diseases often coexist (Guo believed Zhi is mild, Jing is severe, hence "two diseases"). Treated as Cold Damage or Wind, they don't heal; Wind treatment is close but not precise. Yong saw several cases personally, briefly describing them. One case initially resembled Cold Damage; after 3-4 days, unconscious, seemingly soft, not very stiff, only forgetting/jaw-locking inconsistently; Yong called this Zhi. Another case initially like Cold Damage; after days, intermittent opisthotonos, jaw-locked unconscious during attacks, slightly conscious but tired between attacks; Yong called this Jing. Another case: after sweating in Cold Damage, while sitting and talking, suddenly stared eyes and locked jaw, still sitting but limbs stiff/unbendable, resolving shortly after, recurring dozens of times; speech normal between attacks; Yong attributed this to excessive sweating, calling it Cold Damage Jing, cured by Guizhi Gualou. Another infant like Wind-Cold; after 1-2 days, unconscious, lying dully, silent/not eating; this is Zhi. Suddenly limbs stiff, jaw-locked, dorsal hands swollen, fingers splayed, resolving shortly, becoming softer but still dull; Yong called this Zhi complicated by Jing. Another villager: after 2-3 days, jaw-locked, body stiff/opisthotonos, feeling arms/legs longer than usual, slightly conscious, making sounds through teeth gaps, unclear speech, preferring fire moxibustion despite drinking cold water, picking at clothes/sheets, doing everything strange; Yong thought it was just Jing, used Dayami Tang to rub teeth, mouth opened shortly, cured by several doses of Xuming Tang. The villager endured the disease; had he been wealthy, would he not have died? Another father and son sat indoors; people said they had Lock-Jaw Wind. Investigating, they sat facing each other, pulling a horizontal wood beam with both hands. When the disease struck, hands released, lying flat, waking to sit again, repeating rising/falling. Cured by Cangong Danggui Tang; son recovered, father too frail to survive. Asked about Wind arrival: started from feet, ascended Taiyang meridian, passed calf to thigh, splitting into two branches: one ascending outer thigh to waist, causing sudden pulling and side-falling; one ascending inner thigh to lower abdomen. Checking classics, Taiyang has no such branch; likely entered Shaoyin. Another person walking looked up three times; crowd thought he was looking at something, then fell, carried home with opisthotonos, died days later. Symptoms vary greatly; some mild, cannot record all. Experience shows initial slight softness, becoming extremely stiff during Jing. Predecessors didn't describe this fully; Yong added details but order is chaotic. (*Shanghan Bumang Lun*)
**Postpartum Jing** (See formulas in Exterior-Releasing section for reference.) Postpartum Wind Strike Jing: Childbirth injures blood vessels, Zang-Fu exhaust, diet not restored, within month, Ying-Wei deficient/injured, Wind Qi enters Five Zang, injuring Taiyang meridian, compounded by Cold-Dampness. Cold binds tendons causing Jing. Symptoms: jaw tight, back stiff/straight, head shaking, horse neighing, waist bending backward, occurring ten times in a moment, breath急促 as if stopping, sweating like rain, wiping hands unable to keep up—all die. (*Bingyuan Lun*)
Postpartum opisthotonos and Wind diseases must not use toxic drugs, only single herbs, no heavy sweating, specifically avoid purgation/diarrhea/vomiting which ensure death. Da Dou Zi Tang is excellent for postpartum. (*Qianjin*)
Postpartum excessive sweating or anger-induced syncope can cause this disease. (*San Yin*)
Postpartum sweating changing to Zhi, also prescribing Xuming Tang is hard to believe. With excessive sweating, how can one take Ephedra, Cassia Twig, Stephania, Scutellaria? Da Dou Zi Tang is better; Dasheng San from *Taiyiju Fang* is also good medicine. (Same source)
Generally, postpartum fever with tongue stiffness/lip tension, slight finger movement, urgency should be treated as Feng-Zhi. (*Huoren Zongkuo*)
Postpartum excessive blood loss causing Zhi: Liuhe Tang governs. (*Yuanbing Ji*) (Note: This is Siwu Tang plus Qianghuo, Qinjiao, Fangfeng.)
Postpartum Zhi due to excessive blood loss, extreme Yuan Qi deficiency, or external pathogen conflict. Symptoms: jaw tight, limbs stiff, or back arching, limb convulsions. Caused by excessive blood loss, tendons un-nourished. Greatly tonifying Qi and Blood ensures safety; attacking Wind pathogens ensures death. (*Nuke Cuoyao*)
**Death Signs** For all opisthotonos, if an adult's spine gap fits a sideways hand, or a child's fits three fingers, it is incurable. (*Qianjin*)
Lying without touching the mat, child's back gap from mat is two fingers, adult's sideways palm, is difficult to treat. (*Zongbing Lun*) (Note: *Bumang Lun* says: Difficult to treat means still treatable, not incurable. Also: Some recover even with opisthotonos exceeding palm width.)
After medication, sweating and body comfort is auspicious. If pulse is deep-slow or tight-thin, with spontaneous diarrhea, all are death signs. (*Xulun*)
Regardless of Yin/Yang/Hard/Soft pulse types, this syndrome always involves righteous decline and pathogen excess, making rescue difficult. (Same source)
**Treatment Methods Various Views** Treatment should not induce sweating; acupuncture is best. Herbal treatment: Gegen Tang can be taken. (*Jiayi Jing*)
Absolutely do not treat as Wind disease or combine with Wind herbs. (*Danxi*)
Jing has Deficiency and Excess; treatment has Tonification and Draining. If exterior pathogens remain, mistaken tonification causes immediate irritability; if Yin-Blood is depleted, mistaken draining causes exhaustion. Today's people don't even know what Jing disease is, let alone differentiate interior/exterior or balance tonification/draining. Impossible. (*Bingji Huilun*)
If excessive sweating loses Yang, excessive purgation loses Yin, causing tendons/vessels to lose nourishment, becoming stiff and Jing, with no external pathogens to resolve, only tonify Qi and Blood. Select Shiquan Dabu Tang, Renshen Yangrong Tang, or Dajianzhong Tang. (*Xulun*) (Note: Ming/Qing physicians treating Jing rarely deviate from this example; unsure if appropriate; retained for future study.)
Common Zhi disease mostly starts postpartum or after Cold Damage sweating/purgation, where Qi/Blood are greatly depleted, unable to nourish tendons, causing stiffness. Requires Shiquan Dabu Tang, with a little Fuzi to move Ginseng's Qi to supplement Wei, guiding Angelica/Achyranthes nature to supplement Ying. Wonderful. Ancient formulas emphasized exterior pathogens, hence using Xuming etc.; modern constitutions differ. (*Dahuan*) (Note: Dabu Tang plus Fuzi for Jing originates from *Nuke Cuoyao*.)
Disease is a complication of Cold Damage. Infants may recover; others, one in a hundred. Excess cases might live via purgation; deficiency cases have no treatment. *Jinkui* formulas rarely effective. (*Lantai Guidfan*)
**Gegen Gualougen** Followers of Zhang Zhongjing only know Gegen Tang for Gang-Jing and Guizhi Jia Gegen Tang for Rou-Jing, not understanding *Jinkui* uses Gualougen instead of Gegen for Rou-Jing with deep-slow pulse. Using Gegen not only clears muscle heat but, due to its light nature, generates fluids in the Exterior-Yang layer to moisten tendon dryness/stiffness. Now with deep-slow pulse: Deep indicates Wei-Qi deficiency, so use Guizhi to harmonize; Slow indicates Ying-Blood deficiency, so use Gualougen. Its heavy nature generates fluids in the Exterior-Yin layer. This is Zhang Zhongjing's method of adjusting drug depth according to pulse floating/sinking. (*Zhunsheng*)
**Exterior-Releasing Formulas** (Including Fluid-Nourishing Formulas)
**Canggong Danggui Tang**: Governs Thief-Wind jaw-locking, opisthotonos, and Jing.
Danggui, Fangfeng (each 18 zhu), Duhuo (1.5 liang), Mahuang (30 zhu), Fuzi (1 piece), Xixin (0.5 liang).
Six ingredients, crushed. Boil in 5 sheng wine and 3 sheng water to obtain 3 sheng. Take 1 sheng. If jaw won't open, force liquid in. First dose revives; second causes slight sweat; third causes heavy sweat. (*Qianjin*) Saw cases of jaw-locking resembling Jing, slightly conscious, sitting with jerking, back arching, also Wind-Zhi, cured by this. (*Shanghan Bumang Lun*) *Shenghui Fang* treats postpartum Wind strike with jaw-locking: Qinjiao San. Remove Mahuang, Xixin from base formula, add Qinjiao, Gegen, Guixin. (No wine. Add ginger to decoct.)
**Gancao Tang**: Treats Wind strike in confinement, back stiffness unable to turn, named Feng-Jing.
Gancao, Dihuang, Maidong, Mahuang (each 2 liang), Chuanxiong, Huangqin, Gualougen (each 3 liang), Xingren (50 pieces), Gegen (0.5 jin).
Nine ingredients, crushed. Boil Gegen in 15 sheng water and 5 sheng wine to obtain 8 sheng. Strain, add remaining herbs, boil to 3 sheng. Strain, divide into two doses. If not healed, prepare another. (*Qianjin*)
**Fangfeng Tang**: Treats postpartum Wind strike, back tension and shortness of breath.