蔓菁菜等。（《圣济》）《良朋汇集》治大人气性风、羊羔风、中风中痰，小儿急惊风，生石膏十两，朱砂五钱，
细末，每服大人三钱，小儿一钱。
安魂定魄丹，治惊邪癫痫，天行热病，心神狂乱，无不瘥（按∶即《和剂》养正丹，去朱砂），以软饭和丸，
如绿豆大，每服以新汲水，研七丸服之。（《鸡峰》）《是斋》抱胆丸，治一切癫痫风狂，或因惊恐怖思所致，
于本方加乳香。
张涣熊胆丹方，治癫痫，镇心安神。
真熊胆 铁粉（各细研） 朱砂（细研水飞） 生天南星（末） 雄黄（水磨精明者别研各半两） 粉霜（一分研）
脑麝（各研一钱）
上件同拌匀，用 猪胆一枚，取汁和诸药，丸如黍米大，每服十粒至二十粒，煎金银薄荷汤下。（《幼幼》）
治癫痫经验丸药方。
牛胆南星（八钱） 真牛黄（四钱） 辰砂（三钱） 真麝香（三分）
煮甘草膏为丸，芡实大，金箔为衣，薄荷汤下五丸。（《赤水》）
如五痫，宜肥大蝙蝠二个，各筑入辰砂五钱入口内，以瓦盖四围，慢火烧令干，为末，米糊丸，米汤下，得
吐妙。（《如宜》）（按∶《医学集成》为散用。）
疏经清心诸方 治惊忧积气，心受风邪，发则牙关紧急，涎潮昏塞，醒则精神若痴，惊气丸。
附子（炮去皮脐） 南木香 白僵蚕（去丝嘴炒） 花蛇（酒浸去皮骨炙） 橘红 天麻（去芦）
麻黄（去根节各半两） 干蝎（一两去毒） 紫苏子（一两淘洗） 天南星（洗浸薄切片姜汁浸一夕半两） 朱砂
（水飞一分留少许为衣）
上为末，入研脑、麝少许，同研极匀，炼蜜杵丸，如龙眼大，每服一粒，金银薄荷汤化下，温酒亦得，此予
家秘方也。戊申年，军中一人犯法，褫衣将受刃得释，神失如痴，予与一粒服讫而寐，及觉病已失矣。江东提
辖张载扬，其妻因避寇失心已数年，予授此方，不终剂而愈。又黄山沃巡检
彦，其妻狂厥者逾年，更十余医而不验，予授此方，去附子，加铁粉，亦不终剂而愈。铁粉非但化涎镇心，至如
摧抑肝邪特异。若多恚伤肝，邪太盛，铁粉能制伏之。《素问》言阳厥狂怒，治以铁落饮，金制木之意也，此亦
前人所未尝论及。（《本事》）（按∶《心法附余》曰∶盖痫痰结于心胸之间，每遇火动则发，非附子热性走而
不守而能流通结滞、开散顽结可乎。此从治之法，乃劫剂也。）
《宝鉴》沉香天麻汤，治痫 筋挛。
沉香 益智仁 川乌（各二钱） 天麻 防风 半夏 附子（炮各三钱） 羌活（五钱） 甘草 当归
僵蚕（各一钱半） 独活（一钱）
上锉，每服五钱，水二盏，生姜三片，煎至一盏，去滓温服食前，三剂而愈。（《微义》）（按∶罗氏此方，
本为小儿而设，徐氏取收之大人门中，以为救坏证之剂，故今亦列于此。又僵蚕《宝鉴》原作姜屑，今用僵蚕
为便。）
摧肝丸，镇火平肝，消痰定颤。
牛胆南星 钓藤钩 黄连（酒炒） 滑石（水飞） 铁华粉（各一两） 青黛（三钱） 僵蚕（炒五钱）
天麻（酒洗二两） 辰砂（飞五钱） 大甘草（二钱）
上末，以竹沥一碗，姜汁少许，打糊丸绿豆大，食后及夜，茶下一钱五分，忌鸡、羊肉。（《准绳》）（按∶
此方本出《颤振》中，然能平肝逆，通治癫狂，仍列于兹。）
清神汤，治心热，痰迷胞络。
茯神（去皮木） 黄连（各二钱） 酸枣仁（炒） 石菖蒲 柏子仁（炒） 远志（各五钱甘草同煮去骨）
甘草（五分）
水二钟，煎八分，食远服。（《统旨》）
钩藤汤，治诸痫痉 。
橘红 钩藤 胆星 天麻 僵蚕 人参 远志 犀角
石菖蒲
加灯心水煎，临服加牛黄、珍珠末。（《锦囊》）
灸法 有人患痫疾，发则僵仆在地，久之方苏。予意其用心所致，为炙百会，又疑是痰厥致僵仆，为
灸中脘，其疾稍减，未除根也。后阅《脉诀》，后（疑得字）通真子有爱养小儿谨护风池之说，人来觅灸痫疾，
必为之按风池穴，皆应手酸疼，使灸之而愈。（《资生》）
〔附〕颤振。颤，摇也。振，动也。风火相乘动摇之象，比之 ，其势为缓。《内经》云∶诸风掉眩，
皆属于肝。掉即颤振之谓也。常见此证，多于伤寒、热病、痢疾中兼见者，是热甚而然，虚亦有之，皆战摇振动
轻利而不痿弱，比之中风 曳牵动重迟者，微有不同。（《纲目》）
颤振与 相类，但 则手足牵引而或屈或伸，颤振则但战动而不屈伸也。有气虚而振，用参术汤补之。
（系异功散加黄 ，甚者加附子）。心虚而振，用补心丸养之（用归、甘、参、生地、远志、酸枣、柏仁、朱砂、
金箔、麝、琥、茯、芎、菖、胆南星）。挟痰，用导痰汤加竹沥。有实热积滞而振，宜吐下之可也。若老人战动，
宜定振丸。（《统旨》）（定振丸用四物汤及天麻、秦艽、全蝎、细辛、荆、防、术、 、威灵仙。）
颤振者，人病手足摇动，如抖擞之状，筋脉约束不住而莫能任持，风之象也。《内经》云∶诸风眩掉，皆
属肝木。肝主风，风为阳气，阳主动，此木气太过而克脾土，脾主四肢，四肢者诸阳之末，木气鼓之故动，经谓
风淫末疾者此也。亦有头动而手足不动者，盖头乃诸阳之首，木气上冲，故头独动而手足不动，散于四末，则
手足动而头不动也。此病壮年鲜有，中年以后乃有之，老年尤多。夫老年阴血不足，少水不能
制盛火，极为难治。前哲略不及之，惟张戴人治新寨马叟，作木火兼痰而治，得效。遇此证者，当参酌其旨而
运其精思云。（《准绳》）（按∶戴人治验出《十形三疗》，用通圣散及涌剂。）
颤振之脉，小弱缓滑者可治，虚大急疾者不治。间有沉伏涩难者，必痰湿结滞于中之象。（《医通》）
蔓菁菜等。（出自《圣济总录》）《良朋汇集》治疗成人气性风、羊羔风（癫痫）、中风中痰，以及小儿急惊风，用生石膏十两，朱砂五钱，研成细末，每次服用，成人三钱，小儿一钱。
安魂定魄丹，治疗惊邪引起的癫痫、时行热病、心神狂乱，没有不治愈的（按：即《和剂局方》中的养正丹，去掉朱砂），用软饭调和做成药丸，如绿豆大小，每次取新汲水，研磨七丸服用。（出自《鸡峰普济方》）《是斋百一选方》中的抱胆丸，治疗一切癫痫风狂，或因惊恐恐怖思虑所致，在本方基础上加入乳香。
张涣的熊胆丹方，治疗癫痫，具有镇心安神的作用。
真熊胆 铁粉（各研细） 朱砂（研细后水飞） 生天南星（研末） 雄黄（水磨取精明者另研，各半两） 粉霜（一分研） 脑麝（各研一钱）
以上药物拌匀，用猪胆一枚，取汁调和诸药，制成如黍米大小的药丸，每次服用十粒至二十粒，煎金银薄荷汤送服。（出自《幼幼新书》）
治疗癫痫的经验丸药方。
牛胆南星（八钱） 真牛黄（四钱） 辰砂（三钱） 真麝香（三分）
煮甘草膏为粘合剂制成药丸，如芡实大小，金箔为衣，薄荷汤送服五丸。（出自《赤水玄珠》）
如果是五种痫证，宜用肥大蝙蝠两只，各将辰砂五钱填入其口中，用瓦片盖住四周，慢火烤干，研成细末，米糊制丸，米汤送服，能吐出痰涎效果更佳。（出自《如宜方》）（按：《医学集成》中作散剂使用。）
疏经清心各类方剂 治疗因忧惧积气，心受风邪，发作时牙关紧急，涎液上潮昏塞，醒后精神恍惚如痴，名为惊气丸。
附子（炮制去皮脐） 南木香 白僵蚕（去丝嘴炒） 花蛇（酒浸去皮骨炙） 橘红 天麻（去芦头）
麻黄（去根节，各半两） 干蝎（一两去毒） 紫苏子（一两淘洗） 天南星（洗浸薄切片，姜汁浸一夜半，半两） 朱砂
（水飞一分，留少许为衣）
以上研成细末，加入研细的冰片、麝香少许，同研极匀，炼蜜捣丸，如龙眼大小，每次服用一粒，用金银薄荷汤化开送下，温酒送服也可以，这是我家传的秘方。戊申年，军中有一人犯法，脱衣将被处刑得以赦免，神志丧失如痴，我给他服了一粒药，吃完就睡着了，醒来后病就好了。江东提辖张载扬，他的妻子因躲避寇乱失心疯已有数年，我授以此方，未服完一剂便痊愈了。又黄山沃巡检彦，他的妻子患狂厥症超过一年，经过十余位医生治疗无效，我授以此方，去掉附子，加入铁粉，也未服完一剂便痊愈了。铁粉不仅能化痰镇心，至于抑制肝邪尤为特异。如果因多怒伤肝，邪气太盛，铁粉能制服它。《素问》说阳厥狂怒，用铁落饮治疗，这是金克木的意思，这也是前人未曾论述过的。（出自《本事方》）（按：《医宗金鉴·心法要诀》说：大概痫证痰结在心胸之间，每遇火动则发作，如果不是附子的热性走而不守，能够流通结滞、开散顽结可以吗？这是从治的方法，属于劫剂。）
《宝鉴》沉香天麻汤，治疗痫证筋挛。
沉香 益智仁 川乌（各二钱） 天麻 防风 半夏 附子（炮制，各三钱） 羌活（五钱） 甘草 当归
僵蚕（各一钱半） 独活（一钱）
以上锉碎，每次服用五钱，水两盏，生姜三片，煎至一盏，去渣温服，饭前服用，三剂而愈。（出自《微义》）（按：罗氏此方，原本是为小儿设立的，徐氏将其收录在成人门中，作为救治坏证的药剂，所以今天也列在这里。另外僵蚕，《宝鉴》原文作姜屑，现在用僵蚕更方便。）
摧肝丸，镇火平肝，消痰定颤。
牛胆南星 钓藤钩 黄连（酒炒） 滑石（水飞） 铁华粉（各一两） 青黛（三钱） 僵蚕（炒五钱）
天麻（酒洗二两） 辰砂（飞五钱） 大甘草（二钱）
以上研末，用竹沥一碗，姜汁少许，打糊制成绿豆大小的药丸，饭后及夜间，茶送服一钱五分，忌食鸡、羊肉。（出自《准绳》）（按：此方本出自《颤振》篇，但能平肝逆，通治癫狂，仍列于此。）
清神汤，治疗心热，痰迷胞络。
茯神（去皮木） 黄连（各二钱） 酸枣仁（炒） 石菖蒲 柏子仁（炒） 远志（各五钱，与甘草同煮去骨）
甘草（五分）
水两钟，煎至八分，饭后服用。（出自《统旨》）
钩藤汤，治疗各种痫证痉挛。
橘红 钩藤 胆星 天麻 僵蚕 人参 远志 犀角
石菖蒲
加灯心草水煎，临服时加入牛黄、珍珠末。（出自《锦囊》）
灸法 有人患痫疾，发作时僵仆在地，很久才苏醒。我认为这是用心过度所致，为他灸百会穴，又怀疑是痰厥导致僵仆，又灸中脘穴，病情稍减，但未除根。后来阅读《脉诀》，后（疑为得字）通真子有爱护保养小儿、谨护风池的说法，有人来求灸治痫疾，我一定为他按压风池穴，都感到酸疼，于是施灸而痊愈。（出自《资生经》）
〔附〕颤振。颤，摇动。振，震动。风火相乘动摇之象，比之风痉，其势较缓。《内经》说：诸风掉眩，皆属于肝。掉就是颤振的意思。常见此证，多于伤寒、热病、痢疾中兼见，这是热甚所致，虚证也有，都是战摇振动轻利而不痿弱，比之中风牵引牵动重迟者，略有不同。（出自《纲目》）
颤振与风痉相类，但风痉则手足牵引而或屈或伸，颤振则只是战动而不屈伸。有气虚而振，用参术汤补益它。（系异功散加黄芪，甚者加附子）。心虚而振，用补心丸滋养它（用当归、甘草、人参、生地、远志、酸枣、柏仁、朱砂、金箔、麝、琥珀、茯苓、川芎、菖蒲、胆南星）。挟痰，用导痰汤加竹沥。有实热积滞而振，宜用吐下法即可。若老人战动，宜用定振丸。（《统旨》）（定振丸用四物汤及天麻、秦艽、全蝎、细辛、荆芥、防风、白术、黄芪、威灵仙。）
颤振者，人病手足摇动，如抖擞之状，筋脉约束不住而不能持重，是风的征象。《内经》说：诸风眩掉，皆属肝木。肝主风，风为阳气，阳主动，这是木气太过而克脾土，脾主四肢，四肢是诸阳之末，木气鼓动故而动，经书说风淫末疾就是这个意思。也有头动而手足不动的，盖头乃诸阳之首，木气上冲，所以头独动而手足不动，散于四末，则手足动而头不动。此病壮年少见，中年以后才有，老年尤多。夫老年阴血不足，少水不能制盛火，极为难治。前哲略不及此，只有张戴人治新寨马叟，作木火兼痰而治，得效。遇到此证者，应当参酌其旨意而运用精思。（出自《准绳》）（按：戴人治验出《十形三疗》，用通圣散及涌剂。）
Turnip greens, etc. (From *Shengji Zonglu*). *Liangpeng Huiji* treats adult Qi-type wind, lamb-style wind (epilepsy), stroke with phlegm obstruction, and pediatric acute convulsive wind. It uses ten taels of raw gypsum and five qian of cinnabar, ground into fine powder. For each dose, adults take three qian, children take one qian.
Anhun Dingpo Dan (Soul-Calming Pill) treats epilepsy caused by fright pathogens, epidemic febrile diseases, and manic confusion due to disturbed heart spirit; it is effective in all cases. (Note: This is essentially Yangzheng Dan from *Heji Jufang*, minus cinnabar). It is prepared by mixing the ingredients with soft rice to form pills the size of mung beans. Each dose consists of seven pills ground in fresh well water and taken orally. (From *Jifeng Puji Fang*). Baodan Wan (Gallbladder-Protecting Pill) from *Shizhai Baiyi Xuanfang* treats all types of epilepsy, mania, and wind-stroke, whether caused by fright, terror, or excessive thinking. Raw frankincense is added to this base formula.
Zhang Huan's Xiongdan Dan (Bear Gallbladder Pill) treats epilepsy, having the effects of calming the heart and soothing the spirit.
True bear gallbladder bile, Iron powder (each finely ground), Cinnabar (finely ground and washed with water), Raw Arisaema cum Baccate (ground into powder), Realgar (water-ground to extract the pure essence, separately ground, half a tael each), Frost powder (one fen, ground), Camphor and Musk (each one qian, ground).
Mix these ingredients thoroughly. Take the juice from one pig gallbladder to bind the herbs into pills the size of millet seeds. Each dose is ten to twenty pills, taken with a decoction of silver mint. (From *Youyou Xinshu*).
Empirical Pill Formula for Treating Epilepsy.
Ox-bile processed Arisaema (eight qian), True Calculus Bovis (four qian), Chen Sha (Cinnabar) (three qian), True Musk (three fen).
Boil liquorice paste as a binder to form pills the size of Euryale seeds, coated with gold leaf. Take five pills with mint tea. (From *Chishui Xuanzhu*).
For the five types of epilepsy, use two large fat bats. Stuff five qian of Chen Sha (Cinnabar) into each bat's mouth. Cover with tiles on all sides and dry slowly over low fire. Grind into powder, bind with rice paste to form pills, and take with rice soup. Vomiting the phlegm out is considered excellent. (From *Ruyi Fang*) (Note: Used as a powder in *Yixue Jicheng*).
Various Formulas for Unblocking Meridians and Clearing the Heart: Treats accumulation of qi from sorrow and fear, wind pathogen invading the heart. Upon onset, there is jaw stiffness, flooding of saliva, and coma. After waking, the spirit appears dull and foolish. This is called Jingqi Wan (Fright-Qi Pill).
Prepared Aconite root (peeled and de-navelled), Southern Costus root, White Silkworm (de-silked and stir-fried), Flower snake (soaked in wine, skin and bones removed, roasted), Tangerine peel, Gastrodia elata (rhizome removed).
Ephedrae Herba (roots and joints removed, half a tael each), Dried Scorpion (one tael, detoxified), Perilla Seed (one tael, washed), Arisaema cum Baccate (washed, soaked, sliced thinly, soaked in ginger juice overnight, half a tael), Cinnabar (water-washed, one fen, reserved a small amount for coating).
Grind all into powder. Add a small amount of ground camphor and musk, mix extremely uniformly. Use refined honey to knead into pills the size of longan fruits. Take one pill per dose, dissolved in silver mint decoction; warm wine may also be used. This is my family's secret prescription. In the year Wushen, a soldier in the army broke the law and was stripped naked, about to be executed, but was pardoned. His spirit was lost, appearing foolish. I gave him one pill; after taking it, he slept. Upon waking, his illness had vanished. Zhang Zaiyang, Inspector General of Jiangdong, had a wife who had suffered from mental loss due to fleeing bandits for several years. I prescribed this formula; she recovered before finishing one course. Yan, Inspector of Huangshan Wo, had a wife suffering from mania and syncope for over a year, treated by more than ten physicians without success. I prescribed this formula, removing Aconite and adding Iron powder; she recovered before finishing one course. Iron powder not only transforms phlegm and calms the heart but is particularly effective in suppressing liver pathology. If anger injures the liver and the pathogen is too strong, Iron powder can subdue it. *Suwen* states that for yang syncope with mania, Tieluo Yin (Iron Filings Decoction) is used, representing the principle of Metal controlling Wood. This insight was not discussed by predecessors. (From *Benshi Fang*) (Note: *Yizong Jinjian* states: Phlegm in epilepsy knots between the heart and chest, often triggered by fire. Is it not necessary for the hot nature of Aconite, which moves freely and does not stay put, to circulate stagnation and disperse stubborn knots? This is a contrary treatment method, belonging to coercive agents.)
*Chenxiang Tianma Tang* (Agarwood and Gastrodia Decoction) from *Baojian* treats epilepsy with muscle spasms.
Agarwood, Alpinia oxyphylla fruit, Aconitum carmichaelii lateral root (each two qian), Gastrodia elata, Saposhnikovia root, Pinellia ternata, Prepared Aconite root (each three qian), Notopterygium root (five qian), Liquorice root, Angelica sinensis root.
Bombyx Batryticatus (each one and a half qian), Angelica pubescens root (one qian).
Cut into pieces. Take five qian per dose, with two cups of water and three slices of fresh ginger. Decoct until one cup remains, strain, and take warm before meals. Three doses result in cure. (From *Weiyi*) (Note: Luo’s formula was originally designed for children. Xu incorporated it into the adult section as a remedy for critical conditions, so it is listed here today. Also, *Baojian* originally wrote "ginger residue" instead of Bombyx Batryticatus; using Bombyx Batryticatus is more convenient now.)
Cuigan Wan (Liver-Crushing Pill) suppresses fire, soothes the liver, resolves phlegm, and stops tremors.
Ox-bile processed Arisaema, Uncaria rhynchophylla, Coptis chinensis (stir-fried with wine), Talcum (water-washed), Ferrum Hydroxidum Cum Hydrato (each one tael), Indigo Naturalis (three qian), Bombyx Batryticatus (stir-fried, five qian).
Gastrodia elata (wine-washed, two taels), Chen Sha (Cinnabar, water-washed, five qian), Large Liquorice root (two qian).
Grind into powder. Use one bowl of bamboo sap and a little ginger juice to make a paste for binding, forming pills the size of mung beans. Take one qian and five fen with tea after meals and at night. Avoid chicken and mutton meat. (From *Zhunsheng*) (Note: This formula originally appeared in the chapter on Tremors, but since it soothes liver rebellion and treats mania and epilepsy generally, it is listed here again.)
Qingshen Tang (Spirit-Clearing Decoction) treats heart heat and phlegm confusing the pericardium collaterals.
Poria cocos with hostwood (skin and wood removed), Coptis chinensis (each two qian), Ziziphus jujuba seed (stir-fried), Acorus tatarinowii, Biota orientalis seed (stir-fried), Polygala tenuifolia root (each five qian, boiled together with liquorice, bone removed).
Liquorice root (five fen).
Use two zhong of water, decoct until eight fen remains. Take far after meals. (From *Tongzhi*).
Gouteng Tang (Uncaria Decoction) treats various epileptic spasms.
Tangerine peel, Uncaria rhynchophylla, Bile-processed Arisaema, Gastrodia elata, Bombyx Batryticatus, Ginseng root, Polygala tenuifolia root, Rhinoceros horn (modern substitute: Water buffalo horn), Acorus tatarinowii.
Decoct with Centella asiatica herb in water. Before taking, add Calculus Bovis and Pearl powder. (From *Jinnang*).
Moxibustion Method: Someone suffered from epilepsy, falling stiffly to the ground upon onset and recovering only after a long time. I suspected it was caused by mental exertion, so I moxaized Baihui (GV20). Suspecting phlegm syncope caused the fall, I also moxaized Zhongwan (CV12). The condition decreased slightly but was not cured. Later, reading *Maijue*, Tong Zhenzi mentioned protecting Fengchi (GB20) when caring for children. When people sought moxibustion for epilepsy, I would always press Fengchi (GB20); it was invariably tender. Moxibustion then led to recovery. (From *Zisheng Jing*).
[Appendix] Tremors and Shaking. "Chan" means shaking. "Zhen" means vibrating. It is an image of wind and fire multiplying, causing movement. Compared to wind-spasm, its intensity is slower. *Neijing* states: All wind-induced trembling and dizziness belong to the Liver. "Diao" refers to tremors and shaking. This syndrome is commonly seen accompanying cold damage, febrile diseases, and dysentery, caused by severe heat. Deficiency patterns also occur. In both, the trembling is light and agile without weakness, differing slightly from stroke where limbs are dragged and movements are heavy and slow. (From *Gangmu*).
Tremors are similar to wind-spasm, but in wind-spasm, limbs are pulled and flexed or extended, whereas in tremors, there is only quivering without flexion or extension. For tremors due to qi deficiency, use Shen Zhu Tang to tonify it (this is Yigong San plus Astragalus; add Aconite if severe). For tremors due to heart deficiency, use Buxin Wan to nourish it (using Angelica sinensis, Liquorice, Ginseng, Rehmannia glutinosa, Polygala tenuifolia, Ziziphus jujuba seed, Biota orientalis seed, Cinnabar, Gold leaf, Musk, Amber, Poria cocos, Ligusticum chuanxiong, Acorus tatarinowii, Ox-bile processed Arisaema). If accompanied by phlegm, use Daotan Tang plus bamboo sap. For tremors due to excess heat and accumulation, purging and vomiting methods are appropriate. For elderly patients with trembling, use Dingzhen Wan. (*Tongzhi*) (Dingzhen Wan uses Siwu Tang plus Gastrodia elata, Gentiana macrophylla, Full scorpion, Asarum, Schizonepeta, Saposhnikovia, Atractylodes macrocephala, Astragalus, and Notopterygium root.)
Tremors involve shaking of hands and feet, resembling shivering, where tendons and vessels cannot restrain themselves, making it impossible to hold weight. This is a sign of wind. *Neijing* states: All wind-induced dizziness and trembling belong to Liver Wood. The Liver governs wind; wind is yang qi, and yang is active. This is excessive Wood qi overcoming Spleen Earth. The Spleen governs the four limbs, which are the extremities of all yang meridians. The drumming of Wood qi causes movement. The classics refer to this as wind damaging the extremities. There are cases where only the head moves while limbs remain still. The head is the summit of all yang meridians; when Wood qi rushes upward, only the head moves. When dispersed to the four extremities, the limbs move while the head remains still. This disease is rare in young adults, appearing after middle age, and is common in the elderly. Elderly patients have insufficient yin blood; insufficient water cannot control flourishing fire, making it extremely difficult to treat. Predecessors rarely addressed this. Only Zhang Dairen treated an old man named Ma from Xinzhai, treating it as combined Wood-Fire and phlegm, achieving success. Those encountering this syndrome should refer to his principles and apply careful thought. (From *Zhunsheng*) (Note: Dairen’s case record is in *Shixing Sanliao*, using Tongsheng San and emetic methods.)
The pulse for tremors: small, weak, slow, and slippery pulses are treatable. Empty, large, rapid, and urgent pulses indicate untreatable conditions. Occasionally, deep, hidden, and choppy pulses appear, indicating phlegm-dampness stagnation internally. (From *Yitong*)