痫，痼疾也。患此者，虽不即毙，然往往勿获长寿。治惟疏风消痰清热，或温下之而已。不知亦有痧焉者，宜辨之。
治验∶
一朱建溪婢，犯羊痫疯三年矣。余诊之，六脉紧伏不匀。阅痧筋放之，付以沉香滚痰丸微温汤饮之，遂愈，永不再
发。
一盛昭先次子，患猪痫六年，脉伏紧而数，阅痧筋放之，脉遂平。付沉香滚痰丸微温汤饮之，亦不再发。
麻木酸痒，古人论治宜遵，余不更述。但痧症变幻，时亦有之。
治验∶
一翁尚景，遍身麻木，腿膝酸痒异常，脉微而细，放腿足痧四十余针，指头痧六针，未愈。付圆红散，微温汤服
之，用当归、金银花、连翘、秦艽、穿山甲末、僵蚕、角刺、红花二剂，如前服而痊。
世俗相传，有云∶男怕头虚，女怕脚肿。谓医治之难疗也。独是头虚之症，世岂无有消风热而得愈者乎。不知肿因
风热，乃可治效。若不因风热而因痧者，奚可更用发散升提之味耶？惟是头面虚肿，实因痧毒上攻三阳。先宜放刮，后
用清凉引下之剂治之，应无不愈，无令更变出凶险别病也。至若脚肿之疾，妇人犯此不数年而小腿肿，加之大腿亦肿，
渐渐入腹，睡即腿足不肿，内发胀闷。若当起坐行动，胸腹乃松，足腿复肿。如此日复一日，更不数年，势必小便不利，
大便亦阻，即成真臌。愚按此因湿毒之气，蒸淫于足，伤其血分，变为慢痧。不由鼻吸而入，故吃热汤热物俱无骤害，
脉亦有现有不现，及阅痧筋，或在腿，或在足面；或在足两旁。必多刺数次，出毒血为要。如不愈，当内服药饵乎。其
气血为主，大忌升发，燥热之品，恐毒瓦斯上腾也。若此之痧，有患五六年而毙，有患十余年而毙，有患二十余年而毙。
世鲜识者，受苦甚多，不可不悯，余故特为之着焉。
治验∶
一 茂甫，骤患头面红肿，心胸烦闷，口渴唇焦，六脉俱伏。放巅顶痧及手指、腿弯痧二十余针，不愈。用清凉至
宝饮减细辛加石膏、知母、茜草稍冷冻饮料之，三服而痊。
一方士彦，患头面渐肿，眉发尽落，已二年矣。脉洪数而紧盛，放指臂痧及两太阳痧二十余针，腿弯痧四针。服清
凉至宝饮减薄荷、细辛加穿山甲、天虫、乌药、续断、桑寄生、红花、归身微温饮之，十服而痊。
一秦馥生内室，素患脚肿及腿，渐升于腹，夜苦心中饱闷，饮食不宁，日间行动足腿复肿，十余年矣。诊脉细数，
令其家人，为之数放足面及两旁痧。用川楝子、金银花、木通、泽泻、槟榔、泽兰、青皮、枳壳、乌药、连翘温饮，八
服遂愈。
一张书瞻，病后足肿无力，少进饮食，两尺脉伏。阅足面痧及足旁痧、腿弯痧放之。用川楝子、槟榔、金银花、
连翘、白茯苓、泽泻、归身、续断、红花、白蒺藜、乌药而痊。
痫病，是一种顽固性疾病。患此病的人，虽然不会立即死亡，但往往难以长寿。治疗只需疏风、消痰、清热，或者用温下法即可。却不知道也有因痧引起的，应当加以辨别。
治验：
有一位朱建溪的婢女，患有羊痫疯三年了。我诊察她的脉象，六脉紧伏且不均匀。观察到有痧筋后进行了放血，随后给她服用沉香滚痰丸，用微温的汤送服，于是痊愈，从此不再复发。
另一位盛昭先的次子，患有猪痫六年，脉象伏紧而数。观察到有痧筋后进行了放血，脉象随即平和。给他服用沉香滚痰丸，用微温的汤送服，也不再复发。
麻木、酸痒，古人论述的治疗原则应当遵循，我不再赘述。只是痧症变化多端，有时也会出现这些症状。
治验：
有一位翁尚景，全身麻木，腿膝酸痒异常，脉象微细。在腿足部放痧四十余针，在指头放痧六针，但未痊愈。给他服用圆红散，用微温的汤送服；并开具当归、金银花、连翘、秦艽、穿山甲末、僵蚕、角刺、红花，共两剂，按前述方法服用而痊愈。
世俗相传，有说法称：“男人怕头虚，女人怕脚肿。”意思是说这两种病症难以医治。然而对于头虚之症，世上难道没有通过疏散风热而痊愈的吗？不知道如果是因风热引起的肿胀，是可以治疗见效的。如果不是因风热而是因痧引起的，怎么还能再用发散升提的药物呢？只有头面部的虚肿，确实是因痧毒上攻三阳经所致。先宜进行放血或刮痧，然后再用清凉引下的方剂治疗，应该没有不愈的，不要让它再变出凶险的其他疾病。至于脚肿的疾病，妇人患此病不过几年小腿就肿，进而大腿也肿，渐渐肿入腹部，睡觉时腿足就不肿，内部感到胀闷。如果起身坐立活动，胸腹就会松弛，腿足又会重新肿胀。如此日复一日，再过几年，势必导致小便不利，大便也受阻，这就变成了真臌胀病。我认为这是因为湿毒之气，蒸腾淫溢于足部，损伤了血分，变成了慢痧。这种痧不是从鼻子吸入而入的，所以喝热汤吃热物都没有突然的危害，脉象也有显现和不显现的情况，以及观察痧筋，可能在腿部，也可能在足面；或在足两旁。必须多次刺破，放出毒血作为关键。如果还不愈，应当内服药物。其以调理气血为主，大忌使用升发、燥热的药物，恐怕毒气向上冲腾。像这样的痧症，有的患病五六年而死，有的患病十余年而死，有的患病二十余年而死。世间很少有人认识，受了很多苦，不可不怜悯，所以我特意为此著文。
治验：
有一位茂甫，突然患上头面红肿，心胸烦闷，口渴唇焦，六脉全部伏匿。在巅顶、手指、腿弯处放痧二十余针，未愈。使用清凉至宝饮，减去细辛，加入石膏、知母、茜草，稍微冷冻后饮用，服用三剂而痊愈。
有一位方士彦，头面逐渐肿胀，眉毛头发全部脱落，已经两年了。脉象洪数而紧盛。在指臂、两太阳穴处放痧二十余针，腿弯处放痧四针。服用清凉至宝饮，减去薄荷、细辛，加入穿山甲、天虫（僵蚕）、乌药、续断、桑寄生、红花、归身，用微温的汤送服，服用十剂而痊愈。
有一位秦馥生的妻子，素来患有脚肿及腿肿，渐渐蔓延到腹部，夜间苦于心中饱闷，饮食不安，白天行动后腿足又肿胀，已经十多年了。诊脉细数，让他的家人为她多次在足面及两旁放痧。使用川楝子、金银花、木通、泽泻、槟榔、泽兰、青皮、枳壳、乌药、连翘，温服，服用八剂便痊愈。
有一位张书瞻，病后足肿无力，稍进饮食，两尺脉伏匿。观察足面痧、足旁痧、腿弯痧并进行放血。使用川楝子、槟榔、金银花、连翘、白茯苓、泽泻、归身、续断、红花、白蒺藜、乌药而痊愈。
Epilepsy is a chronic, stubborn disease. Those suffering from it may not die immediately, but often fail to enjoy longevity. Treatment generally involves dispersing wind, resolving phlegm, clearing heat, or employing warm purgation. However, one must not overlook cases caused by Sha (a pathogenic factor associated with acute toxic conditions), which require differentiation.
Case Record 1:
A maid of Zhu Jianxi had suffered from sheep-type epilepsy for three years. Upon examination, her six pulses were tight, deep, and irregular. After identifying Sha vessels (superficial veins indicating Sha toxin) and performing bloodletting, she was administered Chenxiang Gutan Wan (Agarwood Pill for Descending Turbid Phlegm) with lukewarm water. She recovered completely and never relapsed.
Case Record 2:
The second son of Sheng Zhaoxian had suffered from pig-type epilepsy for six years. His pulse was deep, tight, and rapid. After identifying Sha vessels and performing bloodletting, his pulse normalized. He was administered Chenxiang Gutan Wan with lukewarm water and did not relapse.
Numbness, soreness, and itching are discussed in ancient texts regarding treatment principles, which should be followed; I will not elaborate further here. However, Sha syndrome can manifest with such variable symptoms.
Case Record 3:
Weng Shangjing suffered from whole-body numbness and extreme soreness and itching in the legs and knees. His pulse was faint and fine. Bloodletting was performed at forty-plus points on the legs and feet, and six points on the fingers, but he did not recover. He was prescribed Yuanhong San (Round Red Powder) taken with lukewarm water, along with a herbal decoction containing Danggui (Angelicae Sinensis Radix), Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), Qinjiao (Gentianae Macrophyllae Radix), Chanshanjia Mo (Pangolin Scale Powder), Jiangcan (Bombyx Batryticatus), Jiaoci (Spina Gleditsiae), and Honghua (Carthami Flos). Two doses were taken as described, leading to recovery.
It is commonly said among the populace: "Men fear head deficiency, women fear foot swelling," implying these are difficult to treat. However, are there no cases of head deficiency cured by dispersing wind-heat? If the swelling is due to wind-heat, it is treatable. But if it is due to Sha, using dispersing and ascending herbs would be inappropriate. Head and facial edema is actually caused by Sha toxin attacking the Three Yang meridians. Initially, bloodletting or scraping should be performed, followed by cooling and descending formulas. Recovery is assured if this approach is taken, preventing dangerous complications. Regarding foot swelling in women, within a few years, the calves swell, then the thighs, eventually spreading to the abdomen. The legs do not swell during sleep, but internal bloating occurs. Upon rising and moving, the chest and abdomen feel relaxed, but the legs and feet swell again. Day after day, over several years, this leads to difficulty urinating and constipation, resulting in true鼓胀 (Gu Zhang / abdominal distension). I believe this is caused by damp-toxin steaming and flooding the feet, damaging the blood level, transforming into slow Sha. Since it enters through the skin rather than inhalation, hot soups or foods do not cause immediate harm. Pulses may be present or absent, and Sha vessels may be found on the legs, dorsum of the foot, or sides of the foot. Multiple punctures to release toxic blood are essential. If ineffective, internal medication is needed, focusing on regulating Qi and Blood. Ascending and drying-hot substances are strictly contraindicated to prevent toxic vapors from rising. Such Sha cases have led to death after five to six years, ten to twenty years, etc. Few recognize this condition, causing much suffering. Pity is warranted, so I have written this specifically.
Case Record 4:
Maofu suddenly developed red and swollen head and face, chest distress, thirst, dry lips, and hidden six pulses. Bloodletting was performed at twenty-plus points on the vertex, fingers, and popliteal fossae without success. Qingliang Zhibao Yin (Cooling Precious Treasure Decoction) was modified by removing Xixin (Asari Radix et Rhizoma) and adding Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), and Qiancao (Rubiae Cordifoliae Radix). It was cooled slightly before drinking. Three doses resulted in recovery.
Case Record 5:
Fang Shiyan suffered from gradually swelling head and face, with complete loss of eyebrows and hair for two years. His pulse was surging, rapid, tight, and vigorous. Bloodletting was performed at twenty-plus points on the fingers, arms, and both Taiyang acupoints, and four points in the popliteal fossae. He took Qingliang Zhibao Yin modified by removing Bohe (Menthae Haplocalycis Herba) and Xixin, and adding Chanshanjia (Pangolin Scale), Tianchong (Bombyx Batryticatus), Wuyao (Linderae Radix), Xuduan (Dipsaci Radix), Sangjisheng (Taxilli Herba), Honghua (Carthami Flos), and Guishen (Angelicae Sinensis Radix). Taken with lukewarm water, ten doses led to recovery.
Case Record 6:
The wife of Qin Fusheng had long suffered from foot and leg swelling that gradually ascended to the abdomen. She suffered from nocturnal epigastric fullness and restlessness, with daytime activity causing leg swelling again. This persisted for over ten years. Her pulse was fine and rapid. Family members performed repeated bloodletting on the dorsum and sides of the feet. A decoction of Chuanlianzi (Meliosmae Fructus), Jinyinhua (Lonicerae Japonicae Flos), Mutong (Akebiae Caulis), Zexie (Alismatis Rhizoma), Binglang (Arecae Semen), Zelan (Lycii Cortex), Qingpi (Citri Reticulatae Pericarpium Viride), Zhike (Aurantii Fructus Immaturus), Wuyao (Linderae Radix), and Lianqiao (Forsythiae Fructus) was taken warm. Eight doses resulted in recovery.
Case Record 7:
Zhang Shuzhan suffered from weak, swollen feet after an illness, with slight food intake causing hidden Chi and Cun pulses on both sides. Bloodletting was performed on Sha vessels on the dorsum, sides of the feet, and popliteal fossae. He recovered using a formula of Chuanlianzi (Meliosmae Fructus), Binglang (Arecae Semen), Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), Baifuling (Poria), Zexie (Alismatis Rhizoma), Guishen (Angelicae Sinensis Radix), Xuduan (Dipsaci Radix), Honghua (Carthami Flos), Baijili (Tribuli Fructus), and Wuyao (Linderae Radix).