〔薛〕螈者筋脉急而缩也， 者筋脉缓而伸也。一缩一伸，手足相引搐搦不已。大
抵与婴孩发搐相似，谓之螈 也。此证多属风，盖风主摇动。骆龙吉云∶心主脉，肝主
筋，心属火，肝属木，火主热，木主风，风火相炽，则为螈 也。治法∶若因风热，用
钓藤汤加柴胡、山栀、黄芩、白术，以平肝木，降心火，养气血。若风痰上涌，加竹沥、
南星、半夏。若风邪急搐，加全蝎、僵蚕。亏损气血，用八珍汤加钓藤、山栀为主。若无
力抽搐，戴眼反折，汗出如珠者，肝绝也，皆不治。一妊妇四肢不能伸，服祛风燥血之
剂，遗屎痰甚，四肢抽搐。余谓肝火血燥，用八珍汤加炒黑黄芩为主，佐以钓藤汤而安。后
因怒，前证复作，小便下血，寒热少寐，饮食少思，用钓藤散加山栀、柴胡而血止。用
加味逍遥散，寒热退而得寐。用六君子汤加芍药、钓藤钩，饮食进而渐愈。
钓藤汤（见胎动不安。） 钓藤散（眩晕。）
消风散 治妊娠肝脏热毒上攻太阳穴，胸膈涎壅，头旋目晕，或腮项肿核。
石膏（ ） 防风（去芦） 川羌活（去芦） 甘菊花（去枝梗） 川芎 羚羊角（镑）
当归（酒浸，去芦） 大豆黄卷（炒） 荆芥穗 白芷（各一钱） 炙甘草（半钱）
上作一服，水二盅，好芽茶半钱，煎至一盅，食远服。
犀角散 治妊娠妇人诸风热困倦，时发昏眩。
犀角 楝参 山栀仁 川羌活 黄连 青黛 川芎 吴白芷 茯苓 甘草（炙，各一钱）
上作一服，水二盅，生姜三片，竹叶七叶，煎至一盅，食远服。
【薛己】螈（抽搐，指筋脉拘急收缩）是指筋脉紧急而收缩，掣（抽搐，指筋脉弛缓伸展）是指筋脉舒缓而伸展。一缩一伸，手足相互牵引、抽动不止。大体上与婴儿发生惊风抽搐相似，称为螈掣。此证多属于风邪致病，因为风性主动摇。骆龙吉说：心主血脉，肝主筋脉，心属火，肝属木，火主热，木主风，风与火相互炽盛，就会形成螈掣。治疗方法：如果是因风热所致，用钓藤汤加柴胡、山栀、黄芩、白术，以平抑肝木，清降心火，滋养气血。如果是风痰上涌，加竹沥、南星、半夏。如果是风邪引起的急剧抽搐，加全蝎、僵蚕。如果是气血亏损，用八珍汤加钓藤、山栀为主方。如果无力抽搐，眼球上翻（戴眼），身体向后反折（反折），出汗如珠状，这是肝气绝的表现，都属于不治之症。有一位孕妇四肢不能伸展，服用祛风燥血的药剂后，出现遗尿失禁、痰多，四肢抽搐。我认为是肝火旺且血燥，用八珍汤加炒黑的黄芩为主方，佐以钓藤汤而痊愈。后来因为生气，前面的症状复发，小便下血，寒热往来，睡眠少，饮食减少，用钓藤散加山栀、柴胡而血止。用加味逍遥散，寒热退去而能入睡。用六君子汤加芍药、钓藤钩，饮食增加而逐渐痊愈。
消风散 治疗妊娠期间肝脏热毒上攻太阳穴，胸膈间痰涎壅盛，头晕目眩，或者腮部颈部肿胀有核块。
石膏（用量未标，原文缺） 防风（去除芦头） 川羌活（去除芦头） 甘菊花（去除枝梗） 川芎 羚羊角（镑成薄片） 当归（酒浸，去除芦头） 大豆黄卷（炒） 荆芥穗 白芷（各一钱） 炙甘草（半钱）
以上为一服量，用水两盅，好芽茶半钱，煎至一盅，饭后服用。
犀角散 治疗妊娠妇人各种风热导致的困倦，时常发作昏眩。
犀角 楝参 山栀仁 川羌活 黄连 青黛 川芎 吴白芷 茯苓 甘草（炙，各一钱）
以上为一服量，用水两盅，生姜三片，竹叶七片，煎至一盅，饭后服用。
[Xue Ji] "Yuan" (convulsion, referring to the contraction of tendons and vessels) denotes the emergency and shrinking of tendon vessels, while "Che" (convulsion, referring to the relaxation and extension of tendon vessels) denotes the slackness and stretching of tendon vessels. One contraction and one extension cause the hands and feet to pull and twitch incessantly. Generally, this condition is similar to convulsions in infants, hence it is called Yuan-Che (choreic convulsions). This syndrome mostly belongs to Wind pathogen, as Wind governs trembling and movement. Luo Longji said: The Heart governs the vessels, the Liver governs the tendons; the Heart belongs to Fire, the Liver belongs to Wood; Fire governs Heat, Wood governs Wind. When Wind and Fire blaze together, Yuan-Che occurs. Treatment methods: If caused by Wind-Heat, use Gouteng Tang (Uncaria Decoction) added with Chai Hu (Bupleurum), Shan Zhi (Gardenia), Huang Qin (Scutellaria), and Bai Zhu (Atractylodes) to calm the Liver Wood, descend Heart Fire, and nourish Qi and Blood. If Wind-Phlegm surges upward, add Zhu Li (Bamboo Sap), Nan Xing (Arisaema), and Ban Xia (Pinellia). If acute twitching is caused by Wind pathogen, add Quan Xie (Scorpion) and Jiang Can (Bombyx Batryticatus). If due to deficiency of Qi and Blood, use Bazhen Tang (Eight-Treasure Decoction) added with Gouteng (Uncaria) and Shan Zhi (Gardenia) as the main formula. If there is weak twitching, eyes rolling upward (Dai Yan), body arching backward (Fan Zhe), and sweating like pearls, this indicates the exhaustion of the Liver, and all such cases are incurable. A pregnant woman had limbs that could not extend; after taking agents for dispelling Wind and drying Blood, she suffered from fecal incontinence and excessive phlegm, with limb convulsions. I considered it Liver Fire and dry Blood, so I used Bazhen Tang (Eight-Treasure Decoction) added with stir-fried black Huang Qin (Scutellaria) as the main formula, assisted by Gouteng Tang (Uncaria Decoction), and she recovered. Later, due to anger, the previous symptoms recurred with hematuria, alternating chills and fever, insomnia, and poor appetite. I used Gouteng San (Uncaria Powder) added with Shan Zhi (Gardenia) and Chai Hu (Bupleurum), and the bleeding stopped. I used Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), and the chills/fever subsided and sleep returned. I used Liu Jun Zi Tang (Six-Gentlemen Decoction) added with Shao Yao (Peony) and Gouteng Gou (Uncaria Hook), and her diet improved, leading to gradual recovery.
Gouteng Tang (See section on Restless Fetus). Gouteng San (See section on Vertigo).
Xiao Feng San (Dispel Wind Powder) treats heat-toxin of the Liver attacking the temporal region during pregnancy, with phlegm-fluid retention in the chest and diaphragm, dizziness and blurred vision, or swelling and nodules in the cheeks and neck.
Shi Gao (Gypsum Fibrosum) [dose missing] Fang Feng (Saposhnikoviae Radix) (remove radix end) Chuan Qiang Huo (Notopterygii Rhizoma et Radix) (remove radix end) Gan Ju Hua (Chrysanthemi Flos) (remove stems and pedicels) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Ling Yang Jiao (Saigae Tataricae Cornu) (shaved thin) Dang Gui (Angelicae Sinensis Radix) (soaked in wine, remove radix end) Da Dou Huang Juan (Sojae Semen Praeparatum) (stir-fried) Jing Jie Sui (Schizonepetae Spica) Bai Zhi (Angelicae Dahuricae Radix) (each 1 qian) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (0.5 qian)
Take as one dose. Add two zhong of water and half a qian of good bud tea. Decoct until one zhong remains. Take after meals.
Xi Jiao San (Rhinoceros Horn Powder) treats various wind-heat conditions causing fatigue and frequent vertigo in pregnant women.
Xi Jiao (Rhinocerotis Cornu) Lian Shen (Stemonae Radix) Shan Zhi Ren (Gardeniae Semen) Chuan Qiang Huo (Notopterygii Rhizoma et Radix) Huang Lian (Coptidis Rhizoma) Qing Dai (Indicum) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Wu Bai Zhi (Angelicae Dahuricae Radix) Fu Ling (Poria) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1 qian)
Take as one dose. Add two zhong of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), and seven leaves of Zhu Ye (Bambusae Folium). Decoct until one zhong remains. Take after meals.