汤氏曰∶身软时醒者为痫，身强直反张如弓，不时醒者为痉，痉候，十无一生。
〔汤〕肝风摇头，诸方不载，郑都丞子患七年摇头，三年下血，已服百余方，前
后所服治摇头者，无非风药，止血者，或作痢，或作肠风，百药无效。予既视其病，
又知其详，亦不明其标本，退而思之，乃肝血液盛，外有风热乘之，肝属木，盛而
脾土为木所克，脾与肺是子母，俱为肝所胜，而血遂渍于大便，故便血不止，遂处
一方，但损肝祛风而益脾，初亦一时之见，只数服而愈，十余日后，血止而下白脓，
遂得以安。
清肝益胃丸
犀角屑 甘草（各一分） 栝蒌根 黄 （蜜炙） 羌活 白芍药（冬半两） 蛇蜕皮（炙赤）
钓藤钩 麻黄（去节。各一钱） 防风（五两）
上为末，枣肉丸。食后薄荷汤下。只二服，作效，头摇即止，便血随愈，次间
服胃风汤，数日顿除。沈舍人子服之亦验。
〔薛〕经曰∶诸风掉眩，皆属肝木。木得风则摇动，乃肝经火盛而生虚风也。便
血者，风木摇动，则土受凌疟而不能统血也，或食酸味过多，以益其脾，致令阴结，
经曰∶结阴者便血一升，再结二升，三结三升。又，邪在五脏则阴脉不和，阴脉不
和则血留之。结阴之病，阴气内结，不得外行，渗入肠间，故便血也。血亦有乳母
而摇头不止，后一老医至，于常服药中加入紫河车，实时愈。按∶紫河车，草名，
《神农本经》名早休。《唐本》名金线重楼。《钱氏方》名白甘遂。主治惊痫摇头弄舌，
乃《本经》正文，古人谓遵白字疗病，多效。不虚也。
角弓反张（身体向后强直弯曲如弓状）。在鼻根上方进入发际线三分处，施灸三壮。在大椎穴下方的节间，施灸三壮。
汤氏说：身体柔软且时常清醒的是痫病；身体强直、角弓反张且不能随时清醒的是痉病。患痉病的，十个人中没有能活下来的。
〔汤〕肝风引起的摇头，其他医方中未记载。郑都丞的儿子患摇头病七年，便血三年，已经服用了百余种药方。此前所服用的治疗摇头的药，无非是祛风药；治疗止血的，有的按痢疾治，有的按肠风治，百药无效。我诊视了他的病情，又了解其详细情况，起初也不明白其根本原因，回去后思考，认为是肝血过盛，外有风热侵袭。肝属木，肝气过盛会克制脾土；脾与肺是母子关系，也都受到肝的克制，导致血液渗入大便，所以便血不止。于是开出一个方子，旨在损伤肝气、祛除风邪并补益脾胃。这起初只是一时的见解，只服了几剂就好了。十多天后，血止住了，但排出了白色脓液，随后得以安宁。
清肝益胃丸
犀角屑 甘草（各一分） 栝蒌根 黄芩（蜜炙） 羌活 白芍药（冬季用半两） 蛇蜕皮（炙至赤色）
钩藤 麻黄（去节。各一钱） 防风（五两）
以上药物研为细末，用枣肉制成丸剂。饭后用薄荷汤送服。仅服两剂见效，头摇立即停止，便血随之痊愈。之后间歇服用胃风汤，几天后彻底治愈。沈舍人的儿子服用此方也有效验。
〔薛〕经书说：各种风证引起的震颤眩晕，都属于肝木。木遇到风就会摇动，这是肝经火盛而生虚风所致。便血是因为风木摇动，导致脾土受欺凌而不能统摄血液。或者因为食用过多酸味食物，以助长脾气，导致阴气凝结。经书说：结阴病，便血一升；再次凝结，便血二升；三次凝结，便血三升。另外，邪气在五脏会导致阴脉不和，阴脉不和则血液停滞。结阴的病，是阴气在内凝结，不能向外运行，渗入肠间，所以便血。也有因乳母的原因导致婴儿摇头不止的，后来一位老医生到来，在他常服的药中加入紫河车，立刻痊愈。按：紫河车是一种草药名，《神农本草经》称为重楼（注：此处原文可能有误或特指某品种，通常紫河车为人胎盘，但古籍中有时混称或指代不同，依原文翻译），《唐本草》称为金线重楼，《钱氏方》称为白甘遂。主治惊痫、摇头弄舌，这是《本经》正文内容，古人说遵循“白”字疗法治病，多有效验。并非虚假。
Hyperextension of the body (opisthotonos). Moxibustion, three moxa cones, at a point three fen above the root of the nose entering the hairline. Moxibustion, three moxa cones, in the interspace below the Dazhui (GV14) acupoint.
Mr. Tang stated: If the body is soft and the patient regains consciousness intermittently, it is Epilepsy (Xian); if the body is rigid, hyperextended like a bow, and the patient does not regain consciousness promptly, it is Tetanus (Jing). Among cases of Tetanus, ten out of ten are fatal.
[Tang] Head shaking caused by Liver Wind was not recorded in other medical formulas. The son of Chancellor Zheng suffered from head shaking for seven years and hematochezia for three years. He had already taken over a hundred prescriptions. Previous treatments for head shaking consisted solely of wind-dispelling herbs; treatments for bleeding were either classified as Dysentery or Intestinal Wind. All medicines proved ineffective. Upon examining his condition and understanding the details, I initially did not grasp the root cause. After reflecting, I determined that Liver Blood was excessive, with external Wind-Heat invading. The Liver belongs to Wood; when excessive, it overacts on Spleen Earth. Since the Spleen and Lung share a mother-child relationship, both were subdued by the Liver, causing blood to permeate into the stool, resulting in persistent hematochezia. Therefore, I prescribed a formula aimed at subduing the Liver, dispelling Wind, and tonifying the Spleen. This was initially a tentative insight, but he recovered after only a few doses. More than ten days later, the bleeding stopped, but white pus was discharged, after which he stabilized.
Qinggan Yiwei Wan (Clear the Liver and Benefit the Stomach Pill)
Xijiao Xie (Rhinoceros Horn Shavings), Gancao (Licorice Root) (each 1 fen), Gualougen (Trichosanthes Root), Huangqin (Scutellaria Root) (honey-fried), Qianghuo (Notopterygium Rhizome), Baishao Yao (White Peony Root) (0.5 liang in winter), Shetui Pi (Snake Slough) (fried until red), Gouteng Uncariae Ramulus cum Uncis, Mahuang (Ephedrae Herba) (nodes removed, each 1 qian), Fangfeng (Saposhnikoviae Radix) (5 liang).
Grind all ingredients into powder, form pills using jujube paste. Take after meals with Mint Decoction. Only two doses were needed for efficacy; head shaking ceased immediately, and hematochezia healed subsequently. Intermittently take Weifeng Tang (Stomach Wind Decoction), and within a few days, the disease was completely eradicated. The son of Scholar Shen also showed positive results with this prescription.
[Xue] The Classics state: "All wind syndromes involving tremors and vertigo belong to Liver Wood." Wood shakes when exposed to wind; this indicates deficiency-Wind generated by excessive Fire in the Liver Meridian. Hematochezia occurs because the shaking Wind-Wood harasses Earth, impairing the Spleen's ability to control blood. Alternatively, excessive consumption of sour flavors may strengthen the Spleen Qi, leading to Yin condensation. The Classics state: In Jieyin Syndrome (Condensed Yin Syndrome), one sheng of blood is passed in stool; upon re-condensation, two sheng; upon third condensation, three sheng. Furthermore, pathogenic factors in the Zang organs cause disharmony of the Yin vessels; disharmony of Yin vessels leads to blood stasis. In Jieyin disease, Yin Qi condenses internally and cannot circulate outward, seeping into the intestines, thus causing hematochezia. There are also cases where infants suffer from persistent head shaking due to their wet nurse's condition. Later, an elderly physician added Ziheche (Human Placenta) to the usual medication, resulting in immediate recovery. Note: Ziheche is listed here as a herb name. In *Shennong Bencao Jing*, it is named Chonglou (Paris Polyphylla); in *Tang Bencao*, it is named Jinxian Chonglou; in *Qian's Formulas*, it is named Bai Gansui. It treats convulsions, epilepsy, head shaking, and tongue protrusion. This is recorded in the main text of *Bencao Jing*. The ancients said that following the "Bai" (White) character therapy yields many effective results. This is not false.