羌活防风汤（《保命》） 治破伤风，脉浮弦，初传在表。
羌活 防风 川芎 本 当归 芍药 甘草（各四两） 地榆 细辛（各二两）
上 咀，每服五钱，水二盏，煎八分，热服。量紧慢加减用之。热盛加黄芩、黄连各
二两，大便秘加大黄一两，自汗加防风、白术各半两。
防风汤 治破伤风同伤寒表证，未传入里，急宜服此。
防风 羌活 独活 川芎（各等分）
上 咀，水煎服。后宜调蜈蚣散，大效。
九味羌活汤
羌活 防风 苍术（各一两半） 细辛（五钱） 川芎 白芷 生地黄 黄芩 甘草（各一两）
以上九味， 咀，每服一两，水煎。
蜈蚣散
蜈蚣（一对） 鱼鳔（五钱，炒） 左盘龙（半两，炒烟尽）
上为细末，用防风汤调服。如前药解表不已，觉直转入里，当服左龙丸，服之渐渐
看大便软硬，加巴豆霜。
白术防风汤 若服前药已过，脏腑和，有自汗者，宜服此药。
白术 黄 （各一两） 防风（二两）
上 咀，每服七钱，水二盏，煎一盏，去滓温服。
破伤风，脏腑秘，小便赤，用热药自汗不休，故知无寒也，宜速下之。先用芎黄汤
三二服，后用大芎黄汤下之。
芎黄汤
川芎（一两） 黄芩（六钱） 甘草（炙，二钱）
上为 咀，每服五七钱，水一盏半，同煎至一盏，去渣温服，不拘时候。
大芎黄汤
川芎（五钱） 大黄（生） 黄芩 羌活（去芦，各一两。）
上为 咀，根据前煎服，以利为度。
江鳔丸 治破伤风惊而发搐，脏腑秘涩，知病在里。
江鳔（半两，炒） 野鸽粪（半两，炒） 雄黄（一钱，水飞） 蜈蚣（一对） 天麻（一两） 白僵蚕（半两，炒）
上为细末，分作三分，先用二分，烧饭为丸，如桐子大，朱砂为衣；又用一分，入
巴豆霜一钱同和，亦以烧饭为丸，不用朱砂为衣。每服朱砂为衣丸药二十丸，入巴豆霜
丸药一丸，次服二丸，渐加至利为度，再服朱砂为衣丸药，病愈止。
左龙丸
左盘龙 白僵蚕 鳔（并锉炒。各半两） 雄黄（一钱，水飞研）
上为细末，烧饭为丸，如梧桐子大。每服十五丸，温酒送下。如里证不已，当于左
龙丸药末一半内，加巴豆霜半钱，烧饭为丸，如梧子大，每服一丸，同左龙丸一处合服，名
左龙丹。每服药中加一丸，如此渐加服至十丸，以利为度。若利后更服后药，若搐痉不
已，亦宜服后药羌活汤。
羌活汤 治破伤风，搐闭不通。
羌活（去芦） 独活（去芦） 防风（去芦） 地榆（各一两）
上为 咀，每服一两，水二盏半，煎至一盏，去渣温服。如有热加黄芩，有涎加半
夏。若病日久，气血渐虚，邪气入胃，宜养血为度。
地榆防风散 治半表半里，头微汗，身无汗。
地榆 防风 地丁香 马齿苋（各一两）
上为细末，每服三钱，温米饮调下。
养血地黄当归散 治破伤风，日久渐虚，邪气入内。
当归（去芦） 地黄 芍药 川芎 本（去芦） 防风（去芦） 白芷（各一两） 细辛（去苗，五钱）
上为 咀，每服五钱，水一盏半，煎一盏，温服。
白术黄 汤
白术（二钱） 黄 （三钱） 防风（一钱半）
上水煎，食前服。
白术升麻汤
白术 黄 （各二钱） 干葛（五分） 升麻 黄芩（各一钱） 甘草（五分）
上水煎，食远服。
蠲痉汤
羌活 独活 防风 地榆（各一钱） 杏仁（七枚，去皮捣碎，蒸令熟，研成膏）
上前四味，以水一盏，煎七分，入杏仁和匀服之。兼以搽疮上，瘥。
朱砂指甲散
人手足指甲（炒烟起，六钱） 独活 朱砂（另研） 天南星（姜制。各二钱）
上制度为细末，分作三服，酒调下。
玉真散
南星 防风（各等分）
上为末，生姜汁调服，伤处以此贴之。
羌活防风汤（出自《保命集》）：治疗破伤风，脉象浮弦，病邪初传在表。
药材：羌活、防风、川芎、藁本、当归、芍药、甘草（各四两）；地榆、细辛（各二两）。
制法与用法：将药材切碎，每次服用五钱，加水两盏，煎至八分满，热服。根据病情轻重加减用量。若热势盛，加黄芩、黄连各二两；大便秘结，加大黄一两；自汗出，加防风、白术各半两。
防风汤：治疗破伤风症状同伤寒表证，病邪未传入里，急需服用此方。
药材：防风、羌活、独活、川芎（各等分）。
制法与用法：将药材切碎，水煎服。之后宜调服蜈蚣散，效果显著。
九味羌活汤
药材：羌活、防风、苍术（各一两半）；细辛（五钱）；川芎、白芷、生地黄、黄芩、甘草（各一两）。
制法与用法：以上九味药，切碎，每次服用一两，水煎服。
蜈蚣散
药材：蜈蚣（一对）；鱼鳔（五钱，炒）；左盘龙（半两，炒至烟尽）。
制法与用法：研为细末，用防风汤调服。如果前述解表药无效，感觉病邪直转入里，应当服用左龙丸，服药后逐渐观察大便软硬程度，酌情加入巴豆霜。
白术防风汤：如果服用前药后脏腑调和，仍有自汗者，适宜服用此药。
药材：白术、黄芪（各一两）；防风（二两）。
制法与用法：将药材切碎，每次服用七钱，加水两盏，煎至一盏，去渣温服。
破伤风患者，若脏腑秘结，小便赤涩，使用热药后自汗不止，可知体内无寒邪，应当迅速攻下。先用芎黄汤二三服，后用大芎黄汤攻下。
芎黄汤
药材：川芎（一两）；黄芩（六钱）；甘草（炙，二钱）。
制法与用法：将药材切碎，每次服用五至七钱，加水一盏半，同煎至一盏，去渣温服，不拘时间。
大芎黄汤
药材：川芎（五钱）；大黄（生用）；黄芩；羌活（去芦，各一两）。
制法与用法：将药材切碎，按照前述方法煎服，以大便通利为度。
江鳔丸：治疗破伤风惊悸抽搐，脏腑秘涩，知病邪在里。
药材：江鳔（半两，炒）；野鸽粪（半两，炒）；雄黄（一钱，水飞法处理）；蜈蚣（一对）；天麻（一两）；白僵蚕（半两，炒）。
制法与用法：研为细末，分为三份。先用两份，用米饭制成丸药，如梧桐子大，朱砂为衣；再用一份，加入巴豆霜一钱混合，也用米饭制成丸药，不用朱砂为衣。每次服用朱砂为衣的丸药二十丸，配合巴豆霜丸药一丸，第二次服用两丸，逐渐增加至大便通利为度，然后再服用朱砂为衣的丸药，病愈即止。
左龙丸
药材：左盘龙、白僵蚕、鱼鳔（均切碎炒制，各半两）；雄黄（一钱，水飞研细）。
制法与用法：研为细末，用米饭制成丸药，如梧桐子大。每次服用十五丸，温酒送下。如果里证未除，应当在左龙丸药末的一半中，加入巴豆霜半钱，用米饭制成丸药，如梧桐子大，每次服用一丸，与左龙丸一同服用，名为左龙丹。每服药中增加一丸，如此逐渐增加至十丸，以大便通利为度。如果通便后仍服药，若抽搐痉挛不止，也适宜服用后方的羌活汤。
羌活汤：治疗破伤风，抽搐闭塞不通。
药材：羌活（去芦）、独活（去芦）、防风（去芦）、地榆（各一两）。
制法与用法：将药材切碎，每次服用一两，加水二盏半，煎至一盏，去渣温服。如有热象加黄芩，有痰涎加半夏。若病程日久，气血渐虚，邪气入胃，适宜以养血为度。
地榆防风散：治疗病在半表半里，头部微汗，身体无汗。
药材：地榆、防风、地丁香、马齿苋（各一两）。
制法与用法：研为细末，每次服用三钱，用温米饮调下。
养血地黄当归散：治疗破伤风，日久渐虚，邪气入内。
药材：当归（去芦）、地黄、芍药、川芎、藁本（去芦）、防风（去芦）、白芷（各一两）；细辛（去苗，五钱）。
制法与用法：将药材切碎，每次服用五钱，加水一盏半，煎至一盏，温服。
白术黄芪汤
药材：白术（二钱）；黄芪（三钱）；防风（一钱半）。
制法与用法：水煎，饭前服用。
白术升麻汤
药材：白术、黄芪（各二钱）；干葛（五分）；升麻、黄芩（各一钱）；甘草（五分）。
制法与用法：水煎，饭后较久服用。
蠲痉汤
药材：羌活、独活、防风、地榆（各一钱）；杏仁（七枚，去皮捣碎，蒸熟，研成膏）。
制法与用法：前四味药，加水一盏，煎至七分，加入杏仁膏混合均匀服用。兼以此药搽于疮口，可痊愈。
朱砂指甲散
药材：人手足指甲（炒至冒烟，六钱）；独活、朱砂（另研）；天南星（姜制，各二钱）。
制法与用法：按上述方法制成细末，分为三次服用，酒调下。
Qianghuo Fangfeng Tang (Cnidium and Saposhnikovia Decoction) (from *Baoming Ji*): Treats tetanus with a floating and wiry pulse, where the pathogen is initially transmitted to the exterior.
Herbs: Qianghuo (*Notopterygii Rhizoma et Radix*), Fangfeng (*Saposhnikoviae Radix*), Chuanxiong (*Ligustici Chuanxiong Rhizoma*), Gaoben (*Ligustici Rhizoma*, also known as Bencao), Danggui (*Angelicae Sinensis Radix*), Shaoyao (*Paeoniae Radix*), Gancao (*Glycyrrhizae Radix*) (each 4 liang); Diyu (*Sanguisorbae Radix*), Xixin (*Asari Radix et Rhizoma*) (each 2 liang).
Preparation and Administration: Cut the herbs into small pieces. Take 5 qian per dose, add 2 zhan of water, decoct until reduced to 8 fen, and take hot. Adjust dosage according to the severity of the condition. If heat is excessive, add Huangqin (*Scutellariae Radix*) and Huanglian (*Coptidis Rhizoma*) each 2 liang; if constipation occurs, add Dahuang (*Rhei Radix et Rhizoma*) 1 liang; if spontaneous sweating occurs, add Fangfeng (*Saposhnikoviae Radix*) and Baizhu (*Atractylodis Macrocephalae Rhizoma*) each half liang.
Fangfeng Tang (Saposhnikovia Decoction): Treats tetanus presenting with exterior syndrome symptoms similar to cold damage, where the pathogen has not yet transmitted inward. It should be taken urgently.
Herbs: Fangfeng (*Saposhnikoviae Radix*), Qianghuo (*Notopterygii Rhizoma et Radix*), Duhuo (*Angelicae Pubescentis Radix*), Chuanxiong (*Ligustici Chuanxiong Rhizoma*) (equal parts).
Preparation and Administration: Cut the herbs into small pieces, decoct in water, and take orally. Subsequently, it is advisable to administer Wugong San (Centipede Powder) for significant efficacy.
Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction)
Herbs: Qianghuo (*Notopterygii Rhizoma et Radix*), Fangfeng (*Saposhnikoviae Radix*), Cangzhu (*Atractylodis Rhizoma*) (each 1.5 liang); Xixin (*Asari Radix et Rhizoma*) (5 qian); Chuanxiong (*Ligustici Chuanxiong Rhizoma*), Baizhi (*Angelicae Dahuricae Radix*), Sheng Dihuang (*Rehmanniae Radix Recens*), Huangqin (*Scutellariae Radix*), Gancao (*Glycyrrhizae Radix*) (each 1 liang).
Preparation and Administration: The above nine herbs are cut into small pieces. Take 1 liang per dose, decoct in water, and take orally.
Wugong San (Centipede Powder)
Herbs: Wugong (*Scolopendra*), Yubiao (*Nudibranchii Testudo Corium*, fried); Zuolongpan (*Eupolyphaga Steleophaga*, fried until smoke ceases) (half liang).
Preparation and Administration: Grind into fine powder. Mix with Fangfeng Tang (*Saposhnikoviae Decoction*) and take orally. If previous exterior-resolving medicines fail and the pathogen appears to transmit directly inward, Zuilong Wan (Left Dragon Pill) should be taken. Observe the softness or hardness of the stool gradually after administration, and add Badoushuang (Croton Seed Frost) as needed.
Baizhu Fangfeng Tang (Atractylodes Macrocephala and Saposhnikovia Decoction): If, after taking previous medicines, the internal organs harmonize but spontaneous sweating persists, this medicine is suitable.
Herbs: Baizhu (*Atractylodis Macrocephalae Rhizoma*), Huangqi (*Astragali Radix*) (each 1 liang); Fangfeng (*Saposhnikoviae Radix*) (2 liang).
Preparation and Administration: Cut the herbs into small pieces. Take 7 qian per dose, add 2 zhan of water, decoct until reduced to 1 zhan, remove dregs, and take warm.
In cases of tetanus where the internal organs are constipated, urine is red and scanty, and spontaneous sweating persists despite the use of warming medicines, it indicates the absence of cold pathogens. Rapid purgation is indicated. First, take Xionghuang Tang (Chuanxiong and Scutellaria Decoction) two or three doses, then follow with Da Xionghuang Tang (Major Chuanxiong and Scutellaria Decoction) for purgation.
Xionghuang Tang (Chuanxiong and Scutellaria Decoction)
Herbs: Chuanxiong (*Ligustici Chuanxiong Rhizoma*) (1 liang); Huangqin (*Scutellariae Radix*) (6 qian); Gancao (*Glycyrrhizae Radix*, honey-fried) (2 qian).
Preparation and Administration: Cut the herbs into small pieces. Take 5–7 qian per dose, add 1.5 zhan of water, decoct together until reduced to 1 zhan, remove dregs, and take warm at any time.
Da Xionghuang Tang (Major Chuanxiong and Scutellaria Decoction)
Herbs: Chuanxiong (*Ligustici Chuanxiong Rhizoma*) (5 qian); Dahuang (*Rhei Radix et Rhizoma*, raw); Huangqin (*Scutellariae Radix*); Qianghuo (*Notopterygii Rhizoma et Radix*, remove rhizome stubs) (each 1 liang).
Preparation and Administration: Cut the herbs into small pieces. Decoct and take according to the previous method, stopping when bowel movement becomes loose.
Jiangbiao Wan (Fish Bladder Pill): Treats tetanus with fright and convulsions, internal organ constipation, indicating the pathogen is in the interior.
Herbs: Jiangbiao (*Hydrophilus Platurus Testudo Corium*, fried); Yegefen (Wild Pigeon Droppings, fried) (each half liang); Xionghuang (Realgar, processed by water flotation) (1 qian); Wugong (*Scolopendra*) (one pair); Tianma (*Gastrodiae Rhizoma*) (1 liang); Baijiangcan (*Bombyx Batryticatus*, fried) (half liang).
Preparation and Administration: Grind into fine powder and divide into three portions. Use two portions first, mix with cooked rice to form pills the size of paulownia seeds, and coat with Zhusha (Cinnabar). Use the remaining one portion, mix with 1 qian of Badoushuang (Croton Seed Frost), form pills with cooked rice without Cinnabar coating. Take 20 pills coated with Cinnabar and 1 pill containing Croton Seed Frost per dose. Increase the number of Croton Seed Frost pills gradually until bowel movement occurs, then resume taking only the Cinnabar-coated pills until recovery.
Zuilong Wan (Left Dragon Pill)
Herbs: Zuolongpan (*Eupolyphaga Steleophaga*), Baijiangcan (*Bombyx Batryticatus*), Biao (Fish Bladder) (all cut and fried, half liang each); Xionghuang (Realgar, processed by water flotation and ground) (1 qian).
Preparation and Administration: Grind into fine powder, mix with cooked rice to form pills the size of paulownia seeds. Take 15 pills per dose, delivered with warm wine. If interior syndromes persist, add half a qian of Badoushuang (Croton Seed Frost) to half of the Zuilong Wan powder, form pills the size of paulownia seeds with cooked rice, take one pill per dose together with Zuilong Wan, named Zuolong Dan (Left Dragon Elixir). Gradually increase the number of added pills up to ten per dose, stopping when bowel movement occurs. If diarrhea continues after purgation, or if convulsions and spasms persist, the subsequent Qianghuo Tang (*Notopterygium Decoction*) is also suitable.
Qianghuo Tang (Notopterygium Decoction): Treats tetanus with convulsions and blockage.
Herbs: Qianghuo (*Notopterygii Rhizoma et Radix*, remove rhizome stubs), Duhuo (*Angelicae Pubescentis Radix*, remove rhizome stubs), Fangfeng (*Saposhnikoviae Radix*, remove rhizome stubs), Diyu (*Sanguisorbae Radix*) (each 1 liang).
Preparation and Administration: Cut the herbs into small pieces. Take 1 liang per dose, add 2.5 zhan of water, decoct until reduced to 1 zhan, remove dregs, and take warm. Add Huangqin (*Scutellariae Radix*) if there is heat, or Banxia (*Pinelliae Rhizoma*) if there is phlegm-saliva. If the disease duration is long and qi and blood are gradually deficient, with pathogenic factors entering the stomach, nourishing blood is appropriate.
Diyu Fangfeng San (Sanguisorba and Saposhnikovia Powder): Treats conditions at the half-exterior half-interior level, with slight sweating on the head and no sweating on the body.
Herbs: Diyu (*Sanguisorbae Radix*), Fangfeng (*Saposhnikoviae Radix*), Didingxiang (*Peucedani Radix*), Machixian (*Portulacae Herba*) (each 1 liang).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose, mixed with warm rice drink.
Yangxue Dihuang Danggui San (Blood-Nourishing Rehmannia and Angelica Powder): Treats tetanus that has persisted for a long time, leading to gradual deficiency, with pathogenic factors entering the interior.
Herbs: Danggui (*Angelicae Sinensis Radix*, remove rhizome stubs), Dihuang (*Rehmanniae Radix*), Shaoyao (*Paeoniae Radix*), Chuanxiong (*Ligustici Chuanxiong Rhizoma*), Gaoben (*Ligustici Rhizoma*, remove rhizome stubs), Fangfeng (*Saposhnikoviae Radix*, remove rhizome stubs), Baizhi (*Angelicae Dahuricae Radix*) (each 1 liang); Xixin (*Asari Radix et Rhizoma*, remove seedlings) (5 qian).
Preparation and Administration: Cut the herbs into small pieces. Take 5 qian per dose, add 1.5 zhan of water, decoct until reduced to 1 zhan, and take warm.
Baizhu Huangqi Tang (Atractylodes Macrocephala and Astragalus Decoction)
Herbs: Baizhu (*Atractylodis Macrocephalae Rhizoma*) (2 qian); Huangqi (*Astragali Radix*) (3 qian); Fangfeng (*Saposhnikoviae Radix*) (1.5 qian).
Preparation and Administration: Decoct in water, take before meals.
Baizhu Shengma Tang (Atractylodes Macrocephala and Cimicifuga Decoction)
Herbs: Baizhu (*Atractylodis Macrocephalae Rhizoma*), Huangqi (*Astragali Radix*) (each 2 qian); Gange (Kudzu Root, dried) (5 fen); Shengma (*Cimicifugae Rhizoma*), Huangqin (*Scutellariae Radix*) (each 1 qian); Gancao (*Glycyrrhizae Radix*) (5 fen).
Preparation and Administration: Decoct in water, take well after meals.
Juanjing Tang (Spasm-Relieving Decoction)
Herbs: Qianghuo (*Notopterygii Rhizoma et Radix*), Duhuo (*Angelicae Pubescentis Radix*), Fangfeng (*Saposhnikoviae Radix*), Diyu (*Sanguisorbae Radix*) (each 1 qian); Xingren (Apricot Kernel, 7 pieces, skin removed, crushed, steamed until cooked, ground into paste).
Preparation and Administration: Decoct the first four herbs in 1 zhan of water until reduced to 7 fen. Mix with the Xingren paste and take. Apply externally to the wound for healing.
Zhusha Zhijia San (Cinnabar and Nail Powder)
Herbs: Human fingernails and toenails (fried until smoking, 6 qian); Duhuo (*Angelicae Pubescentis Radix*), Zhusha (Cinnabar, separately ground); Tiannanxing (*Arisaematis Rhizoma*, ginger-processed) (each 2 qian).
Preparation and Administration: Process according to the above methods into fine powder. Divide into three doses, taken with wine.
Yuzhen San (Jade Truth Powder)
Herbs: Tiannanxing (*Arisaematis Rhizoma*), Fangfeng (*Saposhnikoviae Radix*) (equal parts).
Preparation and Administration: Grind into powder. Mix with fresh ginger juice and take orally. Apply to the wound site.