感湿热之气，忽又伤风，口噤不能言，项背KT KT ，脚手挛急，角弓反张，人
以为太阳之伤寒也，谁知是太阳之痉病乎。夫痉病亦有三阳三阴之殊，亦能传经，
与伤寒之症无异，但伤寒单伤于风，而痉病则合湿热而成之也。似乎治伤寒可单治
风而无难，痉病宜兼治湿热而不易也。谁知邪之所凑，其气必虚，一邪相犯已是正
气之亏，况三邪之同犯乎。补正以祛邪，治痉无难速愈。或谓一邪相犯，尚须祛邪
为先，三邪并犯，则邪气弥漫，非用祛邪之药，安能济哉？不知一邪之犯，其力专；
众邪之犯，其势散。力专者宜攻，势散者可补。于补之中，而行其攻之法，何不济
之有。无如其症同于伤寒，不可骤用补也，所以杀人。苟知可补之法，分症以治之，
实易易也。如此症见太阳之征，不可径治太阳之邪，宜补太阳之正，太阳之正气旺，
而风湿热之邪不必攻而自散矣。方用五苓散加减治之。
白术（一两） 茯苓（一两） 泽泻（三钱） 猪苓（一钱） 羌活（五分） 桂枝（三分）
水煎服。一剂而角弓反张之疾定，二剂而口不噤，脚手不挛急也，三剂诸症尽痊。
五苓散专利膀胱之水。三邪之中，至难去者湿耳。先利其湿，则火随水泄，而
风邪无党矣。故少用羌活、桂枝以祛风，则风自易解。况五苓散亦非单利湿之药也，
其白术、茯苓原能健脾生胃，今多加为君，则补重而利轻，所以能健功之速。倘少
少用之，则攻多于补，反无益矣。
此症用桂苓薏羌汤亦效。
茯苓（一两） 羌活（二钱） 薏仁（一两） 桂枝（三分） 水煎服。
感湿热之气，又感风邪，颈项强直，一目或左右视，手足搐搦，人以为少阳之
伤寒也，谁知是少阳之痉病乎。夫少阳居于半表半里之间，其势将欲入肝也，而尚
留于阳明，故三邪同感，目所以左右视，亦现证于二者之间耳。手足搐搦者，风性
动而湿性静，两相违背，风欲动而湿挽之；湿欲静而风激之，热邪又从中冲击，此
搐搦之所以起也。搐搦不已，又风引而上行，于是颈项不利，而湿气留中，遂至强
直不摇矣。治法必须和少阳之正气，少用散邪之品，易于解纷也。方用小柴胡加减治之。
柴胡（二钱） 白芍（五钱） 当归（三钱） 茯苓（五钱） 黄芩（一钱） 甘草（一钱）
水煎服。一剂病减，再剂病全愈。
小柴胡汤和少阳之圣药也。今又加入白芍、当归以补其肝中之气，使肝旺而邪不敢遁于肝。
加茯苓五钱以健胃而利湿，则邪不敢回于胃。茯苓且同柴胡以祛风热，引之而共入于膀胱，
尤易下走，此又法之至神者也。
此症用龙车散亦效。
柴胡 甘草（各一钱） 白芍 茯苓（各五钱） 车前子（三钱） 龙胆草（五分） 水煎服。
感湿热之气，复感风邪，手足牵引，肉 胸胀，低头视下，肘膝相构，人以为
阳明之伤寒也，谁知是阳明之痉症乎。夫阳明胃土也，风入于胃，必变为热。况原
感热气，则热以济热，宜至发汗亡阳，何肉 胸胀而不发狂，手足牵引而不出汗？
反低头视下，无登高而呼之症，肘膝相构，无弃衣而走之 ，正以湿邪混之也。盖
阳明之火，最恶者燥耳。今有湿气在胃，虽侮胃中之土，亦益胃中之燥，即发汗而
不至亡阳发狂之祸也。若妄用风药以散其表，必至汗出而不可止。仲景张夫子曾用
大承气汤以下其邪，然而脾旺者，尚不致损伤脾气，否则下之亡阴，恐有意外之虞
也。然则风湿热既同入于胃中，则治法不可不治胃，而又不可伤胃也。方用全阴救
胃汤∶
玄参（五钱） 茯苓（五钱） 桃仁（一钱） 葛根（一钱） 人参（一钱） 麦冬（五钱）
水煎服。一剂病半痊，二剂病全愈。
方中资胃中之阴，而不损其胃中之气。玄参去热，葛根去风，茯苓去湿，三邪
皆去，而又得人参以生胃，麦冬以生肺，则桃仁不亦可以已乎。不知桃仁最动之味，
三邪并入于胃中，而补药多于攻药，则邪得补，而反流连不去，加入桃仁性急之物，
补既不滞，而攻亦不缓，始能相济以有成也。
此症用二苓槐膏汤亦妙。
石膏 猪苓 槐米（各三钱） 茯苓（五钱） 防己（五分） 黄芩（一钱） 水煎服。
感湿热之气，复感风邪，发热腹痛，肌肉颤动，四肢坚急，人以为太阴之伤
寒也，谁知是太阴之痉症乎。太阴者，脾经也，脾土湿土也。湿土何堪湿邪之再犯
乎？湿入于脾，最难分消。湿邪去而湿之根尚在，一再感湿，仍如前湿之病矣。况
加热以发其炎蒸，加风以生其波浪，自然中州反乱，而四境骚然，坚急之势成，颤
动之形兆，倘用安土之品，则土旺而水无泛滥之虞，水干而土无郁勃之气，风即欲
作祟，而平成既奏，亦可以解愠矣。无如世人动辄言下，讵识下多亡阴，无阴以灌
注于五脏七腑、胸腹手足，何所资以为养哉。势必坚急颤动，有亡阴而死者矣。方
用安土散∶
白术（一两） 茯苓（五钱） 车前子（三钱） 薏仁（五钱） 赤小豆（一钱）
通草（一钱） 柴胡（五分） 石斛（三钱） 水煎服。
此方以利水之药为君，仍是健脾之药。盖土旺自能制水，况又有利之者乎。此
症原是湿邪之难治，单去攻湿，而风与热邪自易吹散，所谓攻邪必攻其坚也。譬如
大敌在前，满山遍野俱是贼党，倘止从偏旁掠阵，则贼且全营俱来死斗，反至败衄，
不若竟攻中坚，突围直入，捣擒巨魁，则余氛不战而自遁。痉病之重治湿邪，亦正
此意，可借敌而作鉴也。
此症用薏术定痉汤亦效。
白术（一两） 薏仁 芡实（各五钱） 柴胡 知母 甘草 天花粉（各一钱） 神曲（二钱）
水煎服。
感湿热又且感风，遂成痫 ，身蜷足弯，不能俯仰，人以为少阴之伤寒也，谁
知是少阴之痉病乎。夫少阴者，足少阴肾也。肾宜热不宜寒，宜湿不宜燥，何以痉
病有湿有热，反成痫 蜷弯不能俯仰之症耶？不知肾最恶风，而喜热者，喜真火之
生，非喜邪火之克也，喜真水之养，非喜邪水之伤也。盖邪火助燥，邪水增湿耳。
既有二邪入于肾中，又益之以风，安能无痫 蜷弯不能俯仰之苦哉？然其治法仍须
治湿热，少佐以祛风为得也。方用助肾辟邪丹∶
茯苓（五钱） 薏仁（五钱） 防己（一钱） 草（一钱） 玄参（三钱） 水煎服。
此方用防己以治肾中之风，用薏仁、茯苓以去肾中之湿，用玄参、 草以治
肾中之热。是风热湿三者均治，何病之不可去哉。夫肾宜补而不宜泻，今去风、去
湿、去热，得非泻肾之药乎？然而薏仁、茯苓虽利湿而不损其阴，防己虽去风而不
伤其气，玄参、 虽去火而不灭其光，非泻肾而仍是补肾，若单泻而不补则误矣。
此症用散痉汤亦佳。
防己（一钱） 白术（一两） 泽泻 草 炒黑荆芥（各二钱） 薏仁（三钱） 水煎服。
感湿热又感风邪，厥逆下利，舌卷囊缩，背曲肩垂，项似拔，腰似折，手足俱
冷，其腹胀大，人以为厥阴之伤寒也，谁知是厥阴之痉症乎。夫风湿热三合而成痉。
邪传入厥阴，乃入肝木之经也，其势更急。世人误发其汗，必致动湿。湿虽阴类，
然是外受之阴邪，非肝中之真血也。所动之阳，奔入湿中，为湿所没，必至亡阳。
盖脱出之阳，不啻如龙之出谷，其体轻矫，飞腾而不可止遏。今为湿所滞留，则如
蛇行匍匐，尽力奔越，究难飞去，故此等痉病，皆误汗而成之也。治法又不可拘于
散邪，仍须补正。惟救其亡阳，而亟使其回阳耳。虽然阳之所以亡者，终由于阴虚之不
能摄阳，故补阳必须补阴。而补厥阴之阴，仍从少阴肾经以补之也。方用回阴散痉汤∶
巴戟天（五钱） 茯苓（一两） 山药（五钱） 防风（五分） 炒栀子（一钱） 白芍（五钱）
当归（三钱） 白术（一两） 甘草（一钱） 水煎服。
此方补肝经之血，而佐之去湿、去火、去风之味，自是正治之法。而又补肾中
之火，益之巴戟天何居？正补少阴之谓也。第厥阴之木，非少阴之水不生，何必
补肾中之火？讵知汗发亡阳，阳气尽从外泄，肾中已无真火，单用寒凉以祛热，则
脾胃不胜其寒矣。巴戟天温肾不至大热，肾温而阳回，肝清而阴足，阴阳和合，内
之正气既固，风热湿之外邪不必攻而自破，况原有攻之者乎。此有益无损之治法，
又何患厥阴痉症之无传久哉。
此症用黄白茵陈汤亦效。
白芍 茯苓（各一两） 猪苓（三钱） 茵陈（一钱） 白术（五钱） 甘草（一钱） 黄连
半夏（各五分） 水煎服。
小儿头摇手劲，眼目上视，身体发颤，或吐而不泻，或泻而不吐，人以为惊风
之抽掣也，谁知是风热湿三者合之以成痉乎。小儿纯阳，原不宜虚。然而多食瓜果，
湿留于胃，湿久则变热，热极则生风，此风起于内，而不来于外也。人见小儿头摇
手劲等症，毋论其虚实，投以抱龙丸，不效改用牛黄丸，又不效乃用金石、脑麝香
窜之药，以开其窍而镇其惊，无不立亡。嗟嗟！惊风二字，自创立以来，杀小儿
者不啻数百万矣，并无有一医辟其非者。南昌喻嘉言颇知其失，大声告诫。无如传
世既久，一时不可转移，且嘉言有论无方，世亦不识治法。铎闻师言甚悉，因畅论
之，而且传其方也。小儿之易于成痉者，因其骨脆皮薄，不耐风邪，故邪一入腠理，便入脏腑，况其饮食，喜寒而不喜
热，以致损伤脾胃，而成吐泻之症。上吐下泻，则阴阳两亏，平日所受之湿尽行越出。湿出而热留脏腑之中，无阴相养，
遂变成风象以惑人，人亦即为其所惑。但治风而不治正，所以十人十死也。故见此等之症，断不可祛风，一作风治，去
生便远。盖其身中实实无风，无风而妄用风药，以倍耗其损伤之气，安得不速其死哉。治法惟补其脾胃，而止其吐泻，
则十人十生也。方用救儿回生汤∶
人参（二钱） 白术（三钱） 茯苓（一钱） 砂仁（三粒） 炒黑干姜（五分） 山楂（五粒） 萝卜子（五分）
车
前子（一钱） 浓朴（三分） 神曲（三分） 半夏（五分）水煎服。
此方以十岁为准，五岁者减半。一剂即吐泻止，二剂即抽掣定，三剂即全愈。此方补中有利，调和于脾胃之内，则
阴阳有既济之欢，自然无变动之害矣。或曰补之是矣，少加去风散热之药，未为不可。夫热当夏令，或可少加黄连数分，
以解其暑，若值冬令更当增入辛热之品。盖小儿吐泻之后，热必变寒，况加时令之严寒乎，断不可用寒凉也。至于风药，
毋论四时俱不可乱增。万不得已，少加柴胡二、三分可也。
此症用加味六君汤∶
人参（八分） 白术（三钱） 茯苓（二钱） 甘草 半夏（各三分） 陈皮 黄连（各二分） 神曲
麦芽 防风（各五分） 水煎服。
小儿吐泻之后，口噤不出声，手脚挛急，人以为惊风之搐搦也，谁知是脾胃寒
虚之痉病乎。小儿纯阳，先天肾气原自完固，无如后天之断丧也。人生后天，以脾
胃为主。小儿喜餐生冷，伤其后天，而先天亦损，自然变症纷纭。吐泻之后，无津
液以润肠胃，更有何气以运动四肢乎？此手足弯急、搐搦之所以现也。脾胃亏损，
肝木必来相侮，脾胃又无津液以供给肝木之取资，则肝木大燥，燥极生火，火极生
风，又其常也。肺金见肝木之克脾胃也，欲出其清肃之令，制肝以报土母之仇，无
奈脾胃为肝所伤，则土弱而金不能强，力难制肝，反为肝之所凌。而肺金畏肝中之
风火，惟恐逼干肺气，自顾不遑，何能救母，故不敢出声也。然则治法可不急治肝，
以救脾胃之亏乎。方用活儿汤∶
白芍（三钱） 茯苓（五钱） 人参（二钱） 白术（三钱） 栀子（五分） 麦芽（五分）
枳壳（三分） 半夏（五分） 甘草（一分） 神曲（五分） 水煎服。一剂弯急搐搦之症止，二剂
口噤之声出，三剂
全愈。
此方平肝之气以扶其脾胃之土。脾胃之气生，而肺气自旺，足以制肝，何风火
之不息哉。或谓肺弱不能制肝，自宜补肺。不知用补肺之药，必用润剂，不又助脾
胃之湿乎。痉病正苦湿也，方中用茯苓之多正去其湿，而反可用湿乎？故不若平肝
以安肺，不可润肺以害脾胃耳。
此症用四君汤亦可效。
人参（一钱） 茯苓（二钱） 白术（三钱） 甘草 肉桂（各二分） 神曲 柴胡（各三分）
水煎服。
小儿偶感风邪，发热身颤，手背反张，人以为惊风之角弓反张也，谁知是痉病
中之寒邪乎。小儿气血未旺，不耐伤寒壮热，故一时昏沉，非因风而动惊也。故治
小儿之伤寒，断不可与大人一例同治，动用风药以祛风。盖因虚入风，治其虚则风
自外出。况止犯寒而不犯风，是原无风也，何可祛风哉。倘轻施祛风之药，则风门
大开，内既无风可散，势必损伤正气，致营卫无所蔽，而腠理不密，且句引外风
深入五内，遂成不可救之症矣。治法补其正气，而少加散邪之味，寒既易解，脏腑
感于湿热之气，又突然感受风邪，导致牙关紧闭不能说话，颈项背部僵硬不舒，手脚痉挛拘急，身体向后弯曲如弓状（角弓反张），人们以为是太阳经受风寒的伤寒病，谁知道这是太阳经的痉病呢。痉病也有三阳和三阴的区别，也能发生传变，症状与伤寒无异，但伤寒只是单纯感受风邪，而痉病则是风、湿、热三种邪气结合而成的。看起来治疗伤寒只需单治风邪就没有困难，治疗痉病则需兼顾祛除湿热而不那么容易。哪里知道邪气聚集的地方，正气必定虚弱，一种邪气侵犯已经是正气的亏损，何况三种邪气同时侵犯呢。通过补益正气来祛除邪气，治疗痉病不难迅速痊愈。有人问：一种邪气侵犯，尚且需要以祛邪为先，三种邪气同时侵犯，则邪气弥漫，不用祛邪的药物，怎么能救治呢？不知道一种邪气侵犯，其力量专一；多种邪气侵犯，其势力分散。力量专一的适宜攻伐，势力分散的可以补益。在补益之中，运用攻邪的方法，为什么不能见效呢？无奈这种病症表现与伤寒相同，不可以骤然使用补法，所以导致死亡。如果懂得可以补益的方法，分症候进行治疗，实在是非常容易的。像这种病症见到太阳经的症状，不可以直接治疗太阳经的邪气，应当补益太阳经的正气，太阳经的正气旺盛，那么风、湿、热邪气不必攻伐而自然消散了。方剂用五苓散加减治疗。
白术（一两） 茯苓（一两） 泽泻（三钱） 猪苓（一钱） 羌活（五分） 桂枝（三分）
水煎服。服用一剂后角弓反张的病定住，两剂后口不再紧闭，手脚不再痉挛拘急，三剂后各种症状全部痊愈。
五苓散专门通利膀胱的水湿。三种邪气中，最难去除的是湿邪。先利去湿气，那么火邪随水液泄出，风邪也就失去了党羽。所以少用羌活、桂枝来祛风，风邪自然容易解除。况且五苓散也不是单纯利湿的药物，其中的白术、茯苓原本就能健脾生胃，现在多加作为君药，则补益的力量重而利湿的力量轻，所以能迅速发挥健运的功效。如果少量使用，则攻伐多于补益，反而没有益处了。
这种病症用桂苓薏羌汤也有效。
茯苓（一两） 羌活（二钱） 薏苡仁（一两） 桂枝（三分）
水煎服。
感于湿热之气，又感受风邪，颈项强直，眼睛有时向左右看，手足抽搐，人们以为是少阳经受风寒的伤寒病，谁知道这是少阳经的痉病呢。少阳经居于半表半里之间，其病势将要传入肝脏， yet 还停留在阳明经，所以三种邪气同时感受，眼睛之所以左右看，也是现证在太阳和阳明二者之间的缘故。手足抽搐的原因，是风性主动而湿性主静，两者相互违背，风想要动而被湿牵制；湿想要静而被风激发，热邪又在中间冲击，这就是抽搐的原因。抽搐不止，风邪又引动向上行，于是颈项不利，而湿气留在体内，遂至强直不摇。治疗方法必须调和少阳经的正气，少用发散邪气的药物，容易解决纷乱。方剂用小柴胡汤加减治疗。
柴胡（二钱） 白芍（五钱） 当归（三钱） 茯苓（五钱） 黄芩（一钱） 甘草（一钱）
水煎服。服用一剂病减，再服一剂病全愈。
小柴胡汤是和解少阳经的圣药。现在又加入白芍、当归来补益肝中的气，使肝气旺盛而邪气不敢遁入肝中。加茯苓五钱来健胃而利湿，则邪气不敢回流于胃。茯苓并且同柴胡一起祛风热，引导它们共同进入膀胱，尤其容易向下走，这又是用药方法的精妙之处。
这种病症用龙车散也有效。
柴胡 甘草（各一钱） 白芍 茯苓（各五钱） 车前子（三钱） 龙胆草（五分）
水煎服。
感于湿热之气，又感受风邪，手足牵引，肌肉跳动，胸部胀满，低头视下，肘膝相靠，人们以为是阳明经受风寒的伤寒病，谁知道这是阳明经的痉症呢。阳明属胃土，风邪入于胃，必然变为热。况且原本就感受热气，则热助热，应该发展到发汗亡阳的地步，为什么肌肉跳动、胸部胀满却不发狂，手足牵引却不出汗？反而低头视下，没有登高呼叫的症状，肘膝相靠，没有弃衣奔跑的症状，正是因为湿邪混杂的缘故。大概阳明之火，最厌恶的是燥。现在有湿气在胃中，虽然侮犯胃中之土，但也增益了胃中之燥，即使发汗也不会导致亡阳发狂的祸患。如果妄用风药来发散表邪，必然导致汗出不可止。张仲景先生曾用大承气汤来攻下邪气，然而脾气旺盛的人，尚且不致损伤脾气，否则攻下会导致亡阴，恐怕有意外的危险。既然风湿热三者一同进入胃中，那么治疗方法不可不治疗胃，而又不可伤害胃。方剂用全阴救胃汤：
玄参（五钱） 茯苓（五钱） 桃仁（一钱） 葛根（一钱） 人参（一钱） 麦冬（五钱）
水煎服。服用一剂病好一半，两剂病全愈。
方中资助胃中的阴液，而不损伤胃中的气。玄参去热，葛根去风，茯苓去湿，三种邪气都去除了，而又得到人参来生胃气，麦冬来生肺气，那么桃仁不是也可以省去了吗？不知道桃仁是最为动血的药物，三种邪气并入胃中，而补药多于攻药，则邪气得补益，反而流连不去，加入桃仁这种性急的药物，补益不会滞涩，而攻伐也不缓慢，才能相辅相成而成功。
这种病症用二苓槐膏汤也很奇妙。
石膏 猪苓 槐米（各三钱） 茯苓（五钱） 防己（五分） 黄芩（一钱）
水煎服。
感于湿热之气，又感受风邪，发热腹痛，肌肉颤动，四肢坚硬拘急，人们以为是太阴经受风寒的伤寒病，谁知道这是太阴经的痉症呢。太阴经是脾经，脾属湿土。湿土怎么经得起湿邪的再次侵犯呢？湿邪入于脾，最难分消。湿邪去除了但湿的根源还在，一再感受湿邪，仍然像之前的湿病一样。况且加上热邪使其炎蒸，加上风邪使其波浪起伏，自然中焦脾胃反乱，而四周骚然，坚急之势形成，颤动的形态显现，如果使用安土的药物，则土旺而水无泛滥之虞，水干而土无郁勃之气，风邪即欲作祟，而太平已经奏效，也可以消除怨恨了。无奈世人动辄言下法，岂知下法多导致亡阴，没有阴液来灌注五脏七腑、胸腹手足，依靠什么来滋养呢？势必导致坚急颤动，有因亡阴而死的情况。方剂用安土散：
白术（一两） 茯苓（五钱） 车前子（三钱） 薏苡仁（五钱） 赤小豆（一钱）
通草（一钱） 柴胡（五分） 石斛（三钱）
水煎服。
此方以利水的药物为君药，仍然是健脾的药物。因为土旺自然能制水，况且又有利的药物辅助呢。这种病症原是湿邪难治，单去攻湿，而风与热邪自然容易吹散，所谓攻邪必攻其坚固之处。譬如大敌当前，满山遍野都是贼党，如果只从旁边掠阵，则贼人全营都会来死斗，反而导致败北，不如竟攻其中坚，突围直入，捣擒巨魁，则其余余孽不战而自逃。痉病重在治湿邪，也正是这个意思，可以借敌人来做借鉴。
这种病症用薏术定痉汤也有效。
白术（一两） 薏苡仁 芡实（各五钱） 柴胡 知母 甘草 天花粉（各一钱） 神曲（二钱）
水煎服。
感于湿热又感受风邪，遂成癫痫，身体蜷缩足部弯曲，不能俯仰，人们以为是少阴经受风寒的伤寒病，谁知道这是少阴经的痉病呢。少阴经是足少阴肾。肾宜热不宜寒，宜湿不宜燥，为什么痉病有湿有热，反而成为癫痫蜷弯不能俯仰的症状呢？不知道肾最厌恶风邪，而喜欢热的，是喜欢真火的滋生，并非喜欢邪火的克制；喜欢真水的滋养，并非喜欢邪水的伤害。大概邪火助长燥，邪水增加湿罢了。既有两种邪气进入肾中，又加上风邪，怎么能没有癫痫蜷弯不能俯仰的痛苦呢？然而其治疗方法仍须治疗湿热，少佐以祛风的药物才算得当。方剂用助肾辟邪丹：
茯苓（五钱） 薏苡仁（五钱） 防己（一钱） 草薢（一钱） 玄参（三钱）
水煎服。
此方用防己来治疗肾中的风邪，用薏苡仁、茯苓来去除肾中的湿邪，用玄参、草薢来治疗肾中的热邪。这样风、热、湿三者均被治疗，什么病不能去除呢。肾宜补而不宜泻，现在去风、去湿、去热，岂不是泻肾的药物吗？然而薏苡仁、茯苓虽利湿而不损伤阴液，防己虽去风而不伤气，玄参、草薢虽去火而不灭其光，不是泻肾而仍是补肾，如果单泻而不补那就错了。
这种病症用散痉汤也很好。
防己（一钱） 白术（一两） 泽泻 草薢 炒黑荆芥（各二钱） 薏苡仁（三钱）
水煎服。
感于湿热又感受风邪，出现厥逆下利，舌卷囊缩，背部弯曲肩膀下垂，颈部像被拔起，腰部像折断，手脚都冷，腹部胀大，人们以为是厥阴经受风寒的伤寒病，谁知道这是厥阴经的痉症呢。风、湿、热三者合而成为痉病。邪气传入厥阴，乃是进入肝木之经，其病势更加紧急。世人误用发汗法，必然导致动湿。湿虽然属于阴类，但是外受的阴邪，并非肝中的真血。所动的阳气，奔入湿中，被湿淹没，必然导致亡阳。大概脱出的阳气，不像龙出山谷那样轻盈矫健，飞腾而不可遏制。现在被湿邪滞留，就像蛇爬行，尽力奔越，终究难以飞去，所以这种痉病，都是误用发汗法造成的。治疗方法又不可以拘泥于发散邪气，仍须补益正气。只有挽救其亡阳，并急切使其回阳。虽然阳气之所以亡失，终究是由于阴虚不能摄阳，所以补阳必须补阴。而补厥阴之阴，仍从少阴肾经来补益。方剂用回阴散痉汤：
巴戟天（五钱） 茯苓（一两） 山药（五钱） 防风（五分） 炒栀子（一钱） 白芍（五钱）
当归（三钱） 白术（一两） 甘草（一钱）
水煎服。
此方补肝经的血，而辅以去湿、去火、去风的药物，自然是正治之法。而又补肾中的火，加入巴戟天是为了什么呢？正是为了补少阴经。只是厥阴之木，非少阴之水不生，何必补肾中的火？岂知发汗导致亡阳，阳气尽从外部泄出，肾中已无真火，单用寒凉药物来祛热，则脾胃不胜其寒。巴戟天温肾不至大热，肾温而阳回，肝清而阴足，阴阳和合，内部正气既已巩固，风热湿之外邪不必攻伐而自然破除，况且原有攻伐的药物存在。这是有益无损的治疗方法，又何必担心厥阴痉症会久传呢。
这种病症用黄白茵陈汤也有效。
白芍 茯苓（各一两） 猪苓（三钱） 茵陈（一钱） 白术（五钱） 甘草（一钱） 黄连
半夏（各五分）
水煎服。
小儿头摇手劲，眼目上视，身体发颤，或者吐而不泻，或者泻而不吐，人们以为是惊风的抽掣，谁知道这是风、热、湿三者合而成为痉病呢。小儿纯阳，本来不宜虚。然而多吃瓜果，湿气留在胃中，湿久则变热，热极则生风，此风生于内，而非来自外。人们见小儿头摇手劲等症状，不论其虚实，投以抱龙丸，不效改用牛黄丸，又不效乃用金石、脑麝香窜之药，来开窍镇惊，无不立即死亡。唉！惊风二字，自从创立以来，杀死的小儿不止数百万，却没有一个医生指出其错误。南昌喻嘉言颇知其失，大声告诫。无奈流传已久，一时不可转移，且嘉言有论无方，世人也不识治法。我听闻师言甚详，因此畅论之，而且传授其方。小儿易于成痉的原因，是因为其骨脆皮薄，不耐风邪，所以邪气一入腠理，便入脏腑，况且其饮食，喜寒而不喜热，以致损伤脾胃，而成吐泻之症。上吐下泻，则阴阳两亏，平日所受之湿尽行越出。湿出而热留脏腑之中，无阴液相养，遂变成风象来迷惑人，人们也被其所惑。只治风而不治正气，所以十人十死。故见此等病症，断不可祛风，一旦按风病治疗，离生路就远了。因为他体内实在无风，无风而妄用风药，加倍耗损其受损之气，怎么能不加速死亡呢。治疗方法惟独补益其脾胃，而止其吐泻，则十人十生。方剂用救儿回生汤：
人参（二钱） 白术（三钱） 茯苓（一钱） 砂仁（三粒） 炒黑干姜（五分） 山楂（五粒） 萝卜子（五分）
车前子（一钱） 厚朴（三分） 神曲（三分） 半夏（五分）
水煎服。
此方以十岁为标准，五岁者减半。服用一剂即吐泻止，两剂即抽掣定，三剂即全愈。此方补中有利，调和于脾胃之内，则阴阳有既济之欢，自然无变动之害了。有人说补益是对的，少加去风散热的药物，未尝不可。如果在夏令，或许可少加黄连数分，以解暑热，若值冬令更当增入辛热之品。因为小儿吐泻之后，热必变寒，何况加上时令的严寒呢，断不可用寒凉。至于风药，无论四季都不可以乱加。万不得已，少加柴胡二、三分即可。
这种病症用加味六君汤：
人参（八分） 白术（三钱） 茯苓（二钱） 甘草 半夏（各三分） 陈皮 黄连（各二分） 神曲
麦芽 防风（各五分）
水煎服。
小儿吐泻之后，牙关紧闭不出声，手脚挛急，人们以为是惊风的搐搦，谁知道这是脾胃寒虚的痉病呢。小儿纯阳，先天肾气原自完固，无奈后天被断丧。人生后天，以脾胃为主。小儿喜餐生冷，损伤其后天，而先天亦损，自然变症纷纭。吐泻之后，无津液以润肠胃，更有何气以运动四肢呢？这就是手足弯急、搐搦之所以出现的原因。脾胃亏损，肝木必然来相侮，脾胃又无津液以供给肝木取资，则肝木大燥，燥极生火，火极生风，这也是常理。肺金见肝木克脾胃，欲出其清肃之令，制约肝木以报土母之仇，无奈脾胃为肝所伤，则土弱而金不能强，力难制肝，反为肝之所凌。而肺金畏惧肝中之风火，唯恐逼干肺气，自顾不暇，何能救母，故不敢出声。那么治疗方法可不急治肝，以救脾胃之亏吗。方剂用活儿汤：
白芍（三钱） 茯苓（五钱） 人参（二钱） 白术（三钱） 栀子（五分） 麦芽（五分）
枳壳（三分） 半夏（五分） 甘草（一分） 神曲（五分）
水煎服。服用一剂弯急搐搦之症止，两剂口噤之声出，三剂全愈。
此方平肝之气以扶持脾胃之土。脾胃之气生，而肺气自旺，足以制肝，什么风火不息呢。有人说肺弱不能制肝，自然宜补肺。不知道用补肺的药物，必用润剂，不又助脾胃之湿吗？痉病正苦于湿，方中用茯苓之多正是去其湿，反而可用湿乎？所以不如平肝以安肺，不可润肺以害脾胃。
这种病症用四君汤也可有效。
人参（一钱） 茯苓（二钱） 白术（三钱） 甘草 肉桂（各二分） 神曲 柴胡（各三分）
水煎服。
小儿偶感风邪，发热身颤，手背反张，人们以为是惊风的角弓反张，谁知道这是痉病中的寒邪呢。小儿气血未旺，不耐伤寒壮热，故一时昏沉，并非因风而动惊。所以治疗小儿的伤寒，断不可与大人一例同治，动用风药以祛风。因为因虚而入风，治其虚则风自外出。况且只犯寒而不犯风，是原本无风，何可祛风哉。如果轻施祛风之药，则风门大开，内既无风可散，势必损伤正气，致营卫无所遮蔽，而腠理不密，且勾引外风深入五内，遂成不可救之症矣。治疗方法补其正气，而少加散邪之味，寒既易解，脏腑
Contracted by damp-heat qi, and suddenly injured by wind pathogen, the jaw is locked and speech is impossible, the neck and back are stiff and uncomfortable, the hands and feet are spasmodic and contracted, and the body bends backward like a bow (opisthotonos). People think it is Taiyang syndrome cold damage, who knows it is Taiyang Jing spasm disease. Spasm disease also has differences among Three Yang and Three Yin meridians, and can also transmit through meridians, with symptoms identical to cold damage; however, cold damage is solely caused by wind pathogen, whereas spasm disease is formed by the combination of wind, dampness, and heat pathogens. It seems that treating cold damage requires only addressing the wind pathogen without difficulty, while treating spasm disease requires simultaneously dispelling dampness and heat, which is not easy. Who knows that where pathogenic factors gather, the healthy qi must be deficient. One pathogen invading already indicates a deficiency of healthy qi, let alone three pathogens invading simultaneously. By tonifying healthy qi to expel pathogens, treating spasm disease is not difficult for rapid recovery. Some ask: When one pathogen invades, expelling the pathogen should still be prioritized; when three pathogens invade simultaneously, the pathogens are pervasive, how can treatment succeed without using pathogen-expelling medicines? Not knowing that one pathogen invading has concentrated force, while multiple pathogens invading have dispersed momentum. Concentrated force is suitable for attacking, dispersed momentum can be treated with tonification. Within tonification, employing attacking methods, why would it not work? Unfortunately, this condition presents similarly to cold damage, so sudden use of tonification is contraindicated, leading to death. If one understands the method of tonification and treats according to syndromes, it is actually very easy. For such a case presenting with Taiyang signs, one should not directly treat the Taiyang pathogen but should tonify Taiyang healthy qi. When Taiyang healthy qi is vigorous, wind, dampness, and heat pathogens will dissipate naturally without direct attack. The formula used is Wu Ling San (Five-Ling Powder) with modifications.
Atractylodis Macrocephalae Rhizoma (1 liang), Poria (1 liang), Alismatis Rhizoma (3 qian), Polyporus (1 qian), Notopterygii Rhizoma et Radix (5 fen), Cinnamomi Ramulus (3 fen).
Decoct in water and take orally. After one dose, opisthotonos stabilizes; after two doses, jaw locking ceases and hand/foot spasms resolve; after three doses, all symptoms recover completely.
Wu Ling San specializes in promoting urination to drain bladder water. Among the three pathogens, dampness is the most difficult to remove. First draining dampness allows fire pathogen to exit with water, leaving wind pathogen without support. Thus, small doses of Notopterygii Rhizoma et Radix and Cinnamomi Ramulus are used to dispel wind, making wind resolution easier. Moreover, Wu Ling San is not merely a damp-draining formula; Atractylodis Macrocephalae Rhizoma and Poria originally strengthen the spleen and generate stomach qi. Now, increasing their dosage as sovereign herbs makes tonification heavy and draining light, thus rapidly enhancing strengthening efficacy. If used in small amounts, attacking exceeds tonifying, yielding no benefit.
This condition can also be effectively treated with Gui Ling Yi Qiang Tang.
Poria (1 liang), Notopterygii Rhizoma et Radix (2 qian), Coicis Semen (1 liang), Cinnamomi Ramulus (3 fen).
Decoct in water and take orally.
Contracted by damp-heat qi and wind pathogen, the neck and back are stiff, eyes sometimes look left and right, and hands and feet twitch. People think it is Shaoyang syndrome cold damage, who knows it is Shaoyang Jing spasm disease. Shaoyang meridian resides between exterior and interior; its trend is about to enter the Liver but remains in the Yangming meridian. Thus, contracting three pathogens simultaneously causes eyes to look left and right, manifesting between Taiyang and Yangming. Hand and foot twitching occurs because wind nature is active while dampness nature is static, contradicting each other: wind wants to move but is restrained by dampness; dampness wants to stay still but is激ated by wind; heat pathogen strikes from within. This causes twitching. Persistent twitching leads wind to pull upward, causing neck stiffness, while dampness stays inside, resulting in rigidity. Treatment must harmonize Shaoyang healthy qi, using few dispersing agents to easily resolve the conflict. The formula used is Xiao Chai Hu Tang (Minor Bupleurum Decoction) with modifications.
Bupleuri Radix (2 qian), Paeoniae Radix Alba (5 qian), Angelicae Sinensis Radix (3 qian), Poria (5 qian), Scutellariae Radix (1 qian), Glycyrrhizae Radix et Rhizoma (1 qian).
Decoct in water and take orally. Disease reduces after one dose, fully recovers after two doses.
Xiao Chai Hu Tang is the sacred medicine for harmonizing Shaoyang. Adding Paeoniae Radix Alba and Angelicae Sinensis tonifies Liver qi, making Liver vigorous so pathogens dare not hide in the Liver. Adding 5 qian of Poria strengthens the Stomach and drains dampness, preventing pathogens from returning to the Stomach. Poria works with Bupleuri Radix to dispel wind-heat, guiding them into the Bladder for easy downward excretion, a divine method.
This condition can also be effectively treated with Long Che San.
Bupleuri Radix, Glycyrrhizae Radix et Rhizoma (1 qian each), Paeoniae Radix Alba, Poria (5 qian each), Plantaginis Semen (3 qian), Gentianae Radix (5 fen).
Decoct in water and take orally.
Contracted by damp-heat qi and wind pathogen, hands and feet are pulled, muscles twitch, chest is distended, head bows down looking at the ground, elbows and knees touch. People think it is Yangming syndrome cold damage, who knows it is Yangming Jing spasm syndrome. Yangming belongs to Stomach Earth; wind entering the Stomach turns to heat. Since heat qi was originally contracted, heat aids heat, which should lead to sweating and Yang collapse. Why do muscle twitches and chest distension occur without madness, and hand/foot pulling without sweating? Instead, the head bows down, lacking the symptom of climbing high and shouting; elbows and knees touch, lacking the symptom of discarding clothes and running. This is precisely due to dampness pathogen mixing. Yangming fire hates dryness most. With dampness in the Stomach, although it insults Stomach Earth, it also benefits Stomach dryness, so even if sweating occurs, it does not lead to Yang collapse or madness. If wind-dispersing drugs are wrongly used to scatter exterior pathogens, uncontrolled sweating will result. Zhang Zhongjing once used Da Cheng Qi Tang (Major Order the Qi Decoction) to purge pathogens; those with strong Spleen qi suffer no damage, otherwise purging leads to Yin collapse with unexpected dangers. Since wind, dampness, and heat enter the Stomach together, treatment must address the Stomach without injuring it. The formula used is Quan Yin Jiu Wei Tang (Complete Yin Stomach-Saving Decoction):
Scrophulariae Radix (5 qian), Poria (5 qian), Persicami Semen (1 qian), Puerariae Radix (1 qian), Ginseng Radix (1 qian), Ophiopogonis Radix (5 qian).
Decoct in water and take orally. Half recovery after one dose, full recovery after two doses.
The formula nourishes Stomach Yin without damaging Stomach Qi. Scrophulariae Radix removes heat, Puerariae Radix removes wind, Poria removes dampness; all three pathogens are removed, while Ginseng generates Stomach Qi and Ophiopogonis Radix generates Lung Qi. Then, is Persicami Semen unnecessary? Persicami Semen is highly moving. With three pathogens in the Stomach and more tonics than attackers, pathogens cling due to tonification. Adding Persicami Semen, a swift agent, prevents tonification stagnation and ensures effective attack, achieving success.
This condition can also be effectively treated with Er Ling Huai Gao Tang.
Gypsum Fibrosum, Polyporus, Sophorae Flos (3 qian each), Poria (5 qian), Stephaniae Tetrandrae Radix (5 fen), Scutellariae Radix (1 qian).
Decoct in water and take orally.
Contracted by damp-heat qi and wind pathogen, fever and abdominal pain, muscle tremors, limbs rigid and urgent. People think it is Taiyin syndrome cold damage, who knows it is Taiyin Jing spasm syndrome. Taiyin is the Spleen meridian, belonging to Damp Earth. How can Damp Earth endure repeated damp pathogen invasion? Dampness entering the Spleen is hard to separate and eliminate. Removing dampness leaves the root; repeated damp contraction repeats previous illness. Added heat causes steaming, added wind causes waves, naturally disrupting the Middle Jiao and causing turmoil. Rigidity forms, tremors appear. Using earth-stabilizing drugs strengthens Earth, preventing Water overflow; drying Water removes Earth depression. Even if Wind tries to cause trouble, peace is restored, resolving resentment. However, people often resort to purging, not knowing purging often causes Yin collapse. Without Yin to nourish Zang-Fu organs and limbs, rigidity and tremors lead to death from Yin collapse. The formula used is An Tu San (Earth-Stabilizing Powder):
Atractylodis Macrocephalae Rhizoma (1 liang), Poria (5 qian), Plantaginis Semen (3 qian), Coicis Semen (5 qian), Phaseoli Rubri Semen (1 qian), Tectonae Herba (1 qian), Bupleuri Radix (5 fen), Dendrobii Caulis (3 qian).
Decoct in water and take orally.
This formula uses water-draining drugs as sovereign, yet remains a Spleen-strengthening drug. Strong Earth controls Water, aided by draining agents. This condition involves difficult-to-treat dampness; attacking dampness alone easily disperses wind and heat pathogens. Attacking pathogens requires attacking the solid core. Like facing a great enemy with rebels everywhere, attacking flanks brings full enemy resistance and defeat; attacking the center breaks through, capturing leaders, causing remaining forces to flee. Treating spasm by focusing on dampness follows this logic.
This condition can also be effectively treated with Yi Shu Ding Jing Tang.
Atractylodis Macrocephalae Rhizoma (1 liang), Coicis Semen, Euryales Semen (5 qian each), Bupleuri Radix, Anemarrhenae Rhizoma, Glycyrrhizae Radix, Platycodi Radix (1 qian each), Malt (2 qian).
Decoct in water and take orally.
Contracted by damp-heat and wind, epilepsy ensues, body curls, legs bend, unable to flex or extend. People think it is Shaoyin syndrome cold damage, who knows it is Shaoyin Jing spasm disease. Shaoyin is the Foot-Shaoyin Kidney meridian. Kidney prefers heat over cold, moisture over dryness. Why does spasm with dampness and heat cause epilepsy, curling, and inability to flex/extend? Kidney hates wind most, likes heat for true Fire generation (not evil Fire suppression), likes true Water nourishment (not evil Water injury). Evil Fire aids dryness, evil Water increases dampness. With two pathogens in Kidney plus wind, suffering is inevitable. Treatment must address damp-heat, assisting slightly with wind-dispelling drugs. The formula used is Zhu Shen Pi Xie Dan (Kidney-Assisting Evil-Expelling Pill):
Poria (5 qian), Coicis Semen (5 qian), Stephaniae Tetrandrae Radix (1 qian), Smilacis Glabrae Rhizoma (1 qian), Scrophulariae Radix (3 qian).
Decoct in water and take orally.
Stephaniae Tetrandrae Radix treats wind in Kidney; Coicis Semen and Poria remove dampness in Kidney; Scrophulariae Radix and Smilacis Glabrae Rhizoma treat heat in Kidney. All three pathogens are treated. Kidney prefers tonification over purging; aren't these purging drugs? Coicis Semen and Poria drain dampness without damaging Yin; Stephaniae Tetrandrae Radix dispels wind without harming Qi; Scrophulariae Radix and Smilacis Glabrae Rhizoma clear fire without extinguishing light. They are not purging Kidney but tonifying it. Pure purging without tonification is wrong.
This condition can also be effectively treated with San Jing Tang.
Stephaniae Tetrandrae Radix (1 qian), Atractylodis Macrocephalae Rhizoma (1 liang), Alismatis Rhizoma, Smilacis Glabrae Rhizoma, Charred Schizonepetae Spica (2 qian each), Coicis Semen (3 qian).
Decoct in water and take orally.
Contracted by damp-heat and wind, cold extremities and diarrhea, tongue retraction and scrotal retraction, back curved shoulders drooping, neck feels pulled, waist feels broken, hands and feet cold, abdomen distended. People think it is Jueyin syndrome cold damage, who knows it is Jueyin Jing spasm syndrome. Wind, dampness, and heat combine to form spasm. Pathogen transmitting to Jueyin enters Liver Wood meridian, becoming more urgent. Mistaken sweating moves dampness. Dampness is Yin but external Yin pathogen, not true Liver blood. Moved Yang enters dampness, is submerged, leading to Yang collapse. Escaped Yang is like a dragon leaving a valley, light and soaring; trapped by dampness, it crawls like a snake, struggling but unable to fly. These spasms result from mistaken sweating. Treatment cannot stick to dispersing pathogens but must tonify healthy qi. Saving collapsed Yang and urgently restoring Yang is key. Yang loss stems from Yin deficiency failing to hold Yang, so tonifying Yang requires tonifying Yin. Tonifying Jueyin Yin starts from Shaoyin Kidney meridian. The formula used is Hui Yin San Jing Tang (Return-Yin Spasm-Resolving Decoction):
Morindae Officinalis Radix (5 qian), Poria (1 liang), Dioscoreae Rhizoma (5 qian), Saposhnikoviae Radix (5 fen), Charred Gardeniae Fructus (1 qian), Paeoniae Radix Alba (5 qian), Angelicae Sinensis Radix (3 qian), Atractylodis Macrocephalae Rhizoma (1 liang), Glycyrrhizae Radix et Rhizoma (1 qian).
Decoct in water and take orally.
This formula tonifies Liver Blood, assisted by dampness-, fire-, and wind-dispelling agents, a correct treatment. Adding Morindae Officinalis Radix tonifies Kidney Fire. Why? To tonify Shaoyin. Jueyin Wood needs Shaoyin Water to grow. But sweating causes Yang collapse, depleting Kidney True Fire. Using only cold herbs to clear heat damages Spleen/Stomach. Morindae Officinalis Radix warms Kidney without excessive heat; Kidney warmth restores Yang, Liver clarity fills Yin. Yin-Yang harmony consolidates internal healthy qi, causing external wind-damp-heat pathogens to break spontaneously. This is a beneficial, harmless method.
This condition can also be effectively treated with Huang Bai Yin Chen Tang.
Paeoniae Radix Alba, Poria (1 liang each), Polyporus (3 qian), Artemisiae Scopariae Herba (1 qian), Atractylodis Macrocephalae Rhizoma (5 qian), Glycyrrhizae Radix et Rhizoma (1 qian), Coptidis Rhizoma, Pinelliae Rhizoma (5 fen each).
Decoct in water and take orally.
Infant head shaking, hand strength, eyes looking up, body trembling, vomiting without diarrhea or diarrhea without vomiting. People think it is convulsive infantile wind, who knows it is spasm formed by wind, heat, and dampness. Infants are pure Yang, not prone to deficiency. However, eating too much fruit causes dampness retention in Stomach; long-standing dampness turns to heat; extreme heat generates wind. This wind arises internally, not externally. Seeing infant head shaking etc., regardless of deficiency/excess, giving Bao Long Wan, then Niu Huang Wan, then mineral/musk drugs to open orifices and calm fright, all lead to immediate death. Alas! "Infantile Wind" has killed millions since its inception, with no doctor correcting it. Yu Jiayan of Nanchang recognized the error and warned loudly. But tradition is deep, and Yu had theory but no formula. I heard my master's detailed explanation, so I discuss it and provide formulas. Infants easily develop spasm due to fragile bones and thin skin, intolerant to wind; pathogen enters pores then Zang-Fu. Their diet prefers cold over hot, damaging Spleen/Stomach, causing vomiting/diarrhea. Vomiting and diarrhea deplete Yin-Yang, expelling stored dampness. Heat remains in Zang-Fu without Yin nourishment, transforming into wind-like symptoms confusing people. Treating only wind without supporting healthy qi leads to ten deaths out of ten. Thus, never dispel wind; doing so distances life. There is truly no wind internally; using wind drugs consumes damaged Qi, accelerating death. Treatment must tonify Spleen/Stomach and stop vomiting/diarrhea, ensuring ten lives out of ten. The formula used is Jiu Er Hui Sheng Tang (Save-Child Return-Life Decoction):
Ginseng Radix (2 qian), Atractylodis Macrocephalae Rhizoma (3 qian), Poria (1 qian), Amomi Fructus Rotundus (3 grains), Charred Black Zingiberis Rhizoma (5 fen), Crataegi Fructus (5 grains), Raphani Semen (5 fen), Plantaginis Semen (1 qian), Magnoliae Officinalis Cortex (3 fen), Malt (3 fen), Pinelliae Rhizoma (5 fen).
Decoct in water and take orally.
Based on a ten-year-old; halve for five years old. One dose stops vomiting/diarrhea, two doses stop convulsions, three doses cure. This formula tonifies with draining, harmonizing Spleen/Stomach, allowing Yin-Yang mutual assistance, preventing harmful changes. Some say adding wind-dispersing/heat-clearing drugs is okay. In summer, maybe add Scutellariae Radix to clear heat; in winter, add acrid-warm drugs. Post-vomit/diarrhea, heat turns to cold; adding seasonal cold makes cold drugs forbidden. Wind drugs are forbidden in all seasons; if absolutely necessary, add 2-3 fen of Bupleuri Radix.
This condition can also be effectively treated with Jia Wei Liu Jun Tang.
Ginseng Radix (8 fen), Atractylodis Macrocephalae Rhizoma (3 qian), Poria (2 qian), Glycyrrhizae Radix et Rhizoma, Pinelliae Rhizoma (3 fen each), Citri Reticulatae Pericarpium, Scutellariae Radix (2 fen each), Malt, Saposhnikoviae Radix (5 fen each).
Decoct in water and take orally.
After infant vomiting/diarrhea, jaw locked silent, hands/feet contracted. People think it is convulsive infantile wind, who knows it is Spleen/Stomach cold-deficiency spasm disease. Infants are pure Yang,先天 Kidney Qi is solid, but postnatal life is damaged. Postnatal life relies on Spleen/Stomach. Eating raw/cold damages postnatal, affecting先天, causing varied symptoms. Post-vomit/diarrhea, no fluids to moisten intestines, no Qi to move limbs. This causes limb bending/twitching. Spleen/Stomach deficiency leads Liver Wood to insult; lack of fluids for Liver causes Liver dryness, fire, and wind. Lung Metal sees Liver insulting Spleen, wants to control Liver to avenge Earth mother, but weak Earth means weak Metal, unable to control Liver, instead bullied by Liver. Lung fears Liver wind-fire, protects itself, cannot save mother, hence silence. Treatment should urgently tonify Spleen/Stomach rather than just treat Liver. The formula used is Huo Er Tang (Revive-Child Decoction):
Paeoniae Radix Alba (3 qian), Poria (5 qian), Ginseng Radix (2 qian), Atractylodis Macrocephalae Rhizoma (3 qian), Gardeniae Fructus (5 fen), Malt (5 fen), Aurantii Fructus Immaturus (3 fen), Pinelliae Rhizoma (5 fen), Glycyrrhizae Radix et Rhizoma (1 fen), Malt (5 fen).
Decoct in water and take orally. One dose stops bending/twitching, two doses restore voice, three doses cure.
This formula calms Liver Qi to support Spleen/Stomach Earth. Spleen/Stomach Qi generates, Lung Qi prospers, controlling Liver, stopping wind-fire. Some say weak Lung needs tonification. Lung tonics are moistening, aiding Spleen/Stomach dampness. Spasm suffers from dampness; abundant Poria drains dampness. Better to calm Liver to soothe Lung than moisten Lung to harm Spleen/Stomach.
This condition can also be effectively treated with Si Jun Zi Tang.
Ginseng Radix (1 qian), Poria (2 qian), Atractylodis Macrocephalae Rhizoma (3 qian), Glycyrrhizae Radix et Rhizoma, Cinnamon Bark (2 fen each), Malt, Bupleuri Radix (3 fen each).
Decoct in water and take orally.
Infant accidentally contracts wind, fever, body tremors, back of hand extends. People think it is opisthotonos of infantile wind, who knows it is cold pathogen in spasm disease. Infant Qi/Blood not vigorous, intolerant to cold damage fever, causing temporary coma, not wind-induced fright. Treating infant cold damage differs from adults; do not use wind drugs. Deficiency invites wind; treating deficiency expels wind. Here, only cold is invaded, no wind exists, so no wind dispensing needed. Lightly using wind drugs opens wind gates, damages healthy Qi, exposes Ying-Wei, loosens pores, draws external wind deep into viscera, causing incurable conditions. Treatment must tonify healthy Qi, adding few dispersing agents. Cold resolves easily, viscera