四肢痿痹不伸，胀痛不能忍者，风毒之气。宜∶
防风 半夏 枳壳 羌活 天麻
在上用升麻、桔梗，在下用牛膝、木瓜。儿心悸不常，及偏身肿痛，或手足不随，为惊瘫。
若治稍缓，臂腕膝胫骨节之间流结，项核或膝肿，而肉消骨露如鹤膝状，并宜发汗，使腠理
开通，则风热可治，而湿亦可去，使风不生而痰不作。莫作疮痈论，用黑牵牛半生熟为末，
加入五苓散内酒调服。
其症与惊风相似，血滞心窍，积惊成痫。外症神气怫郁，瞪目直视，面目牵引，口噤流涎，腹胀手足抽掣，似
生似死。或有声无声，或背项反张，或腰脊强直，发而时醒者，为痫。若强硬终日不醒，为 痉矣。要分阴阳，
先发热惊掣啼叫为阳痫，大便实，小便赤，脉浮。病在脾在肌肤易治，勿用温药。反是病在脏在骨髓
难治，为阴痫，勿用寒药。亦当于仰覆卧参看，惟利惊却风化痰为要。有犬羊牛鸡猪之异。儿有热痰，一不饮乳，
眠睡不稳，常时惊悸，即用小红丸，减其盛气为妙。风痫者，汗出解脱，风乘虚入，初屈指如数，是有热生痰。惊
痫者，震骇恐怖或打坠。积惊初时，精神恍惚大叫。食痫者，食时得惊，停宿结聚，初时吐乳不食，大便酸臭，先
寒后热。三者具用小红丸下之，后以∶
胆星 半夏 神曲 天麻 防风 枳实 苦杏仁 苏子（或叶） 陈皮 全蝎 青黛 黄连 僵蚕 天竹黄
白附子
风痫加羌活、蝉蜕、独活，惊痫加远志、茯神、石菖蒲，食痫加青皮、芦荟。
癫痫狂 四症，皆始于心。心者，神明之舍，常欲安静。内邪、外热，脾胃虚而不能制肾水，遂精神失守，恍惚
多惊，四症作焉。重阴则癫，重阳则狂。痫则身软而醒， 则身强而温，癫则悲喜歌哭，狂则谵语不食，弃衣而走。
痫则卧地，嚼舌吐沫或作诸兽声， 则反弓痰壅，皆风涎流滞心胞络也。失治则伤心，心伤则神去而死，宜清心消
痰顺气为要。
贝母 胆星 紫苏 枳实 陈皮 黄连 青黛 远志 茯神 半夏曲 石菖蒲
四肢痿软麻痹、伸展不利，伴有胀痛且难以忍受的，是风毒之气所致。适宜选用：防风、半夏、枳壳、羌活、天麻。病位在上者加用升麻、桔梗；病位在下者加用牛膝、木瓜。小儿出现心悸不定，以及半身肿痛，或手足不能随意活动，称为惊瘫（因惊恐导致的瘫痪）。
如果治疗稍显迟缓，气血流注于臂、腕、膝、胫等骨节之间形成结聚，颈部淋巴结肿大或膝盖肿胀，肌肉消瘦、骨骼显露，呈现出类似“鹤膝”的形状，都应当采用发汗法，使腠理（皮肤毛孔及皮下组织间隙）开通，这样风热之邪即可被治愈，湿气也能随之去除，从而使得风邪不生、痰浊不产。切勿将其当作疮痈论治，可用黑牵牛（一半生用、一半炒熟）研为细末，加入五苓散中，用酒调服。
此症与惊风相似，是由于血滞心窍，积惊而成痫证（癫痫）。外在症状表现为神气郁结，瞪眼直视，面部肌肉牵引抽搐，牙关紧闭、流口水，腹部胀满、手足抽掣，似生非生、似死非死。发作时或有声音或无声，或背部和颈部向后反张，或腰脊强直，发作后时而清醒的，称为痫证。若身体强硬终日不醒，则称为痉证（痉挛）。需要区分阴阳属性：先发热、惊厥抽搐、啼叫的为阳痫，大便干实，小便色赤，脉象浮。病位在脾、在肌肤，容易治疗，不要用温性药物。反之，病位在脏、在骨髓，难治，属于阴痫，不要用寒性药物。同时也应当结合仰卧和俯卧时的表现来参考参看，治疗关键在于利惊、祛风、化痰。发作时的叫声有像犬、羊、牛、鸡、猪等不同声音的区别。小儿若有热痰，表现为不吃奶，睡眠不稳，经常惊悸，应立即使用小红丸，以削弱其亢盛的病气为妙。
风痫，是因汗出后腠理疏松，风邪乘虚而入所致，初起手指屈伸如计数状，这是有热生痰的表现。惊痫，多由震惊恐怖或跌打坠伤引起。积惊初期，精神恍惚、大声呼叫。食痫，是在进食时受到惊吓，导致食物停积结聚，初起吐乳、拒食，大便酸臭，先恶寒后发热。这三种情况均先用小红丸攻下，随后服用：胆南星、半夏、神曲、天麻、防风、枳实、苦杏仁、苏子（或苏叶）、陈皮、全蝎、青黛、黄连、僵蚕、天竺黄、白附子。其中，风痫加羌活、蝉蜕、独活；惊痫加远志、茯神、石菖蒲；食痫加青皮、芦荟。
癫、痫、狂、痫四种病症，皆起始于心。心是神明居住的地方，常喜安静。内邪侵袭、外感热邪，加上脾胃虚弱不能制约肾水，导致精神失守，恍惚多惊，这四种病症便发作了。重阴则发癫，重阳则发狂。痫证发作时身体柔软而后苏醒，痉证发作时身体僵硬且体温升高，癫证表现为悲喜无常、唱歌哭泣，狂证表现为胡言乱语、不进食、脱衣奔跑。痫证发作时卧倒在地，咬舌、吐沫或发出各种兽类的声音，痉证则身体反弓、痰液壅盛，这都是风涎流滞于心包络所致。若失治误治则会损伤心脏，心伤则神去而死，治疗应以清心、消痰、顺气为关键。
Flaccidity, numbness, and inability to extend the four limbs, accompanied by distending pain that is unbearable, are caused by wind-toxin qi. It is suitable to use: Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Rhizoma), Zhike (Aurantii Fructus Immaturus), Qianghuo (Notopterygii Rhizoma et Radix), Tianma (Gastrodiae Rhizoma). For lesions located above, add Shengma (Cimicifugae Rhizoma) and Jiegeng (Platycodonis Radix); for lesions located below, add Niuxi (Achyranthis Bidentatae Radix) and Mugua (Chaenomelis Fructus). If a child experiences irregular palpitations, swelling and pain on one side of the body, or involuntary movement of the hands and feet, it is called Jingtan (paralysis due to fright).
If treatment is slightly delayed, fluid accumulation may occur in the joints of the arms, wrists, knees, and shins, with swelling of cervical lymph nodes or knees, muscle wasting, and exposed bones resembling "crane's knee." In all such cases, sweating therapy should be employed to open the Couli (pores and interstitial spaces), thereby resolving wind-heat and eliminating dampness, preventing the generation of wind and phlegm. Do not treat this as a carbuncle or ulcer; instead, use half raw and half roasted Heiqianniu (Pharbitidis Semen) powdered, mixed into Wuling San (Five-Ingredient Poria Powder), and taken with wine.
The symptoms resemble those of Jingfeng (convulsive disease due to fright). Blood stasis obstructing the heart orifices leads to Ji Jing Cheng Xian (epilepsy formed from accumulated fright). External signs include depressed spirit, staring eyes, facial muscle traction, locked jaw with salivation, abdominal distension, and convulsions of the hands and feet, appearing neither fully alive nor dead. During attacks, there may be vocalization or silence, opisthotonos of the back and neck, or rigidity of the waist and spine, with periods of consciousness between episodes; this is defined as Xian (epilepsy). If rigidity persists without waking for a whole day, it is called Jing (spasm). Differentiation between Yin and Yang is essential: Attacks preceded by fever, convulsions, and crying are Yang Xian (Yang epilepsy), characterized by dry stools, dark urine, and a floating pulse. Since the pathology is in the Spleen and skin/flesh, it is easy to treat; warm herbs should not be used. Conversely, if the pathology is in the Zang organs and bone marrow, it is difficult to treat and classified as Yin Xian (Yin epilepsy); cold herbs should not be used. One should also observe the patient in supine and prone positions. The key treatment lies in relieving fright, expelling wind, and resolving phlegm. The sounds made during attacks may resemble those of dogs, sheep, cattle, chickens, or pigs. If a child has hot phlegm, manifesting as refusal to nurse, unstable sleep, and frequent palpitations, Xiaohong Wan (Little Red Pill) should be administered immediately to subdue excessive pathogenic qi.
Feng Xian (wind epilepsy) occurs when wind enters through deficient pores after sweating; initially, fingers flex as if counting, indicating heat generating phlegm. Jing Xian (fright epilepsy) results from shock, terror, or falls. Initial stages of accumulated fright involve mental confusion and loud screaming. Shi Xian (food epilepsy) occurs when fright happens during eating, causing food stagnation and accumulation; initially, there is vomiting of milk, anorexia, sour-smelling stools, followed by chills and then fever. All three types should first be purged with Xiaohong Wan, followed by a decoction containing: Danning (Arisaematis Cum Bile), Banxia (Pinelliae Rhizoma), Shenqu (Massae Fermentatae Medicinalis), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Zhishi (Aurantii Fructus Immaturus), Kuxingren (Armeniacae Semen Amarum), Suzi (Perillae Fructus or Leaf), Chenpi (Citri Reticulatae Pericarpium), Quanxie (Scorpio), Qingdai (Indigo Naturalis), Huanglian (Coptidis Rhizoma), Jiangcan (Bombyx Batryticatus), Tianzhuhuang (Calami Tiphosi), and Baifuzi (Typhonii Rhizoma). For Feng Xian, add Qianghuo (Notopterygii Rhizoma et Radix), Chantui (Cicadae Periostracum), and Duhuo (Angelicae Pubescentis Radix). For Jing Xian, add Yuanzhi (Polygalae Radix), Fushen (Poria cum Radice), and Shichangpu (Acori Tatarinowii Rhizoma). For Shi Xian, add Qingpi (Citri Reticulatae Pericarpium Viride) and Lvhui (Aloe).
Dian (catatonia), Xian (epilepsy), Kuang (mania), and Jing (spasm) all originate in the Heart. The Heart is the residence of Shen (spirit/mind) and prefers tranquility. Internal pathogens and external heat, combined with Spleen-Stomach deficiency failing to control Kidney water, lead to loss of spiritual mastery, mental confusion, and frequent fright, triggering these four conditions. Heavy Yin leads to Dian; Heavy Yang leads to Kuang. Xian involves softening of the body and subsequent awakening; Jing involves stiffness and warmth; Dian manifests as alternating sadness and joy, singing, and crying; Kuang manifests as delirious speech, anorexia, discarding clothes, and running. Xian involves falling to the ground, biting the tongue, foaming at the mouth, or making animal sounds; Jing involves opisthotonos and phlegm obstruction. These are all caused by wind-phlegm stagnating in the Pericardium Collateral. Failure to treat properly damages the Heart; heart damage leads to the departure of Shen and death. Treatment should focus on clearing the Heart, resolving phlegm, and regulating Qi.
Beimu (Fritillariae Bulbus), Danning (Arisaematis Cum Bile), Zisu (Perillae Folium), Zhishi (Aurantii Fructus Immaturus), Chenpi (Citri Reticulatae Pericarpium), Huanglian (Coptidis Rhizoma), Qingdai (Indigo Naturalis), Yuanzhi (Polygalae Radix), Fushen (Poria cum Radice), Banxiaqu (Pinelliae Praeparata Cum Fermento), and Shichangpu (Acori Tatarinowii Rhizoma).