颤振与 相类。 则手足牵引，或伸或屈，颤振则但颤动而不伸屈也。《内经》云∶因胃气不实，诸脉空虚。行
阴用不复因其所在补肉分间。然小儿疮疡溃腐，或损伤，脓血出多，属脾胃气虚血弱，用补中益气汤、五味异功散加白
术、当归、升麻主之。肝经虚热，用六味丸。脾血虚弱，用四君子加芎、归。胃气虚弱，用补中益气汤。
一小儿腿痈，内溃出脓碗许，实时颤振，面白汗出。此阳气虚脱，非大补不可也，遂用人参一两煎服之，汗愈甚，
手足并冷，再用人参二两、干姜二钱煎服，良久汗乃稍止，
再剂诸症顿愈，却用补中益气汤加人参五钱，数剂而愈。
一小儿臂痈溃后，颤振少气，脉浮数，按之不鼓，此元气虚弱也，朝用补中益气汤，夕用异功散各二十余剂，未见
效，因虚甚而功力未能及耳，又用前药各二十余剂，颤渐愈。后佐以托里散，而疮亦痊。
一小儿十六岁，臀痈溃而颤振、遂用大补中气之药而颤止。因劳发热，痈内溃而复颤，脉浮数，按之不鼓，两寸脉
短小不及本位，或欲祛风。余曰∶长则气治，短则气病，此由胃气虚甚故也，先用独参汤数剂愈，乃佐以补中益气汤各
五十余剂而愈。若加附子一片，数剂亦可愈矣。
一女子十六岁，臂肿一块，肉色不变，按之则痛，服败毒流气之剂，更加发颤，时孟春面戴阳光，手不畏寒，脉浮
数，按之不鼓而短，彼欲攻毒，余曰∶此荣卫虚弱，外寒所搏而为患也，又加败毒，胃气亏损，岂不加颤耳！遂用人参
五钱，黄 三钱，当归、熟地各三钱，升麻、柴胡各五分，二十余剂而颤稍缓。乃佐以补中益气汤，内用人参五钱，又
二十余剂，兼葱熨法，而肿亦愈。
一女子患瘰 ，因怒两手颤振，面色或青或赤，此肝经血虚火盛而生风也，用四物加山栀、钩藤钩、龙胆草、甘草，
而颤振渐愈，乃去胆草，与地黄丸间服而痊。后因劳心发热，两手复振，用补中益气汤、地黄丸而愈。
一小儿患臂痈，面色或黄或赤，先用补中益气汤、地黄丸寻愈。后因怒气颤振，先用补中益气汤加钩藤钩、炒山
栀；又用加味逍遥散加钩藤钩而愈。又因饮食停滞，吐泻酸臭，更加发搐，用五味异功散加钩藤钩而愈。
一女子患流注，发热而颤，此肝脾气血不足，经水过期，虚火生风之症也，先用补中益气汤加钩藤钩渐愈，又用
加味地黄丸而痊愈。
一女子不得继母之心，久而郁怒，遂患颤振，面赤发热，先用加味小柴胡汤，次用加味归脾汤及加味逍遥散，前
后间服而寻愈。但面色时青，又用地黄丸、逍遥散而安。
一女子腹痈患此，手足或急或纵，先用四物加柴胡、山栀、丹皮、钩藤钩，以养血清肝火；又用地黄丸以滋肾生肝
血而愈。
（方见前各症。）
Tremor and convulsion (limb traction and spasm) are similar. Convulsion manifests as limb traction, with extension or flexion; whereas tremor is merely trembling and shaking, without extension or flexion. The *Huangdi Neijing* states: "Because the Stomach Qi is not substantial, all meridians become empty." Treatment should follow the movement of Yin Qi, tonifying the Qi in the muscle interspaces at the site of the lesion. However, when children suffer from ulcerated and putrid sores, or injuries, with excessive discharge of pus and blood, it belongs to Spleen and Stomach Qi deficiency and Blood weakness. The primary treatment should be Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Wuyi Yigong San (Five Agents for Extraordinary Merit Powder), modified with Baizhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), and Shengma (Cimicifugae Rhizoma). If there is deficient heat in the Liver meridian, Liuwei Wan (Six-Ingredient Pill with Rehmannia) is used. For Spleen Blood deficiency, Sijunzi Tang (Four Gentlemen Decoction) modified with Xiong (Ligustici Chuanxiong Rhizoma) and Gui (Angelicae Sinensis Radix) is used. For Stomach Qi deficiency, Buzhong Yiqi Tang is used.
A child developed a carbuncle on the leg, which internally ulcerated and discharged approximately one bowl of pus. Immediately thereafter, tremors occurred, with a pale complexion and sweating. This indicates Yang Qi collapse and depletion, requiring major tonification. Ren Shen (Ginseng Radix et Rhizoma) 1 liang was decocted and administered. The sweating worsened, and both hands and feet became cold. Subsequently, Ren Shen 2 liang and Gan Jiang (Zingiberis Rhizoma) 2 qian were decocted and administered. After a long time, the sweating subsided slightly. After two more doses, all symptoms resolved abruptly. Thereafter, Buzhong Yiqi Tang modified with Ren Shen 5 qian was administered for several doses until recovery.
Another child had an arm carbuncle that ulcerated, followed by tremors and shortness of breath. The pulse was floating and rapid, but weak upon deep pressure (not drumming against the finger), indicating Yuan Qi (Original Qi) deficiency. In the morning, Buzhong Yiqi Tang was administered; in the evening, Yigong San was administered. After more than twenty doses of each, no effect was seen. This was because the deficiency was severe, and the medicinal power had not yet reached the disease site. The previous medicines were continued for another twenty-plus doses each, after which the tremors gradually improved. Later, Tuoli San (Support the Interior Powder) was added as an adjuvant, and the sore also healed.
A sixteen-year-old child had a buttock carbuncle that ulcerated, leading to tremors. Large-dose Qi-tonifying medicines were used, stopping the tremors. Later, due to fatigue-induced fever, the carbuncle internally ulcerated again, triggering tremors. The pulse was floating and rapid, weak upon deep pressure, and the Cun (inch) pulses on both wrists were short and small, failing to reach their normal position. Someone suggested dispelling wind. I said: A long pulse indicates regulated Qi; a short pulse indicates Qi pathology. This is caused by extreme Stomach Qi deficiency. Dushen Tang (Single Ginseng Decoction) was administered for several doses, resulting in recovery. Then, Buzhong Yiqi Tang was added as an adjuvant, administered for fifty-plus doses of each until recovery. If one slice of Fuzi (Aconiti Lateralis Radix Praeparata) had been added, recovery could have been achieved in a few doses.
A sixteen-year-old female had a swelling on her arm, with unchanged skin color, painful upon pressure. After taking Jiudu Liuqi agents (antidotal and Qi-moving preparations), she developed increased tremors. It was early spring; her face appeared flushed as if covered by sunlight, and her hands were not afraid of cold. The pulse was floating and rapid, weak upon deep pressure and short. She desired to attack the toxin. I said: This is due to Ying and Wei (Nutritive and Defensive) Qi weakness, attacked by external cold. Adding more antidotal medicines damages Stomach Qi; would this not exacerbate the tremors? Therefore, Ren Shen 5 qian, Huangqi (Astragali Radix) 3 qian, Danggui 3 qian, Shudi (Rehmanniae Radix Preparata) 3 qian, Shengma 5 fen, and Chaihu (Bupleuri Radix) 5 fen were administered. After twenty-plus doses, the tremors eased slightly. Then, Buzhong Yiqi Tang was added as an adjuvant, containing Ren Shen 5 qian. After another twenty-plus doses, combined with Congyun method (scallion moxibustion/fomentation), the swelling also healed.
A female suffered from scrofula (luoli). Due to anger, her hands trembled. Her complexion alternated between green and red. This indicated Liver meridian Blood deficiency with excess fire generating wind. Siwu Tang (Four Substances Decoction) modified with Zhizi (Gardeniae Fructus), Goutenggou (Uncariae Ramulus cum Uncis), Longdancao (Gentianae Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) was used, and the tremors gradually improved. Longdancao was then removed, and Dihuang Wan (Rehmannia Pill) was administered alternately until recovery. Later, due to mental exertion causing fever, her hands trembled again. Buzhong Yiqi Tang and Dihuang Wan were used until recovery.
A child suffered from an arm carbuncle. His complexion alternated between yellow and red. Initially, Buzhong Yiqi Tang and Dihuang Wan were used, and he recovered quickly. Later, due to anger, tremors occurred. Buzhong Yiqi Tang modified with Goutenggou and Chao Zhizi (Stir-fried Gardeniae Fructus) was used first; then JiaWei Xiaoyao San (Modified Free and Easy Wanderer Powder) modified with Goutenggou was used until recovery. Later, due to food stagnation, vomiting and diarrhea with sour odor occurred, accompanied by spasms. Wuyi Yigong San modified with Goutenggou was used until recovery.
A female suffered from liuzhu (flowing abscesses), with fever and tremors. This was a syndrome of Liver and Spleen Qi and Blood deficiency, delayed menstruation, and deficiency fire generating wind. Buzhong Yiqi Tang modified with Goutenggou was used initially, leading to gradual improvement. Then JiaWei Dihuang Wan (Modified Rehmannia Pill) was used until complete recovery.
A female did not receive affection from her stepmother. Over time, depression and anger led to tremors. Her face was red and she had a fever. JiaWei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) was used first, followed by JiaWei Guipi Tang (Modified Restore the Spleen Decoction) and JiaWei Xiaoyao San, administered alternately until recovery. However, her complexion sometimes turned green, so Dihuang Wan and Xiaoyao San were used to stabilize her condition.
A female suffered from an abdominal carbuncle with this condition. Her limbs were sometimes rigid and sometimes flaccid. Siwu Tang modified with Chaihu, Zhizi, Danpi (Moutan Cortex), and Goutenggou was used first to nourish Blood and clear Liver fire. Then Dihuang Wan was used to nourish Kidney and generate Liver Blood until recovery.
(The formulas are described in the preceding sections regarding various syndromes.)