肝风（气热为外伤风，气温为内生风）目直（热则两 俱紧不转。凡目直兼青者，必发惊；切牙甚者，
亦发惊）手循捻，
肝主谋，故循衣领，乱捻物。风甚身强反张力大，泻青丸；心乘风火相搏则发搐，导赤散；渴、喘，
泻白散。
虚则切牙呵欠兼。
心不受热，目连札不搐，或发抽力小，俱当补肾治肝，肾气丸。如心乘肝，实邪，壮热而搐，利惊丸、
凉惊丸；肺乘肝，贼邪气盛，呵欠微搐，法当以肾气丸补肝，泻白散泻肺；脾乘肝微邪，多睡身重发搐，先以
泻青丸定搐，然后随所见证调治；肾乘肝，虚邪，憎寒呵欠发搐，羌活膏。所谓乘者，犹乘车之乘。五脏相乘
莫测，如肝病必先治肺补肾，然后审肝脏虚实而调之，余脏仿此。
心惊（搐）难言合面卧，
烦热上窜，舌强欲言不能叫哭，胸热，故欲合卧就凉，单泻心汤、导赤散、小生犀散。
虚则困卧惊悸添。
温惊丸。肺乘心，喘而壮热，泻白散；肝乘心，风热，大羌活汤下泻青丸；脾乘心，身热，泻黄散；
肾乘心，恐怖恶寒，朱砂安神丸。
脾困（倦）身热渴不食，
实则困睡不露睛，身热渴欲饮水，或闭或泄黄赤色，泻黄散。
虚则吐泻风生痰。
虚则吐腥，泄泻白色，多睡露睛，四肢渐次生风，或有痰，钱氏白术散，异功散、理中丸。肝乘脾，
风泄而呕，二陈汤加黄芩；心乘脾，壮热体重而泻，羌活黄芩苍术甘草汤主之；肺乘脾，能食不大便而呕嗽，槟
榔、大黄煎汤下葶牛丸；肾乘脾，恶寒而泄，理中丸。
肺燥（喘嗽）鼻干手掐目，
实则喘而气盛，或渴，泻白散润之。手循眉目鼻面者，甘桔汤主之。肺只伤寒则不胸满；肺热复有风冷，
胸满短气喘嗽，泻白散、大青膏主之。
虚则（唇白色）少气喘无厌。
气哽长出少气，先服益黄散，而后阿胶散。心乘肺，热而喘嗽，先肾气丸，次导赤散、阿胶散；肝乘肺，
恶风眩冒喘嗽，人参羌活散；肾乘肺，憎寒，嗽清利，百部丸；脾乘肺，体重痰嗽泄泻，四君子汤加藿香、干
葛、木香、甘草。
肾寒畏明颅自解，
肾只不足，惟痘疮∶肾实则黑陷。小儿肾虚，由胎气不充，则神不足，目多白睛，畏明，颅囟自开，面
白色，皆难养或夭。有因病而致虚者，可补。
下窜足热火欲炎。
下窜者，骨重惟欲坠下而缩身也。足热不喜衣覆，心火下于肾部，肾气丸或正气汤。心乘肾，内热不恶
寒，桂枝汤加黄芩为丸；肺乘肾，喘嗽皮涩寒，百部丸；肝乘肾，拘急气搐身寒，理中丸；脾乘肾，体重泄泻
身寒，理中丸。凡本脏虚弱，皆鬼贼克害，当补本脏正气。假令肺病咳嗽，当春补肾，当夏救肺，当秋泻肺，
当冬补心。泻本脏，又名寒泻。大抵五脏各至本位即气盛，不可更补；到初克位，不可更泻。又肺病重，见肝
虚证易治，见肝热证难治。盖肺病久则虚冷，肝强实而反胜也。经曰∶受所制而不能制，谓之真强，法当
先补脾肺，而后
泻肝；肺胜者当补肝泻肺。然嗽久虚羸，不可服泻白散，宜肾气丸。又肝病见秋，肝胜肺也，宜补肺泻肝，
轻者病退，重者唇白如枯骨者死；肺病见春，肺胜肝也；心病见冬，心胜肾也；肾病见夏，肾胜心也；脾病
见四脏，顺者易治，逆者难治。五脏病机，不离五行生克制化之理，所以有脏腑虚实乘胜之病，世俗不审此
理，往往率指为外感、内伤，而用药枉死，此钱氏、洁古之功大矣哉！
Liver Wind (caused by external wind invading due to Qi heat, or internal wind generated due to Qi warmth) manifests as fixed gaze (when heat is excessive, both eyes are tight and do not rotate. If fixed gaze is accompanied by bluish discoloration, convulsions will definitely occur; severe teeth grinding also indicates convulsions). The child performs actions such as picking at clothes and randomly grasping objects because the Liver governs planning and deliberation. If wind is severe causing body stiffness and opisthotonos, use Xie Qing Wan (Green Dragon Decoction); if the Heart is affected by wind-fire combusting leading to spasms, use Dao Chi San (Guide Out Red Powder); if accompanied by thirst and wheezing, use Xie Bai San (Drain White Powder).
If it is a deficiency pattern, it manifests as teeth grinding, yawning, and palpitations.
When the Heart is not invaded by heat, symptoms may include eyelid twitching without spasms, or spasms with weak intensity. In all these cases, one should tonify the Kidney and treat the Liver using Shen Qi Wan (Kidney Qi Pill). If excess pathogenic factors from the Heart invade the Liver, manifesting as high fever and spasms, use Li Jing Wan (Relieve Convulsion Pill) or Liang Jing Wan (Cool Convulsion Pill); if Lung pathogenic qi invades the Liver (Thief Pathogen), with strong qi manifesting as yawning and slight spasms, the treatment method should be to tonify the Liver with Shen Qi Wan and drain the Lung with Xie Bai San; if Spleen mild pathogen invades the Liver, manifesting as excessive sleepiness, heavy body, and spasms, first use Xie Qing Wan to stop spasms, then regulate according to the specific syndrome; if Kidney deficiency pathogen invades the Liver, manifesting as aversion to cold, yawning, and spasms, use Qiang Huo Gao (Notopterygium Paste). The term "Cheng" (invade/overcome) is like riding a vehicle. The interactions among the Five Zang organs are unpredictable. For example, in Liver disease, one must first treat the Lung and tonify the Kidney, then examine the Liver's deficiency or excess for regulation; other Zang organs follow this principle.
Heart惊 (Convulsion) manifests as difficulty speaking and a preference for sleeping face-down. Heat rises irritably, the tongue is stiff making speech difficult despite crying, chest heat causes a desire to lie face-down for coolness. Use Dan Xie Xin Tang (Single Drain Heart Decoction), Dao Chi San, or Xiao Sheng Xi San (Minor Rhinoceros Horn Powder).
If it is a deficiency pattern, it manifests as lethargy, lying down, and increased palpitations. Use Wen Jing Wan (Warm Convulsion Pill). Lung pathogen invading Heart manifests as wheezing and high fever; use Xie Bai San. Liver wind-heat invading Heart uses Da Qiang Huo Tang administered with Xie Qing Wan. Spleen pathogen invading Heart manifests as body heat; use Xie Huang San. Kidney pathogen invading Heart manifests as fear and aversion to cold; use Zhu Sha An Shen Wan (Cinnabar Calming Spirit Pill).
Spleen Kua (Fatigue) manifests as body heat, thirst, and anorexia.
If it is an excess pattern, it manifests as drowsiness without exposed pupils, body heat, thirst with desire to drink water, constipation or diarrhea with yellow-red stool color; use Xie Huang San.
If it is a deficiency pattern, it manifests as vomiting, diarrhea, generation of wind, and phlegm. Deficiency patterns show vomit with fishy smell, white diarrhea, excessive sleep with exposed pupils, gradual generation of wind in four limbs, possibly with phlegm. Use Qian Shi Bai Zhu San (Qian’s Atractylodes Macrocephala Powder), Yi Gong San (Benefit Work Powder), or Li Zhong Wan (Regulate Middle Pill). Liver pathogen invading Spleen manifests as wind-diarrhea and vomiting; use Er Chen Tang plus Huang Qin. Heart pathogen invading Spleen manifests as high fever, heavy body, and diarrhea; use Qiang Huo Huang Qin Cang Zhu Gan Cao Tang as the main formula. Lung pathogen invading Spleen manifests ability to eat but no bowel movement, vomiting, and cough; administer Ting Ni Wan (Descurainia and Coptis Pill) with decoction of Bing Lang and Da Huang. Kidney pathogen invading Spleen manifests as aversion to cold and diarrhea; use Li Zhong Wan.
Lung Dryness (Wheezing/Cough) manifests as dry nose and hand-picking at eyebrows, eyes, and face.
If it is an excess pattern, it manifests as wheezing with vigorous qi, or thirst; use Xie Bai San to moisten. Hand-picking at eyebrows, eyes, nose, and face is treated with Gan Jie Tang (Licorice and Platycodon Decoction). If Lung is only affected by Cold Damage, there is no chest fullness; if Lung heat is compounded by wind-cold, manifesting as chest fullness, shortness of breath, wheezing, and cough, use Xie Bai San or Da Qing Gao (Great Green Paste).
If it is a deficiency pattern (white lips), it manifests as shortness of breath and panting without aversion.
Qi choking, long exhalations, and shortness of breath: first take Yi Huang San, then E Jiao San. Heart pathogen invading Lung manifests as heat, wheezing, and cough; first take Shen Qi Wan, then Dao Chi San and E Jiao San. Liver pathogen invading Lung manifests as aversion to wind, dizziness, wheezing, and cough; use Ren Shen Qiang Huo San. Kidney pathogen invading Lung manifests as aversion to cold, clear profuse sputum cough; use Bai Bu Wan. Spleen pathogen invading Lung manifests as heavy body, phlegm-cough, and diarrhea; use Si Jun Zi Tang plus Huo Xiang, Gan Ge, Mu Xiang, and Gan Cao.
Kidney Cold manifests as aversion to light and fontanelle opening.
Kidney insufficiency is seen mainly in smallpox: Kidney excess manifests as black depression. Pediatric Kidney deficiency, due to insufficient prenatal qi, results in deficient spirit, prominent whites of the eyes, photophobia, open fontanelles, and pale complexion; these are difficult to nurture or may die young. Those who become deficient due to illness can be tonified.
Downward dragging, hot feet, fire wanting to flare up.
"Downward dragging" refers to heavy bones wanting to sink and curl up. Hot feet disliking clothing cover indicate Heart fire descending to the Kidney region; use Shen Qi Wan or Zheng Qi Tang. Heart pathogen invading Kidney manifests as internal heat without aversion to cold; use Gui Zhi Tang plus Huang Qin made into pills. Lung pathogen invading Kidney manifests as wheezing, cough, dry skin, and aversion to cold; use Bai Bu Wan. Liver pathogen invading Kidney manifests as tension, qi spasms, and cold body; use Li Zhong Wan. Spleen pathogen invading Kidney manifests as heavy body, diarrhea, and cold body; use Li Zhong Wan. Whenever the primary Zang organ is weak, it is subject to destruction by controlling elements; one must tonify the primary Zang's righteous qi. For instance, in Lung disease with cough, tonify Kidney in Spring, rescue Lung in Summer, drain Lung in Autumn, and tonify Heart in Winter. Draining the primary Zang is also called Cold Draining. Generally, when each Zang reaches its own position, its qi is prosperous and should not be further tonified; when reaching the initial controlling position, it should not be further drained. Furthermore, in severe Lung disease, seeing Liver deficiency signs makes it easy to treat, while seeing Liver heat signs makes it difficult to treat. This is because prolonged Lung disease leads to deficiency-cold, while strong Liver excess overcomes it. The Classic states: "Being controlled but unable to control is called True Strength." The method should be to first tonify Spleen and Lung, then drain Liver; if Lung is victorious, tonify Liver and drain Lung. However, in chronic cough leading to emaciation, Xie Bai San should not be used; Shen Qi Wan is suitable. Additionally, Liver disease appearing in Autumn indicates Liver overcoming Lung; tonify Lung and drain Liver. Mild cases recover, severe cases with lips white as dead bone die. Lung disease appearing in Spring indicates Lung overcoming Liver. Heart disease appearing in Winter indicates Heart overcoming Kidney. Kidney disease appearing in Summer indicates Kidney overcoming Heart. Spleen disease appearing in relation to the other four Zang organs: smooth progression is easy to treat, reverse progression is difficult. The pathology of the Five Zang organs does not depart from the principles of Five Elements generation and restriction. Thus, diseases of Zang-Fu deficiency/excess and mutual overcoming exist. Laypeople often fail to examine this principle, rashly diagnosing as external contraction or internal injury, leading to death from incorrect medication. This is why the contributions of Qian Yi and Jiegu (Zhang Yuansu) are great!