痉病者，汗亡津血而感风寒也。其证身热足寒，颈项强急，恶寒时头热，面目俱赤，头摇口噤，背
反张，总由风寒乘虚入太阳经而成此证也。太阳兼统营卫，风寒伤人，营卫攸分。其发热汗出，
不恶寒者，名曰柔痉，风伤卫也。其发热无汗，反恶寒者，名曰刚痉，寒伤营也。如太阳病，其证备、
身体强，KT
KT然，脉反沉迟，此为柔痉，栝蒌桂枝汤主之。如太阳病无汗，而小便反少，气上冲胸，口噤不得
语，欲作刚痉，葛根汤主之。如胸满口噤，卧不着席，脚挛急，必 齿，可与大承气汤。如妇
人产后，或男子患金疮，伤血过多而成痉证者，以当归补血汤，合桂枝汤主之。
栝蒌桂枝汤
栝蒌根（四钱） 桂枝（三钱） 芍药（三钱） 甘草（二钱） 生姜（三钱）
大枣（四枚） 水煎大半杯，热服，覆衣，饮热稀粥，取微汗。
葛根汤
葛根（四钱） 麻黄（三钱先煎去沫） 桂枝（二钱） 芍药（二钱） 甘草（二钱）
生姜（三钱） 大枣（四枚） 水煎大半杯，热服，覆衣取微汗。
大承气汤
大黄（五钱生） 芒硝（三钱） 枳实（三钱） 浓朴（三钱） 水煎大半杯，
温服。此汤所治之证，乃阳明燥热，筋脉焦枯之故。宜用清凉滋润之味。甚者乃用此汤，泄其胃热乃愈。
当归补血汤合桂枝汤方
黄 （一两） 当归（三钱） 桂枝（三钱） 芍药（三钱） 甘草（二钱）
生姜（三钱） 大枣（四枚） 水煎大半杯，温服。
Jing disease (Spasm) is caused by the loss of body fluids and blood due to excessive sweating, followed by contraction of wind-cold pathogens. The symptoms include fever in the body but coldness in the feet, stiffness and tension in the neck and nape, aversion to cold with simultaneous heat in the head, redness of the face and eyes, shaking of the head, lockjaw (trismus), and opisthotonos (backward arching of the back). These are all caused by wind-cold invading the Taiyang Channel (Taiyang Meridian) when the body's defensive qi is deficient. The Taiyang Channel governs Ying (Nutritive Qi) and Wei (Defensive Qi). When wind-cold damages the human body, Ying and Wei are distinctly affected. If there is fever with sweating and no aversion to cold, it is named Rou Jing (Soft Spasm), which results from wind damaging the Wei Qi. If there is fever without sweating and with aversion to cold, it is named Gang Jing (Hard Spasm), which results from cold damaging the Ying Qi. In cases of Taiyang disease where all symptoms are present, the body is stiff and rigid, exhibiting a specific posture of rigidity, and the pulse is surprisingly deep and slow, this constitutes Rou Jing, which is primarily treated with Gualou Guizhi Tang (Trichosanthes Root and Cinnamon Twig Decoction). In cases of Taiyang disease with no sweating, accompanied by scanty urination, sensation of qi rushing up to the chest, lockjaw preventing speech, and impending onset of Gang Jing, Gegen Tang (Kudzu Root Decoction) is primarily used. If there is chest fullness, lockjaw, inability to lie flat with the back touching the bed, cramping and flexion of the legs, and inevitable teeth grinding, Dachengqi Tang (Major Order the Qi Decoction) may be administered. For women postpartum or men suffering from metal wounds (traumatic injuries from sharp objects) who develop spasm due to excessive blood loss, Danggui Buxue Tang (Angelica Sinensis Blood-Nourishing Decoction) combined with Guizhi Tang (Cinnamon Twig Decoction) should be used.
Gualou Guizhi Tang (Trichanthes Root and Cinnamon Twig Decoction)
Gualou Gen (Radix Trichosanthis, 4 qian) Guizhi (Ramulus Cinnamomi, 3 qian) Shaoyao (Radix Paeoniae Rubra, 3 qian) Gancao (Radix Glycyrrhizae, 2 qian) Shengjiang (Rhizoma Zingiberis Recens, 3 qian)
Dazao (Fructus Jujubae, 4 pieces) Decoct in water until half a cup remains, take hot, cover with clothing, drink hot thin porridge, to induce slight sweating.
Gegen Tang (Kudzu Root Decoction)
Gegen (Radix Puerariae Lobatae, 4 qian) Mahuang (Herba Ephedrae, 3 qian, decoct first and skim off foam) Guizhi (Ramulus Cinnamomi, 2 qian) Shaoyao (Radix Paeoniae Rubra, 2 qian) Gancao (Radix Glycyrrhizae, 2 qian)
Shengjiang (Rhizoma Zingiberis Recens, 3 qian) Dazao (Fructus Jujubae, 4 pieces) Decoct in water until half a cup remains, take hot, cover with clothing to induce slight sweating.
Dachengqi Tang (Major Order the Qi Decoction)
Dahuang (Radix et Rhizoma Rhei, 5 qian, raw) Mangxiao (Natrii Sulfas, 3 qian) Zhishi (Fructus Aurantii Immaturus, 3 qian) Houpo (Cortex Magnoliae Officinalis, 3 qian) Decoct in water until half a cup remains, take warm. This decoction treats conditions caused by Yangming dry-heat leading to withering of the sinews and vessels. It is appropriate to use cooling and moistening agents. Severe cases require this decoction to purge stomach heat for recovery.
Danggui Buxue Tang Combined with Guizhi Tang Formula
Huangqi (Radix Astragali Membranacei, 1 liang) Danggui (Radix Angelicae Sinensis, 3 qian) Guizhi (Ramulus Cinnamomi, 3 qian) Shaoyao (Radix Paeoniae Rubra, 3 qian) Gancao (Radix Glycyrrhizae, 2 qian)
Shengjiang (Rhizoma Zingiberis Recens, 3 qian) Dazao (Fructus Jujubae, 4 pieces) Decoct in water until half a cup remains, take warm.