颤,摇也。振,动也。风火相乘,动摇之象,比之螈 ,其势为缓。《内经》云∶诸风掉眩,皆属于肝。
掉即颤振之谓也。又曰∶诸禁鼓栗,如丧神守,皆属于热。鼓栗亦动摇之意也。此症多由风热相合,亦有风寒
所中者,亦有风挟湿痰者,治各不同也。(常见此症多于伤寒,热病痢疾中兼见者,多是热甚而然,虚亦有之。
背战摇振动轻利而不痿弱,比之中风 曳牵动重迟者,微有不同。)
星附散 治中风虽能言,口不 斜,手足 曳者。
天南星 半夏(以上俱用姜制) 人参 黑附子(去皮脐) 白附子 茯苓 川乌(去皮脐) 僵蚕
没药(各等分)
上 咀,每服五钱,水酒各一盏,煎八分,热服并进,得汗为度。
独活散(见前螈 条。)
〔《千》〕金牙酒 疗积年八风五疰,举身 曳,行步跛 ,不能收持。
金牙(碎如米粒,用小绢袋盛) 地肤子(无子,用茎叶。一方用蛇床子) 熟地 蒴 根 附子 防风
细辛 莽草(各四两) 川椒(四合) 羌活(一斤)
一方用独活。
上十味, 咀,盛以绢袋,用酒四斗,于瓷器中渍,封固勿令泄气,春夏三四宿,秋冬六七宿,酒成,去
滓,日服一合,常令酒气相接,不尽一剂,病无不愈。
产后因虚,伤风螈 ,同伤表症,未传入里,宜服防风汤。(见前风门。)
愈风汤 治产后中风,口噤螈 。亦治血晕,四肢强直。
用荆芥略炒为末,每服三钱,豆淋酒下。
增损柴胡汤 治产后感异症,手足牵搐,涎潮昏闷。
柴胡 黄芩(一钱二分) 人参(一钱半) 甘草(炙,一钱半) 石膏(二钱) 知母(一钱)
黄(二钱半) 半夏(一钱半)
上 咀,分二服,水二盏,姜三片,枣二枚,煎八分,不拘时服。
秦艽汤 前症已去,次服此药,去其风邪。
秦艽 芍药 柴胡(各一钱七分) 甘草(炙,一钱三分) 黄芩 防风(各一钱二分) 人参 半夏(各一钱一分)。
上 咀,分二帖,每帖水二盏,姜三片,煎八分,食远服。
Tremor refers to shaking. Convulsion refers to trembling. The mutual interaction of Wind and Fire presents the image of shaking; compared to convulsions (spasmodic contraction of muscles with extension and flexion of limbs), its intensity is milder. The *Neijing* states: "All wind diseases characterized by tremors, dizziness, and vertigo belong to the Liver." Here, "diao" refers to tremors and convulsions. It also states: "All cases of jaw clenching, shivering, and chattering teeth, resembling a loss of spiritual control, belong to Heat." Shivering and chattering teeth also imply shaking. This syndrome is mostly caused by the combination of Wind and Heat, but can also result from Cold-Wind invasion or Wind carrying Phlegm-Dampness; thus, treatments vary accordingly. (Clinically, this syndrome is often seen concurrently in Shanghan [Cold Damage], febrile diseases, and dysentery, mostly due to extreme Heat, though deficiency patterns also occur. Back trembling and shaking are mild with flexible limbs without flaccidity, which differs slightly from the heavy, sluggish traction and movement seen in Stroke.)
Xingfu San treats Stroke where the patient can speak, has no facial deviation, but experiences traction and twitching of the hands and feet.
Arisaema Cum Bile (Tiannanxing), Pinellia Rhizome Preparatum (Banxia) (both processed with ginger), Ginseng Radix et Rhizoma (Renshen), Aconitum Lateralis Radix Praeparata (Hei Fuzi) (skin and lateral root removed), Hydrastis Rhizoma (Baifuzi), Poria (Fuling), Aconitum Carmichaelii Radix (Chuanwu) (skin and lateral root removed), Bombyx Batryticatus (Jiangcan), Myrrha (Moyao) (equal parts).
Crush the herbs into coarse powder. Take 5 qian per dose, decoct with one cup of water and one cup of wine until reduced to 80%, take hot, and induce sweating as the goal.
Duhuo San (see previous section on Postpartum Convulsions).
[From *Qianjin Fang*] Jinya Jiu treats chronic Eight Winds and Five Zhu [infectious diseases], whole-body traction and twitching, limping gait, and inability to grasp or control movements.
Jinya (crushed like rice grains, placed in a small silk bag), Kochia Scoparia Herb (Difuzi) (if seeds are unavailable, use stems and leaves; another formula uses Cnidium Monnieri Fruit (Shechuangzi)), Prepared Rehmannia Root (Shudi), Polygonum Sieboldii Root (Shuodigu), Aconitum Carmichaelii Radix (Fuzi), Saposhnikovia Root (Fangfeng), Asarum Root (Xixin), Maogcao (each 4 liang), Sichuan Pepper (Chuanjiao) (4 he), Notopterygium Rhizome et Radix (Qianghuo) (1 jin).
Another formula uses Angelica Pubescens Root (Duhuo).
Crush the above ten ingredients into coarse powder, place in a silk bag, soak in 4 dou of wine in a porcelain vessel, seal tightly to prevent gas leakage. Soak for 3-4 nights in spring/summer, 6-7 nights in autumn/winter. Once the wine is ready, filter out the dregs. Take 1 ge daily, ensuring continuous wine effect. If one dose is not exhausted, the disease will surely be cured.
Postpartum convulsions due to deficiency and Wind invasion are similar to exterior injury syndromes; if the pathogen has not entered the interior, Fengfang Tang should be taken. (See previous section on Wind Gate.)
Yufeng Tang treats postpartum Stroke with jaw clenching and convulsions. It also treats Blood Syncope and limb rigidity.
Lightly stir-fry Schizonepeta Spike (Jingjie), grind into powder. Take 3 qian per dose, swallow with Doulin Wine (wine infused with black soybeans).
Zengsun Chaihu Tang treats postpartum abnormal symptoms such as traction and twitching of hands and feet, flooding of saliva, and drowsiness/confusion.
Bupleurum Root (Chaihu), Scutellaria Root (Huangqin) (1.2 qian), Ginseng Radix et Rhizoma (Renshen) (1.5 qian), Licorice Root Preparatum (Gancao, honey-fried) (1.5 qian), Gypsum Fibrosum (Shigao) (2 qian), Anemarrhena Rhizome (Zhimu) (1 qian), Astragalus Root (Huangqi) (2.5 qian), Pinellia Rhizome Preparatum (Banxia) (1.5 qian).
Crush into coarse powder, divide into two doses. Decoct with 2 cups of water, 3 slices of ginger, and 2 jujubes until reduced to 80%. Take at any time.
Qinjiao Tang: After the aforementioned symptoms have subsided, take this medicine next to dispel Wind pathogen.
Gardenia Gentian Root (Qinjiao), Peony Root (Shaoyao), Bupleurum Root (Chaihu) (each 1.7 qian), Licorice Root Preparatum (Gancao, honey-fried) (1.3 qian), Scutellaria Root (Huangqin), Saposhnikovia Root (Fangfeng) (each 1.2 qian), Ginseng Radix et Rhizoma (Renshen), Pinellia Rhizome Preparatum (Banxia) (each 1.1 qian).
Crush into coarse powder, divide into two packets. For each packet, decoct with 2 cups of water and 3 slices of ginger until reduced to 80%. Take well after meals.