夫伤寒痉病之状。身热足寒。头项强直。恶寒头面热摇头。卒口噤。背脊反张是也。此
由肺
寒。
治伤寒阴痉。节筋急硬。阳痉即易瘥。阴痉即难瘥。宜羌活散方。
羌活（一两） 黄松木节（一两锉） 茯神（一两） 石膏（一两） 防风（一两去芦
头） 王不
留行（半两） 桂心（半两） 麻黄（一两去根节） 当归（半两锉微炒）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣二枚。煎至六分。去滓。
不计
汗出
治伤寒阴痉。颈项强直。四肢拘急。疼痛。足冷口噤。宜服附子散方。
附子（炮裂去皮脐） 人参（去芦头） 白茯苓 前胡（去芦头） 白术 麻黄（去根
节） 桂
心
（半两炮
裂
上件药。捣筛为散。每服五钱。以水一中盏。入生姜半分。煎至五分。去滓。不计时候
。温温频服。
治伤寒阴痉。手足厥冷。筋脉拘急。汗出不止。宜服白术散方。
白术 桂心 附子（炮裂去皮脐） 防风（去芦头） 芎 甘草（炙微赤锉）〔以
上各三分
（半两）〕
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候热服。
治伤寒阴阳痉病。头痛壮热。百节酸疼。吐逆闷绝。口噤。腰背反张。手足强直。
肉热
麻黄（一两半去根节） 防风（一两去芦头） 赤茯苓（一两） 秦艽（一两去苗） 葳
蕤（一
两）
牡丹（三
分）
上件药。捣筛为散。每服五钱。以水一大盏。煎至七分。去滓。入淡竹沥一合。更煎三
两沸。分温二服。日三四服。
治伤寒。汗出后成阴阳痉。骨节烦痛。不得屈伸。近之即痛。汗出短气。小便不利
。恶
附子（一两炮裂去皮脐） 白术（三分） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。枣三枚。煎至五分。去滓。
不计时候温服。
治伤寒阴痉。三日不瘥。手足厥冷。筋脉拘急。汗不出。恐阴气内伤。宜服白术
散方。
白术（半两） 白茯苓（半两） 麻黄（半两去根节） 五味子（半两） 桂心（三分）
高良姜
（一分锉） 羌活（半两） 附子（三分炮裂去皮脐）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒阴痉。闭目合面。手足厥逆。筋脉拘急。汗不止。宜服柴胡散方。
柴胡（一两半去苗） 白术（一两） 白茯苓（三分） 甘草（三分炙微赤锉） 五味
子（一两）
干姜（三分炮裂锉） 附子（三分炮裂去皮脐） 防风（三分去芦头） 桂心（半两）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治伤寒阳痉。经二三日不瘥。毒瓦斯攻五脏。心神烦躁。四肢疼痛。宜服桂心散方。
桂心 柴胡（去苗） 赤茯苓 五味子 麦门冬（去心） 槟榔 甘草 细辛（以上各
三分）
上件药。捣筛为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时候
温服。
治伤寒阳痉。身热无汗。恶寒。头项强直。四肢疼痛。烦躁心悸。睡卧不得。宜
服羚羊
羚羊角屑（一分） 犀角屑（一分） 防风（一分去芦头） 茯神（一分） 柴胡（一
分去苗）
麦门
壳（一分
麸炒
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒阳痉。身体壮热。项背强直。心膈烦躁。发热恶寒。头面赤色。四肢疼痛。
宜服
麦门冬（三分去心） 麻黄（三分去根节） 赤茯苓（三分） 知母（三分） 犀角屑
（三分）
地骨
杏仁
（三分
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒阳痉。通身大热。宜服龙齿散方。
龙齿（三分） 前胡（二分去芦头） 犀角屑（半两） 木通（半两锉） 子芩（半两）
甘草（
一分炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。入牛黄末一字。搅令匀
。不计时候温服。
治伤寒阳痉。通身热。仰目头痛。宜服石膏散方。
石膏（二两） 龙齿（一两） 犀角屑（半两） 前胡（半两去芦头） 秦艽（一两去
苗）
上件药。捣筛为散。每服五钱。以水一大盏。入豉五十粒。葱白七寸。煎至五分。去滓
。入牛黄末一字。搅令匀。不计时候温服之。
治伤寒阳痉。壮热不歇。筋脉拘急。牙关急痛。宜服防风散方。
防风（一两去芦头） 木通（一两锉） 麦门冬（一两去心） 川升麻（一两） 甘草
（三分炙
微赤锉） 虎杖（一两锉） 石膏（二两） 葛根（一两锉）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒头痛。面色赤。发热。形如中风。常自汗出。呕逆。下之益烦。心懊 。
腹如饥
芎 （一两） 独活（二两） 柴胡（一两半去苗） 川大黄（一两锉碎微炒） 防风
（三分去
芦头）
上件药。捣筛为散。每服五钱。以水一中盏。煎至五分。去滓。不计时候温服。
治伤寒阳痉。壮热不渴。筋脉不能舒展。牙关疼急。不欲见食。宜服白藓皮散方。
白藓皮（一两） 百合（一两） 石膏（一两半） 羚羊角屑（一分） 木通（一两锉）
防风（
一两去芦头） 川升麻（一两） 龙齿（一两半）
上件药。捣粗罗为散。每服三钱。以水一中盏。入葱白七寸。豉五十粒。煎至六分。去
滓。不计时候温服。
治伤寒阳痉。通体大热。心神烦悸。宜服龙齿散方。
龙齿（一两） 前胡（一两去芦头） 犀角屑（半两） 牛黄〔半分（两）别研〕 麦
门冬〔
二（一）两去心焙〕
上件药。捣细罗为散。入牛黄同研令匀。每服。以竹沥调下二钱。不计时候温服。
治伤寒阳痉。发热恶寒。头项强直。四肢拘急。心神烦躁。宜服牛黄散方。
牛黄（一分细研） 麝香（一分细研） 朱砂（一分细研） 人参（一分去芦头） 赤
茯苓（一
分）
屑（一分）
地骨
上件药。捣细罗为散。入牛黄朱砂麝香。同研令匀。每服。不计时候。以竹沥调下二钱
The manifestations of cold damage spasm disease include: fever in the body with cold feet, stiffness and rigidity of the head and neck, aversion to cold accompanied by heat in the head and face, shaking of the head, sudden lockjaw (trismus), and opisthotonos (backward arching of the back). This is caused by cold pathogen affecting the Lung.
For treating Yin Spasm (spasm characterized by yin deficiency or cold stagnation) due to cold damage, where sinews are tight and hard: Yang Spasm is easier to cure, while Yin Spasm is difficult to cure. Use Qianghuo San (Notopterygium Powder).
Qiang Huo (Rhizoma et Radix Notopterygii, 1 liang) Huang Song Mu Jie (Branches of Pinus massoniana, 1 liang, crushed) Fu Shen (Sclerotium Poriae Cum Radix, 1 liang) Shi Gao (Gypsum Fibrosum, 1 liang) Fang Feng (Radix Saposhnikoviae, 1 liang, radix removed) Wang Bu Liu Xing (Semen Vaccariae, 0.5 liang) Gui Xin (Cortex Cinnamomi, 0.5 liang) Ma Huang (Herba Ephedrae, 1 liang, roots and joints removed) Dang Gui (Radix Angelicae Sinensis, 0.5 liang, crushed and lightly stir-fried)
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong zhan (approx. 200ml) of water, 0.5 fen of fresh ginger, and 2 jujubes. Decoct until reduced to 6 fen. Strain. Take warm regardless of sweating.
For treating Yin Spasm due to cold damage, presenting with stiffness of the neck and head, tetanic contraction and pain in the four limbs, cold feet, and lockjaw: Use Fuzi San (Aconite Powder).
Fu Zi (Radix Aconiti Lateralis Preparata, cracked and peeled) Ren Shen (Radix Ginseng, radix removed) Bai Fu Ling (Poria, 3 qian) Qian Hu (Radix Peucedani, radix removed) Bai Zhu (Rhizoma Atractylodis Macrocephalae, 3 qian) Ma Huang (Herba Ephedrae, roots and joints removed) Gui Xin (Cortex Cinnamomi, 0.5 liang, cracked)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 zhong zhan of water and 0.5 fen of fresh ginger. Decoct until reduced to 5 fen. Strain. Take warm frequently at any time.
For treating Yin Spasm due to cold damage, presenting with coldness of hands and feet, tetanic contraction of sinews and vessels, and continuous sweating: Use Baizhu San (Atractylodes Macrocephala Powder).
Bai Zhu (Rhizoma Atractylodis Macrocephalae) Gui Xin (Cortex Cinnamomi) Fu Zi (Radix Aconiti Lateralis Preparata, cracked and peeled) Fang Feng (Radix Saposhnikoviae, radix removed) Xiong (Radix Chuanxiong) Gan Cao (Radix Glycyrrhizae Preparata, stir-fried until slightly red and crushed) [Each 3 qian]
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 5 fen. Strain. Take hot at any time.
For treating Yang and Yin Spasm diseases due to cold damage, presenting with headache, high fever, soreness and pain in all joints, vomiting and nausea, chest oppression leading to fainting, lockjaw, opisthotonos, rigid limbs, and hot muscles:
Ma Huang (Herba Ephedrae, 1.5 liang, roots and joints removed) Fang Feng (Radix Saposhnikoviae, 1 liang, radix removed) Chi Fu Ling (Poria, 1 liang) Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, buds removed) Wei Yu (Rhizoma Polygonati Odorati, 1 liang) Mu Dan Pi (Cortex Moutan, 3 qian)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan (approx. 300ml) of water. Decoct until reduced to 7 fen. Strain. Add 1 he (approx. 20ml) of Dan Zhu Li (Bamboo Sap). Boil for three boils. Divide into two warm doses. Take 3-4 times daily.
For treating cold damage where Yin and Yang Spasm develops after sweating, presenting with vexatious pain in bone joints, inability to flex and extend, pain upon touch, sweating with shortness of breath, difficulty in urination, and aversion to cold:
Fu Zi (Radix Aconiti Lateralis Preparata, 1 liang, cracked and peeled) Bai Zhu (Rhizoma Atractylodis Macrocephalae, 3 qian) Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang, stir-fried until slightly red and crushed)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water, 0.5 fen of fresh ginger, and 3 jujubes. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yin Spasm due to cold damage that has not healed after three days, presenting with coldness of hands and feet, tetanic contraction of sinews and vessels, absence of sweating, and fear of internal injury by Yin Qi: Use Baizhu San (Atractylodes Macrocephala Powder).
Bai Zhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang) Bai Fu Ling (Poria, 0.5 liang) Ma Huang (Herba Ephedrae, 0.5 liang, roots and joints removed) Wu Wei Zi (Fructus Schisandrae Chinensis, 0.5 liang) Gui Xin (Cortex Cinnamomi, 3 qian) Gao Liang Jiang (Rhizoma Alpiniae Officinarum, 1 fen, crushed) Qiang Huo (Rhizoma et Radix Notopterygii, 0.5 liang) Fu Zi (Radix Aconiti Lateralis Preparata, 3 qian, cracked and peeled)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 fen of fresh ginger. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yin Spasm due to cold damage, presenting with closed eyes and turned face, coldness of hands and feet, tetanic contraction of sinews and vessels, and continuous sweating: Use Chaihu San (Bupleurum Powder).
Chai Hu (Radix Bupleuri, 1.5 liang, buds removed) Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Bai Fu Ling (Poria, 3 qian) Gan Cao (Radix Glycyrrhizae Preparata, 3 qian, stir-fried until slightly red and crushed) Wu Wei Zi (Fructus Schisandrae Chinensis, 1 liang) Gan Jiang (Rhizoma Zingiberis Preparatum, 3 qian, cracked and crushed) Fu Zi (Radix Aconiti Lateralis Preparata, 3 qian, cracked and peeled) Fang Feng (Radix Saposhnikoviae, 3 qian, radix removed) Gui Xin (Cortex Cinnamomi, 0.5 liang)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 fen of fresh ginger. Decoct until reduced to 6 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage that has not healed after two or three days, where toxic qi attacks the five zang organs, causing mental restlessness and pain in the four limbs: Use Guixin San (Cinnamon Twig Powder).
Gui Xin (Cortex Cinnamomi) Chai Hu (Radix Bupleuri, buds removed) Chi Fu Ling (Poria) Wu Wei Zi (Fructus Schisandrae Chinensis) Mai Men Dong (Tuber Ophiopogonis Japonici, core removed) Bing Lang (Areca Semen) Gan Cao (Radix Glycyrrhizae) Xi Xin (Herba Asari, each 3 qian)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water and 0.5 fen of fresh ginger. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage, presenting with fever without sweating, aversion to cold, stiffness of the head and neck, pain in the four limbs, restlessness, palpitations, and insomnia: Use Lingyang Jiao San (Antelope Horn Powder).
Ling Yang Jiao (Cornu Saigae Tataricae, 1 fen) Xi Jiao (Horn Rhinocerotis, 1 fen) Fang Feng (Radix Saposhnikoviae, 1 fen, radix removed) Fu Shen (Sclerotium Poriae Cum Radix, 1 fen) Chai Hu (Radix Bupleuri, 1 fen, buds removed) Mai Men Dong (Tuber Ophiopogonis Japonici, 1 fen, core removed) Zhi Mu (Rhizoma Anemarrhenae Asphodeloides, 1 fen) Di Gu Pi (Cortex Lycii, 1 fen) Xing Ren (Semen Pruni Armeniacae, 1 fen, bran-fried)
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage, presenting with high fever, stiffness of the neck and back, vexation in the heart and diaphragm, fever with aversion to cold, redness of the head and face, and pain in the four limbs: Use Maidong San (Ophiopogon Powder).
Mai Men Dong (Tuber Ophiopogonis Japonici, 3 qian, core removed) Ma Huang (Herba Ephedrae, 3 qian, roots and joints removed) Chi Fu Ling (Poria, 3 qian) Zhi Mu (Rhizoma Anemarrhenae Asphodeloides, 3 qian) Xi Jiao (Horn Rhinocerotis, 3 qian) Di Gu Pi (Cortex Lycii, 3 qian) Xing Ren (Semen Pruni Armeniacae, 3 qian)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage with severe whole-body heat: Use Longchi San (Dragon Teeth Powder).
Long Chi (Os Draconis, 3 qian) Qian Hu (Radix Peucedani, 2 fen, radix removed) Xi Jiao (Horn Rhinocerotis, 0.5 liang) Mu Tong (Caulis Akebiae Trifoliate, 0.5 liang, crushed) Huang Qin (Radix Scutellariae Baicalensis, 0.5 liang) Gan Cao (Radix Glycyrrhizae Preparata, 1 fen, stir-fried until slightly red and crushed)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until reduced to 5 fen. Strain. Add Yi Zi amount of Niu Huang (Calculus Bovis). Mix well. Take warm at any time.
For treating Yang Spasm due to cold damage with whole-body heat, upward-turned eyes, and headache: Use Shigao San (Gypsum Powder).
Shi Gao (Gypsum Fibrosum, 2 liang) Long Chi (Os Draconis, 1 liang) Xi Jiao (Horn Rhinocerotis, 0.5 liang) Qian Hu (Radix Peucedani, 0.5 liang, radix removed) Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, buds removed)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water, 50 grains of Chi Dou Chi (Faba Fabae Preparata), and 7 cun of Cong Bai (Scallion White). Decoct until reduced to 5 fen. Strain. Add Yi Zi amount of Niu Huang (Calculus Bovis). Mix well. Take warm at any time.
For treating Yang Spasm due to cold damage with persistent high fever, tetanic contraction of sinews and vessels, and painful tension of the jaw: Use Fangfeng San (Saposhnikovia Powder).
Fang Feng (Radix Saposhnikoviae, 1 liang, radix removed) Mu Tong (Caulis Akebiae Trifoliate, 1 liang, crushed) Mai Men Dong (Tuber Ophiopogonis Japonici, 1 liang, core removed) Chuan Sheng Ma (Rhizoma Cimicifugae Foetidae, 1 liang) Gan Cao (Radix Glycyrrhizae Preparata, 3 qian, stir-fried until slightly red and crushed) Hu Zhang (Caulis Polygoni Cuspidati, 1 liang, crushed) Shi Gao (Gypsum Fibrosum, 2 liang) Ge Gen (Radix Puerariae Lobatae, 1 liang, crushed)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 da zhan of water. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating headache due to cold damage with red complexion, fever, appearance resembling wind-stroke, spontaneous sweating, vomiting and nausea, increased irritability after purgative treatment, mental anguish, and abdominal discomfort resembling hunger:
Xiong (Radix Chuanxiong, 1 liang) Du Huo (Radix Angelicae Pubescentis, 2 liang) Chai Hu (Radix Bupleuri, 1.5 liang, buds removed) Chuan Da Huang (Radix et Rhizoma Rhei Palmati, 1 liang, crushed and lightly stir-fried) Fang Feng (Radix Saposhnikoviae, 3 qian, radix removed)
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose. Add 1 zhong zhan of water. Decoct until reduced to 5 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage with high fever but no thirst, inability of sinews to relax, painful tension of the jaw, and loss of appetite: Use Baixianpi San (Dictamnus Powder).
Bai Xian Pi (Cortex Dictamni, 1 liang) Bai He (Bulbus Lilii, 1 liang) Shi Gao (Gypsum Fibrosum, 1.5 liang) Ling Yang Jiao (Cornu Saigae Tataricae, 1 fen) Mu Tong (Caulis Akebiae Trifoliate, 1 liang, crushed) Fang Feng (Radix Saposhnikoviae, 1 liang, radix removed) Chuan Sheng Ma (Rhizoma Cimicifugae Foetidae, 1 liang) Long Chi (Os Draconis, 1.5 liang)
Coarsely sieve the above ingredients to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water, 7 cun of Cong Bai (Scallion White), and 50 grains of Chi Dou Chi (Faba Fabae Preparata). Decoct until reduced to 6 fen. Strain. Take warm at any time.
For treating Yang Spasm due to cold damage with severe whole-body heat, mental restlessness, and palpitations: Use Longchi San (Dragon Teeth Powder).
Long Chi (Os Draconis, 1 liang) Qian Hu (Radix Peucedani, 1 liang, radix removed) Xi Jiao (Horn Rhinocerotis, 0.5 liang) Niu Huang (Calculus Bovis, 0.5 fen, separately ground) Mai Men Dong (Tuber Ophiopogonis Japonici, 1 liang, core removed and baked)
Finely sieve the above ingredients to make a powder. Mix with Niu Huang (Calculus Bovis) thoroughly. Take 2 qian per dose, mixed with Zhu Li (Bamboo Sap). Take warm at any time.
For treating Yang Spasm due to cold damage with fever, aversion to cold, stiffness of the head and neck, tetanic contraction of the four limbs, and mental restlessness: Use Niuhuang San (Calculus Bovis Powder).
Niu Huang (Calculus Bovis, 1 fen, finely ground) She Xiang (Moschus, 1 fen, finely ground) Zhu Sha (Cinnabaris, 1 fen, finely ground) Ren Shen (Radix Ginseng, 1 fen, radix removed) Chi Fu Ling (Poria, 1 fen) Ling Yang Jiao (Cornu Saigae Tataricae, 1 fen) Di Gu Pi (Cortex Lycii, 1 fen)
Finely sieve the above ingredients to make a powder. Mix with Niu Huang (Calculus Bovis), Zhu Sha (Cinnabaris), and She Xiang (Moschus) thoroughly. Take 2 qian per dose, mixed with Zhu Li (Bamboo Sap). Take at any time.