〔薛〕螈者筋脉急而缩也， 者筋脉缓而伸也。一缩一伸，手足相引搐搦不已。大
抵与婴孩发搐相似，谓之螈 也。此证多属风，盖风主摇动。骆龙吉云∶心主脉，肝主
筋，心属火，肝属木，火主热，木主风，风火相炽，则为螈 也。治法∶若因风热，用
钓藤汤加柴胡、山栀、黄芩、白术，以平肝木，降心火，养气血。若风痰上涌，加竹沥、
南星、半夏。若风邪急搐，加全蝎、僵蚕。亏损气血，用八珍汤加钓藤、山栀为主。若无
力抽搐，戴眼反折，汗出如珠者，肝绝也，皆不治。一妊妇四肢不能伸，服祛风燥血之
剂，遗屎痰甚，四肢抽搐。余谓肝火血燥，用八珍汤加炒黑黄芩为主，佐以钓藤汤而安。后
因怒，前证复作，小便下血，寒热少寐，饮食少思，用钓藤散加山栀、柴胡而血止。用
加味逍遥散，寒热退而得寐。用六君子汤加芍药、钓藤钩，饮食进而渐愈。
钓藤汤（见胎动不安。） 钓藤散（眩晕。）
消风散 治妊娠肝脏热毒上攻太阳穴，胸膈涎壅，头旋目晕，或腮项肿核。
石膏（ ） 防风（去芦） 川羌活（去芦） 甘菊花（去枝梗） 川芎 羚羊角（镑）
当归（酒浸，去芦） 大豆黄卷（炒） 荆芥穗 白芷（各一钱） 炙甘草（半钱）
上作一服，水二盅，好芽茶半钱，煎至一盅，食远服。
犀角散 治妊娠妇人诸风热困倦，时发昏眩。
犀角 楝参 山栀仁 川羌活 黄连 青黛 川芎 吴白芷 茯苓 甘草（炙，各一钱）
上作一服，水二盅，生姜三片，竹叶七叶，煎至一盅，食远服。
[Xue Ji] Chou Che (convulsions, referring to the contraction and shortening of tendons and vessels) refers to the tension and contraction of tendons and vessels; Che (convulsions, referring to the relaxation and extension of tendons and vessels) refers to the looseness and extension of tendons and vessels. One contraction and one extension cause the hands and feet to pull and twitch incessantly. Generally, this condition is similar to convulsions in infants, and is called Chou Che. This syndrome mostly belongs to Wind pathogen, as Wind governs movement and shaking. Luo Longji said: The Heart governs the vessels, the Liver governs the tendons; the Heart belongs to Fire, the Liver belongs to Wood; Fire governs Heat, Wood governs Wind. When Wind and Fire blaze together, Chou Che occurs. Treatment methods: If caused by Wind-Heat, use Gouteng Tang (Uncaria Decoction) with added Chai Hu (Bupleurum Root), Shan Zhi (Gardenia Fruit), Huang Qin (Scutellaria Root), and Bai Zhu (Atractylodes Rhizome) to calm the Liver Wood, descend Heart Fire, and nourish Qi and Blood. If Wind-Phlegm surges upward, add Zhu Li (Bamboo Sap), Nan Xing (Arisaema Rhizoma Cum Melle), and Ban Xia (Pinellia Tuber). If acute twitching is caused by Wind Evil, add Quan Xie (Scorpio) and Jiang Can (Bombyx Batryticatus). If due to deficiency of Qi and Blood, use Bazhen Tang (Eight Treasure Decoction) with added Gouteng (Uncaria Ramulus cum Uncis) and Shan Zhi as the main formula. If there is weak twitching, eyes rolling upward (Dai Yan), body arching backward (Fan Zhe), and sweat beading like pearls, this indicates Liver Qi exhaustion, which are all incurable cases. A pregnant woman could not extend her limbs; after taking formulas that dispel Wind and dry Blood, she suffered from fecal incontinence, excessive phlegm, and limb convulsions. I reasoned that this was due to Liver Fire and Blood Dryness, treated primarily with Bazhen Tang (Eight Treasure Decoction) plus stir-fried black Huang Qin (Scutellaria Root), assisted by Gouteng Tang (Uncaria Decoction), resulting in recovery. Later, due to anger, the previous symptoms recurred with hematuria, alternating chills and fever, insomnia, and poor appetite. She was treated with Gouteng San (Uncaria Powder) plus Shan Zhi (Gardenia Fruit) and Chai Hu (Bupleurum Root), stopping the bleeding. Jia Wei Xiao Yao San (Modified Free Wanderer Powder) was used, resolving the chills and fever and allowing sleep. Liu Jun Zi Tang (Six Gentlemen Decoction) plus Shao Yao (Peony Root) and Gouteng Gou (Uncaria Ramulus cum Uncis) was used, improving appetite and leading to gradual recovery.
Gouteng Tang (See under "Restless Fetus"). Gouteng San (See under "Vertigo").
Xiao Feng San (Wind-Dispersing Powder) treats liver heat-toxin attacking the temporal region during pregnancy, phlegm-fluid congestion in the chest and diaphragm, dizziness and blurred vision, or swelling and nodules in the cheeks and neck.
Shi Gao (Gypsum Fibrosum) [dosage missing] Fang Feng (Saposhnikovia Root, remove radix end) Chuan Qiang Huo (Notopterygium Rhizome et Radix, remove radix end) Gan Ju Hua (Chrysanthemi Flos, remove stems and pedicels) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Ling Yang Jiao (Saiga Tataricae Cornu, sliced) Dang Gui (Angelica Sinensis Radix, wine-soaked, remove radix end) Da Dou Huang Juan (Sojae Semen Praeparatum, stir-fried) Jing Jie Sui (Schizonepeta Spike) Bai Zhi (Angelica Dahurica Radix) [each 1 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 0.5 qian)
Take as one dose. Add water 2 zhong, Hao Ya Cha (Good Sprout Tea) 0.5 qian. Decoct until 1 zhong remains. Take after meals.
Xi Jiao San (Rhinoceros Horn Powder) treats pregnant women suffering from various wind-heats causing fatigue and frequent vertigo.
Xi Jiao (Rhinocerotis Cornu) Lian Shen (Stemonae Radix) Shan Zhi Ren (Gardeniae Semen) Chuan Qiang Huo (Notopterygium Rhizome et Radix) Huang Lian (Coptidis Rhizoma) Qing Dai (Indigo Naturalis) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Wu Bai Zhi (Angelica Dahurica Radix) Fu Ling (Poria) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, each 1 qian)
Take as one dose. Add water 2 zhong, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Zhu Ye (Bambusae Folium) 7 leaves. Decoct until 1 zhong remains. Take after meals.