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(Attached: Lockjaw and Opisthotonos in Stroke)

The discussion states: What is the reason for excessive sweating after childbirth leading to other diseases? The answer is: After childbirth, blood deficiency causes the interstices (pores/skin texture) to be loose, resulting in profuse sweating. If wind pathogen invades and combats with this condition, pathological changes occur. Jing disease (a syndrome characterized by neck stiffness, limb spasms, lockjaw, and opisthotonos), manifests as lockjaw where the mouth cannot open, back stiffness and straightness, resembling an epileptic seizure, shaking of the head, sounds like a horse neighing, body bending backward, occurring ten times in a short period, with breath appearing as if cut off. One should quickly pry open the mouth and administer Xiao Xuming Tang (Cinnamon Twig and Ephedra Decoction, a formula for dispelling wind and cold while tonifying qi and blood). Once slightly relieved, sweating will occur. If the patient is too weak to even wipe themselves (indicating critical illness or inability to cooperate), it is incurable.

Treats stroke, as well as Gang-Jing (Stiff Spasm) and Rou-Jing (Soft Spasm). Also treats Jiaoqi (foot weakness/numbness) with bi-syndrome (obstruction) and weakness, inability to turn over, and concurrently treats infantile convulsions.
Mahuang (Ephedrae Herba, processed, nodes may be removed, add Gegen) Guixin (Cinnamomi Cortex) Gancao (Glycyrrhizae Radix et Rhizoma) (each half liang) Fangfeng (Saposhnikoviae Radix) (3 qian 3 fen) Shaoyao (Paeoniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata) Fangji (Stephaniae Tetrandrae Radix) Huangqin (Scutellariae Radix) (each 1 fen)
The above herbs are crushed into coarse powder. Each dose is 5 qian. Add 1.5 zhan of water, decoct until 1 zhan remains, filter out the dregs, obtain 8 li of clear liquid; add Shengjiangzhi (Fresh Ginger Juice), boil one or two more times, take warm. Take three times daily, twice at night. For Rou-Jing with spontaneous sweating, remove Mahuang; in summer or when heat is present in the disease, remove Fuzi, reduce Guixin by half; in winter and early spring, remove Huangqin. (Although this formula appears in Volume 3, it contains Xingren but lacks Baizhu.) Although Chen Wuyue commented: "Postpartum sweating leading to various changes can also be treated with Xuming Tang," this is hard to believe. Since there is already profuse sweating, why use Mahuang, Guan Gui (Official Cinnamon), Fangji, and Huangqin? It is better to use Dadou Zi Tang (Black Soybean Purple Decoction). Daisheng San (Great Sage Powder) from the Imperial Medical Bureau is also a good medicine. I observe that Zhu Fengyi said: "For both Gang-Jing and Rou-Jing, Xiao Xuming Tang can be used with modifications." For Rou-Jing with spontaneous sweating, there is a method of removing Mahuang and adding Gegen. Zhu Fengyi must have had basis for this. Although Dadou Zi Tang and Daisheng San are excellent, one should not hold biased views or make distorted interpretations that hinder the original intent of the ancients.

Treats stroke with dizziness, aversion to wind, spontaneous sweating, vomiting cold water, and various postpartum diseases. Or stroke fei (limb flaccidity/paralysis), jing (spasm), back stiffness, lockjaw, staring eyes, irritability, and heat. Pulse being tight and large indicates an untreatable condition. "Duanju Fang" mainly treats severe postpartum stroke with back stiffness and lockjaw, or merely irritability, or heaviness of head and body, or severe itching and heaviness of body, vomiting, and staring eyes. ("Zhimifang" calls it Duhuo Tang)
Chuan Duhuo (Angelicae Pubescentis Radix) (1.5 liang) Dadou (Black Soybean) (0.5 sheng) Jiu (Wine) (3 sheng)
First, soak Duhuo in wine and boil one or two times. Separately, stir-fry Dadou until extremely scorched and smoking. Immediately throw the hot soybeans into the wine, seal tightly, wait for it to cool, then remove the beans. Each dose is about 1-2 he. Recovery occurs when slight sweating is achieved. Take ten times daily. This medicine can dispel wind and resolve blood stasis. It is effective for traumatic injuries during pregnancy, intrauterine fetal death, etc., where taking this medicine leads to improvement. Any postpartum lockjaw, waist and back stiffness, and opisthotonos are all named Jing disease, also called . The ancients distinguished between Gang-Jing and Rou-Jing by observing the presence or absence of sweating, treating them accordingly. Current books like "Chanbao" have separate sections for stroke lockjaw and opisthotonos, but they are essentially the same. Conditions resembling Taiyang disease with chills and fever are not discussed here. How can such conditions be treated with only one or two medicines? I now select the formulas and discussions from "Baiwen," which are detailed in the previous chapter. (See Volume 3, Discussion 2) May readers understand this clearly as if looking at their own palms.