周虚中曰∶张景岳有云,太阳血少者,多有戴眼反张之证,俗医称为惊风,误矣。盖太阳经脉,起于目内
,上额,由后颈下背脊,至足小指。凡有血虚不能荣养经络者,一着寒邪,则收引而急缩,理固然也。时
俗不察,往往以豁痰截风之剂,耗其血液,岂不悖哉!此景岳之特见也。
予忆往者,张乃媛,年五六岁,体极瘦削,一日群坐,忽然颠倒,作反弓状,自言楼上有鬼,眼目翻腾,
见白而不见黑。幼科群集,作惊风治不效,已经三日矣。观其人
之骨露筋浮,明系太阳少血,况楼为枯木,鬼属阴邪,亦系寒气伤荣所致。乃遵景岳之言,与道翁先生相商榷,
用厥阴门中当归四逆汤为主,甫投一剂,黑睛稍现,反弓之状亦减,于是连进三服而安。又姻翁高某某乃外家,
冬月拥炉向火,忽然背筋抽引作痛,头足弯后,四肢厥逆,眼皮吊起不能下。亦用前汤,倍加当归,大剂煎服,
一剂而痊。可见先生之力辟惊风,确乎不谬,而太阳之痉,又有血虚体弱之不同也。
痉有刚柔,刚痉无汗,柔痉有汗。小儿刚痉少,柔痉多,而且肌肤薄,腠理疏,不胜发表,惟宜解肌治痉。
当以《金匮》为主,奈《金匮》之方,未敢辄用,而世人亦不能用。今之所选,独海藏五方、《金匮》一方、
杂选一方、附血虚寒袭一方,以为婴儿病痉之准则。其随机应变,又在后贤神而明之,予又何敢以拘?
Zhou Xuzhong stated: Zhang Jingyue once pointed out that individuals with insufficient blood in the Taiyang (Greater Yang) meridian often present with symptoms such as upward deviation of the eyes and opisthotonos (backward arching of the body). Secular physicians erroneously label this condition as "Jingfeng" (Convulsive Disorder). This is incorrect. The Taiyang meridian originates from the inner canthus, ascends to the forehead, descends along the posterior neck to the dorsal spine, and terminates at the little toe of the foot. In cases where blood deficiency fails to nourish the meridians, the invasion of Cold pathogen inevitably causes contraction and spasm of the vessels, which is a natural physiological response. Unaware of this mechanism, common practitioners frequently administer phlegm-resolving and wind-extinguishing formulas, thereby depleting the patient's blood essence. Is this not contrary to medical principles? This represents Zhang Jingyue's unique insight.
I recall a past case involving Zhang Naiyuan, aged five or six, who was extremely emaciated. One day, while sitting with others, she suddenly collapsed into an opisthotonic posture, claiming to see ghosts upstairs. Her eyes were rolling, perceiving only white and not black. Pediatricians gathered and treated her for "Jingfeng" without success for three days. Upon examination, her bones were prominent and tendons were visible, clearly indicating Blood deficiency in the Taiyang meridian. Furthermore, the old building represented dry wood, and ghosts belong to Yin pathogens; thus, the etiology was determined to be Cold damaging the Ying (Nutritive) level. Following Zhang Jingyue’s advice, after consultation with Mr. Daoweng, we prescribed Danggui Sini Tang (Angelica Decoction for Reversal Cold) from the Jueyin (Terminal Yin) chapter as the primary formula. After just one dose, the black pupil became slightly visible, and the opisthotonic posture improved. Three consecutive doses resulted in recovery.
Another case involved my relative-in-law, Gao Moumou. In winter, while warming himself by a stove, he suddenly experienced spasmodic pain in the back muscles, with his head and feet bent backward, cold extremities, and eyelids retracted upward unable to close. We used the same formula, doubling the dosage of Danggui (Radix Angelicae Sinensis), prepared in a large decoction. He recovered after one dose. This demonstrates that Mr. Zhang’s refutation of the "Jingfeng" diagnosis is indeed correct, and that Taiyang Jing (Spasm) presents differently depending on whether there is Blood deficiency and physical weakness.
Jing (Spasm) is categorized into Gang Jing (Rigid Spasm) and Rou Jing (Flexible Spasm). Gang Jing is characterized by absence of sweating, whereas Rou Jing presents with sweating. Children rarely suffer from Gang Jing but frequently from Rou Jing. Given their thin skin and loose cunli (interstices/pores), they cannot tolerate strong diaphoretic methods for releasing the exterior. Therefore, only muscle-relieving methods for treating Jing should be employed. Although the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet) should be the primary reference, its formulas are difficult for me to apply arbitrarily and often misunderstood by the public. Consequently, the selected references herein include Li Dongyuan’s (Haizang) five formulas, one from *Jin Gui*, one miscellaneous selection, and the attached formula for Blood-deficient Cold invading the Taiyang Jing, serving as standards for infantile Jing. As for adapting to changing circumstances, this relies on the profound understanding of later generations; how dare I remain rigid?