张涣云∶缘禀受肾气不足者，气血未荣，脚指拳缩无力，不能伸展。海桐皮散主之。
海桐皮散 治脚拳不展。
海桐皮 当归（汤洗，焙干） 牡丹皮 熟地黄 牛膝（酒浸，焙。各一两） 山茱萸 补骨脂
（各半两）
上为细末，每服一钱，水八分，入葱白二寸，煎至五分，去滓，温服，食前。
《圣惠》儿在胞，母脏腑有积冷，为风邪所乘，生后、肾气不足，气血未荣，故脚指
拳缩不展。
宜当归散
当归（焙） 麻黄（去根节。各半两） 羌活 酸枣仁（微炒） 人参 杜仲（微炙） 桂心
（各二钱半）
上为细末。每服一钱，水一小盏，姜少许，姜五分，量儿大小，乳前分减服。
干地黄丸
生地黄 郁李仁（汤浸，去皮尖微炒。各半两） 牛膝 防风 桂心 海桐皮 羌活 白茯
苓薏苡仁（各二钱半）
上为末，蜜丸，如绿豆。乳前、温酒下七丸；量儿加减。
〔曾〕肝者，东方青龙木也，其动则应于风，病则主惊骇。诸热引肝风，有风则
生痰，有痰亦作搐，小儿惊风之际，手足动掣，当听其自定，然后疗之，免生异证，
或父母见其病势可畏，从而按伏之，岂知筋者、肝之合也，临病发时，若按束其手
足，则筋不舒伸，遂至经络为风所闭，终为废人。《内经》曰∶顽弱名缓风，疼重名
湿痹，又有四肢痿痹不仁，致手足稍胀痛不堪忍者，此风毒之气使然，故传曰∶风
淫末疾是也。凡小儿心悸不常，及遍身肿痛，或手足不随，此为惊瘫候也，若治之
稍迟，至臂、腕、膝、胫、骨节之间，流结顽核，或膝大而肿，肉消骨露，如鹤膝
之状，或为瘫为疖，此名鹤膝候也。以上形证，并宜发汗为先，使腠理开通，则风
热可除，有湿亦去，用百解散和 咀五苓散倍加麻黄，水姜葱煎服，微得汗为度，
或以麻黄汤发散尤佳，次防己汤、祛风散及独活汤加桑寄生投服，并防风汤或黑虎
丹、作小丸子间服，使风不生而痰不作，则其疾易愈。若为痈为疖疼重者，用黑牵
牛半生半炒，略研碎，前无灰酒调下五苓散，以除流注之寒湿，则肿毒可消。如大
腑闭而不通，此是风热内蕴，其右腮红紫，及右手三部脉浮而实滑，宜五和汤，或
当归散、枳壳丸治之。其加减之法，尤在临机审处，若泥一方，非良医也。前证，
更宜间服排风汤。
〔薛〕鹤膝风者，其腿渐细，其膝愈粗，状如鹤膝，是以名之。此因禀肾经不足，
外邪所乘而患之，初则膝内作痛，外色不变，伸屈艰难，若一二月间， 肿色赤而
作脓者可治。肿硬色白而不作脓者难治。初起者用大防风汤为主，佐以益气养荣汤。
脓成者用补中益气汤为主，佐以大防风汤。切勿用十宣、流气、等药，若不溃、不
敛，或发热等证者，须调补脾胃为善，否则必变败证矣。
大防风汤 治鹤膝风，肿痛不消，或溃而不敛。
附子（炮） 牛膝（酒炒。各一钱） 白术 羌活 人参 防风（各二钱） 杜仲
（去皮，姜制） 川芎 肉桂（去皮） 黄 （炒） 熟地黄（自制） 芍药（炒，各一钱五分）
甘草（一钱）
上，每服三五钱，水煎，仍量儿大小用之。
独活寄生汤
独活 桑寄生 杜仲（炒） 细辛 牛膝（酒炒去土） 秦艽 茯苓 白芍药（炒） 桂心 川
芎防风 甘草 人参 熟地黄 当归（各等分）
上，每服二三钱，水煎，空心，乳母同服。
益气养荣汤（瘰 ） 百解散（惊） 五苓散（惊） 麻黄汤（伤寒）
防己汤 治感冒风湿之气失于解表，流注两足，疼痛至两膝，浮肿不能屈伸，传成
瘫痪。
防己（去黑皮） 麻黄（去节存根，功全表里，锉碎，汤泡，滤过，焙干用） 薄桂（去粗皮。各半两）
赤芍药 赤茯苓（去皮） 苍术（米泔水浸一宿，去粗皮，滤，锉片，火炒至微黄。各一两） 甘草
（炙，七钱半）
上件， 咀。每服二钱，水一盏，姜二片，葱一根，煎七分，空心热服。或入
薤白同煎。
祛风散 治卒暴中风，不能言全，口眼 斜，惊瘫搐掣，痰实烦躁，神昏有热，
睡卧不稳。
防风（去芦） 南星（生用） 甘草（生用） 半夏（制） 黄芩（各一两）
上碎。每服二钱，水一盏半，姜三片，慢火煎七分，不拘时、温服。
独活汤 治惊瘫鹤膝及中风湿，日久致腰背手足疼痛，昼轻夜重，及四肢痿痹不仁。
川独活（黄色、如鬼眼者佳，半两） 当归（酒洗） 白术 黄 （蜜水涂炙） 薄桂（去粗皮）
川牛膝（酒洗，各二钱半） 甘草（炙，三钱）
上件， 咀。每服二钱，水一盏，姜二片，薤白一根，煎七分，空心热服，或无时。
防风汤（惊）
黑虎丹 治诸般风证。
草乌（去黑皮，一两生用） 川乌（去黑皮，生用） 甘草（各七钱半） 麻黄（不去根节）
甘松 熟干地黄（净洗） 藿香叶 白芷 油烟墨（烧存性） 猪牙皂荚 川芎 当归 何首乌
南星（生用） 僵蚕（去丝） 赤小豆 羌活 白胶香 木鳖子（去油。各半两）
上件，锉碎，或焙或晒，研为细末，糯米粉煮糊丸，麻仁大。每服三十丸至五
十丸，或七十丸，稍空心，用淡姜汤下。儿小者，丸作粟谷大，治法如前。
五和汤（热） 当归散（热） 枳壳丸（大便秘）
排风汤 治中风狂言，失音不语，精神昏困，惊瘫鹤膝等证，及肿疾才愈后偶感外
风，满面遍体虚浮，并宜可服。
白藓皮 白术 白芍药 薄桂（去粗皮） 防风（去芦） 川芎 当归（酒洗） 杏仁（汤泡，
去皮尖） 甘草（炙。各半两） 川独活 麻黄（去根节） 白茯苓（去皮。各七钱半）
上，每服二钱，水一盏，姜二片，煎七分，无时温服。
Zhang Huan stated: Due to insufficient congenital Kidney Qi, the Qi and Blood fail to flourish and nourish, resulting in toes curled into fists, weakness, and inability to extend. The primary treatment is Haitongpi San (Sea Poplar Bark Powder).
Haitongpi San (Sea Poplar Bark Powder): Treats toes curled and unable to extend.
Ingredients: Haitongpi (Phellodendri Cortex), Danggui (Angelicae Sinensis Radix) (washed with decoction, dried by baking), Mudanpi (Moutan Cortex), Shudihuang (Rehmanniae Radix Preparata), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine, dried by baking; each 1 liang), Shanzhuyu (Corni Fructus), Buguzhi (Psoraleae Fructus) (each 0.5 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian per dose, add 8 fen of water, insert 2 cun of scallion white (Allii Fistulosi Bulbus), decoct until 5 fen of water remains, strain, and take warm before meals.
The *Shenghui Fang* records: While in the womb, if the mother's Zang-Fu organs have accumulated cold, she is susceptible to Wind pathogenic factors. After birth, due to insufficient Kidney Qi and lack of Qi and Blood nourishment, the toes curl and cannot extend.
Danggui San (Angelica Sinensis Powder) is suitable.
Ingredients: Danggui (Angelicae Sinensis Radix) (baked), Mahuang (Ephedrae Herba) (roots and nodes removed; each 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix), Suanzaoren (Ziziphi Spinosae Semen) (lightly stir-fried), Renshen (Ginseng Radix), Duzhong (Eucommiae Cortex) (lightly roasted), Guixin (Cinnamomi Ramulus) (each 2.5 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian per dose, add one small cup of water, a little ginger, decoct to 5 fen, and administer in divided doses before breastfeeding according to the infant's size.
Ganshengdi Huang Wan (Raw Rehmannia Pill):
Ingredients: Shengdihuang (Rehmanniae Radix), Yuliren (Pruni Semen), Niuxi (Achyranthis Bidentatae Radix), Fangfeng (Saposhnikoviae Radix), Guixin (Cinnamomi Ramulus), Haitongpi (Phellodendri Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Baifuling (Poria), Yiyiren (Coicis Semen) (Yuliren soaked in decoction, skin and tip removed, lightly stir-fried; each 0.5 liang; others each 2.5 qian).
Preparation and Administration: Grind into powder, make pills with honey the size of mung beans. Take seven pills before breastfeeding with warm wine; adjust dosage according to the infant.
[Zeng Shi] The Liver corresponds to the Azure Dragon of the East Wood. Its movement responds to Wind; when diseased, it primarily manifests as fright and terror. Various Heat pathogens draw out Liver Wind. With Wind comes Phlegm; with Phlegm comes convulsion. During pediatric wind-stroke (Jing Feng), when hands and feet twitch and jerk, one should allow them to settle naturally before treating, to avoid other complications. If parents, fearing the severity, forcibly restrain the limbs, they do not realize that sinews are the external correspondence of the Liver. Restraint during an attack prevents sinews from relaxing and extending, eventually causing meridians to be blocked by Wind, leading to permanent disability. The *Neijing* states: "Weakness is called Huan Feng (Lax Wind); pain and heaviness are called Shi Bi (Damp Bi)." There are also cases of four-limb flaccidity, bi-syndrome, and numbness, causing unbearable mild swelling and pain in hands and feet; this is caused by Wind-Toxin Qi. Thus, it is said: "Wind excess leads to diseases of the extremities." Whenever infants have palpitations and restlessness, general body swelling and pain, or inability to move hands and feet voluntarily, this is a sign of Jing Tan (Fright Paralysis). If treatment is delayed, the pathogen flows into the arms, wrists, knees, and shins, forming hard nodules between bone joints, or causing knee swelling with muscle wasting and exposed bones, resembling a crane's knee (He Xi). This may become paralysis or sores, named He Xi Hou (Crane Knee Syndrome). For these manifestations, sweating therapy should be used first to open the pores (Cou Li), thereby eliminating Wind-Heat and Dampness. Use Baijie San (Hundred-Resolving Powder) combined with Wuling San (Five-Ingredient Powder with Poria), adding double the amount of Mahuang (Ephedrae Herba), decocted with water, ginger, and scallion, aiming for slight sweating. Using Mahuang Tang (Ephedra Decoction) for dispersal is even better. Subsequently, use Fangji Tang (Stephania Decoction), Qufeng San (Wind-Expelling Powder), or Duhuo Tang (Angelicae Pubescentis Decoction) plus Sangjisheng (Taxilli Caulis et Ramulus). Fangfeng Tang (Saposhnikoviae Decoction) or Heihu Dan (Black Tiger Pill) made into small pills taken intermittently can also be used. This ensures Wind does not generate and Phlegm does not form, facilitating recovery. If sores or boils develop with severe pain, use Heiqianniu (Pharbitidis Semen), half raw and half stir-fried, slightly crushed, taken with Wu-Liu Jiu (non-grain alcohol) mixed with Wuling San to eliminate flowing Cold-Damp, resolving swelling and toxicity. If feces are closed and unpassable, this indicates internal accumulation of Wind-Heat, manifesting as red-purple right cheek and floating, solid, slippery pulses on the right hand three positions. Wuhe Tang (Five-Harmonizing Decoction), Danggui San (Angelica Sinensis Powder), or Zhike Wan (Citrus Aurantium Pill) are appropriate. Dosage adjustments require clinical judgment; sticking rigidly to one formula is not the way of a good physician. For the aforementioned conditions, Paifeng Tang (Wind-Expelling Decoction) should be taken intermittently.
[Xue Shi] He Xi Feng (Crane Knee Wind) is characterized by gradually thinning legs and increasingly thick knees, resembling a crane's knee. This arises from congenital insufficiency of the Kidney Meridian, compounded by external pathogens. Initially, there is pain inside the knee with no external color change, and difficulty in flexion and extension. If, after one or two months, the swelling becomes red and suppurates, it is treatable. If the swelling is hard, white, and non-suppurating, it is difficult to treat. Early stages are treated primarily with Dafangfeng Tang (Great Wind-Expelling Decoction), assisted by Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction). When pus forms, Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) is primary, assisted by Dafangfeng Tang. Do not use Shixuan (Ten Acupoints) or Liuqi (Flowing Qi) medicines. If there is no ulceration, no healing, or fever, tonifying and regulating the Spleen and Stomach is best; otherwise, it will degenerate into a fatal condition.
Dafangfeng Tang (Great Wind-Expelling Decoction): Treats Crane Knee Wind with persistent swelling and pain, or ulcers that do not heal.
Ingredients: Fuzi (Aconiti Lateralis Radix Preparata) (prepared), Niuxi (Achyranthis Bidentatae Radix) (wine-fried; each 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Ginseng Radix), Fangfeng (Saposhnikoviae Radix) (each 2 qian), Duzhong (Eucommiae Cortex) (skin removed, ginger-processed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Rougui (Cinnamomi Cortex), Huangqi (Astragali Radix) (stir-fried), Shudihuang (Rehmanniae Radix Preparata) (homemade), Shaoyao (Paeoniae Radix Alba) (stir-fried; each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Preparation and Administration: Take 3-5 qian per dose, decoct in water, adjusting dosage according to the infant's size.
Duhuo Jisheng Tang (Angelicae Pubescentis and Taxillus Decoction):
Ingredients: Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Caulis et Ramulus), Duzhong (Eucommiae Cortex) (stir-fried), Xixin (Asari Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (wine-fried, soil removed), Qinjiao (Gentianae Macrophyllae Radix), Fuling (Poria), Baishaoyao (Paeoniae Radix Alba) (stir-fried), Guixin (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Shudihuang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix) (equal parts).
Preparation and Administration: Take 2-3 qian per dose, decoct in water, take on an empty stomach, and the nursing mother should take it simultaneously.
Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction) [for Scrofula], Baijie San (Hundred-Resolving Powder) [for Fright], Wuling San (Five-Ingredient Powder with Poria) [for Fright], Mahuang Tang (Ephedra Decoction) [for Cold Damage].
Fangji Tang (Stephania Decoction): Treats Wind-Damp contracted from failure to resolve the exterior, flowing into both legs, causing pain extending to knees, edema preventing flexion/extension, progressing to paralysis.
Ingredients: Fangji (Stephaniae Tetrandrae Radix) (black skin removed), Mahuang (Ephedrae Herba) (nodes removed, roots kept for full interior/exterior effect, crushed, soaked in water, filtered, dried), Bo Gui (Cinnamomi Ramulus) (rough bark removed; each 0.5 liang), Chishao Yao (Paeoniae Radix Rubra), Chifuling (Poria) (skin removed), Cangzhu (Atractylodis Rhizoma) (soaked in rice wash overnight, rough skin removed, filtered, sliced, fire-roasted to light yellow; each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 7.5 qian).
Preparation and Administration: Crush. Take 2 qian per dose, add one cup of water, two slices of ginger, one scallion, decoct to 7 fen, take hot on an empty stomach. Can be decocted with Xiebai (Allii Macrostemonis Bulbus).
Qufeng San (Wind-Expelling Powder): Treats sudden stroke with aphasia, facial deviation, fright-paralysis with convulsions, phlegm-fullness with irritability, stupor with heat, and restless sleep.
Ingredients: Fangfeng (Saposhnikoviae Radix) (rhizome removed), Nanxing (Arisaematis Rhizoma) (raw), Gancao (Glycyrrhizae Radix et Rhizoma) (raw), Banxia (Pinelliae Rhizoma) (processed), Huangqin (Scutellariae Radix) (each 1 liang).
Preparation and Administration: Crush. Take 2 qian per dose, add 1.5 cups of water, three slices of ginger, decoct slowly to 7 fen, take warm at any time.
Duhuo Tang (Angelicae Pubescentis Decoction): Treats fright-paralysis, crane knee, and chronic Wind-Damp causing back, waist, limb pain (lighter by day, heavier by night), and four-limb flaccidity/numbness.
Ingredients: Chuan Duhuo (Angelicae Pubescentis Radix) (yellow, resembling ghost eyes is best, 0.5 liang), Danggui (Angelicae Sinensis Radix) (wine-washed), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix) (honey-coated and roasted), Bo Gui (Cinnamomi Ramulus) (rough bark removed), Chuan Niuxi (Achyranthis Bidentatae Radix) (wine-washed; each 2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, 3 qian).
Preparation and Administration: Crush. Take 2 qian per dose, add one cup of water, two slices of ginger, one Xiebai, decoct to 7 fen, take hot on an empty stomach or anytime.
Fangfeng Tang (Saposhnikoviae Decoction) [for Fright].
Heihu Dan (Black Tiger Pill): Treats various Wind syndromes.
Ingredients: Caowu (Aconiti Kusnezoffii Radix) (black skin removed, 1 liang, raw), Chuanwu (Aconiti Radix) (black skin removed, raw), Gancao (Glycyrrhizae Radix et Rhizoma) (each 7.5 qian), Mahuang (Ephedrae Herba) (roots/nodes not removed), Gansong (Nardostachyos Radix et Rhizoma), Shugan Dihuang (Rehmanniae Radix Preparata) (cleanly washed), Huoxiangye (Agastaches Folium), Baizhi (Angelicae Dahuricae Radix), Youyan Mo (Carbonized Ink), Zhuyazaojiao (Gleditsiae Sinensis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Heshouwu (Polygoni Multiflori Radix), Nanxing (Arisaematis Rhizoma) (raw), Jiangcan (Bombyx Batryticatus), Chixiaodou (Phaseoli Semen Rubrum), Qianghuo (Notopterygii Rhizoma et Radix), Baijiaoxiang (Styrax), Mubiezi (Momordicae Semen) (oil removed; each 0.5 liang).
Preparation and Administration: Crush, bake or sun-dry, grind to fine powder, make pills with glutinous rice paste, size of hemp seeds. Take 30-50 or 70 pills, slightly on an empty stomach, with light ginger soup. For small infants, make pills the size of millet grains; treatment method is the same.
Wuhe Tang (Five-Harmonizing Decoction) [for Heat], Danggui San (Angelica Sinensis Powder) [for Heat], Zhike Wan (Citrus Aurantium Pill) [for Constipation].
Paifeng Tang (Wind-Expelling Decoction): Treats stroke with delirious speech, aphonia, mental confusion, fright-paralysis, crane knee, and post-swelling edema/vacuity floating from external Wind exposure. Suitable for all these conditions.
Ingredients: Baixianpi (Cortex Dictamni), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishaoyao (Paeoniae Radix Alba), Bo Gui (Cinnamomi Ramulus) (rough bark removed), Fangfeng (Saposhnikoviae Radix) (rhizome removed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix) (wine-washed), Xingren (Armeniacae Semen Amarum) (soaked in water, skin/tip removed), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted; each 0.5 liang), Chuan Duhuo (Angelicae Pubescentis Radix), Mahuang (Ephedrae Herba) (roots/nodes removed), Baifuling (Poria) (skin removed; each 7.5 qian).
Preparation and Administration: Take 2 qian per dose, add one cup of water, two slices of ginger, decoct to 7 fen, take warm at any time.