曾氏曰。肝属木。其动则应风。病则主惊骇。诸热引肝风。风生痰。痰作搐。小儿惊风之际。手足动掣。当听其自
定。然后疗之。免生异症。或父母见病势可畏。从而按伏之。岂知筋者肝之合也。临发病时。若按束其手足。则筋不舒
伸。遂至经络为风所闭。致成惊瘫鹤膝。变为废人。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。或膝大而胫肉消。胫骨露。如鹤膝之状。或为痈为疖。此名鹤膝候也。并宜
发汗为先。使腠理开通。则风热可除。有湿亦去。用百解散和五苓散料。倍加麻黄加姜葱煎服。微汗为度。次用防己汤、
独活汤加桑寄生。或黑虎丹作少丸子间服。使风不生而痰不作。则易愈。若为痈为疖疼重者。用黑牵牛半生半炒研煎无
灰酒调下五苓散。以除流注之寒湿。则肿毒自消。如入腑闭而不通。是风热内蕴。其右腮红紧。及右手三部脉浮而滑实。
宜五和汤或当归散。其加减尤在临机。若泥一方。非良医也。前症更宜间服排风汤。
薛己曰。鹤膝风者。其腿渐细。其膝愈粗。状如鹤之膝。是以名之。此因肾经不足。外邪乘之。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。初起以大防风汤为主。而佐
以益气养荣汤。乃为正治。
娄全善曰。肝风摇头者。乃肝血液盛。外有风热乘之。故相引动摇而不定也。
王肯堂曰。犹忆少时闻友人孙彭山云。尝见一小儿患惊搐。延医治之。诸症悉退。独头摇不止。后一老医。于常服
药中。加入紫河车草。实时愈。按此草。神农本经名早休。唐本名金线重楼。钱氏方名白甘遂。主治惊痫摇头弄舌。乃
本经正文。古人谓遵白文疗病多效。不虚也。
Zeng said: The Liver belongs to Wood in the Five Elements, and its movement corresponds to Wind. When diseased, it primarily manifests as fright and alarm. Various heat pathogens draw out Liver Wind; when Wind is excessive, it generates Phlegm, and Phlegm obstruction triggers convulsions. During an infantile wind-stroke (Jing Feng) episode, when the limbs twitch and jerk, one should allow them to settle naturally before administering treatment, to avoid inducing other complications. If parents, fearing the severity of the illness, forcibly restrain the child's limbs, they fail to realize that sinews are the external correspondence of the Liver. Restraint during onset prevents sinews from relaxing and extending, causing meridians to be blocked by Wind pathogenic factors, ultimately resulting in wind-stroke paralysis or Crissum Knee (He Xi), rendering the patient disabled. Whenever an infant exhibits irregular palpitations, generalized swelling and pain, or inability to move limbs voluntarily, this indicates a wind-stroke paralysis syndrome. If treatment is delayed until phlegm-dampness flows into the joints of arms, wrists, knees, and shins, forming stubborn nodules, or if the knees enlarge while calf muscles atrophy exposing the tibia resembling a crane's knee, or if carbuncles and sores appear, this is termed the Crissum Knee syndrome. For these conditions, diaphoresis (sweating method) should be employed first to open the interstices (Cou Li), thereby clearing Wind-Heat and eliminating Dampness. Use Baijie San combined with Wuling San ingredients, doubling the dosage of Ephedrae Herba (Mahuang), decocted with Zingiberis Rhizoma Recens (Shengjiang) and Allii Fistulosi (Congbai), aiming for a slight sweat. Subsequently, use Fangji Tang or Duohuo Tang added with Sangjisheng, or Heihu Dan prepared as small pills taken intermittently, to prevent Wind generation and Phlegm formation, facilitating recovery. For severe pain from carbuncles or sores, use half raw and half stir-fried Semen Koelreuteriae (Qian Niu Zi) ground into powder, administered with Wuling San mixed in non-grain alcohol (Wu Hui Jiu) to eliminate cold-dampness flowing through meridians, causing the swelling and toxicity to subside spontaneously. If pathogens enter the Fu organs causing blockage, indicating internal accumulation of Wind-Heat, characterized by redness and tightness on the right cheek, and floating, slippery, and excess pulse at all three positions (Cun, Guan, Chi) on the right hand, Wuhe Tang or Danggui San is appropriate. Modifications must be adapted to clinical circumstances; adhering rigidly to a single prescription is not the way of a good physician. For previous symptoms, Paifeng Tang should also be taken intermittently.
Xue Ji stated: Crissum Knee (He Xi Feng) is named so because the legs gradually become thin while the knees become increasingly swollen, resembling a crane's knee. This arises from insufficiency of the Kidney Meridian, allowing external pathogens to invade. Initially, there is pain inside the knee without external color change, and difficulty in extension and flexion. If within one or two months the swelling becomes red and suppurates, it is treatable; if it remains hard, white, and does not suppurate, it is difficult to treat. At the onset, Da Fangfeng Tang should be used as the principal formula, assisted by Yiqi Yangying Tang, which constitutes the correct treatment.
Lou Quanshan stated: Head shaking caused by Liver Wind occurs due to abundant Liver Blood combined with external Wind-Heat invasion, leading to mutual agitation and unstable trembling.
Weng Kentang recalled hearing from his friend Sun Pengshan in his youth about a child suffering from convulsions. After medical treatment, all symptoms subsided except for persistent head shaking. An old physician then added Paris Polyphylla Rhizome (Chong Lou/Ziheche Cao) to the usual medication, resulting in immediate recovery. According to records, this herb is known as Zao Xiu in Shennong Bencao Jing, Jin Xian Chong Lou in Tang Bencao, and Bai Gansui in Qian Yi's formulas. It treats fright, epilepsy, head shaking, and tongue protrusion, as recorded in the main text of the Classic. The ancients stated that following the original texts for treatment yields many effective results, which is indeed true.