Library

Tetany (spasms) manifests as tight contraction. Flaccidity manifests as relaxation and extension. When the disease progresses to tetany, it indicates that heat pathogen has reached its extreme. This is because extreme heat generates wind, and wind governs movement; thus, the sinews and vessels are drawn together, causing spasms and convulsions. To purge heat, herbs such as Bupleuri Radix (Chaihu) and Gardeniae Fructus (Zhizi) are used. To dispel wind, herbs such as Saposhnikoviae Radix (Fangfeng) and Notopterygii Rhizoma et Radix (Qianghuo) are employed. In cases of Wind-Warmth syndrome, if fire fumigation is mistakenly applied, jaundice will inevitably ensue. In severe cases, fright epilepsy occurs with intermittent tetany. The Classics state: "One misstep may prolong life for a day; two missteps will hasten death." If mistakenly treated by physicians, one must resort to Fengyin Decoction from *Jin Gui Yao Lue* to expel pathogens, and use Glycine Max Seed (Heidou, black beans) to resolve toxicity. The verse states: "Tetany involves contraction, flaccidity involves extension. Extreme heat generating wind affects the meridians. Purging heat and dispelling wind still holds hope. Fire fumigation and inducing sweating will surely lead to darkness (death)."

In typhoid fever, muscle twitching (Jinti Rouyun) occurs. Headache, body ache, aversion to cold, and fever are inevitable symptoms of typhoid fever. However, muscle twitching is not a constant symptom. It arises due to significant deficiency of Yang Qi... [Text fragment]. The verse states: "Muscle twitching results from excessive sweating. Zhenwu Decoction should be considered carefully without error. Left-sided qi movement resembling slight sweating makes this condition difficult to treat; alas, what can be done against fate?" The discussion states: Excessive sweating depletes fluids and reduces Yin essence, leading to relative deficiency of Yang Qi. The muscles and sinews lose their nourishment, resulting in palpitations and twitching. Zhang Zhongjing specifically established Zhenwu Decoction... [Text fragment].

Typhoid fever accompanied by Ao Nao (restlessness and depression) refers to a state of mental oppression. It describes a feeling of inner restlessness and郁结 (depression), where one feels unrefreshed and helpless. This is more severe than ordinary irritability. It originates from the stomach... [Text fragment]. The verse states: "For heart-centered Ao Nao, Xiongxiong Decoction is used. A white tongue coating and surging pulse indicate the pattern. For jaundice, Yichen (Artemisiae Scopariae Herba) type herbs are required. For dry feces in the Yangming stage, Chengqi Decoction is used to attack." Another discussion states: Ao Nao is a state of restlessness and depression. It generally arises from the mistaken use of purgatives for exterior syndromes, leading to internal deficiency of healthy Qi. Consequently, exogenous pathogens take advantage of the deficiency to enter and disturb the diaphragm. This causes chest irritability and Ao Nao, with slight pain in the heart region, though not as severe as Jie Xiong (chest binding). However, progression to Jie Xiong is not difficult. Shortness of breath, irritability, and chest Ao Nao... [Text fragment].