破伤风脉浮而无力,太阳也。长而有力,阳明也。浮而弦者,少阳也。(《正传》)洪数者伤火,芤细
者伤湿,虚细而涩,皆不治。
〔伤风〕桂枝汤 见四卷疟。
〔血虚〕当归补血汤 黄 当归
〔营热〕当归地黄汤 地 芍 归 芎 防 芷 本(各一钱) 细辛(五分)
〔散表〕葱白香豉汤 见一卷温。
〔通治〕万灵丹 归 芎 荆 防 辛 草 麻黄 天麻 川乌 草乌 首乌 茅术 石斛 雄黄 蜜丸。
〔毒攻〕护心散 绿豆粉(一两) 乳香(三钱) 辰砂 甘草(各一钱) 研细,早暮各服三钱,开水下。
〔外治〕葱熨法 大葱一握,隔汤蒸熟,以线扎,切平其底,乘热熨背,冷即更换,得微汗为度,
明日再熨。
〔便秘〕蜜煎导 用蜜熬,捏成如枣核,纳肛内。
〔补元〕保元汤 见一卷火。
〔风痉〕玉真散 防风 南星 等分为末,每服一钱,姜汁和酒调服。名定风散,以此蜜调敷疮,效。
再加 白芷 天麻 羌活 白附子 等分杵末,调敷疮口,名玉真散。凡打伤欲死,唯是心头温者,用药末二钱,
热酒童便下二服,效。
〔身冷〕全蝎散 蝎尾七个为末,热酒调服,日三次。凡破伤风,非此不除。
〔风毒〕大蜈蚣散 蜈蚣(二条,鱼鳔炒) 左蟠龙(即鸽粪,炒烟尽,各五钱)
为末,每服二钱,防风汤下。
〔去风〕小蜈蚣散 蜈蚣(一条) 全蝎(二个炒研) 擦牙出涎。治口噤身反张,不省人事。
〔入里〕左龙丸 左蟠龙(即鸽粪,炒) 僵蚕(炒) 鱼鳔(蛤粉炒。各五钱) 雄黄(一两) 天麻(二钱)
饭糊丸桐子大,每服十五丸,温酒下,日三服。如症重,每药末一钱,饭糊中加入巴豆霜五厘,每服中加一丸
渐加至十丸,以利为度,痛愈即止。一方,有大蜈蚣二条。
〔无汗〕防风汤 防 芎 羌 独(各一钱二分半) 水煎,调蜈蚣散,温服之,大效。
〔通治〕九味羌活汤 羌活(钱半) 防风 茅术(各一钱) 细辛(五分) 芎 芷 芩 地(各八分)
炙草(六分) 葱白(二茎) 姜(三片) 枣(一枚)
〔散风〕小续命汤 见一卷中风。
〔汗多〕。 防风当归散 防 归 芎 地(各一钱半)
〔固卫〕白术防风汤 术 (各二钱) 防风(四钱)
〔阳明〕小芎黄汤 川芎 黄芩(各一钱半) 炙草(一钱) 葱白(四茎) 香豉(四合) 水煎。
〔风秘〕大芎黄汤 即小芎黄去甘草,加酒炒大黄三钱,羌活钱半,水煎。
〔少阳〕小柴胡汤 见一卷温。
〔风热〕防风通圣散 见本卷疠风。
〔通治〕曹氏秘方 荆芥 黄蜡 鱼鳔(各五钱) 艾叶(三片) 无灰酒(一碗) 重汤煎一炷香,
热饮汗出愈。
〔通治〕蠲痉汤 羌 独 防 杏 地榆
〔营虚〕四物汤 地 芍 归 芎
〔风痛〕羌活防风汤 羌 防 芎 归 芍 草 本(各一钱) 地榆 细辛(各五分)
〔透脓〕朱砂指甲散 朱砂 南星(姜制) 独活(各二钱) 人手指甲(六钱,烧存性) 为末,
分三服,酒下。
〔伤湿〕除湿汤 见一卷湿。
〔伤湿〕白术膏 一味生白术熬。
〔变痉〕急风散 麝香(一字) 辰砂(一两) 生黑丑(二钱半) 草乌(三两,半生半焙,醋淬)
每末五分,酒下。
The pulse of tetanus (Po Shang Feng) that is floating and forceless indicates involvement of the Taiyang channel. A long and forceful pulse indicates involvement of the Yangming channel. A floating and wiry pulse indicates involvement of the Shaoyang channel. (From *Zheng Chuan*) A surging and rapid pulse indicates injury by fire; a hollow (Kou) and fine pulse indicates injury by dampness; a deficient, fine, and choppy pulse all indicate difficult-to-treat conditions.
[Wind Injury] Guizhi Tang (Cinnamon Twig Decoction) - See Vol. 4, Malaria.
[Blood Deficiency] Danggui Buxue Tang (Angelica Sinensis Decoction for Replenishing Blood): Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix).
[Nutrient Heat] Danggui Dihuang Tang (Angelica and Rehmannia Decoction): Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Bencao (Ligustici Wallichii Rhizoma) (each 1 qian), Xixin (Asari Radix et Rhizoma) (0.5 qian).
[Dispersing Exterior] Congbai Xiangchi Tang (Scallion White and Fermented Soybean Decoction) - See Vol. 1, Warm Diseases.
[General Treatment] Wanling Dan (Ten Thousand Spirits Pill): Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba), Tianma (Gastrodiae Rhizoma), Chuanwu (Aconiti Radix Preparata), Caowu (Aconiti Kusnezoffii Radix Preparata), Shouwu (Polygoni Multiflori Radix), Maoyu (Atractylodis Rhizoma), Shihu (Dendrobii Caulis), Xionghuang (Realgar), prepared with honey into pills.
[Toxic Attack] Huxin San (Heart-Protecting Powder): Ludoufen (Vigna Radiata Semen Pulvis) (1 liang), Ruxiang (Boswelliae Resina) (3 qian), Chencha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), ground into fine powder, taken 3 qian morning and evening with warm water.
[External Treatment] Congyin Fa (Scallion Fomentation Method): Take a handful of large scallions, steam them over water until cooked, tie with thread, flatten the bottom, and apply hot fomentation to the back while warm; replace when cold. Continue until slight sweating occurs, then repeat the next day.
[Constipation] Mi Jian Dao (Honey Suppository): Boil honey, shape into a date-seed form, and insert into the anus.
[Yuan Qi Tonification] Baoyuan Tang (Yuan Qi-Replenishing Decoction) - See Vol. 1, Fire Syndrome.
[Wind Spasm] Yuzhen San (True Jade Powder): Fangfeng (Saposhnikoviae Radix), Nanxing (Arisaematis Rhizoma), equal parts ground into powder, take 1 qian per dose, mixed with ginger juice and wine. Named Dingfeng San (Wind-Calming Powder); applied with honey to sores, it is effective. Add Baizhi (Angelicae Dahuricae Radix), Tianma (Gastrodiae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baifuzi (Aconiti Kochiae Radix), equal parts, pounded into powder, applied to sores, named Yuzhen San. For severe trauma where death seems imminent, if the heart remains warm, take 2 qian of powder with hot wine and child's urine, two doses, effective.
[Body Cold] Quanxie San (Whole Scorpion Powder): Seven scorpion tails ground into powder, taken with hot wine, three times daily. This is essential for curing tetanus.
[Wind Toxin] Da Wugong San (Large Centipede Powder): Wugong (Scolopendrae Corpus) (2 bodies, fried with fish bladder), Zuopanlong (Pigeon Droppings, fried until smoke ceases, each 5 qian), ground into powder, take 2 qian per dose with Fangfeng Tang (Saposhnikoviae Decoction).
[Expelling Wind] Xiao Wugong San (Small Centipede Powder): Wugong (Scolopendrae Corpus) (1 body), Quanxie (Scorpio) (2 bodies, fried and ground), used to rub teeth to induce salivation. Treats trismus (lockjaw), opisthotonos (body arching backward), and unconsciousness.
[Pathogen Entering Interior] Zuolong Wan (Left Dragon Pill): Zuopanlong (Pigeon Droppings, fried), Jiangcan (Bombyx Batryticatus, fried), Yubiao (Fish Bladder, fried with clam powder, each 5 qian), Xionghuang (Realgar) (1 liang), Tianma (Gastrodiae Rhizoma) (2 qian), made into pills the size of tung tree seeds with rice paste. Take 15 pills per dose with warm wine, three times daily. If symptoms are severe, add 0.05 qian of Badoushuang (Crotonis Fructus Frost) to 1 qian of powder in the rice paste, starting with one pill per dose and gradually increasing to ten pills, stopping when diarrhea occurs; stop when pain resolves. Another formula includes 2 large centipedes.
[Absence of Sweat] Fangfeng Tang (Saposhnikoviae Decoction): Fangfeng (Saposhnikoviae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) (each 1.25 qian), decocted in water, mixed with Wugong San (Centipede Powder), taken warm, highly effective.
[General Treatment] Jiuwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction): Qianghuo (Notopterygii Rhizoma et Radix) (1.5 qian), Fangfeng (Saposhnikoviae Radix), Maoyu (Atractylodis Rhizoma) (each 1 qian), Xixin (Asari Radix et Rhizoma) (0.5 qian), Xiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix), Dihuang (Rehmanniae Radix) (each 0.8 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (0.6 qian), Congbai (Allii Fistulosi Bulbus) (2 stalks), Shengjiang (Zingiberis Rhizoma Recens) (3 slices), Zaoju (Jujubae Fructus) (1 fruit).
[Dispersing Wind] Xiao Xuming Tang (Small Rescue Life Decoction) - See Vol. 1, Wind Stroke.
[Excessive Sweating] Fangfeng Danggui San (Saposhnikoviae and Angelica Powder): Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Dihuang (Rehmanniae Radix) (each 1.5 qian).
[Solidifying Wei Qi] Baizhu Fangfeng Tang (Atractylodes and Saposhnikoviae Decoction): Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 qian), Fangfeng (Saposhnikoviae Radix) (4 qian).
[Yangming Channel] Xiao Xionghuang Tang (Small Ligusticum and Scutellaria Decoction): Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix) (each 1.5 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Congbai (Allii Fistulosi Bulbus) (4 stalks), Xiangchi (Sojae Semen Praeparatum) (4 he), decocted in water.
[Wind Constipation] Da Xionghuang Tang (Large Ligusticum and Scutellaria Decoction): Same as Xiao Xionghuang Tang but without Zhigancao, adding Jiudaohuang (Rhei Radix et Rhizoma stir-fried with wine) (3 qian) and Qianghuo (Notopterygii Rhizoma et Radix) (1.5 qian), decocted in water.
[Shaoyang Channel] Xiao Chaihu Tang (Minor Bupleurum Decoction) - See Vol. 1, Warm Diseases.
[Wind-Heat] Fangfeng Tongsheng San (Saposhnikoviae Protecting Constitution Powder) - See Leprosy section in this volume.
[General Treatment] Cao Shi Mifang (Master Cao's Secret Formula): Jingjie (Schizonepetae Spica), Huangla (Beeswax), Yubiao (Fish Bladder) (each 5 qian), Aiye (Artemisiae Argyi Folium) (3 leaves), Wuhuijiu (Unadulterated Wine) (1 bowl), decocted over water for the time it takes to burn one incense stick, drink hot to induce sweating and cure.
[General Treatment] Juanjing Tang (Spasm-Relieving Decoction): Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Xingren (Armeniacae Semen Amarum), Diyuyu (Sanguisorbae Radix).
[Nutrient Deficiency] Siwu Tang (Four Substances Decoction): Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma).
[Wind Pain] Qianghuo Fangfeng Tang (Notopterygium and Saposhnikoviae Decoction): Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Bencao (Ligustici Wallichii Rhizoma) (each 1 qian), Diyuyu (Sanguisorbae Radix), Xixin (Asari Radix et Rhizoma) (each 0.5 qian).
[Pus Penetration] Zhusha Zhijia San (Cinnabar Nail Powder): Zhusha (Cinnabaris), Nanxing (Arisaematis Rhizoma processed with ginger), Duhuo (Angelicae Pubescentis Radix) (each 2 qian), Ren shouzhi jia (Human fingernails, burned to retain properties) (6 qian), ground into powder, divided into three doses, taken with wine.
[Dampness Injury] Chushi Tang (Dampness-Removing Decoction) - See Vol. 1, Dampness Syndrome.
[Dampness Injury] Baizhu Gao (Atractylodes Paste): Made from single ingredient raw Baizhu (Atractylodis Macrocephalae Rhizoma) boiled down.
[Transformation into Spasm] Jifeng San (Urgent Wind Powder): Shexiang (Moschus) (1 zi), Chencha (Cinnabaris) (1 liang), Sheng Heichou (Pharbitidis Semen raw) (2.5 qian), Caowu (Aconiti Kusnezoffii Radix Preparata) (3 liang, half raw half roasted, quenched in vinegar), take 0.5 fen of powder with wine.