汤氏曰∶身软时醒者为痫,身强直反张如弓,不时醒者为痉,痉候,十无一生。
〔汤〕肝风摇头,诸方不载,郑都丞子患七年摇头,三年下血,已服百余方,前
后所服治摇头者,无非风药,止血者,或作痢,或作肠风,百药无效。予既视其病,
又知其详,亦不明其标本,退而思之,乃肝血液盛,外有风热乘之,肝属木,盛而
脾土为木所克,脾与肺是子母,俱为肝所胜,而血遂渍于大便,故便血不止,遂处
一方,但损肝祛风而益脾,初亦一时之见,只数服而愈,十余日后,血止而下白脓,
遂得以安。
清肝益胃丸
犀角屑 甘草(各一分) 栝蒌根 黄 (蜜炙) 羌活 白芍药(冬半两) 蛇蜕皮(炙赤)
钓藤钩 麻黄(去节。各一钱) 防风(五两)
上为末,枣肉丸。食后薄荷汤下。只二服,作效,头摇即止,便血随愈,次间
服胃风汤,数日顿除。沈舍人子服之亦验。
〔薛〕经曰∶诸风掉眩,皆属肝木。木得风则摇动,乃肝经火盛而生虚风也。便
血者,风木摇动,则土受凌疟而不能统血也,或食酸味过多,以益其脾,致令阴结,
经曰∶结阴者便血一升,再结二升,三结三升。又,邪在五脏则阴脉不和,阴脉不
和则血留之。结阴之病,阴气内结,不得外行,渗入肠间,故便血也。血亦有乳母
而摇头不止,后一老医至,于常服药中加入紫河车,实时愈。按∶紫河车,草名,
《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,古人谓遵白字疗病,多效。不虚也。
Hyperextension of the body (opisthotonos). Moxibustion, three moxa cones, at a point three fen above the root of the nose entering the hairline. Moxibustion, three moxa cones, in the interspace below the Dazhui (GV14) acupoint.
Mr. Tang stated: If the body is soft and the patient regains consciousness intermittently, it is Epilepsy (Xian); if the body is rigid, hyperextended like a bow, and the patient does not regain consciousness promptly, it is Tetanus (Jing). Among cases of Tetanus, ten out of ten are fatal.
[Tang] Head shaking caused by Liver Wind was not recorded in other medical formulas. The son of Chancellor Zheng suffered from head shaking for seven years and hematochezia for three years. He had already taken over a hundred prescriptions. Previous treatments for head shaking consisted solely of wind-dispelling herbs; treatments for bleeding were either classified as Dysentery or Intestinal Wind. All medicines proved ineffective. Upon examining his condition and understanding the details, I initially did not grasp the root cause. After reflecting, I determined that Liver Blood was excessive, with external Wind-Heat invading. The Liver belongs to Wood; when excessive, it overacts on Spleen Earth. Since the Spleen and Lung share a mother-child relationship, both were subdued by the Liver, causing blood to permeate into the stool, resulting in persistent hematochezia. Therefore, I prescribed a formula aimed at subduing the Liver, dispelling Wind, and tonifying the Spleen. This was initially a tentative insight, but he recovered after only a few doses. More than ten days later, the bleeding stopped, but white pus was discharged, after which he stabilized.
Qinggan Yiwei Wan (Clear the Liver and Benefit the Stomach Pill)
Xijiao Xie (Rhinoceros Horn Shavings), Gancao (Licorice Root) (each 1 fen), Gualougen (Trichosanthes Root), Huangqin (Scutellaria Root) (honey-fried), Qianghuo (Notopterygium Rhizome), Baishao Yao (White Peony Root) (0.5 liang in winter), Shetui Pi (Snake Slough) (fried until red), Gouteng Uncariae Ramulus cum Uncis, Mahuang (Ephedrae Herba) (nodes removed, each 1 qian), Fangfeng (Saposhnikoviae Radix) (5 liang).
Grind all ingredients into powder, form pills using jujube paste. Take after meals with Mint Decoction. Only two doses were needed for efficacy; head shaking ceased immediately, and hematochezia healed subsequently. Intermittently take Weifeng Tang (Stomach Wind Decoction), and within a few days, the disease was completely eradicated. The son of Scholar Shen also showed positive results with this prescription.
[Xue] The Classics state: "All wind syndromes involving tremors and vertigo belong to Liver Wood." Wood shakes when exposed to wind; this indicates deficiency-Wind generated by excessive Fire in the Liver Meridian. Hematochezia occurs because the shaking Wind-Wood harasses Earth, impairing the Spleen's ability to control blood. Alternatively, excessive consumption of sour flavors may strengthen the Spleen Qi, leading to Yin condensation. The Classics state: In Jieyin Syndrome (Condensed Yin Syndrome), one sheng of blood is passed in stool; upon re-condensation, two sheng; upon third condensation, three sheng. Furthermore, pathogenic factors in the Zang organs cause disharmony of the Yin vessels; disharmony of Yin vessels leads to blood stasis. In Jieyin disease, Yin Qi condenses internally and cannot circulate outward, seeping into the intestines, thus causing hematochezia. There are also cases where infants suffer from persistent head shaking due to their wet nurse's condition. Later, an elderly physician added Ziheche (Human Placenta) to the usual medication, resulting in immediate recovery. Note: Ziheche is listed here as a herb name. In *Shennong Bencao Jing*, it is named Chonglou (Paris Polyphylla); in *Tang Bencao*, it is named Jinxian Chonglou; in *Qian's Formulas*, it is named Bai Gansui. It treats convulsions, epilepsy, head shaking, and tongue protrusion. This is recorded in the main text of *Bencao Jing*. The ancients said that following the "Bai" (White) character therapy yields many effective results. This is not false.