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1. A patient suffered from Changfeng (intestinal wind, characterized by rectal bleeding) for a long time with no effect from various medicines. One placenta (Renbao), boiled until soft, and two jin of Cacumen Platycladi (Cebaiye, specifically from the southeast direction), pounded together with the placenta, dried, and ground into powder, were used to make honey pills. Taken on an empty stomach with light salt water (5 qian), the condition was cured instantly. (This is also effective for hemoptysis due to deficiency syndromes.)

2. A young boy suffered from internal injury with blood in both stool and urine. The physician used Semen Persicae (Taoren) and Flos Carthami (Honghua), which aggravated the condition. Zhang Zhongjing (courtesy name Zhongchun) said: "Since the blood has already flowed downward, why inflict further injury? If injured, it must be tonified." He prescribed decoctions of Radix Rehmanniae Preparata (Shengdi), Radix Achyranthis Bidentatae (Niuxi), Cortex Eucommiae (Duzhong), and Radix Dipsaci (Xuduan). The symptoms subsided slightly, but abdominal pain persisted. Therefore, Radix Ginseng (Renshen, 2 qian) was added, and after one dose, the bleeding stopped. This verifies the statement in the *Neijing*: "When qi is strong, the disease resolves."

3. A patient had severe hematochezia, sallow complexion, fever, fatigue, night sweats, and seminal emission. Li Zhongzi (courtesy name Shicai) diagnosed: "Spleen deficiency fails to control blood, and Kidney deficiency fails to secure essence. The method should employ Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), combining five doses into one administration. After ten days, sweating stopped; after twenty days, bleeding stopped. Then, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) was taken intermittently for one month, leading to recovery."

Jing disease (spasm) refers to a pathology of the sinews, characterized by stiffness and lack of flexibility. In severe cases, there is head shaking, opisthotonos (back arching), foot cramping, and trismus (locked jaw). According to the classics: "All sudden stiffness and straightness belong to Wind." It also states: "Jing is a disease of the sinews; cold causes them to contract and spasm." And again: "All spasms with neck stiffness belong to Dampness." Examining the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), the discussion on Jing disease is also based on Wind, Cold, and Dampness. It states: "Taiyang disease with fever and no sweat is called Gang Jing (Yang Spasm); Taiyang disease with fever and sweating is called Rou Jing (Yin Spasm)." It further states: "Taiyang disease with fever and a deep, fine pulse is named Jing, and is difficult to treat." This is because Dampness of the Taiyin invades the Taiyang, causing stiffness in the back and neck. If Cold and Damp combine, they form Gang Jing; if Wind and Damp combine, they form Rou Jing. Because the disease is in the Taiyang but presents with a pulse indicative of Taiyin overcoming it, it is termed difficult to treat. Xu Zhongke commented: "Although Jing disease is generally caused by Wind, Cold, and Dampness, its root cause is often blood loss, leaving the sinews without nourishment, allowing pathogens to invade. Thus, Zhang Zhongjing analyzed the etiology of Jing disease, stating: 'Excessive sweating in Taiyang disease leads to Jing.' If Wind disease is treated with purgatives, it leads to Jing; re-sweating causes rigidity; excessive sweating in patients with sores leads to Jing. Although pathogens may exploit the body after sweating or purging, the fundamental cause remains yin deficiency, fluid depletion, and dry sinews. This is why Zhu Danxi warned against using purely Wind-dispelling herbs for treating Jing. Zhang Jingyue, commenting on the *Neijing*, also stated that the Liver governs the sinews and transforms into Wind; thus, sudden stiffness belongs to Wind, but this is not external Wind. Internal Wind is often dry; using Wind-dispelling agents increases dryness. One should tonify Yin to restrain Yang, and nourish Ying to moisten dryness. Hence the saying: 'To treat Wind, first treat the Blood; when Blood moves, Wind extinguishes itself.'" The *Qian Jin Fang* states: "In warm diseases, heat entering the Kidney can cause Jing; in children, severe heat in epilepsy can cause Jing. Both require nourishing Yin, clearing heat, and moistening dryness." Generally, Jing disease results from yin deficiency, fluid depletion, and dry sinews. Xu Zhongke's view deeply grasps the pathology. Therefore, after childbirth, traumatic injuries, excessive blood loss, or ulceration of carbuncles, this syndrome often occurs, and treatment should primarily focus on nourishing Yin, clearing heat, and moistening dryness. If Jing is caused by exposure to Wind after trauma or ulceration, it is referred to as Po Shang Feng (Broken Skin Wind / Tetanus). Treatment should involve nourishing Blood and dispersing Wind. For Jing caused by external Wind invading the emptiness of the Blood Sea after childbirth, this corresponds to the *Jin Gui* statement: "After childbirth, blood deficiency and profuse sweating make one susceptible to Wind, leading to Jing." Haizang Fangfeng Danggui Tang (Haizang's Ephedra and Angelica Decoction) is suitable as the primary treatment. Wang Ang (courtesy name Jiayan) noted: "Ignorant physicians do not understand this syndrome. Ancient sages each drove out Wind from the Blood residence, following established methods. Yet, they wrongly diagnose it as Postpartum Convulsion and recklessly use sedative drugs. Thousands are killed without realizing their error, which is lamentable. Furthermore, children have fragile constitutions and timid spirits, unable to withstand high fever from external contraction. Their symptoms often resemble Jing disease. Later generations wrongly named this 'Convulsion,' failing to treat the external pathogenic factors, and instead administered minerals, borneol, and musk to suppress the pathogen, driving it deep into the zang-fu organs. This also results in death upon every attempt, a practice that should be banned nationwide." Shen stated: "This is caused by guest pathogens in Shaoyin and Shaoyang, manifesting as惊 (startle/convulsion) and 瘛疭 (clonic spasms), resulting from contracted heat pathogens. It is truly not Convulsion, nor is it Jing disease. Physicians must examine carefully."

Yangyin Qingre Runzao Tang (Nourish Yin, Clear Heat, and Moisten Dryness Decoction) [See Dryness]: Treats all cases of Jing induced after sweating or purging, postpartum, traumatic injuries, excessive blood loss, or after ulceration of carbuncles.
It is advisable to add Radix Achyranthis Bidentatae (Niuxuan, nourishes Liver Blood, relieves cramping), Fructus Chaenomelis (Mugua, nourishes Liver sinews, suitable for both tension and relaxation), Suet Porci (Zhizhi, sweet and cold, moistens dryness and nourishes sinews), and Cornu Saigae Tataricae (Lingyangjiao, enters Blood to remove heat and relax sinews). For profuse sweating,酌情 add Radix Ginseng (Renshen) and Radix Astragali (Huangqi, solidifies exterior and stops sweating), Fructus Jujubae (Dazao) and Radix Paeoniae Alba (Baishao, gathers Yin and stops sweating). This is a formula for nourishing Blood and clearing heat; it must be modified according to specific symptoms and applied flexibly. According to Wang Ang: "The deterioration of Jing disease falls into two categories: Yin collapse and Yang collapse. In Yin collapse, essence, blood, and fluids are chronically deficient, failing to nourish the sinews and vessels; urgent rescue of Yin is required. In rare cases of Yang collapse, Yang qi is chronically weak, failing to warm and soften the sinews; urgent rescue of Yang is required, making herbs like Renshen and Huangqi essential. Since Qi provides warmth, tonifying Qi generates fluids."

Haizang Fangfeng Danggui Tang: Treats Jing caused by Wind invasion after sweating/purging or postpartum, as well as all cases of tetanus-induced Jing.
Radix Saposhnikoviae (Fangfeng, a moistening Wind-dispelling herb, used here to disperse Wind), Radix Angelicae Sinensis (Danggui), Radix Rehmanniae (Dihuang, nourishes Blood), Radix Chuanxiong (Chuanxiong, treats all Wind and Blood disorders). It is advisable to add Herba Schizonepetae (Jingjie, enters Blood level to drive out Wind), Radix Gentianae Macrophytae (Qinjiao), Flos Chrysanthemi Indici (Ganju), Sesamum indicum (Huma, nourishes Blood and dispels Wind), Glycine max (Heidou, invigorates Blood and scatters Wind), and汁 Bambusae in Taeniam (Zhuli, expels phlegm and clears heat, used for postpartum Wind, pediatric Wind, and tetanus).
This is a formula for nourishing Blood and dispersing Wind. If there are clear signs of Wind exposure, it can be used with modifications.

Death occurs if Jing is accompanied by extreme heat. (This is due to extreme heat generating Wind, severely damaging Yin and Blood; the combination of heat and Jing indicates a fatal prognosis.) Jing disease with moxa scars is difficult to treat. (Due to intense internal fire and severe deficiency of Yin Blood.)