活人云。太阳中风。因作刚柔二 。大抵 之为病。因风湿二气袭于太阳之经。亦有轻
重之
分。其风胜气者为刚 。风性刚急故也。湿气胜者为柔 。湿性柔和故也。外有诸虚之候。
表虚不能任风寒。亦能成 。是以或产后。或金疮。或跌仆扑伤。痈疽溃脓之后。一切去血
过多之证。皆能成此疾也。是乃虚为本。而风为标耳。亦有绝无风邪。而亦能使人筋脉挛急
。而为角弓反张之侯者。血脱无以养筋故也。丹溪云。此症甚不可作风治。而用风药。恐反
燥其余。血而致不可救也。宜补药兼降痰火。如参 芎归竹沥之类。然而刚柔之 。不可不
辨也。如太阳发热无汗恶寒。脉弦长。头急胸满。口噤手足挛急切牙。甚则搐搦筋头强直。
角弓反张。此为刚 。太阳微热多汗。不恶寒。脉迟
涩弦纫。四肢不收。时之搐搦。开目含口。此为柔 也。
葛根汤 治刚 。
干葛（四钱） 麻黄（三钱） 桂枝 甘草 羌活（各二钱）
姜三片。枣二枚。煎服。
桂附汤 治柔 。
官桂 大附子 防风 黄芩 川芎 防己 甘草 玄参（各一钱）
生姜三片。煎熟热服。
八味顺气散 治七情 。
陈皮 青皮（炒） 白茯苓（去皮） 乌药（各一钱五分） 人参 白术（土炒） 白芷（各一
钱） 甘草（三分）
水二钟。加黑枣二枚。煎熟热服。
益元汤 治去血过多 。
当归 生地 人参 黄 （各一钱） 川芎 白术 丹皮（各一钱五分）
水二钟枣二枚煎服。
祛风逐痰汤 治痰 挟风。
半夏曲 枳实（炒） 橘红（各一钱五分） 桔梗（炒） 胆南星 明天麻（湿纸包煨） 防风
薄荷（各一钱） 全蝎（七枚洗净）
水二钟。加竹沥半酒杯。姜汁十茶匙。
抑火汤 治火 。
川黄连（酒炒） 当归（酒洗） 白芍（酒炒） 黄芩（酒炒） 黄柏（炒各一钱五分） 知母（
盐水炒） 枳壳（麸炒） 甘草 玄明粉（各一钱）
水二钟。加灯心三十茎。童便半酒杯。
活人（指宋代朱肱所著《类证活人书》的作者）说：太阳中风，由此产生了刚痉和柔痉两种病证。大抵上，痉病这种病症，是由于风湿二气侵袭于太阳经脉所致，也有轻重程度的区分。其中风邪偏胜的称为刚痉，因为风性刚烈急迫的缘故；湿气偏胜的称为柔痉，因为湿性柔和的缘故。此外，还有各种虚损的表现，表虚不能抵御风寒，也能导致痉病。因此，或者是产后，或者是金创（金属利器造成的伤口），或者是跌打扑伤，痈疽溃烂流脓之后，一切失血过多的证候，都能形成这种疾病。这是以虚为本，而风邪为标。也有完全没有风邪，却也能使人筋脉拘挛紧急，出现角弓反张症状的情况，这是因为血液脱失无法滋养筋脉的缘故。丹溪（朱震亨）说：此症非常不可以当作风证来治疗，而使用祛风药，恐怕反而燥伤剩余的阴血，导致不可救治。适宜用补益药兼以降痰火，如人参、川芎、当归、竹沥之类的药物。然而，刚痉和柔痉是不可不加以辨别的。例如太阳病发热无汗恶寒，脉象弦长，头部紧绷胸部胀满，牙关紧闭手足拘挛抽搐咬牙，甚至出现搐搦、筋头强直、角弓反张，这属于刚痉。太阳病微热多汗，不恶寒，脉象迟涩弦软，四肢无力下垂，时而发生搐搦，睁眼口微开，这属于柔痉。
葛根汤 治疗刚痉。
干葛（四钱） 麻黄（三钱） 桂枝 甘草 羌活（各二钱）
生姜三片，大枣二枚，煎服。
桂附汤 治疗柔痉。
官桂 大附子 防风 黄芩 川芎 防己 甘草 玄参（各一钱）
生姜三片，煎熟后热服。
八味顺气散 治疗七情致痉。
陈皮 青皮（炒） 白茯苓（去皮） 乌药（各一钱五分） 人参 白术（土炒） 白芷（各一钱） 甘草（三分）
水两钟，加黑枣二枚，煎熟后热服。
益元汤 治疗因失血过多导致的痉病。
当归 生地 人参 黄芪（各一钱） 川芎 白术 丹皮（各一钱五分）
水两钟，大枣二枚，煎服。
祛风逐痰汤 治疗痰证挟风。
半夏曲 枳实（炒） 橘红（各一钱五分） 桔梗（炒） 胆南星 明天麻（湿纸包煨） 防风 薄荷（各一钱） 全蝎（七枚洗净）
水两钟，加竹沥半酒杯，姜汁十茶匙。
抑火汤 治疗火证致痉。
川黄连（酒炒） 当归（酒洗） 白芍（酒炒） 黄芩（酒炒） 黄柏（炒各一钱五分） 知母（盐水炒） 枳壳（麸炒） 甘草 玄明粉（各一钱）
水两钟，加灯心草三十茎，童便半酒杯。
Huo Ren (referring to the author of *Lei Zheng Huo Ren Shu*, Zhu Gong, Song Dynasty) stated: Taiyang wind-stroke gives rise to two types of Jing syndrome: Gang-Jing (Stiff Spasm) and Rou-Jing (Flaccid Spasm). Generally speaking, Jing syndrome is caused by the invasion of Wind-Dampness pathogens into the Taiyang meridians, with variations in severity. When Wind pathogen predominates, it is called Gang-Jing, because the nature of Wind is rigid and urgent; when Dampness pathogen predominates, it is called Rou-Jing, because the nature of Dampness is soft and gentle. Furthermore, there are manifestations of various deficiencies. Exterior deficiency unable to withstand Wind-Cold can also lead to Jing syndrome. Therefore, conditions such as postpartum states, metal wounds, falls and bruises, or after the suppuration of carbuncles and ulcers, and all syndromes involving excessive blood loss, can result in this disease. Here, deficiency is the root, while Wind is the branch. There are also cases where there is absolutely no Wind pathogen, yet muscle spasms and stiffness occur, leading to opisthotonos (arched back like a bow), due to blood depletion failing to nourish the sinews. Danxi (Zhu Zhenheng) said: This syndrome should not be treated as a Wind disorder using Wind-dispelling herbs, as this may further dry up the remaining Yin-blood, leading to incurable conditions. It is appropriate to use tonifying herbs combined with phlegm-heat-resolving agents, such as Renshen (Ginseng Radix et Rhizoma), Chuanxiong Rhizoma, Danggui (Angelicae Sinensis Radix), and Zhuli (Bamboo Juice). However, Gang-Jing and Rou-Jing must be distinguished. For example, if Taiyang disease presents with fever, absence of sweat, aversion to cold, wiry and long pulse, tight head, chest fullness, locked jaw, convulsions of hands and feet, grinding of teeth, and even twitching, stiff tendons, and opisthotonos, this is Gang-Jing. If Taiyang disease presents with slight fever, profuse sweating, no aversion to cold, slow, choppy, wiry, and soft pulse, flaccid limbs, occasional twitching, open eyes, and slightly parted mouth, this is Rou-Jing.
In Taiyang disease, if the pulse is deep and thin, it indicates Jing syndrome.
Ge Gen Tang (Kudzu Decoction) treats Gang-Jing.
Ge Gen (Puerariae Lobatae Radix) (4 qian), Ma Huang (Ephedrae Herba) (3 qian), Gui Zhi (Cinnamomi Ramulus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix) (2 qian each).
Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and two dates (Jujubae Fructus), decoct and take orally.
Gui Fu Tang (Cinnamon Twig and Aconite Decoction) treats Rou-Jing.
Guan Gui (Cinnamomi Cortex), Da Fu Zi (Aconiti Lateralis Radix Praeparata), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Chuan Xiong (Chuanxiong Rhizoma), Fang Ji (Stephaniae Tetrandrae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xuan Shen (Scrophulariae Radix) (1 qian each).
Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until cooked, and take hot.
Ba Wei Shun Qi San (Eight-Ingredient Powder to Smooth Qi) treats Jing syndrome caused by Seven Emotions.
Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride) (stir-fried), Bai Fu Ling (Poria) (peeled), Wu Yao (Linderae Radix) (1.5 qian each), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (soil-fried), Bai Zhi (Angelicae Dahuricae Radix) (1 qian each), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.3 qian).
Add two cups of water and two black dates (Jujubae Fructus), decoct until cooked, and take hot.
Yi Yuan Tang (Benefit Origin Decoction) treats Jing syndrome due to excessive blood loss.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix) (1 qian each), Chuan Xiong (Chuanxiong Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mu Dan Pi (Moutan Cortex) (1.5 qian each).
Add two cups of water and two dates (Jujubae Fructus), decoct and take orally.
Qu Feng Zhu Tan Tang (Expel Wind and Purge Phlegm Decoction) treats Phlegm-Jing complicated by Wind.
Ban Xia Qu (Pinelliae Tuber Fermentatum), Zhi Shi (Aurantii Fructus Immaturus) (stir-fried), Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1.5 qian each), Jie Geng (Platycodonis Radix) (stir-fried), Dan Nan Xing (Arisaematis Cum Bile), Tian Ma (Gastrodiae Rhizoma) (wrapped in wet paper and roasted), Fang Feng (Saposhnikoviae Radix), Bo He (Menthae Haplocalycis Herba) (1 qian each), Quan Xie (Scorpio) (seven pieces, cleaned).
Add two cups of water, half a wine cup of Zhu Li (Bamboo Juice), and ten teaspoons of Jiang Zhi (Zingiberis Rhizoma Recens Juice).
Yi Huo Tang (Suppress Fire Decoction) treats Fire-Jing.
Chuan Huang Lian (Coptidis Rhizoma) (wine-fried), Dang Gui (Angelicae Sinensis Radix) (wine-washed), Bai Shao (Paeoniae Radix Alba) (wine-fried), Huang Qin (Scutellariae Radix) (wine-fried), Huang Bo (Phellodendri Cortex) (stir-fried, 1.5 qian each), Zhi Mu (Anemarrhenae Rhizoma) (salt-water fried), Zhi Ke (Aurantii Fructus) (bran-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xuan Ming Fen (Mirabilite) (1 qian each).
Add two cups of water, thirty stems of Deng Xin Cao (Junci Medulla), and half a wine cup of Tong Bian (Child's Urine).