五硬者，仰头取气，难以动摇，气壅作痛，连于胸膈，脚手心冷而硬，此阳气不营于四末也
。经曰∶脾主四肢。又曰∶脾主诸阴。今手足冷而硬者，独阴无阳也，故难治。若肚筋青急
者，木乘土位也，急用六君、炮姜、肉桂、柴胡、升麻，以复其真气。若系风邪，当参惊风
治之。此症从肝脾二脏受病，当补脾平肝，仍参痉症急慢惊风门治之。
小续命汤 治中风不省人事，涎鸣反张，失音厥冷。
麻黄 人参 黄芩（炒） 川芎 芍药 甘草（炒） 杏仁（去皮尖炒） 汉防己 官桂（去皮。各半两）
防风（七钱五分） 附子（炮，去皮脐，二钱）
每服一钱，水煎服。
六君子汤（方见天钓）
中风之症，西北方有之。东南气温腠理疏泄，人患之者，皆类中风也。况小儿元气未充，皮
毛不固，易虚易实，外邪乘之则壮热抽掣，气粗涎涌，甚至昏愦口噤，即似中风，误以续命
等汤投之，多至不救。大人且无真中，况小儿乎！凡有前症，当辩其因∶若阳明经气虚，风
邪所乘，筋脉拘急者，为外因；足厥阴肝火炽盛，筋脉偏急者，为内因；脾肺虚弱，腠理不
密，外邪乘入；或急惊风，过服金石之剂耗损肝血，或吐泻后内亡津液，不能养肝，致口眼
斜者，皆肝血不足，肝火生风之类，中风之类症也。
治验药方（散见各症）
五硬证，表现为头向后仰以寻求呼吸之气，身体难以转动摇动，气机壅滞导致疼痛，牵连至胸膈部位，手脚心发冷且僵硬，这是因为阳气不能温煦四肢末端。《内经》说：脾主司四肢。又说：脾统摄诸阴经。如今手足寒冷且僵硬，是独阴无阳的表现，所以难以治疗。如果肚脐周围的筋脉青紫且紧急，这是肝木乘克脾土所致，应立即使用六君子汤、炮姜、肉桂、柴胡、升麻，来恢复人体的真气。如果是风邪所致，应当参考惊风的治疗方法。此症病位在肝脾两脏，应当补益脾脏、平抑肝脏，并参照痉症及急慢惊风门的方法进行治疗。
小续命汤，用于治疗中风导致不省人事、喉间痰鸣、角弓反张、失音及四肢厥冷。
药材组成：麻黄、人参、黄芩（炒制）、川芎、芍药、甘草（炒制）、杏仁（去皮尖后炒制）、汉防己、官桂（去皮，各半两）、防风（七钱五分）、附子（炮制，去皮脐，二钱）。
用法：每次服用一钱，加水煎煮后服用。
六君子汤（方剂见“天钓”条下）
中风之症，在西北方较为常见。东南地区气候温暖，人体腠理疏松易开泄，患此类疾病的人，大多属于类中风。况且小儿元气尚未充盈，皮毛固护能力不强，病情容易由虚转实或由实转虚，外邪侵袭则出现高热、抽搐掣动，呼吸粗重、痰涎涌盛，甚至昏迷不醒、牙关紧闭，症状极像中风，若误用小续命汤等药物投治，多会导致死亡无法挽救。成年人尚且少见真中风，何况小儿呢！凡是出现上述症状，应当辨别病因：如果是阳明经气虚，风邪乘虚而入，导致筋脉拘急的，属于外因；足厥阴肝火炽盛，导致筋脉一侧拘急的，属于内因；脾肺虚弱，腠理不紧密，外邪乘入；或者急惊风时，过服金石类药物耗损肝血，或吐泻之后体内津液亡失，不能滋养肝脏，导致口眼歪斜的，都属于肝血不足、肝火生风的范畴，是中风类的病症。
治疗验案药方（散见于各种病症中）
Wu Ying (Five Stiffnesses) syndrome is characterized by the head tilting backward to seek breath, difficulty in moving or shaking the body, Qi stagnation causing pain that radiates to the chest and diaphragm, cold and stiff palms and soles. This occurs because Yang Qi fails to nourish the four extremities. The Classics state: "The Spleen governs the four limbs." It also states: "The Spleen governs all Yin meridians." Now, with cold and stiff hands and feet, there is exclusively Yin without Yang, making it difficult to treat. If the abdominal tendons appear cyanotic and tense, this indicates Liver Wood overacting on Spleen Earth; one should urgently use Liu Jun Zi Tang (Six Gentlemen Decoction), Pao Jiang (Prepared Ginger), Rou Gui (Cinnamon Bark), Chai Hu (Bupleurum Root), and Sheng Ma (Cimicifuga Rhizome) to restore true Qi. If caused by Wind pathogen, treatment should refer to the management of Convulsive Disease (Jing Feng). This condition originates from disease in the Liver and Spleen organs; one should tonify the Spleen and soothe the Liver, while referring to the treatments for Spasm Syndrome (Jing Zheng) and Acute/Chronic Convulsions (Ji Man Jing Feng).
Xiao Xu Ming Tang (Minor Continuation of Life Decoction) treats Stroke (Zhong Feng) presenting with loss of consciousness, rattling phlegm, opisthotonos, aphonia, and cold extremities.
Ingredients: Mahuang (Ephedrae Herba), Renshen (Ginseng Radix et Rhizoma), Huang Qin (Scutellariae Radix, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried), Xingren (Armeniacae Semen Amarum, peeled and de-pitted, stir-fried), Han Fangji (Stephaniae Tetrandrae Radix), Guanzi Gui (Cinnamomi Cortex, peeled, each 0.5 liang), Fangfeng (Saposhnikoviae Radix, 7.5 qian), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled and navel removed, 2 qian).
Usage: Take 1 qian per dose, decoct in water and drink.
Liu Jun Zi Tang (Six Gentlemen Decoction) (Formula see entry under Tian Diao).
Stroke (Zhong Feng) is prevalent in the Northwest. In the Southeast, where the climate is warm and pores are loose and open, those suffering from such conditions mostly have symptoms resembling stroke (Lei Zhong Feng). Moreover, children's primordial Qi is not yet full, and their skin and hair follicles are not secure; their condition easily shifts from deficiency to excess or vice versa. When external pathogens invade, they manifest as high fever and convulsive jerking, coarse breathing and surging phlegm, even progressing to coma and locked jaw. These resemble stroke; mistakenly administering Xiao Xu Ming Tang often leads to death. Even adults rarely suffer from true stroke, let alone children! For any of the aforementioned symptoms, one must differentiate the cause: If Yangming Meridian Qi is deficient and Wind pathogen invades, causing tendon and vessel spasm, it is an Exogenous Cause; if Foot Jueyin Liver Fire is blazing, causing unilateral tendon spasm, it is an Endogenous Cause; if Spleen and Lung are weak, and pores are not tight, allowing external pathogens to enter; or if acute convulsions were treated with excessive mineral drugs damaging Liver Blood, or after vomiting and diarrhea internal fluids are lost failing to nourish the Liver, resulting in facial deviation, these all belong to the category of insufficient Liver Blood and Liver Fire generating Wind, which are types of stroke-like syndromes.
Treatment verified prescriptions (scattered across various syndromes)