〔云〕葛根汤 治妊娠临月，因发风 ，忽闷愦不识人，吐逆眩倒，名曰子痫。
葛根 贝母（去心） 牡丹皮 防风 当归 川芎 白茯苓 桂心 泽泻 甘草（各二两） 独活
石膏 人参（各三两）
上 咀，以水九升，煮取三升，分温二服。贝母令人易产，未临月，升麻代之。
〔丹〕治一妇人怀妊六月，发痫，手足扬直，面紫黑色，合眼涎出，昏 不省人事，半时而醒。医与震灵
丹五十余帖，其疾时作时止，无减症。直至临产，方自愈。产一女，蓐中子母皆安。次年其夫疑丹毒必作，求
治之。诊其脉浮取弦，重取涩，按至骨则沉实带数。时正二月，因未见其痫发症状，未敢与药。意其旧年痫发
时乃五月，欲待其时，度此疾必作，当审谛施治。至五月半，其疾果作，皆是午巳两时。遂教以自制防风通圣
散，用生甘草，加桃仁多，红花少，或服或吐，至四五剂，疾渐疏而轻，发为疥而愈。
〔《大》〕治子痫，用缩砂末，酒调下二钱。（详见安胎。）
病者，口噤，角弓反张者是也。
〔丹〕 ，大率与痫病相似，比痫为虚，宜带补。多是气虚有火兼痰，宜服人参、竹沥之类，不用兼风药。
〔无〕此症多由亡血，筋无所营，故邪得以袭之。所以伤寒汗下过多，与夫病疮人及产后致斯病者，概可见矣。
〔丹〕一男子，二十余岁，患痘疮靥谢后，忽患口噤不开，四肢强直不能屈，时或绕脐腹痛一阵，则冷汗
如雨，痛定则汗止，时作时止。其脉极弦紧而急，如真弦状。向知此子极勤苦，意其因劳倦伤血，山居多风寒，
乘虚而感，又因痘疮，其血愈虚，当用辛温养血，辛凉散风。遂以当归身、芍药为君，川芎、青皮、钩藤为臣，
白术、陈皮、甘草为佐，桂枝、木香、黄连为使，更加红花少许，煎十二帖而安。
〔海〕神术加羌活麻黄汤 治刚 ，解利无汗。（神术方见伤寒太阴。）
白术加桂心黄 白术汤 治柔 ，解利有汗。（白术方见伤寒太阳。）
太阳阳明加川芎、荆芥穗。正阳阳明加羌活、酒大黄。少阳阳明加防风、柴胡根。
热而在表者，加黄芩。寒而在表者，加桂枝、黄 、附子。热而在里者，加大黄。寒而在里者，加干姜、
良姜、附子。
以上数经，寒热当以脉别之。
防风当归散
防风 当归 川芎 地黄（各一两）
上锉，每服一两，水三盏，煎至二盏，温服。
〔仲〕《活人》治 法，并见后表里阴阳条。太阳病发热无汗而反恶寒者，名曰刚 。太阳病发热汗出而不
恶寒者，名曰柔 。
〔仲〕葛根汤 治太阳无汗，而小便反少，气上冲胸，口噤不得语，欲作刚 ，葛根汤主之。（方见伤寒。）
若发热无汗，反恶寒者，名曰刚 ，宜麻黄加独活防风汤。
麻黄（去节） 桂枝（各一两） 芍药（三两） 甘草（半两） 独活 防风（各一两）
上锉细，每服一两，水二钟，煎至一钟半，温服。
〔仲〕栝蒌桂枝汤 太阳病其症备，身体强KT KT ，然脉反沉迟，此为柔 。（海藏治有汗而为柔 。）
栝蒌根（二两） 桂枝（三两） 甘草（二两） 生姜（三两） 大枣（十二枚） 芍药（二两）
上六味，以水九升，煮取三升，分温三服，取微汗，汗不出，食顷啜粥发之。
〔海〕若发热自汗而不恶寒者，名曰柔 ，宜桂枝加川芎防风汤。
桂枝 芍药 生姜（各一两半） 甘草 防风 川芎（各一两） 大枣（六枚）
上锉细，每服一两，水三盏，煎至一盏半，去渣温服。
凡刚柔二 ，并可与小续命汤。（方见中风门。但去渣入生姜汁。）小续命汤加减法∶若柔 自汗者，
去麻黄。夏间及病有热者，减桂枝一半。冬及初春去黄芩。
〔《千》〕续命汤 治卒中半身不遂，手足拘急，不得屈伸，身体冷，或智或痴，或身强直不语，
或生或死，狂言不可名状，角弓反张，或欲得食，或不用食，大小便不利，皆疗之。
人参 桂心 当归 独活 黄芩 干姜（炮） 甘草（炙，各七钱半） 石膏（一两半） 杏仁（四十枚）
上九味 咀，以水九升，煮取三升，分温三服，日二服，取汗。无汗者，加麻黄。
〔仲〕刚 为病，胸满口噤，卧不着席，脚挛急，必 齿，可与大承气。（方见伤寒。）
〔子和〕吕君玉之妻，年三十余，病风搐目眩，角弓反张，数日不食，诸医皆作惊风、暗风、风痫治之，
以天南星、雄黄、天麻、乌附用之，殊无少效。戴人曰∶诸风掉眩，皆属肝木。曲直摇动，风之用也。阳主动，
阴主静。由火盛制金，金衰不能平木，肝木茂而自病。因涌风涎二三升，次以寒剂下十余行。又以排针刺百会
穴，出血一杯立愈。
〔海〕若汗后不解，乍静乍躁，目直视，口噤，往来寒热，脉弦者，少阳风 ，宜柴胡加防风汤。
柴胡（一两） 人参（五钱） 半夏（制，六钱） 黄芩（五钱） 生姜 甘草（各六钱半）
防风（一两） 枣（三个）
上锉，每服一两，水三盏，煮至一盏半，去渣温服。
若发汗过多，发热头面摇，卒口噤，背反张者，太阳兼阳明也，宜去风养血，防风当归散主之。（方见本门大法条。）
阳 ，并见表里条。仲景虽曰 皆身热足寒，然属阳，不厥逆。
〔《百一》〕治中风身直不得屈伸反复者。取槐皮黄白者切之，以酒或水六升，煮取二升，去渣服。
〔《千》〕仓公当归汤治贼风口噤，角弓反张 方。
当归 防风（各七钱半） 独活（一两半） 附子（一枚） 细辛（半两） 麻黄（一两二钱半）
上 咀，以酒五升，水三升，煮取三升，服一升。口不开者，格口纳汤。一服当苏，二服小汗，三服大汗。
〔《活》〕八物白术散 治阴 ，一二日面肿，手足厥冷，筋脉拘急，汗不出，恐阴气内伤。
白术 茯苓 五味子（各半两） 桂心（三分） 麻黄（半两） 良姜（一分） 羌活（半两） 附子（三分）
上为末，每服四钱，水一大盏，生姜五片，同煎至五分，去渣，温服无时。
〔海〕若发热，脉沉而细者，附太阴也，必腹痛，宜桂枝加芍药防风防己汤。又宜小续命汤。
桂枝（一两半） 防风 防己（各一两） 芍药（二两） 生姜（一两半） 大枣（六枚）
上锉，每服一两，水三盏，煎至一盏半，去渣温服。
〔《活》〕附子散 阴 ，手足厥逆，筋脉拘急，汗出不止，头项强直，头摇口噤。
桂心（三钱） 附子（一两，炮） 白术（一两） 川芎（三钱） 独活（半两）
上为末，每服三钱，水一钟，枣一枚，煎至五分，温服。
桂心白术汤 治阴 ，手足厥冷，筋脉拘急，汗出不止。
白术 防风 甘草 桂心 川芎 附子
上为末，每服五钱，水二钟，生姜五片，枣二枚，同煎至七分，去渣温服。
附子防风散 治阴 ，闭目合面，手足厥逆，筋脉拘急，汗出不止。
白芷（一两） 防风 甘草（各三分） 桂心（半两） 附子（三分） 干姜（三分） 柴胡（一两
半） 茯苓（三分） 五味子（一两）
上为末，每服三钱，水二盏，生姜四片，同煎，去渣，温服。
〔海〕发汗太多，因致 。身热足寒，项强恶寒，头热面肿，目赤头摇，口噤，背反张者，太阳 也。若
头低视下，手足牵引，肘膝相构，阳明 也。若一目或左右邪视，并一手一足搐搦者，少阳 也。汗之止之，
和之下之，各随其经，可使必已。
右太阳 ，属表，无汗宜汗之，有汗宜止之。阳明 ，属里，宜下之。少阳 ，属半表半里，宜和之。
所谓各随其经也。
〔丹〕卢妇人，因怒，手足强直，十指如束，左脉弦虚，右脉弦大而强，稍坚。此风木攻脾土，宜速泻肝
气，助肺金，补脾土之阴。
黄连（二钱） 天南星 白术 人参 黄芩 天麻 川芎 木通 陈皮 青皮（各半钱） 甘草（一分）
作一帖，煎取一盏，入姜汁令辣，再沸，热服。
肺移热于肾，传为柔 。（全文见诊病传变。）
运气 有三∶一曰风。经云∶厥阴在泉，客胜则大关节不利，内为 强拘急，外为不便。又云∶诸暴强直，
皆属于风是也。二曰湿。经云∶诸 项强，皆属于湿。王注∶谓阳内郁，而阴行于外是也。三曰寒包热。经
云∶火太过曰赫曦，赫曦之纪，上羽与正征同，其病 。盖司天之寒，束火于中，亦阴阳内郁，阴行于外之意也。
〔世〕治角弓反张。胞衣瓶内水，鹅毛挑入患人口唇，即愈。
〔《肘》〕治中风身体强直，不得屈伸反复。括枳树皮，细切一升，以酒二升，浸一宿，每日温酒服半升，
酒尽再作。（枳实即枸橘树，去风除湿。）
〔《千》〕治口噤手足不随，而身体强直。伏龙肝五升，以水七升，和搅取汁饮之。
〔仲〕病者身热足寒，颈项强急，恶寒，时头热，面赤目赤，独头动摇，卒口噤，背反张者， 病也。（《活
人书》云∶外症发热恶寒，与伤寒相似，但其脉沉迟弦细，而项背反张为异耳。）太阳病，发汗太多，
因致 。夫风病下之则 ，复发汗必拘急。夫 脉，按之紧如弦，直上下行。
〔《脉》〕 家其脉伏坚，直上下行。
〔无〕凡 脉，皆伏沉弦紧。
〔仲〕太阳病发热，脉沉而细者，名曰 ，为难治。 病有灸疮，难治。（即破伤风之类。） 病若发
其汗者，寒湿相搏，其表益虚，即恶寒。 病，发其汗已，其脉 如蛇。暴腹胀大者，为欲解。脉如故，
反伏弦者 。
〔《灵》〕风 身反折，先取足太阳及 中及血络出血。中有寒，取三里。（热病篇）
〔《素》〕太阳所谓强上引背者，阳气大上而争，故强上也。（脉解篇）督脉为病，脊强反折。（骨空论）
〔《灵》〕足少阴之筋，循脊内，挟膂上至项。其病主痫 及 ，在外者不能俯，在内者不能仰。故阳病者
腰反折不能俯，阴病者不能仰，治在燔针。
〔《甲》〕风 身反折，先取太阳及 中及血络出血。 ，中有寒，取三里。 ，取之阴跷及三毛上及血络
出血。 ，取囟会及百会，又膈俞、上关、光明主之。 ，目不 ，刺脑户。 ，脊强反折，螈 癫疾，头重，
五枢主之。 ，互引善惊，天冲主之。 ，反折心痛，形气短，尻 涩，小便黄闭，长强主之。 ，筋痛急互
引，肝俞主之。热 ，脾俞及肾俞主之。 口噤，互相引，口干，小便赤黄，或时不禁，承浆主之。 惊互引，
脚如结， 如裂，束骨主之， ，反折互引，腹胀掖挛，背中怏怏，引胁痛，内引心中膂内，肺俞主之。又刺
阳明，从项而数背椎，侠脊膂而痛，按之应手者，刺之尺泽，三 立已。
【云】葛根汤治疗妊娠临产月，因感受风邪，忽然昏闷不识人，呕吐逆乱眩晕倒仆，名为子痫。
葛根、贝母（去心）、牡丹皮、防风、当归、川芎、白茯苓、桂心、泽泻、甘草（各二两）、独活、石膏、人参（各三两）。
以上药物切碎，用水九升，煮取三升，分两次温服。贝母能使人易于生产，若未到临产月，可用升麻代替。
【丹溪】治疗一位怀孕六个月的妇人，发作痫证，手足扬举伸直，面色紫黑，闭眼流涎，昏迷不省人事，半个时辰后苏醒。医生给予震灵丹五十多帖，病情时发时止，症状无减轻。直到临产，才自愈。生下一个女儿，产妇和婴儿都平安。次年，其丈夫怀疑是丹药中毒必然发作，求治。诊其脉浮取弦，重取涩，按至骨则沉实带数。当时正值二三月，因为未见其痫证发作的症状，不敢给药。推测其旧年痫证发作是在五月，想等到那时，估量此病必然发作，应当审慎仔细施治。到了五月半，其病果然发作，都是在午时和巳时。于是教以自制的防风通圣散，用生甘草，加桃仁多，红花少，或服用或催吐，到四五剂，疾病逐渐疏解而轻，发作为疥疮而痊愈。
所谓痓病（筋脉拘急，角弓反张），是指口噤不开，角弓反张的病人。
【丹溪】痓病，大体与痫病相似，但比痫病更虚，宜兼用补法。多是气虚有火兼痰，宜服人参、竹沥之类，不用兼用风药。
【无名氏】此症多由失血，筋脉无所滋养，所以邪气得以侵袭。所以伤寒汗下过多，以及患疮疡的人和产后导致此病的，概可见矣。
【丹溪】一男子，二十多岁，患痘疮结痂脱落后，忽然患口噤不开，四肢强直不能屈伸，有时绕脐腹痛一阵，则冷汗如雨，痛定则汗止，时发时止。其脉极弦紧而急，如真弦状。向来知道此子极其勤苦，推测是因劳倦伤血，山居多风寒，乘虚而感，又因痘疮，其血愈虚，当用辛温养血，辛凉散风。遂以当归身、芍药为君药，川芎、青皮、钩藤为臣药，白术、陈皮、甘草为佐药，桂枝、木香、黄连为使药，更加红花少许，煎十二帖而安。
【海藏】神术加羌活麻黄汤 治疗刚痓（无汗恶寒），解表利无汗。（神术方见伤寒太阴。）
白术加桂心黄芪白术汤 治疗柔痓（有汗不恶寒），解表利有汗。（白术方见伤寒太阳。）
太阳阳明经加川芎、荆芥穗。正阳阳明经加羌活、酒大黄。少阳阳明经加防风、柴胡根。
热而在表者，加黄芩。寒而在表者，加桂枝、黄芪、附子。热而在里者，加大黄。寒而在里者，加干姜、良姜、附子。
以上数经，寒热应当以脉象辨别。
防风当归散
防风、当归、川芎、地黄（各一两）
以上锉碎，每服一两，水三盏，煎至二盏，温服。
【仲景】《活人书》治疗痓法，并见后表里阴阳条。太阳病发热无汗而反恶寒者，名为刚痓。太阳病发热汗出而不恶寒者，名为柔痓。
【仲景】葛根汤 治疗太阳病无汗，而小便反少，气上冲胸，口噤不得语，欲作刚痓，葛根汤主之。（方见伤寒。）
若发热无汗，反恶寒者，名为刚痓，宜麻黄加独活防风汤。
麻黄（去节）、桂枝（各一两）、芍药（三两）、甘草（半两）、独活、防风（各一两）
以上锉细，每服一两，水二钟，煎至一钟半，温服。
【仲景】栝蒌桂枝汤 太阳病其症具备，身体强直KT KT（形容身体僵硬不适），然脉反沉迟，此为柔痓。（海藏治疗有汗而为柔痓。）
栝蒌根（二两）、桂枝（三两）、甘草（二两）、生姜（三两）、大枣（十二枚）、芍药（二两）
以上六味，用水九升，煮取三升，分三次温服，取微汗，汗不出，吃顿饭工夫喝粥以助发汗。
【海藏】若发热自汗而不恶寒者，名为柔痓，宜桂枝加川芎防风汤。
桂枝、芍药、生姜（各一两半）、甘草、防风、川芎（各一两）、大枣（六枚）
以上锉细，每服一两，水三盏，煎至一盏半，去渣温服。
凡刚痓、柔痓，并可与小续命汤。（方见中风门。但去渣入生姜汁。）小续命汤加减法：若柔痓自汗者，去麻黄。夏间及病有热者，减桂枝一半。冬及初春去黄芩。
【《千金》】续命汤 治疗卒中半身不遂，手足拘急，不得屈伸，身体冷，或智或痴，或身强直不语，或生或死，狂言不可名状，角弓反张，或欲得食，或不用食，大小便不利，皆疗之。
人参、桂心、当归、独活、黄芩、干姜（炮）、甘草（炙，各七钱半）、石膏（一两半）、杏仁（四十枚）
以上九味切碎，用水九升，煮取三升，分三次温服，日二服，取汗。无汗者，加麻黄。
【仲景】刚痓为病，胸满口噤，卧不着席，脚挛急，必齘齿（磨牙），可与大承气汤。（方见伤寒。）
【子和】吕君玉之妻，年三十余，病风搐目眩，角弓反张，数日不食，诸医皆作惊风、暗风、风痫治之，以天南星、雄黄、天麻、乌附用之，殊无少效。戴人曰：诸风掉眩，皆属肝木。曲直摇动，风之用也。阳主动，阴主静。由火盛制金，金衰不能平木，肝木茂而自病。因涌风涎二三升，次以寒剂下十余行。又以排针刺百会穴，出血一杯立愈。
【海藏】若汗后不解，乍静乍躁，目直视，口噤，往来寒热，脉弦者，少阳风痓，宜柴胡加防风汤。
柴胡（一两）、人参（五钱）、半夏（制，六钱）、黄芩（五钱）、生姜、甘草（各六钱半）、防风（一两）、枣（三个）
以上锉碎，每服一两，水三盏，煮至一盏半，去渣温服。
若发汗过多，发热头面摇，卒口噤，背反张者，太阳兼阳明也，宜去风养血，防风当归散主之。（方见本门大法条。）
阳痓，并见表里条。仲景虽曰痓皆身热足寒，然属阳，不厥逆。
【《百一选方》】治疗中风身直不得屈伸反复者。取槐皮黄白者切之，以酒或水六升，煮取二升，去渣服。
【《千金》】仓公当归汤治贼风口噤，角弓反张方。
当归、防风（各七钱半）、独活（一两半）、附子（一枚）、细辛（半两）、麻黄（一两二钱半）
以上切碎，以酒五升，水三升，煮取三升，服一升。口不开者，格口纳汤。一服当苏，二服小汗，三服大汗。
【《活人》】八物白术散 治疗阴痓，一二日面肿，手足厥冷，筋脉拘急，汗不出，恐阴气内伤。
白术、茯苓、五味子（各半两）、桂心（三分）、麻黄（半两）、良姜（一分）、羌活（半两）、附子（三分）
以上为末，每服四钱，水一大盏，生姜五片，同煎至五分，去渣，温服无时。
【海藏】若发热，脉沉而细者，附太阴也，必腹痛，宜桂枝加芍药防风防己汤。又宜小续命汤。
桂枝（一两半）、防风、防己（各一两）、芍药（二两）、生姜（一两半）、大枣（六枚）
以上锉碎，每服一两，水三盏，煎至一盏半，去渣温服。
【《活人》】附子散 治疗阴痓，手足厥逆，筋脉拘急，汗出不止，头项强直，头摇口噤。
桂心（三钱）、附子（一两，炮）、白术（一两）、川芎（三钱）、独活（半两）
以上为末，每服三钱，水一钟，枣一枚，煎至五分，温服。
桂心白术汤 治疗阴痓，手足厥冷，筋脉拘急，汗出不止。
白术、防风、甘草、桂心、川芎、附子
以上为末，每服五钱，水二钟，生姜五片，枣二枚，同煎至七分，去渣温服。
附子防风散 治疗阴痓，闭目合面，手足厥逆，筋脉拘急，汗出不止。
白芷（一两）、防风、甘草（各三分）、桂心（半两）、附子（三分）、干姜（三分）、柴胡（一两半）、茯苓（三分）、五味子（一两）
以上为末，每服三钱，水二盏，生姜四片，同煎，去渣，温服。
【海藏】发汗太多，因致痓。身热足寒，项强恶寒，头热面肿，目赤头摇，口噤，背反张者，太阳痓也。若头低视下，手足牵引，肘膝相构，阳明痓也。若一目或左右邪视，并一手一足搐搦者，少阳痓也。汗之止之，和之下之，各随其经，可使必已。
右太阳痓，属表，无汗宜汗之，有汗宜止之。阳明痓，属里，宜下之。少阳痓，属半表半里，宜和之。
所谓各随其经也。
【丹溪】卢妇人，因怒，手足强直，十指如束，左脉弦虚，右脉弦大而强，稍坚。此风木攻脾土，宜速泻肝气，助肺金，补脾土之阴。
黄连（二钱）、天南星、白术、人参、黄芩、天麻、川芎、木通、陈皮、青皮（各半钱）、甘草（一分）
作一帖，煎取一盏，入姜汁令辣，再沸，热服。
运气有三：一曰风。经云：厥阴在泉，客胜则大关节不利，内为痓强拘急，外为不便。又云：诸暴强直，皆属于风是也。二曰湿。经云：诸痓项强，皆属于湿。王注：谓阳内郁，而阴行于外是也。三曰寒包热。经云：火太过曰赫曦，赫曦之纪，上羽与正征同，其病痓。盖司天之寒，束火于中，亦阴阳内郁，阴行于外之意也。
【《肘后备急方》】治疗中风身体强直，不得屈伸反复。括枳树皮，细切一升，以酒二升，浸一宿，每日温酒服半升，酒尽再作。（枳实即枸橘树，去风除湿。）
【《千金》】治疗口噤手足不随，而身体强直。伏龙肝五升，以水七升，和搅取汁饮之。
【仲景】病者身热足寒，颈项强急，恶寒，时头热，面赤目赤，独头动摇，卒口噤，背反张者，痓病也。（《活人书》云：外症发热恶寒，与伤寒相似，但其脉沉迟弦细，而项背反张为异耳。）太阳病，发汗太多，因致痓。夫风病下之则痓，复发汗必拘急。夫痓脉，按之紧如弦，直上下行。
【《脉经》】痓家其脉伏坚，直上下行。
【无名氏】凡痓脉，皆伏沉弦紧。
【仲景】太阳病发热，脉沉而细者，名曰痓，为难治。痓病有灸疮，难治。（即破伤风之类。）痓病若发其汗者，寒湿相搏，其表益虚，即恶寒。痓病，发其汗已，其脉蠕如蛇。暴腹胀大者，为欲解。脉如故，反伏弦者痓。
【《灵枢》】风痓身反折，先取足太阳及膻中及血络出血。中有寒，取三里。（热病篇）
【《素问》】太阳所谓强上引背者，阳气大上而争，故强上也。（脉解篇）督脉为病，脊强反折。（骨空论）
【《灵枢》】足少阴之筋，循脊内，挟膂上至项。其病主痫痓及痓，在外者不能俯，在内者不能仰。故阳病者腰反折不能俯，阴病者不能仰，治在燔针。
【《甲乙经》】风痓身反折，先取太阳及膻中及血络出血。痓，中有寒，取三里。柔痓，取之阴跷及三毛上及血络出血。刚痓，取囟会及百会，又膈俞、上关、光明主之。痓，目不识人，刺脑户。痓，脊强反折，瘛疭癫疾，头重，五枢主之。痓，互引善惊，天冲主之。痓，反折心痛，形气短，尻肛涩，小便黄闭，长强主之。痓，筋痛急互引，肝俞主之。热痓，脾俞及肾俞主之。口噤，互相引，口干，小便赤黄，或时不禁，承浆主之。惊痓互引，脚如结，腨如裂，束骨主之。痓，反折互引，腹胀掖挛，背中怏怏，引胁痛，内引心中膂内，肺俞主之。又刺阳明，从项而数背椎，侠脊膂而痛，按之应手者，刺之尺泽，三刺立已。
[Yun] Gegen Tang (Kudzu Decoction) treats Zi Xian (Eclampsia of Pregnancy) occurring at the month of delivery, caused by contracting Wind pathogen, suddenly leading to mental confusion and loss of consciousness, vomiting, dizziness, and collapse.
Gegen (Radix Puerariae), Beimu (Bulbus Fritillariae Cirrhosae, heart removed), Mudanpi (Cortex Moutan Radicis), Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baifuling (Poria with Hostwood), Guixin (Cortex Cinnamomi Cassiae), Zexie (Rhizoma Alismatis), Gancao (Radix Glycyrrhizae Uralensis, each 2 liang), Duhuo (Radix Angelicae Pubescentis), Shigao (Gypsum Fibrosum), Renshen (Radix Ginseng, each 3 liang).
The above herbs are cut into small pieces, boiled in 9 sheng of water until 3 sheng remain, divided into two doses, taken warm. Beimu facilitates childbirth; if not yet near term, Shengma (Rhizoma Cimicifugae) may be substituted.
[Danxi] Treated a woman pregnant for six months who suffered from epilepsy-like convulsions, with arms and legs extended and flailing, face purple-black, eyes closed with saliva flowing, unconscious for half an hour before waking. Physicians administered Zhenling Dan (Vibrant Spirit Pill) over fifty doses, but symptoms persisted intermittently without reduction. She recovered spontaneously only upon delivery, giving birth to a healthy daughter. The following year, her husband suspected toxicity from the pills and sought treatment. Her pulse was wiry on superficial pressure, choppy on deep pressure, and deep, solid, and rapid when pressed to the bone. It was February or March, and since no convulsive symptoms were present, medication was withheld. Anticipating recurrence in May based on previous history, treatment was planned for that time. By mid-May, the condition indeed recurred during the Wu and Si hours. He prescribed his self-formulated Fangfeng Tongsheng San (Saposhnikovia Unblocking Heroic Powder) using raw Gancao, increased Tao Ren (Semen Persicae), and reduced Honghua (Flos Carthami), administered orally or inducing emesis. After four to five doses, the illness gradually subsided, manifesting as scabies before complete resolution.
[Da] To treat Zi Xian, use Su Sha (Fructus Amomi Rotundus) powder, taken with wine, 2 qian per dose. (See "Calming the Fetus" for details.)
The disease referred to here is Ji Bing (Spasm Disease/Chong), characterized by locked jaw (Jin Jing) and opisthotonos (Jiao Gong Fan Zhang).
[Danxi] Ji Bing generally resembles epilepsy but is more deficient in nature, thus requiring tonification. It is often due to Qi deficiency with Fire and Phlegm; Ren Shen and Zhu Li (Bambusa Textilis Caulis Juice) are suitable, while Wind-dispelling drugs should be avoided.
[Wuming Shi] This syndrome often results from blood loss, leaving tendons and vessels un-nourished, allowing pathogens to invade. Thus, it is seen after excessive sweating or purgation in Cold Damage, in patients with sores, and postpartum.
[Danxi] A man in his twenties, after acne scars fell off, suddenly developed locked jaw, rigid limbs unable to flex, and intermittent periumbilical pain accompanied by profuse cold sweat, which ceased when pain subsided. His pulse was extremely wiry, tight, and rapid. Knowing he led a hard life, I surmised labor damaged Blood, mountain living exposed him to Wind-Cold, and the acne further depleted Blood. Treatment required acrid-warm herbs to nourish Blood and acrid-cool herbs to disperse Wind. Dang Gui Shen (Body of Radix Angelicae Sinensis) and Shao Yao (Radix Paeoniae Alba) served as Sovereign; Chuan Xiong, Qing Pi (Pericarpium Citri Reticulatae Viride), and Gou Teng (Uncaria Rhynchophylla) as Ministers; Bai Zhu (Rhizoma Atractylodis Macrocephalae), Chen Pi (Pericarpium Citri Reticulatae), and Gan Cao as Assistants; Gui Zhi (Ramulus Cinnamomi Cassiae), Mu Xiang (Radix Aucklandiae), and Huang Lian (Rhizoma Coptidis) as Guides. With a little Honghua, twelve doses cured him.
[Hai Zang] Shenzhu Jia Qiang Huo Ma Huang Tang (Atractylodes Formula plus Notopterygium and Ephedra Decoction) treats Gang Ji (Yang Spasm: anhidrosis and aversion to cold) to resolve exterior and promote sweating. (Shenzhu formula see Cold Damage Taiyin.)
Baizhu Jia Guixin Huangqi Baizhu Tang (Atractylodes Formula plus Cinnamon Twig and Astragalus Decoction) treats Rou Ji (Yin Spasm: diaphoresis and absence of aversion to cold) to resolve exterior and stop sweating. (Baizhu formula see Cold Damage Taiyang.)
For Taiyang-Yangming involvement, add Chuanxiong and Jingjie Sui (Herba Schizonepetae). For Zhengyang Yangming, add Qianghuo (Rhizoma Notopterygii) and Jiu Dahuang (Rhubarb processed with wine). For Shaoyang-Yangming, add Fangfeng and Chaihu Gen (Radix Bupleuri).
If heat is in the exterior, add Huangqin (Radix Scutellariae). If cold is in the exterior, add Guizhi, Huangqi (Radix Astragali), and Fuzi (Radix Aconiti Lateralis Preparata). If heat is in the interior, add Dahuang (Radix et Rhizoma Rhei). If cold is in the interior, add Ganjiang (Rhizoma Zingiberis Secati), Jiangliangjiang (Rhizoma Galangalis), and Fuzi.
For these meridians, cold and heat must be distinguished by pulse.
Fangfeng Danggui San (Saposhnikovia and Angelica Powder)
Fangfeng, Danggui, Chuanxiong, Dihuang (Radix Rehmanniae Preparata, each 1 liang).
Cut into pieces, take 1 liang per dose, boil in 3 zhan of water until 2 zhan remain, take warm.
[Zhongjing] The *Huoren* text describes Ji treatments, also found in the Exterior-Interior Yin-Yang section. Taiyang disease with fever, anhidrosis, and aversion to cold is named Gang Ji. Taiyang disease with fever, diaphoresis, and no aversion to cold is named Rou Ji.
[Zhongjing] Gegen Tang treats Taiyang disease with anhidrosis, decreased urination, Qi rushing to the chest, locked jaw preventing speech, indicating impending Gang Ji. Gegen Tang is indicated. (Formula see Cold Damage.)
If fever, anhidrosis, and aversion to cold are present, it is Gang Ji; Mahuang Jia Duhuo Fangfeng Tang (Ephedra plus Notopterygium and Saposhnikovia Decoction) is appropriate.
Mahuang (nodes removed), Guizhi (each 1 liang), Shaoyao (3 liang), Gancao (0.5 liang), Duhuo, Fangfeng (each 1 liang).
Cut finely, take 1 liang per dose, boil in 2 zhong of water until 1.5 zhong remain, take warm.
[Zhongjing] Gualou Guizhi Tang treats Taiyang disease with full symptomatology, body stiffness, yet pulse is deep and slow, indicating Rou Ji. (Hai Zang treats diaphoretic cases as Rou Ji.)
Gualou Gen (Radix Trichosanthis), Guizhi (3 liang), Gancao (2 liang), Shengjiang (3 liang), Dazao (12 fruits), Shaoyao (2 liang).
Boil six ingredients in 9 sheng of water until 3 sheng remain, divide into three warm doses. Induce slight sweating; if none occurs, drink congee shortly after dosing to assist.
[Hai Zang] If fever, spontaneous sweating, and no aversion to cold are present, it is Rou Ji; Guizhi Jia Chuanxiong Fangfeng Tang (Cinnamon Twig plus Chuanxiong and Saposhnikovia Decoction) is appropriate.
Guizhi, Shaoyao, Shengjiang (each 1.5 liang), Gancao, Fangfeng, Chuanxiong (each 1 liang), Dazao (6 fruits).
Cut finely, take 1 liang per dose, boil in 3 zhan of water until 1.5 zhan remain, strain and take warm.
Both Gang Ji and Rou Ji can be treated with Xiao Xuming Tang (Minor Continuation of Life Decoction). (Formula see Stroke Section; remove dregs and add fresh ginger juice.) Modifications to Xiao Xuming Tang: For Rou Ji with sweating, remove Mahuang. In summer or with heat, reduce Guizhi by half. In winter and early spring, remove Huangqin.
[Qianjin] Xuming Tang treats stroke with hemiplegia, limb spasm, inability to flex/extend, cold body, mental confusion or dementia, rigidity, muteness, death or survival, incoherent speech, opisthotonos, appetite changes, and bowel/bladder dysfunction.
Renshen, Guixin, Danggui, Duhuo, Huangqin, Ganjiang (processed), Gancao (roasted, each 7.5 qian), Shigao (1.5 liang), Xingren (40 seeds).
Cut nine ingredients, boil in 9 sheng of water until 3 sheng remain, divide into three warm doses, twice daily, induce sweating. Add Mahuang if anhidrotic.
[Zhongjing] Gang Ji presents with chest fullness, locked jaw, inability to lie flat, leg cramps, and teeth grinding; Da Chengqi Tang (Major Order the Qi Decoction) may be given. (Formula see Cold Damage.)
[Zihe] Wife of Lord Lu Yuyu, over thirty, suffered wind convulsions, vertigo, opisthotonos, and anorexia for days. Physicians treated as fright-wind, hidden-wind, or wind-epilepsy using Tian Nanxing (Rhizoma Arisaematis), Xionghuang (Realgar), Tianma (Rhizoma Gastrodiae), and Wufu (Prepared Aconite) with no effect. Dai Ren said: All wind tremors and vertigo belong to Liver Wood. Flexion and extension movements are functions of Wind. Yang moves, Yin stills. Excessive Fire controls Metal; Metal deficiency fails to balance Wood, causing Liver Wood to flourish and become diseased. He induced expectoration of 2-3 sheng of wind-phlegm, then purged with cold agents ten-plus times. Finally, he punctured Baihui (GV20) with multiple needles, releasing one cup of blood, resulting in immediate cure.
[Hai Zang] If unresolved after sweating, with alternating calmness and agitation, fixed gaze, locked jaw, alternating chills and fever, and wiry pulse, it is Shaoyang Wind Ji; Chaihu Jia Fangfeng Tang (Bupleurum plus Saposhnikovia Decoction) is appropriate.
Chaihu (1 liang), Renshen (5 qian), Banxia (processed, 6 qian), Huangqin (5 qian), Shengjiang, Gancao (each 6.5 qian), Fangfeng (1 liang), Zao (3 fruits).
Cut, take 1 liang per dose, boil in 3 zhan of water until 1.5 zhan remain, strain and take warm.
If excessive sweating leads to fever, head/face shaking, sudden locked jaw, and opisthotonos, it involves Taiyang and Yangming; dispel Wind and nourish Blood with Fangfeng Danggui San. (Formula see Main Principles Section.)
Yang Ji is discussed in the Exterior-Interior section. Zhongjing stated Ji always presents with body heat and cold feet, but being Yang-type, there is no reversal cold (Jue Ni).
[Baiyi] Treats wind-stroke with rigid body unable to flex/extend. Take yellow-white Sophora bark, cut, boil in 6 sheng of wine or water until 2 sheng remain, strain and drink.
[Qianjin] Cang Gong Danggui Tang treats thief-wind with locked jaw and opisthotonos.
Danggui, Fangfeng (each 7.5 qian), Duhuo (1.5 liang), Fuzi (1 piece), Xixin (0.5 liang), Mahuang (1.25 liang).
Cut, boil in 5 sheng wine and 3 sheng water until 3 sheng remain, take 1 sheng. If mouth is closed, administer via cheek. First dose restores consciousness, second causes slight sweat, third heavy sweat.
[Huoren] Bayi Baizhu San (Eight-Ingredient Atractylodes Powder) treats Yin Ji: facial swelling within 1-2 days, cold extremities, tendon spasm, anhidrosis, fearing internal injury of Yin Qi.
Baizhu, Fuling (Poria), Wuweizi (Fructus Schisandrae) (each 0.5 liang), Guixin (0.3 fen), Mahuang (0.5 liang), Jiangliangjiang (0.1 fen), Qianghuo (0.5 liang), Fuzi (0.3 fen).
Powder, take 4 qian per dose with 1 large zhan of water and 5 slices of ginger, boil until 0.5 zhan remain, strain and take warm anytime.
[Hai Zang] If fever with deep, thin pulse indicates Taiyin involvement, abdominal pain will occur; Guizhi Jia Shaoyao Fangfeng Fangji Tang (Cinnamon Twig plus Peony, Saposhnikovia, and Stephania Decoction) is appropriate. Also Xiao Xuming Tang.
Guizhi (1.5 liang), Fangfeng, Fangji (Radix Stephaniae Tetrandrae) (each 1 liang), Shaoyao (2 liang), Shengjiang (1.5 liang), Dazao (6 fruits).
Cut, take 1 liang per dose, boil in 3 zhan of water until 1.5 zhan remain, strain and take warm.
[Huoren] Fuzi San (Aconite Powder) treats Yin Ji: cold extremities, tendon spasm, continuous sweating, neck stiffness, head shaking, locked jaw.
Guixin (3 qian), Fuzi (processed, 1 liang), Baizhu (1 liang), Chuanxiong (3 qian), Duhuo (0.5 liang).
Powder, take 3 qian per dose with 1 zhong of water and 1 jujube, boil until 0.5 zhan remain, take warm.
Guixin Baizhu Tang (Cinnamon Twig and Atractylodes Decoction) treats Yin Ji: cold extremities, tendon spasm, continuous sweating.
Baizhu, Fangfeng, Gancao, Guixin, Chuanxiong, Fuzi.
Powder, take 5 qian per dose with 2 zhong of water, 5 slices of ginger, 2 jujubes, boil until 0.7 zhan remain, strain and take warm.
Fuzi Fangfeng San (Aconite and Saposhnikovia Powder) treats Yin Ji: eyes closed, face covered, cold extremities, tendon spasm, continuous sweating.
Baizhi (Radix Angelicae Dahuricae, 1 liang), Fangfeng, Gancao (each 0.3 fen), Guixin (0.5 liang), Fuzi (0.3 fen), Ganjiang (0.3 fen), Chaihu (1.5 liang), Fuling (0.3 fen), Wuweizi (1 liang).
Powder, take 3 qian per dose with 2 zhan of water and 4 slices of ginger, boil, strain, take warm.
[Hai Zang] Excessive sweating causes Ji. Body heat, cold feet, neck stiffness, aversion to cold, hot head, swollen face, red eyes, head shaking, locked jaw, opisthotonos indicate Taiyang Ji. Head lowered, looking down, limbs pulling, elbows/knees touching indicate Yangming Ji. One eye deviated or unilateral limb spasms indicate Shaoyang Ji. Sweating, stopping sweating, harmonizing, purging—treat according to the meridian—to ensure cure.
Taiyang Ji is exterior; anhidrosis requires sweating, diaphoresis requires stopping sweating. Yangming Ji is interior; requires purging. Shaoyang Ji is half-exterior/half-interior; requires harmonizing. This is "treating according to the meridian."
[Danxi] Lady Lu, due to anger, developed rigid limbs and bound fingers. Left pulse wiry and empty; right pulse wiry, large, strong, and slightly firm. This is Wind-Wood attacking Spleen-Earth. Quickly purge Liver Qi, assist Lung-Metal, and tonify Spleen-Earth Yin.
Huanglian (2 qian), Tian Nanxing, Baizhu, Renshen, Huangqin, Tianma, Chuanxiong, Mutong (Caulis Akebiae), Chenpi, Qingpi (each 0.5 qian), Gancao (0.1 fen).
One dose, boil to 1 zhan, add ginger juice until spicy, boil again, take hot.
Lung transferring Heat to Kidney transmits as Rou Ji. (Full text see Disease Transmission.)
Qi Yun (Climate Patterns) has three types: 1. Wind. Classic says: Jueyin in Earthly Branch, guest excess causes joint stiffness, internal Ji rigidity/spasm, external inconvenience. Also: All sudden rigidity belongs to Wind. 2. Dampness. Classic says: All Ji neck stiffness belongs to Dampness. Wang Bing's note: Yang depressed internally, Yin moving externally. 3. Cold wrapping Heat. Classic says: Excessive Fire is called Hexi; its era matches Upper Water and Proper Fire, disease is Ji. Cold ruling Heaven binds Fire inside, meaning Yin/Yang depression internally, Yin moving externally.
[Popular] Treat opisthotonos. Use water from placenta bottle, apply to patient's lips with goose feather for cure.
[Zhouhou] Treats wind-stroke body rigidity. Cut Zhi Pi (Pericarpium Aurantii) tree bark 1 sheng, soak in 2 sheng wine overnight. Drink 0.5 sheng warm wine daily; repeat when finished. (Zhi Shi comes from Citrus trifoliata, dispels Wind/Damp.)
[Qianjin] Treats locked jaw, limb paralysis, body rigidity. Take Fulonggan (Volatile Dragon Liver - calcined earth) 5 sheng, mix with 7 sheng water, stir, extract juice, drink.
[Zhongjing] Patient with body heat, cold feet, neck stiffness, aversion to cold, occasional head heat, red face/eyes, isolated head trembling, sudden locked jaw, opisthotonos suffers from Ji disease. (*Huoren* notes: Exterior symptoms resemble Cold Damage, but pulse is deep/slow/wiry/thin, and neck/back rigidity differs.) Taiyang disease with excessive sweating causes Ji. Purging Wind disease causes Ji; re-sweating causes spasm. Ji pulse is tight like a string, running straight up and down.
[Maijing] Ji patients have deep, firm pulses running straight up and down.
[Wuming Shi] All Ji pulses are deep, sunken, wiry, and tight.
[Zhongjing] Taiyang disease with fever and deep, thin pulse is named Ji, difficult to treat. Ji with moxa scars is difficult. Sweating Ji causes Cold-Damp binding, worsening exterior deficiency and aversion to cold. After sweating Ji, pulse becomes wriggling like a snake. Sudden abdominal distension indicates resolution. Pulse remains same or becomes deep/wiry indicates Ji.
[Lingshu] Wind Ji with body reversal: first bleed Foot-Taiyang, Danzhong (CV17), and collateral vessels. If cold inside, treat Zusanli (ST36). (Heat Disease Chapter)
[Suwen] Taiyang "strong neck pulling back" is due to Yang Qi rising excessively and competing. Du Mai disease causes spinal rigidity and reversal. (Meridian Resolution Chapter / Empty Bone Chapter)
[Lingshu] Foot-Shaoyin tendon follows spine,夹膂 to neck. Disease causes epilepsy/Ji. External side cannot bend forward, internal side cannot bend backward. Yang disease causes lumbar reversal unable to bend forward; Yin disease cannot bend backward. Treat with burning needle.
[Jiayi] Wind Ji body reversal: bleed Taiyang, Danzhong, collaterals. Ji with cold inside: treat Zusanli. Rou Ji: bleed Yin Qiao and Sanmao (GB1). Gang Ji: treat Xinhui (DU22), Baihui (GV20), Ge Shu (BL17), Shang Guan (ST7), Guang Ming (GB37). Ji with blindness: pierce Naohu (DU17). Ji with spinal rigidity/reversal, clonic spasms, epilepsy, heavy head: treat Wushu (GB25). Ji with mutual pulling/fright: treat Tianchong (GB15). Ji with reversal chest pain, short breath, anal dryness, yellow urine: treat Changqiang (DU1). Ji with tendon pain/pulling: treat Ganshu (BL18). Heat Ji: treat Pishu (BL20), Shenshu (BL23). Locked jaw, mutual pulling, dry mouth, yellow urine/incontinence: treat Chengjiang (CV24). Fright Ji mutual pulling, stiff legs, calf splitting: treat Jungu (BL65). Ji reversal/pulling, abdominal distension/flank spasm, back discomfort, rib pain, internal chest pain: treat Feishu (BL13). Also treat Yangming: from neck counting back vertebrae, pain along spine, press responsive points, pierci Chi Ze (LU5), three insertions cure immediately.