人参 黄 （蜜炙） 茯苓 白芍药（酒炒） 白术（炒） 当归（酒洗） 甘草（炙）
熟地黄 川
发汗过多，因而致痉者，此方主之。疮家虽身疼，不可发汗，发汗则痉者，亦此方主之。
上件皆是过亡津液，无以养筋，筋牵而急，故令百节强痉耳。经曰∶阳气者，精则养神，柔
则养筋。故用人参、白术、茯苓、黄 、甘草之甘温者以益阳气。又曰∶手得血而能握，足
得血而能步。故用当归、川芎、芍药、地黄、桂枝之味浓者以养阴血。
《勾玄》云∶以桂熬成浓汁，着于诸木嫩苗之上，必致萎谢。故痉者，筋病也，肝木主
筋，药内用桂，可以伐肝缓筋，所谓木得桂而柔也，以故痉病宜之。
叙曰∶痫，沉 也，一月数发者易治，周年一发者难治，此虚实之判也。实者即攻之，
虚者先补可也。考方三首，识其大耳，临证变化，岂曰拘之？
竹沥（一升二合） 生姜汁（五合） 生 汁（一升） 龙齿（末） 防风 麻黄（各
四两） 防己 附子（炮） 石膏 桂枝（各二两） 陈皮（去白） 紫苏（各半两）
痫疾者，发则仆地，闷乱无知，嚼舌吐沫，背反张，目上视，手足搐搦，或作六畜声者
是也。宜此方主之。
痫疾者，风痰之故也。风，阳气也，《内经》曰∶阳之气，以天地之疾风名之，故其发
也暴。然所以令人仆地者，厥气并于上，上实下虚，清浊倒置。清浊倒置，故令人仆。闷乱
无知者，浊邪干乎天君，而神明壅闭也。舌者心之苗，而脾之经络连于舌本，阳明之经络入
上下齿缝中，故风邪实于心脾，则舌自挺；风邪实于阳明，则口自噤。一挺一噤，故令嚼舌。
吐
起于睛明，挟脊而下。风邪干之，则实而劲急，故目上视而背反张也。手足搐搦者，风属肝
木，肝木主筋，风热盛于肝，则一身之筋牵挈，故令手足搐搦也。搐者，四肢屈曲之名。搦
者，十指开握之义也。或作六畜声者，风痰鼓其气窍，而声自变也，譬之弄笛焉，六孔闭塞
不同，而宫商别异是也。是方也，有麻黄、桂枝、防风、紫苏，则可以泄在经之邪。有竹沥
、姜汁、陈皮，则可以行痰涎之滞。有 汁、石膏，则可以清心肺之热。有龙齿可以安魂。
有防己可以通塞。其夫沉痼之痰，非附子不足以行其滞，而其大热之性，又足以益火之源而
消阴翳，譬之太阳中天，幽谷之翳障无不消灭。此古人用附子之意也。
人参、黄（蜜炙）、茯苓、白芍药（酒炒）、白术（炒）、当归（酒洗）、甘草（炙）、熟地黄、川芎。
对于因发汗过多而导致痉病（以项背强直、四肢抽搐为主要表现的病证）的患者，此方主治。疮疡患者即使身体疼痛，也不可使用发汗法；若误用发汗导致出现痉病症状的，也以此方主治。
上述情况都是因为津液过度亡失，无法濡养筋脉，导致筋脉牵引拘急，从而引起全身关节强直痉挛。《内经》说：“阳气，精微则滋养精神，柔和则滋养筋脉。”因此使用人参、白术、茯苓、黄、甘草这些味甘性温的药物来补益阳气。又说：“手得到血的滋养才能握持，脚得到血的滋养才能行走。”因此使用当归、川芎、芍药、地黄、桂枝这些气味浓厚的药物来滋养阴血。
《勾玄》记载：将桂枝熬制成浓汁，滴在各类树木的嫩苗上，必然会导致其枯萎凋谢。所以痉病属于筋的病证，肝主筋，方中使用桂枝，可以抑制肝木而舒缓筋脉，这就是所谓“木得桂而柔”，因此适用于痉病的治疗。
序言说：痫病（癫痫），是沉潜难愈之疾。一个月发作几次的容易治疗，一年发作一次的难以治疗，这是判断虚实的关键。实证应当攻逐邪气，虚证应当先予补益即可。考察这三首方剂，旨在把握其大意，临证时灵活变化，怎能拘泥不变呢？
竹沥（一升二合）、生姜汁（五合）、生半夏汁（一升）、龙齿（研末）、防风、麻黄（各四两）、防己、附子（炮制）、石膏、桂枝（各二两）、陈皮（去白）、紫苏（各半两）。
痫病患者，发作时仆倒在地，神志昏闷混乱无知，咬破舌头吐沫，背部反张挺直，眼球上视，手足抽搐，或者发出六畜叫声的，就是这种病。适宜用此方主治。
痫病的发生，是由于风痰所致。风，属于阳气，《内经》说：“阳之气，用天地间迅猛的风来命名”，所以它的发作非常突然猛烈。然而之所以让人仆倒在地，是因为厥逆之气并聚于上部，导致上实下虚，清浊之气倒置。清浊倒置，所以使人跌倒。神志昏闷混乱无知的，是因为浊邪干扰了心（天君），导致神明壅塞闭阻。舌是心的苗窍，而脾的经络连接于舌根，阳明经的经络进入上下齿缝中，所以风邪实盛于心脾，舌头就会自然挺出；风邪实盛于阳明经，嘴巴就会自然紧闭。一挺一噤，所以导致咬舌。吐沫是因为风痰阻滞气机所致。目系起于睛明穴，沿脊柱向下走行。风邪侵犯此处，导致经脉实盛而劲急，所以出现眼球上视和背部反张。手足抽搐，是因为风属于肝木，肝主筋，风热盛于肝脏，就会导致全身筋脉被牵引掣动，所以出现手足抽搐。“搐”是指四肢屈曲的动作，“搦”是指十指开合的意义。或者发出六畜叫声，是因为风痰鼓动气窍，声音自然改变，就像吹笛子一样，六个孔闭塞不同，宫商音律就各异。此方中，有麻黄、桂枝、防风、紫苏，就可以发散在经络中的邪气。有竹沥、姜汁、陈皮，就可以行散痰涎的停滞。有生半夏汁、石膏，就可以清泻心肺的热邪。有龙齿可以安神定魂。有防己可以通利闭塞。那些沉伏顽固的痰饮，非附子不足以推动其停滞，而且附子大热的性质，又足以补益命门之火而消除阴寒之邪，就像太阳当空高照，幽深山谷中的阴影无不消灭。这就是古人使用附子的用意所在。
Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix, honey-fried), Fu Ling (Poria), Bai Shao Yao (Paeoniae Radix Alba, wine-stir-fried), Bai Zhu (Atractylodis Rhizoma, stir-fried), Dang Gui (Angelicae Sinensis Radix, wine-washed), Gan Cao (Licorice Radix and Rhizoma, roasted), Shu Di Huang (Rehmanniae Radix Praeparata), Chuan Xiong (Ligustici Chuanxiong Rhizoma).
For patients who develop Jing Bing (Spasm Disorder, characterized by stiffness of the neck and back and convulsions of the limbs) due to excessive sweating, this formula is indicated. For patients with sores and ulcers who experience body pain but should not undergo diaphoresis; if diaphoresis is mistakenly applied leading to spasm, this formula is also indicated.
The aforementioned conditions arise because excessive loss of Jin Ye (Body Fluids) fails to nourish the Jin Mai (Sinews/Meridians), causing the sinews to contract and become tense, resulting in stiffness and spasms throughout the joints. The Classic states: "Yang Qi, when refined, nourishes the Shen (Spirit); when soft and gentle, it nourishes the sinews." Therefore, Ren Shen, Bai Zhu, Fu Ling, Huang Qi, and Gan Cao—medicinals that are sweet and warm—are used to tonify Yang Qi. It is also said: "The hands can grasp when nourished by Blood, and the feet can walk when nourished by Blood." Therefore, Dang Gui, Chuan Xiong, Shao Yao, Di Huang, and Gui Zhi—medicinals with rich flavors—are used to nourish Yin Blood.
"Gou Xuan" records: When Gui Zhi (Cinnamon Twig) is boiled into a thick decoction and applied to the tender shoots of various trees, they inevitably wither and die. Thus, Jing Bing is a disorder of the sinews. Since the Liver governs the sinews, the use of Gui Zhi in the formula can suppress Liver Wood and relax the sinews, which is referred to as "Wood becomes supple when aided by Cinnamon." Hence, it is suitable for treating Jing Bing.
Preface: Dian Fan (Epilepsy) is a deep-seated and stubborn disease. Cases occurring several times a month are easier to treat, while those occurring once a year are difficult to treat; this distinguishes deficiency from excess. Excess patterns should be attacked/drained, while deficiency patterns should first be supplemented. Examining these three formulas aims to grasp their general principles; clinical application requires flexibility, one cannot be rigidly bound by them?
Zhu Li (Bamboo Sap, 1 sheng 2 he), Sheng Jiang Zhi (Fresh Ginger Juice, 5 he), Sheng Ban Xia Zhi (Raw Pinellia Tuber Juice, 1 sheng), Long Chi (Dragon Teeth, powdered), Fang Feng (Saposhnikoviae Radix), Ma Huang (Ephedrae Herba) (each 4 liang), Fang Ji (Stephaniae Tetrandrae Radix), Fu Zi (Aconiti Lateralis Radix Praeparata), Shi Gao (Gypsum Fibrosum), Gui Zhi (Cinnamomi Ramulus) (each 2 liang), Chen Pi (Citri Reticulatae Pericarpium, white part removed), Zi Su (Perillae Folium) (each 0.5 liang).
Patients with Dian Fan (Epilepsy), upon onset, fall to the ground, experiencing mental confusion and unconsciousness, biting their tongues and foaming at the mouth, opisthotonos (back arching backward), upward deviation of the eyes, and convulsions of the hands and feet, or making sounds resembling domestic animals. This formula is indicated for such cases.
Dian Fan arises from Wind-Phlegm. Wind belongs to Yang Qi. The Inner Canon states: "The Qi of Yang is named after the violent wind of heaven and earth," hence its onset is sudden and violent. However, the reason for falling to the ground is that Jue Qi (Jue Qi, rebellious qi) converges on the upper body, leading to excess above and deficiency below, causing an inversion of Clear and Turbid Qi. Due to this inversion, one falls. Mental confusion and unconsciousness occur because Turbid Pathogens interfere with the Tian Jun (Heavenly Sovereign, referring to the Heart/Shen), causing obstruction and closure of the Spirit. The tongue is the sprout of the Heart, and the Spleen's meridians connect to the root of the tongue; the Yangming meridians enter the gaps between the upper and lower teeth. Thus, when Wind-Pathogen excess affects the Heart and Spleen, the tongue protrudes naturally; when it affects the Yangming meridians, the mouth closes tightly naturally. One protruding and one closing results in biting the tongue. Foaming occurs due to Wind-Phlegm obstructing the Qi mechanisms. The eye system originates from Jing Ming (BL1), running along the spine downward. When Wind-Pathogen invades here, the meridians become full and tense, causing upward deviation of the eyes and opisthotonos. Convulsions of the hands and feet occur because Wind belongs to Liver Wood, and the Liver governs the sinews. When Wind-Heat is excessive in the Liver, the sinews of the entire body are pulled and twitched, causing hand and foot convulsions. "Chu" refers to the flexion of the four limbs; "Nuo" refers to the opening and closing of the ten fingers. Making sounds resembling domestic animals happens because Wind-Phlegm agitates the Qi orifices, altering the voice, similar to playing a flute where different occlusions of the six holes produce different musical notes. In this formula, Ma Huang, Gui Zhi, Fang Feng, and Zi Su can dissipate pathogens in the meridians. Zhu Li, Jiang Zhi, and Chen Pi can move stagnation of Phlegm-Saliva. Sheng Ban Xia Zhi and Shi Gao can clear Heat from the Heart and Lungs. Long Chi can calm the Hun (Ethereal Soul). Fang Ji can unblock obstructions. Deep-seated and stubborn Phlegm cannot be moved without Fu Zi; moreover, Fu Zi's intense heat nature is sufficient to benefit the source of Fire (Ming Men Fire) and eliminate Yin shadows, like the sun high in the sky eliminating all shadows in dark valleys. This is the intention behind the ancients' use of Fu Zi.