〔薛〕螈者筋脉急而缩也， 者筋脉缓而伸也。一缩一伸，手足相引搐搦不已。大
抵与婴孩发搐相似，谓之螈 也。此证多属风，盖风主摇动。骆龙吉云∶心主脉，肝主
筋，心属火，肝属木，火主热，木主风，风火相炽，则为螈 也。治法∶若因风热，用
钓藤汤加柴胡、山栀、黄芩、白术，以平肝木，降心火，养气血。若风痰上涌，加竹沥、
南星、半夏。若风邪急搐，加全蝎、僵蚕。亏损气血，用八珍汤加钓藤、山栀为主。若无
力抽搐，戴眼反折，汗出如珠者，肝绝也，皆不治。一妊妇四肢不能伸，服祛风燥血之
剂，遗屎痰甚，四肢抽搐。余谓肝火血燥，用八珍汤加炒黑黄芩为主，佐以钓藤汤而安。后
因怒，前证复作，小便下血，寒热少寐，饮食少思，用钓藤散加山栀、柴胡而血止。用
加味逍遥散，寒热退而得寐。用六君子汤加芍药、钓藤钩，饮食进而渐愈。
钓藤汤（见胎动不安。） 钓藤散（眩晕。）
消风散 治妊娠肝脏热毒上攻太阳穴，胸膈涎壅，头旋目晕，或腮项肿核。
石膏（ ） 防风（去芦） 川羌活（去芦） 甘菊花（去枝梗） 川芎 羚羊角（镑）
当归（酒浸，去芦） 大豆黄卷（炒） 荆芥穗 白芷（各一钱） 炙甘草（半钱）
上作一服，水二盅，好芽茶半钱，煎至一盅，食远服。
犀角散 治妊娠妇人诸风热困倦，时发昏眩。
犀角 楝参 山栀仁 川羌活 黄连 青黛 川芎 吴白芷 茯苓 甘草（炙，各一钱）
上作一服，水二盅，生姜三片，竹叶七叶，煎至一盅，食远服。
【薛己】螈（抽搐，指筋脉拘急收缩）是指筋脉紧急而收缩，掣（抽搐，指筋脉弛缓伸展）是指筋脉舒缓而伸展。一缩一伸，手足相互牵引、抽搦不止。大体上与婴儿发生惊风抽搐相似，称为螈掣。此证多归属于风邪致病，因为风性主动摇。骆龙吉说：心主血脉，肝主筋脉，心属火，肝属木，火主热，木主风，风与火相互炽盛，就会形成螈掣。治疗方法：如果是因风热所致，使用钓藤汤加柴胡、山栀、黄芩、白术，以平抑肝木，清降心火，滋养气血。如果是风痰上涌，加入竹沥、南星、半夏。如果是风邪引起的急骤抽搐，加入全蝎、僵蚕。如果是气血亏损，以八珍汤加钓藤、山栀为主方。如果无力抽搐，眼球上翻（戴眼），身体向后反折（反折），汗出如珠状，这是肝气绝的表现，都属于不治之症。有一位孕妇四肢不能伸展，服用祛风燥血的药剂后，出现遗屎、痰多，四肢抽搐。我认为这是肝火旺、血燥所致，以八珍汤加炒黑黄芩为主方，佐以钓藤汤治疗而痊愈。后来因为发怒，前证复发，小便下血，寒热往来，睡眠少，饮食减少，使用钓藤散加山栀、柴胡而血止。使用加味逍遥散，寒热退去而能入睡。使用六君子汤加芍药、钓藤钩，饮食增加而逐渐痊愈。
消风散 治疗妊娠期间肝脏热毒上攻太阳穴，胸膈间痰涎壅盛，头晕目眩，或者腮部颈部肿胀有核块。
石膏（ ） 防风（去除芦头） 川羌活（去除芦头） 甘菊花（去除枝梗） 川芎 羚羊角（镑片） 当归（酒浸，去除芦头） 大豆黄卷（炒） 荆芥穗 白芷（各一钱） 炙甘草（半钱）
以上药物为一服量，用水二盅，好芽茶半钱，煎至一盅，饭后服用。
犀角散 治疗妊娠妇人各种风热导致的困倦，时常发生昏眩。
犀角 楝参 山栀仁 川羌活 黄连 青黛 川芎 吴白芷 茯苓 甘草（炙，各一钱）
以上药物为一服量，用水二盅，生姜三片，竹叶七片，煎至一盅，饭后服用。
[Xue Ji] Chou Che (convulsions, referring to the contraction and shortening of tendons and vessels) refers to the tension and contraction of tendons and vessels; Che (convulsions, referring to the relaxation and extension of tendons and vessels) refers to the looseness and extension of tendons and vessels. One contraction and one extension cause the hands and feet to pull and twitch incessantly. Generally, this condition is similar to convulsions in infants, and is called Chou Che. This syndrome mostly belongs to Wind pathogen, as Wind governs movement and shaking. Luo Longji said: The Heart governs the vessels, the Liver governs the tendons; the Heart belongs to Fire, the Liver belongs to Wood; Fire governs Heat, Wood governs Wind. When Wind and Fire blaze together, Chou Che occurs. Treatment methods: If caused by Wind-Heat, use Gouteng Tang (Uncaria Decoction) with added Chai Hu (Bupleurum Root), Shan Zhi (Gardenia Fruit), Huang Qin (Scutellaria Root), and Bai Zhu (Atractylodes Rhizome) to calm the Liver Wood, descend Heart Fire, and nourish Qi and Blood. If Wind-Phlegm surges upward, add Zhu Li (Bamboo Sap), Nan Xing (Arisaema Rhizoma Cum Melle), and Ban Xia (Pinellia Tuber). If acute twitching is caused by Wind Evil, add Quan Xie (Scorpio) and Jiang Can (Bombyx Batryticatus). If due to deficiency of Qi and Blood, use Bazhen Tang (Eight Treasure Decoction) with added Gouteng (Uncaria Ramulus cum Uncis) and Shan Zhi as the main formula. If there is weak twitching, eyes rolling upward (Dai Yan), body arching backward (Fan Zhe), and sweat beading like pearls, this indicates Liver Qi exhaustion, which are all incurable cases. A pregnant woman could not extend her limbs; after taking formulas that dispel Wind and dry Blood, she suffered from fecal incontinence, excessive phlegm, and limb convulsions. I reasoned that this was due to Liver Fire and Blood Dryness, treated primarily with Bazhen Tang (Eight Treasure Decoction) plus stir-fried black Huang Qin (Scutellaria Root), assisted by Gouteng Tang (Uncaria Decoction), resulting in recovery. Later, due to anger, the previous symptoms recurred with hematuria, alternating chills and fever, insomnia, and poor appetite. She was treated with Gouteng San (Uncaria Powder) plus Shan Zhi (Gardenia Fruit) and Chai Hu (Bupleurum Root), stopping the bleeding. Jia Wei Xiao Yao San (Modified Free Wanderer Powder) was used, resolving the chills and fever and allowing sleep. Liu Jun Zi Tang (Six Gentlemen Decoction) plus Shao Yao (Peony Root) and Gouteng Gou (Uncaria Ramulus cum Uncis) was used, improving appetite and leading to gradual recovery.
Gouteng Tang (See under "Restless Fetus"). Gouteng San (See under "Vertigo").
Xiao Feng San (Wind-Dispersing Powder) treats liver heat-toxin attacking the temporal region during pregnancy, phlegm-fluid congestion in the chest and diaphragm, dizziness and blurred vision, or swelling and nodules in the cheeks and neck.
Shi Gao (Gypsum Fibrosum) [dosage missing] Fang Feng (Saposhnikovia Root, remove radix end) Chuan Qiang Huo (Notopterygium Rhizome et Radix, remove radix end) Gan Ju Hua (Chrysanthemi Flos, remove stems and pedicels) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Ling Yang Jiao (Saiga Tataricae Cornu, sliced) Dang Gui (Angelica Sinensis Radix, wine-soaked, remove radix end) Da Dou Huang Juan (Sojae Semen Praeparatum, stir-fried) Jing Jie Sui (Schizonepeta Spike) Bai Zhi (Angelica Dahurica Radix) [each 1 qian] Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata, 0.5 qian)
Take as one dose. Add water 2 zhong, Hao Ya Cha (Good Sprout Tea) 0.5 qian. Decoct until 1 zhong remains. Take after meals.
Xi Jiao San (Rhinoceros Horn Powder) treats pregnant women suffering from various wind-heats causing fatigue and frequent vertigo.
Xi Jiao (Rhinocerotis Cornu) Lian Shen (Stemonae Radix) Shan Zhi Ren (Gardeniae Semen) Chuan Qiang Huo (Notopterygium Rhizome et Radix) Huang Lian (Coptidis Rhizoma) Qing Dai (Indigo Naturalis) Chuan Xiong (Ligusticum Chuanxiong Rhizome) Wu Bai Zhi (Angelica Dahurica Radix) Fu Ling (Poria) Gan Cao (Glycyrrhizae Radix et Rhizoma, prepared, each 1 qian)
Take as one dose. Add water 2 zhong, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Zhu Ye (Bambusae Folium) 7 leaves. Decoct until 1 zhong remains. Take after meals.