总括 风湿流传骨节间，痛兼心悸是惊瘫；若于腕胫多疼重，凝结成团鹤膝看。
《内经》曰∶顽弱名缓风疼，重名湿痹。小儿惊瘫者，因惊风之际手脚动掣，当听其自然，然后疗之，免生异症。
或父母见其病势可畏，从而按伏之，岂知筋者肝之合也，临病发时，若按束其手足，则筋不舒伸，遂至经络为风所闭，
终为废人。又有四肢痿痹不仁，致手足梢胀痛不堪忍者，此风毒之气使然。故传曰∶风淫末疾是也。凡小儿心悸不常，
及遍身肿痛，或手足不遂，此为惊瘫之候也。若治之稍迟，至臂腕膝胫骨节之间，流结顽核，或膝大而肿，肉消骨露如
鹤之膝状，或为痈为节，此名鹤膝候也。以上形症并宜发汗为先，使腠理开通，则气热可除，有湿亦去，用百解散和五
苓散倍加麻黄，微得汗为度，次祛风散及独活汤加桑寄生投服，使风不生而痰不作，愈矣！若为痈为疖疼重者，用黑牵
牛，半生半炒略研，煎无灰酒调下，五苓散以除流注之寒湿。
〔附方〕
百解散 见热症内。
五苓散 见惊风症内。
祛风散 防风 南星 半夏 黄芩 甘草
独活汤 当归 白术 黄 薄桂 牛膝 独活 甘草
总括 满头及额生如癞，但用连床得安瘥；通身糜烂更多烦，一抹金涂无不快。
《内经》曰∶诸痛痒疮皆属于心火，火郁内发致有斯疾。盖心主乎血，血热生风，热郁内甚递相传袭，故火能生土。
血注阳明，阳明主肌肉，风热与血热相搏，发见皮肤，其名不一。有黄脓而白者，土生金，母归子也。始生微痒而热轻，
肿痛、溃烂为热极。血凝化水，气滞成脓。甚则寒热作而饮食减，此尤为可虑。宜宣泻风毒、凉心经、解胃热，用当归
散加黄连、升麻、干葛、姜、葱、灯心煎服，及牛蒡汤，涂以四黄散、一抹金。
若头散生成片，常常燥痒，毛发稀少，有类白屑，此因积热上攻，名曰秃疮。虽生于头，世人只知以药外敷得愈，
不逾旬月，其疮又发，何为而然？盖头乃诸阳所会之处，洪范五行，火曰炎上，热毒上攻，两阳相灼，故疮生于头，法
当解陈 之积热，导心经之烦躁，斯可矣。宜百解散，倍加五和汤、姜、葱、灯心煎服，次以连床散涂之，及四黄散亦
可。
有遍身糜烂成片，甚至烦躁衣不可着，盖风火内郁于阳明，流毒于外，名曰风热疮，用百解散加五和汤，入何首乌、
荆芥、白芷煎服，及牛蒡汤。疏涤肠胃，解散风热，其疮自愈，不致再生。外敷以四黄散及连麻散。汤火疮，先用人参
羌活散发表，次以去霜膏涂之，即效。
有小儿疮疡遍身，头上疮盖如饼，此为胎气热毒所感，宜以犀角解毒丸加减疗之。然最忌敷药洗浴，恐其入腹，为
患不浅。
至若疮疡作楚，潮热不止，此虽系脾虚，亦因肺气受损，先以理脾补虚，然后复治其疮疡，以当归解毒汤治之。
〔附方〕
当归散 见诸泻症内。
牛蒡汤 见淋症内。
四黄散 黄连 黄柏 黄芩 大黄 滑石 五倍子 用香油调敷。
一抹金 芦荟 蛇床 黄丹（水飞过，各三钱） 硫磺 赤石脂 白矾（火 ） 五倍 黄柏（各二钱半） 轻
粉（五分） 猪油或清油调。
百解散 见热症内。
五和汤 当归 赤茯苓 大黄 枳壳 甘草
连床散 黄连 蛇床 五倍 轻粉 用荆芥和葱，煮水候凉洗，拭干后即敷药。
人参羌活散 见伤寒症内。
玄霜膏 用好糯米五升，将坚硬铁器盛贮，见天处以雪水浸一二日，不问腐烂仍取出，于竹器内，将水淋过，
晒干、焦炒、研为末，用新汲水调敷之，如干燥又以鸡毛蘸水拂疮，使疮润痛减。药少再涂用，自然取效。一名玄霜散，
炒透黑色，烟青为度。
犀角解毒丸 犀角 黄连 玄参 桔梗 连翘 薄荷 大力子 当归 山栀 甘草 生地 黄芩 赤芍 天
花粉（各一两）
为末服。
当归解毒汤 陈皮 当归 赤茯 山楂 黄柏 知母 柴胡 人参 金银花
总括：风湿之邪流窜于骨节之间，疼痛伴随心悸，这是惊瘫的症状；如果在手腕和小腿处疼痛沉重，凝结成团块，看起来像鹤的膝盖，这就是鹤膝风。
《黄帝内经》说：肢体软弱无力称为“缓风”，身体沉重称为“湿痹”。小儿惊瘫，是因为在惊风发作期间手脚抽搐掣动，此时应当听任其自然恢复，然后再进行治疗，以免产生其他病症。
如果父母看到病势可怕，就强行按压束缚患儿，哪里知道筋脉是肝脏的外合组织，在疾病发作时，如果强行按压束缚其手足，就会导致筋脉无法舒展伸展，最终使经络被风邪闭塞，终将成为废人。又有四肢痿软麻痹、感觉迟钝，导致手指脚趾胀痛难以忍受的情况，这是风毒之气造成的。所以传论说：风邪淫溢会导致四肢末端的疾病。凡是小儿心悸不定，以及全身肿痛，或者手足不能随意运动，这些都是惊瘫的征候。如果治疗稍晚，到了手臂手腕、膝盖小腿等骨节之间，流注凝结成顽固的核块，或者膝盖肿大，肌肉消瘦骨骼外露，形状像鹤的膝盖，或者形成痈疽疖肿，这叫做鹤膝候。以上症状都适宜先用发汗法治疗，使腠理（皮肤毛孔）开通，那么气热可以消除，湿气也能去除，使用百解散配合五苓散，加倍加入麻黄，以微微出汗为限度，接着服用祛风散和独活汤，加入桑寄生投服，使风邪不生而痰浊不化，病就好了！如果形成痈疽疖肿且疼痛严重的，使用黑牵牛，一半生用一半炒制后略加研磨，用无灰酒煎调服用，再用五苓散来清除流注的寒湿。
〔附方〕
百解散 见热症章节内。
五苓散 见惊风症章节内。
祛风散 防风 南星 半夏 黄芩 甘草
独活汤 当归 白术 黄芪 薄桂 牛膝 独活 甘草
总括：满头及额头生出如癞疮般的皮损，只要使用连床散就能得到安宁痊愈；全身糜烂更加烦扰，涂抹一抹金没有不快速见效的。
《黄帝内经》说：所有的疼痛、瘙痒、疮疡都属于心火，火气郁结在内发散导致有此疾病。大概心主司血液，血热生风，热邪郁结在内严重并依次相传袭，所以火能生土（脾）。血液注入阳明经，阳明经主司肌肉，风热与血热相互搏结，发见于皮肤，名称不一。有流出黄脓而呈白色的，这是土生金（肺），母脏归于子脏。开始轻微瘙痒而热象轻，肿痛、溃烂则是热极的表现。血液凝滞化为水液，气机阻滞化成脓液。严重时出现寒热交替而饮食减少，这尤为值得忧虑。适宜宣泻风毒、清凉心经、解除胃热，使用当归散加入黄连、升麻、干葛、生姜、葱白、灯心草煎服，以及牛蒡汤，外用四黄散、一抹金涂抹。
如果头部散在生成片状，常常干燥瘙痒，毛发稀少，类似白屑，这是因为积热上攻头部，名叫秃疮。虽然生于头部，世人只知道用药外敷才能痊愈，不超过十天一个月，疮又复发，为什么呢？大概头部是诸阳经汇聚的地方，《洪范五行》中，火性炎上，热毒上攻，两阳相互灼烧，所以疮生于头，治法应当解除陈旧的积热，引导心经的烦躁，这样就可以好了。适宜用百解散，加倍加入五和汤、生姜、葱白、灯心草煎服，接着用连床散涂抹，以及四黄散也可以。
有遍身糜烂成片，甚至烦躁得衣服不能接触身体，这是因为风火在内郁结于阳明经，流毒于外，名叫风热疮，使用百解散加入五和汤，放入何首乌、荆芥、白芷煎服，以及牛蒡汤。疏涤肠胃，解散风热，疮自愈，不会再生。外敷以四黄散及连麻散。汤火烫伤，先用人参羌活散发表，接着用去霜膏涂抹，立即见效。
有小儿疮疡遍布全身，头上疮盖像饼一样，这是胎气热毒所感，适宜以犀角解毒丸加减治疗。然而最忌讳敷药洗浴，恐怕药液进入腹中，造成不小的祸患。
至于疮疡作痛，潮热不止，这虽然是脾虚所致，也因为是肺气受损，先以理脾补虚为主，然后重新治疗其疮疡，用当归解毒汤治疗它。
〔附方〕
当归散 见诸泻症章节内。
牛蒡汤 见淋症章节内。
四黄散 黄连 黄柏 黄芩 大黄 滑石 五倍子 用香油调敷。
一抹金 芦荟 蛇床子 黄丹（水飞过，各三钱） 硫磺 赤石脂 白矾（火煅） 五倍子 黄柏（各二钱半） 轻粉（五分） 猪油或清油调。
百解散 见热症章节内。
五和汤 当归 赤茯苓 大黄 枳壳 甘草
连床散 黄连 蛇床子 五倍子 轻粉 用荆芥和葱，煮水候凉洗，拭干后即敷药。
人参羌活散 见伤寒症章节内。
玄霜膏 用好糯米五升，将坚硬铁器盛贮，放在露天处以雪水浸一二日，不问是否腐烂仍取出，于竹器内，将水淋过，晒干、焦炒、研为末，用新汲水调敷之，如干燥又以鸡毛蘸水拂疮，使疮润痛减。药少再涂用，自然取效。一名玄霜散，炒透黑色，烟青为度。
犀角解毒丸 犀角 黄连 玄参 桔梗 连翘 薄荷 大力子（牛蒡子） 当归 山栀 甘草 生地 黄芩 赤芍 天花粉（各一两）
为末服。
当归解毒汤 陈皮 当归 赤茯苓 山楂 黄柏 知母 柴胡 人参 金银花
General Summary: Rheumatism and wind-dampness flow through the interstices of bone joints; pain accompanied by palpitations indicates Jing Tan (Startling Paralysis). If there is severe pain in the wrists and shins, with condensation forming masses resembling a crane's knee, this is known as Crane Knee Wind.
The *Nei Jing* states: Limb weakness is called "Huan Feng" (Sluggish Wind), and heaviness is called "Shi Bi" (Damp Bi). Jing Tan in children arises from limb convulsions during the onset of Startling Wind. One should allow nature to take its course before treating, to avoid generating other pathologies.
If parents, fearing the severity of the illness, forcibly press or restrain the child, they fail to realize that tendons are the exterior correspondence of the Liver. During an attack, forcibly restraining the limbs prevents tendons from relaxing and extending, causing meridians to be blocked by wind pathogens, ultimately resulting in permanent disability. There are also cases of flaccid paralysis and numbness in the four limbs, causing unbearable distending pain in the fingertips and toes; this is caused by wind-toxic qi. Thus, it is transmitted that "Wind excess leads to diseases of the extremities." Whenever a child has frequent palpitations, generalized swelling and pain, or inability to move the limbs freely, these are signs of Jing Tan. If treatment is delayed until the elbows, wrists, knees, and ankles, where stubborn nodules form due to flowing and condensing pathogens, or if the knees become swollen with muscle wasting and exposed bones resembling a crane's knee, or if carbuncles and sores appear, this is named the Crane Knee Syndrome. For the above manifestations, sweating therapy should be employed first to open the cou li (skin pores), thereby eliminating Qi-heat and dampness. Use Bai Jie San (Hundred-Release Powder) combined with Wu Ling San (Five-Ingredient Powder with Poria), adding doubled amounts of Ephedrae Herba (Mahuang, 麻黄), aiming for slight perspiration. Subsequently, administer Qu Feng San (Wind-Expelling Powder) and Du Huo Tang (Angelica Pubescens Decoction) with Sang Ji Sheng (Taxillus Serratus). This ensures wind does not arise and phlegm does not form, leading to recovery. If carbuncles, furuncles, or sores cause severe pain, use Black Qian Niu (Black Morning Glory Seed), half raw and half stir-fried, slightly crushed, taken with decocted wine free of ash. Follow with Wu Ling San to eliminate cold-dampness flowing into the channels.
[Attached Formulas]
Bai Jie San (Hundred-Release Powder): See under Heat Syndromes.
Wu Ling San (Five-Ingredient Powder with Poria): See under Startling Wind Syndromes.
Qu Feng San (Wind-Expelling Powder): Saposhnikoviae Radix (Fangfeng, 防风), Arisaematis Rhizoma (Nanxing, 南星), Pinelliae Rhizoma Preparatum (Banxia, 半夏), Scutellariae Radix (Huangqin, 黄芩), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
Du Huo Tang (Angelica Pubescens Decoction): Angelicae Sinensis Radix (Danggui, 当归), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Astragali Radix (Huangqi, 黄), Cinnamomi Ramulus (Rougui, 桂), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Angelicae Pubescentis Radix (Duhuo, 独活), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
General Summary: When the entire head and forehead develop lesions resembling leprosy, using Lian Chuang San (Lianchuang Powder) brings peace and recovery. When the whole body is eroded and ulcerated, causing much distress, applying Yi Mo Jin (One Touch Gold) yields immediate relief.
The *Nei Jing* states: All pain, itching, and sores belong to Heart Fire. Fire stagnating internally and erupting causes such diseases. The Heart governs Blood; blood heat generates wind. Severe internal heat stagnation transmits sequentially, so Fire generates Earth (Spleen). Blood pours into the Yangming Meridian, which governs muscles. Wind-heat and blood heat contend, manifesting on the skin with various names. Yellow pus appearing white indicates Earth generating Metal (Lung), the mother returning to the son. Initially, mild itching and light heat occur; severe swelling, pain, and ulceration indicate extreme heat. Blood coagulation transforms into fluid, and Qi stagnation forms pus. In severe cases, alternating chills and fever occur with reduced appetite, which is particularly concerning. It is appropriate to vent and purge wind-toxins, cool the Heart Meridian, and resolve Stomach heat. Use Dang Gui San (Angelica Sinensis Powder) added with Coptidis Rhizoma (Huanglian, 黄连), Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Radix (Gegen, 葛根), Zingiberis Rhizoma Recens (Shengjiang, 姜), Allii Cepae Bulbus (Congbai, 葱), and Junci Medulla (Dengxin, 灯心) decocted and taken orally, along with Niu Bang Tang (Arctii Decoction). Externally apply Si Huang San (Four-Yellows Powder) and Yi Mo Jin (One Touch Gold).
If scalp lesions spread into patches, frequently dry and itchy, with sparse hair resembling dandruff, this is due to accumulated heat attacking upward, named Tu Chuang (Bald Scalp Sores). Although located on the head, people only know to treat externally with medicines for cure; within ten days or a month, the sores recur. Why? The head is the convergence point of all Yang meridians. According to the *Hong Fan Five Elements*, Fire flares upward. Heat-toxin attacks upward; two Yangs scorch each other, so sores arise on the head. The method should resolve chronic accumulated heat and guide away Heart Meridian irritability. Use Bai Jie San (Hundred-Release Powder) with doubled Wuhe Tang (Five-Harmonies Decoction), plus Zingiberis Rhizoma Recens (Shengjiang, 姜), Allii Cepae Bulbus (Congbai, 葱), and Junci Medulla (Dengxin, 灯心) decocted and taken orally. Subsequently apply Lian Chuang San (Lianchuang Powder) and Si Huang San (Four-Yellows Powder).
When the whole body is eroded into patches, even causing irritability so severe that clothes cannot touch the body, this is because wind-fire stagnates internally in the Yangming Meridian and flows toxicly outward, named Feng Re Chuang (Wind-Heat Sores). Use Bai Jie San (Hundred-Release Powder) added with Wuhe Tang (Five-Harmonies Decoction), Polygoni Multiflori Radix (Heshouwu, 何首乌), Schizonepetae Spica (Jingjie, 荆芥), and Angelicae Dahuricae Radix (Baizhi, 白芷) decocted and taken orally, along with Niu Bang Tang (Arctii Decoction). Purge the intestines and stomach, release wind-heat, and the sores will heal spontaneously without recurrence. Externally apply Si Huang San (Four-Yellows Powder) and Lian Ma San (Lianma Powder). For scalds and burns, first use Renshen Qiang Huo San (Ginseng and Notopterygium Powder) to release the exterior, then apply Qu Shuang Gao (Frost-Removing Ointment) for immediate effect.
When children have sores all over the body, with crusts on the head like cakes, this is caused by fetal heat-toxin. It is appropriate to treat with Xi Jiao Jie Du Wan (Rhino Horn Detoxifying Pills) with modifications. However, applying medicines and bathing are strictly contraindicated, lest the medicine enter the abdomen and cause significant harm.
Regarding painful sores with continuous tidal fever, although this stems from Spleen deficiency, it is also due to Lung Qi damage. First, regulate the Spleen and tonify deficiency, then re-treat the sores using Dang Gui Jie Du Tang (Angelica Sinensis Detoxifying Decoction).
[Attached Formulas]
Dang Gui San (Angelica Sinensis Powder): See under Various Diarrhea Syndromes.
Niu Bang Tang (Arctii Decoction): See under Strangury Syndromes.
Si Huang San (Four-Yellows Powder): Coptidis Rhizoma (Huanglian, 黄连), Phellodendri Cortex (Huangbai, 黄柏), Scutellariae Radix (Huangqin, 黄芩), Rhei Radix et Rhizoma (Dahuang, 大黄), Talcum (Huashi, 滑石), Myrobalans Chebulae Fructus (Wubeizi, 五倍子). Mix with sesame oil for external application.
Yi Mo Jin (One Touch Gold): Aloe (Lvhui, 芦荟), Cnidii Fruit (Shechuangzi, 蛇床), Minium (Huandan, 黄丹 - water-washed, 3 qian each), Sulfur (Liuhuang, 硫磺), Red Kaolin (Chishizhi, 赤石脂), Alum (Baifan, 白矾 - calcined), Myrobalans Chebulae Fructus (Wubeizi, 五倍), Phellodendri Cortex (Huangbai, 黄柏) (2.5 qian each), Calomel (Qingfen, 轻粉 - 0.5 fen). Mix with lard or clear oil.
Bai Jie San (Hundred-Release Powder): See under Heat Syndromes.
Wuhe Tang (Five-Harmonies Decoction): Angelicae Sinensis Radix (Danggui, 当归), Poria Cum Wood (Chifuling, 赤茯苓), Rhei Radix et Rhizoma (Dahuang, 大黄), Aurantii Fructus (Zhike, 枳壳), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草).
Lian Chuang San (Lianchuang Powder): Coptidis Rhizoma (Huanglian, 黄连), Cnidii Fruit (Shechuangzi, 蛇床), Myrobalans Chebulae Fructus (Wubeizi, 五倍), Calomel (Qingfen, 轻粉). Boil Schizonepetae Spica (Jingjie, 荆芥) and Allii Cepae Bulbus (Congbai, 葱) in water, let cool, wash the area, dry thoroughly, then apply medicine.
Renshen Qiang Huo San (Ginseng and Notopterygium Powder): See under Cold Damage Syndromes.
Xuan Shuang Gao (Frost-Removing Ointment): Take 5 sheng of high-quality glutinous rice, store in a sturdy iron vessel, immerse in snowwater outdoors for one or two days regardless of rotting. Remove, place in a bamboo vessel, rinse with water, sun-dry, roast until charred, grind into powder. Mix with fresh well-water for application. If dry, use chicken feathers dipped in water to moisten the sore, reducing pain. Reapply as needed for natural efficacy. Also known as Xuan Shuang San. Roast until black and smoke-blue.
Xi Jiao Jie Du Wan (Rhino Horn Detoxifying Pills): Rhinocerotis Cornu (Xijiao, 犀角), Coptidis Rhizoma (Huanglian, 黄连), Scrophulariae Radix (Xuanshen, 玄参), Platycodonis Radix (Jiegeng, 桔梗), Forsythiae Fructus (Lianqiao, 连翘), Menthae Haplocalycis Herba (Bohe, 薄荷), Arctii Fructus (Nilibazi/Dalizi, 大力子), Angelicae Sinensis Radix (Danggui, 当归), Gardeniae Fructus (Shanzhi, 山栀), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Rehmanniae Radix (Disheng, 生地), Scutellariae Radix (Huangqin, 黄芩), Paeoniae Radix Rubra (Chishao, 赤芍), Trichosanthis Radix (Tianguahua, 天花粉) (1 liang each). Grind into powder and take.
Dang Gui Jie Du Tang (Angelica Sinensis Detoxifying Decoction): Citri Reticulatae Pericarpium (Chenpi, 陈皮), Angelicae Sinensis Radix (Danggui, 当归), Poria Cum Wood (Chifu, 赤茯), Crataegi Fructus (Shanzha, 山楂), Phellodendri Cortex (Huangbai, 黄柏), Anemarrhenae Rhizoma (Zhimu, 知母), Bupleuri Radix (Chaihu, 柴胡), Ginseng Radix (Renshen, 人参), Lonicerae Japonicae Flos (Jinyinhua, 金银花).