河间云∶风证善行数变，入脏甚速，死生在反掌之间，宜急分表里虚实而治之。邪
在表者，则筋脉拘急，时或寒热，筋惕搐搦，脉浮弦，用羌活防风汤散之。在半表半里者，
则头微汗，身无汗，用羌活汤和之。传入里者，舌强口噤，项背反张，筋惕搐搦，痰涎
壅盛，胸腹满闷，便溺闭赤，时或汗出，脉洪数而弦，以大芎黄汤导之。既下而汗仍出，
表虚也，以白术防风汤补之。不时灌以粥饮为善。前云乃气虚未损之法也。若脓血太泄，
阳随阴散，气血俱虚而类前证者，悉宜大补脾胃，切忌祛风之药。详见杂病第五。 有
一患者，仲夏误伤手，腰背反张，牙关紧急，脉浮而散，此表证也，遂用羌活防风汤一剂
即解。此证若在秋冬腠理致密之时，须用麻黄之类以发汗，此乃暴伤气血不损之治法也。
有一患者，杖处略破而患此，脉洪大而实，此里证也，用大芎黄汤一剂，大便微行一次
悉退，若投表药必死。宜急分表里虚实而治之，庶无误矣。 有一患者，寒热口干，用
四物、参、 、白术、软柴、炒芩、麦门、五味，四剂少退。薛欲砭去瘀血，不从。后怔
忡不寐，饮食少思，牙关牵紧，头目疼痛，恶寒发热，此脓内 也，遂砭去之即安，以八
珍、枣仁、麦门、五味二十剂，前证渐愈；又用前药及独参汤，瘀肉渐溃。后因劳，又少
寐盗汗，以归脾汤、麦门、五味、远志而痊。后牙关胀闷，面目 赤。又似破伤风，仍以
为虚，用八珍等药亦安。 有一患者，腹痛喘促，作渴寒热，臀腿糜烂，与死血相和，如
皮囊盛糊，用童便煎四物、桃仁、红花、柴胡、黄芩、麦门、花粉服之顿退；彼用黑羊
皮贴之益甚。后砭去脓血甚多，气息奄奄，唇口微动，牙关紧急，患处色黯，或欲用破伤
风药。薛曰∶此气血虚而变证也，用参、 、芎、归、白术，并独参汤，人乳汁，元气复
而诸证愈，乃用十全大补汤调理而安。此证
若脓瘀内 者，宜针之。若溃后口噤遗尿，而类破伤风等证者，乃气血虚极也，急用大补
之剂。若素多痰患风证者，宜清痰降火。若因怒而见风证者，宜清肝降火。若人不慎房
劳，而忽患前证，此由肾水不足，心火炽甚，宜滋阴补气血为主。若误作风证治之即死。
羌活防风汤 治破伤风，邪初在表者，急服此药以解之，稍迟则邪入于里，与药不相
合矣。
羌活 防风 甘草 川芎 本 当归 芍药（各四两） 地榆 细辛（各二两）
上每服五钱，水煎。
防风汤 治破伤风，表证未传入里，急宜服之。
防风 羌活 独活 川芎（各等分）
上每服五钱。水煎，调蜈蚣散服，大效。
蜈蚣散
蜈蚣（一对） 鳔（三钱）
上为细末，用防风汤调下。
羌活汤 治破伤风，在半表半里，急服此汤，稍缓邪入于里，不宜用。
羌活 菊花 麻黄 川芎 石膏 防风 前胡 黄芩 细辛 甘草 枳壳 白茯苓
蔓荆子（各一两） 薄荷 白芷（各五钱）
上每服五钱，水煎。
地榆防风散 治风在半表里，头微汗，身无汗，不可发汗，兼治表里。
地榆 防风 地丁草 马齿苋（各等分）
上为细末。每服三钱，米汤调服。
大芎黄汤 治风在里，宜疏导，急服此汤。
川芎 羌活 黄芩 大黄（各一两）
上五七钱。水煎，温服，脏腑通和为度。
白术防风汤 治服表药过多，自汗者。
白术 黄 （各一两） 防风（二两）
上每服五七钱。水煎服，脏腑和而自汗者可服。若脏腑秘，小便赤者，宜用大芎黄
汤下之。
白术汤 治破伤风，汗不止，筋挛搐搦。
白术 葛根 升麻 黄芩 芍药（各二两） 甘草（二钱五分）
上每服五钱。水煎，无时服。
谦甫朱砂丸 治破伤风，目瞪口噤不语，手足搐搦，项筋强直，不能转侧，目不识人。
朱砂（研） 半夏（洗） 川乌（各一两） 雄黄（五钱） 凤凰台（三钱） 麝香（一字）
上为末，枣肉丸桐子大。每服一丸或二丸，冷水下，以吐为度。如不吐，加一丸。或
吐不住，煎葱白汤止之，汗出为效。
左龙丸 治直视在里者。
左盘龙（野鸽粪也） 白僵蚕 鳔（各炒，五钱） 雄黄（一钱）
上为末，烧饭丸桐子大。每服五丸，温酒下。如里证不已，当用前药末一半，加巴
豆霜半钱，烧饭丸桐子大。每服加入一丸，如此渐加以利为度。利后服和解药。
江鳔丸 治破伤风，传入里证，惊而发搐，脏腑秘涩。
江鳔（锉，炒） 野鸽粪（炒） 白僵蚕（各半两） 雄黄（一钱） 蜈蚣（一对） 天麻（一两）
上为末，作三分二分，烧饭丸桐子大，朱砂为衣；一分入巴豆霜一钱，亦用烧饭丸。每
服朱砂者二十丸；入巴豆者一丸，渐加至利为度。后止服前丸。
养血当归地黄散
当归 地黄 芍药 川芎 本 防风 白芷（各一两） 细辛（五钱）
上根据前，煎服。
广利方 治破伤风，发热。
栝蒌子（九钱） 滑石（三钱半） 南星 苍术 赤芍药 陈皮 炒柏 黄连 黄芩 白芷
甘草（各五分）
上姜水煎服。
上二方，用竹沥、栝蒌实辈，治破伤风，热痰脉洪者。前方用南星、半夏、草乌、川
乌辈，则治破伤风，寒痰脉无力者。
白丸子 治一切风痰壅盛，手足顽麻，或牙关紧急，口眼歪斜，半身不遂等症。
半夏（七两） 南星（二两） 川乌（去皮脐，五钱，各生用）
上为末，用生姜汁调糊丸，桐子大。每服一二十丸，姜汤下。
本事玉真散 治破伤风，及打仆伤损，项强口噤欲死。（南星有防风制，其毒不麻人。）
天南星（汤泡，七次） 防风（等分）
上为末。先以热童子小便，洗净疮口，拭干掺之，良久浑身作痒，疮口出赤水是效，又
以温酒，调下一钱。如牙关紧急，腰背反张，用药二钱，童子小便调服。至死心头微温者，
急灌之，亦可救。累效累效。
治打仆伤损，肿痛伤风者。
天南星 半夏 地龙（各等分）
上为末。用生姜、薄荷汁，调搽患处。
急风散 治新旧诸疮，破伤中风，项强背直，腰反折，口噤不语，手足抽掣，眼目
上视，喉中锯声，并皆治之。
麝香（另研，五分） 朱砂（一两） 生黑豆（二钱半） 草乌（三两半，烧存性）
上为细末，研匀。破伤风以酒调一钱，不拘时服。如出箭头，先用酒调一钱，就将此
药粘贴箭疮上。
如圣散 治破伤风，止血定痛。
苍术（六两） 川乌（炮去皮） 两头尖（炮，各四两） 草乌（炮去皮） 防风 细辛（各二两半）
白术 川芎 白芷（各一两半） 蝎梢（微炒） 雄黄（各半两）
上为细末。每服一钱，不拘时酒调下。如损骨折，乳香五钱。
一字散 治破伤风。
金头蜈蚣（一条，去头足，炙） 草乌 天麻（各半两） 全蝎（一钱） 香白芷（三钱）
上为细末。每服半钱，如发热茶清调下；发寒温酒调下，不拘时服。
刘河间说：风证的特点是善行数变，侵入脏腑的速度极快，生死往往在转瞬间决定，因此应当紧急分辨表里虚实来进行治疗。邪气在表的，表现为筋脉拘急，偶尔伴有寒热，肌肉跳动抽搐，脉象浮弦，使用羌活防风汤来发散邪气。邪气在半表半里的，表现为头部微微出汗，身体无汗，使用羌活汤来和解。邪气传入里的，表现为舌体僵硬、牙关紧闭，项背向后反张，肌肉跳动抽搐，痰涎壅盛，胸腹部胀满闷痛，大小便闭结且颜色红赤，偶尔出汗，脉象洪数而弦，使用大芎黄汤来通导泻下。如果已经使用了泻下法但汗出仍然不止，这是表虚的表现，使用白术防风汤来补益。此时不时灌服米粥饮品为好。前面所说的这些是气虚尚未严重受损的治疗方法。如果脓血流失过多，阳气随着阴液耗散，气血都虚弱且症状类似前述的，都应当大补脾胃，切忌使用祛风的药物。详细内容见杂病第五卷。
有一位患者，在仲夏时节误伤手部，出现腰背向后反张，牙关紧急的症状，脉象浮而散，这是表证，于是服用一剂羌活防风汤即痊愈。这种病症如果在秋冬季节腠理致密的时候，必须使用麻黄之类的药物来发汗，这是针对突然受伤但气血未损的治疗法则。
有一位患者，杖刑处略微破损后患此病，脉象洪大而实，这是里证，使用大芎黄汤一剂，大便微通一次，所有症状全部消退，如果投用解表药必死无疑。应当紧急分辨表里虚实进行治疗，这样才不会出错。
有一位患者，出现寒热、口干的症状，使用四物汤加人参、黄芪、白术、软柴胡、炒黄芩、麦门冬、五味子，服用四剂后症状稍减。薛己想要用砭石刺破去除瘀血，患者没有听从。后来出现心悸失眠，饮食减少思虑，牙关牵紧，头目疼痛，恶寒发热，这是脓毒内蕴的表现，于是用砭石刺破去除脓血后随即安宁，接着服用八珍汤加酸枣仁、麦门冬、五味子二十剂，前面的症状逐渐痊愈；又用之前的药物加上独参汤，坏死的肌肉逐渐溃烂排出。后来因为劳累，再次出现睡眠少和盗汗，使用归脾汤加麦门冬、五味子、远志而痊愈。后来牙关胀闷，面目发红。又像是破伤风，薛己仍然认为是虚证，使用八珍汤等药物也安然无恙。
有一位患者，腹痛喘促，口渴寒热，臀腿糜烂，与死血混合，像皮囊里装着糊状物，用童便煎煮四物汤加桃仁、红花、柴胡、黄芩、麦门冬、天花粉服用，症状立刻减退；他却用黑羊皮贴敷患处，病情反而加重。后来砭石刺破排出了很多脓血，气息微弱，嘴唇口角微微抽动，牙关紧急，患处颜色暗紫，有人想用治疗破伤风的药物。薛己说：这是气血虚弱导致的变证，使用人参、黄芪、川芎、当归、白术，并配合独参汤和人乳汁，元气恢复后各种症状痊愈，然后使用十全大补汤调理而安定。这种病症如果脓血瘀滞在内，应当用针砭刺破。如果溃烂后牙关紧闭、遗尿，且类似破伤风等症状的，是气血极度虚弱，紧急使用大补的药物。如果素来多痰且患风证的，应当清化痰火。如果因愤怒而出现风证的，应当清肝降火。如果人不谨慎房事，忽然患上前面的病症，这是由于肾水不足，心火炽盛，应当以滋阴补气血为主。如果误当作风证治疗就会死亡。
羌活防风汤：治疗破伤风，邪气初在表者，紧急服用此药以解散邪气，稍晚则邪气入里，与药物不相契合了。
药材：羌活、防风、甘草、川芎、藁本、当归、芍药（各四两）；地榆、细辛（各二两）。
用法：每次服用五钱，水煎服。
防风汤：治疗破伤风，表证未传入里者，紧急宜服用。
药材：防风、羌活、独活、川芎（各等分）。
用法：每次服用五钱，水煎，调服蜈蚣散，效果显著。
蜈蚣散：
药材：蜈蚣（一对）、鳔胶（三钱）。
用法：研为细末，用防风汤调下。
羌活汤：治疗破伤风，邪在半表半里者，紧急服用此汤，稍缓则邪入于里，不宜再用。
药材：羌活、菊花、麻黄、川芎、石膏、防风、前胡、黄芩、细辛、甘草、枳壳、白茯苓、蔓荆子（各一两）；薄荷、白芷（各五钱）。
用法：每次服用五钱，水煎服。
地榆防风散：治疗风邪在半表里，头部微汗，身体无汗，不可发汗，兼治表里。
药材：地榆、防风、地丁草、马齿苋（各等分）。
用法：研为细末。每次服用三钱，米汤调服。
大芎黄汤：治疗风邪在里，宜疏导，紧急服用此汤。
药材：川芎、羌活、黄芩、大黄（各一两）。
用法：每次五至七钱，水煎，温服，以脏腑通和为度。
白术防风汤：治疗服用解表药过多，自汗者。
药材：白术、黄芪（各一两），防风（二两）。
用法：每次五至七钱，水煎服，脏腑调和且自汗者可服用。若脏腑秘结，小便赤涩者，宜用大芎黄汤泻下。
白术汤：治疗破伤风，汗出不止，筋挛抽搐。
药材：白术、葛根、升麻、黄芩、芍药（各二两），甘草（二钱五分）。
用法：每次服用五钱，水煎，随时服用。
谦甫朱砂丸：治疗破伤风，眼睛瞪大、牙关紧闭不语，手足抽搐，项部筋脉强直，不能转动，目不识人。
药材：朱砂（研）、半夏（洗）、川乌（各一两）；雄黄（五钱）、凤凰台（三钱）、麝香（一字）。
用法：研为末，用枣肉制成梧桐子大小的丸药。每次服用一丸或二丸，冷水送下，以吐出为限度。如果不吐，加服一丸。如果吐个不停，煎葱白汤止住，出汗为有效。
左龙丸：治疗直视且病位在里者。
药材：左盘龙（野鸽粪）、白僵蚕、鳔胶（各炒，五钱）；雄黄（一钱）。
用法：研为末，烧饭制成梧桐子大小的丸药。每次服用五丸，温酒送下。如果里证不愈，应当用前药末的一半，加入巴豆霜半钱，烧饭制成梧桐子大小的丸药。每次增加一丸，以此逐渐增加直到腹泻为度。腹泻后服用和解药物。
江鳔丸：治疗破伤风，传入里证，受惊而发作抽搐，脏腑秘涩。
药材：江鳔（锉碎，炒）、野鸽粪（炒）、白僵蚕（各半两）；雄黄（一钱）、蜈蚣（一对）、天麻（一两）。
用法：研为末，分为三份中的两份，烧饭制成梧桐子大小的丸药，朱砂为衣；一份加入巴豆霜一钱，也用烧饭制成丸药。每次服用朱砂衣的二十丸；服用含巴豆的一丸，逐渐增加到腹泻为度。之后停止服用含巴豆的丸药，改服前一种丸药。
养血当归地黄散：
药材：当归、地黄、芍药、川芎、藁本、防风、白芷（各一两）；细辛（五钱）。
用法：根据前述方法煎服。
广利方：治疗破伤风，发热。
药材：栝蒌子（九钱）、滑石（三钱半）、南星、苍术、赤芍药、陈皮、炒黄柏、黄连、黄芩、白芷、甘草（各五分）。
用法：姜水煎服。
上述两个方子，使用竹沥、栝蒌实之类，治疗破伤风，热痰脉洪大的情况。前方使用南星、半夏、草乌、川乌之类，则治疗破伤风，寒痰脉无力的情况。
白丸子：治疗一切风痰壅盛，手足顽麻，或牙关紧急，口眼歪斜，半身不遂等症状。
药材：半夏（七两）、南星（二两）、川乌（去皮脐，五钱，各生用）。
用法：研为末，用生姜汁调糊制成梧桐子大小的丸药。每次服用一二十丸，姜汤送下。
本事玉真散：治疗破伤风，及跌打损伤，项强牙关紧闭欲死。（南星有防风炮制，其毒性不使人麻木。）
药材：天南星（汤泡七次）、防风（等分）。
用法：研为末。先用热的童子小便洗净疮口，擦干后掺药粉，良久浑身作痒，疮口流出赤水是有效的标志，再用温酒调服一钱。如果牙关紧急，腰背反张，用药二钱，童子小便调服。即使已死但心头微温者，紧急灌服，也可以救活。屡试屡效。
治疗跌打损伤，肿痛伤风者。
药材：天南星、半夏、地龙（各等分）。
用法：研为末。用生姜、薄荷汁，调匀搽擦患处。
急风散：治疗新旧各种疮疡，破伤中风，项强背直，腰部反折，牙关紧闭不语，手足抽掣，眼目上视，喉中发出锯木声，均能治疗。
药材：麝香（另研，五分）、朱砂（一两）、生黑豆（二钱半）、草乌（三两半，烧存性）。
用法：研为细末，研匀。破伤风用酒调服一钱，不拘时候服用。如拔出箭头，先用酒调服一钱，就将此药粘贴在箭疮上。
如圣散：治疗破伤风，止血定痛。
药材：苍术（六两）、川乌（炮去皮）、两头尖（炮，各四两）、草乌（炮去皮）、防风、细辛（各二两半）；白术、川芎、白芷（各一两半）；蝎梢（微炒）、雄黄（各半两）。
用法：研为细末。每次服用一钱，不拘时候酒调下。如果有骨折损伤，加乳香五钱。
一字散：治疗破伤风。
药材：金头蜈蚣（一条，去头足，炙）、草乌、天麻（各半两）；全蝎（一钱）、香白芷（三钱）。
用法：研为细末。每次服用半钱，如果发热用茶清调下；发冷用温酒调下，不拘时候服用。
Liu Hejian stated: Wind syndromes are characterized by their mobility and rapid changes; invading the Zang-Fu organs is extremely fast, with life or death determined in an instant. Therefore, it is imperative to urgently differentiate between exterior/interior and deficiency/excess to guide treatment. When pathogenic factors are at the exterior, symptoms include tendon and vessel stiffness, occasional chills and fever, muscle twitching and spasms, and a floating, wiry pulse. Use Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction) to disperse them. When pathogenic factors are at the half-exterior/half-interior, symptoms include slight sweating on the head but no sweating on the body. Use Qianghuo Tang (Notopterygium Decoction) to harmonize. When pathogenic factors have entered the interior, symptoms include a stiff tongue, locked jaw, opisthotonos (backward arching of the neck and back), muscle twitching and spasms, copious phlegm-saliva, chest and abdominal fullness and oppression, constipation and dark urine, occasional sweating, and a surging, rapid, and wiry pulse. Use Da Xionghuang Tang (Major Ligusticum and Rhubarb Decoction) to guide out and purge. If sweating persists after purgation, this indicates exterior deficiency; use Baizhu Fangfeng Tang (Atractylodes Macrocephala and Saposhnikovia Decoction) to tonify. It is beneficial to occasionally administer porridge drinks. The aforementioned methods apply when Qi deficiency has not yet severely damaged the constitution. If pus and blood loss are excessive, causing Yang to dissipate with Yin, resulting in both Qi and Blood deficiency with symptoms resembling the above, one must vigorously tonify the Spleen and Stomach, strictly avoiding wind-dispelling herbs. For details, see Volume 5 of Miscellaneous Diseases.
One patient injured his hand in mid-summer, presenting with opisthotonos and locked jaw, and a floating, scattered pulse. This was an exterior syndrome, so he was administered one dose of Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction), which resolved the condition immediately. If this syndrome occurs during autumn or winter when the interstices are dense, herbs like Mahuang (Ephedrae Herba) must be used to induce sweating. This is the treatment method for sudden injury without significant damage to Qi and Blood.
Another patient suffered a minor break from a beating and developed this condition, presenting with a surging, large, and excess pulse. This was an interior syndrome. One dose of Da Xionghuang Tang (Major Ligusticum and Rhubarb Decoction) resulted in slight bowel movement, after which all symptoms subsided. Administering exterior-releasing drugs would have been fatal. Urgent differentiation of exterior/interior and deficiency/excess is essential to avoid error.
Another patient presented with chills, fever, and dry mouth. Four doses of Siwu Tang (Four Substances Decoction) modified with Renshen (Ginseng Radix), Huangqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Ruan Chaihu (Bupleuri Radix), Chao Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus) reduced symptoms slightly. Xue Ji proposed using Bian stone (stone lancet) to remove stasis, but the patient refused. Later, the patient developed palpitations, insomnia, poor appetite, tight jaw, headache and eye pain, chills, and fever. This indicated internal accumulation of pus/toxins. Upon applying Bian stone therapy to drain the pus, the patient felt relieved. Twenty doses of Bazhen Tang (Eight Treasures Decoction) modified with Suanzaoren (Ziziphi Spinosomi Semen), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus) gradually cured the previous symptoms. Subsequently, the previous prescription plus Dushen Tang (Single Ginseng Decoction) helped necrotic tissue slough off. Due to overexertion, the patient later experienced sleeplessness and night sweats, which were cured using Guipi Tang (Restore the Spleen Decoction) modified with Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), and Yuanzhi (Polygalae Radix). Later, the patient had a distended and stuffy jaw and reddened face and eyes. Suspecting tetanus again, Xue Ji still considered it a deficiency syndrome and treated with Bazhen Tang (Eight Treasures Decoction) and other herbs, resulting in stability.
Another patient presented with abdominal pain, panting, thirst, chills, and fever, with erosion of the buttocks and thighs mixed with dead blood, resembling a skin bag filled with paste. He took a decoction of Tongbian (Child's Urine) boiled with Siwu Tang (Four Substances Decoction) plus Taoren (Persicae Semen), Honghua (Carthami Flos), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix), and Huafen (Trichosanthis Radix), which rapidly reduced symptoms. However, he applied black sheepskin to the area, worsening the condition. After Bian stone therapy drained much pus and blood, his breath became faint, lips moved slightly, jaw tightened, and the lesion turned dark. Some suggested using tetanus medicines. Xue Ji said: This is a complication due to Qi and Blood deficiency. Use Renshen (Ginseng Radix), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma), along with Dushen Tang (Single Ginseng Decoction) and Renru (Human Placenta Milk). As Yuanqi (Original Qi) recovered, symptoms subsided. Then, Shiquan Dabu Tang (Comprehensive Great Tonic Decoction) was used for regulation and recovery. If pus and stasis are retained internally, needle puncture is appropriate. If after ulceration there is locked jaw and enuresis resembling tetanus, it indicates extreme Qi and Blood deficiency; urgently use major tonic formulas. If the patient usually has phlegm and suffers from wind syndromes, clear phlegm and descend fire. If wind syndromes appear due to anger, clear the Liver and descend fire. If the patient neglects sexual restraint and suddenly develops these symptoms, it is due to insufficient Kidney Water and blazing Heart Fire; prioritize nourishing Yin and tonifying Qi and Blood. Misdiagnosing this as a wind syndrome will lead to death.
Qianghuo Fangfeng Tang (Notopterygium and Saposhnikovia Decoction): Treats tetanus where pathogenic factors are initially at the exterior. Take urgently to resolve; delay allows entry into the interior, making treatment ineffective.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bencao (Ligustici Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix) (4 liang each); Diyu (Sanguisorbae Radix), Xixin (Asari Radix et Rhizoma) (2 liang each).
Usage: Take 5 qian per dose, decoct in water.
Fangfeng Tang (Saposhnikovia Decoction): Treats tetanus where exterior syndrome has not entered the interior. Take urgently.
Ingredients: Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (equal parts).
Usage: Take 5 qian per dose, decoct in water, mix with Wugong San (Centipede Powder) for great effect.
Wugong San (Centipede Powder):
Ingredients: Wugong (Scolopendra), Biao (Colla Corii Asini) (3 qian).
Usage: Grind to fine powder, take with Fangfeng Tang (Saposhnikovia Decoction).
Qianghuo Tang (Notopterygium Decoction): Treats tetanus where pathogenic factors are at the half-exterior/half-interior. Take urgently; delay allows entry into the interior, rendering it unsuitable.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Juhua (Chrysanthemi Flos), Mahuang (Ephedrae Herba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shigao (Gypsum Fibrosum), Fangfeng (Saposhnikoviae Radix), Qianhu (Peucedani Radix), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus), Baifuling (Poria), Manjingzi (Vittariae Folium) (1 liang each); Bohe (Menthae Haplocalycis Herba), Baizhi (Angelicae Dahuricae Radix) (5 qian each).
Usage: Take 5 qian per dose, decoct in water.
Diyu Fangfeng San (Sanguisorba and Saposhnikovia Powder): Treats wind at half-exterior/half-interior, slight head sweat, no body sweat, contraindicated for inducing sweat, also treats exterior/interior.
Ingredients: Diyu (Sanguisorbae Radix), Fangfeng (Saposhnikoviae Radix), Dingcangcao (Violaris Herba), Machixian (Portulacae Herba) (equal parts).
Usage: Grind to fine powder. Take 3 qian per dose, mix with rice soup.
Da Xionghuang Tang (Major Ligusticum and Rhubarb Decoction): Treats wind in the interior, requires guiding/purging. Take urgently.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) (1 liang each).
Usage: Take 5-7 qian, decoct in water, take warm. Stop when viscera and bowels are harmonized.
Baizhu Fangfeng Tang (Atractylodes Macrocephala and Saposhnikovia Decoction): Treats spontaneous sweating due to excessive use of exterior-releasing drugs.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix) (1 liang each); Fangfeng (Saposhnikoviae Radix) (2 liang).
Usage: Take 5-7 qian per dose, decoct in water. Suitable if viscera are harmonized and sweating occurs. If viscera are constipated and urine is red, use Da Xionghuang Tang (Major Ligusticum and Rhubarb Decoction) to purge.
Baizhu Tang (Atractylodes Macrocephala Decoction): Treats tetanus with incessant sweating, tendon spasms, and convulsions.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma), Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix) (2 liang each); Gancao (Glycyrrhizae Radix et Rhizoma) (2.5 qian).
Usage: Take 5 qian per dose, decoct in water, take at any time.
Qianfu Zhusha Wan (Qianfu Cinnabar Pill): Treats tetanus with staring eyes, locked jaw, muteness, limb spasms, stiff neck unable to turn, and inability to recognize people.
Ingredients: Zhusha (Cinnabaris, ground), Banxia (Pinelliae Rhizoma, washed), Chuanwu (Aconiti Radix) (1 liang each); Xionghuang (Realgar, 5 qian), Fenghuangtai (3 qian), Shexiang (Moschus, 1 zi).
Usage: Grind to powder, make pills with jujube flesh size of paulownia seeds. Take 1-2 pills with cold water. Stop when vomiting occurs. If no vomiting, add one pill. If vomiting persists, stop with Congbai Tang (Scallion White Decoction). Sweating indicates efficacy.
Zuolong Wan (Left Dragon Pill): Treats staring eyes with interior syndrome.
Ingredients: Zuopanlong (Wild Pigeon Droppings), Baijiangcan (Bombyx Batryticatus), Biao (Colla Corii Asini) (each fried, 5 qian); Xionghuang (Realgar, 1 qian).
Usage: Grind to powder, make pills with cooked rice size of paulownia seeds. Take 5 pills with warm wine. If interior syndrome persists, use half of the previous powder, add Badou Frost (Crotonis Semen Paste) 0.5 qian, make pills with cooked rice. Increase dosage gradually until diarrhea occurs. Take harmonizing medicine after diarrhea.
Jiangbiao Wan (Fish Bladder Pill): Treats tetanus entering interior syndrome, convulsions due to fright, and constipation.
Ingredients: Jiangbiao (Fish Bladder, cut and fried), Wild Pigeon Droppings (fried), Baijiangcan (Bombyx Batryticatus) (half liang each); Xionghuang (Realgar, 1 qian), Wugong (Scolopendra, 1 pair), Tianma (Gastrodiae Rhizoma, 1 liang).
Usage: Grind to powder. Divide into three parts. Two parts made into pills with cooked rice size of paulownia seeds, coated with Zhusha (Cinnabaris). One part mixed with Badou Frost (Crotonis Semen Paste) 1 qian, also made into pills. Take 20 pills of the Zhusha-coated type; start with 1 pill of the Badou type, increase gradually until diarrhea. Then stop the Badou pills and continue with the former.
Yangxue Danggui Dihuang San (Blood-Nourishing Angelica and Rehmannia Powder):
Ingredients: Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bencao (Ligustici Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix) (1 liang each); Xixin (Asari Radix et Rhizoma) (5 qian).
Usage: Decoct and take according to previous methods.
Guangli Fang (Guangli Prescription): Treats tetanus with fever.
Ingredients: Gualouzi (Trichosanthis Semen), Huashi (Talcum) (3.5 qian); Nanxing (Arisaematis Rhizoma), Cangzhu (Atractylodis Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra), Chenpi (Citri Reticulatae Pericarpium), Chao Bai (Phellodendri Cortex, fried), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 fen each).
Usage: Decoct with ginger water.
The above two prescriptions use Zhuli (Bamboo Sap) and Gualoushi (Trichosanthis Fructus) to treat tetanus with hot-phlegm and surging pulse. The former uses Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Cao Wu (Aconiti Kusnezoffii Radix), and Chuanwu (Aconiti Radix) to treat tetanus with cold-phlegm and weak pulse.
Bai Wanzi (White Pills): Treats all conditions of abundant wind-phlegm, numbness of limbs, locked jaw, facial paralysis, hemiplegia, etc.
Ingredients: Banxia (Pinelliae Rhizoma, 7 liang), Nanxing (Arisaematis Rhizoma, 2 liang), Chuanwu (Aconiti Radix, peeled and umbilicus removed, 5 qian, raw).
Usage: Grind to powder, mix with fresh ginger juice to form paste, make pills size of paulownia seeds. Take 10-20 pills with ginger soup.
Ben Shi Yuzhen San (Yuzhen Powder from Essential Prescriptions): Treats tetanus and trauma with stiff neck and locked jaw approaching death. (Nanxing processed with Fangfeng reduces toxicity and numbing effect.)
Ingredients: Tiannanxing (Arisaematis Rhizoma, soaked in water 7 times), Fangfeng (Saposhnikoviae Radix) (equal parts).
Usage: Grind to powder. First wash wound with hot child's urine, dry, and apply powder. After a while, whole-body itching and red fluid from wound indicate efficacy. Then take 1 qian mixed with warm wine. If locked jaw and opisthotonos occur, take 2 qian mixed with child's urine. Even if clinically dead, if heart remains slightly warm, urgent administration can save. Repeatedly effective.
For treating trauma, swelling, pain, and wind invasion:
Ingredients: Tiannanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Dilong (Pheretima) (equal parts).
Usage: Grind to powder. Mix with fresh ginger and mint juice, apply to affected area.
Ji Feng San (Urgent Wind Powder): Treats new and old sores, tetanus, stiff neck and back, opisthotonos, locked jaw muteness, limb spasms, upward gaze, sawing sound in throat.
Ingredients: Shexiang (Moschus, separately ground, 5 fen), Zhusha (Cinnabaris, 1 liang), Sheng Heidou (Black Soybean, 2.5 qian), Caowu (Aconiti Kusnezoffii Radix, burnt to retain character, 3.5 liang).
Usage: Grind to fine uniform powder. For tetanus, mix 1 qian with wine, take anytime. If arrowhead extracted, first take 1 qian mixed with wine, then paste medicine on arrow wound.
Ru Sheng San (Like Sage Powder): Treats tetanus, stops bleeding and pain.
Ingredients: Cangzhu (Atractylodis Rhizoma, 6 liang), Chuanwu (Aconiti Radix, processed, peeled), Liangtoujian (Lysimachiae Herba, processed, 4 liang each), Caowu (Aconiti Kusnezoffii Radix, processed, peeled), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma) (2.5 liang each); Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix) (1.5 liang each); Xieshao (Scorpio tail, lightly fried), Xionghuang (Realgar) (0.5 liang each).
Usage: Grind to fine powder. Take 1 qian, mix with wine, anytime. If bone fracture, add Ruxiang (Olibanum) 5 qian.
Yi Zi San (One Character Powder): Treats tetanus.
Ingredients: Jintou Wugong (Centipede with golden head, 1 piece, head and feet removed, roasted), Caowu (Aconiti Kusnezoffii Radix), Tianma (Gastrodiae Rhizoma) (0.5 liang each); Quanxie (Scorpio, 1 qian), Xiang Baizhi (Angelicae Dahuricae Radix, 3 qian).
Usage: Grind to fine powder. Take 0.5 qian. If fever, mix with tea liquor; if chills, mix with warm wine. Take anytime.