(拘急)
痉者角弓反张.掣者手足抽扯.拘急者头勾足局.肘膝相构.伤寒中风.凡遇此等.分三面治之.失血家亦宜分三面施治.而用药略有不同.眉列如左.
角弓反张者.太阳经病也.无汗用葛根汤.有汗用桂枝加葛根汤.血家病此.多是血燥生风.筋灼而挛.麻桂皆其所忌.前方不中与也.宜四物汤.加葛根防风荆芥独活羚羊角桑寄生续断杏仁治之.
手足抽掣.口目斜引者.少阳经病也.伤寒中风.用大秦艽汤.此方风药虽多.尚兼滋补.血家病此.亦可借用.再加阿胶羚羊角人参天花粉.以柔润熄风.则与血家更宜.而前拘急属阳明经.伤寒中风.得此者.三一承气汤治之.血家得此为阳明津液大虚.筋为之缩.法宜大生津液.玉女煎.加天花粉玉竹葛www.lindalemus.com/rencai/根竹茹人参麦门冬白芍枳壳治www.lindalemus.com/wsj/之.
又曰.肝主筋.肝病则惊骇.筋挛.今且不必缕分.总以治肝为主.四物汤.加羚羊角酸枣仁木瓜荆芥黄芩治之.此乃血家发痉之治法.非通治诸痉之法.读者须知.