钱仲阳云∶惊痫发搐，男左视无声，右视有声；女右视无声，左视有声，此相胜也。盖左为
肝部，右为肺部，金木相胜故耳。若寅卯辰时身热，目上视，手足动，口流涎，项强急，此
肝旺也。巳午未时身热发搐，心神惊悸，目上视，牙紧流涎，手足搐动，此心旺也。申酉戌
时身热微搐而喘，目微斜，睡露睛，手足冷，大便淡黄水，此肺旺也。亥子丑时微搐，卧而
不安，身微热，目紧斜，喉中有痰，大便色白，困睡流涎，此肾虚也。若握拳拇指在内女为
顺，拇指在外男为顺。顺则易治，逆则难愈。若涎入心肝，则不能言，用凉心镇惊。下痰逆
搐者不治，吐泻后变症者亦不治。如手足冷汗，搐眉搐肚，日夜不止，名真搐，当用人
参汤、川乌、全蝎等药，平其胃气。伤风发搐，口中气热，呵欠，手足动者，名假搐，用大青膏
发散风邪。伤食后发搐，身热困睡，呕吐不思乳食者，当先定搐，后用白丸子下之。百日内
发搐，真者内生风，二三次必死，假者外生风，虽频发不死。外伤风者用大青膏涂囟门，及
浴体法。
寅卯辰时搐而发热作渴，饮冷便结，属肝胆经虚热，用柴芍参苓散；作渴引饮，自汗盗汗，
属肝胆经血虚，用地黄丸；口吻流涎，属肝木克脾土，用六君子汤。
巳午未时发搐，若兼作渴饮水，属风火相搏，以地黄丸补肝，导赤散、凉惊丸治心；若作渴
饮汤，体倦不乳，土虚而木旺也，用地黄丸以补肾，六君子汤以补脾。
申酉戌时微搐而喘，目微斜，身似熟睡而露睛，大便淡黄，属脾肺虚热，用异功散；手足逆
冷，或喘泻不食，属脾肺虚寒，用六君、炮姜、木香；久病而元气虚者，用六君子、六味丸
二药主之。
亥子丑时，微搐身热，目睛紧斜，吐泻不乳，厥冷多睡，属寒水侮土，用益黄散，未应，用
六君、姜、桂。伤风发搐，口气不热，肢体倦怠，用异功散补脾土；钩藤饮清肝木。若因风
邪内郁发热而变诸症者，当理肺金，清风邪。若外邪既解，而内症未除，当理肺补脾。若脾
经亏损而致惊搐等症者，当补脾肺以平肝心，则惊搐自止矣。若停食发搐，呕吐乳食者，宜
用消食丸。若食既消而前症仍作，或变他症者，脾土伤而肝木乘之也，用六君子加钩藤钩以
健脾平肝。若百日内搐者，因胎气所禀，亦有乳母七情浓味所致者，当兼治其母，而以固胃
为先，不可迳治其儿也。
治验
一小儿寅卯时发热痰搐，服抱龙丸而愈。后复患，因自用前药，更加咳嗽气喘，不时发搐，
面赤或青黄，或浮肿，或流涎。余谓∶咳嗽气喘乃脾肺气虚，不时发搐，乃木乘土位，面青
而黄赤，乃肝助心脾，浮肿流涎乃脾气虚弱，用益智丸以补心神；补中益气汤以补脾肺，顿
愈。
少参王阳湖孙跌伤股骨，正体科已续。余视其面色青黄，口角微动，此肝木侮脾之症，且气
血筋骨皆资脾土以生，但壮脾气则所伤自愈，遂用六君、钩藤、当归三十余剂，诸症悉痊。
一小儿两目连札，手足发搐，服天麻防风丸之类，每发饥时益甚，得饮食稍定，此肝木制脾
土也。用六君、升麻、柴胡、钩藤钩二剂而病痊；又用补中益气汤而全效。
一小儿巳午时，搐热惊悸，发时形气倦怠，面黄懒食，流涎饮汤，此心火虚而不能生脾土也
。不信，自服凉心之药，更加吐泻，睡而露睛，几成慢脾风，用六君、姜、桂，佐以地黄丸
而愈。
一小儿七岁，惊搐发热不已，巳午未时益甚，形气殊倦，热定饮汤，此心脾气虚。朝用补中
益气汤加益智仁，夕用六君、当归、钩藤钩寻愈。后饮食过多，复作呕泻，或治以保和丸，
反加寒热发搐，此脾土复伤，而肝木所侮也。用六君、柴胡，寒热止而饮食进，但午未时，
仍泄，用补中益气汤加茯苓、半夏、钩藤钩而愈。
一小儿百日内患搐，痰涎自流。用惊风药益甚，视其面色黄中隐白，乃脾虚不能摄涎也，用
六君子、补中益气二汤而愈。后复患兼气喘，自欲表散行痰。余谓∶此肺虚不能纳气归源耳
，用五味异功散加钩藤钩、柴胡，调补脾肺清理肝火而安。
一小儿患前症，面青黑或痿黄，审其母素有郁怒，用加味逍遥散、加味归脾汤，治其母而子
亦愈矣。
一小儿月内发搐鼻塞，乃风邪所伤，以六君子汤加桔梗、细辛，子母俱服，更以葱头七茎、
生姜二片，细擂摊纸上，合置掌中令热，急贴囟门，少顷鼻利搐止。
一小儿未盈月发搐呕乳，腹胀作泻，此乳伤脾胃，用五味异功散加漏芦，令母服之，子亦服
匙许遂愈。
一小儿惊悸痰盛，泻乳不消，此感风邪夹惊，肝侮脾而气虚，先以天麻防风丸祛风定惊，后
用五味异功散壮脾止搐而愈。
一小儿发搐啼叫，手足指冷，左腮青黑，此脾土虚弱肾水反所侮也。用六君、姜、桂一剂顿
安，又以四君、芎、归及补肝散而愈。
一小儿发热拘急，四肢螈 左腮赤，此心肝二经风热。先用柴胡清肝散，次用六味地黄丸而愈。
一小儿发热作渴，用泻黄散，大便重坠，口角流涎，仍欲泻火。余曰∶鼻准青白多而黄色少
，属脾胃虚寒，肝木所侮，盖口角流涎，脾气虚而不能摄也，大便重坠，脾气陷而不能升也
。不信，另用凉惊之剂，果眉唇微动，四肢微搐。余曰∶此虚极而变慢风也。始用六君、当
归、木香、炮姜、钩藤钩二剂，未效，意欲更药。余曰∶此药力未至也。仍加附子一片，服
之即安，后去附子，又二剂而愈。
一小儿目内色青发搐，目直上视，叫哭不已，或用牛黄清心丸，更加切牙顿闷，小便自遗。
余谓∶此肝脾虚甚。用补中益气汤、六味地黄丸而愈。
一小儿发搐目札，属肝胆经风热，先用柴胡清肝散以清肝，后用六味地黄丸以补肾而愈。
凉惊丸 治惊疳热搐，心神惊悸，白睛赤色，牙关紧急，潮热流涎，手足动搐。
黄连（五钱） 龙脑（一钱研） 龙胆草（酒拌炒黑） 防风 青黛（三钱研） 钩藤钩子（二钱） 牛黄 麝香
上各另为末，面糊丸粟米大，每服三五丸至一二十丸，煎金银汤下。
愚按∶前方治心肝二经风热。若心肝虚而见惊搐潮热，用秘旨安神丸。肝木乘脾者，用异功
散加柴胡、钩藤钩。心脾虚弱而潮热流涎者，用异功散，若虚寒更加木香。不应，更加炮姜
。（详见滞颐）
擦牙通关散 治风搐搦，关窍不通，痰塞中脘，留滞百节。
南星（二钱） 麝香（一字） 牙皂（二铤，烧存性） 赤脚蜈蚣（一条） 僵蚕（一钱）
上为末，姜汁蘸药少许擦牙，或调服二三点涎自出。
至圣保命丹 治胎惊内钓，腹肚紧硬，啼叫不安，及急慢惊风，眼目上视，手足抽掣，不省
全蝎（十四个，去毒） 防风（二钱） 白附子 炮南星 蝉壳 僵蚕（去丝嘴，炒） 天麻 朱砂（各一
钱） 麝香（五分） 金箔
上为末，米糊和每两作四十丸，每服一丸，白汤化下，有热者以胆星易炮星。
白饼子 治伤食呕吐，肚疼嗳气，先用此药一服，推下食积，却用惺惺散加减参苏饮，不可
服冷药。
滑石 半夏 胆南星（各一钱） 轻粉 巴豆（二十四粒去皮膜，用水一升煮干研烂）
上以三味为末，入巴豆、轻粉研匀，饭丸绿豆大，每服三五丸，紫苏汤下，忌热物，量儿加
十味安神丸 治惊
人参 茯神 麦门冬 山药（各二钱） 片脑（二分） 龙齿（一钱） 朱砂 甘草 寒水石（各五分） 金
箔（二片）
上为末，蜜丸鸡头大，灯心汤调下，一方有马牙硝。
浴体丸
天麻（二钱） 蝎尾（去毒） 朱砂（各五分） 乌蛇（以酒浸焙） 白矾（各二钱） 麝香（一字） 青黛（二
钱）
上为末，每服三钱，水三碗，桃枝一握，煎至数沸，温浴之，勿浴背。
涂囟法 治发搐
麝香（一字） 蝎尾（去毒 薄荷叶三分） 蜈蚣 青黛末 牛黄（各一字）
上同研，用熟枣肉剂为膏，新绵上涂匀贴囟上，四方可出一指许，火上炙手频熨，百日里外小儿可用此。
泻青丸（方见肝脏）
导赤散（方见心脏）
地黄丸（方见肾脏）
益黄散（方见脾脏）
苏青膏（方见慢惊）
大青膏（方见肝脏）
钱仲阳说：惊痫发作抽搐时，男孩向左看无声，向右看有声；女孩向右看无声，向左看有声，这是五行相克的表现。因为左边属肝部，右边属肺部，金木相克所致。如果在寅、卯、辰时（凌晨3点至上午9点）身体发热，眼睛向上翻，手足抽动，口流口水，颈部僵硬紧张，这是肝气旺盛。在巳、午、未时（上午9点至下午3点）身体发热抽搐，心神惊恐心悸，眼睛向上翻，牙关紧闭流口水，手足搐动，这是心气旺盛。在申、酉、戌时（下午3点至晚上9点）身体发热轻微抽搐且喘息，眼睛微斜，睡觉时眼睑不闭合露出眼珠，手足冰冷，大便呈淡黄色水样，这是肺气旺盛。在亥、子、丑时（晚上9点至凌晨3点）轻微抽搐，躺卧不安，身体微热，眼睛紧斜，喉中有痰声，大便颜色发白，困倦嗜睡流口水，这是肾虚。如果握拳时拇指在内对女孩为顺证，拇指在外对男孩为顺证。顺证容易治疗，逆证难以痊愈。如果涎液进入心和肝，则不能说话，需用凉心镇惊的方法。若出现下痰逆乱导致的抽搐则无法治愈，吐泻后变生的症状也无法治愈。如果出现手足冷汗，皱眉揉肚，日夜不停，称为真搐，应当用人参汤、川乌、全蝎等药物，调和胃气。伤风引起的抽搐，口中气息热，打哈欠，手足动者，称为假搐，用大青膏发散风邪。伤食后引起的抽搐，身体发热困倦嗜睡，呕吐不想吃奶的，应当先止住抽搐，后用白丸子攻下积滞。百日内婴儿发生抽搐，真搐是内生风，发作两三次必死；假搐是外生风，虽然频繁发作但不会死亡。外伤风邪的用大青膏涂抹囟门，以及洗浴身体的方法。
在寅、卯、辰时抽搐并发热口渴，喜饮冷水，大便干结，属于肝胆经虚热，用柴芍参苓散；如果口渴引饮，自汗盗汗，属于肝胆经血虚，用地黄丸；口角流涎，属于肝木克制脾土，用六君子汤。
在巳、午、未时发生抽搐，如果兼有口渴饮水，属于风火相搏，用地黄丸补肝，导赤散、凉惊丸治心；如果口渴喝热水，身体疲倦不吃奶，属于土虚而木旺，用地黄丸补肾，六君子汤补脾。
在申、酉、戌时轻微抽搐且喘息，眼睛微斜，身体像熟睡一样露出眼珠，大便淡黄，属于脾肺虚热，用异功散；如果手足逆冷，或喘息腹泻不吃东西，属于脾肺虚寒，用六君子汤加炮姜、木香；久病元气虚弱者，用六君子汤和六味地黄丸两种药主治。
在亥、子、丑时，轻微抽搐身体发热，眼睛紧斜，呕吐腹泻不吃奶，四肢厥冷多睡，属于寒水侮土，用益黄散，无效时用六君子汤加生姜、肉桂。伤风引起的抽搐，口气不热，肢体倦怠，用异功散补脾土；钩藤饮清肝木。如果因风邪内郁发热而变生各种症状的，应当调理肺金，清风邪。如果外邪已解，而内症未除，应当理肺补脾。如果脾经亏损导致惊搐等症状的，应当补脾肺以平抑肝心，则惊搐自然停止。如果停食引起抽搐，呕吐乳食的，宜用消食丸。如果食物已消化而前症仍发作，或变生其他症状的，是脾土受伤而肝木乘虚侵袭，用六君子汤加钩藤钩以健脾平肝。如果百日内抽搐的，因胎气禀受不同，也有因乳母七情过激、饮食浓味所致的，应当兼治其母亲，而以固护胃气为先，不可直接治疗婴儿。
医案记录：
一个小孩在寅卯时发热痰搐，服用抱龙丸后痊愈。后来复发，因自行服用前药，更加咳嗽气喘，不时抽搐，面色红或青黄，或浮肿，或流口水。我说：咳嗽气喘是脾肺气虚，不时抽搐是木乘土位，面青而黄赤，是肝助心脾，浮肿流涎是脾气虚弱，用益智丸补心神；补中益气汤补脾肺，服后顿愈。
少参王阳湖的孙子跌伤股骨，正体科已经接好。我看他面色青黄，口角微动，这是肝木侮脾的症状，而且气血筋骨都依赖脾土生长，只要强壮脾气则所伤自愈，于是用六君子汤、钩藤、当归三十多剂，诸症悉愈。
一个小孩两眼连眨，手足抽搐，服用天麻防风丸之类，每次饥饿时加重，得到饮食稍定，这是肝木制脾土。用六君子汤、升麻、柴胡、钩藤钩两剂病愈；又用补中益气汤而完全见效。
一个小孩在巳午时，抽搐发热惊悸，发作时形体气息倦怠，面色黄懒食，流涎喝热水，这是心火虚而不能生脾土。不信，自行服用凉心之药，更加吐泻，睡觉露眼珠，几乎成慢脾风，用六君子汤、姜、桂，佐以地黄丸而愈。
一个七岁小孩，惊搐发热不止，巳午未时更甚，形体气息非常疲倦，热退后喝热水，这是心脾气虚。早晨用补中益气汤加益智仁，晚上用六君子汤、当归、钩藤钩寻愈。后来饮食过多，再次呕吐腹泻，有人用保和丸治疗，反而加重寒热抽搐，这是脾土再次受伤，被肝木所侮。用六君子汤、柴胡，寒热止而饮食进，但午未时仍泄泻，用补中益气汤加茯苓、半夏、钩藤钩而愈。
一个百日内婴儿患抽搐，痰涎自流。用惊风药更严重，看其面色黄中隐白，是脾虚不能摄涎，用六君子汤、补中益气汤二方而愈。后来复发兼气喘，想自己用表散行痰药。我说：这是肺虚不能纳气归源，用五味异功散加钩藤钩、柴胡，调补脾肺清理肝火而安。
一个小孩患前症，面青黑或萎黄，询问得知其母素有郁怒，用加味逍遥散、加味归脾汤，治疗其母而子亦愈。
一个婴儿月内发搐鼻塞，乃风邪所伤，用六君子汤加桔梗、细辛，母子俱服，再用葱头七茎、生姜二片，细细研磨摊纸上，合置掌中令热，急贴囟门，片刻鼻通搐止。
一个未满月婴儿发搐呕乳，腹胀作泻，这是乳伤脾胃，用五味异功散加漏芦，令母亲服用，婴儿也服少许遂愈。
一个小孩惊悸痰盛，泻乳不消，这是感风邪夹惊，肝侮脾而气虚，先以天麻防风丸祛风定惊，后用五味异功散壮脾止搐而愈。
一个小孩发搐啼叫，手足指冷，左腮青黑，这是脾土虚弱肾水反所侮。用六君子汤、姜、桂一剂顿安，又以四君子汤、芎、归及补肝散而愈。
一个小孩发热拘急，四肢抽搐，左腮赤，这是心肝二经风热。先用柴胡清肝散，次用六味地黄丸而愈。
一个小孩发热作渴，用泻黄散，大便重坠，口角流涎，仍欲泻火。我说：鼻准青白多而黄色少，属脾胃虚寒，肝木所侮，盖口角流涎，脾气虚而不能摄也，大便重坠，脾气陷而不能升也。不信，另用凉惊之剂，果然眉唇微动，四肢微搐。我说：这是虚极而变慢风也。始用六君子汤、当归、木香、炮姜、钩藤钩两剂，未效，意欲更药。我说：此药力未至也。仍加附子一片，服之即安，后去附子，又两剂而愈。
一个小孩目内色青发搐，目直上视，叫哭不已，或用牛黄清心丸，更加切牙顿闷，小便自遗。我说：这是肝脾虚甚。用补中益气汤、六味地黄丸而愈。
一个小孩发搐目札，属肝胆经风热，先用柴胡清肝散以清肝，后用六味地黄丸以补肾而愈。
凉惊丸 治疗惊疳热搐，心神惊悸，白睛赤色，牙关紧急，潮热流涎，手足动搐。
黄连（五钱） 龙脑（一钱研） 龙胆草（酒拌炒黑） 防风 青黛（三钱研） 钩藤钩子（二钱） 牛黄 麝香
以上各药分别研为细末，用面糊制成粟米大小的丸药，每次服三五丸至一二十丸，煎金银汤送下。
我按语：前方治疗心肝二经风热。若心肝虚而见惊搐潮热，用秘旨安神丸。肝木乘脾者，用异功散加柴胡、钩藤钩。心脾虚弱而潮热流涎者，用异功散，若虚寒更加木香。不应，更加炮姜。（详见滞颐）
擦牙通关散 治疗风搐搦，关窍不通，痰塞中脘，留滞百节。
南星（二钱） 麝香（一字） 牙皂（二铤，烧存性） 赤脚蜈蚣（一条） 僵蚕（一钱）
以上研为细末，用姜汁蘸药少许擦牙，或调服二三点，涎自出。
至圣保命丹 治疗胎惊内钓，腹肚紧硬，啼叫不安，及急慢惊风，眼目上视，手足抽掣，不省人事。
全蝎（十四个，去毒） 防风（二钱） 白附子 炮南星 蝉壳 僵蚕（去丝嘴，炒） 天麻 朱砂（各一钱） 麝香（五分） 金箔
以上研为细末，米糊和匀每两作四十丸，每次服一丸，白开水化下，有热者以胆星易炮星。
白饼子 治疗伤食呕吐，肚疼嗳气，先用此药一服，推下食积，却用惺惺散加减参苏饮，不可服冷药。
滑石 半夏 胆南星（各一钱） 轻粉 巴豆（二十四粒去皮膜，用水一升煮干研烂）
以上将前三味研为细末，加入巴豆、轻粉研匀，饭丸绿豆大小，每次服三五丸，紫苏汤送下，忌热物，量儿加减。
十味安神丸 治疗惊
人参 茯神 麦门冬 山药（各二钱） 片脑（二分） 龙齿（一钱） 朱砂 甘草 寒水石（各五分） 金箔（二片）
以上研为细末，蜜丸鸡头大小，灯心汤调下，一方有马牙硝。
浴体丸
天麻（二钱） 蝎尾（去毒） 朱砂（各五分） 乌蛇（以酒浸焙） 白矾（各二钱） 麝香（一字） 青黛（二钱）
以上研为细末，每次服三钱，水三碗，桃枝一握，煎至数沸，温浴之，勿浴背。
涂囟法 治疗发搐
麝香（一字） 蝎尾（去毒） 薄荷叶三分 蜈蚣 青黛末 牛黄（各一字）
以上同研，用熟枣肉捣为膏，新绵上涂匀贴囟上，四方可出一指许，火上炙手频熨，百日里外小儿可用此。
Qian Zhongyang stated: In the case of convulsive epilepsy (Jing Xian), when a boy looks to the left without sound and to the right with sound; or a girl looks to the right without sound and to the left with sound, this indicates mutual overcoming (Xiang Sheng). This is because the left corresponds to the Liver region, and the right corresponds to the Lung region; it is due to the mutual overcoming between Metal and Wood. If during Yin, Mao, Chen hours (3 AM–9 AM) there is body heat, eyes rolling upward, movement of hands and feet, drooling from the mouth, and stiffness/tension of the neck, this indicates Liver Qi exuberance. If during Si, Wu, Wei hours (9 AM–3 PM) there is body heat and convulsions, mental fright and palpitations, eyes rolling upward, tight teeth with drooling, and twitching of hands and feet, this indicates Heart Qi exuberance. If during Shen, You, Xu hours (3 PM–9 PM) there is body heat with slight convulsions and panting, slightly deviated eyes, sleeping with eyelids open revealing the eyeballs, cold hands and feet, and pale yellow watery stool, this indicates Lung Qi exuberance. If during Hai, Zi, Chou hours (9 PM–3 AM) there are slight convulsions, restlessness while lying down, slight body heat, tightly deviated eyes, phlegm sound in the throat, white-colored stool, drowsiness with drooling, this indicates Kidney deficiency. If the fist is clenched with the thumb inside for girls, or outside for boys, this is considered favorable (Shun). Favorable cases are easy to treat; unfavorable cases are difficult to cure. If saliva enters the Heart and Liver, speech becomes impossible, requiring cooling of the Heart and calming of fright. Convulsions caused by downward rebellion of phlegm are incurable; symptoms arising after vomiting and diarrhea are also incurable. If there are cold sweat on hands and feet, frowning, rubbing the belly, and continuous day and night convulsions, it is named True Convulsion (Zhen Chu). One should use Renshen Tang (Ginseng Decoction), Chuanwu (Aconitum carmichaelii radix preparata), Quanxie (Scorpio), etc., to harmonize Stomach Qi. For convulsions caused by Wind-Cold injury, where breath is hot, yawning occurs, and hands/feet move, it is named False Convulsion (Jia Chu); use Daqing Gao (Major Green Paste) to disperse Wind pathogen. For convulsions after food stagnation, with body heat, drowsiness, vomiting, and refusal of milk, one must first stop the convulsions, then use Bai Wanzi (White Pills) to purge accumulation. For infants within 100 days, true convulsions stem from internal wind generation and are fatal after two or three episodes; false convulsions stem from external wind generation and are not fatal despite frequent occurrences. For external Wind injury, apply Daqing Gao to the fontanelle and use bathing methods.
During Yin, Mao, Chen hours, if convulsions occur with fever, thirst, preference for cold drinks, and constipation, it belongs to deficiency-heat of the Liver and Gallbladder meridians; use Chaishao Shenling San (Bupleurum and Paeonia Bupleurum Ginseng and Atractylodes Powder). If thirst with drinking, spontaneous sweating, and night sweats occur, it belongs to blood deficiency of the Liver and Gallbladder meridians; use Dihuang Wan (Rehmannia Pill). If drooling from the corners of the mouth occurs, it belongs to Liver Wood overacting on Spleen Earth; use Liujunzi Tang (Six Gentlemen Decoction).
During Si, Wu, Wei hours, if convulsions occur accompanied by thirst and drinking, it belongs to struggle between Wind and Fire; use Dihuang Wan to tonify the Liver, Daochi San (Guide Out Redness Powder) and Liangjing Wan (Cool Fright Pill) to treat the Heart. If thirst with drinking warm liquids, fatigue, and refusal of milk occur, it belongs to Earth deficiency causing Wood exuberance; use Dihuang Wan to tonify the Kidney and Liujunzi Tang to tonify the Spleen.
During Shen, You, Xu hours, if slight convulsions and panting occur, eyes slightly deviated, body appearing like deep sleep with exposed eyes, and pale yellow stool, it belongs to deficiency-heat of the Spleen and Lungs; use Yigong San (Extraordinary Assistance Powder). If hands and feet are cold, or panting/diarrhea/refusal of food occur, it belongs to deficiency-cold of the Spleen and Lungs; use Liujunzi Tang with Paojiang (Prepared Ginger) and Muxiang (Aucklandia Root). For chronic illness with Yuanqi (Primal Qi) deficiency, use both Liujunzi Tang and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill).
During Hai, Zi, Chou hours, if slight convulsions and body heat occur, eyes tightly deviated, vomiting/diarrhea/refusal of milk, cold extremities, and excessive sleep, it belongs to Cold Water insulting Earth; use Yihuang San (Yellow Protecting Powder). If ineffective, use Liujunzi Tang with Jiang (Ginger) and Guirou (Cinnamon Bark). For Wind-induced convulsions with non-hot breath and limb fatigue, use Yigong San to tonify Spleen Earth; Gouteng Yin (Uncaria Decoction) to clear Liver Wood. If various symptoms arise due to internal depression of Wind pathogen causing fever, regulate Lung Metal and clear Wind pathogen. If external pathogens are resolved but internal symptoms remain, regulate Lung and tonify Spleen. If Spleen meridian depletion causes fright and convulsions, tonify Spleen and Lung to calm Liver and Heart, then fright and convulsions will cease naturally. For food stagnation causing convulsions and vomiting of milk, use Xiaoshi Wan (Digestive Pills). If food is digested but previous symptoms persist or change, it is Spleen Earth injury allowing Liver Wood to invade; use Liujunzi Tang plus Goutenggou (Uncaria Rhynchophylla Hook) to strengthen Spleen and calm Liver. For convulsions within 100 days, caused by congenital constitution or maternal emotional excess/rich diet, treat the mother concurrently, prioritizing stomach protection; do not directly treat the infant.
Clinical Cases:
An infant had fever, phlegm, and convulsions during Yin/Mao hours, cured by Baolong Wan (Embrace Dragon Pill). Upon recurrence, self-medication with previous pills worsened cough, asthma, and intermittent convulsions, with red/blue-yellow complexion, edema, or drooling. I reasoned: Cough/asthma indicates Spleen/Lung Qi deficiency; intermittent convulsions indicate Wood invading Earth; blue/yellow/red face indicates Liver assisting Heart/Spleen; edema/drooling indicates Spleen Qi deficiency. Used Yizhi Wan (Wisdom Pill) to tonify Heart Spirit; Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) to tonify Spleen/Lung, resulting in immediate recovery.
The grandson of Vice Minister Wang Yanghu suffered a femur fracture, reduced by orthopedics. Observing blue-yellow complexion and slight mouth corner twitching, I diagnosed Liver Wood insulting Spleen. Since Qi, Blood, tendons, and bones rely on Spleen Earth for nourishment, strengthening Spleen Qi would heal the injury. Prescribed Liujunzi Tang, Gouteng, Danggui (Angelica Sinensis) for over 30 doses, leading to full recovery.
An infant had blinking eyes and convulsions; Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pills) exacerbated symptoms during hunger, improving slightly after eating. This indicated Liver Wood controlling Spleen Earth. Prescribed Liujunzi Tang, Shengma (Cimicifuga), Chaihu (Bupleurum), Goutenggou for 2 doses, curing the disease; followed by Buzhong Yiqi Tang for complete effect.
An infant had convulsions, fever, and palpitations during Si/Wu hours, with fatigue, yellow complexion, anorexia, drooling, and desire for warm drinks during attacks. This indicated Heart Fire deficiency failing to generate Spleen Earth. The parent refused treatment, using cooling Heart medicines instead, worsening vomiting/diarrhea and exposing eyes during sleep, nearly developing into Slow Spleen Wind. Treated with Liujunzi Tang, Jiang, Gui (Cinnamon), assisted by Dihuang Wan, resulting in recovery.
A seven-year-old child had persistent fright convulsions and fever, worsening during Si/Wu/Wei hours, with extreme fatigue and desire for warm drinks after fever subsided. This indicated Heart/Spleen Qi deficiency. Morning: Buzhong Yiqi Tang plus Yizhiren (Alpinia Oxyphylla Fruit); Evening: Liujunzi Tang, Danggui, Goutenggou. Recovery ensued. Later, overeating caused vomiting/diarrhea. Treatment with Baohe Wan (Harmonize Stomach Pills) worsened chills/fever and convulsions, indicating re-injury of Spleen Earth and invasion by Liver Wood. Treated with Liujunzi Tang, Chaihu; chills/fever stopped, appetite returned. However, diarrhea persisted during Wu/Wei hours. Treated with Buzhong Yiqi Tang plus Fuling (Poria), Banxia (Pinellia), Goutenggou, resulting in recovery.
An infant within 100 days had convulsions with spontaneous phlegm/saliva. Jingfeng medicines worsened the condition. Yellow complexion with hidden white indicated Spleen deficiency failing to control saliva. Treated with Liujunzi Tang and Buzhong Yiqi Tang, resulting in recovery. Recurrence with asthma led to parent's attempt at dispersing wind/phlegm. I reasoned: Lung deficiency failing to grasp Qi. Treated with Wuwei Yigong San (Five-Ingredient Extraordinary Assistance Powder) plus Goutenggou, Chaihu, regulating Spleen/Lung and clearing Liver fire, leading to peace.
An infant had blue-black or sallow complexion. Inquiry revealed maternal chronic depression/anger. Treated mother with Jiawei Xiaoyao San (Modified Free Wanderer Powder) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction); the child recovered as well.
An infant within one month had convulsions and nasal congestion due to Wind pathogen. Treated with Liujunzi Tang plus Jiegeng (Platycodon), Xixin (Asarum), taken by both mother and child. Additionally, crushed green onion heads and ginger applied warm to the fontanelle via paper, quickly relieving congestion and stopping convulsions.
An infant under one month had convulsions, vomiting milk, abdominal distension, and diarrhea due to milk injuring Spleen/Stomach. Mother took Wuwei Yigong San plus Loulu (Euphorbia lathyris root); infant took small spoonfuls, resulting in recovery.
An infant had fright, palpitations, abundant phlegm, and undigested milk in stool, indicating Wind pathogen combined with fright, Liver insulting Spleen, and Qi deficiency. First treated with Tianma Fangfeng Wan to dispel wind and calm fright; then Wuwei Yigong San to strengthen Spleen and stop convulsions, resulting in recovery.
An infant had crying convulsions, cold fingers/toes, and blue-black left cheek, indicating Spleen Earth weakness allowing Kidney Water to insult. Treated with Liujunzi Tang, Jiang, Gui for one dose, bringing immediate relief; followed by Sijunzi Tang (Four Gentlemen Decoction), Xiong (Ligusticum), Guibai (Cortex Eucommiae? Note: likely Danggui/Bai Shao contextually, but text says Guibai/Cxion), and Bu Gan San (Liver-Nourishing Powder), resulting in recovery.
An infant had fever, stiffness, limb spasms, and red left cheek, indicating Wind-Heat in Heart and Liver meridians. First treated with Chaihu Qinggan San (Bupleurum Clearing Liver Powder); then Liuwei Dihuang Wan, resulting in recovery.
An infant had fever and thirst. Using Xiehuang San (Draining Yellow Powder), heavy stool sensation, drooling, and continued desire to drain fire. I noted: Blue-white nose tip with little yellow indicates Spleen/Stomach deficiency-cold, Liver Wood insulting. Drooling indicates Spleen Qi deficiency failing to control; heavy stool indicates Spleen Qi sinking failing to ascend. Parent refused, using cooling Fright-draining agents. Result: Eyebrow/lip twitching, limb tremors. I stated: This is extreme deficiency transforming into Slow Wind. Started with Liujunzi Tang, Danggui, Muxiang, Paojiang, Goutenggou for 2 doses, no effect. Parent wanted to change medicine. I stated: Medicine potency has not yet reached. Added one slice of Fuzi (Prepared Aconite Root). Immediate relief. Removed Fuzi, continued for 2 doses, resulting in recovery.
An infant had blue inner eye color, convulsions, upward staring eyes, incessant crying. Use of Niuhuang Qingxin Wan (Calvescent Bezoar Clearing Heart Pills) worsened grinding teeth, oppression, and urinary incontinence. I reasoned: Severe Liver/Spleen deficiency. Treated with Buzhong Yiqi Tang and Liuwei Dihuang Wan, resulting in recovery.
An infant had convulsions and blinking eyes, belonging to Wind-Heat in Liver/Gallbladder meridians. First treated with Chaihu Qinggan San to clear Liver; then Liuwei Dihuang Wan to tonify Kidney, resulting in recovery.
Liangjing Wan (Cool Fright Pill): Treats fright malnutrition with heat convulsions, mental fright/palpitations, red whites of eyes, tight jaw, tidal fever with drooling, hand/foot twitching.
Huanglian (5 qian), Longnao (1 qian, ground), Longdancao (wine-fried black), Fangfeng, Qingdai (3 qian, ground), Goutenggouzi (2 qian), Niuhuang, Shexiang.
Grind each separately into powder, make pills with wheat paste size of millet seeds. Dosage: 3-5 to 10-20 pills, taken with Yinjin Tang (Silver Gold Decoction).
My Commentary: The above formula treats Wind-Heat in Heart and Liver meridians. If Heart/Liver deficiency presents with fright convulsions and tidal fever, use Mizhi Anshen Wan (Secret Instruction Calming Spirit Pill). If Liver Wood invades Spleen, use Yigong San plus Chaihu, Goutenggou. If Heart/Spleen deficiency presents with tidal fever and drooling, use Yigong San; add Muxiang for deficiency-cold. If ineffective, add Paojiang. (See details under Liuyi).
Caya Tongguan San (Tooth-Rubbing Opening Orifices Powder): Treats Wind convulsions/spasms, blocked orifices, phlegm obstructing Middle Jiao, lingering in hundred joints.
Nanxing (2 qian), Shexiang (1 zi), Yazao (2 strips, burnt retaining nature), Chiwo Wugong (1 whole), Jiangcan (1 qian).
Grind into powder. Dip medicine in Ginger Juice to rub teeth, or mix and take 2-3 points; saliva will flow out spontaneously.
Zhisheng Baoming Dan (Supreme Holy Life-Preserving Pill): Treats fetal fright, internal drawing pain, tight/hard abdomen, restless crying, acute/chronic fright wind, upward staring eyes, limb jerking, unconsciousness.
Quanxie (14 pieces, detoxified), Fangfeng (2 qian), Baifuzi, Pao Nanxing, Chanqiao, Jiangcan (de-silk-mouth, fried), Tianma, Zhusha (each 1 qian), Shexiang (0.5 qian), Jinbo (Gold Leaf).
Grind into powder. Mix with rice paste, make 40 pills per liang. Dosage: 1 pill, dissolved in white water. For heat cases, replace Pao Nanxing with Dansheng (Gallbladder Star/Nanxing processed with bear bile).
Baibingzi (White Cake Pills): Treats food stagnation vomiting, abdominal pain, belching. Use one dose first to push down food accumulation, then use Xingxing San modified with Rensu Yin. Do not take cold medicines.
Huashi, Banxia, Dansheng (each 1 qian), Qingfen, Badou (24 grains, skin/membrane removed, boiled dry in 1 sheng water, ground).
Grind first three ingredients into powder. Add Badou and Qingfen, grind evenly. Make pills size of mung beans with rice paste. Dosage: 3-5 pills, taken with Zisu Tang (Perilla Decoction). Avoid hot foods. Adjust dosage according to child.
Shiwei Anshen Wan (Ten-Ingredient Calming Spirit Pill): Treats fright.
Renshen, Fushen, Maidong, Shanyao (each 2 qian), Pian Nao (0.2 fen), Longchi (1 qian), Zhusha, Gancao, Hanshuishi (each 0.5 fen), Jinbo (2 pieces).
Grind into powder. Make pills size of corn kernel with honey. Take with Dengxin Tang (Juncus Decoction). One variation includes Mayaxiao (Sodium Nitrate).
Yuti Wan (Body-Bathing Pills)
Tianma (2 qian), Xiwei (detoxified), Zhusha (each 0.5 fen), Wushe (soaked in wine, baked), Baifan (each 2 qian), Shexiang (1 zi), Qingdai (2 qian).
Grind into powder. Dosage: 3 qian. Boil with 3 bowls water and a handful of Peach Branch until boiling several times. Bathe warmly. Do not bathe the back.
Xun Xin Fa (Fontanelle Application Method): Treats convulsions.
Shexiang (1 zi), Xiwei (detoxified), Boheye (0.3 fen), Wugong, Qingdaimo, Niuhuang (each 1 zi).
Grind together. Mix with cooked date flesh to form paste. Apply evenly on new cotton, place on fontanelle, leaving about one finger's width exposed on four sides. Warm hands over fire and frequently press/warm the area. Suitable for infants around 100 days old.
Xieqing Wan (Formula seen in Liver Chapter)
Daochi San (Formula seen in Heart Chapter)
Dihuang Wan (Formula seen in Kidney Chapter)
Yihuang San (Formula seen in Spleen Chapter)
Suqing Gao (Formula seen in Slow Fright Chapter)
Daqing Gao (Formula seen in Liver Chapter)