惊风结核，属肝胆二经风木相火用事。木旺生风热，同化其病，抽掣扰动，此乃风热血燥而然耳。盖风动
则肝火盛，火盛则肝血内消，血不能养筋，故筋挛结核如贯珠。然颈项两侧，正属肝胆经部分，治宜滋肾水，
清肝火，养阴血，壮脾土。盖肾水旺，则肝火自清；肝火清，则阴血自生；阴血生，则相火自宁；火既宁，则
无热伤元气、火乘土位之疾矣。
一小儿因惊，项间结核，目札唇动，摇头抽搐，此风木凌于脾土也，用皂角子丸、补中益气汤渐愈，又用
九味芦荟丸而痊。
一小儿甫周岁，项间结核，两臂反张，索败毒之药，余意此属肝经血燥，询之，果前患惊风，曾服朱砂等
药，遂与六味地黄丸，滋其肝血，数服而愈。
一小儿项侧结核，痰盛发搐，服金石香燥之剂，手足筋挛，此肝血复伤，即急惊也，遂用加味小柴胡汤加
钩藤钩、山栀、芎、归，六味丸料加五味、麦门而痊。
一小儿每受惊，项间结核，发热减食，睡间四肢微搐，此肝木侮脾土也，用五味异功散加柴胡、升麻、钩藤钩随
愈。毕姻后，腿臂腕间结核，误服行气破血药，腿臂筋挛，肌体消瘦如瘵症，余考绩到京，用地黄丸生肝肾之血，佐以
补中益气汤，补脾肺之气而愈。
一小儿耳前后结核，遇惊即痰盛切牙，抽搐摇头，恪服香燥之药，以致慢惊而卒。
皂角子丸 治肝胆经风热，项胁两侧结核。
皂角子（仁炒，二两） 连翘（八钱） 当归 柴胡 芍药（炒） 山栀（炒） 川芎（各一两） 桔梗（炒）
龙胆草（酒拌炒黑） 甘草（炒。各四钱）
上为末，米糊丸，绿豆大，量儿大小，滚汤下。
人参败毒散 治小儿风热瘙痒，顽核毒疮。或解脱衣裳，风邪所伤，恶风发热，胸膈生涎，头目不清。（方见
发）
九味柴胡汤 治肝经热毒下注，患便毒肿痛，或小腹胁间结核，凡肝胆经部分一切疮疡。或风毒恶核瘰 。
柴胡（五分） 黄芩（炒，五分） 人参 山栀（炒） 半夏 龙胆草（炒） 当归 芍药（炒。各三分） 甘草
（二分）
上水煎服。若肿痛色赤，元气无亏者，宜用；溃后肿消痛止者，不宜用。大凡肿硬不溃，或溃后不愈，因元气虚也，
午前宜用四君、归、 、升麻；午后宜用四君、芎、归、柴胡为主；佐以九味芦荟丸。若饮食少思者，宜用五味异功散，
专补胃气。若脓水清稀，而见一切诸症，皆因血气内亏，但温补脾胃，饮食加进，血气化生，诸症自退。设治疮邪，是
虚其虚也，祸不旋踵矣。
琥珀膏 治瘰 不溃，或溃而不愈，变成漏症。
琥珀 木通 桂心 当归 白芷 防风 松香 朱砂 丁香 木香 木鳖子（各二两）
上先用琥珀、丁香、桂心、朱砂、木香，为末。其余 咀，以麻油二斤六两，慢火煎，至白芷焦黑滤去渣，徐
下黄丹一斤。以柳枝不住手搅至黑色，滴水捻软硬得中，却入琥珀等末，搅匀，干瓷器盛之，用时取少许摊贴。
益脾清肝散 治肝火侮脾，饮食少思，发热或寒热往来，疮不能消散。（方见黄水疮）
补阴八珍汤 治元气虚弱，不能溃敛，或内热晡热，肌体消瘦。即八珍汤加酒炒黑黄柏、知母。
五味异功散（方见败毒之药）
惊风与结核，归属于肝胆二经。因风木之气与相火之气当令所致。肝木旺盛则生风热，共同化生病邪，导致肢体抽掣、扰动不安，这是由风热血燥引起的。大概风动则肝火亢盛，肝火亢盛则消耗肝内之血，血液不能濡养筋脉，所以出现筋脉拘挛、结核如串珠状。然而颈项两侧，正是肝胆经络循行的部位，治疗应当滋补肾水，清泻肝火，滋养阴血，培补脾土。因为肾水旺盛，则肝火自然清降；肝火清降，则阴血自然滋生；阴血滋生，则相火自然安宁；相火既已安宁，就不会有热邪损伤元气、火邪乘袭脾土位置的疾病了。
有一个小儿因受惊吓，颈部出现结核，眼睛眨动、嘴唇抽动，摇头抽搐，这是风木之气克制脾土的表现，使用皂角子丸、补中益气汤逐渐痊愈，后又用九味芦荟丸而完全康复。
有一个小儿刚满周岁，颈部出现结核，两臂向后反张，索要败毒的药物。我认为这属于肝经血燥，询问病情后得知，此前患过惊风，曾服用朱砂等药物，于是给予六味地黄丸，以滋养其肝血，服用数剂后痊愈。
有一个小儿颈部侧面出现结核，痰多且发生抽搐，服用了金石类香燥的药物，导致手足筋脉拘挛，这是肝血再次受伤，即成为急惊风，于是使用加味小柴胡汤，加入钩藤、山栀、川芎、当归，以及六味地黄丸的药材中加入五味子、麦门冬，最终痊愈。
有一个小儿每次受到惊吓，颈部就出现结核，发热且食欲减退，睡眠时四肢轻微抽搐，这是肝木之气侮犯脾土的表现，使用五味异功散加入柴胡、升麻、钩藤，随即痊愈。后来结婚成家后，腿部、手臂、手腕间出现结核，误服了行气破血的药物，导致腿臂筋脉拘挛，身体消瘦如同痨病（瘵症）。我考绩进京期间，用地黄丸来生发肝肾之血，辅以补中益气汤，补益脾肺之气，从而痊愈。
有一个小儿耳前耳后出现结核，遇到惊吓就痰多、咬牙、抽搐、摇头，严格服用了香燥的药物，导致慢惊风而死亡。
皂角子丸：治疗肝胆经的风热，以及颈胁两侧的结核。
配方：皂角子（仁炒，二两）、连翘（八钱）、当归、柴胡、芍药（炒）、山栀（炒）、川芎（各一两）、桔梗（炒）、龙胆草（酒拌炒黑）、甘草（炒，各四钱）。
制法：以上药物研为细末，用米糊制成丸药，大小如绿豆，根据儿童年龄大小，用滚开水送服。
人参败毒散：治疗小儿风热瘙痒、顽固性结核毒疮。或者脱去衣裳时，风邪所伤，恶风发热，胸膈产生涎沫，头目不清爽。（方剂见“发”章节）
九味柴胡汤：治疗肝经热毒下注，患便毒肿痛，或小腹胁间结核，凡是肝胆经循行部位的一切疮疡。或者风毒恶核瘰疬。
配方：柴胡（五分）、黄芩（炒，五分）、人参、山栀（炒）、半夏、龙胆草（炒）、当归、芍药（炒，各三分）、甘草（二分）。
用法：以上用水煎服。如果肿痛色红，元气没有亏损的，适宜使用；溃破后肿消痛止的，不适宜使用。大凡肿块坚硬不溃破，或溃破后不愈合，是因为元气虚弱。午前适宜使用四君子汤、当归、川芎、升麻；午后适宜使用四君子汤、川芎、当归、柴胡为主；佐以九味芦荟丸。如果饮食减少、不思进食的，适宜使用五味异功散，专门补益胃气。如果脓水清稀，并出现一切各种症状，都是因为气血内部亏损，只需温补脾胃，饮食增加，气血化生，各种症状自然消退。如果此时治疗疮邪，就是使虚者更虚，灾祸立刻就会到来。
琥珀膏：治疗瘰疬不溃破，或溃破后不愈合，变成漏症。
配方：琥珀、木通、桂心、当归、白芷、防风、松香、朱砂、丁香、木香、木鳖子（各二两）。
制法：先用琥珀、丁香、桂心、朱砂、木香，研为细末。其余药物切碎，用麻油二斤六两，慢火煎煮，直到白芷焦黑，滤去药渣，慢慢加入黄丹一斤。用柳枝不停搅拌至黑色，滴水测试软硬适中，然后加入琥珀等细末，搅拌均匀，装入干燥瓷器中保存。使用时取少许摊贴患处。
益脾清肝散：治疗肝火侮犯脾土，饮食少思，发热或寒热往来，疮疡不能消散。（方剂见“黄水疮”章节）
Convulsive disease (Jingfeng) and scrofula (Jiehe) belong to the Liver and Gallbladder meridians, caused by the dominance of Wind-Wood Qi and Ministerial Fire. When Liver Wood is excessive, it generates Wind-Heat, which combines to transform into pathogenic factors, leading to convulsions and restlessness. This is due to Wind-Fire and Blood Dryness. Generally, when Wind moves, Liver Fire becomes hyperactive; when Liver Fire is hyperactive, it consumes Liver Blood internally. Since Blood cannot nourish the tendons, tendon contraction and nodules resembling a string of beads occur. However, the sides of the neck are precisely the areas governed by the Liver and Gallbladder meridians. Treatment should focus on nourishing Kidney Water, clearing Liver Fire, nourishing Yin-Blood, and strengthening Spleen Earth. Because when Kidney Water is abundant, Liver Fire clears naturally; when Liver Fire clears, Yin-Blood regenerates naturally; when Yin-Blood regenerates, Ministerial Fire calms naturally; once Fire is calm, there will be no diseases where Heat damages Yuan-Qi or Fire attacks the position of Earth.
A child developed neck nodules after being startled, with blinking eyes, twitching lips, head shaking, and convulsions. This indicates Wood overacting on Earth. Gradual recovery was achieved using Zaojiaozi Wan (Soap Nut Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), followed by complete cure with Jiwei Lushui Wan (Nine-Ingredient Aloe Pill).
A one-year-old child presented with neck nodules and hyperextension of both arms, requesting detoxifying medicines. I reasoned this belonged to Liver Meridian Blood Dryness. Upon inquiry, it was confirmed that the child had previously suffered from convulsive disease and had taken Cinnabar (Zhusha) and other medicines. Therefore, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was prescribed to nourish Liver Blood, resulting in cure after several doses.
A child with lateral neck nodules, profuse phlegm, and convulsions took mineral-based aromatic-drying agents, leading to tendon contraction of hands and feet. This indicated further injury to Liver Blood, constituting Acute Convulsive Disease (Ji Jing). Thus, JiaWei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) was used, augmented with Uncariae Ramulus cum Uncis (Gouteng), Gardeniae Fructus (Zhizi), Ligustici Chuanxiong Rhizoma (Chuanxiong), and Angelicae Sinensis Radix (Danggui). Additionally, Liuyi Wan ingredients were added with Schisandrae Fructus (Wuweizi) and Ophiopogonis Radix (Maimendong), leading to recovery.
A child developed neck nodules, fever, and reduced appetite upon every startle, with slight limb convulsions during sleep. This represents Wood insulting Earth. Recovery occurred promptly using Wuyi Gong San (Five-Flavor Yi Gong Powder) augmented with Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma), and Uncariae Ramulus cum Uncis (Gouteng). Later, after marriage, nodules appeared on the legs, arms, and wrists. Mistakenly taking Qi-moving and Blood-breaking medicines led to tendon contraction of limbs and emaciation resembling Tuberculosis (Zai Zheng). During my official review in Beijing, I used Dihuang Wan to generate Liver-Kidney Blood, assisted by Buzhong Yiqi Tang to tonify Spleen-Lung Qi, resulting in cure.
A child with pre-auricular and post-auricular nodules experienced profuse phlegm, teeth grinding, convulsions, and head shaking upon startle. Strict use of aromatic-drying medicines led to Chronic Convulsive Disease (Man Jing) and death.
Zaojiaozi Wan: Treats Wind-Heat of the Liver and Gallbladder meridians, and nodules on the sides of the neck and hypochondrium.
Ingredients: Semen Gleditsiae Sinensis (Zaojiaozi, kernel stir-fried, 2 liang), Forsythiae Fructus (Lianqiao, 8 qian), Angelicae Sinensis Radix (Danggui), Bupleuri Radix (Chaihu), Paeoniae Radix Alba (Shaoyao, stir-fried), Gardeniae Fructus (Zhizi, stir-fried), Ligustici Chuanxiong Rhizoma (Chuanxiong, each 1 liang), Platycodonis Radix (Jiegeng, stir-fried), Gentianae Radix (Longdancao, wine-mixed and stir-fried until black), Glycyrrhizae Radix et Rhizoma (Gancao, stir-fried, each 4 qian).
Preparation: Grind into powder, make pills with rice paste, size of mung beans. Administer with boiling water according to the child's age.
Renshen Baidu San: Treats pediatric wind-heat itching, stubborn nodular toxic sores. Or wind-pathogen injury after removing clothes, aversion to wind, fever, salivation in chest/diaphragm, unclear head and eyes. (Formula see "Fa" chapter)
Jiuwei Chaihu Tang: Treats Liver Meridian Heat-Toxin pouring downward, causing perineal abscess swelling/pain, or abdominal/hypochondriac nodules, and all sores in Liver/Gallbladder meridian areas. Or wind-toxic hard nodules and scrofula.
Ingredients: Bupleuri Radix (Chaihu, 5 fen), Scutellariae Radix (Huangqin, stir-fried, 5 fen), Ginseng Radix (Renshen), Gardeniae Fructus (Zhizi, stir-fried), Pinelliae Rhizoma (Banxia), Gentianae Radix (Longdancao, stir-fried), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Shaoyao, stir-fried, each 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen).
Usage: Decoct in water. Suitable if swollen/painful/red with intact Yuan-Qi; unsuitable if ulcerated with resolved swelling/pain. Generally, hard non-ulcerated or non-healing ulcers indicate deficient Yuan-Qi. Morning: Si Jun Zi Tang + Danggui, Chuanxiong, Shengma. Afternoon: Si Jun Zi Tang + Chuanxiong, Danggui, Chaihu as main formula; assist with Jiwei Lushui Wan. If poor appetite: Wuyi Gong San to tonify Stomach Qi. If thin pus and various symptoms appear, it is due to internal deficiency of Qi and Blood; simply warm-tonify Spleen/Stomach, increase diet, allow Qi/Blood generation, and symptoms will recede. Treating the sore pathogen now would further deplete the deficient, bringing immediate disaster.
Hupo Gao: Treats scrofula not ulcerating, or ulcerating but not healing, becoming fistula.
Ingredients: Succam Fossilia (Hupo), Akebiae Caulis (Mutong), Cinnamomi Cortex (Guixin), Angelicae Sinensis Radix (Danggui), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng), Rosin (Songxiang), Cinnabaris (Zhusha), Eugeniae Flos (Dingxiang), Costi Rhizoma (Muxiang), Momordicae Semen (Mubiezi, each 2 liang).
Preparation: First, grind Hupo, Dingxiang, Guixin, Zhusha, Muxiang into powder. Chop remaining herbs. Slow-fire decoct in 2 jin 6 liang sesame oil until Baizhi is scorched black, filter dregs. Slowly add Lithargy (Huandan, 1 jin). Stir constantly with willow branch until black. Test consistency with water drop. Add Hupo powder, mix well. Store in dry porcelain. Apply externally as needed.
Yipi Qinggan San: Treats Liver Fire insulting Spleen, poor appetite, fever or alternating chills/fever, sores failing to resolve. (Formula see "Huangshui Chuang" chapter)
Buyin Bazhen Tang: Treats deficient Yuan-Qi unable to ulcerate or heal, or internal heat/evening tidal fever, emaciation. It is Bazhen Tang plus wine-stir-fried black Phellodendri Cortex (Huangbai) and Anemarrhenae Rhizoma (Zhimu).
Wuyi Gong San: (Formula see "Baidu Zhi Yao" chapter)