小儿胎惊风者，因妊妇饮酒忿怒惊跌，或外挟风邪，内伤于胎，儿生下即病也。若月内壮热
，翻眼握拳，噤口出涎，腰强搐掣，惊怖啼叫，腮缩囟开，颊赤面青眼合者，当散风利惊，
化痰调气，及贴囟法；甚则以朱银丸下之。若面青拳搐，用保命丹、钩藤散之类，切不可误
作脾风，妄用温药。若眉间色赤，或虎口指纹曲里者可治，用钩藤散、全蝎散。若眉间色黑
，或指纹反出外者不治。大抵小儿脏腑脆弱，不可辄用银粉镇坠之剂，反伤真气，多致不救
者。且妊娠每月各有经脉滋养，一月属肝，二月属胆，三月属心，四月属小肠，五月属脾，
六月属胃，七月属肺，八月属大肠，九月属肾，十月属膀胱，多因妊娠时受患而作也。须察
于某月受病，病在某经，和其阴阳，调其脾胃，兼以见症之药佐之，无有不愈。
治验
一小儿患胎惊，诸药不应，用紫河车研烂如泥，每用钱许，乳化服之，更以十全大补汤加钩
藤钩、漏芦，与母服。两月余举发渐轻，年余举发渐稀，服年余不再发，至出痘后复发。取
紫河车研烂，入糯米粉丸小豆大，每服百丸以乳送下，服二具全瘥。毕姻又发，仍用前丸及
十全大补汤、六味丸加当归、黄 、肉桂、五味子。年余喜其能远帷幕得痊。后因劳役更作，
又用前丸及十全大补汤等药，不应，用大剂独参汤服数斤，然后举发稍缓，乃用人参二两、
附子一钱，数服顿止，仍用前药，间用独参汤而痊。
一小儿患胎惊，用紫河车丸及十全大补汤，及钩藤膏而愈。毕婚后复发，用大剂独参汤、六
味丸，加五味子、黄 、当归煎服，半载举发稍轻，年余不再发。后每劳役怒气仍发，即用
煎药随愈。又伤寒愈后复作，虚症悉具，莫能名状，用紫河车二具，独参煎汤十余斤而痊。
后患伤风咳嗽，咽干内热，用六味地黄丸料加五味子煎服，及十全大补汤而痊。
十全大补汤（即八珍汤加黄 、肉桂，四物、四君子合用，方见急惊）
地黄丸（方见肾脏）
朱银丸（方见噤风撮口）
保命丹（方见发搐）
钩藤散（方见慢惊）
全蝎散（方见偏风口噤）
贴囟法（方见发搐）
钩藤膏（方见天钓）
紫河车丸（方见前症）
小儿胎惊风，是因为孕妇在怀孕期间饮酒、发怒或受惊跌倒，或者外感风邪，内伤胎儿，导致婴儿出生后即刻发病。如果满月内的婴儿出现高热，眼睛上翻，手握拳，牙关紧闭流涎，腰部僵硬抽搐，惊恐害怕啼哭，腮部收缩、囟门张开，脸颊发红而面色青紫、眼睛闭合等症状时，应当采用疏散风邪、清利惊风、化痰理气的方法，并配合贴敷囟门的外治法；病情严重的，可以用朱银丸来通下治疗。如果见面色青紫、握拳抽搐，使用保命丹、钩藤散之类的方剂，切不可误认为是脾风，妄用温补药物。如果眉间颜色发红，或者虎口指纹弯曲向内的，属于可治之症，使用钩藤散、全蝎散。如果眉间颜色发黑，或者指纹反向向外延伸的，则属不治之症。大抵小儿脏腑脆弱，不可轻易使用含有银粉的重镇坠痰药物，否则会反伤真气，大多导致无法救治。况且妊娠期间，每个月都有相应的经脉滋养胎儿：第一个月属肝，第二个月属胆，第三个月属心，第四个月属小肠，第五个月属脾，第六个月属胃，第七个月属肺，第八个月属大肠，第九个月属肾，第十个月属膀胱。疾病多因妊娠期间受到病患影响而产生。必须观察是在哪一个月受病，病在哪条经脉，调和其阴阳，调理其脾胃，兼用针对当前症状的药物辅助治疗，没有不痊愈的。
医案记录：
有一个小儿患胎惊风，服用各种药物无效，将紫河车研烂如泥，每次取一钱左右，用乳汁化开服用，同时让母亲服用十全大补汤加钩藤、漏芦。两个多月后发作逐渐减轻，一年多后发作逐渐稀少，服药一年多不再发作，直到出痘疹后又复发。取紫河车研烂，加入糯米粉制成小豆大小的药丸，每次服用一百丸，用乳汁送服，服用两具紫河车的量完全康复。结婚后又复发，仍然使用前药丸及十全大补汤、六味地黄丸，加入当归、黄芪、肉桂、五味子。一年多后庆幸他能远离房事而痊愈。后来因为劳累过度再次发作，又使用前药丸及十全大补汤等药，效果不佳，于是服用大量独参汤数斤，然后发作稍缓，接着用人参二两、附子一钱，服用几剂后顿止，仍然使用前药，间或用独参汤而痊愈。
另一个小儿患胎惊风，使用紫河车丸及十全大补汤，以及钩藤膏而痊愈。婚后复发，使用大剂量独参汤、六味地黄丸，加入五味子、黄芪、当归煎服，半年后发作稍轻，一年多后不再发作。后来每当劳累或生气仍会发作，立即服用煎药随即痊愈。后来又因伤寒愈后复发，虚证全部具备，无法形容，使用两具紫河车，用独参汤煎煮十余斤而痊愈。后来患伤风咳嗽，咽干内热，使用六味地黄丸的药料加入五味子煎服，以及十全大补汤而痊愈。
十全大补汤（即八珍汤加上黄芪、肉桂，四物汤与四君子汤合用，方剂见急惊章节）
地黄丸（方剂见肾脏章节）
朱银丸（方剂见噤风撮口章节）
保命丹（方剂见发搐章节）
钩藤散（方剂见慢惊章节）
全蝎散（方剂见偏风口噤章节）
贴囟法（方剂见发搐章节）
钩藤膏（方剂见天钓章节）
紫河车丸（方剂见前症章节）
Infantile fetal convulsion (Tai Jing Feng) is caused by the pregnant woman drinking alcohol, becoming angry, or suffering from fright and falls during pregnancy, or by external wind pathogenic factors invading internally and injuring the fetus, resulting in the infant falling ill immediately after birth. If within the first month, the infant exhibits high fever, eyes rolling upward, clenched fists, trismus with salivation, stiff neck with spasms, frightened crying, retracted cheeks, open fontanelle, red cheeks with a bluish facial complexion, and closed eyes, treatment should involve dispersing wind, relieving convulsions, resolving phlegm, and regulating qi, along with applying the method of pasting the fontanelle; for severe cases, Zhuyin Wan (Cinnabar and Silver Pill) may be used to purge downwards. If the face is blue with clenched fists and spasms, formulas such as Baoming Dan (Life-Preserving Pill) or Gouteng San (Uncaria Powder) should be used. One must not mistakenly diagnose this as Spleen Wind (Pi Feng) and recklessly use warming medicines. If the area between the eyebrows is red, or if the fingerprint on the Tiger's Mouth (Hukou) curves inward, it is treatable; use Gouteng San (Uncaria Powder) or Quanxie San (Scorpion Powder). If the area between the eyebrows is black, or if the fingerprint extends outward against the normal direction, it is untreatable. Generally, infants have fragile zang-fu organs and should not easily be administered heavy sedative agents containing silver powder, as these can damage true qi and often lead to death. Furthermore, during each month of pregnancy, specific meridians nourish the fetus: the first month belongs to the Liver, the second to the Gallbladder, the third to the Heart, the fourth to the Small Intestine, the fifth to the Spleen, the sixth to the Stomach, the seventh to the Lung, the eighth to the Large Intestine, the ninth to the Kidney, and the tenth to the Bladder. Illnesses often arise due to pathological conditions contracted during pregnancy. One must observe which month the disease was contracted and which meridian is affected, harmonize yin and yang, regulate the Spleen and Stomach, and supplement with herbs addressing the presenting symptoms; there will be no case that does not heal.
Clinical Cases:
An infant suffered from fetal convulsion, and various medicines were ineffective. The Placenta Humanus (Zi He Che) was ground into a paste like mud, taken at a dose of approximately one qian per time, emulsified and taken with milk. Simultaneously, the mother took Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification) added with Gouteng (Uncaria Rhynchophylla) and Lulu (Euphorbia Humifusa). After more than two months, the attacks gradually lightened; after more than a year, they became less frequent. After taking medicine for over a year, there were no recurrences until the eruption of smallpox triggered another episode. Placenta Humanus (Zi He Che) was ground into a paste, mixed with glutinous rice flour to form pills the size of adzuki beans. Each dose consisted of 100 pills, taken with milk. After consuming the equivalent of two placentas, the condition completely resolved. After marriage, it relapsed. The previous pills were used again along with Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), added with Danggui (Angelica Sinensis), Huangqi (Astragalus Membranaceus), Rougui (Cinnamon Bark), and Wuweizi (Schisandra Fruit). After more than a year, he recovered, having abstained from sexual activity. Later, due to overwork, it recurred. The previous pills and Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification) were used but were ineffective. A large dose of Dushen Tang (Ginseng Decoction) consisting of several jin was then consumed, after which the attacks slowed slightly. Subsequently, Ren Shen (Ginseng Root) 2 liang and Fuzi (Prepared Aconite Lateral Root) 1 qian were administered over several doses, stopping the attacks immediately. The previous medicines were continued, interspersed with Dushen Tang (Ginseng Decoction), leading to recovery.
Another infant suffered from fetal convulsion and was cured using Ziheche Wan (Placenta Pills), Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification), and Gouteng Gao (Uncaria Paste). It relapsed after marriage. A large dose of Dushen Tang (Ginseng Decoction) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), added with Wuweizi (Schisandra Fruit), Huangqi (Astragalus Membranaceus), and Danggui (Angelica Sinensis), were decocted and taken. After half a year, the attacks lightened slightly; after more than a year, they ceased. Later, whenever tired or angry, it would recur, but immediate administration of decocted medicine led to quick recovery. Later, after recovering from Shanghan (Cold Damage), it recurred with all deficiency symptoms present, which were indescribable. Two Placenta Humans (Zi He Che) were used, and more than ten jin of Dushen Tang (Ginseng Decoction) was decocted and taken, leading to recovery. Later, suffering from wind-cold cough with dry throat and internal heat, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) material added with Wuweizi (Schisandra Fruit) was decocted and taken, along with Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification), leading to recovery.
Shiquan Dabu Tang (Ten Ingredients Decoction for Great Tonification) (This is Bazhen Tang (Eight Treasures Decoction) added with Huangqi (Astragalus Membranaceus) and Rougui (Cinnamon Bark); combining Siwu Tang (Four Substance Decoction) and Sijunzi Tang (Four Gentlemen Decoction); formula see Acute Convulsion chapter)
Dihuang Wan (Rehmannia Pill) (Formula see Kidney chapter)
Zhuyin Wan (Cinnabar and Silver Pill) (Formula see Trismus and Omphalotonia chapter)
Baoming Dan (Life-Preserving Pill) (Formula see Spasm chapter)
Gouteng San (Uncaria Powder) (Formula see Slow Convulsion chapter)
Quanxie San (Scorpion Powder) (Formula see Hemiplegia with Trismus chapter)
Tie Xin Fa (Method of Pasting the Fontanelle) (Formula see Spasm chapter)
Gouteng Gao (Uncaria Paste) (Formula see Heavenly Hook chapter)
Ziheche Wan (Placenta Pills) (Formula see Previous Symptoms chapter)