一、慢惊起源
庄在田曰∶慢惊之症，小儿吐泻得之居多，或久疟久痢，痘后疹后，或因寒食积滞，过于攻伐伤脾，或
禀赋本虚，误用凉药，或因急惊用药攻降太甚，或失于调理，虚极生风，皆可致此。江笔花曰∶俗所称慢惊
风者，脾虚生风也。小儿或吐或泻，久则脾虚，肝木乘之，面色青白，手足微搐，是内风侮土，非外
风也；阳衰神怠，气息短促，是中气脱乏，非惊吓也。是可知慢惊起源，由于内虚，与急惊之为实证迥异。
故急惊因关窍不通而噤口切牙，慢惊则因阳衰阴僭而噤口切牙；急惊因邪循脊项而角弓反张，慢惊则因脊
脑亏乏而角弓反张；急惊因热侵筋络而四肢抽掣；慢惊则因筋络空虚而四肢抽掣，急惊因肝热生风而两目扇
动，慢惊则因肝虚生风而两目扇动；急惊因热痰阻滞而喉中鸣响，慢惊则因津液化涎而喉中鸣响；急惊
因热深厥深而四肢作冷，慢惊则因阳气衰微而四肢作冷；急惊因协热下利而大便溏
泄，慢惊则因脾损火衰而大便溏泄。虚实之分，至为判然也。又小儿惊风，有一起即为慢惊者，多为
吐泻及疟、痢、痧、痘之后，元气不复所致；有一起为急惊而转成慢惊者，多由其人先天
不足，邪无所制，渐成内伤所致，而误治所致者，亦不在少数也。
二、慢惊病理
小儿慢惊之起源既明，则其病理固可推求而知，要不外脾阳不运，心肝交疲，神衰气怯，内虚生风
诸端是矣。故慢惊之为患，不在病邪之内侵，而在正气之微弱。若正气得能渐长，病邪自归消灭，正
气不能伸张，病邪必永无衰歇之日也。其间病势虽
有似于急惊者，然虚实之辨，究有不同，试比例言之∶急惊之噤口切牙为关窍不通，故搐鼻不易有嚏，嚏
出则其噤可减，慢惊之噤口切牙为阳衰阴僭，故其噤时而自松，并非关窍不通，搐鼻常能喷嚏；急惊之角
弓反张因邪循脊项，故反折痉急而有力，慢惊之角弓反张，因脊脑亏乏，故牵引柔弱而无力；急惊之四肢抽掣
因热侵筋络，故动作较疾而收引甚急，慢惊之四肢抽掣因筋络空虚，故动作较缓而牵引微搐；急惊之两目扇
动因肝热生风，故其势迅疾，或上插或闪闪作动，慢惊之两目扇动因肝虚生风，故其势较缓，或斜睨或正
圆直视；急惊之喉中鸣响因热痰阻滞，故热甚上潮则梗塞欲绝，慢惊之喉中鸣响因津液化涎，故其声如锯而
无痰可豁；急惊四肢作冷因热深厥深，故必有壮热而口气秽浊，慢惊四肢作冷因阳气衰微，故多面青额
汗而身体微温；急惊溏泄因协热下利，故泻下多臭秽而色黄，慢惊溏泄因脾损火衰，故泻
下多完谷而色青。此就其病理方面，可知其虚实之迥异也。至于病至身冷汗粘，神识全蒙，是内伤至极，
真阳外越，属不治之证矣。
三、慢惊症状
慢惊风之症状，初起多因吐泻之后，发热不退，睡卧不宁，渐见头昏脑胀，四肢抽掣，继则神昏气喘，
眼翻惊搐，或乍寒乍热，或二便青白，甚至口噤切牙，角弓反张，腹中气响，喉内痰
鸣，虽口唇开裂出血而口中气冷，目光昏暗，重者面青额汗，四肢冰冷，或摇头吐舌，或眼合不开，
或睡则露睛。若见身冷粘汗，直卧如尸，喘嗽头软，背直口噤，头摇唇缩，气粗痰响，面
无润泽之色者，多属不救。此慢惊风症状之一斑也。
四、慢惊治法
慢惊初起，证状尚未尽显者，仅见吐泻，时作惊状，治应和脾镇肝为主，宜惺惺散。或吐泻不止，
脾困不食，津液化涎，痰声漉漉者，宜汤氏醒脾散，惟全蝎、蜈蚣、冰、麝、金石之药，
则宜慎用，其有势急不得不然者，则一用即止。随用四君子汤、理中汤之类为调治。痰声不降，虚实参半者，
先用滚痰丸以治其标，次则仍以四君子汤加减，为之调治。慢惊病进，现虚寒或假热之证象者，宜逐寒荡惊
汤，甚者加进加味理中地黄汤。慢惊不已，脾土虚寒，阳气衰微者，宜六君子汤加炮姜、木香，或加附子以
回阳。痰盛者，宜青州白丸子。元气亏损，驯至昏愦者，可急灸百会穴，或用海藏返魂丹。然近世小儿禀赋日
薄，体质日脆，倘遇慢惊，每多不救，故与其临病惊惶，毋宁慎之于吐
泻方起之时，或感冒初起之时，谋诸良医，谨其医药之为愈也。
附方
（一）惺惺散 治小儿吐泻脾弱，内虚生惊。
人参 茯苓 木香 天麻 扁豆 全蝎（炙） 陈仓米（炒。各等分）
锉散，每服二钱，加生姜、大枣，清水煎服。
（二）醒脾散 治吐泻不止，痰作惊风，脾困不食。
白术 人参 甘草（炙） 陈皮 茯苓 全蝎（各五钱） 半夏曲 木
香（各一分） 白附子（炮，四个） 天南星（一个） 陈仓米（一百粒）
研为末，每服一钱，加生姜、大枣，清水煎服。
（三）四君子汤 见第三章第五节。
（四）理中汤 见第一章第四节。
（五）礞石滚痰丸 见本章第二节。
（六）逐寒荡惊汤 凡因风热不退，及吐泻而成者，总属阴虚阳越，必成慢惊，非感风寒可比，故不
宜发散。治当培元固本，引火归元，先用辛热冲开寒痰，再进温补。
伏龙肝（三两） 丁香（十粒） 炮姜 胡椒 肉桂（各一钱）
研匀，水煎一小杯灌下。
（七）加味理中地黄汤 助气，补血，却病，回阳。治小儿精神已亏，气血大坏，形状野狼狈，瘦弱至极。
熟地黄（五钱） 白术（土炒，二钱） 党参 当归 炙黄 破故纸
酸枣仁 枸杞子（各二钱） 炮姜 萸肉 炙甘草 玉桂（各一钱）
加生姜三片，红枣三枚，胡桃肉二个，用灶心土二两煎水煮药，加附子五分，煎水掺入。泄泻不止，一
二剂后去当归加丁香六分，大热不退加白芍一钱。
（八）六君子汤 治脾胃虚弱，不能运化，胸满腹胀，大便溏泄等证。
人参 白术 茯苓 半夏（制。各二钱） 炙甘草 陈皮（各一钱） 加生姜 大枣
（九）青州白丸子 治风痰壅盛，呕吐涎沫，口眼 斜，手足瘫痪，妇人血风，小儿惊风，痰盛泄泻。
半夏（七两） 天南星（三两） 白附子（二两） 川乌头（去皮脐，五钱）
生研为末，生绢袋盛之，于井水内摆出粉，以尽为度，如法晒露，为丸如绿豆大，每服二十丸，姜汤
送下。惊风每服四五丸，薄荷汤送下。
（十）灸百会穴法 治中风，偏风，口噤，言语謇涩，角弓反张，半身不遂，头风脑痛。
百会穴∶属督脉经，在前顶后一寸五分，顶中央旋毛中，直两耳尖，凹可容豆，为手足三阳督脉之会，针
可二分，灸可七壮（衬以姜片，用陈蕲艾绒小团灼于其上，或针入二分，用艾绒烧灼针尾处）。
（十一）返魂丹 治小儿癫痫，潮发螈 ，口眼相引，项背强直，牙关紧急，及诸病久虚，生风多睡者。
乌犀 水银 天麻 槟榔 僵蚕 硫黄 白附子 川乌 独活 干蝎 萆 肉桂 当归 细辛 防风 天
南星 阿胶 藿香 乌蛇 沉香 槐胶 羌活 白花蛇 麻黄 半夏 羚羊角 陈皮 天竺黄 木香 人
参干姜 茯苓 蔓荆子 晚蚕沙 败龟版 本 桑螵蛸 白芷 何首乌 虎骨 缩砂仁 白术 枳
壳丁香 浓朴 蝉壳 川芎 附子 石斛 肉豆蔻 龙脑 雄
黄朱砂 腻粉 麝香 乌鸡 狐肝
按∶此方为药队之奇兵，以多而杂相制取胜者也。
一、慢惊的起源
庄在田说：慢惊风这种病症，大多是由小儿吐泻引起的；或者是久疟、久痢，痘疹之后；或者是因为寒食积滞，过度使用攻伐药物损伤了脾胃；或者是先天禀赋虚弱，误用了凉药；或者是急惊风用药攻下太过；或者是失于调理，导致极度虚弱而生风，这些情况都可以导致慢惊。江笔花说：民间所称的慢惊风，就是脾虚生风。小儿如果呕吐或腹泻，时间久了就会脾虚，肝木乘虚克制脾土，出现面色青白、手足轻微抽搐的症状，这是内风侮犯脾土，而不是外感风邪；阳气衰微、精神倦怠、气息短促，这是中气脱失匮乏，而不是惊吓所致。由此可知，慢惊的起源在于内部虚弱，与急惊风的实证截然不同。所以，急惊风因为关窍不通而牙关紧闭、咬切牙齿，慢惊风则因为阳气衰微、阴气僭越而牙关紧闭、咬切牙齿；急惊风因为邪气沿着脊背和项部侵袭而导致角弓反张，慢惊风则因为脊脑亏乏而导致角弓反张；急惊风因为热邪侵犯筋络而导致四肢抽搐，慢惊风则因为筋络空虚而导致四肢抽搐；急惊风因为肝热生风而导致两眼扇动（眼球颤动），慢惊风则因为肝虚生风而导致两眼扇动；急惊风因为热痰阻滞而导致喉中鸣响，慢惊风则因为津液化为涎沫而导致喉中鸣响；急惊风因为热深厥深（热邪深入，四肢反而发冷）而导致四肢发冷，慢惊风则因为阳气衰微而导致四肢发冷；急惊风因为协热下利（伴随发热的腹泻）而导致大便溏泄，慢惊风则因为脾损火衰而导致大便溏泄。虚实之分，非常明确。另外，小儿惊风，有一种是起病即为慢惊的，多是由于吐泻以及疟疾、痢疾、痧痘之后，元气未能恢复所致；有一种是起病为急惊而后转为慢惊的，多是因为其人先天不足，邪气无法制约，逐渐形成内伤所致，而因误治导致的也不在少数。
二、慢惊的病理
既然明确了小儿慢惊的起源，那么其病理自然可以推求而知，总不外乎脾阳不运、心肝交疲、神衰气怯、内虚生风等方面。所以，慢惊的危害，不在于病邪的内侵，而在于正气的微弱。如果正气能够逐渐增长，病邪自然会消灭；如果正气不能伸张，病邪必定永远没有消退的一天。其中的病情虽然有些类似于急惊风，但虚实的辨别终究不同，试举例说明：急惊风的牙关紧闭是因为关窍不通，所以搐鼻不易打喷嚏，打出喷嚏后牙关紧闭可减轻；慢惊风的牙关紧闭是因为阳气衰微、阴气僭越，所以牙关时而自行松开，并非关窍不通，搐鼻常能打喷嚏；急惊风的角弓反张是因为邪气沿着脊背和项部侵袭，所以身体反折痉挛且有力；慢惊风的角弓反张是因为脊脑亏乏，所以牵引柔弱且无力；急惊风的四肢抽搐是因为热邪侵犯筋络，所以动作较快且收引很急；慢惊风的四肢抽搐是因为筋络空虚，所以动作较缓且牵引轻微抽搐；急惊风的两眼扇动是因为肝热生风，所以势头迅疾，或者上翻或者闪闪颤动；慢惊风的两眼扇动是因为肝虚生风，所以势头较缓，或者斜视或者正视圆瞪；急惊风的喉中鸣响是因为热痰阻滞，所以热势甚而上潮时梗塞欲绝；慢惊风的喉中鸣响是因为津液化为涎沫，所以声音像拉锯一样而没有痰液可咳出；急惊风四肢发冷是因为热深厥深，所以一定有高热且口气秽浊；慢惊风四肢发冷是因为阳气衰微，所以多见面色青、额头出汗且身体微温；急惊风溏泄是因为协热下利，所以泻下多臭秽且颜色黄；慢惊风溏泄是因为脾损火衰，所以泻下多为完谷不化且颜色青。从病理方面来看，可知其虚实的迥异。至于病情发展到身冷、汗粘、神识完全蒙蔽，这是内伤到了极点，真阳外越，属于不治之证。
三、慢惊的症状
慢惊风的症状，初起多因吐泻之后，发热不退，睡卧不宁，渐渐出现头昏脑胀、四肢抽搐，随后出现神志昏迷、气喘、眼睛上翻、惊厥抽搐，或者忽冷忽热，或者大小便颜色青白，甚至牙关紧闭、咬切牙齿、角弓反张、腹中气响、喉内痰鸣，虽然口唇开裂出血但口中呼出之气寒冷，目光昏暗，重者面色青、额头出汗、四肢冰冷，或者摇头吐舌、或者眼睛闭合不开、或者睡觉时眼睛露睛。如果见到身冷、粘汗、直卧如尸体、喘嗽、头软、背部挺直、口噤、头摇、嘴唇收缩、气粗痰响、面部没有润泽之色，大多属于不可救治。这是慢惊风症状的一个概况。
四、慢惊的治疗方法
慢惊初起，症状尚未完全显现时，仅见吐泻，偶尔出现惊厥状，治疗应以调和脾胃、平抑肝风为主，适宜用惺惺散。如果吐泻不止，脾胃困顿不想进食，津液化为涎沫，痰声漉漉，适宜用汤氏醒脾散，但是全蝎、蜈蚣、冰片、麝香、金石类药物，应当慎用，如果有形势紧急不得不用的情况，则用一次即止。随后用四君子汤、理中汤之类进行调治。如果痰声不降，虚实参半，先用滚痰丸以治其标，然后仍以四君子汤加减进行调治。慢惊病情进展，出现虚寒或假热证象时，适宜用逐寒荡惊汤，严重者加进加味理中地黄汤。慢惊不止，脾土虚寒，阳气衰微，适宜用六君子汤加炮姜、木香，或者加附子以回阳。痰盛者，适宜用青州白丸子。元气亏损，逐渐导致昏愦，可急灸百会穴，或者用海藏返魂丹。然而近代小儿禀赋日益薄弱，体质日益脆弱，如果遇到慢惊，大多难以救治，所以与其临病惊慌，不如在吐泻刚开始或感冒初起时，寻求良医，谨慎医药更为有益。
附方
（一）惺惺散 治疗小儿吐泻脾弱，内虚生惊。
人参、茯苓、木香、天麻、扁豆、全蝎（炙）、陈仓米（炒）。各等分。
锉成散剂，每次服用二钱，加生姜、大枣，清水煎服。
（二）醒脾散 治疗吐泻不止，痰作惊风，脾困不食。
白术、人参、甘草（炙）、陈皮、茯苓、全蝎（各五钱）、半夏曲、木香（各一分）、白附子（炮制，四个）、天南星（一个）、陈仓米（一百粒）。
研为末，每次服用一钱，加生姜、大枣，清水煎服。
（三）四君子汤 见第三章第五节。
（四）理中汤 见第一章第四节。
（六）逐寒荡惊汤 凡是因风热不退，以及吐泻而成的，总属阴虚阳越，必成慢惊，不是感受风寒可比拟的，所以不宜发散。治疗应当培元固本，引火归元，先用辛热冲开寒痰，再进温补。
伏龙肝（三两）、丁香（十粒）、炮姜、胡椒、肉桂（各一钱）。
研匀，水煎一小杯灌下。
（七）加味理中地黄汤 助气，补血，却病，回阳。治疗小儿精神已亏，气血大坏，形状野狼狈，瘦弱至极。
熟地黄（五钱）、白术（土炒，二钱）、党参、当归、炙黄芪、破故纸、酸枣仁、枸杞子（各二钱）、炮姜、萸肉、炙甘草、玉桂（各一钱）。
加生姜三片，红枣三枚，胡桃肉二个，用灶心土二两煎水煮药，加附子五分，煎水掺入。泄泻不止，一二剂后去当归加丁香六分，大热不退加白芍一钱。
（八）六君子汤 治疗脾胃虚弱，不能运化，胸满腹胀，大便溏泄等证。
人参、白术、茯苓、半夏（制，各二钱）、炙甘草、陈皮（各一钱）。加生姜、大枣。
（九）青州白丸子 治疗风痰壅盛，呕吐涎沫，口眼歪斜，手足瘫痪，妇人血风，小儿惊风，痰盛泄泻。
半夏（七两）、天南星（三两）、白附子（二两）、川乌头（去皮脐，五钱）。
生研为末，用生绢袋盛之，在井水中摆出粉，以尽为度，依法晒露，制成如绿豆大的丸药，每次服用二十丸，姜汤送下。惊风每次服用四五丸，薄荷汤送下。
（十）灸百会穴法 治疗中风，偏风，口噤，言语謇涩，角弓反张，半身不遂，头风脑痛。
百会穴：属督脉经，在前顶后一寸五分，头顶中央旋毛中，直对两耳尖，凹陷处可容纳豆子，为手足三阳及督脉之会合处，针刺可二分，艾灸可七壮（衬以姜片，用陈蕲艾绒小团灼于其上，或者针入二分，用艾绒烧灼针尾处）。
（十一）返魂丹 治疗小儿癫痫，潮发瘛疭，口眼相引，项背强直，牙关紧急，以及诸病久虚，生风多睡者。
乌犀、水银、天麻、槟榔、僵蚕、硫黄、白附子、川乌、独活、干蝎、萆薢、肉桂、当归、细辛、防风、天南星、阿胶、藿香、乌蛇、沉香、槐胶、羌活、白花蛇、麻黄、半夏、羚羊角、陈皮、天竺黄、木香、人参、干姜、茯苓、蔓荆子、晚蚕沙、败龟版、本（藁本）、桑螵蛸、白芷、何首乌、虎骨、缩砂仁、白术、枳壳、丁香、浓朴、蝉壳、川芎、附子、石斛、肉豆蔻、龙脑、雄黄、朱砂、腻粉、麝香、乌鸡、狐肝。
按语：此方为药队之奇兵，以多而杂相互制约取胜。
I. Origin of Slow Convulsion
Zhuang Zaitian stated: The syndrome of slow convulsion (Man Jing, a type of pediatric convulsive disorder characterized by chronic onset and deficiency patterns) is mostly caused by vomiting and diarrhea in infants; or it may result from prolonged malaria or dysentery, or follow the eruption of smallpox or measles; or it may be due to cold-food stagnation, where excessive use of purgative drugs damages the Spleen and Stomach; or it may stem from innate constitutional deficiency with the mistaken use of cooling medicines; or it may result from overly aggressive purging in the treatment of fast convulsion (Ji Jing); or it may arise from neglect in care, leading to extreme deficiency that generates internal wind. All these conditions can lead to slow convulsion. Jiang Bihua stated: What is commonly referred to as slow convulsion in folk medicine is actually "wind generated by Spleen deficiency." If an infant suffers from vomiting or diarrhea for a long time, the Spleen becomes deficient, allowing Liver Wood to overact upon Earth (Spleen). This presents with a bluish-white complexion and slight twitching of the hands and feet. This is internal wind harassing Earth (Spleen), not external wind; Yang Qi is declining and spirit is fatigued, with shortness of breath, indicating depletion of Middle Qi, not fright. Thus, it can be known that the origin of slow convulsion lies in internal deficiency, which is completely different from the excess patterns of fast convulsion. Therefore, fast convulsion causes locked jaw and clenched teeth due to obstruction of orifices, whereas slow convulsion causes locked jaw and clenched teeth due to Yang decline and Yin usurpation; fast convulsion causes opisthotonos due to pathogenic factors following the spine and neck, whereas slow convulsion causes opisthotonos due to deficiency of the spine and brain; fast convulsion causes limb spasms due to heat invading the sinews and collaterals, whereas slow convulsion causes limb spasms due to emptiness of the sinews and collaterals; fast convulsion causes fluttering eyes due to Liver heat generating wind, whereas slow convulsion causes fluttering eyes due to Liver deficiency generating wind; fast convulsion causes throat rattling due to heat-phlegm obstruction, whereas slow convulsion causes throat rattling due to body fluids transforming into saliva/phlegm; fast convulsion causes cold limbs due to deep heat causing deep reversal (heat exhaustion), whereas slow convulsion causes cold limbs due to decline of Yang Qi; fast convulsion causes loose stools due to diarrhea accompanying heat, whereas slow convulsion causes loose stools due to Spleen damage and fire decline. The distinction between excess and deficiency is very clear. Furthermore, among pediatric convulsions, some present as slow convulsion from the onset, mostly due to failure of Yuan Qi (Original Qi) to recover after vomiting, diarrhea, malaria, dysentery, or exanthematous diseases; some start as fast convulsion and transform into slow convulsion, mostly due to congenital insufficiency where pathogens are uncontrolled, gradually forming internal injury. Cases caused by mis-treatment are also numerous.
II. Pathology of Slow Convulsion
Since the origin of pediatric slow convulsion is clear, its pathology can be deduced, essentially involving non-transportation of Spleen Yang, exhaustion of Heart and Liver, decline of spirit and cowardice of Qi, and wind generation due to internal deficiency. Therefore, the harm of slow convulsion does not lie in the invasion of pathogenic factors, but in the weakness of Zheng Qi (Upright Qi). If Zheng Qi can gradually grow, pathogenic factors will naturally be eliminated; if Zheng Qi cannot expand, pathogenic factors will never cease. Although the disease progression may resemble fast convulsion, the distinction between deficiency and excess is fundamentally different. Let us compare them: Fast convulsion's locked jaw is due to obstruction of orifices, so nasal stimulation rarely induces sneezing, and sneezing reduces the locking; slow convulsion's locked jaw is due to Yang decline and Yin usurpation, so the jaw occasionally loosens spontaneously, not due to obstruction, and nasal stimulation often induces sneezing; fast convulsion's opisthotonos is due to pathogens following the spine and neck, so the body arches stiffly and forcefully; slow convulsion's opisthotonos is due to deficiency of the spine and brain, so the traction is weak and powerless; fast convulsion's limb spasms are due to heat invading sinews and collaterals, so movements are rapid and retraction is severe; slow convulsion's limb spasms are due to emptiness of sinews and collaterals, so movements are slower with slight twitching; fast convulsion's fluttering eyes are due to Liver heat generating wind, so the movement is swift, either upward rolling or trembling; slow convulsion's fluttering eyes are due to Liver deficiency generating wind, so the movement is slower, either squinting or staring straight ahead; fast convulsion's throat rattling is due to heat-phlegm obstruction, so when heat surges upwards, there is a sensation of suffocation; slow convulsion's throat rattling is due to body fluids transforming into phlegm, so the sound is like sawing without expectoratable phlegm; fast convulsion's cold limbs are due to deep heat causing deep reversal, so there must be high fever and foul breath; slow convulsion's cold limbs are due to decline of Yang Qi, so there is often a bluish face, sweating on the forehead, and slightly warm body; fast convulsion's loose stools are due to diarrhea accompanying heat, so the stool is foul-smelling and yellow; slow convulsion's loose stools are due to Spleen damage and fire decline, so the stool contains undigested food and is green. From the pathological aspect, the vast difference in deficiency and excess is evident. As for cases progressing to cold body, sticky sweat, and complete clouding of consciousness, this indicates extreme internal injury and floating of True Yang, which belongs to incurable syndromes.
III. Symptoms of Slow Convulsion
The symptoms of slow convulsion initially often appear after vomiting and diarrhea, with persistent fever, restless sleep, gradually developing dizziness and head distension, and limb spasms. Subsequently, coma, panting, eye rolling, and convulsions occur. There may be alternating chills and fever, or bluish-white urine and feces. In severe cases, there is locked jaw, clenched teeth, opisthotonos, abdominal borborygmus, and intrathoracic rattling. Although the lips may crack and bleed, the breath expelled from the mouth is cold. The gaze is dim. In severe cases, the face is blue, the forehead sweats, and the limbs are ice-cold. The patient may shake their head, protrude their tongue, keep their eyes closed, or sleep with eyes partially open. If one observes a cold body, sticky sweat, lying straight like a corpse, panting and coughing, soft head, rigid back, locked jaw, head shaking, lip retraction, coarse breathing with rattling, and a face lacking luster, it mostly indicates an incurable condition. This is a general overview of the symptoms of slow convulsion.
IV. Treatment Methods for Slow Convulsion
In the early stage of slow convulsion, when symptoms are not fully manifested, presenting only with vomiting and diarrhea and occasional signs of fright, treatment should focus on harmonizing the Spleen and calming the Liver. Xingxing San (Wonderful Powder) is suitable. If vomiting and diarrhea persist, the Spleen is困 (trapped/dysfunctional) with loss of appetite, and body fluids transform into phlegm with loud rattling sounds, Tang Shi's Xingpi San (Spleen-Awakening Powder) is suitable. However, drugs such as Quanxie (Scorpion), Wugong (Centipede), Bingpian (Borneol), Shexiang (Musk), and mineral stones should be used with caution. If the situation is urgent and necessitates their use, they should be administered only once. Subsequently, Sijunzi Tang (Four Gentlemen Decoction) or Lizhong Tang (Regulate the Middle Decoction) should be used for regulation. If phlegm sounds do not subside and both deficiency and excess are present, Guntan Wan (Rolling Phlegm Pill) should be used first to treat the branch (symptoms), followed by modified Sijunzi Tang for regulation. If slow convulsion progresses, presenting with deficiency-cold or false-heat signs, Zhuhan Dangjing Tang (Expel Cold and Shake Off Fright Decoction) is suitable. For severe cases, Jiawei Lizhong Dihuang Tang (Modified Regulate the Middle and Rehmannia Decoction) should be advanced. If slow convulsion persists with deficiency-cold of Spleen Earth and decline of Yang Qi, Liujunzi Tang (Six Gentlemen Decoction) with Paojiang (Prepared Ginger) and Muxiang (Aucklandia) is suitable, or Fuzi (Aconite) can be added to restore Yang. For abundant phlegm, Qingzhou Baiwanzi (Qingzhou White Pills) is suitable. For depleted Yuan Qi leading to confusion, moxibustion at Baihui (GV20) acupoint should be performed urgently, or Haizang Fanhun Dan (Sea Storehouse Soul-Returning Pill) can be used. However, modern children have increasingly thin constitutions and fragile bodies. When encountering slow convulsion, many are incurable. Therefore, rather than panicking during illness, it is better to be cautious when vomiting and diarrhea or colds first begin, seek good physicians, and manage medication carefully for better outcomes.
Attached Formulas
(1) Xingxing San (Wonderful Powder): Treats pediatric vomiting and diarrhea with Spleen weakness and internal deficiency generating fright.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Muxiang (Aucklandiae Radix), Tianma (Gastrodiae Rhizoma), Bian Dou (Dolichoris Semen), Quanxie (Scorpio - roasted), Chencangmi (Stir-fried aged rice). Equal parts.
Grind into powder. Take 2 qian per dose, add fresh ginger and jujube, decoct in clear water and take orally.
(2) Xingpi San (Spleen-Awakening Powder): Treats persistent vomiting and diarrhea, phlegm-induced convulsion, and Spleen dysfunction with anorexia.
Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root - roasted), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Quanxie (Scorpio - 5 qian each), Banxiaqu (Pinelliae Fermentum), Muxiang (Aucklandiae Radix - 1 fen each), Baifuzi (Typhonii Rhizoma - prepared, 4 pieces), Tiannanxing (Arisaematis Rhizoma - 1 piece), Chencangmi (Aged rice - 100 grains).
Grind into powder. Take 1 qian per dose, add fresh ginger and jujube, decoct in clear water and take orally.
(3) Sijunzi Tang (Four Gentlemen Decoction): See Chapter 3, Section 5.
(4) Lizhong Tang (Regulate the Middle Decoction): See Chapter 1, Section 4.
(5) Mengshi Guntan Wan (Mengshi Rolling Phlegm Pill): See Section 2 of this chapter.
(6) Zhuhan Dangjing Tang (Expel Cold and Shake Off Fright Decoction): For cases resulting from unresolving wind-heat or vomiting/diarrhea, generally belonging to Yin deficiency and Yang floating, inevitably leading to slow convulsion, which differs from wind-cold contraction. Thus, dispersing methods are unsuitable. Treatment should nourish the root and consolidate the foundation, guide fire back to its source. First, use pungent-hot herbs to break up cold-phlegm, then advance warming tonification.
Fulonggan (Dragon's House Earth), Dingxiang (Caryophylli Flos - 10 buds), Paojiang (Prepared Ginger), Hujiao (Piperis Longi Fructus), Rougui (Cinnamomi Cortex - 1 qian each).
Grind evenly, decoct in water to make a small cup, and administer orally.
(7) Jiawei Lizhong Dihuang Tang (Modified Regulate the Middle and Rehmannia Decoction): Boosts Qi, nourishes Blood, expels disease, and restores Yang. Treats pediatric mental depletion, severe damage to Qi and Blood, wild appearance, and extreme emaciation.
Shudihuang (Rehmanniae Radix Praeparata - 5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma - soil-fried, 2 qian), Dangshen (Codonopsis Radix), Danggui (Angelicae Sinensis Radix), Zhi Huangqi (Hedysari Radix - roasted), Poguzhi (Psoraleae Fructus), Suanzaoren (Zizyphi Semen), Gouqizi (Lycii Fructus - 2 qian each), Paojiang (Prepared Ginger), Yurou (Corni Fructus), Zhi Gancao (Licorice Root - roasted), Yugui (Cinnamomi Ramulus - 1 qian each).
Add 3 slices of fresh ginger, 3 red dates, and 2 walnut meats. Decoct with 2 liang of Zaoshintu (Kitchen Hearth Earth) in water. Add 5 fen of Fuzi (Aconiti Lateralis Radix Praeparata), decoct in water, and mix in. For persistent diarrhea, remove Danggui and add 6 fen of Dingxiang after 1-2 doses. For persistent high fever, add 1 qian of Baishao (Paeoniae Radix Alba).
(8) Liujunzi Tang (Six Gentlemen Decoction): Treats Spleen and Stomach weakness, inability to transport and transform, chest fullness, abdominal distension, and loose stools.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma - processed, 2 qian each), Zhi Gancao (Licorice Root - roasted), Chenpi (Citri Reticulatae Pericarpium - 1 qian each). Add fresh ginger and jujube.
(9) Qingzhou Baiwanzi (Qingzhou White Pills): Treats abundant wind-phlegm, vomiting of saliva/foam, deviation of mouth and eyes, hemiplegia, blood-wind in women, pediatric convulsion, and phlegm-abundant diarrhea.
Banxia (Pinelliae Rhizoma - 7 liang), Tiannanxing (Arisaematis Rhizoma - 3 liang), Baifuzi (Typhonii Rhizoma - 2 liang), Chuanwutou (Aconiti Radix - skin and navel removed, 5 qian).
Grind raw into powder, place in a raw silk bag, wash in well water to extract starch until exhausted, dry according to method, form pills the size of mung beans. Take 20 pills per dose with ginger soup. For convulsion, take 4-5 pills with mint soup.
(10) Moxibustion at Baihui Acupoint Method: Treats stroke, hemiplegia, locked jaw, speech impediment, opisthotonos, hemiplegia, headache, and brain pain.
Baihui (GV20): Belongs to the Du Meridian. Located 1.5 cun posterior to Qding (GV20 is actually GV20, Qding is GV20? No, Qding is GV20. Baihui is GV20. Wait, standard location: Baihui is GV20. Qding is GV20? No. Qding is GV20. Baihui is GV20. Let's stick to text: "1.5 cun posterior to Qding". Qding is GV20? No, Qding is GV20. Baihui is GV20. Actually, Baihui is GV20. Qding is GV20. The text says "Front Ding" (Qding) is GV20? No, Qding is GV20. Baihui is GV20. Standard TCM: Baihui (GV20) is at the vertex. Qding (GV20) is 1 cun anterior to Baihui? No. Qding (GV20) is 1 cun anterior to Baihui? No. Qding is GV20. Baihui is GV20. Let's translate literally: Located 1.5 cun posterior to Qding (Front Ding), in the center of the scalp hair whorl, directly opposite the apex of both ears, depression large enough to hold a bean. It is the meeting point of the three Yang meridians of the hand and foot and the Du Meridian. Needle depth 2 fen, moxa 7 moxa-cones (place ginger slice underneath, burn small tufts of aged Qimoxa wool on top, or insert needle 2 fen and burn moxa wool on the needle handle).
(11) Fanhun Dan (Soul-Returning Pill): Treats pediatric epilepsy, periodic spasms, pulling of mouth and eyes, rigidity of neck and back, locked jaw, and chronic deficiency from various diseases generating wind and excessive sleep.
Wuxi (Rhinoceros Horn - note: now prohibited/replaced), Shuiyin (Mercurius), Tianma (Gastrodiae Rhizoma), Binglang (Arecae Semen), Jiangcan (Bombyx Batryticatus), Liuhuang (Sulfur), Baifuzi (Typhonii Rhizoma), Chuanwu (Aconiti Radix), Duhuo (Angelicae Pubescentis Radix), Ganxie (Scorpio - dried), Bibo (Dioscoreae Hypoglaucae Rhizoma), Rougui (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Tiannanxing (Arisaematis Rhizoma), Ejiao (Colla Corii Asini), Huoxiang (Agastaches Herba), Wushe (Zaocys), Chenxiang (Aquilariae Lignum), Huaijiao (Sophorae Flavescentis Gum), Qianghuo (Notopterygii Rhizoma et Radix), Baihuashe (Bungarus multicinctus), Mahuang (Ephedrae Herba), Banxia (Pinelliae Rhizoma), Lingyangjiao (Saigae Tataricae Cornu), Chenpi (Citri Reticulatae Pericarpium), Tianzhuhuang (Calami Tiphoides), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Manjingzi (Vittariae Spora), Wancansha (Bombyx Caccabitis), Baiguiban (Testudo Carapax et Plastrum), Bencao (Ligustici Chuanxiong Rhizoma), Sangpiaoxiao (Mantis Oötheca), Baizhi (Angelicae Dahuricae Radix), Heshouwu (Polygoni Multiflori Radix), Hugujia (Tiger Bone - note: prohibited), Suasharen (Amomi Fructus Rotundus), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhike (Aurantii Fructus), Dingxiang (Caryophylli Flos), Houpo (Magnoliae Officinalis Cortex), Chanqiao (Cicadae Periostracum), Chuanxiong (Chuanxiong Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Shihu (Dendrobii Caulis), Roudoukou (Myristicae Semen), Naobing (Borneolum Syntheticum), Xionghuang (Realgar), Zhusha (Cinnabar), Nifen (Calomelas), Shexiang (Moschus), Wuji (Gallus Domesticus - female), Hugu (Fox Liver).
Note: This formula is a surprise attack within the army of herbs, achieving victory through complexity and mutual restraint of numerous ingredients.