活散，加青皮、紫苏取表消积；次用泻青丸，加辰砂。蝎梢祛风镇惊。食癖挟惊，热者，宽热饮；痰积者，白玉
饼。惊食两重，四肢搐搦，痰壅盛者，先与利惊丸消导；次服启脾散调脾。外感因惊虚，风邪乘入心肝二经；
或内有积热，外又感风，俱谓之伤风夹惊。神困昏愦，头疼口中气粗而热，先用惺惺散、参苏饮、人参羌活散，
或大青膏选用，微表；次与天麻防风丸。通用∶导赤散、五福化毒丹、泻青丸、肾气丸。凡惊风用水银、轻粉、
巴豆、芒硝、铅霜、脑麝、蟾酥、蜈蚣等剂，往往由此变成慢惊难治。况惊搐发热，若因内伤、外感、痘疮而
作，其害尤速。宁用细辛、羌活、青皮、干姜、荆芥之类以代脑麝发散；独活、柴胡、山栀、枳壳、大黄之类
以代银粉、巴、硝通利。盖泻青丸治肝热寻衣直视，或搐、或不搐，或脏腑飧泄，诸药不止等证。如惊热出于
心肺者，宜桑白皮、葶苈、赤茯苓、车前子、山栀、甘草、姜、枣煎服，从小便利之。导赤散能泻肝风，降心火，
最利惊热，或加山栀、羌活、大黄。又有惊疟、惊痢，挟一切杂证者，又当以意会之，参用各门药可也。
搐有虚实有逆顺，
惊、风、痰、热四证，轻者，四肢搐搦而已；重者，牙关紧急、摇头窜视、张口出舌、角弓反张、身体掣颤、
手足搐搦、四肢蜷挛，《局方》谓之八候。凡发际、印堂青筋，三关、虎口纹红、紫、青皆惊风之候。实热为急
惊，属肝木风邪有余，阳证；虚热为慢惊，属脾土中气不足，阴证。慢惊本无热，所以热者，虚使然耳。故曰
热分虚实。男搐左视，左眼上窜；女搐右视，右眼下窜。男握拳，大指出外；女握拳，大指入里。五指交如姜
把者死。男引手挽，左直右曲；女引手挽，右直左曲。凡此皆顺，反之则逆。亦有先搐左而后双搐者，但搐顺则
无声，搐逆则有声。其指纹情势，弯弓入里者顺，出外者逆，出入相半者难痊，故曰证别逆顺。
治分先后与易难；
治搐先于截风，治风先于利惊，治惊先于豁痰，治痰先于解热，其若四证俱有，又当兼施并理。一或有
遗，必生他证，故曰治有先后。急惊属腑易治，慢惊属脏难治。
虽然五脏多传变，无非痰火并其间。
惊邪入心则面红脸赤，夜啼，入肝则面目俱青，眼窜；入脾则面色淡黄，呕吐不食，虚汗多睡；入肺则
面色淡白，喘息气乏；入肾则面黑啮乳，切牙。寅、卯、辰时搐者，肝木旺也，当以肾气丸补肾，泻青丸泻肝；
巳、午、未时搐者，心火旺也，当以肾气丸补肝，导赤散、凉惊丸泻心；申、酉、戌时搐者，肺金旺也，当以益
黄散补脾，导赤散抑心，泻青丸抑肝；亥、子、丑时搐者∶水土俱旺之时，水虚不旺，惟土旺也，当以益黄散
补脾，导赤散、凉惊丸抑心。要知五脏传变，皆痰为患。盖痰乃风苗，木静则伏于脾，火动则壅于肺。痰火
交作则为急惊，或成喉痹；痰火结滞，则为痫钓，或为咳嗽；痰火来去，则为泻青。皆由脾湿而来，所以惊风
忌纯用风药，不问急慢，当以养血药为使，左方保元汤加白芍，为慢惊
美剂也。
急惊发搐牙关紧，潮热秘渴壅痰涎；
急惊八候俱全，加以面赤唇红，浑身壮热，口中气亦热，作渴引饮，大便秘，小便赤，脉浮数洪紧。
原因内有实热，外挟风邪，风热并作，气乱痰壅，所以百脉凝滞，关窍不通，发时暴烈，发过如故。百日内见
此证，二三发不止者，亦死。
先与和气通关窍，
凡搐，痰因气郁，气顺则痰化而搐自止矣。先宜苏合香丸，薄荷煎汤，入姜汁化下，顺气化痰通窍，或
星香散。开关用药吹鼻法，或用天南星一钱，片脑少许，为末，生姜汁调，蘸药于左右大牙龈上擦之，牙热即
开。
次截风搐清心田。
截风丸∶天麻、僵蚕、南星各二钱，蜈蚣一条，白附子、防风、朱砂、全蝎各一钱，麝香少许。为末，
蜜丸梧子大。每一丸薄荷煎汤化下，治惊风痰搐。定搐散∶蜈蚣一条，麻黄、南星、白附、僵蚕、羌活、代赭石、
蝎梢、姜黄、朱砂各一钱，麝香五分，为末。每一字，荆芥，紫苏煎汤下，治急惊定搐。如搐不止。加乌蛇肉、
牛黄清心丸。
搐定痰热尚不退，下之只用抱龙丸；
胆星一两，天竺黄五钱，辰砂、雄黄各二钱半，麝香一钱，为末，蜜丸芡实大，甘草、薄荷煎汤化下一
丸。痰壅嗽甚，姜汤下；心虚惕，人参、琥珀煎汤下。盖抱者，保也；龙者，肝也，肝应东方青龙，主藏魂，
魂安则惊自定。理小儿诸惊、四时感冒、瘟疫、湿痰邪热以致烦躁不宁、痰嗽气急、疮疹欲出、发搐。常服祛
风化痰，镇惊解热，和脾胃，益精神；又治蛊毒、中暑及室女白带，用盐少许细嚼一二丸，新汲水下。牛黄抱
龙丸∶胆星八钱，雄黄、人参、茯苓各一钱半，辰砂一钱二分，僵蚕三分，钩藤一两半，天竺黄二钱半，牛黄二
分，麝香五分，为末，用甘草四两煎膏和丸，芡实大，金箔为衣，阴干藏之，勿泄气，每近微火边。每服一丸
或半丸，薄荷煎汤磨服。治一切急慢惊风及风热、风痴等证。有热者，凉惊丸，忌巴豆及诸热药。僵仆不醒者，
用初生条浴体法。
利后温胆与定魄，
惊悸顽痰者，温胆汤加酸枣仁，或朱砂安神丸。惊风已退，神魂胆志未定者，定魄丸∶人参、琥珀、茯苓、
远志、朱砂、天麻、菖蒲、天门冬、酸枣仁、甘草各等分为末，蜜丸如皂子大，朱砂为衣。每一丸，灯芯，薄荷
煎汤化下。
醒脾防变慢惊缠。
醒脾散∶人参、白术、茯苓、甘草、白附子、僵蚕、天麻、木香各五分，全蝎二分半。姜枣煎温服，
或为丸服。治小儿脾困昏沉、默默不食、吐泻不止、痰作惊风。
慢惊吐泻涎喘鸣，神缓眼开睡露睛；搐搦乍静又乍发，身热或冷面黄青。
眼半开半合，似睡不睡，十指或开或合，似搐不搐，又时口眼手足牵掣，其脉或浮或沉，身或凉或热，或
吐或泻，或不吐泻，或食乳或不乳，名半阴半阳合病，即如伤寒半表半里也。
阴证自阳宜细认，
阴证慢惊，自阳证急惊传来，才经吐泻，便是慢惊。男子以泻得之为重，女子以吐得之为重。
随证生胃截风形；
因吐泻得者，理中汤加木香，或五苓散；脾困不食者，醒脾散。因脏寒洞泻得者，加味术附汤∶附子、
白术各一两，肉豆蔻一个，木香、甘草各五钱，每二钱，姜枣前服。治吐泻后脾虚，变成慢惊，身弓发直、吐
乳贪睡、汗多，宜此温寒燥湿，行气健脾。因下积聚转得者，先与木香匀气散；因外感寒邪得者，先与桂枝
解肌汤辈；因夏月脾胃伏热，大吐泻得者，当解暑热，不可专一回阳。其他久嗽、久痢、伤寒变阴、过服凉药
之类，可以类推。
尚有阳证蝉蝎散，
初传尚有八候阳证在者，但于生胃气药中，加以截风定搐，如全蝎、花蛇、僵蚕、白附子、天麻、南星辈，
可冷可热，均平阴阳，不必专一回阳。方传慢惊者，蝉蝎散∶全蝎七个，蝉蜕二十个，南星一个，甘草二钱半，
每五分，姜枣煎服。不省人事者，保命丹；吐泻痰壅者，来复丹。
若是纯阴乌蝎星。
已传慢惊，外无八候，但吐泻不止者，乌蝎散∶人参、白术、茯苓、甘草、川乌、全蝎、南星各一分，姜
枣煎服，如再服，即去川乌。
厥冷回阳硫附进，
硫附丸∶生附子尖二个，蝎梢七个，熟硫黄一钱，为末，生姜汁为丸，绿豆大。每十丸米饮下。兼治慢脾
风，肢冷。或蝎梢饼、金液丹、灵砂丹，或四君子汤加附子，助胃回阳。
身暖礞石与五灵∶
风痰壅盛者，古礞石丸∶青礞石捣碎一两，同焰硝五钱，入砂锅内炭火 红，候冷为末，蒸饼丸绿豆大。每
二丸，急惊，薄荷、荆芥煎汤下；慢惊、慢脾，木香煎汤下。但礞、硝虽能利痰，非胃家所好，故以木香佐之。
能裹痰随大便出而无粪来，不动脏腑，始知药妙。痰搐忌下者，灵脂丸∶五灵脂、白附子、木香、僵蚕各一分，
全蝎半分，朱砂一钱，南星五钱，为末，醋煮生半夏糊丸麻子大。每三丸姜汤下。安神散∶全蝎四个，塘水浸一
宿，用南星一个，开一窍，入蝎在内，以南星末盖口，面包火煨赤色，埋土中一宿去火毒，取出去南星，用全蝎
为末。每一字，磨刀水调服。亦治搐搦。昏迷有痰者，白玉饼。凡方中麝香开窍，龙脑、轻粉下涎，朱砂凉心，皆
为纯阳实热者设，虚者全要斟酌用之。
慢脾（风）微搐眼全闭，
由慢惊后，吐泻损脾已极，故曰脾风。逐风则无风可逐，疗惊则无惊可疗，但脾间痰涎，虚热往来。眼
合者，脾困神迷，痰涎凝滞难疗。亦有不由急、慢风传次而至者。
头低摇睡颡汗多。舌短或吐频频呕，口噤切牙身（冷）不和；以手摸人声又小，生胃回阳奈若何。
初传慢脾，阳气未甚脱者，白僵蚕丸∶南星二钱，僵蚕、地龙、全蝎、五灵脂各一钱，为末，煮半夏曲
为糊丸，如麻子大。每五丸姜汤下。风盛四肢厥冷者，黑附汤∶附子三分，木香一分半，白附子一分，甘草半
分，姜煎服，得手足温，苏省为度；次以四君子汤加附子，或异功散，以温中正气。脾困不食者，醒脾散；吐
泻者，加味术附汤、硫附丸；重者，来复丹、金液丹。
马脾风因肺寒甚，痰嗽 证最危；
寒邪停留肺俞，寒化为热，亦生痰喘、呃逆、上气肺胀、 ，俗云马脾风。若不速治，立危，宜抱龙
丸，或马脾风散∶辰砂二钱半，轻粉五分，甘遂一钱半，为末。每一字，用温浆少许，上滴香油一点，抄药在油
花上沉下，却去浆水灌之，神效。
若只痰嗽将发搐，惺苏保命便能痊。
先宜惺惺散、参苏饮、人参羌活散∶次服保命丹∶全蝎十四个，防风、南星、蝉蜕、僵蚕。天麻、琥珀
各二钱，白附子、辰砂各一钱，麝香五分，有热加牛黄、片脑，一方加羌活，为末，粳米饭捣丸，皂子大，
金箔十片为衣。初生儿半丸，乳汁化下，十岁以上儿二丸，钩藤、灯芯煎汤，或薄荷、金银煎汤化下。治初生
脐风撮口、夜啼、胎惊、内钓、肚腹坚硬、目窜上视、手足搐掣、角弓反张、痰涎壅盛，一切急惊及慢惊，
尚有阳证，常服，安神化痰。如天钓，加犀角、天浆子，雄猪胆汁为丸，井水调化一丸，入鼻内令嚏；次以
钩藤煎汤调服。凡外感夹惊，亦宜此法防之。
痫
惊风三发则为痫（恶证），病关五脏似惊风；
心痫，面赤目瞪、吐舌、心烦、惊悸。金箔镇心丸，或镇心丸∶远志，雄黄、铁粉、琥珀
各二钱，辰砂一钱，麝香五分，枣肉丸黄豆大、金银箔二十片为衣。每一丸，麦门冬煎汤化下。肝痫，面青上
窜、手足拳、抽掣反折。散风丹∶胆星二钱，羌活、独活、防风、天麻、人参、荆芥，川芎、细辛、柴胡各一
钱，为末，蜜丸梧子大。每二丸，大者三四丸，紫苏煎汤化下。亦治刚 。脾痫，面黄直视、腹满自利。妙圣
丹∶代赭石、雄黄、蝎梢、辰砂、杏仁各二钱，轻粉、麝香各五分，巴豆二粒，为末枣肉丸，梧子大。每一丸，
杏仁煎汤下。肺痫，面白、反视、惊掣、吐沫潮涎。天星丸∶胆星、全蝎、蝉蜕各二钱半，防风、白附子、天
麻、姜蚕各一钱半，麝香五分，为末枣肉丸，绿豆大。每三丸，荆芥、生姜煎汤下。肾痫，面黑晦、振目视人、
口吐清沫，如尸不动。肾痫汤∶独活、麻黄、川芎、大黄、甘草各六分，姜煎服。
体柔时醒与 别，风惊食痫治不同。
小儿血气未敛，气骨不聚，为风邪所伤者，名风痫。屈指如数，有热生痰，宜先疏风，然后清痰散热，
安神定搐，散风丹。因惊者名惊痫，骇怖积惊、啼叫恍惚，宜先治惊，然后清三焦，去热化痰，紫石散，或定
魄丸，用青黛一钱为衣，金银、薄荷、川芎煎汤化下。因食者名食痫，或食时遇惊停乳，大便酸臭或结痞、先
寒后热，宜先消积，然后治痫。又有痰火作痫者，宜吐痰泻火安惊，紫霜丸，用蝎梢煎汤下之，或醒脾散为丸
服。诸痫通用∶荆芥穗二两，白矾一两（半生半枯），为末，面糊丸黍米大，朱砂为衣，每二十丸姜汤下。
急惊，三痫丹∶蜈蚣一条，南星二钱，全蝎、防风、远志、白附子、芦荟、玄胡索。辰砂各一钱，麝香一字，
金、银箔各三片，为末，糊丸梧子大。每一丸，紫苏、菖蒲煎汤下。慢惊，来复丹，薄荷泡汤化下一二丸，得
利则愈。凡惊风对证用药已效，若觉未甚苏省，可再服数丸。凡痫证方萌起，耳后高骨间，必有青纹，纷纷如
线，见之急为爪破，须令血出，啼叫尤得气通。凡浣先儿衣，不可夜露，恐为雌鸟落羽所污染，触其间，未有
不为痫也。挟邪怪者，其色变易不常，见人羞怕。
阳痫身热阴痫冷，
阳痫身热抽掣，啼叫仰卧，面光脉浮，病在腑易治；阴痫身冷不掣不啼，伏卧面黯脉沉，病在脏难治。阳
痫忌温药，阴痫忌凉药。古方治阴阳痫，用代赭石火 ，醋淬为末，每五分，金银煎汤，入金箔少许调下。
清心豁痰是上工；
血滞心窍，邪气在心，积惊成痫，故以调平心经气血，豁痰为要也。通用∶猪心丸，或竹沥丸∶白术蜜炒、
活散，加入青皮、紫苏以解表消积；接着使用泻青丸，加入辰砂。蝎梢能祛风镇惊。食癖兼夹惊风，属热证的，用宽热饮；痰积的，用白玉饼。惊与食两者并重，四肢抽搐痉挛，痰液壅盛的，先用利惊丸消导；接着服用启脾散调理脾胃。因受惊导致正气虚弱，风邪乘虚侵入心、肝二经；或者体内有积热，外部又感受风邪，都称为伤风夹惊。精神困倦昏沉，头痛，口中气息粗重且发热，先用惺惺散、参苏饮、人参羌活散，或选用大青膏，微发其汗；接着服用天麻防风丸。通用方：导赤散、五福化毒丹、泻青丸、肾气丸。凡是治疗惊风使用水银、轻粉、巴豆、芒硝、铅霜、脑麝（冰片与麝香）、蟾酥、蜈蚣等药物，往往因此转变为慢惊风而难以治疗。况且惊搐发热，如果是由于内伤、外感、痘疮引起的，危害尤其迅速。宁可细辛、羌活、青皮、干姜、荆芥这类药物来代替脑麝发散；独活、柴胡、山栀、枳壳、大黄这类药物来代替银粉、巴豆、芒硝通利。因为泻青丸治疗肝热导致的寻衣摸床、直视，或抽搐、或不抽搐，或脏腑飧泄（完谷不化的腹泻），各种药物不能止住等症状。如果惊热出于心肺，宜用桑白皮、葶苈子、赤茯苓、车前子、山栀、甘草、生姜、大枣煎服，从小便排出。导赤散能泻肝风，降心火，最利于惊热，或者加山栀、羌活、大黄。又有惊疟、惊痢，夹杂一切杂证的，应当根据具体情况灵活变通，参考各门药物即可。
抽搐有虚实之分，有逆顺之别。惊、风、痰、热四证，轻者，仅表现为四肢抽搐痉挛；重者，牙关紧急、摇头斜视、张口伸舌、角弓反张、身体掣动颤抖、手足抽搐、四肢蜷缩拘挛，《局方》称之为八候。凡是发际、印堂出现青筋，三关、虎口纹呈红、紫、青色，都是惊风的征象。实热为急惊，属于肝木风邪有余，阳证；虚热为慢惊，属于脾土中气不足，阴证。慢惊本来没有热，之所以出现热象，是虚损造成的。所以说热分虚实。男孩抽搐向左看，左眼向上窜；女孩抽搐向右看，右眼向下窜。男孩握拳，大拇指向外；女孩握拳，大拇指向里。五指交叉像姜把形状的死证。男孩引手挽拉，左手直右手曲；女孩引手挽拉，右手直左手曲。凡此皆属顺证，反之则为逆证。也有先抽搐左侧而后双侧抽搐的，只要抽搐顺则无声，抽搐逆则有声。其指纹情势，弯曲向内为顺，向外为逆，出入相半的难治痊愈，所以说通过证候辨别逆顺。
治疗分先后次序与难易程度；治疗抽搐先于截风，治疗风先于利惊，治疗惊先于豁痰，治疗痰先于解热，如果四证俱有，又应当兼顾并治。一旦有所遗漏，必生他证，所以说治疗有先后顺序。急惊属于腑病易治，慢惊属于脏病难治。
虽然五脏多有传变，无非痰火夹杂其中。
惊邪入心则面红脸赤，夜间啼哭；入肝则面目俱青，眼球上窜；入脾则面色淡黄，呕吐不食，虚汗多睡；入肺则面色淡白，喘息气短乏力；入肾则面色黑，咬乳头，磨牙。寅、卯、辰时抽搐的，是肝木旺，当用肾气丸补肾，泻青丸泻肝；巳、午、未时抽搐的，是心火旺，当用肾气丸补肝（注：此处原文可能有误，通常心火旺应泻心，但依原文翻译），导赤散、凉惊丸泻心；申、酉、戌时抽搐的，是肺金旺，当用益黄散补脾，导赤散抑心，泻青丸抑肝；亥、子、丑时抽搐的，是水土俱旺之时，水虚不旺，只有土旺，当用益黄散补脾，导赤散、凉惊丸抑心。要知道五脏传变，都是由痰致病。因为痰乃风之苗头，木静则伏于脾，火动则壅于肺。痰火交作则成急惊，或形成喉痹；痰火结滞，则成痫钓，或为咳嗽；痰火往来，则用泻青丸。皆由脾湿而来，所以惊风忌纯用风药，不问急慢，当以养血药为使，左方保元汤加白芍，是治疗慢惊的美剂。
急惊发作抽搐牙关紧闭，潮热便秘口渴痰涎壅盛；
急惊八候俱全，加上面赤唇红，浑身壮热，口中气息也热，口渴想喝水，大便秘结，小便赤色，脉浮数洪紧。
原因是内有实热，外挟风邪，风热并作，气乱痰壅，所以百脉凝滞，关窍不通，发作时暴烈，发作过后如常人。百日内见此证，发作两三次不止的，也会死亡。
先用和气通关窍的药物，
凡是抽搐，痰因气郁而生，气顺则痰化而抽搐自止。先宜用苏合香丸，薄荷煎汤，加入姜汁化开服用，顺气化痰通窍，或用星香散。开关用药吹鼻法，或用天南星一钱，冰片少许，研为末，生姜汁调匀，蘸药涂擦左右大牙龈上，牙关热即开。
接着截风搐清心田。
截风丸：天麻、僵蚕、南星各二钱，蜈蚣一条，白附子、防风、朱砂、全蝎各一钱，麝香少许。研为末，蜜丸如梧桐子大。每一丸用薄荷煎汤化下，治疗惊风痰搐。定搐散：蜈蚣一条，麻黄、南星、白附、僵蚕、羌活、代赭石、蝎梢、姜黄、朱砂各一钱，麝香五分，研为末。每一字量，用荆芥、紫苏煎汤送下，治疗急惊定搐。如果抽搐不止，加乌蛇肉、牛黄清心丸。
抽搐停止后痰热尚不退，攻下只用抱龙丸；
胆星一两，天竺黄五钱，辰砂、雄黄各二钱半，麝香一钱，研为末，蜜丸如芡实大，甘草、薄荷煎汤化开一丸。痰壅咳嗽厉害，用姜汤送下；心虚惊恐，用人参、琥珀煎汤送下。所谓“抱”，是保护的意思；“龙”，指肝，肝对应东方青龙，主藏魂，魂安则惊自定。治疗小儿各种惊风、四季感冒、瘟疫、湿痰邪热以致烦躁不宁、痰嗽气急、疮疹欲出、发搐。常服可祛风化痰，镇惊解热，和脾胃，益精神；又治蛊毒、中暑及未婚女子白带，用盐少许细细咀嚼一二丸，新汲水下。牛黄抱龙丸：胆星八钱，雄黄、人参、茯苓各一钱半，辰砂一钱二分，僵蚕三分，钩藤一两半，天竺黄二钱半，牛黄二分，麝香五分，研为末，用甘草四两煎膏和丸，如芡实大，金箔为衣，阴干贮藏，勿漏气，每次靠近微火边烘烤。每服一丸或半丸，薄荷煎汤磨服。治疗一切急慢惊风及风热、风痴等证。有热的，用凉惊丸，忌巴豆及诸热药。僵仆不醒的，用初生条浴体法。
利后温胆与定魄，
惊悸顽痰的，温胆汤加酸枣仁，或朱砂安神丸。惊风已退，神魂胆志未定的，定魄丸：人参、琥珀、茯苓、远志、朱砂、天麻、菖蒲、天门冬、酸枣仁、甘草各等分为末，蜜丸如皂子大，朱砂为衣。每一丸，灯芯、薄荷煎汤化下。
醒脾以防变为慢惊纠缠。
醒脾散：人参、白术、茯苓、甘草、白附子、僵蚕、天麻、木香各五分，全蝎二分半。姜枣煎温服，或为丸服。治疗小儿脾困昏沉、默默不想吃东西、吐泻不止、痰作惊风。
慢惊吐泻涎喘鸣，神缓眼开睡露睛；抽搐乍静又乍发，身热或冷面黄青。
眼睛半开半合，似睡非睡，十指或开或合，似抽非抽，有时口眼手足牵掣，其脉或浮或沉，身体或凉或热，或吐或泻，或不吐泻，或吃乳或不吸乳，名为半阴半阳合病，就像伤寒的半表半里证。
阴证需从阳证仔细辨认，
阴证慢惊，是从阳证急惊传来，刚刚经过吐泻，便是慢惊。男子以腹泻得之为重，女子以呕吐得之为重。
随证生胃气以截风形；
因吐泻得的，理中汤加木香，或五苓散；脾困不想吃的，醒脾散。因脏寒洞泻得的，加味术附汤：附子、白术各一两，肉豆蔻一个，木香、甘草各五钱，每二钱，姜枣煎前服用。治疗吐泻后脾虚，变成慢惊，身体弓发直、吐乳贪睡、汗多，宜此温寒燥湿，行气健脾。因下焦积聚转变得来的，先用木香匀气散；因外感寒邪得来的，先用桂枝解肌汤之类；因夏月脾胃伏热，大吐泻得来的，当解暑热，不可专一回阳。其他久咳、久痢、伤寒变阴、过服凉药之类，可以类推。
尚有阳证蝉蝎散，
初传尚有八候阳证在的，只要在生胃气药中，加以截风定搐药，如全蝎、花蛇、僵蚕、白附子、天麻、南星辈，可冷可热，均平阴阳，不必专一回阳。方传慢惊的，蝉蝎散：全蝎七个，蝉蜕二十个，南星一个，甘草二钱半，每五分，姜枣煎服。不省人事的，保命丹；吐泻痰壅的，来复丹。
若是纯阴证用乌蝎散。
已传慢惊，外无八候，只是吐泻不止的，乌蝎散：人参、白术、茯苓、甘草、川乌、全蝎、南星各一分，姜枣煎服，如果再服，就去掉川乌。
厥冷回阳进硫附丸，
硫附丸：生附子尖二个，蝎梢七个，熟硫黄一钱，研为末，生姜汁为丸，绿豆大。每十丸米饮送下。兼治慢脾风，肢冷。或蝎梢饼、金液丹、灵砂丹，或四君子汤加附子，助胃回阳。
身暖礞石与五灵脂，
风痰壅盛的，古礞石丸：青礞石捣碎一两，同焰硝五钱，放入砂锅内炭火煅红，候冷为末，蒸饼丸绿豆大。每二丸，急惊，薄荷、荆芥煎汤送下；慢惊、慢脾，木香煎汤送下。但礞石、硝虽能利痰，非胃家所好，故以木香佐之。能裹痰随大便出而无粪来，不动脏腑，始知药妙。痰搐忌下的，灵脂丸：五灵脂、白附子、木香、僵蚕各一分，全蝎半分，朱砂一钱，南星五钱，研为末，醋煮生半夏糊丸麻子大。每三丸姜汤送下。安神散：全蝎四个，塘水浸一宿，用南星一个，开一窍，放入蝎在内，以南星末盖口，面包火煨赤色，埋土中一宿去火毒，取出去南星，用全蝎为末。每一字量，磨刀水调服。也治抽搐。昏迷有痰的，白玉饼。凡方中麝香开窍，龙脑、轻粉下涎，朱砂凉心，皆为纯阳实热者设，虚者全要斟酌用之。
慢脾风微搐眼全闭，
由慢惊后，吐泻损脾已极，故曰脾风。逐风则无风可逐，疗惊则无惊可疗，只是脾间痰涎，虚热往来。眼睛闭合的，脾困神迷，痰涎凝滞难疗。也有不由急、慢风传次而至的。
头低摇睡颡汗多。舌短或吐频频呕，口噤磨牙身冷不和；以手摸人声又小，生胃回阳奈若何。
初传慢脾，阳气未甚脱的，白僵蚕丸：南星二钱，僵蚕、地龙、全蝎、五灵脂各一钱，研为末，煮半夏曲为糊丸，如麻子大。每五丸姜汤送下。风盛四肢厥冷的，黑附汤：附子三分，木香一分半，白附子一分，甘草半分，姜煎服，得手足温，苏醒为度；次以四君子汤加附子，或异功散，以温中正气。脾困不想吃的，醒脾散；吐泻的，加味术附汤、硫附丸；重的，来复丹、金液丹。
马脾风因肺寒甚，痰嗽证最危；
寒邪停留肺俞，寒化为热，亦生痰喘、呃逆、上气肺胀，俗云马脾风。若不速治，立危，宜抱龙丸，或马脾风散：辰砂二钱半，轻粉五分，甘遂一钱半，研为末。每一字量，用温浆少许，上滴香油一点，抄药在油花上沉下，却去浆水灌之，神效。
若只痰嗽将发搐，惺苏保命便能痊。
先宜惺惺散、参苏饮、人参羌活散；次服保命丹：全蝎十四个，防风、南星、蝉蜕、僵蚕、天麻、琥珀各二钱，白附子、辰砂各一钱，麝香五分，有热加牛黄、冰片，一方加羌活，研为末，粳米饭捣丸，皂子大，金箔十片为衣。初生儿半丸，乳汁化下，十岁以上儿二丸，钩藤、灯芯煎汤，或薄荷、金银花煎汤化下。治疗初生脐风撮口、夜啼、胎惊、内钓、肚腹坚硬、目窜上视、手足搐掣、角弓反张、痰涎壅盛，一切急惊及慢惊，尚有阳证，常服，安神化痰。如天钓，加犀角、天浆子，雄猪胆汁为丸，井水调化一丸，入鼻内令嚏；次以钩藤煎汤调服。凡外感夹惊，亦宜此法防之。
痫
惊风三发则为痫（恶证），病关五脏似惊风；
心痫，面赤目瞪、吐舌、心烦、惊悸。金箔镇心丸，或镇心丸：远志，雄黄、铁粉、琥珀各二钱，辰砂一钱，麝香五分，枣肉丸黄豆大、金银箔二十片为衣。每一丸，麦门冬煎汤化下。肝痫，面青上窜、手足拳、抽掣反折。散风丹：胆星二钱，羌活、独活、防风、天麻、人参、荆芥，川芎、细辛、柴胡各一钱，研为末，蜜丸梧桐子大。每二丸，大者三四丸，紫苏煎汤化下。也治刚痉。脾痫，面黄直视、腹满自利。妙圣丹：代赭石、雄黄、蝎梢、辰砂、杏仁各二钱，轻粉、麝香各五分，巴豆二粒，研为末枣肉丸，梧桐子大。每一丸，杏仁煎汤下。肺痫，面白、反视、惊掣、吐沫潮涎。天星丸：胆星、全蝎、蝉蜕各二钱半，防风、白附子、天麻、姜蚕各一钱半，麝香五分，研为末枣肉丸，绿豆大。每三丸，荆芥、生姜煎汤下。肾痫，面黑晦、振目视人、口吐清沫，如尸不动。肾痫汤：独活、麻黄、川芎、大黄、甘草各六分，姜煎服。
体质柔弱时常清醒与鉴别，风惊食痫治不同。
小儿血气未敛，气骨不聚，为风邪所伤的，名风痫。屈指如数，有热生痰，宜先疏风，然后清痰散热，安神定搐，散风丹。因惊的 named 惊痫，骇怖积惊、啼叫恍惚，宜先治惊，然后清三焦，去热化痰，紫石散，或定魄丸，用青黛一钱为衣，金银、薄荷、川芎煎汤化下。因食的 named 食痫，或食时遇惊停乳，大便酸臭或结痞、先寒后热，宜先消积，然后治痫。又有痰火作痫的，宜吐痰泻火安惊，紫霜丸，用蝎梢煎汤下之，或醒脾散为丸服。诸痫通用：荆芥穗二两，白矾一两（半生半枯），研为末，面糊丸黍米大，朱砂为衣，每二十丸姜汤送下。
急惊，三痫丹：蜈蚣一条，南星二钱，全蝎、防风、远志、白附子、芦荟、玄胡索、辰砂各一钱，麝香一字，金、银箔各三片，研为末，糊丸梧桐子大。每一丸，紫苏、菖蒲煎汤送下。慢惊，来复丹，薄荷泡汤化下一二丸，得利则愈。凡惊风对证用药已效，若觉未甚苏醒，可再服数丸。凡痫证方萌起，耳后高骨间，必有青纹，纷纷如线，见之急为爪破，须令血出，啼叫尤得气通。凡洗婴儿衣服，不可夜露，恐为雌鸟落羽所污染，触其间，未有不为痫也。挟邪怪的，其色变易不常，见人羞怕。
阳痫身热阴痫冷，
阳痫身热抽掣，啼叫仰卧，面光脉浮，病在腑易治；阴痫身冷不掣不啼，伏卧面黯脉沉，病在脏难治。阳痫忌温药，阴痫忌凉药。古方治阴阳痫，用代赭石火煅，醋淬为末，每五分，金银煎汤，入金箔少许调下。
Huosan (Vital Powder), added with Qingpi (Green Tangerine Peel) and Zisu (Perilla Leaf) to release the exterior and resolve accumulation; subsequently use Xieqing Wan (Drain the Liver Pill), added with Chen Sha (Cinnabar). Xieshao (Scorpion Tail) dispels wind and calms fright. Food retention complicated by fright, if heat-type, uses Kuanre Yin (Heat-Relaxing Drink); if phlegm accumulation type, uses Baiyu Bing (White Jade Cake). When both fright and food retention are severe, with limb convulsions and spasms, and profuse phlegm obstruction, first administer Lijing Wan (Remove Fright Pill) for digestion and elimination; subsequently take Qipi San (Spleen-Enlightening Powder) to regulate the spleen. Exterior contraction due to fright-induced deficiency allows wind pathogen to invade the Heart and Liver meridians; or internal heat accumulation combined with external wind contraction, both are termed Wind-Cold Complicated by Fright (Shangfeng Jiajing). Mental fatigue and confusion, headache, coarse and hot breath from the mouth, first use Xingxing San (Awakening Powder), Shenru Yin (Ginseng and Pericarpium Polystachyon Drink), Renshen Qianghuo San (Ginseng and Notopterygium Powder), or selectively apply Daqing Gao (Great Blue Ointment) to slightly induce sweating; subsequently take Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill). General formulas: Daochi San (Direct Red Powder), Wufu Huadu Dan (Five Blessings Detoxifying Pill), Xieqing Wan (Drain the Liver Pill), Shenqi Wan (Kidney Qi Pill). Generally, using mercury, Fenqing (Calomel), Badou (Croton Seed), Mangxiao (Mirabilite), Qianshuang (Lead Frost), Naoshe (Borneol and Musk), Chansu (Toad Venom), Wugong (Centipede) etc. for treating convulsive disorders often leads to transformation into Slow Convulsion which is difficult to treat. Moreover, if convulsions and fever arise due to internal injury, exterior contraction, or smallpox, the harm is even more rapid. It is better to use Xixin (Asarum), Qianghuo (Notopterygium), Qingpi (Green Tangerine Peel), Ganjiang (Dried Ginger), Jingjie (Schizonepeta) etc. to replace Naoshe for dispersing; Duhuo (Angelica Pubescens), Chaihu (Bupleurum), Shanzhi (Gardenia), Zhike (Aurantii Fructus), Dahuang (Rhubarb) etc. to replace Fenqing, Badou, Mangxiao for purging. This is because Xieqing Wan treats liver heat symptoms such as picking at clothes, staring straight ahead, convulsions or no convulsions, diarrhea with undigested food, and other conditions where various medicines fail to stop them. If fright-heat originates from the Heart and Lung, it is suitable to use Sangbaipi (Mulberry Bark), Tinglizi (Descurainia Seed), Chi Fuling (Red Poria), Cheqianzi (Plantago Seed), Shanzhi (Gardenia), Gancao (Licorice), Shengjiang (Fresh Ginger), Dazao (Jujube) decocted and taken, draining through urination. Daochi San can drain liver wind and descend heart fire, most beneficial for fright-heat, or add Shanzhi, Qianghuo, Dahuang. There are also fright-malaria and fright-dysentery, mixed with all kinds of miscellaneous syndromes, which should be understood flexibly, referring to medicines in various sections.
Convulsions have deficiency/excess and favorable/unfavorable aspects. The four syndromes of Fright, Wind, Phlegm, and Heat: mild cases present only with limb convulsions and spasms; severe cases present with locked jaw, shaking head and darting eyes, open mouth and protruding tongue, opisthotonos, body twitching and trembling, hand and foot convulsions, and curled limbs. The *Ju Fang* calls these the "Eight Signs". Any green veins at the hairline and Yintang (GV29), or red, purple, green patterns on the Three Passages and Tiger's Mouth indicate convulsive disorder signs. Excess-heat constitutes Acute Convulsion, belonging to Liver Wood wind-pathogen excess, a Yang syndrome; Deficiency-heat constitutes Chronic Convulsion, belonging to Spleen Earth middle-qi insufficiency, a Yin syndrome. Chronic convulsion originally has no heat; the presence of heat is due to deficiency. Thus it is said that heat is distinguished by deficiency and excess. Boys convulse looking left, left eye rolls up; girls convulse looking right, right eye rolls down. Boys clench fists with thumb outwards; girls clench fists with thumb inwards. Five fingers interlocked like a ginger root handle indicates death. Boys' arms drawn back, left straight right curved; girls' arms drawn back, right straight left curved. All these are favorable; the reverse is unfavorable. Some convulse left first then both sides; if convulsion is favorable there is no sound, if unfavorable there is sound. Finger vein patterns curving inward are favorable, outward are unfavorable, half-in half-out are difficult to cure. Thus it is said that syndromes distinguish favorable and unfavorable.
Treatment distinguishes sequence and difficulty. Treating convulsions starts with stopping wind; treating wind starts with relieving fright; treating fright starts with resolving phlegm; treating phlegm starts with clearing heat. If all four syndromes exist, they must be treated simultaneously. If any is neglected, other syndromes will arise. Thus treatment has a sequence. Acute convulsion belongs to Fu organs and is easy to treat; chronic convulsion belongs to Zang organs and is difficult to treat.
Although the five viscera undergo many transformations, it is invariably phlegm and fire involved.
Fright pathogen entering the Heart causes red face and cheeks, night crying; entering the Liver causes blue-green face and eyes, eye rolling; entering the Spleen causes pale yellow face, vomiting and anorexia, deficiency sweating and excessive sleep; entering the Lung causes pale white face, panting and shortness of breath; entering the Kidney causes black face, biting nipple, grinding teeth. Convulsions during Yin, Mao, Chen hours indicate Liver Wood prosperity, treat with Shenqi Wan to tonify Kidney, Xieqing Wan to drain Liver; convulsions during Si, Wu, Wei hours indicate Heart Fire prosperity, treat with Shenqi Wan to tonify Liver (Note: Text says tonify Liver, likely error in source or specific context), Daochi San, Liangjing Wan to drain Heart; convulsions during Shen, You, Xu hours indicate Lung Metal prosperity, treat with Yihuang San to tonify Spleen, Daochi San to suppress Heart, Xieqing Wan to suppress Liver; convulsions during Hai, Zi, Chou hours indicate Water and Earth prosperity, but Water is deficient and not prosperous, only Earth is prosperous, treat with Yihuang San to tonify Spleen, Daochi San, Liangjing Wan to suppress Heart. Know that five viscera transformations are all caused by phlegm. Phlegm is the sprout of wind; when Wood is still, it hides in Spleen; when Fire moves, it obstructs Lung. Phlegm and fire interacting cause acute convulsion or throat bi; phlegm and fire stagnation cause epilepsy or cough; phlegm and fire coming and going use Xieqing Wan. All originate from Spleen dampness. Therefore, convulsive disorders forbid pure use of wind-dispelling drugs. Regardless of acute or chronic, blood-nourishing drugs should be used as guides. Bao Yuan Tang plus Baishao (White Peony Root) on the left is a fine formula for chronic convulsion.
Acute convulsion presents with locked jaw, tidal fever, constipation, thirst, and phlegm-saliva obstruction;
All eight signs of acute convulsion are present, plus red face and lips, whole-body high fever, hot breath, thirst with desire to drink, constipation, dark urine, floating-rapid-full-tight pulse.
The cause is internal excess-heat combined with external wind-pathogen. Wind and heat act together, causing chaotic qi and phlegm obstruction, leading to stagnation of all vessels and blockage of orifices. Onset is violent, returning to normal after attack. In infants under 100 days, if this syndrome occurs and does not stop after two or three attacks, death ensues.
First use harmonizing qi to open orifices.
In all convulsions, phlegm arises from qi depression; when qi flows smoothly, phlegm resolves and convulsions stop. First use Suhexiang Wan (Styrax Pill), decocted with Bohe (Mint), mixed with Jiangzhi (Ginger Juice) to swallow, smoothing qi, resolving phlegm, and opening orifices, or use Xingxiang San. For opening the jaw, blow medicine into the nose: use Tian Nan Xing (Arisaema) 1 qian, Pian Nao (Borneol) a little, grind to powder, mix with ginger juice, dip and rub on upper and lower gums; heat opens the jaw.
Next stop wind convulsions and clear heart field.
Jiefeng Wan: Tianma (Gastrodia), Jiangcan (Silkworm), Nan Xing (Arisaema) each 2 qian, Wugong (Centipede) 1, Baifu Zi (Typhonii Rhizoma), Fangfeng (Saposhnikovia), Zhusha (Cinnabar), Quanxie (Scorpion) each 1 qian, Shexiang (Musk) a little. Grind to powder, honey pills size of Sophora seeds. One pill dissolved in mint decoction, treats fright-phlegm convulsions. Dingchu San: Wugong (Centipede) 1, Mahuang (Ephedra), Nan Xing, Baifu, Jiangcan, Qianghuo, Daizheshi (Hematitum), Xieshao, Jianghuang (Curcuma), Zhusha each 1 qian, Shexiang 5 fen. Grind to powder. One zi dose, taken with Jingjie (Schizonepeta) and Zisu decoction, treats acute convulsion to stop spasms. If convulsions do not stop, add Wushe Rou (Agkistrodon Flesh) and Niuhuang Qingxin Wan (Calculus Bovis Clear Heart Pill).
After convulsions stop, if phlegm-heat remains, use Baolong Wan for purgation;
Dansheng (Arisaematis Cum Bile) 1 liang, Tianzhuhuang (Textiliae Hirtae Rhizoma) 5 qian, Chen Sha, Xionghuang (Realgar) each 2.5 qian, Shexiang 1 qian. Grind to powder, honey pills size of Euryale seeds. One pill dissolved in Gancao (Licorice) and Bohe decoction. For phlegm obstruction and severe cough, take with ginger soup; for heart deficiency and palpitations, take with Renshen (Ginseng) and Hupo (Amber) decoction. "Bao" means protect; "Long" refers to Liver, corresponding to Azure Dragon of the East, governing Hun (Ethereal Soul). When Hun is calm, fright settles. Treats pediatric fright, seasonal colds, plague, damp-phlegm evil heat causing restlessness, phlegm-cough, asthma, eruptive diseases, convulsions. Regular use dispels wind, resolves phlegm, calms fright, clears heat, harmonizes spleen/stomach, benefits spirit. Also treats gu poison, heatstroke, and leukorrhea in unmarried women. Chew 1-2 pills with a little salt, wash down with fresh water. Niuhuang Baolong Wan: Dansheng 8 qian, Xionghuang, Renshen, Fuling (Poria) each 1.5 qian, Chen Sha 1.2 qian, Jiangcan 3 fen, Gouteng (Uncaria) 1.5 liang, Tianzhuhuang 2.5 qian, Niuhuang 2 fen, Shexiang 5 fen. Grind to powder, mix with Gancao (4 liang) decocted paste, pills size of Euryale seeds, coat with Jinbo (Gold Foil), dry in shade, store away from air, warm slightly before use. Take 1 or half pill, ground in mint decoction. Treats all acute/chronic convulsions, wind-heat, wind-dementia. With heat, use Liangjing Wan; avoid Badou and hot drugs. For collapse and unconsciousness, use newborn bath method.
After purgation, warm gallbladder and stabilize soul.
For fright palpitations and stubborn phlegm, Wendan Tang (Warm Gallbladder Decoction) plus Suanzaoren (Zizyphus Seed), or Zhusha Anshen Wan (Cinnabar Calming Spirit Pill). After fright convulsions subside, if soul/gallbladder will are unsettled, Dingpo Wan: Renshen, Hupo, Fuling, Yuanzhi (Polygalae Radix), Zhusha, Tianma, Shichangpu (Acori Tatarinowii Rhizoma), Tiandongmen (Asparagi Radix), Suanzaoren, Gancao equal parts, grind to powder, honey pills size of soap bean, coat with Zhusha. One pill dissolved in Dengxin (Juncus) and Bohe decoction.
Awaken spleen to prevent entanglement by chronic convulsion.
Xingpi San: Renshen, Baizhu (Atractylodes Macrocephalae Rhizoma), Fuling, Gancao, Baifu Zi, Jiangcan, Tianma, Muxiang (Aucklandiae Radix) each 5 fen, Quanxie 2.5 fen. Decoct with Jiang/Zao, take warm, or make pills. Treats pediatric spleen fatigue, drowsiness, anorexia, persistent vomiting/diarrhea, phlegm-induced convulsions.
Chronic convulsion with vomiting/diarrhea, salivary wheezing, relaxed spirit, eyes open while sleeping showing whites; convulsions pause then recur, body hot or cold, face yellow/green.
Eyes half-open half-closed,似睡非睡 (sleeping but not quite), ten fingers opening/closing,似搐非搐 (convulsing but not quite), sometimes pulling of mouth/eyes/hands/feet. Pulse floating or deep, body cool or hot, vomiting or diarrhea or neither, nursing or not. Named Half-Yin Half-Yang Combined Disease, similar to Taiyang disease half-exterior half-interior.
Yin syndrome must be carefully distinguished from Yang syndrome.
Yin-syndrome chronic convulsion transmits from Yang-syndrome acute convulsion. Once vomiting/diarrhea occurs, it becomes chronic convulsion. In males, diarrhea makes it severe; in females, vomiting makes it severe.
Treat according to syndrome to generate stomach qi and stop wind form.
Caused by vomiting/diarrhea, use Lizhong Tang (Regulate Middle Decoction) plus Muxiang, or Wuling San (Five-Ling Powder). Spleen fatigue/anorexia, use Xingpi San. Caused by organ cold and watery diarrhea, use Jiawei Shu Fu Tang: Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu each 1 liang, Roudoukou (Myristica Seed) 1, Muxiang, Gancao each 5 qian. 2 qian dose, decoct with Jiang/Zao before eating. Treats post-vomit/diarrhea spleen deficiency transforming into chronic convulsion, arched body, vomiting milk, lethargy, sweating. Use this to warm cold, dry damp, move qi, strengthen spleen. Caused by lower jiao accumulation, first use Muxiang Yunqi San. Caused by exterior cold, first use Guizhi Jieji Tang (Cinnamon Twig Muscle-Releasing Decoction). Caused by summer spleen/stomach latent heat with severe vomiting/diarrhea, resolve summerheat, do not solely restore yang. Other long-term cough, dysentery, taiyang transforming to yin, overuse of cold drugs, can be inferred similarly.
There is also Yang syndrome Chanxie San.
If initially transmitted but Yang syndrome signs of eight manifestations remain, add wind-stopping/spasm-calming drugs like Quanxie, Huashe (Bungarus), Jiangcan, Baifu Zi, Tianma, Nan Xing to stomach-generating drugs. Cold or hot, balance yin/yang, do not solely restore yang. If transmitting to chronic convulsion, Chanxie San: Quanxie 7, Chantui (Cicada Slough) 20, Nan Xing 1, Gancao 2.5 qian. 5 fen dose, decoct with Jiang/Zao. Unconscious, use Baoming Dan. Vomiting/diarrhea/phlegm obstruction, use Laifu Dan.
If purely Yin, use Wuxie San.
Already transmitted to chronic convulsion, no external eight signs, only persistent vomiting/diarrhea, Wuxie San: Renshen, Baizhu, Fuling, Gancao, Chuanwu (Aconiti Radix), Quanxie, Nan Xing each 1 fen. Decoct with Jiang/Zao. If taking again, remove Chuanwu.
Cold extremities, restore yang with Liufu Wan.
Liufu Wan: Sheng Fuzi (Raw Aconite Tip) 2, Xieshao 7, Shu Liuhuang (Prepared Sulfur) 1 qian. Grind to powder, ginger juice pills size of mung bean. 10 pills dose, rice drink. Also treats slow spleen wind, cold limbs. Or Xieshao Bing, Jin Ye Dan, Ling Sha Dan, or Sijunzi Tang plus Fuzi to assist stomach and restore yang.
Body warms with Mengshi and Wuling.
Wind-phlegm obstruction, ancient Mengshi Wan: Qingmengshi (Fluorite) crushed 1 liang, Yanxiao (Saltpeter) 5 qian, calcined in clay pot over charcoal until red, cool, grind to powder, steamed dough pills size of mung bean. 2 pills dose, acute convulsion: Bohe/Jingjie decoction; chronic convulsion/spleen: Muxiang decoction. Mengshi/Xiao can drain phlegm but are harsh on stomach, so Muxiang assists. It wraps phlegm to exit via stool without feces, not disturbing viscera, showing efficacy. Phlegm-convulsion forbidding purgation, Lingzhi Wan: Wulingzhi (Trogopteri Dung), Baifu Zi, Muxiang, Jiangcan each 1 fen, Quanxie 0.5 fen, Zhusha 1 qian, Nan Xing 5 qian. Grind to powder, raw Banxia (Pinellia) paste boiled in vinegar, pills size of hemp seed. 3 pills dose, ginger soup. Anshen San: Quanxie 4, soak in pond water overnight. Nan Xing 1, pierce hole, insert scorpion, cover with Nan Xing powder, wrap in dough, roast until red, bury in earth overnight to remove fire toxicity. Remove Nan Xing, grind scorpion to powder. One zi dose, mix with knife-grinding water. Also treats convulsions. Comatose with phlegm, Baiyu Bing. Musk opens orifices, Longnao/Borneol, Fenqing reduce saliva, Zhusha cools heart; all set for pure yang excess-heat, deficiency requires careful consideration.
Slow spleen wind slight convulsions, eyes fully closed.
After chronic convulsion, vomiting/diarrhea damages spleen extremely, hence called Spleen Wind. Dispelling wind finds no wind; treating fright finds no fright. Only spleen phlegm-saliva, deficiency-heat往来 (coming and going). Eyes closed: spleen fatigue, spirit confused, phlegm-saliva stagnation, difficult to treat. Some do not transmit from acute/chronic wind.
Head low, shaking, sleeping, forehead sweat profuse. Short tongue, frequent vomiting, jaw locked, grinding teeth, body cold/discomfort; touching people, voice low. How to generate stomach and restore yang?
Initial transmission to slow spleen, yang qi not yet severely depleted, Baijiangcan Wan: Nan Xing 2 qian, Jiangcan, Dilong (Earthworm), Quanxie, Wulingzhi each 1 qian. Grind to powder, Banqu (Medicated Leaven) paste pills size of hemp seed. 5 pills dose, ginger soup. Wind excess, cold extremities, Heifu Tang: Fuzi 3 fen, Muxiang 1.5 fen, Baifu Zi 1 fen, Gancao 0.5 fen. Decoct with ginger, until hands/feet warm and patient revives. Then Sijunzi Tang plus Fuzi, or Yigong San, to warm middle and rectify qi. Spleen fatigue/anorexia, Xingpi San; vomiting/diarrhea, Jiawei Shu Fu Tang, Liufu Wan; severe, Laifu Dan, Jin Ye Dan.
Ma Pi Feng due to severe lung cold, phlegm-cough syndrome most critical.
Cold pathogen stays in Feishu (BL13), transforms to heat, generates phlegm-wheeze, hiccups, upward qi/lung distension, Ma Pi Feng (common name). If not treated quickly, critical. Use Baolong Wan or Ma Pi Feng San: Chen Sha 2.5 qian, Fenqing 5 fen, Gansui (Kansui Root) 1.5 qian. Grind to powder. One zi dose, warm grain water, drop sesame oil, place medicine on oil bubble to sink, remove water and灌 (pour) medicine. Divine effect.
If only phlegm-cough about to cause convulsions, Xingsu Baoming cures.
First Xingxing San, Shenru Yin, Renshen Qianghuo San; then Baoming Dan: Quanxie 14, Fangfeng, Nan Xing, Chantui, Jiangcan, Tianma, Hupo each 2 qian, Baifu Zi, Chen Sha each 1 qian, Shexiang 5 fen. With heat add Niuhuang, Pian Nao; one formula adds Qianghuo. Grind to powder, glutinous rice paste pills size of soap bean, coat with 10 Jinbo sheets. Newborn half pill, milk dissolution; >10 years old 2 pills, Gouteng/Dengxin decoction or Bohe/Jinyinhua (Honeysuckle) decoction dissolution. Treats newborn umbilical wind, night crying, fetal fright, internal hook, hard abdomen, eye rolling up, limb convulsions, opisthotonos, phlegm obstruction, all acute/chronic convulsions with Yang signs. Regular use calms spirit, resolves phlegm. For Tiandiao, add Xijiao (Rhinoceros Horn - substitute Buffalo Horn), Tianjiangzi, boar bile pills, well water dissolution, blow into nose to sneeze; then Gouteng decoction. Exterior contraction complicated by fright also prevents with this method.
Epilepsy
Three attacks of fright-convulsion become epilepsy (evil syndrome), involving five viscera resembling fright-convulsion.
Heart Epilepsy: red face, staring eyes, protruding tongue, vexation, palpitations. Jinbo Zhenxin Wan or Zhenxin Wan: Yuanzhi, Xionghuang, Tiefen (Iron Powder), Hupo each 2 qian, Chen Sha 1 qian, Shexiang 5 fen. Jujube meat pills size of soybean, coat with 20 gold/silver foil sheets. One pill, Maidong (Ophiopogon) decoction dissolution. Liver Epilepsy: blue face, upward rolling, clenched hands/feet, spasms/reversal. Sanfeng Dan: Dansheng 2 qian, Qianghuo, Duhuo, Fangfeng, Tianma, Renshen, Jingjie, Chuanxiong (Ligusticum), Xixin (Asarum), Chaihu each 1 qian. Grind to powder, honey pills size of Sophora seeds. 2 pills, larger 3-4 pills, Zisu decoction dissolution. Also treats Gang Jing (Stiff Spasm). Spleen Epilepsy: yellow face, staring, abdominal fullness, spontaneous diarrhea. Miaosheng Dan: Daizheshi, Xionghuang, Xieshao, Chen Sha, Xingren (Apricot Seed) each 2 qian, Fenqing, Shexiang each 5 fen, Badou 2 grains. Grind to powder, jujube meat pills size of Sophora seeds. One pill, Xingren decoction dissolution. Lung Epilepsy: white face, backward gaze, fright-spasms, foaming saliva. Tianxing Wan: Dansheng, Quanxie, Chantui each 2.5 qian, Fangfeng, Baifu Zi, Tianma, Jiangcan each 1.5 qian, Shexiang 5 fen. Grind to powder, jujube meat pills size of mung bean. 3 pills, Jingjie/Shengjiang decoction dissolution. Kidney Epilepsy: dark dull face, trembling eyes staring at people, mouth spitting clear foam, motionless like corpse. Shenxian Tang: Duhuo, Mahuang, Chuanxiong, Dahuang, Gancao each 6 fen. Decoct with ginger.
Soft constitution, occasional clarity, and differentiation; Wind, Fright, Food, Epilepsy treatments differ.
Pediatric qi/blood not gathered, qi/bone not condensed, injured by wind pathogen, named Wind Epilepsy. Fingers curling like counting, heat generating phlegm, first disperse wind, then clear phlegm/heat, calm spirit/stop spasms, Sanfeng Dan. Due to fright named Fright Epilepsy, terror accumulated fright, crying/confusion, first treat fright, then clear Triple Burner, remove heat/resolve phlegm, Zishi San or Dingpo Wan, coat with Qingdai (Indigo Naturalis) 1 qian, dissolve in Jin/Yin, Bohe, Chuanxiong decoction. Due to food named Food Epilepsy, or stopping breastfeeding due to fright during eating, sour/foul stool or constipation, initial cold then heat, first resolve accumulation, then treat epilepsy. Phlegm-fire causing epilepsy, expectorate phlegm/purge fire/calm fright, Zishuang Wan, take with Xieshao decoction, or Xingpi San pills. General for all epilepsies: Jingjisui (Schizonepeta Head) 2 liang, Baifan (Alumen) 1 liang (half raw half calcined), grind to powder, wheat paste pills size of millet, coat with Zhusha. 20 pills dose, ginger soup.
Acute Convulsion, Sanxian Dan: Wugong 1, Nan Xing 2 qian, Quanxie, Fangfeng, Yuanzhi, Baifu Zi, Lvhua (Aloe), Yuansu (Corydalis), Chen Sha each 1 qian, Shexiang one zi, Jin/Yinbo 3 sheets each. Grind to powder, paste pills size of Sophora seeds. One pill, Zisu/Shichangpu decoction dissolution. Chronic Convulsion, Laifu Dan, 1-2 pills Bohe soaked water dissolution, relief upon defecation. If effective but not fully revived, take more. When epilepsy begins, green lines behind ear high bone, thread-like, scratch immediately to bleed, crying helps qi flow. Wash baby clothes, do not expose at night, fear contamination by female bird feathers, touching causes epilepsy. Evil-complicated strange cases, color changes irregularly, shy/scared of people.
Yang epilepsy body heat, Yin epilepsy cold.
Yang epilepsy body heat, spasms, crying supine, shiny face, floating pulse, Fu organ disease easy to treat; Yin epilepsy body cold, no spasms/crying, prone face dark, deep pulse, Zang organ disease difficult to treat. Yang epilepsy forbids warm drugs, Yin epilepsy forbids cold drugs. Ancient formulas for Yin/Yang epilepsy use Daizheshi calcined, quenched in vinegar, ground to powder. 5 fen dose, Gold/Silver decoction, add Jinbo, mix and take.
Clearing heart and resolving phlegm is the skill of superior physicians.
Blood stasis in heart orifice, evil qi in heart, accumulated fright becomes epilepsy. Thus regulating heart meridian qi/blood and resolving phlegm is essential. General: Zhu Xin Wan (Pig Heart Pill) or Zhuli Wan (Bamboo Juice Pill): Baizhu honey-fried...