男发搐，目左视无声，右视有声。女发搐，目右视无声，左视有声。（相胜故也，更看所发时候。）
早辰发搐，因寅卯辰时潮热，目上视，手足动摇，口流热涎，颈
筋急，此肝木大旺，当补肾抑肝。补肾，地黄丸；抑肝，泻青丸主之。
日午发搐，因巳、午、未时潮热，心神惊悸，目上视，白睛赤色，
牙关紧急，口流涎，手足动摇，此心火大旺也，当补肝泻心。补肝，地黄丸；泻心，导赤散、冷惊丸主之。
日晚发搐，因申、酉、戌时潮热，搐而喘，目微斜视，睡则露睛，
手足冷，大便下薄淡黄水，此是肺病，当补脾而抑心肝。补脾，益黄
散；抑心，导赤散；抑肝，泻青丸主之。
夜间发搐，因亥、子、丑时潮热，不甚搐而卧不稳，身体温，无壮
热，目睛紧，斜视，喉中有痰，大便银褐色，乳食不消，多睡不醒，当
补脾抑心。补脾，益黄散；抑心，导赤散、凉惊丸主之。
伤风发搐，口中气出热，呵欠烦闷，手足动摇，当发散，大青膏主之。小儿禀赋素怯者，多病此。
伤食发搐，身体温，多睡多唾，或吐不欲食而搐，当先定搐，搐退用白饼子，后服安神丸。
百日内发搐，有真假二证∶真者，不过二、三次必死；假者，发
频，不为重。真者，内生惊痫；假者，外伤风冷，盖血气未实，不能
胜邪，乃发搐也。奚知假者？口中气出热也，治之宜发散，大青膏主之，及用涂囟法与沐体法。
补肾，地黄丸（见疳病门。）
泻青丸 （见前惊风门。）
导赤散 治心热。
生干地黄 木通 甘草（炙，各等分）
上细切，每服三钱，水一盏，入淡竹叶七片，同煎至半盏，食后温服。（一本无甘草，有黄芩。）
凉惊丸（方见前。）
益黄散（方见疳病门。）
大青膏 治小儿伤风，吐泻心温，乍凉乍热。
天麻 青黛（各一钱） 白附子（一钱五分） 蝎尾（去毒） 乌蛇肉（酒浸，焙干） 朱砂 天竺黄 麝香（各
一钱）
上为细末，生蜜和成膏，每服半皂子大或一皂子大，月中儿粳
米大，同牛黄膏，温薄荷水化，一处服之。五岁以上，同甘露饮服。钱本有天麻，无大青。
按∶此知阎孝忠加减方也。
牛黄膏 治热及伤风，壮热引饮。
雄黄 甘草 甜硝 寒水石（生，各二钱五分） 郁金（一钱） 绿豆粉（五钱） 脑子（一钱）
上为细末和匀，蜜和成膏，薄荷水化下半皂子大，食后服。
甘露饮 治心胃热，咽喉痛，口舌生疮，并疮疹已发未发皆可
服。又治热气上攻，牙龈肿，牙齿动摇，含漱并服。（方见痘疹门。）
白饼子（又名玉饼子）治小儿腹中有癖，但饮乳嗽而生痰。
滑石 轻粉 半夏（汤泡七次） 南星（各一钱） 巴豆（二十四粒，去皮膜，用水二升煮水尽为度。一作水三升）
上研匀巴豆，后入众药，以糯米饭为丸，如绿豆大，捏作饼子，
三岁以上儿三、五饼，以下一、二饼，煎薄荷汤下，临卧服。
涂囟法∶
麝香 蜈蚣（末） 牛黄（末） 青黛（末，各一字） 蝎尾（去毒，为末，五分） 薄荷叶（五分）
上为细末研匀，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。百日里外儿，可用此及浴
法。
浴体法∶治胎肥，并胎怯胎热。
乌蛇肉（酒浸焙，为末） 白矾 青黛（各二钱） 天麻（二钱） 蝎尾（去毒，为末） 朱砂（各五分） 麝香
（一字）
上同研为细末，每服用三钱，水三碗，带叶桃枝一握，同煎至十
数沸，温热浴之，勿浴背。
男孩发生抽搐时，眼睛向左看没有声音，向右看则有声音。（这是因为五行相克的原因，还需观察发作的具体时辰。）
早晨发生抽搐，是因为在寅、卯、辰这三个时辰出现潮热，眼睛向上翻，手足动摇，口流热涎，颈部筋脉拘急，这是肝木之气过旺所致，应当补肾以抑制肝木。补肾用六味地黄丸；抑肝用泻青丸主治。
中午发生抽搐，是因为在巳、午、未这三个时辰出现潮热，心神惊悸，眼睛向上翻，白眼球发红，牙关紧闭，口流涎水，手足动摇，这是心火过旺所致，应当补肝以清泻心火。补肝用六味地黄丸；清泻心火用导赤散、冷惊丸主治。
傍晚发生抽搐，是因为在申、酉、戌这三个时辰出现潮热，抽搐伴有气喘，眼睛微微斜视，睡觉时眼睛睁开露出眼珠，手足冰冷，大便排出稀薄的淡黄色水样便，这是肺脏病变，应当补脾土以抑制心火和肝木。补脾用益黄散；抑制心火用导赤散；抑制肝木用泻青丸主治。
夜间发生抽搐，是因为在亥、子、丑这三个时辰出现潮热，抽搐不严重但睡眠不安稳，身体温度正常（无高热），眼球紧绷且斜视，喉中有痰鸣音，大便呈银褐色，乳食不消化，嗜睡而不醒，应当补脾土以抑制心火。补脾用益黄散；抑制心火用导赤散、凉惊丸主治。
因伤风引起的抽搐，口中呼出热气，打哈欠且烦躁闷乱，手足动摇，应当采用发散法治疗，用大青膏主治。小儿先天禀赋素来虚弱者，多患此病。
因伤食引起的抽搐，身体温度正常，嗜睡且唾液增多，或者呕吐不欲饮食而引发抽搐，应当先止住抽搐，待抽搐停止后服用白饼子，之后再服用安神丸。
出生百日内发生的抽搐，有真证和假证两种情况：真证者，发作不过两三次必死无疑；假证者，虽然发作频繁，但不构成重症。真证是内生惊痫；假证是外感风冷，因为气血尚未充实，不能抵御邪气，从而引发抽搐。如何判断为假证？口中呼出热气即是假证的表现，治疗宜用发散法，用大青膏主治，并配合使用涂囟法和沐体法。
泻青丸（参见前文惊风门）。
导赤散：治疗心经积热。
组成：生干地黄、木通、甘草（炙，各等分）。
用法：以上药材细切，每次服用三钱，加水一盏，放入淡竹叶七片，同煎至半盏，饭后温服。（另一版本无甘草，有黄芩。）
凉惊丸（方剂见前文）。
益黄散（方剂见疳病门）。
大青膏：治疗小儿伤风，吐泻伴有心区温热，忽冷忽热。
组成：天麻、青黛（各一钱）、白附子（一钱五分）、蝎尾（去毒）、乌蛇肉（酒浸，焙干）、朱砂、天竺黄、麝香（各一钱）。
用法：以上药材研为细末，用生蜜调和成膏状。每次服用半个皂荚子大小或一个皂荚子大小，一个月大的婴儿如粳米大小。与牛黄膏一同，用温薄荷水化开，混合服用。五岁以上儿童，可与甘露饮同服。钱乙原方中有天麻，无大青。
按语：这应该是阎孝忠的加减方。
牛黄膏：治疗热证及伤风，壮热引渴。
组成：雄黄、甘草、甜硝、寒水石（生用，各二钱五分）、郁金（一钱）、绿豆粉（五钱）、脑子（即冰片，一钱）。
用法：以上药材研为细末并混合均匀，用蜜调和成膏状。用薄荷水化开半个皂荚子大小，饭后服用。
甘露饮：治疗心胃积热，咽喉痛，口舌生疮，以及疮疹已发或未发皆可服用。又治热气上攻导致的牙龈肿胀、牙齿松动，可含漱并内服。（方剂见痘疹门）。
白饼子（又名玉饼子）：治疗小儿腹中有癖积，仅因吃奶咳嗽而生痰。
组成：滑石、轻粉、半夏（汤泡七次）、南星（各一钱）、巴豆（二十四粒，去皮膜，用水二升煮至水尽为止。一作水三升）。
用法：先将巴豆研匀，再加入其他药物，用糯米饭制成丸药，如绿豆大小，捏成饼状。三岁以上儿童每次三至五饼，三岁以下每次一至二饼，用煎好的薄荷汤送下，临睡前服用。
涂囟法：
组成：麝香、蜈蚣（研末）、牛黄（研末）、青黛（研末，各一字）、蝎尾（去毒，研末，五分）、薄荷叶（五分）。
用法：以上药材研为细末混合均匀，用熟枣肉调和成膏状，涂在新棉布上，贴敷于囟门上，四周可留出一指宽的距离。用手在火上烤热后频繁熨烫。百日左右的婴儿，可使用此法及浴体法。
浴体法：治疗胎肥（新生儿皮下脂肪过多），以及胎怯（先天不足）和胎热。
组成：乌蛇肉（酒浸焙干，研末）、白矾、青黛（各二钱）、天麻（二钱）、蝎尾（去毒，研末）、朱砂（各五分）、麝香（一字）。
用法：以上药材共同研为细末。每次取三钱，加水三碗，带叶桃枝一把，同煎至沸腾十余次，水温适宜时给婴儿洗浴，注意不要洗背部。
When a male infant experiences convulsions, his eyes look to the left without sound, and to the right with sound. (This is due to the mutual overcoming of the Five Elements; one must also observe the specific time of onset.)
Convulsions occurring in the morning are caused by tidal fever during the Yin, Mao, and Chen hours. Symptoms include upward deviation of the eyes, trembling of the limbs, flow of hot saliva from the mouth, and stiffness of the neck tendons. This indicates excessive flourishing of Liver Wood. Treatment should tonify the Kidney to suppress the Liver. For tonifying the Kidney, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); for suppressing the Liver, use Xieqing Wan (Drain the Green Pill).
Convulsions occurring at noon are caused by tidal fever during the Si, Wu, and Wei hours. Symptoms include palpitations and fright of the Heart Spirit, upward deviation of the eyes, redness of the sclera, lockjaw, flow of saliva, and trembling of the limbs. This indicates excessive flourishing of Heart Fire. Treatment should tonify the Liver to drain the Heart. For tonifying the Liver, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); for draining the Heart, use Daochi San (Direct the Red Powder) or Lengjing Wan (Cooling Convulsion Pill).
Convulsions occurring in the evening are caused by tidal fever during the Shen, You, and Xu hours. Symptoms include convulsions accompanied by panting, slight oblique deviation of the eyes, sleeping with eyes open (exposing the eyeballs), cold extremities, and passage of thin, pale yellow watery stool. This indicates a Lung pathology. Treatment should tonify the Spleen to suppress the Heart and Liver. For tonifying the Spleen, use Yihuang San (Yellow-Protecting Powder); for suppressing the Heart, use Daochi San (Direct the Red Powder); for suppressing the Liver, use Xieqing Wan (Drain the Green Pill).
Convulsions occurring at night are caused by tidal fever during the Hai, Zi, and Chou hours. Symptoms include mild convulsions but restless sleep, normal body temperature (without high fever), tight and obliquely deviated eyes, phlegm rattle in the throat, silver-brown stool, indigestion of milk and food, and lethargy with difficulty waking. Treatment should tonify the Spleen to suppress the Heart. For tonifying the Spleen, use Yihuang San (Yellow-Protecting Powder); for suppressing the Heart, use Daochi San (Direct the Red Powder) or Liangjing Wan (Cooling Convulsion Pill).
Convulsions caused by Wind-Cold invasion: The breath expelled from the mouth is hot; the child yawns and feels irritable and stifled; there is trembling of the limbs. Treatment should employ dispersing methods. Use Daqing Gao (Great Cyan Ointment). Children with innate constitutional weakness are prone to this condition.
Convulsions caused by Food Retention: The body temperature is normal; the child sleeps frequently and produces excess saliva; or vomiting occurs with loss of appetite followed by convulsions. One should first stop the convulsions. After the convulsions subside, administer Baibing Zi (White Cake Pills), followed by Anshen Wan (Calming the Spirit Pill).
Convulsions occurring within the first 100 days of life present as either True or False syndromes: True cases result in death after only two or three episodes; False cases involve frequent attacks but are not severe. True cases stem from internal generation of Fright Epilepsy; False cases result from external invasion of Wind-Cold. Because Qi and Blood are not yet solid, they cannot resist the pathogenic factors, leading to convulsions. How to identify a False case? Hot breath indicates a False case. Treatment should employ dispersing methods using Daqing Gao (Great Cyan Ointment), along with Fontanelle Application Method and Body Bathing Method.
For Tonifying the Kidney: Liuwei Dihuang Wan (See Chapter on Infantile Malnutrition).
Xieqing Wan (See previous chapter on Infantile Convulsions).
Daochi San: Treats Heat in the Heart.
Ingredients: Sheng Gan Di Huang (Raw Prepared Rehmanniae Radix), Mutong (Akebiae Caulis), Gancao (Licorizae Radix et Rhizoma, honey-fried), equal parts.
Preparation: Finely chop ingredients. Take 3 qian per dose, add 1 cup of water and 7 slices of Dan Zhuye (Lophatheri Herba). Decoct until half a cup remains. Take warm after meals. (Another version excludes Gancao and includes Huangqin).
Liangjing Wan (Formula see previous section).
Yihuang San (Formula see Chapter on Infantile Malnutrition).
Daqing Gao: Treats infantile Wind-Cold invasion, vomiting and diarrhea with warmth in the heart region, alternating chills and fever.
Ingredients: Tianma (Gastrodiae Rhizoma), Qingdai (Indigo Naturalis), each 1 qian; Baifuzi (Typhonii Rhizoma), 1.5 qian; Xiwei (Scorpion, venom removed); Wushe Rou (Dabo's Keelback Meat, soaked in wine and dried); Zhusha (Cinnabar); Tiantu Huang (Beeswax Honeycomb from Apis Cerana); Shexiang (Moschus), each 1 qian.
Preparation: Grind into fine powder. Mix with raw honey to form an ointment. Dosage: Half to one size of a soap pod for older infants; rice-grain size for one-month-old infants. Administer together with Niuhuang Gao (Calculus Bovis Ointment), dissolved in warm Bohe Shui (Menthae Haplocalycis Herba water). Children over five years old may take it with Ganlu Yin (Sweet Dew Drink). Note: Qian Yi's original formula contains Tianma but no Daqing.
Commentary: This appears to be a modified formula by Yan Xiaozhong.
Niuhuang Gao: Treats Heat syndromes and Wind-Cold invasion with high fever and thirst.
Ingredients: Xionghuang (Realgar), Gancao (Licorizae Radix et Rhizoma), Tianxiao (Sal Nitri), Hanshuishi (Aragonitum, raw), each 2.5 qian; Yujin (Curcumae Radix), 1 qian; Lvdou Fen (Vigna Mungo Powder), 5 qian; Naonao (Borneolum Syntheticum), 1 qian.
Preparation: Grind into fine powder and mix evenly. Form into an ointment with honey. Dissolve half a soap-pod size in Bohe Shui (Menthae Haplocalycis Herba water). Take after meals.
Ganlu Yin: Treats Heat in the Heart and Stomach, sore throat, sores in the mouth and tongue. It can be taken whether skin eruptions have appeared or not. It also treats Heat attacking upwards causing swollen gums and loose teeth; it can be used for gargling and oral administration. (Formula see Chapter on Smallpox/Rashes).
Baibing Zi (Also known as Yubing Zi): Treats abdominal masses (Pi accumulation) in infants, where phlegm is generated merely from coughing while nursing.
Ingredients: Huashi (Talcum), Qingfen (Calomelas), Banxia (Pinelliae Rhizoma, soaked in boiling water seven times), Nanxing (Arisaematis Rhizoma), each 1 qian; Badou (Crotonis Fructus), 24 kernels (skin and membrane removed, boiled in 2 sheng of water until water is exhausted. Some versions use 3 sheng).
Preparation: Grind Badou thoroughly, then add other medicines. Bind with glutinous rice paste to form pills the size of mung beans, shaped into cakes. For children over three years old, give 3-5 cakes; for younger children, 1-2 cakes. Administer with decocted Bohe Tang (Menthae Haplocalycis Herba soup) before bedtime.
Fontanelle Application Method:
Ingredients: Shexiang (Moschus), Wugong (Centipedae Corpus, powdered), Niuhuang (Calculus Bovis, powdered), Qingdai (Indigo Naturalis, powdered), each 1 zi (approx. 0.3g); Xiwei (Scorpion, venom removed, powdered), 5 fen; Bohe Ye (Menthae Haplocalycis Folium), 5 fen.
Preparation: Grind all ingredients into a fine, uniform powder. Mix with cooked jujube meat to form a paste. Apply evenly onto fresh cotton wool and stick to the fontanelle, leaving about one finger's width exposed around the edges. Frequently warm the hands over fire and apply heat compresses. This method and the bathing method are suitable for infants around 100 days old.
Body Bathing Method: Treats Tai Fei (neonatal obesity/lipid accumulation), Tai Qie (congenital deficiency), and Tai Re (neonatal heat).
Ingredients: Wushe Rou (Dabo's Keelback Meat, wine-soaked, roasted, powdered), Bai Fan (Alumen), Qingdai (Indigo Naturalis), each 2 qian; Tianma (Gastrodiae Rhizoma), 2 qian; Xiwei (Scorpion, venom removed, powdered), Zhusha (Cinnabar), each 5 fen; Shexiang (Moschus), 1 zi.
Preparation: Grind all ingredients into a fine powder. Take 3 qian per bath, add 3 bowls of water and a handful of Tao Zhi (Peach Twig with leaves). Decoct until boiling vigorously for more than ten times. Use the warm water for bathing. Do not bathe the back.