惊痫即急慢之症。但惊痫发时，仆地作声，醒时吐沫。急慢惊则不作声，不吐沫也。
阳痫初作时，病先身热，螈 惊啼叫啖而后发，脉浮者为阳痫，乃急惊也。内在六腑，外在皮肤，
为易治。若病先身冷，不惊 ，不啼呼而作，脉沉者为阴痫，乃慢惊也。此病内在五脏，外在骨髓，剧
者难治。
〔钱〕凡治五痫，皆随脏治之，每脏各属一兽，宜以五色丸主之。犬痫，反折上窜，犬叫，肝也。羊痫，
目瞪吐舌，羊叫，心也。牛痫，目直视，腹满，牛叫，脾也。鸡痫，惊跳反折手纵，鸡叫，肺也。猪痫，如尸
吐沫，猪叫，肾也。
五色丸
朱砂（研，半两） 水银（一分） 雄黄（熬，一两） 铅（三两，同水银熬） 真珠末（研，一两）
上炼蜜丸如麻子大。每服三四丸，金银薄荷汤下。
〔洁〕如有客痰发热而有声，煎大黄荆芥汤下五色丸。潮热有时，积热也，桃枝丸主之。壮热不退，当用
地骨皮散下五色丸。风热，当用防风黄芩汤下大青膏。身温不热，当用白虎汤加苍术下五色丸。
〔《本》〕雌黄丸 治小儿癫痫欲发，眼暗，螈 ，声恶，嚼舌。
雌黄 黄丹（各一两） 麝香（研，一钱）
上为末，拌令极匀，用牛乳汁半升，熬成膏，入前药末杵三五百下，丸如绿豆大。每服三丸，温热水下，
一日三服。此方得自名医之家，极有神效。
〔汤〕蛇黄丸 治惊痫。
真蛇黄（醋 淬，三个） 郁金（三分，一处为末） 麝香（另研，一钱）
上为末，粳米饭丸如桐子大。每服三二丸，煎金银磨刀水化服。
〔海〕古镜，味辛无毒，主惊痫邪气，小儿诸恶疾。煮取汁，和诸药煮服之。弥古者尤佳。
治痫方 治太阳阳明二经为病。
荆芥穗（四两） 白矾（为细末，二两）
上枣肉为丸如桐子大。每服二十丸，荆芥汤下。次三十丸、四十丸，又次五十丸，俱食前。
〔罗〕沉香天麻汤 魏敬甫之子四岁，从长老摩顶授记，众僧念咒，因而大恐，遂发惊搐，痰涎壅塞，
目多白睛，项背强急，喉中有声，一时许方醒。后每见皂衣人辄发，多服朱、犀、龙、麝镇坠之药四十余日，
前症犹在，又添行步动作，神思如痴。予诊其脉，沉弦而急，《黄帝针经》云∶心脉满大，痫 筋挛。
又云∶肝脉小急，痫 筋挛。盖小儿血气未定，神气尚弱，因而惊恐，神无所根据，又动于肝，肝主筋，
故痫 筋挛。病久气弱，小儿易为虚实，多服镇坠寒凉之剂，复损其气，故添动作如痴。《内经》云∶
暴挛痫眩，足不任身，取天柱穴是也。天柱穴乃足太阳之脉所发，阳跷附而行也。又云∶癫痫螈 ，不
知所苦，两跷主之，男阳女阴。洁古云∶昼发治阳跷、申脉，夜发治阴跷、照海，先各灸两跷，各二七壮，次处∶
沉香（二钱） 天麻（三钱） 羌活（五钱） 防风（三钱） 益智（二钱） 川乌（炮，去皮脐，二钱）
甘草（炙） 当归（各一钱半） 半夏（汤泡，三钱） 独活（四钱） 附子（炮，去皮脐，三钱） 姜屑（一钱半）
上 咀，每服五钱，生姜三片，水煎温服。《举痛论》云∶恐则气下，精怯而上焦闭。又云∶从
下上者，引而去之。以羌活、独活苦温，味之薄者，阴中之阳，引气上行，又入太阳之经为引用，故以
为君。天麻、防风辛温以散之，当归、甘草辛甘温以补气血之不足，又养胃气，故以为臣。黑附子、川
乌头、益智仁大辛温，行阳退阴，又治寒客伤胃。肾主五液，入脾为涎，以生姜、半夏燥湿化痰。
《十剂》云∶重可去怯。沉香辛温，体重气清，去怯安神，故以为使。气味相合，升阳补胃，恐怯
之气，自得平矣。
〔汤〕牛黄丸 治因惊中风，五痫天吊，客忤潮涎灌壅。
白花蛇（酒浸，取肉） 白附子 全蝎 真川乌（一枚，半两者，生） 天麻 薄荷叶（各半两）
以上六味，先为细末。次入
雄黄（五两） 辰砂（三钱） 脑子（另研，半两） 牛黄（三钱） 麝香（一钱）
上为一处和匀，麻黄去根二两，酒一升，煎麻黄至一盏，去麻黄，用酒熬药得所，勿至焦赤，众
手疾丸如芡实大，密器盛之，一丸作五服，煎金银薄荷汤磨化，大能发散惊邪。
治五痫得效方。
露蜂房（焙，一两） 石绿（一两） 桂心 远志（去心） 人参（各半两） 朱砂（一钱）
上为末，粥丸如桐子大。每服二三十丸，白汤下。
〔世〕治小儿惊痫。
胆星（二两） 全蝎（去翅足，炒，半两） 白附子（一两） 薄荷（半两） 僵蚕（炒，一两） 川芎（一两）
上为末，粥丸，青黛为衣。每服一二丸，姜汤下。
治小儿痫。用甘遂末一钱，猪心一个，取三管头血三条，和甘遂末，将猪心批作两片，入药在内，以线缚
定，外湿纸包裹，入文武火煨熟，不可过度，取药细研，入辰砂末一钱，和匀，分作四丸，每服一丸，猪心汤
化下。再服，另取猪心煎汤，此方神效。
〔汤〕断痫丹 治痫瘥后复作，连绵不除，服之有验。
黄 （蜜水涂，炙） 钩藤 细辛 甘草（炙） 蛇蜕皮（各半两） 蝉蜕（去土，四个） 牛黄（另研，一字）
治远年惊痫，心血不足，神验方。蝎虎一枚褐色者，用剪子取下四足爪，连血细研，入生朱末、麝香、脑
子各少许，同研细。薄荷汤调下，作一服。须先用夺命散控下涎，次服之，能夺造化，虽数年癫痫，亦能治之。
此药所以神效者，盖痫皆心血不足，此物名守宫，其血与心血类也，取下如室女之红铅，服之于心，故能补也。
（此乃怪虫，去其足而复能行，又再生而活也。蝎虎即 蜓。夺命散方见惊搐门。）
〔《肘》〕小儿多患胎寒好啼，昼夜不止，因此成痫。当归末小豆大，乳汁灌之，日夜三四服。
〔《本》〕治小儿卒得痫。用钩藤、甘草炙，各二分，水五合，煮取二合，服如小枣大，日夜三大服。
〔《广济》〕及《崔氏方》，治小儿惊痫，诸汤饮皆用钩藤皮。又，野猪黄，味辛甘平，疗癫痫，水研如枣
核，日三服，效。《衍义》云∶野猪黄胆，世不常有，间得之，能治小儿痰痫。
〔子和〕李氏一小儿，病手足搐搦。戴人曰∶心火胜也，勿持捉其手，当从搐搦。此由乳母保抱太极所致。
乃令扫净地，以水洒之，干令复洒，令极湿，俯卧儿于地上，良久，浑身转侧，泥浆皆满，仍以井水洗之，少
顷而瘥。
〔杜〕治小儿胃寒虫上，诸危恶与痫相似者。干漆捣炒烟尽，入白芜荑，等分为细末，米饮调下一字至一
钱，瘥。
〔《甲》〕小儿癫痫，螈 脊强，互相引项，灸长强穴三十壮，在脊 端，趺地取之乃得。小儿惊痫螈 ，
脊急强，目转运上插，筋缩主之。
〔田〕小儿癫痫惊风，目眩，灸神庭穴七壮，在鼻直上，入发际五分。
小儿风痫，灸鼻柱上发际宛宛中三壮，炷如小麦大。
小儿惊痫，先惊怖啼叫，后乃发也。灸顶上旋毛中三壮，及耳后青丝脉，炷如小麦大。（旋毛中，即百会穴
也。青丝脉，手足少阳 脉穴也。）
〔《明》〕惊痫，灸巨阙三壮。
〔《甲》〕小儿惊痫，本神及前顶、囟会、天柱主之。小儿惊痫反视，临泣主之。小儿痫 ，呕吐泄注，
惊恐失精，瞻视不明，眵 ， 脉主之。羊痫，食宗、下空主之。（钱氏云∶羊痫，目瞪吐舌羊叫。）痫发，
目上插，攒竹主之。马痫，金门及仆参主之。风从头至足，痫 ，口闭不能开，每大便腹暴满，按之不下，嚏
悲喘，昆仑主之。小儿痫 ，遗精溺，虚则病痫癫，实则闭癃，小腹中热，善寐，大敦穴主之。痫惊，如有见
者，列缺穴主之，并取阳明络。
〔钱〕五痫重者死，病后甚者亦死。
惊痫就是急惊风和慢惊风这两种病症。但是，惊痫发作时，患者会跌倒在地并发出声音，清醒后会吐出白沫。而急惊和慢惊则不会发出声音，也不会吐白沫。
阳痫在刚开始发作时，病人身体先发热，出现抽搐、惊叫、啼哭，随后发病，脉象浮的属于阳痫，也就是急惊风。这种病邪在内涉及六腑，在外影响皮肤，比较容易治疗。如果病人身体先发冷，不出现惊厥，不啼哭呼叫就发病，脉象沉的属于阴痫，也就是慢惊风。这种病邪在内涉及五脏，在外深入骨髓，病情严重的难以治愈。
〔钱乙〕凡是治疗五种痫证，都要根据所属脏腑进行治疗，每一脏各对应一种动物，适宜用五色丸为主方。犬痫，表现为身体反折向上窜动，发出狗叫声，病位在肝。羊痫，表现为眼睛瞪大、吐舌头，发出羊叫声，病位在心。牛痫，表现为眼睛直视、腹部胀满，发出牛叫声，病位在脾。鸡痫，表现为惊恐跳跃、身体反折、手松垂，发出鸡叫声，病位在肺。猪痫，表现为像尸体一样、吐出白沫，发出猪叫声，病位在肾。
五色丸
朱砂（研磨，半两） 水银（一分） 雄黄（熬制，一两） 铅（三两，与水银一起熬制） 真珠末（研磨，一两）
以上药物炼蜜制成如麻子大小的丸剂。每次服用三四丸，用金银薄荷汤送服。
〔张元素〕如果有外感痰热导致发热且伴有声响，可用大黄荆芥汤送服五色丸。潮热有定时，属于积热，用桃枝丸主治。壮热不退，应当用地骨皮散送服五色丸。风热，应当用防风黄芩汤送服大青膏。身体温热但不发热，应当用白虎汤加苍术送服五色丸。
〔《本草》〕雌黄丸 治疗小儿癫痫即将发作，眼神昏暗，抽搐，声音凶恶，咬舌头。
雌黄 黄丹（各一两） 麝香（研磨，一钱）
以上药物研成细末，拌得非常均匀，用牛乳汁半升，熬成膏状，加入前面的药末捣杵三五百下，制成如绿豆大小的丸剂。每次服用三丸，用温热水送服，一天服用三次。此方得自名医之家，极有神效。
〔汤〕蛇黄丸 治疗惊痫。
真蛇黄（醋淬，三个） 郁金（三分，一处研为细末） 麝香（另研，一钱）
以上药物研为细末，用粳米饭制成如梧桐子大小的丸剂。每次服用二三丸，煎金银磨刀水化开服用。
〔海〕古镜，味辛，无毒，主治惊痫邪气，以及小儿各种恶疾。煮取汁液，与其他药物一起煮后服用。年代久远的古镜尤其好。
治痫方 治疗太阳经和阳明经受邪致病。
荆芥穗（四两） 白矾（研为细末，二两）
以上药物用枣肉制成如梧桐子大小的丸剂。每次服用二十丸，用荆芥汤送服。接着服用三十丸、四十丸，再后来服用五十丸，都在饭前服用。
〔罗〕沉香天麻汤 魏敬甫的儿子四岁，跟随长老摸顶授记，众僧念咒，因此受到极大惊吓，于是发生惊厥抽搐，痰涎壅塞，眼球上翻露出白睛，项背强直拘急，喉中有声音，约一时辰后才清醒。后来每次见到穿黑衣的人就会发作，已经服用了四十多天朱砂、犀角、龙骨、麝香等镇坠类药物，之前的症状仍在，又增添了行走动作异常，神志痴呆。我诊察他的脉象，沉弦而急，《黄帝针经》说：心脉满大，会导致痫证筋挛。又说：肝脉小急，会导致痫证筋挛。大概是因为小儿血气未定，神气尚弱，因而受到惊恐，神无所依附，又触动肝脏，肝主筋，所以导致痫证筋挛。病程久了气虚，小儿容易虚实夹杂，过多服用镇坠寒凉的药物，进一步损伤了正气，所以增添了动作痴呆的症状。《内经》说：突然痉挛、眩晕、足不能支撑身体，应取天柱穴。天柱穴是足太阳经脉所发出的穴位，阳跷脉附着而行。又说：癫痫抽搐，不知痛苦所在，由两跷脉主治，男取阳跷女取阴跷。洁古说：白天发作治疗阳跷、申脉穴，夜间发作治疗阴跷、照海穴，先分别灸两跷穴，各七壮，然后处方：
沉香（二钱） 天麻（三钱） 羌活（五钱） 防风（三钱） 益智（二钱） 川乌（炮制，去皮脐，二钱）
甘草（炙） 当归（各一钱半） 半夏（汤泡，三钱） 独活（四钱） 附子（炮制，去皮脐，三钱） 姜屑（一钱半）
以上药物切碎，每次服用五钱，加生姜三片，水煎温服。《举痛论》说：恐惧则气机下陷，精气怯弱而上焦闭塞。又说：病气从下往上逆行的，要引导它下行排出。用羌活、独活苦温，气味较薄，属于阴中之阳，引导气机上行，又进入太阳经作为引经药，所以作为君药。天麻、防风辛温以疏散邪气，当归、甘草辛甘温以补益气血不足，又能养胃气，所以作为臣药。黑附子、川乌头、益智仁大辛大温，通行阳气消退阴寒，又能治疗寒邪客伤胃腑。肾主管五液，入脾化为涎，用生姜、半夏燥湿化痰。《十剂》说：重可去怯。沉香辛温，体重气清，能去除怯懦、安定神志，所以作为使药。药味气味相合，升发阳气补益胃气，恐惧怯弱之气，自然得以平复。
〔汤〕牛黄丸 治疗因受惊中风，五种痫证及天吊风，客忤导致的潮涎壅盛。
白花蛇（酒浸，取肉） 白附子 全蝎 真川乌（一枚，半两者，生用） 天麻 薄荷叶（各半两）
以上六味药，先研为细末。再加入
雄黄（五两） 辰砂（三钱） 脑子（另研，半两） 牛黄（三钱） 麝香（一钱）
以上药物混合均匀，取去根的麻黄二两，酒一升，煎麻黄至一盏量，去掉麻黄，用药酒熬制药末适量，不要熬至焦赤，众人快速制成如芡实大小的丸剂，密封容器保存。一丸分五次服用，煎金银薄荷汤磨化服用，能大力发散惊邪。
治疗五种痫证有效的方子。
露蜂房（焙干，一两） 石绿（一两） 桂心 远志（去心） 人参（各半两） 朱砂（一钱）
以上药物研为细末，用米粥制成如梧桐子大小的丸剂。每次服用二三十丸，用白开水送服。
〔世〕治疗小儿惊痫。
胆星（二两） 全蝎（去翅足，炒，半两） 白附子（一两） 薄荷（半两） 僵蚕（炒，一两） 川芎（一两）
以上药物研为细末，用米粥制丸，青黛为衣。每次服用一二丸，姜汤送服。
治疗小儿痫证。用甘遂末一钱，猪心一个，取三根猪血管的血三条，与甘遂末混合，将猪心剖成两片，放入药物，用线绑紧，外面湿纸包裹，用文武火煨熟，不可过度，取出药物细细研磨，加入辰砂末一钱，混合均匀，分成四丸，每次服用一丸，用猪心汤化开服用。再次服药，另取猪心煎汤，此方神效。
〔汤〕断痫丹 治疗痫证痊愈后复发，连绵不断，服用此方有效。
黄芪（蜜水涂，炙） 钩藤 细辛 甘草（炙） 蛇蜕皮（各半两） 蝉蜕（去土，四个） 牛黄（另研，一字）
治疗多年惊痫，心血不足的神验方。一只褐色的蝎虎（壁虎），用剪刀取下四只脚爪，连同血液细细研磨，加入少许生朱砂末、麝香、冰片，一同研细。用薄荷汤调下，作为一次服用。必须先先用夺命散控吐涎液，然后再服用此药，能夺造化之功，即使是数年的癫痫，也能治愈。
此药之所以神效，大概因为痫证都是心血不足，这种动物名叫守宫，其血液与心血类似，取下它如同室女的红铅，服用于心，所以能补益。（这是一种怪虫，去掉脚后仍能行走，又能再生复活。蝎虎即壁虎。夺命散方见惊搐门。）
〔《肘后备急方》〕小儿多患胎寒喜欢啼哭，昼夜不止，因此形成痫证。用当归末做成小豆大小，用乳汁灌服，日夜服用三四次。
〔《本草》〕治疗小儿突然患痫证。用钩藤、炙甘草，各二分，水五合，煮取二合，服用量如小枣大小，日夜三大服。
〔《广济方》〕及《崔氏方》，治疗小儿惊痫，所有汤饮都使用钩藤皮。另外，野猪黄，味辛甘平，治疗癫痫，用水研磨如枣核大小，每天服用三次，有效。《衍义》说：野猪黄胆，世间不常有，偶尔得到，能治疗小儿痰痫。
〔张子和〕李氏的一个小孩，患病手足抽搐。戴人（张子和号）说：这是心火过胜，不要强行握住他的手，应当顺应抽搐之势。这是由于乳母怀抱过于严密所致。于是让人扫净地面，洒水湿润，干了再洒，让地极其潮湿，让婴儿俯卧在地上，过了很久，浑身转动，泥浆沾满全身，仍用井水清洗，过了一会儿就好了。
〔杜〕治疗小儿胃寒虫上行，各种危重恶症与痫证相似者。干漆捣炒至烟尽，加入白芜荑，等分为细末，米饮调下一字至一钱，病愈。
〔《甲乙经》〕小儿癫痫，抽搐脊背强直，互相牵引颈部，灸长强穴三十壮，在脊柱末端，趴伏在地上取穴才能找到。小儿惊痫抽搐，脊背紧急强直，眼球转动上视，筋缩穴主治。
〔田〕小儿癫痫惊风，目眩，灸神庭穴七壮，在鼻直上，入发际五分。
小儿风痫，灸鼻柱上发际凹陷处三壮，艾炷如小麦大。
小儿惊痫，先惊恐啼叫，然后才发作。灸头顶旋毛中三壮，以及耳后青丝脉，艾炷如小麦大。（旋毛中，即百会穴。青丝脉，手足少阳经脉络穴也。）
〔《甲乙经》〕小儿惊痫，本神穴、前顶穴、囟会穴、天柱穴主治。小儿惊痫反视，临泣穴主治。小儿痫证，呕吐泄泻，惊恐失精，瞻视不明，眼屎多，瞳神呆滞，脉穴主治。羊痫，食窦穴、下空穴主治。（钱乙说：羊痫，目瞪吐舌羊叫。）痫证发作，眼球上插，攒竹穴主治。马痫，金门穴及仆参穴主治。风从头至足，痫证，口闭不能张开，每次大便时腹部突然胀满，按压不下去，打喷嚏悲伤喘息，昆仑穴主治。小儿痫证，遗精溺尿，虚则病痫癫，实则闭癃，小腹中热，嗜睡，大敦穴主治。痫惊，如有幻觉，列缺穴主治，并取阳明络脉。
〔钱乙〕五种痫证严重的会死亡，病后症状严重的也会死亡。
Jingxian (Convulsive Epilepsy) refers to the conditions of Jijingfeng (Acute Convulsive Disorder) and Manjingfeng (Chronic Convulsive Disorder). However, when Jingxian attacks, the patient falls to the ground making sounds, and upon waking, spits out foam. In contrast, Jijing and Manjing do not make sounds nor spit foam.
When Yangxian (Yang-type Epilepsy) first begins, the patient's body becomes hot initially, followed by spasms, convulsions, crying, and shouting before the full onset. A floating pulse indicates Yangxian, which is Jijingfeng (Acute Convulsive Disorder). The pathogen is internally located in the Six Fu-organs and externally affects the skin; it is relatively easy to treat. If the patient's body becomes cold initially, without convulsions or crying/shouting upon onset, and with a deep pulse, this is Yin-xian (Yin-type Epilepsy), which is Manjingfeng (Chronic Convulsive Disorder). The pathogen is internally located in the Five Zang-organs and externally penetrates to the bone marrow; severe cases are difficult to treat.
[Qian Yi] When treating the five types of Xian (Epilepsy), one should treat according to the affected Zang-organ. Each Zang-organ corresponds to an animal, and the primary formula is Wuse Wan (Five-Color Pill).
Gouxian (Dog-type Epilepsy): Body arches backward and upward, barking like a dog; associated with the Liver.
Yangxian (Sheep-type Epilepsy): Eyes staring wide, tongue protruding, bleating like a sheep; associated with the Heart.
Niuxian (Ox-type Epilepsy): Eyes staring straight, abdominal distension, lowing like an ox; associated with the Spleen.
Jixian (Chicken-type Epilepsy): Startled jumping, body arching backward, hands flaccid, crowing like a chicken; associated with the Lung.
Zhuxian (Pig-type Epilepsy): Lying like a corpse, spitting foam, grunting like a pig; associated with the Kidney.
Wuse Wan (Five-Color Pill)
Cinnabar (ground, 0.5 liang) Mercury (1 fen) Realgar (calcined, 1 liang) Lead (3 liang, calcined with mercury) Pearl Powder (ground, 1 liang)
Process: Refine honey to form pills the size of hemp seeds. Dosage: 3–4 pills per administration, taken with Yinjin Bohe Tang (Silver and Mint Decoction).
[Zhang Yuansu] If there is exogenous phlegm-heat causing fever with audible symptoms, administer Wuse Wan (Five-Color Pill) with Dahuang Jingjie Tang (Rhubarb and Schizonepeta Decoction). If tidal fever occurs at regular intervals, indicating accumulated heat, Taozhi Wan (Peach Twig Pill) is indicated. If high fever persists, use Digupi San (Lycium Bark Powder) to administer Wuse Wan (Five-Color Pill). For wind-heat, use Fangfeng Huangqin Tang (Saposhnikovia and Scutellaria Decoction) to administer Daqing Gao (Indigofera Paste). If the body is warm but not hot, use Baihu Tang (White Tiger Decoction) plus Cangzhu (Atractylodes Rhizome) to administer Wuse Wan (Five-Color Pill).
[Bencao] Cihuang Wan (Realgar Pill) treats pediatric epilepsy impending attack, characterized by dim vision, spasms, harsh voice, and tongue biting.
Realgar Yellow (Cihuang) Minium (Huangdan) (each 1 liang) Musk (ground, 1 qian)
Process: Grind into fine powder, mix thoroughly. Add half a sheng of cow's milk and boil into a paste. Incorporate the powder and pound 300–500 times. Form pills the size of mung beans. Dosage: 3 pills per administration, taken with warm water, three times daily. This formula, obtained from famous physicians, is extremely effective.
[Tang] Shehuang Wan (Snake Gallstone Pill) treats Jingxian (Convulsive Epilepsy).
True Snake Gallstone (quench in vinegar, 3 pieces) Curcuma Tuber (Yujin) (3 fen, ground together) Musk (separately ground, 1 qian)
Process: Grind into powder. Use glutinous rice paste to form pills the size of sophora seeds. Dosage: 2–3 pills per administration, dissolved in Yinjin Modao Shui (Silver and Knife-Mossing Water) and taken.
[Hai] Ancient mirrors have a pungent taste and are non-toxic. They treat Jingxian (Convulative Epilepsy) and evil qi, as well as various malignant diseases in children. Boil to extract juice and decoct with other herbs for administration. Older mirrors are particularly effective.
Zhi Xian Fang (Formula for Treating Epilepsy) treats diseases affecting the Taiyang (Greater Yang) and Yangming (Bright Yang) meridians.
Schizonepeta Head (Jingjie Sui) (4 liang) Alum (Baifan) (ground to fine powder, 2 liang)
Process: Use jujube flesh to form pills the size of sophora seeds. Dosage: Start with 20 pills, taken with Jingjie Tang (Schizonepeta Decoction). Subsequently increase to 30, 40, and then 50 pills, all taken before meals.
[Luo] Chenxiang Tianma Tang (Agarwood and Gastrodia Decoction)
The four-year-old son of Wei Jingfu received a blessing touch on the head from an elder monk while monks chanted spells. He became greatly frightened, leading to convulsions and spasms. Phlegm-saliva obstructed the airway, eyes showed white sclera, neck and back were stiff and rigid, and there was sound in the throat. He woke after about one shichen (two hours). Later, he would attack whenever he saw men in black clothes. After taking over forty days of sedative and cooling drugs such as Cinnabar, Rhinoceros Horn, Dragon Bone, and Musk, the previous symptoms persisted, and new symptoms appeared: abnormal gait and movements, and a foolish mental state.
I palpated his pulse: deep, wiry, and rapid. The *Huangdi Zhenjing* (Yellow Emperor’s Classic of Acupuncture) states: "If the Heart pulse is full and large, it leads to epileptic tendon spasms." It also states: "If the Liver pulse is small and urgent, it leads to epileptic tendon spasms." Generally, because a child's blood and qi are not yet settled and their spirit/qi is weak, fright causes the spirit to lose its foundation and agitates the Liver. Since the Liver governs tendons, this results in epileptic tendon spasms. Prolonged illness depletes qi. Children are prone to both deficiency and excess. Overuse of sedative and cold/cooling agents further damages qi, leading to the foolish movements. The *Neijing* (Inner Canon) states: "For sudden spasms, epilepsy, dizziness, and inability of the feet to support the body, select Tianzhu (BL10)." Tianzhu (BL10) is where the Foot-Taiyang meridian emerges, and the Yang Qiao vessel attaches and travels. It also states: "For epilepsy and spasms where the patient does not know their suffering, the two Qiao vessels govern it. For males, treat Yang Qiao; for females, treat Yin Qiao." Jiegu states: "For daytime attacks, treat Yang Qiao and Shenmai (BL62); for nighttime attacks, treat Yin Qiao and Zhaohai (KI6). First, moxa both Qiao vessels, 7 moxa cones each." Then prescribe:
Agarwood (Chenxiang) (2 qian) Gastrodia Rhizome (Tianma) (3 qian) Notopterygium Rhizome (Qianghuo) (5 qian) Saposhnikovia Root (Fangfeng) (3 qian) Bitter Apricot Seed (Yizhi) (2 qian) Sichuan Aconite Root (Chuanwu) (processed, skin and core removed, 2 qian) Licorice Root (Gancao) (roasted) Angelica Sinensis Root (Danggui) (each 1.5 qian) Pinellia Tuber (Banxia) (soaked in boiling water, 3 qian) Actaea Rhizome (Duhuo) (4 qian) Prepared Aconite Root (Fuzi) (processed, skin and core removed, 3 qian) Ginger Scrapings (Jiangxie) (1.5 qian)
Process: Cut into pieces. Dosage: 5 qian per administration, with 3 slices of fresh ginger, decocted in water and taken warm. The *Jutong Lun* (Treatise on Pain) states: "Fear causes qi to sink, essence becomes timid, and the Upper Jiao closes." It also states: "For pathogens rising from below, guide them downward and expel them." Qianghuo and Duhuo are bitter and warm, with thin flavors, representing yang within yin. They guide qi upward and enter the Taiyang meridian as guiding herbs, thus serving as the Sovereign (Jun) herb. Tianma and Fangfeng are acrid and warm to disperse; Danggui and Gancao are acrid, sweet, and warm to tonify deficient qi and blood, and nourish Stomach qi, thus serving as Ministers (Chen). Black Fuzi and Chuanwu are highly acrid and warm, promoting yang and dispelling yin/cold, and treating cold invading the Stomach. The Kidney governs the five fluids; when entering the Spleen, they transform into saliva/phlegm. Fresh ginger and Banxia dry dampness and resolve phlegm. The *Shi Ji* (Ten Categories) states: "Heavy substances remove timidity." Agarwood is acrid and warm, heavy in substance but clear in qi, removing timidity and calming the spirit, thus serving as an Envoy (Shi) herb. The combined flavors promote ascending yang and tonifying the Stomach; the qi of fear and timidity naturally becomes balanced.
[Tang] Niuhuang Wan (Calculus Bovis Pill) treats stroke due to fright, the five types of epilepsy, Tiandiao wind, and Ke Wu (hostility from external spirits) causing tidal phlegm flooding.
Bungarus Parvus (Baihuashe) meat (wine-soaked) White Aconite Root (Baifuzi) Whole Scorpion (Quanxie) True Sichuan Aconite Root (Zhen Chuanwu) (one piece, half liang, raw) Gastrodia Rhizome (Tianma) Mint Leaf (Bohe Ye) (each half liang)
Process: The above six ingredients are first ground into fine powder. Then add:
Realgar (Xionghuang) (5 liang) Cinnabar (Chensha) (3 qian) Borneol (Naozi) (separately ground, half liang) Calculus Bovis (Niuhuang) (3 qian) Musk (Shexiang) (1 qian)
Process: Mix uniformly. Take 2 liang of Ephedra Stem (Mahuang) with roots removed, and 1 sheng of wine. Decoct Mahuang until reduced to one zhe. Remove Mahuang. Use the wine to decoct the medicine appropriately, avoiding charring. Quickly form pills the size of Chinese quinces with multiple hands. Store in a sealed container. One pill divided into five doses. Dissolve in Yinjin Bohe Tang (Silver and Mint Decoction) and take. It strongly disperses fright evil.
Effective Formula for Treating the Five Types of Epilepsy.
Honeycomb (Lufengfang) (baked, 1 liang) Malachite (Shilv) (1 liang) Cassia Twig (Guixin) Polygala Root (Yuanzhi) (decored) Ginseng Root (Renshen) (each half liang) Cinnabar (Zhusha) (1 qian)
Process: Grind into powder. Form pills with congee the size of sophora seeds. Dosage: 20–30 pills per administration, taken with plain boiled water.
[Shi] Treats pediatric Jingxian (Convulsive Epilepsy).
Arisaema Cum Bile (Danning) (2 liang) Whole Scorpion (Quanxie) (remove wings and feet, stir-fried, half liang) White Aconite Root (Baifuzi) (1 liang) Mint (Bohe) (half liang) Silkworm (Jiangcan) (stir-fried, 1 liang) Ligusticum Rhizome (Chuanxiong) (1 liang)
Process: Grind into powder. Form pills with congee. Coat with Indigo Naturalis (Qingdai). Dosage: 1–2 pills per administration, taken with Ginger Decoction.
To treat pediatric epilepsy: Use 1 qian of Kansui Powder (Gansui Mo). Take one pig heart. Extract three strands of blood from three vascular heads. Mix with Gansui powder. Slice the pig heart into two pieces, insert the medicine inside, tie securely with thread. Wrap externally in wet paper. Simmer over mild fire until cooked, but not overcooked. Remove medicine, grind finely. Add 1 qian of Cinnabar powder. Mix uniformly. Divide into four pills. Dosage: One pill per administration, dissolved in Pig Heart Decoction. For subsequent doses, prepare fresh Pig Heart Decoction. This formula is miraculous.
[Tang] Duan Xian Dan (Epilepsy-Cutting Pill) treats relapsing epilepsy that persists despite recovery; effective.
Astragalus Root (Huangqi) (coated with honey water, roasted) Uncaria Ramulus cum Uncis (Gouteng) Asarum Root (Xixin) Licorice Root (Gancao) (roasted) Snake Slough (Shetui Pi) (each half liang) Cicada Slough (Chantui) (cleaned of dirt, 4 pieces) Calculus Bovis (Niuhuang) (separately ground, 1 zi)
Miraculous Formula for Remote Epilepsy due to Heart Blood Deficiency.
Take one brown Eupreptes (Xiehu/Bi Hu - Gecko). Cut off its four feet/claws with scissors. Grind finely with blood. Add small amounts of Raw Cinnabar powder, Musk, and Borneol. Grind together finely. Administer mixed with Mint Decoction as a single dose. Must first administer Deming San (Life-Seizing Powder) to control phlegm discharge, then take this. It can rival creation itself; even epilepsy lasting years can be cured.
The reason this medicine is miraculous is that epilepsy is essentially Heart Blood deficiency. This creature is called Shou Gong (Gecko); its blood resembles Heart Blood. Taking it is like using Red Lead (Hong Qian) from a virgin maiden; taken into the Heart, it tonifies. (This is a strange insect; it can walk after losing its feet and regenerates to live again. Xiehu is Geckos. Deming San formula is found in the Convulsion section.)
[Zhou Hou] Children often suffer from fetal cold and cry incessantly day and night, leading to epilepsy. Administer Danggui Mo (Angelica Powder) sized like adzuki beans,灌 fed with milk, 3–4 times day and night.
[Bencao] To treat sudden pediatric epilepsy: Use Gouteng (Uncaria) and roasted Gancao (Licorice), 2 fen each. Decoct in 5 he of water until reduced to 2 he. Administer dosage the size of a small date, 3 major doses day and night.
[Guangji Fang] & [Cui Shi Fang] To treat pediatric Jingxian (Convulsive Epilepsy), all decoctions use Gouteng Pi (Uncaria Bark). Additionally, Yezhu Huang (Wild Boar Gallstone) has a pungent, sweet, and neutral taste. It treats epilepsy. Grind in water to the size of a jujule pit. Take 3 times daily. Effective. Yan Yi states: Wild Boar Gallstones are rare. Occasionally obtained ones can treat pediatric phlegm-epilepsy.
[Hei Zi] A child of the Li family suffered hand and foot spasms. Dai Ren (Zi He) said: This is excessive Heart Fire. Do not restrain the hands; follow the spasms. This was caused by the wet nurse holding the child too tightly. He ordered the floor to be swept clean and sprinkled with water. When dry, sprinkle again until very wet. Place the infant prone on the ground. After a long time, the whole body turns and rolls, covered in mud. Wash with well water. The condition improved shortly after.
[Dù] To treat pediatric stomach cold with worms moving upward, where critical malignant symptoms resemble epilepsy: Stir-fry Dry Lacquer (Gan Qi) until smoke ceases. Add Bai Wuyi (White Melia Seed). Equal parts, grind to fine powder. Mix with rice drink. Dosage: 1 zi to 1 qian. Cure.
[Jia Yi Jing] Pediatric epilepsy with spasms and spinal stiffness, pulling the neck. Moxa Changqiang (GV1) 30 cones. Located at the tip of the coccyx; obtain by having the child lie prone. Pediatric Jingxian with spasms, acute spinal stiffness, eyes rolling upward. Jinsuo (GV29) governs.
[Tian] Pediatric epilepsy and wind-phlegm, vertigo. Moxa Shenting (GV24) 7 cones. Located directly above the nose, 5 fen into the hairline.
Pediatric wind-epilepsy. Moxa the depression at the hairline above the nasal bridge 3 cones. Moxa cone size like wheat.
Pediatric Jingxian, starting with fright and crying, then attacking. Moxa the center of the scalp whorl 3 cones, and the blue vein behind the ear. Moxa cone size like wheat. (The scalp whorl center is Baihui (GV20). The blue vein refers to the Luo-connecting points of the Hand and Foot Shaoyang meridians.)
[Ming Tang] Jingxian (Convulsive Epilepsy). Moxa Jueque (CV14) 3 cones.
[Jia Yi Jing] Pediatric Jingxian: Benshen (GB13), Qian Ding (GV20), Xinhui (GV22), Tianzhu (BL10) govern. Pediatric Jingxian with retroversion of eyes: Linqi (GB15) governs. Pediatric epilepsy with vomiting, diarrhea, fright, loss of essence, unclear vision, excessive eye discharge, and dull pupils: Mai Men governs. Sheep-type epilepsy: Shizong (ST16), Xiakong (ST17) govern. (Qian Yi states: Sheep-type epilepsy involves staring eyes, protruding tongue, and bleating.) During epilepsy attack with eyes rolling up: Zanzhu (BL2) governs. Horse-type epilepsy: Jinmen (BL63) and Puscan (BL60) govern. Wind from head to foot, epilepsy, mouth closed unable to open, sudden abdominal fullness during defecation unrelieved by pressure, sneezing, sorrowful panting: Kunlun (BL60) governs. Pediatric epilepsy with enuresis/incontinence: Deficiency leads to epilepsy/manic-depression; Excess leads to retention/dysuria, heat in lower abdomen, somnolence: Dadun (LR1) governs. Epileptic fright with hallucinations: Lieque (LU7) governs, also take the Luo-connecting vessel of the Yangming.
[Qian Yi] Severe cases of the five types of epilepsy result in death. Cases where symptoms remain severe after the disease also result in death.