治初生小儿绵风，其状逐日抽掣，绵绵不已，亦不甚剧。
生明乳香（三钱） 生明没药（三钱） 朱砂（一钱） 全蜈蚣（大者一条） 全蝎（一钱）
共为细末，每小儿哺乳时，用药分许，置其口中，乳汁送下，一日约服药五次。
此方以治小儿绵风或惊风，大抵皆效。而能因证制宜，再煮汤剂以送服此丹，则尤效。
一小儿，生后数日即抽绵风。一日数次，两月不愈。为拟此方，服药数日而愈。所余之药，又治愈小儿三人。
附录∶
宗弟张××喜用此丹以治小儿惊风。又恒随证之凉热虚实，作汤剂以送服此丹。其所用之汤药方，颇有可
采。爰录其治验之原案二则于下。
（原案一）己巳端阳前，友人黄××幼子，生六月，头身胎毒终未愈。禀质甚弱，忽肝风内动，抽掣绵绵不
休。囟门微凸，按之甚软，微有赤色。指纹色紫为爪形。目睛昏而无神，或歪。脉浮小无根。此因虚气化不固，
致肝阳上冲脑部扰及神经也。黄××云∶此证西医已诿为不治，不知尚有救否？答曰∶此证尚可为，听吾用药，
当为竭力治愈。遂先用定风丹三分，水调灌下。继用生龙骨、生牡蛎、生石决明以潜其阳；钩藤钩、薄荷叶、
羚羊角（锉细末三分）以熄其风；生箭 、生山药、山萸肉、西洋参以
补其虚；清半夏、胆南星、粉甘草以开痰降逆和中。共煎汤多半杯，调入定风丹三分，频频灌之。二剂肝风止，
又增损其方，四剂全愈。
按∶黄 治小儿百病，明载《神农本草经》。惟此方用之，微有升阳之嫌。然《神农本草经》又谓其主大
风，肝风因虚内动者，用之即能熄风可知。且与诸镇肝敛肝之药并用，若其分量止用二三钱，原有益而无损也。
（原案二）天津聂姓幼子，生七月，夜间忽患肝风，抽动喘息，不知啼。时当仲夏，天气亢旱燥热。察
其风关、气关纹红有爪形，脉数身热，知系肝风内动。急嘱其乳母，将小儿置床上，不致怀抱两热相并。又嘱
其开窗，以通空气。先用急救回生丹吹入鼻中，以镇凉其脑系。遂灌以定风丹三分。又用薄荷叶、黄菊花、钩
藤钩、栀子、羚羊角以散风清热，生龙骨、生牡蛎、生石决明以潜阳镇逆，天竹黄、牛蒡子、川贝母以利痰定
喘。将药煎好，仍调入定风丹三分，嘱其作数次灌下，勿扰其睡。嗣来信，一剂风熄而病愈矣。
按∶此二证，虽皆系肝风内动抽掣，而病因虚实迥异。张××皆治以定风丹，而其煎汤送服之药，因证各
殊。如此善用成方，可为妙手灵心矣。
又∶献县刘姓之婴孩，抽绵风不已，夜半询方。知病危急，适存有按小儿风证方所制定风丹，与以少许，
服之立止，永未再犯。后屡用此方皆效。
【附方】 鲍云韶《验方新编》预防小儿脐风散。方用枯矾、蓬砂各二钱半、朱砂二分、冰片、麝香各五
厘，共为末。凡小儿降生后，洗过，即用此末擦脐上。每小儿换襁布时，仍擦此末。脐带落后，亦仍擦之。擦
完一料，永无脐风之证。
按∶此方最妙，愚用之多次皆效。真育婴之灵丹也。
治疗初生婴儿患绵风病，症状表现为每日抽搐掣动，连绵不断，但病情并不十分剧烈。
处方：生明乳香（三钱）、生明没药（三钱）、朱砂（一钱）、全蜈蚣（大者一条）、全蝎（一钱）。
将上述药物共同研磨成细末。每次在小儿哺乳时，取少许药粉置于其口中，用乳汁送服，一日约服药五次。
此方用于治疗小儿绵风或惊风，大体上都有效。如果能根据具体证候灵活制宜，再煎煮汤剂来送服此丹，效果则更为显著。
曾有一例患儿，出生后数日即患绵风。每日发作数次，持续两月未愈。我为其拟定此方，服药数日后痊愈。剩余的药材，又治愈了另外三名患儿。
附录：
堂弟张××喜欢使用此丹来治疗小儿惊风。并且常常根据证候的寒热虚实情况，配制汤剂以送服此丹。他所使用的汤药方剂，颇有可取之处。因此摘录他治疗的两个原始医案如下。
（原案一）己巳年端午节前，友人黄××的幼子，出生六个月，头身胎毒始终未愈。禀赋体质非常虚弱，忽然肝风内动，抽搐掣动连绵不休。囟门微微凸起，按压很软，微带赤色。指纹颜色紫暗呈爪形。眼睛昏花无神，有时歪斜。脉象浮小且无根。这是因为虚气化生不固，导致肝阳上冲脑部，扰乱神经所致。黄××说：“这个病症西医已经推脱为不治之症，不知道还有没有救？”我回答说：“这个病症还可以治疗，听凭我用药，应当竭力治愈。”于是先用定风丹三分，用水调匀灌下。接着使用生龙骨、生牡蛎、生石决明来潜降肝阳；钩藤钩、薄荷叶、羚羊角（锉成细末三分）来熄风；生箭芪、生山药、山萸肉、西洋参来补益虚损；清半夏、胆南星、粉甘草来化痰降逆、调和脾胃。共同煎煮大半碗药汤，调入定风丹三分，频频灌服。服用两剂后肝风停止，又增减调整方药，再服四剂完全痊愈。
按语：黄芪主治小儿百病，明确记载于《神农本草经》。只是此方中使用它，略有升提阳气之嫌。然而《神农本草经》又说它主治大风，可知对于因虚而内动的肝风，使用它就能熄风。况且与各种镇肝、敛肝的药物配合使用，如果分量只用到二三钱，原本是有利无害的。
（原案二）天津聂姓人家的幼子，出生七个月，夜间忽然患肝风，抽动喘息，不知啼哭。当时正值仲夏，天气亢旱燥热。观察其风关、气关指纹红且有爪形，脉数身体发热，知道是肝风内动。急忙嘱咐其乳母，将小儿放在床上，不要抱在怀里，以免母子两热相并。又嘱咐打开窗户，以流通空气。先用急救回生丹吹入鼻中，以镇静清凉脑部神经。随即灌服定风丹三分。又用薄荷叶、黄菊花、钩藤钩、栀子、羚羊角来疏散风热，生龙骨、生牡蛎、生石决明来潜阳镇逆，天竹黄、牛蒡子、川贝母来利痰定喘。将药煎好后，仍调入定风丹三分，嘱咐分几次灌下，不要打扰其睡眠。后来收到来信，说服用一剂后风熄病愈。
按语：这两个病例，虽然都是肝风内动引起的抽搐，但病因的虚实截然不同。张××都用定风丹治疗，但其煎汤送服的药物，根据证候各不相同。如此善于运用成方，可谓妙手灵心。
又：献县刘姓的婴儿，患绵风不止，半夜询问药方。得知病情危急，恰好存有按照小儿风证方制定的定风丹，给予少许，服用后立即停止，从此再也没有复发。后来多次使用此方都有效。
【附方】鲍云韶《验方新编》预防小儿脐风散。方用枯矾、蓬砂各二钱半、朱砂二分、冰片、麝香各五厘，共同研成细末。凡是小儿出生后，洗过澡，立即用此末擦拭脐部。每次给小儿更换襁褓布时，仍然擦拭此末。脐带脱落后，也继续擦拭。用完一料药，永远不会有脐风病症。
按语：此方最为奇妙，我多次使用都有效。真是养育婴儿的灵丹妙药。
To treat "Mian Feng" (Continuous Convulsions) in newborn infants, characterized by daily convulsive twitching that persists continuously but is not extremely severe.
Prescription: Raw Melted Frankincense (Sanqian), Raw Melted Myrrh (Sanqian), Cinnabar (Yiqian), Whole Centipede (one large specimen), Whole Scorpion (Yiqian).
Grind all ingredients into a fine powder. During each breastfeeding session, place a small amount of the powder in the infant's mouth and wash it down with breast milk. Administer approximately five times a day.
This formula is generally effective for treating Mian Feng or Jing Feng (Infantile Convulsions) in children. However, if one can adapt to the specific syndrome and decoct a herbal soup to accompany the administration of this pill, the efficacy will be even greater.
Case 1: An infant developed Mian Feng several days after birth. The condition occurred several times a day and persisted for two months without cure. I prescribed this formula, and the infant recovered after taking it for a few days. The remaining medicine was subsequently used to cure three other infants.
Appendix:
My cousin Zhang XX frequently uses this pill to treat infantile Jing Feng. He often prepares a decoction tailored to the cold, heat, deficiency, or excess of the syndrome to administer alongside this pill. His decoction formulas are quite valuable. Therefore, I record two original case reports below.
(Original Case 1) Before the Duanwu Festival in the Jisi year, the six-month-old son of my friend Huang XX had unresolved fetal toxins on his head and body. His constitution was very weak. Suddenly, Liver Wind stirred internally, causing continuous convulsive twitching. The fontanelle was slightly bulging and soft to the touch, with a slight reddish hue. The fingerprint was purple and claw-shaped. The eyes were dim and spiritless, sometimes deviated. The pulse was floating, small, and rootless. This was due to the failure of Qi transformation to consolidate, leading to Liver Yang rushing upward to disturb the brain and nerves. Huang XX said, "Western medicine has declared this incurable; is there any hope?" I replied, "This condition is still treatable. Leave it to me, and I will strive to cure it completely." First, I administered San fen of Ding Feng Dan (Wind-Calming Pill) mixed with water. Subsequently, I used Raw Longgu (Dragon Bone), Raw Muli (Oyster Shell), and Raw Shijueming (Abalone Shell) to subdue Yang; Gouteng (Uncaria Hook), Boheye (Mint Leaf), and Lingyangjiao (Antelope Horn, ground to fine powder, San fen) to extinguish wind; Sheng Jian Huangqi (Raw Arrow-Head Astragalus Root), Sheng Shanyao (Raw Chinese Yam), Shanzhurou (Cornus Fruit), and Xiyangshen (American Ginseng) to tonify deficiency; Qing Banxia (Clear Pinellia), Dannanxing (Arisaema with Bile), and Fungancao (Licorice Root) to resolve phlegm, direct rebellious Qi downward, and harmonize the middle jiao. These were decocted together to yield more than half a cup of liquid. San fen of Ding Feng Dan was mixed in, and administered frequently. After two doses, the Liver Wind ceased. The formula was adjusted, and after four additional doses, full recovery was achieved.
Commentary: Huangqi (Astragalus Root) is recorded in the *Shennong Bencao Jing* as treating various pediatric diseases. Its use here carries a slight risk of raising Yang. However, the *Shennong Bencao Jing* also states it treats major wind syndromes. Thus, it can be known that it extinguishes wind when used for Liver Wind stirred internally due to deficiency. Moreover, when combined with herbs that anchor and astringe the Liver, using only two or three qian poses no harm and offers benefits.
(Original Case 2) The seven-month-old son of Mr. Nie in Tianjin suddenly developed Liver Wind at night, exhibiting convulsions, panting, and inability to cry. It was mid-summer, with dry and hot weather. Observation of the Wind and Qi gates on the finger showed redness and a claw-shaped pattern. The pulse was rapid, and the body was hot, indicating internal stirring of Liver Wind. I urgently instructed the nursemaid to place the infant on the bed rather than holding him, to avoid the merging of maternal and infant heat. I also instructed opening windows to ventilate. First, Jiuhui Huisheng Dan (Emergency Life-Recovery Pill) was blown into the nose to calm and cool the cerebral system. Then, San fen of Ding Feng Dan was administered orally. Additionally, Boheye (Mint Leaf), Huangjuhua (Chrysanthemum Flower), Gouteng (Uncaria Hook), Zhizi (Gardenia Fruit), and Lingyangjiao (Antelope Horn) were used to disperse wind and clear heat; Raw Longgu (Dragon Bone), Raw Muli (Oyster Shell), and Raw Shijueming (Abalone Shell) to subdue Yang and suppress rebellion; Tiantuhuang (Bamboo Spathe) and Niubangzi (Arctium Fruit), and Chuanbeimu (Fritillaria Bulb) to benefit phlegm resolution and calm panting. After decocting the medicine, San fen of Ding Feng Dan was mixed in, and the patient was instructed to take it in divided doses without disturbing sleep. A subsequent letter reported that the wind ceased and the illness cured after just one dose.
Commentary: Although both cases involved convulsions due to internal stirring of Liver Wind, the etiologies differed significantly in terms of deficiency and excess. Zhang XX treated both with Ding Feng Dan, but the accompanying decoctions varied according to the specific syndrome. Such adept use of established formulas demonstrates skillful hands and a responsive mind.
Furthermore: An infant from the Liu family in Xianxian suffered from persistent Mian Feng. I was consulted at midnight. Knowing the condition was critical, I provided a small amount of Ding Feng Dan, which I had prepared based on formulas for pediatric wind syndromes. The convulsions stopped immediately upon administration and never recurred. Subsequent uses of this formula proved effective repeatedly.
[Attached Formula] Prevention of Infantile Umbilical Tetanus Powder from Bao Yunsao's *Yifang Xinbian*. The formula consists of Kufan (Burnt Alum) and Pengsha (Borax), each Erqianban; Zhusha (Cinnabar), Er fen; Bingpian (Borneol) and Shexiang (Musk), each Wuli. Grind all into a fine powder. Immediately after bathing a newborn, apply this powder to the umbilicus. Continue applying this powder every time the swaddling clothes are changed. Even after the umbilical cord falls off, continue application. Upon finishing one batch, Umbilical Tetanus will be permanently prevented.
Commentary: This formula is excellent. I have used it many times with success. It is truly a miraculous elixir for infant care.