食痫食过积中脘，一时痰热使之然，面黄腹满吐利臭，妙圣滚痰和胃安。
[注]
食痫者，其病在脾，因小儿乳食过度，停结中脘，
乘一时痰热壅盛，遂致成痫，
其初面黄腹满，吐利酸臭，后变时时发搐，宜用妙圣丹主之，
痰盛者朱衣滚痰丸主之，后用清热和胃丸调理，则积滞清而惊痫定矣。
(妙圣丹) 雄黄 蝎梢 朱砂 代赭石各二钱煆醋淬 巴豆三个去油
杏仁二钱炒去皮尖 以上共为细末，蒸枣肉丸如桐子大，每服三五丸，
木香煎汤化服。
（朱衣滚痰丸）方见痰痫。
(清热和胃丸) 川连五钱生 栀子五钱生 竹茹四钱 麦冬五钱去心
连翘四钱去心 山查一两 神麴一两炒 麦芽一两炒 陈皮四钱 枳实五钱麸炒
大黄五钱 甘草三钱生 以上为细末，炼蜜为丸，每丸重一钱，
量儿与之，用白滚水化下。
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痫证门
风痫汗出风袭经，二目青黯面淡红，十指屈伸如数物，化风羌活牛黄功。
[注]
风痫因汗出脱衣，腠理开张，风邪乘隙而入，
发时目青面红，手如数物，
治法先宜疏风解表，轻则化风丹主之，重则羌活桂枝汤主之，
风兼痰者，牛黄丸主之。
(化风丹) 胆星二钱 羌活 独活 天麻 防风 甘草炙 荆芥穗
人参 川芎各一钱 以上共为细末，炼蜜丸皂子大，每服一丸，
薄荷汤化开服。
(羌活桂枝汤) 羌活 防风 麻黄 桂枝 天麻 大黄 甘草生
引用生姜水煎服。
(方歌)羌活桂枝治风痫，疏风泻热难妙言，羌防麻桂天麻草，
大黄煎服自然痊。
(牛黄丸) 胆星 全蝎去毒 蝉退各一钱半 防风 牛黄 白附子生
僵蚕炒 天麻各一钱五
分麝香五分 以上为细末，煮枣去核皮，取肉和丸，如菉豆大，
每服三五丸，生姜汤化服。
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食痫是由于饮食过量，导致食物积滞在中脘，一时之间痰热内盛而引发此病。症状表现为面色发黄、腹部胀满、呕吐和腹泻且气味臭秽。治疗宜选用妙圣丹以祛除顽痰、调和胃气，使病情安定。
[注]
食痫的病位在于脾脏，是因为小儿乳食过度，导致食物停聚结块于中脘，趁着此时痰热壅盛之机，遂形成痫证。初期表现为面色黄、腹部胀满，呕吐物及排泄物带有酸臭味，随后转变为时时发生抽搐。适宜使用妙圣丹为主进行治疗；若痰湿特别盛者，则使用朱衣滚痰丸为主治疗；后期再用清热和胃丸进行调理，这样积滞得以清除，惊痫自然平息。
（妙圣丹）雄黄、蝎梢、朱砂、代赭石各二钱（煅后醋淬）、巴豆三个（去油）、杏仁二钱（炒后去皮尖）。以上药物共研为细末，用蒸熟的枣肉制成如梧桐子大小的丸剂，每次服用三至五丸，用木香煎汤送服化开。
（清热和胃丸）川连五钱（生用）、栀子五钱（生用）、竹茹四钱、麦冬五钱（去心）、连翘四钱（去心）、山楂一两、神曲一两（炒）、麦芽一两（炒）、陈皮四钱、枳实五钱（麸炒）、大黄五钱、甘草三钱（生用）。以上药物研为细末，用炼蜜制成丸剂，每丸重一钱，根据患儿情况给予剂量，用白开水化开服用。
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痫证门
风痫是因出汗时脱衣受凉，风邪侵袭经络所致。症状表现为双目青黯、面色淡红，十指屈伸如同在数东西。治疗宜选用化风丹，配合羌活、牛黄等药物发挥功效。
[注]
风痫是因为出汗后脱去衣物，腠理（皮肤毛孔）张开，风邪乘虚而入。发作时眼睛发青、面色发红，手部动作如同在数数。治疗方法应先疏风解表，轻症使用化风丹为主治疗，重症使用羌活桂枝汤为主治疗；若风邪兼夹痰浊者，使用牛黄丸为主治疗。
（化风丹）胆南星二钱、羌活、独活、天麻、防风、炙甘草、荆芥穗、人参、川芎各一钱。以上药物共研为细末，用炼蜜制成如皂荚子大小的丸剂，每次服用一丸，用薄荷汤化开后服用。
（羌活桂枝汤）羌活、防风、麻黄、桂枝、天麻、大黄、生甘草。引用生姜水煎煮后服用。
（方歌）羌活桂枝汤治疗风痫，疏风泻热的效果难以用言语完全形容，方中含有羌活、防风、麻黄、桂枝、天麻、甘草，用大黄煎服，疾病自然痊愈。
（牛黄丸）胆南星、全蝎（去毒）、蝉蜕各一钱半、防风、牛黄、生白附子、炒僵蚕、天麻各一钱五分、麝香五分。以上药物研为细末，煮红枣去核取皮肉，与药粉混合制成如绿豆大小的丸剂，每次服用三至五丸，用生姜汤化开后服用。
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Food-induced Epilepsy (Shi Xian) results from excessive food intake causing accumulation in the Zhongwan (CV12), leading to sudden phlegm-heat hyperactivity. Symptoms include a sallow complexion, abdominal distension, vomiting, and diarrhea with foul odor. The treatment should employ Miaosheng Dan (Miraculous Sage Pill) to purge stubborn phlegm and harmonize the Stomach, thereby stabilizing the condition.
[Note]
Food-induced epilepsy is located in the Spleen. It arises when infants or children consume excessive milk and food, causing stagnation and knotting in the Zhongwan (CV12). Taking advantage of a momentary hyperactivity of phlegm-heat, epilepsy develops. Initially, there is a sallow complexion and abdominal distension, with vomiting and diarrhea having a sour, foul odor. Later, it transforms into frequent convulsions. It is appropriate to use Miaosheng Dan (Miraculous Sage Pill) as the primary treatment. If phlegm is particularly abundant, Zhu Yi Gun Tan Wan (Cinnabar-Coated Rolling Phlegm Pill) should be used primarily. Subsequently, Qing Re He Wei Wan (Clear Heat and Harmonize Stomach Pill) should be used for regulation. Thus, the food stagnation will be cleared, and the convulsive epilepsy will subside.
(Miaosheng Dan [Miraculous Sage Pill]) Xiong Huang (Realgar), Xie Shao (Scorpion Tail), Zhu Sha (Cinnabar), Dai Zhe Shi (Hematite) each 2 qian (calcined and quenched in vinegar), Ba Dou (Croton Seed) 3 seeds (oil removed), Xing Ren (Apricot Seed) 2 qian (stir-fried, skin and tips removed). Grind all ingredients into fine powder. Form pills using steamed jujube pulp, sized like wu tong seeds. Take 3 to 5 pills per dose, dissolved and taken with decoction of Mu Xiang (Aucklandia Root).
(Zhu Yi Gun Tan Wan [Cinnabar-Coated Rolling Phlegm Pill]) See the section on Phlegm-induced Epilepsy (Tan Xian).
(Qing Re He Wei Wan [Clear Heat and Harmonize Stomach Pill]) Chuan Lian (Coptis Rhizome) 5 qian (raw), Zhi Zi (Gardenia Fruit) 5 qian (raw), Zhu Ru (Bamboo Shavings) 4 qian, Mai Dong (Ophiopogon Tuber) 5 qian (heart removed), Lian Qiao (Forsythia Fruit) 4 qian (heart removed), Shan Zha (Hawthorn Fruit) 1 liang, Shen Qu (Medicated Leaven) 1 liang (stir-fried), Mai Ya (Malt) 1 liang (stir-fried), Chen Pi (Tangerine Peel) 4 qian, Zhi Shi (Immature Bitter Orange) 5 qian (bran-stir-fried), Da Huang (Rhubarb Root) 5 qian, Gan Cao (Licorice Root) 3 qian (raw). Grind all ingredients into fine powder. Form pills using refined honey, each pill weighing 1 qian. Administer according to the child's condition, dissolved in plain boiled water.
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Section on Epilepsy Syndromes
Wind-induced Epilepsy (Feng Xian) occurs when wind pathogens invade the meridians due to undressing while sweating. Symptoms include blue-dark eyes, a pale red face, and fingers flexing and extending as if counting objects. Treatment involves Huafeng Dan (Wind-Transforming Pill), utilizing Qiang Huo (Notopterygium Root) and Niu Huang (Calculus Bovis) for efficacy.
[Note]
Wind-induced epilepsy happens because after sweating, one removes clothing, causing the Cou Li (pores and interstices) to open, allowing wind pathogens to enter through the gaps. During an attack, the eyes appear blue and the face red, and the hands move as if counting. The treatment method should first focus on dispersing wind and releasing the exterior. For mild cases, Huafeng Dan (Wind-Transforming Pill) is used primarily; for severe cases, Qiang Huo Gui Zhi Tang (Notopterygium and Cinnamon Twig Decoction) is used primarily. If wind is combined with phlegm, Niu Huang Wan (Calculus Bovis Pill) is used primarily.
(Huafeng Dan [Wind-Transforming Pill]) Dan Xing (Arisaema Cum Bile) 2 qian, Qiang Huo (Notopterygium Root), Du Huo (Angelica Pubescens Root), Tian Ma (Gastrodia Rhizome), Fang Feng (Saposhnikovia Root), Zhi Gan Cao (Prepared Licorice Root), Jing Jie Sui (Schizonepeta Spike), Ren Shen (Ginseng Root), Chuan Xiong (Ligusticum Rhizome) each 1 qian. Grind all ingredients into fine powder. Form pills using refined honey, sized like soap pods. Take 1 pill per dose, dissolved and taken with Bo He Tang (Mint Decoction).
(Qiang Huo Gui Zhi Tang [Notopterygium and Cinnamon Twig Decoction]) Qiang Huo (Notopterygium Root), Fang Feng (Saposhnikovia Root), Ma Huang (Ephedra Stem), Gui Zhi (Cinnamon Twig), Tian Ma (Gastrodia Rhizome), Da Huang (Rhubarb Root), Sheng Gan Cao (Raw Licorice Root). Use fresh ginger water as the solvent for decoction and take orally.
(Verse Formula) Qiang Huo Gui Zhi Tang treats Wind-induced Epilepsy; its ability to disperse wind and purge heat is hard to fully describe. It contains Qiang Huo, Fang Feng, Ma Huang, Gui Zhi, Tian Ma, and Gan Cao. When decocted with Da Huang, recovery occurs naturally.
(Niu Huang Wan [Calculus Bovis Pill]) Dan Xing (Arisaema Cum Bile), Quan Xie (Whole Scorpion, detoxified), Chan Tui (Cicada Slough) each 1.5 qian, Fang Feng (Saposhnikovia Root), Niu Huang (Calculus Bovis), Sheng Bai Fu Zi (Prepared Typhonii Rhizome), Chao Jiang Can (Stir-fried Bombyx Batryticatus), Tian Ma (Gastrodia Rhizome) each 1.5 qian, She Xiang (Musk) 0.5 fen. Grind all ingredients into fine powder. Boil jujubes, remove pits and skins, take the pulp, and mix with the powder to form pills sized like mung beans. Take 3 to 5 pills per dose, dissolved and taken with Sheng Jiang Tang (Fresh Ginger Decoction).
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