魏敬甫之子四岁。一长老摩顶授记。众僧念咒。因而大恐。遂惊搐。痰涎壅塞。目多白睛。项
背强急。喉中有声。一时许方省。后每见衣皂之人。辄发。多服朱、犀、龙、麝镇坠之药。四十余
日。前证仍在。又添行步动作神思如痴。命予治之。诊其脉沉弦而急。黄帝针经云。心脉满大。痫
螈筋挛。又肝脉小急。痫螈筋挛。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。故痫螈筋挛。病久气弱小儿。易为虚实。多服镇
坠寒凉之药。复损其气。故行步动作如痴。内经云。暴挛痫眩。足不任身。取天柱穴者是也。天柱
穴乃足太阳之脉所发。阳痫附而行也。又云。癫痫螈 。不知所苦。两跷主之。男阳女阴。洁古老
人云。昼发取阳跷申脉。夜发取阴跷照海。先各灸二七壮。阳跷申脉穴在外踝下容爪甲白肉际陷中。
阴跷照海穴。在足内踝下陷中是也。次与沉香天麻汤。服三剂而痊愈。
【沉香天麻汤】
沉香 川乌（炮。去皮） 益智（各二钱） 甘草（一钱半。炙）
姜屑（一钱半） 独活（四钱） 羌活（五钱） 天麻
黑附子（炮。去皮） 半夏（泡） 防风（各三钱） 当归（一钱半）
上十二味 咀。每服五钱。水二盏。姜三片。煎一盏温服。食前。忌生冷硬物。寒处坐卧。素
问举痛论云。恐则气下。精竭而上焦闭。又曰。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。以补气血不足。又养胃气。故以为臣。黑附、川乌、益智。大辛温。行阳退阴。又治客寒伤
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。以沉香辛温体重。清气去
怯安神。故以为使。气味相合。升阳补胃。恐怯之气。自得而平矣。
魏敬甫的四岁儿子。一位长者抚摸他的头顶并授予记号（一种宗教仪式动作）。众僧人念诵咒语。孩子因此受到极大惊吓，随即出现惊厥抽搐、痰涎壅塞咽喉、眼睛上翻露出白睛、颈项和背部僵硬强急、喉间发出声响等症状，约一炷香的时间后才苏醒。此后每次见到穿黑衣的人就会发病。此前多次服用朱砂、犀角、龙骨、麝香等重镇坠怯的药物，四十多天后，之前的症状依然存在，又增添了行走动作时神情呆滞如痴的表现。于是请我诊治。诊察其脉象沉弦而急。《黄帝针经》说：心脉满大，会导致痫证、抽搐和筋脉挛急；肝脉小急，也会导致痫证、抽搐和筋脉挛急。大概是因为小儿血气尚未定型，神气尚且虚弱，因惊恐导致神无所依，进而扰动肝脏。肝主筋，所以出现痫证、抽搐和筋脉挛急。患病日久，小儿气虚，容易虚实夹杂。之前过多服用重镇寒凉的药物，进一步损伤了正气，所以行走动作时神情呆滞如痴。《内经》说：突发痉挛、痫证眩晕，足部无力无法支撑身体，应取天柱穴治疗。天柱穴是足太阳膀胱经所发之处，阳痫伴随此经而行。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。洁古老人说：白天发作取阳跷脉的申脉穴，夜间发作取阴跷脉的照海穴。先各灸十四壮。阳跷申脉穴在外踝下，爪甲与白肉交界处的凹陷中；阴跷照海穴在足内踝下的凹陷中。随后给予沉香天麻汤，服用三剂后痊愈。
【沉香天麻汤】
沉香、川乌（炮制，去皮）、益智仁（各二钱）、甘草（一钱半，炙烤）、姜屑（一钱半）、独活（四钱）、羌活（五钱）、天麻、黑附子（炮制，去皮）、半夏（浸泡）、防风（各三钱）、当归（一钱半）。
以上十二味药，捣碎成粗末。每次服用五钱，加水两盏，生姜三片，煎煮至一盏，温服。饭前服用。忌食生冷坚硬食物，避免在寒冷处坐卧。《素问·举痛论》说：恐惧则气机下行，精气枯竭而上焦闭塞。又说：病势从下向上逆行的，用引导疏散的方法祛除。用羌活、独活的苦温之性，气味较薄，属于阴中之阳，能引导气机上行，又入太阳经作为引经药，所以作为君药。天麻、防风辛温以发散邪气；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、益智仁大辛大温，通行阳气消退阴寒，又能治疗客寒伤胃。肾主管五种体液，进入脾脏化为涎液，用生姜、半夏燥湿化痰。《十剂》说：重可去怯，用沉香辛温且质地沉重，能清利气机、去除怯懦、安神定志，所以作为使药。各种药物气味相合，升发阳气、补益胃气，恐惧怯懦之气自然得以平复。
Wei Jingfu's son was four years old. An elder touched the top of his head and bestowed a mark (a religious ritual gesture). The monks chanted mantras. Consequently, he became greatly frightened, leading to fright convulsions, phlegm-saliva obstructing the throat, eyes rolling up showing the whites, stiffness and tension in the neck and back, and sounds in the throat. He regained consciousness after about one incense stick's time. Afterwards, every time he saw someone wearing black clothes, the condition would recur. Previously, he had taken heavy sedative drugs such as Cinnabar (Zhusha), Rhinoceros Horn (Xijiao), Dragon Bone (Longgu), and Musk (Shexiang) for more than forty days, but the previous symptoms persisted, and new symptoms appeared: walking movements were accompanied by a dull, foolish expression. He was then asked to treat him. The pulse was 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 epilepsy, convulsions, and tendon spasms; if the Liver pulse is small and urgent, it also leads to epilepsy, convulsions, and tendon spasms." This is likely because a child's blood and qi are not yet established, and their spirit (Shen) is still weak. Fright causes the spirit to have no foundation, which then disturbs the Liver. The Liver governs the tendons, hence the occurrence of epilepsy, convulsions, and tendon spasms. After the disease has lasted long, the child's Qi is weak, making them prone to both deficiency and excess conditions. The excessive use of heavy, sedative, cold, and cooling medicines further damaged their Qi, resulting in a dull, foolish expression during movement. The *Neijing* states: "Sudden spasms, epilepsy, and dizziness, with feet unable to support the body, should be treated by selecting the Tianzhu (Tian Zhu) acupoint." Tianzhu is where the Foot-Taiyang Bladder Meridian originates, and Yang Epilepsy follows this meridian. It also states: "For epilepsy and convulsions where the patient does not know their suffering, the two Qiao vessels govern it. For males, select the Yang Qiao; for females, the Yin Qiao." Elder Jiegu said: "If attacks occur during the day, select Shenmai (Yang Qiao); if at night, select Zhaohai (Yin Qiao)." First, moxibustion was applied fourteen times to each. The Shenmai acupoint of the Yang Qiao is located in the depression below the lateral malleolus, at the junction of the nail and white flesh. The Zhaohai acupoint of the Yin Qiao is located in the depression below the medial malleolus. Subsequently, Chenxiang Tianma Tang (Agarwood and Gastrodia Decoction) was administered. After three doses, the patient recovered completely.
[Chenxiang Tianma Tang (Agarwood and Gastrodia Decoction)]
Chenxiang (Aquilaria Lignum Resinatum), Chuanwu (Aconiti Radix Praeparata, processed and peeled), Yizhi (Alpiniae Oxyphyllae Fructus) [each 2 qian], Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [1.5 qian], Jiangxie (Zingiberis Rhizoma Recens, sliced), Duhuo (Angelicae Pubescentis Radix) [4 qian], Qianghuo (Notopterygii Rhizoma et Radix) [5 qian], Tianma (Gastrodiae Rhizoma), Heifuzi (Aconiti Lateralis Radix Praeparata, processed and peeled), Banxia (Pinelliae Rhizoma, soaked), Fangfeng (Saposhnikoviae Radix) [each 3 qian], Danggui (Angelicae Sinensis Radix) [1.5 qian].
The above twelve herbs are crushed into coarse powder. Each dose consists of 5 qian, boiled with 2 cups of water and 3 slices of fresh ginger until reduced to 1 cup. Take warm before meals. Avoid raw, cold, hard foods, and sitting or lying in cold places. The *Suwen: Juzhong Lun* (Plain Questions: Discussion on Pain) states: "Fear causes Qi to descend, essence becomes depleted, and the Upper Jiao becomes blocked." It also says: "For conditions rising from below, use guiding and dispersing methods." Qianghuo and Duhuo are bitter and warm, with thin flavors, representing Yang within Yin, guiding Qi upward. They enter the Taiyang meridian as guiding herbs, thus serving as the Sovereign (Jun) herb. Tianma and Fangfeng are acrid and warm to disperse pathogens; Danggui and Gancao are acrid, sweet, and warm to tonify insufficient Qi and Blood and nourish Stomach Qi, thus serving as the Minister (Chen) herbs. Heifuzi, Chuanwu, and Yizhi are highly acrid and warm, promoting Yang and retreating Yin, treating external cold injuring the Stomach. The Kidney governs the five fluids, which transform into saliva in the Spleen. Shengjiang (Fresh Ginger) and Banxia dry dampness and resolve phlegm. The *Shiji* (Ten Categories) states: "Heaviness can remove fear." Chenxiang is acrid, warm, and heavy in texture, clearing Qi, removing timidity, and calming the Spirit, thus serving as the Envoy (Shi) herb. The combined flavors ascend Yang and tonify the Stomach, allowing the fearful and timid Qi to naturally settle.