论曰风者百病之长,善行而数变。小儿气血未定,肌肉脆弱,腠理虚疏。为邪风所中,
以春甲乙得之,则中于肝。以夏丙丁得之,则中于心。以季夏戊己得之,则中于脾。以秋庚
辛得之,则中于肺。以冬壬癸得之,则中于肾。各随其腑脏之俞所中,则为腑脏之风。或客
于皮肤肌肉营卫,或留于筋膜骨髓。随其变化,为病不一。各有间甚之状,大率与大人所得
证候皆同,特小儿之治,分剂多寡瘥殊,宜消息以调之。
治小儿猝中风,状如欲绝。增损续命长理石汤方
长理石(碎) 石膏(碎) 赤石脂(碎) 白脂石(碎) 滑石(碎) 桂(去粗皮)
大黄(
锉炒令香) 麻黄(去根节先煎掠去沫焙) 防风(去叉) 牡蛎(烧碎) 龙骨(碎) 栝
蒌根(锉
各半两) 甘草(炙一两) 寒水石(一分)
上一十四味,粗捣筛。一二岁儿每服一钱匕,水半盏。煎至三分,去滓温服,服后汗出
,以粉敷之。若有热者,增大黄。不汗者,加麻黄。无寒水石以朴硝代之,日三服,量儿大
小,加减服之。
治小儿猝中风恶毒,及久风四肢不随。并 不能行步。续命汤方
麻黄(去根节先煎掠去沫焙二两) 甘草(炙半两) 黄芩(去黑心一两) 石膏(一
分) 芎
(半两) 桂(去粗皮半两) 杏仁(十枚汤退去皮尖双仁麸炒令熟) 葛根(锉半两) 升
麻(半两) 当归(切焙半两) 独活(去芦头半两) 人参(一分)
上一十二味,粗捣筛。三四岁儿,每服一钱匕,水七分,煎至四分去滓,连夜三四服,
量儿大小,加减服之,汗出以粉敷之,避风。
治小儿风痱不能语,口眼 斜,四肢不随。石膏汤方
石膏(碎一两) 麻黄(去根节先煎掠去沫焙一两) 甘草(炙半两) 射干(半两) 桂
(去
粗皮半两) 芍药(半两)细辛(去苗叶一分) 当归(切焙半两)
上八味,粗捣筛。一二岁儿,每服一钱匕。水半盏,煎至三分,去滓温服,日三,量儿
大小加减服。
治小儿中风,手足拘急。石膏汤方
石膏(研三分) 真珠末(水飞过一两)
上二味,同研匀细为末,三四岁儿。每服一钱匕,水七分,煎至四分,去滓温服,日三,
量儿大小,以意加减。
治小儿中风,筋脉拘急,或手足螈 等。羌活散方
羌活(去芦头三分) 芎 (三分) 防风(去叉三分) 天麻(半两) 白附子(一
分) 麻黄
(去根节先煎掠去沫焙半两) 当归(炙干切焙三分) 甘草(炙一两)
上八味,捣罗为散。一二岁儿每服半钱匕,乳汁调服。三四岁儿服一钱匕,日三服。如
无乳,熟水调服亦得,量儿大小,加减服之。乳母亦用暖酒调下一钱匕。
治小儿新生,肌肤嫩弱。喜为风邪所中,身体热,或中大风,手足惊掣。甘草摩膏方
甘草(炙) 防风(去叉各一两) 白术 桔梗(各三分) 雷丸(二两半)
上五味,捣罗为粗末,用不入水猪脂一斤。锅内火上先炼过。去滓入诸药末,更煎令成
膏。新绵滤去滓,入瓷合内贮之,每用特取少许。炙手以膏摩之,百度效。小儿无病,每日
以膏摩囟上,及手足心良,辟风寒也。
治小儿中风。蓖麻散方
蓖麻子(二十枚去皮别研) 天浆子(去壳一十枚) 生蝎(三十枚) 石榴(一枚取
却石榴
子及七分
盛三味药在内作泥裘固济烧令通赤候药香气出即熟取出打破裘便捣罗为末入后药三味) 天
南星 半夏 白附子(各一分半)
上七味,将后药三味,并生用捣罗为散。与前药相和,研令匀,酒调下一字,重者不过
两服。
治小儿汗出中风,一日儿头颈腰背热。二日即腹热,手足不屈,宜服。慎火草散方
慎火草(干者半两景天草是也) 丹参 麻黄(去根节先煎掠去沫焙) 白术(各一分)
上四味,捣罗为散。一二岁儿每服半钱匕,浆水调服。三四岁儿服一钱匕,日三服,量
儿大小加减。
治新生小儿中风。麝香散方
麝香(细研一分) 驴 头毛(手大指大一把)
上二味,以乳汁和驴毛,令得所。于铜器中,微火炒令焦。取出与麝香同研,令如粉,
每服一字,乳汁调下,连夜三服。
治小儿中风,口眼牵急。丹砂丸方
丹砂(研) 干蝎(去足微炒) 白僵蚕(微炒) 天南星(炮裂各半两) 白附子(一
分)
上五味,捣罗四味为末。入丹砂研令匀。面糊和丸,如绿豆大,一岁儿服一丸,薄荷汤
下。
治小儿中风,四肢拘挛,心神烦乱,不得睡卧。独活汤方
独活(去芦头一分) 黄 (锉一两) 防风(去叉三分) 白藓皮(三分) 茯神(去
木一两) 羚羊角(屑三分) 桂(去粗皮半两) 酸枣仁(一两) 甘草(炙半两)
上九味,粗捣筛。每服一钱匕。水七分,煎至四分去滓,量儿大小,以意加减服之。
治小儿中风,口眼 斜,发歇不定。神识昏昧。紫金丹方
草乌头(一分炭火内烧存性) 天南星(一分炭火内烧存一半性) 丹砂(研三钱) 蜈
蚣(
一条赤足全者炙) 白花蛇(生取肉焙干) 蝎梢(炒) 牛黄(研) 麝香(研) 乳香
(盏子内熔
过研各一钱)
上九味,先将五味,捣罗为细末,入研者药合研匀,用酒煮面糊和丸,如麻子黍米大。
量儿大小,每服三丸至五丸,煎桃符汤下,急惊风、研服。
治小儿中风痉,身背强直,牙关紧急。螳螂丸方
螳螂(一枚大者去翅足炒干) 棘刚子(去皮三十枚) 乌头(炮裂去皮脐二枚) 天
南星(
中者炮一枚) 防风(去叉一分) 细辛(去苗叶一钱) 干蝎(炒一钱) 白附子(大者
一枚)
丹砂(研一分) 麝香(研半钱)
上一十味,捣研为细末。用石脑油为丸。如绿豆大,每服一丸,至二丸。薄荷水化下,
不计时候,如小儿目睛上视,口噤不开,用醋化一丸,灌入鼻中,男左女右灌之。
治小儿中风痉,颈项强直,及风痫潮发。牛黄丸方
牛黄(研) 丹砂(研) 天竺黄(研) 蝎梢 白僵蚕 天南星 白附子(各一分)
上七味,并生用。捣研令细,炼蜜丸如梧桐子大,每服金银薄荷汤,化下一丸至二丸服
之。
治小儿中风天 ,惊邪风痫。白僵蚕丸方
白僵蚕(炒一两) 干蝎(炒一分) 白附子(炮一两) 天南星(炮裂半两) 乌蛇
(酒炙令
香熟去骨半两)
上五味,捣罗为末。粳米饭为丸,如麻子大。一二岁儿,每服三丸,以温酒下,连夜三
服,随儿岁数,以意加减服之。
论述说:风邪是各种疾病的先导,善于游走且变化迅速。小儿气血尚未稳固,肌肉脆弱,腠理(皮肤纹理及汗孔)空虚疏松。被邪风侵袭,如果在春季甲乙日得病,则风邪中于肝;在夏季丙丁日得病,则风邪中于心;在长夏戊己日得病,则风邪中于脾;在秋季庚辛日得病,则风邪中于肺;在冬季壬癸日得病,则风邪中于肾。各随其脏腑的俞穴所中,就称为脏腑之风。或者客居于皮肤、肌肉、营卫之间,或者留滞在筋膜、骨髓之中。随着病情的变化,产生的病症各不相同。各有轻重缓急的表现,大体上与成人所得的证候相同,只是小儿的治疗,药量的多少差异很大,应当斟酌调整来治疗。
治疗小儿突然中风,症状如同濒死。增损续命长理石汤方
长理石(捣碎)、石膏(捣碎)、赤石脂(捣碎)、白脂石(捣碎)、滑石(捣碎)、桂枝(去除粗皮)、大黄(锉碎炒至香气溢出)、麻黄(去除根节,先煎煮撇去浮沫,焙干)、防风(去除叉状分枝)、牡蛎(烧后捣碎)、龙骨(捣碎)、栝楼根(锉碎)、各半两、甘草(炙制一两)、寒水石(一分)。
以上十四味药,粗捣筛过。一至二岁的幼儿,每次服用一钱匕,用水半盏。煎煮至剩余三分之一的药液,滤去药渣,温服。服药后若出汗,用爽身粉敷身。若有热象,增加大黄的用量;若不出汗,增加麻黄的用量。若无寒水石,可用朴硝代替,每日三次服用,根据幼儿大小,加减剂量服用。
治疗小儿突然中风恶毒之症,以及久风导致四肢不能随意活动,并无法行走。续命汤方
麻黄(去除根节,先煎煮撇去浮沫,焙干,二两)、甘草(炙制,半两)、黄芩(去除黑心部分,一两)、石膏(一分)、川芎(半两)、桂枝(去除粗皮,半两)、杏仁(十枚,汤退去皮尖,双仁者麸炒至熟)、葛根(锉碎,半两)、升麻(半两)、当归(切块焙干,半两)、独活(去除芦头,半两)、人参(一分)。
以上十二味药,粗捣筛过。三至四岁的幼儿,每次服用一钱匕,用水七分,煎煮至剩余四分之一的药液,滤去药渣,连夜服用三四次,根据幼儿大小,加减剂量服用。服药后出汗,用爽身粉敷身,注意避风。
治疗小儿风痱导致不能言语,口眼歪斜,四肢不能随意活动。石膏汤方
石膏(捣碎,一两)、麻黄(去除根节,先煎煮撇去浮沫,焙干,一两)、甘草(炙制,半两)、射干(半两)、桂枝(去除粗皮,半两)、芍药(半两)、细辛(去除苗叶,一分)、当归(切块焙干,半两)。
以上八味药,粗捣筛过。一至二岁的幼儿,每次服用一钱匕。用水半盏,煎煮至剩余三分之一的药液,滤去药渣,温服,每日三次,根据幼儿大小加减剂量服用。
治疗小儿中风,手足拘挛紧急。石膏汤方
石膏(研细,三分)、真珠末(水飞法处理,一两)。
以上两味药,共同研匀成细末。三至四岁的幼儿,每次服用一钱匕,用水七分,煎煮至剩余四分之一的药液,滤去药渣,温服,每日三次,根据幼儿大小,酌情加减剂量服用。
治疗小儿中风,筋脉拘挛紧急,或手足抽搐等症。羌活散方
羌活(去除芦头,三分)、川芎(三分)、防风(去除叉状分枝,三分)、天麻(半两)、白附子(一分)、麻黄(去除根节,先煎煮撇去浮沫,焙干,半两)、当归(炙干切块焙干,三分)、甘草(炙制,一两)。
以上八味药,捣碎过罗制成散剂。一至二岁的幼儿每次服用半钱匕,用乳汁调服。三至四岁的幼儿服用一钱匕,每日三次。如果没有乳汁,用熟水调服也可以,根据幼儿大小,加减剂量服用。乳母也应用暖酒调服一钱匕。
治疗新生儿,肌肤嫩弱。喜欢被风邪侵袭,身体发热,或者遭受大风侵袭,手足惊厥抽搐。甘草摩膏方
甘草(炙制)、防风(去除叉状分枝,各一两)、白术、桔梗(各三分)、雷丸(二两半)。
以上五味药,捣碎过罗成粗末,用未经水洗过的猪脂一斤。先在锅内火上炼过。滤去药渣,加入诸药末,再煎煮成膏。用新棉过滤去渣,装入瓷盒内储存。每次取少许,加热手掌后用膏按摩,多次使用有效。幼儿无病时,每天用此膏按摩囟门及手足心,效果良好,可辟除风寒。
治疗小儿中风。蓖麻散方
蓖麻子(二十枚,去皮另研)、天浆子(去壳,十枚)、生蝎(三十枚)、石榴(一枚,取出石榴子及七分之二的果肉,将上述三种药放入其中,做成泥封固,烧至通红,待药气冒出即熟,取出打破泥封,便捣罗成末,加入后三种药):天南星、半夏、白附子(各一分半)。
以上七味药,将后三种药,全部生用,捣罗成散剂。与前药混合,研磨均匀,用酒调服一字量,重症不超过两次服用。
治疗小儿出汗后中风,第一天幼儿头颈腰背发热。第二天腹部发热,手足不能弯曲,适宜服用。慎火草散方
慎火草(干燥者,半两,即景天草)、丹参、麻黄(去除根节,先煎煮撇去浮沫,焙干)、白术(各一分)。
以上四味药,捣罗成散剂。一至二岁的幼儿每次服用半钱匕,用浆水调服。三至四岁的幼儿服用一钱匕,每日三次,根据幼儿大小加减剂量。
治疗新生儿中风。麝香散方
麝香(细研,一分)、驴鬃毛(手大拇指大的一把)。
以上两味药,用乳汁调和驴毛,使其适宜。在铜器中,用微火炒至焦。取出与麝香一同研磨,令其如粉末状,每次服用一字量,用乳汁调下,连夜服用三次。
治疗小儿中风,口眼牵引紧急。丹砂丸方
丹砂(研细)、干蝎(去除足,微炒)、白僵蚕(微炒)、天南星(炮裂,各半两)、白附子(一分)。
以上五味药,捣罗前四种药成末。加入丹砂研磨均匀。用面糊和丸,如绿豆大小,一岁幼儿服用一丸,薄荷汤送下。
治疗小儿中风,四肢拘挛,心神烦乱,不得睡卧。独活汤方
独活(去除芦头,一分)、黄芪(锉碎,一两)、防风(去除叉状分枝,三分)、白鲜皮(三分)、茯神(去除木心,一两)、羚羊角(镑屑,三分)、桂枝(去除粗皮,半两)、酸枣仁(一两)、甘草(炙制,半两)。
以上九味药,粗捣筛过。每次服用一钱匕。用水七分,煎煮至剩余四分之一的药液,滤去药渣,根据幼儿大小,酌情加减剂量服用。
治疗小儿中风,口眼歪斜,发作不定。神识昏昧。紫金丹方
草乌头(一分,炭火内烧存性)、天南星(一分,炭火内烧存一半性)、丹砂(研细,三钱)、蜈蚣(一条,赤足全者,炙烤)、白花蛇(生取肉焙干)、蝎梢(炒)、牛黄(研细)、麝香(研细)、乳香(在盏子内熔化过,研细,各一钱)。
以上九味药,先将前五味药,捣罗成细末,加入已研细的药混合研磨均匀,用酒煮面糊和丸,如麻子黍米大小。根据幼儿大小,每次服用三丸至五丸,煎桃符汤送下,急惊风则研碎服用。
治疗小儿中风痉,身体背部强直,牙关紧急。螳螂丸方
螳螂(一枚大的,去除翅足炒干)、棘刚子(去皮,三十枚)、乌头(炮裂,去皮脐,二枚)、天南星(中等大小,炮制一枚)、防风(去除叉状分枝,一分)、细辛(去除苗叶,一钱)、干蝎(炒,一钱)、白附子(大的,一枚)、丹砂(研细,一分)、麝香(研细,半钱)。
以上十味药,捣研成细末。用石脑油为丸。如绿豆大小,每次服用一丸至二丸。用薄荷水化开送下,不限时候。如果幼儿眼睛上视,牙关紧闭不开,用醋化开一丸,灌入鼻中,男左女右灌之。
治疗小儿中风痉,颈项强直,以及风痫潮发。牛黄丸方
牛黄(研细)、丹砂(研细)、天竺黄(研细)、蝎梢、白僵蚕、天南星、白附子(各一分)。
以上七味药,全部生用。捣研令细,炼蜜为丸如梧桐子大小,每次服用金银薄荷汤,化开一丸至二丸服用。
治疗小儿中风天钓,惊邪风痫。白僵蚕丸方
白僵蚕(炒,一两)、干蝎(炒,一分)、白附子(炮制,一两)、天南星(炮裂,半两)、乌蛇(酒炙令香熟,去骨,半两)。
以上五味药,捣罗成末。用粳米饭为丸,如麻子大小。一至二岁的幼儿,每次服用三丸,用温酒送下,连夜服用三次,根据幼儿岁数,酌情加减剂量服用。
Commentary states: Wind pathogen is the leader of all diseases, capable of moving freely and changing rapidly. Children's qi and blood are not yet settled, their muscles are fragile, and their cou li (skin texture and pores) are loose and sparse. When struck by evil wind, if contracted on Jia-Yi days in spring, the wind strikes the Liver; if contracted on Bing-Ding days in summer, it strikes the Heart; if contracted on Wu-Ji days in late summer, it strikes the Spleen; if contracted on Geng-Xin days in autumn, it strikes the Lung; if contracted on Ren-Gui days in winter, it strikes the Kidney. Depending on which Zang-Fu organ's Shu point is affected, it becomes Wind of the Zang-Fu organs. It may lodge in the skin, muscles, Ying (Nutritive) and Wei (Defensive), or remain in the tendons, fascia, and bone marrow. Following its changes, the resulting diseases vary. Each has manifestations of severity and remission, generally similar to the syndromes seen in adults, but the dosage for children differs significantly; thus, one must exercise discretion to adjust the treatment.
For treating sudden wind stroke in children, presenting with symptoms resembling near-death: Zengsun Xuming Changlishi Tang Formula (Modified Cinnamon Twig Decoction with Longli Stone).
Changlishi (Longli Stone, crushed), Shigao (Gypsum Fibrosum, crushed), Chishizhi (Red Halloysitum, crushed), Baizhishi (White Halloysitum, crushed), Huashi (Talcum, crushed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried until fragrant), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried), Fangfeng (Saposhnikoviae Radix, forked parts removed), Muli (Ostreae Concha, calcined and crushed), Longgu (Fossilia Ossis Mastodi, crushed), Gualougen (Trichosanthis Radix, cut), each half liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang); Hanshuishi (Aqua Frigida Saxum, 1 fen).
The above fourteen ingredients are coarsely pounded and sieved. For infants aged one to two years, administer one qianbi per dose with half a zhan of water. Decoct until one-third remains, strain, and take warm. After administration, if sweating occurs, apply powder to the body. If heat signs are present, increase the dosage of Dahuang; if no sweating occurs, increase the dosage of Mahuang. If Hanshuishi is unavailable, Puxiao (Natrii Sulfas) may be used as a substitute. Take three times daily, adjusting the dose according to the child's size.
For treating severe toxic wind stroke in children, as well as chronic wind causing immobility of the four limbs and inability to walk: Xuming Tang Formula (Cinnamon Twig Decoction).
Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang), Huangqin (Scutellariae Radix, black heart removed, 1 liang), Shigao (Gypsum Fibrosum, 1 fen), Xiong (Ligustici Chuanxiong Rhizoma, half liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Xingren (Armeniacae Semen Amarum, ten kernels, blanched, skins and tips removed, bran-fried until cooked), Gegen (Puerariae Radix, cut, half liang), Shengma (Cimicifugae Rhizoma, half liang), Danggui (Angelicae Sinensis Radix, sliced and dried, half liang), Duhuo (Angelicae Pubescentis Radix, rhizome removed, half liang), Renshen (Ginseng Radix, 1 fen).
The above twelve ingredients are coarsely pounded and sieved. For children aged three to four years, administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and take three to four times overnight. Adjust the dose according to the child's size. After sweating, apply powder and avoid wind.
For treating wind fei in children leading to aphasia, facial paralysis (deviation of mouth and eyes), and immobility of the four limbs: Shigao Tang Formula (Gypsum Decoction).
Shigao (Gypsum Fibrosum, crushed, 1 liang), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang), Shegan (Belamcandae Rhizoma, half liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Shaoyao (Paeoniae Radix, half liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 1 fen), Danggui (Angelicae Sinensis Radix, sliced and dried, half liang).
The above eight ingredients are coarsely pounded and sieved. For infants aged one to two years, administer one qianbi per dose with half a zhan of water. Decoct until one-third remains, strain, and take warm, three times daily. Adjust the dose according to the child's size.
For treating wind stroke in children with spasticity and tightness of hands and feet: Shigao Tang Formula (Gypsum Decoction).
Shigao (Gypsum Fibrosum, ground, 3 fen), Zhenzhumo (Pearl Powder, water-washed, 1 liang).
The above two ingredients are ground together into a fine powder. For children aged three to four years, administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and take warm, three times daily. Adjust the dose according to the child's size at one's discretion.
For treating wind stroke in children with tendon and vessel spasticity, or convulsions of the hands and feet: Qianghuo San Formula (Notopterygii Radix Powder).
Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed, 3 fen), Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Fangfeng (Saposhnikoviae Radix, forked parts removed, 3 fen), Tianma (Gastrodiae Rhizoma, half liang), Baifuzi (Typhonii Rhizoma, 1 fen), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried, half liang), Danggui (Angelicae Sinensis Radix, honey-fried, dried, sliced, and baked, 3 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang).
The above eight ingredients are pounded and sifted into a powder. For infants aged one to two years, administer half a qianbi per dose, mixed with milk. For children aged three to four years, administer one qianbi per dose, three times daily. If milk is unavailable, boiled water may be used. Adjust the dose according to the child's size. The nursing mother should also take one qianbi mixed with warm wine.
For newborns with tender and weak skin prone to wind pathogen invasion, presenting with fever, or severe wind strike causing convulsive twitching of hands and feet: Gancao Mo Gao Formula (Licorice Massage Ointment).
Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Fangfeng (Saposhnikoviae Radix, forked parts removed, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Jiegeng (Platycodonis Radix, each 3 fen), Leiwan (Wormwood Fruit, 2.5 liang).
The above five ingredients are pounded into a coarse powder. Use one jin of unwatered pig lard. Render it in a pot over fire first. Strain out the dregs, add the herb powders, and simmer into an ointment. Filter through new cotton to remove residues, store in a porcelain jar. Apply a small amount warmed in the hand for massage; repeated use is effective. For healthy infants, massaging the fontanelle and palms/soles daily with this ointment is beneficial for warding off wind and cold.
For treating wind stroke in children: Bisma San Formula (Castor Bean Powder).
Bismazi (Ricini Semen, twenty kernels, skin removed and separately ground), Tianjiangzi (Tianjiangzi, shell removed, ten kernels), Shexie (Scorpio, thirty live ones), Shiliu (Punica Granatum, one fruit; remove seeds and two-sevenths of flesh, place the three herbs inside, seal with mud, bake until red-hot, wait until herbal aroma emerges, then remove, break open, and grind into powder, adding the following three herbs): Tiannanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Baifuzi (Typhonii Rhizoma, each 1.5 fen).
The above seven ingredients: Grind the latter three herbs (Tiannanxing, Banxia, Baifuzi) raw into a powder. Mix with the previous powder, grind evenly, and take one zi dose mixed with wine. For severe cases, do not exceed two doses.
For treating wind stroke after sweating in children, with fever in the head, neck, waist, and back on the first day, and abdominal fever with flexion contracture of limbs on the second day: Shenhuo Cao San Formula (Caution Fire Grass Powder).
Shenhuo Cao (Dried, half liang, i.e., Jingtian Cao/Houttuyniae Herba), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba, roots and joints removed, decocted first, foam skimmed off, dried), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 fen).
The above four ingredients are pounded and sifted into a powder. For infants aged one to two years, administer half a qianbi per dose mixed with jiangshui (fermented grain water). For children aged three to four years, administer one qianbi per dose, three times daily. Adjust the dose according to the child's size.
For treating wind stroke in newborns: Shexiang San Formula (Musk Powder).
Shexiang (Moschus, finely ground, 1 fen), Lvmao (Donkey Hair, a handful the size of a human thumb).
The above two ingredients: Mix donkey hair with milk to moisten appropriately. Stir-fry in a copper vessel over low heat until scorched. Remove and grind together with musk until powdery. Take one zi dose mixed with milk, administered three times overnight.
For treating wind stroke in children with traction and tightness of the mouth and eyes: Dansha Wan Formula (Cinnabar Pill).
Dansha (Cinnabar, ground), Ganxie (Dry Scorpion, legs removed, lightly fried), Baijiangcan (Bombyx Batryticatus, lightly fried), Tiannanxing (Arisaematis Rhizoma, roasted until cracked, each half liang), Baifuzi (Typhonii Rhizoma, 1 fen).
The above five ingredients: Grind the first four into powder. Add Dansha and grind evenly. Bind with wheat paste into pills the size of mung beans. One-year-old infants take one pill, washed down with Bohe Tang (Mint Decoction).
For treating wind stroke in children with limb spasms, mental restlessness, and insomnia: Duhuo Tang Formula (Angelica Pubescens Decoction).
Duhuo (Angelicae Pubescentis Radix, rhizome removed, 1 fen), Huangqi (Astragali Radix, cut, 1 liang), Fangfeng (Saposhnikoviae Radix, forked parts removed, 3 fen), Baixianpi (Dictamni Cortex, 3 fen), Fushen (Poria with Hostwood, wood removed, 1 liang), Lingyangjiao (Saiga Tatarica Cornu, shaved, 3 fen), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Suanzaoren (Ziziphi Spinosae Semen, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half liang).
The above nine ingredients are coarsely pounded and sieved. Administer one qianbi per dose with seven-tenths of a zhan of water. Decoct until one-fourth remains, strain, and adjust the dose according to the child's size.
For treating wind stroke in children with deviation of mouth and eyes, intermittent attacks, and clouded consciousness: Zijin Dan Formula (Purple Gold Elixir).
Caowutou (Aconiti Kusnezoffii Radix, 1 fen, roasted in charcoal fire until character remains), Tiannanxing (Arisaematis Rhizoma, 1 fen, roasted in charcoal fire until half character remains), Dansha (Cinnabar, ground, 3 qian), Wugong (Scolopendra, one whole red-legged specimen, roasted), Baihuashe (Deinagkistrodon Acutus, fresh meat baked dry), Xeshao (Scorpion tail, fried), Niuhuang (Calculus Bovis, ground), Shexiang (Moschus, ground), Ruxiang (Olibanum, melted in a cup and ground, each 1 qian).
The above nine ingredients: First, pound the first five into fine powder. Mix with the ground ingredients and grind evenly. Bind with flour paste made by boiling in wine into pills the size of sesame or millet grains. Adjust the dose according to the child's size, taking three to five pills per dose, washed down with Taofu Tang (Peach Charm Decoction). For acute convulsive wind, grind and take.
For treating wind stroke jing (spasm) in children with rigid back and jaw lock: Tanglang Wan Formula (Mantis Pill).
Tanglang (Mantis Egg Case, one large one, wings and legs removed, dried by frying), Jigangzi (Jigangzi, peeled, thirty kernels), Wutou (Aconiti Lateralis Radix Praeparata, roasted, skin and navel removed, two kernels), Tiannanxing (Arisaematis Rhizoma, medium size, roasted, one kernel), Fangfeng (Saposhnikoviae Radix, forked parts removed, 1 fen), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed, 1 qian), Ganxie (Dry Scorpion, fried, 1 qian), Baifuzi (Typhonii Rhizoma, one large one), Dansha (Cinnabar, ground, 1 fen), Shexiang (Moschus, ground, half qian).
The above ten ingredients are pounded and ground into fine powder. Form pills using Naohyou (Petroleum Ether/Oil) the size of mung beans. Take one to two pills per dose, dissolved in Bohe Shui (Mint Water), at any time. If the child's eyes roll up and the jaw is locked, dissolve one pill in vinegar and instill into the nostrils (left for males, right for females).
For treating wind stroke jing (spasm) in children with stiff neck and wind epilepsy seizures: Niuhuang Wan Formula (Calculus Bovis Pill).
Niuhuang (Calculus Bovis, ground), Dansha (Cinnabar, ground), Tianzhuhuang (Bambusae Tabulae Resina, ground), Xeshao (Scorpion tail), Baijiangcan (Bombyx Batryticatus), Tiannanxing (Arisaematis Rhizoma), Baifuzi (Typhonii Rhizoma, each 1 fen).
The above seven ingredients are all used raw. Pound and grind finely. Bind with refined honey into pills the size of paulownia seeds. Take one to two pills dissolved in Yinjin Bohe Tang (Silver and Mint Decoction) per dose.
For treating wind stroke tian diao (convulsive tilt), fright evil, and wind epilepsy in children: Baijiangcan Wan Formula (Silkworm Pill).
Baijiangcan (Bombyx Batryticatus, fried, 1 liang), Ganxie (Dry Scorpion, fried, 1 fen), Baifuzi (Typhonii Rhizoma, roasted, 1 liang), Tiannanxing (Arisaematis Rhizoma, roasted until cracked, half liang), Wushe (Agkistrodon, wine-roasted until fragrant and cooked, bones removed, half liang).
The above five ingredients are pounded into powder. Bind with glutinous rice porridge into pills the size of sesame seeds. For infants aged one to two years, take three pills per dose, washed down with warm wine, three times overnight. Adjust the dose according to the child's age at one's discretion.