论曰小儿病口眼相引，目睛上摇，手足掣纵，背脊强直，颈项反折者，痫病也。十岁以
上，得之曰癫，十岁以下，得之曰痫。痫谓邪气乘间而作也，或因衣浓汗出遇风，则为风痫
，或因惊怖大啼，则为惊痫，或因乳食不节，则为食痫，因此三种，变作诸痫。发则手足掣
缩，
治小儿诸痫，吐利寒热。芍药汤方
芍药 黄芩（去黑心） 大黄（锉炒） 当归（切焙） 栝蒌根 甘草（炙锉） 桂（去
粗皮）
麻黄（去节各
上一十二味，粗捣筛，再研令匀，一二岁儿每服半钱匕，水半盏，入枣一枚擘，煎至三
分，去滓温服，日三，随儿大小，以意增减。
治小儿诸痫，掣 吐舌。甘草汤方
甘草（炙锉） 钩藤 栝蒌根 黄芩（去黑心） 独活（去芦头） 桂（去粗皮） 芍
药当归
上一十一味，粗捣筛，三五岁儿，每服一钱匕，水一盏，煎至五分，去滓热服，日三，
随儿大小，以意加减。
治小儿诸痫，乍差乍发。蚱蝉丸方
蚱蝉（炙去翅足一枚） 大黄（煨锉） 石膏（碎） 柴胡（去苗各一两） 牛黄（研）
龙齿（
仁麸炒） 龙胆（
上一十四味，捣研为末，炼蜜和丸，如梧桐子大，一岁儿每服一丸、与服。
治小儿一岁至十岁，发痫成癫，发动无时，口吐白沫，遗失大小便。丹砂丸方
丹砂（研） 天麻 露蜂房（微炙） 麻黄（去节） 黄芩（去黑心） 钩藤（各半两）
甘草（
一两） 银薄（十片细
麻雷丸（炒） 沙参（各三分） 石膏（研一两一分） 蛇蜕皮
辛（去苗叶） 牛黄（研各一分）
上二十五味，捣研为末，炼蜜为丸，如绿豆大，一岁儿每服三丸，用米饮下，空心午间
临卧各一服。
治小儿诸般痫疾，口出白沫。黄芩丸方
黄芩（去黑心） 栀子仁 犀角（镑各一分） 麝香（研一钱） 虎睛（研一只）
上五味，捣罗为末，研细，炼蜜和丸，如绿豆大，每服一岁至二岁儿三丸。三岁至五岁
儿五丸，并米饮下，日四服，更量大小加减。
治五六岁儿壮热发痫。五痫汤方
大黄（锉炒） 石膏（研各一两） 蚱蝉（微炙三枚） 柴胡（去苗） 升麻 栀子仁 麻
黄（
寸炙黄） 露蜂
上一十四味，粗捣筛，一二岁儿每服一钱匕，水半小盏，煎至三分，入竹沥半合，更煎
一两沸，去滓分温三服，至夜服尽，随儿大小，以意加减。
治小儿六七岁，发痫壮热。麻黄汤方
麻黄（去节一两一分） 钩藤皮（一两） 杏仁（汤浸去皮尖双仁麸炒） 芍药 桂（去
粗皮）
上八味，粗捣筛，每服一钱匕，水一盏，煎至五分，去滓分温二服，日四，随儿大小，
以意加减。
治小儿发痫，手足掣 ，十指战掉，舌本肿强。独活汤方
独活（去芦头） 人参（各半两） 大黄（锉炒一两） 麻黄（去节一分）
上四味，粗捣筛，一二岁儿每服半钱匕，水半小盏，煎至三分，去滓温服，连夜三四服
，随儿大小，以意加减。
治小儿诸痫。石膏崇命汤方
石膏（研） 黄芩（去黑心） 芍药（各一分） 桂（去粗皮） 细辛（去苗叶） 龙
骨（研） 当
三分） 甘草（炙一两）
上一十三味，粗捣筛，一二岁儿每服半钱匕，水半盏，入枣一枚擘，同煎至三分，去滓
温服，至夜三四服，随儿大小，以意增减。
治小儿诸痫。当归汤方
当归（切焙） 龙骨（研各半分） 甘草（炙三分） 大黄（锉炒） 芍药 干姜（炮）
石膏（
上十一味，粗捣筛，五岁儿每服一钱匕，水一小盏，入枣二枚擘，同煎至五分，去滓分
温二服，日三，服后泻者，加赤石脂一分，若有热惊者，加黄芩，（去黑心半两） 随儿大
小
治小儿诸痫。竹沥汤方
竹沥（一合） 黄芩（去黑心一两一分） 防己 茵芋（去粗茎） 桑寄生 羚羊角（镑
各一
上一十一味，除竹沥外，粗捣筛，每服一钱匕，水一小盏，煎至五分，去滓入竹沥半合
，分温三服，至夜服尽，量儿大小，以意加减。
治未盈月及出月儿，壮热发痫。柴胡汤方
柴胡（去苗） 升麻 黄芩（去黑心） 甘草（炙赤） 大黄（锉炒令香各半两） 石
膏（碎三
上九味，粗捣筛，每服一钱匕，水一小盏，煎至半盏，去滓入竹沥半合，更煎一两沸，
半月至一月儿，斟酌与之，稍大以意增加，若连发不止，加麻黄去节一分。
治小儿五十日发痫，诸药无效。蚱蝉汤方
蚱蝉（去翅足微炙） 芍药（各三分） 钩藤 细辛（去苗叶） 黄芩（去黑心） 黄
（锉）
两一分） 蛇蜕（二寸炙
上一十一味，粗捣筛九味，入牛黄麝香拌匀，每服半钱量儿大小，以意加减。
治癫痫欲发，目暗螈 ，恶声嚼舌吐沫。雌黄丸方
雌黄 铅丹（微炒各一两） 麝香（一钱）
上三味，同研令匀，用牛乳半升，熬成膏，丸如绿豆大，每服三丸，温水下、日三。如
无牛乳，羊乳亦得。
治小儿膈上有痰，发痫掣 。牛黄煎方
牛黄（研半钱） 人参（半两） 生犀末 硼砂（研） 白茯苓（去黑心） 薄荷 乳
香（研）
上一十二味，捣研为末，用蜜于银器内，熬成煎，每服皂子大，煎人参汤化，日三。
治时发惊风，变成痫疾。吐涎散方
腻分（一两） 猪牙皂荚末（一分）
上二味，细研令匀，每服半钱，生油一橡斗，水半盏，同调匀，分二服，以吐为度。
治小儿吐利发痫病，吐舌掣缩。方
钩藤 黄芩（去黑心） 甘草（炙各半两） 石膏（碎） 龙齿（各一两） 升麻（三
分） 蚱蝉
上七味，粗捣筛，每服一钱匕，以水七分，入竹叶三片，同煎取四分，去滓分温三服，
至夜令尽，七岁全剂，三四岁只半剂。
治小儿五种痫，牛痫即牛声，马痫即马嘶，狗痫、即狗吠，羊痫、则羊鸣。鸡痫、则鸡
鸣。瘥而复作。雄黄丸方
雄黄（研） 水银（各二两） 铅（熬成汁与水银结作沙子三两） 真珠末（细研一两）
丹砂
上五味，同细研为末，炼蜜和丸，如绿豆大，每服四丸，金银薄荷汤下，日再服。
治小儿五种痫，手足动摇，眼目反视，口吐涎沫，心神喜惊，身体壮热。牛黄散方
牛黄（研） 丹砂（研） 白蔹 露蜂房（微炒） 杏仁（汤浸去皮尖双仁麸炒黄各一
分） 桂
上六味，捣研为散拌匀，每服乳汁调下一字匕，日四五服，量儿大小加减。
治小儿诸痫退后不能言。排关散方
天南星（炮）
上一味，捣为细散，每服一字匕， 猪胆汁调下，咽入喉中，即能言，量儿大小加
减
论述说：小儿出现口眼歪斜牵引、眼球上翻摇动、手足抽搐伸展、背部脊柱强直、颈项向后反折的症状，这就是痫病。十岁以上的患儿，称为癫；十岁以下的患儿，称为痫。“痫”是指邪气趁虚而入而发作的疾病，有的因为穿衣过厚出汗后受风，就形成风痫；有的因为受到惊吓恐惧大声啼哭，就形成惊痫；有的因为乳食没有节制，就形成食痫。由这三种情况变化，演变成各种痫病。发作时手足抽搐收缩，治疗小儿各种痫病，伴有呕吐腹泻、寒热交替症状的芍药汤方：
芍药、黄芩（去除黑色中心部分）、大黄（切碎炒制）、当归（切片焙干）、栝蒌根、甘草（炙烤后切碎）、桂枝（去除粗皮）、麻黄（去除节段，以上各一两）。
以上十二味药，粗捣筛碎，再研磨均匀。一至两岁的幼儿，每次服用半钱匕的量，用水半盏，加入一枚掰开的枣，煎煮至剩余三分之一的药液，滤去药渣，温服，每日三次，根据孩子的大小，酌情增减剂量。
甘草（炙烤后切碎）、钩藤、栝蒌根、黄芩（去除黑色中心部分）、独活（去除芦头）、桂枝（去除粗皮）、芍药、当归（以上各一两）。
以上十一味药，粗捣筛碎。三至五岁的幼儿，每次服用一钱匕的量，用水一盏，煎煮至剩余五分之二药液，滤去药渣，热服，每日三次，根据孩子的大小，酌情加减剂量。
蚱蝉（炙烤后去除翅膀和足，一枚）、大黄（煨制后切碎）、石膏（捣碎）、柴胡（去除苗茎，以上各一两）、牛黄（研细）、龙齿（捣碎）、杏仁（麸皮炒制）、龙胆草（以上各一两）。
以上十四味药，捣碎研磨成粉末，用炼蜜调和制成丸药，大小如梧桐子。一岁的幼儿每次服用一丸，给予服用。
治疗小儿一岁至十岁，发作痫病转为癫病，发作时间不定，口吐白沫，大小便失禁的丹砂丸方：
丹砂（研细）、天麻、露蜂房（轻微炙烤）、麻黄（去除节段）、黄芩（去除黑色中心部分）、钩藤（以上各半两）、甘草（炙烤，一两）、银箔（十片，细研）、麻雷丸（炒制）、沙参（以上各三分）、石膏（研细，一两一分）、蛇蜕皮（炙烤，二寸）、细辛（去除苗叶）、牛黄（研细，以上各一分）。
以上二十五味药，捣碎研磨成粉末，用炼蜜制成丸药，大小如绿豆。一岁的幼儿每次服用三丸，用米饮送下，空腹、中午、临睡前各服用一次。
治疗小儿各种痫疾，口出白沫的黄芩丸方：
黄芩（去除黑色中心部分）、栀子仁、犀角（镑成片，以上各一分）、麝香（研细，一钱）、虎睛（研细，一只）。
以上五味药，捣碎筛选成粉末，研磨细腻，用炼蜜调和制成丸药，大小如绿豆。每服：一至两岁的幼儿三丸，三至五岁的幼儿五丸，均用米饮送下，每日四次，并根据孩子的大小酌情加减。
大黄（切碎炒制）、石膏（研细，以上各一两）、蚱蝉（轻微炙烤，三枚）、柴胡（去除苗茎）、升麻、栀子仁、麻黄（去节，一寸，炙黄）、露蜂房（微炙，一枚）、杏仁（汤浸去皮尖双仁，麸炒，二十一枚）、甘草（炙，半两）、葛根（切，半两）、黄芩（去黑心，半两）、人参（半两）、竹叶（三片）。
以上十四味药，粗捣筛碎。一至两岁的幼儿每次服用一钱匕的量，用水半小盏，煎煮至剩余三分之一药液，加入竹沥半合，再煎煮一两沸，滤去药渣，分三次温服，直到夜间服完，根据孩子的大小，酌情加减。
麻黄（去节，一两一分）、钩藤皮（一两）、杏仁（汤浸去皮尖双仁，麸炒，二十一枚）、芍药、桂枝（去粗皮，半两）、甘草（炙，半两）、黄芩（去黑心，半两）、生姜（切，半两）。
以上八味药，粗捣筛碎。每次服用一钱匕的量，用水一盏，煎煮至剩余五分之二药液，滤去药渣，分两次温服，每日四次，根据孩子的大小，酌情加减。
治疗小儿发作痫病，手足抽搐，十指颤抖，舌根肿胀僵硬的独活汤方：
独活（去芦头）、人参（以上各半两）、大黄（切碎炒制，一两）、麻黄（去节，一分）。
以上四味药，粗捣筛碎。一至两岁的幼儿每次服用半钱匕的量，用水半小盏，煎煮至剩余三分之一药液，滤去药渣，温服，连夜服用三四次，根据孩子的大小，酌情加减。
石膏（研细）、黄芩（去黑心）、芍药（以上各一分）、桂枝（去粗皮）、细辛（去苗叶）、龙骨（研细）、当归（切焙）、甘草（炙，一两）、大枣（擘开，一枚）、生姜（切，半两）、半夏（洗，半两）、茯苓（去黑心，半两）、桔梗（去芦头，半两）。
以上十三味药，粗捣筛碎。一至两岁的幼儿每次服用半钱匕的量，用水半盏，加入一枚掰开的枣，同煎至剩余三分之一药液，滤去药渣，温服，夜间服用三四次，根据孩子的大小，酌情增减。
当归（切焙）、龙骨（研细，以上各半分）、甘草（炙，三分）、大黄（锉炒）、芍药、干姜（炮制）、石膏（研细，以上各一分）、黄芩（去黑心，半两）、人参（半两）、茯苓（去黑心，半两）、大枣（擘开，二枚）。
以上十一味药，粗捣筛碎。五岁的幼儿每次服用一钱匕的量，用水一小盏，加入两枚掰开的枣，同煎至剩余五分之二药液，滤去药渣，分两次温服，每日三次。服药后若出现腹泻，加赤石脂一分；若有热惊症状，加黄芩（去黑心，半两），根据孩子的大小酌情调整。
竹沥（一合）、黄芩（去黑心，一两一分）、防己、茵芋（去粗茎）、桑寄生、羚羊角（镑片，以上各一两）、甘草（炙，半两）、人参（半两）、茯苓（去黑心，半两）、半夏（洗，半两）、生姜（切，半两）、大枣（擘开，一枚）。
以上十一味药，除竹沥外，其余粗捣筛碎。每次服用一钱匕的量，用水一小盏，煎煮至剩余五分之二药液，滤去药渣，加入竹沥半合，分三次温服，直到夜间服完，根据孩子的大小，酌情加减。
柴胡（去苗茎）、升麻、黄芩（去黑心）、甘草（炙赤）、大黄（切碎炒制令香，以上各半两）、石膏（捣碎，三两）、竹沥（半合）、生姜（切，半两）、大枣（擘开，一枚）、人参（半两）。
以上九味药，粗捣筛碎。每次服用一钱匕的量，用水一小盏，煎煮至剩余半盏，滤去药渣，加入竹沥半合，再煎煮一两沸。半月至一个月的婴儿，斟酌给予服用，稍大一些则酌情增加剂量。如果连续发作不止，加麻黄（去节，一分）。
蚱蝉（去翅足，微炙）、芍药（以上各三分）、钩藤、细辛（去苗叶）、黄芩（去黑心）、黄柏（锉碎）、牛黄（研细，各一分）、蛇蜕（二寸，炙烤）、甘草（炙，一两一分）、人参（半两）、茯苓（去黑心，半两）、生姜（切，半两）、大枣（擘开，一枚）。
以上十一味药，粗捣筛碎九味药，加入牛黄、麝香拌匀。每次服用半钱，根据孩子的大小，酌情加减。
治疗癫痫即将发作，眼神昏暗、抽搐、厌恶声音、咬舌、吐白沫的雌黄丸方：
雌黄、铅丹（微炒，以上各一两）、麝香（一钱）。
以上三味药，共同研磨均匀，用半升牛乳，熬制成膏状，制成如绿豆大小的丸药。每次服用三丸，温水送下，每日三次。如果没有牛乳，羊乳也可以。
牛黄（研细，半钱）、人参（半两）、生犀末、硼砂（研细）、白茯苓（去黑心）、薄荷、乳香（研细）、朱砂（研细）、雄黄（研细）、琥珀（研细）、远志（去心）、甘草（炙，以上各半两）。
以上十二味药，捣碎研磨成粉末，用蜂蜜在银器内熬制成煎剂。每次服用皂荚子大小的量，用人参汤化开服用，每日三次。
腻粉（一两）、猪牙皂荚末（一分）。
以上两味药，细研均匀。每次服用半钱，用生油一橡斗（注：此处原文可能有误，通常用量极少，依原文翻译），水半盏，同调匀，分两次服用，以吐出为度。
钩藤、黄芩（去黑心）、甘草（炙，以上各半两）、石膏（捣碎）、龙齿（以上各一两）、升麻（三分）、蚱蝉（微炙，三枚）、竹叶（三片）。
以上七味药，粗捣筛碎。每次服用一钱匕的量，用水七分，加入三片竹叶，同煎取四分药液，滤去药渣，分三次温服，直到夜间服完。七岁儿童用全剂，三至四岁儿童只用半剂。
治疗小儿五种痫病，牛痫即发出牛叫声，马痫即发出马嘶鸣声，狗痫即发出狗吠声，羊痫即发出羊鸣声，鸡痫即发出鸡鸣声。病愈后复发。雄黄丸方：
雄黄（研细）、水银（以上各二两）、铅（熬成汁与水银结合成沙子，三两）、真珠末（细研，一两）、丹砂（研细，一两）。
以上五味药，共同细研成粉末，用炼蜜调和制成丸药，大小如绿豆。每次服用四丸，用金银花、薄荷汤送下，每日服用两次。
治疗小儿五种痫病，手足动摇，眼睛反视，口吐涎沫，心神易惊，身体高热壮热的牛黄散方：
牛黄（研细）、丹砂（研细）、白蔹、露蜂房（微炒）、杏仁（汤浸去皮尖双仁，麸炒黄，以上各一分）、桂枝（去粗皮，一分）。
以上六味药，捣碎研磨成散剂拌匀。每次服用乳汁调下一字匕的量，每日四五次，根据孩子的大小酌情加减。
天南星（炮制）。
以上一味药，捣碎成细散。每次服用一字匕的量，用猪胆汁调下，咽入喉中，就能说话，根据孩子的大小酌情加减。
**Discussion:** It is stated that when a child exhibits symptoms such as deviation and traction of the mouth and eyes, upward rolling and shaking of the eyeballs, convulsive extension and flexion of the limbs, rigidity of the dorsal spine, and retrocollis (backward bending of the neck), this condition is termed *Xian* disease (epilepsy/spasm). For children aged ten years or above, it is called *Dian* (mania/epilepsy); for those under ten years old, it is called *Xian* (epilepsy/spasm). "Xian" refers to the manifestation of pathogenic factors taking advantage of weakness. It may arise from wearing clothes too thickly causing sweating followed by wind exposure, resulting in *Feng Xian* (Wind Epilepsy); or from fright and terror with loud crying, resulting in *Jing Xian* (Fear Epilepsy); or from irregular nursing and diet, resulting in *Shi Xian* (Food Epilepsy). From these three types, various forms of epilepsy can develop. Upon onset, there are convulsive contractions of the hands and feet. To treat pediatric epilepsy accompanied by vomiting, diarrhea, and alternating chills and fever, use **Shaoyao Tang** (Peony Decoction):
**Ingredients:**
* *Bai Shao* (Radix Paeoniae Alba)
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Da Huang* (Rhei Radix et Rhizoma) [cut and stir-fried]
* *Dang Gui* (Angelicae Sinensis Radix) [sliced and baked]
* *Gua Lou Gen* (Trichosanthis Radix)
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted and cut]
* *Gui Zhi* (Cinnamomi Ramulus) [remove coarse bark]
* *Ma Huang* (Ephedrae Herba) [remove joints]
*(Each ingredient: 1 liang)*
**Preparation and Administration:** Coarsely crush and sieve the twelve ingredients, then grind them evenly. For infants aged one to two years, administer half a *qian bi* (a small measuring spoon) per dose. Add half a *zhan* (unit of volume) of water and one split jujube. Decoct until one-third of the liquid remains. Strain and serve warm. Administer three times daily. Adjust dosage according to the child's size.
To treat pediatric epilepsy accompanied by convulsions and tongue protrusion, use **Gancao Tang** (Licorice Decoction):
**Ingredients:**
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted and cut]
* *Gou Teng* (Uncariae Ramulus cum Uncis)
* *Gua Lou Gen* (Trichosanthis Radix)
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Du Huo* (Angelicae Pubescentis Radix) [remove rhizome head]
* *Gui Zhi* (Cinnamomi Ramulus) [remove coarse bark]
* *Bai Shao* (Radix Paeoniae Alba)
* *Dang Gui* (Angelicae Sinensis Radix)
*(Each ingredient: 1 liang)*
**Preparation and Administration:** Coarsely crush and sieve the eleven ingredients. For children aged three to five years, administer one *qian bi* per dose. Add one *zhan* of water. Decoct until two-fifths of the liquid remains. Strain and serve hot. Administer three times daily. Adjust dosage according to the child's size.
To treat pediatric epilepsy characterized by intermittent remission and recurrence, use **Zha Chan Wan** (Grasshopper Pill):
**Ingredients:**
* *Zha Chan* (Tettigidae) [roasted, remove wings and feet, 1 specimen]
* *Da Huang* (Rhei Radix et Rhizoma) [baked and cut]
* *Shi Gao* (Gypsum Fibrosum) [crushed]
* *Chai Hu* (Bupleuri Radix) [remove seedlings, 1 liang each]
* *Niu Huang* (Calculus Bovis) [ground]
* *Long Chi* (Dens Draconis sive Ossis Mastodi) [crushed]
* *Ren* (likely Apricot Kernel/Angelicae Semen based on context, but text says 'Ren' likely referring to kernel) [bran-roasted]
* *Long Dan* (Gentianae Radix)
*(Other ingredients implied to total fourteen, specific weights for some omitted in fragment but generally 1 liang or similar standard doses)*
**Preparation and Administration:** Crush and grind all fourteen ingredients into powder. Mix with refined honey to form pills the size of *Wu Tong* (Chinese parasol tree) seeds. For a one-year-old infant, administer one pill per dose.
To treat children aged one to ten years suffering from epilepsy progressing to mania, with unpredictable onset, foaming at the mouth, and incontinence of urine and feces, use **Dansha Wan** (Cinnabar Pill):
**Ingredients:**
* *Dan Sha* (Cinnabaris) [ground]
* *Tian Ma* (Gastrodiae Rhizoma)
* *Lu Feng Fang* (Vespa Nidus) [lightly roasted]
* *Ma Huang* (Ephedrae Herba) [remove joints]
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Gou Teng* (Uncariae Ramulus cum Uncis) [each 0.5 liang]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 1 liang]
* *Yin Bo* (Lamina Aurii Folium) [ten pieces, finely ground]
* *Lei Gong Teng* (Tripterygii Radix) [stir-fried] - *Note: Text says 'Ma Lei Wan', likely a typo or specific preparation, assuming Tripterygium or similar toxic herb often used in ancient texts, but strictly translating text:*
* *Sha Shen* (Glehniae Radix) [each 3 qian]
* *Shi Gao* (Gypsum Fibrosum) [ground, 1 liang 1 fen]
* *She Tui Pi* (Ophichthidis Cutis) [roasted, 2 cun]
* *Xi Xin* (Asari Radix et Rhizoma) [remove seedlings and leaves]
* *Niu Huang* (Calculus Bovis) [ground, each 1 fen]
**Preparation and Administration:** Crush and grind all twenty-five ingredients into powder. Mix with refined honey to form pills the size of mung beans. For a one-year-old infant, administer three pills per dose. Take with rice drink. Administer on an empty stomach, at noon, and before bed.
To treat various forms of pediatric epilepsy with foaming at the mouth, use **Huangqin Wan** (Scutellaria Pill):
**Ingredients:**
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Zhi Zi Ren* (Gardeniae Fructus)
* *Xi Jiao* (Rhinocerotis Cornu) [shaved, each 1 fen]
* *She Xiang* (Moschus) [ground, 1 qian]
* *Hu Jing* (Fel Tigris) [ground, 1 eye]
**Preparation and Administration:** Crush and sieve the five ingredients into fine powder. Mix with refined honey to form pills the size of mung beans. Dosage: Three pills for infants aged one to two years; five pills for children aged three to five years. Take with rice drink. Administer four times daily. Adjust dosage according to the child's size.
To treat high fever-induced epilepsy in children aged five to six years, use **Wu Xian Tang** (Five Epilepsies Decoction):
**Ingredients:**
* *Da Huang* (Rhei Radix et Rhizoma) [cut and stir-fried]
* *Shi Gao* (Gypsum Fibrosum) [ground, each 1 liang]
* *Zha Chan* (Tettigidae) [lightly roasted, 3 specimens]
* *Chai Hu* (Bupleuri Radix) [remove seedlings]
* *Sheng Ma* (Cimicifugae Rhizoma)
* *Zhi Zi Ren* (Gardeniae Fructus)
* *Ma Huang* (Ephedrae Herba) [remove joints, 1 cun, roasted yellow]
* *Lu Feng Fang* (Vespa Nidus) [lightly roasted, 1 piece]
* *Xing Ren* (Armeniacae Semen Amarum) [soaked in water, remove skin and tips, bran-roasted, 21 pieces]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 0.5 liang]
* *Ge Gen* (Puerariae Lobatae Radix) [cut, 0.5 liang]
* *Huang Qin* (Scutellariae Radix) [remove black heart, 0.5 liang]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
* *Zhu Ye* (Phyllostachys Viridis Folium) [3 leaves]
**Preparation and Administration:** Coarsely crush and sieve the fourteen ingredients. For infants aged one to two years, administer one *qian bi* per dose. Add half a small *zhan* of water. Decoct until one-third remains. Add half a *he* of *Zhu Li* (Bamboo Sap). Boil for one additional boil. Strain and divide into three warm doses. Finish by night. Adjust dosage according to the child's size.
To treat high fever-induced epilepsy in children aged six to seven years, use **Ma Huang Tang** (Ephedra Decoction):
**Ingredients:**
* *Ma Huang* (Ephedrae Herba) [remove joints, 1 liang 1 fen]
* *Gou Teng Pi* (Uncariae Cortex) [1 liang]
* *Xing Ren* (Armeniacae Semen Amarum) [soaked in water, remove skin and tips, bran-roasted, 21 pieces]
* *Bai Shao* (Radix Paeoniae Alba)
* *Gui Zhi* (Cinnamomi Ramulus) [remove coarse bark, 0.5 liang]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 0.5 liang]
* *Huang Qin* (Scutellariae Radix) [remove black heart, 0.5 liang]
* *Sheng Jiang* (Zingiberis Rhizoma Recens) [cut, 0.5 liang]
**Preparation and Administration:** Coarsely crush and sieve the eight ingredients. Administer one *qian bi* per dose. Add one *zhan* of water. Decoct until two-fifths remain. Strain and divide into two warm doses. Administer four times daily. Adjust dosage according to the child's size.
To treat pediatric epilepsy with convulsions of hands and feet, trembling of the ten fingers, and swelling and stiffness of the tongue root, use **Du Huo Tang** (Angelica Pubescens Decoction):
**Ingredients:**
* *Du Huo* (Angelicae Pubescentis Radix) [remove rhizome head]
* *Ren Shen* (Ginseng Radix) [each 0.5 liang]
* *Da Huang* (Rhei Radix et Rhizoma) [cut and stir-fried, 1 liang]
* *Ma Huang* (Ephedrae Herba) [remove joints, 1 fen]
**Preparation and Administration:** Coarsely crush and sieve the four ingredients. For infants aged one to two years, administer half a *qian bi* per dose. Add half a small *zhan* of water. Decoct until one-third remains. Strain and serve warm. Administer three to four times overnight. Adjust dosage according to the child's size.
To treat various forms of pediatric epilepsy, use **Shi Gao Chong Ming Tang** (Gypsum Command Decoction):
**Ingredients:**
* *Shi Gao* (Gypsum Fibrosum) [ground]
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Bai Shao* (Radix Paeoniae Alba) [each 1 fen]
* *Gui Zhi* (Cinnamomi Ramulus) [remove coarse bark]
* *Xi Xin* (Asari Radix et Rhizoma) [remove seedlings and leaves]
* *Long Gu* (Os Draconis sive Fosssilia Ostea) [ground]
* *Dang Gui* (Angelicae Sinensis Radix) [sliced and baked]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 1 liang]
* *Da Zao* (Jujubae Fructus) [split, 1 piece]
* *Sheng Jiang* (Zingiberis Rhizoma Recens) [cut, 0.5 liang]
* *Ban Xia* (Pinelliae Rhizoma) [washed, 0.5 liang]
* *Fu Ling* (Poria) [remove black heart, 0.5 liang]
* *Jie Geng* (Platycodonis Radix) [remove rhizome head, 0.5 liang]
**Preparation and Administration:** Coarsely crush and sieve the thirteen ingredients. For infants aged one to two years, administer half a *qian bi* per dose. Add half a *zhan* of water and one split jujube. Decoct together until one-third remains. Strain and serve warm. Administer three to four times at night. Adjust dosage according to the child's size.
To treat various forms of pediatric epilepsy, use **Dang Gui Tang** (Angelica Decoction):
**Ingredients:**
* *Dang Gui* (Angelicae Sinensis Radix) [sliced and baked]
* *Long Gu* (Os Draconis sive Fosssilia Ostea) [ground, each 0.5 fen]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 3 qian]
* *Da Huang* (Rhei Radix et Rhizoma) [cut and stir-fried]
* *Bai Shao* (Radix Paeoniae Alba)
* *Gan Jiang* (Zingiberis Rhizoma) [processed]
* *Shi Gao* (Gypsum Fibrosum) [ground, each 1 fen]
* *Huang Qin* (Scutellariae Radix) [remove black heart, 0.5 liang]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
* *Fu Ling* (Poria) [remove black heart, 0.5 liang]
* *Da Zao* (Jujubae Fructus) [split, 2 pieces]
**Preparation and Administration:** Coarsely crush and sieve the eleven ingredients. For a five-year-old child, administer one *qian bi* per dose. Add one small *zhan* of water and two split jujubes. Decoct together until two-fifths remain. Strain and divide into two warm doses. Administer three times daily. If diarrhea occurs after administration, add *Chi Shi Zhi* (Halloysit Rubrum) 1 fen. If heat and fright occur, add *Huang Qin* (Scutellariae Radix) [remove black heart, 0.5 liang]. Adjust dosage according to the child's size.
To treat various forms of pediatric epilepsy, use **Zhu Li Tang** (Bamboo Sap Decoction):
**Ingredients:**
* *Zhu Li* (Bambusa Textilis Cacumen Infusum) [1 he]
* *Huang Qin* (Scutellariae Radix) [remove black heart, 1 liang 1 fen]
* *Fang Ji* (Stephaniae Tetrandrae Radix)
* *Yin Yu* (Skimmiae Fructus) [remove coarse stems]
* *Sang Ji Sheng* (Taxilli Herba)
* *Ling Yang Jiao* (Saiga Tataricae Cornu) [shaved, each 1 liang]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 0.5 liang]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
* *Fu Ling* (Poria) [remove black heart, 0.5 liang]
* *Ban Xia* (Pinelliae Rhizoma) [washed, 0.5 liang]
* *Sheng Jiang* (Zingiberis Rhizoma Recens) [cut, 0.5 liang]
* *Da Zao* (Jujubae Fructus) [split, 1 piece]
**Preparation and Administration:** Except for *Zhu Li*, coarsely crush and sieve the remaining eleven ingredients. Administer one *qian bi* per dose. Add one small *zhan* of water. Decoct until two-fifths remain. Strain and add half a *he* of *Zhu Li*. Divide into three warm doses. Finish by night. Adjust dosage according to the child's size.
To treat high fever-induced epilepsy in infants under one month or just born, use **Chai Hu Tang** (Bupleurum Decoction):
**Ingredients:**
* *Chai Hu* (Bupleuri Radix) [remove seedlings]
* *Sheng Ma* (Cimicifugae Rhizoma)
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted red]
* *Da Huang* (Rhei Radix et Rhizoma) [cut and stir-fried until fragrant, each 0.5 liang]
* *Shi Gao* (Gypsum Fibrosum) [crushed, 3 liang]
* *Zhu Li* (Bambusa Textilis Cacumen Infusum) [0.5 he]
* *Sheng Jiang* (Zingiberis Rhizoma Recens) [cut, 0.5 liang]
* *Da Zao* (Jujubae Fructus) [split, 1 piece]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
**Preparation and Administration:** Coarsely crush and sieve the nine ingredients. Administer one *qian bi* per dose. Add one small *zhan* of water. Decoct until half a *zhan* remains. Strain and add half a *he* of *Zhu Li*. Boil for one additional boil. For infants aged half a month to one month, administer cautiously. Increase dosage gradually as the child grows. If seizures continue incessantly, add *Ma Huang* (Ephedrae Herba) [remove joints, 1 fen].
To treat epilepsy in fifty-day-old infants unresponsive to other medicines, use **Zha Chan Tang** (Grasshopper Decoction):
**Ingredients:**
* *Zha Chan* (Tettigidae) [remove wings and feet, lightly roasted]
* *Bai Shao* (Radix Paeoniae Alba) [each 3 qian]
* *Gou Teng* (Uncariae Ramulus cum Uncis)
* *Xi Xin* (Asari Radix et Rhizoma) [remove seedlings and leaves]
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Huang Bo* (Phellodendri Cortex) [cut]
* *Niu Huang* (Calculus Bovis) [ground, each 1 fen]
* *She Tui* (Ophichthidis Cutis) [2 cun, roasted]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, 1 liang 1 fen]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
* *Fu Ling* (Poria) [remove black heart, 0.5 liang]
* *Sheng Jiang* (Zingiberis Rhizoma Recens) [cut, 0.5 liang]
* *Da Zao* (Jujubae Fructus) [split, 1 piece]
**Preparation and Administration:** Coarsely crush and sieve nine ingredients. Mix with *Niu Huang* (Calculus Bovis) and *She Xiang* (Moschus). Administer half a *qian bi* per dose. Adjust dosage according to the child's size.
To treat impending epilepsy with dim vision, twitching, aversion to sound, biting of the tongue, and foaming at the mouth, use **Ci Huang Wan** (Realgar Pill):
**Ingredients:**
* *Ci Huang* (Realgar)
* *Qian Dan* (Minii Oxidum Rubrum) [lightly fried, each 1 liang]
* *She Xiang* (Moschus) [1 qian]
**Preparation and Administration:** Grind the three ingredients evenly. Use half a sheng of cow's milk to simmer into a paste. Form pills the size of mung beans. Administer three pills per dose with warm water. Take three times daily. If cow's milk is unavailable, goat's milk may be used.
To treat phlegm in the diaphragm causing epilepsy and convulsions in children, use **Niu Huang Jian** (Calculus Bovis Decoction/Paste):
**Ingredients:**
* *Niu Huang* (Calculus Bovis) [ground, 0.5 qian]
* *Ren Shen* (Ginseng Radix) [0.5 liang]
* *Sheng Xi Mo* (Rhinocerotis Cornu Pulvis)
* *Peng Sha* (Borax) [ground]
* *Bai Fu Ling* (Poria) [remove black heart]
* *Bo He* (Menthae Haplocalycis Herba)
* *Ru Xiang* (Olibanum) [ground]
* *Zhu Sha* (Cinnabaris) [ground]
* *Xiong Huang* (Realgar) [ground]
* *Hu Po* (Electrum) [ground]
* *Yuan Zhi* (Polygalae Radix) [remove heart]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, each 0.5 liang]
**Preparation and Administration:** Crush and grind all twelve ingredients into powder. Simmer with honey in a silver vessel until it becomes a paste. Administer a dose the size of a soap bean. Dissolve in *Ren Shen* decoction. Take three times daily.
To treat frequent convulsions transforming into epilepsy with salivation, use **Tu Xian San** (Saliva Vomiting Powder):
**Ingredients:**
* *Ni Fen* (Calomelas) [1 liang]
* *Zhu Ya Zao Jiao Mo* (Sinopodophylli Fructus Powder) [1 fen]
**Preparation and Administration:** Grind the two ingredients finely and evenly. Administer half a *qian bi* per dose. Mix with raw oil and half a *zhan* of water. Divide into two doses. Administer until vomiting occurs.
To treat epilepsy induced by vomiting and diarrhea in children, with tongue protrusion and convulsions, use the following formula:
**Ingredients:**
* *Gou Teng* (Uncariae Ramulus cum Uncis)
* *Huang Qin* (Scutellariae Radix) [remove black heart]
* *Gan Cao* (Glycyrrhizae Radix et Rhizoma) [roasted, each 0.5 liang]
* *Shi Gao* (Gypsum Fibrosum) [crushed]
* *Long Chi* (Dens Draconis sive Ossis Mastodi) [each 1 liang]
* *Sheng Ma* (Cimicifugae Rhizoma) [3 qian]
* *Zha Chan* (Tettigidae) [lightly roasted, 3 specimens]
* *Zhu Ye* (Phyllostachys Viridis Folium) [3 leaves]
**Preparation and Administration:** Coarsely crush and sieve the seven ingredients. Administer one *qian bi* per dose. Add seven parts water and three bamboo leaves. Decoct until four parts remain. Strain and divide into three warm doses. Finish by night. Seven-year-olds take the full dose; three-to-four-year-olds take half the dose.
To treat the five types of pediatric epilepsy: *Niu Xian* (Cow Epilepsy) barks like a cow; *Ma Xian* (Horse Epilepsy) neighs like a horse; *Gou Xian* (Dog Epilepsy) barks like a dog; *Yang Xian* (Sheep Epilepsy) bleats like a sheep; *Ji Xian* (Chicken Epilepsy) crows like a chicken. These recur after recovery. Use **Xiong Huang Wan** (Realgar Pill):
**Ingredients:**
* *Xiong Huang* (Realgar) [ground]
* *Shui Yin* (Hydrargyrum) [each 2 liang]
* *Qian* (Plumbum) [melted and combined with Hydrargyrum to form sand-like grains, 3 liang]
* *Zhen Zhu Mo* (Margarita Pulvis) [finely ground, 1 liang]
* *Dan Sha* (Cinnabaris) [ground, 1 liang]
**Preparation and Administration:** Grind the five ingredients finely. Mix with refined honey to form pills the size of mung beans. Administer four pills per dose with *Jin Yin Hua* (Lonicerae Japonicae Flos) and *Bo He* (Menthae Haplocalycis Herba) decoction. Take twice daily.
To treat the five types of pediatric epilepsy with limb tremors, upward gaze, foaming at the mouth, mental fright, and high fever, use **Niu Huang San** (Calculus Bovis Powder):
**Ingredients:**
* *Niu Huang* (Calculus Bovis) [ground]
* *Dan Sha* (Cinnabaris) [ground]
* *Bai Lian* (Ampelopsis Radix)
* *Lu Feng Fang* (Vespa Nidus) [lightly fried]
* *Xing Ren* (Armeniacae Semen Amarum) [soaked in water, remove skin and tips, bran-roasted, each 1 fen]
* *Gui Zhi* (Cinnamomi Ramulus) [remove coarse bark, 1 fen]
**Preparation and Administration:** Crush and grind the six ingredients into a powder and mix evenly. Administer a dose the size of a character (*zi*) mixed with breast milk. Take four to five times daily. Adjust dosage according to the child's size.
To treat speechlessness following the resolution of various pediatric epilepsies, use **Pai Guan San** (Clear Passages Powder):
**Ingredients:**
* *Tian Nan Xing* (Arisaematis Rhizoma) [processed]
**Preparation and Administration:** Grind the single ingredient into a fine powder. Administer a dose the size of a character (*zi*). Mix with pig bile and swallow into the throat. Speech will return. Adjust dosage according to the child's size.