又马痫之为病，张口摇头，马鸣欲反折。（灸项风府脐中三壮病在腹中烧马蹄末服）
牛痫之为病，目正直视，腹胀。（灸鸠尾上及大椎各三壮烧牛蹄灰末服）
鸡痫之为病，延颈反折，喜惊自摇。（灸足诸阳各三壮）
羊痫之为病，喜扬目，吐舌。（灸大椎上三壮）
猪痫之为病，喜吐沫。（灸完骨两旁各一寸七壮）
犬痫之为病，手屈拳挛。（灸两手心一壮灸足太阳各一壮灸肋户两聊头两穴各一壮良）
凡（诸反张大人脊下容侧手小儿容三指者不可疗也） 又（若目反上视瞳子动当灸囟中
取
之法横度口尽两吻际又横度鼻下亦尽两边折去鼻度半都合口为度从额上发际上行度之灸度头
一处正在囟上未合骨中随手动者是此最要处也） 次（灸当额上入发际二分许直望鼻为正也）
次（灸其两边当目瞳子直上入发际二分许） 次（灸顶上回毛中） 次（灸客主人穴在眉
后际
动脉是也） 次（灸两耳门当耳开口则骨解开动张陷中是也） 次（灸两耳上卷耳取之一法
当卷
耳上头是也大人当耳上横三指小小儿各自取其指也） 次（灸两耳后完骨上青脉亦可以针刺
令
血出） 次（灸玉枕项后高骨是也） 次（灸两风池穴在项后两辕筋外发际陷中是也） 次
（灸风
府当项
上头部凡二十九处，儿生十日可灸三壮，三十日灸五壮，五十日灸七壮，病重者具灸之
，轻者唯灸囟中风池玉枕也，艾使熟，炷令平正着肉，火势乃至病所也，艾若生，炷不平正
不着肉，徒灸多炷无益也。
又若腹满短气转鸣（灸肺募穴在两乳上第二肋间宛宛中垂绳取之当瞳子是也） 次（灸
膻
中） 次（灸胸堂） 次（灸脐中） 次（灸薜息穴薜息在两乳下第一肋间宛宛中是也） 次
（灸巨
阙穴巨阙人人鸠尾下一寸小儿去脐作六分分之去心鸠尾下一寸是也并灸两边） 次（灸胃管）
次（
上腹部一十二处，胸堂，巨阙胃脘十日儿三炷。一月以上可五炷，阴下缝三炷，或云随
年壮以灸之。
又若脊强反张（灸大椎并灸诸脏俞及督脊上当中央从大椎度至穷骨中屈更从大椎度之灸
度下头是督脊也）
上背部一十二处，十日儿灸三壮，一月以上灸五壮。
又若手足掣 惊者（灸尺泽） 次（灸阳明） 次（灸少商） 次（灸劳宫） 次（灸
心主） 次
（灸合谷） 次（灸三间穴） 次（灸少阳）
上手部一十六处，其要者阳明少阳心主尺泽合谷少商也，壮数如上。
又（灸伏兔） 次（灸三里） 次（灸腓肠） 次（灸鹿溪） 次（灸阳明） 次（灸
少阳） 次（灸
然谷）
上足部一十四处，皆要可灸如上壮数，手足阳明谓人四指，凡小儿惊痫皆灸之，若风病
大动，手足掣 者，尽灸手足十指端，又灸本节后。
又论曰∶若病家始发，便来告师，师可诊候，所解为法，作次序疗之，以其节度首尾取
瘥也，病家已经杂疗无次序，不得制病。病则变异其本候。后师便不知其前证虚实，直依其
后证作疗，亦不得瘥也，要应精问察之，为前师贯者所配，依取其前踪。续以为疗，乃无逆
耳，前师处汤，本应数剂乃瘥，而病家服一两剂求效，便谓不验，以后更问他师，师不寻前
人为疗寒温次序，而更为疗，而不依次前师疗则毙也，或前已下之，后须平和疗以接之，而
得瘥也或前人未下之，或不去者，或前疗寒温失度，后人应调理之，是为疗败病，皆须邀射
之，然后免耳，不依次第，及不审察，必反重毙也，又茵芋丸，疗少小有风痫疹，至长不除，
或遇
茵芋（炙） 铅丹（熬） 钩藤（炙） 杜蘅 防葵 石膏（研） 秦艽（各四分） 菖
蒲黄芩
（各六分） 松萝（二分） 蜣螂（十枚炙） 甘草（十四分炙）
上十二味捣筛，丸如小豆。三岁以下服五丸，三岁以上服七丸，五岁以上服十丸，十岁
可至十五丸，大小量之，又神农本草经说，小儿惊痫有一百二十种，其证候微异于常，便是
痫候也，初出胎，血脉不敛，五脏未成，稍将养失宜，即为病也，时不成人，其经变蒸之后
有病，余证并宽，唯中风最暴卒也。
又小儿四肢不好，惊掣，气息小异，欲作痫。
又凡小儿不能乳哺，当与紫丸下之，小儿始生，生气尚盛，但有微恶，则须下之，必无
所损，及其愈病则致深益。及变蒸日满不解者，并宜龙胆汤也。（方在客忤中）若不时下，
则
成大病，病成则难疗矣。凡下，四味紫丸最善，虽下不损人，足以去疾，若四味紫丸不得下
者，以赤丸下之，赤丸不下，当倍之，若已下而有余热不尽，当按方作龙胆汤，稍稍服之，
摩赤膏，风痫亦当下之后，以猪心汤下之。惊痫但按图灸之，及摩膏，不可大下也，何者，
惊痫，心气不定。下之内虚，益令甚耳，惊痫甚者，特为难治如养小儿，尝慎惊，勿令儿闻
大声，抱持之间，当安徐勿令怖也，又天雷时便掩塞儿耳，并作余细声以乱之。
凡养小儿，皆微惊以长血脉，但不欲大惊，大惊乃灸惊脉，若五六十日灸者，惊复重甚
，生百日后灸惊脉，乃善。
治少小心腹热，除热丹参赤膏方。
丹参 雷丸 芒硝 戎盐 大黄各三两
上五味切，以苦酒半升浸四种一宿，以成炼猪脂一斤煎，三上三下，去滓内芒硝。膏成，
以摩心下，冬夏可用一方，但丹参雷丸亦佳。（并出第五卷中）
千金翼凡小儿之痫有三种，有风痫，有惊痫，有食痫，然风痫惊痫。时时有耳，十人之
中，未有一二是食痫者，凡是先寒后热发痫者，皆是食痫也，惊痫当按图灸之，风痫当与豚
心汤下之，食痫当下乃愈，紫丸佳，凡小儿所以得风者。缘衣暖汗出，风因而入也，风痫者，
初得之时，先屈指如数乃发作，此风痫也，惊痫者，起于惊怖，先啼乃发作，此惊痫也，惊
痫微者，急疗，勿复惊之，或自止也，其先不哺乳，吐变热后发痫。此食痫也，早治则瘥，
四味
小儿衣甚寒薄，则腹中乳食不消，其大便皆酢臭，此欲为癖之渐也，便将紫丸以微消之，
服
又凡小儿冬月下无所畏，夏月下难瘥，然有病者不可不下。后腹中当小胀满，故当节哺
乳，将紫丸数日，又乳哺小儿，常令多少有常剂，儿渐大，当稍稍增之，若减少者，此腹中
已有小不调也，便微服药，停哺，但与乳，甚者十许日，微者五六日止，哺自当如常，若不
肯哺而欲乳者，此是癖，为重要当下之，无不瘥者，不下则致寒热，或反吐而发痫，或更致
下痢
又凡小儿有热，不欲哺乳，卧不安，又数惊，此痫之初也，服紫丸便愈，不瘥更服之，
儿立夏后有病，疗之慎勿妄灸。不欲吐下，但以除热汤浴之，除热散粉之，除热赤膏摩之，
又脐
又凡小儿屎黄而臭者，此腹中有热，宜微将服龙胆汤，若白而酢者，此寒不消也，当服
紫丸，微者少与药令内消，甚者小增令小下，皆须节乳哺数日，令胃气平和，若不节乳哺，
则病
备急疗少小百二十种痫病，胸中病，蛇蜕皮汤方。
蛇蜕皮（三寸炙） 细辛 甘草（炙） 钩藤 黄 （各二分） 大黄（四分） 蚱蝉
（四枚炙
）牛黄（五大豆许）
上八味切，以水二升半，煮取一升一合，百日儿一服二合，甚良，穷地无药物，可一二
味亦合，不可备用，然大黄一味不得常用效。
又疗少小二十五痫，大黄汤方。
甘草（炙） 大黄 甘皮 当归（各一两） 细辛（半两）
上五味捣筛，以指撮着水一升，煮取二合，一岁儿服一合，日二。
古今录验赤汤疗二十五种痫，吐痢，寒热百病，不乳哺方。
大黄（五两） 当归 芍药 黄芩 栝蒌 甘草（炙） 桂心 人参 赤石脂 牡蛎（熬）
紫石英 麻黄（去节各二两）
上十二味捣筛令调，盛以韦囊，八岁儿以干枣五枚，用水八合煮枣，取五合，两指撮药
入汤中煮，取三沸，去滓与儿服之，取利，微汗自除，十岁用枣十枚，三指撮药，水一升煮
三沸服之，此汤疗小儿百病及痫，神验。
又疗未盈月及出月儿壮热发痫，钩藤汤方
钩藤（一分） 蚱蝉（一枚去翅） 柴胡 升麻 黄
芩（各二分） 蛇蜕皮（二寸炙） 甘草（炙） 大黄（各二分） 竹沥（三合） 石膏（三
分碎）
上十味切，以水一升，煮取三合半，和竹沥服一合，得利，见汤色出停，后服至五十六
十日，儿一服一合，乳母忌海藻，菘菜等。（崔氏云若连发不醒加麻黄一分去节）
又疗百日及过百日儿发痫，连发不醒，及胎中带风，体冷面青反张，宜服麻黄五痫汤方
麻黄（去节） 羌活 干葛 甘草（炙） 枳实（各二分炙） 杏仁（二十枚） 升麻 黄
芩
大黄（各四分） 柴胡 芍药（各三分） 钩藤皮（一分） 蛇蜕（三寸炙） 蚱蝉（二枚
炙去羽）
石
上十五味切，以水二升并竹沥五合，煎取六合，每服一合佳。
又有一种马痫，其病症表现为张口摇头，发出马叫声，身体想要向后反折。（治疗时，在项部的风府穴和肚脐中各灸三壮；若病位在腹中，则烧马蹄成末服用）
牛痫的病症表现为两眼直视不动，腹部胀满。（治疗时，在鸠尾穴上方及大椎穴各灸三壮，烧牛蹄灰成末服用）
鸡痫的病症表现为伸长脖子，身体向后反折，容易受惊且身体自行摇动。（治疗时，在足部诸阳经穴位各灸三壮）
羊痫的病症表现为喜欢瞪大眼睛，吐出舌头。（治疗时，在大椎穴上方灸三壮）
猪痫的病症表现为喜欢吐口水。（治疗时，在完骨穴两旁各一寸处各灸七壮）
犬痫的病症表现为手部屈曲挛缩。（治疗时，在两手掌心各灸一壮，在足太阳膀胱经穴位各灸一壮，在肋户、两聊头两个穴位各灸一壮，此法良好）
凡是（各种身体反张的病人，如果大人脊柱下方能侧进一只手，或者小儿能侧进三指宽的空间，这种病情不可治愈） 另外（如果出现眼睛向上翻白、瞳孔动摇的症状，应当灸囟中穴。取穴的方法是：横着量口角到嘴角的宽度，再横着量鼻下至两边的宽度，将鼻下的宽度折半，合入口角的宽度作为标准，从额上发际向上量这个距离，灸这个距离的终点。那个位置正好在囟门上方未闭合的骨头中间，随着手晃动的那个点，就是最关键的位置）。其次（灸当额上入发际二分许的地方，直对鼻子为正确位置）。其次（灸两边当瞳孔子直上入发际二分许的地方）。其次（灸头顶旋毛中间）。其次（灸客主人穴，在眉后际动脉跳动处）。其次（灸两耳门穴，当耳朵张开时骨头解开、肌肉凹陷处）。其次（灸两耳上卷耳取穴的一种方法，当卷耳上头是也，大人当耳上横三指，小儿各自取其手指宽度）。其次（灸两耳后完骨上的青脉，也可以用针刺令血流出）。其次（灸玉枕穴，在项后高骨处）。其次（灸两风池穴，在项后两辕筋外发际陷中处）。其次（灸风府穴，当项上头部凡二十九处，儿生十日可灸三壮，三十日灸五壮，五十日灸七壮，病重者全部灸之，轻者只灸囟中、风池、玉枕。艾绒要陈熟，艾炷要平正贴着肉，火势才能到达病所。如果艾绒生新，艾炷不平正不着肉，徒然灸多艾炷也没有益处）。
另外如果腹部胀满、短气、肠鸣（治疗时，灸肺募穴，在两乳上第二肋间宛宛中，用垂绳法取穴，正对瞳孔）。其次（灸膻中穴）。其次（灸胸堂穴）。其次（灸脐中穴）。其次（灸薛息穴，薛息在两乳下第一肋间宛宛中）。其次（灸巨阙穴，巨阙人人鸠尾下一寸，小儿去脐作六分，去心鸠尾下一寸，并灸两边）。其次（灸胃管穴）。其次（上腹部一十二处，胸堂、巨阙、胃脘，十日大的小儿灸三壮，一月以上可灸五壮，阴下缝三壮，有人说随年龄决定壮数来灸）。
另外如果脊背强直、身体反张（治疗时，灸大椎穴并灸诸脏俞穴及督脉脊上当中央，从大椎度至穷骨中，屈身再从大椎度之，灸度下头是督脊也）。上背部一十二处，十日大的小儿灸三壮，一月以上灸五壮。
另外如果手足抽搐惊厥（治疗时，灸尺泽穴）。其次（灸阳明经穴）。其次（灸少商穴）。其次（灸劳宫穴）。其次（灸心主穴/内关）。其次（灸合谷穴）。其次（灸三间穴）。其次（灸少阳经穴）。上手部一十六处，其中重要的有阳明、少阳、心主、尺泽、合谷、少商，壮数如上所述。
另外（灸伏兔穴）。其次（灸三里穴）。其次（灸腓肠穴）。其次（灸鹿溪穴）。其次（灸阳明经穴）。其次（灸少阳经穴）。其次（灸然谷穴）。上足部一十四处，都是重要穴位，可像上面那样灸相应的壮数。手足阳明经穴相当于人四指的宽度，凡是小儿惊痫都灸这些穴位。如果是风病大动，手足抽搐的，要灸尽手足十指端，还要灸本节后。
又有论述说：如果病人刚发病，就来告诉医生，医生可以诊察，根据理解制定法则，按次序治疗，因为这样有节度，首尾相连才能痊愈。如果病人已经经过杂乱的治疗没有次序，就不能控制病情。病就会变异其原本的症状。后来的医生就不知道前面的证候虚实，直接依据后面的证候进行治疗，也不能痊愈。一定要仔细询问考察，如果是前一位医生连贯治疗的，应依照他之前的踪迹继续治疗，这样才不会违背医理。前一位医生开的汤药，本来应该吃几剂才能痊愈，而病人吃一两剂求效，就说没效果，以后再去问其他医生。其他医生不探寻前人为疗寒温的次序，而重新治疗，如果不依次遵循前医生的疗法，病人就会死亡。或者前人已经用了下法，后人须用平和的方法接续治疗，这样才能痊愈；或者前人没用下法，或者病邪未去，或者前人的寒温治疗失度，后人应调理它，这是治疗败坏了的病，都必须邀请（请教）高手，然后才能免除危险。不依次第，以及不审察，必然反而加重导致死亡。
另外茵芋丸，治疗少小患有风痫疹，长大不除，或者遇到……茵芋（炙）、铅丹（熬）、钩藤（炙）、杜蘅、防葵、石膏（研）、秦艽（各四分）、菖蒲、黄芩（各六分）、松萝（二分）、蜣螂（十枚炙）、甘草（十四分炙）。上十二味捣筛，做成如小豆大小的丸药。三岁以下服五丸，三岁以上服七丸，五岁以上服十丸，十岁可至十五丸，根据大小斟酌剂量。又《神农本草经》说，小儿惊痫有一百二十种，其证候微异于常，便是痫候。初出胎，血脉不敛，五脏未成，稍加调养失宜，即为病。时常不是成人，其经络变蒸之后有病，其余证候并宽缓，唯有中风最暴卒。
另外凡是小儿不能乳哺，应当给予紫丸下之。小儿始生，生气尚盛，只要有微恶，就必须下之，必无所损，及其愈病则致深益。等到变蒸日满不解者，并宜用龙胆汤。（方子在客忤中）。如果不及时下之，则成大病，病成则难疗。凡是用下法，四味紫丸最好，虽然下之不损人，足以去疾。如果四味紫丸不得下者，以赤丸下之，赤丸不下，应当加倍。如果已下而有余热不尽，应当按方作龙胆汤，稍稍服之，摩赤膏。风痫也应当在下之后，以猪心汤下之。惊痫只要按图灸之，及摩膏，不可大下。为什么呢？惊痫，心气不定。下之内虚，益令甚耳。惊痫甚者，特为难治。如养小儿，尝慎惊，勿令儿闻大声，抱持之间，当安徐勿令怖也。又天雷时便掩塞儿耳，并作余细声以乱之。
凡是养小儿，皆微惊以长血脉，但不欲大惊，大惊乃灸惊脉。若五六十日灸者，惊复重甚，生百日后灸惊脉，乃善。
治少小心腹热，除热丹参赤膏方。丹参、雷丸、芒硝、戎盐、大黄各三两。上五味切，以苦酒半升浸四种一宿，以成炼猪脂一斤煎，三上三下，去滓内芒硝。膏成，以摩心下，冬夏可用一方，但丹参雷丸亦佳。（并出第五卷中）
《千金翼》说：凡小儿之痫有三种，有风痫，有惊痫，有食痫。然而风痫惊痫，时时有耳，十人之中，未有一二是食痫者。凡是先寒后热发痫者，皆是食痫也。惊痫当按图灸之，风痫当与豚心汤下之，食痫当下乃愈，紫丸佳。凡小儿所以得风者，缘衣暖汗出，风因而入也。风痫者，初得之时，先屈指如数乃发作，此风痫也。惊痫者，起于惊怖，先啼乃发作，此惊痫也。惊痫微者，急疗，勿复惊之，或自止也。其先不哺乳，吐变热后发痫，此食痫也，早治则瘥。
小儿衣甚寒薄，则腹中乳食不消，其大便皆酢臭，此欲为癖之渐也，便将紫丸以微消之，服。
另外凡小儿冬月下无所畏，夏月下难瘥，然有病者不可不下。后腹中当小胀满，故当节哺乳，将紫丸数日，又乳哺小儿，常令多少有常剂，儿渐大，当稍稍增之，若减少者，此腹中已有小不调也，便微服药，停哺，但与乳，甚者十许日，微者五六日止，哺自当如常。若不肯哺而欲乳者，此是癖，为重要当下之，无不瘥者，不下则致寒热，或反吐而发痫，或更致下痢。
另外凡小儿有热，不欲哺乳，卧不安，又数惊，此痫之初也，服紫丸便愈，不瘥更服之。儿立夏后有病，疗之慎勿妄灸。不欲吐下，但以除热汤浴之，除热散粉之，除热赤膏摩之，又脐。
另外凡小儿屎黄而臭者，此腹中有热，宜微将服龙胆汤，若白而酢者，此寒不消也，当服紫丸，微者少与药令内消，甚者小增令小下，皆须节乳哺数日，令胃气平和，若不节乳哺，则病。
备急疗少小百二十种痫病，胸中病，蛇蜕皮汤方。蛇蜕皮（三寸炙）、细辛、甘草（炙）、钩藤、黄（各二分）、大黄（四分）、蚱蝉（四枚炙）、牛黄（五大豆许）。上八味切，以水二升半，煮取一升一合，百日儿一服二合，甚良。穷地无药物，可一二味亦合，不可备用，然大黄一味不得常用效。
又疗少小二十五痫，大黄汤方。甘草（炙）、大黄、甘皮、当归（各一两）、细辛（半两）。上五味捣筛，以指撮着水一升，煮取二合，一岁儿服一合，日二。
古今录验赤汤疗二十五种痫，吐痢，寒热百病，不乳哺方。大黄（五两）、当归、芍药、黄芩、栝蒌、甘草（炙）、桂心、人参、赤石脂、牡蛎（熬）、紫石英、麻黄（去节各二两）。上十二味捣筛令调，盛以韦囊，八岁儿以干枣五枚，用水八合煮枣，取五合，两指撮药入汤中煮，取三沸，去滓与儿服之，取利，微汗自除。十岁用枣十枚，三指撮药，水一升煮三沸服之。此汤疗小儿百病及痫，神验。
又疗未盈月及出月儿壮热发痫，钩藤汤方。钩藤（一分）、蚱蝉（一枚去翅）、柴胡、升麻、黄芩（各二分）、蛇蜕皮（二寸炙）、甘草（炙）、大黄（各二分）、竹沥（三合）、石膏（三分碎）。上十味切，以水一升，煮取三合半，和竹沥服一合，得利，见汤色出停，后服至五十六十日，儿一服一合，乳母忌海藻，菘菜等。（崔氏云若连发不醒加麻黄一分去节）
又疗百日及过百日儿发痫，连发不醒，及胎中带风，体冷面青反张，宜服麻黄五痫汤方。麻黄（去节）、羌活、干葛、甘草（炙）、枳实（各二分炙）、杏仁（二十枚）、升麻、黄芩、大黄（各四分）、柴胡、芍药（各三分）、钩藤皮（一分）、蛇蜕（三寸炙）、蚱蝉（二枚炙去羽）。上十五味切，以水二升并竹沥五合，煎取六合，每服一合佳。
Furthermore, the disease of Horse Epilepsy (Ma Xian) manifests as opening the mouth and shaking the head, making horse-like cries, and the body attempting to arch backward. (Treatment: Moxibustion at Fengfu (GV16) on the neck and Zhongwan (CV12) in the umbilicus, three moxa cones each; if the pathology is in the abdomen, burn horse hooves into powder and ingest.)
The disease of Ox Epilepsy (Niu Xian) manifests as eyes staring straight ahead without movement and abdominal distension. (Treatment: Moxibustion above Jiwei (CV15) and Dazhui (GV14), three moxa cones each; burn ox hooves into ash/powder and ingest.)
The disease of Chicken Epilepsy (Ji Xian) manifests as stretching the neck, arching the body backward, susceptibility to fright, and spontaneous trembling. (Treatment: Moxibustion on various Yang meridians of the foot, three moxa cones each.)
The disease of Sheep Epilepsy (Yang Xian) manifests as a tendency to widen the eyes and protrude the tongue. (Treatment: Moxibustion above Dazhui (GV14), three moxa cones.)
The disease of Pig Epilepsy (Zhu Xian) manifests as a tendency to salivate excessively. (Treatment: Moxibustion one cun lateral to both sides of Wangu (GB7), seven moxa cones each.)
The disease of Dog Epilepsy (Gou Xian) manifests as flexion and spasm of the hands. (Treatment: Moxibustion on the center of both palms, one cone each; on the Taiyang bladder meridian points of the feet, one cone each; on the points Luhu (EX-UE9) and Liaotou (EX-UE10), one cone each; this method is effective.)
Regarding conditions involving general extension rigidity (Fan Zhang): If an adult can fit a hand sideways below the spine, or a child can fit three fingers' width, the condition is incurable. Additionally, if the eyes roll upward with pupil movement, Moxibustion at Xinzho (Ex-HN17) should be performed. The method for locating this point is: measure horizontally across the mouth from corner to corner, then measure horizontally across the nose from side to side. Take half of the nasal width and add it to the mouth width. Measure this total distance upward from the hairline of the forehead. The endpoint of this measurement is the target. This spot lies exactly above the fontanelle, in the unfused bone area where movement can be felt with the finger; this is the most critical point. Next, moxibustion is applied approximately two fen above the hairline on the forehead, aligned vertically with the nose. Next, moxibustion is applied on both sides, two fen above the hairline directly above the pupils. Next, moxibustion is applied at the center of the vertex hair whorl. Next, moxibustion is applied at Keyuren (ST7), located behind the eyebrow margin where the artery pulses. Next, moxibustion is applied at Ermen (TE21) bilaterally, in the depression that appears when the mouth opens and the jawbone moves. Next, another method involves rolling up the ear; for adults, measure three finger-widths above the ear; for children, use their own finger width. Next, moxibustion is applied over the blue veins above Wangu (GB7) behind both ears; alternatively, needle pricking to induce bleeding may be used. Next, moxibustion is applied at Yuzhen (BL9), on the prominent bone at the back of the neck. Next, moxibustion is applied at Fengchi (GB20) bilaterally, in the depression lateral to the sternocleidomastoid muscle at the hairline. Next, moxibustion is applied at Fengfu (GV16). In total, there are twenty-nine points on the head and neck. For infants ten days old, three cones are used; for thirty days, five cones; for fifty days, seven cones. Severe cases require all points to be treated; mild cases only require Xinzho, Fengchi, and Yuzhen. The mugwort must be aged (shu), and the moxa cone must be flat and make full contact with the skin so that the heat reaches the pathological site. If the mugwort is fresh or the cone is uneven and does not touch the skin thoroughly, many cones will be of no benefit.
If there is abdominal fullness, shortness of breath, and borborygmus (intestinal rumbling): Moxibustion is applied at Feimu (BL13), located in the depression between the second intercostal space above both nipples, located using a vertical plumb line aligned with the pupil. Next, Moxibustion at Danzhong (CV17). Next, Moxibustion at Xiong tang (EX-CE2). Next, Moxibustion at Qizhong (CV8). Next, Moxibustion at Bixi (EX-UE11), located in the depression between the first intercostal space below both nipples. Next, Moxibustion at Juque (CV14); for adults, it is one cun below Jiwei (CV15); for children, it is six fen from the umbilicus or one cun below Jiwei towards the heart; treat both sides. Next, Moxibustion at Weiguan (CV12). There are twelve points in the upper abdomen (Xiong tang, Juque, Weiguan). For ten-day-old infants, three cones are used; for those over one month, five cones; for the perineum, three cones. Some say the number of cones should correspond to the child's age.
If there is spinal stiffness and opisthotonos (body arching backward): Moxibustion is applied at Dazhui (GV14) and the Shu points of all Zang organs, as well as along the Du vessel on the spine. Locate the center from Dazhui down to the coccyx. With the patient bending forward, measure again from Dazhui down; the endpoint is on the Du vessel. There are twelve points on the upper back. For ten-day-old infants, three cones are used; for those over one month, five cones.
If there are spasms and convulsions of the hands and feet: Moxibustion at Chize (LU5). Next, Yangming meridian points. Next, Shaoshang (LU11). Next, Laogong (PC8). Next, Xin Zhu (Neiguan PC6). Next, Hegu (LI4). Next, Sanjian (LI3). Next, Shaoyang meridian points. There are sixteen points on the upper limbs; the key ones are Yangming, Shaoyang, Xin Zhu, Chize, Hegu, and Shaoshang. The number of cones is as described above.
Next, Futu (ST32). Next, Zusanli (ST36). Next, Feichang (BL57). Next, Luxi (EX-LE8). Next, Yangming meridian points. Next, Shaoyang meridian points. Next, Ran Gu (KI2). There are fourteen points on the lower limbs, all important, treated with the same number of cones as above. The Yangming points on hands and feet correspond to four finger-widths. All these points are moxibusted for pediatric epilepsy. If wind pathogen causes severe agitation and limb spasms, moxibustion should be applied to the tips of all ten fingers and the joints proximal to them.
It is further stated: If the family reports the onset immediately, the physician can examine and diagnose, establishing a treatment protocol in sequence. Following this order ensures recovery. If the patient has already undergone disordered treatments, the disease cannot be controlled, and symptoms may change, making it difficult for subsequent physicians to understand the original excess/deficiency patterns. Treating based solely on changed symptoms will likely fail. One must carefully inquire about previous treatments. If a previous physician had a coherent plan, continue that trajectory to avoid contradicting medical principles. If a previous prescription required multiple doses to cure, but the family stopped after one or two doses due to lack of immediate effect and sought another doctor, the new doctor must understand the previous thermal/cold management sequence. Disregarding the previous regimen may lead to death. If the previous physician used purgatives, the successor must follow with gentle/regulating methods to achieve cure. If the previous physician did not purge, or failed to remove pathogens, or mismanaged cold/heat therapy, the successor must regulate. These are "failed" cases requiring expert intervention to avoid worsening. Failure to follow sequence and observe details leads to deterioration.
Yinyu Wan (Cactus Fruit Pill) treats pediatric wind-epilepsy and rashes persisting into adulthood. Ingredients: Zhi Yin Yu (Processed Cactus Fruit), Pao Qiandan (Calcined Lead Tetroxide), Zhi Gouteng (Processed Uncaria Rhynchophylla), Duheng (Duheng Root), Fangkui (Fangkui Root), Yan Shigao (Ground Gypsum), Ge Gen (Kudzu Root) - 4 fen each; Changpu (Acorus Tatarinowii), Huangqin (Scutellaria Baicalensis) - 6 fen each; Songluo (Usnea Diffusa) - 2 fen; Qianglang (Dung Beetle) - 10 roasted specimens; Zhi Gancao (Honey-fried Licorice Root) - 14 fen. Twelve ingredients are ground and sifted, formed into pills the size of small beans. Children under 3 years take 5 pills; over 3 years, 7 pills; over 5 years, 10 pills; 10 years old, up to 15 pills, adjusted by size. *Shennong Ben Cao Jing* states there are 120 types of pediatric epileptic seizures. Their symptoms differ slightly from normal, constituting epilepsy. At birth, blood vessels are not consolidated, and internal organs are immature; slight improper care leads to disease. After the physiological changes of "Jing Zheng" (meridian transformation), illness may occur; generally mild except for sudden Wind Stroke.
If a child has poor limb movement, convulsions, and slight respiratory abnormalities, epilepsy may develop.
If a child refuses breastfeeding, administer Zi Wan (Purple Pill) to purge. Newborns have strong vital energy; mild discomfort requires purging without harm, leading to deep healing benefits. If "Jing Zheng" periods pass without resolution, Longdan Tang (Gentian Decoction) is indicated (formula found under Ke Wu section). Delayed purging leads to severe, hard-to-treat illness. Among purgatives, Siwei Zi Wan (Four-Ingredient Purple Pill) is best; it clears disease without damaging the person. If Siwei Zi Wan fails, use Chi Wan (Red Pill); if that fails, double the dose. If purging leaves residual heat, prepare Longdan Tang and administer gradually. Apply Chiga (Red Ointment). For Wind Epilepsy, purge first, then administer Zhu Xin Tang (Pig Heart Decoction). For Fear Epilepsy, follow acupuncture diagrams and apply ointment; do not purge heavily. Why? Fear Epilepsy involves unstable Heart Qi; purging causes internal deficiency, worsening the condition. Severe Fear Epilepsy is difficult to treat. When raising children, prevent fright; avoid loud noises. Hold them gently to avoid fear. During thunderstorms, cover the child's ears and make soft noises to distract.
Raising children involves mild stimulation to nourish blood vessels, but avoid severe fright. If severe fright occurs, moxibustion on Jing Mai (Fear Meridian) is indicated. For infants 50-60 days old, severe fright may worsen; for infants over 100 days, moxibustion on Jing Mai is beneficial.
Formula for clearing heat from the chest and abdomen in young children: Danshen Chiga (Salvia Red Ointment). Ingredients: Danshen (Salvia Miltiorrhiza), Leiwan (Polyporus Umbellatus), Mangxiao (Mirabilite), Rongyan (Rock Salt), Dahuang (Rhubarb Root) - 3 liang each. Five ingredients are cut. Four are soaked in Ban Sheng of Ku Jiu (Bitter Vinegar) overnight. Then simmer in 1 Jin of refined lard, lifting and lowering three times. Strain and add Mangxiao. Once the ointment forms, rub it on the chest. Suitable for winter and summer; Danshen and Leiwan are also good. (From Volume 5).
*Qianjin Yi* states pediatric epilepsy has three types: Wind Epilepsy, Fear Epilepsy, and Food Epilepsy. Wind and Fear types are common; Food Epilepsy is rare (less than 1 in 10). Preceded by chills then fever indicates Food Epilepsy. Fear Epilepsy is treated with acupuncture/moxibustion per diagrams. Wind Epilepsy is treated with Tun Xin Tang (Pig Heart Decoction) to purge. Food Epilepsy requires purging to cure; Zi Wan is excellent. Wind enters because warm clothing causes sweating. Wind Epilepsy begins with finger counting movements before onset. Fear Epilepsy starts with crying due to fright. Mild Fear Epilepsy resolves quickly if not frightened again. Food Epilepsy follows refusal to nurse, vomiting, heat, then seizure. Early treatment cures.
Thin clothing causes indigestion and sour-smelling stool, indicating early Pi (accumulation). Treat mildly with Zi Wan.
Children are less afraid of winter illnesses but harder to cure in summer. Purging is necessary. Abdominal blooming may occur, so regulate feeding. Use Zi Wan for several days, then resume feeding with regular amounts. Increase amount as child grows. Decreased appetite indicates minor disharmony; give mild medicine, stop feeding, offer milk only. Severe cases last 10 days, mild 5-6 days, then feeding returns to normal. Refusal to nurse but desire to suck indicates Pi; purging is essential for cure. Without purging, chills/fever, vomiting with epilepsy, or dysentery may result.
Heat, refusal to nurse, restlessness, and frequent fright indicate early epilepsy. Zi Wan cures it; repeat if necessary. After Li Xia (Start of Summer), avoid reckless moxibustion. Do not purge; bathe in Chu Re Tang (Clear Heat Decoction), dust with Chu Re San (Clear Heat Powder), and rub with Chu Re Chi Gao (Clear Heat Red Ointment), plus umbilical application.
Yellow, foul-smelling stool indicates abdominal heat; mildly administer Longdan Tang. White, sour stool indicates cold indigestion; administer Zi Wan. Mild cases reduce dosage for internal resolution; severe cases increase slightly for mild purging. Regulate feeding for several days to harmonize Stomach Qi. Failure to regulate worsens disease.
Beiji formula for 120 types of pediatric epilepsy and chest pathology: Shutui Pi Tang (Snake Skin Decoction). Ingredients: Zhi Shutui Pi (Processed Snake Slough) - 3 cun; Xixin (Asarum); Zhi Gancao (Honey-fried Licorice) - 2 fen each; Gouteng (Uncaria Rhynchophylla); Huangqi (Astragalus Root) - 2 fen each; Dahuang (Rhubarb Root) - 4 fen; Zha Chan (Mantis Egg Case) - 4 roasted; Niuhuang (Calculus Bovis) - size of 5 large soybeans. Eight ingredients are cut. Boil in 2.5 Sheng water to yield 1.1 Sheng. Infants under 100 days take 2 He per dose; very effective. In areas lacking herbs, 1-2 ingredients may suffice, but Dahuang alone is not commonly effective.
Formula for 25 types of pediatric epilepsy: Dahuang Tang (Rhubarb Decoction). Ingredients: Zhi Gancao (Honey-fried Licorice), Dahuang (Rhubarb), Ganpi (Licorice Bark), Danggui (Angelica Sinensis) - 1 liang each; Xixin (Asarum) - 0.5 liang. Five ingredients are ground. Add a pinch to 1 Sheng water, boil to 2 He. One-year-olds take 1 He twice daily.
Jingu Luyan Chitang treats 25 types of epilepsy, vomiting/dysentery, chills/fever, and refusal to nurse. Ingredients: Dahuang (Rhubarb) - 5 liang; Danggui (Angelica Sinensis), Shaoyao (Peony Root), Huangqin (Scutellaria Baicalensis), Gualou (Trichosanthes Fruit), Zhi Gancao (Honey-fried Licorice), Guixin (Cinnamon Twig), Renshen (Ginseng Root), Chishizhi (Red Halloysite), Ao Muli (Calcined Oyster Shell), Zhi Shiyin (Purple Quartz), Mahuang (Ephedra Stem, nodes removed) - 2 liang each. Twelve ingredients are ground and mixed, stored in a leather bag. For an 8-year-old: boil 5 dried dates in 0.8 Sheng water to get 0.5 Sheng liquid. Add two finger-widths of herb powder, boil three times. Strain and administer. Diarrhea and slight sweating indicate efficacy. For 10-year-olds: 10 dates, three finger-widths of powder, 1 Sheng water, boiled three times. This decoction cures 100 childhood diseases and epilepsy miraculously.
Formula for high fever and epilepsy in infants under or just over one month: Gouteng Tang (Uncaria Decoction). Ingredients: Gouteng (Uncaria Rhynchophylla) - 1 fen; Qu Chi Chan (Mantis Egg Case, wings removed) - 1 piece; Chaihu (Bupleurum Root), Shengma (Cimicifuga Rhizome), Huangqin (Scutellaria Baicalensis) - 2 fen each; Zhi Shutui Pi (Processed Snake Slough) - 2 cun; Zhi Gancao (Honey-fried Licorice), Dahuang (Rhubarb Root) - 2 fen each; Zhuli (Bamboo Juice) - 3 He; Sui Shigao (Crushed Gypsum) - 3 fen. Ten ingredients are cut. Boil in 1 Sheng water to yield 3.5 He. Mix with Zhuli and administer 1 He. Stop when diarrhea occurs and urine color clears. Continue until 50-60 days old, 1 He per dose. Nursing mothers avoid Haizao (Seaweed) and Songcai (Chinese Cabbage). (Cui Shi adds: If continuous seizures with unconsciousness, add 1 fen Mahuang, nodes removed).
Formula for infants over 100 days with continuous seizures, unconsciousness, congenital wind, cold body, cyanotic face, and opisthotonos: Mahuang Wu Xian Tang (Ephedra Five-Epilepsy Decoction). Ingredients: Mahuang (Ephedra Stem, nodes removed); Qianghuo (Notopterygium Rhizome); Gange (Kudzu Root); Zhi Gancao (Honey-fried Licorice); Zhishi (Immature Bitter Orange, fried) - 2 fen each; Xingren (Apricot Seed) - 20 pieces; Shengma (Cimicifuga Rhizome); Huangqin (Scutellaria Baicalensis); Dahuang (Rhubarb Root) - 4 fen each; Chaihu (Bupleurum Root); Shaoyao (Peony Root) - 3 fen each; Gouteng Pi (Uncaria Rhynchophylla Bark) - 1 fen; She Tui (Snake Slough, 3 cun, roasted); Zha Chan (Mantis Egg Case, 2 pieces, roasted, feathers removed). Fifteen ingredients are cut. Boil in 2 Sheng water and 5 He Zhuli to yield 6 He. Administer 1 He per dose, which is optimal.