广济疗小儿惊痫，体羸不堪，疗子母五痫煎方。
钩藤（二分） 知母 子芩（各四分） 甘草（炙） 升麻 沙参（各三分） 寒水石
（六分）
蚱蝉（一枚去翅炙） 蜣螂（三枚炙）
上九味捣筛，以好蜜和薄泔，着铜钵于沸汤上调之，搅不停手，如饴糖煎成，稍稍别出
少许
二百
短剧云玄中记曰，天下有女鸟，一名姑获，又名钓星鬼也。喜以阴雨夜过飞鸣，徘徊人
村里，
即化为
千金夫痫病，小儿之恶病也，或有不及求医而致困者，然气发于内，必先有候，常宜审
察其
为平
又（鼻口干燥大小便不利是痫候） 又（眼不明上视喜阳是痫候） 又（耳后完骨上有
青络
盛卧不静是痫候脉青大刺之令血出） 又（小儿发逆上啼哭面暗色不变是痫候） 又（鼻口
青时
小惊是痫候） 又（意气下而妄怒是痫候） 又（身热小便难是痫候）又（吐痢不止厥痛时
起是痫
候）又（身热目时直视是痫候） 又（目闭青时小惊是痫候） 又（咽乳不利是痫候） 又
（身热头
常汗出是痫候） 又（目瞳子卒大黑于常时是痫候） 又（身热吐 而喘是痫候） 又（喜
欠目上
视是痫候） 又（卧惕惕而惊手足振摇是痫候） 又（身热目视不精是痫候） 又（卧梦笑
手足动
摇是痫候） 又（弄舌摇头是痫
以上诸候二十条，皆痫之初也，见其候，盒饭瓜其阳脉所应灸，瓜之皆重手，令儿骤啼，
及足脉绝，亦依方与汤。又直视瞳子动 腹满转鸣 下血身热 口噤不得乳 反张脊强 汗
出
又小儿惊啼，眠中四肢掣动，变蒸未解，慎不可针灸瓜之。动其百脉，仍因惊成痫也，惟阴
痫噤 ，可针灸瓜之，凡灸痫，当先下儿使虚，乃承虚灸之，未下有实而灸者，气逼前后不
通杀人也。
又痫平旦发者，在足少阳，黄昏发者，在足太阴。日中发者，在足太阳，夜半发者，在
足少阴。人定发者，在足阳明。晨朝发者，在足厥阴。
上痫发时节病所在，视其发早晚，灸其所也。
又五脏之痫，六畜之痫，或在四肢，或在腹内，审察其候，随病所在灸之，虽少必瘥，
若失其要，则为害也。
肝痫之为病，面青，目反视，手足摇。（灸阳明太阴各三炷）
心痫之为病，面赤，心下有热，短气息微数。（灸心下第二肋端宛宛中此为巨阙也又灸
手心主及少阴各三炷）
脾痫之为病，面黄，腹大泄痢。（灸胃管三壮侠胃管傍各二壮足阳明太阴各二炷）
肺痫之为病，面目白，口沫出。（灸肝俞二壮又灸太阴二炷）
肾痫之为病，面黑，目正直视不摇如尸状。（灸心下二寸二分三壮又灸肘下动脉各二壮）
膈痫之为病，目反，四肢不举。（灸风府又灸顶上鼻人中下唇承浆皆随年壮）
肠痫之为病，不动摇。（灸两承山又灸足心两手劳宫又灸两耳后完骨各随年壮又灸脐中
可五十壮）
《广济方》治疗小儿惊痫，身体消瘦虚弱无法耐受常规治疗，使用治疗子母五痫的煎剂方。
钩藤（二分） 知母 黄芩（各四分） 甘草（炙） 升麻 沙参（各三分） 寒水石
（六分）
蚱蝉（一枚，去翅后炙） 蜣螂（三枚，炙）
以上九味药捣碎过筛，用好蜂蜜调和稀米汤，放入铜钵中在沸水上熬煮，不停搅拌，直到像饴糖一样浓稠即成，另外取出少许备用。
《短剧》引用《玄中记》说：天下有一种女鸟，名叫姑获，又叫做钓星鬼。喜欢在阴雨之夜飞过鸣叫，徘徊在村庄里，就化为……
千金方认为痫病是小儿的恶疾，有的来不及求医而导致困顿，然而病气发于体内，必定先有征兆，应当仔细审查其……
又有（鼻口干燥、大小便不利是痫病的征兆） 又有（眼睛看不清、向上看、喜欢阳光是痫病的征兆） 又有（耳后完骨上有青色络脉充盈，躺卧不安静是痫病的征兆，脉象青大，针刺令其出血） 又有（小儿头发竖起啼哭、面色暗淡但肤色不变是痫病的征兆） 又有（鼻口出现青色时，轻微惊恐是痫病的征兆） 又有（意气下沉而无故发怒是痫病的征兆） 又有（身体发热、小便困难是痫病的征兆） 又有（呕吐腹泻不止、厥冷疼痛时而发作是痫病的征兆） 又有（身体发热、眼睛时常直视是痫病的征兆） 又有（眼皮闭合、鼻口出现青色时轻微惊恐是痫病的征兆） 又有（吃奶不畅是痫病的征兆） 又有（身体发热、头部经常出汗是痫病的征兆） 又有（瞳孔突然比平时更大更黑是痫病的征兆） 又有（身体发热、呕吐且喘息是痫病的征兆） 又有（喜欢打哈欠、眼睛向上看是痫病的征兆） 又有（睡觉时惊恐不安、手足震颤摇动是痫病的征兆） 又有（身体发热、眼神不聚焦是痫病的征兆） 又有（睡梦中笑、手足摇动是痫病的征兆） 又有（弄舌头、摇头是痫病的征兆）
以上诸种征兆共二十条，都是痫病的初期表现，见到这些征兆，应当在其对应的阳脉处施灸，重手法施灸，使小儿突然啼哭，以及足部脉搏断绝的情况，也依照方剂给予汤药。又有（眼睛直视、瞳孔动摇、腹部胀满、肠鸣、下血、身体发热、牙关紧闭不能吸乳、角弓反张、脊背强直、出汗）
又有小儿惊啼，睡眠中四肢抽搐抽动，变蒸之期未解，千万不可针灸施治。扰动百脉，仍会因惊而成痫病，只有阴痫伴有牙关紧闭者，可以针灸施治。凡灸治痫病，应当先让小儿排泄使体内空虚，然后趁着虚损之时施灸，如果体内尚有实邪而未通下就施灸，会导致气机阻滞前后不通，危及生命。
又有痫病在清晨发作的，病位在足少阳经；黄昏发作的，在足太阴经；中午发作的，在足太阳经；半夜发作的，在足少阴经；入夜发作的，在足阳明经；早晨发作的，在足厥阴经。
上述痫病发作时间与病位所在，观察其发作早晚，灸治相应的经脉穴位。
又有五脏之痫，六畜之痫，有的在四肢，有的在腹内，仔细审查其征兆，根据病位所在进行施灸，即使病情轻微也必能痊愈，如果失去关键要点，就会造成危害。
肝痫这种病，面色青，眼睛上视，手足摇动。（灸足阳明、足太阴经各三壮）
心痫这种病，面色红，心下有热感，呼吸短促气息微弱且数。（灸心下第二肋端凹陷处，此为巨阙穴；又灸手厥阴心包经及手少阴心经各三壮）
脾痫这种病，面色黄，腹部胀大，腹泻痢疾。（灸胃脘部三壮，胃脘旁各二壮，足阳明、足太阴经各二壮）
肺痫这种病，面目苍白，口吐涎沫。（灸肝俞穴二壮，又灸手太阴肺经二壮）
肾痫这种病，面色黑，眼睛正直凝视不动，如尸体状。（灸心下二寸二分处三壮，又灸肘下动脉处各二壮）
膈痫这种病，眼睛上视，四肢不能举起。（灸风府穴，又灸头顶、鼻人中、下唇承浆穴，均随年龄决定壮数）
肠痫这种病，身体不动摇。（灸两小腿承山穴，又灸足心、两手劳宫穴，又灸两耳后完骨穴，均随年龄决定壮数，又灸脐中可五十壮）
The *Guangji Fang* treats infantile convulsive epilepsy in children who are emaciated and too weak to tolerate standard treatments, utilizing a decoction formula for the "mother-and-son five epilepsies."
*Gouteng* (Uncariae Ramulus cum Uncis, 2 fen) *Zhimu* (Anemarrhenae Rhizoma), *Ziqin* (Scutellariae Radix) (each 4 fen); *Gancao* (Glycyrrhizae Radix et Rhizoma, processed with honey), *Shengma* (Cimicifugae Rhizoma), *Shashen* (Adenophorae Radix) (each 3 fen); *Hanshuishi* (Natrii Sulfas, 6 fen).
*Zachan* (Tettigidae Periostracum, one piece, wings removed, processed by dry roasting); *Qianglang* (Staphylinus, three pieces, processed by dry roasting).
Crush and sieve the above nine ingredients. Mix well with fine honey and thin rice water. Place in a copper bowl and simmer over boiling water, stirring constantly without stopping, until it reaches the consistency of maltose syrup. Set aside a small portion separately.
The *Duanju* cites the *Xuanzhong Ji*, stating: There is a female bird under heaven named Guhuo, also known as Diaoxing Gui. It likes to fly and cry during rainy nights, lingering in villages, transforming into...
Qianjin Fang considers epilepsy an evil disease of infants. Some may become critically ill due to delayed medical attention. However, since the pathogenic qi originates internally, there must be prior signs; one should carefully examine them...
Also, (dryness of the nose and mouth, and difficulty in urination and defecation are signs of epilepsy); also, (blurred vision, upward gaze, and preference for sunlight are signs of epilepsy); also, (prominent blue collaterals behind the ear at the Wanggu point, restlessness while lying down are signs of epilepsy; if the pulse is blue and large, prick to let blood out); also, (hair standing on end, crying, dark complexion but unchanged skin color are signs of epilepsy); also, (appearance of blueness around the nose and mouth with slight fright are signs of epilepsy); also, (qi sinking downward and irrational anger are signs of epilepsy); also, (fever and difficult urination are signs of epilepsy); also, (persistent vomiting and diarrhea, intermittent cold limbs and pain are signs of epilepsy); also, (fever and frequent staring straight ahead are signs of epilepsy); also, (closed eyelids, blueness around the nose and mouth with slight fright are signs of epilepsy); also, (difficulty in suckling is a sign of epilepsy); also, (fever and frequent sweating on the head are signs of epilepsy); also, (sudden enlargement and darkening of the pupils compared to normal are signs of epilepsy); also, (fever, vomiting, and wheezing are signs of epilepsy); also, (frequent yawning and upward gaze are signs of epilepsy); also, (restless sleep, fright, and trembling/shaking of hands and feet are signs of epilepsy); also, (fever and unfocused gaze are signs of epilepsy); also, (smiling in sleep and shaking of hands and feet are signs of epilepsy); also, (playing with the tongue and shaking the head are signs of epilepsy).
The above twenty signs all represent the initial stage of epilepsy. Upon observing these signs, moxibustion should be applied to the corresponding Yang meridians. Apply heavy-handed moxibustion to induce sudden crying in the child, and for cases where the foot pulse ceases, administer the decoction according to the formula. Also, (staring straight, moving pupils, abdominal distension, borborygmus, bloody stool, fever, trismus preventing suckling, opisthotonos, stiff spine, sweating).
Also, for infantile frightful crying with limb twitching during sleep, before the completion of the "bianzheng" (physiological transformation period), moxibustion and acupuncture must strictly be avoided. Disturbing the hundred vessels may still lead to epilepsy caused by fright. Only in cases of Yin epilepsy with trismus can moxibustion and acupuncture be used. Generally, when treating epilepsy with moxibustion, one must first ensure the child has evacuated bowels to empty the interior, then apply moxibustion while the body is in a deficient state. If moxibustion is applied while excess pathogens remain un-evacuated, it will cause Qi stagnation blocking both upper and lower orifices, leading to death.
Epilepsy occurring at dawn is located in the Foot Shaoyang Gallbladder Meridian; at dusk, in the Foot Taiyin Spleen Meridian; at noon, in the Foot Taiyang Bladder Meridian; at midnight, in the Foot Shaoyin Kidney Meridian; at nightfall, in the Foot Yangming Stomach Meridian; at morning, in the Foot Jueyin Liver Meridian.
Regarding the timing of epilepsy onset and its location, observe whether it occurs early or late, and apply moxibustion to the corresponding meridian points.
For the five Zang organ epilepsies and the six animal-type epilepsies, whether located in the four limbs or inside the abdomen, carefully examine the signs and apply moxibustion according to the disease location. Even mild cases will surely recover; however, missing the key principles will cause harm.
Liver epilepsy manifests as a greenish complexion, eyes rolling back, and shaking of hands and feet. (Apply moxibustion to the Foot Yangming and Foot Taiyin meridians, 3 moxa cones each).
Heart epilepsy manifests as a red complexion, heat sensation below the heart, shortness of breath with weak and rapid respiration. (Apply moxibustion to the depression at the second rib end below the heart, which is Juque [CV14]; also apply moxibustion to the Hand Jueyin Pericardium Meridian and Hand Shaoyin Heart Meridian, 3 moxa cones each).
Spleen epilepsy manifests as a yellow complexion, abdominal distension, and diarrhea/dysentery. (Apply moxibustion to the epigastrium, 3 moxa cones; 2 moxa cones on each side of the epigastrium; 2 moxa cones each on the Foot Yangming and Foot Taiyin meridians).
Lung epilepsy manifests as a pale face and eyes, and foaming at the mouth. (Apply moxibustion to Ganshu [BL18], 2 moxa cones; also apply moxibustion to the Hand Taiyin Lung Meridian, 2 moxa cones).
Kidney epilepsy manifests as a black complexion, eyes staring straight without movement, resembling a corpse. (Apply moxibustion 2 cun below the heart, 3 moxa cones; also apply moxibustion to the arterial pulse below the elbow, 2 moxa cones each).
Diaphragm epilepsy manifests as eyes rolling back and inability to lift the four limbs. (Apply moxibustion to Fengfu [GV16]; also apply moxibustion to the vertex, Renzhong [GV26], and Chengjiang [CV24] on the lower lip, with the number of cones determined by age).
Intestinal epilepsy manifests with no body movement. (Apply moxibustion to both Chengshan [BL57]; also apply moxibustion to Yongquan [KI1] on the sole of the foot, Laogong [PC8] on both hands, and Wanggu [GB12] behind both ears, with the number of cones determined by age; also apply moxibustion to the umbilicus, up to 50 cones).