风痫为病废手足,或一手一足,或两手两足,如瘫不随,或 眼,或 口,或口歪牵引
颊车。
食痫为病伤肉食,手足搐动,角弓反张,或拳挛,或张狂大声,如羊如犬,大叫吐出饮
食方定,其饮食尽被痰涎包裹在其中。
惊痫为病,废头目,吊口目,或一目双目,或昏或盲,或邪视,或头歪,或摇头,或战
脑。
痰痫为病,此患似张狂,作之不常,或半年一作,或一年,或一月,或一日一次,或一
日三次,一身惊搐,不废手足,不废头目,其人张狂如梦中,如半醉,灯下不知人,皆从梦
寐中作,所以无常也。忽耳不闻,其目不能视,如狂。
饮痫为病,此患吃食不知饱,忽然连三五日不甚思食,手足搐动,多自梦寐中作,食之
太饱,亦便发作。
若 病,如寒邪中得患者,十有九死。
又热瘟病,及中暑发患热者,十无一生。
头疼发热,颈项强硬,不能回顾,摇头口噤,问之全不应人,渐渐角弓反张,痰在咽喉
,响者死。仲景栝蒌葛根汤、小续命汤,入麝,《局方》大防风汤主之。且小方脉着书立方
者,一百余家,各有所长,惟钱氏比诸家优咏之切,后之学人,熟读玩味,治婴孩之疾,则
百发百中矣。今略各证通治方,开列于后。
治小儿温壮伏热,伤寒烦躁,面赤气喘,夜热晓凉,此药凉心脏,消风热。
川大黄(蒸) 赤芍药 甘草(炙) 川当归(各二钱半) 麻黄 白术 荆芥穗(各
二钱)
上为末,一岁一钱,水半盏,葱白一寸,薄荷一叶,煎至三分,不拘时温服。
风痫发作时,会导致手足废用,可能是一只手一只脚,也可能是双手双足,像瘫痪一样无法随意活动;或者出现眼睛斜视、口角歪斜,或口歪牵引至颊车穴部位。
食痫是因为饮食损伤了肉食(积滞),导致手足抽搐抽动,身体向后反折如弓状(角弓反张),或者手指蜷缩紧握,或者表现为狂躁、大声叫喊,声音像羊或狗一样,大叫并吐出食物后症状才停止,这是因为饮食都被痰涎包裹在体内所致。
惊痫发作时,会导致头目功能废用,出现口眼吊斜,可能是一只眼或双眼受影响,或者视力模糊或失明,或者眼球斜视,或者头部歪斜,或者摇头,或者脑部震颤。
痰痫发作时,患者表现类似狂躁,发病没有固定规律,有的半年发一次,有的一年发一次,有的一个月发一次,有的一天一次,甚至一天三次。全身出现惊厥抽搐,但不会导致手足或头目废用。患者神志狂乱,如同梦中,又似半醉状态,在灯光下认不出人,这些症状都从睡眠中产生,所以发病无常。突然之间耳朵听不见,眼睛不能看东西,神情如狂。
饮痫发作时,患者吃东西不知道饱足,忽然连续三五天不想进食,手足抽搐抽动,大多从睡眠中产生,如果吃得太饱,也会引发发作。
如果是寒邪中伤引起的这类疾病,十个人中有九个会死亡。
另外,如果是热瘟病,以及中暑引发的发热病症,十个人中没有一个是能活下来的。
如果出现头痛发热,颈项僵硬,不能回头顾盼,摇头且牙关紧闭,询问病人完全不应答,逐渐发展为角弓反张,咽喉中有痰鸣声的,预后不良,主死。治疗可用仲景的栝蒌葛根汤、小续命汤,加入麝香,《局方》的大防风汤主治此类病症。而且儿科著作立方的有一百多家,各有所长,只有钱乙(钱氏)比各家更切合实际,后世学医之人,若能熟读玩味,治疗婴幼儿疾病,就能百发百中。现将各种证候的通治方剂,开列如下。
治疗小儿温热壮热伏藏之热,伤寒烦躁,面色红赤气喘,夜间发热早晨凉爽,此药能清心火,消除风热。
药材:川大黄(蒸制)、赤芍药、甘草(炙烤)、川当归(各二钱半);麻黄、白术、荆芥穗(各二钱)。
用法:将上述药物研为细末,一岁的患儿服用一钱,加水半盏,葱白一寸,薄荷一叶,煎煮至剩余三分之一的药液,不拘时间温服。
Wind Epilepsy (Feng Xian) manifests as paralysis of the limbs, affecting either one hand and one foot, or both hands and feet, resembling paralysis with loss of voluntary movement. It may also present with strabismus (eye deviation), oral deviation, or pulling of the mouth toward the Jiache acupoint (ST6).
Food Epilepsy (Shi Xian) results from damage caused by consuming meat products. Symptoms include twitching and convulsions of the limbs, opisthotonos (body bent backward like a bow), clenched fists, mania, loud shouting resembling sheep or dogs, and vomiting food before symptoms subside. This occurs because the ingested food is enveloped by phlegm-fluids within the body.
Startle Epilepsy (Jing Xian) leads to dysfunction of the head and eyes, such as retraction of the mouth and eyes. It may affect one or both eyes, causing blurred vision or blindness, strabismus, head tilting, head shaking, or tremors of the brain/head.
Phlegm Epilepsy (Tan Xian) presents similarly to mania but without a fixed schedule; it may occur once every half year, once a year, once a month, once a day, or even three times a day. The patient experiences whole-body startle and convulsions but does not suffer limb or head/eye paralysis. The person appears manic, as if in a dream or half-drunk, failing to recognize others even under lamplight. These episodes arise from sleep, hence their unpredictability. Suddenly, the ears cease to hear, and the eyes cannot see, appearing manic.
Fluid Epilepsy (Yin Xian) is characterized by an inability to feel fullness while eating. Suddenly, the patient may lose appetite for three to five consecutive days, accompanied by limb convulsions. These episodes often originate during sleep and can also be triggered by overeating.
If this condition arises from invasion by cold pathogenic factors, nine out of ten cases are fatal. Furthermore, if it arises from heat plague diseases or summerheat-induced fever, there is no survival among ten cases.
Symptoms include headache and fever, stiffness of the neck and nape, inability to turn the head, head shaking, trismus (lockjaw), unresponsiveness to questioning, gradually progressing to opisthotonos. If rattling sounds are heard from phlegm in the throat, death ensues. Treatment involves Zhongjing's Gualou Gegen Decoction (Trichosanthes Root and Pueraria Decoction) or Xiao Xuming Tang (Minor Rescue Life Decoction) with added Moschus (She Xiang), or Ju Fang's Da Fangfeng Tang (Major Saposhnikovia Decoction) from the Imperial Formulary. Regarding pediatric texts that establish prescriptions, there are over a hundred authors, each with strengths. However, Qian Yi (Qian Shi) is superior to others in practical application. Future practitioners who study these works thoroughly will achieve near-perfect success in treating infantile diseases. Below are general prescriptions for various syndromes.
For treating latent heat in children presenting with warm-fever, restlessness due to cold damage, red face, asthma, night fever with morning coolness: This formula cools the Heart and eliminates wind-heat.
Herbs: Radix Rheae Palmatae Preparata (Chuan Dahuang, steamed), Radix Paeoniae Rubra (Chi Shaoyao), Radix Glycyrrhizae Preparata (Gancao, honey-fried), Radix Angelicae Sinensis (Chuan Danggui) — 2.5 qian each; Herba Ephedrae (Mahuang), Rhizoma Atractylodis Macrocephalae (Baizhu), Flos Schizonepetae (Jingjie Sui) — 2 qian each.
Preparation: Grind all herbs into powder. For a one-year-old child, administer 1 qian. Add half cup of water, one inch of Scallion White (Congbai), and one leaf of Mint (Bohe). Decoct until one-third remains. Take warm at any time.