延寿散
治痫搐止后。再被惊者。仍要发搐。
鸡舌香(一钱) 黄 (一分,蜜炙黄) 辰砂(二钱,水飞) 五灵脂(去砂石,半钱)
上为细末。婴小用一字。二三岁半钱。四五岁一钱。糯米饮调下。无时。
回魂散
治痫搐瘥后。多吐逆腹胀。气急不食。及罢惊之后。一切虚候皆主之。
人参(去芦) 茯苓(去黑皮) 甘草 白僵蚕(去丝嘴) 朱砂(水飞,各一分) 白附子(一钱半
炮) 全蝎(一钱) 蝉壳(去土净洗,去足二十个)
上为细末。每服半钱或一钱。煎冬瓜子薄荷清米饮调下。量儿大小与之。乳食前。
仙乌豆
治因发惊痫之后。心神失守而痴。虢丹二两。晋矾二两。同为末。入一合子盛。先用蛤粉封口缝。后以盐泥
固济。炭火 通赤。放冷取出研末。以水一斗。黑豆五升。同药末于锅中煮至水尽为度。晒干。任意与食。服无
时。
通关散
治惊痫退后。只是声哑不能言。以天南星炮裂为细末。婴小半字一字。二三岁至四五岁儿半钱。六七岁儿一
钱。 猪胆汁调服。咽下便能言语。昔钱乙治王氏子。慢惊退后不语。他医作失音治之。不瘥。乙曰。既失音。
何开目而能食饮。又牙不噤而口不紧也。诸医皆不晓。乙曰。此前患惊痫时。曾用清药利大小便。致脾肾俱虚。
今补脾实而治惊已退。肾尚虚怯。不能上接于阳故也。遂以地黄丸补。数日能言。其方本集载之。
天茄散
治惊痫退后。筋脉不舒。不能行步。或因汗出惊退。而汗出不通所致。
茄种(见霜者半两,切碎焙干) 附子(半两,炮裂去皮脐) 羌活(去芦,一分焙)
上为末。二三岁儿一字。五七岁半钱。七八岁一钱。麝香酒调下。日三。疾愈止服。不拘时候。
延寿散
治疗惊痫抽搐停止后,再次受到惊吓,仍然出现抽搐症状的情况。
鸡舌香(一钱) 黄芩(一分,用蜂蜜炙烤至黄色) 辰砂(二钱,用水飞法研磨) 五灵脂(去除砂石,半钱)
将上述药材研成细末。婴幼儿用量为“一字”,二三岁儿童用半钱,四五岁儿童用一钱。用糯米汤调服,不拘时间。
回魂散
治疗惊痫抽搐痊愈后,出现频繁呕吐、腹部胀满、呼吸急促、不能进食,以及受惊停止后的一切虚损证候。
人参(去除芦头) 茯苓(去除黑色外皮) 甘草 白僵蚕(去除丝嘴和头足) 朱砂(水飞法研磨,各一分) 白附子(一钱半,炮制) 全蝎(一钱) 蝉蜕(去除泥土洗净,去掉足,二十个)
将上述药材研成细末。每次服用半钱或一钱。煎煮冬瓜子和薄荷,用清米汤调服。根据患儿年龄大小给予剂量。在吃奶或吃饭前服用。
仙乌豆
治疗因惊痫发作后,心神失守而导致痴呆的症状。
虢丹二两,晋矾二两,共同研成细末。装入一个合子中,先用蛤粉封口缝合,然后用盐泥加固密封。用炭火煅烧至通红,放冷后取出研成细末。取一斗水,五升黑豆,连同药末在锅中煮至水干为止。晒干后,随意给患儿食用。服药时间不拘。
通关散
治疗惊痫退去后,只是声音嘶哑不能说话的情况。将天南星炮裂后研成细末。婴幼儿用半字到一字,二三岁至四五岁儿童用半钱,六七岁儿童用一钱。用猪胆汁调服,咽下后便能言语。以前钱乙治疗王氏之子,慢惊风退去后不语,其他医生当作失音症治疗,没有效果。钱乙说:“既然失音,为什么能睁眼并能饮食?而且牙关不紧闭,口也不紧张呢?”众医都不明白。钱乙说:“此前患惊痫时,曾用过寒凉药物通利大小便,导致脾肾俱虚。现在补脾实而惊风已退,但肾尚且虚弱怯弱,不能上接于阳气。”于是用地黄丸进行补益,数日后能说话。该方剂原本收录在《小儿药证直诀》中。
天茄散
治疗惊痫退去后,筋脉拘急不舒展,不能行走。或者因为出汗后惊风退去,但汗出不通畅所致。
茄子种子(经霜的半两,切碎焙干) 附子(半两,炮裂去皮和脐) 羌活(去除芦头,一分焙干)
将上述药材研成细末。二三岁儿童用一字,五七岁儿童用半钱,七八岁儿童用一钱。用麝香酒调服,每日三次,疾病痊愈后停止服药。不拘时间。
Yanshou San (Longevity Powder)
Indicated for convulsions recurring after the cessation of epilepsy, triggered by fright.
Lignum Caryophylli (Jitixiang, 鸡舌香) one qian, Radix Scutellariae (Huangqin, 黄芩) one fen, honey-fried, Cinnabar (Chensha, 辰砂) two qian, water-ground, Trogopterus Dung (Wulingzhi, 五灵脂) half a qian, free of sand and stones.
Pulverize into fine powder. For infants, administer "yi zi" (a measure approximating 0.3-0.5g); for children aged 2-3 years, ban qian; for those aged 4-5 years, yi qian. Mix with rice porridge liquid and take orally at any time.
Huihun San (Soul-Returning Powder)
Indicated for post-epileptic symptoms including frequent vomiting, abdominal distension, rapid breathing, anorexia, and all deficiency syndromes following the subsidence of fright-induced convulsions.
Radix Ginseng (Renshen, 人参), de-radicle; Poria (Fuling, 茯苓), de-black skin; Radix Glycyrrhizae (Gancao, 甘草); Bombyx Batryticatus (Baijiangcan, 白僵蚕), de-head and silk mouth; Cinnabar (Zhusha, 朱砂), water-ground, each one fen; Rhizoma Typhonii (Baifuzi, 白附子) one and a half qian, processed; Scorpio (Quanxie, 全蝎) one qian; Periostracum Cicadae (Chanqiao, 蝉壳), cleaned of dirt, feet removed, twenty pieces.
Pulverize into fine powder. Each dose is ban qian or yi qian. Decoct seeds of Benincasa hispida (Dongguazi, 冬瓜子) and Herba Menthae (Bohe, 薄荷), mix with clear rice water, and take according to the child's age. Administer before milk or food intake.
Xian Wudou (Immortal Black Soybean)
Indicated for dementia resulting from loss of mind control after epileptic seizures.
Guodan (Guodan, 虢丹) two liang, Jin fan (Jinfan, 晋矾) two liang. Pulverize together. Place in a container, seal with clam powder paste, and reinforce with salt mud. Calcine over charcoal fire until red hot. Cool, remove, and pulverize. Add one dou of water and five sheng of black soybeans. Boil in a pot until the water is exhausted. Sun-dry. Administer freely as desired. Take at any time.
Tongguan San (Passage-Unblocking Powder)
Indicated for aphonia (loss of voice) persisting after the subsidence of epileptic seizures. Processed Rhizoma Arisaematis (Tiannanxing, 天南星) is pulverized into fine powder. For infants, use ban zi to yi zi; for children aged 2-3 to 4-5 years, ban qian; for those aged 6-7 years, yi qian. Mix with Pig Bile (Zhudanchi, 猪胆汁) and take orally. Speech returns upon swallowing. Previously, Qian Yi treated the son of the Wang family who remained mute after slow convulsions subsided. Other physicians treated it as aphonia without success. Qian Yi said, "If he were truly aphonic, how could he open his eyes and eat/drink? Moreover, his jaw is not locked, nor is his mouth tight." The other physicians did not understand. Qian Yi explained, "During the previous epileptic episode, cold-purgative medicines were used to promote urination and defecation, causing deficiency of both Spleen and Kidney. Now, having tonified the Spleen and resolved the convulsions, the Kidney remains deficient and weak, unable to connect upward with Yang." He subsequently prescribed Dihuang Wan (Rehmannia Pill) for tonification. After several days, speech returned. This formula is recorded in the original collection.
Tianqia San (Heavenly Eggplant Powder)
Indicated for muscle tension and inability to walk after the subsidence of epileptic seizures, or due to incomplete sweating after fright subsides.
Eggplant seeds (Qiezhong, 茄种) half a liang, those exposed to frost, chopped and dried by baking; Rhizoma Aconiti Lateralis Preparatum (Fuzi, 附子) half a liang, processed, peeled, and de-navel; Radix Notopterygii (Qianghuo, 羌活) one fen, de-radicle and baked.
Pulverize into fine powder. For children aged 2-3 years, yi zi; aged 5-7 years, ban qian; aged 7-8 years, yi qian. Mix with Musk Wine (Shexiang Jiu, 麝香酒) and take orally. Three times daily. Discontinue when cured. Take at any time.