上件二十四味杵,罗为细末,入研者药同一处匀合,又将金银箔入水银三分,同研如泥,再同研令匀,炼
蜜为丸如绿豆大。每服大人五丸,用薄荷酒下;小儿三丸,薄荷汤下。
《灵苑》治大人小儿一切风及久患痫病。天乌散方(一名狐肝散)
腊月乌鸦(一只,去毛羽及嘴爪肠胃) 腊月野狐肝(一具,同前物入饼子内,固济,烧为灰) 麝香(研) 天
麻犀角屑(各半两) 干蝎 白僵蚕 蝉壳 牛黄(研,更多益妙) 荆芥(取穗) 藿香 天南星(去心) 白附
子腻粉(研) 桑螵蛸(须用腊月抹取 桑上者佳。各一两) 乌蛇(二两,酒浸,炙,去皮骨)
上件一十六味并精细杵,罗为末。每服半钱,用煎荆芥汤或豆淋酒调下,空心。小儿用薄荷汤调下一字。
《婴孺》治五岁儿壮热发痫疹,自下痢。五痫汤方
大黄(十二分) 钩藤皮 蜂房 麻黄(去节。各二分) 柴胡 栀子仁 知母 芍药 升麻(各七分) 蚱蝉(三
个) 石膏(十分,碎) 蛇蜕皮(五寸,炙) 杏仁(六分)
上水七升煮二升,去滓,稍稍如人肌暖,以拭身。
《婴孺》治新生儿客忤、中恶、痫发,乳哺不消,中风反折,蹙口吐舌,并疰忤面青,目下垂,腹满,丁奚羸
瘦胫交,三岁不能行。麝香双丸方
麝香 牛黄 黄连(各二两) 桂心 雄黄 乌贼鱼骨(炙) 丹砂 附子(炮) 巴豆(六十粒,去皮,炒) 特
生石(烧炼半日。各一钱) 蜈蚣(一个,去头足)
上十一味,别研巴豆如脂,和末匀,蜜和,杵三千下,拍合,收勿泄气。十日至一月儿服一米许;百日至
三百日儿服二麻子许,以意增减。儿虽小病甚者,增大其丸,不必根据此。小儿病率多耐药,服当汗出。若不
汗及不觉瘥,一日一夜四、五服,以汗出及瘥为限。为婴儿中人亦为客忤。妇人月水来未尽了,触儿子亦为
客忤。若喜失子产生辄死者,儿落地啼声未绝,便以指刮舌上,当时衔血如薤叶者,便与二丸米大,一日一
服,七日乃止,无不全者。若不全合一剂,当合半剂者,用巴豆三十个。若三分合一者,用巴豆二十七粒,
亦不随余药减。其然者,正以此为良尔。若无赤头足蜈蚣者,只取赤者三条,断其头并项后二节用之。其余
者,不堪用也。
《婴孺》治小儿痫,时时发作,将成厥。宜服镇心丸方
人参 桂心 蜀椒 茯苓 附子(炮。各三分) 细辛 干姜 半夏 牛黄(各二分) 桔梗(十分) 白薇(五
分) 防葵(四分)
上为末,蜜丸小豆大,先食服。五岁、六岁三丸,日三。往来寒热及虚热者,可作知母丸。若胸上气胀,
可作杏仁煎。
《婴孺》黄帝石室紫药神丸 治小儿十二痫方。
丹砂(九分,别研) 大黄(六分) 桂心 半夏(洗。各四分) 牛黄 黄连(各五分) 云母(七分) 雄黄
(二分) 特生 石(十二分,炼)
上为末,更入巴豆(二分,心去,炒) 雷丸(三分) 真珠(一分) 代赭(二分) 干姜(三分) 各为末,
新绢袋盛,蒸如十斛米熟方取。牛黄、桂、姜、代赭别为末,与前相和匀,以蜜杵丸黍大。一岁儿乳头上下一丸,十岁
小豆大一丸,日三服。
《婴孺》治少小百痫。崇命汤方
当归 细辛 龙骨 牡蛎(各二分) 石膏 大黄 芍药 黄芩 赤石脂 桂心(各一分) 甘草(四分) 干姜
(三分)
上十二味 咀,五岁儿五指撮,以水七合,大枣五个,去核,煮取三合。日三服,一服一合,若夏天二服。
自下者,用赤石脂。量儿大小增减。若有热,若惊,加黄芩二分。以韦囊盛药,大验。
《婴孺》治少小二十五痫,日数百发者,治之无不效。曾青汤方
曾青 甘草(炙,二分) 当归 细辛 芍药 独活 大黄 麻黄(去节,各三分)
上八物,水三升,煮取七合。一月儿服如杏核;二月二杏核大小,以此为准。汤讫,要当抱儿令汗出。若
先下者,勿令汗出。若自汗出,去麻黄,加麻黄根一分。若腹中急痛,加当归、芍药一分。若缩口聚唾、夭
者,加细辛一分。若中风身强,戴眼反折者,加独活一分。要当消息,视病所苦,根据病增减药,药皆令精新。
或分五服,日三夜二。小有痫候便可作服,无病候亦可服,令儿终身不病痫。日中数百发者,此汤治之,无
不瘥者。
《婴孺》治少小众痫,乳哺不时,发温壮,吐利惊掣,胎寒腹痛,一十五痫。四味大黄汤方
大黄(四分) 芍药 当归 甘草(炙。各二分)
上四物,以水三升,煮取一升,去滓。一月儿服一杏核许,日三服;百日儿二杏核大小,以此为率。若发
热加麻黄二分,去节,有毒当切之,先煮数沸,去沫,纳诸药。若反折戴眼掣缩者,加细辛四分。若乳哺
不消,壮热有实者,增大黄令倍诸药,不尔等分。大黄刀劈破,勿令有碎末,无其疾不须增益。儿有大小强
弱,以意增减。一方诸药等分。儿下痢者,减大黄三分之一。服汤令母抱之,令小汗出;病甚者,令大汗出,
毕,温粉粉之。下痢者,勿令出汗也。日夜可四服。儿夜啼,有微热,口衔乳,若不安,皆可服。一方∶治
下粗筛,盛以韦囊。欲合小剂,用水一升半煮,三指撮药内汤中,更三沸,令得六合,绞去滓,服之。皆当
取真新药,方可用也。小儿气弱,恶药不精,非但无益,乃更损儿,可不慎乎?此方屡试有验。王汝南方∶
又戴眼中风,身体当强,增独活二分,大妙。便是《葛氏肘后》及《元和经》四味饮子,但分两不同及又有
加减药尔。《肘后》与《元和经》方已收温壮门中。
《婴孺》治少小痫,手足掣 ,十指颤,舌强。独活汤方
独活 麻黄(去节) 人参(各二分) 大黄(四分)
上四物,水二升,煮麻黄减三合,去沫;纳诸药,煎九合,为三服,大有神效。
《婴孺》治少小生七日已后患痫。茯苓钩藤汤方
钩藤 茯苓(各二分) 甘草(炙) 大黄(煨。各一分)
上四味,水一升,煮取三合,为五服,当大验。
《婴孺》治少小发痫,经日不解,诸治不瘥,口焦,面赤黑,胸中有热。茵陈汤
茵陈 大黄 黄芩(各四分) 黄连 硝石(无以芒硝代之) 甘草(炙。各二分)
上六物,水三升,煮取一升二合,内硝石烊尽,为三服。
《婴孺》治期岁至四岁儿,壮热,大惊发痫。蚱蝉汤方
蚱蝉(二个,去足羽,炙) 石膏 柴胡(各八分) 子芩 升麻 知母 栀子仁(各六分) 龙齿 蛇蜕皮(炙。
各半分) 麻黄(去节) 甘草(炙。各二分) 生葛(五分) 大黄(十分) 钩藤(皮,一分半)
上十四物,水三升半,竹沥一升二合,为四服。
《婴孺》治少小痫,众医不能治。神明还命十味牛黄汤方
牛黄(三大豆许) 白石脂 龙骨(各一两半) 桂心 寒水石 大黄(各二两半) 牡蛎 栝蒌(各二两) 石
膏(碎) 硝石(各三两)
上为末,水二升,三指撮末煮五合,为三服,日三。牛黄为末,临时入。
《婴孺》治小儿痫方。
茯苓 牛黄(候汤成研入) 龙齿(各二分) 钩藤 芍药 黄芩(各一分) 甘草(半分,炙) 蚱蝉(二个,
炙,去羽足) 竹沥(一合,煮汤成下之)
上九物,东流水二斗,银器中煮金银各十两,分五升汁煎药,取一升半,间乳细细与服。此治未出月儿,
若大者加少药。此方是张大夫家用,神验无比。
《婴孺》治小儿诸痫,掣 吐舌。钩藤汤方
钩藤 当归 石膏(碎) 独活 桂心 芍药 甘草(炙) 黄芩 栝蒌(各二分) 麻黄(四分,去节) 蛇蜕
皮(六寸,炙)
上十一物,水三升,煮取一升。百日儿服一合,二岁二合,三岁三合半,一日一夜令尽。乳哺如故。
《婴孺》治小儿痫,螈 ,呕吐方。
钩藤 独活 黄芩 麻黄(去节) 桂心 石膏 甘草(炙) 防风 茯神 大黄(汤洗。各二分) 蚱蝉(二枚,
炙) 蛇蜕皮(三分,炙)
上以水三升,煮取一升二合,去滓。一岁服一合,日三服。大小以意加减服之。
《婴孺》治少小腹中有热,有寒在胸上,逆吐,腹中雷鸣而满,惊啼。甚即发痫掣缩,休作有时。十味白术汤
方
白术 当归(各一两) 浓朴(炙) 半夏(洗) 甘草(炙) 人参 芎 生姜(各二两) 枳实(三十个,炙)
食茱萸(二合)
上十味,水七升煮取二升。温服三合,日三夜二。
《婴孺》治小儿惊热痫,体羸,不堪余治。子母五痫煎方
钩藤皮(一钱半) 子芩 知母(各四分) 甘草(五分) 升麻(三分) 寒水石(六分) 蚱蝉(二个,炙,
去羽足) 蜣 (炒三个) 沙参 龙齿 柴胡(各二分) 蛇蜕皮(四寸,炙)
上为末,以清蜜和,使流行铜器中,置沸汤中煎,搅成饴糖状,取收之。一月儿取枣核大,一呷二枚,日
再,夜五六过,不甚妨食。五十日儿呷三枚、百日儿呷四枚,二百、三百日儿五枚,一岁六枚,三四岁七枚,
五岁十枚,兼夜并六七过,不妨食也。
《婴孺》疗卒得痫方。
蚯蚓(七个,日死者。)
上取置新竹筒内,入水一升,并蚯蚓炭火内煨,水沸消尽蚯蚓,去滓澄清。每发即饮之,不服三、两度,
立瘥。余当舍诸儿服之,皆验也。
《婴孺》治百痫。八味固囟膏方
大黄(十六铢) 定粉(十八铢) 雄黄 黄芩(各六铢) 雷丸(八铢) 附子(一两十二铢) 生商陆根(四
两,切)
上先煎猪膏三斤为油,去滓,下药沸七上七下,去滓;研雄黄下之,搅至凝,以摩顶、掌中、背胁皆遍讫,
治粉粉之。
《婴孺》治少小心气虚,或已发痫及未发。安五脏,定心气。
铁精 黄芩 芍药 芫花(炒) 人参 甘遂(炙) 茯神(各三分) 硝石 牛黄(各二钱) 蛇蜕皮(二寸,
炙) 甘草(一分,炙)
上为末,蜜丸小豆大。一服三丸,日再。不知加之,取微利为度,数试神效。
《婴孺》治初得痫,虽时时发,先服铅丹丸,后服此方。铅丹丸方(与《圣惠》同,见痫瘥后发门中。)
铁精 石膏 甘草(炙。各二分) 当归(三分) 麝香(半分)
上为末,蜜丸小豆大。一服二丸,日三。
《婴孺》治少小痞癖结积,除痫止惊。硝石丸方
硝石(三分) 柴胡 细辛 当归 茯神 芍药 甘草(遂。各二分) 大黄(十分) 黄芩(四分) 巴豆(三
十粒,去皮心,炒) 牛黄(别研) 葶苈子(炒。各研一分)
上为末,蜜丸。一服胡豆大二丸。日一服,以微利为度。
《婴孺》治小儿百二十痫,诸变蒸,腹中宿痞及饮食不节,腹满温壮,朝轻夕甚,大小便不通。胃气弱,脾冷,
使之服牛黄雀屎丸方。
牛黄 芍药 甘草(炙) 巴豆(去心皮,炒,别研入。各三分) 雀屎白(炒) 干姜 当归 黄芩(各二分)
芎人参(各四分) 黄 (一分) 面(一合,炒) 大黄(五分)
上为末,蜜丸胡豆大。一岁儿未食与二丸,三二岁小豆大二丸,日三。不知稍加之,微利为度,常服大
良。初生儿及二日五日以上,腹中满,口急不得取乳,大小便不通,通而胸中作声者,服半黍大一丸。十日
儿一黍大一丸。若头身发热,惕惕惊不安,腹胀满;中恶,中客,中人,吐乳皆主之。百日见一丸。及寒热
往来,朝夕温壮;或身体发热,利久不断,青黄五色;又已发痫及如欲戴眼,但欲眼上;或通夜转急,不得
须臾息;及伤寒,食饮胀满;丁奚大腹,食不消化,吐逆皆主之。小儿有耐药,有不耐药,不止二丸,量儿
大小服之,无不瘥也。
汉东王先生《家宝》治婴孩小儿惊风痫疾,喉闭,牙关紧急。开关散方
蟾酥(一小片) 铅白霜(一字)
上同研令极细,用乌梅肉蘸药于口两角揩之,良久便开。如不开,即用归魄散一字许,吹入鼻中(方见惊痫忤是
三候门中),候喷嚏,即关开,便下归魂散一服。如惊风痫再发,须进睡红散一二服(方见急慢惊风门中),后下调胃气
药,看详用之。
张涣三痫丹方 治痫疾潮搐,正发未分。
黑锡(一两) 蝎梢 半夏(汤洗七遍) 天南星(炮裂) 防风 木香 人参(去芦头) 白僵蚕(炒黄,各半
两)
上件捣,罗为细末,次用水银半两同石脑油半盏,研极细;入麝香一钱、龙脑半钱同研细,与诸药拌匀,
枣肉和如黍米大。每服七粒至十粒,煎荆芥薄荷汤下,不拘时候。
张涣铁粉丹方 治诸痫胸膈不利。
铁粉(一两,研) 干蟾(一枚,生姜汁浸少时,炙焦黄为末) 干蝎梢(七个,为末) 朱砂(半两,细研,水
飞) 牛黄(一分,研)
上件都拌匀,糯米饮和如黍米大。每服三粒至五粒,煎人参汤下。
张涣人参茯神汤方 治诸痫精神不定。
人参 茯神(锉) 羚羊角(屑。各一两) 天门冬 酸枣仁 白藓皮(各半两) 天竺黄 甘草(炙。各一钱)
将上述二十四味药材捣碎,过筛成细粉,与另外单独研磨的药材混合均匀。再将金银箔与水银三分一起研磨至如泥状,随后再次与其他药粉混合均匀,用炼蜜制成如绿豆大小的丸剂。成人每次服用五丸,用薄荷酒送服;小儿每次服用三丸,用薄荷汤送服。此方出自《灵苑》,用于治疗成人及小儿的各种风症以及久患的痫病。
天乌散方(又名狐肝散)
腊月乌鸦一只(去毛、羽、嘴、爪及肠胃),腊月野狐肝一副(将前物放入饼子内,密封固济,烧成灰),麝香(研细),天麻、犀角屑(各半两),干蝎,白僵蚕,蝉壳,牛黄(研细,越多越好),荆芥(取穗),藿香,天南星(去心),白附子,腻粉(研细),桑螵蛸(需用腊月从桑树上刮取的为佳,各一两),乌蛇(二两,酒浸,炙烤,去皮骨)。
以上十六味药材精细捣碎,过筛成粉。每次服用半钱,空腹时用煎好的荆芥汤或豆淋酒调服。小儿用薄荷汤调服一字量。此方出自《婴孺》,治疗五岁儿童壮热引发的痫疹,伴有自发性下痢。
五痫汤方
大黄(十二分),钩藤皮,蜂房,麻黄(去节,各二分),柴胡,栀子仁,知母,芍药,升麻(各七分),蚱蝉(三个),石膏(十分,捣碎),蛇蜕皮(五寸,炙烤),杏仁(六分)。
以上药材加水七升,煮取二升,去渣。待药液温度适宜人体肌肤时,用来擦拭身体。此方出自《婴孺》,治疗新生儿客忤、中恶、痫病发作,乳食不消,中风反折,口眼歪斜吐舌,以及疰忤导致的面色青、目下垂、腹部胀满、丁奚羸瘦、小腿交叉、三岁不能行走等症状。
麝香双丸方
麝香,牛黄,黄连(各二两),桂心,雄黄,乌贼鱼骨(炙烤),丹砂,附子(炮制),巴豆(六十粒,去皮,炒制),特生石(烧炼半天,各一钱),蜈蚣(一个,去头足)。
以上十一味药材,将巴豆单独研磨如脂状,与其他药末混合均匀,用蜂蜜调和,捣杵三千下,拍合收存,注意不要漏气。十日至一个月的婴儿服用约一粒米大小的药丸;一百日至三百日的婴儿服用约两粒芝麻大小的药丸,可根据情况增减。即使婴儿病情轻微但较重者,也可增大丸药剂量,不必拘泥于此标准。小儿患病大多耐药,服药后应当出汗。若不出汗且不见好转,一日一夜可服四至五次,以出汗及病愈为限。被婴儿咬伤也称为客忤。妇女月经未净时接触儿子也会引起客忤。如果因惊吓丢失孩子而突然死亡的,婴儿落地啼哭声未停时,立即用手指刮其舌头,若口中衔有血色如薤叶样的物质,便给予两粒米大的药丸,每日一服,七日停药,没有不痊愈的。若不全合一剂,只合半剂者,用巴豆三十个。若合三分之一剂者,用巴豆二十七粒,其余药物也不按比例减少。这样做是因为这被认为是良法。如果没有赤头足蜈蚣,只取三条红色的,去掉头部及颈后两节使用。其余的不堪使用。
镇心丸方
人参,桂心,蜀椒,茯苓,附子(炮制,各三分),细辛,干姜,半夏,牛黄(各二分),桔梗(十分),白薇(五分),防葵(四分)。
以上药材研末,用蜂蜜制成如小豆大小的丸剂,饭前服用。五岁、六岁儿童每次三丸,每日三次。若有往来寒热及虚热症状,可改为知母丸。若胸上气胀,可改为杏仁煎。此方出自《婴孺》,治疗小儿痫病,时常发作,即将发生厥逆。
黄帝石室紫药神丸方
丹砂(九分,单独研细),大黄(六分),桂心,半夏(洗,各四分),牛黄,黄连(各五分),云母(七分),雄黄(二分),特生石(十二分,炼熟)。
以上药材研末,再加入巴豆(二分,去心,炒制),雷丸(三分),真珠(一分),代赭(二分),干姜(三分),分别研末,装入新绢袋中,蒸至如同十斛米煮熟的程度后取出。牛黄、桂心、干姜、代赭石分别研末,与前药末混合均匀,用蜂蜜捣制成如黍米大小的丸剂。一岁的婴儿在乳头上下涂抹一丸,十岁的儿童服用如小豆大小的一丸,每日三次。此方出自《婴孺》,治疗小儿十二种痫病。
崇命汤方
当归,细辛,龙骨,牡蛎(各二分),石膏,大黄,芍药,黄芩,赤石脂,桂心(各一分),甘草(四分),干姜(三分)。
以上十二味药材切碎,五岁儿童用五指撮取药量,加水七合,大枣五个(去核),煮取三合。每日三次,每次一合,夏季改为两次。若伴有下痢,使用赤石脂。根据儿童大小增减药量。若有热象或惊悸,加黄芩二分。用药韦囊盛装,效果极佳。此方出自《婴孺》,治疗少小各种痫病。
曾青汤方
曾青,甘草(炙,二分),当归,细辛,芍药,独活,大黄,麻黄(去节,各三分)。
以上八味药材,加水三升,煮取七合。一个月大的婴儿服用如杏核大小;两个月大的婴儿服用两个杏核大小,以此类推。汤药服完后,应当抱紧婴儿使其出汗。若先前已有下痢,则不要让婴儿出汗。若自汗出,去掉麻黄,加麻黄根一分。若腹中急痛,加当归、芍药一分。若口缩聚唾、夭折之象,加细辛一分。若中风身强、戴眼反折,加独活一分。应当斟酌病情,根据病痛增减药物,药物都要选用精新鲜的。或分为五服,日三夜二。稍有痫病征兆即可服用,无病征兆也可服用,使儿童终身不得痫病。每日发作数百次者,此汤治疗,无不痊愈。此方出自《婴孺》,治疗少小二十五种痫病,每日发作数百次者,治疗无不有效。
四味大黄汤方
大黄(四分),芍药,当归,甘草(炙,各二分)。
以上四味药材,加水三升,煮取一升,去渣。一个月大的婴儿服用如杏核大小,每日三次;百日大的婴儿服用两枚杏核大小,以此为标准。若发热加麻黄二分,去节,有毒需切开,先煮数沸,去沫,再纳入其他药物。若反折戴眼掣缩,加细辛四分。若乳食不消,壮热有实邪者,增大黄用量至其他药物的两倍,否则等分。大黄用刀劈破,勿令有碎末,若无此疾不需增益。儿童有大小强弱之分,酌情增减。另一版本诸药等分。儿童下痢者,减大黄三分之一。服汤令母亲抱着,使微微出汗;病重者,令大汗出,完毕后用温粉扑身。下痢者,勿令出汗。日夜可服四次。婴儿夜啼,有微热,口衔乳头,若不安稳,皆可服用。另一版本:治下粗筛,盛于韦囊。欲合小剂,用水一升半煮,三指撮药入汤中,再煮三沸,取六合,绞去渣,服用。都应选用真正新的药材,方可使用。小儿气弱,厌恶不精细的药,不仅无益,反而损伤婴儿,可不谨慎吗?此方屡试有效。王汝南方:又治戴眼中风,身体当强,增独活二分,效果极好。这就是《葛氏肘后》及《元和经》的四味饮子,只是分两不同及又有加减药物罢了。《肘后》与《元和经》的方子已收录在温壮门中。此方出自《婴孺》,治疗少小众痫,乳哺不时,发温壮,吐利惊掣,胎寒腹痛,共十五种痫病。
独活汤方
独活,麻黄(去节),人参(各二分),大黄(四分)。
以上四味药材,水二升,煮麻黄减三合,去沫;纳入其他药物,煎取九合,分为三服,大有神效。此方出自《婴孺》,治疗少小痫,手足抽搐,十指颤动,舌强。
茯苓钩藤汤方
钩藤,茯苓(各二分),甘草(炙),大黄(煨,各一分)。
以上四味药材,水一升,煮取三合,分为五服,应当大验。此方出自《婴孺》,治疗少小出生后七日以后患痫。
茵陈汤
茵陈,大黄,黄芩(各四分),黄连,硝石(无芒硝可用芒硝代替),甘草(炙,各二分)。
以上六味药材,水三升,煮取一升二合,纳入硝石溶化尽,分为三服。此方出自《婴孺》,治疗少小发痫,经日不解,诸治不瘥,口焦,面赤黑,胸中有热。
蚱蝉汤方
蚱蝉(二个,去足羽,炙),石膏,柴胡(各八分),子芩,升麻,知母,栀子仁(各六分),龙齿,蛇蜕皮(炙,各半分),麻黄(去节),甘草(炙,各二分),生葛(五分),大黄(十分),钩藤(皮,一分半)。
以上十四味药材,水三升半,竹沥一升二合,分为四服。此方出自《婴孺》,治疗期岁至四岁儿童,壮热,大惊发痫。
神明还命十味牛黄汤方
牛黄(三大豆许),白石脂,龙骨(各一两半),桂心,寒水石,大黄(各二两半),牡蛎,栝蒌(各二两),石膏(碎),硝石(各三两)。
以上药材研末,水二升,三指撮末煮五合,分为三服,每日三次。牛黄研末,临服时加入。此方出自《婴孺》,治疗少小痫,众医不能治。
小儿痫方
茯苓,牛黄(候汤成研入),龙齿(各二分),钩藤,芍药,黄芩(各一分),甘草(半分,炙),蚱蝉(二个,炙,去羽足),竹沥(一合,煮汤成下之)。
以上九味药材,东流水二斗,银器中煮金银各十两,分五升汁煎药,取一升半,间乳细细与服。此治未出月儿,若大者加少药。此方是张大夫家用,神验无比。此方出自《婴孺》,治疗小儿痫。
钩藤汤方
钩藤,当归,石膏(碎),独活,桂心,芍药,甘草(炙),黄芩,栝蒌(各二分),麻黄(四分,去节),蛇蜕皮(六寸,炙)。
以上十一味药材,水三升,煮取一升。百日婴儿服一合,二岁二合,三岁三合半,一日一夜令尽。乳哺如故。此方出自《婴孺》,治疗小儿诸痫,抽搐吐舌。
呕吐方
钩藤,独活,黄芩,麻黄(去节),桂心,石膏,甘草(炙),防风,茯神,大黄(汤洗,各二分),蚱蝉(二枚,炙),蛇蜕皮(三分,炙)。
以上药材水三升,煮取一升二合,去渣。一岁服一合,日三服。大小以意加减服之。此方出自《婴孺》,治疗小儿痫,抽搐,呕吐。
十味白术汤方
白术,当归(各一两),浓朴(炙),半夏(洗),甘草(炙),人参,芎,生姜(各二两),枳实(三十个,炙),食茱萸(二合)。
以上十味药材,水七升煮取二升。温服三合,日三夜二。此方出自《婴孺》,治疗少小腹中有热,有寒在胸上,逆吐,腹中雷鸣而满,惊啼。甚即发痫掣缩,休作有时。
子母五痫煎方
钩藤皮(一钱半),子芩,知母(各四分),甘草(五分),升麻(三分),寒水石(六分),蚱蝉(二个,炙,去羽足),蜣 (炒三个),沙参,龙齿,柴胡(各二分),蛇蜕皮(四寸,炙)。
以上药材研末,用清蜜和,使流行铜器中,置沸汤中煎,搅成饴糖状,取收之。一月儿取枣核大,一呷二枚,日再,夜五六过,不甚妨食。五十日儿呷三枚、百日儿呷四枚,二百、三百日儿五枚,一岁六枚,三四岁七枚,五岁十枚,兼夜并六七过,不妨食也。此方出自《婴孺》,治疗小儿惊热痫,体羸,不堪余治。
疗卒得痫方
蚯蚓(七个,日死者。)
上取置新竹筒内,入水一升,并蚯蚓炭火内煨,水沸消尽蚯蚓,去滓澄清。每发即饮之,不服三、两度,立瘥。余当舍诸儿服之,皆验也。此方出自《婴孺》,治疗卒得痫。
八味固囟膏方
大黄(十六铢),定粉(十八铢),雄黄,黄芩(各六铢),雷丸(八铢),附子(一两十二铢),生商陆根(四两,切)。
上先煎猪膏三斤为油,去滓,下药沸七上七下,去滓;研雄黄下之,搅至凝,以摩顶、掌中、背胁皆遍讫,治粉粉之。此方出自《婴孺》,治疗百痫。
安五脏,定心气方
铁精,黄芩,芍药,芫花(炒),人参,甘遂(炙),茯神(各三分),硝石,牛黄(各二钱),蛇蜕皮(二寸,炙),甘草(一分,炙)。
上为末,蜜丸小豆大。一服三丸,日再。不知加之,取微利为度,数试神效。此方出自《婴孺》,治疗少小心气虚,或已发痫及未发。
铅丹丸方
铁精,石膏,甘草(炙,各二分),当归(三分),麝香(半分)。
上为末,蜜丸小豆大。一服二丸,日三。此方出自《婴孺》,治疗初得痫,虽时时发,先服铅丹丸,后服此方。(与《圣惠》同,见痫瘥后发门中。)
硝石丸方
硝石(三分),柴胡,细辛,当归,茯神,芍药,甘草(遂,各二分),大黄(十分),黄芩(四分),巴豆(三十粒,去皮心,炒),牛黄(别研),葶苈子(炒,各研一分)。
上为末,蜜丸。一服胡豆大二丸。日一服,以微利为度。此方出自《婴孺》,治疗少小痞癖结积,除痫止惊。
牛黄雀屎丸方
牛黄,芍药,甘草(炙),巴豆(去心皮,炒,别研入,各三分),雀屎白(炒),干姜,当归,黄芩(各二分),芎,人参(各四分),黄(一分),面(一合,炒),大黄(五分)。
上为末,蜜丸胡豆大。一岁儿未食与二丸,三二岁小豆大二丸,日三。不知稍加之,微利为度,常服大良。初生儿及二日五日以上,腹中满,口急不得取乳,大小便不通,通而胸中作声者,服半黍大一丸。十日儿一黍大一丸。若头身发热,惕惕惊不安,腹胀满;中恶,中客,中人,吐乳皆主之。百日见一丸。及寒热往来,朝夕温壮;或身体发热,利久不断,青黄五色;又已发痫及如欲戴眼,但欲眼上;或通夜转急,不得须臾息;及伤寒,食饮胀满;丁奚大腹,食不消化,吐逆皆主之。小儿有耐药,有不耐药,不止二丸,量儿大小服之,无不瘥也。此方出自《婴孺》,治疗小儿百二十痫,诸变蒸,腹中宿痞及饮食不节,腹满温壮,朝轻夕甚,大小便不通。胃气弱,脾冷,使之服牛黄雀屎丸方。
开关散方
蟾酥(一小片),铅白霜(一字)。
上同研令极细,用乌梅肉蘸药于口两角揩之,良久便开。如不开,即用归魄散一字许,吹入鼻中(方见惊痫忤是三候门中),候喷嚏,即关开,便下归魂散一服。如惊风痫再发,须进睡红散一二服(方见急慢惊风门中),后下调胃气药,看详用之。此方出自汉东王先生《家宝》,治疗婴孩小儿惊风痫疾,喉闭,牙关紧急。
三痫丹方
黑锡(一两),蝎梢,半夏(汤洗七遍),天南星(炮裂),防风,木香,人参(去芦头),白僵蚕(炒黄,各半两)。
上件捣,罗为细末,次用水银半两同石脑油半盏,研极细;入麝香一钱、龙脑半钱同研细,与诸药拌匀,枣肉和如黍米大。每服七粒至十粒,煎荆芥薄荷汤下,不拘时候。此方出自张涣,治疗痫疾潮搐,正发未分。
铁粉丹方
铁粉(一两,研),干蟾(一枚,生姜汁浸少时,炙焦黄为末),干蝎梢(七个,为末),朱砂(半两,细研,水飞),牛黄(一分,研)。
上件都拌匀,糯米饮和如黍米大。每服三粒至五粒,煎人参汤下。此方出自张涣,治疗诸痫胸膈不利。
人参茯神汤方
人参,茯神(锉),羚羊角(屑,各一两),天门冬,酸枣仁,白藓皮(各半两),天竺黄,甘草(炙,各一钱)。
此方出自张涣,治疗诸痫精神不定。
Crush the above twenty-four ingredients, sift into fine powder, mix evenly with separately ground medicines. Then grind silver and gold foil with three fen of mercury until paste-like, and mix thoroughly with the powder. Form pills the size of mung beans using refined honey. Adults take five pills each time, washed down with mint wine; children take three pills, washed down with mint decoction. *Lingyuan* uses this to treat all wind syndromes in adults and children, and chronic epilepsy.
**Tianwu San Formula (also known as Hugu San)**
December crow (one, remove feathers, beak, claws, stomach, and intestines), December wild fox liver (one set, place with previous items inside a dough cake, seal tightly, burn to ash), musk (ground), Gastrodiae Rhizoma (Tianma) and rhinoceros horn chips (each half liang), dried scorpion, white silkworm (Baijiangcan), cicada slough, bovine calculus (Niuhuang, ground, more is better), Schizonepetae Spica (Jingjie, take spikes), Agastaches Herba (Huoxiang), Arisaemae Rhizoma (Tiannanxing, remove heart), Bletillae Rhizoma (Baifuzi), calomelas (Nifen, ground), mantis egg case (Sangpiaoxiao, best scraped from mulberry trees in December, each one liang), snake of genus Elaphe (Wushe, two liang, soaked in wine, roasted, remove skin and bones).
The above sixteen ingredients are finely crushed and sifted into powder. Take half qian each time, mixed with decocted Jingjie soup or Doulin wine on an empty stomach. Children take one zi amount mixed with mint soup. *Yingru* uses this for five-year-old children with high fever causing epilepsy rash and spontaneous diarrhea.
**Wuxian Tang Formula**
Rhei Radix et Rhizoma (Dahuang, twelve fen), Uncariae Ramulus cum Uncis (Goutengpi), Vespa Nidus (Fengfang), Ephedrae Herba (Mahuang, remove joints, each two fen), Bupleuri Radix (Chaihu), Gardeniae Fructus (Zhizi Ren), Anemarrhenae Rhizoma (Zhimu), Paeoniae Radix Alba (Shaoyao), Cimicifugae Rhizoma (Shengma, each seven fen), Chachanis Cicada (Zechan, three), Gypsum Fibrosum (Shigao, ten fen, crushed), Ophichthidis Corium (Shetuopi, five cun, roasted), Armeniacae Semen Amarum (Xingren, six fen).
Add seven sheng of water, boil to two sheng, remove dregs. When warm enough for human skin, wipe the body. *Yingru* uses this for neonates with Ke Wu (sudden fright/evil influence), Zhong E (poisoning by evil qi), epilepsy onset, indigestion, wind-stroke with opisthotonos, mouth distortion with tongue protrusion, and Zhu Wu (vampire disease) causing blue face, drooping eyes, abdominal fullness, Ding Xi emaciation with crossed legs, inability to walk at age three.
**Shexiang Shuangwan Formula**
Musk (Shexiang), bovine calculus (Niuhuang), Coptidis Rhizoma (Huanglian, each two liang), Cinnamomi Cortex (Guixin), Realgar (Xionghuang), Sepiae Endoconcha (Wuzeiyu, roasted), cinnabar (Dansha), Aconiti Lateralis Radix Praeparata (Fuzi, processed), Crotonis Fructus (Badou, sixty grains, peel and stir-fry), Teshengshi (calcined for half a day, each one qian), centipede (Wugong, one, remove head and feet).
The above eleven ingredients: grind Badou separately into fat/paste, mix evenly with powders, combine with honey, pound three thousand times, shape and store airtight. Infants 10 days to 1 month old take rice-grain sized pill; 100-300 days old take sesame-seed sized pill, adjust as needed. Even if illness is mild but severe, increase pill size; do not strictly follow this. Children often resist medicine; sweating should occur after administration. If no sweat and no improvement, administer 4-5 times daily until sweat occurs or cure is achieved. Being bitten by an infant is also considered Ke Wu. Contact with a son while a woman's menstruation is incomplete also causes Ke Wu. If death occurs suddenly due to loss of a child, while the infant is still crying upon landing, scrape the tongue with a finger; if blood like leek leaves appears in the mouth, give two rice-sized pills, once daily for seven days, then stop; all recover. If making half dose, use thirty Badou grains. If making one-third dose, use twenty-seven grains; other herbs are not reduced proportionally. This is considered the best method. If red-headed-footed centipedes are unavailable, use three red ones, removing head and two neck segments; others are unusable.
**Zhenxin Wan Formula**
Ginseng Radix et Rhizoma (Renshen), Cinnamomi Cortex (Guixin), Zanthoxyli Pericarpium (Shujiao), Poria (Fuling), Aconiti Lateralis Radix Praeparata (Fuzi, processed, each three fen), Asari Radix (Xixin), Zingiberis Rhizoma Recens (Ganjiang), Pinelliae Rhizoma (Banxia), bovine calculus (Niuhuang, each two fen), Platycodonis Radix (Jiegeng, ten fen), Coptidis Rhizoma (Weibei, five fen), Polygoni Multiflori Caulis (Fang Kui, four fen).
Grind into powder, form small bean-sized pills with honey, take before meals. Five-to-six-year-olds take three pills, three times daily. For alternating chills and fever or deficiency heat, change to Zhimu Wan. For chest Qi distension, change to Xingren Jian. *Yingru* uses this for pediatric epilepsy with frequent attacks impending jue syndrome.
**Huangdi Shishi Zi Yao Shenwan Formula**
Cinnabar (Dansha, nine fen, separately ground), Rhei Radix et Rhizoma (Dahuang, six fen), Cinnamomi Cortex (Guixin), Pinelliae Rhizoma (Banxia, washed, each four fen), bovine calculus (Niuhuang), Coptidis Rhizoma (Huanglian, each five fen), Yunmu (seven fen), Realgar (Xionghuang, two fen), Teshengshi (twelve fen, refined).
Grind into powder, add Crotonis Fructus (Badou, two fen, remove heart, stir-fry), Polyporus Umbellatus (Leiwan, three fen), Pearl (Zhenzhu, one fen), Haematitum (Daizhe, two fen), Zingiberis Rhizoma Recens (Ganjiang, three fen), grind each into powder, place in new silk bag, steam until equivalent to ten hu of rice is cooked, then remove. Niuhuang, Guixin, Ganjiang, Daizhe separately ground and mixed with previous powder, form millet-sized pills with honey. One-year-olds apply one pill above/below nipple; ten-year-olds take one bean-sized pill, three times daily. *Yingru* uses this for twelve types of pediatric epilepsy.
**Chongming Tang Formula**
Angelicae Sinensis Radix (Danggui), Asari Radix (Xixin), Dragon Bone (Longgu), Ostrea Concha (Muli, each two fen), Gypsum Fibrosum (Shigao), Rhei Radix et Rhizoma (Dahuang), Paeoniae Radix Alba (Shaoyao), Scutellariae Radix (Huangqin), Halloysit Rubrum (Chishizhi), Cinnamomi Cortex (Guixin, each one fen), Glycyrrhizae Radix et Rhizoma (Gancao, four fen), Zingiberis Rhizoma Recens (Ganjiang, three fen).
Twelve ingredients, chopped. For five-year-olds, pinch with five fingers, add seven ge of water and five jujubes (pitted), boil to three ge. Three times daily, one ge per dose; twice in summer. Use Chishizhi if diarrhea occurs. Adjust dosage by age. Add Huangqin two fen if heat or fright present. Store in leather pouch; highly effective. *Yingru* uses this for various pediatric epilepsies.
**Zengqing Tang Formula**
Azurite (Zengqing), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, two fen), Angelicae Sinensis Radix (Danggui), Asari Radix (Xixin), Paeoniae Radix Alba (Shaoyao), Angelicae Dahuricae Radix (Duhuo), Rhei Radix et Rhizoma (Dahuang), Ephedrae Herba (Mahuang, remove joints, each three fen).
Eight ingredients, three sheng water, boil to seven ge. One-month-old takes apricot-kernel sized dose; two-month-old takes two kernels, etc. After decoction, hold infant to induce sweating. If previously had diarrhea, do not induce sweat. If spontaneous sweating, remove Mahuang, add Mahuang Gen one fen. If acute abdominal pain, add Danggui and Shaoyao one fen. If mouth contraction and salivation, add Xixin one fen. If wind-stroke with stiff body, upward staring eyes, and opisthotonos, add Duhuo one fen. Adjust based on suffering; use fresh/spirituous herbs. Divide into five doses, three day/two night. Can be taken at first sign of epilepsy or prophylactically to prevent lifelong epilepsy. Hundreds of daily attacks: this formula cures all. *Yingru* uses this for twenty-five types of pediatric epilepsy with hundreds of daily attacks.
**Siwei Dahuang Tang Formula**
Rhei Radix et Rhizoma (Dahuang, four fen), Paeoniae Radix Alba (Shaoyao), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, two fen).
Four ingredients, three sheng water, boil to one sheng, remove dregs. One-month-old takes apricot-kernel size, three times daily; hundred-day-old takes two kernels, standardize thus. If fever, add Mahuang two fen (remove joints, toxic, cut, boil briefly, remove foam, add other herbs). If opisthotonos, upward staring, and convulsions, add Xixin four fen. If indigestion, high fever with excess, double Dahuang dosage compared to others, otherwise equal parts. Split Dahuwang with knife, avoid powder; no need to add if symptoms absent. Adjust by age/strength. Another version: equal parts. If diarrhea, reduce Dahuang by one-third. Hold infant to induce slight sweat; severe cases, heavy sweat; powder with warm talcum afterwards. Do not induce sweat if diarrhea. Four times daily/night. For night crying, slight fever, sucking breast restlessly, can take. Another version: coarse sieve, store in leather pouch. For small dose, boil one and a half sheng water, add three-finger pinch of herbs, boil three times, get six ge, strain, drink. Must use true fresh herbs. Weak Qi infants dislike impure herbs, which harm rather than help; be cautious. This formula is repeatedly effective. Wang Runan addition: for upward staring eyes/wind-stroke/stiff body, add Duhuo two fen, excellent. This is the Siwei Yinzi from *Ge Shi Zhou Hou* and *Yuan He Jing*, differing only in dosage and additions. Those formulas are in Wen Zhuang section. *Yingru* uses this for fifteen types of pediatric epilepsy including irregular feeding, warmth/high fever, vomiting/diarrhea/fright/convulsions, fetal cold/abdominal pain.
**Duhuo Tang Formula**
Angelicae Dahuricae Radix (Duhuo), Ephedrae Herba (Mahuang, remove joints), Ginseng Radix et Rhizoma (Renshen, each two fen), Rhei Radix et Rhizoma (Dahuang, four fen).
Four ingredients, two sheng water, boil Mahuang reducing by three ge, remove foam; add others, boil to nine ge, divide into three doses, highly effective. *Yingru* uses this for pediatric epilepsy with limb convulsions, finger trembling, stiff tongue.
**Fuling Gouteng Tang Formula**
Uncariae Ramulus cum Uncis (Gouteng), Poria (Fuling, each two fen), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Rhei Radix et Rhizoma (Dahuang, baked, each one fen).
Four ingredients, one sheng water, boil to three ge, divide into five doses, highly effective. *Yingru* uses this for epilepsy starting after seven days of birth.
**Yinchen Tang**
Artemisiae Scopariae Herba (Yinchen), Rhei Radix et Rhizoma (Dahuang), Scutellariae Radix (Huangqin, each four fen), Coptidis Rhizoma (Huanglian), Natrii Sulfas (Xiaoshi, substitute Mangxiao if unavailable), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, two fen).
Six ingredients, three sheng water, boil to one sheng two ge, dissolve Xiaoshi completely, divide into three doses. *Yingru* uses this for prolonged epilepsy unresponsive to treatment, dry mouth, dark red/black face, heat in chest.
**Zachan Tang Formula**
Chachanis Cicada (Zechan, two, remove feet/feathers, roasted), Gypsum Fibrosum (Shigao), Bupleuri Radix (Chaihu, each eight fen), Scutellariae Radix (Ziqin), Cimicifugae Rhizoma (Shengma), Anemarrhenae Rhizoma (Zhimu), Gardeniae Fructus (Zhizi Ren, each six fen), Dragon Bone (Longgu), Ophichthidis Corium (Shetuopi, roasted, each half fen), Ephedrae Herba (Mahuang, remove joints), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, each two fen), Puerariae Radix (Shengge, five fen), Rhei Radix et Rhizoma (Dahuang, ten fen), Uncariae Ramulus cum Uncis (Goutengpi, one and a half fen).
Fourteen ingredients, three and a half sheng water, one sheng two ge bamboo juice, divide into four doses. *Yingru* uses this for high fever and great fright causing epilepsy in one-to-four-year-olds.
**Shenming Huanming Shiwei Niuhuang Tang Formula**
Bovine calculus (Niuhuang, size of three large beans), Halloysit Alba (Baishizhi), Dragon Bone (Longgu, each one and a half liang), Cinnamomi Cortex (Guixin), Natrii Sulfas (Hanshuishi), Rhei Radix et Rhizoma (Dahuang, each two and a half liang), Ostrea Concha (Muli), Trichosanthis Radix (Gualou, each two liang), Gypsum Fibrosum (Shigao, crushed), Natrii Sulfas (Xiaoshi, each three liang).
Grind into powder, two sheng water, three-finger pinch of powder boil to five ge, divide into three doses, three times daily. Niuhuang powder added just before taking. *Yingru* uses this for pediatric epilepsy untreatable by other doctors.
**Pediatric Epilepsy Formula**
Poria (Fuling), bovine calculus (Niuhuang, grind into finished decoction), Dragon Bone (Longgu, each two fen), Uncariae Ramulus cum Uncis (Gouteng), Paeoniae Radix Alba (Shaoyao), Scutellariae Radix (Huangqin, each one fen), Glycyrrhizae Radix et Rhizoma (Gancao, half fen, roasted), Chachanis Cicada (Zechan, two, roasted, remove feathers/feet), Bamboo Juice (Zhuli, one ge, add when decoction is ready).
Nine ingredients, twenty dou East-flowing water, boil with ten liang each of gold and silver in silver vessel, divide five sheng juice to decoct herbs, obtain one and a half sheng, feed slowly between milk feeds. For unborn infants; add less medicine for older ones. From Dr. Zhang's family, extremely effective. *Yingru* uses this for pediatric epilepsy.
**Gouteng Tang Formula**
Uncariae Ramulus cum Uncis (Gouteng), Angelicae Sinensis Radix (Danggui), Gypsum Fibrosum (Shigao, crushed), Angelicae Dahuricae Radix (Duhuo), Cinnamomi Cortex (Guixin), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Scutellariae Radix (Huangqin), Trichosanthis Radix (Gualou, each two fen), Ephedrae Herba (Mahuang, four fen, remove joints), Ophichthidis Corium (Shetuopi, six cun, roasted).
Eleven ingredients, three sheng water, boil to one sheng. Hundred-day-old takes one ge, two-year-old two ge, three-year-old three and a half ge, consume within one day and night. Feeding remains normal. *Yingru* uses this for various pediatric epilepsies with convulsions and tongue protrusion.
**Vomiting Formula**
Uncariae Ramulus cum Uncis (Gouteng), Angelicae Dahuricae Radix (Duhuo), Scutellariae Radix (Huangqin), Ephedrae Herba (Mahuang, remove joints), Cinnamomi Cortex (Guixin), Gypsum Fibrosum (Shigao), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Saposhnikoviae Radix (Fangfeng), Wolfiporia Extensa (Fushen), Rhei Radix et Rhizoma (Dahuang, washed with decoction, each two fen), Chachanis Cicada (Zechan, two, roasted), Ophichthidis Corium (Shetuopi, three fen, roasted).
Three sheng water, boil to one sheng two ge, remove dregs. One-year-old takes one ge, three times daily. Adjust by age. *Yingru* uses this for pediatric epilepsy with convulsions and vomiting.
**Shiwei Baizhu Tang Formula**
Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui, each one liang), Magnoliae Officinalis Cortex (Noupu, roasted), Pinelliae Rhizoma (Banxia, washed), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Ginseng Radix et Rhizoma (Renshen), Ligustici Rhizoma et Radix (Xiong), Zingiberis Rhizoma Recens (Shengjiang, each two liang), Immature Tangerine Peel (Zhishi, thirty pieces, roasted), Edible Evodiae Fructus (Shizhuyu, two he).
Ten ingredients, seven sheng water, boil to two sheng. Warm take three ge, three times day/two times night. *Yingru* uses this for heat in lower abdomen, cold in chest, reverse vomiting, borborygmus/fullness, fright crying. Severe cases cause epilepsy convulsions with periodic remission/exacerbation.
**Zimu Wuxian Jian Formula**
Uncariae Ramulus cum Uncis (Goutengpi, one and a half qian), Scutellariae Radix (Ziqin), Anemarrhenae Rhizoma (Zhimu, each four fen), Glycyrrhizae Radix et Rhizoma (Gancao, five fen), Cimicifugae Rhizoma (Shengma, three fen), Natrii Sulfas (Hanshuishi, six fen), Chachanis Cicada (Zechan, two, roasted, remove feathers/feet), Dung Beetle (Qianglie, stir-fried three), Codonopsis Radix (Shashen), Dragon Bone (Longgu), Bupleuri Radix (Chaihu, each two fen), Ophichthidis Corium (Shetuopi, four cun, roasted).
Grind into powder, mix with clear honey, flow through copper vessel, simmer in boiling water, stir into maltose consistency, store. One-month-old takes date-pit size, two pills per sip, twice daily, five-six times at night, does not hinder eating. Fifty-day-old three pills, hundred-day-old four, two/three-hundred-day-old five, one-year-old six, three-four-year-old seven, five-year-old ten, plus five-six times at night, does not hinder eating. *Yingru* uses this for pediatric fright-heat epilepsy, emaciation, intolerant to other treatments.
**Formula for Sudden Epilepsy**
Earthworm (Qiuyin, seven, died during the day).
Place in new bamboo tube, add one sheng water, roast over charcoal fire until water boils and earthworms dissolve, filter clear liquid. Drink upon each attack; without taking three or two doses, immediate cure. Others given to children, all effective. *Yingru* uses this for sudden epilepsy.
**Bawei Guxin Gao Formula**
Rhei Radix et Rhizoma (Dahuang, sixteen zhu), Lead White Frost (Dingfen, eighteen zhu), Realgar (Xionghuang), Scutellariae Radix (Huangqin, each six zhu), Polyporus Umbellatus (Leiwan, eight zhu), Aconiti Lateralis Radix Praeparata (Fuzi, one liang twelve zhu), Fresh Phytolaccae Radix (Sheng Shanglu Gen, four liang, sliced).
First render three jin pork fat into oil, remove dregs, add herbs, boil seven up/down, remove dregs; grind Realgar and add, stir until solidified. Massage top of head, palms, back/flanks thoroughly, then powder with medicated powder. *Yingru* uses this for hundred types of epilepsy.
**An Wuzang, Ding Xinqi Formula**
Iron Essence (Tiejing), Scutellariae Radix (Huangqin), Paeoniae Radix Alba (Shaoyao), Genkwa Flos (Yuanhua, stir-fried), Ginseng Radix et Rhizoma (Renshen), Kansui Radix (Gansui, roasted), Wolfiporia Extensa (Fushen, each three fen), Natrii Sulfas (Xiaoshi), bovine calculus (Niuhuang, each two qian), Ophichthidis Corium (Shetuopi, two cun, roasted), Glycyrrhizae Radix et Rhizoma (Gancao, one fen, roasted).
Grind into powder, form small bean-sized pills with honey. Take three pills, twice daily. Increase if ineffective, aim for mild purgation, repeatedly tested as miraculous. *Yingru* uses this for deficient Heart Qi in children, whether epilepsy has occurred or not, to calm Heart Qi.
**Qiandan Wan Formula**
Iron Essence (Tiejing), Gypsum Fibrosum (Shigao), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, each two fen), Angelicae Sinensis Radix (Danggui, three fen), Musk (Shexiang, half fen).
Grind into powder, form small bean-sized pills with honey. Take two pills, three times daily. *Yingru* uses this for initial epilepsy, even if frequent, take Qiandan Wan first, then this formula. (Same as *Shenghui*, see post-epilepsy recurrence section.)
**Xiaoshi Wan Formula**
Natrii Sulfas (Xiaoshi, three fen), Bupleuri Radix (Chaihu), Asari Radix (Xixin), Angelicae Sinensis Radix (Danggui), Wolfiporia Extensa (Fushen), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao, each two fen), Rhei Radix et Rhizoma (Dahuang, ten fen), Scutellariae Radix (Huangqin, four fen), Crotonis Fructus (Badou, thirty grains, peel/remove heart, stir-fry), bovine calculus (Niuhuang, separately ground), Lepidii Semen (Tinglizi, stir-fried, each ground one fen).
Grind into powder, form pills with honey. Take two pills size of broad bean, once daily, aim for mild purgation. *Yingru* uses this for pediatric phlegm-stasis accumulation, removing epilepsy and stopping fright.
**Niuhuang Que Shi Wan Formula**
bovine calculus (Niuhuang), Paeoniae Radix Alba (Shaoyao), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Crotonis Fructus (Badou, remove heart/skin, stir-fry, separately ground, each three fen), Sparrow Droppings White (Queshi Bai, stir-fried), Zingiberis Rhizoma Recens (Ganjiang), Angelicae Sinensis Radix (Danggui), Scutellariae Radix (Huangqin, each two fen), Ligustici Rhizoma et Radix (Xiong), Ginseng Radix et Rhizoma (Renshen, each four fen), Astragali Radix (Huangqi, one fen), Flour (Mian, one he, stir-fried), Rhei Radix et Rhizoma (Dahuang, five fen).
Grind into powder, form broad bean-sized pills with honey. One-year-old takes two pills before eating; two-three-year-old takes bean-sized pills, three times daily. Increase slightly if needed, aim for mild purgation, long-term use is excellent. Newborns and those 2-5+ days old with abdominal fullness, tight mouth unable to suck, constipation, or noisy chest when passing stool, take half-millet-sized pill. Ten-day-old takes one millet-sized pill. For head/body fever, fright/anxiety, abdominal fullness; Zhong E, Ke Wu, Ren Zhong, vomiting milk: all indicated. Hundred-day-old sees one pill. For alternating cold/heat, morning/evening warmth; body fever, prolonged diarrhea, green/yellow/five colors; epilepsy onset or upward staring eyes; all-night urgency without rest; wind-cold, food/drink bloating; Ding Xi large abdomen, indigestion, reverse vomiting: all indicated. Children vary in drug resistance; adjust dosage by age, all cure. *Yingru* uses this for 120 types of pediatric epilepsy, Bian Zheng, chronic abdominal phlegm-stasis, irregular diet, abdominal fullness/warmth, lighter morning/heavier evening, constipation. Weak Stomach Qi, cold Spleen, administer Niuhuang Que Shi Wan.
**Kaiguan San Formula**
Bufo Venenum (Chansu, small piece), Lead White Frost (Qianbaishuang, one zi).
Grind extremely fine, dip plum meat in medicine, rub corners of mouth, opens after a while. If not open, blow one zi of Gui Po San into nose (see Fright/Epilepsy/Ke Wu section), wait for sneeze, then administer Gui Hun San. If fright-wind/epilepsy recurs, advance Shuihong San one-two doses (see Acute/Chronic Fright-Wind section), then regulate Stomach Qi. Wang Dongxian Mr. Wang's *Jiabao* uses this for infant fright-wind/epilepsy, throat closure, locked jaw.
**Sanxian Dan Formula**
Black Tin (Heixi, one liang), Scorpion Tail (Xie Shao), Pinelliae Rhizoma (Banxia, washed seven times with decoction), Arisaemae Rhizoma (Tiannanxing, roasted cracked), Saposhnikoviae Radix (Fangfeng), Aquilariae Lignum Resinatum (Muxiang), Ginseng Radix et Rhizoma (Renshen, remove radicle), White Silkworm (Baijiangcan, stir-fried yellow, each half liang).
Pound and sift fine. Grind half liang mercury with half cup Shinao oil extremely fine; add one qian musk, half qian borneol, grind fine, mix with herbs, combine with jujube flesh into millet-sized pills. Take 7-10 pills, wash down with Jingjie/Mint decoction, any time. Zhang Huan uses this for tidal convulsions in epilepsy, during active phase.
**Tiefen Dan Formula**
Ferrum Pulveratum (Tiefen, one liang, ground), Dry Toad (Gan Chan, one, soak in ginger juice briefly, roast yellow/grind), Dry Scorpion Tail (Gan Xie Shao, seven, grind), Cinnabar (Zhusha, half liang, fine ground, water floated), bovine calculus (Niuhuang, one fen, ground).
Mix evenly, combine with glutinous rice drink into millet-sized pills. Take 3-5 pills, wash down with Ginseng decoction. Zhang Huan uses this for various epilepsies with chest/diaphragm obstruction.
**Renshen Fushen Tang Formula**
Ginseng Radix et Rhizoma (Renshen), Wolfiporia Extensa (Fushen, chopped), Antelope Horn (Lingyangjiao, chips, each one liang), Asparagi Radix (Tianmendong), Ziziphi Spinosae Semen (Suanzaoren), Dictamni Cortex (Baixianpi, each half liang), Tianshu Huang (Tianzhuhuang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, each one qian).
Zhang Huan uses this for various epilepsies with unsettled spirit.