《巢氏病源》∶小儿惊者,由血气不和,热实在内,心神不定,所以发惊,甚者掣缩变成痫。又小儿变蒸,
亦微惊,所以然者,亦由热气所为。但须微发惊,以长血脉,不欲大惊,大惊乃灸惊脉。若五、六十日以灸者,
惊复更甚。生百日后,灸惊脉,乃善耳。
《圣惠》论∶夫小儿急惊风者,由气血不和,内有实热,为风邪所乘,干于心络之所致也。心者,神之所舍,
主于血脉。若热盛则血乱,血乱则气并于血,气血相并,又被风邪所搏,故惊而不安也。其候∶遍身壮热,痰
涎壅滞,四肢拘急,筋脉抽掣,项背强直,牙关紧急是也。
茅先生论∶小儿生下周岁以上至十岁已来,有中急惊风,客忤,卒死。些三种俱一般调理。各有初受起因∶
急惊风形候者,涎响双搐,双目直视,面口青黑,不记人事。此候因初生下儿浑阳,或将养剩有,衣被盖覆失
理;或因放送儿子大小便被鸡犬触惊;或因人家闹唤,大声小叫惊着遂积,渐次第惊,成积在心,家被风邪虚,
乃至此候。
钱乙论∶因闻大声或大惊而发搐,发过则如故,此无阴也。当下,利惊丸主之。(方见本门中。)小儿急惊者,本
因热生于心,身热面赤,引饮,口中气热,大小便黄赤,剧则搐也。盖热甚则风生,风属肝,此阳盛阴虚也,
故利惊丸主之。以除其痰热,不可与巴豆及温药大下之,恐搐,虚热不消也。小儿客忤,痰热于心胃,因闻声
非常,则动而惊搐矣。若热极,虽不因闻声及惊,亦自发搐。
张涣论∶小儿心神多不定,胞络多积痰涎,遂生邪热。若热盛,干于心神,兼外伤风邪客搏,使遍身壮热,
痰涎壅滞,四肢抽掣,牙关紧急,名曰急惊风病。
《婴童宝鉴》论∶小儿急惊风为惊痰灌于心,而眼上、手足螈 ,身热,牙关硬,口噤不开者也。
《秘要指迷》论∶凡小儿急惊风安痊,又经数日再发又安。如经三、四次,如此后发沉重,此乃惺惺形候,
不足凭也。
《玉诀》论∶小儿急惊风,因风热干心,先遭惊怖,前后惊涎并入于经络之间,其状发搐,眼吊唇黑,口噤
难开,手足搐搦。此病但以吐泻镇心调治方愈。若使冷热药相逼,恐损命也。
《石壁经》三十六种内才发急惊风候歌∶
才发惊风看握拳,指内指外细须言。(《凤髓经》注云∶大拇指也。) 阴内阳外为顺候,(是方始手足搐搦候,掌内
红润握手指,男儿大指在外,女儿在内即顺。)男左女右搐宜先。(一云∶搐令痊。)用药开关双眼下,(《献髓经》云∶
将药搐鼻。)又将形候再重看。(《凤髓经》云∶如嚏喷者不妨。)大忌闷涎潮入肺,结向心中不解痊。(若男子搐右,女搐
左,此为逆候,不治。颁涎如眼粘续续不断也,常利膈去涎。目若开,涎若散,则更当服去惊调气药,即止;若目不开,
涎不断者,必死矣。)远与凉心为治疗,解惊下药始求安。(《凤髓经》此一句云∶解经调气用汤丸。)脉逆阴阳须意(《凤
髓经》此一句云∶定搐疾时根据用意。)用,定知无命别人间。(男左女右搐搦顺也。《凤髓经》急风自发歌注云∶先将睹
月散搐鼻,方见搐搦门中,次镇心丸,方见一切惊门中,次生银丸,方见急慢惊风门中。)
《石壁经》三十六种内急惊风候歌∶
七日归前被物惊,(在七日内,因惊作热,发惊也。若婴儿变蒸,亦主惊,慎勿冷药过多。)发直喉干泻又青。(发如
麻直不润,但婴儿频吃乳,孩儿多饮水,所谓喉干,其泻多则青色也。)但看上唇微有汗,次观印内(一云∶腹上)有青
筋,掌中有似桃花嫩,怕物多涎听有声。会者镇惊为妙手,莫将风热一般名。
此乃外证候也。若治,先当镇惊药,次定渴化涎,则其疾必痊。虽孩儿气实,亦当调胃气,方下惊药,慎
勿过冷也。(《凤髓经》弱风急歌,一同云∶宜服镇心丸,生银丸。方见同前。)
《惠眼观证》急风说云∶内有风积热涎,急潮口中,身背强直,双目闭,双手足搐,或目瞪而喉中涎响,不
记人事,急以睡惊膏(方见本门中。)用蜜、糖、薄荷熟水磨下,须臾吐三、两口涎,眼即转低,即睡。少时,相次即
泻三、四次青白粘涎,下调气药,次日多睡,只用醒脾散。(方见吐利门中。)如不思食,乃下安胃药。喉中余涎,乃
下化涎汤药。相夹调治,三日安。至第四、第五日再有潮热,即是中风伤寒也。即麦汤散(方末见。)平胃丸(方见哕
逆门中。)两日平复。
《小方脉论》说∶急风之候,皆起于心脏也。所是诸般惊疾,累积在心,及至发时,先壮热,次搐搦,体热
极,四肢烦闷,浑身壮热,面颊赤色,口干舌躁。皆因惊扑所致也,治之在心。
长沙医者李刚中说云∶古书无惊候,阴阳痫而已。故阳受之曰急惊,阴受之曰慢惊。故阳动而躁,阳疾而
速;阴静而缓,阴慢而迟。小儿急搐得之于热淫所胜,表里连运,久而不除,肝风心火,因热相合,二脏交争,
其气蕃灼,而一肾水不能制二脏者也。又肝上筋及目,热则筋缩急,而风乘之则发搐,手足不能有所制,风相
牵引而目上视也。其有左右搐者,各以其偏胜也。医便以乌蛇、蜈蚣等药,是治标而不治本也。故钱用泻青丸
主肝风(方见惊热门中),导赤散泻心火(方见实热门中)。此医用之上药也。
《圣惠》治小儿急惊风,四肢抽掣,拘急壮热,或则口噤。天麻丸方
天麻 雄黄 天竺黄 麝香(此三味各细研) 乌蛇肉 蝉壳 干蝎 桂心 天南星 白芷 白附子 腻粉 半夏
(汤洗七次,去滑。以上各一钱)
上件药并生用,捣、罗为末,都研令匀,煮枣肉和丸如绿豆大。不计时候,以薄荷酒下三丸。量儿大小,
以意加减。
《圣惠》治小儿急惊风,遍身壮热,心多惊悸,睡卧不安,手足跳掣,胸膈多涎。犀角丸方
犀角(屑) 牛黄 脑麝 天竺黄(并细研) 天麻 天南星 白附子(炮裂) 桂心 蝉壳 乌蛇肉 干蝎 铅
霜水银 硫黄(与水银结砂子,细研。以上各一分)
上件药并生用,捣、罗为末,入已研药,再研令匀,炼蜜和丸如绿豆大。不计时候,以薄荷汤下三丸。量
儿大小临时加减。
《圣惠》治小儿急惊风,遍身壮热,筋脉不利,手足抽掣,口噤面青,痰涎壅滞,及疳气所攻,肌体瘦弱。定
生丸方
雀儿饭瓮(内有物) 蟾头(涂酥,炙令焦黄。各一两) 乌蛇(半两,酒浸者,以去皮、骨、炙令黄) 猪牙皂
角(去皮,涂酥,炙令焦黄,去子) 天麻 干蝎(微炒) 瓜蒂 天南星 青黛 朱砂 脑麝 雄黄 牛黄(以上六
味细研) 蜣螂(微炒,去翅,足) 腻粉 曲头 棘针 熊胆(以上各一分) 藜芦(去芦头) 半夏(汤洗七遍,
去滑。各半分)
上件药捣,罗为末,以猪胆汁和丸如绿豆大。每先以温生姜汤研一丸,灌在鼻内,得嚏后,以生姜薄荷汤
下三丸。量儿大小以意加减。
《圣惠》治小儿急惊风,四肢搐搦,多涎沫,身热如火,心神惊悸,发歇不定。救生丹方
龙脑 牛黄 雄黄 朱砂 芦荟 胡黄连(末) 铅霜 麝香 天竺黄 曾青 真珠 犀角 干蝎(末。以上各一
钱) 金银箔(各五十片) 雀儿饭瓮(三七枚,内有物者)
上件药都研为末,五月五日合和,用大活蟾十枚,于眉间各取酥少许,同研令匀,入饭和丸如弹子大。着
瓷碗内,用黄梢活蝎四十九枚着碗内,令药弹丸触蝎,毒蜇入药内,候毒尽,放蝎,然后重研药弹令匀,丸
如绿豆大。不计时候,以薄荷汁先研一丸,滴在鼻内,男左女右,候嚏,即以薄荷酒服两丸。量儿大小以意
加减。
《圣惠》治小儿急惊风,四肢抽掣,牙关紧急,头热足寒。雄黄丸方
雄黄 乳香 朱砂 牛黄(各一分) 麝香 白矾(灰) 铅霜 熊胆 蝎梢(各半分,微炒) 蟾酥(半钱)
上件药都研为末,以糯米饭和丸如绿豆大。不计时候,以温水化三丸服之。量儿大小以意加减。
《圣惠》治小儿急惊风。神效蝎尾散方
蝎尾(二十一枚,生用) 白附子尖(二十七个,生用) 腻粉(一钱,研入) 附子尖(二七个,生用) 半夏
底(汤洗,去滑) 天南星底(生用) 乌头尖(去皮,生用。各一七枚)
上件药捣,细罗为散。每服以薄荷汤调下半字。若儿在百日内者,一字可分为四服。如要作丸,即以枣
肉和丸如绿豆大,以马兰草汤下一丸。临时看儿大小加减。
《圣惠》治小儿急惊风。返魂丸子方
独角仙(二枚,去翅、足,于瓷合烧,勿令烟出,研为末) 白僵蚕(微炒) 白附子 天南星 干姜(并炮裂)
牛黄(细研) 青黛(研) 甜葶苈(炒令紫色) 乌蛇肉(炙令黄) 朱砂(细研,水飞过。各半两)
上件药捣,罗为末,用猪胆汁并蟾酥如江豆大,和丸如粟米大。先以酒化一丸,滴在鼻中,即以酒或水下
二丸。若不嚏,则不再下药。
《圣惠》治小儿急惊风。定命丹方
独角仙(去皮、翅、足,半钱) 蟾酥(江豆大) 桑螵蛸(一枚) 天浆子(七枚) 犀角(屑) 牛黄 雄黄
天竺黄 青黛(各细研) 朱砂(细研,水飞过) 天南星 白附子 龙胆(去苗。各半两) 麝香(细研) 干蝎梢
腻粉(各一分)
上件药并生用,捣、罗为末,以 猪胆汁和丸如黄米粒大。每服先以温水化破一丸,吹鼻内,得嚏五、七
声,即以薄荷水下二丸。量儿大小以意加减。
《圣惠》治小儿急惊风,壮热,筋脉拘急,腰背强硬,时发搐搦。牛黄丸方
牛黄 麝香(并细研) 干蝎 晚蚕蛾(并微炒) 波斯青黛(研入。各一分) 蜣螂(微炙) 蚱蝉(微炙,去
翅、足。各三枚)
上件药捣,罗为末,以糯米饭和丸如麻子大。一、二岁儿每服用薄荷汤下三丸。三、四岁儿每服五丸,不
计时候。量儿大小,以意加减服之。
《圣惠》治小儿急惊风。天浆子丸方
天浆子(一七枚,内有物者) 牛黄 麝香(各细研) 白附子(炒) 犀角(屑) 半夏(汤洗七次,去滑。各
一分) 蟾酥(一钱) 猪胆(一枚,取汁)
上件药捣,罗为末,用面糊入胆汁同和丸如黄米大。不计时候,以薄荷汤下三丸。量儿大小以意加减。(此
方与慢惊风门中《圣惠》麝香丸味同而分两不同。)
《圣惠》又方
白附子 天南星(并炮裂) 干蝎(微炒。各一分) 天浆子(二七枚,内有物者) 乌驴耳塞(皂角子大,别研)
上件药捣,罗为末,研入驴耳塞,令匀,用糯米饭和丸如绿豆大。不计时候,以熟酒研三丸服之。量儿
大小以意加减。
《圣惠》治小儿急惊风,化涎镇心。牛黄丸方
牛黄(细研) (微炒) 腻粉 半夏(汤洗七次,去滑) 天南星(炮裂) 麝香(细研。各一分) 朱砂
(半两,细研,水飞过) 天浆子(三七枚,内有物者)
上件药捣,罗为末,入细研药令匀。用烧粟米饭和丸如黍米大。不计时候,以荆芥汤下五丸。量儿大小以
意加减。
《圣惠》治小儿急惊风,手足抽掣。白附子丸方
白附子(炮裂) 白僵蚕(微炒) 牛黄 麝香(并细研) 甜葶苈(隔纸炒令紫色) 蜣螂(微炒,去翅、足。
各一分) 干蝎(微炒) 青黛(细研。各半两) 乌蛇肉(三分,酒拌,炙令黄) 蟾酥(半钱) 天浆子(二七枚,
内有物者) 朱砂(半两,细研,水飞过)
上件药捣,罗为末,以猪胆汁和丸如绿豆大。每先以冷水研一丸,滴入鼻中,候嚏一、两声,便以温水研
三丸服之。或吐出粘涎,得睡便瘥。
《圣惠》治小儿急惊风,身热口噤,四肢挛搐。龙脑丸方
龙脑 雄黄 芦荟 牛黄 铅霜(以上各细研) 丁香 木香 犀角(屑) 天浆子 胡黄连 蝎尾 白花蛇(酒
浸,去皮、骨,炙令黄。以上各一分) 蟾酥(半分,研入)
上件药捣,罗为末,炼蜜和丸如梧桐子大。每服以桃心汤研下三丸。量儿大小加减服之。
《圣惠》治小儿急惊风,口噤,手足抽掣,眼目直视,多吐涎沫,四肢壮热。鹤寿丹方
天浆子(七枚,内有物者,微炒) 蝉壳(二七枚) 牛黄 青黛 麝香(各细研) 蟾酥(研入。各一两) 朱
砂(细研,水飞过) 防风(去芦头) 乌蛇(酒浸、去皮、骨,炙令黄。各半两) 蚕纸(一张,烧灰) 地龙(三
条,微炒)
上药捣,罗为末,炼蜜和丸如黍米大。不计时候,以新汲水研下三丸。量儿大小以意加减。
《圣惠》治小儿急惊风,壮热,吐涎。红丸子方
朱砂(细研,水飞过) 蝎尾(微炒。各半两) 腻粉(一分) 巴豆(五枚,去皮、心,纸裹,压去油)
上件药研为末,用面糊和丸如黍米大。不计时候,以桃仁汤下二丸。量儿大小加减服之。
《圣惠》治小儿急惊风,搐搦不止。抵圣丸方
白附子 白僵蚕 赤箭 半夏 天南星 (各一分) 腻粉(研入) 乌蛇肉(各半两)
《巢氏病源》记载:小儿惊风,是由于血气不和,体内有实热,导致心神不宁,从而引发惊风;病情严重时,会出现肢体抽搐收缩,演变为痫证。另外,小儿在“变蒸”(婴幼儿生长发育过程中的生理现象)期间,也会有轻微的惊风表现。之所以如此,也是因为热气所致。只要出现轻微的惊风,有助于血脉生长,但不希望出现严重的惊风;若大惊,则需要灸治“惊脉”。如果在出生后五六十天内进行灸治,惊风反而会加重。若在出生一百天后灸治惊脉,才是妥善的处理方法。
《太平圣惠方》论述:所谓小儿急惊风,是因为气血不和,体内有实热,又受到风邪侵袭,干扰心络所致。心是神志居住的地方,主管血脉。如果热势亢盛,血液运行就会紊乱;血液紊乱则气机并聚于血中,气血相互搏结,再加上风邪的冲击,所以出现惊悸不安的症状。其临床表现:全身高热,痰涎壅滞阻塞,四肢拘挛紧急,筋脉抽搐牵引,颈项背部强直,牙关紧闭。
茅先生论述:小儿从出生满周岁到十岁左右,患有急惊风、客忤(因受惊吓或异气引起的病症)、卒死这三种病。这三种病的调理方法大体相同。但它们各自的初始起因不同:急惊风的形态和症状表现为:喉间痰鸣作响,双手双足抽搐,双眼直视,面部和口唇呈现青黑色,意识丧失,不记得人事。这种症状是因为婴儿初生时阳气偏盛,或者养育过度,穿衣盖被不合道理;或者因为放置婴儿时被鸡犬惊吓;或者因为别人家喧闹呼喊,大声小叫惊吓了婴儿,导致惊气积聚,逐渐形成积滞在心,加上风邪虚袭,以至于出现这种症状。
钱乙论述:因为听到大声或受到大惊而发作抽搐,发作过后就像正常人一样,这是无阴的表现。应当使用下法,以利惊丸为主治方剂。(方剂见本门中。)小儿急惊,根本原因是热生于心,表现为身体发热、面色红赤、想喝水、口中呼出热气、大小便黄赤,严重时发生抽搐。大概是因为热极生风,风属于肝,这是阳盛阴虚的表现,所以用利惊丸主治。用来清除痰热,不可使用巴豆及温热药物猛烈攻下,否则可能导致抽搐加剧,虚热无法消除。小儿客忤,是痰热在心胃,因为听到异常声音,就触动而惊厥抽搐。如果热势极盛,即使不是因为听到声音或受惊,也会自发抽搐。
张涣论述:小儿心神大多不稳定,心包络多积存痰涎,从而产生邪热。如果热势亢盛,干扰心神,兼之外伤风邪客居搏击,导致全身壮热,痰涎壅滞,四肢抽搐,牙关紧闭,称为急惊风病。
《婴童宝鉴》论述:小儿急惊风,是因为惊痰灌入心中,导致眼睛上翻,手足抽搐,身体发热,牙关僵硬,口噤不开。
《秘要指迷》论述:凡是小儿急惊风痊愈后,经过几天再次发作又痊愈。如果经过三、四次,像这样后续发作变得沉重,这是惺惺(清醒但虚弱)的形态,不足以作为判断预后的依据。
《玉诀》论述:小儿急惊风,是因为风热干扰心脏,先遭受惊恐,前后的惊涎并入经络之间,其症状表现为抽搐,眼睛吊起,嘴唇发黑,口噤难开,手足搐搦。此病只要通过吐泻来镇心安神调理即可痊愈。如果使用冷热药物互相逼迫,恐怕会损伤性命。
《石壁经》三十六种内才发急惊风候歌:
刚发作惊风看握拳,手指内外情况需细说。(《凤髓经》注解说:是指大拇指。)手掌内侧为阴,外侧为阳,此为顺候。(这是刚开始手足抽搐时的情况,掌心红润握着手指,男孩大拇指在外,女孩在内即为顺候。)男孩左手、女孩右手抽搐应先观察。(一说:抽搐令其痊愈。)用药开关双眼下方,《献髓经》说:将药吹入鼻中。再将形态症状重新审视。(《凤髓经》说:如打喷嚏者不妨碍。)最忌讳闷涎潮入肺部,结在心中不解痊愈。(如果男子右手抽搐,女子左手抽搐,此为逆候,难以治愈。流涎像眼屎粘连连续不断,常需利膈去涎。如果眼睛睁开,涎液散开,则更应服用去惊调气药,即可停止;如果眼睛不睁开,涎液不断,必死无疑。)远离凉心药物治疗,解惊下药始求平安。(《凤髓经》这一句说:解经调气用汤丸。)脉象逆乱阴阳须留意,《凤髓经》这一句说:定搐疾时根据用意。使用,注定无命留人间。(男左女右抽搐为顺候。《凤髓经》急风自发歌注说:先将睹月散吹鼻,方才见搐搦门中,其次镇心丸,见一切惊门中,其次生银丸,见急慢惊风门中。)
《石壁经》三十六种内急惊风候歌:
七日内归前被物惊吓,(在七日内,因惊作热,发惊。若婴儿变蒸,也主惊,切勿过多使用冷药。)头发竖起喉咙干腹泻又呈青色。(头发像麻一样直且不润,但婴儿频繁吃奶,孩子多喝水,所谓喉咙干,其腹泻多为青色。)只看上唇微有汗,再观察印堂内(一说:腹部)有青筋,手掌中有似桃花嫩,怕物多涎听有声。懂的人镇惊为妙手,莫将风热一般命名。
这是外证候。如果治疗,先当用镇惊药,其次定渴化涎,那么疾病必定痊愈。虽然孩儿气实,也应当调胃气,然后下惊药,切勿过冷。(《凤髓经》弱风急歌,一同说:宜服镇心丸,生银丸。方见同前。)
《惠眼观证》急风说云:内有风积热涎,急潮涌入口中,身背强直,双目闭合,双手足抽搐,或瞪眼且喉中痰响,不记人事,急用睡惊膏(方见本门中),用蜜、糖、薄荷熟水磨服,片刻吐出两三两口涎,眼睛即转低,随即入睡。稍后,相继腹泻三四次青白粘涎,下调气药,次日多睡,只用醒脾散。(方见吐利门中。)如不思食,则下安胃药。喉中余涎,则下化涎汤药。相间调理,三日安宁。至第四、第五日再有潮热,即是中风伤寒。即麦汤散(方末见。)平胃丸(方见哕逆门中。)两日平复。
《小方脉论》说:急风的症状,都起于心脏。各种惊疾,累积在心,等到发作时,先壮热,接着抽搐,体温极高,四肢烦闷,浑身壮热,面颊赤色,口干舌躁。都是因为惊吓扑打所致,治疗在于心。
长沙医者李刚中说:古书没有惊候,只有阴阳痫而已。所以阳受之叫急惊,阴受之叫慢惊。所以阳动而躁,阳疾而速;阴静而缓,阴慢而迟。小儿急搐得之于热淫所胜,表里连运,久而不除,肝风心火,因热相合,二脏交争,其气蕃灼,而一肾水不能制二脏者也。又肝上筋及目,热则筋缩急,而风乘之则发搐,手足不能有所制,风相牵引而目上视也。其有左右搐者,各以其偏胜也。医便以乌蛇、蜈蚣等药,是治标而不治本也。故钱用泻青丸主肝风(方见惊热门中),导赤散泻心火(方见实热门中)。此医用之上药也。
《太平圣惠方》治疗小儿急惊风,四肢抽搐,拘急壮热,或者口噤。天麻丸方:
天麻 雄黄 天竺黄 麝香(这三味各细研) 乌蛇肉 蝉壳 干蝎 桂心 天南星 白芷 白附子 腻粉 半夏(汤洗七次,去滑。以上各一钱)
以上药材均生用,捣碎、过筛为末,混合研磨均匀,煮枣肉和丸如绿豆大。不限时候,用薄荷酒送服三丸。根据孩子大小,酌情加减。
《太平圣惠方》治疗小儿急惊风,遍身壮热,心中多惊悸,睡卧不安,手足跳掣,胸膈多涎。犀角丸方:
犀角(屑) 牛黄 脑麝 天竺黄(并细研) 天麻 天南星 白附子(炮裂) 桂心 蝉壳 乌蛇肉 干蝎 铅霜 水银 硫黄(与水银结砂子,细研。以上各一分)
以上药材均生用,捣碎、过筛为末,加入已研药,再研磨均匀,炼蜜和丸如绿豆大。不限时候,用薄荷汤送服三丸。根据孩子大小临时加减。
《太平圣惠方》治疗小儿急惊风,遍身壮热,筋脉不利,手足抽掣,口噤面青,痰涎壅滞,及疳气所攻,肌体瘦弱。定生丸方:
雀儿饭瓮(内有物) 蟾头(涂酥,炙令焦黄。各一两) 乌蛇(半两,酒浸者,去皮、骨、炙令黄) 猪牙皂角(去皮,涂酥,炙令焦黄,去子) 天麻 干蝎(微炒) 瓜蒂 天南星 青黛 朱砂 脑麝 雄黄 牛黄(以上六味细研) 蜣螂(微炒,去翅,足) 腻粉 曲头 棘针 熊胆(以上各一分) 藜芦(去芦头) 半夏(汤洗七遍,去滑。各半分)
以上药材捣碎,过筛为末,用猪胆汁和丸如绿豆大。每次先用温生姜汤研开一丸,灌入鼻内,得嚏后,用生姜薄荷汤送服三丸。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,四肢搐搦,多涎沫,身热如火,心神惊悸,发歇不定。救生丹方:
龙脑 牛黄 雄黄 朱砂 芦荟 胡黄连(末) 铅霜 麝香 天竺黄 曾青 真珠 犀角 干蝎(末。以上各一钱) 金银箔(各五十片) 雀儿饭瓮(三七枚,内有物者)
以上药材都研为末,五月五日合和,用大活蟾十枚,于眉间各取少许酥,同研均匀,入饭和丸如弹子大。放入瓷碗内,用黄梢活蝎四十九枚放入碗内,让药弹丸触蝎,毒刺入药内,等毒尽,放出蝎,然后重研药弹令匀,丸如绿豆大。不限时候,用薄荷汁先研一丸,滴在鼻内,男左女右,候嚏,即以薄荷酒服两丸。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,四肢抽掣,牙关紧急,头热足寒。雄黄丸方:
雄黄 乳香 朱砂 牛黄(各一分) 麝香 白矾(灰) 铅霜 熊胆 蝎梢(各半分,微炒) 蟾酥(半钱)
以上药材都研为末,用糯米饭和丸如绿豆大。不限时候,用温水化开三丸服之。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风。神效蝎尾散方:
蝎尾(二十一枚,生用) 白附子尖(二十七个,生用) 腻粉(一钱,研入) 附子尖(二七个,生用) 半夏底(汤洗,去滑) 天南星底(生用) 乌头尖(去皮,生用。各一七枚)
以上药材捣碎,细罗为散。每服用薄荷汤调下半字。如果孩子在一百日内,一字可分为四服。如果要作丸,就用枣肉和丸如绿豆大,用马兰草汤送一丸。临时看孩子大小加减。
《太平圣惠方》治疗小儿急惊风。返魂丸子方:
独角仙(二枚,去翅、足,于瓷合烧,勿令烟出,研为末) 白僵蚕(微炒) 白附子 天南星 干姜(并炮裂) 牛黄(细研) 青黛(研) 甜葶苈(炒令紫色) 乌蛇肉(炙令黄) 朱砂(细研,水飞过。各半两)
以上药材捣碎,过筛为末,用猪胆汁并蟾酥如江豆大,和丸如粟米大。先用酒化一丸,滴在鼻中,即以酒或水下二丸。若不嚏,则不再下药。
《太平圣惠方》治疗小儿急惊风。定命丹方:
独角仙(去皮、翅、足,半钱) 蟾酥(江豆大) 桑螵蛸(一枚) 天浆子(七枚) 犀角(屑) 牛黄 雄黄 天竺黄 青黛(各细研) 朱砂(细研,水飞过) 天南星 白附子 龙胆(去苗。各半两) 麝香(细研) 干蝎梢 腻粉(各一分)
以上药材均生用,捣碎、过筛为末,用猪胆汁和丸如黄米粒大。每服先用温水化破一丸,吹入鼻内,得嚏五、七声,即以薄荷水下二丸。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,壮热,筋脉拘急,腰背强硬,时发搐搦。牛黄丸方:
牛黄 麝香(并细研) 干蝎 晚蚕蛾(并微炒) 波斯青黛(研入。各一分) 蜣螂(微炙) 蚱蝉(微炙,去翅、足。各三枚)
以上药材捣碎,过筛为末,用糯米饭和丸如麻子大。一、二岁儿每服用薄荷汤下三丸。三、四岁儿每服五丸,不限时候。根据孩子大小,酌情加减服之。
《太平圣惠方》治疗小儿急惊风。天浆子丸方:
天浆子(一七枚,内有物者) 牛黄 麝香(各细研) 白附子(炒) 犀角(屑) 半夏(汤洗七次,去滑。各一分) 蟾酥(一钱) 猪胆(一枚,取汁)
以上药材捣碎,过筛为末,用面糊入胆汁同和丸如黄米大。不限时候,用薄荷汤送服三丸。根据孩子大小酌情加减。(此方与慢惊风门中《太平圣惠方》麝香丸味同而分两不同。)
《太平圣惠方》又方:
白附子 天南星(并炮裂) 干蝎(微炒。各一分) 天浆子(二七枚,内有物者) 乌驴耳塞(皂角子大,别研)
以上药材捣碎,过筛为末,研入驴耳塞,令匀,用糯米饭和丸如绿豆大。不限时候,用熟酒研三丸服之。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,化涎镇心。牛黄丸方:
牛黄(细研) (微炒) 腻粉 半夏(汤洗七次,去滑) 天南星(炮裂) 麝香(细研。各一分) 朱砂(半两,细研,水飞过) 天浆子(三七枚,内有物者)
以上药材捣碎,过筛为末,入细研药令匀。用烧粟米饭和丸如黍米大。不限时候,用荆芥汤送服五丸。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,手足抽掣。白附子丸方:
白附子(炮裂) 白僵蚕(微炒) 牛黄 麝香(并细研) 甜葶苈(隔纸炒令紫色) 蜣螂(微炒,去翅、足。各一分) 干蝎(微炒) 青黛(细研。各半两) 乌蛇肉(三分,酒拌,炙令黄) 蟾酥(半钱) 天浆子(二七枚,内有物者) 朱砂(半两,细研,水飞过)
以上药材捣碎,过筛为末,用猪胆汁和丸如绿豆大。每次先用冷水研一丸,滴入鼻中,候嚏一、两声,便以温水研三丸服之。或吐出粘涎,得睡便瘥。
《太平圣惠方》治疗小儿急惊风,身热口噤,四肢挛搐。龙脑丸方:
龙脑 雄黄 芦荟 牛黄 铅霜(以上各细研) 丁香 木香 犀角(屑) 天浆子 胡黄连 蝎尾 白花蛇(酒浸,去皮、骨,炙令黄。以上各一分) 蟾酥(半分,研入)
以上药材捣碎,过筛为末,炼蜜和丸如梧桐子大。每服用桃心汤研下三丸。根据孩子大小加减服之。
《太平圣惠方》治疗小儿急惊风,口噤,手足抽掣,眼目直视,多吐涎沫,四肢壮热。鹤寿丹方:
天浆子(七枚,内有物者,微炒) 蝉壳(二七枚) 牛黄 青黛 麝香(各细研) 蟾酥(研入。各一两) 朱砂(细研,水飞过) 防风(去芦头) 乌蛇(酒浸、去皮、骨,炙令黄。各半两) 蚕纸(一张,烧灰) 地龙(三条,微炒)
以上药材捣碎,过筛为末,炼蜜和丸如黍米大。不限时候,用新汲水研下三丸。根据孩子大小酌情加减。
《太平圣惠方》治疗小儿急惊风,壮热,吐涎。红丸子方:
朱砂(细研,水飞过) 蝎尾(微炒。各半两) 腻粉(一分) 巴豆(五枚,去皮、心,纸裹,压去油)
以上药材研为末,用面糊和丸如黍米大。不限时候,用桃仁汤送服二丸。根据孩子大小加减服之。
《太平圣惠方》治疗小儿急惊风,搐搦不止。抵圣丸方:
白附子 白僵蚕 赤箭 半夏 天南星 (各一分) 腻粉(研入) 乌蛇肉(各半两)
*Chao Shi Bing Yuan* (Source of Diseases by Master Chao) records: Infantile convulsion arises from disharmony of blood and qi, with excess heat inside the body, causing instability of the heart spirit (Shen), thus triggering convulsions; in severe cases, limb twitching and contraction occur, evolving into epilepsy. Additionally, during "bian zheng" (physiological developmental changes in infants), children may experience mild convulsions. This is also due to heat. Mild convulsions are permissible as they help nourish the blood vessels, but severe convulsions should be avoided; if severe convulsions occur, moxibustion on the "Jing Mai" (Convulsion Meridian) is required. If moxibustion is performed within fifty to sixty days after birth, convulsions may worsen. However, performing moxibustion on the Jing Mai after one hundred days of age is appropriate.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) discusses: Infantile acute convulsive wind (Ji Jing Feng) results from disharmony of blood and qi, internal excess heat, and invasion by wind pathogen interfering with the Heart collateral. The Heart houses the Shen and governs the blood vessels. When heat is excessive, blood circulation becomes chaotic; chaotic blood causes Qi to congregate with it, leading to conflict between Qi and Blood, compounded by wind pathogen attack, resulting in fright and restlessness. Clinical manifestations include: high fever throughout the body, accumulation and stagnation of phlegm-saliva, stiffness and urgency of the four limbs, spasms and twitching of tendons and vessels, rigidity of the neck and back, and lockjaw.
Master Mao discusses: Children from one year old up to ten years old may suffer from acute convulsive wind, Ke Wu (fright caused by external stimuli), or sudden death. These three conditions share similar management principles but have distinct initial causes. The presentation of acute convulsive wind includes: noisy breathing with phlegm, bilateral hand and foot convulsions, fixed staring eyes, cyanosis of the face and mouth, and loss of consciousness. This condition stems from the infant's inherent Yang excess, improper care such as overdressing, or fright from dogs/dogs near the infant's resting place, or loud noises startling the child. This leads to accumulation of fright Qi in the Heart, combined with deficiency and wind pathogen invasion.
Qian Yi discusses: Convulsions triggered by loud noises or fright, resolving afterwards, indicate a lack of Yin. Purging methods should be used, primarily with Li Jing Wan (Benefit Fright Pill). (Formula see this section.) Infantile acute convulsive wind fundamentally arises from heat generating in the Heart, presenting with body heat, red face, thirst, hot breath, yellow-red urine and stool, and severe convulsions. Heat extreme generates wind; wind corresponds to the Liver, indicating excess Yang and deficient Yin. Thus, Li Jing Wan is used to clear phlegm-heat. Do not use Radix Euphorbiae Pekingensis (Ba Dou) or warm purgatives, as this may exacerbate convulsions and fail to resolve deficient heat. Infantile Ke Wu involves phlegm-heat in the Heart and Stomach; hearing unusual sounds triggers fright and convulsions. If heat is extreme, spontaneous convulsions may occur even without auditory triggers.
Zhang Huan discusses: Infants often have unstable Shen and accumulated phlegm-saliva in the Pericardium, generating evil heat. Excessive heat interferes with the Shen, combined with external wind pathogen invasion, causing high fever, phlegm stagnation, limb spasms, and lockjaw, termed acute convulsive wind disease.
*Tong Ying Bao Jian* (Precious Mirror for Infants and Children) discusses: Infantile acute convulsive wind occurs when fright-phlegm floods the Heart, causing upward deviation of the eyes, convulsions of hands and feet, body heat, rigid jaw, and inability to open the mouth.
*Miyao Zhimi* (Secret Essentials Pointing to Enlightenment) discusses: After recovery from infantile acute convulsive wind, recurrence after several days followed by recovery is common. If this happens three or four times, subsequent severe episodes indicate a "Xing Xing" (lucid but weak) state, which is unreliable for prognosis.
*Yu Jue* (Jade Decree) discusses: Infantile acute convulsive wind is caused by wind-heat interfering with the Heart, preceded by fright. Previous fright-phlegm enters the meridians, presenting with convulsions, upward-deviated eyes, black lips, lockjaw, and hand-foot spasms. Treatment relies on emesis and purgation to calm the Heart. Using conflicting cold and hot medicines may endanger life.
*Shi Bi Jing* (Stone Wall Classic) Song on Initial Acute Convulsive Wind Signs:
Observe clenched fists upon onset, carefully noting finger positions. (*Feng Sui Jing* notes: refers to the thumb.) Palm interior is Yin, exterior is Yang; this is a favorable sign. (At onset of spasms, if palm is red and fingers curled, boy's thumb out/girl's thumb in is favorable.) Boys left, girls right spasm should be observed first. (Alternatively: induce cessation of spasms.) Apply medicine below eyes to open them. (*Xian Sui Jing* says: insufflate medicine into nose.) Re-examine symptoms. (*Feng Sui Jing* says: sneezing is acceptable.) Strictly avoid phlegm flooding lungs and lodging in Heart. (If boy spasms right/girl spasms left, it is unfavorable/incurable. Continuous sticky phlegm requires clearing diaphragm/phlegm. If eyes open/phlegm disperses, administer anti-fright/Qi-regulating herbs; stop if eyes closed/phlegm continuous implies death.) Avoid cooling Heart treatments; resolve fright and purge to seek peace. (*Feng Sui Jing* variant: Resolve meridians/regulate Qi with decoctions/pills.) Note pulse inversion of Yin/Yang. (*Feng Sui Jing* variant: Focus intent during spasm control.) Use wisely, knowing life may be lost. (Left/Right spasm gender rule explained. *Feng Sui Jing* note: First insufflate Du Yue San, then Zhen Xin Wan, then Sheng Yin Wan.)
*Shi Bi Jing* Song on Acute Convulsive Wind Signs:
Startled by objects within seven days. (Within seven days, fright generates heat/convulsions. If infant bian zheng, also causes fright; avoid excessive cold herbs.) Hair stands dry, throat parched, diarrhea green. (Hair straight/dry like hemp; frequent nursing/water drinking causes "dry throat"; green diarrhea indicates spleen/stomach involvement.) Check upper lip for slight sweat, observe bluish veins under eyes (or abdomen), tender peach-blossom palms, fearfulness with noisy phlegm. Experts calm fright effectively; do not confuse with general wind-heat.
These are external signs. Treatment: first calm fright, then resolve thirst/phlegm for cure. Even if Qi is excess, regulate Stomach Qi before using fright-resolving herbs; avoid excessive cold. (*Feng Sui Jing* weak wind song: recommend Zhen Xin Wan, Sheng Yin Wan.)
*Hui Yan Guan Zheng* (Compassionate Eye Observing Signs) on Acute Wind: Internal wind-stagnant heat-phlegm surges to mouth, back rigidity, eyes closed, hand-foot spasms, or staring with noisy phlegm, unconsciousness. Urgently use Shui Jing Gao (Sleep Fright Paste - see section), ground with honey, sugar, mint decoction. Vomiting two mouthfuls of phlegm lowers eyes, induces sleep. Later, pass 3-4 stools of green-white sticky phlegm, follow with Qi-regulating herbs, next day sleep more, use Xing Pi San (Awaken Spleen Powder - see vomiting/diarrhea section). If no appetite, use An Wei Wan (Peace Stomach Pill). For residual phlegm, use Hua Xian Tang (Resolve Phlegm Decoction). Intermittent treatment brings peace in three days. Fever on day 4-5 indicates wind-stroke or cold damage; use Mai Tang San (Wheat Decoction Powder - see end) and Ping Wei Wan (Level Stomach Pill - see hiccups section) for recovery in two days.
*Xiao Fang Mai Lun* (Small Formula Pulse Discussion) states: Acute wind originates in the Heart. All fright diseases accumulate in the Heart. Onset features high fever, then spasms, extreme body heat, limb restlessness, full-body heat, red cheeks, dry mouth/tongue. Caused by fright/shock; treatment focuses on the Heart.
Li Gangzhong, physician from Changsha, states: Ancient texts mention only Yin/Yang epilepsy, not fright. Yang type is Ji Jing (Acute Fright), Yin type is Man Jing (Slow Fright). Yang moves/restless/fast; Yin still/slow/delayed. Infantile acute spasms result from excessive heat affecting both interior/exterior. Long-standing unremoved heat combines Liver wind and Heart fire; these two organs contend, Qi burns fiercely, and Kidney Water cannot control them. Liver governs tendons/eyes; heat contracts tendons, wind triggers spasms, hands/feet uncontrollable, wind pulls eyes upward. Left/right spasms depend on organ dominance. Treating with Black Snake, Centipede etc. treats branch not root. Qian Yi uses Xie Qing Wan (Drain Green Pill) for Liver wind, Dao Chi San (Direct Red Powder) for Heart fire. These are superior herbs.
*Tai Ping Sheng Hui Fang* Tian Ma Wan (Gastrodia Pill) for acute convulsive wind, limb spasms, stiffness, high fever, lockjaw:
Tian Ma (Gastrodia Rhizome), Xiong Huang (Realgar), Tian Zhu Huang (Calamiform Beech Honey), She Xiang (Musk) [fine powder]; Wushe Rou (Black Snake Meat), Chan Qiao (Cicada Slough), Gan Xie (Dried Scorpion), Guixin (Cinnamon Twig), Tian Nan Xing (Arisaema Rhizome), Baizhi (Angelica Dahurica), Baifuzi (Typhonium Rhizome), Nifen (Calomel), Banxia (Pinellia Tuber) [boiled 7 times, washed]. Each 1 qian.
All raw, pounded, sieved, mixed finely. Date paste pills, size mung bean. Take 3 pills with mint wine anytime. Adjust dose by age.
*Tai Ping Sheng Hui Fang* Xi Jiao Wan (Rhinoceros Horn Pill) for acute convulsive wind, high fever, palpitations, restless sleep, jumping spasms, chest phlegm:
Xi Jiao (Rhinoceros Horn [Substitute: Buffalo Horn]), Niu Huang (Calculus Bovis), Naoshe (Camphor/Musk), Tian Zhu Huang [fine powder]; Tian Ma, Tian Nan Xing, Baifuzi (roasted), Guixin, Chan Qiao, Wushe Rou, Gan Xie, Qianshuang (Lead Frost), Shuiyin (Mercury), Huangqi (Sulfur) [cinnabarized with mercury, fine powder]. Each 1 fen.
All raw, pounded, sieved, mixed with pre-ground herbs. Honey pills, size mung bean. Take 3 pills with mint decoction. Adjust by age.
*Tai Ping Sheng Hui Fang* Ding Sheng Wan (Stabilize Life Pill) for acute convulsive wind, high fever, stiff vessels, spasms, lockjaw/cyanosis, phlegm, malnutrition, emaciation:
Que'er Fanweng (Bird Nest - with contents), Chantou (Toad Head) [butter-roasted], Wushe (Black Snake) [wine-soaked, skin/bone removed, roasted], Zhuya Zaojiao (Pig Tooth Soap Pod) [skin removed, butter-roasted, seeds out], Tian Ma, Gan Xie (lightly fried), Gudi (Melon Peduncle), Tian Nan Xing, Qingdai (Indigo Naturalis), Zhusha (Cinnabar), Naoshe, Xiong Huang, Niu Huang [fine powder]; Qiulang (Dung Beetle) (lightly fried, wings/legs removed), Nifen, Qutou (Quartz?), Jizhen (Thorn), Xiongdan (Bear Gallbladder) [each 1 fen]; Lili (Veratrum) [rhizome removed], Banxia [boiled 7 times, washed] [each 0.5 fen].
Pounded, sieved. Pig bile pills, size mung bean. Grind 1 pill in warm ginger decoction, insufflate into nose. After sneeze, take 3 pills with ginger-mint decoction. Adjust by age.
*Tai Ping Shui Fang* Jiu Sheng Dan (Save Life Pellet) for acute convulsive wind, limb spasms, frothy saliva, fiery heat, palpitations, intermittent attacks:
Longnao (Borneol), Niu Huang, Xiong Huang, Zhusha, Lvhui (Aloe), Huhuanglian (Picrorhiza Root) [powder], Qianshuang, She Xiang, Tian Zhu Huang, Zengqing (Azurite), Zhenzhu (Pearl), Xi Jiao, Gan Xie [powder] [each 1 qian]; Jin Yin Bo (Gold/Silver Leaf) [50 pieces each]; Que'er Fanweng [21 pieces, with contents].
All powdered. Mix on 5th day of 5th lunar month. Use 10 live large toads, take small amount of butter from glabella, grind together. Mix with rice, form pellet size marble. Place in porcelain bowl with 49 live yellow-tailed scorpions. Let venom penetrate pill. Remove scorpions, re-grind pill. Make mung-bean sized pills. Insufflate 1 pill ground in mint juice into nose (male left/female right). After sneeze, take 2 pills with mint wine. Adjust by age.
*Tai Ping Sheng Hui Fang* Xiong Huang Wan (Realgar Pill) for acute convulsive wind, limb spasms, lockjaw, hot head/cold feet:
Xiong Huang, Ruxiang (Frankincense), Zhusha, Niu Huang [each 1 fen]; She Xiang, Baijian (White Alum), Qianshuang, Xiongdan, Xieshao (Scorpion Tail Tip) [lightly fried, each 0.5 fen]; Chansu (Toad Venom) [0.5 qian].
All powdered. Glutinous rice paste pills, size mung bean. Dissolve 3 pills in warm water. Adjust by age.
*Tai Ping Sheng Hui Fang* Shen Xiao Xie Wei San (Miraculous Scorpion Tail Powder) for acute convulsive wind:
Xiewei (Scorpion Tail) [21 raw], Baifuzui Jiaoan (Tip of Typhonium) [27 raw], Nifen [1 qian, ground], Fuzi Jiaoan (Tip of Aconite) [27 raw], Banxia Di (Base of Pinellia) [washed], Tian Nanxing Di (Base of Arisaema) [raw], Wutou Jiaoan (Tip of Henbane/Aconite) [peeled, raw] [each 7].
Pounded, fine powder. Take half-zhi with mint decoction. For infants <100 days, divide zhi into 4 doses. Or make date-paste pills (mung bean size), take 1 with Malan Cao (Plantago) decoction. Adjust by age.
*Tai Ping Sheng Hui Fang* Fan Hun Wan Zi (Revive Soul Pill) for acute convulsive wind:
Du Jiao Xian (Unicorn Beetle) [2, wings/legs removed, fired in porcelain, no smoke, powdered], Bai Jiangcan (Silkworm) [lightly fried], Baifuzi, Tian Nanxing, Ganjiang (Dried Ginger) [roasted], Niu Huang [fine powder], Qingdai [ground], Tiantingli (Thladiantha Fruit) [fried purple], Wushe Rou [roasted], Zhusha [fine powder, water-washed] [each 0.5 liang].
Pounded, sieved. Pig bile + toad venom (size river bean) pills, size millet. Dissolve 1 pill in wine, insufflate into nose. Follow with 2 pills wine/water. No sneeze = stop.
*Tai Ping Sheng Hui Fang* Ding Ming Dan (Stabilize Life Pellet) for acute convulsive wind:
Du Jiao Xian [0.5 qian], Chansu [river bean size], Sangpiaoxiao (Mantis Egg Case) [1], Tianjiangzi (Passiflora Seed) [7], Xi Jiao [powder], Niu Huang, Xiong Huang, Tian Zhu Huang, Qingdai [fine powder], Zhusha [fine powder, water-washed], Tian Nanxing, Baifuzi, Longdan (Gentian Root) [each 0.5 liang], She Xiang [fine powder], Ganxieshao, Nifen [each 1 fen].
All raw, pounded, sieved. Pig bile pills, size brown rice. Dissolve 1 pill in warm water, insufflate into nose. After 5-7 sneezes, take 2 pills with mint water. Adjust by age.
*Tai Ping Sheng Hui Fang* Niu Huang Wan (Calculus Bovis Pill) for acute convulsive wind, high fever, tendon stiffness, back rigidity, spasms:
Niu Huang, She Xiang [fine powder], Gan Xie, Wancan'e (Late Silkworm Moth) [lightly fried], Boshi Qingdai (Persian Indigo) [ground] [each 1 fen], Qiulang [lightly roasted], ZhaChan (Grasshopper Cicada) [lightly roasted, wings/legs removed] [each 3].
Pounded, sieved. Glutinous rice paste pills, size sesame. Ages 1-2: 3 pills mint decoction. Ages 3-4: 5 pills. Anytime. Adjust by age.
*Tai Ping Sheng Hui Fang* Tian Jiang Zi Wan (Passiflora Seed Pill) for acute convulsive wind:
Tianjiangzi [21, with contents], Niu Huang, She Xiang [fine powder], Baifuzi (fried), Xi Jiao [powder], Banxia [washed 7 times] [each 1 fen], Chansu [1 qian], Zhu Dan (Pig Gallbladder) [juice].
Pounded, sieved. Flour paste + bile pills, size brown rice. Take 3 pills mint decoction. Adjust by age. (Same ingredients as Man Jing Feng Muxiang Wan but different dosage.)
*Tai Ping Sheng Hui Fang* Another Formula:
Baifuzi, Tian Nanxing [roasted], Gan Xie [fried] [each 1 fen], Tianjiangzi [21, with contents], Wulv Er Sai (Donkey Ear Plug) [size soap pod, separately ground].
Pounded, sieved. Mix donkey plug. Glutinous rice paste pills, size mung bean. Take 3 pills ground in cooked wine. Adjust by age.
*Tai Ping Sheng Hui Fang* Niu Huang Wan (Calculus Bovis Pill) for acute convulsive wind, resolve phlegm, calm Heart:
Niu Huang [fine powder], [lightly fried], Nifen, Banxia [washed 7 times], Tian Nanxing [roasted], She Xiang [fine powder] [each 1 fen], Zhusha [0.5 liang, fine powder, water-washed], Tianjiangzi [21, with contents].
Pounded, sieved. Mix fine powders. Burnt millet rice paste pills, size broomcorn millet. Take 5 pills with Schizonepeta decoction. Adjust by age.
*Tai Ping Sheng Hui Fang* Baifuzi Wan (Typhonium Pill) for acute convulsive wind, limb spasms:
Baifuzi [roasted], Bai Jiangcan [fried], Niu Huang, She Xiang [fine powder], Tiantingli [paper-fried purple], Qiulang [fried, wings/legs removed] [each 1 fen], Gan Xie [fried], Qingdai [fine powder] [each 0.5 liang], Wushe Rou [3 parts, wine-mixed, roasted], Chansu [0.5 qian], Tianjiangzi [21, with contents], Zhusha [0.5 liang, fine powder, water-washed].
Pounded, sieved. Pig bile pills, size mung bean. Grind 1 pill in cold water, insufflate into nose. After 1-2 sneezes, take 3 pills ground in warm water. Expect sticky phlegm vomit; sleep indicates recovery.
*Tai Ping Sheng Hui Fang* Long Nao Wan (Borneol Pill) for acute convulsive wind, body heat, lockjaw, limb spasms:
Longnao, Xiong Huang, Lvhui, Niu Huang, Qianshuang [fine powder], Dingxiang (Clove), Muxiang (Costus Root), Xi Jiao [powder], Tianjiangzi, Huhuanglian, Xiewei, Baihuashe (White Banded Snake) [wine-soaked, skin/bone removed, roasted] [each 1 fen], Chansu [0.5 fen, ground].
Pounded, sieved. Honey pills, size paulownia seed. Take 3 pills ground in Peach Heart decoction. Adjust by age.
*Tai Ping Sheng Hui Fang* He Shou Dan (Crane Longevity Pellet) for acute convulsive wind, lockjaw, limb spasms, staring eyes, frothy saliva, limb heat:
Tianjiangzi [7, with contents, lightly fried], Chan Qiao [21], Niu Huang, Qingdai, She Xiang [fine powder], Chansu [ground] [each 1 liang], Zhusha [fine powder, water-washed], Fangfeng (Saposhnikovia Root) [rhizome removed], Wushe [wine-soaked, skin/bone removed, roasted] [each 0.5 liang], Canzhi (Silk Paper) [1 sheet, burnt to ash], Dilong (Earthworm) [3, lightly fried].
Pounded, sieved. Honey pills, size broomcorn millet. Take 3 pills ground in fresh well water. Adjust by age.
*Tai Ping Sheng Hui Fang* Hong Wan Zi (Red Pill) for acute convulsive wind, high fever, vomiting phlegm:
Zhusha [fine powder, water-washed], Xiewei [lightly fried] [each 0.5 liang], Nifen [1 fen], Badou (Croton Seed) [5, peeled/core removed, paper-wrapped, oil pressed out].
Powdered. Flour paste pills, size broomcorn millet. Take 2 pills with Apricot Kernel decoction. Adjust by age.
*Tai Ping Sheng Hui Fang* Di Sheng Wan (Reach Sage Pill) for acute convulsive wind, continuous spasms:
Baifuzi, Bai Jiangcan, Chijian (Atractylodes/Rhizoma Cibotii), Banxia, Tian Nanxing [each 1 fen], Nifen [ground], Wushe Rou [each 0.5 liang].