汉东王先生《家宝》论∶凡婴孩小儿惊风内 、盘肠气 及虫痛三者发作一般。惊风内 ,眼尾有细碎红
脉现者,是也。盘肠气 发动,腰先曲,空啼无泪,上唇干,额上有汗者,是也。虫痛则吐涎,唇口紫色者,
是也。如得惊风内 即用桃符丸,服后却进乳香丸(方并见本门中)并大七宝散(可见霍乱、吐痢门中。)如得盘肠气
即用钩藤膏二、三服及魏香散二、三服(方见盘肠气 门中,)亦须大七宝散二、三服。如得疳 虫痛,腹肚 痛,即用
干漆散二、三服,并化虫丸三、五服(方见蛔疳门中),亦间与大七宝散服之。(后云∶蛔蚶痛者便是蛔疳。)
《石壁经》三十六种内惊风内 候歌∶
内 多啼子细看,莫将虫痛一HT 言。唇涎鼻紫为虫痛,(一云∶虫痛吐涎唇口紫。)内 还须黑色观。但觑红筋生
眼尾,便知风候本根源。(四十八候云∶只看眼畔红筋见,有血相和点点斑。)镇心使药方为妙,始觉良工按古贤。
其候寒热内薄,气血凝滞,蕴结不散,腹中痛,但调气,去其积热积冷,调毒退愈。
《凤髓经》歌括一同,有注云∶宜与生银丸、越桃散。(生银丸方见急慢惊风门,越桃散方见盘肠气 门中。)
又三十六种内惊风、内 候云∶此候宜下蝎梢丸,未安,即微下。(方见搐搦门中。)
《小儿形证论》四十八候惊风内 歌一同,后云∶此候与蛔虫候一般,唇口紫黑是虫候,目有红筋,手在后,
胸高是内 也。
汉东王先生《家宝》治婴孩、小儿惊风内 。桃符丸
银朱 乳香(各一钱,研) 大蒜(一子煨,研)
上先研乳香极细,后入银朱再研,后又同大蒜研,看软硬得所,丸如此○大。每服半岁五丸,一岁
七丸,二、三岁十丸,以意加减,薄荷汤化下。
汉东王先生《家宝》治小儿惊风内 痛不可忍者,乳香丸
乳香(一钱) 蝎梢(二七枚) 没药(半钱) 沉香(一钱半)
上为末,炼蜜丸如黍米大。每服婴孩三丸,一岁五丸,三岁七丸,以意加减,乳香汤吞下。
《聚宝方》辰砂散 治小儿伤冷聚积惊风,日久变成内 时,人不识,呼为祟。
砂(半分) 红芍药 铅白霜(各一分半) 琥珀(研) 真珠(不钻者为末。各一分)
上五味为末。每服一字,金银薄荷汤调下。
《张氏家传》∶小儿、婴儿、孩儿内 止痛丸。
木鳖子肉 胡椒(各等分)
上为细末,用黑豆末醋作糊,丸如绿豆大。每服三、四粒,荆芥汤下。
《吉氏家传》治小儿惊积内 ,时发肚疼,夜啼惊叫。斩邪丹
乳香 没药 钩藤 木香(取见火) 舶上茴香(炒。各一钱)
上为末,先将乳香、没药二味乳钵中研细,然后匀诸药,切大蒜白三片,研红,和前药如梧桐子大。每服
十丸、十五丸,钩藤,茴香汤吞下,无时。
《朱氏家传》治小儿惊风内 ,腹痛不可忍。没石子丸
木香 螺粉(烧) 草乌头(生用,去皮尖)
上件等分,为末,用醋煮糊为丸如黍米大。每服十丸,淡醋吞下。
汉东王先生的《家宝》论述:凡是婴儿和幼儿患惊风内吊、盘肠气以及虫痛这三种病,发作时的表现非常相似。惊风内吊(一种以手足抽搐、头目向后仰倒为特征的儿科急症),如果眼尾出现细碎的红脉,就是这种病。盘肠气(一种以腹痛、腰曲、啼哭无泪为特征的儿科病症)发作时,腰部先弯曲,空啼哭没有眼泪,上嘴唇干燥,额头有汗出,就是这种病。虫痛则表现为吐涎水,嘴唇和口角呈紫色,就是这种病。如果是惊风内吊,就立即服用桃符丸,服药后再进服乳香丸(方剂见本门中)和大七宝散(可见于霍乱、吐痢门中)。如果是盘肠气,就立即服用钩藤膏二到三服,以及魏香散二到三服(方剂见盘肠气门中),同时也需要服用大七宝散二到三服。如果是疳积虫痛,腹部疼痛,就立即服用干漆散二到三服,并配合化虫丸三到五服(方剂见蛔疳门中),也可以间断服用大七宝散。(后文说:蛔蚶痛的就是蛔疳。)
《石壁经》三十六种惊风内吊候歌诀写道:
内吊多啼须仔细观看,不要将虫痛一概而论。唇边流涎、鼻色发紫是虫痛,(另一种说法:虫痛吐涎且唇口发紫。)内吊还需要观察面色是否发黑。只要看见眼尾生出红筋,便知风候的根本来源。(四十八候中说:只看眼畔红筋显现,有血相混呈现点点斑纹。)用镇心的药物作为治疗方剂最为巧妙,这才觉得良医效法古代贤人。其症状表现为寒热交争,邪气内迫,气血凝滞,蕴结不散,导致腹中疼痛,只需调理气机,去除体内的积热和积冷,调和毒邪即可痊愈。
《凤髓经》的歌括内容相同,并有注释说:适宜配合生银丸、越桃散使用。(生银丸方剂见急慢惊风门,越桃散方剂见盘肠气门中。)
另外,《石壁经》三十六种内关于惊风、内吊的候文中说:此候适宜服用蝎梢丸,若未见效,再轻微攻下。(方剂见搐搦门中。)
《小儿形证论》中四十八候惊风内吊歌诀内容相同,后文说:此候与蛔虫候表现一般,唇口紫黑的是虫候,眼睛有红筋、手向后伸、胸部高耸的是内吊。
汉东王先生《家宝》治疗婴幼儿惊风内吊。桃符丸
银朱 乳香(各一钱,研碎) 大蒜(一瓣煨熟,研碎)
先将乳香研至极细,再加入银朱一起研,然后再与大蒜一同研,看软硬程度适中,制成如梧桐子大小的丸药。每服半岁五丸,一岁七丸,二至三岁十丸,根据情况加减,用薄荷汤送服化开。
汉东王先生《家宝》治疗小儿惊风内吊疼痛无法忍受的,乳香丸
乳香(一钱) 蝎梢(十四枚) 没药(半钱) 沉香(一钱半)
以上药物研为末,用炼蜜制成如黍米大小的丸药。每服婴儿三丸,一岁五丸,三岁七丸,根据情况加减,用乳香汤吞服。
《聚宝方》辰砂散 治疗小儿伤冷聚积引起的惊风,日久变成内吊时,人们不认识,称之为祟病。
朱砂(半分) 红芍药 铅白霜(各一分半) 琥珀(研碎) 真珠(不钻孔者研末。各一分)
以上五味药研为末。每服一字量,用金银花、薄荷汤调服。
《张氏家传》:小儿、婴儿、孩儿内吊止痛丸。
木鳖子肉 胡椒(各等分)
以上研为细末,用黑豆末加醋做成糊状,制成如绿豆大小的丸药。每服三四粒,用荆芥汤送服。
《吉氏家传》治疗小儿惊积内吊,时常发作肚子疼,夜间啼哭惊叫。斩邪丹
乳香 没药 钩藤 木香(取未见火者) 舶上茴香(炒。各一钱)
以上研为末,先将乳香、没药两味在乳钵中研细,然后均匀加入其他药物,切三片大蒜白,研红,与前药混合,制成如梧桐子大小的丸药。每服十丸或十五丸,用钩藤、茴香汤吞服,不拘时间。
《朱氏家传》治疗小儿惊风内吊,腹痛无法忍受。没石子丸
木香 螺粉(烧制) 草乌头(生用,去皮尖)
以上各等分,研为末,用醋煮糊制成如黍米大小的丸药。每服十丸,用淡醋汤吞服。
Wang of Handong's *Jiabao* discusses: Whenever infants and young children suffer from convulsive internal retraction (Jingfeng Neidiao, a pediatric emergency characterized by limb spasms and head retraction), coiling intestinal qi (Panchangqi, a pediatric condition marked by abdominal pain, curved waist, and tearless crying), and worm pain, the onset of these three conditions appears similar. In convulsive internal retraction, if fine, fragmented red veins appear at the corners of the eyes, it is this condition. When coiling intestinal qi attacks, the waist first curves, there is empty crying without tears, the upper lip is dry, and sweat appears on the forehead; this is coiling intestinal qi. Worm pain manifests as spitting saliva and purple lips and mouth; this is worm pain. If it is convulsive internal retraction, immediately administer Taofu Wan (Peach Talisman Pill). After administration, follow with Ruxiang Wan (Frankincense Pill) (formula see in this section) and Daqibao San (Great Seven Treasures Powder) (see in Cholera and Vomiting/Dysentery section). If it is coiling intestinal qi, immediately administer Gouteng Gao (Uncaria Paste) two to three doses, and Weixiang San (Wei Fragrance Powder) two to three doses (formula see in Coiling Intestinal Qi section), and also must administer Daqibao San two to three doses. If it is malnutrition-related worm pain with abdominal pain, immediately administer Ganxi San (Dry Lacquer Powder) two to three doses, and combine with Huachong Wan (Worm-Dissolving Pill) three to five doses (formula see in Ascariasis Malnutrition section), and can also intermittently administer Daqibao San. (Later text says: Pain from roundworms/clams indicates ascariasis malnutrition.)
The song verse for the "Convulsive Internal Retraction" syndrome in the Thirty-Six Syndromes of *Shibi Jing* states:
Internal retraction often involves crying; observe carefully,
Do not equate worm pain with a single statement.
Saliva at the lips and purple nose indicate worm pain, (Another version: Worm pain involves spitting saliva and purple lips/mouth.)
For internal retraction, one must observe for blackness.
Simply look for red veins growing at the eye corners,
And you will know the root source of the wind syndrome. (Forty-Eight Syndromes state: Just look for red veins appearing at the eye corners, mixed with blood presenting as dotted spots.)
Using heart-calming medicines as the prescription is excellent,
Only then does one feel the skilled physician follows the ancient sages.
Its symptoms involve alternating cold and heat, internal pressure, stagnation of Qi and Blood, accumulation and failure to dissipate, causing abdominal pain. One need only regulate Qi, remove accumulated heat and cold, harmonize toxins, and recovery will ensue.
The song verse in *Fengsui Jing* is identical, with a note stating: Suitable to be combined with Shengyin Wan (Raw Silver Pill) and Yuetao San (Greengage Powder). (Shengyin Wan formula see in Acute/Chronic Convulsions section, Yuetao San formula see in Coiling Intestinal Qi section.)
Furthermore, in the syndromes regarding convulsions and internal retraction in the Thirty-Six Syndromes: This syndrome is suitable for Xieshao Wan (Scorpion Tip Pill); if not relieved, then mildly purge. (Formula see in Tremors/Spasms section.)
The song verse for the Forty-Eight Syndromes of convulsive internal retraction in *Xiao'er Xingzheng Lun* is identical, followed by: This syndrome is similar to the roundworm syndrome. Purple-black lips and mouth indicate worm syndrome; red veins in the eyes, hands extending backward, and high chest indicate internal retraction.
Wang of Handong's *Jiabao* treats infant/child convulsive internal retraction. Taofu Wan (Peach Talisman Pill):
Yinzhu (Cinnabar, Zhu Sha) and Ruxiang (Frankincense, Ruxiang) (each 1 qian, ground); Dasuan (Garlic, Dacong - specifically bulb) (one clove, roasted, ground).
First grind Ruxiang extremely fine, then add Yinzhu and grind again, then grind together with Dasuan. Adjust consistency appropriately, form pills the size of a large sesame seed. For half-year-old infants, 5 pills per dose; for one-year-olds, 7 pills; for two-to-three-year-olds, 10 pills. Adjust according to circumstances, dissolve and administer with Bohe Tang (Mint Decoction).
Wang of Handong's *Jiabao* treats child convulsive internal retraction with unbearable pain. Ruxiang Wan (Frankincense Pill):
Ruxiang (Frankincense, Ruxiang) (1 qian); Xieshao (Scorpion Tip, Quanxie) (14 pieces); Moyao (Myrrh, Moyao) (0.5 qian); Chenxiang (Agarwood, Chenxiang) (1.5 qian).
Grind all into powder, mix with refined honey to form pills the size of millet seeds. For infants, 3 pills per dose; for one-year-olds, 5 pills; for three-year-olds, 7 pills. Adjust according to circumstances, swallow with Ruxiang Tang (Frankincense Decoction).
*Jubao Fang*'s Chensha San (Cinnabar Powder) treats pediatric cold-injury and accumulated retention causing convulsions, which over time transforms into internal retraction. People do not recognize it and call it "Sui" (demon illness).
Zhusha (Cinnabar, Zhusha) (0.5 fen); Hongshaoyao (Red Peony Root, Baishao/Hongshao) (1.5 fen); Qianbaishuang (Lead White Frost, Qianbaishuang) (1.5 fen); Hupo (Amber, Hupo) (ground); Zhenzhu (Pearl, Zhenzhu) (non-drilled, ground; each 1 fen).
Grind the above five ingredients into powder. Each dose is "yi zi" (a small measure), adjusted with Yinjin Bohe Tang (Silver Flower and Mint Decoction).
*Zhangshi Jiazhan*: Child/infant internal retraction pain-relieving pill.
Mubiezi Rou (Seed of Momordica charantia, Mubiezi) and Hujiao (Pepper, Bihua/Jiaopei) (equal parts).
Grind into fine powder. Use black bean powder and vinegar to make a paste, form pills the size of mung beans. Each dose 3-4 pills, taken with Jingjie Tang (Schizonepeta Decoction).
*Jishi Jiazhan* treats pediatric convulsion-retention internal retraction, frequent abdominal pain, night crying, and startled screaming. Zhanxie Dan (Evil-Slaying Pill):
Ruxiang (Frankincense, Ruxiang); Moyao (Myrrh, Moyao); Gouteng (Uncaria Rhynchophylla, Gouteng); Muxiang (Aucklandia Root, Muxiang - unroasted); Bochashuhuixiang (Imported Fennel, Huixiang) (stir-fried; each 1 qian).
Grind into powder. First grind Ruxiang and Moyao finely in a mortar. Then evenly mix other herbs. Take three slices of garlic white, grind until red, and mix with the previous medicine. Form pills the size of paulownia seeds. Each dose 10-15 pills, swallowed with Gouteng and Huixiang Decoction, at any time.
*Zhushi Jiazhan* treats pediatric convulsive internal retraction with unbearable abdominal pain. Meishizi Wan (Diospyros Pill):
Muxiang (Aucklandia Root, Muxiang); Luofen (Conch Shell Powder, Wuleifen) (calcined); Caowutou (Aconite Root, Caowutou) (raw, skin and tip removed).
Equal parts of the above, grind into powder. Use vinegar-boiled paste to form pills the size of millet seeds. Each dose 10 pills, swallowed with light vinegar water.