茅先生小儿生下有中慢脾风候∶时时吐呕，频频咬齿，手足掣 ，舌卷头低，两眼上视，先头低而次第高。
此候久泻痢而下冷药，只止泻痢，不活得脾，是以脾虚弱，脏腑乘虚。故此所治先用匀气散（方见胃气不和门中）调一
日后，便下一醉膏通下（方见本门中），后用治脾散（方见本门）夹镇心丸（方见一切惊门中）、建脾散常服之即愈（方
见胃气不和门中。）若更喘吐、五哽、如角弓风，死候不治。
《玉诀》小儿慢脾风候∶是伤寒疹子，庸医未明表里，使即宣利脏腑，更使冷热药相通，故小儿发搐眼不
倒，脾困极不醒，手足不收，此病但回阳醒脾调治方愈。若更吐泻，必定损命也。
茅先生小儿受脾风歌∶
四肢逆冷体沉迷，因宣吐泻补还迟。脾胃伏际涎壅肺，心生毒热面青时。如此唾为慢脾候，更加喘嗽不
通医。
《小儿形证论》四十八候慢惊传慢脾歌∶
慢脾只因伤取转，吐泻虚涎脾胃存，四肢逆冷频频呕，沉困难醒岂易明，唇红目开手微搐，病行心脏及脾
神。医者镇心为上法，更开关窍细详论，莫令加喘头先软，眼白 命不存。
此病是惊风传入胃，胃兼有虚涎，下大青丹一二服，更将搐鼻散开关，（大青丹方见急惊风门，搐鼻散方见本门。）
次用醒脾散（方见本门中。）
又四十八候慢脾将死候歌∶
惊入风痫转在脾，直眠不动卧如尸。搐搦已休牵掣定，为他安好不生疑。便通大小难收乳，遍体如冰汗若
泥。眼目不明常似睡，睡中不觉赴幽期。
又四十八候慢脾侵肺歌∶
慢脾多睡重重取，吐泻传脾胃转虚。逆冷四肢多重困，虚涎脾伏盛难除。生风肺脏添邪拥，任唤千声气不
舒。莫使目瞑兼项软，十中难保一人苏。
茅先生小儿慢脾惊风，活脾散
羊粪（三十一个，焙） 丁香（一百粒） 胡椒（五十粒）
上为末。每服半钱，用六年东日照处壁土煎汤调下。
茅先生小儿慢脾风，醒脾散
马芹子 白僵蚕 丁香
上三味等分为末。每服一钱，用炙橘皮汤调下。
茅先生小儿慢脾风候。一醉膏
花蛇鼻 蝎尾 天南星心 川乌脐 大附子侧 白附子耳 蜈蚣虫肚
上七味各半钱，生用，使枣肉五十个，和前药研成一块子，以脑、麝滴水和丸○如此大。每服一丸，用薄
荷自然汁磨化下，后通下一服。根据形候，用串药子调理。
《四十八候》醒脾散方
天南星（一个，去皮脐，用朱砂入在南星脐内令满，以面裹煨，火炮令黄，作散） 白术（一分）
上为末。每服半钱，更入麝少许，煎冬瓜子汤调下。如为丸，以生葱涎丸如粟米大。每服十丸，硼砂汤下，
后与调胃散（方见积热门中。）
《四十八候》搐鼻散
瓜蒂（一钱） 细辛（半钱）
上为末，用半字吹入鼻中，打喷嚏，候眼开，便将大青丹取下积热，并下惊涎后调气（大青丹方见急慢惊门中。）
《惠眼观证》没石散 慢脾候此药醒脾。
没石子（二个） 朱砂（三钱） 滑石（研） 白矾 丁香（各二钱） 半夏（一两） 生姜（三两，槌烂同浸水
一碗，将半夏擘碎，又以水同煮干取出，以面一钱乳钵内捶烂，搜作饼子，炙熟为末）
上为末。每服半钱，以冬瓜子煎汤调下，不拘时候。
《刘氏家传》治小儿慢脾，初生者皆可服。其状困睡不醒，或啼不已。
全蝎（两个，以竹针穿微火炙香熟，末之） 麝（少许） 朱砂 西壁土（西照久年者壁泥。各半钱，细研）
上和匀，乳汁调下一字。二、三岁以上，量添至半钱，或三字亦得。又浓煎金银汤调下，又蜜汤亦得。
《刘氏家传》治小儿吐泻后生风，慢脾者多效，久泻者亦治。胃虚饼子
丁香（五十粒） 藿香叶（秤一分） 木香 韶粉 大附子（炮。各一棋子大。一方各二钱）
上为末，搅匀，生姜自然汁搜作饼子○，用粗灯盏内水煮，软化开服，或要急用作散子，入枣子一枚煎。
《刘氏家传》羌活膏 治小儿急慢惊风，或因吐泻后脾胃虚，传作慢脾之疾。
羌活 独活 人参 白茯苓 肉桂 木香 防风（以上各三钱） 水银 硫黄 全蝎（各二钱） 金银箔（各三十
片） 真麝香（一钱）
上为细末，蜜和为膏。每服一黄豆大，薄荷汤化下。
《张氏家传》醒脾去虚风。
大附子（一钱，去皮脐，炮） 大全蝎（七个） 大白附子（三个，炮） 天麻（二钱）
上件为细末。每服半钱，浓煎冬瓜子汤调下。
《张氏家传》治小儿、孩子，因吐或泻，体虚发搐作慢脾、鱼口，目直视，睡不醒，目不开。钩藤饮子
钩藤 防风 麝香 麻黄（各一分，去节用） 蝎梢 蝉壳（各半分）
上为细末。每服一字、半钱、一钱，大小加减，薄荷汤调入醋一滴，调匀服。如四梢厥逆，入附子三两片，
同水五分、薄荷一叶煎二分，热服，连进三、二服。或吐泻、体冷、多睡，用附子半钱，炮去皮脐为末，或
作锉散，白术一钱，肉豆蔻一个，甘草炙一寸，枣一个，水六分，慢火煎至三分，温温服，作两服，体便暖，
只煎使君子汤，如沉香、橘皮吃五六分，更吃暖惊药三两服。乳母忌口，不得再惊。
《庄氏家传》治慢脾风。小续命丸
附子（尖一枚） 硫黄（枣许大） 蝎梢（七枚）
上为末，生姜、面糊丸黄米大。量儿加减，十丸至百丸。治小儿久泻 羸尤妙。
《庄氏家传》治慢脾风极妙。黑散子
干姜（半两） 甘草（一分）
上同于一瓷合子内，用火 存性，为末。（ 须恰好，过则力太慢，不及则性大烈。）每服一钱或半钱，浓煎乌梅汤
调下。
临时更看男女、大小加减服之。须是目垂、面白慢脾形候即与吃。
《孔氏家传》治小儿慢脾惊风。
上以代赭石，不拘多少，细研，水飞过，研冬瓜仁汤调下，量儿大小与半钱或一钱。小儿因转泻后眼戴上，
三日不乳，目精通黄如金色，气将消绝，止服三服，全愈。
《王氏手集》治小儿慢脾风。万安散方
浓朴（去粗皮，以水一盏，煮尽后细切，焙干） 白术（汤浸半日，切片子，用蜜涂，炙香黄色） 朱砂（各一分，
研） 麻黄（半分，长直者以熟汤浸软，用姜汁浸半日） 干蝎（七个尾梢全者，每个用大叶薄荷裹上，用浸者麻黄，
缠子微，以姜汁再浸，以竹箸上炙，令表里焦黄色）
上并捣，罗极细，再入乳钵内与朱砂研千百遍。每服半钱或一字，煎金银薄荷汤调下。但小儿服药后，微汗
出是效。凡小儿欲作慢惊，必先壮热，多睡，频吐。若吐止，即惊止，吐不定，作慢惊，号为难治。有此吐
证，以金液丹主之。此方传与人必不信，但只与药。金液丹研开令细，以滴水为丸黄米大，用朱砂、青黛为
衣。每服五十丸以上，以下不济事，用米饮下。定吐救生丹亦甚佳，然十有三、四不能止者。此方百无一失。
若有虽止已成慢脾者，万安散救之，亦无失者，但费心力耳，不然十有八、九不救。此二方不可具述，千万
秘之，非至诚好事者，不可妄传。
《吉氏家传》治慢脾风。朱砂散
朱砂 天麻（各一钱） 僵蚕（七个） 天南星（一个） 白花蛇（项下肉皂子大一块） 麝（少许） 蜈蚣（一
条）
上为细末。每服一字，薄荷汤下。
《吉氏家传》活脾散 治小儿脾困成慢脾风。
天南星（去皮） 半夏 白附子（各半分）
上为末。每服半钱或一钱，小者一字，用冬瓜子七粒、薄荷一片、酒少许，或入水少许，同煎。
《朱氏家传》治小儿久病后，或吐泻生惊，转成慢脾后。蝎梢膏
蝎梢（不以多少为细末一两，用新好者）
上用石榴一枚，开作瓮子，去子，以无灰酒半盏调蝎末，入石榴，以盖子盖定，坐文武火上，时时搅动，
熬成膏子，取出于放冷。每服一钱，用金银薄荷汤调下。急惊勿服。
《朱氏家传》治小儿慢脾风，吐奶，霍乱，吐泻。
丁香（一钱） 藿香（三分）
上为末，炼蜜为丸如绿豆大。每服三丸；或大假吐泻，米饮下半钱。
安师传治小儿慢脾风药方，小儿众医不效，用此药痊好。
附子（炮裂，去皮脐） 木香（不见火，怀干） 肉豆蔻（洗） 生硫黄（用浆水黄者，赤者不用，其间夹石者须
去）
上等分，为细末。每用冬瓜子四十九粒，水六合煎至三合，入药一钱，再煎至一合，为一服。治身冷汗出
至虚缓搐者。
长沙医者毛彬传银白散 治小儿胃虚，吐泻烦渴，成慢脾者。
干葛 人参（去芦） 白茯苓 山药 白扁豆（各半两） 半夏（一分，汤洗去滑，姜制成饼，炒黄） 糯米（一
合，淘洗，姜汁浸一宿，炒黄）
上件同为细末，每服二钱，水八分、生姜二片同六分，温服。
长沙医者郑愈传醒脾散 治小儿吐泻，脾胃生风。
藿香叶 人参 白茯苓（各一钱） 天南星（一个重七钱者，去心，入缩砂一钱、丁香一钱，在南星内上面，却用
南星心末封口，慢火焙熟，切碎）
上件为细末。每服半钱，入冬瓜子少许，同煎至三、五沸，温服。
茅先生指出，小儿出生后若出现慢脾风的征候：时常呕吐，频繁咬紧牙齿，手足抽搐掣动，舌头卷缩、头低垂，两眼向上凝视，起初头低随后逐渐抬高。
这种证候多因长期腹泻痢疾而误用寒凉泻下药，虽然止住了泻痢，但未能恢复脾的功能，导致脾脏虚弱，其他脏腑乘虚侵袭。因此治疗时，先用匀气散（方剂见胃气不和门）调理一天，接着服用醉膏进行通下（方剂见本门），之后常服治脾散（方剂见本门）配合镇心丸（方剂见一切惊门）、建脾散（方剂见胃气不和门），即可痊愈。如果出现喘息呕吐、五哽（咽喉梗阻感）、身体僵硬如角弓反张等症状，属于死证，无法救治。
《玉诀》记载小儿慢脾风征候：这是由于伤寒或出疹子后，庸医不明表里病情，过早使用宣通利下的药物，又让冷热药物相互冲突，导致小儿发生抽搐但眼睛不翻白，脾脏极度困顿而神志不清，手足松弛无力。此病只有回阳救逆、醒脾调治才能痊愈。如果再次出现呕吐腹泻，必定危及生命。
茅先生关于小儿受脾风的歌诀：
四肢逆冷，身体昏沉嗜睡，因为过度使用吐泻药且补益太迟。脾胃中潜伏湿气，涎液壅塞于肺，心生毒热导致面色发青。如此唾液增多为慢脾风征候，若再伴有气喘咳嗽不通，难以医治。
《小儿形证论》四十八候中慢惊传变为慢脾的歌诀：
慢脾风只因损伤脾胃导致转归异常，呕吐腹泻导致虚涎留存脾胃，四肢逆冷并频繁呕吐，脉象沉难、困难苏醒岂能轻易明白？嘴唇红、眼睛睁开、手轻微抽搐，病势行于心经及脾神。医者以镇心安神为上策，更要开通窍道仔细论述，不要让气喘加重、头部先变软，若眼白发直则命不久矣。
此病是惊风传入胃腑，胃兼有虚性涎液，可服用大青丹一二剂，再用搐鼻散开通窍道。（大青丹方见急惊风门，搐鼻散方见本门。）随后使用醒脾散（方见本门）。
又有一首四十八候慢脾将死的征候歌：
惊风入痫转在脾，患儿直卧不动如尸体。抽搐已停止，牵掣固定，看似安好无需怀疑。大小便通畅却难以吃奶，遍体冰冷，出汗如泥。眼睛不明，常似睡眠，睡中不知不觉走向死亡。
又一首四十八候慢脾侵肺的歌：
慢脾风多睡重重取（指治疗不当或病情深重），呕吐腹泻传变导致脾胃更虚。四肢逆冷多重困顿，虚性涎液潜伏脾中旺盛难除。生风累及肺脏增添邪气拥塞，呼唤千声气息也不舒畅。不要让眼睛闭合兼项部软弱，十人中难保一人苏醒。
茅先生治疗小儿慢脾惊风的活脾散：
羊粪（三十一个，焙干） 丁香（一百粒） 胡椒（五十粒）
以上研为细末。每次服用半钱，用六年东面日照处的墙壁土煎汤调服。
茅先生治疗小儿慢脾风的醒脾散：
马芹子 白僵蚕 丁香
以上三味等分为末。每次服用一钱，用炙橘皮汤调服。
茅先生治疗小儿慢脾风候的一醉膏：
花蛇鼻 蝎尾 天南星心 川乌脐 大附子侧 白附子耳 蜈蚣虫肚
以上七味各半钱，生用，用枣肉五十个，与上述药物研成一块，制成如弹丸大小的药丸。每次服用一丸，用薄荷自然汁磨化送服，之后再通下一服药。根据形体征候，用串药子进行调理。
《四十八候》中的醒脾散方：
天南星（一个，去皮脐，将朱砂填入南星脐内令满，用面粉包裹煨熟，火炮至黄色，研为散） 白术（一分）
以上研为末。每次服用半钱，再加入少许麝香，用冬瓜子汤调服。若制成丸药，用生葱汁丸如粟米大小。每次服用十丸，用硼砂汤送服，随后给予调胃散（方见积热门）。
《四十八候》中的搐鼻散：
瓜蒂（一钱） 细辛（半钱）
以上研为末，用半字量吹入鼻中，引起打喷嚏，待眼睛睁开后，便将大青丹服用以清除积热，并排出惊涎，随后调理气机（大青丹方见急慢惊门）。
《惠眼观证》中的没石散：慢脾风征候此药可醒脾。
没石子（二个） 朱砂（三钱） 滑石（研细） 白矾 丁香（各二钱） 半夏（一两） 生姜（三两，捶烂同浸于一碗水中，将半夏掰碎，又用水同煮干取出，用一钱面粉在乳钵内捶烂，混合做成饼子，烤熟研为末）
以上研为末。每次服用半钱，用冬瓜子煎汤调服，不限时候。
《刘氏家传》治疗小儿慢脾风，初生者皆可服用。症状表现为困倦嗜睡不醒，或啼哭不止。
全蝎（两个，用竹针穿起微火炙香熟，研末） 麝香（少许） 朱砂 西壁土（西向照射多年的墙壁泥土，各半钱，细研）
以上和匀，用乳汁调服一字量。二、三岁以上儿童，酌情增加至半钱，或三字量也可以。也可用浓煎金银花汤调服，或用蜜汤亦可。
《刘氏家传》治疗小儿吐泻后生风，慢脾风者多有效，久泻者亦治。胃虚饼子：
丁香（五十粒） 藿香叶（秤一分） 木香 韶粉 大附子（炮制。各棋子大小。另一说各二钱）
以上研为末，搅匀，用生姜自然汁调和做成饼子，在粗灯盏内用水煮，软化后开服；若要急用可作散剂，加入一枚枣子煎服。
《刘氏家传》羌活膏：治疗小儿急慢惊风，或因吐泻后脾胃虚弱，传变为慢脾之疾。
羌活 独活 人参 白茯苓 肉桂 木香 防风（以上各三钱） 水银 硫黄 全蝎（各二钱） 金银箔（各三十片） 真麝香（一钱）
以上研为细末，用蜂蜜调和成膏。每次服用黄豆大小，用薄荷汤化开送服。
《张氏家传》醒脾去虚风：
大附子（一钱，去皮脐，炮制） 大全蝎（七个） 大白附子（三个，炮制） 天麻（二钱）
以上研为细末。每次服用半钱，用浓煎冬瓜子汤调服。
《张氏家传》治疗小儿、孩子，因呕吐或腹泻，体质虚弱引发抽搐成为慢脾风、鱼口（一种儿科病症，指唇裂如鱼口），目直视，睡不醒，眼睛睁不开。钩藤饮子：
钩藤 防风 麝香 麻黄（各一分，去节使用） 蝎梢 蝉壳（各半分）
以上研为细末。每次服用一字、半钱或一钱，根据年龄大小加减，用薄荷汤调入一滴醋，调匀服用。若出现四肢厥逆，加入附子三两片，与水五分、薄荷一叶一起煎至二分，热服，连续进二三服。若出现呕吐腹泻、身体冷、多睡，用附子半钱，炮制去皮脐研末，或作锉散，加白术一钱，肉豆蔻一个，甘草炙一寸，枣一个，水六分，慢火煎至三分，温温服，分两服，身体变暖后，只煎使君子汤，如沉香、橘皮吃五六分，再吃暖惊药两三服。乳母需忌口，避免再次受惊。
《庄氏家传》治疗慢脾风。小续命丸：
附子（尖一枚） 硫黄（枣核大小） 蝎梢（七枚）
以上研为末，用生姜、面糊丸如黄米大小。根据婴儿年龄加减，十丸至百丸。治疗小儿久泻羸弱尤为妙。
《庄氏家传》治疗慢脾风极妙。黑散子：
干姜（半两） 甘草（一分）
以上同在瓷盒内，用火煅烧存性，研为末。（火候须恰好，过了则药力太慢，不及则药性太烈。）每次服用一钱或半钱，用浓煎乌梅汤调服。
临时更看男女、大小加减服用。必须是眼睑下垂、面色苍白等慢脾风形态征候才给予服用。
《孔氏家传》治疗小儿慢脾惊风：
以上用代赭石，不拘多少，细研，水飞法处理，用冬瓜仁汤调服，根据婴儿大小给予半钱或一钱。小儿因转泻后眼睛上翻，三日不吃奶，眼球精通黄如金色，气息将绝，仅服三服，即可痊愈。
《王氏手集》治疗小儿慢脾风。万安散方：
浓朴（去掉粗皮，用水一盏，煮尽后细切，焙干） 白术（汤浸半天，切片子，用蜜涂，炙香黄色） 朱砂（各一分，研细） 麻黄（半分，长直者以热水浸软，用姜汁浸半天） 干蝎（七个尾梢全者，每个用大叶薄荷裹上，用浸过的麻黄缠绕，微火，用姜汁再浸，用竹筷上炙，令表里焦黄色）
以上捣碎，过筛极细，再放入乳钵中与朱砂研磨千百遍。每次服用半钱或一字，煎金银薄荷汤调服。只要小儿服药后微微出汗即为有效。凡小儿欲作慢惊风，必先壮热，多睡，频繁呕吐。若呕吐停止，即惊风停止，呕吐不停，发作慢惊风，号称难治。有此呕吐证，以金液丹为主治。此方传给人必不信，只给药物即可。金液丹研开令细，以滴水为丸如黄米大小，用朱砂、青黛为衣。每次服用五十丸以上，以下无效，用米饮送下。定吐救生丹也很好，然而十有三、四人不能止吐者。此方百无一失。
若有虽止吐已成慢脾风者，万安散救之，也无失误，只是费心力罢了，不然十有八九不能救。此二方不可详细叙述，千万保密，非至诚好事者，不可妄传。
《吉氏家传》治疗慢脾风。朱砂散：
朱砂 天麻（各一钱） 僵蚕（七个） 天南星（一个） 白花蛇（项下肉皂子大一块） 麝香（少许） 蜈蚣（一条）
以上研为细末。每次服用一字，薄荷汤送服。
《吉氏家传》活脾散：治疗小儿脾困成慢脾风。
天南星（去皮） 半夏 白附子（各半分）
以上研为末。每次服用半钱或一钱，小者一字，用冬瓜子七粒、薄荷一片、酒少许，或入水少许，同煎。
《朱氏家传》治疗小儿久病后，或吐泻生惊，转成慢脾后。蝎梢膏：
蝎梢（不以多少为细末一两，用新好者）
以上用石榴一枚，切开做瓮状，去子，用无灰酒半盏调蝎末，入石榴，以盖子盖定，坐文武火上，时时搅动，熬成膏子，取出放冷。每次服用一钱，用金银薄荷汤调服。急惊风勿服。
《朱氏家传》治疗小儿慢脾风，吐奶，霍乱，吐泻：
丁香（一钱） 藿香（三分）
以上研为末，炼蜜为丸如绿豆大。每次服用三丸；或大假吐泻，米饮下半钱。
安师传授治疗小儿慢脾风药方，小儿众医不效，用此药痊愈。
附子（炮裂，去皮脐） 木香（不见火，怀干） 肉豆蔻（洗） 生硫黄（用浆水黄者，赤者不用，其间夹石者须去）
以上等分，为细末。每次用冬瓜子四十九粒，水六合煎至三合，入药一钱，再煎至一合，为一服。治疗身冷汗出至虚缓搐者。
长沙医者毛彬传授银白散：治疗小儿胃虚，吐泻烦渴，成慢脾者。
干葛 人参（去芦） 白茯苓 山药 白扁豆（各半两） 半夏（一分，汤洗去滑，姜制成饼，炒黄） 糯米（一合，淘洗，姜汁浸一宿，炒黄）
以上同为细末，每次服用二钱，水八分、生姜二片同六分，温服。
长沙医者郑愈传授醒脾散：治疗小儿吐泻，脾胃生风。
藿香叶 人参 白茯苓（各一钱） 天南星（一个重七钱者，去心，入缩砂一钱、丁香一钱，在南星内上面，却用南星心末封口，慢火焙熟，切碎）
以上为细末。每次服用半钱，入冬瓜子少许，同煎至三、五沸，温服。
Mr. Mao pointed out that if a newborn infant presents with the signs of Slow Spleen Wind (Man Pi Feng): frequent vomiting, constant teeth grinding, convulsive twitching of the limbs, curled tongue and drooping head, eyes staring upward, initially with the head low and gradually raising it.
This condition often arises from prolonged diarrhea or dysentery treated inappropriately with cold-purgative medicines. Although the diarrhea may stop, the Spleen's function is not restored, leading to Spleen deficiency and invasion by other Zang-Fu organs taking advantage of the deficiency. Therefore, treatment should first use Yunqi San (Harmonizing Qi Powder) (see section on Disharmony of Stomach Qi) for one day, followed by administering Zuigao (Intoxicating Paste) for purgation (see this section). Thereafter, continuously administer Zhipi San (Spleen-Regulating Powder) (see this section) combined with Zhenxin Wan (Heart-Calming Pill) (see section on All Kinds of Fright) and Jianpi San (Spleen-Strengthening Powder) (see section on Disharmony of Stomach Qi), which will lead to recovery. If symptoms such as panting and vomiting, five types of throat obstruction (Wu Geng), and body stiffness resembling opisthotonos appear, these are signs of death and are incurable.
The *Yu Jue* records the signs of Slow Spleen Wind in infants: This occurs after wind-cold or measles, where unskilled physicians fail to understand the exterior and interior conditions, prematurely using purgatives and allowing hot and cold medicines to conflict. This causes the infant to have convulsions without eye deviation, extreme Spleen exhaustion leading to unconsciousness, and flaccid limbs. This disease can only be cured by restoring Yang, awakening the Spleen, and regulating treatment. If vomiting and diarrhea recur, life will certainly be endangered.
Mr. Mao’s verse on infants contracting Spleen Wind:
Cold extremities, body heavy and lethargic, due to excessive emesis and purgation with delayed tonification. Dampness lingers in the Spleen and Stomach, phlegm obstructs the Lungs, Heart generates toxic heat causing a greenish complexion. Such excessive saliva indicates Slow Spleen signs; if accompanied by panting and coughing with obstruction, it is difficult to treat.
Verse from *Xiao Er Xing Zheng Lun* on the forty-eight manifestations of Slow Convulsion transmitting to Slow Spleen:
Slow Spleen results solely from damaging the Spleen and Stomach, leading to abnormal transformation. Vomiting and diarrhea leave deficient phlegm in the Spleen and Stomach; cold extremities and frequent vomiting occur. The pulse is deep and difficult to feel; waking up is hard, how can it be easily understood? Lips red, eyes open, hands slightly twitching; the disease path travels through the Heart channel and Spleen spirit. Physicians should prioritize calming the Heart and opening orifices, discussing carefully. Do not let panting worsen or the head become soft first; if the whites of the eyes turn white and rigid, life is lost.
This disease involves Wind-Fright transmitting to the Stomach, which also has deficient phlegm. Administer Daqing Dan (Great Blue Pill) one or two doses, then use Chubi San (Nasal-Inhalation Powder) to open the orifices. (Daqing Dan formula see section on Acute Wind-Fright; Chubi San see this section.) Subsequently use Xingpi San (Awakening Spleen Powder) (see this section).
Another verse on the forty-eight manifestations of impending death in Slow Spleen:
Wind-Fright entering epilepsy transmits to the Spleen; the child lies straight and motionless like a corpse. Convulsions have ceased, twitching is fixed; appearing well, no need to doubt. Bowel movements and urination are smooth but unable to suck milk; the whole body is ice-cold, sweat like mud. Eyes unclear, always seeming asleep; in sleep, unknowingly departing to the underworld.
Another verse on the forty-eight manifestations of Slow Spleen invading the Lungs:
Slow Spleen involves heavy sleep and repeated treatments; vomiting and diarrhea transmit, making the Spleen and Stomach more deficient. Cold extremities bring multiple burdens; deficient phlegm hides in the Spleen, abundant and hard to remove. Generating Wind invades the Lung organ, adding evil obstruction; calling a thousand times, breath is still uncomfortable. Do not let the eyes close and neck become soft; ten people, hardly one survives.
Mr. Mao’s Huopo San (Spleen-Reviving Powder) for infant Slow Spleen Wind-Fright:
Sheep feces (31 pieces, roasted) Dingxiang (Clove, 100 grains) Hujiao (Pepper, 50 grains)
Grind into fine powder. Take half a qian each time, mixed with decoction of wall soil exposed to the east sun for six years.
Mr. Mao’s Xingpi San (Awakening Spleen Powder) for infant Slow Spleen Wind:
Maqinzi Baijiangcan (White Silkworm) Dingxiang (Clove)
Grind the three ingredients into equal parts powder. Take one qian each time, mixed with decoction of roasted Citrus reticulata peel.
Mr. Mao’s Yizuigao (Intoxicating Paste) for infant Slow Spleen Wind signs:
Huashebi (Flower Snake Nose) Xiewei (Scorpion Tail) Tiannanxingxin (Arisaema Core) Chuanwuqi (Sichuan Aconite Navel) Dafuzi ce (Large Aconite Side) Baifuzi er (Typhonium Ear) Wugongchudu (Centipede Belly)
Each of the seven ingredients, half a qian, used raw. Mix with 50 jujube meats, grind into a paste, and form pills the size of a large bead. Take one pill each time, ground down with fresh Mentha juice and swallowed, followed by a dose of purgative medicine later. Adjust conditioning based on physical signs using string medicines.
Xingpi San Formula from *Forty-Eight Manifestations*:
Tiannanxing (Arisaema, one piece, peel and remove navel, fill Arisaema navel with Cinnabar until full, wrap in flour and bake, fire-roast until yellow, make into powder) Baizhu (Atractylodes macrocephala, one fen)
Grind into powder. Take half a qian each time, add a little Musket, mix with decoction of Benincasa hispida seeds. If made into pills, use fresh Allium fistulosum juice to form pills the size of millet grains. Take ten pills each time, with Borax decoction, followed by Weitiao San (Stomach-Harmonizing Powder) (see section on Accumulation Heat).
Chubi San (Nasal-Inhalation Powder) from *Forty-Eight Manifestations*:
Gua Di (Melon Seed, one qian) Xixin (Asarum, half a qian)
Grind into powder. Blow half a zi amount into the nose to induce sneezing. Wait for eyes to open, then administer Daqing Dan to clear accumulated heat and expel fright-phlegm, followed by Qi-regulation. (Daqing Dan see section on Acute/Slow Wind-Fright).
Moshi San (Azurite Powder) from *Hui Yan Guan Zheng*: For Slow Spleen signs, this medicine awakens the Spleen.
Moshizi (Azurite Stone, two pieces) Zhusha (Cinnabar, three qian) Huashi (Talcum, ground) Baifan (Alum) Dingxiang (Clove, two qian each) Banxia (Pinellia, one liang) Shengjiang (Fresh Ginger, three liang, crushed and soaked in one bowl of water; split Pinellia, boil dry with water, take out, mix with one qian flour, pound in mortar, form cakes, roast熟, grind to powder)
Grind into powder. Take half a qian each time, mixed with Benincasa hispida seed decoction, at any time.
*Liu Shi Jia Chuan* treats infant Slow Spleen; suitable for newborns. Symptoms include lethargy, inability to wake, or incessant crying.
Quanxie (Full Scorpion, two pieces, pierced with bamboo needle, roasted lightly until fragrant, powdered) She (Musket, a little) Zhusha (Cinnabar) Xi Bishi (Western Wall Soil, soil from west-facing walls illuminated for many years, half a qian each, finely ground)
Mix evenly, mix with breast milk, administer one zi amount. For children aged two to three, increase to half a qian, or three zi amounts. Alternatively, mix with strong decoction of Lonicera japonica, or honey water is also acceptable.
*Liu Shi Jia Chuan* treats Wind generated after vomiting/diarrhea in infants; effective for Slow Spleen, also treats chronic diarrhea. Weixu Bingzi (Stomach-Deficiency Cake):
Dingxiang (Clove, 50 grains) Huoxiangye (Pogostemon Leaf, weighed one fen) Muxiang (Costus Root) Shaofen Dafuzi (Large Aconite, processed. Each the size of a chess piece. Another version says two qian each)
Grind into powder, mix well, knead into cakes with fresh ginger juice. Boil in a coarse lamp basin until soft, then serve. For urgent use, make into powder, decoct with one jujube.
Qianghuo Gao (Notopterygium Paste) from *Liu Shi Jia Chuan*: Treats acute/slow Wind-Fright in infants, or Slow Spleen disease transmitted due to Spleen/Stomach deficiency after vomiting/diarrhea.
Qianghuo Duhuo Renshen (Ginseng) Baifuling (Poria) Rougui (Cinnamon Bark) Muxiang (Costus Root) Fangfeng (Saposhnikovia) (each three qian above) Shuiyin (Mercury) Liuhuang (Sulfur) Quanxie (Full Scorpion, two qian each) Jinyinbo (Gold/Silver Foil, thirty pieces each) Zhen Shexiang (Real Musket, one qian)
Grind into fine powder, mix with honey to form paste. Take an amount the size of a soybean, dissolve in Mentha decoction.
Zhang Shi Jia Chuan (Zhang Family Transmission) Awakens Spleen, removes deficient Wind:
Da Fuzi (Large Aconite, one qian, peel and remove navel, process) Da Quanxie (Large Full Scorpion, seven) Da Baifuzi (Large Typhonium, three, process) Tianma (Gastrodia, two qian)
Grind all into fine powder. Take half a qian each time, mixed with strong decoction of Benincasa hispida seeds.
Zhang Shi Jia Chuan treats infants and children who, due to vomiting or diarrhea, develop weak constitution leading to convulsions becoming Slow Semple Wind, Yu Kou (Fish Mouth), staring eyes, inability to wake or open eyes. Gouteng Yinzi (Uncaria Decoction):
Gouteng (Uncaria Ramulus) Fangfeng (Saposhnikovia) Shexiang (Musket) Mahuang (Ephedra, one fen each, remove joints) Xie Shao (Scorpion Tip) Chan Qiao (Cicada Slough, half a fen each)
Grind into fine powder. Take one zi, half a qian, or one qian depending on age. Mix with Mentha decoction, add one drop of vinegar, stir well and take. If four extremities are cold, add three slices of Fuzi, decoct with five parts water and one leaf of Mentha until reduced to two parts, take warm, advance three to two doses consecutively. If vomiting/diarrhea, cold body, excessive sleep, use half a qian of processed Fuzi (peeled, navel removed, powdered), or as chopped powder, add Baizhu one qian, Roudoukou (Nutmeg) one piece, Zhi Gancao (Honey-fried Licorice) one cun, one jujube. Decoct six parts water slowly until three parts remain, take warm, divide into two doses. Once body warms, decoct only Macadamia integrifolia soup, consume five or six parts of Chenxiang (Agarwood) or Jupi (Tangerine Peel), then take three to two doses of Warm Fright Medicine. Nursing mother must observe dietary restrictions to avoid further fright.
Zhuang Shi Jia Chuan (Zhuang Family Transmission) treats Slow Spleen Wind. Xiao Xuming Wan (Small Continuation of Life Pill):
Fuzi (Aconite, tip one piece) Liuhuang (Sulfur, date pit size) Xie Shao (Scorpion Tip, seven pieces)
Grind into powder, form pills the size of yellow millet using ginger and flour paste. Adjust dosage by age, ten to one hundred pills. Excellent for treating chronic diarrhea and emaciation in infants.
Zhuang Shi Jia Chuan extremely effective for Slow Spleen Wind. Hei Sanzi (Black Powder):
Ganjiang (Dried Ginger, half liang) Gancao (Licorice, one fen)
Place together in a porcelain container, roast over fire until "preserving nature" (charred outside, cooked inside), grind to powder. (Roasting must be precise; too long makes power weak, too short makes nature fierce.) Take one qian or half a qian each time, mixed with strong decoction of Umeboshi.
Adjust dosage temporarily based on gender and age. Only administer when signs of Slow Spleen such as drooping eyelids and pale face are present.
Kong Shi Jia Chuan (Kong Family Transmission) treats infant Slow Spleen Wind-Fright:
Use Dai Zhe Shi (Hematite), amount不拘 (unrestricted), finely ground, water-flowered, mixed with Benincasa hispida kernel decoction. Give half a qian or one qian according to infant size. Infant whose eyes roll up after diarrhea, does not suckle for three days, eyes bright yellow like gold, breath nearly extinct. Take only three doses, fully recovered.
Wang Shi Shou Ji (Wang Family Hand Collection) treats infant Slow Spleen Wind. Wan An San (Ten Thousand Peace Powder):
Houpo (Magnolia Bark, remove rough skin, boil in one cup water until dry, slice thin, roast dry) Baizhu (Atractylodes macrocephala, soak in water half day, slice, coat with honey, roast fragrant yellow) Zhusha (Cinnabar, one fen each, grind) Mahuang (Ephedra, half a fen, long straight ones soaked in hot water until soft, soaked in ginger juice half day) Ganxie (Dry Scorpion, seven tails complete, wrap each in large leaf Mentha, wrap with soaked Ephedra, slight fire, soak again in ginger juice, roast on bamboo chopstick until surface and interior are scorched yellow)
Pound all, sieve extremely fine, then put in mortar and grind with Cinnabar thousands of times. Take half a qian or one zi each time, mixed with decoction of Gold/Silver and Mentha. Effect is indicated by slight sweating after infant takes medicine. Whenever infant is about to develop Slow Convulsion, there must first be high fever, excessive sleep, frequent vomiting. If vomiting stops, convulsion stops; if vomiting continues, Slow Convulsion develops, called difficult to treat. With this vomiting sign, Jin Ye Dan (Golden Liquid Pill) is primary. This formula is passed on but people do not believe; just give the medicine. Jin Ye Dan ground fine, formed into pills the size of yellow millet with dripping water, coated with Cinnabar and Qingdai (Indigo Naturalis). Take fifty pills or more each time; less is ineffective, take with rice drink. Ding Tu Jiu Sheng Dan (Vomit-Stopping Life-Saving Pill) is also very good, yet thirteen or fourteen out of ten cannot stop vomiting. This formula has no failure.
If vomiting has stopped but Slow Spleen has formed, Wan An San saves them, also without failure, but requires effort; otherwise eight or nine out of ten cannot be saved. These two formulas should not be fully described, keep secret for ten thousand generations. Do not pass on recklessly unless to sincere and benevolent people.
Ji Shi Jia Chuan (Ji Family Transmission) treats Slow Spleen Wind. Zhusha San (Cinnabar Powder):
Zhusha (Cinnabar) Tianma (Gastrodia, one qian each) Jiangcan (Bombyx Batryticatus, seven) Tiannanxing (Arisaema, one) Baihua She (Bungarus multicinctus, piece the size of soap nut from neck) She (Musket, a little) Wugong (Centipede, one)
Grind into fine powder. Take one zi each time, with Mentha decoction.
Ji Shi Jia Chuan Huopo San (Spleen-Reviving Powder): Treats infant Spleen exhaustion becoming Slow Spleen Wind.
Tiannanxing (Arisaema, peeled) Banxia (Pinellia) Baifuzi (Typhonium, half a fen each)
Grind into powder. Take half a qian or one qian each time, smaller amount one zi. Decoct with seven Benincasa hispida seeds, one Mentha leaf, a little wine, or a little water.
Zhu Shi Jia Chuan (Zhu Family Transmission) treats infants after long illness, or Wind-Fright generated after vomiting/diarrhea, transforming into Slow Spleen. Xie Shao Gao (Scorpion Tip Paste):
Xie Shao (Scorpion Tip, make into one liang of fine powder, use new and good quality)
Take one pomegranate, cut open like a jar, remove seeds. Mix scorpion powder with half a cup of non-grain alcohol, put into pomegranate, cover with lid. Place on mild fire, stir occasionally, boil into paste, take out and cool. Take one qian each time, mixed with Gold/Silver and Mentha decoction. Do not take for Acute Wind-Fright.
Zhu Shi Jia Chuan treats infant Slow Spleen Wind, spitting milk, cholera, vomiting/diarrhea:
Dingxiang (Clove, one qian) Huoxiang (Pogostemon, three fen)
Grind into powder, refine honey to form pills the size of mung beans. Take three pills each time; or for severe fake vomiting/diarrhea, take half a qian with rice drink.
Master An’s transmission treats infant Slow Spleen Wind; when many doctors fail, this medicine cures.
Fuzi (Aconite, cracked by processing, peel and remove navel) Muxiang (Costus Root, do not expose to fire, keep dry) Roudoukou (Nutmeg, wash) Sheng Liuhuang (Raw Sulfur, use yellow from grain water, not red, remove stones)
Equal parts, grind into fine powder. Use forty-nine Benincasa hispida seeds each time, decoct six he of water until three he remain. Add one qian of medicine, decoct until one he remains, as one dose. Treats cold sweat, extreme deficiency, slow convulsions.
Changsha physician Mao Bin transmits Yinbai San (Silver White Powder): Treats infant Stomach deficiency, vomiting/diarrhea with irritability/thirst, forming Slow Spleen.
Gegen (Pueraria) Renshen (Ginseng, remove rhizome) Baifuling (Poria) Shanyao (Dioscorea) Baibiandou (White Hyacinth Bean, half liang each) Banxia (Pinellia, one fen, wash in water to remove slipperiness, make cake with ginger, roast yellow) Nuomi (Glutinous Rice, one ge, wash, soak in ginger juice overnight, roast yellow)
All grind into fine powder. Take two qian each time, with eight parts water, two slices of ginger, decoct six parts, take warm.
Changsha physician Zheng Yu transmits Xingpi San (Awakening Spleen Powder): Treats infant vomiting/diarrhea, Wind generated in Spleen/Stomach.
Huoxiangye (Pogostemon Leaf) Renshen (Ginseng) Baifuling (Poria, one qian each) Tiannanxing (Arisaema, one weighing seven qian, remove heart, insert Suansha (Amomum) one qian, Dingxiang (Clove) one qian into Arisaema, seal top with Arisaema heart powder, roast熟 on slow fire, chop finely)
Grind into powder. Take half a qian each time, add a little Benincasa hispida seed, decoct until three to five boils, take warm.