茅先生小儿生下有中猢狲噤候∶身微热，双手捉拳，按在胸前，口撮不开，缩肩，身体一似活猢狲。此候
因受胎六个月日，母见人弄猢狲，开口吸着其气，生来被风邪相击致发此候。若不速治即死。
《经验方》治小儿中猢狲噤。
猫儿粪烧烟，薰之即解。
《巢氏病源》小儿白虎候按∶堪舆历游年图有白虎神云∶太岁在卯，即白虎在寅，准此推之，知其神所在。
小儿有居处触犯此神者，便能为病。其状身热，有时啼唤，有时身小冷，屈指如数，似风痫，但手足不螈 耳。
张涣顺正集香散 治白虎病。
降真香 沉香 檀香（各锉） 乳香（研） 安息香 人参（去芦头。各一两） 茯神 酸枣仁（各半两）
上件捣，罗为细末。每服一钱，水八分一盏，入麝香少许，煎至五分，去滓温服，留药滓，卧内烧之。
（痫论候法）凡十二门
《千金》论曰∶少小所以有痫病及痉病者，皆由脏气不平故也。新生即痫者，是其五脏不收敛、血气不聚、
五脉不流、骨怯不成也，多不全育。其一月四十日以上至期岁而痫者，亦山乳养失理，血气不和，风邪所中也。
（《婴儿方》云∶其一月三十日以上至期岁而痫者，皆由五脉不流、骨怯不成，或乳养失所、风邪所中也。）病先身热、
掣、惊啼叫唤而后发痫，脉浮者为阳痫。病在六腑，外在肌肤，犹易治也。病先身冷、不惊掣、不啼呼而病发时，脉
沉者为阴痫。病在五脏，内在骨髓，极难治也。病发身软时醒者，谓之痫也。身强直反张如弓、不时醒者，谓之痉也。
诸反张，大人脊下容侧手、小儿容三指者，不可复治也。凡脉浮之与沉，以判其病在阴阳表里耳。其浮沉复有大小、滑
涩、虚实、迟 诸证，各根据脉形为治。《神农本草经》说∶小儿惊痫有一百二十种。其证候微异于常，便是痫候
也。初出腹，血脉不敛，五脏未成，稍将养失宜，即为病也。时不成人，其经变蒸之后有病，余证并宽，惟中
风最暴卒也。小儿四肢不好惊掣，气息小异，欲作痫。及变蒸日满不解者，并宜龙胆汤也。（方见一切痫门中）
凡小儿之痫有三种∶有风痫，有惊痫，有食痫。然风痫、惊痫时时有耳。十人之中惟有一二是食痫者。
凡是先寒后热发者，皆是食痫也。惊痫当按图灸之。风痫当与猪心汤。食痫当下乃愈，紫丸佳（方见变蒸门中。）凡小
儿所以得风痫者，缘衣暖汗出，风因入也。风痫者，初得之时，先屈指如数乃发作者，此风痫也。惊痫者，起
于惊怖大啼乃发作者，此惊痫也。惊痫微者，急持之，勿复更惊之，或自止也。其先不哺乳，吐而变热，后发
痫，此食痫，早下则瘥。四味紫丸逐癖饮最良，去病速而不虚人。赤丸差 ，病重者当用之。（本无赤丸方，诸医方并
无。按∶此服四味紫丸不得下者，当以赤丸。赤丸差 ，病重者当用之。今《千金》癖结胀满篇中第一方∶八味名紫双
丸者，用朱砂色当赤；用巴豆，又用甘遂，此紫丸当 。疑此即赤丸也。）凡小儿不能乳哺，当与紫丸下之。小儿始生，
生气尚盛，但有微恶，则须下之，必无所损。及其愈病，则致深益。若不时下，则成大疾，疾成则难治矣。凡下四味紫
丸最善，虽下不损人，足以去疾。若四味紫丸不得下者，当以赤丸下之。赤丸不下，当倍之。若以下而有余热不尽，当
按方作龙胆汤，稍稍服之，并摩赤膏（方见一切痫门中。）风痫亦当下之，然当以猪心汤下之。惊痫但按图灸之，及摩生
膏（方见壮热门中，）不可大下也。何者惊痫心气不定（一作足），下之内虚，益令甚尔。惊痫甚者，特为难治。故养小
儿，常慎惊，勿令闻大声。抱持之间，当安徐，勿令怖也。又天雷时，当塞儿耳，并作余细声以乱之也。凡养小儿，皆
微惊以长血脉。但不欲大惊，大惊乃灸惊脉。若五六十日灸者，惊复更甚，生百日后灸惊脉乃善。儿有热，不欲哺乳，
卧不安，又数惊，此痫之初也。服紫丸便愈，不愈复与之。儿眠时小惊者，一月辄一以紫丸下之。减其盛气，令儿不病
痫也。儿立夏后有病，治之慎勿妄灸。不欲吐下，但以除热汤浴之，除热散粉之（二方并见壮热门中，）除热赤膏摩之，
又以膏涂脐中。令儿在凉处，勿禁水浆，常以新水饮之。小儿衣甚薄，则腹中乳食不消，不消则大便皆醋臭，此
欲为癖之渐也。便将紫丸以微消之。服法∶先从少起，常令大便稀，勿大下也。稀后便渐减之，不醋臭乃止
药也。凡小儿冬月下无所畏，夏月下难瘥。然有病者，不可不下，下后腹中当小胀满，故当节哺乳数日，不可
妄下。又乳哺小儿，常令多少有常剂，儿渐大当稍稍增之。若减少者，此腹中已有小不调也。便微服药，勿复
哺之，但当与乳，甚者十许日，微者五六日止，哺自当如常。若都不肯食哺而但欲乳者，此是有癖，为疾重要，
当下之，不可不下，不下则致寒热，或吐而发痫，或更致下痢。此皆病重，不早下之所为也。此即难治矣。但
先治其轻时，儿不耗损而病速愈矣。凡小儿屎黄而臭者，此腹中有伏热，宜微将服龙胆汤。若白而醋者，此挟
宿寒不消也，当服紫丸。微者少与药，令内消；甚者小增药，令小下；皆复节乳哺数日，令胃气平和。若不节
乳哺，则病易复。复下之则伤其胃气，令腹胀满。再三下之尚可，过此伤矣。凡小儿有癖，其脉大必发痫。此
为食痫，下之便愈。常审候掌中与三指脉，不可令起。而不时下，致于发痫，则难疗矣。若早下之，此脉终不
起也。脉在掌中尚可早疗，若至指则病增也。凡小儿腹中有疾生，则身寒热，寒热则血脉动，动则心不定，心
不定则易惊，惊则痫发速也。
《婴孺》论小儿惊啼，睡中四肢掣动，变蒸未解，慎勿针灸爪之也，动其百脉，因惊成痫也。唯阴痫噤痉，
可针灸爪之尔。
《婴童宝鉴》论病有变痫证。凡小儿如有小疾，早为寻医，勿致稽迟，皆能害命。凡小儿有数疾，久而不医，
尽变为痫。壮热久不治为痫；夹惊伤寒不瘥为痫；痰饮不瘥为痫；发惊不已为痫；洞泄不止为痫；咳嗽不瘥为
痫；夜啼不瘥为痫；客忤发不止为痫；霍乱吐泻不止为痫； 乳不瘥为痫；脐疮不干，常有青黄水出，久则
为痫。以上病状，皆能变为痫疾也。
《惠眼观证》论∶夫小儿惊不医者成风，风不医者成痫，痫不医者成痉，既成痉则难以用药。痫亦分数种，
有惊风痫，多惊即发；有乳风痫，食乳冲肺即发，发即吐乳急急；有肝风痫，四季多发，发即寒热噤；有肺风
痫，冬月多发，发即口噤面黑。大抵痫病不能害命，只邪气在心，须重吐下，常服镇心汤药。如觉发时一边手
足动，此不可吐。微觉麻痹不能举手，兼说话亦不分晓，牙齿皆黑，此风涎及邪气闭塞窍内也。
【背景信息】
书名：幼幼新书 作者：刘昉 朝代：宋 章节：猢狲噤第十一 / ... / 痫论第一（共4节） 类别：综合
【待处理原文翻译】
茅先生记载小儿出生后患有“中猢狲噤”这一病候：身体微热，双手握拳按在胸前，口唇撮缩无法张开，耸肩，身体姿态如同活动的猴子。此病候是因为怀孕六个月时，母亲看到人逗弄猴子，张口吸入了猴子的气息，出生后受到风邪侵袭而引发此病。如果不迅速治疗就会死亡。
《经验方》治疗小儿中“猢狲噤”。
将猫粪烧成烟，用烟熏患儿即可缓解。
《巢氏病源》关于小儿“白虎候”的论述：堪舆历游年图中有白虎神之说：太岁在卯位时，白虎就在寅位，依此类推，可以知道该神所在的位置。小儿如果居处触犯了这个神，就会因此致病。其症状表现为身体发热，有时啼哭呼叫，有时身体发冷，手指屈伸计数般活动，类似风痫，只是手足不抽搐而已。
张涣《顺正集》中的香散，用于治疗白虎病。
降真香、沉香、檀香（各切碎）、乳香（研细）、安息香、人参（去芦头，各一两）、茯神、酸枣仁（各半两）。
以上药材捣碎，过筛成细末。每次服用一钱，用水八分一盏，加入少许麝香，煎至五分，滤去药渣，温服。保留药渣，睡前焚烧。
（痫论候法）共有十二门
《千金方》论述说：小儿之所以患痫病和痉病，都是由于脏气不平衡的缘故。刚出生就患痫病的，是五脏之气不能收敛、血气不能聚拢、五脉不能流通、骨骼怯弱发育不全所致，大多难以存活到成年。满月四十天以上至周岁期间患痫病的，也是由于哺乳养育失当、血气不和、风邪侵入所致。（《婴儿方》说：满月三十天以上至周岁期间患痫病的，都是由五脉不流通、骨骼怯弱发育不全，或者哺乳养育失所、风邪侵入所致。）发病前先身体发热、抽搐、惊叫啼哭而后发作痫病，脉象浮的为阳痫。病位在六腑，外在肌肤，还容易治疗。发病前先身体发冷、不惊恐抽搐、不啼哭呼叫而发病时，脉象沉的为阴痫。病位在五脏，深入骨髓，极难治疗。发病时身体柔软、时而清醒的，称为痫病。身体强直反折如弓形、不时清醒的，称为痉病。凡是身体反折的，大人脊柱下能容纳侧放一只手、小儿能容纳三指宽度的，就无法再治疗了。凡是用脉象浮或沉，来判断病在阴阳表里罢了。其浮沉之中又有大小、滑涩、虚实、迟数等各种证候，都应根据脉象形态来治疗。《神农本草经》说：小儿惊痫有一百二十种。其证候与平常略有不同，就是痫病的征候。刚出生时，血脉未收敛，五脏未成形，稍加调养失宜，就会生病。时常不能成人，其在经络变蒸之后患病，其余证候都较宽松，只有中风最为暴卒。小儿四肢不好、惊恐抽搐，气息稍有异常，将要发作痫病。以及变蒸周期满后仍未解除的，都适宜使用龙胆汤。（方剂见一切痫门中）
凡小儿的痫病有三种：有风痫，有惊痫，有食痫。然而风痫、惊痫时时都有。十个人中只有一两个是食痫。凡是先寒后热发作的，都是食痫。惊痫应当按图灸治。风痫应当给予猪心汤。食痫应当攻下才能痊愈，紫丸较好（方剂见变蒸门中）。
凡小儿之所以得风痫，是因为衣服穿得太暖出汗，风邪乘虚而入。风痫，初起之时，先屈指如数状然后发作的，这是风痫。惊痫，因受惊吓大哭后发作的，这是惊痫。惊痫轻微的，急忙抱住他，不要再让他受惊，或许会自行停止。那些起初不哺乳，呕吐后变热，后来发作痫病的，这是食痫，早用攻下法就能好转。四味紫丸逐癖饮效果最好，祛病迅速且不伤正气。赤丸较差，病情重者应当使用。（原本没有赤丸方，诸医方中也无。按：此处服用四味紫丸不得下者，应当用赤丸。赤丸较差，病情重者应当使用。今《千金方》癖结胀满篇中第一方：八味名为紫双丸者，用朱砂色当作赤；用巴豆，又用甘遂，此紫丸应当……疑此即赤丸也。）
凡小儿不能乳哺，应当用紫丸攻下。小儿刚出生，生气尚盛，只要有轻微恶滞，就必须攻下，必定不会受损。等到治愈疾病，则带来深远益处。如果不及时攻下，就会成大疾，病成则难治了。凡是用四味紫丸攻下最善，虽然攻下但不伤人，足以去除疾病。如果四味紫丸不得下者，应当用赤丸攻下。赤丸不下，应当加倍剂量。如果用攻下法后仍有残余热气未尽，应当按方制作龙胆汤，稍稍服用，并涂抹赤膏（方剂见一切痫门中）。风痫也应当攻下，但应当用猪心汤送服。惊痫只需按图灸治，并涂抹生膏（方剂见壮热门中），不可大剂量攻下。为什么呢？惊痫心气不定（一作足），攻下会导致内虚，更加严重。惊痫严重的，特别难治。所以养育小儿，常要谨慎防止受惊，不要让他听到大声。怀抱持拿之间，应当安详舒缓，不要让他恐惧。又是打雷时，应当塞住孩子的耳朵，并发出其他细微声音来扰乱他的注意力。凡养育小儿，都要让轻微受惊以长养血脉。但不希望大惊，大惊才灸惊脉。如果五六十日灸的，惊反而更甚，生一百日后灸惊脉才好。儿有热，不想哺乳，卧不安稳，又多次受惊，这是痫病之初。服用紫丸便愈，不愈再给他吃。儿睡觉时轻微受惊的，一个月就用一次紫丸攻下。减弱其盛气，让孩子不患痫病。儿立夏后有病，治疗时要谨慎不要乱灸。不希望吐下，只用除热汤洗澡，撒上除热散粉（二方并见壮热门中），涂抹除热赤膏按摩，又以膏涂脐中。让孩子在凉快处，不禁水浆，常给喝新水。小儿衣服很薄，则腹中乳食不消化，不消化则大便皆醋臭味，这是欲形成癖积的征兆。立即用紫丸轻微消导。服法：先从少量开始，常令大便稀，不要大剂量攻下。稀后便逐渐减量，大便不再醋臭才停药。
凡小儿冬月下无所畏惧，夏月下难痊愈。然而有病者，不可不攻下，攻下后腹中应当小胀满，故应当节制哺乳数日，不可妄下。又哺乳喂养小儿，常令多少有常规剂量，儿渐大应当稍稍增加。若减少者，此腹中已有小不调。便微服药，不再哺喂，只给乳，重的十许日，轻的五六日止，哺喂自然恢复如常。若都不肯吃辅食而只想吃乳的，这是有癖积，为疾重要，必须攻下，不可不下，不下则导致寒热，或呕吐而发痫，或更致下痢。这都是病重，不早攻下所造成的。这就难治了。但先治其轻时，儿不耗损而病速愈矣。凡小儿屎黄而臭的，此腹中有伏热，宜微微服用龙胆汤。若白而醋味的，此挟宿寒不消也，应当服用紫丸。轻者少给药，令内消；重者小增药，令小下；都再节制乳哺数日，令胃气平和。若不节制乳哺，则病易复发。复攻下则伤其胃气，令腹胀满。再三攻下尚可，超过此限度就损伤了。凡小儿有癖积，其脉大必发痫。此为食痫，攻下便愈。常审候掌中与三指脉，不可令其显现。而不及时攻下，导致发痫，则难疗了。若早攻下，此脉终不显现。脉在掌中尚可早疗，若至指则病增也。凡小儿腹中有疾生，则身寒热，寒热则血脉动，动则心不定，心不定则易惊，惊则痫发速也。
《婴孺书》论述小儿惊啼，睡中四肢掣动，变蒸未解，慎勿针灸爪之也，动其百脉，因惊成痫也。唯阴痫噤痉，可针灸爪之尔。
《婴童宝鉴》论述病有变痫证。凡小儿如有小疾，早为寻医，勿致稽迟，皆能害命。凡小儿有数疾，久而不医，尽变为痫。壮热久不治为痫；夹惊伤寒不瘥为痫；痰饮不瘥为痫；发惊不已为痫；洞泄不止为痫；咳嗽不瘥为痫；夜啼不瘥为痫；客忤发不止为痫；霍乱吐泻不止为痫；乳不瘥为痫；脐疮不干，常有青黄水出，久则为痫。以上病状，皆能变为痫疾也。
《惠眼观证》论述：夫小儿惊不医者成风，风不医者成痫，痫不医者成痉，既成痉则难以用药。痫亦分数种，有惊风痫，多惊即发；有乳风痫，食乳冲肺即发，发即吐乳急急；有肝风痫，四季多发，发即寒热噤；有肺风痫，冬月多发，发即口噤面黑。大抵痫病不能害命，只邪气在心，须重吐下，常服镇心汤药。如觉发时一边手足动，此不可吐。微觉麻痹不能举手，兼说话亦不分晓，牙齿皆黑，此风涎及邪气闭塞窍内也。
Mao Xiansheng records a condition in newborn infants called "Zhong Husun Jin" (Mid-Monkey Lockjaw): the body has a slight fever, hands are clenched and pressed against the chest, lips are puckered and cannot open, shoulders are hunched, and the body posture resembles an active monkey. This condition arises because during the sixth month of pregnancy, the mother saw someone playing with a monkey, opened her mouth to inhale its breath, and after birth, the infant was struck by wind-pathogens, triggering this condition. If not treated promptly, it will result in death.
The *Experience Formulas* treat pediatric "Husun Jin".
Burn cat feces to produce smoke, and fumigate the infant to resolve the condition.
According to *Chao Shi Bing Yuan* on the "White Tiger Condition" in children: The Kan Yu calendar's You Nian Tu mentions the White Tiger deity: when the Tai Sui is in Mao, the White Tiger is in Yin; deducing from this, one can know the location of this deity. If a child's dwelling offends this deity, illness ensues. The symptoms include fever, occasional crying and calling, occasional coldness of the body, fingers flexing and extending as if counting, resembling wind-phlegm epilepsy, but without convulsions of the limbs.
Zhang Huan's *Shun Zheng Ji* prescribes Xiang San (Fragrant Powder) to treat the White Tiger disease.
Ingredients: Jiangzhen Xiang (Aquilariae Lignum Resinatum), Chen Xiang (Aucklandiae Radix), Tan Xiang (Santalum Album Lignum), Ruxiang (Olibanum, ground), Anshixiang (Styrax), Ren Shen (Ginseng Radix et Rhizoma, remove rhizome, each 1 liang), Fushen (Poria Cum Radice Pinelliae), Suanzaoren (Ziziphi Spinosae Semen, each half liang).
Crush and sieve the above ingredients into fine powder. Take 1 qian per dose, add to 0.8 zhan of water, add a small amount of Shexiang (Moschus), decoct until 0.5 zhan remains, strain, and take warm. Retain the dregs and burn them before sleep.
(Thesis on Epilepsy Conditions) Twelve categories in total.
*Qianjin Fang* states: The reason children suffer from epilepsy (Xian Bing) and tetanus/spasm (Jing Bing) is due to imbalance of visceral qi. Those who have epilepsy immediately upon birth have five viscera that fail to converge, blood and qi that fail to gather, five meridians that do not flow, and skeletal weakness with incomplete development; they often do not survive to adulthood. Those who develop epilepsy between forty days past one month up to one year of age also suffer from improper nursing and rearing, disharmony of blood and qi, and invasion of wind pathogens. (*Ying'er Fang* states: For those developing epilepsy between thirty days past one month up to one year of age, it is due to non-flowing five meridians, skeletal weakness, improper nursing, or wind pathogen invasion.) If the onset involves fever, spasms, and startled crying before the epilepsy attack, and the pulse is floating, it is Yang Epilepsy. The pathology is in the Six Fu organs, superficial in the skin and muscles, and is relatively easy to treat. If the onset involves coldness, no startling spasms, no crying, and the pulse is deep, it is Yin Epilepsy. The pathology is in the Five Zang organs, deep in the bone marrow, and is extremely difficult to treat. If the body is soft during attacks and consciousness returns intermittently, it is called Epilepsy. If the body is rigid and arched like a bow, and consciousness does not return, it is called Tetanus/Spasm. For all cases of arching, if an adult's hand fits sideways under the spine, or three fingers fit for a child, it is incurable. Floating and deep pulses are used to distinguish whether the pathology is in Yin/Yang or Exterior/Interior. Within these, there are further variations such as large/small, slippery/choppy, deficient/excess, and slow/rapid signs; treatment should be based on the pulse morphology. *Shennong Bencao Jing* states there are 120 types of pediatric startled epilepsy. Any symptom profile slightly different from normal constitutes an epileptic sign. At birth, if blood vessels are not converged and viscera are unformed, slight improper care leads to illness. Children who frequently fail to mature properly may fall ill after meridian transformation periods; among residual signs, wind-stroke is the most sudden. If a child's limbs show poor movement, startled spasms, and slight abnormal breathing, epilepsy is impending. If the transformation period passes without resolution, Longdan Tang (Gentian Decoction) is suitable (see All Epilepsy Section).
Pediatric epilepsy is divided into three types: Wind Epilepsy, Startled Epilepsy, and Food Epilepsy. Wind and Startled epilepsies occur frequently; only one or two out of ten cases are Food Epilepsy. Cases starting with chills followed by fever are always Food Epilepsy. Startled Epilepsy should be treated with acupuncture and moxibustion according to diagrams. Wind Epilepsy should be treated with Zhu Xin Tang (Pig Heart Decoction). Food Epilepsy requires purgation to cure; Zi Wan (Purple Pill) is preferred (see Transformation Section).
Wind Epilepsy occurs because clothing is too warm causing sweating, allowing wind pathogens to enter. In Wind Epilepsy, initial symptoms include fingers flexing as if counting before onset. In Startled Epilepsy, onset follows fright and loud crying. Mild Startled Epilepsy may stop spontaneously if held tightly and protected from further fright. If a child refuses nursing, vomits, develops heat, and then has an epileptic seizure, it is Food Epilepsy; early purgation leads to recovery. Siwei Zi Wan Zhupi Yin (Four-Ingredient Purple Pill for Expelling Accumulations) is best, removing disease rapidly without damaging healthy qi. Chi Wan (Red Pill) is inferior but used for severe cases. (Note: No original formula for Chi Wan exists; it is suspected to be related to the Eight-Ingredient Zi Shuang Wan containing Cinnabar, Croton Seed, and Kansui.)
For infants unable to nurse, Zi Wan should be used to purge. Newborns have vigorous vital qi; even mild stagnation requires purgation to prevent damage and ensure deep healing. Delayed purgation leads to severe, hard-to-treat disease. Siwei Zi Wan is optimal as it removes disease without harming the patient. If Siwei Zi Wan fails to induce purgation, use Chi Wan, doubling the dose if necessary. If residual heat remains after purgation, administer Longdan Tang moderately and apply Chiga (Red Ointment). Wind Epilepsy also requires purgation, delivered via Zhu Xin Tang. Startled Epilepsy requires only acupuncture/moxibustion and application of Sheng Gao (Living Ointment); heavy purgation is contraindicated because it causes internal deficiency and worsens the unstable heart qi. Severe Startled Epilepsy is particularly difficult to treat. Therefore, caregivers must protect children from loud noises, handle them gently to avoid fear, and block ears during thunderstorms while making soft noises to distract them. Mild startling nourishes blood vessels; excessive startling requires moxibustion on the Jing Mai (Startle Meridian). Moxibustion at 50-60 days may worsen fright; it is better after 100 days. Fever, refusal to nurse, restlessness, and frequent startling indicate early epilepsy; Zi Wan cures it. For minor startling during sleep, administer Zi Wan once a month to reduce excess qi and prevent epilepsy. After Li Xia (Start of Summer), avoid reckless moxibustion. Use Rechu Tang Bath (Heat-Removing Decoction Bath) and Rechu San Powder (Heat-Removing Powder), apply Rechu Chiga, and rub ointment on the umbilicus. Keep the child cool, allow free access to fresh water. Thin clothing leads to undigested milk, sour-smelling stools, indicating early Pi Ji (Accumulation); treat mildly with Zi Wan. Start with small doses to maintain loose stools, avoiding heavy purgation. Reduce dosage as stools normalize. Winter illnesses are easier to manage than summer ones. Post-purgation abdominal fullness requires temporary reduction of nursing. Nursing amounts should increase gradually with age; decrease indicates internal disharmony. Withhold solid food, give only milk, and medicate lightly for 5-10 days depending on severity. Refusal of solids in favor of milk indicates significant accumulation requiring purgation; failure to purge leads to alternating chills/fever, vomiting-induced epilepsy, or dysentery. Early treatment of mild cases prevents deterioration. Yellow, foul-smelling stool indicates latent heat; use Longdan Tang mildly. White, sour stool indicates retained cold; use Zi Wan. Adjust dosage based on severity and restrict nursing to restore stomach qi. Unrestricted nursing leads to recurrence and gastric damage from repeated purgation. Large pulses in children with accumulations predict epilepsy (Food Epilepsy); purgation cures it. Monitor pulses in the palm and three fingers; early purgation prevents pulse manifestation and difficulty in treatment. Abdominal disease causes chills/fever, moving blood vessels, unsettling the heart, leading to fright and rapid epilepsy onset.
*Ying Ru Shu* discusses pediatric startled crying and limb spasms during sleep with unresolved transformation; caution against acupuncture or scratching as it moves hundred meridians and causes epilepsy through fright. Only Yin Epilepsy, Lockjaw, and Spasm may be treated with acupuncture/scratching.
*Ying Tong Bao Jian* discusses conditions transforming into epilepsy. Minor illnesses should be treated early to avoid fatal outcomes. Various chronic untreated diseases transform into epilepsy: prolonged high fever, cold with fright, phlegm-fluid retention, continuous fright, persistent diarrhea, chronic cough, night crying, Ke Wu (Guest Malevolence) attacks, cholera/vomiting-diarrhea, nursing issues, and umbilical ulcers with discharge. All these can transform into epilepsy.
*Hui Yan Guan Zheng* states: Untreated fright becomes wind, untreated wind becomes epilepsy, untreated epilepsy becomes spasm; once spasm sets in, medication is difficult. Epilepsy has subtypes: Jing Feng Xian (Startled-Wind Epilepsy) triggered by much fright; Ru Feng Xian (Milk-Wind Epilepsy) triggered by milk rushing to lungs, causing immediate vomiting; Gan Feng Xian (Liver-Wind Epilepsy) common in all seasons, presenting with chills, fever, and lockjaw; Fei Feng Xian (Lung-Wind Epilepsy) common in winter, presenting with lockjaw and black face. Generally, epilepsy does not kill directly but evil qi resides in the heart; heavy emetic/purgative therapy and regular Zhen Xin Tang (Calm Heart Decoction) are needed. If one side of limbs moves during onset, emetics are contraindicated. Numbness, inability to raise arms, unclear speech, and black teeth indicate wind-phlegm and evil qi blocking orifices.