集成沆瀣丹 方见二卷胎病论。
集成三仙丹 治小儿纵口饮啖，食物过多，有形之物，填塞肠胃之间，不能转运传送，脾气抑郁，所以
发热不退，眼闭难开，人事昏沉，四肢瘫软，俨然虚极之象。古人谓大实有羸状，即此证也。昧者以为虚证而
峻补之，或疑为惊风而镇坠之，百无一救。速以此丸同沆瀣丹同服。待其下后，人事即清。
予救治既多，剖心相告∶痢疾误用涩药，闭其湿热，比食物有形之塞，殆有甚焉，速宜下之，不下即死。
五灵脂（一两） 南木香（五钱） 巴豆仁（四十粒）
上将灵脂、木香研为细末听用。以巴豆剥去壳，取净肉四十粒，去其肉上嫩皮，纸包水湿，入慢火中煨极
熟，取起，另以棉纸包之，缓缓捶去其油，纸湿则另换，以成白粉为度，谓之巴霜。与前二味和匀，醋打面
糊为丸，绿豆大，以朱砂为衣，晒干收贮。每服五丸，或七丸、九丸，量儿大小加减，合沆瀣丹二三丸同研烂，
茶清调下。待其下后，其病立愈。此起死回生之药，勿以常方视之。
经曰∶咳嗽上气，厥在胸中，过在手阳明太阴。其证初起，面赤唇红，气粗发热，咳嗽痰鸣，或眼胞微浮，
额上汗出。此外感风寒，急宜疏解。
按∶咳嗽致搐，其证尝少。盖外感以咳嗽为轻，内伤以咳嗽为重。大凡春温夏热秋燥冬寒，四时正病与夫
时行疫疠，即至重至危之候，但有咳嗽，便是生机，盖外感一传于六经，断不致死，故谓外感以咳嗽为轻，至
于酒色狂荡之辈，平素嗜欲不节，耗费过伤，但逢咳嗽，即为可虑，倘治不如法，则虚劳肺痿，肢足而待，故
谓内伤以咳嗽为重。婴儿知识未开，内伤何有？所有咳嗽，无非寒热二者而已矣。寒固伤肺，热亦伤肺，医者
能的辨其寒热，对证用方，效无不捷。其如不识阴阳，罔分寒热，应辛散者而反凉泻，应滋润者反用升浮，乃
致寒者愈寒，燥者愈燥，欲不声音不转，眼翻手搐，其可得乎？治宜集成金粟丹。
集成沆瀣丹的方剂见本书第二卷《胎病论》。
集成三仙丹：治疗小儿无节制地饮食，食物过多，有形的食物堵塞在肠胃之间，无法转运传导，导致脾气郁结，因此发热不退，眼睛闭合难以睁开，神志昏沉，四肢瘫软无力，呈现出极度虚弱的假象。古人所说的“大实有羸状”（真实的实证表现出虚弱的症状），指的就是这种证候。不明医理的人误认为是虚证而使用峻猛的补药，或者怀疑是惊风而使用镇坠的药物，结果百无一救。此时应迅速将此丸药与沆瀣丹一同服用。待大便通下后，神志即可清醒。
我救治此类病例甚多，在此剖心相告：痢疾若误用收敛止涩的药物，会闭塞湿热之邪，这比有形食物的堵塞更为严重，应当迅速使用泻下法，若不泻下就会死亡。
药材组成：五灵脂（一两）、南木香（五钱）、巴豆仁（四十粒）。
制法：先将五灵脂和南木香研磨成细末备用。将巴豆剥去外壳，取出纯净的仁四十粒，去掉仁上的嫩皮，用纸包裹并浸湿水，放入慢火中煨至极熟，取出后，另用棉纸包裹，慢慢捶打以去除其油脂，纸湿了则更换新纸，直到变成白色粉末为止，这称为“巴霜”。将巴霜与前两味药粉混合均匀，用醋调和面糊制成丸药，大小如绿豆，以朱砂为衣，晒干后收藏。每次服用五丸、七丸或九丸，根据患儿年龄大小增减剂量，并与沆瀣丹二三丸一起研烂，用清茶调服。待大便通下后，疾病立即痊愈。这是起死回生的药物，不要把它当作普通的方剂看待。
《内经》说：“咳嗽气逆，病机在于胸中，病变涉及手阳明大肠经和手太阴肺经。”该证的初期表现，面色红赤，嘴唇红润，呼吸粗重，发热，咳嗽伴有痰鸣音，或者眼睑微浮，额头出汗。这是由于外感风寒所致，应当紧急疏风解表。
按语：咳嗽引发抽搐的情况比较少见。一般来说，外感病中以咳嗽为轻症，内伤病中以咳嗽为重症。大凡春温、夏热、秋燥、冬寒四季的正气致病，以及流行的疫病，即使是极其危重的情况，只要出现咳嗽，就说明还有生机，因为外感病一旦传入六经（太阳、阳明、少阳、太阴、少阴、厥阴），绝不会致死，所以说外感以咳嗽为轻；至于那些纵欲过度、平素嗜欲不节、耗伤精气的人，一遇到咳嗽，就值得忧虑，如果治疗不得法，就会导致虚劳肺痿，不久于人世，所以说内伤以咳嗽为重。婴儿心智未开，哪里会有内伤呢？所有的咳嗽，无非是寒证和热证两种而已。寒邪固然伤肺，热邪也伤肺，医生若能辨别寒热，对症用药，疗效没有不迅速的。然而有些人不识阴阳，不分寒热，该用辛散解表的反而用凉泻药，该用滋润的反而用升浮发散药，从而导致寒者更寒，燥者更燥，想要不出现声音嘶哑、眼球上翻、手足抽搐，怎么可能呢？治疗适宜使用集成金粟丹。
The formula for Jicheng Hangxie Dan (Integrated Turbid Qi Pill) is found in Volume 2, "Treatise on Fetal Diseases."
Jicheng Sanxian Dan (Integrated Three Immortals Pill): Treats infants and children who eat without restraint, consuming excessive food. The tangible food obstructs the intestines and stomach, preventing transportation and transmission. This causes Spleen Qi (Spleen energy) to become depressed, resulting in persistent fever, eyes closed and difficult to open, mental confusion, and flaccid paralysis of the four limbs, presenting a false appearance of extreme deficiency. The ancients referred to this as "Great excess manifesting as weakness" (Severe excess syndrome presenting with deficient symptoms). Ignorant practitioners mistakenly treat it as a deficiency syndrome and administer potent tonics, or suspect it as Wind-stroke/Convulsion and use heavy sedatives. In such cases, not one in a hundred survives. Quickly administer this pill together with Hangxie Dan. After defecation occurs, mental clarity will be restored.
I have treated many such cases and speak from the heart: If Dysentery (Damp-Heat dysentery) is mistakenly treated with astringent herbs, it closes off Damp-Heat pathogens, which is even more dangerous than obstruction by tangible food. Rapid purgation is required; failure to purge leads to death.
Ingredients: Trogopterus Dung (Wulingzhi, 1 liang), Costus Root (Nanmuxiang, 5 qian), Croton Seed Kernel (Badou Ren, 40 grains).
Preparation: Grind Trogopterus Dung and Costus Root into fine powder for later use. Peel the shells from Croton seeds, take 40 pure kernels, remove the tender skin, wrap them in paper moistened with water, and roast slowly over low heat until thoroughly cooked. Remove and wrap in cotton paper, then slowly pound to extract the oil. Replace the paper when wet, continuing until a white powder remains. This is called "Croton Frost" (Bashuang). Mix this evenly with the powders of the other two ingredients. Use vinegar and wheat flour paste to form pills the size of mung beans. Coat with Cinnabar powder, dry, and store. Administer 5, 7, or 9 pills per dose, adjusting according to the child's age and size. Crush together with 2-3 pills of Hangxie Dan, and swallow with clear tea water. After defecation, the disease will be cured immediately. This is a life-saving medicine; do not regard it as an ordinary prescription.
The Classics state: "Cough with qi rebellion, the pathogenesis lies in the chest, involving the Hand-Yangming Large Intestine channel and the Hand-Taiyin Lung channel." Early symptoms include red face and lips, coarse breathing, fever, cough with phlegm rattle, slight edema of the eyelids, and sweating on the forehead. This is caused by External contraction of Wind-Cold, requiring urgent dispersal and release.
Commentary: Cough leading to convulsions is rare. Generally, in External contraction diseases, cough is considered a mild symptom, whereas in Internal injury diseases, cough is considered severe. Whether due to seasonal pathogens (Spring Warmth, Summer Heat, Autumn Dryness, Winter Cold) or epidemic pestilence, even in critical conditions, the presence of cough indicates vital energy remains, as External contraction entering the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) does not lead to death. Thus, cough in external diseases is mild. Conversely, for those indulging in wine and sex, with unregulated desires and excessive consumption of essence, the onset of cough is worrying. If treated improperly, it leads to Consumption (Xu Lao) and Lung Flaccidity (Fei Wei), resulting in imminent death. Thus, cough in internal injuries is severe. Infants lack developed knowledge and thus do not suffer from internal injuries. All coughs in infants are either Cold or Heat. Cold injures the Lung, and Heat also injures the Lung. If physicians can distinguish between Cold and Heat and prescribe accordingly, efficacy is immediate. However, those who ignore Yin and Yang and fail to differentiate Cold and Heat may use cooling purgatives instead of acrid-dispersing agents, or ascending-floating agents instead of moistening ones. This causes Cold to become colder and Dryness to become drier, leading to hoarseness, upward deviation of the eyes, and hand convulsions. Treatment should utilize Jicheng Jinshu Dan (Integrated Golden Millet Pill).