急惊风者。肝风甚而心火从之。木生火。从前来为实邪。实则泻之。宜用泻青丸以泻肝
之风。导赤散以泻心之火。
慢惊风。钱氏云。脾虚则土泻生风。此脾土败而肝木乘之。肝属木而脾属土。从所不胜
为贼邪。故慢惊为难也。脾虚生风。虚则补之，东垣用调元汤加白芍药主之。此以黄 人参
补脾之虚。白芍药甘草以泻肝之实。诚千古不传之秘法也。予加桂在内。乃黄 建中汤。木
得桂而枯。古方治慢惊者。如醒脾散。观音散。皆良法也。可用之。
醒脾散
人参 陈皮 甘草 白术 白茯苓 全蝎 半夏曲 木香（各三钱五分） 白附子（四个
）南星（一个姜汤泡） 陈仓米（一百粒） 上为末。每服一钱。枣三枚。姜三片。水煎。
观音散
全蝎（十个去毒炒） 天麻（煨） 防风 白芷 黄 甘草 白茯苓（各二钱五分） 人参
（二钱） 扁豆（一钱五分姜汁炒） 上为末枣汤下。
或问曰。上工治未病。急慢惊风。何以预治之。曰。方其热甚之时。腮赤面黑。两目如
视不转者。此急惊风之候也。宜服河间当归龙荟丸。以泻肝胆之火。则不成急惊风也。当吐
泻不止之时。见其手足冷。睡露睛。口鼻气冷者。此慢惊欲成之候也。急用参苓白术散以补
脾。琥珀抱龙丸。去枳壳枳实。加黄 以平肝。则慢惊风不能成矣。此吾家传秘法。
参苓白术散
人参 白术 白茯苓 山药 扁豆（去壳姜汁浸炒各一两五钱） 甘草 桔梗 薏苡仁
莲肉（各一两） 上为细末。枣汤送下。
琥珀抱龙丸 治小儿诸惊。四时感冒。寒温风暑。瘟疫邪热。躁烦不宁。痰嗽气急。及
疮疹欲出发搐。并宜服之。此予家传常用之方。
真琥珀（一两五钱） 天竺黄（一两五钱） 白檀香（一两五钱） 人参（一两五钱） 朱砂（
白茯苓（一两五钱） 粉草（去筋三两） 南枳实（一两） 枳壳（麸炒一两） 牛胆南星（一两）
淮山药（一两） 金箔（大者一百片为衣。） 上各制取末和匀。用腊雪溶水。如无雪。取新汲
或长流水。杵为丸。如芡实大。约重五分。阴干。每服一丸。煎薄荷汤下。 此方内有补益
之药。人皆喜而用之。但有枳壳枳实能散滞气。无滞气者。损胸中至高之气。如慢惊风及元
气弱者。减此二味。用当归川芎各二两代之。
至圣保命丹 一名紫金锭子。
胆星（一钱） 僵蚕（一钱） 白附子（一钱） 全蝎（十四枚） 天麻（一钱） 防风（一钱）
（一钱半水飞） 麝香（一分） 珍珠（五分） 琥珀（三分） 金箔（二十片） 上碾为末。粟米和
为丸。分为二十锭。金箔为衣。每一锭薄荷叶煎汤磨服。
礞石滚痰丸 降火坠痰之要药。方见大方脉科。
凉惊丸 诸热通用。此吾家传之方。又名金花丸。
黄柏 黄连 黄芩 山栀仁（各等分） 朱砂（水飞减半） 一本有龙胆草等分。上为细末
。腊雪水为丸麻子大。薄菏汤送下。
三黄泻心丸 一名三黄五色丸。利诸惊热如神。
黄连 黄芩 大黄（各等分） 上为末。雪水为丸。麻子大。温水送下。均分作五分用衣
。一分朱砂衣。一分青黛衣。一分雄黄衣。一分轻粉衣。一分芦荟衣。
木通散 能泻肝风。降心火。最利惊热。
山栀仁 大黄（煨） 赤茯苓 羌活 木通 甘草（以上各等分）
上为末。每服一字。紫苏叶煎汤送下。
猪胆汁导方
定志丸 治惊久成痫。
人参 白茯神 远志 石菖蒲（炒） 酸枣仁（炒） 柏子仁（各一钱半） 琥珀 珍珠 胆
铁花粉（各一钱） 朱砂（飞） 麝香（各一字） 上为末。水煮山药粉为丸。黍米大。每服十五
丸。灯心煎汤下。更煎猪心与儿食之。以助药力。
急惊风属阳。病在六腑易治。宜用凉泻。
慢惊风属阴。病在五脏难治。宜用温补。
或问。病有急慢阴阳者。何也。曰。肝主风。木也。飘骤急疾。莫甚于风。心主惊。火
暴烈飞扬。莫甚于火。木火阳也。故病在于心肝者。谓之急而属阳。脾胃者土也。沉重迟滞
。莫甚于土。脾土者至阴之属也。故病在于脾者。谓之慢而属阴。肝常有余。有余则泻而损
之。脾常不足。不足则补而益之。至于心主惊。肝主风。似宜前论。然火资风势。风资火威
。风火相扇而发搐。故不可别论也。惊风之病。有兼证者。有类证者。不可不辨也。
各种风证引起的肢体震颤、头晕目眩，都归属于肝木（肝脏功能失调）。《脉诀》中说“热极生风”正是这个意思。
急惊风，是由于肝风亢盛，引动心火随之而起。五行中木生火，这种从母病及子的传变属于实邪。对于实证应当采用泻法，适宜使用泻青丸来清泻肝经之风，使用导赤散来清泻心经之火。
慢惊风，钱乙认为，脾虚则土弱而生风，这是脾土衰败导致肝木乘虚克制它。肝属木而脾属土，从相克关系来看，这是来自所不胜之脏的“贼邪”。因此慢惊风难以治疗。脾虚生风，对于虚证应当采用补法，李东垣使用调元汤加白芍药为主方进行治疗。这里用人参、黄芪补益脾气的虚弱，用白芍药、甘草来抑制肝气的亢盛，这真是千古不传的秘法啊。我在此基础上加入桂枝，这就变成了黄芪建中汤。因为树木遇到桂枝就会枯萎（比喻肝木受抑），古代方剂治疗慢惊风的，如醒脾散、观音散，都是很好的方法，可以使用。
醒脾散
人参、陈皮、甘草、白术、白茯苓、全蝎、半夏曲、木香（各三钱五分）、白附子（四个）、天南星（一个，用姜汤浸泡）、陈仓米（一百粒）。以上药物研成细末。每次服用一钱，配合大枣三枚、生姜三片，加水煎煮服用。
观音散
全蝎（十个，去毒并炒制）、天麻（煨制）、防风、白芷、黄芪、甘草、白茯苓（各二钱五分）、人参（二钱）、扁豆（一钱五分，用姜汁炒制）。以上药物研成细末，用枣汤送服。
有人问：高明的医生治理未病，急惊风和慢惊风，如何预先防治呢？回答说：当患儿高热严重时，出现腮部发红、面色发黑、两眼直视不动的情况，这是急惊风的先兆。此时适宜服用河间氏的当归龙荟丸，以清泻肝胆之火，这样就不会发展成急惊风了。当患儿处于呕吐腹泻不止时，出现手足冰冷、睡觉时眼睛半睁（露睛）、口鼻呼出气体寒冷的情况，这是慢惊风即将形成的先兆。此时应立即使用参苓白术散来补益脾气，使用琥珀抱龙丸，去掉枳壳和枳实，加入黄芪以平抑肝气，这样慢惊风就不能形成了。这是我家的传承秘法。
参苓白术散
人参、白术、白茯苓、山药、扁豆（去壳后用姜汁浸炒，各一两五钱）、甘草、桔梗、薏苡仁、莲子肉（各一两）。以上药物研成细末，用枣汤送服。
琥珀抱龙丸：治疗小儿各种惊风，四季感冒，寒温风暑，瘟疫邪热，烦躁不安，痰嗽气急，以及疮疹欲发时的抽搐，都适宜服用。这是我家常用的家传方剂。
真琥珀（一两五钱）、天竺黄（一两五钱）、白檀香（一两五钱）、人参（一两五钱）、朱砂（与白茯苓同研，一两五钱）、粉草（去筋，三两）、南枳实（一两）、枳壳（麸炒，一两）、牛胆南星（一两）、淮山药（一两）、金箔（大者一百片，作为包衣）。以上药物分别加工成粉末并混合均匀。用腊雪融化成的水（如果没有雪，就用新汲取的井水或长流水），捣杵制成丸子，大小如芡实，重量约五分，阴干。每次服用一丸，用薄荷汤煎服。此方内含有补益的药物，人们都喜欢使用它。但是其中枳壳、枳实能疏散滞气，如果没有滞气，反而会损伤胸中至高之气。如果是慢惊风及元气虚弱者，应减去这两味药，用当归、川芎各二两代替。
至圣保命丹：又名紫金锭子。
胆南星（一钱）、僵蚕（一钱）、白附子（一钱）、全蝎（十四枚）、天麻（一钱）、防风（一钱）、飞雄黄（一钱半）、麝香（一分）、珍珠（五分）、琥珀（三分）、金箔（二十片）。以上药物碾成细末，用粟米粉调和制成丸子，分为二十锭，用金箔包裹。每一锭用薄荷叶煎汤磨化后服用。
凉惊丸：适用于各种热证，这是我家的家传方剂，又名金花丸。
黄柏、黄连、黄芩、山栀仁（各等分）、朱砂（水飞减半，另有一版本加龙胆草等分）。以上药物研成细末，用腊雪水制成丸子，大小如麻子，用薄荷汤送服。
三黄泻心丸：又名三黄五色丸，治疗各种惊热效果神奇。
黄连、黄芩、大黄（各等分）。以上药物研成细末，用雪水制成丸子，大小如麻子，温水送服。均分成五份，分别用不同颜色的药粉包裹：一份用朱砂衣，一份用青黛衣，一份用雄黄衣，一份用轻粉衣，一份用芦荟衣。
木通散：能清泻肝风，降泄心火，最有利于治疗惊热。
山栀仁、大黄（煨制）、赤茯苓、羌活、木通、甘草（以上各等分）。以上药物研成细末，每次服用一字量，用紫苏叶煎汤送服。
猪胆汁导方：（此处原文仅列方名，无具体组成描述，故略过具体翻译，保留方名语境）
定志丸：治疗惊悸日久转化为癫痫。
人参、白茯神、远志、石菖蒲（炒制）、酸枣仁（炒制）、柏子仁（各一钱半）、琥珀、珍珠、铁花粉（各一钱）、朱砂（飞研）、麝香（各一字）。以上药物研成细末，用水煮山药粉制成丸子，大小如黍米。每次服用十五丸，用灯心草煎汤送服。另外再煮猪心给患儿吃，以辅助药效。
急惊风属于阳证，病变在六腑，容易治疗，适宜使用清凉泻下的方法。
慢惊风属于阴证，病变在五脏，难以治疗，适宜使用温补的方法。
有人问：疾病有急慢、阴阳之分，为什么呢？回答说：肝主风，五行属木，飘忽骤急，没有比风更甚的了；心主惊，五行属火，暴烈飞扬，没有比火更甚的了。木和火都属于阳，所以病位在心和肝的，称为急，属于阳证。脾胃属土，沉重迟滞，没有比土更甚的了。脾土属于至阴，所以病位在脾的，称为慢，属于阴证。肝气常有余，有余就要泻除并损害它；脾气常不足，不足就要补益它。至于心主惊、肝主风，似乎应该像前面的论述那样分开讨论。然而火势资助风势，风力资助火势，风火相互煽动而导致抽搐，所以不能截然分开论述。惊风这类疾病，有兼夹证候的，有类似证候的，不可不加以辨别。
Various wind syndromes causing tremors and dizziness are all attributed to Liver Wood (Liver dysfunction). The *Mai Jue* (Pulse Classic) states that "extreme heat generates wind," which is precisely this meaning.
Acute convulsion (Ji Jing Feng) occurs when Liver Wind is excessive, prompting Heart Fire to follow. In the Five Elements, Wood generates Fire; this transmission from the mother organ constitutes an Excess Pathogen (Shi Xie). For excess conditions, one should employ the draining method. It is appropriate to use *Xie Qing Wan* (Drain the Green Pill) to drain Liver Wind and *Dao Chi San* (Guide Out the Red Powder) to drain Heart Fire.
Chronic convulsion (Man Jing Feng), according to Qian Yi, arises when Spleen deficiency leads to Earth failing to control Wind. This represents a collapse of Spleen Earth allowing Liver Wood to overact upon it. Since Liver belongs to Wood and Spleen to Earth, this interaction involves the organ that conquers the diseased one, constituting a "Tiger Pathogen" (Ze Xie). Therefore, chronic convulsion is difficult to treat. Spleen deficiency generating wind implies a deficiency condition requiring tonification. Li Dongyuan used *Tiao Yuan Tang* (Regulate Origin Decoction) added with *Bai Shao Yao* (White Peony Root) as the main prescription. Here, *Ren Shen* (Ginseng) and *Huang Qi* (Astragalus Root) tonify Spleen Qi deficiency, while *Bai Shao Yao* (White Peony Root) and *Gan Cao* (Licorice Root) suppress Liver excess. This is indeed a secret method passed down through millennia. I add *Gui Zhi* (Cinnamon Twig) to it, transforming it into *Huang Qi Jian Zhong Tang* (Astragalus Decoction for Building the Middle). As wood withers when encountering cinnamon, ancient formulas for treating chronic convulsion, such as *Xing Pi San* (Awaken Spleen Powder) and *Guan Yin San* (Guanyin Powder), are excellent methods and can be used.
*Xing Pi San* (Awaken Spleen Powder)
*Ren Shen* (Ginseng), *Chen Pi* (Aged Tangerine Peel), *Gan Cao* (Licorice Root), *Bai Zhu* (Atractylodes Rhizome), *Bai Fu Ling* (Poria), *Quan Xie* (Scorpion), *Ban Xia Qu* (Pinellia Fermented Paste), *Mu Xiang* (Costus Root) (each 3 qian 5 fen); *Bai Fu Zi* (Typhonii Rhizoma) (4 pieces); *Nan Xing* (Arisaema Cum Bile) (1 piece, soaked in ginger juice); *Chen Cang Mi* (Stored Rice) (100 grains). Grind all into fine powder. Take 1 qian per dose, with 3 jujubes and 3 slices of ginger, decocted in water.
*Guan Yin San* (Guanyin Powder)
*Quan Xie* (Scorpion) (10 pieces, detoxified and fried); *Tian Ma* (Gastrodiae Rhizoma) (roasted); *Fang Feng* (Saposhnikoviae Radix); *Bai Zhi* (Angelicae Dahuricae Radix); *Huang Qi* (Astragali Radix); *Gan Cao* (Licorice Root); *Bai Fu Ling* (Poria) (each 2 qian 5 fen); *Ren Shen* (Ginseng) (2 qian); *Bian Dou* (Dolichos Lablab Seed) (1 qian 5 fen, fried with ginger juice). Grind all into fine powder and take with jujube water.
One might ask: A superior physician treats disease before it arises. How can acute and chronic convulsions be prevented? I reply: When the fever is severe, presenting with red cheeks, blackish face, and eyes staring fixedly without movement, these are signs of impending acute convulsion. At this stage, it is appropriate to administer *He Jian Dang Gui Long Hui Wan* (Danggui Longhui Pill by Liu Wansu) to drain Gallbladder and Liver fire, thus preventing the development of acute convulsion. During persistent vomiting and diarrhea, if the hands and feet are cold, the eyes remain half-open during sleep (exposing the pupils), and the breath from the mouth and nose is cold, these are signs of impending chronic convulsion. Immediately use *Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder) to tonify the Spleen, and use *Hu Po Bao Long Wan* (Amber Embracing Dragon Pill), removing *Zhi Ke* (Aurantii Fructus) and *Zhi Shi* (Aurantii Fructus Immaturus), adding *Huang Qi* (Astragali Radix) to calm the Liver. This will prevent the formation of chronic convulsion. This is my family's secret method.
*Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder)
*Ren Shen* (Ginseng), *Bai Zhu* (Atractylodis Rhizoma), *Bai Fu Ling* (Poria), *Shan Yao* (Dioscoreae Rhizoma), *Bian Dou* (Lablab Seed, shelled and stir-fried with ginger juice, each 1 liang 5 qian), *Gan Cao* (Licorice Root), *Jie Geng* (Platycodon Root), *Yi Yi Ren* (Coicis Semen), *Lian Rou* (Lotus Seed Embryo) (each 1 liang). Grind into fine powder and take with jujube water.
*Hu Po Bao Long Wan* (Amber Embracing Dragon Pill): Treats various pediatric convulsions, seasonal colds, wind-heat or wind-cold, epidemic pathogenic heat, restlessness, phlegm cough with rapid breathing, and convulsions associated with the eruption of rashes. It is suitable for all these conditions. This is a commonly used family prescription.
*Zhen Hu Po* (Real Amber) (1 liang 5 qian), *Tian Zhu Huang* (Calami Pulvis) (1 liang 5 qian), *Bai Tan Xiang* (Santalum Album Lignum) (1 liang 5 qian), *Ren Shen* (Ginseng) (1 liang 5 qian), *Zhu Sha* (Cinnabar) (processed with *Bai Fu Ling* [Poria], 1 liang 5 qian), *Fen Cao* (Licorice Root, dehydrated) (3 liang), *Nan Zhi Shi* (Immature Bitter Orange) (1 liang), *Zhi Ke* (Mature Bitter Orange, bran-fried) (1 liang), *Niu Dan Nan Xing* (Arisaema cum Bile prepared with ox gall) (1 liang), *Huai Shan Yao* (Chinese Yam) (1 liang), *Jin Bo* (Gold Leaf) (100 large pieces, used as coating). Process each ingredient into powder and mix evenly. Melt beeswax snow-water (if unavailable, use fresh well water or running water), pound into pills the size of *Qian Shi* (Euryale Seed), weighing approximately 5 fen. Dry in the shade. Take one pill per dose, washed down with mint decoction. This formula contains tonic herbs, so people enjoy using it. However, *Zhi Ke* and *Zhi Shi* can disperse stagnant Qi; if there is no stagnation, they may damage the high Qi in the chest. For cases of chronic convulsion or weak primal Qi, reduce these two ingredients and replace them with *Dang Gui* (Angelicae Sinensis Radix) and *Chuan Xiong* (Chuanxiong Rhizoma), each 2 liang.
*Zhi Sheng Bao Ming Dan* (Supreme Life-Preserving Pill): Also known as *Zi Jin Ding Zi* (Purple Gold Tablet).
*DAN XING* (Arisaema cum Bile) (1 qian), *Jiang Can* (Bombyx Batryticatus) (1 qian), *Bai Fu Zi* (Typhonii Rhizoma) (1 qian), *Quan Xie* (Scorpion) (14 pieces), *Tian Ma* (Gastrodiae Rhizoma) (1 qian), *Fang Feng* (Saposhnikoviae Radix) (1 qian), *Xiong Huang* (Realgar, water-ground) (1 qian 5 fen), *She Xiang* (Moschus) (1 fen), *Zhen Zhu* (Pearl) (5 fen), *Hu Po* (Amber) (3 fen), *Jin Bo* (Gold Leaf) (20 pieces). Grind into fine powder, mix with millet flour to form pills, divide into twenty tablets, coat with gold leaf. Grind one tablet in mint leaf decoction and administer.
*Meng Shi Gun Tan Wan* (Mengshi Rolling Phlegm Pill): An essential herb for descending fire and dropping phlegm. Formula found in Internal Medicine section.
*Liang Jing Wan* (Cool Convulsion Pill): Generally applicable for various heat syndromes. This is my family's transmitted formula, also known as *Jin Hua Wan* (Golden Flower Pill).
*Huang Bo* (Phellodendri Cortex), *Huang Lian* (Coptidis Rhizoma), *Huang Qin* (Scutellariae Radix), *Shan Zhi Ren* (Gardeniae Semen) (equal parts); *Zhu Sha* (Cinnabar, water-ground, halved amount). Another version includes *Long Dan Cao* (Gentianae Radix) in equal parts. Grind into fine powder, make pills with melted beeswax snow-water, size of hemp seeds. Take with mint decoction.
*San Huang Xie Xin Wan* (Three Yellows Draining Heart Pill): Also known as *San Huang Wu Se Wan* (Three Yellows Five Colors Pill). Miraculous for treating various convulsive heats.
*Huang Lian* (Coptidis Rhizoma), *Huang Qin* (Scutellariae Radix), *Da Huang* (Rhei Radix et Rhizoma) (equal parts). Grind into powder, make pills with snow-water, size of hemp seeds. Take with warm water. Divide equally into five portions, coating each with different substances: one portion coated with *Zhu Sha* (Cinnabar), one with *Qing Dai* (Indigo Naturalis), one with *Xiong Huang* (Realgar), one with *Qing Fen* (Calomelas), and one with *Lu Hui* (Aloe).
*Mu Tong San* (Akebia Powder): Can drain Liver Wind and descend Heart Fire; most beneficial for treating convulsive heat.
*Shan Zhi Ren* (Gardeniae Semen), *Da Huang* (Rhei Radix et Rhizoma, roasted), *Chi Fu Ling* (Red Poria), *Qiang Huo* (Notopterygii Rhizoma et Radix), *Mu Tong* (Akebiae Caulis), *Gan Cao* (Licorice Root) (all equal parts). Grind into powder. Take one *zi* (ancient unit of measure) per dose, taken with Perilla leaf decoction.
*Zhu Dan Zhi Dao Fang* (Pig Gallbladder Guiding Method): [Formula details omitted in source text context].
*Ding Zhi Wan* (Stabilize Spirit Pill): Treats prolonged palpitations transforming into epilepsy.
*Ren Shen* (Ginseng), *Bai Fu Shen* (Poria with Wood), *Yuan Zhi* (Polygalae Radix), *Shi Chang Pu* (Acori Tatarinowii Rhizoma, fried), *Suan Zao Ren* (Ziziphi Spinosae Semen, fried), *Bai Zi Ren* (Biota Seed) (each 1 qian 5 fen); *Hu Po* (Amber), *Zhen Zhu* (Pearl), *Tie Hua Fen* (Iron Flower Powder) (each 1 qian); *Zhu Sha* (Cinnabar, flown), *She Xiang* (Moschus) (each one *zi*). Grind into powder. Use water-boiled Chinese Yam powder to make pills, size of millet seeds. Take fifteen pills per dose, washed down with Nard decoction. Additionally, boil pig heart for the child to eat to assist the medicinal power.
Acute convulsion belongs to Yang, affecting the Six Fu organs; it is easy to treat. Cool and draining methods are appropriate.
Chronic convulsion belongs to Yin, affecting the Five Zang organs; it is difficult to treat. Warm and tonifying methods are appropriate.
One might ask: Why do diseases have distinctions of acute/chronic and Yin/Yang? I reply: The Liver governs Wind, corresponding to Wood. Wind is swift and sudden, nothing exceeds it. The Heart governs Fright, corresponding to Fire. Fire is fierce and soaring, nothing exceeds it. Wood and Fire are Yang. Thus, diseases located in the Heart and Liver are termed "acute" and belong to Yang. The Spleen and Stomach correspond to Earth. Earth is heavy and sluggish, nothing exceeds it. Spleen Earth belongs to Extreme Yin. Thus, diseases located in the Spleen are termed "chronic" and belong to Yin. Liver Qi is often in excess; when in excess, it must be drained and diminished. Spleen Qi is often deficient; when deficient, it must be tonified and increased. Regarding the Heart governing fright and the Liver governing wind, one might argue they should be discussed separately as previously mentioned. However, Fire fuels Wind, and Wind empowers Fire. Wind and Fire fan each other, leading to convulsions; therefore, they cannot be discussed in isolation. Convulsive diseases have combined syndromes and similar syndromes; these must not fail to be distinguished.