〔薛〕小儿偏风者，属少阳厥阴肝胆二经证也，噤者筋急，由风木太甚而乘于脾，
以胜水湿则筋太燥，然燥金主于收敛劲切故也。又曰∶风之为病，善行而数变，或
左或右，其因一也，治须审而药之。若足阳明胃经气虚，风邪所乘，其筋脉偏急者
属外因。若足厥阴肝经风热乘脾，筋脉偏急者属内因。若脾肺虚弱，腠理不密，外
邪所乘，成服金石之剂，耗损肝血，或吐泻后内亡津液，不能养肝，致口眼歪斜，
或半身不遂诸证，皆属肝血不足、肝火生风，宣滋肾水，养肝血，壮脾土。治法，
脾胃虚而动风者，异功散加柴胡、钓藤钩。脾肺虚而外邪所乘者，用钓藤饮。肝火
血燥者，用六味地黄丸。津液不足者，用白术散。若兼目紧上视，寒热往来，小便
淋漓，面色青洁，两胁胀痛之类，皆肝经之本病也。或唇口歪斜，腹痛少食，目胞
浮肿，面色青黄，肢体倦怠之类，皆肝木乘脾之证也。当审五脏相胜而主之，设执
其见证，概投风药，反成坏证者有矣。一小儿口眼 斜，面色或青或赤。此肝心风
火乘脾也。朝用柴胡清肝散，夕用异功散加钓藤钩而愈。其时，有患前证服祛风导
痰之药者，皆不能起。一小儿痢后患前证发搐，面色痿黄，肢体倦怠。此元气虚，
克伐多矣。余用补中益气汤加钓藤钩子，服而渐愈。后因乳母七情饮食失宜，或儿
乳食过多，前证仍作，服补中益气汤、五味异功散而愈。
〔钱〕全蝎散 治小儿惊风中风，口眼 斜，言语不正，手足偏废不举。
全蝎（去毒，炒） 僵蚕（直者，炒） 川芎 黄芩（去心） 甘草 桂枝 赤芍药
麻黄（去节，各一两） 天麻（六钱） 大南星（汤泡七次，去皮脐，切，焙干，五钱）
上为粗末。每服三钱，水一钟半，姜七片，煎七分。温服，无时，量大小与之，
一日三四服。忌羊肉。
胃风汤 治风冷乘虚入客肠胃，水谷不化，泄泻注下，及肠胃湿毒，下如豆汁或瘀
血，日夜无度。
人参 白茯苓 芎 肉桂 当归 白芍药 白术（各等分）
上为散。每服二钱，入粟米数粒同煎。食前服。
【薛己】小儿出现口眼歪斜（偏风）的症状，属于足少阳胆经和足厥阴肝经的证候。牙关紧闭（噤）是由于筋脉拘急所致，这是因为风木之气过盛而克制脾土，导致水湿被胜则筋脉过于干燥，然而燥金主收敛、劲切，故有此表现。又说：风邪致病，善于游走且变化迅速，或左侧或右侧发病，其病因是一致的，治疗必须审慎辨证后用药。如果是足阳明胃经气虚，风邪乘虚而入，导致一侧筋脉拘急，这属于外因。如果是足厥阴肝经的风热之邪乘袭脾脏，导致一侧筋脉拘急，这属于内因。如果是脾肺虚弱，腠理不固密，外邪乘虚而入，或者长期服用金石类药物，耗损了肝血，或者在呕吐腹泻之后体内津液亡失，不能滋养肝脏，导致口眼歪斜，或者半身不遂等各种症状，都属于肝血不足、肝火生风。应当滋补肾水，滋养肝血，培补脾土。治疗方法：脾胃虚弱而动风者，用异功散加柴胡、钓藤钩。脾肺虚弱而受外邪侵袭者，用钓藤饮。肝火旺盛、血液枯燥者，用六味地黄丸。津液不足者，用白术散。如果兼有眼睛紧闭上视、寒热往来、小便淋漓不尽、面色青白、两胁胀痛等情况，都是肝经的本病。如果出现嘴唇口角歪斜、腹痛、食欲不振、眼睑浮肿、面色青黄、肢体倦怠等情况，都是肝木乘克脾土的证候。应当审查五脏之间的相克关系来主治，如果固执于表面见证，一概投用祛风药物，反而会造成坏证的情况是有的。有一个小儿口眼歪斜，面色有时发青有时发红，这是肝心风火乘袭脾土所致。早晨服用柴胡清肝散，晚上服用异功散加钓藤钩，于是痊愈。当时，有患前证服用祛风导痰药物的人，都不能治愈。有一个小儿在痢疾后出现前证并发抽搐，面色萎黄，肢体倦怠，这是元气虚弱，被攻伐太过所致。我用补中益气汤加钓藤钩子，服用后逐渐痊愈。后来因为乳母七情饮食失调，或者小儿乳食过多，前证再次发作，服用补中益气汤、五味异功散而痊愈。
【钱乙】全蝎散 治疗小儿惊风中风，口眼歪斜，言语不清，手足偏废不能举起。
全蝎（去毒，炒） 僵蚕（直的，炒） 川芎 黄芩（去心） 甘草 桂枝 赤芍药 麻黄（去节，各一两） 天麻（六钱） 大南星（汤泡七次，去皮脐，切，焙干，五钱）
以上药材研为粗末。每次服用三钱，加水一钟半，生姜七片，煎至七分。温服，不拘时候，根据患儿年龄大小给药，一日三四次。忌食羊肉。
胃风汤 治疗风冷乘虚侵入肠胃，水谷不化，泄泻注下，以及肠胃湿毒，大便像豆汁或瘀血一样，日夜无度。
人参 白茯苓 川芎 肉桂 当归 白芍药 白术（各等分）
以上药材研为散剂。每次服用二钱，加入粟米数粒同煎。饭前服用。
[Xue Ji] When infants and children present with hemifacial paralysis (pian feng), it belongs to the syndromes of the Shaoyang Gallbladder and Jueyin Liver meridians. Trismus (jin) is caused by tendon spasm, resulting from excessive Wind-Wood overacting on Spleen-Earth; when Water-Dampness is overcome, the tendons become excessively dry. However, since Dry-Metal governs contraction and rigidity, this manifestation occurs. It is also said: Wind pathogenic factors are prone to migration and rapid changes; whether affecting the left or right side, the etiology is consistent, so treatment must be cautious and based on syndrome differentiation. If Qi deficiency in the Foot-Yangming Stomach meridian allows Wind pathogens to invade, causing unilateral tendon spasm, this is classified as an external cause. If Wind-Heat in the Foot-Jueyin Liver meridian overacts on the Spleen, causing unilateral tendon spasm, this is classified as an internal cause. If Spleen and Lung Qi are deficient, with loose interstices allowing external pathogens to invade, or if prolonged use of mineral medicines depletes Liver Blood, or if fluids are lost after vomiting and diarrhea, failing to nourish the Liver, leading to hemifacial paralysis or hemiplegia, these all belong to insufficient Liver Blood and Wind generated by Liver Fire. The treatment should involve nourishing Kidney Water, tonifying Liver Blood, and strengthening Spleen Earth. Therapeutic methods: For Wind movement due to Spleen-Stomach deficiency, use Yigong San (Isolated Efficacy Powder) added with Chai Hu (Bupleuri Radix) and Gou Teng (Uncariae Ramulus cum Uncis). For Spleen-Lung deficiency with external pathogen invasion, use Gouteng Yin (Uncaria Decoction). For Liver Fire and blood dryness, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). For fluid insufficiency, use Baizhu San (Atractylodes Powder). If accompanied by eyes tightly fixed upward, alternating chills and fever, dribbling urination, bluish-white complexion, and distending pain in the hypochondrium, these are primary diseases of the Liver meridian. If accompanied by deviation of lips and mouth, abdominal pain, poor appetite, eyelid edema, bluish-yellow complexion, and limb fatigue, these are syndromes of Liver Wood overacting on Spleen Earth. One must examine the mutual overcoming relationships among the Five Zang organs to treat accordingly. If one adheres strictly to observed symptoms and indiscriminately administers Wind-dispelling drugs, it may lead to deteriorated conditions. An infant presented with hemifacial paralysis and a complexion that was sometimes blue and sometimes red; this was due to Liver and Heart Wind-Fire overacting on the Spleen. In the morning, Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) was administered; in the evening, Yigong San added with Gou Teng was given, resulting in recovery. At that time, patients with similar symptoms who took Wind-dispelling and phlegm-resolving drugs failed to recover. Another infant developed convulsions and the aforementioned symptoms after dysentery, presenting with sallow complexion and limb fatigue; this indicated deficient Yuan Qi due to excessive purgation. I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Gou Teng Zi (Uncaria Fruit), which led to gradual recovery. Later, due to the wet nurse's emotional and dietary irregularities, or excessive milk intake by the infant, the symptoms recurred. Administration of Buzhong Yiqi Tang and Wuwei Yigong San (Five-Ingredient Isolated Efficacy Powder) resulted in recovery.
[Qian Yi] Quanxie San (Scorpion Powder) treats infantile convulsive wind-stroke, hemifacial paralysis, speech impairment, and unilateral flaccidity of limbs.
Quanxie (Scorpio, detoxified and stir-fried), Jiangcan (Bombyx Batryticatus, straight ones, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma), Guizhi (Cinnamomi Ramulus), Chi Shaoyao (Paeoniae Radix Rubra), Mahuang (Ephedrae Herba, joints removed) — each 1 liang; Tianma (Gastrodiae Rhizoma) — 6 qian; Dananxing (Arisaematis Tuber, soaked in water seven times, skin and navel removed, sliced, dried) — 5 qian.
Grind into coarse powder. Each dose: 3 qian, boiled with 1.5 zhong of water and 7 slices of ginger until reduced to 0.7 zhong. Take warm, at any time, adjusted for age, 3–4 times daily. Avoid mutton.
Weifeng Tang (Stomach Wind Decoction) treats wind-cold invading the intestines and stomach due to deficiency, causing indigestion of food and drink, watery diarrhea, and intestinal-rectal damp-toxin manifesting as stool resembling bean curd dregs or blood clots, occurring day and night without restraint.
Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Xiong (Chuanxiong), Rougui (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma) — equal parts.
Grind into powder. Each dose: 2 qian, boiled with several grains of millet. Take before meals.