慢脾风之候，面青额汗，舌短头低，眼合不开，睡中摇头吐舌，频呕腥臭，噤
口切牙，手足微搐而不收，或身冷身温而四肢冷，其脉沉微，阴气极盛，胃气极虚，
十救一二。盖由慢惊之后，吐泻损脾，病传已极，总归虚处，惟脾所受，故曰脾风，
若逐风则无风可逐，若治惊则无惊可治，但脾间痰涎，虚热往来，其眼合者，脾困
气乏，神志沉迷，痰涎凝滞而已。然慢脾之名，又曰虚风，小儿或吐或泻之后，面
色虚黄，因虚发热，才见摇头斜视，昏困额汗，身亦粘汗，声沉小而焦，即脾风之
证，不必皆因急慢风传次而至，又当识之。又，慢脾之候，言脾而不言胃何也，盖
胃为腑属阳，非若脾乃阴脏也，故小儿病传在腑多自愈，在脏不可不治，盖小儿纯
阳之气，在腑为顺，在脏为逆，古人皆理其脏，未言治腑也。又，肾一脏，常主虚，
不可攻治，若肾脏有患，但清心肺，缘心与肾，即既济也，肺与肾，又子母也，无
与肾药及诸补药也。慢脾惟吐与泻，积与痢传入，慢候其证变至速，虚又速也，治
必循次平和，无令速愈之理，药和且平，调脾养胃，不可过剂也，钱氏有黄土汤以
土胜水，木得其平，则风自止，以脾土为本也。治法，大要生胃回阳，若眼半开
半合，手足不冷，证候尚在慢惊，则勿用回阳，或已入慢脾而阳气未甚脱者，亦未
可即用硫黄、附子、等剂，手足渐暖，仍以醒脾散等调之。
曾氏用青金丹、天麻饮灌服，或六柱散、固真汤。
〔钱氏方〕
栝蒌汤
栝蒌（二钱） 白甘遂（末，一钱）
上同于慢火上炒焦黄，研匀。每服一字，麝香、薄荷、汤调服。
上栝蒌汤，钱氏治慢惊法，脉有力者宜用，盖湿痰积于膈中，使风火不得开
发而身冷，故用栝蒌汤劫去湿痰，使风火得伸而身温搐止，若脉无力者，不宜用
之，盒饭补脾及温白丸、羌活膏之类。
青州白丸子 治小儿惊风，大人诸风。
半夏（生，七两） 南星（生，三两） 白附子（生，二两） 川乌（生，半两，去皮脐）
上为末。以生绢袋盛，井花水摆出，如未出者，更以手揉出，如有滓，更研，
再入绢袋，摆尽为度。于瓷盆中日晒夜露，至晓，撇去旧水，别用井花水搅，又
晒，至来日早，再换新水，搅如此法。春五日，夏三日，秋七日，冬十日，去水
晒干后，如玉片。研细，以糯米粉煎粥清、丸绿豆大。每服三、五丸，薄荷汤下。
瘫风，酒下。并无时。
异功散温中和气，治吐泻不思食。（方见吐泻。）
温白丸 治小儿脾气虚困，泄泻瘦弱，冷疳洞利，及因吐泻或久病，成慢惊螈 。
天麻（生，半两） 白僵蚕（炒） 白附子（生） 天南星（锉，汤洗，焙干。各一两）
干蝎（去毒，一钱）
上为末，汤浸寒，食面为丸，如绿豆大。仍于寒食面中养七日，取出用。每服五
七丸至二三十丸，空心，生姜米饮下，量病势渐加丸数服之。（寒食面，谓寒食日煮吃面，
取之，以焙干贮用也。）
钓藤饮子 治吐利，脾胃气弱，虚风慢惊。
钓藤（七钱半） 蝉壳 防风（去芦） 人参（去芦） 麻黄（去节） 白僵蚕（炒黄）
天麻 蝎尾（炒，去毒。各半两） 甘草（炙） 川芎（各二钱五分） 麝香（一钱，另研）
一方，有蜣螂三个，去头足炙黄。
上为末。每服二钱，水一盏，姜三片，煎六分，温服，量多少与之。寒多者加
附子半钱，服无时。
羌活膏 治脾胃虚，或吐泻后为慢惊者。亦治伤寒，无不效。
防风（去芦） 川芎 人参（去芦） 白附子（炮） 赤茯苓（去皮。各半两） 天麻（一两）
白僵蚕（汤浸，炒黄） 干蝎（炒，去毒） 白花蛇（酒浸，焙。各一分） 川附子（炮去皮脐）
麻黄（去节。各三钱） 肉豆蔻 沉香 母丁香 藿香叶 木香（各二钱） 轻粉 真珠末 牛黄（各
一钱五分） 龙脑（半字） 麝香 辰砂 雄黄（各一钱。以上七味各另研） 羌活（半两）
上为细末，炼蜜作剂，旋丸如豆大。每服一二丸，食前服，或薄荷汤、或麦门
冬汤化下。实热急惊，勿服，性温故也。
海脏返魂丹 治小儿诸癫痫，潮发螈 ，口眼相引，项背强直，牙关紧急，目直上
视。及诸病久虚，变生虚风多睡者，因荏苒不解，速宜服之。
乌犀（锉屑，二两） 水银 天麻（酒洗，焙干） 槟榔（各半两） 僵蚕（去丝嘴，微炒）
硫黄（半两，研末，入水银，置磁石盏内，慢炒成沙，火要看紧慢） 白附子（炮） 川乌（炒通赤，留
烟少许，入碗内，以一盏子盖上，新土围之，待冷取出） 独活（去芦） 干蝎（炙） 萆 （炒。
各一两） 肉桂（去粗皮） 当归（酒浸，焙干，炒） 细辛（根） 防风（去芦） 天南星（姜汁煮软，
炒黄） 阿胶（杵碎，炒） 藿香（洗去土） 乌蛇（酒浸一宿，炙熟，去皮骨） 沉香 槐胶
羌活 白花蛇（酒浸一宿，炙熟，去皮骨） 麻黄（去根节） 半夏（姜汁浸三宿，炒） 羊
角（镑） 陈皮（去白，炒。以上各一两） 天竺黄（研） 木香 人参（去芦） 干姜（炮） 茯苓
（去皮） 蔓荆子（去白皮） 晚蚕砂（微炒） 败龟板（醋酒炙黄） 本（去土） 桑螵蛸（炒）
白芷 何首乌（米泔浸一宿，煮，焙） 虎骨（酒醋涂，炙黄） 砂仁 白术（泔浸一宿，切，焙）
枳壳（炒，去白） 丁香 浓朴（去皮，姜汁涂炙。各三分） 蝉壳（炒） 川芎 附子（水浸泡，去皮尖）
石斛（去根） 肉豆蔻（去壳，微炒） 龙脑（另研） 雄黄（研，水飞） 朱砂（研，水飞。各一两）
腻粉（另研） 麝香（另研。各一钱） 乌鸡（一只，去
嘴翅足） 狐肝（三具。二味，腊月内入瓦瓶固济，火 赤，候冷，取出，研用） 金箔（三拾片，为衣）
上药五十八味，炮制如法，炼蜜合和，捣三五千下，丸如桐子大，金箔为衣。
每一岁儿，温薄荷自然汁化下。无时。
上，阎氏、宗钱氏治慢惊法，脉无力者宜之。其法以青州白丸子兼异功散、羌
活膏、温白丸、钓藤饮子之类，服之至有往往死中得生者。
〔汤氏法〕
凡吐泻成虚风慢脾，先用夺命散、青州白丸子末、煎如稀糊，入蜜调，控下涎
后，服祛风醒脾等药。
夺命散（方见后通治急慢惊下）
治虚风八仙散 风盛者服之。
白天麻 白附子 花蛇肉 防风 南星 半夏 冬瓜子 全蝎（各等分） 加川乌
上 咀。每服一钱，水半盏，姜二片，枣半枚，煎二分，热服。加薄荷尤佳。
醒脾散 昏困者服之。
白术 人参 甘草 橘红 茯苓 全蝎（各半两） 半夏 木香（各一分） 白附子（炮，四个）
南星（炮，两枚） 陈仓米（二百粒。一方无白术、半夏，加莲肉一钱，亦可）
上为末。每服一钱，水半盏，姜二片，枣半个，煎二分，渐惭服之。不可顿服，
顿服必吐。
酿乳方
人参 木香 藿香 沉香 橘皮 神曲 麦芽（各等分） 丁香（减半）
上 咀。每服四钱，水一碗，姜十片，紫苏十叶，枣三枚，煎至半碗。乳母食
后须去乳汁尽，方取服之，即仰卧霎时，令药入乳之络，次令儿吮数口，不可过
饱，此良法也。如呕定一日，急宜截风，服八仙散，两日后，宜醒脾散，如前件
药俱用不效，危困可忧，须诊太冲脉，未绝者，当灸百会一穴，前后发际两耳尖
折中，乃是穴也，《方书》所载，但云顶上旋毛中，殊不审有双顶者，又有旋毛
不正者，庸医之辈，习循旧本，误人多矣。灸后即当控涎，用青州白丸子末再煎
如稀糊，入炼蜜调夺命散，良久涎下，细研灵砂，米饮调，旋抹口中，渐看退证。
如风盛服八仙散，昏困服醒脾散，常令减乳，乳母服酿乳药，如此调理，无不愈
者。间有禀受不坚，五行数短者，虽神圣工巧，不能夺其造化矣。若涎已离膈，
但在喉中如锯，药不能入，又不可控，当用别法撩之，兼搐鼻喷嚏得出，次服夺
命散，庶免再作。
撩痰方
川乌尖 白附尖（各七个，去皮，生用） 蝎稍（七枚） 石绿（少许）
上为末，一处和匀。用软鸡翎蘸药，入喉中逐渐抽出，频用帕子拭之。
上，汤氏治慢惊法，先用夺命散、白丸子控涎，候涎下一回，用八仙、醒脾，
等一回令乳母用酿乳法，如危极者，却灸百会及撩痰法。但夺命用礞石，气虚者
难用，必与东垣益黄散相兼服之，可也。
〔陈氏法〕
治慢惊风，先服芎蝎散，用手法斡出寒痰冷涎，自不痴呆，次服油珠膏，后服
益真汤温壮元气，时服前朴散宽上实下。
芎蝎散 治小儿脑髓受风，囟颅开解，皮肉筋脉急胀，脑骨缝青筋起，面少血色，
或腹中气响，时便青白色沫，或呕吐痰涎，欲成慢惊搐、足胫冷者。
川芎 荜茇（各一两） 细辛 半夏（酒浸一宿，汤洗，焙。各二钱） 蝎稍（去毒，一钱）
上细末。一周儿，抄一铜钱，用数沸汤调，稍热，饥服。如痰满胸喉中，眼珠
斜视，速与服。若目上直视、不转睛者，难救。或痰气壅塞，不能咽药，用一指
于儿喉靥 中探入，就斡去痰涎，气稍得通，次用补脾益真汤，或以油珠膏选用，
此方累世活人多矣。
油珠膏 治气逆呕吐，风痰作搐。
石亭脂（硫黄中拣取如蜡者） 滑石（各半两） 黑附子（炮，去皮脐） 半夏（酒浸一
宿，汤洗七次，焙干） 南星（醋浸一宿，汤洗七次，焙干。各一钱）
上细末。每服一钱，用冷清齑汁半盏，滴麻油一点如钱，抄药在油珠上，须臾
坠下，却去齑汁，与儿服之，更用清齑汁三五口咽下，肚饥服。服讫后一时，方
与乳食。
补脾益真汤 治胎弱，吐乳便清，而成阴痫，气逆涎潮，眼珠直视，四肢抽掣。或
因变蒸、客忤，及受惊误服凉药所作。
木香 当归 人参 黄 丁香 诃子 陈皮 浓朴（姜制） 甘草（炙） 肉豆蔻（面裹，
煨） 草果 茯苓 白术 桂枝 半夏（汤泡） 附子（炮。各半两） 全蝎（炒，每服加一枚）
上 咀。每服三钱，水一盏半，姜一片，枣一枚，煎六分，稍热，饥服。服讫，
令揉心腹，以助药力，候一时、方与乳食。渴者，加茯苓、人参、甘草，去附
子、丁香、肉蔻。泻者，加丁香、诃子肉。呕吐，加丁香、半夏、陈皮。
腹痛者，加浓朴、良姜。咳嗽，加前胡、五味子，去附子、官桂、草果、肉蔻。
足冷，加附子、丁香、浓朴。恶风自汗，加黄 、官桂。痰喘，加前胡、枳
实、赤茯苓，去附子、丁香、肉蔻、草果。气逆不下，加前胡、枳壳、槟榔，
去当归、附子、肉蔻。腹胀，加浓朴、丁香、前胡、枳壳。
前朴散 治心腹结气，或呕哕吐泻，腹胀痛，惊悸。
前胡 白术 人参 陈皮 良姜 藿香 甘草 浓朴（各等分）
上锉。每服三钱，水一盏，煎七分，稍热，空心服。
小儿误服凉药，或用帛蘸水缴口，因此伤动脾胃，或泄泻，或腹胀，或腹中响。
小儿面少血色，常无喜笑，不看上而视下。小儿囟颅高急，头缝青筋，时便青粪。
小儿肥壮，粪如清涕，或如冻汁。小儿时时扎眼，粪便青白沫，有时干硬。以
上五证，忽然呕吐者，必成阴痫，俗谓慢惊是也。小儿头虽热，眼珠青白而足冷。
或腹胀而足冷。或泻而足冷。或呕而足冷。或渴而足冷。（头热、目赤、痰塞鼻喉咽，皆无根之火
逆也。）以上五证，忽然吐而作搐者，名曰慢脾风，速与补脾益真汤一服，三钱重加
蝎一枚。如因惊而搐者，前朴散一服，三钱重加附子、前胡各半钱，同煎。
上，陈文忠治慢惊法，其治之次第，自成一家，故另录之，以备采用。其医
案所言芎蝎散、油珠膏累累取效。
〔曾氏方〕
冲和饮 治感冒风寒，头疼发热，肩背拘急，恶心呕吐，腹痛膨胀，兼寒湿相搏，
四肢拘急，冷气侵袭，腰足痛疼。
苍术（米泔水浸一宿，去粗皮，锉片，炒微黄色，一两二钱） 人参（去芦） 前胡（去芦） 桔梗（炒。
各五钱） 枳壳（去穣，麸炒微黄色） 麻黄（去节） 陈皮（去白。各三钱） 川芎 白芷 半夏（汤洗七次，
姜汁浸，晒干，炒） 当归（酒洗） 薄桂（去粗皮） 白芍药 赤茯苓（去皮。各一钱半） 干姜
浓朴（去粗皮，姜汁浸一宿，慢火炒干，各二钱） 甘草（炙，七钱半）
上锉。每服二钱，水一盏，姜二片，葱一根，煎七分，无时温服。伤冷、恶心
呕吐，煨姜同煎。开胃进食，加枣子煎，空心温投。寒疝痛，入盐炒茱萸、 香、
同煎。
七宝散 治时气、伤风、伤寒，头昏、体热、咳嗽，及脾胃肺脏不和，口中腥气异
常，或牙缝微有鲜血，兼调理诸病后小证得中，以其品味不僭不燥，为佳。
紫苏（去老梗） 净香附（各三两） 甘草 陈皮（去白） 桔梗（锉，炒。各二两半）
川芎 白芷（各一两）
上 咀。每服二钱，水一盏，姜二片，煎七分，无时，温服。痰嗽、加制半夏，
慢脾风的证候表现为：面色青暗，额头出汗，舌体短缩且头低垂，眼睛闭合难以睁开，睡眠中摇头吐舌，频繁呕吐带有腥臭味的东西，牙关紧闭并咬紧牙齿，手足轻微抽搐且不能自主收回，或者身体发冷或微温但四肢冰冷，脉象沉而微弱。这是阴气极盛、胃气极度虚弱的表现，十个人中只能救活一两个。
这通常是由于慢惊风之后，因呕吐和腹泻损伤了脾脏，病情传变已至极点，最终归结于虚损之处，唯独脾脏受累，所以称为“脾风”。如果去驱逐风邪，则无风可逐；如果去治疗惊风，则无惊可治。这里只有脾间的痰涎停滞，以及虚热的往来。患者眼睛闭合，是因为脾脏困顿、气力匮乏，神志沉迷，痰涎凝滞所致。
然而，“慢脾”这个名字，又被称为“虚风”。小儿在发生呕吐或腹泻之后，面色呈现虚黄，因为虚弱而产生发热，刚出现摇头、斜视、昏沉困倦、额头出汗、身上粘汗、声音低沉细小且焦躁等症状，就是脾风的证候。并不一定都要经过急惊风或慢惊风的传变过程才会形成，这一点也应当认识清楚。
另外，论述慢脾风的证候时，只说脾而不说胃，为什么呢？因为胃属于腑，属性为阳，不像脾是阴性的脏。所以小儿的病情传到腑部大多能自愈，传到脏部则必须治疗。这是因为小儿具有纯阳之气，病在腑为顺证，病在脏为逆证。古人都是调理脏，而没有说要治疗腑。
此外，肾脏这一脏，常主虚证，不可用攻伐的方法治疗。如果肾脏有病患，只需清心火和肺金即可。因为心与肾的关系是水火既济，肺与肾的关系是母子相生，不需要给肾脏用药以及其他补药。
慢脾风多由呕吐、腹泻、积滞、痢疾传入引起。慢脾风的证候变化非常迅速，虚损也很快，治疗必须循序渐进，保持平和，没有追求速愈的道理。药物要温和且平稳，以调补脾脏、养护胃气为主，不可过量使用。钱乙（钱氏）创制了黄土汤，利用土克水的原理，使木气得到平衡，则风邪自然停止，这是以脾土为本位的治疗思路。
治疗的大要在于生养胃气和回阳救逆。如果患儿眼睛半开半合，手足不冷，证候尚处于慢惊阶段，则不要使用回阳的药物。如果已经转入慢脾风，但阳气尚未严重脱失，也不应立即使用硫黄、附子等峻烈药剂。待手足逐渐回暖后，再用醒脾散等方剂进行调理。
曾世荣（曾氏）使用青金丹、天麻饮灌服，或者使用六柱散、固真汤。
【钱乙方】
栝蒌汤
栝蒌（二钱） 白甘遂（研末，一钱）
将上述两味药一起在慢火上炒至焦黄色，研磨均匀。每次服用一字量，用麝香、薄荷配合汤水调服。
以上栝蒌汤，是钱乙治疗慢惊风的方法，适用于脉象有力的患者。这是因为湿痰积聚在膈中，导致风火无法宣发从而身体发冷，所以用栝蒌汤强力祛除湿痰，使风火得以伸展，身体变暖，抽搐停止。如果脉象无力，则不宜使用，应当补脾及服用温白丸、羌活膏之类的药物。
青州白丸子 治疗小儿惊风，以及大人的各种风病。
半夏（生用，七两） 天南星（生用，三两） 白附子（生用，二两） 川乌（生用，半两，去皮脐）
将上述药材研成细末。装入生绢袋中，用井水反复摆动冲洗，如果未洗出的部分，再用手揉搓挤出。如果有渣滓，再次研磨，重新放入绢袋，直到冲洗干净为止。放在瓷盆中白天日晒、夜晚露置，到第二天早晨，撇去旧水，换新的井水搅拌，再晾晒。到了第二天早上，再换新水，如此操作。春季五日，夏季三日，秋季七日，冬季十日，去掉水分晒干后，质地如玉片。研细，用糯米粉煎成的粥清作为粘合剂，制成绿豆大小的丸药。每次服用三到五丸，用薄荷汤送下。如果是瘫风，用酒送下。随时可以服用。
异功散 功效为温中和气，治疗呕吐腹泻不想吃东西。（方剂见“吐泻”章节。）
温白丸 治疗小儿脾气虚弱困顿，泄泻消瘦，冷疳洞泄，以及因呕吐腹泻或久病形成的慢惊风抽搐。
天麻（生用，半两） 白僵蚕（炒） 白附子（生用） 天南星（锉碎，用水煮洗，焙干。各一两） 干蝎（去毒，一钱）
将上述药材研成细末，用寒食面糊浸湿，制成绿豆大小的丸药。仍在寒食面中培养七天，取出使用。每次服用五到七丸，最多二三十丸，空腹时用生姜米饮送下，根据病情轻重逐渐增加丸数服用。（寒食面，是指寒食节那天煮的面，取出来焙干储存备用。）
钓藤饮子 治疗呕吐腹泻，脾胃气弱，虚风引起的慢惊风。
钓藤（七钱半） 蝉蜕 防风（去芦头） 人参（去芦头） 麻黄（去节） 白僵蚕（炒黄） 天麻 蝎尾（炒，去毒。各半两） 甘草（炙） 川芎（各二钱五分） 麝香（一钱，另研）
另一配方，加蜣螂三个，去头足烤黄。
将上述药材研成细末。每次服用二钱，加水一盏，生姜三片，煎至六分，温服，根据年龄大小决定剂量。寒邪重者加附子半钱，随时服用。
羌活膏 治疗脾胃虚弱，或者呕吐腹泻后引起的慢惊风。也治疗伤寒，无不有效。
防风（去芦头） 川芎 人参（去芦头） 白附子（炮制） 赤茯苓（去皮。各半两） 天麻（一两） 白僵蚕（水泡，炒黄） 干蝎（炒，去毒） 白花蛇（酒浸，焙干。各一分） 川附子（炮制去皮脐） 麻黄（去节。各三钱） 肉豆蔻 沉香 母丁香 藿香叶 木香（各二钱） 轻粉 真珠末 牛黄（各一钱五分） 龙脑（半字） 麝香 辰砂 雄黄（各一钱。以上七味各另研） 羌活（半两）
将上述药材研成细末，用炼蜜制作成药剂，随做随丸成豆大。每次服用一到二丸，饭前服用，或者用薄荷汤、麦门冬汤化开送下。实热急惊风，不要服用，因为此药性温。
海脏返魂丹 治疗小儿各种癫痫，潮发作搐，口眼歪斜牵引，项背强直，牙关紧急，眼球上翻。以及各种疾病久虚，变生虚风多睡的情况，因拖延不解，应尽快服用。
乌犀（锉成屑，二两） 水银 天麻（酒洗，焙干） 槟榔（各半两） 僵蚕（去丝嘴，微炒） 硫黄（半两，研末，加入水银，置于磁石盏内，慢炒成沙状，火候要看紧慢） 白附子（炮制） 川乌（炒至通红，留少许烟，放入碗内，用一盏盖住，周围围上新土，待冷却后取出） 独活（去芦头） 干蝎（炙） 萆薢（炒。各一两） 肉桂（去粗皮） 当归（酒浸，焙干，炒） 细辛（根） 防风（去芦头） 天南星（姜汁煮软，炒黄） 阿胶（捣碎，炒） 藿香（洗去泥土） 乌蛇（酒浸一夜，烤熟，去皮骨） 沉香 槐胶 羌活 白花蛇（酒浸一夜，烤熟，去皮骨） 麻黄（去根节） 半夏（姜汁浸三夜，炒） 羊角（镑片） 陈皮（去白，炒。以上各一两） 天竺黄（研） 木香 人参（去芦头） 干姜（炮制） 茯苓（去皮） 蔓荆子（去白皮） 晚蚕砂（微炒） 败龟板（醋酒炙黄） 本（去土） 桑螵蛸（炒） 白芷 何首乌（米泔水浸一夜，煮，焙） 虎骨（酒醋涂，炙黄） 砂仁 白术（泔水浸一夜，切，焙） 枳壳（炒，去白） 丁香 浓朴（去皮，姜汁涂炙。各三分） 蝉蜕（炒） 川芎 附子（水泡浸泡，去皮尖） 石斛（去根） 肉豆蔻（去壳，微炒） 龙脑（另研） 雄黄（研，水飞） 朱砂（研，水飞。各一两） 腻粉（另研） 麝香（另研。各一钱） 乌鸡（一只，去嘴翅足） 狐肝（三具。这两味药，腊月内放入瓦瓶密封，烧红，待冷却后取出，研磨使用） 金箔（三十片，作为包衣）
上述五十八味药，按法炮制，用炼蜜调和，捣三五千下，制成梧桐子大小的丸药，用金箔包衣。
每一岁儿童，用温薄荷自然汁化开送下。随时服用。
以上，阎孝忠、宗法钱乙治疗慢惊风的方法，适用于脉象无力的患者。其方法是将青州白丸子兼异功散、羌活膏、温白丸、钓藤饮子等配合服用，往往有死里逃生的案例。
【汤氏法】
凡是呕吐腹泻形成虚风慢脾的，先用夺命散、青州白丸子末，煎成稀糊状，加入蜂蜜调匀，控制排出涎液后，再服用祛风醒脾等药物。
治疗虚风八仙散 风邪盛者服用。
白天麻 白附子 花蛇肉 防风 南星 半夏 冬瓜子 全蝎（各等分） 加川乌
将上述药材切碎。每次服用一钱，加水半盏，生姜两片，枣半个，煎至二分，热服。加薄荷更好。
醒脾散 昏沉困倦者服用。
白术 人参 甘草 橘红 茯苓 全蝎（各半两） 半夏 木香（各一分） 白附子（炮制，四个） 南星（炮制，两枚） 陈仓米（二百粒。一方无白术、半夏，加莲肉一钱，也可以）
将上述药材研成细末。每次服用一钱，加水半盏，生姜两片，枣半个，煎至二分，逐渐少量服用。不可一次性服完，一次性服完必定会呕吐。
酿乳方
人参 木香 藿香 沉香 橘皮 神曲 麦芽（各等分） 丁香（减半）
将上述药材切碎。每次服用四钱，加水一碗，生姜十片，紫苏十叶，枣三枚，煎至半碗。乳母吃完奶后必须排空乳汁，然后才取药服用，随即仰卧片刻，让药进入乳络，接着让婴儿吮吸几口，不可过饱，这是良法。如果呕吐停止一天，急需截风，服用八仙散，两天后，宜服用醒脾散，如果上述药物均无效，病情危重令人担忧，应当诊察太冲脉，如果脉搏未绝，应当灸百会一穴，位置在前后发际与两耳尖连线的中点，这就是穴位，《方书》所载，只是说在头顶旋毛中，很不确切，有的人有两个顶骨，又有的人旋毛不正，庸医之辈，沿袭旧本，误导人很多。灸完后应当控出涎液，用青州白丸子末再煎成稀糊状，加入炼蜜调匀夺命散，良久涎液流出，细细研磨灵砂，用米饮调匀，慢慢涂抹口中，逐渐观察退证情况。如果风盛服用八仙散，昏困服用醒脾散，经常减少喂奶，乳母服用酿乳药，如此调理，没有不痊愈的。间或有禀赋不坚固，五行数理短少的，即使是神圣工巧的医生，也不能改变其造化。如果涎液已经离开膈部，只在喉中像锯木头一样响，药物不能进入，也不可控制，应当用别的方法撩起，同时搐鼻使其打喷嚏排出，随后服用夺命散，以免再次发作。
撩痰方
川乌尖 白附尖（各七个，去皮，生用） 蝎稍（七枚） 石绿（少许）
将上述药材研成细末，混合均匀。用软鸡毛蘸药，伸入喉中逐渐抽出，频繁用帕子擦拭。
以上，是汤氏治疗慢惊风的方法，先用夺命散、白丸子控出涎液，等涎液排出一轮后，用八仙、醒脾散，过一会儿让乳母用酿乳法，如果病情极其危重，则灸百会及用撩痰法。但夺命散用礞石，气虚者难用，必须与东垣益黄散配合服用，才可以。
【陈氏法】
治疗慢惊风，先服用芎蝎散，用手势斡出寒痰冷涎，自然就不痴呆，其次服用油珠膏，后来服用益真汤温壮元气，时常服用前朴散宽上实下。
芎蝎散 治疗小儿脑髓受风，囟门开解，皮肉筋脉急胀，脑骨缝青筋突起，面色少血色，或者腹中气响，时而大便青白色沫，或者呕吐痰涎，欲成慢惊抽搐、足胫冷的情况。
川芎 荜茇（各一两） 细辛 半夏（酒浸一夜，水洗，焙干。各二钱） 蝎稍（去毒，一钱）
研成细末。一周岁的婴儿，取一铜钱量的药，用几沸热水调匀，稍热，饥饿时服用。如果痰满胸喉中，眼珠斜视，速与服用。如果眼球上直视、不转动，难救。或者痰气壅塞，不能咽药，用一指在婴儿喉靥中探入，顺势斡去痰涎，气稍得通，其次用补脾益真汤，或者选用油珠膏，此方累世救人无数。
油珠膏 治疗气逆呕吐，风痰作搐。
石亭脂（从硫黄中拣选如蜡状的） 滑石（各半两） 黑附子（炮制，去皮脐） 半夏（酒浸一夜，水洗七次，焙干） 南星（醋浸一夜，水洗七次，焙干。各一钱）
研成细末。每次服用一钱，用冷清齑汁半盏，滴麻油一点如铜钱大，将药放在油珠上，须臾坠下，去掉齑汁，给婴儿服用，再用清齑汁三五口咽下，肚子饿时服用。服完后一小时，才给乳食。
补脾益真汤 治疗胎弱，吐乳便清，而成阴痫，气逆涎潮，眼球直视，四肢抽掣。或者因变蒸、客忤，以及受惊误服凉药所作。
木香 当归 人参 黄芪 丁香 诃子 陈皮 浓朴（姜制） 甘草（炙） 肉豆蔻（面裹，煨） 草果 茯苓 白术 桂枝 半夏（水泡） 附子（炮制。各半两） 全蝎（炒，每服加一枚）
切碎。每次服用三钱，加水一盏半，生姜一片，枣一枚，煎至六分，稍热，饥饿时服用。服完后，让揉心腹，以助药力，等一小时，才给乳食。口渴者，加茯苓、人参、甘草，去附子、丁香、肉蔻。腹泻者，加丁香、诃子肉。呕吐，加丁香、半夏、陈皮。腹痛者，加浓朴、良姜。咳嗽，加前胡、五味子，去附子、官桂、草果、肉蔻。足冷，加附子、丁香、浓朴。恶风自汗，加黄芪、官桂。痰喘，加前胡、枳实、赤茯苓，去附子、丁香、肉蔻、草果。气逆不下，加前胡、枳壳、槟榔，去当归、附子、肉蔻。腹胀，加浓朴、丁香、前胡、枳壳。
前朴散 治疗心腹结气，或者呕哕吐泻，腹胀痛，惊悸。
前胡 白术 人参 陈皮 良姜 藿香 甘草 浓朴（各等分）
切碎。每次服用三钱，加水一盏，煎七分，稍热，空腹服用。
小儿误服凉药，或用帛蘸水擦拭口腔，因此伤动脾胃，或者泄泻，或者腹胀，或者腹中响。小儿面色少血色，常无喜笑，不看上面而看下面。小儿囟门高急，头缝青筋，时而大便青色粪。小儿肥壮，粪便如清涕，或者如冻汁。小儿时时眨眼，粪便青白沫，有时干硬。以上五种证候，忽然呕吐的，必成阴痫，俗谓慢惊是也。小儿头虽热，眼球青白而足冷。或者腹胀而足冷。或者腹泻而足冷。或者呕吐而足冷。或者口渴而足冷。（头热、目赤、痰塞鼻喉咽，皆无根之火逆也。）以上五种证候，忽然吐而作搐的，名曰慢脾风，速与补脾益真汤一服，三钱重加蝎一枚。如因惊而搐的，前朴散一服，三钱重加附子、前胡各半钱，同煎。
以上，是陈文忠治疗慢惊风的方法，其治疗的次第，自成一家，所以单独记录，以备采用。其医案所言芎蝎散、油珠膏屡屡取效。
【曾氏方】
冲和饮 治疗感冒风寒，头疼发热，肩背拘急，恶心呕吐，腹痛膨胀，兼寒湿相搏，四肢拘急，冷气侵袭，腰足痛疼。
苍术（米泔水浸一夜，去粗皮，锉片，炒微黄色，一两二钱） 人参（去芦头） 前胡（去芦头） 桔梗（炒。各五钱） 枳壳（去穣，麸炒微黄色） 麻黄（去节） 陈皮（去白。各三钱） 川芎 白芷 半夏（水洗七次，姜汁浸，晒干，炒） 当归（酒洗） 薄桂（去粗皮） 白芍药 赤茯苓（去皮。各一钱半） 干姜 浓朴（去粗皮，姜汁浸一夜，慢火炒干，各二钱） 甘草（炙，七钱半）
切碎。每次服用二钱，加水一盏，生姜两片，葱一根，煎七分，随时温服。伤冷、恶心呕吐，煨姜同煎。开胃进食，加枣子煎，空心温投。寒疝痛，入盐炒茱萸、茴香，同煎。
七宝散 治疗时气、伤风、伤寒，头昏、体热、咳嗽，以及脾胃肺脏不和，口中腥气异常，或者牙缝微有鲜血，兼调理诸病后小证得中，以其品味不僭不燥，为佳。
紫苏（去老梗） 净香附（各三两） 甘草 陈皮（去白） 桔梗（锉，炒。各二两半） 川芎 白芷（各一两）
切碎。每次服用二钱，加水一盏，生姜两片，煎七分，随时，温服。痰嗽、加制半夏，
The clinical manifestations of Manpi Feng (Slow Spleen Wind) include: a bluish complexion, sweating on the forehead, a short tongue, a drooping head, eyes closed and unable to open, shaking the head and sticking out the tongue during sleep, frequent vomiting of foul-smelling fluids, locked jaw with teeth grinding, mild twitching of the hands and feet that cannot be voluntarily controlled, or a cold body or slightly warm body but cold limbs, with a deep and faint pulse. This indicates extreme excess of Yin Qi and extreme deficiency of Stomach Qi; only one or two out of ten can be saved. This condition usually arises after Man Jing Feng (Slow Convulsion Wind), where vomiting and diarrhea damage the Spleen Qi. The disease has progressed to an extreme stage, ultimately returning to deficiency, affecting primarily the Spleen, hence it is called Spleen Wind. At this stage, attempting to dispel wind finds no wind to dispel; attempting to treat convulsions finds no convulsions to treat. It is merely phlegm-fluids stagnating in the Spleen with alternating deficient heat. Those with closed eyes are due to Spleen exhaustion and lack of Qi, causing the spirit and consciousness to be lethargic and phlegm-fluids to coagulate.
However, "Manpi" is also known as "Xu Feng" (Deficient Wind). After vomiting or diarrhea, if a child presents with a sallow complexion, fever due to deficiency, and initially shows symptoms such as head shaking, squinting, lethargy, sweating on the forehead, sticky sweat on the body, and a low, weak, and parched voice, these are signs of Spleen Wind. It does not necessarily result from the transmission of Ji Jing Feng (Acute Convulsion Wind) or Man Jing Feng; this point must be recognized.
Furthermore, why does the description of Manpi Feng mention only the Spleen and not the Stomach? Because the Stomach belongs to the Fu organs and is Yang, unlike the Spleen which is a Zang organ. Therefore, diseases in the Fu organs often resolve spontaneously, while those in the Zang organs require treatment. Children possess pure Yang Qi; disease in the Fu organs is a favorable progression, while in the Zang organs it is unfavorable. Ancient physicians focused on treating the Zang organs, not the Fu organs.
Additionally, the Kidney is a Zang organ often associated with deficiency and should not be treated with purgative methods. If there is pathology in the Kidney, one should only clear the Heart and moisten the Lungs. This is because the Heart and Kidney share a relationship of Water and Fire interaction (Ji Ji), and the Lung and Kidney share a mother-son relationship. Medicines for tonifying the Kidney and various tonic agents should not be used.
Manpi Feng is typically transmitted through vomiting, diarrhea, food accumulation, or dysentery. The symptoms of Manpi Feng change rapidly, and the deficiency progresses quickly. Treatment must follow a gradual and balanced approach; there is no principle of rapid cure. Medications should be mild and gentle to harmonize the Spleen and nourish the Stomach, avoiding excessive dosages. Qian Yi (Qian Shi) created Huang Tu Tang (Yellow Earth Decoction) to use Earth to overcome Water, thereby balancing Wood, so that wind stops naturally. This treatment is based on the Spleen Earth as the root.
The general treatment principle involves generating Stomach Qi and restoring Yang. If the patient's eyes are half-open and half-closed, and the hands and feet are not cold, the condition remains in the stage of Man Jing Feng, so Yang-restoring drugs should not be used. Or, if the condition has entered Manpi Feng but Yang Qi has not severely collapsed, sulfur and Aconite preparations should not be used immediately. Once the hands and feet gradually warm up, use Xing Pi San (Spleen-Awakening Powder) and similar formulas for regulation.
Zeng Shirong (Zeng Shi) used Qing Jin Dan (Green Pill Elixir) and Tian Ma Yin (Gastrodia Drink) administered orally, or Liu Zhu San (Six Pillar Powder) and Gu Zhen Tang (Solidify True Decoction).
[Formulas by Qian Yi]
Gua Lou Tang (Trichosanthes Decoction)
Gua Lou (2 qian) Bai Gan Sui (powder, 1 qian)
Stir-fry the above ingredients together over slow fire until scorched yellow, then grind evenly. Take one zi dose each time, mixed with Moschus (She Xiang), Bo He (Mint), and taken with decocted water.
The above Gua Lou Tang is Qian Yi's method for treating Man Jing Feng, suitable for patients with a forceful pulse. This is because damp-phlegm accumulates in the diaphragm, preventing wind-fire from dispersing, leading to coldness of the body. Thus, Gua Lou Tang is used to forcefully remove damp-phlegm, allowing wind-fire to expand, warming the body and stopping convulsions. If the pulse is weak, it should not be used; instead, tonify the Spleen and administer Wen Bai Wan (Warm White Pill) or Qiang Huo Gao (Notopterygium Paste).
Qing Zhou Bai Wan Zi (Qingzhou White Pills) Treat pediatric convulsion wind and various wind disorders in adults.
Ban Xia (Raw, 7 liang) Nan Xing (Raw, 3 liang) Bai Fu Zi (Raw, 2 liang) Chuan Wu (Raw, 0.5 liang, peeled and umbilicus removed)
Grind into powder. Place in a raw silk bag and wash with well water by agitation. If residue remains, rub by hand to extract further. If dregs remain, grind again, re-enter the silk bag, and wash until complete. Sun-dry by day and dew-expose by night in a porcelain basin. By morning, discard old water, stir with fresh well water, and sun-dry again. Repeat this process: Spring 5 days, Summer 3 days, Autumn 7 days, Winter 10 days. Remove water and dry until the texture resembles jade flakes. Grind finely, mix with rice gruel liquid to form pills the size of mung beans. Take 3-5 pills each time, washed down with Mint tea. For Tan Feng (Paralytic Wind), take with wine. No specific timing.
Yi Gong San (Extraordinary Merit Powder) Warms and harmonizes Qi, treats vomiting, diarrhea, and loss of appetite. (Formula see Vomiting and Diarrhea section.)
Wen Bai Wan (Warm White Pill) Treats pediatric Spleen Qi deficiency and exhaustion, diarrhea, emaciation, cold Gan syndrome with loose stools, and Man Jing Feng convulsions resulting from vomiting, diarrhea, or chronic illness.
Tian Ma (Raw, 0.5 liang) Bai Jiang Can (Fried) Bai Fu Zi (Raw) Tian Nan Xing (Chopped, washed with water, dried. Each 1 liang) Quan Xie (De-toxified, 1 qian)
Grind into powder. Soak Han Shi Mian (Cold Food Flour) in water to make a paste, mix with flour to form pills the size of mung beans. Cultivate in Cold Food Flour paste for seven days, then take out for use. Take 5-7 pills, up to 20-30 pills, on an empty stomach, washed down with Ginger and Rice Drink. Gradually increase the number of pills according to the severity of the condition. (Han Shi Mian refers to noodles cooked on Cold Food Day, taken out and dried for storage.)
Diao Teng Yin Zi (Uncaria Infusion) Treats vomiting and diarrhea, weak Spleen and Stomach Qi, Xu Feng (Deficient Wind) and Man Jing Feng.
Diao Teng (7.5 qian) Chan Ke (Cicada Slough) Fang Feng (De-radicle) Ren Shen (De-radicle) Ma Huang (De-jointed) Bai Jiang Can (Fried yellow) Tian Ma Xie Wei (Fried, de-toxified. Each 0.5 liang) Gan Cao (Roasted) Chuan Xiong (Each 2.5 qian) She Xiang (Moschus, 1 qian, separately ground)
Alternative formula: Add three dung beetles (Qiang Lang), remove head and feet, roast until yellow.
Grind into powder. Take 2 qian each time, add one zhan of water, three slices of ginger, decoct to 0.6 zhan, take warm. Adjust dosage according to need. For excess cold, add 0.5 qian of Fu Zi. Take at any time.
Qiang Huo Gao (Notopterygium Paste) Treats Spleen and Stomach deficiency, or Man Jing Feng formed after vomiting and diarrhea. Also treats Shang Han (Cold Damage), with universal efficacy.
Fang Feng (De-radicle) Chuan Xiong Ren Shen (De-radicle) Bai Fu Zi (Pao/Processed) Chi Fu Ling (Peeled. Each 0.5 liang) Tian Ma (1 liang) Bai Jiang Can (Washed, fried yellow) Quan Xie (Fried, de-toxified) Bai Hua She (Soaked in wine, dried. Each 1 fen) Chuan Fu Zi (Pao/Processed, peeled and umbilicus removed) Ma Huang (De-jointed. Each 3 qian) Rou Dou Kou (Nutmeg) Chen Xiang (Agarwood) Mu Ding Xiang (Mother Clove) Huo Xiang Ye (Agastache Leaf) Mu Xiang (Each 2 qian) Qing Fen (Calomel) Zhen Zhu Mo (Pearl Powder) Niu Huang (Bezoar. Each 1.5 qian) Long Nao (Borneol, 0.5 zi) She Xiang (Moschus) Chen Sha (Cinnabar) Xiong Huang (Realgar. Each 1 qian. The above seven ingredients separately ground) Qiang Huo (0.5 liang)
Grind into fine powder. Use refined honey as binder, roll into pills the size of beans. Take 1-2 pills before meals, or dissolve in Mint Tea or Mai Men Dong Tang (Ophiopogon Decoction). Do not take for Excess Heat Ji Jing Feng (Acute Convulsion Wind) due to its warm nature.
Hai Zang Fan Hun Dan (Sea Organ Reviving Spirit Pill) Treats various epilepsies in children, tidal convulsions, facial deviation, neck and back stiffness, locked jaw, upward staring of eyes. Also treats prolonged deficiency from various diseases transforming into Xu Feng with excessive sleepiness. Due to lingering unresolved conditions, it should be taken promptly.
Wu Xi (Rhino Horn, shaved, 2 liang) Shui Yin (Mercury) Tian Ma (Washed in wine, dried) Bing Lang (Areca Seed. Each 0.5 liang) Jiang Can (Silkworm, remove silk mouth, lightly fried) Liu Huang (Sulfur, 0.5 liang, ground, mixed with mercury, placed in a magnet stone cup, slowly fried into sand-like consistency, monitor fire carefully) Bai Fu Zi (Pao/Processed) Chuan Wu (Stir-fried until red hot, leave slight smoke, place in bowl, cover with a cup, surround with new earth, wait until cool to retrieve) Du Huo (De-radicle) Quan Xie (Roasted) Bi Xie (Fried. Each 1 liang) Rou Gui (Cinnamon Bark, remove rough bark) Dang Gui (Soaked in wine, dried, fried) Xi Xin (Root) Fang Feng (De-radicle) Tian Nan Xing (Boiled in ginger juice until soft, fried yellow) E Jiao (Donkey-hide Gelatin, crushed, fried) Huo Xiang (Washed clean) Wu She (Black Snake, soaked in wine overnight, roasted, skin and bones removed) Chen Xiang (Agarwood) Huai Jiao (Locust Gum) Qiang Huo Bai Hua She (White Flower Snake, soaked in wine overnight, roasted, skin and bones removed) Ma Huang (De-rooted and jointed) Ban Xia (Soaked in ginger juice for three nights, fried) Yang Jiao (Sheep Horn, sliced) Chen Pi (Peeled, fried. Each 1 liang above) Tian Zhu Huang (Bamboo Bezoar, ground) Mu Xiang Ren Shen (De-radicle) Gan Jiang (Dry Ginger, processed) Fu Ling (Peeled) Man Jing Zi (Vitex Fruit, peeled) Wan Can Sha (Late Silkworm Sand, lightly fried) Bai Gui Ban (Tortoise Plastron, vinegar-wine roasted yellow) Ben Cao (Ligusticum, cleaned) Sang Piao Xiao (Mantis Egg Case, fried) Bai Zhi (Angelica Dahurica) He Shou Wu (Polygonum Multiflorum, soaked in rice water overnight, boiled, dried) Hu Gu (Tiger Bone, coated with wine/vinegar, roasted yellow) Sha Ren (Amomum) Bai Zhu (Atractylodes, soaked in rice water overnight, sliced, dried) Zhi Ke (Bitter Orange, fried, peeled) Ding Xiang (Clove) Hou Po (Magnolia Bark, peeled, coated with ginger juice, roasted. Each 3 fen) Chan Ke (Cicada Slough, fried) Chuan Xiong Fu Zi (Soaked in water, peeled and tip removed) Shi Hu (Dendrobium, de-rooted) Rou Dou Kou (Nutmeg, shell removed, lightly fried) Long Nao (Borneol, separately ground) Xiong Huang (Realgar, ground, water-floating) Zhu Sha (Cinnabar, ground, water-floating. Each 1 liang) Ni Fen (Calomel, separately ground) She Xiang (Moschus, separately ground. Each 1 qian) Wu Ji (Black Hen, one, remove beak, wings, feet) Hu Gan (Fox Liver, three pieces. These two ingredients, stored in a clay bottle in the twelfth lunar month, sealed tightly, fired until red hot, cooled, retrieved, and ground) Jin Bo (Gold Foil, 30 pieces, for coating)
Process the above 58 ingredients according to standard methods. Mix with refined honey, pound 3,000-5,000 times, form pills the size of paulownia seeds, coat with gold foil. For each year of age, dissolve in warm Mint natural juice. Take at any time.
The above methods, attributed to Yan Xiaozhong and following Qian Yi's principles for Man Jing Feng, are suitable for patients with a weak pulse. The method involves using Qingzhou Bai Wan Zi combined with Yi Gong San, Qiang Huo Gao, Wen Bai Wan, Diao Teng Yin Zi, etc. Administration often results in survival from critical conditions.
[Method by Tang]
For vomiting and diarrhea forming Xu Feng Manpi, first use Duo Ming San (Life-Snatching Powder) and Qingzhou Bai Wan Zi powder, decoct into a thin paste, mix with honey, control the expulsion of phlegm-saliva, then administer wind-dispelling and Spleen-awakening medicines.
Duo Ming San (See General Treatment for Acute and Slow Convulsions below)
Zhi Xu Feng Ba Xian San (Eight Immortals Powder for Treating Deficient Wind) For cases with excessive wind.
Bai Tian Ma (White Gastrodia) Bai Fu Zi (White Asarum) Hua She Rou (Flower Snake Meat) Fang Feng (Saposhnikovia) Nan Xing (Arisaema) Ban Xia (Pinellia) Dong Gua Zi (Winter Melon Seed) Quan Xie (Whole Scorpion. Equal parts) Add Chuan Wu (Sichuan Aconite)
Cut into small pieces. Take 1 qian each time, add half a zhan of water, two slices of ginger, half a date, decoct to 0.2 zhan, take hot. Adding Mint is especially good.
Xing Pi San (Spleen-Awakening Powder) For lethargy and fatigue.
Bai Zhu (Atractylodes Macrocephala) Ren Shen (Ginseng) Gan Cao (Licorice) Ju Hong (Tangerine Peel Red Layer) Fu Ling (Poria) Quan Xie (Whole Scorpion. Each 0.5 liang) Ban Xia (Pinellia) Mu Xiang (Costus Root. Each 1 fen) Bai Fu Zi (Pao/Processed, four pieces) Nan Xing (Pao/Processed, two pieces) Chen Cang Mi (Stored Barn Rice, 200 grains. Alternative: omit Bai Zhu and Ban Xia, add 1 qian Lotus Seed. Also acceptable)
Grind into powder. Take 1 qian each time, add half a zhan of water, two slices of ginger, half a date, decoct to 0.2 zhan. Take gradually in small amounts. Do not take all at once, as it will cause vomiting.
Niang Ru Fang (Breast-Nourishing Formula)
Ren Shen (Ginseng) Mu Xiang (Costus Root) Huo Xiang (Patchouli) Chen Xiang (Agarwood) Ju Pi (Tangerine Peel) Shen Qu (Medicated Leaven) Mai Ya (Malt. Equal parts) Ding Xiang (Clove. Half amount)
Cut into small pieces. Take 4 qian each time, add one bowl of water, ten slices of ginger, ten leaves of Zi Su (Perilla), three dates, decoct to half a bowl. After the lactating mother eats milk, she must completely empty her breasts, then take the medicine. Lie supine for a moment to allow the medicine to enter the milk collaterals, then let the infant suck a few mouthfuls. Do not overfeed. This is an excellent method. If vomiting stops for one day, urgently use Ba Xian San to stop wind. After two days, use Xing Pi San. If the aforementioned medicines are ineffective and the condition is critical and worrying, examine the Tai Chong pulse. If not absent, moxa one point: Bai Hui (Convergence Point), located at the midpoint between the anterior/posterior hairlines and the tips of both ears. The *Fang Shu* states it is in the whorl of hair on the vertex, which is imprecise, as some have double vertices or misaligned whorls. Quack doctors following old texts have misled many. After moxibustion, immediately control phlegm-saliva. Use Qingzhou Bai Wan Zi powder, decoct into a thin paste, mix with refined honey and Duo Ming San. After a while, when phlegm-saliva flows down, finely grind Ling Sha (Spirit Cinnabar), mix with rice drink, apply to the mouth gradually, observing the regression of symptoms. If wind is excessive, take Ba Xian San; if lethargic, take Xing Pi San. Frequently reduce breastfeeding. The lactating mother takes Niang Ru medicine. With such regulation, recovery is assured. In rare cases of weak constitution or insufficient Five Elements numbers, even divine healers cannot alter destiny. If phlegm-saliva has moved from the diaphragm but remains in the throat making a sawing sound, medication cannot enter, nor can it be controlled to expel. Use another method to lift it, induce sneezing by insufflating the nose, then take Duo Ming San to prevent recurrence.
Liao Tan Fang (Phlegm-Lifting Formula)
Chuan Wu Jian (Tip of Sichuan Aconite) Bai Fu Jian (Tip of White Asarum. Each seven pieces, peeled, raw use) Xie Shao (Scorpion Tail Tip, seven pieces) Shi Lv (Malachite, a little)
Grind into powder, mix evenly. Dip a soft chicken feather in the medicine, insert into the throat and slowly withdraw. Wipe frequently with a cloth.
The above is Tang's method for treating Man Jing Feng. First use Duo Ming San and Bai Wan Zi to control phlegm-saliva. After phlegm-saliva is expelled once, use Ba Xian and Xing Pi San. Wait a while, let the lactating mother use the Niang Ru method. For critical cases, use moxibustion on Bai Hui and the Liao Tan method. However, Duo Ming San uses Meng Shi (Lapis Lazuli), which is difficult to use for Qi deficiency. It must be taken jointly with Dong Yuan's Yi Huang San. This is acceptable.
[Method by Chen]
To treat Man Jing Feng, first take Xiong Xie San (Ligusticum and Scorpion Powder), use manual techniques to extract cold-phlegm and cold-saliva, so that mental dullness ceases. Then take You Zhu Gao (Oil Drop Ointment), followed by Yi Zhen Tang (Benefit True Decoction) to warm and strengthen Yuan Qi. Frequently take Qian Po San (Front Magnolia Powder) to widen the upper and solidify the lower.
Xiong Xie San (Ligusticum and Scorpion Powder) Treats pediatric brain marrow affected by wind, fontanelle opening, tight swelling of skin/flesh/tendons/muscles, blue veins rising at cranial sutures, pale complexion, abdominal gas sounds, occasional passage of green-white frothy stool, or vomiting of phlegm-saliva, impending Man Jing Feng convulsions, and cold calves.
Chuan Xiong (Ligusticum) Bi Bo (Long Pepper. Each 1 liang) Xi Xin (Asarum) Ban Xia (Pinellia, soaked in wine overnight, washed, dried. Each 2 qian) Xie Shao (Scorpion Tail Tip, de-toxified, 1 qian)
Grind into fine powder. For a one-week-old infant, take an amount equivalent to a copper coin, mix with several boils of hot water, slightly warm, take on an empty stomach. If phlegm fills the chest and throat, eyes squint, administer quickly. If eyes stare upward without moving, it is difficult to save. If phlegm-Qi blocks and swallowing is impossible, insert one finger into the infant's throat dimple to manually extract phlegm-saliva. Once Qi flow improves, subsequently use Bu Pi Yi Zhen Tang (Tonify Spleen Benefit True Decoction), or select You Zhu Gao. This formula has saved countless lives over generations.
You Zhu Gao (Oil Drop Ointment) Treats rebellious Qi with vomiting, wind-phlegm causing convulsions.
Shi Ting Li (Pyrite, wax-like selection from sulfur) Hua Shi (Talc. Each 0.5 liang) Hei Fu Zi (Black Aconite, processed, peeled and umbilicus removed) Ban Xia (Pinellia, soaked in wine overnight, washed seven times, dried) Nan Xing (Arisaema, soaked in vinegar overnight, washed seven times, dried. Each 1 qian)
Grind into fine powder. Take 1 qian each time, add half a zhan of cold clear vegetable juice, drop one coin-sized amount of sesame oil, place the medicine on the oil drop. After a moment it sinks, discard the vegetable juice, give to the infant. Swallow with 3-5 mouthfuls of clear vegetable juice. Take on an empty stomach. One hour after taking, provide milk/food.
Bu Pi Yi Zhen Tang (Tonify Spleen Benefit True Decoction) Treats fetal weakness, vomiting milk with clear stool, becoming Yin Epilepsy, rebellious Qi with phlegm-tide, upward staring of eyes, limb twitching. Or caused by Bian Zheng (Transformation Evaporation), Ke Wu (Guest Malevolence), or accidental ingestion of cooling medicines after fright.
Mu Xiang (Costus Root) Dang Gui (Angelica Sinensis) Ren Shen (Ginseng) Huang Qi (Astragalus) Ding Xiang (Clove) He Zi (Chebula) Chen Pi (Tangerine Peel) Hou Po (Magnolia Bark, ginger-processed) Gan Cao (Licorice, roasted) Rou Dou Kou (Nutmeg, wrapped in flour, baked) Cao Guo (Black Cardamom) Fu Ling (Poria) Bai Zhu (Atractylodes) Gui Zhi (Cinnamon Twig) Ban Xia (Pinellia, soaked in water) Fu Zi (Aconite, processed. Each 0.5 liang) Quan Xie (Whole Scorpion, fried, add one piece per dose)
Cut into small pieces. Take 3 qian each time, add 1.5 zhan of water, one slice of ginger, one date, decoct to 0.6 zhan, slightly warm, take on an empty stomach. After taking, massage the heart and abdomen to assist medicinal power. Wait one hour before providing milk/food. For thirst, add Fu Ling, Ren Shen, Gan Cao; remove Fu Zi, Ding Xiang, Rou Dou Kou. For diarrhea, add Ding Xiang, He Zi Rou (Chebula Flesh). For vomiting, add Ding Xiang, Ban Xia, Chen Pi. For abdominal pain, add Hou Po, Liang Jiang (Galangal). For cough, add Qian Hu (Peucedanum), Wu Wei Zi (Schisandra); remove Fu Zi, Guan Gui (Cassia), Cao Guo, Rou Dou Kou. For cold feet, add Fu Zi, Ding Xiang, Hou Po. For aversion to wind and spontaneous sweating, add Huang Qi, Guan Gui. For phlegm wheezing, add Qian Hu, Zhi Shi (Immature Bitter Orange), Chi Fu Ling (Red Poria); remove Fu Zi, Ding Xiang, Rou Dou Kou, Cao Guo. For rebellious Qi not descending, add Qian Hu, Zhi Ke (Bitter Orange), Bing Lang (Areca Seed); remove Dang Gui, Fu Zi, Rou Dou Kou. For abdominal distension, add Hou Po, Ding Xiang, Qian Hu, Zhi Ke.
Qian Po San (Front Magnolia Powder) Treats knotting of Qi in heart/abdomen, hiccups/vomiting/diarrhea, abdominal distension/pain, palpitations.
Qian Hu (Peucedanum) Bai Zhu (Atractylodes) Ren Shen (Ginseng) Chen Pi (Tangerine Peel) Liang Jiang (Galangal) Huo Xiang (Patchouli) Gan Cao (Licorice) Hou Po (Magnolia Bark. Equal parts)
Cut. Take 3 qian each time, add one zhan of water, decoct to 0.7 zhan, slightly warm, take on an empty stomach.
If a child accidentally ingests cooling medicines, or has water-soaked cloth wrung into the mouth, damaging Spleen/Stomach, resulting in diarrhea, abdominal distension, or abdominal rumbling. Child has pale complexion, rarely smiles, looks down rather than up. Fontanelle high and tense, blue veins at cranial sutures, occasional passage of green stool. Child is plump, stool like clear鼻涕 (nasal mucus) or frozen juice. Child blinks frequently, stool is green-white froth, sometimes dry and hard. Among the above five syndromes, sudden vomiting inevitably leads to Yin Epilepsy, commonly known as Man Jing Feng. Although the child's head is hot, eyes are green-white and feet are cold. Or abdominal distension with cold feet. Or diarrhea with cold feet. Or vomiting with cold feet. Or thirst with cold feet. (Head heat, red eyes, phlegm blocking nose/throat/pharynx are all rootless fire rebellion.) Among the above five syndromes, sudden vomiting with convulsions is named Manpi Feng. Quickly administer one dose of Bu Pi Yi Zhen Tang, 3 qian plus one scorpion. If convulsions are due to fright, administer one dose of Qian Po San, 3 qian plus 0.5 qian each of Fu Zi and Qian Hu, decoct together.
The above is Chen Wenzhong's method for treating Man Jing Feng. Its sequence of treatment forms a unique school, thus recorded separately for reference. His medical records state that Xiong Xie San and You Zhu Gao repeatedly achieved efficacy.
[Formulas by Zeng Shi]
Chong He Yin (Harmony Infusion) Treats cold/wind invasion, headache, fever, shoulder/back stiffness, nausea/vomiting, abdominal pain/distension, cold-damp binding, limb stiffness, cold qi invasion, waist/foot pain.
Cang Zhu (Atractylodes, soaked in rice water overnight, remove coarse skin, slice, stir-fry light yellow, 1 liang 2 qian) Ren Shen (De-radicle) Qian Hu (De-radicle) Jie Geng (Platycodon, fried. Each 5 qian) Zhi Ke (Remove pith, bran-fried light yellow) Ma Huang (De-jointed) Chen Pi (Peeled. Each 3 qian) Chuan Xiong Bai Zhi Ban Xia (Washed seven times, soaked in ginger juice, dried, fried) Dang Gui (Washed in wine) Bao Gui (Thin Cinnamon, remove rough bark) Bai Shao Yao (White Peony) Chi Fu Ling (Red Poria, peeled. Each 1.5 qian) Gan Jiang (Dry Ginger) Hou Po (Magnolia Bark, remove rough skin, soak in ginger juice overnight, slow-fire dry. Each 2 qian) Gan Cao (Roasted, 7.5 qian)
Cut. Take 2 qian each time, add one zhan of water, two slices of ginger, one stalk of scallion, decoct to 0.7 zhan, take warm at any time. For cold injury, nausea, vomiting, decoct with baked ginger. To open appetite and promote eating, decoct with dates, take warm on empty stomach. For cold hernia pain, add salt-roasted Zhu Yu (Cornus) and Hui Xiang (Fennel), decoct together.
Qi Bao San (Seven Treasures Powder) Treats seasonal qi, wind-cold, cold damage, dizziness, body heat, cough, and disharmony of Spleen/Stomach/Lung, abnormal fishy odor in mouth, or slight bleeding from gum gaps. Also regulates minor post-illness conditions moderately, as its flavors are neither excessive nor drying, making it excellent.
Zi Su (Perilla, remove old stems) Jing Xiang Fu (Cyperus, cleaned. Each 3 liang) Gan Cao (Licorice) Chen Pi (Peeled) Jie Geng (Platycodon, chopped, fried. Each 2.5 liang) Chuan Xiong Bai Zhi (Angelica Dahurica. Each 1 liang)
Cut. Take 2 qian each time, add one zhan of water, two slices of ginger, decoct to 0.7 zhan, take warm at any time. For phlegm-cough, add Zhi Ban Xia (Prepared Pinellia),