小儿壮热吐 ,心神不宁,手足抽掣,身体强直,眼目反张,是胎惊风证。胎
惊者,以妊妇调摄乖常,饮酒嗜欲,忿怒惊扑,母有所触,胎必感之,或外挟风邪,
有伤于胎,故子乘母气,生下即病也。其候,月内壮热,翻眼握拳,噤口切牙,身
腰强直,涎潮呕吐,搐掣惊啼,腮缩囟开,或颊赤,或面青眼合,(凡胎风眼合,不可误作慢
脾,妄用温药)其有搭眼噤口之类,亦此一种之所发也。视其眉间气色,赤而鲜碧者可治,
若黯青黑者不治,虎口指纹曲入里者可治,反出外者不治。先宜解散风邪利惊,化
痰调气,及贴囟法,甚则以朱银丸利之,若面青拳搐,用保命丹(通治急慢惊、)钓藤散(方见
慢惊)、全蝎散(方见偏风口噤)之类,大抵小儿脏腑脆弱,不可辙用银粉镇坠之剂,如遇此候,
急取猪乳,细研牛黄、麝香各少许,调抹入口中,仍服导赤散以泻肝之子,即愈矣。
石壁经歌∶未出胎中一月来,母惊成患子临胎,腰直哭时先口撮,面青拳搐缩双腮,
眼闭切牙筋脉急(受气时,若阴气弱,胎易惊落,肉消甚;阳气弱,胎难惊落,手足细,肌肉瘦,
皆不尽天年。若日月满,因惊落口撮、腮脸起、鼻塞、口噤,勿作惊治,微汗,次治惊调气,
乳母服调气药,儿贴囟。)任唤千声眼不
开,退却风涎为治疗,涎去惊邪自不回。(失治则目瞑,先治惊则吐泻,秋夏必脾风,初见勿作脾风治,恐
汗不出生别候,凤髓乌犀丸,次生银丸,并急慢惊门。)〔钱〕白日内发搐,真者、不过三两次必死,
假者,频发不为重,真者、内生惊痫,假者、外伤风冷,盖血气未实,不能胜任,
乃发搐也,欲知假者,口中气出热,治之可发散,大青膏主之,可用涂囟法。〔田〕
月里生惊,急取猪乳,细研辰砂牛黄各少许,调抹口中,神效。乳母服防风通圣散
三剂。其惊自消。〔斗〕小儿未盈月,惊搐似中风欲死者,用辰砂以新汲水浓磨汁,
涂五心上,最效。〔汤〕治胎痫惊风,皆可服全蝎头尾全者,用生薄荷叶包,外以
麻线缠,火上炙燥为末,别研生朱、麝香各少许,煎麦门冬汤调下。〔薛〕一小儿
患胎惊,诸药不应。用紫河车研烂如泥,每用钱许,乳化服之,更以十全大补汤加
钓藤钩、漏芦与母服,两月余举发渐轻,服年余举发渐稀,服年余不再发。至出
痘后复发,取紫河车研烂,入糯米粉丸,小豆大,每服百丸,以乳送下,服二具,
全瘥。毕姻又发,仍用前丸及十全大补汤、六味丸加当归、黄 、肉桂、五味子,
年余,喜其能远帷幕,得痊。后因劳役更作,又用前丸及十全大补等药不应,用大
剂独参汤,服数斤,然后举发稍缓,乃用人参二两,附子一钱,数服顿止,仍用前
药,间用独参汤而痊。一小儿患胎惊,用紫河车丸及十全大补汤及钓藤膏而愈。毕
姻后复发,用大剂独参汤、六味丸加五味子、黄 、当归,煎服半载,举发稍轻,
年余不再发。后每劳役怒气仍发,即用前药,随愈。又伤寒愈后复作,虚症悉具,
莫能名状,用紫河车二具,独参煎汤,十余斤而痊。后患伤风咳嗽,咽干内热,用六
味地黄丸料加五味子煎服,及十全大补汤而痊。
独活汤 治胎惊,发散风邪。
独活 羌活(各一分) 槟榔 天麻 麻黄(去节) 甘草(各半分)
上锉散。每服半钱,煎服。于内加南星末蜜调下,可贴囟用。
驱风散
胡黄连(二钱半) 全蝎(去毒,焙) 犀角 天竺黄 麻黄(去节,各半钱) 麝香(一字)
上为细末。用乳汁调化,食远服。
上二方,发散之剂,实有表证,方可用之。
青金丸 治婴孩小儿,解散胎热、化痰涎、镇惊邪。
人参(去芦) 天麻(煨) 茯神(去皮木) 白附子(炮) 牛胆南星(炒。各二钱) 甘草(炙,一钱半)
青黛(一钱) 朱砂(水飞,半钱) 麝香(一字)
上为极细末,炼白蜜丸如梧桐子大。用钓藤、皂荚子煎汤研化,不拘时候服。
太乙散 治芽儿胎惊。病瘥,亦宜常服。
天浆子(去壳,微炒) 南星 白附子(各微炮) 天麻 防风 茯苓(各二钱) 全蝎
朱砂(各一钱) 麝香(少许)
上为末。每服半钱,乳汁化下。张涣方,天浆、蝎稍各二十一个,防风、天麻、
朱砂各半两,麝香一钱,无茯苓、白术。
参蝎散 治小儿胎惊,定心神。
天浆子 天竺黄 人参 朱砂 全蝎 天麻 蝉蜕(各等分) 麝香(少许)
上为末,炼蜜丸桐子大。每服一丸,金银汤下。
猪乳膏 治小儿诸惊,胎痫。
全蝎(一个,焙) 琥珀 朱砂(少许)
上为末。每服一字,麦门冬煎汤调下。
朱银丸 治小儿胎风,壮热痰盛,翻眼口噤,取下胎中蕴受之毒,亦治惊积。但量
与之。
水银(一钱、蒸枣研如泥) 白附子(一钱半) 全蝎 南星 朱砂(各一钱) 天浆子 芦荟 牛黄
(各半两) 铅霜(半钱,和水银 ,研) 脑(一字) 麝香(少许) 直僵蚕(炒,七个)
上为末,炼蜜丸桐子大。薄荷汤化下。
张涣圣星丹 诸痫皆宜服之,曾经大效。
天南星一般大者四十九个,端午取活蝎四十九个,瓦器盛,盐泥固济,吊静
室中,腊日取出,拣南星蝎蜇着处有小窍子者,其余不用,只将蝎蜇南星,以酒
浸一宿,焙、研细末。次用∶
牛黄 麝香 龙脑(各一钱,研细) 辰砂(细研,水飞,二钱半)
上件,再一处研匀,姜汁和桐子大。服一粒至二粒,人参、薄荷汤化下。
白金散 治诸痫、潮发不省者。
白僵蚕(半两,汤洗,炒微黄,捣、罗为细末。次用) 天竺黄(二钱五分) 牛黄(一钱) 麝香
龙脑(各半钱)
细研,拌匀。每服半钱,姜汁调,放温灌之。
乌金膏 治胎痫、潮发频并。
乌梢蛇(一条,取净肉,酒浸一宿,焙) 蚕纸(一张,烧灰) 蝉壳 全蝎 朱砂(飞。各半两)
金箔(二十片) 龙脑 麝香(各半钱)
上各取细末,研匀,蜜和如皂子。每服一粒,人参、薄荷汤化下。
天南星煎 治胎痫、潮发迟省。
天南星(微炮) 白附子 白花蛇(酒浸,去皮骨,炙黄。各一两) 干蝎(炒) 天麻(各半两)
以上捣罗为细末,用好酒两大盏,慢火熬,不住手搅,以酒尽为度。次用
朱砂(细研、水飞,半两) 腻粉(二钱五分) 牛黄 麝香 龙脑(各半钱)
细研,入膏内和如皂子。每服一粒,竹沥化下,无时。
祛风散 治胎痫、多啼叫。
胡黄连(半两) 全蝎 犀角 天竺黄 麻黄(去节。各二钱五分)
上各取细末和匀。每服半钱,入麝一字,乳汁调下。
铁粉散 惊风面赤口干,大便不利,尤宜服。
钱粉(半两) 郁金 牛黄 真珠 胡黄连(各二钱五分)
各研细、拌匀。每服一字,温蜜汤调下。
羌活膏 治胎痫、昏困不省。
羌活 独活(各一两) 天麻 全蝎 人参(去芦) 白僵蚕(微炒,各半两) 乌蛇肉(一两,
酒浸一宿,焙)
上捣,罗为细末,炼蜜和膏。每服皂子大,麝香、荆芥汤化下。
麝香膏 治胎痫、不得安卧。
麝香(研) 牛黄(研) 白附子 蚕蛾(微炒) 白僵蚕(微炒。各二钱五分) 全蝎(二十一个)
上取净末,更研细,蜜和膏如皂子。每服一粒,人参、荆芥汤化下。
小儿出现高热、呕吐,心神不宁,手足抽搐,身体强直,眼睛上翻,这是胎惊风证。所谓胎惊,是因为孕妇在怀孕期间调养失当,如饮酒、纵欲、愤怒或受惊吓撞击,母亲受到刺激,胎儿必然感应;或者外感风邪,损伤胎儿,因此孩子承袭母体之气,出生后即刻发病。其症状表现为:满月内高热,眼球上翻,手握拳,牙关紧闭咬齿,身腰强直,口水涌流呕吐,抽搐惊叫,腮部收缩囟门敞开,或者脸颊发红,或者面色发青眼睛闭合。(凡是胎风导致眼睛闭合的,不可误认为是慢脾风,胡乱使用温补药物)那些有类似眼睛上翻、牙关紧闭的症状,也是这一类病症的表现。观察患儿眉间的色泽,如果赤色中带有鲜碧色,是可以治疗的;如果呈现暗青色或黑色,则难以治愈。观察虎口指纹,弯曲向内的可以治疗,反向外出的则难以治愈。治疗初期宜先疏散风邪、利惊、化痰、调气,以及使用贴囟法;病情严重的,用朱银丸来通利攻下。如果见面色发青、握拳抽搐,可用保命丹(通治急惊风和慢惊风)、钓藤散(方剂见慢惊风章节)、全蝎散(方剂见偏风口噤章节)等方剂。大抵小儿脏腑脆弱,不可轻易使用含有银粉的重镇坠痰之剂。如果遇到这种情况,急忙取猪乳汁,将牛黄、麝香各少许细细研磨,调和涂抹入口中,同时服用导赤散以泻肝经之火(肝之子为心,实则泻其子),即可痊愈。
《石壁经》歌诀云:胎儿未出胎中一月时,因母受惊成患,子临产即病。腰部强直,哭泣时先口唇撮聚,面色发青,握拳抽搐,双腮收缩,眼睛闭合,咬齿,筋脉紧急。(受孕时,若阴气虚弱,胎儿易受惊坠落,肌肉消瘦严重;若阳气虚弱,胎儿难受惊坠落,但手足细小,肌肉瘦弱,均不能享尽天年。若足月后因受惊坠落,出现口唇撮聚、腮脸肿胀、鼻塞、牙关紧闭,不要当作惊风治疗,应先微发汗,再治疗惊风、调顺气机,乳母服用调气药,婴儿贴囟。)呼唤千声眼睛也不睁开,退去风涎作为治疗关键,涎液去除,惊邪自然不再回来。(若失治则双目闭合,先治惊风则会导致吐泻,秋夏季节必患脾风,初见症状勿当作脾风治疗,恐怕出汗不出而生变证,可用凤髓乌犀丸,其次用银丸,均在急慢惊风门中记载。)〔钱乙〕白天内发作抽搐,真正的胎惊,不过三两次就会死亡;假性的,频繁发作但不算严重。真正的胎惊是内生惊痫,假性的则是外伤风冷。因为气血尚未充实,不能胜任,所以发生抽搐。想要知道是否为假性,看口中呼出的气息是否热,如果是热的,治疗可以用发散法,主用大青膏,也可以使用涂囟法。〔田氏〕满月内出生的婴儿患惊风,急忙取猪乳汁,将辰砂、牛黄各少许细细研磨,调和涂抹口中,效果神妙。乳母服用防风通圣散三剂,惊风自然消除。〔斗氏〕未满月的婴儿,惊搐似中风快要死去的,用辰砂在新汲水中浓磨取汁,涂在两手心和两脚心上,最为有效。〔汤氏〕治疗胎痫惊风,都可以服用全蝎,要求头尾俱全,用生薄荷叶包裹,外面用麻线缠绕,在火上烤干研成粉末,另外将生朱砂、麝香各少许细细研磨,用麦门冬汤煎服送下。〔薛己〕有一个小孩患胎惊,各种药物无效。用紫河车研磨烂如泥,每次用钱许(约3-5克),乳化后服用,同时让母亲服用十全大补汤加钓藤钩、漏芦,两个多月后发作逐渐减轻,服用一年多后发作逐渐稀少,又服用一年多后不再发作。到出痘疹后复发,取紫河车研磨烂,加入糯米粉制成丸药,大小如小豆,每次服用一百丸,用乳汁送下,服用两个紫河车,完全康复。结婚后又复发,仍用前丸药及十全大补汤、六味丸加当归、黄芪、肉桂、五味子,一年左右,庆幸他能远离房事帷幕,得以痊愈。后来因劳累过度再次发作,又用前丸药及十全大补等药无效,用大剂量独参汤,服用数斤,然后发作稍缓,于是用人参二两,附子一钱,几次服用后立刻停止,仍用前药,间或用独参汤而痊愈。另一个小孩患胎惊,用紫河车丸及十全大补汤及钓藤膏而痊愈。结婚后复发,用大剂量独参汤、六味丸加五味子、黄芪、当归,煎服半年,发作稍轻,一年多后不再发作。后来每当劳累或生气仍会发作,即用前药,随即痊愈。又有伤寒痊愈后复发,虚症全部具备,无法形容,用紫河车两个,独参煎汤,服用十余斤而痊愈。后来患伤风咳嗽,咽干内热,用六味地黄丸料加五味子煎服,及十全大补汤而痊愈。
独活汤 治疗胎惊,发散风邪。
独活、羌活(各一分)、槟榔、天麻、麻黄(去节)、甘草(各半分)。
以上锉碎成散剂。每次服用半钱,煎服。可以在其中加入南星末,用蜜调下,也可以用于贴囟。
驱风散
胡黄连(二钱半)、全蝎(去毒,焙干)、犀角、天竺黄、麻黄(去节,各半钱)、麝香(一字)。
以上为细末。用乳汁调化,饭后远时服用。
青金丸 治疗婴孩小儿,解散胎热、化痰涎、镇惊邪。
人参(去芦)、天麻(煨制)、茯神(去皮木)、白附子(炮制)、牛胆南星(炒。各二钱)、甘草(炙,一钱半)、青黛(一钱)、朱砂(水飞,半钱)、麝香(一字)。
以上为极细末,炼白蜜制成梧桐子大小的丸药。用钓藤、皂荚子煎汤研化,不拘时候服用。
太乙散 治疗婴儿胎惊。病愈后,也宜常服。
天浆子(去壳,微炒)、南星、白附子(各微炮)、天麻、防风、茯苓(各二钱)、全蝎、朱砂(各一钱)、麝香(少许)。
以上为末。每次服用半钱,乳汁化开送下。张涣的方子,天浆子、全蝎稍各二十一个,防风、天麻、朱砂各半两,麝香一钱,没有茯苓、白术。
参蝎散 治疗小儿胎惊,定心神。
天浆子、天竺黄、人参、朱砂、全蝎、天麻、蝉蜕(各等分)、麝香(少许)。
以上为末,炼蜜制成梧桐子大小的丸药。每次服用一丸,金银汤送下。
猪乳膏 治疗小儿诸种惊风,胎痫。
全蝎(一个,焙干)、琥珀、朱砂(少许)。
以上为末。每次服用一字,麦门冬煎汤调下。
朱银丸 治疗小儿胎风,高热痰盛,眼睛上翻,牙关紧闭,取下胎中蕴受的毒素,也治疗惊积。但要斟酌用量给予。
水银(一钱,蒸枣研如泥)、白附子(一钱半)、全蝎、南星、朱砂(各一钱)、天浆子、芦荟、牛黄(各半两)、铅霜(半钱,和水银一起研)、脑(一字)、麝香(少许)、直僵蚕(炒,七个)。
以上为末,炼蜜制成梧桐子大小的丸药。薄荷汤化开送下。
张涣圣星丹 各种痫证都适宜服用,曾经非常有效。
天南星一般大的四十九个,端午日取活蝎四十九个,放在瓦器中,用盐泥密封固定,悬挂在静室中,腊月取出,挑选被蝎子蜇过的天南星上有小窍眼的,其余不用,只将被蝎子蜇过的天南星,用酒浸泡一夜,焙干,研成细末。其次用:
牛黄、麝香、龙脑(各一钱,研细)、辰砂(细研,水飞,二钱半)。
以上再一处研匀,姜汁和制成梧桐子大小的丸药。服用一粒至二粒,人参、薄荷汤化开送下。
白金散 治疗各种痫证,潮发不省人事者。
白僵蚕(半两,汤洗,炒微黄,捣碎、过筛为细末。其次用)、天竺黄(二钱五分)、牛黄(一钱)、麝香、龙脑(各半钱)。
细研,拌匀。每次服用半钱,姜汁调匀,放温后灌服。
乌金膏 治疗胎痫,潮发频繁并见。
乌梢蛇(一条,取净肉,酒浸一夜,焙干)、蚕纸(一张,烧灰)、蝉壳、全蝎、朱砂(飞。各半两)、金箔(二十片)、龙脑、麝香(各半钱)。
以上各取细末,研匀,蜜和如皂荚子大小。每次服用一粒,人参、薄荷汤化开送下。
天南星煎 治疗胎痫,潮发后迟醒。
天南星(微炮)、白附子、白花蛇(酒浸,去皮骨,炙黄。各一两)、干蝎(炒)、天麻(各半两)。
以上捣罗为细末,用好酒两大盏,慢火熬,不住手搅拌,以酒尽为度。其次用:
朱砂(细研、水飞,半两)、腻粉(二钱五分)、牛黄、麝香、龙脑(各半钱)。
细研,入膏内和如皂荚子大小。每次服用一粒,竹沥化开送下,随时可服。
祛风散 治疗胎痫,多啼叫。
胡黄连(半两)、全蝎、犀角、天竺黄、麻黄(去节。各二钱五分)。
以上各取细末和匀。每次服用半钱,加入麝一字,乳汁调下。
铁粉散 惊风面赤口干,大便不利,尤其适宜服用。
钱粉(半两)、郁金、牛黄、真珠、胡黄连(各二钱五分)。
各研细、拌匀。每次服用一字,温蜜汤调下。
羌活膏 治疗胎痫,昏困不省人事。
羌活、独活(各一两)、天麻、全蝎、人参(去芦)、白僵蚕(微炒,各半两)、乌蛇肉(一两,酒浸一夜,焙干)。
以上捣碎,过筛为细末,炼蜜和膏。每次服用皂荚子大小,麝香、荆芥汤化开送下。
麝香膏 治疗胎痫,不得安卧。
麝香(研)、牛黄(研)、白附子、蚕蛾(微炒)、白僵蚕(微炒。各二钱五分)、全蝎(二十一个)。
以上取净末,更研细,蜜和膏如皂荚子大小。每次服用一粒,人参、荆芥汤化开送下。
Pediatric patients presenting with high fever, vomiting, restlessness of the heart and mind (Shen), convulsions of the hands and feet, rigidity of the body, and retraction of the eyes are suffering from Fetal Convulsion Wind Syndrome (Tai Jing Feng Zheng). "Fetal Convulsion" refers to a condition caused by the pregnant woman's improper care during gestation, such as drinking alcohol, indulging in desires, anger, or being startled and struck. When the mother is affected, the fetus inevitably senses it; alternatively, external pathogenic wind may damage the fetus. Consequently, the child inherits the maternal qi and falls ill immediately after birth. The manifestations include: within the first month, high fever, upward deviation of the eyes, clenched fists, trismus (lockjaw), rigidity of the back and waist, flooding of saliva with vomiting, convulsions with startled crying, retracted cheeks, and open fontanelles. Alternatively, the cheeks may be red, or the face blue with closed eyes. (Note: Cases of fetal wind causing eye closure must not be mistaken for Slow Spleen Wind [Man Pi], and warm tonifying medicines should not be used recklessly.) Symptoms such as eye deviation and trismus also stem from this category. Observing the color of the area between the eyebrows: if it is bright red with a hint of greenish-blue, it is treatable; if it is dark blue or black, it is untreatable. Observing the fingerprint on the tiger's mouth (the radial side of the thumb): if the curve bends inward, it is treatable; if it extends outward, it is untreatable. Initially, treatment should focus on dispersing wind pathogens, relieving convulsions, resolving phlegm, and regulating qi, along with applying paste to the fontanelle. For severe cases, Zhu Yin Wan (Cinnabar-Silver Pill) may be used to purge. If the face is blue with clenched fists and convulsions, use Bao Ming Dan (Life-Preserving Pill, which treats both acute and chronic convulsions), Gouteng San (Uncaria Powder, see Chronic Convulsion section), or Quanxie San (Scorpion Powder, see Deviated Mouth and Lockjaw section). Generally, pediatric zang-fu organs are fragile; preparations containing mercury powder (Yin Fen) for heavy sedation should not be used lightly. In such emergencies, take pig milk, finely grind small amounts of Niuhuang (Calculus Bovis) and Shexiang (Moschus), mix, and apply to the mouth. Simultaneously administer Daochi San (Guide Out Red Powder) to drain the son of the Liver (i.e., the Heart), and recovery will ensue.
The *Shibi Jing* song states: Within one month before birth, maternal fright causes illness manifesting at birth. Rigidity of the waist, lip pursing upon crying, blue face, clenched fists, retracted cheeks, closed eyes, trismus, and tight sinews/vessels. (During conception, if Yin qi is weak, the fetus is easily frightened and drops, leading to severe muscle wasting; if Yang qi is weak, the fetus is hard to frighten but results in small limbs and thin muscles, neither living out their natural lifespan. If full-term due to fright dropping, presenting with lip pursing, swollen cheeks/face, nasal congestion, and trismus, do not treat as convulsion; first induce slight sweating, then treat convulsion and regulate qi. The nursing mother takes qi-regulating herbs, and the infant applies paste to the fontanelle.) Calling a thousand times yields no eye opening; retreating wind-phlegm is the treatment key. Once phlegm is gone, wind-pathogen naturally retreats. (Failure to treat properly leads to closed eyes; treating convulsion first causes vomiting/diarrhea; in autumn/summer, Spleen Wind [Pi Feng] will surely occur. At initial onset, do not treat as Spleen Wind, lest failure to sweat produce other syndromes. Use Fengsui Wuxi Wan, followed by Yin Wan, both found in the Acute/Chronic Convulsion sections.) [Qian Yi] Convulsions occurring during the day: True cases die after two or three occurrences; false cases, though frequent, are not severe. True cases involve internal generation of convulsive epilepsy; false cases involve external injury by wind-cold. Because blood and qi are not yet solid, they cannot withstand, hence convulsions occur. To identify false cases: if breath exhaled from the mouth is hot, treatment can use dispersion methods, primarily Daqing Gao (Great Blue Ointment), and fontanelle application can be used. [Tian] For infants under one month old with convulsions, urgently take pig milk, finely grind small amounts of Chen Sha (Cinnabar) and Niuhuang (Calculus Bovis), mix, and apply to the mouth; efficacy is miraculous. The nursing mother takes Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Master) for three doses, and the convulsions will subside. [Dou] For infants under one month with convulsions resembling stroke and near-death state, grind Chen Sha (Cinnabar) thickly in fresh well water, apply the juice to the five centers (palms and soles); this is most effective. [Tang] For treating fetal epilepsy and convulsive wind, Quanxie (Whole Scorpion) with head and tail intact can be used. Wrap in fresh Bohe Ye (Mentha Leaf), bind with hemp thread, roast over fire until dry, and powder. Separately grind Sheng Zhusha (Raw Cinnabar) and Shexiang (Moschus) slightly. Take with Maidong Tang (Ophiopogon Decoction). [Xue Ji] A child suffered from fetal convulsion, unresponsive to various medicines. Use Zihewche (Placenta Hominis), ground into mud-like paste. Take approximately one qian (3-5g), emulsified and taken. Additionally, have the mother take Shiquan Dabu Tang (Decoction for Tonifying All Ten Deficiencies) plus Gouteng Gou (Uncaria Ramulus cum Uncis) and Lulu (Radix Euphorbiae Humifusae). After more than two months, attacks gradually lightened; after over a year, attacks became sparse; after another year, no further attacks occurred. After eruptive disease (smallpox/chickenpox), relapse occurred. Take Zihewche (Placenta Hominis), ground into paste, mixed with Nuomifen (Glutinous Rice Flour) to make pills the size of adzuki beans. Take 100 pills each time, delivered with milk. After taking two placentas, complete recovery was achieved. After marriage, relapse occurred again. Still use the previous pills plus Shiquan Dabu Tang, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Rougui (Cinnamon Bark), and Wuweizi (Schisandrae Fructus). After a year, relieved by avoiding sexual activity, recovered. Later, due to labor fatigue, recurrence happened. Again used previous pills and Shiquan Dabu Tang etc., without effect. Used large-dose Dushen Tang (Single Ginseng Decoction), consumed several jin (hundreds of grams), then attacks slowed slightly. Then used Renshen (Ginseng Radix) 2 liang (60g) and Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian (3g). After several doses, stopped abruptly. Continued previous medicine, occasionally using Dushen Tang, and recovered. Another child with fetal convulsion recovered using Zihewche Wan (Placenta Pill), Shiquan Dabu Tang, and Gouteng Gao (Uncaria Ointment). Relapsed after marriage. Used large-dose Dushen Tang, Liuwei Dihuang Wan added with Wuweizi, Huangqi, Danggui. Decocted and taken for half a year, attacks lightened slightly. No recurrence after a year. Subsequent recurrences triggered by labor or anger were cured immediately using previous medicines. Another case: relapse after recovering from Shanghan (Cold Damage), presenting with all deficiency symptoms, indescribable. Used two Zihewche (Placentas), decocted with Dushen (Single Ginseng), consumed over ten jin, and recovered. Later suffered from Shangfeng (Wind Invasion) cough, dry throat, and internal heat. Used Liuwei Dihuang Wan ingredients added with Wuweizi, decocted and taken, plus Shiquan Dabu Tang, and recovered.
Duhuo Tang (Angelica Pubescens Decoction) Treats fetal convulsion, disperses wind pathogens.
Duhuo (Radix Angelicae Pubescentis), Qianghuo (Rhizoma Notopterygii) (each 1 fen), Binglang (Arecae Semen), Tianma (Rhizoma Gastrodiae), Mahuang (Herba Ephedrae, remove joints), Gancao (Radix Glycyrrhizae Preparata) (each 0.5 fen).
Crush into coarse powder. Take 0.5 qian per dose, decoct and drink. Can add Nanxing (Rhizoma Arisaematis) powder mixed with honey for oral administration, or for fontanelle application.
Qufeng San (Wind-Expelling Powder)
Huhuanglian (Radix Coicis? Note: Likely Huhuanglian - Cortex Phellodendri or similar bitter cold herb, context suggests clearing heat/phlegm), Quanxie (Scorpio, remove toxicity, roast), Xijiao (Cornu Rhinocerotis), Tianzhuhuang (Spiritis Calami), Mahuang (Herba Ephedrae, remove joints, each 0.5 qian), Shexiang (Moschus) (1 zi).
Grind into fine powder. Mix with milk to dissolve. Take far from meals.
The above two formulas are dispersing agents; they should only be used when there is clear exterior syndrome.
Qingjin Wan (Blue-Gold Pill) Treats infants, resolves fetal heat, transforms phlegm-fluids, calms convulsive pathogens.
Renshen (Radix Ginseng, remove rhizome), Tianma (Rhizoma Gastrodiae, roasted), Fushen (Poria Cum Radix Pini, remove wood), Baifuzi (Rhizoma Typhonii, processed), Niudan Nanxing (Arisaema cum Bile, fried, each 2 qian), Gancao (Radix Glycyrrhizae, honey-fried, 1.5 qian), Qingdai (Indigo Naturalis) (1 qian), Zhusha (Cinnabaris, water-triturated, 0.5 qian), Shexiang (Moschus) (1 zi).
Grind into extremely fine powder. Refine white honey to make pills the size of paulownia seeds. Dissolve in Gouteng (Uncaria Ramulus cum Uncis) and Zaojiazi (Gleditsiae Sinensis Fructus Spina) decoction. Take at any time.
Taiyi San (Supreme One Powder) Treats infant fetal convulsion. Even after recovery, regular use is advisable.
Tianjiangzi (Fructus Trichosanthis? Note: Context implies specific seed, likely Tian Jiang Zi - Fructus Trichosanthis or similar), Nanxing (Rhizoma Arisaematis), Baifuzi (Rhizoma Typhonii) (each slightly processed), Tianma (Rhizoma Gastrodiae), Fangfeng (Radix Saposhnikoviae), Fuling (Poria) (each 2 qian), Quanxie (Scorpio), Zhusha (Cinnabaris) (each 1 qian), Shexiang (Moschus) (slight amount).
Grind into powder. Take 0.5 qian per dose, dissolve in milk. Zhang Huan's formula: Tianjiangzi and Quanxie slightly each 21 pieces, Fangfeng, Tianma, Zhusha each 0.5 liang, Shexiang 1 qian. No Fuling or Baizhu.
Shenxie San (Ginseng-Scorpion Powder) Treats pediatric fetal convulsion, stabilizes heart-mind.
Tianjiangzi, Tianzhuhuang (Spiritus Calami), Renshen (Radix Ginseng), Zhusha (Cinnabaris), Quanxie (Scorpio), Tianma (Rhizoma Gastrodiae), Chantui (Periostracum Cicadae) (each equal parts), Shexiang (Moschus) (slight amount).
Grind into powder. Refine honey to make pills the size of paulownia seeds. Take one pill per dose, deliver with Jin Yin Tang (Gold and Silver Decoction).
Zhuru Gao (Pig Milk Ointment) Treats various pediatric convulsions, fetal epilepsy.
Quanxie (Scorpio) (one piece, roasted), Hupo (Electrum), Zhusha (Cinnabaris) (slight amount).
Grind into powder. Take 1 zi per dose, mix with Maidong (Ophiopogonis Radix) decoction.
Zhu Yin Wan (Cinnabar-Silver Pill) Treats pediatric fetal wind, high fever with abundant phlegm, eye deviation, trismus. Purges toxins accumulated in the fetus. Also treats convulsive accumulation. Dosage must be adjusted carefully.
Shuiyin (Hydrargyrum) (1 qian, steamed with dates and ground to paste), Baifuzi (Rhizoma Typhonii) (1.5 qian), Quanxie (Scorpio), Nanxing (Rhizoma Arisaematis), Zhusha (Cinnabaris) (each 1 qian), Tianjiangzi, Lvhua (Aloe), Niuhuang (Calculus Bovis) (each 0.5 liang), Qianshuang (Plumbi Subcarbonas) (0.5 qian, ground with Shuiyin), Naos (Borneolum Syntheticum) (1 zi), Shexiang (Moschus) (slight amount), Zhijiangcan (Bombyx Batryticatus, fried, seven pieces).
Grind into powder. Refine honey to make pills the size of paulownia seeds. Dissolve in Bohe (Menthae Haplocalycis Herba) decoction.
Zhang Huan Shengxing Dan (Holy Star Pill of Zhang Huan) Suitable for all types of epilepsy, previously very effective.
Take 49 Tian Nanxing (Rhizoma Arisaematis) of uniform size. On Dragon Boat Festival (Duanwu), catch 49 live scorpions. Place in a clay vessel, seal with salt mud, hang in a quiet room. Retrieve on Laba Day (Lari). Select only those Tian Nanxing with small holes where scorpions stung them; discard the rest. Soak the stung Tian Nanxing in wine overnight, roast, and grind into fine powder. Next, use:
Niuhuang (Calculus Bovis), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 1 qian, finely ground), Chen Sha (Cinnabaris, finely ground, water-triturated, 2.5 qian).
Grind all together evenly. Mix with Jiangzhi (Ginger Juice) to make pills the size of paulownia seeds. Take 1-2 pills, dissolve in Renshen (Ginseng) and Bohe (Mentha) decoction.
Baijin San (White-Gold Powder) Treats various epilepsies with tidal onset and loss of consciousness.
Baijiangcan (Bombyx Batryticatus) (0.5 liang, washed in boiling water, fried until slightly yellow, pounded, sieved into fine powder. Next use), Tianzhuhuang (Spiritus Calami) (2.5 qian), Niuhuang (Calculus Bovis) (1 qian), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 0.5 qian).
Finely grind and mix evenly. Take 0.5 qian per dose, mix with ginger juice, warm, and instill.
Wujin Gao (Black-Gold Ointment) Treats fetal epilepsy with frequent tidal onset.
Wushaoshe (Zaocys) (one strip, take clean meat, soak in wine overnight, roast), Canzhi (Silkworm Paper, burn to ash), Chanqiao (Periostracum Cicadae), Quanxie (Scorpio), Zhusha (Cinnabaris, floated/triturated, each 0.5 liang), Jinbo (Folium Aurum) (twenty pieces), Longnao (Borneolum Syntheticum), Shexiang (Moschus) (each 0.5 qian).
Grind each into fine powder, mix evenly. Bind with honey to the size of soap pods. Take one pill per dose, dissolve in Renshen (Ginseng) and Bohe (Mentha) decoction.
Tian Nanxing Jian (Arisaema Decoction) Treats fetal epilepsy with delayed recovery from tidal onset.
Tian Nanxing (Rhizoma Arisaematis, slightly processed), Baifuzi (Rhizoma Typhonii), Baihuashe (Bungarus multicinctus, soak in wine, remove skin/bones, roast yellow, each 1 liang), Ganxie (Dry Scorpion, fried), Tianma (Rhizoma Gastrodiae) (each 0.5 liang).
Pound and sieve into fine powder. Add two large bowls of good wine. Simmer slowly over low heat, stirring constantly, until wine is exhausted. Next, add:
Zhusha (Cinnabaris, finely ground, water-triturated, 0.5 liang), Nifen (Calomelas) (2.5 qian), Niuhuang (Calculus Bovis), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 0.5 qian).
Finely grind, incorporate into the ointment, bind to the size of soap pods. Take one pill per dose, dissolve in Zhuli (Bambusae Succus) at any time.
Qufeng San (Wind-Expelling Powder) Treats fetal epilepsy with excessive crying.
Huhuanglian (Cortex Phellodendri? Or similar), Quanxie (Scorpio), Xijiao (Cornu Rhinocerotis), Tianzhuhuang (Spiritus Calami), Mahuang (Herba Ephedrae, remove joints, each 2.5 qian).
Grind each into fine powder, mix evenly. Take 0.5 qian per dose, add 1 zi of Shexiang (Moschus), mix with milk.
Tiefen San (Iron Powder Powder) For convulsive wind with red face, dry mouth, and constipation. Especially suitable.
Qianfen (Calomelas? Or Iron Powder) (0.5 liang), Yujin (Radix Curcumae), Niuhuang (Calculus Bovis), Zhenzhu (Margarita), Huhuanglian (Cortex Phellodendri? Or similar, each 2.5 qian).
Grind each finely, mix evenly. Take 1 zi per dose, mix with warm honey water.
Qianghuo Gao (Notopterygium Ointment) Treats fetal epilepsy with drowsiness and unconsciousness.
Qianghuo (Rhizoma Notopterygii), Duhuo (Radix Angelicae Pubescentis) (each 1 liang), Tianma (Rhizoma Gastrodiae), Quanxie (Scorpio), Renshen (Radix Ginseng, remove rhizome), Baijiangcan (Bombyx Batryticatus, slightly fried, each 0.5 liang), Wushe Rou (Zaocys Meat) (1 liang, soak in wine overnight, roast).
Pound, sieve into fine powder. Refine honey to make ointment. Take size of soap pod per dose, dissolve in Shexiang (Moschus) and Jingjie (Schizonepetae Herba) decoction.
Shexiang Gao (Moschus Ointment) Treats fetal epilepsy with inability to lie down peacefully.
Shexiang (Moschus, ground), Niuhuang (Calculus Bovis, ground), Baifuzi (Rhizoma Typhonii), Can'e (Bombyx Mori Imago, slightly fried), Baijiangcan (Bombyx Batryticatus, slightly fried, each 2.5 qian), Quanxie (Scorpio) (21 pieces).
Take pure powder, grind finer. Bind with honey to the size of soap pods. Take one pill per dose, dissolve in Renshen (Ginseng) and Jingjie (Schizonepetae Herba) decoction.