疫疠流行之时，小儿作热，是实时疫。乍有眼目上窜，角弓反张，手足搐掣，不可误认
惊风，但以时疫治之自愈。
太极丸 治时疫。
天竺黄 胆星（各五钱） 酒大黄（二钱） 直僵蚕（三钱） 麝香 冰片（各二分）
共为细末，端节午时修蜜丸，如芡实大。凡遇疫症，姜汤服一丸，神效。或用搐鼻散吹
之，方见上页。内服人参败毒散亦效，方见“误搐”。
多由于初病时误作惊治，轻施镇坠，蔽固其邪，留连于膈膜之间，所以一遇风寒冷冻饮料，
引动其痰，卒然而倒，四肢强直，目闭或眼珠翻上不转，或口噤，或咬舌，口中涎出，或无
涎，其面色或青或白，或作六畜声，其状不一，乃小儿之恶症也。昏晕一时，即醒如常，其
发或以旬计，或以月计，或以岁计，皆因中气素弱，脾虚主痰，宜先服消风丸，再用《集成
》定痫丸，见下。
消风丸 非治痫之药，用以疏散外感，开通经络，庶后药得效耳。
薄荷 羌活 独活 防风 天麻 荆芥穗 川芎 细辛（各一钱） 胆南星（二钱）
共为细末，炼蜜为丸，一钱一颗，每日一丸，薄荷、苏叶煎汤化服，服完七丸，再服后
药。
《集成》定痫丸
人参（一两，无力者倍用党参） 漂白术（土炒，一两五钱） 云苓 广皮（酒炒） 法半夏 当归
（酒洗） 白芍（酒炒） 白蔻仁（酒炒） 漂苍术（黑芝麻拌炒，以上各一两） 真龙齿（一两，火 醋淬，
研末水飞，晒干，只取五钱） 赤金箔（三十张） 镜辰砂（三钱，水飞听用）
上药制过焙干，研极细末，筛过，炼蜜为丸，龙眼核大，以朱砂为衣，贴以金箔，晒干
，用瓷瓶收贮，每日早中晚各服一丸，姜汤化下。痫症未久者服此。若年深月久者，午晚服
此丸，早间须服河车八味丸，方见《幼幼集成》。
在瘟疫流行的时候，小儿出现发热症状，这就是当时的时疫。如果突然发生眼睛上翻、身体向后反折如弓状（角弓反张）、手足抽搐等症状，不要错误地认为是惊风，只要按照时疫进行治疗，自然就会痊愈。
太极丸：用于治疗时疫。
配方：天竺黄、胆南星（各五钱）、酒制大黄（二钱）、直僵蚕（三钱）、麝香、冰片（各二分）。
制作与用法：将上述药物共同研磨成细末，在端午节的午时用蜂蜜炼制为丸，大小如芡实一般。凡是遇到疫病症状，用姜汤送服一丸，效果神奇。或者使用搐鼻散吹入鼻腔，方剂见上一页。内服人参败毒散也有效，方剂见“误搐”章节。
痫证多由于发病初期被错误地当作惊风治疗，轻微使用了镇坠类药物，导致邪气被闭塞固结，停留在膈膜之间。因此，一旦遇到风寒或寒冷饮料，引动体内的痰浊，就会突然跌倒，四肢强直，眼睛闭合或眼珠上翻不能转动，或者牙关紧闭，或者咬伤舌头，口中流出涎液，或者没有涎液，面色可能发青或发白，或者发出六畜的叫声，症状表现不一，这是小儿的恶症。昏晕片刻后，随即清醒如常人。发作周期有的以十天计算，有的以月计算，有的以年计算，这都是因为中气素来虚弱，脾虚生痰所致。适宜先服用消风丸，再服用《医宗集成》中的定痫丸，见下文。
消风丸：并非专门治疗痫证的药物，而是用来疏散外感邪气，开通经络，以便让后续的药物治疗能够生效。
配方：薄荷、羌活、独活、防风、天麻、荆芥穗、川芎、细辛（各一钱）、胆南星（二钱）。
制作与用法：将上述药物共同研磨成细末，用炼蜜制成丸药，每丸重一钱，每日一丸。用薄荷和苏叶煎汤化开服用。服完七丸后，再服用后面的药物。
《医宗集成》定痫丸
配方：人参（一两，体弱无力者加倍使用党参）、漂白术（土炒，一两五钱）、云茯苓、广陈皮（酒炒）、法半夏、当归（酒洗）、白芍（酒炒）、白蔻仁（酒炒）、漂苍术（黑芝麻拌炒，以上各一两）、真龙齿（一两，经火煅醋淬，研磨成末水飞，晒干，只取五钱）、赤金箔（三十张）、镜辰砂（三钱，水飞备用）。
制作与用法：将上述药物处理后焙干，研磨成极细的粉末，筛过，用炼蜜制成丸药，大小如龙眼核，以朱砂为衣，贴上金箔，晒干，用瓷瓶密封保存。每日早、中、晚各服一丸，用姜汤化开送下。适用于痫证病程不久的患者。如果是病程漫长的患者，中午和晚上服用此丸，早晨必须服用河车八味丸，方剂见《幼幼集成》。
During the prevalence of epidemic pestilence, if a child develops fever, it is identified as a seasonal epidemic (Shiyi). If symptoms suddenly appear such as upward deviation of the eyes, opisthotonos (body bent backward like a bow), and convulsions of the limbs, do not mistakenly diagnose it as wind-stroke or infantile convulsion (Jingfeng); treating it according to the principles for seasonal epidemics will lead to spontaneous recovery.
Taiji Wan: Treats seasonal epidemics.
Ingredients: Tianshuhuang (Tian Zhu Huang, Calamus Rhizoma with Bamboo-juice processed), Dansheng (Dan Xing, Arisaema Cum Bile), Jiudahuang (Jiu Dahuang, Rheum Palmatum Root and Rhizome processed with wine), Zhijiangcan (Zhi Jiangcan, Bombyx Batryticatus processed), Shexiang (She Xiang, Moschus), Bingpian (Bing Pian, Borneolum Syntheticum) (each 5 qian for the first two, 2 qian for Dahuang, 3 qian for Jiangcan, and 2 fen for She Xiang and Bingpian).
Preparation and Administration: Grind all ingredients into fine powder. At noon on the Dragon Boat Festival (Duanwu), process with honey to make pills the size of Euryale Seed (Qianshi). Whenever an epidemic condition occurs, administer one pill with ginger decoction; it is highly effective. Alternatively, use Chuxisan (Snuffing Powder) insufflated into the nose (formula see previous page). Oral administration of Renshen Baidu San is also effective (formula see "Mistaken Convulsion" section).
Epilepsy (Xianzheng) often results from being misdiagnosed as convulsion in the early stage of illness. The mild use of sedative and heavy-settling agents causes the pathogenic factor to be sealed and retained between the diaphragm and membrane. Consequently, upon exposure to wind-cold or cold beverages, internal phlegm is stirred up, leading to sudden collapse, rigidity of the four limbs, closed eyes or upward rolling of the eyeballs, trismus (lockjaw), tongue biting, salivation or lack thereof, bluish or pale complexion, or sounds resembling those of domestic animals. The manifestations vary, constituting a severe condition in children. After a brief period of unconsciousness, the child wakes up as usual. The interval between attacks may be measured in days, months, or years. This is due to inherent weakness of the Middle Qi (Zhongqi) and Spleen deficiency generating phlegm. It is appropriate to first administer Xiaofeng Wan, followed by Dingxian Wan from *Yizong Jicheng*, as described below.
Xiaofeng Wan: This is not a specific medicine for epilepsy but is used to disperse external pathogens and unblock meridians, thereby facilitating the efficacy of subsequent medications.
Ingredients: Bohe (Bohe, Mentha Haplocalyx), Qianghuo (Qianghuo, Notopterygii Rhizoma et Radix), Duhuo (Duhuo, Angelicae Pubescentis Radix), Fangfeng (Fangfeng, Saposhnikoviae Radix), Tianma (Tianma, Gastrodiae Rhizoma), Jingjiesui (Jingjie, Schizonepetae Spica), Chuanxiong (Chuanxiong, Ligustici Chuanxiong Rhizoma), Xixin (Xixin, Asari Radix et Rhizoma) (each 1 qian), Dannanxing (Dan Nanxing, Arisaema Cum Bile) (2 qian).
Preparation and Administration: Grind all ingredients into fine powder. Process with refined honey to make pills weighing 1 qian each. Take one pill daily. Dissolve and take with decoction of Bohe and Suzye (Perilla Leaf). After finishing seven pills, proceed to the following medication.
*Yizong Jicheng* Dingxian Wan
Ingredients: Renshen (Ren Shen, Ginseng Radix) (1 liang; for those with weak constitution, double the dose using Dangshen/Dang Shen, Codonopsis Radix), Biaobai Zhu (Tu Chao Bai Zhu, Atractylodis Macrocephalae Rhizoma, earth-fried) (1.5 liang), Yunling (Fu Ling, Poria), Guangpi (Jiu Chao Chen Pi, Citri Reticulatae Pericarpium, wine-fried), Fa Banxia (Ban Xia, Pinelliae Rhizoma preparatum), Danggui (Jiu Xi Dang Gui, Angelicae Sinensis Radix, wine-washed), Baishao (Jiu Chao Bai Shao, Paeoniae Radix Alba, wine-fried), Baikouren (Jiu Chao Baisha Ren, Amomi Fructus Rotundus, wine-fried), Piaocangzhu (Heihuzi Ban Chao Cang Zhu, Atractylodis Rhizoma, stir-fried with black sesame seeds) (each 1 liang for the above items), Zhen Longchi (Huo Cu Cui Long Gu, Draconis Os, calcined with vinegar, ground, levigated, dried; use only 5 qian), Chijinbo (Chi Jin Bo, Folium Aureum) (30 sheets), Jing Chen Sha (Jing Sha, Cinnabaris, levigated) (3 qian).
Preparation and Administration: Process the herbs, bake until dry, grind into extremely fine powder, and sieve. Process with refined honey to make pills the size of longan seeds. Coat with Zhusha (Cinnabar) and apply gold foil. Dry and store in porcelain bottles. Take one pill each morning, noon, and evening, dissolved in ginger decoction. This formula is suitable for recent onset of epilepsy. For chronic cases lasting many years, take this pill at noon and evening, and in the morning, take Heche Bawei Wan (see *Youyou Jicheng*).