误传惊风各症,《集成》辨之甚详。然恐习俗相沿,骤不能辨,故另采数条于后。
庄氏《福幼编》曰∶急惊属实热,清热即所以治急惊;慢惊属虚寒,温补即所以治慢惊
。二症有寒热之殊,用药有云泥之别。《景岳全书》曰∶急惊之候,壮热痰壅,搐搦反张,
牙关紧急,口中气热,颊赤唇红,饮冷便结,小便赤,脉浮洪数。慢惊之候,多由吐泻,气
微神缓,昏睡露睛,痰鸣气促,惊跳搐搦,或乍发乍静,身凉身热,或肢体逆冷,或口唇青
赤,面色淡白,脉迟缓或见细数。
此乃痰火闭症,初起用通关散开肺窍,见上页。再服勾藤三钱,连翘、木通、山栀、黄
芩、枳壳、车前、栝蒌霜各一钱。
额赤唇红,口中气热,牙关紧急,痰涎壅塞咽喉,其响如潮,名曰涎潮。用金星礞石,
火,研细,入生薄荷汁内,加白蜜调和,温水冲服,其药自裹痰,从大便出,屡验。又方
,灯芯二十根,每根约五寸,蝉蜕去头足并盖,只用肚皮,十四个,明辰砂末三钱,以新白
纱扎紧,用绿线系物,坠于沙罐两边,悬空放水中,量儿大小,或水盅半,煎至一盅,或水
一盅,煎至七分,服下即效。有辰砂须略澄清,不可服渣。又方,用蚂蚱,焙为末,每四五
分,姜汤送下,立愈。又方,荆芥、柴胡各一钱,竹沥半盅,入姜汁二匙,水一匙,煎服,
治惊搐发热有痰甚效。又方,大栀子一枚,研末,鸡蛋一个,去黄用白,和前药调匀,搽儿
腹四围。寸金丹,治急惊甚效,方见内科“脾胃”。抱龙丸,治急惊亦效。
误传惊风各症,《集成》辨之甚详。然恐习俗相沿,骤不能辨,故另采数条于后。
关于误传的惊风各种病症,《医宗金鉴·集成》辨析得非常详细。然而担心这种错误习俗沿袭已久,人们突然难以辨别,所以另外摘录几条内容在后面。
庄氏《福幼编》曰∶急惊属实热,清热即所以治急惊;慢惊属虚寒,温补即所以治慢惊。二症有寒热之殊,用药有云泥之别。
庄氏在《福幼编》中说:急惊风(急性惊厥)属于实热证,清热就是治疗急惊风的方法;慢惊风(慢性惊厥)属于虚寒证,温补就是治疗慢惊风的方法。这两种病症有寒证和热证的区别,用药有着天壤之别。
《景岳全书》曰∶急惊之候,壮热痰壅,搐搦反张,牙关紧急,口中气热,颊赤唇红,饮冷便结,小便赤,脉浮洪数。慢惊之候,多由吐泻,气微神缓,昏睡露睛,痰鸣气促,惊跳搐搦,或乍发乍静,身凉身热,或肢体逆冷,或口唇青赤,面色淡白,脉迟缓或见细数。
《景岳全书》说:急惊风的症状表现为高热、痰液壅盛,抽搐痉挛、角弓反张,牙关紧闭,口中气息发热,面颊发红、嘴唇红润,想喝冷水、大便干结,小便颜色深黄,脉象浮、洪大且快速。慢惊风的症状表现,多由呕吐腹泻引起,气息微弱、精神萎靡,昏睡时眼睛半睁露出眼珠,喉间痰鸣、呼吸急促,受惊跳跃、抽搐痉挛,或者时而发作时而安静,身体发凉或发热,或者四肢末端冰冷,或者口唇青紫或发红,面色苍白,脉象缓慢无力或细弱快速。
此乃痰火闭症,初起用通关散开肺窍,见上页。再服勾藤三钱,连翘、木通、山栀、黄芩、枳壳、车前、栝蒌霜各一钱。
这是痰火闭阻的病症,初期使用通关散来开通肺窍,详见上一页。随后服用钩藤三钱,连翘、木通、山栀、黄芩、枳壳、车前子、栝蒌霜各一钱。
额赤唇红,口中气热,牙关紧急,痰涎壅塞咽喉,其响如潮,名曰涎潮。用金星礞石,火,研细,入生薄荷汁内,加白蜜调和,温水冲服,其药自裹痰,从大便出,屡验。又方,灯芯二十根,每根约五寸,蝉蜕去头足并盖,只用肚皮,十四个,明辰砂末三钱,以新白纱扎紧,用绿线系物,坠于沙罐两边,悬空放水中,量儿大小,或水盅半,煎至一盅,或水一盅,煎至七分,服下即效。有辰砂须略澄清,不可服渣。又方,用蚂蚱,焙为末,每四五分,姜汤送下,立愈。又方,荆芥、柴胡各一钱,竹沥半盅,入姜汁二匙,水一匙,煎服,治惊搐发热有痰甚效。又方,大栀子一枚,研末,鸡蛋一个,去黄用白,和前药调匀,搽儿腹四围。寸金丹,治急惊甚效,方见内科“脾胃”。抱龙丸,治急惊亦效。
额头发红、嘴唇红润,口中气息发热,牙关紧闭,痰涎堵塞咽喉,声音像潮水一样轰鸣,这叫做“涎潮”。使用金星礞石,经过煅烧,研磨成细粉,放入新鲜薄荷汁中,加入白蜜调和,用温水冲服,药物会自动包裹痰液,随大便排出,多次验证有效。另一个方子,取灯心草二十根,每根大约五寸长,蝉蜕去掉头部、足部和背部外壳,只保留腹部皮膜十四片,明矾辰砂粉末三钱,用新的白纱布紧紧包扎,用绿线系住药包,悬挂在沙罐两侧,将沙罐悬空放入水中,根据婴儿的大小,加水半个茶盅,煎煮到一个茶盅的量,或者加水一个茶盅,煎煮到七分的量,服用后立即见效。如果有辰砂,需要稍微澄清一下,不要服用沉淀的渣滓。又一个方子,使用蚂蚱,烘焙后研成粉末,每次服用四五分,用姜汤送服,立刻痊愈。又一个方子,荆芥、柴胡各一钱,竹沥半个茶盅,加入姜汁两匙,水一匙,煎煮后服用,治疗惊厥抽搐、发热且有痰的症状非常有效。又一个方子,大栀子一枚,研成粉末,鸡蛋一个,去掉蛋黄只用蛋白,与前药混合均匀,涂抹在婴儿腹部四周。寸金丹,治疗急惊风非常有效,方剂详情见内科“脾胃”章节。抱龙丸,治疗急惊风也有效。
Misconceptions regarding various types of Jing Feng (Convulsive Disorders) are detailed in the *Jicheng* (Collected Works). However, fearing that these erroneous customs may persist and be difficult to distinguish abruptly, several additional points are excerpted below.
Zhuang's *Fu You Bian* states: Ji Jing Feng (Acute Convulsive Disorder) belongs to Excess-Heat patterns; clearing heat is the method to treat Ji Jing Feng. Man Jing Feng (Chronic Convulsive Disorder) belongs to Deficiency-Cold patterns; warming and tonifying is the method to treat Man Jing Feng. These two conditions differ in Cold and Heat, and their medicinal prescriptions are as different as clouds and mud.
The *Jingyue Quanshu* states: The manifestations of Ji Jing Feng include high fever, phlegm obstruction, spasms and opisthotonos, tight jaw, hot breath from the mouth, red cheeks and lips, desire for cold drinks, constipation, dark urine, and a floating, surging, and rapid pulse. The manifestations of Man Jing Feng often result from vomiting and diarrhea, with weak breath and sluggish spirit, drowsiness with eyes half-open, phlegm rattling and shortness of breath, startle jumps and spasms, or intermittent episodes of agitation and calm, cool or hot body temperature, cold extremities, cyanotic or red lips, pale complexion, and a slow, weak, or fine-rapid pulse.
This is a condition of Phlegm-Fire Obstruction. In the initial stage, use Tongguan San (Pass-the-Gate Powder) to open the Lung orifices, see previous page. Subsequently, administer Gouteng (Uncariae Ramulus cum Uncis) 3 qian, along with Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Zhike (Aurantii Fructus), Cheqian (Plantaginis Semen), and Gualou Shuang (Trichosanthis Pericarpium Pulveratum) each 1 qian.
Forehead redness, red lips, hot breath, tight jaw, and phlegm-saliva obstructing the throat with a roaring sound like tides is named Xian Chao (Tidal Saliva Flow). Use Jin Xing Meng Shi (Lepidolite), calcined and ground into fine powder, mixed with fresh Bohe juice (Menthae Haplocalycis Herba Juice) and white honey, taken with warm water. The medicine naturally wraps the phlegm, which is expelled via stool; this has been verified repeatedly. Another prescription: 20 roots of Dengxin Cao (Junci Medullae), each about 5 cun long; Chan Tui (Cicadae Periostracum), removing head, feet, and dorsal shell, using only the abdominal membrane, 14 pieces; Chen Sha (Cinnabaris) powder 3 qian. Tie tightly with new white gauze, bind with green thread, suspend the bundle on both sides of a clay pot, and place the pot suspended in water. Depending on the child's size, add half a cup of water and decoct to one cup, or add one cup of water and decoct to seven-tenths. Administer orally for immediate effect. If Chen Sha is used, it must be slightly clarified; do not consume the dregs. Another prescription: Use Locusts (Acrididae), roasted and powdered, 4-5 fen per dose, taken with Ginger Decoction for immediate cure. Another prescription: Jingjie (Schizonepetae Spica) and Chaihu (Bupleuri Radix) each 1 qian, Zhu Li (Bambusae Succus) half a cup, added with 2 spoons of Jiang Zhi (Zingiberis Recens Juice) and 1 spoon of water, decocted and administered; highly effective for convulsions, fever, and phlegm. Another prescription: One large Zhizi (Gardeniae Fructus), powdered; one egg, separating the white from the yolk, mixed evenly with the aforementioned powder, applied around the infant's abdomen. Cun Jin Dan (Golden Pill of Inch) is very effective for treating Ji Jing Feng; the formula is found in the Internal Medicine section under "Spleen and Stomach". Bao Long Wan (Dragon-Holding Pill) is also effective for treating Ji Jing Feng.