典藏书目

The Danggui Longdan Wan (Angelica Sinensis and Gentiota Decoction) from *Xuanming Lun* treats palpitations, muscle spasms, and latent wind epilepsy that occur intermittently due to the accumulation of wind-heat caused by yin deficiency of kidney water.
The composition of this formula is found in the chapter "Medicines for Various Fire Syndromes".

The Longdan Tang (Gentian Decoction) from *Qianjin Fang* treats infants whose blood vessels are full and solid after birth, presenting with alternating cold and heat, elevated temperature, convulsive jerking of the four limbs, fever, and various types of fright epilepsy.
Ingredients: Radix Gentianae Scabrae (Longdan), Cortex Uncariae cum Uncis (Goutengpi), Radix Bupleuri (Chaihu), Cortex Phellodendri (Huangqin), Ramulus Cinnamomi (Guizhi), Radix Paeoniae Alba (Shaoyao), Poria (Fuling; alternatively Shen Fushi), Radix Glycyrrhizae Preparata (Gancao) (each 6 zhu), Mantis Oötheca (Tanglang) (2 pieces), Radix et Rhizoma Rhei (Dahuang) (1 liang).
Preparation and Administration: Coarsely crush the herbs, decoct with one sheng of water until five he remain, and take as a single dose.
Note: This formula primarily involves herbs belonging to the Shaoyang and Jueyin meridians.

Xieqing Wan (Drain Blue Pill) by Qian Yi.
The composition of this formula is found in the chapter "Pediatrics".

Fengtong Sheng San (Wind-Blocking Hero Powder) from *Xuanming Lun* also treats wind epilepsy.
The composition of this formula is found in the chapter "Wind Stroke".

Chenxiang Tianma Tang (Agarwood and Gastrodia Decoction) from *Baodian* was used to treat a four-year-old child. The child developed convulsions, audible phlegm-rattle, upward deviation of the eyes showing the whites, and stiffness of the neck and back for about one hour before waking up, after being frightened by an elder monk performing a head-touching ritual and chanting spells. Subsequently, every time the child saw someone wearing black robes, an episode would occur. For over four years, the child had been frequently administered heavy-settling and cooling medicines such as rhino horn, cinnabar, bovine calculus, and musk, yet the condition persisted, and the child additionally exhibited mental dullness during walking and movement.
Pulse diagnosis revealed a deep, wiry, and rapid pulse. The *Ling Shu* states: "Fullness and largeness of the Heart meridian pulse indicate epilepsy and tendon spasm." The prolonged illness led to qi deficiency, and the long-term use of settling and cold-natured medicines further damaged the healthy qi, resulting in the symptom of mental dullness in movements.
Treatment first involved moxibustion on both Qi Mai (Yin and Yang Qi vessels), seven times per acupoint (total fourteen moxa cones), followed by administration of this medicine.
Furthermore, the Liver meridian pulse was small and urgent. This is because a child's spirit and qi are still weak; thus, fright causes the spirit to lack foundation, and it agitates the Liver. Since the Liver governs the tendons, epilepsy and tendon spasm occur.
Ingredients: Agarwood (Chenxiang), Semen Alpiniae Oxyphyllae (Yizhiren), Radix Aconiti Lateralis Preparata (Chuanwu) (each 2 qian), Rhizoma Gastroodiae Officinalis (Tianma), Radix Saposhnikoviae (Fangfeng), Rhizoma Pinelliae Preparata (Banxia), Radix Aconiti Lateralis Preparata (Fuzi) (processed, each 3 qian), Radix Notopterygii (Qianghuo) (5 qian), Radix Angelicae Pubescentis (Duhuo) (4 qian), Radix Glycyrrhizae Preparata (Gancao), Radix Angelicae Sinensis (Danggui), Bombyx Batryticatus (Jiangcan) (each 1.5 qian).
Theoretical Basis: The *Neijing* states: "Fear causes qi to descend," leading to weakness of essence and closure of the upper jiao. Qianghuo and Duhuo, with their bitter-warm nature, guide qi upward and serve as guiding herbs for the Taiyang meridian, thus acting as the Sovereign (Jun) herb. Tianma and Fangfeng, with their pungent-warm nature, disperse pathogenic factors. Danggui and Gancao, with their pungent-sweet-warm nature, tonify the insufficiency of qi and blood and nourish stomach qi, thus acting as the Minister (Chen) herbs. Fuzi, Chuanwu, and Yizhiren are greatly pungent and warm, promoting yang and retreating yin, and treating exogenous cold damaging the stomach. The Kidney governs the five fluids, which enter the Spleen and transform into saliva/phlegm; Shengjiang and Banxia dry dampness and resolve phlegm. Chenxiang, with its pungent-warm nature, heavy weight, and clear qi, dispels fear and calms the spirit, thus acting as the Assistant/Envoy (Shi) herb.
Preparation and Administration: Coarsely crush the herbs. Take 5 qian per dose, add two zhan of water and three slices of fresh ginger, decoct until one zhan remains, strain, and take warm before meals. The patient recovered after three doses.
Note: Epilepsy syndromes originally should be treated based on heat, but there are cases where mismanagement leads to complex syndromes transforming into yin patterns. For example, Qian Yi treated the son of Mr. Wang, who suffered from vomiting and diarrhea. Other physicians used purgatives, causing extreme deficiency and transforming the condition into slow convulsion, characterized by twitching of the hands and feet and cold body. The physician then prescribed Basheng San. Qian Yi said, "If the patient cannot eat and the stomach is deficient, draining urine and stool will cause death." Over time, both Spleen and Kidney become deficient. When the body is cold and eyes are closed, one must use Yihuang San and Shijunzi Wan to tonify the Spleen, enabling the patient to eat. Later, when the patient could not speak, Qian Yi used Dihuang Wan to tonify the Kidney, and the patient stabilized after one month. All these cases follow this principle. This formula uses greatly hot medicines as a temporary measure to remedy previous treatment errors, rather than as a standard treatment method.