钱氏牛黄夺命散治小儿肺胀喘满胸高气急两胁扇动陷下鼻张闷乱嗽渴声嗄痰涎潮塞俗谓
之马脾风者
黑白牵牛(各一两半一半炒) 大黄 槟榔(各一两)
上为末三岁儿每服二钱冷温水调下涎多加腻粉少许无时
通膈丸
大黄 牵牛 木通(等分)
上为细末水丸粟米大每三五十丸量大小虚实与服
按以上二方阳明例药也
治惊之剂 宜与风痫门兼看
钱氏凉惊丸
草龙胆 防风 青黛(各三钱) 钩藤(二钱) 牛黄 麝(各一字) 黄连(五分) 龙脑(
一字)
上糊丸粟米大每三五丸金银汤下
按此治风热之剂也
局方天麻防风丸治小儿惊风身热喘粗多睡惊悸手足搐搦精神昏愦
天麻 防风 人参(各一两) 蝎尾(炒半两) 甘草 朱砂 雄黄(各二钱半) 牛黄 麝
(各一钱) 僵蚕(炒半两)
上为末炼蜜丸樱桃大朱砂为衣每一丸薄荷汤化下
按此治风痫通关窍药也
三因方治阳痫惊风热证面赤身热发搐直视牙紧
朱砂(一钱) 腻粉 麝(半钱) 芦荟 白附子 甘草(各二钱) 胡黄连(一钱) 蝎梢(
七个) 僵蚕(七个) 金箔(七片) 赤脚蜈蚣(一条炙)
上为末二岁以上服半钱金箔薄荷汤下
按此治风热痰之剂透关通经络药也
全婴方睡红散治小儿急慢惊风手足搐搦目瞪神昏
牛黄 硼砂 脑子 真珠 水银(砂子各半钱) 青黛 蝎尾(炒) 京墨(烧) 南星 半
夏(
同上姜制一斤) 蛇含石(淬各一钱) 金银箔(各十片) 麝香(一字) 乌蛇尾(并项下七寸并
酒浸一宿取出去皮骨炙一钱)
上为末三岁一字薄荷汤下
按此治风热痰药通关透肌骨之剂也非风邪下陷者不可轻用
东垣朱砂安神丸
(方见热门)
按此宁心清神凉血之剂也
谢氏夺命丹治急惊不省人事眼定不动牙关不开唇白并黑者
南星 半夏(各四钱为末并以生姜汁和作饼子晒干) 真珠(新白者二钱) 巴豆(去油净
一钱) 朱砂(四钱) 金箔 银箔(各十片) 轻粉 麝(各半钱)
上九味各为末和匀飞罗面打糊为丸如黍米大每一岁儿一丸灯芯汤下
比金丸治小儿风热丹毒急慢哑惊
前夺命丹中减去金银箔加真郁金末三钱丸如上法
利惊丸
前比金丸中去郁金加脑子半钱白颈蚯蚓一条用刀截断首尾两头齐跳者用之去土秤二钱丸
服如上法
按此三方导痰药也白饼子加减法
按以上诸方治阳痫之药不问急慢但系阳证诸热者宜随表里轻重择用之
钱氏温惊丸
天南星(为末入腊月牛胆中百日阴干为末四两) 朱砂(一钱) 天竺黄(一两) 坯子胭脂
片脑(各一钱)
上用牛胆汁和丸鸡头大每一丸小者半丸砂糖水化下
羌活膏治脾胃虚肝所热盛生风或吐泻后成慢惊者
羌活 川芎 人参 白附子 赤茯苓(各半两) 天麻(一两) 僵蚕(炒) 干蝎(炒) 白
花蛇
(酒浸焙各一分) 川附子(炮) 防风 麻黄(各三钱) 肉豆蔻 母丁香 藿香叶 沉香 木
香(各二钱) 轻粉(一字) 真珠末 牛黄(各一钱半) 龙脑(半字) 麝(一钱) 雄黄 辰砂
(各一分以上七味各另研)
上为细末熟蜜剂旋丸大豆大每服一二丸食前薄荷汤或麦门冬汤下
三因方治阴痫慢惊
黑附子(锉去皮) 南星(生) 半夏(各二钱) 白附子(一钱半)
上研细井花水浸七日每日换水浸控干入朱砂二钱麝一钱拌匀每服一字薄荷汤下量大小与
服或丸如粟米大每二十丸薄荷汤下此白丸子方也因分两不同故两存之
经验方保生锭子治急慢惊风
蛇含石(四两火 醋淬十数次研为极细末) 南星(一两先泡细切再炒) 白附子(去皮一
两) 朱砂(三钱另研极细) 麝(一钱)
上为细末用糯米粉煮作饼捣和前药令匀作锭子临用薄荷汤浓磨汁服一二口
全婴方麝香饼治小儿急慢惊风进退不定荏苒经日乍静乍动呕吐痰涎潮搐甚者宜此
麝香 蝎尾(去毒) 蜈蚣(二条酒浸酥炙) 南星(炮) 川乌(炮) 白花蛇(酒浸一夕去
骨皮焙以上各半两) 乳香 铁粉 朱砂 牛黄(各一钱)
上为末酒煮糊丸如鸡头大拈作饼子三岁儿一饼用薄荷汤下
按此厥阴例药也非风在关窍肯綮者不可用义见中风门通关透骨例
全蝎散治小儿急慢惊风潮作不定心肺中风
蛇头(一个酒浸) 蜈蚣(一条酥炙) 蝎(一枚) 草乌(一个去皮尖) 麻黄(去节一钱)
朱砂(一钱) 脑麝(各一字)
上为末一岁一字薄荷汤下
夺命散治小儿急慢惊风诸药无效者一服见效
白附子 黑附子(炮) 南星(炮) 天麻 防风 半夏(炮) 麻黄(去节) 朱砂 蝎(新
薄荷叶煨姜汁蘸炙三两次各一钱)
上入麝香半钱为末三岁半钱薄荷姜汁更入酒些小热汤共调下
按此二方太阳例药也
钩藤饮子治吐利脾胃气弱虚风慢惊
钩藤(三分) 蝉壳 防风 人参 麻黄(去节) 僵蚕(炒) 天麻 蝎尾(炒各半两) 甘
草(炙) 川芎(各一分) 麝(一钱另研)
上同为细末每服二钱水煎量多少与之寒多者加附子半钱
按此升阳越脾气药也
宁心膏治小儿精神不定恍惚不宁恐畏多哭惊魇
人参 白术 白茯苓 茯神 山药 羌活 甘草(炙各一钱) 朱砂(一钱) 脑麝(各一
字)
上为末炼蜜丸如鸡头大二岁一丸薄荷汤化下
按此养气疏风清神之药也
宝鉴天麻散治小儿急慢惊风其效如神
半夏(七钱) 天麻(二钱半) 甘草(炙) 白茯苓 白术(各三钱)
上水一盏入瓷器内煮水干将生姜三钱同煮候干为末每服一钱半姜枣汤调下
按此温脾养胃之剂非止于疏风胜痰药也大抵小儿血气未充体虚者多或因病后致者宜与此
调理而不为峻剂下陷转成坏证者此三方则庶几矣
谨按以上诸方治阴痫不问急慢惊但系阴证宜随表里轻重选用则半阴半阳慢脾之法例在其
中矣经验方嚏惊开关散牙关紧急者用之 鼻并擦牙
蜈蚣(一条炙) 直僵蚕(炒) 南星(各一钱) 麝(一字) 猪牙皂角(一定略烧存性)
上各为末研极细少许搐鼻如欲擦牙者用生姜汁蘸药擦牙上
全婴方探生散治小儿急慢惊风诸药无效者吹鼻定死生
没药 雄黄(各一钱) 乳香(半钱) 麝(一字)
上为末少许吹鼻如眼泪鼻涕俱出者可治
按此二方捷嚏药也
吐风散治小儿急中风口噤不开不省人事
全蝎(一个炒) 瓜蒂(十个炒) 赤小豆(三十粒)
上为末一岁一字温米饮调下未吐再服
碧云散治小儿急风卒中涎潮气粗不省人事
石碌(四钱) 轻粉(一钱)
上为末每一字薄荷汤下酒少许同调下良久先吐后利
一方以铜青为末醋糊丸如鸡头大每一丸薄荷汤磨下须臾吐涎似胶以手拽出神效
天霜散治小儿急中卒风并急惊口噤搦搐涎盛昏塞不语
辰砂 粉霜 轻粉 南星(炮各半两) 蝎尾 白附子 藿香叶(各一钱)
上为末一岁半字薄荷汤调下茶亦得未吐再服
按以上三方宣剂也宜选用然此方吐中兼汗下也钱氏利惊丸治小儿急惊风涎盛发热潮搐
青黛 轻粉(各一钱) 牵牛(半两) 天竺黄(二钱)
上为末白糊丸如小豆大二十丸薄荷汤下
按此下湿热痰之剂也
全婴驱风膏治小儿肝风筋脉拘急面红目青眼上惊搐及胎风
辰砂 蝎尾 当归 龙胆草 川芎 山栀 大黄 羌活 防风 甘草(各一钱)
上为末入麝香一字炼砂糖丸如鸡头大三岁一丸薄荷竹叶蜜汤化下
按此下风热之剂也
珍珠丸治小儿急慢惊风发搐涎潮壮热及痰嗽壅塞
白附子 滑石 巴豆(十五个去油) 轻粉 南星(各一钱)
上为末糊丸如小豆大三岁一二丸葱白汤下
按此下食痰导滞之剂也白饼子加减法
通关散治小儿惊风已退声不能言
上以南星大者炮为末三岁一钱猪胆汁调入咽下喉中便能言
炙惊风法(附脐风撮口法)
宝鉴云小儿急惊风灸前顶一穴在百会前一寸若不愈须灸两眉头及人中一穴各三壮如小麦
大
小儿慢惊风灸尺泽穴各七壮在肘中横纹上动脉中炷如小麦大
初生小儿脐风撮口诸药不效者取然谷穴在内踝前踝骨下陷中可灸三壮针入三分不宜见血
立效
小儿癫痫螈 脊强互相引灸长强穴二十壮在脊 端跌地取之乃得
小儿癫痫惊风目眩灸神庭一穴七壮在鼻直上入发际五分
小儿风痫者先屈手指如数物乃发也灸鼻柱入发际宛宛中灸三壮如小麦大
小儿惊痫先啼怖啼叫乃发也灸顶上旋毛中三壮及耳后青脉旺如小麦大
钱氏牛黄夺命散治疗小儿肺胀,症见喘满、胸高气急、两胁扇动、鼻翼煽张、神志闷乱、咳嗽口渴、声音嘶哑、痰涎壅盛堵塞气道,俗称为“马脾风”者。
药材:黑白牵牛(各一两半,一半炒用)、大黄、槟榔(各一两)。
制法与用法:将上述药物研为细末。三岁的幼儿每次服用二钱,用冷温水调服。若痰多,可加入少许腻粉,不拘时间服用。
通膈丸
药材:大黄、牵牛、木通(等分)。
制法与用法:将上述药物研为细末,用水泛丸,如粟米大小。每次服用三五十丸,根据患儿体型大小及虚实情况给药。
按语:以上两个方剂属于阳明经例药。
钱氏凉惊丸
药材:草龙胆、防风、青黛(各三钱)、钩藤(二钱)、牛黄、麝香(各一字)、黄连(五分)、龙脑(一字)。
制法与用法:将上述药物制成糊丸,如粟米大小。每次服用三至五丸,用金银汤送服。
按语:此方是治疗风热的方剂。
局方天麻防风丸治疗小儿惊风,症见身热、呼吸粗重、嗜睡、惊悸、手足抽搐、精神昏沉。
药材:天麻、防风、人参(各一两)、蝎尾(炒半两)、甘草、朱砂、雄黄(各二钱半)、牛黄、麝香(各一钱)、僵蚕(炒半两)。
制法与用法:将上述药物研为细末,炼蜜为丸,如樱桃大小,以朱砂为衣。每次服用一丸,用薄荷汤化开送服。
《三因方》治疗阳痫、惊风热证,症见面赤、身热、发搐、直视、牙关紧闭。
药材:朱砂(一钱)、腻粉、麝香(半钱)、芦荟、白附子、甘草(各二钱)、胡黄连(一钱)、蝎梢(七个)、僵蚕(七个)、金箔(七片)、赤脚蜈蚣(一条,炙)。
制法与用法:将上述药物研为细末。两岁以上的儿童每次服用半钱,用金箔和薄荷汤送服。
《全婴方》睡红散治疗小儿急慢惊风,症见手足抽搐、目瞪、神志昏迷。
药材:牛黄、硼砂、脑子(冰片)、真珠、水银(与砂子各半钱)、青黛、蝎尾(炒)、京墨(烧)、南星、半夏(同上姜制一斤)、蛇含石(淬,各一钱)、金银箔(各十片)、麝香(一字)、乌蛇尾(取项下七寸,酒浸一夜,去皮骨,炙,一钱)。
制法与用法:将上述药物研为细末。三岁幼儿每次服用一字,用薄荷汤送服。
按语:此方是治疗风热痰、通关透肌骨的方剂。若非风邪下陷者,不可轻用。
东垣朱砂安神丸
(方剂见热门章节)
按语:此方是宁心、清神、凉血的方剂。
谢氏夺命丹治疗急惊风,症见不省人事、眼睛定住不动、牙关不开、唇色白并黑者。
药材:南星、半夏(各四钱,研为细末,用生姜汁和作饼子晒干)、真珠(新白者二钱)、巴豆(去油净一钱)、朱砂(四钱)、金箔、银箔(各十片)、轻粉、麝香(各半钱)。
制法与用法:将九味药物分别研为细末,混合均匀,用飞罗面打糊为丸,如黍米大小。每岁幼儿服用一丸,用灯芯汤送服。
比金丸治疗小儿风热、丹毒、急慢哑惊。
制法:在前方(夺命丹)中减去金银箔,加入真郁金末三钱,丸制方法同上。
利惊丸
制法:在前方(比金丸)中去掉郁金,加入脑子(冰片)半钱、白颈蚯蚓一条(用刀截断首尾,两头齐跳者用之),去土后秤取二钱,丸制方法同上。
按语:这三个方剂都是导痰药。
白饼子加减法
按语:以上诸方均为治疗阳痫的药物。无论急惊还是慢惊,只要是阳证、热证,都适宜根据表里轻重选择使用。
钱氏温惊丸
药材:天南星(研为细末,放入腊月牛胆中百日,阴干后研为细末,四两)、朱砂(一钱)、天竺黄(一两)、坯子胭脂、片脑(各一钱)。
制法与用法:用牛胆汁和丸,如鸡头大。每次服用一丸,较小的服用半丸,用砂糖水化开送服。
羌活膏治疗脾胃虚弱、肝热盛生风,或吐泻后形成的慢惊风。
药材:羌活、川芎、人参、白附子、赤茯苓(各半两)、天麻(一两)、僵蚕(炒)、干蝎(炒)、白花蛇(酒浸焙,各一分)、川附子(炮)、防风、麻黄(各三钱)、肉豆蔻、母丁香、藿香叶、沉香、木香(各二钱)、轻粉(一字)、真珠末、牛黄(各一钱半)、龙脑(半字)、麝香(一钱)、雄黄、辰砂(各一分,以上七味各另研)。
制法与用法:将上述药物研为细末,用熟蜜调和,随制随丸,如大豆大。每次服用一二丸,饭前用薄荷汤或麦门冬汤送服。
《三因方》治疗阴痫、慢惊风。
药材:黑附子(锉去皮)、南星(生)、半夏(各二钱)、白附子(一钱半)。
制法与用法:研细,用井花水浸泡七日,每日换水,浸后控干,加入朱砂二钱、麝香一钱,拌匀。每次服用一字,用薄荷汤送服,根据年龄大小调整剂量;或丸如粟米大,每次二十丸,用薄荷汤送服。这是白丸子方,因分两不同,故两种记载并存。
经验方保生锭子治疗急慢惊风。
药材:蛇含石(四两,火煅醋淬十数次,研为极细末)、南星(一两,先泡细切再炒)、白附子(去皮一两)、朱砂(三钱,另研极细)、麝香(一钱)。
制法与用法:将上述药物研为细末,用糯米粉煮作饼,捣碎并与前药混合均匀,制成锭子。临用时用浓薄荷汤磨汁,服用一二口。
《全婴方》麝香饼治疗小儿急慢惊风,进退不定,拖延数日,时而安静时而躁动,呕吐痰涎,潮搐严重者适宜使用此方。
药材:麝香、蝎尾(去毒)、蜈蚣(二条,酒浸酥炙)、南星(炮)、川乌(炮)、白花蛇(酒浸一夜,去骨皮焙,以上各半两)、乳香、铁粉、朱砂、牛黄(各一钱)。
制法与用法:将上述药物研为细末,用酒煮糊为丸,如鸡头大,捏作饼子。三岁幼儿服用一饼,用薄荷汤送服。
按语:此方属于厥阴经例药。若非风邪在关窍肯綮者,不可使用。义理见中风门通关透骨例。
全蝎散治疗小儿急慢惊风,潮作不定,心肺中风。
药材:蛇头(一个,酒浸)、蜈蚣(一条,酥炙)、蝎(一枚)、草乌(一个,去皮尖)、麻黄(去节一钱)、朱砂(一钱)、脑麝(各一字)。
制法与用法:将上述药物研为细末。一岁幼儿每次服用一字,用薄荷汤送服。
夺命散治疗小儿急慢惊风,其他药物无效时,服用此方可见效。
药材:白附子、黑附子(炮)、南星(炮)、天麻、防风、半夏(炮)、麻黄(去节)、朱砂、蝎(新薄荷叶煨,姜汁蘸炙三两次,各一钱)。
制法与用法:加入麝香半钱,研为细末。三岁幼儿服用半钱,用薄荷姜汁并加少量酒的热汤共同调服。
按语:这两个方剂属于太阳经例药。
钩藤饮子治疗吐利导致脾胃气弱、虚风慢惊。
药材:钩藤(三分)、蝉壳、防风、人参、麻黄(去节)、僵蚕(炒)、天麻、蝎尾(炒,各半两)、甘草(炙)、川芎(各一分)、麝香(一钱,另研)。
制法与用法:将上述药物同为细末。每次服用二钱,水煎,根据病情轻重给药。寒多者加附子半钱。
宁心膏治疗小儿精神不定、恍惚不宁、恐惧多哭、惊魇。
药材:人参、白术、白茯苓、茯神、山药、羌活、甘草(炙,各一钱)、朱砂(一钱)、脑麝(各一字)。
制法与用法:将上述药物研为细末,炼蜜为丸,如鸡头大。两岁幼儿服用一丸,用薄荷汤化开送服。
《宝鉴》天麻散治疗小儿急慢惊风,其效如神。
药材:半夏(七钱)、天麻(二钱半)、甘草(炙)、白茯苓、白术(各三钱)。
制法与用法:用水一盏,放入瓷器内煮至水干,将生姜三钱同煮,候干后研为细末。每次服用一钱半,用姜枣汤调服。
按语:此方是温脾养胃的方剂,不仅仅是疏风胜痰药。大抵小儿血气未充,体虚者多,或因病后所致,适宜与此方调理,而不作为峻剂。若因误下导致转成坏证者,此三方则庶几有效。
谨按:以上诸方均为治疗阴痫的药物。无论急惊还是慢惊,只要是阴证,都适宜根据表里轻重选用,则半阴半阳慢脾之法例在其中矣。
经验方嚏惊开关散,治疗牙关紧急者。用法:搐鼻或擦牙。
药材:蜈蚣(一条,炙)、直僵蚕(炒)、南星(各一钱)、麝香(一字)、猪牙皂角(一定,略烧存性)。
制法与用法:各研为细末,研至极细。少许搐鼻。如欲擦牙者,用生姜汁蘸药擦牙上。
《全婴方》探生散治疗小儿急慢惊风,其他药物无效时,吹鼻以定死生。
药材:没药、雄黄(各一钱)、乳香(半钱)、麝香(一字)。
制法与用法:将上述药物研为细末,少许吹鼻。如眼泪鼻涕俱出者可治。
按语:这两个方剂是捷嚏药。
吐风散治疗小儿急中风,口噤不开,不省人事。
药材:全蝎(一个,炒)、瓜蒂(十个,炒)、赤小豆(三十粒)。
制法与用法:将上述药物研为细末。一岁幼儿每次服用一字,用温米饮调服。未吐再服。
碧云散治疗小儿急风卒中,涎潮,气粗,不省人事。
药材:石碌(四钱)、轻粉(一钱)。
制法与用法:将上述药物研为细末。每次服用一字,用薄荷汤送服,加少许酒同调。良久之后,先吐后利。
一方以铜青为末,醋糊丸如鸡头大。每一丸用薄荷汤磨下。须臾吐涎似胶,以手拽出,神效。
天霜散治疗小儿急中卒风并急惊,口噤搦搐,涎盛昏塞不语。
药材:辰砂、粉霜、轻粉、南星(炮,各半两)、蝎尾、白附子、藿香叶(各一钱)。
制法与用法:将上述药物研为细末。一岁幼儿每次服用半字,用薄荷汤调服,茶亦得。未吐再服。
按语:以上三方为宣剂,适宜选用。然此方吐中兼汗下也。
钱氏利惊丸治疗小儿急惊风,症见涎盛、发热、潮搐。
药材:青黛、轻粉(各一钱)、牵牛(半两)、天竺黄(二钱)。
制法与用法:将上述药物研为细末,用白糊丸如小豆大。每次二十丸,用薄荷汤送服。
《全婴方》驱风膏治疗小儿肝风,症见筋脉拘急、面红目青、眼上惊搐及胎风。
药材:辰砂、蝎尾、当归、龙胆草、川芎、山栀、大黄、羌活、防风、甘草(各一钱)。
制法与用法:将上述药物研为细末,入麝香一字,炼砂糖为丸,如鸡头大。三岁幼儿服用一丸,用薄荷竹叶蜜汤化开送服。
按语:此方是下风热的方剂。
珍珠丸治疗小儿急慢惊风,症见发搐、涎潮、壮热及痰嗽壅塞。
药材:白附子、滑石、巴豆(十五个,去油)、轻粉、南星(各一钱)。
制法与用法:将上述药物研为细末,糊丸如小豆大。三岁幼儿服用一二丸,用葱白汤送服。
白饼子加减法
通关散治疗小儿惊风已退,声不能言。
制法与用法:以大南星炮为细末。三岁幼儿服用一钱,用猪胆汁调入咽下,喉中便能言。
炙惊风法(附脐风撮口法)
《宝鉴》云:小儿急惊风,灸前顶一穴,在百会前一寸。若不愈,须灸两眉头及人中一穴,各三壮,如小麦大。
小儿慢惊风,灸尺泽穴,各七壮,在肘中横纹上动脉中,炷如小麦大。
初生小儿脐风撮口,诸药不效者,取然谷穴,在内踝前踝骨下陷中,可灸三壮,针入三分,不宜见血,立效。
小儿癫痫螈疭、脊强互相引,灸长强穴二十壮,在脊骶端,跌地取之乃得。
小儿癫痫惊风目眩,灸神庭一穴七壮,在鼻直上入发际五分。
小儿风痫者,先屈手指如数物乃发也,灸鼻柱入发际宛宛中,灸三壮,如小麦大。
小儿惊痫,先啼怖啼叫乃发也,灸顶上旋毛中三壮及耳后青脉旺,如小麦大。
Qian's Niuhuang Duoming San treats pediatric lung distension with wheezing and fullness, high chest qi and rapid breathing, flapping of the two ribs, nasal wing dilation, mental restlessness, cough and thirst, hoarse voice, and tidal accumulation of phlegm and saliva blocking the airway. This is commonly known as "Ma Pi Feng" (Horse Spleen Wind).
Herbs: Heibai Qianniu (Black and White Semen Koelreuteriae, each 1 liang 1.5 qian, half stir-fried), Dahuang (Rhei Radix et Rhizoma), Binglang (Arecae Semen, each 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. For a three-year-old child, administer 2 qian per dose, mixed with cold warm water. If there is excessive phlegm, add a small amount of Nifen (Calomelas) and take at any time.
Tongge Wan
Herbs: Dahuang (Rhei Radix et Rhizoma), Qianniu (Semen Pharbitidis), Mutong (Akebiae Caulis). (Equal parts)
Preparation and Administration: Grind the above herbs into fine powder, make pills with water like millet seeds. Administer 30-50 pills per dose, according to the child's size and deficiency/excess condition.
Note: The above two formulas belong to the Yangming category.
Formulas for treating惊 (Fright/Convulsion) should be consulted together with the "Wind Epilepsy Chapter".
Qian's Liangjing Wan
Herbs: Caolongdan (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Qingdai (Indici Folium, each 3 qian), Gouteng (Uncariae Ramulus cum Uncis, 2 qian), Niuhuang (Bovis Calculus), She (Moschus, each 1 zi), Huanglian (Coptidis Rhizoma, 5 fen), Longnao (Borneolum Syntheticum, 1 zi).
Preparation and Administration: Make pills with paste like millet seeds. Administer 3-5 pills per dose, taken with Yinjin Tang (Silver and Gold Decoction).
Note: This formula treats wind-heat.
Ju Fang Tianma Fangfeng Wan treats pediatric convulsions with fever, coarse breathing, somnolence, palpitations due to fright, and spasms of hands and feet, with mental confusion.
Herbs: Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix, each 1 liang), Xiewei (Scorpio, stir-fried, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Zhusha (Cinnabaris), Xionghuang (Realgar, each 2.5 qian), Niuhuang (Bovis Calculus), She (Moschus, each 1 qian), Jiangcan (Bombyx Batryticatus, stir-fried, 0.5 liang).
Preparation and Administration: Grind the above herbs into fine powder, make pills with refined honey like cherries, coat with Zhusha (Cinnabaris). Administer one pill per dose, dissolved in Bohe Tang (Mint Decoction).
Note: This formula treats wind epilepsy and opens orifices.
San Yin Fang treats Yang Epilepsy and heat syndrome of convulsions, with red face, fever, spasms, staring eyes, and clenched jaw.
Herbs: Zhusha (Cinnabaris, 1 qian), Nifen (Calomelas), She (Moschus, 0.5 qian), Lvhui (Aloe), Baifuzi (Typhonii Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 qian), Huhuanglian (Picrorhizae Rhizoma, 1 qian), Xeshao (Scorpio tip, 7 pieces), Jiangcan (Bombyx Batryticatus, 7 pieces), Jinbo (Gold Leaf, 7 pieces), Chijiao Wugong (Trionyx Sinensis Carapax? No, Geckos/centipedes usually. Here likely Centipede, Scolopendra subspinipes mutilans, roasted, 1 piece).
Preparation and Administration: Grind the above herbs into fine powder. For children over two years old, administer 0.5 qian per dose, taken with Jinbo (Gold Leaf) and Bohe Tang (Mint Decoction).
Note: This formula treats wind-heat-phlegm and penetrates collaterals and meridians.
Quanying Fang Shuihong San treats pediatric acute and chronic convulsions with spasms of hands and feet, staring eyes, and coma.
Herbs: Niuhuang (Bovis Calculus), Pengsha (Borax), Naonzi (Borneolum Syntheticum), Zhenzhu (Margarita), Shuiyin (Hydrargyrum, half qian each with Shazi), Qingdai (Indici Folium), Xiewei (Scorpio, stir-fried), Jingmo (Beijing Ink, burnt), Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma, prepared with ginger as above, 1 jin), Shehanshi (Omphaci Lapillus, quenched, each 1 qian), Jinyinbo (Gold and Silver Leaf, each 10 pieces), Muxiang (Moschus, 1 zi), Wushe (Zaocys, 7 cun from neck, soaked in wine overnight, skin and bone removed, roasted, 1 qian).
Preparation and Administration: Grind the above herbs into fine powder. For a three-year-old child, administer 1 zi per dose, taken with Bohe Tang (Mint Decoction).
Note: This formula treats wind-heat-phlegm and penetrates muscles and bones. It should not be used lightly if it is not due to sinking of wind pathogen.
Dongyuan Zhusha Anshen Wan
(See Hot Disease Chapter for formula)
Note: This formula calms the heart, clears the spirit, and cools the blood.
Xie's Duoming Dan treats acute convulsions with loss of consciousness, fixed eyes, clenched jaw, and white/black lips.
Herbs: Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma, each 4 qian, made into cakes with fresh ginger juice and dried), Zhenzhu (Fresh white pearls, 2 qian), Badou (Crotonis Fructus, oil removed, 1 qian), Zhusha (Cinnabaris, 4 qian), Jinbo (Gold Leaf), Yinbo (Silver Leaf, each 10 pieces), Qingfen (Calomelas), She (Moschus, each 0.5 qian).
Preparation and Administration: Grind each of the nine ingredients into fine powder, mix evenly, use refined flour paste to make pills like millet seeds. One pill per year of age, taken with Dengxin Tang (Juncus Decoction).
Bijin Wan treats pediatric wind-heat, erysipelas, and acute/chronic aphonic convulsions.
Preparation: Remove gold and silver leaf from the previous formula (Duoming Dan), add 3 qian of Zhen Yujin (Curcumae Radix) powder, and make pills as above.
Lijing Wan
Preparation: Remove Yujin from the previous formula (Bijin Wan), add 0.5 qian of Naonzi (Borneolum Syntheticum) and one white earthworm (cut off head and tail, both ends jumping indicates efficacy), remove soil, weigh 2 qian, and make pills as above.
Note: These three formulas are phlegm-draining agents.
Baibing Zi Modification Method
Note: The above formulas are medicines for treating Yang Epilepsy. Regardless of acute or chronic, if it is a Yang syndrome or heat syndrome, choose according to the severity of exterior and interior.
Qian's Wenjing Wan
Herbs: Tiannanxing (Arisaematis Rhizoma, powdered and placed in cattle gallbladder of the twelfth lunar month for 100 days, dried and powdered, 4 liang), Zhusha (Cinnabaris, 1 qian), Tianzhuhuang (Calami Rhizoma, 1 liang), Peizi Yanzhi (Brick Rouge), Pianbrain (Borneolum Syntheticum, each 1 qian).
Preparation and Administration: Mix with cattle bile juice to make pills like chicken heads. One pill per dose, half a pill for smaller ones, dissolved in sugar water.
Qianghuo Gao treats spleen and stomach deficiency with liver heat generating wind, or chronic convulsions after vomiting and diarrhea.
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix), Baifuzi (Typhonii Rhizoma), Chifuling (Poria Cocos with Red Heart, each 0.5 liang), Tianma (Gastrodiae Rhizoma, 1 liang), Jiangcan (Bombyx Batryticatus, stir-fried), Ganxie (Scorpio, stir-fried), Baihua She (Zaocys, wine-soaked and baked, each 1 fen), Chuan Fuzi (Aconiti Lateralis Radix Praeparata), Fangfeng (Saposhnikoviae Radix), Mahuang (Ephedrae Herba, each 3 qian), Roudoukou (Myristicae Semen), Mudingxiang (Eugeniae Caryophyllatus Flos), Huoxiangye (Agastaches Folium), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix, each 2 qian), Qingfen (Calomelas, 1 zi), Zhenzhu Mo (Margarita Pulvis), Niuhuang (Bovis Calculus, each 1.5 qian), Longnao (Borneolum Syntheticum, 0.5 zi), She (Moschus, 1 qian), Xionghuang (Realgar), Chensha (Cinnabaris, each 1 fen, the above seven ingredients ground separately).
Preparation and Administration: Grind the above herbs into fine powder, mix with cooked honey to make pills like soybeans. Administer 1-2 pills per dose before meals, taken with Bohe Tang (Mint Decoction) or Maidong Tang (Ophiopogonis Decoction).
San Yin Fang treats Yin Epilepsy and chronic convulsions.
Herbs: Hei Fuzi (Aconiti Radix Praeparata, scraped and peeled), Nanxing (Arisaematis Rhizoma, raw), Banxia (Pinelliae Rhizoma, each 2 qian), Baifuzi (Typhonii Rhizoma, 1.5 qian).
Preparation and Administration: Grind finely, soak in well water for seven days, changing water daily. Drain, add Zhusha (Cinnabaris, 2 qian) and She (Moschus, 1 qian), mix well. Administer 1 zi per dose, taken with Bohe Tang (Mint Decoction), adjusted by age; or make pills like millet seeds, 20 pills per dose, taken with Bohe Tang (Mint Decoction). This is the Baibing Zi formula; both records are kept due to different dosages.
Experience Formula Bao Sheng Ding treats acute and chronic convulsions.
Herbs: Shehanshi (Omphaci Lapillus, 4 liang, calcined and quenched with vinegar ten times, ground to very fine powder), Nanxing (Arisaematis Rhizoma, 1 liang, soaked, sliced, and stir-fried), Baifuzi (Typhonii Rhizoma, peeled, 1 liang), Zhusha (Cinnabaris, 3 qian, ground separately to very fine powder), She (Moschus, 1 qian).
Preparation and Administration: Grind the above herbs into fine powder, cook glutinous rice flour into a cake, mash and mix with the above medicine evenly to make ingots. When using, grind with strong Bohe Tang (Mint Decoction) and administer 1-2 mouthfuls.
Quanying Fang Muxiang Bing treats pediatric acute and chronic convulsions with fluctuating symptoms, lingering for days, alternating between quiet and active, vomiting phlegm and saliva, severe tidal spasms.
Herbs: Muxiang (Moschus), Xiewei (Scorpio, detoxified), Wugong (Centipede, 2 pieces, wine-soaked and酥-roasted), Nanxing (Arisaematis Rhizoma, processed), Chuanwu (Aconiti Kusnezoffii Radix, processed), Baihua She (Zaocys, wine-soaked overnight, skin and bone removed, baked, each 0.5 liang above), Ruxiang (Boswelliae Resina), Tie Fen (Ferrum Oxidatum), Zhusha (Cinnabaris), Niuhuang (Bovis Calculus, each 1 qian).
Preparation and Administration: Grind the above herbs into fine powder, boil wine to make paste, make pills like chicken heads, shape into cakes. One cake for a three-year-old child, taken with Bohe Tang (Mint Decoction).
Note: This formula belongs to the Jueyin category. It should not be used unless the wind pathogen is in the acupoints and sinews. See Stroke Chapter for opening orifices and penetrating bones.
Quanxie San treats pediatric acute and chronic convulsions with irregular tidal spasms, wind-stroke of heart and lungs.
Herbs: Shetou (Snake head, 1 piece, wine-soaked), Wugong (Centipede, 1 piece,酥-roasted), Xie (Scorpio, 1 piece), Caowu (Aconiti Radix, 1 piece, peeled and tip removed), Mahuang (Ephedrae Herba, nodes removed, 1 qian), Zhusha (Cinnabaris, 1 qian), Naoshe (Borneolum Syntheticum and Moschus, each 1 zi).
Preparation and Administration: Grind the above herbs into fine powder. For a one-year-old child, administer 1 zi per dose, taken with Bohe Tang (Mint Decoction).
Duoming San treats pediatric acute and chronic convulsions when other medicines are ineffective, showing effect after one dose.
Herbs: Baifuzi (Typhonii Rhizoma), Hei Fuzi (Aconiti Radix Praeparata, processed), Nanxing (Arisaematis Rhizoma, processed), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Rhizoma, processed), Mahuang (Ephedrae Herba, nodes removed), Zhusha (Cinnabaris), Xie (Scorpio, roasted with fresh mint leaves, dipped in ginger juice and roasted 2-3 times, each 1 qian).
Preparation and Administration: Add 0.5 qian of She (Moschus), grind into powder. For a three-year-old child, administer 0.5 qian, mixed with Bohe Jiangzhi (Mint and Ginger Juice) and a little wine in hot water.
Note: These two formulas belong to the Taiyang category.
Gouteng Yinzi treats vomiting and diarrhea leading to weak spleen and stomach qi, deficiency wind chronic convulsions.
Herbs: Gouteng (Uncariae Ramulus cum Uncis, 3 fen), Chanqiao (Cicadae Periostracum), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix), Mahuang (Ephedrae Herba, nodes removed), Jiangcan (Bombyx Batryticatus, stir-fried), Tianma (Gastrodiae Rhizoma), Xiewei (Scorpio, stir-fried, each 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 fen), She (Moschus, 1 qian, ground separately).
Preparation and Administration: Grind the above herbs into fine powder. Administer 2 qian per dose, decoct with water, adjust dosage according to condition. Add 0.5 qian of Fuzi (Aconiti Radix Praeparata) if there is much cold.
Note: This formula raises yang and disperses spleen qi.
Ningxin Gao treats pediatric unsettled spirit,恍惚 (fluctuation), fearfulness, crying, and night terrors.
Herbs: Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria Cocos), Fushen (Poria Cocos with Pine Root), Shanyao (Dioscoreae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 qian), Zhusha (Cinnabaris, 1 qian), Naoshe (Borneolum Syntheticum and Moschus, each 1 zi).
Preparation and Administration: Grind the above herbs into fine powder, make pills with refined honey like chicken heads. One pill for a two-year-old child, dissolved in Bohe Tang (Mint Decoction).
Note: This formula nourishes qi, disperses wind, and clears the spirit.
Baojian Tianma San treats pediatric acute and chronic convulsions, effective as if divine.
Herbs: Banxia (Pinelliae Rhizoma, 7 qian), Tianma (Gastrodiae Rhizoma, 2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Baifuling (Poria Cocos), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 qian).
Preparation and Administration: Use 1 sheng of water, boil in a porcelain vessel until water is dry, add 3 qian of fresh ginger and boil until dry, then grind into powder. Administer 1.5 qian per dose, mixed with Jiangzao Tang (Ginger and Jujube Decoction).
Note: This formula warms the spleen and nourishes the stomach, not just dispersing wind and overcoming phlegm. Generally, children have unfull blood and qi and are often deficient, or caused by post-illness. It is suitable for regulation with this formula, not as a harsh purgative. If mis-purging leads to bad syndromes, these three formulas may help.
Carefully noted: The above formulas are medicines for treating Yin Epilepsy. Regardless of acute or chronic convulsions, if it is a Yin syndrome, choose according to the severity of exterior and interior. The method for semi-Yin semi-Yang slow spleen syndrome is included herein.
Experience Formula Xi Jing Kai Guan San treats clenched jaw. Usage: Snuff or rub teeth.
Herbs: Wugong (Centipede, 1 piece, roasted), Zhijiangcan (Straight Bombyx Batryticatus, stir-fried), Nanxing (Arisaematis Rhizoma, each 1 qian), She (Moschus, 1 zi), Zhuya Zaojiao (Gleditsiae Sinensis Fructus, 1 ding, slightly burned to retain nature).
Preparation and Administration: Grind each into fine powder, grind to extreme fineness. Use a small amount to snuff into nose. To rub teeth, dip medicine in fresh ginger juice and rub on teeth.
Quanying Fang Tan Sheng San treats pediatric acute and chronic convulsions when other medicines are ineffective, blow into nose to determine life or death.
Herbs: Moyao (Myrrhae Resina), Xionghuang (Realgar, each 1 qian), Ruxiang (Boswelliae Resina, 0.5 qian), She (Moschus, 1 zi).
Preparation and Administration: Grind the above herbs into fine powder, use a small amount to blow into nose. If tears and snot flow out, it is treatable.
Note: These two formulas are quick-snuffing agents.
Tu Feng San treats pediatric acute wind-stroke with clenched jaw, loss of consciousness.
Herbs: Quanxie (Whole Scorpio, 1 piece, roasted), Gudi (Momordicae Fructus, 10 pieces, roasted), Chixiaodou (Vigna Angularis Semen, 30 grains).
Preparation and Administration: Grind the above herbs into fine powder. For a one-year-old child, administer 1 zi, mixed with warm rice drink. If no vomiting, take again.
Bi Yun San treats pediatric acute wind-stroke with tidal phlegm, coarse breathing, loss of consciousness.
Herbs: Shilu (Chrysocolla, 4 qian), Qingfen (Calomelas, 1 qian).
Preparation and Administration: Grind the above herbs into fine powder. Administer 1 zi per dose, taken with Bohe Tang (Mint Decoction) and a little wine. After a while, vomiting occurs first, then purging.
Another prescription: Copper green powder, paste with vinegar to make pills like chicken heads. One pill per dose, ground with Bohe Tang (Mint Decoction). Soon, phlegm like glue is vomited, pull out by hand, miraculous effect.
Tianshu San treats pediatric acute wind-stroke and acute convulsions with clenched jaw, spasms, abundant phlegm, coma, and inability to speak.
Herbs: Chensha (Cinnabaris), Fenshuam (Calomelas), Qingfen (Calomelas), Nanxing (Arisaematis Rhizoma, processed, each 0.5 liang), Xiewei (Scorpio tip), Baifuzi (Typhonii Rhizoma), Huoxiangye (Agastaches Folium, each 1 qian).
Preparation and Administration: Grind the above herbs into fine powder. For a one-year-old child, administer 0.5 zi, mixed with Bohe Tang (Mint Decoction), tea is also acceptable. If no vomiting, take again.
Note: The above three formulas are expelling agents, suitable for selection. However, this formula combines vomiting with sweating and purging.
Qian's Lijing Wan treats pediatric acute convulsions with abundant phlegm, fever, and tidal spasms.
Herbs: Qingdai (Indici Folium), Qingfen (Calomelas, each 1 qian), Qianniu (Semen Pharbitidis, 0.5 liang), Tianzhuhuang (Calami Rhizoma, 2 qian).
Preparation and Administration: Grind the above herbs into fine powder, make pills with white paste like small beans. 20 pills per dose, taken with Bohe Tang (Mint Decoction).
Note: This formula drains damp-heat phlegm.
Quanying Fang Qufeng Gao treats pediatric liver wind with tendon and vessel stiffness, red face, blue eyes, upward staring eyes, convulsions, and fetal wind.
Herbs: Chensha (Cinnabaris), Xiewei (Scorpio tip), Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 qian).
Preparation and Administration: Grind the above herbs into fine powder, add 1 zi of She (Moschus), make pills with refined sugar like chicken heads. One pill for a three-year-old child, dissolved in Bohe Zhuye Mi Tang (Mint, Bamboo Leaf, and Honey Decoction).
Note: This formula drains wind-heat.
Zhenzhu Wan treats pediatric acute and chronic convulsions with spasms, tidal phlegm, high fever, and obstructive cough with phlegm.
Herbs: Baifuzi (Typhonii Rhizoma), Huashi (Talcum), Badou (Crotonis Fructus, 15 pieces, oil removed), Qingfen (Calomelas), Nanxing (Arisaematis Rhizoma, each 1 qian).
Preparation and Administration: Grind the above herbs into fine powder, make pills with paste like small beans. 1-2 pills for a three-year-old child, taken with Congbai Tang (Scallion White Decoction).
Note: This formula drains food-phlegm and guides stagnation.
Baibing Zi Modification Method
Tongguan San treats pediatric convulsions that have subsided but cannot speak.
Preparation and Administration: Use large Nanxing (Arisaematis Rhizoma), processed and powdered. For a three-year-old child, administer 1 qian, mixed with Zhu Danzhi (Pig Bile) and swallowed into the throat, then able to speak.
Moxibustion for Convulsions (Attached: Umbilical Wind and Mouth-Closing Method)
Baojian states: For pediatric acute convulsions, moxa Qian Ding point, 1 cun anterior to Baihui. If not cured, must moxa both eyebrows and Renzhong point, 3 moxa cones each, size like wheat grain.
For pediatric chronic convulsions, moxa Chi Ze point, 7 moxa cones each, in the artery at the transverse crease of the elbow, cone size like wheat grain.
For newborn umbilical wind and mouth-closing where all medicines fail, take Ran Gu point, in the depression anterior to the medial malleolus, moxa 3 cones, needle insert 3 fen, avoid bleeding, immediate effect.
For pediatric epilepsy with spasms and stiff spine pulling each other, moxa Chang Qiang point, 20 moxa cones, at the end of the spine, find by lying prone.
For pediatric epilepsy, convulsions, and dizziness, moxa Shen Ting point, 7 moxa cones, 5 cun above the nose into the hairline.
For pediatric wind epilepsy, which starts with fingers curling as if counting objects, moxa the depression at the root of the nose entering the hairline, 3 moxa cones, size like wheat grain.
For pediatric fright epilepsy, which starts with fearful crying, moxa the whorl on the top of the head 3 moxa cones and the prominent blue vein behind the ear, size like wheat grain.