小续命汤(一名宽筋汤)治小儿吐泻之后因虚生风螈 神昏涎盛不利
麻黄(去节半两) 防风(一分半) 芍药 附子 人参 川芎 白术 防己(各一两) 黄
芩(一分) 桂枝 甘草(各半两)
上为粗末每三岁一钱水煎入姜枣有汗者去麻黄钱氏大青膏治小儿热盛生风欲为惊搐血气
未实不能胜邪故发搐也大小便根据度口中气热当发之
天麻末(一钱) 白附子(一钱半) 蝎梢(半钱) 朱砂(一字) 麝(一字) 乌蛇肉(酒浸
焙干半钱) 青黛(一钱) 天竺黄(一字)
上同为末生蜜和成膏每服半皂子大月中儿粳米大
天麻防风丸(见后)
按以上三方风自内因者宜此汗之可见里之表证与外因不同矧有惊风痰热食热等类者临证
并宜选择
驱风膏
泻青丸加辰砂蝎尾
按此表里药也
浴体法
天麻末(二钱) 蝎尾 朱砂(各半钱) 乌蛇肉(酒浸为末) 白矾(各三钱) 麝(一字)
青黛(三钱)
上同研匀每三钱水煎入桃枝一握并叶五七枝温洗之勿浴背
涂囟法
麝(一字) 蝎尾(半钱) 薄荷叶(半钱) 蜈蚣末 牛黄末 青黛末(各一字)
上研匀熟枣肉剂为膏新绵上涂匀贴囟上四方可出一指许火上灸手频熨百日里外儿用此法
谨按世俗周岁上下小儿诸风搐证用浴体掐洗法得汗立效殊胜火灸盖艾有误加于风热阳痫
也慎之
局方败毒散治小儿伤风身热鼻塞
(方见热门)
拔萃防风苍术汤治小儿邪热在表恶风风寒所伤
防风(半两) 苍术 石膏(各一两) 甘草(炙半两) 川芎 黄芩(各二钱半)
上为粗末每二钱入姜薄荷叶煎
升麻黄芩汤治小儿中风身热头项强自汗表不和也
升麻 葛根 黄芩 芍药(各五钱半) 甘草(二钱半)
上 咀每二钱水煎
按此二方阳明经药也
大羌活汤治风热
(方见寒门)
钱氏塌气丸治脾风腹胀
胡椒(一两) 蝎尾(半两)
上糊丸粟米大每五七丸至一二十丸
按此宣风补脾药也
羌活膏
(见后惊剂)
全婴方加减惺惺散治小儿伤风风热及伤寒鼻塞发热惊悸头痛咳嗽时行风热
苍术 川芎 细辛 羌活 防风 白芷 天花粉 甘草 赤芍 桔梗 麻黄 荆芥 当
归薄荷
上等分水煎一钱入姜
按此太阳例药也
以上诸方宜随诸经轻重选用
僵蚕散治小儿中风不语失音关鬲不通精神昏愦
僵蚕(半两) 羌活(一两) 麝(半钱)
上为末二岁半钱姜汁少许调和汤浸服又以菖蒲末于舌根上频用之
桂菖散治小儿急中风失音不语
桂心(一两) 石菖蒲(一分)
上为末三岁一钱水煎服若大病后不语者用猪胆汁调下未语再服
按此二方出太阳例可见中风伤风例不同故录之
小续命汤（又名宽筋汤）：治疗小儿在呕吐腹泻之后，因正气虚弱而生风，出现抽搐、神志昏迷、痰涎壅盛且呼吸不利等症状。
药材组成：麻黄（去除节部，半两）、防风（一分半）、芍药、附子、人参、川芎、白术、防己（各一两）、黄芩（一分）、桂枝、甘草（各半两）。
煎服法：将上述药物捣成粗末，每三岁患儿服用一钱，加水煎煮，加入生姜和大枣。若患儿已有汗出，则去掉麻黄。
钱氏大青膏：治疗小儿热邪炽盛生风，即将发生惊厥抽搐。这是因为小儿血气尚未充实，不能抵御邪气，所以引发抽搐。症状表现为大小便正常，口中气息发热，应当使用此方发汗解表。
药材组成：天麻末（一钱）、白附子（一钱半）、蝎梢（半钱）、朱砂（一字）、麝香（一字）、乌蛇肉（酒浸后焙干，半钱）、青黛（一钱）、天竺黄（一字）。
制作与服用：将上述药物共同研为细末，用生蜂蜜调和制成膏剂。每次服用如皂角子大小；对于月龄较小的婴儿，服用如粳米大小的量。
天麻防风丸：见后文。
按语：以上三个方剂，适用于内因所致之风证，适宜采用发汗法治疗。由此可见，里证的表证表现与外感病因不同，更何况还有惊风、痰热、食积化热等类别，临证时应当酌情选择。
驱风膏：由泻青丸加入辰砂和蝎尾组成。
按语：这是表里双解的药物。
浴体法：
药材组成：天麻末（二钱）、蝎尾、朱砂（各半钱）、乌蛇肉（酒浸后研为末）、白矾（各三钱）、麝香（一字）、青黛（三钱）。
用法：将上述药物共同研磨均匀，每次取三钱，加水煎煮，加入一把桃枝及其五七片叶子，温热清洗身体。注意不要洗浴背部。
涂囟法：
药材组成：麝香（一字）、蝎尾（半钱）、薄荷叶（半钱）、蜈蚣末、牛黄末、青黛末（各一字）。
用法：将上述药物研磨均匀，用熟枣肉调和制成膏剂，涂在新棉布上，贴敷于囟门部位，四周留出约一指宽的缝隙。在火上烘烤手指，频繁熨烫患处。百日内的内外儿均可使用此法。
谨按：世俗中对于周岁上下的小儿各种风病抽搐证候，使用浴体、掐洗的方法，若能出汗则立即见效，效果远胜于火灸。因为艾灸可能误用于风热阳痫之证，务必谨慎。
局方败毒散：治疗小儿伤风，身体发热，鼻塞。
（方剂见热门章节）
拔萃防风苍术汤：治疗小儿邪热在体表，恶风，受风寒所伤。
药材组成：防风（半两）、苍术、石膏（各一两）、甘草（炙，半两）、川芎、黄芩（各二钱半）。
煎服法：将上述药物捣成粗末，每次取二钱，加入生姜和薄荷叶煎煮。
升麻黄芩汤：治疗小儿中风，身体发热，头项强直，自汗，表气不和。
药材组成：升麻、葛根、黄芩、芍药（各五钱半）、甘草（二钱半）。
煎服法：将药物切碎，每次取二钱，加水煎煮。
按语：这两个方剂属于阳明经用药。
钱氏塌气丸：治疗脾风，腹胀。
药材组成：胡椒（一两）、蝎尾（半两）。
制作与服用：用糊剂制成粟米大小的丸剂，每次服用五至七丸，或一至二十丸。
按语：这是宣通风气、补益脾脏的药物。
全婴方加减惺惺散：治疗小儿伤风、风热以及伤寒引起的鼻塞、发热、惊悸、头痛、咳嗽以及时行风热。
药材组成：苍术、川芎、细辛、羌活、防风、白芷、天花粉、甘草、赤芍、桔梗、麻黄、荆芥、当归、薄荷。
煎服法：上述药物等分，加水煎煮，每次服用一钱，加入生姜。
按语：这是太阳经例的用药。
以上各方，宜根据各经受病的轻重程度进行选择使用。
僵蚕散：治疗小儿中风不语、失音、关格不通、精神昏愦。
药材组成：僵蚕（半两）、羌活（一两）、麝香（半钱）。
用法：将上述药物研为细末，两岁患儿服用半钱，用少许姜汁调和，汤水送服。另外，将石菖蒲末频繁涂抹于舌根部。
桂菖散：治疗小儿急中风失音、不语。
药材组成：桂心（一两）、石菖蒲（一分）。
用法：将上述药物研为细末，三岁患儿服用一钱，加水煎煮。若大病后出现不语症状者，用猪胆汁调服。若仍未恢复言语，可再次服用。
按语：这两个方剂出自太阳经例，可见中风与伤风的证例不同，故记录于此。
Xiaoxuting Decoction (also known as Kuanjin Tang, Broaden Tendon Decoction): Treats wind generated from deficiency after vomiting and diarrhea in children, manifesting as convulsions, coma, excessive phlegm-saliva, and difficulty breathing.
Ingredients: Ephedrae Herba (Mahuang, 麻黄) (remove nodes, half liang), Saposhnikoviae Radix (Fangfeng, 防风) (one point five fen), Paeoniae Radix (Shaoyao, 芍药), Aconiti Lateralis Radix Preparata (Fuzi, 附子), Ginseng Radix (Renshen, 人参), Chuanxiong Rhizoma (Chuanxiong, 川芎), Atractodis Rhizoma (Baizhu, 白术), Stephaniae Tetrandrae Radix (Fangji, 防己) (each one liang), Scutellariae Radix (Huangqin, 黄芩) (one fen), Cinnamomi Ramulus (Guizhi, 桂枝), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each half liang).
Preparation and Administration: Grind the above herbs into coarse powder. For every three years of age, administer one qian. Decoct with water, adding fresh ginger and jujube. If the child has sweating, remove Ephedrae Herba.
Qianshi Daqing Gao (Dr. Qian's Big Blue Paste): Treats wind generated by excessive heat in children, impending convulsions. This occurs because the child's blood and qi are not yet solidified and cannot withstand pathogenic factors, thus triggering convulsions. Symptoms include normal urination and defecation, and hot breath from the mouth; this formula should be used to induce sweating and release the exterior.
Ingredients: Gastrodiae Rhizoma Powder (Tianma, 天麻末) (one qian), Fuzi (Bai Fu Zi, 白附子) (one point five qian), Scorpio (Xie Shao, 蝎梢) (half qian), Cinnabar (Zhusha, 朱砂) (one zi), Moschus (Shexiang, 麝) (one zi), Natrix Nigrocincta Meat (Wushe Rou, 乌蛇肉) (soaked in wine, baked dry, half qian), Qingdai (Indigo Naturalis, 青黛) (one qian), Anemarrhenae Rhizoma (Tian Zhu Huang, 天竺黄) (one zi).
Preparation and Administration: Grind all ingredients together into fine powder. Mix with raw honey to form a paste. Administer half the size of a soap bean per dose; for infants of younger months, administer the size of a rice grain.
Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill): See later section.
Commentary: The above three formulas are suitable for wind caused by internal factors, and sweating therapy is appropriate. This demonstrates that interior syndromes with exterior manifestations differ from external causes. Furthermore, considering categories such as convulsive wind, phlegm-heat, and food stagnation transforming into heat, clinicians should select formulas according to clinical presentation.
Qufeng Gao (Wind-Expelling Paste): Composed of Xieqing Wan (Eliminate Green Pill) added with Chen Sha (Cinnabar) and Xie Wei (Scorpio tail).
Commentary: This is a formula that treats both exterior and interior conditions.
Body Bathing Method:
Ingredients: Gastrodiae Rhizoma Powder (two qian), Scorpio Tail, Cinnabar (each half qian), Natrix Nigrocincta Meat (soaked in wine, ground to powder), Alum (Bai Fan, 白矾) (each three qian), Moschus (one zi), Indigo Naturalis (three qian).
Usage: Grind all ingredients uniformly. Take three qian, decoct with water, add a handful of peach branches and five to seven leaves, and wash the body with the warm liquid. Do not bathe the back.
Fontanelle Application Method:
Ingredients: Moschus (one zi), Scorpio Tail (half qian), Menthae Haplocalycis Folium (Bohe Ye, 薄荷叶) (half qian), Geckus Powder, Bovis Calculus Powder (Niuhuang, 牛黄末), Indigo Naturalis Powder (each one zi).
Usage: Grind uniformly and mix with cooked date flesh to form a paste. Apply evenly on new cotton wool and paste onto the fontanelle, leaving about one finger's width exposed at the four sides. Warm your hand over fire and frequently press/warm the area. This method can be used for infants within one hundred days, both internally and externally.
Careful Note: In common practice, for children around one year old suffering from various wind-related convulsions, using bathing and pinching-washing methods to induce sweating yields immediate results and is superior to moxibustion. Moxibustion may be erroneous if applied to wind-heat yang epilepsy cases. Exercise caution.
Jufang Baidu San (Official Formulation Detoxifying Powder): Treats childhood wind-cold invasion with fever and nasal congestion.
(Formula see Hot Pathogen Section)
Bacui Fangfeng Cangzhu Tang (Excellence Formula Wind-Expelling and Atractylodes Decoction): Treats childhood pathogenic heat in the exterior, aversion to wind, and injury from wind-cold.
Ingredients: Saposhnikoviae Radix (half liang), Atractylodis Rhizoma (Cangzhu, 苍术), Gypsum Fibrosum (Shigao, 石膏) (each one liang), Glycyrrhizae Radix et Rhizoma Preparata (Zhi Gancao, 炙甘草) (half liang), Chuanxiong Rhizoma, Scutellariae Radix (each two points five qian).
Preparation and Administration: Grind into coarse powder. Take two qian per dose, decoct with fresh ginger and Menthae Haplocalycis Folium.
Shengma Huangqin Tang ( Cimicifugae and Scutellaria Decoction): Treats childhood wind-stroke with fever, stiffness of head and neck, spontaneous sweating, and disharmony of the exterior.
Ingredients: Cimicifugae Rhizoma (Shengma, 升麻), Puerariae Lobatae Radix (Gegen, 葛根), Scutellariae Radix, Paeoniae Radix (each five points five qian), Glycyrrhizae Radix et Rhizoma (two points five qian).
Preparation and Administration: Cut into pieces. Take two qian per dose, decoct with water.
Commentary: These two formulas belong to the Yangming Channel medications.
Da Qianghuo Tang (Great Notopterygium Decoction): Treats wind-heat.
(Formula see Cold Pathogen Section)
Qianshi Taqi Wan (Dr. Qian's Qi-Sinking Pill): Treats Spleen wind with abdominal distension.
Ingredients: Piperis Fructus (Hujiao, 胡椒) (one liang), Scorpio Tail (half liang).
Preparation and Administration: Make pills with paste, sized like millet seeds. Administer five to seven pills, or up to ten to twenty pills per dose.
Commentary: This is a medication to diffuse wind and tonify the spleen.
Qianghuo Gao (Notopterygium Paste): See later Convulsion Formulas section.
Quanying Fang Modified Jingsheng San (Complete Infant Formula Modified Awaken Spirit Powder): Treats childhood wind-cold invasion, wind-heat, and cold-pathogen invasion causing nasal congestion, fever, palpitations, headache, cough, and epidemic wind-heat.
Ingredients: Atractylodis Rhizoma, Chuanxiong Rhizoma, Asari Radix et Rhizoma (Xixin, 细辛), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix, Angelicae Dahuricae Radix (Baizhi, 白芷), Trichosanthis Radix (Tianguafen, 天花粉), Glycyrrhizae Radix et Rhizoma, Paeoniae Radix Rubra (Chishao, 赤芍), Platycodonis Radix (Jiegeng, 桔梗), Ephedrae Herba, Schizonepetae Spica (Jingjie, 荆芥), Angelicae Sinensis Radix (Danggui, 当归), Menthae Haplocalycis Folium.
Preparation and Administration: Equal parts of the above herbs. Decoct with water, take one qian per dose, add fresh ginger.
Commentary: This follows the Taiyang Channel pattern.
The above formulas should be selected according to the severity of involvement in the respective channels.
Jiangcan San (Bombyx Batryticatus Powder): Treats childhood wind-stroke with inability to speak, loss of voice, obstruction of Guan-Ge (gate and diaphragm), and mental confusion.
Ingredients: Bombyx Batryticatus (Jiangcan, 僵蚕) (half liang), Notopterygii Rhizoma et Radix (one liang), Moschus (half qian).
Usage: Grind into powder. For a two-year-old child, take half qian, mix with a little fresh ginger juice, and swallow with decoction. Additionally, frequently apply Acori Tatarinowii Rhizoma powder to the root of the tongue.
Guichang San (Cinnamon Twig and Acorus Powder): Treats acute childhood wind-stroke with loss of voice and inability to speak.
Ingredients: Cinnamomi Cortex (Guixin, 桂心) (one liang), Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲) (one fen).
Usage: Grind into powder. For a three-year-old child, take one qian, decoct with water. For those unable to speak after severe illness, mix with pig bile for administration. If speech does not return, take again.
Commentary: These two formulas originate from the Taiyang Channel pattern, demonstrating that wind-stroke and wind-cold invasion have different patterns; hence, they are recorded here.