急惊之证,因热所生。热客于心,痰壅于肺,热极生风,风生惊,剧则搐搦、僵(仰阳)仆(覆
阴、)反目、八候渐见矣。凡儿欲发惊风,必精神不定,恍惚惧人,顾左复右,观上回下,即宜
清热降痰、镇养心神,不令至甚。如只反张、搐搦、上窜,若牙关不紧,喉无痰声,口无涎沫,
非为惊风。盖夹惊、夹食、伤寒、痘疹或三焦蕴热,五脏不宣,流入经络,热在筋脉,亦作搐搦
,量轻重而利之。脉候浮数洪紧,虎
口纹青紫相半。治宜主方利惊丸、导赤散(方见火门)、安神丸。(与前方参用)。
主方 (利惊丸) 龙胆草 青黛(画家用者) 防风(各三钱) 钩藤(二钱) 黄连(一
钱) 牛黄 麝香 冰片(各二分) 黛、牛、麝、冰,研细末。上为末,入四味匀,神曲糊丸
黍米大。每三十丸,金银、薄荷煎汤送下。
安神丸 治小儿惊悸、渴闷,面红颊赤,口燥脉实。
牙硝 山药 麦门冬 茯神 甘草(各五分) 朱砂(水飞,一钱)
上为细末,蜜丸鸡头大,每服半丸,砂糖汤下。
镇惊造命丹 治胎惊,急慢诸惊。癫痫不省人事,目直上视,惊风痰壅,睡中惊跳,夜卧不安,
啼哭不止,客忤、内 。凡一切惊疾,初生至长,及奇怪形状不能辩名者,并大人因惊忧劳损,
卧不安寐,怔忡恍惚,恐怖颠狂,妇人产后不语,昏愦啼笑。(神药。)
蛇含石(微火煨热,炭火 红,米醋淬;再 再淬七次,研细水飞,澄去水,晒燥,重研万
下。四两) 代赭石( 研,如前) 辰砂(水飞) 青礞石(硝, 金色,水飞,重研) 南
星(牛胆制过) 茯神(各五钱) 僵蚕(洗、炒) 蝉蜕(去土) 白附子 使君子 天麻(
各末,三钱) 牛黄(陕西,七分) 麝香(五分) 冰片(三分)
上研匀,炼蜜和丸,金箔为衣。大人二钱,小儿一钱,婴儿三、五分,灯心,薄荷汤化服,
金银煎汤尤好。
抱龙丸 治伤风、寒、暑,发热、变蒸,惊风痰壅、喘急咳嗽等证。惊后调理,初生至长,微
有不快,即宜服。及大人风痰等证悉效。
南星(腊月牛胆,制多次佳。四两) 天竺黄(另研,一两) 朱砂(水飞) 雄黄(飞。
各五钱) 甘草(七钱) 麝香(五分,未出痘不必加) 加牛黄(陕西,千层) 琥珀(真者。
各五分,尤效。)
上和匀,取腊雪水或早首汲井水,另煎甘草汁,和丸如芡实大。每服一丸,临睡薄荷汤化下
,病急多服。伤风感寒,姜、葱、紫苏汤下,取汗。大人每服三、五丸。如风痰,用竹沥入姜汁
数匙化服。姜汤亦可。
急惊风这一病证,是由热邪引起的。热邪侵犯心脏,痰浊壅塞于肺,热势极盛而生风,风动则引发惊厥,病情严重时会出现抽搐、僵仆(仰面朝天)、反目(眼球上翻)、八候(惊风的八种典型症状)逐渐显现。凡是小儿将要发作惊风之前,必定精神不安定,神情恍惚害怕见人,目光向左看后又向右看,观察上方又回转下方,此时应当立即采用清热降痰、镇心安神的方法治疗,防止病情加重。如果只是出现身体反张、抽搐、向上窜动,但牙关不紧闭,喉咙没有痰鸣声,口中没有涎沫,这就不是惊风。这可能是因为夹惊、夹食积、伤寒、痘疹或者三焦蕴热,导致五脏气机不畅,邪气流入经络,热邪在筋脉中,也会引起抽搐,需要根据病情的轻重程度来使用通利的方法治疗。脉象表现为浮、数、洪、紧,虎口纹呈现青色和紫色各半。治疗宜用主方利惊丸、导赤散(方剂见火门章节)、安神丸。(可与前方配合使用)。
主方(利惊丸):龙胆草、青黛(画家所用的)、防风(各三钱)、钩藤(二钱)、黄连(一钱)、牛黄、麝香、冰片(各二分)。将青黛、牛黄、麝香、冰片研成细末。上述药物混合为末,加入另外四味药搅拌均匀,用神曲糊制成如黍米大小的丸剂。每次服用三十丸,用金银花、薄荷煎汤送服。
安神丸:治疗小儿惊悸、口渴烦闷,面色红、两颊赤,口干燥、脉象实有力。
配方:牙硝、山药、麦门冬、茯神、甘草(各五分),朱砂(水飞法处理,一钱)。
制作与用法:将上述药物研成细末,用蜂蜜制成如鸡头大小的丸剂,每次服用半丸,用砂糖汤送服。
镇惊造命丹:治疗胎惊,急惊和慢惊等各种惊风。癫痫意识丧失,眼球直视向上,惊风痰浊壅盛,睡眠中惊跳,夜间卧睡不安,啼哭不止,客忤(外邪侵袭)、内伤。凡是一切惊疾,从出生到长大,以及形状奇怪无法辨明名称的,还有大人因惊恐忧虑劳累损伤,睡眠不安稳,心悸恍惚,恐惧癫狂,妇人产后不语,昏沉糊涂哭笑无常。(此为神效药)。
配方:蛇含石(微火煨热,至炭火通红,用米醋淬炼;再煨再淬共七次,研细后水飞,沉淀去水,晒干,再次研磨万次。四两)、代赭石(研磨,方法同上)、辰砂(水飞)、青礞石(硝制,煅至金色,水飞,再次研磨)、南星(牛胆汁制过)、茯神(各五钱)、僵蚕(清洗、炒制)、蝉蜕(去土)、白附子、使君子、天麻(各为末,三钱)、牛黄(陕西产,七分)、麝香(五分)、冰片(三分)。
制作与用法:将上述药物研磨均匀,用炼蜜调和制成丸剂,以金箔为衣。成人每次二钱,小儿一钱,婴儿三至五分,用灯心草、薄荷汤化开服用,用金银花煎汤送服更好。
抱龙丸:治疗伤风、寒邪、暑邪,发热、变蒸(婴幼儿生长发育过程中的生理现象),惊风痰浊壅盛、喘急咳嗽等证候。惊风后的调理,从出生到长大,只要稍微感觉不适,就应当服用。对大人的风痰等证候也完全有效。
配方:南星(腊月用牛胆制,多次制备为佳。四两)、天竺黄(另研,一两)、朱砂(水飞)、雄黄(飞研。各五钱)、甘草(七钱)、麝香(五分,未出痘者不必加)、牛黄(陕西产,千层,此处原文似有缺字或格式问题,依常理推断为用量或产地描述,暂按原文提取)、琥珀(真品。各五分,效果更佳)。
制作与用法:将上述药物混合均匀,取腊月的雪水或清晨第一次汲取的井水,另外煎煮甘草汁,调和制成如芡实大小的丸剂。每次服用一丸,临睡前用薄荷汤化开服用,病情紧急时可多服。若是伤风感寒,用生姜、葱白、紫苏汤送服,以取汗解表。成人每次服用三至五丸。如果是风痰证,用竹沥加入姜汁数匙化开服用。用姜汤也可以。
The syndrome of acute convulsion (Ji Jing) is generated by heat. When heat invades the Heart, phlegm obstructs the Lungs; extreme heat generates wind, and wind movement induces惊 (convulsion). In severe cases, symptoms such as spasms (Chuo Nuo), stiff falling (Jiang Pu - lying supine or prone), upward deviation of the eyes (Fan Mu), and the gradual appearance of the eight signs (Ba Hou - typical manifestations of pediatric convulsion) occur. Before a child's convulsion is about to manifest, their spirit is invariably unsettled, appearing vague and fearful of people, looking left then right, observing above then below. At this stage, it is imperative to clear heat, descend phlegm, and calm/nourish the heart spirit to prevent the condition from worsening. If there is only body extension, spasms, and upward gazing, but the jaw is not tightly clenched, there is no phlegm rattle in the throat, and no saliva foam in the mouth, this is not convulsion. This may be due to accompanying fright, food stagnation, cold damage (Shang Han), smallpox/rubella (Dou Zhen), or heat accumulation in the San Jiao (Triple Burner), causing dysfunction of the five zang organs. Pathogenic factors flow into the meridians, where heat affects the sinews and vessels, also causing spasms. Treatment should involve purging methods according to the severity. The pulse is floating, rapid, full, and tight; the vein pattern on the tiger's mouth (Hu Kou) shows equal parts blue and purple. The treatment should primarily utilize Li Jing Wan (Detoxicate Convulsion Pill), Dao Chi San (Guide Out Red Powder) (see Fire section for formula), and An Shen Wan (Calm Spirit Pill). (These can be used in conjunction with previous formulas).
Main Formula (Li Jing Wan): Long Dan Cao (Gentianae Radix), Qing Dai (Indigo Naturalis, used by painters), Fang Feng (Saposhnikoviae Radix) (each 3 qian), Gou Teng (Uncariae Ramulus cum Uncis) (2 qian), Huang Lian (Coptidis Rhizoma) (1 qian), Niu Huang (Calculus Bovis), She Xiang (Moschus), Bing Pian (Borneolum Syntheticum) (each 2 fen). Grind Qing Dai, Niu Huang, She Xiang, and Bing Pian into fine powder. Mix this powder evenly with the other four ingredients. Use Shen Qu (Medicated Leaven) paste to form pills the size of millet seeds. Take 30 pills each time, delivered with a decoction of Jin Yin Hua (Lonicerae Japonicae Flos) and Bo He (Menthae Haplocalycis Herba).
An Shen Wan: Treats pediatric palpitations, thirst and oppression, red face and flushed cheeks, dry mouth, and solid pulse.
Formula: Ya Xiao (Natrii Sulfas), Shan Yao (Dioscoreae Rhizoma), Mai Men Dong (Ophiopogonis Tuber), Fu Shen (Poria with Hostwood), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 5 fen), Zhu Sha (Cinnabaris) (water-ground, 1 qian).
Preparation and Dosage: Grind all ingredients into fine powder. Form pills the size of a chicken head using honey. Take half a pill each time, delivered with sugar water.
Zhen Jing Zao Ming Dan: Treats fetal fright, acute and chronic convulsions. Epilepsy with loss of consciousness, upward staring eyes, phlegm obstruction due to convulsion, startle during sleep, restless night sleep, incessant crying, Ke Wu (external malevolent qi invasion), and internal injuries. It treats all kinds of fright diseases from infancy to adulthood, including strange shapes/symptoms that cannot be named, as well as adults suffering from fright, worry, and overwork leading to insomnia, palpitations, vagueness, fear, mania, postpartum aphonia in women, and confusion with inappropriate laughter or crying. (This is a miraculous medicine.)
Formula: She Han Shi (Hematitum) (lightly roasted until red-hot, quenched in rice vinegar; repeat roasting and quenching seven times, grind fine, water-grind, settle, remove water, dry, and grind again ten thousand times. 4 liang), Dai Zhe Shi (Haematitum) (ground, as above), Chen Sha (Cinnabaris) (water-ground), Qing Meng Shi (Calcareous Schist treated with Niter) (niter-treated, calcined to golden color, water-ground, re-ground), Nan Xing (Arisaematis Rhizoma prepared with ox bile), Fu Shen (Poria with Hostwood) (each 5 qian), Jiang Can (Bombyx Batryticatus) (washed, stir-fried), Chan Tui (Cicadae Periostracum) (cleaned of soil), Bai Fu Zi (Typhonii Rhizoma), Shi Jun Zi (Quisqualis Fructus), Tian Ma (Gastrodiae Rhizoma) (each ground to powder, 3 qian), Niu Huang (Calculus Bovis) (from Shaanxi, 7 fen), She Xiang (Moschus) (5 fen), Bing Pian (Borneolum Syntheticum) (3 fen).
Preparation and Dosage: Grind uniformly, mix with refined honey to form pills, coat with gold foil. Adults take 2 qian, children take 1 qian, infants take 3-5 fen. Dissolve in a decoction of Deng Xin Cao (Junci Medullae) and Bo He (Menthae Haplocalycis Herba). A decoction of Jin Yin Hua (Lonicerae Japonicae Flos) is particularly good for delivery.
Bao Long Wan: Treats conditions caused by wind-cold, summerheat, fever, Bian Zheng (physiological changes in infant development), phlegm obstruction due to convulsion, wheezing, and cough. It is suitable for conditioning after convulsions, for any slight discomfort from infancy to adulthood, and is effective for adult wind-phlegm syndromes.
Formula: Nan Xing (Arisaematis Rhizoma prepared with ox bile in the twelfth lunar month, multiple preparations are better. 4 liang), Tian Zhu Huang (Bambusae Concretio Silicea) (separately ground, 1 liang), Zhu Sha (Cinnabaris) (water-ground), Xiong Huang (Realgar) (sublimed/ground. Each 5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (7 qian), She Xiang (Moschus) (5 fen, do not add if smallpox has not erupted), Niu Huang (Calculus Bovis) (from Shaanxi, Qian Ceng - likely referring to quality/layering), Hu Po (Electrum) (genuine. Each 5 fen, especially effective.).
Preparation and Dosage: Mix uniformly. Use snow water from the twelfth lunar month or well water drawn at dawn. Separately decoct Gan Cao (Glycyrrhizae Radix et Rhizoma) juice. Mix to form pills the size of a Chinese chestnut. Take one pill each time, dissolve in Bo He (Menthae Haplocalycis Herba) tea before sleep. Increase dosage for urgent conditions. For wind-cold, deliver with a decoction of Sheng Jiang (Zingiberis Rhizoma), Cong Bai (Allii Fistulosi Bulbus), and Zi Su Ye (Perillae Folium) to induce sweating. Adults take 3-5 pills each time. For wind-phlegm, dissolve in Zhu Li (Bambusae Succus) mixed with a few spoons of Sheng Jiang (Zingiberis Rhizoma) juice. Ginger soup is also acceptable.