害。王生先自张皇，任其转请他医。才用牛黄少许，从前危症复出，面上一团死气，但大便不泻耳。重服理脾
药，又五日方苏。
杨乘六治孙氏子慢脾症，痰涎涌盛，咳嗽身热，抽搐自汗，嗜卧露睛，撮空手振。屡进补脾逐风消痰之剂
不应。杨曰∶此症风自内出，本无可逐，痰因虚动，亦不必消，只补脾土，诸症自退。今面白睛散，舌滑白，
天柱已倒，虚上加寒，非炮姜、桂、附，何以追已去之阳，而苏垂绝之气哉？乃写参附养荣方与之，且嘱之曰∶
如以稚幼纯阳，无补阳之法，无挽回矣。一剂症减，三剂全除。次用五味异功散，加煨姜、白芍而痊。
薛立斋云∶一小儿常患停食，数服克伐消导之剂，以致脾胃虚甚，患吐泻慢脾风而卒。
万密斋治一儿，脾胃素弱，病泻，以理中丸服之，泻未止。口内生疮，或谓前药性热助火，复以冷药与之，
身微热，睡则扬睛。曰∶此慢脾风矣。脾胃本虚，泻利益虚，口中生疮者，脾虚热也，误服冷药，则中气益损，
昏睡不乳，虚损之极也。当急作调元汤，倍加人参服之，调理半月而愈。
马铭鞠治华叔蟾乃郎，慢脾风，五六日愈。愈甫三四日，即过多饮食，连浴两宵，复痰壅沉迷，面目俱浮，
胸肿满，呕吐，乳食不进，鱼弓反张，二便交秘。有欲进以牛黄丸者，马曰∶下咽死矣，此病后虚症也，然参
且勿用。用麦冬三钱，枇杷叶三片，贝母二钱半，桑皮钱半，杏仁一钱，藿香一钱，鲜糖球一枚，苍术人乳炒
八分，橘红一钱二分，加灯心煎，临服入姜汁。服超时，小便随利，腹即宽，诸症悉退，尽剂竟愈。
汪元津子，年五岁，伤食成疟，疟后发搐，乃脾虚病也。万曰∶凡治惊风，必用泻青丸、导赤散，虽良工
不能废其绳墨也。今此症不可泻，宜用调元汤，琥珀抱龙丸。如言服之而搐止，但目不能开，昏昏喜睡，盖脾
虚极矣。脾主困，故喜睡。目之上下胞属脾，脾虚故不能开也。仍以调元汤补其虚，琥珀抱龙丸安其神。脾喜
乐，命平日所与作伴嬉戏者，环列床前，取鼓钹诸器击之，或歌或舞以引之，（设法亦善。）病儿之目乍开乍闭，以
渐而苏，不喜睡矣。
（前文略）……危害。王生先前自己惊慌失措，任由家属辗转请其他医生诊治。才用了少许牛黄，从前的危重症状又复现，面部呈现一片死气沉沉之象，只是大便没有腹泻罢了。重新服用调理脾胃的药物，又过了五天才苏醒过来。
杨乘六治疗孙氏之子患慢脾风证，痰涎涌盛，咳嗽伴身热，抽搐且自汗，嗜睡且眼睛半睁露白，手在空中抓握并震颤。多次进服补脾、祛风、消痰的药剂均无效。杨乘六说：“此症的风邪是从体内产生的，本来就没有什么风可祛；痰是因为虚损而动的，也不必刻意消除，只需补益脾土，各种症状自然消退。现在患者面色苍白、瞳孔散大、舌苔滑白，天柱骨（颈部支撑力）已倒，这是虚证中又兼寒邪，不用炮姜、肉桂、附子，怎么能追回已经离散的阳气，使垂绝的生命复苏呢？”于是开具参附养荣方给他，并且嘱咐说：“如果认为幼儿是纯阳之体，没有补阳的方法，那就无法挽回了。”服用一剂后症状减轻，三剂后症状全部消除。随后使用五味异功散，加入煨姜、白芍而痊愈。
薛立斋说：有一个小孩经常患食积停滞，多次服用克伐消导的药物，导致脾胃极度虚弱，患上吐泻型慢脾风而死亡。
万密斋治疗一个小孩，其脾胃向来虚弱，患病腹泻，服用理中丸后，腹泻仍未停止。口腔内生疮，有人说是前面的药性热助火，又给他服用冷性药物，身体微热，睡觉时眼睛向上翻。万密斋说：“这是慢脾风了。脾胃本已虚弱，腹泻更加耗伤正气，口中生疮是脾虚有热所致，误服冷药，则中气进一步受损，昏睡不吃奶，这是虚损到了极点。应当紧急配制调元汤，加倍人参服用，调理半个月就好了。”
马铭鞠治疗华叔蟾的儿子，患慢脾风，五六天治愈。刚痊愈三四天，就吃得过多，连续两个晚上洗澡，再次出现痰壅昏迷，面目浮肿，胸部肿胀满闷，呕吐，乳食不进，角弓反张，大小便都闭塞不通。有人想给用牛黄丸，马铭鞠说：“咽下去就会死，这是病后的虚证，然而连人参都不宜用。用麦冬三钱，枇杷叶三片，贝母二钱半，桑白皮钱半，杏仁一钱，藿香一钱，鲜糖球一枚，苍术用人乳炒八分，橘红一钱二分，加灯心草煎煮，临服用时加入姜汁。服药超过时辰后，小便随即通畅，腹部立即宽松，各种症状全部消退，服完药竟完全痊愈。
汪元津的儿子，五岁，因伤食引发疟疾，疟疾发作后出现抽搐，这是脾虚的病证。万密斋说：“凡是治疗惊风，必须用泻青丸、导赤散，即使是高明的工匠也不能废弃他们的规矩法度。但现在这个病症不可用泻法，适宜用调元汤，琥珀抱龙丸。按照说法服用后抽搐停止，但眼睛不能睁开，昏昏欲睡，这是因为脾虚到了极点。脾主困倦，所以喜欢睡觉。眼睛上下眼睑属于脾，脾虚所以不能睁开。仍然用调元汤补益其虚，琥珀抱龙丸安定其神志。脾喜欢快乐，命令平日与他一起嬉戏玩耍的人，环绕排列在床前，取鼓钹等乐器敲击，或者唱歌跳舞来引导他，（这种设法也很巧妙。）病儿的眼睛忽开忽闭，逐渐苏醒，不再喜欢睡觉了。”
...harm. Wang Sheng had previously panicked himself, allowing his family to seek other physicians through various connections. Only a small amount of Niuhuang (Calculus Bovis) was used, after which the previous critical symptoms reappeared; his face showed an aura of death, with the only difference being that he did not have diarrhea. He was given Spleen-regulating medicines again and did not regain consciousness until five days later.
Yang Chengliu treated the son of the Sun family for Manpi Feng (Slow Spleen Wind), characterized by surging phlegm and saliva, cough with fever, convulsions with spontaneous sweating, lethargy with eyes half-open showing the whites, grasping at empty air, and hand tremors. Multiple administrations of formulas for tonifying the Spleen, expelling wind, and resolving phlegm were ineffective. Yang said: "In this condition, the wind arises from within, so there is no wind to expel; the phlegm moves due to deficiency, so it need not be eliminated. One should merely tonify the Earth of the Spleen, and all symptoms will recede naturally. Now, the patient has a pale complexion, scattered pupils, a slippery white tongue coating, and collapse of the Tianzhu (neck support); this is deficiency compounded with cold. Without Paojiang (Prepared Ginger), Rougui (Cinnamon Bark), and Fuzi (Prepared Aconite Root), how can one retrieve the dispersed Yang Qi and revive the near-extinct vital energy?" Therefore, he prescribed Shenfu Yangrong Tang (Ginseng and Aconite Nourishing Formulation) and instructed: "If one assumes that young children possess pure Yang constitution and thus forbids tonifying Yang, recovery will be impossible." After one dose, symptoms decreased; after three doses, they completely disappeared. Subsequently, Wuwei Yigong San (Five-Ingredient Powder for Supporting the Spleen) was used, with added Wei Jiang (Baked Ginger) and Baishao (White Peony Root), leading to recovery.
Xue Lizhai stated: A child frequently suffered from food stagnation. Repeated use of purgative and digestive-promoting agents led to extreme Spleen and Stomach deficiency, resulting in death from Tu Xie Manpi Feng (Vomiting and Diarrhea Slow Spleen Wind).
Wan Mizhai treated a child whose Spleen and Stomach were inherently weak. He contracted diarrhea and was given Lizhong Wan (Regulate the Middle Pill), but the diarrhea persisted. Sores appeared in the mouth. Some suggested that the previous medicine's heat nature aggravated fire, so cold-natured medicines were administered instead. The child had a slight fever and slept with eyes upward-turned. Wan said: "This is Manpi Feng. The Spleen and Stomach are originally deficient; diarrhea further depletes them. The oral sores are due to deficient heat in the Spleen. Misusing cold medicines damages the Middle Qi further. Lethargy and refusal to nurse indicate extreme deficiency. One must urgently prepare Tiaoyuan Tang (Regulate Origin Decoction) with doubled Renshen (Ginseng Root) dosage. After half a month of regulation, he recovered."
Ma Mingju treated the son of Hua Shuchan, who suffered from Manpi Feng and recovered in five or six days. Just three or four days after recovery, he overate and bathed for two consecutive nights. This caused recurrent phlegm obstruction and coma, facial and ocular edema, chest swelling and fullness, vomiting, inability to take milk or food, opisthotonos (body arching backward like a bow), and constipation of both stool and urine. Someone proposed using Niuhuang Wan (Calculus Bovis Pill). Ma said: "Swallowing it would cause death. This is a post-illness deficiency pattern; even Ginseng should not be used. Use Maidong (Ophiopogon Tuber) 3 qian, Pipa Ye (Loquat Leaf) 3 leaves, Beimu (Fritillaria Bulb) 2.5 qian, Sangbai Pi (Mulberry Root Bark) 1.5 qian, Xingren (Apricot Seed) 1 qian, Huoxiang (Patchouli Herb) 1 qian, Xian Tangqiu (Fresh Sugar Ball/Fruit) 1 piece, Cangzhu (Atractylodes Rhizome) fried in human milk 0.8 fen, Juhong (Tangerine Red Peel) 1.2 qian. Decoct with Dengxincao (Juncus Effusus Core). Add Jiangzhi (Ginger Juice) before administration. After passing the time limit for the dose, urination became smooth, the abdomen relaxed immediately, and all symptoms subsided. Completion of the prescription resulted in full recovery."
Wang Yuanjin's son, aged five, developed malaria due to food injury. Convulsions occurred after the malaria, indicating a Spleen deficiency disease. Wan said: "Generally, treating Jing Feng (Wind of Alarm/Convulsion) requires Xieqing Wan (Drain Green Pill) and Daochi San (Direct to the Heart Powder); even skilled craftsmen cannot abandon these standards. However, this case must not be treated with purgation. It is suitable to use Tiaoyuan Tang (Regulate Origin Decoction) and Hupo Baolong Wan (Amber Embracing Dragon Pill). Following this, the convulsions stopped, but the eyes could not open, and the child was drowsy and preferred sleep, indicating extreme Spleen deficiency. The Spleen governs lassitude, hence the preference for sleep. The upper and lower eyelids belong to the Spleen; Spleen deficiency causes inability to open the eyes. Continue using Tiaoyuan Tang to tonify the deficiency and Hupo Baolong Wan to calm the Spirit. Since the Spleen delights in joy, order those who usually play with the child to gather around the bed, strike drums and cymbals, sing, or dance to engage him. (This method is also excellent.) The sick child's eyes opened and closed intermittently, gradually regaining consciousness and losing the desire to sleep."