小儿壮热吐 ，心神不宁，手足抽掣，身体强直，眼目反张，是胎惊风证。胎
惊者，以妊妇调摄乖常，饮酒嗜欲，忿怒惊扑，母有所触，胎必感之，或外挟风邪，
有伤于胎，故子乘母气，生下即病也。其候，月内壮热，翻眼握拳，噤口切牙，身
腰强直，涎潮呕吐，搐掣惊啼，腮缩囟开，或颊赤，或面青眼合，（凡胎风眼合，不可误作慢
脾，妄用温药）其有搭眼噤口之类，亦此一种之所发也。视其眉间气色，赤而鲜碧者可治，
若黯青黑者不治，虎口指纹曲入里者可治，反出外者不治。先宜解散风邪利惊，化
痰调气，及贴囟法，甚则以朱银丸利之，若面青拳搐，用保命丹（通治急慢惊、）钓藤散（方见
慢惊）、全蝎散（方见偏风口噤）之类，大抵小儿脏腑脆弱，不可辙用银粉镇坠之剂，如遇此候，
急取猪乳，细研牛黄、麝香各少许，调抹入口中，仍服导赤散以泻肝之子，即愈矣。
石壁经歌∶未出胎中一月来，母惊成患子临胎，腰直哭时先口撮，面青拳搐缩双腮，
眼闭切牙筋脉急（受气时，若阴气弱，胎易惊落，肉消甚；阳气弱，胎难惊落，手足细，肌肉瘦，
皆不尽天年。若日月满，因惊落口撮、腮脸起、鼻塞、口噤，勿作惊治，微汗，次治惊调气，
乳母服调气药，儿贴囟。）任唤千声眼不
开，退却风涎为治疗，涎去惊邪自不回。（失治则目瞑，先治惊则吐泻，秋夏必脾风，初见勿作脾风治，恐
汗不出生别候，凤髓乌犀丸，次生银丸，并急慢惊门。）〔钱〕白日内发搐，真者、不过三两次必死，
假者，频发不为重，真者、内生惊痫，假者、外伤风冷，盖血气未实，不能胜任，
乃发搐也，欲知假者，口中气出热，治之可发散，大青膏主之，可用涂囟法。〔田〕
月里生惊，急取猪乳，细研辰砂牛黄各少许，调抹口中，神效。乳母服防风通圣散
三剂。其惊自消。〔斗〕小儿未盈月，惊搐似中风欲死者，用辰砂以新汲水浓磨汁，
涂五心上，最效。〔汤〕治胎痫惊风，皆可服全蝎头尾全者，用生薄荷叶包，外以
麻线缠，火上炙燥为末，别研生朱、麝香各少许，煎麦门冬汤调下。〔薛〕一小儿
患胎惊，诸药不应。用紫河车研烂如泥，每用钱许，乳化服之，更以十全大补汤加
钓藤钩、漏芦与母服，两月余举发渐轻，服年余举发渐稀，服年余不再发。至出
痘后复发，取紫河车研烂，入糯米粉丸，小豆大，每服百丸，以乳送下，服二具，
全瘥。毕姻又发，仍用前丸及十全大补汤、六味丸加当归、黄 、肉桂、五味子，
年余，喜其能远帷幕，得痊。后因劳役更作，又用前丸及十全大补等药不应，用大
剂独参汤，服数斤，然后举发稍缓，乃用人参二两，附子一钱，数服顿止，仍用前
药，间用独参汤而痊。一小儿患胎惊，用紫河车丸及十全大补汤及钓藤膏而愈。毕
姻后复发，用大剂独参汤、六味丸加五味子、黄 、当归，煎服半载，举发稍轻，
年余不再发。后每劳役怒气仍发，即用前药，随愈。又伤寒愈后复作，虚症悉具，
莫能名状，用紫河车二具，独参煎汤，十余斤而痊。后患伤风咳嗽，咽干内热，用六
味地黄丸料加五味子煎服，及十全大补汤而痊。
独活汤 治胎惊，发散风邪。
独活 羌活（各一分） 槟榔 天麻 麻黄（去节） 甘草（各半分）
上锉散。每服半钱，煎服。于内加南星末蜜调下，可贴囟用。
驱风散
胡黄连（二钱半） 全蝎（去毒，焙） 犀角 天竺黄 麻黄（去节，各半钱） 麝香（一字）
上为细末。用乳汁调化，食远服。
上二方，发散之剂，实有表证，方可用之。
青金丸 治婴孩小儿，解散胎热、化痰涎、镇惊邪。
人参（去芦） 天麻（煨） 茯神（去皮木） 白附子（炮） 牛胆南星（炒。各二钱） 甘草（炙，一钱半）
青黛（一钱） 朱砂（水飞，半钱） 麝香（一字）
上为极细末，炼白蜜丸如梧桐子大。用钓藤、皂荚子煎汤研化，不拘时候服。
太乙散 治芽儿胎惊。病瘥，亦宜常服。
天浆子（去壳，微炒） 南星 白附子（各微炮） 天麻 防风 茯苓（各二钱） 全蝎
朱砂（各一钱） 麝香（少许）
上为末。每服半钱，乳汁化下。张涣方，天浆、蝎稍各二十一个，防风、天麻、
朱砂各半两，麝香一钱，无茯苓、白术。
参蝎散 治小儿胎惊，定心神。
天浆子 天竺黄 人参 朱砂 全蝎 天麻 蝉蜕（各等分） 麝香（少许）
上为末，炼蜜丸桐子大。每服一丸，金银汤下。
猪乳膏 治小儿诸惊，胎痫。
全蝎（一个，焙） 琥珀 朱砂（少许）
上为末。每服一字，麦门冬煎汤调下。
朱银丸 治小儿胎风，壮热痰盛，翻眼口噤，取下胎中蕴受之毒，亦治惊积。但量
与之。
水银（一钱、蒸枣研如泥） 白附子（一钱半） 全蝎 南星 朱砂（各一钱） 天浆子 芦荟 牛黄
（各半两） 铅霜（半钱，和水银 ，研） 脑（一字） 麝香（少许） 直僵蚕（炒，七个）
上为末，炼蜜丸桐子大。薄荷汤化下。
张涣圣星丹 诸痫皆宜服之，曾经大效。
天南星一般大者四十九个，端午取活蝎四十九个，瓦器盛，盐泥固济，吊静
室中，腊日取出，拣南星蝎蜇着处有小窍子者，其余不用，只将蝎蜇南星，以酒
浸一宿，焙、研细末。次用∶
牛黄 麝香 龙脑（各一钱，研细） 辰砂（细研，水飞，二钱半）
上件，再一处研匀，姜汁和桐子大。服一粒至二粒，人参、薄荷汤化下。
白金散 治诸痫、潮发不省者。
白僵蚕（半两，汤洗，炒微黄，捣、罗为细末。次用） 天竺黄（二钱五分） 牛黄（一钱） 麝香
龙脑（各半钱）
细研，拌匀。每服半钱，姜汁调，放温灌之。
乌金膏 治胎痫、潮发频并。
乌梢蛇（一条，取净肉，酒浸一宿，焙） 蚕纸（一张，烧灰） 蝉壳 全蝎 朱砂（飞。各半两）
金箔（二十片） 龙脑 麝香（各半钱）
上各取细末，研匀，蜜和如皂子。每服一粒，人参、薄荷汤化下。
天南星煎 治胎痫、潮发迟省。
天南星（微炮） 白附子 白花蛇（酒浸，去皮骨，炙黄。各一两） 干蝎（炒） 天麻（各半两）
以上捣罗为细末，用好酒两大盏，慢火熬，不住手搅，以酒尽为度。次用
朱砂（细研、水飞，半两） 腻粉（二钱五分） 牛黄 麝香 龙脑（各半钱）
细研，入膏内和如皂子。每服一粒，竹沥化下，无时。
祛风散 治胎痫、多啼叫。
胡黄连（半两） 全蝎 犀角 天竺黄 麻黄（去节。各二钱五分）
上各取细末和匀。每服半钱，入麝一字，乳汁调下。
铁粉散 惊风面赤口干，大便不利，尤宜服。
钱粉（半两） 郁金 牛黄 真珠 胡黄连（各二钱五分）
各研细、拌匀。每服一字，温蜜汤调下。
羌活膏 治胎痫、昏困不省。
羌活 独活（各一两） 天麻 全蝎 人参（去芦） 白僵蚕（微炒，各半两） 乌蛇肉（一两，
酒浸一宿，焙）
上捣，罗为细末，炼蜜和膏。每服皂子大，麝香、荆芥汤化下。
麝香膏 治胎痫、不得安卧。
麝香（研） 牛黄（研） 白附子 蚕蛾（微炒） 白僵蚕（微炒。各二钱五分） 全蝎（二十一个）
上取净末，更研细，蜜和膏如皂子。每服一粒，人参、荆芥汤化下。
小儿出现高热、呕吐，心神不安，手足抽搐，身体强直，眼睛上翻，这是胎惊风证。所谓胎惊，是因为孕妇在怀孕期间调养失当，如饮酒、纵欲、愤怒或受惊吓撞击等，母亲受到刺激，胎儿必然感应；或者外感风邪，损伤了胎儿，因此孩子承袭母体之气，出生后立刻发病。其症状表现为：出生一个月内高热，眼球上翻，手握拳，牙关紧闭，腰背强直，口水涌出并呕吐，抽搐惊叫，腮部收缩、囟门开大，或者脸颊发红，或者面色发青且眼睛闭合。（凡是胎风导致眼睛闭合的，不可误认为是慢脾风，胡乱使用温补药物）那些出现眼睛上吊、牙关紧闭等情况的，也是由这一类病因引发的。观察患儿眉间的色泽，如果呈现鲜红带碧色的是可治之症，如果呈现暗青黑色的是不治之症；虎口指纹弯曲向内的可治，向外伸展的不治。治疗初期宜疏散风邪、利惊化痰、调理气机，以及使用贴囟法；病情严重的则用朱银丸来通下排毒。如果见面色发青、握拳抽搐，可用保命丹（通治急惊风和慢惊风）、钓藤散（方剂见慢惊风章节）、全蝎散（方剂见偏风口噤章节）等方剂。大体而言，小儿脏腑娇嫩脆弱，不能轻易使用含有银粉的重镇坠痰药剂。如果遇到这种情况，急忙取猪乳，将牛黄、麝香各少许细细研磨，调和后涂抹入口中，同时服用导赤散以泻肝经之火（肝之子为心），即可痊愈。
《石壁经》歌诀云：胎儿在母腹中未满一月时，因母亲受惊而患病，胎儿临产时即显现症状。腰部挺直，哭泣时先出现口唇撮聚，面色发青，握拳抽搐，双腮收缩，眼睛闭合，牙关紧闭，筋脉紧急。（受孕之时，若阴气虚弱，胎儿容易受惊流产，肌肉消瘦严重；若阳气虚弱，胎儿难以受惊流产，但手足细小，肌肉瘦弱，均不能享尽天年。若足月后因受惊导致口唇撮聚、腮脸肿胀、鼻塞、牙关紧闭，不要当作惊风治疗，应先微发汗，再治疗惊风、调理气机，让乳母服用调气药，婴儿贴囟。）呼唤千声眼睛也不睁开，退去风涎作为治疗关键，涎液去除后惊邪自然不再复发。（若延误治疗则双目闭合昏迷，先治惊风则会出现吐泻，秋季夏季必患脾风，初见症状时不要当作脾风治疗，恐怕出汗不出而生出其他变证，可用凤髓乌犀丸，其次用银丸，均属于急惊慢惊门范畴。）
钱乙指出：白日内发作抽搐，真正的胎惊，不过两三次就会死亡；假性的胎惊，虽然频繁发作但不算重症。真正的胎惊是内生惊痫，假性的胎惊是外伤风冷。这是因为小儿血气未充实，不能胜任外界刺激，从而引发抽搐。想要辨别是否为假性胎惊，可以看口中呼出的气息是否发热，如果是可以发散治疗，主用大青膏，也可以使用涂囟法。
田氏指出：出生一个月内发生惊风，急忙取猪乳，将辰砂、牛黄各少许细细研磨，调和涂抹口中，效果神妙。乳母服用三剂防风通圣散，惊风自然消除。
斗氏指出：小儿未满月，惊搐类似中风濒死的样子，用辰砂在新汲水中浓磨取汁，涂在两手心和脚心上，最为有效。
汤氏指出：治疗胎痫惊风，都可以服用全蝎（头尾俱全），用新鲜薄荷叶包裹，外面用麻线缠绕，在火上烤干研成粉末，另外研磨生朱砂、麝香各少许，用麦门冬汤煎服送下。
薛己指出：有一个小儿患胎惊，各种药物无效。使用紫河车研烂如泥，每次取一钱许，用乳汁化开服用，同时让母亲服用十全大补汤加钓藤钩、漏芦，两个多月后发作逐渐减轻，服药一年多后发作逐渐稀少，又过了一年多不再发作。到出痘疹后再次复发，取紫河车研烂，加入糯米粉制成梧桐子大小的丸药，每次服用一百丸，用乳汁送下，服用两个紫河车，完全痊愈。结婚后又复发，仍然使用前丸及十全大补汤、六味丸加当归、黄芪、肉桂、五味子，一年多的时间，庆幸他能远离房事帷幕，得以痊愈。后来因为劳累劳作再次发作，又使用前丸及十全大补等药无效，使用大剂量独参汤，服用几斤后，发作才稍微缓解，于是用人参二两、附子一钱，服用几次后顿时停止，仍然使用前药，间或用独参汤而痊愈。另一个小儿患胎惊，用紫河车丸及十全大补汤及钓藤膏而痊愈。结婚后复发，用大剂量独参汤、六味丸加五味子、黄芪、当归，煎服半年，发作稍微减轻，一年多不再发作。后来每当劳累或生气仍会发作，就立即使用前药，随即痊愈。还有伤寒痊愈后复发，虚证全部具备，无法形容症状，用两个紫河车，用独参汤煎煮，服用十几斤而痊愈。后来患伤风咳嗽，咽干内热，用六味地黄丸料加五味子煎服，以及十全大补汤而痊愈。
独活汤：治疗胎惊，发散风邪。
配方：独活、羌活（各一分），槟榔、天麻、麻黄（去节）、甘草（各半分）。
制法与用法：切碎成散剂。每次服用半钱，煎汤服用。可以在其中加入南星末，用蜂蜜调下，也可以用于贴囟。
驱风散：
配方：胡黄连（二钱半），全蝎（去毒，焙干），犀角、天竺黄、麻黄（去节，各半钱），麝香（一字）。
制法与用法：研成细末。用乳汁调化，在饭后服用。
以上两个方剂，属于发散之剂，只有确实有表证的情况下，才可以用来治疗。
青金丸：治疗婴孩小儿，解散胎热、化痰涎、镇惊邪。
配方：人参（去芦）、天麻（煨）、茯神（去皮木）、白附子（炮制）、牛胆南星（炒，各二钱），甘草（炙，一钱半），青黛（一钱），朱砂（水飞，半钱），麝香（一字）。
制法与用法：研成极细末，用炼过的白蜜制成梧桐子大小的丸药。用钓藤、皂荚子煎汤研化，不限时候服用。
太乙散：治疗婴儿胎惊。病愈后，也适宜经常服用。
配方：天浆子（去壳，微炒），南星、白附子（各微炮），天麻、防风、茯苓（各二钱），全蝎、朱砂（各一钱），麝香（少许）。
制法与用法：研成粉末。每次服用半钱，用乳汁化开送下。这是张涣的方子，天浆子、全蝎稍各二十一个，防风、天麻、朱砂各半两，麝香一钱，没有茯苓和白术。
参蝎散：治疗小儿胎惊，安定心神。
配方：天浆子、天竺黄、人参、朱砂、全蝎、天麻、蝉蜕（各等分），麝香（少许）。
制法与用法：研成粉末，炼蜜制成梧桐子大小的丸药。每次服用一丸，用金银汤送下。
猪乳膏：治疗小儿各种惊风，胎痫。
配方：全蝎（一个，焙干），琥珀、朱砂（少许）。
制法与用法：研成粉末。每次服用一字，用麦门冬煎汤调下。
朱银丸：治疗小儿胎风，壮热痰盛，翻眼口噤，取下胎中蕴受的毒素，也治疗惊积。但要酌情给予。
配方：水银（一钱，蒸枣研如泥），白附子（一钱半），全蝎、南星、朱砂（各一钱），天浆子、芦荟、牛黄（各半两），铅霜（半钱，与水银一起研磨），脑（一字，即冰片），麝香（少许），直僵蚕（炒，七个）。
制法与用法：研成粉末，炼蜜制成梧桐子大小的丸药。用薄荷汤化开送下。
张涣圣星丹：各种痫证都适宜服用，曾经非常有效。
配方：大小均匀的天南星四十九个，端午节捕捉活蝎四十九个，放在瓦器中，用盐泥密封固定，悬挂在静室中，到腊月取出，挑选被蝎子蜇过的天南星上有小孔的，其余不用，只将被蝎子蜇过的天南星，用酒浸泡一夜，焙干，研成细末。其次用：牛黄、麝香、龙脑（各一钱，研细），辰砂（细研，水飞，二钱半）。
制法与用法：上述药材再在一起研磨均匀，用姜汁和成梧桐子大小的丸药。每次服用一粒至二粒，用人参、薄荷汤化开送下。
白金散：治疗各种痫证，潮发不省人事者。
配方：白僵蚕（半两，汤洗，炒微黄，捣碎，过筛为细末。其次用），天竺黄（二钱五分），牛黄（一钱），麝香、龙脑（各半钱）。
制法与用法：细细研磨，拌匀。每次服用半钱，用姜汁调匀，放温后灌服。
乌金膏：治疗胎痫，潮发频繁并见者。
配方：乌梢蛇（一条，取净肉，酒浸一夜，焙干），蚕纸（一张，烧灰），蝉壳、全蝎、朱砂（飞，各半两），金箔（二十片），龙脑、麝香（各半钱）。
制法与用法：各取细末，研磨均匀，用蜜和成如皂子大小的丸药。每次服用一粒，用人参、薄荷汤化开送下。
天南星煎：治疗胎痫，潮发后苏醒迟缓者。
配方：天南星（微炮），白附子、白花蛇（酒浸，去皮骨，炙黄，各一两），干蝎（炒）、天麻（各半两）。
制法与用法：以上药材捣碎过筛为细末，用好酒两大盏，慢火熬制，不停搅拌，直到酒熬干为止。其次用：朱砂（细研、水飞，半两），腻粉（二钱五分），牛黄、麝香、龙脑（各半钱）。
制法与用法：细细研磨，加入膏体内和成如皂子大小的丸药。每次服用一粒，用竹沥化开送下，不限时候。
祛风散：治疗胎痫，多啼叫者。
配方：胡黄连（半两），全蝎、犀角、天竺黄、麻黄（去节，各二钱五分）。
制法与用法：各取细末和匀。每次服用半钱，加入麝香一字，用乳汁调下。
铁粉散：惊风面赤口干，大便不利，尤其适宜服用。
配方：钱粉（半两），郁金、牛黄、真珠、胡黄连（各二钱五分）。
制法与用法：各研细、拌匀。每次服用一字，用温蜜汤调下。
羌活膏：治疗胎痫，昏困不省人事者。
配方：羌活、独活（各一两），天麻、全蝎、人参（去芦）、白僵蚕（微炒，各半两），乌蛇肉（一两，酒浸一夜，焙干）。
制法与用法：捣碎，过筛为细末，炼蜜和成膏。每次服用如皂子大小，用麝香、荆芥汤化开送下。
麝香膏：治疗胎痫，不得安卧者。
配方：麝香（研），牛黄（研），白附子、蚕蛾（微炒）、白僵蚕（微炒，各二钱五分），全蝎（二十一个）。
制法与用法：取净末，再研细，蜜和成膏如皂子大小。每次服用一粒，用人参、荆芥汤化开送下。
Pediatric patients presenting with high fever, vomiting, restlessness of the heart and mind (Shen), convulsions of the hands and feet, rigidity of the body, and retroversion of the eyes suffer from Fetal Convulsion Wind Syndrome (Tai Jing Feng). "Fetal Convulsion" arises because the pregnant woman failed to maintain proper regimen during gestation, such as consuming alcohol, indulging in sexual desires, experiencing anger, or suffering from fright and physical impact. When the mother is stimulated, the fetus inevitably responds; alternatively, external pathogenic wind may injure the fetus. Consequently, the child inherits the maternal qi and becomes ill immediately after birth. The clinical manifestations include: within the first month of life, high fever, upward rolling of the eyes, clenched fists, trismus (lockjaw), rigidity of the back and waist, excessive salivation with vomiting, convulsive jerking and frightened crying, retraction of the cheeks, and open fontanelles. Alternatively, the cheeks may be red, or the face blue with closed eyes. (Note: Cases of fetal wind causing eye closure must not be mistaken for Slow Spleen Wind [Man Pi], and warm tonifying medicines should not be used recklessly.) Conditions such as upward deviation of the eyes and trismus also stem from this etiology. Observing the color of the skin between the eyebrows: a bright red mixed with greenish hue indicates a treatable condition, whereas a dark cyan-black hue indicates an untreatable one. A fingerprint on the tiger's mouth area curving inward suggests treatability, while one extending outward suggests untreatability. Initial treatment should focus on dispersing wind pathogens, relieving convulsions, resolving phlegm, and regulating qi, along with applying external paste to the fontanelle. For severe cases, Zhu Yin Wan (Cinnabar-Silver Pill) may be used to purge toxins. If the face is blue and fists are clenched with convulsions, use Bao Ming Dan (Life-Preserving Pill) (indicated for both acute and chronic convulsions), Gouteng San (Uncaria Powder) (see Chronic Convulsion section), or Quanxie San (Scorpion Powder) (see Hemiplegia and Trismus section). Generally, pediatric zang-fu organs are fragile and delicate; preparations containing mercury powder (Yin Fen) that heavily settle and suppress should not be used routinely. In such emergencies, take pig milk, finely grind small amounts of Niuhuang (Calculus Bovis) and Shexiang (Moschus), mix them, and apply to the mouth. Simultaneously administer Daochi San (Guide Out the Red Powder) to drain the son of the Liver (i.e., Heart fire), which will lead to recovery.
The *Shibi Jing* song states: Within the first month of gestation, maternal fright causes illness manifesting at birth. Rigidity of the waist precedes lip puckering during crying; a blue face, clenched fists, and retracted cheeks indicate severity. Eye closure and trismus suggest tense meridians. (At conception, if Yin qi is weak, the fetus is prone to fright and miscarriage, leading to severe muscle wasting; if Yang qi is weak, the fetus resists fright but remains small with thin muscles, often failing to reach full lifespan. If term pregnancy ends in fright-induced lip puckering, swollen cheeks, nasal congestion, and trismus, do not treat as convulsion initially; induce slight sweating first, then treat convulsion and regulate qi. The nursing mother should take qi-regulating herbs, and the infant should have fontanelle paste applied.) Even if called a thousand times, the eyes remain unopened. Treatment focuses on retreating wind-phlegm; once phlegm is gone, wind-pathogen and fright naturally recede. (If neglected, the patient falls into coma. Treating fright first may cause vomiting and diarrhea; in autumn and summer, this leads to Spleen Wind. At initial onset, do not diagnose as Spleen Wind, lest failure to sweat produce other complications. Use Fengsui Wuxi Wan, followed by Yin Wan; these belong to the Acute and Chronic Convulsion categories.)
Qian Yi stated: Convulsions occurring during the day are true cases; if they occur more than two or three times, death is inevitable. False cases involve frequent attacks but are less severe. True fetal convulsion stems from internal generation of fright-epilepsy, while false cases result from external injury by wind-cold. Because blood and qi are not yet solid, the body cannot withstand stimulation, leading to convulsions. To identify false cases: if the breath exhaled from the mouth is hot, it can be treated by dispersing; Daqing Gao (Great Blue Ointment) is the primary formula, and fontanelle application is also applicable.
Tian stated: For convulsions occurring within the first month of life, urgently take pig milk, finely grind small amounts of Chen Sha (Cinnabar) and Niuhuang (Calculus Bovis), mix, and apply to the mouth for miraculous effect. The nursing mother should take three doses of Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Heroic), and the convulsions will subside naturally.
Dou stated: For infants under one month old presenting with convulsions resembling stroke and near-death states, grind Chen Sha (Cinnabar) thickly in fresh well water, and apply the juice to the five centers (palms and soles); this is most effective.
Tang stated: For treating fetal epilepsy and convulsive wind, fully intact Scorpions (Quanxie) including head and tail can be used. Wrap them in fresh Mentha leaves, bind with hemp thread, roast over fire until dry, and grind into powder. Separately grind Sheng Zhusha (Raw Cinnabar) and Shexiang (Moschus) in small amounts. Take with Ophiopogonis Decoction (Maimendong Tang).
Xue Ji stated: A pediatric patient suffered from fetal convulsion with no response to various medications. Zihewche (Placenta Hominis) was ground into a mud-like paste. Each dose was approximately one qian, taken with emulsified milk. Concurrently, the mother took Shiquan Dabu Tang (Ten Significant Tonifying Decoction) added with Gouteng (Uncaria Ramulus cum Uncis) and Lulu (Euphorbiae Humifusae Herba). After more than two months, attacks gradually lessened. After over a year of medication, attacks became sparse. After another year, there were no further attacks. Following the eruption of smallpox, symptoms recurred. Zihewche was ground into paste, mixed with glutinous rice flour to form pills the size of soybeans. Each dose consisted of one hundred pills, taken with milk. After consuming two placentas, the patient recovered completely. Upon marriage, symptoms recurred. The previous pills were used again along with Shiquan Dabu Tang, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) added with Danggui (Angelicae Sinensis Radix), Huangqi (Astragali Radix), Rougui (Cinnamomi Cortex), and Wuweizi (Schisandrae Fructus). Over a year, benefiting from abstinence from sexual activity, the patient recovered. Later, due to labor and exertion, symptoms returned. The previous pills and Shiquan Dabu Tang were ineffective. A large dose of Dushen Tang (Ginseng Decoction) was administered, consuming several jin. Only then did attacks subside slightly. Subsequently, Ren Shen (Ginseng Radix) 2 liang and Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian were given for several doses, stopping the attacks immediately. The previous medicines were continued, interspersed with Dushen Tang, leading to recovery. Another pediatric patient with fetal convulsion recovered using Zihewche Wan (Placenta Pill), Shiquan Dabu Tang, and Gouteng Gao (Uncaria Ointment). Symptoms recurred after marriage. Large doses of Dushen Tang, Liuwei Dihuang Wan added with Wuweizi, Huangqi, and Danggui were decocted and taken for half a year. Attacks lightened slightly, and after a year, there were no recurrences. Whenever fatigue or anger triggered recurrence, the previous medicines were used, resulting in immediate recovery. Furthermore, after recovering from Shanghan (Cold Damage), symptoms recurred with complete deficiency signs that were indescribable. Two placentas were decocted in Dushen Tang, and after consuming over ten jin, the patient recovered. Later, suffering from wind-cold cough, dry throat, and internal heat, the patient recovered using Liuwei Dihuang Wan ingredients added with Wuweizi, decocted and taken, along with Shiquan Dabu Tang.
Duhuo Tang (Angelica Pubescens Decoction): Treats fetal convulsion by dispersing wind pathogens.
Ingredients: Duhuo (Pubescent Angelica Root), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 fen), Binglang (Arecae Semen), Tianma (Gastrodiae Rhizoma), Mahuang (Ephedrae Herba, nodes removed), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 fen).
Preparation and Administration: Cut into coarse powder. Take 0.5 qian per dose, decoct and drink. Nanxing (Arisaematis Rhizoma) powder can be added and taken with honey; this can also be applied to the fontanelle.
Qufeng San (Wind-Dispersing Powder):
Ingredients: Huhuanglian (Picrorhizae Rhizoma) (2.5 qian), Quanxie (Scorpio, detoxified, roasted), Xijiao (Rhinocerotis Cornu), Tianzhuhuang (Calamus Tuber), Mahuang (Ephedrae Herba, nodes removed) (each 0.5 qian), Shexiang (Moschus) (1 zi).
Preparation and Administration: Grind into fine powder. Mix with milk and take after meals.
The above two formulas are dispersing agents and should only be used when exterior syndrome patterns are clearly present.
Qingjin Wan (Blue-Gold Pill): Treats infants by resolving fetal heat, resolving phlegm-fluids, and calming fright pathogens.
Ingredients: Renshen (Ginseng Radix, radix tip removed), Tianma (Gastrodiae Rhizoma, roasted), Fushen (Poria Cum Radice Xylom, bark and wood removed), Baifuzi (Typhonii Rhizoma, processed), Niudan Nanting (Arisaema with Bovis Calculus, stir-fried) (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (1.5 qian), Qingdai (Indigo Naturalis) (1 qian), Zhusha (Cinnabar, water-ground) (0.5 qian), Shexiang (Moschus) (1 zi).
Preparation and Administration: Grind into extremely fine powder. Form pills with refined white honey, sized like paulownia seeds. Dissolve in a decoction of Gouteng (Uncaria Ramulus cum Uncis) and Zaojiazi (Gleditsiae Sinensis Fructus) and take at any time.
Taiyi San (Supreme One Powder): Treats infant fetal convulsion. It is advisable to take regularly even after recovery.
Ingredients: Tianjiangzi (Bombyx Batryticatus, shell removed, lightly stir-fried), Nanxing (Arisomatis Rhizoma), Baifuzi (Typhonii Rhizoma) (each lightly processed), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Fuling (Poria) (each 2 qian), Quanxie (Scorpio), Zhusha (Cinnabar) (each 1 qian), Shexiang (Moschus) (small amount).
Preparation and Administration: Grind into powder. Take 0.5 qian per dose, dissolve in milk. This is Zhang Huan’s formula: Tianjiangzi and scorpion tips each 21 pieces, Fangfeng, Tianma, Zhusha each 0.5 liang, Shexiang 1 qian. It does not contain Fuling or Baizhu.
Shenxie San (Ginseng-Scorpion Powder): Treats pediatric fetal convulsion, stabilizing the heart-mind.
Ingredients: Tianjiangzi (Bombyx Batryticatus), Tianzhuhuang (Calamus Tuber), Renshen (Ginseng Radix), Zhusha (Cinnabar), Quanxie (Scorpio), Tianma (Gastrodiae Rhizoma), Chantui (Cicadae Periostracum) (each equal parts), Shexiang (Moschus) (small amount).
Preparation and Administration: Grind into powder, form pills with refined honey sized like paulownia seeds. Take one pill per dose, with Silver-Gold Water (Jinyin Tang).
Zhuru Gao (Pig Milk Ointment): Treats various pediatric convulsions and fetal epilepsy.
Ingredients: Quanxie (Scorpio) (one piece, roasted), Hupo (Amber), Zhusha (Cinnabar) (small amount).
Preparation and Administration: Grind into powder. Take 1 zi per dose, taken with Ophiopogonis Decoction (Maimendong Tang).
Zhu Yin Wan (Cinnabar-Silver Pill): Treats pediatric fetal wind, high fever with abundant phlegm, retroverted eyes, and trismus. It purges toxins accumulated in the fetus and also treats convulsive accumulation. Dosage should be adjusted according to the patient's strength.
Ingredients: Shuiyin (Mercurius, prepared with steamed jujube to a paste) (1 qian), Baifuzi (Typhonii Rhizoma) (1.5 qian), Quanxie (Scorpio), Nanxing (Arisomatis Rhizoma), Zhusha (Cinnabar) (each 1 qian), Tianjiangzi (Bombyx Batryticatus), Lvhua (Aloe), Niuhuang (Calculus Bovis) (each 0.5 liang), Qianshuang (Plumbum Subacetatum) (0.5 qian, ground with mercurius), Naonao (Borneolum Syntheticum) (1 zi), Shexiang (Moschus) (small amount), Zhijiangcan (Bombyx Batryticatus, stir-fried) (seven pieces).
Preparation and Administration: Grind into powder, form pills with refined honey sized like paulownia seeds. Dissolve in Mint Decoction (Bohe Tang) before taking.
Zhang Huan’s Shengxing Dan (Holy Star Pill): Suitable for all types of epilepsy, previously proven highly effective.
Ingredients: Forty-nine Tian Nanxing (Arisomatis Rhizoma) of uniform size. On the Dragon Boat Festival, capture forty-nine live scorpions. Place in a ceramic vessel, seal with salt mud, and hang in a quiet room. Retrieve on the last day of the lunar year. Select only those Tian Nanxing pierced by scorpion stings (identifiable by small holes); discard others. Soak the stung Tian Nanxing in wine overnight, roast, and grind into fine powder. Then add: Niuhuang (Calculus Bovis), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 1 qian, finely ground), Chen Sha (Cinnabar) (finely ground, water-ground, 2.5 qian).
Preparation and Administration: Grind all ingredients together uniformly. Form pills with Ginger Juice sized like paulownia seeds. Take 1–2 pills, dissolved in Ginseng-Mint Decoction.
Baijin San (White-Gold Powder): Treats various epilepsies with tidal onset and loss of consciousness.
Ingredients: Bai Jiangcan (Bombyx Batryticatus) (0.5 liang, washed in hot water, lightly stir-fried until yellow, crushed, and sieved into fine powder). Then add: Tianzhuhuang (Calamus Tuber) (2.5 qian), Niuhuang (Calculus Bovis) (1 qian), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 0.5 qian).
Preparation and Administration: Finely grind and mix evenly. Take 0.5 qian per dose, mix with Ginger Juice, warm, and administer.
Wujin Gao (Black-Gold Ointment): Treats fetal epilepsy with frequent tidal attacks.
Ingredients: Wushaoshe (Zaocys) (one strip, meat extracted, soaked in wine overnight, roasted), Canzhi (Silkworm Paper, burned to ash), Chanqiao (Cicadae Exuviae), Quanxie (Scorpio), Zhusha (Cinnabar, flown/water-ground) (each 0.5 liang), Jinbo (Gold Leaf) (twenty pieces), Longnao (Borneolum Syntheticum), Shexiang (Moschus) (each 0.5 qian).
Preparation and Administration: Grind each into fine powder, mix uniformly, and form into pills with honey sized like soapberries. Take one pill per dose, dissolved in Ginseng-Mint Decoction.
Tian Nanxing Jian (Arisoma Decoction): Treats fetal epilepsy with delayed recovery from tidal attacks.
Ingredients: Tian Nanxing (Arisomatis Rhizoma, lightly processed), Baifuzi (Typhonii Rhizoma), Baihua She (Bungarus multicinctus, soaked in wine, skin and bones removed, roasted until yellow) (each 1 liang), Ganxie (Dry Scorpio, stir-fried), Tianma (Gastrodiae Rhizoma) (each 0.5 liang).
Preparation and Administration: Crush and sieve the above into fine powder. Add two large bowls of good wine, simmer slowly, stirring constantly, until the wine is exhausted. Then add: Zhusha (Cinnabar, finely ground, water-ground, 0.5 liang), Nifen (Calomelas) (2.5 qian), Niuhuang (Calculus Bovis), Shexiang (Moschus), Longnao (Borneolum Syntheticum) (each 0.5 qian).
Preparation and Administration: Finely grind and incorporate into the ointment, forming pills sized like soapberries. Take one pill per dose, dissolved in Bamboo Sap (Zhuli), at any time.
Qufeng San (Wind-Expelling Powder): Treats fetal epilepsy with excessive crying.
Ingredients: Huhuanglian (Picrorhizae Rhizoma) (0.5 liang), Quanxie (Scorpio), Xijiao (Rhinocerotis Cornu), Tianzhuhuang (Calamus Tuber), Mahuang (Ephedrae Herba, nodes removed) (each 2.5 qian).
Preparation and Administration: Grind each into fine powder and mix uniformly. Take 0.5 qian per dose, add 1 zi of Shexiang (Moschus), mix with milk, and take.
Tiefen San (Iron Powder Powder): Particularly suitable for convulsive wind presenting with red face, dry mouth, and constipation.
Ingredients: Qianfen (Calomelas) (0.5 liang), Yujin (Curcumae Radix), Niuhuang (Calculus Bovis), Zhenzhu (Margarita), Huhuanglian (Picrorhizae Rhizoma) (each 2.5 qian).
Preparation and Administration: Grind each finely and mix evenly. Take 1 zi per dose, taken with warm honey water.
Qianghuo Gao (Notopterygium Ointment): Treats fetal epilepsy with drowsiness and loss of consciousness.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Pubescent Angelica Root) (each 1 liang), Tianma (Gastrodiae Rhizoma), Quanxie (Scorpio), Renshen (Ginseng Radix, radix tip removed), Bai Jiangcan (Bombyx Batryticatus, lightly stir-fried) (each 0.5 liang), Wushe Rou (Zaocys Meat) (1 liang, soaked in wine overnight, roasted).
Preparation and Administration: Crush and sieve into fine powder. Form ointment with refined honey. Take a pill-sized amount per dose, dissolved in Scorpion-Mint Decoction (Shexiang-Jingjie Tang).
Shexiang Gao (Moschus Ointment): Treats fetal epilepsy with inability to sleep peacefully.
Ingredients: Shexiang (Moschus, ground), Niuhuang (Calculus Bovis, ground), Baifuzi (Typhonii Rhizoma), Can'e (Bombyx Mori Imago, lightly stir-fried), Bai Jiangcan (Bombyx Batryticatus, lightly stir-fried) (each 2.5 qian), Quanxie (Scorpio) (21 pieces).
Preparation and Administration: Take the pure powder, grind finely again, and form ointment with honey sized like soapberries. Take one pill per dose, dissolved in Ginseng-Jingjie Decoction.