川芎、华援各一钱,蝎梢二分,细辛一分,半夏
(酒浸一宿,汤泡七次,焙干)一分。共为末,热汤调
服,或薄荷汤化下亦可。
白牵牛、黑丑(各半生半熟取头)五分。大黄,枳壳
各一钱。共为末,冷浆水调下。涎多者,加密少许。
如小儿痘疹惊搐者,只用导赤散调辰砂末一服,不可妄用凉
惊丸,抱龙丸,保命丸等药。
西江 月
小儿惊风症侯,须分急慢根由,急因实热泄中求,慢是虚寒
温补。急为风寒食积,慢是久病绸缪,如斯辨认不差谬,才显神
功妙手。
急惊卒然大热,因而热则生风。痰涎哽塞角张弓,口眼歪斜
沉重。先使嚏惊妙散,后用导赤疏通,合灸少商与中冲,泻青凉惊
选用。
若遇风寒外感,先须发汗为宜,泻青丸子作汤医,加上蝎蚕
二味。果是内伤饮食,又当解利相随,三黄五色任施为,积去热除
惊止。
慢惊先由久病。精神渐减脾虚,厌厌沉困气长吁,口眼张开
不乳。搐弱时时举发,四肢逆冷何如,理中附子急驱除。不差艾灸
左乳(20)。
要认惊风死症,面如红粉涂搽,口张涎出紧关牙。目直气粗
声哑。喉内响似拽锯,毛端汗如珠下,目瞪眼小不须夸,大叫闷乱
尤怕。
搐掣乍作乍止,痰气无了无休,昏昏鼾睡唤难苏,乳食不知
吞吐。屎尿遗时少觉,四肢僵直难收,啼声不出汗如油,纵有灵丹
难救。
小儿惊风咳嗽,人人当作风哮,大黄白黑二牵牛,人参分两
匀用。四味俱研为末,蜜水调和稀稠,灌将一字下咽喉,免得胡针
乱灸。
两指伸缩名为搐,十指开合弱之形(21)。掣则连身常跳起,
颤而四体动摇铃。身仰向后为反症,手如挽弓引状成。怒目觑高
是窜样,睛露不活是斯真。
Chuanxiong (Ligusticum Chuanxiong Rhizome), Huayuan (likely a variant or specific preparation, contextually treated as an herb) each 1 qian, Xieshao (Scorpion tail tip) 2 fen, Xixin (Asarum Root) 1 fen, Banxia (Pinellia Tuber) (soaked in wine overnight, soaked in hot water seven times, dried by baking) 1 fen. Grind all together into powder, take with warm boiled water, or dissolve and take with mint tea.
Baiqianniu (White Morning Glory Seed), Heichou (Black Morning Glory Seed) (each half raw, half processed, taking the head part) 5 fen. Dahuang (Rhubarb Root and Rhizome), Zhike (Aurantium Fruit) each 1 qian. Grind all together into powder, take with cold rice water. For those with excessive phlegm-saliva, add a small amount of honey. If infants suffer from smallpox/rash with convulsions, only use Daochi San (Gardenia Decoction) to mix Chen Sha (Cinnabar Powder) for one dose; do not recklessly use Liangjing Wan (Cooling Convulsion Pill), Baolong Wan (Embracing Dragon Pill), Baoming Wan (Life-Preserving Pill) and other medicines.
Xijiangyue (Song Lyric):
Infantile convulsion syndromes must distinguish between acute and chronic origins. Acute cases stem from excess heat, seeking treatment through purging; chronic cases stem from deficiency-cold, requiring warming and tonification. Acute is due to wind-cold and food stagnation; chronic is lingering from prolonged illness. Such accurate differentiation reveals divine skill and masterful technique.
Acute infantile convulsion presents with sudden high fever; thus, extreme heat generates wind. Phlegm-saliva obstructs the throat, body stiffens like a drawn bow, mouth and eyes deviate, symptoms are heavy. First use Tianjing Miaosan (Sneeze-Inducing Miraculous Powder) to induce sneezing, then use Daochi San (Gardenia Decoction) to clear heat and unblock. Combine moxibustion/acupuncture on Shaoshang (LU11) and Zhongchong (PC9), and select Xieqing Wan (Draining Green Pill) or Liangjing Wan (Cooling Convulsion Pill).
If encountering wind-cold external contraction, sweating is appropriate first. Use Xieqing Wan (Draining Green Pill) as a decoction, adding Xie (Scorpion) and Can (Bombyx Batryticatus). If it is indeed internal injury from diet, resolving and purging should follow. Sanhuang Wuse (Three Yellows Five Colors) can be applied freely; once stagnation is removed and heat eliminated, convulsions stop.
Chronic convulsion initially stems from prolonged illness. Spirit gradually diminishes, spleen becomes deficient. Listless, heavy, fatigued, sighing deeply, mouth open unable to suckle milk. Weak convulsions occur intermittently, limbs are cold and inverted. Use Lizhong Tang (Regulate the Middle Decoction) with Fuzi (Prepared Aconite Root) urgently to dispel [cold]. If ineffective, apply moxibustion to the left breast area.
To recognize fatal signs of infantile convulsion: face red like rouge, mouth open with saliva flowing, teeth tightly clenched. Eyes fixed straight, breath coarse, voice hoarse. Sound in throat like sawing wood, sweat at hair follicles like pearls falling, eyes staring wide or pupils small—do not boast about these. Loud crying, restlessness, and confusion are particularly feared.
Convulsions start and stop suddenly, phlegm-qi has no end or rest. Drowsy snoring sleep, difficult to awaken, unaware of sucking or swallowing milk. Urine and stool incontinence with little sensation, limbs stiff and hard to retract, no crying sound, sweat like oil—even with spiritual elixirs, rescue is difficult.
Infantile convulsion with cough, everyone mistakes it for wind-wheeze. Dahuang (Rhubarb Root and Rhizome), Baiqianniu (White Morning Glory Seed), Heiqianniu (Black Morning Glory Seed), Renshen (Ginseng Root) used in equal proportions. All four ingredients ground into powder, mixed with honey water to desired consistency, instill one "yi" character amount down the throat, avoiding blind acupuncture and random moxibustion.
Two fingers extending and contracting is named "Chu" (twitching); ten fingers opening and closing weakly is the form of weakness. "Che" (jerking) causes the whole body to jump up; trembling makes four limbs shake like a bell. Body arching backward is "Fan" (opisthotonos); hands like drawing a bow form "Gong" (bow-like posture). Angry eyes looking up is "Cuan" (darting); eyes exposed and unresponsive is the true sign.