（此证得于火病之余，大吐大泻之余，过服凉剂之余。面色青白，手足螈 ，浑身四肢厥冷，默默不声，大小便青
白，或眼半开半合，渐成脾风之候，十指或开或合。急惊持久不瘥，多服凉剂，脾胃虚冷，转成慢惊者，多治之尤难矣）
钱氏白术散（治吐泻日久不止，津液枯竭引饮，欲成慢惊。此剂性味和平，治慢惊之紧方）
葛根（补津液，二钱） 人参 白术 白茯苓 木香 藿香 甘草（各一钱）
如泄泻不止，加山药、白扁豆（炒）、肉豆蔻（醋调面包煨后，以纸去油）各五分，砂仁（碎炒）三分，大泻之
余，中气下陷，宜升提之，加升麻、柴胡（并酒洗）各三分。
如呕吐不止，加丁香、砂仁（炒）各五分，大吐之余，宜顺气，加乌药（去皮心，酒洗）三分。
如津液枯竭，加天门冬（去心）七分，枣肉五分。
如引饮，加天花粉七分。
如慢惊已成，加天麻五分，细辛二分半，白附子（炮
制）一分半，全蝎（姜炒）一枚。
如大病余气虚而□，倍入人参，加黄 一钱。
如过服凉剂而发，倍入人参，加肉豆蔻（炮制）七分，肉桂三分，□□（炒）二分半。
如虚热，加麦门冬（去心）一钱，前胡七分，朱砂二分半。
如面色青白，倍入人参，加草龙胆、前胡、防风各七分。
如浑身四肢冷，倍入人参，加苍术、桂枝各五分。
如大小便青白，加柴胡，山栀子（炒黑）、草龙胆、防风各五分。（凡泻青，大禁凉面，此方专是补肝，故此方加
四味，以疏肝木邪气）
如眼半开半合，转成脾风之候，加丁香、肉豆蔻（炮制）、天麻、白僵蚕（姜炒）各五分，白附子（炮制）一分
半，全蝎（姜炒）一枚。
如十指开合，加胆星、天麻、白僵蚕、防风各五分，全蝎、薄桂各三分，竹沥、姜汁各半匙。
如大拇指偏为开合，倍入人参，加黄 （蜜炙）一钱，胆星、白僵蚕（姜炒）各七分，川乌（炮制）二分半。（难治）
如八候俱见，倍入人参，合化风丹调下。窃观慢惊，多因吐泻不止，津液枯竭而发，则白术散专补HT 边，而只以
葛根一味生津，恐太缓。古方云∶以白芍药加于保元汤为使，养血而相根据，补血则风自除而火自降，须加归、芍二味，
以滋脾胃之枯竭，且以丁香、砂仁二味收拾泄逆之气，似可尔。
保元汤（治便色青黑。大便泄青，乃慢惊之恶候，急用此
剂预防为可。凡泻青，乃风木克土之致，先补脾土，使土中金旺，则木自衰，火自退矣。盖气实则火退者，气食小大也。
土实则木衰者，脾旺不受制于肝，而金来克木故也）
黄 （蜜炙，二钱） 人参（一钱） 甘草（炙，五分）
此方专主补脾，故以黄 二钱为君。白术散专主生津，故以葛根二钱为君，两意皆好。用者，宜变通加减为妙。
一方∶以白芍药（酒炒）五分为使，养血为妙。
如大便黑色，加生地（干炒）一钱，肉桂、玄参（酒炒）各五分，黄柏（酒炒黑）二分半。
如眼无精光，睁然若惊，加柴胡（蜜炙）五分，前胡、山栀（酒炒）、熟地（干炒）、山茱萸（酒蒸）、防风、益
智仁（盐水炒）各五分。
如白睛多青色，加山药、天门冬（去心），阿胶珠、柴胡（蜜炒）、防风各五分，青皮二分半。（旺肺气，则肝木自衰）
如因吐泻转成慢惊，半阴半阳症，加陈皮一钱，白芍药（酒炒）七分，白茯苓四分，黄连二分，名曰益黄散。
如因吐泻不止，脾胃昏沉，默默不声，去黄 加白术、白茯苓、白附子（炮制）、白僵蚕（干炒）、天麻、木香各
五分，全蝎（干炒）二分半，干三，枣二，名曰醒脾散。
如吐不止，加砂仁（炒）、藿香（酒洗）各五分。
如泻不止，加砂仁（炒）七分，升麻三分。慢惊危急之证，材烦则效迟，况脾中气旺则木衰火退，宜先用补元汤
二、三帖，以扶真元可也。
夺命散（此方不问急、慢惊，痰塞咽喉，其响如潮，百药不
能过咽，命在须臾，但用此药，入喉痰即坠下，功收万全，夺天地之造化）
青礞石 焰硝（各一两）
上二味入锅内，火 待 尽，候礞石如金色，取用细末，薄荷汁入蜜，微温服之。黑痰坠下，从大便出，继用
治惊之剂。礞石虽利于痰，非胃家所好，加木香二钱佐之。
一方∶痰塞喉门而搐，苏合丸调薄荷汤，入姜汁少许灌下（或香油和下）。痰因气郁而上升，气顺，则痰化而搐自止
故也。
小儿时令咳喘痰盛，服苏合丸，则或吐痰，或下大便，人参二、三分作茶和下最妙。
保幼化风丹（治急、慢惊八候俱见）
南星 半夏 川乌 白附子（各一两） 郁金（五钱）
上并为末，入腊月黄牛胆内，阴干百日，取药研为末，每一两，入牛黄、朱砂、硼砂、焰硝各一钱，片脑、麝香
各少许。上共为末，蜜丸豌豆大，灯心薄荷汤研下和一、二丸。此剂甚毒，不可轻用。然惊风八候俱见之后，难望其生
全，第用此方镇定回苏后，即用补元调理之剂，亦一道耳。
备急丸（治急惊，又同治慢惊）
五月五日，取白颈蚯蚓，不拘多少，去泥后焙干为末，加朱砂等分，糊丸绿豆大，金箔为衣，白沸汤下一丸。此方
以竹刀中继蚯蚓，取急跳者，治急惊；取慢跳者，治慢惊。神效。
(This syndrome arises from the aftermath of febrile diseases, severe vomiting and diarrhea, or excessive use of cold-natured medicines. The patient presents with a bluish-white complexion, spasms in the hands and feet, coldness of the whole body and limbs, silence, bluish or white stool and urine, half-opened and half-closed eyes, gradually evolving into symptoms of Pi Feng (Spleen Wind), with fingers sometimes opening and closing. If Ji Jing (Urgent Convulsion) persists without improvement and is treated with excessive cold-natured medicines, leading to deficiency-cold of the Spleen and Stomach and transforming into Man Jing (Slow Convulsion), it is often particularly difficult to treat.)
Qian Shi Bai Zhu San (White Atractylodes Macrocephala Powder by Qian Yi) (Used for prolonged vomiting and diarrhea causing exhaustion of Jin Ye (Body Fluids) and thirst, approaching the onset of Man Jing. This formula has a mild nature and flavor, and is a critical prescription for treating Man Jing.)
Ge Gen (Puerariae Lobatae Radix, Bu Jin Ye [Replenishes Body Fluids], 2 qian) Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Bai Fu Ling (Poria) Mu Xiang (Aucklandiae Radix) Huo Xiang (Agastaches Herba) Gan Cao (Licorice Root) (each 1 qian)
If diarrhea persists, add Shan Yao (Dioscoreae Rhizoma), Chao Bai Bian Dou (Stir-fried Phaseoli Semen Album), Rou Dou Kou (Myristicae Semen) wrapped in vinegar-dough and roasted then oil removed, each 5 fen; Sui Chao Sha Ren (Crushed and Stir-fried Amomi Fructus) 3 fen. After severe diarrhea, Zhong Qi (Middle Jiao Qi) sinks, so Sheng Ti (Lifting) is indicated; add Jiu Xi Sheng Ma (Wine-washed Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix), each 3 fen.
If vomiting persists, add Ding Xiang (Caryophylli Flos) and Chao Sha Ren (Stir-fried Amomi Fructus), each 5 fen. After severe vomiting, Shun Qi (Regulating Qi) is indicated; add Qu Pi Xin Jiu Xi Wu Yao (Skin-and-heart-removed, Wine-washed Linderae Radix) 3 fen.
If Jin Ye (Body Fluids) are exhausted, add Qu Xin Tian Men Dong (Heart-removed Asparagi Radix) 7 fen, Zao Rou (Date Flesh) 5 fen.
If there is excessive thirst, add Tian Hua Fen (Trichosanthis Radix) 7 fen.
If Man Jing (Slow Convulsion) has already formed, add Tian Ma (Gastrodiae Rhizoma) 5 fen, Xi Xin (Asari Radix et Rhizoma) 2.5 fen, Pao Zhi Bai Fu Zi (Prepared Typhonii Rhizoma) 1.5 fen, Jiang Chao Quan Xie (Ginger-stir-fried Scorpio) 1 piece.
If residual Qi deficiency after severe illness presents with □ (missing character, likely 'wheezing'), double the Ren Shen (Ginseng Radix et Rhizoma), add Huang (missing character, likely 'Qi' i.e., Astragali Radix) 1 qian.
If triggered by excessive use of cold medicines, double the Ren Shen (Ginseng Radix et Rhizoma), add Pao Zhi Rou Dou Kou (Prepared Myristicae Semen) 7 fen, Rou Gui (Cinnamomi Cortex) 3 fen, □□ (missing characters) 2.5 fen.
If there is Deficiency Heat, add Qu Xin Mai Men Dong (Heart-removed Ophiopogonis Radix) 1 qian, Qian Hu (Peucedani Radix) 7 fen, Zhu Sha (Cinnabar) 2.5 fen.
If the complexion is bluish-white, double the Ren Shen (Ginseng Radix et Rhizoma), add Cao Long Dan (Gentiana Scabra), Qian Hu (Peucedani Radix), Fang Feng (Saposhnikoviae Radix), each 7 fen.
If the whole body and limbs are cold, double the Ren Shen (Ginseng Radix et Rhizoma), add Cang Zhu (Atractylodis Rhizoma), Gui Zhi (Cinnamomi Ramulus), each 5 fen.
If stool and urine are bluish-white, add Chai Hu (Bupleuri Radix), Chao Hei Shan Zhi Zi (Stir-fried Black Gardenia Fruit), Cao Long Dan (Gentiana Scabra), Fang Feng (Saposhnikoviae Radix), each 5 fen. (Whenever stool is green, cold foods like noodles are strictly prohibited. This formula specifically tonifies the Liver; thus, these four herbs are added to disperse Liver Wood pathogenic qi.)
If eyes are half-open and half-closed, indicating transformation into Pi Feng (Spleen Wind) signs, add Ding Xiang (Caryophylli Flos), Pao Zhi Rou Dou Kou (Prepared Myristicae Semen), Tian Ma (Gastrodiae Rhizoma), Jiang Chao Bai Jiang Can (Ginger-stir-fried Bombyx Batryticatus), each 5 fen; Pao Zhi Bai Fu Zi (Prepared Typhonii Rhizoma) 1.5 fen; Jiang Chao Quan Xie (Ginger-stir-fried Scorpio) 1 piece.
If fingers open and close, add Dan Xing (Arisaematis Cum Bile), Tian Ma (Gastrodiae Rhizoma), Bai Jiang Can (Bombyx Batryticatus), Fang Feng (Saposhnikoviae Radix), each 5 fen; Quan Xie (Scorpio), Bo Gui (Thin Cinnamon Twig), each 3 fen; Zhu Li (Bambusa Textilis Sap) and Jiang Zhi (Zingiberis Recens Juice), each half spoon.
If the thumb deviates during opening/closing, double the Ren Shen (Ginseng Radix et Rhizoma), add Mi Zhi Huang (Honey-roasted Astragali Radix) 1 qian, Dan Xing (Arisaematis Cum Bile), Jiang Chao Bai Jiang Can (Ginger-stir-fried Bombyx Batryticatus), each 7 fen; Pao Zhi Chuan Wu (Prepared Aconiti Kusnezoffii Radix) 2.5 fen. (Difficult to treat.)
If all eight postures/symptoms appear, double the Ren Shen (Ginseng Radix et Rhizoma) and administer with Hua Feng Dan (Wind-Transforming Pill). I observe that Man Jing (Slow Convulsion) often develops due to persistent vomiting/diarrhea and exhaustion of Jin Ye (Body Fluids). Thus, Bai Zhu San (White Atractylodes Macrocephala Powder) specifically tonifies HT (likely typo for Pi/Spleen), relying only on Ge Gen (Puerariae Lobatae Radix) to generate fluids, which may be too slow. Ancient formulas state: Add Bai Shao Yao (Paeoniae Radix Alba) to Bao Yuan Tang (Preserve Origin Decoction) as a guiding herb; nourishing blood allows wind to subside and fire to descend. One must add Dang Gui (Angelicae Sinensis Radix) and Bai Shao Yao (Paeoniae Radix Alba) to nourish Spleen-Stomach exhaustion, and use Ding Xiang (Caryophylli Flos) and Sha Ren (Amomi Fructus) to gather rebellious Qi; this seems feasible.
Bao Yuan Tang (Preserve Origin Decoction) (Treats black-green stool color. Green stool is an ominous sign of Man Jing (Slow Convulsion); using this formula urgently for prevention is advisable. Green stool results from Wind Wood overacting on Earth. First tonify Spleen Earth; when Earth generates Metal strongly, Wood naturally weakens, and Fire retreats. This is because strong Qi causes Fire to retreat... When Earth is solid, Wood weakens because the Spleen is prosperous and not controlled by the Liver, while Metal controls Wood.)
Mi Zhi Huang Qi (Honey-roasted Astragali Radix, 2 qian) Ren Shen (Ginseng Radix et Rhizoma, 1 qian) Zhi Gan Cao (Roasted Licorice Root, 5 fen)
This formula primarily tonifies the Spleen, hence Huang Qi (Astragali Radix) at 2 qian is the Jun (Emperor) herb. Bai Zhu San (White Atractylodes Macrocephala Powder) primarily generates fluids, hence Ge Gen (Puerariae Lobatae Radix) at 2 qian is the Jun (Emperor) herb. Both intentions are good. Users should vary and adjust flexibly.
Another method: Use Jiu Chao Bai Shao Yao (Wine-stir-fried Paeoniae Radix Alba) at 5 fen as the Shi (Assistant/Guide) herb; nourishing blood is excellent.
If stool is black, add Gan Chao Sheng Di Huang (Dry-stir-fried Rehmanniae Radix) 1 qian; Jiu Chao Rou Gui (Wine-stir-fried Cinnamomi Cortex) and Xuan Shen (Scrophulariae Radix), each 5 fen; Jiu Chao Hei Huang Bo (Wine-stir-fried Black Phellodendri Cortex) 2.5 fen.
If eyes lack luster and stare in alarm, add Mi Zhi Chai Hu (Honey-roasted Bupleuri Radix) 5 fen; Qian Hu (Peucedani Radix), Jiu Chao Shan Zhi Zi (Wine-stir-fried Gardenia Fruit), Gan Chao Shu Di Huang (Dry-stir-fried Prepared Rehmanniae Radix), Jiu Zheng Shan Zhu Yu (Wine-steamed Corni Fructus), Fang Feng (Saposhnikoviae Radix), Yan Shui Chao Yi Zhi Ren (Salt-water-stir-fried Alpiniae Oxyphyllae Fructus), each 5 fen.
If sclera is mostly blue, add Shan Yao (Dioscoreae Rhizoma), Qu Xin Tian Men Dong (Heart-removed Asparagi Radix), E Jiao Zhu (Donkey-hide Gelatin Pellet), Mi Chao Chai Hu (Honey-stir-fried Bupleuri Radix), Fang Feng (Saposhnikoviae Radix), each 5 fen; Qing Pi (Citri Reticulatae Pericarpium Viride) 2.5 fen. (When Lung Qi is prosperous, Liver Wood naturally weakens.)
If transformed into Man Jing (Slow Convulsion) due to vomiting/diarrhea, presenting as Half-Yin Half-Yang syndrome, add Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Jiu Chao Bai Shao Yao (Wine-stir-fried Paeoniae Radix Alba) 7 fen, Bai Fu Ling (Poria) 4 fen, Huang Lian (Coptidis Rhizoma) 2 fen, named Yi Huang San (Benefit Yellow Powder).
If due to persistent vomiting/diarrhea, Spleen-Stomach lethargy, silence, remove Huang Qi (Astragali Radix); add Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Ling (Poria), Pao Zhi Bai Fu Zi (Prepared Typhonii Rhizoma), Gan Chao Bai Jiang Can (Dry-stir-fried Bombyx Batryticatus), Tian Ma (Gastrodiae Rhizoma), Mu Xiang (Aucklandiae Radix), each 5 fen; Gan Chao Quan Xie (Dry-stir-fried Scorpio) 2.5 fen; Gan Jiang (Dried Ginger) 3 slices, Da Zao (Jujubae Fructus) 2 pieces, named Xing Pi San (Awaken Spleen Powder).
If vomiting persists, add Chao Sha Ren (Stir-fried Amomi Fructus), Jiu Xi Huo Xiang (Wine-washed Agastaches Herba), each 5 fen.
If diarrhea persists, add Chao Sha Ren (Stir-fried Amomi Fructus) 7 fen, Sheng Ma (Cimicifugae Rhizoma) 3 fen. Man Jing (Slow Convulsion) is a critical condition; complex herbs delay efficacy. Since Prosperous Spleen Qi weakens Wood and retreats Fire, it is appropriate to first use Bao Yuan Tang (Preserve Origin Decoction) for 2-3 doses to support True Yuan (True Origin).
Ming Tuo San (Life-Seizing Powder) (This formula applies regardless of Ji Jing (Urgent Convulsion) or Man Jing (Slow Convulsion); if phlegm obstructs the throat with roaring sounds, preventing any medicine from passing, and life is imminent, use only this medicine. Upon entering the throat, phlegm drops down, achieving complete efficacy, seizing the creation of Heaven and Earth.)
Qing Meng Shi (Calcareum Aureum) Yan Xiao (Saltpeter) (each 1 liang)
Place these two ingredients in a pot, roast over fire until smoke ceases, wait until Meng Shi (Calcareum Aureum) turns golden, take and grind into fine powder. Administer with Bo He Zhi (Menthae Haplocalycis Juice) and honey, warm. Black phlegm drops out via stool, followed by convulsion-treating agents. Although Meng Shi (Calcareum Aureum) benefits phlegm resolution, it is not favored by the Stomach; add Mu Xiang (Aucklandiae Radix) 2 qian to assist.
Another method: For phlegm obstruction in the throat with spasms, administer Su He Wan (Styrax Pill) mixed with Bo He Tang (Mint Decoction) and a little Jiang Zhi (Zingiberis Recens Juice) via gavage (or mixed with Sesame Oil). Phlegm rises due to Qi stagnation; when Qi flows smoothly, phlegm resolves and spasms stop.
For pediatric seasonal cough, asthma, and abundant phlegm, taking Su He Wan (Styrax Pill) induces either expectoration or bowel movement. Mixing Ren Shen (Ginseng Radix et Rhizoma) 2-3 fen with tea for administration is best.
Bao You Hua Feng Dan (Protect Childhood Wind-Transforming Pill) (Treats Ji Jing (Urgent Convulsion) and Man Jing (Slow Convulsion) when all eight postures/symptoms appear.)
Nan Xing (Arisaema Cum Bile) Ban Xia (Pinelliae Rhizoma) Chuan Wu (Aconiti Kusnezoffii Radix) Bai Fu Zi (Typhonii Rhizoma) (each 1 liang) Yu Jin (Curcumae Radix) (5 qian)
Grind all into powder, place inside a yellow ox gallbladder collected in the twelfth lunar month, dry in shade for 100 days. Take the medicine, grind to powder. For every 1 liang, add Niu Huang (Bovis Calculus), Zhu Sha (Cinnabar), Peng Sha (Borax), Yan Xiao (Saltpeter) each 1 qian; Pian Nao (Borneolum Syntheticum), She Xiang (Moschus) a small amount. Mix all into powder, form pills with honey the size of pea seeds. Grind 1-2 pills in Deng Xin Cao Bo He Tang (Juncus Effusus Mint Decoction) and administer. This agent is very toxic; do not use lightly. However, after all eight postures of convulsion appear, survival is unlikely; using this formula to calm and revive, followed immediately by Yuan Bu Tiao Li (Origin-Tonifying Regulation) agents, is one approach.
Bei Ji Wan (Emergency-Prepared Pill) (Treats Ji Jing (Urgent Convulsion), also treats Man Jing (Slow Convulsion).)
On the fifth day of the fifth lunar month, collect Bai Jing Qiu Yin (White-intestined Earthworm), any quantity. Remove mud, bake dry, and grind to powder. Add equal parts Zhu Sha (Cinnabar), bind with paste into pills the size of mung beans, coat with Jin Bo (Gold Foil). Administer one pill with boiling water. This formula uses earthworms cut with a bamboo knife: those jumping vigorously treat Ji Jing (Urgent Convulsion); those jumping slowly treat Man Jing (Slow Convulsion). Extremely effective.