男发搐，目左视无声，右视有声。女发搐，目右视无声，左视有声。（相胜故也，更看所发时候。）
早辰发搐，因寅卯辰时潮热，目上视，手足动摇，口流热涎，颈
筋急，此肝木大旺，当补肾抑肝。补肾，地黄丸；抑肝，泻青丸主之。
日午发搐，因巳、午、未时潮热，心神惊悸，目上视，白睛赤色，
牙关紧急，口流涎，手足动摇，此心火大旺也，当补肝泻心。补肝，地黄丸；泻心，导赤散、冷惊丸主之。
日晚发搐，因申、酉、戌时潮热，搐而喘，目微斜视，睡则露睛，
手足冷，大便下薄淡黄水，此是肺病，当补脾而抑心肝。补脾，益黄
散；抑心，导赤散；抑肝，泻青丸主之。
夜间发搐，因亥、子、丑时潮热，不甚搐而卧不稳，身体温，无壮
热，目睛紧，斜视，喉中有痰，大便银褐色，乳食不消，多睡不醒，当
补脾抑心。补脾，益黄散；抑心，导赤散、凉惊丸主之。
伤风发搐，口中气出热，呵欠烦闷，手足动摇，当发散，大青膏主之。小儿禀赋素怯者，多病此。
伤食发搐，身体温，多睡多唾，或吐不欲食而搐，当先定搐，搐退用白饼子，后服安神丸。
百日内发搐，有真假二证∶真者，不过二、三次必死；假者，发
频，不为重。真者，内生惊痫；假者，外伤风冷，盖血气未实，不能
胜邪，乃发搐也。奚知假者？口中气出热也，治之宜发散，大青膏主之，及用涂囟法与沐体法。
补肾，地黄丸（见疳病门。）
泻青丸 （见前惊风门。）
导赤散 治心热。
生干地黄 木通 甘草（炙，各等分）
上细切，每服三钱，水一盏，入淡竹叶七片，同煎至半盏，食后温服。（一本无甘草，有黄芩。）
凉惊丸（方见前。）
益黄散（方见疳病门。）
大青膏 治小儿伤风，吐泻心温，乍凉乍热。
天麻 青黛（各一钱） 白附子（一钱五分） 蝎尾（去毒） 乌蛇肉（酒浸，焙干） 朱砂 天竺黄 麝香（各
一钱）
上为细末，生蜜和成膏，每服半皂子大或一皂子大，月中儿粳
米大，同牛黄膏，温薄荷水化，一处服之。五岁以上，同甘露饮服。钱本有天麻，无大青。
按∶此知阎孝忠加减方也。
牛黄膏 治热及伤风，壮热引饮。
雄黄 甘草 甜硝 寒水石（生，各二钱五分） 郁金（一钱） 绿豆粉（五钱） 脑子（一钱）
上为细末和匀，蜜和成膏，薄荷水化下半皂子大，食后服。
甘露饮 治心胃热，咽喉痛，口舌生疮，并疮疹已发未发皆可
服。又治热气上攻，牙龈肿，牙齿动摇，含漱并服。（方见痘疹门。）
白饼子（又名玉饼子）治小儿腹中有癖，但饮乳嗽而生痰。
滑石 轻粉 半夏（汤泡七次） 南星（各一钱） 巴豆（二十四粒，去皮膜，用水二升煮水尽为度。一作水三升）
上研匀巴豆，后入众药，以糯米饭为丸，如绿豆大，捏作饼子，
三岁以上儿三、五饼，以下一、二饼，煎薄荷汤下，临卧服。
涂囟法∶
麝香 蜈蚣（末） 牛黄（末） 青黛（末，各一字） 蝎尾（去毒，为末，五分） 薄荷叶（五分）
上为细末研匀，熟枣肉剂为膏，新绵上涂匀，贴囟上，四方可出一指许，火上炙手频熨。百日里外儿，可用此及浴
法。
浴体法∶治胎肥，并胎怯胎热。
乌蛇肉（酒浸焙，为末） 白矾 青黛（各二钱） 天麻（二钱） 蝎尾（去毒，为末） 朱砂（各五分） 麝香
（一字）
上同研为细末，每服用三钱，水三碗，带叶桃枝一握，同煎至十
数沸，温热浴之，勿浴背。
When a male infant experiences convulsions, his eyes look to the left without sound, and to the right with sound. (This is due to the mutual overcoming of the Five Elements; one must also observe the specific time of onset.)
Convulsions occurring in the morning are caused by tidal fever during the Yin, Mao, and Chen hours. Symptoms include upward deviation of the eyes, trembling of the limbs, flow of hot saliva from the mouth, and stiffness of the neck tendons. This indicates excessive flourishing of Liver Wood. Treatment should tonify the Kidney to suppress the Liver. For tonifying the Kidney, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); for suppressing the Liver, use Xieqing Wan (Drain the Green Pill).
Convulsions occurring at noon are caused by tidal fever during the Si, Wu, and Wei hours. Symptoms include palpitations and fright of the Heart Spirit, upward deviation of the eyes, redness of the sclera, lockjaw, flow of saliva, and trembling of the limbs. This indicates excessive flourishing of Heart Fire. Treatment should tonify the Liver to drain the Heart. For tonifying the Liver, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); for draining the Heart, use Daochi San (Direct the Red Powder) or Lengjing Wan (Cooling Convulsion Pill).
Convulsions occurring in the evening are caused by tidal fever during the Shen, You, and Xu hours. Symptoms include convulsions accompanied by panting, slight oblique deviation of the eyes, sleeping with eyes open (exposing the eyeballs), cold extremities, and passage of thin, pale yellow watery stool. This indicates a Lung pathology. Treatment should tonify the Spleen to suppress the Heart and Liver. For tonifying the Spleen, use Yihuang San (Yellow-Protecting Powder); for suppressing the Heart, use Daochi San (Direct the Red Powder); for suppressing the Liver, use Xieqing Wan (Drain the Green Pill).
Convulsions occurring at night are caused by tidal fever during the Hai, Zi, and Chou hours. Symptoms include mild convulsions but restless sleep, normal body temperature (without high fever), tight and obliquely deviated eyes, phlegm rattle in the throat, silver-brown stool, indigestion of milk and food, and lethargy with difficulty waking. Treatment should tonify the Spleen to suppress the Heart. For tonifying the Spleen, use Yihuang San (Yellow-Protecting Powder); for suppressing the Heart, use Daochi San (Direct the Red Powder) or Liangjing Wan (Cooling Convulsion Pill).
Convulsions caused by Wind-Cold invasion: The breath expelled from the mouth is hot; the child yawns and feels irritable and stifled; there is trembling of the limbs. Treatment should employ dispersing methods. Use Daqing Gao (Great Cyan Ointment). Children with innate constitutional weakness are prone to this condition.
Convulsions caused by Food Retention: The body temperature is normal; the child sleeps frequently and produces excess saliva; or vomiting occurs with loss of appetite followed by convulsions. One should first stop the convulsions. After the convulsions subside, administer Baibing Zi (White Cake Pills), followed by Anshen Wan (Calming the Spirit Pill).
Convulsions occurring within the first 100 days of life present as either True or False syndromes: True cases result in death after only two or three episodes; False cases involve frequent attacks but are not severe. True cases stem from internal generation of Fright Epilepsy; False cases result from external invasion of Wind-Cold. Because Qi and Blood are not yet solid, they cannot resist the pathogenic factors, leading to convulsions. How to identify a False case? Hot breath indicates a False case. Treatment should employ dispersing methods using Daqing Gao (Great Cyan Ointment), along with Fontanelle Application Method and Body Bathing Method.
For Tonifying the Kidney: Liuwei Dihuang Wan (See Chapter on Infantile Malnutrition).
Xieqing Wan (See previous chapter on Infantile Convulsions).
Daochi San: Treats Heat in the Heart.
Ingredients: Sheng Gan Di Huang (Raw Prepared Rehmanniae Radix), Mutong (Akebiae Caulis), Gancao (Licorizae Radix et Rhizoma, honey-fried), equal parts.
Preparation: Finely chop ingredients. Take 3 qian per dose, add 1 cup of water and 7 slices of Dan Zhuye (Lophatheri Herba). Decoct until half a cup remains. Take warm after meals. (Another version excludes Gancao and includes Huangqin).
Liangjing Wan (Formula see previous section).
Yihuang San (Formula see Chapter on Infantile Malnutrition).
Daqing Gao: Treats infantile Wind-Cold invasion, vomiting and diarrhea with warmth in the heart region, alternating chills and fever.
Ingredients: Tianma (Gastrodiae Rhizoma), Qingdai (Indigo Naturalis), each 1 qian; Baifuzi (Typhonii Rhizoma), 1.5 qian; Xiwei (Scorpion, venom removed); Wushe Rou (Dabo's Keelback Meat, soaked in wine and dried); Zhusha (Cinnabar); Tiantu Huang (Beeswax Honeycomb from Apis Cerana); Shexiang (Moschus), each 1 qian.
Preparation: Grind into fine powder. Mix with raw honey to form an ointment. Dosage: Half to one size of a soap pod for older infants; rice-grain size for one-month-old infants. Administer together with Niuhuang Gao (Calculus Bovis Ointment), dissolved in warm Bohe Shui (Menthae Haplocalycis Herba water). Children over five years old may take it with Ganlu Yin (Sweet Dew Drink). Note: Qian Yi's original formula contains Tianma but no Daqing.
Commentary: This appears to be a modified formula by Yan Xiaozhong.
Niuhuang Gao: Treats Heat syndromes and Wind-Cold invasion with high fever and thirst.
Ingredients: Xionghuang (Realgar), Gancao (Licorizae Radix et Rhizoma), Tianxiao (Sal Nitri), Hanshuishi (Aragonitum, raw), each 2.5 qian; Yujin (Curcumae Radix), 1 qian; Lvdou Fen (Vigna Mungo Powder), 5 qian; Naonao (Borneolum Syntheticum), 1 qian.
Preparation: Grind into fine powder and mix evenly. Form into an ointment with honey. Dissolve half a soap-pod size in Bohe Shui (Menthae Haplocalycis Herba water). Take after meals.
Ganlu Yin: Treats Heat in the Heart and Stomach, sore throat, sores in the mouth and tongue. It can be taken whether skin eruptions have appeared or not. It also treats Heat attacking upwards causing swollen gums and loose teeth; it can be used for gargling and oral administration. (Formula see Chapter on Smallpox/Rashes).
Baibing Zi (Also known as Yubing Zi): Treats abdominal masses (Pi accumulation) in infants, where phlegm is generated merely from coughing while nursing.
Ingredients: Huashi (Talcum), Qingfen (Calomelas), Banxia (Pinelliae Rhizoma, soaked in boiling water seven times), Nanxing (Arisaematis Rhizoma), each 1 qian; Badou (Crotonis Fructus), 24 kernels (skin and membrane removed, boiled in 2 sheng of water until water is exhausted. Some versions use 3 sheng).
Preparation: Grind Badou thoroughly, then add other medicines. Bind with glutinous rice paste to form pills the size of mung beans, shaped into cakes. For children over three years old, give 3-5 cakes; for younger children, 1-2 cakes. Administer with decocted Bohe Tang (Menthae Haplocalycis Herba soup) before bedtime.
Fontanelle Application Method:
Ingredients: Shexiang (Moschus), Wugong (Centipedae Corpus, powdered), Niuhuang (Calculus Bovis, powdered), Qingdai (Indigo Naturalis, powdered), each 1 zi (approx. 0.3g); Xiwei (Scorpion, venom removed, powdered), 5 fen; Bohe Ye (Menthae Haplocalycis Folium), 5 fen.
Preparation: Grind all ingredients into a fine, uniform powder. Mix with cooked jujube meat to form a paste. Apply evenly onto fresh cotton wool and stick to the fontanelle, leaving about one finger's width exposed around the edges. Frequently warm the hands over fire and apply heat compresses. This method and the bathing method are suitable for infants around 100 days old.
Body Bathing Method: Treats Tai Fei (neonatal obesity/lipid accumulation), Tai Qie (congenital deficiency), and Tai Re (neonatal heat).
Ingredients: Wushe Rou (Dabo's Keelback Meat, wine-soaked, roasted, powdered), Bai Fan (Alumen), Qingdai (Indigo Naturalis), each 2 qian; Tianma (Gastrodiae Rhizoma), 2 qian; Xiwei (Scorpion, venom removed, powdered), Zhusha (Cinnabar), each 5 fen; Shexiang (Moschus), 1 zi.
Preparation: Grind all ingredients into a fine powder. Take 3 qian per bath, add 3 bowls of water and a handful of Tao Zhi (Peach Twig with leaves). Decoct until boiling vigorously for more than ten times. Use the warm water for bathing. Do not bathe the back.