急惊之后尚未清，痰热琥珀抱龙灵，神虚气弱痰兼热，清心涤痰功效呈。
[注]
急惊多用寒凉之药，亦急则治标之法，
但得痰火稍退，即当调补气血，
若过用寒凉,必致转成慢惊等证，
故惊邪一退，余热尚在者，当用琥珀抱龙丸主之，
若脾虚多痰者，宜清心涤痰汤主之。
(琥珀抱龙丸) 人参 琥珀 茯神各五钱 山药一两炒 甘草四钱炙
檀香三钱 天竺黄 枳壳麸炒 枳实各五钱麸炒 辰砂三钱 胆星五钱
赤金箔二十片 以上为细末，炼蜜为丸,每丸重一钱，
大儿一丸，小儿半丸，淡姜汤化下。
(清心涤痰汤) 竹茹 橘红 半夏姜制 茯苓 枳实麸炒 甘草生
麦冬去心 枣仁炒 人参 菖蒲 南星 川黄连 引用生姜水煎服。
(方歌)
清心涤痰汤效灵，补正除邪两收功，参苓橘半连茹草，枳实菖枣星麦冬。
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惊风门
慢惊多缘禀赋弱，或因药峻损而成，缓缓搐搦时作止，面白青黄身则温，
昏睡眼合睛或露，脉迟神惨大便青，气虚夹痰醒脾效，脾虚肝旺缓肝灵．
[注]
慢惊一证，或缘禀赋虚弱，土虚木盛者有之，
或由急惊过用峻利之药以致转成此证者有之，
发时缓缓搐搦，时作时止，
面色淡黄，或青白相兼，身必温和，昏睡眼合，
或睡卧露睛，脉来迟缓，神气惨惨，大便青色，
此乃脾胃虚弱，治宜培补元气为主，
虚而夹痰者，醒脾汤主之，
脾虚肝旺者，缓肝理脾汤主之。
(醒脾汤) 人参 白术土炒 茯苓 天麻 半夏姜制 橘红 全蝎去毒
僵蚕炒 甘草炙 木香 仓米 胆南星 引用生姜水煎服。
(方歌)
气虚夹痰醒脾治，参术天麻白茯苓，橘半全蝎僵蚕草，木香仓米胆南星。
(缓肝理脾汤) 广桂枝 人参 白茯苓 白芍药炒 白术土炒 陈皮
山药炒 扁豆炒研 甘草炙 引用煨姜大枣水煎服。
(方歌)
肝旺脾虚缓肝汤，桂枝参苓芍术良，陈皮山药扁豆草，煎服之时入枣姜。
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惊风门
After the acute convulsion (Ji Jing Feng) has subsided but the pathogenic factors are not yet fully cleared, if phlegm-heat is retained, Hu Po Bao Long Wan (Amber Embracing Dragon Pill) is effective. If the child exhibits spirit deficiency and weak qi accompanied by phlegm-heat, Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) should be used to demonstrate its efficacy in clearing heart fire and eliminating phlegm.
[Annotation]
The treatment of acute convulsion often employs cold-natured medicines; this is a method of "treating the branch in emergencies."
However, once the phlegm-fire symptoms subside slightly, one must immediately regulate and tonify qi and blood.
If cold medicines are overused, it will inevitably lead to the transformation into conditions such as chronic convulsion (Man Jing Feng).
Therefore, when the pathogen of fright has retreated but residual heat remains, Hu Po Bao Long Wan (Amber Embracing Dragon Pill) should be the primary formula.
For cases with spleen deficiency and excessive phlegm, Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) is appropriate as the primary formula.
(Hu Po Bao Long Wan [Amber Embracing Dragon Pill]) Ingredients: Ren Shen (Ginseng Radix), Hu Po (Fossile Succinum), Fu Shen (Poria with Hostwood), each 5 qian; Shan Yao (Dioscoreae Rhizoma), 1 liang, stir-fried; Gan Cao (Licorice Radix et Rhizoma), 4 qian, honey-fried; Tan Xiang (Santalum Album Lignum); Tian Zhu Huang (Bambusae Concretio Silicea); Zhi Ke (Aurantii Fructus Immaturus), bran-stir-fried; Zhi Shi (Aurantii Fructus Immaturus), each 5 qian, bran-stir-fried; Chen Sha (Cinnabaris); Dan Xing (Arisarmitis Rhizoma preparatum), 5 qian; Chi Jin Bo (Laminæ Aureae Folium), 20 pieces.
Grind the above ingredients into fine powder, mix with refined honey to form pills, each weighing 1 qian. Older children take one pill; infants take half a pill, dissolved and taken with light ginger soup.
(Qing Xin Di Tan Tang [Clear Heart and Eliminate Phlegm Decoction]) Ingredients: Zhu Ru (Bambusae Caulis in Taenia), Ju Hong (Citri Reticulatae Pericarpium), Jiang Zhi Ban Xia (Pinelliae Rhizoma preparatum with Ginger), Fu Ling (Poria), Zhi Shi (Aurantii Fructus Immaturus), bran-stir-fried, Sheng Gan Cao (Licorice Radix et Rhizoma), Mai Dong (Ophiopogonis Tuber), qu xin (heart removed), Zao Ren (Ziziphi Spinosae Semen), chao (stir-fried), Ren Shen (Ginseng Radix), Chang Pu (Acori Tatarinowii Rhizoma), Nan Xing (Arisarmitis Rhizoma), Chuan Huang Lian (Coptidis Rhizoma). Add fresh ginger water for decoction and administration.
(Fang Ge [Formula Song])
Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) is highly effective, benefiting both from supporting healthy qi and eliminating pathogenic factors. It contains Ren Shen (Ginseng Radix), Fu Ling (Poria), Ju Hong (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Lian (Huang Lian), Ru (Zhu Ru), Cao (Gan Cao), Zhi Shi (Aurantii Fructus Immaturus), Chang Pu (Acori Tatarinowii Rhizoma), Zao Ren (Ziziphi Spinosae Semen), Xing (Nan Xing), and Mai Dong (Ophiopogonis Tuber).
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Jing Feng Men (Section on Convulsions)
Chronic convulsion (Man Jing Feng) often arises from weak congenital endowment or is caused by damage due to overly harsh medications. The spasms occur slowly, starting and stopping intermittently. The complexion is pale or mixed with cyan-yellow, the body temperature is warm, the patient sleeps deeply with eyes closed or slightly open during sleep. The pulse is slow, the spirit appears despondent, and the stool is green. For qi deficiency with phlegm retention, Xing Pi Tang (Awaken Spleen Decoction) is effective; for spleen deficiency with liver hyperactivity, Huan Gan Li Pi Tang (Soothe Liver and Regulate Spleen Decoction, also known as Huan Gan Ling) is effective.
[Annotation]
This condition of chronic convulsion may stem from weak congenital endowment, representing earth deficiency and wood excess (spleen deficiency and liver hyperactivity);
or it may result from the overuse of harsh purgative medicines during the acute phase, leading to this condition.
During an episode, spasms are slow, intermittent.
The complexion is pale yellow or a mix of cyan and white; the body is necessarily warm; the patient is lethargic with eyes closed,
or sleeps with eyes partially exposed; the pulse is slow; the spirit is despondent; the stool is green.
This indicates spleen and stomach weakness; treatment should primarily focus on cultivating and tonifying primordial qi.
For those who are deficient and have phlegm retention, Xing Pi Tang (Awaken Spleen Decoction) is the primary formula.
For those with spleen deficiency and liver hyperactivity, Huan Gan Li Pi Tang (Soothe Liver and Regulate Spleen Decoction) is the primary formula.
(Xing Pi Tang [Awaken Spleen Decoction]) Ingredients: Ren Shen (Ginseng Radix), Tu Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Fu Ling (Poria), Tian Ma (Gastrodiae Rhizoma), Jiang Zhi Ban Xia (Pinelliae Rhizoma preparatum with Ginger), Ju Hong (Citri Reticulatae Pericarpium), Quan Xie (Scorpio), du qu (poison removed), Jiang Can (Bombyx Batryticatus), chao (stir-fried), Zhi Gan Cao (Licorice Radix et Rhizoma, honey-fried), Mu Xiang (Aucklandiae Radix), Cang Mi (Oriza Sativa Granum). Add fresh ginger water for decoction and administration.
(Fang Ge [Formula Song])
Qi deficiency with phlegm retention is treated with Xing Pi Tang (Awaken Spleen Decoction). Ingredients include Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tian Ma (Gastrodiae Rhizoma), Bai Fu Ling (Poria), Ju Hong (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Quan Xie (Scorpio), Jiang Can (Bombyx Batryticatus), Cao (Gan Cao), Mu Xiang (Aucklandiae Radix), Cang Mi (Oriza Sativa Granum), and Dan Nan Xing (Arisarmitis Rhizoma preparatum).
(Huan Gan Li Pi Tang [Soothe Liver and Regulate Spleen Decoction]) Ingredients: Guang Gui Zhi (Cinnamomi Ramulus), Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Chao Bai Shao Yao (Paeoniae Radix Alba, stir-fried), Tu Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Chao Shan Yao (Dioscoreae Rhizoma, stir-fried), Chao Bian Dou (Lablab Seed, stir-fried and ground), Zhi Gan Cao (Licorice Radix et Rhizoma, honey-fried). Add Wei Jiang (Roasted Ginger) and Da Zao (Jujubae Fructus) water for decoction and administration.
(Fang Ge [Formula Song])
Liver hyperactivity with spleen deficiency is treated with Huan Gan Tang (Soothe Liver Decoction). Gui Zhi (Cinnamomi Ramulus), Ren Shen (Ginseng Radix), Fu Ling (Poria), Shao Yao (Paeoniae Radix), and Bai Zhu (Atractylodis Macrocephalae Rhizoma) are excellent. Chen Pi (Citri Reticulatae Pericarpium), Shan Yao (Dioscoreae Rhizoma), Bian Dou (Lablab Seed), and Cao (Gan Cao) are included; add Da Zao (Jujubae Fructus) and Jiang (Ginger) when decocting and administering.
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Jing Feng Men (Section on Convulsions)