论曰小儿猝然惊悸,眼目翻腾,壮热不已,四肢抽掣,上仰如钓缚之状,名曰天 ,
乍作
儿
病。
治小儿惊风,天 急风。雄黄散方
雄黄(研) 牛黄(研) 蚱蝉(各一两) 干蝎(七枚去土炒)
上四味,捣研为散,一二岁儿每服一字匕,薄荷汤调下,三四岁半钱匕,空心日午临卧
各一服,更量儿大小加减。
治小儿惊风天 。麝香散方
麝香(研) 腻粉(研) 干蝎(去土炒) 白附子(炮各一分)
上五味,捣研极细,每服一字匕,薄荷汁调下,早晚各一服。
治小儿天 ,手脚掣动,眼目不定,或笑或啼,或喜或怒,爪甲青色。龙齿饮方
龙齿 钩藤 赤茯苓(去黑皮各半两) 蝉壳(二七枚去土) 铅丹(研) 甘草(炙)
大黄
上九味,粗捣筛,一二岁儿每服半钱匕,水半盏,煎至三分温服,更量儿大小加减。
治小儿急慢惊风天 ,撮口搐搦,奶痫壮热困重。定命丸方
干蝎(全者七枚生用) 天南星(末一分生) 白附子(末半分生) 青黛(半钱) 蟾
酥(一
上六味细研令匀,以粟米糊丸如绿豆大,更用青黛为衣,新生儿用腻粉二捻,生油一两
点,新汲水数滴,药一米许,化破与服,取下胎中所受惊热,即无诸惊,如小儿患重,用荆
芥薄荷汤化下一粒。
治小儿天 惊风。天浆子散方
天浆子 蝎梢 犀角屑 丹砂(研) 雄黄(研) 附子(炮裂去皮脐) 天南星(炮)
白附
白花蛇(酒浸炙用肉) 白僵蚕(炒各一分) 腻粉 牛黄(研各一钱) 麝香(一字) 金
箔银箔(各三片)
上一十八味,除别研外,捣罗为散,入研药和匀,每服一字匕,薄荷汤调下,日三,更
量儿大小加减。
治小儿天 ,惊风潮搐,项筋紧强,手足厥冷。再生散方
乌蛇(酒炙取肉) 天麻 天南星(炮) 干蝎(炒各一分) 麝香(研一钱匕) 腻
粉(半钱
上九味,除别研外,捣罗为散,入研药和匀,每服半钱匕,煎金银汤调下,早晚各一服
,更量儿大小加减。
治小儿天 痫病,急慢诸风。赤灵丸方
丹砂(研水飞过) 人参(为末各一两) 酸枣仁(研二两) 乳香(研半两) 白面
(二钱)
右五味,和研令匀,用生蜜和膏入新竹筒内,以油纸封札定,坐饭甑上炊,候饭熟为度
,分作三十丸,每一丸,分四服,薄荷汤化下,更量儿大小加减。
治小儿天 。僵蚕散方
白僵蚕(炒) 马牙硝(研) 郁金 干蝎(去土炒各半两)
上四味,捣研为散,每服一字匕,乳汁调服,甚者半钱匕,不拘时候。
治小儿天 。天南星散方
天南星(大者一枚掘地作坑安砖子一片先用火烧赤后放天南星于热砖上用酒半升倾天南
星上即以盏子覆之候冷锉)
上一味,捣罗为散,每服一字匕,温酒调下,二岁以下,以乳汁调。
治小儿天 。备急涂顶膏方
乌头末(芸苔子末各二钱匕)
上二味,合研令匀,每用一钱匕,新水调敷儿顶上。
治小儿天 客忤,五疳八痢,十二惊痫。青黛丸方
青黛(研) 天竺黄(研) 干虾蟆(一枚黄泥裹烧赤去泥研) 干蜗牛壳(洗炒研) 黄
连(
半两) 牛黄(研
三分)
上一十七味,捣罗七味为末,与十味研者和匀,以烧饭丸如麻子大,一岁一丸,至二丸
,粥饮下,一岁以上,以意加减。
Commentary states: When a child suddenly experiences fright and palpitations, with eyes rolling upward or moving restlessly, persistent high fever, convulsions of the four limbs, and the body arching backward as if bound by ropes, this condition is named "Tian Diao" (Heavenly Fishing/Convulsion), which also belongs to the category of "Jing Feng" (Wind of Fright) and "Ji Feng" (Urgent Wind).
Formula for Xionghuang San (Realgar Powder) to treat infantile wind-stroke, Tian Diao, and urgent wind in children:
Xionghuang (Realgar, ground), Niuhuang (Calculus Bovis, ground), Zha Chan (Locusta, 1 liang each), Gan Xie (Dried Scorpion, 7 pieces, cleaned of soil and stir-fried).
The above four ingredients are crushed and ground into a powder. For infants aged one to two years, administer one "Yi Zi Bi" (a measure equivalent to a small spoonful) per dose, mixed with Bohe Tang (Mint Decoction). For children aged three to four years, administer half a "Qian Bi" (a measure equivalent to a larger spoonful) per dose. Administer once on an empty stomach, once at noon, and once before bed. Adjust the dosage according to the child's size.
Formula for Shexiang San (Musk Powder) to treat infantile wind-stroke and Tian Diao:
Shexiang (Moschus, ground), Nifen (Calomel, ground), Gan Xie (Dried Scorpion, cleaned of soil and stir-fried), Baifuzi (Arisaema Cum Bile/Bai Fu Zi, processed, 1 fen each).
The above five ingredients are crushed and ground to an extremely fine powder. Administer one "Yi Zi Bi" per dose, mixed with Bohe Zhi (Mint Juice). Administer once in the morning and once in the evening.
Formula for Longchi Yin (Dragon Tooth Drink) to treat Tian Diao in children, characterized by twitching of hands and feet, restless eye movements, alternating laughter and crying, unpredictable emotions, and cyanotic fingernails:
Longchi (Draco Ossis, Dragon Bone), Gouteng (Uncariae Ramulus cum Uncis), Chifuling (Poria Cocos with Red Bark, black skin removed, 0.5 liang each), Chan Qiao (Cicada Slough, 21 pieces, cleaned of soil), Qiandan (Mineral Lead, ground), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Dahuang (Rhei Radix et Rhizoma).
The above nine ingredients are coarsely crushed and sieved. For infants aged one to two years, administer half a "Qian Bi" per dose. Add half a cup of water, decoct until one-third remains, and take warm. Adjust the dosage according to the child's size.
Formula for Dingming Wan (Life-Securing Pill) to treat acute and chronic infantile wind-stroke, Tian Diao, characterized by mouth contraction (suo kou), spasms, and infantile epilepsy with severe high fever:
Gan Xie (Dried Scorpion, whole, raw, 7 pieces), Tiannanxing (Arisaematis Rhizoma, powder, 1 fen, raw), Baifuzi (Pinelliae Tuber prepared with Alum, powder, 0.5 fen, raw), Qingdai (Indigo Naturalis, 0.5 qian), Chansu (Toad Venom, quantity omitted in text but implied small amount). *Note: The text states "Six ingredients," but lists five main components; adhering strictly to the text provided.*
Grind the above ingredients finely and uniformly. Form pills the size of mung beans using millet paste. Coat the pills with Qingdai (Indigo Naturalis). For newborns, mix two pinches of Nifen (Calomel) with one liang of fresh oil and several drops of fresh well-water. Dissolve one pill in this mixture to the size of a rice grain, break it open, and administer to expel the fright-heat received from the fetus, thereby eliminating various convulsive disorders. If the child's condition is severe, dissolve one pill in Jingjie Bohe Tang (Schizonepeta and Mint Decoction) and administer.
Formula for Tianjiangzi San (Sky Pulp Seed Powder) to treat Tian Diao and wind-stroke in children:
Tianjiangzi (Flos Platantherae), Xeshao (Scorpion Tail), Xijiaoxie (Rhinocerotis Cornu, sliced), Dansha (Cinnabar, ground), Xionghuang (Realgar, ground), Fuzi (Aconiti Lateralis Radix Praeparata, processed, cracked, skin and bud removed), Tiannanxing (Arisaematis Rhizoma, processed), Baifu (Arisaema Cum Bile/Bai Fu Zi), Baihuashe (Bungarus Parvus/Sinensis, wine-soaked and roasted, meat only), Baijiangcan (Bombyx Batryticatus, stir-fried, 1 fen each), Nifen (Calomel), Niuhuang (Calculus Bovis, ground, 1 qian each), Shexiang (Moschus, 1 Yi Zi), Jinpo (Gold Leaf), Yinpo (Silver Leaf, 3 pieces each).
The above eighteen ingredients, except those requiring separate grinding, are crushed and sieved into powder. Mix with the separately ground powders. Administer one "Yi Zi Bi" per dose, mixed with Bohe Tang (Mint Decoction). Take three times daily. Adjust the dosage according to the child's size.
Formula for Zaisheng San (Rebirth Powder) to treat Tian Diao, convulsive wind-stroke, characterized by stiffness of neck tendons and cold extremities:
Wushe (Zaocys, wine-roasted, meat only), Tianma (Gastrodiae Rhizoma), Tiannanxing (Arisaematis Rhizoma, processed), Gan Xie (Dried Scorpion, stir-fried, 1 fen each), Shexiang (Moschus, ground, 1 Yi Zi Bi), Nifen (Calomel, 0.5 qian). *Note: Text states "Nine ingredients," but lists six visible ones.*
The above nine ingredients (per text count), except those requiring separate grinding, are crushed and sieved into powder. Mix with the separately ground powders. Administer half a "Qian Bi" per dose, mixed with Jin Yin Tang (Gold and Silver Decoction). Take once in the morning and once in the evening. Adjust the dosage according to the child's size.
Formula for Chiling Wan (Red Spirit Pill) to treat Tian Diao epilepsy and various acute and chronic winds in children:
Dansha (Cinnabar, ground and washed with water), Renshen (Ginseng Radix et Rhizoma, powdered, 1 liang each), Szaoren (Ziziphi Spinosae Semen, ground, 2 liang), Ruxiang (Olibanum, ground, 0.5 liang), Baifan (Triticum Aestivum Flour, 2 qian).
The above five ingredients are mixed and ground uniformly. Combine with raw honey to form a paste. Place the paste inside a new bamboo tube, seal tightly with oiled paper, and steam over a rice steamer until the rice is cooked. Divide into thirty pills. Each pill should be divided into four doses, dissolved in Bohe Tang (Mint Decoction) and administered. Adjust the dosage according to the child's size.
Formula for Jiangcan San (Silkworm Powder) to treat Tian Diao in children:
Baijiangcan (Bombyx Batryticatus, stir-fried), Mayaxiao (Natrii Sulfas/Mirabilite, ground), Yujin (Curcumae Radix), Gan Xie (Dried Scorpion, cleaned of soil and stir-fried, 0.5 liang each).
The above four ingredients are crushed and ground into a powder. Administer one "Yi Zi Bi" per dose, mixed with milk. For severe cases, administer half a "Qian Bi." No specific time restriction.
Formula for Tiannanxing San (Arisaema Powder) to treat Tian Diao in children:
Tiannanxing (Arisaematis Rhizoma, large piece, one piece): Dig a pit, place a brick, heat the brick red-hot, place the Arisaema on the hot brick, pour half a sheng of wine over it, cover immediately with a bowl, wait until cool, then chop/crush.
The above single ingredient is crushed and sieved into powder. Administer one "Yi Zi Bi" per dose, mixed with warm wine. For children under two years old, mix with milk.
Formula for Beijitu Ding Gao (Emergency Top-Applying Paste) to treat Tian Diao in children:
Wutou (Aconiti Radix, powdered), Yuntaizi (Brassicae Napus Semen, powdered, 2 Yi Zi Bi each).
The above two ingredients are mixed and ground uniformly. Apply one "Qian Bi" per use, mixed with fresh water, to the top of the child's head.
Formula for Qingdai Wan (Indigo Naturalis Pill) to treat Tian Diao, Ke Wu (External Evil Invasion), Five Wasting-and-Thirst syndromes, Eight Dysenteries, and Twelve Convulsive Epilepsies in children:
Qingdai (Indigo Naturalis, ground), Tianzhu Huang (Calamus Rhizoma? No, typically Bambusae Tabulae Concretio/Hua Zhu Huang, here likely referring to a specific preparation or typo for Tian Zhu Huang which is usually Calamus, but in pediatric context often refers to Bamboo Concretion or similar; WHO term for Tianzhu Huang is Calami Rhizoma. However, given the context of "Tian Zhu", it might be a specific local term. Standard translation for Tianzhu Huang is Calamus Rhizoma. Wait, Tianzhu Huang is often associated with Phragmitis Rhizoma or similar in some contexts, but standard is Calamus. Let's stick to standard WHO: Calamus Rhizoma), Gan Xama (Dried Toad, one piece wrapped in yellow clay, burned red, clay removed, ground), Gan Woniu Qiao (Dried Snail Shell, washed, stir-fried, ground), Huanglian (Coptidis Rhizoma, 0.5 liang), Niuhuang (Calculus Bovis, ground, 3 fen). *Note: Text states "Seventeen ingredients," but lists six visible ones.*
The above seventeen ingredients (per text count), grind seven of them into powder, and mix with the ten other ground ingredients. Form pills the size of hemp seeds using steamed rice. One-year-old children take one pill, up to two pills, taken with porridge drink. For children over one year old, adjust the dosage accordingly.