夫小儿中风不随者。因风邪中于肢节。经于筋脉。若风夹寒气者。即拘急挛病。若夹于
热。
治小儿中风。四肢不随。并 不能行步。续命汤方。
麻黄(一两去根节) 石膏(一两) 杏仁(十枚汤浸去皮尖双仁炒令黄) 甘草(炙
微赤锉)
黄
两)
上件药。捣粗罗为散。每服一钱。以水一盏。
煎至五分。去滓。量儿大小。分减频服。汗出
治小儿中风。不能语。口眼 斜。四肢不随。石膏散方。
石膏(一两) 麻黄(一两去根节) 细辛(一分) 甘草(炙微赤锉) 射干 桂心 赤
芍药
当
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。量儿大小。分减服之。
治小儿中风。半身不随。肢节拘急。不能转动。赤箭丸方。
赤箭(半两) 牛黄(半两细研) 麝香(半分细研) 白僵蚕(半两微炒) 白附子
(半两炮
裂)
上件药。捣罗为末。入研了药。同研令匀。炼蜜和丸。如麻子大。每服。以荆芥薄荷汤
下五
治小儿中风。手足不随。诸药不效。宜服蓖麻子散方。
蓖麻子(二十枚去皮别研) 雀儿饭瓮(十枚) 干蝎(三十枚) 石榴(一颗大者)
以上四味。将石榴取却子。及七分。盛药三味在内。用泥裹作球。以慢火炙干。烧令通
赤。
干蝎(一分) 天南星(一分半) 半夏(一分汤洗七遍去滑) 白附子(一分半)
上件药四味。并生用。都捣。细罗为散。入前烧了药。都研令匀。每服。以温酒调下一
字。
治小儿中风。四肢不随。心神迷闷。宜服牛黄丸方。
牛黄(半两以熟绢袋盛于黑豆一升中炒豆熟为度别研入) 犀角屑(半两) 天麻(一
分)
天竹
分去翅足
微炒)
炮裂)
蚱蝉(
枚去翅
足泥裹
上件药。捣罗为末。入研了药令匀。以糯米饭和丸。如黍米大。每服。以温酒下五丸。
量儿
Pediatric stroke with paralysis (limb immobility) is caused by wind pathogen invading the limbs and joints, affecting the meridians and sinews. If the wind pathogen combines with cold qi, it leads to spasms, cramps, and pain; if it combines with heat, other heat-related symptoms manifest.
For treating pediatric stroke with immobility of the four limbs and inability to walk, use Xuming Tang (Cure-all Decoction).
Ephedrae Herba (Mahuang, 麻黄) (1 liang, remove roots and nodes), Gypsum Fibrosum (Shigao, 石膏) (1 liang), Armeniacae Semen Amarum (Xingren, 杏仁) (10 seeds, soak in hot water, remove skin and tips, discard double-kernel ones, stir-fry until slightly yellow), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, honey-fried until slightly red, sliced).
[Note: The original text contains a fragment "Huang" without dosage or full name, likely referring to Astragali Radix (Huangqi) or a typo, but strictly translating visible text.]
The above ingredients are coarsely ground into powder. Take 1 qian per dose, add 1 zhan of water, decoct until 0.5 zhan remains, filter out the dregs. Administer frequently in small divided doses according to the child's age. The goal is to induce sweating.
For treating pediatric stroke with aphasia (inability to speak), facial deviation (mouth and eye skewing), and limb immobility, use Shigao San (Gypsum Powder).
Gypsum Fibrosum (Shigao, 石膏) (1 liang), Ephedrae Herba (Mahuang, 麻黄) (1 liang, remove roots and nodes), Asari Radix (Xixin, 细辛) (1 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, honey-fried until slightly red, sliced), Belamcandae Rhizoma (Shegan, 射干) [dosage missing], Cinnamomi Cortex (Guixin, 桂心) [dosage missing], Paeoniae Radix Rubra (Chishaoyao, 赤芍药) [dosage missing], Angelicae Sinensis Radix (Danggui, 当归) [text incomplete].
The above ingredients are coarsely ground into powder. Take 1 qian per dose, add 1 small zhan of water, decoct until 0.5 zhan remains, filter out the dregs. Administer in divided doses according to the child's age.
For treating pediatric stroke with hemiplegia (half-body immobility), joint spasms, and inability to rotate, use Chijian Wan (Tianma Pill).
Sparganii Rhizoma (Chijian/Tianma, 赤箭/天麻) (0.5 liang), Calculus Bovis (Niuhuang, 牛黄) (0.5 liang, finely ground), Moschus (Shexiang, 麝香) (0.5 fen, finely ground), Bombyx Batryticatus (Baijiangcan, 白僵蚕) (0.5 liang, lightly stir-fried), Typhonii Rhizoma (Baifuzi, 白附子) (0.5 liang, processed until cracked).
The above ingredients are ground into fine powder, mixed with the already finely ground substances, and blended uniformly. Blend with refined honey to form pills the size of hemp seeds. Take 5 pills per dose, administered with a decoction of Schizonepetae Herba (Jingjie) and Menthae Haplocalycis Herba (Bohe).
For treating pediatric stroke with hand and foot immobility when other medicines are ineffective, take Bimazi San (Castor Seed Powder).
Ricini Semen (Bimazi, 蓖麻子) (20 seeds, remove skin and grind separately), Nest Passeris Domesticus (Que'er Faweng, 雀儿饭瓮) (10 pieces), Scorpio (Ganxie, 干蝎) (30 pieces), Punicae Fructus (Shiliu, 石榴) (1 large fruit).
Take the above four ingredients. Remove the seeds from the pomegranate, keep the peel to about 70% capacity, and place the other three ingredients inside. Wrap tightly with mud into a ball shape. Roast slowly over low heat until dry, then burn until thoroughly red-hot.
[Note: The original text appears to mix ingredients or steps ambiguously here. Additional items listed include:]
Scorpio (Ganxie, 干蝎) (1 fen), Arisaematis Rhizoma (Tiannanxing, 天南星) (1.5 fen), Pinelliae Rhizoma (Banxia, 半夏) (1 fen, washed seven times in hot water to remove acridity), Typhonii Rhizoma (Baifuzi, 白附子) (1.5 fen).
These four raw ingredients are crushed together, finely sifted into powder, and mixed with the previously burnt substance. Take 1 zi (a very small measure) per dose, mixed with warm wine.
For treating pediatric stroke with limb immobility and mental confusion/dizziness, take Niuhuang Wan (Calculus Bovis Pill).
Calculus Bovis (Niuhuang, 牛黄) (0.5 liang, wrapped in cooked silk bag, stir-fried with 1 sheng of black beans until beans are cooked, then removed and finely ground separately), Cornu Rinocerotis (Xijiao, 犀角) (0.5 liang, sliced), Gastrodiae Rhizoma (Tianma, 天麻) (1 fen), Calamus Tectorum (Tianzhuhuang, 天竺黄) [text fragment "Tianzhu"], Cicada Periostracum (Zachan, 蚱蝉) [dosage and processing details fragmented].
The above ingredients are ground into powder, mixed with the finely ground substances, and blended uniformly. Blend with glutinous rice paste to form pills the size of millet seeds. Take 5 pills per dose, administered with warm wine. Adjust dosage according to the child's age.