夫小儿未发痫之前。痫欲发之候。或壮热连滞。或摇头弄口。或眼目抽掣。如此是欲发
痫。
治小儿未满百日。聚口吐沫。此欲作痫候。腹内有冷热癖实。宜服牛黄散方。
牛黄（一分细研） 川大黄（三分锉碎微炒） 柴胡（一分半去苗） 细辛（一分） 黄
芩（一
分）
头） 蜣
螂（三
上件药。捣细罗为散。每服一钱。以水一小盏。
煎至五分。去滓。不计时候。量儿大小。加减温服。
治小儿心腹结实。身体壮热。四肢不利。心神多惊。欲发痫者。茯神散方。
茯神（一两半） 川升麻（一两） 玄参（一两半） 秦艽（一两去苗） 寒水石（二
两） 龙胆
（一
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。分温二服。早晨午后各一服。更量儿大小。以意加减。
治小儿壮热发痫。或时时四肢抽掣。多吐白沫。宜服钩藤散方。
钩藤（半两） 人参（一分去芦头） 子芩（一分） 蚱蝉（三枚微炙） 犀角屑（一
分） 甘草
（半
上件药。捣粗罗为散。每服一钱。以水一小盏。
煎至五分。去滓。入竹沥半合。牛黄末一字。看儿大小。分减服之。
治小儿壮热发痫。心神惊悸。多啼。或吐白沫。龙齿散方。
龙齿（一两） 钩藤（三分） 川升麻（三分） 子芩（三分） 防风（三分去芦头） 犀
角屑
（三分）
上件药。捣粗罗为散。每服一钱。以水一小盏。入竹叶七片。
煎至五分。去滓。分作二服。日四服。量儿大小。以意加减。
治小儿壮热欲发痫。宜服退热清凉散方。
白药（一分） 甘草（一分炙微赤锉） 郁金（一分） 黄芩（一分） 天竹黄（一分
细研） 朱
砂（
上件药。捣细罗为散。都研令匀。不计时候。以温水调下半钱。量儿大小加减。
治小儿头额体背俱热。大便秘涩。眼赤心闷。乍睡乍惊。精神昏浊。与人不相主。
当欲作痫
蓝叶（半两） 人参（半两去芦头） 知母（半两） 钩藤（三分） 玄参（三分） 川
升麻（三
分）
上件药。捣细罗为散。三（五）岁儿。以竹沥半合。调半钱服。日三服。量儿大小。以
意
加减
皆
治小儿惊热入心。拟成痫疾。面色不定。啼泪不出。发热作时。不吃乳食。大便秘
涩。眼翻
牛黄（一分细研） 川大黄（一分锉碎微炒） 独活（一分） 川升麻（半两） 琥珀
（半两）
豆蔻
上件药。捣罗为末。炼蜜和丸。如梧桐子大。不计时候。以熟水研一丸服之。至五七岁。
加金银箔各五片。药两丸。研化下服之。
治小儿欲发痫。极热不已。生葛汁饮子方。
生葛根汁（一合） 竹沥（一合） 牛黄（如杏仁大细研）
上件药相和。每服半合。量儿大小。加减服之。
治小儿欲发痫。壮热如火。洗浴石膏汤方。
石膏（五两） 菖蒲（二两） 雷丸（三两）
上件药。捣碎。以水煮取三升。适寒温浴儿。并洗头面佳。
Before the onset of epilepsy in children, there are signs indicating an impending seizure. These may include persistent high fever (Zhuang Re), shaking of the head and mouth movements, or twitching of the eyes and facial muscles. Such manifestations indicate that epilepsy is about to occur.
For infants under one hundred days old who purse their lips and foam at the mouth, these are signs of impending epilepsy. This condition arises from cold-heat accumulation and solid masses (Pi Shi) within the abdomen. It is appropriate to administer Niu Huang San (Calculus Bovis Powder).
Niu Huang (Calculus Bovis, 1 fen, finely ground) Chuan Da Huang (Radix et Rhizoma Rhei, 3 fen, crushed and lightly stir-fried) Chai Hu (Radix Bupleuri, 1.5 fen, stems removed) Xi Xin (Herba Asari, 1 fen) Huang Qin (Radix Scutellariae, 1 fen)
The above herbs are pounded into a fine powder through a silk sieve. Each dose is 1 qian, decocted with one small cup of water until reduced to half a cup. Strain the dregs. Administer warm medicine at any time, adjusting the dosage according to the child's age.
For children with solid accumulation in the heart and abdomen, high fever, limited mobility of the four limbs, frequent fright of the mind spirit, and impending epilepsy, it is appropriate to administer Fu Shen San (Poria Cum Radix Powder).
Fu Shen (Poria with Pine Root, 1.5 liang) Chuan Sheng Ma (Radix Cimicifugae, 1 liang) Xuan Shen (Radix Scrophulariae, 1.5 liang) Qin Jiao (Radix Gentiana Macrophyllae, 1 liang, stems removed) Han Shui Shi (Gypsum Fibrosum, 2 liang) Long Dan (Radix Gentianae, 1 liang)
The above herbs are coarsely pounded and sieved. Each dose is 1 qian, decocted with one small cup of water until reduced to half a cup. Strain the dregs. Divide into two warm doses, taken once in the morning and once in the afternoon. Adjust the dosage based on the child's age.
For children with high fever inducing epilepsy, frequent twitching of the four limbs, and excessive foaming at the mouth, it is appropriate to administer Gou Teng San (Uncaria Decoction Powder).
Gou Teng (Ramulus Uncariae cum Uncis, 0.5 liang) Ren Shen (Radix Ginseng, 1 fen, rhizome removed) Zi Qin (Radix Scutellariae, 1 fen) Zha Chan (Cicada Molt, 3 pieces, lightly roasted) Xi Jiao (Cornu Rhinocerotis, 1 fen) Gan Cao (Radix Glycyrrhizae, 0.5 liang)
The above herbs are coarsely pounded and sieved. Each dose is 1 qian, decocted with one small cup of water until reduced to half a cup. Strain the dregs. Add Zhu Li (Bamboo Sap, 0.5 he) and Niu Huang Mo (Calculus Bovis Powder, 1 zi). Observe the child's age and divide the dose accordingly for administration.
For children with high fever inducing epilepsy, palpitations and fright of the mind spirit, excessive crying, or foaming at the mouth, it is appropriate to administer Long Chi San (Dragon Tooth Powder).
Long Chi (Dens Draconis, 1 liang) Gou Teng (Ramulus Uncariae cum Uncis, 3 fen) Chuan Sheng Ma (Radix Cimicifugae, 3 fen) Zi Qin (Radix Scutellariae, 3 fen) Fang Feng (Radix Saposhnikoviae, 3 fen, rhizome removed) Xi Jiao (Cornu Rhinocerotis, 3 fen)
The above herbs are coarsely pounded and sieved. Each dose is 1 qian, decocted with one small cup of water plus seven leaves of Zhu Ye (Bambusae Folium) until reduced to half a cup. Strain the dregs. Divide into two doses, administered four times daily. Adjust the dosage based on the child's age.
For children with high fever and impending epilepsy, it is appropriate to administer Tui Re Qing Liang San (Cooling Heat and Clearing Fire Powder).
Bai Yao (Unknown Herb, 1 fen) Gan Cao (Radix Glycyrrhizae, 1 fen, honey-roasted until slightly red and crushed) Yu Jin (Rhizoma Curcumae, 1 fen) Huang Qin (Radix Scutellariae, 1 fen) Tian Zhu Huang (Nodus Bambusae in Calamo, 1 fen, finely ground) Zhu Sha (Cinnabaris, 1 fen, finely ground)
The above herbs are pounded into a fine powder through a silk sieve and mixed thoroughly. Administer half a qian mixed with warm water at any time. Adjust the dosage based on the child's age.
For children with heat in the forehead and back, constipation, red eyes, chest oppression, restless sleep with sudden awakenings, dull spirit, and inability to respond normally to others, this indicates impending epilepsy.
Lan Ye (Indigo Folium, 0.5 liang) Ren Shen (Radix Ginseng, 0.5 liang, rhizome removed) Zhi Mu (Rhizoma Anemarrhenae, 0.5 liang) Gou Teng (Ramulus Uncariae cum Uncis, 3 fen) Xuan Shen (Radix Scrophulariae, 3 fen) Chuan Sheng Ma (Radix Cimicifugae, 3 fen)
The above herbs are pounded into a fine powder through a silk sieve. For a five-year-old child, mix half a qian with Zhu Li (Bamboo Sap, 0.5 he) and administer. Take three times daily. Adjust the dosage based on the child's age.
These formulas treat childhood convulsive heat entering the Heart, resembling epilepsy. Symptoms include unstable complexion, crying without tears, refusal to feed during fever episodes, constipation, and upward deviation of the eyes.
Niu Huang (Calculus Bovis, 1 fen, finely ground) Chuan Da Huang (Radix et Rhizoma Rhei, 1 fen, crushed and lightly stir-fried) Du Huo (Radix Angelicae Pubescentis, 1 fen) Chuan Sheng Ma (Radix Cimicifugae, 0.5 liang) Hu Po (Succinum, 0.5 liang) Dou Kou (Fructus Cardamomi Rotundus, 0.5 liang)
The above herbs are pounded into powder, mixed with refined honey, and formed into pills the size of Sophora seeds. Administer one pill dissolved in warm water at any time. For children aged five to seven, add five pieces each of Jin Bo (Folium Aurum) and Yin Bo (Folium Argenti), increasing the dose to two pills, dissolved and administered.
For children with impending epilepsy and unceasing extreme heat, it is appropriate to drink Sheng Ge Zhi Yin Zi (Fresh Kudzu Juice Drink).
Sheng Ge Gen Zhi (Jucii Radicis Sucus, 1 he) Zhu Li (Bamboo Sap, 1 he) Niu Huang (Calculus Bovis, size of an almond, finely ground)
Mix the above ingredients. Each dose is 0.5 he. Adjust the dosage based on the child's age.
For children with impending epilepsy and high fever like fire, it is appropriate to bathe with Shi Gao Tang (Gypsum Decoction).
Shi Gao (Gypsum Fibrosum, 5 liang) Chang Pu (Rhizoma Acori Tatarinowii, 2 liang) Lei Wan (Meli Semen, 3 liang)
Crush the above herbs, decoct in water to obtain three sheng. When the temperature is suitable, bathe the child, preferably washing the head and face as well.