发痫者，小儿之恶病也，幼小血脉不敛，骨气不聚，为风邪所伤、惊怪所触，乳哺失节，停滞经络而得之。其候神
气怫郁，瞪眼直视，面目牵引，口噤涎流，腹肚膨紧，手足搐掣，似生似死，或声或默，或项背反张，或腰脊强直，但
四肢柔软，发而时醒者为痫，若一身强硬，终日不醒，则为痉 矣，痫曰五痫，病关五脏∶面赤目瞪，吐舌啮齿，心下
烦躁，气短息数者，曰心痫。面唇俱青，其眼上窜，手足拳挛，抽掣反折者，曰肝痫。面黑而晦，振目视人，口吐清沫，
不动如尸者，曰肾痫。面如枯骨，目白反视，惊跳摇头，口吐涎沫者，曰肺痫。面色痿黄，眼睛直视，腹满自利，四肢
不收者，曰脾痫。此五脏之证然也。调理之法，惟以惊、风、食三种，阴阳二证，别而治之。风痫者，汗出解脱，风邪
乘虚，其初屈指如数，有热生痰是也。惊痫者，震骇恐怖，打坠积惊，其初惊叫大啼，恍惚失魂是也。食痫者，食时得
惊，停宿结滞，其初吐乳不哺，大便酸臭，或结成乳癖，先寒后热是也。别之以阴阳∶始者身体有热，抽掣啼叫，是为
阳痫，阳病脉浮，面色光泽，病在六腑、肌肤，此犹易愈。始者身体无热，手足清冷，不抽掣啼叫，是为阴痫，阴病脉
沉，面色黯晦，病在五脏骨髓，此最难痊。或以仰卧属阳，复卧属阴，亦可参验。盖阳证不可用温，阴证不可用寒，风
痫先为之散风，惊痫则先为之利惊，食痫则先为之消积，续以定痫等剂主之。大概血滞心窍，邪风在心，积惊成痫，通
行心经，调平心血，顺气豁痰，又其要也。继令小儿有热有痰，不欲乳哺，眠睡不安，时常惊悸，此皆发痫之渐，即以
紫霜丸导之，时间量与紫霜丸，减其盛气，则无惊风痫 之患。其证方萌，耳后高骨间，必有青纹纷纷如线，见之急为
抓破，须令血出啼叫，尤得气通。浣濯儿衣，不可夜露，恐为无辜鸟羽粪所落污染，未有不为痫也。挟邪怪者，其色变
易不常，见人怕羞。诸痫喑不能言者，盖咽喉为气之道路，风伤其气，以掩其道路之间，抑亦血滞于心，心窍不通所致
耳。南星调雄猪肝汁少许，名星苏散，啖之辄效。若钱氏五痫丸，并南星散，以菖蒲煎汤调下；甘遂猪心汤，以和苏合
香丸，皆治痫之要药也，故表而出之。许叔微治小儿颠痫欲发，眼暗螈 ，声恶嚼舌，雌黄丸主之。治风痫宜服薄荷散，
有热宜服细辛大黄汤，又有杨氏蛇黄丸，养生必用蛇黄丸、断痫丹、散风丹、保安丸、独活汤、牛黄丸、比金膏、虎睛
丸、七宝镇心丸、清神汤。密陀僧饮。食痫通用妙至丹、天麻丸、断痫丸、当归大黄汤、蝎虎散、代赭石散、日应丹、
地龙散、全蝎五痫丸、星珠散，可选而用之，轻者化风丹亦可服。
紫霜丸 见第三问。
星苏散（与第十六问天南星散通用） 治诸风，口噤不语。
天南星（略炮，锉散，每服一钱）
上姜四片，紫苏五叶，煎取其半，却入雄猪胆少许，温和服。凡不语者，大小便须要疏导。治慢风不语，只用南星，
以人参、石菖蒲为佐。
五痫丸 治食痫。
朱砂（半两） 水银（二钱半） 雄黄（一两） 真珠（一两研） 铅（二两、熔开、次入水银结砂）
上为末，炼蜜为丸，麻子大，每服二丸，金银煎汤送下。
雌黄丸 治颠痫搐掣，恶声嚼舌。
雌黄 黄丹（微炒、各半两） 麝（半钱）
上为末、拌和，用牛乳汁三合，熬成膏，入药末杵三百下，丸如麻子大，每服二丸，温热汤下。
薄荷散 见第三十六问。
细辛大黄汤 治风痫内热。
天麻 防风（各半两） 细辛 大黄（焙） 川芎（各二钱半） 甘草（炙、一钱半）
上锉散，每服一钱，入犀角少许煎服。
杨氏蛇黄丸 治诸痫。
蛇黄（一个、 、醋淬七次、研细） 郁金 雄黄 朱砂 青礞石（各七钱） 铁粉（研细）
上为末，粳米饭丸桐子大，每服一丸，人参煎汤调下。
钱氏蛇黄丸 治惊痫。
蛇黄（三个、火 、醋淬） 郁金（七分半） 麝（另研一字）
上为末，粳米饭丸如桐子大，每服三、二丸，煎金银磨刀水化下。
养生必用蛇黄丸
蛇黄（一枚、火 、醋淬） 青礞石 辰砂 雄黄（各二钱） 铁铧粉（四钱、研极细）
上末，化蒸饼为丸，用金银剪刀股汤，五岁以上吞下，幼小化下，如麻子大丸。
断痫丹 治痫，瘥后复作，证候多端，连绵不除。
黄 （蜜水涂炙） 钩藤钩 细辛（去根土、叶） 甘草（炙、各半两） 蝉蜕（四个、洗去土） 蛇蜕皮（三寸、
酒涂炙） 牛黄（一字、别研）
上末，煮枣肉为丸，如麻子大，煎人参汤下，一岁十丸，大小加减。
散风散 治风痫，先用此。
牛胆南星（二钱） 羌活 独活 防风 天麻 人参（去芦） 荆芥 川芎 细辛（各一钱）
上为末，炼蜜为丸，桐子大，每服二丸，薄荷紫苏汤调下。
保安丸 治诸风痫，久远亦验。
川乌（生、去皮尖、二钱半） 五灵脂（半两）
上为末，猪心血丸，如桐子大，每服一丸，姜汁泡汤调下。
独活汤 治风痫，解表通里。
独活 麻黄（去节） 川芎（各一钱） 大黄（焙） 甘草（炒、各一钱）
上锉散，每服二钱，姜二片煎服。
牛黄丸 治风痫迷闷，搐掣涎潮。
牛胆南星 全蝎（焙） 蝉蜕（各二钱半） 防风 白附子（生） 天麻 直僵蚕（炒、各一钱半） 麝（半钱）
上为末，以煮枣去皮核，取肉和水银半钱，研极细，入药末，丸如绿豆大，每服二丸，荆芥生姜汤下。
比金丸 治惊痫，先用此。
人参 琥珀 白茯苓 远志（姜制、焙、去心） 朱砂 天麻 石菖蒲（细节者） 川芎 南星 青黛（各一钱）
麝（一字）
上为末，炼蜜丸桐子大，每服一丸，薄荷汤调下。
虎睛丸 治惊痫，邪气入心。
虎睛（细研） 远志（姜制浸） 犀角 石菖蒲 大黄 麦门冬（各二钱半） 蜣 （去足翅炒三枚）
上为末，粟米糊丸，桐子大，每服一丸，竹叶煎汤调下，或金银煎汤下。
七宝镇心丸 治惊痫心热。
远志肉（姜制、焙） 雄黄 铁粉 琥珀 朱砂（各一钱） 金银箔（二十片） 麝香（少许）
上为末，枣肉丸、桐子大，每服一丸，去心麦门冬煎汤送下。
清神汤 治惊痫。
犀角 远志（姜制煮、去心） 白藓皮 石菖蒲 人参 甘草（炙各一钱）
上为末，每服一钱，去心麦门冬煎
汤调下。
密陀僧饮 治惊痫入心不语神效，诸惊失音，大人通用。
上密陀僧为细末，每服一字，米醋汤调下。大人用一钱，热酒调下。
妙圣丹 治食痫通用。
代赭石（ 、醋淬、二钱五分） 雄黄 蝎梢 朱砂（各一钱） 轻粉 麝香（各一字） 巴豆（三个、去心膜出
油） 杏仁（去皮尖、微炒、二钱）
上为末，蒸枣肉丸，桐子大，每服一丸，木通煎汤调下。
天麻丸 见第三问。
断痫丸 治诸痫痰盛。
皂角（盈尺者、三挺去皮、槌碎、用水一升、浸取汁滤过、银器内熬成膏） 白矾（ 枯研细一两半） 南星（湿
纸炮熟、一两） 朱砂 直僵蚕（炒） 雄黄（另研） 白附子（各半两） 乌蛇（酒浸、取肉焙、二钱半） 麝（一
钱） 赤蜈蚣（二条去头足酒浸炙）
上为末，同水煮半夏糊、和皂角膏，为丸桐子大，每服一丸，姜汤调下。
当归大黄汤 治诸痫，壮热利下，心中恶血。
大黄（湿纸裹、略煨） 甘草（炙） 当归 赤芍药（各三钱） 半夏（制） 川芎（各一钱半）
上为末，每服一钱，姜枣煎服。
蝎虎散 治惊痫屡效。
褐色生蝎虎（一个、连血细研）
上入朱砂末，并麝少许同研，薄荷汤调下，作一服，数年颠痫亦效。盖痫疾皆心血虚滞，生蝎可以官守其血，继是
以二陈汤与之，若无生蝎，当取带性雄猪心血代用，入于代赭石散中亦作效。
代赭石散 治阴阳痫通用。
代赭石（ 、醋淬研为末、水飞过、日干）
上为末，每服半钱，以金银煎汤，和金银箔调下，连进二服，良久小儿脚胫上自有赤斑，即邪气发出，其病随瘥，
若无赤斑，则难治也。
日应丹 治颠痫连年不瘥。
黑锡 硫黄 水银 铁粉（研、各半两） 金银箔（三十片）
上水银、铁粉、金银箔夹和一处，先将黑锡于铫内熔开，次入硫黄，不住手就铫内研搅，候硫黄烟气欲息，次入余
药，就火上同搅，少顷时倾出地上一宿，出火毒，再研细，粳米饭丸、麻子大，朱砂衣，每服三丸，食后人参汤下。
地龙散 治诸痫，发歇无时。
干地龙（半两，焙） 虎睛（一对炙） 人参 天竺黄 代赭石（ 、醋淬） 朱砂 铁粉（各二钱半） 轻粉（五
分） 雄黄（一钱半） 金银箔（三十片）
上为末，每服五分，紫苏汤调服。
全蝎五痫丸 治小儿五痫。
赤蜈蚣（一条、去头足、酒浸、炙） 南星（炮熟、二钱半） 麝香（一字） 全蝎 防风 朱砂（细研） 远志
（姜制、焙、去心） 白附子（生） 芦荟 延胡索（各一钱） 金银箔（各三十片）
上为末，入麝糕糊丸桐子大，每服一丸，菖蒲紫苏煎，汤调下。
星朱散 定痫利痰。
南星（湿纸裹、炮香熟、一两） 朱砂（一钱）
上为末，带性猪心血为丸、桐子大，每服一丸，防风调下。
化风丹 凉风化痰，退热定搐。
牛胆南星 羌活 独活 防风 天麻 人参 川芎 荆芥 粉草 全蝎（各等分）
上为末，炼蜜丸芡实大，薄荷汤下。一方加辰砂、麝香。
镇惊丸 治一切惊痫。
紫石英（烧、醋淬） 铁粉 远志（姜制、焙、去心） 轻粉（各七分半） 茯神 人参 琥珀 滑石 南星（炮）
龙齿 蛇黄（醋淬） 熊胆（各二钱半）
上为末，炼蜜丸如桐子大、朱砂为衣，每一丸金银汤调下。或用猪乳调抹入口中。
开牙散
细辛 南星 朴硝（各一钱） 麝香（五分） 蝎梢（七个）
上末以少许，用乌梅肉揉和擦牙，兼用细辛、皂角、荆芥末，吹入鼻中。治诸风搐搦，惊痫用此，开关窍，与前十
四问开关散通用。
Epileptic seizures are a severe condition in infants and children. Due to their young age, the blood vessels are not yet consolidated, and the bone qi is not fully gathered. The disease arises from invasion by wind pathogens, contact with startling stimuli, irregular breastfeeding, and the stagnation of qi mechanism in the meridians. Clinical manifestations include depression of spirit and qi, staring eyes, facial muscle traction and spasms, locked jaw, drooling, abdominal distension and tightness, twitching and convulsions of the limbs, appearing as if between life and death, sometimes vocalizing and sometimes silent, with some experiencing opisthotonos (backward arching of the neck and back) or rigidity of the waist and spine. However, the limbs remain soft, and the patient regains consciousness intermittently after an episode; this is termed "Xian" (epilepsy). If the whole body is rigid and the patient remains unconscious for the entire day, it is termed "Jing" (tetanus/stiffness syndrome).
Epilepsy is classified into five types corresponding to the five Zang organs:
1. Heart Epilepsy: Red face, staring eyes, protruding tongue, biting teeth, irritability in the heart region, shortness of breath, and rapid respiration.
2. Liver Epilepsy: Blue-green complexion of the face and lips, upward rolling of the eyes, clenched fists and contracture of the limbs, convulsive twisting and backward bending.
3. Kidney Epilepsy: Dark and dull complexion, trembling gaze directed at others, spitting clear foam, motionless like a corpse.
4. Lung Epilepsy: Withered complexion resembling dead bone, whites of the eyes looking upward, jumping and shaking head, spitting saliva.
5. Spleen Epilepsy: Sallow complexion, staring eyes, abdominal fullness with spontaneous diarrhea, inability to control the limbs.
These are the typical presentations of the five Zang epilepsies. The method of regulation and treatment primarily involves distinguishing and treating based on three causes—Startling, Wind, and Food—and two syndromes—Yin and Yang.
Wind Epilepsy: Caused by wind pathogens taking advantage of deficiency after sweating and opening of the pores. Initially, fingers may curl as if counting, accompanied by fever and phlegm generation.
Startling Epilepsy: Caused by shock, terror, or accumulation of startling qi from falls/trauma. Initially characterized by startled crying, mental confusion, and loss of spirit.
Food Epilepsy: Caused by fright during feeding leading to food stagnation. Initially characterized by vomiting milk, inability to feed, sour-smelling stool, formation of milk lumps, and initial chills followed by fever.
Differentiation of Yin and Yang Syndromes:
Yang Epilepsy: Initial fever, convulsions, and crying. Pulse is floating, complexion is lustrous, pathology is in the Six Fu organs and skin/muscle. This is relatively easy to cure.
Yin Epilepsy: Initial absence of fever, cold hands and feet, no convulsions or crying. Pulse is deep, complexion is dark and dull, pathology is in the Five Zang organs and bone marrow. This is the most difficult to cure.
Alternatively, supine position belongs to Yang, while prone or curled position belongs to Yin, which can also be used for reference. Generally, Yang syndromes should not use warming treatments, and Yin syndromes should not use cold treatments. For Wind Epilepsy, disperse wind first; for Startling Epilepsy, calm the mind/startle first; for Food Epilepsy, resolve food stagnation first, then administer antiepileptic formulas. Essentially, blood stasis in the heart orifice, wind evil in the heart, and accumulated startle forming epilepsy require treatment focused on unblocking the Heart Meridian, regulating Heart blood, directing Qi, and resolving phlegm.
If subsequent symptoms include heat and phlegm, refusal to feed, restless sleep, and frequent palpitations/startles, these are precursors to epilepsy. Immediately administer Zishuang Wan (White Frost Pill) to guide out the pathogen. Timely and appropriate dosage of Zishuang Wan reduces excessive pathogenic qi, preventing complications of wind-phlegm epilepsy. When symptoms are just emerging, blue veins often appear like threads behind the ear near the high bone. Upon seeing this, scratch it open immediately to induce bleeding and crying, which facilitates Qi circulation. Do not dry infants' clothes overnight outdoors, fearing contamination by feathers or feces from the "Wugu" bird (a toxic bird), which can cause epilepsy. Those complicated by strange pathogens exhibit variable complexions and shyness around people. Various epilepsies causing aphonia occur because the throat is the pathway for Qi; wind damages Qi, blocking this pathway, or blood stasis blocks the Heart orifice.
Use Xingsu San (Star-Su Powder): Mix Tian Nan Xing (Arisaema Rhizome) with a little juice from a wild boar liver. Effective upon ingestion.
Other important formulas mentioned include Qian Shi Wu Xian Wan (Qian's Five-Epilepsy Pills), Nan Xing San (Arisaema Powder) taken with Shi Chang Pu (Rhizoma Acori Tatarinowii) decoction, Gan Sui Zhu Xin Tang (Kansui Pig Heart Decoction), and Su He Xiang Wan (Styrax Pill).
Xu Shuwei treated impending pediatric epilepsy with dim vision, twitching, bad sounds, and tongue-biting using Ci Huang Wan (Realgar Pill).
For Wind Epilepsy, use Bo He San (Mint Powder); for heat, use Xi Xin Da Huang Tang (Asarum and Rhubarb Decoction). Other formulas listed include Yang Shi She Huang Wan, Yang Sheng Bi Yong She Huang Wan, Duan Xian Dan, San Feng Dan, Bao An Wan, Du Huo Tang, Niu Huang Wan, Bi Jin Gao, Hu Jing Wan, Qi Bao Zhen Xin Wan, Qing Shen Tang, and Mi Tuo Seng Yin.
For Food Epilepsy, general formulas include Miao Zhi Dan, Tian Ma Wan, Duan Xian Wan, Dang Gui Da Huang Tang, Xie Hu San, Dai Zhe Shi San, Ri Ying Dan, Di Long San, Quan Xie Wu Xian Wan, and Xing Zhu San. Mild cases may use Hua Feng Dan.
Zishuang Wan: See Question 3.
Xingsu San (Interchangeable with Tian Nan Xing San in Question 16): Treats various winds causing locked jaw and aphonia.
Tian Nan Xing (Arisaema Rhizoma, slightly processed, crushed to powder, dose: 1 qian)
Ginger (4 slices), Zi Su Ye (Perilla Leaf, 5 leaves). Decoct until half volume remains, add a little wild boar gallbladder bile, and take warm. For aphonia, ensure bowel and bladder patency. For slow-wind aphonia, use only Nan Xing with Ren Shen (Ginseng) and Shi Chang Pu (Rhizoma Acori Tatarinowii) as adjuvants.
Wu Xian Wan: Treats Food Epilepsy.
Zhu Sha (Cinnabaris, 0.5 liang), Shui Yin (Hydrargyrum, 2.5 qian), Xiong Huang (Realgar, 1 liang), Zhen Zhu (Margarita, 1 liang, ground), Qian (Plumbum, 2 liang, melted and mixed with Hydrargyrum to form cinnabar-like structure).
Grind to powder, make pills with refined honey, size of hemp seeds. Dose: 2 pills, taken with Gold and Silver decoction.
Ci Huang Wan: Treats epilepsy with convulsions, bad sounds, and tongue-biting.
Ci Huang (Orpiment), Huang Dan (Lithargyrum, lightly fried, 0.5 liang each), She Xiang (Moschus, 0.5 qian).
Grind and mix, boil in cow's milk (3 he) to form a paste, add powder, pound 300 times, make pills size of hemp seeds. Dose: 2 pills, taken with warm water.
Bo He San: See Question 36.
Xi Xin Da Huang Tang: Treats internal heat in Wind Epilepsy.
Tian Ma (Gastrodiae Rhizoma), Fang Feng (Saposhnikoviae Radix, 0.5 liang each), Xi Xin (Asari Radix), Da Huang (Rhei Radix et Rhizoma, baked), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 2.5 qian each), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1.5 qian).
Crush to powder, dose: 1 qian, add a little Xi Jiao (Rhinocerotis Cornu) and decoct.
Yang Shi She Huang Wan: Treats various epilepsies.
She Huang (Chrysocolla, 1 piece, calcined, quenched in vinegar 7 times, ground fine), Yu Jin (Curcumae Radix), Xiong Huang (Realgar), Zhu Sha (Cinnabaris), Qing Meng Shi (Flava Calcitae, 7 qian each), Tie Fen (Ferrum, ground fine).
Make pills with rice porridge, size of wutong seeds. Dose: 1 pill, taken with Ren Shen decoction.
Qian Shi She Huang Wan: Treats Startling Epilepsy.
She Huang (Chrysocolla, 3 pieces, calcined, quenched in vinegar), Yu Jin (Curcumae Radix, 0.75 qian), She Xiang (Moschus, 1 zi, separately ground).
Make pills with rice porridge, size of wutong seeds. Dose: 2-3 pills, dissolved in water used for grinding gold/silver knives.
Yang Sheng Bi Yong She Huang Wan
She Huang (Chrysocolla, 1 piece, calcined, quenched in vinegar), Qing Meng Shi (Flava Calcitae), Chen Sha (Cinnabaris), Xiong Huang (Realgar, 2 qian each), Tie Hua Fen (Ferrum, 4 qian, finely ground).
Make pills with steamed dough, dissolve in gold/silver scissors decoction. Swallow for >5 years old, dissolve for younger children. Size: hemp seed.
Duan Xian Dan: Treats relapsing epilepsy with diverse and persistent symptoms.
Huang Qi (Astragali Radix, honey-roasted), Gou Teng Gou (Uncariae Ramulus cum Uncis), Xi Xin (Asari Radix, roots/dirt/leaves removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 liang each), Chan Tui (Cicadae Periostracum, 4 pieces, washed), She Tui Pi (Bombyx Batryticatus, 3 cun, wine-roasted), Niu Huang (Bovis Calculus, 1 zi, separately ground).
Make pills with boiled jujube flesh, size of hemp seeds. Dose: 10 pills for 1-year-old, adjust by age, taken with Ren Shen decoction.
San Feng San: Treats Wind Epilepsy, use first.
Niu Dan Nan Xing (Arisaema cum Bile, 2 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), Ren Shen (Ginseng, rhizome removed), Jing Jie (Schizonepetae Spica), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix, 1 qian each).
Make pills with refined honey, size of wutong seeds. Dose: 2 pills, taken with Bo He Zi Su Tang (Mint and Perilla Decoction).
Bao An Wan: Treats various wind epilepsies, effective even for long-standing cases.
Chuan Wu (Aconiti Radix, raw, peeled, 2.5 qian), Wu Ling Zhi (Trogopterori Faeces, 0.5 liang).
Make pills with pig heart blood, size of wutong seeds. Dose: 1 pill, taken with ginger juice decoction.
Du Huo Tang: Treats Wind Epilepsy, releases exterior and unblocks interior.
Du Huo (Angelicae Pubescentis Radix), Ma Huang (Ephedrae Herba, nodes removed), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian each), Da Huang (Rhei Radix et Rhizoma, baked), Gan Cao (Glycyrrhizae Radix et Rhizoma, fried, 1 qian each).
Crush to powder, dose: 2 qian, decoct with 2 slices of ginger.
Niu Huang Wan: Treats Wind Epilepsy with coma, convulsions, and salivation.
Niu Dan Nan Xing (Arisaema cum Bile), Quan Xie (Scorpio, baked), Chan Tui (Cicadae Periostracum, 2.5 qian each), Fang Feng (Saposhnikoviae Radix), Bai Fu Zi (Typhonii Rhizoma, raw), Tian Ma (Gastrodiae Rhizoma), Zhi Jiang Can (Bombyx Batryticatus, fried, 1.5 qian each), She Xiang (Moschus, 0.5 qian).
Mix date pulp with 0.5 qian Hydrargyrum, grind extremely fine, add powder, make pills size of mung beans. Dose: 2 pills, taken with Jing Jie Sheng Jiang Tang (Schizonepeta and Ginger Decoction).
Bi Jin Wan: Treats Startling Epilepsy, use first.
Ren Shen (Panacis Ginseng Radix), Hu Po (Electrum), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix, ginger-processed, roasted, core removed), Zhu Sha (Cinnabaris), Tian Ma (Gastrodiae Rhizoma), Shi Chang Pu (Rhizoma Acori Tatarinowii, select fine ones), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Nan Xing (Arisaema Rhizoma), Qing Dai (Indigo Naturalis, 1 qian each), She Xiang (Moschus, 1 zi).
Make pills with refined honey, size of wutong seeds. Dose: 1 pill, taken with Bo He Tang (Mint Decoction).
Hu Jing Wan: Treats Startling Epilepsy with evil entering the Heart.
Hu Jing (Tigris Eye, finely ground), Yuan Zhi (Polygalae Radix, ginger-processed and soaked), Xi Jiao (Rhinocerotis Cornu), Shi Chang Pu (Rhizoma Acori Tatarinowii), Da Huang (Rhei Radix et Rhizoma), Mai Men Dong (Ophiopogonis Radix, 2.5 qian each), Qiang Lang (Silphae Scarabeus, remove legs/wings, fry, 3 pieces).
Make pills with millet paste, size of wutong seeds. Dose: 1 pill, taken with Zhu Ye (Bamboo Leaf) decoction or gold/silver decoction.
Qi Bao Zhen Xin Wan: Treats Startling Epilepsy with Heart heat.
Yuan Zhi Rou (Polygalae Radix meat, ginger-processed, roasted), Xiong Huang (Realgar), Tie Fen (Ferrum), Hu Po (Electrum), Zhu Sha (Cinnabaris, 1 qian each), Jin Yin Bo (Gold and Silver Foil, 20 pieces), She Xiang (Moschus, a little).
Make pills with jujube flesh, size of wutong seeds. Dose: 1 pill, taken with Qu Xin Mai Men Dong Tang (Decoction of Ophiopogon without core).
Qing Shen Tang: Treats Startling Epilepsy.
Xi Jiao (Rhinocerotis Cornu), Yuan Zhi (Polygalae Radix, ginger-boiled, core removed), Bai Xian Pi (Dictamni Cortex), Shi Chang Pu (Rhizoma Acori Tatarinowii), Ren Shen (Ginseng), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian each).
Grind to powder, dose: 1 qian, taken with Qu Xin Mai Men Dong Tang (Decoction of Ophiopogon without core).
Mi Tuo Seng Yin: Highly effective for Startling Epilepsy entering Heart causing aphonia, and all startle-induced aphonia, applicable to adults.
Grind Mi Tuo Seng (Litharge) to fine powder. Dose: 1 zi, taken with rice vinegar water. Adults: 1 qian, taken with hot wine.
Miao Sheng Dan: General treatment for Food Epilepsy.
Dai Zhe Shi (Haematitum, calcined, vinegar-quenched, 2.5 qian), Xiong Huang (Realgar), Xie Shao (Scorpio tail end), Zhu Sha (Cinnabaris, 1 qian each), Qing Fen (Calomelas), She Xiang (Moschus, 1 zi each), Ba Dou (Crotonis Fructus, 3 pieces, remove heart/membrane/oil), Xing Ren (Armeniacae Semen Amarum, peel/remove tip, lightly fried, 2 qian).
Make pills with steamed jujube flesh, size of wutong seeds. Dose: 1 pill, taken with Mu Tong (Akebiae Caulis) decoction.
Tian Ma Wan: See Question 3.
Duan Xian Wan: Treats various epilepsies with abundant phlegm.
Zao Jiao (Gleditsiae Sinensis Fructus, 1 chi long, 3 pods, peel, crush, soak in 1 sheng water, extract juice, filter, boil in silver vessel to paste), Bai Fan (Alumen, calcined and ground fine, 1.5 liang), Nan Xing (Arisaema Rhizoma, wet-paper processed, 1 liang), Zhu Sha (Cinnabaris), Zhi Jiang Can (Bombyx Batryticatus, fried), Xiong Huang (Realgar, separately ground), Bai Fu Zi (Typhonii Rhizoma, 0.5 liang each), Wu She (Deinagkistrodon Acutus, wine-soaked, meat dried, 2.5 qian), She Xiang (Moschus, 1 qian), Chi Wu Gong (Scolopendra, 2 strips, remove head/feet, wine-soak and roast).
Grind to powder, cook Ban Xia (Pinelliae Rhizoma) paste, mix with Zao Jiao paste, make pills size of wutong seeds. Dose: 1 pill, taken with ginger decoction.
Dang Gui Da Huang Tang: Treats various epilepsies with high fever, diarrhea, and evil blood in the heart.
Da Huang (Rhei Radix et Rhizoma, wrapped in wet paper, slightly baked), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Dang Gui (Angelicae Sinensis Radix), Chi Shao Yao (Paeoniae Radix Rubra, 3 qian each), Ban Xia (Pinelliae Rhizoma, processed), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1.5 qian each).
Grind to powder, dose: 1 qian, decoct with ginger and jujube.
Xie Hu San: Highly effective for Startling Epilepsy.
He Se Sheng Xie Hu (Brown Live Scorpion Gecko, 1 piece, grind fine with blood).
Add Zhu Sha (Cinnabaris) powder and a little She Xiang (Moschus), grind together. Take with Bo He Tang (Mint Decoction) as one dose. Effective even for years-long epilepsy. Epilepsy is caused by Heart blood deficiency and stasis; live scorpions help regulate blood. Follow with Er Chen Tang (Two-Cured Decoction). If unavailable, use fresh male pig heart blood instead, which can be added to Dai Zhe Shi San.
Dai Zhe Shi San: General treatment for Yin and Yang Epilepsy.
Dai Zhe Shi (Haematitum, calcined, vinegar-quenched, ground, water-flowered, sun-dried).
Grind to powder, dose: 0.5 qian, taken with gold/silver decoction mixed with gold/silver foil. Take two doses consecutively. After a while, red spots will naturally appear on the child's calves, indicating expulsion of pathogenic qi, and the disease will heal. If no red spots appear, it is difficult to treat.
Ri Ying Dan: Treats chronic epilepsy lasting years.
Hei Xi (Nigrum Plumbum), Liu Huang (Sulfur), Shui Yin (Hydrargyrum), Tie Fen (Ferrum, ground, 0.5 liang each), Jin Yin Bo (Gold and Silver Foil, 30 pieces).
Mix Hydrargyrum, Ferrum, and foils. Melt Hei Xi in a crucible, add Liu Huang, stir continuously. When fumes subside, add remaining drugs, stir over fire. Pour onto ground, leave overnight to remove fire toxicity, grind fine. Make pills with rice porridge, size of hemp seeds, coat with Zhu Sha. Dose: 3 pills, taken with Ren Shen decoction after meals.
Di Long San: Treats various epilepsies with irregular onset and cessation.
Gan Di Long (Pheretima, 0.5 liang, baked), Hu Jing (Tigris Eye, 1 pair, roasted), Ren Shen (Ginseng), Tian Zhu Huang (Calamushi Pollen), Dai Zhe Shi (Haematitum, calcined, vinegar-quenched), Zhu Sha (Cinnabaris), Tie Fen (Ferrum, 2.5 qian each), Qing Fen (Calomelas, 0.5 qian), Xiong Huang (Realgar, 1.5 qian), Jin Yin Bo (Gold and Silver Foil, 30 pieces).
Grind to powder, dose: 0.5 qian, taken with Zi Su Tang (Perilla Decoction).
Quan Xie Wu Xian Wan: Treats pediatric five epilepsies.
Chi Wu Gong (Scolopendra, 1 strip, remove head/feet, wine-soak, roast), Nan Xing (Arisaema Rhizoma, processed, 2.5 qian), She Xiang (Moschus, 1 zi), Quan Xie (Scorpio), Fang Feng (Saposhnikoviae Radix), Zhu Sha (Cinnabaris, ground), Yuan Zhi (Polygalae Radix, ginger-processed, roasted, core removed), Bai Fu Zi (Typhonii Rhizoma, raw), Lu Hui (Aloe), Yan Hu Suo (Corydalis Rhizoma, 1 qian each), Jin Yin Bo (Gold and Silver Foil, 30 pieces each).
Grind to powder, add She Xiang, make pills with cake paste, size of wutong seeds. Dose: 1 pill, taken with Shi Chang Pu Zi Su Tang (Rhizoma Acori and Perilla Decoction).
Xing Zhu San: Calms epilepsy and benefits phlegm resolution.
Nan Xing (Arisaema Rhizoma, wet-paper wrapped, processed until fragrant, 1 liang), Zhu Sha (Cinnabaris, 1 qian).
Grind to powder, make pills with fresh pig heart blood, size of wutong seeds. Dose: 1 pill, taken with Fang Feng Tang (Saposhnikoviae Decoction).
Hua Feng Dan: Cools wind, resolves phlegm, reduces heat, stops convulsions.
Niu Dan Nan Xing (Arisaema cum Bile), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), Ren Shen (Ginseng), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Jing Jie (Schizonepetae Spica), Fen Cao (Glycyrrhizae Radix et Rhizoma), Quan Xie (Scorpio, equal parts).
Grind to powder, make pills with refined honey, size of Euryale Seed. Take with Bo He Tang (Mint Decoction). Another formula adds Chen Sha (Cinnabaris) and She Xiang (Moschus).
Zhen Jing Wan: Treats all types of startle epilepsy.
Zi Shi Ying (Quartzum Roseum, calcined, vinegar-quenched), Tie Fen (Ferrum), Yuan Zhi (Polygalae Radix, ginger-processed, roasted, core removed), Qing Fen (Calomelas, 0.75 qian each), Fu Shen (Poria with Hostwood), Ren Shen (Ginseng), Hu Po (Electrum), Hua Shi (Talcum), Nan Xing (Arisaema Rhizoma, processed), Long Chi (Dent Draconis), She Huang (Chrysocolla, vinegar-quenched), Xiong Dan (Ursi Fel, 2.5 qian each).
Grind to powder, make pills with refined honey, size of wutong seeds, coat with Zhu Sha. Dose: 1 pill, taken with gold/silver decoction. Alternatively, apply with pig milk to the mouth.
Kai Ya San
Xi Xin (Asari Radix), Nan Xing (Arisaema Rhizoma), Piao Xiao (Natrii Sulfas, 1 qian each), She Xiang (Moschus, 0.5 qian), Xie Shao (Scorpio tail end, 7 pieces).
Grind to powder. Take a small amount, mix with Sour Plum (Mume Fructus) pulp, rub on teeth. Also blow Xi Xin, Zao Jiao, and Jing Jie powder into the nose. Treats various wind convulsions and startle epilepsy. Opens orifices. Interchangeable with Kai Guan San (Question 14).