小儿螈 不定。翻眼抬睛。状若神祟。头目仰高。名为天钓。亦惊风之症。宜服九龙控涎散。
碧霞丹(治大小男妇卒中急风。眩运僵仆。痰涎壅塞。心神迷闷。五种痫病。涎潮搐搦。
牙关紧急。目眼上视等症。)
石绿(火 醋淬九遍研飞十两) 附子尖(去皮) 乌头尖(去皮) 蝎梢(各七十个)
上将三味为末。入石绿令匀。面糊为丸。如鸡头大。每服宜用薄荷汁半盏。化下一丸。更入酒少许。温暖
服之。须臾吐出涎痰。然后随证治之。如牙关紧急。斡开灌之立效。
九龙控涎散
赤脚蜈蚣(一条去头足尾酒涂炙) 荆芥穗(炒) 白矾( 各一钱) 滴乳石(另研) 天竺黄
(炙研各一钱) 甘草(炙一钱半) 肥绿豆(一百粒半生半炒) 雄黄(另研二钱) 腊茶叶(二钱五分)
上件共为细末。每服五分。量其大小用之。人参薄荷汤调下。
目者肝胆。属风木二经。兼为相火。肝藏血。血不足则风火内生。故目睛为之 动。经曰。曲直动摇。风之
象也。宜用四物益其血。加柴胡山栀清其肝。阴血内荣。则虚风自息矣。
按目札者。肝有风也。风入于目。上下左右如风吹。不轻不重而不能任。故目连札也。此恙有四。两目连
札。或色赤。或时拭眉。此胆经风热。欲作肝疳也。用四味肥儿丸加龙胆草而瘥。有雀目眼札。服煮肝饮。
兼四味肥儿丸。而明目不札也。有发搐目札。属肝胆经风热。先用柴胡清肝散治。兼六味地黄丸补其
肾而愈。因受惊眼札或搐。先用加味小柴胡汤。加芜荑黄连以清肝热。兼六味地黄丸以滋肾生肝而痊。
四味肥儿丸(治呕吐不食。腹胀成疳。或作泻不止。或食积脾疳。目生云翳。口舌生疮。
牙龈腐烂。发热瘦怯。遍身生疮。又治小便澄白。腹大青筋。一切疳症。)
黄连(炒) 芜荑 神曲 麦芽(炒各等分)
上为细末。水糊成丸。如桐子大。每服一二十丸。空心白滚汤送下。
柴胡清肝饮(治肝胆三焦。风热怒气。或乍寒乍热。往来寒热。发热。或头发疮毒等。并治之。)
柴胡(一钱五分) 黄芩 人参 川芎(各一钱) 栀仁(炒一钱) 连翘 甘草(各五分) 桔梗(八分)
上锉剂。白水二钟。煎至八分。去滓热服。
Pediatric convulsions occur irregularly, with eyes rolling upward or moving. The condition resembles possession by spirits, with the head and eyes gazing upward, termed "Tian Diao" (Heavenly Fishing), which is also a symptom of Jing Feng (Convulsive Disease). It is suitable to administer Jiu Kong Tan San (Nine Dragons' Phlegm-Draining Powder).
Bixia Dan (Cinnabar Pill) treats sudden onset of acute wind in males and females, dizziness and fainting, phlegm-saliva obstruction, mental confusion and oppression, five types of epilepsy, tidal flow of saliva with spasms, locked jaw, upward deviation of the eyes, and other symptoms.
Shi Lv (Malachite Green) (calcined over fire, quenched in vinegar nine times, ground and sifted, 10 liang) Fuzi Jian (Aconiti Lateralis Radix Praeparata tip, peeled) Wutou Jian (Aconiti Radix tip, peeled) Xie Shao (Scorpio tail segment, 70 each)
The above three ingredients are ground into powder, mixed evenly with Shi Lv. Form pills using wheat paste, sized like a chicken egg. For each dose, dissolve one pill in half a cup of Bohe Zhi (Peppermint Juice). Add a small amount of wine and take warm. After a short while, phlegm and saliva will be vomited out, after which treatment should proceed according to the specific syndrome. If the jaw is locked, forcibly open it and administer the medicine for immediate effect.
Jiu Kong Tan San (Nine Dragons' Phlegm-Draining Powder)
Chijiao Wugong (Gecko's Foot Centipede) (one piece, remove head and feet, coat with aged yellow wine, roast) Jingjie Sui (Schizonepeta Spike, stir-fried) Baifan (Alumen, 1 qian each) Dilushi (Gypsum Fibrosum, ground separately) Tianzhu Huang (Bambusae Sabinae Spongia, calcined and ground, 1 qian each) Gancao (Licorice Root, roasted, 1.5 qian) Feilvdou (Vigna radiata, 100 grains, half raw half roasted) Xionghuang (Realgar, ground separately, 2 qian) Lateye (Winter Tea Leaves, 2.5 qian)
All ingredients are finely powdered. Each dose is 0.5 fen, adjusted according to age and size. Take down with Renshen Bohe Tang (Ginseng and Peppermint Decoction).
The eyes are related to the Liver and Gallbladder, belonging to the Wind-Wood meridians, and are associated with Ministerial Fire. The Liver stores Blood; when Blood is insufficient, internal Wind and Fire arise, causing the eyeballs to move. The Classics state: "Curving and straightening, shaking and trembling, are manifestations of Wind." It is appropriate to use Siwu Tang (Four Substances Decoction) to nourish the Blood, adding Chaihu (Bupleurum Root) and Shanzhi (Gardeniae Fructus) to clear the Liver. When Yin-Blood is internally abundant, deficient Wind will naturally subside.
Regarding Mu Zha (Eyelid Twitching): This indicates Wind in the Liver. When Wind enters the eyes, it feels as if blown by wind from above, below, left, and right—neither light nor heavy, yet unbearable—causing continuous eyelid twitching. There are four variations of this condition: continuous twitching of both eyes, or redness, or frequent wiping of eyebrows. This is Wind-Heat in the Gallbladder Meridian, likely developing into Gancun (Liver Malnutrition Syndrome). Use Siwei Feier Wan (Four-Ingredient Child-Nourishing Pills) plus Longdancao (Gentian Root) for recovery. For night blindness accompanied by eyelid twitching, consume Zhu Gan Yin (Boiled Liver Drink) combined with Siwei Feier Wan, resulting in restored vision and cessation of twitching. For fever, convulsions, and eyelid twitching, this belongs to Wind-Heat in the Liver and Gallbladder meridians. First treat with Chaihu Qinggan San (Bupleurum Liver-Clearing Powder), combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to tonify the Kidney for cure. For eyelid twitching or convulsions caused by fright, first use Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction), adding Wuyi (Melia Toosendan Fruit) and Huanglian (Coptis Rhizome) to clear Liver Heat, combined with Liuwei Dihuang Wan to nourish the Kidney and generate Liver Yin for recovery.
Siwei Feier Wan (Four-Ingredient Child-Nourishing Pills) treats vomiting and anorexia, abdominal distension leading to malnutrition syndrome, persistent diarrhea, food stagnation spleen malnutrition, corneal opacity in eyes, mouth and tongue sores, gingival rot, fever and emaciation, body-wide sores, cloudy white urine, abdominal distension with visible veins, and all types of malnutrition syndromes.
Huanglian (Coptis Rhizome, stir-fried) Wuyi (Melia Toosendan Fruit) Shenqu (Medicated Leaven) Maiya (Hordei Fructus Germinatus, stir-fried) (equal parts)
Grind into fine powder, form pills using water paste, sized like tung tree seeds. Take 10-20 pills per dose, swallowed with plain boiling water on an empty stomach.
Chaihu Qinggan Yin (Bupleurum Liver-Clearing Decoction) treats Wind-Heat and anger affecting the Liver, Gallbladder, and Sanjiao, alternating chills and fever, recurrent fever, hair sores/toxins, etc.
Chaihu (Bupleurum Root, 1.5 qian) Huangqin (Scutellaria Root) Renshen (Ginseng Root) Chuanxiong (Ligusticum Rhizome) (each 1 qian) Zhiren (Gardeniae Semen, stir-fried, 1 qian) Lianqiao (Forsythia Fruit) Gancao (Licorice Root) (each 0.5 qian) Jiegeng (Platycodon Root) (0.8 qian)
Cut into pieces. Add two zhong of water, decoct until eight-tenths remain. Strain and take hot.