慢脾之症。面赤额汗。舌短头低。眼合不开。睡中摇头吐舌。频呕腥臭。噤口切牙床。
手足
微搐不收。或身冷。或身温而四肢冷。其脉沉微。阴气极盛。胃气极虚。十救一二。盖由慢
惊之后。吐泻损脾。病传已极。总归虚处。惟脾所受。故曰慢脾风。若遂风则无风可遂。
疗惊则无惊可疗。但脾间涎痰壅滞而然耳。世所谓慢惊难疗者。慢脾风是也。宜服
加味四君子汤
人参(三分) 白茯苓(三分) 苍术(三分) 炮干姜(四分) 白术(炒六分) 制附子(一
分) 羌活(一分) 炙甘草(四分)
上锉。生姜三片。枣一枚。水煎服。
一论慢惊慢脾危恶之症。药力不到者。但看两脚。面中间陷处。有太冲脉。即灸百会穴
三五壮。炷如小麦大。灸后仍与醒脾之剂调之。
一论小儿慢脾风。内虚。昏迷不醒。宜
加味大醒脾散
人参 白术(去芦炒) 白茯苓(去皮) 橘红 丁香 南星(炮) 全蝎(去毒炒) 天麻(
煨) 白附子(煨) 山药(炒) 木香 石莲肉(去壳) 石菖蒲 肉豆蔻 砂仁 甘草
一论小儿惊风后。声哑不能言。及诸病之后不能言。天南星一个。炮去皮为末。每半
字。五岁儿半钱。 猪胆汁调。食前服。
一论治慢惊慢脾之圣药也。一锭即有起死回生之功。顷刻奏效。故名回生锭。真海上
仙方也。急惊亦效。
回生锭
人参(五钱) 白术(去芦油一两) 白茯苓(去皮) 怀山药 桔梗(各一钱) 甘草(三钱
)
胆星(五钱) 赤石脂(煨五钱) 辰砂(二钱) 乳香(二钱半) 礞石(煨金色三钱) 牛黄(一
钱) 麝香(一钱)
上为末。捣匀。印作锭子。金箔为衣。阴干。每三五分。薄荷汤化下。
The symptoms of Manpi Feng (Slow Spleen Wind) include: a red face, sweating on the forehead, a short tongue, a drooping head, eyes closed and difficult to open, shaking the head and sticking out the tongue during sleep, frequent vomiting of foul-smelling substances, locked jaw with teeth grinding, and slight twitching of the hands and feet that cannot be controlled. The body may be cold, or warm while the four limbs are cold. The pulse is deep and faint. This indicates extreme excess of Yin Qi (Vital Energy associated with Yin) and extreme deficiency of Stomach Qi (Stomach Vital Energy). Only one or two out of ten cases can be saved. This condition usually arises after Man Jing Feng (Slow Convulsion Wind), where vomiting and diarrhea damage the Spleen. The disease has progressed to an extreme stage, ultimately returning to deficiency, affecting only the Spleen; hence it is called Manpi Feng. At this stage, there is no "Wind" pathogen to dispel, and no "Convulsion" syndrome to treat; it is merely caused by the accumulation and stagnation of Saliva and Phlegm in the Spleen. What the world calls "difficult-to-treat Slow Convulsion Wind" refers to this Manpi Feng. It is suitable to take Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction).
Ren Shen (Ginseng Radix et Rhizoma) (3 fen) Bai Fu Ling (Poria) (3 fen) Cang Zhu (Atractylodis Rhizoma) (3 fen) Pao Gan Jiang (Prepared Dried Ginger) (4 fen) Bai Zhu (Fried Atractylodis Macrocephalae Rhizoma) (6 fen) Zhi Fu Zi (Prepared Aconiti Lateralis Radix Praeparata) (1 fen) Qiang Huo (Notopterygii Rhizoma et Radix) (1 fen) Zhi Gan Cao (Honey-fried Licorice Root) (4 fen)
Crush the above herbs, add three slices of fresh ginger and one jujube, decoct with water, and take orally.
Another discussion states that for critical and malignant conditions such as Man Jing Feng (Slow Convulsion Wind) and Manpi Feng (Slow Spleen Wind), if the medicinal power fails to reach the affected area, observe the inner aspect of both legs and the depression in the center of the face. If the Taichong Pulse (Pulse at the Taichong acupoint) is palpable, moxa-ignite the Baihui acupoint (GV20) for three to five moxa cones (zhuang). The moxa cone should be the size of a wheat grain. After moxibustion, continue to regulate with formulas that awaken the Spleen.
Another discussion addresses pediatric Manpi Feng (Slow Spleen Wind) characterized by internal deficiency and coma/unresponsiveness. It is suitable to take Jiawei Da Xingpi San (Modified Great Spleen-Awakening Powder).
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Macrocephalae Rhizoma, remove rhizome base and fry) Bai Fu Ling (Poria, remove skin) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Ding Xiang (Caryophylli Flos) Nan Xing (Arisaematis Rhizoma, processed) Quan Xie (Scorpio, remove toxicity and fry) Tian Ma (Gastrodiae Rhizoma, baked) Bai Fu Zi (Typhonii Rhizoma, baked) Shan Yao (Dioscoreae Rhizoma, fried) Mu Xiang (Aucklandiae Radix) Shi Lian Rou (Nelumbinis Plumula, remove shell) Shi Chang Pu (Acori Tatarinowii Rhizoma) Rou Dou Kou (Myristicae Semen) Sha Ren (Amomi Fructus) Gan Cao (Licorice Root)
Another discussion addresses hoarseness and inability to speak after pediatric Jing Feng (Convulsion Wind), or inability to speak after various diseases. Take one Arisaema Rhizome (Tian Nan Xing), process it, remove the skin, and grind into powder. Take half a zi (approx. 0.1-0.2 g) per dose; for a five-year-old child, take half a qian (approx. 1.5-3 g). Mix with Pig Bile and administer before meals.
Another discussion presents a sacred medicine for treating Man Jing Feng (Slow Convulsion Wind) and Manpi Feng (Slow Spleen Wind). One tablet possesses the merit of restoring life from death, taking effect almost instantly, thus named Huisheng Ding (Life-Restoring Tablet). This is truly a celestial prescription from the sea. It is also effective for Ji Jing Feng (Rapid Convulsion Wind).
Huisheng Ding (Life-Restoring Tablet)
Ren Shen (Ginseng Radix et Rhizoma) (5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, remove rhizome base and oil, 1 liang) Bai Fu Ling (Poria, remove skin) Huai Shan Yao (Dioscoreae Rhizoma) Jie Geng (Platycodonis Radix) (each 1 qian) Gan Cao (Licorice Root) (3 qian)
Dan Xing (Ardisia Seed / Processed Arisaema with Bile) (5 qian) Chi Shi Zhi (Halloysitum Rubrum, roasted) (5 qian) Chen Sha (Cinnabar) (2 qian) Ru Xiang (Olibanum) (2.5 qian) Meng Shi (Calamine / Pyrite, roasted until golden) (3 qian) Niu Huang (Bovis Calculus) (1 qian) She Xiang (Moschus) (1 qian)
Grind the above herbs into fine powder, mix evenly, mold into tablet shapes, coat with Gold Foil, and dry in the shade. Take 3-5 fen per dose, dissolve in Bohe Tang (Mint Decoction) and swallow.