蜣螂散
治小儿风痫发搐。
干蜣螂(三分,微炒) 天麻(半两) 防葵(半两) 蝎梢(一分) 威灵仙(半两,洗
焙,以上先为末) 川芒硝 天竺黄(各一分,二味同研细)
上同拌匀为散。每服一字或半钱。乳香汤调下。量大小加减与服。无时。
麻黄蝎梢散
治如前。
麻黄(去根节,半两) 蝎梢(十四个)
上将二味碎之。用薄荷叶裹遍,外更用纸裹了。于水蘸湿。慢火中煨纸及叶干透。取出为末。每服半钱。金
银薄荷汤调下。无时。
芎犀散
治风痫多困不省。
川芎 犀角散 独活(去芦,各半两) 蝎梢 人参 天麻(各半两)
上为细末。每服半钱,温酒调下。无时。
葱汤丸
治风痫发搐,痰盛壅热。
天南星(炮裂为末,炒,一钱) 蝎梢(一分,微炒) 半夏(一分,汤洗七次) 寒水石( 熟为末,
一分) 朱砂(半钱,水飞) 僵蚕(炒去丝嘴,一分)
上为细末。面糊丸绿豆大。烧葱白泡汤送下三五丸。量大小加减。无时。
人参化风膏
治风痫发搐。涕咳无时。
天麻(一两,酒浸) 全蝎(十四个,微炒) 僵蚕(去丝嘴,微炒) 人参(去芦) 川芎 白附子(各
半两) 羌活(去芦) 独活(去芦) 防风(去芦,并叉枝,各一分)
上为细末。炼蜜丸如皂子大。每服一丸。荆芥汤化下。量大小与之。无时。
治小儿风痫
以鳖甲去裙 。炙黄杵末。每服一钱。乳汁调服之。或以蜜和丸。如小豆大。服之亦可。无时。
鸡苏散
治小儿风痫。鸡苏木贼荆芥各等分。为细末。以茶清调下半钱或一字。无时。
皂荚煎丸
治如前。
肥嫩不 皂角(十铤,去皮棱,以水二大碗, 汁去滓净尽,将汁熬成膏,别顿。萧注云。凡虫所食之物曰
。不 、谓未经虫食也) 虢丹(不拘多少,于熨斗内簇熟,炭火 至炭过,吹去其灰)
上研虢丹为细末。量其所用。入皂荚膏和剂。丸绿豆大。每服五七丸。温汤送下。乳食前。
榴梅散
治如前。以大石榴一枚。割顶去子。剜作瓮。入全蝎五个在内。却以顶盖之。纸筋
捶黄泥封裹了。先用微火炙干。渐加大火 通赤。良久去火。放冷去泥。取其中焦者。细研为散。每服半钱。
乳调下。搐者服之便定。不会服者灌之。儿稍大。用防风汤调下。无时。
大青膏
治风痫发搐。
青黛(一分,研) 麝香(一字,别研) 天麻(末一分) 白附子(生末,钱半) 蝎尾(去毒,一钱)
朱砂(半钱,研,水飞) 乌蛇肉(酒浸一宿,去骨焙取末,一钱半) 天竺黄(五分)
上为细末和匀。生蜜调膏。每用。月中儿粳米大。百日儿半皂子大。一岁儿一皂子。同牛黄膏温薄荷水化
开一处服之。五岁上者,同甘露散一处服之。
牛黄膏
雄黄(小枣大一块,用独蒜、萝卜根同醋一大盏煮至醋尽为度) 甘草(三钱末) 川甜硝(三钱) 朱
砂末(半钱,别研,水飞) 龙脑(一字) 寒水石(五钱末,并炒)
上为细末研匀。蜜和剂。温薄荷水化。如前法服之。无时。
甘露散(一名玉露散)
寒水石(半两,嫩而带青中有细纹者是) 石膏(半两,坚白有墙壁者是) 生甘草(一分)
上同为细末。每服一字或半钱。温汤调下。食后。
Qianglang San (Dung Beetle Powder)
Treats convulsions in infants and young children due to wind-phlegm epilepsy (Feng Xian).
Dry Qianglang (Dung Beetle, *Scarabaeus sacer*) (3 fen, lightly stir-fried), Tianma (Gastrodia Rhizome, *Gastrodia elata*) (0.5 liang), Fangkui (Radix Adenophorae seu Saposhnikoviae) (0.5 liang), Xieshao (Scorpion Tail, *Scorpio*) (1 fen), Weilingxian (Clematis Root, *Clematis chinensis*) (0.5 liang, washed and dried; the above herbs are first ground into powder), Chuan Mangxiao (Natrii Sulfas, *Mirabilite*) and Tianzhuhuang (Calamus Tuber, *Calamus tectorum*) (each 1 fen; these two are ground together finely).
Mix all ingredients evenly to form a powder. Administer 1 zi or 0.5 qian per dose. Mix with Xiangru Tang (Frankincense Decoction) for oral administration. Adjust dosage according to the child's age and size. Can be taken at any time.
Mahuang Xieshao San (Ephedra and Scorpion Tail Powder)
Treatment as described above.
Mahuang (Ephedra Stem, *Ephedrae Herba*) (remove roots and joints, 0.5 liang), Xieshao (Scorpion Tail, *Scorpio*) (14 pieces).
Crush the above two ingredients. Wrap them thoroughly with Bohe Ye (Mint Leaf, *Menthae Haplocalycis Herba*), then wrap again with paper. Dampen with water. Slowly roast over low heat until the paper and leaves are completely dry. Remove and grind into powder. Administer 0.5 qian per dose. Mix with Yinjin Bohe Tang (Honeysuckle and Mint Decoction) for oral administration. Can be taken at any time.
Xiongxi San (Ligusticum and Rhinoceros Horn Powder)
Treats frequent wind-phlegm epilepsy episodes leading to mental fatigue and loss of consciousness.
Chuanxiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*), Xijiao San (Rhinoceros Horn Powder, *Rhinoceoris Cornu* - note: substitute with Buffalo Horn in modern practice), Duhuo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*) (remove rhizomes, each 0.5 liang), Xieshao (Scorpion Tail, *Scorpio*), Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*), Tianma (Gastrodia Rhizome, *Gastrodia elata*) (each 0.5 liang).
Grind the above ingredients into fine powder. Administer 0.5 qian per dose. Mix with warm wine for oral administration. Can be taken at any time.
Congtang Wan (Scallion Soup Pills)
Treats wind-phlegm epilepsy with convulsions, excessive phlegm obstruction, and heat symptoms.
Tiannanxing (Arisaema Rhizome, *Arisaematis Rhizoma*) (pounded until cracked, ground, stir-fried, 1 qian), Xieshao (Scorpion Tail, *Scorpio*) (1 fen, lightly stir-fried), Banxia (Pinellia Tuber, *Pinelliae Rhizoma*) (1 fen, washed seven times with boiling water), Hanshuishi (Calcitritum, *Calcitri* - processed mineral), (processed, ground, 1 fen), Zhusha (Cinnabar, *Cinnabaris*) (0.5 qian, prepared by water levigation), Jiangcan (Bombyx Batryticatus, *Bombyx Batryticatus*) (stir-fried, remove silk mouth, 1 fen).
Grind the above ingredients into fine powder. Form pills using wheat paste, sized like mung beans. Send down with three to five pills soaked in boiled scallion white. Adjust dosage according to the child's age and size. Can be taken at any time.
Renshen Huafeng Gao (Ginseng Wind-Resolving Paste)
Treats wind-phlegm epilepsy with convulsions, constant runny nose and coughing.
Tianma (Gastrodia Rhizome, *Gastrodia elata*) (1 liang, soaked in wine), Quanxie (Whole Scorpion, *Scorpio*) (14 pieces, lightly stir-fried), Jiangcan (Bombyx Batryticatus, *Bombyx Batryticatus*) (remove silk mouth, lightly stir-fried), Renshen (Ginseng Root, *Ginseng Radix et Rhizoma*) (remove rhizomes), Chuanxiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*), Fuzi (Prepared Aconite Lateralis Radix, *Aconiti Lateralis Radix Praeparata* - specifically Baifuzi here refers to Typhonii Rhizoma, *Typhonii Rhizoma*) (each 0.5 liang), Qianghuo (Notopterygium Rhizome and Root, *Notopterygii Rhizoma et Radix*) (remove rhizomes), Duhuo (Angelica Pubescens Root, *Angelicae Pubescentis Radix*) (remove rhizomes), Fangfeng (Saposhnikovia Root, *Saposhnikoviae Radix*) (remove rhizomes and forked branches, each 1 fen).
Grind the above ingredients into fine powder. Form pills using refined honey, sized like soap pods. Administer one pill per dose. Dissolve in Jingjie Tang (Schizonepeta Decoction) for oral administration. Adjust dosage according to the child's age and size. Can be taken at any time.
Treatment for Infantile Wind-Phlegm Epilepsy
Take Biejia (Softshell Turtle Shell, *Trionycis Carapax et Plastrum*), remove the skirt-like edge. Roast until yellow, pound, and grind into powder. Administer 1 qian per dose. Mix with milk for oral administration. Alternatively, mix with honey to form pills, sized like small beans. This is also acceptable. Can be taken at any time.
Jisu San (Elsholtzia Powder)
Treats infantile wind-phlegm epilepsy. Jisu (Elsholtzia Herb, *Elsholtziae Herba*), Muzei (Horsetail Stem, *Equiseti Hiemalis Herba*), and Jingjie (Schizonepeta Spike, *Schizonepetae Spica*) in equal parts. Grind into fine powder. Administer 0.5 qian or 1 zi mixed with tea liquor for oral administration. Can be taken at any time.
Zaojiao Jian Wan (Soap Pod Decoction Pills)
Treatment as described above.
Fei Neng Bu You Chong Shi Zaojiao (Fat, tender soap pods not eaten by insects, 10 ting, remove skin and ridges, boil in two large bowls of water, strain juice thoroughly, boil juice into paste, set aside separately. Note by Xiao: Anything eaten by insects is called 'You'. 'Bu You' means not eaten by insects.) Guodan (Lead Oxide, *Plumbum Oxidum*) (any amount, roast thoroughly in an ironing pan over charcoal fire until carbonized, blow away ash).
Grind Guodan into fine powder. Mix with the soap pod paste according to the required proportion. Form pills sized like mung beans. Administer five to seven pills per dose. Send down with warm water. Take before milk or food.
Liumei San (Pomegranate and Plum Powder)
Treatment as described above. Take one large pomegranate, cut off the top, remove seeds, and hollow out to form a jar shape. Place five whole scorpions inside. Cover with the top. Seal tightly with mud made from paper fibers and yellow clay. First dry over low heat, then gradually increase heat until red hot. Leave for a long time, then remove from fire. Cool down, remove mud. Take the charred material inside. Grind finely into powder. Administer 0.5 qian per dose. Mix with milk for oral administration. Convulsions will stop immediately after taking. If the child cannot swallow, force-feed. For older children, mix with Fangfeng Tang (Saposhnikovia Decoction) for oral administration. Can be taken at any time.
Daqing Gao (Great Cyan Paste)
Treats wind-phlegm epilepsy with convulsions.
Qingdai (Indigo Naturalis, *Indigo Naturalis*) (1 fen, ground), Shexiang (Musk, *Moschus*) (1 zi, ground separately), Tianma (Gastrodia Rhizome, *Gastrodia elata*) (powder, 1 fen), Baifuzi (Typhonii Rhizoma, *Typhonii Rhizoma*) (raw powder, 1.5 qian), Xiwei (Scorpion Tail, *Scorpio*) (remove toxicity, 1 qian), Zhusha (Cinnabar, *Cinnabaris*) (0.5 qian, ground, water levigation), Wushe Rou (Dinodon Rufozonatum Meat, *Dodonis Rufozonatae Corium*) (soaked in wine overnight, remove bones, dry and grind into powder, 1.5 qian), Tianzhuhuang (Calamus Tuber, *Calamus tectorum*) (5 fen).
Grind the above ingredients into fine powder and mix evenly. Form a paste using raw honey. Dosage: One-month-old infant: size of rice grain; Hundred-day-old infant: half size of soap pod; One-year-old infant: size of one soap pod. Mix with Niuhuang Gao (Calculus Bovis Paste) and dissolve in warm Bohe Shui (Mint Water) for combined administration. For children aged five and above, administer together with Ganlu San (Sweet Dew Powder).
Niuhuang Gao (Calculus Bovis Paste)
Xionghuang (Realgar, *Realgar*) (size of a small date, boil with single garlic clove and radish root in one large cup of vinegar until vinegar is exhausted), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (3 qian, powdered), Chuantianxiao (Saltpeter, *Natrii Nitras*) (3 qian), Zhusha Mo (Cinnabar Powder, *Cinnabaris*) (0.5 qian, ground separately, water levigation), Longnao (Borneol, *Borneolum Syntheticum*) (1 zi), Hanshuishi (Calcitritum, *Calcitri*) (5 qian, powdered, stir-fried).
Grind the above ingredients into fine powder and mix evenly. Form a paste using honey. Dissolve in warm Bohe Shui (Mint Water). Administer as described previously. Can be taken at any time.
Ganlu San (Sweet Dew Powder, also known as Yulu San)
Hanshuishi (Calcitritum, *Calcitri*) (0.5 liang, select tender ones with green hue and fine lines), Shigao (Gypsum Fibrosum, *Gypsi Fibrosum*) (0.5 liang, select firm, white ones with layered structure), Sheng Gancao (Raw Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (1 fen).
Grind the above ingredients together into fine powder. Administer 1 zi or 0.5 qian per dose. Mix with warm water for oral administration. Take after meals.