身反折强直不搐,心不受热也,当补肾治肝。补肾,地黄丸;治肝,泻青丸主之。
凡病或新或久,皆引肝风,风动而上于头目,目属肝,肝风入于目,上下左右如风吹,
不轻不重,儿不能任,故目连扎也。若热入于目,牵其筋脉,两 俱紧,不能转视,故目直也
。若得心热则搐,以其子母俱有实热,风火相搏故也。治肝,泻青丸;治心,导赤散主之。
男发搐,目左视无声,右视有声;女发搐,目右视无声,左视有声∶相胜故也。更有发
时证。
因潮热,寅、卯、辰时身体壮热,目上视,手足动摇,口内生热涎,项颈急。此肝旺,
当补肾治肝也。补肾,地黄丸;治肝,泻青丸主之。
因潮热,巳、午、未时发搐,心神惊悸,目上视,白睛赤色,牙关紧,口内涎,手足动
摇。此心旺也,当补肝治心。治心,导赤散、凉惊丸;补肝,地黄丸主之。
因潮热,申、酉、戌时不甚搐而喘,目微斜视,身体似热,睡露睛,手足冷,大便淡黄
水。是肺旺,当补脾治心肝。补脾,益黄散;治肝,泻青丸;治心,导赤散主之。
因潮热,亥、子、丑时不甚搐,而卧不稳,身体温壮,目睛紧斜视,喉中有痰,大便银
褐色,乳食不消,多睡,不纳津液。当补脾治心。补脾,益黄散;治心,导赤散、凉惊丸主之。
The body arches backward and becomes rigid without convulsions; this indicates that the Heart is not affected by heat. Treatment should involve tonifying the Kidney and treating the Liver. For tonifying the Kidney, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill); for treating the Liver, use Xieqing Wan (Drain the Green Pill) as the primary formula.
Any disease, whether new or chronic, can draw out Liver Wind (Liver Wind). The wind moves upward to the head and eyes. Since the eyes belong to the Liver, when Liver Wind enters the eyes, it feels as if blown by wind from above, below, left, and right. It is neither light nor heavy, and the child cannot bear it, resulting in frequent blinking of the eyes (Mu Lian Zha). If heat enters the eyes, it pulls on the sinews, causing both eyes to become tight and unable to rotate or gaze, resulting in fixed staring (Mu Zhi). If the Heart has heat, convulsions occur because both the Mother organ (Heart) and Daughter organ (Liver) have excess heat, and wind and fire struggle with each other. To treat the Liver, use Xieqing Wan; to treat the Heart, use Daochi San (Guide Out Red Powder) as the primary formula.
When boys experience convulsions, looking to the left produces no sound, while looking to the right produces sound; when girls experience convulsions, looking to the right produces no sound, while looking to the left produces sound. This is due to the principle of mutual overcoming (Xiang Sheng). There are also specific manifestations during the attack.
Due to tidal fever, between Yin, Mao, and Chen hours (3:00 AM – 9:00 AM), the body is intensely hot, the eyes roll upward, the hands and feet tremble, hot saliva accumulates in the mouth, and the neck and nape are stiff. This indicates hyperactivity of the Liver. One should tonify the Kidney and treat the Liver. For tonifying the Kidney, use Liuwei Dihuang Wan; for treating the Liver, use Xieqing Wan as the primary formula.
Due to tidal fever, between Si, Wu, and Wei hours (9:00 AM – 3:00 PM), convulsions occur accompanied by mental palpitations and fright, upward rolling of the eyes, redness of the sclera, locked jaw, salivation, and trembling of the hands and feet. This indicates hyperactivity of the Heart. One should tonify the Liver and treat the Heart. For treating the Heart, use Daochi San and Liangjing Wan (Cooling Convulsion Pill); for tonifying the Liver, use Liuwei Dihuang Wan as the primary formula.
Due to tidal fever, between Shen, You, and Xu hours (3:00 PM – 9:00 PM), convulsions are mild but accompanied by wheezing, slight oblique deviation of the eyes, apparent body heat, sleeping with eyes open exposing the eyeballs, cold hands and feet, and pale yellow watery stools. This indicates hyperactivity of the Lung. One should tonify the Spleen and treat the Heart and Liver. For tonifying the Spleen, use Yihuang San (Benefit the Yellow Powder); for treating the Liver, use Xieqing Wan; for treating the Heart, use Daochi San as the primary formula.
Due to tidal fever, between Hai, Zi, and Chou hours (9:00 PM – 3:00 AM), convulsions are mild, but sleep is restless, the body is warm and hot, the eyes are tense and deviate obliquely, there is phlegm in the throat, stools are silver-brown, milk and food are undigested, there is excessive sleepiness, and fluids are not absorbed. One should tonify the Spleen and treat the Heart. For tonifying the Spleen, use Yihuang San; for treating the Heart, use Daochi San and Liangjing Wan as the primary formula.
This condition arises after a wind-cold injury. Symptoms include hot breath from the mouth, yawning, sudden oppression, and trembling of the hands and feet. One should employ dispersing methods, using Daqing Gao (Big Cyan Ointment) as the primary formula. Children who are naturally timid or weak constitutionally are prone to this disease.