（惊风急慢）凡三门
《养生必用》论∶小儿惊痫，古医经方论但云阴阳痫，而今人乃云急慢惊。今立方一准古圣贤为治。阳痫属
腑，于治痫方中去温药。阴痫属脏，于治痫方中用温药。寒温等药皆于治痫方中增损之，则无失。又小儿虫证
与痫相类，学人审别之。
钱乙附方论∶小儿急慢惊、古书无之，惟曰阴阳痫。所谓急慢惊者，后世名之耳。正如赤白痢之类是也。
阳动而速，故阳病曰急惊，阴静而缓，故阴病曰慢惊。此阴阳虚实寒热之别，治之不可误也。急慢由有热，热
即生风。又或因惊而发，则目睛上插，涎潮，搐搦，身体与口中气皆热，及其发定或睡起即了了，如此故急惊
证也。当其搐势渐减时与镇心治热药一、二服，（《直诀》中麝香丸、镇心丸、抱龙丸、辰砂丸及至宝丹，紫雪之类。）
候惊势已定须臾，以药下其痰热。（《直诀》中利惊丸、软金丹、桃枝丸之类，或用大黄、朴硝等药。）利下痰热，心神
安宁即愈。
钱乙论∶凡小儿急惊方搐，不用惊扰，此不足畏。慢惊虽静，乃危病也。急惊方搐，但扶持不可擒捉。盖
风气方盛，恐流入筋脉或致手足拘挛。
钱乙附方论治急慢惊，世人多用。一药有性温、性凉，不可泛用，宜审别之。又治慢惊药，宜去龙脑，纵
须合使，必以温药为佐或少用之。
《万全方》小儿诸风并天 客忤方论∶小儿有急惊候，有慢惊候，又有天 候，又有客忤候，此数方大同而
小异。夫身体壮热，忽然之间四肢抽掣，痰壅口噤，谓之急惊；身体壮热，心神不安，呕吐痰涎，睡中多惊，乍
发乍静，荏苒经日，谓之慢惊。皆由内有积热，外感风邪，候有迟速，因而为名。其曰天 者，盖出于惊风之候也，以
其手足搐搦，
眼目上戴如鱼之着钓，遂以为名。大抵因惊而生热，因热而生风。指病则谓之惊风，指候则谓之天吊，治法亦同。其所
谓客忤者，取其触忤之意。小儿未有所识，外人适至，因而惊忤，故曰客忤。古人论说∶谓人从外来，衣服经履用气或
牛马之气皆为忤也。其状∶吐下青黄赤白，腹痛夭矫，面色变易，状貌似痫，眼不戴上，其脉弦急数者是其疾也。故治
法有用粉丸并法术者。
《玉诀》小儿惊风候歌∶
面青呵欠即因惊，KT 饶啼睡不宁。上爨喘粗频发热， 乳肠虚泻痢青。
此患先除惊气，后退惊风，次下惊涎，后调胃气乃安矣。
《玉诀》治惊风候云∶此因惊积涎，实加胸膈，宜生银丸、乌犀膏行风下涎。（方并见本门中。）
《仙人水鉴》治小儿睡惊丸
天南星（一枚大者，酒浸，杵为末） 乳香 水银（结成砂子） 琥珀（末。各一钱） 牛黄 白龙脑（各半钱）
青黛（三钱）
上细研，入石脑油和。如有小儿患急慢惊风，丸如红豆大，薄荷汤化破一丸，令小儿服后睡觉，顿安。如
大人伤风，亦用薄荷汤茶嚼下一丸，顿安。
古方治小儿急慢惊风方∶
一瓮朱砂一瓮雪，一个大虫一个蝎。四味匀研化作尘，和时更用生人血。
上以雀儿饭瓮儿空者一个，量飞过细朱砂一瓮儿、腻粉一瓮儿。雀儿饭瓮儿内取出者，虫子一个，全蝎微
炒一个。四味研匀，用乳汁调一字，令儿服之。
王氏《博济方》治小儿急慢惊风，涎潮，发搐不定。常服解心肺痰壅不利。褊银丸
水银（二两） 黑铅（一分，同结砂子） 川巴豆（去皮、心，醋煮令黄色，研，一两） 黄明胶（一片，慢火炙
令黄） 百草霜（二两，研） 香墨（一寸，研） 腻粉（研） 干蝎（全整者） 铅白霜（研） 青黛（研） 牛黄
（研。各一分）
上件十一味，除合研药外，细杵，罗为末，再一处细研千百下，用粟米饭为丸如绿豆大，捻褊。每服五、
七丸。干柿汤下，薄荷汤亦得。更酌儿大小、肥瘦、虚实加减与服之。唯利下青粘滑涎为效。
王氏《博济方》治小儿急慢惊风，搐搦不定，中焦壅热，化痰理惊。镇心丸
金银箔（各三十片） 牛黄（研） 龙脑（研） 龙齿（各一钱） 茯苓（去皮） 人参 防葵 铁粉（研） 朱
砂（研。各半两） 雄黄（研） 犀角（屑） 大黄（蒸。各一分）
上件一十三味都研匀细，以炼蜜为丸如小鸡头大。每服看儿大小，薄荷汤化下。如大人心神不定及多怔忪，
亦宜服之。
《太医局方》定命丹 治小儿急慢惊风，天 ，撮口，潮发搐搦，奶痫壮热，昏塞不省。
蟾酥（一钱，干者，酒浸一宿） 干蝎（微炒，七枚） 天南星（炮为末，一分） 麝香（研，一字） 白附子（炮
为末，半分，刘氏、张氏方并用一分） 青黛（研，半钱）
上件细研，令匀，以粟米饭和丸如绿豆大，别以青黛为衣。每服一丸，荆芥薄荷汤化下，后困睡无疑。但
有患者，先化半丸，滴入鼻中，嚏喷者必瘥。
《太医局方》大天南星丸 治小儿急慢惊风，涎潮发搐，目睛上视，口眼相引，牙关紧急，背脊强直，精神昏
塞，连日不省。
天南星（牛胆制者，半两） 滴乳香（研） 龙脑（研） 牛黄（研。各半钱） 朱砂（研极细，一钱） 麝香（研，
一钱半） 天麻（去芦头） 人参（去芦头） 防风（去芦头。各一分） 干蝎（一十四个，以上杵，米汤浸闷，去腹
内土，微炒）
上件研杵，令匀，炼蜜和丸如大鸡头大。每服一丸，荆芥薄荷汤化下。量儿大小以意加减，不计时候服。
《谭氏殊圣》治小儿急慢惊风，牙关紧急，眼睛上视，胃中胀，时发气，众药不可治。夺命散
干蝎（一个，足、尾、头、甲全用，少皆不妨）
上用大薄荷叶包定，上用麻绵缚之，用炭火炙薄荷连蝎香熟，为末，入麝香一字，再合研为末。每服一字，
腊茶清调下。如病大吃半钱，更看儿女岁数多少加减。《经验方》不用麝香，用汤调下。《庄氏家传》方不用麝香，
入生龙脑少许。如儿虚减脑子，去茶清，用薄荷汤下。《赵氏家传》方用竹沥水下。《元和纪用经》名至圣散，
治小儿阴阳痫，手足抽掣，病后虚风百种惊生恶证悉主之。仍用紧小干蝎四十九枚，每一蝎以四叶薄荷包合，
绵线系之，火炙焦，去绵，末之。金银汤调三豆许大，三岁倍之，量大小加至半匕。以麝香、牛黄少许调服
益佳。又以四味饮、黑散、紫丸、五加皮治不能行，蜀脂饮，麝香丸并此至圣散七方谓之育婴七宝。紫阳道
士一名保子七圣至宝方，转为一书者，此方是也。
《谭氏殊圣》治小儿急慢惊风。麝朱散
麝香（一字） 朱砂（二钱，细研） 赤头蜈蚣（一条） 蝎梢（七个） 棘冈子（七个，须是棘枝上者，炒，焙
干，用肉不用壳）
上为末。每服半钱，煎金银薄荷汤下。如常服一字。
《谭氏殊圣》治小儿急慢惊风。
真金箔 银箔（各十片） 辰砂（半两） 麝香（半钱） 白僵蚕（三十个，炒） 赤石脂（醋煮） 防风 远志
（去心。各一两）
上件四味捣，罗为细末，次入先四味，一处细研，拌和令匀，炼蜜和丸如鸡头子大，朱砂为衣。用蠹竹水
吞下，每服一丸。忌死物之肉。
《谭氏殊圣》治小儿急慢惊风。
朱砂（一钱） 金头蜈蚣（不以多少） 全蝎（不拘多少）
上件三味为末。每服半字，鼻内 之。
白丁香（一钱） 腻粉（一字，用生姜自然汁和作饼子，慢火炙熟）
每五岁以下至三岁，重者，气实用一字以上。三岁以下一字以下。以上各作一帖，临时旋合和。（一帖入后药一
钱或半钱。）
木鳖子仁（三钱） 密陀僧（二钱） 水磨雄黄（一钱）
上三味同为细末。五岁以下至三岁一钱，三岁以下半钱以来。蜜水、米泔调下，临卧服。
《茅先生方》治小儿急慢惊风。夺命散(大人急中用此妙。)
铜青 朱砂（各二钱） 腻粉（半钱） 蝎尾（一十四个，去刺） 麝香（少许）
上件为末。每服一字半钱，用薄荷腊茶清调下。此药治天吊、脐风、客忤、卒死、撮口、鹅口、木舌、喉
痹、胙腮、风壅并皆要此药吐下风涎，然后根据形证调理。
汉东王先生《家宝》治婴孩、小儿急慢惊风，手足搐搦、目瞪、口眼相引。睡红散方
乌蛇（项下七寸用酒浸一宿，去皮、骨，炙黄色，秤一钱） 青黛（二钱） 蝎梢（十个，炒） 牛黄 硼砂 脑
子水银砂子 真珠（末。各半钱） 麝香（一字） 金银箔（各一十片） 乌蛇尾（酒浸一宿，去皮、骨，炙黄色）
蛇黄（入火内烧令红，于米醋浸入， ，如此三度） 京墨（烧烟尽） 天南星（末，用生姜汁浸） 半夏（末、用生
姜汁浸一宿。各秤一钱）
上牛黄、麝香、硼砂、脑子、金银箔先研极匀，次入水银砂子再研，将余药捣，罗为末，一处研匀。每服
婴孩半字，半岁一字，一、二岁半钱，二、三岁一钱，以意加减，金银薄荷汤调下。如一服搐定，即便用调
胃气观音散二、三服。（方见单伤寒门中。）如小儿再作气粗发搐，宜进鸡舌香散二、三服。（方见搐搦门中。）
钱乙豆卷散 治小儿慢惊多用性太温及热药治之。有惊未退而别生热证，有病愈而致热证者，有反为急惊者
甚多。当问病者几日，因何得之，曾以何药疗之，可用解毒之药，无不效。宜此方∶
大豆黄卷（水浸黑豆生芽是也，晒干） 板蓝根 贯众 甘草（炙。各一两）
上四味同为细末。每服半钱至一钱，水煎，去滓服，甚者三钱。浆水内入油数点煎，又治吐虫。服无时。
《良方》治小儿急慢惊风黑丸
腻粉（一钱半） 墨 白面 芦荟（各一钱） 麝香 龙脑 使君子（去壳，面裹煨熟） 牛黄 青黛（各半钱）
上面糊丸梧桐子大。每服半丸，薄荷汤研下，要利即服一丸。楚州小儿医王鉴卖此药致浓，《产鉴》
神之，未尝传人。予得之，乃常人家睡惊丸，小不同耳。治惊风极效，前后用之，垂死儿一服即瘥。
《保生信效方》治小儿惊风。
芭蕉自然汁，时时呷一、两口，甚者服及五升，必愈。
《旅舍备用》定命丹 治小儿急慢惊风，天 ，脐风，撮口搐搦，奶痫壮热方。
天麻 青黛（各一分半） 天南星（炮、末） 腻粉（各一两半） 朱砂（研） 白附子（炮。各半两） 麝香（二
字） 蝎尾（十四个，炮）
上捣，研匀，用烧粟米饭为丸如绿豆大。薄荷汤化下一丸，急惊者水化滴入鼻中，啼即搐定。
《旅舍备用》又方 通治小儿急慢惊风，手足搐搦，日数十发，摇头弄舌，百治不效，垂困方。
蛇蜕皮（一分） 牛黄（一钱，研）
上以水一盏，先煎蛇皮至五分，去滓，调牛黄，顿服，五岁以上倍服。
《万全方》治小儿急慢惊风，并诸般风疾。白龙丸
石膏（半斤，火 过如面，分为三停，留一停为衣） 川乌头（去皮） 天南星 甘草（各四两，生用） 肉桂 甘
菊花（各二两） 防风 白僵蚕 京芎（各一两半） 牛膝 海桐皮（去皮，水浸） 麻黄（去节用） 甘松（洗） 川
白芷 本（洗。各一两）
上件捣，罗为散，研和令匀，用糯米拣择净，煮粥，研烂，旋旋入药和匀，杵为剂，丸如大鸡头大，微干
上衣。每服一丸，空心，夜卧用煨葱酒嚼下。如中急风，用两丸，薄荷自然汁半盏，酒半盏磨化灌下，衣被
盖出汗。妇人血风，当归酒下；伤寒头痛，葱酒下；常服，茶、酒任下；小儿急慢惊风，量儿大小金银汤磨下。
《万全方》治小儿急慢惊风，化痰镇心。七宝丹方
牛黄（研） 真珠（末，研） 铅霜（各一钱） 腻粉 朱砂（研入，留一半为衣。各二钱） 白附子 天麻 蝎
尾（炒，三味各一分） 巴豆（十一粒，去皮、心、膜，纸裹压出油） 水银（三钱，入黑铅少许，火上熔结砂子入）
上为末，研匀，煮枣肉研，和丸如粟米大，以朱砂为衣。荆芥汤下三丸，量儿大小加减服之。
《聚宝方》定命丹
生龙脑 真麝香（各二钱半） 桃柳心（各七个） 蟾酥（一皂大）
上五味，端五日合。不得鸡犬、孝子、妇人、僧尼见。细研，丸如黄粟米大。小儿急惊、天 用中指点水
四滴，研一丸，注在二鼻窍中，三嚏以上即效。如三嚏以下不在医限。慢惊用浓煎桃柳枝汤浑头洗浴，不得
揩干，生衣裹之，用药如前，三嚏以上，一食久，虫子于百孔中出。如三嚏以下，亦不在医限。
《聚宝方》治小儿急慢惊风。金箔膏
金箔（二十二片） 赤足蜈蚣（全者一条） 铁粉 白花蛇（各三两，醋浸一宿，取肉焙） 水银（锡结砂子） 朱
砂（研） 白附子 轻粉 白僵蚕（直者） 乳香（研。各一分） 半夏（生姜汁浸一宿，焙干，半两） 瓜蒂（四十
九枚） 麝香（一钱，研）
上一十三味为末，石脑油为膏。每服绿豆大一粒，煎金银薄荷汤化下。牙关不开增一粒，揩之自开。
《聚宝方》虎睛丸 治小儿急慢惊风，搐搦不安， 上睛方。
虎睛（一只，酒炙，取仁） 青黛（三钱） 棘冈子肉（二十个） 朱砂（研） 粉霜 轻粉（各一钱） 牛黄（一
[Acute and Chronic Convulsions] Three Sections in Total
*Yangsheng Biyong* discusses: Infantile convulsions and epilepsy were referred to as "Yin-Epilepsy" (Epilepsy of Yin nature) or "Yang-Epilepsy" (Epilepsy of Yang nature) in ancient medical classics, whereas modern practitioners call them "Acute Convulsion" (Ji Jing) and "Chronic Convulsion" (Man Jing). Current prescriptions are formulated strictly following the methods of ancient sages. Yang-Epilepsy belongs to the Fu organs; warming herbs should be removed from epilepsy formulas. Yin-Epilepsy belongs to the Zang organs; warming herbs should be included in epilepsy formulas. Cold and warming herbs are adjusted within epilepsy formulas to ensure accuracy. Additionally, infantile worm infestation symptoms resemble epilepsy; students must distinguish them carefully.
Qian Yi's supplementary discussion: The terms "Acute Convulsion" and "Chronic Convulsion" do not appear in ancient texts, which only mention Yin-Epilepsy and Yang-Epilepsy. These terms were coined by later generations, similar to how dysentery is classified into red and white types. Yang energy is active and rapid, hence Yang diseases are called Acute Convulsion; Yin energy is quiet and slow, hence Yin diseases are called Chronic Convulsion. This reflects distinctions in Yin/Yang, Deficiency/Excess, and Cold/Heat, which must not be confused during treatment. Both acute and chronic convulsions arise from Heat, which generates Wind. They may also be triggered by fright, resulting in upward deviation of the eyes, tidal flow of phlegm-saliva, spasms, and heat in the body and breath. Once the episode subsides or upon waking, the child regains consciousness clearly, characterizing the Acute Convulsion syndrome. When the spasm intensity begins to decrease, administer one or two doses of Heart-calming and Heat-clearing medicines (such as *Shexiang Wan* (Musk Pill), *Zhenxin Wan* (Heart-Calming Pill), *Baolong Wan* (Embrace Dragon Pill), *Chensha Wan* (Cinnabar Pill), *Zhibao Dan* (Precious Treasure Elixir), or *Zixue* (Purple Snow) from *Xiao'er Yaozheng Zhijue*). After the convulsive state stabilizes for a moment, use medicine to purge Phlegm-Heat (such as *Lijing Wan* (Phlegm-Purging Pill), *Ruanjindan* (Soft Gold Pill), *Taozhi Wan* (Peach Twig Pill), or herbs like *Dahuang* (Rhubarb Root) and *Puxiao* (Mirabilite)). Purging Phlegm-Heat leads to a calm mind and recovery.
Qian Yi states: When an infant suffers from Acute Convulsion and is spasming, do not cause panic or disturbance; this is not frightening. Although Chronic Convulsion appears quiet, it is a critical condition. During Acute Convulsion spasms, support the child but do not forcibly restrain them. Since Wind pathogen is strong, forceful restraint might drive it into the sinews, causing limb contracture.
Qian Yi's supplementary discussion on treating acute and chronic convulsions notes that people often use these methods indiscriminately. A single herb may have warming or cooling properties; they must not be used generically but selected after careful differentiation. For Chronic Convulsion treatments, *Longnao* (Borneol) should be excluded. If it must be combined, it should be used with warming herbs as assistants or in small amounts.
*Wanquan Fang* discusses formulas for various infantile winds, including *Tiandiao* (Heavenly Suspension) and *Kewu* (Guest Intrusion): Infants may present with Acute Convulsion, Chronic Convulsion, *Tiandiao*, or *Kewu*. These conditions share similarities but have minor differences. Sudden high fever with limb jerking, phlegm obstruction, and locked jaw is called Acute Convulsion. High fever with mental restlessness, vomiting of phlegm-saliva, frequent night terrors, alternating episodes of agitation and calm lasting days, is called Chronic Convulsion. Both result from internal accumulated Heat and external Wind invasion, differing only in speed of onset. *Tiandiao* originates from convulsion symptoms, named so because limbs spasm and eyes roll back like a fish on a hook. Generally, Fright generates Heat, and Heat generates Wind. Referring to the disease as a whole is "Convulsion-Wind"; referring to the specific symptom posture is "Tiandiao". Treatments are identical. *Kewu* implies being startled or offended by outsiders. Infants lack discernment; sudden arrival of strangers causes fright and offense, termed *Kewu*. Ancient texts state that odors from clothes worn outside or from cattle/horses can cause "offense". Symptoms include vomiting and purging of green, yellow, red, or white fluids, abdominal pain with twisting, facial color changes, appearance resembling epilepsy but without upward eye deviation, and a wiry, rapid pulse. Treatments may include *Fenwan* (Powder Pill) or magical arts.
*Yu Jue* poem on Infantile Convulsion Syndrome:
Green face and yawning indicate Fright; crying and restless sleep follow.
Rapid breathing and frequent fever rise; milky intestines weak, diarrhea green arises.
Treatment order: First remove Fright-Qi, then subdue Convulsion-Wind, next purge Phlegm-Saliva, finally regulate Stomach-Qi to achieve peace.
*Yu Jue* on treating Convulsion-Wind: This condition arises from Fright accumulating Phlegm-Saliva, obstructing the chest and diaphragm. Use *Shengyin Wan* (Raw Silver Pill) or *Wuxi Gao* (Black Rhinoceros Horn Ointment) to move Wind and descend Phlegm. (Formulas see this section.)
*Xianren Shuijian* Sleep-Fright Pill for Infants:
*Tian Nan Xing* (One large tuber, soaked in wine, pounded to powder) *Ruxiang* (Frankincense) *Shuiyin* (Mercury, made into cinnabar grains) *Hupo* (Amber, powdered. Each 1 qian) *Niuhuang* (Calculus Bovis) *Bailongnao* (White Borneol. Each 0.5 qian) *Qingdai* (Indigo Naturalis. 3 qian)
Grind finely, mix with *Shinao* (Camphor oil). For infants with acute/chronic convulsions, form pills the size of red beans. Dissolve one pill in Mint Decoction for the infant to drink, ensuring sleep and immediate relief. Adults with wind-cold may chew one pill with Mint Tea for relief.
Ancient Formula for Infantile Acute/Chronic Convulsions:
One jar of Cinnabar, one jar of Snow; One large beetle, one scorpion.
Grind four ingredients to dust, mix with fresh human blood.
Take an empty sparrows' rice jar, measure one jar of refined fine Cinnabar and one jar of Calomel. Take out the contents previously in the sparrows' jar, add one beetle and one lightly fried full Scorpion. Grind four ingredients uniformly, mix with milk to the consistency of a "zi" (ancient weight/volume unit), and administer to the child.
Wang Shi's *Boji Fang* treats infantile acute/chronic convulsions with tidal phlegm and不定 spasms. It regularly resolves Heart/Lung Phlegm obstruction. *Bianyin Wan* (Flattened Silver Pill):
*Shuiyin* (Mercury. 2 liang) *Heiqian* (Black Lead. 1 fen, fused into cinnabar grains with Mercury) *Chuan Badou* (Croton Seed, peeled/cored, boiled in vinegar until yellow, ground. 1 liang) *Huangming Jiao* (Yellow Clear Gelatin. One slice, slowly roasted until yellow) *Baicaoshuang* (Soot from hundred fuels. 2 liang, ground) *Xiangmo* (Scented Ink. One inch, ground) *Nifen* (Calomel, ground) *Ganxie* (Dried Scorpion, whole) *Qianbaishuang* (Lead White Frost, ground) *Qingdai* (Indigo Naturalis, ground) *Niuhuang* (Calculus Bovis, ground. Each 1 fen)
Eleven ingredients. Except those pre-ground, pound finely, sieve to powder, and grind together thousands of times. Form pills the size of mung beans using millet rice paste, flattening them. Dose 5-7 pills with dried persimmon decoction or Mint Decoction. Adjust dosage based on child's age, size, fat/thinness, and deficiency/excess. Effectiveness is indicated by passage of green, sticky, slippery phlegm.
Wang Shi's *Boji Fang* treats infantile acute/chronic convulsions with不定 spasms, middle jiao Heat obstruction, resolving Phlegm and calming Fright. *Zhenxin Wan* (Heart-Calming Pill):
*Jinyinbo* (Gold and Silver Leaf. Each 30 pieces) *Niuhuang* (Calculus Bovis, ground) *Longnao* (Borneol, ground) *Longchi* (Dragon Teeth. Each 1 qian) *Fuling* (Poria, peeled) *Renshen* (Ginseng Root) *Fang Kui* (Radix Dictamni) *Tiefen* (Iron Powder, ground) *Zhusha* (Cinnabar, ground. Each 0.5 liang) *Xionghuang* (Realgar, ground) *Xijiao* (Rhinoceros Horn, shaved) *Dahuang* (Rhubarb Root, steamed. Each 1 fen)
Thirteen ingredients ground uniformly. Form pills the size of chicken heads using refined honey. Dose according to child's size, dissolved in Mint Decoction. Adults with unsettled mind or palpitations may also take it.
*Taiyi Ju Fang* *Dingming Dan* (Life-Determining Elixir) treats infantile acute/chronic convulsions, *Tiandiao*, *Cuokou* (Locked Mouth), tidal spasms, milk-epilepsy with high fever, coma and unconsciousness.
*Chansu* (Toad Venom. 1 qian, dry, soaked in wine overnight) *Ganxie* (Dried Scorpion. 7 pieces, lightly fried) *Tian Nan Xing* (Arisaema Rhizome, processed to powder. 1 fen) *Shexiang* (Musk. 1 zi, ground) *Baifuzi* (Typhonium Rhizome, processed to powder. 0.5 fen; Liu/Zhang formulas use 1 fen) *Qingdai* (Indigo Naturalis, ground. 0.5 qian)
Grind finely and uniformly. Form pills the size of mung beans using millet rice paste, coating with Indigo Naturalis. Dose one pill, dissolved in Schizonepeta and Mint Decoction. Sleepiness follows inevitably. For patients, first dissolve half a pill and drip into nostrils; sneezing indicates cure.
*Taiyi Ju Fang* *Da Tian Nan Xing Wan* (Large Arisaema Pill) treats infantile acute/chronic convulsions with tidal phlegm, spasms, upward gaze, mouth/eye deviation, locked jaw, rigid spine, mental clouding, and multi-day unconsciousness.
*Tian Nan Xing* (Ox Gall-processed Arisaema. 0.5 liang) *Di Ruxiang* (Drop Frankincense, ground) *Longnao* (Borneol, ground) *Niuhuang* (Calculus Bovis, ground. Each 0.5 qian) *Zhusha* (Cinnabar, very fine powder. 1 qian) *Shexiang* (Musk. 1.5 qian, ground) *Tianma* (Gastrodia Rhizome, de-rhizome) *Renshen* (Ginseng Root, de-rhizome) *Fangfeng* (Saposhnikovia Root, de-rhizome. Each 1 fen) *Ganxie* (Dried Scorpion. 14 pieces, pounded, soaked in rice water to remove soil, lightly fried)
Grind and pound uniformly. Form pills the size of large chicken heads using refined honey. Dose one pill, dissolved in Schizonepeta and Mint Decoction. Adjust dosage by child's size; take at any time.
*Tan Shi Shusheng* treats infantile acute/chronic convulsions with locked jaw, upward gaze, stomach distension, occasional Qi emission, resistant to common medicines. *Duoming San* (Life-Seizing Powder):
*Ganxie* (Dried Scorpion. One piece, complete with legs/tail/head/shell).
Wrap in large Mint leaf, bind with hemp cotton. Roast over charcoal until fragrant. Grind to powder. Add 1 zi of Musk, grind again. Dose 1 zi, mixed with aged tea liquor. For severe cases, 0.5 qian. Adjust by age. *Jingyan Fang* omits Musk, uses water. *Zhuang Shi Jiachuan* omits Musk, adds raw Borneol. For deficient children, reduce Borneol, omit tea liquor, use Mint Decoction. *Zhao Shi Jiachuan* uses Bamboo Sap. *Yuanhe Jiyong Jing* calls it *Zhisheng San*, treating Yin-Yang Epilepsy, limb jerking, post-illness deficiency Wind, and various fright-induced evil syndromes. Uses 49 tight small dried Scorpions, each wrapped in 4 Mint leaves, tied with cotton, roasted until scorched, de-cottonized, and powdered. Mix with Gold/Silver Decoction to size of three beans; double for 3-year-olds; adjust up to half a spoon. Best taken with slight Musk and Calculus Bovis. Combined with *Siwei Yin*, *Heisan*, *Ziwan*, *Wujiapi* (for immobility), *Shuzhi Yin*, *Shexiang Wan*, and this *Zhisheng San* forms the "Seven Treasures of Infant Care". Daoist Ziyang (also known as Baozi Qisheng Zhibao Fang) compiled these into a book.
*Tan Shi Shusheng* *Shezhu San* (Musk-Cinnabar Powder) for infantile acute/chronic convulsions:
*Shexiang* (Musk. 1 zi) *Zhusha* (Cinnabar. 2 qian, fine powder) *Chitou Wugong* (Red-headed Centipede. One) *Xieshao* (Scorpion Tail Tip. Seven) *Jigangzi* (Jujube Thorn Core. Seven, from jujube branches, fried/dried, flesh only).
Grind to powder. Dose 0.5 qian, taken with decocted Gold/Silver Mint Decoction. Maintenance dose: 1 zi.
*Tan Shi Shusheng* formula for infantile acute/chronic convulsions:
*Zhen Jinbo* (True Gold Leaf) *Yinbo* (Silver Leaf. Each 10 pieces) *Chensha* (Vermilion Cinnabar. 0.5 liang) *Shexiang* (Musk. 0.5 qian) *Baijiangcan* (White Silkworm. 30 pieces, fried) *Chishizhi* (Red Halloysite, boiled in vinegar) *Fangfeng* (Saposhnikovia Root) *Yuanzhi* (Polygala Root, de-heart. Each 1 liang)
Pound four ingredients (Chensha, Shexiang, Baijiangcan, Chishizhi? Note: Text says "four ingredients" but lists more. Assuming main base), sieve to fine powder. Add previous four ingredients, grind uniformly, mix with refined honey, form pills size of chicken heads, coat with Cinnabar. Swallow with *Duzhu Shui* (Water from worm-eaten bamboo). Dose one pill. Avoid meat of dead animals.
*Tan Shi Shusheng* formula for infantile acute/chronic convulsions:
*Zhusha* (Cinnabar. 1 qian) *Jintou Wugong* (Golden-headed Centipede. As needed) *Quanxie* (Full Scorpion. As needed)
Grind three ingredients to powder. Dose 0.5 zi, insufflated into nostrils.
*Baidingxiang* (White Starling Dropping. 1 qian) *Nifen* (Calomel. 1 zi, mixed with fresh Ginger Juice into cakes, slowly roasted).
For ages 3-5 years, severe/Excess type: >1 zi. Under 3 years: <1 zi. Prepare each dose separately. (Add 1 qian or 0.5 qian of following herbs per dose.)
*Mubiezi Ren* (Momordica Seed Kernel. 3 qian) *Miduoseng* (Litharge. 2 qian) *Shuimo Xionghuang* (Ground Realgar. 1 qian)
Grind three ingredients to fine powder. Ages 3-5: 1 qian. Under 3: 0.5 qian. Mix with Honey Water or Rice Wash, take before bed.
*Mao Xiansheng Fang* *Duoming San* (Life-Seizing Powder) for infantile acute/chronic convulsions (Excellent for adult acute stroke).
*Tongqing* (Verdigris) *Zhusha* (Cinnabar. Each 2 qian) *Nifen* (Calomel. 0.5 qian) *Xiewei* (Scorpion Tail. 14 pieces, de-spine) *Shexiang* (Musk. Small amount)
Grind to powder. Dose 1.5 zi, mixed with Mint and Aged Tea Liquor. This drug treats *Tiandiao*, Umbilical Wind, *Kewu*, Sudden Death, *Cuokou*, Goose Mouth, Wooden Tongue, Throat Bi, Mumps, Wind Obstruction. It induces vomiting/purging of Wind-Phlegm, then regulate based on syndrome.
Han Dong Wang Shi's *Jiabao* treats infant/toddler acute/chronic convulsions with limb spasms, staring eyes, mouth/eye deviation. *Shuihong San* (Sleep-Red Powder):
*Wushe* (Black Snake. Lower 7 cun, soaked in wine overnight, skin/bone removed, roasted yellow. 1 qian) *Qingdai* (Indigo Naturalis. 2 qian) *Xieshao* (Scorpion Tail Tip. 10 pieces, fried) *Niuhuang* (Calculus Bovis) *Pengsha* (Borax) *Naoshuiyin Shazi* (Borneol-Mercury Cinnabar) *Zhenzhu* (Pearl, powdered. Each 0.5 qian) *Shexiang* (Musk. 1 zi) *Jinyinbo* (Gold/Silver Leaf. Each 10 pieces) *Wushe Wei* (Black Snake Tail, soaked/roasted as above) *Shehuang* (Snake Gallbladder, roasted red, soaked in rice vinegar, repeated 3 times) *Jingmo* (Beijing Ink, burned to ash) *Tian Nan Xing* (Arisaema Powder, soaked in Ginger Juice) *Banxia* (Pinellia Tuber, powdered, soaked in Ginger Juice overnight. Each 1 qian)
Pre-grind Niuhuang, Shexiang, Pengsha, Naonao, Jinyinbo uniformly. Add Shuiyin Shazi and grind again. Pound remaining herbs, sieve to powder, mix all uniformly. Toddler dose: 0.5 zi. Half-year: 1 zi. 1-2 years: 0.5 qian. 2-3 years: 1 qian. Adjust as needed. Mix with Gold/Silver Mint Decoction. If one dose stops spasms, immediately give *Weiqi Guanyin San* (Stomach-Qi Guanyin Powder) 2-3 doses (see Single Typhoid Section). If spasms recur with rough breathing, give *Jitixiang San* (Cloves Powder) 2-3 doses (see Spasm Section).
Qian Yi *Doujuan San* (Soybean Sprout Powder) treats infantile Chronic Convulsion. Often, overly warming/hot drugs are used. This may leave residual Fright while generating new Heat, or cause Heat after recovery, or even convert to Acute Convulsion. Ask duration, etiology, and prior treatments. Use Detoxifying drugs for efficacy. Formula:
*Dadou Huangjuan* (Soybean Sprouts from soaked black soybeans, dried) *Banlangen* (Isatis Root) *Guanzhong* (Cyrtomium Rhizome) *Gancao* (Licorice Root, roasted. Each 1 liang)
Grind four ingredients to fine powder. Dose 0.5-1 qian, decoct in water, strain and drink. Severe cases: 3 qian. Decoct with *Jiangshui* (Fermented Bean Juice) adding a few drops of oil. Also treats vomiting worms. Take anytime.
*Liang Fang* *Heiwan* (Black Pill) for infantile acute/chronic convulsions:
*Nifen* (Calomel. 1.5 qian) *Mo* (Ink) *Baimian* (White Flour) *Luhui* (Aloe. Each 1 qian) *Shexiang* (Musk) *Longnao* (Borneol) *Shijunzi* (Quince Fruit, shelled, wrapped in flour and baked) *Niuhuang* (Calculus Bovis) *Qingdai* (Indigo Naturalis. Each 0.5 qian)
Form pills size of Sophora seeds using wheat paste. Dose half a pill, ground in Mint Decoction. To induce purging, take one pill. Physician Wang Jian of Chuzhou sold this potent drug; *Chan Jian* revered it but did not transmit it. I obtained it; it is essentially a common household Sleep-Fright Pill with minor differences. Extremely effective for convulsions; saved dying infants with one dose.
*Bao Sheng Xin Xiao Fang* treats infantile convulsions:
Fresh Banana Juice. Sip 1-2 mouthfuls frequently. Severe cases: up to 5 sheng. Must recover.
*Lv She Bei Yong* *Dingming Dan* (Life-Determining Elixir) for infantile acute/chronic convulsions, *Tiandiao*, Umbilical Wind, *Cuokou* spasms, milk-epilepsy high fever.
*Tianma* (Gastrodia Rhizome) *Qingdai* (Indigo Naturalis. Each 1.5 fen) *Tian Nan Xing* (Arisaema, processed/powdered) *Nifen* (Calomel. Each 1.5 liang) *Zhusha* (Cinnabar, ground) *Baifuzi* (Typhonium Rhizome, processed. Each 0.5 liang) *Shexiang* (Musk. 2 zi) *Xiewei* (Scorpion Tail. 14 pieces, processed)
Pound and grind uniformly. Form pills size of mung beans using burnt millet rice paste. Dissolve one pill in Mint Decoction. For Acute Convulsion, dissolve in water and drip into nostrils; crying stops spasms.
*Lv She Bei Yong* Another Formula: Universal for infantile acute/chronic convulsions with limb spasms, dozens of daily attacks, head shaking, tongue playing, refractory to hundred treatments, critical state.
*Shetui Pi* (Snake Slough. 1 fen) *Niuhuang* (Calculus Bovis. 1 qian, ground)
Decoct snake slough in one cup water to 0.5 cup. Strain, mix with Niuhuang, take in one dose. Double for over 5 years old.
*Wanquan Fang* treats infantile acute/chronic convulsions and various wind diseases. *Bailong Wan* (White Dragon Pill):
*Shigao* (Gypsum Fibrosum. 0.5 jin, calcined to powder, divided into three parts; keep one part for coating) *Chuan Wutou* (Aconite Lateral Root, peeled) *Tian Nan Xing* (Arisaema Rhizome) *Gancao* (Licorice Root. Each 4 liang, raw) *Rougui* (Cinnamon Bark) *Ganjujuhua* (Chrysanthemum Flower. Each 2 liang) *Fangfeng* (Saposhnikovia Root) *Baijiangcan* (White Silkworm) *Jingxiong* (Ligusticum Chuanxiong. Each 1.5 liang) *Niuxi* (Achyranthes Root) *Haitongpi* (Semecarpus Bark, peeled/water-soaked) *Mahuang* (Ephedra Stem, de-jointed) *Gansong* (Nardostachys Root) *Chuan Baizhi* (Angelica Dahurica) *Ben* (Ligusticum Wallichii. Each 1 liang)
Pound and sieve to powder. Mix glutinous rice porridge, grind smooth, gradually add powder, mix, pound into dough, form pills size of large chicken heads, slightly dry, coat with outer layer. Dose one pill on empty stomach or before bed, chewed with roasted scallion wine. For acute wind strike, use two pills, grind with half cup Mint Juice and half cup wine,灌 down, cover with blankets to sweat. For women Blood Wind, use Angelica Wine; for Typhoid Headache, Scallion Wine; maintenance, Tea or Wine acceptable. For infantile convulsions, adjust size, grind with Gold/Silver Decoction.
*Wanquan Fang* *Qibao Dan* (Seven Treasures Elixir) treats infantile acute/chronic convulsions, resolving Phlegm and calming Heart.
*Niuhuang* (Calculus Bovis, ground) *Zhenzhu* (Pearl, powdered/grinded) *Qianshuang* (Lead Frost. Each 1 qian) *Nifen* (Calomel) *Zhusha* (Cinnabar, ground, save half for coating. Each 2 qian) *Baifuzi* (Typhonium Rhizome) *Tianma* (Gastrodia Rhizome) *Xiewei* (Scorpion Tail, fried. Each 1 fen of three) *Badou* (Croton Seed. 11 seeds, peeled/cored/membrane removed, pressed on paper to remove oil) *Shuiyin* (Mercury. 3 qian, mixed with small Black Lead, melted on fire to cinnabar grains)
Grind to powder, mix uniformly. Grind cooked jujube flesh, mix with pills size of millet seeds, coat with Cinnabar. Dose 3 pills with Schizonepeta Decoction, adjust by child's size.
*jubao Fang* *Dingming Dan* (Life-Determining Elixir):
*Sheng Longnao* (Raw Borneol) *Zhen Shexiang* (True Musk. Each 2.5 qian) *Taoliuxin* (Peach/Willow Heart. Each 7) *Chansu* (Toad Venom. Size of soap cake)
Five ingredients, compound on Duanwu Festival. Avoid chickens/dogs, mourners, women, monks/nuns. Grind finely, form pills size of yellow millet seeds. For Infant Acute Convulsion/*Tiandiao*: Dip middle finger in water 4 drops, grind one pill, inject into nostrils. >3 sneezes = effective. <3 sneezes = beyond medical limit. For Chronic Convulsion: Bathe head in concentrated Peach/Willow Branch Decoction, do not wipe dry, wrap in raw cloth. Apply medicine as above. >3 sneezes: After one meal, parasites exit pores. <3 sneezes: Beyond medical limit.
*jubao Fang* *Jinbo Gao* (Gold Leaf Ointment) for infantile acute/chronic convulsions:
*Jinbo* (Gold Leaf. 22 pieces) *Chizu Wugong* (Red-footed Centipede. One whole) *Tiefen* (Iron Powder) *Baihuashe* (Bungarus Parvus. Each 3 liang, soaked in vinegar overnight, meat taken and roasted) *Shuiyin* (Mercury, Tin-fused cinnabar) *Zhusha* (Cinnabar, ground) *Baifuzi* (Typhonium Rhizome) *Qingfen* (Calomel) *Baijiangcan* (White Silkworm, straight ones) *Ruxiang* (Frankincense, ground. Each 1 fen) *Banxia* (Pinellia Tuber, soaked in Ginger Juice overnight, roasted. 0.5 liang) *Gudi* (Melon Peduncle. 49 pieces) *Shexiang* (Musk. 1 qian, ground)
Thirteen ingredients powdered. Make ointment with *Shinao* (Camphor Oil). Dose size of mung bean, dissolve in Gold/Silver Mint Decoction. If jaw locked, add one pill, rub to open.
*jubao Fang* *Hujing Wan* (Tiger Eye Pill) treats infantile acute/chronic convulsions, uneasy spasms, upward gaze.
*Hujing* (Tiger Eye. One, wine-roasted, kernel taken) *Qingdai* (Indigo Naturalis. 3 qian) *Jigangzi Rou* (Jujube Thorn Flesh. 20 pieces) *Zhusha* (Cinnabar, ground) *Fenshuang* (Calomel) *Qingfen* (Calomel. Each 1 qian) *Niuhuang* (Calculus Bovis. 1