汉东王先生论小儿惊风可医者十一∶
非时 眼，惊入肝。何以知在肝？肝主筋，肝受邪，故搐于眼。若眼赤，是肝之外应，故非时 眼，必粪青
也。梦里切牙，惊入肾。何以知在肾？肾主骨、齿也。其齿痒，及夜属阴，乃切牙，故知惊入肾也。夜啼至晓，
惊入肠。何以知在小肠？小肠，是心之腑。心属南方丙丁火，阴阳相克，故入小肠，至晓乃歇。日属阳，夜属
阴，乃相克，故啼尔。面青下白，惊入胆。何以知在胆？肝属木，其色青，胆是肝腑，故面青下白而知在胆，必须吐奶
也。（下白，尿、粪白也。大抵面青概是寒候，则二便矣。）气喘吃水，惊入肺。何以知在肺？肺主气，被惊所折其气，
即喘。要吃水者，则是肺虚热，故知在肺，要吃水也。面脸红赤，惊入心。何以知入心？其心属火，又主血，
外应脸，故令面赤，是知入心也。喘气微细，惊入肝。何以知入肝？其喘即是肺也。肝属木，肺属金，故知阴
伤阳也。其人当粪青，睡时手脚俱搐不定。如治惊，宜下洗肝丸散矣。前后五心热，惊入脾。何以知入脾？胃
与脾俱像土，胃主四肢，故知入脾也。胃者，是脾之腑。其人必当吐后发热不时是也。喉内如锯，惊人大
肠。何以知入大肠？大肠是肺之腑。肺为诸脏之上盖，又主于气，入大肠则上冲咽喉，作声而响。如无痰，
故知入大肠。宜下，取惊积药。无时干呕，惊入胃。何以知入胃？其胃在咽喉下，主化谷。食被惊，风入其中则
痒，而时时干呕，故知在胃也。宜谓胃气后下惊风药耳。睡中惊哭，渴在三焦。何以知在三焦？其三焦无形状，
只是脂膜。睡着时，上焦被惊邪所干，即乃惊起而哭，故知此患在于三焦。发后日久自瘥。只宜下惊药也。
汉东王先生又论小儿惊风不可医者七∶
惊风爪甲黑不医。其爪甲主肝，肝绝则不荫。其爪甲黑者不医，亦为血绝，血不荫则爪甲黑，十无一存也。
惊风泻黑血不医，此为心绝。心主血，心绝则不能荣于血，此人不得一周时也。何以知之？心是五脏之主。主
若绝，故只得一日而死也。惊风日多盗汗不医。何以不医？汗者主于气，气是卫之所系，卫绝则不管于气，故
令汗出不止，数日而死耳。惊风忽作邪声不医。此为肺绝声，只有出而不回。肺亦主声，肺绝则声一去而无回。
其人三日必死也。惊风咬人不医。其咬人者，是骨绝。主在齿。其骨若绝，故令齿痒，便则咬人。约七日死。
为从里损出则迟，故在七日矣。惊风眼半开半闭不医，此谓之肾绝。肾是五脏之根本，外应其眼，其眼黑肿，
其肾绝则无光、无力、不能开闭其眼，四日而死。何以知？其肾属北方而首末，其病从下上，故知只四日而必
死。惊风口鼻干黑不医，此为脾绝。何以知其脾绝？脾主津液，脾绝则津液俱无，乃知是脾绝，两日死，死时
须寅卯时，木克土也。凡是惊风者，则身体壮热，卧则惊叫不时。脾风多因吐而得，必有风痰。急惊风者，只
是中外邪也。慢惊风者，是虚积生、胎惊、胎热之所为也。
钱乙论病误用巫云∶王驸马子五岁，病目直视而不食。或言有神祟所使，请巫师祝神烧纸钱，不愈。召钱
至，曰∶脏腑之疾，何用求神。钱与泻肝丸，愈。（方见惊热门中。）
《婴童宝鉴》论∶小儿惊风，但身热，惊哭不止，睡眠不静，手足微微螈 ，不食乳，或如伤寒候也。
翰林待诏杨大邺论小儿生下百日内难养者，为胃肠未整，神气微怯，举动多惊。此盖由在胎之时，母多吃
动风及粘滑肥腻之物，炙爆诸般肉等，兼嗔怒不常，言话高声交合阴阳之时，摇动百脉；或生时坐婆疏拙，使
口中不净；或带风入四肢；或浴当风包裹失度，被浮热引恶物于脾胃之间，渐流散于五脏六腑，毒瓦斯既得，荣
卫差牙。初即频频吐 ，腹胀是常，时时呵来喷去，往往睡里虚惊；或即手足缓怠，目带上翻，寻究病源，岂
是卒然。
《保生论》小儿惊候（其脉急数∶）惊者，乃肾受惊也。惊热之气，流灌于心，心为帝王，不受触搦，既受触搦，
便生风候。（《素问》云∶肾主怒，小儿才受触搦，便有面青呵欠候。）孩儿面青色，是惊。若一次受惊，看太阳左侧，
青脉朝眼是也。
（男左女右。）第二次受惊，山根上青脉是也。第三次受惊，眼下睑连金匮有青见是也。三处皆有青者，皆是受惊
极候。主小儿睡中惊掷，见人恐怖，咬齿无时，喉内有涎，浑身抽掣，手足螈 ，吐食，非时吐舌，将手拿人，多哭
不住，凡有此者，皆是惊候。若小儿风热盛，乃惊痰流灌肝心二脏，令小儿忽然眼目上视，手足急搐，恶叫，
暴绝闷死，此名急风疾候，宜与压涎乳香散二服（方见本门，）次与生银丸三服（方与《吉氏家传》方同，见急慢惊风
门中）下惊涎。若小儿脏腑虚薄，惊涎灌心胞络，令儿眼目缓慢，手足微动，喉内涎响，浑身不热，此慢惊风候，宜与
生银丸，次与镇心丸。（镇心丸方与《凤髓经》同，见本门中。）若惊风死候，则其脉弦大，鱼口开，气粗，喉中如牵锯，
项软无力，脚面直，囟肿囟陷，目似开不开，泻如痢血，身体软无力，以上并是死候，不可用药医救。
《飞仙论》小儿病候∶小儿非时吊上眼，是肝惊。小儿非时梦里切牙，是骨惊。小儿夜啼至晓，是肝惊入
肺。小儿非时要咬奶，是惊带邪气。小儿面上青白色，是惊风。小儿前后心热及四肢热，是惊。小儿非时面
红赤，是惊入心。小儿上黑色要叫，是惊风面。小儿口内微喘细，是惊。小儿夜卧有盗汗，是惊风。小儿白日
多睡，是惊风。
《茅先生方》小儿初受惊风候歌∶
惊风之候有多般，说出根源见易难。梦里切牙惊入骨，非时眼上病归肝。夜啼到晓声无息，面黑兼青候一
般。前后心烦四肢热，面红如血向心间，夜啼盗汗日多困，气粗吃水肺邪干。恶声频叫形多黑，非时咬奶肾邪
端。口中气喘眼直视，此是惊风仔细观。
又小儿惊风死候歌∶
小儿如得惊风候，指甲青兼黑似烟，口吐白虫便黑血，眼开不闭半抬肩，咬人白日多惊汗，忽作鸦声不可看。
又小儿惊风死候歌∶
项软都无力，喉中似锯枋，面红妆色见，目暗杳无光，鱼口开粗气，脚项直偏长，啮衣胡乱咬，瘀血泻于
床，睛开还又闭，浑身硬似僵。十般惊疾病，休用更思量。
《惠济》小儿惊风日久肝脏绝候歌∶
壮热头旋不举头，目黄眼涩也堪忧，有时 奶兼翻食，四体如冰痛入喉。须信本因惊患得，连绵日久更何
求。只因命尽归泉壤，脉乱薄洪却似钩。
《养生必用》说∶诸蛇骨牙皆有大毒，取之特慎，伤人多损性命。僵蚕去丝嘴，锉碎，炒赤色。蛇蜕炙。黄
蝉蜕洗去土，去头、翅、足，焙，蛇酒浸，去皮骨，取肉，焙干。蜣 去头、翅、足，炙令焦。蛇黄烧令赤，
醋淬五次。蜣 勿用伤水者。（惊药内多用之，故载其说于此。）
本草治小儿夜惊，大人因惊失心方。
上取震肉作脯，与食之。此畜为之天雷所霹雳者是。
《仙人水鉴》牛黄散 压惊镇心，治风，退一切病。
郁金（二个，裹炮） 甘草（二钱） 巴豆（三七粒，出油尽） 半夏（七个，姜汁煮干） 白附子（去皮，生用）
雄黄 朱砂（各细研） 犀角（末） 干蝎（炙。各一钱）
上为末，研匀，入麝香少许。每服一字，薄荷汤调下。
《仙人水鉴》治惊风。水银膏
水银（半两，用石脑油研如泥） 白天南星（生，末） 白附子（生，末。各抄一钱） 白龙脑（生） 腻粉（各
一钱） 蝎梢（二十一个，研）
上为末，研如泥，候次日于乳钵内取出，丸如绿豆大。一丸至两丸薄荷汤下。
《斗门方》治小儿未盈月惊着，似中风欲死者。
上用朱砂，以新汲水浓磨汁，涂五心上，立瘥，最有神效。
日华子治惊邪癫痫，小儿客忤，消食及冷气方。
上并煎铁屑汁服之。
陶隐居作小儿浴汤，主惊忤。
上以升麻取叶， 汁作汤，浴之。
陶隐居治小儿惊邪方。
上取燕窠与燕屎同多少，以作汤，浴儿，疗惊邪也。
《圣惠》治小儿不吃乳，眼目不开，手足牵挽，此是惊风。朱砂散方
朱砂 龙齿 硝石（各一分）
上件药，都细研为散。每服，煎竹叶汤，放温，调下一字。如二岁以上儿，每服半钱。
《圣惠》治小儿胎风，惊风，搐搦，状如天 。宜服 散方
（微炒） 白胶香（各一分） 白芥子（三十粒） 阿魏（半分，研入） 白僵蚕（十五枚，微炒）
上件药捣，细罗为散。不计时候，以薄荷酒调下一字。量儿大小加减，服之良久，微汗出瘥。
《圣惠》治小儿被惊风。
雄鸡冠血
上件药一、二岁每服用少许滴在口中，三、四岁儿每服取一小橡斗子许滴在口中，一日二服。
《博济方》治小儿惊食哽气。青黛丸
青黛 木香 豆蔻 槟榔（各一分） 麝香（一钱） 续随子（一两，去皮） 虾蟆（三个，烧存性）
上件七味，同为细末，炼蜜和丸如绿豆大。每服五丸，薄荷汤下。
《灵苑》雄朱丹 治小儿惊风方。
雄黄 朱砂 麝香（各研） 腻粉（各半两） 白附子 半夏（汤洗七遍） 天南星（炮） 川乌头 附子（各生，
去皮脐） 干蝎 羌活 天麻 川芎 肉桂（去粗皮） 白僵蚕 木香 白藓皮 乌蛇 花蛇（并酒浸，去皮骨，取肉，
炙用。以上各一两） 巴豆（半两，去心、膜，薄荷汁煮五、七十沸，净洗，纸裹压出油用）
上二十味为末，令匀，粟米粥为丸如绿豆大，常服，茶酒下三丸；冷气，生姜汤下；宿食不消，橘皮汤下；
大小便不通，甘草豆淋酒下；急风，薄荷酒下，瘫缓。豆淋酒下；酒食伤，生姜汤下；元气，茴香酒下；血
气，荆芥酒下，或醋汤下，大肠秘涩，生姜汤下；白痢，椒汤下；风眼，淡竹叶汤下；坐间便退头风，槐枝
汤下；风疹，蜜酒下；赤白痢，二宜汤下；头痛伤寒，盐汤下；赤痢，甘草汤下；小儿疳，米饮下；治风眼，
古井水下；小儿风眼，古井水煎淡竹叶汤下；小儿惊风，薄荷乳汁下。
《灵苑》化风涎，治积年心恙，诸痫，风癫，谬忘昏乱及小儿惊风。益精神，开心志，镇惊消痰。牛黄散方
牛黄 犀角屑 羚羊角屑 雄黄 人参 硼砂 铁粉 铅霜 郁金 腻粉 辰砂（以上各一分） 北矾（一两半）
脑麝（各半分） 金箔（五十片） 天南星（去皮心，锉如骰子大。入良煞黄牛胆内，悬东北方上百日令干，取三两，
未干则曝，令干。如急要用，捣天南星末，胆汁和为饼子，曝干用。
上为末。常服一字，小儿半字，薄荷汤调下。中风涎甚及心疾，每服一钱，小儿一字，薄荷自然汁调
下。如中风吐涎，临时加腻粉半钱同服。
《灵苑》治卒中，感厥，诸痫，小儿惊风，涎满口噤，立效。透关散
朱砂 水银（同朱砂研如铁色，无星为度） 龙脑 腻粉（以上各一钱） 牛黄（少许）
上五味同研为细末。分作三服，同煎薄荷汤调下。取出恶物，五七日后更一服，一月更一服。小儿每服一
字，薄荷汤下。口噤者，拗开灌下，甚妙。
《灵苑》朱砂散 压惊，安魂定魄，镇心脏，退风热、一切惊风。
朱砂（拣去石，研） 白附子（各二钱） 附子（一个，去皮脐） 天南星（去脐） 天麻 干蝎（全者） 半夏
（汤洗七遍，去滑为度。各一分）
上件药七味各细研锉碎，日晒干，杵、罗为极细散。次入朱砂末，再研合令匀，以瓷罐收之。二岁以下每
服半字，四五岁以下每服一字，强六七岁半钱，十二、十五加至一钱。如是退一切惊热、风热、咳嗽、喉中
壅隘，并宜食后用蜜和热水调下。一切风不问急慢，咬齿、拗项、翻眼、气粗、手足搐搦，并用冷茶清调下。
服良久，膈上有风涎则吐之，不尔汗出立瘥，亦有寻时便定也。有猛发一上者，良久再进一服，痰定后更加
牛黄少许，和前药用薄荷、蜜、熟水调下，日进三服。若要为丸子，用薄荷、生姜汁、蜜、酒煮面糊，杵合
丸如绿豆大。每服用薄荷汤下五丸，更量儿大小岁数临时加减，忌动风毒物。
太医局润体丸 治诸风手足不随，神志昏愦，语言謇涩，口眼 僻，筋脉挛急，骨节烦疼，头旋眩晕，恍惚不
宁，健忘怔忪，痰涎壅满及皮肤顽浓，麻痹不仁，小儿惊风诸痫。
雄黄 辰砂（各水飞） 牛黄 乳香 生犀（末） 羚羊角（末） 麝香（七味各别研如粉） 白龙脑（别研极细）
沉香 木香 丁香 藿香叶 槟榔 肉豆蔻仁 白僵蚕（微炒） 蒺藜子（微炒） 蔓荆子（去白皮） 黑附子（炮裂，
去皮、脐、尖） 防风（去芦头枝） 麻黄（去根节。以上各一两） 人参 羌活（各去芦头） 白茯苓（去黑皮） 白
附子 桂（去粗皮） 晚蛾蚕（微炒） 芎 （以上各一两半） 干蝎（微炒） 半夏（水煮三十沸，薄切，焙干，入
生姜汁炒） 川乌头（炮裂，去皮、脐、尖，捣碎，炒黄。以上各二两） 白花蛇（酒浸炙，去皮骨取肉） 天麻（去
(Startling and Lockjaw Diseases) There are twelve categories in total.
Mr. Wang from Handong discusses eleven types of pediatric convulsive syndrome (Xiao'er Jingfeng, a condition characterized by convulsions and staring in children) that can be cured:
Abnormal eye symptoms indicate the pathogen has entered the Liver (Gan). How do we know it is in the Liver? The Liver governs the sinews; when the Liver is affected by pathogens, the eyes twitch. If the eyes are red, this is an external manifestation of the Liver; thus, abnormal eye symptoms must be accompanied by green stools. Grinding teeth in dreams indicates the pathogen has entered the Kidney (Shen). How do we know it is in the Kidney? The Kidney governs bones and teeth. Itchy teeth and night-time grinding (night being Yin) indicate the pathogen has entered the Kidney. Crying at night until dawn indicates the pathogen has entered the Small Intestine (Xiaochang). How do we know it is in the Small Intestine? The Small Intestine is the Fu organ of the Heart. The Heart belongs to Fire (Bing-Ding in the South); Yin and Yang mutually overcome each other, so the pathogen enters the Small Intestine and stops at dawn. Day is Yang, night is Yin; their mutual overcoming causes crying. A blueish-white face with white stool/urine indicates the pathogen has entered the Gallbladder (Dan). How do we know it is in the Gallbladder? The Liver belongs to Wood and its color is blue; the Gallbladder is the Fu organ of the Liver; thus, a blue face and white excreta indicate the pathogen is in the Gallbladder, and vomiting of milk is inevitable. (White excreta refer to white urine and stool. Generally, a blue face indicates a cold pattern, affecting both urine and stool.) Panting and craving water indicate the pathogen has entered the Lung (Fei). How do we know it is in the Lung? The Lung governs Qi; startled and damaged Lung Qi causes panting. Craving water indicates deficiency-heat in the Lung; thus, the pathogen is in the Lung, causing thirst. Red cheeks indicate the pathogen has entered the Heart. How do we know it has entered the Heart? The Heart belongs to Fire and governs blood, externally manifesting in the cheeks; thus, red cheeks indicate the pathogen has entered the Heart. Weak and fine breathing indicates the pathogen has entered the Liver. How do we know it has entered the Liver? This panting actually involves the Lung. The Liver belongs to Wood, and the Lung to Metal; thus, we know Yin has injured Yang. This person will likely have green stools and restless twitching of hands and feet during sleep. To treat startling, purgative methods should be used, such as Xi Gan Wan (Liver-Washing Pill). Heat in the five centers (palms, soles, and chest) indicates the pathogen has entered the Spleen (Pi). How do we know it has entered the Spleen? The Stomach and Spleen both correspond to Earth; the Stomach governs the four limbs; thus, the pathogen enters the Spleen. The Stomach is the Fu organ of the Spleen. This person will likely experience intermittent fever after vomiting. A sawing sound in the throat indicates the pathogen has entered the Large Intestine (Dachang). How do we know it has entered the Large Intestine? The Large Intestine is the Fu organ of the Lung. The Lung is the canopy of the Zang organs and governs Qi; when the pathogen enters the Large Intestine, it rushes upward to the throat, making noise. Without phlegm, we know the pathogen is in the Large Intestine. Purging with medicines for startling and accumulation is appropriate. Spontaneous dry heaving indicates the pathogen has entered the Stomach. How do we know it has entered the Stomach? The Stomach is below the throat and governs the digestion of grain. When food is startled and wind-pathogen enters, it causes itching and frequent dry heaving; thus, we know it is in the Stomach. It is appropriate to regulate Stomach Qi first before administering anti-convulsant medicines. Startled crying during sleep and thirst indicate the pathogen is in the Sanjiao (Triple Burner). How do we know it is in the Sanjiao? The Sanjiao has no specific shape but consists of fatty membranes. When asleep, if the Upper Jiao is disturbed by startling pathogens, the child wakes up crying; thus, we know the disease lies in the Sanjiao. It will recover naturally after some days. Only anti-startling medicines are appropriate.
Mr. Wang from Handong also discusses seven types of pediatric convulsive syndrome that cannot be cured:
Convulsive syndrome with black fingernails cannot be cured. Fingernails are governed by the Liver; Liver exhaustion fails to nourish them. Black fingernails indicate blood exhaustion; without nourishment, fingernails turn black, and ten out of ten cases die. Convulsive syndrome with black blood in stool cannot be cured; this indicates Heart exhaustion. The Heart governs blood; Heart exhaustion fails to nourish the blood; this person will not survive a week. How do we know? The Heart is the master of the five Zang organs. If the master exhausts, death occurs within one day. Convulsive syndrome with excessive daytime sweating cannot be cured. Why? Sweat is governed by Qi; Qi is linked to Wei-Qi (Defensive Qi). Wei-Qi exhaustion fails to control Qi, leading to incessant sweating and death within a few days. Convulsive syndrome with sudden strange sounds cannot be cured. This is the sound of Lung exhaustion, where breath exits but does not return. The Lung also governs voice; Lung exhaustion means the voice goes and does not return; death occurs in three days. Convulsive syndrome with biting people cannot be cured. Biting indicates bone exhaustion. Bones are manifested in the teeth. Bone exhaustion causes itchy teeth, leading to biting; death occurs in about seven days. Because damage originates internally and manifests slowly, it takes seven days. Convulsive syndrome with half-open, half-closed eyes cannot be cured; this is called Kidney exhaustion. The Kidney is the root of the five Zang organs, externally manifesting in the eyes. Swollen black eyes with no light or strength to open/close indicate Kidney exhaustion; death occurs in four days. How do we know? The Kidney belongs to the North and the lower body; the disease rises from below; thus, death occurs in four days. Convulsive syndrome with dry, black mouth and nose cannot be cured; this indicates Spleen exhaustion. How do we know Spleen exhaustion? The Spleen governs fluids; Spleen exhaustion means all fluids are gone; thus, Spleen exhaustion is confirmed; death occurs in two days, typically at Yin-Mao hours (5 AM - 9 AM), because Wood overcomes Earth. All convulsive syndrome patients present with high fever and startle calls while lying down. Pi-Feng (Spleen Wind) often results from vomiting and involves wind-phlegm. Ji-Jing Feng (Acute Convulsive Syndrome) is caused by internal and external pathogens. Man-Jing Feng (Chronic Convulsive Syndrome) is caused by deficiency accumulations, fetal startling, and fetal heat.
Qian Yi discusses the error of using witchcraft: The son of Prince Wang, aged five, had fixed staring eyes and refused to eat. Someone claimed it was caused by spirits and invited a wizard to burn paper money; the illness did not improve. Qian Yi was summoned and said, "Why seek gods for diseases of the Zang and Fu?" Qian Yi prescribed Xi Gan Wan (Liver-Washing Pill), and the child recovered. (Formula see in the Startling Heat section.)
*Ying Tong Bao Jian* discusses: Pediatric convulsive syndrome presents with body heat, incessant startled crying, restless sleep, slight twitching of hands and feet, refusal to nurse, or symptoms resembling Taiyang disease (Exterior Syndrome).
Yang Daye, Hanlin Daizhao, discusses why infants under 100 days are difficult to nurture: Their gastrointestinal tract is immature, and their Shen-Qi (Spirit-Qi) is weak and timid, making movements prone to startling. This is likely due to the mother consuming wind-inducing, sticky, slippery, and greasy foods, roasted meats, etc., during pregnancy, combined with frequent anger, loud speaking, and vigorous intercourse shaking the meridians; or uncleanliness from the midwife; or wind entering the limbs; or improper wrapping after bathing, allowing floating heat to draw evil substances into the Spleen and Stomach, gradually dispersing into the six Fu and five Zang organs. Once toxic vapors enter, Ying and Wei (Nutritive and Defensive) Qi become imbalanced. Initially, frequent vomiting and abdominal distension are common; yawning and spitting occur often; false startling during sleep happens; or limbs become flaccid and eyes roll back. Investigating the source, how could this happen suddenly?
*Bao Sheng Lun* discusses pediatric startling signs (pulse is rapid and urgent): Startling is caused by the Kidney receiving shock. Shock-heat Qi flows into the Heart. The Heart is the Emperor and does not accept disturbance; once disturbed, wind patterns arise. (*Su Wen* states: The Kidney governs anger; when a child is startled, they show bluish face and yawning.) A bluish face in a child indicates startling. For the first instance of startling, look at the left side of the Taiyang area; a blue vein facing the eye indicates this. (For males, left; for females, right.) For the second instance, a blue vein on the Shan Gen (root of the nose) indicates this. For the third instance, a blue vein appearing on the lower eyelid connected to the Jin Kui (golden enclosure, referring to the inner canthus) indicates this. Blue veins in all three areas indicate extreme startling. This governs children who startle and throw things in sleep, fear people, grind teeth incessantly, have saliva in the throat, whole-body spasms, hand-foot convulsions, vomiting, protruding tongue, reaching out to grab people, and incessant crying. All these are signs of startling. If a child has excess wind-heat, startling phlegm flows into the Liver and Heart, causing sudden upward gaze, acute hand-foot convulsions, screaming, suffocation, and sudden death; this is named Ji Feng Ji Hou (Acute Wind Disease Pattern), and Ya Xian Ru Xiang San (Phlegm-Suppressing Dragon's Blood Powder) should be given twice (see this section), followed by Sheng Yin Wan (Raw Silver Pill) three times (same formula as *Ji Shi Jia Chuan*, see Acute/Chronic Convulsive Syndrome section) to purge startling phlegm. If a child has deficient and thin Zang-Fu, startling phlegm floods the Pericardium and Collaterals, causing slow eye movement, slight hand-foot movement, rattling saliva in the throat, and no body heat; this is Man-Jing Feng (Chronic Convulsive Syndrome) pattern, and Sheng Yin Wan should be given, followed by Zhen Xin Wan (Heart-Calming Pill). (Zhen Xin Wan formula is same as *Feng Sui Jing*, see this section.) If there are signs of death in convulsive syndrome, the pulse is wiry and large, the fish-mouth opens, breathing is coarse, the throat sounds like a saw, the neck is soft and weak, the legs are straight, the fontanelle is swollen or sunken, the eyes seem open but closed, stool resembles bloody dysentery, and the body is soft and weak; all these are signs of death, and medication cannot save them.
*Fei Xian Lun* discusses pediatric disease patterns: Abnormal upward staring of eyes in children is Liver startling. Grinding teeth in dreams is Bone startling. Night crying until dawn is Liver startling entering the Lung. Craving to bite the nipple is startling carrying evil Qi. A blue-white face is convulsive syndrome. Heat in the front/back chest and limbs is startling. Abnormal red face is startling entering the Heart. An upper black face with crying is convulsive syndrome face. Fine panting in the mouth is startling. Night sweats are convulsive syndrome. Excessive daytime sleep is convulsive syndrome.
*Mao Xian Sheng Fang* Song on Initial Signs of Pediatric Convulsive Syndrome:
There are many signs of convulsive syndrome; stating the root reveals difficulty. Grinding teeth in dreams indicates shock entering bones; abnormal eye issues belong to the Liver. Night crying until dawn ends with silent voice; black and blue faces share similar signs. Heat in the front/back chest and limbs; red face like blood points to the Heart. Night crying and daytime sweat cause fatigue; coarse breathing and drinking water indicate Lung pathogen disturbance. Strange sounds and frequent calling with dark form; craving to bite milk indicates Kidney pathogen origin. Mouth panting and fixed staring eyes; carefully observe this convulsive syndrome.
Song on Death Signs of Pediatric Convulsive Syndrome:
If a child gets convulsive syndrome, nails turn blue-black like smoke; mouth vomits white worms and black blood; eyes stay open or half-lift shoulders; biting people, daytime sweat, sudden crow-like sounds are unlookable.
Another Song on Death Signs of Pediatric Convulsive Syndrome:
Neck soft and weak, throat like a saw blade; red face with makeup color, eyes dark and lightless; fish-mouth open with coarse breath, legs and neck straight and long; chewing clothes randomly, bruised blood on bed; eyes open then close, whole body stiff as wood. Ten kinds of startling diseases, do not bother thinking further.
*Hui Ji* Song on Liver Exhaustion Signs from Long-standing Pediatric Convulsive Syndrome:
High fever, dizziness, unable to lift head; yellow eyes and dryness are worrying. Sometimes vomiting milk and turning over food; four limbs like ice, pain entering throat. Believe this originated from startling; lingering for days, what more to seek? Only because life ends returning to dust; pulse chaotic, thin and surging yet hook-like.
*Yang Sheng Bi Yong* states: Snake bones and teeth all have great toxicity; special caution is needed when harvesting them, as harming people often damages life. Silkworm (Jiang Can) remove silk mouth, chop, stir-fry until red. Snake skin roast. Cicada slough wash off dirt, remove head, wings, feet, bake. Snake wine soak, remove skin and bones, take meat, bake dry. Dung beetle remove head, wings, feet, roast until charred. Snake gall roast until red, quench in vinegar five times. Do not use dung beetles injured by water. (Often used in startling medicines, hence recorded here.)
Materia Medica prescription for pediatric night startling and adult heart loss due to startling:
Take meat from a creature struck by thunder, make it into jerky, and feed it. This refers to animals struck by heavenly thunder.
*Xian Ren Shui Jian* Niuhuang San (Calculus Bovis Powder) Suppresses startling, calms the Heart, treats wind, and resolves all diseases.
Jinyu (Curcuma aromatica Rhizome) (2 pieces, wrapped and roasted) Gancao (Licorice Root) (2 qian) Badou (Croton Seed) (3-7 grains, oil pressed out) Banxia (Pinellia Tuber) (7 pieces, boiled in ginger juice until dry) Baifuzi (Typhonii Rhizoma) (peeled, raw) Xionghuang (Realgar) Zhusha (Cinnabar) (each finely ground) Xijiao (Rhinoceros Horn) (powder) Ganzhe (Dry Scorpion) (roasted. Each 1 qian)
Grind all into powder, mix evenly, add a little Muxiang (Moschus/Musk). Take one zi dose each time, mixed with Bohe Tang (Mint Decoction).
*Xian Ren Shui Jian* Treats Convulsive Syndrome. Shuiyin Gao (Mercury Ointment)
Shuiyin (Mercury) (0.5 liang, ground with petroleum naphtha into mud) Bai Tian Nanxing (Arisaema Cum Bile) (raw, powder) Baifuzi (Typhonii Rhizoma) (raw, powder. Each 1 qian) Bai Long Nao (Borneolum Syntheticum) (raw) Nin Fen (Calomel) (Each 1 qian) Xie Shao (Scorpion Tail) (21 pieces, ground)
Grind all into powder, mix into mud. Next day, take out in a mortar, pill into mung bean-sized pills. Take 1-2 pills with Mint Decoction.
*Dou Men Fang* Treats infants under one month old struck by startling, resembling stroke and near death.
Use Zhusha (Cinnabar), grind thickly with fresh well water, apply juice to the five centers; immediate recovery, most efficacious.
Ri Hua Zi prescription for startling evil epilepsy, pediatric Ke Wu (stranger fright), digesting food and cold qi:
Decoct iron filings juice and drink.
Tao Hongjing prepares a bath decoction for children, treating startling fright.
Take leaves of Shengma (Cimicifugae Rhizoma), crush juice, make decoction, bathe child.
Tao Hongjing prescription for pediatric startling evil:
Take swallow nest and swallow feces in equal amounts, make decoction, bathe child to treat startling evil.
*Sheng Hui* Treats children refusing milk, eyes not opening, limbs pulling; this is convulsive syndrome. Zhusha San (Cinnabar Powder) Formula
Zhusha (Cinnabar) Longchi (Dragon Teeth) Xiaoshi (Niter) (Each 1 fen)
Grind all medicines finely into powder. Each dose, decoct Bamboo Leaf Soup, let cool, mix one zi dose. For children over two years, take half qian each dose.
*Sheng Hui* Treats pediatric Tai Feng (Fetal Wind), convulsive syndrome, convulsions resembling heavenly fishing rod. Should take [Missing Name] Powder Formula
[Missing Herb] (lightly stir-fried) Bai Jiao Xiang (Elemi Resin) (Each 1 fen) Bai Jie Zi (White Mustard Seed) (30 grains) Awei (Asafoetida) (0.5 fen, ground in) Bai Jiang Can (White Silkworm) (15 pieces, lightly stir-fried)
Pound all medicines, sift finely into powder. Take at any time, mix with Mint Wine, one zi dose. Adjust based on child's size. After taking for a while, slight sweating leads to recovery.
*Sheng Hui* Treats children struck by convulsive syndrome.
Rooster Comb Blood
For 1-2 year olds, take a small amount, drip into mouth; for 3-4 year olds, take a small acorn cup amount, drip into mouth. Twice daily.
*Bo Ji Fang* Treats pediatric startling-food choking Qi. Qingdai Wan (Indigo Naturalis Pill) Formula
Qingdai (Indigo Naturalis) Muxiang (Aucklandiae Radix) Doukou (Cardamomi Fructus) Binglang (Arecae Semen) (Each 1 fen) Muxiang (Moschus/Musk) (1 qian) Xusui Zi (Euphorbia Lathyris Seed) (1 liang, peeled) Xama (Toad) (3 pieces, burned retaining nature)
Seven ingredients, grind together into fine powder, mix with refined honey into mung bean-sized pills. Take 5 pills each time, with Mint Decoction.
*Ling Yuan* Xiong Zhu Dan (Realgar-Cinnabar Pill) Treats Pediatric Convulsive Syndrome Formula.
Xionghuang (Realgar) Zhusha (Cinnabar) Muxiang (Moschus/Musk) (each ground) Nin Fen (Calomel) (Each 0.5 liang) Baifuzi (Typhonii Rhizoma) Banxia (Pinellia Tuber) (washed 7 times in boiling water) Tian Nanxing (Arisaema Cum Bile) (processed) Chuan Wutou (Aconitum Carmichaelii Radix Preparata) Fuzi (Prepared Aconite Root) (each raw, peel and remove umbilicus) Ganzhe (Dry Scorpion) Qianghuo (Notopterygii Rhizoma et Radix) Tianma (Gastrodiae Rhizoma) Chuanxiong (Ligustici Chuanxiong Rhizoma) Rougui (Cinnamomi Cortex) (remove rough bark) Bai Jiang Can (White Silkworm) Muxiang (Aucklandiae Radix) Baixianpi (Dictamni Cortex) Wushe (Taipan) Huashe (Bamboo Pit Viper) (all wine-soaked, peel skin and bones, take meat, roast. Each above 1 liang) Badou (Croton Seed) (0.5 liang, remove heart and membrane, boil in mint juice 50-70 times, wash clean, wrap in paper press out oil)
Twenty ingredients, grind into powder, mix evenly. Use millet porridge to pill into mung bean-sized pills. Regularly take, 3 pills with tea/wine; for cold qi, Ginger Soup; for retained food, Tangerine Peel Soup; for constipation, Licorice Bean Dripping Wine; for acute wind, Mint Wine; for paralysis, Dripping Wine; for alcohol/food injury, Ginger Soup; for Yuan Qi, Fennel Wine; for Blood/Qi, Schizonepeta Wine or Vinegar Soup; for large intestine constipation, Ginger Soup; for white dysentery, Pepper Soup; for wind eyes, Light Bamboo Leaf Soup; for headache wind, Sophora Branch Soup; for wind urticaria, Honey Wine; for red/white dysentery, Er Yi Soup; for headache/Taiyang, Salt Soup; for red dysentery, Licorice Soup; for pediatric malnutrition, Rice Drink; for wind eyes, Ancient Well Water; for pediatric wind eyes, Ancient Well Water decocted Light Bamboo Leaf Soup; for pediatric convulsive syndrome, Mint Milk Decoction.
*Ling Yuan* Hua Feng Xian (Transform Wind Phlegm), treats chronic heart ailments, various epilepsies, wind mania, confusion and amnesia, and pediatric convulsive syndrome. Benefits spirit, opens mind, calms startling, eliminates phlegm. Niuhuang San (Calculus Bovis Powder) Formula
Niuhuang (Calculus Bovis) Xijiao (Rhinoceros Horn) Lingyangjiao (Saiga Antelope Horn) Xionghuang (Realgar) Renshen (Ginseng Radix et Rhizoma) Pengsha (Borax) Tifen (Iron Powder) Qianshuang (Lead Frost) Jinyu (Curcuma aromatica Rhizome) Nin Fen (Calomel) Chen Sha (Vermilion/Cinnabar) (Each above 1 fen) Bei Fan (Alumen) (1.5 liang)
Naoshe (Borneol and Musk) (Each 0.5 fen) Jinbo (Gold Foil) (50 pieces) Tian Nanxing (Arisaema Cum Bile) (peel heart, chop like dice cubes. Put inside good yellow ox gall, hang in northeast direction for 100 days until dry, take 3 liang. If not dry, expose to sun. If urgently needed, grind Tian Nanxing powder, mix with gall juice into cakes, sun-dry.)
Grind all into powder. Regularly take one zi dose, half zi for children, mixed with Mint Decoction. For severe wind-stroke phlegm and heart disease, take 1 qian each dose, one zi for children, mixed with natural Mint Juice. If wind-stroke causes phlegm vomiting, temporarily add 0.5 qian Nin Fen to take together.
*Ling Yuan* Treats apoplexy, syncope, various epilepsies, pediatric convulsive syndrome, phlegm filling mouth and lockjaw, immediate effect. Tou Guan San (Pass Through Barrier Powder)
Zhusha (Cinnabar) Shuiyin (Mercury) (grind with Zhusha until iron-colored, no stars remaining) Long Nao (Borneolum Syntheticum) Nin Fen (Calomel) (Each above 1 qian) Niuhuang (Calculus Bovis) (small amount)
Five ingredients, grind together into fine powder. Divide into three doses, decoct Mint Tea together to mix. Expel evil substances. After 5-7 days, take another dose; after one month, take another dose. Children take one zi dose each time, with Mint Decoction. For lockjaw, pry open and pour in; very effective.
*Ling Yuan* Zhusha San (Cinnabar Powder) Suppresses startling, calms soul and spirit, settles Heart, clears wind-heat and all convulsive syndrome.
Zhusha (Cinnabar) (select stones, grind) Baifuzi (Typhonii Rhizoma) (Each 2 qian) Fuzi (Prepared Aconite Root) (1 piece, peel and remove umbilicus) Tian Nanxing (Arisaema Cum Bile) (remove umbilicus) Tianma (Gastrodiae Rhizoma) Ganzhe (Dry Scorpion) (whole) Banxia (Pinellia Tuber) (wash 7 times in boiling water, remove slipperiness. Each 1 fen)
Seven ingredients, each finely ground and chopped, sun-dry, pound and sieve into extremely fine powder. Then add Zhusha powder, grind again to mix evenly, store in porcelain jar. Under 2 years: half zi dose; 4-5 years: one zi dose; strong 6-7 years: half qian dose; 12-15 years: increase to 1 qian. To clear all startling heat, wind-heat, cough, throat obstruction, take after meals mixed with honey and hot water. For all wind, acute or chronic, grinding teeth, twisting neck, rolling eyes, coarse breathing, hand-foot convulsions, mix with cold tea. After taking for a while, if wind-phlegm is on diaphragm, vomit it; otherwise, sweating leads to immediate recovery, or it settles quickly. For sudden severe attacks, wait a while then take another dose. After phlegm settles, add a little Niuhuang, mix previous medicine with Mint, honey, and cooked water to take. Three doses daily. If making pills, use Mint, Ginger Juice, Honey, Wine to cook flour paste, pound into mung bean-sized pills. Take 5 pills each time with Mint Decoction, adjust based on child's age and size. Avoid wind-moving toxic foods.
Imperial Medical Bureau Run Ti Wan (Moistening Body Pill) Treats various winds causing limb immobility, confused spirit, slurred speech, deviated mouth and eyes, tendon contraction, joint pain, dizziness, restlessness, forgetfulness, palpitations, phlegm-fullness, skin hardness, numbness, and pediatric convulsive syndrome/epilepsies.
Xionghuang (Realgar) Chen Sha (Vermilion/Cinnabar) (each water-ground) Niuhuang (Calculus Bovis) Ruxiang (Olibanum) Sheng Xi (Fresh Rhinoceros Horn) (powder) Lingyangjiao (Saiga Antelope Horn) (powder) Muxiang (Moschus/Musk) (seven ingredients each ground separately into powder) Bai Long Nao (Borneolum Syntheticum) (ground separately extremely fine) Chenxiang (Aquilaria Lignum) Muxiang (Aucklandiae Radix) Dingxiang (Caryophylli Flos) Huoxiang Ye (Agastaches Folium) Binglang (Arecae Semen) Roudoukou (Myristicae Semen) Bai Jiang Can (White Silkworm) (lightly stir-fried) Jili Zi (Tribuli Fructus) (lightly stir-fried) Man Jing Zi (Viticis Fructus) (remove white skin) Hei Fuzi (Black Prepared Aconite Root) (cracked, peel, remove umbilicus and tip) Fangfeng (Saposhnikoviae Radix) (remove rhizome head and branches) Mahuang (Ephedrae Herba) (remove root joints. Each above 1 liang) Renshen (Ginseng Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) (each remove rhizome head) Baifuling (Poria) (remove black skin) Baifuzi (Typhonii Rhizoma) Gui (Cinnamomi Cortex) (remove rough bark) Wan E Can (Late Moth Silkworm) (lightly stir-fried) Xiong (Ligustici Chuanxiong Rhizoma) (Each above 1.5 liang) Ganzhe (Dry Scorpion) (lightly stir-fried) Banxia (Pinellia Tuber) (boil water 30 times, slice thin, bake dry, stir-fry with ginger juice) Chuan Wutou (Aconitum Carmichaelii Radix Preparata) (cracked, peel, remove umbilicus and tip, crush, stir-fry yellow. Each above 2 liang) Baihua She (Bamboo Pit Viper) (wine-soaked and roasted, peel skin and bones, take meat) Tianma (Gastrodiae Rhizoma) (remove