《圣惠》论∶夫小儿在胎中之时，脏腑未具，神气微弱，其母或调适失宜，食饮不节，嗔怒无度，举动惊胎。
或坐卧当风，或触冒寒暑，腠理开泄，风邪所伤，入于胎中。儿生之后，邪气在于脏腑，不得宣通；而又洗浴
当风，包裹失度，冷触脐带，风伤四肢，乳哺不调，痰热壅积。则令壮热吐 ，睡里饶惊，心神不安，手足抽
掣，身体强直，眼目反张，故号胎风。若风热不除，变成痫疾也。
《石壁经》三十六种内胎风候歌∶
人间此患太幽微，此患医流必少知。一百日中同一气，三周天度是胎期。子生身热如汤泼，胎热还因是母
肥。脑额有疮难得效，必因胎内与夫为。生疮两脚如穿烂，此去难推五岁期。一腊未经先撮口，两拳双握背腰
齐，便知脏腑生邪毒。只限三朝骨肉离。男子握拳指归里，女儿向外不堪医。须看逆候难行药，更求筋脉在
中眉。眉里有筋红碧色，（一云青碧色。四十八候云∶红兼赤。）算来有命莫相疑。若有黑光千万死，（《凤髓经》云∶眉
里赤红。四十八候此一句云∶黑绿若还兼青色。）此身何处觅良医。
此产母食毒物或多饮酒，便胎气热。孩儿生下，一如汤泼，身赤有溜，气常急者不治。或有白溜者亦然，
过三岁则定。妇人八、九个月，有身尚未止房事，所以额上并脚上有疮。其疮虽较较而复发甚者，必主脐风、
撮口，牙关紧急，受命亦短，不尽天年也。若生下孩儿，手大指握拳时，男子指在外，女子指在内则顺也，逆
者必死。若眉中上下青红鲜静者生，若色不快则恶候，须节次看证候调理。
《小儿形证论》四十八候胎风歌同。后云∶此候如是头长子，或母身大，或夏天抱惜过度，初生七、八日间
发后看大拇指，男儿向外，女儿向里，更看赤脉在眉间，形证顺则安，逆则死。多有医人不识，呼作脾风者，
误也。可下 丸，（方见一切痫门中。）或大青丹。（方见急慢惊风门中。）三、五岁方进通经散。（方见本门。）
《圣惠》治小儿胎风搐搦，筋脉拘急，牙关或时紧硬。犀角丸方
犀角屑 天南星（炮裂） 白附子（炮裂） 干蝎（微炒） 天麻 麻黄（去根节。各半两） 白花蛇（一两，酒
浸，去皮骨，炙令黄）
以上七味捣，罗为末，用无灰酒二大盏搅令匀，于慢火上煎；旋添酒不住手搅，以酒尽为度。次入∶
牛黄 腻粉 朱砂 水银（以枣肉研令星尽。各一分） 麝香（半分） 虎睛（一对，微炙） 龙脑（一钱）
上件药并细研，都入酒煎，膏内看硬软和丸如绿豆大。不计时候，以竹沥下三丸。量儿大小加减服之。
《圣惠》治小儿胎风惊热，手脚急强。天竺黄散方
天竺黄（细研） 胡黄连 犀角屑 天麻（酒浸，焙干） 蝉壳（微炙。各一分） 牛黄（半分，细研）
上件药捣为散，都研令匀。不计时候，以新汲水调下一字，二岁以上加药服之。
《圣惠》治小儿胎风惊热，搐搦、心神烦乱或渴。牛黄散方
牛黄（细研，半分） 人参（去芦头） 甘草（炙微赤，锉） 郁金 川大黄（锉碎，微炒） 朱砂（细研，水飞
过） 胡黄连（各半两） 真珠（末，一分）
上件药捣，罗为细散，都研令匀。不计时候，以蜜水调下半钱。量儿大小以意加减服之。
《圣惠》治小儿胎风，心热惊痫。朱砂散方
朱砂 牛黄 天竺黄 铁粉（各一分） 麝香（半分）
上件药都研令细，每服以竹沥调下半钱。不计时候，量儿大小以意加减。
《圣惠》治小儿胎风惊热。牛黄散方
牛黄 朱砂（并细研。各一分） 天竺黄 铅霜（各细研） 人参（去芦头。各半两） 马牙硝（一两，细研）
上件药捣，罗细为散。每服以薄荷汤调下半钱，量儿大小加减服之。
《圣惠》治小儿胎风及惊风。虎睛丸方
天麻（酒浸，焙干） 干蝎（微炒） 乌蛇肉（炙微黄） 羌活 独活 僵蚕（微炒） 麝香（细研。各一分） 虎
睛（一对，酒浸，炙微黄）
上件药捣，罗为末，以面糊和丸如绿豆大。每服三丸，研破，不计时候，以薄荷汤服之。
《圣惠》治小儿胎风发作，抽掣，浑身急强，眼目反张。水银丸方
水银 天麻（酒浸，焙干） 天南星（炮裂） 白附子（炮裂） 白僵蚕 干蝎（并微炒。各一两） 脑麝（细研）
藿香（各一分）
上件药捣，罗为末，先用少许枣泥研水银星尽，与诸药末同研令匀，炼蜜和丸如绿豆大。不计时候，以薄
荷酒研三丸服之。量儿大小以意加减，得汗出立效。
《圣惠》治小儿胎风，手足搐搦，遍身壮热。牛黄丸子方
牛黄 朱砂（各细研） 犀角屑 蝎梢（炒） 水银（用黑铅一分同结砂子，细研） 天浆子 天南星（炮裂。各
一分） 麝香（一分，细研）
上件药捣，罗为末，以糯米饭和丸如绿豆大。不计时候，以薄荷汤化破三丸服之。量儿大小以意加减。
《圣惠》治小儿胎中久积风热，发渴，手足搐搦，多惊不睡。露蜂房丸方
露蜂房（炒令黄色） 天南星（炮裂。各半分） 蚕蛾（微炒） 朱砂（细研，水飞过。各半两） 天浆子（三十
枚，微炒） 干蝎（微炒） 腻粉 牛黄（细研） 水银（以枣泥研令星尽。各一分）
上件药捣，罗为末，都研令匀，以炼蜜和丸如绿豆大。不计时候，煎槐、柳、薄荷汤下五丸。量儿大小以
意加减。
《圣惠》治小儿胎风，搐搦、壮热、多惊。天竺黄丸方
天竺黄（细研） 天南星（炮裂） 胡黄连（各半两） 铅霜 牛黄（并研细。各一分）
上件药捣，罗为末，研入牛黄等令匀，用枣肉和丸如绿豆大。不计时候，以乳汁研破三丸服之。量儿大小
以意加减，如三岁以上用酒及荆芥汤下。
《圣惠》治小儿胎风，手足抽掣。宜服牛黄丸方
牛黄 天竺黄（各半两） 羌活（末） 麝香（各一分） 蝎（二枚，头尾全，炒）
上件药研，罗为细末，炼蜜和为丸如麻子大。一、二岁儿不计时候，以薄荷汤下三丸，三四岁儿每服五丸。
量儿大小以意加减。
《圣惠》治小儿胎风，四肢惊掣，痰涎壅滞。宜服水银丸方
水银（半两，黑锡半两同结作砂子） 天麻（酒浸，焙干） 干蝎（微炒） 半夏（汤洗七遍去滑） 郁金 白附
子（炮裂。各一分）
上件药捣，罗为末，以软饭和丸如绿豆大。不计时候，以薄荷汤下一丸。量儿大小加减服之。
四十八候治小儿胎风。通经散方
人参 茯苓 朱砂（各一分） 当归（半两） 蝎 牛胶（各一钱） 蝉蜕（七个） 红芍药（二分） 甘草（五
寸，炙） 犀角（少许）
上为末。每服一钱半，麦门冬汤调下，杏仁汤亦可。
《张氏家传》蝎梢散 治小儿胎风，天 ，客忤，急慢惊风，往来潮搐，涎盛喘逆，哽气不安。
人参（三钱） 白僵蚕（一分，直者） 全蝎（一十四个） 辰砂 真麝（各一分）
上件三味为细末外，再入辰砂、麝香同研匀。每服一字，金银薄荷汤调下。如慢惊，即入白附子末一分。
(Tai Feng Zhong Feng) Divided into ten categories
*Taiping Shenghui Fang* discusses: When a child is in the womb, the Zang-Fu organs are not yet fully developed, and the Shen Qi (Spiritual Energy) is weak. If the mother's regulation is improper, diet is unregulated, anger is excessive, or movements startle the fetus, or if she sits or lies exposed to wind, or is affected by cold and heat, causing the Cou Li (skin pores and texture) to open, Wind Evil invades the body and enters the fetus. After birth, the evil qi remains in the Zang-Fu organs and cannot be dispersed; furthermore, bathing while exposed to wind, improper wrapping, cold touching the umbilical cord, and wind damaging the limbs, along with irregular breastfeeding, lead to the accumulation of Phlegm-Heat. This results in high fever, vomiting, frequent startling during sleep, restlessness of the heart-mind, convulsions of the hands and feet, rigidity of the body, and retraction of the eyes upward. Hence it is called "Tai Feng" (Fetal Wind). If the Wind-Heat is not eliminated, it transforms into Xian Ji (Epilepsy).
Song from *Shibi Jing* on the thirty-six types of Tai Feng conditions:
This disease in the human world is too profound and subtle; medical practitioners surely know little of it. Within the first hundred days, the infant shares one Qi with the mother; three cycles of the Heavenly Stems constitute the fetal period. After birth, the body heat is like being splashed with boiling water; this fetal heat is due to the mother's obesity. Sores on the forehead are difficult to cure, definitely caused by toxins in the womb and the mother's conduct. Sores on both feet resembling rot indicate that survival past five years is unlikely. Before one month of age, if there is first Mo Kou (mouth closing like a fish mouth), fists clenched, back and waist stiff, it is known that evil toxins have generated in the Zang-Fu. This is limited to the separation of flesh and bone within three days of birth. If a boy's fingers point inward when clenching fists, or a girl's fingers point outward, it is difficult to treat. One must observe adverse prognostic signs; medication is hard to administer at this stage. Furthermore, observe the meridians in the eyebrows. If tendons in the eyebrows show red and blue-green colors (another version says cyan-blue-green. The forty-eight prognoses say: red mixed with crimson), calculate that there is a threat to life, do not doubt. If there is black luster, death is certain (The *Feng Sui Jing* says: red and crimson in the eyebrows. The forty-eight prognoses for this line say: black, green, and cyan). Where can one find a good doctor for this body?
This occurs because the parturient mother has eaten toxic substances or drunk excessively alcohol, causing fetal Qi to become hot. After the child is born, it is as if splashed with boiling water, the body is red with sweat, and breathing is rapid; this is untreatable. If there is white sweat, it is also so. Survival is determined after three years old. Women who engage in sexual intercourse during the eighth or ninth month of pregnancy cause sores on the forehead and feet. Although these sores recur severely, they inevitably lead to Qi Feng (Umbilical Wind), Mo Kou, trismus (lockjaw), and a short lifespan, preventing one from living out their natural years. If the newborn's thumb is clenched such that boys' fingers point outward and girls' fingers point inward, it is a favorable sign (Shun); an unfavorable sign (Ni) leads to death. If the area above and below the eyebrows shows bright, calm red and blue-green, the child lives; if the color is dull, it is an ominous sign, and symptoms must be observed sequentially for regulation.
The song from *Xiao'er Xingzheng Lun* on the forty-eight prognoses of Tai Feng is the same. It adds: If this condition presents with a large head, or a large mother, or excessive care during summer, appearing seven to eight days after birth, look at the thumb. If boys' fingers point outward and girls' inward, and red vessels are seen between the eyebrows, a favorable form indicates safety, while an adverse form indicates death. Many doctors do not recognize this, calling it Pi Feng (Spleen Wind), which is a mistake. One may administer Xi Huang Wan (Rhino Horn Pill) (see formula in the category of all Epilepsy cases), or Da Qing Dan (Great Cyan Pill) (see formula in the category of acute and chronic convulsive diseases). Tong Jing San (Meridian-Passing Powder) should only be given at three to five years of age (see formula in this category).
*Taiping Shenghui Fang* treats pediatric Tai Feng convulsions, tendon and vessel spasm, and occasional trismus. Formula for Xi Jiao Wan (Rhinoceros Horn Pill):
Xi Jiao Xie (Rhinoceros Horn shavings), Tian Nan Xing (Arisaema Rhizome, processed until cracked), Bai Fu Zi (Typhonium Rhizome, processed until cracked), Gan Xie (Dried Scorpion, lightly fried), Tian Ma (Gastrodia Rhizome), Ma Huang (Ephedrae Herba, roots and joints removed - each half liang), Bai Hua She (Bungarus multicinctus, one liang, soaked in wine, skin and bones removed, roasted until yellow).
Crush the above seven herbs, sieve into powder. Use two large cups of pure wine (without grey sediment) to mix evenly. Simmer over slow fire; continuously add wine while stirring constantly until the wine is exhausted. Then add:
Niu Huang (Calculus Bovis), Ni Fen (Calomelas), Zhu Sha (Cinnabar), Shui Yin (Hydrargyrum - ground with jujube pulp until no granules remain - each one fen), She Xiang (Moschus, half fen), Hu Jing (Tiger Eye, a pair, lightly roasted), Long Nao (Borneolum Syntheticum, one qian).
Grind all ingredients finely, mix into the wine-decocted paste, and form pills the size of mung beans. Take three pills with Zhu Li (Bamboo Sap) at any time, adjusting dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng with fright-heat and stiffness of hands and feet. Formula for Tian Zhu Huang San (Indian Gallnut Powder):
Tian Zhu Huang (Calami Flos, finely ground), Hu Huang Lian (Picrorhizae Rhizoma), Xi Jiao Xie (Rhinoceros Horn shavings), Tian Ma (Gastrodia Rhizome, soaked in wine, dried), Chan Qiao (Cicada Slough, lightly roasted - each one fen), Niu Huang (Calculus Bovis, half fen, finely ground).
Pulverize the above herbs into a powder and grind uniformly. Administer one "zi" measure (approx. 0.5-1g) mixed with fresh well-water at any time. For children over two years old, increase the dosage.
*Taiping Shenghui Fang* treats pediatric Tai Feng with fright-heat, convulsions, mental restlessness, or thirst. Formula for Niu Huang San (Calculus Bovis Powder):
Niu Huang (Calculus Bovis, finely ground, half fen), Ren Shen (Panacis Ginseng Radix, de-gorged), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted slightly red, cut), Yu Jin (Curcumae Radix), Chuan Da Huang (Rhei Radix et Rhizoma, cut and lightly fried), Zhu Sha (Cinnabar, finely ground and washed with water), Hu Huang Lian (Picrorhizae Rhizoma - each half liang), Zhen Zhu (Pearl powder, one fen).
Pulverize the above herbs, sieve into fine powder, and grind uniformly. Administer half a "qian" measure mixed with honey-water at any time, adjusting dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng with heart-heat and fright-epilepsy. Formula for Zhu Sha San (Cinnabar Powder):
Zhu Sha (Cinnabar), Niu Huang (Calculus Bovis), Tian Zhu Huang (Calami Flos), Tie Fen (Ferrum Oxydatum Rubrum - each one fen), She Xiang (Moschus, half fen).
Grind all ingredients finely. Mix half a "qian" measure with Bamboo Sap for administration. Adjust dosage according to the child's size at any time.
*Taiping Shenghui Fang* treats pediatric Tai Feng with fright-heat. Formula for Niu Huang San (Calculus Bovis Powder):
Niu Huang (Calculus Bovis), Zhu Sha (Cinnabar - both finely ground, each one fen), Tian Zhu Huang (Calami Flos), Qian Shuang (Plumbum Subacetatum - both finely ground), Ren Shen (Panacis Ginseng Radix, de-gorged - each half liang), Ma Ya Xiao (Natrii Sulfas, one liang, finely ground).
Pulverize the above herbs, sieve into fine powder. Mix half a "qian" measure with Bo He Tang (Menthae Haplocalycis Decoction) for administration, adjusting dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng and convulsive diseases. Formula for Hu Jing Wan (Tiger Eye Pill):
Tian Ma (Gastrodia Rhizome, soaked in wine, dried), Gan Xie (Dried Scorpion, lightly fried), Wu She Rou (Zaocys Flesh, roasted slightly yellow), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Jiang Can (Bombyx Batryticatus, lightly fried), She Xiang (Moschus, finely ground - each one fen), Hu Jing (Tiger Eye, a pair, soaked in wine, roasted slightly yellow).
Pulverize the above herbs, sieve into powder, and bind with flour paste to form pills the size of mung beans. Take three pills, crushed, with Menthae Haplocalycis Decoction at any time.
*Taiping Shenghui Fang* treats pediatric Tai Feng attacks, convulsions, whole-body stiffness, and eye retraction. Formula for Shui Yin Wan (Hydrargyrum Pill):
Shui Yin (Hydrargyrum), Tian Ma (Gastrodia Rhizome, soaked in wine, dried), Tian Nan Xing (Arisaema Rhizome, processed until cracked), Bai Fu Zi (Typhonium Rhizome, processed until cracked), Bai Jiang Can (White Bombyx Batryticatus), Gan Xie (Dried Scorpion - all lightly fried, each one liang), Nao She (Camphor and Moschus, finely ground), Huo Xiang (Agastaches Rhizoma - each one fen).
Pulverize the above herbs, sieve into powder. First, grind Hydrargyrum with a small amount of jujube paste until no granules remain, then mix uniformly with the other powders. Bind with refined honey to form pills the size of mung beans. Take three pills, crushed, with Menthae Haplocalycis Wine at any time. Adjust dosage according to the child's size. Profuse sweating indicates immediate efficacy.
*Taiping Shenghui Fang* treats pediatric Tai Feng with hand-foot convulsions and generalized high fever. Formula for Niu Huang Wan Zi (Calculus Bovis Pills):
Niu Huang (Calculus Bovis), Zhu Sha (Cinnabar - both finely ground), Xi Jiao Xie (Rhinoceros Horn shavings), Xie Shao (Scorpion tail, fried), Shui Yin (Hydrargyrum - combined with one part Black Lead to form cinnabar-like grains, finely ground), Tian Jiang Zi (Passiflorae Semen), Tian Nan Xing (Arisaema Rhizome, processed until cracked - each one fen), She Xiang (Moschus, finely ground, one fen).
Pulverize the above herbs, sieve into powder. Bind with glutinous rice paste to form pills the size of mung beans. Take three pills, dissolved in Menthae Haplocalycis Decoction, at any time. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng caused by long-standing accumulation of wind-heat in the womb, thirst, hand-foot convulsions, and frequent startling with insomnia. Formula for Lu Feng Fang Wan (Honeycomb Pill):
Lu Feng Fang (Honeycomb, roasted until yellow), Tian Nan Xing (Arisaema Rhizome, processed until cracked - each half fen), Can E (Silkworm Moth, lightly fried), Zhu Sha (Cinnabar, finely ground and water-washed - each half liang), Tian Jiang Zi (Passiflorae Semen, thirty seeds, lightly fried), Gan Xie (Dried Scorpion, lightly fried), Ni Fen (Calomelas), Niu Huang (Calculus Bovis, finely ground), Shui Yin (Hydrargyrum - ground with jujube paste until no granules remain - each one fen).
Pulverize the above herbs, sieve into powder, and grind uniformly. Bind with refined honey to form pills the size of mung beans. Take five pills with decoction of Sophora, Willow, and Menthae Haplocalycis at any time. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng with convulsions, high fever, and frequent startling. Formula for Tian Zhu Huang Wan (Indian Gallnut Pill):
Tian Zhu Huang (Calami Flos, finely ground), Tian Nan Xing (Arisaema Rhizome, processed until cracked), Hu Huang Lian (Picrorhizae Rhizoma - each half liang), Qian Shuang (Plumbum Subacetatum), Niu Huang (Calculus Bovis - both finely ground, each one fen).
Pulverize the above herbs, sieve into powder, and grind in Niu Huang uniformly. Bind with jujube paste to form pills the size of mung beans. Take three pills, dissolved in breast milk, at any time. Adjust dosage according to the child's size. For children over three years old, administer with wine and Schizonepetae Spica Decoction.
*Taiping Shenghui Fang* treats pediatric Tai Feng with hand-foot convulsions. Suitable Formula for Niu Huang Wan (Calculus Bovis Pill):
Niu Huang (Calculus Bovis), Tian Zhu Huang (Calami Flos - each half liang), Qiang Huo (Notopterygii Rhizoma et Radix, powdered), She Xiang (Moschus - each one fen), Xie (Scorpion, two pieces, head and tail intact, fried).
Grind the above herbs into fine powder. Bind with refined honey to form pills the size of sesame seeds. For one- to two-year-old children, take three pills with Menthae Haplocalycis Decoction at any time. For three- to four-year-old children, take five pills per dose. Adjust dosage according to the child's size.
*Taiping Shenghui Fang* treats pediatric Tai Feng with limb convulsions and stagnation of phlegm-saliva. Suitable Formula for Shui Yin Wan (Hydrargyrum Pill):
Shui Yin (Hydrargyrum, half liang, combined with half liang of Black Tin to form grain-like particles), Tian Ma (Gastrodia Rhizome, soaked in wine, dried), Gan Xie (Dried Scorpion, lightly fried), Ban Xia (Pinelliae Rhizoma, washed seven times in hot water to remove acridity), Yu Jin (Curcumae Radix), Bai Fu Zi (Typhonium Rhizome, processed until cracked - each one fen).
Pulverize the above herbs, sieve into powder. Bind with soft cooked rice to form pills the size of mung beans. Take one pill with Menthae Haplocalycis Decoction at any time. Adjust dosage according to the child's size.
Forty-eight Prognoses treatment for pediatric Tai Feng. Formula for Tong Jing San (Meridian-Passing Powder):
Ren Shen (Panacis Ginseng Radix), Fu Ling (Poria), Zhu Sha (Cinnabar - each one fen), Dang Gui (Angelicae Sinensis Radix, half liang), Xie (Scorpion), Niu Jiao (Bovis Cornu Colla - each one qian), Chan Tui (Cicada Slough, seven pieces), Hong Shao Yao (Red Paeonia Root, two fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, five cun), Xi Jiao (Rhinoceros Horn, a small amount).
Pulverize the above into powder. Take one and a half qian, mixed with Ophiopogonis Decoction; Apricot Seed Decoction is also acceptable.
*Zhang Shi Jia Chuan* Xie Shao San (Scorpion Tail Powder) treats pediatric Tai Feng, Tian Diao (a type of convulsion with head retraction), Ke Wu (alien influence), acute and chronic convulsive diseases, alternating tidal convulsions, excessive saliva with wheezing, and choking breath with restlessness.
Ren Shen (Panacis Ginseng Radix, three qian), Bai Jiang Can (White Bombyx Batryticatus, one fen, straight ones), Quan Xie (Full Scorpion, fourteen pieces), Chen Sha (Vermilion), Zhen She (Authentic Moschus - each one fen).
Besides the three main herbs ground into fine powder, mix in Chen Sha and Zhen She uniformly. Take one "zi" measure, mixed with Silver and Mint Decoction. For chronic convulsions, add one fen of Bai Fu Zi powder.