《圣惠》论∶夫小儿天 者，由脏腑风热，脾胃生涎，痰涎既生，心膈壅滞，邪热蕴积，不得宣通之所致
也。此皆乳母食饮无常，酒肉过度，烦毒之气流入乳中，便即乳儿，遂令宿滞不消，心肺生热。热毒既盛，风
邪所乘。风热相兼，触于心脏，则令心神惊悸、眼目翻腾、壮热不休、四肢抽掣，故谓之天 也。
茅先生论∶小儿生下有中天 者，心神不安，浑身壮热，手足抽掣，惊悸，眼目翻腾。此候因母饮食不常，
酒肉过度，毒瓦斯入乳，宿气滞不消，心肺相搏，风热触于心脏，故有此候。治者，急进夺命散与吐下风
涎（方见急慢惊风门中），然后用匀气散（方见胃气不和门中）醒脾，与调匀气后，常服雄朱散（方见惊痫门中）夹镇
心丸（方见一切惊门中）、健脾散（方见胃气不和门中）与服安乐。如见眼视、鱼口、鸦声、眼黑无光、指甲黑者，死
候不治。
张涣论小儿心膈壅滞邪热，痰涎蕴积不得宣通；或乳母饮酒食肉无度，烦毒之气流入乳中，令儿宿滞不消，
邪热毒瓦斯乘于心神，致使惊悸、眼目翻腾、壮热不休、四肢螈 。其病名曰天 ，甚者爪甲皆青状，若神祟。
《圣惠》治小儿天 ，手脚掣动，眼目不定；有时笑啼或嗔怒，爪甲皆青，状似鬼祟，宜服龙齿散方
龙齿（细研） 钩藤 白茯苓（各半两） 黄丹 甘草（炙微赤，锉） 铁粉 朱砂（各细研） 川大黄（锉，微
炒。各一分） 蝉壳（二七枚，微炒）
上件药捣，罗为末，入研了药令匀。每服一钱，以水一小盏，煎至六分，不计时候，量儿大小分减服之。
《圣惠》治小儿天 ，四肢拘急，时复搐搦，喉内多涎，夜即惊厥，宜服一字散方
天南星（炮裂） 荞面（研入。各一分） 辟鱼儿（十枚） 半夏（七枚，生用） 醋石榴壳（一颗）
上件药都捣，罗为末，入在石榴壳内，以盐泥封裹，于灶下慢火烧，以泥干燥为度，取出去壳，焙干，
捣，细罗为散。如孩儿小即用钱上一字，以乳汁调灌之。一岁以上即用酒调一字服之，当时汗出为效矣。
《圣惠》治小儿天 ，眼目 斜，手足惊掣，发歇不定。牛黄散方
牛黄（细研） 干蝎（生用。各半分） 木香（一分） 羌活 独活 白僵蚕（生用） 朱砂（细研，水飞过。各
半两） 乳香（一颗，如粟米大）
上件药捣，细罗为散，都研令匀。不计时候，以干槐枝煎汤调下一字。量儿大小加减服之。
《圣惠》治小儿天 ，牙关急硬，筋脉搐掣，宜服此方。
干蝎（七枚，生用） 朱砂（一分，细研） 麝香 牛黄（各细研） 猢狲头骨（涂酥，炙黄。各半分）
上件药捣，细罗为散。不计时候，用新汲水调下半钱，极者不过三服瘥。量儿大小，以意加减。
《圣惠》治小儿天 及惊风，发歇不常方。
鹳鹊粪（微炒） 牛黄（细研。各半分） 干蝎（五枚，微炒） 麝香（一钱）
上件药同研为末。不计时候，新汲水调下半钱。量儿大小加减服之。
《圣惠》治小儿天 ，眼目搐上，筋脉急。蚱蝉散方
蚱蝉（微炒） 牛黄 雄黄（并细研。各一分） 干蝎（七枚，生用）
上件药细研为散。不计时候，以薄荷汤调下一字。量儿大小加减服之。
《圣惠》治小儿天 ，多惊搐搦，眼忽戴上，吐逆夜啼，遍身如火，面色青黄，不食乳哺，并无情绪。水银丸
方
水银（一两，煮青州枣肉二十颗，同研水银星尽） 南星（炮，使半生，使半熟） 白僵蚕 白附子（并生用） 铅
霜（各半两） 干蝎（生用） 牛黄 麝香（各一分）
上件药除水银膏，牛黄、麝香、铅霜三味研令匀如粉，余四味捣罗为末，都研令匀，用水银膏和丸如黍米
大。一、二岁儿每服用薄荷汤下三丸，三、四岁儿每服五丸。不计时候，量儿大小，以意加减服之。
《圣惠》治小儿天 。牛黄丸方
牛黄 朱砂 钩藤（各一分，末） 蟾酥 麝香（各半分） 蜗牛（十枚，去壳）
上件药都研令细，以糯米饭和丸如黍米大。不计时候，先以水化破二丸，滴在鼻中，相次即以温水更下三
丸。量儿大小加减服之。
《圣惠》治小儿天 ，四肢抽掣，眼目戴上，精神恍惚，皮肤干燥，身体似火，夜卧不安，心中烦躁，热渴不止，
宜服保生定命丹方
光明砂（研，水飞过） 水银（煮枣肉，研令星尽。各一两） 腻粉 牛黄 脑麝（各一分） 金箔（四十片）
上件药都研如粉，入水银更都研令匀，用粟米饭和丸如麻子大。一、二岁儿，每服用新汲水研破三丸服
之；三、四岁儿，每服五丸。不计时候，量儿大小以意加减服之。
《圣惠》治小儿天 ，心胸痰壅，攻咽喉作呀声。发歇多惊，不得眠卧，保命丹方
干蝎 蝉壳 白僵蚕（各微炒） 天麻 犀角（屑） 天浆子（内有物者） 白附子 天南星（各炮裂） 牛黄 青
黛朱砂（并细研。以上各一分） 蟾酥（研入） 麝香（细研。各半两）
上件药捣罗为末，入研了药，同研令匀，用 猪胆汁和丸如绿豆大。每服用水少许化二丸，滴三、五点入
鼻中，令嚏数声后，即令水服一丸，日三、四服。量儿大小以意加减服之。
《圣惠》治小儿天 ，身体壮热，筋脉拘急，时抽掣。钩藤丸方
钩藤 胡黄连（各半两） 麝香（细研，半分） 天竺黄 牛黄 朱砂（各细研） 天麻 白附子（炮裂） 干蝎
（微炒） 朱粉（以上各一分）
上件药捣罗为末，都研令匀，用槐胶和丸如绿豆大。于囟门上津调摩一丸，荆芥汤下一丸，立效。二岁以
上，消详加之。
《圣惠》治小儿天 ，眼目翻上，手足抽掣，发歇不定。天麻丸方
天麻（末） 朱砂 龙齿 铅霜 天竺黄（以上各一分） 麝香（半分，五味并细研） 白芥子（微炒，一分） 天
浆子（二七枚）
上件捣，罗为末，炼蜜和丸如黄米大。不计时候，以薄荷酒研下一丸，稍急加至二丸或五丸，立效。
《圣惠》治小儿天 ，身体发热，口内多涎，筋脉拘急，时发惊掣。蝉壳丸方
蝉壳 白僵蚕 白附子 （并微炒） 蜣螂（三枚，微炒） 乌蛇（一两，酒浸，去皮骨，炙令黄） 青黛 麝
香（并细研。各一分） 蟾酥（一钱） 猪胆（一枚）
上件药捣，罗为末，以软饭入猪胆汁，同和丸如黍米大。先将一丸用奶汁研破，滴在鼻中，候嚏，即以薄
荷汤下三丸。三岁以上，加丸服之。
《圣惠》治小儿天 ，心神烦乱，搐搦不定，宜服朱砂丸方
朱砂（细研） 白僵蚕（微炒） 胡黄连 熊胆（各一分） 牛黄 麝香（并细研。各半分） 干蝎（二七枚，微
炒）
上件药捣，罗为末，同研令匀，以粟米饭和丸如绿豆大。不计时候，以金银汤下三丸。量儿大小增减服之。
《圣惠》治小儿天 ，多涎及搐搦不定。抵圣归命丹方
水银（一分，以少枣穣研合星尽） 牛黄 麝香（各半分） 锡吝脂（一两，细研，水淘黑水令尽）
上件药都细研，用软粳米饭和丸如黍米大。不计时候，以新汲水下二丸。量儿大小增减服之。
《圣惠》治小儿天 ，多涎搐搦，发歇不定方。
干蝎（微炒） 羌活 铅霜（细研。各半两） 麝香（细研，一钱） 蟾酥（研入半钱）
上件药捣，罗为末，同研令匀，炼蜜和丸如绿豆大。不计时候，以乳汁研破两丸服之。更量儿大小以意加减。
《圣惠》又方
天竺黄 朱砂（各细研） 干蝎（微炒） 白附子（炮裂。各一分）
上件药捣，罗为末，同研令匀，以炼蜜和丸如绿豆大。不计时候，以淡竹沥研下二丸。量儿大小临时加减。
《圣惠》治小儿天 ，惊风搐搦，牙关急，闭目，吐涎。元参丸方
元参 水银（各半两） 干蝎（一分，微炒）
上件药捣，罗为末，以枣瓤研水银星尽，纳少炼了蜜，入药末，和丸如绿豆大。三岁以下，用薄荷汤研破
三丸服之。三岁以上，即加丸数服之。
《圣惠》又方
天竺黄 雄黄 胭脂（各一分） 阿魏（半分）
上件药同研为末，以醋一茶瓯煎成膏，入 、天麻、乌蛇末各半分，和丸如米粒大。不计时候，以温酒
下三丸，乳汁下亦得。量儿大小加减服之。
《圣惠》治小儿天 ，口噤戴目，手足搐搦不定。
天南星丸方
天南星 天雄 白附子 水银（于铫子内，先熔黑锡半分，后下水银结为砂子，细研） 半夏（汤洗七遍，去滑。
各一分）
上件药生捣，罗为末，用槐胶和丸如黄米大。一岁一丸，三岁三丸，不计时候，以温薄荷酒化下。
《圣惠》治小儿天 ，脏腑风热壅滞，四肢抽掣，大小便不利。腻粉丸方
腻粉 巴豆霜 麝香（各半分，细研） 郁金 地龙 马牙硝（各一分，末）
上件药都研令细，以糯米饭和丸如绿豆大。一岁一丸，以薄荷汤下，三岁以上即服二丸。
《圣惠》又方
巴豆霜（一分） 干蝎（微炒） 藿香 白僵蚕（微炒。各半两）
上件药捣，罗为末，以面糊和丸如绿豆大。三岁儿以金银犀角煎汤下一丸，如无动静，更服两丸，下恶物
炱煤及瓜汁相似，便瘥。量儿大小加减服之。
《圣惠》治小儿天 及急惊风搐搦。白僵蚕散方
白僵蚕（二枚，微炒） （一枚，微炒） 莨菪子（十粒，炒令微黄）
上件药捣，细罗为散，用温酒调，注入口中令睡，汗出即瘥。如睡多，不用惊起。如一、二岁儿患急，即
顿服之；稍慢，即分为三服。
《圣惠》治小儿天 ，脏腑壅滞，壮热搐搦，宜服保生丸方
巴豆（七枚，生用，去皮心） 天南星（一枚，炮裂） （五枚，生用）
上件药睛明时初夜于北极下露之一宿，明旦捣、罗为末，取豉四十九粒，口内含不语，脱却皮，烂研，
和丸黍米大。随年丸数，以温水下。
《圣惠》又方
五灵脂（一两） 白附子（生用） 南星（生用。各一分）
上件药捣，罗为末，以头醋一升熬成膏，后入蜗牛末二钱、麝香末一钱，和丸如绿豆大。每一岁一丸，以
奶汁研破服之。如无奶汁，即以金银汤下，入口瘥。
《圣惠》治小儿天 ，眼目搐上，并口手掣动，宜服此方。
辟鱼儿（一十五枚，干者十枚，湿者五枚）
上以奶汁相和，研烂，更入奶汁，同灌入口，立效。
《圣惠》治小儿天 。备急涂顶膏方
川乌头（末，一钱） 芸薹子（末，三钱）
上件药取新汲水调，涂贴在顶上，立效。
《博济方》治众疾及小儿 风。灵砂丹
朱砂（半两） 大附子（炮） 青橘（去白） 杏仁（去皮尖。各一两） 巴豆（春冬用一百个，秋夏用五十枚，
以水五升，慢火煮三二十沸）
上先将巴豆以水五升煮，令油出水尽为度，细研，与众药末和匀，以粳米饭和丸如豌豆大。小儿 风，桃
柳枝一握煎下；小儿肚胀，石榴汤下。小儿及患人，相度虚实加减服。一方用面姜一两，炮。
《灵苑》归命丹 治感厥急风，心邪痫疾，小儿天 惊风及疳热等疾。
蛇黄（四两，紫色者佳，用火 令通赤，取出以纸衬地上，出火毒一宿，杵罗为末，更入乳钵研如面） 朱砂（半
两） 铁粉（一两） 猪粪（二两，野放小硬干者，用饼子固济烧，才烟尽为度，勿令白过，恐药少力，候冷研令细）
麝香（一钱，研）
上五味都入乳钵内，同研极细，以糯米粥为丸如鸡头大。一切风，用薄荷酒磨下一丸，小儿半丸。疳热，
用冷水磨下一丸，分作四服。修合时，忌妇人、鸡犬见。如是大人小儿中风、口噤、反张、涎满者，灌下一
服，立醒。小儿被惊及发热，并以薄荷磨少许便安。此药又名神穴丹，合了，排漆盘于日内晒之，及干翻看，
每丸下有一小穴通丸内，其药中空也。旧法须用端午及甲午日合，急即不须。
张涣一字散方 治天 ，醒风，爽精神。
天南星（半两，微炮裂） 蝉壳（一钱，微炒） 白僵蚕 干蝎（各一分）
上件捣，罗为细末，次入荞麦面一分，用醋石榴壳一枚，将诸药入在石榴壳内，以盐泥封裹，于灶下慢火
上烧之，泥干燥为度，取出再研匀。每服一字，温酒调下。
张涣双金散方 治天 惊风，目久不下。
蜈蚣（去头足尾，用真酥涂，慢火炙令黄，置砧子上向南立，用竹刀子当脊缝中停，离作两半个，左边者入一贴子，
内写左字，右边者亦入一贴子，内写右字，不得交错） 麝香（一钱，细研，先将左边者，同于乳钵内，研作细末，即
入左字贴内，收起，别用乳钵，将右边字入麝香，同研极细，却入右字贴内，收不得相犯，每有病者，眼睛吊上只见白
睛，兼角弓反张，更不能出声者）
上用细苇筒子，取左字贴，纳药少许，吹在左边鼻里，右亦如之，用药不可多。若眼未全下更添， 小以
意量度，其眼随手便下，即止。
张涣牛黄散 治天 ，清心截风。
牛黄（半两，细研） 朱砂（细研，水飞） 麝香（细研） 钩藤 蝎梢（各为末） 天竺黄（研。各一分）
上件一处研匀。每服一字，新汲水调下。
张涣白银丹 治天 涎潮。
According to *Shenghui Fang* (Prescriptions from the Holy Imperial Library): The condition known as "Tiandiao" (Heavenly Suspension) in infants is caused by wind-heat in the zang-fu organs and the production of phlegm-saliva by the spleen and stomach. Once phlegm-saliva is generated, it causes stagnation and obstruction in the heart and diaphragm, with pathogenic heat accumulating and failing to be dispersed and unblocked. This typically results from the wet nurse having irregular eating habits, consuming excessive alcohol and meat, allowing noxious and toxic qi to enter the breast milk. When the infant ingests this milk, old food stagnation fails to digest, generating heat in the heart and lungs. As the heat-toxin becomes abundant, it is invaded by wind-pathogens. Wind and heat combine, disturbing the heart, leading to mental fright and palpitations, upward deviation of the eyes, high fever that does not cease, and convulsions of the four limbs; hence it is called Tiandiao.
Mr. Mao states: Infants born with Tiandiao exhibit restlessness of the heart spirit, generalized high fever, convulsions of the hands and feet, fright and palpitations, and upward deviation of the eyes. This syndrome arises because the mother's diet is irregular, and she consumes excessive alcohol and meat, allowing toxic vapors to enter the milk. Old qi stagnates and fails to dissipate, causing the heart and lungs to clash, with wind-heat disturbing the heart, thus producing this syndrome. Treatment should urgently administer Duoming San (Life-Seizing Powder) to induce vomiting or purging of wind-phlegm (formula see section on Acute and Chronic Convulsive Disorders), followed by Yunqi San (Qi-Balancing Powder) (formula see section on Disharmony of Stomach Qi) to awaken the spleen. After the qi mechanism is balanced, one should frequently administer Xionzhu San (Male Cinnabar Powder) (formula see section on Fright and Epilepsy), combined with Zhenxin Wan (Heart-Calming Pills) (formula see section on All Fright Conditions) and Jianpi San (Spleen-Strengthening Powder) (formula see section on Disharmony of Stomach Qi) to promote health. If signs such as fixed gaze, fish-mouth opening, crow-like sounds, black and lusterless eyes, or black fingernails appear, these are death omens and are incurable.
Zhang Huan discusses heart-diaphragm stagnation with pathogenic heat, where phlegm-saliva accumulates and cannot be dispersed; or when the wet nurse drinks alcohol and eats meat without restraint, noxious toxic qi enters the milk, causing infant food stagnation. Pathogenic heat and toxic vapors attack the heart spirit, resulting in fright, upward eye deviation, unremitting high fever, and limb spasms. This disease is named Tiandiao. In severe cases, the nail beds turn entirely blue, resembling possession by spirits.
*Shenghui Fang* treats infant Tiandiao with twitching hands and feet, unstable eyes, occasional crying or anger, blue nail beds, and a ghost-like appearance. It is suitable to take Longchi San (Dragon Tooth Powder):
Longchi (Dragon Tooth, finely ground) Gouteng (Uncariae Ramulus cum Uncis) Baifuling (Poria, half tael each) Huangdan (Lead Oxide) Gancao (Licorice Root, roasted until slightly red and chopped) Tiefen (Iron Powder) Zhusha (Cinnabar, finely ground, each half tael) Chuan Dahuang (Rhubarb Root, chopped, slightly roasted, one fen each) Chanke (Cicada Slough, fourteen pieces, slightly roasted).
The above herbs are crushed, sifted into powder, mixed with the finely ground ingredients until uniform. Take one qian per dose, decoct in one small cup of water until reduced to six parts, at any time, adjusting the dose according to the infant's size.
*Shenghui Fang* treats infant Tiandiao with rigid limbs, intermittent spasms, excessive throat phlegm, and nocturnal convulsions. It is suitable to take Yizi San (One-Character Powder):
Tian Nanxing (Arisaema Rhizome, processed until cracked) Qiaomian (Buckwheat Flour, ground, one fen each) Biyu'er (Toad Crystals, ten pieces) Banxia (Pinellia Tuber, seven pieces, raw use) Cu Shiliuke (Vinegar-Pomegranate Peel, one piece).
All herbs are crushed, sifted into powder, placed inside the pomegranate peel, sealed with salt mud, and slowly roasted under the stove until the mud is dry. Remove the shell, bake dry, crush, and sieve into a fine powder. For small infants, administer an amount equivalent to one character on a coin, mixed with breast milk. For children over one year, mix one character with wine; sweating upon administration indicates efficacy.
*Shenghui Fang* treats infant Tiandiao with strabismus, sudden limb convulsions, and irregular paroxysms. Niuhuang San (Calculus Bovis Powder):
Niuhuang (Calculus Bovis, finely ground) Quanxie (Whole Scorpion, raw use, half fen each) Muxiang (Costus Root, one fen) Qianghuo (Notopterygii Rhizoma et Radix) Duhuo (Angelicae Pubescentis Radix) Baijiangcan (Bombyx Batryticatus, raw use) Zhusha (Cinnabar, finely ground, water-washed, half tael each) Ruxiang (Frankincense, one piece, size of millet grain).
Crush the herbs, sieve into powder, and grind uniformly. At any time, take one character dose mixed with decoction of dried locust tree branches. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with trismus (lockjaw), muscle spasms, and convulsions. Use this formula:
Quanxie (Whole Scorpion, seven pieces, raw use) Zhusha (Cinnabar, one fen, finely ground) Shexiang (Musk, finely ground) Niuhuang (Calculus Bovis, finely ground, half fen each) Husuntou Gu (Monkey Skull Bone, coated with butter, roasted yellow, half fen each).
Crush and sieve into powder. At any time, mix half a qian with fresh well water. Severe cases may resolve within three doses. Adjust according to the infant's size.
*Shenghui Fang* another formula for infant Tiandiao and convulsions with irregular onset:
Guanque Fen (Stork Droppings, slightly roasted) Niuhuang (Calculus Bovis, finely ground, half fen each) Quanxie (Whole Scorpion, five pieces, slightly roasted) Shexiang (Musk, one qian).
Grind together into powder. At any time, mix half a qian with fresh well water. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with upward eye deviation and tendon tension. Zha Chan San (Locust Cicada Powder):
Zha Chan (Locust Cicada, slightly roasted) Niuhuang (Calculus Bovis) Xionghuang (Realgar, finely ground, one fen each) Quanxie (Whole Scorpion, seven pieces, raw use).
Grind finely into powder. At any time, take one character dose with mint decoction. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with frequent fright and spasms, sudden upward eye deviation, vomiting, nocturnal crying, body feeling like fire, greenish-yellow complexion, refusal to feed, and listlessness. Shuiyin Wan (Mercury Pill):
Shuiyin (Mercury, one tael, boiled with twenty Qingzhou dates flesh, ground together until mercury stars disappear) Nanxing (Arisaema Rhizome, processed, half raw half cooked) Baijiangcan (Bombyx Batryticatus) Baifuzi (Aconitum Carleilii Radix Praeparata, both raw use) Qianshuang (Plumbum Subacetatum, half tael each) Quanxie (Whole Scorpion, raw use) Niuhuang (Calculus Bovis) Shexiang (Musk, one fen each).
Except for the mercury paste, grind Niuhuang, Shexiang, and Qianshuang into fine powder. Grind the remaining four herbs into powder, mix all thoroughly, and bind with mercury paste into pills the size of millet grains. For one- to two-year-olds, take three pills with mint decoction; for three- to four-year-olds, take five pills. At any time, adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao. Niuhuang Wan (Calculus Bovis Pill):
Niuhuang (Calculus Bovis) Zhusha (Cinnabar) Gouteng (Uncariae Ramulus cum Uncis, one fen each, powdered) Chansu (Toad Venom) Shexiang (Musk, half fen each) Woniu (Snail, ten pieces, shell removed).
Grind all ingredients finely, bind with glutinous rice paste into pills the size of millet grains. At any time, first dissolve two pills in water and drip into the nose, then immediately administer three more pills with warm water. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with limb spasms, upward eye deviation, trance-like state, dry skin, burning sensation, restless sleep, irritability, unquenchable thirst, and fever. Baosheng Dingming Dan (Life-Sustaining Fate-Stabilizing Pellet):
Guangmingsha (Bright Cinnabar, ground, water-washed) Shuiyin (Mercury, boiled with date flesh until stars disappear, one tael each) Nifen (Calomel) Niuhuang (Calculus Bovis) Naoshe (Camphor and Musk, one fen each) Jinbo (Gold Leaf, forty sheets).
Grind all into powder, add mercury and grind uniformly, bind with millet rice paste into pills the size of hemp seeds. For one- to two-year-olds, take three pills dissolved in fresh well water; for three- to four-year-olds, take five pills. At any time, adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with chest/phlegm obstruction attacking the throat causing gurgling sounds, frequent fright, and insomnia. Baoming Dan (Life-Preserving Pellet):
Quanxie (Whole Scorpion) Chanke (Cicada Slough) Baijiangcan (Bombyx Batryticatus, all slightly roasted) Tianma (Gastrodiae Rhizoma) Xijiao (Rhinocerotis Cornu, shaved) Tianjiangzi (Passiflorae Fructus, those containing seeds) Baifuzi (Aconitum Carleilii Radix Praeparata) Tian Nanxing (Arisaema Rhizome, all processed until cracked) Niuhuang (Calculus Bovis) Qingdai (Indigo Naturalis) Zhusha (Cinnabar, all finely ground, one fen each) Chansu (Toad Venom, ground) Shexiang (Musk, finely ground, half tael each).
Grind into powder, add pre-ground ingredients, mix uniformly, bind with pig bile into pills the size of mung beans. Dissolve two pills in a little water, drip three to five drops into the nose to induce sneezing, then swallow one pill with water. Administer three to four times daily. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with high fever, tendon rigidity, and intermittent spasms. Gouteng Wan (Uncariae Ramulus Pill):
Gouteng (Uncariae Ramulus cum Uncis) Huhuanglian (Coptidis Rhizoma alternative) (half tael each) Shexiang (Musk, finely ground, half fen) Tianzhuhuang ( Bambusae Caulis in Taedia) Niuhuang (Calculus Bovis) Zhusha (Cinnabar, all finely ground) Tianma (Gastrodiae Rhizoma) Baifuzi (Aconitum Carleilii Radix Praeparata, processed) Quanxie (Whole Scorpion, slightly roasted) Zhu Fen (Red Lead Powder, one fen each).
Grind into powder, mix uniformly, bind with locust gum into pills the size of mung beans. Rub one pill with saliva on the fontanelle, and take one pill with Schizonepeta decoction for immediate effect. For children over two years, increase dosage appropriately.
*Shenghui Fang* treats infant Tiandiao with upward eye deviation, limb spasms, and irregular paroxysms. Tianma Wan (Gastrodiae Rhizoma Pill):
Tianma (Gastrodiae Rhizoma, powdered) Zhusha (Cinnabar) Longchi (Dragon Tooth) Qianshuang (Plumbum Subacetatum) Tianzhuhuang (Bambusae Caulis in Taedia, one fen each) Shexiang (Musk, half fen, finely ground with five ingredients) Baijiezi (Brassicae Seminum, slightly roasted, one fen) Tianjiangzi (Passiflorae Fructus, fourteen pieces).
Crush and sieve into powder, bind with refined honey into pills the size of yellow millet. At any time, take one pill dissolved in mint wine. For urgent cases, increase to two or five pills for immediate effect.
*Shenghui Fang* treats infant Tiandiao with fever, excessive oral phlegm, tendon rigidity, and frequent fright spasms. Chanke Wan (Cicada Slough Pill):
Chanke (Cicada Slough) Baijiangcan (Bombyx Batryticatus) Baifuzi (Aconitum Carleilii Radix Praeparata, all slightly roasted) Qiángláng (Scarabaeus Splanchnus, three pieces, slightly roasted) Wushe (Zaocys, one tael, soaked in wine, skin and bones removed, roasted yellow) Qingdai (Indigo Naturalis) Shexiang (Musk, finely ground, one fen each) Chansu (Toad Venom, one qian) Zhudan (Pig Gallbladder, one piece).
Crush and sieve into powder, mix with soft rice and pig bile, bind into pills the size of millet grains. First, dissolve one pill in milk and drip into the nose; after sneezing, administer three pills with mint decoction. For children over three years, increase the number of pills.
*Shenghui Fang* treats infant Tiandiao with mental agitation and irregular spasms. Zhusha Wan (Cinnabar Pill):
Zhusha (Cinnabar, finely ground) Baijiangcan (Bombyx Batryticatus, slightly roasted) Huhuanglian (Coptidis Rhizoma alternative) Xiongdan (Ursi Bile, one fen each) Niuhuang (Calculus Bovis) Shexiang (Musk, finely ground, half fen each) Quanxie (Whole Scorpion, fourteen pieces, slightly roasted).
Crush and sieve into powder, mix uniformly, bind with millet rice paste into pills the size of mung beans. At any time, take three pills with silver-gold decoction. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with excessive phlegm and irregular spasms. Disheng Guiming Dan (Miracle-Saving Life-Preserving Pellet):
Shuiyin (Mercury, one fen, ground with small amount of date pulp until stars disappear) Niuhuang (Calculus Bovis) Shexiang (Musk, half fen each) Xilin Zhi (Stannous Resinate, one tael, finely ground, washed with water until black water is gone).
Grind all finely, bind with soft japonica rice paste into pills the size of millet grains. At any time, take two pills with fresh well water. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with excessive phlegm and irregular spasms. Another formula:
Quanxie (Whole Scorpion, slightly roasted) Qianghuo (Notopterygii Rhizoma et Radix) Qianshuang (Plumbum Subacetatum, finely ground, half tael each) Shexiang (Musk, finely ground, one qian) Chansu (Toad Venom, ground, half qian).
Crush and sieve into powder, mix uniformly, bind with refined honey into pills the size of mung beans. At any time, dissolve two pills in breast milk. Adjust dosage based on the infant's size.
*Shenghui Fang* another formula:
Tianzhuhuang (Bambusae Caulis in Taedia) Zhusha (Cinnabar, finely ground) Quanxie (Whole Scorpion, slightly roasted) Baifuzi (Aconitum Carleilii Radix Praeparata, processed, one fen each).
Crush and sieve into powder, mix uniformly, bind with refined honey into pills the size of mung beans. At any time, take two pills dissolved in light bamboo juice. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with fright convulsions, trismus, closed eyes, and salivation. Xuanshen Wan (Scrophulariae Radix Pill):
Xuanshen (Scrophulariae Radix) Shuiyin (Mercury, half tael each) Quanxie (Whole Scorpion, one fen, slightly roasted).
Crush and sieve into powder, grind mercury with date pulp until stars disappear, add a little refined honey and herb powder, bind into pills the size of mung beans. For children under three years, take three pills dissolved in mint decoction. For children over three years, increase the number of pills.
*Shenghui Fang* another formula:
Tianzhuhuang (Bambusae Caulis in Taedia) Xionghuang (Realgar) Yanzhi (Vermilion) (one fen each) Awei (Ferulae Resina, half fen).
Grind together into powder, boil with one tea-cup of vinegar until it becomes a paste, add powdered wugong (centipede), Tianma, and Wushe (each half fen), bind into pills the size of rice grains. At any time, take three pills with warm wine or breast milk. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao with trismus, upward gaze, and irregular limb spasms. Tian Nanxing Wan (Arisaema Rhizoma Pill):
Tian Nanxing (Arisaema Rhizoma) Tianxiong (Aconiti Lateralis Radix Preparata) Baifuzi (Aconitum Carleilii Radix Praeparata) Shuiyin (Mercury, melt half tael of Black Tin in a crucible first, then add mercury to form sand-like particles, finely ground) Banxia (Pinellia Tuber, washed seven times in hot water to remove slipperiness, one fen each).
Crush raw herbs, sieve into powder, bind with locust gum into pills the size of yellow millet. One pill for one-year-olds, three pills for three-year-olds, at any time, dissolve in warm mint wine.
*Shenghui Fang* treats infant Tiandiao with zang-fu wind-heat stagnation, limb spasms, and difficulty in urination/defecation. Nifen Wan (Calomel Pill):
Nifen (Calomel) Badou Shuang (Crotonis Semen Paste) Shexiang (Musk, half fen each, finely ground) Yujin (Curcumae Radix) Dilong (Pheretima) Mayaxiao (Sal Nitri, one fen each, powdered).
Grind all finely, bind with glutinous rice paste into pills the size of mung beans. One pill for one-year-olds, taken with mint decoction; two pills for children over three years.
*Shenghui Fang* another formula:
Badou Shuang (Crotonis Semen Paste, one fen) Quanxie (Whole Scorpion, slightly roasted) Huoxiang (Agastaches Herba) Baijiangcan (Bombyx Batryticatus, slightly roasted, half tael each).
Crush and sieve into powder, bind with flour paste into pills the size of mung beans. For three-year-olds, take one pill with decoction of gold, silver, and rhino horn. If no reaction, take two more pills. Expulsion of foul matter resembling coal dust or melon juice indicates recovery. Adjust dosage based on the infant's size.
*Shenghui Fang* treats infant Tiandiao and acute fright convulsions. Baijiangcan San (Bombyx Batryticatus Powder):
Baijiangcan (Bombyx Batryticatus, two pieces, slightly roasted) She Tui (Snake Slough, one piece, slightly roasted) Langdang Zi (Daturae Semen, ten grains, roasted until slightly yellow).
Crush and sieve into fine powder, mix with warm wine, pour into mouth to induce sleep. Sweating indicates cure. If sleeping too much, do not wake them. For urgent cases in one- to two-year-olds, administer at once; if slower, divide into three doses.
*Shenghui Fang* treats infant Tiandiao with zang-fu stagnation, high fever, and convulsions. Baosheng Wan (Life-Sustaining Pill):
Badou (Crotonis Semen, seven pieces, raw, skin and heart removed) Tian Nanxing (Arisaema Rhizome, one piece, processed) She Tui (Snake Slough, five pieces, raw).
Expose these herbs under the North Star on a clear night for one night. Next morning, crush and sieve into powder. Take forty-nine fermented soybean pills, hold in mouth without speaking, remove skin, mash, and bind into pills the size of millet grains. Administer number of pills corresponding to age with warm water.
*Shenghui Fang* another formula:
Wulingzhi (Trogopterori Faeces, one tael) Baifuzi (Aconitum Carleilii Radix Praeparata, raw use) Nanxing (Arisaema Rhizome, raw use, one fen each).
Crush and sieve into powder, boil with first-drip vinegar until it becomes a paste, add two qian of snail powder and one qian of musk powder, bind into pills the size of mung beans. One pill per year of age, dissolved in breast milk. If no breast milk, use silver-gold decoction; effective upon entry.
*Shenghui Fang* treats infant Tiandiao with upward eye deviation and mouth/hand spasms. Use this formula:
Biyu'er (Toad Crystals, fifteen pieces, ten dry, five wet).
Mix with breast milk, mash thoroughly, add more breast milk, and灌 (administer) into mouth for immediate effect.
*Shenghui Fang* emergency topical ointment for infant Tiandiao. Beiji Tu Ding Gao:
Chuan Wutou (Aconiti Radix, powdered, one qian) Yun Tai Zi (Brassicae Chinensis Semens, powdered, three qian).
Mix with fresh well water, apply to the top of the head for immediate effect.
*Boji Fang* treats various diseases and infant Tiandiao Feng. Lingsha Dan (Cinnabar-Mercury Pellet):
Zhusha (Cinnabar, half tael) Da Fuzi (Aconiti Lateralis Radix Preparata, processed) Qing Ju (Citri Reticulatae Pericarpium, white part removed) Xing Ren (Armeniacae Semen, skin and tip removed, one tael each) Badou (Crotonis Semen, one hundred in spring/winter, fifty in autumn/summer, boiled in five sheng of water over slow fire for thirty boils).
First boil Badou in five sheng of water until oil is exhausted, grind finely, mix with other herb powders, bind with japonica rice paste into pills the size of peas. For infant Tiandiao Feng, take with decoction of peach and willow branches; for infant abdominal distension, take with pomegranate soup. Adjust dosage for infants and patients based on deficiency/excess. Another formula uses one tael of fried ginger-flour cake.
*Lingyuan Fang* Guiming Dan (Life-Preserving Pellet) treats sudden wind-stroke, heart-evil epilepsy, infant Tiandiao fright-convulsions, and malnutrition-heat.
Shehuang (Ochrae Fragmentum, four liang, purple is best, calcined until red-hot, placed on paper on ground overnight to remove fire toxicity, pounded and sieved, then ground in mortar like flour) Zhusha (Cinnabar, half tael) Tiefen (Iron Powder, one tael) Zhufen (Porci Excrement, two liang, wild-raised small hard dry ones, sealed with clay and burned until smoke ceases, do not let turn white or potency decreases, cool and grind fine) Shexiang (Musk, one qian, ground).
Grind all five ingredients extremely fine in mortar, bind with glutinous rice porridge into pills the size of chicken heads. For all wind conditions, take one pill ground in mint wine (half pill for infants). For malnutrition-heat, take one pill ground in cold water, divided into four doses. During preparation, avoid exposure to women, chickens, and dogs. For adults/infants with stroke, trismus, opisthotonos, and excess phlegm, administer one dose for immediate awakening. For infant fright and fever, grind a small amount with mint for relief. This medicine is also called Shenxue Dan. After preparation, spread on lacquer trays and dry in the sun. When dry, each pill has a small hole through it, indicating hollow interior. Old method requires preparation on Dragon Boat Festival or Jiawu days; urgent cases need not wait.
Zhang Huan's Yizi San (One-Character Powder) treats Tiandiao, awakens wind, and refreshes the spirit.
Tian Nanxing (Arisaema Rhizome, half tael, slightly processed) Chanke (Cicada Slough, one qian, slightly roasted) Baijiangcan (Bombyx Batryticatus) Quanxie (Whole Scorpion, one fen each).
Crush and sieve into fine powder, add one fen of buckwheat flour. Place herbs in one vinegar-pomegranate shell, seal with salt mud, roast slowly under stove until mud is dry, remove and grind uniformly. Take one character dose, mix with warm wine.
Zhang Huan's Shuangjin San (Double Gold Powder) treats Tiandiao fright-convulsions with prolonged upward eye deviation.
Wugong (Centipede, remove head, feet, tail, coat with real butter, roast slowly until yellow, place on cutting board facing south, cut along spine with bamboo knife into left and right halves. Left half goes into packet labeled 'Left', right half into packet labeled 'Right', do not mix) Shexiang (Musk, one qian, finely ground). First grind left half with musk in mortar, put into 'Left' packet. Use separate mortar for right half with musk, grind extremely fine, put into 'Right' packet. Store separately. For patients with eyes rolled up showing only whites, plus opisthotonos and inability to cry:
Use fine reed tube, take 'Left' packet, blow small amount of powder into left nostril, do same for right. Do not use too much. If eyes do not fully descend, add more, adjusting carefully. Eyes will descend immediately. Stop when resolved.
Zhang Huan's Niuhuang San (Calculus Bovis Powder) treats Tiandiao, clears heart and stops wind.
Niuhuang (Calculus Bovis, half tael, finely ground) Zhusha (Cinnabar, finely ground, water-washed) Shexiang (Musk, finely ground) Gouteng (Uncariae Ramulus cum Uncis) Xie Shao (Scorpion Tail, all powdered) Tianzhuhuang (Bambusae Caulis in Taedia, ground, one fen each).
Grind all together uniformly. Take one character dose, mix with fresh well water.
Zhang Huan's Baiyin Dan (White Silver Pellet) treats Tiandiao with flooding phlegm-saliva.