《圣惠》论∶夫小儿慢惊风者，由乳哺不调，脏腑壅滞，内有积热，为风邪所伤，入舍于心之所致也。其候∶
乍静乍发，心神不安，呕吐痰涎，身体壮热，筋脉不利，睡卧多惊，风热不除，变化非一，进退不定，荏苒
经时，故名慢惊风也。宜速疗之。
茅先生论∶小儿生下有中慢惊风者，双目上视，双手搐搦，上喘，喉中涎响，乍静乍发，心神恍惚，不记
人事。此候因惊横心舍而成；有因吐泻而成；有大患痢而成；有久泻痢后脾虚，风邪所干，乘虚致此者。如见
此候，急用小便和酒调睡惊膏（方见本门中）一服，须臾搐定，即吐两盏以来青沫粘涎，或三、五盏以来，方得少苏，
急进匀气散两服（方见胃气不和门中，）喉中由有一、二分余涎，即下朱砂膏（方见惊积门中），次日下醒脾散三服、（有
二
方∶一方见胃气不和门；一方见慢脾风门中。）镇心丸两服（方见一切惊门中）。若伏热不退，即下大附散（方见本门中，）
三日内即安。如见背母，摇头，嘘舌退场门，咬奶，眼障泪出，偏搐，死候也，不治。
钱乙论∶慢惊因病后或吐泻，脾胃虚损，遍身冷，口鼻气出亦冷，手足时螈 ，昏睡，睡露睛，此无阳也，
栝蒌汤主之（方见本门中）。凡急慢惊，阴阳异证，切宜辩而治之，急惊合凉泻，慢惊合温补。世间俗方多不分别，误
小儿甚多。又小儿伤于风冷，病吐泻，医谓脾虚，以温补之，不已，复以凉药治之，又不已。谓之∶本伤风，
医乱攻之，因脾气即虚，内不能散，外不能解，至十余日，其证多睡，露睡睛，身温，风在脾胃，故大便不
聚而为泻，当去脾间风，风退则利止。宣风散主之（方见本门中）。后用使君子丸补其胃（方未见）。亦有诸吐痢久不瘥
者，脾虚生风而成慢惊。
钱乙论∶阴痫坏病云∶东都王氏子吐泻，诸医药下之至虚，变慢惊。其候∶睡露睛，手足螈 而身冷。
钱曰∶此慢惊也，与栝蒌汤，其子胃气实，即开目而身温。王疑其子不大小便，令诸医以药利之，医留八正散
等，数服不利，而身复冷。令钱氏利小便，钱曰∶不当利小便，利之，必身冷。王曰∶已身冷矣。因抱出，钱
曰∶不能食而胃中虚，若利大小便，即死，久即脾肾俱虚，当身冷而闭目，幸胎气实而难衰也。钱用益黄散
（方见胃气不和门中）、使君子丸四服（方未见）。令微饮食，至日午，果能饮食。所以然者，谓利大小便，脾胃虚寒，
当补脾，不可别攻也。后又不语，诸医作失音治之。钱曰∶既失音，何开目而能饮食，又牙不噤而口不紧也。诸医不能
晓，钱以地黄丸补肾（方见虚寒门中）。所以然者，用清药利小便致脾肾俱虚，今脾已实，肾尚虚，故补肾必安。治之
半月而能言，一月而痊也。
钱乙论∶慢惊得于大病之余，吐泻之后，或误取转致脾胃虚损，风邪乘之，（凡小儿吐泻不止，即成慢惊，宜速治）。
似搐而不甚搐（此名螈 ），似睡而精神慢，四肢与口中气皆冷，睡露睛，或胃痛而啼哭如邪声，此证已危。盖脾胃虚
损故也。
张涣论∶小儿急惊风不除，进退不定，荏苒经时，乍静乍发，呕吐痰涎，潮搐甚者，名慢惊风病，宜速疗之。
《秘要指迷》论∶凡小儿初生下，不问日数或忽患慢惊，醒后四肢厥冷，不知人事，但心中微暖。即用侧子
汤服。
《五关贯真珠囊》小儿慢惊风候∶凡慢惊风，身体不大热，似困而不睡，间惊哭不止，不肯食乳。此为慢惊
风之候，困风盛而生也。
茅先生小儿受慢惊风候歌∶
眼睛上视是风惊，手足频频搐不定。喉内涎鸣先取转，化涎不下请量情。
茅先生小儿慢惊死候歌∶
慢惊风候实难医，遍体昏沉壮热时，睡卧多惊心不稳，手牵脚搐喘相随。荏苒时多为此候，速令下药莫迟
疑。
《玉诀》小儿慢惊虚风候歌∶
长嘘啮齿面青黄， 乳涎高胃气伤，风盛涎高生搐搦，泻痢频频色不常。
此患先调其气，后退惊风，次下涎，调脏腑。即无误也。
《石壁经》三十六种慢惊将发候歌∶
未发惊时先好睡，（四十八候云∶未发慢惊先重睡）。睡中吐舌又摇头，面青睹发如针立，（《凤髓经》云∶惊发面红
毛
发立。）壮热通身脚似钩。（《凤髓经》四十八候云∶更加手足一如钩。此候多因伤寒失治或奶母动作不定，是致发热或
作吐泻，又复被寒邪苦楚，渐渐多睡，少汗，不食乳，手足软弱，或即曲硬，此当出汗，醒脾去风即愈。）吐乳作腥生气
息，额中千颗汗珠流，通肠表汗儿当瘥，若取之时泻不休。（仍须先汗后下，其下旋旋，下之不可太猛，并两少温药生胃
气。）
此病冷气伤，腠理不通，蕴结为大患，未发先困，及发面青，头额有汗，吐乳腥臭。若有此疾，先解表，
后用 螂丸（方见一切痢门中）一、二服。肥大者，微与下，次调气即安。如此不退，成慢脾风也。
《凤髓经》与此歌亦同，有注云∶先与HT 煎散表（方见夹惊伤寒门中），次乌犀膏散（方见急慢惊风门中。）
《石壁经》三十六种慢惊正发候歌∶
恶心才作便生惊，吐泻频频气上侵，舌赤唇红双眼闭，（《凤髓经》此三句云∶吐泻才生便恶心，霍乱吐乳汗柑侵，
舌出唇绯双目闭。）摇头发直一如针。（此候亦主困伤，寒气已表发，毒瓦斯内淫伤于胃经，内热初感，所以多吐，或泻，
渴不止。失治则主多困，困重则发搐，不至大，既紧，只是或时发手足微动，奈半月十日不愈，亦不能绝，多无汗，遍
身干燥。当醒脾发汗去惊。）闷生气急搐双胁，口白生疮命不任，此候未生宜早治，涎潮肺腑更难禁。（《凤髓经》此一
句乃云∶有疮胃闭命沉沉。若气急则两胁微动，动则气短而喘也。更一句，用冷药太甚，逼毒瓦斯伤脾胃损，致令口
中有疮出，若赤，犹可治。白疮满口如珠子者，目直视，睛不转，满面黑色无光，必死。）
《凤髓经》此一篇云∶小儿吐泻后成慢惊风，慢脾风。仍注云∶如口未生疮，不妨先与白鹤丹（方见本门中，）次神
白散（方见多睡门中。）
《小儿形证论》四十八候∶吐泻传慢惊歌后说云∶此候发时先吐逆，医人不识，却将调荣卫药与服，致令口
生疮成恶候，先将 丸（方见一切痫门中）下胸膈风涎，不吐后调气。
《惠眼观证》说云∶慢惊形候，乍静乍发，或吐或泻、或因着扑，或以患痢，脾胃乘虚而作，若见肉晕，啼
声有泪，手足微微掣动，急下慢脾汤药及以 汤丸利之。（方见急慢惊风门中。）至次日，调气，兼进醒脾平胃化涎汤药
调理。若先潮热，后口相牵一边，手足只搐一边，喉中作拽锯之声，不啼、无泪，此候不可治，三日中死，死
后眼生障膜而五脏绝也。
长沙医者李刚中说云∶阴静而缓，阴慢而迟。钱述慢惊得于大病之余，吐泻之后，或误服冷药，取转而肠
胃虚弱，风邪乘之，似搐而不甚搐，似睡而露睛，手足螈 ，或作鸦声者，此证已危，盖脾胃虚损故也。是足
太阴脾、足阳明胃表里俱虚，相合受病，风淫所胜也。人皆以胃气为本。胃者，水谷之海，脾之大源，乘纳水
谷，清者为荣，浊者为卫，脾气像土而居中洲，气血循环，以灌四傍。令小儿气血未定，五脏方成，复因乳哺
不调，冷热相搏而致吐泻，久而不瘥，脾胃俱虚，风邪内乘，故面青，昏睛睡，口鼻气冷，手足螈 。医或以
铁粉、水银、龙脑、朱砂之类，是抱薪而投火也。故钱用青州白丸子末、金液丹末量以轻重，参以分数，二物
和合，米饮调之，以主脾胃，候手足温即渐减之，复投以醒脾驱风之药。此钱之垂教龟镜也。又有慢脾风，亦
与慢惊相似，但分别轻重耳。亦由小儿脾胃俱虚，风邪内乘也。
《圣惠》治小儿慢惊风，壮热，四肢拘急，痰涎壅滞，发歇不定。白僵蚕散方
白僵蚕 蝎尾 蝉壳（各微炒） 芦荟 朱砂 雄黄（各细研） 五灵脂 白附子（炮裂。以上各一分） 蟾头（一
枚，涂酥，炙令焦黄） 牛黄 麝香（各细研，半分） 辟宫子（二枚，涂酥，炙令黄）
上件药捣，细罗为末，入研了药，令匀。不计时候，以薄荷汤调下半钱。看儿大小，加减服之。
《圣惠》治小儿慢惊风，心胸痰涎上攻，咽喉如呀，身体壮热，筋脉拘急，或时发渴，抽掣。龙脑散方
龙脑（细研，半分） 雄黄 麝香 芦荟 青黛 牛黄 天竺黄 朱砂（七味并细研） 胡黄连 木香 丁香 熊
胆犀角屑 干蝎（生用） 腻粉（以上各一分）
上件药捣，细罗为散，同研令匀。不计时候，薄荷汤调半钱服之。量儿大小以意加减。
《圣惠》治小儿慢惊风，壮热，心烦，发渴，搐搦。牛黄散方
牛黄 麝香 雄黄 芦荟 天竺黄 夜明沙（微炒） 犀角（末） 胡黄连（末） 白僵蚕（末。各一分） 干蝎
（末，一分半） 熊胆（半分） 朱砂（半两，细研，水飞）
上都细研为散。不计时候，以薄荷汤调半钱服之。量儿大小以意加减，兼用少许吹入鼻中，良。
《圣惠》治小儿慢惊风，心神烦热，多惊，体瘦，四肢抽掣。犀角散方
犀角屑 天麻 白附子（炮裂） 干蝎（微炒） 麝香 牛黄（细研。各一分） 朱砂（半两，细研，水飞） 腻
粉晚蚕蛾（各半分）
上件药捣，细罗为散。不计时候，煎龙胆汤，放温，调下半钱。量儿大小以意加减。
《圣惠》治小儿慢惊风，发渴不止。牛黄丸方
牛黄 天竺黄（并细研） 犀角屑 胡黄连（各半两） 芎 人参（去芦头） 白茯苓 丁香 钩藤 龙齿（细
研。各一分） 龙脑（半钱，细研） 麝香（一钱）
上件药捣，罗为末，用木蜜和丸如绿豆大。每服以粥饮下三丸。量儿大小以意加减。
《圣惠》治小儿慢惊风，或发即戴眼向上，手足搐搦。乌犀散方
乌犀角（屑） 驴胎耳（烧灰） 干蟾（烧灰） 白僵蚕（微炒） 朱砂 雄黄 麝香 牛黄 天竺黄 青黛（六
味各细研） 丁香（以上各一分） 羌活（半两） 独角仙（三枚，微炙，去翅、足） 雀儿饭瓮（五枚） 蚕纸（一
片，出子者，烧灰）
上件药捣，细罗为散，都研令匀。不计时候，以温水调下半钱。量儿大小加减服。
《圣惠》治小儿慢惊风及天 。麝香散方
麝香 牛黄（并细研） 腻粉 干蝎 白附子（炮裂。各一分）
上件药捣，细罗为散。不计时候，以薄荷汁调下一字。量儿大小，加减服之。
《圣惠》治小儿一腊后月内，忽中慢惊风及无辜之候。朱砂散方
朱砂 牛黄 麝香（细研。各一分） 干蝎（十四枚，微炒） 雀儿饭瓮（二十七枚，麸炒令黄，去壳）
上件药细研为散。不计时候，以乳汁调下半钱，薄荷汤调下亦得。更看儿大小以意加减。
《圣惠》治小儿慢惊风，坠涎。真珠丸方
真珠 牛黄 朱砂 雄黄 腻粉（各一分）
上件药都细研，用粳米饭和丸如黄米大。一、二岁儿，每服以薄荷汤下三丸，日三服。量儿大小以意加减。
《圣惠》治小儿慢惊风，胸膈多涎，迷闷，口噤，发渴，搐搦，纵睡多惊。比金丸方
牛黄 麝香 雄黄（各细研，一钱） 乌犀角（屑） 朱砂（细研） 乌蛇肉（炙令黄） 干蝎（微炒） 水银 天
南星 羚羊角（屑。各一分） 雀儿饭瓮（三十枚，内有物者，微炒） 金银箔（各二十一片，与水银三味同研为砂子。）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。不计时候，以薄荷汁下三丸。量儿大小加减服之。
《圣惠》治小儿慢惊风，搐搦。天竺黄丸方
天竺黄 牛黄 麝香 朱砂（各细研，一分） 龙脑 雄黄 芦荟（各细研） 胡黄连 腻粉 熊胆 丁香 木香
犀角屑（各半分） 雄蚕蛾（十四枚） 金箔（十四片，细研）
上件药捣，罗为末，都研令匀，炼蜜和丸如绿豆大。不计时候，以粥饮下三丸。量儿大小加减服之。
《圣惠》治小儿慢惊风热，筋脉跳掣，精神昏闷，风涎不利，宜服天麻丸方
天麻 干蝎（生） 防风（去芦头） 白僵蚕（生用） 白附子（生。各一两） 甘草（炙微赤，锉） 朱砂 雄
黄牛黄 麝香（各细研，并一分）
上件药捣，罗为末，研入朱砂等四味，令匀、炼蜜和丸如绿豆大。不计时候，以薄荷汤化破三丸服之。看
儿大小临时加减。
《圣惠》治小儿慢惊风，体热多涎，发渴搐搦。青黛丸方
青黛 牛黄（并细研） 蜗牛（炒令黄） 白附子（炮裂） 白僵蚕（微炒） 胡黄连（各一分） 乌蛇（一两，
酒浸，去皮、骨，炙令黄） 干蝎（二七枚，微炒） 朱砂（半两，细研，水飞过） 麝香（一钱，细研） 蟾酥（三
片，如柳叶大，铁上焙焦） 狗胆（二枚，取汁）
上件药捣，罗为末，入狗胆汁与糯米饭和丸如黄米粒大。一、二岁儿，以薄荷汤下三丸，日三服；三、四
岁儿服五丸。
《圣惠》治小儿慢惊风及取风涎积聚。牛黄丸方
牛黄（细研） 甘草（炙微赤，锉） 黄连（去须） 陈橘皮（汤浸，去白瓤，焙） 天南星 白附子（并炮裂）
According to *Shenghui Fang* (Prescriptions from the Holy Healer): Slow convulsion in infants and children (Man Jing Feng) arises from irregular breastfeeding, leading to stagnation of Qi and blood in the Zang-Fu organs, accumulation of internal heat, and invasion by wind-pathogens, which then lodge in the Heart. The manifestations include: alternating periods of quietness and agitation, restlessness of the mind-spirit, vomiting of phlegm and saliva, high fever, stiffness and difficulty in movement of the sinews and vessels, frequent startles during sleep, and if the wind-heat is not resolved, the condition changes unpredictably, fluctuating in severity over a prolonged period; hence it is called slow convulsion. It requires prompt treatment.
Mr. Mao states: Some infants suffer from slow convulsion immediately after birth, presenting with upward deviation of the eyes, spasms of both hands, rapid breathing, rattling of phlegm in the throat, alternating quietness and agitation, mental confusion, and loss of awareness. This syndrome results from fright invading the Heart residence; it can also arise from vomiting and diarrhea, severe dysentery, or spleen deficiency following chronic diarrhea/dysentery where wind-pathogens invade due to emptiness. Upon observing these signs, immediately administer one dose of Shuijing Gao (Sleeping Convulsion Paste) (see this section) mixed with urine and wine. After a moment, the spasms will cease, and the child will vomit two cups or more of greenish frothy phlegm, or three to five cups, after which they may slightly revive. Immediately follow with two doses of Yunqi San (Harmonizing Qi Powder) (see Stomach Qi Disharmony section). If there remains a small amount of phlegm in the throat, administer Zhusha Gao (Cinnabar Paste) (see Fright and Accumulation section). The next day, administer Xingpi San (Awakening Spleen Powder) three doses (two formulas available: one in Stomach Qi Disharmony section, one in Slow Spleen Wind section), and Zhenxin Wan (Calming Heart Pill) two doses (see All Fright sections). If latent heat persists, administer Dafu San (Great Aconite Powder) (see this section); peace should be restored within three days. Signs such as turning away from the mother, shaking the head, protruding and retracting the tongue, biting at the breast, ptosis with tearing, and unilateral spasms indicate a fatal prognosis and are incurable.
Qian Yi states: Slow convulsion occurs after serious illness or vomiting and diarrhea, resulting in damage to the Spleen and Stomach. Symptoms include coldness throughout the body, cold air exhaled from the mouth and nose, intermittent spasms of the limbs, lethargy, and sleeping with eyes open (exposing the pupils). This indicates a lack of Yang. It is treated with Gualou Tang (Trichosanthes Decoction) (see this section). In all cases of acute and slow convulsion, the Yin and Yang syndromes differ; careful differentiation is essential. Acute convulsion requires cooling and purging methods, while slow convulsion requires warming and tonifying methods. Many folk prescriptions fail to distinguish between them, causing much harm to children. Furthermore, if a child contracts wind-cold leading to vomiting and diarrhea, and the physician treats it as Spleen deficiency with warming tonics without success, then switches to cooling herbs without success, this is termed: originally wind injury, but mishandled by the physician's aggressive attacks, leading to Spleen Qi deficiency. Internally unable to disperse and externally unable to release, after ten-plus days, symptoms include excessive sleep, exposed pupils during sleep, warm body, and wind pathogen in the Spleen and Stomach causing loose stools. One must remove wind from the Spleen; once wind recedes, diarrhea stops. Xuanfeng San (Dispersing Wind Powder) is indicated (see this section). Subsequently, Shijunzi Wan (Quince Pill) is used to tonify the Stomach (formula not seen). There are also cases of prolonged vomiting and dysentery that do not heal, where Spleen deficiency generates wind, forming slow convulsion.
Qian Yi discusses Yin Epilepsy and deteriorating conditions: The son of Mr. Wang in Dongdu suffered vomiting and diarrhea. Various physicians used purgatives until he became extremely deficient, transforming into slow convulsion. Symptoms included sleeping with eyes open and spasms of hands and feet with a cold body. Qian Yi said: "This is slow convulsion." He administered Gualou Tang. Because the child's Stomach Qi was still substantial, his eyes opened and his body warmed. Mr. Wang suspected urinary and fecal retention and asked other physicians to use diuretics/purgatives. They prescribed Bazheng San (Eight-Normal Powder) etc., but multiple doses were ineffective, and the body became cold again. When asked to promote urination, Qian Yi said: "One should not promote urination. Doing so will inevitably cause coldness in the body." Mr. Wang replied: "The body is already cold." Upon examining the child, Qian Yi said: "Inability to eat indicates Stomach emptiness. Promoting urination and defecation will lead to death. Prolonged deficiency leads to simultaneous Spleen and Kidney deficiency, manifesting as cold body and closed eyes. Fortunately, prenatal Qi is strong and hard to deplete." Qian Yi used Yihuang San (Yellow Protecting Powder) (see Stomach Qi Disharmony section) and Shijunzi Wan four doses (formula not seen). He advised light diet; by noon, the child could indeed eat. The reason is that promoting urination/defecation causes Spleen-Stomach deficiency-cold; one must tonify the Spleen, not attack elsewhere. Later, the child lost speech. Physicians treated it as aphonia. Qian Yi said: "If truly aphonic, how can he open his eyes and eat? Also, why are the teeth not clenched and lips not tight?" The physicians did not understand. Qian Yi used Dihuang Wan (Rehmannia Pill) to tonify the Kidney (see Deficiency-Cold section). The rationale: using clearing/draining herbs for urination caused Spleen-Kidney deficiency. Now the Spleen is solid, but the Kidney is still deficient; thus, tonifying the Kidney ensures recovery. After half a month, he could speak; after one month, he recovered.
Qian Yi states: Slow convulsion arises after major illness, vomiting, or diarrhea, or due to mismanagement causing Spleen-Stomach damage, allowing wind-pathogens to invade. (Note: Persistent vomiting/diarrhea in infants leads to slow convulsion; treat promptly). Symptoms resemble spasms but are mild (this is called chi zong [spasmodic contraction]), resembles sleep but with sluggish spirit, cold limbs and breath, sleeping with eyes open, or stomach pain with crying sounds like those of evil spirits. This syndrome is critical due to Spleen-Stomach deficiency.
Zhang Huan states: If infant acute convulsion is not resolved, fluctuating over time, with alternating quietness/agitation, vomiting phlegm, and severe tidal spasms, it is named slow convulsion disease and requires prompt treatment.
*Miyao Zhimi* (Secret Essentials Pointing to the Mystery) states: For any infant newly born, regardless of days, if sudden slow convulsion occurs, waking with cold extremities and unconsciousness, but slight warmth in the heart region, immediately administer Cezi Tang (Side Aconite Decoction).
*Wuguan Guanzhenzhunang* (Five Passages Piercing the True Pearl Sac) describes the slow convulsion syndrome: Body is not significantly hot, appears fatigued but cannot sleep, intermittent uncontrollable crying, refusal to nurse. These are signs of slow convulsion, generated by flourishing wind.
Mr. Mao's Song on Infant Slow Convulsion Signs:
Eyes looking up indicates wind-fright,
Hands and feet frequently spasm uncontrollably.
Phlegm rattling in the throat requires first resolving,
If phlegm transformation fails, judge the situation carefully.
Mr. Mao's Song on Fatal Signs of Infant Slow Convulsion:
Slow convulsion is truly difficult to cure,
When the whole body is heavy with high fever,
Sleeping often with startles, mind unstable,
Hand pulling, foot twitching, accompanied by panting.
Protracted duration characterizes this sign,
Quickly administer medicine, do not hesitate.
*Yujue* (Jade Decisions) Song on Infant Slow Convulsion Deficient Wind Syndrome:
Long sighs, grinding teeth, face greenish-yellow,
High milk-phlegm injures Stomach Qi,
Flourishing wind and high phlegm generate spasms,
Frequent diarrhea/dysentery with abnormal color.
For this affliction, first regulate Qi, then expel wind, subsequently drain phlegm, and harmonize Zang-Fu. Then there will be no error.
*Shibi Jing* (Stone Wall Classic) Song on the 36 Types of Impending Slow Convulsion:
Before onset, the child sleeps well, (48 signs say: impending slow convulsion precedes with heavy sleep). Tongue protrudes and head shakes during sleep, Face is green, hair stands like needles, ( *Fengsui Jing* says: upon fright onset, face red, hair stands). High fever throughout, legs curved like hooks. (*Fengsui Jing* 48 signs say: additionally hands and feet like hooks. This sign often results from untreated typhoid or erratic behavior of the wet nurse, causing fever or vomiting/diarrhea, compounded by cold pathogen distress, gradually leading to more sleep, less sweat, refusal to nurse, weak limbs, or stiff curvature. This requires sweating, awakening the Spleen, and removing wind for recovery.) Vomited milk smells fishy, generating foul breath, Sweat beads flow from the forehead, Unblocking intestines and releasing exterior sweat cures the child, If purged, diarrhea continues endlessly. (Still, must sweat first, then purge gently; purging must not be too fierce, and use mild warming medicines to generate Stomach Qi.)
This disease is injured by cold Qi, interstices blocked, accumulating into major affliction. Before onset, fatigue prevails; upon onset, face is green, head/forehead sweaty, vomited milk smells fishy. If this disease exists, first resolve the exterior, then use Lang Wan (Mantis Egg Case Pill) (see All Dysentery section) one or two doses. For robust children, mildly purge, then regulate Qi for peace. If this does not resolve, it becomes Slow Spleen Wind.
*Fengsui Jing* agrees with this song, with notes: First give HT Jian San (decoction powder) to release the exterior (see Complicated Fright Typhoid section), then Wuxi Gao San (Black Rhinoceros Horn Paste Powder) (see Acute/Slow Convulsion section).
*Shibi Jing* Song on the 36 Types of Active Slow Convulsion:
Nausea arises, then fright follows, Frequent vomiting/diarrhea, Qi invades upward, Tongue red, lips crimson, both eyes closed, ( *Fengsui Jing* these three lines say: Vomiting/diarrhea arises then nausea, Cholera vomiting milk sweat invades, Tongue out, lips crimson, both eyes closed.) Head shakes, hair straight like needles. (This sign also relates to exhaustion injury. Cold Qi has manifested outward, toxic vapors internally invade and injure the Stomach Meridian, initial internal heat sensation, thus frequent vomiting or diarrhea, unquenchable thirst. Untreated, it leads to exhaustion; severe exhaustion triggers spasms. Not severe/tight, just occasional mild limb movement. Endures half a month to ten days without healing, but not fatal. Mostly no sweat, dry body. Should awaken Spleen, induce sweat, remove fright.) Suffocation, angry Qi, rapid breathing, spasms of both flanks, White ulcers in mouth, life cannot bear it. This sign should be treated early before arising; Phlegm flooding lungs and viscera is harder to control. (*Fengsui Jing* this line says: Ulcers, Stomach closure, life heavy. If Qi urgent, flanks move slightly; movement means shortness of breath and panting. Another note: Using cold medicines excessively forces toxic vapors to injure Spleen/Stomach, causing mouth ulcers. If red, still treatable. If white ulcers fill mouth like pearls, eyes fixed, pupils unresponsive, face black without luster,必定 fatal.)
*Fengsui Jing* this passage says: Infant slow convulsion and slow spleen wind form after vomiting/diarrhea. Note: If no mouth ulcers, it is fine to first give Baihe Dan (White Crane Pill) (see this section), then Shenbai San (Divine White Powder) (see Excessive Sleep section).
*Xiao'er Xingzheng Lun* (Discussion on Infant Forms and Syndromes) 48 Signs: Post-song commentary on vomiting/diarrhea transmitting to slow convulsion says: Upon onset, vomiting/regurgitation occurs first. Physicians fail to recognize it, instead administering Rongwei-regulating medicines, causing mouth ulcers and bad signs. First use Wan (Pill) (see All Epilepsy section) to purge chest/diaphragm wind-phlegm; if not vomiting, then regulate Qi.
*Huiyan Guanzheng* (Wisdom Eye Observing Syndromes) states: Slow convulsion signs include alternating quietness/agitation, vomiting or diarrhea, or due to trauma, or dysentery, Spleen-Stomach acting due to emptiness. If flesh halos are seen, crying with tears, slight limb tremors, urgently administer Manpi Tang (Slow Spleen Decoction) and Tang/Wan to drain. (See Acute/Slow Convulsion section). Next day, regulate Qi, concurrently advance Xingpi Pingwei Huaxian Tang (Awaken Spleen, Level Stomach, Transform Phlegm Decoction) for conditioning. If tidal fever first, then mouth pulls to one side, only one side limbs spasm, sawing sound in throat, no crying, no tears, this sign is incurable, death within three days, eye membrane forms after death, Five Viscera perish.
Li Gangzhong, a physician from Changsha, says: Yin is quiet and slow, Yin is sluggish and late. Qian described slow convulsion arising after major illness, vomiting/diarrhea, or mistaken ingestion of cold medicines causing purging, leading to weak intestines/stomach, wind-pathogen invasion. Resembles spasms but mild, resembles sleep with exposed pupils, limb spasms, or crow-like sounds. This syndrome is critical due to Spleen-Stomach deficiency. The Foot-Taiyin Spleen and Foot-Yangming Stomach interior-exterior pairs are both deficient, jointly affected by disease, overwhelmed by wind excess. People regard Stomach Qi as the root. The Stomach is the sea of water and grain, the great source of the Spleen. It receives water and grain; clear parts become Ying (Nutritive) Qi, turbid parts become Wei (Defensive) Qi. Spleen Qi resembles Earth, centered in the middle. Qi and Blood circulate to irrigate the four directions. Infants' Qi and Blood are unsettled, Five Viscera just formed. Again, irregular breastfeeding, cold-heat clashing causes vomiting/diarrhea. Prolonged non-healing leads to dual Spleen-Stomach deficiency, internal wind invasion, thus green face, dull eyes/sleep, cold mouth/nose breath, limb spasms. Physicians using Iron Powder, Mercury, Borneol, Cinnabar etc. is like carrying firewood to throw into a fire. Thus Qian used Qingzhou Baiwanzi (Qingzhou White Pills) powder and Jin Ye Dan (Golden Elixir Pill) powder, measuring weight and proportion, mixing the two, adjusting with rice drink to govern Spleen-Stomach. Wait for limbs/warmth, then gradually reduce, then administer medicines to awaken Spleen and drive out wind. This is Qian's teaching and mirror. There is also Slow Spleen Wind, similar to slow convulsion, differing only in severity. It also arises from infant dual Spleen-Stomach deficiency and internal wind invasion.
*Shenghui Fang* treats infant slow convulsion with high fever, limb stiffness, phlegm stagnation, unpredictable onset/cessation. Baijiangcan San (White Silkworm Powder) Formula:
Bai Jiangcan (White Silkworm), Xie Wei (Scorpion Tail), Chan Qiao (Cicada Slough) (each lightly stir-fried), Lu Hui (Aloe), Zhu Sha (Cinnabar), Xiong Huang (Realgar) (each finely ground), Wu Ling Zhi (Trogopterus Feces), Bai Fu Zi (Arisaema Cum Bile) (cracked by roasting. Above each 1 fen), Chan Tou (Toad Head) (one piece, coated with butter, roasted until yellow), Niu Huang (Calculus Bovis), She Xiang (Moschus) (each finely ground, 0.5 fen), Bi Gong Zi (Bi Gong Seeds) (two pieces, coated with butter, roasted yellow).
Grind above medicines, sift finely, mix with ground medicines evenly. Take half a qian adjusted with Bohe Tang (Mint Decoction) at any time. Adjust dosage according to child's size.
*Shenghui Fang* treats infant slow convulsion with chest/phlegm attacking upward, throat sounding like gasping, high fever, tendon stiffness, occasional thirst, spasms. Longnao San (Borneol Powder) Formula:
Long Nao (Borneolum Syntheticum) (finely ground, 0.5 fen), Xiong Huang (Realgar), She Xiang (Moschus), Lu Hui (Aloe), Qing Dai (Indigo Naturalis), Niu Huang (Calculus Bovis), Tian Zhu Huang (Bambusa Textilis Calamus), Zhu Sha (Cinnabar) (seven flavors finely ground), Hu Huang Lian (Picrorhiza Root), Mu Xiang (Aucklandiae Radix), Ding Xiang (Caryophylli Flos), Xiong Dan (Ursi Fel), Xi Jiao (Rhinocerotis Cornu) slices, Gan Xie (Dry Scorpion) (raw), Ni Fen (Calomelas) (above each 1 fen).
Grind above medicines, sift finely into powder, mix evenly. Take half a qian with Mint Decoction at any time. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion with high fever, vexation, thirst, spasms. Niu Huang San (Calculus Bovis Powder) Formula:
Niu Huang (Calculus Bovis), She Xiang (Moschus), Xiong Huang (Realgar), Lu Hui (Aloe), Tian Zhu Huang (Bambusa Textilis Calamus), Ye Ming Sha (Phryganopodia Cyrtopodii) (lightly fried), Xi Jiao (Rhinocerotis Cornu) (powder), Hu Huang Lian (Picrorhiza Root) (powder), Bai Jiangcan (White Silkworm) (powder. Each 1 fen), Gan Xie (Dry Scorpion) (powder, 1.5 fen), Xiong Dan (Ursi Fel) (0.5 fen), Zhu Sha (Cinnabar) (0.5 liang, finely ground, washed with water).
Finely grind all into powder. Take half a qian with Mint Decoction at any time. Adjust by child's size. Also blow a little into nostrils, good.
*Shenghui Fang* treats infant slow convulsion with mind-vexation-heat, frequent fright, emaciation, limb spasms. Xi Jiao San (Rhinoceros Horn Powder) Formula:
Xi Jiao Xie (Rhinoceros Horn Slices), Tian Ma (Gastrodiae Rhizoma), Bai Fu Zi (Arisaema Cum Bile) (cracked by roasting), Gan Xie (Dry Scorpion) (lightly fried), She Xiang (Moschus), Niu Huang (Calculus Bovis) (finely ground. Each 1 fen), Zhu Sha (Cinnabar) (0.5 liang, finely ground, washed with water), Ni Fen (Calomelas), Can E (Silkworm Moth) (each 0.5 fen).
Grind above medicines, sift finely into powder. Decoct Longdan Tang (Gentiana Decoction), let cool, take half a qian adjusted. Modify by child's size.
*Shenghui Fang* treats infant slow convulsion with unquenchable thirst. Niu Huang Wan (Calculus Bovis Pill) Formula:
Niu Huang (Calculus Bovis), Tian Zhu Huang (Bambusa Textilis Calamus) (both finely ground), Xi Jiao Xie (Rhinoceros Horn Slices), Hu Huang Lian (Picrorhiza Root) (each 0.5 liang), Xiong (Ligusticum Chuanxiong), Ren Shen (Panax Ginseng) (remove rhizome), Bai Fu Ling (Poria), Ding Xiang (Caryophylli Flos), Gou Teng (Uncariae Ramulus cum Uncis), Long Chi (Dentis Fosssil Mastodi) (finely ground. Each 1 fen), Long Nao (Borneolum Syntheticum) (0.5 qian, finely ground), She Xiang (Moschus) (1 qian).
Grind and sift into powder, mix with wood honey into pills like mung beans. Take three pills per dose with porridge drink. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion, or upon onset eyes roll up, limb spasms. Wuxi San (Black Rhinoceros Horn Powder) Formula:
Wu Xi Jiao (Rhinoceros Horn) (slices), Lv Tai Er (Donkey Fetal Ear) (burnt to ash), Gan Chan (Dry Toad) (burnt to ash), Bai Jiangcan (White Silkworm) (lightly fried), Zhu Sha (Cinnabar), Xiong Huang (Realgar), She Xiang (Moschus), Niu Huang (Calculus Bovis), Tian Zhu Huang (Bambusa Textilis Calamus), Qing Dai (Indigo Naturalis) (six flavors finely ground), Ding Xiang (Caryophylli Flos) (above each 1 fen), Qiang Huo (Notopterygii Rhizoma et Radix) (0.5 liang), Du Jiao Xian (Monocentris japonica) (three pieces, lightly roasted, remove wings/feet), Que'er Fan Weng (Sparrow's Crop) (five pieces), Can Zhi (Silkworm Paper) (one piece, hatched, burnt to ash).
Grind above medicines, sift finely, mix evenly. Take half a qian with warm water at any time. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion and Tian . She Xiang San (Moschus Powder) Formula:
She Xiang (Moschus), Niu Huang (Calculus Bovis) (both finely ground), Ni Fen (Calomelas), Gan Xie (Dry Scorpion), Bai Fu Zi (Arisaema Cum Bile) (cracked by roasting. Each 1 fen).
Grind above medicines, sift finely into powder. Take one zi (measure) with Mint Juice at any time. Adjust by child's size.
*Shenghui Fang* treats infant within one month after first lunar month, sudden slow convulsion and Wugu signs. Zhu Sha San (Cinnabar Powder) Formula:
Zhu Sha (Cinnabar), Niu Huang (Calculus Bovis), She Xiang (Moschus) (finely ground. Each 1 fen), Gan Xie (Dry Scorpion) (fourteen pieces, lightly fried), Que'er Fan Weng (Sparrow's Crop) (twenty-seven pieces, bran-roasted yellow, remove shell).
Finely grind above medicines into powder. Take half a qian mixed with milk at any time, or with Mint Decoction. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion, draining phlegm. Zhenzhu Wan (Pearl Pill) Formula:
Zhenzhu (Margarita), Niu Huang (Calculus Bovis), Zhu Sha (Cinnabar), Xiong Huang (Realgar), Ni Fen (Calomelas) (each 1 fen).
Finely grind all medicines, mix with glutinous rice flour into pills like millet grains. For 1-2 year olds, take three pills per dose with Mint Decoction, three times daily. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion, chest/phlegm, dizziness, locked jaw, thirst, spasms, deep sleep with frequent fright. Bijin Wan (Gold-Color Pill) Formula:
Niu Huang (Calculus Bovis), She Xiang (Moschus), Xiong Huang (Realgar) (each finely ground, 1 qian), Wu Xi Jiao (Rhinoceros Horn) (slices), Zhu Sha (Cinnabar) (finely ground), Wu She Rou (Agkistrodon Flesh) (roasted yellow), Gan Xie (Dry Scorpion) (lightly fried), Shui Yin (Mercurius), Tian Nan Xing (Arisaemae Rhizoma), Ling Yang Jiao (Caprae Subcut cornu) (slices. Each 1 fen), Que'er Fan Weng (Sparrow's Crop) (thirty pieces, containing contents, lightly fried), Jin Yin Bo (Gold and Silver Leaf) (each twenty-one pieces, ground together with mercury into sand).
Grind above medicines, sift into powder, mix evenly, bind with refined honey into pills like mung beans. Take three pills with Mint Juice at any time. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion, spasms. Tianzhu Huang Wan (Bambusa Textilis Calamus Pill) Formula:
Tian Zhu Huang (Bambusa Textilis Calamus), Niu Huang (Calculus Bovis), She Xiang (Moschus), Zhu Sha (Cinnabar) (each finely ground, 1 fen), Long Nao (Borneolum Syntheticum), Xiong Huang (Realgar), Lu Hui (Aloe) (each finely ground), Hu Huang Lian (Picrorhiza Root), Ni Fen (Calomelas), Xiong Dan (Ursi Fel), Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Xi Jiao Xie (Rhinoceros Horn Slices) (each 0.5 fen), Xiong Can E (Male Silkworm Moth) (fourteen pieces), Jin Bo (Gold Leaf) (fourteen pieces, finely ground).
Grind above medicines, sift into powder, mix evenly, bind with refined honey into pills like mung beans. Take three pills with porridge drink at any time. Adjust by child's size.
*Shenghui Fang* treats infant slow convulsion heat, tendon jumping/spasms, mental dullness, wind-phlegm obstruction, suitable for Tianma Wan (Gastrodia Pill) Formula:
Tian Ma (Gastrodiae Rhizoma), Gan Xie (Dry Scorpion) (raw), Fang Feng (Saposhnikoviae Radix) (remove rhizome), Bai Jiangcan (White Silkworm) (raw), Bai Fu Zi (Arisaema Cum Bile) (raw. Each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted slightly red, cut), Zhu Sha (Cinnabar), Xiong Huang (Realgar), Niu Huang (Calculus Bovis), She Xiang (Moschus) (each finely ground, total 1 fen).
Grind above medicines, sift into powder, mix in Zhu Sha etc. four flavors evenly, bind with refined honey into pills like mung beans. Dissolve three pills in Mint Decoction and take at any time. Adjust temporarily by child's size.
*Shenghui Fang* treats infant slow convulsion, body heat, abundant phlegm, thirst, spasms. Qingdai Wan (Indigo Naturalis Pill) Formula:
Qing Dai (Indigo Naturalis), Niu Huang (Calculus Bovis) (both finely ground), Wo Niu (Helix Pomatia) (roasted yellow), Bai Fu Zi (Arisaema Cum Bile) (cracked by roasting), Bai Jiangcan (White Silkworm) (lightly fried), Hu Huang Lian (Picrorhiza Root) (each 1 fen), Wu She (Agkistrodon) (1 liang, soaked in wine, remove skin/bones, roasted yellow), Gan Xie (Dry Scorpion) (fourteen pieces, lightly fried), Zhu Sha (Cinnabar) (0.5 liang, finely ground, washed), She Xiang (Moschus) (1 qian, finely ground), Chan Su (Toad Venom) (three pieces, willow-leaf size, roasted焦 on iron), Gou Dan (Canis Fel) (two pieces, juice extracted).
Grind above medicines, sift into powder, add dog bile juice, mix with glutinous rice flour into pills like millet grains. For 1-2 year olds, take three pills with Mint Decoction, three times daily; for 3-4 year olds, take five pills.
*Shenghui Fang* treats infant slow convulsion and extracting wind-phlegm accumulation. Niu Huang Wan (Calculus Bovis Pill) Formula:
Niu Huang (Calculus Bovis) (finely ground), Gan Cao (Glycyrrhizae Radix et Rhizoma) (roasted slightly red, cut), Huang Lian (Coptidis Rhizoma) (remove stamens), Chen Ju Pi (Citri Reticulatae Pericarpium) (soaked in soup, remove white pith, dried), Tian Nan Xing (Arisaematis Rhizoma), Bai Fu Zi (Arisaema Cum Bile) (both cracked by roasting).