（成痼疾也）
《巢氏病源》小儿患痫瘥后更发候∶痫发之状，或口眼相引目睛上摇，或手足螈 ，或背脊强直，或头项反
折，或屈指如数。皆由当风取凉，乳哺失节之所为。其瘥之后而更发者，是余势未尽。小儿血气软弱，或因乳
食不节，或风冷不调，或更惊动，因而重发。如此者，多成常疹。凡痫正发，手足掣缩，慎勿持捉之。捉之则
令曲戾不随也。
《婴童宝鉴》∶痫瘥后复发者，为热未退，乳食不节，更伤风冷而复发也。
《千金》茵芋丸 治少小有风痫疾至长不除，或遇天阴节变便发动，食饮坚强亦发。百脉挛缩、行步不正、言
语不便者，服之永不发方。
茵芋叶 铅丹 秦艽 钩藤皮 石膏 杜蘅 防葵（各一两） 菖蒲 黄芩（各一两半） 松萝（半两） 蜣螂（十
枚） 甘草（三两，炙）
上十二味末之，蜜丸如小豆大。三岁以下服五丸，三岁以上服七丸，五岁以上服十丸，十岁以上可至十五
丸。（《圣惠》∶《婴孺方》分两少异。）
《圣惠》治小儿诸痫复发，不问风之与热，发作多少般数，并宜服紫金散方。
紫金粉（一两半。一名赤乌脚） 川大黄（锉碎，微炒。各三分） 牡蛎粉（三分） 麻黄（去根节，三分） 石
膏（细研，水飞过） 地骨皮 赤石脂（各一两） 乌蛇肉（炙令黄） 防风（去芦头） 黄芩 赤芍药 葛粉 甘草
（炙微赤，锉） 牛黄（细研） 秦艽（去苗。各半两） 羌活 桂心（各一分半） 当归（一分，锉，炒） 朴硝（一
钱半） 寒水石（一两） 虎睛（一对，微炙）
上件药捣，细罗为散，都研令匀。每服，煎竹叶汤调下半钱，更量儿大小，以意加减服。
《圣惠》治小儿惊痫复发，眩闷倒蹶，或汤火不避及除百病。铅丹丸方
铅丹 朱砂（细研，水飞过） 铁粉（各半两） 牛黄 雄黄（各细研） 细辛 独活 露蜂房（炙黄） 人参（去
芦头） 汉防己 桂心 甘草（炙微赤，锉） 川椒（去目及闭口者，微炒去油。各一分） 蜣螂（五枚，微炙） 蛇
蜕皮（五寸，炙黄） 鸡头（一枚，去毛，炙令黄） 赤茯苓（一两）
上件药捣，罗为末，炼蜜和捣三二百杵，丸如绿豆大。每服以粥饮下五丸。量儿大小以意加减。
《圣惠》治小儿诸痫复发，使断根源。天浆子丸方
天浆子（十四个，去壳别研） 蛴螬（三分，微炒） 芎 （半两） 知母 人参（去芦头） 生干地黄 桂心（各
半两） 蚱蝉（半两，去翅足，微炒。《婴孺》用一分） 川大黄（一两半，锉碎微炒。《婴孺》用十分） 蜣螂（三枚，
去翅足，微炙） 牛黄（一分，细研。《婴孺》用三分） 虻虫（三枚，炒黄。《婴孺》用三分，炙）
上件药捣，罗为末。炼蜜和捣三二百杵，丸如绿豆大。每服以粥饮下三丸，日三服。更量儿大小以意加减。
《圣惠》治小儿惊痫，发动经年不断根源。鸱头丸方
鸱头（一枚死者，炙令黄色） 桂心 赤芍药 茯神 露蜂房（炙黄） 甘草（炙微赤，锉） 当归（锉，微炙）
芎 丹参 牛黄（细研） 莨菪子（炒令黑。各半两） 蜣螂（七枚，去翅足，微炙） 蛇蜕皮（五寸，炙黄） 麝
香（一分，细研）
上件药捣，罗为末，炼蜜和捣三二百杵，丸如绿豆大。每服以温水下五丸。看儿大小加减服之。
《婴孺》治痫，三十年患者亦瘥方。
苦参（三大斤） 童子小便（一斗二升，煎苦参取六升）
上以糯米及曲和前汁作酒，十余日当熟，澄清。一服半鸡子许，四五岁儿服一升，永瘥。非止痫疾，但腹
中诸病悉治，神验。曾试，亦治一切气块，宿冷瘕癖、心痛恶病皆治之。放三二年酒不坏，可多作以救人，
神妙。
《婴孺》治少小惊痫，发动经年不断根源。鸱头丸方
鸦头（一个） 桂心（六分） 茯神（五分） 蜣螂 蚱蝉（各炙十四个） 芍药 甘草（炙） 黄芩 当归 芎
丹参 麝香（各四分） 峰房 牛黄（各二分） 蛇蜕皮（五寸，炙） 莨菪子（八合，酒浸，炮干，蒸之） 大黄（八
分）
上为末，蜜丸小豆大。一服七丸，日三服，稍增之。（与《圣惠》鸱头丸分两味数皆不同。）
《婴孺》治发痫虽瘥，余疾虑动。防疾镇心银屑丸方
银屑 黄 大黄 鳖甲（炙） 甘草（炙。各四分） 细辛 桂心（各二分） 茯苓 柴胡 黄芩 人参 芍药
（各三分） 葵子（二分） 牛黄（一分）
上为末，蜜丸大豆大。一服五丸，日三服。常服大良。
《婴孺》治发痫虽已瘥，而根源不断，至长将除疾。银屑丸方
银屑（一铢） 紫菀 细辛 麻黄（去节） 黄芩（各一分） 人参（炙） 大黄 甘草（炙。各二分） 牛黄（四
铢）
上为末，蜜丸小豆大。一服二丸，日三。
张涣化痰丹 治胞络痰涎诸痫瘥后，皆宜常服。
半夏（一两，汤洗七遍） 干姜（微炮） 川黄连（去须） 桂心 南木香（各半两）
以上先捣，罗为细末，次用∶
牛黄 麝香（各研一分） 朱砂（一两，细研，水飞） 巴豆（十个，去皮心膜，炒黄，别研）
上件都一处拌匀，滴水和如黍米大。每服三粒至五粒，温粥饮下，未周 婴儿乳汁下，谓如三岁至七岁不
过五粒。量儿大小加减。
《庄氏家传》断痫丸 治胎惊痫，疾愈而仍发，证候多端，连绵不除方。
黄 钩藤钩子 细辛 甘草（炙。各三分） 蛇蜕皮（三寸，炙） 牛黄（五大豆许，别研） 蝉壳（四枚，洗
去土，微炒，去足）
上七味末之，枣肉和丸如绿豆大。每服，百 内三、两丸，三二岁十丸，四五岁十五丸，十岁二十丸，煎人
参汤下，不计时候。
(This leads to the disease becoming entrenched and difficult to cure.)
*Chao Shi Bing Yuan* (Source of Diseases by Chao) discusses the prognosis for recurrence after convulsions in children have subsided: The manifestations of a convulsive fit include, in some cases, deviation of the mouth and eyes with upward rolling of the eyeballs; in others, spasms of the hands and feet; rigidity of the back and spine; retrocollis (head and neck bent backward); or flexion and extension of fingers as if counting. All these conditions are caused by exposure to wind and cold during illness, and irregularities in breastfeeding and feeding. When symptoms recur after a period of remission, it is because the residual pathogenic factors have not been fully cleared. Due to the weakness of blood and qi in infants and young children, recurrence may be triggered by dietary indiscretion, imbalance from wind and cold, or renewed fright and agitation. Such cases often develop into chronic, stubborn diseases. During an active convulsive episode, when the limbs undergo clonic jerking and contraction, one must strictly avoid forcibly restraining the child. Forcible restraint can cause deformities and loss of voluntary movement.
*Ying Tong Bao Jian* (Precious Mirror for Infants and Children) states that recurrence after the subsidence of convulsions occurs due to lingering heat, dietary irregularities, and subsequent exposure to wind and cold.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) prescribes **Yinyu Wan** (Inyu Pill) for treating pediatric wind-convulsion that persists into adulthood without resolution, or which is triggered by cloudy weather and seasonal changes, or by consuming hard-to-digest foods. It is indicated for patients with spasms of all meridians, unsteady gait, and speech difficulties; regular use prevents further attacks.
Ingredients: *Ilicis Cornutae Folium* (Yinye), *Minii Oxidum* (Qiandan), *Gentianae Macrophyllae Radix* (Qinjiao), *Uncariae Ramulus cum Uncis* (Goutengpi), *Gypsum Fibrosum* (Shigao), *Duhua* (Duhen), *Anemarrhenae Rhizoma* (Fang Kui - note: historical text uses Fang Kui, likely referring to *Adenophorae Radix* or similar in ancient context, but kept as transliteration here per strict adherence), *Acori Tatarinowii Rhizoma* (Changpu), *Scutellariae Radix* (Huangqin) (each 1 liang); *Cetraria* (Songluo) (0.5 liang); *Scarabaeus* (Qianglang) (10 specimens); *Glycyrrhizae Radix et Rhizoma* (Gancao) (3 liang, honey-fried).
Preparation and Administration: Grind the twelve ingredients into fine powder, mix with honey to form pills the size of small beans. Children under three years take 5 pills; over three years, 7 pills; over five years, 10 pills; over ten years, up to 15 pills. (*Taiping Shenghui Fang* notes slight variations in dosage from *Yingru Fang*.)
*Taiping Shenghui Fang* (Imperial Grace Formulary of the Taiping Era) treats various recurrences of pediatric convulsions, regardless of whether they are wind-type or heat-type, and irrespective of the frequency of attacks. The recommended formula is **Zijin San** (Purple Gold Powder).
Ingredients: *Zijin Fen* (Zijin powder, also known as Chi Wu Jiao) (1.5 liang), *Rhei Radix et Rhizoma* (Chuan Dahuang) (crushed, slightly stir-fried, 3 fen each part of the pair?), *Ostreae Concha* (Muli Fen) (3 fen), *Ephedrae Herba* (Mahuang) (roots and joints removed, 3 fen), *Gypsum Fibrosum* (Shigao) (finely ground, water-washed), *Lycii Cortex* (Digupi), *Haematitum* (Chishizhi) (each 1 liang), *Naja Naja* (Wushe Rou) (fried until yellow), *Saposhnikoviae Radix* (Fangfeng) (rhizome removed), *Scutellariae Radix* (Huangqin), *Paeoniae Radix Rubra* (Chishaoyao), *Dioscoreae Hypoglaucae Rhizoma* (Ge Fen), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried until slightly red, crushed), *Bovis Calculus* (Niuhuang) (finely ground), *Gentianae Macrophyllae Radix* (Qinjiao) (sprouts removed, each 0.5 liang), *Notopterygii Rhizoma et Radix* (Qianghuo), *Cinnamomi Cortex* (Guixin) (each 1.5 fen), *Angelicae Sinensis Radix* (Danggui) (1 fen, crushed, fried), *Natrii Sulfas* (Puxiao) (1.5 qian), *Hydrargyri Oxydum Rubrum*? No, *Hanshuishi* (Hanshuishi) (1 liang), *Tigris Oculus* (Hu Jing) (1 pair, slightly fried).
Preparation and Administration: Crush the ingredients, sift through a fine mesh to make a powder, and grind thoroughly to ensure uniformity. Each dose consists of half a qian, mixed with decoction of bamboo leaves. Adjust the dose according to the child's age and size.
*Taiping Shenghui Fang* treats recurrent pediatric fright-convulsions characterized by dizziness, fainting, and collapse, or avoidance of hot water/fire, and aims to eliminate various ailments. The formula is **Qiandan Wan** (Lead Red Oxide Pill).
Ingredients: *Minii Oxidum* (Qiandan), *Cinnabaris* (Zhusha) (finely ground, water-washed), *Ferrum Pulveratum* (Tiefen) (each 0.5 liang); *Bovis Calculus* (Niuhuang), *Realgar* (Xionghuang) (each finely ground); *Asari Radix et Rhizoma* (Xixin), *Angelicae Dahuricae Radix* (Duhuo), *Vespa Nidus* (Lufengfang) (fried yellow), *Ginseng Radix* (Renshen) (rhizome removed), *Stephaniae Tetrandrae Radix* (Han Fangji), *Cinnamomi Cortex* (Guixin), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried until slightly red, crushed); *Zanthoxyli Fructus* (Chuanjiao) (pips and closed ones removed, slightly fried to remove oil, each 1 fen); *Scarabaeus* (Qianglang) (5 specimens, slightly fried), *Serpentis Ecdysis* (Shetuipi) (5 cun, fried yellow), *Galli Crop* (Jitou) (1 specimen, feathers removed, fried yellow), *Poria* (Chifuling) (1 liang).
Preparation and Administration: Crush the ingredients, sift into powder, mix with refined honey, and pound 200-300 times to form pills the size of mung beans. Each dose is 5 pills, taken with rice gruel. Adjust according to the child's size.
*Taiping Shenghui Fang* treats recurrent pediatric convulsions, aiming to eradicate the root cause. The formula is **Tianjiangzi Wan** (Sky Pulp Pill).
Ingredients: *Tianjiangzi* (14 specimens, shells removed and separately ground), *Otiorhynchi Larva* (Qicao) (3 fen, slightly fried), *Ligustici Chuanxiong Rhizoma* (Xiong) (0.5 liang); *Anemarrhenae Rhizoma* (Zhimu), *Ginseng Radix* (Renshen) (rhizome removed), *Rehmanniae Radix Preparata*? No, *Sheng Gan Dihuang* (Raw dried Rehmannia root), *Cinnamomi Cortex* (Guixin) (each 0.5 liang); *Tettigidae* (Zachan) (0.5 liang, wings and legs removed, slightly fried. *Yingru Fang* uses 1 fen); *Rhei Radix et Rhizoma* (Chuan Dahuang) (1.5 liang, crushed, slightly fried. *Yingru Fang* uses 10 fen); *Scarabaeus* (Qianglang) (3 specimens, wings and legs removed, slightly fried); *Bovis Calculus* (Niuhuang) (1 fen, finely ground. *Yingru Fang* uses 3 fen); *Tabani Venenum*? No, *Mengchong* (Mengchong/Male fly larva) (3 specimens, fried yellow. *Yingru Fang* uses 3 fen, fried).
Preparation and Administration: Crush the ingredients, sift into powder. Mix with refined honey and pound 200-300 times to form pills the size of mung beans. Each dose is 3 pills, taken with rice gruel, three times daily. Adjust according to the child's size.
*Taiping Shenghui Fang* treats pediatric fright-convulsions that have persisted for years without resolving the root cause. The formula is **Chitou Wan** (Owl Head Pill).
Ingredients: *Strix* (Chitou) (1 dead specimen, fried until yellow), *Cinnamomi Cortex* (Guixin), *Paeoniae Radix Rubra* (Chishaoyao), *Poria Cum Radice Xylomi* (Fushen), *Vespa Nidus* (Lufengfang) (fried yellow), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried until slightly red, crushed), *Angelicae Sinensis Radix* (Danggui) (crushed, slightly fried), *Ligustici Chuanxiong Rhizoma* (Xiong), *Salviae Miltiorrhizae Radix* (Danshen), *Bovis Calculus* (Niuhuang) (finely ground), *Daturae Semen* (Langdanszi) (fried until black, each 0.5 liang); *Scarabaeus* (Qianglang) (7 specimens, wings and legs removed, slightly fried), *Serpentis Ecdysis* (Shetuipi) (5 cun, fried yellow), *Moschus* (Shexiang) (1 fen, finely ground).
Preparation and Administration: Crush the ingredients, sift into powder. Mix with refined honey and pound 200-300 times to form pills the size of mung beans. Each dose is 5 pills, taken with warm water. Adjust according to the child's size.
*Yingru Fang* treats convulsions; this formula is effective even for patients with a thirty-year history.
Ingredients: *Sophorae Flavescentis Radix* (Kushen) (3 da jin), *Urine of an Unmarried Boy* (Tongzi Xiaonian) (1 dou 2 sheng, boiled with Kushen to obtain 6 sheng of liquid).
Preparation and Administration: Mix the liquid with glutinous rice and yeast to brew wine. After more than ten days, it will mature. Clarify the liquid. One dose is approximately half an eggshell volume. For children aged four or five, administer one sheng. This ensures permanent cure. It treats not only convulsions but all abdominal disorders, proving miraculous. It has been tested to treat all types of Qi masses, chronic cold masses, palpitations, and malignant diseases. The wine remains stable for two to three years. Prepare large quantities to help others; it is profoundly effective.
*Yingru Fang* treats pediatric fright-convulsions persisting for years without root resolution. The formula is **Chitou Wan** (Owl Head Pill).
Ingredients: *Strix* (Ya Tou) (1 specimen), *Cinnamomi Cortex* (Guixin) (6 fen), *Poria Cum Radice Xylomi* (Fushen) (5 fen); *Scarabaeus* (Qianglang), *Tettigidae* (Zachan) (each 14 specimens, fried); *Paeoniae Radix* (Shaoyao), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried), *Scutellariae Radix* (Huangqin), *Angelicae Sinensis Radix* (Danggui), *Ligustici Chuanxiong Rhizoma* (Xiong), *Salviae Miltiorrhizae Radix* (Danshen), *Moschus* (Shexiang) (each 4 fen); *Vespa Nidus* (Fengfang), *Bovis Calculus* (Niuhuang) (each 2 fen); *Serpentis Ecdysis* (Shetuipi) (5 cun, fried), *Daturae Semen* (Langdanszi) (8 he, soaked in wine, processed dry, steamed), *Rhei Radix et Rhizoma* (Dahuang) (8 fen).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of small beans. One dose is 7 pills, three times daily, gradually increasing the dose. (This differs significantly from the *Chitou Wan* in *Taiping Shenghui Fang* in terms of ingredient weights and counts.)
*Yingru Fang* treats convulsions that have subsided but where residual pathogens are feared to trigger recurrence. The formula is **Fangji Zhenxin Qianye Wan** (Prevention Pill for Calming the Heart with Silver Leaves).
Ingredients: *Argentum* (Qianye), *Astragali Radix* (Huangqi), *Rhei Radix et Rhizoma* (Dahuang), *Testudinis Carapax et Plastrum* (Biejia) (fried), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried, each 4 fen); *Asari Radix et Rhizoma* (Xixin), *Cinnamomi Cortex* (Guixin) (each 2 fen); *Poria* (Fuling), *Bupleuri Radix* (Chaihu), *Scutellariae Radix* (Huangqin), *Ginseng Radix* (Renshen), *Paeoniae Radix* (Shaoyao) (each 3 fen); *Abutilonis Semen* (Kuizi) (2 fen); *Bovis Calculus* (Niuhuang) (1 fen).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of soybeans. One dose is 5 pills, three times daily. Long-term administration is highly beneficial.
*Yingru Fang* treats convulsions that have subsided but where the root cause remains, aiming to eliminate the disease as the child grows. The formula is **Qianye Wan** (Silver Leaf Pill).
Ingredients: *Argentum* (Qianye) (1 zhu), *Astrotidis Radix* (Ziwan), *Asari Radix et Rhizoma* (Xixin), *Ephedrae Herba* (Mahuang) (joints removed), *Scutellariae Radix* (Huangqin) (each 1 fen); *Ginseng Radix* (Renshen) (fried), *Rhei Radix et Rhizoma* (Dahuang), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried, each 2 fen); *Bovis Calculus* (Niuhuang) (4 zhu).
Preparation and Administration: Grind into powder, mix with honey to form pills the size of small beans. One dose is 2 pills, three times daily.
**Huatan Dan** (Phlegm-Resolving Pill) by Zhang Huan is suitable for regular use after the subsidence of various convulsions caused by phlegm-saliva in the pericardium collaterals.
Ingredients: *Pinelliae Rhizoma Preparatum* (Banxia) (1 liang, washed seven times in boiling water), *Zingiberis Rhizoma* (Ganjiang) (slightly roasted), *Coptidis Rhizoma* (Chuan Huanglian) (whiskers removed), *Cinnamomi Cortex* (Guixin), *Costi Radix* (Nanmuxiang) (each 0.5 liang).
First, crush and sift the above into a fine powder. Then add:
*Bovis Calculus* (Niuhuang), *Moschus* (Shexiang) (each 1 fen, ground), *Cinnabaris* (Zhusha) (1 liang, finely ground, water-washed), *Croci Fructus*? No, *Badou* (Badou/Croton seed) (10 specimens, skin and heart membrane removed, fried yellow, separately ground).
Mix all ingredients thoroughly, add drops of water to form pills the size of millet seeds. One dose is 3 to 5 pills, taken with warm rice gruel. For infants under one year, use breast milk. For children aged three to seven, do not exceed 5 pills. Adjust according to the child's size.
**Duanxian Wan** (Convulsion-Cutting Pill) from *Zhuang Family Collection* treats fetal fright-convulsions that recur despite apparent recovery, presenting with diverse symptoms and persistent nature.
Ingredients: *Astragali Radix* (Huangqi), *Uncariae Ramulus cum Uncis* (Goutenggouzi), *Asari Radix et Rhizoma* (Xixin), *Glycyrrhizae Radix et Rhizoma* (Gancao) (fried, each 3 fen); *Serpentis Ecdysis* (Shetuipi) (3 cun, fried), *Bovis Calculus* (Niuhuang) (size of 5 large soybeans, separately ground), *Cicadae Periostracum* (Chanke) (4 specimens, washed to remove dirt, slightly fried, legs removed).
Grind the seven ingredients into powder, mix with jujube flesh to form pills the size of mung beans. Dosage: Infants within 100 days take 2-3 pills; children aged 2-3 take 10 pills; aged 4-5 take 15 pills; aged 10 take 20 pills. Administer with Ginseng decoction, at any time.