《黄帝素问》奇病论∶帝曰∶人生有病癫疾者,病名谓何?安所得之?歧伯曰∶病名为胎病。此得之在母腹
中,时母有所大惊,气上而不下,精气并居,故令子发为癫也。
《巢氏病源》∶痫者,小儿病也。十岁以上为癫,十岁以下为痫。其发之状,或口眼相引而目睛上摇,或
手足掣 ,或背脊强直,或颈项反折。诸方说痫,名证不同,大体其发之源皆因三种。三种者,风痫、惊痫、
食痫是也。
《圣惠》论∶夫小儿癫痫者,由风邪、热毒伤于手少阴之经故也。心为帝王,神之所舍,其脏坚固不受外邪。
若风热蕴积于心,则令恍惚不安,精神离散,荣卫气乱,阴阳相并,故发癫痫也。又云∶小儿在胎之时,其母
卒有大惊,精气并居,则令子癫痫也。
张涣论∶小儿五、七岁至十岁以上发痫者,若精神恍惚不定,阴阳相干,霍乱之类,病乃名癫疾。
《颅囟经》治孩子从一岁至大,癫发无时,口出白沫,小便淋沥不利,二十二味虎睛丸
虎睛(一双,左眼佳,曝干,酒浸令黄色) 真珠 蜂房(各三钱) 麻黄(二分,去节) 钩藤(三分) 铁精
防葵 大黄 子芩 龙齿 银屑 栀子仁 羌活(各四分) 柴胡 升麻 白藓皮 雷丸(烧令赤) 人参(各三分)
细辛(一分半) 蛇皮(五寸,炙) 石膏(五分) 蚱蝉(四枚,去翅足,炙)
上件为末,研,炼蜜为丸。四、五岁如赤豆大五丸,日再服。大儿十丸,米饮下。忌生、冷、油腻。
《外台》∶《古今录验》疗五癫。牛癫则牛鸣,马癫则马嘶,狗癫则狗吠,羊癫则羊鸣,鸡癫则鸡鸣。五癫病者,
腑脏相引,盈气起寒,厥不识人,气急掣 ,吐沫,久而得苏。雄黄丸方(《千金》名雄雌丸)
雄黄(研) 雌黄(一方无,一方用一两) 真珠(末) 水银(各一两,熬。《千金》水银使八分) 铅丹(二
两,熬成屑。《千金》此一味是铅) 丹砂(半两,研。《千金》用二两)
上六味捣,和以蜜又捣三万杵,为丸。先食,服胡豆大三丸,日再,惊痫亦愈,良。(《千金》、《范汪》同,儿三丸
如小豆。忌生、血物。)
《圣惠》治小儿心脏积热,时发癫痫,呕吐涎沫,作声迷闷。铁粉丸方
铁粉 龙齿(各细研,一两) 铅霜 麝香(各细研) 天南星(各一分) 天麻(三分) 朱砂(细研,水飞过)
水银 黑铅(各半两,与水银结为砂子,细研)
上件药捣,罗为末,都研令匀。以炼蜜和丸如绿豆大。每服,以竹沥研化五丸服之。量儿大小以意加减。
《圣惠》治小儿癫,发动无时,心闷吐沫。雄黄丸方
雄黄 铁粉(各细研) 朱砂(细研,水飞过。各半两) 猪胆(二枚) 熊胆(一分) 鲤鱼胆(七枚) 乌
牛胆(半枚) 青羊胆(二枚) 麝(一钱,细研)
上以诸般胆汁相和令匀,即入诸药末,和丸如绿豆大。每服以金银汤下五丸。量儿大小以意加减。
《圣惠》治小儿五岁至七岁发癫痫,无时发动,口出白沫,遗失大小便不觉。虎睛丸方
虎睛(一对,细研) 朱砂(细研,水飞过,半两) 雷丸(三分) 露蜂房( 炙) 麻黄(去根节) 子芩 甘
草(炙微赤,锉) 天麻 钩藤(各半两) 防葵 川大黄(锉碎,微炒) 龙齿(细研) 栀子仁 石膏(细研,水
飞过) 蚱蝉(去翅足,微炙。各一两) 银箔(三十片,细研) 麝香 牛黄(各细研) 蛇蜕皮(锉,微炒。各三
分) 羌活 柴胡(去苗) 白藓皮 川升麻 沙参(去芦头。各三分)
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。量儿大小加减服之。
《圣惠》治小儿癫痫,螈 ,发歇无时。地龙散方
干地龙(半两,微炒) 虎睛(一对,微炙) 人参(一分,去芦头)
以上三味同捣,罗为末。
金银箔(各三十片) 朱砂 雄黄 天竺黄 代赭 铅霜 铁粉(各一分)
上件药都研细,入前三味研令匀。每服以温水调下半钱。更看儿大小加减。
《圣惠》治小儿癫痫至大不瘥,或发即口出白沫,并大小便出不知。虎睛丸方
虎睛(一对,酒浸一宿,微炒,细研) 朱砂 石膏(各细研,水飞过) 铁粉 龙齿(细研。各一两) 露蜂房
(微炙) 羌活 钩藤 防葵 麻黄(去根节) 川升麻(各半两) 细辛(一分) 牛黄(半分,细研) 蚱蝉(四
枚,去翅足,炙)
上件药杵,罗为末,都研令匀,炼蜜和丸如麻子大。每服以温水下五丸。量儿大小加减服之。
《圣惠》治小儿癫痫,连年不瘥方。
铅 水银(各二两) 硫黄 铁粉(各一两)
上先将铅于铛子中令消,即下硫黄,炒不住手,就铛研搅;待硫黄烟气似息,入水银又搅;次下铁粉,以
武火烧,少时将出。一夜露地出火毒后,研令极细,即以粟米饭和丸如绿豆大。每于食后,以金银汤下五丸。
量儿大小以意加减。
《圣惠》治小儿癫痫等疾方。
光明朱砂(二两,颗块者)
上以金箔随朱砂颗块大小各裹之,用磁石末入固济了瓶子中,实筑中心留一坑子,即以朱砂置坑子内,上
更以磁石末覆之瓶子口,更以铅一片可瓶口大小盖之。以文火养七日,火常令露铅以箸刺得入。养一七日后,
去铅,大火 之,候冷出,于乳钵中细研,即置于通油钵子内;上以马牙硝末遍覆之,即置饭甑中,蒸一炊
久,其朱砂化成水。有患者,食后以温水调下半钱。量儿大小以意加减服之。
《圣惠》治小儿癫痫,欲发即精神不足,眼目不明,螈 恶声,嚼舌吐沫。雌雄丸方
雌黄(细研,炒令褐色) 黄丹(炒令褐色。各一两) 麝香(一分)
上件药相和,细研如粉。用牛乳一升,慢火熬成膏,可丸即丸如绿豆大。每服以温水下三丸,日三服。量
儿大小,以意加减服之。
《圣惠》治小儿癫痫,发歇不定。朱砂丸方
朱砂(细研,水飞过) 铅霜 铁粉 马牙硝(各一两)
上件药细研如面,以枣肉和丸如绿豆大。每于食后,以熟水下三丸。量儿大小以意加减。
《婴孺》治小儿一、二岁发痫,至大不瘥,成癫病,发无时,口出白沫,并大小便不知出。虎睛丸方
虎睛(一具,酒浸一宿,炙黄) 丹砂 铁粉(精) 子芩 大黄 龙齿 栀子仁 银屑(各四分) 蜂房(炙)
钩藤皮 柴胡 白藓皮 麻黄(去节) 雷丸(炙。各二分) 羌活 沙参 升麻(各三分) 牛黄(半分) 蚱蝉(四
枚,去翅足,自死者) 防葵 蛇蜕皮(各七分,炙) 细辛(一分半) 石膏(五分)
上为末,蜜丸。四、五岁服大豆大十丸。与《颅囟经》药味同,只多牛黄及分两不同。
张涣熊胆丹方 治癫痫,镇心安神。
真熊胆 铁粉(各细研) 朱砂(细研,水飞) 生天南星(末) 雄黄(水磨精明者,别研。各半两) 粉霜(一
分,研) 脑麝(各研一钱)
上件同拌匀,用 猪胆一枚,取汁和诸药,丸如黍米大。每服十粒至二十粒,煎金银薄荷汤下。
张涣天麻散方 祛风,治癫痫。
天麻 防风 麻黄(去节根。各一分) 甘草(炙) 川升麻 羌活 黄芩 川大黄(炮。各半两)
上件捣,罗为末。每服一钱,水一盏,煎至五分,去滓,放温服。
张涣黑锡丹方 治癫痫及诸痫,胞络涎盛。
黑锡(二两,同水银半两慢火结砂子) 铅霜 铁粉(各细研,半两) 麝香(一分,细研) 天南星(一两,炮,
取末)
上件同再研匀,滴水和如黍米大。每服十粒,煎竹叶汤下。
张涣日应丹方 治癫痫连年不瘥。
黑锡 硫黄 水银(细研) 铁粉(研。各一两) 金银箔(各三十片)
上件将锡于铛子内熔令消,即入硫黄,炒不住手,就铛研搅;候硫黄烟气似息,次入水银、铁粉、金银箔
同搅。用紧火烧,少时都倾出,露地一宿,出火毒;再研和匀,用粟米饭和如绿豆大。每于食后,服五粒至
七粒,煎人参汤下。量儿大小加减。
*Huangdi Suswen* (Yellow Emperor's Plain Questions), Chapter on Rare Diseases: The Yellow Emperor asked, "When a person suffers from epilepsy (dianji, 癫疾), what is the name of this disease? How is it acquired?" Qibo replied, "This disease is called 'fetal disease' (taibing, 胎病). It originates in the womb. At that time, the mother experienced a great fright, causing Qi to ascend but not descend, and Essence and Qi gathered together, thus causing the child to develop epilepsy."
*Zhubing Yuanhou Lun* (Source Book of All Diseases and Symptoms): Epilepsy (xianbing, 痫病) is a disease of children. Those over ten years old are diagnosed with dian (癫), and those under ten years old are diagnosed with xian (痫). During an attack, symptoms may include deviation of the mouth and eyes with upward rolling of the eyeballs, twitching or convulsions of the hands and feet, stiffness of the back, or opisthotonos (neck bending backward). Various texts describe different names and syndromes for epilepsy, but generally, the root cause falls into three categories: wind epilepsy (fengxian, 风痫), fright epilepsy (jingxian, 惊痫), and food epilepsy (shixian, 食痫).
*Tai Ping Sheng Hui Fang* (Taiping Holy Benefit Formulary) discusses: Pediatric epilepsy arises because wind pathogens and heat toxins injure the Hand-Shaoyin Heart Meridian. The Heart is the sovereign organ, the residence of the Spirit (Shen, 神), and its viscera are solid and resistant to external pathogens. If wind-heat accumulates in the Heart, it causes mental confusion and restlessness, dispersion of spirit, disorder of Ying and Wei Qi, and conflict between Yin and Yang, thereby triggering epilepsy. It also states: If the mother suffers a sudden great fright while the child is in the womb, the gathering of Essence and Qi will cause the child to develop epilepsy.
Zhang Huan discusses: When children aged five to seven up to over ten develop epilepsy, if they exhibit mental confusion and instability, with interference between Yin and Yang resembling cholera-like symptoms, this disease is named dian (癫).
*Luxin Jing* (Classic of the Cranial Fontanelle) treats epilepsy in children from one year old to adulthood, which occurs at any time, accompanied by foaming at the mouth and dribbling or difficult urination, with the Twenty-Two Tiger Eye Pill (Ershierwei Huqing Wan, 二十二味虎睛丸):
Tiger Eyes (Huqing, 虎睛) (One pair, left eye is better, dried in sun, soaked in wine until yellow) Pearl (Zhenzhu, 真珠) Beehive (Fengfang, 蜂房) (Each 3 qian) Ephedra Herb (Mahuang, 麻黄) (2 fen, nodes removed) Uncaria Ramulus (Gouteng, 钩藤) (3 fen) Iron Essence (Tiejing, 铁精) Ixia Rhizome (Fang Kui, 防葵) Rhubarb Root (Dahuang, 大黄) Scutellaria Root (Zi Qin, 子芩) Dragon Tooth (Longchi, 龙齿) Silver Flakes (Yinxie, 银屑) Gardenia Seed (Zhizi Ren, 栀子仁) Notopterygium Rhizome (Qianghuo, 羌活) (Each 4 fen) Bupleurum Root (Chaihu, 柴胡) Cimicifuga Rhizome (Shengma, 升麻) Dictamnus Root Bark (Baixianpi, 白藓皮) Alisma Seed (Leiwan, 雷丸) (Burned until red) Ginseng Root (Renshen, 人参) (Each 3 fen) Asarum Root (Xixin, 细辛) (1.5 fen) Snake Skin (Shepi, 蛇皮) (5 cun, roasted) Gypsum Fibrosum (Shigao, 石膏) (5 fen) Cicada Slough (Zhechan, 蚱蝉) (4 pieces, wings and feet removed, roasted)
Grind all ingredients into powder, mix thoroughly, and form pills with refined honey. For children aged four or five, administer five pills the size of a red bean, twice daily. For older children, administer ten pills with rice water. Avoid raw, cold, and greasy foods.
*Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) cites *Gujin Luyan* to treat five types of epilepsy: Cow epilepsy barks like a cow, horse epilepsy neighs like a horse, dog epilepsy barks like a dog, sheep epilepsy bleats like a sheep, chicken epilepsy crows like a chicken. In these five types of epilepsy, the zang-fu organs influence each other, excessive Qi rises causing coldness, loss of consciousness, rapid breathing, convulsions, and foaming at the mouth; recovery takes a long time. Realgar Pill (Xionghuang Wan, 雄黄丸) (*Qianjin Yaofang* calls it Xiongci Wan, 雄雌丸):
Realgar (Xionghuang, 雄黄) (Ground) Orpiment (Xihuang, 雌黄) (One version omits this; another uses 1 liang) Pearl (Zhenzhu, 真珠) (Powdered) Mercury (Shuiyin, 水银) (Each 1 liang, calcined. *Qianjin Yaofang* uses 8 fen for mercury) Lead Tetroxide (Qiandan, 铅丹) (2 liang, calcined to powder. *Qianjin Yaofang* identifies this ingredient as lead) Cinnabar (Dansha, 丹砂) (0.5 liang, ground. *Qianjin Yaofang* uses 2 liang)
Pound the six ingredients together, mix with honey, and pound thirty thousand times to form pills. Take before meals, three pills the size of a broad bean, twice daily. This also cures fright epilepsy effectively. (Same as *Qianjin Yaofang* and *Fan Wang*; for children, three pills the size of a small bean. Avoid raw meat and blood products.)
*Tai Ping Sheng Hui Fang* treats pediatric heart accumulation of heat causing intermittent epilepsy, vomiting saliva, and muffled sounds, with the Iron Powder Pill (Tiefen Wan, 铁粉丸):
Iron Powder (Tiefen, 铁粉) Dragon Tooth (Longchi, 龙齿) (Each finely ground, 1 liang) Lead Frost (Qianshuang, 铅霜) Musk (Shexiang, 麝香) (Each finely ground) Acorus Rhizome (Tiannanxing, 天南星) (Each 1 fen) Gastrodia Tuber (Tianma, 天麻) (3 fen) Cinnabar (Zhusha, 朱砂) (Finely ground, washed with water) Mercury (Shuiyin, 水银) Black Lead (Qian, 黑铅) (Each 0.5 liang, combined with mercury to form 'sand', finely ground)
Pound the ingredients, sieve into powder, and grind uniformly. Mix with refined honey to form pills the size of mung beans. Each dose: dissolve five pills in bamboo sap (Zhuli, 竹沥) and take. Adjust dosage according to the child's age and condition.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy occurring at random times, with chest stuffiness and foaming, with the Realgar Pill (Xionghuang Wan, 雄黄丸):
Realgar (Xionghuang, 雄黄) Iron Powder (Tiefen, 铁粉) (Each finely ground) Cinnabar (Zhusha, 朱砂) (Finely ground, washed with water. Each 0.5 liang) Pig Gallbladder (Zhudan, 猪胆) (2 units) Bear Gallbladder (Xiongdan, 熊胆) (1 fen) Carp Gallbladder (Liyudan, 鲤鱼胆) (7 units) Black Ox Gallbladder (Wuniudan, 乌牛胆) (0.5 unit) Green Sheep Gallbladder (Qiangyangdan, 青羊胆) (2 units) Musk (She, 麝) (1 qian, finely ground)
Mix various gallbladder juices evenly, add the powdered medicines, and form pills the size of mung beans. Each dose: take five pills with gold-silver decoction. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy in children aged five to seven, occurring at random times, with foaming at the mouth and involuntary urination/defecation, with the Tiger Eye Pill (Huqing Wan, 虎睛丸):
Tiger Eyes (Huqing, 虎睛) (One pair, finely ground) Cinnabar (Zhusha, 朱砂) (Finely ground, washed with water, 0.5 liang) Alisma Seed (Leiwan, 雷丸) (3 fen) Exposed Beehive (Lufengfang, 露蜂房) (Roasted) Ephedra Herb (Mahuang, 麻黄) (Roots and nodes removed) Scutellaria Root (Zi Qin, 子芩) Licorice Root (Gancao, 甘草) (Roasted until slightly red, chopped) Gastrodia Tuber (Tianma, 天麻) Uncaria Ramulus (Gouteng, 钩藤) (Each 0.5 liang) Ixia Rhizome (Fang Kui, 防葵) Sichuan Rhubarb Root (Chuan Dahuang, 川大黄) (Chopped, lightly stir-fried) Dragon Tooth (Longchi, 龙齿) (Finely ground) Gardenia Seed (Zhizi Ren, 栀子仁) Gypsum Fibrosum (Shigao, 石膏) (Finely ground, washed with water) Cicada Slough (Zhechan, 蚱蝉) (Wings and feet removed, lightly roasted. Each 1 liang) Silver Leaf (Yinbo, 银箔) (30 pieces, finely ground) Musk (Shexiang, 麝香) Bovine Calculus (Niuhuang, 牛黄) (Each finely ground) Snake Slough (Shetuipi, 蛇蜕皮) (Chopped, lightly stir-fried. Each 3 fen) Notopterygium Rhizome (Qianghuo, 羌活) Bupleurum Root (Chaihu, 柴胡) (Sprouts removed) Dictamnus Root Bark (Baixianpi, 白藓皮) Cimicifuga Rhizome (Chuan Shengma, 川升沙参) Codonopsis Root (Shashen, 沙参) (Radicle removed. Each 3 fen)
Pound the ingredients, sieve into powder, mix with refined honey, and pound 300-200 times to form pills the size of mung beans. Each dose: take five pills with gruel drink. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy with convulsions (chouyong, 螈 ) occurring at random times, with the Earthworm Powder (Dilong San, 地龙散):
Dried Earthworm (Gan Dilong, 干地龙) (0.5 liang, lightly stir-fried) Tiger Eyes (Huqing, 虎睛) (One pair, lightly roasted) Ginseng Root (Renshen, 人参) (1 fen, radicle removed)
Pound these three ingredients together and sieve into powder.
Gold and Silver Leaf (Jinyinbo, 金银箔) (Each 30 pieces) Cinnabar (Zhusha, 朱砂) Realgar (Xionghuang, 雄黄) Calamines (Tianzhuhuang, 天竺黄) Hematite (Daizhe, 代赭) Lead Frost (Qianshuang, 铅霜) Iron Powder (Tiefen, 铁粉) (Each 1 fen)
Grind all ingredients finely, mix with the first three powders uniformly. Each dose: mix half a qian with warm water. Adjust dosage based on the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy persisting into adulthood without cure, or attacks with foaming at the mouth and involuntary urination/defecation, with the Tiger Eye Pill (Huqing Wan, 虎睛丸):
Tiger Eyes (Huqing, 虎睛) (One pair, soaked in wine overnight, lightly stir-fried, finely ground) Cinnabar (Zhusha, 朱砂) Gypsum Fibrosum (Shigao, 石膏) (Each finely ground, washed with water) Iron Powder (Tiefen, 铁粉) Dragon Tooth (Longchi, 龙齿) (Finely ground. Each 1 liang) Exposed Beehive (Lufengfang, 露蜂房) (Lightly roasted) Notopterygium Rhizome (Qianghuo, 羌活) Uncaria Ramulus (Gouteng, 钩藤) Ixia Rhizome (Fang Kui, 防葵) Ephedra Herb (Mahuang, 麻黄) (Roots and nodes removed) Cimicifuga Rhizome (Chuan Shengma, 川升麻) (Each 0.5 liang) Asarum Root (Xixin, 细辛) (1 fen) Bovine Calculus (Niuhuang, 牛黄) (0.5 fen, finely ground) Cicada Slough (Zhechan, 蚱蝉) (4 pieces, wings and feet removed, roasted)
Pound the ingredients, sieve into powder, grind uniformly, mix with refined honey to form pills the size of hemp seeds. Each dose: take five pills with warm water. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy persisting for years without cure:
Lead (Qian, 铅) Mercury (Shuiyin, 水银) (Each 2 liang) Sulfur (Liuhuang, 硫黄) Iron Powder (Tiefen, 铁粉) (Each 1 liang)
First melt the lead in a crucible, then add sulfur, stirring constantly while grinding in the crucible; when sulfur fumes subside, add mercury and stir again; then add iron powder and roast with strong fire, removing shortly after. Leave exposed to the earth overnight to eliminate fire toxicity, then grind extremely fine. Mix with millet rice paste to form pills the size of mung beans. After meals, take five pills with gold-silver decoction. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy and related diseases:
Bright Cinnabar (Guangming Zhusha, 光明朱砂) (2 liang, in lumps)
Wrap each lump of cinnabar with gold foil according to its size. Place magnetite powder in a bottle to seal it firmly, compact the center leaving a depression, place the cinnabar in the depression, cover the bottle mouth with more magnetite powder, and cap with a piece of lead fitting the mouth size. Nourish with gentle heat for seven days, ensuring the lead remains exposed enough for chopsticks to pierce it. After seven days, remove the lead, apply intense heat, cool, and grind finely in a mortar. Place in an oil-permeable mortar, cover completely with sodium nitrate (Mayaciming, 马牙硝) powder, and steam in a rice steamer for the duration of cooking a meal until the cinnabar liquefies. Patients take half a qian mixed with warm water after meals. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy where impending attacks cause mental fatigue, unclear vision, convulsions, aversion to sound, tongue biting, and foaming, with the Yinciong Pill (Cixiong Wan, 雌雄丸):
Orpiment (Xihuang, 雌黄) (Finely ground, stir-fried until brown) Lead Tetroxide (Huangdan, 黄丹) (Stir-fried until brown. Each 1 liang) Musk (Shexiang, 麝香) (1 fen)
Mix ingredients, grind finely to powder. Use one sheng (approx. 200ml) of cow milk, simmer slowly into a paste, and form pills the size of mung beans. Each dose: take three pills with warm water, three times daily. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric epilepsy with irregular onset and cessation, with the Cinnabar Pill (Zhusha Wan, 朱砂丸):
Cinnabar (Zhusha, 朱砂) (Finely ground, washed with water) Lead Frost (Qianshuang, 铅霜) Iron Powder (Tiefen, 铁粉) Sodium Nitrate (Mayaciming, 马牙硝) (Each 1 liang)
Grind ingredients finely like flour, mix with jujube flesh to form pills the size of mung beans. After meals, take three pills with boiled water. Adjust dosage according to the child's age.
*Yingru Fang* treats pediatric epilepsy starting at one or two years old, persisting into adulthood as dian, occurring at random times with foaming at the mouth and involuntary urination/defecation, with the Tiger Eye Pill (Huqing Wan, 虎睛丸):
Tiger Eyes (Huqing, 虎睛) (One set, soaked in wine overnight, roasted yellow) Cinnabar (Dansha, 丹砂) Iron Powder (Tiefen, 铁粉) (Refined) Scutellaria Root (Zi Qin, 子芩) Rhubarb Root (Dahuang, 大黄) Dragon Tooth (Longchi, 龙齿) Gardenia Seed (Zhizi Ren, 栀子仁) Silver Flakes (Yinxie, 银屑) (Each 4 fen) Beehive (Fengfang, 蜂房) (Roasted) Uncaria Ramulus (Goutengpi, 钩藤皮) Bupleurum Root (Chaihu, 柴胡) Dictamnus Root Bark (Baixianpi, 白藓皮) Ephedra Herb (Mahuang, 麻黄) (Nodes removed) Alisma Seed (Leiwan, 雷丸) (Roasted. Each 2 fen) Notopterygium Rhizome (Qianghuo, 羌活) Codonopsis Root (Shashen, 沙参) Cimicifuga Rhizome (Shengma, 升麻) (Each 3 fen) Bovine Calculus (Niuhuang, 牛黄) (0.5 fen) Cicada Slough (Zhechan, 蚱蝉) (4 pieces, wings and feet removed, naturally dead) Ixia Rhizome (Fang Kui, 防葵) Snake Slough (Shetuipi, 蛇蜕皮) (Each 7 fen, roasted) Asarum Root (Xixin, 细辛) (1.5 fen) Gypsum Fibrosum (Shigao, 石膏) (5 fen)
Grind into powder, form honey pills. For ages four or five, take ten pills the size of soybeans. Ingredients are same as *Luxin Jing*, but includes Bovine Calculus and differs in dosages.
Zhang Huan's Bear Gallbladder Pill (Xiongdan Dan, 熊胆丹) treats epilepsy, calming the heart and spirit:
True Bear Gallbladder (Zhen Xiongdan, 真熊胆) Iron Powder (Tiefen, 铁粉) (Each finely ground) Cinnabar (Zhusha, 朱砂) (Finely ground, water-washed) Raw Acorus Rhizome (Sheng Tiannanxing, 生天南星) (Powdered) Realgar (Xionghuang, 雄黄) (Water-ground for clarity, separately ground. Each 0.5 liang) Frost Powder (Fenshuang, 粉霜) (1 fen, ground) Camphor and Musk (Nanshe, 脑麝) (Each 1 qian, ground)
Mix well, use juice from one pig gallbladder to bind the medicines into pills the size of millet seeds. Each dose: take 10-20 pills with decoction of gold, silver, and mint.
Zhang Huan's Gastrodia Powder (Tianma San, 天麻散) dispels wind, treats epilepsy:
Gastrodia Tuber (Tianma, 天麻) Saposhnikovia Root (Fangfeng, 防风) Ephedra Herb (Mahuang, 麻黄) (Nodes and roots removed. Each 1 fen) Licorice Root (Gancao, 甘草) (Roasted) Cimicifuga Rhizome (Chuan Shengma, 川升麻) Notopterygium Rhizome (Qianghuo, 羌活) Scutellaria Root (Huangqin, 黄芩) Sichuan Rhubarb Root (Chuan Dahuang, 川大黄) (Processed. Each 0.5 liang)
Pound and sieve into powder. Each dose: 1 qian, decoct in one cup of water until reduced to half a cup, strain, and take warm.
Zhang Huan's Black Tin Pill (Heixi Dan, 黑锡丹) treats epilepsy and various xian conditions, with phlegm-fluid retention in the pericardium collateral:
Black Tin (Heixi, 黑锡) (2 liang, slowly heated with 0.5 liang mercury to form 'sand') Lead Frost (Qianshuang, 铅霜) Iron Powder (Tiefen, 铁粉) (Each finely ground, 0.5 liang) Musk (Shexiang, 麝香) (1 fen, finely ground) Acorus Rhizome (Tiannanxing, 天南星) (1 liang, processed, powdered)
Grind uniformly again, add drops of water to form pills the size of millet seeds. Each dose: take ten pills with bamboo leaf decoction.
Zhang Huan's Daily Response Pill (Riying Dan, 日应丹) treats chronic epilepsy persisting for years:
Black Tin (Heixi, 黑锡) Sulfur (Liuhuang, 硫黄) Mercury (Shuiyin, 水银) (Finely ground) Iron Powder (Tiefen, 铁粉) (Ground. Each 1 liang) Gold and Silver Leaf (Jinyinbo, 金银箔) (Each 30 pieces)
Melt tin in a crucible, add sulfur, stir constantly while grinding in the crucible; when sulfur fumes subside, add mercury, iron powder, and gold/silver leaves, stirring together. Roast with strong fire, pour out shortly after, leave exposed overnight to eliminate fire toxicity, grind and mix uniformly, bind with millet rice paste into pills the size of mung beans. After meals, take 5-7 pills with ginseng decoction. Adjust dosage according to the child's age.