《巢氏病源》∶食痫者，因乳哺不节所成。
《圣惠》论∶夫小儿食痫者，由脏腑壅滞，内有积热，因其哺乳过度，气血不调之所致也。此皆乳母食饮无
常，恚怒不节，烦毒之气在于胸中，便即乳儿，致使结滞不消，邪热蕴积，肠胃痞塞，不得宣通，则令壮热多
惊，四肢抽掣，故发痫也。
张涣云∶每遇伤饱即发，乃名食痫。
《圣惠》治小儿食痫，四肢抽掣，壮热惊悸，乳食不消，痰涎壅滞，发歇不定。宜服代赭丸方
代赭 朱砂（各细研） 马牙硝 川大黄（锉碎，微炒） 水银（以少枣瓤研，各令星尽，各一分） 金银箔（各
二十片，细研） 蟾酥（一钱，研入） 巴豆（七枚，去皮心，研，纸裹压去油） 腻粉 麝香（各半分，细研） 龙
脑（细研，半钱） 蝎梢（四十九枚，微炒） 天浆子（二七枚内有物者，炒）
上件药捣，罗为末，炼蜜和丸如黍粒大。每服以薄荷汤下二丸，日三服。量儿大小以意加减。
《圣惠》治小儿食痫及惊风百病。虎睛丸方
虎睛（一对，微炒，取仁） 牛黄 朱砂（各细研） 真珠（末） 甘遂（煨黄） 赤芍药 赤茯苓 甘草（炙微
赤，锉） 牡蛎（炒黄） 杏仁（汤浸，去皮尖，双仁，麸炒微黄。各一分） 麝香（半分，细研） 犀角屑 巴豆（去
皮心，纸裹去油。各半两）
上件药捣，罗为末，用糯米饭和丸如绿豆大。每服以荆芥汤下二丸。量儿大小以意加减。
《圣惠》治小儿食痫。朱砂丸方
朱砂（一两，细研，水飞过） 川大黄（锉碎，微炒） 石（细研，半两） 牛黄 雄黄（并细研） 桂心 云
母粉 半夏（汤洗七次，去滑） 黄连（去须） 雷丸 代赭 真珠（末） 干姜（炮裂，锉） 巴豆（去皮心、膜，
炒黄。各一分）
上件药捣，罗为末，炼蜜和丸如黍米大。百日内儿，以乳汁下二丸；三岁至七岁，以粥饮下五丸。量儿大
小加减服之。
《圣惠》治小儿食痫，喘息粗。真珠丸方
真珠（末） 天竺黄 雄黄 巴豆（去皮心，压去油） 麝香 丁头代赭（捣、罗为末） 杏仁（汤浸，去皮尖，
双仁，研如膏。各一分）
上件药都细研令匀，炼蜜和丸如黄米大。一岁、二岁，每服以温水下五丸。量儿大小以意加减。
《圣惠》治小儿食痫，乳癖、积聚、壮热，心神多惊。牛黄丸方
牛黄 朱砂 铅霜（各细研） 真珠（末） 犀角（屑） 牡蛎粉 甘草（炙微赤，锉） 杏仁（汤浸，去皮尖、
双仁，研如膏。各一分） 麝香（半两，细研） 巴豆（十粒，去皮心，研，纸裹压去油）
上件药捣，罗为末，入研了药，同研令匀，炼蜜和丸如麻子大。三岁儿以金银薄荷汤下二丸。量儿大小以
意加减。
《圣惠》治小儿七岁以下食痫壮热，无辜 癖等。雄黄丸方
雄黄 麝香 牛黄（各细研） 朱砂 石膏（各细研，水飞过） 蕤仁（汤浸，去赤皮） 牡蛎粉 巴豆（去皮心、
膜，压出油。各半两） 甘遂（一分，煨微黄）
上件药捣，罗为末，炼蜜和丸如黍米大。每服以粥饮下三丸，如利三、两度勿怪。更随儿大小加减服之。
《圣惠》治小儿食痫，化聚滞奶食，坠涎，利大肠。真珠丸方
真珠（末） 天竺黄 朱砂（并细研。各一分） 雄黄 麝香（各细研） 代赭 蜣螂（微炙） 杏仁（汤浸，去
皮尖、双仁，麸炒微黄。各半两） 巴豆（十粒，用油煎，令褐色，与杏仁研）
上件药都研为末，炼蜜和丸如绿豆大。每服以生姜汤下二丸。量儿大小以意加减。
《圣惠》治小儿食痫，心胸痰滞，大小便常多秘涩。防葵丸方
防葵（末） 滑石（各半两） 牛黄 麝香（各半分） 巴豆（二十粒，取霜） 腻粉 朱砂（各一分） 蛇蜕皮
（一条，烧灰）
上件药同细研，以糯米饭和丸如黍米大。每服以粥饮下二丸。量儿大小增减服之。
《圣惠》治小儿食痫，乳食不消，心腹壅滞，四肢惊掣，宜服此方。
朱砂 五灵脂（各一分） 巴豆（五枚，去皮心，研，纸裹压出油）
上件药细研如粉，用烧粟米饭和丸如黄米大。一、二岁儿，每服用温水下二丸，以吐利为妙。量儿大小以意加减。
《圣惠》治小儿乳食不消，心腹结实，壮热烦闷，摇头反目，口吐涎沫，名为食痫。铅霜丸方
铅霜 腻粉（各一分） 巴豆（五粒，去皮、心，纸裹压去油）
上件药都研为末，以糯米饭和丸如粟米大。每服以通草薄荷汤下一丸，三岁以上加丸服之。
《圣惠》治小儿食痫，坠痰涎。金箔丸方
金箔（五片，细研） 甘遂（一分，煨微黄，捣为末） 腻粉（三分）
上件药拌和，研令匀，以枣瓤和作剂子，以五片金箔裹上，更着湿纸裹煨，灰火煨匀热，候冷取研，丸如
绿豆大。每服以人参汤下二丸。量儿大小以意加减。
张涣雄珠膏方 治食痫，快胸膈。
牛黄（研） 真珠（末，研） 白僵蚕（细研） 丁头代赭（捣为细末） 蕤仁（汤浸，去赤皮，为细末。各一分）
雄黄（半两，水磨精明者，细研）
上件同拌匀，炼蜜和丸如鸡头大。每服一丸至二丸，人参汤化下。
张涣妙圣丹方 治食痫，利胸膈。
木香 代赭石 马牙硝 川大黄（炮。各一分） 蝎梢（四十九枚，微炒）
以上捣，罗为细末。次用∶
朱砂（半两，细研，水飞） 麝香（一钱，研） 龙脑（半钱，研） 腻粉（半分） 巴豆（七个，去皮心、膜，
纸裹出油细研）
上件一处拌匀，滴水和丸如黍粒大。每服三粒至五粒，磨沉香汤下，乳后。量儿大小加减。
张涣蟾酥丹 治食痫毒盛，汤药不下方。
蟾酥 真珠（末，各研） 甘草（慢火煨黄） 牡蛎粉（研） 犀角屑（为末） 杏仁（麸炒，去皮尖，研细。各
一分） 麝香（一钱，研细） 巴豆（七粒，去皮心、膜，出油，细研）
上件一处再研为细末，用糯米饭和如丸黍米大。每服三粒，煎荆芥汤，放温冷下。量儿大小加减。
*Chao Shi Bing Yuan* records: Food epilepsy (Shi Xian) is caused by irregular breastfeeding and feeding.
*Tai Ping Sheng Hui Fang* discusses: In children, food epilepsy (Shi Xian) arises from stagnation in the Zang-Fu organs, accumulation of internal heat, and excessive breastfeeding leading to disharmony of Qi and Blood. This is often due to the nursing mother having irregular diet and uncontrolled anger, causing toxic heat to accumulate in the chest. When she immediately breastfeeds the infant, it causes the milk to coagulate and stagnate without dissolving. The pathogenic heat accumulates, blocking the intestines and stomach, preventing free flow, resulting in high fever, frequent fright, and convulsions of the four limbs, thus triggering epilepsy.
Zhang Huan stated: When an attack occurs every time after overeating, it is named food epilepsy (Shi Xian).
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) with symptoms of convulsions of the four limbs, high fever, palpitations with fright, indigestion of milk and food, stagnation of phlegm-saliva, and irregular attacks. It is suitable to take Dai Zhe Wan Formula:
Dai Zhe Shi (Hematitum), Zhu Sha (Cinnabaris) (each finely ground); Ma Ya Xiao (Natrii Sulfas); Chuan Da Huang (Rhei Radix et Rhizoma) (chopped, slightly stir-fried); Shui Yin (Hydrargyrum) (ground with a small amount of jujube pulp until no metallic stars remain, each 1 fen); Jin Yin Bo (Auri Folium et Argenti Folium) (each 20 leaves, finely ground); Chan Su (Toad Venom) (1 qian, ground in); Ba Dou (Crotonis Fructus) (7 seeds, skin and heart removed, ground, wrapped in paper and pressed to remove oil); Ni Fen (Calomelas); She Xiang (Moschus) (each 0.5 fen, finely ground); Long Nao (Borneolum Syntheticum) (finely ground, 0.5 qian); Xie Shao (Scorpio) (49 tails, slightly stir-fried); Tian Jiang Zi (Fructus Claoxyloides) (14 seeds containing contents, stir-fried).
The above medicines are pounded, sifted into powder, and mixed with refined honey to form pills the size of millet grains. Each dose consists of two pills, taken with Bo He Tang (Menthae Haplocalycis Decoction), three times daily. Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) and various diseases of wind-stroke due to fright. Hu Jing Wan Formula:
Hu Jing (Tigris Ocellati Bulbus) (one pair, slightly stir-fried, extract the kernel); Niu Huang (Bovis Calculus); Zhu Sha (Cinnabaris) (each finely ground); Zhen Zhu (Margarita); Gan Sui (Kansui Radix) (baked yellow); Chi Shao Yao (Paeoniae Radix Rubra); Chi Fu Ling (Poria cum Ligno Rosae); Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red, chopped); Mu Li (Ostreae Concha) (stir-fried yellow); Xing Ren (Armeniacae Semen Amarum) (soaked in hot water, skin and tip removed, double kernels, bran-fried until slightly yellow, each 1 fen); She Xiang (Moschus) (0.5 fen, finely ground); Xi Jiao Xie (Rhinocerotis Cornu); Ba Dou (Crotonis Fructus) (skin and heart removed, wrapped in paper and pressed to remove oil, each 0.5 liang).
The above medicines are pounded, sifted into powder, and mixed with glutinous rice paste to form pills the size of mung beans. Each dose consists of two pills, taken with Jing Jie Tang (Schizonepetae Herba Decoction). Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian). Zhu Sha Wan Formula:
Zhu Sha (Cinnabaris) (1 liang, finely ground, washed with water); Chuan Da Huang (Rhei Radix et Rhizoma) (chopped, slightly stir-fried); Shi Gao (Gypsum Fibrosum) (finely ground, 0.5 liang); Niu Huang (Bovis Calculus); Xiong Huang (Realgar) (both finely ground); Gui Xin (Cinnamomi Ramulus); Yun Mu Fen (Micaceous Iron Ore); Ban Xia (Pinelliae Rhizoma) (washed seven times in hot water to remove slipperiness); Huang Lian (Coptidis Rhizoma) (remove roots); Lei Wan (Wanariae Ovum); Dai Zhe Shi (Hematitum); Zhen Zhu (Margarita) (powder); Gan Jiang (Zingiberis Rhizoma) (pounded cracked, chopped); Ba Dou (Crotonis Fructus) (skin, heart, and membrane removed, stir-fried yellow, each 1 fen).
The above medicines are pounded, sifted into powder, and mixed with refined honey to form pills the size of millet grains. For infants within one hundred days, administer two pills with breast milk; for children aged three to seven years, administer five pills with gruel. Adjust dosage according to the child's size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) with coarse and rapid breathing. Zhen Zhu Wan Formula:
Zhen Zhu (Margarita) (powder); Tian Zhu Huang (Calami Tini Flos); Xiong Huang (Realgar); Ba Dou (Crotonis Fructus) (skin and heart removed, pressed to remove oil); She Xiang (Moschus); Ding Tou Dai Zhe (Hematitum) (pounded and sifted into powder); Xing Ren (Armeniacae Semen Amarum) (soaked in hot water, skin and tip removed, double kernels, ground into paste, each 1 fen).
All the above medicines are finely ground uniformly, mixed with refined honey to form pills the size of yellow millet. For one- or two-year-old children, administer five pills with warm water each time. Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian), ru pi (breast lump), accumulation, high fever, and mental restlessness with frequent fright. Niu Huang Wan Formula:
Niu Huang (Bovis Calculus); Zhu Sha (Cinnabaris); Qian Shuang (Plumbi Subcarbonas) (each finely ground); Zhen Zhu (Margarita) (powder); Xi Jiao (Rhinocerotis Cornu) (shavings); Mu Li Fen (Ostreae Concha Powder); Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red, chopped); Xing Ren (Armeniacae Semen Amarum) (soaked in hot water, skin, tip, and double kernels removed, ground into paste, each 1 fen); She Xiang (Moschus) (0.5 liang, finely ground); Ba Dou (Crotonis Fructus) (10 seeds, skin and heart removed, ground, wrapped in paper and pressed to remove oil).
The above medicines are pounded, sifted into powder, combined with the already ground medicines, and ground uniformly. Mixed with refined honey to form pills the size of hemp seeds. For three-year-old children, administer two pills with Yin Jin Bo He Tang (Silver, Gold, and Menthae Haplocalycis Decoction). Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats high fever from food epilepsy (Shi Xian) and innocent malnutrition (Wu Gu Pi) in children under seven years old. Xiong Huang Wan Formula:
Xiong Huang (Realgar); She Xiang (Moschus); Niu Huang (Bovis Calculus) (each finely ground); Zhu Sha (Cinnabaris); Shi Gao (Gypsum Fibrosum) (each finely ground, washed with water); Rui Ren (Pruni Armeniacae Semen); Mu Li Fen (Ostreae Concha Powder); Ba Dou (Crotonis Fructus) (skin, heart, and membrane removed, pressed to release oil, each 0.5 liang); Gan Sui (Kansui Radix) (1 fen, baked until slightly yellow).
The above medicines are pounded, sifted into powder, and mixed with refined honey to form pills the size of millet grains. Each dose consists of three pills, taken with gruel. Do not be surprised if there are three or two bowel movements. Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian), resolving accumulated stagnant milk food, descending phlegm-saliva, and promoting large intestine function. Zhen Zhu Wan Formula:
Zhen Zhu (Margarita) (powder); Tian Zhu Huang (Calami Tini Flos); Zhu Sha (Cinnabaris) (both finely ground, each 1 fen); Xiong Huang (Realgar); She Xiang (Moschus) (each finely ground); Dai Zhe Shi (Hematitum); Qiang Lang (Scarabaeus); Xing Ren (Armeniacae Semen Amarum) (soaked in hot water, skin and tip removed, double kernels, bran-fried until slightly yellow, each 0.5 liang); Ba Dou (Crotonis Fructus) (10 seeds, fried in oil until brown, ground with Xing Ren).
All the above medicines are ground into powder, mixed with refined honey to form pills the size of mung beans. Each dose consists of two pills, taken with Sheng Jiang Tang (Zingiberis Recensis Rhizoma Decoction). Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) with phlegm stagnation in the chest and heart, and frequent constipation of both large and small bowels. Fang Kui Wan Formula:
Fang Kui (Radix Glehniae) (powder); Hua Shi (Talcum) (each 0.5 liang); Niu Huang (Bovis Calculus); She Xiang (Moschus) (each 0.5 fen); Ba Dou (Crotonis Fructus) (20 seeds, take the frost/powder); Ni Fen (Calomelas); Zhu Sha (Cinnabaris) (each 1 fen); She Tui Pi (Ophichthidis Cutis Coriacea) (one strip, burned to ash).
The above medicines are finely ground together, mixed with glutinous rice paste to form pills the size of millet grains. Each dose consists of two pills, taken with gruel. Adjust dosage up or down according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) where milk and food are not digested, causing stagnation in the heart and abdomen, and convulsive twitching of the four limbs. It is suitable to take this formula:
Zhu Sha (Cinnabaris); Wu Ling Zhi (Trogopterori Faeces) (each 1 fen); Ba Dou (Crotonis Fructus) (5 seeds, skin and heart removed, ground, wrapped in paper and pressed to release oil).
The above medicines are finely ground into powder, mixed with scorched millet rice to form pills the size of yellow millet. For one- or two-year-old children, administer two pills with warm water each time; vomiting or diarrhea is considered effective. Adjust dosage according to the child's age and size.
*Tai Ping Sheng Hui Fang* treats pediatric indigestion of milk and food, solidification in the heart and abdomen, high fever, irritability, shaking head, retracted eyes, and foaming at the mouth, named food epilepsy (Shi Xian). Qian Shuang Wan Formula:
Qian Shuang (Plumbi Subcarbonas); Ni Fen (Calomelas) (each 1 fen); Ba Dou (Crotonis Fructus) (5 seeds, skin and heart removed, wrapped in paper and pressed to remove oil).
The above medicines are all ground into powder, mixed with glutinous rice paste to form pills the size of millet grains. Each dose consists of one pill, taken with Tong Cao Bo He Tang (Medullae Tetrapanacis and Menthae Haplocalycis Decoction). For children over three years old, increase the number of pills.
*Tai Ping Sheng Hui Fang* treats pediatric food epilepsy (Shi Xian) and descends phlegm-saliva. Jin Bo Wan Formula:
Jin Bo (Auri Folium) (5 leaves, finely ground); Gan Sui (Kansui Radix) (1 fen, baked until slightly yellow, pounded into powder); Ni Fen (Calomelas) (3 fen).
The above medicines are mixed and ground uniformly. Formulated into dough with jujube pulp, wrapped with five pieces of gold foil, then wrapped in wet paper and baked in ash fire until evenly heated. After cooling, grind and form pills the size of mung beans. Each dose consists of two pills, taken with Ren Shen Tang (Ginseng Decoction). Adjust dosage according to the child's age and size.
Zhang Huan's Xiong Zhu Gao Formula: Treats food epilepsy (Shi Xian), clears the chest and diaphragm.
Niu Huang (Bovis Calculus) (ground); Zhen Zhu (Margarita) (powder, ground); Bai Jiang Can (Bombyx Batryticatus) (finely ground); Ding Tou Dai Zhe (Hematitum) (pounded into fine powder); Rui Ren (Pruni Armeniacae Semen) (soaked in hot water, red skin removed, ground into fine powder, each 1 fen); Xiong Huang (Realgar) (0.5 liang, water-ground selecting the finest part, finely ground).
Mix the above ingredients uniformly, combine with refined honey to form pills the size of a cocklebur. Each dose is one to two pills, dissolved and taken with Ren Shen Tang (Ginseng Decoction).
Zhang Huan's Miao Sheng Dan Formula: Treats food epilepsy (Shi Xian), promotes free flow in the chest and diaphragm.
Mu Xiang (Aucklandiae Radix); Dai Zhe Shi (Hematitum); Ma Ya Xiao (Natrii Sulfas); Chuan Da Huang (Rhei Radix et Rhizoma) (processed, each 1 fen); Xie Shao (Scorpio) (49 tails, slightly stir-fried).
Pound the above, sift into fine powder. Then use:
Zhu Sha (Cinnabaris) (0.5 liang, finely ground, water-washed); She Xiang (Moschus) (1 qian, ground); Long Nao (Borneolum Syntheticum) (0.5 qian, ground); Ni Fen (Calomelas) (0.5 fen); Ba Dou (Crotonis Fructus) (7 seeds, skin, heart, and membrane removed, pressed to release oil, finely ground).
Mix all ingredients uniformly, add drops of water to form pills the size of millet grains. Each dose is three to five pills, taken with Chen Xiang Tang (Aquilariae Lignum Resinatum Decoction ground), after breastfeeding. Adjust dosage according to the child's age and size.
Zhang Huan's Chan Su Dan Formula: Treats severe toxicity of food epilepsy (Shi Xian) where decoctions cannot be swallowed.
Chan Su (Toad Venom); Zhen Zhu (Margarita) (powder, each ground); Gan Cao (Glycyrrhizae Radix et Rhizoma) (slow-fire baked yellow); Mu Li Fen (Ostreae Concha Powder) (ground); Xi Jiao Xie (Rhinocerotis Cornu) (made into powder); Xing Ren (Armeniacae Semen Amarum) (bran-fried, skin and tip removed, finely ground, each 1 fen); She Xiang (Moschus) (1 qian, finely ground); Ba Dou (Crotonis Fructus) (7 seeds, skin, heart, and membrane removed, oil released, finely ground).
Grind all ingredients again into fine powder, mix with glutinous rice paste to form pills the size of millet grains. Each dose is three pills, taken with boiled Jing Jie Tang (Schizonepetae Herba Decoction) cooled to lukewarm. Adjust dosage according to the child's age and size.