急惊风变成痫者。此心病也。心主惊。惊久成痫。盖由惊风既平之后。父母玩忽。不以
。使急痰停聚。迷其心窍。或一月一发。或半年一发。或一年一发。发过如常。近年可治。
久则不可治矣。宜服如神断痫丸治之。
黄连（五钱） 白茯苓（三钱） 石菖蒲（三钱） 胆星（一钱） 珍珠（一钱） 铁花粉（一钱）
朱砂（飞三钱） 甘遂（五分） 上为细末。粟米粉煮糊。入 猪心血三枚同杵匀。为丸如弹子大
。每一丸。取 心一枚。切开两片。入药在内。线扎定。水煮熟。分三服。本汤送下。
一儿三岁。病惊风后。未服豁痰安神之药。自后成痫。每发之时。面色青黑。两目连札
如嚼物。涎出于口。昏眩仆地。当欲发之状。即以手探其口中。以吐其涎。如此调理。至七
岁不作矣。
一儿四岁。病惊已绝。予用针刺其涌泉一穴而醒。自此惊已不发。予谓其父曰。此惊虽
。未服豁痰之药。若不早治。恐发痫也。父母不信。未及半年。儿似痰迷。饮食便溺。皆不
知也。时复昏倒。果然成痫病。其父来诉曰。不信先生之言。诚有今日之病。愿乞医治。不
敢忘报。予乃问其子。尔病发时。能自知乎。子曰。欲昏则发。乃作钱氏安神丸加胆草服之
。教其父曰。尔子病将发时。急掐两手合谷穴。如此调治。一月而安。
急惊风成瘫者。肝主风。风淫末疾。故惊风之后。有手足瘫痪而不能举者。此血虚不能
养筋故也。宜地黄丸加当归牛膝川独活肉桂为丸服之。
一女子十四岁。病惊风后。右手大指次指。屈而不能伸。医用羌活防风天麻全蝎僵蚕蝉
诸风药治之。病益甚。予叹曰。彼庸医也。不知手足不随。血虚也。伸而不能屈者。筋弛长
也。屈而不能伸者。筋短缩也。皆血虚不能养筋之证也。手大指者。太阴肺经之所主。手次
指者。阳明大肠之所主。肺与大肠皆属燥金。此血燥之象也。一切风药助风生燥。故血转虚
而病转盛。口授一方。用黄 人参天麦门冬生熟地黄当归各等分。官桂减半为引经。横行手
指之端。共为末。炼蜜丸芡实大。每一丸。食后汤化下。
一小儿惊风后。右手僵硬。五指拳曲。不能举物。兼口角流涎。语言謇涩。予曰。此脾
有湿痰。脾不足而肝木乘之。不可治也。
When acute convulsive disorder (Ji Jing Feng) transforms into epilepsy (Xian Bing), this is a disease of the Heart. The Heart governs fright; prolonged fright can evolve into epilepsy. This often occurs because after the convulsions subside, parents are negligent and fail to regulate the condition in time, causing acute phlegm to stagnate and accumulate, clouding the orifices of the Heart. Attacks may occur once a month, once every half year, or once a year. After an attack, the patient returns to normal. Cases occurring in recent years are treatable, but those with a long duration are difficult to cure. It is appropriate to administer Rushen Duanxian Wan (Miraculous Pill for Severing Epilepsy).
Prescription: Huanglian (Coptidis Rhizoma, 5 qian), Baifuling (Poria, 3 qian), Shichangpu (Acori Tatarinowii Rhizoma, 3 qian), Danningxing (Arisaematis Cum Bile, 1 qian), Zhenzhu (Margarita, 1 qian), Tianhuafen (Trichosanthis Radix, 1 qian), Zhusha (Cinnabaris, prepared and ground, 3 qian), Gansui (Kansui Radix, 0.5 fen). Grind the above herbs into fine powder. Use millet flour paste as a binder, add three portions of pig heart blood, and pound evenly. Form pills the size of bullet seeds. For each pill, take one heart, cut it into two slices, insert the pill inside, tie securely with thread, boil in water until cooked, and divide into three doses. Take with decoction from the same formula.
A three-year-old child developed epilepsy after suffering from acute convulsive disorder because no phlegm-resolving and spirit-calming medicines were administered. During each attack, the complexion was dark blue-black, eyes blinked and moved as if chewing, saliva flowed from the mouth, and the child fainted and collapsed. When an attack seemed imminent, immediately probe the mouth with fingers to expel saliva. With such regulation, the attacks ceased by age seven.
Another four-year-old child’s convulsive symptoms had subsided. I used acupuncture at Yongquan (KI1) to awaken him. Since then, convulsions did not recur. I told his father, "Although this fright condition appears resolved, without phlegm-resolving medication, if not treated early, it may develop into epilepsy." The parents did not believe me. Within half a year, the child exhibited signs of phlegm clouding the mind, losing awareness of eating, drinking, urination, and defecation, and frequently fainting. Indeed, he developed epilepsy. His father came to complain, saying, "I did not believe your words, and indeed have this illness today. I beg you to treat him; I will not forget your kindness." I asked the son, "When you have an attack, are you aware?" The son replied, "When I feel like fainting, the attack begins." I then prescribed Qianshi Anshen Wan (Qian's Spirit-Calming Pill) added with Longdancao (Gentianae Radix). I instructed the father, "When your son's illness is about to start, urgently pinch Hegu (LI4) on both hands." With such regulation, the condition stabilized within one month.
When acute convulsive disorder transforms into paralysis, the Liver governs wind, and wind pathogenic factors easily invade the extremities causing disease. Therefore, after acute convulsive disorder, some patients suffer from flaccid paralysis of the limbs and cannot lift them. This is due to blood deficiency failing to nourish the sinews. It is appropriate to administer Dihuang Wan (Rehmannia Pill) added with Danggui (Angelicae Sinensis Radix), Niuxi (Achyranthis Bidentatae Radix), Chuan Du Huo (Angelicae Pubescentis Radix), and Rougui (Cinnamomi Cortex) formed into pills.
A fourteen-year-old girl, after suffering from acute convulsive disorder, found her right thumb and index finger bent and unable to extend. Doctors treated her with Fengyao (wind-dispelling drugs) such as Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Tianma (Gastrodiae Rhizoma), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), and Chantui (Cicadae Periostracum). The condition worsened. I sighed, "Those are mediocre doctors. They do not know that limb immobility is caused by blood deficiency. Ability to extend but not flex indicates relaxed and elongated sinews; ability to flex but not extend indicates contracted and shortened sinews. All these are signs of blood deficiency failing to nourish the sinews. The thumb is governed by the Hand Taiyin Lung Meridian; the index finger is governed by the Hand Yangming Large Intestine Meridian. The Lung and Large Intestine both belong to Dry Metal. This is a manifestation of dryness in the blood. All wind-dispelling drugs exacerbate wind and generate dryness, so the blood becomes more deficient and the disease intensifies." I orally prescribed a formula using Huangqi (Astragali Radix), Renshen (Ginseng Radix), Tianmendong (Asparagi Radix), Maidong (Ophiopogonis Radix), Sheng Dihuang (Rehmanniae Radix Recens), Shu Dihuang (Rehmanniae Radix Preparata), and Danggui (Angelicae Sinensis Radix) in equal parts, with Guigui (Cinnamomi Cortex) halved as a guiding herb to direct action to the fingertips. Grind into powder, make pills with refined honey the size of Euryale Seed (Qianshi). Dissolve one pill in warm water after meals.
A young child, after acute convulsive disorder, suffered from stiffness in the right hand, with five fingers curled into a fist, unable to grasp objects, accompanied by drooling from the corner of the mouth and slurred speech. I said, "This is damp-phlegm in the Spleen, where Spleen deficiency allows Liver Wood to overact. It is incurable."