急惊风者。肝风甚而心火从之。木生火。从前来为实邪。实则泻之。宜用泻青丸以泻肝
之风。导赤散以泻心之火。
慢惊风。钱氏云。脾虚则土泻生风。此脾土败而肝木乘之。肝属木而脾属土。从所不胜
为贼邪。故慢惊为难也。脾虚生风。虚则补之，东垣用调元汤加白芍药主之。此以黄 人参
补脾之虚。白芍药甘草以泻肝之实。诚千古不传之秘法也。予加桂在内。乃黄 建中汤。木
得桂而枯。古方治慢惊者。如醒脾散。观音散。皆良法也。可用之。
醒脾散
人参 陈皮 甘草 白术 白茯苓 全蝎 半夏曲 木香（各三钱五分） 白附子（四个
）南星（一个姜汤泡） 陈仓米（一百粒） 上为末。每服一钱。枣三枚。姜三片。水煎。
观音散
全蝎（十个去毒炒） 天麻（煨） 防风 白芷 黄 甘草 白茯苓（各二钱五分） 人参
（二钱） 扁豆（一钱五分姜汁炒） 上为末枣汤下。
或问曰。上工治未病。急慢惊风。何以预治之。曰。方其热甚之时。腮赤面黑。两目如
视不转者。此急惊风之候也。宜服河间当归龙荟丸。以泻肝胆之火。则不成急惊风也。当吐
泻不止之时。见其手足冷。睡露睛。口鼻气冷者。此慢惊欲成之候也。急用参苓白术散以补
脾。琥珀抱龙丸。去枳壳枳实。加黄 以平肝。则慢惊风不能成矣。此吾家传秘法。
参苓白术散
人参 白术 白茯苓 山药 扁豆（去壳姜汁浸炒各一两五钱） 甘草 桔梗 薏苡仁
莲肉（各一两） 上为细末。枣汤送下。
琥珀抱龙丸 治小儿诸惊。四时感冒。寒温风暑。瘟疫邪热。躁烦不宁。痰嗽气急。及
疮疹欲出发搐。并宜服之。此予家传常用之方。
真琥珀（一两五钱） 天竺黄（一两五钱） 白檀香（一两五钱） 人参（一两五钱） 朱砂（
白茯苓（一两五钱） 粉草（去筋三两） 南枳实（一两） 枳壳（麸炒一两） 牛胆南星（一两）
淮山药（一两） 金箔（大者一百片为衣。） 上各制取末和匀。用腊雪溶水。如无雪。取新汲
或长流水。杵为丸。如芡实大。约重五分。阴干。每服一丸。煎薄荷汤下。 此方内有补益
之药。人皆喜而用之。但有枳壳枳实能散滞气。无滞气者。损胸中至高之气。如慢惊风及元
气弱者。减此二味。用当归川芎各二两代之。
至圣保命丹 一名紫金锭子。
胆星（一钱） 僵蚕（一钱） 白附子（一钱） 全蝎（十四枚） 天麻（一钱） 防风（一钱）
（一钱半水飞） 麝香（一分） 珍珠（五分） 琥珀（三分） 金箔（二十片） 上碾为末。粟米和
为丸。分为二十锭。金箔为衣。每一锭薄荷叶煎汤磨服。
礞石滚痰丸 降火坠痰之要药。方见大方脉科。
凉惊丸 诸热通用。此吾家传之方。又名金花丸。
黄柏 黄连 黄芩 山栀仁（各等分） 朱砂（水飞减半） 一本有龙胆草等分。上为细末
。腊雪水为丸麻子大。薄菏汤送下。
三黄泻心丸 一名三黄五色丸。利诸惊热如神。
黄连 黄芩 大黄（各等分） 上为末。雪水为丸。麻子大。温水送下。均分作五分用衣
。一分朱砂衣。一分青黛衣。一分雄黄衣。一分轻粉衣。一分芦荟衣。
木通散 能泻肝风。降心火。最利惊热。
山栀仁 大黄（煨） 赤茯苓 羌活 木通 甘草（以上各等分）
上为末。每服一字。紫苏叶煎汤送下。
猪胆汁导方
定志丸 治惊久成痫。
人参 白茯神 远志 石菖蒲（炒） 酸枣仁（炒） 柏子仁（各一钱半） 琥珀 珍珠 胆
铁花粉（各一钱） 朱砂（飞） 麝香（各一字） 上为末。水煮山药粉为丸。黍米大。每服十五
丸。灯心煎汤下。更煎猪心与儿食之。以助药力。
急惊风属阳。病在六腑易治。宜用凉泻。
慢惊风属阴。病在五脏难治。宜用温补。
或问。病有急慢阴阳者。何也。曰。肝主风。木也。飘骤急疾。莫甚于风。心主惊。火
暴烈飞扬。莫甚于火。木火阳也。故病在于心肝者。谓之急而属阳。脾胃者土也。沉重迟滞
。莫甚于土。脾土者至阴之属也。故病在于脾者。谓之慢而属阴。肝常有余。有余则泻而损
之。脾常不足。不足则补而益之。至于心主惊。肝主风。似宜前论。然火资风势。风资火威
。风火相扇而发搐。故不可别论也。惊风之病。有兼证者。有类证者。不可不辨也。
Various wind syndromes causing tremors and dizziness are all attributed to Liver Wood (Liver dysfunction). The *Mai Jue* (Pulse Classic) states that "extreme heat generates wind," which is precisely this meaning.
Acute convulsion (Ji Jing Feng) occurs when Liver Wind is excessive, prompting Heart Fire to follow. In the Five Elements, Wood generates Fire; this transmission from the mother organ constitutes an Excess Pathogen (Shi Xie). For excess conditions, one should employ the draining method. It is appropriate to use *Xie Qing Wan* (Drain the Green Pill) to drain Liver Wind and *Dao Chi San* (Guide Out the Red Powder) to drain Heart Fire.
Chronic convulsion (Man Jing Feng), according to Qian Yi, arises when Spleen deficiency leads to Earth failing to control Wind. This represents a collapse of Spleen Earth allowing Liver Wood to overact upon it. Since Liver belongs to Wood and Spleen to Earth, this interaction involves the organ that conquers the diseased one, constituting a "Tiger Pathogen" (Ze Xie). Therefore, chronic convulsion is difficult to treat. Spleen deficiency generating wind implies a deficiency condition requiring tonification. Li Dongyuan used *Tiao Yuan Tang* (Regulate Origin Decoction) added with *Bai Shao Yao* (White Peony Root) as the main prescription. Here, *Ren Shen* (Ginseng) and *Huang Qi* (Astragalus Root) tonify Spleen Qi deficiency, while *Bai Shao Yao* (White Peony Root) and *Gan Cao* (Licorice Root) suppress Liver excess. This is indeed a secret method passed down through millennia. I add *Gui Zhi* (Cinnamon Twig) to it, transforming it into *Huang Qi Jian Zhong Tang* (Astragalus Decoction for Building the Middle). As wood withers when encountering cinnamon, ancient formulas for treating chronic convulsion, such as *Xing Pi San* (Awaken Spleen Powder) and *Guan Yin San* (Guanyin Powder), are excellent methods and can be used.
*Xing Pi San* (Awaken Spleen Powder)
*Ren Shen* (Ginseng), *Chen Pi* (Aged Tangerine Peel), *Gan Cao* (Licorice Root), *Bai Zhu* (Atractylodes Rhizome), *Bai Fu Ling* (Poria), *Quan Xie* (Scorpion), *Ban Xia Qu* (Pinellia Fermented Paste), *Mu Xiang* (Costus Root) (each 3 qian 5 fen); *Bai Fu Zi* (Typhonii Rhizoma) (4 pieces); *Nan Xing* (Arisaema Cum Bile) (1 piece, soaked in ginger juice); *Chen Cang Mi* (Stored Rice) (100 grains). Grind all into fine powder. Take 1 qian per dose, with 3 jujubes and 3 slices of ginger, decocted in water.
*Guan Yin San* (Guanyin Powder)
*Quan Xie* (Scorpion) (10 pieces, detoxified and fried); *Tian Ma* (Gastrodiae Rhizoma) (roasted); *Fang Feng* (Saposhnikoviae Radix); *Bai Zhi* (Angelicae Dahuricae Radix); *Huang Qi* (Astragali Radix); *Gan Cao* (Licorice Root); *Bai Fu Ling* (Poria) (each 2 qian 5 fen); *Ren Shen* (Ginseng) (2 qian); *Bian Dou* (Dolichos Lablab Seed) (1 qian 5 fen, fried with ginger juice). Grind all into fine powder and take with jujube water.
One might ask: A superior physician treats disease before it arises. How can acute and chronic convulsions be prevented? I reply: When the fever is severe, presenting with red cheeks, blackish face, and eyes staring fixedly without movement, these are signs of impending acute convulsion. At this stage, it is appropriate to administer *He Jian Dang Gui Long Hui Wan* (Danggui Longhui Pill by Liu Wansu) to drain Gallbladder and Liver fire, thus preventing the development of acute convulsion. During persistent vomiting and diarrhea, if the hands and feet are cold, the eyes remain half-open during sleep (exposing the pupils), and the breath from the mouth and nose is cold, these are signs of impending chronic convulsion. Immediately use *Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder) to tonify the Spleen, and use *Hu Po Bao Long Wan* (Amber Embracing Dragon Pill), removing *Zhi Ke* (Aurantii Fructus) and *Zhi Shi* (Aurantii Fructus Immaturus), adding *Huang Qi* (Astragali Radix) to calm the Liver. This will prevent the formation of chronic convulsion. This is my family's secret method.
*Shen Ling Bai Zhu San* (Ginseng, Poria, and Atractylodes Macrocephala Powder)
*Ren Shen* (Ginseng), *Bai Zhu* (Atractylodis Rhizoma), *Bai Fu Ling* (Poria), *Shan Yao* (Dioscoreae Rhizoma), *Bian Dou* (Lablab Seed, shelled and stir-fried with ginger juice, each 1 liang 5 qian), *Gan Cao* (Licorice Root), *Jie Geng* (Platycodon Root), *Yi Yi Ren* (Coicis Semen), *Lian Rou* (Lotus Seed Embryo) (each 1 liang). Grind into fine powder and take with jujube water.
*Hu Po Bao Long Wan* (Amber Embracing Dragon Pill): Treats various pediatric convulsions, seasonal colds, wind-heat or wind-cold, epidemic pathogenic heat, restlessness, phlegm cough with rapid breathing, and convulsions associated with the eruption of rashes. It is suitable for all these conditions. This is a commonly used family prescription.
*Zhen Hu Po* (Real Amber) (1 liang 5 qian), *Tian Zhu Huang* (Calami Pulvis) (1 liang 5 qian), *Bai Tan Xiang* (Santalum Album Lignum) (1 liang 5 qian), *Ren Shen* (Ginseng) (1 liang 5 qian), *Zhu Sha* (Cinnabar) (processed with *Bai Fu Ling* [Poria], 1 liang 5 qian), *Fen Cao* (Licorice Root, dehydrated) (3 liang), *Nan Zhi Shi* (Immature Bitter Orange) (1 liang), *Zhi Ke* (Mature Bitter Orange, bran-fried) (1 liang), *Niu Dan Nan Xing* (Arisaema cum Bile prepared with ox gall) (1 liang), *Huai Shan Yao* (Chinese Yam) (1 liang), *Jin Bo* (Gold Leaf) (100 large pieces, used as coating). Process each ingredient into powder and mix evenly. Melt beeswax snow-water (if unavailable, use fresh well water or running water), pound into pills the size of *Qian Shi* (Euryale Seed), weighing approximately 5 fen. Dry in the shade. Take one pill per dose, washed down with mint decoction. This formula contains tonic herbs, so people enjoy using it. However, *Zhi Ke* and *Zhi Shi* can disperse stagnant Qi; if there is no stagnation, they may damage the high Qi in the chest. For cases of chronic convulsion or weak primal Qi, reduce these two ingredients and replace them with *Dang Gui* (Angelicae Sinensis Radix) and *Chuan Xiong* (Chuanxiong Rhizoma), each 2 liang.
*Zhi Sheng Bao Ming Dan* (Supreme Life-Preserving Pill): Also known as *Zi Jin Ding Zi* (Purple Gold Tablet).
*DAN XING* (Arisaema cum Bile) (1 qian), *Jiang Can* (Bombyx Batryticatus) (1 qian), *Bai Fu Zi* (Typhonii Rhizoma) (1 qian), *Quan Xie* (Scorpion) (14 pieces), *Tian Ma* (Gastrodiae Rhizoma) (1 qian), *Fang Feng* (Saposhnikoviae Radix) (1 qian), *Xiong Huang* (Realgar, water-ground) (1 qian 5 fen), *She Xiang* (Moschus) (1 fen), *Zhen Zhu* (Pearl) (5 fen), *Hu Po* (Amber) (3 fen), *Jin Bo* (Gold Leaf) (20 pieces). Grind into fine powder, mix with millet flour to form pills, divide into twenty tablets, coat with gold leaf. Grind one tablet in mint leaf decoction and administer.
*Meng Shi Gun Tan Wan* (Mengshi Rolling Phlegm Pill): An essential herb for descending fire and dropping phlegm. Formula found in Internal Medicine section.
*Liang Jing Wan* (Cool Convulsion Pill): Generally applicable for various heat syndromes. This is my family's transmitted formula, also known as *Jin Hua Wan* (Golden Flower Pill).
*Huang Bo* (Phellodendri Cortex), *Huang Lian* (Coptidis Rhizoma), *Huang Qin* (Scutellariae Radix), *Shan Zhi Ren* (Gardeniae Semen) (equal parts); *Zhu Sha* (Cinnabar, water-ground, halved amount). Another version includes *Long Dan Cao* (Gentianae Radix) in equal parts. Grind into fine powder, make pills with melted beeswax snow-water, size of hemp seeds. Take with mint decoction.
*San Huang Xie Xin Wan* (Three Yellows Draining Heart Pill): Also known as *San Huang Wu Se Wan* (Three Yellows Five Colors Pill). Miraculous for treating various convulsive heats.
*Huang Lian* (Coptidis Rhizoma), *Huang Qin* (Scutellariae Radix), *Da Huang* (Rhei Radix et Rhizoma) (equal parts). Grind into powder, make pills with snow-water, size of hemp seeds. Take with warm water. Divide equally into five portions, coating each with different substances: one portion coated with *Zhu Sha* (Cinnabar), one with *Qing Dai* (Indigo Naturalis), one with *Xiong Huang* (Realgar), one with *Qing Fen* (Calomelas), and one with *Lu Hui* (Aloe).
*Mu Tong San* (Akebia Powder): Can drain Liver Wind and descend Heart Fire; most beneficial for treating convulsive heat.
*Shan Zhi Ren* (Gardeniae Semen), *Da Huang* (Rhei Radix et Rhizoma, roasted), *Chi Fu Ling* (Red Poria), *Qiang Huo* (Notopterygii Rhizoma et Radix), *Mu Tong* (Akebiae Caulis), *Gan Cao* (Licorice Root) (all equal parts). Grind into powder. Take one *zi* (ancient unit of measure) per dose, taken with Perilla leaf decoction.
*Zhu Dan Zhi Dao Fang* (Pig Gallbladder Guiding Method): [Formula details omitted in source text context].
*Ding Zhi Wan* (Stabilize Spirit Pill): Treats prolonged palpitations transforming into epilepsy.
*Ren Shen* (Ginseng), *Bai Fu Shen* (Poria with Wood), *Yuan Zhi* (Polygalae Radix), *Shi Chang Pu* (Acori Tatarinowii Rhizoma, fried), *Suan Zao Ren* (Ziziphi Spinosae Semen, fried), *Bai Zi Ren* (Biota Seed) (each 1 qian 5 fen); *Hu Po* (Amber), *Zhen Zhu* (Pearl), *Tie Hua Fen* (Iron Flower Powder) (each 1 qian); *Zhu Sha* (Cinnabar, flown), *She Xiang* (Moschus) (each one *zi*). Grind into powder. Use water-boiled Chinese Yam powder to make pills, size of millet seeds. Take fifteen pills per dose, washed down with Nard decoction. Additionally, boil pig heart for the child to eat to assist the medicinal power.
Acute convulsion belongs to Yang, affecting the Six Fu organs; it is easy to treat. Cool and draining methods are appropriate.
Chronic convulsion belongs to Yin, affecting the Five Zang organs; it is difficult to treat. Warm and tonifying methods are appropriate.
One might ask: Why do diseases have distinctions of acute/chronic and Yin/Yang? I reply: The Liver governs Wind, corresponding to Wood. Wind is swift and sudden, nothing exceeds it. The Heart governs Fright, corresponding to Fire. Fire is fierce and soaring, nothing exceeds it. Wood and Fire are Yang. Thus, diseases located in the Heart and Liver are termed "acute" and belong to Yang. The Spleen and Stomach correspond to Earth. Earth is heavy and sluggish, nothing exceeds it. Spleen Earth belongs to Extreme Yin. Thus, diseases located in the Spleen are termed "chronic" and belong to Yin. Liver Qi is often in excess; when in excess, it must be drained and diminished. Spleen Qi is often deficient; when deficient, it must be tonified and increased. Regarding the Heart governing fright and the Liver governing wind, one might argue they should be discussed separately as previously mentioned. However, Fire fuels Wind, and Wind empowers Fire. Wind and Fire fan each other, leading to convulsions; therefore, they cannot be discussed in isolation. Convulsive diseases have combined syndromes and similar syndromes; these must not fail to be distinguished.