急惊之后尚未清，痰热琥珀抱龙灵，神虚气弱痰兼热，清心涤痰大有功。
【注】急惊多用寒凉之药，亦急则治标之法。但是痰火稍退，即当调补气血。若过用
寒凉，必致转成慢惊等证。故惊邪一退，余热尚在者，当用琥珀抱龙丸主之；若脾虚多
痰者，宜清心涤痰汤主之。
琥珀抱龙丸
人参 琥珀 茯神（各五钱） 山药（炒，一两） 甘草（炙，四钱） 檀香（三钱） 天竺黄 枳
壳（麸炒） 枳实（麸炒，各五钱） 辰砂（三钱） 胆星（五钱） 赤金铂（二十片）
上为细末，炼蜜为丸，每丸重一钱，大儿一丸，小儿半丸，淡姜汤化下。
清心涤痰汤
竹茹 橘红 半夏（姜制） 茯苓 枳实（麸炒） 甘草（生） 麦冬（去心） 枣仁（炒） 人
参菖蒲 南星 川黄连
引用生姜，水煎服。
【方歌】清心涤痰汤效灵，补正除邪两收功，参苓橘半连茹草，枳实菖枣星麦冬。
慢惊多缘禀赋弱，或因药峻损而成，缓缓搐搦时止作，面白青黄身则温，昏睡眼合睛或露，脉迟神惨
大便青，气虚夹痰醒脾效，脾虚肝旺缓肝灵。
【注】慢惊一证，或缘禀赋虚弱，土虚木盛者有之；或由急惊过用峻利之药，以致转
成此证者有之。发时缓缓搐搦，时作时止，面色淡黄，或青白相兼，身必温和，昏睡眼合，
或睡卧露睛，脉来迟缓，神气惨惨，大便青色。此乃脾胃虚弱，治宜培补元气为主。虚
而夹痰者，醒脾汤主之；脾虚肝旺者，缓肝理脾汤主之。
醒脾汤
人参 白术（土炒） 茯苓 天麻 橘红 半夏（姜制） 全蝎（去毒） 僵蚕（炒） 甘草（炙） 木
香仓米 胆南星
引用生姜，水煎服。
【方歌】气虚夹痰醒脾治，参术天麻白茯苓，橘半全蝎僵蚕草，木香仓米胆南星。
缓肝理脾汤
广桂枝 人参 白茯苓 白芍药（炒） 白术（土炒） 陈皮 山药（炒） 扁豆（炒研） 甘
草（炙）
引用煨姜、大枣，水煎服。
【方歌】肝旺脾虚缓肝汤，桂枝参苓芍术良，陈皮山药扁豆草，煎服之时入煨姜。
After the acute convulsion (Ji Jing) has subsided but pathogenic factors are not yet cleared, if phlegm-heat is present, Hu Po Bao Long Wan (Amber Embracing Dragon Pill) is effective. If the child exhibits spirit deficiency and weak qi accompanied by phlegm-heat, Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) yields great results.
[Note] The treatment of acute convulsion often employs cold-natured herbs, which is a method of "treating the branch in emergencies." However, once the phlegm-fire symptoms subside slightly, one should proceed to regulate and tonify qi and blood. Overuse of cold herbs will inevitably lead to a transformation into slow convulsion (Man Jing) or other syndromes. Therefore, when the wind-pathogen causing the convulsion has retreated but residual heat remains, Hu Po Bao Long Wan (Amber Embracing Dragon Pill) should be used as the primary formula; for cases with spleen deficiency and excessive phlegm, Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) is appropriate.
Hu Po Bao Long Wan (Amber Embracing Dragon Pill)
Ren Shen (Ginseng Radix), Hu Po (Fossilized Resin), Fu Shen (Poria with Hostwood), Shan Yao (Dioscoreae Rhizoma, stir-fried), Gan Cao (Licorice Radix et Rhizoma, honey-fried), Tan Xiang (Santalum Album Lignum), Tian Zhu Huang (Bambusae Caulis in Taenia), Zhi Qiao (Aurantii Fructus Immaturus, bran-stir-fried), Zhi Shi (Aurantii Fructus Immaturus, bran-stir-fried), Chen Sha (Cinnabar), Dan Xing (Arisaematis Cum Bile), Chi Jin Bo (Gold Leaf).
Grind the above ingredients into fine powder, form pills with refined honey. Each pill weighs 3g (one qian). Older children take one pill; younger children take half a pill. Take with light ginger decoction.
Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction)
Zhu Ru (Bambusae Folium), Ju Hong (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, processed with ginger), Fu Ling (Poria), Zhi Shi (Aurantii Fructus Immaturus, bran-stir-fried), Gan Cao (Licorice Radix et Rhizoma, raw), Mai Dong (Ophiopogonis Radix, heart removed), Zao Ren (Ziziphi Spinosae Semen, stir-fried), Ren Shen (Ginseng Radix), Chang Pu (Acori Tatarinowii Rhizoma), Nan Xing (Arisaematis Rhizoma), Chuan Lian Lian (Coptidis Rhizoma).
Add fresh ginger as a guide, decoct in water, and take orally.
[Fang Ge - Formula Song] Qing Xin Di Tan Tang (Clear Heart and Eliminate Phlegm Decoction) is highly effective, simultaneously supporting healthy qi and eliminating pathogens. It contains Ren Shen, Fu Ling, Ju Hong, Ban Xia, Lian, Zhu Ru, and Gan Cao; Zhi Shi, Chang Pu, Zao Ren, Nan Xing, and Mai Dong.
Slow convulsion (Man Jing) often arises from weak congenital endowment or damage caused by overly harsh medications. During attacks, spasms occur slowly, intermittently starting and stopping. The complexion is pale or yellowish-green, the body temperature is normal, the child sleeps deeply with eyes closed or exposed during sleep. The pulse is slow, the spirit appears despondent, and the stool is green. For qi deficiency with phlegm accumulation, Xing Pi Tang (Awaken the Spleen Decoction) is effective; for spleen deficiency with liver hyperactivity, Huan Gan Li Pi Tang (Soothe Liver and Regulate Spleen Decoction) is effective.
[Note] Slow convulsion may stem from congenital weakness, where earth deficiency leads to wood excess (spleen deficiency with liver hyperactivity); or it may result from the overuse of harsh purgatives during acute convulsion. At onset, spasms are slow, intermittent, with a pale yellow or greenish-white complexion, warm body, deep sleep with eyes closed or exposed, slow pulse, despondent spirit, and green stool. This syndrome is due to spleen and stomach deficiency; treatment should primarily focus on cultivating and supplementing primordial qi. For deficiency complicated by phlegm, Xing Pi Tang (Awaken the Spleen Decoction) is indicated; for spleen deficiency with liver hyperactivity, Huan Gan Li Pi Tang (Soothe Liver and Regulate Spleen Decoction) is indicated.
Xing Pi Tang (Awaken the Spleen Decoction)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Fu Ling (Poria), Tian Ma (Gastrodiae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma, processed with ginger), Quan Xie (Scorpio, detoxified), Jiang Can (Bombyx Batryticatus, stir-fried), Gan Cao (Licorice Radix et Rhizoma, honey-fried), Mu Xiang (Aucklandiae Radix), Cang Mi (Oryza Sativa Germ), Dan Nan Xing (Arisaematis Cum Bile).
Add fresh ginger as a guide, decoct in water, and take orally.
[Fang Ge - Formula Song] Qi deficiency with phlegm is treated by Xing Pi Tang (Awaken the Spleen Decoction): Ren Shen, Bai Zhu, Tian Ma, Bai Fu Ling; Ju Hong, Ban Xia, Quan Xie, Jiang Can, Gan Cao; Mu Xiang, Cang Mi, Dan Nan Xing.
Huan Gan Li Pi Tang (Soothe Liver and Regulate Spleen Decoction)
Guang Gui Zhi (Cinnamomi Ramulus), Ren Shen (Ginseng Radix), Bai Fu Ling (Poria), Bai Shao Yao (Paeoniae Radix Alba, stir-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Chen Pi (Citri Reticulatae Pericarpium), Shan Yao (Dioscoreae Rhizoma, stir-fried), Bian Dou (Lablab Seed, stir-fried and crushed), Gan Cao (Licorice Radix et Rhizoma, honey-fried).
Add Wei Jiang (roasted ginger) and Da Zao (Jujubae Fructus) as guides, decoct in water, and take orally.
[Fang Ge - Formula Song] For liver hyperactivity and spleen deficiency, use Huan Gan Tang (Soothe Liver Decoction): Gui Zhi, Ren Shen, Fu Ling, Shao Yao, Bai Zhu are excellent; Chen Pi, Shan Yao, Bian Dou, Gan Cao; add roasted ginger when decocting and taking.