〔薛〕小儿偏风者，属少阳厥阴肝胆二经证也，噤者筋急，由风木太甚而乘于脾，
以胜水湿则筋太燥，然燥金主于收敛劲切故也。又曰∶风之为病，善行而数变，或
左或右，其因一也，治须审而药之。若足阳明胃经气虚，风邪所乘，其筋脉偏急者
属外因。若足厥阴肝经风热乘脾，筋脉偏急者属内因。若脾肺虚弱，腠理不密，外
邪所乘，成服金石之剂，耗损肝血，或吐泻后内亡津液，不能养肝，致口眼歪斜，
或半身不遂诸证，皆属肝血不足、肝火生风，宣滋肾水，养肝血，壮脾土。治法，
脾胃虚而动风者，异功散加柴胡、钓藤钩。脾肺虚而外邪所乘者，用钓藤饮。肝火
血燥者，用六味地黄丸。津液不足者，用白术散。若兼目紧上视，寒热往来，小便
淋漓，面色青洁，两胁胀痛之类，皆肝经之本病也。或唇口歪斜，腹痛少食，目胞
浮肿，面色青黄，肢体倦怠之类，皆肝木乘脾之证也。当审五脏相胜而主之，设执
其见证，概投风药，反成坏证者有矣。一小儿口眼 斜，面色或青或赤。此肝心风
火乘脾也。朝用柴胡清肝散，夕用异功散加钓藤钩而愈。其时，有患前证服祛风导
痰之药者，皆不能起。一小儿痢后患前证发搐，面色痿黄，肢体倦怠。此元气虚，
克伐多矣。余用补中益气汤加钓藤钩子，服而渐愈。后因乳母七情饮食失宜，或儿
乳食过多，前证仍作，服补中益气汤、五味异功散而愈。
〔钱〕全蝎散 治小儿惊风中风，口眼 斜，言语不正，手足偏废不举。
全蝎（去毒，炒） 僵蚕（直者，炒） 川芎 黄芩（去心） 甘草 桂枝 赤芍药
麻黄（去节，各一两） 天麻（六钱） 大南星（汤泡七次，去皮脐，切，焙干，五钱）
上为粗末。每服三钱，水一钟半，姜七片，煎七分。温服，无时，量大小与之，
一日三四服。忌羊肉。
胃风汤 治风冷乘虚入客肠胃，水谷不化，泄泻注下，及肠胃湿毒，下如豆汁或瘀
血，日夜无度。
人参 白茯苓 芎 肉桂 当归 白芍药 白术（各等分）
上为散。每服二钱，入粟米数粒同煎。食前服。
[Xue Ji] When infants and children present with hemifacial paralysis (pian feng), it belongs to the syndromes of the Shaoyang Gallbladder and Jueyin Liver meridians. Trismus (jin) is caused by tendon spasm, resulting from excessive Wind-Wood overacting on Spleen-Earth; when Water-Dampness is overcome, the tendons become excessively dry. However, since Dry-Metal governs contraction and rigidity, this manifestation occurs. It is also said: Wind pathogenic factors are prone to migration and rapid changes; whether affecting the left or right side, the etiology is consistent, so treatment must be cautious and based on syndrome differentiation. If Qi deficiency in the Foot-Yangming Stomach meridian allows Wind pathogens to invade, causing unilateral tendon spasm, this is classified as an external cause. If Wind-Heat in the Foot-Jueyin Liver meridian overacts on the Spleen, causing unilateral tendon spasm, this is classified as an internal cause. If Spleen and Lung Qi are deficient, with loose interstices allowing external pathogens to invade, or if prolonged use of mineral medicines depletes Liver Blood, or if fluids are lost after vomiting and diarrhea, failing to nourish the Liver, leading to hemifacial paralysis or hemiplegia, these all belong to insufficient Liver Blood and Wind generated by Liver Fire. The treatment should involve nourishing Kidney Water, tonifying Liver Blood, and strengthening Spleen Earth. Therapeutic methods: For Wind movement due to Spleen-Stomach deficiency, use Yigong San (Isolated Efficacy Powder) added with Chai Hu (Bupleuri Radix) and Gou Teng (Uncariae Ramulus cum Uncis). For Spleen-Lung deficiency with external pathogen invasion, use Gouteng Yin (Uncaria Decoction). For Liver Fire and blood dryness, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). For fluid insufficiency, use Baizhu San (Atractylodes Powder). If accompanied by eyes tightly fixed upward, alternating chills and fever, dribbling urination, bluish-white complexion, and distending pain in the hypochondrium, these are primary diseases of the Liver meridian. If accompanied by deviation of lips and mouth, abdominal pain, poor appetite, eyelid edema, bluish-yellow complexion, and limb fatigue, these are syndromes of Liver Wood overacting on Spleen Earth. One must examine the mutual overcoming relationships among the Five Zang organs to treat accordingly. If one adheres strictly to observed symptoms and indiscriminately administers Wind-dispelling drugs, it may lead to deteriorated conditions. An infant presented with hemifacial paralysis and a complexion that was sometimes blue and sometimes red; this was due to Liver and Heart Wind-Fire overacting on the Spleen. In the morning, Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) was administered; in the evening, Yigong San added with Gou Teng was given, resulting in recovery. At that time, patients with similar symptoms who took Wind-dispelling and phlegm-resolving drugs failed to recover. Another infant developed convulsions and the aforementioned symptoms after dysentery, presenting with sallow complexion and limb fatigue; this indicated deficient Yuan Qi due to excessive purgation. I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Gou Teng Zi (Uncaria Fruit), which led to gradual recovery. Later, due to the wet nurse's emotional and dietary irregularities, or excessive milk intake by the infant, the symptoms recurred. Administration of Buzhong Yiqi Tang and Wuwei Yigong San (Five-Ingredient Isolated Efficacy Powder) resulted in recovery.
[Qian Yi] Quanxie San (Scorpion Powder) treats infantile convulsive wind-stroke, hemifacial paralysis, speech impairment, and unilateral flaccidity of limbs.
Quanxie (Scorpio, detoxified and stir-fried), Jiangcan (Bombyx Batryticatus, straight ones, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqin (Scutellariae Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma), Guizhi (Cinnamomi Ramulus), Chi Shaoyao (Paeoniae Radix Rubra), Mahuang (Ephedrae Herba, joints removed) — each 1 liang; Tianma (Gastrodiae Rhizoma) — 6 qian; Dananxing (Arisaematis Tuber, soaked in water seven times, skin and navel removed, sliced, dried) — 5 qian.
Grind into coarse powder. Each dose: 3 qian, boiled with 1.5 zhong of water and 7 slices of ginger until reduced to 0.7 zhong. Take warm, at any time, adjusted for age, 3–4 times daily. Avoid mutton.
Weifeng Tang (Stomach Wind Decoction) treats wind-cold invading the intestines and stomach due to deficiency, causing indigestion of food and drink, watery diarrhea, and intestinal-rectal damp-toxin manifesting as stool resembling bean curd dregs or blood clots, occurring day and night without restraint.
Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria), Xiong (Chuanxiong), Rougui (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma) — equal parts.
Grind into powder. Each dose: 2 qian, boiled with several grains of millet. Take before meals.