碧穹丹
石绿（研九度，飞，十两） 附子尖 乌头尖 蝎稍（各五十个）
上为末，入石绿令匀，面糊丸，如鸡头。每服，用薄荷汁半盏，化下一丸，更
以酒半合温服之，须臾，吐先痰涎，然后随证治之。
控涎丸
川乌（生） 半夏（各半两） 僵蚕（生姜汁浸一宿，半两） 全蝎（去尖，七个） 铁粉（三
钱） 甘遂（二钱半）
上为末，生姜自然汁，或薄糊丸，如绿豆大，朱砂为衣。每服十五丸，姜汤下。
忌甘草。
治小儿痫。用甘遂末一钱，猪心一个，取三管头血三条，和甘遂末，将猪心批作两
片，入药在内，以线缚定，外湿纸包裹，入文武火、煨熟，不可过度，取药细研，
入辰砂末一钱，和匀，分作四丸。每服一丸，猪心汤化下，再服另取猪心煎汤。
此方神效。
水晶丹（方见癖积） 四顺饮 五和汤（二方并见热） 利惊丸（方见惊搐） 紫霜丸（方
见变蒸热）
当归大黄汤 治小儿诸痫作热，利下心中恶血。
大黄（湿纸裹，微煨） 甘草（炙） 当归 赤芍药（各三钱） 半夏（制） 川芎（各二钱）
为末。每服一钱或二钱，水八分钟，煎四分，无时服。
固真汤 曰生汤（并见惊搐） 茯神汤（方见惊悸）
《元戎》小灵宝丹
附子（炮，一两） 天麻 全蝎 白僵蚕（炒） 藿香叶 南星（炮） 白附子（炮。各半两）
上为末，酒糊丸，桐子大。温酒下一十五丸。
罗谦甫治魏敬甫之子四岁，从长老摩顶授记，众僧念咒，因而大恐，遂发惊搐，
痰涎壅塞，目多白睛，项背强急，喉中有声，一时许、方醒，后每见皂衣人辄发，
多服朱、犀、龙、麝、镇坠之药，四十余日前证犹在，又添行步动作、神思如痴。
予诊其脉沉弦而急，《黄帝针经》云∶心脉满大，痫 筋挛。又云，肝脉小急，痫
筋挛。盖小儿血气未定，神气尚弱，因而惊恐，神无所根据，又动于肝，肝主筋，故
痫筋挛。病久气弱，小儿易为虚实，多服镇坠寒凉之剂，复损其气，故添动作如
痴。《内经》云∶暴挛痫眩，足不任身，取天柱穴是也。天柱穴乃足太阳之脉所发，
阳跷附而行也。又云∶癫痫螈 ，不知所苦，两跷主之，男阳女阴。洁古云∶昼发
治阳跷申脉，夜发治阴跷照海，先各灸两跷各二七壮，次处沉香天麻汤。
沉香 益智 川乌（炮去皮脐。各二钱） 天麻 防风 半夏（汤泡） 附子（炮去皮脐。
各三钱） 羌活（五钱） 甘草（炙） 当归 姜屑（各一钱半） 独活（四钱）
上 咀。每服五钱，生姜三片，水煎，温服。《举痛论》云∶恐则气下，精怯而
上焦闭。又云∶从下上者引而去之。以羌活、独活、苦温，味之薄者，阴中之阳，
引气上行，又入太阳之经为引用，故以为君。天麻、防风、辛温以散之，当归、甘
草、辛甘温以补气血之不足，又养胃气，故以为臣。黑附子、川乌头、益智仁、
大辛温行阳退阴，又治寒客伤胃。肾主五液，入脾为涎，以生姜、半夏、燥湿化
痰。《十剂》云∶重可去怯，沉香辛温，体重气清，去怯安神，故以为使。气味相
合，升阳补胃，恐怯之气，自得平矣。
牛黄丸 治因惊中风，五痫，天钓，客忤，潮涎灌壅。
白花蛇（酒浸取肉） 白附子 全蝎 真川乌（一枚半两者，生） 天麻 薄荷叶（各半两，以上六味，
先为细末，次入） 雄黄（五两） 辰砂（三钱） 脑子（另研，半两） 牛黄（三钱）
麝香（一钱）
上为一处和匀。麻黄去根二两，酒一升，煎麻黄至一盏，去麻黄用酒，熬药得
所，勿至焦赤，众手、疾丸如芡实大，密器盛之。一丸作五服，煎金银、薄荷、
汤磨化。大能发散惊邪。
治五痫得效方
露蜂房（焙） 石绿（各一两） 桂心 远志（去心） 人参（各半两） 朱砂（一钱）
上为末，粥丸，如桐子大。每服二三十丸，白汤下。
Biqiong Dan (Jade Dome Pill)
Shilü (Malachite, ground nine times and washed, ten taels) Fuzi Jian (Aconite Lateral Root Tip) Wutou Jian (Aconite Main Root Tip) Xieshao (Scorpion Tail Segment, fifty each)
Grind the above ingredients into fine powder, mix evenly with Shilü, form pills using wheat paste, size like a chicken head. For each dose, dissolve one pill in half a cup of Bohe Zhi (Mint Juice), then take with half a he of warm wine. After a short while, the patient will vomit accumulated phlegm-fluids, then treat according to syndrome differentiation.
Kongxian Wan (Phlegm-Fluid Control Pill)
Chuanwu (Raw, half a tael) Banxia (Pinellia Rhizoma, half a tael) Jiangcan (Bombyx Batryticatus, soaked in fresh ginger juice overnight, half a tael) Quanxie (Whole Scorpion, tip removed, seven pieces) Tiefen (Iron Powder, three qian) Gansui (Radix Kansui, two qian and a half)
Grind the above ingredients into fine powder, form pills using fresh ginger juice or thin wheat paste, size like mung beans, coat with Zhusha (Cinnabar). Take fifteen pills per dose, down with ginger decoction.
Avoid Gancao (Licorice Root).
Treat pediatric epilepsy. Take one qian of Gansui powder, one pig heart, extract blood from three vessel ends (three strands), mix with Gansui powder. Slice the pig heart into two halves, insert the medicine inside, tie securely with thread, wrap externally with wet paper, and bake over mild and strong fire until cooked thoroughly but not excessively. Remove the medicine, grind finely, add one qian of Chensha (Vermilion) powder, mix evenly, divide into four pills. Take one pill per dose, dissolve in pig heart decoction. For subsequent doses, prepare fresh pig heart decoction.
This formula is miraculous.
Shuijing Dan (Crystal Pill) (Formula see Pi Ji section) Sishun Yin (Four Harmonizing Decoction) Wuhe Tang (Five Harmonizing Decoction) (Both formulas see Re Zheng section) Lijing Wan (Startle-Calming Pill) (Formula see Jing Chu section) Zishuang Wan (Purple Frost Pill) (Formula see Bianzheng Re section)
Danggui Dahuang Tang (Angelica Sinensis and Rheum Decoction) Treats various types of pediatric epilepsy with heat manifestations, promoting the discharge of evil blood from the heart.
Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, slightly baked) Gancao (Prepared Licorice Root) Danggui (Angelicae Sinensis Radix) Chishaoyao (Red Peony Root, three qian each) Banxia (Prepared Pinellia Rhizoma) Chuanxiong (Ligusticum Chuanxiong Rhizoma, two qian each)
Grind into fine powder. Take one or two qian per dose, boil in eight units of water until reduced to four units, take at any time.
Baijie San (Hundred-Release Powder) Daqing Gao (Great Blue Ointment) (Both see Jing Chu section) Qufeng Gao (Wind-Expelling Ointment) (Xie Qing San plus Zhusha and Quanxie)
Guzhen Tang (Solidify True Decoction) Yuesheng Tang (Daily Growth Decoction) (Both see Jing Chu section) Fushen Tang (Poria Cocos with Heartwood Decoction) (Formula see Jingji section)
Yuanrong Xiao Lingbao Dan (Little Spirit Treasure Pill from Yuanrong)
Fuzi (Processed Aconite Lateral Root, one tael) Tianma (Gastrodia Rhizome) Quanxie (Whole Scorpion) Baijiangcan (White Bombyx Batryticatus, stir-fried) Huoxiang Ye (Agastache Leaf) Nanxing (Arisaema Rhizoma, processed) Baifuzi (Typhonii Rhizoma, processed. Half a tael each)
Grind into fine powder, form pills using wine paste, size like Sophora seeds. Take fifteen pills with warm wine.
Luo Qianfu treated the four-year-old son of Wei Jingfu. Following a senior monk's head-touching initiation ritual where monks chanted spells, the child suffered extreme fright, leading to Jingchu (startling convulsions), phlegm-fluid obstruction, excessive white sclera exposure, stiffness and tension in the neck and back, sounds in the throat, and only regaining consciousness after about an hour. Subsequently, seeing people in black clothes would trigger attacks. Having taken many sedative and heavy-settling drugs such as Zhusha (Cinnabar), Xijiao (Rhinoceros Horn - note: substitute with Buffalo Horn in modern practice), Longgu (Fossilized Bone), and Shexiang (Musk), the symptoms persisted after forty days, accompanied by erratic movements and mental dullness resembling dementia.
I palpated his pulse: deep, wiry, and rapid. The Huangdi Zhenjing (Yellow Emperor's Classic of Acupuncture) states: "When the Heart pulse is full and large, epilepsy and tendon spasms occur." It also says: "When the Liver pulse is small and urgent, epilepsy and tendon spasms occur." Generally, children's blood and qi are undetermined, and their Shen (Spirit) is weak. Due to fright, the Shen has no foundation, and the Liver is disturbed. Since the Liver governs tendons, epilepsy and tendon spasms result. Prolonged illness leads to Qi deficiency; children are prone to both deficiency and excess syndromes. Frequent use of sedative, cold, and cooling agents further damages Qi, causing the added symptom of movement resembling dementia. The Neijing states: "Sudden spasms, epilepsy, and dizziness, inability of the feet to support the body, treat by selecting Tianzhu (BL10)." Tianzhu is an exit point of the Foot-Taiyang channel, where the Yang Qiao vessel attaches and travels. It also states: "For epilepsy and convulsions where the suffering is unknown, the two Qiao vessels govern it; male corresponds to Yang, female to Yin." Jiegau states: "Daytime onset treats Yang Qiao Shenmai (BL62); nighttime onset treats Yin Qiao Zhaohai (KI6). First, moxa both Qiao vessels for fourteen burns each, then treat with Chenxiang Tianma Tang."
Chenxiang (Aquilaria Wood) Yizhi (Alpinia Oxyphylla Fruit) Chuanwu (Processed Ligusticum Chuanxiong Rhizoma, skin and umbilicus removed. Two qian each) Tianma (Gastrodia Rhizome) Fangfeng (Saposhnikovia Root) Banxia (Pinellia Rhizoma, boiled) Fuzi (Processed Aconite Lateral Root, skin and umbilicus removed. Three qian each) Qianghuo (Notopterygium Rhizoma, five qian) Gancao (Prepared Licorice Root) Danggui (Angelicae Sinensis Radix) Jiangxie (Fresh Ginger Scrapings. One qian and a half each) Duhuo (Angelica Pubescens Root, four qian)
Cut into pieces. Take five qian per dose, with three slices of fresh ginger, decoct in water, take warm. The Jutong Lun states: "Fear causes Qi to sink, essence becomes timid, and the Upper Jiao closes." It also states: "For pathogens rising from below, guide them downward." Using Qianghuo and Duhuo, which are bitter and warm, with thin flavors, representing Yang within Yin, they guide Qi upward and enter the Taiyang channel as guiding herbs, thus serving as the Sovereign herb. Tianma and Fangfeng, pungent and warm, disperse pathogenic factors; Danggui and Gancao, pungent, sweet, and warm, tonify insufficiency of Qi and Blood and nourish Stomach Qi, thus serving as Ministers. Hei Fuzi (Black Aconite), Chuan Wutou, and Yizhiren, greatly pungent and warm, promote Yang and dispel Yin, treating Cold invading and injuring the Stomach. The Kidney governs the Five Fluids; entering the Spleen, it transforms into Phlegm-fluid. Fresh Ginger and Banxia dry dampness and transform phlegm. The Shiji states: "Heaviness can remove timidity." Chenxiang is pungent and warm, heavy in substance and clear in Qi, removing timidity and calming the Spirit, thus serving as an Envoy. The combination of flavors and aromas raises Yang and tonifies the Stomach; the Qi of fear and timidity naturally becomes balanced.
Niuhuang Wan (Calves' Gallstone Pill) Treats Wind-strike due to fright, the five epilepsies, Tiandiao (Heavenly Fishing), Kewu (Guest Malevolence), and flooding obstruction of tidal phlegm.
Baihuashe (White Spotted Snake, meat obtained via wine soaking) Baifuzi (Typhonii Rhizoma) Quanxie (Whole Scorpion) Zhen Chuanwu (Authentic Ligusticum Chuanxiong Rhizoma, one and a half liang, raw) Tianma (Gastrodia Rhizome) Bohe Ye (Mint Leaf. Half a tael each. The above six ingredients are first ground into fine powder, then added to:) Xionghuang (Realgar, five liang) Chensha (Vermilion, three qian) Naozi (Borneol, separately ground, half a tael) Niuhuang (Calves' Gallstone, three qian)
Shexiang (Musk, one qian)
Mix all ingredients uniformly. Mahuang (Ephedra Herba, roots removed, two liang), wine (one sheng), boil Mahuang in wine until reduced to one sheng, remove Mahuang, use only the wine, simmer the medicine appropriately without burning to redness. Workers quickly form pills size like Chinese Quince seeds, store in sealed containers. One pill divided into five doses, grind with decoction of Jin Yin Hua (Honeysuckle Flower) and Bohe (Mint), dissolve and take. Greatly disperses fright pathogens.
Effective Formula for Treating the Five Epilepsies
Lufengfang (Honeycomb, roasted) Shilü (Malachite. One tael each) Guixin (Cinnamon Bark) Yuanzhi (Polygalae Radix, heart removed) Renshen (Ginseng Root. Half a tael each) Zhusha (Cinnabar, one qian)
Grind into fine powder, form pills using congee, size like Sophora seeds. Take twenty to thirty pills per dose, down with plain hot water.