上碎。每服二钱，水一盏，顺切姜二片，煎七分，无时，温服。或入薄荷同煎。
泻青丸 治窜视、发搐，痰热。
龙胆草（焙） 栀子仁 大黄（煨） 羌活 防风（各一钱） 川芎（一钱半）
上为末。炼蜜丸梧子大。每一丸，煎竹叶泡薄荷汤调下。钱氏有当归。
〔罗氏〕镇肝丸 治小儿急惊风，目直上视，抽搐昏乱，不省人事，是肝经风热也。（此方，泻青之变）
天竹黄（研） 生地黄 当归 竹叶 草龙胆 川芎 大黄（煨） 羌活 防风（各二钱半）
上为细末，炼蜜丸如鸡头大。每服二丸，沙糖水化下。先服此，后服天麻散。
凡欲下之，须当审问前人已下、未下，或曾经吐泻否，已下及吐泻者，不可再
下，但驱风、化痰、消热、而已，大约痰热十分，且泄其三之二，下剂中须用枳壳、
菖蒲、宽心通气之类佐之。急惊，急在一时，治不可缓，缓则候加深，若一时体认
不明，又不可妄施药饵。急惊既已传截风、定搐，次第，风惊已定，而痰热下剂
有三，初且轻下，又稍重下，又加重下之剂，下后和胃助气，而后定志宁神，驱风
镇惊，防其再发，若下后诸证犹存，未易痊愈，更勿再下，当作慢惊推详。
〔急惊轻下法〕
防风汤 治风热痰壅，大便不通。
防风 羌活 枳实（各半两） 川芎 甘草（炙） 大黄（煨。各二钱半）
锉末。每服三字，姜枣煎。
小柴胡汤加枳壳、防风，最利风热，解血热。免用银粉、巴、硝重剂。一方，加大
黄少许。
宣风散 疏导风、热、惊风、痰热、四证俱备者，极效。
鸡心槟榔（二个） 甘草 橘红（各半两） 黑牵牛（取末，二两，半生半炒）
上为末。每服半钱，蜜汤调下。
定命丹 治急惊、天吊、撮口，通利痰热。
全蝎（七个） 天麻 南星（炮） 白附子（各二钱半） 朱砂 青黛（各一钱半） 轻粉
麝香（各半钱） 龙脑（一字）
上为末。粟米糊、丸绿豆大。每一丸，荆芥、薄荷、汤调下。先研半丸，吹入鼻中。
疏风散 治惊风痰热四证俱盛。
槟榔 陈皮（去白，各二钱） 牵牛 大黄（略煨，各三钱）
上为末。每服半钱，生蜜调下。演山加朴硝一钱。
《保婴方》大黄、黑牵牛、白牵牛、三味各半生半熟，槟榔，各半两，细末，蜜
汤调。痰多，加轻粉。
〔演山〕治四证已作，八候未具，截风丹。
全蝎（去毒，炒） 僵蚕（炒） 白附子（炮） 南星（炮） 天麻（各二钱半） 朱砂（一钱）
赤足蜈蚣（一条，酒炙） 麝香（一字）
上为末，炼蜜丸梧子大。每服三丸，金银薄荷汤化下。
定搐散 治急惊、四证八候并作。
天麻 白附（炮） 南星（炮，各半两） 蝎稍（炒） 白花蛇头（酒炙。各二钱半）
朱砂 雄黄 乳香（各一钱） 代赭石（一两，米醋淬 七次） 赤脚蜈蚣（一条，酒炙）
龙脑 麝香（各一字）
上为细末。每服半钱，金银薄荷汤下。炼蜜丸，调亦佳。
牛黄清心丸 治四证八候，去风痰，散惊热。
南星 半夏 白附 川乌（各一两，并洗） 川郁金（半两）
上五味，为粗末，用腊月黄牛胆两三枚取汁和药，入胆中札，悬当风处一月，
干，取出，入添马牙硝、朱砂、雄黄、硼砂各一钱，脑、麝少许，如胆药一两，
硝、砂四味各一钱，稀面糊、丸麻子大。金银薄荷汤下。一岁十丸，二岁倍之。
〔郑氏〕比金丸 治急惊壮热，喘粗痰嗽，大小便不利。
轻粉 滑石（各钱半） 南星（一钱一字） 青黛（半钱）
为末。稀糊丸小豆大。一岁二丸，薄荷汤调下。急惊头热足冷，口噤面青痰
，加一丸。桃皮汤下、名桃符丸，疏流蕴积涎热，疮痘余毒，宜服。又去青黛、
加蝎稍半钱，名小青丸，同治。
利惊丸 急惊痰热潮搐。
轻粉 青黛（各一钱） 牵牛末（半两） 天竹黄（二钱）
上为末，糊丸或炼蜜丸小豆大。薄荷汤化下。
太白散 急惊搐搦涎盛。
粉霜（二钱） 轻粉 白牵牛（炒。各一钱）
上为末。每服一字，薄荷汤调。吐痰，效。
防风丸 治惊风痰热，神昏惊悸。
天麻 防风 人参 川芎（各一两） 全蝎 甘草 僵蚕 朱砂 雄黄 牛胆南星（各二钱五分）
上为末，蜜丸鸡头大。每一丸，薄荷汤下。
《保婴方》全蝎散 治急、慢惊风发搐，服之神效。（急慢二证加减方法在内，制法更佳）
全蝎（二十四个，新薄荷叶包，以竹夹住，于慢火上炙数次，或干薄荷叶酒浸开包炙亦可） 僵蚕（半两，炒去丝
嘴，用薄荷根据法炙） 南星（一两，取末，以生姜一两切片，新薄荷叶二两同捣和，捏作饼，晒干）
如急惊，不用南星，加大黄一两，煨。若慢惊，不用大黄，加制南星。
白附子（炮，三钱） 防风（去芦叉） 天麻 甘草（炙） 朱砂（水飞） 川芎（各半两）
上为末。一岁儿，服一字，二岁儿，服半钱，薄荷汤调下，量大小岁数加减。
身热发搐，煎后火府散调。慢惊吐泻后发搐，生姜汤调。急惊搐，煎火府散加大
黄汤调。
火府散 面赤、切牙、发热、唇口干燥、小便赤涩，一切虚，实邪热并治。
生地黄 木通（各一两） 黄芩 甘草（炙。各半两）
上 咀。每服二钱，水煎，温服。无时。
〔汤氏〕金星丸 治急惊，壮热痰壅，大便不通。
郁金（末） 雄黄（各二钱半） 腻粉（半钱） 巴豆（七个，取霜）
上为末。醋糊、丸黍米大。一岁二丸，薄荷汤下。
〔茅先生〕朱砂膏 治惊热，惊积。
朱砂（半两） 硼砂 马牙硝（各三钱） 真珠（一钱） 玄明粉（二钱） 龙脑 麝香（各一字）
各研，拌久自成膏。如诸惊，黄豆大，金银薄荷汤化。潮热、甘草汤。狂躁恶
叫、生地龙自然汁。月内儿，调涂乳头，令吮。
大黑龙丸 治小儿急慢惊风，神效。
胆星 礞石（硝 。各一两） 天竺黄 青黛（各半两） 芦荟（二钱半） 辰砂 蜈蚣（烧灰，一钱半）
僵蚕（五分）
上，为末。甘草汁、为丸如鸡头大，每服一丸或二丸，姜蜜薄荷汤下。如慢惊，
用桔梗白术汤下，即愈。
小黑龙丸 冶小儿急惊轻者。
青礞石（ ，一两） 青黛（一钱） 芦荟（一钱半） 胆星（一两）
上为极细末，甘草汤、为丸如鸡头大。每一丸，姜蜜薄荷汤下。
上二方，礞石、胆星治痰之剂为君，痰多者宜之。
〔急惊重下法〕
〔谢氏〕夺命丹 治急惊不省人事，眼定不动，牙关不开，唇白并黑者。
南星 半夏（各四钱，为末，并以生姜汁和作饼子，晒干） 真珠（新白者，二钱） 巴豆（去油净，一钱）
朱砂（四钱） 金箔 银箔（各十片） 轻粉 麝香（各半钱）
上，各为末，和匀，飞罗面打糊为丸，如黍米大。每一岁儿一丸，灯心汤下。
比金丸 治小儿风热丹毒，急慢哑惊。
前，夺命丹中减去金银箔，加真郁金末三钱，丸如上法。
利惊丸
前，比金丸中去郁金，加脑子半钱，白颈蚯蚓一条，用刀截断首尾两头齐跳者
用之，去土秤二钱，丸服如上法。
按∶此三方导痰药也，白饼子加减法。
〔演山〕青金丸 治惊风痰热，四证壅盛。
巴霜（半钱匕） 青黛（二钱半） 南星（半两，炮） 轻粉（一钱） 滑石 全蝎（去毒，炒。各二钱）
上为末，稀糊丸如麻子大。一岁五丸，二岁七丸，大小加减，薄荷、茶清下。
以通为度。一方，加白附子。
珍珠天麻丸 治惊风痰热壅盛，及吊肠、锁肚、撮口，绝效。
南星（炮） 天麻 白附子（炮。各一钱） 腻粉（半钱） 巴霜（一字） 芜荑（炒） 全蝎（面炒）
滑石（各一钱半）
上为末，糊丸粟米大。一岁五、七丸，二岁十丸，大小加减，薄荷汤点茶清，送下。
〔郑氏〕驱风膏 肝风筋脉拘急，面红目青，眼上惊搐，及胎风。
辰砂 蝎尾 当归 龙胆草 川芎 山栀仁 大黄 羌活 防风 甘草（各一钱）
上为末，入麝香一字，炼沙糖，丸鸡头大。三岁三丸，薄荷、竹叶、蜜、汤
化下。
睡安散 治急、慢惊风潮搐，不得安睡。
辰砂（水飞） 乳香 血竭（各一钱，并细研） 麝香（半钱研） 人参 酸枣仁（炒） 南星（炮）
白附（各半两） 全蝎（二十一枚） 蜈蚣（一条，酥炙黄，酒浸一宿）
上为末。一岁一字，薄荷汁、好酒煎沸调下。得睡效。
蛇头丸 治急慢惊，风涎搐搦来去，不问阴阳二候。
蛇头（一个，炙） 赤足蜈蚣（三条） 朱砂（三钱） 铅白霜 轻粉（各二钱） 龙脑 麝香（各一钱） 铁
液粉 百草霜（各半两） 蛇含石（一两，醋淬） 一方，加全蝎（一分）
上为末，米糊丸鸡头大。三岁半丸，薄荷汤磨下。一方，慢惊加附子半两、去
皮尖，血竭一分。
《直指》天麻丸 利惊下痰，吊肠、锁肚、撮口、可通用。
南星（炮二钱） 白附（炮） 马牙硝 天麻 川灵脂 全蝎（焙，各一钱） 轻粉（半钱）
巴霜（一字）
上为末，稀糊丸麻子大。每一丸，薄荷、姜钱，泡汤送下。
上，重下之剂，惟上壅下闭，血气充实，脉沉而有力者宜之。又阎氏所谓∶
候搐势定，下其痰热之类，是已。
〔利惊后调胃助气定志宁神防作慢惊〕
《直指》银白散 助胃驱风，呕吐作慢惊候者，通用。
莲肉 扁豆（炒） 白茯苓（各一分） 人参 天麻 白附子（炮） 全蝎（炒） 木香 甘草（炙）
藿香（半分） 陈米（炒香，三钱） 一方，加白术（一分）
上为末。每一钱，姜钱一片，入冬瓜子仁七粒同煎或陈米。调下。
醒脾散，大醒脾散，王氏惺惺散，皆和胃助气，可通用。三方见慢惊。
定志丸 治惊风已退，神志未定，以此调之。御院有乳香。
琥珀 茯神 远志肉（姜制，焙） 人参 白附子（炮） 天麻 天门冬（去心） 甘草（炙） 酸
枣仁（炒）
上为末，炼蜜丸，皂子大，朱砂为衣。每服一丸，灯心、薄荷汤调下。
温胆汤 治惊悸烦痰。
制半夏 枳实（炒） 酸枣仁（汤浸，去壳。各二钱半） 白茯苓（半两） 陈皮（去白） 甘草（各一钱半）
上锉散。每服一钱，入竹茹少许、姜枣煎。
加味地黄丸
地黄（八两） 山药 山茱萸（各四两） 泽泻 牡丹皮 茯苓（各三两） 羌活 防风（各二两）
上为末，炼蜜丸，如桐子大。量儿大小加减。
〔海〕五福丸 治急惊风。生蚯蚓一条，研烂，入五福化毒丹一丸，再研如泥。煎薄
荷汤少许调化，旋灌，量儿大小，加减服之。
五福化毒丹 治惊热，凉心膈。
生地黄 熟地黄（焙。各五两） 天门冬 麦门冬（去心，焙。各三两） 甜硝 玄参 甘草（各二
两，炙） 青黛（一两半）
上，上六味为细末，后研入硝、黛，炼蜜丸，如鸡头大。每服半丸或一丸，食
后，熟水化下。
安神丸 治小儿惊悸，热渴心闷，脉实面红，颊赤口燥。
麦门冬 马牙硝 白茯苓 山药 寒水石（各半两） 朱砂（一两） 甘草（半两） 龙脑（一字）
上为末，炼蜜丸，如鸡头大。每服半丸，沙糖水下。
上四方，甘寒泻火之剂为君，小儿血气虚而急惊者宜之。又，洁古、闫氏所谓∶
候搐止势减，宜安神镇心之类，是已。
〔曾氏方〕
五苓散 解伤寒、温湿、暑毒、霍乱，分阴阳，理烦渴。
泽泻（去粗皮，二两半） 白茯苓（去皮） 猪苓（去皮） 白术（各一两半） 肉桂（去粗皮，七钱半，不过火）
上碎，入桂同研为末。每服一钱，温汤调下。不拘时。若作 咀，用赤茯苓、
分两同前，每服二钱，水一盏，煎七分，温服。
百解散 主和解百病。虚慢阴证不宜。
干葛（二两半） 升麻 赤芍药（各二两） 黄芩（一两） 麻黄（制，七钱半） 薄桂（去粗皮，二钱半） 甘
草（一两半）
上碎。每服二钱，水一盏，姜二片，葱一根，煎七分。无时温服。有风热盛，
加薄荷同煎。
木通散 主上膈热，小府闭，烦躁生嗔及淋证，诸疮丹毒。
木通（去皮节） 地 蓄（去老梗。各半两） 大黄 甘草 赤茯苓（去皮，各三钱） 瞿麦（去干根） 滑石（末）
山栀仁 车前子 黄芩（各二钱半）
上件， 咀。每服二钱，水一盏，灯心三茎，煎七分。无时、温服。或入薄荷
同煎。
三解散 主上焦蕴热，伤风面红目赤，狂躁气急渴水，惊啼烦闷，丹毒口疮，痰嗽、
搐制。
人参（去芦） 防风（去芦） 天麻 茯神（去皮木根） 郁金（无，以山栀仁代） 白附子 大黄（各二钱半）
赤芍药 黄芩 僵蚕（各五钱） 全蝎（十五尾，去尖毒） 枳壳（水浸润，去穣，锉片，麸炒微黄，二钱）
粉草（六钱）
上，碎，焙为末。每服半钱至一钱，用温薄荷汤，无时调下。或灯心汤。
牛蒡汤 主伤风发热烦躁，鼻塞气喘，痰嗽惊啼，及诸疮、赤紫丹毒，咽喉肿痛。
Crush the herbs. Take two qian per dose, add one zhan of water and two slices of fresh ginger, decoct until reduced to seven-tenths, take warm at any time. Alternatively, add Bohe (Menthae Haplocalycis Herba) and decoct together.
Xieqing Wan (Drain Blue Pill): Treats upward deviation of eyes (cuan shi), convulsions, and phlegm-heat.
Longdancao (Gentianae Radix et Rhizoma, baked), Zhizi Ren (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma, roasted), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (1.5 qian).
Grind into powder. Make pills with refined honey the size of paulownia seeds. Take one pill per dose, administered with Zhu Ye (Bambusae Folium) soaked Bohe (Menthae Haplocalycis Herba) decoction. Qian Yi's formula includes Danggui (Angelicae Sinensis Radix).
[Luo Shi] Zhen Gan Wan (Liver-Calming Pill): Treats pediatric acute convulsion syndrome (ji jing feng), with eyes staring upward, convulsions, confusion, and loss of consciousness; this is due to wind-heat in the Liver channel. (This formula is a variation of Xieqing Wan).
Tianzhuhuang (Calculus Bolus), Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Zhu Ye (Bambusae Folium), Caolongdan (Gentianae Macrophyllae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dahuang (Rhei Radix et Rhizoma, roasted), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 2.5 qian).
Grind into fine powder. Make pills with refined honey the size of a corn kernel. Take two pills per dose, dissolved in sugar water. Administer this first, then administer Tianma San (Gastrodia Powder).
When intending to use purgative methods, one must carefully inquire whether previous treatments involved purgation or if vomiting/diarrhea had occurred. If purgation or vomiting/diarrhea has already taken place, do not purge again; instead, only dispel wind, resolve phlegm, and clear heat. Generally, for ten parts of phlegm-heat, drain two-thirds of it. In purgative formulas, use Zhiqiao (Aurantii Fructus) and Changpu (Acori Tatarinowii Rhizoma) to broaden the chest and unblock qi as adjuvants. Acute convulsion syndrome is urgent; treatment cannot be delayed, otherwise the condition will deepen. If recognition is unclear in the moment, do not administer drugs recklessly. Once acute convulsion syndrome has been treated sequentially to stop wind and settle convulsions, and the wind-convulsion has stabilized, there are three levels of purgatives for phlegm-heat: mild purgation initially, slightly heavier purgation, and then heavy purgation. After purgation, harmonize the stomach and boost qi, then stabilize the spirit and calm the mind, dispel wind and calm convulsions to prevent recurrence. If symptoms persist after purgation and are difficult to cure, do not purge again; consider it chronic convulsion syndrome (man jing) for detailed analysis.
[Light Purgative Method for Acute Convulsion Syndrome]
Fangfeng Tang (Saposhnikovia Decoction): Treats wind-heat and phlegm obstruction with constipation.
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (each 0.5 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Dahuang (Rhei Radix et Rhizoma, roasted) (each 2.5 qian).
Cut into pieces. Take three zhi per dose, decoct with ginger and jujube.
Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Zhiqiao (Aurantii Fructus) and Fangfeng (Saposhnikoviae Radix): Most effective for dispersing wind-heat and resolving blood heat. Avoid using heavy doses of Yinfen (Calamina), Badou (Crotonis Fructus), and Xiaomingfen (Mirabilite). Another prescription adds a small amount of Dahuang (Rhei Radix et Rhizoma).
Xuanfeng San (Wind-Dispersing Powder): Extremely effective for cases where wind, heat, convulsion, and phlegm-heat syndromes are all present.
Jixinbangling (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum) (each 0.5 liang), Heiqianniu (Pharbitidis Semen, powder, 2 liang, half raw half fried).
Grind into powder. Take half a qian per dose, mixed with honey water.
Dingming Dan (Life-Saving Pill): Treats acute convulsion syndrome, tian diao (opisthotonos), cuo kou (perioral contraction), and unblocks phlegm-heat.
Quanxie (Scorpio), Tianma (Gastrodiae Rhizoma), Nanxing (Arisaematis Rhizoma, processed), Baifuzi (Typhonii Rhizoma) (each 2.5 qian), Zhusha (Cinnabaris), Qingdai (Indigo Naturalis) (each 1.5 qian), Qingfen (Calomelas), Shexiang (Moschus) (each 0.5 qian), Longnao (Borneolum Syntheticum) (one zi).
Grind into powder. Make pills with millet paste the size of mung beans. Take one pill per dose, administered with Jingjie (Schizonepetae Spica) and Bohe (Menthae Haplocalycis Herba) decoction. First, grind half a pill and insufflate into the nose.
Shufeng San (Wind-Dispersing Powder): Treats severe cases of convulsion, wind, phlegm, and heat.
Bangling (Arecae Semen), Chenpi (Citri Reticulatae Pericarpium, white part removed) (each 2 qian), Qianniu (Pharbitidis Semen), Dahuang (Rhei Radix et Rhizoma, lightly roasted) (each 3 qian).
Grind into powder. Take half a qian per dose, mixed with raw honey. Yan Shan's prescription adds Poxiao (Mirabilite) 1 qian.
"Bao Ying Fang": Dahuang (Rhei Radix et Rhizoma), Heiqianniu (Pharbitidis Semen), Baiqianniu (Pharbitidis Semen), these three ingredients half raw half cooked, Bangling (Arecae Semen) 0.5 liang each, grind into fine powder, mix with honey water. For excessive phlegm, add Qingfen (Calomelas).
[Yan Shan] Jiefeng Dan (Wind-Cutting Pill): Treats when the four syndromes have manifested but the eight signs are not yet complete.
Quanxie (Scorpio, detoxified, fried), Jiangcan (Bombyx Batryticatus, fried), Baifuzi (Typhonii Rhizoma, processed), Nanxing (Arisaematis Rhizoma, processed), Tianma (Gastrodiae Rhizoma) (each 2.5 qian), Zhusha (Cinnabaris) (1 qian), Chizu Wugong (Centipedae Corpus, wine-fried) (one strip), Shexiang (Moschus) (one zi).
Grind into powder. Make pills with refined honey the size of paulownia seeds. Take three pills per dose, dissolved in Yinjin (Silver flower) and Bohe (Menthae Haplocalycis Herba) decoction.
Dingchu San (Convulsion-Settling Powder): Treats acute convulsion syndrome where the four syndromes and eight signs occur simultaneously.
Tianma (Gastrodiae Rhizoma), Baifu (Typhonii Rhizoma, processed), Nanxing (Arisaematis Rhizoma, processed) (each 0.5 liang), Xieshao (Scorpio tip, fried), Baihua She Tou (Bungarus multicinctus head, wine-fried) (each 2.5 qian), Zhusha (Cinnabaris), Xionghuang (Realgar), Ruxiang (Olibanum) (each 1 qian), Daizheshi (Haematitum, 1 liang, quenched in rice vinegar seven times), Chijiao Wugong (Centipedae Corpus, wine-fried) (one strip), Longnao (Borneolum Syntheticum), Shexiang (Moschus) (each one zi).
Grind into fine powder. Take half a qian per dose, administered with Yinjin (Silver flower) and Bohe (Menthae Haplocalycis Herba) decoction. Pills made with refined honey are also good.
Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill): Treats the four syndromes and eight signs, removes wind-phlegm, and dissipates convulsive heat.
Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Baifu (Typhonii Rhizoma), Chuanwu (Aconiti Radix) (each 1 liang, washed), Chuan Yujin (Curcumae Radix) (0.5 liang).
Grind the above five herbs into coarse powder. Use juice from two or three yellow cattle gallbladders collected in the twelfth lunar month to mix with the medicine, place back into the gallbladder, tie it up, and hang in a ventilated place for one month. When dry, take out and add Mayaciming (Mirabilite), Zhusha (Cinnabaris), Xionghuang (Realgar), Pengsha (Borax) each 1 qian, and a little Longnao (Borneolum Syntheticum) and Shexiang (Moschus). If the gall medicine weighs 1 liang, the four ingredients (nitrates, cinnabar, realgar, borax) should be 1 qian each. Make pills with thin flour paste the size of hemp seeds. Administer with Yinjin (Silver flower) and Bohe (Menthae Haplocalycis Herba) decoction. Ten pills for one-year-olds, double for two-year-olds.
[Zheng Shi] Bijin Wan (Gold-Comparison Pill): Treats acute convulsion syndrome with high fever, rough breathing with coughing phlegm, and difficulty in urination and defecation.
Qingfen (Calomelas), Huashi (Talcum) (each 1.5 qian), Nanxing (Arisaematis Rhizoma) (1.1 qian), Qingdai (Indigo Naturalis) (0.5 qian).
Grind into powder. Make pills with thin paste the size of soybeans. Two pills for one-year-olds, administered with Bohe (Menthae Haplocalycis Herba) decoction. For acute convulsion with hot head and cold feet, clenched jaw, blue face, and phlegm, add one pill. Administer with Taopi Tang (Peach Bark Decoction); named Taofu Wan (Peach Charm Pill), it clears flowing accumulated salivary heat and residual toxins from sores/pox; suitable for use. Remove Qingdai (Indigo Naturalis) and add Xieshao (Scorpio tip) 0.5 qian, named Xiaoqing Wan (Little Green Pill), used for the same purpose.
Lijing Wan (Convulsion-Relieving Pill): Treats acute convulsion syndrome with phlegm-heat and tidal convulsions.
Qingfen (Calomelas), Qingdai (Indigo Naturalis) (each 1 qian), Qianniu Mo (Pharbitidis Semen powder) (0.5 liang), Tianzhuhuang (Calculus Bolus) (2 qian).
Grind into powder, make pills with paste or refined honey the size of soybeans. Dissolve in Bohe (Menthae Haplocalycis Herba) decoction.
Taibai San (White Star Powder): Treats acute convulsion syndrome with spasms and abundant saliva.
Fenshuang (Hydrargyrum Oxydum Flavum), Qingfen (Calomelas), Baiqianniu (Pharbitidis Semen, fried) (each 1 qian).
Grind into powder. Take one zi per dose, mixed with Bohe (Menthae Haplocalycis Herba) decoction. Effective for vomiting phlegm.
Fangfeng Wan (Saposhnikovia Pill): Treats convulsion wind-phlegm-heat, mental confusion, and palpitations.
Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang), Quanxie (Scorpio), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangcan (Bombyx Batryticatus), Zhusha (Cinnabaris), Xionghuang (Realgar), Niudan Nanxing (Arisaema cum Bile) (each 2.5 qian).
Grind into powder, make pills with honey the size of a corn kernel. Take one pill per dose, administered with Bohe (Menthae Haplocalycis Herba) decoction.
"Bao Ying Fang" Quanxie San (Scorpion Powder): Treats convulsions in acute and chronic convulsion syndrome; extremely effective. (Addition/subtraction methods for acute and chronic syndromes are included; preparation method is superior).
Quanxie (Scorpio) (24 strips, wrapped in fresh Bohe leaves, held with bamboo clips, roasted slowly over fire several times, or dried Bohe leaves soaked in wine before roasting), Jiangcan (Bombyx Batryticatus) (0.5 liang, fried, silk mouth removed, roasted with Bohe according to the above method), Nanxing (Arisaematis Rhizoma) (1 liang, powdered, mixed with 1 liang sliced fresh ginger and 2 liang fresh Bohe leaves, pounded together, formed into cakes, sun-dried).
For acute convulsion, do not use Nanxing; add Dahuang (Rhei Radix et Rhizoma) 1 liang, roasted. For chronic convulsion, do not use Dahuang; add processed Nanxing.
Baifuzi (Typhonii Rhizoma, processed) (3 qian), Fangfeng (Saposhnikoviae Radix, remove rhizome fork), Tianma (Gastrodiae Rhizoma), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhusha (Cinnabaris, water-ground), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang).
Grind into powder. One-year-old infants take one zi, two-year-olds take half a qian, administered with Bohe (Menthae Haplocalycis Herba) decoction, adjust dosage based on age.
For body heat and convulsions, administer with decocted Huofu San (Fire Mansion Powder). For convulsions after vomiting/diarrhea in chronic convulsion, administer with Shengjiang Tang (Fresh Ginger Decoction). For acute convulsion convulsions, administer with decocted Huofu San plus Dahuang Tang (Rhubarb Decoction).
Huofu San (Fire Mansion Powder): Treats red face, teeth grinding, fever, dry lips/mouth, dark/scanty urine; treats all deficiency and excess heat pathogens.
Shengdihuang (Rehmanniae Radix), Mutong (Akebiae Caulis) (each 1 liang), Huangqin (Scutellariae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 liang).
Cut into pieces. Take two qian per dose, decoct with water, take warm. At any time.
[Tang Shi] Jinxing Wan (Venus Pill): Treats acute convulsion syndrome with high fever, phlegm obstruction, and constipation.
Yujin (Curcumae Radix, powder), Xionghuang (Realgar) (each 2.5 qian), Nifen (Calomelas) (0.5 qian), Badou (Crotonis Fructus) (seven seeds, take the oil cake).
Grind into powder. Make pills with vinegar paste the size of millet grains. Two pills for one-year-olds, administered with Bohe (Menthae Haplocalycis Herba) decoction.
[Mao Xiansheng] Zhusha Gao (Cinnabar Paste): Treats convulsive heat and accumulation.
Zhusha (Cinnabaris) (0.5 liang), Pengsha (Borax), Mayaciming (Mirabilite) (each 3 qian), Zhenzhu (Margarita) (1 qian), Xuanmingfen (Mirabilite Praparatum) (2 qian), Longnao (Borneolum Syntheticum), Shexiang (Moschus) (each one zi).
Grind separately, mix well, and let stand until it naturally becomes a paste. For various convulsions, the size of a soybean, dissolve in Yinjin (Silver flower) and Bohe (Menthae Haplocalycis Herba) decoction. For tidal fever, use Gancao Tang (Licorice Decoction). For maniacal restlessness and screaming, use Dilong (Pheretima) natural juice. For infants within one month, apply to nipple for sucking.
Daheilong Wan (Great Black Dragon Pill): Treats pediatric acute and chronic convulsion syndrome; extremely effective.
Danning (Arisaema cum Bile), Mengshi (Calcareous Schist, nitre-processed) (each 1 liang), Tianzhuhuang (Calculus Bolus), Qingdai (Indigo Naturalis) (each 0.5 liang), Lvhua (Aloe) (2.5 qian), Chensha (Cinnabaris), Wugong (Centipedae Corpus, burnt to ash) (1.5 qian), Jiangcan (Bombyx Batryticatus) (0.5 fen).
Grind into powder. Make pills with Licorice juice the size of a corn kernel. Take one or two pills per dose, administered with ginger-honey-Bohe decoction. For chronic convulsion, administer with Jiegeng Baizhu Tang (Platycodon and Atractylodes Decoction), and it will heal.
Xiaoheilong Wan (Little Black Dragon Pill): Treats mild cases of pediatric acute convulsion syndrome.
Qingmengshi (Calcareous Schist, nitre-processed) (1 liang), Qingdai (Indigo Naturalis) (1 qian), Lvhua (Aloe) (1.5 qian), Danning (Arisaema cum Bile) (1 liang).
Grind into extremely fine powder. Make pills with Licorice decoction the size of a corn kernel. Take one pill per dose, administered with ginger-honey-Bohe decoction.
In the above two formulas, Mengshi (Calcareous Schist) and Danning (Arisaema cum Bile) are the sovereign herbs for treating phlegm; suitable for cases with excessive phlegm.
[Heavy Purgative Method for Acute Convulsion Syndrome]
[Xie Shi] Duoming Dan (Life-Seizing Pill): Treats acute convulsion syndrome with loss of consciousness, fixed eyes, locked jaw, and white/black lips.
Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma) (each 4 qian, powdered and mixed with fresh ginger juice to form cakes, sun-dried), Zhenzhu (Margarita, new and white) (2 qian), Badou (Crotonis Fructus, oil removed completely) (1 qian), Zhusha (Cinnabaris) (4 qian), Jinbo (Folium Aureum), Yinbo (Folium Argenteum) (each ten leaves), Qingfen (Calomelas), Shexiang (Moschus) (each 0.5 qian).
Grind each into powder, mix evenly, use sifted wheat flour paste to make pills the size of millet grains. One pill per year of age, administered with Dengxin Tang (Juncus Decoction).
Bijin Wan (Gold-Comparison Pill): Treats pediatric wind-heat erysipelas, acute/chronic mute convulsion.
Take the previous Duoming Dan (Life-Seizing Pill), remove Jinbo (Folium Aureum) and Yinbo (Folium Argenteum), add Zhen Yujin (Curcumae Radix powder) 3 qian, make pills as above.
Lijing Wan (Convulsion-Relieving Pill)
Take the previous Bijin Wan (Gold-Comparison Pill), remove Yujin (Curcumae Radix), add Naonzi (Borneolum Syntheticum) 0.5 qian, and one white-necked earthworm. Cut off the head and tail with a knife until both ends jump; use it, remove soil and weigh 2 qian, make pills as above.
Note: These three formulas are phlegm-guiding medicines, variations of Baibing Zi (White Cake Pill).
[Yan Shan] Qingjin Wan (Blue Gold Pill): Treats convulsion wind-phlegm-heat with severe obstruction of the four syndromes.
Bashuang (Crotonis Fructus Frost) (half a qian bi), Qingdai (Indigo Naturalis) (2.5 qian), Nanxing (Arisaematis Rhizoma, processed) (0.5 liang), Qingfen (Calomelas) (1 qian), Huashi (Talcum), Quanxie (Scorpio, detoxified, fried) (each 2 qian).
Grind into powder. Make pills with thin paste the size of hemp seeds. Five pills for one-year-olds, seven for two-year-olds, adjust by size, administer with Bohe (Menthae Haplocalycis Herba) and tea liquor. Stop when bowel movement is achieved. Another prescription adds Baifuzi (Typhonii Rhizoma).
Zhenzhu Tianma Wan (Pearl Gastrodia Pill): Treats severe obstruction of convulsion wind-phlegm-heat, as well as diao chang (intussusception-like pain), suo du (umbilical constriction), and cuo kou (perioral contraction); extremely effective.
Nanxing (Arisaematis Rhizoma, processed), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, processed) (each 1 qian), Nifen (Calomelas) (0.5 qian), Bashuang (Crotonis Fructus Frost) (one zi), Wuyi (Myrobalani Fructus, fried), Quanxie (Scorpio, flour-roasted), Huashi (Talcum) (each 1.5 qian).
Grind into powder. Make pills with paste the size of millet grains. Five to seven pills for one-year-olds, ten for two-year-olds, adjust by size, send down with Bohe (Menthae Haplocalycis Herba) decoction and tea liquor.
[Zheng Shi] Qufeng Gao (Wind-Dispersing Paste): Treats Liver wind causing tendon/muscle spasm, red face/blue eyes, upward staring convulsions, and fetal wind.
Chensha (Cinnabaris), Xiwei (Scorpio tail), Danggui (Angelicae Sinensis Radix), Longdancao (Gentianae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhiren (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Grind into powder, add Shexiang (Moschus) one zi, refine rock sugar, make pills the size of a corn kernel. Three pills for three-year-olds, dissolve in Bohe (Menthae Haplocalycis Herba), Zhu Ye (Bambusae Folium), honey, and water.
Shui'an San (Sleep-Anning Powder): Treats acute/chronic convulsion syndrome with tidal convulsions and inability to sleep peacefully.
Chensha (Cinnabaris, water-ground), Ruxiang (Olibanum), Xuexie (Dragon's Blood) (each 1 qian, finely ground), Shexiang (Moschus, ground) (0.5 qian), Renshen (Ginseng Radix et Rhizoma), Suanzaoren (Ziziphi Spinosae Semen, fried), Nanxing (Arisaematis Rhizoma, processed), Baifu (Typhonii Rhizoma) (each 0.5 liang), Quanxie (Scorpio) (21 strips), Wugong (Centipedae Corpus, butter-roasted yellow, soaked in wine overnight) (one strip).
Grind into powder. One zi for one-year-olds, administer with Bohe juice and good wine boiled until bubbling. Effective when sleep is achieved.
She Tou Wan (Snake Head Pill): Treats acute/chronic convulsion syndrome with wind-saliva spasms coming and going, regardless of yin/yang signs.
She Tou (Snake head, one, roasted), Chizu Wugong (Centipedae Corpus) (three strips), Zhusha (Cinnabaris) (3 qian), Qianbaishuang (Hydrargyrum Chloridum), Qingfen (Calomelas) (each 2 qian), Longnao (Borneolum Syntheticum), Shexiang (Moschus) (each 1 qian), Tieyefen (Iron Liquid Powder), Baicaoshuang (Carbonis Fastii) (each 0.5 liang), Shehanshi (Hematitum) (1 liang, quenched in vinegar). Another prescription adds Quanxie (Scorpio) 1 fen.
Grind into powder. Make pills with rice paste the size of a corn kernel. Half a pill for three-year-olds, grind with Bohe (Menthae Haplocalycis Herba) decoction. Another prescription for chronic convulsion adds Fuzi (Aconiti Lateralis Radix Praeparata) 0.5 liang, peeled and tipped, and Xuexie (Dragon's Blood) 1 fen.
"Zhizhi" Tianma Wan (Gastrodia Pill): Relieves convulsion and guides down phlegm; applicable for diao chang (intussusception-like pain), suo du (umbilical constriction), and cuo kou (perioral contraction).
Nanxing (Arisaematis Rhizoma, processed 2 qian), Baifu (Typhonii Rhizoma, processed), Mayaciming (Mirabilite), Tianma (Gastrodiae Rhizoma), Chuan Lingzhi (Lepidii Semen), Quanxie (Scorpio, baked) (each 1 qian), Qingfen (Calomelas) (0.5 qian), Bashuang (Crotonis Fructus Frost) (one zi).
Grind into powder. Make pills with thin paste the size of hemp seeds. Take one pill per dose, send down with Bohe (Menthae Haplocalycis Herba) and ginger coin decoction.
The above are heavy purgative formulas; suitable only for cases with upper obstruction and lower closure, full blood and qi, and deep, forceful pulse. This aligns with Yan Shi's saying: wait for the convulsion to subside, then purge the phlegm-heat.
[After Relieving Convulsion: Harmonize Stomach, Boost Qi, Stabilize Spirit, Calm Mind, Prevent Chronic Convulsion]
"Zhizhi" Yinbai San (Silver White Powder): Boosts stomach, dispels wind; universally applicable for vomiting leading to chronic convulsion signs.
Lianrou (Nelumbinis Nuciferae Semen), Bian Dou (Dolichoris Semen, fried), Baifuling (Poria, white part) (each 1 fen), Renshen (Ginseng Radix et Rhizoma), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma, processed), Quanxie (Scorpio, fried), Muxiang (Aucklandiae Radix), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huoxiang (Agastaches Herba) (0.5 fen), Chenmi (Auris Japonicae Fructus, fried fragrant) (3 qian). Another prescription adds Baizhu (Atractylodis Macrocephalae Rhizoma) 1 fen.
Grind into powder. Take one qian per dose, add one slice of ginger, decoct with seven winter melon seeds or mixed with Chenmi (Auris Japonicae Fructus).
Xingpi San (Spleen-Awakening Powder), Da Xingpi San (Great Spleen-Awakening Powder), Wang Shi Xingxing San (Wang's Xingxing Powder) all harmonize the stomach and boost qi; universally applicable. See Chronic Convulsion section for the three formulas.
Dingzhi Wan (Spirit-Stabilizing Pill): Treats cases where convulsion has subsided but spirit is unsettled; use this to regulate. Imperial Hospital formula includes Ruxiang (Olibanum).
Hupo (Electrum), Fushen (Poria with Hostwood), Yuanzhi Rou (Polygalae Radix flesh, ginger-processed, baked), Renshen (Ginseng Radix et Rhizoma), Baifuzi (Typhonii Rhizoma, processed), Tianma (Gastrodiae Rhizoma), Tianmendong (Asparagi Radix, heart removed), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Suanzaoren (Ziziphi Spinosae Semen, fried).
Grind into powder. Make pills with refined honey the size of soapberries, coat with Zhusha (Cinnabaris). Take one pill per dose, administer with Dengxin (Junci Medulla) and Bohe (Menthae Haplocalycis Herba) decoction.
Wendan Tang (Warm Gallbladder Decoction): Treats palpitations, vexation, and phlegm.
Zhi Banxia (Pinelliae Rhizoma, processed), Zhishi (Aurantii Fructus Immaturus, fried), Suanzaoren (Ziziphi Spinosae Semen, soaked in water, shell removed) (each 2.5 qian), Baifuling (Poria, white part) (0.5 liang), Chenpi (Citri Reticulatae Pericarpium, white part removed), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1.5 qian).
Cut into pieces. Take one qian per dose, add a little Zhuru (Bambusae Caulis in Taenia), ginger, and jujube, decoct.
Jiawei Dihuang Wan (Modified Rehmannia Pill)
Dihuang (Rehmanniae Radix) (8 liang), Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus) (each 4 liang), Zexie (Alismatis Rhizoma), Mudanpi (Moutan Cortex), Fuling (Poria) (each 3 liang), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 2 liang).
Grind into powder. Make pills with refined honey the size of paulownia seeds. Adjust dosage based on child's size.
[Hai] Wufu Wan (Five Blessings Pill): Treats acute convulsion syndrome. Grind one fresh earthworm thoroughly, add one Wufu Huadu Dan (Five Blessings Detoxification Pill), grind again into mud. Decoct a little Bohe (Menthae Haplocalycis Herba) decoction to dissolve, administer immediately, adjust dosage based on child's size.
Wufu Huadu Dan (Five Blessings Detoxification Pill): Treats convulsive heat, cools heart and diaphragm.
Shengdihuang (Rehmanniae Radix), Shudihuang (Rehmanniae Radix Preparata, baked) (each 5 liang), Tianmendong (Asparagi Radix), Maidong (Ophiopogonis Radix, heart removed, baked) (each 3 liang), Tiantiao (Mirabilite), Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 2 liang), Qingdai (Indigo Naturalis) (1.5 liang).
Grind the above six herbs into fine powder, then grind in Tiantiao (Mirabilite) and Qingdai (Indigo Naturalis). Make pills with refined honey the size of a corn kernel. Take half or one pill per dose, after meals, dissolve in warm water.
Anshen Wan (Spirit-Calming Pill): Treats pediatric palpitations, heat-thirst, chest stuffiness, solid pulse, red face, red cheeks, dry mouth.
Maidong (Ophiopogonis Radix), Mayaciming (Mirabilite), Baifuling (Poria, white part), Shanyao (Dioscoreae Rhizoma), Hanshuishi (Aqua Calcitae) (each 0.5 liang), Zhusha (Cinnabaris) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang), Longnao (Borneolum Syntheticum) (one zi).
Grind into powder. Make pills with refined honey the size of a corn kernel. Take half a pill per dose, administer with sugar water.
The above four formulas use sweet-cold fire-draining herbs as sovereign; suitable for children with deficient blood/qi suffering from acute convulsion. This aligns with Jiegu and Yan Shi's saying: wait for convulsions to stop and intensity to decrease, then use spirit-calming and heart-settling herbs.
[Zeng Shi Fang]
Wuling San (Five Ingredient Powder): Resolves Taiyang syndrome, damp-warmth, summer-toxicity, cholera; separates yin and yang, resolves vexation and thirst.
Zexie (Alismatis Rhizoma, remove coarse skin) (2.5 liang), Baifuling (Poria, white part, remove skin), Zhuling (Polypori Umbilicatus), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1.5 liang), Rougui (Cinnamomi Cortex, remove coarse skin) (0.75 liang, do not over-roast).
Crush, mix with Rougui (Cinnamomi Cortex) and grind into powder. Take one qian per dose, mix with warm water. Any time. If cut into pieces, use Chifuling (Poria, red part), same proportions, take two qian per dose, add one zhan of water, decoct to seven-tenths, take warm.
Baijie San (Hundred-Resolution Powder): Mainly harmonizes and resolves hundred diseases. Not suitable for deficiency/cold yin syndromes.
Gange (Puerariae Radix) (2.5 liang), Shengma (Cimicifugae Rhizoma), Chi Shaoyao (Paeoniae Radix Rubra) (each 2 liang), Huangqin (Scutellariae Radix) (1 liang), Mahuang (Ephedrae Herba, processed) (0.75 liang), Bao Gui (Cinnamomi Ramulus) (remove coarse skin) (0.25 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 liang).
Crush. Take two qian per dose, add one zhan of water, two slices of ginger, one stalk of scallion, decoct to seven-tenths. Take warm at any time. If wind-heat is severe, add Bohe (Menthae Haplocalycis Herba) and decoct together.
Mutong San (Akebia Decoction): Mainly treats upper jiao heat, urinary obstruction, irritability, anger, strangury, sores, and erysipelas.
Mutong (Akebiae Caulis, remove nodes), Dixie (Polygoni Avicularis Herba), Qubian (Urticae Thunbergianae Herba) (remove old stems, each 0.5 liang), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chifuling (Poria, red part, remove skin) (each 3 qian), Qumai (Dianthi Herba, remove dry roots), Huashi (Talcum, powder), Shanzhiren (Gardeniae Fructus), Cheqianzi (Plantaginis Semen), Huangqin (Scutellariae Radix) (each 2.5 qian).
Cut into pieces. Take two qian per dose, add one zhan of water, three stems of Dengxin (Junci Medulla), decoct to seven-tenths. Take warm at any time. Or add Bohe (Menthae Haplocalycis Herba) and decoct together.
Sanjie San (Three-Resolution Powder): Mainly treats upper jiao retained heat, wind-strike with red face/eyes, mania, rapid breathing, thirst for water, crying from fright, vexation, erysipelas, mouth ulcers, phlegm-cough, and convulsions.
Renshen (Ginseng Radix et Rhizoma, remove rhizome), Fangfeng (Saposhnikoviae Radix, remove rhizome), Tianma (Gastrodiae Rhizoma), Fushen (Poria with Hostwood, remove wood root), Yujin (Curcumae Radix, substitute with Shanzhiren if unavailable), Baifuzi (Typhonii Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 2.5 qian), Chi Shaoyao (Paeoniae Radix Rubra), Huangqin (Scutellariae Radix), Jiangcan (Bombyx Batryticatus) (each 5 qian), Quanxie (Scorpio) (15 tails, remove tip poison), Zhiqiao (Aurantii Fructus, soak in water, remove pith, cut into slices, stir-fry with bran until slightly yellow) (2 qian), Fencao (Glycyrrhizae Radix et Rhizoma) (6 qian).
Crush, bake, and grind into powder. Take half to one qian per dose, administer with warm Bohe (Menthae Haplocalycis Herba) decoction at any time. Or use Dengxin (Junci Medulla) decoction.
Niubang Tang (Arctium Decoction): Mainly treats wind-strike with fever and irritability, nasal congestion, asthma, phlegm-cough, crying from fright, sores, purple erysipelas, and sore throat/swelling.