牛蒡子(三两,略炒,研碎) 大黄(一两半) 防风(去芦) 薄荷(去老梗,各一两) 荆芥(去根老梗,四
两)
甘草(一两一钱半)
上件, 咀。每服二钱,水一盏,煎七分,无时、温服。
防风汤 治急惊后余热未退,时复手足搐制,心悸不宁,及风邪中入肝经,两目视
人开眨不常。
防风(去芦) 川芎 大黄 白芷 黄芩 甘草(各半两) 细辛(去叶,二钱) 薄荷叶(二钱半)
上件,锉、焙为末。每服一钱,用温汤无时、调服。
半夏丸 治痰证神效。若惊搐后风涎潮作,服之神效。
半夏(生用,二两) 赤茯苓(去皮) 枳壳(制。各一两) 风化朴硝(二钱半)
上,前三味为末,入乳钵同朴硝杵匀,用生姜自然汁煮糯米粉为丸,绿豆大。
每服三十丸至五十丸,仍以淡姜汤、食后临睡送下。儿小,煮,丸如粟谷大。
水晶丹(方见癖积。)
宽气饮 主通利关节,除胸膈痞结,消痰逐水,进美饮食,及治蓄气而成搐,传变急、
慢惊风,气逆不和,精神昏倦。
枳壳(水浸,去穣,麸炒微黄) 枳实(制同上。各一两) 人参(去芦) 甘草(炙。各半两)
上,锉、焙、为末。每服半钱至一钱,净汤,无时调服。惊风发搐,姜汁葱汤同调。
热极者,入宽热饮、薄荷、蜜汤调下。或麦门冬汤。
五和汤 主宣利脏腑积热,调和荣卫。
当归(酒洗) 赤茯苓(去皮。各半两) 甘草(炙) 大黄 枳壳(水浸润,去穣锉片,麸
炒微黄。各七钱半)
上件, 咀。每服二钱,水一盏,煎七分。无时,温服。
宽热饮(方见发热)
茯神汤 治心气不足,虚而惊悸,日常烦哭,及婴孩生下羸瘦多惊,宜子母同服,
自然有效。
茯神(去皮木根,一两) 人参(去芦) 当归(去芦尾,酒洗。各半两) 甘草(炙,二钱)
上件, 咀。每服二钱,水一盏,煎七分。无时,温服。有微热烦躁,入
麦门冬去心,同煎。
镇惊丸 主急、慢二惊,风痰上壅,手足抽掣,口眼 科,烦躁生嗔,精神昏闷。
常服,宁心镇惊,疏风顺气。
人参(去芦,三钱) 粉草(半生半炙) 茯神(去皮木根) 僵蚕(去丝) 枳壳(同前制,各五钱) 白
附子 南星(制) 白茯苓(去皮) 硼砂 牙硝 朱砂(水飞。各二钱半) 全蝎(十尾,去尖毒) 麝
香(一字)
上,除牙硝、硼砂、麝香、朱砂四味,用乳钵细研,余九味,烙为末,入乳
钵内和匀,前四味用糯米粉水煮,清糊为丸,梧桐子大,就带润,以银朱为衣。
每服三丸至五丸或七丸。急惊用温茶清磨化服。慢惊以生姜、熟附子煎汤研化温
服,薄荷汤化下或麦门冬汤。
截惊丸 治惊风搐制,烦躁有热,两目上视,口噤牙关。
龙胆草(去芦) 防风(去芦) 青黛 钓藤(和钩) 黄连(净) 牛黄 甘草 朱砂(水飞,各五
钱) 薄荷叶(二钱半) 麝香(半钱)
上,除牛黄、麝香外,余八味锉、炒为末,仍同前二味,乳钵内杵匀,炼蜜
丸,如芡实大。每用一丸至二丸,温汤化服。或茶清。
朱砂膏 主五心烦热,喉痰壅盛,惊风搐搦,渴饮无时,睡中不宁,见人烦躁,口
疮糜烂。
朱砂(水飞,五钱) 马牙硝 硼砂 玄明粉(各二钱半) 麝香(一字) 金箔 银箔(各十五片) 白
附子 枳壳(麸炒微黄。各三钱) 川芎 粉草(各四钱) 人参(去芦) 黄芩 薄荷叶(各二钱)
上,前七味入乳钵细研,后七味锉焙为末,仍入钵中同前药和匀,炼蜜丸,芡
实大。每服一丸至二丸,用麦门冬熟水,无时化服。
不惊丹 治因惊气而吐逆作搐,痰涎壅塞,手足掣缩,目睛斜视。常服,疏风顺气,
自不作惊,和脾胃,进饮食。
枳壳(去穣,麸炒微黄,一两) 淡豆豉(焙干) 南星 茯神(去皮根木,各半两) 蝎稍(五十尾,去尖毒)
净芜荑(二钱半,先入乳钵内极细研烂)
上,除芜荑外,余五味焙为末,再同芜荑乳钵内杵匀,醋煮糯米粉糊为丸。
周岁内婴孩,粟谷大,每服三十丸至五十丸,乳汁下,三岁以上者麻仁大,每服
五十丸及六十丸,温米清汤下。候一时,得吃乳食。
〔薛氏方〕
四物汤(见吐血) 四君子汤 六味丸(即补肾地黄丸) 泻白散(见肺脏) 柴胡清脾散
栀子清肝散(并见发热)
参术柴苓汤 治肝经风热,脾土受克,其证善怒,睡中抽搐,遍身作痒,饮食少思。
人参 白术 茯苓 陈皮(各一钱) 柴胡 升麻(各七分) 山栀(炒,八分) 钓藤钩(一钱) 甘
草(炒,五分)
每服一二钱,姜枣,水煎。
安神镇惊丸 惊退后调理,安心神,养气血,和平预防之剂也。
天竺黄(另研) 人参 茯神 南星(姜制。各五钱) 酸枣仁(炒) 麦门冬 当归(酒洗) 生地黄
(酒洗) 赤芍药(炒。各三钱) 薄荷 木通 黄连(姜汁炒) 山栀(炒) 辰砂(另研)
牛黄(另研) 龙骨( 。各二钱) 青黛(一钱,另研)
上为末,蜜丸绿豆大。每服三五丸,量儿大小加减,淡姜汤送下。
Babaozi (Fructus Arctii), 3 liang, lightly stir-fried and crushed; Dahuang (Radix et Rhizoma Rhei), 1.5 liang; Fangfeng (Radix Saposhnikoviae), deaerated; Bohe (Herba Menthae), old stems removed, each 1 liang; Jingjie (Herba Schizonepetae), roots and old stems removed, 4 liang; Gancao (Radix Glycyrrhizae), 1 liang 1 qian 5 fen.
The above ingredients are cut into small pieces. Take 2 qian per dose, decoct with 1 cup of water until reduced to 0.7 cup, take warm at any time.
Fangfeng Tang (Saposhnikovia Decoction): Treats residual heat after acute convulsion syndrome (Ji Jing Feng), where limbs occasionally twitch and spasm, palpitations occur, and wind-pathogen invades the Liver Meridian, causing irregular blinking and staring when looking at people.
Fangfeng (Radix Saposhnikoviae), deaerated; Chuanxiong (Rhizoma Chuanxiong); Dahuang (Radix et Rhizoma Rhei); Baizhi (Radix Angelicae Dahuricae); Huangqin (Radix Scutellariae); Gancao (Radix Glycyrrhizae), each 0.5 liang; Xixin (Herba Asari), leaves removed, 2 qian; Bohe Ye (Folium Menthae), 2.5 qian.
The above ingredients are cut, dried, and ground into powder. Take 1 qian per dose, mix with warm water and take at any time.
Banxia Wan (Pinellia Pill): Highly effective for phlegm syndromes. If wind-phlegm surges after convulsions, this pill is highly effective.
Banxia (Rhizoma Pinelliae), raw use, 2 liang; Chi Fuling (Poria cum Radice Pini), peeled; Zhike (Fructus Aurantii), processed, each 1 liang; Fenghua Puxiao (Natrii Sulfas Efflorescens), 2.5 qian.
Grind the first three ingredients into powder, place in a mortar, and pound evenly with Puxiao. Use fresh ginger juice to cook glutinous rice flour to form pills, size of mung beans.
Take 30-50 pills per dose, delivered with light ginger soup after meals and before sleep. For smaller children, boil the pills; make them size of millet grains.
Shuijing Dan (Crystal Pill) (Formula see Pi Ji section).
Kuanqi Yin (Qi-Expanding Drink): Mainly promotes joint mobility, removes chest and diaphragm stuffiness, resolves phlegm and expels water, improves appetite, and treats spasms caused by qi stagnation, transforming into acute or chronic convulsion syndrome, with rebellious qi, mental fatigue, and drowsiness.
Zhike (Fructus Aurantii), soaked in water, pulp removed, bran-fried until slightly yellow; Zhishi (Fructus Aurantii Immaturus), processed as above, each 1 liang; Renshen (Radix Ginseng), deaerated; Gancao (Radix Glycyrrhizae), honey-fried, each 0.5 liang.
Cut and dry the ingredients, grind into powder. Take 0.5-1 qian per dose, mix with clear water and take at any time. For convulsion spasms, mix with ginger juice and scallion soup. For extreme heat, add Kuanre Yin, Bohe, and mix with honey water. Or use Maidong Tang.
Wuhe Tang (Five-Harmonies Decoction): Mainly clears and drains accumulated heat in the zang-fu organs, harmonizes Ying and Wei.
Danggui (Radix Angelicae Sinensis), wine-washed; Chi Fuling (Poria cum Radice Pini), peeled, each 0.5 liang; Gancao (Radix Glycyrrhizae), honey-fried; Dahuang (Radix et Rhizoma Rhei); Zhike (Fructus Aurantii), soaked in water, pulp removed, sliced, bran-fried until slightly yellow, each 0.75 liang.
Cut the ingredients. Take 2 qian per dose, decoct with 1 cup of water until reduced to 0.7 cup. Take warm at any time.
Kuanre Yin (Heat-Expanding Drink) (Formula see Fa Re section).
Fushen Tang (Poria Decoction): Treats Heart Qi deficiency leading to palpitations from deficiency, daily irritability and crying, and infants who are frail and prone to fright since birth. Mother and child should take it together for natural efficacy.
Fushen (Poria cum Radice Pini), peel and woody root removed, 1 liang; Renshen (Radix Ginseng), deaerated; Danggui (Radix Angelicae Sinensis), remove root tail, wine-washed, each 0.5 liang; Gancao (Radix Glycyrrhizae), honey-fried, 2 qian.
Cut the ingredients. Take 2 qian per dose, decoct with 1 cup of water until reduced to 0.7 cup. Take warm at any time. If there is slight fever and irritability, add Maidong (Folium Nephelii Longan) with heart removed, and decoct together.
Zhenjing Wan (Convulsion-Calming Pill): Mainly treats acute and chronic convulsion syndromes, wind-phlegm obstructing upwards, limb spasms, deviation of mouth and eyes, irritability and anger, mental dullness and oppression.
Regular use calms the mind, calms convulsions, unblocks wind, and regulates qi.
Renshen (Radix Ginseng), deaerated, 3 qian; Fencao (Radix Glycyrrhizae), half raw, half honey-fried; Fushen (Poria cum Radice Pini), peel and woody root removed; Jiangcan (Bombyx Batryticatus), remove silk threads; Zhike (Fructus Aurantii), processed as above, each 5 qian; Baifuzi (Rhizoma Typhonii); Nanxing (Rhizoma Arisaematis), processed; Bai Fuling (Poria), peeled; Pengsha (Borax); Yaxiao (Natrii Sulfas); Zhusha (Cinnabar), water-triturated, each 2.5 qian; Quanxie (Scorpio), 10 tails, remove toxic tip; Shexiang (Moschus), 1 zi.
Except for Yaxiao, Pengsha, Shexiang, and Zhusha, roast the remaining nine ingredients and grind into powder. Mix in a mortar. The first four ingredients are used with glutinous rice flour water paste as binder to form pills, size of Sophora seeds, kept moist, coated with Yinzhu (Vermilion).
Take 3-5 or 7 pills per dose. For acute convulsion, grind with warm tea water and take. For chronic convulsion, dissolve with decoction of Shengjiang (Rhizoma Zingiberis Recens) and Shu Fuzi (Radix Aconiti Lateralis Preparata) and take warm. Can also be dissolved with Bohe Tang or Maidong Tang.
Jiejing Wan (Convulsion-Cutting Pill): Treats convulsion spasms, irritability with heat, upward gaze, locked jaw.
Longdancao (Radix Gentianae), deaerated; Fangfeng (Radix Saposhnikoviae), deaerated; Qingdai (Indigo Naturalis); Gouteng (Ramulus Uncariae cum Uncis), with hooks; Huanglian (Rhizoma Coptidis), cleaned; Niuhuang (Calculus Bovis); Gancao (Radix Glycyrrhizae); Zhusha (Cinnabar), water-triturated, each 5 qian; Bohe Ye (Folium Menthae), 2.5 qian; Shexiang (Moschus), 0.5 qian.
Except for Niuhuang and Shexiang, cut and stir-fry the remaining eight ingredients, grind into powder. Pound evenly with the previous two in a mortar. Form pills with refined honey, size of Chinese dates. Take 1-2 pills per dose, dissolve in warm water. Or use tea water.
Zhusha Gao (Cinnabar Paste): Mainly treats five-palm heat, excessive throat phlegm, convulsion spasms, thirst with irregular drinking, restlessness during sleep, irritability upon seeing people, and oral ulcers/erosions.
Zhusha (Cinnabar), water-triturated, 5 qian; Mayaxiao (Natrii Sulfas); Pengsha (Borax); Xuanmingfen (Natrii Sulfas Depuratus), each 2.5 qian; Shexiang (Moschus), 1 zi; Jinbo (Lamina Aurea); Yinbo (Lamina Argenti), each 15 pieces; Baifuzi (Rhizoma Typhonii); Zhike (Fructus Aurantii), bran-fried until slightly yellow, each 3 qian; Chuanxiong (Rhizoma Chuanxiong); Fencao (Radix Glycyrrhizae), each 4 qian; Renshen (Radix Ginseng), deaerated; Huangqin (Radix Scutellariae); Bohe Ye (Folium Menthae), each 2 qian.
The first seven ingredients are finely ground in a mortar. The last seven are cut, dried, and ground into powder. Mix all in the mortar. Form pills with refined honey, size of Chinese dates. Take 1-2 pills per dose, dissolve in cooked Maidong water at any time.
Bu Jing Dan (Non-Fright Pill): Treats vomiting and spasms due to fright qi, phlegm-saliva obstruction, limb retraction, and oblique gaze. Regular use unblocks wind, regulates qi, prevents fright naturally, harmonizes spleen and stomach, and improves diet.
Zhike (Fructus Aurantii), pulp removed, bran-fried until slightly yellow, 1 liang; Danshichu (Faba Fermentata), dried by roasting; Nanxing (Rhizoma Arisaematis); Fushen (Poria cum Radice Pini), peel and woody root removed, each 0.5 liang; Xie Shao (Scorpio tail tips), 50 tails, remove toxic tip; Jing Wuyi (Fructus Chromolaenae), cleaned, 2.5 qian, first ground extremely fine in mortar.
Except for Wuyi, roast the remaining five ingredients and grind into powder. Pound evenly with Wuyi in mortar. Form pills with vinegar-cooked glutinous rice flour paste.
For infants under one year, size of millet grains, take 30-50 pills with milk. For those over three years, size of hemp seeds, take 50-60 pills with warm rice water. Wait one hour before feeding milk or food.
[Xue Shi Formula]
Siwu Tang (Four Substances Decoction) (See Tu Xue section); Sijunzi Tang (Four Gentlemen Decoction); Liuwei Wan (Six-Ingredient Pill) (i.e., Bushen Dihuang Wan); Xiebai San (Drain White Powder) (See Fei Zang section); Chaihu Qingspi San (Bupleurum Clearing Spleen Powder); Zhizi Qinggan San (Gardenia Clearing Liver Powder) (All see Fa Re section).
Shenzhu Chailing Tang (Ginseng, Atractylodes, Bupleurum, and Poria Decoction): Treats Liver meridian wind-heat and Spleen earth being suppressed. Symptoms include irritability, spasms during sleep, generalized itching, and poor appetite.
Renshen (Radix Ginseng); Baizhu (Rhizoma Atractylodis Macrocephalae); Fuling (Poria); Chenpi (Pericarpium Citri Reticulatae), each 1 qian; Chaihu (Radix Bupleuri); Shengma (Rhizoma Cimicifugae), each 0.7 qian; Shanzhi (Fructus Gardeniae), fried, 0.8 qian; Gouteng Gou (Uncaria Hook), 1 qian; Gancao (Radix Glycyrrhizae), fried, 0.5 qian.
Take 1-2 qian per dose, with ginger and jujube, decoct with water.
Anshen Zhenjing Wan (Spirit-Calming Convulsion-Calm Pill): Conditioning formula after convulsion subsides, calms the spirit, nourishes qi and blood, a mild preventive agent.
Tianzhuhuang (Spiralis Bambusae in Taenia); Renshen (Radix Ginseng); Fushen (Poria cum Radice Pini); Nanxing (Rhizoma Arisaematis), ginger-processed, each 5 qian; Suanzaoren (Semen Ziziphi Spinosae), fried; Maidong (Folium Nephelii Longan); Danggui (Radix Angelicae Sinensis), wine-washed; Shengdi Huang (Radix Rehmanniae), wine-washed; Chi Shaoyao (Radix Paeoniae Rubra), fried, each 3 qian; Bohe (Herba Menthae); Mutong (Caulis Akebiae); Huanglian (Rhizoma Coptidis), ginger-juice fried; Shanzhi (Fructus Gardeniae), fried; Chensha (Cinnabar), separately ground;
Niuhuang (Calculus Bovis), separately ground; Longgu (Os Mastodi), calcined, each 2 qian; Qingdai (Indigo Naturalis), 1 qian, separately ground.
Grind into powder, form pills with honey, size of mung beans. Take 3-5 pills per dose, adjust according to child's size, deliver with light ginger soup.