《巢氏病源》小儿发痫瘥后，六七岁不能语候，风痫发之状，口眼相引，或目睛
上摇，或手足螈 ，或脊背强直，或颈项反折，屈搐如数，皆由以儿当风取凉，乳
哺失节之所为也。而痫发瘥后不能语者，是风痫因儿衣浓汗出，以儿乘风取凉太过，
为风所伤得之，其初发之状，屈指如数，然后发螈 是也。心之声为言，开窍于口，
其痫发虽止，风冷之气犹滞心之络脉，使心气不和，其声不发，故不能言也。
《千金》大补心汤 治小儿痫瘥后，风冷留滞于心络，使心气不和，语声不发。
黄芩 附子（炮，去皮脐。各一两） 甘草 茯苓 桂心（各三两） 石膏 半夏 远志肉（各四两）
生姜（六两） 大枣（二十枚） 饴糖（一斤） 干地黄 阿胶 麦门冬（各三两）
上件药 咀。每服一大撮，入前饴糖半匙许，水一盏半，煎半盏服之。
《圣惠》治小儿中风失音不语，舌根强硬方
陈酱汁（半合） 人乳（二合）
上件药相和，合令匀，少少与儿服之。
〔张涣〕竹沥膏 治小儿中风，失音不语，牙关紧急。
竹沥（根据法旋取） 生地黄（取汁） 蜜（各半合。以上搅匀） 桂心（为末） 石菖蒲（一寸九节者，取末。各
一两）
上件都一处调匀，慢火熬成膏，硬软得所如皂子大。每服一粒，取梨汁化下。
〔救生〕菖阳汤 治小儿中风昏。
石菖蒲 天麻 生乌蛇肉 全蝎 白僵蚕 附子（炮，去皮脐） 羌活 人参 白附子（各半两）
上为粗末。每服三钱，水两盏，生姜五片，薄荷五叶，煎至一盏，滤去渣，温热时时与服。
醒脾散 治小儿惊搐后不语。
甘草（炙，一钱） 冬瓜子 防风（各半两） 人参（一分）
上件为细末，每服一钱，用水一盏，入竹叶数片，灯心少许，同煎至七分，去滓，
食后温服，临睡。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), regarding the symptom where a child cannot speak at the age of six or seven after an epileptic seizure has subsided: The manifestation of wind epilepsy involves the mouth and eyes being drawn together, or the eyeballs shaking upward, or convulsions of the hands and feet, or rigidity of the spine and back, or opisthotonos of the neck. The flexion and convulsion resemble counting. These are caused by the child exposing themselves to wind for cooling and irregular breastfeeding or feeding habits. When a child cannot speak after an epileptic seizure subsides, it is because during the wind epilepsy attack, the child's clothing was thick causing sweating, and then they excessively exposed themselves to wind for cooling, resulting in injury by wind pathogen. The initial manifestation involves fingers flexing as if counting, followed by convulsions. The voice of the Heart is speech, and the Heart opens into the mouth. Although the epileptic seizure has stopped, the cold-wind qi still stagnates in the collaterals of the Heart, causing disharmony of Heart Qi, so the voice cannot be emitted, hence the inability to speak.
*Dabuxin Decoction* from *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats children who, after epilepsy subsides, have cold-wind stagnating in the Heart collaterals, causing Heart Qi disharmony and inability to produce speech.
Ingredients: Huangqin (Scutellariae Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Guixin (Cinnamomi Ramulus, each 3 liang), Shigao (Gypsum Fibrosum), Banxia (Pinelliae Rhizoma), Yuanzhi Rou (Polygalae Radix flesh, each 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 6 liang), Dazao (Jujubae Fructus, 20 pieces), Yitang (Maltose, 1 jin), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), Maidong (Ophiopogonis Radix, each 3 liang).
The above ingredients are cut. Take a large pinch per dose, add half a spoonful of the aforementioned maltose, 1.5 cups of water, decoct until half a cup remains, and take orally.
*Tai Ping Sheng Hui Fang* (Imperial Grace Formulary of the Taiping Era) prescription for treating pediatric stroke with aphonia and muteness, and stiffness of the tongue root:
Chen Jiang Zhi (Aged Soybean Paste Juice, 0.5 he), Ren Ru (Human Milk, 2 he).
Mix the above ingredients evenly, and administer small amounts to the child.
[Zhang Huan] Zhuli Gao (Bamboo Sap Ointment) treats pediatric stroke with aphonia, muteness, and trismus.
Ingredients: Zhuli (Bambusae Succus Preparatus, freshly extracted according to method), Sheng Dihuang (Rehmanniae Radix, juice extracted), Mi (Honey, each 0.5 he. Mix evenly above), Guixin (Cinnamomi Ramulus, powdered), Shichangpu (Acori Tatarinowii Rhizoma, one cun long with nine nodes, powdered, each 1 liang).
Mix all ingredients thoroughly in one place, simmer slowly over low heat to form an ointment, adjusting consistency appropriately, forming pills the size of soap beans. Take one pill per dose, dissolve in Pear Juice (Lizhi) and swallow.
[Jiu Sheng] Changyang Tang (Calamus Yang Decoction) treats pediatric stroke with coma.
Ingredients: Shichangpu (Acori Tatarinowii Rhizoma), Tianma (Gastrodiae Rhizoma), Sheng Wushe Rou (Daboia Swinhonis Flesh raw), Quanxie (Scorpio), Bai Jiangcan (Bombyx Batryticatus), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Qianghuo (Notopterygii Rhizoma et Radix), Renshen (Ginseng Radix et Rhizoma), Baifuzi (Bellerocarpum Resinatum, each 0.5 liang).
Grind the above into coarse powder. Take 3 qian per dose, with 2 cups of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), 5 leaves of Bohe (Menthae Haplocalycis Herba), decoct until 1 cup remains, filter to remove dregs, and take warm intermittently.
Xingpi San (Spleen-Awakening Powder) treats muteness following pediatric convulsions.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 qian), Dongguazi (Benincasae Semen), Fangfeng (Saposhnikoviae Radix, each 0.5 liang), Renshen (Ginseng Radix et Rhizoma, 1 fen).
Grind the above into fine powder. Take 1 qian per dose, with 1 cup of water, add several leaves of Zhuye (Bambusae Folium) and a little Dengxincao (Junci Medullae), decoct together until 0.7 cup remains, filter to remove dregs, and take warm after meals, just before sleep.