〔钱〕伤风发搐，因伤风后得之，口中气出热，呵欠顿闷，手足动摇，当发散，大青
膏主之。小儿生来怯弱者多此病也。〔洁〕伤风发搐，因伤风而得之，证同大
人伤风寒痰之类，当辨有汗无汗，阴阳二证，用大青膏、小续命之类，开发则愈。
（大青膏，阴证；小续命，阳证也。）〔薛〕伤风发搐，口气不热，肢体倦怠，用异功散补
脾土，钓藤饮清肝木。若因风邪内郁，发热而变诸证者，当理肺金，清风邪。若外邪既解，
而内证未除，当理肺补脾。若肺经亏损，而致惊搐等证者，当补脾肺，以平肝心，
则惊搐自止矣。一小儿月内发搐鼻塞，乃风邪所伤。以六君子汤加桔梗、细辛，
子母俱服，更以葱头七茎，生姜一片，细擂，摊纸上，合置掌中令热，急贴囟门，
少顷，鼻利搐止。
大青膏
天麻（末，一分） 白附子（末，生，一钱半） 青黛（一钱，研） 蝎尾（去毒，生末） 乌蛇稍肉（酒浸，焙
干，取末。各半钱） 朱砂（研） 天竺黄（研）
上同再研细，生蜜、和成膏。每服半皂子大至一皂子大，月中儿粳米大，同牛
黄膏、温薄荷水，化一处服之，五岁以上，同甘露散服之。
小续命汤（方见中风）
〔钱〕伤食发搐，因伤食后得之，身体温，多唾多睡，或吐不思乳食而发搐，当
先定搐，搐退，白饼子（方见癖）下之，后服安神丸（方见心脏。）〔洁〕伤食发搐，谓不因
他证，忽然而搐，此因饮食过度，致伤脾胃，故儿多睡多吐，不思饮食，脾胃既虚，引动
肝风则发搐，当先定其搐，如羌活、防风、煎下泻青丸，后用白饼子下其食，渐渐
用调中丸（方见腹痛）、异功散（方见吐泻）养其气。〔薛〕停食发搐，呕吐乳食者，宜用消食
丸。若食既消而前证仍作，或变他证者，脾土伤而肝木乘之也，用六君子加钓藤钩，以
健脾平肝。（消食丸方见伤食。）
〔垣〕外物惊，宜镇平之，以黄连安神丸，若气动所惊，宜寒水石安神丸。〔娄〕
外物惊者，元气本不病，故治以黄连安神之苦寒，气动惊者，不因外物惊，元气自
有病，故治以寒水石安神之甘寒也。
黄连安神丸
黄连（净，酒炒，一钱半） 朱砂（细研，水飞） 生地黄 当归（各一钱） 甘草（炙，五分）
上为极细末，蒸饼和丸如黄米大。每服十丸，津下。
寒水石安神丸（即钱氏安神丸，方见心脏）
镇心丸 凉心经，治惊热痰盛。
甜硝（白者） 人参（去芦，取末，各一两） 甘草（炙） 寒水石（烧，各一两半） 干山药（白者） 白茯苓
（各二两） 朱砂（一两） 龙脑 麝香（各一钱，三味俱研）
上为末，熟蜜丸如鸡头大。如要红，入坯子胭脂二钱（即染胭脂），温水化下半丸至一
二丸，食后。
[Qian] Convulsions caused by wind-cold occur after contracting wind-pathogen. The patient exhales hot air from the mouth, frequently yawns, appears listless and dazed, and exhibits trembling of the limbs. Treatment should employ dispersing methods, with Daqing Gao (Great Blue Paste) as the primary formula. Infants with congenital weakness are prone to this condition.
[Jie] Convulsions due to wind-pathogen result from exposure to wind. The symptoms are similar to those in adults suffering from wind-cold-phlegm patterns. One must differentiate between sweating and non-sweating presentations, distinguishing between Yin and Yang syndromes. Formulas such as Daqing Gao (Great Blue Paste) or Xiao Xuming Tang (Minor Rescue Life Decoction) should be used to open the pores and release the exterior for recovery. (Note: Daqing Gao is indicated for Yin syndromes; Xiao Xuming Tang is indicated for Yang syndromes.)
[Xue] For convulsions caused by wind-pathogen where breath is not hot and the limbs feel fatigued, Yigong San (Extraordinary Efficacy Powder) should be used to tonify Spleen Earth, and Diaoteng Yin (Hook Vine Decoction) to clear Liver Wood. If the condition arises from internal stagnation of wind-pathogen, accompanied by fever and various secondary symptoms, one should regulate Lung Metal and clear wind-pathogens. If the external pathogen has been resolved but internal symptoms persist, one should regulate the Lungs and tonify the Spleen. If Lung Meridian deficiency leads to fright and convulsions, one should tonify the Spleen and Lungs to pacify Liver and Heart fire, at which point the convulsions will cease spontaneously. An infant within one month of age presented with convulsions and nasal congestion due to wind-pathogen invasion. Liu Junzi Tang (Six Gentlemen Decoction) was administered with Jiegeng (Platycodon Root) and Xixin (Asarum Root), taken by both mother and child. Additionally, seven scallion heads and one slice of fresh ginger were finely ground, spread on paper, warmed between the palms, and rapidly applied to the fontanelle. Shortly thereafter, nasal patency was restored and convulsions ceased.
Daqing Gao (Great Blue Paste)
Tianma (Gastrodiae Rhizoma, powdered, 1 fen) Baifuzi (Aconiti Kusnezoffii Radix, raw, powdered, 1 qian 5 fen) Qingdai (Indigo Naturalis, 1 qian, ground) Xiewei (Scorpion tail, venom removed, raw, powdered) Wushe Shaorou (Daboia sinensis meat, wine-soaked, dried, powdered; each 0.5 qian) Zhusha (Cinnabar, ground) Tianzhuhuang (Calami Tuber, ground)
All ingredients are finely ground together again and mixed with raw honey to form a paste. Dosage: half to one size of a soap pod for older children; for one-month-old infants, an amount the size of a rice grain. Administer dissolved in Niuhuang Gao (Calculus Bovis Paste) and warm Bohe Shui (Mentha Water). For children over five years old, administer with Ganlu San (Sweet Dew Powder).
Xiao Xuming Tang (Minor Rescue Life Decoction) (See Stroke chapter for formula details)
[Qian] Convulsions caused by food stagnation occur after dietary injury. Symptoms include warm body temperature, excessive salivation, lethargy, vomiting, refusal of milk/food, followed by convulsions. One must first stop the convulsions. After they subside, Baixing Zi (White Pill) should be used to purge accumulation (See Stagnation chapter for formula), followed by Anshen Wan (Spirit-Calming Pill) (See Heart chapter for formula).
[Jie] Convulsions due to food stagnation refer to sudden onset without other preceding conditions. This results from excessive eating damaging the Spleen and Stomach, leading to lethargy, vomiting, and anorexia. As the Spleen becomes deficient, it triggers Liver Wind, causing convulsions. First, arrest the convulsions, for example, by decocting Qianghuo (Notopterygii Rhizoma) and Fangfeng (Saposhnikoviae Radix) to deliver Xiexing Wan (Draining Green Pill). Subsequently, use Baixing Zi to purge food stagnation, and gradually employ Tiaozhong Wan (Middle-Regulating Pill) (See Abdominal Pain chapter) and Yigong San (Extraordinary Efficacy Powder) (See Vomiting/Diarrhea chapter) to nourish Qi.
[Xue] For convulsions due to retained food accompanied by vomiting of milk/food, Xiaoshi Wan (Food-Digesting Pill) is appropriate. If symptoms recur or transform into other patterns after digestion, it indicates Spleen Earth injury allowing Liver Wood to overact upon it. Use Liujunzi Tang (Six Gentlemen Decoction) with Diaotenggou (Uncariae Ramulus cum Uncis) to strengthen the Spleen and pacify the Liver. (Xiaoshi Wan formula See Food Stagnation chapter.)
[Yuan] Fright caused by external objects should be treated with calming and stabilizing methods using Huanglian Anshen Wan (Coptis Spirit-Calming Pill). Fright caused by qi movement should be treated with Hanshui Shi Anshen Wan (Calcitum Spirit-Calming Pill).
[Lou] In cases of fright from external objects, the Yuan Qi (Original Qi) is fundamentally intact; thus, the bitter-cold nature of Huanglian Anshen Wan is used. In cases of fright from qi movement, there is no external trigger, but the Yuan Qi itself is diseased; thus, the sweet-cold nature of Hanshui Shi Anshen Wan is employed.
Huanglian Anshen Wan (Coptis Spirit-Calming Pill)
Huanglian (Coptidis Rhizoma, cleaned, wine-fried, 1 qian 5 fen) Zhusha (Cinnabar, finely ground, water-washed) Shengdihuang (Rehmanniae Radix Recens) Danggui (Angelicae Sinensis Radix; each 1 qian) Gancao (Liquiritiae Radix, roasted, 5 fen)
Grind all ingredients into an extremely fine powder. Mix with steamed bread dough to form pills the size of yellow millet grains. Dosage: ten pills per administration, swallowed with saliva.
Hanshui Shi Anshen Wan (Calcitum Spirit-Calming Pill) (Same as Qian's Anshen Wan, see Heart chapter for formula)
Zhenxin Wan (Heart-Calming Pill) Cools the Heart Meridian and treats fright-heat with abundant phlegm.
Tianxiao (Sal Nitri, white variety) Renshen (Ginseng Radix et Rhizoma, de-stumped, powdered; each 1 liang) Gancao (Liquiritiae Radix, roasted) Hanshui Shi (Calcitum, calcined; each 1.5 liang) Shanyao (Dioscoreae Rhizoma, white variety) Baifuling (Poria, each 2 liang) Zhusha (Cinnabar, 1 liang) Longnao (Borneolum Syntheticum) Shexiang (Moschus; each 1 qian, these three ingredients ground together)
Grind all ingredients into powder. Mix with cooked honey to form pills the size of a chestnut. To achieve a red color, add 2 qian of Pizi Yanzhi (Raw Carmine). Dissolve half to one or two pills in warm water and administer after meals.