【歌】小儿惊病有多端，或食因惊或有痰。故使卒然成搐搦，切牙眼窜足筋挛。食须消导痰须豁，惊可
清心痰自安。或若惊风心积热，风痰潮作起于肝。一时搐急如风火，惊热风痰四证参。吐利致虚脾胃损，露睛
昏睡遍身寒。慢惊自是传阴证，急救稍迟又恐难。虚极归脾危急甚，脾风死在片时间。忽因客忤惊啼证，天
惊抽眼目翻。内 盘肠寒内盛，婴儿还有 和痫。此为惊候分深浅，勿得模糊作等闲。
【论】夫小儿元气未充，心神未定，辄有惊悸，致病匪一。或多食而壅热；或食后而遇惊；或舍空而痰
聚；或内积热而生风。故有惊搐、风搐、食搐、痰搐四证，审其因而疗之可也。或有实热，外挟风邪，心受热
而即惊，肝风生而发搐，痰涎壅盛，风火并作，百脉阻滞，关窍不通，风热蕃盛而无所泄，乃暴烈而作急惊。
其状牙关紧急，热涎潮作，窜视反张，搐搦摇头，口眼眨引，口中热气，唇红，大便闭，小便赤，脉浮数洪紧
是也。或因吐利、伤寒、痢疾、吐血、泻血之后，元气不足而生风动惊者，名曰慢惊风。其状遍身冷，口鼻气
亦冷，或身微热不冷，手足螈 ，昏睡露睛，此无阳也，急宜温补，随证调之，尚可治疗。其或面青额汗，
舌短头低，眼合困睡，摇头频呕，口噤切牙，手足微搐而不收，身冷肢厥，脉微沉，此慢脾之候。由吐利损脾，
病传已极，总归处，惟脾所受，若逐风，则无风可逐；若疗惊，则无惊可疗，但脾间痰涎，虚热往来，此危甚
也，大剂姜、附，十可救一、二。其天 者，阳也，壮热惊搐，眼目翻腾，手抽筋搐，或啼或笑，喜怒不常，
甚者爪甲青如祟状。
盖由乳母酒食过度，毒瓦斯入乳，遂令心、肺生热，痰郁气滞，加之以外挟风邪故也，治宜解风热而已。内 者，
阴也，其状腹疼多啼，唇黑囊肿，伛偻反张，眼内有红筋斑血。盖风气壅结，兼惊而得之，或胎中有惊、有风
而得。先是五内抽掣，极痛狂叫，或吐泻缩脚忍疼， 证一过，外证抽掣又来，内外交攻，极难调理，须分两
项下药可也。夜啼者，脏冷也，盖阴盛于夜则冷动，冷动则为阴极发躁，寒盛作疼，故夜啼；亦有心热烦啼者，
必有脸红舌白，小便赤涩之证也，当分寒热治之。客忤者，由小儿神气嫩弱，外来客气，兽类异物，触而忤之。
其状惊啼，口出黄白沫，面色变易，喘息腹痛，发则螈 如痫，但眼不上窜，脉来弦数，视口中有悬痈左右有
小肿核，以竹针刺之。治宜辟邪正气，散惊定心为上，延久则难为力也。痫有五，小儿之恶证也。幼小血气不
敛，筋骨不聚，为风邪所伤，惊怪所触，乳哺失节，停痰结癖而得之。其状神气怫郁，瞪眼直视，面目牵引，
口噤流涎，肚腹膨胀，手足抽掣，或言或嘿，似死似生，或背项反张，或腰脊强直，但四肢柔软，发而时醒，
为痫。其五脏形证列于后。 者，痉也。 有阴阳二证，刚柔之名，一身强硬，发而终日不醒是也。痫有风、
惊、食三证，各究其因而治之，详其状而辨之，则用药无瘥。苟不知其名而妄治，如涉海问津也。
急惊风
急惊之论，前代书所不载，惟曰阳痫。大概失所爱护，或抱当风，或近热地，昼则多食辛辣，夜则衾盖
太浓，郁蒸邪热积于心，传于肝，再受人物惊触，或跌蹼叫呼，雷声鼓乐，鸡鸣犬吠，一切所惊。未发之时，
夜卧不稳，困中或哭，啮齿咬乳，鼻额有汗，气促痰喘，忽尔闷绝，目直正
视，牙关紧急，口噤不开，手足搐掣，此热甚而然，况兼面红，脉数可辨。盖心有热而肝有风，二脏乃阳中之
阳。心，火也。肝，风也。风、火，阳物也。风主乎动，火得风则烟焰起，此五行之造化。二阳相鼓，风火相
搏，肝藏魂，心藏神，因热则神魂易动，故发惊也。心主乎神，独不受触，遇有惊则发热，热极生风，故能成
搐，名曰急惊，以泻青丸泻肝，导赤散泻心，珠珀丸、牛黄丸皆要药也。惊风关窍不利，人不省，通顶散。惊
风热涎潮作，牙关紧急者，礞石滚痰丸。惊热者，凉惊丸。风盛发搐者，天麻防风丸。小儿只有痰热，未有惊
风者，只可退热化痰，不宜妄投惊风药。盖经络本无病，而以寒凉攻击之，反使痰热透入，却成风痫证。急惊
风恶叫三、两声者，是心绝，难治。急惊风四肢俱软者，不治。急惊风鼻中出血者，其热将散，故易治。口中
出血者，是血妄行，故难治。惊风大、小便秘者，易治；尿屎遗者，难治。急惊风关黑纹条直者死。
泻青丸（又名镇肝丸。）
治肝热惊风，目窜或暴赤抽搐。
当归 川芎 山栀 大黄 羌活 防风 胆草 生地 竹叶 琥珀 天竺黄（各等分）
上为末，蜜丸芡实大，砂糖汤下。
加朱砂名驱风膏。
导赤散
治心经实热，从小便利之。
生地 木通 甘草 淡竹叶（各等分）
水煎服。
一方加防风、黄芩、黄连，导去心经邪热，搐自止。
珠珀丸
治惊风痰涎，热嗽不出声，上下不能升降。
牛黄（一钱） 天竺黄 琥珀（各五钱） 雄黄（四钱） 冰片（一分半） 胆星（二两） 青礞石（硝
如金色者，一两） 细珠子（一钱五分）
一方有枳壳微炒一两、生黄芩二两。
上，各研极细末，蜜丸，重一钱二分，朱砂、金箔为衣，薄荷、灯心汤下。
牛黄丸
治一切惊风，肺胀喘急，痰涎灌膈，手足搐溺，目窜口 ，角弓反张，闷乱癫痫，呵欠昏愦。
全蝎 僵蚕 天麻 羌活 防风（等分） 胆星（一倍） 天竺黄（次之） 雄黄（加倍） 牛黄 冰片
麝香（一字）
上，各为细末，研匀，蜜丸重一钱二分，朱砂、金箔为衣，薄荷、灯心、姜汤调下。
大人中风亦可服。
礞石滚痰丸
治惊痫痰涎壅盛，喘促不宁。
大黄（酒拌，蒸） 黄芩（各四两） 礞石（硝 金色，五钱） 沉香（二钱）
上为末，蜜丸如芡实大，量儿加减，大人亦可服。
凉惊丸
治惊热。
防风（三钱） 青黛（三钱） 龙胆草（三钱） 钩藤（二钱） 牛黄（五分） 麝香（一分） 龙脑（少
许） 黄连（二钱）
上为末，蜜丸，芡实大，每服一丸，薄荷汤下，不拘时。
通顶散（又名搐鼻散。方见中风。）
慢惊风 慢脾风
慢惊受病不一，或急惊用凉药，取下太过，以致脾胃虚
损，风邪乘之；又有吐泻不止而成者；有气虚暴吐泻而成者；有伤寒传变日久而成者；有久嗽而成者；有下积
峻取而成者。惟吐泻、积、痢成虚，则变证甚速。凡才吐泻便是慢惊，须用温中快里。或搐来紧急，乃慢惊初
传，尚有阳证，不可误作急惊用凉药。世言搐慢为慢惊，非也，若泥此，往往指慢脾风为慢惊矣。凡慢惊，男
子以泻得之为重；女子以吐得之为重。古人有云∶病家怕惊不怕泻，医家怕泻不怕惊。如泻久不止，且先治泻；
若更治风，则惊风愈甚，只可养脾安胃生津，大养脾丸、参苓白术散、大醒脾散、乌蝎四君子汤不拘时服。如
因他证，例当循根源施治。慢惊，口、眼、手、足一边牵引者，难治。慢惊风要唇红，若囟肿者死。仲景云∶
阴不得有汗。盖阴证无汗，有汗亡阳，故凡慢惊有汗多死。
慢惊传入慢脾，其变甚速，虚又甚也。治必循次平和，无令速愈之理，治法大要生胃回阳，不可过剂。仲
阳有黄土汤，以土胜水，木得其平，则风自止，以脾土为本也。若眼半开半合，手足不冷，证候尚在慢惊，则
勿用回阳。或已入慢脾而阳气犹未脱者，亦未可即用硫黄、附子等剂。手足渐暖，仍以醒脾散等调之。慢脾风
用药，乃非得已，危如灯无油，渐见昏灭。慢脾风若见有一脏绝，即不可用药。
天麻防风丸
治一切惊风。
天麻 防风 人参（各一两） 胆星（二两） 雄黄（二钱，另研） 甘草（炙） 全蝎（薄荷汤煮数沸，
焙干） 僵蚕（炒去丝、嘴，各五钱）
上为末，蜜丸弹子大，朱砂、金箔为衣，每服一丸，薄荷、灯心、姜汤下。
如惊重，每丸加牛黄半分更效。
至圣保命丹（方见前胎惊条。）
一切急、慢惊风皆治。
参苓白术散（方见四卷泄泻条。）
治脾虚泄泻之要药。
大醒脾散
治慢脾风。
白术 茯苓 陈皮 甘草 人参 石莲肉 木香 丁香 南星 白附 砂仁 全蝎
上，陈仓米一撮，生姜一片，大枣一枚，煎服。
乌蝎四君子汤
治慢惊、慢脾风，吐泻不止者。
即四君子加川乌、全蝎
姜、枣，煎。
夜啼
夜啼有寒，腹痛面青，口中冷，厥逆便泄不乳，钩藤散去当归，加干姜、肉桂。夜啼有热证者，钩藤散去
当归、木香，加辰砂、木通，或乳头散。啼而不哭是痛，故直声来往无泪。哭而不啼是惊，故连声多泪。若眼
白青色，唇紫，不治。
钩藤散
钩藤 茯神 茯苓 川芎 当归 木香（等分） 甘草（减半）
姜、枣，煎服。
加减如前。
乳头散（又名火花膏）
灯花（七个） 朱砂（少许）
蜜调涂乳头，与儿吮。
客忤
客忤者，取其触忤之意也。小儿气血怯弱，精神恍惚，忽遇生人及牛、马之类，感触则生惊，状貌如痫，
眼不戴上，其脉弦急数者，是其候也。若中恶客忤，急作醋炭，或降香、皂角熏之。以苏合香丸姜汤调灌，用
豆豉捣丸弹子大，擦五心五、六次。
苏合香丸（方见第二卷中风条。）
无
小儿天 者，取其眼上视而名之也。其证心神不安，浑身壮热，手足抽掣，惊悸，眼目翻腾，痰热壅滞。
此候皆因乳母饮食无常，酒肉过度，毒瓦斯入乳，即便乳儿，遂使宿滞不消，心肺生热，热盛郁滞，加以外挟风
邪，致有此证。况小儿发搐，未有不眼上者，实以阳搐之候也。治宜去痰，解风热，用钩藤饮。如见鱼口、鸦
声、目无光、指甲黑者死。
钩藤饮
治天 潮热。
钩藤 茯苓（各五钱） 大黄（煨，二钱半） 防风 朱砂 蝉蜕 羌活 独活 青皮 甘草（各二钱）
上为末，每服二钱，姜、枣，煎。
内
惊风内 ，盘肠气 ，大同小异。内 兼惊风而得之，服乳香丸效。气 ，惟小肠为寒所搏，宜钩藤膏治
之。歌云∶盘肠气发先腰曲，无泪叫啼眼干哭。口开脚冷上唇乌，额上汗流珠碌碌。
乳香丸
治惊风内 ，痛不可忍。
乳香 沉香 槟榔（各一钱半） 蝎梢（二七个） 没药（半钱）
上为末，炼蜜丸如豆大，婴儿每服三丸，一岁五丸，三
岁七丸，以意加减，煎乳香汤下。
钩藤膏
治盘肠气
乳香（研） 没药（研） 姜黄 木香
共为末，炼蜜为膏，每服如皂子大，煎钩藤汤下，一日三服。
证
候，由先伤于风，又感寒湿致之，此虚极生热，热极生风之甚者也。伤风发热，头疼，汗出，呕吐。
医者不明，又汗之，必发 。寒湿发汗稍多，亦发 。此证项背强直，腰身反张，摇头螈 ，口噤发热，腹痛
不醒，其状可畏，病足太阳经。刚 无汗，柔 有汗，其面红眼赤，牙紧手张，痰涎壅盛，昏愦烦渴，小便赤
涩。先谵语而发者，刚 也，其大便滑泄，不语不渴；先手足冷而发者，柔 也。并以小续命汤加减，刚 去
附子，用麻黄；柔 用附子，去麻黄。大便利，厥逆者，则以熟附子佐之。 最难痊，十救其一，过三日则难治也。
小续命汤（方见第二卷中风条。）
痫证
大抵痫证多端，不出五者∶若面赤目瞪，舌吐心烦者，为心痫；若面青唇青，目上窜，手足挛掣反折，
为肝痫；若面黄，腹满自利，四肢不收，为脾痫；若面白如枯骨，目白反视，惊跳，口吐涎沫，为肺痫；若面
黑而晦，振目视人，吐清沫，不动如尸，为肾痫。五脏之痫虽各有主，然不过风、惊、食三者，又不外阴阳二
证。阳痫发热脉浮，溲赤便秘，口中气热，其病在腑，易治。阴痫身冷脉沉，口中气冷，其病在脏，难治。治
风痫，则先散风。治惊痫，则先利
惊。治食痫，则先消导，续以定痫等剂主之。
化风丹
凉风化痰，退热定搐，治风痫先宜此药。
胆星 羌活 独活 防风 天麻 人参 川芎 荆芥 粉草（各一钱） 全蝎（一个）
上为末，炼蜜为丸，皂角子大，每服一钱，薄荷汤下。
比金丸
治惊痫先用此药。
人参 琥珀 茯苓 朱砂 远志（姜制，取肉炒） 天麻 南星 川芎 菖蒲 青黛（各一钱） 麝香（一钱）
上为末，蜜丸桐子大，每服一、二丸，金银、薄荷汤下。
虎睛丸
治惊痫邪气入心。
虎睛（细研） 远志（姜制） 犀角（锉） 大黄（煨） 菖蒲 麦冬（等分） 蜣螂（去足、翅，炒，三枚）
上为末，米糊丸桐子大，每服一、二丸，金银汤下。
[Song] Pediatric convulsion diseases have various origins; some arise from food stagnation combined with fright, others from phlegm accumulation. Consequently, sudden spasms and twitching occur, with teeth grinding, eyes rolling upward, and tendon cramping in the feet. Food stagnation requires digestion and guidance (to resolve), while phlegm must be resolved to clear the airways; clearing Heart Fire allows fright to settle naturally. If fright-convulsion involves Heat accumulation in the Heart, wind-phlegm attacks originate from the Liver. In an instant, urgent spasms resemble wind and fire; this involves four syndromes: Fright, Wind, Heat, and Phlegm. Vomiting and diarrhea cause Spleen-Stomach deficiency; half-open eyes, drowsiness, and whole-body coldness indicate a slow progression. Slow convulsion is a transmission to Yin syndromes; if emergency treatment is delayed, it may be difficult to save. Extreme deficiency affecting the Spleen is critical; Spleen Wind can lead to death within moments. Sudden fright-crying due to external shock (Ke Wu) presents with convulsions and eye deviation. Internal coiling (Nei Diao) is caused by excessive internal Cold; infants also suffer from Umbilical Wind and Epilepsy. These fright conditions vary in depth; do not treat them vaguely as trivial matters.
[Discussion] Children's Yuan Qi (Original Qi) is not yet full, and their Shen (Spirit) is not yet settled, making them prone to fright and palpitations, leading to various illnesses. This may result from overeating causing heat obstruction; encountering fright after eating; phlegm gathering due to empty dwelling environments; or internal heat generating wind. Thus, there are four types of convulsions: Fright Convulsion, Wind Convulsion, Food Convulsion, and Phlegm Convulsion. One should examine the cause and treat accordingly. If there is Excess Heat coupled with external Wind pathogen, the Heart receives heat causing fright, and Liver Wind generates convulsions. With abundant phlegm-saliva, wind and fire act together, blocking all vessels and orifices. When wind-heat proliferates without outlet, it erupts violently as Acute Fright Convulsion (Ji Jing Feng). Symptoms include tight jaw, tidal flow of hot saliva, staring eyes, opisthotonos, twitching, head shaking, mouth and eye deviation, hot breath, red lips, constipation, dark urine, and a floating, rapid, surging, or tight pulse. Alternatively, after vomiting, diarrhea, cold damage, dysentery, hematemesis, or hematochezia, insufficient Yuan Qi generates wind and fright, named Chronic Fright Convulsion (Man Jing Feng). Symptoms include whole-body coldness, cold breath from mouth and nose, or slight body heat without coldness, fluttering limbs, drowsiness with exposed eyes; this indicates absence of Yang, requiring urgent warming and tonification, which can be treated according to symptoms. If the face is green, forehead sweats, tongue is short, head droops, eyes are closed in sleep, frequent head shaking and vomiting, locked jaw with teeth grinding, slight limb twitching that cannot retract, cold body and extremities, and a faint, deep pulse, this is the sign of Slow Spleen Wind (Man Pi Feng). Caused by vomiting/diarrhea damaging the Spleen, the disease has progressed extremely, ultimately affecting the Spleen. If one tries to expel wind, there is no wind to expel; if one treats fright, there is no fright to treat. Only phlegm-saliva in the Spleen and alternating deficiency-heat remain, which is very critical. Large doses of Ginger and Aconite may save one or two out of ten. Tian Diao (Heavenly Suspension/Fright) is a Yang syndrome, characterized by high fever, fright convulsions, rolling eyes, hand and foot cramps, crying or laughing, irregular emotions, and severe cases showing blue nails resembling possession. This is generally due to the nursing mother consuming excessive alcohol and rich food, allowing toxic vapors to enter the milk, causing Heat in the Heart and Lungs, phlegm stagnation, and Qi blockage, compounded by external Wind. Treatment should focus on resolving Wind-Heat. Nei Diao (Internal Coiling) is a Yin syndrome, presenting with abdominal pain, frequent crying, black lips, swollen testicles, stooping, and opisthotonos, with red veins and blood spots in the eyes. It arises from Qi stagnation combined with fright, or from fright/wind in the womb. Initially, internal organs spasm with extreme pain and screaming, or vomiting/diarrhea with leg curling and pain tolerance. After the Nei Diao episode passes, external convulsions return; internal and external attacks make it difficult to manage, requiring separate treatments for both aspects. Night crying is due to Cold in the Zang organs; Yin is dominant at night, causing Cold movement, which leads to extreme Yin agitation, Cold-induced pain, hence night crying. There are also cases of Heart Heat causing烦躁 crying, accompanied by red face, white tongue, and dark/scanty urine; these must be differentiated by Cold and Heat. Ke Wu (Guest Shock) occurs because children's Shen Qi is tender and weak; external guests, animals, or strange objects touch and offend them. Symptoms include fright crying, yellow-white foam from the mouth, changed complexion, panting, abdominal pain, and convulsions resembling epilepsy but without upward eye deviation. The pulse is wiry, rapid, and tense. Inspect the mouth for a uvula swelling or small nodules on either side, and prick them with a bamboo needle. Treatment should prioritize dispelling evil Qi, scattering fright, and calming the Heart; delaying makes it harder to treat. Epilepsy has five types and is a severe pediatric condition. Young children have unconsolidated Blood-Qi and ungathered sinews/bones, susceptible to Wind pathogen injury, fright/shock, irregular feeding, retained phlegm, and mass formation. Symptoms include depressed Spirit, staring eyes, facial traction, locked jaw with salivation, abdominal distension, limb jerking, speaking or silence, appearing dead or alive, opisthotonos, or stiff spine, but soft limbs, waking intermittently after attacks—this is Epilepsy. The manifestations of the Five Zang are listed below. Jing Syndrome (Spasm) refers to rigidity. Jing has Yin and Yang syndromes, named Gang (Rigid) and Rou (Flexible), characterized by whole-body stiffness and unconsciousness lasting all day. Epilepsy has Wind, Fright, and Food syndromes; investigate causes and observe symptoms to prescribe correctly. Ignoring names and treating blindly is like asking for directions at sea.
Acute Fright Convulsion
Discussions on Acute Fright Convulsion were not recorded in ancient texts, only referred to as Yang Epilepsy. Generally, it results from lack of care, exposure to wind, proximity to heat, excessive spicy food during the day, or thick bedding at night. Depressed and steaming Evil Heat accumulates in the Heart, transmits to the Liver, and is triggered by fright from people/objects, falls, shouting, thunder, drums, music, barking dogs, etc. Before onset, sleep is restless, crying in sleep, grinding teeth, biting nipple, sweating on nose/forehead, rapid breathing with phlegm wheezing. Suddenly becoming comatose, staring straight ahead, tight jaw, locked mouth, limb convulsions—this is due to extreme Heat, especially with red face and rapid pulse. Heart has Heat, Liver has Wind; both are Yang within Yang. Heart is Fire, Liver is Wind. Wind and Fire are Yang entities. Wind governs movement; Fire with Wind creates flames—this is the creation of the Five Elements. Two Yangs drumming together, Wind and Fire fighting, Liver stores Hun (Ethereal Soul), Heart stores Shen (Spirit); Heat makes Hun and Shen move easily, causing Fright. Heart governs Spirit and is not directly touched by fright; upon fright, it generates Heat, Heat extreme generates Wind, causing convulsions, named Acute Fright Convulsion. Use Xie Qing Wan to drain Liver, Dao Chi San to drain Heart; Zhu Po Wan and Niu Huang Wan are essential medicines. For Fright Convulsion with blocked orifices and unconsciousness, use Tong Ding San. For Fright Convulsion with tidal hot saliva and tight jaw, use Meng Shi Gun Tan Wan. For Fright Heat, use Liang Jing Wan. For Wind excess causing convulsions, use Tian Ma Fang Feng Wan. If a child has only Phlegm-Heat without Fright Convulsion, only clear Heat and transform Phlegm; do not recklessly administer Fright Convulsion medicines. Since meridians are originally healthy, attacking with Cold-Cooling drugs forces Phlegm-Heat inward, creating Wind-Epilepsy. Acute Fright Convulsion with three or two恶叫 (evil screams) indicates Heart exhaustion, difficult to treat. Limb flaccidity in Acute Fright Convulsion is untreatable. Nasal bleeding in Acute Fright Convulsion indicates Heat dispersing, thus easy to treat. Oral bleeding indicates reckless blood movement, difficult to treat. Constipation in Fright Convulsion is easy to treat; enuresis/incontinence is difficult. Black vertical lines on eyebrows in Acute Fright Convulsion indicate death.
Xie Qing Wan (Also known as Zhen Gan Wan.)
Treats Liver Heat Fright Convulsion, eye deviation, or sudden redness and convulsions.
Dang Gui, Chuan Xiong, Shan Zhi, Da Huang, Qiang Huo, Fang Feng, Dan Cao, Sheng Di, Zhu Ye, Hu Po, Tian Zhu Huang (Equal parts)
Grind into powder, honey pills sized like Euryale seeds, take with sugar water.
Add Cinnabar, named Qu Feng Gao.
Dao Chi San
Treats Heart Meridian Excess Heat, draining via urination.
Sheng Di, Mu Tong, Gan Cao, Dan Zhu Ye (Equal parts)
Decoct in water and take.
One formula adds Fang Feng, Huang Qin, Huang Lian to guide out Heart Meridian Evil Heat, stopping convulsions.
Zhu Po Wan
Treats Fright Convulsion Phlegm-Saliva, hot cough without voice, inability of Upper and Lower Jiao to ascend/descend.
Niu Huang (1 qian), Tian Zhu Huang, Hu Po (5 qian each), Xiong Huang (4 qian), Bing Pian (1.5 fen), Dan Xing (2 liang), Qing Meng Shi (Nitrate-treated golden color, 1 liang), Xi Zhu Zi (1.5 qian)
One formula includes Zhi Ke (lightly stir-fried, 1 liang) and Sheng Huang Qin (2 liang).
Grind each into fine powder, honey pills weighing 1.2 qian, coat with Cinnabar and Gold Leaf, take with Mint and Centella decoction.
Niu Huang Wan
Treats all Fright Convulsions, Lung distension with panting, phlegm flooding diaphragm, limb convulsions, eye deviation, locked jaw, opisthotonos, confusion/epilepsy, yawning, dizziness.
Quan Xie, Jiang Can, Tian Ma, Qiang Huo, Fang Feng (Equal parts), Dan Xing (Double amount), Tian Zhu Huang (Next), Xiong Huang (Double amount), Niu Huang, Bing Pian, She Xiang (1 zi)
Grind into fine powder, mix evenly, honey pills weighing 1.2 qian, coat with Cinnabar and Gold Leaf, take with Mint, Centella, and Ginger decoction.
Adults with Stroke may also take it.
Meng Shi Gun Tan Wan
Treats Epilepsy with abundant Phlegm-Saliva, panting and restlessness.
Da Huang (mixed with wine, steamed), Huang Qin (4 liang each), Meng Shi (Nitrate-treated golden color, 5 qian), Chen Xiang (2 qian)
Grind into powder, honey pills sized like Euryale seeds, adjust dosage by age, adults may also take it.
Liang Jing Wan
Treats Fright Heat.
Fang Feng (3 qian), Qing Dai (3 qian), Long Dan Cao (3 qian), Gou Teng (2 qian), Niu Huang (0.5 qian), She Xiang (0.1 qian), Long Nao (A little), Huang Lian (2 qian)
Grind into powder, honey pills sized like Euryale seeds, take one pill per dose with Mint decoction, anytime.
Tong Ding San (Also known as Chu Bi San. Formula see Stroke section.)
Chronic Fright Convulsion & Slow Spleen Wind
Chronic Fright Convulsion has various causes: using Cooling medicines for Acute Fright Convulsion excessively damaging Spleen-Stomach, allowing Wind pathogen to invade; continuing vomiting/diarrhea; sudden vomiting/diarrhea due to Qi deficiency; progression of Cold Damage over time; chronic cough; or aggressive purging of accumulation. Only vomiting/diarrhea, accumulation, and dysentery turning into Deficiency change rapidly. Any vomiting/diarrhea immediately becomes Chronic Fright Convulsion, requiring warming the Middle and promoting interior function. If convulsions are urgent, it is early transmission of Chronic Fright Convulsion, still having Yang signs; do not mistake it for Acute Fright Convulsion and use Cooling medicines. People say slow convulsions are Chronic Fright Convulsion, which is incorrect; adhering to this often misidentifies Slow Spleen Wind as Chronic Fright Convulsion. For Chronic Fright Convulsion, Diarrhea is heavier for males; Vomiting is heavier for females. Ancients said: Families fear Fright more than Diarrhea; Doctors fear Diarrhea more than Fright. If diarrhea persists, treat diarrhea first; treating Wind will worsen Fright Convulsion. Only nourish Spleen, calm Stomach, generate fluids; Da Yang Pi Wan, Shen Ling Bai Zhu San, Da Xing Pi San, Wu Xu Si Jun Zi Tang can be taken anytime. If due to other syndromes, treat according to root cause. Chronic Fright Convulsion with pulling on one side of mouth, eyes, hands, feet is difficult to treat. Lips should be red in Chronic Fright Convulsion; if fontanelle swells, death ensues. Zhang Zhongjing said: Yin syndromes should not sweat. Yin syndromes have no sweat; sweating means loss of Yang. Thus, Chronic Fright Convulsion with profuse sweating is fatal.
Transmission from Chronic Fright Convulsion to Slow Spleen Wind changes rapidly and is extremely deficient. Treatment must be gradual and mild; there is no principle of quick recovery. The main method is generating Stomach Qi and restoring Yang; do not overdose. Zhong Yang has Huang Tu Tang, using Earth to overcome Water, balancing Wood so Wind stops naturally, based on Spleen Earth. If eyes are half-open/half-closed and extremities are not cold, the syndrome is still Chronic Fright Convulsion; do not use Yang-restoring methods. If already in Slow Spleen Wind but Yang is not yet collapsed, do not immediately use Sulfur or Aconite formulas. As extremities warm, regulate with Xing Pi San etc. Medicines for Slow Spleen Wind are used only when necessary; it is critical like a lamp running out of oil, gradually dimming. If one Zang organ fails in Slow Spleen Wind, medication is contraindicated.
Tian Ma Fang Feng Wan
Treats all Fright Convulsions.
Tian Ma, Fang Feng, Ren Shen (1 liang each), Dan Xing (2 liang), Xiong Huang (2 qian, separately ground), Gan Cao (Roasted), Quan Xie (Boiled in Mint decoction briefly, dried), Jiang Can (Stir-fried, remove silk/mouth, 5 qian each)
Grind into powder, honey pills sized like bullet seeds, coat with Cinnabar and Gold Leaf, take one pill per dose with Mint, Centella, and Ginger decoction.
If Fright is severe, add 0.5 qian Niu Huang per pill for better effect.
Zhi Sheng Bao Ming Dan (Formula see Prenatal Fright section.)
Treats all Acute and Chronic Fright Convulsions.
Shen Ling Bai Zhu San (Formula see Vol 4 Diarrhea section.)
Essential medicine for Spleen Deficiency Diarrhea.
Da Xing Pi San
Treats Slow Spleen Wind.
Bai Zhu, Fu Ling, Chen Pi, Gan Cao, Ren Shen, Shi Lian Rou, Mu Xiang, Ding Xiang, Nan Xing, Bai Fu, Sha Ren, Quan Xie
Take a pinch of aged rice, one slice of Ginger, one Jujube, decoct and take.
Wu Xu Si Jun Zi Tang
Treats Chronic Fright Convulsion and Slow Spleen Wind with persistent vomiting/diarrhea.
Si Jun Zi Tang plus Chuan Wu, Quan Xie
Decoct with Ginger and Jujube.
Night Crying
Night crying due to Cold: abdominal pain, blue face, cold mouth, cold extremities, diarrhea, refusal to nurse. Remove Dang Gui from Gou Teng San, add Gan Jiang, Rou Gui. Night crying with Heat signs: remove Dang Gui, Mu Xiang from Gou Teng San, add Chen Sha, Mu Tong, or Ru Tou San. Crying without wailing is Pain, hence direct sound without tears. Wailing without crying is Fright, hence continuous sound with many tears. If whites of eyes are blue-green, lips purple, untreatable.
Gou Teng San
Gou Teng, Fu Shen, Fu Ling, Chuan Xiong, Dang Gui, Mu Xiang (Equal parts), Gan Cao (Half amount)
Decoct with Ginger and Jujube.
Modifications as above.
Ru Tou San (Also known as Hua Huo Gao)
Deng Hua (7 flowers), Zhu Sha (A little)
Mix with honey, apply to nipple, let infant suck.
Ke Wu (Guest Shock)
Ke Wu implies being offended/touched. Children's Blood-Qi is timid, Spirit is vague; suddenly encountering strangers or cattle/horses causes Fright. Appearance resembles Epilepsy but eyes do not roll up; pulse is wiry, urgent, and rapid. If struck by Evil Guest Shock, urgently make Vinegar Charcoal or fumigate with Jiang Xiang and Zao Jiao. Administer Su He Xiang Wan with Ginger decoction. Crush Dou Chi into pills sized like bullet seeds, rub on five centers (palms, soles, chest, back, abdomen) five to six times.
Su He Xiang Wan (Formula see Vol 2 Stroke section.)
None
Xiao Er Tian Diao is named for upward eye gaze. Symptoms: unsettled Spirit, whole-body high fever, limb convulsions, palpitations, rolling eyes, Phlegm-Heat obstruction. This condition is due to nursing mother's irregular diet, excessive alcohol/meat, toxic vapors entering milk, causing unresolved stagnation, Heat in Heart/Lungs, Heat stagnation, compounded by external Wind. Moreover, children's convulsions always involve upward eyes, truly a Yang Convulsion sign. Treatment should remove Phlegm, resolve Wind-Heat, use Gou Teng Yin. If Yu Kou (Fish Mouth), Ya Sheng (Crow Sound), dull eyes, or black nails appear, death ensues.
Gou Teng Yin
Treats Tian Diao Tidal Fever.
Gou Teng, Fu Ling (5 qian each), Da Huang (Roasted, 2.5 qian), Fang Feng, Zhu Sha, Chan Tui, Qiang Huo, Du Huo, Qing Pi, Gan Cao (2 qian each)
Grind into powder, take 2 qian per dose, decoct with Ginger and Jujube.
Nei Diao
Fright Convulsion Nei Diao and Pan Chang Qi Tong are largely similar with minor differences. Nei Diao combined with Fright Convulsion responds well to Ru Xiang Wan. Qi Tong is solely Small Intestine constrained by Cold, treat with Gou Teng Gao. Song says: Pan Chang Qi onset starts with curved waist, tearless crying with dry eyes. Mouth open, cold feet, upper lip black, sweat dripping on forehead.
Ru Xiang Wan
Treats Fright Convulsion Nei Diao, unbearable pain.
Ru Xiang, Chen Xiang, Bing Lang (1.5 qian each), Xie Shao (27 tails), Mo Yao (0.5 qian)
Grind into powder, refined honey pills sized like beans. Infants take 3 pills, 1-year-old 5 pills, 3-year-old 7 pills, adjust as needed, take with Ru Xiang decoction.
Gou Teng Gao
Treats Pan Chang Qi
Ru Xiang (Ground), Mo Yao (Ground), Jiang Huang, Mu Xiang
Grind into powder, refine honey into paste. Take size of soap pod per dose, decoct Gou Teng soup, take three times daily.
Jing Syndrome (Spasm)
Signs result from initial Wind injury followed by Cold-Dampness, representing extreme Deficiency generating Heat, and extreme Heat generating Wind. Wind-Cold with fever, headache, sweating, vomiting. Unclear physicians induce sweating again, inevitably causing Jing. Excessive sweating in Cold-Damp also causes Jing. Signs include neck/back stiffness, opisthotonos, head shaking, convulsions, locked jaw with fever, abdominal pain, unconsciousness; appearance is terrifying, affecting Foot Taiyang Meridian. Gang Jing (Rigid Spasm) has no sweat; Rou Jing (Flexible Spasm) has sweat. Red face, red eyes, tight teeth, open hands, abundant phlegm, dizziness, thirst, dark/scanty urine. Delirium preceding onset indicates Gang Jing; loose stool, no speech/thirst. Cold extremities preceding onset indicates Rou Jing. Modify Xiao Xu Ming Tang for both: remove Fu Zi, add Ma Huang for Gang Jing; use Fu Zi, remove Ma Huang for Rou Jing. For free stool and cold extremities, assist with Shu Fu Zi. Jing is hardest to cure; save one in ten; after three days, difficult to treat.
Xiao Xu Ming Tang (Formula see Vol 2 Stroke section.)
Epilepsy Syndrome
Generally, Epilepsy has many forms, falling into five categories: Red face, staring eyes, protruding tongue, vexation = Heart Epilepsy; Green face/lips, upward eyes, limb clenching/reversal = Liver Epilepsy; Yellow face, abdominal fullness, spontaneous diarrhea, limb flaccidity = Spleen Epilepsy; Pale face like dry bone, whites of eyes looking backward, jumping fright, foaming mouth = Lung Epilepsy; Dark/dull face, trembling eyes staring at people, clear foam, motionless like corpse = Kidney Epilepsy. Although each Zang Epilepsy has its master, they essentially involve Wind, Fright, and Food, and do not exceed Yin and Yang syndromes. Yang Epilepsy: Fever, floating pulse, dark urine, constipation, hot breath; disease in Fu organs, easy to treat. Yin Epilepsy: Cold body, deep pulse, cold breath; disease in Zang organs, difficult to treat. Treat Wind Epilepsy by first dispersing Wind. Treat Fright Epilepsy by first relieving Fright. Treat Food Epilepsy by first digesting/guiding, then using Ding Xian agents.
Hua Feng Dan
Cools Wind, transforms Phlegm, reduces Heat, settles convulsions; suitable first for Wind Epilepsy.
Dan Xing, Qiang Huo, Du Huo, Fang Feng, Tian Ma, Ren Shen, Chuan Xiong, Jing Jie, Fen Cao (1 qian each), Quan Xie (1 piece)
Grind into powder, refine honey into pills sized like soybean pods, take 1 qian per dose with Mint decoction.
Bi Jin Wan
Use first for Fright Epilepsy.
Ren Shen, Hu Po, Fu Ling, Zhu Sha, Yuan Zhi (Ginger processed, flesh stir-fried), Tian Ma, Nan Xing, Chuan Xiong, Chang Pu, Qing Dai (1 qian each), She Xiang (1 qian)
Grind into powder, honey pills sized like sesame seeds, take 1-2 pills per dose with Silver/Gold and Mint decoction.
Hu Jing Wan
Treats Fright Epilepsy with Evil Qi entering Heart.
Hu Jing (Finely ground), Yuan Zhi (Ginger processed), Xi Jiao (Chopped), Da Huang (Roasted), Chang Pu, Mai Dong (Equal parts), Qiang Lang (Remove legs/wings, stir-fried, 3 pieces)
Grind into powder, rice paste pills sized like sesame seeds, take 1-2 pills per dose with Silver/Gold decoction.