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Translation:
It is discussed that the syndrome of Slow Spleen Wind (Man Pi Feng) is a progression from Slow Convulsion (Man Jing Feng). Its root cause lies in vomiting and diarrhea leading to Spleen deficiency, with惊 (Jing/Fright) and Wind pathogens invading. Hence it is called "Spleen Wind," indicating the Spleen organ is affected by Wind. If one attempts to expel Wind, there is no Wind to expel; if one attempts to treat Fright, there is no Fright to treat. One can only treat excessive saliva and alternating deficiency heat. When a child's illness reaches this stage, it is difficult to cure. This is because the symptoms and signs indicate that Fright and Wind have transmitted through the meridians to the extreme, ultimately returning to a state of deficiency, specifically affecting the Spleen. Why is it not called "Stomach Wind"? Because the Stomach belongs to Yang; its disease immediately transmits to Yin organs, thus there is no "Stomach Syndrome." Since the child still possesses Stomach Qi, there is a chance for life. By simultaneously using methods to restore Yang, the child may gradually regain consciousness. However, if one continues to attack the Fright and Wind, the Spleen cannot withstand it, and the pathogen will scatter to various meridians, at which point further medication should not be added. If the eyelids are seen closing, this is the sign of Spleen Wind, and the following medicines should be administered.

Discussion: The treatment of Slow Spleen Wind is a measure of last resort. The condition is critical, like a lamp running out of oil, gradually dimming and extinguishing. The Quan Ye Dan (Full Liquid Pill) used by Qian Yi (Qian Shi), along with Qingzhou Bai Wan Zi (White Pills of Qingzhou), each taken in half portions, are finely ground and mixed evenly. They are administered with rice water or Bohe Tang (Mint Decoction), in doses of 1.5 to 2 liang. This method aims to intercept Wind and restore Yang. Another prescription uses Si Jun Zi Tang (Four Gentlemen Decoction) added with 2/4 parts of Hei Fu Zi Mo (Black Aconite Powder). For those with cold hands and feet, equal parts of Aconite and powder are used, decocted with Sheng Jiang (Fresh Ginger) and Zao (Jujube). This has been the method used by sages across generations; is it not consistent with common practice? The superior formulas listed below are also among the best in the world.

Discussion: In treating Slow Convulsion and Slow Spleen, one must strictly prohibit the use of Nao She (Camphor and Musk), Ni Fen (Calamine/Powder), Shui Yin Fen (Mercury Powder), Fen Shuang (White Lead Powder), as well as fatty substances that are cold-cooling and disturb the Zang organs, or overly drying and heating agents. None of these should be used. Only Hui Yang Xing Pi Tang (Decoction to Restore Yang and Awaken the Spleen) should be administered.

Discussion: Regarding Slow Spleen Wind, one in ten children requires moxibustion. One must carefully assess the condition. If there is a rationale of pulse disappearance (Mai Jue), meaning one Zang organ's Qi has ceased, medication should not be given. For example, if the eyes lack luster, nails are black, limbs hang limp, and all five bodies are cold, one must not forcibly administer medicine.

Discussion: In the syndrome of Slow Convulsion, when Phlegm-Saliva remains in the Diaphragm region, all Zang organs are deficient. The sound in the throat resembles sawing wood. If it does not dissipate within one or two days, and the child merely keeps their eyes closed, this indicates an extreme state of deficiency, specifically deficiency Phlegm. Nourishing the Qi without understanding this leads to direct expulsion of Phlegm-Saliva, causing the child to perish instantly. One should administer Miao Sha Dan (Wonderful Sand Pill) as listed below, which is a good formula.

Discussion: The acute convulsion, slow convulsion, and spleen wind suffered by infants are all caused by Wind-Phlegm, transmitting gradually. It is rare for a child to present with Slow Spleen Wind immediately upon onset. It may be transmitted from Acute Convulsion, or acquired through vomiting and diarrhea, chronic dysentery leading to Qi collapse, or Taiyang/Taiyin syndromes where exterior and interior are both deficient transmitting into Yin syndromes forming slow conditions. Chronic cough leading to epilepsy also transmits to slow conditions. Cholera with vomiting and diarrhea also transmits to slow conditions. Spleen fatigue with prolonged sleep also becomes a slow condition. Hematemesis also transmits to slow conditions. Intestinal parasites rushing to the heart also transmits to slow conditions. Liver Wind with tendon exhaustion also transmits to slow conditions. Constipation and urinary retention also become slow conditions. Heart deficiency with irritability also becomes a slow condition. Thirst with desire to drink also transmits to slow conditions. Abdominal pain also transmits to slow conditions. Teeth grinding during sleep also transmits to slow conditions. Day and night sweating also transmits to slow conditions. Rapid-progressing gan ulcers (Zou Ma Gan) also transmit to slow conditions. Various toxic rashes also transmit to slow conditions. Snake-like belt sores (Long Dai Chan Yao) also transmit to slow conditions. Bladder hernia with swollen testicles and curved penis (Sheng Qu) also transmit to slow conditions. Generalized edema also transmits to slow conditions. All the aforementioned diseases in children can transmit into Slow Convulsion syndrome. From Slow Convulsion, it transmits to Slow Spleen. Once Spleen Qi is exhausted and Stomach Qi is depleted, there is no way to treat it.

Discussion: The five Zang organs of infants are prone to becoming cold or hot, deficient or excess. Medical texts often state that illnesses affecting the umbilicus do not affect the Spleen, saying "the Spleen is not diseased." I say this is incorrect. Infants may recover spontaneously from diseases in the Fu organs, but diseases in the Zang organs must be treated. Zang organs belong to Yin, Fu organs to Yang. It is said that infants prioritize Yin before Yang. Also, infants possess Pure Yang Qi; diseases in Fu organs follow the natural flow (Shun), while diseases in Zang organs go against it (Ni). Therefore, ancient experts focused on regulating the Zang organs and did not speak of treating Fu organs. Furthermore, the Kidney organ is often associated with deficiency and should not be attacked. If there is a Kidney pathology, one should only clear the Heart and Lung. When Heart and Kidney interact, they achieve mutual intersection (Ji Ji). Lung and Kidney have a mother-child relationship. Do not administer Kidney tonics or other supplement drugs. Treating the Kidneys directly may trigger other diseases; hence, it is warned that upper treatments should not target the Kidneys directly.

Discussion: Infant slow conditions are all caused by Zang deficiency, Yang depletion, and Yin abundance. Any infant suffering from Zang diseases characterized by Yang deficiency and Yin abundance will inevitably enter a slow condition and perish. Only vomiting, diarrhea, dysentery, and accumulation lead rapidly to slow conditions due to their rapid nature and resulting deficiency. One should use excellent formulas and methods, following the proper sequence, to ensure safety. There is no principle of rapid recovery for Slow Convulsion and Slow Spleen; the approach must be harmonious and balanced. Further, use formulas to regulate the Spleen and nourish the Stomach. One must absolutely avoid overdosing with cold or hot decoctions. Failure to adhere to this leads to disaster.