先用升降丹。将患口烂稍大。再用扁柏嫩叶少许捣烂。加红糖少许。炼匀取如黄豆大一
粒。
每
白胡椒粉。（一钱） 第一灵宝丹。（三分） 研匀储瓷瓶。勿令泄气。不拘何疟。取药
一分。
某妇产后两乳下垂。长过小腹。形细如牛筋。疼痛异常。即延新到之王医者名其年诊视。
用
生地 当归 赤芍（各二钱） 金银花 荆芥穗 红花 桃仁（各一钱） 生甘草（五
分）
上药用水二茶杯。煎一茶杯。取本小儿脐带约二三寸。炭火焙干研末。调入药内。令小
儿数
于小
慢惊之症。缘小儿吐泻得之为最多。或久疟久痢。或痘后疹后。或因风寒饮食积滞。过
用攻
昏气
白。
角弓
若再
或
实
盖补土所以敌木。治本即所以治标。凡小儿一经吐泻交作。即是最危之症。若其屡作不已。
无论痘后疹后病后。不拘何因。皆当急用参术。以救胃气。不唯伤食当救之。即伤寒伤暑。
亦当救之。盖其先虽有寒暑实邪。一经吐泻。业已全除。脾胃空虚。仓廪匮乏。若不急救。
恐虚痰上涌。命在顷刻矣。庸医见之。皆误指为热为食。投以清火去积凉药。立时告变。为
之奈何。于是群起而哗曰。慢惊本不治之症也。夫慢症而以急症治之。不死何待。今既以慢
惊为不治矣。曷不推究此理。与其失之寒凉。万难生活。不若失之温补。犹可疗救。此论发
明吐泻惊风之理。极为明确。亦极易辨别。后之君子。将胪列各条。细加详察。如有数处相
合。即急救之。万不可再有濡滞。致唤奈何也。今将慢惊辨症。胪列于后。
一慢惊吐泻。脾胃虚寒也。 一慢惊身冷。阳气抑遏不出也。
一慢惊鼻孔煽动。真阴失守。虚火烁肺也。
一慢惊面色青黄及白色。乃气血两虚也。
一慢惊大小便清白。肾与大肠全无火也。
一慢惊昏睡露睛。神气不足也。一慢惊手足抽掣。血不行于四肢也。
一慢惊角弓反张。血虚筋急也。
一慢惊乍热乍冷。阴血虚少。阴阳错乱也。
一慢惊汗出如洗。阳虚而表不固也。
一慢惊手足螈 。血不足以养筋也。
一慢惊囟门下陷。虚至极也。
一慢惊身虽发热。口唇焦裂出血。却不喜饮凉茶水。以及所吐之乳所泻之物。皆不甚消
化。
大凡小儿因发热不退。及吐泻过多。总属阴虚阳越。必须预防其成慢惊之症。此与感冒
风寒
进温
小儿之为病。须细察其形色。再探问乳之者。病因何而起。所食何物。曾否惊吓。夜间
如何
今将经验二方列后。
逐寒荡惊汤 此方药性温暖。专治小儿体弱久病。或痘疹后误服寒凉。转为慢惊。。认
系虚
瑶桂心（一钱研细或磨浓汁不可经火） 炮姜（一钱） 胡椒（一钱研） 丁香（十粒
研）另用灶心土三两煮水澄极清。煎前四药之末。一大酒杯。频频灌下一二剂。呕吐渐止。
再接
加味理中地黄汤 此方助气补血。治小儿精神亏。气血坏。野狼狈瘦弱。皆可挽回。浓煎
频服
熟地（五钱） 当归（三钱如三四剂后泄泻未止者去之） 山萸肉（一钱六分） 枸杞
（三钱） 白术（四钱） 条参（二钱） 炮姜（一钱五分） 枣仁（二钱） 炙甘草（一
钱） 五味子（一钱） 瑶桂心（一钱） 破故纸（二钱） 生姜（三片） 红枣（三枚） 胡
桃（一个） 打碎为引。仍用灶心
搀入。量儿大小。分数次灌之。如
钱。泄泻不止。加丁香六分。只服
二分。盖因附子大热。中病即宜去
腑固结不开。如不用丁香。则泄泻
时斟酌。万全而已。此方乃救阴固
微见惊搐。胃中尚可受药吃乳便利
如小儿尚未成惊。不过昏睡发热
等症。总属阴虚。均宜服之。若
可用清解之剂。但果系实火。必
火可知矣。此方补造化阴阳所不
儿。稍有起色。即多服之。可奏
用温中补脾汤。如不应。再用此汤。温中补脾汤 西党参 炙黄 于术（各一钱） 干姜 白
蔻砂仁（各八分） 炙甘草 茯苓 官
（三枚）
水煎浓汁一酒杯。频频灌之。必获应效。
First, use Shengjiang Dan (Ascending-Descending Elixir). Enlarge the ulcerated wound slightly. Then, take a small amount of fresh Bi Bai Ye (Platycladi Cacumen, 侧柏嫩叶), pound it into a paste, add a little red sugar, mix evenly, and form a pill the size of a soybean. Each...
White pepper powder (1 qian). Diyi Lingbao Dan (First Lingbao Pill) (3 fen). Grind uniformly and store in a porcelain bottle. Do not let the qi escape. Regardless of the type of malaria, take 1 fen of the medicine.
A certain woman suffered from prolapse of both breasts after childbirth, extending below the lower abdomen, thin like ox tendons, with extreme pain. She immediately summoned the newly arrived physician Wang Mingnian for diagnosis and treatment. He used:
Shu Di Huang (Rehmanniae Radix Praeparata, 熟地黄) [Note: Text says "Sheng Di" but context implies nourishing blood/yin, however strictly translating text: Sheng Di Huang (Rehmanniae Radix, 生地黄)] Dang Gui (Angelicae Sinensis Radix, 当归) Chi Shao (Paeoniae Radix Rubra, 赤芍) (each 2 qian) Jin Yin Hua (Lonicerae Japonicae Flos, 金银花) Jing Jie Sui (Schizonepetae Spica, 荆芥穗) Hong Hua (Carthami Flos, 红花) Tao Ren (Persicae Semen, 桃仁) (each 1 qian) Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, 生甘草) (5 fen)
Take two teacups of water to decoct these herbs until one teacup remains. Take about 2-3 cun of the infant's umbilical cord, roast over charcoal fire until dry, grind into powder, mix into the medicine, and have the infant take it several times...
The syndrome of Slow Convulsion (Man Jing Feng, 慢惊风) is most often caused by vomiting and diarrhea in infants. It may also result from chronic malaria or dysentery, or following smallpox or chickenpox, or due to wind-cold and food stagnation, or from excessive use of purgatives...
Dull spirit...
White complexion.
Opisthotonos (Jiao Gong Fan Zhang, 角弓反张).
If again...
Or...
Excess pathogen.
Supplementing Earth (Spleen/Stomach) is how one counters Wood (Liver). Treating the root is treating the branch. Whenever an infant suffers from alternating vomiting and diarrhea, it is a critical condition. If it persists repeatedly, regardless of whether it follows smallpox, chickenpox, or other illnesses, or whatever the cause, one must urgently use Ren Shen (Ginseng) and Bai Zhu (Atractylodes) to save the Stomach Qi. Not only should Food Injury be treated this way, but also Cold Damage (Shang Han, 伤寒) and Summerheat Injury (Shang Shu, 伤暑). For although there were initially cold or summerheat excess pathogens, once vomiting and diarrhea occur, they are already completely eliminated. The Spleen and Stomach become empty, and the granaries depleted. If not urgently rescued, it is feared that deficiency phlegm will surge upward, and life will be in peril within moments. Quack physicians seeing this all mistakenly point to heat or food retention, administering cooling medicines to clear fire and remove accumulation, leading to immediate deterioration. What can be done? Thus, crowds rise up and clamor: "Slow convulsion is inherently an untreatable syndrome." To treat a slow syndrome as an acute one, how could death not follow? Now that slow convulsion is considered untreatable, why not investigate this principle? Rather than failing by using cold and cool remedies, making survival extremely difficult, it is better to fail by using warm and tonifying remedies, which still allows for rescue. This discussion clarifies the principles of vomiting, diarrhea, and convulsive wind, being extremely clear and easy to distinguish. Future scholars, list each item and examine them carefully. If several points match, rescue immediately. Do not allow any further delay, causing helplessness. Now, the differentiation of symptoms for slow convulsion is listed below.
One: Slow convulsion with vomiting and diarrhea is due to Deficiency-Cold of the Spleen and Stomach.
One: Slow convulsion with cold body is due to Yang Qi being suppressed and unable to emerge.
One: Slow convulsion with flaring nostrils is due to True Yin losing its hold and deficient fire scorching the Lungs.
One: Slow convulsion with bluish-yellow or white facial color indicates dual deficiency of Qi and Blood.
One: Slow convulsion with clear urine and white stool indicates no fire in the Kidneys and Large Intestine.
One: Slow convulsion with drowsiness and exposed eyes indicates insufficiency of Spirit Qi.
One: Slow convulsion with twitching of hands and feet indicates Blood not flowing to the four limbs.
One: Slow convulsion with opisthotonos (back arching backward) indicates Blood deficiency and tendon tension.
One: Slow convulsion with alternating hot and cold sensations indicates insufficient Yin-Blood and disorder of Yin and Yang.
One: Slow convulsion with profuse sweating like washing indicates Yang deficiency and insecure exterior.
One: Slow convulsion with twitching of hands and feet indicates Blood insufficient to nourish the tendons.
One: Slow convulsion with sunken fontanelle indicates extremity of deficiency.
One: Slow convulsion with body fever, cracked bleeding lips, yet no desire to drink cool tea/water, and vomited milk or excreted matter not well digested.
Generally, infants suffering from persistent fever and excessive vomiting/diarrhea all belong to Yin deficiency and Yang floating. One must prevent the formation of slow convulsion. This differs from catching wind-cold...
Advance with warm...
When infants fall ill, one must carefully observe their appearance and form, then ask the nursing mother what caused the illness, what was eaten, if there was fright, and how it went at night...
Now, two experienced formulas are listed below.
Zhu Han Dang Jing Tang (Decoction to Dispel Cold and Eliminate Convulsion): This formula has warm properties, specifically treating infants with weak constitutions and chronic illness, or those who mistakenly took cold/cool medicines after smallpox/chickenpox, turning into slow convulsion. Recognizing it as deficiency...
Yao Gui Xin (Cassia Twig Heart, 瑶桂心) (1 qian, ground fine or pounded into thick juice, do not boil) Pao Jiang (Prepared Ginger, 炮姜) (1 qian) Hu Jiao (Pepper, 胡椒) (1 qian, ground) Ding Xiang (Caryophylli Flos, 丁香) (10 grains, ground) Additionally, use 3 liang of Zao Xin Tu (Caolisti Terra, 灶心土), boil in water, clarify thoroughly. Decoct the powders of the first four herbs in this clarified liquid. One large wine cup, administer frequently. After one or two doses, vomiting gradually stops. Then continue...
Jia Wei Li Zhong Di Huang Tang (Modified Regulate the Middle and Rehmannia Decoction): This formula assists Qi and nourishes Blood, treating infants with spiritual depletion, ruined Qi and Blood, emaciation and weakness, all of which can be reversed. Decoct strongly and take frequently.
Shu Di Huang (Prepared Rehmannia Root, 熟地黄) (5 qian) Dang Gui (Angelica Sinensis Root, 当归) (3 qian; remove if diarrhea does not stop after 3-4 doses) Shan Yu Rou (Corni Fructus, 山茱萸肉) (1 qian 6 fen) Gou Qi (Lycii Fructus, 枸杞) (3 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma, 白术) (4 qian) Tiao Shen (Codonopsis Radix, 条参) (2 qian) Pao Jiang (Prepared Ginger, 炮姜) (1 qian 5 fen) Zao Ren (Ziziphi Spinosae Semen, 酸枣仁) (2 qian) Zhi Gan Cao (Honey-fried Licorice Root, 炙甘草) (1 qian) Wu Wei Zi (Schisandrae Fructus, 五味子) (1 qian) Yao Gui Xin (Cassia Twig Heart, 瑶桂心) (1 qian) Po Gu Zhi (Psoraleae Fructus, 补骨脂) (2 qian) Sheng Jiang (Fresh Ginger, 生姜) (3 slices) Da Zao (Jujubae Fructus, 大枣) (3 pieces) Hu Tao (Walnut, 核桃) (1 piece, crushed to guide). Still use Zao Xin Tu (Caolisti Terra, 灶心土)...
Mix in. Measure the child's size, divide into several doses to administer. If... qian. If diarrhea does not stop, add 6 fen of Ding Xiang (Caryophylli Flos, 丁香). Only take 2 fen. Because Fu Zi (Aconiti Lateralis Radix Praeparata, 附子) is very hot, remove it once the disease is addressed...
Fu Zang (Viscera) solidification and blockage. If Ding Xiang is not used, then diarrhea...
Time to deliberate. Perfect safety. This formula saves Yin and consolidates...
Slight convulsions, stomach can still accept medicine, nurse, bowel movement convenient.
If the infant has not yet developed convulsion, only drowsiness and fever etc., all belong to Yin deficiency, all suitable to take. If clearing and resolving agents can be used, but if it is truly Excess Fire, it is known...
Fire can be known. This formula supplements what Creation's Yin and Yang cannot...
Infant. Once there is slight improvement, take more. Can achieve...
Use Wen Zhong Bu Pi Tang (Warm the Middle and Tonify Spleen Decoction). If ineffective, use this decoction again. Wen Zhong Bu Pi Tang: Xi Dang Shen (Codonopsis Radix, 西党参) Zhi Huang Qi (Honey-fried Astragali Radix, 炙黄芪) Yu Zhu (Atractylodis Macrocephalae Rhizoma, 于术) (each 1 qian) Gan Jiang (Dried Ginger, 干姜) Bai Kou Sha (Amomi Fructus Rotundus, 白蔻) Sha Ren (Amomi Fructus, 砂仁) (each 8 fen) Zhi Gan Cao (Honey-fried Licorice Root, 炙甘草) Fu Ling (Poria, 茯苓) Guan... (3 pieces)
Decoct in water to make a strong juice, one wine cup, administer frequently. Must obtain effective response.