碧穹丹
石绿（研九度，飞，十两） 附子尖 乌头尖 蝎稍（各五十个）
上为末，入石绿令匀，面糊丸，如鸡头。每服，用薄荷汁半盏，化下一丸，更
以酒半合温服之，须臾，吐先痰涎，然后随证治之。
控涎丸
川乌（生） 半夏（各半两） 僵蚕（生姜汁浸一宿，半两） 全蝎（去尖，七个） 铁粉（三
钱） 甘遂（二钱半）
上为末，生姜自然汁，或薄糊丸，如绿豆大，朱砂为衣。每服十五丸，姜汤下。
忌甘草。
治小儿痫。用甘遂末一钱，猪心一个，取三管头血三条，和甘遂末，将猪心批作两
片，入药在内，以线缚定，外湿纸包裹，入文武火、煨熟，不可过度，取药细研，
入辰砂末一钱，和匀，分作四丸。每服一丸，猪心汤化下，再服另取猪心煎汤。
此方神效。
水晶丹（方见癖积） 四顺饮 五和汤（二方并见热） 利惊丸（方见惊搐） 紫霜丸（方
见变蒸热）
当归大黄汤 治小儿诸痫作热，利下心中恶血。
大黄（湿纸裹，微煨） 甘草（炙） 当归 赤芍药（各三钱） 半夏（制） 川芎（各二钱）
为末。每服一钱或二钱，水八分钟，煎四分，无时服。
（治阴痫宜之）
固真汤 曰生汤（并见惊搐） 茯神汤（方见惊悸）
《元戎》小灵宝丹
附子（炮，一两） 天麻 全蝎 白僵蚕（炒） 藿香叶 南星（炮） 白附子（炮。各半两）
上为末，酒糊丸，桐子大。温酒下一十五丸。
罗谦甫治魏敬甫之子四岁，从长老摩顶授记，众僧念咒，因而大恐，遂发惊搐，
痰涎壅塞，目多白睛，项背强急，喉中有声，一时许、方醒，后每见皂衣人辄发，
多服朱、犀、龙、麝、镇坠之药，四十余日前证犹在，又添行步动作、神思如痴。
予诊其脉沉弦而急，《黄帝针经》云∶心脉满大，痫 筋挛。又云，肝脉小急，痫
筋挛。盖小儿血气未定，神气尚弱，因而惊恐，神无所根据，又动于肝，肝主筋，故
痫筋挛。病久气弱，小儿易为虚实，多服镇坠寒凉之剂，复损其气，故添动作如
痴。《内经》云∶暴挛痫眩，足不任身，取天柱穴是也。天柱穴乃足太阳之脉所发，
阳跷附而行也。又云∶癫痫螈 ，不知所苦，两跷主之，男阳女阴。洁古云∶昼发
治阳跷申脉，夜发治阴跷照海，先各灸两跷各二七壮，次处沉香天麻汤。
沉香 益智 川乌（炮去皮脐。各二钱） 天麻 防风 半夏（汤泡） 附子（炮去皮脐。
各三钱） 羌活（五钱） 甘草（炙） 当归 姜屑（各一钱半） 独活（四钱）
上 咀。每服五钱，生姜三片，水煎，温服。《举痛论》云∶恐则气下，精怯而
上焦闭。又云∶从下上者引而去之。以羌活、独活、苦温，味之薄者，阴中之阳，
引气上行，又入太阳之经为引用，故以为君。天麻、防风、辛温以散之，当归、甘
草、辛甘温以补气血之不足，又养胃气，故以为臣。黑附子、川乌头、益智仁、
大辛温行阳退阴，又治寒客伤胃。肾主五液，入脾为涎，以生姜、半夏、燥湿化
痰。《十剂》云∶重可去怯，沉香辛温，体重气清，去怯安神，故以为使。气味相
合，升阳补胃，恐怯之气，自得平矣。
牛黄丸 治因惊中风，五痫，天钓，客忤，潮涎灌壅。
白花蛇（酒浸取肉） 白附子 全蝎 真川乌（一枚半两者，生） 天麻 薄荷叶（各半两，以上六味，
先为细末，次入） 雄黄（五两） 辰砂（三钱） 脑子（另研，半两） 牛黄（三钱）
麝香（一钱）
上为一处和匀。麻黄去根二两，酒一升，煎麻黄至一盏，去麻黄用酒，熬药得
所，勿至焦赤，众手、疾丸如芡实大，密器盛之。一丸作五服，煎金银、薄荷、
汤磨化。大能发散惊邪。
治五痫得效方
露蜂房（焙） 石绿（各一两） 桂心 远志（去心） 人参（各半两） 朱砂（一钱）
上为末，粥丸，如桐子大。每服二三十丸，白汤下。
Biqiong Dan (Jade Dome Pill)
Shilü (Malachite, processed by grinding nine times and levigation, 10 liang) Fuzi jian (Tip of Aconitum carmichaelii lateral root) Wutou jian (Tip of Aconitum kusnezoffii root) Xie shao (Scorpion tail tip, 50 each)
Crush the above ingredients into fine powder, mix evenly with Shilü, form pills using wheat paste, size like a chicken head. For each dose, dissolve one pill in half a cup of Bohe juice (Mentha haplocalyx juice), then take with half a he of warm wine. Soon after, the patient will vomit previous phlegm-saliva, then treat according to the syndrome.
Kongxian Wan (Phlegm-Draining Pill)
Chuanwu (Raw, 0.5 liang) Banxia (Pinellia ternata, 0.5 liang) Jiangcan (Bombyx batryticatus, soaked in fresh ginger juice overnight, 0.5 liang) Quanxie (Whole scorpion, tip removed, 7 pieces) Tiefen (Iron powder, 3 qian) Gansui (Radix Kansui, 2.5 qian)
Crush the above ingredients into fine powder, form pills using fresh ginger juice or thin wheat paste, size like mung beans, coat with Zhusha (Cinnabar). Take 15 pills per dose, wash down with ginger decoction.
Avoid Gancao (Licorice).
Treat pediatric epilepsy. Take 1 qian of Gansui powder, one pig heart, extract three strips of blood from three vessels, mix with Gansui powder. Slice the pig heart into two pieces, insert the medicine inside, tie securely with thread, wrap externally with wet paper, bake over mild and strong fire until cooked, do not overcook. Take the medicine, grind finely, add 1 qian of Chensha powder (Cinnabar), mix evenly, divide into four pills. Take one pill per dose, dissolve in pig heart decoction. For subsequent doses, prepare new pig heart decoction.
This formula is miraculous.
Shuijing Dan (Crystal Pill) (Formula see Pi Ji section) Sishun Yin (Four-Obedience Decoction) Wuhe Tang (Five-Harmony Decoction) (Both formulas see Re/Heat section) Lijing Wan (Relieve Shock Pill) (Formula see Jing Chu section) Zishuang Wan (Purple Frost Pill) (Formula see Bianzheng Re section)
Danggui Dahuang Tang (Angelica Sinensis and Rhubarb Decoction) Treats various pediatric epileptic seizures with heat, promoting the discharge of evil blood from the heart.
Dahuang (Rhubarb root, wrapped in wet paper, slightly baked) Gancao (Licorice root, honey-fried) Danggui (Angelica sinensis root) Chishaoyao (Red peony root, 3 qian each) Banxia (Prepared Pinellia ternate rhizome) Chuanxiong (Ligusticum chuanxiong rhizome, 2 qian each)
Grind into fine powder. Take 1 qian or 2 qian per dose, boil in water for 8 minutes, reduce to 4 parts, take at any time.
Baijie San (Hundred-Release Powder) Daqing Gao (Great Blue Ointment) (Both see Jing Chu section) Qufeng Gao (Wind-Expelling Ointment) (Xieqing San plus Chensha and Quanxie)
(Suitable for treating Yin Epilepsy)
Guzhen Tang (Solidify True Decoction) Yuesheng Tang (Day-Life Decoction) (Both see Jing Chu section) Fushen Tang (Poria Spirit Decoction) (Formula see Jingji section)
Yuanrong Xiao Lingbao Dan (Little Spirit Treasure Pill from Yuanrong)
Fuzi (Aconitum carmichaelii lateral root, processed, 1 liang) Tianma (Gastrodia elata rhizome) Quanxie (Whole scorpion) Baijiangcan (White Bombyx batryticatus, fried) Huoxiangye (Agastache rugosa leaf) Nanxing (Arisaema erubescens tuber, processed) Baifuzi (Typhonium giganteum tubers, processed. 0.5 liang each)
Crush into fine powder, form pills using wine paste, size like tung tree seeds. Take 15 pills with warm wine.
Luo Qianfu treated the four-year-old son of Wei Jingfu. After following an elder monk to touch the crown and receive precepts, while monks chanted spells, he became greatly frightened, leading to shock convulsions. Phlegm-saliva obstructed heavily, eyes showed much white sclera, neck and back were stiff and rigid, sounds were heard in the throat. He woke up after about one hour. Later, every time he saw people in black clothes, he would have attacks. Having taken many sedative and heavy-settling drugs like Zhusha (Cinnabar), Xijiao (Rhinoceros horn - note: banned/substitute used), Longgu (Fossilized mammal bones), Moxiang (Musk), the symptoms persisted after forty days. Additionally, his walking movements and mental state resembled dementia.
I palpated his pulse: deep, wiry, and rapid. The Huangdi Zhenjing (Yellow Emperor's Classic of Acupuncture) states: "Heart pulse full and large indicates epilepsy and tendon spasms." It also says: "Liver pulse small and urgent indicates epilepsy and tendon spasms." Generally, children's blood and qi are not yet settled, their spirit energy is still weak. Due to fright, the spirit has no foundation, and it moves the Liver. The Liver governs tendons, hence epilepsy with tendon spasms. The disease has lasted long, Qi is weak. Children are prone to deficiency-excess patterns. Taking many sedative and cold-cooling medicines further damaged their Qi, thus adding actions resembling dementia. The Neijing states: "Sudden spasms, epilepsy, dizziness, feet unable to support the body, select Tianzhu point." Tianzhu point is where the Foot Taiyang meridian emerges, and the Yang Qiao vessel attaches and travels along it. It also says: "Epilepsy and convulsions, unknown suffering location, governed by the two Qiao vessels, male Yang female Yin." Jiegau states: "Daytime onset treats Yang Qiao Shenmai point; nighttime onset treats Yin Qiao Zhaohai point. First moxa both Qiao vessels 14 times each, then treat with Chenxiang Tianma Tang."
Chenxiang (Aquilaria wood) Yizhi (Alpinia oxyphylla fruit) Chuanwu (Processed Aconitum kusnezoffii root, skin and umbilicus removed. 2 qian each) Tianma (Gastrodia elata rhizome) Fangfeng (Saposhnikovia divaricata root) Banxia (Pinellia ternata, boiled in water) Fuzi (Processed Aconitum carmichaelii lateral root, skin and umbilicus removed. 3 qian each) Qianghuo (Notopterygium incisum rhizome, 5 qian) Gancao (Licorice root, honey-fried) Danggui (Angelica sinensis root) Jiangxie (Ginger scrapings. 1.5 qian each) Duhuo (Angelica pubescens root, 4 qian)
Cut the above ingredients. Take 5 qian per dose, add 3 slices of fresh ginger, decoct in water, take warm. The Juzhong Lun states: "Fear causes Qi to descend, essence becomes timid and Upper Jiao closes." It also says: "For pathogenic Qi rising from below, guide it downwards." Using Qianghuo and Duhuo, bitter-warm, with thin flavors, belonging to Yin within Yang, guides Qi upward. Entering the Taiyang meridian as guiding herbs, they serve as Sovereign herbs. Tianma and Fangfeng, acrid-warm to disperse; Danggui and Gancao, acrid-sweet-warm to tonify deficiency of Qi and Blood, and nourish Stomach Qi, serving as Minister herbs. Hei Fuzi, Chuan Wutou, Yizhiren, great acrid-warm to promote Yang and retreat Yin, also treating Cold invading and injuring the Stomach. Kidney governs the five fluids, entering the Spleen to become saliva/phlegm. Using Shengjiang and Banxia to dry dampness and transform phlegm. The Shiji states: "Heavy can remove timidity. Chenxiang is acrid-warm, heavy in substance, clear in Qi, removes timidity and calms the Spirit, serving as Envoy herb." The flavors and properties combine to raise Yang and tonify Stomach, allowing fearful and timid Qi to naturally settle.
Niuhuang Wan (Calculus Bovis Pill) Treats wind-strike due to fright, five types of epilepsy, Tiandiao (Heavenly Hook), Kewu (Guest Malevolence), tidal phlegm flooding and obstruction.
Baihuashe (Bungarus multicinctus meat, soaked in wine) Baifuzi (Typhonium giganteum tubers) Quanxie (Whole scorpion) Zhen Chuanwu (True Aconitum kusnezoffii root, 1.5 liang, raw) Tianma (Gastrodia elata rhizome) Boheye (Mentha haplocalyx leaf. 0.5 liang each. The above six ingredients are first ground into fine powder, then added:) Xionghuang (Realgar, 5 liang) Chensha (Cinnabar, 3 qian) Naozi (Borneol, separately ground, 0.5 liang) Niuhuang (Calculus Bovis, 3 qian)
Shexiang (Musk, 1 qian)
Mix all ingredients uniformly. Mahuang (Ephedrae Herba, de-rooted, 2 liang), Jiu (Wine, 1 sheng), decoct Mahuang until reduced to 1 sheng, remove Mahuang, use only the wine. Boil the medicine appropriately, do not burn to red/black. Quickly form pills by multiple hands, size like Chinese quince seed, store in sealed containers. One pill divided into five doses. Decoct Jin Yin Hua (Lonicera japonica flower) and Bohe (Mentha haplocalyx), grind the pill in this decoction to dissolve. Greatly disperses fright pathogens.
Effective Formula for Treating Five Types of Epilepsy
Lufengfang (Honeycomb, roasted) Shilü (Malachite. 1 liang each) Guixin (Cinnamon bark) Yuanzhi (Polygala tenuifolia root, heart removed) Renshen (Ginseng root. 0.5 liang each) Zhusha (Cinnabar, 1 qian)
Grind into fine powder, form pills using congee, size like tung tree seeds. Take 20-30 pills per dose, wash down with plain hot water.