南星(牛胆者)r-钱,枳壳(麸炒)二钱,陈皮(去白)
一钱,大黄二钱,牵牛头末二钱。共为末,皂角煮水为
丸,灯心汤吞下。
黄连(去毛)二钱,石菖蒲二钱,远志<去心)二钱,
归身二钱,麦冬(去心)二钱,茯苓二钱,山栀子二钱。
共为末,炼蜜为丸。
黄芩二钱。大黄二钱,黄连二钱。共为末,分作五
份,滴水为丸。一份青黛为衣,名青丸子;一份朱砂为
衣,名红丸子;一份轻粉为衣,名白丸子;一份皂角烧灰
存性研末为衣,名黑丸子,一份雄黄为衣,名黄丸子。
归身、川芎、大黄(煨)、羌活、防风,桅子仁、胆草
各等分,共为细末,炼蜜为丸,如捂桐子大,竹叶汤
下,此泻肝火之药也。如发热,去大黄,如全蝎、僵蚕
(炒),竹叶引,水煎极。
陈皮(去白),南星(制)。栀子仁、软石膏、杏仁
泥,薄荷叶、赤服苓。右锉细,水煎,入竹沥服之。
吐法
用土牛膝根,取自然汁灌入口中,其涎自吐。
灸法
先以两手大指相合,于甲侧缝中处,烧三壮;又以两手中指
相合,于甲侧缝中心烧一、二壮。即醒者可治,不知痛者不治。
祖转治惊风,先以雄黄解毒丸利去痰热,后用凉惊丸退火,
再用保命丹、安神丸调之而安。
发急惊风之对。手撮,目闭,口张,囱陷,鱼口,气促急,
吐沫,喷药,昏睡不语不啼,口禁绝,不饮食。遗尿失屎,面赤
如朱,此皆不治之症。
凡慢惊风,小儿胎禀素弱,又多疾病,或大吐大泻,或久疟
痢,误服吐下之药,皆致精神虚耗,渐成搐弱,十无一全。如元
神虚弱,又逢恐怖而成慢惊者,其症发过即如常。但多啼哭,睡
中不宁,不可妄用利痰之药。先以青州白丸子,加青礞石以去其
痰,次服安神丸,以四君子汤送下。如因吐泻大病之后,手足逆
冷昏睡,目睛微露,而无搐掣者,此欲成慢惊症也。急温补之,
四君子汤加熟附子一片,愈后以集圣丸调之。
凡吐泻(19)大病之后,已成慢惊风者,其症口目牵引。手足搐
掣,以醒脾散驱风醒脾。风退,以参苓白术散为丸服之。
凡慢惊风痰气壅塞者,不可妄用通利之药,只以青州白丸子
加青礞石治之。
凡慢惊风不醒不退者,灸百会、三里,男左女右乳下。
凡慢惊风已退,或有余熟。不喜饮食,先服四君子汤一、二
剂,后以集圣丸调之。
南星(用牛胆汁制的天南星)一钱,枳壳(麸皮炒制)二钱,陈皮(去除白色内层)一钱,大黄二钱,牵牛子头末二钱。将这些药材共同研磨成细粉,用皂角煮的水作为粘合剂制成丸药,用灯心草汤送服。
黄连(去除须毛)二钱,石菖蒲二钱,远志(去除芯)二钱,当归身二钱,麦冬(去除芯)二钱,茯苓二钱,山栀子二钱。将这些药材共同研磨成细粉,用炼过的蜂蜜作为粘合剂制成丸药。
生地黄、木通、甘草。加入竹叶(带七片叶子),用水煎煮后服用。
黄芩二钱,大黄二钱,黄连二钱。将这些药材共同研磨成细粉,分成五份,用滴水法制成丸药。其中一份以青黛为包衣,名为青丸子;一份以朱砂为包衣,名为红丸子;一份以轻粉为包衣,名为白丸子;一份以皂角烧灰存性研成的粉末为包衣,名为黑丸子;一份以雄黄为包衣,名为黄丸子。
当归身、川芎、大黄(煨制)、羌活、防风,栀子仁、龙胆草各取等量,共同研磨成细粉,用炼蜜制成丸药,大小如梧桐子,用竹叶汤送服,这是泻肝火的药物。如果伴有发热,去掉大黄;或者加入全蝎、僵蚕(炒制),用竹叶作为引经药,用水煎煮至极浓后服用。
猪苓、泽泻、赤茯苓、白术、官桂,用灯心草作为引经药,煎煮后,调入辰砂服用。
陈皮(去除白色内层),制南星。栀子仁、软石膏、杏仁泥,薄荷叶,赤茯苓。将上述药材切碎,用水煎煮,加入竹沥水服用。
吐法:使用土牛膝的根,取其自然汁液灌入口中,患者会自行吐出痰涎。
灸法:先将两手大拇指合拢,在大拇指指甲侧缝处,施灸三壮;再用两手中指合拢,在指甲侧缝中心处施灸一至二壮。如果施灸后患者能苏醒,说明可治;如果不知疼痛,则属不治之症。
祖先转述治疗惊风的方法:先用雄黄解毒丸利去痰热,后用凉惊丸退火,再用保命丹、安神丸调理,患者即可安定。
这是发急惊风的对照症状。表现为手撮(手指拘挛)、目闭、口张、囟门凹陷、鱼口(嘴唇干裂如鱼口)、气促急、吐沫、喷药(服药即吐)、昏睡不语不啼、口禁绝(牙关紧闭)、不饮食、遗尿失屎、面赤如朱,这些都是不治之症。
凡是慢惊风,小儿先天禀赋素来虚弱,又多疾病,或者经历大吐大泻,或久患疟疾痢疾,误服了催吐或泻下的药物,都会导致精神虚耗,逐渐形成抽搐无力,十人中难救一人。如果元气虚弱,又遭遇恐怖惊吓而形成的慢惊风,其症状发作过后就像常人一样。只是多啼哭,睡中不安宁,不可妄用利痰的药物。先用青州白丸子,加入青礞石以祛除痰邪,其次服用安神丸,用四君子汤送下。如果是因吐泻大病之后,出现手足逆冷、昏睡、眼睛微露而无抽搐者,这是将要形成慢惊症的征兆。急需温补,用四君子汤加一片熟附子,痊愈后用集圣丸调理。
凡是吐泻大病之后,已经形成慢惊风的,其症状表现为口眼牵引、手足抽搐,用醒脾散驱风醒脾。风邪退去后,用参苓白术散制成丸药服用。
凡是慢惊风痰气壅塞的,不可妄用通利的药物,只用青州白丸子加青礞石治疗。
Nanxing (Arisaema Rhizoma processed with Bovis Bile) 1 qian, Zhike (Fructus Aurantii prepared with bran) 2 qian, Chenpi (Pericarpium Citri Reticulatae, white pith removed) 1 qian, Dahuang (Radix et Rhizoma Rhei) 2 qian, Qianniu Toumo (Semen Pharbitidis, first harvest powder) 2 qian. Grind all into fine powder, use water decocted from Gengjie (Fructus Gleditsiae Sinensis) as the binder to make pills, swallow with Dengxin Tang (Decoction of Junci Medullia).
Huanglian (Rhizoma Coptidis, hairs removed) 2 qian, Shichangpu (Rhizoma Acori Tatarinowii) 2 qian, Yuanzhi (Radix Polygalae, core removed) 2 qian, Guishen (Radix Angelicae Sinensis, root body) 2 qian, Maidong (Herba Ophiopogonis, core removed) 2 qian, Fuling (Poria) 2 qian, Shanzhizi (Fructus Gardeniae) 2 qian. Grind all into fine powder, use refined honey as the binder to make pills.
Shengdi (Radix Rehmanniae Preparata), Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae). Add Zhuye (Folium Bambusae, seven leaves), decoct in water and take orally.
Huangqin (Radix Scutellariae) 2 qian, Dahuang (Radix et Rhizoma Rhei) 2 qian, Huanglian (Rhizoma Coptidis) 2 qian. Grind all into fine powder, divide into five portions, make pills by adding drops of water. One portion coated with Qingdai (Indigo Naturalis), named Qing Wanzi (Green Pill); one portion coated with Zhusha (Cinnabaris), named Hong Wanzi (Red Pill); one portion coated with Qingfen (Calomelas), named Bai Wanzi (White Pill); one portion coated with powder from Gengjie (Fructus Gleditsiae Sinensis) burnt to ash but retaining its nature, named Hei Wanzi (Black Pill); one portion coated with Xionghuang (Realgar), named Huang Wanzi (Yellow Pill).
Guishen (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Dahuang (Radix et Rhizoma Rhei, stir-baked), Qianghuo (Rhizoma Notopterygii), Fangfeng (Radix Saposhnikoviae), Zhiziren (Semen Gossypii Herbacei), Danshen (Radix et Rhizoma Scutellariae Baicalensis - *Note: Text says Dancao/Longdan, usually Longdan Cao* Dragon Grass/Longdan Cao) in equal parts. Grind all into fine powder, use refined honey to make pills, size like Toosendan seeds (Koelreuteriae Fructus), swallow with Zhuye Tang (Bamboo Leaf Decoction). This is a formula for draining Liver Fire. If fever is present, remove Dahuang; or add Quanxie (Scorpio) and Jiangcan (Bombyx Batryticatus, stir-baked), use Zhuye (Bamboo Leaf) as an guiding herb, decoct in water until very concentrated and take.
Zhu Ling (Polyporus), Zexie (Rhizoma Alismatis), Chi Fuling (Poria with red wood), Baizhu (Rhizoma Atractylodis Macrocephalae), Guigui (Cortex Cinnamomi), use Dengxin (Junci Medullia) as a guiding herb, decoct, mix with Chen Sha (Cinnabaris) and take.
Chenpi (Pericarpium Citri Reticulatae, white pith removed), Zhinanxing (Arisaema Rhizoma processed). Zhiziren (Semen Gossypii Herbacei), Ruangao (Gypsum Fibrosum), Xingrenni (Semen Armeniacae Amarum paste), Boheye (Folium Menthae), Chi Fuling (Poria with red wood). Cut all finely, decoct in water, add Zhuli (Bamboo Sap) and take.
Emetic Method: Use Gen Tu Niuxi (Radix Achyranthis Bidentatae), extract its natural juice, and pour it into the mouth; phlegm will be vomited out naturally.
Moxibustion Method: First, join the thumbs of both hands together, burn three moxa cones at the side seam of the nail; then join the middle fingers of both hands together, burn one or two moxa cones at the center of the side seam of the nail. If the patient wakes up, it is treatable; if there is no sensation of pain, it is untreatable.
Ancestor's method for treating Jing Feng (Convulsive Disease): First use Xionghuang Jiedu Wan (Realgar Detoxification Pill) to drain phlegm-heat, then use Liangjing Wan (Cooling Convulsion Pill) to reduce fire, and finally use Baoming Dan (Life-Preserving Elixir) and Anshen Wan (Spirit-Calming Pill) to regulate, resulting in peace.
This contrasts with symptoms of Ji Jing Feng (Acute Convulsive Disease). Symptoms include hand grasping/clenching, eyes closed, mouth open, sunken fontanelle, fish-mouth (cracked lips), rapid breathing, foaming at the mouth, vomiting medicine, lethargy without speaking or crying, locked jaw, inability to eat or drink, enuresis, fecal incontinence, face red as vermilion. These are all untreatable conditions.
In cases of Man Jing Feng (Chronic Convulsive Disease), children have inherent constitutional weakness and suffer from frequent illnesses, or experience severe vomiting and diarrhea, or chronic malaria and dysentery, or mistakenly take emetic or purgative drugs. All these lead to depletion of spirit and essence, gradually forming convulsions with weakness; ten out of ten cases are fatal. If primordial Qi is weak and chronic convulsion is triggered by fear, the symptoms resolve after an episode, resembling normal state. However, there is excessive crying and restlessness during sleep. Do not recklessly use phlegm-draining drugs. First use Qingzhou Bai Wanzi (Qingzhou White Pill), add Qingmengshi (Calamine), to remove phlegm; subsequently take Anshen Wan (Spirit-Calming Pill), delivered with Sijunzi Tang (Four Gentlemen Decoction). If after severe vomiting and diarrhea, there is cold extremities, lethargy, slightly exposed eyeballs, but no convulsions, this indicates impending chronic convulsion. Urgently apply warming and tonifying methods: Sijunzi Tang (Four Gentlemen Decoction) plus one slice of Shu Fuzi (Prepared Aconite Lateral Root). After recovery, regulate with Jisheng Wan (Accumulated Sage Pill).
After severe vomiting and diarrhea, if chronic convulsion has already formed, symptoms include pulling of mouth and eyes, and convulsions of limbs. Use Xingpi San (Spleen-Awakening Powder) to dispel wind and awaken the spleen. After wind subsides, take Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) made into pills.
In cases of chronic convulsion with phlegm-qi obstruction, do not recklessly use draining/purging drugs; only use Qingzhou Bai Wanzi (Qingzhou White Pill) added with Qingmengshi (Calamine) for treatment.
For chronic convulsion that does not wake or subside, moxa Baihui (GV20) and Zusanli (ST36). For males, use left side; for females, use right side below the nipple.
When chronic convulsion has subsided, or there is residual heat, and appetite is poor, first take one or two doses of Sijunzi Tang (Four Gentlemen Decoction), then regulate with Jisheng Wan (Accumulated Sage Pill).