慢惊症，因病后或吐泻，或药饵伤损脾胃，肢体逆冷、口鼻气微、手足螈 、昏睡露睛，此脾虚生风、无
阳之症也。
慢惊属脾，中气虚损不足之病也。（慢惊者，阴症也，治宜固里，醒脾散主之。）
醒脾散 治小儿吐泻不止，作慢惊风，脾困昏沉，默默不食。
人参（去芦） 白术（去芦） 白茯苓（去皮） 木香 全蝎（去毒） 天麻 白附子（煨） 姜蚕
（炒。各等分） 甘草（炙，减半。）
上锉生姜三片、枣一枚，水煎温服。一方去天麻、姜蚕，加南星（泡）、半夏（泡）、陈仓米二百粒，煎
服，累效。
黄 汤 治小儿慢惊风之神药也。
黄 （二钱，蜜水炒） 人参（三钱） 炙甘草（五分） 加白芍（炒，一钱）
上锉一剂，水煎，食远服。
治小儿吐泻脾惊（一二岁可服。）
朱砂（五厘，二岁以上一分，三岁以上四五分） 全蝎（一个，去足、翅、毒，一岁一个，三岁两个。）
上为细末，乳汁调服。
凡慢惊，元气虚损而致昏愦者，急灸百会穴，若待下痰
不愈而后灸之，则元气脱散而不救矣。此乃脏腑传变已极，总归虚处，唯脾受之。无风可逐，无惊可疗，此因
脾虚不能摄涎而似痰也。
紫金锭子 治急慢惊风，涎潮发搐、或吐或泻、不思饮食、神疲气弱。
人参（去芦） 白术（去芦） 白茯苓（去皮） 白茯神（去皮木） 山药（炒） 乳香 赤石脂（醋
七次） 辰砂（各三钱） 麝香（一钱）
上为末，以糕一两为丸，如弹子大，金箔为衣。每一粒，薄荷汤研化服。
一小儿伤食发丹，服发表之剂，手足搐搦；服抱龙丸，目润痰盛。余谓脾胃亏损而变慢惊也。无风可祛，
无痰可逐，只宜温补胃气，遂用六君子加附子，一剂而愈。（方见补益。）
一小儿搐搦、痰涎自流，或用惊风之药益甚。视其面色黄白，余用六君子、补中益气二汤，补脾气而愈。
（二方俱见补益。）
混元丹 治小儿急慢惊风、痰嗽喘热、吐泻腹胀，小儿百病，大有功效。（方见通治。）
慢惊风证，是由于病后或者呕吐腹泻，或者药物损伤了脾胃，导致肢体逆冷、口鼻气息微弱、手足抽搐、昏睡且眼睛半睁（露睛），这是脾虚生风、阳气衰微的病症。
慢惊风归属于脾，是中气虚损不足的疾病。（慢惊风属于阴证，治疗应当以固护里气为主，可用醒脾散主治。）
醒脾散：治疗小儿呕吐腹泻不止，发展为慢惊风，脾脏困顿、神志昏沉、沉默寡言且不思饮食。
配方：人参（去除芦头）、白术（去除芦头）、白茯苓（去除外皮）、木香、全蝎（去毒）、天麻、白附子（煨制）、姜蚕（炒制，以上各等分）、甘草（蜜炙，用量减半）。
用法：上方切碎，加入生姜三片、大枣一枚，用水煎煮，温服。另一版本去掉天麻、姜蚕，加入南星（炮制）、半夏（炮制）、陈仓米二百粒，煎服，屡见疗效。
黄芪汤：是治疗小儿慢惊风的灵丹妙药。
配方：黄芪（二钱，用蜜水炒制）、人参（三钱）、炙甘草（五分），加白芍（炒制，一钱）。
用法：上方切碎为一剂，用水煎煮，在饭后较远的时间服用。
治疗小儿吐泻引起的脾惊（一两岁的儿童可以服用）：
配方：朱砂（五厘，两岁以上一分，三岁以上四五分）、全蝎（一个，去除足、翅、毒，一岁用一个，三岁用两个）。
用法：研成细末，用乳汁调服。
凡是慢惊风，因元气虚损而导致神志昏迷的，应当紧急灸百会穴，如果等到痰涎下行后仍不痊愈再灸，那么元气就会脱散而无法救治了。这是因为脏腑传变已经极度严重，最终都归结于虚损之处，只有脾脏受累。此时没有风邪可驱除，没有惊风可治疗，这是因为脾虚不能收摄涎液而看似有痰。
紫金锭子：治疗急慢惊风，涎液上潮引发抽搐、或吐或泻、不思饮食、精神疲乏、气息虚弱。
配方：人参（去除芦头）、白术（去除芦头）、白茯苓（去除外皮）、白茯神（去除外皮和木质部）、山药（炒制）、乳香、赤石脂（用醋淬七次）、辰砂（以上各三钱）、麝香（一钱）。
用法：研成粉末，用糕粉一两制成丸药，大小如弹子，外面包裹金箔。每一粒，用薄荷汤研磨化开服用。
有一个小孩因伤食引发丹毒，服用了解表发散的药物，出现手足抽搐；又服用了抱龙丸，导致眼神呆滞、痰涎增多。我认为这是脾胃亏损而转变为慢惊风。此时没有风邪可祛除，没有痰涎可驱逐，只应当温补胃气，于是使用六君子汤加上附子，服用一剂后痊愈。（方剂见“补益”篇。）
另一个小孩出现抽搐、痰涎自流，有人使用治惊风的药物反而病情加重。观察其面色黄白，我使用了六君子汤和补中益气汤两方，补益脾气后痊愈。（这两个方剂均见“补益”篇。）
Slow convulsion syndrome refers to a condition occurring after an illness, or following vomiting and diarrhea, or due to medicinal damage to the Spleen and Stomach. Symptoms include cold limbs, faint breath from the mouth and nose, twitching of the hands and feet, lethargy with eyes half-open (exposing the pupils). This is a syndrome of wind generated by Spleen deficiency and absence of Yang.
Slow convulsion belongs to the Spleen; it is a disease characterized by deficiency and insufficiency of Middle Qi. (Slow convulsion is a Yin syndrome; treatment should focus on securing the interior and awakening the Spleen. Xingpi San [Awakening the Spleen Powder] is indicated.)
Xingpi San [Awakening the Spleen Powder]: Treats persistent vomiting and diarrhea in children progressing to slow convulsion, where the Spleen is困 (trapped/dull), consciousness is clouded, the child is silent, and has no appetite.
Ingredients: Ren Shen [Ginseng Radix et Rhizoma] (remove rhizome), Bai Zhu [Atractylodis Macrocephalae Rhizoma] (remove rhizome), Fu Ling [Poria], Mu Xiang [Aucklandiae Radix], Quan Xie [Scorpio] (remove toxicity), Tian Ma [Gastrodiae Rhizoma], Bai Fu Zi [Typhonii Rhizoma] (baked), Jiang Can [Bombyx Batryticatus] (stir-fried; all equal parts), Gan Cao [Glycyrrhizae Radix et Rhizoma] (honey-roasted, half dose).
Preparation: Coarsely crush the herbs, add three slices of Sheng Jiang [Zingiberis Rhizoma Recens] and one Da Zao [Jujubae Fructus], decoct with water, and take warm. Another prescription removes Tian Ma and Jiang Can, adds Nan Xing [Arisaematis Rhizoma Praeparatum], Ban Xia [Pinelliae Rhizoma Praeparatum], and 200 grains of Chen Cang Mi [Oryza Sativa Var. Indica Preparata], decocted and taken orally, with repeated efficacy.
Huang Qi Tang [Astragalus Decoction]: A miraculous medicine for treating slow convulsion in children.
Ingredients: Huang Qi [Astragali Radix] (2 qian, stir-fried with honey water), Ren Shen [Ginseng Radix et Rhizoma] (3 qian), Zhi Gan Cao [Glycyrrhizae Radix et Rhizoma Preparata] (5 fen), plus Bai Shao [Paeoniae Radix Alba] (stir-fried, 1 qian).
Preparation: Coarsely crush one dose, decoct with water, and take well after meals.
Treating Spleen convulsion caused by vomiting and diarrhea in children (suitable for ages 1-2):
Ingredients: Zhu Sha [Cinnabaris] (5 li, 1 fen for over 2 years old, 4-5 fen for over 3 years old), Quan Xie [Scorpio] (one, remove legs, wings, and toxicity; one for age 1, two for age 3).
Preparation: Grind into fine powder, mix with milk, and administer.
For any case of slow convulsion where Yuan Qi [Original Qi] deficiency leads to coma, urgently moxa the Bai Hui acupoint [GV20]. If one waits until phlegm descends and the condition remains unhealed before applying moxibustion, the Yuan Qi will scatter and become incurable. This occurs because the transmission between Zang-Fu organs has reached its extreme, ultimately returning to deficiency, specifically affecting the Spleen. There is no wind to expel and no convulsion to treat; this apparent phlegm is actually due to Spleen deficiency failing to control saliva.
Zijin Ding Zi [Purple Gold Pellets]: Treats acute and slow convulsions, flooding of saliva causing spasms, vomiting or diarrhea, loss of appetite, mental fatigue, and weak Qi.
Ingredients: Ren Shen [Ginseng Radix et Rhizoma] (remove rhizome), Bai Zhu [Atractylodis Macrocephalae Rhizoma] (remove rhizome), Fu Ling [Poria], Fu Shen [Poria cum Radice] (remove wood), Shan Yao [Dioscoreae Rhizoma] (stir-fried), Ru Xiang [Olibanum], Chi Shi Zhi [Halloysit Rubrum] (quenched in vinegar seven times), Chen Sha [Cinnabaris] (all 3 qian each), She Xiang [Moschus] (1 qian).
Preparation: Grind into powder, mix with 1 liang of cake flour to form pills the size of a bullet, coat with Jin Bo [Gold Leaf]. Take one pill at a time, dissolve in Bo He Tang [Menthae Haplocalycis Decoction], and ingest.
A child developed Dan [erysipelas] due to food stagnation. After taking exterior-releasing formulas, the child experienced hand and foot spasms. After taking Bao Long Wan [Embracing Dragon Pills], the child's eyes became dull and phlegm increased significantly. I reasoned that this was a transformation into slow convulsion due to Spleen and Stomach damage. Since there was no wind to dispel and no phlegm to purge, only warming and tonifying Stomach Qi was appropriate. Thus, Liu Jun Zi Tang [Six Gentlemen Decoction] was used with added Fu Zi [Aconiti Lateralis Radix Preparata], resulting in cure after one dose. (Formula see "Tonification" section.)
Another child presented with spasms and spontaneous flow of saliva/phlegm. The use of convulsion-treating medicines exacerbated the condition. Observing the yellowish-white complexion, I used Liu Jun Zi Tang [Six Gentlemen Decoction] and Bu Zhong Yi Qi Tang [Tonify the Middle and Augment the Qi Decoction] to tonify Spleen Qi, leading to recovery. (Both formulas see "Tonification" section.)
Hun Yuan Dan [Primordial Elixir Pill]: Treats pediatric acute and slow convulsions, cough with phlegm, wheezing, heat, vomiting, diarrhea, abdominal distension, and has great efficacy for various pediatric diseases. (Formula see "General Treatment" section.)