吴 身热。吐乳自利。温邪内扰脾胃。稚年防惊。（温邪）
藿香叶 飞滑石
王 未到周岁。热犯脾胃。呕逆下利。壮热不已。最多慢惊之变。
人参 川连 黄芩 藿香梗 广皮 生白芍 乌梅
某 暑邪犯肺。交土王用事。脾胃素弱不运。暑湿。腹鸣。泄泻。恶心。露睛。怕成慢惊。
（暑湿）
人参 藿香 炒浓朴 木瓜 川连 茯苓 炒扁豆 泽泻
章 伤食一症。考古用五积散之义。取暖胃使其腐熟也。既上涌频吐。大便溏泻。胃气益伤。阳
气坐困日甚。清不升。浊不降。痰潮干呕。腹鸣便遗。睡则露睛。龈黑唇紫。小溲竟无。阳不流行。
津液自耗。有慢惊昏厥之危。议通胃阳。读钱氏薛氏之书。能知此意。（胃阳伤）
人参 郁金 炒半夏 炒白附子 茯苓 菖蒲 炒广皮 炒粳米
又 阳明胃阳受伤。腑病以通为补。若与守中。必致壅逆。咋日用方。通胜于补获安。幼稚非真
虚寒之病。
人参 茯苓 益智 广皮 炒荷叶 炒粳米
又 鼻明汗出。龈血。阳明虚。胃气未和。不宜凉降。六神汤加炒广皮。
虞 面色痿黄。脉形弦迟。汤水食物。入咽吐出。神气恹恹。欲如昏寐。此胃阳大乏。风木来乘。渐
延厥逆。俗称慢脾险症。幼稚弱质。病延半月有余。岂可再以疲药玩忽。宗仲景食谷欲呕者。
吴茱萸汤主之。
人参 吴萸 茯苓 半夏 姜汁
又 昨用泄木救胃土法。安受不见呕吐。然中焦阳气大虚。浊气上僭。则为昏厥。津液不升。唇
舌干燥。岂可苦寒再伐生气。今如寐神倦。阳陷于阴何疑。仲景通阳理虚。后贤钱氏薛氏。皆
宗其义。
人参 炒半夏 茯苓 广皮 煨姜 南枣
苏 周岁幼小。强食腥面。身不大热。神气呆钝。上吐下泻。最防变出慢惊。此乃食伤脾胃。为有
余。因吐泻多。扰动正气致伤耳。（食伤脾胃）
广皮 浓朴 茯苓 广藿香 生益智 木瓜
陈 凉风外受。内郁热伏。身发瘾疹。便解血腻。烦渴。得汗。仅解外风。在里热滞未和。啾唧似痛。
大便仍有积滞。清里极是。但半岁未啖谷食。胃弱易变惊症。少少与药。（郁热内伏）
藿香梗 川连 黄芩 生白芍 淡竹叶 广皮 滑石 炒楂肉
余 形神衰弱。瘕泄纯白。而痈疡疳蚀未罢。气喘痰升。总是损极。今胃虚纳减。倘内风掀动。惊
厥立至。孰不知因虚变病也。（胃阳虚）
人参 炒粳米 茯神 炒广皮 炒荷叶蒂
吕（十二） 痰中带血。食已呕吐。因惊仆气逆。令胃不和。与黄连温胆汤。因年弱质怯。以金石
斛代之。（胃不和）
温胆汤去甘草加金石斛姜汁。
某（九岁） 久呕少食。（胃虚气逆）
人参 半夏 茯苓 广皮 姜汁
某 蛔厥。少腹痛。欲呕。安胃丸
王（九岁） 久泻。兼发疮痍。是湿胜热郁。苦寒必佐风药。合乎东垣脾宜升。胃宜降之旨。（湿热）
人参 川连 黄柏 炙草 广皮 白术 神曲 麦芽 柴胡 升麻 羌活 防风
何（十一） 夏病入冬。仍腹痛下积。稚年不慎食物。肠胃屡滞。利久阴伤。身热发呛。先与理阴。疏腑滞
浊。（久痢伤阴积滞未清）
熟地炭 当归炭 山楂 炮姜 炙草 茯苓 麦芽
世俗所称慢惊风者。不知起于何代。创是名者。其遗祸于婴孩。已不啻万亿矣。盖就其
所指之病而论。如吐泻兼作。气怯神倦。虚烦搐搦。痰喘不食。脉虚无神。睡则露睛等症。乃
与病名毫不相关。其所指之症。是或由外感未清。或诸病误治。或饮食失调。或由病后而
成。以致吐则伤胃。泻则伤脾。土衰则不生金。中虚木必乘克。是皆肝脾肺胃之病。治宜急
顾本原。扶土生金。安胃和肝。温养肾阳。犹虑弗及。若就其名而治之。医家胸中。先执慢惊
风三字之名。概用重坠之药。镇惊定怯。或散风清火。豁痰破气。其遗祸可胜言哉。盖是症。
因中土已虚。风木已动。延久必现出似惊之状耳。实则并非因惊而起也。奈何竟以慢惊
风名之。岂非指鹿为马乎。要之慢字。若以急慢而论。则凡病之缓者。皆可称为慢。惟惊乃
属急症。不可以慢字加之。若以傲慢。肆慢而讲。于病名上。又甚荒唐。惟愿观幼科书者。当
知其背谬不通。勿为其所惑。则幸甚。今观先生案中。并未尝用及惊药风药。是明征也。此
症更当兼参东垣立斋景岳诸法而治之。则无遗蕴矣。（华岫云）
吴姓患儿：身体发热，吐奶并自行腹泻。这是温邪内扰脾胃所致。年幼体弱，需防止发生惊风。（病因：温邪）
用药：藿香叶、飞滑石。
王姓患儿：未满周岁。热邪侵犯脾胃，出现呕吐逆气、下利。高热持续不退，极易转变为慢惊风。
用药：人参、川黄连、黄芩、藿香梗、广陈皮、生白芍、乌梅。
某患者：暑邪侵犯肺脏，正值长夏土旺之时，患者脾胃素来虚弱不能运化。感受暑湿之邪，腹部鸣响，泄泻，恶心，眼睛半开半合（露睛），恐怕会演变成慢惊风。
（病因：暑湿）
用药：人参、藿香、炒厚朴、木瓜、川黄连、茯苓、炒扁豆、泽泻。
章姓患儿：伤食这一病症，参考古法使用五积散的意义，旨在温暖胃腑使其能够腐熟水谷。既然已经频繁上涌呕吐，大便溏泻，胃气进一步受损，阳气被困日益严重，清阳不升，浊阴不降，痰饮上潮导致干呕，腹鸣，大便失禁，睡眠时眼睛半开半合，牙龈发黑，嘴唇紫暗，小便完全无。阳气运行不畅，津液自然耗损，有发展为慢惊风及昏厥的危险。议定采用通补胃阳的方法。研读钱乙、薛己的医书，能理解此意。（病机：胃阳伤）
用药：人参、郁金、炒半夏、炒白附子、茯苓、石菖蒲、炒广陈皮、炒粳米。
复诊：阳明胃阳受伤，六腑病变以通为补。如果使用守中固涩之法，必然导致壅滞逆乱。昨日所用的方剂，通利胜于补益，因而获安。婴幼儿并非真正的虚寒之病。
用药：人参、茯苓、益智仁、广陈皮、炒荷叶、炒粳米。
再诊：鼻部出汗，牙龈出血，这是阳明虚证，胃气尚未调和，不宜使用凉降药物。在六神汤基础上加炒广陈皮。
虞姓患儿：面色萎黄，脉象弦迟，汤水食物咽下即吐出，精神萎靡，昏昏欲睡，这属于胃阳极度匮乏，肝木来乘克脾土，逐渐延变为厥逆，俗称慢脾危症。幼儿体质柔弱，病程已延续半月有余，岂可再用平庸药物轻视对待？遵循张仲景“食谷欲呕者，吴茱萸汤主之”的原则。
用药：人参、吴茱萸、茯苓、半夏、姜汁。
复诊：昨日采用疏泄肝木以救胃土的方法，安稳后未见呕吐。然而中焦阳气大虚，浊气上僭则会导致昏厥，津液不升则唇舌干燥，岂可用苦寒药物再次伐伤生气？如今如睡梦中神情倦怠，阳气陷于阴分，有何可疑？张仲景主张通阳理虚，后世钱乙、薛己也都遵循这一义理。
用药：人参、炒半夏、茯苓、广陈皮、煨姜、南枣。
苏姓患儿：周岁幼小，强行食用腥腻面食，身体不大热，精神呆钝，上吐下泻，最需防备变生慢惊风。这是饮食损伤脾胃，属于实证有余，但因吐泻过多，扰动正气导致受伤。（病因：食伤脾胃）
用药：广陈皮、厚朴、茯苓、广藿香、生益智仁、木瓜。
陈姓患儿：外受凉风，内郁热伏，身体发出瘾疹，解出带有黏腻的血便，烦躁口渴。虽然得汗，仅解除了外风，在里的热滞仍未调和，腹部细微疼痛似痛非痛，大便仍有积滞。清里热非常正确，但患儿半岁未进食谷物，胃弱容易变生惊症，给药宜少。（病因：郁热内伏）
用药：藿香梗、川黄连、黄芩、生白芍、淡竹叶、广陈皮、滑石、炒山楂肉。
余姓患儿：形体神态衰弱，泄泻纯白色，而痈疡疳蚀尚未痊愈，气喘痰升，总是损伤至极。如今胃虚纳食减少，倘若内风掀动，惊厥立刻到来。谁不知道是因虚而变生病呢？（病机：胃阳虚）
用药：人参、炒粳米、茯神、炒广陈皮、炒荷叶蒂。
吕姓患儿（十二岁）：痰中带血，进食后呕吐，因惊吓跌倒导致气逆，致使胃不和。给予黄连温胆汤。因年弱体质怯，用金石斛替代原方中的某些药物。（病机：胃不和）
用药：温胆汤去甘草，加金石斛、姜汁。
某患儿（九岁）：长期呕吐，进食少。（病机：胃虚气逆）
用药：人参、半夏、茯苓、广陈皮、姜汁。
王姓患儿（九岁）：长期腹泻，兼发疮疡，这是湿胜热郁所致，苦寒药必佐以风药，符合李东垣“脾宜升则健，胃宜降则和”的宗旨。（病因：湿热）
用药：人参、川黄连、黄柏、炙甘草、广陈皮、白术、神曲、麦芽、柴胡、升麻、羌活、防风。
何姓患儿（十一岁）：夏季患病入冬，仍腹痛下积。幼儿不慎饮食，肠胃屡次停滞，痢疾日久损伤阴液，身热发呛，先予调理阴分，疏通腑中滞浊。（病因：久痢伤阴，积滞未清）
用药：熟地黄炭、当归炭、山楂、炮姜、炙甘草、茯苓、麦芽。
世俗所称的“慢惊风”，不知起源于哪个朝代，创立这个名称的人，给婴孩带来的祸害，已不止万亿了。大概就其所指的疾病而言，如吐泻并作，气怯神倦，虚烦抽搐，痰喘不食，脉虚无神，睡眠时眼睛半开半合等症状，与“慢惊风”这个病名毫不相关。其所指的症状，有的是由外感未清，有的是诸病误治，有的是饮食失调，有的是因病后而成，以致于呕吐伤胃，腹泻伤脾，土衰则不生金，中虚则木必乘克，这些都是肝、脾、肺、胃的疾病，治疗应当急顾本原，扶土生金，安胃和肝，温养肾阳，还担心做得不够周到。如果就其名而治之，医家胸中先执着于“慢惊风”这三个字的名字，一概使用重坠的药物镇惊定怯，或者散风清火，豁痰破气，其遗祸怎能说得完呢？因为这个病症，是因为中土已虚，风木已动，拖延久了必然现出类似惊风的状貌罢了。实际上并不是因为受惊而起。为何竟然用“慢惊风”命名，岂不是指鹿为马吗？总之，“慢”字，如果是按急慢来论，那么凡是病情缓和的病，都可以称为慢，只有惊才属于急症，不可以用“慢”字加在上面。如果是从傲慢、轻慢来讲，用在病名上又甚荒唐。只希望阅读幼科书籍的人，应当知道其背谬不通，不要被它所迷惑，那就万幸了。现在看先生的医案中，并未曾使用过惊药、风药，这是明显的证据。此症更应当兼参李东垣、薛立斋、张景岳等人的方法而治疗，就没有遗漏了。（华岫云 评注）
Wu: The child has fever, spits up milk, and has spontaneous diarrhea. This is caused by warm pathogenic factors disturbing the spleen and stomach internally. In young children, one must guard against convulsions. (Etiology: Warm Pathogen)
Prescription: Huoxiang Ye (Agastache Leaf), Fei Huashi (Prepared Talcum).
Wang: The child is under one year old. Heat pathogens invade the spleen and stomach, causing vomiting, regurgitation, and diarrhea. High fever persists without abating, with a high risk of transforming into slow convulsions.
Prescription: Renshen (Ginseng Root), Chuanlian (Coptis Rhizome), Huangqin (Scutellaria Root), Huoxiang Geng (Pogostemon Stem), Guangpi (Tangerine Peel), Sheng Baishao (Raw White Peony Root), Wumei (Mume Fruit).
Certain patient: Summer-heat pathogens attack the lung. During the period when Earth rules (late summer), the spleen and stomach are inherently weak and fail to transport and transform. Affected by summer-dampness, there is abdominal borborygmus, diarrhea, nausea, eyes half-open (exposing the whites), and fear of progressing to slow convulsions.
(Etiology: Summer-Dampness)
Prescription: Renshen (Ginseng Root), Huoxiang (Patchouli), Chao Houpo (Stir-fried Magnolia Bark), Mugua (Chaenomeles Fruit), Chuanlian (Coptis Rhizome), Fuling (Poria), Chao Bian Dou (Stir-fried Lablab Bean), Zexie (Alisma Rhizome).
Zhang: Food retention syndrome. Referencing the principle of Wuji San used in ancient times, the aim is to warm the stomach to facilitate rotting and ripening. Since there is frequent upward surging and vomiting, along with loose stools, the Stomach Qi is further damaged. Yang Qi is trapped and increasingly compromised; clear Yang fails to ascend, turbid Yin fails to descend. Phlegm floods causing dry retching, abdominal borborygmus, fecal incontinence, eyes half-open during sleep, black gums, purple lips, and complete absence of urination. Yang Qi does not circulate freely, leading to natural consumption of body fluids. There is danger of slow convulsions and syncope. The proposal is to unblock and tonify Stomach Yang. Studying the works of Qian Yi and Xue Ji allows one to understand this intent. (Pathogenesis: Injury to Stomach Yang)
Prescription: Renshen (Ginseng Root), Yujin (Curcuma Longa Rhizome), Chao Banxia (Stir-fried Pinellia Tuber), Chao Baifuzi (Stir-fried Typhonii Rhizoma), Fuling (Poria), Changpu (Acorus Rhizome), Chao Guangpi (Stir-fried Tangerine Peel), Chao Jingsmi (Stir-fried Rice).
Second visit: Yangming Stomach Yang is injured. For fu-organ diseases, unblocking serves as tonification. If central-stabilizing methods are used, it will inevitably lead to stagnation and rebellion. The prescription used yesterday achieved peace through unblocking rather than tonification. Young children do not suffer from true deficiency-cold diseases.
Prescription: Renshen (Ginseng Root), Fuling (Poria), Yizhi (Alpinia Oxyphylla Fruit), Guangpi (Tangerine Peel), Chao Heye (Stir-fried Lotus Leaf), Chao Jingsmi (Stir-fried Rice).
Third visit: Sweating from the nose, bleeding gums. This indicates Yangming deficiency and unharmonized Stomach Qi. Cooling and descending methods are inappropriate. Add Chao Guangpi (Stir-fried Tangerine Peel) to Liushen Tang.
Yu: The complexion is sallow and withered, pulse is wiry and slow. Liquids and food are vomited immediately after swallowing. Spirit is listless, resembling drowsiness or coma. This indicates severe lack of Stomach Yang, with Liver Wood overacting on Spleen Earth, gradually extending to jue-ni (cold reversal). Commonly known as the critical condition of "slow spleen." The infant has a weak constitution, and the disease has persisted for over half a month. How can one casually use mediocre medicines? Following Zhang Zhongjing's principle: "For those who desire to vomit after eating, Wuzhuyu Tang governs."
Prescription: Renshen (Ginseng Root), Wuyu (Evodia Fruit), Fuling (Poria), Banxia (Pinellia Tuber), Jiangzhi (Ginger Juice).
Second visit: Yesterday, the method of draining Liver Wood to save Spleen Earth was used, resulting in cessation of vomiting. However, Middle Jiao Yang Qi is severely deficient. Turbid Qi surging upward leads to syncope; failure of fluids to ascend causes dry lips and tongue. How can bitter-cold herbs be used again to destroy vital Qi? Currently, the child sleeps with listless spirit, indicating Yang sinking into Yin. There is no doubt about this. Zhang Zhongjing advocates unblocking Yang and managing deficiency; later experts Qian Yi and Xue Ji all followed this principle.
Prescription: Renshen (Ginseng Root), Chao Banxia (Stir-fried Pinellia Tuber), Fuling (Poria), Guangpi (Tangerine Peel), Wei Jiang (Baked Ginger), Nanzao (Southern Jujube).
Su: The child is only one year old, forced to eat fishy and wheat foods. Body temperature is not significantly elevated, but spirit is dull. Upper vomiting and lower diarrhea occur. One must most vigilantly prevent transformation into slow convulsions. This is food injuring the spleen and stomach, representing excess. Due to excessive vomiting and diarrhea, Zheng Qi (Upright Qi) is disturbed and damaged. (Etiology: Food Injury to Spleen and Stomach)
Prescription: Guangpi (Tangerine Peel), Houpo (Magnolia Bark), Fuling (Poria), Guang Huoxiang (Broadleaf Patchouli), Sheng Yizhi (Raw Alpinia Oxyphylla Fruit), Mugua (Chaenomeles Fruit).
Chen: External cool wind received, internal heat constrained and latent. Urticaria appears on the body. Stool contains bloody mucus. Irritability and thirst. Although sweating occurred, only external wind was resolved; internal heat stagnation remains unharmonized. Abdominal discomfort described as "chou ji" (whimpering/pain). Stool still contains stagnation. Clearing the interior is correct, but at six months old and not yet consuming grain, the stomach is weak and prone to convulsive disorders. Medication should be administered in small amounts. (Etiology: Constrained Heat Latent Internally)
Prescription: Huoxiang Geng (Pogostemon Stem), Chuanlian (Coptis Rhizome), Huangqin (Scutellaria Root), Sheng Baishao (Raw White Peony Root), Dan Zhuye (Lophatherum Leaf), Guangpi (Tangerine Peel), Huashi (Talcum), Chao Zharon Rou (Stir-fried Hawthorn Flesh).
Yu: Form and spirit are depleted. Diarrhea is purely white. Carbuncles and gan erosion have not subsided. Asthma and rising phlegm indicate extreme damage. Now, Stomach deficiency leads to reduced intake. If internal wind stirs, convulsions will arrive immediately. Who does not know that illness arises from deficiency? (Pathogenesis: Stomach Yang Deficiency)
Prescription: Renshen (Ginseng Root), Chao Jingsmi (Stir-fried Rice), Fushen (Poria with Hostwood), Chao Guangpi (Stir-fried Tangerine Peel), Chao Heti (Stir-fried Lotus Peduncle).
Lu (12 years old): Blood in phlegm, vomiting after eating. Caused by fright and falling leading to Qi rebellion, resulting in disharmony of the Stomach. Given Huanglian Wendan Tang. Due to weak age and constitution, Jinshihu (Dendrobium) replaces certain ingredients. (Pathogenesis: Stomach Disharmony)
Prescription: Wendan Tang minus Gancao, plus Jinshihu (Dendrobium Stem) and Jiangzhi (Ginger Juice).
Certain patient (9 years old): Chronic vomiting, low food intake. (Pathogenesis: Stomach Deficiency with Qi Rebellion)
Prescription: Renshen (Ginseng Root), Banxia (Pinellia Tuber), Fuling (Poria), Guangpi (Tangerine Peel), Jiangzhi (Ginger Juice).
Certain patient: Ascaris jue (roundworm cold reversal), lower abdominal pain, desire to vomit. Anwei Wan.
Wang (9 years old): Chronic diarrhea, accompanied by skin sores. This is dampness prevailing with heat constraint. Bitter-cold herbs must be assisted with wind-dispelling herbs, aligning with Dongyuan's principle: "Spleen prefers ascending, Stomach prefers descending." (Etiology: Damp-Heat)
Prescription: Renshen (Ginseng Root), Chuanlian (Coptis Rhizome), Huangbai (Phellodendron Bark), Zhi Cao (Honey-fried Licorice Root), Guangpi (Tangerine Peel), Baizhu (Atractylodes Macrocephala Rhizome), Shenqu (Medicated Leaven), Maiya (Barley Sprout), Chaihu (Bupleurum Root), Shengma (Cimicifuga Rhizome), Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root).
He (11 years old): Disease started in summer, persists into winter with abdominal pain and dysenteric accumulation. Children's dietary indiscretion causes repeated gastrointestinal stagnation. Prolonged diarrhea injures Yin. Fever and coughing/choking occur. First treat by regulating Yin and clearing fu-organ stagnation and turbidity. (Etiology: Prolonged Dysentery Injuring Yin, Unclear Stagnation)
Prescription: Shudi Tan (Charred Rehmannia Root), Danggui Tan (Charred Angelica Sinensis Root), Shanzha (Hawthorn Fruit), Pao Jiang (Processed Ginger), Zhi Cao (Honey-fried Licorice Root), Fuling (Poria), Maiya (Barley Sprout).
The term "Slow Convulsions" commonly used by the secular world, originating from an unknown dynasty, has inflicted calamities upon infants beyond counting. Regarding the diseases it refers to, such as simultaneous vomiting and diarrhea, timidity and fatigue, empty irritability and spasms, phlegmatic asthma and anorexia, pulse void and spiritless, eyes half-open during sleep—these symptoms are irrelevant to the name "Slow Convulsions." The symptoms referred to may arise from unresolved external contraction, mismanagement of various diseases, dietary irregularity, or post-illness conditions. Thus, vomiting injures the Stomach, diarrhea injures the Spleen. When Earth is deficient, it fails to generate Metal; when the Center is deficient, Wood inevitably overacts. These are diseases of the Liver, Spleen, Lung, and Stomach. Treatment should urgently attend to the root, support Earth to generate Metal, calm the Stomach and harmonize the Liver, and warm/nourish Kidney Yang. One might still worry about insufficiency. If treatment follows the name, physicians fixate on the three characters "Slow Convulsions," indiscriminately using heavy/sinking drugs to settle fright and timidity, or dispersing wind and clearing fire, resolving phlegm and breaking Qi. The resulting harm is incalculable. This condition arises because Middle Earth is already deficient and Wind Wood is already moving; prolonged duration manifests a state resembling convulsions. In reality, it does not originate from fright. Why name it "Slow Convulsions"? Is this not calling a deer a horse? Essentially, if "slow" refers to speed, any chronic disease could be called slow. Only "convulsion" belongs to acute conditions and should not be prefixed with "slow." If interpreted as arrogance or negligence, applying it to a disease name is absurd. I hope readers of pediatric texts recognize this fallacy and are not misled. It is fortunate. Observing Mr. Ye's cases, he never uses anti-convulsant or wind-dispersing herbs, which is clear evidence. This condition should also be treated by referencing the methods of Dongyuan, Liza, and Jingyue, leaving nothing omitted. (Commentary by Hua Xiuyun)