镇惊丸,镇惊宁神,退热化痰止嗽∶珍珠(一钱) 琥珀(三钱) 金箔(十片) 胆星(五钱) 牛黄
(二钱) 麝香(五分) 天竺黄 雄黄(各三钱) 辰砂(三钱半) 上末之,姜糊丸,梧子大,每服六丸,薄
荷、姜蜜汤下。大天南星丸,治急慢惊风,涎潮发搐,牙关紧急,口眼相引等症∶胆星(五钱) 天麻 人参 防
风(各二钱半) 牛黄 乳香(各一钱) 朱砂(二钱) 全蝎(十四枚) 麝香(一钱) 脑子(五分) 炼蜜
为丸,芡实大,荆芥、薄荷汤下。急慢惊风,发热口噤,手足心伏热,痰热,痰嗽,痰喘,并用涌法
重剂,用瓜蒂散轻剂,用苦参、赤小豆末,复用酸齑汁调服之,后用通圣散,蜜丸服之,间以桑树上桑牛,阴干研末
服,以平其风。桑牛比杨牛则色黄白者是。治小儿惊而有热者,人参、茯苓、白芍药、酒炒白术、生姜煎服。夏月加
黄连、生甘草、竹叶。世有一药,通治二惊,切不可妄用。惊有二证,一者,热痰主急惊,当宜泻之;一者,脾虚
乃为慢惊所主,多死,治当补脾。急者,只宜降火、下痰、养血;慢者,只用朱砂安神丸,更于血药中求之。东垣
云∶慢惊先实脾土,后散风邪。黑龙丸治急慢二证∶胆星(一两) 礞石(一两) 辰砂(三钱) 芦荟 天竺黄(
各五钱) 蜈蚣(一钱半烧灰) 僵蚕(五钱) 青黛(五钱) 上以甘草膏和丸,如鸡头大,急惊
用姜蜜薄荷汤化下,慢惊用桔梗白术汤化下。小儿未盈月惊欲作,中风即死,朱砂新水调浓涂五心神验。惊风,用
全蝎一个去翅足,薄荷四叶裹合,于火上炙令叶焦,同研为末,作四服,汤下。大人风涎,只作一服。胎中受惊,未满
月发惊,用朱砂研细,用牛黄少许,猪乳汁调稀,抹入口
中,入麝香尤妙。初惊用防风导赤散,生干地黄、川芎、木通、防风、甘草等分,用三钱,竹叶煎服。款用宁神膏∶
麦门冬去心(一两) 净麝香(一钱) 茯苓 朱砂(各一两) 上为末,炼蜜丸小饼子,临卧薄荷汤化下,夜
一饼。老医尝言,小儿惊搐,多是热证,若便用惊风药,白附子、全蝎、僵蚕、川乌之类,便是坏证。后有医科惊药,
只用导赤散加地黄、防风,进三服,导去心经邪热,其搐便止,次服宁神膏神效。治急慢惊风夺命散,痰涎潮壅滞于
咽间,命在须臾,服此无不愈,神效不可尽述,用青礞石一两,入坩锅内,同焰硝一两,炭火 通红,硝尽为度,
候冷,药如金色,取研为末。急惊风,痰发热者,薄荷、自然汁调服;慢惊风,脾虚者,以青州白丸子研,煎成稀糊,
入蜜调下。治急慢惊风垂死者,亦可教灸法。男左女右,于大指上,半肉半甲,如箸头大,艾灸三壮。却用∶辰砂
薄荷 轻粉(各半钱) 全蝎(一个去翅) 巴豆(一粒去油尽) 同为末,每服半字,用米糕屑煎
汤调服。如牙关紧者,挑开灌之,口吐涎痰,腹中泻即愈。吐泻后成慢惊,昏睡,手足搐搦,以金液丹五钱,青州白丸
子三钱,同研为末,生姜米饮调下三分。惊风,子母俱可服四君合二陈加薄荷、天麻、细辛、全蝎。日月丹,治小
儿急慢惊风∶朱砂(一两) 轻粉(一两) 蜈蚣(一条) 上为末,青蒿节内虫为丸,如黍米大,每一岁一丸,乳
汁送下。小儿急慢惊风,热痰壅盛发热∶北薄荷叶 寒水石(各一两) 青黛 白僵蚕 辰砂(以上各一钱) 全蝎(二
枚炒) 猪牙皂角(五分炒) 槐角(五分) 防风(半钱梢) 上为末,灯心汤调乳汁灌之。角弓反
张,眼目直视,因惊而致,南星、半夏、竹沥、姜汁灌之,灸印堂。急慢惊风致死者,母丁香一粒口嚼细,人中白刮
少许,以母中指血调,擦牙上即苏。又方,用白乌骨雄鸡
血,抹唇上立苏。
镇惊丸,具有镇惊宁神、退热化痰止咳的功效:珍珠(一钱),琥珀(三钱),金箔(十片),胆南星(五钱),牛黄(二钱),麝香(五分),天竺黄,雄黄(各三钱),辰砂(三钱半)。以上药物研为细末,用姜汁糊制作成梧桐子大小的药丸。每次服用六丸,用薄荷和姜蜜汤送服。
大天南星丸,治疗急惊风和慢惊风,症状包括痰涎上涌引发抽搐、牙关紧闭、口眼歪斜牵引等症:胆南星(五钱),天麻,人参,防风(各二钱半),牛黄,乳香(各一钱),朱砂(二钱),全蝎(十四枚),麝香(一钱),脑子(即冰片,五分)。用炼蜜制作成芡实大小的药丸,用荆芥和薄荷汤送服。
对于急惊风和慢惊风,出现发热、牙关紧闭、手足心伏热、痰热、痰咳、痰喘等症状,均应采用涌吐法。重剂使用瓜蒂散;轻剂使用苦参和赤小豆的粉末,再用酸醋汁调匀后服用。之后服用通圣散,制成蜜丸服用。期间可配合使用桑树上的桑牛(桑螵蛸或相关昆虫,此处指特定虫类),阴干后研成粉末服用,以平息肝风。桑牛与杨牛相比,颜色呈黄白色的是桑牛。
治疗小儿受惊且伴有热证者,用人参、茯苓、白芍药、酒炒白术、生姜煎煮后服用。夏季加黄连、生甘草、竹叶。世间有一种药物声称能通治两种惊风,但切不可随意滥用。惊风有两种证型:一是热痰导致急惊风,应当采用泻法;二是脾虚导致慢惊风,病情多危重,治疗应当补益脾土。急惊风只适宜降火、祛痰、养血;慢惊风只用朱砂安神丸,并在养血药物中寻求疗效。李东垣曾说:慢惊风应先充实脾土,然后再疏散风邪。
黑龙丸治疗急惊风和慢惊风两种证型:胆南星(一两),青礞石(一两),辰砂(三钱),芦荟,天竺黄(各五钱),蜈蚣(一钱半,烧成灰),僵蚕(五钱),青黛(五钱)。以上药物用甘草膏调和制成药丸,大小如鸡头米。急惊风用姜蜜薄荷汤化开送服,慢惊风用桔梗白术汤化开送服。
小儿未满月时若受惊欲发作中风,会立即死亡,可用新汲水调浓朱砂涂抹于五神穴(手少阴心经、手厥阴心包经、足太阴脾经、足阳明胃经、足少阳胆经之井穴,具体指代需结合临床,此处泛指重要穴位或特定部位,原文未详述具体位置,仅称五神)以验其效。
治疗惊风,取一个去翅足的全蝎,用四片薄荷叶包裹,在火上烤至叶子焦枯,一同研成粉末,分为四次服用,用汤药送服。成人风涎证,只需一次服用。胎中受惊,未满月发作惊风,用朱砂研细,加入少许牛黄,用猪乳汁调稀,涂抹入口中,加入麝香效果更佳。初次受惊用防风导赤散,由生干地黄、川芎、木通、防风、甘草等分组成,每次用三钱,用竹叶煎煮后服用。
随后使用宁神膏:麦门冬去心(一两),净麝香(一钱),茯苓,朱砂(各一两)。以上药物研为细末,用炼蜜制成小饼状,睡前用薄荷汤化开服用,每晚一饼。老医生曾说,小儿惊搐多是热证,如果立即使用惊风药如白附子、全蝎、僵蚕、川乌之类,会导致坏证(病情恶化)。后来有医科惊药方,只用导赤散加地黄、防风,服用三剂,引导去除心经的邪热,抽搐便停止,接着服用宁神膏,效果神奇。
治疗急慢惊风夺命散,用于痰涎潮涌壅滞于咽喉间,性命垂危之际,服用此方无不痊愈,神效不可尽述。用法是取青礞石一两,放入坩埚内,同焰硝一两,用炭火加热至通红,直到硝完全耗尽为止。冷却后,药粉呈金色,取出研为细末。急惊风伴有痰热者,用薄荷和自然汁调服;慢惊风属脾虚者,用青州白丸子研碎,煎成稀糊,加入蜂蜜调匀后服用。
治疗急慢惊风濒临死亡者,也可以教给灸法。男性取左手,女性取右手,在大拇指上,半肉半甲处,如筷子头大小,艾灸三壮。随后使用:辰砂,薄荷,轻粉(各半钱),全蝎(一个,去翅),巴豆(一粒,去油尽)。共同研为细末,每次服用半字量,用米糕屑煎汤调服。如果牙关紧闭,挑开嘴巴灌入,患者口吐涎痰,腹部腹泻后即可痊愈。
吐泻后转为慢惊风,出现昏睡、手足抽搐,用金液丹五钱,青州白丸子三钱,共同研为细末,用生姜米饮调下三分。惊风证,母亲和孩子都可以服用四君子汤合二陈汤,加薄荷、天麻、细辛、全蝎。
日月丹,治疗小儿急慢惊风:朱砂(一两),轻粉(一两),蜈蚣(一条)。以上药物研为细末,用青蒿节内的虫子制作药丸,大小如黍米,每岁服用一丸,用乳汁送服。
小儿急慢惊风,热痰壅盛并伴有发热:北薄荷叶,寒水石(各一两),青黛,白僵蚕,辰砂(以上各一钱),全蝎(二枚,炒),猪牙皂角(五分,炒),槐角(五分),防风(半钱梢)。以上药物研为细末,用灯心草汤调乳汁灌服。
角弓反张,眼睛直视,因受惊所致,用南星、半夏、竹沥、姜汁灌服,并灸印堂穴。
急慢惊风导致濒死者,取母丁香一粒细细嚼烂,刮少许人中白,用母亲中指血调和,擦拭牙齿,患者即可苏醒。又一方,用白乌骨雄鸡的血,涂抹在嘴唇上,立即可苏醒。
Zhenjing Wan (Calming Fright Pill) calms fright and soothes the spirit, reduces fever, resolves phlegm, and stops coughing: Zhenzhu (Pearl, 1 qian), Hupo (Amber, 3 qian), Jinbo (Gold Leaf, 10 pieces), Danning (Arisaema Cum Bile, 5 qian), Niuhuang (Calculus Bovis, 2 qian), Shexiang (Musk, 5 fen), Tianzhuhuang (Bambusae Sabla, 3 qian each with Xionghuang (Realgar, 3 qian each), Chensha (Cinnabar, 3.5 qian). Grind the above into fine powder, make pills with ginger paste, size of Sophora japonica seeds. Take 6 pills per dose, administered with a decoction of Bohe (Menthae Haplocalycis Herba) and honey-ginger water.
Da Tian Nanxing Wan (Large Arisaema Pill) treats Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion), with symptoms such as tidal phlegm causing spasms, locked jaw, and deviation of mouth and eyes. Ingredients: Danning (Arisaema Cum Bile, 5 qian), Tianma (Gastrodiae Rhizoma, 2.5 qian), Renshen (Ginseng Radix et Rhizoma, 2.5 qian), Fangfeng (Saposhnikoviae Radix, 2.5 qian), Niuhuang (Calculus Bovis, 1 qian), Ruxiang (Olibanum, 1 qian), Zhusha (Cinnabar, 2 qian), Quanxie (Scorpio, 14 pieces), Shexiang (Musk, 1 qian), Naozhi (Borneol, 5 fen). Make pills with refined honey, size of Euryale seed. Administer with a decoction of Jingjie (Schizonepetae Spica) and Bohe (Menthae Haplocalycis Herba).
For Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion) presenting with fever, locked jaw, latent heat in palms and soles, phlegm-heat, phlegmatic cough, and phlegmatic wheezing, employ the vomiting method. For severe cases, use Gudi San (Melon Trichosanthes Powder); for mild cases, use powder of Kushen (Sophorae Flavescentis Radix) and Chixiaodou (Adzuki Bean), mixed with sour vinegar juice for administration. Subsequently, administer Tongsheng San (Universal Salvation Powder) as honey pills. Meanwhile, use Sang Niu (Silkworms on Mulberry Trees), dried in shade, ground into powder, and taken to pacify wind. Sang Niu is distinguished from Yang Niu by its yellowish-white color.
To treat pediatric fright with heat, decoct Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baishaoyao (White Peony Root), Jiuchao Baizhu (Atractylodis Macrocephalae Rhizoma fried with wine), and Shengjiang (Zingiberis Rhizoma Recens). In summer, add Huanglian (Coptidis Rhizoma), Sheng Gancao (Raw Licorice Root), and Zhuye (Bamboo Leaf). There is a folk remedy claiming to treat both types of fright; it must not be used recklessly. Fright has two syndromes: one is Ji Jing (Acute Convulsion) caused by Phlegm-Heat, which should be purged; the other is Man Jing (Chronic Convulsion) caused by Spleen Deficiency, which is often fatal and requires tonifying the Spleen. Ji Jing (Acute Convulsion) requires clearing fire, resolving phlegm, and nourishing blood; Man Jing (Chronic Convulsion) requires Zhusha Anshen Wan (Cinnabar Calming Spirit Pill), seeking efficacy within blood-nourishing herbs. Li Dongyuan stated: "Treat Man Jing (Chronic Convulsion) by first strengthening Spleen Earth, then dispersing Wind pathogens."
Heilong Wan (Black Dragon Pill) treats both Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion): Danning (Arisaema Cum Bile, 1 liang), Mengshi (Lapis Malachitis, 1 liang), Chensha (Cinnabar, 3 qian), Lvhui (Aloe, 5 qian), Tianzhuhuang (Bambusae Sabla, 5 qian), Wugong (Centipede, 1.5 qian, calcined), Jiangcan (Bombyx Batryticatus, 5 qian), Qingdai (Indigo Naturalis, 5 qian). Mix with licorice paste to form pills the size of a chicken head. For Ji Jing (Acute Convulsion), dissolve in ginger-honey-bohe decoction; for Man Jing (Chronic Convulsion), dissolve in Jiegeng Baizhu Tang (Platycodon and Atractylodes Decoction).
If an infant under one month old suffers prenatal fright and shows signs of stroke, death is imminent. Apply thick Cinnabar paste dissolved in fresh water to the Five Shen points to test efficacy.
For convulsions, take one Scorpio (Quanxie) without wings and feet, wrap it in four leaves of Mentha (Bohe), roast over fire until leaves are charred, grind together into powder, divide into four doses, and administer with decoction. For adults with Wind-Phlegm, take one dose. For prenatal fright manifesting under one month, grind Cinnabar finely, add a small amount of Calculus Bovis (Niuhuang), dilute with pig milk, apply to the mouth; adding Musk (Shexiang) is excellent. For initial fright, use Fangfeng Daochi San (Saposhnikovia and Gardenia Decoction): equal parts of Dihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mutong (Akebiae Caulis), Fangfeng (Saposhnikoviae Radix), and Gancao (Licorice Root). Use 3 qian, decoct with Bamboo Leaves.
Subsequently, use Ningshen Gao (Spirit-Calming Ointment): Maidong (Ophiopogonis Tuber, 1 liang, heart removed), pure Shexiang (Musk, 1 qian), Fuling (Poria, 1 liang), Zhusha (Cinnabar, 1 liang). Grind into powder, make small cakes with refined honey. Dissolve one cake in Bohe (Menthae Haplocalycis Herba) water before sleep, once nightly. Old physicians stated that pediatric convulsions are mostly Heat syndromes. If Jingfeng medicines like Bai Fu Zi (Typhonii Rhizoma), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), or Chuanwu (Aconiti Radix Preparata) are used immediately, it leads to complicated/deteriorated conditions. Later medical practitioners used Daochi San (Gardenia and Licorice Decoction) added with Dihuang (Rehmanniae Radix) and Fangfeng (Saposhnikoviae Radix). After three doses, Heart Fire pathogenic heat is guided out, and convulsions cease. Then administer Ningshen Gao (Spirit-Calming Ointment) for miraculous effect.
Dueming San (Life-Snatching Powder) for Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion) is used when Phlegm-Tidal obstruction blocks the throat, life hanging by a thread. It is universally effective, miracles unspeakable. Prepare by placing 1 liang of Mengshi (Lapis Malachitis) in a crucible with 1 liang of Yan Xiao (Saltpeter), heating with charcoal until red hot, until saltpeter is exhausted. Cool, the medicine turns golden, grind into powder. For Ji Jing (Acute Convulsion) with Phlegm-Heat, mix with Bohe (Menthae Haplocalycis Herba) and natural juice; for Man Jing (Chronic Convulsion) due to Spleen Deficiency, mix with Qingzhou Bai Wanzi (Qingzhou White Pills) decocted into thin paste, sweetened with honey.
For Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion) patients near death, moxibustion can be taught. For males, left hand; for females, right hand. Moxa burn three cones at the point halfway between flesh and nail on the thumb, size of a chopstick head. Subsequently, use: Chensha (Cinnabar), Bohe (Menthae Haplocalycis Herba), Qingfen (Calomelas, half qian each), Quanxie (Scorpio, one, wingless), Badou (Crotonis Fructus, one, oil removed). Grind into powder. Take half a zi (approx. 0.5g) per dose, mixed with rice cake crumb decoction. If the jaw is locked, pry open and pour in. Recovery occurs upon expulsion of phlegm-saliva and abdominal diarrhea.
If slow convulsion follows vomiting and diarrhea, with lethargy and limb spasms, mix 5 qian of Jin Ye Dan (Golden Liquid Pill) and 3 qian of Qingzhou Bai Wanzi (Qingzhou White Pills), grind into powder, and take 3 fen with ginger-rice drink. For convulsions, mother and child may both take Si Jun Zi Tang (Four Gentlemen Decoction) combined with Er Chen Tang (Two Aged Things Decoction), plus Bohe (Menthae Haplocalycis Herba), Tianma (Gastrodiae Rhizoma), Xixin (Asari Radix et Rhizoma), and Quanxie (Scorpio).
Riyue Dan (Sun and Moon Pill) for pediatric Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion): Zhusha (Cinnabar, 1 liang), Qingfen (Calomelas, 1 liang), Wugong (Centipede, one). Grind into powder, make pills with insects found inside Qinghao nodes (Artemisiae Annuae Caulis), size of millet seeds. One pill per year of age, taken with milk.
For pediatric Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion) with excessive Phlegm-Heat and fever: Beibohe (Northern Mint Leaf, 1 liang), Hanshuishi (Stalactitum, 1 liang), Qingdai (Indigo Naturalis, 1 qian), Bai Jiangcan (White Bombyx Batryticatus, 1 qian), Chensha (Cinnabar, 1 qian), Quanxie (Scorpio, two, stir-fried), Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus, 5 fen, stir-fried), Huai Jiao (Sophorae Tonkinensis Fructus, 5 fen), Fangfeng (Saposhnikoviae Radix tip, half qian). Grind into powder, mix with Dengxin Tang (Junci Medullae Decoction) and milk for administration.
For opisthotonos and fixed gaze caused by fright, administer Nanxing (Arisaema Cum Bile), Banxia (Pinelliae Rhizoma), Zhuli (Bambusa Sap), and Jiangzhi (Zingiberis Juice). Moxibustion at Yintang (Ex-HN3).
For Ji Jing (Acute Convulsion) and Man Jing (Chronic Convulsion) leading to near-death state, chew one Mudingxiang (Eugeniae Caryophyllata Flos) thoroughly, scrape some Renzhongbai (Human Tooth Ash), mix with blood from the mother's middle finger, and rub on teeth to revive. Another prescription: apply blood from a white male black-bone chicken to the lips for immediate revival.