钱仲阳云∶小儿发痫，因血气未充，神气未实，或为风邪所伤，或为惊悸所触，亦有因妊娠
七情惊怖所致者。若眼直目牵，口噤涎流，肚膨搐，背项反张，腰脊强劲，形如死状，终日
不醒，则为 矣。如面赤目瞪，吐舌啮唇，心烦气短，其声如羊者，曰心痫。面青唇青两眼
上窜，手足挛掣，反折其声如犬者，曰肝痫。面黑目振，吐涎沫，形体如尸，其声如猪者，
曰肾痫。面如枯骨，目白反视，惊跳反折，摇头吐沫，其声如鸡者，曰肺痫。面色痿黄，目
直腹满自利，四肢不收，其声如牛者，曰脾痫。五痫通用五色丸为主，仍参以各经之药。心
痫属血虚者，用养心汤；发热饮冷为实热，用虎睛丸；发热饮汤为虚热，用妙香散。肝痫者
，虚症用地黄丸；抽搐有力为实邪，用柴胡清肝散；大便不通，用泻青丸。肾痫者用地黄丸
、
生也，用五味异功散；面色赤者，阴火上冲于肺也，用地黄丸。脾痫者用五味异功散；若面
青泻利，饮食少思，用六君子加木香、柴胡；若发热搐掣仰卧，面色光泽脉浮，病在腑为阳
易治；身冷不搐覆卧，面色黯黑脉沉，病在脏为阴难治；凡有此症，先宜看耳后高骨间，先
有青脉纹，抓破出血，可免其患，此皆元气不足之症也，须以紫河车（即小儿胞也）丸为主，而以
补药佐之。设若泛行克伐，复伤元气，则必不时举发，久而变危，多至不救。又有惊风食痫
三种，详见后方，仍参惊风胎风治之。
治验
一老人生子方周岁，秋初暴冷，忽发搐似惊痫，过则气息奄奄，此元气虚弱所致，与补中益
一小儿十岁，一小儿七岁各有痫症，岁发二次，后因出痘及饮食停滞，举发频数。用六君子
一小儿患前症，每发吐痰困倦半晌而苏，诸药不应。年至十三而频发，用紫河车生研烂入人
参、当归末，丸桐子大。每服三五十丸，日进三五服，乳化下，一月渐愈，又佐八珍汤痊愈
一小儿七岁发惊痫，每作，先君令其恣饮人乳，后发渐疏而轻。至十四岁复发，仍用人乳，
不应。余令用肥浓紫河车研烂人乳调如泥，日服二三次，至数具而愈。后常用加减八味丸而
安；至二十三岁发，而手足厥冷，仍用前法，佐以八味丸、十全大补汤而痊。
五痫丸 治诸痫。
雄黄 真珠（各一两，研细） 朱砂（水飞，半两） 水银（二钱半，用铅二两熔化入水银炒结候冷）
上为末，炼蜜丸麻子大。每服二三丸，金银煎汤下。
钱氏蛇黄丸 治惊痫因震骇恐怖，叫号恍惚是也。
蛇黄（真者三个，火 醋淬） 郁金（七分，一处为末） 麝香（另入一匙）
上为末，饭丸桐子大。每服一二丸，煎金银磨刀水化下。
牛黄丸 治风痫因汗出解脱风邪乘虚，迷闷搐掣涎潮，屈指如计数是也。
牛胆南星 全蝎（焙） 蝉蜕（各二钱半） 防风 白附子（生用） 天麻 真僵蚕（炒。各一钱半） 麝香
（半字）
上为末，枣肉和丸，水银半钱，研细入药丸绿豆大。每服一二丸，荆芥生姜汤下。
妙圣丹 治食痫因惊而停食吐乳寒热，大便酸臭是也。
赭石（ 醋淬，二钱半） 巴豆（三个去心油，三钱） 雄黄 蝎稍 朱砂（各一钱） 轻粉 麝香（各一
匙） 杏仁（微炒，二钱）
上为末，枣肉丸梧子大。每服一二丸，木贼草煎汤送下。
星苏散 治诸风口噤不语。
天南星（略炮锉）
上每服五七分，姜四片紫苏五叶水煎，入雄猪胆少许温服。
断痫丹 治痫瘥后复作，症候多端，连绵不除者。
黄 （蜜炙） 钩藤钩 细辛 甘草（炙。各半两） 蛇蜕（二寸，酒炙） 蝉蜕（四个） 牛黄（一钱，另研）
上为末，煮枣肉丸麻子大，煎人参汤下，每服数丸，量儿加减。
消风丸 治风痫，先宜此药。
牛胆南星（二钱） 羌活 独活 防风 天麻 人参 荆芥 川芎 细辛（各一钱）
上为末，蜜丸桐子大。每服二丸，薄荷紫苏汤调化下。
祛风保安丸 诸风久远治之并验。
川乌（去皮尖，二钱半，生用） 五灵脂（半两）
上为末，猪心血丸桐子大。每服一二丸，姜汤化下。
雌黄丸 治颠痫搐掣恶声嚼舌。
雌黄 黄丹（微炒。各五钱） 麝香（五分）
上为末，用牛乳汁三合熬膏杵丸，麻子大。每服二三丸，以温熟水送下。
比金丸 治惊痫先用此药。
人参 琥珀 白茯苓 远志（姜制取肉炒） 朱砂 天麻 石菖蒲（细蜜者） 川芎 南星 青黛（各
一钱） 麝香（一匙）
上为末，蜜丸桐子大。每服一二丸，金银薄荷汤送下。
虎睛丸 治惊痫邪气入心。
虎睛（细研） 远志（姜汁浸） 犀角（锉屑） 大黄（湿纸包煨） 石菖蒲 麦门冬（各等分） 蜣螂（去足翅
炒，三枚）
上为末，米糊丸桐子大。每服一二丸，竹叶煎汤，或金银薄荷煎汤送下。
清神汤 治惊痫。
犀角（锉屑） 远志（姜汁焙） 白藓皮 石菖蒲 人参 甘草（炒。各一钱半）
上为末，每服五七分，麦门冬煎汤调下。
密陀僧散 治心痫不语，及诸惊失音，用密陀僧为末，每服一匙，米醋汤调下，大人服一钱
蝎虎散 治惊痫。
褐色生蝎虎（一个，连血细研）
上入朱砂、麝香末少许同研，用薄荷汤调作一服，数年者亦效。盖痫疾皆心血虚滞，生蝎虎
管守其血。继服二陈汤，若无生蝎，以带性雄猪心血代用，入代赭石散大妙。
代赭石散 治阴阳痫。
代赭石（ 醋淬，研为末水飞过晒干）
上为末，每服半钱，以金银煎汤和金箔银箔调，连进二服。脚胫上有赤斑乃邪气发出可治，
化风丹 凉风化痰，退热定搐。
牛胆南星 羌活 独活 防风 天麻 人参 川芎 荆芥 粉草（各一钱） 全蝎（一个）
上为末，炼蜜丸皂角子大。每服一钱，薄荷汤化下。
茯神汤 治胆气虚寒，头痛目眩，心神恐惧，不能独处，或者惊痫。
茯神 酸枣仁（炒） 黄 （炒） 柏子仁（炒） 白芍药（炒） 五味子（炒。各一两） 桂心 熟地黄（自制）
人参 甘草（炒，五分）
上每服二三钱，水煎。
酸枣仁丸 治胆气实热惊痫，或睡卧不安，惊悸怔忡。
茯神 酸枣仁（炒） 远志 柏子仁（炒） 防风 枳壳（麸炒。各半两） 生地黄（杵膏，半两） 香竹茹
（二钱五分）
上各另为末，蜜丸粟米大。每服七八十丸，白滚汤送下。
定志丸 治心神虚怯，所患同前，或语言鬼神，喜笑惊悸。
人参 茯苓（各一两五钱） 菖蒲 远志（各一两）
上各另为末，蜜丸，如前服。
养心汤 治心血虚怯惊痫，或惊悸怔忡，盗汗无寐，发热烦躁。
黄 白茯苓 茯神 半夏曲 当归 川芎 辣桂 柏子仁 酸枣仁 五味子 人参（各三钱）
上每服一、二钱，姜枣水煎。
妙香散 治心气不足，惊痫或精神恍惚，虚烦少寐，盗汗等症。
辰砂（三钱） 麝香（一钱） 木香（煨二钱五分） 茯苓 山药 茯神 远志 黄 （炒。各一两） 桔梗
甘草（炒） 人参（各五钱）
上各另为末，每服一钱，温酒或白汤调服。
八味地黄丸（即六味地黄丸加附子、肉桂各一两） 治禀赋命门火衰，不能生土，以致脾土虚寒
，
也。或乳母命门火衰，儿饮其乳致前症者，子母并宜服之。（方见惊痫）
加减八味丸 治禀赋肾阴不足，或吐泻久病，津液亏损，口干作渴，或口舌生疮，两足发热
，或痰气上涌，或手足厥冷等症。（即地黄丸加肉桂一两，五味子四两）
地黄丸 治小儿肝经虚热血燥，或风客淫气而患瘰 结核。或四肢发搐，眼目抽动，痰涎上
涌，又治肾肝脑热，肢体消瘦，手足如冰，寒热往来，滑泄肚胀，口臭干渴，齿龈溃烂，爪
黑面黧。或遍身两耳生疮，或耳内出水，或发热自汗盗汗，便血诸血失音等症。其功不能尽
述。（即六味地黄丸，方见肾脏。）
八珍汤 治气血俱虚，阴火内热。或因克伐之剂，脾胃亏损，肌肤消瘦等症。（即四君、四物
二汤，方见惊痫。）
十全大补汤 治气血虚弱，或禀赋不足，寒热自汗，食减体瘦，发热作渴，头痛眩晕。最宜
用之。（方见热症。）
补中益气汤（方见虚羸）
六君子汤（方见内钓）
紫霜丸
天麻丸（二方见脐风）
钱仲阳说：小儿发作痫病，是因为气血尚未充盈，神气尚未充实，有的被风邪所伤，有的被惊恐触动，也有因母亲妊娠期间七情惊怖所致。如果出现眼睛直视、眼球牵引、牙关紧闭、口角流涎、腹部膨隆抽搐、背部和颈部向后反张、腰脊僵硬强劲，身体形态像死了一样，整天不醒，这就是痫病。如果面色红赤、两眼瞪视、吐舌咬唇、心烦气短，叫声像羊的，叫做心痫。面色青紫、嘴唇发青、两眼向上窜动、手足拘挛抽搐、身体反折，叫声像狗的，叫做肝痫。面色黑、眼睛震颤、吐涎沫，形体像尸体一样，叫声像猪的，叫做肾痫。面色像枯骨一样，眼白翻视，惊跳反折，摇头吐沫，叫声像鸡的，叫做肺痫。面色萎黄、眼睛直视、腹部胀满、自发性腹泻、四肢无力收摄，叫声像牛的，叫做脾痫。五种痫病通用五色丸作为主方，同时参考各经的药物进行加减。
心痫属于血虚的，用养心汤；发热且想喝冷水的为实热，用虎睛丸；发热且想喝热水的为虚热，用妙香散。肝痫者，虚证用地黄丸；抽搐有力的是实邪，用柴胡清肝散；大便不通的，用泻青丸。肾痫者用地黄丸；（原文此处有脱漏，结合上下文推测为肾虚相关症状）……生也，用五味异功散；面色赤红的，是阴火上冲于肺，用地黄丸。脾痫者用五味异功散；如果面色青、腹泻、饮食减少、食欲不振，用六君子汤加木香、柴胡；如果发热抽搐仰卧，面色光泽、脉浮，病在腑属阳，容易治疗；如果身冷不抽搐俯卧，面色黯黑、脉沉，病在脏属阴，难以治疗；凡是有这些症状的，先宜看耳后高骨之间，如果先有青色脉络纹路，抓破出血，可以避免其发病，这都是元气不足的病症，必须以紫河车（即小儿胎盘）丸为主，并用补药辅助。如果随意使用攻伐药物，再次损伤元气，则必定不时发作，久而久之变得危险，大多无法救治。又有惊风、食痫三种，详见后方，仍参考惊风、胎风的方法治疗。
治验案例：
一位老人生子刚满周岁，秋初突然受冷，忽然发生抽搐类似惊痫，发作过后气息微弱，这是元气虚弱所致，给予补中益气汤（原文此处截断，推测为方名）。
两个小儿，一个十岁，一个七岁，各有痫症，每年发作两次，后来因为出痘疮及饮食停滞，发作频繁。用六君子汤（原文此处截断，推测为方名）。
一个小儿患前症，每次发作都吐痰、困倦半天才苏醒，各种药物无效。到了十三岁频繁发作，用紫河车生研烂，加入人参、当归末，制成梧桐子大小的丸药。每次服用三五十丸，每天进服三到五次，用乳汁化开送下，一个月逐渐痊愈，又辅以八珍汤完全治愈。
一个小儿七岁发惊痫，每次发作，先君让他尽情喝人乳，后来发作逐渐稀疏且轻微。到了十四岁复发，仍然用人乳，无效。我让他用肥厚的紫河车研烂，用人乳调成泥状，每天服用二三次，直到痊愈。后来常用加减八味丸而安宁；到了二十三岁发作，出现手足厥冷，仍然用前面的方法，辅以八味丸、十全大补汤而痊愈。
五痫丸：治疗各种痫病。
雄黄、真珠（各一两，研细）、朱砂（水飞法处理，半两）、水银（二钱半，用铅二两熔化后加入水银炒至凝结，候冷）。
以上研为末，炼蜜制成麻子大小的丸药。每次服用二三丸，用金银煎汤送下。
钱氏蛇黄丸：治疗因震惊恐怖引起的惊痫，表现为叫喊恍惚。
蛇黄（真品三个，火煅后醋淬）、郁金（七分，一处研为末）、麝香（另入一匙）。
以上研为末，饭丸制成梧桐子大小。每次服用一二丸，用磨刀的水（含金银屑）化开送下。
牛黄丸：治疗风痫，因汗出腠理疏松，风邪乘虚而入，导致迷闷抽搐、涎潮涌起，手指屈伸如计数状。
牛胆南星、全蝎（焙干）、蝉蜕（各二钱半）、防风、白附子（生用）、天麻、真僵蚕（炒，各一钱半）、麝香（半字）。
以上研为末，枣肉和丸，加入水银半钱，研细混入药丸，制成绿豆大小。每次服用一二丸，用荆芥生姜汤送下。
妙圣丹：治疗食痫，因惊吓导致停食、吐乳、寒热交替，大便酸臭。
赭石（火煅醋淬，二钱半）、巴豆（三个去心油，三钱）、雄黄、蝎稍、朱砂（各一钱）、轻粉、麝香（各一匙）、杏仁（微炒，二钱）。
以上研为末，枣肉丸制成梧子大小。每次服用一二丸，用木贼草煎汤送下。
星苏散：治疗各种风口噤不语。
天南星（略炮制锉碎）。
以上每次服用五七分，加姜四片、紫苏五叶水煎，加入少许雄猪胆温服。
断痫丹：治疗痫病缓解后复发，症候多端，连绵不断者。
黄芪（蜜炙）、钩藤钩、细辛、甘草（炙，各半两）、蛇蜕（二寸，酒炙）、蝉蜕（四个）、牛黄（一钱，另研）。
以上研为末，煮枣肉丸制成麻子大小，煎人参汤送下，每次服用数丸，根据儿童年龄加减。
消风丸：治疗风痫，先宜用此药。
牛胆南星（二钱）、羌活、独活、防风、天麻、人参、荆芥、川芎、细辛（各一钱）。
以上研为末，蜜丸制成梧桐子大小。每次服用二丸，用薄荷紫苏汤调化送下。
祛风保安丸：治疗各种风病日久，均有效验。
川乌（去皮尖，二钱半，生用）、五灵脂（半两）。
以上研为末，猪心血丸制成梧桐子大小。每次服用一二丸，姜汤化开送下。
雌黄丸：治疗颠痫抽搐恶声、嚼舌。
雌黄、黄丹（微炒，各五钱）、麝香（五分）。
以上研为末，用牛乳汁三合熬膏杵丸，制成麻子大小。每次服用二三丸，用温熟水送下。
比金丸：治疗惊痫，先用此药。
人参、琥珀、白茯苓、远志（姜制取肉炒）、朱砂、天麻、石菖蒲（细蜜者）、川芎、南星、青黛（各一钱）、麝香（一匙）。
以上研为末，蜜丸制成梧桐子大小。每次服用一二丸，用金银薄荷汤送下。
虎睛丸：治疗惊痫邪气入心。
虎睛（细研）、远志（姜汁浸）、犀角（锉屑）、大黄（湿纸包煨）、石菖蒲、麦门冬（各等分）、蜣螂（去足翅炒，三枚）。
以上研为末，米糊丸制成梧桐子大小。每次服用一二丸，用竹叶煎汤，或金银薄荷煎汤送下。
清神汤：治疗惊痫。
犀角（锉屑）、远志（姜汁焙）、白藓皮、石菖蒲、人参、甘草（炒，各一钱半）。
以上研为末，每次服用五七分，用麦门冬煎汤调下。
密陀僧散：治疗心痫不语，以及各种惊厥失音。用密陀僧为末，每次服用一匙，用米醋汤调下，成人服用一钱。
蝎虎散：治疗惊痫。
褐色生蝎虎（一个，连血细研）。
以上加入朱砂、麝香末少许同研，用薄荷汤调作一服，数年病程者也有效。大概痫疾都是心血虚滞，生蝎虎能管守其血。继服二陈汤，如果没有生蝎虎，可以用带性雄猪心血代替，加入代赭石散效果极佳。
代赭石散：治疗阴阳痫。
代赭石（火煅醋淬，研为末水飞过晒干）。
以上研为末，每次服用半钱，用金银煎汤和金箔银箔调匀，连续服用二服。脚胫上有赤斑是邪气发出的表现，可以治疗。
化风丹：凉风化痰，退热定搐。
牛胆南星、羌活、独活、防风、天麻、人参、川芎、荆芥、粉草（各一钱）、全蝎（一个）。
以上研为末，炼蜜丸制成皂角子大小。每次服用一钱，薄荷汤化开送下。
茯神汤：治疗胆气虚寒，头痛目眩，心神恐惧，不能独处，或者惊痫。
茯神、酸枣仁（炒）、黄芪（炒）、柏子仁（炒）、白芍药（炒）、五味子（炒，各一两）、桂心、熟地黄（自制）、人参、甘草（炒，五分）。
以上每次服用二三钱，水煎。
酸枣仁丸：治疗胆气实热惊痫，或者睡卧不安，惊悸怔忡。
茯神、酸枣仁（炒）、远志、柏子仁（炒）、防风、枳壳（麸炒，各半两）、生地黄（杵膏，半两）、香竹茹（二钱五分）。
以上各另为末，蜜丸制成粟米大小。每次服用七八十丸，白滚汤送下。
定志丸：治疗心神虚怯，所患同前，或者语言错乱如鬼神附体，喜笑惊悸。
人参、茯苓（各一两五钱）、菖蒲、远志（各一两）。
以上各另为末，蜜丸，按前述方法服用。
养心汤：治疗心血虚怯惊痫，或者惊悸怔忡，盗汗无寐，发热烦躁。
黄芪、白茯苓、茯神、半夏曲、当归、川芎、辣桂、柏子仁、酸枣仁、五味子、人参（各三钱）。
以上每次服用一、二钱，姜枣水煎。
妙香散：治疗心气不足，惊痫或者精神恍惚，虚烦少寐，盗汗等症状。
辰砂（三钱）、麝香（一钱）、木香（煨二钱五分）、茯苓、山药、茯神、远志、黄芪（炒，各一两）、桔梗、甘草（炒）、人参（各五钱）。
以上各另为末，每次服用一钱，温酒或白开水调服。
八味地黄丸（即六味地黄丸加附子、肉桂各一两）：治疗禀赋命门火衰，不能生土，以致脾土虚寒……（原文此处截断，推测为导致某种症状）。或者乳母命门火衰，婴儿饮其乳导致前症的，母子都应服用。（方见惊痫章节）
加减八味丸：治疗禀赋肾阴不足，或者吐泻久病，津液亏损，口干作渴，或者口舌生疮，两足发热，或者痰气上涌，或者手足厥冷等症状。（即地黄丸加肉桂一两，五味子四两）
地黄丸：治疗小儿肝经虚热血燥，或者风客淫气而患瘰疬结核。或者四肢发搐，眼目抽动，痰涎上涌，又治肾肝脑热，肢体消瘦，手足如冰，寒热往来，滑泄肚胀，口臭干渴，齿龈溃烂，爪甲黑面色黧黑。或者遍身两耳生疮，或者耳内出水，或者发热自汗盗汗，便血诸血失音等症状。其功效不能尽述。（即六味地黄丸，方见肾脏章节）
八珍汤：治疗气血俱虚，阴火内热。或者因攻伐之剂，脾胃亏损，肌肤消瘦等症状。（即四君、四物二汤，方见惊痫章节）
Qian Zhongyang stated: Pediatric epilepsy occurs because the child's blood and qi are not yet full, and their spirit (Shen) is not yet solid. It may be caused by wind pathogen invasion, or triggered by fright and palpitations. There are also cases caused by the mother's emotional disturbances and fright during pregnancy. If symptoms include staring eyes, eye deviation, locked jaw, drooling, abdominal distension with convulsions, opisthotonos (backward arching of the back and neck), stiff and strong lumbar spine, a body shape resembling death, and unresponsiveness throughout the day, it is classified as epilepsy. If the face is red, eyes are wide open, the tongue protrudes and bites the lips, there is mental restlessness and shortness of breath, and the cry resembles that of a sheep, it is called Heart Epilepsy. If the face and lips are cyanotic, eyes roll upward, limbs contract and spasm, the body arches backward, and the cry resembles that of a dog, it is called Liver Epilepsy. If the face is black, eyes tremble, saliva foams, the body resembles a corpse, and the cry resembles that of a pig, it is called Kidney Epilepsy. If the face looks like dry bone, eyes roll back showing whites, there is startle jumping and arching, head shaking, and foaming at the mouth, with a cry resembling that of a chicken, it is called Lung Epilepsy. If the complexion is sallow, eyes stare straight, abdomen is full, there is spontaneous diarrhea, limbs cannot be controlled, and the cry resembles that of an ox, it is called Spleen Epilepsy. The Five Epilepsies generally use Wu Se Wan (Five-Color Pill) as the main formula, supplemented by herbs corresponding to each meridian.
For Heart Epilepsy due to Blood deficiency, use Yang Xin Tang (Nourish the Heart Decoction). For excess heat manifesting as fever and desire for cold drinks, use Hu Jing Wan (Tiger Eye Pill). For deficient heat manifesting as fever and desire for warm drinks, use Miao Xiang San (Miraculous Fragrance Powder). For Liver Epilepsy, if it is a deficiency syndrome, use Di Huang Wan (Rehmannia Pill); if spasms are forceful indicating excess pathogen, use Chai Hu Qing Gan San (Bupleurum Clearing Liver Powder); if constipation is present, use Xie Qing Wan (Drain Green Pill). For Kidney Epilepsy, use Di Huang Wan; ... [text gap] ... use Wu Wei Yi Gong San (Five-Ingredient Extraordinary Efficacy Powder); if the face is red, it indicates Yin fire rushing up to the Lung, use Di Huang Wan. For Spleen Epilepsy, use Wu Wei Yi Gong San; if there is cyanosis, diarrhea, poor appetite, and reluctance to eat, use Liu Jun Zi Tang (Six-Gentlemen Decoction) added with Mu Xiang (Aucklandiae Radix) and Chai Hu (Bupleuri Radix). If there is fever, convulsions, supine posture, lustrous complexion, and floating pulse, the disease is in the Fu organs (Yang) and is easy to treat. If the body is cold, no convulsions, prone posture, dark complexion, and deep pulse, the disease is in the Zang organs (Yin) and is difficult to treat. For any such symptoms, first examine the area between the high bone behind the ear. If blue vein patterns appear beforehand, pricking them to bleed can prevent the onset. These are all conditions of insufficient Yuan Qi (Original Qi). Treatment must focus on Zi He Che (Placenta Hominis) pills, assisted by tonic herbs. If one indiscriminately uses attacking/draining methods, further damaging the Original Qi, attacks will occur frequently, eventually becoming critical and often incurable. There are also three types: Fright Wind, Food Epilepsy, etc., detailed later, still treating according to Fright Wind and Fetal Wind protocols.
Clinical Cases:
An elderly man had a son just turning one year old. Early autumn brought sudden cold, causing sudden convulsions resembling fright epilepsy. After the episode, his breathing was faint. This was caused by weak Original Qi; [formula name truncated in text, likely Bu Zhong Yi Qi Tang].
Two children, aged ten and seven respectively, both suffered from epilepsy, occurring twice a year. Later, due to smallpox and food stagnation, attacks became frequent. Used Liu Jun Zi Tang... [truncated].
A child suffered from the aforementioned condition, vomiting phlegm and feeling exhausted for half a day before recovering after each attack; various medicines were ineffective. By age thirteen, attacks became frequent. Used Zi He Che (Placenta Hominis) raw and ground into paste, mixed with Ginseng and Angelica sinensis powder, formed into pills the size of sesame seeds. Each dose was 30-50 pills, taken 3-5 times daily, dissolved in milk. Gradually improved over one month, then cured with Ba Zhen Tang (Eight-Treasure Decoction) as an adjunct.
A seven-year-old child developed fright epilepsy. My father instructed him to drink human breast milk freely. Subsequent attacks became less frequent and milder. At age fourteen, it recurred; human milk was used again but was ineffective. I instructed using thick Placenta Hominis ground into paste, mixed with breast milk to form a mud-like consistency, taken 2-3 times daily until cured. Later, Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) was commonly used for stability. At age twenty-three, it recurred with cold extremities; the previous method was used again, assisted by Ba Wei Wan and Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) for recovery.
Wu Xian Wan (Five-Epilepsy Pill): Treats various epilepsies.
Xiong Huang (Realgar), Zhen Zhu (Pearl) (each 1 liang, finely ground), Zhu Sha (Cinnabar, water-triturated, 0.5 liang), Shui Yin (Mercury, 2.5 qian, mixed with 2 liang of molten lead, fried until coagulated, cooled).
Grind into powder, refine honey to make pills the size of hemp seeds. Take 2-3 pills per dose, washed down with decoction of gold and silver.
Qian Shi She Huang Wan (Qian's Snake Yellow Pill): Treats fright epilepsy caused by shock and terror, characterized by crying/wailing and trance-like states.
She Huang (True Snake Gallstone, 3 genuine pieces, fired and quenched in vinegar), Yu Jin (Curcumae Radix, 7 fen, ground together), She Xiang (Musk, add 1 spoon separately).
Grind into powder, make pills with rice paste the size of sesame seeds. Take 1-2 pills per dose, dissolve in water used for grinding knives (containing gold/silver particles).
Niu Huang Wan (Ox Gallstone Pill): Treats wind epilepsy caused by sweating and open pores allowing wind pathogen to invade deficiency, leading to confusion, convulsions, salivation, and fingers curling as if counting.
Niu Dan Nan Xing (Arisaema cum Bile), Quan Xie (Whole Scorpion, roasted), Chan Tui (Cicada Slough) (each 2.5 qian), Fang Feng (Saposhnikoviae Radix), Bai Fu Zi (Typhonii Rhizoma, raw), Tian Ma (Gastrodiae Rhizoma), Zhen Jiang Can (Staphylinidae, roasted) (each 1.5 qian), She Xiang (Musk, 0.5 zi).
Grind into powder, mix with jujube flesh to form pills. Add 0.5 qian of Mercury, finely ground into the pill mixture, making them the size of mung beans. Take 1-2 pills per dose, washed down with Jing Jie (Schizonepetae Herba) and fresh ginger decoction.
Miao Sheng Dan (Miraculous Sage Pill): Treats food epilepsy caused by fright leading to food retention, vomiting milk, alternating chills and fever, and sour-smelling stool.
Zhe Shi (Hematitum, fired and quenched in vinegar, 2.5 qian), Ba Dou (Crotonis Fructus, 3 kernels, heart removed, oil extracted, 3 qian), Xiong Huang (Realgar), Xie Shao (Scorpion tail tip), Zhu Sha (Cinnabar) (each 1 qian), Qing Fen (Calomelas), She Xiang (Musk) (each 1 spoon), Xing Ren (Prunus Armeniaca Seed, lightly fried, 2 qian).
Grind into powder, make pills with jujube flesh the size of wutong seeds. Take 1-2 pills per dose, washed down with Mu Zei (Equiseti Herba) decoction.
Xing Su San (Star-Su Powder): Treats various wind-induced locked jaw and inability to speak.
Tian Nan Xing (Arisaematis Rhizoma, slightly processed and crushed).
Take 0.5-0.7 qian per dose, decoct with 4 slices of ginger and 5 leaves of Zi Su (Perillae Folium). Add a little bile from a wild boar and take warm.
Duan Xian Dan (Seize-Epilepsy Pill): Treats epilepsy relapse after remission, with diverse symptoms persisting continuously.
Huang Qi (Astragali Radix, honey-fried), Gou Teng Gou (Uncariae Ramulus cum Uncis), Xi Xin (Asari Radix et Rhizoma), Gan Cao (Licorice Root, fried) (each 0.5 liang), She Tui (Snake Slough, 2 cun, wine-fried), Chan Tui (Cicada Slough, 4 pieces), Niu Huang (Ox Gallstone, 1 qian, ground separately).
Grind into powder, boil jujube flesh to make pills the size of hemp seeds. Wash down with Ginseng decoction. Take several pills per dose, adjust dosage according to the child's age.
Xiao Feng Wan (Eliminate-Wind Pill): Treats wind epilepsy; this medicine should be used first.
Niu Dan Nan Xing (Arisaema cum Bile, 2 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), Ren Shen (Ginseng Radix), Jing Jie (Schizonepetae Herba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma) (each 1 qian).
Grind into powder, refine honey to make pills the size of sesame seeds. Take 2 pills per dose, dissolve in Bo He (Menthae Haplocalycis Herba) and Zi Su (Perillae Folium) decoction.
Qu Feng Bao An Wan (Expel-Wind Peace-Anxiety Pill): Treats chronic wind diseases; effective in all cases.
Chuan Wu (Aconiti Radix, peel and remove tips, 2.5 qian, raw), Wu Ling Zhi (Trogopterori Faeces, 0.5 liang).
Grind into powder, make pills with pig heart blood the size of sesame seeds. Take 1-2 pills per dose, dissolve in ginger decoction.
Ci Huang Wan (Orpiment Pill): Treats manic epilepsy with convulsions, bad sounds, and tongue biting.
Ci Huang (Orpiment), Huang Dan (Minium, lightly fried) (each 5 qian), She Xiang (Musk, 5 fen).
Grind into powder, boil cow's milk (3 he) into a paste, pound into pills the size of hemp seeds. Take 2-3 pills per dose, washed down with warm cooked water.
Bi Jin Wan (Compare-Gold Pill): Treats fright epilepsy; use this medicine first.
Ren Shen (Ginseng Radix), Hu Po (Amber), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix, ginger-processed, meat retained and fried), Zhu Sha (Cinnabar), Tian Ma (Gastrodiae Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma, fine/honeyed variety), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Nan Xing (Arisaematis Rhizoma), Qing Dai (Indigo Naturalis) (each 1 qian), She Xiang (Musk, 1 spoon).
Grind into powder, refine honey to make pills the size of sesame seeds. Take 1-2 pills per dose, washed down with Gold/Silver and Bo He (Menthae Haplocalycis Herba) decoction.
Hu Jing Wan (Tiger Eye Pill): Treats fright epilepsy where evil qi enters the Heart.
Hu Jing (Tiger Eye, finely ground), Yuan Zhi (Polygalae Radix, soaked in ginger juice), Xi Jiao (Rhinocerotis Cornu, shaved), Da Huang (Rhei Radix et Rhizoma, wrapped in wet paper and baked), Shi Chang Pu (Acori Tatarinowii Rhizoma), Mai Men Dong (Ophiopogonis Radix) (equal parts), Qiang Lang (Scarabaeus, remove feet and wings, fried, 3 pieces).
Grind into powder, make pills with rice paste the size of sesame seeds. Take 1-2 pills per dose, washed down with Zhu Ye (Bambusae Folium) decoction, or Gold/Silver and Bo He decoction.
Qing Shen Tang (Clear Spirit Decoction): Treats fright epilepsy.
Xi Jiao (Rhinocerotis Cornu, shaved), Yuan Zhi (Polygalae Radix, baked with ginger juice), Bai Xian Pi (Dictamni Cortex), Shi Chang Pu (Acori Tatarinowii Rhizoma), Ren Shen (Ginseng Radix), Gan Cao (Licorice Root, fried) (each 1.5 qian).
Grind into powder. Take 0.5-0.7 qian per dose, mixed with Mai Men Dong decoction.
Mi Duo Seng San (Lead Monoxide Powder): Treats Heart epilepsy with inability to speak, and various fright-induced aphonia. Use Mi Duo Seng (Galena/Lead Monoxide) as powder. Take 1 spoon per dose, mixed with rice vinegar decoction. Adults take 1 qian.
Xie Hu San (Scorpion-Tiger Powder): Treats fright epilepsy.
He Se Sheng Xie Hu (Brown live Gecko, 1 piece, grind finely with blood).
Add a small amount of Zhu Sha (Cinnabar) and She Xiang (Musk) powder, grind together. Mix with Bo He (Menthae Haplocalycis Herba) decoction for one dose. Effective even for cases lasting several years. Epilepsy is generally due to Heart Blood deficiency and stagnation; live gecko manages its blood. Follow with Er Chen Tang (Two-Chen Decoction). If live gecko is unavailable, use fresh male pig heart blood with Dai Zhe Shi San (Hematitum Powder) for excellent results.
Dai Zhe Shi San (Hematitum Powder): Treats Yin-Yang epilepsy.
Dai Zhe Shi (Hematitum, fired, quenched in vinegar, ground, water-washed, and dried).
Grind into powder. Take 0.5 qian per dose, mixed with Gold/Silver decoction and Gold/Silver foil. Administer two consecutive doses. Red spots appearing on the calves indicate the evil qi is emerging; this is treatable.
Hua Feng Dan (Transform-Wind Pill): Cools wind, transforms phlegm, reduces fever, and stops convulsions.
Niu Dan Nan Xing (Arisaema cum Bile), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), Ren Shen (Ginseng Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Jing Jie (Schizonepetae Herba), Fen Cao (Licorice Root) (each 1 qian), Quan Xie (Whole Scorpion, 1 piece).
Grind into powder, refine honey to make pills the size of soap pods. Take 1 qian per dose, dissolve in Bo He (Menthae Haplocalycis Herba) decoction.
Fu Shen Tang (Poria Spirit Decoction): Treats Gallbladder Qi deficiency-cold, headache, dizziness, mental fear, inability to stay alone, or fright epilepsy.
Fu Shen (Poria with Hostwood), Suan Zao Ren (Ziziphi Spinosae Semen, fried), Huang Qi (Astragali Radix, fried), Bai Zi Ren (Platycladi Semen, fried), Bai Shao Yao (Paeoniae Radix Alba, fried), Wu Wei Zi (Schisandrae Fructus, fried) (each 1 liang), Gui Xin (Cinnamomi Cortex), Shu Di Huang (Prepared Rehmanniae Radix, homemade), Ren Shen (Ginseng Radix), Gan Cao (Licorice Root, fried, 5 fen).
Take 2-3 qian per dose, decoct in water.
Suan Zao Ren Wan (Ziziphi Spinosae Seed Pill): Treats Gallbladder Qi excess-heat fright epilepsy, restless sleep, fright palpitations, and anxiety.
Fu Shen (Poria with Hostwood), Suan Zao Ren (Ziziphi Spinosae Semen, fried), Yuan Zhi (Polygalae Radix), Bai Zi Ren (Platycladi Semen, fried), Fang Feng (Saposhnikoviae Radix), Zhi Ke (Aurantii Fructus, bran-fried) (each 0.5 liang), Sheng Di Huang (Raw Rehmanniae Radix, pounded into paste, 0.5 liang), Xiang Zhu Ru (Bambusae Caulis in Taenia, 2.5 qian).
Grind each into powder separately, refine honey to make pills the size of millet grains. Take 70-80 pills per dose, washed down with plain boiling water.
Ding Zhi Wan (Settle-Spirit Pill): Treats Heart Spirit deficiency-timidity, same symptoms as above, or delirious speech as if possessed by spirits, excessive laughter, and fright palpitations.
Ren Shen (Ginseng Radix), Fu Ling (Poria) (each 1.5 liang), Chang Pu (Acori Tatarinowii Rhizoma), Yuan Zhi (Polygalae Radix) (each 1 liang).
Grind each into powder separately, refine honey to make pills, take as previously described.
Yang Xin Tang (Nourish-Heart Decoction): Treats Heart Blood deficiency-timidity fright epilepsy, or fright palpitations, night sweats, insomnia, fever, and irritability.
Huang Qi (Astragali Radix), Bai Fu Ling (Poria), Fu Shen (Poria with Hostwood), Ban Xia Qu (Pinelliae Fermentatum), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), La Gui (Cinnamomi Cortex), Bai Zi Ren (Platycladi Semen), Suan Zao Ren (Ziziphi Spinosae Semen), Wu Wei Zi (Schisandrae Fructus), Ren Shen (Ginseng Radix) (each 3 qian).
Take 1-2 qian per dose, decoct with ginger and jujube.
Miao Xiang San (Miraculous Fragrance Powder): Treats Heart Qi deficiency, fright epilepsy, mental trance, empty vexation, scant sleep, night sweats, etc.
Chen Sha (Vermilion/Cinnabar, 3 qian), She Xiang (Musk, 1 qian), Mu Xiang (Aucklandiae Radix, baked 2.5 qian), Fu Ling (Poria), Shan Yao (Dioscoreae Rhizoma), Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Huang Qi (Astragali Radix, fried) (each 1 liang), Jie Geng (Platycodonis Radix), Gan Cao (Licorice Root, fried), Ren Shen (Ginseng Radix) (each 5 qian).
Grind each into powder separately. Take 1 qian per dose, mixed with warm wine or plain water.
Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) (i.e., Liu Wei Di Huang Wan plus Fu Zi (Aconiti Lateralis Preparata Radix) and Rou Gui (Cinnamomi Cortex) each 1 liang): Treats congenital Ming Men (Gate of Life) fire decline, failing to generate Earth, resulting in Spleen Earth deficiency-cold... [text truncated]. Or if the nursing mother has Ming Men fire decline, and the infant suffers these symptoms from her milk, both mother and child should take it. (Formula see Fright Epilepsy section).
Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill): Treats congenital Kidney Yin insufficiency, or prolonged vomiting/diarrhea causing fluid depletion, dry mouth/thirst, mouth/tongue sores, hot feet, rising phlegm-Qi, or cold extremities. (i.e., Di Huang Wan plus Rou Gui 1 liang, Wu Wei Zi 4 liang).
Di Huang Wan (Rehmannia Pill): Treats pediatric Liver meridian deficiency-blood and dryness-heat, or wind-pathogen invading causing scrofula/lumps. Or limb convulsions, eye twitching, rising phlegm-saliva. Also treats Kidney/Liver brain-heat, emaciation, ice-cold hands/feet, alternating chills/fever, slippery diarrhea/abdominal distension, foul breath/thirst, gum ulceration, black nails/dark complexion. Or sores on body/ears, otorrhea, fever/spontaneous/night sweats, hematochezia/other bleeding, aphonia. Effects cannot be fully listed. (i.e., Liu Wei Di Huang Wan, Formula see Kidney section).
Ba Zhen Tang (Eight-Treasure Decoction): Treats combined Qi and Blood deficiency, internal Yin-fire heat. Or spleen/stomach damage from draining medicines, emaciation. (i.e., Si Jun Zi Tang + Si Wu Tang, Formula see Fright Epilepsy section).
Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction): Treats Qi and Blood weakness, congenital insufficiency, alternating chills/spontaneous sweating, reduced appetite/emaciation, fever/thirst, headache/dizziness. Most suitable for use. (Formula see Heat Syndromes section).
Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction) (Formula see Emaciation section).
Liu Jun Zi Tang (Six-Gentlemen Decoction) (Formula see Internal Hook section).
Zi Shuang Wan (Purple Frost Pill).
Tian Ma Wan (Gastrodia Pill). (Both formulas see Umbilical Wind section).