类惊者何？所以别于急慢惊风也。类惊本无此名，本书亦非欲特创此名，增添诸惊之治法。所以然者，
为便于分统系以资归纳计耳。急慢惊风，既各有其特殊之治法，而小儿以神经之怯弱不易镇静，虽小恙亦辄现
惊象，其状似惊而实非惊风者。固尚有种种，若一一列其名而举之，则治法至繁杂无取，若归于急慢惊
风一类中，则治法究尚有差别，故统于惊风一章而别为类惊一节，庶几纲张目举，统系既合，检查亦易也。
兹将小儿病之易作惊风之状者，逐一述其证治如下∶
一、因热成惊
小儿腠理未固，感冒风寒，便易发热。初起之时，邪易入易出，轻加发散，即可无事，甚者虽频作惊惕，
睡中惊醒，固为热重使然，并非惊风所致。故治法宜发表解肌，清热安神，用宣化
汤最妥。兼有他因，则宜从其他因合治之。
二、因痰成惊
小儿感冒风寒，肺气失宣，痰浊阻滞，最易蒸热。因痰热之交病，小儿往往咳嗽惊惕，发热面红，考其主
因为风寒入肺，治宜宣肺祛邪。又因痰气不降，治宜化痰降气。初起之时，辛湿疏透，最为合度。化热之后，
辛凉消化，亦属正治。大便坚者，可下则酌下之，小便赤者，可利则酌利之，方用宣化祛痰汤最妥。
兼有他因，亦宜从其他因合治之。
三、因食成惊
小儿恣意口腹，食积不化，亦易成惊。盖肠胃通畅，则清气
可升而浊气下行，自无熏蒸成热之弊。若食积不化，肠胃不清，
则浊气阻塞，郁而化热，肺胃受其熏灼，精神为之不宁，惊惕之状遂见。其证腹多胀满或痛，大便或坚结不
行，或泻多渣滓。舌苔黄腻，脉象紧实，治宜宣化消积汤。最忌因循迟延，盖小儿食积，热郁肠胃，易成
疳积，伤胃则致吐，伤肠则致泻，最轻者亦熏灼成惊，不可不慎也。兼有他因，亦宜从其他因合治之。
四、因暑成惊
小儿感受暑热，郁而不化，亦易成惊。暑邪之浅者，无汗身热，宜从汗解之，用宣化清暑汤最妥。暑
邪之深者，发热口渴，多汗欲饮，胸膈闷烦，精神倦怠者宜白虎汤。体弱湿重者，宜清暑益气汤。切不可因
天时炎热，恣与冷冻饮料，盖小儿饮冷，肠胃益薄，受暑更易也。兼有他因，亦宜从其他因合治之。
五、因恐成惊
小儿肝胆不足，凡耳闻骤声，目见骤色，辄易因恐成惊。睡时惊惕，甚则啼叫，轻者酌与抚拍翻拿，其
惊自已。盖本非疾病，不过因神气之怯弱，临时振荡不宁故也。神定即愈，无庸顾忌。重者因有内蓄之热，
遂乘势以发动，惊搐啼哭，有类惊风，治宜宣化定惊汤最妥。偏于实者，身热便结哭声壮，宜保赤散；
偏于虚者，神气怯弱哭声缓，宜茯神汤。兼有他因，亦宜从其他因合治之（参看第三章第七节）。
六、因吐泻成惊
上节言吐泻日久，易成惊风，然非尽吐泻皆可以成惊风也。若以吐泻之后，神气不宁，偶有似惊之状，
遂作惊风治之，则愈治愈危，误人不浅矣。考小儿肠胃，至为柔弱，稍有积滞，伤其胃气则致吐，伤其肠腑则
致泻，或吐或泻，当其剧作之时，神气不宁，惊状遂起，然此等类惊，决无角弓反张之象，亦无眼目痉
睨之状（或睡卧略露其睛，瞳子略为上泛则有之），故与惊风迥
别。治法则吐者宜调其胃气，泻者宜调其腑气，吐泻兼作者，肠胃并调之，不必治其惊，但治其本病则惊亦
已，用宣化健运汤加减治之最妥。至于有因吐泻而肢冷挛急者，罗瘪麻木者，则为寒霍乱证，其势急而且危，
宜急用附子理中汤救之，与寻常之吐泻又迥异者也。兼有他因，亦宜从其他因合治之（参看第七章）。
附方
（一）宣化汤（自制） 治小儿感冒发热，神魂不安。
薄荷叶（一钱） 钩藤（二钱） 荆芥（一钱） 茯神 栀子 连翘（各二钱） 霜桑叶 灯芯（各钱半）
清水煎服。感寒重者加苏叶一钱；热重无汗者加麻黄三分；泄泻烦闷者加葛根一钱，淡豆豉二钱；咳嗽有
痰者加前胡、杏仁、竹茹、象贝母各二钱；肠胃有热加黄芩、枳实各一钱。
（二）宣化祛痰汤（自制） 治小儿感冒风寒，痰气不降，发热成惊。
前胡 苏子 杏仁 象贝母 竹茹 钩藤 陈皮 赤苓 金银花 连翘 生姜（各二钱）
清水煎服。风寒重者加麻黄三分，荆芥一钱；湿滞化痰者加浓朴一钱，半夏二钱；风痰上涌者去金银
花、连翘，加天南星、半夏各二钱，白附子一钱，甚者用青州白丸子（见上节）四五粒
同下；大便坚结者加栝蒌三钱，不应，改加枳实、大黄各五分；小便不利加猪苓二钱、泽泻一钱。
（三）宣化消积汤（自制） 治小儿食积不化，肠胃失调，浊气阻滞，郁而化热。
神曲 麦芽 钩藤 栀子（各二钱） 薄荷 陈皮 枳实 浓朴（各一钱） 黄芩 灯芯（各一钱）
清水煎服。泄泻多渣滓不化者去黄芩，加白术钱半，木香五分；腹胀便结者加木香、槟榔各一钱，甚
者加大黄一钱；热泻酸臭者仍用黄芩再加知母二钱。
（四）宣化清暑汤（自制） 治小儿感受暑热，身热不安。
藿香 佩兰 大腹皮 陈皮各钱半 香薷 白术 浓朴（各一钱） 钩藤 滑石（各二钱） 生甘草（五分）
清水煎服。发热烦闷加淡豆豉一钱，栀子钱半；热重加金银
花露、荷花露各一杯；脾弱胃呆加玫瑰花露一杯；烦热盗汗去香薷加青蒿露一杯。
（五）白虎汤 见本章第二节。
（六）清暑益气汤 治长夏湿热蒸炎，四肢困倦，精神减少，头痛身热，气高心烦，自汗口渴，便黄
溺赤，脉虚者。
黄 苍术（各钱半） 升麻（一钱） 人参 白术 陈皮 神曲 泽泻（各五分） 甘草 黄柏 干
葛当归身 麦冬（各三分） 五味子（九粒）
加生姜三片，大枣二枚，清水煎服。
（七）宣化定惊汤（自制） 治小儿肝胆虚怯，因恐成惊。
半夏 朱茯神（各二钱） 菖蒲 远志肉 龙胆草 酸枣仁（各一钱）石决明 钩藤（三钱） 白芍（钱半）
清水煎服。热重者去酸枣仁、石决明，加川连三分，薄荷一钱；挟痰者加竹茹二钱，枳壳一钱，
旋复花一钱；夹食者加神曲一钱，麦芽（除米麦之食积）或山楂肉（除肉类油腻之食积）各二钱。
（八）保赤散 治小儿多热，因恐成惊。
牛黄 川连 朱砂 冰片 青黛 珍珠 大黄 人中白 百草霜 蝉衣（各少许）
研为细末，加薄荷、钩藤煎汤送下，或加赤金一件同煎服。
（九）茯神汤 治小儿神虚，固恐成惊。
党参（二钱） 炙黄 （钱半） 白芍 枣仁（炒。各八分） 桂心（三分） 柏
子仁（炒，七分） 甘草（五分） 砂仁蒸熟地 茯神（各三钱）
清水煎服。
（十）宣化健运汤（自制） 治小儿或吐或泻，或吐泻兼作，
因以成惊。
半夏 陈皮 神曲 钩藤 茯神 竹茹 生姜（各二钱） 木香 泽泻（各一钱）
清水煎服。热呕加川连三分；寒吐去竹茹、生姜，加干姜一钱；热泻去木香，加槟榔一钱；寒泄去神曲，
加白术一钱；吐泻交作加白术一钱；剧泻不止者，去神曲、泽泻、竹茹，加补骨脂、淮山药一钱，罂粟壳五分。
（十一）附子理中汤 治脾胃虚寒，饮食不化，四肢厥冷，肠鸣腹痛，霍乱转筋，体冷微汗，
呕吐泄泻，一切沉寒痼冷等证。
附子 人参 甘草 干姜
类惊是什么？这是为了区别于急惊风和慢惊风。类惊原本没有这个名称，本书也不是特意创造这个名字来增加各种惊风的治法。之所以这样做，是为了便于分类统系以便归纳总结。急惊风和慢惊风各自有其特殊的治法，而小儿由于神经功能怯弱，不易镇静，即使患小病也常出现惊厥的现象，其症状看似惊风但实际上并非惊风的情况还有很多。如果一一列举其名并分别论述，则治疗方法会繁杂而无必要；如果归入急惊风或慢惊风一类中，则治疗方法终究还有差别。因此，将其统归于惊风一章，但单独设立“类惊”一节，这样纲举目张，既符合统系，检查起来也容易。现将小儿患病后容易表现出类似惊风症状的病症，逐一叙述其证候和治疗如下：
一、因热成惊
小儿腠理（皮肤毛孔及纹理）不坚固，感冒风寒，便容易发热。初起之时，邪气容易侵入也容易排出，轻微使用发散药物，即可无事。严重者虽然频繁出现惊惕，睡梦中惊醒，这固然是因为热重所致，并非惊风引起。所以治法宜采用发表解肌（发散表邪，解除肌肉之邪），清热安神，用宣化汤最为妥当。兼有其他病因，则应结合其他病因综合治疗。
二、因痰成惊
小儿感冒风寒，肺气失于宣发，痰浊阻滞，最容易蒸腾发热。由于痰热交结致病，小儿往往咳嗽、惊惕，发热面红。考察其主要原因为风寒入肺，治法宜宣肺祛邪。又因痰气不降，治法宜化痰降气。初起之时，用辛温药物疏透，最为合适。化热之后，用辛凉药物消化热邪，也属于正治。大便干结者，可攻下则酌情攻下；小便赤涩者，可利尿则酌情利尿，方用宣化祛痰汤最为妥当。兼有其他病因，也应结合其他病因综合治疗。
三、因食成惊
小儿放纵口腹之欲，食积不化，也容易引起惊厥。盖肠胃通畅，则清气可上升而浊气下行，自然没有熏蒸成热的弊端。若食积不化，肠胃不清，则浊气阻塞，郁结而化热，肺胃受到熏灼，精神为之不宁，惊惕的症状于是出现。其证候腹部多胀满或疼痛，大便或干结不行，或泻下多渣滓。舌苔黄腻，脉象紧实，治法宜用宣化消积汤。最忌讳拖延迟延，因为小儿食积，热郁在肠胃，容易形成疳积，伤胃则导致呕吐，伤肠则导致腹泻，最轻者也会熏灼成惊，不可不谨慎。兼有其他病因，也应结合其他病因综合治疗。
四、因暑成惊
小儿感受暑热，郁结而不化解，也容易引起惊厥。暑邪较浅的，无汗身热，宜从汗解，用宣化清暑汤最为妥当。暑邪较深的，发热口渴，多汗欲饮，胸膈闷烦，精神倦怠者，宜用白虎汤。体质虚弱湿气重者，宜用清暑益气汤。切不可因为天气炎热，就随意给予冷冻饮料，因为小儿饮用冷饮，肠胃更加薄弱，受暑邪侵袭更容易。兼有其他病因，也应结合其他病因综合治疗。
五、因恐成惊
小儿肝胆不足，凡是听到突然的声音，看到突然的颜色，就容易因恐惧而成惊。睡觉时惊惕，甚至啼叫，轻者酌情给予抚拍翻拿（一种安抚手法），其惊自然会停止。因为这本来不是疾病，不过是神气怯弱，临时振荡不宁的缘故。神志安定即痊愈，无需顾忌。重者因为体内蓄积有热，遂乘势发动，惊搐啼哭，有点像惊风，治法宜用宣化定惊汤最为妥当。偏于实证者，身热便结哭声壮，宜用保赤散；偏于虚证者，神气怯弱哭声缓，宜用茯神汤。兼有其他病因，也应结合其他病因综合治疗（参看第三章第七节）。
六、因吐泻成惊
上一节说吐泻日久，容易成惊风，然而并非所有的吐泻都可以成为惊风。如果在吐泻之后，神气不宁，偶尔有类似惊风的状态，就当作惊风来治疗，则会越治愈越危险，误人匪浅。考察小儿肠胃，极为柔弱，稍有积滞，伤其胃气则致呕吐，伤其肠腑则致腹泻，或吐或泻，当其剧烈发作之时，神气不宁，惊状于是兴起，然而这类类惊，绝对没有角弓反张（身体向后弯曲如弓）的现象，也没有眼目斜视痉挛的状态（或者睡卧时略微露睛，瞳仁略微上翻则有此情况），所以与惊风截然不同。治法则呕吐者宜调其胃气，腹泻者宜调其腑气，吐泻兼作，则肠胃并调，不必治其惊，只要治疗其本病，惊也就停止了，用宣化健运汤加减治疗最为妥当。至于有因吐泻而导致四肢冰冷挛急，罗圈腿麻木的，则是寒霍乱证，其势头急而且危重，宜紧急使用附子理中汤救治，这与寻常的吐泻又截然不同。兼有其他病因，也应结合其他病因综合治疗（参看第七章）。
附方
（一）宣化汤（自制） 治疗小儿感冒发热，神魂不安。
薄荷叶（一钱） 钩藤（二钱） 荆芥（一钱） 茯神 栀子 连翘（各二钱） 霜桑叶 灯芯（各钱半）
清水煎服。感寒重者加苏叶一钱；热重无汗者加麻黄三分；泄泻烦闷者加葛根一钱，淡豆豉二钱；咳嗽有痰者加前胡、杏仁、竹茹、象贝母各二钱；肠胃有热加黄芩、枳实各一钱。
（二）宣化祛痰汤（自制） 治疗小儿感冒风寒，痰气不降，发热成惊。
前胡 苏子 杏仁 象贝母 竹茹 钩藤 陈皮 赤苓 金银花 连翘 生姜（各二钱）
清水煎服。风寒重者加麻黄三分，荆芥一钱；湿滞化痰者加浓朴一钱，半夏二钱；风痰上涌者去金银花、连翘，加天南星、半夏各二钱，白附子一钱，甚者用青州白丸子（见上节）四五粒同下；大便坚结者加栝蒌三钱，不应，改加枳实、大黄各五分；小便不利加猪苓二钱、泽泻一钱。
（三）宣化消积汤（自制） 治疗小儿食积不化，肠胃失调，浊气阻滞，郁而化热。
神曲 麦芽 钩藤 栀子（各二钱） 薄荷 陈皮 枳实 浓朴（各一钱） 黄芩 灯芯（各一钱）
清水煎服。泄泻多渣滓不化者去黄芩，加白术钱半，木香五分；腹胀便结者加木香、槟榔各一钱，甚者加大黄一钱；热泻酸臭者仍用黄芩再加知母二钱。
（四）宣化清暑汤（自制） 治疗小儿感受暑热，身热不安。
藿香 佩兰 大腹皮 陈皮各钱半 香薷 白术 浓朴（各一钱） 钩藤 滑石（各二钱） 生甘草（五分）
清水煎服。发热烦闷加淡豆豉一钱，栀子钱半；热重加金银花露、荷花露各一杯；脾弱胃呆加玫瑰花露一杯；烦热盗汗去香薷加青蒿露一杯。
（五）白虎汤 见本章第二节。
（六）清暑益气汤 治疗长夏湿热蒸炎，四肢困倦，精神减少，头痛身热，气高心烦，自汗口渴，便黄溺赤，脉虚者。
黄芪 苍术（各钱半） 升麻（一钱） 人参 白术 陈皮 神曲 泽泻（各五分） 甘草 黄柏 干葛当归身 麦冬（各三分） 五味子（九粒）
加生姜三片，大枣二枚，清水煎服。
（七）宣化定惊汤（自制） 治疗小儿肝胆虚怯，因恐成惊。
半夏 朱茯神（各二钱） 菖蒲 远志肉 龙胆草 酸枣仁（各一钱）石决明 钩藤（三钱） 白芍（钱半）
清水煎服。热重者去酸枣仁、石决明，加川连三分，薄荷一钱；挟痰者加竹茹二钱，枳壳一钱，旋复花一钱；夹食者加神曲一钱，麦芽（除米麦之食积）或山楂肉（除肉类油腻之食积）各二钱。
（八）保赤散 治疗小儿多热，因恐成惊。
牛黄 川连 朱砂 冰片 青黛 珍珠 大黄 人中白 百草霜 蝉衣（各少许）
研为细末，加薄荷、钩藤煎汤送下，或加赤金一件同煎服。
（九）茯神汤 治疗小儿神虚，固恐成惊。
党参（二钱） 炙黄芪（钱半） 白芍 枣仁（炒。各八分） 桂心（三分） 柏子仁（炒，七分） 甘草（五分） 砂仁蒸熟地 茯神（各三钱）
清水煎服。
（十）宣化健运汤（自制） 治疗小儿或吐或泻，或吐泻兼作，因以成惊。
半夏 陈皮 神曲 钩藤 茯神 竹茹 生姜（各二钱） 木香 泽泻（各一钱）
清水煎服。热呕加川连三分；寒吐去竹茹、生姜，加干姜一钱；热泻去木香，加槟榔一钱；寒泄去神曲，加白术一钱；吐泻交作加白术一钱；剧泻不止者，去神曲、泽泻、竹茹，加补骨脂、淮山药一钱，罂粟壳五分。
（十一）附子理中汤 治疗脾胃虚寒，饮食不化，四肢厥冷，肠鸣腹痛，霍乱转筋，体冷微汗，呕吐泄泻，一切沉寒痼冷等证。
附子 人参 甘草 干姜
What is "Lei Jing" (Similar-to-Convulsion)? It is used to distinguish it from Ji Jing Feng (Acute Convulsive Disorder) and Man Jing Feng (Chronic Convulsive Disorder). Lei Jing originally had no such name; this book does not intend to create a new term merely to add treatment methods for various convulsions. The reason for doing so is to facilitate classification and systematic induction. Since Ji Jing Feng and Man Jing Feng each have their specific treatment methods, and because children have fragile nervous systems that are difficult to calm, they often exhibit signs of convulsion even with minor ailments. These conditions may resemble convulsions but are actually not Jing Feng. There are many such variations. If listed one by one, the treatment methods would become overly complex and unnecessary; if grouped under Ji Jing or Man Jing Feng, there would still be differences in treatment. Therefore, these cases are unified under the chapter on Jing Feng but separated into a distinct section called "Lei Jing," ensuring that the framework is clear, the system is coherent, and examination is easy. The following describes the symptoms and treatments of pediatric conditions prone to presenting as similar-to-convulsion states:
1. Convulsion Caused by Heat
Children have unconsolidated Cou Li (skin pores and interstices); upon contracting wind-cold, they easily develop fever. In the early stage, pathogens can easily enter and exit; mild dispersing agents suffice to resolve the issue. In severe cases, frequent jing ti (startle/fright) and waking up startled during sleep occur due to intense heat, not because of Jing Feng. Thus, the treatment should focus on Fa Biao Jie Ji (releasing the exterior and resolving the muscle layer), clearing heat, and calming the spirit. Xuan Hua Tang is most appropriate. If other etiologies are present, they should be treated concurrently.
2. Convulsion Caused by Phlegm
When children contract wind-cold, Lung Qi fails to diffuse, leading to phlegm-turbidity obstruction, which easily generates steaming heat. Due to the interaction of phlegm and heat, children often cough, experience jing ti, have fever, and flushed faces. The primary cause is wind-cold invading the Lungs; thus, treatment should involve diffusing the Lungs and expelling pathogens. Additionally, since phlegm-Qi fails to descend, treatment should transform phlegm and direct Qi downward. In the early stage, acrid-warm dispersing methods are most suitable. After heat transformation, acrid-cool methods to resolve heat are correct. For hard stools, purgation may be酌情 (discretionarily) applied; for dark urine, diuresis may be酌情 applied. Xuan Hua Qu Tan Tang is most appropriate. Other concurrent etiologies should also be treated together.
3. Convulsion Caused by Food Stagnation
Indulgence in food leads to undigested food stagnation, which can easily trigger convulsions. When the intestines and stomach are smooth, clear Qi ascends and turbid Qi descends, preventing steaming heat. However, if food stagnates and the intestines and stomach are unclear, turbid Qi blocks and stagnates, transforming into heat. This heat scorches the Lungs and Stomach, disturbing the spirit and causing jing ti. Symptoms include abdominal distension or pain, hard stools or diarrhea with undigested residue, yellow greasy tongue coating, and tight solid pulse. Treatment requires Xuan Hua Xiao Ji Tang. Delay is strictly forbidden because food stagnation with heat in the intestines and stomach easily leads to Gan Ji (Infantile Malnutrition Syndrome). Injury to the Stomach causes vomiting; injury to the Intestines causes diarrhea. Even mild cases can lead to heat-induced convulsions, so caution is essential. Concurrent etiologies should be treated together.
4. Convulsion Caused by Summerheat
Contracting summerheat, which stagnates and fails to dissipate, can easily cause convulsions. For shallow summerheat pathogenesis with no sweat and body heat, resolution through sweating is indicated; Xuan Hua Qing Shu Tang is most appropriate. For deep summerheat pathogenesis with fever, thirst, excessive sweating, desire to drink, chest oppression, irritability, and fatigue, Bai Hu Tang is indicated. For those with weak constitution and heavy dampness, Qing Shu Yi Qi Tang is indicated. One must not arbitrarily give cold beverages due to hot weather, as cold drinks weaken the intestines and stomach, making them more susceptible to summerheat. Concurrent etiologies should be treated together.
5. Convulsion Caused by Fright
Children have insufficient Liver and Gallbladder Qi. Sudden noises or sights easily cause fright-induced convulsions. During sleep, they may startle or cry out. Mild cases can be resolved by patting or handling techniques; the convulsion stops naturally. This is not a disease but a temporary agitation due to spiritual fragility. Once the spirit settles, recovery occurs without worry. Severe cases involve internal accumulated heat that triggers convulsions, tremors, and crying, resembling Jing Feng. Xuan Hua Ding Jing Tang is most appropriate. For excess patterns (body heat, constipation, loud crying), Bao Chi San is indicated. For deficiency patterns (spiritual fragility, soft crying), Fu Shen Tang is indicated. Concurrent etiologies should be treated together (see Chapter 3, Section 7).
6. Convulsion Caused by Vomiting and Diarrhea
The previous section stated that prolonged vomiting and diarrhea can lead to Jing Feng, but not all vomiting and diarrhea result in Jing Feng. If post-vomiting/diarrhea restlessness and slight convulsive-like signs are treated as Jing Feng, the condition worsens, causing significant harm. Children's intestines and stomachs are extremely delicate; slight stagnation injuring Stomach Qi causes vomiting, while injuring Intestinal Fu causes diarrhea. During acute episodes, spiritual unrest leads to convulsive-like signs. However, these Lei Jing cases absolutely lack opisthotonos (arched back) or eye deviation/spasm (though slight eye exposure or upward gaze during sleep may occur), distinguishing them clearly from Jing Feng. Treatment involves regulating Stomach Qi for vomiting and Intestinal Qi for diarrhea; for combined symptoms, regulate both. Treating the root cause resolves the convulsion. Xuan Hua Jian Yun Tang with modifications is most appropriate. Cases with cold limbs, spasms, and numbness indicate Cold Huo Luan (Cholera-like syndrome), which is urgent and critical; Fu Zi Li Zhong Tang should be administered immediately, differing significantly from ordinary vomiting/diarrhea. Concurrent etiologies should be treated together (see Chapter 7).
Attached Formulas
(1) Xuan Hua Tang (Self-made): Treats pediatric fever from cold/flu with unsettled spirit.
Bohe Ye (Menthae Haplocalycis Herba, 1 qian), Gouteng (Uncariae Ramulus cum Uncis, 2 qian), Jingjie (Schizonepetae Spica, 1 qian), Fushen (Poria Cum Radix Pini, unspecified amount), Zhizi (Gardeniae Fructus, unspecified amount), Lianqiao (Forsythiae Fructus, 2 qian), Shuang Sangye (Mori Folium, unspecified amount), Dengxin (Junci Medulla, 0.5 qian). Decoct in clear water. Add Ziyeh (Perillae Folium, 1 qian) for severe cold; add Mahuang (Ephedrae Herba, 0.3 fen) for severe heat with no sweat; add Gegen (Puerariae Radix, 1 qian) and Danshichidou (Sojae Semen Preparatum, 2 qian) for diarrhea with irritability; add Qianhu (Peucedani Radix), Xingren (Armeniacae Semen Amarum), Zhuru (Bambusae Caulis in Taenia, 2 qian each), and Xiang Beimu (Fritillariae Thunbergii Bulbus, 2 qian) for cough with phlegm; add Huangqin (Scutellariae Radix) and Zhishi (Aurantii Fructus Immaturus, 1 qian each) for intestinal/stomach heat.
(2) Xuan Hua Qu Tan Tang (Self-made): Treats pediatric wind-cold with descending phlegm-Qi failure, fever, and convulsion.
Qianhu (Peucedani Radix), Suzi (Perillae Fructus), Xingren (Armeniacae Semen Amarum), Xiang Beimu (Fritillariae Thunbergii Bulbus), Zhuru (Bambusae Caulis in Taenia), Gouteng (Uncariae Ramulus cum Uncis), Chenpi (Citri Reticulatae Pericarpium), Chiling (Poria, 2 qian each), Jinyinhua (Lonicerae Japonicae Flos), Lianqiao (Forsythiae Fructus), Shengjiang (Zingiberis Rhizoma Recens, 2 qian each). Decoct in clear water. Add Mahuang (Ephedrae Herba, 0.3 fen) and Jingjie (Schizonepetae Spica, 1 qian) for severe wind-cold; add Houpo (Magnoliae Officinalis Cortex, 1 qian) and Banxia (Pinelliae Rhizoma, 2 qian) for damp-phlegm; remove Jinyinhua and Lianqiao, add Tian Nanxing (Arisaematis Rhizoma Preparatum), Banxia (Pinelliae Rhizoma, 2 qian each), and Baifuzi (Typhonii Rhizoma, 1 qian) for wind-phlegm surging; use Qingzhou Bai Wanzi (4-5 pills) for severe cases; add Gualou (Trichosanthis Fructus, 3 qian) for hard stools, or Zhishi (Aurantii Fructus Immaturus) and Dahuang (Rhei Radix et Rhizoma, 0.5 fen each) if ineffective; add Zhuling (Polyporus, 2 qian) and Zexie (Alismatis Rhizoma, 1 qian) for difficult urination.
(3) Xuan Hua Xiao Ji Tang (Self-made): Treats pediatric food stagnation with intestinal/stomach dysfunction, turbid Qi blockage, and heat transformation.
Shenqu (Massae Fermentatae Medicamentosa, 2 qian), Maiya (Hordei Fructus Germinatus, 2 qian), Gouteng (Uncariae Ramulus cum Uncis, 2 qian), Zhizi (Gardeniae Fructus, 2 qian), Bohe (Menthae Haplocalycis Herba, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Zhishi (Aurantii Fructus Immaturus, 1 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Huangqin (Scutellariae Radix, 1 qian), Dengxin (Junci Medulla, 1 qian). Decoct in clear water. Remove Huangqin, add Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian) and Muxiang (Vladimiriae Radix, 0.5 fen) for diarrhea with undigested residue; add Muxiang (Vladimiriae Radix) and Binglang (Arecae Semen, 1 qian each) for abdominal distension and constipation, or Dahuang (Rhei Radix et Rhizoma, 1 qian) for severe cases; keep Huangqin and add Zhimu (Anemarrhenae Rhizoma, 2 qian) for sour-smelling hot diarrhea.
(4) Xuan Hua Qing Shu Tang (Self-made): Treats pediatric summerheat contraction with body heat and unrest.
Huoxiang (Agastaches Herba, 1.5 qian), Peilan (Pogostemonis Herba, 1.5 qian), Dafupi (Arecae Pericarpium, 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 1.5 qian), Xiangru (Elsholtziae Herba, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Gouteng (Uncariae Ramulus cum Uncis, 2 qian), Huashi (Talcum, 2 qian), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 fen). Decoct in clear water. Add Danshichidou (Sojae Semen Preparatum, 1 qian) and Zhizi (Gardeniae Fructus, 1.5 qian) for fever and irritability; add Jinyinhua Lu (Lonicerae Japonicae Flos Infusion) and Hehua Lu (Nelumbinis Flos Infusion, 1 cup each) for severe heat; add Meiguilu (Rosae Rugosae Flos Infusion, 1 cup) for weak spleen/poor appetite; remove Xiangru and add Qinghao Lu (Artemisiae Annuae Herba Infusion, 1 cup) for irritability and night sweats.
(5) Bai Hu Tang: See Section 2 of this chapter.
(6) Qing Shu Yi Qi Tang: Treats long-summer damp-heat steaming, limb fatigue, reduced spirit, headache, body heat, high breathing, irritability, spontaneous sweating, thirst, yellow urine, red urine, and deficient pulse.
Huangqi (Astragali Radix, 1.5 qian), Cangzhu (Atractylodis Rhizoma, 1.5 qian), Shengma (Cimicifugae Rhizoma, 1 qian), Renshen (Ginseng Radix, 0.5 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 fen), Chenpi (Citri Reticulatae Pericarpium, 0.5 fen), Shenqu (Massae Fermentatae Medicamentosa, 0.5 fen), Zexie (Alismatis Rhizoma, 0.5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, unspecified), Huangbai (Phellodendri Cortex, unspecified), Gange (Puerariae Radix, unspecified), Dangguishen (Angelicae Sinensis Radix, 0.3 fen), Maidong (Ophiopogonis Tuber, 0.3 fen), Wuweizi (Schisandrae Fructus, 9 grains). Add Shengjiang (Zingiberis Rhizoma Recens, 3 slices) and Dazao (Ziziphi Jujubae Fructus, 2 pieces), decoct in clear water.
(7) Xuan Hua Ding Jing Tang (Self-made): Treats pediatric Liver/Gallbladder deficiency-fright causing convulsion.
Banxia (Pinelliae Rhizoma, 2 qian), Zhufushen (Poria cum Radice Pini cinnabarized, 2 qian), Changpu (Acori Tatarinowii Rhizoma, 1 qian), Yuanzhi Rou (Polygalae Radix, 1 qian), Longdancao (Gentianae Radix, 1 qian), Suanzaoren (Ziziphi Spinosae Semen, 1 qian), Shijueming (Haliotidis Concha, 3 qian), Gouteng (Uncariae Ramulus cum Uncis, 3 qian), Baishao (Paeoniae Radix Alba, 1.5 qian). Decoct in clear water. Remove Suanzaoren and Shijueming, add Chuanlian (Coptidis Rhizoma, 0.3 fen) and Bohe (Menthae Haplocalycis Herba, 1 qian) for severe heat; add Zhuru (Bambusae Caulis in Taenia, 2 qian), Zhike (Aurantii Fructus, 1 qian), and Xuanfuhua (Inulae Flos, 1 qian) for phlegm; add Shenqu (Massae Fermentatae Medicamentosa, 1 qian), Maiya (Hordei Fructus Germinatus, 2 qian) or Shan Zhangrou (Crataegi Fructus, 2 qian) for food retention.
(8) Bao Chi San: Treats pediatric excess-heat and fright-induced convulsion.
Niuhuang (Bovis Calculus, small amount), Chuanlian (Coptidis Rhizoma, small amount), Zhusha (Cinnabaris, small amount), Bingpian (Borneolum Syntheticum, small amount), Qingdai (Indici Folium, small amount), Zhenzhu (Margarita, small amount), Dahuang (Rhei Radix et Rhizoma, small amount), Renzhongbai (Urinae Humanis Deposition, small amount), Baicaoshuang (Carbonis Sparganii, small amount), Chanyi (Bombyx Batryticatus, small amount). Grind to fine powder, take with decoction of Bohe (Menthae Haplocalycis Herba) and Gouteng (Uncariae Ramulus cum Uncis), or decoct with a piece of gold foil.
(9) Fu Shen Tang: Treats pediatric spirit-deficiency and fright-induced convulsion.
Dangshen (Codonopsis Radix, 2 qian), Zhi Huangqi (Astragali Radix cinnabarized, 1.5 qian), Baishao (Paeoniae Radix Alba, 0.8 fen), Zaoren (Ziziphi Spinosae Semen, stir-fried, 0.8 fen), Guixin (Cinnamomi Ramulum, 0.3 fen), Baiziren (Platycladi Semen, stir-fried, 0.7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Sharen (Amomi Fructus) with Shudi (Rehmanniae Radix Praeparata, 3 qian each), Fushen (Poria Cum Radix Pini, 3 qian). Decoct in clear water.
(10) Xuan Hua Jian Yun Tang (Self-made): Treats pediatric vomiting or diarrhea, or both, leading to convulsion.
Banxia (Pinelliae Rhizoma, 2 qian), Chenpi (Citri Reticulatae Pericarpium, 2 qian), Shenqu (Massae Fermentatae Medicamentosa, 2 qian), Gouteng (Uncariae Ramulus cum Uncis, 2 qian), Fushen (Poria Cum Radix Pini, 2 qian), Zhuru (Bambusae Caulis in Taenia, 2 qian), Shengjiang (Zingiberis Rhizoma Recens, 2 qian), Muxiang (Vladimiriae Radix, 1 qian), Zexie (Alismatis Rhizoma, 1 qian). Decoct in clear water. Add Chuanlian (Coptidis Rhizoma, 0.3 fen) for hot vomiting; remove Zhuru and Shengjiang, add Ganjiang (Zingiberis Rhizoma, 1 qian) for cold vomiting; remove Muxiang, add Binglang (Arecae Semen, 1 qian) for hot diarrhea; remove Shenqu, add Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian) for cold diarrhea; add Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian) for alternating vomiting/diarrhea; for severe persistent diarrhea, remove Shenqu, Zexie, Zhuru, add Buguzhi (Psoraleae Fructus, 1 qian), Huaishanyao (Dioscoreae Rhizoma, 1 qian), Yingsuke (Papaveris Pericarpium, 0.5 fen).
(11) Fu Zi Li Zhong Tang: Treats Spleen/Stomach deficiency-cold, undigested food, cold limbs, borborygmus, abdominal pain, Huo Luan with tendon twitching, cold body with slight sweat, vomiting, diarrhea, and all chronic cold syndromes.
Fuzi (Aconiti Lateralis Radix Praeparata), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma)