〔丹〕大黑龙丸 治小儿急慢惊风，神效。
胆星 礞石（硝 。各一两） 天竺黄 青黛（各半两） 芦荟（二钱半） 辰砂 蜈蚣（烧灰，钱半）
僵蚕（五分）
上为末，甘草汁为丸如鸡头大，每服一丸，或二丸，姜蜜薄荷汤下。如慢惊，用桔梗白术汤下。
镇惊丸
琥珀（二钱半） 青黛（半两） 辰砂（二钱半） 天竺黄（二两） 天麻（一两） 真珠母（二钱半）
芦荟 柴胡（各半两） 青皮 甘草（各二钱半） 胆星（二两） 雄黄（一钱半） 乳香（一两） 青礞石（硝 ，
半两）
上为末，甘草膏丸如鸡头大。慢惊参术汤下，急惊薄荷姜蜜汤下。
小儿急慢惊风。
全蝎（四十九个，微炒黄） 辰砂（半两，研极细。和匀）
上取蚯蚓十条，洗净，入小瓶内，以温火 蚯蚓化为水，和丸如胡椒大，每三丸，用顺流水化服下。
小儿急慢惊风。
僵蚕（三条） 辰砂（豆大，一粒） 全蝎（一个） 真珠末（一撮）
上末，取蓬蒿中小虫儿，每一个研作一丸，如麻子大，每一粒用乳汁下。
〔《本》〕保命丹 治小儿急慢惊风，四肢逆冷，眼直口噤，涎不止。
虎睛（一对，安瓦上，以瓦盖之，慢火逼干） 朱砂（半两） 全蝎（半钱） 天麻（一分）
蜈蚣（二条，去头、尾，赤脚者） 麝香（半钱）
上为细末，炼蜜丸如大豆大。瓦罐贮之，又入脑麝窨定。急惊，薄荷蜜汤化下；慢惊，薄荷汤化下，
各三丸。
〔钱〕温惊丸（一名粉红丸）。
南星（为末，入腊月牛胆中阴干百日，为末，四两） 朱砂（一钱半） 天竺黄（一两） 坯子胭脂（半钱）
龙脑（五分，另研）
上用牛胆汁和丸如鸡头大。每服一丸，小者半丸，砂糖水下。
抱龙丸 治伤风温疫，身热昏睡，气粗，风热痰实壅嗽，惊风潮搐，及蛊毒、中暑、沐浴后并可服。
壮实小儿，宜时与服之。（丹溪云∶抱龙丸，心肺肝药也。）
南星（如无牛胆者，只将生者锉，炒熟用四两） 天竺黄（一两） 雄黄（水飞） 辰砂（另研。各半两）
麝香（另研，一钱）
上为细末，煮甘草膏和丸皂荚子大。温水化下。百日小儿，每丸分作三四服，五岁儿一二丸，大人三五丸。
亦治室女白带、伏暑。用盐少许，嚼一二丸，新汲水送下，腊月雪水煮甘草和药尤佳。一法，用浆水，或新
水浸南星三日，候透煮软，三五沸取出，乘软切去皮，只取白软者，薄切焙干，炒黄色，取末八两，以甘草
二两半，拍破，用水二碗浸一宿，慢火煮至半碗，去渣，渐渐倾入南星末内，慢研，令甘草水尽，方入余药。
〔世〕夺命散 治急慢惊风，诸药不效，此药随手奏功。
白附子（三钱） 黑附子（炮去皮脐，半两。急惊不用） 南星（炮，一两） 天麻（三钱）
辰砂（另研，二钱半） 防风 半夏（各半两） 全蝎（去毒，七个） 蜈蚣（炙，一条） 麝香（半钱）
僵蚕（炒，慢惊不用）
上为末，三岁儿半钱，薄荷生姜自然汁，加好酒、沸汤各少许调服。急惊加轻粉、脑子各少许。
〔汤〕治慢惊甚验。
赤脚蜈蚣（酒涂，炙，一条） 白僵蚕（炒，七条） 辰砂（另研，一字） 全蝎（用薄荷叶包，炙，
七枚） 青州白丸子（三十粒）
上为末，入麝香少许，慢惊人参麦门冬汤调下；急惊加脑子、牛黄各少许，金银薄荷汤调下。
〔罗〕天麻散 治小儿急慢惊风，及大人中风涎盛，半身不遂，言语艰涩，不省人事。
半夏（七钱） 天麻（二钱半） 甘草（炙） 茯苓 白术（各三钱）
上用水一盏，入瓷罐内，煮令水干，将老姜三钱同煮，候干，为细末，每服一钱五分，姜枣汤调下。
〔《经》〕治惊风坠涎。天南星一个重一两者，换酒浸七伏时取出，新瓦上炭火炙干烈，地上去
火毒，捣末，入朱砂一分，研为细末，每服五分，荆芥汤空心及午时各调下一服。
〔田〕天麻防风丸 治小儿惊风，身热喘粗多睡，惊悸搐掣，神昏，涎痰不利等症。
天麻 防风 人参（各一两） 蝎尾（去毒，半两） 甘草 朱砂 雄黄 牛黄 麝香（各一钱）
僵蚕（炒，半两）
上为末。炼蜜丸如樱桃大，朱砂为衣，每服薄荷汤下一二丸。
〔云〕七味羌活膏 治急慢惊风壮热。
羌活 独活 天麻 全蝎（去毒） 人参 僵蚕（炒。各半两） 乌蛇肉（酒浸一宿，焙干，一两）
上为末，炼蜜丸如皂子大。每两作五十丸，每服一丸，荆芥汤下。
〔《经》〕治小儿惊风。全蝎一钱，不去头尾，用薄荷叶裹炙干，同研为末，作四服，汤下。
〔《衍》〕治小儿惊风。僵蚕蝎梢等分，天雄尖、附子尖共一钱，炮过为末，每服一字，姜汤调下。
〔罗〕小儿惊风酿乳方。用白羊头一个，丁香同熬至熟，乳母空心尽食之。
〔丹〕孙女因胎中受湿热，日午发搐，唇黑面青，每日作一次，未半周，难与药，且酿乳饮之。
白术 陈皮 半夏 芍药 青皮（各五分） 人参 川芎 木通（各三钱） 黄连（二钱） 甘草（炙，一钱）
上分八服，姜五片，与乳母煎服。
小儿急慢惊风，发热，口疮，手足伏热，痰热、痰喘、痰嗽，并用涌法。重剂用瓜蒂散。轻剂苦参、
赤小豆末，酒、酸齑汁调服之。后用通神散，蜜丸服之。间以桑牛阴干研末调服，以平其气。
〔《本》〕褊银丸 治小儿急慢惊风，积痼。
青黛（三钱） 水银（一皂角子大，同黑铅、锡炒砂子） 寒食面 黄明胶（炒焦。为末。各二钱）
轻粉（炒，豆许） 雄黄 粉霜 朱砂（各一两） 巴豆（二十一粒，去油） 脑麝（少许）
上研细，滴水为丸，如麻子大，捏褊曝干，瓷盒盛之，一岁一丸，随意加减，煎枣子汤送下，不得化破。
〔《博》〕治急慢惊风。乳香、甘遂各半两，同研细，每服半钱，用乳香汤调下，或用童便调下尤妙。
上二十方，通治急慢惊风，盖谓虚实两见，急慢互出，故有通治之法。合而言之，急慢虽异，皆本之于
痰，故礞石、星、半之属，通能治之者也。分而言之，礞石之属泻痰，青黛之属泻木，朱砂之属泻火，皆
治气实之剂；参、草之属补土，天麻、全蝎之属补木，乌、附之属补火，又皆治气虚之剂。故补泻兼施，
虚实通治之法也。
〔《山》〕小儿惊风。猢狲粪烧存性，碗覆出火毒，生蜜调灌少许。
〔海〕心神不安。四君子加辰砂半分，枣汤调下。又有一症，欲发疮疹，先身热惊跳，或发搐搦，此非惊
风，当用发散药。
〔阎〕惊风或泄泻等症烦渴者，皆津液内耗也。不问阴阳，宜煎钱氏白术散，使满意取足饮之，弥多弥好。
〔《明堂》〕急慢惊∶印堂（灸，急惊泻，慢惊补。）
急惊∶支正、下廉。小儿慢惊风∶灸尺泽二穴（各七壮，在肘横纹内正中，炷如小麦大。） 睡中惊
掣∶厉兑（一壮。） 睡中惊，目不合，灸屈肘横纹上三壮。
〔钱〕切牙甚者，发惊。目直面青身反折者，生惊。呵欠面青者，惊风。呵欠面黄者，脾虚惊。目赤
兼青者，发搐。
〔钱〕惊痫发搐，男发搐，目左视无声，右视有声；女发搐，目右视无声，左视有声，相胜故也。更有发
时症。（洁古曰∶男为木，故左视木位无声，右视金位相击则有声。女为金，故右视金位无声，左视木位亦
相击有声。）
李寺丞子，三岁发搐，自卯至巳，目右视，大叫哭。钱见曰∶此逆也。男为阳，本发左视无声则顺，右视
有声则逆。所以然者，左肝木也，右肺金也，逆则二脏相战，金木相击而有声也。治宜泻强补弱。假令女发搐，
目左视，是肺来乘肝，肝不能任，故叫哭也。当泻其肺，后治其心，续治其肝，若病在秋（日西时同），肺兼旺位，
当大泻其肺。若病在春（早晨时同），此肝旺之时尚不能胜肺，是肺强而肝木弱也。当补其肝肾，大泻其肺。
若男发搐，目右视，是肝来胜肺而叫哭，当泻其肝心。若病在春夏（早晨、日中时同），肝心旺时，当大泻其肝。
若病在秋冬（日晡时同），此肺旺之时尚不能胜肝，是肝强而肺极虚也，当补其肺，大泻其肝。所以言目反视者，
乃肝主目也。凡
搐，则是风热相搏于内。风属肝，故外见于目也。今此病男反女症，故稍易治于女也。先泻其肺，以泻
肺汤主之。二日不闷乱，知病退也。后用地黄丸补肾。三服后，用泻青丸各二服，以泻心肝，五日而愈。又
肺虚不泻者。何也？曰∶假令男目右视，木克金，肝旺胜肺，而但泻肝。若更病在春夏，金气极虚，
故当补其肺，慎勿泻也。
〔汤〕凡搐，男左女右为顺，易治；男右女左为逆，难治。
心脉急甚为螈 。（全文见延医法。经云∶急者多寒）。脾脉急甚为螈 。
〔陈〕惊风不治证∶搐而不休，休而再搐；惊叫发搐；汗出足冷；痰满胸喉；口开目直。
〔阎〕治小儿急惊方搐，不用惊扰，此不足畏。慢惊虽静，乃危病也。急惊方搐时，俱扶持之，不可擒捉，
盖风气方盛，恐流入筋脉，或至手足成拘挛也。
【丹溪】大黑龙丸：治疗小儿急惊风和慢惊风，效果显著。
胆南星、礞石（经硝砂处理），各一两；天竺黄、青黛，各半两；芦荟，二钱半；辰砂、蜈蚣（烧成灰），各一钱半；僵蚕，五分。
以上药物研为细末，用甘草汁调和制成如鸡头米大小的药丸。每次服用一丸或两丸，用生姜、蜂蜜和薄荷煎汤送服。如果是慢惊风，则用桔梗白术汤送服。
镇惊丸：
琥珀，二钱半；青黛，半两；辰砂，二钱半；天竺黄，二两；天麻，一两；真珠母，二钱半；芦荟、柴胡，各半两；青皮、甘草，各二钱半；胆南星，二两；雄黄，一钱半；乳香，一两；青礞石（经硝砂处理），半两。
以上药物研为细末，用甘草膏调和制成如鸡头米大小的药丸。慢惊风用人参白术汤送服，急惊风用薄荷生姜蜜汤送服。
治疗小儿急惊风和慢惊风的另一方：
全蝎（四十九个，微炒至黄色），辰砂（半两，研磨极细，混合均匀）。
取十条蚯蚓洗净，放入小瓶中，用温火加热使蚯蚓化为水，以此水和药丸，制成如胡椒粒大小的药丸。每次服用三丸，用流动的清水化开送服。
治疗小儿急惊风和慢惊风的另一方：
僵蚕（三条），辰砂（如豆大小，一粒），全蝎（一个），真珠末（一撮）。
以上药物研为细末，取蓬蒿中的小虫儿，每个虫儿配伍上述药末制成一颗药丸，如麻子大小。每次服用一粒，用乳汁送服。
【《本草》】保命丹：治疗小儿急惊风和慢惊风，症状包括四肢逆冷、眼睛直视、牙关紧闭、口水不止。
虎睛（一对，放在瓦片上，再用瓦片盖住，用慢火烘干），朱砂，半两；全蝎，半钱；天麻，一分；蜈蚣（两条，去掉头、尾及赤脚部分），麝香，半钱。
以上药物研为细末，用炼蜜制成如大豆大小的药丸。存放在瓦罐中，并加入脑麝密封窖藏。急惊风用薄荷蜜汤化开送服；慢惊风用薄荷汤化开送服，每次各三丸。
【钱乙】温惊丸（又名粉红丸）：
南星（研为细末，放入腊月牛的胆囊中阴干一百天，再研为细末，用量四两），朱砂，一钱半；天竺黄，一两；坯子胭脂，半钱；龙脑（五分，单独研磨）。
以上用牛胆汁调和制成如鸡头米大小的药丸。每次服用一丸，幼儿服用半丸，用砂糖水送服。
抱龙丸：治疗伤风温疫引起的身体发热、昏睡、呼吸急促，以及风热痰实壅盛导致的咳嗽、惊风抽搐，还有蛊毒、中暑、沐浴后出现的病症均可服用。
体质壮实的小儿，适宜经常服用。（丹溪说：抱龙丸是调理心肺肝的药物。）
南星（如果没有用牛胆制的，直接用生南星切碎，炒熟使用，用量四两），天竺黄，一两；雄黄（水飞法处理）、辰砂（单独研磨，各半两）；麝香（单独研磨，一钱）。
以上药物研为细末，煮甘草膏调和制成如皂荚子大小的药丸。用温水化开送服。百日大的婴儿，每丸分作三四次服用；五岁儿童服用一至二丸；成人服用三至五丸。
此方也治疗少女白带、伏暑。用少许盐，嚼碎一二丸，用刚打来的冷水送下。用腊月雪水煮甘草调和药物效果更好。另一种方法：用浆水或新汲水浸泡南星三天，待其透软后煮沸三五次取出，趁软切去外皮，只取白色柔软的部分，薄切后焙干，炒至黄色，取末八两。用甘草二两半，拍破，用水两碗浸泡一夜，用慢火煮至剩半碗，去渣，慢慢倒入南星末中，慢慢研磨，直到甘草水被吸尽，再加入其余药物。
【世医】夺命散：治疗急惊风和慢惊风，其他药物无效时，此药能随手奏效。
白附子，三钱；黑附子（炮制去皮脐，半两。急惊风不用）；南星（炮制，一两）；天麻，三钱；辰砂（单独研磨，二钱半）；防风、半夏，各半两；全蝎（去毒，七个）；蜈蚣（炙，一条）；麝香，半钱；僵蚕（炒，慢惊风不用）。
以上药物研为细末，三岁儿童服用半钱，用薄荷生姜自然汁，加少量好酒和沸水调匀服用。急惊风加少量轻粉、冰片。
【汤氏】治疗慢惊风非常有效。
赤脚蜈蚣（涂酒，炙，一条），白僵蚕（炒，七条），辰砂（单独研磨，一字量），全蝎（用薄荷叶包裹，炙，七枚），青州白丸子（三十粒）。
以上药物研为细末，加入少许麝香。慢惊风用人参麦门冬汤调服；急惊风加少量冰片、牛黄，用金银花薄荷汤调服。
【罗天益】天麻散：治疗小儿急惊风和慢惊风，以及大人中风痰涎壅盛、半身不遂、言语困难、神志不清。
半夏，七钱；天麻，二钱半；甘草（炙）、茯苓、白术，各三钱。
以上用水一盏，放入瓷罐内，煮至水干，加入老姜三钱同煮，待干后研为细末。每次服用一钱五分，用姜枣汤调服。
【《内经》相关】治疗惊风坠痰。取重一两的天南星一个，用酒浸泡七个伏天时间后取出，在新瓦上用炭火烤干烈性，在地上放置以去除火毒，捣碎研为细末，加入一分朱砂，研磨为细末。每次服用五分，在空腹及午时各用荆芥汤调服一次。
【田氏】天麻防风丸：治疗小儿惊风，症状包括身体发热、呼吸粗重、多睡、惊悸抽搐、神志昏迷、痰涎不利等症。
天麻、防风、人参，各一两；蝎尾（去毒，半两）；甘草、朱砂、雄黄、牛黄、麝香，各一钱；僵蚕（炒，半两）。
以上药物研为细末。用炼蜜制成如樱桃大小的药丸，用朱砂做外衣。每次用薄荷汤送服一至二丸。
【云岐子】七味羌活膏：治疗急惊风和慢惊风引起的高热。
羌活、独活、天麻、全蝎（去毒）、人参、僵蚕（炒，各半两）；乌蛇肉（酒浸一夜，焙干，一两）。
以上药物研为细末，用炼蜜制成如皂子大小的药丸。每两药制成五十丸，每次服用一丸，用荆芥汤送服。
【《内经》相关】治疗小儿惊风。全蝎一钱，不去头尾，用薄荷叶包裹炙干，共同研为细末，分为四次服用，用汤剂送服。
【《衍义》相关】治疗小儿惊风。僵蚕、蝎梢等量，天雄尖、附子尖共一钱，炮制后研为细末。每次服用一字量，用姜汤调服。
【罗天益】小儿惊风酿乳方。用一个白羊头，与丁香一起熬煮至熟，让哺乳的母亲空腹全部吃下。
【丹溪】孙女因胎中受湿热影响，每天中午发作抽搐，嘴唇发黑面色青紫，每天发作一次，未满周岁，难以喂药，且通过酿乳方式让母亲服药。
白术、陈皮、半夏、芍药、青皮，各五分；人参、川芎、木通，各三钱；黄连，二钱；甘草（炙，一钱）。
以上药物分为八份，加生姜五片，给乳母煎服。
小儿急惊风和慢惊风，伴有发热、口疮、手足伏热、痰热、痰喘、痰嗽等症状，均应用涌吐法。重剂使用瓜蒂散。轻剂使用苦参、赤小豆的细末，用酒、酸醋汁调服。之后服用通神散，制成蜜丸服用。偶尔配合桑螵蛸阴干研末调服，以平复气机。
【《本草》】褊银丸：治疗小儿急惊风和慢惊风，以及积滞久病。
青黛，三钱；水银（如皂角子大小，与黑铅、锡一起炒成砂状）；寒食面、黄明胶（炒焦，研为细末，各二钱）；轻粉（炒，如豆大小）；雄黄、粉霜、朱砂，各一两；巴豆（二十一粒，去油）；脑麝（少许）。
以上药物研细，滴水制成如麻子大小的药丸，捏扁后晒干，装在瓷盒中。一岁的婴儿服用一丸，可根据情况加减，煎大枣汤送下，不得化破。
【《博济方》】治疗急惊风和慢惊风。乳香、甘遂各半两，共同研细，每次服用半钱，用乳香汤调服，或用童便调服尤其妙。
以上二十个方子，通用治疗急惊风和慢惊风，这是因为病情往往虚实夹杂，急慢相互转化，所以有通治的方法。综合来说，急惊风和慢惊风虽然表现不同，但根本都在于痰，所以礞石、南星、半夏这类药物都能治疗。具体而言，礞石类泻痰，青黛类泻肝木，朱砂类泻心火，这些都是治疗气实证的药剂；人参、甘草类补脾土，天麻、全蝎类补肝木，乌头、附子类补肾火，这些都是治疗气虚证的药剂。所以这是补泻兼施、虚实通治的方法。
【山斋】小儿惊风。猴子粪便烧至存性，用碗扣住以去除火毒，用生蜜调匀灌服少许。
【海藏】心神不安。四君子汤加辰砂半分，用枣汤调服。又有一种症状，想要发疮疹，先出现身体发热、惊跳，或者抽搐，这不是惊风，应当使用发散药物。
【阎孝忠】惊风或泄泻等症出现烦渴的，都是津液内部消耗所致。不问阴阳属性，宜煎服钱乙的白术散，使其满意地喝足，越多越好。
【《明堂》】急惊风和慢惊风：印堂穴（灸治，急惊风用泻法，慢惊风用补法）。
急惊风：支正穴、下廉穴。小儿慢惊风：灸尺泽穴两个（各七壮，位于肘横纹内正中，艾炷如小麦大小）。睡中惊搐：厉兑穴（一壮）。睡中惊悸，眼睛不合，灸屈肘横纹上三壮。
【钱乙】咬牙严重的，是发惊。眼睛直视、面色青紫、身体反折的，是生惊。打哈欠且面色青的，是惊风。打哈欠且面色黄的，是脾虚惊。眼睛红兼青的，是发搐。
【钱乙】惊痫发作抽搐，男孩发作抽搐，眼睛向左看无声，向右看有声；女孩发作抽搐，眼睛向右看无声，向左看有声，这是五行相胜的缘故。（洁古说：男孩属木，所以向左看木位无声，向右看金位相击则有声。女孩属金，所以向右看金位无声，向左看木位亦相击有声。）
李寺丞的儿子，三岁发病抽搐，从卯时到巳时，眼睛向右看，大声哭叫。钱乙见到后说：这是逆证。男孩属阳，本来应该向左看无声才是顺证，向右看有声则是逆证。之所以这样，是因为左边属肝木，右边属肺金，逆证则两脏相战，金木相击而有声。治疗应当泻强补弱。假设女孩发作抽搐，眼睛向左看，这是肺来乘克肝，肝不能承受，所以哭叫。应当泻肺，然后治心，接着治肝。如果病在秋季（日西时相同），肺兼旺位，应当大泻肺。如果病在春季（早晨时相同），此时肝旺之时尚不能胜肺，说明肺强而肝木弱，应当补肝肾，大泻肺。如果男孩发作抽搐，眼睛向右看，这是肝来胜肺而哭叫，应当泻肝心。如果病在春夏季（早晨、日中时相同），肝心旺时，应当大泻肝。如果病在秋冬季（日晡时相同），此时肺旺之时尚不能胜肝，说明肝强而肺极虚，应当补肺，大泻肝。所以说眼睛反视，是因为肝主目。凡是抽搐，都是风热在内相搏。风属肝，所以外现于目。现在这个病例男婴表现出女婴的症状，所以比女婴稍易治疗。先泻肺，以泻肺汤为主。两天后如果不闷乱，说明病退。之后用地黄丸补肾。三服后，用泻青丸各两服，以泻心肝，五天痊愈。又有肺虚不宜泻的情况。为什么呢？回答说：假设男孩眼睛向右看，木克金，肝旺胜肺，只泻肝。如果更在春夏季，金气极虚，所以应当补肺，切勿泻肺。
【汤氏】凡是抽搐，男孩向左、女孩向右为顺证，易治；男孩向右、女孩向左为逆证，难治。
心脉急甚出现抽搐（全文见延医法。经书说：急症多寒）。脾脉急甚出现抽搐。
【陈氏】惊风不治之证：抽搐不停止，停止后又再次抽搐；惊叫并发抽搐；出汗且足冷；痰满胸喉；口开眼直。
【阎孝忠】治疗小儿急惊方发作抽搐时，不要惊慌打扰，这不足为惧。慢惊风虽然安静，却是危重病。急惊风正在抽搐时，都要扶持保护，不可擒捉，因为风气正盛，恐怕流入筋脉，导致手足拘挛。
[Danxi] Dahei Long Wan (Great Black Dragon Pill): Treats infantile acute and chronic convulsive disorders (Ji Man Jing Feng) in children, with remarkable efficacy.
Arisaema cum Bile (Danning Xing), Pyrite calcined with Niter (Mengshi Xiaoshi), each 1 liang; Tianshu Huang (Bambusae Concha), Qingdai (Indigo Naturalis), each 0.5 liang; Lu Hui (Aloe), 2.5 qian; Chen Sha (Cinnabar), Centipede (Wugong) calcined to ash, 1.5 qian; Bian Sang (Bombyx Batryticatus), 5 fen.
The above are ground into fine powder, mixed with Licorice juice (Gancao Zhi) to form pills the size of a chicken head. Take one or two pills per dose, administered with a decoction of Ginger, Honey, and Mint. For chronic convulsive disorders, administer with Jiegeng Baizhu Tang (Platycodon and Atractylodes Decoction).
Zhenjing Wan (Sedating Convulsion Pill):
Hupo (Amber), 2.5 qian; Qingdai (Indigo Naturalis), 0.5 liang; Chen Sha (Cinnabar), 2.5 qian; Tianshu Huang (Bambusae Concha), 2 liang; Tianma (Gastrodiae Rhizoma), 1 liang; Zhenzhumu (Margaritifera Ostreum), 2.5 qian; Lu Hui (Aloe), Chai Hu (Bupleuri Radix), each 0.5 liang; Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma), each 2.5 qian; Danning Xing (Arisaema cum Bile), 2 liang; Xionghuang (Realgar), 1.5 qian; Ruxiang (Olibanum), 1 liang; Qingmengshi (Pyrite calcined with Niter), 0.5 liang.
The above are ground into fine powder, mixed with Licorice paste (Gancao Gao) to form pills the size of a chicken head. For chronic convulsive disorders, administer with Shenzhu Tang (Ginseng and Atractylodes Decoction); for acute convulsive disorders, administer with Mint, Ginger, and Honey Decoction.
Formula for treating infantile acute and chronic convulsive disorders:
Quanxie (Scorpio), 49 pieces, lightly stir-fried until yellow; Chen Sha (Cinnabar), 0.5 liang, ground extremely fine and mixed evenly.
Take ten earthworms, wash clean, place in a small bottle, and heat gently over warm fire until the earthworms dissolve into water. Use this water to bind the powder into pills the size of peppercorns. Take three pills per dose, dissolved and administered with running water.
Another formula for treating infantile acute and chronic convulsive disorders:
Bian Sang (Bombyx Batryticatus), three pieces; Chen Sha (Cinnabar), one piece the size of a bean; Quanxie (Scorpio), one piece; Zhenzhu Mo (Margarita), a pinch.
The above are ground into powder. Take small insects from mugwort plants, grind each insect individually to form one pill the size of a hemp seed. Administer one pill per dose with milk.
[Bencao] Baoming Dan (Preserve Life Pill): Treats infantile acute and chronic convulsive disorders, with symptoms of cold limbs, eyes staring straight, locked jaw, and incessant salivation.
Hu Jing (Tiger's Eye), one pair (placed on a tile, covered with another tile, and dried slowly over low heat); Zhusha (Cinnabar), 0.5 liang; Quanxie (Scorpio), 0.5 qian; Tianma (Gastrodiae Rhizoma), 1 fen; Wugong (Centipede), two pieces (remove head, tail, and red feet); Shexiang (Moschus), 0.5 qian.
The above are ground into fine powder, mixed with refined honey to form pills the size of soybeans. Store in a clay jar, sealed with Brain Musk (Naoshe). For acute convulsive disorders, dissolve in Mint Honey Decoction; for chronic convulsive disorders, dissolve in Mint Decoction, three pills per dose.
[Qian Yi] Wenjing Wan (Warming Convulsion Pill) (also known as Fen Hong Wan / Pink Pill):
Nanxing (Arisaematis Rhizoma) ground into powder, placed in an ox gallbladder from the twelfth lunar month, dried in shade for one hundred days, then ground again, 4 liang; Zhusha (Cinnabar), 1.5 qian; Tianshu Huang (Bambusae Concha), 1 liang; Peizi Yanzhi (Pigment from Brick Dust), 0.5 qian; Longnao (Borneolum Syntheticum), 5 fen (ground separately).
Mix the above with ox bile to form pills the size of a chicken head. Take one pill per dose, half a pill for infants, administered with sugar water.
Baolong Wan (Embracing Dragon Pill): Treats wind-cold and warm epidemic diseases, fever with drowsiness, coarse breathing, cough due to wind-heat and phlegm-stuffiness, convulsive disorders, and can also be taken for gu poison, summerheat, and after bathing.
Children with strong constitutions are suitable for regular use. (Danxi said: Baolong Wan is a medicine for the Heart, Lung, and Liver.)
Nanxing (Arisaematis Rhizoma) (if not processed with ox bile, use raw Nanxing chopped and stir-fried until cooked, 4 liang); Tianshu Huang (Bambusae Concha), 1 liang; Xionghuang (Realgar) prepared by water levigation; Chen Sha (Cinnabar) ground separately, each 0.5 liang; Shexiang (Moschus) ground separately, 1 qian.
The above are ground into fine powder, mixed with boiled Licorice paste to form pills the size of soap pods. Dissolve in warm water for administration. For infants under one hundred days, divide one pill into three or four doses; for five-year-old children, take one or two pills; for adults, take three to five pills.
It also treats leukorrhea in young women and latent summerheat. Chew one or two pills with a little salt, swallow with fresh well water. Using snow water from the twelfth lunar month to boil Licorice for mixing the medicine is especially good. Another method: soak Nanxing in Jiangshui (fermented grain liquid) or new water for three days until soft, boil until tender, boil for three to five times, remove while soft, peel off the skin, take only the white soft part, slice thinly, dry by baking, stir-fry until yellow, take 8 liang of powder. Take 2.5 liang of Licorice, crushed, soak in two bowls of water overnight, boil slowly over low heat until half a bowl remains, strain, slowly pour into the Nanxing powder, grind slowly until the Licorice water is absorbed, then add the remaining medicines.
[Shiyi] Dueming San (Life-Restoring Powder): Treats acute and chronic convulsive disorders when other medicines fail; this medicine works immediately.
Baifuzi (Typhonii Rhizoma), 3 qian; Heifuzi (Aconiti Lateralis Radix Preparata) processed, peeled, and navel removed, 0.5 liang (not used for acute convulsive disorders); Nanxing (Arisaematis Rhizoma) processed, 1 liang; Tianma (Gastrodiae Rhizoma), 3 qian; Chen Sha (Cinnabar) ground separately, 2.5 qian; Fangfeng (Saposhnikoviae Radix), Banxia (Pinelliae Rhizoma), each 0.5 liang; Quanxie (Scorpio) detoxified, seven pieces; Wugong (Centipede) roasted, one piece; Shexiang (Moschus), 0.5 qian; Bian Sang (Bombyx Batryticatus) stir-fried (not used for chronic convulsive disorders).
The above are ground into powder. For three-year-old children, take 0.5 qian, mixed with natural juice of Mint and Ginger, plus a little good wine and boiling water, and stirred for administration. For acute convulsive disorders, add a little Qingfen (Calomelas) and Naobo (Borneolum Syntheticum).
[Tang Shi] Very effective for treating chronic convulsive disorders.
Chijiao Wugong (Centipede with red feet) coated with wine and roasted, one piece; Baijiangcan (Bombyx Batryticatus) stir-fried, seven pieces; Chen Sha (Cinnabar) ground separately, one zi measure; Quanxie (Scorpio) wrapped in Mint leaves and roasted, seven pieces; Qingzhou Baiwanzi (Qingzhou White Pill), thirty grains.
The above are ground into powder, add a little Shexiang (Moschus). For chronic convulsive disorders, mix with Ren Shen Maidong Tang (Ginseng and Ophiopogon Decoction); for acute convulsive disorders, add a little Naobo (Borneolum Syntheticum) and Niuhuang (Bovis Calculus), mix with Yinchen Bohe Tang (Silverweed and Mint Decoction).
[Luo Tianyi] Tianma San (Gastrodia Powder): Treats infantile acute and chronic convulsive disorders, as well as adult stroke with excessive phlegm, hemiplegia, difficulty speaking, and loss of consciousness.
Banxia (Pinelliae Rhizoma), 7 qian; Tianma (Gastrodiae Rhizoma), 2.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) roasted, Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), each 3 qian.
Take one bowl of water, put in a porcelain jar, boil until the water is dry, add 3 qian of old Ginger and boil together until dry, then grind into fine powder. Take 1.5 qian per dose, mixed with Ginger and Jujube Decoction.
[Jing] Treating convulsive disorders with phlegm-draining. One Arisaema (Nanxing) weighing one liang, soaked in wine for seven "Fu" periods (five-day intervals), then removed. Roast intensely on a new tile over charcoal fire, remove fire toxicity by placing on the ground, grind into powder, add one fen of Zhusha (Cinnabar), grind into fine powder. Take 0.5 qian per dose, mixed with Jingjie Decoction (Schizonepeta Decoction) on an empty stomach and at noon.
[Tian Shi] Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill): Treats infantile convulsive disorders with symptoms such as fever, coarse breathing, excessive sleep, palpitations, convulsions, coma, and difficult expectoration of saliva and phlegm.
Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma), each 1 liang; Xiewei (Scorpio Tail) detoxified, 0.5 liang; Gancao (Glycyrrhizae Radix et Rhizoma), Zhusha (Cinnabar), Xionghuang (Realgar), Niuhuang (Bovis Calculus), Shexiang (Moschus), each 1 qian; Bian Sang (Bombyx Batryticatus) stir-fried, 0.5 liang.
The above are ground into powder. Mix with refined honey to form pills the size of cherries, coat with Zhusha (Cinnabar). Take one or two pills per dose with Mint Decoction.
[Yun Qizi] Qiwei Qianghuo Gao (Seven-Ingredient Notopterygium Paste): Treats high fever in acute and chronic convulsive disorders.
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Tianma (Gastrodiae Rhizoma), Quanxie (Scorpio) detoxified, Renshen (Ginseng Radix et Rhizoma), Bian Sang (Bombyx Batryticatus) stir-fried, each 0.5 liang; Wushe Rou (Agkistrodon Flesh) soaked in wine overnight, dried, 1 liang.
The above are ground into powder, mixed with refined honey to form pills the size of soap seeds. Each liang makes fifty pills. Take one pill per dose with Jingjie Decoction.
[Jing] Treating infantile convulsive disorders. Quanxie (Scorpio) 1 qian, do not remove head or tail, wrap in Mint leaves, roast until dry, grind together into powder. Divide into four doses, administer with soup.
[Yanyi] Treating infantile convulsive disorders. Bian Sang (Bombyx Batryticatus) and Xieshao (Scorpio Tail) in equal parts, Tianxiong Jian (Aconitum Carmichaeli Radix Lateralis Preparatum Apex) and Fuzi Jian (Aconiti Lateralis Radix Preparata Apex) totaling 1 qian, processed and ground into powder. Take one zi measure per dose, mixed with Ginger Decoction.
[Luo Tianyi] Infantile Convulsive Disorder Milk-Nourishing Formula. Use one white sheep head, boil with Dingxiang (Caryophylli Flos) until cooked. The nursing mother eats it all on an empty stomach.
[Danxi] Granddaughter suffered from damp-heat in the womb, developed convulsions at noon, black lips and blue face, occurring once daily. Under one year old, difficult to administer medicine directly, so nourish the milk for the infant to drink.
Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Shaoyao (Paeoniae Radix Alba), Qingpi (Citri Reticulatae Pericarpium Viride), each 5 fen; Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Mutong (Akebiae Caulis), each 3 qian; Huanglian (Coptidis Rhizoma), 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma) roasted, 1 qian.
Divide into eight doses. Add five slices of Ginger, decoct for the nursing mother to take.
For infantile acute and chronic convulsive disorders with fever, mouth ulcers, latent heat in hands and feet, phlegm-heat, phlegm-wheezing, and phlegm-cough, use the Vomiting Method (Yong Fa). For severe cases, use Gudi San (Thladianthae Fructus Powder). For mild cases, use Kushen (Sophorae Flavescentis Radix) and Chixiaodou (Vigna Semen Rubrum) powder, mixed with wine and sour pickle juice for administration. Afterwards, use Tongshen San (Spirit-Unblocking Powder) in honey pills. Occasionally use Sangpiaoxiao (Mantis Ootheca) dried in shade and ground, mixed for administration, to calm the qi.
[Bencao] Pianyin Wan (Flattened Silver Pill): Treats infantile acute and chronic convulsive disorders and accumulated stubborn diseases.
Qingdai (Indigo Naturalis), 3 qian; Shuiyin (Hydrargyrum) the size of a soap pod, stir-fried with Heiqian (Lead) and Xi (Tin) into sand; Hanshimian (Cold Food Flour), Huangmingjiao (Colla Corii Asini) roasted until scorched and ground, each 2 qian; Qingfen (Calomelas) roasted, bean-sized; Xionghuang (Realgar), Fenshuang (Sublimated Arsenic Trioxide), Zhusha (Cinnabar), each 1 liang; Badou (Crotonis Fructus) 21 grains, oil removed; Naoshe (Brain Musk), a little.
Grind finely, add drops of water to form pills the size of hemp seeds, flatten and sun-dry, store in a porcelain box. One pill for one-year-old children, adjust dosage as needed, send down with Jujube Decoction, do not allow to dissolve.
[Boji Fang] Treating acute and chronic convulsive disorders. Ruxiang (Olibanum) and Gansui (Euphorbiae Kansui Radix) each 0.5 liang, grind finely together. Take 0.5 qian per dose, mixed with Ruxiang Decoction, or mixed with Tongbian (Child Urine) is especially excellent.
The above twenty formulas generally treat acute and chronic convulsive disorders, because deficiency and excess symptoms often appear together, and acute and chronic conditions interrelate, hence there is a general treatment method. In summary, although acute and chronic convulsions differ, they both originate from Phlegm; therefore, Mengshi (Pyrite), Xing (Arisaema), and Banxia (Pinellia) types can treat them generally. Specifically, Mengshi types drain phlegm, Qingdai types drain Liver Wood, and Zhusha types drain Fire; these are all agents for treating Qi Excess. Renshen and Gancao types tonify Spleen Earth, Tianma and Quanxie types tonify Liver Wood, and Wu (Aconite) and Fu (Prepared Aconite) types tonify Kidney Fire; these are all agents for treating Qi Deficiency. Thus, this is a method of combining tonification and purgation, treating both deficiency and excess.
[Shanting] Infantile convulsive disorders. Monkey feces burned until carbonized but retaining nature, cover with a bowl to remove fire toxicity, mix with raw honey and灌 (administer) a small amount.
[Hai Zang] Restless mind and spirit. Si Junzi Tang (Four Gentlemen Decoction) plus 0.5 fen of Chen Sha (Cinnabar), mixed with Jujube Decoction. There is another syndrome: before erupting sores and rashes, the body first becomes hot with startles or convulsions. This is not convulsive disorder; use dispersing medicines.
[Yan Xiaozhong] Convulsive disorders or diarrhea accompanied by irritability and thirst indicate internal consumption of Body Fluids (Jin Ye). Regardless of Yin or Yang, decoct Qian Yi's Baizhu San (Atractylodes Powder), allowing the patient to drink to satisfaction; the more, the better.
[Mingtang] Acute and Chronic Convulsions: Yintang (Ex-HN14) moxa (Acute convulsions: draining method; Chronic convulsions: reinforcing method).
Acute Convulsions: Zhengzheng (SI7), Xialian (LI8). Infantile Chronic Convulsions: Moxa Chize (LU5) acupoints (seven moxa cones each, located in the center of the cubital crease, cone size like wheat). Startling during sleep: Lidui (ST45) (one moxa cone). Startling during sleep with eyes open: Moxa three cones above the elbow flexion crease.
[Qian Yi] Severe teeth grinding indicates impending convulsions. Eyes staring straight, face blue, body opisthotonos indicates emerging convulsions. Yawning with blue face indicates convulsive disorder. Yawning with yellow face indicates Spleen deficiency with fright. Red eyes with blue tint indicate onset of convulsions.
[Qian Yi] In convulsive epilepsy, for boys, convulsions with eyes looking left are silent, looking right produce sound; for girls, convulsions with eyes looking right are silent, looking left produce sound, due to mutual overcoming. (Jiegu said: Boys belong to Wood, so looking left to Wood position is silent, looking right to Metal position produces sound from striking. Girls belong to Metal, so looking right to Metal position is silent, looking left to Wood position produces sound from striking.)
Li Sicheng's son, three years old, had convulsions from Mao hour to Si hour, eyes looking right, crying loudly. Qian saw and said: This is a reverse pattern. Boys are Yang; originally looking left silently is smooth/normal, looking right with sound is reverse. The reason is that the Left is Liver Wood, Right is Lung Metal. Reverse means the two organs fight, Metal and Wood strike producing sound. Treatment should drain the strong and tonify the weak. Suppose a girl has convulsions, eyes looking left, this is Lung attacking Liver, Liver cannot bear it, hence crying. Should drain Lung, then treat Heart, then treat Liver. If illness is in Autumn (same as evening time), Lung is in a prosperous phase, should heavily drain Lung. If illness is in Spring (same as morning time), Liver is prosperous but still cannot overcome Lung, meaning Lung is strong and Liver Wood is weak, should tonify Liver and Kidney, heavily drain Lung. If a boy has convulsions, eyes looking right, this is Liver overcoming Lung causing crying, should drain Liver and Heart. If illness is in Spring and Summer (same as morning, midday time), Liver and Heart are prosperous, should heavily drain Liver. If illness is in Autumn and Winter (same as dusk time), Lung is prosperous but still cannot overcome Liver, meaning Liver is strong and Lung is extremely deficient, should tonify Lung, heavily drain Liver. The reason for eyes looking backward is that Liver governs the eyes. All convulsions are due to Wind-Heat fighting internally. Wind belongs to Liver, hence manifests externally in the eyes. Now this case shows male presenting female symptoms, so slightly easier to treat than female cases. First drain Lung, using Xiefei Tang (Drain Lung Decoction). After two days without confusion, know the disease is receding. Then use Dihuang Wan (Rehmannia Pill) to tonify Kidney. After three doses, use Xieqing Wan (Drain Green Pill) twice each to drain Heart and Liver, cured in five days. What if Lung deficiency does not drain? Answer: Suppose boy looks right, Wood overcomes Metal, Liver strong overcomes Lung, but only drain Liver. If further illness is in Spring and Summer, Metal Qi is extremely deficient, thus should tonify Lung, strictly do not drain.
[Tang Shi] Generally, for convulsions, boy-left/girl-right is smooth/normal, easy to treat; boy-right/girl-left is reverse, difficult to treat.
Heart Pulse rapid/excessive indicates Chi Zhong (spasms/clonic movements). (Full text see Yan Yi Fa. Classic says: Rapid pulses often indicate Cold). Spleen Pulse rapid/excessive indicates Chi Zhong (spasms/clonic movements).
[Chen Shi] Incurable signs of convulsive disorder: Convulsions without cessation, ceasing then recurring; startled cries with convulsions; sweating with cold feet; phlegm filling chest and throat; mouth open, eyes staring straight.
[Yan Xiaozhong] When treating infantile acute convulsions, do not cause alarm or disturbance; this is not to be feared. Chronic convulsions, though quiet, are critical illnesses. During acute convulsions, support the child, do not restrain forcibly, because Wind Qi is vigorous, fearing it may flow into sinews and tendons, potentially leading to contracture of hands and feet.