小儿痫证类痉惊，发时昏倒搐涎声，食顷即苏如无病，阴阳惊痰食风分。
[注]
痫证类乎惊风，痉风者谓发时昏倒抽搐，痰涎壅盛，气促作声，
与惊痉二证相似也，但四体柔软，一食之顷即醒，依然如无病之人，
非若痉风一身，强硬，终日不醒也，
阴者阴痫也，见藏阴证，阳者阳痫也，见府阳证，
惊痫因惊，痰痫因痰，食痫因食，风痫因风，
其证不一，治亦不同，临证宜详辨之。
%
痫证门
阴痫属藏肢厥冷，偃卧拘急面白青，吐沫声微脉沈细，醒脾固真定痫灵。
[注]
阴痫属阴藏寒之病也，多因慢惊之后痰入心包而得，
发时手足厥冷，偃卧拘急，面色青白，口吐涎沫，声音微小，脉来沈细，
轻者醒脾汤，重者固真汤，病退调理用定痫丹主之。
(醒脾汤)方见慢惊门
(固真汤)方见慢脾风。
(定痫丹) 人参三钱 当归三钱 白芍三钱炒 茯神 枣仁各五钱炒
远志三钱去心 琥珀三钱 天竺黄四钱 白术五钱土炒 橘红 半夏姜制
天麻各三钱 □藤□四钱 甘草二钱炙 以上共为细末，炼蜜丸如榛子大，
每服一丸，淡姜汤化服。
%
痫证门
阳痫属府身热汗，仰卧面赤脉数洪，噤急啼叫吐涎沫，龙胆泻青与抱龙。
[注]
阳痫属阳，府热之病也，
多因急惊去风下痰不净，久而致成此证，
发时身热自汗，仰卧面赤，脉象洪数，牙关噤急，
或啼叫不已，口吐涎沫，
如风兼热者，用龙胆汤，肝经热者，用泻清
丸，痰涎壅盛者，用四制抱龙丸主之。
(龙胆汤)方见噤口。
(泻清丸)方见急惊风。
(四制抱龙丸) 天竺黄五钱 辰砂二钱 胆星一两 雄黄二钱
麝香一分半 以上为极细末，另用麻黄，款冬花，甘草，各五钱煎汤，
去滓慢火熬成，膏和药末为丸，如芡实大，每服一丸，
薄荷汤化下。
%
痫证门
小儿痫证的表现类似痉病和惊风，发作时出现昏倒、抽搐、流涎及发出声响，经过一顿饭的时间即可苏醒，如同没有生病一样，根据阴阳属性以及惊、痰、食、风的不同病因进行分类。
[注释]
痫证类似于惊风。所谓“痉风”，是指发作时昏倒、抽搐，痰涎壅盛，呼吸急促并伴有声响，这与惊风和痉风两个病证相似。但不同的是，痫证患者四肢柔软，一顿饭的功夫就能醒来，依然像没生病的人一样；不像痉风那样全身僵硬，整天不醒。
阴痫属于阴证，表现为脏器的阴寒症状；阳痫属于阳证，表现为腑气的阳热症状。
惊痫由惊恐引起，痰痫由痰邪引起，食痫由饮食积滞引起，风痫由风邪引起。
这些证候各不相同，治疗方法也不同，临证时需要仔细辨别。
痫证门
阴痫归属于脏，表现为四肢厥冷，身体仰卧且拘急，面色青白，吐沫，声音微弱，脉象沉细，治疗宜用醒脾汤、固真汤以健脾温阳，或用定痫丹以安定痫证。
[注释]
阴痫属于阴脏寒性疾病，多因慢惊风之后，痰邪进入心包所致。
发作时手足厥冷，身体仰卧且肢体拘急，面色青白，口吐涎沫，声音微小，脉象沉细。
轻症用醒脾汤，重症用固真汤，病情缓解后调理使用定痫丹为主。
(醒脾汤) 方剂见“慢惊门”
(固真汤) 方剂见“慢脾风”。
(定痫丹) 人参三钱，当归三钱，炒白芍三钱，茯神，炒枣仁各五钱，去心远志三钱，琥珀三钱，天竺黄四钱，土炒白术五钱，橘红，姜制半夏，天麻各三钱，钩藤四钱，炙甘草二钱。以上药物共研为细末，用炼蜜制成如榛子大小的丸药，每次服用一丸，用淡姜汤送服化开。
痫证门
阳痫归属于腑，表现为身体发热出汗，仰卧且面赤，脉象数而洪大，牙关紧闭拘急，啼叫并吐涎沫，治疗宜用龙胆泻青丸或抱龙丸。
[注释]
阳痫属于阳腑热性疾病，
多因急惊风时祛风化痰不彻底，日久导致此证。
发作时身体发热自汗，仰卧且面红，脉象洪数，牙关紧闭拘急，
或者啼叫不止，口吐涎沫。
如果兼有风热者，使用龙胆汤；肝经有热者，使用泻青丸；痰涎壅盛者，使用四制抱龙丸为主。
(龙胆汤) 方剂见“噤口”。
(泻清丸) 方剂见“急惊风”。
(四制抱龙丸) 天竺黄五钱，辰砂二钱，胆南星一两，雄黄二钱，麝香一分半。以上药物研成极细末，另外取麻黄、款冬花、甘草各五钱煎汤，滤去渣滓，用慢火熬成膏状，与药末混合制成如芡实大小的丸药，每次服用一丸，用薄荷汤送服化下。
痫证门
The manifestations of pediatric epilepsy (Xian Zheng) resemble those of convulsions (Jing Feng). During an attack, the child falls unconscious, experiences convulsions, salivary hypersecretion, and abnormal sounds. After a meal's duration, they recover as if healthy. Etiologically, it is classified into Yin Epilepsy and Yang Epilepsy, further differentiated by causes such as fright (Jing), phlegm (Tan), food retention (Shi), and wind (Feng).
[Note]
Epilepsy resembles convulsive disorders. "Convulsion-Wind" refers to conditions where the patient falls unconscious with convulsions, copious phlegm-saliva, rapid breathing, and stridor, which are similar to Fright-Convulsion and Spasm-Convulsion syndromes. However, in epilepsy, the limbs remain soft, and the patient awakens after a short time (a meal's duration), appearing normal, unlike spasm-convulsion where the body is rigid and consciousness is lost for a long period.
Yin Epilesy belongs to the Yin category, presenting with cold symptoms of the Zang organs; Yang Epilepsy belongs to the Yang category, presenting with heat symptoms of the Fu organs.
Fright-Epilepsy is caused by fright; Phlegm-Epilepsy by phlegm; Food-Retention Epilepsy by dietary accumulation; Wind-Epilepsy by wind pathogen.
These syndromes vary, and treatments differ accordingly; careful differentiation is required during clinical practice.
Section: Epilepsy Syndrome
Yin Epilepsy involves the Zang organs, characterized by cold extremities, supine posture with limb stiffness, pale or bluish complexion, frothing at the mouth, faint voice, and a deep, fine pulse. Treatment should focus on awakening the Spleen, securing the True Qi, and stabilizing epilepsy using Xingpi Tang, Guzhen Tang, or Dingxian Dan.
[Note]
Yin Epilepsy is a cold disease of the Yin Zang organs, often resulting from phlegm entering the Pericardium following chronic convulsions (Man Jing).
During an attack, there is coldness in the hands and feet, supine posture with limb stiffness, pale/bluish complexion, frothing at the mouth, faint voice, and a deep, fine pulse.
For mild cases, use Xingpi Tang (Spleen-Awakening Decoction); for severe cases, use Guzhen Tang (True-Qi-Securing Decoction). For post-attack recovery and regulation, use Dingxian Dan (Epilepsy-Stabilizing Pill) as the primary treatment.
(Xingpi Tang) See Section: Chronic Convulsions.
(Guzhen Tang) See Section: Chronic Spleen Wind.
(Dingxian Dan) Ren Shen (Ginseng Radix et Rhizoma) 3 qian, Dang Gui (Angelicae Sinensis Radix) 3 qian, Chao Bai Shao (Stir-fried White Peony Root) 3 qian, Fu Shen (Poria with Hostwood) 5 qian, Chao Zao Ren (Stir-fried Ziziphus Seed) 5 qian, Yuan Zhi (Polygalae Radix, heart removed) 3 qian, Hu Po (Amber) 3 qian, Tian Zhu Huang (Bambusae Concretio Silicea) 4 qian, Tu Chao Bai Zhu (Earth-stir-fried Atractylodis Macrocephalae Rhizoma) 5 qian, Ju Hong (Citri Reticulatae Pericarpium) 3 qian, Jiang Zhi Ban Xia (Ginger-processed Pinellia Tuber) 3 qian, Tian Ma (Gastrodiae Rhizoma) 3 qian, Gou Teng (Uncariae Ramulus cum Uncis) 4 qian, Zhi Gan Cao (Honey-fried Licorice Root) 2 qian. Grind all ingredients into fine powder. Mix with refined honey to form pills the size of hazelnuts. Take one pill per dose, dissolved in light ginger decoction.
Section: Epilepsy Syndrome
Yang Epilepsy involves the Fu organs, characterized by fever, spontaneous sweating, supine posture with facial redness, surging and rapid pulse, locked jaw with stiffness, crying out, and frothing at the mouth. Treatment should utilize Longdan Xieqing Wan (Gentian Liver-Draining Pill) or Baolong Wan (Embracing Dragon Pill).
[Note]
Yang Epilepsy is a heat disease of the Yang Fu organs.
It often results from incomplete elimination of wind and phlegm during acute convulsions (Ji Jing), persisting over time.
During an attack, there is fever with spontaneous sweating, supine posture with facial redness, surging and rapid pulse, trismus (locked jaw), incessant crying, and frothing at the mouth.
If wind combines with heat, use Longdan Tang (Gentian Decoction); if there is heat in the Liver Meridian, use Xieqing Wan (Liver-Draining Pill); if there is copious phlegm-saliva, use Sizhi Baolong Wan (Four-Processed Embracing Dragon Pill) as the primary treatment.
(Longdan Tang) See Section: Trismus.
(Xieqing Wan) See Section: Acute Convulsions.
(Sizhi Baolong Wan) Tian Zhu Huang (Bambusae Concretio Silicea) 5 qian, Chen Sha (Cinnabar) 2 qian, Dan Xing (Arisaematis Cum Bile) 1 liang, Xiong Huang (Realgar) 2 qian, She Xiang (Moschus) 1.5 fen. Grind these into extremely fine powder. Separately, decoct Ma Huang (Ephedrae Herba), Kuan Dong Hua (Farfarae Flos), and Gan Cao (Licorice Root), each 5 qian, in water. Strain the dregs, and slowly boil down the liquid to a paste consistency. Mix this paste with the medicinal powder to form pills the size of Euryale seeds. Take one pill per dose, dissolved in mint decoction.
Section: Epilepsy Syndrome