问曰。惊有阳有阴。何以别之。答曰。儿肝气实盛。适与风气相搏。窜视反张。脉浮而弦者。名曰阳痫也。儿元真
虚弱。肝气独亢。睡惕露睛。脉细而弦者。名曰阴痫也。儿风热伤食。若疮热虫动。是皆发惊跳。以元真不胜任也。阳
痫为病。大热皆强。上窜撮口。四肢必螈 者。还魂汤主之。
还魂汤方
麻黄（五分） 杏仁（五核） 芍药（一钱） 钓藤（三分） 射干（三分） 甘草（二分）
上五味。以水一升。煮取七合。去滓分温。频频服。儿啼声轻者。气也弱也。重浊者痛也。高喊者。热欲狂也。声
急者。神惊也。声塞者痰也。声战者寒也。儿发热颊赤。瞌睡跳惕。啮齿咬乳者。宜钓藤汤主之。儿体热。面无色。反
折而啼号者。欲惊也。阳痫为病。角弓反张。直视而脉促。若剧者。厥寒欲死。须要截风去痰。若热不减。减不足言。
当急攻之。大承气汤主之。恶寒发热。若呵欠面赤。无汗而脉盛大者。必致惊惕。宜大青龙汤主之。儿发惊。痰涎壅盛。
短息烦躁。腹硬脉弦者。宜紫霜丸。导以减其盛气也。马脾风。即肺胀也。摇肩滚肚。张口喘鸣者。宜铁浆加姜汁服之。
身热昏沉。咽内如水鸡声。脉促面赤者欲惊。宜麻黄杏仁甘草石膏加射干汤主之。惊之为病。有上窜螈 者。发于阳也。
有下窜微搐者。发于阴也。儿昏沉五六日。吐乳跳惕。身热不解。奄忽发惊者。病反瘥。若不瘥。直视HT 作者。难治
也。儿惊跳。似寒似热。似呕似泻。名曰阴阳合病。宜与芍药甘草汤。以将息也。惊病恍惚。手脚偏动。吐若泻。其脉
微涩。此为阴阳俱虚。不可更汗更攻。宜通脉四逆加猪胆汁汤主之。儿微热瞌睡。必露睛。四肢致动惕此为慢惊之兆也。
儿身体微热。慢跳HT 作。溏泻遗溲。此为纯阴也。宜四逆加人参汤主之。儿一身微冷。反指头热。此为热厥。必发大
热。
若惊搐也。病真热者阳也。假热者阴也。阳者发急惊。阴者发慢惊。急惊者宜寒泻方。慢惊者宜温养方。惊病。身热力
猛者。为阳痫。身冷力劣者。为阴痫。若擗地而作声。口流涎者。癫痫也。惊之为病。仰视者为天吊。内视者为内吊。
角弓反张。脉数疾者。为痘病也。惊病者。须要扶持而将息。若强擒捉。则邪热益激。遂迫入骨。假令病瘥。必手脚挛
拘也。发热窜视。痰涎潮盛。口噤螈 。此为荣卫凝结。百脉不通。故暴烈也。惊有阳有阴。天钓者。为热阳也。内钓
者。似痫阴也。儿发惊。脉浮数洪紧弦。为急惊也。脉沉迟散缓微。为慢惊也。急惊缓治之。宜寒冷方。慢惊急治之。
宜温热方。儿初生。 乳惕而不安。此为胎惊。宜朱蜜。
朱蜜方
朱砂（豆大） 蜂蜜（鸡子大）
上二味。研调。每日含之。日二三次。腊内直视。 齿手脚拘急。脉促弦者。为胎惊。宜紫雪主之。
紫雪方
黄金（十两） 寒水石（四两八钱） 石膏（四两八钱） 玄参（一两） 犀角（一两） 羚羊角（一两） 甘草
（八钱） 升麻（六钱） 沉香（五钱） 木香（五钱） 丁香（五钱）
上十一味。以水五斗。先煮黄金及二石。至三斗。入诸药。再煎至一斗。去滓入芒硝三两二钱。慢火煎。以柳枝不
住手搅。侯欲凝。入瓷盆中。更下朱砂麝香。各三钱。急搅自然凝。成紫雪为度。腊内发惊。假者可治。真者不可治。
何以论之。曰假者为风外也。真者为痫里也。客忤者。客气忤犯其主气之谓也。发热 乳睡必微跳。宜惺惺散主之。客
忤发热微搐。若剧则如狂痫。反视撮口。惕而不安。宜红雪服之。儿人语物响。易动跳者。此为元真虚拙。必发惊痫也。
宜竹 温胆汤主之。
竹 温胆汤方
茯苓（一钱） 陈皮（五分） 半夏（七分） 黄连（三分） 枳实（五分） 竹 （三分） 甘草（二分） 生
姜（三分） 大枣（五枚）
上九味 咀。以水二升。煮取一升。去滓分温服。加辰砂三分为佳。儿善怒啼哭。脚腹挛拘。脉必沉弦。剧则啮齿
咬乳。此为虫惊。宜芍药甘草汤。虫惊如痫恕号而颜红胸胁必挛拘脉乍动。乍静者是也。宜柳肝加胶饴汤。
柳肝加胶饴汤方
柴胡（五分） 川芎（三分） 当归（五分） 白术（三分） 茯苓（五分） 钓藤（五分） 甘草（三分） 胶
饴（鸡子大）
上八味。以水二升。煮七味取一升。去滓内胶饴。更上微火。消解温服。日三服。身温睡多。胸腹满而微惕或食臭。
或呕逆者。宜浓朴三物汤。儿体壮热面赤尻冷。寒栗而振。奄忽发惊。此为痘疹兆也。宜续命汤主之。
续命汤方
葛根（五分） 麻黄（三分） 桂枝（二分） 芍药（五分） 钓藤（三分） 黄连（二分） 石膏（五分） 甘
草（三分） 生姜（二分） 大枣（三枚）
上十味。以水二升。先煮麻黄葛根。减五合。去沫内诸药。煮取七合。去滓分温服。儿肤有疮。发热而惊者。名曰
破伤风。即 病也。宜续命汤。若身厥者。芍药甘草附子汤主之。病者身热。无汗而小便反少。气上冲胸。口噤不得语。
欲作刚 。葛根汤主之。病者身热足寒。颈项强急恶寒时头热面赤目赤独头动摇。卒口噤。背反张者。 病也。若发其
汗者。寒湿相得。其表益虚。即恶寒甚。发其汗已。其脉如蛇。太阳病。发汗大多。若亡血虚家。俱致 病宜黄 建中
汤主之。 为病胸满口噤。卧不着席。脚挛急。必 齿。可与大承气汤主之。大阳中热者。喝是也。汗出恶寒。身热而
渴。剧者窜视反张。宜白虎加人参汤。喝病发热面赤而哽其脉弦细芤迟。小便已。洒洒然毛耸。手足逆冷。咽燥口干。
若发其汗。则其恶寒甚。加温针则发热甚。宜生脉散主之。
生脉散方
人参（三分） 麦门冬（五分） 五味子（三分炒）
上三味。以水一升。煮取七合。去滓加姜汁。若竹沥。搅调频频服。 病烦渴而颜赤脉促者欲惊。宜黄连白虎汤。
暴卒中 直视失KT 。四肢厥寒者。附子理中汤主之。
附子理中汤方
人参（三分） 白术（五分） 附子（五分） 干姜（五分） 甘草（三分）
上五味 咀。以水一升。煮取七合。去滓分温服。诸暴病。反眼螈 。若痰喘短息。不论阴阳。先与人参黄连汤。
人参熊胆汤亦主之。痰喘甚者。加姜汁主之。惊病致上窜者。为阳实也。致下窜者。为阴虚也。实者攻之。虚者温之。
儿元真不实。动受物惊触。即客忤之谓也。中恶者恶邪触害之谓也。即客忤之重也。白虎者即轻也。儿惊热不可灸。令
努气益盛。须用善推法。剧者刺之。宜镇肝汤主之。
镇肝汤方
牲实（五分） 麻黄（三分） 寒水石（五分） 枳实（三分） 芍药（五分） 甘草（三分） 生姜（三分）
上七味。以水一升。先煮六味。取七合。去滓内牲实。碾调。分温服。发热惊跳。短气燥烦。神魂乱。若口渴。若
呕吐者。宜金雪。
金雪方
金膏 石膏 芒硝（各一钱） 龙脑（二分） 麝香（一分）
上四味。碾调。每服一字。惊痫。眼神翻腾者。为天钓。诸治惊法。须要宽气托毒也。宜钓藤汤主之。
钓藤汤方
钓藤（五分） 野蚕（一个） 芍药（五分） 辰砂（三分） 犀角（三分） 甘草（二分） 生姜（三分）
上七味。以水一升。煮取七合。去滓分温服。阳痫日二三发。引日不解。遂转属阴痫。此为坏病也。阴痫不得有汗。
若有汗者。恐亡阳也。宜四逆汤。惊病。昏沉气鹿喉。内如挽锯者。宜麦门加竹沥汤。惊病。衄血者可治。呕血者不可
治。何以谓也。曰衄血者邪热散也。呕血者荣血败也。阴痫即慢惊也。若 乳而大便溏者。名曰慢睥风难治。天钓者。
神昏恶HT 。若啮奶热也。内钓者。多啼瞌睡。必动惕寒也。儿脐风。若胎惊。胸腹石硬。反视而不能 者。宜紫霜丸。
服丸须臾。大便通者生。不通者死。惊热。夜不可停灯。若停灯者。阳炎却热气。益惊跳而药力必不可镇也。惊病眼睛
如鱼。喘鸣气急。额头有汗。爪之吃吃者死。暴卒发热。痰喘肩息。啼声吃吃。乳饵不通者名曰缠喉风。不可治。阳痫。
口鼻气冷。露睛而微惕。有汗者亡阳也。宜桂枝附子加黄 汤。惊病必有痰。痰者动于热。热静则伏于脾。若热盛。痰
动者。发惊痫。惊痫四证八侯。尽备者。不可治。身体厥冷。反烦渴。动躁而神魂乱。小便如血者。属牝脏洞竭也。昏
睡不醒。四肢舒撒。二便不禁者死。二便不通者亦死。诸热发惊。反复二三。乱髫尚可治。婴孩心不可治。发热发惊。
短息痰鸣。反复而不解。女者可治男者难治。身冷面热。倦睡呻吟。若尸臭者。孤阳飞越也。婴孩为物。有热必虞惊。
乱髫则少减虞。至童 则更减之。然热盛。则不能全无虞也。问曰。癫痫何状也。答曰。暴惊有声而倒。口涎必流。须
臾还苏。名癫痫也。癫痫暴倒。状如死。须臾自惺。后必苦头痛。若郁勃如痴者是也。宜断痫丸主之。
断痫丸方
黄 （五分） 蛇蜕（五寸） 灵砂（三钱） 细辛（五分） 甘草（二分） 蝉蜕（四枚） 牲实（三钱）
上七味为末。枣肉丸。如麻子大。每服二十丸。以人参汤服。病患肥白多湿。黑瘦多痫。属湿者。宜渗湿方。属痫
者。宁肝汤主之。
宁肝汤方
沉香（五分） 缩砂（三分） 香附（五分） 吴茱萸（三分） 黄连（三分）
上五味。以水一升煮取七合。去滓分温服。病患重阴者癫。重阳者狂。如妇女。月信适动。病益剧。独言妄语者。
宜了了丸。
了了丸方
黑铅（一两半） 水银（二两） 朱砂（一两） 乳香（一两） 牲实（七钱）
上五味。先以黑铅。入铫溶化。次下水银。候结成砂子。再下二味。乘热用柳木。捶研匀。内牲实糊丸。如芡实大。
每服二丸。以井水送下。病患若睡。勿惊动自觉即安。再服二丸。痫病沉痼。必变痴。名曰痴痫。若口呐而不能语者。
名曰痫哑。废人也。
问：惊风有阳证和阴证之分，如何辨别它们？
答：小儿肝气实盛，适逢风气与之相搏，出现眼球上窜、角弓反张，脉象浮而弦的，称为阳痫。小儿元气虚弱，肝气独亢，睡眠中易惊醒、眼睛半开半合（露睛），脉象细而弦的，称为阴痫。小儿因风热或伤食，或因疮疡发热、虫动等引起惊跳，这都是因为元气不能胜任所致。
阳痫发病时，身体大热且强直，眼球上窜、口唇撮紧，四肢必定抽搐，用还魂汤主治。
还魂汤方：麻黄（五分）、杏仁（五核）、芍药（一钱）、钓藤（三分）、射干（三分）、甘草（二分）。
以上五味药，用水一升，煮取七合，去渣后分次温服，频频服用。
小儿啼哭声轻的，是气弱；声重浊的，是痛；高声喊叫的，是热欲发狂；声音急促的，是神志受惊；声音窒塞的，是有痰；声音颤抖的，是寒。
小儿发热、脸颊红润、嗜睡惊跳、咬齿吃奶的，宜用钓藤汤主治。
小儿身体发热、面色无华、反折身体啼哭的，是欲发惊风之兆。
若阳痫发病，出现角弓反张、直视且脉象急促，如果病情严重，出现四肢厥冷欲死，必须截风去痰。如果热势不减，其他治疗都不足挂齿，应当急攻其邪，用大承气汤主治。
若恶寒发热，呵欠、面赤、无汗且脉象盛大者，必致惊惕，宜用大青龙汤主治。
小儿发惊，痰涎壅盛，呼吸短促烦躁，腹部硬满脉弦者，宜用紫霜丸，以导泻其盛气。
马脾风，即肺胀病。表现为摇肩、腹部滚动、张口喘鸣者，宜用铁浆加姜汁服用。
身体昏沉发热，咽喉内有如水鸡叫声，脉象急促面赤者，欲发惊风，宜用麻黄杏仁甘草石膏汤加射干主治。
惊风病，有的向上窜动抽搐，这是发于阳；有的向下窜动轻微抽搐，这是发于阴。
小儿昏沉五六天，吐乳、惊跳，身体发热不退，突然发惊，如果是病势好转后的反应尚可；如果病未好转，出现直视不瞬者，难治。
小儿惊跳，似寒似热，似呕似泻，名为阴阳合病，宜用芍药甘草汤调理。
惊病恍惚，手脚偏动，呕吐或腹泻，脉象微涩，此为阴阳俱虚，不可再用发汗或攻下法，宜用通脉四逆加猪胆汁汤主治。
小儿微热嗜睡，必然露睛，四肢不时抽动，这是慢惊风的征兆。
小儿身体微热，缓慢抽搐，大便溏泄、遗尿，这是纯阴证，宜用四逆加人参汤主治。
小儿全身微冷，唯独手指头热，这是热厥，必然发大热，如果发生惊搐，病属真热为阳，假热为阴。阳证发急惊，阴证发慢惊。急惊宜用寒泻方，慢惊宜用温养方。
惊病，身体发热有力猛烈的，为阳痫；身体寒冷无力衰弱的，为阴痫。
如果拍地发声、口流涎水的，是癫痫。
惊病，仰视的为“天吊”；内视的为“内吊”。
角弓反张，脉数疾的，为痘病。
惊病，必须扶持并细心调养。如果强行擒捉，会使邪热更激，深入骨髓。即使病愈，也必然导致手脚挛缩拘急。
发热、眼球上窜、痰涎潮盛、口噤抽搐，这是营卫凝结，百脉不通，所以病势暴烈。
惊风有阳有阴，“天钓”属于热阳证，“内钓”类似阴痫。
小儿发惊，脉象浮数洪紧弦的，为急惊；脉象沉迟散缓微的，为慢惊。急惊宜缓治，用寒冷方；慢惊宜急治，用温热方。
小儿初生，吃奶惊跳不安，这叫胎惊，宜用朱蜜。
朱蜜方：朱砂（如豆大）、蜂蜜（如鸡蛋大）。
以上两味，研匀调服，每日含服二三次。
腊月里出生，直视、咬牙、手脚拘急、脉象促弦的，为胎惊，宜用紫雪主治。
紫雪方：黄金（十两）、寒水石（四两八钱）、石膏（四两八钱）、玄参（一两）、犀角（一两）、羚羊角（一两）、甘草（八钱）、升麻（六钱）、沉香（五钱）、木香（五钱）、丁香（五钱）。
以上十一味药，用水五斗，先煮黄金及两种石头，煮至三斗，加入其余药物，再煎至一斗，去渣，加入芒硝三两二钱，用慢火煎，用柳枝不停搅拌，待快要凝固时，倒入瓷盆中，再加入朱砂、麝香各三钱，急搅至自然凝固，成为紫雪为止。
腊月里发惊，假性者可治，真性者不可治。为什么这样说？假性的是外感风邪，真性的是内蕴痫疾。
客忤，是指外来客气忤犯人体主气的说法。
发热、吃奶睡觉时必有轻微惊跳，宜用惺惺散主治。
客忤发热、轻微抽搐，如果严重则如狂痫，反视、撮口、惊惕不安，宜用红雪服用。
听到人说话或物体响声，容易惊跳的，这是因为元气虚弱拙劣，必然发惊痫，宜用竹茹温胆汤主治。
竹茹温胆汤方：茯苓（一钱）、陈皮（五分）、半夏（七分）、黄连（三分）、枳实（五分）、竹茹（三分）、甘草（二分）、生姜（三分）、大枣（五枚）。
以上九味药切碎，用水二升，煮取一升，去渣分次温服。加入辰砂三分效果更佳。
小儿善于愤怒啼哭，脚腹挛缩拘急，脉象必沉弦，严重时咬齿吃奶，这是虫惊，宜用芍药甘草汤。虫惊发作时像痫病一样号叫，颜面红，胸胁必然拘急，脉象乍动乍静，宜用柳肝加胶饴汤主治。
柳肝加胶饴汤方：柴胡（五分）、川芎（三分）、当归（五分）、白术（三分）、茯苓（五分）、钓藤（五分）、甘草（三分）、胶饴（如鸡蛋大）。
以上八味药，用水二升，煮前七味取一升，去渣加入胶饴，再用微火加热使其溶解，温服，每日三次。
身体温暖、嗜睡多，胸腹满闷且轻微惊跳，或有食物臭味，或呕吐逆气的，宜用浓朴三物汤。
小儿体质壮热、面赤、臀部冷，寒战发抖，突然发惊，这是痘疹的先兆，宜用续命汤主治。
续命汤方：葛根（五分）、麻黄（三分）、桂枝（二分）、芍药（五分）、钓藤（三分）、黄连（二分）、石膏（五分）、甘草（三分）、生姜（二分）、大枣（三枚）。
以上十味药，用水二升，先煮麻黄、葛根，减少五合，去掉浮沫，加入其余药物，煮取七合，去渣分次温服。
小儿皮肤有疮，发热而惊的，名叫破伤风，即痓病。宜用续命汤。如果身体厥冷的，用芍药甘草附子汤主治。
病人身体发热，无汗而小便反而少，气上冲胸，口噤不能说话，欲作刚痓，用葛根汤主治。
病人身体发热、足寒，颈项强急、恶寒，有时头热、面赤、目赤，只有头部动摇，突然口噤、背反张的，是痓病。如果发汗，寒湿相得，表更加虚，就会恶寒严重。发汗后，脉象如蛇行般软弱。太阳病，发汗过多，如果亡血或虚家，都会导致痓病，宜用黄芪建中汤主治。
痓病表现为胸满、口噤、卧不着席、脚挛急、必咬牙，可给予大承气汤主治。
太阳中热者，就是喝病。汗出、恶寒、身热而渴，严重的出现眼球上窜、角弓反张，宜用白虎加人参汤。
喝病发热、面赤、气喘，脉象弦细芤迟，小便后洒洒然毛耸立，手足逆冷，咽燥口干，如果发汗，则恶寒更甚；加温针，则发热更甚，宜用生脉散主治。
生脉散方：人参（三分）、麦门冬（五分）、五味子（三分，炒）。
以上三味药，用水一升，煮取七合，去渣加入姜汁或竹沥，搅匀频频服用。
痓病烦渴、颜面红、脉象急促者，欲发惊，宜用黄连白虎汤。
暴卒中、直视、失禁、四肢厥寒者，用附子理中汤主治。
附子理中汤方：人参（三分）、白术（五分）、附子（五分）、干姜（五分）、甘草（三分）。
以上五味药切碎，用水一升，煮取七合，去渣分次温服。
各种暴病，出现反眼、抽搐，如果痰喘、呼吸短促，不论阴阳，先给人参黄连汤，人参熊胆汤也可主治。痰喘严重的，加姜汁主治。
惊病导致向上窜动的，为阳实证；导致向下窜动的，为阴虚证。实证攻之，虚证温之。
小儿元气不实，容易受到外界事物惊吓触动，这就叫客忤。
中恶，是指恶邪触犯伤害人体，即客忤的重症。白虎（指轻度客忤）即轻症。
小儿惊热不可灸，否则会使努气更盛，必须用善推法（推拿），重症针刺，宜用镇肝汤主治。
镇肝汤方：牲实（五分，注：原文如此，疑为某药名或笔误，此处保留原名）、麻黄（三分）、寒水石（五分）、枳实（三分）、芍药（五分）、甘草（三分）、生姜（三分）。
以上七味药，用水一升，先煮前六味，取七合，去渣加入牲实，碾碎调匀，分次温服。
发热惊跳、短气燥烦、神魂紊乱，如果口渴，如果呕吐的，宜用金雪。
金雪方：金膏、石膏、芒硝（各一钱）、龙脑（二分）、麝香（一分）。
以上四味，碾碎调匀，每次服一字。
惊痫，眼神翻腾的，为天钓。所有治疗惊风的方法，都必须宽气托毒，宜用钓藤汤主治。
钓藤汤方：钓藤（五分）、野蚕（一个）、芍药（五分）、辰砂（三分）、犀角（三分）、甘草（二分）、生姜（三分）。
以上七味药，用水一升，煮取七合，去渣分次温服。
阳痫每天发作两三次，日久不解，转而转为阴痫，这叫做坏病。阴痫不得有汗，如果有汗，恐怕亡阳，宜用四逆汤。
惊病，昏沉、气粗喉间有声，内部如拉锯声的，宜用麦门冬加竹沥汤。
惊病，鼻衄血者可治，呕血者不可治。为什么说呢？鼻衄血是邪热散发，呕血是营血败坏。
阴痫即慢惊。如果吃奶且大便溏泄的，名叫慢脾风，难治。
天钓，神志昏迷、厌恶光亮。如果吃奶发热。内钓，多啼哭、嗜睡，必然动惕、怕冷。
小儿脐风，如果胎惊，胸腹坚硬如石，反视而不能低头者，宜用紫霜丸。服用丸药片刻，大便通畅的存活，不通的死亡。
惊热，夜间不可停灯。如果停灯，阳气收敛热气，会增加惊跳，且药力必不可镇压。
惊病，眼睛像鱼眼一样，喘鸣气急，额头有汗，指甲按压发出吃吃声的，死证。
突然卒倒发热，痰喘、抬肩呼吸，啼声吃吃，吃奶不通的，名叫缠喉风，不可治。
阳痫，口鼻气冷，露睛且轻微惊跳，有汗的是亡阳，宜用桂枝附子加黄芪汤。
惊病必有痰，痰是由于热而动，热静则伏于脾。如果热盛，痰动，则发惊痫。
惊痫四证八候，全部具备的，不可治。身体厥冷，反而烦渴，动躁且神魂紊乱，小便如血的，属牝脏洞竭。昏睡不醒，四肢舒展撒开，大小便不禁的，死。大小便不通的，也死。
各种热病发惊，反复两三次，头发乱竖的尚可治。婴孩心（指心脏功能极弱或特定危重状态）不可治。
发热发惊，呼吸短促、痰鸣，反复而不解，女的可治，男的难治。
身体冷、面热，倦睡呻吟，如果有尸臭味的，是孤阳飞越。
婴孩这种生物，有热必然担心惊风，头发乱竖则稍减担忧，到童儿时更减之。然而热盛，则不能完全没有担忧。
问：癫痫是什么样子？
答：突然受惊有声而倒下，口涎必然流出，片刻后苏醒，名叫癫痫。
癫痫突然倒下，状如死人，片刻后自行清醒，后来必然苦头痛，如果郁勃如痴的，就是这类病，宜用断痫丸主治。
断痫丸方：黄芪（五分）、蛇蜕（五寸）、灵砂（三钱）、细辛（五分）、甘草（二分）、蝉蜕（四枚）、牲实（三钱）。
以上七味药研末，用枣肉做丸，如麻子大，每次服二十丸，用人参汤送服。
病患肥白多湿，黑瘦多痫。属湿的，宜用渗湿方；属痫的，宁肝汤主治。
宁肝汤方：沉香（五分）、缩砂（三分）、香附（五分）、吴茱萸（三分）、黄连（三分）。
以上五味药，用水一升，煮取七合，去渣分次温服。
病患重阴者为癫，重阳者为狂。如妇女，月经适动，病益加重，独言妄语的，宜用了了丸。
了了丸方：黑铅（一两半）、水银（二两）、朱砂（一两）、乳香（一两）、牲实（七钱）。
以上五味药，先用黑铅放入铫中熔化，其次下水银，等候结成砂子，再下另外两味，趁热用柳木捶打研匀，加入牲实糊做丸，如芡实大，每次服二丸，用井水送下。
病患如果在睡觉，不要惊动他，自觉安静后再服二丸。
痫病沉痼，必然变痴，名叫痴痫。如果口呐而不能说话的，名叫痫哑，是废人。
Question: There are Yang and Yin types of Jing (startle/fright), how to distinguish them?
Answer: When a child's Liver Qi is abundant and flourishing, and it clashes with Wind Qi, resulting in upward staring eyes and opisthotonos (arched back), with a floating and wiry pulse, this is named Yang Xian (Yang Epilepsy). When a child's Yuan Zhen (Original True Qi) is weak, and Liver Qi alone is hyperactive, resulting in waking easily from sleep with half-open eyes (Lu Jing), and a fine and wiry pulse, this is named Yin Xian (Yin Epilepsy). When a child experiences startle jumps due to Wind-Heat or food retention, or due to heat from sores/ulcers or moving parasites, these are all cases of Fa Jing (onset of startle) because the Yuan Zhen cannot bear the burden.
When Yang Xian occurs, the body is very hot and stiff, with upward staring eyes, mouth puckering, and convulsions of the four limbs; Huan Hun Tang (Soul Returning Decoction) is the primary treatment.
Huan Hun Tang Formula: Ephedrae Herba (Mahuang, 5 fen), Armeniacae Semen Amarum (Xingren, 5 kernels), Paeoniae Radix Alba (Shaoyao, 1 qian), Uncariae Ramulus cum Uncis (Gouteng/Diao Teng, 3 fen), Belamcandae Rhizoma (Shegan, 3 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 2 fen).
The above five herbs are boiled in one sheng of water until seven ge remain. Strain and take warm in divided doses, administered frequently.
If a child cries softly, it indicates weak Qi; if the sound is heavy and turbid, it indicates pain; if shouting loudly, it indicates Heat欲狂 (Heat approaching madness); if the voice is urgent, it indicates Shen (Spirit) fright; if the voice is obstructed, it indicates Phlegm; if the voice trembles, it indicates Cold.
If a child has fever, red cheeks, drowsiness with startle jumps, teeth grinding while nursing, Tiao Teng Tang (Uncaria Decoction) is indicated.
If a child has body heat, colorless face, arching back while crying, this is a sign of impending Jing (Fright).
If Yang Xian occurs with opisthotonos, fixed staring, and rapid pulse, and if severe, with cold extremities approaching death, one must stop Wind and remove Phlegm. If Heat does not subside, other treatments are insufficient; one must urgently attack the pathogen using Da Cheng Qi Tang (Major Order the Qi Decoction).
If there is aversion to cold and fever, yawning, red face, no sweat, and a large pulse, Jing Ti (startle/fright) will likely occur; Da Qing Long Tang (Major Green Dragon Decoction) is indicated.
If a child has Jing (Fright), with excessive phlegm-saliva, short breath, irritability, hard abdomen, and wiry pulse, Zi Shuang Wan (Purple Frost Pill) is indicated to drain the excess Qi.
Ma Pi Feng (Horse Spleen Wind), which is Fei Zhang (Lung Distension), characterized by shoulder shaking, rolling abdomen, open-mouthed panting, should be treated with Tie Jiang (Iron Slurry) mixed with Ginger Juice.
If the body is hot and lethargic, with sounds like a water frog in the throat, rapid pulse, and red face, indicating impending Fright, Ma Huang Xing Ren Gan Cao Shi Gao Jia She Ye Tang (Ephedra, Apricot Seed, Licorice, and Gypsum Decoction plus Belamcandae Rhizoma) is indicated.
Jing disease, if accompanied by upward staring and convulsions, originates from Yang; if accompanied by downward staring and slight twitching, it originates from Yin.
If a child is lethargic for five to six days, vomiting milk, jumping with startle, and fever does not resolve, suddenly developing Fright: if the illness reverses to improvement, it is good; if it does not improve and the eyes stare fixedly, it is difficult to treat.
Childhood startle jumps, resembling Cold or Heat, vomiting or diarrhea, is named Yin Yang He Bing (Combined Disease of Yin and Yang); Shao Yao Gan Cao Tang (Peony and Licorice Decoction) is indicated for regulation.
Jing disease with absent-mindedness, unilateral movement of hands and feet, vomiting or diarrhea, and a faint and choppy pulse indicates deficiency of both Yin and Yang; sweating or purging methods should not be used again; Tong Mai Si Ni Jia Zhu Dan Dan Tang (Pulse Restoring Four Reversals Decoction with Pig Bile) is indicated.
If a child has slight fever and drowsiness, inevitably showing Lu Jing (exposed eyes), and occasional limb twitching, this is a sign of Man Jing (Slow Fright).
If a child has slight body heat, slow twitching, loose stool, and enuresis, this is Pure Yin syndrome; Si Ni Jia Ren Shen Tang (Four Reversals Decoction plus Ginseng) is indicated.
If a child's whole body is slightly cold but only the fingertips are hot, this is Re Jue (Heat Reversal), which will inevitably develop high fever; if Fright and convulsions occur, true Heat is Yang, false Heat is Yin. Yang develops Ji Jing (Acute Fright), Yin develops Man Jing (Slow Fright). Ji Jing should be treated with Cold/Purging formulas; Man Jing with Warming/Nourishing formulas.
In Jing disease, if the body is hot with strong force, it is Yang Xian; if the body is cold with weak force, it is Yin Xian.
If the child beats the ground making sounds and flows saliva, it is Dian Xian (Epilepsy).
In Jing disease, looking upward is called Tian Diao (Heavenly Hook); looking inward is called Nei Diao (Internal Hook).
Opisthotonos with rapid and hurried pulse is Dou Bing (Smallpox Disease).
Jing disease requires support and careful nursing. Forcing restraint will excite the pathogenic Heat further, driving it into the bones. Even if the illness resolves, hand and foot contracture will result.
Fever, upward staring, surging phlegm-saliva, locked jaw, and convulsions indicate coagulation of Ying and Wei (Nutritive and Defensive Qi) and blockage of all vessels, hence the violence of the disease.
Jing has Yin and Yang. Tian Diao is Heat-Yang; Nei Diao resembles Yin Xian.
If a child has Fright, and the pulse is floating, rapid, full, tight, or wiry, it is Ji Jing (Acute Fright); if the pulse is deep, slow, scattered, relaxed, or faint, it is Man Jing (Slow Fright). Ji Jing should be treated slowly with Cold formulas; Man Jing should be treated urgently with Warm formulas.
Newborns who are startled and uneasy while nursing have Tai Jing (Fetal Fright); Zhu Mi (Cinnabar Honey) is indicated.
Zhu Mi Formula: Cinnabar (size of a bean), Honey (size of an egg).
Grind and mix the above two ingredients. Contain in the mouth daily, two or three times.
For infants born in the twelfth lunar month, with fixed staring, teeth grinding, limb contracture, and rapid/wiry pulse, this is Tai Jing; Zi Xue (Purple Snow) is indicated.
Zi Xue Formula: Gold (10 liang), Han Shui Shi (Cold Water Stone, 4 liang 8 qian), Shi Gao (Gypsum, 4 liang 8 qian), Xuan Shen (Scrophulariae Radix, 1 liang), Xi Jiao (Rhinoceros Horn, 1 liang), Ling Yang Jiao (Antelope Horn, 1 liang), Gan Cao (Licorice, 8 qian), Sheng Ma (Cimicifugae Rhizoma, 6 qian), Chen Xiang (Aquilariae Lignum, 5 qian), Mu Xiang (Aucklandiae Radix, 5 qian), Ding Xiang (Caryophylli Flos, 5 qian).
Boil the eleven herbs in five dou of water. First boil Gold and the two stones until three dou remain. Add remaining herbs and boil until one dou remains. Strain, add Mang Xiao (Mirabilite, 3 liang 2 qian), boil on low fire, stirring constantly with a willow branch. When nearly solidifying, pour into a porcelain basin. Add Zhu Sha (Cinnabar) and She Xiang (Musk), each 3 qian, stir quickly until naturally solidified into Zi Xue.
For Fright occurring in the twelfth lunar month, fake cases are treatable, true cases are not. Why? Fake cases are external Wind; true cases are internal Xian.
Ke Wu (Guest Intolerance) refers to external Qi offending the host Qi.
With fever, nursing, and sleeping accompanied by slight jumping, Xing Xing San (Awakening Powder) is indicated.
For Ke Wu with fever and slight convulsions, if severe, resembling mania or epilepsy, with backward staring, mouth puckering, and uneasiness, Hong Xue (Red Snow) is indicated.
Children who are easily startled by human speech or object noises have weak and clumsy Yuan Zhen, inevitably developing Jing Xian; Zhu Ru Wen Dan Tang (Bamboo Rhamus Warming Gallbladder Decoction) is indicated.
Zhu Ru Wen Dan Tang Formula: Fu Ling (Poria, 1 qian), Chen Pi (Citrus Reticulatae Pericarpium, 5 fen), Ban Xia (Pinelliae Rhizoma, 7 fen), Huang Lian (Coptidis Rhizoma, 3 fen), Zhi Shi (Aurantii Fructus Immaturus, 5 fen), Zhu Ru (Bambusa Textilis Caulis Internodium, 3 fen), Gan Cao (Licorice, 2 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 3 fen), Da Zao (Jujubae Fructus, 5 pieces).
Chop the nine herbs, boil in two sheng of water until one sheng remains. Strain and take warm in divided doses. Adding Chen Sha (Cinnabar, 3 fen) is better.
Children who cry angrily, with leg and abdominal contracture, and deep/wiry pulse, grinding teeth while nursing when severe, have Chong Jing (Parasite Fright); Shao Yao Gan Cao Tang is indicated. Chong Jing resembles Xian, with loud wailing, red face, chest/hypochondriac rigidity, and intermittent pulses; Liu Gan Jia Jiao Yi Tang (Willow Liver Decoction plus Malt Sugar) is indicated.
Liu Gan Jia Jiao Yi Tang Formula: Chai Hu (Bupleuri Radix, 5 fen), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 fen), Dang Gui (Angelicae Sinensis Radix, 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Fu Ling (Poria, 5 fen), Diao Teng (Uncariae Ramulus, 5 fen), Gan Cao (Licorice, 3 fen), Jiao Yi (Malt Sugar, size of an egg).
Boil the first seven herbs in two sheng of water until one sheng remains. Strain, add Jiao Yi, melt over low fire, and take warm. Three doses daily.
If the body is warm, drowsy, with chest/abdominal fullness, slight startle, food odor, or vomiting/reversal, Nong Po San Wu Tang (Magnolia Bark Three Substance Decoction) is indicated.
If a child has robust heat, red face, cold buttocks, chills and trembling, suddenly developing Fright, this is a sign of Dou Zhen (Smallpox/Rash); Xu Ming Tang (Continuing Life Decoction) is indicated.
Xu Ming Tang Formula: Ge Gen (Puerariae Lobatae Radix, 5 fen), Mahuang (Ephedrae Herba, 3 fen), Guizhi (Cinnamomi Ramulus, 2 fen), Shaoyao (Paeoniae Radix Alba, 5 fen), Diao Teng (Uncariae Ramulus, 3 fen), Huang Lian (Coptidis Rhizoma, 2 fen), Shi Gao (Gypsum, 5 fen), Gan Cao (Licorice, 3 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 2 fen), Da Zao (Jujubae Fructus, 3 pieces).
Boil the ten herbs in two sheng of water. First boil Mahuang and Ge Ge, reducing by five he. Remove foam, add other herbs, boil until seven ge remain. Strain and take warm in divided doses.
If a child has skin sores, fever, and Fright, it is named Po Shang Feng (Wound Injury Wind), which is Chi Bing (Spasm Disease). Xu Ming Tang is indicated. If extremities are cold, Shao Yao Gan Cao Fu Zi Tang (Peony, Licorice, and Aconite Decoction) is indicated.
If a patient has fever, no sweat, scanty urine, Qi rushing to the chest, locked jaw unable to speak, intending to develop Gang Chi (Stiff Spasm), Ge Gen Tang (Kudzu Decoction) is indicated.
If a patient has fever, cold feet, neck stiffness, aversion to cold, sometimes head heat, red face and eyes, only head shaking, sudden locked jaw, and opisthotonos, this is Chi Bing (Spasm Disease). Sweating will cause Cold-Damp to combine, worsening surface deficiency and aversion to cold. After sweating, the pulse becomes like a snake. In Tai Yang disease, excessive sweating in blood-deficient or deficient persons causes Chi Bing; Huang Qi Jian Zhong Tang (Astragalus Middle-Warming Decoction) is indicated.
Chi Bing with chest fullness, locked jaw, inability to lie flat, leg cramps, and teeth grinding can be treated with Da Cheng Qi Tang.
Tai Yang Zhong Re (Sunstroke) is He Bing (Heat Stroke). With sweat, aversion to cold, body heat, and thirst, severe cases with upward staring and opisthotonos are treated with Bai Hu Jia Ren Shen Tang (White Tiger Plus Ginseng Decoction).
He Bing with fever, red face, choking, and string-taut, thin, hollow, or slow pulse, chills after urination, cold extremities, dry throat/mouth: sweating worsens aversion to cold; acupuncture worsens heat; Sheng Mai San (Generate Pulse Powder) is indicated.
Sheng Mai San Formula: Ren Shen (Ginseng Radix, 3 fen), Mai Men Dong (Ophiopogonis Tuber, 5 fen), Wu Wei Zi (Schisandrae Fructus, 3 fen, fried).
Boil in one sheng of water until seven ge remain. Strain, add Ginger Juice or Zhu Li (Bamboo Sap), mix, and take frequently.
Chi Bing with irritability, thirst, red face, and rapid pulse, intending to develop Fright, is treated with Huang Lian Bai Hu Tang (Coptis White Tiger Decoction).
Sudden stroke with fixed staring, incontinence, and cold extremities is treated with Fu Zi Li Zhong Tang (Aconite Regulate Middle Decoction).
Fu Zi Li Zhong Tang Formula: Ren Shen (Ginseng Radix, 3 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 fen), Fu Zi (Aconiti Lateralis Radix Praeparata, 5 fen), Gan Jiang (Zingiberis Rhizoma, 5 fen), Gan Cao (Licorice, 3 fen).
Chop the five herbs, boil in one sheng of water until seven ge remain. Strain and take warm in divided doses.
For various sudden diseases with reversed eyes and convulsions, or with Phlegm-wheezing and short breath, regardless of Yin/Yang, first give Ren Shen Huang Lian Tang (Ginseng and Coptis Decoction); Ren Shen Xiong Dan Tang (Ginseng and Bear Bile Decoction) is also effective. Add Ginger Juice for severe Phlegm-wheezing.
Jing disease with upward staring is Yang Excess; downward staring is Yin Deficiency. Excess is attacked; Deficiency is warmed.
If a child's Yuan Zhen is not solid, easily startled by objects, this is Ke Wu.
Zhong E (Mid-Evil) refers to evil Qi touching and harming the body, which is severe Ke Wu. Bai Hu (Tiger) is mild Ke Wu.
Pediatric Fright-Heat cannot be moxa-ed, as it increases Qi stagnation; gentle pushing massage is required. Severe cases require acupuncture; Zhen Gan Tang (Settle Liver Decoction) is indicated.
Zhen Gan Tang Formula: Sheng Shi (Vermicompost/Soil Earthworm, 5 fen), Mahuang (Ephedrae Herba, 3 fen), Han Shui Shi (Cold Water Stone, 5 fen), Zhi Shi (Aurantii Fructus Immaturus, 3 fen), Shaoyao (Paeoniae Radix Alba, 5 fen), Gan Cao (Licorice, 3 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 3 fen).
Boil the first six herbs in one sheng of water until seven ge remain. Strain, add Sheng Shi, grind and mix, take warm in divided doses.
With fever, startle jumps, short breath, irritability, chaotic Shen-Hun, thirst, or vomiting, Jin Xue (Golden Snow) is indicated.
Jin Xue Formula: Jin Gao (Gold Paste), Shi Gao (Gypsum), Mang Xiao (Mirabilite, each 1 qian), Long Nao (Borneolum Syntheticum, 2 fen), She Xiang (Musk, 1 fen).
Grind and mix. Take one zi per dose.
Jing Xian with rolling eyes is Tian Diao. All Jing treatments must soothe Qi and expel toxins; Tiao Teng Tang is indicated.
Tiao Teng Tang Formula: Diao Teng (Uncariae Ramulus, 5 fen), Ye Can (Wild Silkworm, 1), Shaoyao (Paeoniae Radix Alba, 5 fen), Chen Sha (Cinnabar, 3 fen), Xi Jiao (Rhinoceros Horn, 3 fen), Gan Cao (Licorice, 2 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 3 fen).
Boil in one sheng of water until seven ge remain. Strain and take warm in divided doses.
If Yang Xian occurs two or three times daily and persists, turning into Yin Xian, this is Huai Bing (Ruined Disease). Yin Xian should not have sweat; if sweating occurs, fear of Wang Yang (Collapse of Yang) arises; Si Ni Tang (Four Reversals Decoction) is indicated.
Jing disease with lethargy, coarse breathing, and sawing sounds internally is treated with Mai Men Jia Zhu Li Tang (Ophiopogon Plus Bamboo Sap Decoction).
Jing disease with epistaxis is treatable; hematemesis is untreatable. Why? Epistaxis disperses pathogenic Heat; hematemesis indicates failure of Ying Blood.
Yin Xian is Man Jing. If nursing with loose stools, it is named Man Pi Feng (Slow Spleen Wind), difficult to treat.
Tian Diao involves coma and aversion to light; if nursing with heat. Nei Diao involves crying, drowsiness, twitching, and cold.
Infant Umbilical Wind or Fetal Fright with stone-hard chest/abdomen, backward staring, and inability to look down is treated with Zi Shuang Wan. If stool passes shortly after taking the pill, survival; if not, death.
Fright-Heat: do not turn off lights at night. Turning off lights allows Yang to retreat and Heat to rise, increasing startle jumps and rendering medicine ineffective.
Jing disease with fish-like eyes, wheezing, short breath, forehead sweat, and "chi chi" sound upon pressing nails indicates death.
Sudden fever, Phlegm-wheezing, shoulder breathing, "chi chi" crying, and inability to nurse is named Chan Hou Feng (Coiling Throat Wind), untreatable.
Yang Xian with cold nose/mouth, exposed eyes, slight startle, and sweating indicates Wang Yang; Gui Zhi Fu Zi Jia Huang Qi Tang (Cinnamon Twig, Aconite, plus Astragalus Decoction) is indicated.
Jing disease always involves Phlegm. Phlegm moves with Heat; when Heat subsides, it hides in the Spleen. If Heat is excessive and Phlegm moves, Jing Xian erupts.
If all four signs and eight manifestations of Jing Xian are present, it is untreatable. Cold extremities with irritability/thirst, restlessness, chaotic Shen-Hun, and bloody urine indicate Pi Zang Dong Jie (Collapse of Yin Organs). Coma with limp limbs and incontinence is death. Obstruction of urine/stool is also death.
Recurrent Fright from Heat (two or three times) with messy hair is treatable. "Ying Hai Xin" (Infant Heart condition) is untreatable. Fever/Fright with short breath/phlegm-rattle, recurrent and unresolved: females are treatable, males are difficult.
Cold body, hot face, tired sleep, groaning, with corpse odor indicates Gu Yang Fei Yue (Floating Away of Solitary Yang).
Infants with Heat must be guarded against Fright. Messy hair reduces this risk; childhood reduces it further. However, excessive Heat cannot completely avoid this risk.
Question: What are the symptoms of Dian Xian (Epilepsy)?
Answer: Sudden fall with noise due to fright, flowing saliva, recovering consciousness after a moment, named Dian Xian.
Sudden fall resembling death, recovering spontaneously, followed by headache, or appearing dull/idiotic, is treated with Duan Xian Wan (Stop Epilepsy Pill).
Duan Xian Wan Formula: Huang Qi (Astragali Radix, 5 fen), She Tui (Crotaphi Skin, 5 cun), Ling Sha (Spiritual Mercury, 3 qian), Xi Xin (Asari Radix et Rhizoma, 5 fen), Gan Cao (Licorice, 2 fen), Chan Tui (Cicadae Periostracum, 4 pieces), Sheng Shi (Earthworm, 3 qian).
Grind to powder, make pills with Jujube flesh, size of hemp seeds. Take 20 pills per dose with Ren Shen Tang.
Fat/white patients have much Dampness; black/thin patients have much Xian. Dampness is treated with Shen Shi Fang (Drain Dampness Formula); Xian is treated with Ning Gan Tang (Calm Liver Decoction).
Ning Gan Tang Formula: Chen Xiang (Aquilariae Lignum, 5 fen), Suo Sha (Amomi Fructus Rotundus, 3 fen), Xiang Fu (Cyperi Rhizoma, 5 fen), Wu Zhu Yu (Evodiae Fructus, 3 fen), Huang Lian (Coptidis Rhizoma, 3 fen).
Boil in one sheng of water until seven ge remain. Strain and take warm in divided doses.
Heavy Yin results in Dian (Manic Depression); Heavy Yang results in Kuang (Mania). In women, if menstruation starts and disease worsens with delirious speech, Liao Liao Wan (Clear Mind Pill) is indicated.
Liao Liao Wan Formula: Hei Qian (Black Lead, 1.5 liang), Shui Yin (Mercury, 2 liang), Zhu Sha (Cinnabar, 1 liang), Ru Xiang (Boswelliae Resin, 1 liang), Sheng Shi (Earthworm, 7 qian).
Melt Black Lead in a crucible, add Mercury, wait until it forms grains. Add the other two ingredients. While hot, pound and grind evenly with a willow wood pestle. Mix with Sheng Shi paste to make pills, size of Euryale Seed. Take 2 pills per dose with well water.
Do not disturb sleeping patients; let them wake naturally before giving another 2 pills.
Chronic Xian inevitably leads to idiocy, named Chi Xian. Inability to speak is named Xian Ya (Epileptic Aphasia), rendering the person disabled.