慢惊者，因病后或吐或泻，脾胃虚损，遍身冷，口鼻气出亦冷，手足时时螈 ，昏睡露睛，此无阳也，栝蒌汤主之。
凡慢惊之候，或吐或泻，痰鸣微喘，眼开神缓，睡则露睛，惊跳搐搦，乍发乍静，或身热身冷，四肢热，口鼻冷气，面
色淡白淡青，或眉青唇青，其脉沉迟散缓。盖由急惊，过用寒凉，或转下太骤，传变成之，又有吐利不止而成者，有气
虚暴吐泻而成者，有脏腑虚洞泄而成者，有久利气脱而成者，有取泻下积而成者，有吐血下血而成者，有感风不解，伤
寒传变而成者，有久嗽作痫不已者，有虫积冲心者，有疝气腹痛者，或日夜汗出，脾困多睡，烦躁引饮，四肢浮肿，大
小便闭，丹瘤肿毒，龙带缠腰，走马急疳，并传慢候，惟吐泻积利成虚致之，则证变甚速，治法须当审问源流，不可一
概用药。曰慢候，如吐泻得之，则理中汤加木香以温其中，五苓散以导其水。如脏寒洞泄得之，则先与术附汤。下积取
转得之，则先与调气散，调和脾胃。如外感风寒，则可与桂枝汤、葛根汤辈，其他可以类推矣。然慢惊虽属阴，亦须准
较阴阳亏盛，浅深如何，不可纯用温药及燥烈大热之剂，惟于生胃气中，加以截风定搐，如全蝎、花蛇、僵蚕、白附、
天麻、南星辈为良方。传慢候而尚有阳证者，不必回阳，但与截风调胃，可冷可热，惟均平阴阳而已，太乙保生丹、聚
宝丹、蝉蝎散、神宝既济丹、来复丹、王氏惺惺散、醒脾散、大醒脾散、温白丸，可选而用之。若阳亏阴盛，病已传过，
纯属慢惊，无搐掣反引窜视之证，而但昏沉者，与星香全蝎散、定命饮子、四圣散、乌蝎四君子汤、天南星散、乌沉汤、
沉香散之属。若手足冰冷者，方可回阳，用硫黄、附子。慢惊下痰，身暖者，天南星丸、苏合香丸、白丸子；痰盛者，
神宝既济丹、礞石散；虚甚不可下痰者，灵脂丸、七珍丸。如脑、麝、巴霜寒凉通关利肠之辈，一切禁止。如未发慢惊，
先要睡，吐舌摇头，面青毛皮竖，吐乳作腥，额上有汗，此证乃吐后胃虚生风，当下截风醒脾散，或四君子汤加全蝎、
防风，银白散或钩藤饮去麻黄。更宜多方，走变药饵，不可轻忽。又有慢惊正发，泄泻吐乳，冷汗，双眼闭，唇红舌出，
摇头发直，两胁动，心闷气粗口疮，当用南星末贴脚底心，常进参汤尤好。少间口疮，不纳乳食，名曰锁膈，却难救。
凡小儿病证，见口如鱼口作鸦声者不治，圣济经有琥珀丸、南星煎等剂，皆可服。论曰∶心藏神而恶热，小儿体性多热，
若感风邪，则风热搏于脏腑，其气郁愤，内乘于心，令儿神志不宁，故发为惊，若惊甚不已，则悸动不宁，是为惊悸之
病，紫金散、牛黄散、大丹砂丸治之。其急惊则有龙齿散、四圣散等剂，可选而用之。
栝蒌汤 治慢惊。
枯蒌根（二钱） 白甘遂（一钱，按本草白甘遂乃蚤休，又名草甘遂，不用赤者）
上用慢火炒焦，黄色研匀，每服一字，煎麝香、薄荷汤调下，无时。凡药性虽冷，炒焦用之，乃温也。
理中汤 见五十三问。
五苓散 治霍乱吐泻，燥渴饮水，小便不利。
泽泻（二两半） 官桂（一两） 猪苓 白茯苓 白术（各一两半）
上为细末，每服一钱，白汤调下，燥渴新水调服，大小以意加减，不拘时候。加辰砂一两，治惊热。后五十二问重
出，可兼看。
术附汤 治风湿相搏，身体烦疼，不能转侧，不呕不渴，大便坚硬，小便自利，及风虚目眩，甚则口不知味。
白术（四两） 附子（炮，去皮脐，一两半） 甘草（炙，二两）
上锉，每服三钱，水盏半，姜三片，枣一个，同煎服。
调气散 见第五问。
桂枝汤 治太阳中风，阳浮而阴弱，阳浮者，热自发，阴弱者，汗自出，啬啬恶寒，翕翕发热，鼻鸣干呕者。
桂枝（去皮） 芍药 生姜（各一两半） 甘草（一两）
上锉，每服三钱，枣二个，水一盏，煎八分服，须臾啜粥一盏，以助药力，温复，令一时许，通身热，微汗出为佳。
加减法∶桂枝。自西北二方居人，四时行之，无不应验，江淮唯冬及春可行之，自春末及夏至已前，桂枝证可加知母、
石膏各半两，或加升麻一分，若病患素虚寒者，正用古方，不再加减也。
葛根汤 治太阳病项强KT KT ，恶风无汗，不恶寒，刚痉。
葛根（四两） 麻黄（三钱） 桂（一两） 甘草（二两） 芍药（二两）
上锉，每服五钱，水一盏半，生姜五片，枣二个，煎一盏服，取微汗。
太乙保生丹 治慢惊尚有阳证。
全蝎（十四个） 白附子（生） 僵蚕 牛胆南星 蝉蜕 琥珀（各一钱） 麝香（半钱） 防风 朱砂（各一钱）
金箔（二片，作衣）
上为末，每服二丸，薄荷汤下。
聚宝丹 治慢惊风。
人参 茯神 琥珀 天麻 僵蚕（炒） 防风 南星 生白附子 全蝎（炙） 乌蛇肉（酒浸焙，各一钱） 朱砂
（半钱） 麝香（少许）
上为末，炼蜜丸，桐子大，每服一丸，菖蒲汤调下。
蝉蝎散 治方传慢惊。
全蝎（七个，去尾） 蝉蜕（二十一个） 甘草（二钱半，炙） 南星（一个，炮）
上为末，每服半钱，煎服。
神宝既济丹 分阴阳，平冷热，定吐泻，豁痰涎。
硫黄 焰硝（熔汁，再研） 五灵脂 青皮 陈皮（去白） 半夏曲（炒，等分）
上为末，粟米糊丸，麻子大，每服三丸，米饮送下。
来复丹 此药配合二气，均调阴阳，夺天地冲和之气，乃水火既济之方，可冷可热，可缓可急，善治荣卫不和，
心肾不交，上实下虚，气闭痰厥，心腹冷痛，脏腑虚滑，不问男女老幼危急之证，但有胃气，无不获安，补损扶虚，救
阴助阳，为效殊胜。
硝石（同硫黄并为细末，入定盘内，微火略炒，用柳篦子不住手揽，令阴阳气相入，不可火太过，恐药力亏，再研
细） 硫黄（舶上透明者） 太阴玄精石（研细，水飞，各一两） 陈皮（去白） 五灵脂（须系五台山者，水澄去砂
石，日干） 青皮（去瓤，各二两）
上用灵脂、二皮为细末，次入玄精石末，及前二药末拌匀，以好醋打和为丸，如豌豆大，每服三十粒，空心粥饮下，
甚者五十粒，小儿三粒，新产生婴儿一粒。小儿慢惊风，或吐泻不止，变成虚风搐搦者，非风也，胃气欲绝故也，用五
粒研碎米饮送下。
王氏惺惺散 治吐泻脾困内虚。
人参 茯苓 木香（焙） 天麻 白扁豆 陈皮（炒） 全蝎（焙）
上为末，每服半钱，姜、枣略煎服。
醒脾散 治吐泻脾困不食。
全蝎（焙，半钱） 白附子（炮） 天麻（焙） 甘草（炙） 人参 白茯苓 石菖蒲（细节者） 木香 石莲肉
白术（各一钱）
上锉散，每服三钱，姜二片，枣一个，水二小盏煎服。有热者去木香。
大醒脾散
南星 白茯苓 桔红（各一钱） 全蝎（焙） 甘草（炙） 白附子（炮） 石莲子 人参 木香（各半钱） 陈
仓米（三百粒）
上锉散，每服二钱，姜、枣煎服，驱风醒脾，两方通用。
温白丸 驱风豁痰定惊。
人参 防风 生白附 僵蚕（炒） 全蝎（焙，各一钱） 南星（汤炮，焙） 天麻（各二钱）
上为末，面糊丸，桐子大，每服一丸，姜汤调下。
星香全蝎散 治慢惊风昏迷痰搐。
南星（煨，二钱） 木香 人参 桔红（各一钱） 全蝎（炙，三个） 甘草（炙，半两） 有热加防风。
上锉细，每服二钱，入紫苏、姜、枣浓煎，旋以匙送下。
定命饮子 治慢惊，吐泻困重欲传慢脾通用。
半夏 茯苓 木香 生姜（各一钱） 白术 甘草（炙） 天麻（各五分）
上为末，每服半钱，姜枣煎汤调下。
四圣散 治慢惊，痰滞虚热，若有窜视搐搦证状，以少许用管吹入鼻中。
全蝎（七个） 僵蚕（十四个，炒） 南星（七钱半） 川乌（三钱）
上将南星为末，水调作饼，裹蚕、蝎、
川乌，外用湿纸重包，慢火中煨令赤色，顿地上一伏时为末，每服一钱，煎金银汤，点好茶清少许调下。
乌蝎四君子汤
人参 白术 甘草 白茯苓（等分） 川乌（生） 全蝎（焙，各少许）
上为末，每服半钱，姜、枣煎服，如再服即去川乌。
天南星散 驱风豁痰。
南星（一个，重九钱以上者，就地上作小坑深八寸许，炭火烧通红，以好米醋半盏洒入坑中，即纳南星于内，次以
火炭密盖之，又用盆盖其上，一伏时取出，洗净切焙）
上为末，入琥珀、全蝎各一钱，每服半钱，生姜防风汤调下。
乌沉汤 治慢惊，祛风助胃。
天麻（二钱） 人参 生川乌 全蝎（焙） 南星（炮） 木香 沉香（各一钱） 甘草（炒，半钱）
上锉散，每服二钱，姜三片，慢火煎取其半用之。
沉香散 生胃气，止吐泻。
茯苓（二钱） 沉香 丁香 木香 藿香 浓朴（制） 甘草（炙，一钱）
上为末，每服一钱，米饮调下。
天南星丸
天南星（一斤，每一个重一两上下者，用温汤浸洗，刮去里外浮皮，酒浸一宿，用桑柴蒸，不住添汤，令釜满，甑
内气溢，更不住洒酒，常令药润，七伏时满取出，用铜刀切开一个大者，嚼少许不麻舌为熟，未即再炊，以熟为度，然
后用铜刀切细，焙干） 麝香（研） 丁香（各一两） 龙脑（研，两半） 辰砂（另研，水飞，一两）
上为末，炼蜜并酒丸，朱砂为衣，姜汤下一豆许。
礞石丸 治急慢脾风通用，最能下痰。
礞石（捣碎，一两） 焰硝（半两，同礞石入砂锅内，用炭火 令通红，候冷）
上为末，雪糕薄糊丸，绿豆大，每服二丸，急风薄荷、荆芥炮汤调下；慢风、慢脾风，木香煎汤下。礞石、焰硝、
古文钱辈，虽能利痰，然其性非胃家所好，故以木香佐之。
灵脂丸 治慢惊痰盛搐搦。
五灵脂 白附子（焙） 木香 直僵蚕（炒，各一分） 全蝎（焙，半钱） 朱砂（一钱） 大南星（湿纸包火内
煨，半钱）
上为末，米醋煮生半夏糊丸，麻子大，姜汤下三丸。
七珍丸 治诸风顽痰壅盛，大小通用。
细辛 五灵脂 直僵蚕（一钱半） 白附子（一钱） 朱砂（半钱） 全蝎（四个，焙）
上为末，用天南星煮糊为丸，麻子大，姜汤下，每服五丸。
四君子汤 治荣卫俱虚，脏腑怯弱，心腹胀满，全不思食，肠鸣泄泻，呕哕吐逆。
人参（去芦） 茯苓（去皮） 甘草 白术（各等分）
上为末，每服二钱，水一盏，煎七分，通口服，不拘时，盐少许白汤点服。温和脾胃，进益饮食，辟寒邪瘴雾气。
银白散 治粪青，止吐泻，壮胃气。
糯米（炒，二两） 扁豆（蒸，二两） 藿香（一分） 白术（炒，一分） 丁香（二钱） 甘草（炙，三钱）
上为末，紫苏米饮调下，加天麻、砂仁、白茯苓，快脾正色。直指方加炮白附、全蝎、木香、石莲、生姜。
钩藤散 治吐利脾胃气虚生风慢惊。后二十问有蝉蜕钩藤饮，二十一问有钩藤饮，可兼看，对证用。
钩藤钩（三钱） 蝉蜕 天麻 防风 蝎尾 人参（各半两） 麻黄（去节） 僵蚕（炒） 甘草（炙） 川芎（各
一钱） 麝香（不拘多少）
上为末，白水煎，寒多加附子末半钱。
琥珀丸 见第十五问琥珀散。
龙齿散 见第十四问。
慢惊风，是指病后出现呕吐或腹泻，导致脾胃虚弱受损，全身发冷，口鼻呼出的气息也是冷的，手足不时抽搐，昏睡且眼睛半睁露出眼白，这是阳气衰微的表现，用栝蒌汤主治。
大凡慢惊风的证候，有的表现为呕吐或腹泻，喉间有痰鸣声且轻微气喘，眼睛睁开但神情倦怠，睡觉时眼睛半睁露出眼白，受惊跳动及抽搐，发作与静止交替出现，或者身体发热而四肢发冷，或者四肢发热而口鼻呼出冷气，面色淡白或淡青，或者眉毛青色、嘴唇青色，脉象沉迟、散乱或缓弱。这大多是因为急惊风时过度使用寒凉药物，或者攻下太过急促，传变而成；也有因呕吐腹泻不止而形成的；有因气虚突然剧烈吐泻而成的；有因脏腑虚寒导致洞泄（水样便）而成的；有因长期腹泻导致气脱而成的；有因误用泻药攻逐积滞而成的；有因吐血、便血而成的；有因感受风邪未解，伤寒传变而成的；有因久咳引发痫证不已的；有因虫积上冲心胸的；有因疝气腹痛的；或者日夜出汗，脾困倦多睡，烦躁口渴引饮，四肢浮肿，大小便闭塞，丹瘤肿毒，缠腰龙（带状疱疹），走马牙疳等病症，都转化为慢惊的证候。只有因吐泻积滞利下导致虚损引起的，病情变化非常迅速，治疗方法必须详细审问病因源流，不可一概而论用药。如果是因吐泻导致的慢惊，就用理中汤加木香以温补中焦，五苓散以利水渗湿。如果是因脏寒洞泄导致的，就先给予术附汤。如果是因攻下积滞转归而来的，就先给予调气散，调和脾胃。如果是外感风寒导致的，就可以用桂枝汤、葛根汤之类，其他情况可以类推。然而慢惊虽然属于阴证，也必须准确衡量阴阳亏虚与偏盛的深浅程度，不可单纯使用温燥烈性的大热药物，只在生养胃气的基础上，加以熄风止痉的药物，如全蝎、白花蛇、僵蚕、白附子、天麻、天南星等，才是良方。如果传变为慢惊但仍有阳证的，不必回阳救逆，只需熄风调胃，药物可冷可热，只要平衡阴阳即可，可选用太乙保生丹、聚宝丹、蝉蝎散、神宝既济丹、来复丹、王氏惺惺散、醒脾散、大醒脾散、温白丸等服用。如果阳气亏损、阴气偏盛，病已传变深入，纯属慢惊，没有抽搐、反折、斜视等症状，只是昏沉嗜睡的，给予星香全蝎散、定命饮子、四圣散、乌蝎四君子汤、天南星散、乌沉汤、沉香散这类方剂。如果手足冰冷的，才可以回阳救逆，使用硫黄、附子。慢惊风伴有痰涎，身体温暖的，用天南星丸、苏合香丸、白丸子；痰盛者，用神宝既济丹、礞石散；极度虚弱不能攻下痰涎的，用灵脂丸、七珍丸。像牛黄、麝香、巴豆霜等寒凉通关利肠的药物，一律禁止使用。如果在慢惊风未发作前，先要睡觉，吐舌摇头，面色青紫毫毛竖起，吐出的乳汁有腥味，额头有汗，这种证候是吐后胃虚生风，当下截风醒脾散，或者四君子汤加全蝎、防风，银白散或者钩藤饮去麻黄。更应多方考虑，灵活变通药饵，不可轻视。又有慢惊风正在发作，泄泻吐乳，出冷汗，双眼紧闭，嘴唇红舌头伸出，摇头发直，两胁抽动，心闷气粗，口疮，应当用天南星末贴敷脚底心，常服参汤更好。过了一会儿若出现口疮，不能进食乳食，名叫锁膈，这就难以救治了。凡是小儿病证，见到口张如鱼口状发出鸦叫声的，属于不治之症，《圣济经》中有琥珀丸、南星煎等药剂，都可以服用。论述说：心藏神而厌恶热邪，小儿体质本性多热，如果感受风邪，则风热搏结于脏腑，气机郁愤，内侵于心，使小儿神志不宁，所以发生惊风，如果惊风严重不已，则心悸动摇不安，这就是惊悸病，用紫金散、牛黄散、大丹砂丸治疗。其急惊风则有龙齿散、四圣散等药剂，可选用。
栝蒌汤 治疗慢惊风。
枯蒌根（二钱） 白甘遂（一钱，按《本草》记载，白甘遂即蚤休，又名草甘遂，不要用红色的）
以上用慢火炒至焦黄，研成细粉均匀混合，每次服用一字量，用麝香、薄荷煎汤调服，不限时间。凡是药性虽冷，但炒焦后使用，性质就转为温性。
理中汤 见第五十三问。
五苓散 治疗霍乱吐泻，燥渴饮水，小便不利。
泽泻（二两半） 官桂（一两） 猪苓 白茯苓 白术（各一两半）
以上研为细末，每次服用一钱，用白开水调服，燥渴时用新汲水调服，用量根据情况增减，不拘时间。加入辰砂一两，可治疗惊热。在第五十二问中重复出现，可兼看。
术附汤 治疗风湿相搏，身体烦疼，不能翻身转动，不呕不渴，大便坚硬，小便自利，以及风虚目眩，严重时口不知味。
白术（四两） 附子（炮制，去皮脐，一两半） 甘草（炙，二两）
以上切碎，每次服用三钱，用水一盏半，生姜三片，大枣一个，同煎服用。
调气散 见第五问。
桂枝汤 治疗太阳中风证，脉象阳浮而阴弱，阳浮者，自然发热，阴弱者，自然出汗，怕冷啬啬，发热翕翕，鼻鸣干呕的。
桂枝（去皮） 芍药 生姜（各一两半） 甘草（一两）
以上切碎，每次服用三钱，大枣二个，水一盏，煎至八分，服后须臾喝热粥一盏，以助药力，覆盖衣被保暖，约一小时左右，全身微微出汗为佳。
加减法：桂枝汤。西北方居民，四季使用，无不有效；江淮地区只有冬季和春季可以使用，从春末到夏至之前，桂枝汤证可加知母、石膏各半两，或者加升麻一分，如果病人素体虚寒，正用古方，不再加减。
葛根汤 治疗太阳病项背强几几，恶风无汗，不恶寒，刚痉。
葛根（四两） 麻黄（三钱） 桂枝（一两） 甘草（二两） 芍药（二两）
以上切碎，每次服用五钱，水一盏半，生姜五片，大枣二个，煎至一盏，服用，取微汗。
太乙保生丹 治疗慢惊风尚有阳证。
全蝎（十四个） 白附子（生用） 僵蚕 牛胆南星 蝉蜕 琥珀（各一钱） 麝香（半钱） 防风 朱砂（各一钱）
金箔（二片，作为包衣）
以上研为细末，每次服用二丸，薄荷汤送下。
聚宝丹 治疗慢惊风。
人参 茯神 琥珀 天麻 僵蚕（炒） 防风 南星 生白附子 全蝎（炙） 乌蛇肉（酒浸焙干，各一钱） 朱砂（半钱） 麝香（少许）
以上研为细末，炼蜜为丸，如梧桐子大，每次服用一丸，菖蒲汤调下。
蝉蝎散 治疗方传慢惊风。
全蝎（七个，去尾） 蝉蜕（二十一个） 甘草（二钱半，炙） 南星（一个，炮制）
以上研为细末，每次服用半钱，煎服。
神宝既济丹 分阴阳，平冷热，定吐泻，豁痰涎。
硫黄 焰硝（熔化汁液，再研细） 五灵脂 青皮 陈皮（去白） 半夏曲（炒，等分）
以上研为细末，粟米糊为丸，如麻子大，每次服用三丸，米饮送下。
来复丹 此药配合二气，均调阴阳，夺天地冲和之气，乃水火既济之方，可冷可热，可缓可急，善治营卫不和，心肾不交，上实下虚，气闭痰厥，心腹冷痛，脏腑虚滑，不问男女老幼危急之证，只要有胃气，无不获安，补损扶虚，救阴助阳，功效殊胜。
硝石（同硫黄并为细末，放入定盘内，微火略炒，用柳篦子不停手搅拌，令阴阳气相入，不可火太大，恐药力亏损，再研细） 硫黄（舶上来透明者） 太阴玄精石（研细，水飞，各一两） 陈皮（去白） 五灵脂（须系五台山者，水澄去砂石，晒干） 青皮（去瓤，各二两）
以上用五灵脂、二皮为细末，次入玄精石末，及前二药末拌匀，用好醋打和为丸，如豌豆大，每次服用三十粒，空心粥饮送下，严重者五十粒，小儿三粒，新生儿一粒。小儿慢惊风，或吐泻不止，变成虚风搐搦者，非风也，是胃气欲绝故也，用五粒研碎米饮送下。
王氏惺惺散 治疗吐泻脾困内虚。
人参 茯苓 木香（焙） 天麻 白扁豆 陈皮（炒） 全蝎（焙）
以上研为细末，每次服用半钱，姜、枣略煎服。
醒脾散 治疗吐泻脾困不食。
全蝎（焙，半钱） 白附子（炮） 天麻（焙） 甘草（炙） 人参 白茯苓 石菖蒲（选细节者） 木香 石莲肉 白术（各一钱）
以上切碎为散，每次服用三钱，生姜二片，大枣一个，水二小盏煎服。有热者去掉木香。
大醒脾散
南星 白茯苓 桔红（各一钱） 全蝎（焙） 甘草（炙） 白附子（炮） 石莲子 人参 木香（各半钱） 陈仓米（三百粒）
以上切碎为散，每次服用二钱，姜、枣煎服，驱风醒脾，两方通用。
温白丸 驱风豁痰定惊。
人参 防风 生白附 僵蚕（炒） 全蝎（焙，各一钱） 南星（汤炮，焙） 天麻（各二钱）
以上研为细末，面糊为丸，如梧桐子大，每次服用一丸，姜汤调下。
星香全蝎散 治疗慢惊风昏迷痰搐。
南星（煨，二钱） 木香 人参 桔红（各一钱） 全蝎（炙，三个） 甘草（炙，半两） 有热加防风。
以上切碎，每次服用二钱，加入紫苏、姜、枣浓煎，随时用勺送下。
定命饮子 治疗慢惊，吐泻困重欲传慢脾通用。
半夏 茯苓 木香 生姜（各一钱） 白术 甘草（炙） 天麻（各五分）
以上研为细末，每次服用半钱，姜枣煎汤调下。
四圣散 治疗慢惊，痰滞虚热，如果有窜视搐搦症状，取少许用管吹入鼻中。
全蝎（七个） 僵蚕（十四个，炒） 南星（七钱半） 川乌（三钱）
先将南星研为细末，水调作饼，包裹蚕、蝎、川乌，外用湿纸重重包裹，在慢火中煨至赤色，顿地上一伏段时间后研为细末，每次服用一钱，煎金银汤，点好茶清少许调下。
乌蝎四君子汤
人参 白术 甘草 白茯苓（等分） 川乌（生用） 全蝎（焙，各少许）
以上研为细末，每次服用半钱，姜、枣煎服，如果再服就去掉川乌。
天南星散 驱风豁痰。
南星（一个，重九钱以上的，就地挖小坑深八寸许，炭火烧通红，用好米醋半盏洒入坑中，随即放入南星在内，再用火炭严密覆盖，又用盆盖其上，一伏段时间取出，洗净切焙）
以上研为细末，加入琥珀、全蝎各一钱，每次服用半钱，生姜防风汤调下。
乌沉汤 治疗慢惊，祛风助胃。
天麻（二钱） 人参 生川乌 全蝎（焙） 南星（炮制） 木香 沉香（各一钱） 甘草（炒，半钱）
以上切碎为散，每次服用二钱，生姜三片，慢火煎取其半量使用。
沉香散 生胃气，止吐泻。
茯苓（二钱） 沉香 丁香 木香 藿香 浓朴（制） 甘草（炙，一钱）
以上研为细末，每次服用一钱，米饮调下。
天南星丸
天南星（一斤，每一个重一两上下者，用温汤浸洗，刮去里外浮皮，酒浸一夜，用桑柴蒸，不停添汤，令釜满，甑内气溢，更不停洒酒，常令药润，七伏段时间满取出，用铜刀切开一个大者，嚼少许不麻舌为熟，未熟即再炊，以熟为度，然后用铜刀切细，焙干） 麝香（研） 丁香（各一两） 龙脑（研，半两） 辰砂（另研，水飞，一两）
以上研为细末，炼蜜并酒为丸，朱砂为衣，姜汤下一豆许。
礞石丸 治疗急慢脾风通用，最能下痰。
礞石（捣碎，一两） 焰硝（半两，同礞石入砂锅内，用炭火煅令通红，候冷）
以上研为细末，雪糕薄糊为丸，绿豆大，每次服用二丸，急风用薄荷、荆芥炮汤调下；慢风、慢脾风，用木香煎汤下。礞石、焰硝、古文钱辈，虽能利痰，然其性非胃家所好，故以木香佐之。
灵脂丸 治疗慢惊痰盛搐搦。
五灵脂 白附子（焙） 木香 直僵蚕（炒，各一分） 全蝎（焙，半钱） 朱砂（一钱） 大南星（湿纸包火内煨，半钱）
以上研为细末，米醋煮生半夏糊为丸，如麻子大，姜汤下三丸。
七珍丸 治疗诸风顽痰壅盛，大小通用。
细辛 五灵脂 直僵蚕（一钱半） 白附子（一钱） 朱砂（半钱） 全蝎（四个，焙）
以上研为细末，用天南星煮糊为丸，如麻子大，姜汤下，每次服用五丸。
四君子汤 治疗营卫俱虚，脏腑怯弱，心腹胀满，全不思食，肠鸣泄泻，呕哕吐逆。
人参（去芦） 茯苓（去皮） 甘草 白术（各等分）
以上研为细末，每次服用二钱，水一盏，煎七分，通口服，不拘时，盐少许白汤点服。温和脾胃，进益饮食，辟寒邪瘴雾气。
银白散 治疗粪青，止吐泻，壮胃气。
糯米（炒，二两） 扁豆（蒸，二两） 藿香（一分） 白术（炒，一分） 丁香（二钱） 甘草（炙，三钱）
以上研为细末，紫苏米饮调下，加天麻、砂仁、白茯苓，快脾正色。直指方加炮白附、全蝎、木香、石莲、生姜。
钩藤散 治疗吐利脾胃气虚生风慢惊。后二十问有蝉蜕钩藤饮，二十一问有钩藤饮，可兼看，对证用。
钩藤钩（三钱） 蝉蜕 天麻 防风 蝎尾 人参（各半两） 麻黄（去节） 僵蚕（炒） 甘草（炙） 川芎（各一钱） 麝香（不拘多少）
以上研为细末，白水煎，寒多加附子末半钱。
龙齿散 见第十四问。
Slow convulsion refers to a condition occurring after an illness, characterized by vomiting or diarrhea, leading to deficiency and damage of the Spleen and Stomach. The whole body feels cold, the breath from the mouth and nose is also cold, the limbs occasionally twitch or convulse, the patient sleeps drowsily with eyes half-open showing the whites. This indicates a lack of Yang Qi (deficiency of Yang energy), and it is primarily treated with Gualou Tang (Trichosanthes Decoction).
Generally, the manifestations of slow convulsion include vomiting or diarrhea, phlegm rattle in the throat with slight wheezing, eyes open but with a slack expression, sleeping with eyes half-open, startle jumps and convulsions alternating with periods of calm, or fever in the trunk with cold limbs, or warm limbs with cold breath, pale white or pale cyan complexion, cyan eyebrows or lips, and a pulse that is deep, slow, scattered, or moderate. These conditions often arise from excessive use of cold-natured medicines during acute convulsion, or too rapid purgation, causing transformation into this syndrome. Others result from persistent vomiting and diarrhea, sudden severe vomiting and diarrhea due to Qi deficiency, hole-like diarrhea (watery stool) due to visceral cold, Qi collapse from chronic diarrhea, accumulation removal via incorrect purgation, hematemesis or hematochezia, unresolved wind-cold pathogen transforming from Taiyang disease, chronic cough progressing to epilepsy, intestinal parasites rushing to the heart, hernia with abdominal pain, profuse sweating day and night, Spleen fatigue with excessive sleep, irritability with thirst for drinking, edema of limbs, obstruction of urination and defecation, carbuncles and sores, herpes zoster (Shingles), rapid gangrene of the gums, all of which can transform into slow convulsion patterns. Among these, only those caused by deficiency resulting from prolonged vomiting, diarrhea, and accumulation are particularly prone to rapid progression. Treatment methods must carefully investigate the origin and course of the disease; one cannot apply medications indiscriminately. If caused by vomiting and diarrhea, Lizhong Tang (Regulate the Middle Decoction) plus Muxiang (Aucklandiae Radix) should be used to warm the Middle Jiao, and Wuling San (Five-Ingredient Powder with Poria) to guide out water retention. If caused by visceral cold and hole-like diarrhea, Shuzhu Fuzi Tang (Atractylodes and Aconite Decoction) should be administered first. If resulting from purging accumulated matter, Tiaoqi San (Regulate Qi Powder) should be used first to harmonize the Spleen and Stomach. If caused by external wind-cold, Guizhi Tang (Cinnamon Twig Decoction) or Gegen Tang (Kudzu Root Decoction) may be used; other cases can be inferred analogously. However, although slow convulsion belongs to Yin syndromes, one must accurately assess the depth of Yin-Yang imbalance. One should not solely use warm, dry, and intensely hot agents. Instead, while generating Stomach Qi, add herbs that extinguish wind and stop spasms, such as Quanxie (Scorpio), Huashe (Bamboo Pit Viper), Jiangcan (Bombyx Batryticatus), Baifu (Typhonii Rhizoma), Tianma (Gastrodiae Rhizoma), and Nanting (Arisaematis Rhizoma), which constitute good prescriptions. If slow convulsion presents with remaining Yang symptoms, there is no need to restore Yang; instead, focus on extinguishing wind and regulating the Stomach. Medications can be either cooling or warming, aiming merely to balance Yin and Yang. Suitable formulas include Taiyi Baosheng Dan (Great Unity Protect Life Pill), Jubao Dan (Treasure Accumulation Pill), Chanxie San (Cicada and Scorpion Powder), Shenbao Jiji Dan (Divine Treasure Mutual Completion Pill), Laifu Dan (Restoring Vitality Pill), Wangshi Xingxing San (Wang’s Awakening Powder), Xingpi San (Awaken Spleen Powder), Da Xingpi San (Great Awaken Spleen Powder), and Wenbai Wan (Warm White Pill). If Yang is deficient and Yin is excessive, and the disease has progressed to pure slow convulsion without convulsions, retroversion, or lateral gaze, but only with lethargy, prescribe Xingxiang Quanxie San (Star-Aucklandia Scorpion Powder), Dingming Yinzi (Life-Determining Drink), Sisheng San (Four Sages Powder), Wu Xie Sijunzi Tang (Black Scorpion Four Gentlemen Decoction), Tiannanxing San (Arisaema Powder), Wuchen Tang (Black Musk Decoction), or Chenxiang San (Aquilaria Powder). Only if the hands and feet are ice-cold should one restore Yang using Huiyang (Restore Yang) methods with Huangqi (Sulfur) and Fuzi (Prepared Aconite Root). For slow convulsion with phlegm and warmth of the body, use Tiannanxing Wan (Arisaema Pill), Suhexiang Wan (Liquid Amber Pill), or Baiwanzi (White Pills); for excessive phlegm, use Shenbao Jiji Dan or Mengshi San (Malachite Powder); for extreme deficiency where phlegm cannot be purged, use Lingzhi Wan (Trogopterus Dung Pill) or Shizhen Wan (Seven Treasures Pill). Cold-natured drugs like Tongguan Lichang (Opening Passages and Purging Intestines) agents such as Niuhuang (Calculus Bovis), Shexiang (Moschus), and Bashuang (Crotonis Semen Preparatum) are strictly prohibited. Before slow convulsion attacks, if the child sleeps excessively, sticks out the tongue, shakes the head, has cyan face and erect hair, vomits milk with a fishy smell, and sweats on the forehead, this indicates wind generated by Stomach deficiency after vomiting. Treat immediately with Jiexing Xingpi San (Stop Wind and Awaken Spleen Powder), or Sijunzi Tang (Four Gentlemen Decoction) plus Quanxie (Scorpio) and Fangfeng (Saposhnikoviae Radix), Yín Bái Sǎn (Silver White Powder), or Gouteng Yin (Uncaria Decoction) minus Mahuang (Ephedra Herb). More diverse approaches and flexible medication changes are necessary; do not neglect this. During active slow convulsion, if there is diarrhea, vomiting of milk, cold sweat, closed eyes, red lips, protruding tongue, head shaking, stiff neck, rib movement, chest oppression, coarse breathing, and mouth ulcers, apply Tiannanxing powder (Arisaema powder) to the sole of the foot. Frequent administration of Renshen Tang (Ginseng Decoction) is beneficial. If later mouth ulcers appear and the child refuses milk and food, it is called Suoge (Locked Diaphragm), which is difficult to save. Any pediatric condition presenting with a mouth opening like a fish's mouth and crow-like sounds is incurable. According to *Shengji Jing* (Holy Medicine Classic), Hupo Wan (Amber Pill) and Nanxing Jian (Arisaema Decoction) can be taken. It is stated: The Heart stores the Spirit and dislikes heat. Children’s constitutions are naturally hot. If they contract wind pathogens, wind-heat clashes within the Zang-Fu organs, causing Qi stagnation and anger, invading the Heart internally, disturbing the Spirit and causing fright. If fright persists severely, palpitations and restlessness occur, constituting Jingji Disease (Fright-Palpitation Disease), treated with Zijin San (Purple Gold Powder), Niuhuang San (Calculus Bovis Powder), and Dadansha Wan (Large Cinnabar Pill). For acute convulsion, Longchi San (Dragon Tooth Powder) and Sisheng San (Four Sages Powder) are available options.
Gualou Trichosanthes Decoction treats slow convulsion.
Kugualougen (Radix Trichosanthis, 2 qian), Baigansui (Rhizoma Paris Polyphyllae, 1 qian; note: Baigansui refers to Chaihu, also known as Caogansui; do not use the red variety).
Stir-fry over low heat until scorched yellow, grind evenly. Take 1 zi (approx. 0.5-1g) each time, mixed with Mosher (Moschus) and Bohe (Menthae Haplocalycis Herba) decoction. Take at any time. Although the medicinal nature is cold, stir-frying makes it warm.
Lizhong Tang (Regulate the Middle Decoction) See Question 53.
Wuling San (Five-Ingredient Powder with Poria) treats Huoluan (Cholera-like disorder) vomiting/diarrhea, dryness/thirst with desire to drink, and difficult urination.
Zexie (Alismatis Rhizoma, 2.5 liang), Guigui (Cinnamomi Cortex, 1 liang), Zhuling (Polypori Umbellati mycelium), Baifuling (Poria cum Risus), Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 liang each).
Grind into fine powder. Take 1 qian each time, mixed with plain boiled water. For dryness/thirst, mix with fresh spring water. Dosage varies according to condition. Take anytime. Add 1 liang of Zhusha (Cinnabaris) to treat fright-heat. Repeated in Question 52; refer to both.
Shuzhu Fuzi Tang (Atractylodes and Aconite Decoction) treats Wind-Dampness clashing, causing body pain and inability to turn, no vomiting/thirst, hard stool, free urination, dizziness due to wind-deficiency, and loss of taste when severe.
Baizhu (Atractylodis Macrocephalae Rhizoma, 4 liang), Fuzi (Prepared Aconiti Lateralis Radix, processed, peeled, 1.5 liang), Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 2 liang).
Cut into pieces. Take 3 qian each time, with 1.5 cups of water, 3 slices of Shengjiang (Zingiberis Rhizoma), and 1 Dazao (Jujubae Fructus). Decoct and take together.
Tiaoqi San (Regulate Qi Powder) See Question 5.
Guizhi Tang (Cinnamon Twig Decoction) treats Taiyang Wind-Strike syndrome, with floating-yang and weak-yin pulses. Floating-yang indicates spontaneous fever; weak-yin indicates spontaneous sweating, aversion to cold, mild fever, nasal congestion, and dry retching.
Guizhi (Cinnamomi Ramulus, peeled), Shaoyao (Paeoniae Radix Alba), Shengjiang (Zingiberis Rhizoma Recens, 1.5 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang).
Cut into pieces. Take 3 qian each time, with 2 Dazao (Jujubae Fructus) and 1 cup of water. Decoct to 80%. After drinking, consume a cup of hot porridge shortly to assist the medicinal power. Cover warmly to induce slight sweating over about an hour.
Modifications: Guizhi Tang works well year-round in Northwest residents. In Jianghuai regions, it is suitable only in winter and spring. From late spring to before Summer Solstice, add Zhimu (Anemarrhenae Rhizoma) and Shigao (Gypsum Fibrosum) 0.5 liang each, or Shengma (Cimicifugae Rhizoma) 1 fen. If the patient is constitutionally deficient and cold, use the ancient formula without modification.
Gegen Tang (Kudzu Root Decoction) treats Taiyang disease with stiffness of the nape and back, aversion to wind, absence of sweat, no aversion to cold, and Gangjing (Rigid Spasm).
Gegen (Puerariae Lobatae Radix, 4 liang), Mahuang (Ephedrae Herba, 3 qian), Guizhi (Cinnamomi Ramulus, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang).
Cut into pieces. Take 5 qian each time, with 1.5 cups of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 Dazao (Jujubae Fructus). Decoct to 1 cup. Induce slight sweating.
Taiyi Baosheng Dan (Great Unity Protect Life Pill) treats slow convulsion with remaining Yang symptoms.
Quanxie (Scorpio, 14), Baifuzi (Typhonii Rhizoma, raw), Jiangcan (Bombyx Batryticatus), Niudan Nanting (Arisaematis Rhizoma cum Bile), Chantui (Cicadae Periostracum), Hupo (Electri Succinum, 1 qian each), Shexiang (Moschus, 0.5 qian), Fangfeng (Saposhnikoviae Radix), Zhusha (Cinnabaris, 1 qian each).
Jinbo (Gold Leaf, 2 sheets, for coating).
Grind into powder. Take 2 pills each time, washed down with Bohe (Menthae Haplocalycis Herba) decoction.
Jubao Dan (Treasure Accumulation Pill) treats slow convulsion.
Renshen (Ginseng Radix et Rhizoma), Fushen (Poria cum Pinodia), Hupo (Electri Succinum), Tianma (Gastrodiae Rhizoma), Jiangcan (Bombyx Batryticatus, fried), Fangfeng (Saposhnikoviae Radix), Nanting (Arisaematis Rhizoma), Sheng Baifuzi (Typhonii Rhizoma, raw), Quanxie (Scorpio, roasted), Wushe Rou (Agkistrodon Halys Meat, wine-soaked and baked, 1 qian each), Zhusha (Cinnabaris, 0.5 qian), Shexiang (Moschus, a little).
Grind into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 1 pill each time, washed down with Changpu (Acori Tatarinowii Rhizoma) decoction.
Chanxie San (Cicada and Scorpion Powder) treats transmitted slow convulsion.
Quanxie (Scorpio, 7, tail removed), Chantui (Cicadae Periostracum, 21), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2.5 qian), Nanting (Arisaematis Rhizoma, processed, 1).
Grind into powder. Take 0.5 qian each time, decoct and take.
Shenbao Jiji Dan (Divine Treasure Mutual Completion Pill) separates Yin/Yang, balances cold/heat, stops vomiting/diarrhea, and resolves phlegm.
Huangqi (Sulfur), Yanxiao (Nitrums Crystallisatum, melted and ground), Wulingzhi (Trogopterori Faeces), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium, pith removed), Banxiaqu (Pericarpium Citri Reticulatae Fermentatum, fried, equal parts).
Grind into powder. Mix with millet paste to make pills the size of sesame seeds. Take 3 pills each time, washed down with rice water.
Laifu Dan (Restoring Vitality Pill) Combines two Qi, balances Yin-Yang, captures the harmonious Qi of Heaven and Earth. It is a formula for mutual completion of Water and Fire, suitable for cold/hot, slow/urgent conditions. It effectively treats disharmony of Ying and Wei, non-interaction of Heart and Kidney, upper excess/lower deficiency, Qi closure with phlegm syncope, cold pain in heart/abdomen, visceral deficiency/slippage. Regardless of age or critical status, as long as Stomach Qi exists, safety is achieved. It tonifies deficiency, supports weakness, saves Yin, assists Yang, with remarkable efficacy.
Xiaoshi (Natrii Nitratis Crystal, ground with Huangqi [Sulfur], lightly stir-fried in a scale pan, stirred constantly with willow stick to blend Yin/Yang Qi, avoid excessive heat to preserve potency, then ground fine), Huangqi (Sulfur, transparent imported type), Taiyin Xuanjingshi (Calcitum, finely ground and levigated, 1 liang each), Chenpi (Citri Reticulatae Pericarpium, pith removed), Wulingzhi (Trogopterori Faeces, from Wutai Mountain, washed to remove sand/stones, dried), Qingpi (Citri Reticulatae Pericarpium Viride, pith removed, 2 liang each).
Grind Wulingzhi and the two peels into fine powder. Add Xuanjingshi powder and the previous two powders, mix well. Bind with good vinegar into pills the size of peas. Take 30 pills on an empty stomach with congee water; severe cases 50 pills. Children: 3 pills; newborns: 1 pill. For pediatric slow convulsion or persistent vomiting/diarrhea turning into deficiency-wind spasms (not true wind, but impending Stomach Qi failure), crush 5 pills and wash down with rice water.
Wangshi Xingxing San (Wang’s Awakening Powder) treats vomiting/diarrhea with Spleen fatigue and internal deficiency.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Muxiang (Aucklandiae Radix, baked), Tianma (Gastrodiae Rhizoma), Baibian Dou (Dolichoris Semen), Chenpi (Citri Reticulatae Pericarpium, fried), Quanxie (Scorpio, baked).
Grind into powder. Take 0.5 qian each time, decoct briefly with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus).
Xingpi San (Awaken Spleen Powder) treats vomiting/diarrhea with Spleen fatigue and anorexia.
Quanxie (Scorpio, baked, 0.5 qian), Baifuzi (Typhonii Rhizoma, processed), Tianma (Gastrodiae Rhizoma, baked), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria cum Risus), Shichangpu (Acori Tatarinowii Rhizoma, select fine texture), Muxiang (Aucklandiae Radix), Shilianrou (Nelumbinis Semen), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 qian each).
Cut into pieces. Take 3 qian each time, with 2 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 Dazao (Jujubae Fructus). Decoct in 2 small cups of water. Remove Muxiang if heat is present.
Da Xingpi San (Great Awaken Spleen Powder)
Nanting (Arisaematis Rhizoma), Baifuling (Poria cum Risus), Juhong (Exocarpium Citri Grandis, 1 qian each), Quanxie (Scorpio, baked), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Baifuzi (Typhonii Rhizoma, processed), Shilianshi (Nelumbinis Semen), Renshen (Ginseng Radix et Rhizoma), Muxiang (Aucklandiae Radix, 0.5 qian each), Chencangmi (Stored Rice Grain, 300 grains).
Cut into pieces. Take 2 qian each time, decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). Expels wind and awakens the Spleen; both formulas are interchangeable.
Wenbai Wan (Warm White Pill) Expels wind, resolves phlegm, calms fright.
Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Sheng Baifu (Typhonii Rhizoma, raw), Jiangcan (Bombyx Batryticatus, fried), Quanxie (Scorpio, baked, 1 qian each), Nanting (Arisaematis Rhizoma, processed in water and baked), Tianma (Gastrodiae Rhizoma, 2 qian each).
Grind into powder. Bind with wheat paste into pills the size of Sophora seeds. Take 1 pill each time, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
Xingxiang Quanxie San (Star-Aucklandia Scorpion Powder) treats slow convulsion with coma, phlegm, and spasms.
Nanting (Arisaematis Rhizoma, baked, 2 qian), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma), Juhong (Exocarpium Citri Grandis, 1 qian each), Quanxie (Scorpio, roasted, 3), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 liang). Add Fangfeng (Saposhnikoviae Radix) if heat is present.
Cut finely. Take 2 qian each time, add Zisu (Perillae Folium), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus). Decoct strongly. Administer spoonful by spoonful.
Dingming Yinzi (Life-Determining Drink) treats slow convulsion, generally applicable for severe vomiting/diarrhea transitioning to Manpi (Slow Spleen).
Banxia (Pinelliae Rhizoma), Fuling (Poria), Muxiang (Aucklandiae Radix), Shengjiang (Zingiberis Rhizoma Recens, 1 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Tianma (Gastrodiae Rhizoma, 0.5 qian each).
Grind into powder. Take 0.5 qian each time, washed down with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) decoction.
Sisheng San (Four Sages Powder) treats slow convulsion with phlegm stagnation and deficiency-heat. If lateral gaze or convulsions occur, blow a small amount into the nostrils via a tube.
Quanxie (Scorpio, 7), Jiangcan (Bombyx Batryticatus, fried, 14), Nanting (Arisaematis Rhizoma, 7.5 qian), Chuanwu (Aconiti Radix, 3 qian).
First, grind Nanting (Arisaematis Rhizoma) into powder, mix with water to form cakes. Wrap Jiangcan (Bombyx Batryticatus), Quanxie (Scorpio), and Chuanwu (Aconiti Radix) inside. Wrap tightly in wet paper. Roast slowly over low fire until reddish. Place on the ground for one fu period (approx. 2 hours), then grind into powder. Take 1 qian each time, mixed with Jin Yin Tang (Silver-Gold Decoction) and a little good tea liquor.
Wu Xie Sijunzi Tang (Black Scorpion Four Gentlemen Decoction)
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Baifuling (Poria cum Risus, equal parts), Chuanwu (Aconiti Radix, raw), Quanxie (Scorpio, baked, small amounts each).
Grind into powder. Take 0.5 qian each time, decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). If taking again, remove Chuanwu (Aconiti Radix).
Tiannanxing San (Arisaema Powder) Expels wind, resolves phlegm.
Nanting (Arisaematis Rhizoma, one weighing over 9 qian). Dig a small pit 8 cun deep on the ground. Heat charcoal until red. Sprinkle 0.5 cup of good rice vinegar into the pit. Place Nanting (Arisaematis Rhizoma) inside. Cover tightly with hot coals, then cover with a basin. Leave for one fu period. Remove, wash clean, slice, and bake.
Grind into powder. Add Hupo (Electri Succinum) and Quanxie (Scorpio) 1 qian each. Take 0.5 qian each time, washed down with Shengjiang (Zingiberis Rhizoma Recens) and Fangfeng (Saposhnikoviae Radix) decoction.
Wuchen Tang (Black Musk Decoction) treats slow convulsion, expels wind, assists Stomach.
Tianma (Gastrodiae Rhizoma, 2 qian), Renshen (Ginseng Radix et Rhizoma), Sheng Chuanwu (Aconiti Radix, raw), Quanxie (Scorpio, baked), Nanting (Arisaematis Rhizoma, processed), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum, 1 qian each), Gancao (Glycyrrhizae Radix et Rhizoma, fried, 0.5 qian).
Cut into pieces. Take 2 qian each time, with 3 slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct over low fire to reduce by half. Use the liquid.
Chenxiang San (Aquilaria Powder) Generates Stomach Qi, stops vomiting/diarrhea.
Fuling (Poria, 2 qian), Chenxiang (Aquilariae Lignum Resinatum), Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Huoxiang (Agastaches Herba), Houpo (Magnoliae Officinalis Cortex, processed), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 qian).
Grind into powder. Take 1 qian each time, washed down with rice water.
Tiannanxing Wan (Arisaema Pill)
Tiannanxing (Arisaematis Rhizoma, 1 jin, selecting individual rhizomes approx. 1 liang). Soak in warm water, wash, scrape off outer skin. Soak in wine overnight. Steam over mulberry wood fire. Keep adding water to keep the pot full. Ensure steam fills the steamer. Continuously sprinkle wine to keep the herb moist. Steam for seven fu periods. Remove. Cut open a large piece with a copper knife; chew a small bit—if it does not numb the tongue, it is cooked. If not, steam again until cooked. Slice finely with a copper knife and bake dry. She xiang (Moschus, 1 liang), Dingxiang (Caryophylli Flos, 1 liang), Longnao (Borneolum Syntheticum, ground, 0.5 liang), Zhusha (Cinnabaris, separately ground and levigated, 1 liang).
Grind into powder. Bind with refined honey and wine into pills. Coat with Zhusha (Cinnabaris). Take a bean-sized amount, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
Mengshi Wan (Malachite Pill) Generally treats acute and chronic Pi Feng (Spleen Wind), most effective for purging phlegm.
Mengshi (Chrysocollae Calx, crushed, 1 liang), Yanxiao (Nitrums Crystallisatum, 0.5 liang). Put Mengshi and Yanxiao in a clay pot. Roast over charcoal until red hot. Let cool.
Grind into powder. Bind with thin starch paste into pills the size of mung beans. Take 2 pills each time. For acute wind, wash down with Bohe (Menthae Haplocalycis Herba) and Jingjie (Schizonepetae Herba) decoction. For slow wind/slow spleen wind, wash down with Muxiang (Aucklandiae Radix) decoction. Although Mengshi (Chrysocollae Calx), Yanxiao (Nitrums Crystallisatum), and ancient coins can promote phlegm drainage, their nature is not favored by the Stomach, hence Muxiang (Aucklandiae Radix) is added to assist.
Lingzhi Wan (Trogopterus Dung Pill) treats slow convulsion with excessive phlegm and spasms.
Wulingzhi (Trogopterori Faeces), Baifuzi (Typhonii Rhizoma, baked), Muxiang (Aucklandiae Radix), Zhijiangcan (Straight Bombyx Batryticatus, fried, 1 fen each), Quanxie (Scorpio, baked, 0.5 qian), Zhusha (Cinnabaris, 1 qian), Da Nanting (Large Arisaematis Rhizoma, wrapped in wet paper and roasted in fire, 0.5 qian).
Grind into powder. Bind with paste made from raw Banxia (Pinelliae Rhizoma) boiled in rice vinegar into pills the size of sesame seeds. Take 3 pills, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
Shizhen Wan (Seven Treasures Pill) Treats various winds with stubborn phlegm congestion. Suitable for adults and children.
Xixin (Asari Radix et Rhizoma), Wulingzhi (Trogopterori Faeces), Zhijiangcan (Straight Bombyx Batryticatus, 1.5 qian), Baifuzi (Typhonii Rhizoma, 1 qian), Zhusha (Cinnabaris, 0.5 qian), Quanxie (Scorpio, 4, baked).
Grind into powder. Bind with paste made from boiling Tiannanxing (Arisaematis Rhizoma) into pills the size of sesame seeds. Take 5 pills, washed down with Shengjiang (Zingiberis Rhizoma Recens) decoction.
Sijunzi Tang (Four Gentlemen Decoction) Treats deficiency of both Ying and Wei, frailty of Zang-Fu organs, abdominal distension/fullness, complete loss of appetite, borborygmus with diarrhea, belching/vomiting.
Renshen (Ginseng Radix et Rhizoma, remove radicles), Fuling (Poria, remove peel), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, equal parts).
Grind into powder. Take 2 qian each time, with 1 cup of water. Decoct to 70%. Drink through. Take anytime. Mix with a pinch of salt and plain boiled water. Harmonizes and warms the Spleen/Stomach, promotes diet, repels cold pathogens and miasmas.
Yinbai San (Silver White Powder) Treats green stools, stops vomiting/diarrhea, strengthens Stomach Qi.
Nuomi (Glutinous Oryzae Sativi Semen, fried, 2 liang), Bian Dou (Dolichoris Semen, steamed, 2 liang), Huoxiang (Agastaches Herba, 1 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, fried, 1 fen), Dingxiang (Caryophylli Flos, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 3 qian).
Grind into powder. Wash down with Zisu (Perillae Folium) and rice water. Add Tianma (Gastrodiae Rhizoma), Sharen (Amomi Fructus Rotundus), Baifuling (Poria cum Risus) to strengthen Spleen and normalize color. *Zhizhi Fang* adds Paobaifu (Processed Typhonii Rhizoma), Quanxie (Scorpio), Muxiang (Aucklandiae Radix), Shilian (Nelumbinis Semen), Shengjiang (Zingiberis Rhizoma Recens).
Gouteng San (Uncaria Decoction) Treats slow convulsion due to wind generated by Spleen/Stomach Qi deficiency from vomiting/diarrhea. Refer to Chan Tui Gouteng Yin (Question 20) and Gouteng Yin (Question 21) for comparison and appropriate use.
Goutenggou (Uncariae Ramulus cum Uncis, 3 qian), Chantui (Cicadae Periostracum), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Xiwei (Scorpio Tail), Renshen (Ginseng Radix et Rhizoma, 0.5 liang each), Mahuang (Ephedrae Herba, nodes removed), Jiangcan (Bombyx Batryticatus, fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian each), Shexiang (Moschus, as needed).
Grind into powder. Decoct in plain water. If cold is severe, add 0.5 qian of Fuzi (Prepared Aconiti Lateralis Radix) powder.
Hupo Wan (Amber Pill) See Hupo San (Amber Powder) in Question 15.
Longchi San (Dragon Tooth Powder) See Question 14.