慢脾风之候，面青额青，舌短头低，眼合不开，困睡中摇头吐舌，频呕腥臭，禁口切牙，手足微搐而不及收，或身
冷，或身温而四肢冷，其脉沉微，阴气极盛，胃气极虚，十救一二。盖由慢惊之后，吐泻损脾，病传已极，总归虚处，
惟脾所受，故曰脾风。若逐风则无风可逐，若疗惊则无惊可疗，但膈间痰壅，虚热往来。其眼合者，脾困气乏，神志沉
迷，痰涎凝滞然尔。世所谓慢风难疗者，慢脾风是也。然慢脾风一名虚风，凡小儿或吐或泻之后，面色痿黄，大势虚
损，若因虚而发热，继此必传慢脾风。才见摇头直视，以手摸人，昏困喜睡，额上汗多，身亦粘汗，其声沉小而焦，即
是脾风之症，不必皆由急慢风传次而至，又当识之。治法大要∶生胃回阳，黑附汤、川乌散、金液丹、白丸子各一半，
生附四君子汤可斟酌用之。胃气渐复，则异功散辈，温平而调理之，如蝎附散、阴痫散等，亦可参用。若其眼半开半合，
手足不冷，症候尚在慢惊，则不必用回阳，或已入慢脾，而阳气未甚脱者，亦不可用硫黄、附子。凡服回阳汤剂，手足
渐暖者，仍以醒脾散等继其后以调之，不可轻易用极剂也。
黑附汤 治慢脾风盛四肢厥冷。若手足暖而苏省，即止后剂。
附子（炮，三钱） 木香（一钱半） 白附子（一钱） 甘草（炙，五分）
上锉散，每服三钱，姜五片，煎取其半，以匙送下。
川乌散 祛风回阳。
川乌（生，一钱） 全蝎 木香（各半分）
上为末，每服一钱，姜四片，煎去其半，旋滴入口中。呕吐者加丁香。
金液丹 治吐利日久，脾胃虚损，手足厥逆，精神昏倦，睡多露睛，口鼻气冷，欲成慢惊风者。
舶上硫黄（十两，先飞，拣去砂石称，研为细末，入罐内，再入赤石脂封缝，盐泥固济，炭火 三昼夜，取出，候
冷用）
上以柳木槌乳钵内研为细末，每服二钱，生姜汤下。
生附四君子汤 助胃回阳。
即前四君子汤加生附子末四分之一，厥冷者对加，每服半钱，姜五片，慢火煎，以匙送下。
异功散 治吐泻不思饮食，温中和气，及脾胃虚冷者，先与数服，以正其气。
人参 茯苓 白术 甘草 桔红 木香（等分）
上为末，每服二钱，姜、枣煎服。一方去木香。
蝎附散 回阳气，豁风痰。
全蝎（一个） 附子（炮，二钱） 南星（炮） 白附子（炮） 木香（各一钱）
上为末，每服半钱，姜四片，慢火煎服。
醒脾散 见第十六问。
保命丹 见第十四问至圣保命丹。
阴痫散 祛风豁痰，回阳正胃。
白附子 黑附子 南星 半夏（并生，各一分半）
上为末，井水浸七日，逐日换水，浸讫控干，次入全蝎末二钱，每服一字，生姜汤下。
慢脾风的证候表现为：面色青，额部发青，舌体短缩且头低垂，眼睛闭合难以睁开，在昏睡中摇头吐舌，频繁呕吐带有腥臭味的东西，牙关紧闭并切齿磨牙，手足轻微抽搐且不能自主收回，或者身体寒冷，或者身体温热但四肢冰冷，脉象沉而微弱。这是阴气极盛、胃气极度虚弱的表现，十个人中只能救活一两个。这通常是由于慢惊风之后，呕吐腹泻损伤了脾脏，病情发展到极点，最终归于虚损之处，唯独脾脏受累，所以称为“脾风”。如果去逐风，则无风可逐；如果去治疗惊风，则无惊可治，只是膈间痰浊壅塞，虚热往来。眼睛闭合，是因为脾脏困顿、气力匮乏，神志沉迷，痰涎凝滞所致。世人所说的“慢风难疗”，指的就是慢脾风。然而慢脾风又名“虚风”，凡是小儿在呕吐或腹泻之后，面色萎黄，整体呈现虚损状态，如果因为虚损而发热，随后必然发展为慢脾风。只要出现摇头、直视、用手摸人、昏沉困倦喜睡、额头出汗多、身上也有粘汗、声音低沉细小且焦躁，这就是脾风的症状，并不一定都要经过急惊风或慢惊风的传变过程，这一点也应当认识清楚。治疗的大要在于：生发胃气，回阳救逆。可以使用黑附汤、川乌散、金液丹、白丸子各取一半，以及生附子四君子汤，根据情况斟酌使用。待胃气逐渐恢复，则用异功散之类的方剂，温和平稳地调理，如蝎附散、阴痫散等，也可以参考使用。如果患者眼睛半开半合，手足不冷，症状尚在慢惊风阶段，则不必使用回阳的方法；如果已经陷入慢脾风，但阳气尚未严重脱失，也不可使用硫黄、附子。凡是服用回阳汤剂后，手足逐渐变暖的，随后仍需用醒脾散等方剂继以调理，不可轻易使用药性峻猛的方剂。
黑附汤：治疗慢脾风盛行，四肢厥冷。如果手足回暖且神志清醒，即停止服用后续药剂。
配方：附子（炮制，三钱）、木香（一钱半）、白附子（一钱）、甘草（炙，五分）。
制法与用法：以上药物切碎成散剂，每次服用三钱，加生姜五片，煎煮至药液减半，用勺子送服。
川乌散：祛风回阳。
配方：川乌（生用，一钱）、全蝎、木香（各半分）。
制法与用法：以上药物研为细末，每次服用一钱，加生姜四片，煎煮去其一半药液，随时滴入口中。若伴有呕吐，加入丁香。
金液丹：治疗吐泻日久，脾胃虚损，手足厥逆，精神昏倦，嗜睡且露睛，口鼻气息寒冷，欲发展成慢惊风者。
配方：舶上硫黄（十两，先飞炼，拣去砂石称重，研为细末，放入罐内，再放入赤石脂密封缝隙，用盐泥加固密封，炭火煅烧三昼夜，取出，冷却后使用）。
制法与用法：以上药物用柳木槌在乳钵中研为细末，每次服用二钱，用生姜汤送下。
生附四君子汤：助胃回阳。
配方：即前述四君子汤加入生附子末四分之一量，对于四肢厥冷的患者加倍使用，每次服用半钱，加生姜五片，用慢火煎煮，用勺子送服。
异功散：治疗吐泻后不思饮食，温中和气，以及脾胃虚冷者。先给予数服，以端正其气机。
配方：人参、茯苓、白术、甘草、桔红、木香（等分）。
制法与用法：以上药物研为细末，每次服用二钱，加生姜、大枣煎服。另一版本去掉木香。
蝎附散：回阳气，豁除风痰。
配方：全蝎（一个）、附子（炮制，二钱）、南星（炮制）、白附子（炮制）、木香（各一钱）。
制法与用法：以上药物研为细末，每次服用半钱，加生姜四片，用慢火煎服。
醒脾散：参见第十六问。
阴痫散：祛风豁痰，回阳正胃。
配方：白附子、黑附子、南星、半夏（均生用，各一分半）。
制法与用法：以上药物研为细末，用井水浸泡七日，每日换水，浸泡完毕后控干水分，其次加入全蝎末二钱，每次服用一字量，用生姜汤送下。
The clinical manifestations of Slow Spleen Wind (Man Pi Feng) include: a bluish complexion, particularly on the forehead; a short tongue with the head drooping; eyes closed and difficult to open; shaking the head and protruding the tongue while in a drowsy sleep; frequent vomiting of foul-smelling substances; clenched teeth and grinding; mild twitching of the hands and feet that cannot be voluntarily controlled; or cold body temperature, or warm body temperature with cold limbs. The pulse is deep and faint. This indicates extreme excess of Yin Qi (Yin energy) and extreme deficiency of Stomach Qi (Stomach energy). Only one or two out of ten patients may survive. This condition typically arises after Slow Convulsion (Man Jing), where vomiting and diarrhea damage the Spleen. The disease has progressed to an extreme stage, ultimately returning to deficiency, specifically affecting the Spleen, hence it is called "Spleen Wind." If one attempts to dispel wind, there is no wind to dispel; if one attempts to treat convulsions, there are no convulsions to treat. There is merely phlegm turbidity obstructing the diaphragm and alternating deficiency heat. The closed eyes result from Spleen fatigue and Qi exhaustion, causing the spirit and consciousness to become submerged due to stagnation of saliva and phlegm. What the world calls "difficult-to-treat slow wind" refers to Slow Spleen Wind. However, Slow Spleen Wind is also known as "Deficiency Wind." Whenever infants or children experience vomiting or diarrhea, followed by a sallow complexion and general deficiency, if fever ensues due to this deficiency, it will inevitably progress to Slow Spleen Wind. As soon as symptoms such as head shaking, staring straight ahead, reaching out to touch people, drowsiness and preference for sleep, excessive sweating on the forehead, sticky sweat on the body, and a low, small, and hoarse voice appear, these are signs of Spleen Wind. It is not necessary for these symptoms to always arise from the sequential transmission of Acute Convulsion or Slow Convulsion; this point must be recognized. The general principle of treatment is to generate Stomach Qi and restore Yang. One may consider using half doses each of Hei Fu Tang (Black Aconite Decoction), Chuan Wu San (Chuanwu Powder), Jin Ye Dan (Golden Liquid Pill), Bai Wan Zi (White Pellet), and Sheng Fu Si Jun Zi Tang (Raw Aconite Four Gentlemen Decoction), adjusting according to the situation. Once Stomach Qi gradually recovers, use formulas like Yi Gong San (Extraordinary Efficacy Powder) to regulate gently and mildly. Formulas such as Xie Fu San (Scorpion and Aconite Powder) and Yin Xian San (Yin Epilepsy Powder) can also be consulted. If the patient's eyes are half-open and half-closed, and the hands and feet are not cold, the condition remains within the scope of Slow Convulsion, so restoring Yang methods should not be used. If the condition has already entered Slow Spleen Wind but Yang Qi has not severely collapsed, Sulfur (Liu Huang) and Aconite (Fu Zi) should not be used. For those taking Yang-restoring decoctions who show gradual warming of the hands and feet, follow up with formulas like Xing Pi San (Awaken Spleen Powder) for regulation. Do not lightly use extremely potent agents.
Hei Fu Tang (Black Aconite Decoction): Treats severe Slow Spleen Wind with cold limbs. Discontinue subsequent doses once the hands and feet warm up and consciousness returns.
Ingredients: Prepared Aconite Root (Pao Fu Zi, 3 qian), Costus Root (Mu Xiang, 1.5 qian), Prepared White Aconite Rhizome (Pao Bai Fu Zi, 1 qian), Prepared Licorice Root (Zhi Gan Cao, 0.5 qian).
Preparation and Administration: Coarsely powder the above ingredients. Take 3 qian per dose, add five slices of fresh ginger, decoct until half the liquid remains, and administer with a spoon.
Chuan Wu San (Chuanwu Powder): Dispels wind and restores Yang.
Ingredients: Raw Chuanwu Tuber (Sheng Chuan Wu, 1 qian), Whole Scorpion (Quan Xie), Costus Root (Mu Xiang) (each 0.5 fen).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose, add four slices of fresh ginger, decoct until half the liquid remains, and drip into the mouth intermittently. Add Clove Bud (Ding Xiang) if vomiting occurs.
Jin Ye Dan (Golden Liquid Pill): Treats prolonged vomiting and diarrhea, Spleen and Stomach deficiency, cold limbs, mental confusion and fatigue, excessive sleep with exposed eyes, cold breath from mouth and nose, and impending development of Slow Convulsion.
Ingredients: Imported Sulfur (Bo Shang Liu Huang, 10 liang). Process: Fly the sulfur first, remove sand and stones, weigh, grind into fine powder, place in a jar, seal the seams with Red Stone (Chi Shi Zhi), secure with salt mud, calcine over charcoal fire for three days and nights, remove, and let cool before use.
Preparation and Administration: Grind the processed sulfur into fine powder using a willow wood pestle in a mortar. Take 2 qian per dose, swallow with ginger water.
Sheng Fu Si Jun Zi Tang (Raw Aconite Four Gentlemen Decoction): Assists the Stomach and restores Yang.
Ingredients: Based on the aforementioned Si Jun Zi Tang (Four Gentlemen Decoction), add one-quarter amount of Raw Aconite Powder. For patients with cold limbs, double the amount. Take 0.5 qian per dose, add five slices of fresh ginger, decoct slowly, and administer with a spoon.
Yi Gong San (Extraordinary Efficacy Powder): Treats loss of appetite after vomiting and diarrhea, warms the middle and harmonizes Qi, and addresses Spleen and Stomach deficiency-cold. Administer several doses initially to rectify Qi.
Ingredients: Ginseng Radix (Ren Shen), Poria (Fu Ling), Atractylodes Macrocephala Rhizome (Bai Zhu), Licorice Root (Gan Cao), Tangerinae Pericarpium Rubrum (Ju Hong), Costus Root (Mu Xiang) (equal parts).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, decoct with fresh ginger and jujube. Another variant omits Costus Root.
Xie Fu San (Scorpion and Aconite Powder): Restores Yang Qi and expels wind-phlegm.
Ingredients: Whole Scorpion (Quan Xie, 1 individual), Prepared Aconite Root (Pao Fu Zi, 2 qian), Prepared Arisaema Rhizome (Pao Nan Xing), Prepared White Aconite Rhizome (Pao Bai Fu Zi), Costus Root (Mu Xiang) (each 1 qian).
Preparation and Administration: Grind into fine powder. Take 0.5 qian per dose, add four slices of fresh ginger, decoct slowly, and take orally.
Xing Pi San (Awaken Spleen Powder): See Question 16.
Bao Ming Dan (Life-Preserving Pill): See Zhi Sheng Bao Ming Dan (Supreme Life-Preserving Pill) in Question 14.
Yin Xian San (Yin Epilepsy Powder): Dispels wind, expels phlegm, restores Yang, and corrects the Stomach.
Ingredients: White Aconite Rhizome (Bai Fu Zi), Black Aconite Root (Hei Fu Zi), Arisaema Rhizome (Nan Xing), Pinellia Tuber (Ban Xia) (all raw, each 1.5 fen).
Preparation and Administration: Grind into fine powder. Soak well water for seven days, changing the water daily. After soaking, drain well. Then add 2 qian of powdered whole scorpion. Take one "zi" measure per dose, swallow with ginger water.