夫慢惊风者。因外感风寒。内伤乳食。而作吐泻。或大病之余。或误吐下之过。脾胃两
虚者也
脾与肺母子也。母虚子亦虚。而生粘痰。胃虚则能生风。风能开能动。故其症目偏喜开。
痰滞咽喉如牵锯状。口鼻气冷。唇缓面青。涎流口角。将复螈 是也。治宜祛风活痰。健脾
生胃。不可妄用脑麝巴粉等药。其有眼闭。四肢厥冷者。名曰慢脾风。极危笃。速用回阳之
药。手足渐温。复以醒脾散理之。其服药不效。太冲脉尚有者。灸百会穴。但面暗神惨。鱼
口鸦声。脾痛胁动。身冷粘汗。头摇发直。睛定口疮。喘嗌仄卧。唇缩气粗者。不治。
加味和中散 治小儿慢惊风。
人参 白术（去芦各一钱） 白茯苓（去皮用） 陈皮（各五分） 半夏（七分） 全蝎（炒五
分） 天麻（七分） 细辛（三分） 薄荷（三分） 甘草（二分）
上锉一剂。生姜、枣煎服。乳母亦宜服之。
一论小儿吐泻不止。作慢惊风。脾困昏沉。默默不食。宜
醒脾散
人参 白术（去芦） 白茯苓（去皮） 木香 全蝎 僵蚕 白附子 天麻 甘草
上锉生姜三片。枣一枚。水煎服。
一方。去天麻、僵蚕。加炮南星、半夏曲、陈仓米二百粒。水煎熟。旋服之。
一论慢惊。乃元气虚损而至昏愦。急灸百会穴。若待下痰不愈。而后灸之。则元气脱散
而
不救矣。此乃脏腑传变已极。总归虚处。惟脾受之。无风可逐。无惊可疗。此因脾虚。不能
摄涎而作痰也。此方专治慢惊涎潮发搐。或吐或泻。不思饮食。神昏气弱。宜用
紫金锭子
人参 白术（去芦） 白茯神（去皮木） 山药（炒） 乳香 辰砂（各二钱） 赤石脂（醋炒
七分） 麝香（一钱） 茯苓（二钱）
上为细末。以糕一两为丸。如弹子大。金箔为衣。每一粒。薄荷汤研化服。
一小儿呕吐不食。手足搐搦。痰上壅。手足指冷。额黑唇青。此肾水胜心火也。用五味
异功散加木香炮姜。顿安。乃去炮姜。再剂而愈。
一小儿潮热发搐。痰涎上涌。手足指冷。左腮至申酉时。青中隐白。手足时搐。此肝经
虚弱
肺金所胜而潮搐。脾土虚弱。而手足冷也。用补中益气汤。以调补脾肺。用六味地黄丸。
以滋补肝肾而愈。盖病气有余。当认为元气不足。若用泻金伐肝。清热伐痰。则误矣。
一小儿慢惊。睡多惊啼。凡面黄脉细者难治。用此药与乳母服之。
酿乳法
木香 沉香 藿香 丁香（减半） 陈皮 人参 神曲（炒） 麦芽（炒）
上锉。每服四钱。紫苏十叶。生姜十片。枣二枚。水煎。先令乳母食后。捏去宿乳汁服
之。即仰卧霎时。令药入乳之脉。次令儿吮。不可过饱。亦良法也。
五味异功散（方见脾胃） 补中益气汤（方见脾胃） 六味地黄丸（方见诸疳）
慢惊风，是由于外感风寒、内伤乳食，导致呕吐腹泻；或者在大病之后，或因误用催吐、泻下之法，造成脾胃两虚而引发的。
脾与肺是母子关系，母脏（脾）虚弱则子脏（肺）亦虚，从而产生粘稠的痰液；胃气虚弱则能生风，风性主动，所以症状表现为眼睛喜欢睁开，咽喉间痰滞有声如同拉锯一般，口鼻呼出之气寒冷，嘴唇松弛面色发青，口水流至嘴角，身体时而抽搐，这就是慢惊风的证候。治疗应当祛风化痰，健脾养胃，不可随意使用冰片、麝香、巴豆霜等药物。如果有眼睛闭合、四肢厥冷的情况，称为慢脾风，病情极其危重，应立即使用回阳救逆的药物。待手足逐渐回暖后，再用醒脾散调理。如果服药无效，但太冲脉尚存者，可灸百会穴。但如果出现面色晦暗、神情凄惨、呼吸如鱼口开合、发出乌鸦叫声、脾区疼痛胁部跳动、身体冰冷且出汗粘腻、头部摇动头发直立、眼球固定或口舌生疮、气喘喉中不利只能侧卧、嘴唇收缩呼吸粗重等症状，则属于不治之症。
加味和中散：用于治疗小儿慢惊风。
人参、白术（去芦头，各一钱）、白茯苓（去皮）、陈皮（各五分）、半夏（七分）、全蝎（炒，五分）、天麻（七分）、细辛（三分）、薄荷（三分）、甘草（二分）。
以上药材锉碎为一剂，加生姜、大枣煎服。乳母也适宜服用此药。
另一论断：小儿呕吐腹泻不止，演变为慢惊风，脾困顿昏沉，沉默不想进食，宜用醒脾散。
人参、白术（去芦头）、白茯苓（去皮）、木香、全蝎、僵蚕、白附子、天麻、甘草。
以上药材锉碎，加生姜三片、大枣一枚，水煎服。
另一方：去掉天麻、僵蚕，加入炮南星、半夏曲、陈仓米二百粒，水煎熟后随时服用。
另一论断：慢惊风，是因为元气虚损而导致神志昏乱。此时应紧急灸百会穴。如果等到痰涎下行仍未痊愈后再灸，则元气耗散而无法救治了。这是因为脏腑传变已至极点，最终都归于虚损之处，主要由脾脏受累。此时没有实风可驱，没有实惊可疗，这是由于脾虚不能收摄津液而化为痰所致。此方专门治疗慢惊风引起的痰涎上涌、抽搐，或呕吐或腹泻，不思饮食，神志昏迷气息微弱，宜用紫金锭子。
人参、白术（去芦头）、白茯神（去皮木）、山药（炒）、乳香、辰砂（各二钱）、赤石脂（醋炒，七分）、麝香（一钱）、茯苓（二钱）。
以上研为细末，用糕粉一两制成丸药，大小如弹子，外用金箔包裹。每服一粒，用薄荷汤研磨化开后服用。
一例：小儿呕吐不食，手足抽搐，痰液壅盛于上，手足指端发冷，额头色黑嘴唇发青，这是肾水克制心火的表现。使用五味异功散加木香、炮姜，一次服用即安顿，随后去掉炮姜，再服两剂而痊愈。
一例：小儿潮热发作抽搐，痰涎上涌，手足指端发冷，左腮在申时到酉时（下午3点至7点），青色中隐现白色，手足不时抽搐，这是肝经虚弱被肺金所克导致的潮热抽搐，脾土虚弱导致手足发冷。使用补中益气汤来调补脾肺，用六味地黄丸来滋补肝肾而痊愈。大概因为病气有余，应当认为是元气不足。如果使用泻肺金、伐肝木、清热化痰的方法，那就是错误的。
一例：小儿慢惊风，嗜睡且受惊啼哭。凡是面色发黄、脉象细微的难治。使用此药让乳母服用。
酿乳法：
木香、沉香、藿香、丁香（减半）、陈皮、人参、神曲（炒）、麦芽（炒）。
以上锉碎，每次服用四钱，加紫苏十片、生姜十片、大枣二枚，水煎。先让乳母饭后服用，捏去宿存的乳汁，然后仰卧片刻，使药力进入化乳的脉络，接着让婴儿吮吸。不可让婴儿过饱，这也是良法。
Slow convulsion (Man Jing Feng) arises from external contraction of wind-cold and internal injury to milk and food, resulting in vomiting and diarrhea; or it occurs after a severe illness, or due to the error of improper emesis or purgation, leading to deficiency of both the spleen and stomach.
The spleen and lung are in a mother-son relationship. When the mother organ (spleen) is deficient, the son organ (lung) is also deficient, generating sticky phlegm. When the stomach qi is deficient, wind is generated. Since wind is active and moving, symptoms include eyes preferring to be open, phlegm stagnating in the throat sounding like a saw being pulled, cold breath from mouth and nose, relaxed lips with a bluish complexion, drooling at the corners of the mouth, and occasional spasms. This constitutes slow convulsion. Treatment should focus on dispelling wind and resolving phlegm, strengthening the spleen and nourishing the stomach. One must not recklessly use drugs such as Borneol (Bingpian), Musk (Shexiang), or Croton seed paste (Bafen). If there are cases with closed eyes and cold limbs, it is named slow spleen wind (Man Pi Feng), which is extremely critical. Immediate use of Yang-restoring medicines is required. Once the hands and feet gradually warm up, Xingpi San (Spleen-Awakening Powder) should be used for regulation. If medication is ineffective but the Taichong pulse remains palpable, moxibustion can be applied to Baihui point (GV20). However, if the face appears dull, spirit is despondent, breathing resembles a fish's mouth opening, voice sounds like a crow, spleen area hurts with rib movement, body is cold with sticky sweat, head shakes with hair standing erect, eyes are fixed or sores appear in the mouth, panting prevents lying flat requiring lateral position, lips are retracted and breathing is coarse, these are untreatable conditions.
Jiawei Hezhong San (Modified Harmonizing Middle Powder): Treats pediatric slow convulsion.
Ren Shen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, radix removed, each 1 qian), Baifuling (Poria, peel removed), Chenpi (Citri Reticulatae Pericarpium, each 5 fen), Banxia (Pinelliae Tuber, 7 fen), Quanxie (Scorpio, stir-fried, 5 fen), Tianma (Gastrodiae Rhizoma, 7 fen), Xixin (Asari Radix et Rhizoma, 3 fen), Bohe (Menthae Haplocalycis Herba, 3 fen), Gancao (Licorice Root, 2 fen).
Crush into one dose. Decoct with fresh ginger and jujube. The nursing mother should also take this medicine.
Another discussion: When pediatric vomiting and diarrhea persist, evolving into slow convulsion, with spleen fatigue, drowsiness, silence, and anorexia, Xingpi San (Spleen-Awakening Powder) is suitable.
Ren Shen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, radix removed), Baifuling (Poria, peel removed), Muxiang (Aucklandiae Radix), Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Baifuizi (Ligustici Chuanxiong Rhizoma), Tianma (Gastrodiae Rhizoma), Gancao (Licorice Root).
Crush. Decoct with three slices of fresh ginger and one jujube in water.
Another prescription: Remove Tianma (Gastrodiae Rhizoma) and Jiangcan (Bombyx Batryticatus). Add Paonanxing (Arisaematis Cum Bile Rhizoma), Banxiaqu (Pinelliae Fermentatum), and 200 grains of Chencangmi (aged rice). Decoct in water until cooked and administer frequently.
Another discussion: Slow convulsion results from depletion of primordial qi leading to confusion. Emergency moxibustion on Baihui point (GV20) is indicated. If one waits until phlegm has descended without improvement before applying moxibustion, primordial qi will scatter and rescue will be impossible. This is because the transmission of zang-fu pathology has reached its extreme, ultimately returning to deficiency, primarily affecting the spleen. There is no excess wind to drive out, nor excess fright to treat. This is caused by spleen deficiency failing to control saliva, transforming it into phlegm. This formula specifically treats slow convulsion with tidal phlegm and spasms, or vomiting/diarrhea, anorexia, coma, and weak qi. Zijin Dingzi (Purple Gold Pellet) is suitable.
Ren Shen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, radix removed), Baifushen (Poria cum Pinodia, peel and wood removed), Shanyao (Dioscoreae Rhizoma, stir-fried), Ruxiang (Olibanum), Chensha (Cinnabar, each 2 qian), Chishizhi (Halloysit Rubra, vinegar-fried, 7 fen), Shexiang (Musk, 1 qian), Fuling (Poria, 2 qian).
Grind into fine powder. Use one liang of cake flour to form pills the size of a bullet, coated with gold foil. Take one pill per dose, grind and dissolve in mint tea.
Case 1: A child vomited, refused food, had hand-foot spasms, phlegm obstructing upwards, cold finger tips, black forehead, and blue lips. This indicates kidney water overcoming heart fire. Wuyi Gongsan (Five-Agent Modified Cinnamon Powder) plus Muxiang (Aucklandiae Radix) and Paojiang (Zingiberis Rhizoma Preparatum) was used, bringing immediate relief. Paojiang (Zingiberis Rhizoma Preparatum) was then removed, and after two more doses, the child recovered.
Case 2: A child had tidal fever with spasms, surging phlegm-saliva, cold finger tips. From left cheek to Shen-You hours (3 PM - 7 PM), cyanosis hid white color, with intermittent hand-foot spasms. This is liver channel weakness overcome by lung metal causing tidal spasms, and spleen earth weakness causing cold limbs. Buchong Yiqi Tang (Tonifying the Middle and Augmenting Qi Decoction) was used to tonify spleen and lung, and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) was used to nourish liver and kidney, resulting in recovery. Generally, when pathological qi is excessive, it should be recognized as insufficiency of primordial qi. Using methods to drain lung metal, attack liver wood, clear heat, or resolve phlegm would be erroneous.
Case 3: A child with slow convulsion slept much and cried upon fright. Cases with yellowish face and thin pulse are difficult to treat. This medicine is administered to the nursing mother.
Nursing Milk Preparation Method:
Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), Huoxiang (Agastaches Herba), Dingxiang (Caryophylli Flos, halved), Chenpi (Citri Reticulatae Pericarpium), Ren Shen (Ginseng Radix), Shenqu (Massa Medicata Fermentata, stir-fried), Maiya (Hordei Fructus Germinatus, stir-fried).
Crush. Take 4 qian per dose with ten leaves of Zisu (Perillae Folium), ten slices of fresh ginger, and two jujubes. Decoct in water. Have the nursing mother take it after meals, express and discard old milk first, then lie supine for a moment to allow medicinal qi to enter the milk-generating vessels, then let the infant suck. Do not overfeed. This is also a good method.
Wuyi Gongsan (Five-Agent Modified Cinnamon Powder) (Formula see Spleen-Stomach chapter), Buchong Yiqi Tang (Tonifying the Middle and Augmenting Qi Decoction) (Formula see Spleen-Stomach chapter), Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (Formula see Various Malnourishment chapters).