（ 拽附）
《巢氏病源》小儿中风不随候∶夫风邪中于肢节，结于筋脉。若风挟寒气者，即拘急挛痛；若挟于热，即缓
纵不随。
《外台》∶《备急》疗若身体角弓反张，四肢不随，烦乱欲死者方。
清酒（五升） 鸡屎白（一升，熬）
上二味捣筛合和，扬之千遍，乃饮之。大人服一升，小儿服五合，更小者服三合，良。《肘后》同。
《圣惠》治小儿中风，半身不随，肢节拘急，不能转动。赤箭丸方
赤箭 白僵蚕（微炒） 白附子（炮裂） 羌活 桂心（各半两） 牛黄 麝香（并细研，各半分） 白花蛇（二
两，酒浸，去皮、骨，炙令微黄）
上件药捣，罗为末，入研子药，同研令匀，炼蜜和丸如麻子大。每服以荆芥、薄荷汤下五丸，日三、四服。
量儿大小，以意加减服之。
《圣惠》治小儿中风，手足不随，诸药不效。宜服蓖麻子散方
蓖麻子（二十枚，去皮，别研） 雀儿饭瓮（十枚） 干蝎（三十枚） 石榴（一颗大者）
以上四味，将石榴取却子及七分，盛药三味在内，用泥裹作球，以慢火炙干，烧令通赤，赤后闻药气透出
即熟，候冷取出去泥，细研。次入∶干蝎 半夏（汤洗七遍，去滑。各一分） 天南星 白附子（各一分半）
上件药四味并生用，都捣，细罗为散，入前烧了药，都研令匀。每服以温酒调下一字，其重者不过三、两
服。量儿大小加减服之。
《圣惠》治小儿中风，四肢不随，心神迷闷。宜服牛黄丸方
牛黄（以熟绢袋盛于黑豆一升中，炒豆熟为度，别研入） 天竺黄（细研） 犀角（屑） 天南星 白附子（各炮
裂） 白僵蚕 地龙 干蝎（并微炒。各半两） 郁金 蜣螂（去翅足，微炒） 天麻 麝香（细研。各一分） 朱砂
（一两，研，水飞过） 蝉（七枚，去翅足，微炒） 乌蛇肉（二两，酒浸，炙微黄） 乌鸦（一枚，去翅足，泥裹烧
为灰，用一两）
上件药捣，罗为末，入研了药令匀，以糯米饭和丸如黍米大。每服以温酒下五丸。量儿大小，以意加减服之。
张涣漏芦汤方 治小儿中风，半身不随。
漏芦 木通（锉） 白茯苓 当归（洗，焙干） 天麻（炙） 羌活（各一两） 甘草（微炙） 荆芥（去枝、梗。
各半两）
上件药捣，罗为细末。每服一钱，水一盏，入生姜二片、薄荷三叶，煎五分，去滓，放温热服
张涣又方半金散
白僵蚕（炒黄） 全蝎（炒） 天麻（炙） 乌蛇肉（酒浸，去皮、骨，焙干。各一两）
以上捣罗为细末。次用∶朱砂（半两，细研，水飞） 龙脑（一钱，研）
上件拌匀。每服半钱，温酒调下。
《保生信效方》起死轻骨丹 主大人、小儿中风瘫痪，四肢不随，风痹等疾。
麻黄（去根节，秤五斤，锉，河水二石熬之，去滓，成膏 桑根白皮须自采土下者，锉） 白芷 苍术（去皮） 甘
松（只用腿子，余者不用） 川芎（各二两） 苦参（三两半）
上六味为末， 研匀细，以前麻黄膏和丸如弹子大。每服一丸，温酒一盏研化顿服之，临卧取汗。五、七
日间再服，手足当即轻快。小儿惊风量与之。卒中涎潮，分利涎后用之。余表伯常器之博士，昔时使子弟开
药肆。所售回生轻骨丹，皆一千一粒，售者盈门。
《庄氏家传》治小儿风湿，筋脉缓弱，脚膝无力，或手足偏 拽，语謇。羚羊角散
羚羊角（屑） 白藓皮 防风（去苗。各三分） 酸枣仁（二两，微炒） 五加皮（刮去粗皮） 茯神 官桂（去
粗皮。各半两） 独活 黄 （去芦头。各一两）
上件为粗末。每服二钱，水一中盏同煎至六分，去滓温服。不拘时候，日三服。如有热，入竹沥半协议服。
兼治语涩舌謇。大人亦可服，加钱数，神验。
《婴童宝鉴》灸法∶小儿半身不随，灸百会，（在头中心。） 次灸风池，次灸曲池，（肘横纹上，曲腕取之。）次灸
膝腿并三里各三壮。
（拽附）
《巢氏病源》中关于小儿中风后肢体不能随意运动的证候：风邪侵袭肢节，阻滞于筋脉。如果风邪挟带寒气，就会出现拘挛、紧急和疼痛；如果风邪挟带热邪，就会导致肢体松弛、软弱无力且不能随意运动。
《外台秘要》记载：《备急方》治疗身体呈角弓反张状、四肢不能随意运动、烦躁混乱近乎死亡的方剂。
清酒（五升），鸡屎白（一升，炒制）。
以上两味药捣碎过筛混合均匀，反复扬撒一千次，然后服用。成人服用一升，小儿服用五合，更小的婴儿服用三合，效果良好。《肘后备急方》也采用此法。
《太平圣惠方》治疗小儿中风，半身不遂，肢节拘挛紧急，无法转动。赤箭丸方：
赤箭（天麻），白僵蚕（微炒），白附子（炮裂），羌活，桂心（各半两），牛黄，麝香（均细研，各半分），白花蛇（二两，酒浸，去皮骨，烤至微黄）。
以上药物捣碎，过筛成粉末，加入已研细的药物，共同研磨均匀，用炼蜜调和制成如麻子大小的丸剂。每次服用五丸，用荆芥、薄荷汤送服，每日三到四次。根据患儿年龄大小，酌情增减剂量服用。
《太平圣惠方》治疗小儿中风，手足不能随意运动，其他药物无效。宜服用蓖麻子散方：
蓖麻子（二十枚，去皮，单独研碎），雀儿饭瓮（十枚，即麻雀窝），干蝎（三十枚），石榴（一颗大的）。
以上四味药，将石榴去掉籽及七分之一的果肉，把另外三种药放入其中，用泥土包裹成球状，用慢火烤干，烧至通红，待闻到药气透出时即算熟透，冷却后取出去掉泥土，细研。接着加入：干蝎，半夏（用水清洗七遍，去滑腻。各一分），天南星，白附子（各一分半）。
以上四种药物均生用，一起捣碎，细筛成散剂，加入之前烧制的药物，共同研磨均匀。每次服用“一字”量，用温酒调下，病情重的不超过两三服即可见效。根据患儿年龄大小调整剂量服用。
《太平圣惠方》治疗小儿中风，四肢不能随意运动，心神昏闷。宜服用牛黄丸方：
牛黄（用熟绢袋装好放入黑豆一升中，炒豆熟为度，单独研碎加入），天竺黄（细研），犀角（锉屑），天南星，白附子（均炮裂），白僵蚕，地龙，干蝎（均微炒。各半两），郁金，蜣螂（去翅足，微炒），天麻，麝香（细研。各一分），朱砂（一两，研碎，水飞法处理），蝉蜕（七枚，去翅足，微炒），乌蛇肉（二两，酒浸，烤至微黄），乌鸦（一枚，去翅足，泥裹烧成灰，取一两使用）。
以上药物捣碎，过筛成粉末，加入已研细的药物使其均匀，用糯米饭调和制成如黍米大小的丸剂。每次服用五丸，用温酒送下。根据患儿年龄大小，酌情增减剂量服用。
张涣的漏芦汤方：治疗小儿中风，半身不遂。
漏芦，木通（锉碎），白茯苓，当归（洗净，焙干），天麻（炙），羌活（各一两），甘草（微炙），荆芥（去枝梗。各半两）。
以上药物捣碎，过筛成细末。每次服用一钱，加水一盏，放入生姜两片、薄荷三叶，煎煮至五分水量，去渣，放温热后服用。
张涣的另一方：半金散。
白僵蚕（炒黄），全蝎（炒），天麻（炙），乌蛇肉（酒浸，去皮骨，焙干。各一两）。
以上药物捣碎过筛成细末。接着准备：朱砂（半两，细研，水飞法处理），龙脑（一钱，研碎）。
以上药物拌匀。每次服用半钱，用温酒调下。
《保生信效方》中的起死轻骨丹：主治大人、小儿中风瘫痪，四肢不能随意运动，风痹等疾病。
麻黄（去根节，称五斤，锉碎，用河水二石熬制，去渣，浓缩成膏），桑根白皮（须自行采集土下的，锉碎），白芷，苍术（去皮），甘松（只用根部，其余部分不用），川芎（各二两），苦参（三两半）。
以上六味药研成细末，研磨均匀，用之前的麻黄膏调和制成如弹子大小的丸剂。每次服用一丸，用一盏温酒化开顿服，睡前服用以取汗。五到七日后再次服用，手脚应当立即感到轻松爽快。小儿惊风也可给予服用。卒中导致涎潮上涌，在分利涎液之后使用。我的表伯常器之博士，过去曾让子弟开设药铺。所售卖的回生轻骨丹，每一粒售价一贯钱，买者盈门。
《庄氏家传》治疗小儿风湿，筋脉松弛软弱，脚膝无力，或手足偏斜牵引，言语不清。羚羊角散：
羚羊角（锉屑），白鲜皮，防风（去苗。各三分），酸枣仁（二两，微炒），五加皮（刮去粗皮），茯神，官桂（去粗皮。各半两），独活，黄芪（去芦头。各一两）。
以上药物制成粗末。每次服用二钱，加水一中盏同煎至六分，去渣温服。不拘时间，每日三次。如果有热象，加入竹沥半协议合服用。兼治言语涩滞、舌体歪斜。大人也可以服用，增加剂量，效果神奇灵验。
《婴童宝鉴》灸法：小儿半身不遂，灸百会穴（位于头顶中心）。其次灸风池穴，其次灸曲池穴（肘横纹上，屈腕取穴）。其次灸膝部和腿部，以及足三里穴，每穴各灸三壮。
(Zhuai Fu)
In *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang), regarding the syndrome of pediatric wind-stroke with limb immobility: When pathogenic wind invades the limbs and joints, it stagnates in the sinews and vessels. If the wind carries cold pathogens, there will be spasms, tension, and pain; if the wind carries heat pathogens, it leads to flaccidity, weakness, and inability to move voluntarily.
*Waitai Jiyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies) records: The *Beiji Fang* (Emergency Formulas) treats conditions where the body assumes an opisthotonos posture (arched back like a bow), limbs are immobile, and the patient is extremely restless and near death.
Qingjiu (Clear Wine, 5 sheng), Jishi Bai (White excrement of chicken, 1 sheng, roasted).
Crush and sieve the above two ingredients, mix them thoroughly, and stir/yang them one thousand times, then administer. Adults take 1 sheng, children take 5 he, and infants take 3 he. This is effective. *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies) adopts the same method.
*Tai Ping Sheng Hui Fang* (Holy Grace Formulas of the Taiping Era) treats pediatric wind-stroke with hemiplegia, spasticity and stiffness of limbs and joints, and inability to rotate. Formula for Chi Jian Wan (Aralia Pill):
Chi Jian (Tianma / Rhizoma Gastrodiae), Bai Jiangcan (Baijiangcan / Bombyx Batryticatus, lightly fried), Baifuzi (Baifuzi / Rhizoma Typhonii, processed until cracked), Qianghuo (Notopterygii Rhizoma et Radix), Guixin (Guixin / Cortex Cinnamomi, half tael each); Niuhuang (Niuhuang / Calculus Bovis), Shexiang (Shexiang / Moschus, both finely ground, half fen each); Baihua She (Baihua She / Bungarus multicinctus, 2 liang, soaked in wine, skin and bones removed, roasted until slightly yellow).
Pulverize the above herbs, sieve into fine powder, add the finely ground ingredients, and grind together until uniform. Mix with refined honey to form pills the size of hemp seeds. Take 5 pills per dose, administered with decoction of Jingjie (Jingjie / Schizonepetae Spica) and Bohe (Bohe / Menthae Haplocalycis Herba), three to four times daily. Adjust dosage according to the child's age and condition.
*Tai Ping Sheng Hui Fang* treats pediatric wind-stroke with immobile hands and feet, when other medicines are ineffective. It is suitable to take Bimazi San (Castor Seed Powder):
Bimazi (Bimazi / Semen Ricini, 20 seeds, skin removed, separately ground), Que'er Faweng (Que'er Faweng / Nest of Sparrow, 10 units), Ganxie (Ganxie / Scorpio, 30 units), Shiliu (Pomegranate, one large fruit).
For the above four ingredients, remove the seeds and seven-tenths of the flesh from the pomegranate, place the other three herbs inside, wrap tightly in mud to form a ball, and roast slowly over low fire until dry. Roast until red-hot; when the herbal aroma permeates out, it is cooked. After cooling, remove the mud and grind finely. Then add: Ganxie (Scorpio), Banxia (Banxia / Rhizoma Pinelliae, washed seven times in water to remove slipperiness, each 1 fen), Tiannanxing (Tiannanxing / Rhizoma Arisaematis), Baifuzi (Baifuzi / Rhizoma Typhonii, each 1.5 fen).
The above four herbs are used raw, crushed together, and sieved into a fine powder. Add the previously roasted herbs and grind uniformly. Take "one character" (a small measure) per dose, mixed with warm wine. For severe cases, no more than two or three doses are needed. Adjust dosage according to the child's age.
*Tai Ping Sheng Hui Fang* treats pediatric wind-stroke with immobile limbs and confused spirit. It is suitable to take Niuhuang Wan (Calculus Bovis Pill):
Niuhuang (Calculus Bovis, placed in a boiled silk bag with one sheng of black beans, stir-fried until beans are cooked, separately ground and added), Tianzhu Huang (Tianzhu Huang / Borax, finely ground), Xijiao (Xijiao / Cornu Rhinocerotis, shaved), Tiannanxing (Rhizoma Arisaematis), Baifuzi (Rhizoma Typhonii, both processed until cracked); Baijiangcan (Bombyx Batryticatus), Dilong (Dilong / Pheretima, Ganxie (Scorpio), all lightly fried, half tael each); Yujin (Yujin / Radix Curcumae), Qiangling (Qiling / Scarabaeus Sibiensis, wings and legs removed, lightly fried), Tianma (Rhizoma Gastrodiae), Shexiang (Moschus, finely ground, each 1 fen); Zhusha (Zhusha / Cinnabar, 1 liang, ground, washed with water), Chantui (Chantui / Cicada Slough, 7 pieces, wings and legs removed, lightly fried), Wushe Rou (Wushe Rou / Strychnos Nux-vomica meat? No, likely Elaphe carinata or similar snake meat, 2 liang, soaked in wine, roasted until slightly yellow), Wuya (Crow, 1 piece, wings and legs removed, wrapped in mud and burned to ash, use 1 liang).
Pulverize the above herbs, sieve into fine powder, mix with the ground ingredients until uniform. Combine with glutinous rice paste to form pills the size of millet seeds. Take 5 pills per dose, administered with warm wine. Adjust dosage according to the child's age.
Zhang Huan's Loulu Tang (Loulu Decoction): Treats pediatric wind-stroke with hemiplegia.
Loulu (Loulu / Radix Euphorbiae Humifusae), Mutong (Mutong / Caulis Akebiae, chopped), Baifuling (Baifuling / Poria, Danggui (Danggui / Radix Angelicae Sinensis, washed and dried), Tianma (Rhizoma Gastrodiae, roasted), Qianghuo (Notopterygii Rhizoma et Radix, each 1 liang); Gancao (Gancao / Radix Glycyrrhizae, lightly roasted), Jingjie (Schizonepetae Spica, stems and woody parts removed, each half tael).
Pulverize the above herbs and sieve into fine powder. Take 1 qian per dose, add 1 zhan of water, 2 slices of Shengjiang (Shengjiang / Zingiberis Rhizoma Recens), 3 leaves of Bohe (Menthae Haplocalycis Herba). Decoct until reduced to 0.5 zhan, strain, and drink while warm.
Zhang Huan's another formula: Banjin San (Half-Gold Powder).
Baijiangcan (Bombyx Batryticatus, fried until yellow), Quanxie (Scorpio, fried), Tianma (Rhizoma Gastrodiae, roasted), Wushe Rou (Snake meat, soaked in wine, skin and bones removed, dried, each 1 liang).
Pulverize and sieve the above into fine powder. Then prepare: Zhusha (Cinnabar, half tael, finely ground, water-washed), Longnao (Longnao / Borneolum Syntheticum, 1 qian, ground).
Mix the above evenly. Take half a qian per dose, mixed with warm wine.
*Baosheng Xin Xiao Fang* (Faithful and Effective Formulas for Preserving Life) contains Qisi Qinggu Dan (Reviving Light Bone Pill): Mainly treats adult and pediatric wind-stroke paralysis, immobile limbs, wind-bi, etc.
Mahuang (Ephedrae Herba, remove root nodes, weigh 5 jin, chop, boil in 2 shi of river water, remove dregs, reduce to paste); Sanggen Baipi (Cortex Morii Radicis, must be self-harvested from underground roots, chopped), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma, skin removed), Gangsong (Nardostachyos Radix et Rhizoma, use only root tips, discard rest), Chuanxiong (Ligusticum Chuanxiong Rhizoma, each 2 liang), Kushen (Sophorae Flavescentis Radix, 3.5 liang).
Grind the above six herbs into fine powder, mix uniformly. Combine with the aforementioned Mahuang paste to form pills the size of marbles. Take one pill per dose, dissolve in one zhan of warm wine and drink at once. Induce sweating before sleep. Re-administer after five to seven days; hands and feet should immediately feel light and agile. Also given for pediatric convulsions. Used after resolving phlegm-fluid retention in sudden stroke with excessive salivation. My uncle, Dr. Chang Qizhi, formerly had his sons run a pharmacy. The Reviving Light Bone Pills sold were priced at one guan per pill, and customers filled the doors.
*Zhuang Shi Jia Chuan* (Zhuang Family Transmission) treats pediatric wind-dampness with flaccid sinews and vessels, weak legs and knees, or deviation and pulling of hands and feet, and slurred speech. Lingyangjiao San (Antelope Horn Powder):
Lingyangjiao (Lingyangjiao / Cornu Saigae Tataricae, shaved), Baixianpi (Dictamni Cortex), Fangfeng (Saposhnikoviae Radix, remove seed heads, each 3 fen), Suanzaoren (Ziziphi Spinosae Semen, 2 liang, lightly fried), Wujia Pi (Acanthopanacis Cortex, scrape off rough bark), Fushen (Poria cum Radix), Guanzi Gui (Cortex Cinnamomi, remove rough bark, each half tael), Duhuo (Angelicae Pubescentis Radix), Huangqi (Astragali Radix, remove root head, each 1 liang).
Make the above into coarse powder. Take 2 qian per dose, add 1 zhan of water, decoct until reduced to 0.6 zhan, strain, and drink warm. Do not restrict timing; take three times daily. If there is heat, add 0.5 yi of Zhuli (Bambusae Sap) and mix. Also treats slurred speech and tongue deviation. Adults may also take it, increasing the dose; it is miraculous.
*Tongying Baojian* (Precious Mirror for Infants and Children) Moxibustion Method: For pediatric hemiplegia, moxa Baihui (GV20) (located at the center of the head). Next moxa Fengchi (GB20), next moxa Quchi (LI11) (at the elbow crease, locate by flexing the wrist). Next moxa the knee and leg, and Zusanli (ST36), three moxa cones each.