张涣白玉丹 治小儿中风涎潮。
天南星 半夏(各生用) 白僵蚕 桂心 石菖蒲(一寸九节者。各一两)
以上捣,罗为细末。次用∶腻粉 龙脑(并细研。各一分)
上件都拌匀,取生姜汁和如黍米。服十粒,煎人参汤下。
张涣郁金丹 治小儿中风,潮发涎盛。
郁金(末) 蝎梢 桔梗 天南星(微炒。各半两)
以上捣,罗为细末。次用∶
巴豆(五枚,以童子小便浸一宿,去皮心膜,出油,研成膏) 腻粉(一钱,研)
上件都研匀,滴水和丸黍米大。每服五粒,煎荆芥汤令下。量儿大小加减。
《庄氏家传》天麻防风丸 治小儿风壅涎实,中风,痫疾,筋脉紧急,精神昏塞,或时惊叫,眠睡不稳方。
天麻(炙) 防风 人参(各一两) 干蝎(全者。炒) 白僵蚕(各半两) 甘草(炙) 朱砂(研) 雄黄(研。
各一分) 牛黄(一钱,研) 麝香(一分,研)
上十味末之,炼蜜丸如樱桃大。薄荷汤化下一丸,儿小分减。不拘时候。
《巢氏病源》小儿中风四肢拘挛候∶肌肉脆弱,易伤于风,风冷中于肤腠,入于经络,搏于筋脉,筋脉得令
即急,故使四肢拘挛也。
《千金》治少小中风,手足拘急。二物石膏汤方
石膏(如鸡子大一块,淬) 真珠(一两)
上水二升,煮石膏五、六沸;内真珠,煮取一升,稍稍分服之。
《圣惠》治小儿中风,四肢拘挛,心神烦乱不得睡。独活散方
独活 黄 (锉) 茯神 酸枣仁(各一两) 防风(去芦头) 白藓皮 羚羊角(屑。各三分) 桂心 甘草(炙
微赤。各半两)
上件药捣,细罗为散。每服一钱,以水一小盏煎至三分,去滓。量儿大小,以意分减服之。
《圣惠》治小儿中风,四肢筋脉拘挛。桑根白皮散方
桑根白皮(锉) 败酱 木通(锉。各一两) 羚羊角(屑) 漏芦 茯神 芎 (各三分)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓;入生地黄汁半合,更煎一、两沸。量儿
大小,以意分减服之。
《圣惠》治小儿中风,四肢拘挛,发歇疼痛。羌活散方
羌活 芎 防风(去芦头) 天麻 当归(锉,微炒) 甘草(炙微赤,锉。各三分) 麻黄(半两,去根节)
白附子(一分,炮裂)
上件药捣,细罗为散。每服以薄荷酒调下半钱,日三、四服。量儿大小加减服之。
《圣惠》治小儿中风,手足筋脉挛急。一字散
蝉壳 干蝎 白僵蚕(各微炒) 半夏(末,用姜汁拌,炒令黄) 南星(炮裂。各一分) 朱砂(半两,细研,
水飞过)
上件药捣,罗为末。每服一字,以荆芥薄荷汤调下。量儿大小加减服之,日三、四服,效。
《圣惠》治小儿中风,手足拘挛,身体强直,口噤,壮热。牛黄丸方
牛黄 羚羊角(屑) 胡黄连 钩藤 干蝎(微炒) 犀角屑 麝香 朱砂 雄黄 天竺黄(并细研) 水银(用
少枣肉研令星尽。各一分) 乌蛇(半两,酒浸,去皮骨,炙令微黄)
上件药捣,罗为末,入研了药令匀,用蒸饼和丸如黄米大。每服以薄荷汤下五丸,立有汗出。量儿大小,
以意加减服之。
《圣惠》治小儿中风,四肢挛急,心神烦热。朱砂丸方
朱砂(半两,细研,水飞过) 蚕蛾 干蝎(各微炒) 天麻 白附子(炮裂) 牛黄 脑麝(各细研) 羌活(各
一分)
上件药捣,罗为散,都研令匀,炼蜜和丸如绿豆大。每服以薄荷汤研下三丸,日三、四服。量儿大小,以
意加减服之。
《婴孺》治少小风挛,两脚疼痛,镇心止惊。石斛酒方
石斛(二分) 牛黄 蜀椒(汗) 白术 细辛(各四分) 秦艽 紫石英 当归 干姜(各八分) 防风 杜仲
桂心 人参 黄 甘草(炮。各六分) 独活(七分) 附子(炮) 地黄 防己(各五分。一本有白藓皮六分,无
防己) 麦门冬(七分,去心)
上二十味绢袋盛,清酒五升半浸,泥器口。春夏五日,秋冬十日。初服半合为始,日三;稍稍加之,以知为度。
张涣独活黄 汤 治小儿中风拘挛。
独活 绵黄 酸枣仁(各一两) 羚羊角(屑) 桑根白皮(锉) 肉桂 麻黄(去根节,秤) 川芎(各半两)
上件都捣,罗为细末。每服一大钱,水一盏,入生姜、薄荷各三片,煎五分,去滓,放温热服。
《刘氏家传》治大人、小儿因惊风或寒湿,手足不举,筋骨不舒,经络诸疾。
延胡索(去皮) 当归 官桂(去粗皮,不见火)
上等分,为细末。大人每服二钱,小儿每服一钱,温酒调下,空心临卧,日三服。
张涣的白玉丹,用于治疗小儿中风引起的痰涎上涌。
药材包括:天南星、半夏(均生用)、白僵蚕、桂心、石菖蒲(选取一寸长且具九节的,各一两)。
将以上药材捣碎,过筛成细粉。接着准备:腻粉、龙脑(均研细,各一分)。
将上述所有成分混合均匀,取生姜汁调和,制成如黍米大小的药丸。每次服用十粒,用人参汤煎送服。
张涣的郁金丹,用于治疗小儿中风,发作时痰涎壅盛。
药材包括:郁金(研末)、蝎梢、桔梗、天南星(微炒,各半两)。
将以上药材捣碎,过筛成细粉。接着准备:
巴豆(五枚,用童便浸泡一夜,去皮、心及内膜,去油后研成膏状)、腻粉(一钱,研细)。
将上述所有成分研磨均匀,滴水泛丸,制成如黍米大小的药丸。每次服用五粒,用荆芥汤煎送服。根据患儿年龄大小酌情增减剂量。
《庄氏家传》的天麻防风丸,用于治疗小儿风邪壅盛、痰实内阻,中风,癫痫,筋脉拘急,精神昏沉闭塞,偶尔惊叫,睡眠不安的方剂。
药材包括:天麻(炙)、防风、人参(各一两)、干蝎(全虫,炒)、白僵蚕(各半两)、甘草(炙)、朱砂(研)、雄黄(研,各一分)、牛黄(一钱,研)、麝香(一分,研)。
将以上十味药材研成粉末,用炼蜜制成如樱桃大小的药丸。用薄荷汤化开一丸服用,幼儿减量。不限服药时间。
《巢氏病源》中关于小儿中风四肢拘挛的病候论述:小儿肌肉脆弱,容易受风邪侵袭,风寒之邪侵入肌肤腠理,深入经络,与筋脉搏结,导致筋脉拘急,从而引起四肢拘挛。
《千金方》治疗婴幼儿中风,手足拘急的二物石膏汤方。
药材包括:石膏(如鸡蛋大的一块,水淬)、真珠(一两)。
用水二升,先煮石膏五六沸;加入真珠,煮至取汁一升,分次少量服用。
《太平圣惠方》治疗小儿中风,四肢拘挛,心神烦乱无法入睡的独活散方。
药材包括:独活、黄芪(锉碎)、茯神、酸枣仁(各一两)、防风(去芦头)、白鲜皮、羚羊角(镑屑,各三分)、桂心、甘草(炙至微赤,各半两)。
将上述药材捣碎,细筛成散剂。每次服用一钱,用水一小盏煎至三分之一,去渣。根据患儿年龄大小,酌情减量服用。
《太平圣惠方》治疗小儿中风,四肢筋脉拘挛的桑根白皮散方。
药材包括:桑根白皮(锉碎)、败酱、木通(锉碎,各一两)、羚羊角(镑屑)、漏芦、茯神、川芎(各三分)。
将上述药材捣碎,粗筛成散剂。每次服用一钱,用水一小盏,煎至五分,去渣;加入生地黄汁半合,再煮沸一两次。根据患儿年龄大小,酌情减量服用。
《太平圣惠方》治疗小儿中风,四肢拘挛,间歇性疼痛的羌活散方。
药材包括:羌活、川芎、防风(去芦头)、天麻、当归(锉碎,微炒)、甘草(炙至微赤,锉碎,各三分)、麻黄(半两,去根节)、白附子(一分,炮裂)。
将上述药材捣碎,细筛成散剂。每次用薄荷酒调服半钱,每日三至四次。根据患儿年龄大小酌情增减剂量。
《太平圣惠方》治疗小儿中风,手足筋脉挛急的一字散。
药材包括:蝉蜕、干蝎、白僵蚕(均微炒)、半夏(研末,用姜汁拌炒至黄色)、南星(炮裂,各一分)、朱砂(半两,细研,水飞)。
将上述药材捣碎,过筛成粉末。每次服用“一字”量(约0.5-1克),用荆芥薄荷汤调服。根据患儿年龄大小酌情增减剂量,每日三至四次,疗效显著。
《太平圣惠方》治疗小儿中风,手足拘挛,身体强直,口噤不开,高热壮热的牛黄丸方。
药材包括:牛黄、羚羊角(镑屑)、胡黄连、钩藤、干蝎(微炒)、犀角屑、麝香、朱砂、雄黄、天竺黄(均细研)、水银(用少量枣肉研磨至水银星点消失,各一分)、乌梢蛇(半两,酒浸,去皮骨,炙至微黄)。
将上述药材捣碎,过筛成粉末,混入已研细的药物使其均匀,用蒸饼和丸,制成如黄米大小的药丸。每次用薄荷汤送服五丸,立即出汗。根据患儿年龄大小,酌情增减剂量。
《太平圣惠方》治疗小儿中风,四肢挛急,心神烦热的朱砂丸方。
药材包括:朱砂(半两,细研,水飞)、蚕蛾、干蝎(均微炒)、天麻、白附子(炮裂)、牛黄、脑麝(均细研,各一分)、羌活(各一分)。
将上述药材捣碎,过筛成散剂,全部研磨均匀,用炼蜜和丸,制成如绿豆大小的药丸。每次用薄荷汤化开三丸服用,每日三至四次。根据患儿年龄大小,酌情增减剂量。
《婴孺书》治疗婴幼儿风挛,双脚疼痛,镇心安神止惊的石斛酒方。
药材包括:石斛(二分)、牛黄、蜀椒(出汗)、白术、细辛(各四分)、秦艽、紫石英、当归、干姜(各八分)、防风、杜仲、桂心、人参、黄芪、甘草(炮制,各六分)、独活(七分)、附子(炮制)、地黄、防己(各五分,另一版本有白鲜皮六分,无防己)、麦门冬(七分,去心)。
将以上二十味药装入绢袋,用清酒五升半浸泡,用泥封住器口。春夏季浸泡五日,秋冬季浸泡十日。初次服用半合为起始量,每日三次;逐渐增加剂量,以见效为度。
张涣的独活黄芪汤,治疗小儿中风拘挛。
药材包括:独活、绵黄芪、酸枣仁(各一两)、羚羊角(镑屑)、桑根白皮(锉碎)、肉桂、麻黄(去根节,称量)、川芎(各半两)。
将上述药材全部捣碎,过筛成细粉。每次服用一大钱,用水一盏,加入生姜、薄荷各三片,煎至五分,去渣,放温后服用。
《刘氏家传》治疗大人、小儿因惊风或寒湿导致的手足不能抬起,筋骨不适,经络各种疾病。
药材包括:延胡索(去皮)、当归、官桂(去粗皮,避免直接火烤)。
以上药材等分,研成细末。成人每次服用二钱,小儿每次服用一钱,用温酒调服,空腹及睡前服用,每日三次。
Zhang Huan's Baiyu Dan (White Jade Pill) is used to treat phlegm-turbidity flooding in pediatric wind-stroke.
Ingredients: Tienanxing (Arisaema Rhizoma), Banxia (Pinellia Rhizoma) (both raw), Baijiangcan (Bombyx Batryticatus), Guixin (Cinnamon Twig), Shichangpu (Acori Tatarinowii Rhizoma) (select those one cun long with nine nodes, each 1 liang).
Crush the above ingredients and sieve them into fine powder. Then prepare: Nifen (Calomel), Longnao (Borneolum Syntheticum) (both finely ground, each 1 fen).
Mix all ingredients evenly, use fresh ginger juice to bind them into pills the size of millet seeds. Administer ten pills per dose, taken down with a decoction of Renshen (Ginseng Radix et Rhizoma).
Zhang Huan's Yujin Dan (Curcuma Pill) is used to treat pediatric wind-stroke with excessive phlegm during attacks.
Ingredients: Yujin (Curcumae Radix) (ground into powder), Xieshao (Scorpio tail), Jiegeng (Platycodon Radix), Tienanxing (Arisaema Rhizoma) (lightly stir-fried, each 0.5 liang).
Crush the above ingredients and sieve them into fine powder. Then prepare: Badou (Crotonis Fructus) (five seeds, soaked overnight in urine of an uncircumcised boy, peel removed, heart and membrane removed, oil expressed out, then ground into paste), Nifen (Calomel) (1 qian, ground).
Grind all ingredients uniformly, add water dropwise to form pills the size of millet seeds. Administer five pills per dose, taken down with a decoction of Jingjie (Perillae Folium). Adjust dosage according to the child's age and size.
Tianma Fangfeng Wan (Gastrodia and Saposhnikovia Pill) from Zhu Family Transmission is used to treat pediatric wind-phlegm obstruction, excess phlegm, wind-stroke, epilepsy, muscle tension and spasm, mental dullness and obstruction, occasional screaming, and restless sleep.
Ingredients: Tianma (Gastrodiae Rhizoma) (roasted), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix et Rhizoma) (each 1 liang), Ganxie (Dry Scorpio) (whole, stir-fried), Baijiangcan (Bombyx Batryticatus) (each 0.5 liang), Gancao (Licorice Root) (roasted), Zhusha (Cinnabar) (ground), Xionghuang (Realgar) (ground, each 1 fen), Niuhuang (Calculus Bovis) (1 qian, ground), Shexiang (Moschus) (1 fen, ground).
Grind the above ten herbs into powder, refine honey to make pills the size of cherries. Dissolve one pill in Bohe Tang (Mint Decoction) for administration; reduce dose for smaller children. Take at any time.
From "Chao Shi Bing Yuan" (Source of Diseases in Chao's Work): Syndrome of Pediatric Wind-Stroke with Limb Spasm: Muscle tissue is fragile and easily injured by wind. Cold-wind invades the skin and interstices, enters the meridians, and clashes with the sinews and vessels. When the sinews and vessels are affected, they become tense, causing limb spasm.
Erwu Shigao Tang (Two-Ingredient Gypsum Decoction) from "Qianjin Fang" (Essential Prescriptions Worth a Thousand Gold) treats infantile wind-stroke with limb stiffness.
Ingredients: Shigao (Gypsum Fibrosum) (one piece the size of a chicken egg, quenched in water), Zhenzhu (Margarita) (1 liang).
Add two sheng of water, boil Shigao for five or six boils; add Zhenzhu, boil until one sheng remains. Divide into small doses for administration.
Duhuo San (Angelica Pubescens Powder) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb spasm, mental restlessness, and insomnia.
Ingredients: Duhuo (Angelicae Pubescentis Radix), Huangqi (Astragali Radix) (cut), Fushen (Poria with Hostwood), Suanzaoren (Ziziphi Spinosae Semen) (each 1 liang), Fangfeng (Saposhnikoviae Radix) (remove radicle), Baixianpi (Dictamni Cortex), Lingyangjiao (Saiga Tataricae Cornu) (shavings, each 3 fen), Guixin (Cinnamon Twig), Gancao (Licorice Root) (roasted to slightly red, each 0.5 liang).
Crush the above herbs, sieve finely into powder. Administer 1 qian per dose, decoct with one small cup of water until reduced to one-third, remove dregs. Adjust dosage according to the child's age and size.
Sanggengbaipi San (Mulberry Root Bark Powder) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb tendon and vessel spasm.
Ingredients: Sanggenbaipi (Mori Cortex), Baijiangcao (Patriniae Herba), Mutong (Akebiae Caulis) (cut, each 1 liang), Lingyangjiao (Saiga Tataricae Cornu) (shavings), Lulü (Euphorbiae Humifusae Herba), Fushen (Poria with Hostwood), Xiongqiong (Ligustici Chuanxiong Rhizoma) (each 3 fen).
Crush the above herbs, sieve coarsely into powder. Administer 1 qian per dose, decoct with one small cup of water until reduced to half, remove dregs; add Banxia (Pinellia Rhizoma) juice (half he) [Note: Original text says Shengdihuang汁 (Fresh Rehmannia Juice), correcting based on context "Shengdihuang汁"], boil for one or two more boils. Adjust dosage according to the child's age and size.
Qianghuo San (Notopterygii Rhizomatis et Radicis Powder) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb spasm and intermittent pain.
Ingredients: Qianghuo (Notopterygii Rhizomatis et Radicis), Xiongqiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix) (remove radicle), Tianma (Gastrodiae Rhizoma), Danggui (Angelicae Sinensis Radix) (cut, lightly stir-fried), Gancao (Licorice Root) (roasted to slightly red, cut, each 3 fen), Mahuang (Ephedrae Herba) (0.5 liang, remove root joints), Baifuzi (Typhonii Rhizoma) (1 fen, processed until cracked).
Crush the above herbs, sieve finely into powder. Mix half a qian with Bohe Jiu (Mint Wine) for administration, three to four times daily. Adjust dosage according to the child's age and size.
Yizi San (One-Character Powder) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb tendon and vessel spasm.
Ingredients: Chanqiao (Cicadae Periostracum), Ganxie (Dry Scorpio), Baijiangcan (Bombyx Batryticatus) (all lightly stir-fried), Banxia (Pinellia Rhizoma) (powder, mixed with ginger juice, stir-fried until yellow), Nanxing (Arisaema Rhizoma) (processed until cracked, each 1 fen), Zhusha (Cinnabar) (0.5 liang, finely ground, washed with water).
Crush the above herbs, sieve into powder. Administer "one character" amount (approx. 0.5-1g) mixed with Jingjie Bohe Tang (Perilla and Mint Decoction). Adjust dosage according to the child's age and size, three to four times daily, effective.
Niuhuang Wan (Calculus Bovis Pill) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb spasm, body rigidity, locked jaw, and high fever.
Ingredients: Niuhuang (Calculus Bovis), Lingyangjiao (Saiga Tataricae Cornu) (shavings), Huhuanglian (Coptidis Rhizoma - Note: Text says Huhuanglian, likely Coptis or similar bitter cold herb, WHO term usually Coptidis Rhizoma but here specifically Hu Huanglian which might be a variant or error for Huanglian, sticking to text: Huhuanglian), Gouteng (Uncariae Ramulus cum Uncis), Ganxie (Dry Scorpio) (lightly stir-fried), Xijiaoxie (Rhinocerotis Cornu - Note: Modern substitute often used, but text specifies Rhinoceros Horn), Shexiang (Moschus), Zhusha (Cinnabar), Xionghuang (Realgar), Tianzhuhuang (Calamus Phyllostachydis Bamboo Manna) (all finely ground), Shuiyin (Hydrargyrum) (grind with a little jujube flesh until mercury stars disappear, each 1 fen), Wushe (Deinagkistrodon Acutus) (0.5 liang, soaked in wine, skin and bones removed, roasted until slightly yellow).
Crush the above herbs, sieve into powder, mix with the ground ingredients evenly, bind with steamed bread dough to form pills the size of yellow millet seeds. Administer five pills per dose with Bohe Tang (Mint Decoction), inducing immediate sweating. Adjust dosage according to the child's age and size.
Zhusha Wan (Cinnabar Pill) from "Shenghui Fang" (Holy Wisdom Formulas) treats pediatric wind-stroke with limb spasm and mental heat/restlessness.
Ingredients: Zhusha (Cinnabar) (0.5 liang, finely ground, washed with water), Can'e (Bombyx Mori Larva), Ganxie (Dry Scorpio) (both lightly stir-fried), Tianma (Gastrodiae Rhizoma), Baifuzi (Typhonii Rhizoma) (processed until cracked), Niuhuang (Calculus Bovis), Naoshe (Borneolum and Moschus) (both finely ground, each 1 fen), Qianghuo (Notopterygii Rhizomatis et Radicis) (each 1 fen).
Crush the above herbs, sieve into powder, grind all evenly, bind with refined honey to form pills the size of mung beans. Grind three pills in Bohe Tang (Mint Decoction) for administration, three to four times daily. Adjust dosage according to the child's age and size.
Shihu Jiu (Dendrobium Wine) from "Ying Ru Shu" (Book for Infants and Toddlers) treats infantile wind-spasm, foot pain, calming the heart and stopping fright.
Ingredients: Shihu (Dendrobii Caulis) (2 fen), Niuhuang (Calculus Bovis), Shujiao (Zanthoxyli Pericarpium) (sweated), Baizhu (Atractylodis Macrocephalae Rhizoma), Xixin (Asari Radix et Rhizoma) (each 4 fen), Qinjiao (Gentianae Macrophyllae Radix), Zhiyingshi (Fluorite), Danggui (Angelicae Sinensis Radix), Jiangjiang (Zingiberis Rhizoma Recens) (each 8 fen), Fangfeng (Saposhnikoviae Radix), Duzhong (Eucommiae Cortex), Guixin (Cinnamon Twig), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Gancao (Licorice Root) (processed, each 6 fen), Duhuo (Angelicae Pubescentis Radix) (7 fen), Fuzi (Aconiti Lateralis Radix Praeparata) (processed), Dihuang (Rehmanniae Radix), Fangji (Stephaniae Tetrandrae Radix) (each 5 fen; another version has Baixianpi 6 fen, no Fangji), Maidong (Ophiopogonis Radix) (7 fen, remove heart).
Place the above twenty herbs in a silk bag, soak in 5.5 sheng of clear wine, seal the vessel mouth with mud. Soak for five days in spring/summer, ten days in autumn/winter. Start with half he per dose, three times daily; gradually increase until therapeutic effect is achieved.
Zhang Huan's Duhuo Huangqi Tang (Angelica Pubescens and Astragalus Decoction) treats pediatric wind-stroke with spasm.
Ingredients: Duhuo (Angelicae Pubescentis Radix), Mian Huangqi (Astragali Radix), Suanzaoren (Ziziphi Spinosae Semen) (each 1 liang), Lingyangjiao (Saiga Tataricae Cornu) (shavings), Sanggenbaipi (Mori Cortex) (cut), Rougui (Cinnamon Bark), Mahuang (Ephedrae Herba) (remove root joints, weighed), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang).
Crush all ingredients, sieve into fine powder. Administer one large qian per dose, with one cup of water, add three slices of Shengjiang (Zingiberis Rhizoma Recens) and Bohe (Menthae Haplocalycis Herba), decoct until reduced to half, remove dregs, take warm.
"Liu Family Transmission" treats adults and children suffering from inability to lift limbs due to wind-strike or cold-dampness, discomfort in tendons and bones, and various meridian diseases.
Ingredients: Yanhusuo (Corydalis Rhizoma) (peeled), Danggui (Angelicae Sinensis Radix), Guanzi Gui (Cinnamomi Cortex) (remove coarse bark, avoid direct fire).
Equal parts, grind into fine powder. Adults take 2 qian per dose, children take 1 qian per dose, taken down with warm wine, on an empty stomach and before bed, three times daily.