《巢氏病源》小儿发痫瘥后身体头面悉肿满候∶凡痫发之状，或口眼相引，或目睛上摇，或手足掣 ，或背
脊强直，或头项反折，或屈指如数，皆由以儿当风取凉，乳哺失节之所为也。其痫瘥后而肿满者，是风痫。因
小儿浓衣汗出，因风取凉而得之。初发之状，屈指如数，然后掣 是也。其痫虽瘥，气血尚虚而热未尽，在皮
肤与气相搏，致令气不宣泄，故停并成肿也。
《集效方》治小儿痫瘥后，气血尚虚，而热在皮肤与气相搏，遍身头面皆肿，宜服黄芩汤方
黄芩 泽泻 通草（太通也。各八分） 木猪苓（去皮柴） 杏仁（汤浸，去皮尖。各六分） 柴胡 桑白皮（各
七分） 泽漆叶（四分）
上为粗末，每服抄三钱，水盏半，煎至五分，去滓。量大小，乳食后放温服。
《集效》又方
龙胆 葵子 葳蕤 茯苓 前胡（各一分）
上五味为粗末。每服方寸匕，水一大盏煎至五分，小儿乳食后服一合。
《巢氏病源》小儿发痫瘥后六七岁不能语候∶凡痫发之状，口眼相引，或目睛上摇，或手足螈 ，或脊背
强直，或颈项反折，屈指如数。皆由以儿当风取凉，乳哺失节之所为也。而痫发瘥后不能语者，是风痫。因儿
衣浓汗出，以儿乘风取凉太过，为风所伤得之。其初发之状，屈指如数，然后发螈 是也。心之声为言，开窍
于口。其痫发虽止，风冷之气犹滞心之络脉，使心气不和。其声不发，故不能言也。
《集效方》治小儿痫瘥后，风冷留滞于心络，使心气不和语声不发，宜《千金》大补心汤方。
黄芩 附子（炮，去皮脐。各一两） 甘草 茯苓 桂心 石膏 半夏 远志（去心。各四两） 生姜（六两） 大
枣（二十枚） 饴糖（一斤） 干地黄 阿胶 麦门冬（去心。各三两）
上十四味 咀。每服一大撮，入前饴糖半匙许，水一盏半，煮至半盏。量儿大小分减，空心乳食前服，日二。
《巢氏病源》中关于小儿癫痫发作后身体头面部全面肿胀的证候：凡是癫痫发作时的症状，有的口眼歪斜牵引，有的眼球上翻摇动，有的手足抽搐掣动，有的脊背强直，有的头颈向后反折，有的手指屈伸如同数数。这些症状都是由让小儿对着风取凉、哺乳喂养没有节制所导致的。那些癫痫发作停止后出现肿胀的，属于风痫。这是因为小儿穿着厚衣服出汗后，乘风取凉而患上的。刚发病时的症状，是先手指屈伸如同数数，然后才发生抽搐掣动。虽然癫痫已经停止，但气血仍然虚弱且余热未清，邪气在皮肤与正气相互搏结，导致气机不能宣通发散，所以停滞并形成了肿胀。
《集效方》治疗小儿癫痫发作后，气血尚且虚弱，热邪在皮肤与正气相搏结，导致全身及头面部都肿胀，适宜服用黄芩汤方：
黄芩、泽泻、通草（即太通草，各八分）、木猪苓（去掉皮和木质部分）、杏仁（用热水浸泡，去掉皮和尖，各六分）、柴胡、桑白皮（各七分）、泽漆叶（四分）。
以上药物捣成粗末，每次取三钱，加水一盏半，煎煮至五分量，滤去药渣。根据患儿年龄大小，在喝奶或吃饭后放温服用。
《集效方》中的另一个方子：
龙胆、葵子、葳蕤、茯苓、前胡（各一分）。
以上五味药捣成粗末。每次取一方寸匕的量，加水一大盏，煎煮至五分量，小儿在喝奶或吃饭后服用一合。
《巢氏病源》中关于小儿癫痫发作后六七岁仍不能说话的证候：凡是癫痫发作时的症状，口眼歪斜牵引，或眼球上翻摇动，或手足抽搐掣动，或脊背强直，或颈项向后反折，手指屈伸如同数数。这些都是由让小儿对着风取凉、哺乳喂养没有节制所导致的。而癫痫发作停止后不能说话的，属于风痫。因为小儿穿着厚衣服出汗后，乘凉太过，被风邪伤害所致。其初发时的症状，是先手指屈伸如同数数，然后才发生抽搐掣动。心发出的声音是言语，开窍于口。癫痫发作虽然停止了，但风冷之气仍然滞留于心之络脉，使心气不和。因此声音发不出来，所以不能说话。
《集效方》治疗小儿癫痫发作后，风冷留滞在心之络脉，使心气不和、语声发不出，适宜使用《千金方》中的大补心汤方：
黄芩、附子（炮制，去掉皮和脐，各一两）、甘草、茯苓、桂心、石膏、半夏、远志（去掉心，各四两）、生姜（六两）、大枣（二十枚）、饴糖（一斤）、干地黄、阿胶、麦门冬（去掉心，各三两）。
以上十四味药切碎。每次取一大撮，加入先前准备的饴糖约半匙，加水一盏半，煮至半盏量。根据患儿年龄大小酌情减量，空腹、喝奶或吃饭前服用，每日两次。
According to *Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang), regarding the condition of generalized swelling of the body, head, and face after a child's epilepsy subsides: The manifestations of an epileptic seizure include deviation or traction of the mouth and eyes, upward rolling of the eyeballs, twitching and jerking of the hands and feet, rigidity of the back, retroflexion of the head and neck, and flexion and extension of fingers resembling counting. These conditions are caused by exposing children to wind for cooling and irregular breastfeeding or feeding. When swelling occurs after the subsidence of epilepsy, it is classified as Wind Epilepsy (Feng Xian). This arises because children, sweating in thick clothing, expose themselves to wind for cooling. The initial manifestation involves finger movements resembling counting, followed by twitching and jerking. Although the epilepsy has subsided, Qi and Blood remain deficient, and residual heat persists. Pathogenic factors contend with healthy Qi in the skin, preventing the free dissemination of Qi, leading to stagnation and subsequent swelling.
*Ji Xiao Fang* (Formulas for Effective Collection) treats children whose Qi and Blood are still deficient after epilepsy subsides, with heat contending with Qi in the skin, causing generalized swelling of the entire body, head, and face. It is appropriate to administer Huang Qin Tang (Scutellaria Decoction):
Huang Qin (Scutellariae Radix), Ze Xie (Alismatis Rhizoma), Tong Cao (Tetrapanacis Medulla, also known as Tai Tong), Mu Zhu Ling (Polypori Umbellati Sclerotium, peeled and woody parts removed), Xing Ren (Armeniacae Semen Amarum, soaked in hot water, peeled and tips removed), each 8 fen; Chai Hu (Bupleuri Radix), Sang Bai Pi (Mori Cortex), each 7 fen; Ze Qi Ye (Euphorbiae Pekinensis Folium), 4 fen.
Grind these into coarse powder. For each dose, take 3 qian, add 1.5 cups of water, decoct until 0.5 cup remains, and strain. Administer warm after milk or food intake, adjusting the dose according to the child's age.
Another formula from *Ji Xiao*:
Long Dan (Gentianae Radix), Kui Zi (Abutilonis Semen), Wei Rui (Polygonati Odorati Rhizoma), Fu Ling (Poria), Qian Hu (Peucedani Radix), each 1 fen.
Grind these five herbs into coarse powder. For each dose, take one fang cun bi (a square-inch measure), add 1 large cup of water, decoct until 0.5 cup remains. Children should take 1 he after milk or food intake.
According to *Chao Shi Bing Yuan*, regarding the condition where a child aged six or seven cannot speak after epilepsy subsides: The manifestations of an epileptic seizure include deviation or traction of the mouth and eyes, upward rolling of the eyeballs, twitching and jerking of the hands and feet, rigidity of the back, retroflexion of the neck, and finger movements resembling counting. These are caused by exposing children to wind for cooling and irregular feeding. Inability to speak after the subsidence of epilepsy is classified as Wind Epilepsy. This results from excessive exposure to coolness while sweating in thick clothing, leading to injury by Wind pathogens. The initial manifestation involves finger movements resembling counting, followed by twitching and jerking. The Heart produces speech and opens into the mouth. Although the seizure has ceased, Wind-Cold Qi remains stagnant in the collaterals of the Heart, causing Disharmony of Heart Qi. Consequently, sound cannot be produced, resulting in aphasia.
*Ji Xiao Fang* treats children whose Wind-Cold remains stagnant in the Heart collaterals after epilepsy subsides, causing Disharmony of Heart Qi and inability to produce speech. It is appropriate to use Da Bu Xin Tang (Great Tonifying Heart Decoction) from *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold):
Huang Qin (Scutellariae Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peeled and navel removed), each 1 liang; Gan Cao (Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), Gui Xin (Cinnamomi Ramulus), Shi Gao (Gypsum Fibrosum), Ban Xia (Pinelliae Rhizoma), Yuan Zhi (Polygalae Radix, heart removed), each 4 liang; Sheng Jiang (Zingiberis Rhizoma Recens), 6 liang; Da Zao (Jujubae Fructus), 20 pieces; Yi Tang (Maltose), 1 jin; Gan Di Huang (Rehmanniae Radix Preparata), E Jiao (Colla Corii Asini), Mai Men Dong (Ophiopogonis Radix, heart removed), each 3 liang.
Chop these fourteen ingredients. For each dose, take a large handful, add half a spoonful of the prepared Yi Tang, add 1.5 cups of water, and decoct until 0.5 cup remains. Adjust the dose according to the child's age. Administer on an empty stomach before milk or food intake, twice daily.