搐后成瘫痪者。左氏谓风淫末疾是也。肝主筋。肝热则筋弛而长。长则软弱。手足伸而
屈矣。肝寒则筋缩而短。短则拘挛。手足屈而不能伸矣。并宜六味地黄丸主之。拘挛者。加
附子肉桂。软弱者。加黄柏知母当归牛膝续断蜜丸服之。
惊风后喑不能言。宜六味地黄丸。加巴戟远志石菖蒲。
本县一尹吴。子生四个月。病惊风。搐过则昏迷不醒。发搐则醒。眼邪视。右手搐搦。
请予。予曰。此真搐不可治。乃辞退。
心主惊。实则叫哭发热饮食而搐。虚则困卧。悸动不安。
实则导赤散泻心汤。虚则二安神丸服之。
导赤散 治心热。及小便赤夜啼。
生地黄 木通 甘草梢（炙） 各等分锉。加竹叶。水煎。食前服。加黄芩名火府散。
泻心汤 治惊热神效。
黄连（去须一钱） 为细末。每服一字至五分。临卧温水调服。
钱氏安神丸 治邪热惊啼。心疳面黄。颊赤壮热。
麦门冬 马牙硝 白茯苓 山药 寒水石（ 飞） 甘草（各五钱） 朱砂（一两飞） 脑子
（一字） 上为末。蜜丸芡实大。每半丸。砂糖水化下。无时。
东垣安神丸 经云。热淫所胜。治以甘寒。以苦泻之。以黄连之苦寒去心烦除湿热为君
甘草生地黄之甘寒泻火补气滋生阴血为臣。以当归身补其血之不足。朱砂约浮游之火。以安
甘草（五钱半） 黄连（六钱酒炒） 当归身（二钱半） 生地黄（一钱半） 朱砂（五钱水飞
为末） 上为末。蒸饼丸。黍米大。朱砂为衣。每服十丸至三十丸。温水送下。
抽搐之后出现瘫痪症状的，正如左丘明所说“风邪侵袭四肢末端会导致疾病”，这是肝经受邪的表现。肝主管筋脉，肝热则筋脉松弛而伸长，伸长则肢体软弱无力，导致手足伸展而不能屈曲；肝寒则筋脉收缩而缩短，缩短则拘急挛缩，导致手足屈曲而不能伸展。这种情况都适宜用六味地黄丸作为主方治疗。对于拘挛者，加入附子、肉桂；对于软弱者，加入黄柏、知母、当归、牛膝、续断，制成蜜丸服用。
惊风发作后出现失音不能说话的，适宜用六味地黄丸，加入巴戟天、远志、石菖蒲。
本县有一位姓吴的县尹，他的儿子出生四个月大时，患惊风病。抽搐过后昏迷不醒，每次发作抽搐时才醒来，眼睛斜视，右手抽搐痉挛。请我诊治，我说这是真搐（危重之证），无法治愈，于是辞别离开。
心主司惊恐。心经实证表现为叫喊哭泣、发热、饮食异常并伴有抽搐；心经虚证表现为困倦嗜卧、心悸悸动、不安宁。
实证使用导赤散和泻心汤治疗；虚证服用二安神丸（此处指钱氏安神丸或东垣安神丸，依上下文语境通常指代安神类方剂，原文未明确区分二者主治虚实的具体对应，但前文列出了两方，结合后文方解，导赤散/泻心汤多清实热，安神丸多治虚热或邪热惊啼，此处按原文逻辑翻译）。
导赤散：治疗心经有热，以及小便色赤、夜间啼哭。
组成：生地黄、木通、甘草梢（炙），各等分锉碎。加入竹叶，用水煎煮，饭前服用。若加入黄芩，则称为火府散。
泻心汤：治疗惊热，疗效显著。
组成：黄连（去须，一钱），研为细末。每次服用一字至五分，临睡前用温水调服。
钱氏安神丸：治疗邪热引起的惊啼，心疳症见面色萎黄、脸颊红赤、壮热。
组成：麦门冬、马牙硝、白茯苓、山药、寒水石（飞研）、甘草（各五钱），朱砂（一两，飞研），脑子（一字）。以上药物研为细末，用蜂蜜制成如芡实大小的蜜丸。每次服用半丸，用砂糖水化开送下，不拘时候。
东垣安神丸：《内经》云：“热淫所胜，治以甘寒，以苦泻之。”以黄连的苦寒之性去除心烦、清除湿热，作为君药；以甘草、生地黄的甘寒之性泻火补气、滋生阴血，作为臣药；以当归身补益血液的不足；以朱砂制约浮游之火，以安定心神。（注：原文此处方剂组成描述略有混杂，通常东垣安神丸即指此配伍思路，具体剂量如下）
组成：甘草（五钱半），黄连（六钱，酒炒），当归身（二钱半），生地黄（一钱半），朱砂（五钱，水飞为末）。以上药物研为细末，用蒸饼糊制成如黍米大小的丸剂，以朱砂为衣。每次服用十丸至三十丸，温水送下。
After convulsions, paralysis may develop. As Zuo Qiuming stated, "Wind pathogen invading the extremities leads to disease," which pertains to the Liver channel. The Liver governs the sinews (tendons). When Liver heat is present, the sinews become relaxed and elongated; elongation results in weakness, causing the hands and feet to extend but not flex. When Liver cold is present, the sinews contract and shorten; shortening results in spasticity, causing the hands and feet to flex but not extend. In both cases, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) should be used as the primary formula. For those with spasticity, add Fuzi (Aconite Lateral Root) and Rougui (Cinnamon Bark); for those with weakness, add Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome), Danggui (Angelica Sinensis), Niuxi (Achyranthes Root), and Xuduan (Dipsacus Root), processed into honeyed pills for administration.
Following an attack of infantile convulsion, if aphonia (loss of voice) occurs, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) should be used, added with Bajitian (Morinda Officinalis), Yuanzhi (Polygala Root), and Shichangpu (Acorus Tatarinowii Rhizome).
In my county, a magistrate surnamed Wu had a son who was four months old. He suffered from infantile convulsion. After the convulsions ceased, he fell into a coma and did not wake up; he only woke when convulsions recurred. His eyes deviated laterally, and his right hand twitched and spasmed. I was invited to treat him, but I said, "This is true convulsion (a critical condition), which is incurable," and thus declined the request.
The Heart governs fright. Excess patterns manifest as crying, screaming, fever, abnormal eating habits, and convulsions; deficiency patterns manifest as lethargy, drowsiness, palpitations, and restlessness.
Excess patterns are treated with Daochi San (Guiding Out Red Powder) and Xiexin Tang (Drain the Heart Decoction); deficiency patterns are treated with Anshen Wan (Calming the Spirit Pill).
Daochi San (Guiding Out Red Powder): Treats Heart heat, as well as reddish urine and night crying.
Ingredients: Shengdihuang (Rehmanniae Radix), Mutong (Akebiae Caulis), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip), each in equal parts, crushed. Add Zhuye (Bambusae Folium), decoct in water, and take before meals. If Huangqin (Scutellariae Radix) is added, it is called Huofu San (Fire Mansion Powder).
Xiexin Tang (Drain the Heart Decoction): Highly effective for treating fright-heat.
Ingredients: Huanglian (Coptidis Rhizoma) (remove stamens, 1 qian), ground into fine powder. Take one zi to 5 fen per dose, mixed with warm water before bedtime.
Qian's Anshen Wan (Calming the Spirit Pill by Qian Yi): Treats fright-crying caused by evil heat, Xin Gan (Heart Gi) presenting with sallow complexion, red cheeks, and high fever.
Ingredients: Maimendong (Ophiopogonis Radix), Mayatiao (Natrii Sulfas), Baifuling (Poria), Shanyao (Dioscoreae Rhizoma), Hanshuishi (Calcitum) (prepared), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 qian), Zhusha (Cinnabar) (1 liang, prepared), Naozi (Borneolum Syntheticum) (1 zi). Grind all ingredients into powder, mix with honey to form pills the size of Euryale Seed (Qianshi). Take half a pill at a time, dissolved in sugar water, at any time.
Dongyuan's Anshen Wan (Calming the Spirit Pill by Li Dongyuan): The Classic states, "When heat dominates excessively, treat with sweet-cold herbs, drain with bitter herbs." Use the bitter-cold nature of Huanglian (Coptidis Rhizoma) to remove mental restlessness and damp-heat as the Sovereign herb; use the sweet-cold nature of Gancao (Glycyrrhizae Radix et Rhizoma) and Shengdihuang (Rehmanniae Radix) to drain fire, tonify Qi, and generate Yin blood as the Minister herbs; use Danggui Shen (Angelica Sinensis Root body) to supplement blood deficiency; use Zhusha (Cinnabar) to restrain floating fire and calm the Spirit.
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma) (5.5 qian), Huanglian (Coptidis Rhizoma) (6 qian, wine-fried), Danggui Shen (Angelica Sinensis Root body) (2.5 qian), Shengdihuang (Rehmanniae Radix) (1.5 qian), Zhusha (Cinnabar) (5 qian, water-prepared into powder). Grind all ingredients into powder, bind with steamed bread paste to form pills the size of Millet seeds, coat with Cinnabar. Take 10 to 30 pills per dose, washed down with warm water.