食痫食过积中脘，一时痰热使之然，面黄腹满吐利臭，妙圣滚痰和胃安。
【注】食痫者，其病在脾。因小儿乳食过度，停结中脘，乘一时痰热壅盛，遂致成痫。
其初面黄腹满，吐利酸臭，后变时时发搐。宜用妙圣丹主之，痰盛者朱衣滚痰丸主之，后
用清热和胃丸理，则积滞清而惊痫定矣。
妙圣丹
雄黄 蝎梢 朱砂 代赭石（ ，醋淬，各二钱） 巴豆（去油，三个） 杏仁（炒去皮尖，二钱）
共为细末，蒸枣肉丸如桐子大，每服三、五丸，木香煎汤化服。
朱衣滚痰丸（方见痰痫）
清热和胃丸
川连（生，五钱） 栀子（生，五钱） 竹茹（四钱） 麦冬（去心，五钱） 连翘（去心，四
钱） 山楂（一两） 神曲（炒，一两） 麦芽（炒，一两） 陈皮（四钱） 枳实（麸炒，五钱） 大黄（五钱） 甘
草（生，三钱）
共为细末，炼蜜为丸，每丸重一钱，量儿与之，用滚白水化下。
风痫汗出风袭经，二目青黯面淡红，十指屈伸如数物，化风羌活牛黄宁。
【注】风痫因汗出脱衣，腠理开张，风邪乘隙而入。发时目青面红，手如数物，治法
先宜疏风解表，轻则化风丹主之；重则羌活桂枝汤主之。风兼痰者，牛黄丸主之。
化风丹
胆星（二钱） 羌活 独活 天麻 防风 甘草（生） 荆芥穗 人参 川芎（各一钱）
共为细末，炼蜜丸皂子大，每服一丸，薄荷汤化开服。
羌活桂枝汤
羌活 防风 麻黄 桂枝 天麻 大黄 甘草（生）
引用生、姜，水煎服。
【方歌】羌活桂枝治风痫，疏风泻热妙难言，羌防麻桂天麻草，大黄煎服自然安。
牛黄丸
胆星 全蝎（去毒） 蝉蜕（各二钱半） 防风 牛黄 白附子（生） 僵蚕（炒） 天麻（各一钱
五分） 麝香（五分）
上为细末，煮枣去核皮，取肉和丸，如绿豆大，每服三、五丸，生姜汤化服。
食痫是由于饮食过量，导致食物停滞在中脘部位，一时之间痰热壅盛而引发此病。患儿面色发黄，腹部胀满，呕吐和腹泻物气味臭秽，治疗宜用妙圣丹配合滚痰丸以调和胃气、安神定惊。
【注】食痫的病位主要在脾。因为小儿乳食过度，导致食物停结在中脘，乘着此时痰热壅盛的时机，从而形成痫证。初期表现为面色发黄、腹部胀满，呕吐和腹泻带有酸臭味，随后转变为时时发作的抽搐。适宜使用妙圣丹作为主方，若痰盛者则使用朱衣滚痰丸作为主方，之后再用清热和胃丸进行调理，这样积滞清除，惊痫即可平息。
妙圣丹
雄黄、蝎梢、朱砂、代赭石（用醋淬炼，各二钱）、巴豆（去油，三个）、杏仁（炒制后去皮尖，二钱）
共研为细末，用蒸熟的枣肉制成如梧桐子大小的丸剂，每次服用三至五丸，用木香煎汤送服化开。
朱衣滚痰丸（方剂见“痰痫”章节）
清热和胃丸
川连（生用，五钱）、栀子（生用，五钱）、竹茹（四钱）、麦冬（去心，五钱）、连翘（去心，四钱）、山楂（一两）、神曲（炒制，一两）、麦芽（炒制，一两）、陈皮（四钱）、枳实（麸炒，五钱）、大黄（五钱）、甘草（生用，三钱）
共研为细末，用炼蜜制成丸剂，每丸重一钱，根据患儿情况给予剂量，用滚开的白开水化开服下。
风痫是因出汗后脱衣，导致腠理开张，风邪乘虚而入所致。发病时双目青黯、面色淡红，十指屈伸如同在数东西，治疗宜用化风丹配合羌活牛黄丸以平息风邪、宁心安神。
【注】风痫是因为出汗后脱去衣物，腠理张开，风邪趁机侵入。发作时眼睛发青、面色发红，手部动作如同在数数，治疗方法先宜疏风解表，病情轻者用化风丹为主方；病情重者用羌活桂枝汤为主方。若风邪兼夹痰浊者，用牛黄丸为主方。
化风丹
胆星（二钱）、羌活、独活、天麻、防风、甘草（生用）、荆芥穗、人参、川芎（各一钱）
共研为细末，用炼蜜制成如皂角子大小的丸剂，每次服用一丸，用薄荷汤送服化开。
羌活桂枝汤
羌活、防风、麻黄、桂枝、天麻、大黄、甘草（生用）
引用生姜，用水煎煮后服用。
【方歌】羌活桂枝汤治疗风痫，疏风泻热的功效难以言尽，方中包括羌活、防风、麻黄、桂枝、天麻、甘草，用大黄煎服自然安宁。
牛黄丸
胆星、全蝎（去毒）、蝉蜕（各二钱半）、防风、牛黄、白附子（生用）、僵蚕（炒制）、天麻（各一钱五分）、麝香（五分）
以上药材研为细末，煮枣去除核和皮，取枣肉和药粉制成如绿豆大小的丸剂，每次服用三至五丸，用生姜汤送服化开。
Food-stagnation epilepsy (Shi Xian) arises from excessive food intake causing accumulation in the Zhongwan (CV12, Middle Jiao), where phlegm-heat suddenly becomes abundant, leading to this condition. The patient presents with a sallow complexion, abdominal distension, and foul-smelling vomiting and diarrhea. Treatment should employ Miaosheng Dan (Miraculous Sage Pill) combined with Guntan Wan (Rolling Phlegm Pill) to harmonize the Stomach and calm the mind.
[Note] Food-stagnation epilepsy is located in the Spleen. It occurs because children consume excessive milk and food, causing stagnation in the Zhongwan (CV12, Middle Jiao). Riding on the surge of abundant phlegm-heat, epilepsy forms. Initially, there is a sallow complexion, abdominal distension, and sour, foul-smelling vomiting and diarrhea, which later transform into frequent convulsions. It is appropriate to use Miaosheng Dan (Miraculous Sage Pill) as the primary formula; if phlegm is abundant, Zhu Yi Gun Tan Wan (Cinnabar-Coated Rolling Phlegm Pill) should be used as the primary formula. Subsequently, Qing Re He Wei Wan (Clear Heat and Harmonize Stomach Pill) should be used for regulation. Thus, the stagnation will clear, and the convulsive epilepsy will subside.
Miaosheng Dan (Miraculous Sage Pill)
Xionghuang (Realgar), Xieshao (Scorpion Tail Tip), Zhusha (Cinnabar), Daizheshi (Haematitum, calcined with vinegar, each 2 qian), Badou (Croton Seed, oil removed, 3 pieces), Xingren (Apricot Kernel, stir-fried, skin and tip removed, 2 qian).
Grind all into fine powder. Form pills using steamed jujube pulp, sized like tung tree seeds. Take 3–5 pills per dose, dissolved and taken with Mugher Decoction (Costus Root Decoction).
Zhu Yi Gun Tan Wan (Cinnabar-Coated Rolling Phlegm Pill) (See "Phlegm Epilepsy" chapter for formula)
Qing Re He Wei Wan (Clear Heat and Harmonize Stomach Pill)
Chuanlian (Coptidis Rhizoma, raw, 5 qian), Zhizi (Gardeniae Fructus, raw, 5 qian), Zhuru (Bambusae Folium, 4 qian), Maidong (Ophiopogonis Radix, heart removed, 5 qian), Lianqiao (Forsythiae Fructus, heart removed, 4 qian), Shanzha (Crataegi Fructus, 1 liang), Shenqu (Massa Medicata Fermentata, stir-fried, 1 liang), Maiya (Hordei Fructus Germinatus, stir-fried, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 4 qian), Zhishi (Aurantii Fructus Immaturus, bran-fried, 5 qian), Dahuang (Rhei Radix et Rhizoma, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 3 qian).
Grind all into fine powder. Form pills using refined honey, each pill weighing 1 qian. Administer according to the child's condition, dissolving in boiling water before ingestion.
Wind-epilepsy (Feng Xian) occurs when wind invades the meridians after sweating and removing clothes. The eyes appear blue-dark, the face is pale red, and the ten fingers flex and extend as if counting objects. Treatment involves Huafeng Dan (Wind-Dissipating Pill) combined with Qianghuo Niuhuang Ning (Nigella and Calves' Gallstone Calming Agent) to dissipate wind and calm the spirit.
[Note] Wind-epilepsy results from sweating followed by undressing, causing the couli (pores) to open, allowing wind-pathogens to enter through gaps. During an attack, the eyes are greenish-blue and the face is red. Hand movements resemble counting. The treatment method first requires dispersing wind and releasing the exterior. For mild cases, Huafeng Dan (Wind-Dissipating Pill) is the primary formula; for severe cases, Qianghuo Guizhi Tang (Notopterygium and Cinnamon Twig Decoction) is the primary formula. If wind is accompanied by phlegm, Niuhuang Wan (Calves' Gallstone Pill) is the primary formula.
Huafeng Dan (Wind-Dissipating Pill)
Danning (Arisarum Rhizoma prepared with Calves' Gallstone, 2 qian), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Jingjiesui (Schizonepetae Spica), Renshen (Ginseng Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 qian).
Grind all into fine powder. Form pills using refined honey, sized like soap pods. Take one pill per dose, dissolved and taken with Mint Decoction (Menthae Haplocalycis Herba).
Qianghuo Guizhi Tang (Notopterygium and Cinnamon Twig Decoction)
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Tianma (Gastrodiae Rhizoma), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, raw).
Add fresh ginger, decoct in water, and take orally.
[Formula Song] Qianghuo Guizhi Tang treats wind-epilepsy, its efficacy in dispersing wind and purging heat is hard to describe; it contains Qianghuo, Fangfeng, Mahuang, Guizhi, Tianma, and Gancao. Taking it decocted with Dahuang brings natural peace.
Niuhuang Wan (Calves' Gallstone Pill)
Danning (Arisarum Rhizoma prepared with Calves' Gallstone), Quanxie (Scorpio, detoxified), Chantui (Cicadae Periostracum, each 2.5 qian), Fangfeng (Saposhnikoviae Radix), Niuhuang (Calves' Gallstone), Baifuzi (Typhonii Rhizoma, raw), Jiangcan (Bombyx Batryticatus, stir-fried), Tianma (Gastrodiae Rhizoma, each 1.5 qian), Shexiang (Moschus, 0.5 fen).
Grind the above into fine powder. Boil jujubes, remove pits and skins, take the pulp, and mix with the powder to form pills sized like mung beans. Take 3–5 pills per dose, dissolved and taken with Ginger Decoction (Zingiberis Rhizoma Recens).