仲阳云∶慢惊病后，或吐泻胃虚，或气弱因惊，眼白如淡墨，下粪青黄，此泻合温补，至圣保命丹、钓
藤饮（夜啼）主之。或乳随粪下，消乳丸（吐）进食丸（痞）主之。或微渴，心脾喘燥狂热，此泻尤难治，辰砂五苓散
（惊）主之。冷者，定命饮子治之，后与温惊朱君散，睡惊太乙丹。〔薛〕小儿惊泻者，肝主惊，肝木也，盛
则必传克于脾，脾
土既衰，则乳食不化，水道不调，故泄泻色青，或兼发搐者，盖青乃肝之色，搐乃肝之证也。亦有因乳母脾
虚受惊，及怒动肝火而致者，经曰∶怒则气逆，甚则呕血及飧泄。法当平肝补脾，慎勿用峻攻之药，脾气益
虚，肝邪弥甚，甚至抽搐反张者，亦肝火炽盛，中州亏损之变证也。凡见惊证，即宜用四君、六君、异功
散等方加白附子定风，柴胡平肝引经以杜渐，则必不至泻搐而自安矣，今已见泻吐惊搐，尚不知补脾平肝，
以保命、抱龙、镇惊等药治之，其亦去生远矣。
至圣保命丹 治小儿胎惊内钓，腹肚紧硬，眠睡不安，夜多啼哭。及治急慢惊风眼
目上视，手足抽掣，不省人事，悉皆主之，冷证用此。
金蝎（十四个，去毒） 防风 僵蚕（炒，去丝嘴） 南星（炮） 天麻（各二钱） 白附子 麝香（五
分） 金箔（十片） 蝉蜕（洗） 朱砂（各一钱） 有热证加牛黄、脑子、硼砂。
上为末，粳米糊丸，每两作四十丸。常服镇心安神化痰，除一切惊风诸证，汤临时换。一方，加人参、
白茯苓二钱。
定命饮子 治慢惊，吐泻困重，欲传慢脾，通用。
半夏（生，拣圆白者） 茯苓 木香 老生姜（切片，干。各二钱） 白术 甘草（炙。各一钱） 天麻
（二钱半）
上锉散。每服二钱，姜枣汤调下。
朱君散 治吐泻后有此证，并粪青者，宜服之。
人参 白术 茯苓 甘草 辰砂 麝香 灯心 钓藤
上为末。每服一钱，用白汤调下。
睡惊太乙丹 常服安神镇惊，止夜啼粪青。
桔梗（一两，炒） 藿香叶 白扁豆（炒。各半两） 白芷（三钱） 川芎（二钱半）
上为末，炼蜜丸，如芡实大，辰砂、麝香为衣。每服半丸，薄荷汤磨下。正粪色，枣汤下。夜啼，灯
心、钓藤汤磨下。加白术、茯苓、白芍药尤妙。
四神丸 治脾虚胃弱，大便不实，饮食不思，或泄痢腹痛。
肉豆蔻 五味子（各二两） 补骨脂（四两） 吴茱萸（一两）
上为细末。用红枣六十五枚，生姜六两，用水二钟煮干，取枣肉和丸，如桐子大。每服五六十丸，
白汤送下，或化服。
二神丸
补骨脂（四两） 肉豆蔻（二两，生用）
上为末。用红枣四十九枚，生姜四两，用水一钟煮干，取枣肉和丸，如桐子大。每服二三十丸，白滚汤下。
钱乙（字仲阳）说：慢惊风发生在疾病之后，或者是因为吐泻导致胃气虚弱，或者是由于体质气弱又受到惊吓所致。患儿眼睛白色部分呈现如淡墨般的颜色，排出的粪便青黄相间。这种腹泻应当采用温补法治疗，主要使用至圣保命丹和钓藤饮（用于治疗夜啼）。如果乳汁随粪便一起排出，则使用消乳丸（用于呕吐）、进食丸（用于痞积）进行治疗。如果患儿有轻微口渴、心脾部位出现喘息烦躁、高热狂躁等症状，这种腹泻尤其难以治疗，主要使用辰砂五苓散（用于惊证）进行治疗。如果是寒证，则用定命饮子治疗，随后服用温惊朱君散，或睡惊太乙丹以安神定惊。
薛己（号立斋）认为：小儿惊泻，肝主受惊，肝在五行中属木。肝气旺盛时必然会乘克脾土，脾土既已衰弱，则乳食无法消化，水道运行失调，因此出现泄泻且大便色青；有时兼见抽搐症状，这是因为青色是肝的本色，抽搐是肝风的征象。也有因乳母脾气虚弱受惊，以及愤怒导致肝火亢盛而引发的。《内经》说：“怒则气逆，甚则呕血及飧泄。”治疗方法应当平抑肝木、补益脾土，千万不要使用峻猛的攻伐药物，否则脾气会更加虚弱，肝邪更加猖獗，甚至出现抽搐、角弓反张等危重症状，这也是肝火炽盛、中焦脾胃亏损的变证。凡是见到惊证表现，就应当立即使用四君子汤、六君子汤、异功散等方剂，加入白附子以熄风，柴胡以平肝并作为引经药，从而杜绝病情发展，这样必然不会发生腹泻和抽搐，患儿自然安宁。如今已经出现腹泻、呕吐、惊厥抽搐，却还不知道补脾平肝，反而使用保命丹、抱龙丸、镇惊丸等药物治疗，这就离康复越来越远了。
至圣保命丹：治疗小儿胎惊内钓（胎儿时期受惊引起的腹部拘急疼痛），腹部紧绷坚硬，睡眠不安，夜间多啼哭。也治疗急惊风和慢惊风出现的眼目上视、手足抽搐、不省人事等症状，均适用此方，特别适用于寒证。
金蝎（十四个，去毒刺） 防风 僵蚕（炒制，去除丝嘴和头足） 南星（炮制） 天麻（各二钱） 白附子 麝香（五分） 金箔（十片） 蝉蜕（洗净） 朱砂（各一钱） 如果有热证，加牛黄、冰片、硼砂。
将上述药材研为细末，用粳米糊制作成丸药，每两药粉制成四十丸。常服可镇心安神、化痰，消除各种惊风病症，也可根据情况临时煎汤送服。另一配方，加入人参、白茯苓各二钱。
定命饮子：治疗慢惊风，吐泻严重困倦，病情欲向慢脾风传变者，通用此方。
半夏（生用，挑选圆润白色的） 茯苓 木香 老生姜（切片，干燥。各二钱） 白术 甘草（炙。各一钱） 天麻（二钱半）
将药材切碎成散剂。每次服用二钱，用姜枣汤调服。
朱君散：治疗吐泻后出现上述症状，以及大便发青者，适宜服用。
将药材研为细末。每次服用一钱，用白开水调服。
桔梗（一两，炒制） 藿香叶 白扁豆（炒制。各半两） 白芷（三钱） 川芎（二钱半）
将药材研为细末，用炼蜜制成丸药，大小如芡实，外用辰砂、麝香为衣。每次服用半丸，用薄荷汤磨化送下。若大便颜色恢复正常，用枣汤送下。若治夜啼，用灯心草、钩藤汤磨化送下。加入白术、茯苓、白芍药效果更佳。
将药材研为细末。用红枣六十五枚，生姜六两，加水两钟煮干，取枣肉与药末混合制成丸药，大小如梧桐子大。每次服用五六十丸，用白开水送下，或含化服用。
将药材研为细末。用红枣四十九枚，生姜四两，加水一钟煮干，取枣肉与药末混合制成丸药，大小如梧桐子大。每次服用二三十丸，用白开水送下。
Qian Yi (courtesy name Zhongyang) stated: Slow convulsion occurring after an illness, or due to vomiting and diarrhea causing stomach deficiency, or due to weak qi combined with fright, presents with whites of the eyes appearing like pale ink, and stools that are greenish-yellow. This type of diarrhea should be treated with warming and tonifying methods, primarily using Zhisheng Baoming Dan (Supreme Sage Life-Preserving Pill) and Gouteng Yin (Uncaria Decoction, indicated for night crying). If milk passes down with the stool, Xiaoru Wan (Eliminate Milk Pill, indicated for vomiting) or Jinshi Wan (Advance Food Pill, indicated for food stagnation) should be used. If there is slight thirst, with panting, irritability, high fever, and mania in the Heart and Spleen regions, this diarrhea is particularly difficult to treat; Chenwu Wuling San (Cinnabar Five-Ingredient Powder, indicated for fright) should be used. For cold patterns, Dingming Yinzi (Life-Determining Decoction) is used, followed by Wenjing Zhujun San (Warming Fright Lord Zhu Powder) or Shuijing Taiyi Dan (Sleeping Fright Supreme Unity Pill) to calm the spirit and subdue fright.
Xue Ji noted: In pediatric fright diarrhea, the Liver governs fright and belongs to Wood in the Five Phases. When Liver Qi is excessive, it inevitably overacts upon the Spleen Earth. Once Spleen Earth is weakened, milk and food fail to transform, and water pathways become disordered, resulting in diarrhea with green stools. Sometimes accompanied by twitching, because green is the color of the Liver, and twitching is a manifestation of Liver wind. There are also cases caused by the nursing mother having Spleen deficiency and receiving fright, or anger stirring up Liver fire. The Classics state: "Anger causes Qi to rebel; severely, it leads to hematemesis and undigested food diarrhea." The treatment method should soothe the Liver and tonify the Spleen. One must strictly avoid using harsh purgative drugs, as this will further deplete Spleen Qi and exacerbate Liver pathogenic factors, potentially leading to convulsions and opisthotonos, which are transformations of excessive Liver fire and depletion of the Middle Jiao. Whenever signs of fright appear, one should immediately use formulas such as Sijunzi Tang (Four Gentlemen Decoction), Liujunzi Tang (Six Gentlemen Decoction), or Yigong San (Extraordinary Skill Powder), adding Baifuzi (Typhonii Rhizoma) to extinguish wind, and Chaihu (Bupleuri Radix) to soothe the Liver and guide the medicine, thereby preventing progression. This ensures no diarrhea or convulsions occur, and the child remains peaceful. Now, if diarrhea, vomiting, and fright convulsions have already appeared, yet one fails to tonify the Spleen and soothe the Liver, instead relying on Baoming Dan, Baolong Wan, or Zhenjing Wan, the patient is far from recovery.
Zhisheng Baoming Dan (Supreme Sage Life-Preserving Pill): Treats pediatric fetal fright and internal drawing (abdominal cramping due to fetal fright), tight and hard abdomen, restless sleep, and frequent night crying. It also treats acute and chronic convulsions presenting with upward gaze, limb jerking, and loss of consciousness. It is indicated for all these conditions, especially for cold patterns.
Scorpio (Shexiang, Scorpio, 14 pieces, remove venom) Fangfeng (Saposhnikoviae Radix) Jiangcan (Bombyx Batryticatus, stir-fried, remove silk mouth and head/legs) Nanxing (Arisaematis Rhizoma Praeparatum) Tianma (Gastrodiae Rhizoma) (each 2 qian) Baifuzi (Typhonii Rhizoma) Shexiang (Moschus, 0.5 qian) Jinbo (Folium Aurum, 10 leaves) Chantui (Cicadae Periostracum, washed) Zhusha (Cinnabar, each 1 qian). For heat patterns, add Niuhuang (Bovis Calculus), Naozi (Borneolum Syntheticum), and Pengsha (Borax).
Grind into powder, make pills with rice paste. Each liang of powder makes 40 pills. Regularly taken to calm the Heart and spirit, resolve phlegm, and eliminate various convulsive disorders. Can also be administered as a decoction temporarily. Another formula adds Renshen (Ginseng Radix) and Baifuling (Poria, each 2 qian).
Dingming Yinzi (Life-Determining Decoction): Treats slow convulsion with severe vomiting and diarrhea, exhaustion, and impending transmission to slow spleen-wind. Universally applicable.
Banxia (Pinelliae Rhizoma, raw, select round white ones) Fuling (Poria) Muxiang (Aucklandiae Radix) Laoshengjiang (Zingiberis Rhizoma Recens, sliced, dried) (each 2 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, each 1 qian) Tianma (Gastrodiae Rhizoma, 2.5 qian).
Cut into coarse powder. Take 2 qian per dose, mixed with ginger and jujube decoction.
Zhujun San (Lord Zhu Powder): Treats post-vomiting-diarrhea symptoms and green stools. Suitable for consumption.
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Gancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) Chencha (Cinnabar) Shexiang (Moschus) Dengxincao (Junci Medulla) Gouteng (Uncariae Ramulus cum Uncis).
Grind into powder. Take 1 qian per dose, mixed with warm water.
Shuijing Taiyi Dan (Sleeping Fright Supreme Unity Pill): Regularly taken to calm the spirit, subdue fright, stop night crying, and normalize stool color.
Jiegeng (Platycodonis Radix, 1 liang, stir-fried) Huoxiangye (Agastachis Herba) Baibidou (Phaseoli Semen Album, stir-fried) (each 0.5 liang) Baizhi (Angelicae Dahuricae Radix, 3 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 2.5 qian).
Grind into powder, make pills with refined honey, size of Euryale Seed. Coat with Chencha (Cinnabar) and Shexiang (Moschus). Take half a pill per dose, ground with mint decoction. To restore normal stool color, take with jujube decoction. For night crying, grind with juncus and uncaria decoction. Adding Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Baishaoyao (Paeoniae Radix Alba) is excellent.
Sishen Wan (Four Spirits Pill): Treats Spleen deficiency and Stomach weakness, loose stools, poor appetite, or dysentery with abdominal pain.
Roudoukou (Myristicae Semen) Wuweizi (Schisandrae Fructus) (each 2 liang) Buguzhi (Psoraleae Fructus) (4 liang) Wuzhuyu (Evodiae Fructus) (1 liang).
Grind into fine powder. Use 65 red dates and 6 liang of fresh ginger, boil in two zhong of water until dry. Take the date pulp and mix with powder to make pills, size of Sophora seeds. Take 50-60 pills per dose, with warm water, or dissolve and take.
Ershen Wan (Two Spirits Pill)
Buguzhi (Psoraleae Fructus, 4 liang) Roudoukou (Myristicae Semen, 2 liang, raw).
Grind into powder. Use 49 red dates and 4 liang of fresh ginger, boil in one zhong of water until dry. Take the date pulp and mix with powder to make pills, size of Sophora seeds. Take 20-30 pills per dose, with boiled water.