慢惊之候，或吐或泻，涎鸣微喘，眼开神缓，睡则露睛，惊跳搐搦，乍发乍静，
或身热，或身冷，或四肢热，或口鼻冷气，面色淡白淡青，眉唇间或青黯，其脉沉
迟散缓。盖由急惊过用寒凉，或转太骤，传变成之。又有吐利不止而成者。有气虚
暴吐泻而成者。有夏月脾胃伏热大吐泻，当解暑热不可专曰固阳。有脏虚洞泄成者。
有久痢气脱而成者。有下积取泻成者。有吐血泻血而成者。有伤寒传变阴证成者。
有得之久嗽作痫者。有得之发痫不已者。有得之虫积冲心者。有得之卵肿疝气腹痛，
其或汗出太过，脾困烦渴，四肢浮肿，大小便闭，走马急疳，并传慢候。惟吐泻积
痢成虚致之，则证变甚速。凡才经吐泻，便是慢惊，须用温中扶里。或搐来紧急，
乃慢惊初传，尚有阳证，不可误作急惊用药。世言搐慢为慢惊，非也，若泥此，
往往指慢脾为慢惊矣。凡慢惊，男子以泻得之为重，女子以吐得之为重。又，吐有
五证，泻有五证，各明所因主治，古云∶病家怕惊不怕泻，医家怕泻不怕惊，如因
泄泻不止，且先治泻，若更治风，则惊风愈甚。如因他证例，当循原施治也。其慢
惊候若从急惊传来，只可截风调胃，均平阴阳，不可全用阳药，使阳归阳，复作急
惊之候，用药施治，无过、不及，可也。急惊以关格不通，略施脑麝开通，定其搐
搦尚可，慢惊阴重阳亏，诸经已虚，不宜通关又凉其脏，易作慢脾风。慢惊危急，
如眼睛昏定，定而眨，虽眨，不左右顾或窜视，四肢厥冷，汗出如流，口面黪黯，
指甲黑，四体垂 ，至重。慢惊证眼半开半合，似睡不睡是也，其脉或浮或沉，身
或热或凉，或吐或泻，或不吐泻，或食乳，或阻乳，名半阴半阳合病，即如伤寒半
表半里也。治法，大要审问源流施治，不可概曰慢惊证，如因吐泻得之，用汤氏
醒脾散之类，他证可以类推，次第于后，然慢惊已传属阴，亦须准较阴阳亏盛浅深，
不可温燥之剂太过。〔钱〕慢惊因大病后或吐泻，或只吐不泻，变成脾胃虚损，遍
身冷，口鼻气出亦冷，手足时螈 ，昏睡露睛，此无阳也，宜栝蒌汤主之。东都
王氏子吐泻，诸医用药下之至虚，变慢惊，其候、昏睡露睛，手足螈 而身冷。钱
曰此慢惊也，与栝蒌汤，其子胃气实，即开目而身温。王疑其子不大小便，令诸医
以药利之，医留八正散等数服，不利而身复冷，令钱氏利小便。钱曰不当利小便，
利之必身冷。一二日果身冷矣，因抱出，钱曰不能食而胃中虚，若利大小便，则脾
胃俱虚，当身冷而闭目即死，今幸胎气实而难衰也。钱氏用益黄散、使君子丸
四服，令微能饮食。至日午，果能饮食，所以然者，谓利大小便脾胃虚寒，当补脾，
不可别攻也。后又不语，诸医作失音治之。钱曰既失音，何开目而能饮食，又牙不
紧而口不噤也，诸医不能晓。以地黄补肾，钱曰此因用凉药利小便，致脾肾俱虚，
今脾已实，肾尚虚，故补肾必安，治之半月而能言，一月而痊。〔洁〕慢惊者，阴
证俱，脏受病，盖小儿吐泻病久，脾胃虚损，若不早治，则成慢惊，名曰螈 ，似
搐而不甚搐也。因脾胃虚损，故大便不聚，当去脾间风，先用宣风散导之，后用益
黄散、使君子丸、平之，则其利自止，既已失治，则脾胃俱虚，致被肝木所乘，是
为慢惊，当用温补，羌活膏主之。〔垣〕阎孝忠编集钱氏方，以益黄补土，误矣。
其药有丁香辛热助火，火旺，土愈虚矣，青橘皮泻肺金，丁香辛热大泻肺与大肠，
脾实当泻子，今脾胃虚，反更泻子而助火，重虚其土，杀人无疑矣。其风木旺证，
右关脉洪大，掌中热，腹皮热，岂可以助火泻金。如寒水来乘脾土，其病呕吐、腹
痛，泻痢青白，益黄散圣药也。今立一方，先泻火补金，大补其土，是为神治之法，
以黄 二钱、人参一钱、炙甘草五分、加白芍药一钱，此四味皆甘温能补元气，甘
能泻火，《内经》云∶热淫于内，以甘泻之，以酸收之。白芍药酸寒，寒能泻火，酸
味能泻肝而大补肺金，所补，得金土之位，金旺火虚，风木何由而来克土，然后泻
风之邪。夫益黄散、理中丸，养神之类，皆治脾胃寒湿大盛，神品之药也，若得脾
胃中伏火、劳役不足之证，及服热药巴豆之类、胃虚而成慢惊之证，用之必伤人命。
夫慢惊风者，皆由久泻脾胃虚而生也，钱氏以羌活膏疗慢惊风，误矣。脾虚者，由
火邪乘其土位，故曰从后来者为虚邪，火旺能实其木，木旺故来克土，当于心经中
以甘温补土之源，更于脾土中泻火以甘寒，更于脾土中补金以酸凉，致脾土中金旺
火衰，风木自虚矣。〔海〕惊啼，手足螈 ，睡卧不稳，四君子加全蝎去尾尖毒炒，
钓藤、白附子炒，等分，同煎。脾胃虚弱，生风多困，四君子加炒半夏曲、没石
子、等分，为细末，入冬瓜子少许，同煎服。〔丹〕频吐泻，将成慢惊，用钱氏白
术散加山药、扁豆炒，肉豆蔻面煨，各一钱，入姜一片，煎服。若慢惊已作，加细
辛、天麻、各一钱，全蝎三个去稍，白附子八分面煨。惊而泻，用参、苓、芍药酒
炒、白术、姜煎，夏月加黄连、甘草、竹叶服之。〔曾〕治慢惊者，考之古书，亦
无所据，惟载阴痫而已。盖慢惊属阴，阴主静而搐缓，故曰慢，其候皆因外感风寒，
内作吐泻，或得于大病之余，或传误转之后，目慢神昏，手足偏动，口角流涎，身
微温，眼上视或斜转，及两手握拳而搐，或兼两足动制，各辨男左女右搐者为顺，
反此为逆。口气冷缓或囟门陷，此虚极也，脉沉无力，睡则扬睛，谓两目半开半合，
此真阳衰耗而阴邪独盛，阴盛生寒，寒为水化，水生肝木，木为风化，木克脾土，
胃为脾之府，故胃中有风，螈 渐生。其螈 证状，两肩微耸，两手垂下，时复动
摇不已，名为慢惊。宜以青州白丸子、苏合香丸，入姜汁杵匀，米饮调下，虚极者
加金液丹，次用冲和饮同七宝散，水煨姜煎服，使气顺风散，少解吐泻，间以胃苓
汤救其表里，若吐不止可投定吐饮，泻不减宜服六柱散或曰生汤去胃风、定螈 、
清神气，五苓散导其逆、调荣卫、和阴阳，若痰多唇白，四肢如冰，不省人事，此
虚慢之极，用固真汤速灌之以生胃气，胃气既回，投醒脾散、沉香饮、调理。〔薛〕
慢惊之证，吐泻痰鸣气喘，眼开神缓，昏睡露睛，惊跳搐搦，乍发乍静或身热身冷，
面淡青白或眉唇青赤，其脉迟沉而缓是也，禀赋不足，或久病脾虚，及常服克伐之
药者，多致此证。若因土虚不能生金，金不能平木，木来侮土而致前证者，以五味
异功散加当归、酸枣仁，佐以钓藤饮子补土平木。若脾土虚寒者，用六君子加炮姜、
木香，不应，急加附子以回阳气，盖阴血生于脾土，宜四君子、当归、酸枣仁。凡
元气亏损而至昏愦者，急灸百会穴，若待下痰不愈，而后灸之，则元气脱散而不
救矣。
慢惊风的证候，表现为有时呕吐有时腹泻，喉间痰鸣且呼吸微弱急促，眼睛睁开但神志倦怠，睡眠时眼睑不能闭合而眼球外露（露睛），出现惊跳和抽搐，发作与静止交替出现。有的身体发热，有的身体发冷，有的四肢发热，有的口鼻呼出冷气，面色淡白或淡青，眉弓和嘴唇之间有时呈现青色或暗色，脉象沉迟、散乱或缓弱。这通常是由于急惊风治疗时过度使用寒凉药物，或者病情转化过于迅速，传变而成。也有因呕吐和腹泻不止而形成的。有因气虚导致突然剧烈呕吐腹泻而形成的。有夏季脾胃中潜伏热邪引起的大吐大泻，此时应当解除暑热，不能单纯说是固护阳气。有因脏腑虚弱导致洞泄（严重腹泻）而形成的。有因长期痢疾导致气脱而形成的。有因攻下积滞、过度泻下而形成的。有因吐血或便血而形成的。有因伤寒病传变形成阴证而形成的。有因久咳发展为癫痫的。有因癫痫发作不止而形成的。有因虫积上冲心胸而形成的。有因睾丸肿胀、疝气腹痛等病症演变而来的。还有因出汗过多，导致脾脏困顿、烦躁口渴，四肢浮肿，大小便闭塞，发展为走马急疳，并传变为慢惊证的。只有因吐泻和积痢导致正气亏虚而引起的，病情变化非常迅速。凡是刚刚经过吐泻，就认为是慢惊风，必须使用温中扶正的治法。如果抽搐来得紧急，这是慢惊风初起传变阶段，尚存阳证表现，不可误当作急惊风用药。世人说抽搐缓慢就是慢惊风，这是不对的，如果拘泥于这种说法，往往会把慢脾风也指认为慢惊风了。凡慢惊风，男子因腹泻得病的较重，女子因呕吐得病的较重。另外，呕吐有五类证候，腹泻有五类证候，各自明确病因和主治方法，古人说：“病人害怕惊风而不害怕腹泻，医生害怕腹泻而不害怕惊风”，如果是因为泄泻不止，应当先治疗腹泻，如果再去治疗风邪，那么惊风症状会更加严重。如果是其他证候，应当按照原发病施治。其慢惊风证候如果是从急惊风传来，只可以截断风邪、调理胃气，使阴阳平衡，不可全用温热药，以免阳气过盛回归阳证，再次变成急惊风的证候，用药施治，不过分也不不足，就可以了。急惊风因为关格不通，稍微施用牛黄、麝香等开通窍道，平息抽搐尚可；慢惊风是阴重阳虚，各条经络已经虚弱，不宜再通关并用寒凉药清脏腑，否则容易转变为慢脾风。慢惊风危急的情况，如眼睛昏花定视，固定眨眼，虽然眨眼但不左右看或斜视，四肢厥冷，汗出如水流，口面颜色黑黯，指甲发黑，肢体下垂无力，属于至重之症。慢惊风的证候，眼睛半开半合，似睡非睡，这就是它的表现，其脉象或浮或沉，身体或热或凉，或吐或泻，或不吐不泻，或能进食乳食，或拒绝进食乳食，名为半阴半阳合病，就像伤寒病中的半表半里证一样。治疗方法，大要审问疾病源流来施治，不可一概说是慢惊风证，如果是因为吐泻引起的，使用汤氏醒脾散之类的方剂，其他证候可以类推，次第列在后面。然而慢惊风已经传变属于阴证，也必须准确衡量阴阳亏损和偏盛的深浅程度，不可让温燥的药物太过猛烈。
【钱乙】慢惊风是因为大病之后，或者吐泻，或者只吐不泻，变成了脾胃虚损，全身发冷，口鼻呼出的气也是冷的，手足不时抽搐（螈），昏睡且露睛，这是无阳的表现，宜用栝蒌汤主治。东都王氏的儿子吐泻，各位医生用药攻下导致极度虚弱，转变为慢惊风，其证候为昏睡露睛，手足抽搐且身体发冷。钱乙说这是慢惊风，给予栝蒌汤，这个孩子胃气恢复后，立即睁开眼睛且身体变暖。王姓家长怀疑儿子不大便和小便，让各位医生用药通便，医生留用了八正散等药服了几次，大便不通且身体再次变冷，让家长请钱乙通利小便。钱乙说不应当通利小便，通利小便必然导致身体发冷。一两天后果然身体变冷了，于是抱出来，钱乙说不能进食且胃中虚，如果通利大小便，则脾胃俱虚，应当身体发冷且闭目即死，现在幸好胎气充实而难以衰败。钱乙使用益黄散、使君子丸服用四次，让孩子稍微能饮食。到了中午，果然能饮食，之所以这样，是因为通利大小便导致脾胃虚寒，应当补脾，不可另外攻伐。后来又不说话，各位医生当作失音症治疗。钱乙说既然失音，为什么又能睁眼且能饮食，而且牙齿不紧、口不紧闭呢？各位医生不能理解。用六味地黄丸补肾，钱乙说这是因为使用凉药通利小便，导致脾肾俱虚，现在脾已实，肾尚虚，所以补肾必定安愈，治疗半个月能说话，一个月痊愈。
【张元素】慢惊风者，阴证俱全，脏腑受病，大概小儿吐泻病久，脾胃虚损，如果不早治疗，则成慢惊风，名叫螈，类似抽搐但不怎么剧烈。因为脾胃虚损，所以大便不成形，应当去除脾间的风邪，先用宣风散导引，后用益黄散、使君子丸平复，那么腹泻自然停止。既然已经延误治疗，则脾胃俱虚，导致被肝木所克制，这就是慢惊风，应当使用温补法，羌活膏主治。
【李杲】阎孝忠编集钱乙的方子，认为益黄散是补土的方法，这是错误的。其中的药物有丁香，辛热助火，火旺则土更虚；青橘皮泻肺金，丁香辛热大泻肺与大肠。脾实则当泻子，现在脾胃虚，反而更泻子而助火，重重地使土虚，杀人无疑。如果是风木旺的证候，右关脉洪大，掌中热，腹皮热，岂可以用助火泻金的药。如果是寒水来乘脾土，其病呕吐、腹痛，泻痢青白色，益黄散是圣药。现在我立一方，先泻火补金，大补其土，这是神治之法，用黄芪二钱、人参一钱、炙甘草五分、加白芍药一钱，这四味都是甘温能补元气，甘能泻火，《内经》说：热淫于内，以甘泻之，以酸收之。白芍药酸寒，寒能泻火，酸味能泻肝而大补肺金，所补得金土之位，金旺火虚，风木从何而来克土，然后才泻风之邪。夫益黄散、理中丸、养神丹之类，都是治疗脾胃寒湿大盛的神品药，如果得到脾胃中伏火、劳役不足的证候，以及服用热药巴豆之类、胃虚而成为慢惊风的证候，用这些药必伤人命。夫慢惊风者，都是由久泻脾胃虚而生成的，钱乙用羌活膏治疗慢惊风，是错误的。脾虚者，由火邪乘其土位，所以说从后来者为虚邪，火旺能实其木，木旺故来克土，应当于心经中以甘温补土之源，更于脾土中泻火以甘寒，更于脾土中补金以酸凉，致使脾土中金旺火衰，风木自虚矣。
【刘完素】惊啼，手足抽搐，睡卧不稳，四君子汤加全蝎（去尾尖毒炒）、钓藤、白附子（炒），等分，同煎。脾胃虚弱，生风多困，四君子汤加炒半夏曲、没石子，等分，为细末，入冬瓜子少许，同煎服。
【朱震亨】频繁吐泻，将成慢惊风，用钱氏白术散加山药、扁豆（炒），肉豆蔻（面煨），各一钱，入姜一片，煎服。若慢惊风已发作，加细辛、天麻，各一钱，全蝎三个（去稍），白附子八分（面煨）。惊而泻，用人参、茯苓、芍药（酒炒）、白术，姜煎，夏月加黄连、甘草、竹叶服之。
【曾世荣】治疗慢惊风，考证古书，也没有依据，只记载了阴痫而已。大概慢惊属阴，阴主静而抽搐缓慢，所以叫慢，其证候都因外感风寒，内作吐泻，或得于大病之余，或传误转之后，眼睛慢神昏，手足偏动，口角流涎，身微温，眼上视或斜转，及两手握拳而搐，或兼两足动制，各辨男左女右搐者为顺，反此为逆。口气冷缓或囟门陷，此虚极也，脉沉无力，睡则扬睛，谓两目半开半合，此真阳衰耗而阴邪独盛，阴盛生寒，寒为水化，水生肝木，木为风化，木克脾土，胃为脾之府，故胃中有风，螈渐生。其螈证状，两肩微耸，两手垂下，时复动摇不已，名为慢惊。宜以青州白丸子、苏合香丸，入姜汁杵匀，米饮调下，虚极者加金液丹，次用冲和饮同七宝散，水煨姜煎服，使气顺风散，少解吐泻，间以胃苓汤救其表里，若吐不止可投定吐饮，泻不减宜服六柱散或曰生汤去胃风、定螈、清神气，五苓散导其逆、调荣卫、和阴阳，若痰多唇白，四肢如冰，不省人事，此虚慢之极，用固真汤速灌之以生胃气，胃气既回，投醒脾散、沉香饮、调理。
【薛己】慢惊风的证候，吐泻痰鸣气喘，眼开神缓，昏睡露睛，惊跳搐搦，乍发乍静或身热身冷，面淡青白或眉唇青赤，其脉迟沉而缓是也，禀赋不足，或久病脾虚，及常服克伐之药者，多致此证。若因土虚不能生金，金不能平木，木来侮土而致前证者，以五味异功散加当归、酸枣仁，佐以钓藤饮子补土平木。若脾土虚寒者，用六君子加炮姜、木香，不应，急加附子以回阳气，盖阴血生于脾土，宜四君子、当归、酸枣仁。凡元气亏损而至昏愦者，急灸百会穴，若待下痰不愈，而后灸之，则元气脱散而不救矣。
The presentation of slow convulsion (Man Jing) involves symptoms such as intermittent vomiting or diarrhea, phlegm rales in the throat with slight panting, eyes open but spirit sluggish, sleeping with eyelids unable to close (exposing the eyeballs), sudden jumping and spasms alternating with periods of calm. Some present with body heat, others with body coldness; some have hot limbs, while others exhale cold air from the mouth and nose. The complexion is pale white or pale cyan, with the area between the eyebrows and lips sometimes appearing cyan or dark. The pulse is deep, slow, scattered, or slack. This condition often arises from the excessive use of cold-cooling herbs in the treatment of rapid convulsion (Ji Jing), or from a too-rapid transformation and transmission of the disease. It may also result from persistent vomiting and diarrhea, sudden severe vomiting and diarrhea due to Qi deficiency, or summer-heat and dampness causing severe vomiting and diarrhea where resolving summer-heat is required rather than solely securing Yang. It can be caused by visceral deficiency leading to profuse diarrhea, prolonged dysentery resulting in Qi collapse, excessive purgation for accumulated stagnation, hematemesis or hematochezia, transmission of Cold Damage (Shang Han) into Yin syndromes, chronic cough evolving into epilepsy, unceasing epileptic seizures, intestinal parasites rushing to the heart, or conditions like testicular swelling, hernia, and abdominal pain. Additionally, excessive sweating leading to Spleen fatigue, irritability, thirst, limb edema, and obstruction of urination and defecation, progressing to "running horse acute malnutrition" (Zou Ma Ji Gan) and then to slow convulsion, are possible causes. When caused by deficiency from vomiting, diarrhea, and accumulated dysentery, the syndrome changes very rapidly. Any case immediately following vomiting and diarrhea should be considered slow convulsion and treated with warming the middle and supporting the interior. If spasms occur urgently, it indicates the initial transmission of slow convulsion, still retaining Yang signs, and must not be mistaken for rapid convulsion requiring different medication. The common saying that slow spasms equal slow convulsion is incorrect; adhering to this often leads to misidentifying slow spleen wind (Man Pi Feng) as slow convulsion. In males, slow convulsion acquired through diarrhea is more severe; in females, acquired through vomiting is more severe. There are five types of vomiting and five types of diarrhea, each with specific etiologies and treatments. Ancient texts state: "Patients fear convulsions but not diarrhea; doctors fear diarrhea but not convulsions." If diarrhea persists, treat the diarrhea first; treating wind simultaneously will exacerbate the convulsions. For other syndromes, treat according to the primary cause. If slow convulsion transmits from rapid convulsion, only wind-extinguishing and stomach-regulating methods should be used to balance Yin and Yang; using purely Yang-warming herbs may cause Yang to return excessively, reverting to rapid convulsion signs. Medication should be neither excessive nor insufficient. Rapid convulsion involves blockage of Guan and Ge; using musk and bovine calculus to open orifices and stop spasms is acceptable. Slow convulsion involves excess Yin and deficient Yang with empty meridians; opening orifices and cooling viscera is contraindicated, as it may transform into slow spleen wind. Critical signs of slow convulsion include fixed gaze, blinking without looking around, cold limbs, profuse sweating, dark/blackish complexion and nails, and flaccid limbs, indicating a critical state. The typical eye sign is half-open/half-closed, resembling sleep. The pulse may be floating or deep; the body may be hot or cold; vomiting/diarrhea may or may not occur; feeding may be accepted or refused. This is called Half-Yin Half-Yang combined disease, analogous to the Shaoyang stage in Cold Damage. Treatment requires investigating the source and flow, not merely labeling it slow convulsion. If caused by vomiting/diarrhea, use formulas like Xing Pi San (Wake the Spleen Powder). Since slow convulsion belongs to Yin, assess the depth of Yin/Yang imbalance carefully; avoid overly drying/warming agents.
[Qian Yi] Slow convulsion occurs after severe illness, vomiting, or diarrhea, transforming into Spleen-Stomach deficiency. Symptoms include whole-body coldness, cold breath from mouth/nose, occasional spasms (Rong), lethargy, and exposed eyeballs during sleep, indicating absence of Yang. Gualua Tang (Trichosanthes Decoction) is indicated. A child of Mr. Wang in Dongdu suffered vomiting and diarrhea; physicians used purgatives causing extreme deficiency, leading to slow convulsion with lethargy, exposed eyes, spasms, and cold body. Qian diagnosed slow convulsion and prescribed Gualua Tang. Upon recovery of Stomach Qi, the child opened his eyes and warmed up. The father suspected urinary/fecal retention and requested diuretics/purgatives. Physicians used Bazheng San (Eight Corrects Powder) without effect, worsening coldness. Qian advised against diuresis, predicting further coldness, which occurred. He explained that diuresis would exhaust Spleen/Stomach Qi, leading to death, but fetal Qi was strong. Using Yihuang San (Benefit Yellow Powder) and Shijunzi Wan (Quince Pill) four times allowed slight intake of food. By noon, eating resumed. Diuresis damages Spleen/Stomach cold-deficiency; tonification is needed, not attack. Later, aphonia developed; physicians treated for loss of voice. Qian questioned how one could eat and open eyes if truly aphonic, noting no jaw clenching. Using Dihuang Wan (Rehmannia Pill) to tonify Kidney was deemed incorrect by Qian, who attributed the issue to cold-diuretics damaging Spleen/Kidney. With Spleen recovered but Kidney still weak, Kidney tonification ensured recovery. Speech returned in half a month; full recovery in one month.
[Zhang Yuansu] Slow convulsion presents with complete Yin signs and visceral pathology. Prolonged vomiting/diarrhea in children damages Spleen/Stomach; untreated, it becomes slow convulsion, termed Rong (spasmodic twitching), resembling convulsion but less intense. Due to Spleen deficiency causing loose stools, remove wind from the Spleen using Xuan Feng San (Disperse Wind Powder) first, then stabilize with Yihuang San and Shijunzi Wan to stop diarrhea. If neglected, Spleen/Stomach deficiency allows Liver Wood to overact on Earth, constituting slow convulsion, treated with warming tonification via Qianghuo Gao (Notopterygium Ointment).
[Li Dongyuan] Yan Xiaozhong’s compilation of Qian’s formulas incorrectly identifies Yihuang San as a method to tonify Earth. The formula contains Dingxiang (Clove), acrid-hot and fire-assisting; when Fire is strong, Earth becomes weaker. Qingjupi (Green Tangerine Peel) drains Lung Metal; Dingxiang strongly drains Lung and Large Intestine. While excess Spleen may require draining the Son (Metal), deficiency requires avoiding this to prevent further weakening Earth. In cases of hyperactive Wind Wood with a surging Right Guan pulse, palm/abdominal heat, such fire-assisting/metal-draining herbs are inappropriate. However, for Cold Water attacking Spleen Earth presenting with vomiting, abdominal pain, and green/white dysentery, Yihuang San is a sacred remedy. I propose a new formula: Huangqi (Astragali Radix) 2 qian, Renshen (Ginseng Radix) 1 qian, Zhigancao (Prepared Licorice Root) 0.5 qian, Baishao (White Peony Root) 1 qian. These four sweet-warm herbs tonify Yuan Qi; sweetness clears Heat. As per Neijing: "For Heat rampant within, use sweetness to drain, acidity to gather." Baishao is sour-cold; cold drains Heat, acidity drains Liver and tonifies Lung Metal. This strengthens Metal and Earth positions; strong Metal and weak Fire prevent Wind Wood from attacking Earth, allowing subsequent dispersal of Wind pathogen. Yihuang San, Lizhong Wan, and Yangshen Dan treat severe Cold-Damp in Spleen/Stomach. They are harmful for latent Fire, fatigue-induced deficiency, or slow convulsion from Stomach deficiency after consuming hot drugs like Bidao (Croton Seed). Slow convulsion arises from prolonged diarrhea damaging Spleen/Stomach; Qian’s use of Qianghuo Gao is erroneous. Spleen deficiency involves Fire pathogen attacking Earth ("following evil" from posterior); strong Fire strengthens Wood, which attacks Earth. Tonify Earth source via Heart meridian with sweet-warm herbs, drain Fire in Spleen with sweet-cold herbs, and tonify Metal in Spleen with sour-cool herbs. This strengthens Metal, weakens Fire, and empties Wind Wood.
[Liu Wansu] For crying with spasms and unstable sleep, use Sijunzi Tang (Four Gentlemen Decoction) plus Quanxie (Scorpion, tail tip removed and fried), Gouteng (Uncariae Ramulus cum Uncis), and Baifuzi (Aconiti Kusnezoffii Rhizoma, fried) in equal parts, decocted together. For Spleen/Stomach weakness generating wind and fatigue, use Sijunzi Tang plus Chao Banxia Qu (Fried Pinellia Paste) and Meishi Zi (Hematitum) in equal parts, powdered, with winter melon seeds, decocted.
[Zhu Zhenheng] For frequent vomiting/diarrhea impending slow convulsion, use Qian’s Baizhu San (Atractylodis Macrocephalae Powder) plus Shanyao (Dioscoreae Rhizoma), Bian Dou (Lablab Semen Album, fried), and Rou Doukou (Myristicae Semen, flour-roasted), 1 qian each, with ginger slice, decocted. If slow convulsion has manifested, add Xixin (Asari Radix et Rhizoma), Tianma (Gastrodiae Rhizoma), 1 qian each; Quanxie (Scorpion), 3 pieces (tip removed); Baifuzi, 0.8 fen (flour-roasted). For convulsion with diarrhea, use Renshen (Ginseng Radix), Fuling (Poria), Shaoyao (Paeoniae Radix, wine-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), decocted with ginger; add Huanglian (Coptidis Rhizoma), Gancao (Licorice Root), Zhuye (Bambusae Folium) in summer.
[Zeng Shirong] Ancient texts lack basis for treating slow convulsion, recording only Yin Epilepsy. Slow convulsion belongs to Yin, characterized by stillness and slow spasms. Etiologies include external Wind-Cold, internal vomiting/diarrhea, post-severe illness, or iatrogenic transmission. Signs include sluggish spirit, asymmetric limb movement, drooling, slight warmth, upward/sideways eye deviation, clenched fist spasms, or leg movements. Male left-side/spasm-on-left is favorable; reverse is unfavorable. Cold breath or depressed fontanelle indicates extreme deficiency; pulse is deep and forceless; sleeping with eyes half-open indicates true Yang exhaustion and dominant Yin pathogen. Yin excess generates Cold (Water), which generates Liver Wood (Wind), which attacks Spleen Earth. Since Stomach is the Stomach-Fu of Spleen, Wind in Stomach causes spasms. Spasm signs include shoulder shrugging, hanging arms, continuous trembling. Treat with Qingzhou Baiwanzi (Qingzhou White Pills) and Suhexiang Wan (Styrax Pills) pounded with ginger juice, taken with rice water. For extreme deficiency, add Jin Ye Dan (Golden Pellet). Subsequently use Chonghe Yin (Harmonizing Drink) with Qibao San (Seven Treasures Powder) and roasted ginger. To resolve vomiting/diarrhea, alternate with Weiling Tang (Stomach and Five Ling Decoction) for exterior-interior rescue. For persistent vomiting, Tingtu Yin (Stop Vomiting Drink); for persistent diarrhea, Liuzhu San (Six Pillars Powder) or Sheng Tang (Life Decoction) to remove Stomach Wind, stabilize spasms, and clear spirit. Wuling San (Five Ling Powder) guides rebellion, harmonizes Ying-Wei and Yin-Yang. For excessive phlegm, white lips, ice-cold limbs, unconsciousness (extreme deficiency-slow), administer Guzhen Tang (Secure True Decoction) quickly to restore Stomach Qi. Once restored, use Xingpi San and Chenxiang Yin for regulation.
[Xue Ji] Slow convulsion presents with vomiting, diarrhea, phlegm rales, wheezing, open eyes with sluggish spirit, lethargy with exposed eyeballs, jumping/spasms alternating with calm, body heat/cold alternation, pale cyan-white face or cyan-red lips/brows, and slow-deep-slack pulse. Causes include congenital insufficiency, chronic Spleen deficiency, or frequent use of attacking/draining drugs. If Earth deficiency fails to generate Metal, and Metal fails to control Wood, allowing Wood to insult Earth, treat with Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) plus Danggui (Angelicae Sinensis Radix) and Suanzaoren (Ziziphi Spinosae Semen), assisted by Gouteng Yinzi (Uncaria Infusion) to tonify Earth and level Wood. For Spleen Earth deficiency-cold, use Liujunzi Tang (Six Gentlemen Decoction) plus Paojiang (Prepared Ginger) and Muxiang (Aucklandiae Radix); if ineffective, urgently add Fuzi (Aconiti Lateralis Radix Praeparata) to recover Yang. Yin-blood is born from Spleen Earth; use Sijunzi Tang, Danggui, and Suanzaoren. For Yuan Qi depletion leading to coma, moxa Baihui (GV20) urgently; delaying until phlegm removal fails results in irreversible Qi collapse.