芙蓉花叶，取嫩的，约五六块，男双女单，将其叶碎，煎鸡蛋角三只，敷小儿肚脐中，
冷又换之，三四次愈。
又方∶僵蚕九条、全蝎九只、梅冰片三分、麝香分半、三仙丹三分，共为细末，用蜜糖
捣成饼，贴脐上，另用随便膏药盖之。每小儿一岁，用药三分之一；两岁，用药三分之二；
三岁，照方全用。俟小儿有啼声，即宜以乳哺之，或以薄粥食之，不可不慎调理也。
又方∶将白颈曲鳝刀 二段，跳急者，急惊用；跳慢者，慢惊用。加麝香一分，捣烂
，对脐贴，外用膏药盖紧。
慢惊之症，系小儿吐泻得之为最多。或久疟久痢，或痘后疹后，或风寒饮食积滞过用攻
伐伤脾，或秉赋本虚，或误服寒凉，或因急惊而用药攻降太甚，或失于调理，皆可致此症也
，其症神昏气喘，或大热不退、眼开惊搐，或乍寒乍热，或三阳晦暗，或面色淡白青黄，或
大小便青白，或口虽开裂出血而口中气冷，或泻利冷汗，或完谷不化，或四肢冰冷并至腹痛
气响，喉内痰鸣，角弓反张，目光昏暗，此虚症也。若再用寒凉，再行消导，或用胆星抱龙
以除痰，或用天麻全蝎以驱风，或用知柏芩连以清火，或用巴豆大黄以去积，杀人如反掌，
实可畏也。欲治风而无风可治，欲治惊而无惊可治，此实因脾肾虚寒，孤阳外越，无气无根
，阴寒至极，风之所由动也。治宜先用辛热，再加温补，盖补土即所以敌木，治本即可以治
标也。凡小儿一经吐泻交作，即是最危之症，若其屡作不止，无论痘后疹后，不拘何因，皆
当先用参术以救胃气，姜桂熟地等药以救肾气，不惟伤食后当急救之，即伤寒伤暑亦当急救
之。盖其先虽有寒暑实邪，一经吐泻，业已全除，脾胃空虚，仓廪空乏，若不急救，恐虚痰
上涌，命在倾刻矣。庸医见之，皆误指为热为食，投以清火去积凉药，立时告变，为之奈何
。如其失之寒凉断难生活，不若失之温补犹可救疗，此语发明吐泻惊风之理，极为透彻，后
之君子，愿无忽诸。今将慢惊辨症，罗列于后。
慢惊吐泻，脾胃虚寒也。
身冷，阳气抑遏不出也。服凉药之后往往致此。
鼻孔煽动，真阴失守，虚火燥肺也。
面色青黄及白，气血两虚也。
口鼻中气冷，中塞也。
大小便青白，肾与太阳全无火也。
昏睡露睛，神气不足也。
手足搐掣，血不行于四肢也。
角弓反张，血虚筋急也。
乍热乍凉，阴血虚少，阴阳杂错也。
汗出如洗，阳虚而表不固也。
囟门下陷，虚至极也。
身虽发热口唇焦裂出血，却不喜冷茶水，（进以寒凉，愈增危笃。）以及所吐之乳、所泻之
物皆不甚消化，脾胃无火可知，唇之焦黑乃真阴之不足也。
以上慢惊各条，须审察有数条相合，即放心照后二方治之，勿疑。
逐寒荡惊汤 药性温暖，专治小儿气体本虚，或久病不愈，或痘后疹后误药泄泻呕吐，
转为慢惊。若清热散风，愈治愈危。速宜服此，能开寒痰，宽胸膈，止呕吐，荡惊邪，所谓
回元气于无何有之乡。一二剂后，呕吐渐止，即其验也。认明但系虚寒，即宜服之，不必疑
胡椒 炮姜（各一钱） 肉桂（有油便佳，去粗，一钱） 丁香（十粒）
共研为细末，以灶心土三两煮水，澄清煎药大半盅，频频灌之。接服后方，定获奇效也
加味理中地黄汤 助气补血，却病回阳，专治小儿精神已亏，气血大坏，形状野狼狈，瘦
弱至极，皆可挽回。如法浓煎，频频服之。参天救本之功，有难以尽述者。
熟地（五钱） 当归 枸杞 党参 枣仁 炙 故纸（各二钱） 白术（三钱） 萸肉 炮姜 肉
桂炙草（各一钱）
加生姜三片、红枣肉三枚、好胡桃二个打碎，为引，仍用灶心土二两煎水，澄清煎药，
取浓汁一茶杯，加附子五分，煮水掺入，量儿大小，分数次灌之。如咳嗽不止，加粟壳、金
樱子各一钱。如大热不退，加白芍一钱。泄泻不止，加丁香六分。只服一剂，即去附子，只
用丁香七粒。隔二三日，又用附子二三分。因附子性大热，中病即宜去之。如用附子，大多
则小便闭塞不出。如不用附子，则沉塞脏腑固结不开。如不用丁香，则泄泻不止。若小儿虚
寒至极，附子亦不妨用至三钱。此方救阴固本，治小儿慢惊称为神剂。若小儿吐泻不至已甚
，或微见惊搐，胃中尚可受药，吃乳便利者，亦不必服逐寒荡惊汤，只服此药一剂，而风定
神清矣。若小儿尚未成惊，不过昏睡，发热不退，或时热时止，或日间安静，夜间发热，以
及午后发热等症，总属阴虚，均宜服之。若新病壮实之小儿，眼红口渴者，乃实火之症，方
可暂行清解。但果系实火，必大便闭结，气壮声洪，且喜多饮冷茶水。若吐泻交作，则非实
火可知矣。
芙蓉花叶，选取嫩叶，约五六片，男孩用双数（偶数），女孩用单数（奇数）。将叶片捣碎，煎煮鸡蛋皮三只，敷在小儿肚脐中，变冷后更换，经过三四次即可痊愈。
另一处方：僵蚕九条、全蝎九只、冰片三分、麝香半分、三仙丹三分，共同研磨成细末，用蜂蜜和糖捣制成饼状，贴敷于脐上，另外用普通的膏药覆盖固定。每满一岁小儿，用药量为总量的三分之一；两岁，用药量为三分之二；三岁，则按方全量使用。等到小儿发出啼哭声时，应立即给予乳汁喂养，或用稀薄的粥食喂养，不可不谨慎调理。
又一处方：取白颈蚯蚓两段，身体跳动急促的，用于急惊风；跳动缓慢的，用于慢惊风。加入麝香一分，捣烂，对准肚脐贴敷，外用膏药紧紧覆盖。
慢惊风的症状，多因小儿吐泻而得。或因久疟疾、久痢疾，或痘疹之后，或因风寒及饮食积滞过度使用攻伐药物损伤脾胃，或先天禀赋本虚，或误服寒凉药物，或因急惊风而用药攻下降逆太过，或失于调理，皆可导致此症。其症状表现为神志昏迷、气喘，或大热不退、眼睛睁开惊厥抽搐，或忽冷忽热，或三阳经晦暗无光，或面色淡白青黄，或大小便呈青色白色，或口虽开裂出血但口中气息寒冷，或泻利伴冷汗，或完谷不化，或四肢冰冷并伴有腹痛肠鸣，喉间痰鸣，角弓反张，目光昏暗，这属于虚证。若再用寒凉药物，再行消导，或用胆星、抱龙丸以除痰，或用天麻、全蝎以驱风，或用知母、黄柏、黄芩、黄连以清火，或用巴豆、大黄以去积，杀人如同翻掌般容易，实在可怕。想要治风却无风可治，想要治惊却无惊可治，这实在是因为脾肾虚寒，孤阳外越，无气无根，阴寒至极，风由此而动。治疗宜先用辛热药物，再加温补，因为补益脾胃（土）即是克制肝木（木），治本即可治标。凡是小儿一旦吐泻交作，就是最危险的病症，如果屡次发作不止，无论痘后疹后，不拘何种原因，都应当先用党参、白术以救胃气，用干姜、肉桂、熟地黄等药以救肾气，不仅伤食后当急救，即使伤寒伤暑也当急救。因为其先虽有寒暑实邪，一经吐泻，业已全除，脾胃空虚，仓廪空乏，若不急救，恐怕虚痰上涌，性命就在顷刻之间了。庸医见到这些症状，都错误地指认为热证或食积，投以清火去积的凉药，立刻导致病情恶化，对此无可奈何。如果失误在于用了寒凉药，则难以存活；不如失误在于用了温补药，还可以挽救治疗。这句话阐明了吐泻惊风的道理，极为透彻，后来的医者，希望不要忽视它。现在将慢惊风的辨证罗列如下。
慢惊吐泻，是脾胃虚寒所致。
身体寒冷，是阳气被抑制不能外达所致。服用凉药后往往导致这种情况。
鼻孔煽动，是真阴失守，虚火燥肺所致。
面色青黄及白色，是气血两虚所致。
口鼻中气息寒冷，是中焦阻塞所致。
大小便青白，是肾与太阳膀胱经全无火力所致。
昏睡且眼睛半睁，是神气不足所致。
手足抽搐掣动，是血液不能运行于四肢所致。
角弓反张，是血虚导致筋脉拘急所致。
忽冷忽热，是阴血虚少，阴阳错杂所致。
汗出如洗，是阳虚且表卫不固所致。
囟门下陷，是虚损到了极点。
身体虽然发热、口唇焦裂出血，却不喜喝冷茶水（进服寒凉药，会使病情更加危重），以及所吐出的乳汁、所排泄之物皆不甚消化，可知脾胃没有火力，嘴唇焦黑乃是真阴不足所致。
以上慢惊的各条症状，必须审察有几条相符合，就放心按照后面两个方子治疗，不要怀疑。
逐寒荡惊汤 药性温暖，专门治疗小儿体质本虚，或久病不愈，或痘后疹后误药导致泄泻呕吐，转为慢惊风。如果用清热散风的方法，越治越危险。速宜服用此方，能开通寒痰，宽畅胸膈，停止呕吐，荡涤惊邪，所谓“回元气于无何有之乡”。服用一二剂后，呕吐逐渐停止，就是有效的验证。认清只要属于虚寒证，就宜服用，不必怀疑。
胡椒、炮姜（各一钱）、肉桂（有油质为佳，去掉粗皮，一钱）、丁香（十粒）。
共同研磨为细末，用灶心土三两煮水，澄清后煎药至大半盅，频频灌服。接着服用后方，定能获得奇效。
加味理中地黄汤 助气补血，祛病回阳，专门治疗小儿精神已亏，气血大坏，形体狼狈，瘦弱至极，皆可挽回。依法浓煎，频频服用。其参天救本的功效，难以尽述。
熟地黄（五钱）、当归、枸杞、党参、酸枣仁（炙）、故纸（即补骨脂，各二钱）、白术（三钱）、山茱萸、炮姜、肉桂、炙甘草（各一钱）。
加生姜三片、红枣肉三枚、好胡桃二个打碎，作为药引，仍用灶心土二两煎水，澄清后煎药，取浓汁一茶杯，加入附子五分，煮水掺入，根据小儿大小，分几次灌服。如果咳嗽不止，加粟壳、金樱子各一钱。如果大热不退，加白芍一钱。泄泻不止，加丁香六分。只服一剂后，就去掉附子，只用丁香七粒。隔二三日，又用附子二三分。因为附子药性大热，中病（见效）后就应去掉。如果使用附子，大多会导致小便闭塞不出。如果不使用附子，则沉塞脏腑固结不开。如果不使用丁香，则泄泻不止。如果小儿虚寒至极，附子也不妨用到三钱。此方救阴固本，治疗小儿慢惊风称为神剂。如果小儿吐泻不至于非常严重，或微见惊搐，胃中尚可受药，吃乳便利者，也不必服用逐寒荡惊汤，只服用此药一剂，风定神清了。如果小儿尚未形成惊风，不过是昏睡，发热不退，或时热时止，或日间安静，夜间发热，以及午后发热等症状，总属阴虚，均宜服用此方。如果是新病壮实的小儿，眼红口渴者，乃是实火之症，方可暂时施行清解法。但如果确实是实火，必然大便闭结，气壮声洪，且喜欢多喝冷茶水。如果吐泻交作，则可知不是实火。
Cassia flower leaves, select tender ones, about five or six pieces. For boys, use an even number; for girls, use an odd number. Crush the leaves, fry three egg skins (or use eggs to make a thin skin/omelet), and apply to the infant's umbilicus. Replace when it cools down; after three or four applications, it will heal.
Another prescription: *Bombyx Batryticatus* (Jiangcan) nine strands, *Scorpio* (Quanzhe) nine specimens, *Borneolum Syntheticum* (Meibingpian) 3 fen, *Moschus* (Shexiang) half a fen, *Sanxiandan* 3 fen. Grind them all into fine powder. Mix with honey and sugar to form a cake, and apply to the umbilicus. Cover with any ordinary plaster. Dosage: one-third of the total amount for each year of age (e.g., 1/3 for one year old, 2/3 for two years old); for three years old, use the full prescription. Once the infant cries, immediately feed with breast milk or thin porridge. Careful nursing is essential.
Yet another prescription: Take two segments of earthworms with white necks (*Qiusong*). If they jump rapidly, use for acute convulsion (Ji Jing); if they move slowly, use for chronic convulsion (Man Jing). Add 1 fen of *Moschus* (Shexiang), crush thoroughly, and apply against the umbilicus. Cover tightly with a plaster externally.
Chronic convulsion (Man Jing) symptoms are most commonly acquired through vomiting and diarrhea in infants. It may result from prolonged malaria or dysentery, or following smallpox/rash eruptions, or from excessive use of purgatives due to wind-cold and food stagnation damaging the Spleen, or from innate constitutional deficiency, or from mistaken administration of cold-cooling herbs, or from overly aggressive descending/purging treatments for acute convulsion, or from neglect in nursing. All these can lead to this syndrome. Symptoms include coma and panting, persistent high fever, eyes open with惊厥/twitching, alternating chills and fever, dullness of the Three Yang channels, pale white/bluish-yellow complexion, greenish-white urine/stool, cracked mouth with bleeding but cold breath, diarrhea with cold sweat, undigested food in stool, cold limbs accompanied by abdominal pain and borborygmus, phlegm rattle in the throat, opisthotonos, dim vision. This is a deficiency syndrome. If cold-cooling herbs are used again, or digestive aids are employed, or *Fallopiam Radix* (Danshen - note: Danshen usually refers to Salvia, but here likely implies a specific phlegm-resolving context or typo for Danxing/Bile Star, WHO term for *Arisaematis Cum Bile*) and *Baolong Wan* are used to resolve phlegm, or *Gastrodiae Rhizoma* (Tianma) and *Scorpio* (Quanzhe) to dispel wind, or *Anemarrhenae Rhizoma* (Zhimu), *Phellodendri Cortex* (Huangbai), *Scutellariae Radix* (Huangqin), and *Coptidis Rhizoma* (Huanglian) to clear fire, or *Crotonis Fructus* (Badou) and *Rhei Radix et Rhizoma* (Dahuang) to remove accumulation, death occurs as easily as turning a palm. It is truly terrifying. One seeks to treat wind but finds no wind to treat; one seeks to treat惊 but finds no惊 to treat. This is truly due to Spleen and Kidney deficiency-cold, lone Yang floating outward, lacking Qi and root, extreme Yin-cold, causing the movement of wind. Treatment should first employ pungent-hot herbs, followed by warming and tonifying. Tonifying Earth (Spleen) controls Wood (Liver); treating the root treats the branch. Whenever an infant suffers from simultaneous vomiting and diarrhea, it is the most critical condition. If it recurs frequently, regardless of post-smallpox/rash status or cause, one must first use *Codonopsis Radix* (Renshen/Dangshen) and *Atractylodis Macrocephalae Rhizoma* (Baizhu) to rescue Stomach Qi, and *Zingiberis Rhizoma Praeparatum* (Jiang), *Cinnamomi Cortex* (Guizhi), and *Rehmanniae Radix Praeparata* (Shudihuang) to rescue Kidney Qi. Not only after food injury should emergency rescue be performed, but also after Wind-Cold or Summerheat injury. Although there were initially excess pathogens of Cold or Heat, vomiting and diarrhea have already expelled them completely. The Spleen and Stomach are empty, the granaries are depleted. Without emergency rescue, deficient phlegm may surge upward, and life may end in an instant. Quack physicians see these signs and mistakenly identify them as Heat or Food Stagnation, administering cooling herbs to clear fire and remove accumulation, leading to immediate deterioration. What can be done? If the error lies in using cold herbs, survival is difficult; it is better to err on the side of warming and tonifying, which can still be salvaged. This statement elucidates the principles of vomiting/diarrhea-induced convulsions thoroughly. Future practitioners should not ignore this. Below, the differentiation of chronic convulsion symptoms is listed.
Chronic convulsion with vomiting and diarrhea indicates Spleen-Stomach deficiency-cold.
Cold body: Yang Qi is suppressed and cannot reach the exterior. Often caused after taking cold herbs.
Flaring nostrils: True Yin is unsecured, deficient fire dries the Lungs.
Bluish-yellow and white complexion: Deficiency of both Qi and Blood.
Cold breath from mouth and nose: Obstruction in the Middle Jiao.
Greenish-white urine and stool: Complete lack of Fire in the Kidneys and Taiyang Bladder channel.
Sleepiness with protruding eyes: Insufficiency of Shen (Spirit) and Qi.
Twitching of hands and feet: Blood fails to circulate to the four limbs.
Opisthotonos: Blood deficiency causing tendon tension.
Alternating heat and cold: Scarcity of Yin-Blood, chaotic interaction of Yin and Yang.
Profuse sweating: Yang deficiency and insecure exterior.
Sunken fontanelle: Extreme deficiency.
Although the body has fever, lips are cracked and bleeding, yet the child does not desire cold tea/water (administering cold herbs increases danger). The vomited milk and excreted matter are poorly digested, indicating lack of Fire in Spleen/Stomach. Blackened/cracked lips indicate insufficiency of True Yin.
For the above chronic convulsion symptoms, observe if several match simultaneously. Then confidently treat according to the following two prescriptions without doubt.
**Zhuhan Dangjing Tang (Eliminate Cold and Dispel Convulsion Decoction)**
Properties are warm. Specifically treats infants with innate deficiency, or prolonged illness unresolved, or post-smallpox/rash medication errors leading to diarrhea/vomiting, transforming into chronic convulsion. Using clearing-heat or dispersing-wind methods worsens the condition. Administer this quickly. It opens cold-phlegm, expands the chest/diaphragm, stops vomiting, and eliminates convulsive pathogens, described as "returning Yuan Qi to the realm of non-existence." After one or two doses, vomiting gradually stops, which is the sign of efficacy. Recognize that if it is purely deficiency-cold, administer it without hesitation.
*Huajiao* (Zanthoxyli Pericarpium), *Paojiang* (Prepared Zingiberis Rhizoma) (each 1 qian); *Rougui* (Cinnamomi Cortex) (preferably with oil, remove bark, 1 qian); *Dingxiang* (Eugeniae Flos) (10 buds).
Grind into fine powder. Boil 3 liang of *Caosuxin Tu* (Furnace Heart Soil) in water, clarify, then decoct the medicine until half a cup remains. Administer frequently by force-feeding. Follow with the next prescription for miraculous effects.
**Jiawei Lizhong Dihuang Tang (Modified Regulate the Middle and Rehmannia Decoction)**
Assists Qi, nourishes Blood, expels disease, restores Yang. Specifically treats infants whose spirit is depleted, Qi and Blood severely damaged, appearing wretched and extremely emaciated, all of which can be reversed. Decoct strongly according to method and administer frequently. Its heaven-saving and root-restoring merits are indescribable.
*Shudihuang* (Prepared Rehmanniae Radix) (5 qian); *Danggui* (Angelicae Sinensis Radix), *Gouqi* (Lycii Fructus), *Dangshen* (Codonopsis Radix), *Suanzaoren* (Ziziphi Spinosae Semen, prepared), *Guzhi* (Psoraleae Fructus) (each 2 qian); *Baizhu* (Atractylodis Macrocephalae Rhizoma) (3 qian); *Yurou* (Corni Fructus), *Paojiang* (Prepared Zingiberis Rhizoma), *Rougui* (Cinnamomi Cortex), *Zhigancao* (Prepared Glycyrrhizae Radix et Rhizoma) (each 1 qian).
Add 3 slices of fresh ginger, 3 dates flesh, and 2 crushed walnuts as guides. Still use 2 liang of *Caosuxin Tu* (Furnace Heart Soil) boiled in water, clarified, then decoct the medicine. Obtain one teacup of concentrated juice. Add 5 fen of *Fuzi* (Aconiti Lateralis Radix Praeparata), boil with water, mix in, and administer according to the child's size in divided doses. If cough persists, add *Suke* (Papaveris Pericarpium) and *Jinyingzi* (Chrysanthemi Fructus - note: Jin Ying Zi is Rosae Laevigatae Fructus) (each 1 qian). If high fever persists, add *Baishao* (Paeoniae Radix Alba) 1 qian. If diarrhea persists, add *Dingxiang* (Eugeniae Flos) 6 fen. After one dose, remove *Fuzi*, using only 7 *Dingxiang*. Every two to three days, use 2-3 fen of *Fuzi* again. Because *Fuzi* is extremely hot, remove it once the disease is addressed. Overuse of *Fuzi* often causes urinary retention. Without *Fuzi*, internal stagnation and knotting persist. Without *Dingxiang*, diarrhea continues. If the infant's deficiency-cold is extreme, *Fuzi* may be used up to 3 qian. This formula nourishes Yin and secures the root, called a divine agent for treating infant chronic convulsion. If vomiting/diarrhea is not severe, or slight convulsions appear, and the Stomach can tolerate medicine, with normal feeding and bowel movements, there is no need to take Zhuhan Dangjing Tang. Taking just one dose of this medicine will settle wind and clarify the mind. If the infant has not yet developed convulsions, merely sleepiness, persistent fever, intermittent fever, quiet during day but fever at night, or afternoon fever, these all belong to Yin deficiency and are suitable for this formula. For newly ill, robust infants with red eyes and thirst, it is an excess-fire syndrome, and temporary clearing/resolving methods may be used. However, true excess-fire must present with constipation, strong voice, and preference for cold drinks. If vomiting and diarrhea occur together, it is clearly not excess-fire.