治婴孩小儿急惊风候传慢惊宜服保命丹良方
白茯苓 朱砂（令研） 白附子（炮） 牛黄（如无以制者加用之） 天南星（炮各一两） 全
蝎（炒半两） 天麻（炒一两半） 甘草（炙一两） 硼砂（一两） 脑 麝（各半字）
上为末和匀薄糊为丸鸡头大每服一丸金银薄荷汤化下
议曰此一方已述灵秘所治急传慢候用之极良其药纯和却惊安神化痰定搐功效非常然急惊
传来
初入慢候须较阴阳亏盈乃为法则阴盛阳亏方谓阴痫荣虚卫弱方传阴痫心惊神散方传热热经桑
络弱方传热热痫之为病四体不收精神失守百病于邪五脏受虚但随四症而作八候医工当察标本
理之若也症传候变即入慢脾十死一生至为难事请究所受疗理越于古意或太过不及总为虚哉
治婴孩小儿因吐而传慢惊风候宜服观音全蝎散
黄 （一两） 人参（一分） 木香（一两） 炙草 石莲肉（炒） 扁豆（炒） 白茯苓（各一
两） 白芷 全蝎 防风 羌活（各一两） 天麻（二两）
上为末每服半钱一钱枣子半个水一小盏煎至半与服不拘时候慢脾尤宜服之
议曰观音散东汉王氏所着调理婴孩清神固气补虚益脉开胃止吐醇乎醇善之善者耶所缘用
药截
风者何正于危急之际却作两饵役之先与生其胃气次服截风定痫如此疗理不惟 曲致缓又旦未
能药入脾胃之间悟其至理两剂一行或加白丸子末以半和之乃尽其妙
治疗婴幼儿急惊风传变为慢惊风时，适宜服用保命丹，此方为良方。
白茯苓、朱砂（需研磨）、白附子（炮制）、牛黄（如果没有现成的，可以添加替代品）、天南星（炮制，各一两）、全蝎（炒制，半两）、天麻（炒制，一两半）、甘草（炙制，一两）、硼砂（一两）、冰片与麝香（各半字）。
以上药物研为细末，混合均匀，用稀薄的米糊制成如鸡头大小的丸药。每次服用一丸，用金银花、薄荷煎汤送服化开。
按语说：这一方剂已经在《灵秘》中记载过，用于治疗急惊风传变为慢惊风的证候，效果极好。其药性纯和，能镇惊安神、化痰定搐，功效非凡。然而，急惊风传来初入慢惊风阶段时，必须辨别阴阳的盈亏情况，以此作为法则。阴盛阳亏，称为阴痫；营气虚弱卫气衰弱，称为传变之阴痫；心惊神散，称为热痫；经络虚弱，称为热痫。这种病的发生，四肢不能收摄，精神失守，百邪侵袭，五脏受虚。只要随着四种症状发作，出现八种候象，医生应当考察标本，进行调理。如果症状传变入慢脾风，则十死一生，极为难治。请探究所受的病机与治疗原理，超越古人的意旨，无论是太过还是不及，总归都是虚证。
治疗婴幼儿因呕吐而传变为慢惊风证候时，适宜服用观音全蝎散。
黄芪（一两）、人参（一分）、木香（一两）、炙甘草、石莲肉（炒制）、扁豆（炒制）、白茯苓（各一两）、白芷、全蝎、防风、羌活（各一两）、天麻（二两）。
以上药物研为细末。每次服用半钱至一钱，取半个枣子、一小盏水，煎至一半水量时服用，不拘泥于具体时间。慢脾风尤其适宜服用。
按语说：观音散出自东汉王氏所著，用于调理婴幼儿，能清神固气、补虚益脉、开胃止吐，真是善中之善啊。之所以使用截风类药物，是因为在危急时刻，分两次给药来役使药力。先给予药物以生发胃气，其次服用截风定痫的药物。如此治疗，不仅能使病情曲折地趋于缓和，而且如果在药力进入脾胃之间之前未能领悟其中的至理，两剂药并行，或者加入白丸子末的一半与之调和，才能穷尽其妙处。
To treat infants and young children whose acute convulsion (Ji Jing Feng) has transmitted to become chronic convulsion (Man Jing), it is appropriate to administer Bao Ming Dan (Preserve Life Pill), which is an excellent prescription.
Bai Fuling (Poria, *Poria cocos*), Zhu Sha (Cinnabar, *Cinnabaris*), Bai Fuzi (Prepared Aconiti Kusnezoffii Rhizoma, *Aconitum kusnezoffii*); Tian Nan Xing (Prepared Arisaematis Rhizoma, *Arisaema erubescens*) [each 1 liang]; Quan Xie (Scorpion, *Scorpio*, fried, 0.5 liang); Tian Ma (Gastrodiae Rhizoma, *Gastrodia elata*, fried, 1.5 liang); Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*, honey-fried, 1 liang); Peng Sha (Borax, *Borax*, 1 liang); Nao Bing (Borneolum Syntheticum, synthetic borneol) and She Xiang (Moschus, *Moschus)* [each half zi].
Grind the above herbs into fine powder, mix evenly, and bind with thin rice paste to form pills the size of a cockspur ginger seed. Take one pill per dose, dissolving it in a decoction of Yin Hua (Lonicerae Japonicae Flos, *Lonicera japonica*) and Bo He (Menthae Haplocalycis Herba, *Mentha haplocalyx*).
Commentary: This prescription was already recorded in *Ling Mi* for treating conditions where acute convulsion transmits to chronic convulsion, yielding excellent results. The medicinal properties are pure and harmonious, capable of calming fright, nourishing the spirit, resolving phlegm, and stopping spasms, with extraordinary efficacy. However, when acute convulsion first transmits to the stage of chronic convulsion, one must assess the excess or deficiency of Yin and Yang as the guiding principle. When Yin is excessive and Yang is deficient, it is termed Yin Epilepsy (Yin Xian); when Ying Qi is deficient and Wei Qi is weak, it is termed the transmission of Yin Epilepsy; when the heart startles and the spirit scatters, it is termed Heat Epilepsy; when the meridians and collaterals are weak, it is also termed Heat Epilepsy. The pathology of this disease involves the inability of the four limbs to hold themselves, loss of spiritual control, invasion by myriad pathogens, and deficiency in the five Zang organs. Depending on the manifestation of the four symptoms and the appearance of eight signs, physicians should investigate the root and branch to regulate the condition. If the syndrome transmits to Slow Spleen Wind (Man Pi Feng), the mortality rate is ten deaths to one life, making it extremely difficult to treat. One must explore the pathogenesis and therapeutic principles, transcending ancient concepts; whether due to excess or deficiency, it ultimately constitutes a state of deficiency.
To treat infants and young children whose chronic convulsion has been transmitted due to vomiting, it is appropriate to administer Guan Yin Quan Xie San (Guanyin Scorpion Powder).
Huang Qi (Astragali Radix, *Astragalus membranaceus*, 1 liang); Ren Shen (Ginseng Radix, *Panax ginseng*, 1 fen); Mu Xiang (Aucklandiae Radix, *Aucklandia lappa*, 1 liang); Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, *Glycyrrhiza uralensis*, honey-fried); Shi Lian Rou (Stonesoup Lotus Seed Embryo, *Nelumbinis Plumula*, fried); Bian Dou (Vigna Semen, *Vigna umbellata*, fried); Bai Fuling (Poria, *Poria cocos*) [each 1 liang]; Bai Zhi (Angelicae Dahuricae Radix, *Angelica dahurica*); Quan Xie (Scorpion, *Scorpio*); Fang Feng (Saposhnikoviae Radix, *Saposhnikovia divaricata*); Qiang Huo (Notopterygii Rhizoma et Radix, *Notopterygium incisum*) [each 1 liang]; Tian Ma (Gastrodiae Rhizoma, *Gastrodia elata*, 2 liang).
Grind the above herbs into fine powder. Take 0.5 qian to 1 qian per dose, along with half a jujube and one small cup of water, decoct until half remains, then administer. There are no restrictions on timing. It is particularly suitable for Slow Spleen Wind.
Commentary: Guanyin San originates from the works of Wang Shi of the Eastern Han Dynasty. It is used to regulate infants, clearing the spirit, consolidating Qi, tonifying deficiency, benefiting pulses, opening the appetite, and stopping vomiting. It is truly the best among the good. Why use wind-intercepting herbs? Because in critical situations, administering two doses serves to manage the condition. First, administer herbs to generate Stomach Qi; subsequently, administer wind-intercepting and epilepsy-stopping herbs. Such treatment not only gradually alleviates the condition but also requires understanding the profound principles before the medicine enters the Stomach and Spleen. Administering two courses of action together, or mixing half with Bai Wan Zi (White Pills) powder, can fully realize its miraculous effects.