全蝎（去毒面炒一分） 天南星（一两为末水调作剂包裹蝎煨令赤色蝎不用炒亦得） 天麻
（一分） 朱砂（一分令研） 轻粉（半分重） 脑子（一字） 麝（一字）
上件为末和匀每服半分煎金银薄荷汤调以通为度
治婴孩小儿急惊风痰涎壅盛欲下去痰退热
巴霜（半两已） 青黛（一分） 天南星（半两炮） 轻粉（一两重） 滑石（二两重） 全蝎（
或外去毒炒）
上为末水煮面糊为丸麻子大每一岁五丸二岁七丸三岁十丸大小加减用薄荷茶清送下以通
为度
议曰凡看小儿症候不问长幼目视指切心究意到医权药衡准鉴疾之轻重所谓斟酌对治已遵
其法
药入肠胃犹合符节者上也按睹之后忖度方法思惟料理良久始达其源用医投药者次也不体全功
何谓艰疗非四病之异端乃谓究竟不若是今议惊风之疾有急有慢鄙夫以搐急谓急搐慢谓慢斯说
未当古人言论阴阳痫者是也阳痫曰急惊阴痫曰慢惊阳痫颊赤体热唇红脉数牙关紧口流涎阴痫
者吐利作热生风不有阳症惟有搐搦毕竟脉来散缓乃是阴候无可疑惟
是阳症传阴阴盛阳亏阴症作疾速用扶里如急惊风候阳盛阴亏阴气刚壮当用下之
使阴阳二气均平调荣卫二脉和顺方乃可宜前件方药轻则揭风盛则劫风重则青金或以真珠丸
请详而复已其切察之轻重审以汤剂得中胜妙莫令违也若或怠缓害加祸生医者主察勿今致咎
全蝎（去除毒面后炒制一分） 天南星（一两，研为细末，用水调成糊状包裹全蝎，煨至赤色，全蝎不必再炒也可以） 天麻（一分） 朱砂（一分，需研磨） 轻粉（半分重） 脑子（一字） 麝香（一字）
以上药物研为细末并混合均匀，每次服用半分，用金银花、薄荷煎汤调服，以大便通畅为度。
治疗婴幼儿急惊风，痰涎壅盛，欲通过下法去痰退热：
巴豆霜（半两） 青黛（一分） 天南星（半两，炮制） 轻粉（一两重） 滑石（二两重） 全蝎（或外用，去毒炒制）
以上药物研为细末，用水煮面粉糊制成丸药，大小如麻子。每岁五丸，两岁七丸，三岁十丸，根据年龄大小加减，用薄荷茶清送服，以大便通畅为度。
议论说：凡是观察小儿病症，不论长幼，都要目视、指切，心中探究，意念到位，像权衡一样衡量药物，像镜子一样鉴别疾病的轻重，这就是所谓的斟酌对症施治，已经遵循了这种方法。
药物进入肠胃，如同符节相合那样精准，这是上等的；诊察之后，揣度方法，思考料理良久，才达到病源，使用医生投药，这是次等的。不体察整体功效，为什么说治疗艰难？并非四种疾病中的异端，而是说究竟不是这样。现在议论惊风之疾，有急有慢，鄙夫认为抽搐急促叫急惊，抽搐缓慢叫慢惊，这种说法是不恰当的。古人言论阴阳痫是正确的。阳痫叫做急惊，阴痫叫做慢惊。阳痫的症状是脸颊红、身体热、嘴唇红、脉数、牙关紧闭、口流涎水；阴痫则是吐利发热生风，没有阳症，只有抽搐痉挛，最终脉象散缓，乃是阴候，无可怀疑。
只是阳症传变为阴，阴盛阳亏，阴症发作时，迅速扶里。如急惊风候，阳盛阴亏，阴气刚壮，应当用下法。
使阴阳二气均平，调和营卫二脉和顺，才可以适宜使用前方的药物。轻则用揭风汤，盛则用劫风方，重则用青金丸，或者真珠丸。请详细复查，仔细察辨轻重，审度汤剂得当，胜过妙方，不要违背。如果怠慢迟缓，危害加重，祸患产生，医者主要在于察辨，不要导致过错。
Scorpio (Quingqie, Scorpion) (remove venomous powder, stir-fry, 1 fen) Arisaema Cum Bile (Tian Nan Xing, Rhizoma Arisaematis Preparatum) (1 liang, grind into powder, mix with water to make a paste, wrap the scorpion, bake until reddish-brown; the scorpion need not be stir-fried again) Gastrodia Elata (Tian Ma, Rhizoma Gastrodiae) (1 fen) Cinnabar (Zhu Sha, Cinabris) (1 fen, must be ground) Calomelas (Qing Fen, Hydrargyri Chloridum Mite) (0.5 fen weight) Borneol (Nao Zi, Borneolum Syntheticum) (1 zi) Moschus (She, Moschus) (1 zi)
Grind the above ingredients into fine powder and mix evenly. Take 0.5 fen per dose, mixed with decoction of Honeysuckle Flower (Jinyinhua, Flos Lonicerae Japonicae) and Mint (Bohe, Herba Menthae), administered until bowel movement is unobstructed.
Treating infantile acute convulsion (Ji Jing Feng, Acute Convulsive Disorder) with excessive phlegm-saliva, aiming to remove phlegm and reduce fever via purgation:
Crotonis Fructus Extract (Ba Shuang, Semen Crotonis Extractum) (0.5 liang) Indigo Naturalis (Qing Dai, Indigo Naturalis) (1 fen) Arisaema Cum Bile (Tian Nan Xing, Rhizoma Arisaematis Preparatum) (0.5 liang, processed) Calomelas (Qing Fen, Hydrargyri Chloridum Mite) (1 liang weight) Talcum (Hua Shi, Talcum) (2 liang weight) Scorpio (Quingqie, Scorpion) (or for external use, remove venom and stir-fry)
Grind the above ingredients into fine powder, boil wheat flour paste in water to form pills, size similar to sesame seeds. Five pills per year of age, seven pills for two years old, ten pills for three years old, adjusted according to age. Administer with clear tea brewed from Mint (Bohe, Herba Menthae), until bowel movement is unobstructed.
Discussion states: When observing pediatric symptoms, regardless of age, one must observe visually, palpate with fingers, investigate mentally, and ensure intent is precise, weighing medicines like a scale and diagnosing disease severity like a mirror. This is termed "careful consideration for appropriate treatment," which adheres to proper methods.
When medicine enters the stomach and intestles, fitting perfectly like tally tokens, this is superior. After diagnosis, pondering methods, thinking and managing for a long time before reaching the source, using doctors to administer medicine, this is secondary. Not comprehending the overall efficacy, why is treatment considered difficult? It is not an anomaly among the four diseases, but rather that the ultimate outcome is not as described. Currently discussing convulsive disorders, there are acute and chronic types. Vulgar opinion considers rapid convulsions as acute and slow convulsions as chronic, which is inappropriate. Ancient discussions on Yin-Yang epilepsy are correct. Yang epilepsy is called acute convulsion (Ji Jing Feng, Acute Convulsive Disorder); Yin epilepsy is called chronic convulsion (Man Jing Feng, Chronic Convulsive Disorder). Symptoms of Yang epilepsy include red cheeks, hot body, red lips, rapid pulse, locked jaw, and drooling. Symptoms of Yin epilepsy include vomiting, diarrhea, fever generating wind, absence of Yang symptoms, only convulsions and spasms, ultimately with a scattered and slow pulse, indicating a Yin condition, beyond doubt.
If Yang syndrome transmits to Yin, with Yin excess and Yang deficiency, when Yin syndrome manifests, rapidly support the interior. In cases of acute convulsion where Yang is excess and Yin is deficient, with robust Yin qi, purgation should be used.
To balance Yin and Yang Qi, harmonize Ying and Wei pulses, it is appropriate to use the aforementioned formulas. For mild cases, use Jie Feng Tang (Revealing Wind Decoction); for severe cases, use Jie Feng Fang (Seizing Wind Formula); for heavy cases, use Qing Jin Wan (Blue Gold Pill) or Zhen Zhu Wan (Pearl Pill). Please review carefully, inspect severity precisely, determine decoction dosage appropriately, surpassing excellent prescriptions, do not deviate. If negligent or delayed, harm increases, disaster arises. The physician's primary duty is observation, do not cause fault.