《口议》先凉三焦,利惊去热,安神定志,平调脏腑,温化痰涎,然后与治惊痫
药服之。
比金丹
人参 白茯苓 远志(去心) 山药 辰砂 天麻 石菖蒲 川芎 甘草(炙。各一分) 天南星(炮,二钱,生
姜汁制) 麝香(一字)
上为细末,炼蜜为丸,皂子大。每服一粒,煎金银、薄荷汤化下。一方,有
琥珀(二钱) 青黛(一钱),无山药。
〔钱氏〕蛇黄丸 治惊痫,因震骇恐怖,叫号恍惚,是也。
蛇黄(真者三个,火 ,醋淬) 郁金(七分一处为末) 麝香(另入一匙)
上为末,饭丸,桐子大。每服十二丸,煎金银、磨刀水化下。
镇惊丸 治小儿一切惊痫。
茯神(去木) 铁粉 远志(去心,姜制焙) 紫石英(烧,醋淬,研) 人参(去芦)
琥珀 滑石 蛇黄( ,醋淬) 南星(炮。各二钱半) 龙齿 熊胆(各半分) 轻粉(三分)
上为细末,炼蜜为丸,如梧桐子大,朱砂为衣。每服三五丸,煎金银汤磨化,
不拘时服。
虎睛丸 治小儿惊痫,邪气入心。
虎睛(细研) 远志(姜制焙,去心) 犀角(镑) 大黄(湿纸裹煨) 石菖蒲 麦门冬(去心。
各二钱半) 蜣螂(三枚,去足翅炒)
上为细末,粟米粉打糊为丸,如梧桐子大。每服五七丸,竹叶煎汤磨化,或金
银煎汤亦可,不拘时服。
七宝镇心丸 治小儿惊痫心热。
远志(去心,姜制焙) 雄黄 铁粉 琥珀(各二钱) 朱砂(一钱) 金银箔(四片) 麝香(少许)
上为细末,煮枣取肉为丸,如梧桐子大。每服三五丸,煎去心麦门冬汤化下,
不拘时服。
清神散 治小儿惊痫。
犀角 白藓皮 石菖蒲 远志(去心,姜制焙) 半夏(汤泡。各二钱半) 茯神(半两)
大黄(焙) 人参 甘草(炙。各一钱半)
上为末。每服半钱,煎去心麦门冬汤调,不拘时服。
《口议》篇指出,治疗时应先清利三焦(上、中、下三焦),以祛惊退热,安神定志,平调脏腑功能,温化痰涎,然后再服用治疗惊痫的药物。
比金丹方:人参、白茯苓、远志(去除心部)、山药、辰砂、天麻、石菖蒲、川芎、甘草(炙制,各一分)、天南星(炮制,二钱,用生姜汁炮制)、麝香(一字)。
以上药物研为细末,用炼蜜制成丸剂,大小如皂角子。每次服用一粒,用金银、薄荷煎汤送服化开。另一版本方中,加入琥珀(二钱)、青黛(一钱),去掉山药。
〔钱乙〕蛇黄丸:治疗惊痫,因受惊吓恐怖,出现呼叫号哭、神志恍惚的症状,适用此方。
蛇黄(真品三个,火煅后醋淬)郁金(七分,一处研为细末)、麝香(另加一匙)。
以上药物研为细末,用饭糊制成丸剂,大小如梧桐子。每次服用十二丸,用金银、磨刀水煎汤送服化开。
镇惊丸:治疗小儿各种惊痫。
茯神(去除木质部分)、铁粉、远志(去除心部,姜汁制后焙干)、紫石英(烧红后醋淬,研细)、人参(去除芦头)、琥珀、滑石、蛇黄(火煅醋淬)、南星(炮制,各二钱半)、龙齿、熊胆(各半分)、轻粉(三分)。
以上药物研为细末,用炼蜜制成丸剂,大小如梧桐子,朱砂为衣。每次服用三五丸,用金银汤磨化送服,不拘时间服用。
虎睛丸:治疗小儿惊痫,邪气侵入心脏。
虎睛(细研)、远志(姜汁制后焙干,去心)、犀角(镑片)、大黄(湿纸包裹煨制)、石菖蒲、麦门冬(去心,各二钱半)、蜣螂(三枚,去除足翅炒制)。
以上药物研为细末,用粟米粉打糊制成丸剂,大小如梧桐子。每次服用五至七丸,用竹叶煎汤磨化送服,或用金银煎汤亦可,不拘时间服用。
七宝镇心丸:治疗小儿惊痫伴有心热。
远志(去心,姜制焙干)、雄黄、铁粉、琥珀(各二钱)、朱砂(一钱)、金银箔(四片)、麝香(少许)。
以上药物研为细末,煮枣取肉制成丸剂,大小如梧桐子。每次服用三五丸,用去心麦门冬煎汤送服化开,不拘时间服用。
清神散:治疗小儿惊痫。
犀角、白藓皮、石菖蒲、远志(去心,姜制焙干)、半夏(汤泡,各二钱半)、茯神(半两)、大黄(焙干)、人参、甘草(炙制,各一钱半)。
以上药物研为细末。每次服用半钱,用去心麦门冬煎汤调服,不拘时间服用。
The "Kou Yi" (Oral Discussion) section states that treatment should first clear and benefit the Sanjiao (Triple Burner), dispel fright and remove heat, calm the spirit and stabilize the will, harmonize the Zang-Fu organs, and warm-transform phlegm-fluids. Only then should medicines for treating Jing-Xian (Fright-Palsy) be administered.
Bijin Dan (Comparison Golden Pill): Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Yuan Zhi (Polygalae Radix) [remove heart], Shan Yao (Dioscoreae Rhizoma), Chen Sha (Cinnabaris), Tian Ma (Gastrodiae Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted, each 1 fen], Tian Nan Xing (Arisaematis Rhizoma) [processed, 2 qian, prepared with fresh ginger juice], She Xiang (Moschus) [1 zi].
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of a gourd seed. Take one pill per dose, dissolve in a decoction of gold/silver and Bo He (Menthae Haplocalycis Herba). Another variant includes Hu Po (Electrum) [2 qian] and Qing Dai (Azurite), omitting Shan Yao.
[Qian Yi] She Huang Wan (Snake Yellow Pill): Treats Jing-Xian caused by shock and terror, characterized by crying out and mental confusion.
She Huang (True Ophiopogon tuber? *Note: Contextually likely refers to a mineral or specific animal product processed with vinegar, traditionally associated with clearing heat/calming liver wind, often identified as Hematites or similar in ancient texts, but literally 'Snake Yellow'. In modern WHO context, this is an archaic term. We translate literally.*) [three genuine pieces, calcined and quenched in vinegar], Yu Jin (Curcumae Radix) [7 fen, ground together into powder], She Xiang (Moschus) [add separately, 1 spoonful].
Grind the above into powder, use rice paste to make pills the size of a paulownia seed. Take 12 pills per dose, dissolve in a decoction of gold/silver and water used for sharpening knives.
Zhen Jing Wan (Fright-Calming Pill): Treats all types of Jing-Xian in children.
Fu Shen (Poria cum Radice) [remove wood], Tie Fen (Ferrum), Yuan Zhi (Polygalae Radix) [remove heart, prepare with ginger juice and bake], Zi Shi Ying (Fluoritum) [calcined, quenched in vinegar, ground], Ren Shen (Ginseng Radix et Rhizoma) [remove radix tip], Hu Po (Electrum), Hua Shi (Talcum), She Huang [calcined, quenched in vinegar], Nan Xing (Arisaematis Rhizoma) [processed, each 2.5 qian], Long Chi (Dent Draconis), Xiong Dan (Ursi Bile), Qing Fen (Calomelas) [3 fen].
Grind the above into a fine powder, mix with refined honey to make pills the size of a paulownia seed, coat with Zhu Sha (Cinnabaris). Take 3-5 pills per dose, grind and dissolve in a decoction of gold/silver, take at any time.
Hu Jing Wan (Tiger Eye Pill): Treats pediatric Jing-Xian where pathogenic qi enters the Heart.
Hu Jing (Tiger's Eyes) [fine grinding], Yuan Zhi (Polygalae Radix) [prepare with ginger juice, bake, remove heart], Xi Jiao (Rhinocerotis Cornu), Da Huang (Rhei Radix et Rhizoma) [wrapped in wet paper and baked], Shi Chang Pu (Acori Tatarinowii Rhizoma), Mai Men Dong (Ophiopogonis Radix) [remove heart, each 2.5 qian], Qiang Lang (Scarabaeus) [3 specimens, remove legs and wings, stir-fry].
Grind the above into a fine powder, use millet flour paste to make pills the size of a paulownia seed. Take 5-7 pills per dose, grind and dissolve in a decoction of Zhu Ye (Bambusae Folium), or a decoction of gold/silver may also be used, take at any time.
Qibao Zhenxin Wan (Seven-Treasures Heart-Calming Pill): Treats pediatric Jing-Xian with Heart Heat.
Yuan Zhi (Polygalae Radix) [remove heart, prepare with ginger juice and bake], Xiong Huang (Realgar), Tie Fen (Ferrum), Hu Po (Electrum) [each 2 qian], Zhu Sha (Cinnabaris) [1 qian], Jin Yin Bo (Gold and Silver Leaf) [4 pieces], She Xiang (Moschus) [a small amount].
Grind the above into a fine powder, boil jujubes, take the flesh to make pills the size of a paulownia seed. Take 3-5 pills per dose, dissolve in a decoction of Mai Men Dong (Ophiopogonis Radix) [removed heart], take at any time.
Qingshen San (Spirit-Clearing Powder): Treats pediatric Jing-Xian.
Xi Jiao (Rhinocerotis Cornu), Bai Xian Pi (Dictamni Cortex), Shi Chang Pu (Acori Tatarinowii Rhizoma), Yuan Zhi (Polygalae Radix) [remove heart, prepare with ginger juice and bake], Ban Xia (Pinelliae Rhizoma) [soaked in boiling water, each 2.5 qian], Fu Shen (Poria cum Radice) [0.5 liang], Da Huang (Rhei Radix et Rhizoma) [baked], Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) [roasted, each 1.5 qian].
Grind the above into powder. Take half a qian per dose, mix with a decoction of Mai Men Dong (Ophiopogonis Radix) [removed heart], take at any time.