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，有时呕吐有时腹泻，喉间痰鸣微喘，眼睛睁开但精神萎靡，睡觉时眼睑不能闭合而露出眼球，出现惊跳抽搐，发作与静止交替出现，有时身体发热，有时身体发冷，有时四肢发热，有时口鼻呼出冷气，面色淡白或淡青，眉唇之间有时呈现青暗色，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，或者病情转变过于突然，传变而成。也有因呕吐腹泻不止而形成的。有因气虚导致突发剧烈吐泻而形成的。有因夏季脾胃内伏热邪引起严重吐泻，此时应当解暑清热，不可单纯认为是阳气虚弱而固护阳气。有因脏腑虚弱导致洞泄（水样便）而形成的。有因长期痢疾导致气脱而形成的。有因攻下积滞取泻而形成的。有因吐血、便血而形成的。有因伤寒病传变为阴证而形成的。有因久咳发展为痫证的。有因癫痫发作不止而形成的。有因虫积冲心而形成的。有因睾丸肿胀、疝气腹痛，以及出汗过多导致脾困烦渴、四肢浮肿、大小便闭塞、走马急疳等症，并转化为慢惊风证候的。只有因吐泻、积滞、痢疾导致正气亏虚而引发的，病情变化非常迅速。凡是刚刚经过吐泻，就是慢惊风，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，往往会把慢脾风误认为慢惊风。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，应分别明确病因主治，古人说：“病人怕惊风不怕腹泻，医生怕腹泻不怕惊风”，如果因腹泻不止，应先治疗腹泻，如果再去治风，则惊风会更加严重。如果是其他证候，应当按照原发病施治。其慢惊风证候若从急惊风传来，只可截断风邪、调理胃气，使阴阳平衡，不可全用温热药，以免阳气过盛，再次转变为急惊风证候，用药施治，不过分也不不足，就可以了。急惊风是因为关格不通，稍微使用牛黄、麝香等开通窍道，安定抽搐尚可；慢惊风是阴盛阳衰，各经气血已虚，不宜再通关并凉其脏腑，否则容易转变为慢脾风。慢惊风危急时，如眼睛昏定，固定眨眼，虽然眨眼但不左右看或斜视，四肢厥冷，汗出如流，口面颜色黑黯，指甲发黑，四肢下垂无力，属于极重证。慢惊风的证候表现为眼睛半开半合，似睡非睡，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，或拒食乳食，名为半阴半阳合病，就像伤寒病的半表半里证一样。治疗方法，大要审问病因源流施治，不可一概说是慢惊风证，如果因吐泻得之，用汤氏醒脾散之类的方剂，其他证候可以类推，次第列于后文。然而慢惊风已经传属阴证，也必须准确衡量阴阳亏损的深浅程度，不可让温燥药剂太过。〔钱乙〕慢惊风是因为大病之后或吐泻，或只吐不泻，变成脾胃虚损，全身发冷，口鼻呼出气息也冷，手足时而抽搐，昏睡露睛，这是无阳的表现，宜用栝蒌汤主治。东都王氏之子吐泻，众医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，因为该子胃气尚实，随即睁开眼睛且身体变暖。王姓家属怀疑孩子不大便小便，令众医用药利导，医生留用了八正散等药数服，不利导且身体复冷，令钱乙利小便。钱乙说不当利小便，利小便必然导致身体发冷。一二日后果然身体发冷，于是抱出来，钱乙说不能进食且胃中虚，如果利大小便，则脾胃俱虚，应当身体发冷且闭目即死，现在幸好胎气实而难衰。钱乙用益黄散、使君子丸四服，令其微微能饮食。到了中午，果然能饮食，之所以这样，是因为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，众医当作失音治疗。钱乙说既然失音，为何能睁眼且能饮食，而且牙关不紧、口不噤，众医不能理解。用地黄补肾，钱乙说这是因为用凉药利小便，导致脾肾俱虚，现在脾已实，肾尚虚，所以补肾必安，治疗半月能说话，一月痊愈。〔李杲〕慢惊风者，阴证俱全，脏腑受病，大概小儿吐泻病久，脾胃虚损，若不早治，则成慢惊风，名叫螈（肌肉跳动），类似抽搐但不甚剧烈。因脾胃虚损，所以大便不成形，应当去除脾间风邪，先用宣风散导之，后用益黄散、使君子丸平之，则腹泻自止。既然已经延误治疗，则脾胃俱虚，致使被肝木所乘，这就是慢惊风，应当用温补法，羌活膏主治。〔朱震亨〕阎孝忠编集钱乙方，认为益黄散补土，是错误的。其药中有丁香辛热助火，火旺，土愈虚了，青橘皮泻肺金，丁香辛热大泻肺与大肠，脾实当泻子，现在脾胃虚，反而更泻子而助火，重虚其土，杀人无疑。其风木旺证，右关脉洪大，掌中热，腹皮热，岂可以用助火泻金的药。如寒水来乘脾土，其病呕吐、腹痛，泻痢青白，益黄散是圣药。现在立一方，先泻火补金，大补其土，这是神治之法，以黄芪二钱、人参一钱、炙甘草五分、加白芍药一钱，这四味皆甘温能补元气，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，风木何由而来克土，然后泻风之邪。夫益黄散、理中丸，养神之类，都是治脾胃寒湿大盛，神品之药也，如果得到脾胃中伏火、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，钱乙以羌活膏疗慢惊风，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。〔陈自明〕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。〔薛己〕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。〔薛己〕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。
The manifestations of slow convulsion (Man Jing) include vomiting or diarrhea, phlegm rattling in the throat with slight panting, eyes open but spirit sluggish, sleeping with eyelids retracted exposing the eyeballs, sudden jumping and convulsions alternating with periods of calm, sometimes body heat, sometimes body coldness, sometimes heat in the four limbs, sometimes cold air from mouth and nose, pale white or pale cyan complexion, sometimes dark cyan between eyebrows and lips, and a pulse that is deep, slow, scattered, or slack. This is generally caused by excessive use of cold-cooling medicines during the treatment of rapid convulsion (Ji Jing), or by a too-rapid transformation and transmission of the disease. It may also result from unceasing vomiting and diarrhea, or from sudden severe vomiting and diarrhea due to Qi deficiency. In summer, if there is latent heat in the Spleen and Stomach causing severe vomiting and diarrhea, one should resolve the summerheat and clear heat, rather than solely focusing on securing Yang. It can be formed by viscera deficiency leading to watery diarrhea, by Qi collapse from chronic dysentery, by purging accumulated pathogens, by hematemesis or hematochezia, or by the transmission of Cold Damage (Shang Han) into a Yin syndrome. It may arise from prolonged cough developing into epilepsy, from unceasing epileptic seizures, from intestinal parasites rushing to the heart, or from testicular swelling, hernia, and abdominal pain. Additionally, excessive sweating leading to Spleen distress, irritability, thirst, edema of the four limbs, constipation of urine and stool, rapid-progressing malnutrition (Zou Ma Ji Gan), and other conditions can transmit into slow convulsion patterns. Only when vomiting, diarrhea, accumulation, and dysentery lead to deficiency does the condition change very rapidly. Whenever vomiting and diarrhea have just occurred, it constitutes slow convulsion, requiring warming the Middle and supporting the Interior. If convulsions are urgent, this indicates the initial transmission of slow convulsion, still retaining Yang manifestations; do not mistakenly treat it as rapid convulsion. The popular saying that "slow convulsions equal slow convulsion" is incorrect; adhering to this often leads to misidentifying slow spleen wind (Man Pi Feng) as slow convulsion. For slow convulsion, it is more severe in males when caused by diarrhea, and in females when caused by vomiting. Furthermore, there are five types of vomiting and five types of diarrhea, each with specific causes and treatments. Ancients said: "Patients fear convulsions but not diarrhea; doctors fear diarrhea but not convulsions." If diarrhea is unceasing, treat the diarrhea first; treating wind simultaneously will exacerbate the convulsions. For other syndromes, treat according to the original cause. If slow convulsion transmits from rapid convulsion, only cut off wind and regulate the Stomach, balancing Yin and Yang; do not use exclusively Yang-warming medicines, lest Yang becomes excessive and transforms back into rapid convulsion. Medication should be neither excessive nor insufficient. For rapid convulsion, due to blockage of Guan Ge (gate and partition), slight use of Niuhuang (Calculus Bovis) and Shexiang (Musk) to open orifices and settle convulsions is acceptable. For slow convulsion, characterized by Yin excess and Yang deficiency with emptiness in all meridians, one should not use opening-orifice methods or cool the Zang organs, as this easily transforms into slow spleen wind. In critical slow convulsion, if eyes are fixed and staring, blinking without looking left/right or rolling up, with cold limbs, profuse sweating, dark/blackish complexion and nails, and flaccid limbs, it is extremely severe. Slow convulsion presents with eyes half-open/half-closed, drowsy but not fully asleep, pulse floating or deep, body hot or cold, vomiting/diarrhea or none, accepting or rejecting milk, named Half-Yin Half-Yang Combined Disease, similar to Shaoyang syndrome in Cold Damage. Treatment requires investigating the source; do not generalize as slow convulsion. If caused by vomiting/diarrhea, use Tang Shi Xing Pi San (Wake the Spleen Powder); other cases follow suit. Since slow convulsion belongs to Yin, assess the depth of Yin/Yang deficiency; avoid overly warm-drying agents. [Qian Yi] Slow convulsion occurs after serious illness, vomiting/diarrhea, or vomiting without diarrhea, transforming into Spleen/Stomach deficiency. Symptoms include whole-body coldness, cold breath from mouth/nose, intermittent limb twitching, drowsiness with exposed eyes, indicating absence of Yang. Treat with Gualou Tang (Trichosanthes Decoction). A child of Wang in Dongdu had vomiting/diarrhea; physicians used purgatives causing extreme deficiency, transforming into slow convulsion with drowsiness, exposed eyes, limb twitching, and cold body. Qian Yi diagnosed slow convulsion and prescribed Gualou Tang. As the child's Stomach Qi was substantial, eyes opened and body warmed. The father suspected urinary/fecal retention and asked for diuretics/purgatives. Physicians used Bazheng San (Eight-Herb Correcting Powder) without effect, body became cold again, and they asked Qian Yi to promote urination. Qian Yi stated promoting urination is inappropriate and would cause coldness. Indeed, the body became cold. Qian Yi explained that inability to eat indicates Stomach deficiency; promoting urination/stool would exhaust Spleen/Stomach, leading to coldness, closed eyes, and death. Fortunately, fetal Qi was strong. Qian Yi used Yihuang San (Yellow Protecting Powder) and Shijunzi Wan (Quince Pill) four doses, allowing slight intake. By noon, the child could eat. Promoting urination/stool damages Spleen/Stomach Yang; tonify Spleen, do not attack further. Later, the child lost speech; physicians treated aphasia. Qian Yi questioned how an aphasic patient could open eyes and eat, noting no lockjaw. Using Dihuang (Rehmannia) to tonify Kidney was wrong; cooling diuretics damaged Spleen/Kidney. Now Spleen is solid, Kidney deficient; tonify Kidney for safety. After half a month, speech returned; full recovery in one month. [Li Gao] Slow convulsion involves complete Yin syndromes and viscera pathology. Prolonged vomiting/diarrhea damages Spleen/Stomach; untreated, it becomes slow convulsion, termed Yu (muscle twitching), resembling convulsion but less intense. Due to Spleen/Stomach deficiency, stools are loose; remove wind from Spleen using Xuanfeng San (Disperse Wind Powder) first, then Yihuang San and Shijunzi Wan to stabilize, stopping diarrhea. Delayed treatment leads to Spleen/Stomach deficiency and Liver Wood overacting; this is slow convulsion, treat with warming tonification using Qianghuo Gao (Notopterygium Ointment). [Zhu Danxi] Yan Xiaozhong’s compilation of Qian’s formulas incorrectly claims Yihuang San tonifies Earth. Dingxiang (Clove) is acrid-hot and aids Fire, worsening Earth deficiency. Qingjupi (Green Tangerine Peel) drains Lung Metal; Dingxiang drains Lung/Large Intestine. When Spleen is excess, drain the Son (Metal); but here Spleen is deficient, so draining Son and aiding Fire doubly injures Earth, likely fatal. In wind-Wood excess with surging Right Guan pulse, palm/abdominal heat, such drugs are contraindicated. If Cold Water attacks Spleen Earth causing vomiting, abdominal pain, green/white dysentery, Yihuang San is excellent. I propose a formula: Huangqi (Astragalus) 2 qian, Renshen (Ginseng) 1 qian, Zhigancao (Honey-fried Licorice) 0.5 qian, Baishaoyao (White Peony Root) 1 qian. These four are sweet-warm, tonifying Yuan Qi; sweet drains fire. *Neijing* states: "For heat rampant within, drain with sweet, astringe with sour." Baishaoyao is sour-cold, draining fire and Liver, tonifying Lung Metal. This strengthens Metal/Earth positions; Metal strong, Fire weak, Wind-Wood cannot attack Earth, then drain wind pathogen. Yihuang San and Lizhong Wan treat Spleen/Stomach cold-damp excess. For latent fire, fatigue insufficiency, or slow convulsion from heat drugs like Badou (Croton), these are fatal. Slow convulsion arises from prolonged diarrhea damaging Spleen/Stomach. Qian’s use of Qianghuo Gao is erroneous. Spleen deficiency results from Fire Evil attacking Earth (deficient evil from posterior). Fire excess strengthens Wood, which attacks Earth. Tonify Earth source via Heart Meridian with sweet-warm; drain Fire in Spleen with sweet-cold; tonify Metal in Spleen with sour-cool. This makes Metal strong/Fire weak in Spleen Earth, rendering Wind-Wood empty. [Chen Zimou] For crying with convulsions, unstable sleep, use Sijunzi Tang plus Quanxie (Scorpion) fried, Gouteng (Uncaria) fried, Fuzi (Aconite) fried, equal parts, decoct. For Spleen/Stomach weakness generating wind, use Sijunzi Tang plus Chao Banxia Qu (Fried Pinellia Ferment), Moshizi (Lapis Lazuli), equal parts, powder, add winter melon seeds, decoct. [Xue Ji] Frequent vomiting/diarrhea impending slow convulsion: Use Qian’s Baizhu San plus Shanyao (Dioscorea), Bian Dou (Lablab) fried, Rou Doukou (Nutmeg) flour-roasted, 1 qian each, add ginger slice, decoct. If slow convulsion established, add Xixin (Asarum), Tianma (Gastrodia) 1 qian each, Quanxie 3 (remove sting), Fuzi 0.8 qian flour-roasted. Convulsion with diarrhea: Renshen, Lingzhi (Poria), Shaoyao wine-fried, Baizhu, ginger decoct. Summer: add Huanglian (Coptis), Gancao, Zhuye (Bamboo Leaf). [Zeng Shirong] Ancient texts lack basis for treating slow convulsion, recording only Yin Epilepsy. Slow convulsion is Yin, static with slow spasms. Causes: external Wind-Cold, internal vomiting/diarrhea, post-serious illness, or iatrogenic error. Symptoms: dull eyes, dim spirit, moving limbs, drooling, slight warmth, upward/sideways eye gaze, clenched fists with spasms, leg movements. Male left/female right spasms are favorable; reverse is unfavorable. Cold breath or sunken fontanelle indicates extreme deficiency; deep powerless pulse, sleeping with eyes half-open indicates True Yang depletion and Yin dominance. Yin generates Cold (Water), Water generates Liver Wood (Wind), Wood attacks Spleen Earth. Stomach is Spleen’s palace, so Wind in Stomach causes Yu. Symptoms: shrugging shoulders, hanging arms, trembling. Treat with Qingzhou Baiwanzi (Qingzhou White Pills) and Suhexiang Wan (Styrax Pills) pounded with ginger juice, taken with rice water. Add Jin Ye Dan (Golden Liquid Pill) for extreme deficiency. Then Chonghe Yin with Qibao San, ginger decoct, to disperse wind/resolve vomiting/diarrhea. Intermittently use Weiling Tang to rescue exterior/interior. Unstopping vomiting: Dingtu Yin. Unstopping diarrhea: Liuzhu San or Sheng Tang to remove stomach wind/settle spasms/clear spirit. Wuling San guides rebellion, harmonizes Ying/Wei, balances Yin/Yang. Phlegm-heavy, white lips, ice-cold limbs, unconsciousness: extreme deficiency-slow. Use Guzhen Tang immediately to generate Stomach Qi. Once Qi returns, use Xingpi San and Chenxiang Yin for regulation. [Xue Ji] Slow convulsion symptoms: vomiting/diarrhea, phlegm rattle, panting, open eyes/sluggish spirit, drowsiness/exposed eyes, jumping/spasms alternating, body hot/cold, pale cyan/white face or cyan/red lips, slow/deep/slack pulse. Caused by congenital insufficiency, chronic Spleen deficiency, or frequent use of harsh/draining drugs. If Earth deficiency fails to generate Metal, Metal fails to control Wood, and Wood insults Earth, use Wuwei Yigong San plus Danggui (Angelica), Suanzaoren (Ziziphus), assisted by Gouteng Yinzi to tonify Earth/control Wood. If Spleen Earth deficiency-cold, use Liujunzi Tang plus Pa Jiang (Fried Ginger), Muxiang (Costus); if ineffective, urgently add Fuzi to restore Yang. Yin-blood is born from Spleen Earth; use Sijunzi Tang, Danggui, Suanzaoren. For Yuan Qi depletion causing coma, moxa Baihui point urgently; delaying until phlegm persists leads to Qi collapse and death.