项软多无力,喉间似锯牵,面红妆色见,目睛杳无光,鱼口开粗气,脚冷直偏长,啮衣胡乱咬,瘀血泻于肠,睛
开还又合,浑身硬似僵,十般惊后病,休用更思量。
急惊,风关黑纹直者,死。慢惊,气关紫纹两条传至风关者,死。无此虽凶无妨。
慢惊因久病之后,诸经已虚,又过用凉剂,致脾胃微弱,四肢无力,身体倦怠,面 白,眼不开,似搐不搐,时时
,精神昏慢,唇口俱白,脉或浮或沉,身或温或凉,本无热或壮热,本无痰而喉如拽锯,一团虚热痰也。
脾胃虚弱,土受亏而木来侮,亦见惊搐,诸症
俱渐缓,故名慢惊。以怯弱之儿大病之后,或外感风冷,脾胃益虚,风乘而入,逐风不可,驱惊不可,只宜温补,
无汗下之理。若错用下痰药,痰随气降,气随痰绝矣。温补宜用∶
茯苓 陈皮 天麻 防风 山药 扁豆 白术 全蝎 僵蚕 白附子 姜制半夏
弱甚加人参,不食加莲肉,寒甚加木香、丁香。纵急惊传来,用胆星化痰,白术调胃,勿用凉药。
慢脾惊多泻而得,胃虚惊久吐而成。脾肺子母也。脾胃一虚,肺气先病,则先顽痰。痰者,肺内所流,作小
鸡声,时后 ,眼偏开,由惊入也。宜用∶
人参 白术 山药 肉蔻 木香 僵蚕 全蝎 天麻 丁香 白附子
有痰加半夏、胆星、贝母,甚者可用黑附子。
暑日热甚吐泻,亦成慢惊病。原药具吐泻门,寒甚可加附子。
儿月内温壮,翻眼,握拳,噤口,切牙,身腰强直,涎潮呕吐,搐掣惊啼,腮缩囟开,或颊赤面青,眼上视,
不可误作慢惊脾风,妄用温药,要视其眉间红赤鲜碧色者可用。
防风 黄连 枳实 胆星 全蝎 天麻 甚则牛黄丸、小红丸,猪乳化结。
颈部软弱无力,咽喉间发出如拉锯般的痰鸣声,面色泛红似有妆饰,双目黯淡无神,口唇张开呼吸粗重,双脚冰冷且伸直偏长,咬衣物胡乱啃咬,肠道排出瘀血,眼睛睁开后又闭合,全身僵硬如死尸。这十种是惊风后期的危重病症,不可再犹豫治疗。
急惊风患儿,若指纹黑纹直冲命关者,主死证。慢惊风患儿,若指纹紫纹两条传至风关者,主死证。若无此指征,虽病情凶险但尚可救治。
慢惊风多因久病之后,各经气血已虚,又过度使用寒凉药物,导致脾胃功能微弱,四肢无力,身体倦怠,面色苍白,眼睛不愿睁开,似有抽搐而又不明显,时常昏沉,精神萎靡,嘴唇和口色皆白,脉象或浮或沉,体温或温或凉,原本没有发热却出现壮热,原本没有痰饮却喉间如拉锯般作响,这是一团虚热与痰浊交织所致。脾胃虚弱,土气受亏而被肝木反侮,也出现惊厥抽搐,诸症逐渐缓慢发展,故称为慢惊风。由于体弱小儿在大病之后,或因外感风寒,使脾胃更加虚弱,风邪乘虚而入,此时不可单纯祛风,也不可单纯驱惊,只宜采用温补法,没有使用发汗或攻下的道理。如果错误地使用化痰泻下药,痰随气降,气随痰绝,导致死亡。温补适宜使用的方药包括:茯苓、陈皮、天麻、防风、山药、扁豆、白术、全蝎、僵蚕、白附子、姜制半夏。若体质极弱加用人参,食欲不振加入莲肉,寒气甚重加入木香、丁香。即使是急惊风传变而来,可用胆南星化痰,白术调理胃气,切勿使用寒凉药物。
慢脾惊多由腹泻引起,胃虚惊风久吐而成。脾与肺为母子关系。脾胃一旦虚弱,肺气先受病,则产生顽痰。痰液在肺内流动,发出小鸡叫声,时而昏沉,眼睛偏斜张开,这是由惊风传入所致。适宜使用的方药包括:人参、白术、山药、肉豆蔻、木香、僵蚕、全蝎、天麻、丁香、白附子。若有痰可加入半夏、胆南星、贝母,病情严重者可用黑附子。
夏日暑热严重导致呕吐腹泻,也会形成慢惊风。原方详见呕吐腹泻章节,寒气甚重可加入附子。
婴儿月龄内出现体温升高,眼球上翻,握拳,口噤不开,磨牙,身体腰部强直,涎水涌出呕吐,抽搐惊啼,腮部收缩囟门开放,或脸颊赤红面色青暗,眼睛向上视,不可误认为是慢惊脾风而妄用温药,要观察其眉间是否有红赤鲜碧色,若有方可使用。适宜使用的方药包括:防风、黄连、枳实、胆南星、全蝎、天麻,严重时可用牛黄丸、小红丸,以猪乳调和结服。
The neck is flaccid and lacks strength; the throat sounds like a saw being pulled. The face appears red as if painted, and the eyes are dim without luster. The mouth opens with coarse breathing; the feet are cold, straight, and elongated. The child gnaws clothes and bites randomly; blood stasis is passed in the intestines. The eyes open and then close again; the whole body is stiff like a corpse. These ten conditions represent post-convulsion diseases of severe prognosis; do not hesitate further in treatment.
In acute convulsion (Ji Jing), if the black pattern on the Wind Gate (Feng Guan) of the finger vein extends straight, it indicates a fatal condition. In chronic convulsion (Man Jing), if two purple patterns on the Qi Gate (Qi Guan) transmit to the Wind Gate, it indicates a fatal condition. If these signs are absent, although the condition is ominous, it is not necessarily fatal.
Chronic convulsion often occurs after prolonged illness when the meridians are already deficient, compounded by the excessive use of cooling agents, which weakens the Spleen and Stomach. This leads to weakness in the limbs, bodily fatigue, a pale face, reluctance to open the eyes, subtle or intermittent spasms, frequent lethargy, dull spirit, and white lips and mouth. The pulse may be floating or sunken; the body temperature may be warm or cool. There may be no initial fever yet sudden high heat, or no initial phlegm yet a sawing sound in the throat due to a cluster of deficiency-heat and phlegm. When Spleen and Stomach deficiency causes Earth to be depleted and Wood to insult it, convulsions also appear. Since these symptoms develop gradually and slowly, it is named Chronic Convulsion. After a major illness in a frail child, or due to external contraction of wind-cold, the Spleen and Stomach become even more deficient, allowing wind to enter. At this stage, one should not merely dispel wind or drive away convulsion; only warming and tonification are appropriate. There is no rationale for using sweating or purging methods. If phlegm-resolving purgatives are mistakenly used, phlegm descends with the Qi, and Qi perishes with the phlegm. For warming and tonification, suitable herbs include: Poria (Fuling), Tangerine Peel (Chenpi), Gastrodia Rhizome (Tianma), Saposhnikovia Root (Fangfeng), Chinese Yam (Shanyao), Lablab Bean (Bian Dou), Atractylodes Macrocephala Rhizome (Baizhu), Whole Scorpion (Quanxie), Bombyx Batryticatus (Jiangcan), Typhonii Rhizoma Praeparatum (Baifuzi), and Pinellia Ternata Rhizoma Praeparatum cum Zingibere et Alumine (Jiangzhi Banxia). If the deficiency is severe, add Ginseng Radix et Rhizoma (Renshen); if appetite is poor, add Lotus Seed (Lianrou); if cold is severe, add Aucklandiae Radix (Muxiang) and Caryophylli Flos (Dingxiang). Even if transmitted from acute convulsion, use Arisaema Cum Bile (Dansheng) to resolve phlegm and Baizhu to regulate the Stomach; do not use cooling medicines.
Slow Spleen Convulsion (Man Pi Jing) often results from prolonged diarrhea, and Stomach-deficiency convulsion from prolonged vomiting. Spleen and Lung have a mother-child relationship. When Spleen and Stomach are deficient, Lung Qi suffers first, producing stubborn phlegm. Phlegm flows within the Lung, making sounds like chicks chirping, accompanied by occasional lethargy, deviated open eyes, entering via convulsion. Suitable herbs include: Renshen, Baizhu, Shanyao, Myristica Seed (Roukou), Muxiang, Jiangcan, Quanxie, Tianma, Dingxiang, Baifuzi. If there is phlegm, add Banxia, Dansheng, and Fritillariae Bulbus (Beimu); for severe cases, Black Aconite Root (Hei Fuzi) can be used.
During summer days with intense heat causing vomiting and diarrhea, slow convulsion may also occur. Refer to the Vomiting and Diarrhea section for original prescriptions; if cold is severe, add Fuzi.
Infants within their first month showing elevated temperature, upward turning of the eyes, clenched fists, locked jaw, teeth grinding, stiffness of the body and waist, flooding saliva with vomiting, spasms with crying and fright, retracted cheeks, open fontanelle, or red cheeks with blue face, and upward gaze, must not be mistaken for Slow Spleen Wind and treated recklessly with warming medicines. One must observe if the area between the eyebrows shows bright red or greenish-red color; only then can specific treatments be considered. Suitable herbs include: Fangfeng, Coptis Rhizoma (Huanglian), Aurantii Fructus Immaturus (Zhishi), Dansheng, Quanxie, Tianma. In severe cases, Calculus Bovis (Niuhuang Wan) or Xiao Hong Wan can be used, mixed with pig milk into pellets.