A Preliminary Exploration on the Treatment of Infantile Convulsion in Wu Qian's Golden Mirror of Medicine:Pediatric Miscellaneous Diseases'Essential Heart Method Rhymes
Convulsions in children are recognized as one of the four major pediatric syndromes:measles,sores,convulsions,and malnutrition."The heart houses the spirit,hence heart diseases primarily manifest as convulsions;the liver pertains to wood,thus liver diseases primarily manifest as wind".Wu Qian held that convulsions mostly arise from heat in the heart and liver,or from prolonged use of cold and cooling therapies leading to deficiency of spleen-earth and overdominance of wood.In volume 51 of his Golden Mirror of Medicine:Pediatric Miscellaneous Diseases'Essential Heart Method Rhymes,Wu provided detailed discussions,stating that acute convulsions in chil-dren typically involve excess fire in the heart and liver,with extreme heat generating wind.Treatment should focus on clearing liver heat and calming liver wind,but caution is advised against excessive use of cold medicines that might impair the spleen and stomach.Yang deficiency of the spleen and kidney can lead to chronic convulsions or chronic convulsive disorders of the spleen;management of these conditions centers on warming the spleen and kid-ney,nourishing the primordial qi in chronic convulsions,and promptly replenishing the spleen-earth and restoring yang qi in chronic convulsive disorders of the spleen.
Acute convulsionsChronic convulsionsChronic convulsive disorders of the spleenChildrenGold-en Mirror of MedicineTherapeutic approaches
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