（小儿百病中，惊风最急难治，故别为条列于此，以备预防之道）
小儿急症既发之后，虽有预备之药，不能及时多服则鲜有万全，须令乳母逐日细察儿身（如有红点，则必是丹毒之
渐，考方急治之）。若儿身过温于前日，或脑后热，口气
热，则必有惊风之候。须饮小儿清心丸、抱龙丸之属。（二方并见下）
小儿诸惊，朱砂、雄黄等分，调猪油，抹儿口中，即效。入麝香少许为妙。
小儿生后，一朔内多啼，乃泻胎热，不是为病。
小儿生才二、三月，早为起动，或直坐，或高举，则精神眩倒，多发惊风。天麻五分、人参三分煎水，和朱砂末服
之。或泄痢，白僵蚕、砂仁、黄连、甘草等分，煎服为妙。
小儿听旁人疾声而惊，或触窗户冷风而惊，或冬日冷处之人猝然入房抱之，冷风触儿而惊，或小儿入睡之际，猝然
呼觉而惊，或为他儿所踏而惊，或为乳母寝时所压而惊，仍发急惊，即服安神丸（方见下）。
一方∶麦门冬、酸枣仁（另炒）、天麻、人参、柴胡、防风、乌药等分，煎服为妙。
小儿大吐大泻之余，必发慢惊，保元汤（方见下）加砂仁，藿香五、六分合服之。久哭亦发惊风，苏合香丸服之。
性躁之儿，久哭则气逆而热乘痰滞之故也。
小儿身半只热、半只凉者，慢惊之候（难治），钱氏白术散（见下）加归芍各七、八分，香附，乌药各四、五分服
之。镇心安神汤亦可用。
小儿一腮热而红，一腮冷如水者，亦慢惊之候，治法上同。
小儿眼无精气，睁然若惊者，必发惊风，保元汤加柴胡，黄连，羌活，防风各五、六分服之。
小儿白睛多青色者，乃肝热移肺，亦发惊风。盖补金
气旺，则木自衰而火自退，宜保元汤调泻青丸（方见下）服之。
小儿无端常啼者，必是芒刺着肤而然，须向明窗，细察遍身，如无着刺处，则此必惊风之候，清心灵神汤（方见
下）服之。加蝉蜕，苏叶各三、四分服之尤佳。
小儿起动负抱之际，惊悸而哭者，必是护儿不谨，腰脊触伤而然，宜细察腰脊。如无所伤，则项腋肘臂、腹际腹内
痰核流注，或不仁，或筋缩，或疼痛（痰夹热则不痛）成肿之渐（随痰治之）。若非肿渐，则亦惊风之候，清心灵神汤
加乌药，枳壳各三、四分服之。
小儿头宜冷，足宜温。如有呕吐，或泄泻，或引饮，或腹胀，或有眼青白之症，则必先审其头足。若头热足冷则此
乃脾虚之致，急用补脾益黄汤（方见下）加全蝎一枚为妙。盖小儿善脱覆绷，足易出外。头不热则不必以足冷为虑。
古人治急惊，以牛黄、龙脑、朱砂、寒水石等材为剂，今多用之有捷效，十生七、八，而或有复发成痫者。盖气根据
于阳，阳根据于热，而上材性味甚寒，暴绝小儿之热，故元阳清明之气亦随而减损，邪气潜伏于其间，久乃复发。趁其胎
热未肆之前，以和平之剂（镇心安神丸之属）预备可也。又曰∶古人治慢惊、慢腮，以大附子、白附子、南星、蜈蚣
等材为剂，今多用而幸得不死，十保二、三，而终不免为丧性愚痴之儿。盖上材有大毒，虽藉其毒治其病，而亦能耗损
真气，残害本性。故小儿精魂减少，而渐至成癫，岂不惜哉！宜预为调治以和平之剂，而勿用毒材为可。
（在小儿的各种疾病中，惊风最为急迫且难以治疗，因此单独列出此条，以备预防之需。）
小儿急症发作之后，即使有预备好的药物，如果不能及时、足量服用，很少能完全治愈。必须让乳母每日仔细观察婴儿的身体状况（如果身上出现红点，那一定是丹毒的征兆，应查阅方书紧急治疗）。如果婴儿身体比前日更热，或者后脑勺发热、口气发热，那么一定会有惊风的先兆。此时应当喂服小儿清心丸、抱龙丸之类的药物。（这两个方剂见下文）
对于小儿各种类型的惊风，可用朱砂、雄黄等份研末，用猪油调和，涂抹在婴儿口中，立即见效。加入少许麝香效果更佳。
婴儿出生后一个月内经常啼哭，这是排出胎热的表现，并不是生病。
婴儿出生才两三个月时，如果过早地让其活动，比如直立坐起或高举过头，会导致精神眩晕昏倒，容易引发惊风。可用天麻五分、人参三分煎水，调入朱砂末服用。如果伴有腹泻痢疾，可用白僵蚕、砂仁、黄连、甘草等份煎服，效果很好。
小儿听到旁人大声喧哗而受惊，或被窗户吹进的冷风吹袭而受惊，或者是冬天从寒冷地方突然进屋怀抱婴儿，冷风触碰到婴儿导致受惊；又或者是婴儿入睡时，突然被叫醒而受惊；或被其他孩子踩踏而受惊，或被乳母睡觉时压到而受惊，这些情况引发的急惊风，应立即服用安神丸（方剂见下文）。
另一个方子：麦门冬、酸枣仁（另炒）、天麻、人参、柴胡、防风、乌药等份，煎服效果很好。
小儿在大吐大泻之后，必然会发生慢惊风，可将保元汤（方剂见下文）加入砂仁、藿香五至六分合在一起服用。长时间哭泣也会引发惊风，可服用苏合香丸。性情急躁的小儿，长时间哭泣会导致气逆，热气乘痰湿停滞所致。
小儿身体一半热、一半凉的情况，是慢惊风的征兆（难以治疗），可用钱氏白术散（见下文）加入当归、芍药各七至八分，香附、乌药各四至五分服用。镇心安神汤也可以使用。
小儿一侧腮部发热发红，另一侧腮部冷如冰水的，也是慢惊风的征兆，治疗方法同上。
小儿眼睛没有神采，睁眼时神情惊恐的样子，必然会引发惊风，可用保元汤加入柴胡、黄连、羌活、防风各五至六分服用。
小儿眼白部分多呈青色的，是肝热转移至肺的表现，也会引发惊风。因为补益肺气旺盛，则肝木自会衰退，心火自会退去，适宜用保元汤调服泻青丸（方剂见下文）。
小儿无缘无故经常啼哭的，必定是有芒刺扎入皮肤所致，应当在明亮的窗前，仔细检查全身。如果没有发现扎刺的地方，那么这一定是惊风的征兆，服用清心灵神汤（方剂见下文）。加入蝉蜕、苏叶各三至四分服用效果更佳。
小儿在活动或被抱持的过程中，因惊悸而哭闹的，必定是因为照顾不周，腰脊受到损伤所致，应仔细检查腰脊。如果没有受伤，那么可能是颈部、腋下、肘部、手臂、腹部内部有痰核流注，或者感觉麻木、筋脉拘挛、疼痛（痰夹热则不痛），这些都是肿胀的先兆（随痰证治疗）。如果不是肿胀的先兆，那也是惊风的征兆，服用清心灵神汤加入乌药、枳壳各三至四分。
小儿头部宜冷，足部宜温。如果有呕吐、腹泻、想喝水、腹胀，或者有眼白发青白的症状，则必须先审视其头足的温度。如果头热脚冷，这是脾虚导致的，急需使用补脾益黄汤（方剂见下文）加入全蝎一枚，效果很好。因为小儿喜欢踢掉被子，脚容易露在外面。如果头不热，就不必担心脚冷。
古人治疗急惊风，使用牛黄、龙脑（冰片）、朱砂、寒水石等材料制成药剂，现在多用这些药也有显著疗效，十人能救活七八人，但有的人复发变成癫痫。这是因为元气根基于阳气，阳气根基于热量，而这些药材性味非常寒凉，猛烈地遏制了小儿的热量，导致元阳清明之气也随之减损，邪气潜伏在其中，久而久之再次复发。趁其胎热尚未肆虐之前，用平和的药剂（如镇心安神丸之类）预先准备即可。又说：古人治疗慢惊风、慢腮，使用大附子、白附子、南星、蜈蚣等材料制成药剂，现在多用这些药幸好能保住性命，十人能保全二三人，但最终难免成为丧失本性、愚痴的孩子。因为这些药材有大毒，虽然借助其毒性治疗疾病，但也消耗真气，残害本性。所以小儿的精魂减少，逐渐发展成癫症，岂不可惜！应该预先进行调理，使用平和的药剂，而不要使用有毒的材料，这样才可以。
(In the various diseases of infants and children, *Jingfeng* (Convulsions/Infantile Convulsion) is the most urgent and difficult to treat; therefore, it is listed separately here for preventive purposes.)
After an acute condition in infants has manifested, even if prepared medicines are available, if they are not administered timely and in sufficient quantities, complete recovery is rarely achieved. The wet nurse must carefully observe the infant's body daily every day (if red spots appear on the body, this is likely a precursor to *Dandu* (Erysipelas); consult medical texts and treat urgently). If the infant's body temperature is higher than the previous day, or if the back of the head is hot, or if there is hot breath, these are signs of impending *Jingfeng*. At this time, administer medicines such as *Xiao'er Qingxin Wan* (Pediatric Heart-Clearing Pill) or *Baolong Wan* (Dragon-Embracing Pill). (These two formulas are detailed below).
For various types of *Jingfeng* in infants, mix equal parts of *Zhusha* (Cinnabar) and *Xionghuang* (Realgar) with pig lard, and apply to the infant's mouth; immediate efficacy is expected. Adding a small amount of *Shexiang* (Musk) is preferable.
Frequent crying within the first month after birth is a manifestation of expelling fetal heat (*Taire*) and does not constitute a disease.
When infants are only two or three months old, initiating movement too early—such as sitting upright or being held high—can cause dizziness and mental confusion, frequently leading to *Jingfeng*. Decoct 5 fen of *Tianma* (Gastrodiae Rhizoma) and 3 fen of *Renshen* (Ginseng Radix et Rhizoma), and take with *Zhusha* powder. If accompanied by diarrhea or dysentery, decoct equal parts of *Bai Jiangcan* (Bombyx Batryticatus), *Sharen* (Amomi Fructus Rotundus), *Huanglian* (Coptidis Rhizoma), and *Gancao* (Glycyrrhizae Radix et Rhizoma); this is effective.
If an infant is startled by loud voices from others, exposed to cold wind from windows, hugged suddenly by someone coming from a cold winter environment causing cold wind contact, awakened abruptly while sleeping, stepped on by another child, or pressed upon by the wet nurse during sleep, resulting in acute *Jingfeng*, immediately administer *Anshen Wan* (Calming Spirit Pill) (formula see below).
Another formula: Decoct equal parts of *Mendong* (Ophiopogonis Tuber), *Suanzaoren* (Ziziphi Spinosae Semen - stir-fried separately), *Tianma*, *Renshen*, *Chaihu* (Bupleuri Radix), *Fangfeng* (Saposhnikoviae Radix), and *Wuyao* (Linderae Radix); this is effective.
Following severe vomiting and diarrhea, infants will inevitably develop slow *Jingfeng*. Combine *Baoyuan Tang* (Preserve Origin Decoction) (formula see below) with 5-6 fen of *Sharen* and *Huoxiang* (Pogostemonis Herba); administer together. Prolonged crying can also induce *Jingfeng*; administer *Suhe Xiang Wan* (Styrax Pill). In infants with irritable temperaments, prolonged crying leads to qi rebellion and heat accumulation due to phlegm stagnation.
If an infant's body is hot on one half and cool on the other, this is a sign of slow *Jingfeng* (difficult to treat). Administer Qian's *Baizhu San* (Atractylodis Macrocephalae Powder) (see below) added with 7-8 fen each of *Guizhi* (Note: Text says Gui Shao, likely Guizhi/Bai Shao context, but strictly Gui Shao usually implies Angelicae Dahuricae or similar in some contexts, however standard is Dangui Baishao. Given "Gui Shao", I will translate as Angelicae Sinensis and Paeoniae Radix Alba based on common pairing, or strictly Gui/Shao. Let's stick to text: *Danggui* (Angelicae Sinensis Radix) and *Baishao* (Paeoniae Radix Alba)) and 4-5 fen each of *Xiangfu* (Cyperi Rhizoma) and *Wuyao*; *Zhenxin Anshen Tang* (Heart-Calming and Spirit-Anchoring Decoction) is also usable.
If one cheek of the infant is hot and red while the other is cold as water, this is also a sign of slow *Jingfeng*; the treatment method is the same as above.
If an infant's eyes lack spirit and appear wide-eyed and frightened, *Jingfeng* will likely ensue. Administer *Baoyuan Tang* added with 5-6 fen each of *Chaihu*, *Huanglian*, *Qianghuo* (Notopterygii Rhizoma et Radix), and *Fangfeng*.
If the sclera of an infant appears predominantly blue/green, it indicates liver heat transferring to the lungs, which will also trigger *Jingfeng*. Since strengthening lung qi (Metal) causes liver wood to decline and heart fire to recede, it is appropriate to use *Baoyuan Tang* combined with *Xieqing Wan* (Drain Green Pill) (formula see below).
If an infant cries incessantly without reason, it is likely caused by thorns pricking the skin. Examine the entire body carefully under bright light. If no pricks are found, this is a sign of *Jingfeng*; administer *Qingxin Linshen Tang* (Clear Heart and Nourish Spirit Decoction) (formula see below). Adding 3-4 fen each of *Chantui* (Cicadae Periostracum) and *Suye* (Perillae Folium) yields better results.
If an infant cries due to palpitations and fright during movement or being carried, it is likely due to careless handling causing injury to the waist and spine; examine the spine carefully. If no injury is found, there may be phlegm nodules flowing through the neck, axilla, elbows, arms, or abdomen, leading to numbness, tendon contraction, or pain (phlegm with heat does not hurt), which are precursors to swelling (treat according to phlegm). If not a precursor to swelling, it is still a sign of *Jingfeng*; administer *Qingxin Linshen Tang* added with 3-4 fen each of *Wuyao* and *Zhike* (Citri Reticulatae Pericarpium Viride).
The infant's head should be cool, and feet warm. If there is vomiting, diarrhea, thirst, abdominal distension, or symptoms like blue-white sclera, first assess the temperature of the head and feet. If the head is hot and feet are cold, this is caused by spleen deficiency; urgently use *Bupi Yihuang Tang* (Spleen-Nourishing and Yellow-Dispelling Decoction) (formula see below) added with one whole *Quanxie* (Scorpio); this is effective. Infants often kick off covers, exposing their feet. If the head is not hot, do not worry about cold feet.
Ancient practitioners treated acute *Jingfeng* with agents such as *Niuhuang* (Calculus Bovis), *Longnao* (Borneolum Syntheticum), *Zhusha*, and *Hanshuishi* (Aqua Calcitae); modern use of these often yields rapid results, saving seven or eight out of ten cases, but recurrence as epilepsy (*Xian*) sometimes occurs. This is because yuan qi relies on yang, and yang relies on heat; these materials are extremely cold in nature, abruptly extinguishing the infant's heat, thereby diminishing the clear and bright qi of yuan yang, allowing pathogenic factors to lie dormant and recur later. It is advisable to prepare mild agents (such as *Zhenxin Anshen Wan*) beforehand before fetal heat becomes rampant. Furthermore, ancient practitioners treated slow *Jingfeng* and slow mumps with agents containing large doses of *Fuzi* (Aconiti Lateralis Radix Praeparata), *Baifu Zi* (Vallaris Radix), *Nanxing* (Arisaematis Rhizoma), and *Wugong* (Centipedae Corpus). While many survive today using these, only two or three out of ten are preserved, and they often end up as foolish or mentally impaired children. These materials possess great toxicity; although they utilize toxicity to treat disease, they also consume true qi and damage innate nature. Thus, the infant's essence and soul diminish, gradually leading to madness. Is this not lamentable? It is best to regulate and treat beforehand with mild agents and avoid toxic materials.