小儿有因目触异物，耳闻异声，神散气乱而动惊者，古法主清热镇惊汤（如柴胡、麦冬、薄荷、栀子、川黄
连、龙胆草、茯神、钩藤钩、生甘草、木通，引用灯芯、竹叶），调朱砂末服，亦主安神镇惊丸（如天竺黄、茯
神、胆星、枣仁、麦冬、赤芍、当归、薄荷、黄连、辰砂、牛黄、栀子、木通、龙骨、青黛，研末炼蜜丸），量
儿大小与之，淡姜汤化下。
〔真按〕此症乃小儿真惊也，气血未充，精神怯弱，一遇非常之惊，则神魂震布，举动失常，夜则跳醒，昼
则惊惕，但用朱砂染茯神二钱，麦冬钱半，天竺黄二钱，细生地钱半，炒枣仁五分， 龙齿一钱，生甘草五分，
引用灯芯十茎，金银器煎汤代水，安神定魄，则惊自正。
有因心肝火盛，外为风寒郁闭，不得宣通而生者，证多暴发，壮热烦急，面红唇赤，痰壅气促，牙关噤急，
二便秘涩、古法主至宝丹（如麻黄、防风等二十六味，共为细末，炼蜜为丸，每丸重五分，淡姜汤化下）。
有因痰盛生惊者，古法主牛黄丸攻下之（如黑牵牛、白牵牛、胆星、枳实、半夏、牙皂、大黄等味，研末蜜
丸，服法同上）。
有因热极生风者，古法主凉膈散清解之（如黄芩、大黄、连翘、芒硝、甘草、栀子、薄荷，引用竹叶，生
蜜煎服）。
肝热者，古法主泻青丸（如龙胆草、栀子、大黄、羌活、防风、川芎等味，研末，蜜丸，竹叶薄荷汤调下）。
痰兼热者，古法主清热化痰汤（如橘红、麦冬、半夏、赤苓、黄芩、竹茹、甘草、川连、枳壳、桔梗、胆星
等味，引用生姜、灯芯，水煎服）。
心经热者，古法主凉惊丸（如龙胆草、防风、青黛、钩藤钩、黄连、牛黄等味，研末面糊为丸，金器煎汤化下）。
〔真按〕时俗所谓急惊风者，即痰火闭也。小儿或感风寒，或积乳食，皆生痰。痰积则化火，或受暑热亦生火，
一时失于清解，则火升而痰亦生，痰火上壅，闭其肺窍，则诸窍皆闭，目直气喘，昏闷不醒，且火甚则肝燥筋急，
变象多端，总因痰火郁结，肝风内动而成，但可以手轻扶，不可用力抱紧，伤其经络，致成废疾，初起但以生藕汁，
或生梨汁、或生荸荠汁，徐徐灌之，待其醒后，轻者用黄连三分，连翘一钱，黑山栀五分，飞滑石三钱，细木通
六分，淡黄芩八分，小枳实五分，栝蒌霜三钱，车钱子八分，生甘草三分，引用鲜石菖蒲一分，长流水煎服。重
者加制胆星三分，天竺黄钱半。若热邪塞窍，神迷昏愦者，再加局方至宝丹半粒，药化服。或先用白开水化服后，
再服药亦可。
小儿中，有因眼睛看到异物、耳朵听到怪声，导致神气涣散、气机紊乱而引发惊厥的，古法主要使用清热镇惊汤（包含柴胡、麦冬、薄荷、栀子、川黄连、龙胆草、茯神、钩藤钩、生甘草、木通，煎药时加入灯芯草和竹叶作为引经药），并调入朱砂末服用；也主要使用安神镇惊丸（包含天竺黄、茯神、胆星、枣仁、麦冬、赤芍、当归、薄荷、黄连、辰砂、牛黄、栀子、木通、龙骨、青黛，研成细末后炼蜜为丸），根据患儿年龄大小给予剂量，用淡姜汤送服化开。
〔陈守真按语〕这种病症是小儿真正的受惊所致。由于小儿气血尚未充盈，精神怯弱，一旦遇到非同寻常的惊吓，就会导致神魂震荡不安，行为举止失常，夜间惊醒跳跃，白天惊恐警惕。只需使用朱砂拌炒过的茯神二钱、麦冬一钱半、天竺黄二钱、细生地一钱半、炒枣仁五分、龙齿一钱、生甘草五分，引用灯芯草十茎，并用金银器煎汤代替水来煎煮药物，以达到安神定魄的效果，惊症自然痊愈。
有的因心肝火盛，外部被风寒邪气郁闭，导致气机不得宣通而生病，症状多突然发作，表现为高热烦躁急迫，面色红赤、嘴唇发红，痰液壅盛、呼吸急促，牙关紧闭，大小便不通畅。古法主要使用至宝丹（包含麻黄、防风等二十六味药材，共研为细末，炼蜜制成丸药，每丸重五分，用淡姜汤送服化开）。
有的因痰湿壅盛引发惊厥的，古法主要使用牛黄丸进行攻下治疗（包含黑牵牛、白牵牛、胆星、枳实、半夏、牙皂、大黄等药材，研末后用蜜丸，服用方法同上）。
有的因热极生风的，古法主要使用凉膈散进行清热解表治疗（包含黄芩、大黄、连翘、芒硝、甘草、栀子、薄荷，引用竹叶，加生蜜煎服）。
肝热的，古法主要使用泻青丸（包含龙胆草、栀子、大黄、羌活、防风、川芎等药材，研末后蜜丸，用竹叶薄荷汤调服）。
痰湿兼有热象的，古法主要使用清热化痰汤（包含橘红、麦冬、半夏、赤茯苓、黄芩、竹茹、甘草、川黄连、枳壳、桔梗、胆星等药材，引用生姜、灯芯草，水煎服）。
心经有热的，古法主要使用凉惊丸（包含龙胆草、防风、青黛、钩藤钩、黄连、牛黄等药材，研末后用面糊制丸，用金器煎汤送服化开）。
〔陈守真按语〕当时世俗所说的“急惊风”，其实就是痰火闭阻之证。小儿或者感受风寒，或者乳食积滞，都会产生痰湿。痰湿积聚就会化火，或者受到暑热也会生火，如果一时之间未能及时清热解表，就会导致火气上炎而痰湿随之而生，痰火上壅，闭塞肺窍，则全身诸窍皆闭，出现两眼直视、气喘、昏迷不醒等症状。而且火势过旺会导致肝燥筋脉拘急，变证多种多样，总归是因为痰火郁结，肝风内动而成。此时只能用手轻轻扶持，不可用力抱紧，以免损伤经络，导致成为废疾。初起时可用生藕汁、或生梨汁、或生荸荠汁，慢慢灌服，待其苏醒后，轻症者使用黄连三分、连翘一钱、黑山栀五分、飞滑石三钱、细木通六分、淡黄芩八分、小枳实五分、栝蒌霜三钱、车前子八分、生甘草三分，引用鲜石菖蒲一分，长流水煎服。重症者加制胆星三分、天竺黄一钱半。若热邪闭塞窍道，神识迷乱昏愦的，再加局方至宝丹半粒，待药化开后服用。或者先用白开水化服至宝丹后，再服用其他药物也可以。
Pediatric cases may involve fright induced by visual exposure to strange objects or auditory perception of unusual sounds, causing the spirit to scatter and qi to become chaotic. The ancient method primarily prescribes Qingre Zhenjing Tang (Clearing Heat and Calming Fright Decoction) [containing Chai Hu (Bupleuri Radix), Mai Dong (Ophiopogonis Tuber), Bo He (Menthae Haplocalycis Herba), Zhi Zi (Gardeniae Fructus), Chuan Huang Lian (Coptidis Rhizoma), Long Dan Cao (Gentianae Radix), Fu Shen (Poria with Hostwood), Gou Teng Gou (Uncariae Ramulus cum Uncis), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Mu Tong (Akebiae Caulis), using Deng Xin Cao (Junci Medullia) and Zhu Ye (Bambusae Folium) as guides], mixed with Cinnabar powder for oral administration. Alternatively, Anshen Zhenjing Wan (Calming Spirit and Pacifying Fright Pill) [containing Tian Zhu Huang (Calamushi Hirtae Spadix), Fu Shen (Poria with Hostwood), Dan Xing (Arisaematis Cum Bile), Zao Ren (Ziziphi Spinosae Semen), Mai Dong (Ophiopogonis Tuber), Chi Shao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), Bo He (Menthae Haplocalycis Herba), Huang Lian (Coptidis Rhizoma), Chen Sha (Cinnabaris), Niu Huang (Bovis Calculus), Zhi Zi (Gardeniae Fructus), Mu Tong (Akebiae Caulis), Long Gu (Fossilia Ossis Mastodi et Scapulae), Qing Dai (Indicum)] is used. These are ground into fine powder and formed into pills with refined honey. Dosage is adjusted according to the child's age and size, administered with light ginger soup to dissolve the pill.
[Chen Shouzhen's Note] This condition represents true fright in children. Since their qi and blood are not yet fully developed and their spirit is timid, encountering extraordinary fright causes the soul and spirit to tremble, leading to abnormal behavior, nocturnal jumping awakenings, and daytime startle responses. Treatment involves using two qian of Poria with Hostwood processed with Cinnabar, one and a half qian of Ophiopogonis Tuber, two qian of Calamushi Hirtae Spadix, one and a half qian of Rehmanniae Radix Preparata, five fen of Ziziphi Spinosae Semen stir-fried, one qian of Dragon Teeth, and five fen of Glycyrrhizae Radix et Rhizoma. Using ten stems of Junci Medullia as a guide, decocted in water prepared using silver or gold vessels, this formula calms the spirit and stabilizes the soul, thereby resolving the fright naturally.
Some cases arise from excessive fire in the Heart and Liver, compounded by external constraint of wind-cold, preventing free circulation. Symptoms often appear suddenly with high fever, restlessness, red face and lips, phlegm obstruction, rapid breathing, locked jaw, and constipation/urinary difficulty. The ancient method primarily prescribes Zhibao Dan (Precious Treasure Pellet) [containing Ephedrae Herba, Saposhnikoviae Radix, etc., totaling twenty-six ingredients, ground into fine powder and formed into pills with refined honey, each weighing five fen, dissolved in light ginger soup].
Cases caused by excessive phlegm inducing fright are treated with Niuhuang Wan (Cow Bezoar Pill) for purgation [containing Black Qian Niu, White Qian Niu, Arisaematis Cum Bile, Aurantii Fructus Immaturus, Pinelliae Rhizoma, Gleditsiae Spina, Rhei Radix et Rhizoma, etc., ground into powder and formed into honey pills; administration follows the above method].
Cases where extreme heat generates wind are treated with Liangge San (Cooling the Diaphragm Powder) for clearing and resolving [containing Scutellariae Radix, Rhei Radix et Rhizoma, Forsythiae Fructus, Mang Xiao (Natrii Sulfas), Glycyrrhizae Radix et Rhizoma, Gardeniae Fructus, Menthae Haplocalycis Herba, using Bambusae Folium and raw honey for decoction and administration].
For Liver heat, Xieqing Wan (Draining Green Pill) is prescribed [containing Gentianae Radix, Gardeniae Fructus, Rhei Radix et Rhizoma, Notopterygii Rhizoma et Radix, Saposhnikoviae Radix, Chuanxiong Rhizoma, etc., ground into powder, formed into honey pills, taken with Bamboo Leaf and Mint tea].
For phlegm combined with heat, Qingre Huatan Tang (Clearing Heat and Resolving Phlegm Decoction) is used [containing Citri Reticulatae Pericarpium, Ophiopogonis Tuber, Pinelliae Rhizoma, Poria with Red Coir, Scutellariae Radix, Bambusae Concha, Glycyrrhizae Radix et Rhizoma, Coptidis Rhizoma, Aurantii Fructus, Platycodonis Radix, Arisaematis Cum Bile, etc., with Fresh Ginger and Junci Medullia as guides, decocted in water].
For Heart meridian heat, Liangjing Wan (Cooling Fright Pill) is prescribed [containing Gentianae Radix, Saposhnikoviae Radix, Indicum, Uncariae Ramulus cum Uncis, Coptidis Rhizoma, Bovis Calculus, etc., ground into powder, bound with wheat paste into pills, dissolved in water decocted with gold vessels].
[Chen Shouzhen's Note] What is commonly referred to as "Acute Convulsive Wind" (Ji Jing Feng) in popular practice is essentially obstruction by phlegm-fire. Children may generate phlegm due to wind-cold invasion or milk/food retention. Accumulated phlegm transforms into fire, or summer-heat also generates fire. If not cleared promptly, fire rises and phlegm increases. Phlegm-fire obstructs upward, closing the Lung orifices, leading to closure of all orifices, fixed gaze, wheezing, coma, and unconsciousness. Severe fire causes Liver dryness and tendon tension, resulting in various manifestations. The root cause is phlegm-fire stagnation and internal stirring of Liver wind. One should gently support the child with hands, avoiding tight holding which damages meridians and may lead to disability. Initially, administer fresh Lotus Root Juice, Pear Juice, or Water Chestnut Juice slowly. Upon awakening, mild cases use Coptidis Rhizoma three fen, Forsythiae Fructus one qian, Gardeniae Fructus five fen, Calcined Talcum Three qian, Akebiae Caulis six fen, Light Scutellariae Radix eight fen, Small Aurantii Fructus five fen, Trichosanthis Pulvis three qian, Plantaginis Seed eight fen, Raw Glycyrrhizae Radix et Rhizoma three fen, with fresh Acori Tatarinowii Rhizoma one fen as a guide, decocted in flowing water. Severe cases add processed Arisaematis Cum Bile three fen and Calamushi Hirtae Spadix one and a half qian. If heat pathogens block orifices causing deep coma, add half a pill of Ju Fang Zhibao Dan (Official Formulation Precious Treasure Pellet), dissolved before administration. Alternatively, dissolve Zhibao Dan in plain water first, then administer other medicines.