此证属腑热，多因急惊祛风下痰不净，久而致成是证，发热自汗，仰卧面赤，牙关噤急，或啼叫不已，口
吐涎沫，如风兼热者，古法主龙胆汤（方见噤口），肝经热者，古法主泻青丸（方见急惊风）。
痰涎壅盛者，古法主四制抱龙丸（如天竺黄、辰砂、胆星、雄黄、麝香，研末，另用麻黄、款冬花、甘草，煎
汤去滓，慢火熬成膏，合药末为丸）。
〔真按〕阳痫先用局方至宝丹三分，白开水冲化，灌之即醒，然后方用制胆星五分，黑栀皮一钱，润玄参钱
半，石菖蒲三分，连翘壳二钱，竹叶心三十条，引用朱砂染灯芯一束，煎汤冲入犀角尖磨汁二分。
小儿心肝热甚，偶被惊邪所触，因而神气溃乱，逐致成痫，发时吐舌急叫，面色乍红乍白，悚惕不安，如人将
捕之状，古法主先服大青膏（如天麻、白附子、青黛、蝎尾、朱砂、天竺黄、麝香、乌梢蛇肉，同研细，炼蜜和膏）。
次服镇惊丸（如茯神、麦冬、辰砂、远志、石菖蒲、枣仁、牛黄、黄连、珍珠、胆星、钩藤钩、天竺黄、犀
角、甘草，研细炼蜜为丸）淡姜汤下。
〔真按〕惊痫又非大惊猝恐可比，盖因先有蓄热，后又受惊，方用羚羊角三分，朱茯神钱半，淡竹叶二钱，
川贝母一钱，净连翘钱半，玄参心一钱，细生地钱半，生白芍一钱，甘草梢三分，引用金银器煎汤代水。
此证属于腑热，多因急惊风治疗时祛风化痰不彻底，日久演变成此证。症状表现为发热、自汗，仰卧时面色发红，牙关紧闭且拘急，或持续啼叫不止，口吐涎沫。若兼有风邪与热邪，古法主张使用龙胆汤（方剂详见“噤口”章节）；若属肝经热盛，古法主张使用泻青丸（方剂详见“急惊风”章节）。若痰涎壅盛者，古法主张使用四制抱龙丸（由天竺黄、辰砂、胆星、雄黄、麝香研成细末，另取麻黄、款冬花、甘草煎煮去渣，用慢火熬成膏状，将药末与膏混合制成丸剂）。
〔陈守真按〕阳痫发作时，先用局方至宝丹三分，用白开水冲化后灌服，患者即可苏醒，然后再使用制胆星五分、黑栀皮一钱、润玄参一两半、石菖蒲三分、连翘壳二钱、竹叶心三十条，引用朱砂染过的灯芯一束，煎汤后冲入磨好的犀角尖汁二分。
小儿心肝热盛，偶尔受到惊邪触动，导致神气溃乱，从而形成痫证。发作时吐舌、急促呼叫，面色忽红忽白，惊恐不安，如同被人追捕的样子。古法主张先服用大青膏（由天麻、白附子、青黛、蝎尾、朱砂、天竺黄、麝香、乌梢蛇肉共同研细，炼蜜调和成膏）。随后服用镇惊丸（由茯神、麦冬、辰砂、远志、石菖蒲、枣仁、牛黄、黄连、珍珠、胆星、钩藤钩、天竺黄、犀角、甘草研细，炼蜜为丸），用淡姜汤送服。
〔陈守真按〕惊痫并非普通的大惊猝恐所能比拟，大概是因为体内先有蓄积的热邪，后又受到惊吓所致。处方使用羚羊角三分、朱茯神一两半、淡竹叶二钱、川贝母一钱、净连翘一两半、玄参心一钱、细生地一两半、生白芍一钱、甘草梢三分，引用金银器煎汤代替水来煎药。
This syndrome belongs to Fu-organ heat (heat in the hollow organs), often resulting from incomplete dispelling of wind and resolving of phlegm during the treatment of acute convulsion (Ji Jing Feng). Over time, this evolves into the present condition. Symptoms include fever, spontaneous sweating, redness of the face when lying supine, lockjaw with stiffness, incessant crying, or spitting out saliva. If accompanied by wind and heat, ancient methods primarily prescribe Longdan Tang (Gentian Decoction; see "Lockjaw" chapter). If it is liver meridian heat, ancient methods primarily prescribe Xieqing Wan (Drain Green Pill; see "Acute Convulsion" chapter). In cases of abundant phlegm and saliva, ancient methods primarily prescribe Sizhi Baolong Wan (Four-Processed Bao Dragon Pill; composed of Tianshu Huang [Inulae Flos], Chensha [Cinnabar], Dansheng [Arisaematis Cum Bile], Xionghuang [Realgar], and Shexiang [Musk] ground into powder; separately decocting Mahuang [Ephedrae Herba], Kuandonghua [Fritillariae Thunbergii Bulbus], and Gancao [Glycyrrhizae Radix et Rhizoma], removing dregs, simmering slowly to form a paste, then mixing the powder with the paste to form pills).
[Chen Shouzhen's Note]: For Yang Epilepsy (Yang Xian), first administer Sanfen of Jufang Zhibao Dan (Official Formulation Treasure of Life Pill) dissolved in plain water and灌fed, which will awaken the patient immediately. Thereafter, use Zhizhening [Bile-treated Arisaema] 5 fen, Heizhipi [Black Gardenia Bark] 1 qian, Runxuanshen [Moistened Scrophulariae Radix] 1.5 qian, Shichangpu [Acori Tatarinowii Rhizoma] 3 fen, Lianqiaoqiao [Forsythiae Fructus Shell] 2 qian, Zhuyexin [Bambusae Folium Heart] 30 strands, using Dengxin dyed with Zhusha [Cinnabar] as the guiding herb. Decoct these, and add 2 fen of Xijiaojian [Rhinocerotis Cornu Spica] juice ground fresh.
Children with excessive heat in the heart and liver may occasionally be touched by pathogenic shock (Jing Xie), causing their spirit and qi to become chaotic, thereby leading to epilepsy. During an attack, they protrude their tongues, cry urgently, their complexion alternates between red and white, they are terrified and uneasy, resembling someone being pursued. Ancient methods advise first administering Daqing Gao (Great Cyan Ointment; composed of Tianma [Gastrodiae Rhizoma], Baifuzi [Typhonii Rhizoma], Qingdai [Indigo Naturalis], Xiwei [Scorpio], Zhusha [Cinnabar], Tiansuhuang [Inulae Flos], Shexiang [Musk], and Wushaoshe Rou [Zaocys Flesh] ground finely, mixed with refined honey to form an ointment). Subsequently, administer Zhenjing Wan (Sedate Shock Pill; composed of Fushen [Poria with Hostwood], Maidong [Ophiopogonis Radix], Chensha [Cinnabar], Yuanzhi [Polygalae Radix], Shichangpu [Acori Tatarinowii Rhizoma], Zaoren [Ziziphi Spinosomi Semen], Niuhuang [Calculus Bovis], Huanglian [Coptidis Rhizoma], Zhenzhu [Margarita], Dansheng [Arisaematis Cum Bile], Goutenggou [Uncariae Ramulus cum Uncis], Tiansuhuang [Inulae Flos], Xijiao [Rhinocerotis Cornu], and Gancao [Glycyrrhizae Radix et Rhizoma] ground finely, mixed with refined honey to form pills), taken with light ginger soup.
[Chen Shouzhen's Note]: Shock Epilepsy (Jing Xian) cannot be compared to ordinary sudden fright. It is likely due to pre-existing accumulated heat followed by a shock. The prescription uses Lingyangjiao [Saigae Tataricae Cornu] 3 fen, Zhufushen [Poria with Hostwood dyed with Cinnabar] 1.5 qian, Danzhuye [Lophatheri Herba] 2 qian, Chuanbeimu [Fritillariae Cirrhosae Bulbus] 1 qian, Jinglianqiao [Forsythiae Fructus] 1.5 qian, Xuanshenxin [Scrophulariae Radix Heart] 1 qian, Xishengdi [Rehmanniae Radix Recens] 1.5 qian, Shengbaishao [Paeoniae Radix Alba] 1 qian, Gaancaoshao [Glycyrrhizae Radix et Rhizoma Tip] 3 fen, using decoction of gold and silver vessels instead of water.