小儿为少阳之体，是以或灼热作有惊骇，其身中之元阳，恒挟气血上冲以扰其脑部，致其脑筋妄行，
失其所司而痉证作矣。痉者其颈项硬直也，而或角弓反张，或肢体抽掣，亦皆盖其中矣。此证治标之药中，
莫如蜈蚣（宜用全的）。用治标之药以救其急，即审其病因，兼用治本之药以清其源，则标本并治，后
自不反复也。
癸亥季春，愚在奉天，旬日之间，遇幼童温而兼痉者四人。愚皆以白虎汤治其温，以蜈蚣治其痉，
其痉之剧者，全蜈蚣用至三条，加白虎汤中同煎服之，分数次饮下，皆随手奏效（其详案皆在药物蜈蚣解
下，又皆少伍以他药，然其紧要处全在白虎汤蜈蚣并用）。
又∶乙丑季夏，愚在籍，有张姓幼子患暑温兼痉，其痉发时，气息皆闭，日数次，灼热又甚剧，精神
异常昏愦，延医数人皆诿为不治。子××投以大剂白虎汤，加全蜈蚣三条，俾分三次饮下，亦一剂而愈。
丙寅季春，天津俞姓童子病温兼出疹，周身壮热，渴嗜饮水，疹出三日，似靥非靥，观其神情，恍
惚不安，脉象有力，摇摇而动，似将发痉。为开白虎汤加羚羊角钱半（另煎兑服，此预防其发痉所以未用
蜈蚣）。药未及煎，已抽搐大作。急煎药服下，顿愈。
至痉之因惊骇得者，当以清心、镇肝、安魂、定魄之药与蜈蚣并用，若朱砂、铁锈水、生龙骨、生
牡蛎诸药是也。有热者，加羚羊角、青黛。有痰者，加节菖蒲、胆南星。有风者，加全
蝎、僵蚕。气闭塞及牙关紧者，先以药吹鼻得嚏，后灌以汤药。
小儿的体质属于少阳，因此有时因高热而产生惊骇，其体内的元阳（人体生命活动的原动力），常常挟带气血向上冲逆以扰乱脑部，导致脑神经功能紊乱，失去正常的统摄控制，从而引发痉病。所谓痉病，表现为颈项僵硬挺直，有的出现角弓反张（身体向后弯曲如弓状），有的出现肢体抽搐掣动，这些都属于痉病的范畴。在治疗此证的治标药物中，没有比蜈蚣更好的了（宜使用完整的蜈蚣）。使用治标的药物来急救其急症，同时审察病因，兼用治本的药物以清除病源，这样标本兼治，日后自然不会再复发。
癸亥年暮春时节，我在奉天，十天之内，遇到四名患有温病兼有痉症的幼童。我都用白虎汤治疗其温病，用蜈蚣治疗其痉症，对于痉症严重的，全蜈蚣用到三条，加入白虎汤中共同煎煮服用，分几次喝下，都立刻见效（详细医案都在“药物·蜈蚣”条目下记载，另外都少量配伍其他药物，但关键之处全在于白虎汤与蜈蚣并用）。
又：乙丑年夏季，我在家乡，有个姓张的幼子患暑温兼有痉症，其痉症发作时，气息闭塞，每天发作数次，高热更加严重，精神异常昏沉糊涂，请了好几位医生都推脱说无法医治。我儿子××投以大剂量白虎汤，加三条全蜈蚣，让分三次喝下，也是一剂药就痊愈了。
丙寅年暮春，天津姓俞的童子患温病兼发疹，周身壮热，口渴喜欢喝水，疹子出了三天，似退未退，看他的神情，恍惚不安，脉象有力，动摇不定，似乎将要发生痉症。为他开具白虎汤加羚羊角半钱（另煎后兑入服用，这是为了预防其发生痉症，所以没有用蜈蚣）。药还没煎好，已经剧烈抽搐。急忙煎药服下，顿时痊愈。
至于因惊骇而引发痉症的，应当将清心、镇肝、安魂、定魄的药物与蜈蚣并用，比如朱砂、铁锈水、生龙骨、生牡蛎等药物。有热的，加羚羊角、青黛。有痰的，加节菖蒲、胆南星。有风的，加全蝎、僵蚕。气机闭塞及牙关紧闭的，先用药物吹鼻使其打喷嚏，然后再灌服汤药。
The constitution of infants and children belongs to Shaoyang (Lesser Yang). Therefore, sometimes due to high fever, they experience fright. The Yuan Yang (primordial yang energy, the driving force of life activities) within their bodies often carries Qi and Blood rushing upward to disturb the brain, causing the nerves to malfunction and lose their regulatory control, thereby inducing Spasm Syndrome (Jing Zheng). Spasm is characterized by stiffness and straightness of the neck; some cases present with opisthotonos (arching of the back like a bow), while others exhibit twitching and convulsions of the limbs, all of which fall under this category. Among the symptomatic treatment drugs for this condition, none is superior to Centipede (Wugong) (preferably using whole specimens). Using symptomatic drugs to address the acute emergency, while simultaneously investigating the etiology and employing root-treating drugs to clear the source, achieves both symptomatic and root treatment, ensuring no recurrence thereafter.
In the late spring of the Guihai year, I was in Fengtian. Within ten days, I encountered four young children suffering from Warm Disease (Wen Bing) complicated by spasms. I treated their warm disease with Baihu Tang (White Tiger Decoction) and their spasms with Centipede. For severe spasms, I used up to three whole Centipedes, decocted them together with Baihu Tang, and administered the mixture in several doses. All cases responded immediately (the detailed case records are listed under the entry "Herbs: Centipede"; additionally, small amounts of other herbs were included, but the crucial aspect lay entirely in the combined use of Baihu Tang and Centipede).
Furthermore: In the summer of the Yichou year, I was at my hometown. A young son of a family surnamed Zhang suffered from Summerheat-Warmth complicated by spasms. During spasm attacks, his breathing ceased; he experienced these episodes several times a day. His high fever was extremely severe, and his mental state was abnormally confused and lethargic. Several physicians consulted dismissed it as incurable. My son, [Name], prescribed a large dose of Baihu Tang (White Tiger Decoction) added with three whole Centipedes, to be taken in three divided doses. The patient recovered after just one dose.
In the late spring of the Bingyin year, a child of the Yu family in Tianjin suffered from Warm Disease accompanied by rash. He had intense heat throughout the body and excessive thirst with a desire to drink water. The rash had appeared for three days but seemed neither fully erupted nor resolved. Observing his demeanor, he appeared恍惚 (trance-like and uneasy), and his pulse was forceful yet trembling, suggesting an impending onset of spasms. I prescribed Baihu Tang (White Tiger Decoction) added with Antelope Horn (Lingyangjiao) half qian (decocted separately and mixed in; this was to prevent spasms, hence Centipede was not used). Before the medicine could be decocted, violent convulsions began. The medicine was hastily decocted and administered, resulting in immediate recovery.
For spasms caused by fright, drugs that clear the Heart, calm the Liver, soothe the Soul, and stabilize the Will should be used in conjunction with Centipede, such as Cinnabar (Zhusha), Rust Water (Tiexiu Shui), Raw Dragon Bone (Sheng Longgu), and Raw Oyster Shell (Sheng Muli). If there is heat, add Antelope Horn (Lingyangjiao) and Indigo Naturalis (Qingdai). If there is phlegm, add Jie Changpu (Acorus tatarinowii Rhizome) and Dan Nanxing (Arisaema cum Bile). If there is wind, add Whole Scorpion (Quanxie) and Bombyx Batryticatus (Jiangcan). If Qi is blocked and the jaw is clenched tightly, first blow medicinal powder into the nose to induce sneezing, then administer the decoction orally.