急惊病在腑，慢惊病在脏；急惊多因风热闭塞，（手厥阴足）少阳（心胞络胆）而成。小儿
心胆
气弱，辄见非常之物，或骤听震响，皆致气机不利，气化为痰。其为病也，身热吐乳，目珠
翻上，筋掣身跳，治宜散风清热，安神平肝，清痰开窍，药如薄荷、荆芥、杏仁、茯神、远
志、钩藤、黄芩、连翘、丹皮、桑叶、橘红、半夏、南星、天虫、石菖蒲、通草、灯心、竹
卷心、甘草、大苏梗等味，随症选用。牛黄清心丸、玉枢丹、琥珀抱龙丸，俱可采施。更推
拿尤为要紧，症虽恐人，平复亦易。惟慢惊一症，其初不过寒热，或单热不休，或吐泻并作
，治之得当，未必便成慢惊。每见昧者，治此等症，不辨其体气不足，脉象虚弱，概用霸剂
，如石膏、黄连、枳实、大黄之类。其初小虚，药后脾胃衰败，遂致角弓反张，危象骈生。
呜呼！病家犹以为如此重药而疾不痊，命数当然；而不知不服霸药，尚可挽回，极至木旺土
衰，始无及矣。予治小儿此症，先用理表清热消导三剂，后即用培脾平肝，如异功散加桑
叶、丹皮，或补中益气加麦冬、生地、白芍，往往得痊，以告天下为父母者，不可不察也。
经云∶阴虚生内热。更有热病久服寒凉，而身热不止，反口渴消水，大便燥结，此寒之
不寒
，是无水也。当补肾水以制阳光，前人用六味汤，未尽善也。盖六味惟地黄滋肾，萸肉酸收
肝风，丹皮清肝经血热，山药培脾益胃，茯苓、泽泻能泻肝肾浮火，此方治肝肾虚火上炎最
妙，若以补北济南则未也。予治沈姓一子，年十七，病热，服石膏二斤余，其热不退，脉虚
数，口燥而渴，大便燥结难下，大肉尽脱，服药即呕，纳粥无几，症甚危急。予曰∶阴气大
耗，大肉尽脱，在法难治，幸神气尚存，但胃口已受药伤，可将人乳与糯米饮各半杯温服
，三日得呕止；再商治法，果不呕，纳稍增，身热口渴便结仍然，乃用鲜生地、鲜石斛、天
冬、麦冬、花粉、麻仁、橘红、粉草、松子仁。此方甘寒养津，不犯胃气，四服纳增，余症
不减。复用熟地、生地、天冬、麦冬、龟板、川柏、知母、橘红、鲜石斛、甘草，此方大补
阴，合甘露饮四服，热退不渴，大便润而易下。若守六味，断难取效，复用八珍汤收功。
急惊风病位在腑，慢惊风病位在脏；急惊风多因风热邪气闭塞（手厥阴心包经与足少阳胆经）所致。小儿的心气和胆气本就虚弱，若突然见到奇异的物体，或骤然听到巨大的声响，都会导致气机运行不畅，气滞则化为痰浊。其发病表现为身体发热、呕吐乳汁、眼球上翻、筋脉抽搐、身体跳动，治疗应当疏散风邪、清除热邪、安神定志、平抑肝阳、清化痰浊、开窍醒神。药物可选用薄荷、荆芥、杏仁、茯神、远志、钩藤、黄芩、连翘、丹皮、桑叶、橘红、半夏、天南星、僵蚕、石菖蒲、通草、灯心草、竹卷心、甘草、紫苏梗等，根据具体症状选用。牛黄清心丸、玉枢丹、琥珀抱龙丸，都可以采用施用。此外，推拿疗法尤为关键，虽然病症看起来令人恐惧，但一旦平复，恢复也较快。
唯独慢惊风这一症候，起初不过是寒热交替，或者只有持续发热，或者呕吐腹泻并见，如果治疗得当，未必就会发展成慢惊风。我常常见到那些不明医理的医生，治疗这类病症时，不辨别患儿体质虚弱、脉象虚弱的情况，一概使用药性猛烈的“霸剂”，如石膏、黄连、枳实、大黄之类。患儿原本只是轻微虚弱，用药后脾胃功能衰败，于是导致角弓反张，各种危重征象接连出现。唉！病患家属还认为如此重的药都治不好，是命数注定；却不知道如果不服用这些猛药，病情尚可挽回，直到发展到木旺土衰（肝木克伐脾土）的地步，才来不及救治了。我治疗小儿这种病症，先用理表、清热、消导的药物各三剂，随后立即使用培补脾土、平抑肝木的方法，如异功散加桑叶、丹皮，或者补中益气汤加麦冬、生地、白芍，往往能够痊愈。以此告知天下的父母们，不可不仔细考察。
《内经》说：阴虚产生内热。更有甚者，热病长期服用寒凉药物，导致身热不止，反而口渴饮水不解，大便干燥结块，这是寒凉药未能真正清热，而是损伤了阴液，即所谓“无水”。此时应当补肾水以制约亢盛的阳气（阳光）。前人使用的六味地黄汤，并非尽善尽美。因为六味地黄汤中，唯有地黄滋补肾阴，山茱萸酸收敛摄肝风，牡丹皮清泄肝经血热，山药培补脾土益胃，茯苓、泽泻能泻除肝肾的浮火，此方治疗肝肾虚火上炎最为精妙，但若用来填补真阴（补北济南），则还不够。我曾治疗沈姓的一个儿子，十七岁，患热病，服用了两斤多的石膏，热势不退，脉象虚而快，口燥且渴，大便干燥难下，肌肉极度消瘦，服药即呕吐，喝粥很少，病情非常危急。我说：阴气大量耗损，肌肉极度消瘦，按医法属于难治之症，幸好神气尚存，只是胃口已受药物损伤，可以将人乳与糯米饮各半杯温服，三天后呕吐停止；再商议治疗方法，果然不再呕吐，进食稍增，但身热、口渴、便秘依然存在，于是使用鲜生地、鲜石斛、天冬、麦冬、天花粉、火麻仁、橘红、粉甘草、松子仁。此方甘寒滋养津液，不伤胃气，服用四剂后食欲增加，其余症状未减。又改用熟地、生地、天冬、麦冬、龟板、黄柏、知母、橘红、鲜石斛、甘草，此方大补阴液，合甘露饮之意，服用四剂后，热退不渴，大便润滑易下。如果坚守使用六味地黄汤，断难取得疗效，最后复用八珍汤收功。
Acute convulsion (Ji Jing Feng) involves the Fu organs, while chronic convulsion (Man Jing Feng) involves the Zang organs; acute convulsion is mostly caused by wind-heat pathogenic factors blocking the pericardium of hand jueyin and gallbladder of foot shaoyang. Children's heart qi and gallbladder qi are naturally weak; suddenly seeing strange objects or hearing loud noises can cause qi mechanism dysfunction, where stagnant qi transforms into phlegm. The manifestations include fever, vomiting milk, upward deviation of the eyes, muscle spasms, and body jumping. Treatment should focus on dispersing wind, clearing heat, calming the mind, pacifying the liver, resolving phlegm, and opening the orifices. Medicines such as Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Spica), Xingren (Armeniacae Semen Amarum), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Gouteng (Uncariae Ramulus cum Uncis), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Danpi (Moutan Cortex), Sangye (Mori Folium), Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma Preparatum), Tian Nanxing (Arisaematis Cum Bile Rhizoma), Jiangcan (Bombyx Batryticatus), Shichangpu (Acori Tatarinowii Rhizoma), Tongcao (Tetrapanacis Medulla), Dengxincao (Junci Medulla), Zhu Juanxin (Bambusae Caulis in Taedia), Gancao (Glycyrrhizae Radix et Rhizoma), and Dasu Geng (Perillae Caulis) can be selected according to symptoms. Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill), Yushu Dan (Jade Pivot Powder), and Hupo Baolong Wan (Amber Embracing Dragon Pill) can all be used. Furthermore, tuina massage is particularly important; although the symptoms appear frightening, recovery is relatively easy once stabilized.
However, regarding chronic convulsion, it initially presents merely as alternating chills and fever, persistent fever alone, or simultaneous vomiting and diarrhea. If treated appropriately, it may not necessarily develop into chronic convulsion. I often see ignorant physicians treating such cases without distinguishing the patient's deficient constitution and weak pulse, indiscriminately using potent "domineering" agents such as Shigao (Gypsum Fibrosum), Huanglian (Coptidis Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Dahuang (Rhei Radix et Rhizoma). Initially slight deficiency leads to spleen-stomach collapse after medication, resulting in opisthotonos and a convergence of critical signs. Alas! The families believe that since such heavy medicines failed to cure the disease, it is fate; they do not realize that if these potent drugs had not been taken, the condition could have been salvaged, until it reached the stage of wood flourishing and earth declining (liver overacting on spleen), at which point it was too late. In my treatment of children with this condition, I first use three doses each of exterior-resolving, heat-clearing, and digestion-promoting formulas, followed immediately by spleen-nourishing and liver-pacifying methods, such as Yigong San (Benefit the Work Decoction) added with Sangye and Danpi, or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Maidong, Shengdi, and Baishao. Such treatments often result in recovery. I inform parents everywhere to examine this carefully.
The Classic states: Yin deficiency generates internal heat. Moreover, in prolonged febrile diseases, long-term use of cold-cooling herbs causes persistent fever, thirst that drinking does not quench, and dry, hard stools. This indicates that the cold nature of the medicine has not cleared the heat but rather depleted the fluids, i.e., "lack of water." At this time, one should tonify kidney water to control the flaring yang fire. The previous generation's use of Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was not entirely perfect. In Liuwei Dihuang Wan, only Dihuang nourishes kidney yin, Shanroyu (Corni Fructus) astringently gathers liver wind, Danpi clears liver blood heat, Shanyao (Dioscoreae Rhizoma) supports spleen and benefits stomach, and Fuling (Poria) and Zexie (Alismatis Rhizoma) drain floating fire from liver and kidney. This formula is excellent for treating floating fire due to liver-kidney yin deficiency, but it is insufficient for truly replenishing the north (kidney yin) to harmonize with the south (heart fire). I once treated a seventeen-year-old son of the Shen family who suffered from fever. After taking more than two jin of Shigao, the fever did not subside. His pulse was deficient and rapid, his mouth was dry and thirsty, his stools were dry and difficult to pass, and his muscles were severely wasted. He vomited upon taking medicine and ate very little porridge; the condition was critical. I said: Yin qi is largely exhausted, and muscles are severely wasted; according to medical principles, this is difficult to treat. Fortunately, the spirit (shen) remains. However, the stomach function has been damaged by the medicine. Administer half a cup of human milk and half a cup of glutinous rice drink, warmed, taken orally. After three days, the vomiting stopped. We then discussed further treatment. Indeed, there was no vomiting, and intake increased slightly, but fever, thirst, and constipation persisted. Therefore, I used fresh Shengdi (Rehmanniae Radix), fresh Shihu (Dendrobii Caulis), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Huafen (Trichosanthis Radix), Mahren (Cannabis Semen), Juhong, Fencao (Glycyrrhizae Radix et Rhizoma), and Songziren (Pini Semen). This formula is sweet and cold to nourish fluids without offending the stomach qi. After four doses, appetite increased, but other symptoms remained unchanged. I then reused Shudi (Rehmanniae Radix Preparata), Shengdi, Tiandong, Maidong, Guiban (Testudinis Carapax et Plastrum), Chuanbai (Phellodendri Chinensis Cortex), Zhimu (Anemarrhenae Rhizoma), Juhong, fresh Shihu, and Gancao. This formula greatly tonifies yin, combining the principles of Ganlu Yin (Sweet Dew Drink). After four doses, the fever subsided, thirst ceased, and stools became moist and easy to pass. Had we stuck to Liuwei Dihuang Wan, efficacy would hardly have been achieved. Finally, Bazhen Tang (Eight-Treasure Decoction) was reused to conclude the treatment.