伤食后得之，身体温，多唾多睡，或吐不思食而发搐。当先定搐，搐退，白饼子下之，
后服安神丸。
真者不过三两次必死，假者发频不为重。真者内生惊痫，假者外伤风冷。盖血气未实，
不能胜任乃发搐也。欲知假者，口中气出热也。治之可发散，大青膏主之，及用涂囟浴体法
因闻大声或大惊而发搐，发过则如故，此无阴也。当下，利惊丸主之。
小儿急惊者，本因热生于心。身热面赤引饮，口中气热，大小便黄赤，剧则搐也。盖热
盛则风生，风属肝，此阳盛阴虚也。故利惊丸主之，以除其痰热。不可与巴豆及温药大下之，恐
蓄虚热不消也。小儿热痰客于心胃，因闻声非常，则动而惊搐矣。若热极，虽不因闻声及惊
，亦自发搐。
因病后，或吐泻脾胃虚损，遍身冷，口鼻气出亦冷，手足时螈 ，昏睡，睡露睛。此无
阳也，栝蒌汤主之。
凡急慢惊，阴阳异证，切宜辨而治之，急惊合凉泻，慢惊合温补。世间俗方，多不分别
，误小儿甚多。又小儿伤于风冷，病吐泻，医谓脾虚，以温补之；不已，复以凉药治之；又不已，
谓之本伤风，医乱攻之。因脾气即虚，内不能散，外不能解。至十余日，其证多睡露睛，身
温，风在脾胃，故大便不聚而为泻。当去脾间风，风退则利止。宣风散主之。后用使君子丸
补其胃。亦有诸吐利久不差者，脾虚生风而成慢惊。
因伤食后引发，身体发热，口水多且嗜睡，或者呕吐、不想吃东西而引发抽搐。应当先止住抽搐，抽搐停止后，用白饼子攻下积滞，之后再服用安神丸。
真正（内伤）的惊风不超过两三次就会死亡，假性（外感）的发作频繁但病情不重。真正的惊风是内生惊痫，假性的惊风是外受风冷。因为小儿气血尚未充实，不能胜任邪气侵袭所以引发抽搐。想要辨别是否为假性惊风，可以看口中呼出的气是否发热。治疗时可以采用发散法，以大青膏为主，也可以使用涂囟门和洗浴身体的方法。
因为听到大声或受到大惊而引发抽搐，发作过后则恢复正常，这是无阴的表现。应当使用下法，以利惊丸为主治方剂。
小儿急惊风，根本原因是热邪生于心。身体发热，面色红赤，想喝水，口中气息发热，大小便黄赤，严重时出现抽搐。因为热盛则生风，风归属于肝，这是阳盛阴虚的表现。所以用利惊丸为主治方剂，以清除痰热。不可以使用巴豆及温热药物大力攻下，恐怕会导致虚热积聚无法消散。小儿的热痰客居在心胃，因为听到不寻常的声音，就会触动而惊厥抽搐。如果热邪极盛，即使不是因为听到声音或受惊，也会自发抽搐。
因为患病之后，或者因为吐泻导致脾胃虚弱受损，全身发冷，口鼻呼出的气也冷，手足时而痉挛，昏睡，睡觉时眼睛半睁露出眼珠。这是无阳的表现，用栝蒌汤为主治方剂。
凡是急惊风和慢惊风，阴阳证候不同，务必辨别清楚再进行治疗，急惊风适合凉泻法，慢惊风适合温补法。世间世俗的医方，大多不加区分，误害了很多小儿。另外，小儿被风冷所伤，生病出现吐泻，医生认为是脾虚，用温补的方法治疗；如果不愈，又用凉药治疗；如果还不愈，就说是本伤风，医生胡乱攻伐。因为脾气已经虚弱，内部不能运化散邪，外部不能解表驱邪。到了十多天，症状多为多睡且露睛，身体微温，风邪在脾胃，所以大便不成形而变成泄泻。应当去除脾间的风邪，风邪退去则腹泻停止。用宣风散为主治方剂。之后用使君子丸来补益胃气。也有各种吐泻久不痊愈的，因脾虚生风而演变成慢惊风。
It arises after food stagnation, with a warm body, excessive salivation and somnolence, or vomiting, anorexia, followed by convulsions. One should first stop the convulsions; after they subside, administer *Baibing Zi* (White Pill) to purge the accumulation, and subsequently take *Anshen Wan* (Calming the Spirit Pill).
True [internal] cases will result in death within two or three episodes; false [external] cases occur frequently but are not severe. True cases involve internal generation of fright-epilepsy, while false cases result from external contraction of wind-cold. This is because the child's qi and blood are not yet substantial, and thus cannot withstand the pathogenic factors, leading to convulsions. To identify a false case, observe that the breath exhaled from the mouth is hot. Treatment can employ dispersing methods, primarily using *Daqing Gao* (Great Cyan Ointment), as well as methods for applying paste to the fontanelle and bathing the body.
Convulsions triggered by loud noises or sudden fright, which resolve completely after the episode, indicate a deficiency of yin. Purging is indicated, primarily using *Lijing Wan* (Draining Fright Pill).
Pediatric acute fright-convulsion originates fundamentally from heat generated in the heart. Symptoms include fever, flushed face, thirst, hot breath, yellow and red urine and stool, and convulsions in severe cases. Since excessive heat generates wind, and wind corresponds to the liver, this represents excess yang and deficient yin. Therefore, *Lijing Wan* is used to eliminate phlegm-heat. Do not use *Radix Euphorbiae Lathyridis* (Badou, Croton Seed) or other warming purgatives for strong evacuation, lest it cause deficiency-heat to accumulate and fail to dissipate. When pediatric phlegm-heat lodges in the heart and stomach, unusual sounds may trigger movement and fright-convulsions. If heat is extreme, convulsions may occur spontaneously even without auditory stimuli or fright.
Following illness, or due to vomiting and diarrhea damaging the spleen and stomach, resulting in coldness throughout the body, cold breath from the mouth and nose, occasional spasms of the hands and feet, lethargy, and sleeping with eyes partially open. This indicates a deficiency of yang, treated primarily with *Gualou Tang* (Trichosanthes Decoction).
Acute and chronic fright-convulsions present different yin and yang syndromes; it is crucial to distinguish them before treatment. Acute cases require cooling and purging, while chronic cases require warming and tonifying. Common prescriptions in the world often fail to distinguish between them, causing much harm to children. Furthermore, when a child contracts wind-cold and suffers from vomiting and diarrhea, physicians may attribute it to spleen deficiency and treat with warming tonification. If ineffective, they may switch to cooling medicines; if still ineffective, they may diagnose it as initial wind injury and apply indiscriminate attacking methods. Because the spleen qi is already deficient, it cannot disperse internally nor resolve externally. After more than ten days, symptoms often include somnolence with exposed eyes, mild warmth of the body, and wind residing in the spleen and stomach, causing loose stools and diarrhea. One must expel the wind from the spleen; once the wind recedes, the diarrhea will cease. *Xuanfeng San* (Wind-Dispersing Powder) is primarily used. Subsequently, *Shijunzi Wan* (Quince Seed Pill) is used to tonify the stomach. There are also cases where prolonged vomiting and diarrhea do not heal, leading to spleen deficiency generating wind and evolving into chronic fright-convulsion.