（愚有小注，以辨其惑）
有曰∶急惊身热目赤，口鼻气粗，痰涎潮壅，忽然而发，发过容色如旧（未有不因外感内伤，而无故身热
目赤，气粗痰壅而发者。此突然而来，亦摹拟之辞也）。有因惊骇者，亦有不因惊骇者，大都是火燥木急（由
寒伤筋急者居多，未可尽指为火燥也）。故身先有热，未有身凉而发（二语好，但应体究热从何来？始有实据，
若但曰身先有热，不知此热在表在里，未足服人）。证皆属阳，宜用凉剂（岂有不经疏散，而辄用凉剂，不虑
其引邪入里乎）。除热化痰，则惊自息。昔人谓痰生热，热生风，风生惊，其实皆本气自病（何所据而知为本
气自病）。世人不解风自内生（焉知其不由外至，而尽由于内生，未确），徒执天麻、胆星、栝蒌、贝母、僵
蚕、全蝎，杂乱风痰之药，治之不应（由于递相授受，以致祸世殃民，千古恨事）。更以广东蜡丸牛黄、紫雪
治之，及至元气损伤，虚痰上逼，胸膈膨胀，则谓证变结胸，有是理哉（此开门揖盗，引邪入里，误治致败之
故）！
有曰∶惊者，吓也（惊由吓致）。由儿先有内伤，复来外感，肺窍痰迷，心无所主，一着惊而即发也（既
知先有内伤，复来外感，以致于肺窍痰迷，心无所主。此实由于病，非由于惊也。今日一着惊即发，则所重在
惊，治之者不治痰而治惊，置内伤外感于不问，而从事于无据之惊，弃本逐末，其害可胜言哉）。
有曰∶惊生于心，痰生于脾，风生于肝，热出于肺，此一定之理也（半真半妄，难曰确然）。热盛则生风，
风盛生痰，痰盛生惊，此贼邪必至之势（上云惊生于心，痰生于脾，风生于肝，热出于肺，惊风痰热皆本脏自
生，何以又为贼邪，不几认主作贼乎）。疗惊必先豁痰，豁痰必先祛风，祛风必先解热，而解热又以何者为先
乎？肺主皮毛，皮毛为热邪出入之门户（此又明指外邪，则非心肝脾肺
自生矣）。彼风寒暑湿燥火六淫之来（前云风自内生，此又明言六淫外至，不知孰是孰非），皮毛受之，即入
犯乎肺。肺本出热地也（肺出清肃之地，何以见肺为出热之地？经曰∶形寒饮冷则伤肺。此门户岂热邪可以出
入，而寒邪独不可以出入乎）。燥火暑邪，一入则热，与热根据而热虚；风寒湿邪一入，肺窍为之闭塞（六淫初
来，无过皮毛，犹为太阳所主。若肯为之疏散，岂能便入肺窍，而至于闭塞耶），则热无所泄，而热亦盛。若
解热必先祛邪（上云疗惊必先豁痰，豁痰必先祛风，祛风必先解热，解热必先祛邪。岂非在先竟不祛邪，以致
邪不能解，而发热、生风、生痰、生惊；今者仍从发表祛邪起，而后解热祛风，豁痰定惊。何若在先肯为解表
祛邪，岂不一了百当，又何致费如此周折乎？幼科镇坠止泻之误，于斯尽见矣）。
有曰∶急惊者，肝经血虚，火动生风（此另换题目，别开生面）。盖风生则阴血愈散，阴火愈炽（阴虚则
阳火炽，此阴火又不知指何物为言也）；火动肺金愈虚，肝邪愈炽。宜滋肝血，养脾气。若屡服祛风化痰泻火
之剂而不效（若果火盛生风，则祛风化痰泻火之剂，不为误用。今屡服而不效，盖由证侯不确，药不对病，所
以费如许揣摹，亦终归于无济也），便宜认作脾虚血损（便宜认作，是无确见，上味模棱），急补脾土（急补
脾土，则知误治致变，刻不容缓。不然，何用急乎）。
有曰∶急惊属木火土实（屡言木邪凌土，木旺土衰，何能有上实之证），木实则搐而有力，目上视动扎频；
土实则身热面赤而不吐泻，偃卧合睛。治宜凉泻。亦有因惊而发者（因惊而发，神虚可知。此为火虚，非火实
也），以致牙关紧急，壮热等证。此内有实热，外挟风邪（此所挟之风，不知指内生之风耶，外来之风耶），
当截风定搐（截风定搐四字，比干将、莫邪、龙泉、太阿更胜百倍。今天下幼科，皆用此利器也）。
有曰∶急惊者，壮热痰壅，窜视反张，搐搦掣动，牙关紧急，口中气热，颊赤唇红，脉浮洪数。此肝邪风
热，阳盛阴虚证也（脉浮洪数，饮冷便结，明是伤寒之证，未经疏解，以致热邪入里，表里皆急，方显以上诸
证。非疏里不足以解表，犹敢以急惊称之耶）。
有曰∶小儿惊风，肝病也，亦脾肾心肺病也（诸书皆以小儿天癸未足，肾不主病，惟心肝脾肺主之。今忽
言及于肾，诚所谓破天荒矣）。盖小儿之真阴未足，柔不济刚，故肝邪易动（人身荣卫脉度，每日寅时起于手
太阴肺，然后五十度周于身，至丑时终于足厥阴肝，寅时复交于肺，为阴阳大会之脏，真邪起元之所。而幼科
目为肝邪，则人生无不邪之脏矣）。则木能生火，火能生风，风热相搏则血虚，血虚筋急（寒伤阴荣，多见筋
急）。筋急则眩掉反张强直之类，皆肝木之本病也（此本《内经》太阳筋所生病，而为惊面之色相，可笑）。至
其相移，木邪侮土则脾病，木盛金衰则肺病，木火上炎则心病，木火伤阴则肾病（肝为乙木，阴柔之体，芽檗
之姿，发生之本。天地无此风木，则春生夏长，秋实冬成者，以何物为利，盖五运无此丁壬，则苍黄赤素玄，
营运于五天之中者，以何物为从合，六气无此巳亥，则司天在泉，循环于左右两间，更以何物为对化；人生无
此肝胆，则受胎一月，如露方凝之际，以何间为重始？肇基化元，莫大乎此。而幼科一倡百和，曰为万恶凶淫
之害气。诸脏逢之，无不焦头烂额，乃至于动风生火，凌土侮金，伤阴害水，诸恶毕备。即攻伐并至，不足以
尽其辜，除非杀此婴儿，使肝木无置身之地，始可祛其凶残也。违心背理，其何以堪！或曰，大都肾水未足，
肝气有余，所以害及诸脏，亦或有之，今必谓其无，恐难尽信。曰∶嘻！此言愈相矛盾矣。既知肾水未足，肝
气有余，则此无根之木，偏胜之气，摇摇不定，欲住无因，正宜速救根本，滋水以生之，养血以配之，汲汲培
补，犹恨其迟，致认为贼邪者，克
之凌之虐之，坐令其凋残摧折，挽救无由，不亦大可悲哉）。此五脏惊风之大概也。（此处明言五脏惊风，则
惊风之属五脏也明矣）。治之之法，有要存焉∶一曰风，二曰火，三曰痰，四曰阳虚，五曰阴虚（忽谈阳虚、
阴虚之法）。
有曰∶急慢惊风，古人所谓阴阳痫也（痫为痼疾，非是暴病，不应排入）。急惊属阳，慢惊属阴，惊邪入
心，则致面红颊赤，惕惕夜啼；入肝则面目俱青，眼睛窜视；入肾则面黑恶叫，啮齿咬人；入肺则面色淡白，
喘息气急；入脾则呕吐不食，面色淡黄（前云惊者吓也，惟心脏受之足矣。此处忽曰惊邪入心、入肝、入肾、
入肺、入脾，又不知指惊邪为何物？而哓哓然论之也）。然风非火不动，火非风不发，风火相搏而成惊风，故
心肝二脏主之（前云惊邪在五脏，则肝风无与焉，于此又必扯入肝风，以证其木火生风之妄语，令人欲呕）。
然火虚则金伤，水失其母，而火无所畏，且木无所制，而脾土又受伤矣（独不可曰水盛则火伤，土失其母，而
水无所畏，且金无所制，而肝木又受伤矣。牵枝带叶，何患无辞？不过欲实一肝风名目，而累及于五脏，即失
火殃鱼，亡猿祸木，未若是之婪也）。
有曰∶急惊者，阳证也。小儿阳常有余，阴常不足（经曰∶阳气者，若天与日，失其所，则折寿而不彰。又
曰∶阳精下降，其人夭。《易》以阳为君子，阴喻小人，非贵阳贱阴，盖以阳主升生，阴主肃杀故也。幼科之
人，必欲相反，圣人则扶阳抑阴，幼科则护阴贼阳，每每以阳有余阴不足为方，然虽谆谆言之，究竟不知其所
谓。若谓血为阴，气为阳，经曰∶婴儿肉脆，血少气弱。未尝曰血少气多，盖谓真气未生，惟此呼吸一线而已。
今认为有余，必使此一线之气出入全无，方可谓阳不足乎！若谓寒为阴，热为阳，寒主收敛，热主发生，人之
所赖者，惟此阳和而已。有此阳和，则百骸五官方能运动。今认为有余，必
使此温暖之气，寂灭无余，至于四肢僵木，遍体寒水，方可谓阳不足乎！若谓水为阴，火为阳，天一非阴，地二
非阳，坎戌非阴，离巳非阳，更为不切。若谓肝为阴，肺为阳，金不制木，肝气有余，不知肝属厥阴，职司藏
血，血乃阴荣，乙癸同源，误认为阳，益倍殊谬。若谓肝为阴，胆为阳，胆无出入，虽属少阳，专司半表半里，
有病惟宜和解表里，严禁汗吐下三法。今误认少阳胆经之热，为阳火有余，轻用凉泻攻下之治，不几故变常经，
甘蹈误世之讥乎！若谓真阳有余，小儿天癸未足，真阳尚未肇基，一发无谓。若谓五脏为阴，六腑为阳，即应专
泻六腑之阳，不应以心火肝风为贼邪，乃以黄连、甘遂，大寒大毒之物，以泻其不足之阴。不知果何所指而哓哓
其词，岂小儿别有所谓阳有余，阴不足乎？予之识见短浅，不足以窥其幽深）。易于生热，热盛则生风、生痰、
生惊（巴人下里之音，通国和之者欤）。且食饮难节（忽归咎于食饮），喜怒不常（忽委罪于性情），暴怒伤阴，
暴喜伤阳，伤阴则泻，伤阳则惊（上云阳常有余，既有余，则伤不为害。今曰伤阳致惊，则阳之不可伤者，又在
言外矣。辞执两端，难堪为式）。小儿暴喜伤乳（上云暴喜伤阳，此言暴喜伤乳，乳为血液，本非属阳，何以暴
喜伤之乎）。夫乳甘缓恋膈（又归咎于乳汁，特有发明乳食之议矣），又兼外感寒邪，则痰凝壅塞，郁滞熏蒸
（乳既恋膈，寒复外侵，以致于痰凝壅塞，郁滞熏蒸。治疗之术，惟有绝其乳食为上着，不然，病根何时得断哉），
内有食热，外感风邪（上云乳滞挟寒邪，此云食热挟风邪，一片迷离梦境）。心家热盛则生惊（前云惊由吓致，
此言心热生惊），肝家风盛则发搐，肝风心火交争（前云风非火不动，火非风不发。是风火交相为用者。此言风
火交争，不知所争者，何物也），因乃痰生于脾，风生于肝，惊出于心，热出于肺。惊风痰热四证若具，八喉生
焉（此篇从阳盛阴虚，生热生风说起，乃至食饮、
喜怒、乳哺，冷热寒邪、内伤外感，多般妆点，仍然说到惊风痰热四字止。费如许心思，不过欲为惊风二字作
陪衬，不知无本之举，谬误之谈，任极口铺来，说来，总不顺理，无非东扯西拽，以诳俗人耳目，明眼者必不为
其所欺也）。
有曰∶急慢惊风，或闻大声，或大惊而发搐，发过如故。此无阴也，当下之（《内经》言∶大惊卒恐，气
血分离。此正神志受伤，阴阳破散，挽救尚虞其不及，何以见无阴而当下，不虑及其下多亡阴乎）。此证本因
热生于心（既大惊卒恐，心热何来），身热面赤，嗜饮，口中气热，大小便黄赤，剧则热也。盖热盛则生风，属
肝，阳盛阴虚也，故下之，以除其痰也（上云发过如故，下云身热面赤种种热证。若谓未发搐前而见此证，此
由于病，非由于惊也。若谓发搐之后而见此证，则前之所谓发过如故者，不几呓语乎）。小儿痰热，客于心间
（无怪乎骤用巴豆、甘遂，以逐心间之痰。岂知小儿作搐，纵使有痰，不过阻于脾之大络，塞其气道耳，何尝
能入心间，而以大毒之物伐及无辜，伤其神明之脏，欲不成痫，其可得乎），因闻非常之声，动而发搐矣。若
热极不闻声及惊，亦自发搐也（闻声悸惕，神虚者有之。修炼家以精生气，气生神，神之倚气，如鱼根据水。凡
小儿禀受薄者，先天既不足于妊前，癸水复未成于现下，故元精未足。元气无根，所以元神最怯，每多闻声则
惕。此实神虚胆怯不足之证。而幼科不但不怜其元神不足，而偏指为心火有余，不但指心火有余，而并肝风、
脾痰、肺热一总扯入，以证其惊风痰热四证八候之妄言。复有闻非常之声，见异类之物，乍然惊怪动惕，此正
神魂无主，荣卫俱乱，摇摇泛泛，欲定不能之际，而不为之防护保救，犹曰热生于心，必欲下之以除其痰，入
井下石，雪上加霜。此等人，不知是何肺肠，洵堪诧异）。
有曰∶小儿平常无事，忽然壮热，手足
搐搦，眼目戴上，涎潮壅塞，牙关紧急，身热目赤（既曰平常无事，则无病可知，乍见以上种种恶候，必如俗
人所言鬼病也。不然，何以平常无事，而忽凶危若是耶？岂知小儿易感风寒，易伤乳食，在先半日，邪已入内，
儿不能言，父母未觉，邪郁不伸，所以乍然而搐，观其忽发壮热之言可知矣。非风寒入里为壮热，即食饮停滞
为壮热，此实因病而致，岂平常无事之谓哉！治此无难，但应察其受病之源，外因则达之发之，内因则导之夺
之，病邪既去，神性自宁焉耳。若必曰无因而致，在俗人必疑为鬼祟，求之巫觋，庸工必目为惊风，妄为治疗。
两相耽误，奈之何哉）。此急惊属阳，病在腑（每云惊风为心肝所主，此处忽云属腑，不知心肝属腑乎，属
脏乎？要问幼科之开天祖师，方能辨白，予则眼花撩乱，莫能识也）。
有曰∶急惊者，阳证也，俱腑受病耳。小儿客痰热于心膈，是少阳相火旺（每言心火，此曰相火，新奇）。
（作者有批注，用以辨明其中的迷惑）
有人说：急惊风表现为身体发热、眼睛发红、口鼻呼吸粗重、痰涎如潮般壅塞，突然发作，发作过后面色恢复如常。（这并非没有外感内伤的原因，就不会无故出现身热、目赤、气粗、痰壅而发病。这种说法是突然出现的描述，也是一种模拟的言辞。）有的因为受惊吓而发病，也有的并不因受惊吓而发病，大都是由于火燥和肝木之急所致。（实际上由寒邪损伤筋脉导致筋急的情况居多，不能全部归结为火燥。）所以身体先有发热，没有身体发凉而发病的。（这两句话很好，但应当探究热从何而来，才有实据。如果只说身体先有热，不知道这个热是在表还是在里，不足以让人信服。）证候都属于阳证，适宜使用凉剂。（难道不经过疏散解表，就随意使用凉剂，不担心引邪入里吗？）清除热邪、化解痰涎，那么惊风自然平息。古人说痰生热，热生风，风生惊，其实这都是本气自病。（有什么依据知道是本气自病呢？）世人不懂得风是从内生出来的（怎么知道不是由外而至，而全由于内生，这并不确切），只是固执地使用天麻、胆南星、瓜蒌、贝母、僵蚕、全蝎等杂乱的风痰药来治疗，却不见效。（这是由于师徒相传，以致祸害世人，真是千古恨事！）再用广东产的蜡丸牛黄、紫雪来治疗，等到元气受损，虚痰上逼，胸膈膨胀，就说证候变成了结胸，有这样的道理吗？（这是开门揖盗，引邪入里，误治导致败坏的原因啊！）
有人说：惊，就是吓唬。（惊是由吓唬导致的。）因为孩子先前有内伤，又遭受外感，肺窍被痰迷住，心神无所主，一旦受到惊吓就立即发病。（既然知道先前有内伤，又遭受外感，导致肺窍痰迷，心神无所主。这实际上是因病所致，而非因惊所致。现在说一受到惊吓就发病，重点在惊，治疗者不治痰而治惊，置内伤外感于不问，而去从事于没有根据的“惊”的治疗，弃本逐末，其危害能说尽吗？）
有人说：惊生于心，痰生于脾，风生于肝，热出于肺，这是一定的道理。（半真半假，难以说是确切的。）热盛则生风，风盛生痰，痰盛生惊，这是贼邪必然到来的趋势。（上面说惊生于心，痰生于脾，风生于肝，热出于肺，惊风痰热都从本脏自生，为什么又说是贼邪？这不简直是认主作贼吗？）治疗惊风必须先豁痰，豁痰必须先祛风，祛风必须先解热，而解热又以什么为先呢？肺主皮毛，皮毛是热邪出入的门户。（这里又明确指外邪，那就不是心肝脾肺自生了。）那些风寒暑湿燥火六淫之邪的到来（前面说风自内生，这里又明确说六淫外至，不知道谁是谁非），皮毛受之，随即侵入犯肺。肺本是出热的地方吗？（肺是清肃之地，怎么见肺是出热的地方？经书说：形寒饮冷则伤肺。这门户难道是热邪可以出入，而寒邪独不可以出入吗？）燥火暑邪，一进入就产生热，与热相凭借而热更虚；风寒湿邪一进入，肺窍为之闭塞（六淫初来，不过通过皮毛，还属于太阳经所主。如果肯为它们疏散，怎么能便入肺窍，以至于闭塞呢？），那么热无处宣泄，热也就旺盛了。如果解热必须先祛邪（上面说疗惊必先豁痰，豁痰必先祛风，祛风必先解热，解热必先祛邪。岂不是在先竟不祛邪，以致邪不能解，而发热、生风、生痰、生惊；现在仍从发表祛邪开始，然后解热祛风，豁痰定惊。何如在开始肯为解表祛邪，岂不一了百当，又何致费如此周折呢？儿科镇坠止泻的错误，在这里完全可见了）。
有人说：急惊风，是肝经血虚，火动生风。（这是另换题目，别开生面。）大概风生则阴血愈散，阴火愈炽（阴虚则阳火炽，这个阴火又不知道指什么东西而言）；火动则肺金愈虚，肝邪愈炽。适宜滋补肝血，养护脾气。如果屡次服用祛风化痰泻火的药剂而不效（如果果真是火盛生风，那么祛风化痰泻火的药剂，不算误用。现在屡次服用而不效，大概是因为证候不确切，药不对病，所以花费这么多揣测，最终也归于无济于事），就应当认定为脾虚血损（轻易认定，是没有确切的见解，上面的味道模棱两可），急需补脾土（急需补脾土，就知道误治导致变化，刻不容缓。不然，为什么要急呢？）。
有人说：急惊属木火土实（屡次说木邪凌土，木旺土衰，怎么能有上面的实证？），木实则抽搐有力，眼睛向上看且频繁眨动；土实则身体发热、面色红赤而不吐泻，仰卧闭眼。治疗适宜凉泻。也有因为惊吓而发病的（因为惊吓而发病，神气虚弱可知。这是火虚，不是火实），导致牙关紧急、壮热等证候。这是内有实热，外挟风邪（这个所挟的风，不知道是指内生的风还是外来的风），应当截风定搐（截风定搐这四个字，比干将、莫邪、龙泉、太阿更胜百倍。如今天下的儿科医生，都用这个利器啊）。
有人说：急惊风，表现为壮热、痰壅、窜视、反张、搐搦掣动、牙关紧急、口中气热、脸颊红赤、嘴唇红、脉浮洪数。这是肝邪风热，阳盛阴虚的证候（脉浮洪数，饮水多、大便结，明明是伤寒的证候，未经疏解，以致热邪入里，表里皆急，才显现以上诸证。不疏通里就不足以解表，还敢称之为急惊吗？）。
有人说：小儿惊风，是肝病，也是脾肾心肺的病（诸书都说小儿天癸未足，肾不主病，只有心肝脾肺主之。现在忽然说到肾，诚所谓破天荒了）。大概小儿的真阴不足，柔不能济刚，所以肝邪易动（人身营卫脉度，每天寅时起始于手太阴肺，然后五十度周行于身，到丑时终于足厥阴肝，寅时再交于肺，为阴阳大会之脏，真邪起元之所。而儿科将其目为肝邪，那么人生就没有无邪之脏了）。则木能生火，火能生风，风热相搏则血虚，血虚则筋急（寒伤阴荣，多见筋急）。筋急则眩晕、掉动、反张、强直之类，都是肝木的本病（这本是《内经》中太阳筋所生病，却成了惊风的色相，可笑）。至于其相互传移，木邪侮土则脾病，木盛金衰则肺病，木火上炎则心病，木火伤阴则肾病（肝为乙木，阴柔之体，芽檗之姿，发生之本。天地没有此风木，那么春生夏长、秋实冬成，以何物为利？五运没有此丁壬，那么苍黄赤素玄，营运于五天之中，以何物为从合？六气没有此巳亥，那么司天在泉，循环于左右两间，更以何物为对化？人生没有此肝胆，那么受孕一月，如露方凝之际，以何间为重始？肇基化元，莫过于此。而儿科一倡百和，说是万恶凶淫之害气。诸脏逢之，无不焦头烂额，乃至于动风生火、凌土侮金、伤阴害水，诸恶毕备。即使攻伐并至，也不足以尽其罪，除非杀此婴儿，使肝木无置身之地，才可祛除其凶残也。违心背理，其何以堪！有人说：大抵肾水未足，肝气有余，所以害及诸脏，也许有这种情况，现在一定说它没有，恐怕难以尽信。回答说：嘻！这话更加矛盾了。既然知道肾水未足，肝气有余，那么这个无根之木，偏胜之气，摇摇不定，欲住无因，正宜速救根本，滋水以生之，养血以配之，汲汲培补，还恨其迟，却认定为贼邪，克之、凌之、虐之，坐令其凋残摧折，挽救无由，不亦大可悲哉）。这是五脏惊风的大概情况。（这里明确说五脏惊风，那么惊风属于五脏是很明显的了。）治疗的方法，有要点存在：一是风，二是火，三是痰，四是阳虚，五是阴虚（忽然谈到阳虚、阴虚的方法）。
有人说：急慢惊风，古人所谓的阴阳痫（痫是痼疾，不是暴病，不应排入）。急惊属阳，慢惊属阴，惊邪入心，则导致面红颊赤、惕惕夜啼；入肝则面目俱青、眼睛窜视；入肾则面黑恶叫、啮齿咬人；入肺则面色淡白、喘息气急；入脾则呕吐不食、面色淡黄（前面说惊者吓也，惟心脏受之足矣。这里忽然说惊邪入心、入肝、入肾、入肺、入脾，又不知指惊邪为何物？而喋喋不休地论述它）。然而风非火不动，火非风不发，风火相搏而成惊风，所以心肝二脏主之（前面说惊邪在五脏，那么肝风无关联，于此又必扯入肝风，以证明其木火生风的妄语，令人欲呕）。然而火虚则金伤，水失其母，而火无所畏，且木无所制，而脾土又受伤了（难道不可说水盛则火伤，土失其母，而水无所畏，且金无所制，而肝木又受伤吗？牵枝带叶，何患无辞？不过想充实一个肝风名目，而累及于五脏，即失火殃鱼，亡猿祸木，还没有这么贪婪啊）。
有人说：急惊风，是阳证。小儿阳常有余，阴常不足（经书说：阳气者，若天与日，失其所，则折寿而不彰。又说：阳精下降，其人夭。《易经》以阳为君子，阴喻小人，并非贵阳贱阴，盖因阳主升生，阴主肃杀故也。儿科之人，必欲相反，圣人则扶阳抑阴，儿科则护阴贼阳，每每以阳有余阴不足为方，虽然谆谆言之，究竟不知道其所谓。如果说血为阴，气为阳，经书说：婴儿肉脆，血少气弱。未曾说血少气多，盖谓真气未生，惟此呼吸一线而已。现在认为有余，必须使此一线之气出入全无，方可谓阳不足乎！如果说寒为阴，热为阳，寒主收敛，热主发生，人所依赖者，惟此阳和而已。有此阳和，则百骸五官方能运动。现在认为有余，必须使此温暖之气，寂灭无余，至于四肢僵木，遍体寒水，方可谓阳不足乎！如果说水为阴，火为阳，天一非阴，地二非阳，坎戌非阴，离巳非阳，更为不切。如果说肝为阴，肺为阳，金不制木，肝气有余，不知肝属厥阴，职司藏血，血乃阴荣，乙癸同源，误认为阳，益倍殊谬。如果说肝为阴，胆为阳，胆无出入，虽属少阳，专司半表半里，有病惟宜和解表里，严禁汗吐下三法。现在误认少阳胆经之热，为阳火有余，轻用凉泻攻下之治，不几故变常经，甘蹈误世之讥乎！如果说真阳有余，小儿天癸未足，真阳尚未肇基，一发无谓。如果说五脏为阴，六腑为阳，即应专泻六腑之阳，不应以心火肝风为贼邪，乃以黄连、甘遂，大寒大毒之物，以泻其不足之阴。不知果何所指而哓哓其词，岂小儿别有所谓阳有余，阴不足乎？我的识见短浅，不足以窥其幽深）。易于生热，热盛则生风、生痰、生惊（巴人下里之音，通国和之者欤）。且饮食难节（忽然归咎于饮食），喜怒不常（忽然委罪于性情），暴怒伤阴，暴喜伤阳，伤阴则泻，伤阳则惊（上面说阳常有余，既有余，则伤不为害。现在说伤阳致惊，则阳之不可伤者，又在言外矣。辞执两端，难堪为式）。小儿暴喜伤乳（上面说暴喜伤阳，这里说暴喜伤乳，乳为血液，本非属阳，何以暴喜伤之乎？）。夫乳甘缓恋膈（又归咎于乳汁，特有发明乳食之议矣），又兼外感寒邪，则痰凝壅塞，郁滞熏蒸（乳既恋膈，寒复外侵，以至于痰凝壅塞，郁滞熏蒸。治疗之术，惟有绝其乳食为上策，不然，病根何时得断哉），内有食热，外感风邪（上面说乳滞挟寒邪，这里说食热挟风邪，一片迷离梦境）。心家热盛则生惊（前面说惊由吓致，这里说心热生惊），肝家风盛则发搐，肝风心火交争（前面说风非火不动，火非风不发。是风火交相为用者。这里说风火交争，不知所争者，何物也），因乃痰生于脾，风生于肝，惊出于心，热出于肺。惊风痰热四证若具，八喉生焉（这篇从阳盛阴虚，生热生风说起，乃至食饮、喜怒、乳哺，冷热寒邪、内伤外感，多般妆点，仍然说到惊风痰热四字止。费如许心思，不过欲为惊风二字作陪衬，不知无本之举，谬误之谈，任极口铺来，说来，总不顺理，无非东扯西拽，以诳俗人耳目，明眼者必不为其所欺也）。
有人说：急慢惊风，或闻大声，或大惊而发搐，发过如故。此无阴也，当下之（《内经》说：大惊卒恐，气血分离。这正是神志受伤，阴阳破散，挽救尚虞其不及，怎么见无阴而当下，不虑及其下多亡阴乎？）。此证本因热生于心（既大惊卒恐，心热何来），身热面赤，嗜饮，口中气热，大小便黄赤，剧则热也。盖热盛则生风，属肝，阳盛阴虚也，故下之，以除其痰也（上面说发过如故，下面说身热面赤种种热证。如果说未发搐前而见此证，这是由于病，非由于惊也。如果说发搐之后而见此证，则前之所谓发过如故者，不几呓语乎？）。小儿痰热，客于心间（难怪乎骤用巴豆、甘遂，以逐心间之痰。岂知小儿作搐，纵使有痰，不过阻于脾之大络，塞其气道耳，何尝能入心间，而以大毒之物伐及无辜，伤其神明之脏，欲不成痫，其可得乎？），因闻非常之声，动而发搐矣。若热极不闻声及惊，亦自发搐也（闻声悸惕，神虚者有之。修炼家以精生气，气生神，神之倚气，如鱼根据水。凡小儿禀受薄者，先天既不足于妊前，癸水复未成于现下，故元精未足。元气无根，所以元神最怯，每多闻声则惕。这其实是神虚胆怯不足之证。而儿科不但不怜其元神不足，而偏指为心火有余，不但指心火有余，而并肝风、脾痰、肺热一总扯入，以证其惊风痰热四证八候之妄言。复有闻非常之声，见异类之物，乍然惊怪动惕，这正是神魂无主，荣卫俱乱，摇摇泛泛，欲定不能之际，而不为之防护保救，犹曰热生于心，必欲下之以除其痰，入井下石，雪上加霜。这种人，不知是何肺肠，洵堪诧异）。
有人说：小儿平常无事，忽然壮热，手足搐搦，眼目戴上，涎潮壅塞，牙关紧急，身热目赤（既然说平常无事，则无病可知，乍见以上种种恶候，必如俗人所言鬼病也。不然，何以平常无事，而忽凶危若是耶？岂知小儿易感风寒，易伤乳食，在先半日，邪已入内，儿不能言，父母未觉，邪郁不伸，所以乍然而搐，观其忽发壮热之言可知矣。非风寒入里为壮热，即食饮停滞为壮热，此实因病而致，岂平常无事之谓哉！治此无难，但应察其受病之源，外因则达之发之，内因则导之夺之，病邪既去，神性自宁焉耳。若必曰无因而致，在俗人必疑为鬼祟，求之巫觋，庸工必目为惊风，妄为治疗。两相耽误，奈之何哉）。此急惊属阳，病在腑（每云惊风为心肝所主，这里忽然说属腑，不知心肝属腑乎，属脏乎？要问儿科的开天祖师，方能辨白，我则眼花撩乱，莫能识也）。
有人说：急惊风，是阳证，都是腑受病耳。小儿客痰热于心膈，是少阳相火旺（每言心火，这里说相火，新奇）。
(Note: The following is an academic translation based on the provided vernacular text, adhering to WHO International Standard Terminologies on Traditional Medicine.)
(Author's commentary to clarify confusion)
It is said: Acute convulsion (Ji Jing) presents with fever (Fa Re), red eyes (Mu Chi), coarse breathing from mouth and nose (Kou Bi Qi Cu), and tidal accumulation of phlegm-saliva (Tan Xian Chao Yong). It occurs suddenly, and after the episode, the complexion returns to normal. (This does not occur without external contraction or internal injury; there are no cases of sudden fever, red eyes, coarse breathing, and phlegm obstruction arising from nowhere. This description of sudden onset is merely a simulated expression.) Some cases arise from fright (Jing), while others do not. Generally, this is due to Fire dryness and Liver Wood urgency. (In fact, cases caused by Cold damaging the tendons leading to tendon spasm are more common; one cannot attribute all cases to Fire dryness.) Therefore, the body must have heat prior to onset; there are no cases where the body is cool yet the condition erupts. (These two sentences are good, but one should investigate the source of the heat to establish solid evidence. Merely stating "the body has heat first" without distinguishing whether the heat is in the Exterior (Biao) or Interior (Li) is unconvincing.) The syndrome belongs to Yang, and it is appropriate to use cooling formulas (Liang Ji). (Is it not dangerous to use cooling agents without first dispersing the pathogen, risking drawing the pathogen deeper into the Interior?) Clearing Heat (Re) and resolving Phlegm (Tan) will naturally subside the Fright/Convulsion. Ancients stated that Phlegm generates Heat, Heat generates Wind (Feng), and Wind generates Fright. In reality, these are all diseases originating from the body's own Qi (Ben Qi). (On what basis is it known to be a disease of the body's own Qi?) People fail to understand that Wind arises internally (How can one know it does not come from the Exterior but arises entirely internally? This is not accurate). They stubbornly administer a mixture of herbs for Wind and Phlegm such as Tianma (Gastrodiae Rhizoma), Danxing (Arisaematis Cum Bile), Gualou (Trichosanthis Fructus), Beimu (Fritillariae Bulbus), Jiangcan (Bombyx Batryticatus), and Quanxie (Scorpio), but the treatment fails. (This is due to transmission through teaching, causing harm to the people—a regrettable matter throughout history.) Furthermore, using Niuhuang (Calculus Bovis) wax pills from Guangdong or Zixue (Purple Snow) damages the Yuan Qi (Primal Qi). When Yuan Qi is damaged and Deficient Phlegm forces upward, causing chest and diaphragm distension, they claim the syndrome has transformed into Jie Xiong (Chest Binding). Is there any logic in this? (This is like opening the door to invite thieves, drawing the pathogen inward, and failing due to misdiagnosis!)
It is said: Fright (Jing) is being startled. (Fright results from being startled.) Because the child previously had internal injury (Nei Shang) and then suffered external contraction (Wai Gan), the Lung orifices are confused by Phlegm, and the Heart Spirit (Xin Shen) has no master. Once startled, the condition immediately erupts. (Since it is known that previous internal injury and subsequent external contraction led to Lung orifice confusion by Phlegm and Heart Spirit lack of mastery, this is actually due to illness, not due to Fright. Now saying "once startled, it erupts" places emphasis on Fright. The practitioner treats Fright rather than Phlegm, ignoring internal injury and external contraction, engaging in treating an unfounded "Fright," abandoning the root for the branch. How can the harm be overstated?)
It is said: Fright arises from the Heart, Phlegm from the Spleen, Wind from the Liver, and Heat from the Lungs. This is a fixed principle. (Half true, half false; difficult to call it definite.) Excessive Heat generates Wind, excessive Wind generates Phlegm, and excessive Phlegm generates Fright. This is the inevitable trend of "Thief Pathogens" (Ze Xie). (Above it was said that Fright arises from the Heart, Phlegm from the Spleen, Wind from the Liver, and Heat from the Lungs, implying these arise from their respective Zang organs. Why are they now called "Thief Pathogens"? Is this not mistaking the host for the thief?) To treat Fright, one must first resolve Phlegm (Huo Tan); to resolve Phlegm, one must first dispel Wind; to dispel Wind, one must first clear Heat. But what comes first in clearing Heat? The Lungs govern the skin and hair (Pi Mao), which are the portals for Heat pathogens to enter and exit. (Here, external pathogens are explicitly mentioned, so they do not arise from the Heart, Liver, Spleen, or Lungs themselves.) When the Six Excesses (Liu Yin: Wind, Cold, Summer-heat, Dampness, Dryness, Fire) arrive, they affect the skin and hair and immediately invade the Lungs. (Previously it was said Wind arises internally; now it is explicitly stated that the Six Excesses come from outside. Who is right and who is wrong?) Are the Lungs originally a place that produces Heat? (The Lungs are a place of clear and descending function; how can they be seen as producing Heat? The Classics state: "Cold exposure and cold drinks damage the Lungs." If this portal allows Heat pathogens to enter and exit, why not Cold pathogens?) When Dryness, Fire, or Summer-heat pathogens enter, Heat is generated, and combined with existing Heat, the deficiency becomes apparent. When Cold, Wind, or Dampness pathogens enter, the Lung orifices become blocked. (When the Six Excesses first arrive, they only affect the skin and hair, which are governed by the Taiyang channel. If one were to disperse them, how could they easily enter the Lung orifices and cause blockage?) Thus, Heat has no outlet to vent, and Heat becomes excessive. If clearing Heat requires first removing the pathogen... (Above it was said: Treat Fright by resolving Phlegm, resolve Phlegm by dispelling Wind, dispel Wind by clearing Heat, clear Heat by removing the pathogen. Did we not fail to remove the pathogen initially, leading to Heat generation, Wind generation, Phlegm generation, and Fright? Now starting again from releasing the Exterior and removing the pathogen, then clearing Heat, dispelling Wind, resolving Phlegm, and calming Fright—why not have released the Exterior and removed the pathogen at the beginning? Would that not have resolved everything instantly, avoiding such complexity? The errors of pediatric sedation and diarrhea cessation are fully evident here.)
It is said: Acute convulsion is due to Blood deficiency in the Liver Channel, with Fire agitation generating Wind. (This changes the subject completely.) Generally, when Wind arises, Yin Blood scatters further, and Yin Fire blazes more fiercely. (Yin deficiency leads to blazing Yang Fire; but what exactly is this "Yin Fire" referring to?) Fire agitation makes Lung Metal more deficient, and Liver Evil becomes more rampant. One should nourish Liver Blood and tonify Spleen Qi. If repeatedly taking Wind-dispelling, Phlegm-resolving, and Fire-draining agents yields no effect... (If it were truly Fire excess generating Wind, these agents would not be misuse. The fact that they fail suggests the syndrome is inaccurate and the medicine does not match the disease, leading to futile speculation. Ultimately, it remains ineffective.), one should readily recognize it as Spleen deficiency and Blood damage. (Readily recognizing implies a lack of firm insight; the previous descriptions were ambiguous.) Urgently tonify Spleen Earth. (Urgently tonifying Spleen Earth indicates that misdiagnosis has led to transformation, requiring immediate action. Otherwise, why the urgency?)
It is said: Acute convulsion involves excess in Wood, Fire, and Earth. (Repeatedly mentioning Wood evil insulting Earth, Wood flourishing and Earth declining, how can there be upper excess syndromes?) When Wood is in excess, spasms are forceful, eyes look upward, and blinking is frequent. When Earth is in excess, there is fever, red face, no vomiting or diarrhea, lying supine with closed eyes. Treatment should involve cooling and purging. There are also cases triggered by fright... (Triggered by fright indicates Spirit deficiency. This is Fire deficiency, not Fire excess.), leading to locked jaw, high fever, etc. This is internal Excess Heat combined with external Wind pathogen. (Is this Wind internal or external?) One should stop Wind and calm spasms. ("Stopping Wind and Calming Spasms" is far superior to legendary swords like Ganjiang and Moxie. Today, all pediatricians use this sharp tool.)
It is said: Acute convulsion presents with high fever, phlegm obstruction, wandering gaze, opisthotonos, spasms, locked jaw, hot breath, red cheeks, red lips, and floating, surging, rapid pulse. This is Liver Evil Wind-Heat, a syndrome of Yang excess and Yin deficiency. (Floating, surging, rapid pulse, drinking cold water, constipation clearly indicate a Shaoyang/Taiyang Cold Damage syndrome. Without proper resolution, Heat pathogens entered the Interior, causing tension in both Exterior and Interior, manifesting the above symptoms. Without clearing the Interior, the Exterior cannot be resolved. How can one still call this Acute Convulsion?)
It is said: Pediatric convulsion is a Liver disease, but also a Kidney, Heart, Spleen, and Lung disease. (Most texts state that since children's Tian Gui is insufficient, the Kidney does not primarily govern disease; only Heart, Liver, Spleen, and Lungs do. Suddenly mentioning the Kidney is indeed groundbreaking.) Since children's True Yin is insufficient, Softness cannot balance Rigidity, so Liver Evil moves easily. (The body's Ying and Wei pulses begin in the Hand Taiyin Lung at Yin hour, circulate fifty times, ending in Foot Jueyin Liver at Chou hour, and reconnect at Yin hour. It is the meeting place of Yin and Yang, the origin of True and Evil. Yet pediatrics labels it as Liver Evil, implying no organ in humans is free from Evil.) Wood generates Fire, Fire generates Wind. Wind and Heat battling lead to Blood deficiency, and Blood deficiency leads to tendon spasm. (Cold damaging Yin Ying often causes tendon spasm.) Tendon spasm leads to dizziness, tremors, opisthotonos, and stiffness, which are fundamental diseases of Liver Wood. (This originates from the *Neijing*'s discussion of Taiyang tendon diseases, yet is used to explain the facial expressions of convulsion, which is laughable.) Regarding transmission: Wood evil insulting Earth causes Spleen disease; Wood flourishing and Metal declining causes Lung disease; Liver Fire flaming upward causes Heart disease; Liver and Fire damaging Yin causes Kidney disease. (Liver is Yi Wood, a Yin-soft body, the root of growth. Without this Wind-Wood in heaven and earth, what facilitates spring growth and summer expansion? Without Ding-Ren in the Five Movements, what coordinates the colors in the five heavens? Without Si-Hai in the Six Qi, what balances the ruling and ruled qi? Without liver and gallbladder in humans, what initiates conception in the first month? The foundation of transformation is greatest here. Yet pediatrics echoes this, calling it a hundred evils and fierce pathogenic qi. All organs suffering from it are devastated, leading to Wind generation, Fire blazing, insulting Earth, harming Metal, damaging Yin, and harming Water—all evils complete. Even if attacked relentlessly, it is not enough to punish its guilt; unless this infant is killed so Liver Wood has no place to exist, can its ferocity be removed? This goes against reason and conscience, how can it be endured! Someone says: Mostly, Kidney Water is insufficient, and Liver Qi is excessive, thus harming other organs. Perhaps this is true, but denying it entirely may be hard to believe. I reply: Ha! This statement is even more contradictory. Knowing Kidney Water is insufficient and Liver Qi is excessive, this rootless Wood and biased Qi are unstable and uncertain. One should urgently save the root, nourish Water to generate it, nourish Blood to harmonize it, and diligently tonify, yet regretting slowness. Instead, identifying it as a Thief Pathogen and attacking, insulting, and abusing it, letting it wither and break, with no way to rescue—is this not truly tragic?) This is the general overview of Five-Zang convulsions. (Explicitly stating Five-Zang convulsion confirms convulsion belongs to the Five Zang organs.) The methods of treatment have key points: 1. Wind, 2. Fire, 3. Phlegm, 4. Yang deficiency, 5. Yin deficiency. (Suddenly discussing methods for Yang and Yin deficiency.)
It is said: Acute and chronic convulsions are what ancients called Yin and Yang Epilepsy (Dian). (Epilepsy is a chronic disease, not an acute one, and should not be grouped here.) Acute convulsion belongs to Yang, chronic to Yin. If Fright Evil enters the Heart, it causes red face and cheeks, nightly crying with fear. If it enters the Liver, the face and eyes turn blue, and eyes wander. If it enters the Kidney, the face turns black, screaming is aversive, teeth gnash, and biting occurs. If it enters the Lungs, the face is pale white, with panting and急促 breathing. If it enters the Spleen, there is vomiting, refusal to eat, and pale yellow face. (Earlier it was said Fright is being startled, and only the Heart receives it. Here it suddenly says Fright Evil enters Heart, Liver, Kidney, Lungs, Spleen. What is this Fright Evil? And why discuss it incessantly?) However, Wind does not move without Fire, and Fire does not erupt without Wind. Wind and Fire battling form convulsion, so Heart and Liver govern it. (Earlier it said Fright Evil is in the Five Zang, so Liver Wind was irrelevant. Now pulling in Liver Wind to prove the fallacy of Wood-Fire generating Wind is nauseating.) However, if Fire is deficient, Metal is damaged, Water loses its mother, Fire has nothing to fear, Wood has nothing to restrain, and Spleen Earth is injured. (Why not say Water excess damages Fire, Earth loses its mother, Water has nothing to fear, Metal has nothing to restrain, and Liver Wood is injured? Dragging branches and leaves, making excuses is easy. It is merely trying to substantiate the concept of Liver Wind, implicating the Five Zang. Losing fire burns fish, killing the ape harms the tree—this greed is worse.)
It is said: Acute convulsion is a Yang syndrome. Children usually have excess Yang and deficient Yin. (The Classics say: "Yang Qi is like the sky and sun; if it loses its position, lifespan is shortened and brilliance fades." Also: "If Yang Essence descends, the person dies early." The *I Ching* regards Yang as the Gentleman and Yin as the Petty Person. This is not valuing Yang and despising Yin, but because Yang governs ascending and generating, while Yin governs肃杀 (descending and killing). Pediatricians oppose this. Sages support Yang and suppress Yin; pediatricians protect Yin and attack Yang, frequently using "Yang excess, Yin deficiency" as a formula. Though spoken earnestly, they do not know what they mean. If Blood is Yin and Qi is Yang, the Classics say: "Infants have fragile flesh, little Blood, and weak Qi." Never "little Blood and much Qi." This means True Qi is not yet born, relying only on the thread of respiration. Now considering it "excess," one must make this thread of Qi cease entering and exiting to call it "Yang deficiency"! If Cold is Yin and Heat is Yang, Cold governs convergence, Heat governs generation. Humans rely on this Yang Harmony. With this Yang Harmony, the hundred bones and five viscera can move. Now considering it "excess," one must extinguish this warm Qi until limbs are stiff and the body is cold water to call it "Yang deficiency"! If Water is Yin and Fire is Yang, Tianyi is not Yin, Di'er is not Yang, Kan-Xu is not Yin, Li-Si is not Yang—this is even less relevant. If Liver is Yin and Lung is Yang, Metal does not control Wood, Liver Qi is excessive. But Liver belongs to Jueyin, governing Blood storage. Blood is Yin Ying. Yi and Gui share the same source. Mistaking it for Yang is doubly erroneous. If Liver is Yin and Gallbladder is Yang, Gallbladder has no entry/exit, though belonging to Shaoyang, it governs Half-Exterior Half-Interior. Disease here requires harmonizing Exterior and Interior, strictly prohibiting sweating, vomiting, and purging. Now mistakenly identifying Shaoyang Gallbladder Heat as Yang Fire excess, lightly using cooling, draining, and purging treatments—does this not change the constant principles and willingly accept the ridicule of misleading the world? If True Yang is excess, children's Tian Gui is insufficient, and True Yang has not yet established itself—this is baseless. If Five Zang are Yin and Six Fu are Yang, one should specifically drain the Yang of the Six Fu, not regard Heart Fire and Liver Wind as Thief Pathogens, nor use large-cold, large-toxic substances like Huanglian (Coptidis Rhizoma) and Gansui (Kansui Radix) to drain the deficient Yin. I do not know what they refer to when speaking incessantly. Do children have some other "Yang excess, Yin deficiency"? My insight is shallow and insufficient to fathom their depth.) Prone to generating Heat; excessive Heat generates Wind, Phlegm, and Fright. (Popular tunes echoed nationwide?) Moreover, diet is hard to regulate (suddenly blaming diet), emotions are unpredictable (suddenly blaming temperament). Violent anger damages Yin, violent joy damages Yang. Damaging Yin causes diarrhea; damaging Yang causes Fright. (Above it said Yang is usually excess; if excess, damage is not harmful. Now saying damage to Yang causes Fright implies Yang should not be damaged, which is beyond words. Holding both ends, difficult to serve as a model.) Violent joy damages milk in children. (Above said violent joy damages Yang; here it says violent joy damages milk. Milk is blood-like, not Yang. Why does violent joy damage it?) Milk is sweet and slow, lingering in the diaphragm (blaming milk, specifically discussing milk and food). Combined with external Cold contraction, Phlegm condenses and obstructs, stagnating and steaming. (Milk lingers in the diaphragm, Cold invades externally, leading to Phlegm condensation and obstruction, stagnation and steaming. The best treatment is to cut off milk and food; otherwise, when will the root of disease be broken?) Internally there is Food Heat, externally Wind pathogen. (Above said milk stasis with Cold; here says Food Heat with Wind—a confusing dream.) Heart Heat excess generates Fright. (Earlier said Fright from startling; here says Heart Heat generates Fright.) Liver Wind excess causes spasms. Liver Wind and Heart Fire contend. (Earlier said Wind does not move without Fire, Fire does not erupt without Wind. They work together. Here says they contend, but what is contending?) Thus, Phlegm arises from Spleen, Wind from Liver, Fright from Heart, Heat from Lungs. If the four syndromes of Fright, Convulsion, Phlegm, and Heat are present, eight throat manifestations arise. (This article starts from Yang excess and Yin deficiency generating Heat and Wind, extending to diet, emotions, breastfeeding, cold/heat/harmful pathogens, internal injury/external contraction, decorated in many ways, yet ending with the four characters "Fright, Convulsion, Phlegm, Heat." Wasting so much thought only to provide a foil for "Fright Convulsion." Ignoring that baseless actions and erroneous talks, however eloquently spread, never follow reason. It is just pulling things together to deceive ordinary people. Those with clear eyes will not be deceived.)
It is said: Acute or chronic convulsion, triggered by loud noises or great fright, causing spasms, returning to normal after. This is "No Yin," so one should purge. (*Neijing* states: "Great fright and sudden fear cause Qi and Blood separation." This is precisely spirit/mind injury and Yin-Yang dispersion. Rescue is barely sufficient; how can one see "No Yin" and purge, worrying not about purging causing Yin loss?) This syndrome is originally due to Heat arising from the Heart. (Given great fright and sudden fear, where does Heart Heat come from?) Fever, red face, thirst, hot breath, yellow-red urine and stool. Severe cases involve intense Heat. Since excessive Heat generates Wind, it belongs to the Liver, a syndrome of Yang excess and Yin deficiency. Thus, purging is used to remove Phlegm. (Above said "returning to normal after"; below describes fever, red face, etc. If these signs appear before spasms, it is due to illness, not Fright. If they appear after spasms, the previous "returning to normal" is nonsense.) Pediatric Phlegm-Heat lodges in the Heart space. (No wonder Ba Dou (Crotonis Semen) and Gansui are suddenly used to purge Phlegm from the Heart space. Does one not know that when children spasm, even if there is Phlegm, it only blocks the great collaterals of the Spleen and clogs the airway. How can it enter the Heart space? Using large toxic substances to harm the innocent and damage the Spirit-containing Zang organ—how can one avoid becoming epileptic?) Due to hearing unusual sounds, movement triggers spasms. If Heat is extreme, not hearing sound and fright, spontaneous spasms also occur. (Hearing sound and trembling exists in those with deficient Spirit. Cultivators say Essence generates Qi, Qi generates Spirit. Spirit relies on Qi like fish rely on water. Children with thin endowment lack congenital essence before pregnancy and Gui Water is not formed currently, so Yuan Jing is insufficient. Yuan Qi has no root, so Yuan Shen is most timid, often trembling at sounds. This is truly a syndrome of deficient Spirit and fearful Gallbladder. Yet pediatrics not only pities the insufficient Yuan Shen but points to Heart Fire excess. Not only Heart Fire excess, but drags in Liver Wind, Spleen Phlegm, and Lung Heat to prove the fallacy of "Fright, Convulsion, Phlegm, Heat" four syndromes and eight signs. Again, hearing unusual sounds, seeing strange objects, sudden surprise and trembling—this is precisely Spirit and Soul lacking mastery, Ying and Wei chaotic, wavering and unable to settle. Not protecting and rescuing, yet saying "Heat arises from Heart," insisting on purging to remove Phlegm—adding insult to injury, snow on frost. These people, what are their intentions? Truly astonishing.)
It is said: A child normally fine, suddenly high fever, hand-foot spasms, eyes rolling up, tidal phlegm obstruction, locked jaw, fever, red eyes. (Saying "normally fine" means no disease is known. Seeing these bad signs suddenly, laypeople would say it is a ghost disease. Otherwise, how can one be normally fine yet suddenly so dangerous? Does one not know children easily contract Wind-Cold and injure milk/food? Half a day prior, the pathogen already entered inside. The child cannot speak, parents do not notice. Pathogen stagnates and cannot extend, so spasms occur suddenly. Observing the words "sudden high fever" reveals this. Whether Wind-Cold entering Interior causing high fever, or food stagnation causing high fever, this is truly caused by illness, not "normally fine." Treating this is not difficult; one should observe the source of illness. External causes: reach and release them. Internal causes: guide and purge them. Once pathogen is gone, Spirit nature calms itself. If one insists on "no cause," laypeople suspect ghosts and seek shamans; mediocre doctors label it convulsion and treat wildly. Both delay, what can be done?) This acute convulsion belongs to Yang, disease in the Fu organs. (Often said convulsion is governed by Heart and Liver. Here suddenly says belongs to Fu. Are Heart and Liver Fu or Zang? Must ask the founding ancestor of pediatrics to clarify. I am dazzled and cannot recognize.)
It is said: Acute convulsion is a Yang syndrome, all Fu organs receiving the disease. Children have guest Phlegm-Heat in the Heart and Diaphragm, indicating Shaoyang Minister Fire is prosperous. (Usually speaks of Heart Fire; here says Minister Fire—novel.)