惊者，忽然惊惕而手足搐搦，口眼歪斜，每多忽作忽止，其证多由风热。盖心主火
而恶热，肝主风而善动，惊痘之火，内生于心，心移热于肝，风火相搏，故发惊搐。然未出之
先发惊搐者多吉，既出之后发惊搐者多凶。何也？盖痘毒将散而溪谷开张，窍理疏解，因致牵
引伸缩，得疏散达之气，痘出而惊自止，则其内毒无留于此可见，故俗名惊痘，最为吉也。若
既出之后，则中之伏火亦宜散矣，倘仍见惊搐，则是外毒已出而内毒犹然未尽，此其毒盛莫测，
乃可畏也。故凡发惊搐者，必随发随止者为吉，不必治也。苦连发不已，此毒伏于心肝二
脏，速宜随证治之，不得误以为吉证。
一、治惊搐之法，最当察其虚实，酌其微甚。如果有风热实邪，庶可解毒清火，但
得稍见清楚，盒饭培养心脾以防虚败之患。若止见微邪，则但当以调和气血为主。
一、惊搐证由风热相搏，故治宜平肝利小便。盖平肝则风去，利小便则热除，风热既平，
惊自愈矣。若过用寒凉，则气敛而毒反陷伏，痘出不透，多致不救。
一、心脾阳气虚寒则神怯而易为惊搐，六气煎加枣仁、朱砂。
一、心脾血虚而惊搐者，七福饮、养心汤。
一、肝胆气虚，多恐畏而惊搐者，茯神汤。
一、心血虚，睡中惊搐，或兼微痰者，《秘旨》安毒丸。
一、心虚火盛，多热躁而惊搐者，宁神汤、酸枣仁汤。
一、痘既出，其色红紫而烦渴惊搐者，《良方》犀角地黄汤。若烦热之甚而大便干涩
者，多由阳明之火，人参石膏汤加朱砂。
一、心火独盛而烦热惊搐者，朱砂安神丸，或七味安神丸。
一、心火盛，小水不利而惊搐者，导赤散加黄连、朱砂，或合朱砂益元散。
一、痰涎壅盛，气急胸满而惊搐者，抱龙丸、清膈煎，或梅花饮、琥珀散。此宜暂用以
开痰涎，但得痰气稍清，即当酌虚实以调理血气。
一、肝胆实热，大便秘结而烦躁惊搐者，泻青丸，或七味龙胆泻肝汤。
一、血热见血而惊搐者，《局方》犀角地黄汤。热甚者，《良方》犀角地黄汤。若热甚
而大便秘结者，《拔萃》犀角地黄汤。
一、风寒外感，心脾阳虚而微热不退，或咳嗽恶寒而惊搐者，惺惺散。若虚在阴分，
汗不能出，身热不退而惊搐者，柴归饮。若外有风邪，内有热邪，表里俱热而惊搐者，生犀散。
一、风寒外感，身热无汗，但有表邪，别无虚证而惊搐者，败毒散或苏葛汤。寒邪闭甚
者，红棉散。然此皆表散之剂，若兼虚邪，不得单用此类。
惊证，是指突然受到惊吓而手足抽搐、口眼歪斜，往往发作和停止都很突然，这种病症多由风热引起。因为心主火而厌恶热邪，肝主风而容易躁动，痘毒之火内生于心，心将热邪转移给肝，风与火相互搏结，所以引发惊搐。然而，在痘疹未发出之前先出现惊搐的多为吉兆，在痘疹发出之后才出现惊搐的多为凶兆。为什么呢？因为痘毒即将发散时，肌肉腠理（溪谷）开张，毛孔纹理疏解，因此导致肢体牵引伸缩，得到了疏散通达的气机，痘疹发出后惊搐自然停止，这说明体内的痘毒没有滞留在这里，所以俗称“惊痘”，是最为吉祥的。如果是在痘疹已经发出之后，那么体内潜伏的火邪也应当消散了，倘若仍然见到惊搐，这就是外部的痘毒已经发出但内部的痘毒仍未完全清除，这种毒势旺盛难以预测，是令人畏惧的。所以凡是发生惊搐的，一定是随发随止的为吉兆，不需要治疗。如果苦于连续发作不止，这是痘毒伏藏在心和肝两脏，必须迅速根据证候进行治疗，不能错误地将其当作吉证。
一、治疗惊搐的方法，最应当辨别其虚实，斟酌病情的轻重。如果有风热实邪，才可以解毒清火，只要稍微见到病情清楚一些，就应当培养心脾以防虚败的祸患。如果只是见到轻微的外邪，那么就只应当以调和气血为主。
一、惊搐证是由于风热相互搏结，所以治疗适宜平抑肝风、通利小便。因为平抑肝风则风邪自去，通利小便则热邪消除，风热既已平息，惊搐自然痊愈。如果过度使用寒凉药物，则气机收敛而痘毒反而陷入潜伏，痘疹出不透彻，多导致无法救治。
一、心脾阳气虚寒则神志怯弱而易受惊搐，用六气煎加酸枣仁、朱砂。
一、心血虚，睡眠中惊搐，或者兼有轻微痰湿者，用《秘旨》安毒丸。
一、痘疹已经发出，颜色红紫且烦渴惊搐者，用《良方》犀角地黄汤。如果烦热非常严重且大便干涩者，多由阳明经火盛引起，用人参石膏汤加朱砂。
一、心火盛，小便不利而惊搐者，用导赤散加黄连、朱砂，或合用朱砂益元散。
一、痰涎壅盛，气急胸满而惊搐者，用抱龙丸、清膈煎，或梅花饮、琥珀散。这些药物适宜暂时用来开通痰涎，只要痰气稍微清晰，就应当斟酌虚实来调理气血。
一、肝胆实热，大便秘结而烦躁惊搐者，用泻青丸，或七味龙胆泻肝汤。
一、血热见出血而惊搐者，用《局方》犀角地黄汤。热势甚者，用《良方》犀角地黄汤。如果热势很甚且大便秘结者，用《拔萃》犀角地黄汤。
一、风寒外感，心脾阳虚而微热不退，或者咳嗽恶寒而惊搐者，用惺惺散。如果虚在阴分，汗不能出，身热不退而惊搐者，用柴归饮。如果外有风邪，内有热邪，表里俱热而惊搐者，用生犀散。
一、风寒外感，身热无汗，只有表邪，没有其他虚证而惊搐者，用败毒散或苏葛汤。寒邪闭阻严重的，用红棉散。然而这些都是解表发散的药物，如果兼有虚邪，不得单独使用这类药物。
Jing (Fright) refers to a condition characterized by sudden fright, convulsions of the hands and feet, and deviation of the mouth and eyes. It often starts and stops abruptly. This syndrome is mostly caused by Wind-Heat. The Heart governs Fire and dislikes Heat; the Liver governs Wind and is prone to movement. The fire from the smallpox toxin originates internally in the Heart. The Heart transfers Heat to the Liver, where Wind and Fire struggle against each other, thus triggering Jing-Chou (Fright Convulsion). However, if Jing-Chou occurs before the eruption of the smallpox lesions, it is generally auspicious; if it occurs after the eruption, it is generally ominous. Why? When the smallpox toxin is about to disperse, the muscle spaces (Xi Gu) open up, and the pores and skin textures become loose. This leads to pulling and stretching movements, allowing for the free flow of dispersing and unblocking Qi. Once the smallpox lesions erupt, the Jing-Chou naturally ceases, indicating that the internal toxin has not remained here. Therefore, it is commonly called "Jing Dou" (Fright Smallpox), which is considered the most auspicious sign. If it occurs after the eruption, the latent fire within should have already dissipated. If Jing-Chou is still observed, it means that while the external toxin has been expelled, the internal toxin remains incomplete. This indicates an unpredictable intensity of the toxin, which is fearsome. Therefore, in cases of Jing-Chou, those that start and stop immediately are auspicious and require no treatment. However, if it persists continuously, this indicates the toxin is latent in the Heart and Liver organs. Treatment must be administered promptly according to the syndrome; it must not be mistakenly regarded as an auspicious sign.
1. In treating Jing-Chou, one must first distinguish between Deficiency and Excess, and assess the severity. If there is an Excess pathogen of Wind-Heat, detoxification and clearing of Fire may be employed. As soon as slight improvement is seen, the Heart and Spleen should be nourished to prevent deficiency collapse. If only mild pathogens are present, the primary approach should be harmonizing Qi and Blood.
1. The Jing-Chou syndrome results from the struggle between Wind and Heat; therefore, treatment should focus on soothing the Liver and promoting urination. Soothing the Liver eliminates Wind, and promoting urination removes Heat. Once Wind and Heat are pacified, the Fright will heal itself. Overuse of Cold-Cooling herbs causes Qi to contract, leading to the trapping of the toxin, resulting in incomplete eruption of the smallpox lesions, which often leads to untreatable conditions.
1. For Jing-Chou due to Deficiency-Cold of Heart and Spleen Yang, causing timidity and susceptibility to fright, use Liuqi Jian (Six-Qi Decoction) with added Zao Ren (Semen Ziziphi Spinosae) and Zhu Sha (Cinnabar).
1. For Jing-Chou due to Deficiency of Heart and Spleen Blood, use Qifu Yin (Seven-Favor Infusion) or Yangxin Tang (Nourish the Heart Decoction).
1. For Jing-Chou accompanied by excessive fear due to Deficiency of Liver and Gallbladder Qi, use Fushen Tang (Poria Decoction).
1. For Jing-Chou during sleep due to Deficiency of Heart Blood, possibly with slight Phlegm, use Andu Wan (Detoxifying Pill) from *Mizhi*.
1. For Jing-Chou accompanied by irritability and restlessness due to Hyperactive Fire from Heart Deficiency, use Ningshen Tang (Calm the Spirit Decoction) or Suanzaoren Tang (Ziziphus Seed Decoction).
1. For Jing-Chou with thirst and irritability after the eruption of smallpox lesions that are red-purple in color, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) from *Liangfang*. If the irritability and heat are severe with dry stool, it is mostly due to Fire in the Yangming channel; use Renshen Shigao Tang (Ginseng and Gypsum Decoction) with added Zhu Sha (Cinnabar).
1. For Jing-Chou with irritability and heat due to solitary hyperactivity of Heart Fire, use Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) or Qiwei Anshen Wan (Seven-Ingredient Calming the Spirit Pill).
1. For Jing-Chou with difficult urination due to Hyperactive Heart Fire, use Daochi San (Guiding Out Red Powder) with added Huanglian (Coptis Rhizome) and Zhu Sha (Cinnabar), or combined with Zhusha Yiyuan San (Cinnabar and Benefiting Origin Powder).
1. For Jing-Chou with chest fullness and rapid breathing due to abundant Phlegm-Saliva, use Baolong Wan (Embracing Dragon Pill), Qingge Jian (Clear Diaphragm Decoction), Meihua Yin (Plum Blossom Infusion), or Hupo San (Amber Powder). These are suitable for temporary use to resolve Phlegm-Saliva. Once the Phlegm-Qi clears slightly, adjust the treatment based on Deficiency or Excess to regulate Qi and Blood.
1. For Jing-Chou with irritability and constipation due to Excess Heat in the Liver and Gallbladder, use Xieqing Wan (Draining Blue Pill) or Qiwei Longdan Xiegan Tang (Seven-Ingredient Gentian Draining Liver Decoction).
1. For bleeding accompanied by Jing-Chou due to Heat in the Blood, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) from *Jufang*. For severe heat, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) from *Liangfang*. For severe heat with constipation, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) from *Bacui*.
1. For Jing-Chou with persistent slight fever due to External Wind-Cold and Deficiency-Cold of Heart and Spleen Yang, or with cough and aversion to cold, use Xingxing San (Stupor Powder). For Jing-Chou with persistent body heat and inability to sweat due to Deficiency in the Yin aspect, use Chaigui Yin (Bupleurum and Angelica Infusion). For Jing-Chou with simultaneous exterior and interior heat due to External Wind pathogen and Internal Heat pathogen, use Shengxi San (Raw Rhino Horn Powder).
1. For Jing-Chou with body heat, absence of sweat, and only exterior pathogen without other deficiency signs due to External Wind-Cold, use Baidu San (Defeat Poison Powder) or Sugé Tang (Ephedra and Kudzu Decoction). For severe closure by Cold pathogen, use Hongmian San (Red Cotton Powder). Note that these are all exterior-dispersing formulas. If there is concomitant deficiency pathogen, they must not be used alone.